20190488 Ver 1_Shoreline Stabilization_20190415

TCertir,he following is an abbreviated appy form for those8PPIYiU9 for a 401 Water Quality
cation to rt FERC (Federal
bottom under the U.S. Army Corps of Enght� pPe't Gn) lake shore or
. This Appl"tion for w or stream . lease provide seven used
mforaratian as well as a non moble �fee to the Mvidon Of Water of thea mon and �PPorting
forOr h nPacts of to lake bottom of less titan 1� 9U for to e y of $240.00
equal to 1 acre, bottom of greater
Applications should be sent to:
�1 AWSe Service Center
C Quality 40I � Review g P
Raleigh, QVC 27699.1650 PAW
L Applicant Information
1. Owuer/AppHcant Informad2
On \ o i
Name:
Mailinf
Telephone Number; _ I C( Cj% 13-70 Fax Number:
Email Address:
2. Agent information (A signed and elated cOPY
if the Agent has signatory sathoritY for the o owner)applicant) f the went Authoriz on letter must be aWxhed
Name:
Company Affiliation:
Mailing Address:
Telephone Number.
Fax Number
E-mail Address:
II. Project Infortnarm
Attach a vicinity map cle,dy showingthelocation of &Ie
as towns, rivers, and roads. Also provide aeWW � property with respect to local landmarks such
development plans in relation toes. °You O� arty boundaries and
hand sketch of your project. Also, s ammpj� aw for may � � diagram below to make a
plan must include a scale and north arrow. The f �dawe- Both the vicinity map and site
facilities must be included. O° of all buildings, impervious or, other
i

1. Location
county. 'Person
Nearest Town. � �q•2;D
Subdivision rant or
site addrg= (iaciude PhaseJlot ttmnbAr): 'P.�
i
Directions to site please ncluc --_ h
vicinity map is included); �, I mac. tT is not recess ry if an uat�e
cN'o
-2-104 Leve( . 7 AI rn
o 'T7/2N',
P�S
haj S Ciel t-
2. Descn'>x the
3. existing and use of condition of the sibs at the time of this application:
4. Neatest body of waw
is eamlrivrr/soUD&I ): j �fC,� C ,� K.i✓
5. De'be the purpose of the,
Fwosw worl
6. Inst the type of equipment to be, used to
the projem S kc D STS -
7. Amotmt of inset (incl an Gxc nation, Wil, retaining � 1�
nP mP: ng walls, etc.) below the
normal Pool lake level in slum feet or acres:
8.a. Amount of impact--------
O
above then o� back M -C= nP Tap, retaining walls, etc.)
Q e omw pool lube level ami 5— D feet land -wan} in sgaare feet or aches:
8.b. Plcasc descaz'bc VelpUdon abaft the norma
pool. lake level and 50 feet landward to be impacted
(member of (tees far instance}: Low rzA-c,,CS
AVpuaenvYs Sim
(Agent's signetlns is valid only
It
if an authorization Iffier
frann the applicant is provided.)

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NORTH CAROLINA PERSON COUNTY . � 1. 53
S JOHN J. JENNINIS CERTIFY THAT THIS ACRES
SURVEY
IS Q< AN ENI STING PARCEL (OR PARCELS) •E
RITNIN PERSON COIPITY AS RECORDED IN DEED RM
GINE ENERGY
yam. PAGE ,ssy AND/oR PLAT 1& GENERAL
PAGE UTE LOT C PROGRESS
ALL PROVISIONS Of NORTN NG THIS
URKY STATUTE P.Ci 1S NYCO LAKE
4
7-30 AS AVENGED REGARDING S ANIS SLBYEY HAVE KEN P. 799
IET. 91 ANESS YT NAND 410 SEAL THIS .38_ MY OF
SEPT. 20JL- a !
PROFES IbMAL I" SURVEYOR •T ^r y
o %
72 ,20' J
1. JOHN J. JENIIINGS CERTIFY TINT iHiS AI �'?sGtj6. CONTOUR ZONING: R gall pp Z
6
PLAT 945 OWR11 HOER try DER MY
FROM IP SETBACKS: REAR
24' 'l6L
AN ACiWL SURVEY IMIDE UNDER YY SUPEMISION SIDE 20' �~riY
(DEED DESCRIPTION RECOR0E0 IN GOOK �-,
PAGE URYE' ETC. )(O711ER): TINT TK BOUNDARIES CONTROL .1
NGf SURVEYED 11
ARE CLEARLY INDICATED AS ORAMI 1 CORNER
PNOY TIME
FOLIO IN D. B. �-
PAG C •'CARQ ' 1
1.
THAT 111E RATIO OF PRECISION AS CAL-
PCILKATED IS t: 10. OD04 TINT 1X15 PLAT WAS ESS/
PREPARED
14
ACCORDANCE /ITN O.S. 17-30 AS t E O7 TAX YAP: A24A-66
HENOEO. RI TNESS
W GWHT NAL SIGNAM. IyQ r' TAX PARCEL RECORD NUMKR- 27347 ^
REGISiRATIp1 MIYBER AND SEAL THIS -JL DAY "L L-3052 2
OF SEPT. A. D.. 20„Ib. 1 Fi
0 40 60 120
tr�
sINYEvoa
REGISTRATION NUMBER
.L'W`- ................: . SCALE: 1' . 40'

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