20120513 Ver 1_Shoreline Stabilization_20120523

20120513
May 19 2012
Division of Water Quality Wetland Unit
1650 Mad Service Center
Raleigh NC 27699 1650
My signature below authorizes Sonny Tyson of Sonny s Construction to act as my agent to file the
abbreviated application form for 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 GP 30
Evelyn M Norris Date
301 Killian Court
Matthews NC 28104
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The following is an abbreviated application form for those applying for a 40lWater
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 $240 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 Wetland Unit Mrs
1650 Mail Service Center `~
Raleigh, NC 27699 -1650
I Applicant Information
Owner /Apphcant Information
Name Evelyn M Norris
Madmg Address 301 Killian Court
Matthews NC 28104
Telephone Number Alt Number
E -mad address
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 Sonny Tyson
Company Afilaition Sonny's Construction
Mailing Address 186 Vineyard Road
Norwood NC 28128
Telephone Number (704) 438 -1865 Fax Number
E -mail address son nyRson nysconstruction com
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 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

I Location
County Stanly Nearest town
Subdivision name or site address(mclude phase/lot number)
Norwood
Section 3 of Lake Side Lot 101
Directions to site please include road numbers landmarks etc (This is not
Residential home with grass lawn and natural area (See included map)
From Albemarle NC East on US 24/27 Right on Indian Mound Road
Left on Randalls Church Road Left on Randalls Ferry Road
17406 Randalls Ferry Road (on left)
2 Describe the existing land use of the site at the tune of this
application
Residential home with grass lawn and natural area
3 Property size (acres) Approx 75 acres
4 Nearest body of water (stream /nver /sound/ocean/lake) Lake Tillery
5 Describe the purpose of the proposed work
Excavate and build Seawall
Back fill with crushed stone install np rap on front of wall
6 List the type of equipment to be used to construct the project
Excavation equipment carpenter tools
7 Amount of impact (including all excavation, backfill np rap reatmmg walls
etc ) below the normal lake pool level in square feet or acres
560 Square feet
8 a Amount of impact (including all clearing, backfill excavation np rap
reatianmg walls etc ) above the normal pool lake level and 50 feet landward in
square feet or acres
700 Square feet
b Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted(number of trees for instance)
Natural area covered with grass and mulch
12 small landscape bushes affected
19 2012
Apphcant/Agents's Signature Date f
(Agent's signature is valid only if an authorization letter fro the a hcant is provided)

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Lake (Full Pond)
Remove existing wood seawall and replace with wooden wall.
Seawall to be constructed of 4 "x 4" & 2 "x 6" .04 pressure treated lumber
Back fill w /2" washed
stone 4 feet from base
Seawall
140 linear feet of new
seawall to be built
4
Full Pond
Shoreline
(Lake Tillery)
4" Rip Rap
2 to 1 slope
in front of wall
Please approximately sketch the following information on this plan
(please provide dimensions for each item, such as 10 ft x 100 ft)
1) All proposed vegetation clearing (provide dimensions)
2)Location of rip rap or fill to be placed above the full pond elevation
3)Location of rip rap or fill to be placed below the full pond elevation
4)The location of any proposed structures such as buildings, retaining
walls, docks, etc
5)The location of any evacuation or dredging below the Full Pond
elevation.
6)Location of construction access corriders.

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Evelyn M Norris
301 Killian Court
Matthews, NC 28104
Section 3 of Lake Side Lot 101
17406 Randalls Ferry Road (on left)