20060422 Ver 1_COMPLETE FILE_20060314

Certificate of Completion
DWQ ProjectNo.: Q(p -o4a,;t County:
Trej e-I
Applicant: G-0-r U g ro o K-5
Project Name: Loo- -#arl 112 Beach Lone, i'>'1o.1I 6-,L Rp?n - S/p (llodresvi III
Date of Issuance of 401 Water Quality Certification: Ma rck a q -QOO (O
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit,
North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form
may by returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is
not necessary to send certificates from all of these.
Applicant's Certification
I?
r7n V- 14 Y'o n KS , hereby state that, to the best of my abilities, due care and
diligence w used in the observation of the construction such that the construction was observed to be
built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature: AA Date:
Agent's Certification

I, hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be
built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Date:
-df this project was designed by a Certified Professional
I, , as a duly registered Professional (Le.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to
observe (periodically, weekly, full time) the construction of the project, for the Permittee hereby state that,
to the best of my abilities, due care and diligence was used in the observation of the construction such that
the construction was observed to be built within substantial compliance and intent of the 401 Water Quality
Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature:
Registration No.: Date:
--A
JUL Z 4 2006
DENR - VATERc QUALITY
WETLA !^S AND STORMWATER MCH
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
March 29, 2006
DWQ# 06-0422
Iredell County
Mr. Gary Brooks
112 Beach Lane
Mooresville, NC 28117
Subject: Lot #27, 112 Beach Lane, Malibu Point S/D, Mooresville
APPROVAL of 401 Water Quality Certification and Authorization Certificate per the Catawba River Buffer
Protection Rules (15A NCAC 2B .0243) with Additional Conditions
Dear Mr. Brooks:
You have our approval, in accordance with the attached conditions and those listed below, to place fill in
or to otherwise impact approximately 0.004 acre of water and 0.004 acre of riparian buffer for the purpose of
stabilizing approximately 107 linear feet of shoreline on Lake Norman, as described in your application
received on March 14, 2006. After reviewing your application, we have determined that this project is covered
by Water Quality General Certification Number 3492, which can be viewed on our web site at
http://h2o.enr.state.nc.us/ncwetlands. This General Certification allows you to use Regional Permit No.
198200030 once it is issued to you by the U.S. Army Corps of Engineers (USACOE). This letter also serves
as your approved Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 213
.0243. Please note that you should get any other federal, -state or local permits before proceeding with your
project, including those required by (but not limited to) Sediment and Erosion Control, Non-Discharge, and
Water Supply Watershed regulations.
The above noted Certification will expire when the associated USACOE's 404 permit expires unless
otherwise specified in the General Certification. This approval is only valid for the purpose and design that you
described in your application. If you change your project, you must notify us in writing, and you may be
required to send us a new application for a new certification. If the property is sold, the new owner must be
given a copy of the Certification and approval letter; and is thereby responsible for complying with all
conditions. If the total wetland fill for this project (now or in the future) exceeds one acre, compensatory
mitigation may be required as described in 15A NCAC 2H .0506 (h).
In addition to the requirements of the certification, you must also comply with the following conditions:
1. No impacts shall occur in the buffer, including the removal of trees, except in the immediate shoreline
stabilization area.
2. Upon completion of the project, the applicant/responsible party shall complete and return the enclosed
"Certificate of Completion" form to the Division of Water Quality's 401/Wetlands Unit.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You
must act within 60 days of the date that you receive this letter. 'To ask for a hearing, send a written petition (that
1V?o ` Carolina
Naturally
Mooresville Regional Office Division of Water Quality Phone [phone] Customer Service
Internet: www.ncwaterqualitv.org 610 East Center Ave, Suite 301 Mooresville, NC 28115 Fax [phone]
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
Page 2
conforms to Chapter 1508 of the North Carolina General Statutes) to the Office of Administrative Hearings, 6714
Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless
you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act.
If you have any questions, please telephone Barry Love in the Mooresville Regional Office at 704-663-1699 or
Cyndi Karoly in the Central Office in Raleigh at 919-733-9721.
Sincerely, j
for Alan W. Klimek, P.E.
Attachments
cc: Corps of Engineers Asheville Regulatory Field Office
Wetlands Unit- Ian McMillan
Central Files
LCCS - Mark Lancaster
APR 4 -,2006
DENR - WATER QUALITY
WETLANDS AND STOF#AWATER BRANCH
Find Wetland Project
mpacts., Mitigations .y; Faes ARllations Event it ecu n mmants }'Wstory
Project Number. 120060422 Version: 11 Status: Issued Last ActionDesc: Protectlssued
-Project Name: ,Gary Br ooksLet 27 'Project Type: shoreline Stabilization (sills rip rap
Project Desc::shoreline stabilization
'Owner. Brooks, Gary Details ..
'Received From: Applicant COE ID:. 'Primary County Iredell
DOTTIP: 'AdminRegion: Mooresville
Received Dt X0 311 4J20 06
Reviewer. barry.love
issued Dt 0 312 912 0 0 6
- --'- 'SecondaryCoun
Statutory Dt: 05!1312006
IJCAMA NEPAI SEPA Received DI:
j
DCM Office: SW Plan Received Dt
COE Office: ieville Regulatory Field Office SW Plan Approved Dt Public Notice Published Dt
Last Uptlated By barry love SW Plan Location:
Public Notice Received Dt
Last Updated On: 03f3112006 Sewage Disposal: I ----
!- P.N. Comment Period Ends Dt: i
Back
Close
f --- ReadyPage III ,SID: WPD1
Triage Check List
Date: 3/20/06
Project Name: Gary Brooks, Lot 27
DWQ#: 06-0422
County: Iredell
Alan Johnson, Mooresville Regional Office
To:
60-day Processing Time: 3/14/06 - 5/12/06
From: Cyndi Karoly Telephone : [phone]
The file attached is being forwarded to you for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concern
?
?
Comments: As per our discussion regarding revision of the triage and delegation processes,
please review the attached file. Note that you are the first reviewer, so this file will need to be
reviewed for administrative as well as technical details. If you elect to place this project on hold,
please ask the applicant to provide your requested information to both the Central Office in
Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim
procedure as we slowly transition to electronic applications. Please apprise me of any
complications you encounter, whether related to workload, processing times, or lack of a "second
reviewer" as the triage process in Central had previously provided. Also, if you think of ways to
improve this process, especially so that we can plan for the electronic applications, let me know.
Thanks!
. 4
DUKE POWER LAKE MANAGEMENT, EC12-Q
P O BOX 1006
CHARLOTTE, NC 28201-10063
704-382-1567 or TOLL FREE 1-800443-5193 t'?1A?? _ 20??
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA ?J.-.U
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.
L Applicant Information
A Name
Z e?
?/1/•
oc, I ?t l f G. /VC 02 ?/1 7
B. Mailing Address
C. Telephone:- 7-0
IL Location of Proposed Project
A Lake o ie M A IV
B. Street Address 112- B el.C H/
C. County
D. City, town, community or landmark-- LA M v- G i ?-
E. Section Lot#
.21
b
d Subdivision (Kl?l;
N O Ir 4 y e u PoiN
NN Gs ON i i 14 NRSD /ll
33
F. -
y roa
Directions to property
1 A.tr^rt. 0 ;..44-eN ok4-o-1 iA1A. j
,
Le- 0a (3cACh I.IJ.
VD-
G. Latitude and longitude for the project site
TL 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/L.ong", click map)
QL Description of Project
A. Length of wall /07
B. Material ?e i -Roc-K CA Kf * 11
C. Distance from property line/shoreline i o (L60 04 $llOrG (? rf ?-
IV. Intended Use of Project Area
A. Private ?
V
B. Commercial /I
App Date -,9/444?) (0
PLEASE NOTE THE FOLLOWING:
• A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY
MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 151 PATTONAVE - 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. JOHN DORNEY
PARK VIEW BLDG., 2321 CRAB TREE BLVD.
RALEIGH, NC 27604
919-733-1786
12P07ro 1 ssb
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
ko,1J,i?
"R 20C ,
I. Applicant Information
1. Owner/Applicant Information
Name: (9'A r g 5 r oo K s
Mailing Address: ) 17- a C A e-k
MDOre.SdiINt. At

