20110698 Ver 1_401 Application_20110711

• DUKE POWER LAKE MANAGEMENT, EC12-Q
P. O. BOX 1006
CHARLOTTE, NC 28201-1006 20 1 1 0 6 9 8
704-382-1567 OR TOLL FREE 1-8004143-5193
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 POWER FILING FEE, PAYABLE
TO DUKE POWER, TO ABOVE ADDRESS.
1. Applicant Information
A. Name
B. Mailing Address
C. Telephone
Location of Proposed Project
A. Lake
B. Street Address
C. County,
D. City, Town, Community or Landmark
E. Section Lot # 2
F. Directions to property by road 77
t?'AID
G. Latitude and longitude for the project site " Q . C? 14,p I '
H. Please submit a map showing the coordinates or a detailed map (USGS quad n
etc.) showing the exact location of the project site. (NOTE: Latitude/longitude o
be found on internet site, . Directions: Don't register, click
address, draw map, select "Map Clicking Will... ", select "Lat/Long", click map)
Description of Project
A. Length of wall
B. Material
C. Distance from property line/shoreline
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant
Date j
1
i
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, ASHEVJLLA 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 DANSION OF WATER QUALITY, ATTENT10N: Cynd!
Karoly, PARKWEW BLDG., 2321 CRABTREE BLVD., RALEIGH, NC 276W, PHONE: [phone]
The following is an abbreviated application form for those applying for a 401 Water
Qaa6ty Certification to impact FERC (Federal Energy Regulatory Commission)
regulated lake sbore or bottom under the U.& Army Corps of Engineers Permit
GP30. This Application cannot be used for wetland or Amin impacts. Please
provide seven (7) copies of this application and supporting information as well as a
Bon.refundable application fee to the DwWon of Water Quality of $200 OO for
impacts of to lake bottom of less iliac 1 acre and 54700 for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to:
NVIsioa of water Quality wetlands unit
1650 Mail Service Center
Raleigb, NC 27699-1650
L Applicant Information
1. OwnedApplicant Information
LT..--- V V
l I Phui e.r-
Marling
Telephone
E-mail Ad,
2_ Agent information (A signed and dated copy of the Agent Authorization letter
must be attached i ?tb?c Ageut? siry authority for the owuedapplicant_)
Company
Mailing A
Telephone Nwnbe . D - O ' Fax Number
E-mail Address: G
II. 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
1. Directions to site - please include road numbers, landmarks, etc.. (This is not necessary
if an adequate vicinity map is included): - r& a .-LO.11 i ' Ail ^ ?t i

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: 6k&O C. 4-,4J 68 C i a
"Re-mom- -
f /? ?/ I i J ;n
A V%A 11 4 . t/ n ? C n/ • . v1 n Il ? n?r? n ? C'n i ?.w n ? ,.
6
7. Amount of impact (including all excavation, backfili, rip rap, retaining walls, etc.) below 1
A 1^ 1, 5k
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining wails,
etc.) above the normal pool lake level and 50 feet land-ward 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 for instance): W41 I R, ? f Nces
si,.??-bed S .
Applicant(Agent's Signature Date
(Agenes signah" is valid only if an audwdzMw letter from the W#icant is provWOM
List the type of equipment to be used to construct the project / - k%. i „ . / z„ '. f)

a

please appro aately sketch theft nfOrAufm on this
viodde dim tsmm for each Run, sueb as If IL x 400 ftY-
?j m propamd vro bn dewing (pra" dace WWWOO .
3) ocehat o rip rW or M t o to be e placed above the Rd pbmd below Um - f Pad vkvWm
3) Lacation of f rip rap dwaftm
d) The WCOOM of mW proposed wuctures weh as bddng , rem
sus dock% etc.
5) The location of my excawMan or befowthe FUN Pax[
e) Location of construction wAms c*nW*m
I
give
CBC Stone and Recycle, LLC. authorization
to obtain the necessary information for
stabilization and dredge permits.
I
Date:
DIRECTIONS BY ROAD FORM
Lake use permit Applicants and Contactors: Ease of locating the proposed pro jecf sift can have a big
impact on permit processing time- Please complete this form and return ft along with your eompleted
permit application to:
DUKE POWER
C/O LAKE MANAGER E -EC 12 Q
P.O. BOX 1006
CHARLOTTE, NC 28201-1006
1-500443-5193
0,11
Applicant's Name:
Lake Name: ?.((
Subdivision Name: Allis Lk-j
Property Section: Lot(s): Iq _
City:-6LJwg,n-County:
State: KC. Zip: a,'?
Telephone: Z11 - 3 3 a,.. 9 315
Directions(from major road i
r •
Descriptive StmctLu*s) on
Propel':

Type of permit
requested
"Circle"
Private Pwility
Commercial Facility
Excavation
Ctt)
WISMI aneous

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167 Timber Drive Troutman, NC 28166 - Google Maps
Address 167 Timber Rd
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