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Home My WebLink About20051463 Ver 1_Complete File_20050803 .":':":.:.;:;~1; ~:.~.':.,::,::":~;:",,,~::.:,:::,::,::,:'::"'~.',,:,:__";:~."-: ~ .. ::.~:.:.: ~.'~\:~'~~..'_'~._!..'--':; ;.: ;........:~.:'::~~:.:.:.:.: ...., :.;::.....:...:.:..~.::. .:.: ":.':.4..~~ ;.;:~_.- -.:..: ....~_. .-', '.'::.:":':'::' ~'.i.::~'.: ,~~..~~. ,:~.::.:.. Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department ofEnvironmcnt and Natural Resources Alan W. Klimek. P.E. Director Division ofWnter Quality August 23, 2005 DWQ# 05-1463 Iredell County Mr. George Page Page Construction Company, Inc. 152-8 Furlong Industrial Drive Kernersville, NC 27284 Subject: Lot #32, Southern Horizon Drive, Ridgewood SID APPROVAL of 401 Water Quality Certification and Authorization Certificate per the Catawba River Buffer Protection Rules (15A NCAC 2B .0243) with Additional Conditions Dear Mr. Page: You have our approval, in accordance with the attached conditions and those listed below, to place fill in or to otherwise impact approximately 0.001 acre of water and 0.002 acre of riparian buffer for the purpose of constructing a pier on Lake Norman, as described in your application received on August 2, 2005. After reviewing your application, we have determined that this project is covered by Water Quality General Certification Number 3492, which can be viewed on our web site at http://h20.enr.state.nc.us/ncwetlands. The General Certification allows you to use Regional Permit No. 198200030 once it is issued to you by the U.S. Army Corps of Engineers (USACOE). This letter also serves as your approved Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 2B .0243. Please note that you should get any other federal, state or local permits before proceeding with your project, including those required by (but not limited to) Sediment and Erosion Control, Non-Discharge, and Water Supply Watershed regulations, The above noted Certification will expire when the associated USACOE's 404 permit expires unless otherwise specified in the General Certification, This approval is only valid for the purpose and design that you described in your application. If you change your project, you must notify us in writing, and you may be required to send us a new application for a new certification. If the property is sold, the new owner must be given a copy of the Certification and approval letter; and is thereby responsible for complying with all conditions. If the total wetland fill for this project (now or in the future) exceeds one acre, compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h). In addition to the requirements of the certification, you must also comply with the following conditions: 1. No impacts shall occur in the buffer, including the removal of trees, except in the immediate pier/deck area. 2. Mulch or pine needles (6" deep) shall be used to help reestablish the buffer upon completion of the project. 3. Upon completion of the project, the applicant/responsible party shall complete and return the enclosed "Certificate of Completion" form to the Division of Water Quality's 401/Wetlands Unit. If you do not accept any of the conditions of this certification, 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 (that Nt.11h Carolina .Nllllml11!! North Carolina Division of Water Quality 610 East Center Ave" Suite 301 Mooresville, NC 28115 Internet h2o"enr .state.nc.us An Equal Opportunity/AffIrmative Action Employer - 50% RecycledJ1 0% Post Coosumer Paper Phone (704) 663-1699 FAX (704) 663-6040 Customer Service 1-877-623-6748 .