20011768 Ver 1_COMPLETE FILE_20011130

O?OF wAT ?gQG
? 1 r
o ?
Michael F. Easley
Governor
William Ross, Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe. PhD.
Acting Director
Division of Water Quality
January 2, 2002
Gaston County
DWQ Project # 01-1768
APPROVAL of 401 Water Quality Certification and Additional Conditions and Catawba River Buffer Rules
Clifton Workmon
601 Green Street
Belmont, NC 28012
Dear Mr. Workmon:
You have our approval, in accordance with the attached conditions, to place fill material in 375 square
feet of water for the purpose of stabilizing the shoreline at 158 Chanty Lane on Lake Wylie, as described in your
application received by the Division of Water Quality on December 17, 2001. After reviewing your application, we
have decided that this fill is covered by General Water Quality Certification Number 3280, which can be viewed on
our website at http;//h2o.enr.state.nc.us/ncwetlands. This certification allows you to use Regional Permit Number
198200030 when the Corps of Engineers issues it. This certification allows you to use the Catawba River Buffer
Rules. In addition, you should get any other federal, state or local permits before you go ahead with your project
including (not limited to) Sediment and Erosion Control, Coastal Stormwater, Non-Discharge and Water Supply
Watershed 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 in writing and you may be required to send us a new
application for a new certification. 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).
For this approval to be valid, you must follow the conditions listed in the attached certification and any additional
conditions listed below.
1. Any trees removed during construction of the seawall must be replaced with native tree
species by the next planting season.
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 PO Box
27447, Raleigh, N.C. 27611-7447, This certification and its conditions are final and binding unless you ask for a
hearing.
,??
NMENR
Division of Water Quality 1621 Mail Service Center Raleigh, NC 27699-1621
Wetlands/401 Unit: [phone]
Fax: [phone]
0- A ; c,99
Michael F. Easley
?OA, G Governor
r William Ross, Secretary
> -l Department of Environment and Natural Resources
Gregory J. Thorpe. PhD.
Acting Director
Division of Water Quality
December 28, 2001
Gaston County
DWQ # 01-1768
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 Domey at 919-733-1786 or Peter Colwell at out Mooresville Office at
704-663-1699.
Sincerely,
Gregory J. Thorpe
Attachment
cc: Corps of Engineers Asheville Field Office
Mooresville DWQ Regional Office
File copy
Central Files
NDEfNR
Division of Water Quality 1621 Mail Service Center Raleigh, NC 27699-1621
Wetlands/401 Unit: [phone]
FaY• /Q1Q) 7'i4-QQFQ
.ti
D I L G,3: r
William G. Ross,Jr.Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
S fov -
uJos
, 20001
WQProject # 0 I - ? `I (o
Gd kw
APPROVAL of 401 Water Quality Certification and Newee River Buffer Rules
a t ??? sag©?a,
Dear Mr. w d 'M©in
Michael F. Easley
Governor
pith the attached c nditions,,
S 6MR You have our approval, in acco
sue- ;
q4
ten
rk b?
b
Cf I? \ in W,y
for the pur ose of as you
described in our a lication dated'k-c 17 2-"! Aft r reviewin
y pp g your application, we have
decided that this fill is covered by Gen ral Water Quality Cerifcation Number ?2;C
This Certification allows you to use N e Permit Numb _ when the Corps
of Engineers issues it. This approval is also valid for the River buffer rules j!SAi CAt-2B
.A2-3). 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 Watershed regulations. Also 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. If
you change your project, you must notify us and 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, This approval shall expire when the corresponding Nationwide Permit
expires or as otherwise provided in the General Certification. If total wetland fills for this project (now
S d or in the future) exceed one acre, compensatory mitigation may be required as described in 15A
NCAC 2H .0506 (h). For this approval to be valid, you must follow the conditions listed in the attached
certification.
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 uestions, We- ase telephone CK at 919-733-1786 or
PgR-- Co [W 2l at our ?tsa Regional Office at
7a
d
-? w
VMX

TRIL
Sincerely,
Kerr T. Stevens
Attachment
cc: s
Corps of Engi eers PN; Field Office
0Dvfts-3\ I DWQ Regional Office
File Copy
Central Files
Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650
Wetlands/401 Unit: [phone]
Fax: [phone]
OEC-17-2001 10:Q21 "M CLIFTON WORKMON

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11.01
T•d ek6:01 TO LT oaa
\O?QF W A T FRQG
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o -r
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
December 10, 2001
DWQ #01-1768
Gaston County
CERTIFIED MAIL-RETURN RECEIPT REQUESTED
Clifton Workmon
601 Green Street
Belmont, NC 28012
Dear Mr. Workman:
On November 30 2001, the Division of Water Quaky (DWQ) was notified by receipt of your application regarding
your plans to impact the shoreline on Lak= Wyf?e at 158 Charity Lane for the purpose of stabilizing the shoreline of
your lot in Gaston County. Approval ft= DWQ is r-rauired to impact these waters. Please provide seven copies of
the following information and refer to thr EhYQ numb- fisted above in your reply.
1. The k)mbon and area (n saw feet) ow the proposed shorerme stabilization measures must be shown
on a map.
2. Also Catawba (duet bu=r rules beoa m effective June 30, 2001 and allow shoreline stabilization
measures within ft prcir i buffer abng Lake Wyfie. We are concerned that construction of these
shoreline sttffzEition me vAU m-silt in excessive impact to the protected buffers. Please provide
details on how you pim !D,-r, s7.l these shoreffne stabilization measures, what measures you will take to
minimize impact 3D the buz,'F_a and thr,d how you plan to prevent the unavoidably impacted portions of
these buffers
Please ca>I Bob Zarzecld or me at.M?9i 733-17BB 1 you here any ques5ons or would require copies of our rules
or procedural materials. This prajed rill r:-nain cn :tnid as iiiinn complete in accordance with 15 A NCAC 2H .0505 (c).
The pro ig time for this appboaticci to-din when this motion is received. ff we do not hear from you within
three (3) weeks of the receipt of this kdL-, we gill assurne 9mit you no longer want to pursue this project and will
consider it wiWrawn.
.? yours,
Cc Mooresville DWQ Regiord Office
As,hevie Corps of Engineers
Central Fides
File Copy

Wetlands/401 Und 1650 mad Service Cerzer P.alekA W_ 77699-1550 Ph: [phone] Fax: [phone] Customer Service
1 800 623-7748
f V,
i.4 Michael F. Easley
k 7L Governor [30 William G. Ross, Jr. Secretary
? -s Department of Environment and Natural Resources
00,31
Kerr T. Stevens
Division of Water Quality
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
CI;{+, WD'? ,I VV\
tool Q EA\ t
z?o?z-
Dear ?V?r ]DY? m0
On l o00 , 2001, th
your plans to impact
of your lot in Mecklenb_urg C r
of the following information nd
??4-

?s w Caw.. ? F?,? rc?
?e.cea ?/
?J wQ # J16
dJ County
S- So
' ivision of Water Qu Ifty (DWQ) as notified by receipt of your applications regarding
shoreline on Lake (1J e at for the purpose of stabilizing the shoreline
ty. Approval from D Q is required to impact these waters. Please provide seven copies
refer to the DWQ number listed above in your reply.
1. The location'of the proposed shoreline stabilization measures must be shown on a map.
2. Also the Catawba River buffer rules became effective on June 30, 2001 and allow shoreline stabilization
measures within the protected buffers along Lake James. We are concerned that construction of these
shoreline stabilization measures will result in excessive impact to the protected buffers. Please provide
details on how you plan to install these shoreline stabilization measures, what measures you will take to
minimize impact to the buffers and then how and when you plan to replant the unavoidably impacted portions
of these buffers.
Please call Todd St. John, Bob Zarzecki or me at 733-1786 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
within three (3) weeks of the receipt of this letter, we will assume that you no lorxjer want to pursue this project and will
consider it withdrawn.
Sincerely yours,
John Domey
Cc: Mooresville DWQ Regional Office
Asheville Field Office Corps of Engineers
File copy
Central files
fJ ?
Customer Service
1 800 623-7748
Division of Water Quality 1650 Mail Servi m Center Raleigh, MC 27699-1650 [phone]
Page 1 of 1
MMAPSLASTI
Everyone needs o lime dirwflon in life
158 Charity Ln
Belmont, NC 28012-7506
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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
C/O LAKE MANAGEMENT - EC 12 Q
PO BOX 1006 t
CHARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name: (il`f-60W 6, hl 1-kpr7ditJ
Street Address (at lake): Dar r-d nr (? -Dal
Lake Name: lx ,e
Subdivision Name: V,9J2 Laval
Property Section:
Lot #
Type of Permit Requested
"Circle":
rivate Facility
Commerce act ity
Excavation
%Srtoobilizattornn
nveyance
Miscellaneous Uses
City: /h9d/1fT County: 4924S40A)
State: Zip: / ^/?.
Telephone: 170¢ S,2,5- / ?7- ?p Or
Directions (from major road or highway):
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Descriptive Structure on Property (i.e. brick garage, white fence, mobil home, etc):
U8 Caty-F koo k L L o f
*Note: Please use the back of this forest if desired to draw us a map to the site.
GPAULAKEMGMT/LMPPM/DIRECTIONS.DOC Effective Datc: It/ 15/98

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APPLICATION FOR ZONING ISERMIT
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Office Use Only: 011768 Form Version April 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
Section 404 Permit
Section 10 Permit
401 Water Quality Certification
;Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested:
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: 0
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
H. Applicant Information
1. Owner/Annlicant Information

Mailing Address:
Telephone Number:
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent 4as signatory authority for the owner/applicant.)
Company Affiliation:
Mailing Address:
xelephunc NUU11MI. Pan Number.
E-mail Address:
Page 3 of 12
Fax Number:
?:i
M. Project InfWmatltm
5.
9.
Attach a vieinity nap 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. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and .NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USAGE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size consnuction
drawings rather than a sequential shoat version of the full-size plans. If full-size plans ate
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: [ill °t6onl U/QrXy3o,r32 y_Yf-•^Sarya,L f?roi/
2 TIP. Project Number (NC DOT Only):111A-_
3. Property Identification Number ('l'ax PIP): b/ 0 0.157 00 000
4. Location
County: -aS} Nearest Town
:_/?ir?
Subdivision name (include phase/lot number): Nz? T
6. Describe the existing land use or condition of the site at the lime of this application:
7. Property size (acres): 3 9dre S
8. Nearest body of water
River Basin: L&2Q aW&*i -"-Jr r
(Note - this must be one of North Carolina's seventeen designated maior river basins.
River Basin map is available at //h2o.ennsmtr-nc.us/aditrinf?.)
The
Page 4 of 12
Site coordinate;, if available (LTI'M or Lat/I.ong):
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
10. Describe the purpose of the proposed work. ? a f r S 1, ALP E'r05'o
11. List the type of equipment to be used to construct the project: ' ?i d k' l k f
12. Describe the laird use in the vicinity of this project: knSON-,-q L L46-m ?la aL
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. MA
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future'?
anticipated work, aqd p?pvide justification for the exclusion of this work
application:
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and trust be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
cvaluation and delineation forms should be included us appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
If so, describe the
from the current
Page 5 of 12
1. wetland Impacts
wetland In"Wt
Siva Ntanbw
indicw tlrr )
Type of tatpoct* Ara of
Impact
(acres Located within
Myar Floodplain"
( no Distance to
Nearest Stream
lir atr fat
Type of Wetland***

