20120372 Ver 1_401 Application_20120412

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20120372
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 T'T�fi 1T
LC" ll 1�
Division of Water Quality 401 Oversight/Express Review Permitting s
1650 Mail Service Center �
Raleigh, NC 27699 1650 a (�7
Applicant Information
Owner /Applicant Information 1
Name O-Am E S R WOO -D
&Z09 fdxirle D C7
0j1j,Z, ,e { CL 3`/77
Mailing Address A -755 i ?-&1e4)A :a&iL-
-DEnUff. AIC iR 8'037 ...,_.._.., __
Telephone Number N o 7- 5' - 02 76 Fax Number
E mail Address � „ t ao n 0 /a gee erg as co A
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) g�Name a
Company Affiliation
Mailing Addiess
Telephone Number
E mail Address
II Project Information
Fax Number
W
Attach a vicinity map cleaily showing the location of the piopeity with iespect to local landmaiks such
as towns rivers and roads Also provide a detailed site plan showing property boundaites and
development plans in relation to surrounding pioperties You may use the diagram below to make a
hand sketch of your project Also see the example below foi guidance Both the vicinity niap and site
plan must include a scale and north arrow The footprints of all buildings impervious surfaces or othei
facilities must be included

I Location 1
County Nearest Town F-N I%Q , t
Subdivision name or site address (include phase /lot number) `IM LAPP Nrns < Q� 14
Directions to site please include road numbers landmarks etc (This is not necessary if an adequate
vicinity map is included) OLD 14, to f- FFS ► n A) u4 y c44c4(LtI f�-r - ff- f,JJGAt
GI U rTi CJ1GtkG41 ALL -rtfE u/fl1r te) 4r57 ? % $ ,EidlU
AiS 9-Alh? (-7f)Lj-J4nr i & L f ;a 3 tae., OAD zT a7S,
2 Describe the existing land use or condition of the site at the time of this application
3 Property size (acres) Ce ' 'S 9 Re-ff S
4 Nearest body of water (streanVrrver /sound /ocean /lake) /—WE 06eft, A 1�
5 Describe the purpose of the pi oposed work A- 7 762" LIA) E
tb IEEQQ d l�s �1 RAC fED Q Y Ll A<6V- Al
6 List the type of equipment to be used to construct the project ZMALL RZO L�Ot�fi�
7 Amount of impact (including all excavation backfill rip rap retaining walls etc ) below the
normal pool lake level in square feet or acres �ejrJF-_ EzAo) A)djYl-
L LjE u f-L
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 sand ward in square feet or acres
4 AILv R;bIA ,7LnA) A P Y_0A910 41n1 1,10-111 Oss n e-
8 b Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance) RD/J7 YArD LAISEC S
"itTT x) Q1kS 6S� € i x) Pr � d
�j5 dz d ..SFr L,q.f S
2-V/
int /Agent s Signature ate
s signature is valid only if an authorization letter from the applicant is provided )

V\ r
�ls
BRICK WOOD DECK
FOUNDATION
(Il (n
50' LAKE SETBACK
FROM PROPERTY LINE
PER RANDY HAWKINS
O LINCOLN COUNTY II
PLANNING DEPT.
I
760 CONTOUR AS FIELD LOCATED- 2/27/12
17 nn W- N 511
LAKE
NORMAN
760 CONTOUR &
50' LAKE SETBACK SURVEY
FOR TRIANGLE BUILDERS
PROPERTY OF JRW INVESTMENT PROPERTIES
2755 TRILLIUM TRAIL
DEED BOOK 2026 -351, PIN 4613 -65 -8554
CATAWBA SPRINGS TOWNSHIP, LINCOLN COUNTY
NORTH CAROLINA
FEBRUARY 29, 2012
REVISED: OFFSET 50 SETBACK FROM PROPERTY LINE. 3/5/12
REVISED; ADDED DIMENSION FROM CENTER OF PORCH TO SETBACK. 3/13/12
FILE NAME: TRIANGLE -6
20 0 20 40 60
GRAPHIC SCALE — FEET Scale 1" = 20'
SEAL
ltlol =" 1
1' PIPE
Course
Bearing
Distance
Lt
S 37'45'53' W
I
2.83'
1
L2
N 39'00'27" E
3.16'
NOTES:
. THIS PROPERTY UES ON LAKE NORMAN.
L AREA DETERMINED BY COORDINATE COMPUTATION.
S. CP DENOTES COMPUTED POINT. NO MONUMENT FOUND OR SET.
I. UNDERGROUND UTILITIES NOT LOCATED AS OF THIS DATE.
LEGEND:
—� PROPERTY LINE
TIE LINE
-- UNSURT'EYED LINE
- - - - - - - - - - - - - - - - BACK OF CURB /EP
— — — — — — — .. --- SETB d CK LINE
CP COMPUTED POINT
PP POWER POLE
PYRAMID LAND StrAVT ING
P.O. BOZ 11 BAVIDSON. NORTH CAROLMd
OMI -4W AUMS AAMON LOU L—W44

20 � 20� ra
DUKE ENERGY LAKE SERVICES
EC12 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 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 ENERGY FILING FEE PAYABLE TO DUKE FNERGY
TO ABOVE ADDRESS
I Applicant Information
A Name �A rr. C.S i` wp C2
B Mailing Address (e2U 9 I oX F ► EGD cl �j i JD EQMF�€ L jv7fe
C Telephone go 7 - S 7 - ;u76 SY T
II Location of Proposed Pro ect
A Lake nivlL �N
B Street Address 2 ZST —
C County La1) IC04
D City town community or landmark__a
E Section 14L Lot # S6 Ya
F Directions to property by road —q&TA
(1la 3�topf 3E#17 1E. ? &7
11£R rJ C, a 9''03 7
—.% V Lc ..►
- -G,c,Latttude and longitude for the protect site 1- PIL Gl oZ -5 7 1
H Please submit a map showing the coordinates or a detailed map (U GS 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)
iII Description of Project
A Length of wall__
B Material V,%? A �b
C Distance from property line/shoreline_ e n1 7A o L , ,J E _
IV Intended Use of Project Area
A Private Ff-g S o 140mr-
B Commercial
V Applicant Signature Date Z
OYVACL' Alnr' 7'ErV ]MY rnr 'r.'
• 2 COPIES OF THE DUK9 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
Y 1LAKEMGMTVackage InformatioriM Shoreline Stabilization Application doc

19
DUKE ENERGY DIRECTIONS BY ROAD FORM
Lake Use Pernut 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 application to
mp penult
DUKE ENERGY
CIO LAKE SERVICES - EC 12 Q
PO BOX 1006
CHARLOTTE, NC 28201 1006
1- 800 -443 -5193 and select Option 5
APplicant s Name
Street Address (at lake)
Lake Name
--� Subdivision Name ms �-
---� Tax Parcel ID (if-known)
Lot #
city I✓ � CountY'
State
`� ZiP
i Latitude Ai . 4., 6 Longitude 0
Telephone 70 LI - ;57 — a 74 0o
Directions thorn major road or highway)
`�' ar�-, ►1J l ✓tcr..t ,3'`.�C -�ou� -ems � � yam'
Descriptive Structures) on Property (i a brick garage white fence mobile home etc)
4 la� T-7,4 4Ua-VJ 611 7ALr�(FOL�
(26, , , , (°e7,clZto /-, -11'f r�`
gpal/L AKEhICMT/Package Information/DjrWj0 s by Road Form doc