20071723 Ver 1_401 Application_20071007

DUKE POWER LAKE MANAGEMENT, EC12-Q
P. O. BOX 1006
CHARLOTTE, NC X201=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. !f 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 Q ~ '" 1 7 ? `x'
A. Name ~R, . ~~ (~ N T . ~- ~ ~ ~` ~
B. Mailing Address (5 (2 ~y~~ ~A. (E ~2 - J~'-~•R~-~ESt} ~ ~~E,~1 C ~g~~~
C. Telephone ,-~ ©~ _ ~,1 ~ _ ~ ~ ~ ~
'-~' ~'t
;, . ;
_, ~ ; a
.. _r
II. Location of Proposed Project r-~ ' ~ $ ~~ ~ ~' ~
A. Lake ~, pa ~C O ~~+ '> ~` ~ , ~~
B. Street Address ~'', ~,~ ,~ n -#°-P,~ ,,,~ ~, ~,~ ~2i ~~ ,~
C. County f-t` ~ t ~ p N ~ c ~
D. City, Town, Community or Landmark S'-~-t~nv ~~ I e~ ~ s-N C- ~~ (~'~ g
E. Section Lot # i ( Subdivision ~ ~ J ~ a ~ ~ ~ (~
~~
F. Direc~t^i/onsto property by road ~_+~~ ~~ .~~~~~~ ~~~~~~~~, ~ 14 ~ Si~~rtdn`~c.tt~
L ~'.-?'7 ~ '- N~ ~~ - ~ 2 e~ I f G n
G. Latitude and longitude for a project site ~~ ~ ~ f ~ ~ ~' ivy
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. (N~T~: ~aiitudellongitude coordinates can
be found on intemet site, www,ma~on,~s.com• ~iredions: Don't register, click "Maps", enter
address, draw map, select "Map Ticking .Will... ", select "I.atttong", click map)
III. Description of Project
A. Length of wall («~ ~
B. Material -7
C. Distance from property line she
IV. Intended Use of Project Area
A. Private X
B. Commercial

,.~.
V. Applicant Signature ) ~ ~ - Date s
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
SI IRMITTFII WITH THE Ill\lICIC1N CIF WOTFR nl IGI ITY CPPI IC:GTICIN FFF TC1' N(` t1-VICIAN AF WdTFR lJIIQI ITV dTTFNTIAN• C`vnrii

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
Owner/Applicant Information
Name Dr. Allen J. Romeo
Mailing Address 1512 Avondale Dr
Statesville, NC 28625

Telephone Number 704-872-2672
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 Ann L. Duncan
Company Affiliation Permits 4U, Inc.
Mailing Address 11290 Olde Cedar Ct
Davidson, NC 28036

Telephone Number 704-784532
Fax Number 704-784384
E-mail Address ann a~Permits-4-U.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
surfaces, or other facilities must be included.
Location
County Alexander Nearest Town Stony Point
Subdivision name or site address (include phase/lot number): River Walk

Directions to site -please include road numbers, landmarks, etc. (This is not necessary
if anppadequatJe vicinity map is includedp)~: ~_4ig ~ .~ ~ ~, ~ ~ y~ _ Shand., ,Crl,~/
. Ci'1 ~ hY~ / t ~ Q L~6'1 ~r r'd ~-r ,lZ E
2. Describe the existing land use or condition of the site at the time of this application:
is ~u A F~~. ~~ ~ ~-f ~~I ~~~,~~. ~~~~ h~~ ~
3. Property size (acres): ~ ®2'~ '~
4. Nearest body of water (stream/river/sound/oceanilake): ~~ ~ ~ ~ ~~,
5. Describe the purpose of the proposed work: TL` ~~ ~ ~ S ~ ~ ~ - ~ ~ n A,~ n c
6. List the type of equipment to be used to construct the project: ~'"~, ~~ ~ ~~ ~/ ~, d ~~
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:
~`-~ ~ r
r~_~
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of treesjfor instance}; ~~~ C~.'~ ~ ~/~~~~ `~ r(~f}/1~//!~'" ~~~
TR ~ ~ ~'~ I,:td ~ ~~ ~~ f4 ~~f~ w~ ~ ~ ~~ ~k i d~ ~+~~~ c tei 1~~f"~C`t2c~, rt~ ~ ~Ct.i ~.
~__
~ r,,
d ~, .
ApplicantlAgent's Signature
Date
(Agent's signature Is valid only if an authorization letter from 8-e applicant is provided

