20080279 Ver 1_Application_20080211

08-0279
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 tee 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 U ~~~~
FEB ~ L1 n
r zoos pJ
I. Applicant Information ~p~~~~~ ~Q~H
1. Owner/Applicant lnfonnation
Name: -Ti-.~t ~r ~r~r
Mailing Address:___~~ (oc7L l3UR,I~'t1ra~l~i~ ~,~ C~~11~2[~r`T
(` ill C c~ 4"~ r ~
- ,
Telephone Number:_=~t~ff- ~y,~-.- ~~7c,~ Fax Number:
E-mail Address:_ -~-•ct lui ~,F~ nr/ h~a I , ~m
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: GA Shy NICa-bc_L S ~ ~I.l~ M ASS'"~1 ~S ~,n,
CompanyAffil~at~on. /r1A•e~n,~ _ S`TP~~~-r'"''~ GC1
C~nl7"2q cr'r~
Mailing Address:_ ~~,~L./ ~~t~t ~,y ~~r M ~ ~'c ~2q~~~•--
Telephone Number: `~`3 ~{.~- ,~' („ Fax Number: $C~3- S~~I~-
E-mail Address: ~~3~-E~ , s, , r ~~~
hFina~ sC'.~ rte,.,,-.
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 propel-ties. 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 fiacilities must be included.
1. Location
County: r~ A S? ca a
Nearest Town: t-~ ELNtc9tJ ~ "
Subdivision name or site address (include phase/lot number): LOT ~q
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included): ~~~ ~-`-~,~C,~..,~~
2. Describe the existing land use or condition of the site at the time of this
application:, S;i,(,~.,-~- i'L.'' J L~,~r t-,F-., ~~ ~... ~ .-, _._~ e
3. Property size (acres): (~ , X31 g
4. Nearest body of water (stream/river/sound/ocean/lake):_ ~A~K-~' W yL1C
5. Describe the purpose of the proposed work S`hC~.lin~ ~$~~ /ice,-~-io ~_
6. List the type of equipment to be used to construct the project: ~~, ~^~-~
7. Amount of impact (including all excavation, backfill, rip rap, ~-er~;~,;,,~ walls,
etc.) below the normal pool lake level in square feet or acres: , •3 i(~ S-•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: (~; <.;.{~
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number oftrees for instance): (z) -/T~,e S-f~UM~ ~t T.~~
_ tzr-1 ~ l i qh-~ hru_Sr,
Applicant gent's Signature ~/~/"~©~~
{Agent's signature is valid only if an authorization letter from the applicant iDsaprovided.)

i

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~tl~}f~~lfl~'
ETC,
ALL. ~"°T"~`!'?t~'~`~~
i~ o~ ~
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~~~
,ter.„..~L~~ >rF~~~.p•=~,
I'I~~~s~ ~~pr-t~xir~t~t~l}r ~I+Eet:~f~ the.. f~~fl~~~~rin~ infarrr~ati~~t{~r~ this ~t~~ ~____
fple~~e ~ro~ride dimen~ic~ns fir each itelrrt, se,~I~ ~~ ~a ft. x'!~~ ft~.
~[ M III proposed ,~~~~#atian cleaaing ~p~r~aricle diirra~nsiorts
~) L~-catior~ of rip r~p~ nr' Fill to be pla:rt~d ~bc~~t+~ the Fud( hand elevation
~~ Lncatic~r~ +~F ~Ip a°ata car Fill to k~e p~lace~i t~ela+~ tt~e Full f''s~t~d eletrat~an
~) The iacatan of art~+ pr~pasect structures such as truitrlin~s, r~tanin
'v~alts, docks, etc.
~~ Tl3e Incati~rn~c~F ~~ ex~v~tier~ ar cir'~dgir~~ t~eCa~v the Full Rand
ele~t~.tian.
~) Lacati~ar~ of c~vnstructic~n access ~earriti~ars~

