20140738 Ver 1_Shoreline Stabilization_20140716

' DUKE POWER LAKE MANAGEMENT, EC12 -0
P. O. BOX 1006
CHARLOTTE, NC 28201 -1006 2 0 1 Q 0 7 3 8
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.
I. Applicant Information n -
A. Name
B. Mailing Address �(p(Oc7 i l�if�/�YLL`/ r{L)Prn mod. n1G Z&on
C. Telephone ZZ-
D OII. Location of Proposed Project
A. Lake 1JUL,rw4,\J JUL 1 6 2014
B. Street Address
C. County M L--wt, c=Nj3 ✓2�
D. City, Town, Community or Landmark /{U-,rZF—fig IAr LLz�
E. Section Lot # / Subdivision
F. Directions to property by road 1JL �3 � ,,y � t 14 o.J
l,/��t')' {Pv�rf'l'L�i y�`D 216••ff" t�tJ h1�74'i'7-!C`?�i,LY .J11�
I-fv ✓S� lS S�C�(i.�9 NH(r� b�i���U or-
G. Latitude and longitude for the project site ��. q f/U I y0 • 9/V- 2--
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)
111. Description of Project
A. Length of wall /ray
B. Material J 5, AJ
C. Distance from property line /shoreline �� �/ c co e
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signature Date
PLEASE NOTE THE FOLLOWING:
/o J✓t-1 0011/
A COPY 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: Cyndl
Karoly, PARKVIEW BLDG., 2321 CRABTREE BLVD., RALEIGH, NC 27604, PHONE: 919 - 733 -1786

State of North Carolina
2 0 1 4 0 7 3 8 Department of Environment and Natural'Resources
Division of Water Resources
: <,���-
` 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of Water Resources FORM: SSGP 10 -2013
Shoreline Stabilization Application Form
Four copies of'the application (including attachments) and the application fee should be sent to:
Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service, Center
Raleigh, NC 27699 -1650
I. Applicant Information [15A NCAC,02H .0502(a)]
1. Owner Information
Name: 5�VPNt'74
Mailing Address: Idoion WA-1
NUNT�VL�I/fl.lt t N'� 2�i`7�t3
Telephone Number:�{.f. x'22 Fax Number:
E -mail Address: A0,4en s de,4s�
2. Agent/ Contact Person Information
A signed and dated copy of the.Agent Authorization letter (a form can be downloaded here:
http: / /www.saw.usace.army.miI/ Portals /59 /dots /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FOR df must be.attached if the Agent has signed this application form.
Name: }�r
Company Affiliation: C _ C
Mailing Address: 618
Bo rucl /.t , &/C, ill
Telephone Number:
W
E -mail Address: CLOG 5,tt*W"Jr(-1
Person to receive the Certification Approval
Fax Numper: (GY—
w, ArW_s t t*^ . a!e
II. Project'Information [15A,NCAC 02H .0502(a) & (b)]
1. Attach a vicinity map (i.e. street map) clearly showing the location of the property with
respect to local landmarks such as towns, rivers, and roads.
2. 'Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces,
FORM:;SSGP 10 -2013 Page 1 of 4

etc.), rip rap, excavation or dredging below Full Pond / Normal Water Level elevations,
and construction access�corridors. You may use the diagram provided at the end of this
application form.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale
of some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: Nearest Town: N✓nj;2- ??d�lc��
Subdivision name.or site address (include phase /lot number):
l �ioo 0t;) �AJ i72� �
Directions to site = please include road names and numbers, landmarks, etc.:
7--0 wI-7g�K� y w►�-� , Ko vs r s ; 31;; of Af �
w� !� ��i���►v� _ o � Svc- � �� .�4 � .
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):
6. Property sizejacres):
O, fog `-i R-&rzc�
"A
7. Lake/ river/ ocean adjacent,to property:
8. Describe proposed work (include dis ussiorl as to how Fiarde ing o shoreline ,has been
avoided, or why'it is necessary'): 0 $ iZ� �S iA/e-
yg':�Yo !ad
9. Will work be conducted from land?
From water? R
10: Total amount of disturbance'(including all,excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres:
'7` l-5 /X J's-6 /
11. Total amount of disturbance (including all,clearing, back fill, excavation, rip rap; retaining
walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres: / i( /50
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted (number of trees, ,for instance): -
*r ex-5
a? Jay ZO /V
Owner ent's.Signature* [15A NCAC 02H .0502(f)1 Date
Agent's,signature is valid only if on authorization letter from the owner is provided.
FORM: SSGP 10 -2013 3's .' Page 2 of`3
L)OM, P. --CIZ-10'�q�

Norn
Please approximately sketch the following_ information on this plan (provide dimensions for each
item, such as 10 ft x 100 ft) *:
1. All proposed vegetation clearing
2. Location.of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. Location,of rip rap or- fill£to be placedbelow the Full Pond/ Normal'Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10 -2013 Page 3,of 3

DUKE ENERGY DIRECTIONS BY ROAD
Lake Use Permit Appicants and contractors: Ease of locating the proposed project site can
have a big impact on permit processing time. Please complete -this form and return in along with your
completed permit application to:
Duke Energy
C/O Lake Services — EC12Q
P O Box 1006
Charlotte, NC,28201 -1006
1- 800 -443 -5193 and select Option 5
Applicant's 'Name:_Stephn A'Deutsch
Street Address (at Lake) 16100 Weatherly Way
Lake Name: Norman
Subdivision Name: N/A Lot —i
Tax Parcel ID�(Wknown): 00145259
City:_HUntersville County Mecklenburg
State: NC Zip: 28078
Latitude: 35.4410 Longitude: 80.9042
Telephone: 704 - 771 -6722
Directions from major road or highway):
1 -77 North to exit 23 — West on Sam iFurr Rd- ,Right on Terry Lane Rignt on Northpoint Rd
Right on Weatherly Way to end on Left.
Descriptive Structures (s) on Property (i.e. brick garage, white fence, mobile home, etc.)
16100 Weatherly Way

16100 Weatherly Way - Google Maps
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