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HomeMy WebLinkAbout20080428 Ver 1_Shoreline Stabilization_20080307 Appltcat ons s ou e - Division of Rater Quality Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 MAR 7 200$ DENK - WATER QU UT BRP?SGN 1. Applicant Information 1hE LMDS AND STORW 1. OwnedApplicam Information Name: vt Mailine Address: G bz Telephone Number:_ 76 D Fax i`iumbeq 44/? E-frail Address: 3. Agent Information (A signed and dated copy of the Apem Authorization letter mu_at be au-ached if the Agent has signatory authority for the ovmcriapplican-.) Name: Company Affiliation: Mailing Address: - 08 0428 The following is an abbreviated application form for those 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 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. i h Id h sent toy Telephone Number: E-mail Address:- 11. Project Information Fax Number: Anach a vicinity map clearly shoving the location of the. property with respect to local landmarks such is 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 r.mal, a hand s'K etch of your project. Also, see the example below for guidance. Both the vicinity trap 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 ?t / c-L 4,? Nearest Towm: Ul Subdivision name or site address (i lude phase/lot number): 7-14/;'-2 ,g S e fi # ?5 Directions to site please include road numbers, land=rks, etc. (This is not / necessary if an adequate vicinity map is included): (/,'e r a+;(e r?. <: (? ?e of . 2. Describe the existing of thic ?. Property size (acres): S!1 G-?' 4. Nearest body of water (stream/riverlsound/ocean'1ake): L(K e ?tfc, ^/?y Cw?_ Describe the purpose of the propo, ed work: % C k-j" tJ ^ CrLAC S GC cup 11-10 6. List the type of equipment to be used to construct the prujec*.: $r S ?pE+ v ?-c! °'1 Amoun: of impact (including all excavation. backtill, rip rap, retauji ie wall- etc.) below the norma! pool lake, level in square feet or acres: ?,,? r'.•?} rzc :-e >Z e-4 'If S. 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: -g, -g,, i,,e &L_o I .'Hc? W e, // wt %l ,-eeni c-k ct G, ?'c? cp? v ?' 3 e rt` ,./ r ? n ?2 '?Y=d,? b. Please describe vegetation above the normal pool lake ievel and 50 feet land- ward to be impacted (number of trees for instance): e;-;'s &n r C Appticatl?'A;CtLa Jienature ( T- Date (Agent's signature t valid only if an aathorization letter from the applicant i5 p-o idcd. )