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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 of to lake bottom of less than 1 acre and $475.00 for impacts to take bottom
of greater or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information
1. Owner/At~plicant Information
~~~~ o
D ~~
Nov 5 zoa7
Telephone Number:~~~Z~_~O Sb Fax Number. 407-j_S 1- ~S 15
E-mail Address: R~bO +- S A K ~ G~ ~ ~ R.2 . GO M
2. Agent Information (A signed and dated copy of the Agent Authorizaxion letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: PME At5 Ott t~ER.
Company Affiliation:
Mailing Address:
Telephone Number.
E mail Address:
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
Fax Number.

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._ "~-1CK.S0~ Nearest Town: CA51~1~ F(ZS'
Subdivision name or site address (include phase/lot number): ~SCRA.W ~6RdtY N 1 ~-l S1~ 6 .
Directions to site please include read numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included):
i-bT t (o k UN 4.T 3
tE~ Mai .
2. Describe the existing land use or condition of the site at the time of this
atrolication: I~R`dR-r~ 7Sfc UN'~P_Vc'1 A~ ~Rb~~Y
3. Property size (acres): s Q~~
4. Nearest body of water (stream/river/sound/ocean/lake): LAECE G i,£~1 V 1 l.L~
5. Describe the purpose of the proposed work ~I~ST~t_L. ~l ~,~~ S~A(~sf~C.,
6. List the type of equipment to ~ used to construct the project:~}~1 T~ 1.~, AN
~-1 GN4i" COt~~2~.9C, i 1 aN ~CJI)TD(hEl~.
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, Z
etc.) below the normal pool lake level in square feet or acres:lj~,J~?'~~
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: ~Q~,X 1340 ~~
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): ~ Au, ls~r~'ns , Llr EtT R
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

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DUI; ENERGY LAKE SERVICES
EC12-Q
P O BOX 1006
CHARLOTTE, NC 28201-1006
704-382-1567 or TOLL FREE 1-800-445193
APPLICATION FOR PERMIT TO STABII,IZC THE SHORELINE IN NORTH CAROLINA
Please type or print and fill in all blanks. If inf~mation is aot applicable, so indicate by placing N/A in blank. PLEASE
SUBIVIIT APPLICATION AND.APPROPRIATE DUI ENERGY FILING FEE, PAYABLE TO DUKE ENERGY,
TO ABOVE ADDRESS
L Applicant ][~ormution
A. Name~~ ~~~. J A~
B. Mailing Address ,~. 7on t~.~•m!i ~~ ~t c~~U~a_~ 32g3~
C. Telephone: ~~~~ ~~ ~- ~D$~
TL I.ocatioa ot'Proposed Prnject
A. Lake~'._ 1
B. street Address _ A
c. ~ SAG Sd)~l
D. city, town, c~mmtmity or landmark_.5:,
E. Section ~ I.ot #
F. Directions to property by road F(1UM 1~
G. Latitude and longitude four the project site 35 ° t I ' b 9 " ~ X33 "Dq ' ~ 4" W
Ii Please submit a map showing the coordinates or a detailed map (USGS quad map, citq map, etc.) showing the
exact location of the project site. (NOTE: Latitude! longitude ooorTliaabes can be found on i>mernet site,
www.maasadauscom. Directions: Don't register, Click"Maps", enter address, draw map, select "Map
Clicking Will.. _", select `2,at/Long' ,dick map)
IIL Description of Project ~
A. Length of wall i (~4
B. Material ~=a tZ~
C. Distance from property lineJshordi~
IV. Intended Use otF Project Area
A Private
B. Comrryerciai
V. Applicant Sigoatare
Date I©~- 31-cal
PLEASENOTE THE FOLLOWING:
• A COPY OP THE COMPLETID APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY
MUST BE SUBIVIlTTED T0: USARMYCORPS OFENGINEERS, l51 PATTONAV,E -ROOM 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 STABILIZED, AND FIVE (5) COPIES OF THE
COMPLETED "ATC DIVISION OF WATER QUALTTYPRE-CONSTRUCTION NOTIFICATION APPLICATION"
MUST BE SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO:
NC DMSIDN OF WATER QUALI?'Y
ATTENTION: CYNDI &4ROLY
PARZi7EWBLDG., 2321 CRABTREEBLVD.
RALEIGA, NC 27604
91 A-733-1786'
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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 ~~~t1t your completed
permit applic~•ttio^ to
DUKE ENERGI'
CIO LAS SERVICES - EC 12 Q
PO E30X 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193 or Option 5
AppLicmlt's Name: 08 DOLS(~K
Street Address fat lake) ~Q j ~(p ~-~~-Z 3
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Lake Name: _ (~ t,E,jV V ~ LLB
Subdivision Name: TRRW~~~,~/ N.~ L(
Property Section: Vim] T 3 Lot # ~
city: _~~A~\\~L~~.-__ ~~b': ~P~N
State: 1~ ~ ZiP: __ 2f~/~/
Telephone: ~~ - Z3 ~ - 9 p5O
Directions (from major road or highway):
FROM (ATE 10'7 Fol.1.oW -~fNE C-R.EEk ~D, WEST LEFT'6~ l~1.1~0(LT81.I ~D,
LEA i oN S'-RAw~~,RRy f~LI.L 12D. I.OT ((o ~ S ON t~}E QIG-{-tT.
Descriptive Structure(s) on Property (i.e. brick garage, white fence; mobile home, etc);
ND S~2UC.TU(Z~S E3~1 (~T
`Note: Please use the back of this farm if desired to draw us a map to the site.
gpaVLAKEMGMT/Package [nfomutioa/Diredioas by Road Fotmdoc
Avgtut l8, 2006

Cashiers NC
28717 US
Notes:
Lot 16 Unit 3 Strawberry Hill Subdivision
Lake Glenville, NC
PIN 7554-68-9815
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