HomeMy WebLinkAbout20120131 Ver 1_401 Application_20120212DUKE ENERGY LAKE SERVICES 20 1 2 0 1 3
EC 12 -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 pnnt 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 G I 1 lea d'
B
Mailing Address 0 169/ j600 5
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Telephone _%pr� - �% �y - 0j
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Location of Proposed Project
A
Lake UI,/ Ii�
B
Street Addre s .�h wo aal N., IL Dr
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County�.}�,,�
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City town community or landmark $elms 1
E
Section Lot # Subdivision R� f
Je Join i�'i'�
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Directions to property by road x1,3 _SoAk i-ctKe
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Latitude and longitude for the project site
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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 flotuld on internet site
www maasonus com Directions Don t register click Maps
enter address draw cki
Will select Lat/Long click map)
ig N
III
Description of Project /�
A Length of wall &0
D
FEB _
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B
Material R, n 10
ENR WATER QUALITY
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Distance from property line /shoreline w I t ; n l l e w L
nMD'41D
STORgIp1,gTER BRANCH
IV
Intended Use of Project Area
A
Pnvate_2r—
B
Commercial
V
Applicant
Signature � `
Date - — v
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 BL VD
RALEIGH NC 27604
919 733 1786
C Documents and Settmgs\Admmistrator\Local Settings \Temporary Internet Files \Content Outlook \TER4APCSWC Shoreline Stabilization
401 WATER QUALITY CERTIFICATION APPLICATION
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 to lake bottom of less
than 1 acre and $475 00 for impacts to lake bottom of greater or equal to 1 acre
APPLICATIONS TO BE SENT TO
DIVISION OF WATER QUALITY WETLANDS UNIT
1650 MAIL SERVICE CENTER
RALEIGH NC 27699 1650
I Applicant Information
Owner /Applicant Information
Name
Gilbert Patrick
Mailing Address
P O Box 1691
Kings Mountain NC 28056
Telephone Number
704 734 -0240
Fax Number
E mail Address
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
Charlie McEwen
Company Affiliation
Lakeside Marine Construction
Mailing Address
2785 Lake Front Drive
Belmont NC 28012
Telephone Number
b2
704 -400 35:
Fax Number
E mad 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
Location
County Gaston Nearest Town Belmont
Subdivision name or site address (include phase /lot number) Reflection Pointe
Directions to site - please include road numbers landmarks etc (This is not necessary /
if an adequate vicinity map is included) S %�k/ 7s%- L ON Ph K S T /0
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2 Describe the existing land use or condition of the site at the time of this application
�Do�l CJ P e 5/ D eoJ { A- l ! l n 1
3 Property size (acres) Q T� .¢� ✓C�
4 Nearest body of water (stream /river /sound /ocean /lake) e-
5 Describe the purpose of the proposed work S7fiCJ�lr rC�� �' W /K
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6 List the type of equipment to be used to construct the protect 6A r9 C, 4 h 0 6C14!
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5 k rc, Nc- o Aj s +dr- 0-F to
7 Amount of impact (including all excavation backfill rip rap retaining walls etc) below
/,/-5P X
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
/ hio ye- x 160 (:�
b Please describe vegetation above the normal pool lake level and 50 feet land ward to
be impacted (number of trees for instance) w DOd t'� see
s
(Agenirs signature is valid only if an authorization letter from the applicant is provided)
Lake (Full Pond)
Full Pond
Shoreline A-O�,O
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)
2) 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 Full Pond elevation
4) The location of any proposed structures such as buildings retaining walls, 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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DEED BOOK 4541 PAGE 1410
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PLAT BOOK 68 PAGE 75
CITY OF BELMONT
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DUKE ENERGY DIRECTIONS BY ROAD FORM
Lake Use 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 Energy
C/O LAKE SERVICES — EC 12Q
PO BOX 1006
CHARLOTTE, NC 28201 -1006
1- 800 -443 -5193 and select Option 5
Applicant's Name _Gilbert Patrick
Street Address (at Lake) 3249 Ashwood Park Dr.
Lake Name Wylie
Subdivision Name Reflection Pointe
Tax Parcel ID (if known) _205714 Lot 286
City Belmont County _Gaston
State NC Zip 28012
Latitude _351453
Telephone 704 - 400 -3523
Directions (from major road or highway)
Longitude _810192
US 74 W — Left on Park St continue on to Keener Blvd — Left on S Central Ave — continue
onto S Point Rd — Right on Reflection Pointe Blvd — first right on Ashwood Park Dr — take
the 1" left onto Deer Park Ln — Slight left onto Ashwood Park Dr
Descriptive Structure (s) on Property (i a brick garage, white fence, mobile home, etc )
3249 Ashwood Park Dr
3249 Ashwood Park Dr, Belmont, NC- Google Maps
ft , Address 3249 Ashwood Park Dr
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