20071386 Ver 1_Application_20070814

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DTTI~ ENERGY LAKE SERVICES
EC12-Q
P O BOX 1006
CHARLOTTE, NC 28201-1006 0 7- 1 3 8 6
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 ENERGY FILING FEE, PAYABLE TO DUKE ENERGY,
TO ABOVE ADDRESS.
L Applicant Information P ~ I
A. Name ~ ~,~ ~ ~~ ~~ S
B. Mailing Address 3 9 J C R,o ups ~9 cs ~- ~,~ ~,r~,~ ~ s DA ~~ II ~ C:, ~ .Z ~s-,~
C. Telephone:_~ ~6 -- '~' 02 ~ ° ~ $' `~
II• Location of Proposed Project
A. Lake ~5E L ~ L>`9 S
B. Street Address _ SE's A ~, ~ V t-,
C. CCopnty ~ d5 0_ K N G j-I 14 11/~
D. town, wmmunity or landmark
E. Section Lot # 'Z`~
F. Directions to property by road
Subdivision
~~~~I.f \:l Lei
A~JG 1 Y ZOOI
DENR WA1 ~ R Qr,AIITY
~- AY~T~~1D ETORMWATER l9RAfVCH
_ ~ u~S
G. Latitude and longitude for the project site C~ ~ 9.. ©y®
H. Please submit a map showing the coordinates or a detailed ma ~ ~
exact location of the ro'ect site. P (USGS quad map, city map, etc.) showing the
P J (NOTE: Latitude/ longitude coordinates can be found on Internet site,
www.mansonus com. Directions: Don't register, click "Maps", enter address, draw map, select "Ma
Clicking Will...", select "Lat/I.ong", click map) ~.r~
~~ ~ G'C~D G t',._.
~. Description of Project
A. Length of wal $ ~ -~{, "~ ~ 1 ~ ~ ~
B. Material
C. Distance from ' line/shoreline ©~ S f~ ~ ~!
IV. Intended Use of Project Area
A. Private
B. Commercial
V. Applicant Signature ~"'7"~
Date ~3 /
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, 1 SI PATTONA VE: -ROOM 208,
ASHEYILLE, NC 28801-5006
• COP F ~ G APN PLICATION OR PERMIT TO STABIL
CAROLINA", HOT_ OGRAP ...THE,SI3QItELINE TO BE fiTABIL SHORELINE TN NORTH
COMPLETE "NC D _~OP1ES F THE
~IVISION OF WATER UALITYPBE-CONSTRUCTION NOTIFICATION APPLICATION"
MUST BE SUBMITTED WITH THE DMSION OF WATER QUALITY APPLICATION FEE TO:
~~~~ ~ ~ ~ NCDIVISIDN OF WATER QUALITY
~:~.~ ~~ ~'~Op~ ~'~ ATTENTION.• CYNDI%9ROLY
PAR.gi'IEWBLDG., 2321 CRABTREEBLVD.
~ °L ~ ~ ~ ~~ ~ RALEIGH, NC 27604
~O/ E' S 919-733-1786
G.~L.AKEMGM"T1Paclcage Ir-formationWC Shoreline Stabilization AppGcatioadoc

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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 take 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 given (7) copies of this application and supporting information as well as a
non-refundable appl cation 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 take 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. Applicant Information
1. Owner/Applicant
Mailing Address: 3 `l~ i C ~ i
ST~~+~~TD~~.
auG 1 ~ zoo/
. DENt~ • WATER Wdir6~ 9,~
N+~TtAN~? !4'~0 4T0'~~~MATF.R t~Euwer+
~~.~;~, /BEST ~ l,~l`'
L. Z ~ ~
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Telephone Number -~ ~ `~ z- ~ - `~ ~' Fax Number: ~ ~ fit'' t
E-mail Address: ~ ~ ~ !Z'~s Qr ~ ~ i ~ ~ ~ ~`- _ ~'~-~~
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:
E-mail Address:
II. 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
Fax Number:

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-*
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. ~ ~ ~. l < k ~ ~ ~` I~ 1~. Nearest Town: ~'7'~ ~ ~, 5 ~~ ``- ~=
Subdivision name or site address (include phase/lot number):
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included):
2. Describe the existing land use or condition of the site at the time of this ~
application: f~ b ~~ ~ ~ S' ~ i v ®" ~ ~ C ~ t ~.., ~ ~.~'~ ~ ~ f.J p ! ~i ~' ~
3. Property size (acres): ~ 12 ~ ~ ~- ~ ~ ~
4. Nearest body of water (stream/river/sound/ocean/lake): ~ ~ ~. ~% ~ ~ ~ ~r~<
5. Describe the purpose of the proposed work: ~~, F= ~ `~ ~t.G~ r~ ~ ~~ ~a ,
6. List the type of equipment to be used to construct the project: ~~ ~ ~~ ~ ,•-' ~-~ ~
°'"'" ~~ C P r/l ~ le,l~'
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: ~ ~`'~' ~. C~ '~ ~ ~ ~~~'
8. a. Amount of impact (including al
retaining walls, etc.) above t~e rm
square feet or acres: ~ ~ ~ ~
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b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): f-f /`~ trZ -~; ~1~~~ t~ ~ ~'.-a~ °~
~''' ~R~~ ~ #~~~~a2 ,. ~ ~ >~ Iva ~~~

Applicant/Agent's Signature ~ Date `
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
1 clearing, back fill, excavation, rip rap,
al ool lake level and 50 feet land-ward in

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