20130010 Ver 1_Shoreline Stabilization_20130107

20 1300 10
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 five (5) 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 to lake bottom of less than 1 acre and $570.00 for impacts to lake bottom of greater 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. Applicant Information
1. Owner /Applicant Information
Name: _}�eir. )Ahtl_ .W V
T—
Mailing Address: _ '7S5 + i c S, Tv,ci C.
Telephone Number: y �y b'N 7 a S Fax Number.
E-mail Address: G_ L =7L 3) ¢S L4n 9c•w K 40 A.o 1 • 0
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: N 1 A
Company Affiliation: w I
Mailing Address: NJ A
Telephone Number: _ rwl A Fax Number:
E-mail Address: /VIA-
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 su
facilities must be included. 0 MR Eli:'
JAN 0 7 2013

1. Location
County: J.'S '�LJZK C_ l_ Nearest Town: A,, V a Q-ts v t
Subdivision name or site address (include phase/lot number); 7 S S �'q yr� �'� V� Loop
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): 'l^ c s 4<_ )-5 % o o s p LJgMZV r l ea vx 0 �t 1
Uj- tl
ETC .
2. Describe the existing land use or condition of the site at the time of this application: B,^, Wt -§t O U+
3. Property size (acres): 0.016
4. Nearest body of water ( stream/river /sound/ocean/lake): t .0•V_., w o &w•AA^-.
5. Describe the purpose of the proposed work: rs., �o ADD b V_V RZ.Ck o k, ' be 2_jr�c_ 'ro w`
� c..Yp �eaZ U,Asti3O J-�s nV_ AVkr �.�A, aU+7S , PAvst-��s hoA.P_
n All w i 1\ r T w
-A5 (I OLff 5 cQ VAy -1o� 0.0 e •
6. List the type of equipment to be used to construct the project: WN'n eKcu vO �4 r` al'OJo 2
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: '� 80 IF+ O +C 1'e4c,, jvp L J A t
g 1 3 a I'ro o^ lnor 2 j ° .n e 1� !t l h� �l rte nrb9C' cr
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:
Fv d f v S d=o W P c L . tA_V We'(( !NId [ ! Fi-o r,-A
_ y Auk To lo Avec. _ W NL n a+ db Arr•V w 0ti2 ;C o t�� F 01 ►� �e (e LV .
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): w A,
LM& X, -Lbidd —11
Applicant/Agent's Signatureb
(Agent's signature is valid only
authorization letter from the applicant is provided.)

0
,■
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HARRY CORNELIUS
' I NOW or FORMERLY )
LAKE NORMAN j ' MTN. IS. DWG. NO. 706
� � A
N 94 12'E -39-00
N 35' 4 46! E — 51.43 8 /
. _ 4s.41• ` PAN s3. g8 � piti
N 19g 0a w -. LAKE
LOT 1062
AREA 19;
z- �� 0.98 ACRE ,Q
a
rA
C. A. FREEZE
I NOW or FORMERLY
MTN, IS. OWG• NO. 807
�G A =63.3_ i
REC. LOT 81
.a a'• �� a 2
s. es. STROUP N. \ /dim �= + %CRESCENT LAND a 'oe -'C \
.•�• 0-'00' `\ Ti49ER CORP
F. E. CLARK . ET AL )
�,�0` 1 • t U.M.1. 256
6
d
CRESCENT LAND S a Ci
TIMBER CORP. oI� o
I R. L. 0pV10SON. COMMR. ) a
t90 O
i
CRESCENT LAND 8�
TIMBER CORP.
( M. S. BROWN • COMMR. )
U M.1. — 336