~.:~<.'.'~:': ..~:..:........:.:..>..:.. ."'-:'..,.:-":' :.....~....:: I '_.~ " ,",",.- .~";".;':~:~~';'~~':;':;'~~~__~~"'.:~":.. .......,'.....;~-;-'~:..:,:;.j~:...\,:j.>:~;.".\.::......~~;~::.:.":::.~;:::~,..j~~~1- :.:.__ . Page 2 conforms to Chapter 150B of the North Carolina General Statutes) to the Office of Administrative Hearings, 6714 Mail Service Center, 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 Barry Love in the Mooresville Regional Office at 704-663-1699 or Cyndi Karoly in the Central Office in Raleigh at 919-733-9721. Sincerely, 2). ~/t~ forAlan W. Klimek, P.E. Attachments cc: Corps of Engineers Asheville Regulatory Field Office Wetlands Unit- Cyndi Karoly Central Files ~~@~ow~~ AUG 30 2005 DENR. WATER aUALlTY WEnANOS mo STORMWATER BRANCH @~ow~@ AUG 2 0 2005 ',::;'~:.L '. '. ':~:.'.:":'.~'.:;~~~';'~-..::':":~_..:~~;.:.:.: ~~~ '.~ .~/.:~:_ :.: ~ ~ ~....:.~': :.~~:..:::;~:.-~~:.;~~~i:_...>:/".~ .....:~..;~;.:: ;......:-~:~-=-.:....:.'~;.:.:.~._~;-.::..:. .~'... .~-::~~. . ":.~~., ~I.:.:.L.'';~'.'''''::'''::::.:,,:,:.~.:.~::.'.:::_~:"..': ::. :.....,: ~~.:'....,:";. :....~~ :,.:..:'~:';;;.:;:.: '. .-.' Page Construction Company 152B Furlong Industial Dr. Kemersville, NC 27284 I ~ ~v G:;h,. : - ~. :,;:J;~~'~N1..... '\ A\~J I,':":!~::~'- ::,::SCKJr:::[~ ~_\ ~.,-~." >""~'~"':-' -=;:J~ [j.:)..Jr\::~\ ..:: '. - "-,,.. .~ v:-. ~ . " -':"'\ .,...': .1../.:': ,'(" ,,'" ~\" .") AUG 1 6 2005 '( '.. .~ August 08, 2005 .... ,.,~~ 1-' WATER Q~A~j>fi SECTION To: Barry Love, NCDENR Division of Water Quality Concerning Pier Permits for Lots 31 & 32 in Ridgcwood subdivision, on Lake Norman, in Iredell County. The following clarifications are noted with regard to lake and shore impacts. ***The lake impact is to be 30 sq. ft., the area of the pilings for the dock. ***The shore impact is to be 100 sq, ft., the area of the landing for the pier ramp, ***The landing is to be constructed of pressure treated lumber, instead of being a concrete pad. vVJ0Q5-fA,'Co~IV" JL'oOfY"" ." ;.' . ~ ')) b v s-;C q / PC): Srr 33b - 'lito - 50(~ ,,:!2.c~ .J::J ~- - Pr~... , oX- WA II2Jy o~~c. OJ y ~~~ O\~'"'\ '~ Michael F. Easley, Governor William G. Ross Jr.. Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality August23,2005 DWQ# 05-1463 Iredell County Mr, George Page Page Construction Company, Inc. 152-B Furlong Industrial Drive Kernersville, NC 27284 Subject: lot #32, Southern Horizon Drive, Ridgewood SID APPROVAL of 401 Water Quality Certification and Authorization Certificate per the Catawba River Buffer Protection Rules (15A NCAC 2B .0243) with Additional Conditions Dear Mr, Page: You have our approval, in accordance with the attached conditions and those listed below, to place fill in or to otherwise impact approximately 0.001 acre of water and 0.002 acre of riparian buffer for the purpose of constructing a pier on lake Norman, as described in your application received on August 2, 2005. After reviewing your application, we have determined that this project is covered by Water Quality General Certification