20090578 Ver 1_401 Application_20090509

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LAKE NORMAN CUSTOM DOCK, INC.
0 9 0 5 7 8 MAY ?, 0 2009
UENR - WATER QUALH'Y
WETWDS AND STORM'NATER BRANCH
Please find enclosed all necessary paperwork and fees for permitting. In response
please address all correspondence to Lake Norman Custom Dock and Pile
Driving, Inc. PO Box 1439, Denver, NC 28037.
Regards,
Dean Fisher
President
PO Box 1439 • Denver, North Carolina 28037
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 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:
Division of Water Quality 401 Oversight/Express Review Permitting
1650 Mail Service Center
Raleigh, NC 27699-1650
1. Applicant Information
Owner/Applicant Information
Name: f A LNZ % 10 1 '1- Nv lti-" f)I"f ST= -S L ?.L
Mailing Address:
'21 LF
Telephone Number: (??' R Fax Number:
E-mail Address:
(
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: L Q ke- 1J O r " '_ C u'--?" -a V?-? -1) O C I
Company Affiliation: J EP"tJ 'P\S H-e 2
Mailing Address: ? d (SO )Z 1 ? 3'7 "D C Z 0 7
Telephone Number: 7 (q Y6 3 71 YY Fax Number: 6 6 5 7 7 ((S 3
E-mail Address: - L kN 17°Lc--- 0 ( 11 S o s} 11 . '_\ Qt ?
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.
1. Location
County: t ?_E- ? G- u Nearest Town: U LQ
Subdivision name or site address (include phase/lot number): UT E.' Si --.A ?4 c.lL C e_,t,( L
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): 14 W V T- 7 7 4° ? X f T 3 3 +0 u"I I i a TZ&I
l CJ ?- 'T b tr.r a C U •i -P -?-a N M a c. c_ oc-, tM A l /y E A_rT 2 qN C
° Z 4- ^ Sec t de Coo r+- -l-o Qv,c?,
2. Describe the existing land use or condition of the site at the time of this application:
Property size (acres):
0.01 4L
zip
4. Nearest body of water (stream/river/sound/ocean/lake): tL r ISO 2 t 1/1 4 tJ
5.. Describe the purpose of the proposed work: t 11 C) G ( el:)
6. List the type of equipment to be used to construct the project: 00, taTo 2 t l0hCC,_4
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: fi S °c' _S-S+ S ?o? I
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: ! (1
{- l o od (SQv dvt s ? u , I t ? ?l ?'l c'/\ ?{0o SQ t'4
t Y ?J b y 4 y c. ?
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): X(54 t ?g 9 r g S S S wQe? 5
'10 ?

"I ? a
Applicant/Agent's Si
(Agent's signature is
Date
only if an authorization letter from the applicant is provided.)
0
Rpr 05 07 02:29p Lake Services 7043828614 p.1
DUKE ENERGY LAKE SERVICES
EC12-Q
P O BOX 1006
CHARLOTTE, NC 28201-1006
704-382-1567 or 'P'OLL FREE 14M443-51903
APPLICATION FOR PERMIT TO STABILI7.E THE SHORELINE IN NORTH CAROLINA
Please type or print and fill in all blanks. If infaaz=on is not applicable, so indicate by placing N/A in blank. PLEASE
SUBMIT APPLICATION AND APPROPRIATE DC1KE ENERGY FILING FEE, PAYABLE TO DUKE ENERGY,
TO ABOVE ADDRTES&
L AppligmtyXnfot mt?tion vv. -i K` V 4A •E fv Tf?!- P e I S G S?, L L C-
A. (ViC %,A(I Q CV it -
B. Mailing Addrm 1' ~ 7-52 1.41 ,t Lj' 4 2-11 . 3 4f
C. Tclcpbone: M fit 2^ 7 f t 1
IL Location of Proposed Project
A. Lake C fv'
B. Street Address C ---,-A "-(b F 65, ..? ,l l cc / ` t 5 v (? P J &/c
C. County
n, City, town, community or landmark_ 17 '? ?' t, t'? ?S 4 1 L C <=
E. Section Lot #Subdivision
F. Dilections to property/ road _L-_r' 7 ',' fn ix,. I.1X;'cam -Jr (L) l!'.,^ ';
wry ?,
G. Latitude and longitude for the project site
H. Please submit a neap 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 interne, site,
www.mapsopus.com. Directions: Don't register, click "Maps", enter address, draw map, select "Map
Clicidn Will...". select' I.at&oW, click map)
III. Description of Project
A. Length of wall It FT P "N 6 S iE 6 R-C L-/ P E
B- Material t 2. A Q
C. Distance from property line/ahoreline_ -. -.L ..3_ ?+ -
IV. Intended Use of Project Area
A. Private U? 1ZeS i..t q
B. Commercial t.
V. Applicant Signature Doe
it
PLEASE NOTE THE FOLoLORTNG:
• A COPY OF TIIE COMPLETED APPLICATI WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY
MUST BE SUBMITTED TO: tIS ARAVY g OF ENGINEM I SI PA7YON AVF-)?00ff 248,
ASHEVILLE, NC 28801-5406
• 2 COPIES OF TIME "DUKE ENERGY APPLICATION FOR PERMUT TO STABIr IZE THE SHOREL114F IN NORTH
CAROLINA", PHOTOGRAPHS OF THE SHORELINE TO BE STABII..IZED, AND FIVE (5) COPIES OF THE
COMPLETED -NC DMSION OF WATER QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION"
MUST BE SUBMITTED WIIH THE DIVISION OF WATER QUALITY APPLICATION FEE TO:
NCDIVMOIV OF WArAR QUALITY
ATTENTTON.- CYNDI KAROLY
PA tKMW8WG, 2321 CRABTRUEBLM
RALEIGH, NC 27604
949433-1786
di(.AKWGhFrTadca®e iadotmnionWC Shxdina Sm6ilizatm Appkn ioaaoc
PINNACLE HUNILK7ML.c, n? KLAUS E. KRUEGEK rw L-JOVQ
RVEYINGr LAND, ? O PINNACLE LAND SURVEYING, PA
AKE NpT'M N, A
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Lot 18
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35,373 SQ.FT.
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NOTE:
DRIVEWAY GRADED FOR LOT 18
ENCROACHES ONTO LOT 17
BY AS MUCH AS 13'
I certify that this survey was performed by
me (Klaus E. Krueger), under my supervision.
This survey is of on existing parcel of land.
The Raw Error of Closure was better than 1:10,000.

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PROPERTY UNE
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Existing Site Condion
Uwakim Enterprises LLC - 116 Sea Hide Court Mooresville, NC 28117

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