20070576 Ver 1_More Info Received_20070413

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401 WATER QUALITY CERTIFICATION APPLICATION
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 to lake bottom of less
than 1 acre and $475.00 for impacts to lake bottom of greater or equal to 1 acre.
APPLICATIONS TO BE SENT TO:
DIVISION OF WATER QUALITY WETLANDS UNIT
1650 MAIL SERVICE CENTER
RALEIGH, NC 27699-1650
1. Applicant Information
Owner/Applicant Information 1 I
Name Annie B. Stuffs ~~20,~eCl ~ ~~ ~l
Mailing Address 8693 E NC 150 Hwy
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Terrell, NC 28682
Telephone Number 704-660-5111
Fax Number 70460-5969
E-mail Address cbcseawalls a~aol.com
2. 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 Chip Bridges
Company Affiliation CBC Custom Shorelines, Inc.
Mailing Address 628 Oakridge Farm Highway
Mooresville, NC 28115
Telephone Number 704-660-5111
Fax Number 704-660-5969
E-mail Address [e-mail]
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
County Catawba Nearest Town Terrell
Subdivision name or site address (include phase/lot number): NlA

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Directions to site -please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included): I-77 N to exit 36 -West on Hwy 150 -Cross
Main bridge -Marina on left
2. Describe the existing land use or condition of the site at the time of this application:
Marina with boatslips, boat ramp, restaurant and gas station -Application is to lease
Part of marina to CBC Custom Shorelines to load and unload construction materials for
Shoreline stabilization and dredging
3. Property size (acres): 6.2 acres -CBC leasing 0.4067 of total
4. Nearest body of water (stream/river/sound/ocean/lake): Norman
5. Describe the purpose of the proposed work: Use area shown on attached map for
A construction staging area for the purpose of loading and unloading dirt/rock for
Stabilization of shoreline and dredging operations
6. List the type of equipment to be used to construct the project: Site already
Constructed -equipment that will be used at site are -barge - trackhoe, dumptruck
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
None -will be only using
Existing facility.
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:
None
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance): No vegetation -See photo's
(Agent's signature is valfd only pan authorization letter from the applfcant is provided)