20070543 Ver 1_Application_20070328

~ i ~ ~
PAYMENT p 7 • o ~ ~ ~
RECEIVED
The following is an abbreviated application form for those applying fora 401 Water
Quality Certification to impact >~ERC (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 eater Quality of $200.00 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
2.
Owner/Applicant Information
Name:
Mailing Address: 80 ~
'"'s
~~jj,,~a
~~~ ~~
Sam/
~1AR ~ ~ ~'~~7
7l.AA~pa AF~C7 ~; ~~~j,~~dtygt~ ~ra~.~;r
/Vo,P(~o c~/y C ~S/ ~ f?' -
Telephone Number: o - 6 S- oZ 8' / Fax Number: 7~y- ~ 9y-
E-mail Address: ~M~i ~4u~~.v en AGC f~L ~ N~ f
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:
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

Q
~; ~ y ,.

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.
Location ~/
County: ~RJ~/L1 Nearest Town: (l~oRl~/o 0
Subdivision name or sit address (include phase/lot number): ~g~E'c S.~~ G.o ,~~o~f'
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included):
/'1/fio 2',ycC
2. Describe the existin land use or condition of the site at the time of this
application: k,~s r`s E' ;sfly SEA C/~GL ~xf N.~E~f3
,Z S¢c~~ ows i11P~pa,~~~I ~ Nod p R~:oL IP,s,n Pl~c.t~/ .41~' To ~~,t_
~ouC~ Li~IL -7o Rli;C~' .4 [)v.G T ~ec[SE ~ LA,~~ !S ~.C/d~
3. Property size (acres): g ~ O RG
4. Nearest body of water (stream/river/sound/ocean/lake): LA~~~ %~CC~/d~i -/a%~,3
5. Describe the purpose of the proposed work: Z SEe~:s,/g O/ S~ w~C~ /ta ~
G7~gEoQ O t/•[,Q . Aats~ ARE .~.</ Nd.,r„G n ~ Re Dwtl.t aJ' e o ~.~s ~f 7» !~~ 5
Ltd 7o C~,ocpl £ G//9~Tk. /[~!J 1[A~O h s1 G( el.S ~tlo7 IF.A/~t. /f ~eAJ 77'auSE
/~NC~ C/~ac1Go~' ~%eL'L ~ ~IFdt~ 0A1~r
6. List the type of equipment to be used to construct the project: Mi~+S ,&'}~e~c//~ ~oR
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the norm 1 pool lake level in square feet or acres: Q•~'~" ~ous£ /~ oo S~
sera c.~AL~ ~ s~ ~~~L = /~So s~ '
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: .3r~n ~ S F
JU
~'~a7
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance):~tlo ~et ~5 /~,~ ~. o.y 7t ~ ~s L.o'~
(~~a. w:CG {j.~ N~ ~CggRiw/4 Z~f ~'s ALL__ ;,v LrRA SS .
-o
Applesant/ nt's Signature Date
(Agent's s ature is valid only if an authorization letter from the applicant is provided.)

07'054
Lake~Fu11 Pond}
,~
~ ~~;~.~~
LL' ~k~
gulf ~'Und ,~ > > ~R g ~£~ ~'~ 1~`'~ 5~
S~o~`~Cin~ ~~ ~-~_,~~'F~~ts ~~~~~ --~'`~
~~~'
~ ~ h,los~
~~~,~
f,~~„~ ~ s ~~ e~~GC
-- ~ , ~, x x _~ .~ ;.~ ~ CJ~~
r ,~ - - - - .~ ~ ~i J~ ,RIFF ~C~4c~{~
~w ~S {~o~ S ~f ~tJA~ ~~
3
~,
~tl~ ~'~,~~.a~. ~x~d,~~h~l
~a ~Y ~~~~ aR-~~~ ~o~~ ~ ~
5.~~/~~a~ ~~c.S`f ~N< ~ ~`~
I
~J~
_~ - ~
~,W. ~.
F'te~se appt~oxirt~ateiy sKetct~ the faiic~,~ing int:Qrn~atiar~ Orr this p~ar~
~pleas~ {rrotrid~ dimensions far eac~r item, such ~s ~34 ft. ~c't00 ff~:
1~ Afl proposed vegetation clearing {provide dir~~ensions~ /(J~~ CL~~~~`~~]` ~^/'°~~ 1~P~~~
c) C.acatian at' rip rap ar fill to be pia~ced agave tt~e 1=utt Pond eleuaf~~ C~,U~fin.u~~~a~ ~jc~~5,$
3~ ~.~cation of rip rap or fill to de placed bela~t~ the >-ul( Pdr~cf elevatit~t~
~~ The loeatian of any proposed ~truetur~s such as buildings3 retaining
vral(s, clocks:, etc.
~} The tncatian of any excavatior7 ar dredging belo.v the ~u!{ fond
~levatian.
6) ~.acation of consf;ruetion access corridors.

~, S ~;
~~
-_

~-
~~ ~~- ' ~
~3~~-l-
~'~S ~ ~

,Y . ,
~z
,,
~ ~
o, ~ / ~~
~~ ~
o ~~
o /o
~o
/o_
~_:;
~t~,~
k.,' / 1
//l\! /
I '
~O ~ ~ ~~,
O
~s~`
~~~ ~~
~~7 p~q3
w\`O
1
\,
U

