20081119 Ver 1_Shoreline Stabilization_20080717

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 aZ?
non-refund a e application fee to the Division of Water Quality of $266:0 for
impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to: p A I D
Division of Water Quality Wetlands Unit ----------
1650 Mail Service Center
Raleigh, NC 27699-1650 D ? ? 0W 08 1 > > g
JUL 1 7 2008
1. Applicant Information DENR -INATERQUAUTY
WETLANDS AND STORM"NATER BRANCH
1. Owner/Applicant Information
Mailing Address: 38.a jQ c11s 2 ,_m a e 20
/400R,Ls?z,L£ 'VC_ 'ad/17
Telephone Number: 70.1-?P-,2.2y5/ Fax Number:
E-mail Address: r ? a rnaW 1_,6/?ya?r?.annel-. r.,...,
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: . I/ A
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
II. Project Information
Attach a vicinity map clearly showing the location of the property with respect to
local landmar-Tcs such as towns, rivers, and road A provide a detailed site
plan showing nrooerty boundaries and development plans in relation to
surrounding properties. You may use the diagram below to make a hand sketch of
your project. Also, see the example below for guidance. Both the vicinity map and
site must include a scale and north arrow. The footprints of all buildings,
impervious surfaces, or other facilities must be included.
1. Location /
County: C,4 TALJ4 B,$ Nearest Town: :?4 e rr,' l k rorrl
Subdivision name or site address (include phase/lot number): or.} f, y; e,., harLa?r 4.41q
G
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included):
2. Describe the existing land use or condition of the site at the time of this
application: C g je, v c - k A,,5 9 06
3. Property size (acres): & U S HGre-s
4. Nearest body of water (stream/river/sound/ocean/lake): l S ok? - No r- ,.,.,.A.,.,
5.
6. List the type of equipment to be used to construct the project: eAu;a.•.?- 4?
-is i's r' ,e .9 G
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: Go J?- , 304,
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above the normal ool lake level and 50 feet land-ward in
square feet or acres: Go 44- 6,, a- .
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): Avon t- .
e-nt's Signature Date
gnature is valid only if an authorization letter from the applicant is provided.)
Lake (Full Pond)
Full Pond t
Shoreline
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r.p rap.
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Please approximately sketch the f g information on this plan
(please provide &nwnsions for each item, such as 10 ft. x 101 ft):
1) 1411 proposed vegetation clearing (provide dimensions)
.2) Location of rip rap or fill to be placed above the FuM Rona elevation
3) Location of rip rap or fill to be placed below the Full! Pond elevation
d) The location of any proposed sfructures such as buildings, retaining
walls. docks, etc.
5) The location of any excavation or dredging below the Full Rand
elevation.
6) Location of construction access corridors.
Burroughs Ct, Sherrills Ford, Catawba, North Carolina 28673, U...
Address Burroughs Ct
c Sherrills Ford, NC 28673 r
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Terms of Use
1 of 1 7/15/08 12:17 PM

Michael Clark <[e-mail]>
lottdock pictures
July 14, 2008 4:44:45 PM EDT
[e-mail]
4 Attachments, 4.7 MB
TXo

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SdecW Pared Nvnber: 4628-014&76"
1 hicb equals 100 feet PreparOd tor:

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