20071198 Ver 1_401 Application_20070707

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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 seven (7) copies of this application and supporting
information as well as anon-refundable application fee to the Division of Water Quality of $200.00
for impacts of 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, NC 27699-1650
I.
1.
Applicant Information
Owner/Applicant Information
Name: Dayton R. Jones
Mailing Address: 265 Harbortown Drive
Taylorsville, NC 28681
2
Telephone Number: 828-495-1208
E-mail Address: riones28681(a,yahoo.com
07-1198 ~~-__~~'
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Fax Number: IV ~A
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, NC 28681
Telephone Number: 828-495-7015 Fax Number: 828-495-3855
E-mail Address: professionalpermits(a~earthlink.net
II. Project Information
Attach a vicinity map cleazly showing the location of the property with respect to local landmazks 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: Alexander Nearest Town: Taylorsville
Subdivision name or site address (include phase/lot number):
Alexander Estates Phase I Lot # 8
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included):
Highway 127 North across bridge to 2°d light.
Turn right onto Rink Dam Road.
Go 1.5 miles and bear right onto River Hills Court.
Go 1.2 miles and turn left onto Peninsula Lane.
Turn right onto Island Pointe Court.
Property is at end of cul-de-sac.
2. Describe the existing land use or condition of the site at the time of this application:
This is a vacant lot.
3. Property size (acres): 1.31 acres
4. Nearest body of water (stream/river/sound/ocean/lake): Lake Hickory
5. Describe the purpose of the proposed work: To stabilize the existing shoreline.
6. List the type of equipment to be used to construct the project:
Front-end loader, excavator, and a rubber fire back-hoe.
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal
pool lake level in square feet or acres:
2 Ft. x 354 Ft. = 708 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 354 Ft. + 8 Ft. x So Ft. (construction pathway) _
2124 Sq. Ft. + 400 Sq. Ft. = 2524 Sq. Ft.
8b Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): There will be NO trees removed.
ApplicandAgent's Signature: RobinmQ.~t~.( ~db..~ C Date: (o-a 7-0`T
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

79 RI"" OAM ROAD KEVIN D. HEFNEK CSC ASSUt;IATES F X. e ~- 95 ' ~P
P O.BOX 6184
Fi!~k.ORY, N.G 1'8h0~` StTRVEYII~~C~ut~:i,~4~-APING hefner®vv~.nct
~J~~ ~i ~1~~ ~ ~i,
' nee-in 0 Hefner ::erti/y !hat this plat was drawn ond~x~ ~~typnv!w (~* ~n o:.tuol survey mod~• under my supervision i~l~~ar~
description recorded in Book 41S Poge 179 ), thot~~f~ , ~~al.7,?p r~sy~ ore indicated as dashed lines from information
os noted, that tha ratio of precision as calculated ie ~~~., that~~~nt~ros prepared in occardonce with the Stondnl'As
of Practice far Lond.;•u:veying !n North Corohna. 1~litnLSS~~ngi@tLRrt]nat r~ reg'«~trobon number, and sect on Apri' S, 100h
- --r-._._--... , re.- ~.
Registered Land Surr+ry~ ~~.' ~ ~G,•` ~~~ ration Number
PROPERLY IS SUBJECT TO ANY AND ALL EASEMENTS. RIGHTS Or!Ayr P ~~
COVENANTS. RESTRICTIONS. CUNUITIONS & RESERJATIONS Uf RECO Nflllllltlt ~~
AFFECTING SAID PREMISES.
AREA SHOWN DETERMINED BY COORDINATE COMPUTATIONS. ~KE HICKORY
ORIENTED TO PLAT
BOOM 5 FAGF. ~'
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S 85°00'17"E S 67°12'37"E
32.40'.---
N 62°50'26"E -- '' - 30.98' S 60°06'12"E
18.13'_. '` '-~ 22.60'
N 70°11'52"E / N 73°49'40"E ~
30.70' --'' 667.85' ~\ S t 9°05'5 t "F
N 77°54.53"E !"~ N 76°70'39"'c 26.09'
70.50' _. 18.82' ~
Bruce B ackGurn
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30.73'
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/ ;00 Y \FLOOD LINE
~~_ I ~ FOLLOWS LAKE HICKOk*
,..t1 / / HIGH WATER LINE
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945 COUNTOUN AS SHOWN /'~~
ON PLAT BOOK 5 PAGE 177 r
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VICINITY MAP
* SITE
LAKE IKaKaRT
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Jeffrey B. Mackie'
38e/1246 VENINSUTA IN ISIANf. VJIM' C'.
RIVER WLLS r
R1VFF NEVI
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PROPEp.I?' OF.~C.: LOT 8 "ALEXAIVDFR ESTATES" -- SECTION i IN WITTENBURG TWSP. OF ALEXANQER CO., N.I.
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sTJRVEY FoK: DAYTUN R. JUNES JR.
TAX MAP C 12P. - 3.52 SURVEY TYPe PHYSICAL TRECORDEO PLAT AK 5 PG 177
PIN NO'. ~ EXISTING IRON STAKE ~ IPtiW STAK"E >F.T C' ..CM -!'TED POINT ' I IFL.D BOOK, T- 7OZ L. 1 •.
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Lake (Full Pond)
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Alexander E s~a~s C.c7t # 8
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Please approximately sketch the following information on this plan (please
provide dimensions for each item, such as l Oft. ~ 100ft.):
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 the below "Normal Pool"
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"Normal Pool"
elevation.
' 6) Location of construction access corridors.

To: North Carolina Division of Water Quality ~ ? ._. ~ ~ ~:~ a
I give Robin Maher, of Professional Permits, ~rmission to
sign as my agent on my application for shoreline
stabilization.
afore s ~-
slgn
Date: Co ~~~~ ~~

Dayton R. Jones Taylorsville NC
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Portions O 1990-2006 InstallShield Software Corporation. All rights reserved. Certain mapping and direction data ©2005 NAVTEQ. All rights reserved. The Data for areas of Canada
includes information taken with permission from Canadian authorities, including: ©tier Majesty the Queen in Right of Canada, ©Queen's Printer for Ontario. NAVTEQ and NAVTEQ ON
BOARD are trademarks of NAVTEQ. ©2005 Tele Atlas North America, Inc. All rights reserved. Tele Atlas and Tele Atlas North America are trademarks of Tele Atlas, Inc.

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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: Dayton R. Jones
B. Mailing Address: 265 Harbortown Drive
Taylorsville, NC 28681
C. Telephone:[phone]
II. Location of Proposed Project
A. Lake: Hickory
B. Street Address :Island Point Court
C. County: Alexander
D. City, town, community, or landmark: Taylorsville
E. Section: I Lot: 8 Subdivision: Alexander Estates
F. Directions to property by road.
127 North to 2"d light across bridge.
Turn right onto Rink Dam Rd. & go 1.5 miles.
Bear to the right onto River Hills Court & go 1.2 miles.
Turn left onto Peninsula Lane.
Turn right onto Island Pointe Court.
Property is at end of cul-de-sac.
G. Latitude and longitude for the project site: LATITUDE: 35.80132 N
LONGITUDE: 81.27745' W
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.mapsonus.com

III. Description of Project
A. Length of wall 354 Linear Feet
B. Material: Rip-rap
C. Distance from property/shoreline: Will follow existing shoreline.
IV. Intended Use of Project Area
A. Private
B. Commercial
V. Applicant Signature: ~ - Date: ~ ~'7 ~ ~
Agent Signature: (ZObin "mQ~'l~v Phone: [phone]
Fax: [phone]
~~~~ ~n 0 t~m~~
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