• Litt each imliact separately and idwitify tennporory isapacts. inoludk but are not lindoed to.. tttethiiaMed cleating, gtttiling, fill,
exeavadon, flooding. dim, ore. For dims, kywately list impacts due to both structure and flooding,
'• 100-Vew floodpia a sa idaadRed dwelt h the Federal Emmijency Manaseatent Agency's (FEMA) Mood Inserance Rate Maps
i',P9tM), at FIRMA-upprowed local floodl"n neaps. Mapr we avail" through the FEMA Map Service Center at 1-M-356-9616, of
onNne at bMdt ww.fenta M.
list a wetlsnd type diet best describes wetland to be iarpmed (eg., fmhwmdsaltwater marsh forested wedand, beaver pond,
hookas ft. bog, ctc.)
Last the total acreage (estimai7ed) of existing wetlands on the property
Total area of wetland impact proposed: -
2. Steam Impacts,,including all inteiminent and perennial streams
Staeaa Impact
Site Number
LiT!jM00 aw)
Type of Impert• Length of
Impact
(linear feet)
Stream Name*' Average Width
of Stream
Before Ino act Peremtisl or
Intermittent?
lease , ecif

• Litt eeob ittaptet aaptralely and MOM aentporary itnpaets. ft"M irtelnda, but are not,limited to,, catverts aaa atsoclalea rip-rap,
dams (separately 11st inrpeca dw to bath sauctuta and floodbng), relociaiart (include linear feet before and after, and net lossigain),
ntioa dvkks (cent t wail, dp-w, crib wA, Cabins, etc.), excavatkar, diwJdn#Mrui#de6kg, etc. If stream relocation is
staMli ac
Aopaed, pbam and profiles showing dw Iiaar footprint ter betb tie origins! and relocated means natst be included.
•* Sim" names cm be fOUSd an USGS topngiVi is maps g a strum has so name, list as UT (unnarued tributary) to the nearest
downstream named arrant into which it flows. USGS maps arc available thteu.gh the USGS at 1.800.358-%16, or odm,o at
www.pM.Sft. Several imuraam sites also allow doeei download and printing pf USGS maps (e4.. www,tOD[tione.c&ffl,
.w .)•
Cumulative impacts (finear distance in feet) to all streams on site:
Page 6 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
open WSW Lmpwct
She Number
on MOD)
Type of Ingmct* Am of
Impact
(
(if Name applicable) Wateplicabllee) Type of Waterbody
(lake. pond. estuary, sound,
bay, ocean. etc.)

• Lix each impea sepratdy ad idiat* otngwzry itopacta. tappets include, bat we iW limited to: 511, excaretiM4 dmcdgin&
flooding I ige, belt. etc.
4. Pond Creation
If construction of a pored is proposed, associated wetland and stream impacts should be
inehded above in the wetland and stream impact sections. Also, the proposed pond should
be dm ibed here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): 0 uplands ? stream ? wetlands
Descsibe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stornuwater requirennernt, etc.):
Size of watershed draining to pond: Expected pond surface area:
vll. Impact jusd icathm (Avoidance and IffinirdsaWn)
Specifically describe measures. taken to avoid the proposed impacts. It may be useful to. provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower impact
site layotnt, and explain why these design opf ms were not feasible. Also discuss how :impacts
were mini zed once. the desired site plan was developed. If applicable, discuss construction
techniques to bg>;plkwed during construction to reduce impacts.
Page 7 of 12
VIII. Mitiptiion
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USAGE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
nece&wy to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic nno rce will be considered in determining acceptability of appropriate and practicable
mitigation as proposed Examples of. mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring;, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If rnitigatiOn is required for this project, a copy of the mitigation plan roust be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be plated on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
htt J/h2o.m.slate.nc.u&%cwetlfflXW- trM&jd ,html-
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or trap, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a !!7!7t Mf more space is needed.
Page 9 of 12
2. Mitigation may also be made by payment into the North. Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at h ipJ&2n_wr.e .mw1_vvro *dex.han_ If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):_ N77
Amotmt of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-rilmse wedand mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
M. ErrhUMIlkatal Documentation (DWQ Only)
Dom the project involve an expenditure of public funds or the use of public (federal/stateflocal)
land?
Yes ? NOX
If yes, does the project require prepalration of an environmental document pursuant to the
requirements of the National or Nottb- Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA%SBPA document is required, call the SEPA
coordinator at (919) 733-308 to review current thresholds for environmental documentation.
Yea ? No
If yes. has the doenlnent review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA Or S nal approval letter.
Yea ? No
X. Pr+opoaei Impects oir Rlpahrien end Wattmhed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification lbr these impacts in Section VII above. All proposed impacts most be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected rlpaxhen buffers identified within ISA NCAC 28 .0233
(Novae), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer R 'retthents), or other (please identify )?
Yes ? Nooj? If you answered "yes', provide the following information:
Page 9 of 12
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.

7.otte Itwact
Oquare teat
Mnltiptier Required
Min oa
1 3
2 1.5
Tote] I -J
ZOM 1 G=ndt oat 30 feet perpaadi W& fmm acs bank of channel; Zonc 2 extends m
A&WAoaa! 20 tat float the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conmvadon E.asoment, Riparian. Buffer Restoratioel / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XL stormwater MWQ owy)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
XII. Beware DISPOSSI (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater Se" from the proposed project, or available capacity of the subject facility.
xM. VtolaRk a (DWQ Only)
Is this site in violation of DvyQ We!tlland Rules (15A NCAC 2N .0500) or any Buffer Rules?
Yes ? No
Is this an after-tho-faat peqM application?
yes ? NT
Page 10 of 12
XTV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
constrmction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threaten
.jd§Qecics, accessibility problems, or other issues outside of the applicant's control).
Applicant/A'gent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Array Corps of Engineers Avery Clay Jackson Polk Watauga
1S1 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alleghany Edgecombe I.ee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Or Engineers DI ?Jen 11wneft Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax. [phone] Cumberland New Hanover Scotland
Page 11 of 12

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.
L Applicant Information
A. Name (? J,,14t D Al V Nedf Wo r-Kn-, 0A) ? [?
B. Mailing Address 601 &'=,Q S&!=e
Ald(062AM /l/.C- a301,2
C. Telephone: 701- - ga ?' j g4
H Location of Proposed Project
A. Lake 1 r'
?\
B. Street Add ss L a I s S C r, J
C. CountyD. City, town, community or landmark
E. Section Lot # Subdivision
F. Directions to property byroad rSO M
G. Latitude and longitude for the project site .35, dj0473- 'y l s Ol 01. f` .y
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, n%nv.mapblast com)
HL Description of Project
A. Length of wall -e-e
B. Material &a IQ
C. Distance from properly line/shoreline (7 e?
W. Intended Use of Project Area Avev-w- -3 P4 Tam 540ret'Ne
A. Private o'Z ra'
B. Commercia
t ?
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: US ARMY CORPS OF ENGINEERS, 151
PATTONAVE. - 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. JOHN DORNEY
PARK-VIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
09/20/01ssb

?MAPSL ST
Everyone needs o W4 direction in life
158 Charity Ln
Belmont, NC 28012-7506
0
w
Qm
wool
Icon Latitude: 35.204736, Longitude: -81.010195 ]
rage i of i
./mPrint.mb?CT=35.20464%3A-81.010271 %3A10000&LV=2&GAD2=158+Charity+Ln&GA 11 /28/01
OQim Use Only: . form version April 2001
USACE Action M No. UWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
L hetaWrs
1. all of the approval(s) requested for this project:
section IO Permit
2. Nationwide, Regional or General Permit Number(s) Requested:
Section 404 Pertrrit
401 water Quality Certification
Riparian or Watershed Buffer Rules
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, o:lteclt hem;: []
a. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (ace section VIII -Mitigation), check here: ?
II. Applicant Tufonm6ft
1. OwnrNApplicant Information
Mailing
E-mail Address:
Telephone Nun
Fax Number:
2. Agent Irrfoarmation (A signed and dated copy of the Agent. Authorisation letter must be
attached if the Agent dlas signatory authority for the owner/applicant.)
Name: /?/A
Mailing Address:
Company Affiliation:
WCptluuC Ptttmtxt ;;
E-mail Address:

Page 5 of 12
I'ax Nunibuz:
III. 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. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USAGE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: AZ lo jn42 - P,crSaNa? NroAr?^1t
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): l 07c) 015 00 000
4. Location
County: s& IM 1 Nearest Town: R ,k*1 en.41. /f/'? Gj
Subdivision name (include phase/lot number):__
Directionp so site (include road numbers,, landmarks, etc..):
-f Ur-Al / we 4-4- - Hrwr? (r?L? ,AG. Yn a d fh 17J4Ar.,1V L cIWe --u ! 7t/
5_ Site coordinates, if available (UTM or Lat/Long):
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
?O/!2e eTOSio? V O { ?$?G/ ? 11'1V C OA/ -r-S&V8 iQYOQCr y
0&1v &,vvd&L
-
7. Property size (acres): OCreS
8. Nearest body of water (stream/river/sound/ocean/lake):_ Lake _"A(-.
9. River Basin: (i?Wl //Vd?CYCC
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httv://h2o.enr.state.nc_us/ad!nin/maDS/.)
Page 4 of 12
M Describe the purpose of the proposed work: r .5 ?' Av e 1,-rOS, 0 /)_
1 I.149 the type of equipment to be used to construct the project: 71 d e kae
Y?j r7?
12. Describe the land use in the vicinity of this project: swn Z 16M P.
f -e-sld6,,4 5
IV. Prior Pftjwt History
If jurisdictional deft minations and/or permits have been requested and/or obtained,for this
project (including all prior phases of the saute subdivision) in the past, please explain. Include
the USACE Action ID Number. DWQ Project Number, applic;Mon date, and date permits and
certifcadons were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, vide justification for the exclusion of this work from the current
application:
VL Pimposed Iarpwcts to Waters of the United States/Waters of the State
It is the applicants (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for there impacts in Section VU below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all stream (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
cvalualion and delineation forms should be included as appropriats. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12
wnIL.I\ Avn1 A i I --
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(es/no Distance to
Nearest Stream
linear feet
Type of Wetland***

List each impact separately and identify temporary impacts. Impacts include, but arc not limited to- mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For darns, separately list impacts due to both structure and flooding.
•" 100-Year floodplaim are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(PUtM), or FNMA-approved local floodplain maps- Maps are available through the FFMA Map Service Center at 1-8tt0-358-9616, or
online at http://www.tenAroV.
*** List a wetland type drat best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impacts,. including all.intermittent and perennial streams
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
( lease if

• List each imliact separately and identify ternpomry impacts. lntpacu include, but are not limited to: culverts and associated rip-tarp,
dams (separately list impacts due to both structure and flooding), relocation (inc)ude linen; feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footpriet for bah the original and relocated streams trust be included.
** Stream names can be found on USGS topographic naps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available duough the USGS at 1.800.358-9616, or online at
www.uzcs.gov. Several intent sites also allow direct download and printing of USCS maps (e.g.. www.totlumne.corn,
www.111gVWeaL.cu1A4 clue.).
Cumulative impacts (lin.eor distance in feet) to all streams on
Page 6 of 12
wn[?IN viva -L i i u--- . u.. - . a.. ....' -.. -- -- -- -- --
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
indicate on ma
Type of Impact" Ana of
Impact
(acres) Name of Waterbod
(if applicable) y Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

* List each impact separately and idcntify temporary impacts. Impacts include, but are hot limited to. fill, excavation, dmdging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, .
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and h ininrization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once. the desired site plan was developed. If applicable, discuss construction
techniques to bglfpopwed during construction to reduce impacts.
Page 7 of 12

VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North "Carolina, available at
ht!p://h2o.enr.state.nc.us/ncwetlands/s=gide.htm].
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed rrtethod of construction. Please attach
a sep7!39 f more space is needed
Page 8 of 12
VAI IL1\ W-1-41 i 1 LI-,-- 1 -- .- ---. -.. -- -- -- --- --
2. Mitigation may also be made by payment into the North. Carolina Wetlands Restoration
Programs (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.uiLmn/index.htm If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet)._ /y
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IBC. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/statellocal)
land?
Yes ? Nor
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North-Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at (919) 733-508 to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SE A mal approval letter.
Yes ? No
X. Proposed Impacts on Mpariun and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neese), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Suppl Buffer Req 'rements), or other (please identify )?
Yes] No 01? If you answered "yes", provide the following information:
Page 9 of 12
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers. Required
Zones ( Impact
f=t
Multiplier
M ti anon
1 3
2 1.5
Total
Lone t elttenas out 1V feet PoWncicular from near banK of cnamtel; Gonc 2 extt7 as an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian. Buffer Restoratioil / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within SSA, NCAC 2B .0242 or.0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
XH. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater geneptej from the proposed project, or available capacity of the subject facility.
XIII. Violations (DWQ Only)
Is this site in violation of DvyQ Welland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact peiqm? application?
Yes ? No
Page 10 of 12
Wr9I LN WlA9L11 I I L 11'441I VU 1 OA ---7lJ I lJ JVNI - - ..• -
XIV- Other CircurnstaltcA4 (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
constrtiction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threaten
,Ad,ftecie:s, accessibility problems, or other issues outside: of the applicant's control).
US Army Cobs Of Engineers FWd Offim and County Coverage
Asheville Regulatory held Office Alexander Cherokee iredell Mitchell u0ion
US Amax Corps of Engineers Avery Clay Jackson Polk WMAUP
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rvdmrfad
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone. [phone] Caldwell Heywood McDowell Swain
Fax: [phone] Catawba Header= Mecklenburg Traraybenia
Raleigh Regulatory Field Office Alamance Durham Johnston Rockinglmw Wilson
US Army Corps Of Engineers Allegheny Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Grenville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax. [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Borne Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carwmt• Careen Pamlico Wayne
Telephone. [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croetart National Forest Only
Wilmington RegulatoryFieid Office Anson Duplln Onslow
VS Artily Corps Of Snaiwr+rs Hladtu. I&Wne" Pander
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland Now Hanover Scotland
Page 11 of 12
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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.
L Applicant
A. Name L t f M QAJ Y 1 UP,`f?I'G Wp J:& ty)y.-y
B. Mailing Address 601
ge/ma
C. Telephone:
IL Location of Proposed Project
A. Lake
B. Street Ad ss "? 1 S $ C r' Larx
C. County D. City, town, community or landmark
E. Section Lot # Subdi ' ion
F. Directions to DroDerty by roadJ-(,t`{h /6iit/?- o?
G. Latitude and longitude for the project site 35-,1V'f %g6 'Yl . Of 0 E f5
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 mapblast com)
IIL Description of Project
A. Length of wall 4-
B. Material X IQ
-?
C. Distance from property lme/shoreline IeSS
W. Intended Use of Project Area Average 3 1?cc+ -From SO fel'Ne
A. Private Ya'Zrd
B. Commerc'
V. Applicant Signature Date m /
PLEASE NOTE THE FOLLOWING:
• A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF
THE PROPERTY MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 151
PA7TONAVH - 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.- 70HNDORNEY
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
09/20101ssb
Form OQke Use (DIY: 01 1 7 61 8 Version April 2001
USACE Aedw M No. DWQ No.
If any particular item is not applicable to this project, please enter 'Not Applicable" or "N/A" rather than
leaving the space blank.
L Preeeaahtg
1. k all of the approval(s) requested for this project:
section IO Permit
2. Nationwide, Regional or General Permit Number(s) Requested:
Section 404 Permit
401 Water Quality Certification
Riparian or Watershed Buffer Rules
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check hem: j,
4. If paytr>errt into the Notch Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII -Mitigation), check here: ?
II. App?aut Ioferntation
1. Owe/Applicant Information
Mailing
E-mail Address:--
Telephone Number.
2. Agent bft.mation (A signed and dated copy of the Agent. Authorization letter must be
attached if the AgetQt bas signatory authority for the owner/applicant.)
Company Affiliation:
Mailing Address:
E-mail Address:
7lYaeptxm 1?1uutx.? : rsx Numtn,r:
Page 3 of 12
Fay Number:

M. Project h&ntsatlon
5-
9.
Attach a ?leieft 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. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriaft USGS Topographic Quad Map and MRCS Soil Survey with the property
boundaries outlined. Plan &swings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawmp rather than a sequential sheet version of the full-size plans. If full-size plans are
mdtxxd to a small scale such that the final version is illegible, the applicant will be informed that
the project has been planed on hold until decipherable maps are provided.
1. Name of project: a'aQA) /Drk=042 1O16rSa•yaL ADA24)) -
2 TIP. Project Number (NC DOT Only): / l
3. Property Identification Number (Tax PIN): I J 070 015 00 000
4. Location
County: Qs?'w,I Nearest Town: / fl
Subdivision name (include phase/lot number):
6. Describe the existing land use or condition of the site at the time of this application:
7. Property size (acres): 3 a6te s
8. Nearest body of water (steam ffivedsomd1ocean/lake):_ I-a
lUvcr Basin: Lee>?L //l/d7+GrCC
(Note - this must be one of North Carolina's seventeen designated major river basins.
River Basin map is available at bUp;L k.ennstate.oc_us/adrnin/_rn -)
The
Page 4 of 12
Site coordinates, if available (LI TM or Lat/L.ong):
(Note - U project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
10. Describe the ptlrv. of the proposed work: &0 r ?s ??` , E'r0.s'o /J
11. List the type of equipment to be used to construct the project: -1?3 (z/<tke,-
12. Describe the land use in the vicinity of this project: &s AIR L ,?6`n e ? $ r
IV. Prw Project History
N jurisdictional determinations and/or permits have been requested and/or obtained ,for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
cestifications were issued or widdm+m. Provide photocopies of previously issued permits,
certifications of other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (when applicable). If this is a NCDOT project,
list and describe permits issued for prior s 4ments of the same T.I.P. project, along with
construction schedules. j ..
449
V. Puture Project Plams
Ara any additional permit requests anticipated for this project in the future's If so, describe the
anticipated work, agd ,g pvide justification for the exclusion of this work from the current
VL Proposed lmpacta to Waders of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to detemim, delineate and map all impacts to
wetlands. open water, and stream channels associated with the project. The applicant rust also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all su ams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineadon forms should bo included as appropAasa. Photographs may be
inehlded at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12
1. wetland its
Wetland Impact
Site Number
itt kxft on map)
Type of bWwt* Area of
lugma
(ACM) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
linear feet
Type of Wetland***

• Ust each uvpat't separalaly std idandify te"gomy ltnpaets. bpp U inoluft but we not Hatted b' mechanized cleafing, gm tittg, fill,
wAvaOmk ftoodittR, diteJAmoOrMatlge, etc. For dams, aepar Wy list impacts due to both structure and !boding.
•• 100-Yew doodpism ata idaadfled d avo the Pedw Eum atcy Man So n , t Apney's (PEMA) Plood Maw wwe Rate Maps
OMMu ), ar P131"mapproved local tloo*Wn amps. Maps are atmilable dwoogh the FEMA Map Service Center at 1-900-358-%16, of
online at i>ltrt;Uwww.renwwy.
'*• Lip a wetland type that best describt's wetland io be umoned (e.g., fiesinvater/saltwater raaalt. ftnested wetland, beaver pond,
Ca o%m Bay. beg, ct.)
List the total acreage (estimated) of existing wetlands on the property
Total area of wetland impact proposed:
2. Stream hvipacts,.inel"rig all .intermittent and percrinial streams
Strewn Impact
Site Number
i ' on joy)
Type of ingmwt* Length of
Impact
(linear fret)
Strwam Name** Average Width
of Stream
Before LM@Act Perennin'l or
Intermittent?
lease i .

• List each ittapact impme-0ely ad ideally aenaporary hapacts. hepacts include, but are not limvised to: cetvora Bata aasoetmeu rtp-rap,
dame (separanly list kgmm dtw to both structure and flood, relocsai m (include linear feet before and alter, and net loss/gain),
stabilintioa acts ltlcs (cement wall, rip-np, cdb wan, pbions, ew.1 excavation, ditcltitu?suti?tteaittg, etc. If stream relocation is
pnVesed, plmts and Vmfibn shoeing the smear Am i I sat iorbo* the o igind sad tdocated streams mum be iacht W.
•* Streator names can be fond on USGS kn o6rgh is aaaps. N a sueam has so name, list as UT (unnamed tributary) to the nearemt
dowam m named steam sane which it flows. USES maps tae availablc through the USGS at 1-900.358-9616, or online al
www.aaaa.aav. Several istsvnen rites also allow direct rbwnlm d and lxh* ng of USGS mops (e 6.. www?t >nra+ne ?rnn,
CN:.).
Cumulative impacts (linear distance in feet) to all streams on site:
Page 6 of 12
I Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open WSW Impact
SW NuwAw

oa
Type of Impact- Axes of
Impact

(acres
Name p Waterbody
(if applicable) Type of Waterbody

(lake. pond. estuary, sound,
ba . ocean, etc.)

