20080569 Ver 1_401 Application_20080308

DUKE ENERGY LAKE SERVICES
EC12-Q
P O 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.
L Applicant Information
A. Name , ~ , ~ `' ~ ~^'~
II.
III.
OS 0569
B. Mailing Address ~ 7G~- 1--~h~~c~. La~~ ;jc,.~k~c,,~~ ~ ~ ~~ ~~ i 7
C. Telephone: ~G~ 7.3 '~ i'3.3 )
Location of Proposed project
A. Lake c.._' ~'~,.r~ v ;11
B. Street Address ~.^~ ~ c,~.~ ,;, ~ ~,~ ~J
C. County ~~ ;s~,,r,
D. City, town, community or landmark C:*•..t~c, t,,~"w,~,~
E. Section ~ +'~ Lot # ~' ^3 Subdivision
F. Directions to ro `'`j
P 1~rt3' by road r~ f i ~~~ C~..~.~ k ~, ••f-u,r~ I,~~..i-..
G. Latitud$ and longitude for a 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 intemet site,
www.mapsonus.com. Directions: Don't register, click "Maps", enter address, draw map, select "Map
Clicking Will... ", select "Lat/Long", click map)
Description of Project
A. Length of wall /9p f^ . Sa ~ ,
B. Material Sy'~.ct. a a/ o~.tr ~
C. Distance from property line/shoreline.
TV. Intended Use of~ ject Area
A. Private
B. Commercial
. `~ ~~.~
~~~ - ,. ~
j' ;~~.a0
:~,:,.,
°u f ~
V. Applicant Signature Date `~ ~ t ei' ~
PLEASE NOTE THE FOLLOWINGr"~ J
• A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY
MUST BE SUBMTTED TO: US ARMY CORPS OF ENGINEERS, 1 SI PATTONA VE. -ROOM 208,
ASHEt~fLLE, NC 28801-5006
• 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 &4ROLY
PARgVIEW BLDG., 2321 CRABTREE BL l'D.
RALEIGH, NC 27604
919-733-1786
G:U.AKEMGMTiPackage Infonnation~NC Shoreline Stabilization Applicatioadoc

DUKE ENERGY LAKE SERVICES
EC12-Q
P O BOX 1006
CHARLOTTE, NC 28201-1006
704-382-1.567 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,
L Applicant Information
A. Name ~~ , ~ ~ ~ `' ~ .~
B. Mailing Address ~ ~C.x~ ~--~r.~c~c«~ Leh • ~~~.c`~ sc,~• ~`~ 3~ i -?
'~- 1~ •~,::a ~
C. Telephone: ~`~~ ?,3 ? x-3.3 ~ •
II. Location of Proposed Project
A. Lake ~ ~-~+~ v : ~ 1~
B. Street Address ~~~ e _ c,-~ ~ ,~,,,,, „~ IQJ
C. County w~ ~5c~rr,
D, City, town, community or landmark C+~..\.~ c, ~ 1~,,,.~
E. Section /" r~ Lot # ~'-~3 Subdivision ,~ • `c5.)
F. Directions to property by road {r~,•,~°ti-, ~~f^yy', ;•~~.~ C~:.~.~ ,,Q ~, -•{.-~h~,,~ ~;~..~,,;~
Y e _ CR~c.~,cj, icy. ~ear_k..
G. Latitud$ and longitude for a 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.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 rQp r . , j'~ ' ,~~~, ~
B. Material S1F4.c~tea/ ~e .rG w.gl/
C. Distance from property line/shoreline 5 ~7 '
TV.
V.
Intended Use of Project Area
A. Private V
B. Commercial
Applicant Signature
Date ~~ ~ t ~ ~'
A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY
MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 1 SI PATT'ONAVE. -ROOM 208,
ASHEVILLE, NC 28801-5006
• 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 T'HE DIVISION OF WATER QUALITY APPLICATION FEE TO:
NC DII~ISION OF WATER QUALITY
ATTENTION: CYNDI gAROLY
PARIYVIEWBLDG., 2321 CRABTREEBLVD.
