20120329 Ver 1_Shoreline Stabilization_20120402

DUKE POWER LAKE MANAGEMENT EC12 -Q
P O BOX 1006
CHARLOTTE NC 28201 1006 2 0 1 2 0 3 2 9
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 POWER FILING FEE, PAYABLE
TO DUKE POWER, TO ABOVE ADDRESS
I Applicant Information
A Name
B Mailing Address
C Telephone
II Location of Proposed P
A Lake
B Street Address
C County
D City Town Commul
IV
V
La V, f110 l
1i8to3 )-a ke fct Lake000d, _ 0A L/4 107
E Section Lot # 1330 Subdivision jP PD1n /
F Directions to property by road // awJe q SC A ao Gad Vll Vr�
- 4d,140rd
G Latitude and longitude for the project site J 5 Z gIQ
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 Directions Don t register click Maps enter
address draw map select Map Clicking Will select Lat/Long click map)
Description of Project
A Length of wall '7 S --'
B Material ,s' jad(-c J Sh,i C CAI-4
C Distance from property line /shoreline / 117za W L y 1
Intended Use of Project Area
A Private X
B Commercial
Applicant Signature
{
PLEASE NOTE THE FOLLOWING
Date
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 Cyndi
Karoly 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
David Ddlen
Mailing Address
17863 Lake Rd
Lakewood, OH 44107
Telephone Number
216- 389 -6157
Fax Number
E mad Address
nanciraesells @aol com
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
T1 1) 11 ehl
Company Affiliation
Mailing Address
Z- e- l *7,y K/ -7
Telephone Number
Fax Number
E mad Address
11 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 Iredell
Nearest Town Mooresville
Subdivision name or site address (include phase/lot number) The Point

Directions to site — please include road numbers landmarks etc (This is not necessary
if an adequate vicinity map is included) T- 77 E V i f 6 sf/ oh
C� 4< / E - L L -1'/ G,, VA9- ,, lice _ L Ili / / <h t C,
0h I-elf
2 Describe the existing land use or condition of the site at the time of this application
L e f St c't c/ y L A't d 4jg
3 Property size (acres) 9 96 kevz),
4 Nearest body of water (stream /river /sound /ocean /lake) LW M`4 `h w
5 Describe the purpose of the proposed work y / /
!� 6h
6 List the type of equipment to be used to construct the project
/� cam, // 6 L
i�/!i1 L yJ/ JiY iAlJ 0& S/- 9%rl��
6K 117
7 Amount of impact (including all excavation backfill np rap retaining walls etc) below
3 / x / I) )'t
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
/` K /t) ) "
b Please describe vegetation above the normal pool lake level and 50 feet land ward to
be impacted (number of trees for instance) (AJ 46d G Q L&( 5_C, /)4 1�
AppiecanUAgenrs Signature Date
(Agent s signature is valid only if an authonzabon letter from the applicant is provided)

r-YT— k
-d ""i`,�
Lake (Full Pond) , f� xT -t, X
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F,FuII Pond �xk��,
i�o Shoreline, G�� , b �4t
$ r a t s a{ ty s$ s a x �% say adp�
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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 np rap or fill to be placed above the Full Pond elevation
3) Location of np 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 Apphcants 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 — David Dillen
Street Address (at Lake) 209 Milford Circle
Lake Name Norman
Subdivision Name The Point
Tax Parcel ID (d known)
City Mooresville
State NC
Lot 1330
County Iredell
Zip 28117,
Latitude _ 355612 Longitude 808927.
Telephone 216 - 390 -6157,
Directions (from mayor road or highway)
I -77 North to exit 33 — West on Williamson Rd — Left on Brawley School Rd — Through
Circle — Left on Yacht Rd — Left on Milford Circle
Descriptive Structure (s) on Property (i a brick garage, white fence, mobile home, etc )
209 Milford Circle — Wooded lot nght across from 210 Milford Circle

209 Milford Circle, Mooresville, NC 28117 - Google Maps
Go, , IC Address 209 Milford Cir
Mooresville, NC 28117
Get Google Maps on your phone
9 Text the word "GMAPS "to 466453
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