20080239 Ver 1_Application_20080204

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The following is an abbreviated application form for those applying fora 401 Water Quality
Certif5cation 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 anon-refundable application fee to the Division of Water Quality of $240.00
for impacts of to lake bottom of less than 1 acre and $570.00 for impacts to lake bottom of greater
or equal to 1 acre.
Applications should be sent to:
Division of Water Quality 401 Oversight/Express Review Permitting
1650 Mail Service Center p (~ ~ ~ ~~ D
Raleigh, NC 27699-1650 l~
FEB 4 2008
I. Applicant Information
1. Owner/Applicant Information y~~TLAND5 ,AND STORMWATER UGH
Name: W:l~~~.-. ~.M~~,~-~ (~,rna.r•~
Mailing Address: ~l ~~ TG.•'Aa v- vta-ry ~ r .
~~ //r
fGG~S~ra NL ~ 7'`(SS
Telephone Number: 33C- ys(` 9 ~ 7~ Fax Number:
E-mail Address:
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: ~-h~y /1. r~ c,l~~.~
Company Affiliation: ~~ f ~ ~lco Co ~s~....4{! «.~. .~.1c
Mailing Address: ~~ ~1~{OG GG.~ac,( .~,:(( NL 7 7~~'S
Telephone Number: ~1l~1 43 3 ~l~-1( Fax Number: ~lq 4 33 "4`{!~-
E-mail Address: ~~i~ ~~.co F? I1G. rr , <o „,,
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.

Location
County: l~.s ~„c,l ~ Nearest Town: L~b~~4
Subdivision name or site address (include phase/lot number): G r~.~ s~~ Po;~{-
Directions to site please include road numbers, landmazks, etc. (This is not necessary if an adequate
vicinity map is included): Frv'^". Qc~Soro uL S? ti~~~t, ~ L,L~ow'~o S-Q, isG(
Q.-~, or~•~-o Q f ~ ~ z f o+.~ 6 r ay~a•~ poJ..-F '~c'. ~ gi~.3 r-~ ~ e.~~ o ~ ~ .
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): 1 • ~ ( A~ ~~s
4. Nearest body of water (stream/river/sound/ocean/lake): ~.,~v ~-~-~~,
5. Describe the purpose of the proposed work: App l~ Q ~p Q~P ~v s~o «-l~ ~~
'~-a D r+~vew~- ~~.r ~-~ ex'oc ion S~or~~J~~
6. List the type of equipment to be used to construct the project: (ia~-kkdc
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in squaze feet or acres: q oU sg. r
8.a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
above the normal pool lake level and SO feet land-ward in square feet or acres:
l 8oy sti r
8.b. Please describe vegetation above the nonnai pool lake level and 50 feet landward to be impacted
a
(number of trees for instance): No r ~.~s , Nda-t+t ~, (a., ~ ~ {-~,~ f
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

Jan 31 08 03:09p
Janaaxy 3l, 200
~dilliazn ~:azxi Barnard
5915 Tarnannary Drive
Greensboro, NC 2755
336w45J.-977
RE: seawall Placement with Rip-~,ap
Hycn Lake -Dock 1 i 1A -
~23 Gravstone Point Road
Leesburg, NC,' 27291
p.1
Tb.i.s lsttex is to serve as nay authorization for may Krichman to serve as my agent to
build a taew seawall c:wBStructed of Rip-Rap an r_ay Lake Property noted above. This is a
new seawall weeded to prevenC further erasion of earth into the lake. It w-i11 atsa serve as
a natu~-a1 hatri~t for fish and ether wildlife.
T'ha~nk yoga,
Vvillidtn K. Baenard -.

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F ! NAL MAP
MIl_TON,TWSP.
CASWELL COUNTY, NC
PLAT OF SUP,V~Y FOR
WILLIAM KAI~RATH & TRACY
8~03~04
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zam~ '~ -- ~. LAYTON J. EVERI7~ JR.
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YANCEYU ILEE f~~
I, WILLIAM CONYtAY MOOREFIELD CERT4FY TNT
THIS PLAT WAS p4tAWtJ tJ ND F R ;UlY 5>,~i~ERV' 1-S ~
SURVEY MADE U~~~DER MY SUPERV-ISi6N e~aEE~;
TION RECORDED !N BOOK __-~" ,PAGE _
(OTHER): THAT TM1: 80UNDAR4~S NOT SUR
INDICATED AS DAII,4~ EClR [ X41: (~R~A+IAT l ON f Q_
MB, 11~1007,pAGE _ ;THA1 T~18 RA7f0 ~,
IS 610000+; THAT TH#S PLAT Yr'AS PREPAR~
WITH G.S. 47-30 AS AN~NDED.4NlTN~SS MY=`
SIGNATURE,REGISTRATION NUMGLR AN,D SE A6
~~
---~ ---DAY OF SJ~G__, A. D. Zdo~__.

EL#S t 125 ~
d ANY EASEMENTS,AGREEh~ENTS
OR APPARENT dN PREMISES.
WITHOUT
~SARILY !NDl.CATE
RTY.
LEGEND
0 EXISTING IRON
0 IRON PLACED
^ STONE FOUND
x MATHEMATICAL PT.
ti CREEK ,DRAIN OR RD.
OHPL OVERHEAD POWER LINE
OHTL OVERHEAD TELEPHONE LINE
P, P. POWER POLE
W. V. WATER VALVE
F. H. FIRE HYDRANT
TiM TAX MAP' 8 PAGE
TM. 139_B
LAYTON J. EVE RI ~ T J~' ~
OB: 27948_ N~B. i I ~ 100
AREA BY COORDINATES
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GRAPHIC SCALE -FEET
FILE KAM-BERN
FINAL MAP