Loading...
HomeMy WebLinkAbout20050949 Ver 1_Individual Application_200508081 APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT OMB APPROVAL NO. 07104)003 - (33 CF R 325J Expires December 31, 2004 The raspsaes. Applioddom ANDUld require 5 hours or less. This includes the timo for reviewing iratruedons, searching *Aoft data sources. aatlnerkmg and nreI oh lemg tits data needed, and cornmenits regarding this burden - ' or any ndw aspect of this colleational conwinting and reviewing the collection of inforrastion. inforntion inokrd m supgeedons for reducing this burden. Deperlnnnt of Osfarre, Washington Headquarters Service Dbsotarams kdannatien Operations and Reports. 1216 Jaffalaolm Davis Highway. Suits 1204. Arllngson. VA 22202-4302. and to the Office of 11 gNrmwtt and Budget, Paperwork Reduction Pro(sat (07104003). Washington, DC 20603. ReeponderRs should be aware that notwithstanding any other pi o uldoo of Nw. no parson shall be suf4m to any ponsky for big to comply with a collection of kmtorenedon If it does not display a currently bald OMB aontroi number. Phase DO NOT RETURN yaw fort to eider of those addreeses. Completed applications na,ec be strMnhittad to the District Engineer having jurisdiction aver the location of the proposed sadvity. PRIVACY ACT STATEMENT Audxwkies: Rivers and Harbors Act, Section 10, 33 USC 403, Chan Water Act. Section 404.33 USC 13". Marina Protection , Research and Sanctuaries Act, 33 USC 1413, Section 103. Principal Purpose. kdarmadon provided on this torn will be used in evaluating the application for a permIL 4butins-Uses: This h lot istioi mwy-be-shened Subn"on of requested information N voluntary. however. N i dormation is not provided the pemat application coarm be evalmned nor can a permit be issued. Ona set of original drawings or good reproducible coples which show the bastion and character of the proposed activity must be attached to this appicalon (sea sample dmwkga and kntruadona) and be subrrikled to the District Engineer having jmaiedlation over the to wlon of the proposed activity. An application that N not *am~ in hi will be returned. 1. APPLICATION NO. 2. FIELD OFFICE CODE 3. DATE RECEIVED 4. DATE APPLICATION COMPLETED 5. APPLICANT'S NAME To hr Stia ICfoss, Tr. a. Robin M, Li-H'lC, ?saoarq?i ' ?? •?-• 6. APPLICANT'S ADDRESS PaRR.Nt2S EQUITyGROVP PO Goy. IoTq _ -5MIT14PII= r NC- .275 77 9. AGENT'S ADDRESS 61-09 NEKJ )2E BE I, CoL)L 2T y0UAj6SVIL-- ,IUC / 7.. APPUCANT'S PHONE NOS. W/AREA CODE 10. AGENT'S PH NE NOS. WAR CO a. Residence q 19 -3 coq- Soq 1 b. Business Cl 19 _ 434 - 3 g $ a. Residence 919 - 554' q730 b. Business q I q - 41 y- 7( 4 5 ••?? STATEMENT OF 1 AUTHORIZATION I hereby authorize. Ir, c-- to act in my behalf as my agent in the processing of this application and to axnish, upon request, supplenytntal information in support of this permit application. APPLICANT'S SIGNATURE 12. PROJECT NAME OR TITLE /sw*wtuLWw*i A U G 8 2005 P#,kTNERs EQUITY G? ?Su(?DIVISIoI?S ( ?_O T S 1 '?; + 19 DENR-WATER QUALITY 13. NAME OF WATERBODY, IF KNOWN rdsA9k@ j 'RoIEC3t 9fIACLA/8LCffa10 CIr?? 15. LOCATION OF PROJECT 14. PROJECT STREET ADDRESS tH•ppro.arrl souTH &a,117y DRIVE a- (N DUSTR IKL_ II AP-k ROAD, Z. -o r1 NC. ( ?IMI-fHFIkt,I??IvC 1757 COUNTY STATE 16. OTHER LOCATION DESCRIPTIONS, IF KNOWN, (sw#v&ucoar / N &- -?