20100935 Ver 1_Shoreline Stabilization_20101105

2 0 1 0 0 9 3 5
3 e following is an abbreviated application form for those applyis? for a 1401 ? gayer Quality
Certification to impact FERC (Federal Energy Reguiator?? ? 4mr a??,g ~e s?ia c is e sbo_° € 1°
i?,;atom under the U.S. Army Corps of Eng=veers Permit GPM,,
for wetland or stream impacts. Please provide five (5) cofpi of this aprsi;eilon and Suppol Ling
®rrnataon as well as a non-refundable ass ticat.on fee t.. e j ?n u~ _; uaiEt op' 0o0i1
>3r impacts to iaia.e bottom of less than 1 acre and $570.OG {u- A&ie- e b0tto?u of greater o-
e€ruai to 2 acre.
-wolications should be sent toe
Division of Water Quality 401 Oversight/Express Review permitting
1650 bail Service Center
: Teighr NC 27699-1650 o-al PA I
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Applicant information
3ener/ Dolicant Informatio-n
Name. S--A-ekhel-) /-- Rte- / e ??" e? -
MailLng Address: ///a3 it f l /Z d c? ?'1'? Ile"
('r-Aci f- 10 e `?/VC _ C2 9,2 -7
elephone lumber: 70L/ aJ4: 'til w rz. ? _ : ? c?,
-mail Address: /,l
11orri S. Df'V'R W 2Q f?
Agent Information (A signed and dated copy of tti- A !!?n er acnect
t-he Agent has signatory authority for the oSvner r'a? ca Ar`RB Ck
Name: A 0,:5 On
Company Affiliation:
waiting Address: ?Jr 3 vZ ?! v4,6 e-4 ? &o? 7
Telephone 1FIribeI ?0 7 000 " ?5-7o ` _ irr' L
E-mail Address: - _ O ?tS? Sr?ar? ? n e c?0O Q a a /. Cori
U. I roject Information
.4 . each a i4ciinaity map clearly showing the locwdor- of the r?ropy 1e c to, ? Ocai Farciraa :,:U suc-
as towns, rivers, and roads. Also provide a detailed site plan sho-,xin-2 prop ferny boundaries and
development plans in relation to surrounding properdes. On Mar'; ?„ _, r i -. io'??; to, m V 'e' ;I
Sand sketch of your project- Also, see the example below for -1>i Both the vich±sity crap and site
plan must include a scale and north arrow. The footprints of -all ovi-i djngs, ma ervious surfaces, or other
facilities must be included.
1. Location
County: / ! eCl?ldnAu Nearest Town: CI-)CU-1.7Ye- AJC
CAC
'
Subdivision name or site address (include phase/lot number): /! ! 33 W., nd,4 6" ve Acl. C*Vc
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included):
Fetes" Ad. !tia-I clefs ?eIi-j 4,?n z :nom Lt/.nal?.? r?i-d ve /3d .
fot , `fie ,D a.sf :IrAnc)I i S A e /©CaA;O I a i 3 W." ACt? &ro
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): 0. 75 a cr d-s
4. Nearest body of water (stream/river/sound/ocean/lake): LaAe kl /i e AI C
5. Describe the purpose of the proposed work: Q1?P1? r'77E
;f,6,
6. List the type of equipment to be used to construct the project: /", le dr/V C/-
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: n
8.a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
above the normal pool lake level and 50 fee and-ward in square feet or acres:
r"4`)_
wCO /
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): A101V °_
Appl'fcant/Agent's Signatu e
(Agent's signature is valid only if an
/0-/67-",?O/
Date
letter from the applicant is provided.)
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Date. Apr 11, 2010
11133_Windy Grove Rd, Charlotte, NC 28278
351235.53" N 80"59'58 04" V4 elev 112 m
020.Googl
,a Eye alt 249 m