20221581 Ver 1_Shoreline Stabilization_20221109

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 11/7/2022
submitted on: *
Owner Information:
Name: * WATER TIGER LLC
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
89 Evelyn Place
Address Line 2
City
Asheville
Postal / Zip Code
28801-1420
Is there an agent working on the project? * Yes
No
Agent/Consultant Information
State / Province / Region
NC
Country
US
Name: * JAY FREEMAN IV
Company Affiliation: * JAY FREEMAN IV
Email: * [e-mail]

Phone Number:*
Mailing Address:*
[phone]
(xxx)xxx-xxxx
Street Address
PO BOX 155
Address Line 2
City State / Province / Region
BAT CAVE NC
Postal / Zip Code Country
28710 usa
A signed and dated copy of the Agent Authorization letter:*
SIGNED ABERNETHY - AGENT
313.66KB
AUTHORIZATION FORM.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
REPLACEMENT SEAWALL FOR NANCY AND WILLIAM
ABERNATHY
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: *
Street Address
190 Caddy Lane
Address Line 2
City State / Province / Region
Lake Lure NC
Postal / Zip Code Country
28746 US
Latitude:* 35.433560 Longitude:* -82.216155
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*
Freeman-AbernathySEAWALL ALL.pdf 195.46KB
Please use the diagram at the link below:
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.)
PHOTOS OF 190 CADDY LANE.pdf 1.47MB
4. Location of the property (where work is to be conducted)

Nearest Town: * CHIMNEY ROCK
County: * Rutherford
Lake/ river/ ocean adjacent to LAKE LURE
property:
Subdivisions name or site address: *
190 CADDY LANE
Include phase/lot number
Directions to site: *
From Lake Lure Municipal Center, head south on Morse Park Trail, Turn
right to stay on Morse Park Trail, Turn left onto US-64 E/US-74 ALT E,
Slight left onto Earnest Thompson Seton Rd/Seton Rd, Turn left to stay on
Earnest Thompson Seton Rd/Seton Rd, then Turn right onto Caddy Ln.
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
Residential, undeveloped, etc.
6. Property Size
0.57
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
The existing seawall is already old and damaged, and needed to be
replaced.
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.)
660
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.)
440
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)
N/A
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:
a I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief

a 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.
a 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");
a 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");
a I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* JAY FREEMAN IV
Signature:
Submittal Date: 11/7/2022

Initial Review
Is this accepted into the review process?* , Yes No
Project Number:* 20221581 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

AGENT AUTHORIZATION FORM
PROPERTY INFORMATION:
TAX PARCEL # 1655436 DEED BOOK 2061 PAGE 284
PROPERTY ADDRESS. 190 CADDY LANE, LAKE LURE, NORTH CAROLINA, 28746
Property Owner (As Listed on GIS): WATER TIGER LCC
The undersigned, registered property owners of the above noted property, do hereby
authorize (Name of Contractor/Agent) JAY FREEMAN IV
of (Name of Consulting Firm) Contractor
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):
89 EVELYN PLACE, ASHEVILLE, NORTH CAROLINA 28801
Telephone: [phone]
Email Address: [e-mail]
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.
(Authorized Smature/Pr y Owner)
Printed Name:
Nancy Abernethy
Title/Designation: Property owner
Date: 10-26-22

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PHOTOS
190 CADDY LANE, TOWN OF LAKE LURE, NC

PHOTOS
190 CADDY LANE, TOWN OF LAKE LURE, NC

PHOTOS
190 CADDY LANE, TOWN OF LAKE LURE, NC

PHOTOS
190 CADDY LANE, TOWN OF LAKE LURE, NC