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HomeMy WebLinkAbout20090631 Ver 1_Shoreline Stabilization_20090601? p g- 6 0 0 3 1 FACILITIES APPLICATION >19 n PAID I ? %cpjv WQ Ln,,D) @ Gft?q Do JUN r 2009 118 WETLANDS A ND STORMW ER BRANCH v Progress Energy People. Performance. Excellence. PLEASE NOTE For additional guidance on when to submit a facilities approval form, see page 15. This booklet contains an application for soil disturbance on Progress Energy's project lands at Lake Tillery, an application for constructing facilities and a permit letter. Prior to completing any application forms, please carefully read the Guidelines for the Use of Leased Properties at Lake Tillery to assist you with answering any questions concerning your proposed activities. You are only required to submit the soil disturbance application to the North Carolina Cultural Resources Oepartment if you will be disturbing soil on Progress Energy's project lands (e.g., walkways, piers, boathouses, deck areas, seawalls and dredging). Once all necessary agency approvals are obtained, proceed with completing the Progress Energy application. For further information regarding agency approvals, contact the agency directly at the following addresses: r n? 0 Montgomery County U.S. Army Corps of Engineers P .O. Box 1890 Wilmington, NC 28402-1890 Telephone: 1.910.251.4511 Fax: 1.910.251.4025 Stanly County U.S. my Co s of Engineers 151 Pa venue Room &e28801-5006 Ashev Telephone: 1.828.271.7980 Fax: 1.828.281.8120 Montgomery and Stanly Count Division of Water Quality 401 Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Telephone: 1.919.733.1786 Fax: 1.919.733.6893 N.C. Department of Cultural Resources State Historic Preservation Office 4617 Mail Service Center q -k C) Raleigh, NC 27699-4617 Telephone: 4.9t9= 63 Fax: 1.919.733.8653 N.C. Wildlife Resources Commission Division of Inland Fisheries 1721 Mail Servie Center Raleigh, NC 27699-1721 Telephone: 1.919.733.3633 ext. 281 Fax: 1.919.715.7643 Progress Energy Lake Management P.O. Box 1551, PEB 3A Raleigh, NC 27602 Telephone: 1.877.893.0001 Fax: 1.919.546.3202 lake.management@pgnmail.com Application for Soil Disturbance ................3 Application for Constructing Facilities ...... 7 Permit Letter ..........................13 Do I Need to Submit an Application? ......................15 IMPORTANT PHONE NUMBERS AND WEB SITES Lake Tillery - Lake Management 1.877.893.0001 U.S. Army Corps of Engineers 1.910.251.4511 -Montgomery County 1.828.271.7980 - Stanly County N.C. State Historic Preservation Office 1.919.733.4763 Montgomery County Planning and Zoning 1.910.572.3304 Stanly County Planning and Zoning 1.704.986.3660 Progress Energy Home Page http://progress-energy.com U.S. Army Corps of Engineers http://www.usace.army.mil/ Stanly County Local Government http://www.co.stanly.nc.us Montgomery County Local Government http://www.montgomery-county- nc.gov Lake Tillery Lake Tillery is the storage reservoir for the Tillery Hydroelectric Plant, part of the Yadkin-Pee Dee River Hydroelectric Project. This project is comprised of the Blewett Falls Hydroelectric Plant, the Tillery Hydroelectric Plant, and the asso- ciated lakes and lands necessary and useful for the safe operation of the electric generating facilities. The Yadkin-Pee Dee River Hydroelectric Project is licensed by the Federal Energy Regulatory Commission (FERC) as Project No. 2206. The original license for the project was issued in 1958. Progress Energy Carolinas