20120850 Ver 1_Shoreline Stabilization_20120910

DUKE POWER LAKE MANAGEMENT, EC12 -Q
P. 0. Box 1006 2 0 1 2 0 8 5 0
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 POWER FILING FEE, PAYABLE
TO DUKE POWER, TO ABOVE ADDRESS.
I. Applicant Information rn
A. Name
C*- ha,rr%in isr� Mlle_&
B. Mailing Address
C. Telephone 0 _ 6 I` 5- 1 I f
II. Location of Proposed Project
A.
B.
C.
D.
E.
F.
G
H
Lake 6JL M*-1~-
Street Address 3- q 13 L 446 h/
County = n4,�d c5l(
City, Town, Community or Landmark & #Oht3ro" (l Cr
Section Lot # s[ f 2-- Subdivision
Directions to property /bey road / _ ,q } 6 �% k 1{ �/� - it )
1A) 1 1�r�`l�SGh Yid -lam f f�Dh ��KrG.i��� JfLyie� �r`cN(� �ti
Latitude and longitude for the project site
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)t
III. Description of Project
A. Length of wall 3 �)
B. Material
C. Distance from property line /shoreline fir•
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signature
PLEASE NOTE THE FOLLOWING:
Date ` ✓L-1 i.
12
• 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: 919 - 733 -1786

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
Owner /Applicant Information
Name Chris Beller
Mailing Address 12214 Bailey Rd
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 Iredell Nearest Town Mooresville
Subdivision name or site address (include phase /lot number): Shavenders Bluff
Cornelius, NC 28031
Telephone Number
704 - 661 -5778
Fax Number
E -mail Address
chrisbeller(a_bellsouth.net
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
E C Davis III
Company Affiliation
E C Davis Grading
Mailing Address
9804 Concord Hwy
Midland, NC 28107
Telephone Number
704- 753 -3478
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 Iredell Nearest Town Mooresville
Subdivision name or site address (include phase /lot number): Shavenders Bluff

Directions to site — please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included): T_/_1 1 „1 E k,4 Z? _ t &&q
Gl ` L C �T Q h �AL� hi Y r C�6G, T
X / kt►, ; Ild ' Lelf vh iSF �rN %�h f2�
Describe the existing land use or condition of the site at the time of this application:
, �C efAl 61- A 'Cuh kW, dEA +;. ( 9-V%yO__
3. Property size (acres): (/ 1
4. Nearest body of water ( stream /river /sound /ocean /lake).
5. Describe the purpose of the proposed work.
6 List the type of equipment to be used to construct the project: Loh
I-- S( C 0 c/ 4 �- rw
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
2 9 5 -' ,,r 3- 5-, R
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:
b. Please describe vegetation above the normal pool lake level and 50 feet land -ward to
be impacted (number of trees for instance):
Applicant/Agent's Signature
b (�( 4F +/L L c: s (d i i(
(Agent's signature is valid only if an authorization letter from the applicant is provided)
5 etz WJ, .
1 -6----1t,
Date

Lake (Full Pond)
Full Pond
Shoreline
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 rip rap or fill to be placed above the Full Pond elevation
3) Location of rip 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 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 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:_ Christopher Beller.
Street Address (at Lake)_724 Beaten Path Rd
Lake Name: Norman
Subdivision Name: Shavenders Bluff
Tax Parcel ID (if known):_4627901484 Lot 1542,
City:—Mooresville County:_Iredell
State:
NC Zip: 28117.
Latitude: 35,,5777_
Telephone:
704 -661 -5778
Longitude:_ 80.9200.
Directions (from major road or highway):
I -77 N to exit 33 – West on Williamson Rd – Left on Brawley School Rd - Right on Blume
Rd – Left on Beaten Path.
Descriptive Structure (s) on Property (i.e. brick garage, white fence, mobile home, etc.):
724 Beaten Path Rd

(Page 1 of 3)
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724 Beaten Path Road, Mooresville, NC - Google Maps
Page 1 of 1
GoAddress 724 Beaten Path Rd
' Mooresville, NC 28117 Get Google Maps on your phone
Text the word "GMAPS" to 46645 3
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MapCard - Print your custom map
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