Number 3492, which can be viewed on our web site at http://h2o.enr.state.nc.us/ncwetlands. The General Certification allows you to use Regional Permit No. 198200030 once it is issued to you by the U,S, Army Corps of Engineers (USACOE). This letter also serves as your approved Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 2B ,0243. Please note that you should get any other federal, state or local permits before proceeding with your project, including those required by (but not limited to) Sediment and Erosion Control, Non-Discharge, and Water Supply Watershed regulations, The above noted Certification will expire when the associated USACOE's 404 permit expires unless otherwise specified in the General Certification. This approval is only valid for the purpose and design that you described in your application, If you change your project, you must notify us in writing, and you may be required to send us a new application for a new certification, If the property is sold, the new owner must be given a copy of the Certification and approval letter; and is thereby responsible for complying with all conditions. If the total wetland fill for this project (now or in the future) exceeds one acre, compensatory mitigation may be required as described in 15A NCAC 2H ,0506 (h). In addition to the requirements of the certification, you must also comply with the following conditions: 1. No impacts shall occur in the buffer, including the removal of trees, except in the immediate pier/deck area, 2. Mulch or pine needles (6" deep) shall be used to help reestablish the buffer upon completion of the project. 3. Upon completion of the project, the applicant/responsible party shall complete and return the enclosed "Certificate of Completion" form to the Division of Water Quality's 401/Wetlands Unit. If you do not accept any of the conditions of this certification, 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 (that N~rhCarOlina .1\'Iltllml/!1 North Carolina Division of Water Quality 610 East Center Ave,. Suite 301 Mooresville, NC 28115 Intemet: h2o,enr.state.nc,us An Equal Opportunity/Affirmative Action Employer - 50% Recycled/l0% Post Consumer Paper Phone (70-l) 663-1699 FAX (70-l) 663-60-l0 Customer Service 1-877-623-67-l8 Page 2 conforms to Chapter 150B of the North Carolina General Statutes) to the Office of Administrative Hearings, 6714 Mail Service Center, 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 Barry Love in the Mooresville Regional Office at 704-663-1699 or Cyndi Karoly in the Central Office in Raleigh at 919-733-9721, Sincerely, for Alan W. Klimek, P.E. Attachments cc: Corps of Engineers Asheville Regulatory Field Office Wetlands Unit- Cyndi Karoly Central Files Triage Check List 8/4/05 Date: Project Name: Ridgewood Lot 32 c/o Page Construction DWQ#: 05-1463 County: Iredell To: Alan Johnson, Mooresville Regional Office 60-day Processing Time: 8/2/05 - 9/30/05 From: Cyndi Karoly Telephone: (919) 733-9721 The file attached is being forwarded to you for your evaluation. Please call if you need assistance. D Stream length impacted D Stream determination Wetland determination and distance to blue-line surface waters on USFW topo maps D Minimization/avoidance issues D Buffer Rules (Neuse, Tar-Pamlico, Catawba, Randleman) D Pond fill D Mitigation Ratios Ditching D