20090346 Ver 1_Application_20090330

09-0341c,
MARCH 27, 2009
DIVISION OF WATER QUALITY 401 OVERSIGHT/EXPRESS REVIEW PERMITTING
1650 MAIL SERVICE CENTER
RALEIGH, N.C. 27699-1650 f1 to ; ,
RE: FORM 401 APPLICATION ? TO WHOM IT MAY CONCERN: 4. TlA,+5
,s"1 ND'c''
1??4 nPaliY;
OUR PROJECT: REPLACE EXISTING SEAWALL THAT WAS BUILT IN 1988.
NEW SEAWALL CONSTRUCTED OF INTERLOCKING KEYSTONE.
THANK YOU.
WILLIAM B GARRETT, JR
3673 BORDER CREEK COURT
DENVER, N.C. 28037
704 483-2634
09-034 b 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 five (5) copies of this application and supporting
information as well as a non-refundable application fee to the Division of Water Quality of $240.00
for impacts to lake bottom of less than 1 acre and $570.00 for impacts to lake bottom of greater or
equal to 1 acre.
Applications should be sent to:
Division of Water Quality 401 Oversight/Express Review Permitting r'_? -..._,
1650 Mail Service Center
Raleigh, NC 27699-1650
AN
1. Applicant Information Y C J CJ 'y
1. Owner/Applicant Information AyD
Name: &.J L L GRKKET T
Mailing Address: ?= v ?L 6 C C?
Telephone Number: 'C Z L 3 Fax Number: S'4 12,
E-mail Address: 01
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: 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
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.

US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson
l
Li Polk
Rowan
151 Patton Avenue Buncombe
Burke Cleveland
Gaston n
nco
Macon Rutherford
Room 208
NC 28801-5006
Asheville Cabarms Graham Madison Stanley
,
Telephone: [phone] Caldwell
Catawba Haywood
Henderson McDowell
Mecklenburg Swain
Transylvania
Fax: [phone]
Raleigh Regulatory Field Office Alamance Durham Johnston

L Rockingham
stokes
US Awry Corps Of Engineers ARC91-Y Edgecombe
anklin
F ee
Nash
Story
6508 Falls of the Neuse Road Ashe
Caswell r
Forsyth Northampton Vance
Suite 120
NC 27615
Raleigh Chatham Granville Orange Wake
,
Telephone: [phone] Davidson Guilford
lifax
H Person
Randolph Warren
Wilkes
Fax: [phone] Davie a
Washington Regulatory Field Office Beaufort Currituck Jones
Lenoir
US Arty Carps Of Engineers Bertie Dare i
Post Office Box 1000 Camden
Carteret« Gates
Green n
Mart
Pamlico
Washington, NC 27889-1000
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office Anson Duplin Onslow
Pender
US Army Corps Of Engineers Bladen Harnett
k
H Richmond
Post Office Box 1890 Brunswick
Carteret e
o
Montgomery Robeson
Wilmington, NC 28402-1890 Columbus Moore Sampson
Telephone: [phone] Cumberland New Hanover Scotland
Fax: [phone]
US FS.sh and Wildlife Service! 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]
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street.
Asheville, NC 28801
Telephone: [phone]
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
«Croatan National Forest Only
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]M
Fax: [phone]
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 2 7 699116 1 7
Telephone: (919) 733A763
Fax: [phone]
LAMA and NC Coastal Counties
Beaufort Chowan Hertford Pasquotank
Division of Coastal Management Bettie Craven Hyde Pender
Mail Service Center
1638
Brunswick
Currituck
New Hanover
Pergmmana
NC 27699-1 63 8
Raleigh, Camden Dare Onstow Tyrrell
Telephone: [phone] Carteret Gates Pamlico Washington
Fax: [phone]
NCWRC and NC Tro ut Counties
Western Piedmont Region Coordinator Allegbany Caldwell
Mitchell Watauga
Wilkes
38551dlewild Road Ashe
Avery
Stokes
Kentersville, NC 27284-9180 Burke Surry
Telephone: [phone]
Buncombe Henderson Polk
Mountain Region Coordinator Cherokee Jackson Rutherford
20830 Great Smoky Mtn. Expressway
Clay Macon Swain
Waynesville, NC 28786 Graham Madison Transylvania
Telephone: [phone]
Fax: [phone] Haywood McDowell Yancey
1. Location
County: i Nearest Town: ?-
Subdivision name or site address (include phase/lot number): Il _S p --_? 2,
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is includeed): i YV L Sv'vl ?4 O M T u{11J C ? T
r 1 iZ ? i C.. i.D 1 U R 6 'L ((h i (, a
c f? , Rria 5? ?w
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): o , 4 a ft L- P, ES
4. Nearest body of water (stream/river/sound/ocean/lake): Y? t____h C?Lm 1?
5. Describe the purpose of the proposed work: C t k rp=- D L-'6?-?1=- 13 T I *%
SCE i ALL
6. List the type of equipment to be used to construct the project: M?Vp L i-46aN ?ND I=9 ?t? r.??t i?vn?ee
7. Amount of impact (including all excavation, backfill, rip ran. retaining walls, etc.) below the
normal pool lake level in square feet or acres: 0? S a F-C M ED
Sl+0(?'LtKi0
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:
.Vv,
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): 6,R5 S L-
Applicant/Agent's Signature Date
(Agent's signature is valid only if a6authorization letter from the applicant is provided.)
Please approximately sketch the following information on this plan
(please provide dimensions for each Item, such as 10 ft x 100 ft):
1) All proposed vegetation clearing (provide dimensions).
2) Location of rip rap or fill to be placed above the FuN Pond elevation
3) Location of rip rap or fill to be placed below the Fug Pond elevation
4) The location of any proposed sbuctures such as buildings, retaining
wails, docks, etc.
5) The location of any excavation or dredging below the Full Pond
elevation.
5) Location of construction access corridors.
PC) ND [H A 3
Please approximately sketch the tolloMng Wormat"ion on this ply
(please provide dimensions for each Item, such as g x *100
1) All proposed vegetation clearing (provide dimensions).
Z) Location of rip rap or fill to be placed above the FOJ Ponca elev lon
3) Location of rip rap or fill to be placed love the Full Pond elevation
4) The location of any proposed structures such as bulldingsII retaining
walls, docks, etc.
5) The location of any excavation or dodging below the Full 77ond
elevation.
6) Location of construction access corridors.
?r ?'aPC (,x)1,tt,
t

Hwy 16 N, Denver, N.C. 28037 to 3673 Border Creek Court, Denver, N.C. 28037 - Direc... Page 1 of 1
Start: Hwy 16 N, Denver, N.C.
28037
End: 3673 Border Creek Court,
Denver, N.C. 28037
Total TimeA minutes
Total Distance:1.5 miles
Turn oy T.irn Directions
?? ??h nod
?r
by Turn Directions
another location along the way Reverse this Route Show Detailed Maps for all turns
Start?'? 1 f )e?
Depart SR-16, Denver, NC 28037 on SR-16 (South)
1. Turn LEFT (North-East) onto Fairfield Forest Rd 1.2 ml
2. Turn LEFT (North) onto Lake Shore Rd N 0.2 mi
Arrive Border Creek Ct Denver, NC 28037
End. --
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