20110315 Ver 1_401 Application_20110411

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51 -.w lave.
1156 Perth Road
Troutman, NC 28166
Phone [phone]
Fax: [phone]
NCGCL # 49723
Contact Information:
Steve Davis
sdavisCaD-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
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APR05201,
UUKI= NUWER LAKE MANAGEMENT, EC12-Q
P. U. BUX 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 POWER FILING FEE, PAYABLE
TO DUKE POWER, TO ABOVE ADDRESS.
1. Applicant Intormation
A. Name 01:54y Y.-li xer
ti. Mailing Address 2041`$ Me-&,dlv ppot 4AAC? C-kAo- Lo Wa- 1 V 4 2.62.t l
C. Telephone ?a to yq C f Ey AY a Ae y)
11. Location of Proposed Project
A. Lake JybALM4A1
B. Street Address 27 0*0¢. CR
C. County Zikc 0 -E yL
D. City, Town, Community or Landmark I'YI d0,46S 4 [ ZP17
E. Section Lot # Subdivision
F. Directions to property by road 16Aot wZ4 ,Xe.
C-?VeJGWOI d? 4y 4Gle* dA/4 34ncc.,
G. Latitude and longitude for the project site 3-r- s'-rd/3 7 1 -8'O 4 V 7-7,r
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.maosonus com. Directions: Don't register, click "Maps", enter
address, draw map, select "Map Clicking Will...", select "Lat/Long", click map)
111. Description of Project
A. Length of wall / 9S'
B. Material R?10
C. Distance trom property line/shoreline >?o /)Ot.? ?X ?S J
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signature Date ;
PLEASE NOTE THE FOLLOWING:
• A DOPY OF I HE CUMPLE 1 E APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: US
ARMY CORPS OF ENGINEERS, 151 PATTON AVENUE, ROOM 208, ASHEVILLE, NC 28809-5006
A GUIJY OF I HE "UUKE 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, NC 27604, PHONE. [phone]
Lake (Fill Pond)
Full Pond

Meass approximately sketch the Toilowing information on this plan (Please provide dimensions
for each item, such as 10 ft. x 100 ffL):
1) All proposed vpgotatio n clearing (provide dimensions)
2) Location of rip rap or ffiii to be placed above the Full Pond elevation
3) Location of rip rap ®P fill to be placed Mow the Full Pond elevation
4) The location of any proposed structures such as buildings, retaining wails, docks, etc.
5) The location of any excavation or dredging below the Full Pond elevation.
6) Location of c®n ctl®n access corridors.
Shoreline "MgjP16
401 `194ATER Q1UALR`[ Y CERTIFICAT1091i APPLICATION
The following is an abbreviated application form for those applying for a 401 Waller Quality Certification is
impact FERC (Federal (Energy Regulatory Commission) regulated lake shore or bottoms under the I.S.
Army Corps of Engineers Permit GF30. This Application cannot be used for w iland or stream impacts.
Please provide seven (7) copies of this application and supporting iraformabon as well as a non-
refundable application fee to the Division of Mater Quality of . 200.00 for impacts to lake bottom, of less
-than I acre and $475.00 for impacts to lake bottom of greater or equal to I acre.
APPLICATIONS TO BE SENT TO:
DINASION OF WATER QUALITY WETLANDS UNIT
1650 MAIL SERVICE CENTER
RALEIGH, NC 27699-1650
Io Applicant n formation
Queer/Applicant Information
Name FAY ?/KK0f VAP moons
bailing Address ",PS AAivt
GAwr to-tic NG 2.t 2.11
Telephone Number --
l=ast Number 70"28-3400
E-mail Address uj(ock imncast rdoc gacom
Location
Counbi ZrcCG?t ?J rest Tmyn /'1?/IreJV ???e
Sijbc Asion name or site addr?? (include phase/Boff nurraber):
J9 s.7 SwAcr 4ea4) A4#oresi, III we. z.ttlZ ??T?60
Directions to site - please include road numbers, landmarks, etc. (This is not necessary
it an adequate vicinity map is included): A'AW14 $e-k 01 IQOh'd fn )Q iwt<if-11
o.'fir Gkw.l? wi o d *, A-4 o .'J +0 dv?? Ag! log
1. Describe the existing land use or condition of the site at the time of this application:
PCX 101"._ ill. t /,*,A-
J. Nroperty size (acres): A 4f46
4. Nearest body of water (stream/river/sound/ocea ake .
o. Describe the purpose of the proposed work: .sTA(? i? i 2.E -S/fe acv N,E d
ZV17M.t-1 NG P W//Mgt ?? JRv?1 ?/' Tc"x?S ft ^^? •? Ltl?clf
6. List the type of equipment to be used to construct the project:

