20090070 Ver 1_Shoreline Stabilization_20090121

08-n070

J?AI~

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

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I. Applicant Information

1. Owner! Applicant Information
Name:
Mailing Address:

A 1,,-,;,-( tJ D - Ao f\'Y.,I. S
fAe Fo~ !-\-ol.--L.-DW 1-/GJt:
$f\t.\ $ 8 \.ilL ~) NG d.. ~ \ Vc LD

Telephone Number: 'l~l~/l.?'~(,,- Co~t4
E-mail Address:

Fax Number:

2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has si~atory authority for the owner/applicant.)
Name: tJlA
Company Affiliation: '
Mailing Address:

Telephone Number:
E-mail Address:

Fax Number:

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.

2. Describe the existing land use or condition of the site at the time of this
application: 1;',(l5T1N6 ttouSf; ~i:> plEt't ON <istti3~lVtSICtJ lt5T.

3. Property size (acres):

t. t,j~ k

4. Nearest body of water (stream/river/sound/oceanllake): ltl6tt (2cc~ LA"-e:

5. Describe the purpose of the proposed work: 'To '5fA'6 \ I-l'Cc A.N t"Y- '5TIN6 6'-oDED
~{2.EV\~B ~'O P(lCTEc.T II ff2cM fu.lzTtt~ E)1c~icN '

6. List the type of equipment to be used to construct the project:
&B~T t ~)\\.\M,{... T{ZM./Tof!. o(Z. "BA~t\o~
.

7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres:
~4o ~. Fl.

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: I iO(Pb ~. FT,

b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): Nc e)(\STI~b T(Z.ffS LthL-l.- BE
\ \'It\PtKTEo fji p(l..c pc ~D <;)n~"...l 'tAT \ ON j

~ 0 a/h-__" /,I'f-t9'}
Applica Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

US Army Corp, Of Engineers Field Offices and County Coverage
* Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Anny COlJlS of Engineers Avery Clay Jackson (]2 Watauga
151 Patton A venue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rut ord
Asheville, NC 28801-5006 CabalTUs Graham Madison tanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Anny COlJlS Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Suny
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army COlJlS Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret. Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans .Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Anny COlJlS Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Calteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
US Fish and Wildlife Service I National Marine Fisheries Service

US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]

Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]

Division of Coastal Management
1638 Mail Service Center
Raleigh, NC 27699-1638
Telephone: [phone]
Fax: [phone]

Western Piedmont Region Coordinator
3855 Idlewild Road
Kemersville, NC 27284-9180
Telephone: [phone]

US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: (828) 665- I 195

National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]

North Carolina State Agencies

Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]

State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]

CAMA and NC Coastal Counties

Beaufort
Bertie
Brunswick
Camden
Carteret

Chowan
Craven
Currituck
Dare
Gates

Hertford
Hyde
New Hanover
Onslow
Pamlico

Pasquotank
Pender
Perquimans
Tyrrell
Washington

NCWRC and NC Trout Counties

Alleghany
Ashe
Avery
Burke

Caldwell
Mitchell
Stokes
Suny

Watauga
Wilkes

Mountain Region Coordinator
20830 Great Smoky Min. Expressway
Waynesville, NC 28786
Telephone: [phone]
Fax: [phone] Haywood McDowell Yancey

Buncombe
Cherokee
Clay
Graham

Henderson
Jackson
Macon
Madison

Polk
Rutherford
Swain
Transylvania

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VEGETATE DISTURBED AREA
ABOVE SLOPE

_ _ _ _ _ / EXISTING GRADE

-1
I
I
I CLASS 1 RIP RAP

---

-

LAKE BOTToM --

TYPICAL CONDITIONS
. 12" TO 36" ERODED CUT
. WAVE EXPOSURE

FOR:

08/27/08

LOCA TlON:

ALLYN ADAMS
LOT 10, FOX HOLLOW
HIGH ROCK LAKE
SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA

MINOR RIP RAP STABILIZATION

DETAIL
2

RESERVOIR:
PROJECT:

DRAWING TITLE:

It)
"-
It)
~
~

VEGETA TION AND EROSION
CONTROL FABRIC

________~EXISnNG GRADE

-l

3' MAX

CLASS 2 RIP RAP

HIGH WATER ELEV.

~
;:~
~~~~~ ~"'" - --
//.0-0',,-,v' LAKr- - - - - -
," ,-<.",-<, l;;. BOTTOM

TYPICAL CONDITIONS
. 36- TO 72- ERODED CUT
. WAVE EXPOSURE

08/27 /08

FOR:

ALLYN ADAM S
LOT 10, FOX HOLLOW
HIGH ROCK LAKE
SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA

MODERATE RIP RAP STABILIZATION

DETAIL
3

LOCA nON:

RESERVOIR:
PROJECT:

DRAWING TITLE:

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t-
It)
~
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SHORELINE MANAGEMENT PLAN