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HomeMy WebLinkAbout20070359 Ver 1_401 Application_2007030720070359 Arai ~~ s o GL C (\ c. P ~~ -~ ~ -~s C/ j~ CSr~ i-~ ~ mss (, <~~C~ d ^s s ~ G~~~<etir ins 3~~ ge~en ~~ - ~a~ ~. (A.~C. A. 3~` Igeo.~e~ ~~~(J ,~d~er ~ 3.g ~~~e~ r~~~ - ~oF ~ rAi~ 20070358 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 Unit 1650 Mait Service Center Raleigh, NC 27599-1650 I. Applicant Information ~ ' I. Owner/Applicant Info atiq~ Name-. ~ .u !-1ft S<'- Mailing Address: j ~ U` ~ ~ K~~x~• c Cti~ c~~o ~ ~L.. ~cri~5 ~ Telephone Number: ~~3 ~>~. /y5"( Fax Number: ~¢•`t 'YES: 3y~~ 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.) Company Affiliation: Mailing Address: Telephone Number: ~2Y_ ~gy_ ~ E• ~'~ Fax Number: ';Z~`l '~f!>S~ ~f,7 E-mail Address: ~ ~..: - ~ '• G~ FV-in> spt=mss: ~•~*- 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 mus ~ e included. ~• , ~: ~~ ~ ,. 1. Location / ~ -~ . ~~~ County. ~~~C'(~ / ~ st Town: Subdivision name or site address `(include phse t n ber : e ~` ~v Directions t~si~,e,~l~ase include road nu lan ks, et : (This is not .~~" ~w~~s~ary~ an adequaf~+0i~cinity map is inc de v ~ ~~,wl . S~ ., ! e C~ ens ~ °: ''.~ 2_ Describe the existing land use or condition of the site at the time of this application: ~n•-. ~~. ~~~ 3. Property size (acres): ~~ ~ ~ r'c-~ ~ 1 Nearest body of water (stream/river/sound/ocean/lake): f~~~ '~~ ~`~~af~,' Describe the purpose of the proposed work:-1 :~~ ~ ~ -~-t-~b ~~ ~ '~ ~~2 ~ ~F ~, .tee- ~ ~,C`•.y ~ /.v(? __ o~ s- - ~:.~~- %ecy ~ -~kj 6. List the type of equipme/nt to be used to construct the project: 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level in square feet or acres: .G 6~~~re5 .7 F'C o-{-~c. c j. e~ 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-w din square feet or acres: - G ~~ ~v {g'` ~~ - - - ( _ 1. _ _ [... _ ,, . ~ 1 ~L.~ ~a _ / ~.,. r~ n ,-~.' b. Please describe vegetation above the normal pool lake level and 50 feet land- ward to be impacted (number of trees for instance): ~ i~cvc ~ ~-~.~o.~: d . c App icant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) f ~~~ c:~° ~/1Q~.,,~„c W-~~P +~.~ RS ~ eU~-z7 Is~ Please approximate#y sketch the following irrformatian on this plan (please provide dunensions far each [tem, such as 10 ft. x 100 ft): 1) All proposed vegetation deazing (provide dimensiansj. .2) Location of r~ rap ar fill to be placed above the Fug Pand elevation S) l.acatiarr of rip rap or fill to be placed below the Fult Rand elevation 4) The locatiarr of any proposed stivctures such as buildings, retaining walls docks, etc. 5) The location of any excavation ar dredging below the Full Pond elevation. 