20081793 Ver 1_Application_20081209

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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
Qr,=@ rR ale rR3p
DEC 9 2008
DENR - WATER QUALITY
WETLANDS AND STORMWATER BRANCH
I. Applicant Information
1. owner/Applicant Information
G5,-
Telephone
Email Ads
Fax
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.)
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Company Affiliation:
Mailing Address: a
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Telephone Number. V Fax Number: 2-V -J14 I-
Email Address: Bann 2 °? c_,--+-i!-r, n!?
II. Project Information
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Attach a vicinity map clearly showing the)ocation of the property with respect to
local landmarks such as towns, rivers, an&,,toads. 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. Nearest Town: ftE.?/? / ?-t-S P?
lion name or si ? address (include phase/lot member}: ?fkD O?'?'_-? nos c 7-
Directions to site please include road numbers, landmarks, etc. ('This is not 6'R'7uBt Alm
necessary if an adequate vicinity map is included): _ d F40 y
x
2. Describe the existing land use or condition of the site at the time of this
application: _ t-Ri S ) p FJ Ti q e- z,4A 1 ; VA?AV T tom- i
3. Property size (acres): 0, q Y 4 CAE5
4. Nearest body of water (stream/river/sound/ocean/lake): ZA-KE A/,Ye. M,4/ .
5. Describe the purpose of the proposed work l S-WI -I z.F_ -rdsc _sf}vX-Et-J&41
Fcie THE Pv?P?s? off' n/Ei?/ tai ?? t 7xr_,?
6. List the type of equipment to be used to construct the project: !4c E
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: &0 54. t-7-•
8. a. Amount of impact
ruining walls, etc.) W
square feet or acres:-
(including all clearing, back fill, excavation, rip rap,
ove the normal tool lake level and 50 feet land-ward in
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): L, ) G " -; ,-156-5
-7 u -z -

Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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Print Parcel Map
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Parcel Summary 1 1 Printed Map Scale 1 inch = 93ft
Parcel ID: 471004540723 Parcel Address: 8480 QUEENS CT, CATAWBA
Owner: KRUGER TODD A CdRress: 1305 GREENMONT City: VIENNA
Owner2: KRUGER ANGELA D Address2: State/Zip: WV, 26105-3295
Building(s) Value: Land Value: $229,700 otal Value: $229,700
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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, hnd 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.
Print Parcel Map
Page 1 of 1
Real
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HIC Search
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Parcel Summary Printed Map Scale 1 inch = 93ft
Parcel ID: 471004540723 Parcel Address: 8480 QUEENS CT, CATAWBA
Owner: KRUGER TODD A ICIR d ress: 1305 GREENMONT City: VIENNA
Owner2: KRUGER ANGELA D Address2: State/Zip: WV, 26105-3295
Building(s) Value: Land Value: $229,700 Total Value: $229,700
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.us/website/Parcel/printMap.asp?pinc=471004540723 &paddr=... 11/30/2008
Print Parcel Map
Page 1 of 1
Parcel Summary Printed Map Scale 1 inch = 96ft
Parcel ID: 471004540723 Parcel Address: 8480 QUEENS CT, CATAWBA
[Owner. KRUGER TODD A Cdddress: 1305 GREENMONT City: VIENNA
Owner2: KRUGER ANGELA D Address2: State/Zip: WV, 26105-3295
Building(s) Value: Land Value: $229,700 Total Value: $229,700
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.us/website/Parcel/printMap.asp?pinc=471004540723&paddr=... 11/30/2008
?( SPA M INFORMATION 8191MC198 Real
Estate
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Driving directions: Raleigh, NC to 8480 Queens Ct, Catawba
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Fayetteville
O P k Hi
A Start: Raleigh, NC
A-B : 173.6 mi, 2 hr 55 min
1. Depart US-701 US-401 / Capital Blvd 0.2 mi
2. Take ramp right 0.1 mi
3. Turn right onto W Peace St 0.5 mi
4. Turn right onto St Marys St 0.5 mi
EXXON on the comer
5. Turn left onto Wade Ave 0.2 mi
6. Turn right to stay on Wade Ave 5.4 mi
Pass PHILLIPS 66 in 1.7 mi
7. Keep straight onto 1-40 / Dan K Moore Fwy West 61.6 mi
8. Keep right to stay on 1-40 West 11-85 Bus South 7.7 mi
9. Keep right to stay on 1-40 West 66.9 mi
10. At exit 152A, take ramp right for 1-77 South toward Charlotte 15.3 mi
11. At exit 36, take ramp right for NC-150 toward Mooresville / Lincointon 0.2 mi
12. Turn right onto SR-150 / W Plaza Dr 7.1 mi
Pass SHELL in 3.2 mi
13. Turn right onto NC-1848 / Sherrills Ford Rd 3.0 mi
14. Turn right onto Mollys Backbone Rd 2.7 mi
15. Bear left onto Monbo Rd 0.6 mi
16. Turn right onto Hopewell Church Rd 0.8 mi
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17. Turn right onto Regal Blvd 0.4 mi
18. Turn right onto Astoria Pkwy 0.4 mi
19. Turn left onto Queens Ct
20. Arrive at 8480 Queens Ct
The last intersection is Astoria Pkwy
B End: 8480 Queens Ct, Catawba, NC 28609
These directions are subject to the Microsoft@ Live Search Terms of Use and for informational purposes only. No guarantee is made regarding
their completeness or accuracy. Construction projects, traffic, or other events may cause actual conditions to differ from these results. Map and
traffic data © 2008 NAVTEQTm, ANDT""
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