20120963 Ver 1_401 Application_20121012

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The following is an abbreviated application form for those
Certification to impact FERC (Federal Energy Regulatory
bottom under the U.S. Army Corps of Engineers Permit G
for wetland or stream impacts. Please provide five (5) copi
information as well as a non - refundable; application fee to
for impacts to lake bottom of less than 1 acre and $570.001
equal to 1 acre. a
Applications should be sent to:
Division of Water Quality 401 Oversight/E xpress Review
1650 Mail Service Center
Raleigh, NC 27699 -1650
i. Applicant information
1. Owner /Applicant Information
Name:
Mailing Address:
Telephone Number: 33(lo Z ©"L 1 oll'i
E -mail Address: tM 1 Gh'GI e.6 Y'D
2. Agent Information (A signed and,'dated copy of the
if the Agent has signatory authority for the owner /a
Name: _ 1�
Company Affiliation:
Mailing Address:
Telephone Number:
E -mail Address:
11. Project Information
20120963
iplying for a 401 Water Quality
ommission) regulated lake shore or
4. This Application cannot be used
of this application and supporting
Division of Water Quality of $240.00
impacts to lake bottom of greater or
tting F
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t
�(0 0. 0.YY�C"�''.
c D k�esc�I pot.,
Number:.- 3V S4 3
A ,A -Ar if 0J.. YY
Authorization letter must be attached
,t.)
Fa Number:
ENR
9ZIt . YA7
Attach a vicinity map clearly showing the location of the pro[
as towns, rivers, and roads. Also provide'a detailed site plans
development plans in relation to surrounding properties. Yowl
hand sketch of your project. Also, see they example below fort
plan must include a scale and north arrow,. The footprints of al
facilities must be included.
rty with respect to local landmarks such
owing property boundaries and
ay use the diagram below to make a
idahce. Both the vicinity map and site
buildings, impervious surfaces, or other

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i
i
I. Location
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f
County: GGI Nearest Town: �0
Subdivision name or site address (include phasellot number): 6 OW4 M —es At w4Wt OIM l � !�
Directions to site please include road numbers, landmarks, etel(This is not necessary if an adequate U i.E�t
vicinity map is included):
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 /riverisoundloceaiiA�akle,,)��__
5. Describe the purpose of the proposed worts:
6. List the type of equipment to be used to construct the ' roject: Jl. -l� .f TbIi vh S
sr WA
7. Amount of impact (including all excavation, backfill, ; ip tap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: `� GUhs� laiA
10 rt
10 IIU V JSt� sq 4fi
S.a. Amount of impact (including all clearing, back fill, excavation, rip mp, retaining walls, etc.) �---"�
ab ve the norma 1 la =1; l and 50 feet 4 nd -w i in quare acres, A
t" r.�P
J �i , i Q
$.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be t70-
acted
(number of trees for instance): 1 Nb ! ` �2 14
"0 . CvZA i,.,% 'ti o� htJ t Ale C4 n zt hP o A
ApplicantiAgetn's Signature
(Age:it's signatate is valid only if an
►Yt,Nt. i ; 3 2
Mute
izado r letter• frorri the applicant is provided.)
!

VEGETATION AND
CONTROL FABRIC
3
CLASS 2 RIP RAP
L
2'i
EROSION CONTROL FABRIC
• 36* TO 72° ER 6j CUT
WAVE EXPOSURE
EXISTING GRADE -
3' MAX
MAX
sz
T
HIGH IGH
.14
WATER ELEV
LAKE BOTTOM

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201 2096 3
1
I
DUKE ENERG T DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and
impact on permit processing time.
application to:
C/O
Applicant's Name: i� I ( -41
Street Address (at lake): -U
Lake Name:j�l ek1 l.lrl.ii
Subdivision Name: Olr'() y4iS
i
Tax Parcel ID (if known):
�` e5o
City: "� Ldd Z--./ Coun
State: G, Zir
Latitude: Lor
Telephone:
actors: Ease of locating the proposed project site can have a big
complete this form and return it along with your completed permit
DUKE ENERGY
AKE SERVICES -'EC 12 Q
PO BOX 1006
RLOTTE, NC 28201 -1006
1,43 -5193 and selectlOption 5
i ow� iVl;.� C
;-64TH
5-1
Directions (from major road or highway):
Lot #
C)13 5 `1
CaAd� ?�
Descriptive Structure(s) on Prope rty !(i.e. brick garage, white fence, mobile home, etc):
r) OYA C,
I
O7$47
1
gpaVLAKEMGMT/Package Information/Direcdo s by Road Form doc 8/26109

