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TC:919294953959 P:1/5
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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 for
impacts of to lake bottom of less than I acre and $475.00 for impacts to a e bottom
of greater or equal to I acre.
Applications sbooid be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
L Applicant Information
1. Owner/Applicant
Name: JaII e„ 1-0
Mailing Address: "i
,'C-UaV--i 14,C- -
1
JUL 1 7 2008
DENR 'SAS"rR QU TER BRANCH
WETLANDS AND ST(3RM`NA
08
Ut
Tclcphone Number: t _)5'6 6110 Fax Number:
E-mail Address: c t l a r, . I ek i l tv ri c- C'-1 n s' , C o m
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority fdr the owner/applicant.)
Name- To ""/ C'-a "r, e S
Compavy Afffliation: o r 1'^ ? C-& , t
Mailing Address: 3t* s 7 /v r on Or.
C_
To) ephone Number: US- k) S_- 3o4 v
E-mail Address: r>~ arl',? < <a 2 eel
Fax Number:
11. Project Information
Attach a vicinity map clearly showing the location of the property with mspect 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
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SEP-14-2005 06:13 FROM:DWQ-WETLANDS 9197336893
TO:918FR-4957050 P:2f5
your project. Also, see the example below for odance. Both the vicinity map and
sift plan must include a scale and north arrow. The footprints of all buildings,
impervious sarfam, or other facilities must be included.
1. Location 1
count 3r Calaw?'q Nearest Town: 1- 'c-kju -
Subdivisions name or site address (include phase/lot number)
Directions to site please include road numbers, landmarks, etc. ('This is not
necessary if an adequate vicinity map included):
S« 101're<<(
2. Describe the existing land use or condition of. the site at the time of this
ar.nlir??#intf L-4 , P- 4.'a//, l_IecV C F-4, W' R.,i,Idt(n_L
r
3. Property size (acres)- 027
4. Nearest body of water (stream/river/sound/ocea Rake): Ii
5. DescrOm the purpose of the proposed work, T. S a?Q ?r'? c ??od e 1
6. List the type of equipment to be used to construct the project: 4 oad e F1co u e (e
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: O
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above the normal pool lake level and 34 feet land-ward in
S F
?r -t' a WD
y
square feet or acres: An12
--r 'I
b. Please describe vegetation above the normal pool laic{
ward to be impacted (number of trees for ' instame):-21
level an SO kct land- /
s /,, aII1 04 fh
4ef
(6 ? 2 --(3 S)
Applicant//Agent's ttuie hate
(Agent's sig,netwe is valid oai? if an authorization letter from the applicant is provided.)
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Print Parcel Map and Report
Parcel Report - Catawba County, NC
Page 3 of 4
Parcel Information: Owner Information:
Parcel ID: 37351276673 Name: THIS PARCEL IS CURRENTLY BEING
PROCESSED
Parcel Address: 4190 54TH AV NE Name2:
City: HICKORY 28601 Address:
LRK(REID): 404179 Address2:
Deed Book/Page: / City:
Subdivision: CAROLINA POINT State/Zip:
Lots: 2
Block:
Last Sale:
Plat Book/Page: 67/47 Plat Image S of Wormation:
Calculated Acreage: 0.77 School District: COUNTY
Tax Map: Elementary School: CLYDE CAMPBELL
State Road: 1652 Middle School: ARNDT
Township: High School: ST STEPHENS
"TaxlValue Information: Tax Rates oning Information:
Municipal Tax District: COUNTY Zoning District: COUNTY
Fire District: Zonings: R-40
Tax Account Number: Zoning2:
Market Building(s) Value: Zoning3:
Market Land Value: Zoning Overlay: CRC-O,FPM-O
Market Total Value: Small Area: ST STEPHENS/OXFORD
Year Built/Remodeled: Split Zoning District 1/2: 0/0
Current Tax Bill 1 1zoning Agency Phone Numbers
Miscellaneous:
Voter Precinct: P33 Firm Panel Date:
Building Code: Firm Panel #:
Building Permits for this parcel 2010 Census Tract:
WaterShed: 112010 Census Block:
WaterShed Split:
Parcel Report Data Descriptions
DISCLAIMER: This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba
County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on
this report. Catawba County promotes and recommends the independent verification of any data contained on this map/report
product by the user. The County of Catawba, its employees, agents, and personnel, disclaim, and shall not be held liable for any
and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this map/report product
http://www.gis.catawba.nc.uslwebsitelParcellprintMapandReport.asp?pinc=373512766713... 6/10/2008
Print Parcel Map and Report
Real
-?i 1;??J4lCD Estate
Search
30
68.93 ? s8os
6733 ,
4676
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Parcel Summary Printed Map Scale 1 inch = 69ft
Parcel ID: 373512766713 Parcel Address: 4190 54TH AV NE, HICKORY
[
Owner: THIS PARCEL IS
CURRENTLY BEING
PROCESSED
Address:
City:
Owner2: Address2: -] State/Zip: ,
Building(s) Value: _J Land Value: Total Value:
httn: //www. si s. catawba. nc.us/website/Parcel/printMapandReport.asp?pinc=3 73 512766713 ... 6/10/2008
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