20090351 Ver 1_401 Application_20090309

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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. ?-,, A
1. Applicant Infor,??at_ion
A. Name •? `J/! ,/ 1/ 6 e i
B. Mailing Address -?,;z-
C. Telephone: D --
II.
A
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Jaenv'er? n!G ,??3?
Location of Proposed Project
A. Lake N o(m O A
B. Street Address LP 6 ,J e. oad/ Ai-/A. T>twtpr- G
C. County ' ery 129
D. City, town community or landmar Y) e al
E. Section;%,H..?J Lot # Subdivision T40 _10 r? F. Directions to property by road 1-4a) y 1 & h 11 n , r
G
H
III. Description of Project , r
A. Length of wall
B. Material
C. Distance from property line/shoreline
IV. Intended Use of Project Area

A. Private
B. Commercial
V. Applicant Signatu? Date (t 1
PLEASE NOTE THE FOLLOWING:
• 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 QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION"
MUST BE SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO:
NC DIVISION OF WATER QUALITY
ATTENTION.• CYNDI KAROLY
PARKVIEW BLDG., 2321 CRABTREE
RALEIGH, NC 2 t ??l M? 1?`
919-733-1 786 1 1 0' 4
YALAKEMGM71Package Information\NC Shoreline Stabilization Application.doc

Latitude and longitude for the project site
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, click "Maps", enter address, draw map, select "Map Clicking
Will...", select "Lat(Long", click map)
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MAR 3 12009
WETLANDS ANDST00n?dW?AEfj
The following is an abbreviated application form for those applying for a 401 Water Quality?RBcN
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 $570.00 for impacts to lake bottom of greater or
equal to 1 acre.
Applications should be sent to:
0 9- 0 3 5
Division of Water Quality 401 Oversight/Express Review Permitting
1650 Mail Service Center
Raleigh, NC 27699-1650 $PAID
1. Applicant Information
Owner/Applicant Information
Name: G Q , /VIZX OAJ y- e-111 Z, //7//7__/L)% 0,4J
Mailing Address: ildIE-22-Telephone Number: 70,Y- `/ U - J 2-ol Fax Number: -
E-mail Address: J?? ti) 17)-AlrJ, l a d` . (--,) ^
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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.
US Army Corps of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office
US Army Corps of Engineers
151 Patton Avenue
Room 208
Asheville, NC 28801-5006
Telephone: [phone]
Fax: [phone]
Raleigh Regulatory Field Office
US Awry Corps Of Engineers
6508 Falls of the Neuse Road
Suite 120
Raleigh, NC 27615
Telephone: [phone]
Fax: [phone]
Washington Regulatory Field Office
US Array Carps Of Engineers
post office Box 1000
Washington, NC 27889-1000
Telephone [phone]
Fax: [phone]
Wihhington Regulatory Field Office
US Army Corps Of Engineers
Post Office Box 1890
Wilmington, NC 28402-1890
Telephone: [phone]
Fax: (910)2,51-4025
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
Alexander Cherokee Iredell Mitchell Union
Avery Clay Jackson Polk Watauga
Buncombe Cleveland Lincoln Rowan Yancey
Burke Creston Macon Rutherford
Cabamrs Graham Madison Stanley
Caldwell Haywood McDowell Swain
Catawba Henderson Mecklenburg Transylvania
l Durban Johnston Rockingham Wilson
amance
A
Alleghany Edgecombe Lee Stokes Yadkin
Ashe Franklin Nash Suiry
Caswell Forsyth Northampton Vance
Chatham Granville Orange Wake
Davidson Guilford Person Warren
Davie Halifax Randolph Wilkes
Beaufort
Bertie
Camden
Carteret'
Chowan
Craven
Anson
Bladen
Brunswick
Carteret
Columbus
Curnberland
Cunituck
Dare
Gates
Green
Hertford
Hyde
If Duplin
Harnett
Hoke
Montgomery
Moore
New Hanover
Jones
Pamlico
Pasquotank
Perquimans
Onslow
Pender
Richmond
Robeson
Sampson
Scotland
Pitt
Tyrrell
Washington
Wayne
'Croatan National Forest Only
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
US Fish and Wildlife Service / National Marine Fisheries Service
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
State Historic Preservation Office
Department of Cultural Resources
4617 Mail Service Center
Raleigh, NC 2 7699-46 1 7
Telephone: [phone]
Fax: [phone]
CAMA and NC Coastal Counties
Beaufort Chowan Hertford Pasquotank
Division of Coastal Management Bertie Craven Hyde Pender
1638 Mail Service Center Brunswick Currituck New Hanover Perquimanc
Raleigh, NC 27699-1638 Camden Dare Onslow Tyrrell
Telephone: [phone] Carteret Gates Pamlico Washington
Fax: [phone]
NCWRC and NC Tro ut Counties
Alleghany Caldwell Watauga
Western Piedmont Region Coordinator Ashe Mitchell Wilkes
38551dlewild Road Avery Stokes
Kernersville, NC 27284-9180 Burke Suny
Telephone: [phone]
Buncombe Henderson Polk
Mountain Region Coordinator Cherokee Jackson Rutherford
20830 Great Smoky Mtn Expressway Clay Macon Swain
Waynesville, NC 28786 Gorham Madison Transylvania
Telephone: [phone]
Fax: [phone] Haywood McDowell Yancey
1. Location
County: Z,?-/Lfc D G /LJ Nearest Town: 41-- nJ CO L- ru Tp
Subdivision name or site address (include phase/lot number): /k/S M-DCZ__?
Directions to site please include road numbers, landmarks, etc. /(This is not necessary if an adequate
vicinity map is included): 2-L• `AIC
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres):
4. Nearest body of water (stream/river/sound/ocean/lake): Zlq-.',?: /VO4"n'¢IJ
5. Describe the purpose of the proposed work: 1iWl<
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f?'JZ 11_r U6, z A-17n Tl t? G r«
6. List the type of equipment to be used to construct the project:
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: --p 6
8.a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
above t e ormal pool lake level and 50 feet land-ward in square feet or acres:
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance):
J3 I(-?
Applicant/Agent's Signature / .' Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Please approximately sketch the following mtormaxion on uut Nian +
(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 Fu0 Pond elevation
4) The location of any proposed structures 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.