20130726 Ver 1_Application_20130715

20130726
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 p @ D
1650 Mail Service Center - --
Raleigh, NC 27699 -1650
1 5 2013
I. Applicant Information
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JUL LNR - 11MA
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1. Owner /Applicant Information
Name: ria/'l"
Mailing Address: /Z a y 5`I'
Telephone Number: Toy 663— 7avk Q Fax Number:
E -mail Address:
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: ( "De. 'I tv
Company Affiliation: l " � a
Mailing Address: xsy �`1��rl&. Xyti rs.•4c
Telephone Number: 701 1063 - 3lf7V- Fax Number: 7d'! - `63 - -im
E -mail Address: ZoJet -w @ /'ec.�sal� Cim.NDe.Iy.Gd.yl
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: 01644 a, Nearest Town: "b<,AdGr'
Subdivision name or site address (include phase/lot number): 4.t; " Y7
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): 5,ee 4te40L A&g
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): O, 7I A lt,$
4. Nearest body of water ( stream / river /sound/ocean/lake): 44e, No6 ?Mgl
5. Describe the purpose of the proposed work: RtDl"G 14& BJc s�•xc rr��`
�t%W% // deaf 5 4.. /IVIt u/A a «a✓ +.AOW/ QP�er/w /�
6. List the type of equipment to be used to construct the project: 4 5*2 -fts.- /MA",
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: lori0X L f� Ltt sr oDae�
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 landward in square feet r acres: n
blow
AA6W14(.A 00 "a ISe4AVAII.
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): ,GS dfi 9 & irH�c >✓��, de- .tom
r5 Cw&,a14 4 nisi sm ob 1!4o4y
Im
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

EXISTING
1�
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LAKE NORMAN
NEW 106' LONG WOODEN SEAWALL
REPLACING THE EXISTING WOODEN
SEAWALL
S 89013'E 99.63'
LOT #47
7108 LYNBROOK CREEK ROAD
REF: SURVEY BY FRED KILLIAN
DATED: OCTOBER 15, 1975
SCALE
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IN
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E 181
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Barbra Millner
Lake Norman
North Carolina
Proposed
Seawall
Plans
for
Permitting
INITIAL ISSUE
13 -152
SHEET 1 OF 2
owc No-
0

20X6" WOOD CAP
WOODEN PILING
20X6" WOOD HORIZONTAL RAIL
SCOUR PROTECTION
CLASS B RIP RAP
TYPICAL CROSS SECTION OF
THE WOODEN SEAWALL
WOOD HORIZONTAL RAILS
21x6" V- GROOVE
SHEET PILES
PILING EMBEDDED
IN SOLID CLAY
FABRIC
Ne
o
o
v -0
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1 VI.
3 0
E
awm sox WE
Barbra Millner
Lake Norman
North Carolina
Proposed
Seawall
Plans
for
Permitting
INITIAL ISSUE
13 -152
SHEET 2 OF 2

7108 Lynbrook Creek Rd, Denver, NC 28037 Directions, Location and Map I MapQuest
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