20071678 Ver 1_401 Application_20071007

DUKE POWER LAKE MANAGEMENT, EC12-Q
~' P. O. BOX 1006
CHARLOTTE, NC 28201-1006 Q 't ~ 8 7 $
704-382-1567 OR TOLL FREE 1-800x{43-5193
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.
1. Applicant Information
A. Name t ~ f ~~ ~ , : H
B. Mailing Address ~ T ~ ~-,~F~ ~~.1 S!j c~ 2 d v 6/f N~/ 08f'~~j
C. Telephone ~m~ _ ~p~ , ~ 8/ _ 6 ~ 72
11. Location of Proposed Project
A. Lake ~/~ ~~ ~ N
B. Street Address ,~~ _ ~ r ~v~ ~~~, ~~,ti, ~ ~ ~ ~N ~ ~ /V C~
C. County ~YN~O.~N
D. City, Town, Gammunity or Landmark ~o y_ Z _ ,~ FN v f. !L
E. Section Lot # ~ Subdivision ~~ ~ ~ S (°,~s.~.of,~ Jo
i.t/F
i=. Directions to property by road F~, • ^,i _ ~ ` L~ ~.~ • k~C -
~/=i ~?~-~~~ ~'_L„c~'u ~~-=tom t
G. Latitude and longitude for the project site ~ ~ ,,~~, 7 n/ ~~ . 9 c~$ S ~l
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, .Directions: Don't register, click "Maps", enter
address, draw map, select "Map Clicking VlCllt... ", select "LatlLong", click map)
III. Description of Project
A. Length of wall f ~~~ ~
r
B. Material ~ ~
C. Distance from property
IV. Intended Use of Project Area
A. Private X
B. Commercial
r ~ ~~
('"T ~ ~ LUt77
~~ ~ ,; ~~ ~ ~ ~ DEP1R - WAl">=R (~UALI7Y
. (~!tpA~"A1SR 3RAA~CFi
V. Applicant Signature J ~ ~ Date ~ G
~~ ~ 1
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 GORPS OF ENGINEERS, 151 PATTON AVENUE, ROOM 208, ASNEVILLE, 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 welt as a non-
refundable application fee to the Division of Water Quality of $200.00 far impacts to lake bottom of less
than 1 acre and $475.00 for impacts to lake bottom of greater ar 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
Owner/Applicant Information
Name Jack Smith
-~7-i678
Mailing Address 4 Tuttle Court
Hillsborough, ~tC 08844
NJ
Telephone Number 908-229-2000
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 6Z8 Oakridge Farm Highway
Mooresville, NC 28117
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 tandmarlcs
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 Lincoln Nearest Town Denver
Subdivision name or site address (include phase/lot number): n/a

Directions to site -please include road numbers, iandmarics, etc. {This is not necessary
if an adequate vicinity map is included}: 1~ rr ~
+''r~
2. Describe the existing lan~dlus-e or condition~ofi t1he site at the time ofi this application:
3. Property size (acres): - (c 3
4. Nearest body of water (stream/river/sound/ocean/lake}:
5. Describe the purpose of the proposed work:

6. List the type of equipment to be used to construct the project:
.~~~~'"
C ~'S/~R~-~ ~.
7. Amount of impact {including ail excavation, backfill, rip rap, retai/Wing waits, etc.) below
3 ~ V ~.Yl
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:
iQ i
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance): ~_ - i~ _ ___p. ,~

"/,
Appllcant/nt's Signature Date
{Agent's signature is valid only if an authorization fetter from the applicant is provided)