~~
,~~~~,
~d~~.
9 s'' l~r~E~y ~~v
~~~
~ /~f 3
1~ ~~ pi a ~I~--~ec( ft
Inc' c pR d ; -~~ ~ ~-a ~ t~.!
~~;d~(; ~~~ ~
V.
Please approximately sketch the following information on this plan (please provide dimensions
for each item, such as 10 ft. x 100 ft.):
1j All proposed vegetation cleating (provide dimensions)
2) Location of rip rap or fill to be placed above the Fuil Pond elevation
3) Location of rip np or till to be placed below the Futl Pond elevation
4) The location of any proposed structures such as buildings, rotaining wails, docks, etc.
5) The location of any excavation or dredging below the Full Pond elevation.
6) Location of construction access corridors.
~~-~~ ~~
w
5~_~
~~~

Name: Dr. Allen J. Romeo
Mailing Address: 1 S l2 Avondale Dr
Town & State: Statesville, NC 28625
Lake Address: 97 Mountain Aire Drive -Stony Point, NC 28678
Feet of shoreline and material: 143' -Rip Rap
AMOUNT OF FILL~~ ~ CUBIC YARDS
Elevation ~. ( ft. Full Pool
~~~ ~~ ~
Lake : Summer Pool `~~~- ~ ft.

12" ~~ Vic..
Elevation ~ ' ~ ~ ~~~ ~
CROSS SECTION

`- i
I
'11
i 'f-.
`~
OI
- -~-Titl[ YT[R Tx! oAT[:
oiw xMTN cMalxA
;a...9 '[mot-+•,g__ ~-~
t<6 Q ,r,~.,R ~~, d.,a ¢

O
<DD V U-
T
O
~D !~ \
GT
g
99
m
S[NIIM DurAxu O
MST' •[• Op• r N.S!•
M b' DS' SS' [ N.SS' I
x
I
e!• •
[ e •f,

[
T
R '. I[ ''

x ba• I
•. De'
Ioa.sT•
S.Pr O
9
(LIE
i
D x n• w' u- w
t b• O]' ll' W M.er
n.la'
I ~

I

I

! f

la
1•

[
n

t0 ' b'Oa' )I• r
• a• ar• [
w• sr t
x a• M• er z
xu• u
er u• n•
x sa• I!• w•
u' Ds• w
x !
!a' 00' Y
la' M• w 't. tt'
•.st'
I .w-
u.Tt'

ee.er
Te.M•
Lu'
IM.•s
f.tt'
If.l

' x w• D ~ >v w u.v•
~ x •• D
e at.lr
I
n
*t
b~
al
at
)a
• x
)• Ii a3
x b~ ar a•-
x oa• M' :r w
x le- z e
x t•' •S' •e-
M IP• Ix' a3• w
x le• u' er w
x u• DI• u• w
x !• .I •[ w eP.•
n. u'
1 •
n T
O.SD'
•s.!!'
•a.m
Mar
L.D. I

S

N
t

r
YS

~

!°

~3ooK 5 PHGE ~~~
~~LDria
•6ANFORO 6PARN6 ~FAPM -MAP 2'
t .yRNf°e! AvpO 4 fRM1M 7~ ~iC
fj'
~'
w coMwMl
DI•n a. xoRrx cAReeLRtYRILT IMOgL
upnxa ItN:i n~ili PLAT riN w.
~\ I uRlu n DVGYUIOM ROY M
wri~R wD~w r~ i°0c °GiAile er
wcwM u I
iwT M IauoARrtf [wv[Yr
ARl fgwx A! MOxtX fort! KOITI
r ~MYtTxw re_uw a bM
TMII Pa1~ r.~ MOAIMt Ix
P~ ~ • ':
~F>9 ~ ~ ` '~ e' LAND rrtN1x Tx[ Mu a A caxlT Dtl Cien
xa wuxb )0• v ~ `? ~~ ~ eDt'DI. '`~ cnALITY TwT wt a oRelxa~lc[
Nc[ RUFFFp°ErATIV(r ~ ~ ~~ iw i//R/[WLA>M~PARCIL[ M l T f [ A l F~
S 2a' •> It tl AxaM "i D. AA• 1T• W 1` PxRM 1 h lye IyN ~/~I _ l.I B9) ' a
