20170966 Ver 1_Shoreline Stabilization_20170803

2 0 1 70 9 6 6
The following is an abbreviated application force 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 streann impacts. Please provide five (5) copies of this application and supporting
information well
as a lake of less thanlapplication
I acre and $570.00 foe Division for to lake la eter Qlity of bottom of greater or
O
for impacts too
equal to 1 acre.
Applications should be sent to:
Division of Water Quality 401 Oversight/Express Review Permitting o
1650 Mail Service Center
rr
Raleigh, NC 27699-1650 LRR
1. Applicant Information D4 FF R P
1. owner/Applicant Information
Name: 7ill !fk�1 S, F4v.t,�'�_
l%
Mailing Address: "U
lllL-S i7f1 L; i`� i v L' �E'�•�ti>` f'
i Fax Number: !s
Telephone Number: {
E-mail Ad i ;lv �i.itio:
(t(j ��l`h��ttiLl trjDl
Address: 1 t 4' , ,
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: "l �"
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
e le below for guidance. Both the
hand sketch of your project. Also, see thexampvicinity neap 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:
i.,{1�}y �� Nearest Town:
Subdivision name or site address (include phase/lot number):
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
;
vicinity map is included):—
j^�}ti�Yl WA �Rd A Y IIRLVCIl 1 t I1►.!
I o�It
1P
2. Describe the existing land use or condition of the site at the time of this application:
lot is wooded
5.03 acres
3. Property size (acres):
4. Nearest body of water (stream/river/sound/ocean/lake):
5, Describe the purpose of the proposed work:
�i�l�tlt'Lt, t°YiyVrrt kik�
6. List the type of equipment to be used to construct the project:
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the J
normal pool lake level in square feet or acres:
450' * 1' max = 450 sf
8.a. Amount he normal pool (includinglevel all and1ing, back fill, 50 feet land -wards n square fee por cres retaining walls, etc.)
abovePo
450' 1,� f {�, zroc sfF'
`�;l r 450 22,500
7 ,: t
8.b. Please describe vegetationabove ormal pool lake level and 50 feet landward to be impacted
` �2
(number of trees for instance):
Some large pines, poplars, and oaks to remain. Trees overhanging shoreline to be !
removed. remove vines and scrub and re -seed.
a�Zf V v v 7/19!17
pe 41 JP
Alsplieant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

Also own
north anc
to contim
shoreline
sta bil izati
recently
purchase
Please approximately sketch the following information on this pias
(Please provide dimensions for each Item, such as 110 ft. x lag ft):
i) All proposed vegetation clearing (provide dimensiollS).
fill to be placed above the Full Pond elevation
2) Location of rip rap Of
s) Location of rip rap or flit to be placed below the Full Pond elevation
d) The locatton ofanya-twh alldiffg3, retaining
walls, docks, ¢tc. II
b
5) The lavation o) any excavation or dredging below the Felt pond, yc
elevation.
b) Location of construction access corridors.

Please approximately sketch the fotloVing information on this plan
(please provide dimensions for each item, such as 40 ft_ x 100 ft):
i) Ail proposed vegetation clearing (provide dimensions)
zi Location Of rip rap or fill to be planed above the Full Pond elevation
8) 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
grails, dock-,, etc.
5� The location of any excavation or drdging belowthe Full Fond
elevation.
8} Location of construction access corridors.

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Shoreline
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stabilized
site
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• DAVIS RIVER
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'� LRKE WYLIE
Previously stabilized shoreline Nov. 2013