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Please approximately sketch the ioliowing information on this plan (please provide dimensions
for each item, such as 10 it. x 100 ft.):
!`~
3 ` ~~
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: Jack Smith
Mailing Address: 4 Tuttle Court
Town & State: Hillsborough, NJ 08844
Lake Address: Lot 2 Cindy Lane, Denver, NC 28037
Feet of shoreline and material: %Dd ~ n , P 2Ap
AMOUNT OF FILLI 77 CUBIC YARDS
Elevation 760 ft. Full Fool
Lake Norman Summer Pool 788 ft.
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NOTES:
PROPERTY MAY BE SUBJECT TO RECORDED OR ~ 40 Q 4O 8O 12O
UNRECORDED RIGHTS OF WAYS OR EASEMENTS
NOT OBSERVED r (~~~5 REBAR
• OWNER TO VERIFY ALL SETBACKS AND ZONING ~g1'
REGULATIONS PRIOR TO ANY PLANNING OR APPROX. 760' CONTOUR 3 GRAPHIC SCALE -FEET
CONSTRUCTION. ~ 6a. Z
" DIMENSIONS OF ALL IMPROVEMENTS SHOWN ON
THIS PLAT SHOULD NOT BE SCALED OR RELIED ~` ~h
UPON FOR DESIGN OR CONSTRUCTION WITHOUT
A FIELD VERIFICATION OF ALL DIMEN510NS.
" DIGITAL COPIES OF THIS FILE ARE FOR REFERENCE `~ JEFFREY L. BUMGARNER
ONLY AND MAY NOT BE USED FOR DESIGN WORK. /
' A PORTION OF THIS PROPERTY IS LOCATED IN A 100 YEAR FLOOD PLAIN "~ s 903 83
AS DESIGNATED BY FIRM PANEL #370146-0075C h , S~, ~
EFFECTIVE DATE: 6-22-98 p 7 .~j, 1
..gl ~ 86832 p ~` /?
~~
0.628 AC +- ~~ ~~'
#4 REBAR ~ ~ /
_ SLAKE ~ ~ ~
_ ~~NORMAN~~ \~~~, ~
r ANY DOCKS, PIERS OR OTHER' ~ ~ ` ~ ~ (nP) ~5 REBAR /
r IMPROVEMENTS BUILT ON LAKE, ~ ~ ~ ~ ~ ~ 20' DRAINAGE ESMT.
~ ~ rAREJ NOT SHOWN OA THIS f r ~ ~ ~ \
r .~uRVEr PIAi..- ~ `. ~ ~ \
~~
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/ 30' CONS(TRYUP> ION ESMT. \ `\~\ 3s, h p\~~\ \ ^O~p~ R /
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o-w
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N
RONALD R. VAN WIE B"cNT #4 REBARw G,~~~ ~
a
1922/65 ~
Course Bearing Distance
L1 S 53'39'29" E 7.00'
L2 S 33'2T26" W 7.79'
\ /
~ SURVEY NAIL
~ ~ IN POWER BOX /
\\ ~ /
Curve Radius Length Chord Chord Bear.
C1 539.17' 119.32' 119.08' S 27'0618" W
3~
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~°
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3/
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DEDMON SURVEYS
PHYSICAL SURVEY
FOR
JOHN T. SMITH &
STEPHANIE A. SMITH
LOT #2 OF "WEBBS CHAPEL COVE"
SACALE91?`07 40' IPB: 1342 PG: 231 I
CATAWBA SPRINGS TOWNSHIP
LINCOLN COUNTY, NC
DEDMON SURVEYS
RONNIE DEDMON, PLS #1222
CHUCK POOVEY, PLS #3762
ROBERT DEDMON, PLS #3899
PHILLIP HARRIS, PLS #4164
4837 NC HIGHWAY #16 NORTH
P.O. BOX 494 -DENVER, NC 28037
PHONE: [phone]
FAX: [phone]
~ CAR. i,~~
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~ ~9
- ^ SEAL =
- = L-3762 = ~-
:, a:;
/~~''~iii ii~PO``\
"I CERTIFY THIS PLAT WAS DRAWN FROM AN ACTUAL
SURVEY,IpND IS CORRECT AND TRUE TO THE BEST
OF A}Y M 0 D~. n
OI ~ 3762
PROFESSI NAL LANDS EYOR LICENSE N0.
SURV. BY: Wt I DRAWN: RP I JOBS W9WCC2
VICINITY MAP
SITE
CINDY LN
= WEBBS RD
U
Z

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. BOR 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name- Jack Smith
Lake Name ~ Norman
Subdivision Name n/a
Property Section= Lot (s)= 2
City Denver County= Lincoln
State NC Zip 28037
Telephone [phone]
Type of Permit
Requested
"Circle":
Private Facility
Commercial Facility
Excavation
a ilization
Conveyance
Miscellaneous Uses
Directions (from major road or highway):. Hi~hwayl6N- Right on Webbs Road-Left
onto Cindy Lane
Descriptive Structure (s) on Property ji.e. brick earageLwhite fence mobile home
etc.
Lot 2 Cindy Lane
*Note: Please use the back of this form, if desired, to draw us a map to the site.

. .Cindy Lane, Denver, NC -Google Maps Page 1 of 1
~ ~ ~~ Address Cindy Ln ~ Save trees. Go green!
Denver, NC 28037 Download Google Maps for mobile
``" Text maps to 466453
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