20011156 Ver 1_COMPLETE FILE_20010730

(A uv n r ?? micnaei r. tastey, governor
Q William G. Ross Jr., Secretary
q North Carolina Department of Environment and Natural Resources
} y Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
August 29, 2001
Burke County
DWQ Project # 011156
APPROVAL of 401 Water Quality Certification and ADDITIONAL CONDITIONS
Robert & Martha Wheeler
1183 Hidden Lake Drive
Granite Falls, NC 28630
Dear Mr. & Ms. Wheeler:
You have our approval, in accordance with the attached conditions and those listed below, to place fill material in 650 square
feet of waters for the purpose of stabilizating the shoreline of lot 42, Harbor Ridge s/d in Connelly Springs, NC as described in your
application received July 30, 2001 and August 16, 2001. After reviewing your application, we have decided that this fill is covered by
General Water Quality Certification Number 3280. This certification allows you to use Regional General Permit Number 030 when the
Corps of Engineers issues it. In addition, you should get any other federal, state or local permits before you go ahead with your project
including (but not limited to) Sediment and Erosion Control, Coastal Stormwater, Non-Discharge and Water Supply Water shed
regulations. This approval will expire when the accompanying 404 or CAMA permit expires unless otherwise specified in the
General Certification.
This approval is only valid for the purpose and design that you described in your application except as modified below. If you
change your project, you must notify us and you may be required to send us a new application. If the property is sold, the new owner
must be given a copy of this Certification and approval letter and is thereby responsible for complying with all conditions. If total
wetland fills for this project (now or in the future) exceed one acre, compensatory mitigation may be required as described in 15A
NCAC 2H .0506 (h) (6) and (7). For this approval to be valid, you must follow the conditions listed in the attached certification and any
additional conditions listed below.
1. Deed notifications or similar mechanisms shall be placed on all remaining jurisdictional wetlands and streams to notify the state in
order to assure compliance for future wetland and/or water impact. These mechanisms shall be put in place within 30 days of the
date of this letter or the issuance of the 404 Permit (whichever is later).
2. The disturbed area within 30 feet of the shoreline of Lake Rhodhiss must be replanted with container grown (or larger), native trees
by January 30, 2002.
3. Upon completion of the project, the applicant shall complete and return the enclosed "Certification of Completion Form" to notify
DWQ that all the work included in the 401 Certification has been completed. The responsible party shall complete the attached
form and return it to the 401/Wetlands Unit of the Division of Water Quality.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must act within 60
days of the date that you receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of the North
Carolina General Statutes to the Office of Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
- - This letter-completes the review of the Division of Water Quality under Section 401 of the Clean Water Act.- If you have any
questions, please telephone John Dorney at 919-733-9646 or Mike Parker at our Asheville Regional Office at 828-251-6208.
Attachment
cc: Corps of Engineers Asheville Field Office
Asheville DWQ. Regional Office
File copy
Central Files
SincerelyWgo. ,Ph.D
Wetlands/401 Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Ph: [phone] Fax: [phone]
=E
Customer Service
1 800 623-7748
DWQ Project No.: County:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina Division
of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621.This form may be returned to DWQ by the applicant, the
applicant's authorized agent, or the project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial compliance and
intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting
materials.
Signature: Date:
Agent's Certification
1, , hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial compliance and
intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting
materials.
Signature: Date:
If this project was designed by a Certified Professional
1, , as a duly registered Professional (i.e., Engineer, Landscape
Architect, Surveyor, ect.) in the State of North Carolina, having been authorized to observe (periodically, weekly, full time) the
construction of the project, for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial compliance and
intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting
materials.
Signature Registration No. Date
o f WA
TFq
0 Michael F. Easley - -
O G Governor
r
William G. Ross,Jr.Secretary
p -? Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
Division of Water Quality
Department of Environmental and Natural Resources
.. Wetlands/401 Unit
Location: 2321 Crabtree Boulevard, Suite 250 Raleigh, NC 27604-2260
Mailing Address: 1650 Mail Service Center Raleigh, NC 27699-1650
Contact Information: General 919-733-1786 Fax: [phone]
Fax To: Fax Number: y «3
Company: Date:
From: ` sb Z s Phone: 3 - ?t Z Co
No. Of Pages including cover sheet:
Aug 16 00 12:16p Gene Renegar 704-462-4042 p.1

