20241281 Ver 1_Shoreline Stabilization_20240924

Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Qualify
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
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 *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
[e-mail]
Please provide an email address for payment and requests for more information here.
David A Krembs
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
12 Old Lyme Road
Address Line 2
City State / Province / Region
Scarsdale NY
Postal / Zip Code Country
10583 USA
Is there an agent working on the project? * Yes
No
Agent/Consultant Information
Name: *
Company Affiliation: *
Email: *
Phone Number:*
Andrea B Allison
Bernick Enterprises, LLC
[e-mail]
[phone]
(xxx)xxx-xxxx

Mailing Address: *
Street Address
7836 US Highway 70 E
Address Line 2
PO Box 1059
City State / Province / Region
Nebo NC
Postal / Zip Code Country
28761 USA
A signed and dated copy of the Agent Authorization letter:*
David A Krembs Authorization Letter.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Krembs Southpointe 83
206.3KB
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: * 35.766242
Street Address
5124 Lighthouse Court
Address Line 2
City State / Province / Region
Morganton NC
Postal / Zip Code Country
28655 US
Longitude: *-81.836283
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 *
Lot
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.)
Lot
83
4. Location of the property (where work is to be conducted)
Nearest Town: * Morganton
County:* Burke
Lake/ river/ ocean adjacent to Lake James
property:
Subdivisions name or site address: *
Southpointe 5124 Lighthouse Court Morganton NC 28655 Lot # 83
Include phase/lot number
Directions to site: *
Turn onto Southpointe Drive
Continue on Southpointe Drive
Turn right onto Lighthouse Court...destination is 5124 Lighthouse Court Morganton NC 28655
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: *
Residential, wooded, sloping
Residential, undeveloped, etc.
6. Property Size .83
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Shoreline stabilization by barge.
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.)
225
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.)
675
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)
Remove 8 trees under 6"
Remove 4 trees over 6"
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):
• $323.00 for impacts to lake (below normal water level) of less than 1 acre
o $767.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
• I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
o 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.
o 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");
o 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");
o 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: * Andrea B Allison
Signature:
OXrdterr ff llitW
Submittal Date: 9/19/2024

Initial Review
Is this accepted into the review process? * Yes No
Project Number:* 20241281 Version:* 1
Select Reviewer: * Tyler Hickman:Tyler.Hickman
Select Reviewing Office:
Has payment been received?* No Payment Needed
Fee Received
Need Fee - send electronic notification
What amount is owed?*
$240.00 $570.00
$323.00 $767.00

David A Krembs
Lake James
Southpointe Lot 83
TO: NORTH CAROUNA DIVISION OF WATER RESOURCES
I GIVE ANDREA ALLISON, OF BENNICK ENTERPRISES, LLC.,
PERMISSION TO SIGN AS MY AGENT ON MY APPLICATION FOR
SHORELINE STABILIZATION.
DATE � 1 /20 2.'-j

9/11/24, 1:55 PM
IMG_5196.jpg 1:1 Kfm bs 5 o ukhpo 1 NT[r 73
https://mail.google.com/mail/u/0/#inbox?projector=l 1/1

Water Resources
ENVIRONMENTAL DUALITY
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 02-2017
Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
Lake
(At Full Pond/ Normal Water Level)
Full Pond/ Normal Water Leve
Shoreline
Plan View
FORM: SSGP 02-2017
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