20080831 Ver 1_Shoreline Stabilization_20080515

MAY 9, 2008
LOU WHITLEY WITH FLAGSTONE REALTY AND CONSTRUCTION CO.
IS AUTHORIZED TO ACT AS MY AGENT FOR THE ENCLOSED
APPLICATION TO THE DIVISION OF WATER QUALITY 401
OVERSIGHT/EXPRESS REVIEW PERMITTING. PLEASE CORRESPOND
WITH MS. WHITLEY FOR ALL REQUESTS
THANK YOU
TONY R. SMITH
> s?
ll?p 11
A1AY 15 2008 DE'YR WfTLgNDSANDSTORMwA? 8
RANCFP
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 $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
Raleigh, NC 27699-1650
MAY ? 5 2008
1. Applicant Information
pEN oRMWA?RBRANG?
1. Owner/Applicant Information Np St
N,T?NOS A
Name:
Mailing
Telephone Number:
E-mail Address:
Fax Number:
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: 11 1H, Vi-I
Company Affiliation:
?? ?a al
Mailing Address:
Telephone Number: Fax Number: ' O40 0 401 -
E-mail Address: 0_`k, n L. +
H. 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: &QT) b I Nearest Town:
Subdivision name or sit address (include phase/lot number):LL,C?i>
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): &I I PA_cP,,5_4 L&,?
2. Describe the existing land hs`?c?iion oath site at the time of this application:
3. Property size (acres): 11,4 oa-A L, p?
4. Nearest body of water (stream/river/sound/ocean/lake): T
5. Describe the purpose of the proposed work: \L in a
6. List the type of equipment to be used to construct the project: kDff_V?Q?Ps, 1) 1, f ,n?Pp?h?
7. Amount of impact (including all excavation, backfill, rip rap, retaining tc.) below tom"
normal pool lake level in square feet or acres: oQ4t? -SC4,
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:
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
i ? F
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Map Output
Stanl County GIS 512008
;; I f ax Record:
12368
F y *.. L PIN:
` k 656604836018
s? "ki „
°?`? x? rte. Owner:
71
^ A! SMITH TONY R & KATHY P
s '? -R § r'` 570 BROWNS HILL RD
LOCUST NC 28097
Property Address:
???RA nAWMinnn Pr)
?PP?ibn wfilten by S1enry_000nty OIS DePatlmenl a'yy The information contained an this page is NOT to be c,nst,,,d or used as a "legal description". Map information is believed to be accurate but accuracy is not guaranteed. Any errors or omissions should be reported to the Slanly County Geographic Information
Systems Division of the Office of Information Technology. In no event will Slanly County be liable for any damages, including loss of data, lost profits, business interruption, loss of business information or other pecuniary loss that might arise from the use of this map or
he information k contains.
http://www.stanlygis.net/servlet/com.esri.esrimap.Esrimap?ServiceName=overview&ClientVersion=4.0&Form=Tri ieX-.Fnr.ndf-=
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22284 OAKWOOD ROAD, NORWOOD, NC
SHORELINE STABILIZATION REQUEST
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LEFT SIDE OF SHORLEINE
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