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BURKE COUNTY SHORELINE PROTECTION PERMIT
TAX MAP I. D.# _ 76 _- 2 -? 1 _- 63--
911 ADDRESS OF PARCEL 306 111yew-alk Drive
Connelly Springs, NC 28612
OWNER / AGENT WHEELER, Robert F. & Martha R
ADDRESS 1183 Hidden Lake Or, Granite Falls, NC 28630
PHONE # X828 ) 464 - 8197 work (_828 ) 728 - 395 Home
TYPE OF USE Shoreline Stabilization -American Dock k&& TPier, 828-312-844
a ? ? s sprr.. f dG?e' L7+-iiw
OWNER/AGENT MUST ATTACH A SURVEY MAP OF THE PARCEL WITH PERMIT
SHORELINE PROTECTION PERMIT REQUIREMENTS:
t SEDIMENTATION AND EROSION CONTROL PLAN SUBMITTED
LOT SLOPE EXCEEDS 2 TO 1 (THIS NEEDS TO BE IN % SLOPE UNITS)
Q NUMBER OF TREES 6 INCH OR LARGER ON PARCEL PRIOR TO CLEARING
27 0-50 FEET 10 50-65 FEET 9 _ 65-100 FEET
DRIVEWAY SETBACK IS 75 FEET
- Cash $50-00 Cheek # /A 0
Sr C
4-
1
d n
--so N
PRIMARY STRUCTURE SETBACK 13 65 FT=75 FT? (IF SLOPE EXCEEDS 2 TO 1)
TOTAL SQUARE FEET OF PARCEL 54,836 IMPERVIOUS SURFACE
COVERAGE ALLOWED BY WATERSHED 24% c 13,160 SQ_ FT.
T 'h
NOTES: Permit Is for
wall. Contractor
nrnw.-+rottioMaY Dray
OWNERS / AGENT CER nFICATION: THE UNDERSIGNED OWNER / AGENT DOES HEREBY
AGREE AND CERTIFY THAT THE INFORMATION GIVEN IS TRUE. THE OWNER I AGENT
FURTHER AGREES TO ABIDE WITH ALL TERMS OF COMPLIANCE. FAILURE TO COMPLY MAY
RESULT IN A STOP WORK ORDER AND DELAY OCCUPANCY PERMIT.
SIGNATURE OF OW NT DATE AU90R17-E537DATE
THIS PERMIT EXPIRES (ONE) 1 YEAR FROM THE DATE OF ISSUANCE IF APPROPRIATE ACTION
HAS NOT BEEN TAKEN TO ENSURE ITS CONTINUANCE.
SEDIMENTATION AND EROSION CONTROL PLAN [phone] Ext. 3
LAKE MANAGEMENT [phone]
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A dP micnaei r. tasiey, tjovernor
William G. Ross Jr., Secretary
G? North Carolina Department of Environment and Natural Resources
> ?= Gregory J. Thorpe, Ph.D.
p Acting Director
Division of Water Quality
August 13, 2001
DWQ # 011156
Burke County
Robert Wheeler
1183 Hidden Cake Dr
Granite Falls, NC 28630
Dear Mr. Wheeler:
On July 30, 2001 the Division of Water Quality (DWQ) was notified by receipt of your applications
regarding your plan to fill waters on Lake Rhodhiss for the purpose of stabilizing the shoreline of your lot at 306
Riverwalk Drive in Burke County. Approval from DWQ is required to disturb these waters. Please provide
seven copies of the following information and refer to the DWQ # listed above in your reply. Please provide a
map showing the location of the shoreline stabilization, the area of impact, and how this project will comply with
the Catawba River buffer rules.
Please call Bob Zarzecki at [phone] if you have any questions or would require copies of our
rules or procedural materials. This project will remain on hold as incomplete in accordance with 15A NCAC 2H
.0505(c). The processing time for this application will begin when this information is received. If we do not hear
from you by writing within three (3) weeks we will assume you no longer want to pursue the project and will
consider it withdrawn.
Sinc
o ey
Cc: Asheville DWQ Regional Office
Asheville Corps of Engineers
File Copy
Central Files
Wetlands/401 Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Ph: [phone] Fax: [phone]
a
Customer Service
1 800 623-7748

