20090590 Ver 1_401 Application_20090509

LCCS, Inc.
1156 Perth Road 0 9 -0 5 9 0
Troutman, NC 28166
Phone [phone] ? A
Fax: [phone]
NCGCL # 49723
Contact Information:
Steve Davis
sdavisalancasterdock.com E MAIL ADDRESS
LCCS
1156 Perth Road
Troutman, NC 28677
704-528-7400 Phone _
704-528-3400 Fax r
L? " LE,
www.lancasterdock.com WEB SITE MAY
2Jn9
WETLAUDS AND STORhAj q BPv1tdCH
DUKE POWER LAKE MANAGEMENT, EC12-Q
P. 0. 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 POWER FILING FEE, PAYABLE
TO DUKE POWER, TO ABOVE ADDRESS.
1. Applicant Information
09-0590
A. Name kVM8zA k,4,1
B. Mailing Address 106 SIX03,1011va 4AVE- !'1'IooRESyiGLE,.rOC Z811
C. Telephone /- y23 -,_96' 2 2-
11. Location of Proposed Project
A. Lake NORM?a
B. Street Address /?? ?3?aofitis ?d.vE /y1/e,QSS/??LGE? yL Z67/ f 7
C. County -t AICO -- LL '
D. City, Town, Community or Landmark M?`QESV? L 4 S
E. Section pNasE z_ Lot Subdivision
F. Directions to property by road /6L7r// ©lSG ?/?GCtSs?+ PLANT?f'r?0.?
L?`.ABQ1iw LE `l -f?H I ? 4 *?/.SKALI?Ci} 7-.e / A<L ~ ? C 6/?..C-f ?.., w.. 61
G. Latitude and longitude for the project site S. Sd0 6 3 S
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. Directions: Don't register, click "Maps", enter
address, draw map, select "Map Clicking Will... ", select "Lat/Long", click map)
III. Description of Project
A. Length of wall AV & REa tJ QiGC -/- QAp
B. Material X60/ K?cG /of/
-? lnI P 1??P
C. Distance from property line/shoreline
IV. Intended Use of Project Area
A. Private X
B. Commercial -- -- -- ----
V. Applicant Signature G"/Date
PLEASE NOTE THE FOLLOWING: • A C
OPY OF THE COMPLETE APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: US
ARMY CORPS OF ENGINEERS, 151 PATTON AVENUE, ROOM 208, ASHEVILLE, NC 28801-5006
• 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: Cyndi
Karoly, PARKVIEW BLDG., 2321 CRABTREE BLVD., RALEIGH, NC 27604, PHONE: [phone]
Directions to site - please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included): 00,0-H 0 LSD ? A7®,A IS/.'?
4ow - Acee•n4vis /. l e44&4~15 mac
2. Describe the existing land use or condition of the site at the time of this application:
Ref ?dt..i.c / /• w/ s®,..? ?eKs d,•-a? s..? e
e_x rs-?-, !,_ o r.?.o
3. Property size (acres): Q, /0q/
4. Nearest body of water (stream/river/sound/ocean/lake):
5. Describe the purpose of the proposed work: ze Sore/iti t
1/S,N.r e , e e y .,A4
ere/, lest w? I /
6. List the type of equipment to be used to construct the project: fives J?a??e
Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
't0 X 2 ' /&d 4e,,
Z J* X 2-
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:
,X YO' Aedt hex
? X 2-8t ' lQ e ?.?,s
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance):
Applicant/Agent's
ire
S
Date
(Agent's signature is valid only if an authorization letter from the applicant is provided)
LINE TABLE
NUN BEARING DISTANL£
LI 54'I?'09E l9.SI
L? N7J47'J9E

LJ
S16'1100 w 78
24
L4 S62mbo w
L5 N5526.00 W
L6 N6445'00-E N
?
L7 164'15'00 E
L44 N76'J4'46-E
PE LRIE L45 N76'J4'46E CURVE TABLE
NUM DELTA ARC RADIUS BEARING DISTANCE
11E LINE C1 64531' 11.76 214.19 519'5614-W 127!'
C1 417600- 9891' 179.99' 55441'00 W %.55'
LEGEND
PROPERTY LAC (PA)
1IE UNE
RAGNr OF WAY (R/W)
- - - - - UNSURWWD PROPERTY LME PER DEED OR PUT
® CONTROL MON(/MENr (CM)

