20141103 Ver 1_Shoreline Stabilization_20141020

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M &SANFORD 1326
136 RUTH
THOMASVIDR LLE, NC 27360 -6350 86-1 12/631
NCH
INS
COS3 10 112 1C30005 &98? 283 2411m0 13 26
0

Alcoa Power Generating Inc.
Yadkin Division
PO Box 576 2 (1 j 4 0 3
ALCOA Badin, NC 28009 -0576 USA
Application for Activity Permit br Reservoir and Shoreline Alteration
(Excavation, Dredge, and Fill)
Print or type all information below and return to APGI, Yadkin Division, P.O. Box 576, Highway 740, Badin, N.C. 28009
SECTION ONE — BACKGROUND INFORMATION (to be completed by the applicant)
1. Full Name (adjoining property o r): �1 ` J fiTnr ~ k n%.
2. Permanent Mailing Address: i ' 0- 77/7ab
J�� �rio!`1Z
3. Local Address (if different): r T � C� �;� I tnr � FF `
4. Telephone (Business) 1 ?� ��L1tF (Permanent): �% fL' - (Local): J`
5. Fax No. and - ail (op ' 1):
6. ReservOlr: ' ^� r 7. Township: U 1"O�� 8. County: ',�,t irTssl`.r
9. Subdivision: U f ! t�� _ _ 10. Section: x� r [�
11. Lot Na:,? r — 12. Tax Map No.: 7
13. Dfr d8ris prgperty (� ecessar use the enclosed drawing sheet to provide us a map to the site):
14. Is the shoreline along the property described above designated as a "High Cultural Probability Zone" in Yadkin's Shoreline
Management Plan (leave blank if you do not know): ❑ Yes ❑ No
SECTION TWO - -INFORMATION FOR RESERVOIR AND SHORELINE ALTERATION (attach the following to the application)
1. Map of the reservoir area where the excavation is proposed - applicant must attach a map of the area of the reservoir and adjoining
shoreline property owned by the applicant where excavation is proposed. The map must clearly exhibit the area of the proposed
excavation and to what depth (contour elevation) the excavation is proposed.
2. Description of the planned excavation - applicant must attach a written description of the planned excavation including an estimate
of the reservoir bottom to be modified and the amount of material to be removed from the reservoir.
3. Plan for disposal of excavated material - applicant must attach a written description of their plans for disposing of the excavated
sediment. No sediment may be disposed of within the FERC project boundary (655 foot contour APGI Yadkin Datum), or on property
owned or managed by Yadkin or Alcoa.
4. Resource impacts assessment - applicant must attach a brief written description of the potential impacts of the proposed excavation
activity on surrounding reservoir resources, including impacts to water quality and fish habitat. If there is any vegetation growing in
or around the area of proposed excavation, it should be noted and the areas of vegetation should be photographed, and photos
included with application.
5. Schedule for conducting the proposed excavation - applicant must attach a written schedule for completing the proposed excavation.
6. Agency Approvals - applicant must a'fach copies of written concurrence with the proposed excavation from the following agencies
(refer to Instructions for Application for Activity Permit for Reservoir and Shoreline Excavation):
U.S. Army Corps of Engineers
North Carolina Division of Water Quality
North Carolina Department of Cultural Resources (required in "High Cultural Probability Zones ")
7. Non - refundable permitting fee - applicant must include a check or money order made payable to APGI, Yadkin Division in the amount
of $100.00
SECTION THREE (to be completed by the applicant)
I
I hereby apply for a permit to perform the above - described shoreline alteration at High Rock Reservoir. I agree to abide by all applicable
requirements of Yadkin's Shoreline Management Plan, the conditions of the Activity Permit for Reservoir and Shoreline Alteration
(Excavation, Dredge, and Fill) and other Yadkin procedures and requirements. 1 also agree that no work will begin until I receive an
Activity P rmit signed by Yadkin.
Applicant's Signatur r .- Date
Page I of 2
White Copy - Yadkin Canary Copy - Applicant Pink Copy - Other

ALCOA
Re: Application for Excavation Instructions and Agency Approvals
Dear Applicant,
Mcoa Power Generating Inc.
Yadkin Division
293 NC 740 Hwy
PO Box 576
Badin, NC 28009 -0576 USA
You Will find enclosed APO's application for excavation. Please complete^tne application and return to
APGI with $100 application processing fee. To obtain the necessary agency approvals from the USACOE
and the NC Division of Water Quality, you will need to send a copy of your completed APGI application
along with the following items which are listed in Section Two of the application.
• Map of site to be excavated L4
• Square footage of area,to be excavated ,
• Estimated cubic yards of material tWbe excavated from l ser reservoir
oir
• Method, of excavation, (no bulldozers are permitted) tack '
• Explanation of disposal method of excavated material d
79
Note. The agency addresse&on the of the APGI application have changed. You will use the
following addresses depending on, the county intwhich the, property isaocated.
Davidson County USACOE
Raleigh,Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forrest, NC 27587
Rowan County USACOE
Asheville RegulatoryField Office
151 Patton,Avenue, Room 208
Asheville, NC,28801 -5006
NCDWQ
Sue Homewood
585 Waughtown Street
Winston - Salem, NC 27107
NCDWQ
Alan Johnson
610 East Center Ave,=Suite 301
Mooresville, ,NC 28115
I can,be reached at 704 - 422 =5525 or'karen.baidwin@glcoa com should you have,questions.
Sincerely,
Karen C. Baldwin
Natural Resource Specialist

