20070446 Ver 1_401 Application_20070307

KE POWER LAKE MANAGEMENT, EC12-Q
I P. O. BOX 1006
CHARLOTTE, NC 28201-1006 2 p p 7 p 4 4 6
-7ff4-382-1567 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 ~-8.N `~.. S~tE22V CDD dE2
B. Mailing Address (~y ~R~ K „ ~,,,,J _-'("~ouf>mA,rJ~~C ~~ ((o(o
C. Telephone 3 3 ~o ' ~ (S ~ a 3 I ~,
II. Location of Proposed Project
A. Lake No Rm~N
B. Street Address (~ ~ (-} p~ k 12u.n Lin ~
C. County ~ 2E ~ ~ ~(
D. City, Town, Community or Landmark ~ ~ ~~. YK p,M,
E. Section Lot # t„ ~, 0 Subdivision ~ ~'d ~ ~ ~E ~ KW
-r
F. Directions to property by road ='_ ? N .~-O E~;.~. 310- ~ES-F on ~y ~S'p
G. Latitude and longitude for the project site $Q . 00 l,~
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, clerk ",Maps', inter
address, draw map, select "Map Clicking Will...", select "Lat/Long", click map~x
~, --. .,:
t=, ~..
111. Description of Project ~ 2Ui~~ ~-
~t~~K ~ ~:
A. Length of wall ~j 0 I
;~ ,
B. Material (LEd~i ~.oc<<. lt)Krll 'y '~<,,. _ ,..
s,
C. Distance from property line/shoreline --
(~U i 1( ~o~~biJ L- ~..i 5'~i~~ >r (~ n~
IV. Intended Use of Project Area
A. Private X
t~
__ _ _ _
B. Commercial ~
V. Applicant Signature / Date ~Q
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
Karo/y, 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 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 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 Infom-ation
Name Dan ~ Sherry Cooper
Mailing Address 114 Hawk Run Lane
Troutman, NC 28166

Telephone Number 336-215-2316
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 Cothren 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
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 Troutman
Subdivision name or site address (include phase/lot number): Wildlffe Bay

Directions to site -please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included): ~~'11 N .}.~ Ewi + 3(~. ~J>G5~{ on ~
fL~tih~-on PEr~.~ 12~Q. C.e-F--1- on S~->`~a(~.k L.e-~-~ on [~~ (clt>i-~& ~d
[Z, ~ha o n S ~ ¢ R ~. ~ woa~.s - Le..~-1-- trn p E~2 ~.~e.n .. ~ ~ Gt~t- ~ n
(-~-~-~ t~. R.~.r, Ln
2. Describe the existing land use. or condition of the site at the time of this application:
(-~ ccS t. w i ~ p ; c rL
3. Property size (acres): ~ , $ ~
4. Nearest body of water (stream/river/sound/ocean/lake): N V 2m A-n1
5. Describe the purpose of the proposed work:~~,y,~b~ ~ i Z E S ~'wl~. (I ~ d w
~.~i R.yc k- Slrhru~a6t - Tv L'Dn-(-2~ ~ E 2oSi on
6. List the type of equipment to be used to construct the project: _ It b E
u~o~.k ~.
d b r e b.{ ~~~ ~ i ~ -~~t- pc IL ~.o L - 13y__~_.ori,-~P
i ~ 13~ h C14'`~"
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
5` X 3v'
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:
~ ` ~- 3 v
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance): W dod E~ 3~-~~
(Agent's signature is valid only if an authorization letter from the applicant is provided)
~ So
Applicant/Agent's Signature Date

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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 structun3s 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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Name: Dan & Sherry Cooper
Mailing Address: 114 Hawk Run Lane
Town & State: Troutman, NC 28166
Lake Address: same as above
Feet of shoreline and material: 30' - Redi-Rock wall
AMOUNT OF FII.L~CUBIC YARDS
Elevation 760 ft. Full Pool
Norman Summer Pool 758 ft.
l D ° ~ E-1-b,ac IL
5' Ir3Eto-~ 1 SS
CROSS SECTION

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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 MANAQrEMENT - EC 12 Q
P. O. BOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name: Dan 8v Sherry Cooper
Lake Name: Norman
Subdivision Name: -Wildlife Bay
Property Section: Lot (s): 40
City: Troutman County:Iredell
State: NC Zip: 28166
Telephone: _336-215-2316
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 36 -West on Hwy 150 -
Ri~ht on Perth Rd -Left on State Park Rd -Left on Wildlife Rd - Right on Sierra
Winds -Left on Deer Run -Right on Hawk Run Lane.
Descriptive Structure (s) on Property (i.e. brick garage white fence mobile home
etc.
114 Hawk Run Lane
*Note: Please use the back of this form, if desired, to draw us a map to the site.

Printable map of 114 Hawk Run Ln, Troutman, NC
M~prs Ot~ ~S
1`i 5@IVICC 01 ~ L':14Ct` L'i'a:.(E>1.COm
Location Map
114 Hawk Run Ln
Troutman, NC 28166
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/cgimap.dll?FITNC=MAP&SID=ruem4iuseobbogeeuloffpea... 2/19/2007

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