20120517 Ver 1_Individual_20120517

U S ARMY CORPS OF ENGINEERS OMB APPROVAL NO 0710.0003
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT EXPIRES 31 AUGUST 7019
_ j ;4 GFR 325) - -_� --
Public reporting for this collection of inr0rina0un ib estimated to average 11 hours par response including the time for reviewing Instructions searching
existing data sources gathering and marntainmg the data needed and completing and reviewing the collection of information Send comments iegdrdinu
Itds burden ublinlale or any older aspect of the collection of information Including suggestions for reducing this burden to Department or Defense
Washmolon Hpadquiulers Executive Services and Communications Directorate Information Management Division and to the Office of Management and
Budget f aperwork Reduction Project (0710 0003) Respondents should be aware that notwithstanding any other provision of law no person shall be
subject to any penalty for tailing to comply with a Collection of information If it duab nul display a currently valid OM13 control number Please DO N07
RETURN your form to either of those addresses Completed applications mUSI hP siit)rulted to the District Engineer having jurisdiction over the location of
Inc proposed activity
PRIVACY ACT STATEMENT
Auttnonto Riverr and Harbors Act Section 10 33 USE' 403 Clean Water Act Sartion 404 93 USC 1344 Marine Protection Research and Sanctuaries
Ad Section 103 33 USC 1413 Rugtdntory Programs of Iho Corps of Engineers rinal Rule 33 CrR 320 332 Principal Purpose Information provided on
this form will be used in evaluating the application for a permit Routine Uses Thib information may be shared with the Department of Justice and other
fedordl Mate did tut ai government agencies and the public and may be made available as part of a public notice as required by Federal law Submission
of requeslad Infnrniahon Its voluntary however if information is not provided the permit application cannot be evdludled nui wn a permit be issued One set
of original drawings or good reproducible copies which show thf, location and character of the proposed activity must be allached to this application (Sao
sample drawings and/or instructions) and be submitted to the District Engineer having Jurisdiction over the location of the proposed act vily An application
that is not compiolod in full will be returned
1 APPLICATION NO
5 Ai I LILAN i S NAMt
First Da% id Middle
Comp uhy Mut6ILs I I(
(ITEMS 1 THRU 4 TO BE FILLED BY THE CORPS)
2 FIELD OFFICE CODE 13 DATE RECEIVED
C mail Address flat gibb a)tht ha (I ntd
G APPI ICANT S A!)DRFSS
(frEMS BFLOW TO BE FILLED BYAPPLIC4Nn
I8 AUTHDRIZEf1 AGFN
Last CIIA011% ► Febt JuLj
Addif,bs 400 S ulh I(t.coi 1 Si Snilu 1250
City Dill 1% 13I11e 1 h Zip 75202 Country UCA
7 APPI ICANT S PHONL NOs WAHEA LODE
4 DATE APPLICATION COMPLETE
'S NAME AND TITLE (agent is not required)
Middle 17avrd Last ! Link
Company Allonionl IM uonnlu1l11 Inc
E mall Address IIUIl +�A91Lan1I111f611Vlrnlllth411t 11 Cpinl
9 AGENTS ADDRESS
Addreab 211 I Ins ttnnd St
City 4tihtv111t. State N( Up 2b801 (,ountrY 11%A
10 AGENTS PHONE NOs wiAREA CODr
a Ra%ldoncc b Bubniebb c Fax a Residence b 8tsinocs c Fax
211 7 t7 U 150 214 717 1730 1 828 281 3350 828 281 3131
~STATEMENT OF AUTHORIZATION
11 I ITereby aulhorizo _ Joel D Lank _ to dQ in my behalf ab my agent in the processing of this application and to furnish upon request
rupptemental inlormabo n I h support of this permit app/ catlon
4 24 - 201 L
IGNATURE OF APPLICANT DATE
NAME LOCATION AND DESCRIPTION OF PROJECT OR ACTIVITY
12 PROJL(.T NAME OR TITLE (sea instrucllonc)
1 Itthulu� 1 -,pnntun
13 NAME OF WATERBODY it KNOWN (if applicable) 114 PROJECT STREET ADDRESS (If applicable) _
t Inn MIMI I 11111,11 ir3 to 1 icndi Bio Id Ri%LI jAddross 1310 riuimn& ffitdgL Rnad
1 LOCATION OF PHOJLLT
Lutilude N 33 133663 I ongdude W-87513181 _ Cily I Ictcllcl
16 OTI ICR LOCATION DESCRIPTIONS IF KNOWN (see instructions)
Slate Tax Parcel ID J( 1371754100000 Munidpolily AShC\ Ills
Serlmn
Iovmship f ILILiiLI
CNO rORM 4345 OCT 2010
Range
EDITION Ul• UGT 2004 IS ODSOLETC
State NC Lip 29712
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Y err` X012

17 DIRECTIONS TO THE SITE
Hom Interstate 26 exit at Exit 40 Head west on Highway 280 for approximately 0 S miles Turn left on Fanning Bridge Road and site is
first drive on left at 1310 Fdnncng Bridge Road Please iefei to Figure I Site Location Map
18 Nature of Activity (Description of project include all features)
The project comprises of construction of a 300 000 square foot addition onto the existing 400 000 square -foot Electrolux Facility on a
zoned uidustnal site The existing building will be expanded in two areas One area will occur to the northwest of the existing building
and will be apps oxrmately 200 000 square feet built in an L shape configuration The uthei area will occui to the southwest of the