• List sub impact lgaody and identify tetopoo y impacts. Watts include, bin we fiat hnuted to,. fill, eacavafiun, dtcdgmg,
floodin& drainage, bulkh ads, etc.
4. )pond Cteadon
If construction of a pond is propomed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this a lication.
Pond to be created in (check all that apply): [] uplands 1stream ? wetlands
Describe the method of construction (e.g., damlembsmkment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or pwWw of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Sine of watershed draining to pond: Expected pond surface area:
VII. Impw Jusdf cation (Avoidnace and Minimisation)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
inforttation related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alteernadve, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how :impacts
were minimized once. the desired site plan was developed. If applicable, discuss construction
techniques to b9fpVpwed during construction to reduce impacts.
Pap 7 of 12
4^.
VIM Mitipdon
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acne of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USAGE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment arc minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed Examples of. mitigation that may be appropriate and practicable include,
but ate not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
f mctions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USAGE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWP.P concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical GWde for Stream Work in North "Carolina, available at
http://h2o.emr.state.nc.tWncw-eiba&.,*m&&.UW
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, iwinding, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., dad restrictions, conservation easement, em.), and a
description of the curmt site conditions and proposed method of constriction. Please attach
a !?f more space is needed.
Pape 9 of 12
2. Mitigation may also be made by payment into the North. Carolina Wetlands Restoration
Pmgram (NCWRP) with the NCWRF's written agreement. Check the box indicating that
you world like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at htt» l/h2e.e?r.e.ec.ushinnHndex.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):_ /1/ 1T
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Nan-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Emvh'enmmtal Doe metfation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ? N0
If yes, does the project require ptepAration of an environmental document pursuant to the
requirements of the National or Nortb• Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at (919) 733-508 to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or S nal approval letter.
Yes ? No
X. Proposed Impech oin Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine:, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 29 .0233
(Neuse), 1 SA NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Suppl Buffer Req 'r+cments), or other (please identify )?
Yes ?] No If you answered "yes", provide the following information:
Pap 9 of 12
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
.
Zone Impact
( feet
Multiplier Requirad
Miti an
1 3
2 1.5
Tool
- ?.vae ? oit 1V ne[ peWlC tlOal 11CB mane ? CIfAllnet; LOnc Z CItEtlds m
atlJi MW 20 feet from the edge of Zone I.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of PropMN Conxrvation Easement, Riparian Buffer Restoratiod / Enhancement, Pmservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within,l5q NCAC 2B.0242 or.0260.
XL Stornswater (DWQ Ugly)
Describe impervious acreage (both existing ind proposed) versus total acreage on the site.
Discuss storfnwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
xn. sewagrc DbPOSSI (DWQ 0y)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater Vag" frost the proposed project, or available capacity of the subject facility.
XHI. ViolaRi m (DWQ Only)
Is this site in violation of DVyQ We"Oand Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact vemit application?
Yes ? 140?9
Page 10 of 12
wnIL- n VkML.a i 1 i L-niwr ll vv 1 ??•JIJ . - ../- - - as ar
XIV. Other chuff staum (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Throatean,Ad5Qecies, accessibility problems, or other issues outside of the applicant's control).
US Army Cobs Of Enginews Fleld Ofilcec and Comty Coverage
Asheville Regulatory Field Once Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Bunrwnbe Ckveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon lttttherfbrd
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone]% Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Hatderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingharw Wilson
US Array Corps Of Engineers Aileghamy Edgecombe Lee Stokes Yadkin
6308 Falls of the Neuse Road Ashe Franklin Nash Story
Suite 120 Caswell For"& NYorlbarapsaa Vance
Raleigh, NC 27615 Chatham Cranville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax. [phone] Davie Halifax Randolph Wilkes
W aehingtm Regulatory Field Office
US Army Corps Of Engineers
Post. Office Box 1000
Washington, NC 27889-1000
Telephone: [phone]
Fax: [phone]
Wilmington Regulatory Fidel Office
tm Army Coops Or fin«inaess
Pose Office Box 1890
Wilmington, NC 28402-1890
Telephone: (910) 25IA511
Fax: [phone]
Beaufon Currituck Jones Pitt
Berrie D= Lenoir Tyrrell
Camden on*$ Mardn Washington
Carterat• Gruen Pamlico Wayne
Chowan "enfold Pasgtlotank
Craven Hyde Pergwntarrs +Croaton Naboual Foreatt Only
Anson Deplin Onslow
blade" mamest Pa ndew
Brunswick
C Hoke
M Richmond
b
R
artem
Columbus ougowery
Moore eson
o
Sampson
Cumberland New Hanover Scotland
Page 11 of 12
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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.
L Applicant Information
A.
B.
C.
II. Location of Proposed Project
A. Lake 1
B. Street Ad ss "? (159 C r'
C. County
D. City, town, community or landmark
E. Section Lot # Subdivision
F. Directions to property by road(, 4h /&/L ? ?a
G. Latitude and longitude for the project site 35, a ff 7 4 -- -YJ i 0J 0 LP
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.mapblast.com)
III. Description of Project
A. Length of wall 4-
B. Material X?w
C. Distance from property line/shoreline Q -?
IV. Intended Use of Project Area AV erov e 3 R4 -Prom SltOt1C?%NC
A. Private')eV8rd
B. Commerci
V. Applicant Signature Date 3ov,
PLEASE NOTE THE FOLLOWING.
• A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF
THE PROPERTY MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 151
PATTONA PE. - 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. JOHN DORNEY
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
09/20/Otssb
)?,eJ4?
Telephone:
CWke Use Onty: Fmm Version April 2001
1768
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
L leetusft
1. approval(s) requested for this project:
fkallofthe
2 Nationwide, Regional or General Permit Number(s) Requested:
ection 404 Penrrit
uction IO Pcimit 01 Water Quality CertiSgtion
iparian or Watershed Buffer Rules
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not requital, check here: [I
mitigation of impacts (see section VTII -Mitigation), check here: ?
4. If p®ynitnt into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
H. Applkaet Inftrratation

1. Owner/Aonlicant Information
Mailing
E-mail Address:
Telephone Nam
Fax Number:
2. Agent Llformadon (A signed and dated copy of the Agent. Authorisation letter mast be
attached if the Agtgt iris signatory authority for the owner/applicant.)
Company Affiliation:
Mailing Address:

'YYtCpllunC IqullllR51: teat Number:
>rmail Address:
Page 3 of 12 i i . . ' J
III. Prnjeet Iforrtaatim i
5-
9.
Attach a ritieity 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. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and .NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USAGE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small state such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided
1. Name of project: (ili fiboA) U? .,J y.Yt!^SaNaL Mro1AO:V
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): l S 07C) 015 00 000.
4. Location
County.- -shut I Nearest Town:_ 13r°% /mf L; .
Subdivision name (include phawAot number):
6. Describe the existing land use or condition of the site at the time of this application:
7. Property size (acres): 3 aC/uS
8. Nearest body of water (streamhived/sounWoeeanflake):_ Lake k* fs
.?>sas,n: ??-raw ,c _WdJVrc
(Note - this must be one of North Carolina's seventeen designated major river basins.
River Basin map is available at bO Ar2o.enr..su te.oc_us/adminlmawf.)
The
Page 4 of 12
Site coordinates, if available (LITM or Lads ong):
(Note - If project is linear, such as a road or utility line, attach a sheet that separately -lists the
coordinates for each crossing of a distinct waterbody.)
10: Describe the purpose of the proposed work: ttRa 1 r
I 1. List the type of equipment to be used to construct the project :Ad C &Ac
12. Describe the land use in the vicinity of this project: Pr Q628 L ?,,,0P. ? $?
IV. Prior Project orgy
If jurisdictional determinations and/or permits have been requested and/or obtained :for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USAGE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications of other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prim segments of the same T.I.P. project, along with
construction schedules. j .,
449
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, aqd Zpvide justification for the exclusion of this work from the current
VL Proposed Impamts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and trust be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
ivvaluatioei mid delineation forms should ba imaludod " appropriate. Photographs may be
inchlded at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12
1. Wedand Impacts
Wetland Impact
Site Mwnber
indieaaa on map)
Type of Irrtpact* Area of
Impact
(acres Located within
100-year Floodplain**
(Y=/go Distance to
Nearest Stream
liftw feet
Type of Wetland***

UN UM u» Feet uparOdy and identify tent mrwy itepatta. WpM include. but are not United W raeettanued cieamg, tMMll. fill,
mumdo% dim, CM For dams, OgMratcly liar impa ch due to both sttttctmre and flooding,
*• 100-Year Aoo Ill' is M ideadn d ilizavgb the Federal F.wergency Manayieateat Agency's (FEMA) Flood Mswance Rate Maps
O MM), or PIMA-gWoved local Aoodptaia waps- Mepc are available dtroagh the FEMA Map Service Cater at 1-804 33&9616, of
online at hUMM1 ww.feMUM.
"• List a wdind type That best describes wcttaod io be i mp aclcd (e s., fmhwaledsaltwater aaaTSlt. forested wedaad, bearer pond,
Cla Chas B*. bom ctc.)
List the total acmV (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impact.t inclucbng all intermittent and perennial streams
Sue= imp=
Site Nttmbu
atadica on am)
Type of Inq%wt* Leuo of
Impact
(Hoerr feet)
StIou Name** Average Width
of Seem
Before limfect Perennial or
Intermittent?

.
lease M@Ofy)
4448

• Lit 0" iWPU eepotately and Men" aaTaporary irrtpaets. lrapocts iecleds, but we not boulted to, catvem and aesocia"a pp-rap,
dome (wparateiy On itpatu die to both sauchm and flooding), Tdocadmn (mcb xk Barer feet before and after, and net lou/gain),
stabilindn w&kiu (cement wall. rip-rap, crib wall, pbkms, etc.X excavatitat, ditciringfstttietemint, etc. If stream relocation is
p ,1 1 l plops and paMilea dj** ** liar FaotpHK fwbodt the origiwl and nbcwaed smow anus! be inchaded.
StMM saw" can be farad on USGS tapopmlibic naps. If a stream has no mete, list as UT (urumned tributary) to the nearest
doMVhtatreata named stream into which it flows. USGS mgrs an availablt daough the VSGS at 1-800.358-9616, or oulino at
www.rt LM. Several itaerhtra sifts elao allow direet download and piftch g of USM snaps (e.g.. www ftOMM MM,
mss.).
Cumulative impacts (linesr distance in feet) to all streams on site:
Pape 6 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open wooer 16mpact
Site Number
Type of Impact* Area of
Impact
aeret Name of Waterbody

(if applicable) Type of Waterbody
(lake, pond. estuary, sound,
bay, ocean, etc.)

• Lilt sub tit lepwady and idcaify wwWom y itttpacta. Impacts }suede, but we not HmitW to: fill, em avabou, dmdp%.
floodhm dra' s, baRdroads. at.
4. Pond Creadon
If eoughuctmm of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described hem and illustrated on any maps included with this application.
Pond to be treaded in (check all that apply): ? uplands U stremn ? wetlands
Describe the method of construction darWembankment, excavation, installation of
draw-dawn valve or spillway, etc.):
Proposed use or purpW of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, .
local stormwater requirement, etc_):
Size of watershed draining to pond: Expected pond surface area:
VII. Intend Jdsdffmation (Avoidance and Minimization)
Spedfically describe rneasurea taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how :impacts
were enmimized once. the desired site plan was developed. If applicable, discuss construction
techniques to b itoppw od during construction to reduce impacts.
Page 7 of 12
vm. rift.u.n
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshrvaeer wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USAGE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, rnitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and porahticable
mitigafon as proposed. Examples of mitigation that may be appropriate and practicable include,
but we not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If v"gation is required for this project, a copy of the mitigation plan roust be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North "Carolina, available at
http://h2aetar.std+e„nc.us/ WWCtlandslg=g&.-
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much infcmnation as possible, including, but not limited to: site location (attach directions
and/or crap, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate f more space is needed.
10m - -
Page 9 of 12
2. Mitigation may also be made by payment into the North. Carolina Wetlands Restoration
Pmgram (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wedands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at hip:?fh2o.?r.erate.ec.uslvwrNiadex.htm- If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):- /!? 7T
Amount of buffer mitigation wed (square feet):
Amotm of Riparian wetland mitigation requested (acm):
Amount of Non-riparian wetland mitigation requested (acres):
Amowit of Coastal wetland mitigation requested (acres): _
IX. Ea ntal DoeumenRation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ? NOX
If yes, does the project require prep9ption of an environmental document pursuant to the
requirements of the National or North- Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA doctnnent is required, call the SEPA
coordinator at (919) 733-508 to review current thresholds for environmental documentation.
'Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or S al approval letter.
Yes ? No
x Pit+opoaei 1u PWh asu Rlpaxii in and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine,, delineate and map all impacts to
'squired state and local buffers associated with the project. The applicant most also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 1SA NCAC 211 .0233
(Nam), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Rea 'r+en"ts), or other (please identify )?
Yes ? No If you answered "yes", provide the following information:
Page 9 of 12
Identify the square fret and acreage of impact to each zone of the riparian buffers. If buffer
tnitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.

