20071761 Ver 1_Shoreline Stabilization_20071017

~'R~NT A HASTON , _ - - _
flH.Z:04-697-0962
5120`BRfGHT RD
CHAFILOTTE, NC 28214
l
~~ / ~`ti
~ ' ' 66-98/530 CG
~
- Date
P ~, 71~t
The followin i nrde.~ ~~f ~ ~~ S ~0`" ~+ ~ [~/~~ ~
Quality Certify ~ -
regulated lal~ . ~~`~' .~~~R ~ ~ °~ ~
-
~ ~~ ~ c ° s
:~olu~rs
GP30. This ~, ~jACHOVIA _
provide seven , we~h~„iH rs~~~, y..a.
~Grecnnue, fir, 27na4
non-refundab~' - -
,. ,,
impacts of to L {j ~ ~~/G~ z~~~"

--~ ~
Memo-.
of greater ore x:053000 L83~: 1864 3487 LSi~' 30 1 L

Applications s.w.~p~B~a- ...., _ - _

Division of Water Quality Wetlands Unit 0 .~ ,~ ~, 6 '
1650 Mail Service Center ~ ~ ~
Raleigh, NC 27699-1650 ~°-----
------____e
~, ;-~ ~ , ~' 'r~17
~t~ ~~
I. Applicant Information ~ C T 1 i 2001
1. Owner/Applicant Infonna~.on y,., r`~Az/ ~t~~ wrwi-~ ,'~`'~~ - ~`~r~~ ~u~ai.~~.v
~~<< y~
Name: u
2lG ~ m r 1 CR ~RK~V4~!
Mailing Address: .~ - - ~- o ~ , V
~w r =.r ~
TelephoneNumber:G~'i~ T1¢,~t 10y-~D0,6~l6~'axNumber. 7v`y 33~ 63s ~ -
E-mail Address: t~'~~+ ka t~w~ °`"'O~ ~" ~~'~"'
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: 5 - ' o'"'w
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
DW6~-Surface Water Protection
II. Project Information
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. Yau may use the diagram below to make a hand sketch of

The fallowing is an abbreviated application farm 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 $200.00 for
impacts of to lake bottom of less than 1 acre and 5475.00 for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information
1. Owner/Applicant Informa~on /~
Name: ~/<~" ~" 12~'GAz/ fi~
Mailing Address: Slate [$~LG~}~'
Telephone Number:G~6L T~~f 1Oy- y00,6y6~'axNumber: Ivy - 333 - 63 s /
E-mail Address: ~-r~~+ • ti.a c ~..,,r~ .~,.,ot',.,p.,,,~f~i c~
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: 5~,~ - ~r-~~U^-rvt~
Company Affiliation:
Mailing Address:
Telephone Number:,
E-mail Address:
Fax Number:
II. Project Information
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 M
County: I~~G~L~-ry~~rLL, _ Nearest Town: ~ (.dT~'~ /.~.Gu+tc~ j"
Subdivision name or site address (include phase/lot number):_5!d-a Q. 6~ R.0
Directions to site please include road numbers, landmarks, etc. (This is not ~-c.~T~~r h,c
necessary if an adequate vicinity map is included): j~~~
!-~l,~y ~ ~v 5.~4~ w c. ~ ~t-d D~.,~o l~ G
2. Describe the existing land use or condition of the site at the time of this
application: /'~i4/yy~~-/y iQ~s~S ,~4.C~ w~ >'Ltn-/l ~s~-L S /. T-/i
c~~-. ~~~s S~.ycr~ ,~~/mar ~w r9~~,
3. Property size (acres):
v ~~
4. Nearest body of water (stream/river/sound/ocean/lake}: C~~'L~~'~' ~/ y~R
5. Describe the purpose of the proposed work: /S~=/~/'
x,.19-u, ~ ~~ To ~~~9,~s ~1 ~
x"'119'7 w T'~ v/ I~vGF - ~ /'~(~
6. List the type of equipment to be used to construct the
,~ p/~'Ys/r~4cL Lt4(~c/Z to Sir R.P ~f
2 ~~-lS T~wG /~~ t'° /2
~~~/SG
~v
-Y,~a
7. Amount of impact (including all excavation, backfill, rip rap, retpining walls,
etc.) below the normal pool lake level in square feet or acres: ~~'" 3~ J'~ 1~<P ~~
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: ± ~ o CMG ' S ~= G/f~^-/a Cvv1~~ ~'9"e~~ .
b. Please describe vegetation above the normal pool lake level and SO feet land-
ward to be impacted (number of trees for instance}: 3 ~ N N-~•~-I'c.R~ ~<S~S
Ty R~,Mr}-r•-/ 12iP R,i9'~° l.r~St/.~G ~~~.-GL 1g7~-
Applicant/Agent's Signature ,, Date /©- `y
(Agent's signature is valid only if an orization letter from the applicant is provided.)
/~C I~

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R-t~.p r~Y i K ; ~RpS~ t~
`f~1~...P~t~R gxLtsor,.(,
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51 f£~P ~ ! s/GL!-/G y
~i~~[' `~t~~Snwss let P:Re~
~RoJlO~ Ie ~ I S~ /,,~, S
~~~ G~~ c~ ~ f~
PR~~C- ~ r~A-r.-~~.r:~~
f'I~~~~ pr~xlr~a~t~t~r sketch tf~r~ f+~~f~~i~~ ir~t~rv~ati~r~ ~t~ tt~as pl~rt
~pl~~se tar`~vvd~ dit'rte~~ian~• far s~~h item, ~ucM ~~ ~ 0 ft. x 111{M ftj:
`l~ ,~tll prap~a~ed ~et~~ta°tian clearing ~pra~id~ dirnens.it}n~~
~~ t.+~c~tian of rip rya ~r III to ~e p~la:tRed al~aws the 1=uE6 nand ele~r~tion
3~ Lt~+~~iti~ll of rip fi~p ~r fill t4 bs pl~~e~d hsla~vr the fiul] P~rril elew~fian
~~ The lacetian of and artapas~d ~t~~ct~~e~ s!~rch ~~ b~uilding~s retaining
rills, dace; eic~
~~ The I:oc~tian of and esc~iv~ian ar dr~dgins~ tp~lc~~ the full f~€~nd
elsrr~ti~n.
~j La~afan of ~ora~truct~an access cvrrEdar~.

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5120 BRIGHT RD UNiNC -Single-Fam
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UTM 17 499046E 3898535N (NAD27)
USGS Belmont (NC,SC) Quadrangle ~,}~-~=,.9~a
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Charlotte, NC 2814-8967, US
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