R.,4" Off-
Stole of North
Caunly of k-ed,
certify that the
,tou.(ory re 4
Review /! er
C£RDETCA/E Or AI
I .' y oertlfy M.
5a6mtslon oraxlor
Su6di ' A
x County. Nor
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(FuLL POW)
1V EX 761 OgVTO"a
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- _` KENNETH BEALER HO
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rs ----' DB 1798-2375
TUSKARORA POINT,
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L6 L7 P. B. 49-39
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o Lot 23 4?,. /yep
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p(ASLPEp aAes
Lot .24 Q'
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0.691 Ac. a
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11 30, 104 sf
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STEPHEN J THOMPSON
OB 6459-672 (MCR) f ,'? ,•' %
N CL&T LAKE NORMAN REC L OTS
SEC 77ON 6 P B. J4-22 (ICR)
LOT 309
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SCALE 1" = 50
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R. S. Hollifield landHollifield lend surce?in? / subdi vlslon plennino P. 0 bar 1038 Troutman, NC 28166-1036
Phone [phone] - fax [phone] - email' holiron®vvi.net
file: f'\f??\birdsona
ebtenhed Cert/Rc
All Iota within ILD
Pit Nthn the W5-
deagnersd by the
an the wbfe Med
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L Ronald S. Nollireld. -lily that this plot was drown under my r
from on actual surrey mode under my supervision (deed descr4pt7o
SFE 777LF BLOCK ; map recorded in SEE DILE BLOCS ),-
that the boundaries not surveyed are shown as broken lines p7atte
as shown; that this plot was prepared ?h accordance with O. S.
that the ratio or precision is 1: 10.000
This survey is of on existing parcel or parcels of land. /f does not
change an existing street.
No USGS Monument found within 2000'.
WWn originot ' not istrotion number, and seal this 1,
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Ronald 5. H0111fleld. NCPLS 1404 O
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Recorded: O?/16/10000atT"': C

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Iredell C
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m rhu crtirtcoron w olrteed meet an
-dog. ount
Brenda D. Bell Realster Of Deeds
BK53
7e.ll 11?_I 7
Dufe PG68
Any OrtM-ate ?r F?f>..r Rnt.
Knave oN men by fh- pr-ta, then I (w) hereby aertffy Mlot 11 errl (w are) tM
oener(s) of the AroP IY Moen and AnerEed hrean end Mo( ! (w) hereby aMnee-
Nd6e this pol and oaotmml to b, my hw mi and deed
rot RfCORDMO (L--deer Mot)
It or reerdotbn it -'en- fe the
W C-t), North CordMo.

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Owner, WOODLAND AND WATER NEW
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By L.onnord Bader, Member
Dote
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NOTARY STATEMENT
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ounty
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o Notary Pudk hr aro County and Stole.
m hereby reify Mof Leonard Meahr Memb /Man panmarty appearsrl
boors me Hie day, and ocknoeledged ens evecurian o! rna IaregoMq
Mermmsnt

R]'NT 4Z-2- subdhNSken, to the beet of my AnowhNge
2f the LAKE NORMAN (CATA NBA M1fR) IN11fRSFlfD of .

Wt- my nand and orWnaf seet, fAh ?y of De(f1MbrY Tpgy
xdfno
f kon En vkmmenfol Mmogemenf and oe appear /fin - . e
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a Mop of kedeft ll County. I
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E.
2 Sub)-t property 4 tuned R-10.
J MMM1um Setbocke:
Front 35'
S!0/ 15
Rtr JS'
(50' Vepeteriw 80Ar Nom C. 76p Cyst )
4. AA bb eub?ect to 0 10' damage and ufrity Moment oe each ekhe of aN of line
.
S Told b1s 1
6. Proposed nee ehwf T N/A
7. Told acrcape : 0.611 Am
6
ir