RALEIGH, NC 27604
919-733-1786
G:1I.AKEMGMT1Package Information\1VC Shoreline Stabilization Apptication.doc

~.
State of North Carolina
Department of Environment
a.nd Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
September 25, 2000
Jimmy Chisholm
Carolina Power and Light Company
179 Tillery Dam Road
Mt. Gilead, NC, 27306
s~
An w e~,~~~r~-= ~
Joe Hall ~~ `a. ~~
Duke Power and Lake Management MA,R 2 7 200$
P.O. Box 1006 ~ '
Charlotte, NC, 28201-1006 UE~°~~ - ~,a~ EN ;,~U~~; rr
_ ti ,=~~~.~~ns ~r~~ sraR?~warER ~cr~
Re: General 401. Water Qualit3r Certification for Lakc and Reservoir Activities
Dear Messrs. Chisholm and Hall:
The purpose of this correspondence is to clarify the provisions and process relative to NC
Division of Water Quality's General 401 Water Quality Certification Number 3280 which correspond to
the U_S. Army Corps of Cngineers General Permit 198200030. We understand that you receive
numerous requests from lakefront property owners inquiring about the permit requirements for activities
they propose to conduct on the waterfront. After you have determined the property owner needs to
obtain a permit for dredging or shoreline stabilization from you,. we understand they are then. instructed
to obtain the necessary 404/401 Permits. These property owners should pursue the following sequence
of events to deternline their 404/401 permit needs. We have coordinated this letter with the U.S. Army
Coops of 1/ngineers so that it relates equally to both perniitting programs.
The U.S. Army Corps of 1/ngineers is the lead agency and accordingly determines 404 requirements
for all projects. Applicants should first contact the appropriate Corps field office representative for
their county. To identify which counties are handled by a particular Corps regulatory field office or
to find the appropriate individual in the regulatory staff, the public can access the Wilmington
District Regulatory Homepage at www.saw.usace.army.mil/wetlands/re~tour.htm or read from the
list on Appendix A. The Corps staff will determine if a 404 Permit is required, and if so, which
particular one. It is important that the applicant learn specifically which Nationwide or Regional
General Permit applies to their work. Por lake and reservoir activities, General Perniit 198200030
(also called General Permit 30 or GP 30), is often the appropriate permit. The matching General
Certification for GP 30 is the subject of this correspondence.
2. Application for GP 30 involves submittal of detailed plans, location maps, and other supplemental
information explaining the nature and scope of the work to the Corps. If the work is determined to
comply with all conditions of GP 30, the Corps will then issue a "tear sheet" to the applicant, either
on-site or by mail, that qualifies as the Corps' written confirmation that the proposed work complies
with this regional general permit. It is important for applicants to note that GP 30 always requires
written concurrence from the Corps.
Nort-~iscl~arge t3ranUt 2321 Crabtree Blvd Parkview Raleigh. North Carol~~a 27604:
Telephone [phone]G Bldg FAX tf 733-9959
M Ca+~ Q~orWrMy nr~„mafrvc I\U~orr Crrywoya SOY. rccycfrut0~4 post consvn~cr M1~

3. If the Corps tells an applicant that no 404 is required for their project, then no 401 Certification is
required. However, applicants should note that projects located within the Neuse River, Tar-Pamlico
River, or Randleman Reservoir Basins may require approval of Buffer Rules for projects within
these watersheds. In such cases, the applicant should call the appropriate DWQ Regional Office
staff (Appendix B) to discuss the project. The Regional Office staff may elect to perform a site visit
to review the site conditions and discuss the buffer approval or variance process.
4. If the Corps requires a 404 Permit, then a 401 Water Quality Certification is required. In the case of
GP 30, DWQ has a matching General Certification (GC 3280), which is attached. The first thing the
applicant should do is carefully read GC 3280 to determine whether written concurrence is required.
