20150255 Ver 1_Shoreline Stabilization_20150309

State of North Carolina
Department of Environment and Natural Resources
y INV Division of Water Resources
rces
15A NCAC 02H 0500 — Water Quality Certification,
Division of Water Resou Slio'relme Stabitiiation
FORM =SSGP 102013
Shoreline Stabilization Application Form 2 0 1 5 0 2 5 5
Four copies of the application (including attachments) and the application fee should be sent to:
Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
I. Applicant Information [15A NCAC 02H 0502 a ]
1 Owner Information
0
Name STEVE & MARY BOEHM
Mailing Address 330 TRAFALGAR TRL
MATTHEWS NC`28105
Telephone Number 704 - 841 -2828 Fax Number
E -mail Address [e-mail]
Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here
11"'r //w ^,v� savy usacc army mii/ Portals /59 /docs /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
4 iilLrrgTlOiN FO R,/1 ai) must be attached if the Agent has signed this application form
Name CARISSA PARKER
Company Affiliation BENNICK ENTERPRISES LLC
Mailing Address 7836 HWY 70 E
NEBO NC 28761
Telephone Number 828- 659 -1000 Fax Number 828 - 659 -1001
E -mail Address CARISSA @BENNICKGRADING COM
Person to receive the Certification Approval CARISSA PARKER
II. Project Information [15A NCAC 02H 0502(a) & (b)]
1 Attach a vicinity map (i a street map) clearly showing the location of the property with
respect to local landmarks such as towns, rivers, and roads
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,
FORM SSGP 10 -2013 Page 1 of 4

and construction access corridors You may use the diagram provided at the end of this
application form
3 Attach a photograph of the shoreline/ buffer proposed to be stabilized (Include a scale
of some sort- a yard stick, shovel handle, etc.)
4 Location of the property (where work is to be conducted)
County BURKE Nearest Town NEBO
Subdivision name or site address (include phase /lot number) 1780 LOT 173
2130 FIRESTONE TRAIL NEBO NC 28761
Directions to site - please include road names and numbers, landmarks, etc
FROM MORGANTON TAKE HWY 126 TL ONTO CAMPBELLS TRACE TL ONTO YELLOW
FORKS TRAIL, TL ONTO FIRESTONE TRAIL TO PROPERTY
5 Describe the existing land use or condition of the -site at the time of this application
(residential, undeveloped, etc ) VACANT WOODED LOT AREA
6 Property size (acres) 34
7 Lake/ river/ ocean adjacent to property LAKE JAMES
8 Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary) 175' OF SHORELINE STABILIZATION BY BARGE HEIGHT
WILL BE 5'
9 Will work be conducted from land? ❑ From water?
10 Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc )
below the normal pool lake level/ Normal Water Level in square feet or acres
3'X 175'= 525 SQ FT
11 Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc ) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres 2' Xs = 350 SQ FT
12 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) 6 TREES LESS THAN 6"
AND 3 TREES GREATER THAN 6" WILL BE REMOVED TO COMPLETE THIS PROJECT THEY
WILL BE REPLACED INCH FOR INCH WITH TREES TOTALING THE SAME DIAMETER ANY
REMAINING DISTURBED AREA WILL HAVE MULCH APPLIED TO IT
Ow er /Agent's Signature* [/)A NC C 02H 0502(f)) Dat
Agent's signature is valid only if an authorization letter from the owner is provided
FORM SSGP 10 -2013 Page 2 of 3

Full Pond
S
La ke
At Full Pond
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

STEVE BOEHM
LAKE JAMES
1780 LOT 173
To: North Carolina Division of Water Quality
I give Carissa Parker, of Bennick Enterprises, LLC., permission to sign
as my agent on my application for shoreline stabilization.
Signature (s) P� (a jA
Dat

Legend of shoreline areas are
107 -4 Mica Ave 1780 Lot 173 Shoreline from developer's FERC plan
MOIga11ton, NC 28655 Stabilization Areas = POTENTIAL SHORELINE
Phone [phone] PRELIMINARY MAP ONLY NOT TO BE STABILIZATION AREA
Fax [phone] USED FOR RECORDATION, SALES OR ® = ENVIRONMENTAL AREA
Abernathy & E-mail aapcCbellsouth net CONVEYANCE 09/10/2007
The purpose or tnis map s to show potential shoreline stabilization areas
Associates, P C Ownc r rnu51 rc t rivr o > >roval From all re(julolory oc em ies rnor to c ontilnjc lion
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F ote Refer to recorded
at book for relat ve
rvey information

Steve Boehm
1780 lot 173

Steve Boehm
Pisgah National Forest
41C
h�wy ,26
Steve Boehm
1780 lot 173
2130 Firestone Trail
Latiltude: 35.74092 N
Lon nude: 81.89247 W
4
X
Lake James
Benfi ids Li
9�
4'
126
Omi 0.2 0.4 0.6 08
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