\~/-
/ Q "~
N~ C>P o ~m
i~0 QUO OQ,
~ ~,~P
,~
_._.. _t
Y
~~`S ~ i .
~.•
R ,ps. - ~
~EN pF
SON FiD
w
NUGGS :
nTr_LJ
-TILL RD ~
'INERIDGE
~Rn
t'
i

~ ~
~' L,ai~E
T.
~~ ,, ri!~ ~=zr ~
,' f
~~1

\~\~~
PINT TREE ~ ~
~~1~~R0
,j>
n~`~
' -`
, ~
'
1
Rf'
-. I 4 t f
P~~~Mn I
soy i "LJ
~~
JONES A
O
9~ ~ I, j '1 ~ ,Z.Q' GUY O
7 ~ l DEER RU 0 RD p
RD p (U
~ ~ ~ '', SHANKLE RD ~i
" : SL _ EX T -- --- ~~ 1~ _
__.a,_-
_-.-_._.--_.._-.. _. _.~ __.. a,
~. ~
~'P ~
(\
~ I 2~,
. i ~

~

~ ~ ~
3 pp
. ! III"8

~

~

~':~ ~

~ ~ -- ~ -.
Z 7 I K.
DUCK I,~
t ARD O
LOOP ~Ft
HEFI.OR
I_AKF
MILL EFIY R'
~ ~
°~ r„
(!)
~'~%~
1-
f.
~R D
'alE ~, i
'~
~'_~ .v
,~,~~FD
T RANp~LL RD
-~-1 AKE PT. DR ~
-UJEST LVIfJD L'!q ~
~ J`.~,
t:l N'I NVONOW ZO
l lfl -IIJIFISNOOW
''„t 11(I IIVnNOW
VJ OI I A I IOW
pnnFlo Nolsslw rfl
IkI II~IWIJI~IN3SIW CU
lU laOdalV INIW Z'
jNladS ltladNlW Ef3
ZO aU Ef
)S laOd~JNIIIIW Z
]alaOdONiIIIW EU
Id NOMl a3lllW EO OI
lO~fl Oa a3lllW EO F
EO Oa AVMOIW
30 a0 )JOIaa3W f
~O a31 a3Na3W
Oa 53030a3W EU
ZO Oa NOll3W
Za Oa VSSIl3W
133x0 MOOV3W
,8 Oa NIVMS~W 4
EO Oa 113N~W ZO
3 Oa a31S31~W
+V Nl SINNIO~W
68 Oa AVW Hot
ea as Nolxvw
EV Oa A3NnVW
i O Oa NIOInVW
3AOa0 NO11V W
EV N13111VW
Oa lV3N-11VW
VV Oa H1VW E0 Oa
Ea NI AaVW
ZO Oa NIlaVW
I Hd3SOf NaVW
EO Oa NOIaVW
EO N1310aVW
is vHlvNVavw
II OOOM3ldVW Z
40 1S 3ldVW
Z0 Oa NNVW
0 al0 Sa3NVW
] a0 OaVIIVW
e o as naf3vw
ea as a3Hlm
ev Nl nom
z o Oa ll3MOl
Nn3a a30MOl 6'Efl O
;o as a3aMOl
Oa IIIW 3AOl E ~ Oa
;0 a0 3N3aOl
Ef3 OH HoaOl
40 Oa dOOI EO O
Z0 M31A9NOl
Oa 3WOS3NOl
LO UH 30UO1
Z 0 Nl 1SnOOl
30 OOOMN00l
N33a0 3lllil
a aV38 3lllll
10 Oa A9N3SIl
Z0 a0 VSII
1a 8n10 SNOII
la 113da3~JNll
EB A3SONIl
E0 Nl Allll
3 3SnOH1HOll E
~ IIIH A1a3011
LJ B1S 31X31
.:U Ud SIM3l
~~~:~~~ ~Inu»

17' 30"
~,
i
~:
~ ~!~ ~~.
~'
~~
Kevised by the U.S. Forest Service `~
MN
Areas outside the National Forest System lands may not have been revised. GN
Control by USGS, NOS/NOAA and North Carolina Geodetic Survey
Compiled hom aerial photographs taken 1977. Revised from aerial o° 32'
,
~°
photographs taken 1983. Partial field check by U.S. Forest Service 1994. 30
s MILS

North American Datum of 1927. (NAD 27). Projection and 10 000-foot ticks: 133 MILS
North Carolina coordinate system (Lambert conformal conic). Blue
1000-meter Universal Transverse Mercator ticks, zone 17_
North American Datum of 1983 (NAD 83) is shown by dashed comer ticks. UTM GRID AND 1995 MAGIVEIlC NORTH
The values of the shift between NAD 2Z,and NAD 83 for 7.5-minute DECLINATION AT CENTER OF SIIEtr
intersections are obtainable from National Geodetic Survey NADCON software.
Non-National Forest System lands within the National Forest
` Inholdings may exist in other National or State reservations..
This map is not a legal land line or ownership document. Public lands are
subject to change arid leasing, and may have access restrictions; check
with, local offices. Obtain permission before entering private lands.
Unsurveyed land net is not official.
1
E
1000

`~
w
~~
~~~
!!~ ~.
I'.
~~
' ~F
i
r
~ I
g~ A ;~
I t,
~ I ~~
