20120835 Ver 1_Shoreline Stabilization_20120904

AUG -01 -2012 09:25 City of Kings MT PLANNING
7U4 (J4 440V r.VV.
20120834
The following is an abbreviated application form for those applying for a 401 Water Quality
Certification to impact FERC (Federal Energy Regulatory Commission) regulated take shore or
bottom under the U.S. Array Corps of Engineers Permit GP30. This Application cannot be used
for wetland or stream impacts. Please provide seven M copies of this application and supporting
information as well as s non-refundable application e and $570.00 four impacts of Water Quality of to lake bottom of gr� 00
for impacts of to lake bottom of less than l ac
or equal to 1 acre.
Applications should be sent to:
Division of Water Quality 401 Oversight/Express Review Permitting
1650 Mail Service Center
Raleigh, NC 27699 -1650
I.
2
Applicant Information u
Owner /Applicant Information
iC @20dR p
F S EP - 4 2012
DENR -_ WATER QUALITY
Name:
Mailing Address:
Telephone Number: v�5 �C Fax Number:
&mail Address:
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: Fax Number:
E -mail Address:
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 bounndari O make a
development plans in relation to surrounding properties. You may use the diagram below
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.

AUG -01 -2012 09:25 City of Kings MT PLANNING 704 734 4480 P.002
1. Location
County:
C1 /e'v'e ltd � C-1 Nearest Town:
Subdivision name or site address (include phase/lot number):
{tae nee 1�� ��± /A I-Z,(-'- -- (- 5'-
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included):
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): 6. 77 A,,-- az C=
4. Nearest body of water ( stream /river /sound/ocean/lake):
5. Describe the purpose of the proposed work: 14 -) Ic >//
6. List the type of equipment to be used to construct the project: 4r gig_ i +�= C-+,- s
T Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: `Jc�. _ F- T_
8.a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
above the normal pool lake level and 50 feet land -ward in square feet or acres:
Cc -.:.a FT
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance):
v
c),5 2 C9__ t °--
Applicant/Agent's Signature V Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

CleVeland [_ntinfis AlIn
DISCLAIMER: The information contained on this page is NOT to be construed or used as a "legal description ". Map information is
believed to be accurate but accuracy is not guaranteed.
Owner: POSTON MCBRIDE
Owner2:
ISIS Deed Reference: 15H 064
GIS Deeded Acres: 0
Calculated Acres: 0.77106769898
School Districts:
Elementary: WASHINGTON ELEMENTARY
Intermediate:
Middle: BURNS MIDDLE SCHOOL
High: BURNS HIGH SCHOOL
Zoning:
Class: Restricted Residential
Municipality: Cleveland County Zoning
Flood Zones:
Zone: X
Code: 0
Panel Number: 3710256700J
2015 Future Land Use:
Use: RESIDENTIAL
Jurisdictional Limits:
Name: CLEVELAND COUNTY
Voting Precincts:
Precinct: Waco
Parcels
Parcel No.: 14656
Parcel Address(es):
140 HARBOR PT DR
Prior Year's Owner:
POSTON MCBRIDE
140 HARBOR POINT DR
CHERRYVILLE NC 28021
Other Attributes
at point 1269821, 577989
Map: A126 Block: 1 Lot: 32
Deed Reference: Bk. 15H Pg. 064
Land Area: 0.000 acres
Tax Values:
Building Value:$144,399
Land Value: $90,000
Total Value: $234,399
NC House and Senate Districts (Effective Nov 2012):
Senate: 46th Senate
Legis.: 110th House
Fire Districts:
District: Waco
2000 Census Tracts:
Census Tract: 950300
Watersheds:
Zone: WSIII -CA
Historical Inventory:
None
Soil Types:
Soil Type: MaC2
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