20071143 Ver 1_401 Application_20070607

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PAYMENT ~ 7- 1 4 3
RECEIVED
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JUN 2 ~ 2007
I)Er442 _ WATER C1UF.UTY
;~TLAtED PlJD STOk2~'~,ATFR BRANCH

The following is an abbreviated application form for those applying fora 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 $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 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: James Stanislaw
Mailing Address: 5352 Benjamin Place
Granite Falls, NC 28630
Telephone Number: 828-729-0183 Fax Number:
E-mail Address: jamesstanislawna,carolinaortho.com
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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: Robin Maher
Company Affiliation: Professional Permits
Mailing Address: 185 Maher Drive
Taylorsville, N.C.
Telephone Number: 828-495-7015 Fax Number: 828-495-3855
PAYMENT
RECEIVED 0 7_ 1 1 4 3
E-mail Address: professionalpermitsnearthlink.net

II. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, river, and roads. Also, provide a detailed site plan showing
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: Caldwell Nearest Town: Granite Falls
Subdivision name or site address (include phase/lot number):
5352 Benjamin Place
Granite Falls, NC 28630
Directions to site. Please include road numbers, landmarks, etc. (this is not necessary if an
adequate vicinity map is included).
Take 321 North
Turn left onto Grace Chapel Road
Turn left onto Gunpowder Road
Go approx..5 mile straight on until you run into Benjamin Place.
2. Describe the existing land use or condition of the site at the time of this application:
This lot has an existing home on it with blonde wood siding with stone and white
trim.
3. Property size (acres) 3.7 acres
4. Nearest body of water (stream/river/soundlocean/lake): Lake Hickory
5. Describe the purpose of the proposed work: To stabilize 320' of shoreline.
6. List the type of equipment to be used to construct the project:
Track-hoe and skid steer loader.
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc
below the normal lake level in square feet or acres:
2 Ft. x 320 Ft. = 640 Sq. Ft.
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:
6 Ft. x 320 Ft. + 8 Ft. x 50 Ft. (construction pathway) _
1920 Sq. Ft. + 400 Sq. Ft. = 2320 Sq. Ft.

8b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance):
12 trees, 3-6" in diameter, and 8 trees greater then 6" in diameter will be removed.
Each tree removed will be replaced at a minimum with a 2" caliper, native specie
tree. Any disturbed area will have mulch applied to it.
Applicants/A east's Signature Date: Co -a 5 O~
(`obis _
(Age 's signature is valid only if an authorization letter from the applicant is
provided.)

~"~mPS ~-1•n n~~ln~1_ _
l~ratlti•~' F 1lc t~ G_c~~a:d
Lake (Full Pond}
Full Pand
Shoreline
Lakeward
c- a'x 3an'
~, x 3~0' Cteac~e,
AbovQ full p~

5C~' Land• turd
S~}CUGi'i Ofl
~ 35a Qen jamiris Puce
~~
Please appro~mately sketch the following information on this plan
(please provide dimensions for each item, such as 14 ft. x 100 ft.}:
1) All proposed vegetation clearing (provide dimensions)
2) Location of rip rap or fill to be placed above the "Normal Pooi"
elevation
3} Location of rip ~P or fill to be placed below the "Normal Pool"
elevation
4) The location of any proposed structures such as buildings,
retaining walls, d yks, ~c• below the "Normal
5) The location of an excavation or dredging
Pool" elevation
6) Location of construction access corridors

To: North Carolina Division of Water Quality
I give Robin Maher, of Professional Permits, permission to
sign as my agent on my application for shoreline
stabilization.
______.
Signature (s) '-'
Date: ~ ~~/ < <~~

DUKE ENERGY LAKE SERVICES
EC 12-Q
P.O. BOX 1006
CHARLOTTE, N.C. 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 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.
I. Applicant Information
A. Name: James Stanislaw
B. Mailing Address: 5352 Benjamin's Place
Granite Falls, NC 28630
C. Telephone: [phone] Cell: 828-729-0183
II. Location of Proposed Project
A. Lake: Hickory
B. Street Address :5352 Benjamin's Place
C. County: Caldwell
D. City, town, community, or landmark: Granite Falls
E. Section: N/A Lot: N/A Subdivision: N/A
F. Directions to property by road.
321 North
Turn right at light onto Grace Chapel Rd.
Turn left onto Gunpowder Rd.
Continue 0.5 mi. to Benjamin's Place
Stay straight- lot on right at end of cul-de-sac.
.
G. Latitude and longitude for the project site: LATITUDE: 35.78565 N
LONGITUDE: 81.36903u W
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

III. Description of Project
A. Length of wall: 320 Ft.
B. Material: Rip-rap
C. Distance from properly/shoreline: Will follow existing shoreline.
IV. Intended Use of Project Area
A. rivat
B. Commercial
V. Applicant Signature: ~ Date: ~ C9 ~( Win.
Agent Signature: Rpbin ~Ct.~LW Phone: [phone]
P~~ ~P-~t/Yrt~ Fax: [phone]
PLEASE NOTE THE FOLLOWING:
* A COPY OF THE COMPLETED 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, N.C. 28801-5006
* A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO
STABILIZE THE SHORELINE IN NORTH CAROLINA" AND FIVE (5)
COPIES OF THE COMPLETED "NC DIVISION OF WATER QUALITY
PRE-CONSTRUCTION NOTIFICATION APPLIATION" MUST BE
SUBMITTED WITH THE DIVISION OF WATER QUALITY
APPLICATION TO:
NC DIVISION OF WATER QUALITY
ATTENTION: JOHN DORNEY
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, N.C. 27604

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Ta..r~tcs Sfanislauf
535a,~3enjamins Place
~arani~e falls, 1~•C.aB(o3.0