HomeMy WebLinkAbout20120082 Ver 1_Shoreline Stabilization_201201312®120082
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
Division of Water Quality 401 Oversight/Express Review Permitting RECEIVED
1650 Mail Service Center DIVISI CR Qu ITY
Raleigh, NC 27699 1650
JAN 3 0 2012
1 Applicant Information
1 Owner/Applicant Information ALL s REGIONAL r a
Name L ' i, moo VILLE �EGIO�VAL FILE
Mailing Address I Z W. "n p� t4 101 g CS C21 .
1M 7'
rill (V 0 la z$717- 0
Telephone Number 17'7 - `I GI - 19 09 Fax Number
E mail Address L 5 e, i,
2 Agent Information (A signed and dated copy of the Agent Authorization letter must be a hed
if the Agent has signatory authority for the owner /applicant) °
Name p4 .- c�i S c •-� c�F�� uo
Company Affiliation G i C-
Mailing Address i-l!q t&-i ?PEA d-N'_ a err�EsW�tl , .1e 025#7 swop, 0,
Em
Telephone Number 7eL/ - > r-� - 31 Fax Number C �����
11 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
1 Location
County ��� Nearest Town o4i- ae o Ni
Subdivision name or site address (include phase/lot number) I, 0 r ylv
Directions to site please include road numbers landmarks etc (This is not necessary if an adequate
vicinity map is included)
2 Describe the existing land use or condition of the site at the time of this application
3 Property size (acres)
4 Nearest body of water (stream/nver /sound/ocean/lake) 1 S L Ac-J() L A tz-t
5 Describe the
of the proposed work yre pi ii�.v T 1 �. R-tH i� Cife5ocAi
-ABU f 4eE- 7- tf .v &.b
6 List the type of equipment to be used to construct the project: •4 T-
7 Amount of impact (including all excavation backfill np rap retaining walls etc) below the
normal pool lake level in square feet or acres 1 - Z or- iz i P 13-tI a , Q n wA c / in/ is i
8 a Amount of impact (including all clearing back fill excavation np rap retaining walls etc )
above the normal pool lake level and 50 feet land ward in square feet or acres
.fir of- P✓P P 4-0� V�6 ko-i2 " -tc- &at— 16LLct-
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8 b Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted (number of
trees for instance) We I "1,040 r- 7-0 Q VC dCC t,-- 7- - r(o,.f
P-t - L- t4 &
e- e,—:: L.-,- I '6�4 scs-IJ IZ-q LL c
gent's S&jiture Date #4 4h t17""
gnature is valid only if an authorization letter from the applicant is provided )
Bank Height
(eroded area)
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FI OM DSLTA LAND SERVICGS Fief NO 7PAS4747M
SITE DEVELOPMENT PLAN
PACPARED RY•
OCLTA LAND SERVICES INC / 1
1020 CREWS ROAD GWTE L
MAMEI,NORT 847 -4700 A 23t05
Apr 0l 2OW 01 48PM P2
/ ZONE AE
OT -656 00
SCAtL 1 = 60 k 1 Y
LOT 419
MR 78 PG Ifd
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011NAM OIPFRVIOUS 9 I I r
AREA . 10% SAT
MAXIMUM IMPERVIOUS J 7d vc na
AREA . 3OX PER ZONING
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re 70 Do +u1 MAT •r CM AttaK THE it0®
PROWON f3swT,a!! (!aq t>c
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CMF 12J1 ,t
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CT 87 00 ,0012 I IM03 I NR
NOT FOR RECMAnON CMVErANCES OR SAMS 9TAK:OU7 E:1�
SubdlV:, PMASE 4 STONEWATrD BAY pROPERTIES LC oy CACTOr!
Add,.. PINES DRIVE Oymm RYANn1y_-
LA1 � � a __ P t4�2_wu�nf�L)..Qy��!:)�. �RIGht j �COY70�c di -- QOLk�
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Goa4� yatj _.., Otnat
REVMSM CHANGE TO PLOT PLAY OWN TUG CKO: ENO DATE 04/ 01/ OD
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SCAtL 1 = 60 k 1 Y
LOT 419
MR 78 PG Ifd
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407 ' N
O'loOJOm T
011NAM OIPFRVIOUS 9 I I r
AREA . 10% SAT
MAXIMUM IMPERVIOUS J 7d vc na
AREA . 3OX PER ZONING
g
TN 50 �9Ci, tfQtKrt!a1DM� T
re 70 Do +u1 MAT •r CM AttaK THE it0®
PROWON f3swT,a!! (!aq t>c
11NF TAf}iE Cl aS0.0a
-LIME 1.EN5TM BARING ~ ii�was r sm 1RwTen
23.98
L2 ,s y HIDDEN PINES DRIVE _
x122 • ✓ae " PG lla ne
La 7193 "61 7
CMF 12J1 ,t
L u U Lil1G1M
CT 87 00 ,0012 I IM03 I NR
NOT FOR RECMAnON CMVErANCES OR SAMS 9TAK:OU7 E:1�
SubdlV:, PMASE 4 STONEWATrD BAY pROPERTIES LC oy CACTOr!
Add,.. PINES DRIVE Oymm RYANn1y_-
LA1 � � a __ P t4�2_wu�nf�L)..Qy��!:)�. �RIGht j �COY70�c di -- QOLk�
Pati Ffropiaae%ONMkQ011 PAtflAC8'Jf PBRdi— 611tk Boactlnant--- .,Cyrfoln Wa11�._
Goa4� yatj _.., Otnat
REVMSM CHANGE TO PLOT PLAY OWN TUG CKO: ENO DATE 04/ 01/ OD
GTow"Im CAY/S7.OUO.OAC + 1Y0
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January 10 2012
Division of Water Quality
401 Oversight/Express Review Permitting
1650 Mail Service Center
Raleigh NC 27699 1650
Re Agent Authorization
To Whom it May Concern
This letter is to certify that Paul Nelson of Celtic Masonry LLC is acting as the
Agent for my shoreline stabilization project and has signatory authority for the
purposes of submittal of permit applications related to said project
Sincerely
YAy ay
Property Owner
128 Hidden Pines Drive
Mt Holly NC
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Area of Shoreline'.
Eroded Area for Proposed Shoreline Stabilization
128 Hidden Pines Drive Mt. Holly, NC
Mt. Island Lake
(at full pond) 3' rip rap
(below full pond)
Hidden Pines Drive
(Stonewater Development)
e:
40'
x.
a•. r rt ,
57
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