20120598 Ver 1_Application_20120615

June 11 2012
Division of Water Quality Wetland Unit
1650 Mad Service Center
Raleigh NC 27699 -1650
20120598
My signature below authorizes Sonny Tyson of Sonny's Construction to act as my agent to fife the
abbreviated application form for applying for a 401 Water Quality Certrficabon to impact
FERC (Federal Energy Regulatory Commission) regulated lake shop: or bottom under the
U S Army corps of Engineers Permit GP 30
8601 Carnage Tour Lane
Rafth NC 27615
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The f411owmg is an abbreviated application form for those applying for a 401Water
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
1650 Mad Service Center
Raleigh, NC 27699 -1650
I Applicant Information
1 Owner /Applicant Information
Name John G Barnwell
Mailing Address 8601 Carriage Tour Lane
Raleigh NC 27615
Telephone Number [phone] Alt Number
E mail 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 Affilaition Sonny's Construction
Mailing Address 186 Vineyard Road
Norwood NC 28128
Telephone Number (704) 438 -1865 Fax Number
E mail address son ny(a-sonnysconstruction 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 Norwood NC
Subdivision name or site address(include phase/lot number)
Lot 18 M/B S/4 Emerald Shores
Directions to site please include road numbers landmarks etc
(See included map)
From Albemarle NC East on US 24/27, Right on US Hwy 73
Right on Lilly's Bridge Road Right on Emerald Shore Drive - Bear left onto
131 Westview Drive
2 Describe the existing land use of the site at the time of tlus
application
Residential home with natural area
3 Property size (acres) Approx 48 acres
4 Nearest body of water (stream /river /sound/ocean/lake) Lake Tillery
5 Describe the purpose of the proposed work
Excavate undercut on shore line and install rip rap
6 List the type of equipment to be used to construct the project
Excavation equipment
7 Amount of impact (including all excavation backfill np rap reatuung walls,
etc ) below the normal lake pool level in square feet or acres
840 Square feet
8 a Amount of impact (including all clearing backfill excavation rip rap,
reatianmg walls etc ) above the normal pool lake level and 50 feet landward in
square feet or acres
840 Sauare 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 9 nine trees to be removed
June 11 2012
Date
(Agent's signature is valid only if an authorization letter from the applicant is provided)

210 linear feet
Lake (Full Pond)
Excavate undercut on shore line
Full Pond
Shoreline
(Lake Tillery)
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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- John G Barnwell
8601 Carnage Tour Lane
Raleigh, NC 27615
Lot 18 M/B S/4 Emerald Shores
131 Westview Drive

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