Ar C
Telephone Number. 70 416, 6 it -5946 Fax Number.
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attach V if the Agent has signatory authority for the owner/applicant.)
Telephone Number. D 1-- DD Fax Number. D 5- - 5 40
- E-mail Address:
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 ff
County. SV`e-4 C It Nearest Town: 0 rc5 U? u
Subdivision name or site address (include phase/lot number): A t I,t 'f o i ?l
Directions to site please include road numbers, landmarks, etc. is not
2. Describe the existmi land use or condition of the site at the time of this
application:. e-X 15 i Nq I^ Ot&6 e W; +k 4 rk55 ( A wN aNd low W ? ? !s
OW CAGti 3idt- O-f !R%rpperA-3
3. Property size (acres):
4. Nearest body of water (stream/river/sound/oceanliake): Lk KG tier m ptg
5. Describe the urpose of the proposed work 1 .s4* t LMsri-A d a+k &wJ 1 H S *11
'Reds-oc k se^wpai
6. List the type of equipment to be used to construct the project: Tir A GK hoc,
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: I `Az. A X / D7
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: 172-/ X 1071
b. Please describe vegetation above the normal pool lake level and ? fe t land-
ward to be impacted (number of trees for instance): NO V C 4,*-f i
'O Te "kbli-5ket 14wN
Signature / / pate
is valid only if an authorization letter from the applicant is provided)
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 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. - - -
Gary Brooks -112 Beach Lane Mooresville NC 28117
0
82f s
0
102 BEACH LN
• -" J Legend
----?' za F Parcels
274 Address
- $ ' •1001 BEACH LN Road Names
- - - Rivers/Lakes
28 4
- Creeks/Ponds
w X112 BEACH LN
?-- Railroads
Paved Roads
SPY B ____ P
ki
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8 - _ - Gravel Roads
" 118 BEACH F piers
Ej Buildings
1?0e 26
6 City Limits
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NAME
DAVI DSON
n „n roci? a
Iredel County assumes no legal responsiWiity for iniarmation contained on this map. HARMONY
LOVE VALLEY
MOORESVI LLE
STATESVILLE
TROUTMAN
? County Line
rroo
11Z ? beAclr kAr.
I/ 2L 62?c
Id??

