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HomeMy WebLinkAbout20061462 Ver 1_Shoreline Stabilization_200609112006~~~2 The following is an abbreviated application form for those applying fora 401. ~\~ar. 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 - ~~~ `n (0)Scopies 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 akT b om of greater or equal to 1 acre. Applications should be sent to: Division of Water Quality Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 F .. ..:.' '.. ~; ,tii I. Applicant Information 1. Owner/Applicant Informati~ Name: ~- ~~\~ a 1.~7ry~ R ~~) ----- Mailing Address:__Sy 1 S : M~1 ~ 5~T _ _ _ Wad F~~z~s ~ ~ ~~-~ Z~ s~31 _ _. Telephone E-mail Ads Fax N --=~' 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: II. 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 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 ~~~~~` n ~ ~l S~ County: Nearest Town: _ __ _ _ Sutilivisi~n name •r site address (include phase/lot number): _, ~ __ Directions to site please include road numbers, landma ks, et (This is r,>~ , ~70.j nec,ry if an~dequate vicinity map is included):_~ ~~~-_~., 2. Describe the existi application:~1jY or the sire at the ,tune of this 3. Property size (acres) 4. Nearest body of water (stream/river/sound,~ocean/lakel: ILQ,~~.L_ wD l~rt.rt~i _ _ 5. Describe the ppurpose of the roposed work: Q(,~(~, U~~ ~ ~ DOI~- Yto l(,s'~. ~.le X a. b . ~ 1 O1C l~ rl or1~S ~ fr' ~'P~-4- o S-~l~u. 6. List the type of equipment to be used to construct the project: E?~C.G~ V~Y _ 7. Amount of impact (including all excavation, backfill, rip rap, retainin walls, etc.) b low tl#e no al ~~??ool lake level in square feet or acres: ~ ~. ~~°'~' 1~ o~ ~ f'~" I ~ S~V ~ o0.~-~OuSe 8. a. Amount of unpact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the ormal pool lake 1 ve and 50 eet land-w rd in ~ n square feet or acres: -~' ~ ~ Z-b ~eP.~ ~~ ho~,j _ ~ #~ r ~ S ~. c vJ aJU b. Please describe vegetation above the normal pool ke level and 50 feet land- ward to be impacted (number of trees for i.nstance): ~elil -~f2CS and ~rl A'p~IicafrClAgent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) ~ , ... &'~ f <°r ~ ~~ ~ ~ 'tea ~. . >; ~'.. ,: . ~a~,, .. , r '~ F ~: ti~ T'~~-~-" Page 1 ~. t ti~°~ ,psa, r 22x81 ~`',~ 20548 http://www.co.franklin.nc.us/output/franklin_WEBSERV217629044642.jpg 8i 10!2 ~;' ~_ ~~~ _ . /1 ._ 11~~ -s! Rleaze appr~xirn~e~r sketch the fo~avrring 's~farn7atian on his Rlarr (pteege pr~wlde cimienslons iar eaeh them, such as ~!~ tt. x ~ o~ (ty: ~~ All propa~e~l vat#atiQn cteartn~ (pmvlde~ dinten~ians) .2) Lflcation QF rip rap or fill to be pl~rced aborts the t=~~ P~ot~d clevatlon 3) Location of rip rap ~or fill to be placed 6elaw the Fu® Pand elevation ~~ The locactl~an ~f ~ p~r~pc~~ed stx~turea h as t~~tiding~, retalnln~ wa11s, dQdc~, v~~c. ~y The t~c~tion of artyexcavation ar edging ae14hr ~e Full Pend elevation. ~~ Lo~ce~tierr of c~nt~strvctio~h ac~cegs corNdar9. Sew ~<< J ~- 5 id2- ~8 ,Q ~l~ a~ _, vo~~ ~ _ v_ ,, ~~~ h ~J ~ ~. ~I 1 2x ~~v~' o~~i Si~~ fQ~C~, ~) 0~'~- j~c-Q~ I~C~ 00 ~~~' - -- off' a~ ~~~ axe/. i~ \ ~a ~ ,, 0 ~_, -.- __ _~ L =~ ~~ .\ , I ----- f ----------n ~: ` ,` ,~ i6 f i `~~ ~ ' ~~ ~ ~ ~ f . %~ ,1,~ ~ , ~ l ~ ~ Ii ~~ ~ ,~! I'~ , i ~ ' ~ , ~ - ,I i; I i 1 ~~ ~' 1 f ~ f ~ ~ ~ / ~ ` j } f 1 II ~ i ~~' ` I ~. 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