Zotte Itt?tct
(SQUM fiat
Multiplier RequkW
Miti an
1 3
2 t.5
Total
Zoe I etaenat oat 30 fleet peapettdit iw fm new bank of cluamd; Zonc 2 extends an
s&itiow120 Jim from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conxrvation Easement, Riparian Buffer Restoratioxt / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 1 SA NCAC 2B .0242 or.0260.
XL Stormwater MWQ Ugly)
Describe impervious acreage (both 'existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property. 1A
XII. Se..W Disposal (DWQ Only)
Clearly detail the uhimate treatment methods and disposition (non-discharge or dischw7c) of
wastewater pwj" from the proposed project, or available capacity of the subject facility.
XM. Vlola Ww (DWQ Oily)
WeUand Rules (15A NCAC 2H.0500) of any Buffer Rules?
Is this site in violation tw
Yes ? Is this
an after-the-fact peam '' application?
Yea ? No pg
Page 10 of 12
WMILN UVr1L1 I I I Lr11V41MJ I ?A•JLJ 11J . Vw l - - v. .. ..w .? .-
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., straw-down schedules for lakes, dates associated with Endangered and
Thrseateo,Sd§Lecies, accessibility problems, or other issues outside of the applicant's control).
US Army Corps Of Engiuem Field Ot'ficec wW County Coverage
Asheville Regulatory Field Office Alexander Cherokee ire" Mitchell union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patron Avenue Buncombe Cleveland LincoM Rowan Yadcey
Room 208 Burke Gaston Macon Rwharfbrd
Asheville, NC 28801-5006 cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson MeckleM" Transylvania
Raleigh Regulatory Field Office Alamance Durham 7obnston Rockingham Wilson
US Army Corps Of Engineers Allegheny Bdgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northantpsott Vance
Raleigh, NC 27615 Chatham Crranvine Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington RerAntory Field Off= Beaufon Curritt k Jones Pitt
US Army Corptr Of Engineers Bernie Date Lenoir Tyrrell
Poll Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret• Gran Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotsnk
Fax: [phone] Craven Hyde Perquimans +Crostan National Forast Only
Wilmington Regulatory Field Office Anson Duplin Owlow
us Army C*" orBnoinrsrs Hlmdwn Ka wu Ponder
Post Oflice Box 1890 Brun3wick Hoke Richmond
Wilmington, NC 28402-1890 Carteret MonWatay Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Page 11 of 12
(Agents signanve is valid only if an authorization It= from the applicant is provided)
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.
L Applicant Information
A. Name (:J! tyAi Y:ZZ f'tfe W6rK61oA)
B. Mailing Address ?oOI CT/? StG-?
C. Telephone:
IL Location of Proposed Project
A. Lake 1
1 S 8 C r' Lawn)
B. Street Ad ss "-L;Rd
C. County D. City, town, community or landmark
Ae-
E. Section Lot # Subdivision
F. Directions to vroperty by road , OU-?-h A i,, ul - o?d
G. Latitude and longitude for the project site 25, A(J 73 (e - a/, 0113 in
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.mapblast.com)
III. Description of Project
A. Length of wall 4-
B. Material
C. Distance from property line/shoreline d
W. Intended Use of Project Aea Awrol e 3 R e+ fi SkombNe
A. Private 1e Ya? rat
B. Commerci
V. Applicant Signature MDate / 60
PLEASE NOTE THE FOLLOWING:
• A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF
THE PROPERTY MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 151
PATTONAVH - 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. JOHN DORNEY
PARKVIEW BLDG, 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
09/20/01 ssb
mm Use Only: Form version April 2001
USACE Acdw In No. DWQ Na. 01 1768
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Pree"ft
1. k all of the approval(s) requested for this project:
Section 404 Permit
section 10 Permit
401 Wager Quality Certification
;Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested:
3. if this notification is solely a courtesy copy because written approval for the 401 Certiifncadon
is not required, check hem: ?
4. N payment into the North Carolina Wetlands Restoration Program (NCWR1') is proposed for
mitigation of impacts (see section VIE - Mitigation), check here: ?
H. Apphmt Infbimutien
1. OwnerfAvolicant Information
Mailing
Tcleowne Number.
E-mail Address: ---
2. Agent IrfoxmWon (A signed and dated copy of the Agent. Authorization letter must be
attached if the Agent bas signatory authority for the owner/applicant.)
Company Affiliation:
Mailing Address:
Telapinnn I'tues11C1: - i'a?c Number:
E-mail Address:
Fax Number.
Page 3 of 12 P?j ?tf 'j r
'I'j r_-
Li.; ,
M. Project Information
5-
9.
Attach a vicinity snap clearly showing the location of the property with respect to local
landmarks such as towns, rivets, and toads. Also provide a detailed aitc plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included If possible, the maps and plans should
include the appropriate US(IS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USAGE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefets full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps wee?provide&
1. Name of project: N'A6c!A) lorkj=? Yci-swyaL Ar».pank(
2. TIP. Project Number (NCDOT Only):
3. Psvperty Idwitifieation Number (Tax PIN): I 07D O.15 00 000
4. Location
County: jYaS475dr Nearest Town: 10 A
Subdivision name (include phase/lot number): _
6. Describe the existing land use or condition of the site at the time of this application:
5j=e ern io/V 'q-F_ fi' ArSnwaL jDlnte )e
[JFL%/V k190? _
7. Property size (acres): Retr' S
a. Nearest body of water (sheam/nver/sound/oeew0ake):_ [-a ke k& k
River Basin: L??7'aW?lil `?Wd7??CG
(Note - this must be one of North Carolina's seventeen designated major river basins.
River Basin map is available at b ,p://h2o.enr..state.ric-us/admiN and
The
Page 4 of 12
Site coordinates, if available (UIM or LadLong):
(Note - U project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
10: Describe the peapose of the proposed work: tfojr . 1, f ro.0o /J
I I . List the type of equipment to be used to construct the protect: 71?B C k hG(f
12. Describe the land use in the vicinity of this project. SOMA L 16M r.
IV. PINK Project H1dK7
N jurisdictional determinations and/or permits have been requested and/or obtained ,for this
project (jnchading all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (whely applicable). If this is a NCDCT project,
list and describe permits issued for prim segments of the same T.I.P. project, along with
construction schedules.
449
V. Ilia" Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, arld Zpvide justification for the exclusion of this work from the current
VL lreprond Ingnhcts to Waters of the MUM States/Waters of the State
It is the applicant's (or agem's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The: applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all strealras (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
iovaiuation grid delineation forms should be ineludod ua uppropriato. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listens or description, please attach a separate sheet.
Page 5 of 12
1. wethmd hwaets
Wedand Impact
Sine Number
indicate an map)
Type of Itttpaet* Area of
Impact
(atxea Loaned within
lWyear Floodplain"
( no Distance to
Nearest Stream
lishear feet
Type of'Wetlartd***
AIA

• Litt each unpaM sepleaatlr and ldahtify tertrporary Imp m. iaoluda but we not Untited le, mechaeited Cleetft grading. fill,
Mcava"%, fbodinR. ditclhMW*IWW. etc. For dams. sCatatciy list itup? due to both structure and flooding.
•• 100-Year floodpiaiaa ate fdaadflad dtroaO die }retard Etaetfeacy Manoderaent Agenq's (PEMA) ROW WWr Mee Rate Maps
(FMM), or FBMA-ttpptored local Aoodfiain wwps Maps ate available *Wqh the FMMA Map Service Coate r at 1-800-338-9616, or
oatiae at hDOU1 rww.reme mY.
"• UPS a rretiatd type diet best describes wetland b be rah weed (e.g., fteshwa ter/saltwater mrash, foresaed wetimnd, beaver pond,
Coulied ft. bat, ck-)
List the total acreage (etttimated) of existing wetlands on the property
Taal area of wedand impact proposed:
2. Stream Impaets,.including all internrtiVent and perennial streams
Steven Impact
Site Number
00 aw)
Type of Impact* Length of
Impact
(liner fedt
Stteara Name** Average Witltft
of Stream
Before hopect Peremhisl or
Intermittent?
levee i .

• List MO iMPOU aepataeely MA ift" tnsapoloy itttpwta. Ltapwu indeda, but are not iftdwd to, calve is and assoctatea rip-rap,
darns (sepaartady list iagaets dace to both stmottao aid fioodina relocation (include Knee; feet before and alter, and net loss/own),
stabdintiaa acttritim (cement wall, tip-rap, cdb wall, gabkms, etc.), eacavarkah, ditstan`/strai#denutg. etc. If stream relocation is
Pf4 l+lams and profile: show t die rapt faetptfat fbrbedt the ai l and relocated arreatm sarst be indatled.
•* Stamm names cam be found on USGS kgwVnpbic snps. If a stream has tao name, list as UT (unnamed tributary) to the nearest
dowtieaoaia marred SUMID into which it flows. USGS romps at available dueugh the USGS. at 1-8110.358-%16, or online at
www.msts.mv. Several inaearaet mans also Blow direct download and priating of USGS aups (e.g.. www.tonthnwh AM
Cumulative impacts (linear distance in feet) to all streams on site:
Page 6 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other water of the U.S.
Open Water Impact
site Nur AW

(figlicafto on
Type of Impwt* Area of
IMWt

(Acres)
Norse of 4bleody
(if applkicable) Type of Waterbody

(lake, pond. estuary, sound,
bay, ocean, etc.)

• List cub impost Iej - udy ad idi:ntify Maponry impacts. impacts include, but we hot limited to. fill, exesvetioo, dredging,
tloodhW draI p baiUrtadt, etc.
4. Pond Creadon
If construction of a pond is proposed, associated wetland and stream impacts should be
inehtded above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): [j uplands 13 stream ? wetlands
Describe the method of construction (e.g., daWembankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, .
local stormwater requirement, etc_):
Size of watwshed draining to pond: Expected pond surface area:
VII. Ivq*d JusdEcatkm (Avoi&s mad Miabmkolion)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how :impacts
were mini zed once.. the desired site plan was developed. If applicable, discuss construction
techniques, to bjfpLpwed during construction to reduce impacts.
Pam 7 of 12
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acne of impacts to
freshwabr wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
neceasaiy to ensw+e that adverse effects to the aquatic environment arc minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP coneunence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Gywde for Stream Work in North "Carolina, available at
hn://h2o ern.staoe nc.ushmemlands/s gide.html..
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or trap, if off'site), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate f mono space is needed.
Pace 9 of 12
2. Mitigation may also be made by payment into the North. Carolina Wetlands Restoration
Program (NCWRP) with the NC'WRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at >?tIP://h2e.?.Ne.nc.ushMrn/index.htrn. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):_ An
Amount of buffer mitigation wed (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres): _
LR. Eaftwmental Documeaftflon (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ? N0
If yes, does the _ project require preparation of an environmental document pursuant to the
requirements of the National or North. Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SUPA
coordinator at (919) 733-5a8 to review cutra t thresholds for environmental documentation.
Yea ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or S nal approval letter.
Yes ? No
X. PropwW Impwh err Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above- All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project inspact protected riparian buffers identified within 15A NCAC 28 .0233
(Neiee), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Suppl Buffer Req 'rements), or other (please identify )?
Yes f3 No If you answered "yes', provide the following information:
Page 9 of 12
Identify the square feet and acresgc of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
ZeM Impact
( feat Multiplier Requked
Miti 'on
1 3
2 1.5
Told
ZoM I gate & etot 30 fleet perperrduWW fMW aer beak et chamei; Zonc 2 extm& m
8" O=W 20 feet ft m the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within,l5A NCAC 2B .0242 or.0260.
XL Stornnwaterr MWQ oily)
Describe impervious acreage (both existing and proposed versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstresm from the Property.
Xn. Sewnge Dlspeasl MWQ Only)
Clearly detail the ultimate treatment methoft tmd disposition (non-discharge or discharge) of
wastewater jenpq frt>Qn the proposed piv jest, or available capacity of the subject facility.
X1U. VWWiotea (DWQ 0*)
Wetland Rules (15A NCAC 2N .0500) or any Buffer Rules?
Is this site in violation tr
Yes ? Ia t
his an after-Owfam pemK ' application?
Yes ? N
Page 10 of 12
Will L1% hf nl_A 1 1 t LPL 14 L11V 1 CIA --?LJ i i. -I - - v- -- as -- -1
XIV. Other Circwnstancea (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
consavction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatertt1d.ftecies, accessibility problems, or other issues outside of the applicant's control).
US Army CoMs Of Engineers Redd Offices mud County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredeli AMMIGll Union
US Army Corp of Eagineers Avery Clay . Jackson Polio Wanuga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yadcey
Room 208 Berke Gaston Macon' Rutherford
Asheville, NC 288111-5006 Cabarrus Graltsm Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Cautwba H nderson MeckleMM9 Trawylvw"
Raleigh Regulatory Field Office Alamance Dwham 7obnston Rockh%hm Wilsm
US Army Corps Of Eapmers Alleghany k'dgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Sorry
Suite 120 Caswell Forryth NordarnpM Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax. [phone] Davie Halifax Randolph Wilkes
W ashingtw Regulatory Field Olfw Beaufort Currituck jowl Pitt
US Army Corp Of Engineers Bartle Dare Lenoir Tyrrell
Post Office Box 1000 Camden Oates Mardn Washington
Washington, NC 27889.1000 Carteret' Omen Pamlico Wayne '-
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Per" mans +Croaus National Forest Only
Wilmington Regulatory Field Office Anson Dnplln Onslow
us Army Caps orrans"N"cs M.Uj 1n Ma"Ma ArndaT
Poat Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: (910) 251 A511 Columbus Monte Sampson
Fax: [phone] Cumberland New Hanover Scotland
Page 11 of 12
(Agent's signature is valid only if an authorization letter fraan the applicant is provided.)
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.
L Applicant Info
A. Name
B. Mailing Address 601 &'=W Slr'ccl?
el1'h 2?1,4
C. Telephone: - ?a gg
II. Location of Proposed Project
i.J i,-
A.
B.
C.
D.
E.
F.
G.
Lake
Street Ad ss
County?
City, town, community or landmark
Section Lot #
S $ C r' LarK)
Latitude and longitude for the project site
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.mapblast com)
III. Description of Project
A. Length of wall
B. Material AlLb oe a 10
C. Distance from property lineAhoreline d
IV. Intended Use of Project Area Avtoie 3 Re.+ -Prow, :5k0re/'Ne
A. Private X VG rd
B. Commerci
V. Applicant Signature Date '?v Vv
PLEASE NOTE THE FOLLOWING:
• A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF
THE PROPERTY MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 151
PATTONAVE. - 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. JOHNDORNEY
PARKVIEWBLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
09/20101ssb
Oree ux O*: 6 1 17 616m Version ApdI zoo,
USACC Aedon ID Nm DWQ Na.
If any particular item is not applicable to this project, please enter "Not Applicable" or "NIA" rather than
laving the space blank.
I. r,.cesdat
1. Qwck all of the approval(s) requested for this project:
2 Nationwide, Regional or General Permit Number(s) Requested:
Section 404 Permit
Section 10 Permit
401 wager Quality Certification
Riparian or Watershed Buffer Rules
3. If thin notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check hem:
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see secdon V1II -Mitigation), check here: ?
II. Applieaet Int+rraratMn
1. Owner/Applicant Information
Mailing
Telephone Number:,
E-mail Address:---
2. Agent IMortnation (A si®ned and dated copy of the Agent. Authorization letter must be
attaclbd if the Agefpt 1#as signatory authority for the owner/applicant.)
Company Affiliation:
Maifing Address:
7(tilesptnxic rruu,Um: rax Nunilxz:
&maii Address:
Page 3 of 12

