20221389 Ver 1_Shoreline Stabilization_20221006

Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Quality
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
DRAFT -NOT FOR USE AT THIS TIME
Submission Form
I. Applicant Information [15A NCAC 02H .0502(a)]
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all
mandatory questions are answered.
Primary Contact Email*
[e-mail]
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 10/6/2022
submitted on: *
Owner Information:
Name: * Mr. Jack Barter
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
179 Lake Trail
Address Line 2
City
Cullowhee
Postal / Zip Code
28723
Is there an agent working on the project? * Yes
No
Agent/Consultant Information
State / Province / Region
NC
Country
US
Name: * BH Graning Landscapes
Company Affiliation: * Landscaping Company- contractor doing work.
Email: * [e-mail]

Phone Number:*
Mailing Address:*
[phone]
(xxx)xxx-xxxx
Street Address
64 Bella Road
Address Line 2
City State / Province / Region
Sylva NC
Postal / Zip Code Country
28779 United States
A signed and dated copy of the Agent Authorization letter:*
BARTER AUTHORIZATION FORM.pdf 31.01KB
scan0046.pdf 444.2KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
BARTER
If your project has a formal name please use this. If your project does not have a formal name, please identify your project
by the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses
any other names that have been used to identify the project in the past.
1. Provide a vicinity map (i.e. street map) clearly showing the location of the property with respect to
local landmarks such as towns, rivers, and roads. *
Upload File
Look up address
Property Address Lookup: *
Latitude:*
35.176675
Street Address
179 Lake Trail
Address Line 2
City State / Province / Region
Cullowhee NC
Postal / Zip Code Country
28723 US
Longitude: *-83.173672
2. Provide a detailed site plan showing property boundaries and proposed locations of vegetation clearing,
structures (buildings, retaining walls, docks, impervious surfaces, etc.), rip rap, excavation or dredging below
Full Pond/ Normal Water Level elevations, and construction access corridors. You may use the diagram under
section 12.normal pool lake level/normal water level*
REV.4-WALL DETAIL.pdf
REV.4-NO PINE STRAW-GREY.pdf
REV.4-NO PINE STRAW-COLOR.pdf
REV.4-GREY.pdf
REV.4-COLOR.pdf
Please use the diagram at the link below:
455.81KB
1.01MB
1.01MB
1.09MB
1.1MB
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%20Layout.docx

3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a yard
stick, shovel handle, etc.)
REV.4-WALL DETAIL.pdf 455.81KB
REV.4-NO PINE STRAW-GREY.pdf 1.O1MB
REV.4-NO PINE STRAW-COLOR.pdf 1.O1MB
REV.4-GREY.pdf 1.09MB
REV.4-COLOR.pdf 1.1 MB
4. Location of the property (where work is to be conducted)
Nearest Town: * GLENVILLE
County:* Jackson
Lake/ river/ ocean adjacent to GLENVILLE
property:
Subdivisions name or site address:*
Directions to site: *
64 Bella Rd
Sylva, NC 28779
LOT 8 - 179 LAKE TRAIL, GLENVILLE, NC
Include phase/lot number
Follow Bella Rd and Woody Hampton Rd to State Rte 107 S/E Main St
1 min (0.2 mi)
Continue on State Rte 107 S to Cullowhee Mountain Rd
11 min (7.0 mi)
Follow Cullowhee Mountain Rd to Pine Creek Rd
20 min (9.0 mi)
Continue on Pine Creek Rd to Strawberry Hill Rd
3 min (1.4 mi)
Continue on Strawberry Hill Rd. Drive to Lake Trl
2 min (0.5 mi)
179 Lake Trl
Cullowhee, NC 28723
Please include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application: *
RESIDENTIAL. DEVELOPED.
Residential, undeveloped, etc.
6. Property Size .80
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
We propose to provide the following:
1. Install lakeside bank armoring/boulder wall. Armoring will be installed
as per Duke guide lines.
Budgets shown based on approx. 651f with a max height of 3'.
Armoring will be either Class B RipRap set against the bank at a 2-1 slope
with landscape filter fabric, or native boulders stacked and secured as
required and set against the bank with riprap drainage and geogrid textile
for stability. Owners Choice. All work will be performed form lakeside
and will require Duke Energy permit and DWQ permit, we will provide
turnkey operation and installation.
8. How will the work be done? *
From Land
From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level: *
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
0
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet land-
ward: *
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
0
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet landward to
be impacted:*
(number of trees, for instance)
Minimal impact to any trees existing.
Sketch:
Application Fee:
Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#. The
application fee is as follows (pursuant to G.S. 143-215.3D):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
o $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
o I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
o I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
o I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of
the NC General Statutes (the "Uniform Electronic Transactions Act");
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act");
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
a I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name: * Vera L Sparks

Signature:
Submittal Date:
10/6/2022

Initial Review
Is this accepted into the review process?* , Yes No
Project Number:* 20221389 Version:* 1
Select Reviewer: * Mitchell Anderson:eads\mlanderson
Select Reviewing Office: Asheville Regional Office - [phone]
Has payment been received?* No Payment Needed
Fee Received
Need Fee - send electronic notification
What amount is owed?* $240.00
$570.00

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. LOT $ PLAN NO. PARCEL ID: 751-14 ~ — / 33-37
STREET ADDRESS: 17 R L A-1CC- TR4. L
C. Let--) c-. 2S 73 c,
Please print: _
Property Owner: J 1 C4
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
J 0V=EO0
(Contractor / Agent)
of g H
(Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone: S13 - 31Q ao 4eS-
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
K Authorized Signature Authorized Signature
Date: Date:

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. �-®►' PLAN NO.
STREET ADDRESS: 1-1 - ` ABC L-
Please print:
Property Owner:
Property Owner:
registered property owners of the above noted property, do hereby authorize
The undersigned, re g
-Yoe
oe oQ� ec. 0 of (Name of consulting firm)
(Contractor J Agent)
cfor the processing, issuance and acceptance of
to ad on my certification
and take all anecessary
and all standard and special conditions attached.
this permit or certification and any
Property
Owner's Address (if different than property above):
Telephone: S 13 _ 3 Q - o 4 8S.
w7S�4-3, --I33S
PARCEL ID:
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Aut rifed Signaature
Date: /b/ 3/Z Z-
Authorized Signature
Date:

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