20072021 Ver 1_401 Application_20071207

DUKE POWER LAKE MANAGEMENT, EC12-Q
P. O. BOX 1006
CHARLOTTE, NC 28201-1006
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. 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.

I. Applicant Infonnation

~07-2021
A. Name ~,~-2~ ~, .. S ry- ~ `f'~
B. Mailing Address ~? ~ ~ ~(,~ A,y,~ ~; ~- ~'~.D~3 r~-~ S U ~ ~ ~ t ~~ C ~..~1 l7
C. Telephone ~~~ ~ ~ ~ ~ _ Qc~ ~c~
II. Location of Proposed Project
~ ._..
A. Lake (~, G~ ~m p.~~
B. Street Address ~ ~ ~ f ,~,1 ~ 5 j~ ~.-~ ~;
C. County ~ttC ~ ~-t
D. City, Town, Community or Landmark ~ p~> ~~ ~ ~ ~ ~ ~
E. Section Lot # ~I, Subdivision JO u...~-ir ~ ~ ~, ~ ~.~..
F. Directions to property by road ~_ ~ ~ ~ ~ . ~ ~ ~ .~ ~ ~ _ ~} ~ S. f._ ~ ,~
ti`
i r , r '.I ~ K3~'ln. ~ .n ,-, 1 ~ rY' `" 1 f-%,-F--~~ ~ n ~~ /.~ L~1.1~ ~1=: i ! ~~ ~~ fiA-f ~ I F'-
/ti ~ C U r~' ~~ ~t ~- ~~ D n i ~"tf
G. Latitude and longitude for the project site ~. ~ S~ ~ ~ N ~~~ , ~ .3 `~.? u-~
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, www.mapsonus.com. Directions: Don't register i"~ ~~~
address, draw map, select "Map Clicking Will... ", select "Lat/Long", click ~' ~5
III. Description of Project U~=~ 3 2007
A. Length of wall
v~
B. Material ~~~ ~ ~'~~,
C. Distance from property line/shoreline
IV. Intended Use of Project Area
A. Private X
B. Commercial

V. Applicant Signature
PLEASE NOTE THE FOLLOWING:
~--
Date ~` ~ ~ D
A COPY OF THE COMPLETE APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: US
ARMY CORPS OF ENGINEERS, 161 PATTON AVENUE, ROOM 208, ASHEVILLE, NC 28801.6006
~ 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 DMS/ON OF WATER QUALITY, ATTENTION: Cyndf

f
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
07-2021
1. Owner/Applicant Information
Name Carl R. Smith
Mailing Address 203 Washam Rd
Mooresville, NC 28117
Telephone Number 704-516-9059
Fax Number
E-mail Address Tripp.smith~gc.com
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 628 Oakridge Farm Highway
Mooresville, NC 28117
Telephone Number 704-660111
Fax Number 704-660-5969
E-mail Address cticseawalls~aol.com
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 Iredell
Nearest Town Mooresville
Subdivision name or site address (include phase/lot number): Southpointe

Directions to site -please include road numbers, landmarks, etc. (This is not necessary
if an adequate viclnity map is inducted): ~~ ~ ~ N ~j ~ ~ ~ ,+,. 3 3 - Gr~~S~ vn
l;l~i L(i r~sea~, R-,~ ~- L~-F~- ~n ~R.A-~l~v ~'ct~.oo (- (..d-~f- o.-t
2
3.
4.
5.
6
7.
8.
Describe the existing land use or condition of the site at the time of this application:
~I E1A'~R~ ~ ~ <ti. ~.dW. ¢r -° A- -~Ett) ~'ri-C~5 ~- ~ /1-x-5 S
Property size (acres): D ~ ~ ~
Nearest body of water (stream/river/sound/ocean/lake): jl~ D2M~
Describe the purpose of the proposed work: ~,~,br ~~ La=. `3 {~d R-~ ~~ ~ ~ ~~ ~
~ h-`t'~"~ h c. -i- {~~ n ~2-ri-w -- ~'t'z~ C~ n, ~i2-~ ~ ~~`7Lc~ S ~ a ~-~-
List the type of equipment to be used to construct the project: ~(J 2 (L ~ - j( b E
L~D n.~ h u~ ,~ dP 1~~~ ~ ~m~-ti ~~b~c~v~-
Amount of impact (nduding all excavation, backfill, rip rap, retaining walls, etc.) below
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:
i ~ ~~~ f
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance): ~~ ~~ ~ _ ~RA-SS
n

~ ~ ~~~ ~ ~
(Agent's s/gnature is val/d onty If an autl-orizatfon letter from the applicant Is provldedJ

Please approximately sketch the following information on this plan (please provide dimensions
for each item, such as 10 ft. x 100 ft.):
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 structun3s 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.
-hS-1~'Y38_~ e

Name: Carl R. Smith III
Mailing Address: 203 Washam Rd
Town & State: Mooresville, NC 28117
Lake Address: 191 Washam Rd
Feet of shoreline and material: 240' -Rip Rap
AMOUNT OF FILL a `1 CUBIC YARDS
Elevation 760 ft. Full Pool
Lake Norman Summer Pool 758 ft.

