20121111 Ver 1_Shoreline Stabilization_20121211

f- 20121 11 1
DUKE ENERGY LAKE SERVICES
EC12 -Q
P O BOX 1006
CHARLOTTE, NC 28201 -1006
704382.1567 or TOLL FREE 1- 8004434193
19@
DEC 1 0 2012 d
APPLICATION FOR PERMIT TO STABILIZE THE SHORCUM M NORTH CAROLINA
Please type or print ad fill in all blanks. If iriftnation 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 App'.
A.
B.
C.
IL Location of Fro Project
A. Lake 8f'Itti0.n
B: Street Address
C. Comity �
D. City, town, cormmua y or le<tdmatk o P V i
L Section Lot 8 Subdivision
F. Directions t4 p mem by - - _ —. e
IIII
G. Latitude and longitude for the project site
H. Please submit a reap showing the coordinates or a detailed amp (USGS quad roap, city map, etc.) showirigthe
exact location of due project site. ( NOTE: Latitudef longitude c oordinmtes can be found on hstenet site,
www matuonos tom. Directions: Don't register, click "Maps °, enter address, draw map, select "Map Clicking
Will... ", select "I.atlmr, click nap)
III. Description of Project
A. Length ofwBlj
B. Mateial C14-4-5-6-
S . Q
C. Distance from property ItaeftwRine
IV. Intended Use of Project Area
A. Private
B. Commercial
V. Applicant Signature-1,/Al. Date
4r 11
PLEASEMTE TAE FOLLOWING_:
• i COPIES OF THE -DUKE ENERGY APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
CAROLINA -, PHOTOGRAPHS OF THE SHORELINE TO BE STABILIZED, AND FIVE (S) COPIES OF THE
COMPLETED -NC DIVISION OF WATER QUALflY PRE- CONSTRUCI70N NOTIFICATION APPLICATION -
MUST BE SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO:
NC DMSION OF WATER QUALITY
ATTENTION: CYNDIICAROLY
PARKVIEW BLDG, 2321 CRABTREE BLVD.
RALE108, NC 27604
919 - 7331786
YiLAKBMO14fl\>'admp b dbmtatio = Shordina Stabilization Appliaation.doc

20121 11 1
Themeie an abbreviated ap a form for vwe app yjng for a 401 Water Qud*
to impact FSRC (Federal ►iator�► Conamnia) regulated lake shore or
bottom wrier the U.S. Army Carps of EnOMM PermkGm. Tb Appocation cannot W used
for wind or stream impacts. Please provide five (5) copies of this appiica#ion and supporft
information as wep as a non-re W"1e application fee to the Division of Water Quality of $z4a oo
for impacts to lake bottom of less than 1 alre and $570AO for impacts to lake bottom of greater or
egos! to 1 acre. t P
Apps shooM be sent to:
Division of water Quality 401Overtllgb tt/ Review P
1660 Mail Servlee Center L
Italeigb, NC 2T69M&M
L Applicant Information
1. OwnedApplicant Information
DEC 1 0 2012
DENR - WATER QUALITY
Tel bm Number: - Fax Nwnbw..
E-mail Address:
I Agent Information (A signed and dated copy of the Agent Authorization letter must be attached
if the Agent has signatory authority for the owper/aW1icant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number Fax Number.
E-mail Address:
IL Project Information
Attach a vicinity map clearly, showing the location of the property with respect to local landmarks such
as towns, rivers, and reads. Also provide a detailed site plan showing property boundaries and
development plans in relation` to surroundingproperties. 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 auvw. The foo4xints of all buildings. impervious surfaces, or other
facilities must be included.

.l

. .
1.
Cat W. 2r o du Al NearestTown:
Subdivision name or site address (include phMAot number):
Directions to site please include road numbers, �landmadcs, dc.
vicinity map itincludW.
1 is ip not necessm if an a"
2. Describe the existing land use or condition of the site at the time of this application:
s its
3. PropeatYzize (acres): = •
4. Nearest body of water (Umandrivedsou "caan/lW*
5, a purpose of thecproposed woda a
�!, a n 0 r C 0^
6. List the type of equipment to be treed W construct the project
7. Amount of impact (including all excavation, backfiil, rip rap, retaining walls, etc.) below the
8.a.
l pool lake level in '0 arras:
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:
8.b. Please describe vegetation above the normal pool laim level and 50 feet landward to be impacted
(number of am for instance): 90^t
(Agent's signature is valid only if an authorization letter from the applicant is provided.)