20091092 Ver 1_401 Application_20091009

LCCS, Inc.
1156 Perth Road
Troutman, NC 28166
Phone [phone]
Fax: [phone]
NCGCL # 49723
Contact Information:
SPAID
Steve Davis
sdavis(&-Iancasterdock.com E MAIL ADDRESS
LCCS
1156 Perth Road
Troutman, NC 28166
704-528-7400 Phone
704-528-3400 Fax
www.lancasterdock.com WEB SITE
9 2
0 L??L?1111 'J
O C T 1 4 2009
DENR. WATER QUALITY
V,,ETLANDS AND STQRMW'ATER BRANCH
DUKE POWER LAKE MANAGEMENT, 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 POWER FILING FEE, PAYABLE
TO DUKE POWER, TO ABOVE ADDRESS.
1. Applicant Information
A. Name TED G LD ?vT Z
B. Mailing Address 2662 C06ALY L,A?E , 0151VV-6X,, e_ 7-8,0-? -7
C. Telephone 7017- 6S0 _307 7
II. Location of Proposed Project
A. Lake
B. Street Address 2758 C ?Ap y [ .4,,g
C. County L.
D. City, Town, Community or Landmark PiswVa14
E. Section Lot # 3S Subdivision
F. Directions to property by road ys-? .SG4-vTiN6 dA 10 18,,O- -7 i /4 Y,0&1r /
TO ?D yv i nr c ?irra G!V T/ ! C AWAA y 4,4-16
G. Latitude and longitude for the project site 3S. y P 7.3 / 7 " fe. 4G6 2-
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 6 S /
B. Material Re-D I W06AG
C. Distance from property line/shoreline elXi.f4-t,, 1 S 40ee-1/--f
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signature .!- ........???z Date
PLEASE NOTE THE FOLLOWING:
to.- fd - Y
• 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]
4
Directions to site - please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included): LTG 7,io L SLANT/NG ,&,elawc
Te Q J6 SovT H "Tb r ? ch&A4Ur Tf C#v2«t 'Td ty
t A?,/&57
2. Describe the existing land use or condition of the site at the time of this application:

3. Property size (acres): 1.7
4. Nearest body of water (stream/river/sound/ocean/lake): ZA,rCS N
5. Describe the purpose of the proposed work:
STRB / t ? 26 SffDi2?'t-i.arE Q
2 ?+?'srg «?...6 A- RED / 2dG? war / _ 7 Cerv7"000 ?RdS/.dN.
6. List the type of equipment to be used to construct the project: 7A"'K
49,4.,606
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
/Ix4v
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:

