20170458 Ver 1_Shoreline Stabilization_20170417

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State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of Water Resources FORM: SSGP 10-2013
Shoreline Stabilization Application Form
Four copies of the application (including attachments) and the application fee should be sent to:
Division of Water Resources
401 & Buffer Permitting Unit @ LS o V fg
1650 Mail Service Center 2 0 1 7 0 4 5$
Raleigh, NC 27699-1650 APR 1 ! 2017
D ATE I. Applicant Information [15A NCAC OZH .0502(a)]
401 & BUF ER PERMITTING
1. Owner Information
Name: GEORGE DWIGHT
Mailing Address: 613 CARVER POND LN
WAXHAW INC 28173
Telephone Number: 704-661-6545 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:
htto://www.saw.usace.armv.miI/Portals/59/docs/reizuIatory/reRdocs/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: [e-mail]
Person to receive the Certification Approval: CARISSA PARKER
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 10-2013 Page 1 of 4

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: NEBO
Subdivision name or site address (include phase/lot number): THE ARBOR / 140
1501 HIGH TRAIL RIDGE
Directions to site - please include road names and numbers, landmarks, etc.:
FROM MORGANTON TAKE HWY 126 / TR ONTO WILDLIFE DR / TR ONTO OLD NC -10 / TR
ONTO HIGH RIDGE TRAIL 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): 1.24
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): 125' OF SHORELINE STABILIZATION BY BARGE, HEIGHT
WILL BE 8'
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:
5'X 125'= 625 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: 4'X 125'= 500 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): 13 TREES LESS THAN 6"
AND 4 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.
cl/ln 7
Owner/Agent's Signature* [15 NCAC 2H .0502 f Dat
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

C�ovoy
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

GEORGE DWIGHT
LAKE JAMES
ARBOR LOT 140
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 (S

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CERTIFICATE OF 5URVEY AND ACCURACY
I, JUSTIN T. STANDLEY, CERTIFY THAT 71I5 PIAT WAS DRAWN
UNDER MY 5UPERVT5ION PROM AN ACTUAL 5URVEY MADE
UNDER MY 5UPERV1510N (DEED DE5CRIFnON RECORDED IN
BOOK 745. PAGE 234, ETC.); THAT TME BOUNDARIES NOT
5URVEYED ARE CLEARLY INDICATED AS DRAWN FROM
INFORMATION FOUND IN PLAT BOOK 7, PAGE 91; THAT THE
RATIO OF FRM51ON AS CALCULATED 15 1: 10,000+; THAT
THIS PLAT WAS PREPARED IN ACCORDANCE wrTH THE
STANDARDS OF PRACTICE FOR LAND SURVEYING (NCAC
CHAPTER 56). WTTNE55 MY ORIGINAL SIGNATURE .
RGI5TRATION NUMBER AND SEAL TM15 315T DAY OF MAY.
2016.
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FOR: GEORGE DWIGHT and Wife,

George Dwight
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