20120330 Ver 1_401 Application_20120412

DUKE POWER LAKE MANAGEMENT EC12 -0 2 0 1 2 0 3 3 0
P O BOX 1086
CHARLOTTE NC 28201 1006
704- 382 -1567 OR TOLL FREE 1400443 -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 R 1 644/4 4 014A C P C
B Mailing Address 6 l' 1P
C Telephone
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it Location of Proposed Project
A Lake �� n rn M ti,P
B Street Address I , ed Q A
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C County r —i1 1- 11
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D City Town Community or Landmark & 0 M f✓ 5 L" l l L
E Section Lot # ( Subdhnsion �' RT s �a f� 3 N y
F , Directions to property byroad 7 7 N 4 a t= It -�` 3 �y�L.LC: Jf �h
I I'i � A f—A 14 — L. On �3�R�ley Sc 4 — A" (/7 017
G Latitude and longitude for the prgect site S 3 3S-3 jrO S
H Please submit a map showing the coordinates or a detailed map (USGS quad map qty map
W ) showing the exact location of the project site {NOTE LaWAe/longdude coordinates can
be found on Internet site www mapsonus corn 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
B Material
C Distance from property
Intended Use of Project Area
A Private X
B Commercial
V Applicant Signature Date
PLEg69NOTE T
HE FDUOVAW.
A COPY OF THE COMPLETE APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO US
ARvY CORPS OF ENGINEERS 151 PATraN AYENUE ROOM 208 ASHEWLLE NC 28801 -6008
• A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO STA131LIZE THE SHORELINE IN NORTH CAROLINA AND SEVEN (7)
COPIES OF THE COMPLETED WC: DIVISION OF WATER DUALITY PRE - CONSTRUCTION NOTIFICATION APPLICATION" MUST BE
SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE Ta NC AnIrSION OP WATER QUALJrY ATTENnON Cynch
#WW PARKVIEW BLDG 2321 CRABTREE BLVD RALEW NC 27604 PHONE [phone]W

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
1 Applicant Information
1 Owner /Applicant Information
Name
Richard & Mane Page
Mailing Address
281 Wood Duck Loop
Mooresville NC 28117
Telephone Number
704-663 7662
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
Brad Bustle
Company Affiliation
BBC Marine Construction
Mailing Address
9521 Island Point Dr
Shernlis Ford, NC 28673
Telephone Number
704 - 928 -5265
Fax Number
E mail 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 Iredeil Nearest Town Mooresville
Subdivision name or site address (include phase/lot number) Crystal Bay

Directions to site — please include road numbers landmarks etc (This is not necessary
if an adequate vicinity map is included) �� ��� I
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2 Describe the existing land use or condition of the site at the time of this application
I, 14.1 I P / Cn w I 5-
3 Property size (acres) a j
4 Nearest body of water (stream /nver /sound /ocean /lake) /V 0�7y7�
5 Describe the purpose of the proposed work
5hq 112 ,- S a i? r✓
6 List the type of equipment to be used to construct the project 5
Le ��ia� �✓�a�h -
7 Amount of impact (including all excavation backfill np rap retaining walls etc) below
Y ' X/ 0
8 a Amount of impact (including all clearing back fill excavation np rap retaining walls
etc ) above the normal pool lake level and 50 feet land ward in square feet or acres
/` Y, / /oI
b Please describe vegetation above the normal pool lake level and 50 feet land ward to
be impacted (number of trees for instance) �
,JJ L' f 1114 /,(Cs cX.
(Agent's signature is valid only if an authonzat►on letter from the applicant is provided)

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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
6�
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D O N A L L E N & A S S O C I A T E S P A
D S ENGI" FEE FEE R NG SIJR%/EY IVG PI-ANN IVG
1'11 Roca WOy Dr ve Mooresville N C M0117
[phone] (704) 664 — B041 Fax
I certify that this mop was drown under my supervision from on actual
survey made under my supervision recorded in deed book_ -983_— page_ 706 _— and /or
plat book__ 9 _ -- page__ 9 —__ that the ratio of precision is 1 10 000 that this mop
was prepared In accordance with the General Statutes of North Carolina Chapter 89C
my hand and seal on the day of _NOVEMBER A D 1 99
_ d 9
WILLIAM M ALLIISOLS
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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 tune Please complete this form and return it along
with your completed permit application to
Duke Energy
C/O LADE SERVICES — EC 12Q
PO BOX 1006
CHARLOTTE, NC 28201 -1006
1- 800 -443 -5193 and select Option 5
Applicant's Name — Richard Page
Street Address (at Lake) 281 Wood Duck Loop,
Lake Name Norman
Subdivision Name _Crystal Bay
Tax Parcel ID (if known) Lot 1
City _Mooresville
State NC.
Latitude _ 35.3353,
Telephone [phone]
County Iredell.
Zip 28117,
Longitude 805246
Directions (from major road or highway)
I -77 North to exit 33 — West on Williamson Rd — Left on Brawley School Rd — Right on
Canvasback Rd — Left on Wood Duck Loop
Descriptive Structure (s) on Property (i a brick garage, white fence, mobile home, etc )
281 Wood Duck Loop

281 Wood Duck Loop, Mooresville, NC - Google Maps
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