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Home My WebLink About20150018 Ver 1_Application_201501062 0 1 5 0 0 1 8 fhe following is an abbreviated application form for those applying for, it �101,�'1'4{alt�r` utrlitl, boat' ificunde ti, impact FERC (Federal Energy Regulatory Commission'r�gulated lake shore or bottom under the U.S. Army Corps of Engineers Permit GP30. This Application cannot be used for wetland or stream impacts. Plcstsctpri >i �f l `(5 j inY for riiiutir`inyits. T well c1t,{ut;itChSt , t1C)tfFhiissi'ua�ipulf i c11tai tei�r ii niusuxnuit- r suiporlig el'undi +Me,,Applicslil I�i" L Urrllt'.',l)t r Yeti` tyacts_acre. 'tciralHkc liol equal to 1 Floui i►f Ii�SSathiin4'] acre and x,570.00 fur impacts to take bottom of grea ter (lort, al Applications should be sent to: ^i�ion,ul' 1'L sstGr Qusslily 401 Oytl, sighl /Exp►esti'Itevit�lv'i'ermiltin ECEIVE D 1650 �luil Scr'vire ('ente l; r A i W11'eigh, NC 27609,4 650 I• Applicant Information STORkiWATER OEWLANo (IU�Atlly l . Owner/Applicant Information Miciletel Name: Wo n e'5L1 Mailing Address: __I �d rr i Cr L2Xl'n�� N G 27 2GT S. Telephone Number: Z ®�74%t_Flllk a�Number: (33 E -mail Address: rr•t t • 0 GODPo'� 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 snap 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 protect. Also, see the example below for guidance Both the vicinity map and site plan must include a scale and north arrow The footpirnts of all buildings, impervious surfaces, or other facilities must be included. 1 Location County: J!� Nearest Town. - -L� I �6✓i Subdivision name or site address (include phase /lot nuinber): P. Directions to site please include road nuumbers, Ian narksr etc, (This is not necessary if an ade uate vicinity map is included): (Man M; ;, oJ) a.. �.. SC C_. W_ aL A _. —1- 0M fN rig life �� f � i� - - .� i ll 4Vrn . 65e. nvnMxr5 etr v;5, W. Describe he existing land user condition of the site at the time of this application C �re —�r PP 3. Property size (acres): . CO GLGre,$ ___ 4. Nearest body of water (stream /river /sound /oke) 5. Describe the.purposc of the proposed work; cean /la('_ rP�, o _ se . �r 4,!n, l out (d V _'o Ms unc d. List the type of equipment to be used to construct the project: EKCO( 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc) bell( �w it e 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 teet or acres: he 8 b Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted (numbei of trees for instance) 6hC Applicant/Agent `s , ignaturc Date (Agent's signature is valid only it an authorisation letter from the applicant is provided) Alcoa Power Generating nc. Yadkin Division 9 "iQ{�1 ' :�((�kRe, I Sf �✓r.��°' l�p PO Box 576 �^ a naru see�T! ALC ®A Bailin, NC 28009 -0576 USA L�.