HomeMy WebLinkAbout20071643 Ver 1_Shoreline Stabilization_20070927~ r 0 „ ~I t ~,~ ~~
FRED BAIRD BLACKLEY, ASLA ~~.' ..:~
LANDSCAPE ARCHITECT
p 7- 1 6 4 3 SHELBY,ONORTH CAROL NAE28150 SEP 2 7 [U07
(~oa~ aaa-i~si DENR-WATER QUALITY
1NE7LANOd ANO STOR4pNAT~R BRANCH
T ransm i tta 1 PAYMENT
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To:
Remarks:
Description
Attn~
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Project No: - ~'
Date:
Copy To:
Via: US MAIL AIRBORNE_i PICK UP UPS
ey:
FAX HAND DELIVER OTHER
For: APPROVAL INFORMATION RECORD REQUEST REVIEW COMMENT USE
~ 7- 1 6 4 3
The following is an abbreviated application form for those applying fora 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 seven (7) copies of this application and supporting information as well as a
non-refundable application fee to the Division of Water Quality of ~2D8:88''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
I. Applicant Information
1. Owner/Applicant Information
Name: Ra.~~G1~ F . Be ~-,
Mailing Address: ~ 4C7 ~ _ • 1~
Telephone Number:
E-mail Address: '
D 15~J15U V l~ !~i
SEP 2 7 2001
OEhI -WATER QUALITY
YVETLAN~AN~ STORAANAT6R BRANCH
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.)
Company Affiliation:
Mailing Address:
.~~-~
Telephone Number: Fax Number:
E-mail Address:
II. Project Information,
Attach a vicinit ap clearly showing the location of the property with respect to
loc marks 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: _ Nearest Town:
Subdivision name or site ad ss (include phase/lot number): vwu~
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included):
2. Describe the existing land use or condition of e ite at the time f this
application: t
L, ea J
W
3. Property size (acres): • ~~ q aC%
4. Nearest body of water (stream/river/sound/ocean/lake): it/1~f3'~S ~.~-
5. Describe t e purpose of the proposed work:
e
6. List the type ofieq~prpent to be used tor.
C,~,v~
the project: r'V1/~~ ~t(~-'
7. Amount of impact (including all excavation, backfill, rip rap, retainin walls, ~ ~
etc.) below the normal pool lake level in square feet or acres: ~ Z ~ ~ K
~ 1 ~ sir
8. a. Amount of impact (including all cle~ri~, back fill, excavation, rip rap,
retaining walls, etc.) above the normal po~ lake level and 50 feet land-ward in
~ ~c~QC~j square feet or acre : r-I`ll~® 2~ ~ ~ 2r ~- ~e~~ah~
b. Please describ vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): j-, ~ ~
~ ~r
..
Applicant/Age 's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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