20070633 Ver 1_401 Application_20070407

DUKE POWER LAKE MANAGEMENT, EC12-Q
P. o. Box loos 2 0 0 7 0 6 3 3
CHARLOTTE, NC 28201-1006
704-382-1567 OR TOLL FREE 1-800-443-5193
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
CAROLINA
Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A in
blank. PLEASE SUBMIT APPLICATION AND APPRO k I~II~WER FILING FEE, PAYABLE
TO DUKE POWER, TO ABOVE ADDRESS.
1. Applicant Information
A. Name
B. Mailing Address
C. Telephone
II. Location of Proposed Project
A. Lake
B. Street Address
r,) a--~~
~gi7 !E'_+'~p~ CSC2. ~~rG~ nF~R ro ~, ~~nn~
C. County '~tZLc~r= ~ (
D. City, Town, Community or Landmark
yvreS ~ r l(~

E. Section Lot # _~_ Subdivision ~~~.~ LJacac~
F. Directions to property by road / 7 7 of ~ ~jl, f ,~ (P - [~~-~- 6~
G. L-~titude and longitude for the project site ,` j,~ • j,~t~ cr7 q,~ (~jQ _ y~(~, ~ LL.J
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: Latitude/longitude coordinates can
be found on Internet site, www.maosonus.com. Directions: Don't register, click "Maps", enter
address, draw map, select "Map Clicking Will... ", select "Lat/Long", click map)
III. Description of Project
A. Length of wall ~r~ ~
B. Material -~~/~~~y~ )~ Cif=~ ~ Sh i~
C. Distance from property tine/shoreline ~~~ ~~ ; -mil ~j/-~ /r
IV. Intended Use of Project Area
A. Private X
B. Commercial
~-!
~,,
V. Applicant Signature;` ~'~t,. ' Date ~ -~~~~3 /~
PLEASE NOTE THE FOLLOWING:
A COPY OF THE COMPLETE APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: US
ARMY CORPS OF ENGINEERS, 151 PATTON AVENUE, ROOM 208, ASHEVILLE, NC 28801-5006

• A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA" AND SEVEN (7)
COPIES OF THE COMPLETED "NC DIVISION OF WATER QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION" MUST BE
SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO: NC DIVISION OF WATER QUALITY, ATTENTION: Cyndi
Karoly, PARKVIEW BLDG., 2321 CRABTREE BLVD,, RALEIGH, NC 27604, PHONE: [phone]
i ~/

401 WATER QUALITY CERTIFICATION APPLICATION
The following is an abbreviated application form for those applying fora 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 canno# 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 to lake bottom of less
than 1 acre and $475.00 for impacts to lake bottom of greater or equal to 1 acre.
APPLICATIONS TO BE SENT TO:
DIVISION OF WATER QUALITY WETLANDS UNIT
1650 MAIL SERVICE CENTER
RALEIGH, NC 27699-1650
1. Applicant Information
Owner/Applicant Information
Name Sam Glaberman
Mailing Address 230 Fifth Ave
New Yorkf NY 10001
Telephone Number 917-816-6588
Fax Number
E-mail Address startreksammy~hotmail.com

2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached
if the Agent has signatory authority far the owner/applicant.)
Name Chip Bridges
Company Affiliation CBC Custom Shorelines
Mailing Address 628 Oakridge Farm Highway
Mooresville, NC 28115

Telephone Number 704660-5111
Fax Number 704660-5969
E-mail Address cbcseawalls ar7i aoi.com
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 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 Iredell Nearest Town Mooresville
Subdivision name or site address (include phasellot number): Northwoodllot 9

Directions to site -please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included): ~, 7 7 X;f jtj ~ >C i f - ~ ~~ _ ~-'~ ~~
2. Describe the existing land use or condition of the site at the time of this application:
l../~~C~ ~ L~-~--
3.
4
Property size {acres): ~~. 8~j
Nearest body of water (streamlriveNsoundlocean/lake):
rm~-+~-~
5. Describe the purpose of the proposed work: ~~-x .~„ L
~ ~ } ~g
6. List the type of equipment to be used to construct the project: ~~wl,~ ~ f~

7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
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:
/~~/G~~
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted {number of trees for instance):
t~~~6~~~ Lo ~
~`- 3 -~ 7
AppiicantlAgent' ignature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided)

G~ Ali Dnnrl
Lake (Full Pond).
~~'~
1 J
~L n :.N
3
Please approximately sketch the following information on this plan (please provide dimensians
for each item, such as 10 ft. x 100 ft.):
1) A!1 proposed vegetation clearing (provide dimensions)
2) Location of rip rap or fill to be placed above the Full Pond elevation
3) Location of rip rap or fill to be placed below the Full Pond elevation
4) The location of any proposed structures such as buildings, retaining wails, docks, etc.
5) The location of any excavation or dredging below the Fult Pond elevation.
6) Location of construction access corridors.

~~ 0 6 3 3
Name: Sam Glaberman
Mailing Address: 230 Fifth Avenue
Town & State: New York, NY 10001
Lake Address: 180 Tennessee Circle, Mooresville, NC 28i 17
Feet of shoreline and material: 100' ~-- ~i ~tc~ S fen ° 13v u~~ X12. ~-l' ~'~'
AMOUNT OF FILL ~, Ct~ `~ CUBIC YARDS
Elevation 760 ft. Full Pool
Norman Summer Pool 758 ft.

I~`~ ~oG~L
J -~ ~~ , ~ 5 ~ ~ ~ ~~J
Elevation
CROSS SECTION

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THIS PL07 PLAN 9VAS PREPARED UNDER A1Y SUPERWS~ON
ON THE 1 tTH DAY 4F JURY. 200G.
SIGNED ~.~. `~...~ ~~__,._.
FROIA THE OFFICE pF
JASON LEE WYLIE
NC & SC PROFESSIONAL. LAND SURVEYOR
2417 FAY .10NES ROAD
DENVER. N.C. 28037
PHONE: [phone]
FAX: 704-4$9-2057
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DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors; Ease of locating the proposed project
site can have a big impact on permit processing time. Please complete this form
and return it along with your completed permit application to:
DUKE POWER
C/O LAKE A~ANAGEMENT - EC 12 Q
P. O. BOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name:- Sam Glaberman
Lake Name: Norman
Subdivision Name: Northwood
Property Section: Lot (s): 9
City: Mooresville County:Iredell
State: NC Zip: 28117
Telephone: [phone]
Type of Permit
Requested
"Circle":
Private Facility
Commercial Facility
~n
'~ Stabilization
Conveyance
Miscellaneous Uses
Directions {from major road or highway): I77 N to Exit 36 Won Hwy 150- Right
on Perth Road Left on Fern Hill- Right on Tennessee Circle.
Descriptive Structure {s~ on ProQerty {i a brick ~ara~e, white fence, mobile home,
etc.
180 Tennessee Circle
*Note: Please use the back of this form, if desired, to drain us a map to the site.

Printable map of 180 Tennessee Cir, Mooresville, NC
X 7 0 6 3 3
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Location Map
180 Tennessee Cir
Mooresville, NC 28117
Page 1 of 1
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completeness or drivabitity. Infospace and Switchboard will not be responsible for any damages, losses or delays
which result from using these directions. Obey all traffic regulations.
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