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HomeMy WebLinkAbout20081662 Ver 1_Shoreline Stabilization_20081105The 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. OS-166? Applications should be sent to: Division of Water Quality 401 Oversight/Express Review Permittin 1650 Mail Service Center NO V 2008 Raleigh, NC 27699-1650 f4F' j . DENR w,nI-ER QUALI TY WETLANDS AND STLRM'A'RTER BRANCH I. Applicant Information 1. Owner/Applicant Information Name: ?J C? ?YL e d\a t`S l? Mailing Address: U. n Telephone Number. .4,317-- 7115°- S d d 1 Fax Number: E-mail Address: e It it V I} / t P_. cr r ,u & k-A ho e 36y- g 14 7 x'`73 2. 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: Fax Number: E-mail Address: 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. 1. Location County: C-t? 5 h Nearest Town: GJI f? EL let It Subdivision name or site address (include phase/lot number): 7 0t e r fC' n N b Q 5_;tcre 5 ?a Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate vicinity map is included): X16 r g h 0h w .I / 0 ] A r u, t l ?' = a l\ A fd di oz t i ea it d Reel Iwz enirp h tip i3 c r i? it -3, it ck h tl u 5 e _?- /'0 nA e h cq (f /A- f JV'a nn P_ 2. Describe the existing land use or condition of the site at the time of this application: & 0 0 ' 3. Property size (acres): () . (&C.. 4. Nearest body of water (stream/river/sound/ocean/lake): a tl a c l c 5. Describe the purpose of the proposed work: "?L???E? (i Z C tll _S ?D r e fi^hC 6^ ?L' e n =' -?f?t? the ?^ e v'L?s t? yt , 6. List the type of equipment to be used to construct the project: 7. Amount of impact (including all excavation, backfill rip rap, etaining walls, etc.) below the normal pool lake level in square feet or acres: _ 616 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: JAI 6 96' 8.b. Please describe vegetation above the normal pool lake level and 50 feet landwar to be impacted (number of trees for instance): o e- 6Gtlr area e. I,y / A tic 1/0raap at- I' t5 AA !5 ps- L,rti r? ,?l?a v? f7{.Q ? ?E.wtc?i c ????? Cf/Agenrs Signae/ r-"" 'r l-' Date signature is valid only if an authorization letter from the applicant is provided.) G??y ?r?;?? } Please approximately sketch the following information on this plan (please provide dimensions for each Item, such as 10 ft. x 100 ft): 4/04c.,1) All proposed vegetation clearing (provide dimensions). 2) Location of rip rap or fill to be placed above the Fug Pond-elevation S) Location of rip rap or fill to be placed below the Ful Pond elevation 4) The location of any proposed structures such as buildings, retaining walls, docks, etc. e. 6) The location of any excavation or dredging below the Full Pond elevation. 6) Location of construction access corridors. k? ,f ?a 1-03 t s 6 I = gx ???3n? ? ;£^6? r #2;€ x tais hil I za4ii i it ?Hlr t r a y ? ? 'rYS?s fe- J 5 VONA - I e ! • M 0 ?rec` ? n L L t y § W ? e Zo? a ?n 0 i !V 0- 0•'S .41 04? ? C, L le / v7 1oPeru PUMPTIarc- 6 ZbvTN RimP1-cyi5a T(??tt 1 Pt4r- CAN IN(?EY t3 a bu r Nf?K 1 5 Z 3; o ? , CDC) K FA Sm ?n Adams I a . ? ?8 °a ? I5. "?cCovaS. x ?LiC)L :u , . ? to WuuAU ^ ?r MERgi rtrnl% 1]RE W S T SEEK PiLQTT_ AN162 . 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