20120051 Ver 1_401 Application_20120112

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X12005 1
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 of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom of greater
or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
I. Applicant Information
Owner /Applicant Information
Name:
Mailing Address:
Telephone Number:
E -mail Address:
TONY JOHNSON
6211 DRAKE LN
NEBO, NC 28761
704 -578 -5946
J 2012
UENR - 9 ATER QUAMT -y
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:
Company Affiliation:
Mailing Address
Telephone Number:
E -mail Address
II. Project Information
CARISSA PARKER
BENNICK ENTERPRISES, LLC.
7836 HWY 70 EAST
NEBO, NC 28761
828 - 659 -1000 Fax Number: 828- 659 -1001
CARISSA(�_i)BE'NNICKGRADING.COM
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.

I . Location
County:
BURKE Nearest Town: NEBO
Subdivision name or site address (include phase /lot number): MALLARD POINTE LOT 4
6211 DRAKE LN
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): FROM MORGANGON, TAKE HWY 126 / TR ONTO BENFIELDS
LANDING/ TL ONTO LAKE FOREST CV/ TR ONTO DRAKE LN TO PROPERTY
2. Describe the existing land use or condition of the site at the time of this application:
THIS IS A VACANT WOODED LAKE LOT
3. Property size (acres):
ACRES
4. Nearest body of water (stream/river /sound /ocean/lake): LAKE JAMES
5. Describe the purpose of the proposed work: _TO STABILIZE 121' OF ERODING BANK
ALONG THE SHORELINE OF THIS LOT BY APPLYING RIPRAP. THE HEIGHT OF THE
RIPRAP WILL BE 10' IN HEIGHT.
6. List the type of equipment to be used to construct the project:
A BARGE, A BACKHOE, AND HAND TOOLS.
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: 4' X 121' = 484 SQ. FT.
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:
5' X 121' = 605 SQ. FT.
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): 3 TREES LESS THAN 6" AND 2 TREES GREATER
THAN 6" WILL BE REMOVED TO COMPLETE THIS PROJECT. THEY WILL BE
REPLACED INCH FOR INCH, WITH TREES TOTALING THE SAME DIAMETER. ANY
REMAINING DISTURBED AREA WILL HAVE MULCH APPLIED TO IT
1 Z/ q /l2,
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

Tony Johnson
Lake James - Burke
Mallard Pointe / 4
To: North Carolina Division of Water Quality
I give Carissa Parker, of Bennick Enterprises, LLC., permission to sign
as my agent on my application for shoreline stabilization.
Signature
Date l i 2

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DUKE ENER LAKE SERVICES, EC12 -Q
P O BOX 1006
CHARLOTTE, NC 28201 -1006
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
SUBMIT APPLICATION AND APPROPRIATE DUKE ENERGY FILING FEE, PAYABLE TO DUKE ENERGY,
TO ABOVE ADDRESS.
I. Applicant Information
A. Name TONY JOHNSON
B. Mailing Address 6211 DRAKE LANE, NEBO NC 28761
C. Telephone: [phone]
II. Location of Proposed Project
A. Lake LAKE JAMES
B. Street Address 6211 DRAKE LANE
C. County BURKE
D. City, town, community or landmark NEBO
E. Section Lot # 4 Subdivision MALLARD POINTE
F. Directions to property by road FROM NEBO, TAKE HWY 126 / TR ONTO BENFIELDS LANDING /
TL ONTO LAKE FOREST CV / TR ONTO DRAKE LN TO PROPERTY
G. Latitude and longitude for the project site _LATITUDE: 35--9 q AL13 °N LONGITUDE: isl . 0r70 Y I °W_
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.com.
Ill. Description of Project
A. Length of wall 121 LINEAR FEET
B. Material RIP RAP
C. Distance from property line/shoreline—WILL FOLLOW EXISTING SHORELINE
IV. Intended Use of Project Area
A. Private YES
B. Commercial
V. Applicant Signature r vh - Date l/ '2z ;!
Agent Signature r Phone_828- 659- 1000_Fax_828- 659 -1001_
PLEASE NOTE THE FOLLOWING:
s A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY
MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 151 PATTONAVE. - ROO.l4:t 208,
ASHEVILLE, NC 28801 -50
s 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. JOHNDORNEY
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919 - 733 -1786

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Tony Johnson - Mallard Pointe 4
co, Pisgah National Forest
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Tony Johnson
4f, 4nf"�in 6211 Drake Lane
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Ra Latitude: 35.74243 N
Lake f8 Longitude: 81.87041 W
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