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HomeMy WebLinkAbout20150802 Ver 1_Shoreline Stabilization_20150807/ _T uLI� M D1/�7 State of North Carolina DWR Department of Environment and Natural Resources Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization Division of Water Resources FORM: �SSoGP 20� Shoreline Stabilization Application Form Four copies of the application (including attachments) and the application fee should be sent to: Division of Water Resources 2 O 1 401 & Buffer Permitting Unit '� 5 $ 0 2 1650 Mail Service Center i Raleigh, NC 27699 -1650 �1 I. Applicant Information j15A NCAC 02H .0502(a)1 1. Owner Information Name: NANCY THURMOND Mailing Address: 472 HIGH CAMPS DR MARION, NC 28752 Telephone Number: 828- 652 -2241 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: http: / /www.saw.usace.armV mil /Portals /59 /dots /regulatory /regdocs /Permits /SAMPLE AGENT AUTH ORIZATION FORM.pdf) 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 j15A NCAC 02H .0502(a) & (b)j 1. Attach 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. 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 _Aowu� '1h'GaM0V'J 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: MCDOWELL Nearest Town: MARION Subdivision name or site address (include phase /lot number): BLACK FOREST / 20 472 HIGH CAMPS DR Directions to site - please include road names and numbers, landmarks, etc.: FROM MORGANTON TAKE HWY 126 / TR ONTO SOUTH MOUNTAIN INSTITUTE RD / TO LAKE JAMES RD /TL ONTO BLACK FOREST DR /TL ONTO HIGH CAMPS DR TO PROPERTY AT THE END 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): 3 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): 520' 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: 4'X 520' = 2080 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'X 520'= 1040 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): 25 TREES LESS THAN 6" AND 14 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. 0' /Agent's Signature* (14A NdAC 02H .0502(f)) Date Agent's signature is valid only if an authorization letter from the owner is provided. FORM. SSGP 10 -2013 Page 2 of 3 A/a, a� Tkttw w, ov-d - 'Lake � •_ • , - _ � -_• � �. At Full Pond Full Pond - - o 44 LL ®U S�� vSi 1L' Shoreline ® �'� `� �� 'x , -T)° V-�-5 Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft 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 NANCY THURMOND LAKE JAMES BLACK FOREST / 20 TO: NORTH CAROLINA DIVISION OF WATER QUALITY GIVE CARISSA PARKER, OF BENNICK ENTERPRISES, LLC., PERMISSION TO SIGN AS MY AGENT ON MY APPLICATION FOR SHORELINE STABILIZATION. SIGNATURE DATE -1 -X F -IS Cos LAKE JAVFS L. 19 L. 18 of 3 ,5 let 22 7]6 A, ml T u ,yyvl C:O% LAKE JA WES :2111 LAKE JAMES 25 12 ]39 A, �t 40 5.670 A, 1.1 39 W a, 1152 Ac L., 26 19 357 A, W, 30 LAKE JAMES UA �b 980 Ac Lake Haven Dr D­ "'Y / - I cm 7557 W, 35 ­2 A, . �!I ��a, t4.�.�1— �..... wY.ut ,le ri, - Lt 33 �9452 U L.1 V 9761 A, 5222 �l 7424 J4 A, t'. 31 -976 A, LAKE JAMFF LAKE JAMES 0 C-6 Irl —0a ),ORE! Abernathy & i Associates. 1P.Cl )y LAKE JAMES. ILC e, , 7 , L L. 46 1st J7 Black Forest D- 44 Lo 44 Z;w 125791 Rive A A� LAKE JAVFS L. 19 L. 18 of 3 ,5 let 22 7]6 A, ml T u ,yyvl C:O% LAKE JA WES :2111 LAKE JAMES 25 12 ]39 A, �t 40 5.670 A, 1.1 39 W a, 1152 Ac L., 26 19 357 A, W, 30 LAKE JAMES UA �b 980 Ac Lake Haven Dr D­ "'Y / - I cm 7557 W, 35 ­2 A, . �!I ��a, t4.�.�1— �..... wY.ut ,le ri, - Lt 33 �9452 U L.1 V 9761 A, 5222 �l 7424 J4 A, t'. 31 -976 A, LAKE JAMFF LAKE JAMES 0 C-6 Irl —0a ),ORE! Abernathy & i Associates. 1P.Cl )y LAKE JAMES. ILC `�___ l'-- -. �. �-`_, � �_ �. Nancy Thurmond Pisgah National Forest A CL eke `G",, Or %os EZd �a 7 Nancy Thurmond Black Forest lot 20 472 High Camps Dr Latitude: 35.72939 N Longitude: 81.96670 W �� Qa Old2 IL r 126 n 1� 7,)6 6 0 mi 07 1 1.5 2 EAUG O >20 15D'_ Copyright © and (P) 1988 -2012 Microsoft Corporation and /or its suppliers. All rights reserved. http: //www microsoftcom /streets/ Certain mapping and direction data © 2012 NAVTEQ. 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