20090553 Ver 1_401 Application_20090509

0 0` 0 5 5 3
LCCS, Inc.
1156 Perth Road
Troutman, NC 28166
Phone [phone]
Fax: [phone]
NCGCL # 49723
Contact Information:
Steve Davis
sdavis(&Iancasterdock.com E MAIL ADDRESS
LCCS
1156 Perth Road
Troutman, NC 28677
704-528-7400 Phone
704-528-3400 Fax
TSOV19 I
MAY 1 4 2009
DM - WATER QI W'"
KTjMj)S Me ST R WAM WNW
www.lancasterdock.com WEB SITE
DUKE POWER LAKE MANAGEMENT, EC12-Q
P. 0. Box 1006 O g- 0 5 5 3
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. P A I
til
1. Applicant Information
A. Name 1 AOA105 V-4, yo 4,(?J
B. Mailing Address
hr3° WiNdk At- eY7
C. Telephone q - 740 „ , y+
II. Location of Proposed Project
A. Lake
B. Street Address 7-?13-2_ ,ry V,6 L-r14C4_e.
C. County lilye'd?Al
D. City, Town, Community or Landmark pq &&y ?
E. Section Lot # Subdivision
F. Directions to property by road 4 , 5
e.. ,e ra e tv
G. Latitude and longitude for the project site 3 -,
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, vnvw.ma?us.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 2, i. r
B. Material lRYgo Aid -r 1114rqrA"
C. Distance from property line/shorelined
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signature
Date
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 DIVISION OF WATER QUALITY, ATTENTION: Cyndi
Karoly, PARKVIEW BLDG., 2321 CRABTREE BLVD., RALEIGH, NC 27604, PHONE: [phone]
Directions to site - please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included): ?e e A 01 1S_ °4
Cox
40,
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): /, e S
4. Nearest body of water (stream/river/sound/ocean/lake): Vd
5. Describe the purpose of the proposed work: !!
6. List the type of equipment to be used to construct the project:
?? -
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
2-dX IIlS
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:
/ ? X ZIT
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance):?

-! 2,-
Applicant/Agent's ignature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided)
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 vpgetation clearing (provide dimensions)
2) Location of rip rap or fill to be placed above the Full Pond elevation
3) Location of rip 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.
401 WATER QUALITY CERTIFICATION APPLICATION
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 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 to lake bottom of less
than 1 acre and $475.00 for impacts to lake bottom of greater or equal to 1 acre.
APPLICATIONS TO BE SENT TO.
DIVISION OF WATER QUALITY WETLANDS UNIT
1650 MAIL SERVICE CENTER
RALEIGH, NC 27699-1650
1. Applicant Information
Owner/Applicant Information
Name
Mailing Address
Telephone Number
Fax Number
E-mail Address
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 Mark LANCAS-{-ea,
Company Affiliation Lancaster Custom Dock & Shorelines
Mailing Address 1156 Perth Road
Troutman, NC 28166
Telephone Number 704-628-7400
Fax Number 704-628-3400
E-mail Address [e-mail]
li. 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
County Nearest Town
Subdivision name or site address (include phase/lot number):
v'C esi ' 7
DU :[SOWER DIRE, SONS 13Y ROAD FORM
Lake tfse)'errnit Applicants and Contractors: Base of locating the proposed project site cats have a big
impact on permit processing time. Please complete Utis form and re tam it along with your completed
peuwt application to:
MIX, POWER
C/O LA IM MANAGEW, NT -1C C 12 Q
J1
'?y ,( p ?'R1 110 BOX 1, 0^0Q6 y
CIFIA..,OTTE, NC 28201-1006
1-800-4+43-5193 or Option S
Applicant's Narrt,:V AV
Strect Address (at lakc):
Lake Nance: _.-?-
Subdivision Num:.
Propo ty Section:
City: _..._-''11 CouratY '+dr'liv
State: Zip; _ ?!e?j?'?3 -? - ___--
Type of l,'crrllit Rcquest( cd
"Circle":
Private, P;wility
Conirrnercial Facility
Brit,
Stabilipdo
Convcyancc
A% fisr..ollnncous tfsc
DirCC OIIS (fCrOM tai-ljor. VOW] or hiPhwa:y):
Descriptive Stiucture(s) ou Pfopetty (i.e. bride gamge, white frn.cc, mobil holTtc, C(c):
*hlota: Please u;c the back of this form If desired to draw us a tnlp to the site.
GPAULAKEMGMTIWPPM/D[RECTtONS1.9.DgC F.fFrrr .^ n ?i.. k
.?I
?.-?. TOTAL PAGE
Map with Parcel Information
Page 1 of 1
'° - Lincoln County, NC
Office of the Tax Administrator, GIS Mapping Division ?-
j Y, jl• Lincoln County and its mapping contractors assume no legal responsibility for t l °y ?Y I the information contained on this map. This map is not to be used for land
conveyance. The map is based on NC State Plane Coordinate System 1983 NAD.