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9. CM - Control Monument
10. hen erok- (0) of eN of ce .% u,W- _W efhereb. (O).
1 t. A p-tim of this R"o-ty h, located M a SO-W hood Nalard Arse bMlyprdsd by the
FfMA Flood NayaV Bamdary Mops (See Penh 70J13 0100 C) (Imo AE)
EAT Dab: 0 1 0
12 Mbfr sr.ke by MdiMArd pr/wte WO, eeeer aorett by Otff tkad Mptk fork and Avhr/kd
IJ. NedeN cant, "Koh Deao'f
t Oh
oi
m
rc
ner
As of Me daee of this reerdMq, the bts represented m Mb Plot how trot
been nspeeted or opprowd by the hedeN County NeoeM Deportment.
UntA kv-fed, Ihow a e 'hot a buAdk1g p-;t " be inusd
le. The ode pu _ of mi. pot 4 to abmdm the Sepik Easemmf and ON
oseocloted prlMpgpe Oodkofed to Lot 13 of iysta-oro PoMt.
Final Plat Revision (Minor Subdivision)
106 Birdsong Ln.; 0.691 Ac.
kd M
Infofmafbn
s omended,
o new street or
of December , 2007,
;111
kk.
TUSKARORA POINT Phase 2 Lot 24
Davidson Township Iredell County, NC
Tax ID 4614-72-3966 - D. B. 1714-2304 P. B. 49-39
Scale: 1e = 50'
Survey Date: August 17, 2008
Plat Date: December 14, 2007
R S Hollilield
NC PLS 1404
Owner/Developer. WOODLAND d WATERVIEW, LLC
P. 0. Box 3398
Mooresville, NC 08117
401 WATER QUALITY CERTIFICATION APPLICATION
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 to lake bottom of less
than 1 acre and $475.00 for impacts to lake bottom of greater or equal to 1 acre.
APPLICATIONS TO BE SENT TO:
DIVISION OF WATER QUALITY WETLANDS UNIT
1650 MAIL SERVICE CENTER
RALEIGH, NC 27699-1650
1. Applicant Information
1. Owner/Applicant Information
Name Kvin A64 k,40
Mailing Address /db S?ao.senlG A<A - E
,vim Z8/ / 7
Telephone Number z 2-
Fax Number
E-mail Address
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 Mark LANCAs-?e2
Company Affiliation Lancaster Custom Dock & Shorelines
Mailing Address 1156 Perth Road
Troutman, NC 28166
Telephone Number 704-628-7400
Fax Number 704528-3400
E-mail Address [e-mail]
11. 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 ZR>?O£LL Nearest Town .4p,QF,S y / L L?6
Subdivision name or site address (include phase/lot number):
DU .['OWER DIRE CTIONS BY ROAD FORM
Lake Vise ,l°ermit Appltcarrts and Contractors: Lase of locating the proposed project site can nave a big
unpict on permit processing time. Please complete this form and return it along with your completed
permit application to:
DUKV POWER
C/O LAI , MANAGEME NT - U IC 12 Q
PO BOX 1006
C1L4. LOTTV, NC 28201-1006
1-800-543-5193 oc- Option 5
.ApplicmCs Nam,:--gYM W - _
Street Address (at lake):_ 106_B
T'alcd ?-
Subdivision Narrte: -7;!Sg
Propeaty se-edow
l:o t // z 5/
City: _ .A1zPAws V/L LF county;. Z,2EO LL-_-
.State.: z 7

Type of lluynit Requested
"Circle":
1tC l'aClli(?
Commercial Facility
Excavatiou
Stabili:cntiori
Convcyax?cc
Misce,llnncous Uses
Dimr, ians (frown major- rowl or hi(;hway):
Q pE,tr>H piss /"JgAA ISO,, Pc?.?-gT??? ? ?v y rehvv 4
® Tl/S .44 AO" 71 144 - ?J a e??•t S ?l?i•+ ?-+ i ?1 ??o? ? ? ? ? - ?? ti.?-?e S
81 'etso,-I ld- ?
Descriptive Structure(s) orr Property (i.e. brick garage, whit(- fence, mobil llolTle, e(r,):
*Nata; please use tfle back of ibis form If desired to draw us a snap to the site-
GP AULALKEMGMT/(-MPPM/D IRECTIONS 1.9. DOC TOTAL PAGE. G 1 t
Lake (Full Pond)
Full Pond
I
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 vpgetation 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 Full 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.
Shoreline
Map Output
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Airc]IMS HTML Viewer Map
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,_ - ;Parcels
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Address
DELINQUENT TAXES!
Road Names
j4 j - Rivers/Lakes
- ' -- Creeks/Pon ds
Railroads
:, -- Roadways
Parking Lots

Cr I
1a0 Piers
I Buildings
pity Limits

n
lredeil Countyassumesno legal responsibili-blfor information contained on this mep. HARMONY
LOVE VALLEY
MOORESVI LLE
STATESVILLE
TROUTI'ViAN
County Line
httn://gis.co.iredell.ne.us/servlefilcom.esri.esrimaTn.Esriman?ServiceName=lredellWebOV.._ 4/29/2009

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