20071781 Ver 1_Shoreline Stabilization_20071018

PAYMENT `
RECEIVE
07-1781
The following is an abbreviated application form for those applying fora 402 Water
Quality Certification to impact FERC (Federal Energy Regulatory Commission)
regulated lake shore or bottom ender the U.S. Army Corps of Engineers Permit
GP30. This Application cannot be need for wetland or stream impacts. Please
provide seven ('n copies of this application and supporting information as well as a
non-refundable application fee to the Division of Water Quality of $200.00 for
impacts of to Lake bottom of Iess than 1 acre and 5475.00 for impacts to lake bottom
of greater or equal to 1 acre.
fo. N~o ~~ke
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 lYiail Service Center
Raleigh, NC 27699-1650
L Applicant Formation
1. Owner/Applicant Information
Mailing
also ~°~ ,~ ' (919) e7s-e+a1
x~
,.~.~
EF~C C. AL~EYER
n e~
US Armll ~
of Engittesrs r~soe FaNs of tdeuse Road
s~ X20
DC~tricl , tdC 27615.6814
r~k C9rQ8'76-58~3
L ~
Telephone Number..2s~ - s ~(- !~ Fax Number: 9 t o - 3~l'~ - 10 3 ~ o~+w~
E-mail Address: ~ w 4~'~~'e_.. -h~~ (~ 11 r.~' i ~~n . nth'
2. Agent Infomvatiom (A signed and dated copy of the Agent Authoti~tion letter
must be attached if the Agent has signatory authority for the owner/applicant)
Name: '
Compaay Af$iiation:
Mailing Address.
II.
Telephone Nummber: Fax Number.
E-mail Address:
Project Information
Attach a vicinity map clearly showing the location of the property a~th respect to
local landmarks such as towns, riv+ers,'and roads. Also provide a detailed site
plan showing property boundaries and development plans in relation to
suzrounding properties. You may use the diagram below to make a hand sketch of
i ~' ~~ f r ~ r..," t', s
UCT ~ E~ ZUL!
~ENR = ~ „ ; . ~;

yourpmject. Also, see the example below for guidance. Both the vicinity map and
site plan must include a scale and north armor. The footprints of all buildings,
impervious surfaces, or other facilities must be included.
1. Location
County: ~.; ~ a r Nearest Town: ~-o?~o r u N ~.-
Subdivisionname or site address (include phase/lot number): $e-; ~e ~ h,-4-
Directions to site please include road numbers, landmadcs, etc. is not
necessary if an adequate vicinity map is ~c}p~ed): ERa~ ~.ox rv _ -C'u.~

2. Describe the existing land~nse or, condition of the site at the time of this
3. Property size (acres): . Q L°~ R r" .S
4. Nearest body of water
5. Describe the purpose of the proposed work: Chu - ~ ~ rC ~k i k~ ~ Std tc~
6.. List the type of equipmen+t t4 be used to construct the project: S ~.~ S{ee/ ~' ~
inA + n ~ ~ xclr.~a~'br
7, Amount of impact (including a!I excavation, backfill, rip rap, retaining walls,
etc.) below the normal poaI lake level in square feet or acres: G a i s~ . '~
8. a. Amount of impact
retaining walls, etc.) al
square feet or acres
(including all clearing, back fill, excevation, rip rap,
ove See normal 1 lal~ bevel and 50 Ceet land-ward in
~sa~_lo~ gAl1 - lao,r~ac /SUO s'i. ~ t- .
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): ~~' ~re~iw c ~ar~ ~~r"
-fs-0
lTipplicant/,~ent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

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