20071152 Ver 1_401 Application_20070607

DUKE POWER LAKE MANAGEMENT, EC12-Q
P. O. BOX 1006
CHARLOTTE, NC 28201-1006 Q 7_ 1 1 5 2
704-382-1567 OR TOLL FREE 1-800-443-5193
Arr'~i_ivh i iv,~ w~iC' i c I~[ir'fi i i V ~ i I'~t3iL~L'G i i'fC jt'IVRCLII~C IIV IVUK I I'I
CAROLINA
___
Fiease-typ~ or print anii fiii in aii blanks. If information'is not applicable, so indicate by placing N/A in
blank. PLEASE SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING FEE, PAYABLE
TO DUKE POWER, TO ABOVE ADDRESS.
I. Applicant Information ~' ~ ~ I
A. Name Dea., e -t- ~r~ j Carr 1 ~ d
B. Mailing Address 3zI l~/,^~i~va S1,ere ©~~ve . T/6Nf-.nw-.. /!/G Z8/6~
C. Telephone 7pcf - SLFS- SS30
11. Location of Proposed Project
A. Lake /~loi.~~,~
B. Street Address 3 Z/ Wr.~ d r tig Slane D~~ ve , T~ufr,~ .v G L~ /66
C. County ~~~~~ ~ ~
D. City, Town, Community or Landmark ~f! 1~~~
E. Section Lot # C 19 /~/-l Subdivision ~j 1 ~
F. Directions to property by road ~~.,t-~ ~ .~ ~/u/fF ~~ ~oad t k/ate ,l/~~//~~,.L..
G. Latitude and longitude for the project site ~- ~ ~© ,
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 intemet site, www.mapsonus.com. Directions: Don't register, click "Maps°, enter
address, draw map, select "Map Clicking Will... ", select "La#/Long°, click map)
III. Description of Project
A. Length of wall
B. Material
C
Distance from property linelshoreline
11/. Intended Use of Project
A. Private
B. Commercial
V. Applicant Signature
PLEASE NOTE THE FOLLOWING:
Date ,~ _ L "~ -- a ~-
• A COPY OF THE COMPLETE APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO. US
ARMY CORPS OF ENGINEERS, 15i PATTON AVENUE; ROOM 208, ASHEVILLE, NC 28801-5008
~ A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA" AND SEVEN (7)
COPIES OF THE COMPLETED "NC DIVISION OF WATER QUAUTY PRE-CONSTRUCTION NOTIFICATION APPLICATION° MUST BE
SUBMITTED WITH THE DMSION OF WATER QUALITY APPLICATION FEE TO: NC DMSION OF WATER QUAUTY, ATTENTION: Cyndi
Karoly, PARiMEW BLDG., 2321 CRABTREE BLVD., RALEIGH, NC 27604, PHONE: [phone]
IS8' ' -IlN 2 ~ 2007
., n

401 WATER QUALITY CERTIFICATION APPLICATION
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 seven (7) copies of this application and supporting information as welt as a non-
refundable appl'~cation fee to the Division of Water Quality of $200.00 for impacts to lake bottom of less
than 1 acn: and $475.00 for impacts to lake bottom of greater or equal to 1 acre.
APPLICATIONS TO BE SENT TO:
DIVISION OF WATER QUALITY WETLANDS UNIT
1650 MAIL SERVICE CENTER 0 7 ~ 'I 'I Jc- ~
RALEIGH, NC 27699-1650
1. Applicant Information
1. Owner/Applicant Information
Name Deane 8~ Carol Carrico
Mailing Address 321 Winding Shore Drive
Troutman, NC 28166
Telephone Number 704-528-6830
Fax Number
E-mail Address
2. Agent Information (A signed and dated copy of the Agent Authorization fitter must be attached
if the Agent has signatory authority for the owner/applicant.)
Name Mark ~ ~ a cc}s-`-~rt-
Company Affiliation Lancaster Custom Docks
Mailing Address 1156 Perth Road
Troutman, NC 28166
Telephone Number 704-628 7400
Fax Number 704-bZ8,3400
E-mail Address
11. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local landmarks
such as towns, rivers, and rids 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 facil""sties must be included.
1. Location
County Iredell Nearest Town Troutman
Sutxiivision name or site address (include phasellot number):

