20120282 Ver 1_Shoreline Stabilization_20120313

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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 t
1650 Mail Service Center (,:�
Raleigh NC 27699 1650 p
L Applicant Information L
1 Owner /Applicant Information
Name Bear Lake Heaven, LLC (c /o Keith Rudman)
Mailing Address 1412 W Lexington Chicago IL 60607
Telephone Number 773 383 6000 Fax Number
E maul Address keithrudman@msn com
2 Agent Information (A signed and dated copy of the Agent Authorization letter must be attached
if the Agent has signatoiy authority for the owner /applicant }
Name Wdham Owen
Company Affiliation Owen Gradmg
Mailing Address 1407 Wolf Mountam Road
Telephone Number 828 507 0655 Fax Number n/a
E-mail Address owengradingC@gmail com
IL 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 p %lecL 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
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D
MAR 1 3 2012
DENR WATER QUALITY
WANDS AND STORMWATER BRANCH

I Location
County Jackson Nearest Town Sylva
Subdivision name or site address (include phasellot number) N/A
Directions to site please include road numbers landmarks etc (This is not necessary if an adequate
vicinity map is included) From Hwy 107 m Tudcasegee turn onto Hwy 281 S drive approwmately 5 miles to the entrance of
Bear take boat access area (on nght) SR 1137 WOW Rd Dam apprametely 1 m7e on SR 1137 to boat access parking area Tum nght onto
x
prrvete mad that W& to peninsula
2 Describe the existing land use or condition of the site at the time of this application
3 Property size (acres) 2 35 acres House saes & boat dock (shoreline eroding at a fast pace)
4 Nearest body of water ( stream /nver /sound/oceanAake) Bear Lake
5 Describe the purpose of the proposed work 3horefine stalnfzabon
6 List the type of equipment to be used to construct the project PC120 track hoe
7 Amount of impact (including all excavation backfill rip rap retaining walls etc ) below the
normal pool lake level in square feet or acres 8400sq 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
21,000 sq ft (The figure includes four 10 t x 30 ft access comdors )
8 b Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance) Approximately 20 trees wQ be affected
— // {for Keith Rudman;
2012
Applicant /Agent s`Signature Date
(Agents signature is valid only if an authorization letter from the applicant is provided )

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NEWS 0 Ilk=

To William Owen, Owen Grading
From Keith Rudman, Bear Lake Heaven, LLC
Date November 19 2011
Subject Agent Authorization Letter
William, you have my approval to act as my agent regarding
• Signing application materials related to Duke Energy s shoreline stabilization permits
• Signing application materials related to DENR s Division of Water Quality permits for
lake and reservoir activities
t
ti
Keith Rudman, Bear Lake Heaven, LLC

DUKE ENERGY LAKE SERVICES
EC12 -Q
P O BOX 1006
CHARLOTTE, NC 28701 1006
704 - 382 -1567 or TOLL FREE 1800- 443 -5193
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA
Please type or pent and fill in all blanks. If information is not applicable, so indicate by placing NIA in blank PLEASE
SUBMIT APPLICATION AND APPROPRIATE DUKE ENERGY FILING FEE, PAYABLE TO DUKE ENERGY
TO ABOVE ADDRESS
L Applicant Information
A Name Bear Lake Heaven, LLC (c /o Keith Rudman)
B Mailing Address 1412 W Lexington Chicago, IL 60607
C. Telephone 773 - 383 -6000
IL Location of Proposed Project
A Lake Bear Creek Lake (Peninsula)
B Street Address SR 1137, Middleton Road (Pin no 7586 77 0436 and 7586 -77 1621)
C Countyjackson
D City town community or landmark TuckasejLee
E. Section None Lot 8 None Subdivision None
F Directions to property by road Off of Hwy 107 in Tuckasegee turn onto Hwy 281 S drive approximately 5 rules
to the entrance of Bear Lake boat access area (on right) SR 1137 Middleton Rd Drive approx 1 mile on -SR 1137
to boat access parking area Turn nRht onto pnvate rd that leads to the peninsula
G Latitude and longitude for the project site N/A
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 mtennet site,
www maosonus.com Directions Don t register click Maps" enter address, draw map select "Map Clicking
Will " select Lat1ong" click map)
III. Description of Project
A. Length of wall 1400 ft
B Material Fill dirt no-rat) and filter fabric
C Distance from property lme/shorelme 15 ft,
1V Intended Use of Project Area
A Pnvate Yes
B Commercial T, - a V Applicant Signature r Date February 22 2012
PLEASE NOTE TAE FOLLOWING r Keith dman)
e 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 WA TER QUALITY
ATTENTION CYNDI NAROLY
PARBVIEWBLDG 2321 CRABTREEBLVD
RALEIGH NC 27604
919 -733 1786
YALAKEMGM7Vtckage WomatiomWC Shwdmo StalzbUtion Application doe

To William Owen, Owen Grading
From Keith Rudman, Bear Lake Heaven, LLC
Date November 19 2011
Subject Agent Authorization Letter
William, you have my approval to act as my agent regarding
9 Signing application materials related to Duke Energy s shoreline stabilization permits
• Signing application materials related to DENR s Division of Water Quality permits for
lake and reservoir activities
S
Keith Rudman, Bear Lake Heaven, LLC

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