20091300 Ver 1_401 Application_20091209

09_1300
I)I'KF FNFRGY LAKE St RVICES
EC12-Q
P O BOX 1006
CHARLOTTE, NC 28201-1006
704-382-1567 or TOLL FREE 1-800-443-5193
ls
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 ENERGY FILING FEE, PAYABLE TO DUKE ENERGY,
TO ABOVE ADDRESS.
1. Applicant Information
A. Name
LL'
B. Mailing Address (\ 1 F- . i??}} v r 7
? `` '
C. Telephone:?0 ` .. 3 ,AC? S 1 J L- % c', t- .Icy . •n'rCi _I'. 7 / ?0I
It. Location of Proposed Project
A. Lake INCH
Y 1
B. Street Address J r
C. CountyT& CQ 11
D. City, town, community or landmark I V L
E. Section Lot # 4 Subdivision ACK-S? _
F. Directions to pr_perty by road . M W,l 15 c) L1 h L t-(t t-N
J
G. Latitude and longitude for the project site - -
r
H. Please submit a map showing the coordinates or a detailed map (USGS quad map, city map, etc.) showing the
exact location of the project site. (NOTE: Latitude/ longitude coordinates can be found on internet site,
www.mat)sonus.com. Directions: Don't register, click "Maps", enter address, draw map, select "Map Clicking
Will...", select "Lat/L.ong", click map)
)0
III. Description of Project
A. Length of wall I a
B. Material
C. Distance from property line/shoreline____??'?•'_
IV. Intended Use of Project Area DEC 1 0 2009
A. Private e") DENR-WATER WALIlY
B. Comm ercta WETUWDS AND STORMWATER BRANCH
V. Applicant Signature E t%. !tip e Date
PLEASE NOTE THE FOLLOWING:
• 2 COPIES OF THE "DUKE ENERGY APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
CAROLINA", PHOTOGRAPHS OF THE SHORELINE TO BE STABILIZED, AND FIVE (5) COPIES OF THE
COMPLETED "NC DIVISION OF WATER QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION"
MUST BE SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO:
NC DIVISION OF WATER QUALITY
ATTENTION. CYNDI AAROLY
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
1 I NO-Mk Al'.' I'nckazt, Information AC Shorc me ?tdblljzatlon Applicattun.do c
Applicant Date c
Signature
PLEASE NOTE THE FOLLOWING:
A COPY OF THE COMPLETE APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BF
SUBMITTED TO: USARMY CORPS OF ENGINEERS, 151 PATTON AVENUE, ROOM 208, ASHEVILLE, NC 28801-5006
A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA"
AND SEVEN (7) COPIES OF THE COMPLETED "NC DIVISION OF WATER QUALITY PRE-CONSTRUCTION
NOTIFICATION APPLICATION" MUST BE SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE
TO: NC DIVISION OF WATER QUALITY, ATTENTION: Cyndi Karoly, PARKVIEW BLDG., 2321 CRABTREE BL VD.,
RALEIGH, NC 27804, PHONE: [phone]
09^ 1 300
":'he following is an abbreviated application form for those applying for a 401 Water
(2uality Certification to impact FERC (Federal Energy Regulatory Commission)
regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit
GP30. This Application cannot be used for wetland or stream impacts. Please
provide seven (7) copies of this application and supporting information as well as a
non-refundable application fee to the Division of Water Quality of $200.00 for
impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
1. Applicant Information
1. Owner/Applicant Information
Name: c?
Mailing Address:_ 4 E
Telephone
E-mail Ad
2 Agent Information (A signed and dated copy of the Agent Authorization letter
must be attach t e Agent h signatory authority for the owner/applicant.)
Name: Chi Affiliation:
Mailing Address:. M kA .
Telephone Number: '1b q--(U (p(.)- ,5M Fax Number: '7 G ?f - 0 (P
E-mail Address: 0 V'jC,_ `S e O L?L r L-X ?- }CI`c ;? . C' CrttY?
H. Project Information
Attach a vicinity map clearly showing the location of the property with respect to
local landmarks such as towns, rivers, and roads. Also provide a detailed site
plan showing property boundaries and development plans in relation to
surrounding properties. You may use the diagram below to make a hand sketch of
your project. Also, sec the exaniple below for guidance. Both the vicinity map and
site plan must include a scale and north arrow. The footprints of all buildings,
impervious surfaces, or other facilities must be included.
1. Location
County. IA e i ? Nearest Town: _e /
Subdivision name or site address (include phase/lot number): t Lo no ,
Directions to site please include road numbers, landmarks, etc. (This is n t
necessary if an aequate vicinity map is included):
2. Describe the existin land use or condition of the site at the time of this
anntirntinn• t? Y .'? .:.. V-\ r• , ..+', A- / ? A,1 ?11r k r t-1.1 L1
3. Property size (acres):- i rJ I' _
4. Nearest body of water (stream/river/sound/oceanflake): L f e_
?' YYU'1
5.
7, Amount of impact (including all excavation, backfill, rip rap,fj? taini?rg walls 1
etc.) below the normal pool lake level in square feet or acres: 'Tr x lao
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above the normal pool lake level and 50 feet land-ward in
square feet or acres:- I I X /St
b. Please describe vegetation above the normal pool lalfe level and 50 feet land-
ward to be impacted (number of trees for instance): NC 11P" A-7- ? iq ft-)cv'
Applicant/Agent's Signature -? 7 Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
List the type of equipment to be used to construct the project: !] )Cctt °l- ii i
b. Please describe
vegetation above the normal
pool lake level and 50 feet
land-ward to
be impacted
(number of trees for
instance):
Applicant/Agent's
Signature -, Date
?aey
(Agent's s ?M H an authorizatlon letter from the applicant Is provided)
3.S'S1e0
AbONLO