Date: 3/17/2009 Scale: i Inch = 108 Feet
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PHOTOS PARCEL INFORMATION FOR 4605-74-1115
r Parcel ID 30765 Owner VAUGHAN THOMAS DONALD
a r ' r a Map 4605-15 Mailing 7452 WINDY PINE CIRCLE
Account 0189897 Address DENVER NC 28037
' f Deed 1767-256 Recorded 12/5/2005 Sale Price $397,000
tl Land Value $404,178 Total Value $499,889 Previous Parcel
All values :are for tau y:-ar 1009.
t ° Subdivision Lot 25 CRESCENT LAND & TIMBER CORP Plat E-44
?`? Description #25 SECT 35 CRESCENT Deed Acres 0
Address 7452 WINDY PINE CIR Tax Acres 1.03
4 Township CATAWBA SPRINGS Tax/Fire District DENVER
?lbv- k. Main Improvement CONVENTIONAL Value $86,411
r - Main Sq Feet 1566 Stories 1 Year Built 1979
Parcel ID M9519 Owner VAUGHAN THOMAS DONALD
I . Map 4605-15 Mailing 7452 WINDY PINE CIRCLE
Account 0189897 Address DENVER NC 28037
Deed 1767-256 Recorded 12/31/2005 Sale Price 0
Land Value $0 Total Value $12,075 Previous Parcel
All values are fou tax year 2009 -- .
Subdivision Lot 25 CRESCENT LAND & TIMBER CORP Plat E-44
Description 1984 12 X 66 Deed Acres 0
Address 7438 WINDY PINE CIR Tax Acres 0
Township CATAWBA SPRINGS Tax/Fire District DENVER
Main Improvement MANUFACTURED HOME Value $12,075
Main Sq Feet 792 Stories 1 Year Built 1984 Total Value $12,075
A
Zoning Calculated Voting Precinct Calculated Acres
District Acres DENVER (DN29) 1.04
R-SF 1.04
Watershed Class East Lincoln Sewer District
WS-IVC 1.04 Not in the sewer district 1.04
2000 Census County Tract Block
37109 071200 1028 1.03
37109 071200 1029 0
Flood Zone Description Panel
AE SPECIAL FLOOD HAZARD AREA BASE ELEVATION DETERMINED - 100 YEAR 4605 0.08
http://207.4.172.206/website/lcproperty2/print.asp 3/17/2009
Map with Parcel Information
Page 1 of 1
ri. Lincoln County, NC
Office of the Tax Administrator, GIS Mapping Division ?.
f -k !( Lincoln County and its mapping contractors assume no legal responsibility for kt??
w ; f the information contained on this map. This map is not to be used for land
El'k, ± " ?• ' conveyance. The map is based on NC State Plane Coordinate System 1983 NAD.
Date: 3/17/2009 Scale: 1 Inch = 116 Feet
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All value v are for tax year 2009. .....
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= Address 7452 WINDY PINE CIR Tax Acres 1.03
Township CATAWBA SPRINGS Tax/Fire District DENVER
- r, Main Improvement CONVENTIONAL Value $86,411
- Main Sq Feet 1566 Stories 1 Year Built 1979
Parcel ID M9519 Owner VAUGHAN THOMAS DONALD
Map 4605-15 Mailing 7452 WINDY PINE CIRCLE
Account 0189897 Address DENVER NC 28037
Deed 1767-256 Recorded 12/31/2005 Sale Price 0
Land Value $0 Total Value $12,075 Previous Parcel
All v:33uc-s. are for tax ya.ar 2004. ---
Subdivision Lot 25 CRESCENT LAND & TIMBER CORP Plat E-44
Description 1984 12 X 66 Deed Acres 0
Address 7438 WINDY PINE CIR Tax Acres 0
Township CATAWBA SPRINGS Tax/Fire District DENVER
Main Improvement MANUFACTURED HOME Value $12,075
Main Sq Feet 792 Stories 1 Year Built 1984 Total Value $12,075
Zoning Calculated Voting Precinct Calculated Acres
District Acres DENVER (DN29) 1.04
R-SF 1.04
Watershed Class East Lincoln Sewer District
WS-IVC 1.04 Not in the sewer district 1.04
2000 Census County Tract Block
37109 071200 1028 1.03
37109 071200 1029 0
Flood Zone Description Panel
AE SPECIAL FLOOD HAZARD AREA BASE ELEVATION DETERMINED - 100 YEAR 4605 0.08
X NO FLOOD HAZARD 4605 0.95
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N. 654,274.74 2 ?4° 29,0. yoy .,aqL G. i,?s
E. 1,406.481.64 v:l p ry r&,to•
d \ a • / 9/p0 NOTE: DUKE POWER COMPANY TO CRESCENT
22 22
p\ 4gy IA S/ A v LAND 8 TIMBER CORP. DEED BOON 475.
4`,.-% .. \0.8? ACRE N N 2µS s 0 9O PAGE 300. MAY 1, 1969.
/ N ?y 9 9 / ? J
J ? I Sgt /3 )A 23
d S '? CRESCENT LAND IN TIMBER CORP.
??\ co, NORTHTpe CAROINA. UNCOLN COUNTY LAKE NORMAN
/0 jt. 00• r eNre =r enwnN cen11k.1° MAP Of b°
LOT 20 ?\ N6J 'es IX 6?
/ /L4 eoh ATION LOTS mg
' -` "-`,,,-° N` ?.1 • °.e, . ra reYNr°Iw. a,.. ?.?e,ea SECTION E 35
CONT. ON DWG NO ` N 2y3 Nse,3O %g in 2g RECRE
/ War. w,
- C F. 35- F k•, k, s!s b a,e °na° o°a __ r°In _•
g -25 & 28-34
J• M?a.ew/9 R7'r?1i°' R?Y LOTS 22
CATAWBA SPRINGS TOWNSHIP
o \\ RWNIUr m L INCOLN COUNTY, N. C.
LOT 19 SCALE: I°=100* MARCH 29, 1975
I I / \ M1sc.eooKNo.z79 owc. No. C. F, 35-G
0 100 200 300 4,0
0SCALE IN FEET