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HomeMy WebLinkAbout20111070 Ver 1_Shoreline Stabilization_20111207 ` 2 0 1 1 1 0 7 0 The following is an abbreviated apphcahon form for those applying for a 401 Water Quality Cerhfication to impact FERC (Federal Energy Regulatory Commission) regulated lake shore or bottom under the U S Army Corps of Engineers Permit GP30 This Apphcahon cannot be used for wetland or stream impacts Please provide seven (7) copies of this applicahon and supporhng mformahon as well as a non-refundable apphcahon fee to the Division of Water Quahty of $�40 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 Apphcahons should be sent to � �� �.� � '"'"�'„� Division of Water Quality Wetlands Unrt 1650 Mail Serv�ce Center Raleigh,NC 27699-1650 p ������ o � EC - 7' 2011 I AppLcant Informahon DENR WqTER Q�q�ITy 1'VE11AfVOSqryD STORMWATER BRqNCH 1 Owner/Applicant Informat�on Name �uRC�C E i?.uS li�2 Mailmg Address S t(v 5A'R-�44;�EN Wf�y 5�U5 BkR�`i . �G �S i�I+� Telephone Number 0� (003' 6°IS Fax Number E mail Address navatushet- (a�.ya,l�oa (,ovh 2 Agent Information (A signed and dated copy of the Agent Authonzation letter must be attached if the Agent has signatory authonty for the owner/applicant) Name �{�.A�- Company Affiliation Mailmg Address Telephone Number Fax Number E mail Address II Pro�ect Informahon Attach a vicmity map clearly showmg the location of the property with respect to local landmarks such as towns nvers, and roads Also prov�de a detailed site plan showing property boundanes and development plans in relation to surrounding properties You may use the diagram below to make a hand sketch of v � �s""�av�.rr"y � your pro�ect Also, see the example below for guidance Both the vicuuty map and site plan must include a scale and north arrow The footpnnts of all buildings unpervious surfaces or other facilities must be included 1 Location County �v VS 1�1� Nearest Town R`e t�f�E�D Subdivision name or site address (include phase/lot number) (,oTS 18+i`t iV�tktGtN S14o�2E5 Duections to site please include road numbers landmarks etc (Tlus is not necessary if an adequate vicmity map is included) P�R��3GLE5 F�R�`� RoJ�D 70 `P�7H�R �o�n� �� , IZ- o�f �'�TH�tlz Po��T' TR-�I� , I� or�c�YFrs� t�n . � ol� �t��u�N , �ausE No 1�(6S oA1 i��fT R� ENa o� llvl�D 2 Descnbe the existmg land use or condrtion of the site at the tune of tlus application �xtST�rsG- �u,SE �ND P�E2 aN a- L��s 3 Property size(acres) � � �� 4 Nearest body of water(stream/nver/sound/ocean/lake) �{'iGt� RoGK Vl�K� 5 Descnbe the purpose of the proposed work �To 5r�6 i W�� AN �XtST��G E�Zo AED �14o1�Ei.t�JE �N� PfzoT�GT IT f¢owt '�u.R"fH�ER ERob1on! 6 List the type of equipment to be used to construct the pro�ect t�gc��=T � °f?ZP�GTO i2 oR `B�L}FoE 7 Amount of unpact (including all excavation backfill np rap retauung walls etc)below the normal pool lake level in square feet or acres (�� �eQ �7 8 a Amount of impact (including all cleanng back fill excavation np rap retaining walls, etc) above the normal pool lake level and 50 feet land ward m square feet or acres "3i?