20110012 Ver 1_Shoreline Stabilization_20110105

2011001-2!
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 seven (7) 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 of 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 Permittinf-1650 Mail Service Center
Raleigh, NC 27699-1650
1.
2.
II. Project Information
Fax Number:
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.
Applicant Information
Owner/Applicant Information
':XPRESS F (T
-5 2011
! OFWAT
Name: '5_C0T &J C s'6 ?
Mailing Address: -Z)/Z
?'?.?Jco,eo /,/C 2 ko 2
Telephone Number: (70?? 69 q1 Fax Number: L-7 0q '79'VJ 11-716
E-mail Address: S?oW (e_r^ /1 be??y ?r re
Agent Information (A signed and dated copy of the Agent Authorization letter must be attached
if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
1. Location
County: E Ak y Nearest Town:
Subdivision name or site address (include phase/lot number):
41aeWao0

Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): 1n1Ce Oi. D e V Svc V Y
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres):
AC 2r
61
4. Nearest body of water (stream/river/sound/ocean/lake):

5. Describe the purpose of the proposed work: A75*0'la
6. List the type of equipment to be used to construct the project:
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
norm/al pool lake level in square feet or acres: 504,-
/t)O CYCAVATfoA) Ao0.71-V(- Z,- _77JF'
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:
A) U.tl s
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): 1-?L) 7;?hS _ Cle osy 9;eeo /6 CJ,v« 6,&
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Id
op ?> No
Notes:
l?/o uu' ?is .6 u Tz?

X 6.07- /av ,/Sis ltJ1GL A r ?r '401 0 1r1 G _

-rP KAP .
CltJD s?i? ' J
L. ?,?? v /? nr v vs
S /Y i+ J3 1??i2 ?° X11 CGOlc? f % JLl CL r aJLI
A/As '? ,j ??' ?? li?N c?%7!' J `G ?•J 1? "CI TA N
/?1 I `?L'fJS
N
• RAHDALL'S CH. R0.
i
? ? RAl+or
\ Z Ro. \
NN IN INT. OF CL
i
OF I_AY.E POINT DR. ?
AND S.R. 1802 TIE LINE \
SSS rl I1.16.01" W \1
11 28.03 \
11 1
?I ECM (sn, pa?•S ?\
/ UP -I S Tr R VICINITY MAP (NOT TO SCALE)
D
84
F \? RiW
I I ASV"?? EIP
? 13 I II WE, ? I `\ I `cL
/ I o I I \ I\ a LEGEND
o `O ECM EXISTING CONCRETE MONUMENT
z EIP EXISTING IRON PIPE
d EIR EXISTING IRON ROD
I I \\ II
LAKE SIDE o I I /W M: NIP NEW IRON PIPE
SECTION 2 I I I a UP rimLm POLE
REVISION OF o 10 Cam OHE
.61 ACRD- 1 v OHP OVERHEAD ONEIUPErIE
LOTS 68-73 I W I 1 BY COORDINATE METHOD I W I OHC TIOVERHEAD GHT OF WCAAYBLE T.V. LIIJE
P. B. 6, P. 1 18 S I AND SUBJECT TO THE RI?N i I I 1 P.%W OF S.R. 1802 LL,KE SIDE I CL CEN`rERUNE
SC 2
P 5. P. 204
I
o
i I I II z EB.TI
IW ! N
I° r I (74 I
/ O (5) 61 NOTE: THIS MAP OR DRAWING
' I I ACCOMPANYING DOCUMENTS ARE E F FURNI
RNISHED
Im
N TO THE PERSON(S) NAME THEREON &ND IS
?I a II w 1 x FOR THEIR EXCLUSIVE USE.
ALLEN H. BOWERS et Mx NO ALTERATIONS ARE PERMITTED BY
f o I p1 II D.B. 264• P. 492 I ANYONE UNLESS AUTHORIZED B'f
° ROGELL E. HUNSUCKER & ASSOC.. INC.
i I / I I THIS MAP IS NOT FOR RECORDATION.
/ z
I ? 4 1 * I ?ceHCEErE I I NOTE: THIS SURVEY IS SUBJECT TO ANY
?l FACTS THAT MAY BE DISCLOSED BY A
I /' I m s ?. I FULL AND ACCURATE TITLE SEARCH.
1 20 FP IUE I
/ I / /' ATFO// / SUILDR+G
I ;;?//stcrr% oR
up EIP I
NOTE
N 79' 29' 38' W 7,: S LAND 15 NOT LOCATED IN A
/ I II FOPCFI - -01.11 L I' HAZARDOUS FLOOD ZONE-
ER OF LORJG
I IS 2.2• EAST OF UHE
AT 0+07.6'
1 DECK COP,HER OF BUILDING
I IS 7.1' EAST OF UNE NOTE:
I I roa AT o+zac NO N.C. GRID CONTROL MARKERS
OP IS O.Da• o ^? ` WITHIN 2000 FEET OF SITE.
WEST OF UNE \\I I \
/ I AT 1+00.19' I yh
I ?>
I y PROPERTY OF CAROUNA
CHARLES W. HATHCOCK et ux I r POWER & UGHT CO.
I D.O. 287, P. 8!4 1 / I \ 1
.I
/SNIP SHOP,E
I
/ UTIE
I I 3 ?? rv r.? I
ho
o' ?T° i 12.0•
I EIF y nJ
PIER
I
I f`J 2B.2' • I
V
I I rV a.a•
I (?1
I I PIER
H6u?l ! V
I I BOAT
LAKE
I N N TILLERY N
(V
N nl (V
?ti ^? DEED REF.
D.B. 354, P. 469
P.B. 6.P. 118
PHYSICAL SURVEY FOR
DANA M. MCCLEARI
I• ROGOA E. HUNSUCKER CERTIFY THAT THIS and wife,
MAP WAS DRAWl+ UNDFA MY SWLIMSION FROM 11
ACPJAL FIELD SURVEY PERFORMED BY NE THAT THE RATIO OF PP.ECIMW AS COMPUTED BY SHARON B. McCLEA
LATITUDES AND DEPARTURES IS 1: 10.030 +.
AND WAS auANtF? BY THE COMPASS RVL 'ml