HomeMy WebLinkAbout20090205 Ver 1_Shoreline Stabilization_20090303
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The following is an abbreviated application form for those applying for a 401 Water QualitYP:!~:::~;~;, ~<o ('if'}
Certification to impact FERC (Federal Energy Regulatory Commi~.cdon) regulated lake shore ot.~.:
bottom under the U.S. Army Corps of Engineers Permit GPJO. This Application cannot be used .~..,
for wetland or stream impacts. Please provide seven (7) copies of this application and supporting <"'Y
information as well as a non-refundable application fee to the Division of Water Quality of $240.00
for impacts of to lake bottom of less than 1 acre and $570.00 for impacts to lake bottom of greater
or equal to 1 acre.
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Applications should be sent to:
Division of Water Quality 401 Oversight/Express Review Permitting
1650 Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information
1, Owner/Applicant Information
Name: IY~~~ ~. 4/-. -'!.
C I,. ft ~ V 2-Jo2--!
Telephone Number: ,I' ()f"-y j ~;:. Fax N~mber: .-J /f'1'l ::
E-mail Address: ~.L~ J (~t.,YA .. M , t:.-J>_
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:
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.
}, Location
County: C L~.( e LA-IV' cJ Nearest Town: ,,/' I[:~J-) /'
/1 /l / fI /. 0, . \ L o"f-tk,v;.
Subdivision name or site address (include phasenot number): f' " J4- ~ ~y .../to't:I<J VI J't ~ r,
Directions to site please include road numbers, landmarks, etc. (This is not n~sary if an adequate
vicinity map is included): ,I!Wy ~,- <3 ~ PI'" ~~? (~J.>/J!- LJ:. -r;;
~& /::II 'JJ-e_ ~f2 (-/u~1'-< ,.e.,.. 9 r:t tlt-> N~.L;K>kL.L..l.IL:v'L
I L . -/ M/J ~ I / .
-I- ../J ,T~ /3 ( r1-l~"'-.oL ~ /1.12-(' V~,
2, Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): .. .7/ kd.e.3
4. Nearest body of water (streamlriver/soundloceanllake): v-J;/ rff/& ("' /e->ef<
5, Describe the purpose of the proposed work: ~,t> N ~pR.1' .l J~:V' r' ~~ ~ ~,v ..
6. List the type of equipment to be used to construct the project: fJ. Ai/I<. ~ ~.
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc,) below the
normal pooll~e level in< square feet or acres: . (~, rf c-,l.~e, Fa t.S i ~ / ..J JA A
;'V7 iJ~&1I*A #1&l4Ck_it~c)<,'1 cJA5-R_4~~k?//:.. 111 .
8.a, Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc,)
above the normal poolJake level and 50 feet land-ward in squar~ feet or acres:
rvr if PdtJJ< ?3t,,, / N6 ,pJOc.rt'tJ4t\ l> ~ . /13 Ff: ~ 4 II .
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8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): (f~.J"~ f- ~~ / i) ~14~e..J
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ApplicantJ J.\genfs Signature Date
(~~ent!ssignature is valid only if an authorization letter from the applicant is provided.)
\69'1 ;l
1695;
SCALi;
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I. IF Ca.pI3J()C~ u.se.~ Jt.dhere GJ/fh l7larfar.
2,. c.oa:l- back o-P bl() ck.r be/ow .,JracJ.e. fJ;J;fh tVqjer?roofin~.
3.. :Lrls"faIIWtls},e:r1 s:fDne be.A/t?d tlJal/ 8~ /2." th'CR.
4, rn~WI weephole.s fby draiYlCl.ge "2.0 ..feet o.c..
-r;p cOp gtoCR. tJptiondtl)
1:)(; st:;ng Grad
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6, M/,.,il""n~M v,
2 eoUYfe.5 II~~
o-P m~clll-JctV" O.
irr+edo(!.~rt'l.9 ~
tA..l1l-r,s .
~. t!-onc-r-ete.. footing
. vn/n... t,/'><I4>'~Oy,1
ajf~fnttk t'!'of/.lA.~a,.. SECTION A-A
I::J(J(!.~ but,-!.d rn,~~ .,
/2~ b~/tJt~eJd~ii/1.3 . ScALE y.z.Q= 'l~oH
grade and !JetJki/l.91
on l.al disturbed.
so if tJ.nd belolA)
-f'r..t)~t level.
ofu.I/
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C! f,Y OF
- KINGS ft/()UNTA IN, Ne.
MOSS LAKE
_ PRO PO$~ 5.E,AWALL
FOR' -/.0,#/4-
MAUNey SU!3DIVISION
HE.NR Y ARTHUR.-
34-- NtJ'R.Tl-1SHORE R..-
DAAW lJiG .,BY:
-011~Y LSUMME~
(!E: J../C9ISE,#o0463t,
. /3%}..l. SHORE f)R.IVE I
- CHeAAWILLE'N~ 2m! I
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