20120856 Ver 1_401 Application_20120912

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The following is an abbreviated application forth 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 G1P30. This Application cannot be used
for wetland or stream impacts. Please provide five (5) copies of this applications and supporting
information as well as a non - refundable application fee to the Division of Water Quality of $244.00
for impacts to lake bottom of less than 1 acre and $570.00 for impacts to lake bottom of greater or
e0ual to 1 acre.
Applications should be sent to: T'E Division of W ater Quality 401 oversight/Express Review Permitting 1650 Abil Service Center
Raleigh, NC 27699 -1650 20.2
L Applicant Information
Owner /Applicant Information
Name: !Z6QqzM --
Mailing Address: SOS- 1Tza 6y_&d,
Telephone Number. A M " 196 7V Fax Number:
,des, 2A01L jftg- 3?rJ — 9Z 72
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.)
Rag ame: �3 eZA?%- %Ai
Company Affiliation: daAlmV C7& L
Mailing Address: a-g-7 3b
Telephone Number ' �y3 '� %Fax Number: -� ` �%� - - --
E-mail Address: �� . a (? ao f , e s7► --*%
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 most be included.

1. Location y
County: Nearest Town:
Subdivision name or site address (include phase /lot number):
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included). i;wr4 ot, uz ." a+ My Naas Y, liar$?- ib _
_ , fid RA l' +aI64OT Cto /0ivwir t i 7b zs+cF_ pA� a. &ZE Sri daaoe
2. Describe the existing land use or condition of the site at the time of this application: ?01161A& ^Ck
3. Property size (acres): i ; � S
4. Nearest body of water (stream/river /sound/ocean / lake): L9*QZ N *,,P7*Wte,+
5. Describe the purpose of the proposed work: 7'V
6. List the type of equipment to be used to construct the project: / %slvk_ �
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: 7 zs, -5rt i__AMT_ 1* —
S.a. Amount of impact (including alt 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:
2 `' ¢ —
$.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): hFMS Fiarm % jezrs 7- &r"r 1 ot, v
Applicant/Agent's Signature f
(Agent's signature is valid only if an a
WffIM
Date / '
letter from the applicant is provided.)

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DUKE ENERGY LAKE SERVICES
EC12 -Q
P O BOX 1006
CHARLOTTE, NC 28201.1006
704382 -1567 or TOLL FREE 14*0493 -5193
APPLICATION FOR PERMT TO STABILIZE THE SHORELINE IN ISMI Ii CAROLINA
Please type or print and fill in all blanks. If h&rmatIm is not applicable, so indicate by placing NIA In blank. PLEASE
SUBMIT APPLICATION AND APPROPRIATE DUKE ENERGY FILING MR. PAYABL Z TO DUKE ENERGY,
TO ABOVE ADDRESS.
I. Applicant Information
A. N
Name (�
B. M
Mailing Address 3a'_
C. T
Telephone:_ JoLg — _5
It. Location of Proposed Protect
A. L
Lake
B. S
Street Address
C. C
County—.0==
D. C
City, town, community or inn!
S. S
Section Lot #
F. e
eetion3 to property_by road
t�ir
a
tr
0. Latitude and longitude for the project site , 1 Kl? X Yi - L[3 . ( tt id 710 r
H. Please submit amp showing the coordinates or a detailed map (USGS quad map, city map, etc.) allowing the
exact location of the project site. (NOTE: Latitudel longitude coordinates can be found on intemet site,
wmmsRMM . M. Directions: Don't register, click "Maps °, enter address, draw trap, select "Map Clicking
Will..: ', select " Lat/i.ong", click map)
III. Description of project L
A. Length of it 0
B. t
4atirw--r
a IBS i
C. Distance from property line /shoreline ,7Q t —
IV. Intended Use of Project Area
A. Private
B. Commenow
V. Applicant Signature _,. Date
ELEAMN -0-TE rM.E.,QLOWI ,
• 2 COPIES OF THE -DUKE ENBROY APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
CAROLINA°, PHOTOGRAPHS OF THE SHORELINE TO BE STABILIZED, AND FIVE (S) COPIES OF THE
COMPLETED -WC 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
PARK VIEW BLDG., 2321 CRABTREEBLYD.
RALEIGH, NC 27604
979673.%1786
Y:U.AX MpMrJ1ackage lnorma wnM Shordine StaNizatan AppN mWa.doe