Michael F. Easley
Governor
William G. Ross,Jr.Secretary
Department of Environment and Natural Resources
. Kerr T. Stevens
Division of Water Quality
2,01
WQV 01115-u
6AZ County ??(1
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PX?D??ISs 30?
Dear Mr. l U) M
2ZO A J? UU?
On ?d the Divis' of Water Quality (DWQ) s notified b cei t of your h?
applications ardi g your plan to fill for the purpose of in V e , --
County. Approval from DWQ is required to disturb these M1 Q14 . Please provide seven copies
of the following information and refer to the DWQ # listed above in your repl rihad-P
15A NCAC o
4-
th on ma ca a or Ins a - your projects'
^?if?,_!o'u
compHance
P lease call at [phone] if you have any questions or would require copies of our rules or
procedural material his project will remain on hold as incomplete in ac ordance with 15A NCAC 2H
0505(c). The procSt. 1g time for this application will begin when this infor lion is received. If we do not
hear from you by itilig within three (3) weeks we will assume you no longer want to pursue the project and
will consider it wi drawn.
1 Sincerely,
John R. Dorney
?? KQ I ?-'YO1
Cc UR? ?- DWQ Regional -Office
Corps of Engineers
File Copy ; J
Central Files ----- U
u? Ale-
AGA.
CDENH
Division of Water Quality 1650 Mali Service Center Raleigh, NC 27699-1650
Wetlands/401 Unit [phone]
Fax' [phone]
/4"'t I 1 44A-TT M=ZNJ I It
R
o11156
DwQ ID: -_. CORPS ACTION ID:
NATIONWIDE PERMIT REQUES'T'ED (PROVIDE NATIONWIDE PERMIT #)
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE.
1. NOTIFICATION TO THE CORPS OF ENGINEERS
2. APPLICATION FOR SECTION 401 CERTIFICATION
3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7)
C S T JE E T T C DIM-ION F -W-A-UR ALITY
A N: JOIN DORNEY. 4401 RIaEDY CREEK ROAD. RALEICS, NC
27607. PLEASE PRINT OR TYPE. -'
1. OWNER'S NAME:
Z / ?p
2. MAILING ADDRESS: _ _ I ?? j 1?. f J ' f`,. 4
pTG'? _
SUBDIVISION NAME
CITY: ESTATE: ,_•, ZIP CODE: _ Ora r? ?c -F?'s I( S ve r ,a F6 3 0
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME OF DIFFERENT FROM
MAILING ADDRESS ABOVE):
t4AA#j' Spcil?qs ,(/C, 2S&U
3.';' TELEP ONE NUMBER: (HOME) ,-,_. (WORKI _
C$a-5 72'9 MS-'l (820 y6`1- 819?
4. IF APPLICABLE: AGENTS NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP
OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY •, - NEARFAT TOWN:._ /
Bk f T' t tit-Px" c+? i?cc
SPECIFIC LOCATION (INCLUDE ROAD &BERS, LAND MIS, ECT) _
6. IMPACTED OR NEAREST STREAM/RIVER - V BASIN: - Cx,,4v W hc-1Z. v t r
7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATBRS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ? NO ? IF YES, EXPLAIN:
(b) IS THE PROJECT LOCATED WITHIN A NORTH MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (,4BC)? YE DIVISION S 0 OF COASTAL
(c) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
PAYMENT
RECEIVED

8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREI ROUSLY REQUESTED FOR USE ON-T1iIIS
PROJECT? YES ? NO YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND
ANY ADDITIONAL INFO TION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES 0 NO ? IF YES, DESCRIBE ANTICIPATED WORK:
9. (a) ESTIMATED TOTAL NUMBERS OF ACRE4NDS ISO F L ND: _
(b) ESTIMATED TOTAL NUMBER OF ACRES bF ATED ON PROJECT SITE:
10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: - EXCAVATION4:
FLOODING: _,,, OTHER.
DRAINAGE TOTAL ACRES TO BE IMPACTED:
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: „_ FT AFTER:- FT .
WIDTH BEFORE (based on normal high water contours): - FT
AVERAGE DEPTH BEFORE: _ FT AFTER: ,,,_, FT
(b) (2) STREAM CHANNEL BRACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: _ PLACEMENT OF PIPE IN CHANNEL: _„_
CHANNEL EXCAVATION: , CONSTRUCTION OF A DAM/FLOODING:
OTHER:
I i. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? - WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Akqer i
'croS,c:? w v
13. PURPOSE OF PROPOSED WORK: ,_.,.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIYITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY
LISTED OR PROPOSED FOR LISTING- ENDANGERED OR THREATENED SPECIES OR CRITICAL
HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED:
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
OMAY BE AFFECTED Y THE PROPOSED PROJECT. DATE CONTACTED PERMIT AREA
WHICH

