20110242 Ver 1_401 Application_20110311

2 0 1 1 0 2 4 2
DUKE ENERGY LAKE SERVICES
EC12-Q
P O BOX 1006
CHARLOrM NC 28201-1006
704-382-1567 or TOLL FRu 14mo.443.5193
APPLICATION FOR PF.RIMAT TO STABII,IZE THE SHORELINE IN NORTH CA_Anr.rnr&
Please type or print and fill in all blan>c, If ft formadon is not applicable, so W icm by placing WA in blak. PLEASE
SUBMIT APPLICATION AND APPROPRIATE DUKE ENERGY FUMG n Z, PAYABLE TO DUKE ENERGY,
TO ABOVE ADDRESS.
L Applkaw Informtion
A.
B.
C.
IL
Ill
IV.
V.
Loead" of Proppsed Project
A. Lake
B. Strad A
C. 1-7
D. City. town, commtdW or Iar
E. Secdon Lot #
F. Dkec dM to m+ooerty by ra.
?' rID
1 ?40
0. La*u& and longihule for the project site S.
H. Please submit a map showing the coordinates ore detailed quad CUM location of the project site. (NOTE : Latitude/ I Inap
SOS ft c map, city map, etc,} stowing flee
ww?w.ma aaacos. 0° coordinates can be fend on Internet site,
p) t r ?sber, click "Maps", ent+ar address, disw map, select "Ma}? Clicking
eections Will... ,ceded "Lamon, click :?PDou )
DuaLmX& l ff Project /
C. Dix groin
Intended Use of Project A a
A. Prime L
B. Camme.?.,t
Appldant SiEeatrre
Date j of 0 l 1
• 2 COPIES OF THE "DUKE ENERGY APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
CAROLINA", PHMW7RAPHS OF TIRE SHORELINE TO BE STABILIZED, AND FIVE (5) 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 D MSIO N OF WA TER Q UA L l T Y
ATTENTION: CYND1 LMOLY
PARE W ALDG, 2,321 CLM7XW XLVVL
RALBIGH, NC276RI
919.733-1786

Y:%AKEMQMl? bahmu dmW ShwWjw Stabilization Applicadon.dw 1;'
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 five (5) copies of this application and supporting
information as well as a non-refundable application fee to the Division of Water Quality of $240.00
for impacts to lake bottom of less than 1 acre and $570.00 for impacts to lake bottom of greater or
equal to 1 acre.
Applications should be sent to:
Division of Water Quality 401 Oversight/Express Review Permitting
1650 Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information
Owner/Applicant Information
Name:
Mailing Address:
Telephone 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: .-/- ` n/ ??,`7Q? /
Company Affiliation: &C?? A jl/)
Mailing Address: R O &V 'Q&g3 7
Telephone Number: Fax Number:
E-mail Address:
H. 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.
':3 Fax Number:
J1 ) J /. L?12(w D? 01?
1. Location
County: /In(' 0 !'17 Nearest Town:
Subdivision name or site address (include phase/lot number): 2623
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included):
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres):
4. Nearest body of water (stream/river/sound/ocean/lake):
5. Describe the purpose of the proposed work:
6. List the type of equipment to be used to construct the project: 806ca i -
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: < /O DD Sq ??
8.a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
above the normal pool lake level and 50 felt land-ward in square feet or acres:
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): -rvrI
A cant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
. ?? paw a?x
RVE TABLE, LINE TABLE, ti16427
S AND LANDMARK TIE DETAIL.
11-2148
L$4
S89'01'16"E PROPERTY LINE FOLLOWS DUKE POWER CO.
120.00 ?j PROJECT LIMITS FOR LAKE NORMAN
FLOQDPLAIN LINE- (ESTABLISHED BY SURVEY OF 760'
FOLLOWS 761 CONTOUR AS OF APRIL 1997.)
PLOT 282E ?? CONTOUR ELEVATION - -'?
?P?%
16"E 4T, r
O
MLPWW , LAKE NORMAN
770.0
sF
252
Te9?? / 53,364 SF \
S88 3Q'40"E PPL 1- -
163.05' `
W 1 3
S88'30'40"E
118.07 = Z
MLPWW ,,.
W 770.07 PIER ZONE. ?r
O 253 LOT 253 . R ;.... "'
28,539 SF j zz
z 120.00'
588'30'40"E
N90'00.00"E PPL
tea' / 135.64'
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ono ^ SAILVIEW
PH. 2 T BOOK 10
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6226 35.96' /
?5 ?' R: 50.
Judith Milner
4000 Channel Point Lane, Denver, NC 28037
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