20071798 Ver 1_Shoreline Stabilization_20071022

OT- 1 T98
The following is an abbreviated application form for those applying for a 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 five (~ 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 to lake bottom of less than 1 acre and $570.00 for impacts to lake bottom of greater or
equal to 1 acre.
Applications should be sent to:
Division of Water Quality 401 Oversight/Express Review Permitting
1650 Mail Service Center
Raleigh, NC 27699-1650 D ~ ~ ~ DjVJ~ P
I. Applicant Information ~~:// u
OCT 2 ,~ Z~97
1. Owner/Applicant Information ~, ~ ~ ~o p~ ~
Name: ~_ 1._ ~-Z.~ah~e~~-. ~. Awe-e~.~ce
Mailing Address: ~O~ ~~nn`C~,`` ~~~,`$ ~~~
~ra•~rkt i ~ N ~ L • ~.S~l3V!
Telephone Number: ~~3. ~Z.~. 3a1~1~^ Fax Number: t
E-mail Address: 0.'ror.'M'MS1~ 1 [D- ~~`C 1?AtJ . Iyt°'"~
T
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: _ ~ A~ ~. ~VJ`C'~tJC~'~
Company Affiliation:
Mailing Address: ~~.Q~~1~!~y~A~~p, ~~~00, \ ~yy1~,F~, 3363y
Telephone Number: $13 . x'30. sit 00 Fax Number: t~~3. t%+~. Sy S t{
E-mail Address: hL.Awc ~ race. a~ L~a~ty " ~g~~r ~'tv.. Coo 1M
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: ~ ~C:~ Nearest Town: ~d~~~l`1
Subdivision name or site address (include phase/lot number): ~3u1~.. Ae~ C~1N
9
Directions to site please include road numbers, landmarks, etc. ('This is not necessary if an adequate
vicinity map is included):
~~
~Q~e. ~' ~~c.~rioa ~~~ Ei~rr~
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres>: L O.~~Q. \
4. Nearest body of water (stream/river/sound/ocean/lake): ~,,AYi~2 ~fl1J~a~1o~
5. Describe the purpose of the proposed work: \-
V 5~ O~ ~ec~-Y'~1`D`K~JA ~'o '~~n~~t~C.~2 S~ore~~~N ,
6. List the type of equipment to be used to construct the project: •~ ~ ~ ~('t"CX~I
7. Amount of impact (including all excavation, bacld=ill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres:
3oc7o sa F{.
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:
----- _ a0O sQ. f'F
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): /V 4 A ~a+~~1~c.~
ti ~ l0/1?
ApplicandAgent's Si~ature Date ~ f
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

September 19, 2007
To Whom It May Concern:
I, Elizabeth Lawrence, authorize my son, Dan Lawrence, to be the "agent of record" for
filing this application regarding the shoreline stabilization at 342 Arrowhead Crossing,
Topton, NC 28781.
Elizabeth Lawrence
603 Hemlock Hills
Franklin, NC 28734
~ . _~
North Carolina
~Q~C.L~ ~ County
I, uri ~ ~ • e. ~ a Notary Public for said County and State,
do hereby certify that a r~K.c..G.. personally appeared before me
this day and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal, this the i~'( day of s ~t-xbty, 2007.
My commission expire ~~vlGl ~ 2009
Signature

DUKE ENERGY 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 ENERGY
C/O LAKE SERVICES - EC 12 Q
PO BOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193 or Option 5
Applicant's Name t ~ V~l/1 C' ~J
Street Address (at lake):~1~~~~~Q~~~~~~ ~-055 tNly
Lake Name: ~ ~ ~,~~
Subdivision Name: ~h ~ t ~ p
p-W ot,t~ hR.Ge_~ J
Property Section(* H5. v~. Q Lot #
City: 1~1 County:
State: ~ ~~ - Zip: ~, ~S ~ ~f ~
Telephone: ~8~- ~~_~~3 (.~
Directions (from major road or highway);
~~ l~ ~ ass ~ ~
~~ ~
C ~-~
12aa~ . I-~t
~9 of road o~
Descriptive Structure(s) on Property (i.e. brick garage, white fence; mobile- home, etc):

"Note: Please ase the back of this form if desired to draw us a map to the site.
BpaVLAKEMGMTlPackege Infotmation/Uitedioos by Road Fotm_doc August l8, 2006

342 arrowhead crossing topton north Carolina 28781 - Google Maps
~! Address 342 Arrowhead Crossing
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