20070598 Ver 1_Application_20070404

MAF..2':'t:^^~ _-:22 9~4 S~<`; b823 USAGE AAL REG
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PSI
The :~altovvizrg is aan abbreviated applieatioxt foxca fpr thaw applyxug .for a dOX 'tiVater
Qua.Gty Cer'ti~ication to iunpact F1rRC {l;'edaral energy dtegulatory Commission)
z~egulatEd Iake abate ox bottom under' the Lj,S. Azzrty Cozps o:f' Engineers Perzuit
Gp30. xhis Elpplication caa~tot bE ns£d for wetland or stzeam impacts. Please
provide seveII (?~ copies of this application gnd supporting information as ~veIl a4 a
non-.refundable application fee to the Diwisiozt of Water Quality of 8200.00 ;for
impact`s of to lake bottom of leas than 1 acre axtd X475,00 for izzapects tc~ laps bottom
of greatex ox squad to ,] acxc.
Alsp:Ocatloms sb,auXd be sent to:
Davasio:a of tiVatez- Qnalitiy Wetlands Uztit
f 6S0 Mai! Service Ce>ater
Raleigh, ITC 27699-4650
I. Applicant Xnformation
I. Cwnez/,Applicant ~n.formation
hTn..na~ Qi.Ui^/Qd-Q
Ivlaitiztg

~~isa P.ao~ioo~
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~o~ }~y~a ~wke
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ERIC C. ALSMEYEf~
R6pul8toy Branch
US Army corps
of Engineers
Wllmincllon Digt~iGt
~IE~+SC ~~n~
,9,s) ass-eaa~
X~

6508FRils: or Ncuse Road
5utto 120
Ftareign, ntc2~s15-saga
r~k (~y-~Sy6.58~3
C~ faGf~ A~~l r/A~ ~VL"St CA

Teleg~vz~e Nutiabax:_ 19-3P2-k'2 8" fi'" Faat Numbez: ,~a_~t~!
E-zraIl ~ddzess:_~_A~SH~.e~iz~ ,4oL • C~r~ .
2. Agent .Lufozazattvzt (A sagaec! and dated Gvpy OI' the Agent Authnnzatio>z letter N~
must be attached if the Agent has signatory authority faz tlac ow~.ezJapp~cant.}
Name: ~ '
CoAapaay,r'~xliatROO,:_ _
N.faal~g Addt~ss; _-- _ -
~'elepliono Number: _ Fax 1Juzzzbex:
E-mail A.ddt~:ss:
l~. F,roject ~ufvrmation
Attach a v~silntty xxaap clearly slZOwamg the Xooatiom o~the property With respect to
local landmarks such as towns, rivers, 'aud roads. Also provide a detailed site
plan shvvving property bouztdaries acrd development glans in reiativxt to
suzxc7wtdru~ ~SZ'aperties. ~''ou may use the diagram belew'to zaake a b.QUd sketa~t of

MAR.20'200~ 14:22 S'1~ E'7~ X523 L'SAGE kAL REG #6180 P.003l005
youx pxojcet. ,Also, seethe cYaznple below for guidance. Both the vicinity map and
site plaza must include a scale, and north arrow. "Che footprints of all buildira~,
impervious surfaces, or other facilities must be included.
1. Locatsor /
County: ~ ~'6N dearest 7Cown: RO x 3Q ~A
5ubdavxsiom name ox site address (i~ncZude phaseJlot number): I~YCo GAkE-LOT R
directions to site please include road numbers, lancbo.az~CS, etc. (?his is not.
necessary if an adequate vicinity rnap is included):
P~~-i~Ft WINS' ~"~9 ~ l~
- /~-! fit. f~-cc./ft-~' L~4-il/
2. Descdbo the existing land use or condition of the site at the time of this
application:._ pL.tr,~[~R c. - .No F}c~e UN s ~7 E
/nos7-~~ t~~T Na9-7Zt~e~L _
3. l~opezty szze (acres): ~. ~~ Q~~'-
4. Iv'earest body of vvatex (sti~eamhiver/soun,d/accan/laka}: N-~CD Lh-/<c=
5. AescribE tlaepurpose ofthe proposed work: R«' Lf'}P nnl ~s~trlQ~~c ~To
tfA-u' ~2TN~`7L ~?G.~°i01/ ~ k~JcL~tS~ ~i 7~
C' l ~~ ~ i~~~~
6. fist the type of equxpzncmt to be used to construct tie pz~oject:e3~ r3c:H-% _
7. Amount of impact (iacludin,g aIl excavation, back£1l, nip rap, retaimiug walls,
eto.) below the normal pool lake level in square feet or acres:~,L~/r1 Nc= - N ~
~!
8. a. Amount off' impact (azxcludaz~g R11 cleaziz~g, baclt ill, excavatioon, rip rap,
retainicxg walls, etc.) above the normal pool lake level and SO feet land-ward %n.
square i'eet oraczes:_ ~`tF~ice7' ~ 'S~U' ~C ~' R /P ~~P
b. i'leasv describe vegstatio~n above tho normal pool lake level and 50 feet land-
waxd to be izapacted (number o~'tre~ for instazxce): NdNL%
~a-~p'( .
A,pp~icamtl.E~gezat's Signature Date
(Agezat's signature is valid only if an authorization letter from the applicant is pro'vzded.)

07 0598
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17istributed $y:
PERSON-CASWELL LfIKE stUZIiORZTi~/
P.O. $ox 343
Roxboro N. C. 27573
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