20120666 Ver 1_401 Application_20120712

DUKE POWER LAKE MANAGEMENT, EC12 Q
P O BOX 1006 2® 1 2 0 6 6 6
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 POWER FILING FEE PAYABLE
TO DUKE POWER TO ABOVE ADDRESS
I Applicant Information
A Name Todd Reulbach
B Mailing Address 190 Lakeshore Dr Mooresville NC 28117
C Telephone [phone]
II Location of Proposed Project
A Lake Norman
B Street Address 190 Lakeshore Dr
C
County Iredell
City Town Community or Landmark
Mooresville
Section Lot # 7 Subdivision Lakeview Shores
F Directions to property by road
Lakeshore Dr
1- 77 N to exit 32 - West on Langtree - Right on
G Latitude and longitude for the project site S- a Y i yl) r� 7 2
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 mapsonus com Directions Don t register click Maps enter
address draw map select Map Clicking Will select Lat/Long click map)
III Description of Project
A Length of wall 132'
B Material 1 z e- Q d ► L-o L k- Lu W(
C Distance from property line /shoreline Will follow existing
IV Intended Use of Project Area ✓U
A Private X
B Commercial
V Applicant Signature a T Yf 6W0 4 / Date 6/21/12
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 ASHEVILLE 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 DMSION OF WATER QUALITY ATTENTION Cyndi
karoly ARKVIEW BLDG 2321 CRABTREE BLVD RALEIGH NC 27604 PHONE 919 - 733 -1786

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 rive (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 /Applicant Information
Name QQU J`\Cj- Uk t-) A\ 1 t
Mailing Address (Cl o ` aAe' �)ftrt
Telephone Number ���- I i l Fax Number
E mail Address � GQ� cf-i l
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 1 y ya Y" �- G CEAe s
Company Affiliation
Mailing Address
Telephone Number
E mail Address
II Protect Information
_70ci_ 5a�' N OO Fax Number i b 5A - 6 �0S
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 T �� ) � I Nearest Town
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
vicinity map is included) 1 l -7 1J T us n Oh% Q0 �—CY -4ti'tt
2 Descnbe the existing land use or condition of the site at the time of this application
3 Property size (acres) 1
4 Nearest body of water (stream/nver /sound/ocean/lake)
5 Descnbe the purpose of the proposed work �� 'Ct, !�Dkxyj Mi40
T11 "alneg Did cy,1J, nr Gdn
6 List the type of equipment to be used to construct the project 51)01 k& LAJMC
7 Amount of impact (including all excavation backfill np rap retaining walls etc ) below the
t
normal pool lake level in square feet or acres 3 - ,
13 �-
8 a Amount of impact (including all clearing back fill excavation np rap retaining walls etc )
above the normal pool lake level and 50 feet land ward in square feet or acres
/I Y /.32-
8 b Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance)
at 1Z
Applicant/Agent s Signature Date
(Agent s signature is valid only if an authorization letter from the applicant is provided )

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d i
Lake (Full Pond)
Full Pond
Shoreline
Please approximately sketch the following information on this plan (please provide dimensions
for each item, such as 10 ft 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 np rap or fill to be placed below the Full 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
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#4 REBAR FOUND O NOTES
NAIL SET A I NO NCGS MONUMENT
COMPUTED POINT (CP) ® FOUND WITHIN 2000
OVERHEAD UTILITY OU 2 PROPERTY MAY BE
POWER POLE 0 SUBJECT TO OTHER
COVENANTS RESTRICTIONS
NORTH PER EASEMENTS OR
P S 7 PG qa RIGHTS —OF —WAY THAT MAY
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D of LAKEVIEW SHORES SECT ►ON 2 AND ADDITIONAL TRACT
PROPERTY OF TODD REULBACH AND JULIE REULBACH DATE 5/9/2008
SCALE 1 =30
MOORESVILLE IREDELL COUNTY NC
AS RECORDED IN
PLAT BOOK 7 PAGE 48 AND D B 745 PG 192 PIN 4635818831
190 LAKESHORE DRIVE EOC > =1 10 000

(Page 1 of 1)
SECTION 7"
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DUKE ENERGY 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 tune Please complete this form and return it along
with your completed permit application to
Duke Energy
C/O LAKE SERVICES — EC 12Q
PO BOX 1006
CHARLOTTE, NC 28201 -1006
1- 800 -443 -5193 and select Option 5
Applicant's Name — Todd Reulbach
Street Address (at Lake)_190 Lakeshore Dr.
Lake Name Norman
Subdivision Name Lakeview Shores
Tax Parcel ID (d known) Y 43 f f% Q Q 31 Lot 7
City _Mooresville
State NC
Latitude 355244
Telephone
704-995 -1668
County Jredell
Zip 28117.
Directions (from major road or highway)
Longitude 808872
I -77 North to exit 32 — West on Langtree Rd — Right on Lakeshore Dr
Descriptive Structure (s) on Property (i a brick garage, white fence, mobile home, etc)
190 LakeShore Dr

190 Lakeshore Dr, Mooresville, NC - Google Maps
Go, !SIC Address 190 Lakeshore Dr
Mooresville, NC 28117
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Text the word 'GMAPS"to 466453
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MapCard - Print your custom map
Page 1 of 1
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190 Lakeshore Dr, Mooresville, I
Goosic earth

(JPEG Image, 1632 x 1224 pixels) - Scaled (82 %)
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6/26/2012 4:20 PM