20100055 Ver 1_401 Application_20100110

2 0 1 0 0 0 5 5
DUKE ENERGY LAKE SERVICES
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 ENERGY FILING FEE, PAYABLE TO DUKE ENERGY,
TO ABOVE ADDRESS.
1. Applicant Information p
A. Name 4 ",4-
B. Mailing Address
C. Telephone: '701f r _?O [? -- c? d7
II. Location of Proposed Project
A. Lake /V®/yD4H PA
B. Street Address / -?(b d L L% ...,?``
C. County -7-IS
D. City, town, community or landmark fin S'1'11.L ?O""'
E. Section ?- Lot # 9` Subdivision
F. Directions to property by road 6&g n'I ,r-7 9&-7' 15-t"l r 3 6 - JJA! A
1fvL7 LA,v?
G. Latitude and longitude for the project site Jig
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.mansonus.com. Directions: Don't register, click "Maps", enter address, draw map, select "Map Clicking
Will...", select "Latll ong", click map)
III. Description of Project
A. Length of wall_drZ 0 -{' , c2 d O
B. Material_ CO3R,6s7R 57o yam' Mt14,11 //,t//rs J ",L • -t' $ '' hl --f- a
C. Distance from property line/shoreline U; l 1 -o it ow e v. k S•1 a-,? 5 h a ,1 r 1._ r, -
IV. Intended Use of Project Area
A. Private
B. Commercial 41-4 1
V. Applicant Signature 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 XAROLY kr--@r=
PARXVIEW BLDG., 2321 CRABTREE BLVD. s LB
RALEIGH, NC 27604
919-733-1786 JAN `% 1 2010
DENR . wATK QUAUTY
V& LANDS AND STORMWATER 1 0101
Y:U AKEMGMrIPadtage lnIbmiation\NC Shoreline Stabilization Application doc
The following is an abbreviated application form for those applying for a 401 Water
Quality Certification to impact FERC (Federal Energy Regulatory Commission)
regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit
GP30. This Application cannot be used for wetland or stream impacts. Please
provide seven (7) copies of this application and supporting information as well as a
non-refundable application fee to the Division of Water Quality of $200.00 for
impacts 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
I. Applicant Information
1. Owner/Applicant Information

Telephone
E-mail Ad
- So (o -?no7 Fax Number:_
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: P k. I (L n: -e5 1 l 4
Company Affiliation: L-4-K E Q S ? o h'D 6 u e 1 "fh ea
Mailing Address: i (t) A-2 LPL k r- L,v
: i ? 'r r', n. d A/ C "? X 7
Telephone Number: -7 6 5-'0--
E-mail Address:-I?-P- L -U D 4-
II. Project Information
Fax Number: F.9-9 - ` ! 5l - it) I
Attach a vicinity map clearly showing the location of the property with respect to
local landmarks such as towns, rivers, and roads. Also provide a detailed site
plan showing property boundaries and development plans in relation to
surrounding properties. You may use the diagram below to make a hand sketch of
your project. Also, see the example below for guidance. Both the vicinity map and
site plan must include a scale and north arrow. The footprints of all buildings,
impervious surfaces, or other facilities must be included.
1. Location
County. .?RIKD?k Nearest Town: Oo fSYi/1? IVC • ?d117
Subdivision name or site address (include phase/10t number): S"??cl is i.or s? 91S 13 G hw-r
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included): J ? .T 7 7 A r' v?/T
26Z , /'It/ 1.114.i AlA y ?_S® L C'f l B!? ?n G c iP?,4.P .i
2. Describe the existing land use or condition of the site at the time of this
application: fY 'Az f/aLYJi C o /V 5- A,"?Ve Qv 4,& /°/40 6466 Y _
3. Property size (acres): / e ?6, AC KQS
4. Nearest body of water (stream/river/sound/ocean/lake): 11OA1YA1r/
5. Describe the u ose of the proposed work: CG N 5_TA UC'T 5j!??O?f
6. List the type of equipment to be used to construct the project: ??o ?> ' r'c?l//fTd.?
TZ.-}CK 5wzy 614- ?A
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres:- - "
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:
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): ZZ IW

Appticanl/Agent'4 Sign'bture \J Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Please approximately sketch the following information on this plan (please provide dimensions
for each item, such as 10 ft. x 100 ft.):
1) All proposed vegetation clearing (provide dimensions)
2) Location of rip rap or fill to be placed above the Full Pond elevation
3) Location of rip rap or fill to be placed below the Full Pond elevation
4) The location of any proposed structures such as buildings, retaining walls, docks, etc.
5) The location of any excavation or dredging below the Full Pond elevation.
6) Location of construction access corridors.
01/13/ZQIQ 1b:iZ fAx rv4VUbQU88
DO. 1296-2600
ANDREW M. MOLT PIN 4637-16-280:
do wf. ANGELA G. I
08. 1111-1694
PIN 4637-16-1529 NOW
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r LAKE ??
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NORMAN.;
? • S,?ia'uNn i"w ,,
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'
Lon NO B NO
OASM ON
MB 31-134 I I BRADLEY M.
RUSSELL
1998
IEJVVG/VVC
IM ANW AR GIROR WAS < 7.3 S£CONM PER RM
W11E'S9 rr wwD AND OWWLALft WO
enr?tE
olulee L i
A.
?x
Alm- I
oONCR E 8 LOT 95A
t
mewl wr 11
1.86 ACRES 1
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I
1 '
° ?f
Zzs?2 z3;,es" ` 1
I Rl ^' " s 1MLL1AM R. CHAPMAN
DO. 917-1978 1
PIN 4637-16-5754
BOUNDARY/PHYSICAL SURMY
PROPERTY OF WAYN£ PARKER do wf. SUSANNE
136 HOLT LANE
LOT 95A. M8. 31-134
DEED BOOK 2011-927. PIN 4637-16-2723
DAVIDSON TOWNSHIP. IREDELL COUNTY
NORTH CAROLINA
JANUARY 11. 2010
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DUKE ENERGY DIRECTIONS BY ROAD FORM
,
WI
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 ENERGY '•
C/O LAKE SERVICES - EC 12 Q
PO BOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193 and select Option 5
Applicant's Name: 16
Street Address (at lake): ?j hld,L r- 4z
Lake Name:
Subdivision Name: --
Tax Parcel iD (if known):
Lot # -?J`
City: _ ®/.5'County. _?iPf21?G1L
State: fl/p Ip ?'?9/?C7L/?t/9 Zip: _o'IT//
Latitude:. ?j ?epp 7
Longitude: -- $O
Telephone:
Directions (from major road or highway):
T - `77 T -rlT 3
W,675 7-- 1,-5-o
IVT-
G 114e45f}G.
o 57
` ' T
Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobile home, etc):
N,,<A1 )7401-r74 e C qfX ;ice y el,41©O.C
gpaULAKEMGMT/Package Information/Directions by Road Fonn.doc
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///

8/26/09
136 Holt Lane, Mooresville, NC - Google Maps Page 1 of 1
TefraServer Image Courtesy of the USGS
Page 1 of I
ro Printer B,3ck To rr rr j" ._r'e! Change to I I x I/ P if ;t. Svc n' 1 ?, F;", Change to Landscape
ZUSGS 42 km N of Charlotte, North Carolina, United States 01 Jul 1996
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Image courtesy of the U.S. Geological Surrey
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