20110778 Ver 1_401 Application_20110811

201 1 0778
DUKE ENERGY LAKE SERVICES
EC12-Q AUG 18 2011
P O BOX 1006
CHARLOTTE, NC 28201-1006 DENR - WATER QUALITY
704-382-1567 or TOLL FREE 1-800-443-5193 WETLANDS AND STORMWATER BRANCH
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.
1.
IT.
Applicant Information
A.
B.
C.
Location of Proposed Project
A. Lake
B. Street Address d ' Wo acklffitd LAO,_-__r_DnVe
C. County- 0?,Inn
City, town, county or landmark
E. Section -At r Lot # lq!5_ Subdivision
F. Directions to Dronerty by road _
M121ml, N OIL
2
G. Latitude and longitude for the project site 3Sa 17,3 3yy1 -31. () /7(03
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.mal2sonus.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 • eel
B. Material 0(- K - r 112 rd P
C. Distance from property line/shoreline
IV. Intended Use of Project Area
A. Private V/
B. Commercial
V. Applicant Signature Date
PLEASE NOTE THE FOLLOWING:
• 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 (5) 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
919-733-1786
YA AKEM01VITTackage Infonnation\NC Shoreline Stabilization Application.doc
2 0 1 1 0 7 7 8
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 five (5) copies of this application and supporting
information as well as a non-refundable application fee to the Division of Water Quality of $240.00
for impacts to lake bottom of less than 1 acre and $570.00 for impacts t4 lake bottom of greater or
equal to 1 acre.
Applications should be sent to:
Division of Water Quality 401 Oversight/Express Review Permitting
1650 Mail Service Center
Raleigh, NC 27699-1650
I.
1.
2
Applicant Information
Owner/Applicant Information
Name:
Mailin€
? 9 (T-1 I, I I- R P. W R_ 00
AUG 1 8 2011
DENR - WATER QuAu ry
WETLANDS AND STORMWATER BRANCH
Telephone Number: Fax Number:
E-mail Address: 1 Gl/arus 3f ?? ?'K?! 4'_'y
Agent Information (A signed and dated copy of the Agent Authorization letter must be attached
if the Agent has Asignatory authority for the owner/applicant.)
Name: Ra,loCct
Company Affiliation: C/22uJS vrts "'? 'PSI (h "C
au ?e r?5 fi?aLf/ ??,n
Mailing Address: stg? Lf e_ SC °29710
Telephone Number: 03-ff 3 / -93,1 ?,JJJ Fax Number:
E-mail Address: rC ..3?i+?
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.
1. Location
County: Get 5 toyl- Nearest Town: 71-
Subdivision name or site address (include phase/lot number): VUooG[ o( Aa i/ La7? 13
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): _ Sic ?ga,0
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): CtWroX. / Cie re-
If F
4. Nearest body of water (stream/river/soun(/oceanAake): Za/f- Z/-e.
5. Describe the purpose of the proposed work: %???? -f a n ?i ?tlo?L
eco5i --1-- ??4.. r?14 e-
6. List the type of equipment to be used to construct the project: , 5A? 41'a.ck
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: , T =Se 4l
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:
/V e? n Pi
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance):6 -Krro
fi rVl O ?i ??
8
Applicant/Agent's Signatures Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
5125 Woodland Bay Dr, Belmont, NC 28012 Directions, Location and... http://www.mapquest.conVprint?a=app.core.c5bi 83a33f64a8337a8b93e`
mapquest
Map of:
5125 Woodland Bay Dr
Belmont, NC 28012-8881
Notes
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' Good 660 - 749
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Score
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of 1 8/11/2011 9:29 AN
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Driving Directions from T-Bones On The Lake in Lake Wylie, South Ca... http://www.mapquest.conVprint?a=app.core.f7cbedbc4468c3595638006.
mapquest
Trip to:
5125 Woodland Bay Dr
Belmont, NC 28012-8881
7.86 miles
12 minutes
Notes
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T-Bones On The Lake FAU-11er A°y°r A.OC9-e-- Miles Per Miles
s 3990 Charlotte Hwy, Lake Wylie, SC 29710 Section Driven
[phone]
1. Start out going west on SC-49 toward Blucher Cir. Go 2.6 Mi 2.6 mi

®7 2. Turn slight right onto SC-274.
SC-274 is just past Nautical Dr Go 0.9 Mi 3.5 mi
If you are on SC-557 and reach Harper Green Dr you've gone about 0.4 miles too far
3. Turn slight right onto Pole Branch Rd / SC-177 (Crossing into North Go 1.9 Mi 5.4 mi
77 Carolina).
Pole Branch Rd is 0.1 miles past Lake Mist Dr
®
7 4. Pole Branch Rd / SC-177 becomes S New Hope Rd / NC-279. Go 1.9 Mi 7.3 mi
5. Turn right onto Woodland Bay Dr. Go 0.6 Mi 7.9 mi
Woodland Bay Dr is 0.9 miles past Armstrong Rd
If you reach Wonells River Rd you've gone a little too far
¦ 6. 5125 WOODLAND BAY DR is on the left. 7.9 mi
Your destination is just past Rocky ViewCt
If you reach Mystic Point Ct you've gone about 0.3 miles too far
5125 Woodland Bay Dr 7.9 mi 7.9 mi
Belmont, NC 28012-8881
Total Travel Estimate: 7.86 miles - about 12 minutes
02011 MapQuest, Inc. Use of directions and maps is subject to the MapQuest Terms of Use. We make no guarantee of the accuracy of their content, road
conditions or route usability. You assume all risk of use. Vie Terjn of Usl e
Get Directions even quicker! features.mapquest.com/toolbar/
1 of 1 8/11/2011 8:27 AN

