20110700 Ver 1_401 Application_20110711

DUKE POWER LAKE MANAGEMENT, EC12-Q
P. O. BOX 1006
704-382-156R7 OR TTOLLNFREE 1-800-443-5193 2 7
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 Information
A. Name
B. Mailing Address
C. Telephone
II. Location of Proposed Project
A. Lake
B. Street Address & 1 7 rY4*Jh,,te? - ? j
C. County
D. City, Town, Community or Landmark
E. Section Lot # & o, 1) Subdivision
F. Directions to property by road It G We
?
?-N . I 1. -, 11 t t n. _t i r-%
G. Latitude and longitude for the project site -aD• 9 1A19 1 3s-, ` 1o' IV
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 intemet site, . 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
B. Material
C. Distance from prop
IV. Intended Use of Project Area
A. Private
B. Commercial
V. Applicant Signatun
II-?
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, ASHEWLLE, NC 28801-5006
t 1z
or?
0-an
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• 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 APPLICATWON' MUST BE
SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO: NC OMSION OF WATER QUALITY, ATTENTION: Cyndi
Karoly, PARKVIEW BLDG., 2321 CRABTREE BLVD., RALEIGH, NC 27804, PHONE. [phone]
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8, NC 27699-165
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1. ow.odAppGCOM b&cnudm
Tee
FAnailAds
2. Agent bROBSCM CA SWUW aad dMd OWY of do Arat Ao*w? IOMW
must to Madbod if *a Agg ?ak _ fOr the oa?nedaWl")
COMM
bldfing A
TacphoaeN bar: 5/// Fax]
P.,ma1 Address:
IL Project 18f"Matwo
Aar a vicauty map cd=Ay obowme dw locRtwd Of*e PAY wilt to
tool badmadm sash as fawns, rives, aid made. Abu pwvWc a d 1 ste
Ifts Aawiag pmputy boandadas and dam pIM m tabdan to
Pte. Ymt neap use the dimg=m below to mama a hand sketch of
1. Directions to site - please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included):
Ahmf& 71 Loll - 4
2. Describe the existing land use or condition of the site at the time of this application:
I Property size (acres): I. V 3 a
4. Nearest body of water (stream/riverlsound/oceanliake):
5. Describe the purpose of the proposed work:
V
( ?.
ft1 I a S? -? ?h?i?¢..f &t, OWPt-dx.. b ' At9
6. List the type of equipment to be used to construct the project

7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
1 /
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:
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance): `` 1 _4r
i Sfw-b e? o,kcaS, /
Applicant/Agent's Signature Date
(Agent's signature is valid only Kan authwhation /Wer from the applicant is pmvideo
a
please appraxenafely sketch the #a itdon coon on this 4dm
40me pe+ovide for each keen, such as ii IIL x 400 ltj:
9) as proposed ve lon deaft (provida }
.2) Location of rip rap or M M be placed above the M PondVev&lon
3) Location of rip rap or fS to be placed below the - m Pafid lion
4) The loafflott of MW proposed sumetum ewch as 6t&ing% rig
wafts dolts, etc.
S} The pardon of any excavaf m or dri*ft beer the Full Pond
6j Lusatian of cawtruction access carridom
4'balnw
T
CBC Stone and Recycle, LLC. authorization
to obtain the necessary information for
stabilization and dredge permits.
I
Date:
give
9 i
DIRECTIONS BY ROAD FORM
Lake we 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
14NX)443-5193
Applicant's Name: Ip6 w Lake Name: ffol-Main
Subdivision Name: qw-lk poykt-
Property Seam: Lot(s): lF A () -
City: 1?0u?)8w- county:
?Q
State: '? (--.,_Zip: a 9
Telephone: 3 / -1- 33 ), '3a,9 I
Directions(from major road or Highway
r , _... •% _, _
Descriptive Structure(s) on
Property:
Type of permit
requested
"Circle"
Prm" Facility
Commercial Fa ifity
bccavation "
StabiRizaion
D
Conveyance
Miscellaneous Uses
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