20181022 Ver 1_Shoreline Stabilization_20180725

P�do's 201 8 1 022
State of North Carolina
Department of Environment and Natural Resources
DWI R Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Dtvlsion of Water Resources FORM: SSGP 10-2013
Shoreline Stabilization Application Form
Four copies of the application (including attachments) and the applicafl6n fee�shouId _be sent to:
Division of Water Resources
401 & Buffer Permitting Unit
2aRal1650 Mail Service Center FJLUJL
eigh, NC 27699-1650('�2 Applicant Information [15A NCAC 02H .0502(a)] 5 201$
1. Owner Information
Name:
Mailing Address
Telephone Number
E-mail Address:
RL&AS
EN
103 PERTH COURT
CARY NC 27511
919-760-0662 Fax Number:
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: 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
11. 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): 1780 LOT 188
1952 YELLOW FORK TRAIL
Directions to site - please include road names and numbers, landmarks, etc.:
FROM MORGANTON TAKE HWY 126 TO CARSON DR / TR ONTO YELLOW FORK 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): 5
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): 270' OF SHORELINE STABILIZATION BY BARGE, HEIGHT
WILL BE 4'
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'X270'= 810SQFT
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: 1' X 270' = 270 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): 11 TREES LESS THAN
6" AND 6 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.
P7- Z �7- O(K
Own Agent's Si re* [15A N AC 02H 502 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

('pyl } �kkley �i�do�
Lake �� �s
Full Pond
S o reii n
3X a'7o ,
��
rX ()-r70
1 P�P-
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

CARL & ASHLEY RYDEN
LAKE JAMES
1780 LOT 188
TO: NORTH CAROLINA DIVISION OF WATER RESOURCES
I GIVE CARISSA PARKER, OF BENNICK ENTERPRISES, LLC.,
PERMISSION TO SIGN AS MY AGENT ON MY APPLICATION FOR
SHORELINE STABILIZATION.
SIGNATURE (S) 1
DATE �0'ZLII�

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REFERENCES
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Rmow co.b. H c
tulip 0. N1Jb, Ks
EOHW.*6As90 MLe003urvry PA
200 RlU A.w C., 9w. 115 AS—., NC ]8809
829.126.8592
CanWlry Lirru0.9062803
$ME P•100'

Ryden - 1780 188
Pisgah National Forest
Carl k ley RY
1780 lot 188
1952 Yellow Fork Trl W
Latitude: 35.74382 N
Lon nude: 81.90691 W
Lake James
126
6'
0 mi 0.2 0.4 0.6
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