20081139 Ver 1_401 Application_20080708

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F 7"C' E,' The 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 five (5) 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 to lake bottom of less than 1 acre and $570.00 for impacts to lake bottom of greater or
equal to 1 acre.
Applications should be sent to:
Division of Water Quality 401 Oversight/Express Review Permitting
1650 Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information
JUL.. 2 3 ?008
Owner/Applicant Information
Name:
Mailing Address:
Telephone Number: 6 V ` a2,9/
Fax Number:
E-mail Address:
DEN'R - `Nr>i . ?ur',U i Y
WETLANDS AND STOMIATER BRANCH
Agent Information (A signed and dated copy of the Agent Authorization letter must be attached
if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
II. Project Information
Fax Number:
Attach a vicinity map clearly showing the location of the property with respect to local landmarks such
as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and
development plans in relation to surrounding properties. You may use the diagram below to make a
hand sketch of your project. Also, see the example below for guidance. Both the vicinity map and site
plan must include a scale and north arrow. The footprints of all buildings, impervious surfaces, or other
facilities must be included.
1. Location
County: Nearest Town: -/or R 0
S/ubdicviisio name or e dressf(i clude phase/lo Fo b I 1 II C r- ? 61;d, b13
D?t o s tsi please include road nu? land ?(This is n necessarY if an adequate
q?
vicinity map -is included): ti 'Q ? L"P F' "? A/J Rd. ®G1 d ?$/VVJ
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7. &o qI 11- t* d/ be 7- rj
2. Describe the existing lap
kol W?r". /v?a Gt
3. Property size (acres): _
4. Nearest body of water (stream river/sound/ocean/lake
5. Describe the purpose of the proposed work: ey ),5 e Y
C??n ??f G1 17 a5 s° WZL-fj ?L1? 1 N? dt/?r v A7t°r
-b -tta hau s _ v 6. List the type of equipment to be used to construct the project: b"T11e (?j, t' V
7. Amount of impact (including all excavation, bac kfill, rip rap, retaining walls, etc.) below the _
normal pool lake level in square feet or acres: / 4t-)Ir W LJ ke AId ej(1/D? dal, l ? e 041
er o A/ b a L Tip e4l I LPl' /t? Al 1,5
8.a. Amount of impact (including all clearing, back fill> excavation rip rap, retainingzwalls, etc.) //15???
ab ve the normal pool lake level and 50 feet land-ward in square feet or acres: /A Le /,V -l
a ,?. br
11' A A. IV
_e tt AV J Pr.
)4 la t o S K T w ol-e ? 9 P I f ?- a,b e A 1 y !_ 08,E e 6611
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): t°L4 0. ? e Q W l-4 Tr ?° PS
A/,4+ Al 11 / )- eC"i L >!/ ? E
P
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Y #1
eA) /qty- 7:T
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d use or r co ?ndi ogeof Uiv site at the time of this application:-- Clear-'I yV?c(P
Applicant/Agent's Signature , V J Date /
(Agent's signature is valid only if an a0rization letter from the applicant is provided.)
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
151 PATTON AVENUE
ROOM 208
ASHEVILLE, NORTH CAROLINA 28801-5006
RFPLY TO
ATfENMON OF:
Regulatory Division
Action ID. 198200030
Mr. Edward Peurifoy
710 Bun-age Road
Concord, North Carolina 28025
July 15, 2008

