20110823 Ver 1_401 Application_20110911

201 10823
I) 9SEP 2 2011
K Ai?S i?
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 to 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
1. Applicant Information
1. Owner/Applicant Information
Name: Lt Gen Frank Panter
Mailing Address: 706 Warrington Ave. SE
Washington, D.C. 20003
Telephone Number 931-392-4435 Fax Number: 703-6915-8580
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: N/A
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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: Gaston
Nearest Town: Belmont, N.C..
1025, Peninsu3a.Dr:iLakepoint"sub.
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): Hwy 49 from Charlotte N C to Hwy 274.. T/R Turn right onto
Pole Branch Rd Go to Gaston county line. At ict 273 t/r. Go to Peninsula Dt. on
left Lake Point subdivision. Address is 1025 Peninsula Dr.
2.
3.
4.
5.
6.
7
Describe the existing land use or condition of the site at the time of this application:
Land iq good for new home. 3/4 ac vepoped SF residential. Eroded
Property size (acres):
Nearest body of water (stream/river/sound/ocean/lake):
Lake Wylie
Describe the purpose of the proposed work: Purpose is to install riprap for erosion
control.at the shoreline.
List the type of equipment to be used to construct the project: rubber tire excavator
skid steer, arge
Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: 720 sq. f t .
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:
1440 G = f t
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): Rough vegetation has removed, trees prunned.
several trees at shoreline to be removed.
-Z S 7V 1,
shoreline
epplicant/Agent's Sj?nature- Date j
(Agent's signature s valid only if an authorization letter from the applicant is provided.)
VICINITY MAP
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LOT 8
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LINE TABLE
LINE LENGTH BEARING
U 17.23 N50'14'59°W
L2 32.62 N21'59'53"W
L3 20.64 N07'52'43"W
14 17.41 N01'26'13"W
L5 14.69 N02'05'45"W
16 24.54 N08'47'21"E
L7 36.80 N05'16'33"E LEGEND
P.D.E. PUBUC DRAINAGE EASEMENT a NRB NEW REBAR
a EP EATSIING IRON PPE a FRB EXISTING REeAR
OHPL OVERHEAD POAER UNE o ERB-BC ERB AT BC
CURVE RADIUS LENGTH TANGENT CHORD BEARING
FENCE LINE
DELTA CMOLE POWER CONCRETE POLE MONUMENT . XLPOLE LIGHT POLE
PP
C1 170.00 67.88 34.40 67.43 507'10'17"E 2252'40" PR TRANSFORMER ®MH MANHOLE
v PHONE TELEPIIONE BOX a CAW CABLE TV BOX
DRAWN BY. SM
PHYSICAL SURVEY AREA COMPUTED BY COORDINATE METHOD
0 50'
LOT 7
LAKEPOINT SUBDIVISION SCALE 1°- 50'
GASTON CO., NORTH CAROLINA PREPARED BY:
STREET ADDRESS: 1025 PENINSULA DRIVE STEPHEN D. MULLINS AND ASSOCIATES, P.A.
TAX PIN: 3592-13-0474 REGISTERED LAND SURVEYORS
OWNED BY: WILLIAMS COMMERICAL LAND BROKERAGE,- LC
CONVEYED T0:
RECORDED IN MAP BOOK _ 77 PAGE-X5- 601-6 F-AGLETON DOWNS DRIVE [phone]
10085-F DEED BOOK-452-9L PAGE_M 1_ PINEVILLE, N.C. 28134 FAX [phone]
I Stephen B. Mullins, certify that on the -13-- Day of PSCEMBER , 010,
this map was drawn under my supervision from an actual survey made under
my supervision; that this survey was performed to Class A Urban Land Survey
pro pp is es 1:10.000, ecept there ho*', l `CARD
arroachments that eitthe her ratio ay across precision
enc
SIGNED__
STEPHEN B. MU INS PLS EA
N.C.P.L.S. L-3059 S.C.R.L.S 10780 = - - -
r L-3059 pc ` z
SURVEY MAY BE SUBJECT TO ADDIMNAL
EASEMENTS. RIGHTS-OF-WAY, UTILITIES,
COVENANTS OR RESTRICTIONS. TWAT MAY
BE OF RECORD.
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below full pond.
above 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).
211 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 Fell 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 construction access corridors.
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DUKE ENERGY LAKE SERVICES
EC12-Q
P O BOX 1006
CHARLOTTE, NC 28201-1006
704-382-1567 or TOLL FREE 1-840-443-5193
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 LT Gen Frank Panter
B. Mailing Address 706 Warrington Ave., SE Washington, D.C. 20003
C. Telephone: [phone]
H. Location of Proposed Project
A. Lake Wylie
B. Street Address 101-5 Peninsula Dr. Belmont N.C.
C. County Gaston
D. City, town, community or landmark R p 1 mont
E. Section Lot# 7 Subdivision Lalrepoint
F. Directions to property byroad n, i o frnin Cb a -i „t t o r&?X .274 t 1 r. Turn ; h
qn Pole Branch Rd Go in Gag on ('rnmty line AtjCt 273 t/r- Go to
PPninc'•l m nt on isiff- -I nk'a Raivt Quhj #-#s#e$
0. Latitude and longitude for the project site S 1 r 1 1 -R 1 n _37.;9
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.mapsonus.eom. Directions: Don't register, click "Maps", enter address, draw map, select "Map Clicking
Will...", select "LattLong", click map)
III. Description of Project
A. Length of wall 180 ft.
B. Material ri reran
C. Distance from property linelshoreline 8 f t .
IV. Intended Use of Project Area
A. Private
B. Commercial
V. Applicant Signature Date c7V _ 1
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 RAROLY
PARKVIEW BLDG, 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
Y:II,AKEMOMMackage InfonnationiNC Shordine Stabilization Application.doc

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