20061566 Ver 1_COMPLETE FILE_20060927

O?O? W AT ?9QG
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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
November 14, 2006
Mr. Clyde Kelly
101 Clyde Kelly Road
Semora, NC 27343
Subject Property
E. Clyde Kelly Property
Hyco Lake [030205, 22-58-(0.5), WSIV, B]
Approval of 401 Water Quality Certification with Additional Conditions
Dear Mr. Kelly:
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project # 06-1566
Person County
You have our approval, in accordance with the attached conditions and those listed below, to excavate
within approximately 0.0688 acres of the Progress Energy lease area (Hyco Lake) adjoining your
property, as described within your application dated September 25, 2006, and received by the N.C.
Division of Water Quality (DWQ) on September 27, 2006. After reviewing your application, we have
decided that the impacts are covered by General Water Quality Certification Number(s) 3492 (GC3492).
The Certification(s) allows you to use General Permit Number 198200030 when issued by the US Army
Corps of Engineers (USACE). In addition, you should obtain or otherwise comply with any other .
required federal, state or local permits before you go ahead with your project including (but not limited
to) Erosion and Sediment Control, and Non-discharge regulations. Also, this approval to proceed with
your proposed impacts or to conduct impacts to waters as depicted in your application shall expire
upon expiration of the 404 or CAMA Permit.
This approval is for the purpose and design that you described in your application. If you change your
project, you must notify us and you may be required to send us a new application. If the property is sold,
the new owner must be given a copy of this Certification and approval letter and is thereby responsible for
complying with all conditions. If total fills for this project (now or in the future) exceed one acre of
wetland or 150 linear feet of stream, compensatory mitigation may be required as described in 15A
NCAC 2H.0506 (h). This approval requires you to follow the conditions listed in the attached
certification and any additional conditions listed below.
The Additional Conditions of the Certification are:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and general
conditions of this Certification (or Isolated Wetland Permit) are met. No other impacts are
approved including incidental impacts:
Amount Approved Units Plan Location or Reference
Excavation in waters (H co Lake) 0.0688 (acres) Application
401 Wetlands Certification Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] /FAX [phone] / Internet: htto://h2o.enr.state.nc.us/ncwetlands
Nom Carolina
i
Aatura!!y
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper

Mr. Clyde Kelly
Page 2 of 3
November 14, 2006
2. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond
the footprint of the impacts depicted in the Pre-Construction Notification. All construction
activities, including the design, installation, operation, and maintenance of sediment and erosion
control Best Management Practices, shall be performed so that no violations of state water quality
standards, statutes, or rules occur.
3. Erosion and sediment control practices must be in full compliance with all specifications governing
the proper design, installation and operation and maintenance of such Best Management Practices in
order to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Sediment and Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control
measures must be such that they equal, or exceed, the requirements specified in the most
recent version of the North Carolina Sediment and Erosion Control Manual. The devices
shall be maintained on all construction sites, borrow sites, and waste pile (spoil) projects,
including contractor-owned or leased borrow pits associated with the project.
c. Sufficient materials required for stabilization and/or repair of erosion control measures and
stormwater routing and treatment shall be on site at all times.
4. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control devices in wetlands and waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
Division of Land Resources has released the project;
5. Protective Fencing - The outside buffer, wetland or water boundary and along the construction corridor
within these boundaries approved under this authorization shall be clearly marked with orange warning
fencing (or similar high visibility material) for the areas that have been approved to infringe within the
buffer, wetland or water prior to any land disturbing activities to ensure compliance with 15A NCAC
2B.0233 and GC 3404;
6. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable
Buffer Rules, and any subsequent modifications, the applicant is required to return the attached
certificate of completion to the 401 Oversight/Express Review Permitting Unit, North Carolina
Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.
Violations of any condition herein set forth may result in revocation of this Certification and may result in
criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct
impacts to waters as depicted in your application and as authorized by this Certification, shall expire upon
expiration of the 404 or CAMA Permit.
