20150977 Ver 1_Shoreline Stabilization_20150921

September 14, 2015
Division of Water Quality Wetland Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
n
Its .SEp
401 $BUFFER pERMIT7ING
My signature below authorizes Sonny Tyson of Sonny's Construction to act as my agent to file the
abbreviated application form for applying for a 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 GP 30.
L/
Jean Webb Stewart
660 Lake Head Drive
Norwood, NC 28128
DafEf

The following is an abbreviated application form for those applying for a 401Water
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 $240.00 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 Wetland Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
I.
Applicant Information
1. Owner /Applicant Information
Name: Jean Webb Stewart
Mailing Address 660 Lake Head Drive
Norwood, NC 28128
Telephone Number: (704) 474 -3695 Alt Number
E -mail address:
201509T?
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: Sonny Tyson
Company Affilaition Sonny's Construction
Mailing Address: 186 Vineyard Road
Norwood, NC 28128
Telephone Number: (704) 438 -1865 Fax Number
E -mail address: son nva.sonnvsconstruction.corn
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
County: Stanly Nearest town: Norwood, NC
Subdivision name or site address(include phase /lot number)
Tillery Beach Lot 126
Directions to site please include road numbers, landmarks,etc (This is not
Residential home with grass lawn and natural area (See included 1-nap)
Traveling south in Norwood, NC, Left on Pee Dee Avenue, Right on Lehue Parker
Right on Berry Hill, Right on Lake Head, Keep right on Lake Head, then left
on Lake Head. 660 will be on your left
2. Describe the existing land use of the site at the time of this
application:
Residential home with grass lawn and natural area
3. Property size (acres) Approx .25 acres
4. Nearest body of water(stream /river /sound /ocean /lake): Lake Tillery
5. Describe the purpose of the proposed work:
Replace section of existing seawall 60 feet
6. List the type of equipment to be used to construct the project:
Excavation equipment and carpenter tools
7. Amount of impact (including all excavation, backfill, rip rap, reatining walls,
etc.) below the normal lake pool level in square feet or acres:
240 Square feet
a.Amount of impact (including all clearing, backfill, excavation rip rap,
reatianing walls, etc.) above the normal pool lake level and 50 feet landward in
square feet or acres:
240 Square feet
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted(number of trees for instance):
Natural area covered with grass and vegetation.
No vegetation to be affected.
/-- September 14, 2015
Applicant /Ag nts's Signature Date
(Agent's sig tune is valid only if an authorization letter from the applicant is provided)
� .ate

ruli vona
Shoreline Replace 60'x 4' area
(Lake Tillery)
rip -rap to be
,n water front
: 240 sq ft
1 slope
Please approximately sketch the following information on this plan
(please provide dimensions for each item, such as 10 ft x 100 ft)
1) All proposed vegetation clearing (provide dimensions)
2)Location of rip rap or fill to be placed above the full pond elevation
3)Location of rip rap or fill to be placed below the full pond elevation
4)The location of any proposed structures such as buildings, retaining
walls, docks, etc
5)The location of any evacuation or dredging below the Full Pond
elevation.
6)Location of construction access corriders.

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Parcels
Property Record Card
Deed
Plat
Tax Record:
25599
PIN:
656104937412
Owner Name:
WEBB JEAN M
Owner Name L
C/O JEAN M WEBB STEWART
Aieding Address:
660 LAKE READ RD
Malting Address 2:
Null
Cibj:
NORWOOD
State:
NC
Zip:
28128
Physical Address:
more
660 LAKE MEAD RD
V 50
Legend
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Jean Webb Stewart
660 Lake Head Drive
Norwood, NC 28128
Tillery Beach Lot 126

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Jean Webb Stewart Traveling south in Norwood, NC, Left on Pee Dee Avenue, Right on Lehue Parker
660 Lake Head Drive Right on Berry Hill, Right on Lake Head, Keep right on Lake Head, then left
Norwood, NC 28128 on Lake Head. 660 will be on your left