20230489 Ver 1_Shoreline Stabilization_20230404

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* Warren Eadus
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 2/27/2023
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
MIKAEL ANDERSON
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
3410 Delamere Drive
Address Line 2
City
Tryon
Postal / Zip Code
28782
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
...............................................................................................................................................................................
Name: * Warren Eadus
Company Affiliation: *
Quible & Associates, P.C.
Email: * [e-mail]
State / Province / Region
NC
Country
United States

Phone Number:*
[phone]
(xxx)xxx-XXXX
Mailing Address: *
Street Address
90 Church St ste b
Address Line 2
City
Black Mountain
Postal / Zip Code
28711-3365
A signed and dated copy of the Agent Authorization letter:
Agent Authorization Form Signed_2023-03-30-OOOl.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Lot 8 Huskey Pointe
State / Province / Region
NC
Country
US
29.73Y-B
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
0
Address Line 2
Huskey Pointe
City State / Province / Region
Mill Spring NC
Postal / Zip Code Country
28756 USA
Latitude: * 35.337640 Longitude: *-82.209780
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 *
Please use the diagram at the link below:
https:Hedocs.deq.nc.gov/WaterResources/o/edoc/616616/Shoreline%2OLayout.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.)

4. Location of the property (where work is to be conducted)
Nearest Town: * Mill Spring
County: * Polk
Lake/ river/ ocean adjacent to Lake Adger
property:
Subdivisions name or site address: * Huskey Pointe (Jackson Cove Subdivision)
Include phase/lot number
Directions to site:*
From Highway 9 South turn west onto Silver Creek Rd. (SR 1138). Once you cross the Green River, turn right onto Palmer Road
(also SR 1138). Follow Palmer Rd. past the Lake Adger boat ramp and turn right onto Parkway N Rd. Follow Parkway N Rd. until
it becomes Jackson Cove W. Turn right onto Huskey Pointe Rd. and the property is on the left --Lot 8 (undeveloped).
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. There is a gangway and wooden dock along the shoreline.
Residential, undeveloped, etc.
6. Property Size 1.47 acres.
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Proposed work includes the protection of 50 If of shoreline that has eroded in recent years and disconnected the existing pier and
dock from the shoreline. The applicant is proposing to harden a small section of shoreline to preserve the existing access to the
lake.
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.)
200 sf
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.)
200 sf
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)
Minimal disturbance of native bank soil with no tree or shrub removal proposed.
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
d $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:

d I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
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.
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');
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');
d 1 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:* Warren Eadus
Signature:
r✓A' "E,4aus
Submittal Date: 3/30/2023

Initial Review
Is this accepted into the review process?* > Yes O No
Project Number: * 20230489 Version:*
Select Reviewer: *
Select Reviewing Office
Has payment been received?*
What amount is owed?*
Andrew Moore:[e-mail]
Asheville Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification
$240.00
$570.00