20081375 Ver 1_Shoreline Stabilization_20080908

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Division of Water Quality Wetlands Unit FECEI. 4 Sep 2008
Enclosed you will find 7 copies of application for 401 Water
Quality Certification. Also enclosed is a check for $240. Please
keep us apprised of status.
Thank you for your consideration and especially to Patrick
Grogan who pointed me to this older, much simpler form
If you have any questions you may contact me at the following:
703-374-1132 (work)
703-255-9482 (home)
703-998-1858 (fax)
Mattrd202gverizon.net (email)
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Richard D. Wyatt`
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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 $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
of
S P 8 21008

1. Owner/Applicant Information
Name: Richard D. Wyatt, Pamela F. Wyatt
Mailing Address: 202 Mashie Drive, SE
Vienna, VA 22180
Telephone Number: 703-255-9482 Fax Number: 708-998-1858
E-mail Address:_ wvattrd202@verizon net
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: Not Applicable
Company Affiliation:
Mailing Address:
't'elephone 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
County: Montgomery Nearest Town: Mount Gilead
Subdivision name or site address (include phase/lot number): Swift Island Plant, Lot #25
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included):
From Albemarle: east on NC 24/27, immediately after crossing lake
south on NC 73. Right on Lilly's Bridge, Right on Plantation Way, Right
on Timberlake Court to 122 Timberlake
2. Describe the existing land use or condition of the site at the time of this
application: Existing site is natural shoreline and all surrounding
areas are used for recreational/residential purposes
3. Property size (acres): .94 acres
4. Nearest body of water (stream/river/sound/ocean/lake): Lake Tillery
5. Describe the purpose of the proposed work: Prevent erosion
6. List the type of equipment to be used to construct the project: Track excavator to slope
shnreline to 45 (IeareeS RnMat to install rinp_pyg sediment rlnth
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: Approx 525 so ft (5 feet
below lake level for 105 feet of shor .line)
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above the normal pool lake level and 50 feet land-ward in
square feet or acres: Approx 525 sq ft (5 f _et ahov . lake level for 105 feet of shoreline)
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): Apnrnx 5 small trees (smaller 9 in (Imam
A rox 4 large tees reater 9 in diiam and rasa and mulch.
Richard D. Wyatt`/ Pamela F. Wyatt 4 Sep 2008
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

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Lake (Full pond)
20`x40'
Boathouse
?. 5 feet x 105 feet large bo Ide
Full pond riprap with sediment clot
below shoreline
shoreline
5 feet x 105 feet large boulder
riprap with sed ment cloth
above shorelin
122 Timberlake, Lot 25
Swift Island Plantation
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Survey for
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RICHARD D. WYATT & WIFEI
PAMELA F. WYAT r
Lot No. 25 of the Swift Island Plantation Subdivision ;
Pee Dee Township, Montgomery County. North Carolina !
Deed Reference Book 589 Page 685; Plot Cabinet E Slide 10-6.
Surveyed by Thomas J. Fields, PLS-2906, and Associates;
on July 2. 2008. j
60 0 60
Scale is in Feet .
1 "= 60, ! .
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From the office of
WRIGHT dt FIELDS LAND SURVEYING
1340 Albemarle Road, Suitt C
Troy. N.C. 27371
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No. 24
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I, Thomas J. , Certify that this plot was
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