20110396 Ver 1_401 Application_20110511

DUKE ENERGY LAKE SERVICES 20, 10386
EC12-Q P 0 BOX 1006
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 APPROPRIATE DUKE ENERGY FILING FEE, PAYABLE TO DUKE ENERGY,
TO ABOVE ADDRESS.
1. Applicant Information
A. Name_ 041/d
? ?t
B. Mailing Address _ ZOO _S,o ?? T O?GCiZ 7-ru? l .r AIC 77-35
C. Telephone: 9/9 - 772 - 9103
IL Location of Proposed Project
A. Lake O m -1n
B. Street Address 3 2& CIA., GtJ 7-A
C. County
D. City, town, community or landmark Jl 7?r C
E. Section Lot 4 1 Subdivision
/S/r,?? l 5 (? - t sir 2s
F. Directions to property by road
Tb -ri / e_ .,Yyl 7V a a ARio
G. Latitude and longitude for the project site ____
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.maipsonus.com. Directions: Don't register, click "Maps", enter address, draw map, select "Map Clicking
Will...", select "Lat/Long", click map)
111, Description of Project 0
A. Length of wall-..__ 20
B. Material 0'1,/j I'gaA
C. Distance from prope line/shoreline _
IV. Intended Use of Project Area
A. Private ?/
B. Commercial
V. Applicant Signature4 Date / o?c7 I _,,._
PLEASE NOTE THE FOLLOWING:
• 2 COPIES OF THE "DUKE ENERGY APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
CAROLINA", PHOTOGRAPHS OF THE 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 DIVISION OF WATER QUALITY
ATTENTION: CYNDI K4ROLY
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
APR 2 6 2011
Wei, . DENR - WATER QUALITY
W
YALAKEMGMnPackage Information\NC Shorcline Stabilization Application.doe WETI sANDsT
AWH
Also, see the example below for guidaace• Both the vicinity map aad
your project.
Site plan must include a scale and north s bO1"'ncluded?o??nts of all buildtngx,
impervious surfaces, or other factl?t es
1. Location ..+
- Nearest To":??1 Z ? ? LUG jr
'1 0
Cottoty-_ phase/lot number). ?-? ? ---
Subdivision name or site addre" is net
lease include road numbers, landmarks, etc- CM
wes?
Directions to site p w
_ ded J„
neeessarv if an adequate vicinity map is included):
2. Describe the existing land 'IS" or
of the site at the time of this
G
3, property size (sexes):
4, Nearest body of water (streanYHY ,.,0%j_.,. ______
5. Describe the purpose of the proposed work:
List the type of equipment to be used to construct the project:_ hab G•
6.
all excavation, backfill, rip rap, retaining walls,
7. Amount of impact (including ^-
etc.) below the normal pool lake level in square feet or acres:_____t1
6. a. Amount of impact (including all clearing,
retaining walls, etc.) above the normal pool IA
square feet or acmes ___yf- ?, f
back fill, excavation, rip W.
level and 50 feet land-ward in
b. Please describe vegetation above the normal pool lake level nd 50 feet
ward to be impacted (number of trees for innsst( ncc)._.. m?6
?c
. Irtma r
Applicant/Agent's Signature ap licant is/Providcd.)
(Agent's signatu?'e is valid only if an authorization letter from the p
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-refundable application fee to the Division of Water Quality of $200.00 for
impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
1. Applicant Information
1. Owner/Applicant Information
Name: PdV/P
Mailing Address: 6 go ,6p S p. i7 RocK T/;Z4/c
APcX, Ayr a-7s3:7
Telephone Number:`11+ YS12-1013 Fax Number: /v."e
E-mail Address: l??a_L`? bellsou . t
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number.
E-mail Address:
It. 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

Lix 30 r ??
arm
i /cult k?
q?ja4c P&((
2 X ?O
,
Please approximateE sketch the following information on this plan
(please provide dimenslons for each Item, such as 10 R. x 100 ft):
1) All 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 rill to be placed below the . FUN Pond elevation
4) The location of any proposed structures such as buildings, retaining
wags, docks, etc.
5) The location of any excavation or dredging below the Full Pond
elevation.
6) location of construction access corridors.
III-llstsnn?a cessavemall, IAWC
10420 N.C. 801 Hwy.
Mt. Ulla, NC 28125

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Latitude: ;35.5847955
Longitude: 80.9604258
Degrees Minutes
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Latitude: 35 - - X35 15.265
Longitude: 57 --- 37.533
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4/13/2011
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