20070677 Ver 1_401 Application_20070407

POWER LAKE MANAGEMENT, EC12-Q
p ~- cHARLOrrE~ c ~1-loos 2~ Q? 0 6 7 7
04-382-1567 OR TOLL FREE 1-800-A43-6193
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE !N NORTH
CAROLINA
Please type or print and fiN in all blanks. If infomtation 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.
1. Applicant Information
A. Name ~('~
B. Mailing Address
C. Telephone

II. Location of Proposed Project
A. Lake \,
B. Street Address "
C. County
D. City, Town, Community or Landmark
E. Section Lot #
F. Directions to propertyl by road ~;

~al(o
G. Latitude and longitude for the project site ,J ~ ~ , rJ _ u.J
H. Please submit a map showing the coordinates or a de lied map {USGS quad map, city map,
etc.) showing the exact location of the project site. (NOTE: Latitude/longitude coordinates can
be found on intemet site, ~nrrw.rn~~,scnus.corn. Directions: Don't register, click "Maps°, enter
address, draw map, select °Map Clicking Wiil... °, select °LatiLong°. Dick map) _ _ . '_..
~~ t
Description of Projscl ``
A. Length of wall
B. Material
C. Distance from prc
N.
Intended Use of Project Area
A. Private X
B. Commercial
V. Appgcant Signature

PLEASE NOTE THE FOLLOWING:
A COPY OF THE COMPLETE APPLICATION WITH A ROB
ARMYCORPSOFENGINEERS,151 PATTONAYEIVtlf:,
Date
LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: US
1Li$ NC 28801-5006
~ A COPY OF THE `DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE iN NORTH CAROLINA` AND SEVEN (7j
COPIES OF THE COMPLETED "NC DIVISION ~' WATER QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION` MUST BE
SU9MITT'ED WITH THE DMSION OF WATER QUALITY APPLICATION FEE TO: NC DMSION OF WATER Qt/A!lTY, ATTENTION: Cyndl
i1Cai+oly, P/IRICVIE7NBLDG., 2321 CRABTREE BLVD., RALEIGH, NG 27604, PHONE: [phone]

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 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 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
1. OwnerlApplicant Information
Name John ~ Dar Livy
Mailing Address 12631 Preservation Pointe Dr
Charlotte, NC 28216
Telephone Number 704-392-0688
Fax Number
E-mail Address
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 Chip Bridges
Company Affiliation CBC Custom Shorelines, Inc.
Mailing Address 628 Oakridge Farm Highway
Mooresville, NC 28115
Telephone Number 704-660-6111
Fax Number 704-660~i969
E-mail Address ctreseawall~aol.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 Mecklenburg Nearest Town Charlotte
Subdivision name or site address (include phase/lot number): Overlook/lot 374

Directions to site -please include mad n4mbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included):
/ Zb31 P~~t R ~~T'Ic~ci ~'~': ~rZ. ~N~Q~.,~tTE _ .t1C
~$JaF'N 7-~t+4-t- .~-Ndlt~L•/U ~ ~s~~L~ G~~~- ~lrr

3. Properly size (acres): . ,5~-...5 µG~Q.~'S
4. i~earest body of water (streamhiverlsoundloceanAake): /7~u NT~l~ jC~.~ ~.r~ ~ '"
5. De\\scribe the purpose of the proposed work: , fj-AB jL j,7~r4`f lQl1~ 19~ c~'1t4~~~.1~$^
as G5 :°r ~~ da--
~,-C~~~~
6. t.ist the type of equipment to be used to construct the project
~1~~~-k W s ~ v ~ C~ o~
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
~~ ~ ~ 9~ ~
-. -
8. a. Amount of impact (including alt clearing, back fill, excavation, rip rap, retaining walls,
etc.} above the normal pool lake level and 50 feet land ware! in square feet or acres:
~,~ ~~ ~ -
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees far instance): ~ LlCAN1~tl ~ TRa~
Z ~~rt u. iw!'6,~' STd i'~ t~S
~~~
(AyenYs signawre >s valid only Nan authorization from tNe applicant is provided)
2. Describe the existing land use or condition of the site at the time of this application:

Lake (Full Pond} ~,
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{{{~~
Full Pond ~=~-~ /~
Shoreline
Please approximately sketch the following information on this plan (please provide dimensions
for each item, such ~ 10 ft. x 100 ft.):
1) Ail 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 fi{I to be placed below the Fuli 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.

o7•os7~
Name: John & Dar Livy
Mailing Address: 12361 Preservation Pointe Dr.
Town & State: Charlotte, NC 28216
Lake Address: 12361 Preservation Pointe Dr, Charlotte, NC 28216
Feet of shoreline and material: 90' Rip Rap
AMOUNP OF FILL,,! ~O CUBIC YARDS
Elevation l0~3 i~. Full Pool
bar, ~
Mt Island Lake Summer Pool ft.

~~ //
Elevation ,P~
CROSS SECTION

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• PAW CREEK TOWNSH1Pr MECKLENBURG COUNTY, NORTH CAROLINA
MAP HOOK 41 PAGE 943
PRfP~R® FOR GRAINDA BUILDERS
+t5 PLAT IS SUB.tECT TO A,tY EASE1-IENTS•
4 RIGHTS-Cf-WItY Of RECOR>i
3108 10 DATE OF• THIS PLAT.
HIGH wn5 NOT• vlStBt.£ AT THE T11AE
F OVR WSPECTit]P!
REA OETERWINED BY
OORDINATE COMPUTATION
iIS SURVEY 15 NOT WTENOED TO BEET
$ i7-30 REOUIREYENTS THIS SURVEY
AS PERfORLEO PER TitE STANOAROS
F PRACTICE sOR lANO SVRVETtNG
I NORTH CAROLINA yMTf•I /.N ERROR
~ aosuRE THAT MEETS ulNl>itUY
TANDARD OF te10.000 '
ROPERTY Is sve.>ECT~ To OETS.ARATtON OF
avErv,wTS• t:o~otnoNS AND RESTRIcTto-+s IN
EEa eoac easa PACE t72
FUIi POND ELEVATION
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SEARING N~3'20'09'E 18.]3
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MOUNTAIN 151AN0 TAKE
ELEY 1~d00 - f1~t1. OONO
8.000 Et~ittlON - tiSSO (t00 YEAR)
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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 MANAGEMENT - EC 12 Q
P. O. BOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name: John 8a Dar Liw
Lake Name: Mountain Island Lake
Subdivision Name: Overlook
Property Section: Lot (s): 374
City: Mooresville County:Iredell
State: NC Zip: 28216
Telephone: '704-392-0688
Type of Permit
Requested
"Circle":
Private Facility
Commercial Facility
Excavation
Stabilization
Conveyance
Miscellaneous Uses
Directions (from major road or highway): Hi hway 16N -Mt Holly Huntersville
Road turn right-Left onto Overlook Mt. Drive-Right onto Preservation Pointe Dr
Descriptive Structure (s) on Property (i.e. brick garage, white fence mobile home
etc.
12361 Preservation Pointe Drive
*Note: Please use the back of this form, if desired, to draw us a map to the site.

' • Mountain Island Lake, Charlotte, NC -Google Maps
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