20130221 Ver 1_Application_20130304

Ovfessio�ft mits
185 Maher Orive
7ayCorsviae, NC. 28681
(Phone: 828 - 320 -0792
Ta,Z 828495 -3855
professionaf er ►nits @em6argmad com
January 28, 2013
7o Wbm It 9Kay Concern:
20 130 22 1-
I am submitting an appfi ation for shoreCute staWization for my cCiew (David and Lisa Buff
Enclosed'you wilrfmd the appropriate forms and checks If you Have any questions, please caQ
the above number. I also askthat you send the approvalletter to the above address as I wilt'
need to complete the packet andsend to D* Enemy.
`wnk yvk
R&OV) AW
l96in Walter /.Agent
BrofessumalEermits
Q
MAR 0 41013 �

20130221
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 (5) copies of this application and
supporting information as well as a non - refundable application fee to the Division of Water
Quality of $240.00 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 should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, N.C. 27699 -1650
I. Applicant Information
1.Owner /Applicant Information
Name: David and Lisa Bull
Mailing Address: 2108 St. James Road
Raleigh, NC 27607
Telephone Number: 919 - 696 -6293
E -mail Address: david0sterlinetitlenc.com
Agent Information:
(A signed and dated copy of the Agent Authorization letter must
be attached if the agent has signatory authority from the owner /applicant).
Name: Robin Maher
Company Affiliation: Professional Permits
Mailing Address: 185 Maher Drive
Taylorsville, N.C. 28681
Telephone Number: 828 - 320 -0792 Fax Number: 828 - 495 -3855
E -mail address: nrofessionalpermitsC @embargmail.com
19@ r___3aWIN DO
MAR 0 4 2013

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.
1. Location:
County: Catawba
Nearest Town: Hickory
Subdivision name or site address (include phase /lot number):
503916th Street Drive NE
Directions to site: Please include road numbers, landmarks, etc. (this is not
necessary if an adequate vicinity map is included).
1 -40 West to McDonald Parkway and turn right
Continue onto 24th St NE
Take slight left onto 29th Ave. Dr. NE
Turn right onto 16th St NE
Keep right at the fork.
2. Describe the existing land use or condition of the site at the time of this application:
Vacant lot
3. Property size (acres) 2.909
4. Nearest body of water (stream /river /sound /ocean /lake): Lake Hickory
S. Describe the purpose of the purposed work:
Rip rap will be placed to stabilize the trees that are along the shoreline of the main
channel. The trees are being eroded by heavy wave action from boat traffic.
6. List the type of equipment to be used to construct the project:
Bobcat and tractor.
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level in square feet or acres:
4Ft x 100Ft = 400 Square Feet

8a. 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:
217t. x 100 Ft. = 200 Square Feet.
8b. Please describe vegetation above the normal pool lake level and 50 feet land -ward to be
impacted. (number of trees for instance): There will be NO trees removed or ground
disturbance with this project The purpose of this project is to save /maintain the
existing trees from erosion.
1- 218 -1 3
Applicant /Agent's'Signathre Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

Lake (Full Pond)
Full Pond
Shoreline
l
1)" �U Bull
50?A ILA- St D(,MC
NiAb(4 VAC, '11601
Lakeward
Please approximately sketch the following information on this plan.
(please provide dimensions for each item, such as 1OfL X 1OOfL):
1) All proposed vegetation clearing (provide dimensions) _
2) Location of rip rap or fill to be placed above the "Normal Pool" elevation.
3) Location of rip rap or fill to be placed below the "Normal Pool" Olevation.
4) Location of any proposed structures such as buildings, retaining walls, docks, etc.
S) Location of any excavation or dredging below the "Normal Pool" elevation.
6) Location of construction access corridors.
... -

To.- North CaroCna Division of Water QuaCty
I give Wp6in Waher, of TYofessionalPemits, permission to sign as my
agent on my application for shoreCne stabilization.
Signature (s)��4. �—
Date: 1• It . I 3

DUKE ENERGY LAKE SERVICES
EC 12 -Q
P.O. BOX 1006
CHARLOTTE, N.C. 28201 -1006
704 - 382 -1567 or TOLL FREE 1- 800443 -5193
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN
NORTH CAROLINA
Please type or print and fill in all the 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: David and Lisa Bull
B. Mailing Address: 2108 St. James Road
Raleigh, NC 27607
C. Telephone: [phone]
H. Location of Proposed Project
A. Lake: Hickory
B. Street Address: 503916" St. Drive NE
C. County: Catawba
D. City, town, community or landmark: Hickory
E. Section: N/A Lot: N/A Subdivision: N/A
F. Directions to property by road:
Take I40 West to McDonald Parkway and turn right.
Continue onto 24th St. NE.
Take slight left onto 29`" Ave. Dr. NE.
Turn right onto 16'h St. NE
Keep right at the fork.
G. Latitude and Longitude for project site: Latitude: 81.273391W
Longitude: 35.80304' N
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: www.mgpsonus.com
III. Description of Project:
Length of project: 100 linear feet of rip rap.
Distance from property line /shoreline: Will follow the existing shoreline.
IV. Intended Use of the Project:
A. rivet
B. Commercial
FA
V. Applicant Signature: s Date: / • i I, 3
Agent Signature: "MTOu A/
Phone: [phone] Fax: [phone]
PLEASE NOTE THE FOLLOWING:
❖ A COPY OF THE "DUKE POWER APPLICATION FOR THE PERMIT
TO STABILIZE THE SHORELINE IN NORTH CAROLINA" AND
FIVE (5) COPIES OF THE COMPLETED "NC DIVISION OF WATER
QUALITY PRECONSTRUCTION NOTIFICATION APPLICATION"
MUST BE SUBMITTED WITH THE DIVISION OF WATER QUALITY
APPLICATION FEE TO:
NC DIVISION OF WATER QUALITY
ATTENTION: JOHN DORNEY
PARKVIEW BLDG. 2321 CRABTREE BLVD.
RALEIGH, NC 27604

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David and Lisa Bull Hickory NC
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David and Lisa Bull
5039 16th St. Dr. NE
Hickory NC 28601
Latitude: 35.80304 N
Longitude:81.27339 W
1
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