20150188 Ver 1_Application_20150213

2 0 1 5 0 1 8 8
The following is an abbreviated apia` Zn A02 for those applying for 401 HIV
a stet Quality
Certification to impact EERC {Feder nergy egulratory Commission) regulated cake 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 five (5) copies of this application and supporting
information as well as a non - refundable application fee to the Division of Water Quality of $240.00
for impacts to Bake bottom of Hess than I acre and $590.00 for impacts to flare bottom of greater or
equal to I acre.
Applications should be sent to.-
Division OF Water Quality 401 Oversight/Express Review Permitting U.IA
� �m50 Maii oaervice Center Raleigh, NC 29699 =1650
Applicant Ilnformation Owner /Applicant information
Name:
Mailing Address:
Telephone Number: Fax Number
E -mail Address
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached
of the Agent has signatory authority for the owner /applicant.)
Name. K, 1 I� --V) I I; A -
Company Affiliation:
Mailing Address:
Telephone Number.
E -mail Address-
M Project information
Jo r Ue� iLC
L" — � � I- - �? )./)-?, - Fax Number-
Attach a vicinity map 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 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: (�'C'Ct t-.l ( Nearest Town:
Subdivision name or site address (include phase/lot numberq -7—'
'J
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): o e (
2. Describe the existing land use (ors condition of the site at the time of this application- P&_5 ( ci �'JickA
3. Property size (acres): I `t
4 Nearest body of water ( stream/river /sound/ocean/lake):
5. Describe the purpose of the proposed work
rel
List the type of equipment to be used to construct the project: J Enid fv-) 1 p��
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc ) below the
normal pool lake level in square feet or acres. �400 ­:)g .
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 feet or acres:
8.b Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance)• On i U � S
Apphcant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

Print - Maps
bing Maps
A Mooresville, NC
B 6961 Wateredge Dr, Sherrills Ford, NC 28673
Route 14.2 mi, 25 min
Page 1 of 1
My Notes
On the p7 Use m bmg.com to find maps,
direcfens businesses and mare
A
Mooresville, NC
A —B: 14.2 mi
25 min
1
Depart W McLelland Ave toward S Academy St
0 9 mi
2
Bear left onto NC -150
Pass QuikTnp in 2 8 mi
11 0 mi J
16 min
3
Turn right onto Little Mountain Rd
1 2 mi
i
4
Turn left onto Mt Pleasant Rd
0 5 mi
4' 5
Turn left onto Trailwood Dr
0 5 mi
rl► 6
Turn right onto Wateredge Dr
0 2 mi
B 7
Arrive at 6961 Wateredge Dr, Sherrills Ford, NC 28673
The last intersection is Trailwood Dr
These directions are subject to the Microsoft® Service Agreement and for informational purposes only No guarantee is made regarding their completeness or accuracy
Construction projects, traffic or other events may cause actual conditions to differ from these results Map and traffic data © 2015 NAVrEQTM
http. / /www bing. com / maps /pnnt.aspx ?mkt= en- us &z= 12 &s =r &cp= 35.590744,- 80.919313 &... 2/9/2015

CATAWBA Geospatial
Information Services
EPSON
Real Estate Search
N
W E
5
Parcel: 369720910623, 6961 WATEREDGE DR SHERRILLS FORD, 28673
Owners: WATTS CHARLES M, WATTS KAREN W
Owner Address: 6961 WATEREDGE DR
Values - Building(s): $191,900, Land: $103,200, Total: $295,100
s
M
z
1 in =600ft
This map /report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map /report product by the user. The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this map /report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
02/09/2015