20071749 Ver 1_401 Application_20071016

~ ~ 0 - 1 7 4 8
The following is an abbreviated application farm for these applying fora 4A1 'Water
t~uality C~rtifiration to impact tE1LC (Federal E;ner~• 'ftegnlatory Cantmissinn)
regulated lake shore nr bottom under the tt.fi, Army Cnrps of ngiaeers Permit
GP30. This Application cannot be usied far wetland or stream impacts. Please
provide seven (7) copies of this applicatinn aad supporting information as well as a
aan-refut-dable application fce to the l.)ivlsian of Water Quality of S~t10.(}t1 far
impacts of to lake bottom of less than 1 acre and'.5d7500 for impacts to lake bottom
of greater or equal to i acre.
Applications should be sent ta:
Division of Water Quality Wetlands ll~nit
1b50 biaii Service Center
Raleigh, IVC 27694-16SU
1. Applicant information '
i. (7~c~r.~erlAiapli~antlnfaraiatian
~larnc: ~-~L
Mail i~~g Add~Zt ii ._S
Telcphane
l~:-r, pail Ad
e f ^ne.
,,_ N L
1'ax ?~un~rber:
ru
'. Agent InCc~nnats~rn (A signed and dated nafr}~ c~C the regent Autltarizatian later.
rcrs~st 1.re ararhed if the .Agent has si~~r~~tary a~ihurity Car the awner.~applican:.}
2~:~~nze:_ _ ~._~.
C'anipany ACbliatinn:_____._„~, _..,.. ....... _........._......_._m.....,__,
h4aiiixigAddrass:.._... a_ .. _....____......... ....._.__.
..._
Telephatac 2vtua~hcr:_____.~, ,~ Fax Number: a, ........~.._~
l-i31T.ll t~l.tidress:~,
ll. Project lnfarmatian
.Attael, a vicinity neap clew i; shau~iIIg the location of thi pralx.rty sr~i¢~a tcspc~ to
lac:.~l landmarks such as t~»~yzs, rivers, and roads. Also provide a detailed site
plan sha~a~ing property t~anrrdaries and develaprncnt plans in rclatia~~ to
surrounding properties. ~i`au may use the diagram betaxr ea rztdke a ltarad sl:r~tch aC
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~~-Np,M,~,p ~ f(~All Au'

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your project. Also, see ttie exaruple t~elaw for guidance. Both the uiciniry trtap and
site plan .trust inciude a ate and earth arrow. The fzxitprints a~f al1 buildings,
impervious surFc, rr rather facilities ffizc¢i be ittciudr;d.
i • Craun Ay /ti 1 ~ W ~ ~ 2~3~ar~st T'rn:~ f/ ~7 a tt nJt l'D u
~ubdivisioa Warne cu s~3e sdi~ss ~tstcludc phase. ntim'ber~: ~_
tiireions tc> site ptcatse inc3u€ct~ txaad xrmnbens, lat~msrks, eta, {This ra ~°t A n ~
2. Ube the ex° ing rand ~1 or crrudjt"~a o t~ st the tires cif this
application: /ll~fVC'IO~ed /~~SIQ'LOn'~l Lc
y. Pt'o~rei2y size (acx~k ~i / Z ~f IBS
a: ivraresr body ~f~a~r {strear~it~erfsoutuL'aweanti); L ~ k~ N~ `rr-~a ,.
5. Desan`bc,ihe putpQSe of the propc• worn, ~ b f P ~ f /1 t S~4 D~ / / ~si~/~Oh
f: -gist the ty}x of equitxme to use w cea~rtuct the prrtject: - -tY'l.~C~- hoz
7
dr
8. a. Asne+uat erf ittti;+act {"u~7ndiag art cleating, back fill, e~~~atioa, rip n
re~iaipg tivalEa, etc.) abave tt~e tia~tnai i rake lei and 50 fear 3auc'E-wad
square few csr acres:f ll'a ~i Aq R!''1/i4 ~~b De "3 ~X /D 0 ~
n.n r. n, ii.i ~_ ~
b. Pty dewcctiEie t~geratian above t#:ie normal pool lake Icvcl d ;S(1 met latui-
ward to be irnttatted ttiutni~er of trees fcir nsttrt~el:_%t~lSf _ ~f I_~ /'S. S%1W
~ vs~~e ~o -)S-v
~~ ~~ »~s~
s st tatum is ~>a1~t } t'an a,.uh~aii letter fros~~ tip a~piicat~ is prcr~~idrel.)
cunt crf imps (rncluding .all excavation, bac~'fiil, rip rap, retaiining u~aTis,
~s:.lgw the nartnal pal lad lex~el in square fc~r far acres;' ~v ~ X 1 De ~ - (000 ST f',.
f 1 /~ t"AD