- -rD - :-, Sf-j ?- o a 17. DIRECTIONS TO THE SITE , 1615 WO)r+-I, +D ExI gS,on US -10, fibW'; reds SoL1A +-ulr;n 2 ??+ ??-o I ?? ti l' oh-?o in d uS I,r i a I P? Irk Roy cl , ProP??Y Icl- -, ar 5aL<? Eclui??r?JE. ENG FORM 4345, jui 97 EDITION OF FES 94 IS OBSOLETE. IPtoponent-. CECW-OR) 10. NWIte of Activity (out rpJen d pgy?r, j a1,d? er t«nrer) t C(lnsk UG?_ eZ Vt rt!t &i C,.i z l S?-f Ud-Z,, tG-3 I. I P'*T L I yl 80 79 M-4x i pzer"Ov? S o l a> I acs . i ? ?, -v_d?" s r uc-f?-,rte 4- Pav& U 19. Project Purpose rt7r.oft ar i...on a ppo.. o/ the Pry. - :•e++G0b•+•i Prov i cps USE BLOCKS 20.22 1F DREDGED AND?oR Ftr? tueTER1AL 64 TO BE DISCHARGED 20. Reason(s) for Discharge ???? ? l? s??cab ?G i?c?w?ov a I P I?s4?G o1= 1 c I'ZI S a i C5( V? bcc A C2C)gs -:)-vJ bra d s u.? ?2 L- c 21. Type(s) of Mau" Beira Discharged and the Amount of Each Type in Cubic Yards C L C-1AA pv\t o x.. coo 0 0 cis. 22. Surface Area in Acres of Wetlands at Other Warms It q a?crc-? 23. Is Any Portion of the Work Already Complete? Yes No IF YES, DESCRIBE THE COMPLETED WORK 24. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (if more than can be entered here, pane attach a supplemental list). )z ?. Set-, A N Ac_- &J 25. List of Other Certifications or Approvals/Denials Received from other Federal, State or Local Agencies for Work Described in This Application. AGENC-v TYPE APPRMOAt • IDENTIFICATION NUMBER DATE APPLIED DATE APPROVED DATE DENIED U,SAC1;:7 NNf4 14 1gq#0056 r 7flvg4 TDVjQ WOC310-8 . G70C_S( °f/4 /ci7 USAGE Nto P a4 JCN70ac43 9/9/47 Std iti ITS L. APPt,(CA7I nV ?Z-OCAM iloN 'Wou`ld include but is not restricted to zoning, building and flood plain permits 26. Application is hereby made for a permit or permits to authorize the work described in this application. i certify that the information in this applcabon is complete and accurate. I further certify that 1 possess the authority to undertake the work described herein or am acting as the asuth ? d . of SIGNATURE OF APPLICANT DATE SIGNATURE OF AGENT D E cstion must be signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly authorized agent if the statement in block 11 has been filled out and signed. 18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department of agency of the United States knowingly and willfully falsifies, conceals, or town up any trick, scheme, or disguises a material fact or makes any fake, fictitious or fraudulent statements or representations or makes or uses any fake writing or document knowing some to contain any fake, fictitious or fraudulent statements or entry, shall be fined not more than S 10,000 or imprisoned not more then five years or both. ~ EDDIE N/F EDDIE HARRINGTGN PINE ACRES S/D r CP t ^r CH N N n r--- ~ 5.38 acres acres ¢ro 6,08 acre r~o 7ul ~ c ~ {1° ~ ~6 \ / ~ / ~ ~ ~y~ 0.73 acres f 0,90 acres 30 acres ts~ i 1,01 acre ,~2 ~ 6,02 acres _....1 k ~ f ~ , {N CP kA k~ 1 1~'~ 156 , 0,72 acres is i ~ O \ 5.14 acres 0.97 acres res l 8 acres Y 0,51 acres 1,07 acres , ~~v ' 1 •j 0,33 ac s q `fl • ` SUNSHINE GARDEN CENTER 0 yq9 ~ Iq~ 1l' ~ N/F _ r¢ ARLQN GUIN S 8,64 acres I 3.83 acres P } 3,83 acres ti es q 3.56 acres f t I 're a ! ~r~ ~ bP 1 ~ Y y P P E CP th0 tiB ~j47 ~ ~ f ~ j, S', i i SCALES 1° = 100' O ' O i O N m i~ u~ 100 SO 1 0 304 0 0 v r i ti L n a c 0 m 3 rs MLC DWG NUMBER DATES 03 AUG 99 SCALE ~ SEAL SEAL G ~w z ..,..._~..