20091086 Ver 1_401 Application_20091009

DUKE POWER LAKE MANAGEMENT, EC12-Q
P. O. BOX 1006 o 4-- 1 n6
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.
1. Applicant Information
A. Name
B. Mailing Address
C. Telephone
itil PAI
F,,?1 yIC i1'?l>'?c?
1711
II. Location of Proposed Project
OCT 1 4 2009
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A. Lake N o /Z 111 mi DENR - WATER QUALITY ^
B. Street Address Vi'ET?ANDSAN 'T????Is?
C. County ?Ri?c???I
D. City, Town, Community or Landmark ((Y1 pC 2G5 U: c'
E. Section Lot# a„a-p Subdivision
C djn
F. Directions to property by road
LQf 4- an 13 aa'w Ir?I 1-111
5c1,oe1 N +0 E y.; t
- L,44 den 33 - west oh ?,e
N9W N*y ea Pa.. B&-h&
JZ Ckk 'Dn 5 LDh.cjE JI L ,) _ C it -?1- i44 c u(C
G. Latitude and longitude for the project site go . q 1-5-0 I 3.5-. 5?), (t(11
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 IN,
B. Material R ? Un a I'Loc fL
C. Distance from property line/shoreline Cu?ft ?a j I? 5?. ?,? S ??v:2 ?? n L
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. Cyndl
Karoly, PARKVIEW BLDG., 2321 CRABTREE BLVD., RALEIGH, NC 27604, PHONE. [phone]
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
1. Owner/Applicant Information
Name Frank Boncimino
Mailing Address 101 S Longfellow Lane
Mooresville, NC 28117
Telephone Number 704-360-4860
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 Chip Bridges
Company Affiliation CBC Custom Shorelines, Inc
Mailing Address 638 Oakridge Farm Highway
Mooresville, NC 28115
Telephone Number 704-660-5111
Fax Number 704-660-5969
E-mail Address [e-mail]
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.
Location
County Iredell Nearest Town Mooresville
Subdivision name or site address (include phase/lot number): The Point
Directions to site - please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included): T, 17 Al 4o L V 1-+ 23 _.
0) 1 l (1 fin. S 0-h f2 ,o -- Le f ? 6n -R&4-u) Sc: f, Od I - L 4'-k
x
P2u y??-n-f-.? or, 2. Describe the existing land use or condition of the site at the time of this application:

S - - - '0.` C-,&-
3. Property size (acres): .
4. Nearest body of water (stream/river/sound/ocean/lake): N 6
5. Describe the purpose of the proposed work:
(1 ? L) CI f2 ROC (. --(- o e 0 A +-A P
C /ZV 5 d o
6. List the type of equipment to be used to construct the project: L) 2 (C- w
Q(O n r,- to ti 13 Au, .,e- LA) E 41 L?L,-kN f1 ? ?
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
T' / jig ,
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:
/I '- 114,
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance):
I?VI oS ?l ? ? 2?s s
7/z?/0
nVAgent's Signature Date
(Agent's signature Is valid only Nan authorization letter from the applicant is provided)
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 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 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.
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TN IS IS TO CERTIFY THAT ON TH "'? AY OF V_cIYQ6 11 9URvvr9D THE PROPERTY
SHOWN ON THIS PLAT. AND THAT THE TITL . LINES AND THE WALLS OF THE BUILDINGS IF ANY ARE
SHOWN HEREON.
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THE PROPERTY OF
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MAP RECORDED IN ROOK 43 AT PAGE c 0990 RiCOkQED IN BOOK PAGE
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
CHARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name-Frank Boncimino
Lake Name: Norman
Subdivision Name: The Pointe
Property Section: Lot (s): 1220
City: Mooresville County: Iredell
State: NC Zip: 28117
Telephone: [phone]
Type of Permit
Requested
"Circle":
Private Facility
Commercial Facility
Excavation
tabilizatio
Conveyance
Miscellaneous Uses
Directions (from major road or highway): I-77 N to exit 33 - West on Williamsopn
Rd - Left on Brawley School Rd - Left on New Haven Lane - Right on S Longfellow at
circle - Property on left
Descriptive Structure (s) on Property (i.e. brick garage, white fence mobile home
etc.
101 S Longfellow Lane -
*Note: Please use the back of this form, if desired, to draw us a map to the site.
101 S Longfellow Lane, Mooresville, NC - Google Maps
(? AIL, ma Address 101 S Longfellow Ln
Mooresville, NC 28117
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