Written DWQ concurrence is required if the activity involves any fill, dredging or excavation of
waters or wetlands. This includes any waterward extension of the shoreline, excavation of boat
basins (even during lake draw-down periods), bank stabilization practices that involve any new fill in
waters (including any amount of new rip-rap placement), boat ran~ps involving placement of fill in
waters, and new dredging. Activities which do not require written concurrence for GC 3280 include
seawall repairs that do not require any new fill in waters, and the placement of pilings for docks,
piers and boathouses. It is vital that the applicant understands the difference between "No 401
Required" versus "No Written Concurrence for the 401 Required." No 401 is required only if no
404 is required. If a 404 is required, a 401 is always required. If the scope of work falls below the
thresholds for written concurrence on the 401n the conditions of GC 3280 still apply, and the
applicant does not have to submit a forn~al request for approval from DWQ for their specific project.
However, the applicant is still required to follow all of the conditions of GC 3280, which you can
copy for them or they can download from our web site. A speed limit sign is a useful analogy to
explain this - a driver needs to look for and obey the speed limit sign on a road, but does not have to
obtain a letter from a police officer saying he has permission.to drive down the road.

5. If a project does require written concurrence for GC 3280, then the applicant must provide a written
application to the Division of Water Quality. We have prepared a special link entitled "A Lake
Dweller's Guide to the 401 YVater Quality Cerlificatio~i Process" on the 401/Wetlands Unit web site
at htte//h~o enr.state.nc.us/ncwetlands . This site contains information to guide the applicant
through this process, including links to the Pre-Construction Notification (PCN) application form.
Copies of the appropriate web pages are attached herein for you to provide to applicants without
internee access. If the applicant has already filled out a PCN form for the .Corps, they can simply
copy this PCN form for DWQ. In brief, the applicant is required to provide seven copies of the PCN
form, an application fee made out to tl~e Division of Water Quality ($200 if total impacts fall below
1 acre ofwaters/wetlands and 150 linear feet of streams, $475 if above these thresholds), and good
quality vicinity and local maps depicting the impact. The reason we require seven copies is that we
act as a state clearinghouse, and provide copies to five other agencies, which saves the applicant
from this requirement. Provided that the applicant has included all of the required information,
applications such as these are quickly issued by DWQ. The GC 3280 applications that are placed on
hold are usually deficient in maps. Applicants can save themselves time by preparing good maps
with scales and north arrows. The vicinity map must clearly depict their property within the county
or city. The site map must clearly show their property boundaries, and the location, nature and
extent of the impacts. USGS topo maps are typically the most useful type of site map for individual
property owners to use as a base for their site map. Impacts must be quantified on the map and in the
form as an area (i.e. 0.5 acres, not just shoreline length). If an applicant needs help filling out the
application form, they should contact the appropriate DWQ Regional Office Staff, or Cyndi Karoly
at [phone] in the DWQ Central Office.
Thank you for your attention. [f you have any questions, please telephone .lobs Dorsey at 919-733-
9646 or Cyndi Karoly at [phone]. _
Sincerely,
Icahn 1)~~rncy

,•
~,
The Basics of the 401 Water Quality Certification Process
401 Water Quality Certification Program -The Basics
Section 401 of the Clean Water Act delegates authority such as a Section 404 PermWaThe '401Y is
Certification for all protects that require a Federal Perms
essentially a ver'~fication by the state that a gollowinoJ sca balsi~~odutlg e of the 401 ~ev ew paocess in
otherwise violate water quality standards. North Carogna:
When do you need to request a 401 Water Quality Certification?
If the U.S. Army Corps of Enginee ands or~watershthen a 401 Water Quality Certifcationoisralso
proposed project involves impacts to wett
required. The Corps also determines which type of permit is applicable to your work, a Nationwide,
Regional, Generator Individual Permit_ For each. o DWQ nt'orderdfo~r~the Peam~ to beevalid. An Itndividual
matching General Certification must be issued by
401 Water Quality Certification is necessary if an Indiv'oU ~ ~ ad the matching Geoneral Certif~cationss
determined which type of permit you should request, y
on the DWQ web page. Please read the applicable Cert~rcatn concurrence/nootificaaon is nvvohtrequired, of
written concurrence/notification is required by DWQ. If
and your project meets all of the conditions of the Ge i tr Ce~tficataon forr youdr particular proje b If the
formal application or receive a signed 401 Water Qua y
General Certification states that written concurrence is necessary, please note the following steps
necessary to obtain your 401 Certification.