6) Location of construction access corridors. ~~, ~ ~~~ ~-~~~` ~a ~ ~~~, Gbcv c ~-~. i 1 ,~~ ~.. Fenn 398578 (9-06) C;~ Eti~c~~~' ,~ ~ LAKE DUKE ENERGY LAKE SERVICES DUKE ENERGY PERMIT N0. _ cour`vTYJL ~~~~ /~ PRIVATE FACILITIES PROGRAM ~ 0 a 7 ~ 3 59 PERMIT APPLICATIO FORM tv. (S~ ~ o First MI Last Sign ure (Required) Date f/ ' ~/ __ ••. ~ Street Street ,4. K. ,~. 3l[~ !s~f_~e,.~ k~ ~'d a ~ .---L ~ C~<<~~ 1 ~~~5 ~ s /t-4~~s;:. fly ~.=~ :~~~/~ a ~ o _ City ~ State //`` Zip S ~ ~ ~ ~ , City State Zip .. - - . l`7.~ Phone Cell / E-Mail /Other Development Lot No. c ,~~ ff ~~ . > 7`~ ~~ ~~ y~y~~5 ~ ~ `~Q~~ 4~11`t /~ f ~ L~ (~~ . J ~ ' Company Name Phone / E-Mail /Etc. ~ t ~~~ !'~ ~ ~~ o ~ c - e ys Address Check the appropriate box. Stationary Pier Slip Style Dock Platform Style FACILITY SQUARE (Fg. 1) (Fg. 3 & 4) Dock (Fig. 2 & 5) FOOTAGE Use: 1 Individual 2 Common ~ 1^ 2 ^ 1^ 2 ^ 1^ 2 Stationary Surface Area: FTz Status: Floating Surface Area: 1 Existing 2 Proposed ^ 1^ 2 ^ 1^ 2 ^ 1^ 2 ~z N - Type of Facility: Total Surface Area: ° `' 1 Stationary 2 Floating 3 Combination ^ 1 ^ 1 ^ 2 ^ 3 ^ 1 ^ 2 ^ 3 ~ t i t ~ r 1 -" Imo- ~ ~ j -il w- ~ I It- ~~ ^ Check box rf uncovered dock. ^ Check boxrf unwvered dock. ^ See attached. FIG. 1 FIG. 2 FIG. 3 FIG. 4 FIG. 5 FIG. 6 (other) If application is for a common use facility, additional waterfront property owners using the facility appoint the individual(s). Listed in W the applicant information section of this form as the agent applying for permit. All parties using the facility for permanent mooring must be waterfront property owners (i.e., eligible for individual facilities) and must sign below: (use additional sheet if needed). _'v W H c Name Address Date 8 Name Address Date -_ ~~ (Jr `~ lX~~yl~ C /~tV~ ~~51.-~ ~~y'~,~~(rl~ /yV [1`I.L~L~C~~ 7 / /i~ ].. J o ~ /// j ' c ~ ~ ~ ~v S~ ~ ~ ~ ~~~d ~~ 6~'' '~ ~ ~ ~ ~. ~ 5 e f , ~ y,.5 -~ iS ~~~ ~ ~ ~~~ r~ ~ ~ Condition of Pier: ^ Good ^ Fair ^ Poor Permitted: ^ Yes ^ No ^ Denied a z z Final Inspection Completed: Date, Initial W ~ W" ~ Comments• c Form 398578 (5-06) LAKE ~.._ DUKE ENERGY LAKE SERVICES DUKE ENERGY PERMIT N0. ~ couN7lf PRIVATE FACILITIES PROGRAM PREVIOUS PERMIT N0. +~.,s~ PERMIT APPLICATIO M ~~~ 't ` BUILDING PERMIT N0. ~ ~ ~>$ First MI Last Signature (Required) Date 13c~~ ~~~_ ~~~o-~ ~ ~~ 4 I~3 ~ Street Street /' / / >•~ ~ City State Zip ~: City State Zi ~ ~ ~ ,~: ~ ~::~ Phone Cell / E-Mail /Other ~, Development lot No. Company Name Phone / E-Mail /Etc. i~ss" M ~ ~ k 4s> « . ~ Address F ,:' Check the appropriate boor. Stationary Pier Slip Style Dock Platform Style Bast Ramp or FACILITY SQUARE ~ ° :: (Fig. 1) (Fig. 3 & 4) Dock (FiB. 2 & 5 ~~ Ratiway FOOTAGE ~~~~~ Use: 1 Individual 2 Common ^ 1^ 2 ~ 1^ 2 ^ 1^ 2 ^ 1^ 2 Stationary Surface Area: "~ FTI ` ~~<' Status- Floating Surface Area: ,~: ~ 1 Existing 1 Proposed ^ 1 ^ 2 ^ 1 ~ 2 ^ 1 ^ 2 ^ 1 _~ ~ Type of Facility: Total Surface Area: • ° i= 1 Stationary 2 Floating 3 Combination ^ 1 ^ 1 ^ 2 t~ 3 ^ 1 ^ 2 ^ 3 ^ 1 FTC .>, ;~ ~ f ~ ~ ~ ~~ ~ ~ ~ ~ ~ -+l I•- -•~ ~ -~ k- -.~ ^ (]red- taaotd uncovered ~ l~edt box 'd uncovered dock. ^ See attadred. FlG. 1 FlG. 2 FIG. 3 FIG. 4 FIG. 5 FIG. 6 (other) If application is for a common use facility, additional waterfront property owners using the facility appoint the individual(s). Listed in '~ ` the applicant information section of this form as the agent applying for permit. All parties using the facility for permanent mooring ^~.,. -:: `> must be waterfront property owners (i.e., eligible for individual facilities) and must sign below: (use additional sheet if needed). : 3$. ~. ~ : ~* : Name Address Date ..;. ~~>.: .,~$ ~rf Name Address Date cs ~, sx~..:: ,, ~`~~~"~~~ ;:.::mow:: Condition of Pier: ^ Good ^ Fair ^ Pbor Pprmitbed: ^ Yes ^ No ^ Denied Final Inspection Completed: Date, Initial ComnKnts: ~ \ \ // 191f/ "N JO! aL ~~~ ~(, ~ ~~ ~ , ~, ila _ w mW U Y ~ ~~O ~ v C$ ~ ~~~ N o - a Q s ~~ = i mo W ~ OG O a Y E. g W mg ^/,, - / 4 ~ n ~+ g ~Y 2 1 8 z a ~ V E ~~ ~` n ~~ d w $ ~ ~~ w~ g~ y s e ' ~ ~' ~V ~ Yx =~= ~~ r ~ ~ ~~ ~ ~~ ~ ~ ~ ~ti b ~~~ a ~ i~~' ~ s L' ~~~ a ~ o ; ~ 111 . ~~ / \ ~ o t~/ `l \ ue ~ .f~ ~S ~ J ~ ~.. $~ ~ o ~ ~ ~ ' ~ xa a .. ~ ___ ~ ~~nn y'+ ~°" ~~' G ~'~~ +aa~"~ Sae: ~.M J ~ u~ 4 ~ ~^~ ~~ e~ _~ Y ~ 3~ ~€ ~ ` ~ ~ ~ \ iy O N1p ~~ w ~c g ~ , ~`g > ~W o a y ~ 1 $ ;, ~' ~; ~ \\ \ \ as 9rn ~ ~ ~ C ~ R ' 1 ~ 90.20.SLM ~ U ~Qyvd~ M H n w ~~~ KLdd x~ ~8 ~T NS yr $ .,K R s Y i W~y~~ E m ~+• « g 3 ° : u P o -` 0~ ~ no 9 og ~s ~n ~ _ ° a°~.'. ~ ~ ' O -- o~ o z a - . e p ~~ ~~ ,~ <21~~ ~ ~w ai ~ W~c~?Q`~s ~ z o ^ ` !,- jYi !~qp , ~ , , ~ , ' , YI ~:Y `'~ u ~<~ o~° ~ ~ di« a~`6 O r aua~dwo~ ...,..~.,,~ aad ~ 'a+~a~i wWM3 ' Iredell County ZONING PERMIT 227 South Center St. PO Boz 788 States ille. NC 28687 Phone 704-878-3118 Call Sanitarian between 8 a.m. & 9 a.m. Statesville 704-878-5305 Mooresville 704-664-5281 Permit #: 13884420 Subdi~-ision: Proposed L se: Single Family Township: 1700 Davidson Location of Propem-: 000 BEATEN PATH RD MOORESVILLE NC 38117 Parcel #: 4627939035.001 7_oning: R20 I,ot #: 1 Size:.689 Flood Plain: No \1-atershed: WSIV-CA .