20081517 Ver 1_Application_20081002

The following is an abbreviated application form for those applying for a 401 eater 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 five (5) copies of this application and supporting
information as well as a non-refundable application fee to the Division of Water Quality of $240.00
for impacts to lake bottom of less than 1 acre and x;570.00 for impacts to lake bottom of greater or
equal to 1 acre.
0$-1517
Applications should be sent to:
Division of Water Quality 401 Oversight/Express Review Permitting D 15? ? ? V
1650 Mail Service Center
Raleigh, NC 27699-1650 0 C T 2 2008
DENR - WATER QUALITY
A I
I. Applicant Information WETLANDS ANDSTORMWATERBRANCH
1. Owner/Applicant Information
Name: wi I /_ I J - G?
Mailing Address: 17 ?f? b? 1wZ-5Z ?
A/2, cW 79
Telephone Number: 17402,r6r; `" Ac; 7? Fax Number:
E-mail Address: 6:0l3;i411
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: Z 1 G' ?
Company Affiliatior(
11?I'Iailing Address: / 7100 A14C
Telephone Number: Z,,fS ° 1,i ff So,LF Fax Number:
E-mail Address: /J7iaZL??t?yG%LCs l-4:L o a%f? - Al 7-77
t
H. 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. 40? /___;4 i/-o° _ Nearest Town-. ---
Subdivision name or site address (include plrasellot number):?"?` ?'d/'® /?iy/??1Tio?? .SS?
Directions to site please include roast numbers, landmarks, etc. ("this is not necessary if an adequate
vicinit) neap is included): ----
2. Describe the existing lard use or condition of the site at the time of this a applic:aatioit:
Property size (acres):
1.3
=t. Nearest body of water- (streamIriver/soundloceanilaake(: _ A/lam
r Describe the purpose of the proposed work:

(i. List the type of equipment to be used to construct the Project:
7.. Arm-)unt of impact (including all excavation, backfiil, n 1j, rap, ret,aining walls. etc.) below the,.
normal pool lake level in square feet or acres:
S..aa. Amount of impact (including all clearing, back fill, excavation, rip rasp, retaining walls, etc.)
above the normal pool lake level and 5O feet land-ward in square feet or acres:
8.b. Please describe vegetation above the normal pool take level and 50 feet landward to be impacted
(number of trees for instance): lella" __-_-
?a
g .e f. . .p .ap •.F
iw Ic:aIWAgent's Signaatti-e Date
%Cot it`s signature is valid only if an authorization }etter from the ap€ ilcaint €s Prmided.)
DUKE ENERGY LAKE SERVICES
EC12-Q
/ P O BOX 1006
// CHARLOTTE, ?!C 28201-1006
704-382-1567 or TOLL FREE 1-800-443-5133
:APPLICATION FOR PERMIT TO ST.;BILIZE THE SHORELINE IN NORTH CAROLINA
Picase v,-pe 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 EN-ERGY FILING FEE, PAYABLE TO DUKE ENERG1
TQ 3t30N'E :M3I?RESS.
Applicant Information
C. ? Teleohone: --.--? fl ?? °_Lc?
H. Location of Proposed Project
A. Lake 1414iUL`

B. Street Address
r . C eur.i j' lyiEr.llCEN u G _
D. 5_921'_ tovva. communitty or ia<ndmarli 4&W2.0 ?4
/VdNE -
C. Section _ Lot= /-,;2 - 3 Subdivision
F. Directions to property by road
Cp. latitude and longitude for the project site CA% 356 /,?,0 _V-Vf/ Lot'' r111 er
H. I Ieasi: submit 2i ir:ap slio%N-ing ilie coordinates or a detail=ed map (USGS quad map, cir3'rnap, eccj sho ;,_ the
cxacl location of the protect site. (_NO i E: Latitud".:' iongitudc coo dirialcs can be toured on Utter-niet si c'.,
www.mapsonus.com. Directions: Don't register, ciie?: "4l, gs', enter address. dram. map, select '`Mir) C1i"- ;TIT
Wit!_..", select " Lat, Long", click neap)
M. Description of Project ?? --?? f1
A. Lentlt o`wt ill_-5-_-. --- --- --
B_ .'L aterini JK 1 JO -- e^CA
C. Distance irom property° line, shoreline __ 19-7 -
f17. Intended Use of Project Area
A. Private Y
B. Ccimmer6al
V. Applicant Signatur Date