IS N [)' •> IP it.3¢~ ~ tIY ~~ Rt .SRNfOpe •PD° ~~rx 1u1L`-./ZS-9S ~f4~Oru~•'c;;o;/
1 5_E \ xcPt cN :~
\ ~~EpELL I• xMTN cARaINE, I [DnL
,swam ~ SECT ION - it <YlxiY, I, A bTSM uKa or TN[
It' I.I,)>•.1a01N0 , CounT Ab 1 T[ YoRaMNI,
t[xTIIY }Wt NRAU Y. MINT.
. RlaDT[Rw Loo rwvnM
II !A)RTH iAM~,INA ei[;fANpER CI%IIAY PMSMAILT ARHM[D [[Iellf Y(
IS• ITS iN!~' .:' aM nllk~lt 4 /~ [MIGRI a TKNIMib ~W TN[
I CaxifbElF4 N. RTlSt•L Y Glv Kxm W~A~~ /UC~1' ^ Q1,lI RIwxT x!w RT RAxp A
oAV a di •NpR !lAL, ~NI~
I IMu1' PNMkp„d =IYda~~ ~ rl
NOTFe: / /A~~~•~
' A~Na1fY'. NC ~CxM>~I,I,R'p~ m M fO1P1L OWNER-DEV[L0I[R _J~ i/L~/"~ 3a.
IRON PIMe AT AlL LORxEPe 1NAE3[ OTHCRWISC NDTCO 7111~JSY Of asp[a_:„t~ 195 xfJ NIRNFTIN4 CO. IML. _,, ~~.
I PROPERTY SUPJECT TO A )0' IRONY, ae' PEAP E I!' PO% Ito) •" _. _. _•-
610[ PUILDIM4 SETPAC% LINED. ~wySmM W. NNMS R IHU 01 OMIM MATiM[We, MG 2eloe I ? '
PNpxt: npu PAT-[po[ 7.d'.'~. -: 0`~RtlLF
PROPERTY t 9URROWgIN4 PPOPEPTY IB [ONEp p-A. LNILON IOwxlNIP IRED[lL COIWTx "~~ --
IAS~V SpR)IRgIl1~MOePd MILlEP3 lOWNSNIP ALEXAMER C[W TY xORTN CAPOL INA~ r,.. ~~_.,,..r,r~.i ,.p~'/i-Q~
ALLEdD LOT WILL B6 DCSI4NATE0 IN A tVTUPE PNAbE -
CN CN lOT It SUPJECT To FLOOD EAb[YENT p[l GRIPED l'A% MAP M0. BR-A-~ DA T[ 14-4i-)¢ DRAWN PY: LDP - - • ~~ ~ '
DECD BOON a6t, PALE e4x. O[(0 Rf r: ;[>.JS• 9LALF' I-• IOC DRAW IN4 x0 !•OPr-i
nATf or suxvfv Ix-o,a•. D!p-aPT ~G V G b A
CM - LONLR[Tf MONUMENT PCV15E0 01-a0-w ~• ~
II[VIa[D 04-Ia-Da 4RAINIC aLAL[ GERALD V. WANT E A660LIATE6
EIP - F%I[TIMO IRON PIN.
REVIlFO 0•-OSlP ' P. 0. BO% 4N
- re MISL - MIxINU• Pu1lDIN4 lEiBALx LIN[ q[VIlED O1 MLea O ~ FTA TEPVILLC, N.C. xPGPT
R[vIMD: 01t!-U ° 4 I O rD0 t O •00 ~~~ PNONF noel Rn-RIu
rxc sLtxtt PROrarr a xoT Ix E FISEO _
N1»~f~1xSUIIIINL( II°AT[ MA°MpYx M
f,r~",",k d ,~ ;I,::"a`".:oDlla D:DD! E... - 5 . r~ ! tr'
SyCf-I: t7 Y!!0~ I~
, E,, . .. 'OS oo\ 'M.
G
o "'N .P
N ~f ~ ~ yS~~ t
,~ NY ,~. ~~~ ~ orlwoY N[v
J 6<ALf
At' t
ac ~ ~ a~°! ~ u!P
• ?0 Is>z o
o.e1a 'bt f+
~~ 'J _ g~ 8! o -
„~ '~ ~ tie xL \ p '
m ,+',
//a,Jl~ 21' &.D4~~Ta. RGN. iI !v y'. ,9 ,tA
• ° N N ~. D ~ / i
Vf Ba' °" N
\ 4 yAal.
aft ,Lk © M /~-~ A :?: -A
AL'A ~ y~ 5 ~ l
y r o.Wf!>F 4` A
~x \ ' 4 121
!3 ~, c°
~ )et TT
I)ttT 09' A'1 t \ ~ Z 9
d° 9 a7 \ ~ f
AT or xoRrx cARaLINA
~', I Durr1 TwT Trc K
oe ~MS rITN nt uiip.°~as~PxD""`nn.
fsu p[Yir iDAlo °ral R[m+o
iq0 • iK R[SISTU Or M[OS tlrrln
RWY, w• SDMD
NoTIn y r, LOC.TED
wnbN A PERILIC wtTER SISR
