20081376 Ver 1_Application_20080908

08-1376
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 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
1. Applicant Information
PAY f;,'- T
N_ E i 1 1
? JIT
S:EN 8 2008
DENk 1PJAI ER QU,4L;TY
WETLANDS ANN STORMI'l'liNTER BRANCH
1. Owner/Applicant Information
Name: ?16M V'extwres, I _LC.. - en LIB inS, G y resernta` five,
Mailing Address: 2-19 R W I 'l I o w (.(Pork IX,
/ye'w+a 0 /VC 22653
Telephone Number: g28-217-1p/p8 a, Fax Number:
E-mail Address: ben&
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has ski natory authority for the owner/applicant.)
Name: L_ . _K'4+'0"1
Company Affiliation:
Mailing Address:_
Afeloo . NL 297491
Telephone Number: :?2R- 1v52-0219 Fax Number: Y2 g- [pS9- /DOI
E-mail Address: -U mwy r i 4-erqS 9 amml - &D r)-)
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.
Location
County: A, Do peel ( Nearest Town: M of 1,071
Subdivision name or site address (include phase/lot number): 1-7 ?D , Lof .53
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity mitp is included):
2. Describe the existing land use or condition of the site at the time of this
application: Wood4 IWI-t- lot
3. Property size (acres):
4. Nearest body of water (stream/river/sound/ocean/lake): L aAz J a m.LS
5. Describe the purpose of the proposed work:_ 5bDr-eli'nQ Gia.loi (iz&IIavi
f A,lSo bu.tFina Q (,?nclc?
6. List the type of equipment to be used to construct the project: Ltrae. baGkhoe,
k&n d. tv Is
7. Amount of impact (including all excavation, backfill,
etc.) below the normal pool lake level in square feet or
Z, X I DD' = lob
rip rap, retaining walls,
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 of trees for instance):
!c trees u n,rr o" 4y 6 r vnov e
t /7 Z fries o_ (v " be re?naYeaQ
Applicant/Age is Signature Date
(Agent's sign re is valid only if an authorization letter from the applicant is provided.)
Directions to 1780 Lot #53
178 Dragoon Demise Dr.
Nebo, NC 28761
Take 1-40 West to Exit 94.
At the top of the ramp, take a right onto Dysartsville Rd.
Go to stop sign and take a left onto Hwy 70.
Go approx. 2 miles and take a right onto Bridgewater Rd.
Go approx. 1.5 miles and take a left onto Benfields Landing Rd.
Go to stop sign and take a right onto Hwy 126.
Go approx. 1 mile to entrance of subdivision (1780) on left.
Go approx. 1 mile and take first road on right onto Ten Whigs Rd.
Go to second road on right onto Dragoon Demise Dr.
Lot will be at the end of the cul-de-sac (Lot #53)
Tammy L. Ritter
Bennick Enterprises, LLC
7836 Hwy 70 East
Nebo, NC 28761
Phone: [phone]
Fax: [phone]
tammyritter95k=a? it com
To: North Carolina Division of Water Quality
From:
I give Tammy L. Ritter, with Bennick Enterprises, LLC., permission to sign as my agent on my
application for shoreline stabilization.
I -N

