20110036 Ver 1_401 Application_20110111

Jan 06 11 02:10p
1 '
704 829 9441 p.1
DUKE POWER LAKE MANAGEMENT, EC12-Q
P. O. BOX 1006
CHARLOTTE, NC 28201-1006 2 0 1 1 0 0 3 6
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 NIA in
blank. PLEASE SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING FEE, PAYABLE
TO DUKE POWER, TO ABOVE ADDRESS.
1. Applicant Information
A. Name
B. Mailing Address
C. Telephone
Location of Proposed Project
`'Hlv 1 2 2011
.:2 r4l 2-
A. Lake
B. Street Address _ C?2 ? q??? ?•?? ,? /If BRANCIi
?"_
C. County GAS?d n __
D. City, Town, Community or Landmark
-
E. Section Subdivision
Lot # 35
F. Directions to property by road .8 31 , a-o Ey , • f „? 7 Me .2 -2.7 4o win_ E/
I±- 13Et44n?j Di t. - S em&*1 Ay e. .zve A7? 3 eo:,4R.l - A- 84-
P1dLatC41L..., /14 _ / 04.4 6A GI: wr P4 b.- - a-,'chf OA E4 4t
G. Latitude and longitude for the project site 5. 1 (o 7 *3 Fl. D 3 2-1
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 internet site, wvvw.r, 2 c rluF>.cori . Directions: Don't register, click "Maps", enter
address, draw map, select "Map Clicking Will..." select "Lat/Long", click map)
Description of Project
A. Length of wall 1:}n p n 6 # 25-61
B. Material
C. Distance from property line/shoreline w.' (( 4o ((s ,.., e4i f 4 n%x Sly
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signature
Date
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, 159 PArrON AVENUE, ROOM 208, ASHEVILLE, NC 28801-5006
McEwen Development
• 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
fii IRMITTFn WITH THE nfVIRInN nF WATER nt IAI 1TV APPI IRATION FFF TO- NC nmq_Q1nN nF WATER (31141 1rV ATTFNTInu• r undi

401 WATER QUALITY CERTIFICATION APPLICATION
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 to lake bottom of less
than 1 acre and $475.00 for impacts to lake bottom of greater or equal to 1 acre.
APPLICATIONS TO BE SENT TO:
DIVISION OF WATER QUALITY WETLANDS UNIT
1650 MAIL SERVICE CENTER
RALEIGH, NC 27699-1650
1. Applicant Information
Owner/Applicant Information
Name Susan P. Dolphin
Mailing Address 9279 Egret Ridge Rd
Belmont, NC 28012

Telephone Number 704-400-3523
Fax Number
E-mail Address

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 Charlie McEwen
Company Affiliation Lakeside Marine Construction
Mailing Address 2875 Lake Front Drive
Belmont, NC 28012