17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES ? NO ? (IF NO, GO TO 16)
(a) IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ? NO [Q
(b) IF YES, HAS. THE DOCUMENT BEEN REVI$WED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ? NO Q
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATF CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
t8. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
(a) WETLAND DELINEATION MAP SHOWING ALI, WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38).
ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON
THE MAP. MAP SCALES SHOULD BE I INCH EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET
OF THEIR EQUIVALENT.
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT.
' (c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
(d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
(e) WHAT IS LAND USE OF SURROUNDING PROPERTY? _
(f) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? _
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
(AGENTS SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).

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DUKE POWER 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
CtO LAKE MANAGEMENT EC 12 Q
PO BOX 1006
CHARLOTTE, KC 28201-1006
1-800-443-5193
Applicant's Name: katier? W r
Street Address (at lake): 30(, RI N e f wo- (L(
Lake Name. R_ O C LS9
/ r
Subdivision Name: l?,rre,c
Property Section:
Lot # G/
City:,,,, County: 6t:..r tip
State: Zip:/
Telephone: ` lieLf b? 7
Type of Permit Requested
"Circle":
Private Facility
Commercial Facility
Excavation
Stabilization
Conveyance
Miscellaneous Uses
Directions (from major road or highway):
L-/o wes Toaf e xi`T 113 4-m L 6 kt ate. 10,11 yn? ,
rcrd
ets? Aav..S't
Descriptive Structure on Property (i.e. brick garage, white fence, mobil home, etc):
t f
rrc. wf ,/,gr&X
oC Cot-
1.5 V &r<
*Note. Please use the back of this farm if desired to draw us a map to the site.
GPAr.H.AKr.MGMTA.MrM'K4)IRC-CTION5.DOC
Effective Date. 11115,98
ti DUKE POWER LAKE MANAGEMENT, EC17--Q
P O BOX 1006
CIIARLOTTE, NC 28201-1006
704.382-1567 or TOLL FREE 14300443-5193
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 SUBMI'T' APPLICATION AND APPROPRIATE FLIL.ING FEE,
PAYABLE TO DUKE POWER, TO ABOVE ADDRESS.
L Applicant
A.
B.
C.
Name

Mailing Address f I1 ?? ?? ??r
(??'r .1 7G ??Y
Telephone:
II. Location of Proposed Project
A. Lake ?oI1 . 5'S
B. Street AddressiL , JG wrn f `? r
C. County
D. City, town, community or landmark
E. Section Lot # Su ivision
F. Directions to property by road 5 e c
Lc
G. Latitude and longitude for the project site ZeJ2?'. 93 'y .7y z 172 8
Please submit a map showing the coordina es or a detailed map (USGS q dad map,
city map, etc.) showing the exact location of the project site. (NOTE: Latitude/
longitude coordinates can be found on internet site, www.mapblast.com)
M. Description of Project
A. Length of wall
B. Material
C. Distance from property linelshoreline -
IV. Intended Use of Project Area
A. Private n-?
B. Commercial
V. Applicant Signature Date
NOTE: PLEASE SUBMIT COPY OF APPLICATION WITH ROAD MAP
SHOWING LOCATION OF PROPERTY TO:
US ARMY CORPS OF ENGINEERS
151 PATTON AVE. - ROOM W -108
AS1-IEV1LLE, NC 28801-5006

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011156
DWQ ID: _. CORPS ACTION ID: ,_,,.
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) -

