20120012 Ver 1_401 Application_20120112

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DUKE P O W E R L A K E M A N A G E M E N T , EC12 -Q 2 0 1 2 0 0 12
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 NOR'T'H CAROLINA,
Please type or print and fill in all bLubs If mformation is not applicable, so indicate by placing NIA in blank PLEASE
SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING YZE, PAYABLE TO DUKE POWER
TO ,ABOVE ADDRESS
L Apphcant Information
A-
B Mathag AddTess"l3 Sb °��c k \r.�c-�.j C h ox`
C Telephoneed�c'
IL Location of Proposed project
A
B
C
D
E
F
Lake
Street Ad
County _
City town, community or landmark
Section , Lot # 2e- E
T)„ -tzens to nronerty b
G Latitude and longitude for the project site 35 Ip' h I'S I - Q W
K Please submit a map showing the coordinates or a detailed map (USGS quad map, city map eta) shoriana the
exact location of the project site (NOTE Latatnde/ longitude coordinates can be found oil mternet site,
%-%,w mansouus cony D=ctions Don't register, click "Maps" enter address drays map select "Map
CLclang Will " select "Lat /Long', click map)
IIL Description of Project s
A. Length of will ��
B Matenal`W,$ %QZ
C Distance from property line/shorchne —A
IV Intended Use of Project
A. Pnvate
B Commercial
V Apphcrwt Sigaature�� (C
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DENR WATERQUAtIT,
nANDSMD STORriTWATER &Wjj
Date"b o -'7 AO(I
PLF -4SE NOTE 19E EQLLOWING
A COPY OF THE COMPLETED APPLICATION WITR A ROAD MAP SHOWING LOCATION OF THE PROPERTY
MUST BE SUBbOTTED TO USARMY CORPS 0FENGINEERS,151 PA7TONAVZ -ROOM 208,
ASHEVILLE, NC 28801-5006
A COPY OF THE "DUKE POWER APPLICATION FOR PER-NUT TO STABILIZE THE SHORELINE Di NORTH
CAROLINA" AND SEVEN M COPIES OF THE COLLETED "NC DMSION OF WATER QUALITY PRE -
CONSTRUCTION NOTIRCATION APPLICATION" MUST BE SUBMR'IED WITH THE DMSION OF WATER
QUALITY APPLICATION FEE TO
NC DIVISION OF WATER QUALITY
ATTENTION JOHNDORNEY
PARKVIEWBLDG, 2321 CRABTREEBLVD
RALEIGH, NC 27604
919 -733 -1786
12/07 /Ol ssb

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MARINE CONSTRUCTION
5850 Charlotte Highway
Lake Wylie SC 29710
www dockmastersonlme corn
Phone [phone]
Wednesday, December 15 2011
N C Division of Water Quality
Attn John Dorney
Parkview Bldg, 2321 Crabtree Blvd.
Raleigh, NC 27604
Dear Mr Dorsey
Fax [phone]
Enclosed is an application for 401 Water Quality Certification for Walter Edwards
Mr Edwards proposes to permit for his np rap along approximately 207 of shoreline to
aid in erosion control Trees are all from 4" in diameter or smaller or they have
undermined root systems and will be cleared only as far back as necessary Rip rap will
be approximately 1 above full pond. Total square footage of proposed np rap will be
1035 sq &
If you need additional information, please contact me at 803 - 831 -1633
I
Broome

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
Applicant Information
Owner /AMcant Information
Name
Mailing Address
Telephone Number btk- ��'� , Fax Number
E marl Address
2 Agent Information (A signed and dated copy of the Agent Authonzauon letter must be attached
if the Agent has signatory authority for the owner /applicant )
Name n �
Company Affiliatioi
Mailing Address
Telephone Number
E mail Address
IL 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
s c.
a,A 9 1 0

I Location
County =kLlk o► Nearest Town e--
Subdivision name or site address (include phase/lot number)
Directions to site please include road numbers landmarks etc (This is not necessary if an adequate
2 Describe the existing land use or condition of the site at the time of this application
3 Property size (acres) t
4 Nearest body of water (stream/nver /sound/ocean/lake) \-C�Nhl—
5 Describe the purpose of the proposed wo k
b Last the type of equipment to be used to construct the project �e-
7 Amount of impact (including all excavation backfill rip rap retaining walls etc } below the
normal pool lake level in sq are feet or acres
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
8b Please descnbe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance)
Applicant/Agent s Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided )

Google earth feet 1 400
meters 100

Please approxandely sketch the fOVwwmg information on ttm plan
(Please Provide dinensions for each keen, such as 10 ft. x 4011 ft)
4) AN proposed vegetation dearrng (provide d'mcmnsions)
2) Locatwn of rip rap or fin to be placed above the Fug Pond elevation
3) Location of rip rap or fM to be placed below the Full Pond elevation
4) The location of any proposed structures such as buBG9% retaintng
MISS dodos, etc.
5) The location of any excavation or dred9tn9 below #W RA Pond
elevation.
6) Location of construction access corridom
V� -) X�C�, 1'�'N
5) \� VA
L> T, `A
i
r ore..

THIS IS TO CERTIFY THAT ON TKE 2l S'""'''DAY OF �dy � �� *� i SURVtt1RD THE PROPERTY
SHOWN ON THIS PLAT AND THAT THE TITLE LINES AND THE WALLS OF THE BUILDINGS IF ANY ARE
SHOWN HEREON
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Bobby J -Raye, Surveyor_
627 Eastway Drive
Charlotte, NC 28205
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