Date
Applicant Si,
I 730) L+,r>3
Lake (Full Pond)
Full Pond
Shoreline
2, trees v ver
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 Fun Pond elevation
d) The location of any proposed structures such as buildings, retaining
walls, docks, etc.
v) The location of any excavation or dredging below the Full Pond
elevation.
B) Location of construction access corridors.
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http://mail.google.com/mail/?ui=2&ik=312c28c8ea&attid=0.1 &disp=inline&view=aft&th=... 9/3/2008
DUKE ENERGY LAKE SERVICES, 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 ENERGY FILING FEE, PAYABLE TO DUKE ENERGY,
TO ABOVE ADDRESS.
1. Applicant Information
A. Name J SM Ve nf- res LLG 6e-n hha cl i v?s _W rr_ew f ve
B. Mailing Address .2.1 R 8 ?i I (p r? ??L 7r. / V e l4j-I-nh Af(, 2,9& GS
C. Telephone 9;L3 - 2.17 - h, & S 2 Email -n. @ i a a?'n S s-1 e D en 5 . Go M
H. Location of Proposed Project
A. Lake .J arvte- S
B. Street Address
C. County , L, V o V /r .
L1bW ._ ?I
D. City, town, community or landmark ?2 b D , N L 2 7 Co
E. Section Lot # 53 Subdivision 1-730
F. Directions to property by road Q 0 0_1t 1Lk ed. al a 'h -a-'t Slapl
'
G. Latitude and longitude for the project site ,55._ NG?2 LATITUDE: °N 81. 9 937 LONGITUDE: °W
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.
III. Description of Project
A. Length of wall / 00 LINEAR FEET
B. Material RIP RAP
C. Distance from property line/shoreline
IV. Intended Use of Project Area
A. Private E B. Commercial ?
V. Applicant Signatur Date bU
Agent Signature UllaJaxt i V Phone [phone] Fax [phone]
• 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 DIVISION OF WATER QUALITY
ATTENTION.• JOHN DORNEY
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
03/04/08ssb
Directions to 1780 Lot #53
178 Dragoon Demise Dr.
Nebo, NC 28761
Take 1-40 West to Exit 94.
At the top of the ramp, take a right onto Dysartsville Rd.
Go to stop sign and take a left onto Hwy 70.
Go approx. 2 miles and take a right onto Bridgewater Rd.
Go approx. 1.5 miles and take a left onto Benfields Landing Rd.
Go to stop sign and take a right onto Hwy 126.
Go approx. 1 mile to entrance of subdivision (1780) on left.
Go approx. 1 mile and take first road on right onto Ten Whigs Rd.
Go to second road on right onto Dragoon Demise Dr.
Lot will be at the end of the cul-de-sac (Lot #53)
Form 398578(9-06)
JQ e s
LAKE AA ,11
?
?
I DUKE ENERGY LAKE SERVICES DUKE ENERGY PERMIT NO.
oW?
/
IL
COUNTY PRIVATE FACILITIES PROGRAM
PERMIT APPLICATION FORM
SSM V re s L LG `
Co
a First MI ast igna u e e uired) Date
n[Al e-I<br. 1-79 r Ise
')r
Z -?
? Street
Street -
Z aiw-Foy, All- 9
IUeloo
?fL 28Zlo 1
a c
_ City
` State Zip
b City State Zip
5325-
L?1- (? 82
en@(1?aair?ss o s.Lom 17 g? ? 3
Phone Cell/ E-Mai / Other Development .
Lot No.
0 3ev!L ?ak flsa h (A c l d_e-,-s R 2S ?SR - Z86?
cc Company Name Mail Etc.
Phone / E--
CD /
n
Dr M /' king e,4 ! V G 2 0to6
15
Address -
Check the appropriate box. Stationary Pier Slip Style Dock Platform Style FACILITY SQUARE
(Fig. 1) (Fig. 3 & 4) Dock (Fig. 2 & 5) FOOTAGE
Use:
1 Individual 2 Common
0102
1 0 2
0102 Stationary Surface Area:

A
z
Status:
? 1 ? 1 FT
Floating Surface Area:
1 Existing 2 Proposed 2 ? 1
W
2 ? 1 ? 2 53c)
FTZ
i Type of Facility: Total Surface Area:
Stationary 2 Floating 3 Combination ? 1 ? 1 ? 2 ITT ? 1 ? 2 ? 3 co ?-Z

14-
/

FIG. 1 ? Check box if uncovered dock. A
Check box ff uncovered dock.
FIG. 2 FIG. 3 FIG. 4 ? See attached.
FIG. 5 FIG. 6 (other)
If application is for a common use facility, additional waterfront property owners using the facility appoint the individual(s)
Listed in
h .
the applicant information section of this form as the agent applying for permit. All parties using the facility for permanent mooring

_J must be waterfront property owners (i.e., eligible for individual fac;"ties) and must sign below: (use additional sheet if needed).
Q
W
N
Name Address Date
0
U
Name Address Date
0
z
z
0
0
°
CC
Condition of Pier: ? Good ? Fair ? Poor Permitted: ? Yes ? No ? Denied
a Final Inspection Completed: Date Initial

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Comments:
0
I?ULI-C - 1 ? $0 ? ? ot-
_ - 53