20130738 Ver 1_Shoreline Stabilization_20130618

20130738
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 $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 Permitting D V r=
1650 Mail Service Center
Raleigh, NC 27699 -1650
I., Applicant Information i �,
JUL 1 8 2013
� t
1. Owner /Applicant Information' . _ - A u ere
Name: C �c
.YWk w%uw_= X�
Mailing Address:
Telephone Number: (104) LGO§�—C}4% Fax Number:
E -mail Address: - AAV_4 25th QDrwd.� • OOr►ri
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:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
H. 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: �0.c.Joh Nearest Town: ?VNMOA _
Subdivision name or site address (include phase/lot number): 901fthbn PoRytie / Io+ 255/
y g gflec�r, Pdb�e S�Al .
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an a equa a qwx OZ
vicinity map is included):
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres):
4. Nearest body of water (stream/river /sound /ocean/lake): LoY-e, YJu &P_
04 5. Describe the purpose of the proposed work: 4X %A kk_ O:Ap�\k t� "ryQ
o s CwDA _ cam_ Oita
6. List the type of equipment to be used to construct the project: 7LAP_ dY:VQ r. O-MAM A boldCodC
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: s''' 2CO So.•PE_
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:
^� (QOQ.
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): 2 -S7 Yt ri1 Shwa imgnz
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

Please approximately sketch the following information on this plan
(please provide dimensions for each item, such as 40 ft. x 400 ft):
1) AM proposed vegetation clearing (provide dimensions).
A Location of rip rap or fill to be placed above the Full Pond elevation
3) Location of rip rap or fill to be placed below the Full Pond 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.
p.
• .H

DUKE ENERGY LAKE SERVICES
PO BOX 1006
MAIL CODE: EC12Q
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 N/A in the blank.
PLEASE SUBMIT THE APPLICATION AND APPROPRIATE DUKE ENERGY FILING FEE, PAYABLE
TO DUK E ENERGY, TO THE ABOVE ADDRESS.
1. Applicant Information
A. Name: ,r:� ;stil% ;
B. Mailing Address: 454 W • Wosfnq,) �v� AI & lJln>O`f\o1k2 40
C. Telephone: 104 - (00b- ) *I-s
II. Location of Proposed Project
A.
B.
C.
D.
E.
F.
City, town, mmunity or landmark: rn
Section: I`� A Lot #: 255 Subdivision: po%NA
Directions to property by road: ur lak o '.
G. Latitude /Longitude for the project site (optiona '�.I� 1!l(' - 81. tY1 �y�1
H. Please submit a map showing the coordinates and the exact location of the project site. (NOTE:
Latitude /longitude coordinates can be found on internet site hp: / /sin .orbisinc.cotn /smp /)
111. Description of Project ,
A. Length of wal : I�
B. Material: 4 D.
C. Distance from p�operty ine /shorelinc:�,,,!tf .
IV. Intended Use of Project Area
A. Private: X
B. Commercial:
V. Applicant Signature Date:wIlt'll
PLEASE NOTE THE FOLLOWING:
• 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 live (5) copies of the completed "NC E
Quality Pre - Construction Notification Application" must be submitted with the Division
application fee to:
NC Division of Water Quality
Attention: Cyndi Karoly or Karen Higgins
1650 Mail Service Center
Raleigh, NC 27699 -1650
GpaRLAKEnAGAPackage lnformatton\Package Information \NC SS App
Revised 11.29.12
L m7 amoahl"M %'�''
JUL 1 8 2013
NR - WAM Ty