bllorving fie an abbreviated aPPlkadoa hm filar moose
for,* .. f yo W te i t nRC (Fdea
beam under pro U.S. Army Corps of � lake ahhore or
for wellnnd or drem �, p cannot be axed
for o°" taikao tp�t� of v � o€
equal to 1 acre. "I a aad 4®6 for impacts to IBM bottom of gmier or
Applicatbw eltoald be sent to:
1"0 .iii Service Center Service
L ApplkaW hdMagtion
l . OwnedApplicamt Inlamation
Nam &'
Mailing Addrma• .
Number
E-mail Address:
a.
OCT 2 U 2014 i )
Agent Rfmwion (A signed and dated copy of the A
If the Agent has signalo�y svwty for the owner/appliiccatntt ?���� �°r moat be attached
Name:
any Affiliation:
Mailing Address:
Tdephone Number: Pax Number.
E-mail Addmss;
IL PIVJed Infonvatleu
Attach a v±dnity asap clarly showing the location of the
as towns, rivets, and nsads, A>m PWPWy with n3spoo to local landmarks such
cip"development plans in ne da. A to vide a detailed WW plop showing property boundaries and
sketch of yon surmanding P W tWL You may use the diagram below to make a
�°'�. ADO• � the example below for guidance. Both the vicinity map and site
Plan meal include a Flo � �� arrow. The footprints of all buildings, impervious aurfaoea. or other
facilities must be included.
0?1/

1. Location Co T TOY) Grove_
County: 1- Nearest Town:
Subdivision, name or site address (includePhase/lot number):
Directions to site please include road numbers, landmarks, etc. (This is not necessary if-an adequate
vicinity map is included): .Spp rn� ,
Z. Describe the existing land use or conditiowof the site at the timVof this application:
3. Property s17.e (acres): U /7,!`1C 76w n L, "A ,, , /_ , H - _/ � _ ° /1 / - _ J. J
4. Nearest body of water (streWriver /sound/oceaMake):
5. Describe theVurpose,of1the proposed work:
A
0 _
6. List the type of equipment to be use to construct the project: ro - c
K - d P J ect: LU2
r "&s , -Amount,of impact (including All excavation, backfill, ri ra
_ p p, retaining walls „etc.) below the
W, . 40, ^ normal pool lake' level in square feet or acres: C _s /{ © _/
8.0. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
above•tha normal pool lake level and 50 feet land -ward in square feet or acres:
” o
8.6. Please describe vegetation, above the normal pool lake level, and 50 feet landward to be impacted
_ (number of trees for instance )-
IM,
Applicant/Aggnt's Sig urc -
(Agent's signature is valid only if an authorization letter from'the Applicant is provided.)
reb ek
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Daviason Uo., NU -- Printable Map
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Plmid: 6721 -04-73 -7540
Deed Book: 552 Pg: 332
Owner.
SANFORD bOIVAj.b PAGE & BETTY
Deed-Date: 12/2911899
Account Number:- 000006880900
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Township: CottomGrove -
136 RUTH DR
Exempt Code:
THOMASVILL.E NC 27360.6352
Building Value: s0
Property Address:
Other Building Value: $3.480
1861 WARF RD
Land "_Value: - � a� S� d
Additional Information :
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Market Value: - $63 88- - - --
P-9-21 BB L25A
Assessed Value: 46SA8 --
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Deferred Value:
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DISCLAIMER: The information contained on this page is NOT to be construed or used as a "legal description ". ,Mar
informationPisibelieved to be�accurate but accuracy is not guaranteed.
hUpJJwww.webgis:net Anderson & Assodatm Inc. htlP1ANwwAnda9soc.com,
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Davidson County Map Output Page
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• -` - Davidsm County CIS
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Parcel Number :
06024BOOB0026A
Land Units:
0.4 AC
Pin Id :
6721 -04 -73 -7540
Deed Book:
A237 Pg: A237
SANFORD BETTY SMITH
;'S ner :
136 RUTH DR
Deed Date:
12/31/2013
THOMASVILLE NC 27360 -6350
Property Address:
1861 WARF RD
Account Number:
9209843
Township:
06
Exempt Code:
Building Value:
$6,300 Other Building Value:
$21,280
Land Value:
$75,000 Market Value:
$102,580