:
ation
3) Locati_n ,,-? "V , _ l f ,nation
The 4 .. :. taining
4) 1
WO s f9 c l,
i The levy": ,

?oLO
DIRECTIONS BY ROAD FORM
Lake use permit Applicants and Contractors: Ease of locating the proposed project site can have a big
impact on permit processing time. Please complete this form and return it along with your completed
permit application to:
DUKE POWER
C/O LAKE MANAGEMENT-EC 12 Q
P.O. BOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name: 2. r
Lake Name: fyo -M04)
Subdivision Name: k y Y?v1 ?1?Q, ?C- (?P ' S
Property Section: Lot(s):_ 4
City: MbottLv'k 1?-f County: L I
State:_ Zip: ?•?
Telephone:
Directions(from major road or High

Type of permit
requested
"Circle"
Private Facility
Commercial Facility
Excavation
Stabilization i
Conveyance
Miscellaneous Uses
Descriptive Structure(s) on
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Driving Directions from 628 Oak Ridge Farm Hwy, Mooresville, NC to 300 Ervin Rd, M... Page 1 of 2
Jon Hager
300 Ervin Road
Mooresville, NC 28117

Total Travel Estimates: 7 minutes / 5.20 miles
A: 628 Oak Ridge Farm Hwy, Mooresville, NC 28115-7947
Start out going WEST on OAK RIDGE FARM HWYINC450 toward
CASCADE RD. Continue to follow NC-150.
/? 2: Turn RIGHT onto ERVIN RD.
3: 300 ERVIN RD is on the RIGHT.
B: 300 Ervin Rd, Mooresville, NC 28117-9091
4.5 mi
0.8 mi
0.0 mi
11 /10/1)nno
Map of 300 Ervin Rd Mooresville, NC; by MapQuest
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All rights reserved. Use subject to License/Copyright Map Legend
Directions and maps are informational only. We make no warranties on the accuracy of their content, road conditions
or route usability or expeditiousness. You assume all risk of use. MapQuest and its suppliers shall not be liable to you
for any loss or delay resulting from your use of MapQuest. Your use of MapQuest means you agree to our `-- .
http://www.mapquest.com/maps?city=Mooresville&state=NC&address=300+Ervin+Roa... 11/19/2009
Driving Directions from 628 Oak Ridge Farm Hwy, Mooresville, NC to 300 Ervin Rd, M... Page 2 of 2
MAPQ1iEST. :. 0800 m
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All rights reserved. Use subject to License/Copyright Map Legend
Directions and maps are informational only. We make no warranties on the accuracy of their content, road conditions
or route usability or expeditiousness. You assume all risk of use. MapQuest and its suppliers shall not be liable to you
for any loss or delay resulting from your use of MapQuest. Your use of MapQuest means you agree to our ;
http://www.mapquest.com/maps?l c=Mooresville& 1 s=nc& 1 a=628+Oakridge+Farm+Hw... 11/19/2009
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D DON ALLEN & ASSOCIATES, P. A.
"Since 1971"
S Commercial * Residential * Mortgage Surveys * Multi-Family
Construction Staking * Subdivision Design * Topographical
111-B Raceway Drive * Mooresville * NC * 28117
[phone] [phone] Fax
I, certify that this map was drawn under my supervision from an actual
survey made under my supervision recorded in deed book--L __, page_ Lt9__, and/or
plot book-- 0 ___, page __49 ___, that the ratio of precision is 1':10,000, that this map
was prepared in accordance with the General Statutes of North Carolina Chapter 89C.
my hand and seal on the __ 29 day of SEPTEMBER
Vvi i I I A M
5!
?d 1 LENGTH
j _ 10.19'
r39 3000" E 50.00'
LAKE NORMAN

NEIGHBORS
BRICK WALL
760' CONTOUR AS PER
N 80.44'28" E ACTUAL FIELD SURVEY
_ 117.82'
WROUGHT IRON-? i
FENCE (TYP) N ?Q
LOT 4
0.55 AC.
50' SETBACK FROM
ACTUAL 760' CONTO UR
SEPTIC LINES I
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NOTES
1) THIS PROPERTY MAY BE SUBJECT TO
ANY EASEMENT AND/OR RIGHTS-OF-WAY
OF RECORD.
AREA COMPUTED BY THE COORDINATE
a? T?InF1
"4 76' CONTOUR ELEV-
')'J BASED ON LAKE NORMAN LAKE
',' ';OWAN'` FORD DAM (READING
)N 9-28-09) ELEVATION 757.7'
a, OVERHEAD POWER
5S NO GRID MONUMENT FOUND WITHIN
2000 FEET.
0' 25' 50' 100'
I ? ? I
SCALE IN FEET
PH`r'SICAL_SURVEY
OF
300 ERVIN ROAD
LOT 4 LYNN BROOK ACRES. BLOCK B
LEGEND
P.P. - POWER POLE
C.P. = COMPUTED POINT
R/W = RIGHT-OF-WAY
I.P.S. = #4 REBAR SET
SCALE 50' DAVIDSON TWSR., IREDEL_L CO., N.C. FIELD BOOK:
---- FILE: LYN BROOK ACRES LOT 4
DC
ACQUIRED BY: JON NICHOLSON & AMANDA N. HAGER FILE:
TAX MAP N0: 4648004805