Fill out aPre-Construction Notification
North Carolina, you use a single form to request both a 404 Permit and 40n 1 99 when 1heh~s
In
PCN Form can be downloaded dir e tPerPni s are issued~SJust fo1{low the instrductions on the form. You
final versions of the new Nationv~nd
should also include a cover letter explaining your project, an encoura ed to,n'rovide any support ng (to
scale) depicting all the proposed impact areas. You are also g P
documentation available, such as correspondence, received from the Corps of Engineers or
hotographs. Remember, the more clearly you describe youre Coects andm~ovide'selven copies of the
P lication to th p P
your application. You will need to submit this app
entire application to OWQ_ if you do not provide sevenrcoate a yenciespa'sawell aslthe appropr ate DW(
incomplete. DWQ will distribute the copies to five othe g
regional office, which saves you time and expense.

b1RTEf? QUALITY PLAr•C11t1G fax [phone] play 15 'O1 10 ~OS P. 0244
LAX{E AND ~t~',SLI~'VOIR ACTIVITY' CERTYrXCATION
GENERAL CERTIFICATION FOR PROJECTS ELIGIBLE rOR CORPS OF
ENGINEERS REGIONAL PERMIT NUMBER 195200030 t'I'VA. OR FERC
REGULATED PUBLIC tITILTIZES) AND REGTONAT, PERMIT 1982(10079 (COE
tAKE AND RESERVOIR MAINTENANCE REP AIR AND CONSTRUCTION
ACTIVITIES AI\'D NEiJSFJTAR-PAI~ICOIRANDLI?MAN BUP~~ER RUT-ES.
This General CeriiCication is issued in conformity ~~'ith the requirements of
_Section 401, Public Laws 92-500 and 95-? 17 of the United States and subject to the
North Carolina Division of Water Quality Regulations in 15,?~ NCAC 2H, Section .0500
and 15A NCAC 2B .0200 far the discharge of fill material to waters and wetland areas
as described in the'4Vilmingtott District's Regional (General) Permit Number 198200030
and Regional Petnut Number 198200079 and for the Neusc, Tar-Pamlico and Randleman
Bu(fer Rules (15A NCAC 213 .0233, .025A and A250). This Certificatton replaces mater
Qualit}' Certification (WQC) Number 2674 issued on January 21, 1992 and ~Vatcr
Quality Certif cation Number 3099 issued on February 11, 1997. This «QC is rescinded
~~•hen the Cogs of Engineers re-authorizes these Regional General Permits or when
deemed appropriate by the Director of the DR'Q.
The State. of North Carolina certifies that the specified category of activi y will
not violate applicable potZions of Sections 301, 302, 303, 30u and 307 of the Public Law;
92-500 and 9~-217 if conducted in accordance «~ith the conditions hereinafter set forth.