existing building and will be approximately 100 000 square feet built in at ectangular configuration The building expansion will be
constructed of material similar to the existing building which is mostly concrete flooring with steel framing and metal siding The
expansion will iequne grading work with both cut and fill of earsting soil on site. Additionally the shipping enhance will be reconfigured
to have the entrance off of Highway 280 instead of Fanning Bridge Road The expansion will impact 614 linear feet of stream and 0 006
acres of wetland The stream will be placed Ina culvert from where it exits the existing culvert on the west side of the current packing area
to where grading for the expansion terminates Please refer to Appendix A Site Plan and Figure 2 Stream and Wetland Map
19 Project Purpose (Describe the reason or purpose of the project see instructions)
The client who leases the Minkles LLC property is Electiolux Electiolux has expanded their operations and in order to accommodate
then growth the building will need to increase in size of else Electrolux will move then operations to a diffetent facility outside of the
state of North Caiolcna taking with them approximately 267 local jobs The consti uction of the expansion needs to begin by September
2012 for the project to iemacn viable The piolect is scheduled to be completed in December 2012
USE BLOCKS 20 23 IF DREDGED AND /OR FILL MATERIAL IS TO BE DISCHARGED
20 Reason(s) for Discharge
The bpecific purpose of putting fill mater ial into the existing stream and wetland is to allow for the existing stream to be placed into a
culvert to create the area for the expansion to be constructed The proposed configuration of the expansion was selected to impacted the
Ieast amount of streams and wetlands possible within the site s parcel boundary
21 Type(s) of Material Being Discharged and the Amount of Each Type in Cubic Yards
Type Type Type
Amount in Cubic Yards Amount in Cubic Yards Amount in Cubic Yards
Cut soil native to the site —200 cubic yards
22 Surface Area In Acres of Wetlands or Other Waters Filled (see Instructions)
Acres 0 006 of wetland
or
Linear Feet 614 of stream
23 Description of Avoidance Minimization and Compensation (see Instructions)
The expansion is avoiding approximately 1200 lineat feet of streams and 0 3 acres of wetlands on remaining portions of the property
Additionally the configuration of the pt oposed construction plan has been modified to minimize impacts to existing streams and will leave
an additional 200 linear feet of stream un impacted totaling 1 400 linear feet Compensatory mitigation will be performed by purchasing
credits fiom the North Carolina Fcosy%tem Enhancement Program (NCEEP)
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24 Is Any Portion of the Work Already Complete? QX Yes nNo IF YES DESCRIBE THE COMPLETED WORK n M
t tanning msotl. i ncludmb but not limited to a pi r, contihuctlon topubtuphie %ut%L) of tht, capanion at ea atchtteclural design and
rrvnonnnentll «oih fm the e-,pvnsion has etihei taken place of is undcr%Nay Conshuelron not Lnrlh moving «ork has begun al the time
25 Addresses of Adjoining Properly Owners Lessees Etc Whose Property Adjoins the Waterbody (t more men ran be ordered Irene pease susci a suppemenrat i p
a Address 1301 lhununib Ilildgr, Ito id
City Ilctchcr State NC Zip 28732
b Address GI ro-rininil Diivi,
City i ILichcr Stale NC Zip 28732
c Address
City State Zip
d Address
City State 71p
e Address
City Slate Zip
Llbt ut Other CelldiLeleb ur Appiovdlb /Denrdlb lecelvLd from oihei federal State or Local Agencies for Work Described In This Application
AGENCY 7 YPE APPROVAL IDENTir (CATION r1ATF APPI IFO DATE APPROVFO DATE DENIED
NUMBFR
Would include bill Is not restricted to zoning budding and flood plain permits
27 Application is hereby made for permit or permits to authorize the work described in this application I hat this information in this application is
complete and accurate I further certify that I possess the aulhonly to undertake the work described herein or/dm ac K9 as the duly authorized agent of the
opt I iintt //
14 Jt0R� 201201 23
SIGNATURE OF APPLICANT DATE 4IGNATUREIOF AGENT DATE
The Application must be signed by the person who desires to undertake the proposed activity (applicant) or It may be signed by a duly
authorized agent If the statement In block 11 has been filled out and signed
18 U S C Section 1001 provides that Whoever In any manner within the jurisdiction of any department or agency of the United States
knowingly slid willfully falsifies conceals or covers up any trick scheme or disguises a material fact or makes any false fictlhous or
fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false fictitious or
fraudulent statements or entry shall be fined not more than $10 000 or imprisoned not more than five years or bother h
CNG rORM 434d OCT 2010 T_