\pplicanr. ,IONN QUiNN O~~'ner: Robert & Dora Johnsen :\ddress: _\ddress: 318 Beaten Path Rd Mooresville_ NC 281 IS I Phone: Phone: ! I'ropert\- Recorded: Yes Sitc Plan Re~-ic\t•ed: Communitt- \\ atcr: No Communiri- Sewer: 1. nermittrd the follm~ing minimam rrgi~irements mast he met, anless Health Dcaartmeri rcquices more land area, or oth cr gti,aGfications are indicated in the comments. \Ln. Lot _\rca: 30000 Min. Front Yard: 3i ft Min. Left Sidc ~~ard: 15 ft Min. I.ct \\~idtl:: 100 '~Iin: Rear Yard: 50 ft Min: F.i~ht ~idc Ward: 15 ft ~Fn. i~umlx•r Parking Spacc•~: \Ias. Built tTnon .area: (;ommcnts: HOLD BUILDING PERMIT TILL PLAT HAS BL):N RECORDED _`~_ __, ~g~ ~_ Directions: '~ ~ =~' ~ `- ~''~ " ` ° ~ - - , Brawlev School Rd_ ri~~ht Blume Rd. rieht Beaten Path Rd Zoning Permit/Inspection Fee 0/ Site flan Re~-ie~~- Fee 0 L:m-imnmcnral 13calth ?~ie~r S~-stem /0 J-:nv-ironmental Health Existing tiv aom 0 'Dotal I~ccs: FEES S4S.00 S0.00 53 SD.00 S0.00 S39S.00 I eeruf~ ti.:.[ .;!! srucmivn~ made i:. thi> ::Pi lie:uinn and :mc ,.nachul d„runxn[z .ere true. annt~l.;e, and o,rrcei u, iLc he~~ „1 .:n Lnu~e!ed~c and bi!ieC rd .,rr ~.~:d.. ,....:i[i~. ! [.n ~,:<c:r,1 tL:., lai-e i•:!,~*nu[!un mn be ~ ^und~ brcrv~e:in~-,~i !him [nt~l:eui ,.. \~.nh~,nnd ! Ic.J[L i)cn,.i [.~_ _ ,:.: 1 iu nin~i_ ~'c ~~`xri 11, , ~: ,.i n~... ,a , ,.: n u .,. cr,m r.. aL[i.e ~ c.;luati,n ~; ian:c,i~m a;,d u, rcl~::..,.. r ....i. r [.r.;: .~ua;ic , ,.:cx[. \pj~licant: Date: 3 n[m-rcYundablr Ecc vES-35.00 is chargc~i [tn all Permit aPPlicatir,ns. Printru: I0 .9 '006 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 STABII.IZE 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 In A. Name B. Mailing IL C. Telephone: ~~~. ~~ ~. /~5 Location of Propo9ed Project A. Lake ~U~ ~c.,'`s a q B. street Address 3i$ ` ec L'cc.c.~ ~ ~-~ , C. County .~~~ d~ fl D. City, town, community or landmark 6 Qc~f~S.: t f fe ~ ,, E. Section Lot # Subdivision F. Directions to property by road n ~,;,_~ ~. c.,,,, g ; ~~,~,,, IF f~ ~~~ ~ 93 -- 9~i! G. Latitude and longitude for the project site ~~:~~ ,~~ ~ ,~. 3y 3s ' 3 -;~ ; SSA (~/ t H. Please submit a map showing the coordinates or a detailed map (USGS quad map, city ap, etc.) showing the exact location of the pmject site. (NOTE: Latitude/ longitude coordinates can be found on Internet site, www.maasonus.com. Directions: Don't register, click "Maps", enter addmss, draw map, select "Map Clicking Will... ", select "Lat/Long", click map) III. Description of Project A. Len ~, (~, t gth of wall B. Material ; G C. Distance from property IineJsh reline Lp~ f; Q; ~~~ IV. Intended Use of Project Area A. Private B. Commercial ~,...