20150315 Ver 1_Shoreline Stabilization_20150327

4-S4-0-1 ()/I t
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
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Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, shoreline stabilization
FORM sSGP 10 -2013
Shoreline Stabilization Application Form
Four copies of the application (including attachments) and the application fee should be sent to:
Division of Water Resources i
401 & Buffer Permitting Unit 1650 Mail Mail Service Center 2 0 j=''
Raleigh, NC 27699 -1650 3 1 5 !
g MAR 272015
DENR- WgTER RESOURCES
Applicant Information [? NCAC 02H 0502(a)) 401 & 131 34:,= . ___
1 Owner Information
Name CHARLES & STACY THOMSON
Mailing Address 20W311 RUTGERS DR
DOWNERS GROVE, IL 60516
Telephone Number 630 - 450 -5176 Fax Number
E -mail Address
2 Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here
5?; uS,jc_ ao,, 4 mii; /rvrtdis,� -,S GCS /re-Ulato v/rei;docs /Permits /S /,i%,P! T1Ur V' �,L) I
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
Project Information [; 1, 021-1 - _1302(a,, <; (h
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

L� t�.5 d � �� t'w --
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 23
2280 LONG RIFLE RIDGE RD NEBO NC 28761
Directions to site - please include road names and numbers, landmarks, etc
FROM MORGANTON TAKE HWY 126 / TO CAMPBELL'S TRACE / TO LONG RIFLE RIDGE RD /
TO PROPERTY ON RIGHT
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) 325
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) 140' OF SHORELINE STABILIZATION BY BARGE, HEIGHT
WILL BE 5 -6'
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 140'= 420SQFT `
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'X 140'= 280 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) 1 TREE GREATER
THAN 6" WILL BE REMOVED TO COMPLETE THIS PROJECT IT WILL BE REPLACED INCH FOR
INCH. WITH TREES TOTALING THE SAME DIAMETER ANY REMAINING DISTURBED AREA
WILL HAVE MULCH APPLIED TO IT
1 %
IWAA1 S-
0 er /Agent's Signature* 1� °ti J 0502_:,,1 Da e
Agent's signature is valid only if an authorization letter from the owner is provided
FORM SSGP 10 -2013 , , Page 2 of 3

CJ,''arl-e3 4 Sin !hurns�
La ke
At Full Pond
Full Pond I I i�r��,�.
5
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
MAI

CHARLES & STACY THOMSON
LAKE JAMES
1780 LOT 23
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) 0,� �. C
J�(-x c�j �I �fA A 1-1-41')
Date -' 16 -,' "

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Charles & Stacy Thomson
1780 lot 23

Lake James
Charles & Stacy Thomson
Pisgah National Forest
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Charles & Stacy Thorns...
1780 lot 23
2280 Long RineRidge Rd
Latitude: 35.75495 N
Longitude: 81.91464.W
126
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tiwy ,26
0 mi 0.2 0.4 0.6
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