20130393 Ver 1_Shoreline Stabilization_20130415

20130393
The Mowft is an abbreviated applicalion facet for those applying for a 401 Water Quality
CertiSc adon to must nRC (Federal M=V ) regnIsted lake shore or
bottom under the U.& Army Corps of Rughum Permtt GM& This Applieatfon cannot be used
for wetland or stream impacts. Please provide seven M copies of tb s appWation and s"Porrog
information as weft as a non-refundable mppyeadn fee to the Division of Water Quality of $MAO
for impacts of to lake bottom of less than 1 acre and $590x00 for hapaeb to lake bottom of greater
or equal to 1 acm
Appffeations shonid be sent to: INR D ividon of Water Quaint 401 1650 Mao Semi' Ce�r PR 1 5 2013
RalegO4 NC 27699 -1660 L Applicant linfor�ian - ,� - WA OMM
� . ownedApplicant Ltfornadon
w
Nance:
Mauini
Telephone Number. C91 52A3
Fax Nun -
E-mail Addresx n earol,nac - rr. com
2. Agent Information (A signed'iinci dated copy of the Agent Authorization lets must be attached
if the Agent has signatory audiory for the owdedappllc:ant.)
4
Name: _ -
Company Affiliation
Mailing Address; .
Telephone Number. Fax Number,
E-mail Address;
IL Project tion
Attach a vicinity nap clearly showing the location of the property with Mph to local landmarks such
as towns, rivers, and roads. Also provide a detailed site plan showing PmpartY boundaries and
development plans m relation to sturoundmg properties. You may use the diagram below go make a
hand sloetch of your project. Also, see the example below for guWanw. Both the vicinity map and site
Plan must include a scale and north a c ow. The footprints of all buildings, impervious surfaces, or other
facilities must be included.

1. Lceation
.j
County: 67 Nearest Tows !l
Subdivision name or site addrG (include phaseftot number): Wa
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate 111W
vicinity map is included): �t�
- j �, _%.
2. - Describe the existing land use or condition of the site at the time of this application: is ooi �
3. Property size (aches): CL S
4. Nearest body of water ( stream /rivedsound/ocean/lake): ► ti1tX
ftil
5. Describe the purpose of the proposed work: S h, I eu S-.ti t � Z.
1
6. List the type of equipment to be used to construct the projecx: Ak1 sT'
I Amount of impact ( inchiding all excavation, backfill, rip rap, retaining walls, etc.) /b►►ellow the
normal pool lake level in feet abres: _X 7D-C+ (210 34,i'i•)
e OfA -�o
8.g. 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:
v Carp
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): Fe ect� lZe e 5 8 i 'r
i
'1 6-460—
Appl%ant/AkeiVs Signature bate
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

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