20110869 Ver 1_Shoreline Stabilization_20110923

SEP-14-8005 06:13 FROM:DWQ-WETLANDS 9197336893
TO:918284953050 P:1/5
2r,.;'110869
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 $200.00 for
impacts of to lake bottom of less than I acre and $475.00 for impacts to lake bottom
of greater or equal to I, acre.
Applications sbould be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
1
I. Applicant Information
2
1. Owner/Applicant Information
Name:
Mailing Address:
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CC.Auveir W-C,
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SEP 2 3 2011
WETLANDS AND STORMWATER BRANCH
Telephone Number: 1Z a 2? - a311 - 6 39 4. Fax Number:
E-mail Address:
Agent lnfoxx?mation (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has Signatory 2hority far thhe owner/applicant,)
Name: A*'1 car ,' /%C co n S Ccs a ?u ? Gcx i ?e i
Company Affiliation- 0 w n - r [
Mailing Address: .31,r S ? -lo r --r r-.
1-4,'c t c_ ,?J-, Ii.c. IRGoi
Telephone Number. - 49 C '.3 U o Fax Number:
E-mail Address: i-no r e Cv ?l r S r mu l• c u :-i
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 pioperties.. You tray use the diagram below to make a hand sketch of
09-13-2005 19:47 MARINE CONSTRUCTION CO 8284953040 PACE1
SEP-14-2005 06:13 FROM:DWO-WETLANDS 9197336893
7:918294953050 P:2/5
your project. Also, see the example below for guidance. Both the vicinity map and
site platy must include a scale and north arrow. The footprints of all buildings,
impervious surfaces, or other facilities must be included.
1.. Location
County. Nearest Town:
Subdivision name or site address (include phase/lot number):
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity trap is included): 3 9 + c Pat- D N ''J.
2. Describe the existing land use or condition of the AS te f t the /time of this
annlieA itlri' V? i /'10 14v v; ` _ "ro t snd
3. Property size (acres): A c. " c 9
4. Nearest body of water (stream/river/sound/oc+eanllake): ?C le- L f'C-t, 0 v 1
5. Describe the purpose of the proposed work:
6, list the a of equi merit to be used to construct the project: u n `l 1-4CJf--
V v, cyp G,,? Cc, +
7. Amount of impact (including all excavation., backfill, rip rap, retaining walls,
etc.) below the ormal pool l?e level in square or acres:
? r?urmcl ?o
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above? the normal pool lake evel andJ 50 fje?et land-ward in 1
square feet or acres: / /'f 3 D U Fr J, / G c S Cl t. U i S LCk ?.JC 1 T

b. Please describe vegetation above the normal pool lake level and 50 feet land-
/ r, ?? L l o
ward to be impacted (number of trees for instance): '71-ev v
91a C
Applicant/Agent's Signature ate
(Agent's signature is valid only if an au orization letter from the applicant is provided.)
09-13-2005 19:47 MARINE CONSTRUCTION CO 8284953040 PAGE2
DUKE POWER LAKE MANAGEMENT. M2-Q
P O BOX 1006
CHARLOTTE, NC 28201-1006
704-382-1567 or TOLL FREE 1-800443-5193
APPLICATION FOR PERMIT TO STABMIZE THE SHORELINE IN NORTH CAROLINA
Please type or print and fill in all blanks. If information is not applicable, so indicate by placing NIA in
blank. PLEASE SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING FEE,
PAYABLE TO DUKE POWER, TO ABOVE ADDRESS.
L Applicant Information
A. Name t t' T , 'N
B. Mailing Address Jrt C> S, ?C, 0' .
C' 1\1 c. J"?413
C. Telephone: 'Ya f fi " C'
II. Location of Proposed Project
B.
C.
D.
E.
F.
G.

-lw-i 147 1 i C., 4,, S 4.
Latitude and longitude for the project site
Please submit a map showing the coordinates or a detailed map (USGS quad map, city
map, etc.) showing the exact location of the project site. (NOTE: Latitude/ longitude
coordinates can be found on internet site, www.mapblast.com)
IIL Description of Project
A. Length of wall B. Material A
C. Distance from property line/shoreline R?
IV. Intended Use of Project Area
A. Private
B. Commercial
V. Applicant Signatur Date 0
PLEASE NOTE THE FOLLOWING
• A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF
THE PROPERTY MUST BE SUBMITTED TO: VSARMYCORPS OF ENGINEERS, IS1
PATTONAVE. - ROOM 208, ASHEVILLE, NC 28801-5006
A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE
IN NORTH CAROLINA" AND SEVEN (7) COPIES OF THE COMPLETED "NC DIVISION OF
WATER QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION" MUST BE
SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO:
NC DIVISION OF WATER QUALITY
ATTENTION.- JOHNDORNEY_ .
1650 K4ZL SERVICE CENTER
RALEIGH, NC27699-1650
os/mtub
Lake " 1-4, L. I., o w;
Street Address v I"`1
County.
(
City, town, community or landmark k- u w' -
Section Lot # Subdivision
Print Parcel Map
Page 1 of 1
"'L
i
Parcel Summary Printed Map Scale 1 inch = 90ft
Parcel ID: 370520708300 Parcel Address: 420 39TH AV DR NW, HICKORY
Owner: DUSTY COVE LLC Address: PO DRAWER 2428 City: HICKORY
Owner2: F Address2: State/Zip: NC, 28603-24281
Building(s) Value: $500 Land Value: $471,900 Total Value: $472,400 l
DISCLAIMER: This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has
made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba
County promotes and recommends the independent verification of any data contained on this map/report product by the user. The County
of Catawba, its employees, agents, and personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether
direct, indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity.
http://www. gis.catawba.nc.uslwebsite/ParcellprintMap.asp?pinc=370520708300&paddr==4... 9/19/2011
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