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20121045 Ver 1_401 Application_20121112
20 12 1045 The following is an abbreviated application form for those 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 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 $200.00 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 Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699 -1650 I. Applicant Information DENR o v►r�,fa Qo,y�i�Y wetlands d Stormwato. o... -- 1. Owner /Applicant Information Name: Mailing Address: Telephone Number: E -mail Address: JESSE & WANDA ANDERSON 2045 WATERFORD WAY MORGANTON NC 28655 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: CARISSA PARKER Company Affiliation: BENNICK ENTERPRISES, LLC. Mailing Address: 7836 HWY 70 EAST Telephone Number: E -mail Address: II. Project Information NEBO, NC 28761 828 - 659 -1000 Fax Number: 828 - 659 -1001 CARISSAk,BENNICKGRADING COM 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. b ,r � {^+ax t'J � t n , ,i �,,,,Mx,,,,",,,�.v...,.. ,.. 1. Location County: BURKE Nearest Town: MORGANTON Subdivision name or site address (include phase/lot number): EAST SHORES / 51 2045 WATERFORD WAY Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate vicinity map is included): TAKE HWY 126 /TL ONTO POWERHOUSE RD/ TR ONTO INVERNESS DR/ TL ONTO WATERFORD WAY/ PROPERTY WILL BE ON RIGHT 2. Describe the existing land use or condition of the site at the time of this application: THIS IS A VACANT WOODED LAKE LOT 3. Property size (acres): 1.02 ACRES 4. Nearest body of water (stream/river /sound/ocean/lake): LAKE JAMES 5. Describe the purpose of the proposed work: _TO STABILIZE 110` OF ERODING BANK ALONG THE SHORELINE OF THIS LOT BY APPLYING RIPRAP. THE HEIGHT OF THE RIPRAP WILL BE 6' IN HEIGHT. 6. List the type of equipment to be used to construct the project: A BARGE, A BACKHOE, AND HAND TOOLS. 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level in square feet or acres: 2'X 110' = 220 SQ. FT. 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: 2' X 110' = 220 SQ. FT. 8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted (number of trees for instance): NO TREES TO BE REMOVED I Applicant/Agent's Signature Date / (Agent's signature is valid only if an authorization letter from the applicant is provided.) JESSE & WANDA ANDERSON LAKE JAMES EAST SHORES/ `S/ To: North Carolina Division of Water Quality I give Carissa Parker, of Bennick Enterprises, LLC., permission to sign as my agent on my application for shoreline stabilization. Signature (s) Date / 2- DUKE ENERGY LAKE SERVICES, EC12 -Q P O BOX 1006 CHARLOTTE, NC 28201 -1006 704 - 382 -1567 or TOLL FREE 1- 800 - 443 -5193 APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A in blank. PLEASE SUBMIT APPLICATION AND APPROPRIATE DUKE ENERGY FILING FEE, PAYABLE TO DUKE ENERGY, TO ABOVE ADDRESS. I. Applicant Information II. III. A. Name JESSE& WANDA ANDERSON B. Mailing Address 2045 WATERFORD WAY, MORGANTON NC 28655 C. Telephone: Location of Proposed Project A. Lake LAKE JAMES B. Street Address 2045 WATERFORD WAY C. County BURKE D. City, town, community or landmark MORGANTON E. Section Lot # 5L- Subdivision EAST SHORES F. Directions to property by road _ FROM MORGANTON TAKE HWY 126/ TL ONTO POWERHOUSE RD / TR ONTO INVERNESS DR / TL ONTO WATERFORD WAY / PROPERTY WILL BE ON THE RIGHT _ G. Latitude and longitude for the project site _LATITUDE: 35 7!P01 -N LONGITUDE V 83142 °W H. Please submit a map showing the coordinates or a detailed map (USGS quad map, city map, etc.) showing the exact location of the project site. (NOTE: Latitude/ longitude coordinates can be found on internet site, www.mat)sonus.com. Description of Project A. Length of wall j j Q LINEAR FEET B. Material RIP RAP C. Distance from property line /shoreline_WILL FOLLOW EXISTING SHORELINE IV. Intended Use of Project Area A. Private YES B. Commercial % V. Applicant Signature T. Date Agent Signature Phone _828- 659- 1000_Fax 828 - 659 -1001_ PLEASE NOTE THE FOLLOWING: A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 1 Sl PATTONAVE. - ROOM 208, ASHEVILLE, NC 28801 -50 A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA" AND SEVEN (7) COPIES OF THE COMPLETED "NC DIVISION OF WATER QUALITY PRE - CONSTRUCTION NOTIFICATION APPLICATION' MUST BE SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO: NC DIVISION OF WATER QUALITY ATTENTION. JOHN DORNEY PARKVIEW BLDG., 2321 CRAB TREE BL VD. RALEIGH, NC 27604 919 - 733 -1786 11 /01 / 12ssb s n -.-- -��� �I�u��j' S"/ Jessee Anderson lot 51 Pisgah National Forest 0 mi n �U 1 1 5 Copyright © and (P) 1988 -2010 Microsoft Corporation and /or its suppliers. All rights reserved. http: //www.microsoft.com /streets/ Certain mapping and direction data © 2010 NAVTEQ. All rights reserved. The Data for areas of Canada includes information taken with permission from Canadian authorities, including: Her Majesty the Queen in Right of Canada, © Queen's Printer for Ontario. NAVTEQ and NAVTEQ ON BOARD are trademarks of NAVTEQ. © 2010 Tele Atlas North America, Inc. All rights reserved. Tele Atlas and Tele Atlas North America are trademarks of Tele Atlas, Inc. © 2010 by Applied Geographic Systems. All rights reserved.