20230052 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: *
LARGO PROPERTIES LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
PO BOX 8815
Address Line 2
City
GREENVILLE
Postal / Zip Code
29604
Is there an agent working on the project? * Yes
No
Agent/Consultant Information
State / Province / Region
SC
Country
USA
Name:* JAY FREEMAN
Company Affiliation: * CONTRACTOR
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: *
1020 MEMORIAL HWY SEAWALL AGENT
1.14MB
AUTHORIZATION FORM copy.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
SEAWALL REPLACEMENT FOR 1020 MEMORIAL HWY
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:*
35.416479
Street Address
1020 Memorial Highway
Address Line 2
City State / Province / Region
Lake Lure NC
Postal / Zip Code Country
28746 US
Longitude: *-82.195196
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*
23006 - 1020 MEMORIAL HWY
1.44MB
SEAWALL.pdf
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.pdf 1.31MB
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:*
MEMORIAL HWY
Include phase/lot number
Directions to site: *
from Town of Lake Lure, Lake Operations Office, 197 Buffalo Shoals Rd,
Lake Lure, NC 28746: Head south on Buffalo Shoals Rd toward US-64
E/US-74 ALT E, then Turn right onto US-64 W/US-74 ALT W.
Destination will be on the right.
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:*
Lake House Restaurant Bar & Grill
Residential, undeveloped, etc.
6. Property Size
1.46
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Replacing the existing wood seawall.
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.)
652
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.)
489
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):
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");
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: 1/10/2023

Initial Review
Is this accepted into the review process?* , Yes No
Project Number: * 20230052 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 INFORMATION:
TAX PARCEL # 1622119
AGENT AUTHORIZATION FORM
DEED BOOK 968 PAGE 156
PROPERTY ADDRESS: 1020 MEMORIAL HWY, LAKE LURE, NC, 28746
Property Owner (As Listed on GIS):
LARGO PROPERTIES LLC
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):
PO BOX 8815, GREENVILLE, SC 29604
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 Signature/Property Owner)
Printed Name: Mark Hammond
Title/Designation: Managing Member
Date: January 9, 2023

9
NV' d �OKN00 NOISOd3
"`
nza
a
3Nvz 1vMaaNvaaow3w oza�
ll
il.A:):)lA Li3lA�
_
3 p MH - dNOW3W OZO 6
wopo
W
.. u
w
o N
h311N39 SIM31 — 5311a3a0ad Q9atll a0J NOI530 I--=
a
w
CJ
/ / )Ld
cn
�
_10
v
/
�N O
�J
I �m ��
\
lkg �f OWE
M
Lo
cr cr
o� w Y
00
o /l
`O
ruin i—/Q� /
--- ------
e
—
i=� 8�---------- — — — —
— — -- —
------------------- ----
--- -- ...wN rA4174A
o
- Po
- o0
�E wwJ
of
I
I
I
I
i
�° ° - — n° ° P ' " P„bMd3s-1,11anw3w nza° 1bMd33 MI ,--. nzn° I —" n

sl IVi3 (I a
oN xiNnco aaodasa�na
y -„ p sam 3�va ,vMaaa av aow3w ozo� -Su LA—U
AMH T dOh3W OZOI wo
Po
o N 31tla ne Nn udia553p 3 `_, OP —i N 3e sM31 s3 ia3doad ooaVl aa] No 53 w
MEMO.,
Y
ages
szma
gbo
boo
osoono
a B�:
H
€e � MM.
c
ao-
,, , — —, .. —loll „—1 MI ,1aow1w — „-- MI aow3w 0101 —" a

}1,- ��b r L rf�.Y �y 11� "_S
�y� a � f.! L' r
S �,' s .� S i A E P Y $��t
-.� .-' � "�i� yr a: r� III'" _ m � _
4, T^A,< ,�.,-_ xs � `�� � v '`t ����- �+r��� _..- --- �� -- `may
� � ' f � � yap ,{- �''
- 'A
..R7i:
y � C�
.� _ } a L A =gyp _' �� �'w,

-
�.�
RIL
-Li