HomeMy WebLinkAbout20130181 Ver 1_401 Application_201302132013 1
DUKE ENERGY LAKE SERVICES p 18
PO BOX 1006
MAIL CODE: ECI2Q
CHARLOTTE, NC 28201.1006
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 NIA In the blank.
PLEASE SUBMIT THE APPLICATION AND APPROPRIATE DUKE ENERGY FILING FEE, PAYABLE
TO DUK E ENERGY, TO THE ABOVE ADDRESS.
Applicant Information
A. Name: Ra4mT' -e ft.oRg1rA PIE 1 n1'oscA
B. Mailing Address: 14 3Z A J 13 Lk ei 6CAF ,_ 6AInlfr3Vi L( I FI X3.1
C. Telephone: J 2- 3 71- V 0,3V
IL Location of Proposed Project
A. Lake C:
B. Street Address:
C. County: 1A- c KSo -4
D. City, town, community or landt
B. Section: Lot
F. Directions topropetty by road:.
O. 1. etitude/Longitude fbr the project site (optional):
Fl. Please submit a trap showing the coordinates and the met location of the project site. (NOTE:
l atitudellongitude coordinates can be found on Internet site hn :/fsmn orbisinc.comfsmp0
111. Description ofproject
A. Length of wall: '
B. Material: 4 AA)c. ,L j= E
C Distance from property linefshoreline: sA1 V T
IV. intended Use of Pro ct Area
A. Private:
B. Commercial: (�
V. Applicant Signature E . Date: 1
ZWSE NOTE THE FOLLOWNG:
Two (2) copies of the "Duke Energy Application for Permit to Stabilize the Shoreline in North Carolina,"
photographs of the shoreline to be stabilized, and 0=431coples of the completed "NC Division of Water
Quality Pre - Construction Notification Application" must be submitted with the Division o
application fee to:
NC Division of Water Quality
Attention: Cyndi Karoly or Karen Higgins
1650 Mail Service Center
Raleigh, NC 27699.1650 FEB 2 5 2013
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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 M Sales f the applicalkn and supporting
information as well as a non - refundable application fee to the Division of Water Ouality of 240.
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.-
Division of Water Quality 401 Oversight/Express Review
1650 Mail Service Center
Raleigh ' 1VC 27699 -1650
PIP
FFR 2 a 2013 r,
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L Applicant Information ED AL
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1. Owner /Applicant Information
e
Name:
Mailing Address: 2 4.32 ,-J Q M� P tPt cZ
CA i A4E3V i LLe r- t_
Telephone Number: _3 -3 7� - a p Fax Number.
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:
Company Affiliation: r ,d)fCr27,—
Mailing Address: /100 A6-Y ?.&2-
Telephone Number �� �1�Z S- Fax Number: &Z IS 2,9_3 22222
E-mail Address: f' PA Z 3�
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.
i
`, . • '
1. Location
County: ,_b "A) Nearest Town: (,ld"c lil
Subdivision name or site address (include phase/lot number): /4k 11rlIfE 1 oT ' S
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): %.357
4. Nearest body of water ( stream /river /sound/ocean/lake):��p
5. Describe the purpose of the proposed work: �5 _5;2Z.r2 i 4,2
6. List the type of equipment to be used to construct the project:1/il
I Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: C42 5--�� Q e
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: /
AW S S. ��i i-P PP_T
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance):
112311.3
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
53(/25""
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Please approximately sketch the fig Wonnation on this plan
(please provide dimensions for each Ken% such as 10 it, x 100 ft):
1) AN proposed vegetation deaning (provide dimensions).
.2j Location of dp rap or fill to be planed above the Full Pond-elevation
S) Location of rip rap or fill to be placed below the Full Pond elevation
4? The location of any proposed structures such as buildings, r Wrdng
waft, docks, etc.
6) The location of any excavation or dredging beer the Full Pond
elevation.
6) Location of construction access corridors.