20100983 Ver 1_Shoreline Stabilization_20101122

20100983
11

The following is an abbreviated application form for those applying for a 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 five (5) copies of this application and supporting
information as well as a non-refundable application fee to the Division of Water Quality of $240.00
for impacts to lake bottom of less than 1 acre and $570.00 for impacts to lake bottom of greater or
equal to 1 acre.
Applications should be sent to: SPAT b
Division of Water Quality 401 Oversight/Express Review Permitting
1650 Mail Service Center JR17%11 -
Raleigh, NC 27699-1650,
1. Applicant Information A10 V 2 y 201
DEW WATER
1. Owner/Applicant Information MipsTp?.QU Ty
Name: N_ x2y7
Mailing Address:
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Telephone Number: '7c `l S-71 1.-7r ? Fax Number:
E-mail Address: do
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.)
l l1. j Name: ?? _ A /VCS )C
Company Affiliation: ?1- N S r LL 012
Ca/°y Mailing Address: l 9 /l We- ON NG
Telephone Number: Fax Number:
CoAf?raC 2
E-mail Address:
H. 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.
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1. Location
County: Nearest Town:
Subdivision name or site address (include phase/lot number):
Directions to site please include road numbers, landmarrks, etc.
vicinity map is included): ? _k- C' ?° t+A
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is is not necessary if an adequate
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2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): e . 5 a-G re
4. Nearest body of water (stream/river/sound/ocean/lake): 4o,e / V o 1 14/ Al
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5. Describe the purpose of the proposed work: ?A a V-e- /, /U e 63 N
6. List the type of equipment to be used to construct the project:
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: A10 A5
8.a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
above the norrjm?yal/ ool lake level and 50 feet land-ward in square feet or acres:
s?L'[JV ??ie ?i
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): i %VG?? c 41 ?/V? 4 ne e,
TAIA-7L -7?4 ZA. AJ 4 /s zlA/a,y aa7 `,.derNea)q
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Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
11/18/2010 ConnectGIS Feature Report
The maps prepared for this
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website are generated from
r r`' recorded deeds, plats, and other
public records. Users of these maps are hereby notified that the information provided herein should be verified. Iredell
County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the
use of any of this information is at their own risk. All maps on this site were prepared using a 1000a€Tm Grid based
upon the North Carolina State Plane Coordinate System from the 1983 North American Datum. The delinquent real
property tax overlay is updated monthly- The information presented is not intended to be used or relied upon as
official notice of tax liens. For additional information regarding delinquent taxes, contact the Iredell County Tax
Collector's Office.
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ConnectGIS Feature Report
0-NNECTGIS fkvt"r' I\ I ) .?. The maps prepared for this
L 4JLwebsite are generated from
recorded deeds, plats, and other
public records. Users of these maps are hereby notified that the information provided herein should be verified. Iredell
County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the
use of any of this information is at their own risk. All maps on this site were prepared using a 1000MTm Grid based
upon the North Carolina State Plane Coordinate System from the 1983 North American Datum. The delinquent real
property tax overlay is updated monthly. The information presented is not intended to be used or relied upon as ,
official notice of tax liens. For additional information regarding delinquent taxes, contact the Iredell County Tax
Collector's Office.

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