20110591 Ver 1_401 Application_20110611

DUKE POWER LAKE MANAGEMENT, EC12-0
! P. O. BOX 1006
CHARLOTTE, NC 28201-1006 0 1 n 5 g 1
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
TO DUKE POWER, APPLIADDRESSCATION APPROPRIATE DUKE POW 0I ?Y?B ;E
U L? U
1. Applicant Information SUN i 6 20111
A. Names
B. Mailing Address j -" ETL4NDSMD STORMWATER BR GH
C. Telephone I y "' e5 L, C -I)
II. Location of Proposed Project +??5 if
A. Lake #
_ r
B. Street Address '), y I __I ill' Zi y ? % ?? r ll ; ;? s
C. County &_•"andaA"nf
D. City, Town, Community or Landmark ?c7
E. Section Lot # I Subdivision r?
F. Directions to property by road ??? `A 5 { Oil
/C ?C ..i, lLI L?
G. Latitude and longitude for the project site
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 rnapsonus corn. Directions: Don't register, click "Maps", enter
address, draw map, select 'Map Clicking Will....", select "Lat/Long", click map)
III. Description of Project
A. Length of wall
B. Material
yr ts? / 5rj„a
C. Distance from property line/shoreline
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signature Date A2 aa/
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, ASHEVILLE, 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
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]
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 Gayle Haskell
Mailing Address 283 Indian Trail
Mooresville, NC 28115

Telephone Number 703-360-2344
Fax Number
E-mail Address [e-mail]

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 Chip Bridges
Company Affiliation CBC
Mailing Address 638 Oakridge Farm Hwy
Mooresville, NC 28115

Telephone Number 704-660-5111
Fax Number 704-660-5969
E-mail Address [e-mail]
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 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 Iredell Nearest Town Mooresville
Subdivision name or site address (include phase/lot number): NIA
1. Directions to site - please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included): A 'I
L '4 J
2. Describe the existing land use or condition of the site at the time of this application:
ear , n I Le +? I Lf ! c t-r. ; ?' r'
T
3. Property size (acres):
4. Nearest body of water (stream/river/sound/ocean/lake): L--- f kit-,
5. Describe the purpose of the proposed work:
ii
-, L It i?,_:(
6. List the type of equipment to be used to construct the project:
? lp ,t h lei , ic'" ?
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
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:
14 )' .3 r "e - / t X ?' :9 ,
L Y' VriL..t°?
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance):
e
ica
re
!5_/a3/a o I
Date
(Agent's signature is valid only if an authorization letter from the applicant is provided)
Lake (Full Pond)
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.

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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 and select Option 5
Applicant's Name:-Gayle Haskell
Street Address (at lake): 283 Indian Trail
Lake Name: Norman
Subdivision Name: N/A
Tax Parcel ID (if known): 4626229972 Lot # 31
City: Mooresville County: Iredell
State: NC Zip: 28117
Latitude 35.5568 Longitude: 80.9404
Telephone: [phone]
Directions (from major road or highway): I-77 North to exit 33- West on
Williamson Rd - Right on Chuckwood - right on Indian Trail - House on left
Descriptive Structure (s) on Property (i.e. brick garage white fence mobile home
etc.
283 Indian Trail
283 Indian Trail Mooresville, NC - Google Maps
Address 283 Indian Trail
c maps Mooresville, NC 28117
Page I of I
Get Google Maps on your phone
Text the word "GMAPS"to 466453
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