20110425 Ver 1_401 Application_20110511

6
2 0 1 10425
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 w 11 as a
non-refundable application fee to the Division of Water Quality of 00.00 or r 2140'00
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

d
1. Owner/Applicant Information
Name: LW n , q
Mailing Address: ? 'Vq (o /
Telephone Number: 7:7-0q- a-f6 - yj q'3 Fax Number: 2",- $G I - 23?(O
E-mail Address: It) 4h-ern4o C?,t j cc . rcrn
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attach if the Agent has signatory authority for the owner/applicant.)
Name: ; S
Company Affiliat"
Mailing Address: C/G IC/ 01cu (cQgc Lk, KA -Anc ,(a,,\ 4,
<J 10q7164-
Telephone Number: 24'G - 419-q Fax Number: ?L6-
E-mail Address: C C'S•eQ 6
II. 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
Lake (Full Pond)
r
Please approximately sketch the following information on this plan
(please provide dirnensions for each item, such as ig ft. x 100 ft).
1) All proposed vegetation clearing (provide dimensions)
2) Location of rip rap or fill to be planed 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.
6} The location of any excavation or # dging below the Full Pond
elevation.
6) Location of construction access corridors.
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:___(-, Ci !?L,CTT Nearest Town: RVAZM
Subdivision name or site address (include phase/lot 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:
1 Q
3. Property size (acres): s -t c
4. Nearest body of water (stream/river/sound/ocean/lake): h ki a-,
5. Describe the purpose of the proposed work:
6. List the type of equipment to be used to construct the project:
7. Amount of impact (including all excavation, backfill, rip rap, retain' walls,
etc.) below the normal pool lake level in square feet or acres:
11
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: 15-1 X 162- f
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): !'d C&,
d-ea'y 4-e e-4
S r5- Zc?
Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
May 31 07 12:32p Lake Services 7043828614 p.i
DUKE ENERGY LAKE SERVICES
EC12-Q
P O BOX 1006
CHARLOTTE, NC 28201-1006
704-382-1567 or TOLL FREF. 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.
Applicant Information
A. Name ? L4 !y
B. Mailing Address e< %b 1 I- r? l Aq& .%1__0
C Telephonc Z 9c)
IL Location of Proposed Project
A.
B.
C.
D.
E.
F.
Lake uJ ' -1 (r
Street Address r t-1 3 /-
county
la
city, town, community or landmark
section Lot #
Directions to property by road
G. Latitude and longitude for the project site
H. Please submit a map showing the coordinates or a detailed reap (NSGS quad map, city map, ctc.) showing the
exact location of the project site. (NOTE: LatitudeJ longitude coordinates can be found on interact site,
vnvw.maosonus,com. Directions: Don't register, click "Maps", enter address, draw map, select "Map
Clicking Will...", select "Lat/Long", click map)
RL Description of Project
A. Length of wall
B. Material r i ?C
C, Distance from property line/shoreUe
W, Intended Use of Project Area
A. Private
B. Convntrcial
V. Applicant Sipat111uc:LP
1T Date
5-3 -- 2,011
PLEASE NOTE THE FOLLOWING:
• A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY
MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 151 PATTON AVE. -ROOM 208,
ASHEVILLE, NC 28801-5006
• 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 (S) 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
PARMEWBLDG., 2321 CRABTREEBLVD.
RALEIGH, NC 27604
919-733-1786
4 IVtG "i 2
subdivision
174c-
G V_AMMGMMhclug• InfortnstionWC Sborclinc Stabilization Applioatiomdoc
AUTHORIZATION TO ACT AS AGENT
DATE: ' 3 p ?o l I
NC Division of Water Quality
Parkview Bldg., 2321 Crabtree Blvd
Raleigh, NC 27604
RE: Authorization to Act as Agent
My home address is:
:Z1 &( t o (4 (1$V4 an f LO
4
C 0. 1. y'i G 2koS"(
County: 6 7ti r".^
Duke Energy Lake Services
401 Steele Street
Charlotte, NC 28201
My job address is:
Y 317 dq
'(fit /,, -Ay G 2 to l Z
County:
ldo on this date q
authorize Casey Nicholls of The Master's Construction Company to sign for me
or my name to all documents necessary to secure permits with regards to
shoreline stabilization or dock construction.

1AP
PRELIMINARY
NOT FOR SALES,
CONVEYANCE OR
RECORDATION
DATE: FEBRUARY 25, 20
j- LINE TABLE
LINE # LENGTH DIRECTION
L1 9.74 N49'56'39'W
ff L 81 S44'33'19"W
L 3.52 SO35'00"E
L4 , 24.15 S40"571 2"W
LS 27.88 S3815'32"W
L6 4.83 S43-03.44-W
LAKE WYLIE
PLAN "A"
livi lu "ALt
$1
i
7 2
Jo8~ 2"W
'20 "'N -
1.17 2.12' - v ?4 '0.
54
42.18' ?? z
zoo, L2 ?
1
4.00, IsAr

11
.00, CAPPED EIR , \ a
AT 0+9.96' w
n ?0.
z
1 .00'
J I
\ I
BUILDER/CONIRAC7DR
TO VERIFY SIDE SETBACKS \ I
\ SEE DETAIL J 3

NOTES: °
,a.o I co

NO USGS HORIZONTAL N h
Z
° \
MONUAIEN
TION 2000 FEETTAOF SITE FOLIND WITHIN
, o `p \ I
I
\
OTHER U77UTIES MAY POST, BUT s
82 k\ 22,466 sq. ft. I 84
THEIR LOCATIONS ARE NOT
KNOW V A\ 0.516 acres
1n I?
••
t
\ ? I
PROPERTY SUBXCT TO FULL TITLE ?g
\ (
v
13.0
SEARCH. 1 t
THIS PROPERTY MAY BE SUBJECT \ I
TO RIGHT OF WAYS, EASEMENTS \ I
OR RESTRICTIONS EITHER \ \ I
RECORDED OR IMPLIED, m
AREA COMPUTED BY COORDINATE
- CAPPED EIR-? ?1/2" EIR
GEOW
TRY
R/1/ - RIGHT OF WAY
OR - EXISTING I
'
S
`??
RON REBAR 1/2
OP te. v,
- EXSMG ARAN PIPE \
< t? >t
NIR - NEW IRON RESAR 112' "

FFE - FINISHED FLOOR ELEVATION EIR
1/2" EIR 1/2
PIN - 3591-67-2150
ZONING -R-R v The Bluff Wa
Way
L=54
20 R
BUILDERR/CONTRACIi7R IS 7th
VERIFY COMPUANCE MTN ZONING .
=120.00
Ch=53.74 N59'06'15"E 40' Prlvots R/W
RESTWITVE COVENANTS OR
HOMEOWNERS AWMA77ON
E7 OF RECORD PRIOR FLOOD NOTE?
TO CONSTRUCTION
TO THE W"CT PROPERTY SHONN HEREON DOES NOT
. UE IN A SPECIAL FLOOD HAZARD AREA PER F.EM.A.
AA
ENGINN
GE A EE
G PLOT PLAN
LOT 83, REFLECTION POINTE, PHASE I
SOUTH POINTE TOWNSHIP, GASTON CO., N.C.
SCALE T " = 40'
2013 Van Buren Ave. FOR THE BENEFIT OF Gabriel Richards Construction, LLC
Indian Trail, NC 28079 MAP REFERENCE IN BOOK 67 PAGE 63-68
[phone]
www.eagiconline.net DEED REFERENCE IN BOOK X PAGE x
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