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HomeMy WebLinkAbout20140011 Ver 1_Application_201312201P 20140011 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 seven (7) copies of this application and supporting information as well as a non - refundable application fee to the Division of Water Quality of $340.00 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 F*7 tip r� Raleigh, NC 27699 -1650 M�7� 013 I. Applicant Information = N - WA Uzi r Branch 1. Owner /Applicant Information Name: VO 1 D fk ._U c'� Mailing Address: '20'4(a rp*ViDe0cr, RoaD C.ItI�Rto'tTE , NC 'Z8�.1( II. 2. Te lephone Number: E -mail Address: Fax Number: 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: Ll I Company Affiliation; /f Mailing Address: Telephone Number: Fax Number: E -mail Address: 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 , k 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: IftOTGomF M Nearest Town: tXW WOW Subdivision name or site address (include phase /lot number):_ Wr-11 , 50(tTIfPvJN& Directions to site please include road numbers, landmarks, etc. (This is not UWH/r(?ME Po WT necessary if an adequate vicinity map is included): G i.iW`{ Is 7o pow iAk at& (ss tom-; Qyni To of -,w N R-M IMTE cLues 6mr(LPtJGE SEE czae hTTuwii FOP Diik riw Tim mre ri io 2. Describe the existing land use or condition of the site at the time of this application: bCNEWPED LOT W SIOW.E: f*Mlt -( �UOD1VIStoIJ 3. Property size (acres): i - 12 !!cM 4. Nearest body of water ( stream/river /sound/ocean/lake): Lon 15 L81LE 5. Describe the purpose of the proposed work: 'To 5Tm3 t Lt IE NN E&DI 0 6 S Fbp-t: UNE Mtb MaTrI -t !T fftow RAWrIAL -X F,90AW 6. List the type of equipment to be used to construct the 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level in square feet or acres: 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: I(O La 50, FT, b. Please describe vegetation above the normal pool lake level and 50 feet land- ward to be impacted (number of trees for instance): (J uiikC"aS TO-CES oP YjW- lED 5t'EcIES , sing mi> Cot mop WILL 99 IMEAcTEP blfAE PRoPoSFD ST/r6tl.l�/kTle�S, J >� Applicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Alexander Cherokee Moll Mitchell Union US Army Corps of Engineers Avery Clay Jackson Polk Watauga 151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey Room 208 Burke Gaston Macon Rutherford Asheville, NC 28801 -5006 Cabarrus Graham Madison Stanley Telephone: (828) 271-4854 Caldwell Haywood McDowell Swain Fax: (828) 271-4858 Catawba Henderson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson US Array Corps Of Engineers Allegheny Edgecombo Lee Stokes Yadkin 6508 Falls of the Neuse Road A& Franklin Nash Surry Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Glanville Orange Wako Telephone: (919) 876.8441 Davidson Guilford Person Warren Fax: (919) 876 -5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Offlco Beaufort Cutrituck Jones Pitt US Army Corps Of Engineers Hertis Dare Lenoir Tyrrell Post Ofiieo Box 1000 Camden Gates Merlin Washington Washington, NC 27889 -1000 Carteret* Green Pamlico Wayne Telephone: (252) 975.1616 Chowan Hertford Pasquotank Fax: (252) 975.1399 Craven Hyde Perquimens 'Croaten National Forest Only .! Wilmington Regulatory Field OMce Anson Duplin Onslow US Army Corps Of Engineers Mellon Harnett Ponder pool effieleaem- Brunswick Richmond Wilmington, NC 