20120013 Ver 1_401 Application_20120112

20120o13
The following is an abbreviated application form for those applying for a 401 Water Quahty
Certification to impact FERC (Federal Energy Regulatory Comnussion) 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 unpacts to lake bottom of greater or
equal to 1 acre.
Applications should be sent to
Divmon of Water Quality 401 Oversight/Express Review Permrttmg
1650 Mail Service Center
Raleigh, NC 27699 -1650
I Applicant Information r� RED
1 Owner /Applicant Information
Name .J Ott A) W
Mailing Address
Telephone Number
E-mail Address
TCoLH2a STAN lPldfm -' PrJ,CO M
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 _ RILL Id o ,'0 6 -
Company Affiliation b iOaAO e q/?' ! A) G
Mailing Address PO �� 3 6 L�C.cd 01 UtE� l(f G ;o-?-O 234,
Telephone Number °t%OO �a�'' `�Q,� Q� Fax Number %4 —q4
E -mail Address
H-1
F@
II Project Information l q U
2012
Attach a vicinity map clearly showing the location of the property with resp@Q�l =ks such
as towns rivers and roads Also provide a detailed site plan showing property both AN
development plans in relation to surrounding properties You may use the diagram below to make a CH
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.

I Location
County y r'CfT=*- N Nearest Town �1 ew 0/ u,
Subdivision name or site address (include phase/lot number) Sy MW r,- 1?, !7 /U., I U
Directions to site please include road numbers landmarks etc' (( T-his is not necessary if an adequate
vicinity map is included) /v A)0)4,;V'✓ geO YW F6e , 'C Y4 6f
U'S'T �[�S ad l-1 61t r, �.t7T � � � 5Q R?T7G1. O �
2 Describe the existing land use or condition of the site at the time of tins application )ets1DL n,, L
3 Property size (acres) + ?3 14tG12.f.5
4 Nearest body of water (stream/nver/sound/ocean/lake) Lt�r hm--
5 Describe the purpose of the proposed work UfLEW AA6 Si¢T7y rV
6 List the type of equipment to be used to construct the project MICA—" G
7 Amount of impact (including all excavation backfill np rap retaining walls etc ) below the
normal pool lake level in square feet or acres AEP&OA. 042 UN FT
8 d;W NoIL 4 TL, POO L . qaQ -tACAD U E 00141 Tr, �O
8 a. Amount of impact (including all clearing back fill excavation rip rap retaining walls etc )
above the normal pool lake 1 vel and 50 feet land ward ins uare feet oracges 00
8b Please describe vegetation above the normal pool lake level and 50 feet landward to be unpacted
(number of trees for instance) 3 —!1 T2 E &-5 4 & tl 6 ,tzd / et &1—,_
P212L, Wl U, B 6- /,M A 1�'0 y f%'Gf-f' '
Applicant/
(Agents si,
Signature/ ° Date
is valid o if an authorization letter from the applicant is provided )

Bell Young RUA%
From Colbert John W pColbert@stonepigman com]
Sent Thursday December 08 20118 54 PM
To laleatherman@duke- energy com
Cc Kay Colbert Bill Young (woy355 @earthlhnk net)
Subject Lot 8 Summer Hill - Bill Young
Lisa,
My wife and I are the owners of Lot 8 m the Summer Hill Subdivision on Lake Glenville and we want to
thank you for going with Bill Young to view the lot today
Please be advised that we have asked Bill to act as our agent in connection with applying for a shoreline
stabilization permit and a dock permit for Lot 8 Accordingly, please forward the applications for the shoreline
stabilization permit and dock permit directly to Bill whose madmg address is P O Box 537, Glenville, NC
28736 If possible, we would appreciate both applications being processed together
Again, thank you for your assistance m this matter Please contact me if you have any questions
John
John W Colbert
Stone Pigman Walther Wittman L L C
546 Carondelet Street
New Orleans Louisiana 70130 -3588
Direct Dial (504) 593 -0832
Direct Fax [phone]
E -Mail 1colbertLstonepiaman con,
Web Address wu-\k sronepigman corn
IRS Circular 230 Notice To ensure compliance with requn- ements unposed by the IRS, please be informed that
any federal tax advice contained in this communication (including any attachments) is not intended or written to
be used, and cannot be used, for the purpose of (i) avoiding penalties under the Internal Revenue Code or (u)
promoting, marketing or recommending to another party any transaction or matter addressed herein For more
information about this notice please visit httn Hw-w-w stonepigman com/news/shoANews html "rd =73
The sender's name and other information in this e-mail are for informational purposes only and are not
electronic signatures This communication is from a law firm and may be privileged and confidential If you are
not the intended recipient, please notify the sender by reply e-mail and destroy all copies of tlus communication
Thank you

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Please approximately sketch the Mowing information on this plan
(please provide dimensions for each Item, such as 10 ft. x 400 ft):
1) All proposed vegetation clearing (provide dimensions).
2j 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 Felt Pond elevation
4) The location of any proposed shtuctures such as,bulldings, retaining
walls, docks, etc. . ` '
5) The location of any excavation or dredging below the Full Pond
elevation.
6) Location of construction access corridors.
-71

20 ' 200 1 3
DUKE ENERGY LAKE SERVICES
EC12 Q
P O BOX 1006
CHARLOTTE, NC 28201 1006
704-382 -1567 or TOLL FREE 1-804- 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
L
Apph"nt infnrmgtmn
A.
B
C
IL Location of Proposed Project
A Lake
B Street A& QJAM
C County
D City town, community or lai
E Section Lot #
F Daechons tq property by roa
G LaTitude and longitude for the project site "Ij 14P41
H. Please submit a mall showing the coordinates or a detailed map SGS quad map city asap, etc) showing the
exact location of the project site (NOTE. Latitude/ longitude coordinates can be found on internet site,
www maMuLeom Directions Don t register click Maps" enter address, draw map select "Map Clicking
Will " select "Lat/Lone click map)
III. Description of Projec6 it
A. Length of wa)t
B Material j�/
C Distance from property linehhorelme
IV Intended Use of Project Area
A. Pnvate &ESJ&fi& tiI,'S�
B Commercial � �y 1.7
V Applicant Signature X46/ Date _
I
PLEASENOTE THE FOLLOWEVG1 / J�
• 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 CRABTREEBLP70
RALEIGH NC 27604
919- 7331786
Y U AKEMOM Oackage h6 mationlNC Shordme Stabdusuon Application doe
S
1