PRE-CONSTRUCTION NOTIFICATION APPLICA'T'ION
2. APPLICATION FOR SECTION 401 CERTIFICATION
3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (71
COPIES MUST BE SENT TO THE NC DIVISION OF WATER QUALITY.
AM: JOHN DORML 4401 R)9EDY CREEK ROAD. RALEIGH. NC
27607. PLEASE PRINT OR TYPE.
FOR NATIONWIDE PERMITS THAT REQUIRE:
1. NOTIFICATION TO THE CORPS OF ENGINEERS
1. OWNER'S NAME: ,,,_ Pabeir? W he e je. r
2. MAILING ADDRESS: _. / i d, g,-jjes, Z.A?,-e_
SUBDIVISION NAME _
CITY: ,_,STATE:._ ZIP CODE:
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDt4aAer RESS ABOVE): 3L-)(, Q ,\c r wit k O
3. TELEP ONE NUMBER: (HOME) .„_ (WORK
(Sa?? 7a$--3859' (92.7)
4. IF APPLICABLE: AGENTS NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
S. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP
OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY• r - T TOWN:
B k f t rTE?RFv?-??'cr O??
SPECIFIC LOCATION (INCLUDE ROAD "ERS, LAND MAKKS, ECT )
kISJ
b JiP
R BASIN: _, Cc. w ?? ?Z V t
*Ofwd
6. IMPACTED OR NEAREST STREAWRIVER: _
7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT. TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-1 OR WS-11)? YES Q NO [] IF YES, EXPLAIN:
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF OASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES 0 NOF-
(c) IF THE PROJECT IS LOCATED WITHIN A COASTAL, COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? •_
PAYMENT
RECEIVED
S. (a) HAVE ANY SECTION 404 PERMITS BEEN PREV40USLY REQUESTED FOR USE ON. TIES
PROJECT? YES [-I NO'bj IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND
ANY ADDITIONAL IN§6 TION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES ? NO IF YES, DESCRIBE ANTICIPATED WORK:
9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND:
ISO P4-
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE
10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING. - EXCAVATIO&
FLOODING: _„_ OTHER : _
DRAINAGE : _„_ TOTAL ACRES TO BE IWACTED: _
(b) (1) STREAM CHANNEL TO BE WACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE. - FT AFTER: FT
WIDTH BEFORE (based on normal high water contours): FT
AVERAGE DEPTH BEFORE. FT AFTER: _ FT
(b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: ,_ PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: _ CONSTRUCTION OF A DAM/FLOODING:
OTHER
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? - WHAT IS THE EXPECTED POND SURFACE AREA? ,_,_,
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
l .??SrG'r? W r L $Cc?Wail
13. PURPOSE OF PROPOSED WORK: _. °?
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY
LISTED OR PROPOSED FOR LISTING' ENDANGERED OR THREATENED SPECIES OR CRITICAL
HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED:
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED _„_.