JUL 1 g 2008
J NR - `NAE'ER WAUTY
Vk-'1 ANCS aND S7WNATER BRANCH
D L? R D W E S F n1
JUL 1 1 2008
DENR - WAFER QUAUIY
WETLANDS AND STORMWATER BRANCH
Dear Mr. Peurifoy:
We have received your permit request to utilize our Regional General Permit 198200030
(GP30) which authorizes maintenance, repair, and construction activities in lakes and reservoirs
owned, operated, and/or regulated by public utility companies and the Tennessee Valley
Authority (TVA) in the state of North Carolina. Effective December 18, 2007, we have modified
this regional general permit to require pre-construction notification only for activities that
involve the dredging of previously un-maintained areas. For all other activities as described in
the attached GP30, pre-construction notification to our office is no longer required. You may
proceed with your work as proposed provided all the conditions of the attached GP30 are met.
Please be reminded that this general permit does not obviate the need to obtain other
federal, state, or local authorizations. This modification does not affect the conditions or pre-
construction notification requirements to receive the required and corresponding Clean Water
Act Section 401 Water Quality Certification #3693. This certification was recently modified and
can be found at htip://h2o.enr.state.nc.us/ncwetlands/rd wetlands certifications.htm. You may
also contact the North Carolina Division of Water Quality directly at 919-733-1786.
If you have any questions regarding this modification, you may contact our office at
828-271-7980.
Sincerely,
}
Steven W. Lund
Regulatory Project Manager
Enclosure: GP 198200030
710 Burrage Road
Concord, NC 28025
June 30,2008
704-786-2741
NC Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Dear Sirs:
Regarding: Requesting Permission to remove existing on land cement block boat
house and existing pier and to replace both with new over the water pier and boathouse.
Place: Lake Tillery, NC
Tillery Beach Subdivision
Lot#612&613
This project will be carried out in three parts.
Phase One: Demolition and Removal of boathouse
A. Destruction and removal from property of 14 by 26 foot cement block
boathouse.
B. Removal of the cement floor and cement ramp going into the water. Over
the years the ramp has eroded and there is not much left of it.
C. Removal of the iron track over which the boat traveled. This track extends
into the water and it will be removed also.
D. Burgin Back Hoe out of Norwood, NC will do the demolition and remove
all the debris.
E. Fill the hole left by the removal of the boathouse and its floor with dirt.
F. Fill the area leading into the water with # 5 stone and riprap. This will
leave the area with a natural gentle slope following the natural contour of
the land into the water. This will run along the shore line for proximally 15
or 17 feet. A silt fence will be erected to prevent any soil erosion into the
lake. Grass will be sawn in the remaining filled area.
Phase Two: Removal of Pier
A. This phase is the removal of the existing pier. I will remove the pier and
dispose of the debris myself.
LZ?3 UW[A p
2008 ° I R0\V QUAUTY JUL 8 2008 g Do
^TrRBRANCH
DEPNR - WATER QUAUTY
WMANDS AND STORMWATER BRANCH
Phase Three: Construction of new pier and boat house.
A. The construction of the new pier and boathouse will be done by an
approved Progress Energy contractor.
B. The total for this construction will be 1175 square feet.
C. The plans for this pier and boathouse are included with this letter.
If there are any questions I can be reached at 704-786-2741. I look forward to
hearing from you.
Si rely u? ,
Edward Peurifoy
Attachment to letter:
Potential Impact of Soil Disturbance:
There will be very little soil disturbance in the lake itself, since the boathouse is
on the land. The only soil disturbance will come from working on the old pier and
getting the old pylons out and putting the new ones in for the new pier. Most of the soil
disturbance in the lake will come from the removal of the cement ramp going from the
boathouse into the lake. This ramp was never very large. It extends about three feet into
the water and over the years has eroded away and is now cracking up. I tried to include
a picture of this ramp but it does not show up very well in the picture.
You can see from the pictures that I have included that the old boathouse is
developing structural problems. It is beginning to present a danger to people and really
needs to come down.
There is a small patch of aquatic plants now growing at the side of the boat
house. These plants did not start growing there until about a year ago. If I can remove
this ramp and replace it with number 5 stone and rip-rap, this will prevent any soil
erosion into the lake and allow the aquatic plants to take hole in the stones and spread
over a larger area..
We will also have a filter cloth barrier and a silt fence to prevent any soil
erosion into the lake.
Schedule For Work
We would like to demolish and remove the old boat house and old pier in the
months of June and August. The building of the new boathouselpier may run into the
month of September.
Sincerely yours;
Edward Peurifoy
DIRECTIONS TO:
Edward & Kris Peurifoy
Lots 612 & 613
Tillery Beach Subdivision
1129 Berry Hill Road
Lake Tillery, NC
1. Take Indian Mound Road out of Norwood, NC
2. Go to Lakeshore Drive on right and turn onto Lakeshore Drive.
3. Go to the end of Lakeshore Dr. and turn left onto Berry Hill Road.
4. It will be the third house on left. It is best to park on the road and walk in.

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