~s. . MCE PROJ, # a Awl PAP NU15 tWITY DRAWN HURIZUNTALt SHEET NUMBER a r DESIGNED v 'g ; r b o DETENTION BASIN DESIGN VERTICAL CL 5625 Dillard Dr, State 117, Bldg. I CHECKED p Phone; (919>233-8091, Fax. (919)233-8031 PROJ. MGR. NA Of co Cary, North Carolina 27511 r AA0002667 0 DRAINAGE PLAN STATUS REVISION Final Design i REV.NO. DESCRIPTIONS DATE, Released For Construction m VISIONS Internet Site., http://www.mckimcreedcon RE: m r f N/F EDDII EDDIE HARRINGTON PINE ACRES S/D ~y CP ' eye 152 E CH N m N / ` ~ 5.35 acres acres EfP ~ 6.08 acre L r~0 i i'" !49 A !5t C c` c y.~c +17 ~ - `c~1 OJ3 acres r,/ ' 0,90 acres i,90 acres rsr ` L 1,O1 acre ,2'" 6,02 acres _,...1.J \ H ~ l / CH i ,J~ l H ~rq ~a oq CP 1 ' 54 0,72 acres ' ~ ' I \ 5.14 acres 0,97 acres T Gres T 1 , B acres v ~ 0.51 acres 1.07 acres ~ ~ ~Sv 0,33 atl~'s Y Q"-- , _ Q--- SUNSHINE GARDEN L,ENTER O t 49 ~ e"' !~9 1G ~ N/F AR GN GUIN L r~ r a ----p , i 8.64 acres ~ 3.83 acres v ~ V 3.8 3 acres es ~ 4y ,w 3,56 acres l R '"a ie 9 o ,,a !.F_ f l r+ j ~ ~..J ~ p { ~ 1 CP ~ 7 ~ EC . ~4 b NR ~t~l .y~ ~ ~ 1 1 J i; ,Y SA~i~N~ii O O O N SCALES 1" = 10 0 a v a m a i is u~ v 1, ;i 100 .-a n 0 50 100 300 ti L a a c 0 i Q1 ~,1.~ SEAL SEAL z H DATES 03 AUG 99 NEC DIIG NUMBER SCALE ~ ~ ~ MCE PROJ. # O ar, t. .p MRUM&CREED DRAWN HORIZONTAL! SHEEt NUNBER cn DESIGNED 5625 Dittar v d Dr., S ante 117, Btdg, I DUENTION BASIN DESIGN CHECKED VERTICAL o Phone, (919)233-8091, Fax: (919)233-8031 m PROJ, MGR. NA Cary, North Carolina 27511 0 ~ AA0002667 OF C> REVAD. DESCRIPTIONS DATE. DRAINAGE PLAN SFinal Desi gn REVISION BE: VISI S Internet Site: http://www.mckimcreed.com For Construction N/F EDDIE ~ EDDIE HARRINGTDN PINE ACRES S/D ~M CP ,~~2 ~ ' 1`~2 ~ ECH ~~J / Y ~ n~ n 5,38 acres res ~ EfP 4 6,08 acre ~ i f 149 ~ ~ ~ Isl ~1 ~ tq? ?b wI \ 0.73 acres 1 0,90 acres rsr acres 1,01 acre ~ ,~~2 "rv ~ 6.02 acres r ~1~- , A CN CN• A ~ ~ V I • V ~CN ~ ~aq 1q~ ta0 aq 1 N 0.72 acres fa'1 • P 1 5.14 acres 0,97 acres s r . 8 acres a 0.51 acres 1,07 acres Q- ~ ~ ` ~ ~ 0,33 ~ ac s m Q-~--- . - 4 r SU NSHINE GARDEN (.ENi'ER ;v q9 ~ ~ v N/F N N , ARL~ GUI 8,64 acres N b ~ 3.83 acres 3.83 acres V ~ 1 qy ,~v 3.56 acres Y~ e ` 3 bq ~ ~'p 1 I P ~.J ~~rt t ~ (y 1 P E f.' lib ~ ~ 1 1 ' +rhy' t O SCALES ° _ ' 1 100 O O s x.. N m ' iti , t: y, w In 10 0 0 50 100 300 v r r, a a c 0 z m 3 n w ~ SEAL SEAL a DATE= 03 AUG 99 N6C DWG NUHBER z SCALE ~~..v~ . s..,~ . MCE PROJ. # o hIL:KIM & CM- Fj L) rA 1 I I WtM tUU1 F 1 DRAWN HORIZONTAL, ~t NUMBER i n 0 n Di= i tmION BASIN DESIGN DESIGNED VERTICAL, ° 5625 Dillard Dr., S aita 117, Bldg, I CHECKED Phone: (919)233-8091, Pax: (919)233-8031 PROJ. MGR. NA OF Cary, North Carolina 27511 o AA0002667 a EMIMGE PLAN STATUS REVISION Final Design i IREV.ND. DESCRIPTIONS DATE, CD VISI S Internet Site: http://www.mckimcreed.com Released For Construction m