20140179 Ver 1_Shoreline Stabilization_20140224

,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
1650 Mail Service Center 2 () 1 4 0 1 r" 0
Raleigh, NC 27699 -1650
I. Applicant Information
1. Owner /Applicant Information
Name: Sara Cerminara
Mailing Address: 162 Heathland La Mooresville, NC 28117
Telephone Number: - 4438036113 Fax Number:
E -mail Address: Sara.cerminara @yahoo.com
F
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.) I/
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E -mail Address:
Fax Number:
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: Iredell Nearest Town: _Mooresville
Subdivision name or site address (include phase /lot number): Point Neighborhood, Lot 81
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): 1 -77 to Exit 35, Follow Brawley School Road to Heathland Lane, Turn
Right and continue to end of road
2. Describe the existing land use or condition of the site at t}ie
with rip rap and tree
3. Property size (acres):
4. Nearest body of water ( stream /river /sound /ocean /lake):
Existing home

1,5 Describe the purpose of the proposed work _Extend rip rap approximately 80 feet and remove 2
diseased trees
6 List the type of equipment to be used to construct the project
barge,
7 Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc ) below the
normal pool lake level in square feet or acres Will impact 80 ft of shoreline
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
Two trees will be removed at the water edge as highlighted on the plat and in pictures_
8 b Please describe vegetation above the normal pool lake level and 50 feet landward to be
impacted (number of trees for instance) Two trees will be removed at the water edge as
highlighted on the plat and in pictures
4 g � 21611
"pplicant/Agent's Signature Date
(Agent's signature is valid only if an authorization
letter from the applicant is provided )

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
1650 Mail Service Center
Raleigh, NC 27699 -1650
I. Applicant Information
1 Owner /Applicant Information
Name Sara Cerminara
Mailing Address 162 Heathland La Mooresville, NC 28117
Telephone Number 443 803 6113 Fax Number
E -mail Address sara cerminara @yahoo 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 ax 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 Iredell Nearest Town _Mooresville
Subdivision name or site address (include phase /lot number) Point Neighborhood, Lot 81
Directions to site please include road numbers, landmarks, etc (This is not necessary if an adequate
vicinity map is included) 1 -77 to Exit 35, Follow Brawley School Road to Heathland Lane, Turn
Right and continue to end of road
2 Describe the existing
with rip rap and tree
3 Property size (acres)
land use or condition of the site at the time of this application Existing home
2 acres Approx.
4 Nearest body of water (stream /river /sound /ocean /lake) Lake Norman

0/17/2008 14:55 FAX
I
14001
D DON ALLEN & ASS OCIATES,P. A.
"Since 1971"
Cornmercial , Residential • Mortgage Surveys ' Multi — Family
Construction Staking ' Subdivision owsign • Topogrophicoi
(704) 664 -7029 (704) 664 -6041 Fax
I, certify that this map was drown under my supervision From an actual
survey made under my supervision recorded in deed book 1540 page_1488 and /or
plot book_ 39 poge_ 23 __, that the ratio of precision, id : -1 k0:000, that this mop
was prepared in accordance with the General Statutes of NortFi ••14' ' d -Chapter 89C
my hand and seal on the __i9Tf! day of MAY
L17 750' CM70UR
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<9 \ ��;\ \ LOT 810 \ \
2.01 AC.
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LOT 809
. ,,,, IA,,, \i 1 + TONY BLEWNS
DB. 1306, PC. 1103
ISTANCE
L1 N 3843 W 7.66
L2 N 67'20'06' w 24.27'
'1 N 2'56 .9 1
69Y ,0 L4 N 2429 04" W 11.97
I G' 1OSF1/ r L5 N 15.77'
20.00',Q Ot + Ls N 751704 w 14.14
PUBUC STORM L7 N 78'16'33' W 19.78'
DRAINACE QG EASEMENT N 7123 W 13.58'
�9 C� L N '1010 W 12.54
LOT 811 'a 1-10 N 48.43 w n.
01 T33'49 W 66.97
THE POINT OIPNEBS ASSOC. r L12 N w 21.04
BD. 1307, PC. 1288 7, ' L13 N 25*42 o w 48-91
L14 N 54-00'333"
4 W 9.0
Lt N 59 0 W 27.28'
. DUKE POKER TRANS. L1 N 1 '1 1 E 50.01
Y'l+ L17 N '4 4S E 1
E.I.P. r E-I&TWO IRON r(AUNO P Lis N 70384 E 4773
I.P.S. - #q REBAR SET 4 1.19 N 65'36'34 E 21.21'
R/W - RIWT -OF -WAY 9 s00, 0 N 79'0310 E 2
WfLL 0' 25' 50' 100' L21 N. 04 4 371
N 8926 E J7.81'
.
LP • IJOHT ►OLE N BO 13.3<
POE • PkWC STOW DRAINAGE EASEMENr SCALE IN FEET �S N 7 '43'23 E 22.23'
wows L26 -49 54.20
1) THIS PROPFJtTY MAY BE SUBJECT TD PHYSICAL SURVEY 63'45'1-9 E 44. 3'
ANY EAM61 NT AND /OR RIGHTS -Or -WAY L2B S T 7 2. 6'
ar RECORD. OF
2) AREA COMPUTED NY THE COORDINATE /162 NEATKAND DRIVE
ME1N00.
LOT 810 THE POINT, 810 THE POINT PHA,' MAP 1MAP 1
SCALE _) r — 50' DAVIDSON TWSP., IREDELL CO., N.C. FIELD Boo. 613
FILE 9757
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ACOUIRED BY: DR. JOSEPH PETERSEIL & TRUDY PETERSEIL FILE_
TAX MAP NOr 4025 -51 -0683

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