began construction of the Tillery hydroelectric development in 1926, immediately following the company's organization. The development was completed and the plant was placed in service in 1928. The Tillery Plant powerhouse has four electric generating units. Units 1 and 3 are rated at 31,000 horsepower and can generate 22,000 kilowatts of power each. Unit 2 is rated at 25,600 horsepower and can generate 18,000 kilowatts. Unit 4 was added in 1960 after the first FERC license was issued in 1958. Unit 4 is rated at 33,000 horsepower and has a generating capacity of 22,000 kilowatts. Lake Tillery extends approximately 15 miles upstream from the dam to Alcoa Power Generating, Inc.'s Yadkin Falls Hydroelectric Development. At the normal maximum operating lake level of 277.3 feet (NAVD), the lake is about 72 feet deep at the dam, has a surface area of about 5,263 acres, and has approximately 118 miles of shoreline. The usable storage with a 22-foot drawdown is 88,000 acre-feet of water. Lake Tillery's shoreline is extensively developed with secondary vacation homes, primary homes, and marinas. The lake is widely used by the public for boating, fishing, skiing, swimming and other water-related activities. Except for maintenance purposes and unusual weather circum- stances the lake rarely fluctuates more than two feet. The Tillery Dam is located about 219 river miles upstream of the mouth of the Pee Dee River. The drainage area at the dam is approximately 4,600 square miles. The dam consists of 1,200 feet of earthen embankment and 1,553 feet of concrete structures. The concrete structures include: 758 feet of spillway with 18 62-foot-high concrete ogee (spilling) sections topped with steel gates 24 feet high and 34 feet wide; (618 feet of powerhouse and intake structure and east non-overflow section with a maximum height 98.5 feet above the rock foundation; and 176 feet of west non-overflow section tying in to the earthen embankment. River flows vary widely in the Pee Dee River; however, no flows have ever approached the capacity of the Tillery Dam spillway in the 75-year history of the facility. The largest flood at the dam since the construction of the Tillery project was the Sept. 17-18, 1945, flood. Based on plant records, the maximum discharge during this flood was 160,000 cubic feet per second (cfs). The discharge capacity of the Tillery Dam spillway with all gates fully opened and the lake at elevation 277.3 feet (NAVD) is 259,000 cfs. The spillway is designed to pass 295,000 cfs with a one-foot rise in the reser- voir. The average flow of the river at the dam is estimated at about 5,300 cfs. Penalty Fees Persons who own property adjacent to, or lease property on Lake Tillery could incur a penalty of $250 from Progress Energy for: • Failing to obtain a lease and/or Facilities Approval Form prior to construction. • Construction deviates from the original permit and drawing approved by a Progress Energy representative. • Construction not complying with Progress Energy's Guidelines for the Use of Leased Properties at Lake Tillery. If it is found that a lease tag has been removed by parties other than Progress Energy, the lessee will be charged $25 for the cost of the tag and reinstallation. If an individual is found to be in violation of Progress Energy's procedures, approved permit or guidelines, they will be expected to take corrective action by: • Acquiring the necessary forms (e.g., Lake Lease and/or Facilities Application Form) and submitting