20081599 Ver 1_Shoreline Stabilization_20081017

hb:l_j FROM:DWO-WETLANDS 9197336893
TO:918284953950 P:1-,S
The following is an abbreviated application form for those applying for a 401 water
Quality Certi.£ication to impact FERC (Federal Energy Regulatory Commission)
regulated lake shore or bottom under the U.S. Army Corps of jEogineers 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 p_ Op.00 for
impacts of to lake bottom of less than 1 acre and $475.00 for impacts to a e bottom
of greater or equal to f acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 276994650
L5 Z,
Y r=
2008
1.
Applicant Information

1. Owner/Applicant Information
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority fbr the owner/applicant.)
Name:
Company Affiliation: ea ? s
Mailing Address:_. J r-) Flo 1„ n? -„__
Telephone Number.
E-mail Address: ..,
II.
Project Information
v Fax Number.
? J Q R r.1%C I't . Co r-
Attach a vicinity map clearly showing the location of the property with respect to
local landmarks such as toums, 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 band sketch' of
09-13-2105 19:47 MARINE CONSTRUCTION CO 8284953040
on^r,
Telephone Number: 2'a k -- G 3.? - ? t. Fax Number:
E-mail Address:
SEP-14-2005 06:13 FROM:DWQ-WETLANDS 9197336893
TO:918284953050 P:2,15
your project. Also, see the emunple 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.
Location ?? 1 /
?GI? O ,...,
County:._- C n 1a Nearest Town:
Subdivision name or site address (include phase/lot number): Ca V 1, h A u 4 ^
Directions to site please include road numbers, landmarks, etc_ (This is not
necessary if an adequate vicinity map is included):
?vr? oc ?
2. Describe the existing land use_ or conditioji of the site at the - time of this

IF
3. Property size (acres). Q, 9 4
4. Nearest body of water (stmam/river/sOUO&Oce6Aake): 4 a L
?-?c? ?a ??'?- ? Shvr c ?-
5. Desc.nbe the purpose of the proposed work. --T.
6. List the type of equipment to be used to construct the project:
7. Amount of impact (including all excavation, backfM, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres:
8. a. Amount of impact (including all dlearing, back fill, excavation, rip rap,
retaining walls, etc.) above the nomal pool lake level and 50 feet land-ward in
square feet or acres: / 5'SV S F r ,
Sc. f"J.v.9.
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): e 4 /p (2v / 7rce-s
Applicant/.
(Agent's si,
n /i
Sighature Date
is valid o y if an authorization letter from the applicant is provided)
00-4z-^MrACZ 10.47 MOMTF.IF' rnM4',TPII TTnw rn PPP4Cr-.-Aa4A PAGE2

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Print Parcel Map
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Parcel Summary Printed Map Scale 1 inch = 80ft
Parcel ID: 373512860974 Parcel Address: 4214 54TH AV NE, HICKORY
Owner: KERLEY WILLIAM GUY Address: 21 SHOOK LN City: TAYLORSVILLE
Owner2: KERLEY CONNIE D Address2: State/Zip: NC, 28681-8864
Building(s) Value: Land Value: $128,300 Total Value: $128,300
DISCLAIMER: This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba
County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on
this report. Catawba County promotes and recommends the independent verification of any data contained on this map/report
product by the user. The County of Catawba, its employees, agents, and personnel, disclaim, and shall not be held liable for any
and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this map/report product
or the use thereof by any person or entity.
http://www.gis.catawba.nc.uslwebsite/ParcellprintMap.asp?pinc=373512860974&paddr=4... 10/7/2008
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