20070356 Ver 1_401 Application_20070207

P A ICE POWER LAKE MANAGEMENT, EC12-Q 2 0 0 7 0 3 5 6
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 POWER FILING FEE, PAYABLE
TO DUKE POWER, TO ABOVE ADDRESS.
I. Applicant Information
A. Name~kE ~A~-R-~cl~ S~se P!~ ~ A'sSVGi-4`{'~ S~~J ~r++ S~1A~UVy~
B. AAddress ~ SS-~ I ~`~..~..~. yn (Z ~Q _ ~ ° D2/tG (i u- S N~ X78 D 3
C. Telephone "~ O U g 9 (~ - 3 D~ y
II. Location of Proposed Project
A. Lake ~r~12MR'N
/nR~l Ilnos
B. sl» Address ~ Q (~ Qa N , M ~}i rJ Sf C a 2 n e I ~~ C ~ 8' v3
C. County n C ~ - 2
D. City, Town, Community or Landmark ~~~ ~ ~ ~ S
E. Section Lot # 2 3 9 Subdivision N ~ A
F. Directions to property by road ~_ ~~ N -I-~ E ~.~ f ~~ - (.off Est eh ~' A-f i4uJ~~j
~ - + 2`
- _ _ _
G. Latitude and longitude for the 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 ~ ~ p
B. Material ~d~F a ~ Fi1'u> Ifk~~ l~ ~ ~ /Zr D RA'p :~ti. ~ , ti _ q~
C. Distance from property line/shoreline (~~ I~ -FD ~~~ ~ i'~~~ S~nQil ~,~, n -~
IV. Intended Use of Project Area
A. Private X
B. Commercial _ _ __ _ _ __ _ __ _ -
( V. J Applicant Signature Date ~ ~ a ~ _ ~ 7
PLEASE NOTE THE FOLLOWING:
A COPY OF THE COMPLETE APPLICATION WIT OAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: US
ARMY CORPS OF ENGINEERS, 151 PATTON AV UE, 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, PARKV/EW BLDG., 2321 CRABTREE BLVD., RALEIGH, NC 27604, PHONE: [phone]

401 WATER QUALITY CERTIFICATION APPLICATION
The following is an abbreviated application form for those applying fora 401 Water duality 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 DUALITY WETLANDS UNIT
1650 MAIL SERVICE CENTER
RALEIGH, NC 27699-1650
I. Applicant Information
1. Owner/Applicant Information
Name Patrick Joseph ~ Associates, Inc.
Mailing Address 20600 N. Main St
Cornelius, NC 28031
Telephone Number 704-896-3040
Fax Number
E-mail Address
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 Mark Lancaster
Company Affiliation Lancaster Cothran Custom Shorelines, Inc.
Mailing Address 1156 Perth Rd
Troutman, NC 28166
Telephone Number 704-528-7400
Fax Number 704-528-3400
E-mail Address docks~lancasterdock.com
11. Project Information
Attach a vicinity map clearly showing the location of the property with respect to focal 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.
Location
County Mecklenburg Nearest Town Cornelius
Subdivision name or site address (include phase/lot number): N/A

Directions to site -please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included): 1-77 N to exit 28- West on Catawba Ave
Right on Jetton Rd -Property on right -almost to end of Jetton
2. Describe the existing land use or condition of the site at the time of this application:
6 ~GQ 6 t~S C f? ~ il e,c~- n~ u~ ~ a u,~ e ~~, n d ~. C D n S~
3. Property size (acres): 0.688
4. Nearest body of water (stream/river/sound/ocean/lake): Norman
Describe the purpose of the proposed work: `~ ~,~~,~ G (~ ~ D 2A'rJ - S-f-~k~~ ~i 2 t
6. List the type of equipment to be used to construct the project: Work will be done by
Barge and crew on land- Equipment will be Barge-pile driver and trackhoe on barge
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
3 ~ x 100'
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 100'
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance): Grassed buffer-
Signature
Date
(AgenPs slgnatun!-h valid only Han authorisation fetter from the applfcant is provided)

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 rip rap or fill to be placed below the Fuii 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.

Name: -Patrick Joseph & Associates (Jim Shalvoy
Mailing Address: 20600 N. Mail St
Town & State: -Cornelius, NC 28031
Lake Address:_15521 Jetton Rd -Cornelius, NC 28031
Feet of shoreline and material: 100' - Wooden wall & Rip Rap
AMOUNT OF FILL (~_CUBIC YARDS
Elevation 760 ft. Full Pool
Norman Summer Pool 758 ft.
I' Prl3~~ c-
~ID° s~-fb~ck
Elevation S ' ~ ~ ~ ~v ~
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CROSS SECTION

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/. I certify that the plat ,hown hereon complies with the ,~,
roved b the To:vn of Cornelius for ~~~ Lq{<E
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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 time. Please complete this form
and return it along with your completed permit application to:
DUKE POWER
C/O LAKE MANAGEMENT - EC 12 Q
P. O. BOX 1006
CH1jRLOTTE, NC 28201-1006
1_800_443-5193
Applicant's Name:- Patrick Joseph 8v Associates
Lake Name: Norman
Subdivision Name: N/A
Property Section: Lot (s}: 239,240,241
City: Cornelius County: Mecklenburg
State: NC Zip: 28031
Telephone: _704-896-3040
Type of Permit
Requested
"Circle":
Private Facility
Commercial Facility
'on
Stabilization
Conveyance
Miscellaneous Uses
Directions (from major road or highway): I-77 N to exit 28 -West on Catawba Ave
- Ri ht on Jetton Rd -Almost to end on right
I~escri tive Structure s on Pro a i.e. brick ar a white fence mobile home
etc.
15523 Jetton Rd
*Note: Please use the back of this foray if desired, to draw us a map to the site.

Printable map of 15523 Jetton Rd, Cornelius, NC
Maps On Us
a service ot5witchhoaru.com
Location Map
15523 Jetton Rd
Cornelius, NC 28031
Return to Map
Page 1 of 1
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Use this map or these directions at your own risk. No representation or warranty is made as to their accuracy,
completeness or drivability. Infospace and Switchboard will not be responsible for any damages, losses or delays
which result from using these directions. Obey all traffic regulations.
http://www.mapsonus.com/bin/c~imap.dll?FLJNC=MAP&SID=psc4glfb2slj2~rgvinzmvzs... 2/26/2007

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