Arc the stream and or wetland mitigation sites available and viable? D Check drawings for accuracy D Is the application consistent with pre-application meetings? Cumulative impact concern D D D Comments: As per our discussion regarding revision of the triage and delegation processes, please review the attached file. Note that you are the first reviewer, so this file will need to be reviewed for administrative as well as technical details. If you elect to place this project on hold, please ask the applicant to provide your requested information to both the Central Office in Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim procedure as we slowly transition to electronic applications. Please apprise me of any complications you encounter, whether related to workload, processing times, or lack of a "second reviewer" as the triage process in Central had previously provided. Also, if you think of ways to improve this process, especially so that we can plan for the electronic applications, let me know, Thanks! /" , ~ DUKE POWER LAKE MANAGEMENT, EC12-Q POBOX 1006 CHARLOTfE, NC 28201-1006 704-382-1567 or TOLL FREE 1-800-443-5193 APPLICATION FOR PERMIT TO STABILIZE TIIE SHORELINE IN NORTII CAROLINA Please type or print and flll in all blanks, Ifinfonnation is not applicable. so indicate by placing NIA in blank. PLEASE SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING FEE, PAYABLE TO DUKE POWER, TO ABOVE ADDRESS. I. Applicant Information A. Name PAGE CoNs:;1eDc..TIDIU Q...O. B. MailingAddress'l52& FLJP-LON~ It-JWSTQ.(AL De. Jcz.t<.~SV lL.L~ . NC- 27-2<a4 ,/ C. Telephone: 33" .... ':J9b - '5' 0 \3 II. Location of Proposed Project A. Lake N [) effi. AN B. Street Address I fa, $eul t-\~ Rt-J HOel z...o Ai c. County r:~e:\ \ '. D. City. town. community'or landmark ~ ou-rH O~ 5T'Ai'G5.-.JIu..E E. Section Lot # ~ 2- Subdivision R' D G,z... WOO D F. Directions to property by road TA 0 A ~ e' \C:s T T a\J H 1/'oJ G. Latitude and longitude for the project site - 0 H. Please submit a map showing the coordinates or a detailed map (USGS quad map. city map. etc.) showing the exact location of the project site. (NOTE: Latitudcllongitude coordinates can bc found on intemet site, www.Il1:tPSOl1l1s.colll.Directions:Don.tregister.click "Maps", cntcr address. draw map, select "Map Clicking Wil!...... select "LatlLong". click map) III. Description of Project A. Length of wall fU 0 VJ A L-L B. Material p~5Sue'2..... ce?A-~ C. Distancc from property line/shoreline In(ended Use of Project Area A. Privatc HotY\$- Ou.JNz..f?... P Iz.~ B. Commercial Applicant Signature ~[g@[gnw~@ AUG 2 - Z005 Lu M&"g, ,"0 r.;,<~!L,';":\I'i\ QI!:'.UTY n.. rl.t~h.J (. ,[141O"\;,,,',,r Lit LiW;CfI IV. V. O~/o ,/OS , I PLEASE NOTE THE FOLLOJVIN. . A COpy OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST I3E SUI3MITTED TO: US ARMY CORPS OF ENGINEERS, 151 PATTON AVE. - ROOM 208, ASHEVILLE, NC 28801-5006 . 2 COPIES OF THE "DUKE POWER APPLICA nON FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA", PHOTOGRAPHS OF THE SHORELINE TO I3E STAI31LIZED, AND FIVE (5) COPIES OF THE COMPLETED "NC DIVISION OF WATER QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION" MUST I3E SUI3MITfED WITH THE DIYISION OF WATER QUALITY APPLICA TrON FEE TO: NC DIVISION OF WATER QUALITY ATTENTION: CYNDI KAROLY PARKVIEW BLDG" 2321 CRABTREE BLVD. RALEIGH, NC 27604 919-733-/786 O~/I 8/05 GP AULAK EMGMT\LMPPM\ST Am L1ZA TION,G"27\ST AI3I L1ZE\SHORLlN.ST AI3,NC.doc L 01 '*F' 52 t:.