CO-PIES 01= I' IE "DUKE LN ZGY _ PP LiCATiON FOR PEFMIT TO S'] AB[LIZE TI-1E SHOi;Fl.lNl' l
CAIROLINA", PHOTOOIRr'T S OF T14E SHORE:LITIE TO 13F STABILIZED, AND FIVE (5) COPIES 01: " '1II
C:{'.''r#Pt ETLD "NC DfVfSION' OF WATEiZ QUALITY PRE-CONS T IRUCTIO-N ?OTIFICATiO'w .aPPLICATIO? "
`I,!1-1ST BE SUBN•IITTED NVITH THE DIVISION OF WATER QUALM, APPLICATION FEE TO:
NC DIVI.S ON X71 WAT R QL
#L1TF
AT'TEtA`1IO,'V. C1`,VD1 K4R0L F
R4RK1gE1 BLDG., 2321 C94BTRE BL VD.
R.-iLEIGII, A`C 27604
9 i 9-1733-178 6
V . =,i- 7V. 3VTPacka =,e Infk^muziilnz NC Shorciine
PROJECT DRAWING
LOT INFORMATION
Rosapenny Road
Charlotte, NC
All lots in this area are single-family home sits. At present time, all lots are partially
wooded but have been approved by Mecklenburg County for home sites. The following is
a list of the lots by house # Lot # and lot size by acres and linier feet of shoreline.
House # 18304 18328 18500
Lot # Lot # 1 Lot # 2 Lot # 3
Lot size 1.25 acres 1.38 acres 1.83 acres ( Total 4.46 acres)
Shoreline per lot 174 ft 228 ft 130 ft (Total 532 ft )
Shoreline to be 120 ft 185 ft 110 ft (Total 415 ft )
Stabilized by lot
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Exit 88 to Rosapenny Rd., Charlotte, NC; 28278 - Google Maps Page 1 of 2
Directions to Rosapenny Rd, Charlotte, NC
28278
9.9 mi - about 25 mins
_...... ._.may dam{
wy C
` ?;?rtn Parama*rts
CarovAnds
T?sa was Park
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1106 r'
tt02
1345 _
1904 (A t Forest Lake
i35T i 100 low
160
http://maps.google.comlmaps?f d&saddr=35.063023,-80.953617&daddr=Gold+Hill+Rd... 9/30/2008
t vt ms to tcosapennv ltd. Unarlotte, NU 2?SZ/6 - Uongte .f\4aps
Exit 88
?ir..
1. Head southwest on Exit 88
2. Keep left at the fork, follow signs for GOLD HILL RdIPINEVILLE
3. Turn left at Gold Hill RdISC-98
4. Turn right at Forest Way Dr/For Way Dr
5. Turn left at Gold Hill RdISC-98
6. Turn right at SC-160
7. Turn left at SC-1651Zoar Rd
Continue to follow Zoar Rd
8. Tum left at NC-1 1 02/Youngblood Rd
9. Tum left at McKee RdINC-1100
10. Continue on Bankhead Rd
11. Slight left at Rosapenny Rd
Rosapenny Rd
V' Charlotte, NC 28278
rage z or
go 0.2 mi
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go 217 ft
go 0.7 mi
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go 3.2 mi
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go 1.3 mi
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go 1.3 mi
go 0.8 mi
go 0.2 mi
http://maps.google.comlmaps?f=d&saddr=35.063023,-80.953617&daddr=Gold+H ll+Rd... 9/30/2008