payment for all fees and penalties incurred. • Bringing their facilities into compliance with the Progress Energy-approved drawing submitted in their Facilities Application Form. • Possible additional mitigation to enhance the shoreline. Progress Energy reserves the right to cancel or deny a lease to those individuals who do not submit payment of fees and penalties or refuse to comply with the procedures, policies and guidelines. Mail application to: N.C. Department of Cultural Resources State Historic Preservation Office 4617 Mail Service Center Raleigh, NC 27699-4617 APPLICATION FOR APPROVAL FORM FOR SOIL DISTURBANCE ON PROGRESS ENERGY'S PROJECT LAND - LAKE TILLERY 1 ` APlication. S • ?o _ o200 9 ter. ?? 1f Ap,p on lnformatiorf (biaasa Pnntl, ? n _? APPLICANT NAME(S) 0- G w0 o r IC S r- A 1 kto--4 G_L . wnC r : R.OC Cbn b;} c- cL 0q LU Afuc dq - N PERMANENT MAILING ADDRESS p(?O CX & t'15.bil r CITY Ylco e- STATE Nor ZIP a?0 ®.Z j TELEPHONE (h) o y _ '7901-5(436 TELEPHONE (w) 11,3 y -791 - 0 3 `I FAX NUMBER (optional) "10 y . ?$S _Ct (p (o (.n E-MAIL ADDRESS (optional) -? r- 5 h d & G,_0 . Cu?? III fopi;rpy Information lpteass p?lnt? ' PROPERTY ADDRESS ? -at CITY G STATE ZIP :30 ld TELEPHONE (LAKE) COUNTY moo lia SUBDIVISION LOT AS) PLA BOOK AND PAGE # 4 (p TOWNSHIP COUNTY DETAILED DIRECTIONS TO PROPERTY (? E, oZ'-? thl G?7 c-7 3 N c-f l la m kdIK I I I! I CZ) Li ( I kA ?Lv S o ,, wc) aL. 4 IQ 4 USGS TOPOGRAPHIC QUADRANGLE MAP (check applicable map below) ? Badin, NC ? Morrow Mountain, NC Mount Gilead West, NC ? Albemarle, NC Note, USGS topographic quadrangle maps may be obtained from Natural Resources and Conservation Service Montgomery County ?b Stanly County 227 N. Main Street 26032-C Newt Road Troy, NC 27371 Albemarle, NC 28001 1.910.5722700 ?Iu 1.704.982.6811 IV l eCl [ISt of EnCIOSUr'@S.. APPLICATION FOR APPROVAL FORM FOR SOIL DISTURBANCE ON PROGRESS ENERGY'S PROJECT LAND - LAKE TILLERY ? COPY OF QUADRANGLE MAP CLEARLY INDICATING THE AFFECTED AREA ? COPY OF PROPERTY MAP CLEARLY INDICATING THE FOLLOWING ITEMS: • Lot leased by lessee • Progress Energy land between the lot and shoreline • Water area associated with the lot • Allocation lines that determine facilities locations and dredging area • Dimensions of area to be dredged • Amount of dredged material to be removed • Description of desired facilities (walkways, piers, boathouses, deck areas [over water only], seawalls) • Dimensions of desired facilities (walkways, piers, boathouses, deck areas [over water only], seawalls) • Existing square footage (water area covered) of water dependent structures • Proposed square footage (water area covered) of new water dependent structures • Maximum distance facilities will extend horizontally into Lake Tillery and cove widths where appropriate ? PLAN FOR DISPOSAL OF DREDGED MATERIAL- applicant must attach a written description of their plans for disposing of dredged material. No dredged material may be disposed of within the FERC project boundary, or on property owned or managed by Progress Energy. 