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Home My WebLink About20130042 Ver 1_Application_2013011620 13004 1- Tht 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 W ottom 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 $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 h L LAD 6 �L r Name: 10 A v; �- Ly.,,,� Q! o w i✓ 1 Mailing Address: -- S D 4 14 ; — %3r. d$1 A'41 e ,'c It /V Telephone Number. VI-V7-U35— Fax Number: E -mail Address: A i br % d , e CZ A-0 (_ . - f . 0 eel-% 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: Gw ti V Company Affiliation: Mailing Address: Telephone Number. E -mail Address: H. 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. 1. Location County: s Nearest Town: R Subdivision name or site address (include phase/lot number): qSO So-14 CL 13 Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate vicinity map is included): /,/« -y S 7 _ i l k < /t f � `7 `6 y R 2. Describe the existing land use or condition of the site at the time of this application: 3. Property size (acres): / 4 c /- t f 4. Nearest body of water ( stream /river /sound/ocean/lake): 5. Describe the purpose of the proposed work: S -4) e :IQ to 6. List the type of equipment to be used to construct the project: 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level in square feet or acres: F a C4 V410— S° 0 1 r.{ //rP 10AII44 ��orr� /tot J-/- &...0 A-Aor1"4 / /t.'C�( ZS(o Jr 40 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: eyto o sX of Oft of`n /y 8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted (number of trees for instance): IAN s��ss Appficant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) 1 ..T meame apprm qy smmn ine Tommug mormamn an um pion �ftm provide Onanslans for each Item, such as 10 R. x 180 0): 1) M proposed voWation chMrtg (provide dimensions) 2) Location of rip rap or fill to be placed above the FkA Pond elwglon 3) Location of rip rap or fill to be placed below the Full! Pond elevation 6) The Ilocation of any proposed strudures such as buildings, retaining wales docks, etc. 1) Tilm location of any excairation or dredging below Ow Full! F%nd elevation. Lneaffm af earmfniefim aeerdm earridnm- L) ConnectGIS Feature Report Page 1 of 1 http: / /gis.personcounty. net/ connectgis_ v6/ DownloadFile .ashx ?i= _ags_map86dc21 aed66741 e98060a2653ba39ebex.h... 1/8/2013 Welcome to the Person County GIS Website. ConnectGIS has been prepared for the inventory of real property found within Person County, and is compiled from recorded deeds, plats, and other public records. Users of GIS system are notified that the aforementioned public information sources should be consulted for verification of the information in this system. Person County, Mobile 311, ConnectGIS assume no legal responsibility for the information in this system. Grid is based on the NC state plane coordinate system, 1983 NAD. 1 CUN 'A. OODS O IVE ILL N VILLE - .� B H `7' T. TI4H ' 7 i . _ E S 1 :16t�eet http: / /gis.personcounty. net/ connectgis_ v6/ DownloadFile .ashx ?i= _ags_map86dc21 aed66741 e98060a2653ba39ebex.h... 1/8/2013 ConnectGlS Feature Report Page I of I http: / /gis.personcounty. net /connectgis_v6 /DownloadFile. ashx? i—_ ags_ map37894fbe6c5b45998c269bc575628b8cx .h... 1/8/2013 Welcome to the Person County GIS Website. ConnectGlS has been prepared for the inventory of real property found within Person County, and is compiled from recorded deeds, plats, and other public records. Users of GIS system are notified that the aforementioned public information sources should be consulted for verification of the information in this system. Person County, Mobile 311, ConnectGlS assume no legal responsibility for the information in this system. Grid is based on the NC state plane coordinate system, 1983 NAD. '� s"o�! 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