\ CGE\,\jOOD I f e€DELL Ln. -::tf: .~7 c""-.",'4' 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-refundablc application fee to the Division of 'Vater Quality of S200.00 for impacts of to lake bottom of less than 1 acre and S475.00 for impacts to lake bottom of greater or equal to 1 acre. " Applications s~ould be sent to: Division onVater Quality 'Vetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 1. Applicant Information ~ /D) ~ ~ rs [J \'Il R (;;'\ Uu L5~CS 0' @@J AUG 2 - 2005 OENf~ V''T-'' l:ETlAI,'QS ';'D"~,.,I:J,< C;Ui)LiIY f\J'I S I u'lv~:~\:;rr:t) E..... ~"('\H ....., -(V,,1\.... I. Owner/Applicant Infonnation Name: PAG'Z.....- c.{)I'~s:r-~~C \\ DN Mailing Address: I S 7- g f:'" u F2- LON 6 I NOu ST ~ l A L De.., ~z-RN~\JlLl..:L J NC 2. 72..r?'-( Fax Number: 33b - 99(, - Z36 <:) Telephone Number: ~3~ - <J9C::,-SoI3 E-mail Address: 2" Agent Infonnation (A signed and datcd copy of thc Agcnt Authoriz.ation letter must be attached ifthc Agcnt has signatory authority for thc owner/applicant.) Namc: N f\: Company Affiliation: Mailing Address: Tclcphonc Number: E-mail Addrcss: Fax Number: II. Project Inforrnation Attach a vicinity lIIap clearly showing the location orthe property with respect W local landmarks such as towns, rivers, and roads. Also provide a detailed sitc plan showing property boundaries and developmcnt plans ill relation tl) surrounding properties" Youlllay usc the diagram below to makc a hand sketch of ,/ ":,:", /- Y your project. Also, ~Ce the example below for guidanCe. Both 'the vicinity map and ,site plan rilUst include a scale ~d north arrow.' The footprints of aU buildings, imperVious surfaces, or other facilities must be included. , 1. 'Location County:1.ez..02-.LL Nearest Town: . STA~s v ILL~ Subdivision name or site address (mc1ude phasdlot nUmber): R., ~~ G LJ 0'0 D 41:.32- Directions to site please include road numbe~, laIidmarks, etc. (This is not necessary if an adequate vicinity map is included): '0 t.. D mol,,) t0TA, N C2.D .,. (':) t~{~':-~eG O'i.A~~)~II~~~~H~~~ l.~~~ Ja~~~~:l) L~T~ IN c..\..h...- DE; -SAC , J 2. Describe the existing land use or condition of the site at tl application: He UL\ LoT time of this vB~'VIS(O/J ~ 3, Property size (acres): Q~ bY7 4, Nearest body of water (stream/river/soundJoceanlIake): LA ~~ f-...joe (V\A/J 5, Describe the purpose of the proposed work: f>f2.D ~T'I bN-rO LAt.~ h N pLANS 'To 801L-D A ~L)~AN I AS I P I ~ lZ.. F l2.mv\ 1)5--P Icr~ D 6. List the type of equipment to be used to const ct the project: P'L I f\.J(;, S N\ Ac...t-f alJ ~ , , 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls; etc.) below the nonnal pool lake level in square feet or acres: Ple~ PILINbS 'OS~~ - ~OSr." ~ 8. a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the nonnal pool lake level and 50 feet land-ward in squarefeetoracr~r CoNc..e.bTE PAD ~pro"i<.. <6' ~~ - 100 S~++. )( 8' b. Please describe vcgetation above the normal pool lake level and 50 fcct land- ward to be impacted (number of trees for instance): (,(\A"T'"ue.E ~REES I SMAL.L.. _~E.€:"~J--.51:lR.uBS ; N\ININ\Al- 1fY\.~Ac.,.J"-i No m.A:n.LR.