20110246 Ver 1_401 Application_20110311

4,

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Liz??
1156 Perth Road
Troutman, NC 28166
NC General License Contractor # 49723
Servicing Your Lake Needs Since 1986
704-528-7400 Phone
704-528-3400 Fax
www.lancasterdock.com
Contact Information:
Steve Davis
sdavisCa)-lancasterdock.com E MAIL ADDRESS
Lancaster Custom Dock and Shoreline
1156 Perth Road
Troutman, NC 28166
704-528-7400 Phone
704-528-3400 Fax
www.lancasterdock.com WEB SITE
IANCAM
A*=%4
Steve Davis
General Manager
[e-mail]
1156 Perth Road Troutman, NC 28166
Phone [phone] Fax[phone]
www.lancasterdock.com
03-11-11
TDA IF 7)
Q?6[9od?G
MAR 1 5 2011
DENR-WATER QUALITY
WETLANDS AND STORMWATER BOXH
DUKE POWER LADE MANAGEMENT, EC12-Q
P. ®, BOX 1006
CHARLOTTE, NC 28201-1006
704-3,82-1567 OR TOLL (FREE 1®800-443-5193
-k- PPLICAT OH FOR PERMIT TO STABUZE 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 ABODE ADDRESS,
9. Applicant Information
A. Name
B. Mailing Address
C. Telephone
4.1 P** !t
Ile Location of Proposed Project -
A. Lake Nr?iMA?+I
B. Street Address 1 SS /a wnaw ReAA?
C. County Sisdall
D. City, Town, Community or Landmark fA#Are.f ve I?G
E. Section Lot # y -7 Subdivision
F. Directions to property by road
&A VJ to
41
G. Latitude and longitude for the project site p 7 71 J Q.f
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.mapsonus.com. Directions: Don't register, click "Maps", enter
address, draw map, select "Map Clicking Will...", select "Laftong", click map)
III. Description of Project
A- Length of wall
B. Material
C- Distance from property line/shoreline F* sk„e h,v ?
IVa hilelndfed Use of Project Areal
A. Private X
I3. Commercial
V. Afp[plicatnt Signature Date
PLEASE NOTE YHE FOLLOWING:
A COPY OF THE. COMPLETE APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: US
ARMY CORE'S OF /ERGIRIEERS, 959 PA7TOiV AVENUE, ROOM 208, ASHEVILLE i!lC 28809-5006
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 BLVD., RALEIGH, HC 27604, PHONE: [phone]
Pa beg. 37281 Mio/'elrv1/&1 .ya 2d'//7
Lake (Full Pend)
Please appro;cimately sketch the following infcrrn2tjOn on this plan (Please provide dimensions
for each item, such as 10 ft. x 100 fL):
9) All proposed vpgetatioe 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 beloyd the Full Pond elevation.
6) location of construction access corridors.
f PP ??
Full Pond ?"O
Shoreline vJ

The following is an abbreviated application formes for'those applying for a 401 Water Quality Certification to
impact FE.RC (Federal Energy Regulatory Commission) regulated lake shore or bottoms under the U.S.
Army Corps of Engineers Permit GP30. This Application cannot be used for wetland or strearn impacts.
Please provide seven (7) copies of this application and supporting information as well as a non-
refundable application tee to the Division of Water Quality of .$200.00 for impacts to lake bofloin of less
than 1 acre and $475.00 for impacts to lake bottoms of greater or equal to 1 acre.
APPLICATIONS TO BE SENT TO.
DIVISION OF WATER QUALITY WETLANDS UNIT
1650 RAIL SERVICE CENTER
RALEIGH, PVC 27690-1650
Im Applicant Information
Owner/Applicant Information
(Name M6L P 0 0 LE
Mailing Address Po i3 o x 37"
M#*0aSYtc44, Na y? 7
Ili 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 sitte plmni 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.
?o,ti,on I St Ali NE w Rico, ti+?i?1«c6? .vc 2.4r// - 40 T Z 7
'j ?EOE LL
,Jt rsst Tout/n ^0 0465 v I c. [..E
Sub&A,sion name or site addr s?s (inciude p'hasefiot number):
Directions to site - please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included):
2. Describe the existing land use or condition of the site at the time of this application:
Acit.04--1"ioj 1,0+ w..J% Our
Property size (acres): 6.67
4. Nearest body of water (stream/river/sound/ocean/lake):
5. Describe the purpose of the proposed work: Asee leme-
m N'lA7Tlti? 1.y Irwd
6. List the type of equipment to be used to construct the project: T?ae,K D ?C
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
z Of x is-7'
& 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:
It?AIS7
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be innpacted (number of trees for instance):
f ?' ???5 ??Iide?
I .
3•
AppflcalrvdAgent's siona ve
Date
(Agent's signature is valid onjy if ago authorization letter from the applicant is provided)
DUB POWER DIRE, SONS 13Y ROAD FORM
Lake Use Pernn t Applical,Is and CoYntranfors: Eaga oA locdhug V%e pwposed project site can have a big
imptict o» perznitproccssing time. Please complete this form and return it along with yourconipieted
P, it application to:
Dulcri POWER
C/O 1.,AI MANAGEMENT - ?C 12 Q
PO BOX 1006
c»ululOTT1';, NC 28201-1006
t-800-443-519.1 or Option 5
Applica,ut's rl?r>te:_ r!ti?L _ W _
Strcct Address (at (.tkc): - _?? l}??•.?Jtio?? d
bike Name:
SubdivisioriNarno:
Property Section:

City: Mo1a?cs?_--- County;
zip;

ll'ircct-iozt,; (fro rt rt?rtjor ro:.ul or hi(;Itwa:'y):
le ..!<<., -t-q g) Sd tJ\4eJt
1 k vsc ?,V /-elct
Type of Permit Rcqucated
Private l-acility
Counner"cial Facility
Exca,witiou
tnbilila tior t
Conveyance
N4i6C.0I1Rf1C01JS UNC,
Descriptive S'wucture(s) ou Property (i.e. brick garage, white ff, ce, mobil hotTtc, cl:c):
11 Note: Phase u;c (ire back of this form if desfred to draw us a snap (o the sit'e-
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Iredell County assumes no legal responsibility for information contained on this map.
Legend
Parcels
Address
Road Names
Rivers/Lakes
Creeks/Pon ds
-? Railroads
- Roadways
Parking Lots
Piers
Buildings
City Limits
NAME
DAVI DSON
HARMONY
LOVE VALLEY
MOORESVI LLE
STATESVILLE
TROUTMAN
County Line
ra?'rivii
1 .. / / _ - . _ 1 _ 11 _ / _ / .. / . r . n [l - - _ 1. T . _ r 1 - 1111 7 1 _ n 1 1 0 ! 1 - _ - 1 _ - . - - 1 n 11 A /n n 1 r I