Conditions of Certifi~.ation:
L. activities which risquire approval under either of these General Pet~nit~ but
do not result in fill, dredging or excavation of waters or Wetlands (such as
docks, piers or boathouses] do not require written concurrence from the
Division of `'Water Quality as long ss they comply vridi all other conditions of
this General Certification. However, Condition No. 5 is applicable to all
streams in basins ~,~th riparian area protection rules:
2. In accordance with North Carolina General Statute Section 143-215.3D(e),
any request for i ritten concun-ence fora 401 'fV<~ter Quality Certificxtion
must include they appropriate fee. 1f a project also requires a CA?`•IA Petznit,
one payment to both agencies shall be submitted and ~t•ill be the higher of the
t~~-o fees. The fee shall be collected and distributed bet~~~een the two agencies
in accordance with agreements reached between the Division of Water
Quality and thc~Dirision of Coastal ;vlanagement;
3_ Activities which result in fill, dred_a_ing or e tca'~c(i`o`Uol wac ~r,Y.~o, hctD ~~Uil
under this Gcncral Ccrtil'ica~iun icyui-~
of Water Quality:
q_ Measures shall be taken to prevent live or fresh concrete from coining i,~:.,
contact ~~•ith waters of the state until the concrete has hardened;

I ~ f 1
• LIATER aJAt-ITY Fl_f#~dING Fax =919-715-5=.,~7 - ...ttay -1~ - "r- . iv •w ` . •'.~, •,•. •
r~•
5. Impacu to any stream length in the Neuse and Tar-Pamlico River Basins
requires written concurrence from D~~1Q in accordance with 15A NCAC
2B.0233 and 15A NCAC 2B .0.259. New development activities lo;,ated in
the protected 50-foo: ~~•ide riparian areas (whether jurisdictional wetlands or
not) within the Neuse and Tar-Pamlico Rives Basins Shall be limited to "uses"
identified within and constructed in accordance with 15A ]CAC 2B .0233
and 15A NCAC 2B .0259. All new' deve]opmeni shall be located, designed,
constructed, and.maintained to have minimal disturbance to protect water
quality to the maximum extent practicable through the-use of best
management practices;
(. That appropriate sediment and erosion control practices which equal or exce.,d
those outlined its the most recent vzrsion of the "North Carolina Sediment and
Erosion Control IP[anning and Design :vianual" or the "North Carolina Surface
Mining h'lanuai" whichever is more appropriate ~avai]able from the Division
of Land Resources (DLR) in the DEl~'R Regional or Central Offices] shall be
in full compliance with all specifications governing the proper design,
installation and bperation and maintenance of such Best Management
Practices in order to assurz compliance with the appropriate tut~idity water
quality standard:
7. Rip-rap shall be installed adjscent to bulkheads in freshwater lakes to ensure
protection of aq i tic habitat. Construction over ~a•etlands shall. be elevated at
least three feet abo~~e any ~~-etlands, and floatine stntetures shall not rest .
periodically or! the bottom:
8. All sediment an~• crosio~ control measures placed in ~L~ctlands or u-titers shall
Uc removed and hhe natural grade restored after the Division of Land
Resources has relcaced the project;.
9. If an environmental document is required, this Certification is not valid until a
Finding of No S~gnficant Impact (FgNSI) ar Record of Decision (ROD) is
isSUCd by the Suite Clearinghouse. All ~4<+ter quality-related conditions of the
FONSI or ROD Shall become- conditions of this Certification:
10. Piers and boat houses shall br constructed to proti'ide for storace and reino~•al
i
of se~~•agc rather than allotti•ing r:-~~• waste or other se~~-age to be dispose
dirt:ctly into surface ~~•aters;
11. f'+dditional site- specific conditions may'tx. addeod~°liance ~~i~ta 1 applicable
fill under this Certification in order to c P
~~•sicr du.tlity Anil cfrlucn[ scmidnrOs:

9--7i5-56x7 - . ~~ ls,.~l.t.~~~:~rr'~itt~p"~"~"j04_:t-~u~rr~.;,,;;;t~".,,;;~ t
WATER c]lJA`-ITS Ptptt~ING Fax ~91 ~ ,a
:y'
12. COnCUt7%nCC from A~VQ that this Certification applies to an individual project
shall expire three years from the date of the cover letter from DWQ or on the
Ssme day as the expiration date of. the con'espondingRegional Permit
19fi200030 or 195200079, whichever is sooner,
13. When written concurrence is required, the applica Y is roquNehdn all work
enclosed Certification of Completion form to notif D~VQ
included in the ~O1 Certification has been completed.
Non-compliance with or violation of the conditions herein set forth by a specific
fill project shall result in revocation of this Certification for the project and may result in
criminal and/or civil penalties.
The Director of the North Carolina Division of Water Quality nay require
submission of a formal application for individual certification for any project in this
category of activity, if it is determined Chat the project is likely to have a significant
ad~~erse effect upon water quality or decrade t1~e waters so that existing uses of the
n~etland or do~ti•ntream waters are precluded.
