HomeMy WebLinkAbout20071063 Ver 1_401 Application_20070619Q~~~oe~~
JUN 1 9 2007
DENR -WATER OIIALITY
VYETIANDS AND STORAhM11TER BRANCH
--`_.
2007065
the fallov~efng Fa a`u abbreviated applicai3wn farm far those applpiug for a 40X '4'4afe,
Q~ly Cer~ficafion to. ioaapact l;C {Federal Energy Regulatory CvztumxssEun)
regulated Take shore ar bottom under the U.S. Army Corps of 1?nglneers Permit
G??30. Plus Applic$fian cannot be used for Voetla~-d or stream impacts. Plessa
provide seven (7) copies of this application and supporting information as well ss a
non-refundable applicatia>a fee to the Division of Water Quality of ~QQ.40 liar
impacts of fo lake bottom of less than 1 acre and $475.00 for impacts to lane bott~s>;r
of greater or equal to 1$cre.
.A.l-plications should be sent to:
:Division of'I~Vater Quality'Wetlands Unit
:RG:'si1 lVJ[a~ Service Center
g2aleigh,lV'c z~r~9~-~~0
: -
l~ Applicant Information.
1. OwnerlApplicaut Info~omatibn
Name: 1~~ i ~i„Oln~~7'
Mailing ~'0 6 0'x
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~or Ny,~a {-A~E'
Rts~ set
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EFiiC C. AISt~~
Hag~aeury Br.:rui:
US Army Corps
ofi Engineers
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Falcagt.. MC: }2.7~,~r 15-5614
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Telephonz I~Tumber: 3 ~ ;.~4 ~ - 3Z o Fl Fax 1~Iumber: 336 - 59~ ~.3 2!8_
E-mail Address: C bct r k~ ~_ ~ ttit ba re rrta: 1 • co+-»
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2. Agent Information (A signed and dated copy of the Agent Authorization lett~r-
must be atrached if tha A ;ent has signatory autl~ozity for the own~/applicanG)
Name- 1~tc ~ 1 R., r fie.. r
company Affiliation: yr+.~ ~•,,•.,~ w,aK0. xe/ ~.--
MailiYSg .~4ddress: _.__._~.__._
Telephone Number: Fax Number: ,.~~__.___.._,,.
E ma>Z Address:
II: Project In£o><mation
Attach a vicinity map clearly showing the location of the property with respect u-
local landmarks such as towns, rivers, and roads. Also provide a detaileds~te
plain showing property boundaries and developmbut plans iu .ralatio~ t~
surrounding properties. You may use the diagram below'ta make a hand. sketch of
youxproject. Also, seethe example below for guidanrs. Both the vicinityn~p 3n.1
site plan must include ascale- and north arrow. The footprints of all buildup:.,
impervious surfaces, or other facilities must be included.
1. Location ~J _
County:_.~1''Sbn Nearest Town ~~~~-- _
~~ubdivision name or site address (include phase/lot number); S - ~~~ %~t.sr.~"~r,~
lairections to site please include road. numbers, landmarks, etc_ (This is nc~t~-~~_~.-
necessary if an adequate v~iciniry map is included):. ~rr,rn R..:~v r ~~~ ~ ~{; a 1~ ~, a,,,
u cc . s S t S~ier~ pr i ~.c.._
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~jvh,SG~" 6sti e ~r~~- L.~-r i ~ av~ , ------
2. De~tnbe the existiua 1 use or condition pf the site at the time of this
application i N o0 (~p ll ~ o+ f0 b e (',~ ~!'C G~ Tv ~'tg Z(~(:~~ . --
3. Property size (acres): ~ '--.-----__.__..-.
4. N-aarest body of ~~rater (stream/river/sound/ocean/L~ke): `.~_-~i_,~.-.
S. Describe the purpose o the proposed work:~~•~-~ rv'n St °r-1 --_----,---
_ ~ 5 re,
6. List the type ofequipzneut to be used tc construct the project~~~ c..~a~o ~~~c~C.
7. Amount of impact (includi~ all excavation, baclsf`iIl, aip rap, retaining walls,
etc.) below the normal pool lake level im square feet or acres: t'LS 1C 3 j = ~~1 ~
8. a..~ount of impact (including all clearing, back fill, excavation, rig, ~~1~,
retainng walls, etc.} above the normal pool lake lev I and 50 fzet land-ward in
square feet or aeres:_ !LS 7~ . SD = C~ZSD
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward t be impacted (number of trees for instance): ~~ _.---w~__ _
_ v - m Sr ~-ecs _
~~pl>licant/Agent's Signature a ~.------~-_.......~
(4gent's signat~s~e is valid only if an authaxi~ation letter from the applicant is ~~rovide:d.)
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!Pty aoauiraate~r ~ fie i~t~For~t a,~ ~ ~ta~a
~~?~a~ ~cte nsiane a i, Svs~r ~ ~ !~. ~ ~p~l ~~:
'~~ ; prepa~~dE e~1ki~Dfi1 +~~ ~o~ide ~1's~n~
,~~ ~ronetia~ ~ c~ ~Rp ~~ fill bu ~e played ~ba+~ 1 E l~ani9 ~ic~t~
.3~ l.ac~ticut~ oaf r"e~ yap ~ flt 1 +C~ ~~ Ali below #~ l~l t~~ ~~ra~n
~~ 't'ie iu~r o~ ae~~r~o~~,~ s ~s 'ups, re~unicr~
+~++~x ~a~c$, ems. - .
:a~ 'fie at~an of ara~ Sian oc ~adgir~ 6r~ae twit E~~~d
f~iar~.
Ei~ 'rf.~ ,cif ~r~tirt~~ ~ «:an~ot~. ~ -
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