~__ EE.S "TO 8 e:' 12.E: rr--o-.J € D . ~~ . OeLQltO$- App . ,ntl Agcnt' gnaturc Date Irc is valid only iran a loriz,ationlcttcr froIll thc applicant i~ provided") p--. '19' fl I 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 (0 be placed above the Full Pondclcvatlon 3) Location of rip rap or fill to be placed below the Fun Pond elevation 4) The location of any proposed structures such as buildings, retaining walls. docks, etc. 5) The location of any excavation or dredging below the Full Pond elevation, 6) Location of construction access corridors, /" . 10" Page 1 of 1 / " PAN BY: FULL SCREEN at" )' ... ... .t~~ HALF SCREEN at" )' ... ... tl~~ \~o c.;''t,:;)?f;. ,,,(\ 'l/ ...V ~~\J ZOOM FAR IN I ZOOM IN I I ZOOM OUT I IZOOM FAR OUT I \ ' I BLACK&WHITE I 0,4 MI '0 c:: C) '\ ~ W1LDWOOD TRAIL. NC 28677 I M1P by M1PS Dn US IR) 0190-1-2005 Tele^tlu N.^m,. switchbolrd. Ua i.biee! to LICENSE. http://mapsonus,switchboard.com/tclients.pub/tu.5/2174 7 /6d/-42e8e96d. 72277 .56a7 ,6.42e... 7/28/2005 / , i , ~ ~~ l'~~ t~... ~?!:\.'!., , (~Z~, t;.~ij' ~ ~ "", .,~ '-~1 .(~:~,r )~i. R [~Gi\~IO (}[) .,' ~ l) II ~I .\ :-: ON lA~t , ,/ rID 00 ~W. 17 '.~ \ ~ ., 'f>;' Vicin ity J.( ap ,",or TO SCALe \ ~-::.c. ,;-.;;; .7..,.. ___ I " ,-:.. i' .' i , :\ \ ~ , \ I ;' '_N .'==?EJ - ,...,- '. "'-. /1?<fOL' ' . ~(.t.. (' ."-. '. . 'CO -1.1'1 h '-... tll1.I.1't..' 'J&"q . ..... r : ('0 ". t!,\/, ........ "'-- ~ c:.-- -~-- \ "::;-{,qc)' \ ~ .::,. f{ol-yn WMiTAIlUi ~1=1~::1 UNETHJ...l! LH! LD<<mi CORD 00ll:CT10N L1IIl1 ZUllI lI04034'4I"I L1Q4 :M.2lI 647D67.n L1CO a7.1lO 'll1Xl1'U1i L1CO llLOG eJ104l'W"li LIar 22.31 ~ Lllll %1.71 1I2IIWll'4rW L1Cl1 :lU1 ~4fTW LIla - D6401r4rW Ll11 7.11 IDlD21i1IrW L1U 2lI.la 1lClJ011"21 W Ll11 lUt 1l3ll>>l1_ L114 14M ~ LHT 44.12 NOID1rr1l'W L'" M.2ll 8'r=3rE .-- DEALER. :,.. . "- c n. o t- .,., . . - "', V' '" ' "L - '-. ~r , RIGHT SYSTEM LAYOUT FORM QUOTE NO. ~rlP?/'1 , '3~' ira' _I _" /0'(.," 10' , , 10 (, '2.'(," , - .~'......-._'.- , 1./ - ---------. , '----- Vfc l:I" (:;, .~ ,,<,r ..1 :,- 1.'~ I , ,. 15' b '\ \ -.:. ,I i i I I, I! :'E o ~ o OJ .- -... ----- :---- II I'.>' r,' , ,/-'v I LEFT '5 10 5 31., - l b ,f d }, z w --- " I- 0 -- ~ a 0 J' , -------. :2 a: o LL I- :::> o ~ :2 w I- (j) >- (j) ELE:.vAIIO v'> . I' I :~ = I ~ ----- 1 I 1 l- I (:J a: " 1 //' t w ...J /, i<.IClHT VIEw c. ---------- ~ -c --'- ..-"., ....-...- '-.-.. /V'" --~ -- , .. " . ~ ", /1 a: l~ ....,. lU o - ,; /', /, . F'KONT V I 'E.vJ (ti<.DrJ.. WATER) dOl i3A GI( V I t t;V (I- i2 b M L A .v D) ,- : 1 ~ ~..' "- . .~ I. The following is an abbreviated application form for those applying for a 401 Watcr Quality Ccrtification to impact. FERC (Federal. Encrgy Regulatory Commission) regulated lakc shore .or bottom under thc U.S. Army Corps of Engineers Permit GP30. This Application cannot be, uscd 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 \Yater Quality of 5200.00 for impacts oCto lake bottomoflcss than 1 acre and 5475.00 for impacts to lake bottom of greater or equal to 1 acre. Applications s~ould be sent to: Division ofWatcr Quality \Yctlands Unit 1650 Mail Scrvice Centcr Raleigh, NC 27699-1650 ~~@IT2U~~~@ AUG 2 - 2005 ._ ~.~~~R. \'/rlTEiI CU;\UTY \ II: M.D;, AJlD STCFi!.:....XfER ER,',.r;CH 1. Applicant Information ~ I. Owner/Applicant Information Name: PAG'Z-. C:.~s::r-~~L\\ ON Mailing Address: I S 2. R f=" u R- LON 6 I NO\,) ST Q...l A L De.. t..z.RI\J2.