Public heaein fis nia}~ be held for specific applications or group of applications
prior to a Certific:~tion decision if deemed in the public's best interest by the Director of
the North Carolina Di~~ision of ~'Jater Quality.
Effective date: ].June ?000
DIVISION Ol' WATER QUALITY
B 1`
Kerr T_ Sterens
Diiector
~VQC # 32S0

US Army Corps Of Engineers Field 0f5ces and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell
kson
J Mitchell
Polk
s of E cers
US Army Corp ngrn Avery
grmcombe Clay
Cleveland ac
Lincoln Rowan
l5l Patton Avenue Burke Gaston Macon Rutherford
Room 208 Cabarrus Crrattant Madison Stanley
Asheville, NC 28801-5006 Caldwell Haywood McDowell Swain
Telephone: [phone]
Catawba
Henderson
Mecklenburg
Transylvania
Fax: [phone]

Raleigh Regulatory Field Office Alarrrance

1
1 DutJ>am
ecornbe
~ Johnston
~ Rockingtram
Stokes
US Army Corps Of Engineers eg
tarrY
A1
Ashe Franklin Nash ~Y
6508 Falk of the Neuse Road Caswell Forsyth Norihantpton Vance
Suite 120 Chatham tnartville Orange Wake
Raleigh, NC 27615
Davidson
Guilford p~~ Warren
Telephone: (919) 87(x8441 Davie Halifax Randolph Wilkes
.Fax:[phone]
Washington Regulatory Field Office Beaufort Cu>zituck Jones
ltrroir
US Army Corps Of Etrgrneers Bertie Dare
Gates Martrn
Post Office Box 1000 Carteret' Green Pamlico
Washatgtor4 NC 27889-1000 Chowan Hertford Pasquotank
Telephone: [phone] GYaven Hyde Perqurnrans
Fax: [phone]

Wilmington Regulatory Field Office Anson ~ ~plin Onslow
Pender
US Amty Corps Of Engineers Bladrn
Brunswick lJaznctt
Hoke Richmond
Post Office Box 1890 Carteret Montgomery Robeson
Wilmington, NC 28402-1890
Columbus
Moore
Santp~
Telephone: [phone] Gnnberlartd New Hanover Scotland
Fax: [phone]
Pitt
Tyrrell
Washington
Wayne
Utuon
Watauga
Yancey
Wilson
Yadkin
'Croatan National Forest Only
US Fish snd Wildl'de Service /National Marine Fisheries Service
North Carolina Stale Agencies
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
Division of Water Quality
40l Wdlands Unit
1650 Mail Service Center
Raleig}t, NC 27699-1650
Telephone: [phone]
Fax:(9l9) 733-b893
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
National Marine Fisheries Service
Habitat Conservation Division
Pivers kland
Beaufort, NC 28516
Telephone: [phone]
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
LAMA and NC Coastal Counfies
gp~~ Chowan Hertford Pasquotank
Division of Coastal Management
Beriie Craven Hyde Pender
1638 Mail Service Center Brwuwick Cuaituck New Hanover P~'q~~~*+y'-^c
Raleigh, NC 27699-1638 Camden Daze Onslow Tyrrell
Telephone: [phone] Carteret Gates Pamlico Washington
Fax: [phone]
NCWRC and NC Tro ut Counfies

Western Piedmont Region Coordinator
~s
e
~ry Caldwell
Mitchell Watauga
Wilkes
3855 ldlewild Road A
}
i
Avery Stokes
Kerrrersville, NC 27284-9180 Burke SmrY
Telephone: [phone]
Mountain Region Coordinator Buttcornlx
Cherokee Henderson
Jackson Polk
Rutherford
20830 Great Smoky Mtn Expressway Clay Macon Swain
Waynesville, NC 28786 ~l,an, Madison Transylvania
Telephone: [phone]
Fax: [phone] Haywood McDowell Yancey

~ g p 5 6 9
The following is an abbreviated application form for those applying fora 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 Uait
1650 Mail Service Center
Raleigh, NC 27699-1650
Q~~~~e~Q
MAR 2 7 2008
DENk - WATER UUAlJ1Y
1h'ETIANDS AND STORMNJA7ER BRANCH
I, Applicant Information
I. OwnerlApplic~`t Information
Name: I~ . ~ ~ ~ ~~ ~~
2
Mailing Address:
Jam- ~r,~ ~~ F'~. 3 ~a i ~
Telephone Number: ~~ 3 --~ 33 1 Fax Number:
E-mail Address: ~~ ^^ ~ ~ C ° `~ i ' `~ ~
Name.
