20191218 Ver 1_Shoreline Stabilization_20190913

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State of North Carolina
Department of Environment and Natural.Respurces
Division of WaterRe
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabs' ation
ENVIRONMEWAI QUAL.!ry FORM: SSGP 02-2
Shoreline Stabilization Application Form t? 0 1 9 1 2 1 £�
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service
Karen Higgins
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins
DWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
Name: THE JEFFREY TODD BENNICK TRUST
Mailing Address: 7836 US HWY 70 EAST W FJ1)WR
-' � L
NEBO NC 28761
Telephone Number: 828-442-2273 Fax Number: SEP 13 2019
E-mail Address: CARISSA@ BEN NICKGRADING.COM
i3arEftl4aI!'1i S8Gti0f1
2. Agent/ Contact Person Information
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:
http://www.saw.usace.army.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
[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

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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: JAMES
Property size (acres): 1.8
Subdivision name or site address (include phase/lot number): ENCLAVE LOT 45
IVY RAY'S WAY
Directions to site - please include road names and numbers, landmarks, etc.:
FROM MORGANTON TAKE HWY 126 TO SOUTH MTN INSTITUTE RD / TL ONTO SAILOR
WAY / TL ONTO IVY RAYS WAY TO PROPERTY
Latitude (in decimal degrees) 35.76088 Longitude (decimal degrees) 81.92778
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): 184' SHORELINE STABILIZATION BY BARGE
HEIGHT WILL BE 6'
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'X184'= 552 SQ FT
Temporary impacts in square feet:
NO TEMP IMPACT
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:
3'X 184'= 552SQFT
Temporary impacts (temporary clearing, construction corridor) in square feet:
NO TEMP IMPACT
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): 6 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
FORM: SSGP 02-2017 Page 2 of 3

11. Sigma
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`Agent's signature is valid only if an authorization letter from the owner is provided.
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
FORM: SSGP 02-2017 Page 3 of 3

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��■ °"^° "''�° THE ENCLAVE at LAKE JAMES
200 N. Ham
.:.I KaAla ' r s _mr n�e�rlu, DWMNC 28036e
d�Y2337,P 66 $ROOKS
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ASMEMILLE. N.L. 28801
® , snLE r.tar T Het Boa` 2s, Pepe v6ie Pnaae: (828) 232-a7o0 ?
O z.— y 1w 2N• •,�• az FIN:123e-OS8W3&]2]s9Iyl NC Faz: [phone]
2018 ON
.- Nebo TownslNP MmOwd� Canty, NC
MtD3ECre; N6Na8 `xaeRdr 185Neet2o(8ak; i•. 300' DRAWN BY: TAS CHECKED BY-.PES

Jeffrey Todd Bennick Trust
The Enclave bt 45 I bto
Ivy Ray's Way �q
Latitude: 35.35.76088 N
Lonit9 ude: 81.92778 W
Lake James
126
y
Longtown
Omi 0.2 0.4 0.6 0.8
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V

The Jeffrey Todd Bennick Trust
Enclave lot 45