~ ~ ~.
._1~ h ;~'
1 N/ ~e ~, ~ ® °o ~ j
rp` ~'. A!-~ 9 Z. .cry;
~ X a ~, c „~ .ts. ~
v v _ r. m p
l v _® ~ ~ f
o ~.
_ V ~S~y '•Y ~ry wjy S I{_
O ~ o' x-29 ° ~ _ ~ i~.
~' o . h o '~
k c ~ ~~'~ p~ ~ o~ ~' M
~~~ F/i~ 1 0 ~ ' r
~ ~~ f o ~
.1 ~ O~~ `; i..' ~ O I'.
mod. 1. ~ it
t e. 9 ®.t~ ~. M
'j r ti Y - - 1 !) ~ .. - -t.?,' ~o ~ ~ is
~o
,~ o ~ r
e•s
}
~~ ~~/ - ~
~"~~ ~.

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
MODIFICATION
Action ID. SAW-2007-805-384 County: Stanly USGS Quad: Morrow Mountain
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner /Authorized Agent: Tonunv Vau~hn
Address: 48026 Lands End Road 0 7 0 5 4$
N_ orwood, NC 28128
Telephone No.: 704-695-2811
Size and location of property (water body, road name/number, town, etc.): This project is locat
on Lake Tillery, at 48026 Lands End Rozd lot #108 in Lake Side near Norwood Stanly Count.
North Carobna.
Description of projects area and activity: This permit authorizes placing riprap at the toe of an
existing seawall . Repair tFVO ten foot sections of the wooden seawall
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
^ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number: 198200030
Nationwide Permit Number:
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the
attached conditions and your submitted plans: Any violation. of the attached conditions or deviation from your
submitted plans may subject the permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization
is modified, suspended or revoked. If, prior to the expiration date identified below, the nationwide permit
authorization is reissued and/or modified, this verification will remain valid until the expiration date identified
below, provided it complies with all requirements of the modified nationwide permit. If the nationwide permit
authorization expires or is suspended, revoked, or is modified, such that the activity would no longer comply with
the terms and conditions of the nationwide pernut, activities which have commenced (i.e., are under construction) or
are under contract to commence in reliance upon the nationwide pernut, will remain authorized provided the activity
is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation,
unless discretionary authority has been exercised on a case-by-case basis to modify, suspend or revoke the
authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality
Certification. You should contact the NC Division of Water Quality (telephone [phone]) to determine
Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area
Management Act (CAMA), prior to begiruung work you must contact the N. C. Division of Coastal Management .
This Deparhnent of the Army verification does not relieve the permittee of the responsibility to obtain any other
required Federal, State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of
Engineers regulatory program, please contact Debbie Miller at 828-271-7980.
Corps Regulatory Official Debbie Miller Date: March 16, 2007
Expiration Date of Verification: December 31, 2010