6~10~~~11 PDOI'~ lDO'
k ~ovc ~~1~ ~ oa ~ ~ Jo0
Q~~;a9 0{ ba~+k -~o
- fl~r~~ - 3'~t loop
rv-!t n rfiLU't r ~ c~'~ ~u~r' ~
Please approximately sketch the fog information an this plan
~stease provide dtrnen~ns f'or each ittm, such as 1Q ft. z 1b0 ftj: ~ ~-
1y All proposed vegetation cieadirtg tprovide dinensions}. '~ ~~ 1 D c = 3 0o ft
7f Location +~ ~ rap oar f~i to bt placed above ~e tcug Pond eiexatian ) ~ >< ~r~ o ~ = 1®o f -t v
S~ Location ~' ~ rap or f~i to be ptacecl below the ~tig Pand elevation U~ ~ ~ 60 ` _ ~~ ~-~ Y
d) Ttte location of any proposed structures such as btdidings, detaining
lAlallSr doclts, etC.
~}The bcatior~ a6 any ~excavxhian or dredgir~ below the Eta Pond
elevation,
6j location of construction access coMdors.

Print Parcel Map
Page 1 of 2
Parcel Summary ! Printed Map Scale 1 inch = 200ft
Parcel ID: 471001170178 Parcel Address: 8341 LONG ISLAND RD, CATAWBA
~~ ~ _ _ .
=OwnERS GRACE MAddress: 221 STANAFORD
REVOCABLE TRUST AYERS ~ €City: WINSTON-SALEM
~]ERRY C TRUSTEE RD
iOwner2: AYERS GRACE M ~Address2: ,State/Zip: NC, 27104-2721
TRUSTEE ~ ~
Building(s) Value: Land Value: $131,000 fTotal Value. $131,000
http://www.gis.catawba.nc.us/website/Parcel/printMap.asp?pinc=471001170178&paddr-... 10/ 15/2007

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Google Maps
Ga ,31e
Page 1 of 1
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Save tree. Gc~ greens
Download Google Maps for mobile
Text snaps to 46645:
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'N~TWND~.~dO ~T(!`2PA1'~~T~R!?RAWCH
http://maps.google.com/maps?ie=UTF8&11=35.674032,-80.982285&spn=0.066099,0.115... 10/15/2007