4 1 A ? RESOURCE IMPACTS ASSESSMENT - applicant must attach a brief written description of the potential impacts of the proposed soil disturbance on surrounding reservoir resources, including impacts to water quality and fish habitat. If there is any vegetation growing in or around the area of proposed soil disturbance, it should be noted and the areas of vegetation should be photographed, and included with the application. N / A ? SCHEDULE FOR CONDUCTING THE PROPOSED SOIL DISTURBANCE - applicant must attach a written schedule for completing the proposed soil disturbance. ? AGENCY APPROVALS - applicant must attach copies of written concurrence with the proposed soil disturbance from the following agencies (refer to instructions - for Application for Approval Form for Soil Disturbance on project land): • U. S. Army Corps of Engineers (seawalls and dredging) • North Carolina Division of Water Quality (seawalls and dredging) :? -Am Ip9t I hereby apply for an approval form to perform the above - described soil disturbance at Lake Tillery, I agree to abide by all applicable requirements of Progress Energy's Shoreline Management Plan, the conditions of the Application for Approval Form for Soil Disturbance on project land (walkways, piers, boathouses, deck areas [over water only], seawalls and dredging), the Guidelines for the Use of Leased Properties at Lake Tillery and other Progress Energy procedures and requirements. I also agree that no work will gin until I receive an Approval Form signed by Progress Energy. APPLICANT SIGNATURE a?C??-UVC C? ,??? ° DATE ? ?a 0 APPLICANT SIGNATURE C. DATE o O VI q-?lrements All facilities must be constructed in accordance with the Guidelines for the Use of Leased Properties at Lake Tillery. All dredging must be done in accordance with the Guidelines for the Use of Leased Properties at Lake Tillery. All dredging and seawall construction must have prior written approval from the U. S. Army Corps of Engineers, the North Carolina Division of Water Quality (NCDWQ) and the N.C. Wildlife Resources Commission. All soil disturbances require prior written approval from the North Carolina Department of Cultural Resources (NCDCR). For further information regarding this approval, you may contact the NCDCR at the following address: N.C. Department of Cultural Resources State Historic Preservation Office 4617 Mail Service Center Raleigh, NC 27699-4617 Facilities may not be constructed in environmental/natural areas. Limited facilities may or may not be approved for construction in Impact Minimization Zones. Dredging may not occur during the months of March through June because of potential impacts to fish spawning. Dredging is not allowed in Impact Minimization Zones and environmental/natural areas. Dredging is not permitted in aquatic emergent vegetation beds or other environmentally sensitive habitat unless extenuating circumstances are involved. Dredging may remove only silted material, no rock or hard clay. Dredging must be such that water will drain freely from the dredged area when the reservoir level drops below the level of the dredged area. All dredged material must be immediately removed from Progress Energy property. Individuals performing the dredging are responsible for disposing of dredged material in compliance with the rules and regula- tions of the North Carolina Department of Environment and Natural Resources (NCDENR). For further information regarding the disposal of dredged materials, you may contact NCDENR at 1.919.733.1786. Notes: or ? ? D (Ct fi uO Irk l 6 (X)(j_en SXUAaJ 1. Page 1 of 1 BAUMAN, ROC W. 6 CONSTANCE L. 534 WINFIELD BLVD SE CONCORD, NC 28025 +-------22-------+-6-+ IPTO I 1 +-------+ 1 1 0 +---+ ---------- BAS IWDKI I I I I I I I I I I 3 I 5 3 I 9 I I I I I +-------22-------+ I 4 I 61474 1420 18 IT 14-PEE DEE (LAK 6574 12 85 8683 1 OF 1 JB 9/24/02 6/06/07 01 01 LOT 21; MAP 8 FAIRWAY SHORES RESIDENTIAL RESIDENTIAL R SPRINGWOOD RD 1 BAS Y 825 