20120212 Ver 1_401 Application_20120212

DUKE POWER LAKE MANAGEMENT EC12 Q
P O BOX 1006
CHARLOTTE NC 28201 1006 2 ® 2 2 2
704382 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 POWER FILING FEE PAYABLE
TO DUKE POWER TO ABOVE ADDRESS
I Applicant Information
A Name
B Mailing Address
C Telephone
II Location of Proposed Project
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A Lake Nd t I� a �I "� •
B Street Address r2-1 6
C County r--
D City Town Community or Landmark
E Section Lot # 6.13 Subdivision `
F Directions to property by road T_ I'l I — 3 v n I IJ i tie S 6,1 Ae
�3 sLhai-II-a(L 6g`&. az-,xa�-A-
G Latitude and longitude for the project site 3S U ga
H Please submit a map showing the coordinates or a detailed map (USGS quad map ci map
etc ) showing the exact location of the project site (NOTE Latitude /longitude coordinates can
be found on Internet site www mapsonus com Directions Don t register click Maps enter
address draw map select Map Clicking Will select Lat/Long clic �J
U T &RU !1
III Description of Project
A Length of wall 2 FEB 2 7 2n17
B Material w l i, �3 o C k DENR WATFR r,, 1,1 ITS
C Distance from property line /shoreline Ly (' -Pa 16 Lo LAG S } �� SN�sTOR�wAi EArrcH
IV Intended Use of Project Area
A Private X
B Commercial
V Applicant Signature Date 2 l
PLEASE NOTE THE FOLLOWING
A COPY OF THE COMPLETE APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO US
ARMY CORPS OF ENGINEERS 151 PATTON AVENUE ROOM 208 ASHEVILLE NC 28801 5006
• 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 Cyndt
Xmly PARKVIEW BLDG 2321 CRABTREE BLVD RALEIGH NC 27604 PHONE [phone]

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
1 Owner /Applicant Information
Name George B Shuping
Mailing Address 111 Harbor Shore Ct
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 Iredell Nearest Town Mooresville
Subdivision name or site address (include phase /lot number) The Point
Mooresville NC 28117
Telephone Number
704 363 1622
Fax Number
E mad 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
Chip Bridges
Company Affiliation
CBC
Mailing Address
638 Oakridge Farm Hwy
Mooresville NC 28115
Telephone Number
704 660 5111
Fax Number
704 660 5969
E mail Address
cbcseawalls@gmail com
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 Iredell Nearest Town Mooresville
Subdivision name or site address (include phase /lot number) The Point

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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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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:_ George. B. Shuping
Street Address (at Lake) T216 Stonewall Beach
Lake Name: Norman
Subdivision Name: The Point
Tax Parcel ID (if known):
City: Mooresville
State: NC
Latitude: 35.5299
Telephone: [phone]
Lot 216
County:_Iredell.
Zip: 28117,
Longitude:-80.9266
Directions (from major road or highway):
I -77 North to exit 33 – West on Williamson Rd – Left on Brawley School Rd – Right on
Stonewall Beach to end. Go pass circle.
Descriptive Structure (s) on Property (i.e. brick garage, white fence, mobile home, etc.):
216 Stonewall Beach

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