r
{
ggg
7r
g
\
�\ r
�J
4 n s o
P

GENERAL NOTES
1. SEE SMFT J FOR STORM SEWER COMPMATIDNS.
2. SEE %W 2 TOR AEMPORMY SEOIMEM i AND DAERVON
dICN CNCVUTgNS.
CONSTRUCTION SEQUENCE
RADP 1.
,. ESTPBUSN lANRS OF ,ONS,RVC DN
2. G
mNL StT flilCE
3. eFW CLEMNG WDHN UMOS
1. INSTALL SEDIMEM TRAPS AND TEMPORARY OAERSION SWAlFS
AS ORAWNG OPflUTgNS roMMENCE
2. ONCE GRADES HAVE BEEN 6fABL.M, All J:1 OR GREATEP AOPES
ARE TO BE MULCHED VIIIH EROSION CONTROIL MATAINC.
3. INSCLLL THE STORMDRAIN S>'SIEMS AS SHOWN,
4�tE- I�NSTN1 SiptM GRAN IN— AND 01— PROTECRON
2. ONCE INLET PROIECRM 5 N RACE AND ALL SIDE SIOP6
IMVE 8RN WA—M. SEDNWAI AREPS AHD TEMPORARY
DNERSION -ALES NAY BE REMOVED AS NECESSAR! TO
COMNUE CONS I'M"0N
3. —AN SILT FENa AND INLEA PNOTECIIDN UMR AL REYANNG
DISTURBED NSAS VE BEEN STABIIRFD
SEEDBED PREPARATION
1. CHSEL COMPACTED AREAS AND SPREAD TOPSOIL 3 NCHES DEEP OVpt Al h SOIL DON II0M5. IF AVAVHIE.
2. RIP NE EHRRE AINEA TO 8 NC M DEPTH.
3. REMP.E ALL LOOSE ROCK, ROOTS. AID OTHER Oe51RUCT IFAVNO SURFACE RFASp l SMOOTH AND UNIFORM.
A. APPLY AGRICULT UME. EERDLIZIER. AND SUPERPNOSRUTE UNIFORMLY AND MIX -H SqL (SEE BELOW').
5. COMMIE ARUIS UNRL A WEIl - PULAN,ZM. ARM, REASONABLY UWfORM SEEDBED IS PREPARED A TO B INCHES
OEEP.
tEGEV SP
'FE DEp/
/!{ r
8. SEED ON A fPL1RILY PREPARED SEEDBED AND COVER SFID IIOHRY WI1H SEEDING EOIRPMEM OR C1KiRACK
). MULCH IMMEDIATELY AFTER SEEUNG AND ANCHOR MIADN.
8. INSPECT ALL SEEDED AREAS AND MAKE NECESSARY REPNRS OR RESEEONGS WIIHN
PO59&E IP STAND SNIXA.O ff OVER 60x DAMAGED FEFSIAAlSINEO FS%1DWIIIG ORIGIWL LWL EER,ILIZM AND
9. CONSULT CCN3EANATpN INSPECTOR ON MAMARIY2 F ARE/T TAD F S/AATRN AFTER PERIl10EM UM 6 /
ESA/B REE(1 • APPLY: AGRICIILHOV LNI6AONE - 2 A— ACRE OR 310X5 /ACRE N CUY SOILS EFIEIL@,R - 1000 / /' /! / l // V r(iSIL
lB5 /ACRE (10- t0 -10) SUPERPWSPI4AlE -500 L85 /ACRE (20x) IMLN - 2 TONS /IGrtE (SLLYL OIMN STRAW) /�
10. SEE SNEET 3 FOR SEEDIND
to
WEIR (* TD #5A �
\25 " y ENT TRAP) (TYP) \ —iuo
WN
256
/ \ X63 \) _ �✓ "rae.
\ / ` K 1too \ _ oo +w / U34 /' — — — se+oo
TEM6DRTYP IVER IDN
\ \
CLEARING IJMITS
6 TQ #- 10'. \
LEVEL SPREADER

r Owl. `
dlw Y
.ter.

Y
.s
�� �` �•y,w. � t :��'' ` .�% ter. :i{, e�r � ~�'
to
—Opp%
el -. �y
!` W . Y _• ,
T A
°�•co1 � aiy:
� _ a
jv
.-C
:dv« '

.
� ' »• � ��
.
�
K; yy
\
. w a
x 41,
\
. . .
I 0 0 « . z< ��
a
2«:2j,§
¥ >�
.^
.y
§«:• � °