20072255 Ver 1_401 Application_20071207

7
DUKE ENERGY LAKE SERVICES
EC12-Q ~ ~_ G~5
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 ENERGY FILING FEE, PAYABLE TO DUKE ENERGY,
TO ABOVE ADDRESS.
L Applicant Information
A. Name
II.
B. Mailing Address ~ ~~~~ , ~p .~`~ ~~c~ ~p ~ ~
C. Telephone:
D.
E.
F.
Location of Proposed Project
A. Lake ~ ~~ ~T
B. Street Address `-13 ~ tp~ ; ~„ 1 ~ ~-}-
C county Lc~4A-,JhcL '
G.
H.
City, town, community or landmark
Section Lot # ~ -~
Directions to properly by road _~"~,~ a
_s,) lp ~g
Latitude and longitude for the project site ~ ~5~51f5$~~~1~155 I~ '-$`~ •DI na 38. ~ a5 i !05
Please submit a map showing the coordinates or a aetauea map (LiSGS quad map, city map, etc.) showing the
exact location of the project site. (NOTE: Latitude/ longitude coordinates can be found on Internet site,
www.mausonus.com. Directions: Don't register, click "Maps", enter address, draw map, select "Map
Clicking Will ... ", select "Lat/Long", click map)
III.. Description of Project P
O ~~
A. Length of wall ~ /'~
B. Material "~; ~=,q. ,p Qh C (~''
C. Distance from property line/shoreline Gt4 " l Co ~e ~ D ~ ~ jOC,
F
S~
s
IV. Intended Use of P jest Area Q4~~S7~~R UvgClry
A. Pnvate =~ '~,~,
B. Commercial
V. Applicant Signature Date / ~ ` r ~ -o ?
PLEASE NOTE THE FOLLOWING:
• A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY
MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 151 PATTONAVE. - RODM 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 "NC DIVISION OF WATER QUALTI'Y PRE-CONSTRUCTION NOTIFICATION APPLICATION"
MUST BE SUBMITTED WITH THE DMSION OF WATER QUALITY APPLICATION FEE TO:
NC DIVISION OF WATER QUALITY
ATTENTION: CYNDI gAROLY
PARgVIEWBLDG., 2321 CRABTREEBLVD.
RALEIGH, NC 27604
919-733-1786
G:~I.AKEMGMT~Package InformationWC Shoreline StaMlization Application.doc

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DUKE ENERGY DIRECTIONS BY ROAD FORh~I
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project site can hay-e a bie
impact on perruit processing time. Please complete this form and return it along «~th }'our completed
permit appLic~~tio^ to:
DUKE EiYERGY
C/0 LAKE SERVICES - EC I2 Q
PO BOX 1006
CIIARI,OTTE, NC 28201-1006
1-800-443-5193 or Option 5
Applicant's Name:~~j Y~ ,,-~ ~~-j-,g ~ ~ 1~_Lt~
Street Address (at lake):
Lake Name: ,~ ~ rn ~
Subdi~RSion Name: ~ ~~ y> ~~
Property Section: Lot # l
city: ~ 'ham n ~, ; 1 ~ ~a2r County: ~~o~~~ ,, zhc,
State: ~ C , Zip: _ ~ FS (n ~ ~_-
Telephone:.
Directions (from major road or highway):S` 9' ~--~
~2a "-~ C,1-~ o, rt ~ (j 4c~~ o Y1J '}~ W ~ ~ p `~ v 2 ~ ~ ~ . ~ ~ ~~
1 ~ `l ~~ ~'' rv`t6 N (A~t1
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Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobile home, etc):
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"Mote: Please use the back of this form if desired to draw us a map to the site..

gpaVI.AKEMGMT/Package [nformatioo/Diredjoas by Road Form doc
August (8, 2006

Map of 7326 Right Angle St Sherrills Ford, NC by MapQuest
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~ 7326 Right Angle St
Sherrills Ford, NC 28673-7768, US
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its suppliers assume no responsibility for any loss or delay resulting from such use.
http://www.mapquest.com/maps/map. adp?searchtype=address&country=US&addtohistory... 12/6/2007

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47-255
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 lake 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/Applicant Information
Name: J ~ `h n ~-j- ~ r
Mailing Address: "I ~ ~~
Sc ~ ~ rz
D ~` ='~~~
~~= ~ ~ ~ zoo J
yam, ,D~E~AR - WA1"~~
4~,lVp SFOrt~~~~ TY
6RANCH
Telephone Number:.
E-mail Address:
2
Fax Number:
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:
Company Affiliation:
Mailing Address:
Telephone Number:,
E-mail Address:
II. Project Information
Fax Number:
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 n l }
County: l ' ~~r~w~~. Nearest Town: ~~'+`e.~2i2 i I I S ~bC~
Subdivision name or site address (include phase/lot number): `~~~ (~ rR ; r~,1~4~-~ ~.1~e ~'--
Directions to site please include road numbers, landmarks, etc. (This is not ~ 1-,-~~i ~ h
necessary if an adequate vicinity map is included): ~~ ~d ; I`CC
2. Describe the existing land use or condition of the site at the time of this
application: ~~~ c~c~~er~ ~o~
3. Property size (acres): ~r,~~ij ~< 12~c' Z
4. Nearest body of water (stream/river/sound/oceanllake): ~c~~c`e ~~~~ ~r~ ~<~,<'A T
5. Describe the purpose of the proposed work: ~"c'1 .~~~' `e n-~`'C` ~[ YZ (~ ~ ~~ ~aY"1
6. List the type of equipment to be used to construct the project: IJ b~ ~~h <~`~ ,~
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres:
8. a. Amount of impact (including all clearing, back
retaining walls, etc.) above the normal pool lake level
square feet or acres: (~~ f-~ i2t~ ~c~ ~_ ~
fill, excavation, rip rap,
and 50 feet land-ward in
---
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): G~'u ~'''~
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

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Please appraxirnatety sketch the fait#awing irnfarmatian an this-plan
(p{ease provide dimensions Far each Item, such as 40 Ft. x 10a Ft):
1) All proposed vegetation Bearing (provide dimensions}.
.2~ Location of rip rap or fill to b~e placed aborre the Fu~1 Pand eleYatlort
3) Location of rip rap ar flll to be placed below the Ful! Pand elevation
4) The location. of any proposed structures such as buildings, retalning
wails, docks, etc.
5? The location of any excavation or dredging below the Full Pand
elevation.
6) Location of construction access corridors.
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