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DUKE POWER DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project site can have a big
impact on permit processing time. Please complete this form and return it along with your completed
permit application to:
DUKE POWER
C/O LAKE MANAGEMENT - EC 12 Q
PO BOX 1006
CHARLOTTE, NC 28201-1006
1-800443-5193 or Option 5
Applicant's Name: f? Y. roo k.5 Type of Permit Requested
BC4.CtA I-M •
t2
k
l "Circle":

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e):
a
Street Address (at
Private Facility
A'
Lake Name: / J 01r M A N? Commercial Facility
/?
?A'`/i b u- + o 1 /u T Excavation
Stabilization
Subdivision Name:
7 Conveyance
Property Section: Lot # .2 Miscellaneous Uses
N?oo r e-6yi 11e County: V-(!AG l
city
State: • C. Zip: 2 9117
7L) q, tP (o ! Sd Y6
h
one:
Telep
Directions (from major road or highway): rr N150? ,`01
A +0 ex; f 331 ?eST D AI W i 1 ? t A )
77 r Od C4-rAI i0JA? 'DJ
A ICo ?? 1 r , Q
Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobil home, etc):
*Note: Please use the back of this form if desired to drape us a map to the site.
CPAULAK1:MGMIYI.MI'1'MMIRGCIIONS1.9.lXK liftecIIve Date ("IM9
Maps On Us
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MAFP T E•^!-1' MAPS
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Cc 1989 - 2006 Maptech. Inc. All Rights Reserved.
Maptart, (r, is i registered trademark of Maptech. Inc.
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Gary Brooks - 112 Beach Lane, Mooresville, NC 28117
i
k3A,?31

DUKE POWER LAKE MANAGEMENT, EC12-Q
P O BOX 1006 F`
CHARLOTTE, NC 28201-1006
704-382-1567 or TOLL FREE 1-800-443-5193 ?YIi,R
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINAIP( ,. i
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.
L Applicant Information
A Name K-0 D KS
B. Mailing Address /12 '8?° by- / ' l 00iQCS V; /1G, IV C o2 8/17
C. Telephone: 7 6 64, & q - -5g 1110
H. Location of Proposed Project
A. Lake O R M A
B. Street Address Al
C. CountyD. City, town, community or landmark G I 1L
E. Section Lot #? Subdivision Mal: u` P c i N t
F. Directions to property by road OY"f-k •?-y exi 33 , 1N Gs f ON Wi (? t t4 W?SO Ili R1
I 1C L'4^A ArLC-otrC. Q,aR4- OM Ck•E-0-1iiJON , ?e_f+ Od f3e, AGh j.IJ.
G. Latitude and longitude for the project site 55Y 9D. F795,
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,
vyww.mansonus.com. Directions: Don't register, click "Maps", enter address, draw map, select "Map
Clicking Will...", select "Lat/Long", click map)
HL Description of Project
A. Length of wall ? 0 7
B. Material , o G A Kf A l l
C. Distance from property line/shoreline i o (oW iN S?IOrG (? K L.
IV. Intended Use of Project Area
A. Private ?
B. Commercial
V. Applicant Signatu CGS Date
PLEASE NOTE THE FOLLOWING:
A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY
MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 151 PATTONAVF- - 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. JOHN DORNEY
PARK VIEW BLDG., 2321 CRAB TREE BL VD.
RALEIGH, NC 27604
919-733-1786
12M7/Ol ssb