Fax Number:.
M. Project Infori natkn
9.
Attach a vieinitp 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. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and MRCS Soil Survey with the property
boundaries outlined Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USAGE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size consouction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps area provided
1. Name of project:-_ N'92 /Orkjznnl - &-y-son/&L /fro ,
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): /S 670 0.15 00 000
4. Location
County. sh%m Nearest Town: RIII h .' G'
Subdivision name (include phaw iot number):
Directiou In site (include road numbers, landmarks. etc):
5. Site coordinate;, if available (UfM or Lat/Umg):
(Note - U project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
fIM P.rnSiO/U 04' .'gAhIW.1,'AJ • D../ Ar7Cit,.,al AMPer4V
7. Property size (acres): a ae/e'S
8. Nearest body of water (streamfiverlsound/ocean/lake):_ Za lke k*17r'?
Rive r Basin:^ ??rraw ,c -/ni crc
(Note - this must be one of North Carolina's seventeen designated major river basins.
River Basin map is available at 1,Lt(p //h2o.ennstat mc_us/adntin/mans/.)
The
Page 4 of 12
10. Describe the purpose 2V roposed work: tfRa I r ?: ? ,v e C rO.O o /J
1 I. list the type of equipment to be used to construct the project: -i''n C l(1
12. Describe the land use in the vicinity of this project: P,r sa a L 16M f. r?
f cs, d6'4 S
IV, Mw Plroject History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USAGE Action ID Number, DWQ Project Number, application date, and date permits and
celtiftcations were issued or withdrawn. Provide photocopies of previously issued permits,
certifications of other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). if this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. "
V. ihtlure Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, agd Xpvide justification for the cxclwaion of this work from the current
VL Pmpand Impwcta to Water of the United States/Waters of the Suite
it is the applicant's (or agent's) responsibility to detemdne, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plant. All wetlands and waters, and all strews (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation mid delineation forms should be included us approprimo. Photographs may be
inehuded at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additionell space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12
1. Wetland Impacts
VHdlaatd Impact
Siva Ntanbw
iaaieaav on )
Type of rmpact* Area of
Impact
(aat:s Located within
100-yeor Floodplain**
( no Dist once tD
Nearest Stream
linear feet
Type of'Wettane-

Lift tub leaped separaarly Ond idaattify temporary impam. bFVWM indude. butane not batted b: mechtrs M daft, grading, fill,
=eavadoar. floOCb 8, ditcAil&*akuW, etc. For dams, scpmatcly list impacts due to both shuctun and flooding.
*• 100-Yew lloodpiaas are tdaadfied dwough the Federal Erne pmy Manapm eat Agency's (MMA) ttlood lttstuaatee Rate Maps
MM), or FEMA-approved local Aoodpl n arms. Maps are awe We dwough the FIMA Map Service CeMw at 1-800-358-%16, of
ontiae at htnWWWWACM& v.
Ust a wetland type that best dncribet wetland to be bmwied (eg., freshwaiedsaltwater moslt, farcsted weths4 beaver pond,
C'aaobaa Day, bog, ctc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed: -
2. Stream Lnpaets,.including all,iotermigent and perennial streams
sve Impact
Site Nombe r
lather oo
Type of Impact* Length of
Impact
(linear fed)
Stream Name** Average Width
of Stream
Before IMPVA Perennial or
Intermittent?

.
lease 'fY)

• Lift each sv#m separely sad ides" eaaapen" ttnp m. N" m it tech, bet we not umaatni to: eutvem ow assoctmea rip-rap,
dams (seporsely Ust ttttpeca doe to both wwwro raid floodW, teloeation (include linear feet before and after, and net losslgmn),
stabilizedoa activities (cement wdL rlp-rap, crib wall, gablons, etc.), excavanota, dMunghtraighteai g, etc. if stream Mocation is
prnpsfed, pleas: and paroFR O showing the Haar foa" forbore the origirul sad relocated snttams neat be ieWded.
*+ Stmara namet car be !Quad on UWS toposrapl is amps U a stream has so name, list as UT (unnamed tributary) to the nearest
dOMrAM earned stream into which it flows. USdS maps etc available thwugh the USGS at 1-800.358-%16, or online at
www,MU,M- Serval intemet sifts also allow direr dwouload mnd prhAing of USt3S maps (&S.. www.tantaaona:.a.?or+t,
www.wLS a, aw-).
Cumulative impacts (linear distance in feet) to all streams on sine:
Page 6 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open water Iaupaxt
Sim Number

(fimficat on MM)
T? of I?t* Area of
Impact

(acres)
(if Name p Waterbody
applicable) Type of Waterbody

(lake, pond, estuary, sound,
bay, ocean. etc.)

UN eaca impact upoody aid WendU, m-pwwy n hWacts inclode, t»kt are not kafted w. fir, excavetion, a,eftmg,
flood s& d?aiaade, baltl eack etc.
4. POW Cteeation
If construction of a pond is proposed, associated wetland and stream impacts should be
inehded above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated an any maps included with this application.
Pond to be created in (check all that apply): [] uplands [stream ? wedands
Describe the method of construction (e.g., datnlembankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwatef requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Import Jusii6attim (AvokWnce and MiobnImUon)
Specifically describe measure,% taken to avoid the proposed impacts. It may be useful to provide
infmYnation related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower impact
site layouts, and explain why these design options were not feasible. Also discuss how,impacts
were sized once. the desired site plan was developed. If applicable, discuss construction
techniques to bqllpihpwed during construction to reduce impacts.
Page 7 of 12
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USAGE - M accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, rnitigation will be required when
necessary to ensure that adverse cffects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as propoised Examples of. mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USAGE or DWQ to consider the application complete for processing. Any application
lacking a requited mitigation plan or NCWRP conctmence shall be placed on hold as
incomplete. An applicant may also choose to jVview the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North "Carolina, available at
MtV1/h2o.eenr.state.nc.us1ncwe t1wWfi str g&,html..
1. Provide a brief description of the proposed mitigation plan. The deacription should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or reap, if offsite), affected stream and river basin, type and arnount (acreagellinear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a se pataw 'f more space is needed.
Page 9of12
2. Mitigation may also be made by payment into the North. Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website. at hhMara2o.wr.smte.oc.vsftftdex.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):_ /y
Amotmt of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wedand mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
LX. Errltwmwstml Documee t6m (DWQ Only)
Does the project involve an expftu iture of public funds or the use of public (fedwal/statefloeal)
land?
Yes ? NOX
If yes, does the project require prepiiradon of an environmental document pursuant to the
requirements of the National or Nor*. Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA%SEPA document is required, call the WPA
coordinator at (919) 733-508 to review current thresholds for environmental documentation.
Yes ? No T
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or S al approval letter.
Yes ? No
X. Pftposed lmpscta mr Riparian sad Watmiteed Butrors (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required stale and local buffers associated with the project. The applicant must also provide
justif4cation for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will tlw project impact protected riparian buffers identified within ISA MAC 2H .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supp Buffer Requirements), or other (please identify, )?
Yes IM No01? If you answered "yes", provide the following information:
P&V 9 of 12
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.

Zone IM"Cl
( feat
Moltiptier Rogtdrod
Miti bn
3
2 1.5
Toni
• Zose 1 NM&od 30 fleet peipattdlWim fiem ma bmk atchannel; Zonc 2 extends m
aMdom120 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Ftind). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XL Storn water (DWQ Only)
Describe impervious acreage (both existiiig and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.04
XII. Sewage Dlspoaal (DWQ Ody)
Clearly deW the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater geney" hm the proposed pmject, or available capacity of the subject facility.
XIII. VWWUooe (DWQ Only)
Is this site in violation of DVyQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact peum application?
Yes ? N
Page 10 of 12
wrlILR UVnL.l 1 I 1 L-nl'M 4114U 1 CA,-J1J - 1J _V- i.?? •?+ ?.
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application suffi
consu=bon dates to allow processing time for these permits.
choose to list constraints associated with construction or sequenc
work schedules (e.g., draw-down schedules for lakes, dates ass
Threatet'Sd5Qocies, accessibility problerm, or other issues outside
=fly in advance of desired
[owever, an applicant may
that may impose Emits on
ated with Endangered and
the applicant's control).
US Army CorW Of Engineers Fleld Offices and Comity Coverage
Asheville Regulatory Field Office Alexander Cherokee be" Michell Union
US Array Corps of Engineers Avery Clay Jackson Polls Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon, Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Jobnaton Rocking =n Wilson
US Array Corps Of Eng'raeers Allegheny Pdgecombe Lee Stokes Yadkin
65M Fails of the Neuse Rand Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Nwthampeon Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
W aswngtoa >Regalatory Field ofte
US Army Corps Of Engineers
Pbst 0 fife Box 1000
Washington, NC 27889-1000
Telephone: [phone]
Fax: [phone]
Wilmington Regulatory Field Office
vs A""Y co" Orr=Sh O.2
Post Office Box 1890
Wilmington, NC 28402-1890
Telephone: [phone]
Fax. [phone]
Beaufott Currituck Jones Pitt
Bettie Dare Lenoir Tyrrell
Camden Qaks Martin Washington
Carteret* Oreen Pamlico Wayne
Chowan nertfwd Pasyuotank
Craven Hyde Per"Mans +Crostan Nabood Forest Only
Anson Dnplln Oaslow
Bn:Ytan HMnact pandw
Brunswick Hoke Richmond
Carten:t Montgomery Robeson
Columbus Moore Sampson
Cumberland New Hanover Scotland
Page 11 of 12
(Agent's sigoanne is valid only if an authorization letter from the applicant is provided)
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.
L Applicant Information
A.
B.
C.
EL. Location of Proposed Project
A.
B.
C.
D.
E.
F.
Lake 1
Street Ad ?Vrrzss-?A)-
City, County
town, community or la
Section Lot #
S f C rI LarK)
G.
Latitude and longitude for the project site
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 mapbla t com)
ELL Description of Project
A. Length of wall
B. Material
C. Distance from property lin shoreline d -?
IV. Intended Use of Project Area AVerale 3 Pe+ firm- Shombove
A. Private: '?/,_ V9 r,4
B. Comm rci
V. Applicant Signature Date %???vvOv.
PLEASE NOTE THE FOLLOWING:
A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF
THE PROPERTY MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 151
PATTONAVE. - 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. JOHN DORNEY
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
09/20/01 ssb
JeJA'Q
Telephone: - ga g?
OQlte Uae Only: 7 6 , Form v"sim? AP612MI
11
USACE Adim ID Na DWQ Ne.
If any particular item is not applicable to this project, please enter "Not Applicable" of "N/A" rather than
leaving the space blank.
L Preeesft
1. k all of the approval(s) requested for this project:
2. Nationwide, Regional or General Permit Number(s) Requested:
Section 404 Permit
S®ction 10 Permit
401 water Quality Certification
Riparian or Watershed Buffer Rules
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, ctkclC hire: []
mitigation of impacts (see section VIII - Mitigation), check here: ?
4. If payrnetrt into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
II. App?t Infe?rnmtion
1. Owner/Applicant Information
Mauling
Fax Number:,
Telapba++e Num
E-mail Address:

