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
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y P P E
CP th0
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MLC DWG NUMBER DATES 03 AUG 99 SCALE
~ SEAL SEAL G ~w z
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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
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ie 9
o ,,a
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f
l r+ j
~ ~..J ~ p { ~ 1 CP ~ 7 ~ EC
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.-a n 0 50 100 300
ti L
a a
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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