20161250 Ver 1_Shoreline Stabilization_20161219

Montalvo, Sheri A
From: Melissa Mathis <[e-mail]>
Sent: Tuesday, December 20, 2016 12:37 PM
To: Montalvo, Sheri A
Subject: RE: Martin Calloway
Attachments: 20161220122825507.pdf, Signed Agent Authorization Form.pdf
Hi Sherri,
Thanks for the email. I do apologize, attached is the signed agent form and the signed second page of the actual
application. Let me know if you need anything else.
Thanks,
Melissa Mathis
CPM Administrator
B.H. Graning Landscapes, Inc.
[phone]
GRANING,
Landscopes, Inc
"The Perfect Touch to any
Mountain Hone"
From: Montalvo, Sheri A [mailto:[e-mail]]
Sent: Tuesday, December 20, 2016 12:28 PM
To: Melissa Mathis <[e-mail]>
Subject: Martin Calloway
Importance: High
Hi Melissa,
I have received the application for the above shoreline stabilization. The signature page was left unsigned by Martin.
Could you please email me the page signed so I can take it off hold and forward through the review process? If someone
other than Martin signs it then we will also need a completed agent auth form that I have included for your use.
Thanks!
shed Movutalv0
Administrative Assistant
401 & Buffer Permitting Branch
Division of Water Resources
North Carolina Department of Environmental Quality
919-807-6303 (office)
919 807-6494 (fax)
sheri.montalvo(a)ncdenr.gov

Physical: 512 N. Salisbury St., Ste 942-D, Raleigh, NC 27604
Mailing: 1617 Mail Service Center, Raleigh, NC 27699-1617
fc. ---'Nothing Compares ­.,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
Division of Water Resources ISA NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
33Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Martin Callowa
Mailing Address: PO Box 623
Glenville. NC. 28736
2 0 1 61 250
Telephone Number: [phone] Fax Number:
E-mail Address: [e-mail]
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.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: Ben Graning
Company Affiliation: B. H. Graning Landscapes, Inc.
Mailing Address: 64 Bella Road
Sylva NC, 28779
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
Person to receive the Certification Approval: Melissa Mathis or Ben Graning
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,
FORM: SSGP 10-2013 Page 1 of 3

etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
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: Jackson Nearest Town: Glenville
Subdivision name or site address (include phase/lot number): Split Rail subdivision
Directions to site - please include road names and numbers, landmarks, etc.: From NC -107
turn right onto Cullowhee Mountain Road. Stav on Cullowhee Mountain Road for 9 miles
then turn left onto Pine Creek Road. In 476 feet turn rieht onto Caribou Mountain an
property in on the left in 0.3 miles.
Latitude (in decimal degrees) 35.191522 Longitude (decimal degrees) -83.17569
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):
6. Property size (acres): 0.56 acres
7. Lake/ river/ ocean adjacent to property: Glenville
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Installing boulder seawall along shore that will include rip -
rap and have integrated geogrid tieback system.
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:
Below lake level disturbance — 300 SF Landward Impact — 1.200 SF
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: Normal lake level disturbance — 300 SF Total disturbance — 1,200 SF
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): There are rocks, roots
and some medium caliper trees.
Owner/Agent's Signature` [15A NCAC 02H .0502(f)l Date
"Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
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: Jackson Nearest Town: Glenville
Subdivision name or site address (include phase/lot number): Split Rail subdivision
Directions to site - please include road names and numbers, landmarks, etc.: From NC -107
turn right onto Cullowhee Mountain Road, Stay on Cullowhee Mountain Road for 9 miles
then turn left onto Pine Creek Road. In 476 feet turn right onto Caribou Mountain and
Property in on the left in 0.3 miles.
Latitude (in decimal degrees) 35.191522 Longitude (decimal degrees) -83.17569
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):
6. Property size (acres): 0.56 acres
7. Lake/ river/ ocean adjacent to property: Glenville
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Installing boulder seawall along shore that will include rip -
rap and have integrated geogrid tieback system.
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:
Below lake level disturbance — 300 SF Landward impact —1,200 SF
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: Normal lake level disturbance —300 SF Total disturbance —1200 SF
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): There are rocks, roots
and some medium caliper trees.
T1 7
Owner/Agent's Signature{ [15A 4CAC 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

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID: -7 S S Z 0- ('T to '7
STREET ADDRESS: l q k Car i )oa,3 Me oN�o,, n
C-t�pny;l�e, N C. 2TI-73
Please print:
Property owner: Mar',r\ -1 , 11h,,zWj
Property Owner: Kamy, V oLlrol►
The undersigned, registered property owners of the above noted property, do hereby authorize
len Grar\;V\G of7b�ainC1- j_ar\dscnTs, Inc'
(Contractor / Age ) (Name of conWting firm}
to act on my behalf and take all actions necessary for the processing, Issuance and acceptance of
this permit or certiflcatlon and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
P.b.2x (.9,3', QAji-hl, NC, 2rnq
Telephone: "114'3. QNy or
ON) a13- 6gQ9
We hereby certify the above Information submitted In this application Is true and accurate to the
best of our knowledge.
Author) ed Signature L`
Date: 1�.-T PC -'C .. c. �.
Authorized Signature /
Date:/ Z ? /

Full Pond/
Normal Water Level
S
La ke
(At Full Pond/ Normal Water Level)
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

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SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCFUPT1ON:
LOT NO. PLAN NO. __ PARCEL 1D:�.� 5 'S ^ Z. G~ (a T k-7
STREET• ADDRESS:�tC,IU..
Please print:
PmPerty Owner; !1 p, t y�� 1 • �1 5pt�, -
r
Property Owner; %tXf1Pa��Ut
The undersigned, registered property owners of the above noted property, do hereby authorize
(Contractor / A"ge j ---T (Name of co Nng firm)
to act on my behalf and take all actions necessary for de processing, Issuance and acceptance of
this permit or certification and any and all standard and special conditions attached,
Property Owner's Address (if different than property above):
Tetephone;
0914) 213- 5gA9
Vie hereby certify the above Ini'orrnatlon submitted In tfiis application is true and accurate to the
best of our knowledge,
U
.w�
Author! etl Sign f%�re O -- ••"'
Date: � c s�-
Authorized Signature

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