- -~1~rn ~ rak.-~n~
Directions to site -please include road numbers, landmarks, etc. (This is not necessary
(cif \a~ n adequate vicinity map is included): f ~/pt,.,~.~ S ~/ /U~,~~ Fa~.~ L12ocs~
~ [ 1 .rJ N NG 1 I I F/' /~~ LAN^C ~ (~ / 1 /V~. tea, S11AlG - S~1-.. 70 ~G T7
2. Describe the existing land use or condition of the site at the time of this application:
Rcs~o~G.r'~-~~~ - ~-0~.~,5E. ~~~ ®tCk t`9oc3c~~sJ ~~~Y1--~~3~11 ~- P~G2
3. Property size (acres): Q ~ ~ ~ ,
4. Nearest body.of water (stream/river/soundlocean/lake): ~li~ ~~~~,,,, ~,,~
5. Describe the purpose of the proposed work: '~7 T...! N..
5

n
6. List the type of equipment to be used to construct the project
t3arq e t,t~ ~ ~t~h L cm~. arc ~,
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.} below

8. a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls,
etc.) above the narr~al pool sake level and 50 feet land-ward in square feet rr aciGs:
l ` ~ ISg'
b. Please describe vegetation above the normal pool lake level and 50 feet land ward to
be impacted (number of trees for instance): ~~ „( ~~ f ~~S j~
~ SCE ~h~~
~-Z~'~~
ltl~l~k G-1i « br/ ~bne b~
Applicant/Agent's Signature Date
(Agent's signature Js yard only if an authorization letter firom the applicant u provided}

Lake (Full Pond)II
f ~Ct~ J
~~ ~~ ) ((-
~~~~{ ~~
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Full Pond ~ ~`~ ~ ~ ~-~~~
I ~~ ~
Shoreline ~_ ~~. ~ ~y, ~ ~~ ~->„ ~, ~/
] _ ~ ~~`
Please approximately sketch the following information on this plan (please provide dimensions
for each item, such as 10 ft. x 100 ft.}:
1) Ail proposed vegetation clearing (provide dimensions}
2} Location of rip rap or fill to be placed above the l=ull Pond elevation
3) Location of rip rap or fill to be placed below the Full Pot~d elevation
4) The location of any Proposed structures such as buildings, retaining walls, docks, etc.
5) The location of any excavation or dredging below the Full Pond elevation.
6) Location of construction access corridors.

Name: Dean & Carol Carrico
Mailing Address: 321 Winding Shore Drive
Town & State: Troutman, NC 2$166
Lake Address: 321. Winding Shore Drive
Feet of shoreline and material: R-~`~ R`°~~'" `~ ~~
AMOUNT OF FILL ~. ~ ~ CUBIC YARDS
Elevation 760 ft. Full Pool
Lake Norman Summer Pool 758 ft.

I Q ° s€-~- ~,qc~
Elevation '7~' ~ _ ~ ~ ~ ~' ~ ~ ~ ~S ~
~-rs ~ ~ ~~~,L CROSS SECTION

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D~~ PCDV~R DTRFCT~~NS ~3Y RC1~A,.D FORM
Lake tiTse Permit Applicants anti Contractors: Ease oflocatit~g the proposed project site eatt have a big
impact att petxnit processing time. Please complete tIus Form and return it along with your completed
permit application to:
DUDE POWER
C/O I.~A,KE MANAGEIt~EN'p - CC I2 Q
1'O BOX 1006
CFI~,,,R.LOT'X'E, NC 28201-1004
1-500-443-5193 or Option 5
Applicant's Name: ~ ~~.~' 'fi -~Q ~ ~~ rr t tr d Type of Permit lZcquested
"Circle":
Street Address (atlakc): 3Zt ~tic~,'"S 5~'~i~ ~'vc
. Private l±acility
bake Name: Nd ~ Cammercial)?acility
y~ 'on
Subdivision Namte: ~ ~ ~' -- Stn iiizatto ,
• Conveyance
Property Section; lint ~ (~ Miscallaneous Uscs
~~,. ~'I'd~'/~...a..-, County: ~rt/A~G~
State: N L Zip: ~ t ~~
Telephotae: 7A `f ° S 2 ~ ~ S~$ ~(~
• Directions (i'rom txiajor road or highway): _ ^ ~~ td,.--e.S ~/, ...~ ^-~
~p ~t'J'••~`~ L:e'' ~-~-V ll.~G ~ r 1"~~ r"• C A N ~ ~=~•1 .Sl~~ l3 .S •7 l~~i
v~
~~ .
' Descriptive Structure(s) on Property (i.e. brick garage, white fence, txtobil home, etc}:
~ ~~~ s ~ ~~ ~ ~ ~.S
*hiotn; Please ust the back of this form if desired to draw us a trap to tUe site.
GPAi1CAKEMGMTiLMPPM/DIRECTtONSt.9.DOC F~~''''.~''~"_' `~~ -"~
;~:~ TOTAL FAGS . ~

321 Winding Shore, Troutman, NC -Google Maps Page 1 of 1
Address 321 Winding Shore Rd
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