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June 15, 2012
Mason Moorer
305 Sydenham Way
Evans, GA 30809
47te °.._
Duke Energy Lake Services
PO Box 1006 / EC12Q 7%
Charlotte, NC 28201
RE: Application for Private Facility Excavation ®Shoreline Stabilization Miscellaneous
Reservoir Uses
Nantahala - - 50 Laurel Ridge Road
Dear Prospective Lake Use Permit Applicant.
Enclosed you will find the current Duke Energy Lake Services Fee Schedule which became effective January 1,
2002, the applicable Shoreline Management Program Permit Application(s), the Duke Energy Nantahala Area
(DENA) Shoreline Management Guidelines (SMG) which became effective July 1, 2003, and the DENA Private
Facilities Users Agreement. The purpose of the program is to comply with Federal Energy Regulatory
Commission (FERC) orders and requirements for authorizing facilities constructed inside the project boundary of
Duke's licensed lakes.
The Application(s) will be reviewed after being completed and returned to Duke Energy Lake Services - EC12Q,
PO Box 1006, Charlotte, NC 28201 -1006. PLEASE USE YOUR MAILING ADDRESS ON THE
APPLICATIONS) and type or print information for legibility. No activity is allowed inside the project boundary
until you receive written authorization from our office, and no approval will be given to anyone other than the
property owner. A check made Payable to Duke Energy for the appropriate filing fee (see enclosed fee
schedule) must accompany the following before the review process will be initiated. A completed DPNA
Users Agreement must be signed by the adjacent property owner and included with each application. An'
application is not considered complete without the signed Users Agreement.
PIER/DOCKISTABi LiZATION:
1 The completed application(s) (for pier structures include both proposed and existing facilities) Include the
Duke Energy permit number if one has been previously assigned to any existing structure on the
property.
2. The form describing directions by road (including section and lot number if applicable), and the area of the
planned construction /activity marked on the grid map (if enclosed).
3. Copy of a registered survey of the property, showing proposal's location from your property into the project
boundary
4" Copy of county building permit, if one is required by the county. (Applicable to pier structures only except for
Burke County which requires a building/shoreline protection permit for stabilization.)
5. Other information, including mitigation plans or cultural resource consultation documentation, if applicable
6 Latitude and Longitude coordinates must be supplied in order to process the application. Coordinates can be
obtained from wu"w.orbisinc.com /sinp/
FOR NORTH CAROLINA STABILIZATION:
I TWO (2) COPIES of the NC Division of Water Quality (DWQ) Pre - Construction Notification Application
(can be found on Internet site. http 1 /h2o enr state nc us/ncx•etlands'lake html) and the DWQ application fee
must be provided to the NC Division of Water Quality, Attention. C,yndi Karoly. 401 Permitting Unit, 1650
Mail Seivice Centei, Raleigh. NC 27699 -1650
Thank you for your cooperation in working with us through the Private Facilities Permitting Program. Should you
have any questions or need further assistance, please call the Lake Representative for the Nantahala Area (828-
369- 4513), or you may call Toll Free 1- 800 - 443 -5193
Sincerely,
Lake Services
www duke - energy com
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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 12 Q
PO BOX 1006
CHARLOTTE, NC 28201 -1006
1- 800 -443 -5193 and select Option 5
Applicant's Name: 11 "zon /it
Street Address (at lake):
Lake Name: AAA"
Subdivision Name: A' -.
Tax Parcel ID (if known): �Q. J�. i..c��- Lot #
City _® County: ----
State: Zip:
Latitude-..S .5—, / S Pd"?/ Longitude: - �$ 70/
Telephone: 701 �.15D-O&.24 o IQ 7 Ot',? ??7- 7 / `t o
Directions (from major road or highway):
wont A'414.n/C 4' -n : D /d Af as-`p kd, oul
7zk,r/7 e r m cdlaA kz, ( 6-4aA15
60 0 Ye-X- Wad 6 &1
41 11,1111A/
Descriptive Structure(s) on Property (i.e. brick garage, white Rice, mobile home, etc):
,OVO , 0-k o-l" LP, de y kd.
9P2b1 AKEMGW1ParkW Idfomsa timMirectams by Road Form doe
8126/09

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