20110334 Ver 1_Shoreline Stabilization_20110407

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201 10334
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 seven (7) 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 of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
1. Applicant Information
OP
APR 0 7 2011
wEXMMAWSMRMM04TR WA10
1. Owner/Applicant Information
Name: Cot. A-V-D NZM k
Mailing Address: 53 i b 0L,2 H-W-1 kA
MT. Al M .1 AC 2,101C
Telephone Number: fo rt. b 1 Fax Number:
E-mail Address:
Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: 01A
Company Affiliation:
Mailing Address:_
Telephone Number:
E-mail Address:
II. Project Information
Fax Number:
Attach a vicinity map clearly showing the location of the property with respect to
local landmarks such as towns, rivers, and roads. Also provide a detailed site
plan showing property boundaries and development plans in relation to
surrounding properties. You may use the diagram below to make a hand sketch of
your project. Also, see the example below for guidance. Both the vicinity map and
site plan must include a scale and north arrow. The footprints of all buildings,
impervious surfaces, or other facilities must be included.
Location
County: VAq t l? ?tN Nearest Town: LEX t i36-ro/J
Subdivision name or site address (include phase/lot number): b6T 16417 YaL 65; A>J_L W,
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included):
11' bla 'To W, tkw`I 8 , GEFI- ZEN Fccmof- p::cA-D LEFT 0 N
`IMM&$ MtU, 1PD.. 1,0T5 XT ENS dF )Zr_*tD
2. Describe the existing land use or condition of the site at the time of this
application: Em5Tto6 RvAsf5 oN pRcpc wry air m
f)(t5i itJ& PIE125
3. Property size (acres): Z -Cie IkAlxc- s
4. Nearest body of water (stream/river/sound/ocean/lake): J-?&if (zip. t,,Wr
5. Describe the purpose of the proposed work: Try
6. List the type of equipment to be jused to construct the project: WK HO
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres:
17D 5 'F
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: 7.-t 60 ?Q . ff.
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance):
(4L UEGETkrtom 4,?%t L f3 i i1APP TED $`f T if l s Woo-'.
3 _029_/
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

Asheville Regulatory Field Office
US Army Corps of Engineers
151 Patton Avenue
Room 208
Asheville, NC 28801-5006
Telephone: [phone]
Fax:[phone]
US Army Corps Of Engineers Field Offices and County Coverage
Alexander Cherokee
Avery Clay
Buncombe Cleveland
Burke Gaston
Cabarrus Graham
Caldwell Haywood
Catawba Henderson
Iredell Mitchell
Jackson Polk
Lincoln Rowan
Macon Rutherford
Madison Stanley
McDowell Swain
Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
d Ashe Franklin Nash Suny
Su96320 Caswell Forsyth Northampton Vance
dtal ith-, r15 Granville Orange Wake
Telephone: [phone] vid
son Guilford Person Warren
Fax: [phone] i Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret' Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Hamett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
US Fish and Wildlife Service / National Marine Fisheries Service
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
'Croatan National Forest Only
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27 699-46 1 7
Telephone: [phone]
Fax: [phone]
CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Tro ut Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kemersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
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Davidson County Map Output Page
Davidson County GIS
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Parcel Number : 06025DO000016 Land Units: 2.08 AC
Pin Id : 6721-04-80-3419 Deed Book: 1203 Pg: 744
BRANCH WILLIS E
Owner: 3318 OLD I-IWY 601 Deed Date: 10/17;2000
MT AIRY NC 2703 00000
Property Address: 001112 YOUNG M ILL, RD Account Number: 000009018140
Township: Cotton Grove Exempt Code:
Building Value: $48,060 Other Building Value: $0
Land Value: $250,000 Market Value: $298,060
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VEGETATION AND EROSION
%T CONTROL FABRIC
EXISTING GRADE

3 '

CLASS 2 RIP RAP

2
I
EROSION CONTROL FABRIC-----V'

4

LAK
E BOTTO M
TYPICAL CONDITIONS
36" TO 72" ERODED CUT
WAVE EXPOSURE
02/23/11
FOR: ED BRANCH
LOCATION: LOT 16 & 17, YOUNGS MILL
RESERVOIR: HIGH ROCK LAKE
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE: DETAIL
MODERATE RIP RAP STABILIZATION 3

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ROCK

SHORELINE MANAGEMENT PLAN