Telephone Number 704-877-5253
Fax Number 704-829-9441
E-mail Address [e-mail]
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.
Location
County Gaston Nearest Town Belmont
Subdivision name or site address (include phase/lot number): Misty Waters
Jan 06 11 02:11 p McEwen Development
704 829 9441 p.2
Directions to site - please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included): 1. QS' S ..-(b E%,;f- 2q mr- i1 'ti'e W*A4
on 13c?,Pitif 0. L. on S C??,Fa? l Ale -a .7 3 .5a UJ-At A?
2. Describe the existing land use or condition of the site at the time of this application:
[A btt.5 a Gn
3. Property size (acres): 0. 9331
4. Nearest body of water (stream/river/sound/ocean/lake): `.4 K W!, I G
5. Describe the purpose of the proposed work: e S ho n e n W
6. List the type of equipment to be used to construct the project: E?
?A-ak-14be Del G'4'?'
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
?x 2SO.
8. a. Amount of impact (including all clearing, back fill, excavation, rip tap, retaining walls,
etc.) above the normal pool lake level and 50 feet land-ward in square feet or acres:
S ?( :2-S'0 Old 4A. C 4-0 s ir_ -k f a S AM a 1-A-6 - ?d >F1 C F
d- a s 4a?•
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
(Agent's signature is valid only if an authorization letter from the applicant is provided)
Lake (Full Pond)
Full Pond
Shoreline
3CIAW
V -L
"Ok LO it
t 0 ` 44e. c4,
qcxass
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.
7ms q r0 cmyr rmr av 7w 22 a4r cr APR/L 2VQL- M A07VAZ
SURD' WAS UWE MIDDP MY SU1F' NK-9M OF" 71LE PIFMMY shvwN ON 7715 PLAT, AND 7mr r7LE mvNzwy LNVES
AW 7NE /A/P1'R HW M. IF ANY, ARE AS SNOW MEnrw rms PLAT Affm r1PE LwAoum SrAAmws OF• F'maxrE
fM LAND SYIRwYI/ v Acv A mm GI wx4 m4RD RULE . iwo (21 NGAc 55) AND 7w imm of l aww FOR 7N/S
PAR M.. A hVr EXCEED ONE (1) FWr POP 10 OW FEET OF PERIMMR SIIRWYM MAR 20 SECONDS )MY 7H-r
OF THE NUAMER OF ANGLES TURNED
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LOT 39
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14 ft-M
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AREA 8Y OMD
36,296 S. F. / A90.1 l 1 G)
O.8JJ2 ACRES 7,77
69 I /
LOT 37
MIN/TY MAP
NOT TO SCALE
/TR/P E / ?/• /I? / /
W
170
A RO
t V.
X
SITE / ,/ /?/ d LAKE WYLIE
(SOUTH FORK OF
Noce ,? /?' CATAWBA RIVER)
The survey Which resulted in this / PROPERTY LINE FOLLOWS
plot used only the record information CONTOUR ELEV. 570'
noted hereon and makes no certifi- / C)
41.
1 1 a '/
a C)
1 #9211
REAR ? 1/ 1 •l?asy' / A/?? ? / !
/ 1 ? ? / l 4 REIQif
AREA BY DMD
36,296 SF.
OR
0.8332 ACRES
14CINITY MAP
NOT TO SCALE
LOT 37
'Oo
o&
W
z Np2?RpOG
W ARMROAD ?
(i X
SITE
LAKE WYLIE
(SOUTH FORK OF
CATAWBA RIVER)
15 RED E./.P. EXISrING IRON P/N
me urvey which rase/tad in this PROPERTY LINE FOLLOWS
p/at used only the record information
CONTOUR ELEV. 570
noted hereon and makes no cent/f/-
cation as to title or ownership of
any ?
parcels shown. Other documenfs
may RED LEGEND
exist that would affect these
parcels Dec/arotion /s made to the
or/Qina/ ?ourc user o the survex is • 4• N. L P. NEW IRON PIN
serve is not tronsferob/e to additional r C/O CLEAN OUT
ins itut/ons or owners and /s
invalid Without on onyino emboss tRvfY OF
LOT 38, /STY WATERS ON LAKE WYL/E
T15IE PROPERTY G!?
ScA[E 1 "= 40'
MCSPADDEN DEV. CO.
AW B" , 63 PACE
o _
`17
DEED 8" PAOF '
AZOOD CER17RCAT/ON
M&',6 117 CERT1fY TIMT 7W- SUBJECT PRMEN7Y AOJO/NS
c"MV A'V A 5f M& fZOW MZ4W AREA AS SW#IV ON
A14P9 PREPARED BY-1H£ fEDERN EAIIER mM Y A4bWGE)/ENT
AODWY, aDDPAt /MSU9Mr_r AoK/AW7ReTXW, A47F0 _,3-03-2003
37O71C0316E
TAX CODE
COMP. Nn. 7R9RA Hl12
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-Susan P. Dolphin
Lake Name: Wylie
Subdivision Name: Misty Waters
Property Section: Lot (s): 38
City: Belmont County: Gaston
State: NC Zip: 28012
Telephone: [phone]
Type of Permit
Requested
"Circle":
Private Facility
Commercial Facility
Excavation
tabilizati
Conveyance
Miscellaneous Uses
Directions (from major road or highway): I-85 S - Take exit 27 for NC 273 toward
Belmont - Left on Beatty Dr/Park St - Continue onto Keener Blvd. Turn Left at S
central Ave Continue onto NC 273 S /South Point Rd - Right at NC 273 S / Armstrong
Rd/Lower Armstrong Rd Take 1st left onto Wing Point Dr - Right on Egret Ridge
Descriptive Structure (s) on Property (i.e. brick garage, white fence, mobile home, etc.
9279 Egret Ridge Dr
*Note: Please use the back of this form, if desired, to draw us a map to the site.
9279 Egret Ridge Rd, Belmont, N(-'- U?o?t,le Maps
Notes
s
N
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9C
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279
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®atarncal uarct?n
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irlotte, North Carolina, United States 01 Jul 1999
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