20180620 Ver 1_Shoreline Stabilization_20180508

Division of Water Quality Wetland Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
20,80620
My signature below authorizes Sonny Tyson , DBA Sonny's Construction to act as my agent to file the
abbreviated application form for 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 GP 30.
Willie Lee Oliver
1575 John Knox Drive # 206
Colfax, NC 27235
Site Address
17328 Randalls Ferry Road
Norwood, NC. 28128
Date
MAY 0 8 2018

The following is an abbreviated application form for those applying for a 401Water
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 $240.00 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 Wetland Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information
1. Owner/Applicant Information
Name: Willie Lee Oliver Site .Address
Mailing Address 1575 John Knox Drive # 206 17328 Randalls Ferry Road
Colfax, NC 27235 Norwood, NC. 28128
Telephone Number:[phone] Alt Number
E-mail address:
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: Sonny Tysonµ M�
Company Affilaition:
Mailing Address: 186 Vineyard Road
Norwood, NC 28128
Telephone Number: [phone] Fax Number
E-mail address: sonny(Wsonnvsconstruction.com �
H. 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. Location
County: Stanly Nearest town: Norwood
Subdivision name or site address(include phase/lot number)
17328 Randalls Ferry Road. Lake Side Section 3 Lot 84
Directions to site please include road numbers, landmarks,etc (This is not
In Norwood, NC West on Pee Dee Avenue, which tuns into Indian Mound Road
Turn Right onto Randalls Church Road, Turn Left On Randalls Ferry Road
17328 will be on the left
2. Describe the existing land use of the site at the time of this
application:
Residential home with grass lawn and natural area
3. Property size (acres):
0.37
4. Nearest body of water(stream/river/sound/ocean/lake): Lake Tillery
5. Describe the purpose of the proposed work:
Dredge area of lake bottom for new boat house
6. List the type of equipment to be used to construct the project:
Dredging Equipment - Excavator
7. Amount of impact (including all excavation, backfill, rip rap, reatining walls,
etc.) below the normal lake pool level in square feet or acres:
1500 Sa Ft
8. a.Amount of impact (including all clearing, backfill, excavation rip rap,
reatianing walls, etc.) above the normal pool lake level and 50 feet landward in
square feet or acres: 300 Sq ft
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted(number of trees for instance):
Natural area covered with grass and vegetation.
Nov etation to be affected. ]
A
Applic5nt/Agents's6jgfiaY&e Date/ < `
(Agent's signature is valid only if an authorization letter from the ap leant is provided)

Lake (Full Pond)
9
Existing pier Full Pond
Shoreline x
(Lake Tillery)
s
Aprox 300 sq ft
affected above full pond z
i
r
ti
Remove Boat house
Dredge area for new boathouse
Approx 1500 sq ft
below full pond
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 full pond elevation
3)Location of rip rap or fill to be placed below the full pond elevation
4)The location of any proposed structures such as buildings, retaining
walls, docks, etc
5)The location of any evacuation or dredging below the Full Pond
elevation.
6)Location of construction access corriders.

V Layers
�Informafion
Parcelsl
-l. 4
Property Record Card
� x r
Deed
Plat
Tax Record:
18894
PIN.
657503001417
Owner Name: OLIVER WILLIE LEE K
Owner Name 2:
Null
Mailing Address_
1575 JOHN KNOX OR P206
Mailing Address 2:
Null
City:
COLFAX
State:
NC
IIP'
27235
Physical Address
17328 RANDALLS FERRY RD
Dead Acres:
0
Lots
1
Deed Book
292
Deed Page:
937
Plat Book:
Null
Plat Page
Null
Description!.
DWELLING
Year Built:
2002
Finished Area:
2816
Landuse Record:
No
Da;eSold:
Null
SaleAmount
0
Tota l F M V C u rrem:
492192
District Code:
112
District Desc:
CENTER FO
Legend

Willie Lee Oliver
17328 Randalls Ferry Road. Lake Side Section 3 Lot 84

_ . _ ._.._ . .............u........__.................
Wi77-7-1-=.llie Lee Olver 1
17328 Randalls Ferry Road
Norwood. NC. 28128
In Norwood, NC West on Pee Dee Avenue, which tuns into Indian Mound Road
;Turn Right onto Randalls Church Road, Turn Left On Randalls Ferry Road
117328 will be on the left
3