~ V. Applicant Signature ~-/~ Date PLEASE NOTE THE FOLLOWING: • A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: ZIS ARMY CORPS OF ENGINEERS, 1 Sl PATTONAV~ - R0011I 208, ASHEYILLE, NC 28801-5006 • 2 COPIES OF THE "DUKE ENERGY APPLICATION FOR PERMIT TO STABII.IZE 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: NCDIVISION OF WATER QUALITY ATTENTION: CYNDI gAROLY PARgVIEW BLDG., 2321 CRABTREE BL 1'D. RALEIGH, NC 27604 9I9~733-1786 G:U..AKEMGMT1Package InfonnationlNC Shoreline Stabilization Application.doc 318 Beaten Path Road, Mooresville, NC, 28117 -Google Maps ' Address 318 Beaten Path Rd ~~ Mooresville, NC 28117 Fla s ~` P ~, ~a T ~P p C1 ,. ~ s r ~y =~~~~ ~ x, v ~~~ Jn Y~ `',Fd ~ r h~ Sf ~ ~a`~>, .", r .. r 4_L ry, 2 -y ~ _,, ~. ~ m CE,31R•7 Fps to N ~ c J ~ ' h ~ •°N ~_ v ~~}. ,_o (~. ~~ ~:r:.?fn i71 C r SR ~ f 9 y'f ~~' ,~ o- bass ~rz~ i:? ~ ~~ o:. <~ a~~ eta ~`''c3 'J A tv 3 y rt' /~ T =v '~ `S K ti . R C~ g~ ~; ' ,p t_7 ^ r C ~~ ,,. N ~: - W> w ~ P.~ ,, ~- _ _ t~ -_ w Bet-~:n --~:. ~_ ®2007 Google -Map data ®2007 NAVfEQT" : er: .3g, Page 1 of 1 http://maps.google.com/maps?~-q&h1=en&q=318+Beaten+Path+Road,+Mooresville,+NC,... 2/21 /2007 DUKE ENERGY DIRECTIONS BY ROAD FORM Lake Use Permit AppGeants and Contractors: Ease of locating We proposed project site can have a big impact on permit processing time. Please complete this form and return rt along with Sour completed permit application to: DUKE ENERGti' C/O LAKE SERVICES - E(' 12 Q •'~ PO BOX 1006 CHARLOTTE, NC 28201-1006 1-800-443-5193 or Option 5 ~- - f -off e Applicant's Name ~ ~~ i S '''`~ rSe _ Street Address (at lake): ~ a +e /„~,~ ~„l ~ iL~eSS ( J~~ ~~ p -f Vf ' ~ ~ ~l f /jeG-'tee / Lake Name: ~ {~ ~~~~ u, Subdivision Name: _ ~~~~\; ~ ---- Property Section: # - - - - ~`/V ~~~f ~ ~~' ~j(~/ [~~,` `f Lot / / City: ---1 "`~( (~S~ ~ ~ l e Corm __-L--1 'e ~ I' ty -- State: ~ ~ Zip: ~~ Telephone: ~~ ~! ~ 3b (~ Directions (from major road or highway: ~ /~MQ /~ / `i / ~ '~ n r ~~ f- f- cr.~ /je~-~ e rat //G~ ~o~ Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobile home, etc): ~,~QC c~ ,~ ~ ~ 6 'Note: Ptease use the back of this torm if desired to draw us a map to the site. g~aU[-AKEMGMT~Package tnformatiodDiroctioas by Road ForaiEoc August 18, 2006 ~,~ ; J e r ~ „r ~ ~ ~ ~ p ~ , ~1. ku~ ~ ~ ~f ~ E1 ¢ 3 M' ~ " ' ~'r 'Y I. ~~3 ~~ Y9 } ' TM .. ti.'. d~ .. e J.>.. 5' ,"_ x~, 5 K ~: ~w -~ti t~ R :+ ti; r'.° 1~' f~, . ~. 'F ~.- r"~ n 5 r - zt.~r :y f ~, ~ .,V