20100878 Ver 1_Shoreline Stabilization_20101020

20100878
The following is an abbreviated application form for those applying for a 401 Water Quality
Certification to impact FERC (Federal Energy Regulatory Commission) regulated lake shore or
bottom under the U.S. Army Corps of Engineers Permit GP30. This Application cannot be used
for wetland or stream impacts. Please provide five (5) copies of this application and supporting
information as well as a non-refundable application fee to the Division of Water Quality of $240.00
for impacts to lake bottom of less than 1 acre and $570.00 for impacts to lake bottom of greater or
equal to 1 acre.
Applications should be sent to:
Division of Water Quality 401 Oversight/Express Review Permitting
1650 Mail Service Center
Raleigh, NC 27699-1650
1.
1.
2.
Applicant Information
Owner/Applicant Information
Name: A V
l40f., G S )Je -
LIU
OCT 2 3 2aij
WETLAWS AND STOR1r1MlATE BRANCH

Mailing Address: _'? ? X33 c '<<i ???a Av-2 • a
Telephone Number: 70 ct- & J -)- - P ? ? ? Fax Number:
E-mail Address: h?.c(? ,ten-e,?4?Qt?,?? ?? ?? ynk Q C' .
Agent Information (A signed and dated copy of the Agent Authori zati etter must be attached
if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
H. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local landmarks such
as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and
development plans in relation to surrounding properties. You may use the diagram below to make a
hand sketch of your project. Also, see the example below for guidance. Both the vicinity map and site
plan must include a scale and north arrow. The footprints of all buildings, impervious surfaces, or other
facilities must be included.
k Y
....,?Yl ,? ..?
1. Location
County:' k?1???c? Nearest Town: S
Subdivision name or site address (include phase/lot number): t- t ?-A
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): C n J 01?r_f_n c Q
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): , S (" "?- c .--e- c
4. Nearest body of water (stream/river/sound/ocean/lake): La l e_c N o
5. Describe the purpose of the proposed work: ?J--a L,? c ,44, L
6. List the type of equipment to be used to construct the project: TI r? Lc 7. Amount of impact (including all excavation, backfill, rip /rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: 6 cc? Sc' L}
8.a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
above the normal pool lake level and 50 feet land-ward in square feet or acres:
/ . duo Sc? i-?-
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): 5 -s
I s C t.'??

L3 .

signaturDate
is valid 64-1y if an authorization letter from the applicant is provided.)

l
P
Please approximately sketch the following information on this plan
(please provide dimensions for each item, such as 10 ft. x 100 ft):
1) All proposed vegetation clearing (provide dimensions).
2) Location of rip rap or fill to be placed above the Full Pond elevation
S) Location of rip rap or fill to be planed below the Full Pond elevation
4) The location of any proposed structures such as buildings, retaining
wallso docks, etc.
5) The location of any excavation or dredging below the Full Pond
elevation.
6) Location of construction access corridors.

VICINITY X"
NO SCALE
8'A%Dea+
MB 14- 49
1967
LOT 18-A
JOHN V. WASHAN J,
do wf. VIOLET.).
DB. 2882-25'
PIN 001-151-`_4
MB 14-49
DETAIL A
NOT TO SCALE
I, RUFUS JACKSON LOVE CERI" THAT THIS MAP WAS DRAWN FROM AN ACTUAL SURVEY UNDER MY
DIRECT SUPERVISION, THAT THE RATIO OF PRECISION IS 7-10,000+ 95M ADJUSTMENTS; AND THAT
THE ANGULAR ERROR WAS < 7.5 SECONDS PER TURN. 7_&
WITNESS MY HAND AND OFFICIAL SEAL THIS DAY OF ??l Gf/I fl
N.C.P.L.S. L-2844
LICENSE 140. PiW)1 10NIL LAND SDRYIYD
SENLAC
LANE
F;EHAR
^?gR S Z3• `` WA `SEWER '
.3g+•w METER VALVE /
.
rT ?Olp 9-2..;,q
p Rad 75.00
1• PIPE
h \^
NEIGHBORS ?/,? \ I ZS• w
HOUSE
C 4- 1.89
ro
LOT 17-A GARAGE N
Ali
a= 0.56 ACRES u °
g T ,.
1 t. i
i
2 STORY
STUCCO
? i
ry ? IS ??
n ?• HELL ! -P
1 p „
tsx 2a5 7 Y
? a
?D 04i\ \ i
Z ^. W \ \ i
N40.35 \ \
r
i
4C ?s
p REBAF
?-rA?
1po& t%1 pPDEIPE1
LAKE 4
NORMAN
i
I Course i Bearing i Distance i
BOUNDARY/P.FI:i'SICAL SURVEY
FOR APEX HOMES, INC.
21215 SENLAC LANE
LOT 17-A OF A RE,•1SION OF SENLAC, MB. 14-49
DEED BOOK 25721-:563, PIN 001-151-53
LEMLEY TOWNSHIP, MECKLENBURG COUNTY
CORNELIUS, NORTH ::AROLINA
SEPTEMBER 30, 201:)
FILE: APEX-5
0 40
SCALE -- ?EET
80
Scale 1- = 40
NOTES:
a
LOT 16-A
m RICHARD E. WARDLOW
m JACK R. CONKWRIGHT
DB 6603-882
Ci PIN 001-151-52
MB 14-49
N

W

1. THIS PROPERTY UES ON LAia: NORMAN.
L AREA DETERMINED BY COORDINATE COMPUTATION.
L CP DENOTES COMPUTED PONT. NO MOMENT FOUND OR SET.
/. UNDERGROUND UTILITIES NOT LOCATED AS OF INS DATE
S. ALL MONUMENTS SNOWN AM E=TNC UIRctt OTHERWISE NOTM
S. NO ORD MONUMENTS APPEAR TO BE WITHIN 2000'.
LEGEND:
PROPERTY LNE
TIE LINE
- -UNSURVE`fED LINE
---------------- BACK OF CUKI/EDCE OF PWT.
- - - - - - - - SETBACK LINE
CP COMPUTED POINT
PP POWER POUF
12
` PrAAAUD Ld" SUX113YIIVG PA
P.a vas 11 mvin /. Am= C IN I&M
ft")11 !-41!49 RVPW DIDMam? LM "S"
Bankof America 14520
APEX HOMES, INC.
704-622-8868 ACH RIT 053000196
21333 CATAWBA AV 66-t9, 53o NC
CORNELIUS, NC 28031 DATE 67 ( 50500
PAY L ?
/ l
TO THE CJ 7C% L
ORDER OF
DOLLARS ? ?•:==s:-
Ir1"A' sum b.zT.
CHECK IS CELIYERED I.r CO!.NECT;OP: Y:ITH THE FOLLOWING ACCow;TS !
00 1 L. S 20ii' I:0 5 3000 19 6': 0000000 4 4 68 5n'
Mecklenburg County, NC POLARIS
Page 1 of 1
Mecklenburg County, North Carolina
POLARIS
Property Ownership
Date Printed: Sun Aug 29 20:04:25 EDT 2010
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This map is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps, surveys.
planimetric maps, and other public records and data. Users of this map are hereby notified that the aformentioned public primary information
sources should be consulted for verification. Mecklenburg County and its mapping contractors assume no legal responsibility for the information
contained herein.
http://polaris.mecklenburgcountync.gov/serviet/com.esri.esrimap.Esrimap"ServiceName=... 8/29/2010