I3L;KE EI'tERGS LAKE SERVICES
EC13-Q
P U Bt}?i 1006
C1-L.~RLt)TTE, iVC 28201-1006
7(34-38-1557 or 'It}LL FREE I-$[8)-413-5193
07-1748
APPLiC_+1T1{}N POR PERMCf TO 5TASILl2<E TB:E SHURELLDiE IN NC11tTH CARt)LtNA
Please type or print and fill in all blaniks, if nfcxmafion is .not applicable, so iodic by placing 1vlA in blank. PLEASE
Stl~M1T APPLiCAT1t)N AND APPRUPRiATE 33ti Klu IE14'ERG~t' FILING lt`EE, PAYABLE Tt3 DUKE E?V"ECtGY,
TE) ABdVE AbFlRESS.
L Appluant InforTSatian
~. ltiaxz~ .lac ^ts us+ee Crr'ace 1~. A~ >'rs ~~vs~
H, ;+~lailing Address Z ( 5 - rw t ~ rlV,f,/~ S~G/t -~! ~t M ! V ~ ,2 7/ o
c. Telepl+one: `~ 5 ~- ~ ~a ~ - L~ 7 a ~ ~ 36 -7 47- f 3 ~ f~ ~ ~
IL Locakion of Ptropostd Px+oj~x
A. Lake N iw ~M 4 T
H. Stred address~3~"C O roc, , j,5. ttr 12 G{ • l 5' K ~ °I O y
C. County Cuba w ~a
D. City, town, commu>tttY or lattdmz~ttt ~ ~ ~-f-i l.o IS ~~ n~ '1~~~. ~; c ~ztESt ~'~-
1«. Secticut _~_ L~ # ~ !~,_ S~bdtuisio^ n-
F. ~Qi~rationsm sty by grad Ol M+n. ~ ~ t!. ~. ~ ~ //1}n . -~c ¢ ~o
t .-• o is k ~ Gt Rw ~ of is sa o Pi'{+t.
G. L,atittule and longitndc for tht pm,~oct site ` ° > 5Q -- flDs S8a 5'4 4 W
H. Please submit a map ~ the ~ordittates or a detailed map (C95G5 qutul map, cii} map> ~.) showing the
exact Ioc~tian of the pmjett (1tiTOTE: latitude! low cxrordinates cxio be found an snerrset site,
n~vr.-xt~sottra~.crr. Directiatts. Dnn't register, click `"Maps', ewer address, drab map, seltsx "Map
Clicking mill..:", select "Latlt.m-8 ,click map)
zzz. s~tl ~ t7 f' ". C ~~ ~ i d~ o{ ~ce~
^~w~~i sr~t,
¢~
~. ~ n~tx from gtnperty li ~~tlint ~ .~" . p 6 ` ~~®~-{~-lf~,cn ~ l,~v~t ~
IY. lnZttrded tree ai' Projtet Arts
A. Ptiv~ate
B. Cotutueseial
V. Apptica3 Sigaasnrt~ ~ _,,,__ bake S Z c~.~
PLEASE Nt)TE ~ U ~ G:
~ A COPY OF THE COMPLETED APPLICATION WITEI !l ROAD R+iAP SHt7W1NG LOCATIOI~I flF THE PRflPIIi2Y
lft75T BE SLBM[TTED TO: lISAl~'~' ~t7!l7PS OF F'NGI~'4'EE"RS, ISY P.lTlt7NAl~E. - Rt~tlilf 2`n8,
A~XEYILI,E, NC288b1-St1t16
• 2 COPIES Ol; THE "DUKE E?QERGY AFPLICATtC31~I FOIL PERMIT TO STABlL1ZE THE SHtJREI.L*IE IN NORTH
CAROt.L~A", PHtITOGRAI"F1S (}F THE SFiORELIAaE TO BE ST.+1BII 3ED, AIdD FtVE {S) C~LIPIES tJF'TF1E
CfsMP`LETED "I+IC DIVISION OF WATEIL QLIALTTY P11E-C(1NSTRUCTTON NO'T~F2CATl41~€ APPi.ICATI{7N"
htCST BE SUBkiI°I'fED V1tTTH TFIE DTVI5ION OF CATER QtfALITY APPLICATION FEE Tfl:
NCAIT1S7Qi'V OF' ii'AT~R QG'AI.Ifi1'
A7'TL~'1VT141Y: CAI iLlRfll Y
PARdtYIEWBLUG., 2'327 G1Z38TREE731.1?D.
RRI,EIGH, NC Z~btJ~!
41P-?33-7786'
[i;sL41~MCr~1T"~t'arksge hdonnuan~\G 5haetine si~liutian Baas dac
°~~'~,f-~~~i1~'
0~; T ~ ~ X007
G~NR " w~rNlz ~v~~~n
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