?. Amount of impact (including all excavation, backfill,-rip rap, retaining walls, etc.) below
2'X t4S'I
8. 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:
I` X IQS- I
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance): Rex Ide rhA.I l -0 Applicant/AgZrs signature Date
(Hgenus signature ?s valid only it an authorization letter from the applicant is provided)
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DU :POWER DIRE, ONS BY ROAD FORM
Lake 1'Jse,Pcrrn[t Applicants ar."; Oouh actors: Base of localing '-%e ptoposed project site can have a big
impact on permitprocessing time. Please complete flies form and rehire it along with your conipieted
pemit application to:
DUKt, POWER
C/O ILA1 +' MANAO)CMI, NT -10012 O
PO BOX 1006
CH-Allu'OTTE, arc; 29201-1006
I-800-443-5193 of Option 5
Applicant's Tiaruc,:
Street Address (at [.tlcc): , G.L? !8a?._
Lake Name:
Subdivision Name:
Propcxty SCCdCln:

Type of Permit Requcated
"Cu'cle":
Rrivatc ]i;icility
Commercial Facility
<awL CC'
Convcyaxice
Mit;aellnncous Uses
Con zty: _.2t ? ?c. 35, 5'So13 7
st"Ite: WC- zip; Zt 117 738 7
NmCH071,; (born rn."Ijor vot'td or higl,uiay).
Descriptive Sfructurc(s) oct Property (i.e. brick Uarage, `vfairc fetjce, Ittob11 hOITIC, etr,):
,,Nate: Please use tae back of this form If desfred to draw us a Inap fo the site.
i
>r ?. TOTAL PAGE . ?J
ecen ?a.rn.y v. ?u,vR?.
Iredef l C®`Inty„ IV?1`?h ??'®11n Parcel Number (PIN): 4626112638.000
Property Data Inquiry Date: 2/21/2011
2roperty Map
Owner/Property Information
Tax Account Number 000062825000
Old Parcel Number 1702EOIDOOA060
Owner Name SINKOE FAITH G
Mailing Address PO BOX 220268, CHARLOTTE, NC, 282220268
Property Address
Lot Number
Legal Description #60 S-7 DUKE PB 14-70-82
Municipal Information
Township Code 17
City Code 00
Neighborhood Code 17226
Fire Code 0
Value Information -
Building Value 132850
Other Building Features 17020
Land Value 520000
http://gis.co.iredell.nc.us/IredellReporting/report.asp?PIN=4626112638.000 2/21/201
vlap Output
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Iredell County assumes no legal responsibility for information contained on this map.
Legend
` Parcel s
f_ j
Address
Road Names
Rivers/Lakes
Creeks/Ponds
Railroads
-- Roadways
Parking Lots
E Piers
Buildings
City Limits
NAME
DAVI DSON
HARMONY
LOVE VALLEY
MO ORESVI LLE
STATESVILLE
TROUTMAN
F__1 L County Line
2009 Aerials
RGB
Red: Band _1
Green: Band-2
Blue: Band-3
Page I of l
http://gis.co.iredell.nc.uslservletlcom.esri.esrimap.Esrimap?ServiceName=IredellWebOV&ClientVersion=4.... 2/21/2011
-dell County, NC Tax Map - Property Data
ra„r Market Value 66 3870
Tax Assessed Value 669870
Deferred 0
and Information
Date Document Deed Deed Plat Book Land Land Zoning
Recorded Type Book Page & Page Area Type
19770601 WD 608 107 / 0.86 AC RR
ax Information
Exemption Tax Code 1 Tax Code 2 Tax Code 3 Tax Code 4 Tax Code 5
C FR04 SW
?or Current Zoning Information Contact:
Jurisdiction
Iredell County
Harmony
Love Valley
City of Statesville
Town of Troutman
Town of Mooresville
Village of Davidson
- End of Report -
Contact Number
704-878-3118
704-878-3118
704-878-3118
704-878-3575
704-528-7600
704-662-7040
704-892-7591
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