20200301 Ver 1_Shoreline Stabilization_20200225

FRED- BAIRD BLACKLEY, ASLA
LANDSCAPE ARCHITECT
504 SOUTH DEKALB STREET
SHELBY. NORTH CAROLINA 28150
[phone]
Transmittal
To: \1I
;v,o-c C�4
G� i. /1n k) %, —" l-�,y_ 1t
--Attn:
Project: '_
Project No: PLC
-
Date: F ✓ to _
Copies
Item
Description
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For: APPROVAL INFORMATION RECORD REQUEST REVIEW COMMENT USE
Remarks:
Copy ToBy:
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Via: US MAIL AIRBORNE_ PICK UP UPS_
FAX HAND DELIVER OTHER

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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 $fl for
impacts of to lake bottom of less than I 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 I4orma ion
Name: I k"-'L ,
Mailing Address: j �.�
7
Telephone Number:
E-mail Address:
Fax Number:
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 add ss (include phase/lot number): 14
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is i clud )
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WV
==�iP"�r'a��'
2. Describe the existing la d use or �c1o1nditio of the site at the time of this
application:,1 i
3. Property size (acres):
4. Nearest body of water (stream/river/sound/ocean/lake):AAs S L _
5. Describe the purpose of, toe proposed wor�: ��I S l i lrvt'l �
6. List ltihe type of tquipmgnt to be used to,
rl P /\ i.r, .t A /1 �ln
7
ect: k, c( S.
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Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square et or acres:
11-"t 7, -- 'i'-U r wLu c-m ct-1
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above he normal pool lake level and 50 feet land -ward in
square feet or acres: q 1 )t 3 — 1 514St ) --
b. Please describe vegetation above the normal pool lake evel and 50 feet lan -
ward to be impacted (nlumberf trfes for i,�I(lstance): U
. - 1 A Cl A At Z 1 I ,� i �% { r i n
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Applican ge s Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

Full Fond
Shoreline
Lake (Full Pond)
eels 81wwi-1 (l'jlan
Wk, ILI
Please approximately sketch the fallowing information on this plan
(please provide dimensions for each item, such as iG ft. x 100 f#),
N ) Am proposed vegetation clearing (provide dlmenWon+s)
✓ ) Locations of rip rap or fill to be placed above the Fall Ponca elevation
Location of rip rap or fill to be placed below the Fula Pond elevation
Jit The ilocation. of any proposed shuctures such as buildings, retaining
trrills o,daetss, etc,
The .ion of anyjxcWfation or dredging below the Full Pond
elevation. ' P5 � l I-
6) Location of construction cc� eorriNdors.

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IN PART WITHOUT PEPI�;155ION. IT 15 NOT TO EF U5ED ON ANY
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THIS DRAWING 15 THE POEM, of FRFD B. BLACKLEY, A5LA
AND IS NOT TO BE REPRODXEA OR GOPI�D IN Nr1C7LG OR
m : IN PART WITHOUT PERMI55ION. IT 15 NOT TO BE USED ON ANY
r OTHER PROKOT AND 15 TO $F RETURNED UPON REQUEST.
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K"ED B1. BLACKLEY. A5LA
LANID50APE ARCHITECJ
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INSTALL AND MAINTAIN E71LT FENCE AND OTHER MEASURES FOP, DURATION Of PROJECT NOTCI-t POE-T
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ALL FA5TENERS NOT DIPPED GALVANIZED
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VERTICAL PROFILE: INTERFAG,
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5ECTION
IX"
THIS DRAWING 15 THE PROPERTY ()F FRED B. 0LAGINLEY. A5LA
AND 15 NOT TO BE REPRODUCED OR COPIED IN WHOLE OR
'015T VbAM P(')5T
A' DFIGKING J 01 `5 T BEAM F05T
0- -tDt:r KIN IN PART WITHOUT PER1115510N. IT 115 NOT TO, BE U5ED ON ANY
CD OTtfrR PROJEOT kND 15 TO BE RETURNED UPON REQUEST.
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NG C-HEET 3 Of 3
02/03/20 ADEUTJI