20120607 Ver 1_401 Application_20120612

V.-A-M A Vd 4 1
20120607
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 of to lake bottom of less than 1 acre and $475 00 for impacts to lake bottom of greater
or equal to 1 acre
Applications should be sent to
Division of Water Quality Wetlands Unit
1650 Mad Service Center
Raleigh, NC 27699 -1650
Applicant Information
Owner /Applicant Information
Name
KIM JURELL
1UN 1 8 2012
Mailing Address 530 HICKORY HILL LANE
CINCINATTI OH 45215
Telephone Number 513 948 0608
E mail 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 CARISSA PARKER
Company Affiliation BENNICK ENTERPRISES LLC
Mailing Address 7836 HWY 70 EAST
NEBO NC 28761
Telephone Number 828 659 -1000 Fax Number 828 659 1001
E mail Address CARISSA a,BENNICKGRADING COM
II Protect 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

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1 Location
County BURKE Nearest Town MORGANTON
Subdivision name or site address (include phase/lot number) DRY CREEK LOT 46
5396 KNOLLVIEW RD
Directions to site please include road numbers landmarks etc (This is not necessary if an adequate
vicinity map is included) FROM MORGANGON TAKE HWY 126 / TL ONTO SOUTHPOINTE
DR / TR ONTO OLD DRY CREEK RD / TR ONTO KNOLLVIEW RD TO PROPERTY
2 Describe the existing land use or condition of the site at the time of this application
THIS IS A VACANT WOODED LAKE LOT
3 Property size (acres) 184 ACRES
4 Nearest body of water (stream/nver /sound/ocean/lake) LAKE JAMES
5 Describe the purpose of the proposed work _TO STABILIZE 485 OF ERODING BANK
ALONG THE SHORELINE OF THIS LOT BY APPLYING RIPRAP THE HEIGHT OF THE
RIPRAP WILL BE 3 8 IN HEIGHT
6 List the type of equipment to be used to construct the project
A BARGE A BACKHOE AND HAND TOOLS
7 Amount of impact (including all excavation backfill np rap retaining walls etc ) below the
normal pool lake level in square feet or acres 3 X 485 = 1455 SQ FT
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
3 X 485' = 1455 SQ FT
8 b Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance) 14 TREES LESS THAN 6 AND 6 TREES GREATER
THAN 6 WILL BE REMOVED TO COMPLETE THIS PROJECT THEY WILL BE
REPLACED INCH FOR INCH WITH TREES TOTALING THE SAME DIAMETER ANY
REMAINING DISTURBED AREA WILL HAVE MULCH APPLIED TO IT
Applicant/Agent s Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided )

KIM JURELL
Lake James
Dry Creek lot 46
To North Carolina Division of Water Quality
I give Carissa Parker, of Bennick Enterprises, LLC , permission to sign
as my agent on my application for shoreline stabilization
Signature (s)
Date j/f /��Z

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Kim Jurell - Dry Creek 46
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Lake James /J coo Cobb qve
Kim 3urell
Dry Creek lot 46
5396 KnoINiew Rd
Latitude: 35.76588 N
Longitude: 81.84880 W = r
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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 CAROLIN A
Please type or pnnt 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 ENERGY
TO ABOVE ADDRESS
L Applicant Information
A Name
B Mailing Address
C Telephone
H Location of Proposed Project
A
B
C
D
KIM JURELL
530 HICKORY HILL LANE CINCINATTI OH 45215
513 948 -0608
Lake LAKE JAMES
Street Address 5396 KNOLLVIEW RD _
County BURKE
City town commumty or landmark MORGANTON
E Section Lot # 46 Subdivision DRY CREEK
F Directions to property by road — FROM MORGANTON TAKE HWY 126 / TL ONTO SOUTHPOINTE DR /
TR ONTO OLD DRY CREEK RD / TR ONTO KNOLLVIEW DR TO PROPERTY
G Latitude and longitude for the project site _ LATITUDE 35 76588 0N LONGITUDE 81 84880 °W
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
�11%1s Mkpsonuscon)
III Description of Project
A Length of wall 485 LINEAR FEET
B Material RIP RAP
C Distance from property line/shoreline—WILL FOLLOW EXISTING SHORELINE
IV Intended Use of Project Area
A Private YES,
B Commercial
V Applicant Signature
Date
PLEASE NOTE THE FOLLOWING v
• A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE
PROPERTY MUST BE SUBMITTED TO US ARMY CORPS OF ENGINEERS, 151 PATTONAVE - ROOM
208, ASHEMLE NC 28801 -50
• 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
05/24/12ssb