If you do not accept any of the conditions of this Certification (associated with the approved wetland or
stream impacts), you may ask for an adjudicatory hearing. You must act within 60 days of the date that
you receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of
the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center,
Mr. Clyde Kelly
Page 3 of 3
November 14, 2006
Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a
hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Cyndi Karoly or Ian McMillan in the Central Office in
Raleigh at 919-733-1786 or Eric Kulz in the DWQ Raleigh Regional Office at 919-791-440.
AWK/ijm
Enclosures: GC 3492
Certificate of Completion
cc: USACE Raleigh Regulatory Field Office
Eric Kulz, DWQ Raleigh Regional Office
DLR Raleigh Regional Office
File Copy
Central Files
Zly,
Alan W. Klimek, P.E.
Filename: 061566E.ClydeKelly(Person)401_GP30
?Maintain Inspection -7:
Sri In ction Events_ lla s ecto s-, Ouestions? .Summai_?
Project Number: 20061566 Version: 1.0 Status: Received SW Plan Location:
Project Name: E Clyde Kelly Project Type 'Bank Stabilization &Shoreline Stabilization (sills, rip rep)
Owner. E Clyde Kelly Details
Inspection Date' 7!2006
#Comment
Is the riprap necessary. or can it be done with matting and vegetation? I know riprap is probably cheaper. •

1
Cancel
I i
Ready -- - I _.. -- -- SID:INOS -
20061566 E. Clyde Kelly - Person County
Subject: 20061566 E. Clyde Kelly - Person County
From: Eric Kulz <[e-mail]>
Date: Fri, 27 Oct 2006 14:51:35 -0400
To: Ian McMillan <[e-mail]>
Ian:
Land owner is removing sed. from a cove in Hyco Lake, then wants to do 200 feet of
riprap to stabilize shoreline. Any chance of matting and vegetation? I know
riprap is cheaper ........ don't know if we can ask for that.
Looking at tax map, it doesn't actually appear that the cove area he is working on
abuts his property; at least not where the riprap is going.
This is the first lake impact I have ever looked at; I'm not sure how much latitude
we have to ask for things.
Anyway, my comments are on BIMS.
Eric
Eric Kulz <Eric.Kulz iDncmail.net>
Environmental Specialist III
Surface Water Protection
NC Division of Water Quality
1 of 1 11/14/2006 10:53 AM
Triage Check List
Date: 2-11 o 4 Project Name: <r_
DWQ#: co 1 Gc
County: 2elr's w-
To: ? ARO Kevin Barnett ? WaRO Kyle Barnes
? FRO Ken Averitte ? WiRO Noelle Lutheran/Joanne Steenhuis
MRO Alan Johnson/Barry Love ? WSRO Daryl Lamb
RRO Eric Kulz
From: ye.Karlr tnsSC Telephone : (919) 71s- (too--U'
The file attached is being forwarded to your for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
? Wetland determination and distance to blue-line surface waters on USFW topo maps.
? Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
? Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concern
Comments: %?r v 0%$g_0
c s chi me 4 S" ry-
t tt5i?A )PO'k. C'kAt
Lc?.

The following is an abbreviated application form for those applying for a 401 Water
Quality Certification to. impact FERC (Federal Energy Regulatory 6mmission)
regulated lake shore or bottom under the U.S. Army Corps of Engiieers 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 I acre.
Applications should be sent to: ? !) ?'
C) Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
a
1. Applicant Information
1. Owner/Applicant Information
Name: t
Mailing Address:
'For Ny4co take
I so senot 40 - [phone]
x-13
ERIC C. ALSMEYER
Regulatory Branch
US Army Corps
of Engineers
Wilmington District
l
6508.Falls of Neuse Road
Suite 120
Raleigh, NC 27615-6814
1?:Ax (q1V Vi6.58a3
Telephone Number: ,536 . 36 Fax Number: 33 6 51-71F 5q ZS
E-mail Address: (' /? rtT•s? S?Nt zT
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:
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
SEP 2 ? 20U6 _ .