-tZ>\J lL~ J Ale 2- 72J?~ Telephone Number: 33(, - ~9(, -So () E-mail Address: Fax Number: 33h - 99fo - 236 ';l 2. Agent Infonnation (A signed and dated copy of thc Agent Authorization lcttcr must bc attached ifthc Agcnt has signatory authority for thc owner/applicant.) Name: N f\ Company Affiliation: Mailing Addrcss: Telephone Number: E-mail Address: Fax Number: II. Project Information Attach a vicinity map clearly showing the location orthe propcrty with respcclto local landmarks such as towns, rivers, and roads. Also provide a detailed sil(' plan showing propcrty boundaries and developmcnt plans in relation to surrollnding propcrtics. YOll may use the diagram below to make a hand SkCICh or .....,..,;.;7 :: '.:~_ ._:~..r .".,;,= . . (' - . ' your project. Also, see the example below for guidanCe. Beith the vicinity map and .sitc plan must include a'scale ~d north arrow.' TIle footprints of all buildings, imperVious surfaces, or other facilities must bc included. 1. . Location . County: 'I.g.z..Oz..LL NcarcstTown: . STAI2:-S\lILL~ Subdivision name or site address (mclude phasCllot nUmber): R.. \ ~~ r= l.J 00 D .#. 3 2.~ Directions to sitc pleasc include road numbcg;, laIidmarks, etc. (This is not necessary if an adequate vicinity map is included): 0 t... D mol,) tV/A' N C2.I::> ,,. (::) f(~(~~;e€ ort.A~~~A~~H.fH~~ L~~~~ ~Ht;;~~b Lo-r~ 'N <!..\..h..- DS -SAL. } 2. Describc thc cxisting land use or condition of thc site at tl application: H D U L \ LoT timc of this vBb,VIS"OtV 3. Property size (acres): (). bY7 4. Nearcst body ofwatcr (stream/river/sound/oceanllake): LA \(..'2- "-JOfl MM.( 5. Describc thc purpose of thc proposed work: f>Ro ~TI bN-rO LAt.~ h N pLANS 'To 8u IL-D A t-JL'"l~AN, AS I PI~_(L F~ D~Plcr~D 6. List the typc of equipment to be used to const~ct thc project: SILl t) c;.::r~.-9 Q. ( &D13 (' 8-r;) .. PIL r f'Jt;. MALH IfJ~, , 7. Amount of impact (including all excavation, backfill, rip rap, rctaining walls, ctc.) below the nonnal pool lake level in square feet or acrcs: PieR. PlLINbS '0 s,..(4. - 30 SyH. ..' , 8. a. Amount of impact (including all clcaring, back fill, excavation, rip rap, retaining walls, etc.) above the nonnal pool lake level and 50 fcet land-ward in squarefeetoracr~r c.oN~bTE PAD ~pro'"f.t. <6' ~~ - 100 S~++. >' 8 I b. Pleasc describe vegctation abovc the normal pool lake lcvcl and 50 rcct land- ward 10 bc impactcd (number ortrces ror instance): f\'\A-rlH?E: ~REe:51 SMALL.. -=r.~E.E:'~}~HR.UB.L) MINln\.AL 1""~Ac:,..T j~O_"""A:n..H~..C__ EE'5 'TO 8e: 12.t:: ff'oO'J e D. ~_. oaLQ1tO$ ^pp' ,nl/^gent' g\lalllr~ Date Ire is valid only iran a lOri7~ltion1cttcr rrolll thc applicant is provided.) ~ .....,~ ijJ ~9' I ID" Please approximately sketch the foUowing information on this plan (please provide dimensIons for each Item, such as 10 ft. x 100 rt): 1) All proposed vegetation clearing (provide dimensions). .2) Location of rip rap or fill (0 be placed above the FuU Pond elevation 3) Location of rip rap or fill (0 be placed below the FuU Pond elevation 4) The location of any proposed structures such as buildings. retaining walls I docks, etc. 5) The location of any excavation or df"edging below the Full Pond elevation. 6) Location of construction access corridors. 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