HomeMy WebLinkAbout20120104 Ver 1_401 Application_20120212--r r Rc-u LJWL4 -11Vt I LRNDS 9197336893
TO 9182284953050 P 1/5
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The following is an abbreviated application form for those applying for a 401 Water
Quality Cerhftcat►on to unpact FERC (Federal Energy Regulatory Comoo bston)
regulated lake shore or bottom under the US Army Corps of Engineers Permit
Gp'30 This Appheatton cannot be used for wetland or sit eam impacts Please
provide seven (7) copies of this application and supporting wformation as Weg as a
non- refundable application fee to the Division of Water Quality of 5200 o0 for
impacts of to lake bottom of less than I acre and S47S 00 for impacts to lak boe ohm
of greater or equal to I acre
Applications should be sent to
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
Applicant Information
I Owner/Applicant in:
Name
Mailmg Address
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Tcicphone Number Fax Number
E-mail Address
2 Agent -11fo1matxon (A sxned and dated co of the
must be attached if the event has signatoxy a copy for theme owncr/apphc a letter
Name
Compan3' t10n a Co
Ma)Jtng Address _ —34t-1
o ...
Telephone Number 2t 2";)"- Falc ATumber
E-mail Address ---Mar 10- c c C A -r & a nh S a r 4 n.
II FroJect Information
Attach a vlezttIty map clearly showing the location of the property with respect to
local landmarks such as towns rivers, and goads Also provide a &ujled site
Plan showing property boundaries and development plans in relation to
surrounding properties You May use the diagram below to make a band sketch of
OUR
FEB a 3 2012
wFTLAW,a ND STAR 4Wrl ER SPANCH
09-13 -2005 19 47 MARINE CONSTRUCTION CO 8284953040
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--- WW 10 rmui ► UWW- WETLANDS 919733E+8q3
TO 918284953050 P 2/5
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 bmldmgs
Impervlous surfaces, or other facilities must be included
Location
County c w e i Nearest Town av a r 4
Subdivision name or site address (include phasellot number) i �- G „ R. J `
Dzectnons to sate please mcludc road numbers, landmarks, etc (Th1s is not
necessary If an adequate vtctnity map is included)
-t 0 k e
2 Describe the elastmg land use or condition of the site at the time of thts
application
3 Property size (acres)
4 Nearest body of water (streaminverlsotm&0ceanna6)
5 Desc be the Znupose of the proposed work j S Q a (� z u.,
<,n� c��rY+ini�
6 L� SG type of 9 pme-rx. to be used to construct the project
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7 Amount of impact (3nchiding all excavation back=, nip rap, retamitIg walls
etc ) below JOrmal pool lake level m or acres
e uir Q
U
8 a Amount of impact (including all cleamg, back &L excavatlon, rap
retalums walls. etc ) above the normal pool lance le 1 and 50 fee land award '
square feet or acres _ o jann
b Please descn'be vegetation above the normal pool lake level and 50 feet land-
ward to be Impacted (number of a," for instance)
Ap c A s Signature
(Agmr's sjgnature is valid only if an anthonutlon letter from the
applicant Date
xs provided )
09 -13 -2005 19 47 MARINE CONSTRUCTION CO 8284953046
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DUKE POWER LAKE MANAGEhSNT, Ea2.Q
P O BOX 1006
CHARLOTTE, NC 282014006
704 - 382 -1567 or TOLL FREE 1,800- 443 -5193
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NO CAROLINA
Please type or print and fill in all blanks If information is not applicable, so indicate by placing N/A in
blank PLEASE SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FIL NG FEE,
PAYABLE TO DUKE POWER, TO ABOVE ADDRESS
L Appheant Information
A. Name Te ppe1v - c. Cctche��
B Mailing Address 5.6
C Telephone
IL Location of Proposed Project
A Lake
B Street Address U 3
C County e a 1
D City town, community or landmark Icckhj Eat/
E Section Lot # ��_ Subdivision
F DKectrons to Vopgrty by road 1=vo , _6po c
up I 1 4 * �5
G Latitude and longitude for the protect site
Please submit a map showing the coordmates or a detailed map (USGS quad map city
map etc) showing the exact location of the protect site (NOTE Latitude/ longitude
coordinates can be found on internet site, www mapblus�com)
HL Description of Project
A. Length of wall_ I /
B Material_ (, L30 J
C Distance from property lme/shorelme r
IV Intended Use of Project Area
A Pnvate_
B Commercial
V Applicant Signature 1 ,�`r �.1 -..._ Date
l
PLEASE NOTE THE FOLLOWING
• A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF
THE PROPERTY MUST BE SUBMITTED TO USARMYCORPS OFENGJNEERS, ISl
PATTONAVE - ROOM208 ASHEVJLLE, NC 288015006
A COPY OF THE -DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE
IN NORTH CAROLINA AND SEVEN (l) 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
NCDIVISJONOFWATER QUALITY
ATTENTION JOHNDORNEY
1650 MAIL SERVICE CENTER
RALEIGH, NC2769946SO
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0/_U.j plantation pointe dr. granite falls - Google Maps
Address 6203 Plantation Pointe Dr
Granite Falls, NC 28630
CA.
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