(p b/o' Application for Activity Permit for Reservoir an oreline 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 a 1 Full Name (adjoining property owner) ^N "A 2 Permanent Mailing Address 3 Local Address (if differen u 4 Telephone (Business) �. Z �Peri •ah� 5 Fax No and E -mail (o tional) � 6 Reservoir r 406A 7 ownship 6.V W(Q! i'S[ie. 8 County T)NWIIASe0% 9 Subdivision 10 Section 11 Lot No 156li 12 Tax Map No 13 Directions to property (f necessary, use the enclosed drawing sheet to provide us a map to the site) Able-Aed Hwy Y 5o to AVE. Kon LePf 75- �e AVE I< f) 9v erid avid bra BA wr oi, your kff (!rnr 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 t4 nen,rmf (Local)' :'ACAS 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 maybe 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 attach 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 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 I also agree that no work will begin until I receive an Activity Permit signed by Yadkin 004 171__I� Applicant's Signature Date Page 1 of 2 White Copy - Yadkin Canary Copy - Applicant Pink Copy - Other Michael Tesh 336 - 240 -5416 126 Sara Beth Drive Lexington NC 27292 Application for Activity Permit for Reservoir and Shoreline Alteration Section TWO Map of Reservoir area where the excavation is proposed 1 See attached map Description of Planned Excavation 2 Proposed removal of secondary shoreline created by sediment buildup Excavation would be done by using a track loader, excavator, and dump truck All digging will be done when the water is down and in the dry. The area of removal constitutes approximately 4500 square feet and 7500 cubic feet Disposal of Excavated Material 3 Sediment removed will be hauled away using a dump truck from the proposed reservoir excavation site to an offsite location not owned or managed by Yadkin or Alcoa Resource Impacts Assessment 4 Excavation will restore original shoreline by removing sediment that has built up over time The removal of debris and buildup will improve water depth and quality Removal of secondary shoreline will allow for drainage and eliminate trapping of water (behind secondary shoreline) Removal of trash and debris mixed in with the sediment will have a positive impact on the water quality and fish habitat Excavation, done in the dry while the water is down, will be done in a manner as to not disturb adjacent vegetation The bank will not be rough cut and no rip rap or retaining wall will be necessary to reestablish original boundaries Schedule for Conducting Proposed Excavation 5 Excavation and removal of aforesaid area will take 2 days The work will commence as soon as the water is low enough to allow for appropriate dredging and contour for drainage Completion will be based on accessibility and water depth as soon as possible or within one year, water depth permitting Davidson County Map Output Pa e Pagel of 2 56C:61 TKV : I -Lkq a y eser�oir kwe^ cjktr— -e ��C'aIGU io-� � S �► 1 It fZ� (JA t tkAe R . _.tiuw_ t _. _ ou .t Parcel Number : 0603300000136 Land Units: Pin Id: 66'9 -02 -99 -3010 Deed Book: TESH MICHAEL WAYNE ®wnE< : TESH HELEN MARIA 910 BERRIER RD Deed Date, LEXINGTON NC 2729 Prope€ , Address: 126 SARA -BETH DR Account Number: Township: 06 Exempt Code: Building Value- Si 17.040 :7ther Building Value: {.67 _ 15'� Pa: '2' 5,546 r�f t s ' AaeA http: / /webgis.co. davidson. nc. us / website /DavidsonGIS /printpage.aspx 12/29/2014 126 Sara Beth Dr, Lexington, NC 27292 Directions, Location and Map I MapQuest C; Notes mapquest Map of: 126 Sara Beth Dr Lexington, INC 27292 -6871 �fO OA �6 �n / C q s +ckt �wy S sat)+k X2.5 Cr t d 2000ft D mapquest 1500m r; fi Jl RL: Icirkman Rd 1 F r.iri+ F' MOM K Avenue L Page 1 of 1 ay C'N'A 6 C } i, vJ ®2014 MapQuest - Portions Q2014 TomTom I Terms I Privacy 02014 MapQuest. Inc. Use of directions and maps is subject to the MapQuest Terms of Use. We make no guarantee of the accuracy of their content, road conditions or route usability. You assume all risk of use http: / /www.mapquest.com /print ?a = app. core. b4a9a29b54c2a9fb76c6c28d 12/29/2014 Davidson County Map Output Page http: / /webgis. co.davidson.nc. us/ website /DavidsonGIS /printpage.asi of 2 12/29/2014 10:24 AP Davidson County Map Output Page Page 1 of 3 RECEIVED JAN 0 5 20IJ �5 aVICISOI� 'r ti Parcel Number: 0603300000136 Land Units: 0.67 AC Pin Id: 6629 -02 -99 -3010 Deed Book: 2165 Pg:0870 TESH MICHAEL WAYNE Owner: 17 Deed Date: 12! % TESH HELEN MARIA 2014 910 BERRIER RD LEXINGTON NC 27295 Property Address: 126 SARA -BETH DR Account Number: 9215546 Township: 06 Exempt Code: Building Value- S 117.0-11? Other Building Value: 53470 cireatArcadelfits ';dverti http: / /webgis. co. davidson.nc. us /website /DavidsonGI S /printpage. aspx A 12/29/2014 VICINITY MAP (N.T.S.) 19 w o SITE is AVENUE K" m r. N QO JEFFREY LEE WELCH DB 1808 PG 1252 Sv 6 0 o� 2 #5 REBAR FOUND LOU S '0 00 00'. 209 97, (? 9.09 40 (P6 0'37 e 0.675 AC. DB 2141 PG 967 (INCLUDING POSSIBLE DEED LAP) - I, J. TODD EVERHART CERTIFY THAT THIS MAP WAS DRAWN FROM AN ACTUAL SURVEY MADE UNDER MY SUPERVISION, THE RATIO OF PRECISION AS CALCULATED IS 1/10,000 +. I HEREBY AFFIX MY HAND AND SEAL THIS 1 st DAY OF DECEMBER , 2014. 1 "JIM WEAVER" PB 38 PG 83 0 POSSIBLE DEED LAP Og 2�4r (327 SO' FT.) P 1 38 -* G 9s�� I �j FOUND REBAR FOUND O 28, DO• (3.2' IRON TO IRON) IF— X 2" TALL IRON PIPE FOUND I REG17kATION NO. L -3558 NC ``\��rrllrrrr►i,� SEAL - L -3558 SURN�o��• %o ............ rrrrrrlsL +�� X Ln ' \ \ FOUND REBAR B�DG X tJ� �t3` \ 34.5' O tN �— �- 0• PIER 1 � STY a WOOD FRAME os, HIGH ROCK LAKE ° ` �2) • #5 RESAR -CALL ALONG LAKE IS FOR CLOSURE ONLY. \ 2,; 34.6' FOUND ACTUAL PROPERTY LINE FOLLOWS THE 655' CONTOUR. \ \ (PER YADKIN, INC. DATUM). � � / ;,� WOOD •m. � .�• � DECK 9�j t METER #5 RE A,) FOUND R 6`j 09 30' R/W & EASEMENT (A.K.A. SARA -BETH DRIVE) b PER DB 2141 PG 967 (P /O DB 1808 PG 1252) /`� FOUND R /off / M4 REBAR e4v FOUND LEGEND / ..4 O IRON PIN FOUND / p E/P EDGE OF PAVEMENT / my Jr POWER POLE —E— OVERHEAD UTILITY LINES —X — CHAIN -LINK FENCING / �`FjL�� " ® II /SPIKE OAUND NOTE: NO LIABILITY IS ASSUMED BY THE UNDERSIGNED FOR ANY LOSS RESULTING FROM THE EXERCISE OF ANY GOVERNMENTAL AGENCY AFFECTING THE USE OF THE PREMISES OR ANY LOSS RELATING TO ANY MATTER THAT WOULD BE DISCOVERED BY AN ABSTRACT OR FULL AND ACCURATE TITLE SEARCH OF THE PROPERTY. 11, RPRIP FOUND J08 NUMBER aF;a!SA (SURVEY FOR: SURV'D DRAWN I TOWNSHIP JTE JTE COTTON GROVE MICHAEL TESH COUNTY I STATE I DEED BOOK PAGE TAX REFERENCE 967 1 6 -33 -136 KENNETH W. AUSTIN DB 999 PG 1444 FIELD BOOK I DATE DC 12 -1 -14 SCALE 1 "= 40' EVERHART SURVEYING & MAPPING, PC J. TODD EVERHART, PLS L -3558 NC RECEIN "ED JAN 06 20, '1 618 W. CENTER STREET LEXINGTON, NC 27292 336 - 238 -2398