--- -' - .- ._...Q
APPLICATION FOR PEI
Please type or print and fill In all blanks.
56M IT APPLICATION AND APPf
TO ABOVE ADDRESS.
L Applicant Information
A.
Name rrts+ t
B.
Mailing Address_
C.
Telepixone:��'�
r
iL Location of Pro osed Project
A.
Lake S
B.
Street Address
C.
Counw 0A.
D.
City, town, cormnufAy or Is
B.
Section Lot 9
F.
Directions to property by rea
r
I
i
I
XE ENERGY LAKE SERVICES
EC12 -,Q 1
P O BOX 1006
CHARLOTTE, NC 28201 -1006
t (`1%11 or TOLL FRIE" 1- 800 -443 -5193
IT TO STABILIZE THEISHORELINit 1N NORTH CAROLINA
i
information is not applicable, so indicate by placing N/A in blank, PLEASE
'RIATE DUKE ENERGY FILING FEE, PAYABLE TO DUKL ENERGY,
•� ]raw &i
rlfti c t�
C-
�
G. Latitude and longitude For thefproject 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,
svww.mapsonns.Nm Directions: Don't register, click "Maps", enter address, draw map, select "Map Clicking
Will... ", select "LwLong ", click map)
1111, Description of Project
A. Length of ll
B. Material
C. Distance from property line /,
IN. Intended Use of Project Area
A. Private bit )me-
B, Commercial
V. Applicant Signature
PLEASE NOTE THr, FOLLO PP7,VG:
2 COPIES OF THE "DUKE SHIER G
CAROLINA ", PHOTOGRAPHS 0
COMPLETED "NC DIVISION OF
MC:ST BE SUBMITTED WITH T
Y �.L.4ILE'�iG1+i'11r'aelcage 1n:atralion +NC
1
b. '04 m-, r1WUvd-Qr1 rIQ40
✓`�l. '/ f�6l�tMM ' ._.._..__ bake 1Q�8�
HE
'
' APPLICATION FOR ?M- UT TO STABILIZE THE SHORELINE 1\ NORTH
OF THE SHORELINE TO BE STABILIZED, AND FIVE (5) COPIES OF THE
WAATER QUALITY PRE - CONSTRUCTION NOTIFICATION APPLICATION!"
1)NISION OF WATER QUALITY APPLICATION FEE TO:
NC D/vjsro v 01F mi rER Q U4L1TY
ATTENTION: 0701 KAROL Y
PARKV1EW BLDG., 232 1, CR4 STREE B LVD.
RALEIGH. NC 3'604
919 -733 -1734
Stabili:aUor. Apparoa!,on.d'oc

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BELEWS LAKE
UKE POWER COMPANY
OB 666, PG 721
ENCROACHES US
ONTO PROPEM
"RUSTY E. COX ET AV
MB 28, PG 380
JERRY & TERRY COX
BELEWS LAKE
DUKE POWER COMPANY
DS 666, PG 721
L18
''�...�.•' L16
� E
Li e03�
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I
I "RUSTY E. COX ET
MB 28, PG 360
ZONED RA RUSTY E. COX
A•" "RUSTY E. COX ET AV
MB 28, PG 360
RUSTY E. COX
fill
LAUREL RIDG
MB 27, PG 4E
BRIAN L. MAY

1�> \
6.
0 AUGUST 2012
8 PROPERTY TRANSFER EXH113IT:
(D 0 The two areas highlighted in yellow
- n represent the extent of the proposed
------- - property line adjustment & transfer from
the HOA to the-Development Co.- -
and an individual lot owner.