20110115 Ver 1_Shoreline Stabilization_20110202

2 0 1 11 0 1 1 5
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: llftloft
Division of Wafter Quality 401 Oversght/Express Review Permitting 1650 Mail Service Center PE8 D
Raleigh, NC 27699-161150 NR- wq ®? 2?
DEN
I. Applicant Information 1. Owner/Applicant Information
' ?MCH
1. Owner/Applicant Information
Name: -tv ?1 V f` &a Y- r "f'lAe-
Mailing Address: _ 9'©, ck lit J,
0'e-4 t6 Z, ? lV e a Qom(
Telephone Number:6 Fax Number:
E-mail Address:
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:
E-mail Address:
II. Project Information
Fax Number:
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.
I . Location
County: K O,J) - Nearest Town: C? 1 15 ??4'
Subdivision name or site address (include phase/lot number): Sum ine- l?
ce-
Directions to site please include road numbers, landmarks, etc:. (This is not necessary if an adequate
vicinity map is included): r-r©m .?'?r;Sf1 ? Y Q ?t ?n O ?"?l fk,; F-ai y
ete o v QrJ?:. 4v_ e' -.x f)
t
2. Describe the existing land use or condition of the site at the time of this application: ??deX
3. Property size (acres): li 35-
If -
`
4. Nearest body of water (stream/F•iver/sound/ocean/lake); ?h ?OC/? l d-l?e f
5. Describe the purpose of the proposed work: ? S ea c i-X, , 6-33 C4, C
ct ?0,`c L
6. List the type of equipment to be used to construct the project:
/?7?(`y?
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: 1Ob Icri qA9f(,,-J 2
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 w' rd in square feet or acres:
vL° F7bi-n S ;-7-C
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): v_` _,fr'ef5 , 6,#
0- c e oIS a Npe- ud O 'M A-le.?

Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
ConnectGI S
Page 1 of 1
WO 0360000001
+ 1N
360 50032 ?
P ` 0.31A}.r
ax ? .l $
500 oa
.Y;
k 310
^/ 33
(0.N) a• V l0 E:d5F 13 ; 35
/s
32, mQ (0. 51jA) I
3A) I
41
?. ! (O. 4A)
?0.30k
50OB207
\(O. + 500B5 G
30 32
5008354 , LbIMER PLs:? E ?:ECTIIIJ" SHEET 1 IR ri
fOB464 `t X10 194 I 50OB566
„70B071 yV 50OBd30 ty Z Rr3 9 I 10
3f.I.$2
k,A
16 99
27' 25Q SOOB442 0.075 0 Cl)
Olt
500B493 w T3 '
500B483 NJ0 2$A) \.? 4k ! `?50OB391 (10.3()A)"-.
F E
nincx?FF /03OB521 "-.-- mno
@* IV
FE f . ? ,
? e4?20 Q
R,y
httn•//rnwan nnnnectaiC nnm/Man/PrintWinrlnw acnx9Man=httn-//rnwan nnnnectaic nnm/nr 1 nnnn11
1:94 feet
---
&I 0Q
oyp ?b? /s dti GA
Cl)
w N o` ?o . y F? ., ? aa
Qd U O? ?`?.. ^r ?..I
y
Q 2?0 0l( oP m OP. CD ?!??PS RD. ?v s2
HS' m - 'b w
c C.)
cc C14 6'
z -r ? H1?? pis c` •: ? ?% ? ?? W ?, ti ? Z
D S\?? 0a 1 b?yz ?b° O ? C7
pl o d2,?, ? ,>
? N3 ONtl? !•-- ti0i ?
' ob cow i? ? a ti0 ppp
H3WWOS ` W = N
- 00 4, x ac
z p d
O OF 2
-J=ry a 01 ] °c 31 O ?rL r - - -- - O
= N ? l
r ? ?o dr ti? ' :-
??-y I 1Va ?
MM Q O
7 `? N r
°3 OJ ? y
W
% ^/7? Q FA i?QV' CrJ '? V?
66ZZ JJJ W'
_ y
z ti
a SJ?Id9 Y? J °Q ° o ON g0 O •?
W x1 > °
Z Wy`a ?.. •, p0?' Ng)N ?i.,Y?/ ? J. Q•O
1 m° ??qPay ? / o MES ?°
OOH K 2 (?
?- W
o ...............
NI
o Ofi tiynyoF? ?dLhDOW VO
?? Y•.• \ 0?6b)S/ ?' SOP Cr dig 06
Z 8l O pAi - 3{y3 Y 1 9
°NFY M31n ^rv sit
i ?Y8 MIS - `?
roa 31d, Q`
5 J +,-' 60 00 OHIS
-r
Y
cu OREST i - N
dtl030
M
( P 036 )yid +? '•` i AV ^ M I
P Ae'?a+2[bf? _ '
?r?.,,?•(??Q, `?? s r z !-?,, >>j? 5001
Old 4131j HOW
L) J ?^? ; J 4 J?? Ssi
2? w• m F< O i
pd ? ?/D?? 68Z? 0 m ° ??? gtltlH , ? ?/ O
A30Y Ns 8? ° 10 ?" a NayvNV vg £?[Z
0 -.:,ABEF POINT
?yy LLVAM
OBERT 4 ?._^LEaY?b a ??
s 229 Po 2 Ooby b O Q tZ?c/` 2157
all
C ICUTTQ
a 00 LOYO ,. N
S ` " a 1 ? m d0 bbOs
N LOOKABILL ^? o 'QNUNOd
N 0R. wRMOS o)iM OO L L ?._, F ) G
r as lno?s
C\j
oll C:>
ob N3 MO 1 ` ? O
- Q Y o ? o,p ? -? mot.
oy .
o rr ! ? Z a 6 - ,? `.? ----
?i r I SWIMMERS ),bS _ Ott
/V;/ Q SUNSM L / 4, 09L Z ? !C ? 700
1 0 a U god
o m NO s ?o /oa 19 J
C? Go`as cNP ?s >,?;? ??i)y tr o
g 90L L i ° a Lo
b
w b y 3A00 3 H3 POVNO ?"'? ;;
aw° z p b3N?o3g coy°, P?o.4
> b Q
iFE
'y J
oy YYY eye i n r o ?a )
O O / _
RO c r\ .: m 1 Ln ' °oNA e9 L el' N by `
EXT. \ ???? n Qd
Zb L Z
cr:
x Lc
,
0 CD
? ? ? ¢ O''•, ?-ra? jam' oy?b DA. ? -'? J>bb, r .
= b s 11V S
'AUR A oe ?MgE °6 HSlil?
L !*` ?C p a
~._
p P?DVn R? V-'NO alsHq
,?0 6I N o?F
bob NN L23 P ,' 1 C , /?.o 6 b9 Z W 5P 1 / ay ;
?? o z } r" ?? tea- / -?vd.?
'All
d / £ L -- ? - W
l , ad s'
cc S143
99 LZ
`PPOE Q ! , ' QFj 30lad pRAOY Cl ` :J
Al Af 1708
-? o
yo0 i% ` zW ?b lJ?. y Dd lc^` / ¢ 6£LZ Kti IS F
b
Z1N31 ? Sop
-ZZ ? Q? ? ! y6 ao
O ?p
y_ 3m9 F S`'? ay8 ••.? a 8 L Z s oQ
J 1sp any I : d ?r----%0 ----- S?
RD --- - ------------------------ ~
u<
2 o
? 1 y 6 ?Y V eoS?
Y I d Z ?v . oJ? o?, ??
!
< r. CIA
. ???d 4) / / moo 0