20190038 Ver 1_Shoreline Stabilization_20190104

K_
State of North Carolina
Department of Environment and Natural Resources r1V_
Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabiltio
LNVIRON MLNrnL QUAL.: r FORM: SSCP 0 20A1
Shoreline Stabilization Application Form 2 0 1 9 0 0 3 8
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: CHRISTINA H KERR
Mailing Address: 128 FLORENE ST APT 421
ASHEVILLE NC 28801
Telephone Number: 678-350-8698 Fax Number:
E-mail Address:
2. Agent/ Contact Person Information
I
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
htto://www.saw.usace.armv.mil/Portals/59/docs/reizulatory/re2docs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: CARISSA PARKER
Company Affiliation
Mailing Address:
Telephone Number
E-mail Address:
BENNICK ENTERPRISES. LLC
7836 H WY 70 EAST
NEBO, NC 28761
828-659-1000 Fax Number: 828-659-1001
[e-mail]
B. 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, buildings, retaining walls, docks, impervious surfaces, 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.
FORM: SSGP 02-2017 Page 1 of 3

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
Lake/ river/ ocean adjacent to property: LAKE JAMES
Property size (acres): 3
Subdivision name or site address (include phase/lot number): OLD WILDLIFE CLUB 53
291 GAMELANDS DRIVE
Directions to site - please include road names and numbers, landmarks, etc.:
FROM MORGANTON TAKE HWY 126 / TR ONTO WILDLIFE RD / TR ONTO OLD WILDLIFE
CLUB DR / TL ONTO GAMELANDS DRIVE TO PROPERTY
Latitude (in decimal degrees) 35.74634 Longitude (decimal degrees) 81.92692
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): vacant wooded lot
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): 118' OF SHORELINE STABILIZATION BY BARGE.HEIGHT
WILL BE 5'
7. Will work be conducted from land? ❑ From water?
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
3' X 118'= 354 SQ FT (RIP RAP)
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
2'X 118'= 236 SQ FT (RIP RAP)
10. 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): 2 TREES LESS THAN 6" AND
2 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.
11. ' a
r/Ag 's Signatur [15A NAC 02H .0502(f)l Dat
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 02-2017 Page 2 of 3

12. 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 �vi5
(At Full Pond/ Normal Water Level)
Full Pond/ Normal Water
Shoreline
Q14 UJi I� t 1 �e QA, ' b
53
Plan View
ok /I
FORM: SSGP 02-2017 Page 3 of 3

CHRISTINA H KERR
LAKE JAMES
OLD WILDLIFE CLUB LOT 53
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)4
DATE // - - /6

Christina Kerr
r
Old Wildlife Club 53

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p Magnetic N,. 5el In
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Mgle Polnl9,9
- ManumentRir—dl Way
p = MI. Found
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In Concrete (C. -O Corner)
pp parer pWe
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COSH Common open Space
p - DPS Muminum Dk,
n 5/8• Rebar
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Kerr - OWC 53
Old W ild life Club lot 53
291 Game Lands Drive
Latitude: 35.74634 N
Longitude: 81.92692 W
Club I%
L a k e J a m e s
Dr
126
Ji
n mi n 5
NC IN, X26
126
Pisgah National Forest
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