20070466 Ver 1_401 Application_20070307

POWER LAKE MANAGEMENT, EC12-Q
' ~~ ~~ P O BOX 1006 2 0 0 7 0 4 6 6
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.
I. .Applicant Information
A. Name ~~~1 DCh QST~i'
B. Mailing Address, (? ~' ~..U }{'Ci~I Lane 1'1`1 a~f,WS 1~ C 2di©
C. Telephone: ~0~ • ~D D -L$ ~D
II. Location of Proposed Project
A. Lake Ns~rrnu h
B. Street Address '~~ '~ 14 h O O ink' ~ .
C. County J
D. City, town, community or landmark Zff+ f ~ ~~ ,~
E. Section ~~ Lot # ~.I Subdivision
F. Directions to property by road ~~ !~T[IiC,~-}~~ fM~t~
G. Latitude and longitude for the project site
H. Please submit a map showing the coordinates or a detailed map (LISGS quad map, city map, etc.) showing the
exact location of the project site. (NOTE: Latitude/ longitude coordinates can be found on Internet site,
www.mapsonus.com. Directions: Don't register, click "Maps", enter address, draw map, select "Map Clicking
Will...", select "Lat/Long", click map)
III. Description of Project
A. Length of wall iots ~~r
B. Material* ~;p " ~D St~NI% _. ...
. ',. ,
C. Distance from property line/shoreline ,t, , m_ ~ ~ ~~ i; ~
IV. Intended Use of Project Area
A. Private ;/ ~.~~
B. Commercial
V. Applicant Signature Date3 9 . ° .~
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 PATTON A VE. -ROOM 208,
ASHEVILLE, NC 28801-5006
• 2 COPIES OF THE "DUKE POWER 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 QZIALITY
ATTENTXON: CYNDI SAROLY
PARRVIEW BLDG., 2321 CRABTREE BL VD.
RALEIGH, NC 27604
919-733-1786
04/18/05 GPAL/LAKEMGM'IILMPPMISTABILIZATION.6.27~STABILIZE~SHORLIN.STAB.NC.doc

DUKE POWER DIRECTIONS BY ROAD FORM
.,
~ ~ ' 4 4 g g
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
CHARLOTTE, NC 28201-1006
1-800-443-5193 or Option 5
Applicant's Name: ~ (i 1'Nl ~ o eh es~
Type of Permit Requested
~p +
Street Address at lake
~ ) ~ ~ ~ ~ `t' I QT ~'1 D a 111 ~ "Circle":
lake Name: _ ~81(l~An Private Facility
Commercial Facility
Subdivision Name: Excavation
~
Property Section: _ ~ ~ Lot # ~ ~ el
~
U

~~: Sherr~lls Ford
~
~-
b Mis
laneo
us
ses
county:
a
a,c~
~..
State: ~ . ~. _ Zip: 2 ~? (.~~'~
Telephone: _ ~0 ~ ' ~~ z~ t~ ~
Directions (from major road or highway): ~ F2orn t-~jv~t.udt,c~ 1S'O UJ eST~
Take. lso ~ts-r iv ~~4~Q i'NouNkr~,n ~d - mike. t-ic~-t- ~ -
1 ~KQ L-klle ~nnouti~ui~ Qe~ ~-a C`a~,~,~.~ti erg I~~h-F ec~ +M-4-. ~1tc~sar-~ P.d - ~Yt~i ICe ~i~F,t"
~alr;e ~~~ ~~asaN+ fL~ ~o ~oeks~di/ t~~e oN Q~ Jh+ - i<vlake r; `~h~-
ial:~ ~cxksiC~E. tLaN~ -1~ +(rlakcinpo;ti+ ~~ oN ~;~hfi --- mr~kC t2ic,~h~r
Rd curers back ~0 12~+ ~+vd (lllobrl h©me is c~, she rs~h~ ~-~~'.~
Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobil home, etc): ~la~t~ pz'~-1-
Nldlo~ ~ h~rne ~N Prr, ~-~ awd ~ ~icx,tse ~-~~- rz;- s~
cr7TNer Neal- ~ , a`t- 1~J1at~b ~ ~ ~ ~v~'
©7~.
*Note: Please use the back of this form if desired to draw us a map to the site.

~^^ ~~78 cR~-~, SHORELINE MANAGEMENT PROGRAM P ~ o~+o
PERMIT APPLICATION FORM 0 7 0 4 6 6
NC~ SC 2 I.D Na Permit Na
Ca Na Grid Sect.
t.aks O LM ~n Utility Co. Ovvnership 1~eed 2 Lease
APPLICANT ;IA
Name: th~10 ~j,,~.j ~~~~~ G ~y/~17L5 ~`

73
Telephorn
Signature
Circle the appnc
Ramp 8
Marine Shore~ne
Pier Railway Boathouse Stabilization Other
USE:
1. Individual 1 1 1
2. Common 2 2 2 2
STATUS:
Existing
..__ ..._ .
_.._ _____..
2. Proposed 2 2 2
MATERIALS:
1. Cor~nete 4. Treated wood 1 4 1 1 4 1 4
2. Masonry 5. Untreated wood 2 5 3 2 5 2
3. Metal 6.Other 3 6 6 3 6 3
FLOTATION:
1. Plastic cylinders 1 1
2. Sttyyrorofoam 2 2
3.Other 3 3
TYPE OF FACILITY:
1. Permanent 1 1 1
2. Floating 2 2
3. Combination 3 3
~ I-- --I --I I--- -~ l I-- --i I-- --I
T ~' T' T
~ ~ ~
--~ I-- --I ~- -., I- . --~ ~- -~ ---
Fig.1 Fig. 2 Fig. 3 Fig. 4 Fig. 5 Fig. 6 (Other)
r -~
Pier Dimensions: See Figure Above Pier surface area sq. ft.
Condition of Fier: ~ taood ~ Fair ^ Poor Float surface area sq. ft.
Permitted: D Yes ONO Date: By:
Additional information:
COMMON USE PERMlT
If this appNcation is for the common use of a fadlity, those parties using the fadlity appoint the individual listed ~ the
applicant section of this form as the agent applying for the permit. All parties using the facility must sign below:
Name Date Address

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'.7474 Matchpoint Sherrills Ford _ NC :2867
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