2. Agent Inftmmion (A signed and dated copy of the Agent. Authorization letter must be
attached if the AgW l;ta signatory authority for the owner/applicant.)
Mailing Address:
Company Affiliation:
E-mail Address:
'YY.lepdxune NuutUest: rax Numb%.z:
T
,'L ULIVED
Pane 3 of 12
M. Pr JWt Ihafwmatlon
5.
9.
Attach a vieieity reap clearly showing the location of the property with respect to local
landmarks such as towns, riven, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USAGE requms information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps area provided.
1 _ Name of project: a'aQA) /o rk=o n2 Atj-sol &L AqAnn?g
2. T.I.P. Project Number (NCDOT Only): J
3. Property Identification Number (Tax PIN): I S 67D 0.157 0 000
4. Location /i
CAll ounty, („ - - L Nearest Town, _Rt°//h:7A1
Subdivision name (include phasellot number):_
6. Describe the existing land use or condition of the site at the time of this application:
me, em iO, v D fig Onsmue z )OPO )e
&A.,v -
7. Property size (acres): a wre'?s
8. Nearest body of water (streamfiver/sound/ocearOake):_ l a kk,e
River Basin: L+?'TdW?C(?L ?l/Vc?7+erCG
(Note - this must be one of North Carolina's seventeen designated major river basins.
River Basin map is available at bW//h2o.cnr.state.nc_us/admin/t?1 .)
The
Page 4 of 12
Site coorciiriates, if available (LYIM or Lat/LAmg):
(Note - U project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
10. Describe the purpose of the proposed work: i s r A C. t'O.S: rd
11. List the type of equipment to be used to construct the project: -A' C /ke
12. Describe the larld use in the vicinity of this project: &SnnJR L 16M9 4 '6 UL
feyd S-
IV. Pik" Preject History
If jurisdictional determinations and/or permits have been requested and/or obtained ,for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USAGE Action ID Number. DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. "
V. Futm Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, vide justification for the exclusion of this work from the current
application:
VL Proposed Impoets to Waters of the United States/Waters of the State
It is the applicant's (or agent%.) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VIZ below. All proposed impacts, permanent
and temporary, must be fisted herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
aevaluasion mid delineation forms should be included as appropriaw Photogaphs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, fist and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12
1. Wetlalla hapacts
W"WW Impact
Site Number
indiena out Map)
Type of hgwt* Area of
Impact
(aces Located within
100-yar Floodplatn**
( no Disiattc'e ID
Nearest Stream
linear feet
Type of Wetland***

• Litt UM MvW selmaady and idwtity ternpon" helieets. M p" M01o te. but we not unite to taechaaiial CMUHUM also" 9. 1111,
ettcraAm fWft, ditehlttptirainatc, eu Troy dams. scpatatcly list h poets due to both structure and flooding.
•• 111a-Year lloodpiais ate Idemdfled dwas h the Redaat Ensanlency Wtans#wrent Agency's (PEMA) Mood Msuronce Rate Maps
MM), ere FEMA-approved local Aoadpwmps- Maps we amiable theongh the FTMA Map Service Center to 1-80 I55-%16, or
online at MhK//ttwwAMLIov.
'•r Ust a wdlaed type that best describes wedand to be impacted (ag., freshwate/sAtwate mash, forested wetland, beaver pond,
Cmobw Bap, ft etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wedand impact proceed:
2. Stream Impacts,.including all inteimiVent and perennial streams
Stan Impact
Site Ntmbetr
LindiMOUNW)
Type of Irsepact• Length of
Impact
(linear fee
Shears Name** Average Width
of Stream
Befofe Im set Perennial or
Intermittent?
lease 'f,
Al/A

• List each itapect Opera" nail Men" ""My tmpoets. "WO include, but are not 6mtted to: ealvem and assocbMed rip-rap,
daor (separately list isopects due to both structure and flooft), ralocation (include linear feet before and after, and net loss/gain),
stabili=atioft acdvkies (Cement wall. rip-tap, alb wall, gablons, etc.), mtcavatin% ditchingfarvightening, etc. If stream relocation is
lse I plans and Iv Fil, showing *a linear lootptias forbo& the original and relocated streams Want be intladed.
ti Stream names cat be loused on USM topopphic sasps. N a stream has no same, list as LTf (unnamed tributary) to tlto nearm
downwam amseed samm into which it flows. USM maps at availsb1: dmush the USCIS at I-900.358-%16, or online at
www,WM.eev. Several iasenmat sixes also allow diraa download and printing of USGS hasps (e4.. www.tatnarnne.?rorru,
cr . ).
AULZJ lam
Cumulative impacts (linear distance in feet) to all streams on site:
Page 6 of 12
Open Waiter Impacts, including Takes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open waver Impact
She Nue*ff

(huscallgoam-W)
Type of Impact* Area of
Impact

(servo
Name Warle)
(if applicable) Type of Waterbody

(lake, pond. estuary, sound,
bay, ocean, etc.)

• Utt oats impact upaaMr and idnKify tetnpmmy impacts. bgmts include, bia are not limited ter fill, eucavatino, dredgeig,
Moodie& I iaag o bdNteads. etc.
4. PoW Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
inehrded above in the wetland and stream impact sections. Also, the proposed pond should
be desctibed here and illustrated on any maps included with'this application.
Pond to be created in (check all that apply): 0 uplands [streams ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Lagoon Justification (Avoidance and I inirakation)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, buildipg ordinances, accessibility, and
fintmcial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once.. the desired site plan was developed. If applicable, discuss construction
techniques to bgfpjpwed during construction to reduce impacts.
Page 7 of 12
VYYI. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshw ear wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USAGE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, publialmed in the Federal Register on March 9, 20x0, mitigation will be required when
nec:esaary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and prawcable
mitigation aS proposed Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and nm*#aiTdng wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If vftgaion is required for this project, a copy of the Mitigation plan roust be attached in order
for USAGE or DWQ to consider the application complete for processing. Any application
locking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to xipvicw the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
httQ//h2aenrslate.nc.us/ncwetlands/strmQide.html..
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a sapata?e?f more space is needed.
Page 9 of 12
2. Mitigation may also be made by payment into the North. Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at h ?n?2n,?r.?nce.oc.w?vYrulradex.han. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet)-,_
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
I$. Ea ,hermeatxl Dot atlon (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (fedetallsiakbllocal)
land?
Yes ? NoX
If yes, does the project require preparation of an envirorunenxtal document pursuant to the
requirements of the National or North- Carolina Environmental Policy Act (NEPAISEPA)?
Note: If you are not sum whether a NEPAISEPA document is required, call the SEPA
coordinator at (919) 733-508 to review current thresholds for environmental documentation.
Yea ? No
ff yes, has the document review been finalized by the state Clearinghouse? If so, please attach a
copy of the NEPA or S nal approval letter.
Yes ? No
X. Prupo@W Lupach cat Rlpa?rlan and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
reined state and local buffers associated with the project. The applicant must also provide
Justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project ingmct protected ripaa lan buffers identified within l5A NCAC 29 .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Sapp] Buffer Req 'cements), or other (please identify V
Yes No if you answered "yes", provide the following information:
Pap 9 of 12
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.

Zone Impact
(SQUOM fret
Multiplier Require!
Miti ation
1 3
2 1.5
Tout
' Zone 1 tateestds sot 30 het petpendiCtll? float near bank d channel; Zonc 2 extends m
WMiaeW 20 feet from the edge of Zone I.
If buffer mitigation is nxpired, please discuss what type of mitigation is proposed (i.e., Donation
of property, Conservation Easement, Ripasiset. Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
IL Stornrwater (DWQ gory)
Describe impervious acreage (both existing and proposed) 'versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property. 4
XII. Sewage Disposal (DWQ Only)
Cindy detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater paqyNel from the proposed project, or available capacity of the subject facility.
XM. Viobtioaa (DWQ Only)
Is this site in violation of DvyQ Wetland Rules (15A NCAC 2H .0500) & any Buffer Rules?
Yes ? No
Is this an after-tho-faet pq=S application?
Yea ? No -
Page 10 of 12
WME-N UVnL1 1 I I Lr11V4114V 1 QJ\•J1J 11, . 1 iw.. - v. +. --•.. . . - -
XIV. Other Circwau?an " (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
consuwtion dates to allow processing time for these permits, however, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Throacet.Ad5L)ocics, accessibility problems, or other issues outside of the applicant's control).
Applicant/A'gent% Sigoamm Defe
(Agent's signamn is valid only if an authorization letter from the applicant is provided.)
US Army Corp Of Eawneers Field Otfim and Comty Coverep
Asheville Regul" Field Office Alexander Cherokee Iredell Mitchell Union
US Anny Corps of Engineers Avery Clay Jackson Polk Wotauga
151 Patton Avenue Buncombe Ckvclaad Lincoln Rowan Yancey
Room 208 Burke Gown Macon RutbKfbrd
Asheville, NC 28801-MW Cxbarrus Caaltam Madison Stanley
Telephone. [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Hatderson Mecklenburg Tirmytvania
Raleigh Regulatory Field Office Alamance Duebam Johnston Rockh*1010 Wikou
US Army Corp Of Engmcers Allegheny PAgerombe Lec Stokes Yadkin
6508 Falls of the Meuse Road Ashe Frahm Nash Surry
Suite 120 Caswell Forsyth Northan"on Vance
Raleigh, NC 27615 Chatham Offenville Orange Wake
Telephone: [phone] Davidson Guiifard Person Warren
Fax: [phone] Davie HaHfax Randolph Wilkes
washingtm Regulatory Field Off= Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bettie Date Lenoir Tyrrell
Post Office Box 1000 Camden a0es Martin Washington
Washington, NC 27889.1000 Carteret* Oran Paanlico Wayne
Telephone: [phone] Chowan "enfold Psupbotw*
Fox: [phone] Craven Hyde Pergtdmans *Croatan Nab oual Forest Only
Wilmington Regulatory Field Office Anson Duplin Ondow
trs Army cc" Of Eno
..mss
at:rr«.
s?...«
tta..ae.
Pon Office Box 1840 Brumwick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Page 11 of 12
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.
L Applicant Information
A. Name 11-PtvAj V"YUafff,. Wbc&n30A)
B. Mailing Address 6'=W slr=4
?1110,0
C. Telephone: / 6-?-
II. Location of Proposed Project
A. Lake 1
B. Street Ad ss "L 1 S $ C r' LarK?
C. County
D. City, town, community or landmark
E. Section Lot # Subdi ' ion _
F. Directions to property by road-
G. Latitude and longitude for the project site 35', JQ!f '?4 -- -Yl t 0{d M
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 mapb/astcaom)
III. Description of Project
A. Length of wall
B. Material
le-SS :16a6Z
C. Distance from property line/shorelme
IV. Intended Use of Project Area Averoie 3 R4 T''` :5korel'NC
A. Private Ord
B. Commercta
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: US ARMY CORPS OF ENGINEERS, 151
PATTONAVK - 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: JOHN DORNEY
PARKVIEW BLDG., 2321 CRABTREE BL VD.
RALEIGH, NC 27604
919-733-1786
09/20/01 ssb
OQke Use Only: Form version April 2001
USACE Action M W UWQ No. 61 1768
If any particular item is not applicable to thus project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.

