20160654 Ver 1_Application_20160630

T"AbI)o�"e�S
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
- I
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
DMston of WateriResources
InM: SSGP 10-2013
PA
Shoreline Stabilization Application orm 0 1 6 0 6 5 4
Four copies of the application (including attachments) and the application fee should be sent to:
1
Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Applicant Information USA NCAC 02H .0502(a)]
Owner Information
Name: JAMES W DANIELS
Mailing Address: 820 TOWN MOUNTAIN RD
ASHEVILLE NC 28804
Telephone Number: 828-277-0702 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:
ht_tp://www.saw.usace.army.mil/Portals/59/docs/regulatory/reRdocs/Permits/SAMPLE AGENT AUTH
9
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: CARISSA PARKER
Company Affiliation: BENNICK ENTERPRISES LLC
i
Mailing Address: 7836 HWY 70 E
NEBO NC 28761
Telephonte Number: 828-659-1000 Fax Number: 828-659-1001
E-mail Address: [e-mail]
Person to receive the Certification Approval: CARISSA PARKER
i
II. Project Information [15A NCAC 02H .0502(a) & (b)]
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 10-201;3 Page 1 of 4

�arv�95�ie,1S
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.)
J 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): HOLIDAY SHORES / 43
6345 NORTH SHORE DR NEBO NC
Directions to site - -please include road names and numbers, landmarks, etc.:
FROM MORGANTON TAKE HWY 126 / TL ONTO N POWERHOUSE RD / TR ONTO BENFIELDS
LANDING;RD / TR ONTO NORTH SHORES AVE / TL ONTO N SHORE DR 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): 1
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): 160' 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 160' = 480 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'X160'= 320 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): NO TREE REMOVAL
Owner gent's Signature* [15A NCAC 02H 502(f)1 Date
Agent's signature is valid only if an authorization letter from the owner is provided.
i
FORM: SSGP 10-2013 Page 2 of 3

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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 Trip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
I 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
I
6. Location of,construction access corridors
FORM: SSGP 10-2013 Page 3 of 3
i

JAMES W DANIELS
LAKE JAMES
HOLIDAY SHORES LOT
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
DATE
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James Daniels
Holiday Shores lot 43

Daniels Holiday ShoresI
hmw
Pisgah National Forest )
6345 North Shores Dr
Holiday Shores !i
Latitude: 35.744 N�' �
2C� Longitude: 81.861 W
y 1i
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126 r
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0 mi 0.5 1 1.5
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