20071429 Ver 1_401 Application_20070807

DUKE POWER LAKE MANAGEMENT, EC12-Q
P. o. sox 1 oos 0 7- 1 4 2 9
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.
Applicant Information
A. Name ~ v~`G-' 4 ,
PAYMENT
z ~ RECEIVED
B. Mailing Address ~c~f~ ~hg,~mo~e ~,~,
C. Telephone ~orlGV//y~ .~G . ~~'0.27
~~oy~ ~~~2~0~.~,0
II. Location of Proposed Project
A. Lake ~/,~~~
B. Street Address ~o,Ll~ ~,~~~P,~ ~~~
C. County (~
D. City, Town, Community or Landmark ~~ ~sy~(~
E. Section ~/ham Lot # ~ Subdivision ~~~ ~~~,
F. Directions to property by ro77ad ~ 0,9 ~~-- ~/ ~/P o< /~
G. Latitude and longitude fol~the project site ~.~(,f(pc~ ~ I ~ . ~(~, f;~ ~~
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/longitac~go~dla~tes;can,_, .,~,
be found on Internet site, .Directions: Don't reglste~,~~IIGc,"~ps?'~ J #~
~. ~..__:
address, draw map, select "Map Clicking Will... ", select °Lat/Long", click ~I_~p)
~..
III. Description of Project
)t ~ r~ ~ ~,t 7-~
A. Length of wall ~~~ ~ .v:;r~nW~ fF,, ~yy ~ ~, ~~~,~~~
B. Material D ~~_
C. Distance from property line/shoreline '/ n
IV. Intended Use of Project Area
A. Private X ~~~~~ ~l~/~J~ ~~~
B. Commercial
V. Applicant Signature ~ ~ Date ~ // O
PLEASE NOTE THE FOLLOWING:
A COPY OF THE COMPLETE 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, 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 DIVISION OF WATER QUALITY APPLICATION FEE TO: NC DIVISION OF WATER 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 EAYIV'ENT
1 RALEAGH, NC 217 99E650 R RECEIVED
1. Applicant Information ~ 7- 1 4 2 9
1. Owner/Applicant Information
Name David Seitz, Jr
Mailing Address 1412 Chadmore Lane
Concord, NC 28027
Telephone Number 704-782-0736
Fax Number
E-mail Address
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 Highway
Mooresville, NC 28115
Telephone Number 704-660-5111
Fax Number 704-660-5969
E-mail Address cbcseawalls~aol.com
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 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
surtaces, or other facilities must be included.
Location
County Iredell
Nearest Town Statesville
Subdivision name or site address (include phase/lot number): Windmere

Directions to site -please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity~map is included): ~~~ ~e ~o~
~~ i%/.lU~ 7~,i~ ~ .C ~ 7`~"~ ~~7G o~fo std." , ,ra~~ O~;
/ /f ~ / /f ,

2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): o S/ ~,~
4. Nearest body of water (stream/river/sound/ocean/lake): ~ ~ ~/~ima
5. Describe the purpose of the proposed work: ~a~~ s~~,/~~~
6. List the type of equipment to be used to construct the project:
l~~ ~ ~-
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 normal pool lake level and 50 feet land-ward in square feet or acres:
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance): ~_ / _ _ /~ ~~ _ _~ _
Applicant/Agent's Signature Date
(Agent's signature is valid onl 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 10 ft. x 100 ft.):
1) All 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: David Seitz, Jr.
Mailing Address: 1412 Chadmore Ln
Town & State: Concord, NC 28027
Lake Address: Lot 18 Windemere Isle Road
Feet of shoreline and material: 172' Rip Rap
AMOUNT OF FILL ~~- CUBIC YARDS
Elevation 760 ft. Full Pool
Lake Norman Summer Pool 758 ft.
~' a,~K-
i / ~~
`~
Elevation ~" ~ ~ ~~ L~
7 ~~

Page 2 of 3
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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/O LAKE MANAGEMENT - EC 12 Q
P. O. BOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name:- David Seitz, Jr.
Lake Name: Norman
Subdivision Name: Windemere
Property Section: Lot (s): 18
City: Statesville County:Iredell
State: NC Zip: 28625
Type of Permit
Requested
"Circle":
Private Facility
Commercial Facility
Excavation
ilizat~o
Conveyance
Miscellaneous Uses
Telephone:
Directions (from major road or highway): Highway 150 W- Right on Perth-Left on
State Park Rd-Right on St. Johns-Left on E. Monbo- Left on Windemere Isle Road
Descriptive Structure (~ on Property (i a brick gara#;e, white fence, mobile home,
etc.
Lot 18 Windemere Isle Road
*Note: Please use the back of this foray if desired, to draw us a map to the site.

Windmere Isle Road, Statesville, NC - Google Maps
j~ Address Windmere Isle Rd
i,,_~j~ (_ ~~ ~~..~ Statesville, NC 28677
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http://maps.google.com/maps?f=q&hl=en&q=Windmere+Isle+Road,+Statesville,+NC&sll... 6/21 /2007

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