HomeMy WebLinkAbout20120126 Ver 1_Shoreline Stabilization_2012020720 1 2 0 12 6
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 $340 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
Applications should be sent to
Division of Water Quality Wetlands Unit
1650 Mail Service Center (� �]
Raleigh, NC 27699 -1650 ®� `.`� U V
FEB 7 2012
I Applicant Information WET�ANDa AND STOR,AWa EIR BRANCH
1 Owner /Applicant Information
Name _ JapM m6gj. 'TREXt,ER
Mailing Address 115 VUH40ML V,00VP
S►uSBuRy f NG Zt�i 4%
Telephone Number. _lo&4 (6$1-loll Fax Number
E mail Address Imire der t13 Caroltwa►! rr Gown.
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
Mailing Address
Telephone Number
E mail Address
II Project Information
Fax Number
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
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your project AIso 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
Location
County _ F'°�� Nearest Town1.15�5USt -`�
Subdivision name or site address (include phase/lot number) MOOR bowtj 5 , WT UO
Directions to site please include road numbers, landmarks etc (This is not
necessary if an adeouate vicinity man is included)
Describe the existing land use or condition of the site at the time of this
application Fxy -MOG Ng►% 011 LOT It-i RESibWriht, Ott3piv SicA.l
3 Property size (acres) + D .56 ORES
4 Nearest body of water (stream/nver /sound/ocean/lake) UI& H 16415- LAt E
5 Describe the purpose of the proposed work To 5TA51t -ktF MJ F-FoOING
SNOREUme kNb FUTea iT Fpjym Fu�Tftp- 1a12o5icA1
6 List the type of equipment to be used to construct the project
51bGAT. fRot-sT LohoElz call WMd- 8ocy- HO
7 Amount of impact (including all excavation backfill, np rap retaining walls
etc ) below the normal pool lake level in,square feet or acres
a Amount of impact (including all
retaining walls, etc ) above the normal
square feet or acres 15
clearing back fill excavation, rip rap,
pool lake level and 50 feet land ward in
b Please describe vegetation above the normal pool lake level and 50 feet land
ward to be impacted (number of trees for instance)
„j�o OfteTATiow WILL 5E twtPACTi ED
Z - I -
Applicairt/Agent's Signature Date
(Agent s signature is valid only if an authorization letter from the applicant is provided )
l
US Army Corps Of Engineers Field Oftlees and County Coverage
Asheville Regulatory Field Office
Alexander Cherokee
Ledell
Mitchell Union
US Army Corps of Engineers
Avery Clay
Jackson
Watauga
151 Patton Avenue
Buncombe Cleveland
Lincoln
Rowan Yancey
Room 208
Burke Gaston
Macon
Rutherf
Asheville NC 28801 5006
Cabatrua Graham
Madison
S ey
Telephone (828) 271 -4854
Caldwell Haywood
McDowell
Swam
Fax (828) 271.4858
Catawba Henderson
Mecklenburg
Transylvania
Raleigh Regulatory Field Office
Alsmanoe Durham
Johnston
Rockingham Wilson
US Army Corps Of Engineers
Allegheny Edgecombe
Lee
Stokes Yadkin
6508 Falls of the Neuse Road
Ashe Franklin
Nash
Surry,
Suite 120
Caswell Forsyth
Northampton
Vance
Raleigh, NC 27615
Chatham Granville
Orange
Wake
Telephonr (919) 8764441
Davidson Guilford
Person
Warren
Fax (919) 876 -5283
Davie Halifax
Randolph
Wilkes
Washington Regulatory Field Office
Beaufort Currituck
Joan
Pitt
US Army Corps Of Engineers
Berne DOM
Lenoir
Tyrrell
Poet Office Box 1000
Camden Gates
Martin
Washington
Washmgton, NC 27889 1000
Carteret' Gran
Pamlico
Wayne
Telephone (252) 975 1616
Chowan Hertford
Pasquotank
Fax (252) 975 1399
Craven Hyde
Perquimana
'Croatan National Forest Only
Wilmington Regulatory Field Office
Anson Duplm
Onslow,
US Army Corps Of Engineers
Bladen Harnett
Pander
Post Office Box 1890
Brunswick Hoke
Richmond
Wilmington NC 28402 1890
Carteret Montgomery
Robeson
Telephone (910) 2514511
Columbus Moore
Sampson
Fax (910) 251.4025
Cumberland New Hanover Scotland
US Fish and Wildlife Service / National Marine Fisheries Service
US Fish and Wildlife Service
US Fish and Wildlife Service
National Marine Fisheries Service
Raleigh Field Office
Asheville Field Office
Habitat Conservation Division
Post Office Box 33726
160 Zillicoa Street
Pier Island
Raleigh, NC 27636 -3726
Asheville NC 28801
Beaufort, NC 28516
Telephone (919) 8564520
Telephone (828) 665 1195
Telephone: (252) 728 5090
North Carolina State Agencies
Division of Water Quality
Division of Water Quality
State Historic Preservation Office
401 Wetlands Unit
Wetlands Restoration Program
Department Of Cultural Resources
1650 Marl Service Center
1619 Mail Service Center
4617 Mail Service Center
Raleigh, NC 27699 1650
Raleigh NC 27699 1619
Raleigh NC 27699 -4617
Telephone (919) 733 1786
Telephone (919) 733 5208
Telephoner (919) 7334763
Fax (919) 733 -6893
Fax (919) 733 5321
Fax (919) 715 2671
CAMA and NC Coastal Counties
Di ision of Coastal Management
Beaufort
Chowan
Hertford Pasquotank
1638 Marl Service Center
Berne
Craven
Hyde Pender
Raleigh NC 27699 1638
Brunswick
Cuivntuck
New Hanover Perquimans
Telephone (919) 733 2293
Camden
Dare
Onsknw Tyrrell
Fax (919) 733 1495
Carteret
Gates
Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator
Allegheny
Caldwell
Watauga
3855 Idlewnld Road
Ashe
Mitchell
Wilkes
Kemersvnlle, NC 27284 9180
Avery
Stokes
Telephone (336) 769-9453
Bake
Surry
Mountain Region Coordinator
Buncombe
Henderson
Polk
20830 Great Smoky Mtn Expressway
Cherokee
Jackson
Rutherford
Waynesville, NC 28786
Clay
Macon
Swam
Telephone (828) 452 2546
Graham
Madison
Transylvania
Fax (828) 506 -1754 Haywood McDowell Yancey
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TYPICAL CONDITIONS
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PROJECT SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC BADIN, NORTH CAROLINA
DRAWING TITLE DETAIL
MINOR RIP RAP STABILIZATION 1 2
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