20070559 Ver 1_Shoreline Stabilization_20070330

p~ 2070559
The following is an abbreviated application form for those applying fora 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 $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
I. Owner/Applicant Informat
Name: ~. F-~~ r.
Mailing Address; 1
Telephone Number:
E-mail Address:_~
Number:
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2. Agent ]nfonnation (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
Attach a vicinity map clearly showing the location of the property with respect to
local landnr>rks such as towns, .rivers, and roads. Also provide a detailed site
pjan showing property boundaries and development plans in relation to
surrounding properties. You may use the diagram below to snake a hand sketch of
Fax Number:

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
Locatio ~ ~. ~~ ~~
Count , ~ ,~_ rl~.r r ~ Nearest Town: ~ °'~~~.~-~~
Subdivision name or site address (include phase/lot number): ~~ ~r ~'~¢~~ eo ~, ~ ~ ; t,~'~~~~ ~?~.Ff~
Directions to site please include road numbers, landmarks, etc. (This is not
.. ~°
necessary if an adequate vicinity map is mcluded): ~ ~ ~~ ~°~,,`y 6 ~._ r t'r ~~L~t> ,~' ,~;`.r~
~F~ ~y,
2. Describe the exi ting land use or condition of the site at the time of this
application: ~ C° y'~' ~ ~ ~' ,+~
3
4.
5. Describe the purpose of the
6. List the type of equipment to be used to construct the project: ~ r~-:-~~~ f ~ - ^~~ . ~~
-- --~ d
7. Amount of impact (including all excavation, backfill, rip rap, retaining w• s,
etc.) below the normal pool la a level in squaw feet or acres: ~'~ ~°` `~
8. a. Amount of impact (including all clearing,
retaining walls, etc.) above the normal pool l~
square feet or acres: ~~'~t~ S " ~~~~ /
back fill, excavation, rip rap,
level and 50 feet land-ward in
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): ~~-~r.~s ~ e ,~ ,~ ~ i ~ f-~~

Si
Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Property size (acres): ~ ~ ~ r'~-
Nearest body of water (stream/river/sound/ocean/lake): ~~ ~~ ~~'~~~®~~ ~.~1~~~~.
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- 0 7 ~ 5~ 8 Page 1 of 1
Caldwell ~;ounty Spatial Llata Explorer
Physical
Infrastructure
Boundary
City Limits
Blowing Rock Q
Cajahs Mountain
Cedar Rock
Gamewell
Granite Falls
Hickory
Hudson ~
Lenoir
Rhodhiss ~
Sawmills
Tax Parcels. ~
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This map is prepared for the One Inch = 215 Feet
inventory of real property Feet 100 200 300
found within this jurisdiction,
and is compiled from recorded
deeds, plats, and other public
records and data. Users of this
map are hereby notified that
the aforementioned public
primary information sources
should be consulted for
verification of the information • Owner Name: THOMPSON LISA SWAN
contained on this map. • Mailing Address: 139 GILLEN RD
Caldwell County and its
mapping and software • City: MIDDLETOWN
contractors assume no legal • State: NY
responsibility for the
information contained on this • Zip: 109400000
map or in this website. This

map and information are NOT • Tax Account#: 129618
of land survey quality and are • Land Units: 1.00
NOT suitable for such use.
• Land Type: AC
Locator Map
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• Acreage from Map: 1
• Legal: BK 1592 PG 349 YR 2006 ST 570
• NCPIN:3705226578
• Parcel-ID.• 08118D 2 44
• Total Value: $22,100.00
• Fire District: G CHAPEL
• Property Record Card
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