20230050 Ver 1_Shoreline Stabilization_20230111

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 1/10/2023
submitted on:*
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Zach Schaumburg
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
3060 Peachtree Rd NW
Address Line 2
Suite 970
City
Atlanta
Postal / Zip Code
30305-1858
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: * Hubert Bryson
Company Affiliation: * Bryson Trucking
Email: * [e-mail]
State / Province / Region
GA
Country
US

Phone Number: *
Mailing Address: *
[phone]
(xxx)xxx-xxxx
Street Address
6352 State Route 107
Address Line 2
City State / Province / Region
Glenville NC
Postal / Zip Code Country
28736-6407 US
A signed and dated copy of the Agent Authorization letter: *
agentauth20230110_07510488.pdf 20.7KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Fenley Forest Dock Lot
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
Upload Map: vicinitymap20230110_08014926.pdf 110.76KB
Latitude: * 35.161740
Longitude: *-83.146520
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*
drawing 120230110_07521112.pdf
drawing220230110_07524185.pdf
drawing320230110_07531472.pdf
Please use the diagram at the link below:
24.55KB
22.83KB
24.11KB
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.)
photo l copy.pdf 146.95KB
photo2copy.pdf 146.99KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Cashiers
County:* Jackson

Lake/ river/ ocean adjacent to Glenville
property:
Subdivisions name or site address: *
Fenley Ridge Estates South, Dock Lot 2; Fenley Forest Trail
Include phase/lot number
Directions to site: *
North on 107 from Cashiers, left on North Norton Rd; Right onto Fenley
Forest Trail. Go .8 miles after the pavement ends, left on Tacami Club
Drive (into the subdivision). Go straight back to the cul da sac
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: *
Undeveloped
Residential, undeveloped, etc.
6. Property Size
1.01
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
To prevent further erosion as well as to install a 10 slip community dock
approved by Duke.
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.)
approx 150
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.)
approx. 150
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)
1 tree above 3 inches in diameter; small shrub vegetation.
Sketch:
drawing220230110_07524185.pdf 22.83KB
drawing320230110_07531472.pdf 24.11KB
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):
a $240.00 for impacts to lake (below normal water level) of less than 1 acre
a $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");

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");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
• I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:*
Signature:
Zach Schaumburg
Submittal Date: 1/10/2023

Initial Review
Is this accepted into the review process?* , Yes No
Project Number: * 20230050 Version: * 1
Select Reviewer: * Mitchell Anderson:eads\mlanderson:[e-mail]
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

PROPERTY LEGAL DESCRIPTIO }N :
WT No. PLAN NO t. PARCELID: 7563-19-4474
STREET ADDRESS:
Dock Lot 2 Fenley Forest Trail
Please print: Fenley Forest Scharr, LLC a North Carolina LLC
Property Owner:
Property c fwner: Fenley Forest Lake Club, LLC a Georgia LLC
The undersigned, registered property owners of the above noted property, do hereby authorize
4jjr q f Bryson
(Contractor / Agent)
Of Bryson Trucking
(Name of consultinq 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):
3060 Peachtree Rd NW, Suite 97u, Atlanta, GA 311305
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
I - O�N��
Authorized Signaturt
Date: 12/15/26
Authorized Signature
Date:

,MILL oNWVM
3ARKI snl3 lNVO01
i
kY1N3 ;'
4
rIiMON OV073 3NI 130 M '
VLiA7-6Z-E9SL : POJed 101 1:)o❑
deW uoile:)ol

Owner/Agent's Signature` [15A NCAC 02H .0502(f)] Date
*Agent's signature is valid only if an authorization letter from the owner is provided.
Lake
(At Full Pond/Normal Water Level)
lv1)
K�0
i
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft x 100 ft)*:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM. SSGP 10-2013 Page 3 of 3

ter[
V

r
r-
L1
m
�11
N,

z�\ � �� .�
AL

ter[
V

r
r-
L1
m
�11
N,