Company Affiliation: ~-- ~ Cv i•cn.~ `~ ~ ` ~ ''~
Mailing Address: o ~ on 39 `~
Agent Information (A signed and dated copy of the Agent Authorization letter
must be attache if the Agent has signatory authority for the owner/applicant.)
~-rsh M,~ars
Telephone Number: ~ ~~7 Fax Number:
E-mail Address:
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

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 ,,( ~-~,r~;`1rt Cu~~cw~
County. VQ~~ h Nearest Town:
Subdivision name or site address (include phase/lot number): -~~ ~ + 2°~~ L~`,' ~ 3
Directions to site please include mad numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included):
G G t
2. Describe the existing land use or conditon of the site at the time of this
application: Rbv~~ -~~~, o~ rnoW'L~ q~~ss- S~
~ _ ~ L ..,l_ . --
3. Property size (acres):
1..~.k~ ~r~,1~
4. Nearest body of water (stream/river/sound/oceanllake): `
5. Describe the purpose of the proposed work: 1 o S'~'G U I ~ 2 ~- `r~ ~-
51,0~'~-- /•~c~ ~rDM U~ cis !, .t,~ 4 ~ o.r ctn~( to 0~. -{- ciJ
w a.
6. List the type of equipment to be used to construct the project: m ct (.~ ~' ~'c.ck. ~~ ~-
-~ n1 ~e
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres:, +n'nQ .~~ 11 So' ~. d-
.~; 1' - Acs o I
R:p-RaP- 1% Asti -a%s' sJoP~o/
8. a. Amount of impact (including all cleanng, ack fill, excavation, rip rap,
retaining walls, etc.) above the normal pool lake level and 50 feet land-ward in
square feet or acres:__/t1 n-l_____~ ~ b o ~ ~-
r,
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): I ~ c r c. 4 rc 1 w a "~'ra ~ S .
~~ ~ aJ a~
/l
pplica Agent's ature ~ Date
(Agent's ignatur i slid only if an authorization letter from the applicant is provided.)

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G~~P'~a~
P ~ ,~ s`~,
Please approximately sketch the following i~nformafwn on this plan
(please provide dimensions for each Item, such as 10 ft. x 100 ft):
1) All proposed vegetation Bearing (provide dimensions}.
2) Location of rip rap or fill to be Placed above the Full Rand ~elevatlon
3) location of rip rap or fill to be placed below the Fup Pand elevation
4) Tt~ focatlon of any proposed- sh~t~ctur~es such as buildings retalning
walls, docks, etc. Y
5~ The location of any excavation or dredging below the Full Pond
elevation.
6) Location of construction access corridors.

`penal a xt~e tt
~~~
Please approximately sketch the following informatron on this plan
(please provide dimensions for each Item, such as 10 ft. x 100 ftj:
1y All proposed vegetation clearing (provide dimensions]
2j Location of rip rap or fill to be .placed above the .Full Pond elevation
8~ Location of rip rap or f"iit to beplaced glow the Full Pond elevation
4} The location of any proposed structures such as buildings, retalning
watls~ docks, etc.
5~ The {acativn of any excavation or c~edging below the Full Pond
elevation.
~) Location of construcEion access corridors.

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Printable map of 3335 Pine Creek Road, Cullowhee, Nc 28723 - Mapsonus.com Page 1 of 1
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