17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES 0 NO ? (IF NO, GO lb 16)
(a) IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENT'S OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ? NO [
(b) IF YES, HAS. THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES [:( NO (j
IF ANSWFA 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL, POLICY ACT.
QUESTIONS REGARDING THE STATE, CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
Is. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
(a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14,18, 21, 26, 29, AND 38).
ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON
THE MAP. MAP SCALES SHOULD BE I INCH EQUALS 50 FEET OF I INCH EQUALS 100 FEET
OF THEIR EQUIVALENT.
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT.
(c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
(d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
(e) WHAT IS LAND USE OF SURROUNDING PROPERTY? ___.
(Q IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
(AGENTS SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
S
DUKE POWER 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
PO BOX 1006
CF7ARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name: Rat e e-? L e je r Type of Permit Requested
((?? (l2 Circle":
Street Address (at lake): 10(o " t?.?yr..rc.?c+- ,o
Private Facility
Lake Name: o s c Commercial Facility
t / Excavation
Subdivision Name: Lys bed a+?? Stabilization
Conveyance
Property Section: Lot # G? Miscellaneous Uses
City: ai-nne OV Iflt 49S County: tl.-1'
State: Zip: 2,&1;z
Telephone: t/ - 9M
Directions (from major roa
4v e-)<4 d or highway):) ?k? //
pp f40' . ut bO I ?M
f}la4r 9, d6 r o r--. r ?- h "IJ ova ?ti ?o lzn. J &.. - f actic? t
11
?? Tom ah 'I<?? r 11? end
r?
Descriptive Structure on Property (i.e. brick garage, white fence, mobil home, etc):
e r
4a r- &Lrt9en.
'Note: Please use the back of this form if desired to dram us a map to the site
GPAIA-A :EMGMTA-MPPMMIREC"ONS.t)OC Effwivc Date: I III SNS
DUKE POWER LAKE MANAGEMENT, EC12 -Q
1 j 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 FILING FEE,
PAYABLE TO DUKE POWER, TO ABOVE ADDRESS.
L Applicant Information r
A. Name QaL.14-
B. Mailing Address / / ,9L-3 1?1
?-? •-r?n c cL Y
C. Telephone-
IL Location of Proposed Project
A. Lake S_3
B. Street Address -'?pL R; v e ,.,a r l? p r
C. Countya r ?; z
D. City, town, community or landmark
E. Section Lot # _ Su ivision ?c 1 g G
F. Directions to property by road -Src gQ cy
d
G. Latitude and longitude for the project site . Y, y
Please submit a map showing the coordina es or a detailed map (USGS q ad map,
city map, etc.) showing the exact location of the project site. (NOTE: Latitude/
longitude coordinates can be found on internet site, www.mapblast.com)
M. Description of Project
A. Length of wall
B. Material Ev,. r(
C. Distance from property line/shoreline
IV. Intended Use of Project Area
A. Private! -t?
B. Commercial
V. Applicant Signature Date
NOTE: PLEASE SUBMIT COPY OF APPLICATION WITH ROAD MAP.
SHOWING LOCATION OF PROPERTY TO:
US ARMY CORPS OF ENGINEERS
151 PATTON AVE. - ROOM tZ :t O 8
ASIMVILLE, NC 28801-5006
N.nftmncch
i
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DWQ ID: - COMPS ACTION EN -
i

NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT 0)-
PRE-CONSTRUCTION NO'TMCATION APPLICAVON
FOR NATIONWIDE PERMITS THAT REQUIRE:
1. NOTIFICATION TO THE CORPS OF ENGINEERS
2. APPLICATION FOR SECTION 401 CERTIFICATION
3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
OPIES MU B SENT XQ THE C O OF W UALITY
A : JOHN DORM-N, 4401 Y M_EK D, RALEIGH. NC
27602. PLEASE PRINT OR TYPE.
1. OWNERS NAME: ,__ei
2. MAILING ADDRESS:.- I I F,3 /, jd?Z-ei k, SUBDIVISION NAME-'

CITY: ___STATE-
_ _ STATE: ,_,_, ZIP CODE: _ O,s a wi ?e- -?kfi S ?'• . ??a3
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME OF DIFFERENT FROM
MAILING ADDRESS ABOVE): ? D? (? ??rc r weJ k O
3. TELEP ONE NUMBER: (HOME) - (WORK
-5 72? - MG`f (82-0 q6l/-jl7'7
4. IF APPLICABLE: AGENTS NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP
OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY{: - N"T TOWN:.,,,- j
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, NDMARKS, ECT.)
6. IMPACTED OR NEAREST STREAMIRIVER: _ R BASIN: ___. Cc, 4z w hc- 1 . v 2 t
7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (IIQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-1 OR WS-In? YES ? NO ? IF YES, EXPLAIN: _._.
(b) IS THE PROJECT LOCATED WITHM A 14ORTH CAROLINA DIVISION OF QOA TAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES p NO w-,
(c) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?._
PAYMENT
RECEIVED
-
8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON. WS
PROJECT? YES ? NO'tA IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND
ANY ADDITIONAL INFO TION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
ICIP?EECTTED F R THIS PROPERTY IN THE FUTURE?
(b) ARE ADDITION DPERNflT ESCRIBREQUESTS
YES Q NO IF ,
9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: _
I SO (b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE
10. (a) NUMBER OF ACRES OF WETLANDS WACTED BY THE PROPOSED PROJECT BY:
FILLING: ,,,_, EXCAVATIO& _
FLOODING: _,.., OTHER : -
DRAINAGE : TOTAL ACRES TO I3B IMPACTED:
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: _.._ 1::T AFTER FT
WIDTH BEFORE (based on nonnal high water contours): - FT
AVERAGE DEPTH BEFORE: FT AFTER - FT
(b) (2) STREAM CHANNEL mWACTSPWILL RESULT FROM:
PIPE IN (CHECK L THAT APPLY)
OPEN CHANNEL
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? WHAT IS THE EXPECTED POND SURFACE AREA? __._
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BEti USED? (ATTACH PLANS; 81/2 BY I 1 DRAWINGS ONLY) t
A (4j e r EbDct% - '? ? L S
C cwa ( t
L ? S c ,G'r, W .
13. PURPOSE OF PROPOSED WORK: ° f 1tT
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
I5. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY
LISTED OR PROPOSED FOR LISTING'ENDANGERED OR THREATENED SPECIES OR CRITICAL
HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: „„
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED

17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES 0 NO ? (IF NO, GO To 16)
(a) IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES 0 NO Q
(b) IF YES, HAS THE DOCUMENT BEEN REVILWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES 0 NO Q
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
(a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38).
ALL STREAM WMRMI TENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON
THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS SO FEET OF 1 INCH EQUALS 100 FEET
OF THEIR EQUIVALENT.
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT.
(c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEENS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
(d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
(e) WHAT IS LAND USE OF SURROUNDING PROPERTY? -
(I) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
(AGENTS SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
.
o-
DUKE POWER DIRECTIONS BY ROAD FORM
Cake 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
PO BOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name: Ratef? W e ?'
Street Address (at lake):0 e ? v r t??;- ?ZZ_
Lake Name: 9 o
Subdivision Name: E tc??? t
Property Section: Lott # G1
City: [ ?-,.STtk, County: ..... `J t,-( P
State:' Zip:
?i
Telephone: b1 q 7
Type of Permit Requested
"Circle':
Private Facility
Commercial Facility
Excavation
Stabilization
Conveyance
Miscellaneous Uses
Directions (from major road or highway):
4v ex,'T 413 Ole.
fY alOvr 1Z,-J6 c O r? f ?-? rout o?u ?tiV ?o z? a t'octic? i
Te. Yi e- f ?? f T-oa, cbr?<?? ?? ilreY I?u t ?, e/4 o t`?h ei
Descriptive Structure on Property (i.e. brick garage, white fence, mobil home, etc):
*Note: Please use the back *(this form if desired to draw us a trap to the site.
GPMJI.AKEMGMTAJNt'PwxRr-cnoNs.Doc
Elrwive Datc:.11/15/'98
' DUKE POWER LAKE MANAGEMENT, ECI2-Q
P O BOX 1006
CEIARLOTTE, NC 28201-1006
704-382-1567 or TOLL FREE 1-800443-5193
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 FILING FEE,
PAYABLE TO DUKE POWER, TO ABOVE ADDRESS-
L Applicant Information
A. Name Qn L r -?- LL &' e- (-ee n
B. Mailing Address / / .9?i IV-lra/ cn _ e-.1p: l 7?r
,?? ?r n ?7G 'T a,6 Y N ? ? 9 Cs 3f'?
C. Telephone
IL Location of Proposed Project
A. Lake
a { +?.a(1-c r
B. Street Address 3CjL 9;,r
C. County
D. City, town, community or landmark Q, r/ -3 ;J%
E. Section Lot # _ Z12 _ Subdivision -? geffAlcl g G
F. Directions to property by road 5 r < k-Z/.w ?41 . 7 ?-r-
G. Latitude and longitude for the project site_ 8
Please submit a map showing the coordina es or a detailed map (USGS q dad map,
city map, etc.) showing the exact location of the project site. (NOTE: Latitude/
longitude coordinates can be found on inteniet site, www.nwpblast.com)
M. Description of Project ,
A. Length of wall
B. Material eve -
C. Distance from properly line/shoreline -=
IV. Intended Use of Project Area
A. Private
B. Commercial
V. Applicant Signature Date
NOTE: PLEASE SUBMIT COPY OF APPLICATION WITH ROAD MAP
SHOWING LOCATION OF PROPERTY TO:
US ARMY CORPS OF ENGINEERS
151 PATTON AVE. ROOM 10 :1 0'9
ASIII:VILLE, NC 28801-5006
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