DaNR - wATER QUALITY
yETLPNDS AND STORM+N9ER BWNCH
W
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: 01 Nearest Town: doxz)
Subdivision name or site address (include phase/lot number): r 2 eAu 5^729V
Directions to site please include road numbers, landmarks, etc. This is not.
necessary if an ade uate vicinity map is included): fi five ?'?yyy, br A -0
A2 o-- f
?A.?or 2 mfr/cam m,.e /o?'.
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2. Describe the existi
ition of the site at the time
3. Property size (acres) 2 Z 46,w-
4. Nearest body of water (stream/river/sound/ocean/lake): A16 a. L 4L
5. Describe the ose of the proposed work: Zoir-Ve -9 ' A-s W-We ed/
'h4 015?
I tt" 1L < 6iG
/rYg
6. List the type of equipment to >fe used to c`nstruct the project: ok C z4elGfloe,
7. Amount of impact (including all excavation, backfrll, rip rap, retaining walls,
etc.) below th no al pool lake }evel in quare feet or acres:
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:
b. Please describe vegetation above the normal pool lake level anc? 51 feet land-
ward to b impa ted numb o trees for instance): :20 ,f l L
rtJ G' S C/ G 53; e
ApplicatftT s Signafurel Date
(Agent's s' tore is valid o y i authorization letter from the applicant is provided.)

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Please a.ppraximately sketch the rotro Inn formation on ffils p1 i
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1) l Propos cl vagetation d a; iri { r .id darn sc ns
) ovation of rips rip or fill to be plat d above' ire Fo,It P,-and ciev4fan
3) Location of rip rap or Fill to b placed below. the Full F'and elevat%n
-4) The location of any proposed S'tructure s.uc as buildings, re'tainin
The location of any excavation or dr dging bc'low the Full Rand
elevation.
6} La flan o co.nstrucsff to access carrid rs.
L ke (F.iill Po d)
Fle a approximately -sketch the t-ottowtng format on ?cn toss Plan
(;tease provide &t enions for ea6h heft. i such as 10 ft. x IGO ft):
fi fiff proposed vaq Ration I Arta, (provid dime Tons
.2) ILoc:tion of rlp rap r fill to be placed above the Fall Pood elevation
3) t ooation of. rip rap or fill to be placed below the Full Pond tie vation
The l c tint of on 'proposed structures such as bu ldl s, retaining
watlsr dodks, etc,
The location of any ,excavation or ridgin below the Fu11 Pond
;elevation.
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The following is an abbreviated application form for those applying for a 401 Water
Quality Certification to. impact FERC (Federal Energy Regulatory ?oinmission)
regulated lake shore or bottom under the U.S. Army Corps of Engi eers Permit
GP30. This Application cannot be used for wetland or stream impacts. Please
provide seven (7) copies of this application and supporting informatiah 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 treater or equal to1 acre.
2 o o o 9 5 G 6
Applications should be sent to:
C) Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
s
I. Applicant Information
1. Owner/Applicant Information
Name:
Mailing Address:
Telephone Number:
E-mail Address:
for Ny.co tAke
t} l so sen? ?o : [phone]
x
ERIC C. ALSMEYER
Regulatory Branch
US Army Corps
of Engineers
Wilmington District
6508.Falls of Neuse Road
Suite 120
Raleigh, NC 27615-6814
rkx Cg19) 576-58x3
Fax Number:
NC . N e- 7-
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:
11. 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
. D LSVLS? V l5
DD
SEP 2 7 2006
DENR - WATER QUALITY
WETLANDS AND STORMWATER BRANCH
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 16 County: Nearest Town: do., tZ
Subdivision name or site address (include phase/lot number): r 2
Directions to site please include road numbers, landmarks, etc. This is not.
necessary if an adequate vicinity map is included):e nlc?c? o
2. Describe the existing land use or conditi n of e site at the time of this
ap lication: A ¢ C iN 1s ee i n wed v? e A
e- a A ee? l- e' ov e_ ? chi 2e
? e
3. Property size (acres): ?Z ?-
4. Nearest body of water (stream/river/sound/ocean/lake): D Z)4/-,2.,
5. Describe the pprposcAof the proposed work:k-lol/yG 5'? 7??ftT ?1A5?CVksfe?
Uff Q'6e-r-' vo>" d)plle el?
