20071106 Ver 1_Application_20070622

1
June 21, 2007
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Re: 401 Water Quality Certification
To Whom It May Concern:
07.1106
PAYMENT
RECEIVED
Attached are seven (7) copies of the abbreviated application form fora 401 Water Quality
Certification to impact FERC regulated lake shore or bottom. This application is being
submitted subsequent to a recently issued permit (SAW-2007-1832-384) from the Army Corp of
Engineers permitting the excavation of approximately 89 cubic yards of accumulated sediment
from 1,200 square feet of open water on Lake Tillery for the purpose of a boat dock.
Please let me know if you need anything further.
Sincerely,
Steve McAllister
H: [phone]
M: [phone]
W: [phone]
Encl: 7 copies of application and attachments
$200 check
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JUN 2 1 2007
r)ENCt - YNtif cit'~ivf\LITY
1M~TWdD3 Ar'~D STOR-~11~!ATER BRANCH

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The following is an abbreviated application form for those applying fora 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 seven (7) copies of this application and supporting information as well as a
non-refundable application fee to the Division of Water Quality of $200.00 for
impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
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JUN 2 2 2001
I. Applicant Information
1. Owner/Applicant Information
{)~rlk • vVATER gUALITY
VM~TLAND3 AND STQRl~1MATER BRANCH
Name: Steve McAllister
Mailing Address: 4912 Biltmore Forest Drive
Matthews, NC 28105
Telephone Number: [phone] Fax Number:
E-mail Address: mcallisterst(a~aol.com
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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 surfaces, or other facilities must be included.
1. Location
County: Stanly Nearest Town: Norwood
Subdivision name or site address (include phase/lot number): Tillery Beach /Lot #184
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included): Please see the attached vicinity map.
2. Describe the existing land use or condition of the site at the time of this
application: This is a residential lot on Lake Tillery where the prior pier was recently removed
Accumulated sediment exists in the water making it difficult for boat navigation
3. Property size (acres): Approximately 1/10th of an acre.
4. Nearest body of water (stream/river/sound/ocean/lake): Lake Tillery
5. Describe the purpose of the proposed work: To excavate approximately 89 cubic yards of
accumulated sediment from 1,200 square feet of open water on Lake Tillery for the purpose
of a boat dock.
6. List the type of equipment to be used to construct the project: A trackhoe will be used from
the shoreline to remove the sediment.
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: Approximately 89 cubic yards
of sediment will be removed from 1 200 square feet below the normal pool lake level
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: N/A -There is an existing block seawall.
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): No vegetation above the normal pool
lake level and 50 feet landward will be impacted.

Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

Directions from Albemarle, NC to 528 Lake Head Road, Norwood, NC
1. From Albemarle, NC take US-52 South approximately 10.0 miles to Norwood, NC
2. At second traffic light in Norwood, NC, take a left onto NC-1740 (Pee Dee Ave)
3. Stay on NC-1740 for approximately 0.8 miles then turn right onto Lehew-Parker Rd.
4. Once on Lehew-Parker Rd., take first right onto Berry Hill Drive.
5. Stay on Berry Hill Drive approximately 0.4 miles then bear right onto Lake Head Rd.
6. Stay on Lake Head Rd. approximately 0.6 miles to 528 Lake Head Rd.

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Lar~atic~n t~f rip rap c-r fill to be ple.ced above tM~ Full Pond elevation
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vralls~ docks, etc.
~ ~h~ 9ocatian of a~~, excavation or dredging be~o~+v the Full I~oi~d
elevation.
~~ L~a~ation ~f cor~stt`uctian access +~oirrfdors.

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Albemarle, North Carolina, United States

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Copyright©and (P) 1988-2006 Microsoft Corporation and/or its suppliers. All rights reserved. http://www.microsoft.com/mappoint/
Portions ©1990-2005 InstallShield Software Corporation. All rights reserved. Certain mapping and direction data ©2005 NAVTEO. All rights reserved. The Data for areas of Canada includes information taken with permission from Canadian authorities,
including: ©Her Majesty the Queen in Right of Canada, ©Queen's Printer for Ontario. NAVTEQ and NAVTEO ON BOARD are trademarks of NAVTEQ. ©2005 Tele Atlas North America, Inc. All rights reserved. Tele Atlas and Tele Atlas North America are
trademarks of Tele Atlas, Inc.
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Copyright ©and (P) 1988-2006 Microsoft Corporation and/or its suppliers. All rights reserved. http://www.microsoft.com/mappoint/ -"''
Portions ©1990-2005 InstallShield Software Corporation. All rights reserved. Certain mapping and direction data ©2005 NAVTEO. All rights reserved. The Data (or areas of Canada includes information taken with permission from Canadian authorities,
including: ©Her Majesty the Queen in Right of Canada, ©Queen's Printer for Ontario. NAVTEO and NAVTEO ON BOARD are trademarks of NAVTEQ. ©2005 Tele Atlas North Amedca, Inc. All rights reserved. Tele Atlas and Tele Atlas North America are
trademarks of Tele Atlas, Inc.
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