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EIP i#4
--- RES??Rs

Fangman Dock
Location in Water

LA
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i SOT 45 ??,
THIS IS TO CERTIFY THAT ON THE 2 nAY OF AUG. 20 10AN ACTUAL
SU
RVEY WAS MADE UNDER MY SUPERVISION OF THE PROPERTY SHOWN ON THIS PLAT, AND THAT THE BOUNDARY LINES IMPROV
AND THE
IF ANY, ARE AS
SHOWN
HEREON. FOR LAND SUER EEYINGTN, NORTH CAROLINA, BOA D RULE .1600IS(21A CACE56)TANDMTHE RRORNOF CLOS RERFORITHIS
PARCEL DOES NOT EXCEED ONE (1) FOOT PER 10,000 FEET OF PERIMETER SURVEYED NOR 20 SECONDS TIMES THE
SQUARE ROOT OF THE NUMBER OF ANGLES TURNED.
SIGNED
DoWd W. Dicksom PA
3505 S. NEW HOPE RD.
CAS33NU,
824-0894 N.C. 28056
(704) :
EIP #4 LAKE WYLIE
REBARS 10'4208,, S 04°33' 40" E
WAY ---
W S ;;03:22" E 11.17 _
EIP
#4 REB R
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WOODLAND BAY DR. jgotiL?`Y
50'- PRIVATE R/W-_`?_?'' x
VOTE:
the survey which resulted in this
plat used only the record information
toted hereon and makes no certifi-
:ation as to title or ownership of
any parcels shown. Other documents
nay exist that would affect these
)arcels. Declaration is made to the
3riginal Purchaser of the survey. TThis
'urvev is not transferable to additional
nstitutions or owners and is
nvolid without an original emboss
SURVEY OF:
GASTONIA, N.C.
THE PROPERTY OF DR. WILLIAM FANGMAN & WF. DR. SHANDA FANGMAN
SCALE 1"=40'
MAP BOOK 70 PAGE 38 SEE PB 62-83
FB 74
DEED BOOK 4484 PAGE 2238
TAX CODE: 193281
COMP. No. 10378 HD3
THIS IS TO CERTIFY THAT ON THE 2 nAY OF AUG. 20 1 0AN ACTUAL
SU
AND THE RVEY WAS MADE UNDER MY SUPERVISION OF THE PROPERTY SHOWN ON THIS PLAT, AND THAT THE BOUNDARY LINES IF ANY, ARE AS FOR LANDMSUR SURVEYING NORTH CAROLINA, SHOWN (21 p NCAC MEETS 56) T AND MINIMUM STANDARDS OF CLOS RE PRACTICE
FOR THIS
PARCEL DOES NOT EXCEED ONE (1) FOOT PER 10,000 FEET OF PERIMETER SURVEYED NOR 20 SECONDS TIMES THE
SQUARE ROOT OF THE NUMBER OF ANGLES TURNED.
SIGNED
David W. Dickson. P-4-
3505 S. NEW HOPE RD.
GASTGN H.C. 28056
. (704) 824--0694 .. '•
EIP #4 LAKE WYLIE
MAGNOLIA WAY REBARS 10.4 . s 04-33'40" E
2 08" W S 02°03' 2r 2_E
4 REB R
DA
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VICINITY MAP NOT TO SCALE CCU S R
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is PI 0.8420 Ac.
PROPOSED DECK
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LEGEND: 4. b 0 0'b ° $ 5. D I
SEY
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REBAR I I LL'Z£? , / %'
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POLE-- -- - ?' //
WOODLAND BAY DR. ?go?tiTYy
50' PRIVATE R/W
NOTE:
The survey which resulted in this
plat used only the record information
noted hereon and makes no certifi-
cation as to title or ownership of
any parcels shown. Other documents
may exist that would affect these
parcels. Declaration is made to the
original purchaser of the survey. This
survey is not transferable to additional
institutions or owners and is
invalid without an original emboss SURVEY OF:
OT 4 WOOD AN BAY
GASTONIA, N.C.
THE PROPERTY OF DR. WILLIAM FANGMAN & WF. DP.. SHANDA FANGMAN
SCALE 1 "=40'
MAP BOOK 70 PAGE 38 SEE PB 62-83
DEED BOOK 4484 PAGE 2238 FB 74
TAX CODE: 193281 COMP. No. 10378 HD3
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