6. List the type of equipment to lfe used to c nstruct the project:
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below thg normal pool lake Jevel in?square feet or acres:
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
sauare feet or acres: AX_.,,t4 /A-?4 ,A-Y
b. Please describe vegetation above the normal pool lake level and SA feet land-
ward to b impa ted numb o trees for instance): : Zo ,f l L
stJ G' !? -S ? U G sSi ?
Applicad ,g ?t"s SignAwel Zauthorization Date
(Agents s' ture is valid o y i/ letter from the applicant is provided.)' .

Please a proximately ketch the roftoVrng nformation lorl its DwI
lease provide &m enions for cacti tern, Luc a 10 lrt. x IB!O ft)
1) All propwie,d ve-Sg ion clea-irag {(provide dimmenslaw )
.2) Location or rip rah ar fill to :fie plarfrwd abo4e the Fulf Pend cte-nation
3) Location or rips raps or dill to be placed below. the Full Pond elevation
-4) The location 0f a W.prOposed. structures s'Urh as :l uildin?5, retaining
The location of any excavation or dr dging below the Full Rc nd
elevation.
ll) Lava tout construc<thn access corridors.
Please ap roximatel sketch the ro'Cto ing infcr matfon on this Plan
('C I a se provide dixti nsions for each item, suctr a I Oft. X UO °tt)
1) 1 proposed veg taffo r clearing Pr vid dimensions)
2) LLcc o of rips rap.=,or fill to be placed above the Fug 111 Pond elev ton .
3) Location of. rip rap or till to be placed below the Full Pond =elevation
4) The locationof ,my Proposed structures such as btr ldin , r .t-A nin
Wills, dock cfc
rfie location of n- excavation or gin below- the Pull Pond
elevation.
6 Location of zonstrutfion,accesscarrldors.
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CONTROL _
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{ Cp ? 01 2 LOT 1 AND 0? -
IF PART OF LOT 2 o
"CRYSTAL BAY" - IF
PLAT CABINET 1 PAGE 388 i'
PLA! 'CAB1NE1 13 PACE 985
-' U)
tQ /1 0 Q0
Z
-
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N38.55'13"W IS \
27.40' }
\\
IF IF
1.22 ACRES
0 ;
CAROLINA OWER a -
8 LIGHT C PANY IF -P
HYCO LA IF
(b \V/
4- 1. 1°j ?-_ 1 5' WASTEWATER
IF V ?1 LINE EASEMENT
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I S ROBERT A. CARROL L
?s D.B. 529 P. 442
9l "CRYSTAL BAY"
0'-? 's0 LOT 3
IF PLAT CABINET 13 PAGE 985
?V
tipR• 0. 65 AC. PLAT
?S
os
4 CONTOUR 09 8
CAROLINA POWER
& LIGHT COMPANY
HYCO LAKE
IF
Nss °OJ ,
6 ? 2s "?Y
39
IF
NOTE:THE 60' ACCESS EASEMENT CROSSING
PART OF LOT 3 , LOTS 4, 5 AND
PART OF LOT 6 WAS TERMINATED AND
AOnninnkJr-r% nil nr--- r.,...., -'-- __.
1k
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 informatioh 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: 2 0 0 (1 G
C? Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleia?h. NC 27699-1650

I. Applicant Information
1. Owner/Applicant Information
Name:
Mailing Address:
Telephone Number:( .
E-mail Address: 61
Fax Number: 33 6 SqF 55 Z,S
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.