56,331 05 CEDAR/CYPRESS 2 FOS Y 412 25,332 3 PTO N 247 1,366 01 GABLE 4 WDK N 247 2,390 01 ASPHALT SHINGLES 5 WDK N 234 2,253 4 DRY WALL 6 BDU Y 825 16,933 06 CARPET 07 BRICK 02 ELECTRIC 08 HEAT PUMP 01 CENTRAL AIR #BR 3 #B 2.0 #F 1.5 GRADE C+010 COND F/A 1 0824 50 167 106 2 1.00 700.00 2 3 4 5 6 MKT ADJ TOTAL AC 49 BOAT SLIP 21 34 14 DOCK_ PIERS 20 20 14 DOCK-PIERS 5 40 08 BULKHEAD MONTGOMERY COUNTY REVAL 2004 TIME/DATE 11:44:01-04/09/09 Y4-TONYAE TOTAL HEATED AREA 1237 TOTAL AREAS 2790 TOTAL BASE AREA 825 BASE RATE 52.00 SIZE ADJ B/R 62.40 EXT WALL ADJ 2.76 HEATING ADJ 1.56 A/C ADJ 1.56 # FLOORS ADJ NIS WALL ADJ HT COMM WALL ADJ ADJ BASE RATE 68.28 BASE BLDG VAL 98596 N/H BLDG VAL 6009 BATHROOM ADJ 4000 FIRE PLACE ADJ 1993 1993 STKS-0 0PNG-0 BUILDING VAL 108605 SPR- HTD- A/C- GRADE ADJ 119466 %CMP- DEPRECIATION 105130 .88 NEIGHBORHOOD 26283 1.25 EOBS BOOK PAGE MO YR IN Q PRICE FOBS 464 89 02 02 01 H 314,500 BLDG APR VAL 131413 131413 245 780 90 35,000 OBXF VAL 5815 PRIOR OWNER 25621-SIDES, DONALD KE LAND VAL 41552 TOTAL THIS CARD 178800 FF/FT 15 02 41,552 01 02 03 112 2 TOTAL ALL CARDS 178800 L 41,552 B 80,210 O 9, 016 T 130,778 %OWNED 1.00 .15 41,552 F/U VAL 714 5.00 1.00 B 91 .500 1,785 C HSE s WDK-SIZE EQUIVALENT 400 7.00 1.00 B 91 .500 1,400 C REF464/89 ACTUALLY RECD 200 7.00 1.00 B 91 .500 700 C 2/25/03 193 20.00 1.00 L 91 .500 1,930 C http://arcims.webgis.net/linkedfiles/nc/montgomery/Propcardsl65741657412858883.htm 5/22/2009 Page 1 of 1 General Map of the'Yadkin-Pee Dee River Basin in North `Carolina a t 703.07-02 _ 03.07.01 WATAUCA Rr} h?Y?aMr CA,Owaic ti ar?'xarxa?R {ati 4 ? nnr O tI,' 19 h: ° '}a -1 -4 tl?Ct'L.NF?RC ?F¢ 1 yr wa... ?q rra t1 '.Y.. t 03.0 11?.. Legend CD River Ba in Boundary CD Subbasin Boundary i County `Boundary Primary R'oads Hydrography Municipality 03.07.03 STCWEF ' t I j ROMU HAW 03.07- 03 -0 7- 07 J v, i "* 03.07.09` j r `? ar.rl j g(' 4V 4nrr PANDOLPH 1 lies t ° ?f yp? ? A U j ?...? 03 7. 8 l0, Q 10. 20 MI" AOA NCDENR Planning Branch Basinwide Planning Program Unit March 27, 2003 htti)://h2o.enr.state.nc.us/basinwide/images/yadkin-i)eedeeReneralmaD.injz 512212009 Montgomery Co., NC -- Printable Map. J Sale Year: 02 r Montgomery Co., NC l? I? Page 1 of 2 Parcels Parcel No: 6574 12 85 8883 Parcel Address: 0 SPRINGWOOD Parcel Owner: BAUMAN, ROC W. & CONSTANCE L. 534 WINFIELD BLVD SE CONCORD, NC 28025 Lot Number: LOT 21; MAP 8 Legal Description: FAIRWAY SHORES Deed Reference: Bk. 464 Pg. 89 Land Area: acres Year Built: 1993 Building Value: $131,413 Land Value: $41,552 Other Value: $5,815 http://arcims.webgis.netlnclmontgomery/printable. asp?process=id 1 &x2=1678955.48&v2=... 5/22/2009 Montgomery Co., NC -- Printable Map Total Tax Value: Sale Price: Page 2 of 2 $178,800 $314,500 DISCLAIMER: The information contained on this site is furnished by government and private industry sources and is believed to be accurate but accuracy is not guaranteed. Mapping information is a representation of various data sources and is not a subsitute for information that would result from an accurate land survey. The information contained hereon does not replace information that may be obtained by consulting the information's official source. In no event shall Montgomery County, NC or the consultants of Montgomery County, NC be liable for any damages, direct or consequential, from the use of the information contained on this site. http://www.webgis.net Anderson & Associates, Inc. http:/twww.andassoc.com http://arcims.webgis.net/nc/montgomery/Printable.asp?process=id 1 &x2=1678955.48&y2=... 