HomeMy WebLinkAbout20180069 Ver 1_Shoreline Stabilization_20180111DL� qnn
FRED BAIRD BLACKLEY, ASLA ' L�. U
DSCAPE ARCHITECT
PAUTH DEKALB STREET _ �y
SHELBY, NORTH CAROLINA 28150 ` 208
(704) 484 1731
Transmittal
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Copies Item Description
For: APPROVA� INFORMATION RECORD REQUEST REVIEW COMMENT USE
Remarks:
1
Copy To: By:
Via: US MAID AIRBORNE-- PICK UP UPS FAX HAND DELIVER OTHER
1
For: APPROVA� INFORMATION RECORD REQUEST REVIEW COMMENT USE
Remarks:
1
Copy To: By:
Via: US MAID AIRBORNE-- PICK UP UPS FAX HAND DELIVER OTHER
1
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 $;A8:60 for 'Z -`t t%
impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information
2
Owner/Applican nformat:
Name:
Mailing Address:
Telephone Number: 3 — Fax Number:
E-mail Address: A&VIWI I d'7— k IQ n-wi l , Lcmc
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:
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.
1. Location
County: Nearest Town:
Subdivision name or site address (include phase/lot number):
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included):, s
2. Describe the existirAg lands use or. condition of the,, site qt t4e_time of this
3. Property size (acres): 5,011
4. Nearest body of wafer(gtr`eam/river/sound/ocean/lake):&A S 1�
5. D
6. List the type of equipment to be used to `constru it the project:
7. Amount of impact (including all excavation, backfill, rip rap, retaining wal s,
etc.) below the normal pool lake lev 1 ins uare et or acres: 2 i� LE'2 b
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) aye the normal poo lake level and 50 feet land -ward in
square feet or acres: 12A a
b. Please describe vegetation abovb the normal pool lake
ward to be impacted (number of trees for instance):
e- 06
and 5a feet land -
F -;-- , cuf
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Lake (Rill Pond)
FRED B. SLACKLEY, ASLA
LANDSCAPE A?C,11TECT
04 SOUTH DEKALB ST. PH. 704,484 1731
SHELBY, NC 28150
Please aP roximatett sketch the: Wowing information tin this plan
(please provide dfrnensions for each item, such as 10 'ft. x 100 ft)-,
1) All proposed vegetation clearing (provide dimensions)—
JA Location of rip rap or fill to be placed above the Full Pond eleVatiun
V 3..ocation of rip rap or fill to be placed below the Fu f Pond elevation
4) The location of any proposed. structures such as buildings;, retaining
walls, docks, etc.
J) The location of any excavation or dredging below the Full Pond
Jelevation.
B� Location of construction access corridors. 1,
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