Q _
SEP 2 '? t006
'ForrNy49o JLf ke
i $o seh? To [phone]
X-2
ERIC C. ALSMEYER
Regulatory Branch
US Army Corps
of Engineers
Wilmington District
Lu-
6508 Falls of Neuse Road
Suite 120
Raleigh, NC 27615-6814
r:AX 619) 976.55?3
DENR - WATER QUAUTY
BRANCH
WETLANDS AND STORKATER
t
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: 4,( 671 Nearest Town:- J416 doxe)
Subdivision name or site address (include phase/lot number): r 2 ftl E A
Directions to site please include road numbers, landmarks, etc. This is not.
necesspry if an adequate vicinity map is included): I j}ve ('? ?7r ? j? a7-
4 oT 1-t2, . -m62tI A LC Z73sF3
2. Describe theexisting land use or londitip of ql site at the time of this
3. Property size (acres):2 Z '4&W_
4. Nearest body of water (stream/river/sound/ocean/lake): 8116D Z 4
5. Describe the pumoseAof the proposed work: Aoeinive 5'? 7G1f7T__CIRS. w._s_/ Y
ti .11? ,
6. List the type of equipment to lfe used to c`tfnstruct the project: ?r X-A-16h0 e,
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below th no/Xt71\al pool lake /level in square feet or acres:
?L57rA 'e /?7rJ oo D/
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: /1rLi ` 'q?yArZ= ??pc? &e,
b. Please describe vegetation above the normal pool lake level an4 50 feet land-
ward to b impa ted numb o trees for instance): :U h = L
,clered ma
V. fn x140 ft

r AlOIzlt+? fu.11
ELb DVU full.
L-1--l" E
Please appraximMely sleet h the rollolfrng rn formaFforl = n this pC m
i?lease no vide dimensions fbr each ati rm, sudh'as, 4, D t. x ITT ft)
1) AN propw?ed. vegetation clearing (provid ? imvensions)
.2) Location of rip rAp ror fill to be p1atim d abovm:th Full Pend efevatiun
3) Location or rip rap ar fill to -be placed below. the Full Pond elevation
W T Crieattor of an Proposed structures sui:l? as bhiCdings, retai*
'waIls#.do s, etc,
'the location of any, excavation. or edlging below the Full.Rorrtd
elevation.
6) L m tion =c f constru tlon access --orridors.
Please apProximate,ly sketch the following ftaformaffron =fin tl,'Is Plan
(,?tcase provide dim nslo* ns for eacb item sucb a: 10 fl. x 0.0 ft)
Aft propou d vegetation clearin (provide dimens oars
2)l ovation of rip rap.or-rill to be placed above the Fall farad elev tloo .
3) Location of. rip rap lair fill to be placed helow the F'.ll Pond elevation
4 The location of any proposed strmtures. such as btfildings, re ainlra
aCls, do l€s, etc,
The tocat on of any excavation or de"edging below. the Full Pond
:ele°vtion.
6 Ltacatton of on truction ac-ccss corridors.
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0
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I h"E
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i 0co w 5?g_2
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40
= LOT 1 AND 0? /
IF PART OF LOT 2 0
"CRYSTAL BAY" tO - IF
PLAT CABINET 1 PAGE 388
PLA! CABINET 13 PACE 985
0 \
r,j ?l //i?lLl Y f `'Yl?l \ c1 Q0
41 44e I
N38°55' 13"W a, IS
27.40'
v' rn
IF IF
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'-
CAROLINA OWER \ \ 0-
& LIGHT C PANY IF -P
HYCO LA V IF - .1
-tk- c? 15, WASTEWATER
^ -? G ^ LINE EASEMENT
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is ROBERT A. CARROL L
<FP D.B. 529 P. 442
ULOT 3 "CRYSTAL BAY"
CABINET 13 PAGE 985 ,'0.65 AC . PLAT
CONT OUCAROLINA POWER IF /V6S a0)
& LIGHT COMPANY 61 3 2S„
HYCO LAKE
IF \
NOTE:THE 60' ACCESS EASEMENT CROSSING
PART OF LOT 3 LOTS 4, 5 AND
PART OF LOT 6 WAS TERMINATED AND

The following is an abbreviated application form for those applying for a 401 Water
Quality Certification to. impact FERC (Federal Energy Regulatory ommission)
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 I acre.