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 Quaiity Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650

L Applicant Information
1. Owner/Applicant Information
Name:_ A Y' q T3 r o0 K 5
Mailing Address: ) 12. 5 C A e-k
M 00 r-e5d i tl t.. N
N
Telephone Number. 704/644-5946 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: MAr'K I-ANCASTCY- _
Company
Mailing A
L
o Y•e-
Telephone Number. D 2 - 0? Fax Number. D 3".2 - 3 60
E-mail Address: - -
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
S TGr ["o t-h r e
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 f
County. =r'e-A (f I I Nearest Town: -Mao re-5 V 1 u C-
Subdivision name or site address (include phaseAot number): A I i k o ill
Directions to site please include road numbers, landmarks, etc. ?s not
I_ _A _____t__J_1?_ TIf/f AI---ag" ".-:-L-2'2 1.1 .-.L
2. Describe the existm land use or condition of the site at the time of this
application: eX i 54-1 M o, 111) 5 e W;+4-, q Y'k55 J A cvA! amA (b w W A I I S
OAf eo ek aidf- 0-1' 9roper#-3
3. Property size (acres):
4. Nearest body of water (stream/river/sound/ocean/lake): bk KG NVr trr ft M
5. Describethe urpose of the proposed woric i pt sl* I, l MGr,'.Pi d o-k a-N J 1 n! s 4411
' Zeds Tick se^wpal
6. List the type of equipment to be used to construct the project: 'rir F? GK koe.
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: I `Az. P. X / D - ?
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above jxe normal pool lake level and 50 feet land-ward in
square feet or acres: / %y, x /07,
b. Please describe vegetation above the normal pool lake level , d ? feet land-
ward to be impacted (number of trees for instance): NO C V4of4-f7?6AI
?s-rr?bl??hc4 (?FwN
d
e&s
t/ s Signature ate
signature is valid only if an authorization letter from the applicant is provided)
Fake (Full Pond)
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 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: - -
Gary Brooks -112 Beach Lane Mooresville NC 28117
0
---fir
a

102 BEACHLN84 Legend
Parcels
274 Address
g" 1081 BEACH LN
' Road Names
' - Rivers/Lakes
zs o^
2az
- Creeks/Ponds
°6 O A112
BEACH LN +- Railroads
- Paved Roads
s.
A>?y B
fr
- P
ki
L
,??KS ar
ng
ots
- Gravel Roads
" 118 f E CH
;°--?
? Piers
Ej Buildings
a?
6 City Limits

P NAME

a DAVI DSON
n inn ramF
Iredel County assunes no legal responsibility for information contained on this map. 'HARMONY
LOVE VALLEY
MOORESV I LLE
STATESVILLE
_ Y TROUTMAN
? County Line
_
V-00
en ?.?r .
MoO v-Gs yi tie _ 11? C W117,
6)9Cti ?,?
MWUW4iK.iqag,,
?cYAM= _
l4 ° 5 E?bACjc? ?ack 1.?I,? ll

./ cam omen=
DUKE POWER DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project site can have a big
impact on permit processing time. Please complete this form and return it along with your completed
permit application to:
DUKE POWER
C/O LAKE MANAGEMENT - EC 12 Q
PO BOX 1006
-CHARLOTTE, NC 28201-1006
1-800443-5193 or Option 5
Applicant's Name: ?" V, N TJ roo k9 Type of Permit Requested
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Street Address (at lake):
Private Facility
Lake Name: l O M M A N Commercial Facility
/? Excavation
Subdivision Name:?/? (" A ?J ia- + 0 i NT Stabilization
Conveyance
Property Section: Lot # 2-7 Miscellaneous Uses
City: Mao' <r e6yi l1e County: TrCdG ( I
State: W C. Zip: .29117
Telephone: ?,v q-1 (1,
Directions (from major road or highway) 3 / ?4,CS? ,A1 MSOn? 1\01 77 orb ex 3 04 CA•TAh0JR1
Descriptive Structure(s) on Property) (i.e. brick garage, white fence, mobil home, etc):
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'Note: Plcasc use the back of this form if desired to draw us a map to the site.
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-se tnis map or tnese airections at vour own risK. No representation or warranty is maae as to tneir accurp--
compi=t=ness or drivabiiit . inTospace and Switcnboard will not be responsible ror any aarnages. losses or aeiavs
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35.562684° N
80.880836' W
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80.859920° W
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35.545684° N 35.545684° N
80.880836° W 80.859920° W
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Gary Brooks - 112 Beach Lane, Mooresville, NC 28117
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