b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance):
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided)
Lake (Full Pond)
L'
Please approximately sketch the following information on this plan (please provide dimensions
for each item, such as 10 ft. x 100 fL):
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.
?p
Full Pond C. G
Shoreline
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 take 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 T6D GLd•v r Z.
Mailing Address Z 6 6 2 64 ERR V L, * w6
DENY" we 2.9,0-77
Telephone Number 70y - v/ ,0 - _?..f 7 7
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 LANCA54-e2
Company Affiliation Lancaster Custom Dock A Shorelines
Mailing Address 1156 Perth Road
Troutman, NC 28166
Telephone Number 704-628-7400
Fax Number 704-528-3400
E-mail Address docks@lancasterdockcom
Il. 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 4 r NC D tA1 Nearest Town 0 £r? le C/4
Subdivision name or site address (include phase/lot number):
DU POWER DIRE, CTIONS -BY ROAD FORM
Lake Use Permit Applies" (sand Contraetors: Ease of locating the proposed project site can Lave a big
impact on permit processing time. Please complete tlds form and return it along with your completed
permit application to:
TIuKri POWER
CIO LAX f' MANAGE, ME' NT - luC 12 Q
PO BOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193 or Option S
Applicant's t?iante:- TAD GG d.?! i Z- _ _
Strcet Address (at lrtkc): _W Z ?J`8 G tt? ? _ "? _ _
Lake Name: _ ji ld,?_M A ^?
Subdivision Name:
Property Scctian: -- - _ 4 _-- I >t {{ - 35-
City: ,._ _4 -??County:.-LJ!!?LD`i? ---
State: ,f/'.._C. 2803-7___.----
Dircctialm (front 11VAjor U0',1(1 or trirhway):
Type of Permit Requested
"Circle":
P.rivatc Facility
Commercial Facility
Fxcavatiou
?
Conveyance
Miscr..llnucot,s Uses
0
,( X IA06; 7'0
Descriptive Structure(s) On Properly (i.e. brick garage, white fence, utobil home, Ctr,):
'Note: Please use the back of this form if desired to draw us a map to the site.
GPAL g-AMMGMTIWPPM1DIRECTtONS1.9.IIOC F.ffrr+•r n-+- °+ ^^
x•t? TOTAt-- PAGE-01
- i ancaster Custom Dock & Lift
Systems, Inc. (NC General Contractor License #49723)
1156 Perth Road
Troutman, NC 28166
704-528-7400
704-528-3400 Fax
Ted Clontz
2758 Cherry Lane
Denver, NC
Description
Option #1- 4.5' high Redi-Rock wall
1. Shoreline Management - Redi-Rock "Cobble Stone" retaining wall
A. Remove necessary trees and haul off and dispose of
B. Approximately 651' long x 4.5' high
C. Prep wall bases, install aggregate (gravel) base
D. Install matting
E. Install Redi-Rock "Cobble Stone" blocks
F. Install rip rap along base of wall
G. Install gravel for drainage behind the wall
H. Backfill behind the wall is not included in this contract price
1. Work to be done by barge and land
CONTRACT
Redi-Rock Seawall
9-29-09
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CATAWBA SPRINGS TOWNSHI 'RINGS TOWNSHIP
• ~ ;OUNTY, N..C.
SURVEY. MADE AT THE REQUES1 r THE REQUEST OE:
~ ~ MI 'I-IAEL E{, HARRI G H. HARRILL
LEGEND
SUTNflED P20PEtm t1NES /
. uNSU2YEYED uHES .SCALE: I °~'I)' DATE: STREET R/W LINES DATE: .10 RAY 09
CERtIFffS t0 ONE Oit N02E OF THE FOtlO'd1ND AS INOICAIID THUS: SURVEY BY APPftOXC.NiE EDGE ~ CAEEK ®a 0 , 'EY BY
Erg Q EzISRNG IRON PW p T.) Tl+At nrs PLAr ~ A suRYEY Tw4r c2FATFS A LIM1J EBERGER SURVEYING AN D =KING AND MAPPING
!PS © IR01'+ PIN sET THIS PLAT NOT PREPARED FOR PRESENTATK)N TO THE REGISTER OF DEEDS FOR RECORDING 5U0DMSION OF UN05 riTfFCN THE AREA OF A tbllNtt LINEBERGER
E1QSnNC REOAR OR uUMCIPAUIY D4U HAS AN OADIHANCE THAT AECULATFS JOHN W. LINEBERGER ~ ~ STATE OF NORTH CAROLINA, GASTON COUNTY PARCELS of LAHO. © 4pTNINN)r1j~f p a) THAT D+IS PLAT Is of A SURVEY nua rs LoCATm IN s2ua+ PROFESSIONAL LAND SURVEY( LAND SURVEYOR
I, JOHN PJ, LINEBERGER A PROFESSIONAL LAND suavErDR IN THE PORTIONS OF A muxrr OR MIIN(CIPALlIY itlAT IS UN ECtAAlED eaM D AxISDND CONCRETE uoNUNENr STATE OF NORTH CAROLINA DO NEREBY CERTIFY THAT THIS A{AP ```i~ '(N, ~QA~ ~~4,~ As TD ta! o2o2+ArtcE TTaT 2ECUUTFS PA2cELS of LutD. 440 Old N.C. HWy, 277 Loop -Dal 77 Loop - Dallas, N.C.
CONCRETE uor+uE~Hr SET WAS DRAWN FROM AN ACTUAL FlELD SURVEY hIADE UNDER ATY SUPER-e~~ O~.•' ~i, , PHONE: [phone] C.dLS © Ess , ~ ®3.) TH4T 7H:5 PLAT Is OF A SURVEY OF A1! E%1STC D PARCEL GRAPHIC SCALE p VISION AND DEED DESCRIPTION A5 SHOWN; TWIT THE RATIO OF ~ ^ pF /p A OR PARCELS OF VND. 4) 922-3872
F.Y 0 K PRECISION AS CALCULATED BY IATTNDES AND DEPARTURES IS a J QQ' D.B. P. 'til LOTS___.__~5 T; t~000+ ;THAT THIS MAP IS PREPARED IN ACCORDANCE WITH: S''.~, 4.) TWVT TN5 PLAT IS A SUMEY OF A PARCEL OF tR4D 1:HICH IS 50 p 25 SO 100 200 ~~s BLK.
t.) THIS StLNLY WAS 6;SED ON PHraCAI EVIDEtHO: FOUtm SECTION .16 OF THE BOARD RULES. 4JlTNESS AN NANO AND SEAS S r EXEItPTED ~Ol~ATE AND LOCAL 5TA1U1L5 FR011 iltE OE]TNitION SUED. PB. ~ CI DiE FIELD ON THE 647E OF THE SUITVEY. ~ t OF °SllCO G; - THIS Y F , 20_ ° L-26 P8. ~ PG.~pD PARCEI PID•
2 THIS PROPERTY IS NOT WfMM 2000 FEET OF A LOCATED ° 7Z S 5. T+6AT DiE CiFOn.NDON AVAtAELE lb TFIE SURVffOR IS SUCt+ TAX 800K PAGF PARCEI.r_ ) NCOS WONUNENi. i e S p ) 1HAT I All UtNEIE 1D LUUfE A DETII+ItIN4DO:+ TD THE CEST ' /USOS i i ` 1HE DEST OF EfY PROTESSIOlt+1 AEIIlIY'AS TD P't0V15102+S FIELD BY: 1L, til. Nh
10 J.) THIS P20DFTt1Y VAY CE SUOJECT TO RECORDED OR G~ i~o °`,ti 0~+° CONTA:+ED•rl (I) Uw AC01'E - W ji'Li'Li'rj' ,y ~ ~ lwl. DRAi'AV BY:,
UNRECORDED RICHtS-OF-WAYS OR FASENENfS NOT P O (OVAL UWD RYEYOR DATE: ~~j~y SUpV~,:°° ~Gr~\ F 152kC PWtCEI OF LA19 CHECKED BY: oDS+mT% i,~~ 6 0 D.) T)w Drs PLAT Is A 5U2YEY o AH Ez 1 inch = 50 ft. DRAIYN BY: r11Au
NCPLS No.: 2672 i,~ Iy, EB~~era~ HFTYcTOF02E SUQDMDED R!O 2EC02DED IN P.O.., PO.... , 4.) THIS SURVEY COlAPLETFD Y.TOkNJT THE DENEFIT OF A I~AArtf CIN tT,,y®, nnE REPORT. NINl1?1T .!c <hcr 1I un0 ! :niolit t'auuv Sup g t a:U4 o 14 N AN1 1 ))1
C• ! ~nJ 1'nne.p, 9ttN H~m dl • ! .d.c .`avnl:n - l inudn tluuec dr; r I I unll f :ondn t'onr