20071555 Ver 1_401 Application_20070907

FAYMEN-~
RECEIVED o 7- 1 5 5 5
The following is an abbreviated application form for those applying for a 401 Water Quality
CertiFcation 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 ('~ copies of this application and supporting
information as well as anon-refundable application fee to the Division of Water Quality of $240.00
for impacts of to Lake bottom of less titan 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
1650 Mail Service Center
Raleigh, NC 27699-1650
I.
1.
Applicant Information
Owner/Applicant Information
Q~c~~oec~ ~
SEP 1 3 2001
DENR -WATER QUALITY
VMEiI.~ AR'D STORt,AN1;Tr;R BRANCH
Name: ~v~r e 1 ~ '- ~ i c ~t ~'~ ~~~ ~ ~'
Mailing Address: ~ ~ g ~~a k.5 c ~~ ~
I~r~G,~~.~ ~.l,c.-. a~~~r
2.
Telephone Number: g~~- J S` ' G < <JQf ~ 3 ~J -g~a3
o~ Fax Number: n
E-mail Address: ~-+nn~~~~ ~ c>~ ~, v„-~ ~ ~ ~ -t- . C ~ m
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: /dam°! tTQ ~`~ g
Company Affiliation: ~ar+~-~ e~H s'~• ~/'' - /
Mailing Address: c3~r~?) ~'~/vlr~n.~ahd ~r• t/-~Ic,l.~uv~~ ~.C-- a~loul
Telephone Number: $'~ Ff - ~ 9 S' •,3 ~ ~ o Fax~T/umber:
E-mail Address: tna r~'„., c.u n '1 C~. C'a~r ~ ~ ~ H ~ _ ~ ~ ~'
~Y
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 surfaces, or other
facilities must be included.

1. Location
County: ~vr' ~ ~ ~oun~t-/ Nearest Town: ~vor,' +~ lia~~ s
Subdivision name or site address (include phase/lot number): !~/(/~
Directions to site please include road numbers, landmazks, etc. (This is not necessary if an adequate
vicinity map is included): ~ .1-n c~c.c,4 e c~
2. Describe the existing land use or condition of the site at the time of this application:
. ~o'
3. Property size (acres): a•~ s e rl~ o c c f c a /
4. Neazest body of water (stream/river/sound/ocean/lake): ~ a~+ ~ j-~~'c~.tuv ~~
5. Descri/be tlhpe purpose/of t/he proposed/wwork: n )I revnv~~ $eow~.l /1 -~~~-~ /wA s
~aY1';a1tYi G~JaS~+ec.~ GGJCe~ i-ryM TIUVC,~ l ~r ct~0 Cthc1 S~ei~a`~2,L
S ~uy c c~,~~. Oat s -Q ruc.~c .
6. List the type of equipment to be used to construct the project: ~ira c,~. ~-~~ c / S~:'d t~e c .-
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: ~
8.a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
abl~ove the normal pool lake leveel and 50 feet~LLland-w din squa /re feet or acres:
~(Jp/o~ /~bD S1~ lulu ~XGaVQ~-"~'n ~ ~ ~c.~v.cl
S.b. Please describe vegetation above the normal pool lake level and 50 feet landwar/d to/be impacted
(number of trees fo//r~~ instance): h/u ~ ~ e s ~ ~c. ZYr•~cc.~•c1 , Cs rvun c~
~uv e r ~ s l1ya,,S_S

ApplicandAgent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
~'a~V•~~

~EG S ` ~
/Y1Jd~G\
~{ ~~ h the ~ t~~i'1~~l0+11 Oti t ~~a11
(pl~~e ~~1~lDI'li 1`01' e8E~1 deed, #luh ~'~~'~. x ~l0~1 ~~:
~, ~ pr~apd 1t~an ~ ~p~10~1d0 d~nabrrl~~
~~ Locataan ~ rip raga a~ fiq to tr1~ plic+e~ eb the F~ ~ +1~v0t10n
L~ of ~ ~ er fIH to traR 6ela~d- the F1i Neva~n
~ ~1n~lt~ es t ~ ~u~+dln~, r+~t0fn~itrg
~~ Tha lacetiert ~ any ex~ior1 yr ~r+edpir-~ beio+l~r #~ F~ ~
elew~n.
~~ ~ 00n+~a11 ~~r~-

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' 07-1555
~~,~° DUKE ENERGY LAKE SERVICES PAYM Efti~
Eci2-Q
P O BOX 1006 RECEIVED
CHARLOTTE, NC 28201-1006
704382-1567 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. ff 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
A. Name ~a rre1 ~ f'-~J ~ ~ II //
B. Mailing Address 30~ ~c.-tawSa ~vc 1-fi~'~ 05 ~~ ~ ~
C. Telephone: $'~ ~' ~ l a - g i a~ '1 ~ Ufa ~s ' 3 S G '~, o~ t ~ ~ ~ ~ ~:/ 15
II. Locatron of Proposed Project S E P 1 3 2007
.,
A. Lake hf ~ c.l~
B. Street Address ~1aS G'a~a4.Sc ~. DENR • WATER QUALITY
G County r ~ c _ f 1NETLANDS AND STORMiNAT6R Bf2ANCH
D. City, town, oonunusutyor landmark YON ~c ~<<J ~~~dc`h+~ c)
E. Section Lot # S on
F. Directions to property by road S e ~ ~~~ N/~
G. Latitude and longitude for the project site /-af 3 s • 7 7 ~ g SS ~ ~ o rs - g l ti ~ 5 ~, ~ u
H. Please submit a map showing the ooordinates 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. Directions; Don't register, click "Maps", enter address, draw map, select "Map
Clicking Will...", select "LatlLong", click map)
III. Description of Project ~
A. Length of wall ~ g4
B. Material Cass - Q ~~
C. Distance from property line/shoreline ~t - ~'
IV. Intended Use of Project Area
A. Private ~
B. Commercial ~~~
V. Applicant Signature ~h' ~ C_ /!% Date ~"~ ~`"~~
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 PAT1'ON A ~ - RODM 208,
ASHEVILLE, NC 28801-5006
2 COPIES OF THE "DUKE ENERGY APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
CAROLINA", PHOTOGRAPHS OF THE SHORELINE TO BE STABII.IZED, AND FIVE (5) COPIES OF THE
COMPLETED "NC DIVISION OF WATER QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION"
MUST BE SUBMTII'ED WITH THE DMSION OF WATER QUALITY APPLICATION FEE TO:
NC DIi~ISION OF WATER QUALITY
ATTENTION: CYNDI SAROLY
PARSVIEWBLDG., 2321 CRABTREEBLVD.
RALEIGH, NC 27604
919=733-1786
Ci:~t.AKEMGMT1Packa~e InfonnsiionWC Shoreline Stabilization Applicatioo,doc

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