5/22/2009 Montgomery Co., NC -- Printable Map Sale Year: 02 Montgomery Co., NC Page 1 of 2 r I 10" /I Parcels Parcel No: 6574 12 85 8883 Parcel Address: 0 SPRINGWOOD Parcel Owner: BAUMAN, ROC W. & CONSTANCE L. 534 WINFIELD BLVD SE CONCORD, NC 28025 Lot Number: LOT 21; MAP 8 Legal Description: FAIRWAY SHORES Deed Reference: Bk. 464 Pg. 89 Land Area: acres Year Built: 1993 Building Value: $131,413 Land Value: $41,552 Other Value: $5,815 httD:Harcims.webgis.net/nc/montgomerv/Drintable.aSD?process=id 1 &x2=1678955.48&v2=... 5/22/2009 Montgomery Co., NC -- Printable Map Total Tax Value: Sale Price: Page 2 of 2 $178,800 $314,500 DISCLAIMER: The information contained on this site is furnished by government and private industry sources and is believed to be accurate but accuracy is not guaranteed. Mapping information is a representation of various data sources and is not a subsitute for information that would result from an accurate land survey. The information contained hereon does not replace information that may be obtained by consulting the information's official source. In no event shall Montgomery County, NC or the consultants of Montgomery County, NC be liable for any damages, direct or consequential, from the use of the information contained on this site. http://www.webgis.net Anderson & Associates, Inc. http://www.andassoc.com httD:Harcims.webgis.net/nc/montaomery/i)rintable.asi)?Drocess=idl &x2=1 678955.48&v2=... 5/22/2009 Montgomery Co., NC -- Printable Map Sale Year: 02 Montgomery Co., NC Page 1 of 2 FAIRVAY SaiORES $ 84,37 81.86 S® 79.4 9CF (ASS) (XM lass ? 8814 eWa (-26A) ` (-30A) 7tn 7862 ;_s1} ?J' 121A) 7X29 r.. {, 41Aj 't - s 6774 ?t .22A I' i f vg's-&!q b£,2 • t`. ?,j,y 5 ioon f - V Parcels Parcel No: 6574 12 85 8883 Parcel Address: 0 SPRINGWOOD Parcel Owner: BAUMAN, ROC W. & CONSTANCE L. 534 WINFIELD BLVD SE CONCORD, NC 28025 Lot Number: LOT 21; MAP 8 Legal Description: FAIRWAY SHORES Deed Reference: Bk. 464 Pg. 89 Land Area: acres Year Built: 1993 Building Value: $131,413 Land Value: $41,552 Other Value: $5,815 htt,P:Harcims.webizis.net/nc/montgomery/t)rintable.aSD?process=idl &x2=1 678955.48&v2=... 5/22/2009 Montgomery Co., NC -- Printable Map Total Tax Value: Sale Price: Page 2 of 2 $178,800 $314,500 DISCLAIMER: The information contained on this site is furnished by government and private industry sources and is believed to be accurate but accuracy is not guaranteed. Mapping information is a representation of various data sources and is not a subsitute for information that would result from an accurate land survey. The information contained hereon does not replace information that may be obtained by consulting the information's official source. In no event shall Montgomery County, NC or the consultants of Montgomery County, NC be liable for any damages, direct or consequential, from the use of the information contained on this site. http://www.webgis.net Anderson & Associates, Inc. http:/twww.andassoc.com httD:Harcims.webgis.net/nc/montgomery/i)rintable.asi)?process=idl &x2=1 678955.48&v2=... 5/22/2009 Shoreline Use Classification Map 05-26-2009 04:11 PM FROM-MONTGOMERY COUNTY SOIL AND WATER +9105729066 T-569 P•002/003 F-038 06 v u ?' % {Roc :Bauman=-?? V4 IWPJ) 41 ?. Mt:" .G?lead =Westr USGSTo o =.Qu scale= U:24,0,OOr \111 -?M s;;??r l t \ `rl?? • f • , \\, I `1 _.,".r ,r?',-'r:`. „ti?.4• F ?'•r .-•?'j ?lT?'r±,..1i:1?'? •??''?1 ?? ? _? l + ? ' ???_• •. \,?...? ? `.1 l 1'? .?