?> ? ? ? ?akC
Applications should be sent to: 0 0 E? IFor Ny41Co o [phone]
4150 SBn4
C) Division of Water Quality Wetlands Unit X
'
1650 Mail Service Center
Raleigh, NC 27699-1650 Regulatory ERICatory ALS Branch
ranch
US Army Corps
of Engineers
1. Applicant Information
1. Owner/Applicant Information
Name:
Mailing Address:
Telephone Number:
E-mail Address:
Wilmington District
Fax Number:.,
Sju NC - "u z
7-
6508-Falls of Neuse Road
Suite 120
Raleigh, NC 27615-6814
r,4k (9?9) 576-583
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:
If. Project Information
Fax Number:
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
• • • _ o C?C?C?D?IG p
D.
Q
SO 2 7 2006
DENR - WATER QUALITY
WETLANDS AND STORMWATER BRANCH
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: 4Z.1?01 Nearest Town: do x1e)
Subdivision name or site address (include phase/lot number): T- 2
Directions to site please include road numbers, landmarks, etc. This is not.
necessary if an adequate vicinity map is included): ? lfive On1h bi ty,4 e?o:
2. Describe the ?existin land use or conditi?n of t1 e site at the time
3. Property size (acres): Z Z i4
4. Nearest body of water (stream/river/sound/ocean/lake): ( cD. L
5. Describe the vurvosenof the proposed work: Aoen?/ve 5,e. 1667_ 2AS lv?s/?e?
"/e 1s 1 r!x i iiv s dam, ??
6. List the type of equipment to lfe used to c`zfnstruct the project: Li C , e?lc
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below thg nopual pool lake Jevel in,square feet or acres:
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: iV /J ,41-y o t j w/zr- ??DV /CG2?l Le
b. Please describe vegetation above the normal pool lake level anq 50 feet land-
ward to b impa ted numb o trees for instance): :28 h 4 s L
et/ l? S / CJ G s5 t'
Applicaiffl s Signafurel Date
(Agent's s' tor6 is valid o y i authorization letter from the applicant is provided.)
clo rd area
1'ftx1G4ft

p. bultw full
ond _5.It x I53 ft
p
t6 ave full
p:and
Please e l r xi te'f l etch the tt tir n i formatton wi ThTs plan
(please provide diniensiens for each item, ucb'as 10 ft, x 100 ft):
1) X11 propo-erg vegetation e1ciakring {provide dimen'sTans
.2) Location of rip rap or fill to be pl-ac#d above the Full b=and elev ftan
3) Locatiar) of rip rap ? r fill, to be° placed below the Full F=und elevation
--4) `The Jccation of any p pored sfrUetUre SU 'ch hu ldings, re aiii,in
waifs, doc s c fo,
the location of any excavation. ar dredging below the Fill a .ad
elevation.
l6) Location =4f construe-ti n access corridors.
IV
MPLE
please ap roximate'ly ,sket h the ro rrowing nform ion on this plan
(please provide dlinenslons For each item, such a 10 ft. x 100 tt
?l l propose4 vegetation cloafing {p vid din rrs?o
2) Loc-atlon of rip rap or fill to be priced above the Full Pond. ele t o
3) Lo ation of,, rip rap or fill to be placed L elow the Fu l Fond elevation
4) The ;location of ?iqy proposed structures. such as uildin s, retaining
v ilsw do.oRs, etc,
The To cation of any excavation or deedging below the Full Pond
elevation.
6 Loeat an at tonstruetion ecess corn'' s..
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CAROLINA POWER IF N6s'??
& LIGHT COMPANY 61 39
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HYCO LAKE
IF
NOTE:THE 60' ACCESS EASEMENT CROSSING
PART OF LOT 3 LOTS 4, 5 AND
PART OF LOT 6 WAS TERMINATED AND