wAT[RS~IfD - OEVEL JPMIMT Rr.STplt
I lrAr APKr •DDn1axALLT,
O~TNER 0[vfLOPM[MT RESTRICTION!
APKY.
IMDRL epunY
• e TIt .u[wlw cunncaro ar
w*Mr
ttr' Y Ito ea cMPwT.
` S T011 MOTRUY[M wA3 PRt3[XT[D
. TRATIM TNN PSY AM
R b pRY R[CMO[0 It TN[
C iu u x[el.nx a xu! ar
9 liixu wunrr, xc Ix nu
bM _ P1H , TNI
_DAT 0 __Y D. AT
'°xe eLOCN _ .

I-tom I A~~yw-uY I .F fL. T aeu~F.r,
Ix
T.__ .~ .

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- Dr. Allen J. Romeo
Lake Name ~ Lookout
Subdivision Name River Walk
Property Section Lot (s)~ 11
City= Stony Point County= Alexander
State ~ NC Zip ~ 28678
Telephone [phone]
Type of Permit
Requested
"Circle":
Private Facility
Commercial Facility
Excavation
tabilizatio
Conveyance
Miscellaneous Uses
Directions (from major road or highway): I-40 W toward Hickory -Exit 141 Sharon
School Rd -Left at NC 1625 -Continue on NC 1654 or Stewart Rock Rd -Right on
Mountain Aire Dr
Descriptive Structure (sl on Property (i a brick ~ara~e, white fence mobile home,
etc.
97 Mountain Aire Drive -Log House
*Note: Please use the back of this form, if desired, to draw us a map to the site.

.Mountain Aire Dr., Stony Point, NC - Google Maps Page 1 of 1
Address Mountain Aire Dr Save trees. Go green!
~'~ ~ ~ ~ Stony Point, NC 28678 Down~oadGoogleMapsformobile
Text ma to 46645 3
PS
~ ,`~ -_
.e siL-
1i
1 \i~s
. - ~~
t3`
\t. ~w~15
L
a:~ 3
F
-!'~ 4
~, ~~ ~ `18K7 1
`n ~ ~.
f ~~
~, x,~
F Kati

it
1 J
SCI E _F
U'
~~
~1 t
1~
~ ~

>1
V
'!'
;hPl qa'~Y. ~ l f1ln

y

' '.f y.'Y i(:'1~4 ~1
~
~ ~
fl
~~:
tyr
~~
~ ~
~ ."ri ,
r' }

`Ht r
Px1ti<<i w.+,t - ... ~~a+ara ~es~~` - ~u~~,~c ~a
~ ~* r~
P

©2007 Google -Map data ©2007 NAVTEQT"'' - ' ~r,ns of Use
~"-~ii~'~~1~'1`x311^-~,~.T~'(`,t5~~°~'(~-'~,in%7?"D~~d"=f~~7~~= .r _`SSTs`Y~~^r~'i^=~'ii@'ii'-.{~-{~~~;-P=:~'$~'~1<~=,Y, ~"°~i~'ii.~";;'. ~'1/:/`1~~~,~

,Maptech MapServer
MAP-iE^,H MAPSERVER
8~.12722s° w
,, ~
-.
~ ;.
. ~ > '~~~~
~~
~,
,~
ti
~, ~

}~r` ~~.~
.t ,. ~~
,.
CfS "•-~~. • ~
1 .y ~ •
~ •
~~ ~~~'~'
~~ '~"~
' C/
~~~ .
P ~~
'~-.
.:.~
r _ _ A ~
~ ~
_ ` ~;
w.' a ~ . ~i~h t ~'a~ Nauiaat~an _ t 1
~ 35.775262" N « - 35,775262° N~
81.127226° W 81.106310° W
M .~h.~~~
MMTECH' ~ . ,c~ . _ _ _ _ ... .~~ .~~`r`~ ~
© 1989 - 2007 Maptech, {nc. All Rights Reserved.
Maptech ®is a registered trademark of Maptech, Inc.
Page 1 of l
http://mapserver.maptech.com/api/api_includes/navigator.print.cfm?height=500&width=4.., 10/6/200?

#~
,. 4
A[
. "~ .. ...
,a
~ +
3_H..