20100821 Ver 1_401 Application_20101010

To whom it may concern,
Please send a copy of any correspondence to:
Lake Norman Dredging
P.O. Box 3156
Mooresville N.C.
28117
If you have any questions please feel free to contact me.
Sincerely,
Steve Enyeart
[e-mail]
Steve Enyeart
Hydrographic Designer
Dredging Q.C.
Lake Norman Dredging
P.O. Box 3156
Mooresville N.C.
28117
Office: 704-644-3690
Cell: 704-658-4696
Fax: [phone]
LA,KIE N "KHAN
DREDGING & MARINE
CONSTRUCTION, INC.
To Whom it may concern,
I ion,„?,S hereby give Lake Norman Dredging, and any
of its representatives permission to obtain permits for work to be performed at:
/5-7 /:?2 y !5.4,
LUd.P
,01oy1Z c SV/fit tiC 2910
Thank you for your help in this matter,
(print name) o.? 4 s /R 4 tf
(sign name) /e- a---C
(phone #) 7Z- - 2 S'Y- - -/ y3 9
(date) 9- Lv • ??
P.O. BOX 3156 [phone]
MOORESVILLE, NC 281 17 FAX [phone]
CHARLOTTE, NC 28201-1006 2 0 100 8 2 11
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.
1. Applicant Information $ ft.] WIM
A. Name / honvCr s /2 ,?i 4G/S
B. Mailing Address /5--7 /3rY !XgL-X yG ZW11;1
C. Telephone ? Z q Y j?k
?a y - sy? r f:'S`T
II. Location of Proposed Project
A. Lake N(7,-K% `i Y]
B. Street Address 4 E ' E e e i
C. County :rv r d e l l
D. City, Town, Community or Landmark M c c, t' ; I r'
E. Section
Ja 31 Lot # Subdivision r ),
F. Directions to property by road !?c
G. Latitude and longitude for the project site 1
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 intemet site, www.mapsonus.com. Directions: Don't register, click "Maps", enter
address, draw map, select "Map Clicking select "Lat/Long", click map) 0 R .,? -, OWL"R 0
Ill. Description of Project
A. Length of wall ! G CT 2010
B. Material , C v .ti :3 ; Eti u e C J? 1 LAl11DENR - WATER QUA?UTnYBRANCH
Q ELM a R RC. Distance from property line/shoreline
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signature Date Gf'- Z a • I d
PLEASE NOTE THE FOLLOWING,
• A COPY OF THE COMPLETE APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: US
ARMY CORPS OF ENGINEERS, 151 PATTON AVENUE, ROOM 208, ASHEWLLE, 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
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
1. Applicant Information
1. Owner/Applicant Information
Name- Tom Dillis
Mailing Address:_ 157 Bay Shore Loop
Mooresville NC
28117
Telephone Number: 724-255-4438 Fax Number: N/A
E-mail Address: Willis (d roadrunner. com.
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: Shannon Miller
Company Affiliation: Lake Norman Dredging
Mailing Address: Po Box 3156
Mooresville NC
28117
Telephone Number: 704-309-2000 Fax Number: 704-664-6232
E-mail Address:
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, 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: 1- K e G Nearest Town: M c 41
Subdivision name or site address (include phase/lot number):
Directions to site please include road numbers, landmarks, etc. ( is is not
necessary if an adequate vicinity map is included): S C C i )` ? f v , CI --
2. Describe the existing land use or conAition of the site at the time of this
application: r `f ' .11]::/ yv "I c
3. Property size (acres): ,
4. Nearest body of water (stream/river/sound/ocean/lake): f4 e? in .1 vL
Describe the purpose of the
L
6. List the type of equipment to be used to construct the project: Ti-4 c r 'T 'T r
; ZL`' ,? ? & -<.-? I" )
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- (a, S r r
8.
a. Amount of impact (including
retaining walls, etc.) above the no
square feet or acres: -D-) ? _? 4 r J
b. Please describe vegetation above the normal pool lake level and 50 ee land-
ward to be impacted (number of trees for instance): ,, e T, ? ? - V" Z c,. c° A ?) t P.1 6
all clearing, back fill, excavation, rip rap,
mal pool lake level and 50 feet land-ward in
/Z / FL_ Zo /c/
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Lake (Full Pond)
.IVj/
Full Pond /V\ 6 r i\', uc I?
Shoreline
,V
VOS- V
a
Al-
F' 0 t
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.
1.

i?7 0L} -L?-
/A ?Gr OC, Nc, ?'li 7
LCT ?9
AMOL.v T OF FILL 9 -7 CUBIC YARDS
Elevation 760 ft. Full Pool
Nora, Summer Pool 768 ft.

4-- Feet Above
;'\- t+ "ri ,w) I ? 6 J
12" Thick
Elevation, .?- Feet below
CROSS SECTION
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:
DVXZ POWER
C/O LAM Ism FAGZNMPT - ZC 12 Q
P. O. 1308 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name: Tom Dillis
Lake Name: Norman
Subdivision Name: Bsy Crossing
Property Section: NIA Lot (s): 39
City: MooresvilleCounty: IredeU
State: NC Zip: 28117
Telephone: [phone]
Type of Permit
Requested
"Circle":
?_t2 a Facile y
Commercial Facility
Excavation
Stabiliration ?,
Conv"a=
Miscdlaaww Uses
Directions (from major road or highway): 77N to exit 36, left on 190, right on Perth Rd.
left on Live Ln, right on Hay Crossing Dr., left on Hay Shore Loop .,
Dep&rirDtive Structure L) on Pronertv lie brick garage white fence mobile home
etc.
`Note: Please use the back of this form, if desired, to draw us a map to the site.

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