I
--
S0' O 50' 100' 150'
-~ 6RttPH/G 5G.4LE - FEF7` GILF• /9~~4/-,REEF-~04370'~/GBS
~ L.E6END
LAKESIDE =PROPERTY LINE
~' - ..- .-. .- .-_ SIJRROIlNVIN6 PROPERTY LAVE
-- -- ~ Rf 6i•iT--OF-WAY
= FENCE LINE
SItG POWER LINE
EIP ~ EXI3TIN6 IRON PIN
.S/tG MAp h. ~.5. IPS =IRON PiN SET
PT = PO~N~T . MOrtlJMENT
R,y ~
kf,Sl~ f T~ ~1.~ -- - -._.._ _ _ _.,..._-
BR~R ~~ ~ ~~,~ ~6,
kFN SCAB RFRONt ~k L r4K~ S l D E C t R. 6 ~' R/l.U
R~~.
"-- _ _ S 87'29'00°E 7 .68' --~''
A _ r +.
I~TE~ 570,0 CONTOUR
AS PER RECORDED PLAT.
THOMAS M. GOFFEY
D,B, 1442 PG. 388
P,B. 33 PG. 6D
LOT ~ 30
100 YEAR FLOOD
AS PER -"`~
GASTON COUNTY GIS
j~ : ~ METAL ~
~0 ... 'i HLDG r ``D
~ ~ ;-
•.. >
w o
~ t
a+
:~' ~ w.aK vALL
a 1 ~ V CONC. ~, '&~.DG
~+ 1 STORY VINYL 6II.93' AS
„NS Wi7M FULL
19.x% h7.~4"if '~(+1DfCCK I CONC,
LOT M 29
0.5318 AC.
~• e-err vtl_t _~~.rl~a
a"TEPHEN CNESTTNE ET. AL,
D.B, 1232 PG, 309
P.B. 33 PG. 60
LOT # z'$
~. r~
~..~ ..~....,.....~ PT
Course Bearing Distance
L S 48'38 00 W 18.58
L2 S 80'16 0 W 44.04
L3 S 87'11 00 W 103.87
L4 N 08'03 05 E 11.41
L AGE' 1~11'L ! ~
elv actLtr~ ~!ar,Marrarrov vrn~w esao rcer ~ sY~t'tr ~+[~trr.
1 ICY GtRT1IY TINT THIS 91+RNlr 15 OP L'Xl~TMIY iA1l~1.OR PARGlI.S OIL IJNO.
! ~r ce~nrr THAT TI! s~eaecT aY10iGTl#C t) 1b !) No'T LOGATrID W ~ ~u+u. n.oc!c
INir~e Al1EA AD D!'t1~RrNlri DT 'tliE veratn~atT OP Ilolisttw AID 1A!Ibi~W vlvG.O~rt
1, rRN~CI.iN E TAINlR LetTN"I THAT TMlS Iw -iA$ gRAMtI f~V~li AN AGTtM~. -l19 f1UCv1C'
wsx ucee r+r surdtvl~ Alp o!m oexwPSSOIw~) A, nor re RATIO ar
r+elcala+ b cA6zuLAfe~ eY 1./1TIT6p!!! AIG DSAKiUPICy .s 1. .,~ AI[7
T1t ARpA (.'1.'tllftsN~ pY DMD. WITI!!!b MT IN-~ MD slex. flNi ~_
DAY Or ~- ~~
,~ OH INPliGIL iYC701GC AIP lXISTNi/ MdOW Ppl~.
SOUTH f'O/NT TOf~1(NSH.!P
C~5 TON COUNTY, N. G..
Survey made at the requa9t ofi

0 8 -0 2 7 9
Please direct and forward all
questions and correspondence to:
Attn: Casey Nicholls
The Master's Construction
9614 Charlotte Hwy
Fort Mill, SC 29715
Mobile # [phone]
Enclosed you will find signed
authorization to act as agent.
Thank you.

AUTHORIZATION TO ACT AS AGENT
DATE: 2 / ~l~b dS
NC Division of Water Quality
Parkview Bldg., 2321 Crabtree Blvd
Raleigh, NC 27604
RE: Authorization to Act as Agent ~ Tim Alvis
My home address is:
~ 6c~o Bu~,~,ncp~ Q ~ ,
~~~s ~E ~ N G
~ ~a~
County: /)') ,2C~
Duke Energy Lake Services
401 Steele Street
Charlotte, NC 28201
My job address is:

~~o~a
County: QI4S1'Z~J~
... i __..._....
__.-~~ do on this date ~ 7/D~
authorize Casey Nicholls of The Master's Construction Company to sign for me
or my name to all documents necessary to secure permits with regards to
shoreline stabilization or dock.