l a ~~ ~h~ c~L
Elevation ~ ~ t`c, ~~ '~ S~
CROSS SECTION

~\ D O N ALLEN & A S S O C I A T E S P. A.
~ ) ~ "Since 1971 .
~/ Commercial * Residential * Mortgage Surveys *Multi-Family
Construction Staking * Subdivision Design * Topographical 0 7 - 2 0 2 1
111-B Raceway Drive * Mooresville * NC * 28117
[phone] [phone] Fax
I, certify that this map was drawn under my supervision from an actual
survey made under my supervision recorded in deed book_ 138 __, page_ 539 __, and/or
plat book__ 39 ___, page_ 144-__~ that the ratio of precision is ~;;,.&~(^~';aO+Q,~,fhat this map
was prepared in accordance with the General Statutes of North ~ ter 89C.
ITI~/ hnnri nrlri sanl nn the "' ~ ~u~~lu~uq' ~
-- ~~__, day of -FEBRUARY ___~ A,~~~si'~.~~ a
WI LLI
CURVE '~a,u,ueN"
C
CURVE RADIUS LENGTH e.. E NG ORD
C1 8 38 32' B e~" 38. 5'
LAKE NORMAN
S68.
~ ~\
68 ~6~
•2p. F
7~ 0' CONTOUR PER PLAT 39, PG. 144 LAKE NORMAN
A5''`N S73'35'08"W S82 20 26"yy S77'22'S2"W S84•05 "
Sgt 1~ a0, .P. ,P 4 .24 P 34.06' 45.86' 0.4 41 IN N,S¢ 2
682 ; '' SOUND AR C.P. 2216, ¢'~~
8
SOO.6 F C.P.
N86.ti .
~0'~ ^"
40 48, W ~- - -
~t4 REBAR
w
Nw )
~ Ns \ 765.81 /
~\ \ ~ / ~
~p~ i \ 20' WATEROAK /~
`~ \ /~
LOT S
BRUCE HARTMAN
DB. 1554, PG. 885
~4 REBAR
FOUND
768.38
~ ~
\ 18" WATEROAK I~ ~
;~ O)
68.54 O ^
40' SE ACK 2
0' 25' 50' 100' FOUNDBAR 1B
_I J ~~
~4 REBAR ~
SCALE IN FEET FOUND _ 14 11F ~eOJa~., . REBAR
RIw ROAD c.P. ~2 `'
wAS~A ~2~ yh c.P.
s'R , R/w
LEGEND 6~ nr
I.P.S. =IRON PIN SET (~4 REBAR) g, 1~ NOTES
R/W m RIGHT-OF-WAY 1) THIS PROPERTY MAY BE SUBJECT
-GROUND SHOT TO ANY EASEMENTS AND/OR
SPOT ELEVATIO~TREE SURVEY 2) AICREAGE COM UTED BY THE
C.P. =COMPUTED POINT
COORDINATE METHOD.
OF 3) UNDERGROUND POWER
#193 WASHAM ROAD 4 2000RFEETONUMENT FOUND NATHIN
LOT 4. SOUTHPOINTE
1 " = 50' FIELD BOOK:
SCALE _____~_____ DAVIDSON TWSP., IREDELL CO., NC FlLE: 10911
ACQUIRED BY: CARL R. SMITH III ~ Dc FILE:
TAX MAP N0: 4624339628
LINE TABLE
LINE LENGTH BEARING
L1 20.65 S00'S7'S7'W
L2 34.58 S87'25'S4'E
L3 16.92 Sll'09'12'E
L4 TIE 26.50 S76.20'03'W
LS 32.45 Sil'09'12'E

/N
~ N
W
0'
O
_ FOUND ~ 0 =
~ ~ S0' ~
~ ~ AGy~
\\ ~ ~
~ 7s2.s2 ~ m
' ~ Z ~
\ I ~ w m
. J 01~
~f4 REBAR O O ~
FOUND ~~ I J Q0" ~
~:~ ~ ~ ~
LOT 4 1
9~ 0.71 ACRES
LOT 5 ~~
STEVEN RAMSAY ~ 1
DB. 1554, PG. 885

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 MANAGEII~ENT - EC 12 Q
P. O. BOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name- Carl R. Smith III
Lake Name Norman
Subdivision Name Southpointe
Property Section Lot (s)= 4
City Mooresville County Tredell
State= NC Zip 28117
Telephone [phone]
Type of Permit
Requested
"Circle":
Private Facility
Commercial Facility
Excavation
tabilizatio
Conveyance
Miscellaneous Uses
Directions (from major road or highway): I-77 N to Exit 33-Left onto Williamson
Road-Left onto Brawley School Road-Left onto second Washam Rd
Descriptive Structure (s) on Property (i a brick garage, white fence mobile home
etc.
191 Washam Rd
*Note: Please use the back of this form, if desired, to draw us a map to the site.

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