20170529 Ver 1_Shoreline Stabilization_20170428

f
April 24, 2017 PAID
Division of Water Quality Wetland Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
2 0 1 70 5 29
My signature below authorizes Sonny Tyson to act as my agent to file the
abbreviated application form for 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 GP 30.
ec. i
Jim D. Myrick
1062 Viewmont Drive
Asheboro. NC 27203
Receivep
APR p8 2017
STp�M R,LAND QUALITY
WATER PERMITTING
Date

The following is an abbreviated application form for those applying for a 401Water
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 $475.00 for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetland Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
1. Applicant Information
Owner/Applicant Information
Name: Jim D. Myrick
Mailing Address 1062 Viewmont Drive
Asheboro, NC 27203
RFCE/ v
APR Eo
8 2017
')ENR L
STORrv1wq ' � QUA T�
NG
Telephone Number: [phone] Alt Number
E-mail address:
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: Sonny Tyson _� r
Company Affilaition: Sonny's Construction
Mailing Address: 186 Vineyard Road
Norwood, NC 28128
Telephone Number: [phone] Fax Number
E-mail address: sonnWEDsonnvsconstruction.com
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
County: Montgomery Nearest town: Troy, NC
Subdivision name or site address(include phase/lot number)
206 Pine Bark Circle Woodrun Lot 832
Directions to site please include road numbers, landmarks,etc (This is not
(See included snap)
From Albemarle NC take 24/27 East Left on River Road
Left on Woodrun Drive Right Creswell
Left on Fairfield Right on Pine Bark Circle
2. Describe the existing land use of the site at the time of this
application:
Residential home with grass lawn and natural area
3. Property size (acres):
0.78
4. Nearest body of water(stream/river/sound/ocean/lake): Lake Tillery
5. Describe the purpose of the proposed work:
Relace 58 Feet of wood seawall
6. List the type of equipment to be used to construct the project:
Excavaton and carpenter tools
7. Amount of impact (including all excavation, backfill, rip rap, reatining walls,
etc.) below the normal lake pool level in square feet or acres:
232
8. a.Amount of impact (including all clearing, backfill, excavation rip rap,
reatianing walls, etc.) above the normal pool lake level and 50 feet landward in
square feet or acres:
464
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted(number of trees for instance):
Natural area covered with grass and vegetation.
4o vegetation to be affected.
's
Date
2017
(Agent's signature is valid only if an authorization letter from the applicant is provided)

Lake (Full Pond)
Please approximately sketch the following 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 evacuation or dredging below the Full Pond
elevation.
6)Location of construction access corriders.

Jim D. Myrick
1062 Viewmont Drive
Asheboro, NC 27203
206 Pine Bark Circle Woodrun Lot 832

qua`
646i
(NEI
pax
Carter Linda V CPA
Albemarle Q�`t^...
Aloe Social Security
Q7")
Q Albemarle City Landfill
I -ai
...u................._�..._...�_�.�...�.�..............�_.
Jim D. Myrick
1062 Viewmont Drive
Asheborot NC 27203 „
1 ,rd
Morrow Mountainpark
state
4'ri�c r3r �s?
om Albemarle NC take 24/27 East Left on River Road
ft on Woodrun Drive Right Creswell
ft on Fairfield Right on Pine Bark Circle
206 Pine Bark Circle