20071303 Ver 1_401 Application_20070707

' DUKE POWER LAKE MANAGEMENT, EC12-Q
' P. O. BOX 1006
CHARLOTTE, NC 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 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.
L Applicant Information r~ ~ 7- 1 3 0 3
A. Name ~~ ~,/~~ cv ~ I ~,
B. Mailing Address d /~,(,{jur~tit~q ~,/~ ~; ~ ~~ ~~~
C. Telephone ~(~ 2j~ ~ - 2~~i 3
11. Location of Proposed Project ~ // '~'
//Grin l ~ ~_
A. Lake ~,tJWtf~ iYl .~ l ---_ - --.~
B. Street Address , ~ ~ _ ~(j ,,~~G~c u, ~° C'tL
C. County ~~
D. City, Town, Community or Landmark
E. Section Lot # Subdivision /~
F. Directions to property by road ~ -~ j1,(,~, ~ry~~ ?°
r~J-lt~~~' ~~ Grrti~t~ir di/ -{~ ~ volt ~C - ~ ~d ~~1~-
a ~ - 7~ ~~
G. Latitude nd longitude for the project site 3 S ~ ~ Q N q ~
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, _ .Directions: Don't register, click "Maps", enter
address, draw map, select "Map Clicking Wll...", select "Lat/Long°, click map) , „ "` '° d "~"
H ~ '~
111. Description of Project `~ ~' ~ ~. ~ ~~ ~'~~~
~~~:.'4. ~ ~ ZUi~I
A. Length of wall ~~~~
B. Material ~~u~~ti, ~ ~ _ /~ :~ ,.,, ~ ~~
?i~1^~ ~ F",~' ,
C. Distance from property line/shoreline ~~ ~ ~,~tL;,, S'j~.~.~.~.C,,,-e,
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signatu Date ~r~`(`
PLEASE NOTE THE FOLLOW/NG:
• A COPY OF THE COMPLETE APPLICATION WITH A ROAD MRP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: !!S
ARMY CORPS OF ENGINEERS, 151 PATTON AVENUE ROOM 208, ASHE1/-LL~ NC 28801-5006
• 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 QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION' MUST BE
SUBMITTED WITH THE DMSION OF WATER QUALITY APPLICATION FEE TOANC DMS/ON OFWATER QUALITY, ATTENTION: Cyndi

401 WATER QUALITY CERTIFICATION APPLICATION
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 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 TO BE SENT TO:
DIVISION OF WATER QUALITY WETLANDS UNIT
1650 MAIL SERVICE CENTER
RALEIGH, NC 27699-1650
I. Applicant Information
OwneNApplicant Information
Name Marc ~ Jennie Carruth
Mailing Address 4144 Mountain Cove Dr
Charlotte, NC 28216-7785

Telephone Number 70450-6402
Fax Number
E-mail Address [e-mail]

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 Chip Bridges
Company Affiliation CBC Custom Shorelines, Inc.
Mailing Address 628 Oakridge Farm Hwy
Mooresvitle, NC 28115

Telephone Number 704-680-5111
Fax Number 704-660-5111
E-mail Address cbcseawal~~aol.com
11. 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.
Location
County Mecklenburg Nearest Town Charlotte
Subdivision name or site address (include phase/lot number): The Overlook

Directions to site -please include road numbers, landmarks, etc. (This is not necessary p Q
if an adequate vicinity map is included}: ~~ -~ ~ _ S1/i ~G 1~-
~/(,BrAn~I.unn ~. _ t7.t(L1Lt) l t'~filA(ls~l~ . ~ ~- off/ `~ ~l PT'! ~''a

/Gv
2. Describe the existing land use or condition of the site at the time of this application:
V,,~- ~ e
3. Property size {acres):., ~ G~t~fJ
4. Nearest body of water (streaminverlsound/oceaNiake): ~(,(,~jrM~trH ~t~`Co~-
5. Describe the purpose of the proposed work: ,~~i ~ ~~ ~~~-
6. List the type of equipment to be used to constnact the Project: ~ ~ ~ ~
7. Amount of impact {including all excavation, bar~„kfili, rip rap. retaining walls, etc_} below
8- a. Amount of imraact (including all clearing, back fill, excavation, rip rap, retaining walls,
atr.l a6~~rP _n~ ~?~rr}~?aE f take Ie~rel a~?d ~n F~Qfi r;~.-~-_-_~~ .,- _~u.~ - _-~- - -~- ~--
~ ~ X ~ `~~
_.__ .^^~ ~~ed ^~trn~r cf fees for instanceL (,(J~Q(,~,c.~ L.4 f !Dt) ~ ~L~~C12
~~~~1~

Lake (Full Pond)
~~
~~~~ ~ ~L
Full Pond ~a~ ~,~~~
Shoreline
Please approximately sketch the following information on this plan (please provide dimensions
for each item, such as 10 ft. x 1E}0 ft.}:
1) Ali proposed vegetation clearing (provide dimensions)
2) 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.

Name: Marc Carruth
Mailing Address: 4104 Mountain Cove Drive
Town & State: Charlotte, NC 28216
Lake Address: 4430 ButtemPointe Ct
Feet of shoreline and material: Boulder Rip Rap
AMOUNT 4F FILL Imo:? CUBIC YARI?S
Elevation 647.5 ft. Full Pool
Lake Norman Summer Pool 643.5 ft.

.(h,- ~
~~~~3.s~
CROSS SECTION

DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project
site can have a big impact on permit processing time. Please complete this form
and return it along with your completed permit application to:
DUKE POWER
C J O LAKE MANAGEMENT - EC 12 Q
P. O. BOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name:- Marc 8s Jennie Carruth
Lake Name: Mountain Island
Subdivision Name: The Overlook
Property Section: Lot (s): 367
City: Charlotte County: Mecklenburg
State: NC Zip: 28216
Telephone: [phone]
Type of Permit
Requested
"Circle":
Private Facility
Commercial Facility
Excavation
tabilizatio
Conveyance
Miscellaneous Uses
Directions (from major road or highway): Hwy 16 N to right on Mt. Holly
Huntersville Rd -Left on Overlook Mtn Drive - Right on Tranquility -Left on
Preservation Pointe -Left on Button Pointe Ct to end.
Descriptive Structure (~ on Property ~i a brick ~ara~e, white fence, mobile home,
etc.
Vacant wooded lot.
*Note: Please use the back of this form, if desired, to draw us a map to the site.

4430 Button Pointe Ct, Charlotte, NC -Google Maps
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