20081191 Ver 1_Shoreline Stabilization_20080804

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 $475.00 for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
1. Applicant Information
1. Owner/Applicant Information
Name: J o s t h W GirC)
Mailing Address: I c/ ,F WooG
.08 1 1 9 1
PPM@P30WP= 0
AUG 4 2008
DENR - WA"i ER QUALI l-Y
WETLANDS AND STORMWATER BRANCH
NC 2-so-71
Telephone Number: 7 Cq -,'6 q - 3:5 0 7 Fax Number:
E-mail Address: :"o iP_ 1,oA" G19 R d 2 «R It-R • G OH7
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
II. 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 /
y ?
County: C` cv e 1 a Nearest Town: 5 ?'1 1) v 64t Pr UlA
/
Subdivision name or site address (include phase/lot number): nCaV IS 1,41031(o
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included): 0 aC ke
2. Describe the existing land use or condition of the site at the time of this
application: d CJ
1
3. Property size (acres): Lesu -(?.a n GLUr?
4. Nearest body of water (stream/river/sound/ocean/lake): MW?5 L ?- G
5. Describe the purpose of the
6.
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: / 5 G ""/- .Ce-_ 4
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above then al pool lake level and 50 feet land-ward in
square feet or acres: L_ S S Z <f?) " Q Lr)tnq <S kZ ve
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): l,/ea V U W O o ? e
Cl.f^C CA_ .
g//
ACpplicantfAgen(s Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
List the type of equipment to be used to construct the project: e O 6 - c6l - bGGmL
Map of 148 Woodberry Dr Cherryville, NC by MapQuest
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148 Woodberry Dr
Cherryville, NC 28021-9362
Page 1 of 2
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Lake (Full Pond)
Full Pond
Shoreline
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Please approximately sketch the fallowing information on this plan
(please provide dimensions for each item, such as 10 ft. x 100 ft):
1) All proposed vegetation clearing (provide dimensions)
2) Location of rip rap or fill to be placed above the Full Pond elevation
3) Location of rip rap or fill to be placed below the Full Pond elevation
4? The location of any proposed structures such as buildings, retaining
walls, docks, etc_
5) The location of any excavation or dredging below the Full Pond
elevation,
6) Location of construction access corridors.
Cleveland Co., NC -- Printable Map
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Parcels
Page 1 of 1
Parcel No.: 14210
Parcel Address(es):
148 WOODBERRY DR
Parcel Owner:
WARD JOSEPH YATES JR
148 WOODBERRY DR
CHERRYVILLE NC 28021-9362
Map: A103 Block: 6 Lot: 4
Deed Reference: Bk. 18D Pg. 866
Land Area: 0.000 acres
Tax Values:
Building Value:$104,580
Land Value: $50,540
Total Value: $155,120
DISCLAIMER: The information contained on this site is furnished by govemment and private industry sources and
believed to be accurate but accuracy is not guaranteed. Mapping information is a representation of various data sou
and is not a subsitute for information that would result from an accurate land survey. The information contained hen
does not replace information that may be obtained by consulting the information's official source. In no event sha
Cleveland County, NC or the consultants of Cleveland County, NC be liable for any damages, direct or consequent
from the use of the information contained on this site.
http://www.webgis.net Anderson & Associates, Inc. http://www.andassoc.com
http://arcims2.webgis.net/nclcevelandlprintable.asp?process=id 1 &x2=12715 86.269375&y... 7/31/2008
Cleveland Co.. NC

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