\ -ZA 41 z? ci ':G;.? ,? '.a: ? ,! l` :..?/. r (J S3 ??? ?-' 1111 '?;-?.? ?r,ii' '' y ?•??/ P '?r_„ :°;?. ` C?ao? u ? .,{;;,.?? , ???.?. { ? `rte p •-? ? ???o?.? ;•?;,_•?' ?;: ??./?? ? ,.: 1.1 !'? «? '2 ? ? ? ? ?! ?ie \`i.?? ?:,. fir. .J ?. ?? ???1? nY. E: ?•1: •???•`'':•. •::t?'.. ? ? ? ti • ? cry Q Legend '44 r7l J i roc-bauman 51000 21500 0 5000 Fee s05-26-2009 04:12PM FROM-MONTGOMERY COUNTY SOIL AND WATER +9105729066 .;r . Roc, Baurna Mt G Ileac) - West Uses ?. Scale 1?:1\? FFF 5,µ \?' • may] 'i- •rMr .a- T-569 P.003/003 F-038 Vpo Quad _ Nth Legend x?^ roc-bauman 28000 11000 0 1 ? 2.000 F 09-0 63 1 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 $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. Applications should be sent to: $PAID 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: Mailing Address: Telephone Number: Fax Number: OE-mail Address: \ Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority ?foJr the owner/applicant.) w 1 Name: R 0 t a b L lJO&A V. b"/ Ics Av _ Company Affiliation: Mailing Address: Telephone Number: E-mail Address: -1 cl? 4 S& I (SbU?v?, nca? 604 Y19 a 39 Fax Number: `i?w0VkV P, q0 a6V? l - c 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. ?` ?t r a s'? N a B'ya?? ?''? ?" 1. Location --f/ 0 -1 County: Nearest Town: b Yt+ Subdivision name or site address (include phase/lot number): W( vrr-- (?7 Directions to site please incl ride road numbers, landmarks, etc. (This is not necessary if an adequate icinity map is included): h 2 a ?i b J - A,Uf 2. Describe the existing land use or condition of the site at the time of this application: I? 3. Property size (acres): - I r 4. Nearest body of water (stream/river/sound/ocean/lake): Ulu TI l Of-1.1 5. Describe the purpose of the proposed work: L!dl -A U ? 6. List the type of equipment to be used to construct the project: IM,i 0? n b : 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the i normal pool lake level in square feet or acres: 5b X = rj D S? 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: 8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted (number of trees for instance):, 00 ? T'? ? '1 u + F)d_ O Yt "' a + P Chi e. rl ? I alp- . n0/6 Signature Date n letter from the applicant is provided.) is?only an auth Mt 3-1 'yf°'i y'?5:: } ;i+ ? :r,'??`? ?. °,S. t, b '[. I.n). J/};i,'• ???. .? ie'E. ??.? } S i". .. ?' _ Y x a ?w6 'L':. ,VS ?... d wi: _..? Yi•_. .. r.. :AL`:53`.Fyai iA below full gftxmft e?1 pand lift ft'tt FMW , "LA L Please a +oxinudely soh the folming information on iris plan provide dimensions f* ech Nam, such as Ill ft. x 100 lt): 1) M propoeed vegetation clamUo (provide dUnendons) A Location of rip rap or fill to he planed abate the ltd elevation 3) L.ecaffan of rip rap or fill to be placed below the Pull Pnnd elevation 4) The lotion or arty proposed elruchiree eeoh as bauildin , reMning wags, dordce, ate. 6) The location of any excavation or dridging beer the Pall Psi elevation. LoeaGm of +censtrau n a mess carridom Please approain? Skek h the folawing informadon an plan aflame prmldo ilkwWans for each Rem, such as 10 IN. x'IN ft): 1) All proposed veWation cla rirg (provide din tenAme) Lacataen drip rata or fill to be placed above the FO Fandeieve loo, 3) Lormffn of rip rap er fill to be placed belaw the FkA Pond elevation 4) The location of mW prepmed Wuctum such as buiidinge, retaining wafto dock% etc. 5) The location of arw excavation or dridgirg blow tho Fug Pored elevation. 6) d of cal' tructlI 1 mesa; cerdelam