20110116 Ver 1_Shoreline Stabilization_20110202

20110116
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:
Division of Water Quality 401 Oversight/Express Review Permitting
1650 Mail Service Center
Raleigh, NC 27699-1650 2 A I
1. Applicant Information
I . Owner/Applicant Information
3
Name:

FEB 0 2 2011
MR• WATER
QU
sus ?wck
Mailing Address: 73 .? ye ivy etkii , C'y ' t_
Telephone Number: .' 3i 7 i Fax Number:
E-mail Address: R!
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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:` r,) Nearest Town: l }?'S 3 kd\
Subdivision name or site address (include phase/lot number): u.LV(Vhe-a? ?C-c.N.
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included):
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): ? ' e 6 N.C? J I) ?4 i ( Pill 4. Nearest body of water (stream/river/sound/ocean/lake):
5. Describe the purpose of the proposed work(:{ L qke bO t.,,,_ !?- 7 { i5 b `fit ?"
?L 1 6`10 P A ? ?Gc iN
6. List the type of equipment to be used to construct the project: Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level insquare feet or acres: XI
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:
Ae"Kcy- c d.- i, 7.? C t ?? Li S? tt G.} s y 3 r l /!ti t 't
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): PO l,'`Gt,'? (/l t ' r,? j Y
lip l ?w ? ?'
/. /rIL t"

Applicant/Agentl Signature mate
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Alcoa Power Generating Inc.
Yadkin Division
dLCeA Post Office Box 576
Baaln, Norm Garvitna 23QQ9-Q576
Application for Activity Permit for Reservoir and Shoreline Alteration
(Excavation, Dredge, and Fill)
Print ortype all information below and return to APGI, Yadkin Division, P.O. Box 576, Highway 740, Badin, N.C. 28009
SECTION ONE - BACKGROUND INFORMATION (to be completed by the applicant)
1. Full Name (adjoining property owner): ke-
:2. Pormpnom Moiling Aadrouc:
4 Lmi r orm (If ftforg),I-
9. Tefaghena (Busincsa} (Ffennanent): _' `?? - f '? (Local): 7 o 1 I :3 t , y'
6. Fox No. and E-mail (optional): j C `i't' Fl r 'C cc-it.,
6. Reserver ' ?& L'` 7. Townshi
p: 640 8. County. v r??J
9. Subdivision: (C;' neP ! 1 ic-e, 10. Section:
11, Lot No.: z 12. Tax Map N 5 -0 0
13. ; Directions to properly (rf necessary, use the enclosed drawing sheet to provide us a map to the site): , i JQC 1)rf re
T
t i'.I i A.
ia. IL the KhorWino along the property described abdve designated as a "High Cultural Probability Zone" in.Yadldn's Shoreline Management Plan (leave blank if
you do not know): D Yes ? No
SECTION TWO--INFORMATION FOR RESERVOIR AND SHORELINE ALTERATION (attach the following to the application)
m. nnop ortno rocarvolr aroa wnoro the oxcavation is proposed - applicant must attach a map of the area of the reservoir and adjoining shoreline property owned
by the npplkmnt where excavation is proposed. The map must dearly exhibit the area of the proposed excavation and to what depth (contour elevation) the
exoavow it proposed,
2. Description of the planned excavation - applicant must attach a written description of the planned excavation including an estimate of the reservoir bottom to be
modified and the amount of material to be removed from the reservoir.
3, Plan Tor disposal of excavated material - applioant must attach a written description of their plans for disposing of the excavated sediment No sediment may
be dlsposed of within the FFRC projed boundary (655 foot contour), or on property owned or managed by Yadkin or Alcoa.
a. Rocouroo impoc is accoccmont - Qppiloont must attach a brief written description of the potential impacts of the proposed excavation activity on surrounding
reservoir nnourcm, Including impacts to water quality and fish habitat If there is any vegetation growing in or around the area of proposed excavation, it
should bo noted and the aroas of vegetation should be photographed, and photos included with application.
5. Schedule for conducting the proposed excavation - applicant must attach a written schedule for completing the proposed excavation.
6. Agency Approvals - applicant must attach copies of written concurrence with the proposed excavation from the following agencies (refer to Instructions for
APPAOarion for AMOYPotmit for Reservaranci shor+t3line Excavation):
U,8, hrnY Conga of Enginoora
Norm cQronno onncion of waiter quattty
• Norfh Carolina Department of Cultural Resources (required in "High Cultural Probability Zones")
7. Norm-refundable permitting fee- applicant must include a check or money order made payable to APGI, Yadkin Division in the amount of $100.00
sklunoni THREIR (to ba complarted by the applicant)
i hereby iWly for it permit to perform die aboveKleccr'bed shoreline alteration at High Rock Reservoir. I agree to abide by all applicable tegWmnaits of
Yn&WD SlmomlirroManngranQAPian, flrecondiihow oftheAclivilyPenrutforRewrvoirandMorelineAIteration (Exm anon, Dredge, and Fill) and otlier
7-77, u+cs P,? V. agt0 tlU no wotik wiU begin tuitil I ro=e anActivily Permit signed by Yadkin
;'1 Q
Applicants Signature Date
Page 1 of 2
White Copy - Yadkin Canary Copy - Applicant Pink Copy - Other
Planned excavation:
Remove 32' by 42' by 2' deep of lake bottom around the pier area and put that dirt on the shore of my
property to rebuild the washed out sections of the shore. That would be 2688 sq feet.
Method of Excavation:
Plan to use a small Bobcat to move the dirt.
Imoact to reservoir:
There is no vegetation in the proposed excavation area and there will be no damage to the shoreline
vegetation since washed away dirt will be replaced and we may be able to save the trees currently
under stress from lack of soil. The quality of the water should remain unchanged and there will be no
negative impact to the fish.
Schedule:
I plan to begin removal as soon as approval is given, around February 12, 2011. 1 expect the removal to
be completed within 2 days.
Existing land use:
The area being excavated is currently reservoir bottom. The excavated dirt will be put on my property to
replenish the shore that has washed into the lake.
Rowan Co, NC -- Printable Map
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Parcels
Pared 101500WO Property Address: Date Sold: 06/18/2004
Owner: 275 HOLIDAY DR Sale Inst.: WD
BEST KEITH A& WF Legal Description: Sale Amt.: $101,000
BEST SANTA M 1-7.8 817 Land FMV: $92,500
7322 HORSEMENS CV Acreage: N/A Assessed Land Value: $92,500
KERNEROVI"F. NO 27284-8638 Dead Book: 1010 Pg.* 859 Building Value: $87,205
Deed Year: 2004 Total Assessed Value-.$179,705
011110LAIMER: Thlo Information was prepared from the Rowan County, NC Geographic Information System. Rowan County has made substantial
offorts to ensure the atxuraoy of ImWn and labeling Information contained on this ske. The Information provided is a representation of various City
and County data svurm and does not serve as an official map. Rowan County promotes and recommends the independent verification of any
Information contained on this site by the user.
Rowan County makes no warranty or other assertion as to the fitness of the maps for any particular purpose and neither Rowan County nor Its
agents or employees shall be liable for any claim alleged to hove resulted from any use thereof.
http:Bwww.webgls.net Anderson & Associates, Inc. W:/Iwm.anciamoc.com
http://arcims.webgis.net/nc/rowan/printable.asp?process=locate3&x2=1619030.0525&y2=... 9/17/2007
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