20130810 Ver 1_Shoreline Stabilization_20130802

20 1 30 8 10
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 Pe nit GP30. This Application cannot be used
for wetland or stream impacts. Please provide seven pies of this application and supporting
information as well as a non - refundable application fee o the Division of Water Quality of $240.00
for impacts of 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
1650 Mail Service Center
Raleigh, NC 27699 -1650
I. Applicant Information
X1. Owner /Applicant Information ' . .
Name: A i e h.4 e, / XC h o lex.a �-
Mailing Address: 1620 d-424- ?A, !Q
,4sGra6 0 n� nl L 2-72-OS-
LAUIG -22013
NR - WATER UALITY
Telephone Number: 336 -4� k - "?p 1 S' Fax Number: -334, -
E -mail Address: , Sc /,,,a T W es dials a/. eve . v s. CsuyN_
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: O� e- f A
Company Affiliation: Arb id C C on+ iiCcr�:
Mailing Address: �f /05g i �1%I hni � ,� c &) e) /�C �te) V
Telephone Number: / q-43 b bi II Fax Number:
E -mail Address: Sato l d f 61 a'
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: MotutlJm Nearest Town: Ago 17- 6000 d- N C
Subdivision name or site address (include phase/lot number): kood 40'1 207-- /,30 /
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): z 18 b; d / e `s f /i o r n d c / -c..
IA) 01) J iuN sic-, L. ,D 7` /,30/
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): kti a ex c
4. Nearest body of water ( stream/river /sound/ocean/lake): C „4j%e, 7`-< //et v
Describe the purpose of the proposed work: K 0 e, IL S e4
.W 0 d c� S e,4 ky-4 / t -
P
6. List the type of equipment to be used to construct the project: _
G
Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: ? 6 D 74 k 3 F
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 land -ward in square feet or acres:
z
6D �t X 4� Ff
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): ees Cl A- C it�455 emu,
-7 - za -i.3
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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Montgomery County, NC - WebGIS
Active Identify Layer: Parcels
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http: / /aregis.webgis.net /nc /Montgomery/ 7/30/2013

4111 Boa
North Carolina Department of Cultural Resources
State Historic Preservation Office
Ramona 1I. Bartos, Admunstrator
Governor Pat McCrory
Secretary Susan Kluttz
July 19, 2013
Robert Gallagher
Boat Houses on Tillery
10579 Willow Oak Road
Norwood, NC 28128
Office of Archives and History
Deputy Secretary Kevin Cherry
Re: Michael and Virginia Schoolcraft, Soil Disturbance, 318 Fiddler's Ghost Circle, Mt. Gilead,
Montgomery County, ER 13 -1386
Dear Mr. Gallagher:
Thank you for your letter of July 9, 2013, concerning the above project.
We have conducted a review of the project and are aware of no historic resources which would be affected by
the project. Therefore, we have no comment on the project as proposed.
The above comments are made pursuant to Section 106 of the National Historic Preservation Act and the
Advisory Council on Historic Preservation's Regulations for Compliance with Section 106 codified at 36 CFR
Part 800.
Thank you for your cooperation and consideration. If you have questions concerning the above comment,
contact Renee Gledhill- Earley, environmental review coordinator, at 919- 807 -6579 or renee.gledhill-
earley(@ncdcL.gov. In all future communication concerning this project, please cite the above referenced
tracking number.
Sincerely,
�YRamona M. Bartos
Location 109 East Jones Street, Raleigh NC 27601 Mailing Address- 4617 Mail Service Center, Raleigh NC 27699 -4617 Telephone /Fax [phone] -6599