20130099 Ver 1_Application_20130201

MARINE CONSTRUCTION
5850 Charlotte Highway
Lake Wylie, SC 29710
www.dockmastersonline.com
Phone: [phone]
Tuesday, January 29, 2013
N.C. Division of Water Quality
401 Oversight/ express Review Permitting
1650 Mail Service Center
Raleigh, NC 27699 -1650
Dear Sir,
20 1 30 0 9 9
Fax: [phone]
��AID
Enclosed is an application for 401 Water Quality Certification for Tim Somers.
Mr. Somers proposes to permit for his rip rap along approximately 180' of shoreline to
aid in erosion control. Trees are all from 4" in diameter or smaller or they have
undermined root systems and will be cleared only as far back as necessary. Rip rap will
be approximately 8' above full pond. Total square footage of proposed rip rap will be
1440 sq.ft.
If you need additional information, please contact me at 803 - 831 -1633
erely
Kim Broome
13

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 ���u
1650 Mail Service Center
Raleigh, NC 27699 -1650 F= `j 0113
L Applicant Information t, °ewRr puffin,
1. Owner/Applicant Information
Name:
Mailing Address: ��'�c1� -D or�c�o Wei \_�re_
Telephone Number.���' �$$ %7-5, � Fax Number:
E -mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached
if the Agent signatory authority for the owner /applicant.)
Name:�rr .r <" 00'me-
Company Affiliation:
Mailing Address:
�LC, \ \A\'% e aq`110
Telephone Number: `�� Fax Number:
E -mail Address: I1..Q C�cr�ca'�50r���r�. • C�JYY1
IL 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
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County: �a.�`�or Nearest Town.
Subdivision name or site address (include pbase/lot number):
a$a► %3
Directions to site please include road numbers, Ian marks, etc. (This is not necessary if an adequate
vicinity a is included): `aq -� %�oNfm -, -R` �v,(ext. � 5�� -0•• '
y p
\"'�d C `Ata
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): 0. 'S QCce-
4. Nearest body of water (stream/river /sound/ cake): � ZZ,% e-
5. Describe the purpose of the proposed wor �a_ V C_-x 1;M'\ Q!C�t_
R1
7.
8.a.
8.b.
List the type of equipment to be used to construct the project�`"v-1A3`Or- 4-'ZZ16cf `-
Amount of impact (including all excavation, backf ll, rip rap, retaining walls, etc.) below the
normal pool lakekevel in square feet or acres: _
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:
Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): vl�a
-a -
Applicant/AgenVs Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

rif
f rd
*_Ts) 1!l
3p:
k approximstdy
sketCh
the TONOWIng uwumumm ml um Pm
e provide
dimensions
for each KeM such as 10 M x 100 ft):
proposed
vegetation
chming
(provide MIMMIM).
ation of n'p
rap or
fM to
be placed above the Ful Pond-doi
anon of rip
rap or
fill to
be placed below On Full Pond dev
I location
of any proposed
sbuelm" such as btdMg% rot
,Iss docks.
etc.
location
of any excavation
or drb'tkw below the Full Pond
ration.
Atian at entmarueflan
access coffidors.
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1029 Peninsula Drive, Belmont, NC 28012 map - Google Maps
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COURSE
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DISTANCE
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GRAPMC
ALL CORNERS ARE #4: REBAR
UNLESS OTHERWISE' NOTED
I.PYF - Found ; I.P.S. m Set
REFERENCE NORTH - N.C. GRID NORTH "411
0 P.B.. 77 -35
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PID 218293
P.B. 77 -55 - LOT 8 .
4 N 'LAKEPOINT S/D 4
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4570 -1478. P.S 77—;5.5
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LEN.: '71.48' DELTA: 24 005'27"
CRD.: S 16 016'47 "W 70.95'
LOCATION .MAP
N.T.S.
- PLOW -SUREY FOR'
Timotri . F: & visa M So ��► co
y mers. ......
'CITY OF BELMONT ;SEAL::
GASTO '
� COUNTY,. .,NORTH' CAROLINA
24'
AUGUST 2012
I. Jae 'K Baird, PLS. state that 'thin Plot' was' drawn under may
supervision from an octual field suNq made under my supommian
JOE• 'H.' BAIRD, P.L.S. (description from Plat Book referenced on this drawing); thsrt'tli, .
SURVEYOR & PLANNER' boundaries not surveyed are cWarb7 indicated and _ referenced; that,
the ratio of precision; as calculated. as 1 : 20,000; and that this
'Plat was n9t prepared In acciracnai with'4a '47 --30 oe ammended,
3219 BARD ROAD , Witness my 'original signature• Beal, and regletrad6n mintier tote
CLOVER, SC 29716 24th doy of August, A.M. 2012.
803/831 -2661
N eg. No. L --2886
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