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Home My WebLink About20120689 Ver 1_Shoreline Stabilization_201207162 1 20689 July 10 2012 Division of Water Quality Wetland Unit 1650 Mad Service Center Raleigh NC 27699 1650 My signature below authorizes Wes Hartsell 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 Frankie Smith XD e 714 Springwood Mt Gilead NC 27306 i JU! 1 6 2012 DENR WA1t=R QUALITY The following 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 Mail Service Center Raleigh, NC 27699 -1650 Applicant Information 1 Owner /Applicant Information Name Frankie Smith Mailing Address 714 Sprmgwood Mt Gilead NC 27306 Telephone Number (910) 439 6405 Alt Number E mail address smithfrankie112C _yahoo com 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 Wes Hartsell Company Affilaition Mailing Address 210 Vineyard Road Norwood NC 28128 Telephone Number (704) 622 9356 Fax Number E mail address weshartsella --mad com II Protect 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 1 Location County Montgomery Nearest town Mt Gilead NC Subdivision name or site address(mclude phase /lot number) Fairway Shores Lots 16 & 17 Map 5 Directions to site please include road numbers, landmarks etc (This is not Residential home with grass lawn and natural area inclu&d in zp) From Albemarle NC East on US 24/27 Right on US Hwy 73 Right on Lilly s Bridge Road Right on Sprmgwood 714 is on left 2 Describe the existing land use of the site at the time of this application Residential home with grass lawn and natural area 3 Property size (acres) Approx 1 5 acres 4 Nearest body of water (stream /river /sound/ocean/lake) Lake Tillery Describe the purpose of the proposed work Dredging lake bottom to remove years of sediment buildup 6 List the type of equipment to be used to construct the project Excavation equipment 7 Amount of impact (including all excavation, backfill rip rap reatimng walls etc ) below the normal lake pool level in square feet or acres 1562 Square feet 8 a Amount of impact (including all clearing backfill, excavation rip rap reatiamng walls etc ) above the normal pool lake level and 50 feet landward in square feet or acres 1021 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) No vegetation to 10 2012 Applicant/Agents s Signature Date (Agent s signature is valid only if an authorization letter from the applicant is provided) Lake (Full Pond) 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. Frankie Smith 714 Springwood Mt Gilead, NC 27306 Fairway Shores Lots 16 & 17 Map 5 --msed Voting Streams 'I.rig Mtrtmt "eci"Ids sleds b,4 A- V. Aerial lmage'y (2 0 C—My Ekotd—, zo—Q r, -7 �y, Lboi� Cammiwsianets t exams ov Zoning "Ob ig District PIA viier'emheds "mmm"m I Nil Measure Length 206 00 feet 7 Penm9tvi 207. 11 feel Area 1562 li,.fba r.1 Measure Add point by bearing and distance Length 166 00 Fem Seanng: S n34 30 E Distance. 'm U fed Area 1021 9q 14W Search Search Wet•,in S-trot Ama Buffer it R Measure Length 166 00 Fem Ponmeter 178 59 feet Area 1021 9q 14W R Add point by beating and distance Sawing N63 11,11 E GjStanCa 72 FA I