20191418 Ver 1_Shoreline Stabilization_20191014

FRED- BAIRD BLACKLEY; ASLA�/
LANDSCAPE ARCHITECT
504 SOUTH DEKALB STREET
S'HELBY, NORTH CAROLINA 28150
[phone]
Transmittal
Attn:
roject: 1
Project No:
Date: Iq
-t t
For: APPROVAL INFORMATION RECORD REQUEST REVIEW COMMENT USE
Remarks:
.... lli R
OCT 4l 4
Copy To: By:
km
Via: US MAIL AIRBORNE_, PICK UP UPS FAX HAND DELIVER OTHER

The following is an abbreviated application form for thosepplytg for a 401 Water
Quality Certification to impact FERC (Federal Energy Regulatory Commission)
regulated lake shore :or bottom under the U.S. Army Corps ®f 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 $;DO- 0 for
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
1. Owner/Applicant Information_
Name:
Mailing Address:
1 W.M09 iil� "AW"zW1' �
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has si natory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
II. 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 Ci n , n
County: _, _ � Nearest Town:
Subdivision name or site (include phase/lot number):
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included):
2. Describe the
application:_
isting land use ot; condition ol' the site at the time or finis
3. Property size (acres):
tl
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4. Nearest body of water (streain/river/sound/ocean/lake): ct' _
6. List the t e of equipment to be, used to construct the roject: a a
7. Amount of impact (including all excavation, backfill, rip rap, retaiping walls,
etc.) below the normal pool lake level in square feet or acres:
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above the normal poog
ke level and 50 feet land -ward in
square feet or acres: I IV,
—I)—
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impactgd (number of trees for instance)"
C
.e.-�
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

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plea- r roximatety sketch the fond ing rfomation on this plan
ase + Irlix , n l o it ml sum 11 �
Alt propo$e-d vggetatiorr -cleat irtS (provide dlir ensiops)
cation of rips raps or flit to a placed h t= 11 Porgy: I Ion
of rips rap or fit to be placed below the F'uR Pond elevation
Ttw '0loc.A. of anY proposed structures such: s bultdings, retaining
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the O ion of any. exza.v_ ion or dridging. below the Full rrd
Loce0an of eonstrueWactesas corridors.

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THIS DETAIL 15 APPLICABLE ON SHORELINE WITH SLIGHTLY ERODED PROFILE
MINOR REGRADING OF SLOPES 15 ALLOWABLE TO ACHIEVE STABLE CONDITION
INSTALL AND MAINTAIN 51LT FENCE AND OTHER MEASURES FOR DURATION OF PROJECT
HAND —PLACED CLASS 'B' RIPRAP
j ON MIRAFI 1OOX rABRIC OR EQUAL
ELEVATION -- 737.0 TO 738.0
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a f 4 P FULL POND CEL.73.09
--- TOE ELEVATION 735.0
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TH15 DRAWING 15 THE PROPERTY OF FRED B. BLACKLEY. A5LA
AND 15 NOT TO BE REPRODUCED OR COPIED IN WHOLE OR
IN PART WITHOUT PERM155ION, IT 15 NOT TO BE USEti ON ANY
OTHER PROJECT AND 15 TO BE RETURNED UPON REQUE5T.
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