20110751 Ver 1_Application_20110815

20 1 1 0 7 5 1
GP30 Application
Enclosed please find:
• A check for 240 made payable to the Division of Water Quality.
• Seven copies of a completed GP30 form, each with an attachment depicting the:
o Driving directions from Raleigh to the lots of concern,
o Site plan with the placement of the rip rap, and
o Plat map showing the property boundaries and north arrow, and a vicinity snap shot.
Cherie D. Jones
398 Riverwind Trail
Meigs, GA 31765
229.683.9866
20110751
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 $570.00 for impacts to lake bottom of greater
or equal to 1 acre.
Applications should be sent to: r-?
??
{'J ' . TD
Division of Water Quality 401 Oversight/Express Review Permitting
1650 Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information
Owner/Applicant Information
Name:
Mailing Address:
Telephone Number:
E-mail Address:
\1
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: A U ' 0 „
Mailing Address: MAR
Telephone Number: Fax Number: WEIIAMSAN66MMXRBRANCH
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.
l15.6 &3 . j 406i 6 Fax Number.
C'.ob? Gree1G 5e.aA%0V% o-k
co ?
1. Location
County: ?C•r' V% Nearest Town LA-A ]ft 1.Wi. 0. t K S +Q?
Subdivision name or site address (include phase/lot number):
S-&j6)A - el% r ?S W O h
Directions to site please include road numbers, landmarks, et (Thi is not necessary if an adequate
vicinity map is included): V0+:a 0. w E. . Rst-c-se- vku\-C- ?rL
0? 1 " -vo wt CN ?rrCiYK.. 0. ` + cl + a ?1 s? a t
COV?CCYV1
2. Describe the existing land use or condition of the site at the time of this application: v0.c.
3. Property size (acres): 0 • S6
4. Nearest body of water (stream/river/sound/ocean/lake): C.061* C. rr,e14 cp i 1e?? a?t,
5. Describe the purpose of the proposed work: R t O S O H o ??
??nrC. ?1tAtr.
5. List the type of equipment to be used to construct the project: AZT a?
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: 6yr c. L--AA, ?r vo e.--j
3 r.Or Y% a` ooo\ ? e? G a tc 51 or
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 in square ? feet or acres: UV L
fit. + ?o C'Vb v t4, VN O V AA e 00 ` U?c.
? wc1 e c?,u ??s 1'1 `1 ?a ? ?r
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): VJ e.e S na'V'\ ? V c? w ht C' & V f-, VA Ct t V&A
G` ?o CR f a
Applicant/Agent' ignature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
..C \&e_ 4ee4 wa C.un? h• w R © to h S??• 1 ??e. a S
0.0 4J2L c.b C16b "?"'Y
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rage i oz s
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MAPQVEST
Trip to 132 Whispering Pnes
Leasburg, NC 27291-9013
63.49 miles - about 1 hour 32 minutes
Notes
The lots of concern for the attached GP30
application are to the right of the 132 Whispering
Pines dweeling. Since the lots do not have a
structure they do not have an address; thus the
Whispering Pines address was used for the
needed directions.
40 Raleigh, NC
1. Start out going west on E South St toward S Salisbury
St. go 0.2 mi
2. Turn right onto S McDowell St / US-70 W / US-401 N /
VAST) NC-50 N. Continue to follow US-70 W / US-401 N / NC-50 go 1.5 mi
N.
3. Merge onto Wade Ave / US-70 / NC-50 toward Rdu Intl
llj Airport / Res Tri Park. go 0.4 mi
PAW 4. Take the Glenwood Ave North / US-70 W / NC-50 N
ramp. go 0.2 mi
IF WEST 5. Turn slight right onto Glenwood Ave / US-70 W / NC-
50 N. Continue to follow US-70 W. go 17.8 mi
't oT 6. US-70 W becomes US-70-BYP W. go 4.3 mi
7. Take the US-501 N / Duke St / Gregson St exit, EXIT
(za
176, toward Northgate. go 0.3 mi
1* 4" MORT14 8. Turn right onto US-501 N / US-501-BYP N / N Duke St.
Continue to follow US-501 N. go 27.3 mi
h 41? 9. Turn left onto Long Ave / US-158 / NC-57 / NC-49. go 0.2 mi
h 45j? 10. Turn left onto Leasburg Rd / US-158 / NC-49 / NC-57. go 0.2 mi
© 11. Turn right onto Concord Rd / NC-57. Continue to
follow NC-57. go 9.8 mi
http://classic.mapquest.com/print 8/8/2011
ingcz.ut j
h 12. Turn left onto Kelly Brewer Rd.
13. Turn left onto Whispering Pines Ln / Whispering Pine
Ln.
h 14. Turn left to stay on Whispering Pines Ln / Whispering
Pine Ln.
0 15.132 WHISPERING PNES.
44 132 Whispering Pries, Leasburg, NC 27291-9013
Total Travel Estimate : 63.49 miles - about 1 hour 32 minutes
Start Map Nice
A: Raleigh, NC
(o so m
150 ft
A,[-
Deco `
- W South St E Sc
go 1.2 mi
go 0.1 mi
go 0.0 mi
go 0.0 mi
End Map Hide
B: 132 Whispering Pries, Leasburg, NC 27291-9013
30 M
0 90 ft
L?
`w -
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(p rrsae tae fbr each Ur, micb as W ft. x 181 ltd:
1) m P P "Getwon dumft 4WD" Msnar?
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3)Lomdhm of r1p rap w M to be phmxd 6elcar the FUi Pond ekwaffion
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