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HomeMy WebLinkAbout20071452 Ver 1_Shoreline Stabilization_20070824 07-1452 The following is an abbreviated application form for those applying fora 401 Water Quality Certification to impact FERC (Federal Energy Regulatory Commission) regulated lhke 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 ° ~C~C~~~ILL~~~~;;, ~U) AUG 2 4 2007 as~;yasTC R~va~R rswwcH 1. Owner/Applicant Information Name: ~TAts TA-`i ~ fz- Mailing Address: `TAy ac.R'r3~r~%T !{~-C'S CAS l~;~s~ f~Pr~ CL~,a~-~ P~' , u~~1~ ~ruf~ ~~t,Ev-1 :rs~ 2.~ie~ Telephone Number: 3~1~ ''I(o~° bl~'Z.. Fax Number: ~w "11~ : ~, ca E-mail Address: I. Applicant Information 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. Location County: 1~N"~GU~'( Nearest Town: Ztc.t+l~~~ Subdivision name or site address (include phase/lot number): ~~~ i S" h~R-TLKZS G!-,~/~f ; Directions to site please include road numbers, landmarks, etc. (This is not t.lt~;N/4-1Zi21~ necessary if an adequate vicinity man is includedl: Po~N T~ 2. Describe the existing land use or condition of the site at the time of this application: CAN ~'~-~lE~ i~~© Lo'T~ iN ~xi ST~nS G f~S - 4>'~'N' r i -~rL ~1,1~U 6 V i t11, ~ (~ 3. Property size (acres): ) ~ G~ ~ ~~~ 4. Nearest body of water (stream/river/sound/ocean/lake): "31~D~1~ isf~{c.~ 5. Describe the purpose of the proposed work: T~ STl~esr~.- t~ kN ~XtSfir~G ~~+`~. 5t~r~--~E /~t~'D P~'-~i~t:T iT 'HLCi'-~l Fur~.°i"~HC-~2 E-za~i~N 6. List the type of equipment to be used to construct the project: 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: ~ ~ 3 ~ ~• F~T, b. Please describe vegetation above the normal pool lake level and 50 feet land- ward to be impacted (number of trees for instance): ~2~ ~-~ TES o~ Y~~E+~ ~i~ !W D (,z~N'ai't'1~1~ Wt~.L r3~ IzE-ro~%~vG~ ~r~ C~Pt.C~ '~Tttf% :~TIkP~~t.[Z-~Ttr~t~l 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 ORces and County Coverage Asheville Regulatory Ficld Office Alexander Cherokee Iredeil 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 Cabartus 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 Army Corps Of Engineers Alleghany Edgecombe Lte Stokes Yadkin 6508 Falls of the Neuse Road Ashe Franklin Nash Surry Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Granville Orange Wake Tclephone: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Office Beaufort Currituck Jones Pitt US Army Corps Of Engineers BeRie Dare Lenoir Tyrrell Post Office Box }000 Camden Gates Martin Washington Washington, NC 27889-1000 Carterct• Green Pamlico Wayne Telcphone: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975.1399 Craven Hyde Perquimans •Croatan National Forest Only Wilmington Regulatory Field OtI-ice Anson IIuplin Onslow US Army Corps Of Engineers Bladen Harnett Pander Post Office Box 1890 Brunswick Richmond Wilmington, NC 28402-1890 Carteret % Montgomery Robeson Telephone: (910) 251 X511 Columbus Sampson Fax: (910) 251-4025 Cumberland New Hanover Scotland US Fish and Wildlife Service /National Marine Fisheries Servi ce 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 Pivets Island Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516 Telephone: (919) 856-4520 Telephone: (828) 665-1195 Tclephone: (252) 728-5090 North Carolina State Age ncies Division of Water Quality Division of Water Quality State Historic Preservation Office 401 Wetlands Unit Wetlands Restoration Program Department Of Cultural Resources I6S0 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) 733-0763 Fax: (919) 733-6893 Fax: (919) 733-5321 Fax: (919) 715-2671 CAMA and NC Coastal Counties Division of Coastal Management Beaufort Chowan Hertford Pasquolank 1638 Mail Service Center Bertie Craven Hydc Pender Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans Telephone: (919) 733-2293 Camden Dare Onslow Tyrrell Fax: (919) 733-1495 Carteret Gates Pamlico Washington NCWRC and NC Trout Counties Western Piedmont Region Coordinator Alleghany Caldwell Watauga 3855 Idlewild Road Ashe Mitchell Wilkes Kernersville, NC 27284-9180 Avery Stokes Telephone: (336) 769-9453 Burke Surry 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 ~ j~ ~,v-, ~: ~2_ Sl+rn.~..~ ~ PRot'o~~ ~µo2~uts~ ~toPE r ~'~ :i ~ ? 7r ---- ~ f An-L~ O~ I rv~PA~'f.~..,.- ~._.~T µ ?` 'D'~ PTA ~ ~c.o Pt r..._. ___ ~. _____.,~ = -lF 'Fotz. TFt~S C~,t.Cu~aTio~„~ 1~N ~yERAGC ~~ oy~2~t~L ,W/~TL-2 _ DL~TN of _I~T~_~ ~~ ~ibuyti D, TN~f S t~tVV - 'PRoFav.c.~ f~ G~N~-R-v~T~v~ OV~~T )'VIA~~ o~ 'T~M~ I __..~..______..__,_~_-.__ ___ __.._ ..._ .. _ _-. _._~ .._..._- ._.___._.____ ___. _ ..._______._ . _.____ ..__..__~_~~.__.~j ~ .-_-_.__ `1 ;:r Tk'f~~' C~su ~~ti i ~: ~ j ry- p1+~T 1~.c-rte _~v..~__N_~! Ati Pav L ~ TL-~w- 8a -- -- C' i ~ ~ ~ ~ C1 ~ ~4T ~ ~ ~ k Q~-o _VE ~SO~+A'L ~bzfL ~(J~(Li ~ ! 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