I. k all of the approval(s) requested for this project:
;Riparian or Watershed Buffer Rules
2 Nationwide, Regional or General Permit Number(s) Requested:
Section 404 Permit
Section 10 Permit
401 Weber Quality Certification
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check hero: []
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII -Mitigation), check here: ?
II. Apprlicant Infe?rartion
1. Ovvner/Atrolicant Information
Mailing
Telepbam Number
E-mail Address:
Fare Number:
2. Arent iiMot'nnadon (A signed and dated copy of the Agent. Authorisation letter most be
attached if the Agetpt leas signatory authority for the owner/applicant.)
Company Affiliation:
Mailing Address:
E-mail AddrCSS:
7fYaedn>nC INuwtreu:
I'an Numtnz:
Page 3 of 12
r
t
?. Project Infon?t
9.
Attach a vkb tp mp 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. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USAGE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size consbuctiion
drawings rather than a sequential sheet version of the full-size plans. If full-size plans am
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps area provided
1. None of project: N'ggA)h/Orkjzi,,32 f%ci^sotyaL l?ro?iC
2. TIP. Project Number (NCDOT Only):
/ 0 01.5 S 00 000
3. Property Identification Number (Tax PIN): l br?
4. Loation county. C
Nearest Town:.
Subdivision name (include phase/lot number): AM
Directiorts to site (include road numbers, landmarks, etc.):
5. Site coordinates, if available MM or LaVLong):
(Note - U project is linear, such as a road or utility line, attach a sheet that separately -lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
5ame io/t! Orrmyai ften?)e
7. Property size (acres): 9,4ME
8. Nearest body of water (stream/ziver/sound/oceannake):_ I- a k e kiY111,
River Haan:^ /mod -(NaWm -
(Note - this must be one of North Carolina's seventeen designated major river basins.
River Basin map is available at W.Wh2o.ennstate.9c-us/admin/?t l.)
The
Page 4 of 12
10. Describe the purpose of the proposed work: f a r .S 1?` .v e. C'ro o /0-
1--.1 'n _ r-M..o c..1,1.'.1 --"? ")
Irv.
11. list the type of equipment to be used to construct the project: :An G' k. /k(f
12. Describe the land use in the vicinity of this project: &SQ& -s L ?o0 f '? y r
f eszde ? S
Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained,for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certiftcations of other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules."
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, aqd Zpvide justification for the exclusion of this work from the current
VL Proposed ln*edx to Waders of the United States/Waters of the State
It is the applicant's (or ageat's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on a» accompanying site
plan. All wedatxls and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
mvaluatiao avid delineation forms should be included as appropriate. Photographs may be
inchided at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12
l . Wetland iatpacts
Wetland Impact
Site Nmnbw
iu>tU91100 00 )
Type of Ill wt* Area of
Impact
(twos Located within
10o-yam Floodplain•*
( no Disfance to
Nearest Stroam
inlet feet
Type of Wetland***

• List each impM separatdy and identify temporary impets. 1 1 Pte include, but we not limited b* mechanized endearing, grading. fill,
eiternelioo, flooding, ditcbiafdraieage, t t For dams. sgmntely list impacts due to both structure and flooding.
•• 110-Year floodpia* we idudfled dwoogto the Pederri Emeteatcy Manage errteat Agency's (PEMA) Plood InVX%we Rate Maps
MW or PH"-mpproved local tloodplain wtap& Maps we available tbongh the FEMA Map Service Ceder at 1-8M358-9616, of
"we at hmc bomrsmLanv.
"•' List a woland type that best describes wetland to be ieapeted (P-g., Eteshwater/saltwwter marsh. foraged wedamd, beaver pond.
Ca ubm %y. bog. etc.)
List the toW acn%ge (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impacts,.including all ijitenniltent and perennial streams
Stream impact
Site Nitmba
inidica ou
Type of lmpaet* Length of
Impact
(linear felt)
Stream Name** Average Width
of Stream
Before Impact Pemunitii or
Intermittent?
lease i .

List twit ialpatt 9" 0" aced ift" aerepoeary itwPoecs. is *wu iwchit* but are not Imited W. culverts and tasoeinewl rip-rap,
dams (separately lt:t impacts du to bath sauchao and flo~, relocs0on (include linear feet before and after, and not lossigain),
stsbilizedn activities (cement wa4 ryrrap, crib wall, pbimts, etc.), a xcavuitm, d1whing1straighte r1W etc. if stream relocation is
PsOPme? and proflka showiseg the Haar ieotprto forbade doe original and relocated sdeaas most be included.
e1 Smws names cm be sowed on USdS topopapihw maps. IF a sacam has no name, list as UT (unnamed tributary) to ilto nearest
downweue caned steam into wMdt it flows. USO.S maps arc available through the USGS at 1-900-358-%16, or online at
www.wxas.ew. Several interne sites also allow direct downkwA and pdotng of USGS maps (e.g.. www ton UMBIx.cbo?,
Ow').
Cumulative impacts (linear distance in feet) to all streams on site:
Page 6 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Opee Wttttetr ?
She Nttngw
(bgseac an MM)
Type of Impact* Area of
bnpKt
(acres) Name of Wnwbody
(if applicable) Type of Waterbody
(lake, pond. estuary, sound,
bay, ocean, etc.)

' Lint each =pat MpMr ly said identify mmparary tn*w . Mpacts include, tnu are riot Hafted to fiin, excavation, owpt&
floodhw dra' v baikt=da, etc.
4. bond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
inehided above in the wetland and stream, impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with, this application. ?
Pond to be created in (check all that apply): 0 uplands (j stream wetlands
Describe the method of construction (e.g., damfembankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
V11. Impact JustliimCkm (Avoidance and Mining =Uon)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
fmancial viability of the project. The applicant may attach drawings of alternative, lower impact
site layouts, and explain wiry these design options were not feasible. Also discuss how impacts
were minimized once. the desired site plan was developed. If applicable, discuss construction
techniqum to b9foLow ed during construction to reduce impacts.
Page 7 of 12
V11L Mitigation
DWQ - In accmdance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USAGE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2M, mitigation will be required when
necessary to ensure that adverse c9ects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and praWcable
mitigation as propmd. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is rrgtmr+ed for this project, a copy of the mitigation plan must be attached in order
for USAGE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ'a Draft Technical Guide for Stream Work in North "Carolina, available at
http://h2o.ettr.sta[e.nc.us1hcwctlands/str. "&-h=W-'
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and arrtotmt (acreageninear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate f more space is needed
Page 8 of 12
2. Mitigation may also be made by payment into the North. Carolina Wetlands Restoration
Prograrn (NCWRP) with the NCWRF's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wctlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website, at :r?2c,.emr.srate.nc.usrw, ndex.han. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet)-.-
Ammmt of buffet mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX Errh'enmental Documofttion (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/stateflocal)
land?
Yes ? No)<
If yes, does the. project require preparation of an environmental document pursuant to the
requirements of the National or North. Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at (919) 733-508 to review current thresholds for environmental documentation.
Yea F1 No
If yes, has the docurnerit review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or S al approval letter.
Yes ? No
x. Proposed Impwh on Itlp? in and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine., delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and moat be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers, Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A MAC 28 .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Suppl Buffer R 'rements), or other (please identify )?
Yes ?] N If you answered "yes", provide the following information:
17
Pale 9 of 12
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.

ZOO Itntuta
( fiat
Multiplier
Required
Miti 'on
1 3
2 t.5
Total
• Z M 1=Mftds ert 30 fleet perpeadW* flea gear bank d ehtataei; ZMc 2 errands an
&Mkk nd 20 feet from the edge of Zone 1.
U buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, preservation or
Payment into the Ripwirm Buffer Restoration Fund). Please attach all appropriate infonnnotion as
identified wdMn,15A NCAC 2B .0242 or.0260.
XL Stormwater (DWQ only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
XII. Sewage Dbpeaal (DWQ only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewsw sen sto from the proposed project, or available capacity of the subject facility.
XM. Vioiatioee (DWQ CkW)
Wetland Rules (I 5A NCAC 2H .0500) or any Buffer Rules?
Is this site in violation tr
Yes ? Is this
an after-the-fad Pte' application?
Yes ? N99
Page 10 of 12
WrIOL\ VVr1LA I I I L-MV-4 II VU I P/.•J1J 11J -1'I - - - - -?
XI V. Other Circuia"Wes (Optionaw!):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant my
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Thr+eateu.jd5Qecies, accessibility problems, or outer issues outside of the applicant's control).
0
Applicant/Agent% Signature Dak
(Agent's sigllature is valid only if an authorization letter from the applicant is provided)
US Army Corps Of Engineers Fleld Offices and Coaaty Coverage
Asheville Regulatory Field Office Mexander Cherokee Irefto Mitchell U»ion
US Away Corps of Engineers Avery Clay Jackson Polk Wawtga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon' Rvdwfbcd
Asheville, NC 288t114006 Cabarrus Graham Madison Stanley
Telephone. [phone] Caldwell Heywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvama
Raleigh Regulatory Field Office Alamanee Durham Johnston Rockingh m Wilson
US Army Corps Of Engineers Allegheny Edgexombe Lee Stokes Yadkin
6508 Fails of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Norlhaelpton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
W a ungton ReaulaWry Field Office Beaufort Currimit Jones Pitt
US Army Corps Of Engineers Barrie Date Lenoir Tyrrell
Post Office Box 1000 Camden Gales Martin Washington
Washington, NC 27889.1000 Carteret* Gran Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasgaotrmk
Fax: [phone] Craven Hydo Perquimana +Croahtn Rational Fwcese Only
Wilmington Regulatory Field Office Anson Duplin Onalow
US Away Corps Of S..a:w+.sc Ht:?den Harneu Panders
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC U402-1890 Carteret MoaWm cry Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Page 11 of 12
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.
L Applicant Information
A. Name J JJEUAJ Z'46 ? (/Ue)CKIhoA)
B. Mailing Address 1001 A= W sslrca f
e jjo'o agnJ'2
C. Telephone: g/Q1: -ga- 44
H. Location of Proposed Project
A. Lake
B. Street Ad ss " L (IS S C r' Larwr)
C. County
D. City, town, community or landmark
E. Section Lot # Subdi ' ion
F. Directions to property by road-_XO&M
G. Latitude and longitude for the project site 3S, AQ! f f 4 - 4-D r 0f 0 EIS
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.mapblastcom)
II[. Description of Project
A. Length of wall
B. Material 7??1?4L &@IQ
C. Distance from properly line/shoreline Q
IV. Intended Use of Project Area Avemle 3 {' 4 -Pebm SkOrGlsNC
A. Private Ye rd
B. Commerce
V. Applicant Signature Date (ft?
PLEASE NOTE THE FOLLOWING:
• A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF
THE PROPERTY MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 151
PATTONAVE - 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: JOHN DORNEY
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
09/20/01ssb
??