�U � �� b Please descnbe vegetation above the normal pool lake level and 50 feet land ward to be unpacted (number of trees for mstance) ��3 S TnCES OF Vl�ft�/ING�1�� I�tv� CoN��T1oN t��-L B� (►�Pi�GT�Eh 8�' Tf� PR+�Po�ED ST�iuZtt-TIUl�9� � IZ�Co° `� ApplicandAge ' Signature Date (Agent's signature is valid only if an authonzation letter from the applicant is provided) US Army Corps Of Engineers Field Oftices and County Coverage � Asheville Regulatory Field O�ce Alexander Cherokee Iredell Mitche!! Umon US Army Co�ps of Engmeers Avery Clay Jackson � Watauga 151 Patton Avenue Buacombe Cleveland Lmcoln Rowan Yancey Room 208 Burke Gaston Macon th Asheville NC 28801 5006 Cabanvs Graham Madison Stanley Telephone (828)271�854 Caldwell Haywood McDoweil Swam Fax (828)271-4858 Catawba Henderson Mecklenburg Tiansylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockmgham Wi(son US Army Corps Of Engmeers Alleghany Edgecombe Lee Stokes Yadk�n 6508 Falls of the Neuse Road Ashe Frankhn Nash Surry Swte 120 Caswell Forsyth Northampton Vance Rale�gh NC 27615 Chatham Gianv�lle Orange Wake Telephone (919)876 8441 Davidson Guilford Person Warren Fax (919)876 5283 Dav�e Hal�fax Randolph Wilkes Washmgton Regulatory Field Office Beaufort Cumcuck Jones Pitt US Army Corps Of Enguleers Berhe Dare L.enoir Ty�rell Post O�ce Box 1000 Camden Gates Ma►vn Washmgton Washmgton,NC 27889 1000 Carteret Green Paml�co Wayne Telephone (252)975 1616 Chowan Hertford Pasquotank Fax (252)975 1399 Craven Hyde Perqwmans 'Cmatan Nahona]Forest vnly Wilmmgton Regulatory Field Office Anson Duplm Onslow US Army Corps OfEnguieers Bladen Hamett Pender Post Office Box 1890 Btunsw�ck Hoke R�chmond W�Immgton NC 28402 1890 Carteret Montgomery Robeson Telephone (910)251-4511 Columbus Moorc Sampson Fax (910)251-4025 Cumberland New Hanover Scodand US Fish and Wlldtife Service/Nahonal Marine F�sherIes Service US F�sh and Wildl�fe Sernce US Fish and WildLfe Service Narional Manne Fishenes Sernce Rale�gh Field Office Ashev�lle F�eld Office Habitat Conservahon Div�sion Post Office Box 33726 160 Z�ll�coa Strcet Pivers Island Raleigh NC 27636 3726 Asheville NC 28801 Beaufort,NC 28516 Telephone (919)856-4520 Telephone (828)665 1195 Telephone (252)728 5090 North CaroLna State Agencies Drvision of Water Quahty Division of Water QuaLry State H�stonc Preservat�on O�ce 4U1 Wetlands Un�t Wetlands Restoration Program Department Of Cultuial Resources 1650 Ma�l Sernce Center 1619 Ma�l Serv�ce Center 4617 Mail Serv�ce Center Rale�gh NC 27699 1650 Rale�gh NC 27699 1619 Raleigh NC 27699-4617 Telephone (919)733 1786 Telephoae (919)733 5208 Telephone (919)733-4763 Fax (919)733 6893 Fax (919)733 5321 Fax (919)715 2671 CAMA and NC Coastal Counhes Div�s�on of Coastal Management Beaufort Chowan Hertford Pasquotank 1638 Mail Serv�ce Center Bert�e Ccaven Hyde Pender Rale�gh NC 27699 1638 Brunswick Cumtuck New Hanover Perquimans Telephone (919)733 2293 Camden Dare Onslow Tyrrell Fax (919)733 1495 Carteret Gates PamJ�co Washmgton NCWRC and NC Trout Counttes Westem Piedmont Reg�on Coordmator Alleghany Caldwell Watauga 3855 Idlewild Road Ashe Mitcheli Wilkes Kernersville NC 27284 9180 Avery Stokes Telephone (336)769 9453 Burke Surry Mountam Region Coord►nator Buncombe Henderson Polk 20830 Great Smoky Mm Expressway Cherokee Jackson Rutherf'ord Waynesville NC 28786 Clay Macon Swazn Telephone (828)452 2546 Graham Madison Transylvan�a Fax (828)506 1754 Haywood McDowell Yancey __ _��._ _- ---....-- _ _ __ __ __ __ - - -- ------ ---- ----.�_ _ - •i e �� �C�. �u��t,�i`f C.C-r1.T��c�T�o�( __--- _ i; �� �PLICR-T�oN �02 SN-or1.L�NE ST�3��IZ�ATio� �� — t � �9� ��R-�3� �1��-}�L2. - --. # (,c7TS F� �' l 9 � I'YpI��Ct��Ho R-�S �_... 13 � -- � i 4i� �m(��c.T � CiO�,c.�u. 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