984N41196 '*q03 Carteret Robeson Telephone: (910) 251.4511 Columbus (Eove�' Sampson Fax: (910) 251-4025 Cumberland Scotland 101 DAwt A Grco hvE US Fish and Wildlife Service/ National Marine Fisheries Service US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service Raleigh Field Office Asheville Field Office Habitat Conservation Division Post Office Box 33726 160 Zillicoa Street Pivers island Raleigh, NC 27636.3726 Asheville, NC 28801 Beaufort, NC 28516 Telephone: (919) 8564520 Telephono: (829) 665.1195 Telephone: (252) 728 -SO90 North Carolina State Agencies Division of Water Quality Division of Water Quality State Historic Preservation Otiico 401 Wetlands Unit Wetlands Restoration Program Department Of Cultural Resources 1650 Mail Service Center 1619 Mail Service Center 4617 Mail Service Center Raleigh, NC 27699 -1650 Raleigh, NC 27699.1619 Raleigh, NC 27699 -4617 Telephone: (919) 733 -1786 Telephone: (919) 733 -5208 Telephone: (919) 733 -4763 Fax: (919) 733.6893 Fax: (919) 733 -5321 Fax: (919) 715 -2671 CAMA and NC Coastal Counties Division of Coastal Management Beaufort Chowan Hertford Pasquotank 1638 Mail Service Center Bettie Craven Hydo Pender Raleigh, NC 27699.1638 Brunswick Currituck New Hanover Porquimans Telephone: (919) 733.2293 Camden Dare Onslow Tyrrell Fax: (919) 733 -1495 Carteret Gates Pamlico Washington NC%VRC and NC Trout Counties Western Piedmont Region Coordinator Allegheny Caldwell Watauga 38551dlewild Road Ashe Mitchell Wilkes Kemersville, NC 27284.9180 Avery Stokes Telephone: (336) 769.9453 Burke Sully Mountain Region Coordinator Buncombe Henderson Polk 20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford Waynesville, NC 28786 Clay Macon Swain Telephone: (828) 452.2546 Graham Madison Transylvania Fax: (828) 506.1754 Haywood McDowell Yancey 0 t i I _1 -. AL-20 SlAqws, TA.�- Ift No ROM, POOL . AND TIAS RnGA IOAF&—G-r A-12-eAc L&O NWWA-L F&OL (1'*M-I) ImPA-oT- Ctw&TiA'Y- eT-A Y- Sto PE' lip OtJlC-(L" (tJATrr---9- Lntwm-l—cp, 'Tql 5 (ulut, A Tt4c- W-IL (f-i CAL 104 r,7 -T, li IMPA-Cr CM-C"ATIpWS -5LAO�M-1 �tU� 'SHaWS 1'70 A_fblLt?-ATiaM wiTH R. i I _1 -. AL-20 SlAqws, TA.�- Ift No ROM, POOL . AND TIAS RnGA IOAF&—G-r A-12-eAc L&O NWWA-L F&OL (1'*M-I) ImPA-oT- Ctw&TiA'Y- eT-A Y- Sto PE' lip OtJlC-(L" (tJATrr---9- Lntwm-l—cp, 'Tql 5 (ulut, A Tt4c- iv�1'i+�c�i raw- r�l°_Ivoww�rc�- r�vt.. w__�ilv--w► �°a �. --- 1 _ C1��4T 0 Q,�1IZ_�ov_s~ ASo�w►M. �o� !�/.�!� _. 6L . $c)--.Lt Sty UNV —S PL A%6VV NWS 90_ -LV- �AWLC-Wt�S—. fir. A 15 AfW$- - -- $0 x Y- 7, _ yo x �Z .3 zo +- _4so - ---_ __ _-r'bTkL_� boV� �fwS i�oZO��-, �'i 0 v 9 J gg.�� ��g 8 it I 1116'111 All 341511 e 8 � 4 g Sri . let r i� l� 3 SolOUR vigil M, HIatAli] g9 ell f t\ 14 °o o° s° .o° o° 0 �yy�7 F /� r r r r r r i I i4J 0 , , , k� 6$ Sy QV�o ®ae9 saeca�le6� p fill pA A 7 HO I I 5�,00 j t4T" AP'PRox, gxa r0 E1z 3 tU� OC, �\ �\ 4' 4 VIKALL swiCr Tper To D of 1MABI Ll:tATroN 5CAU5- 1 I "%� U N I1N 0 N N d 1l 1/ N 0 s� 0 CL 4 S � . L VEGETATION AND EROSION CONTROL FABRIC EXISTING GRADE CLASS 2 RIP RAP 1� I 2 EROSION CONTROL FABRIC-------O"- LAKE 8OTTOM TYPICAL CONDITIONS • 36" TO 72" ERODED CUT WAVE EXPOSURE FOR: DAVID T. ALLEN LOCATION; SOUTHPOINT LOT 71, UWHARRIE POINT RESERVOIR: BADIN LAKE PROJECT: SHORELINE STABILIZATION PROGRAM PHASE I SITE EVALUATION YADKIN, INC. - BADIN, NORTH CAROLINA I DRAINING TITLE: DETAIL MODERATE RIP RAP STABILIZATION 1 3