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HomeMy WebLinkAbout20181581 Ver 1_Shoreline Stabilization_20181115DUKEENERGY INTERNAL USEONLY Date Received F App fee Amt Check # I- I Check Date Site ID IHEP Fee O Application Compete �— - Construction�� DU -If1 5 8 1 Application v- ENERGY. lake Services m r'hnrintfa N _ A7n� _ n� \ j( 1. DATE OF APPLICATION' .Z . Tag #: l�\ 11. APPLICANT INFORMATION (applicentmaNina addirm and contact 440a"an) Name* Px vio T �-� Ao ws Primary Phone* Address* P 0 vs O 5 S 3 Secondary Phone City IT-Mrp ttk, ftf} rj State Zip Code I Email e • c AJOW 5 0 com III. PROPERTY INFORMATION (location of permit) Address* /l0 Af Ae4 County* City*rdre I State* WC Zip Code* � 66 Lake*OY Subdivision M D Y'Y' I SON t Z f Lot(s)� To enter the Latitude and Longitude of the property, please use a ��DD /� / service/software to easily acquire the location information. Values Latitude (e.g. 35.12345)* 357-63 Z V b should be provided in Decimal Degrees format (35.1245). Example service: http:J/itouchmapxamJiatbng.html� tangitude (e g. (30.12345)'e IV. PROPOSED ACTIVITY (chock aN hot apply) I ❑New/Modification of Existing Structure [--]Maintenance of Existing, Structure Dock is covered C]New/Modification of Existing Shoreline Stabilization [2 i4aintenance of Existing Shoreline Stabilization # of slips []Transfer of Ownership ❑Other (please describe below) # of Jetports Ej Areaoverland(sgft) Area over water (sq ft) �� Total Square Feet (� Shoreline Stabgization (feet) Length of / i Distance from Shoreline wi % e Stabilization OVA Brief Description of the Activity Materials re- m4Jt,o) cv'o ss 4`1c5 AAIP . A✓, ,4 : 4;egg Describe Briefly the Existing Structures Over Land and Water (include sq ft) re !�d e -Al klrl %w vim."-- fat � : cv— IV Check* of RequMes# Doculments _ to include with app"q " sullw* ion) Survey (stamped/signed by a professional licensed Applicable local, state, and federal permits surveyor showing the location of the existing or Signed Applicant's User Agreement Letter proposed structure and/or survey of the existing or proposed stabilization) rr Plan and profile drawing showing all measurements Photos along property shoreline and photos of any existing structures and/or stabilization in or near the water 01, Application fee (check only, payable to Duke Energy) and elevations Habitat Enhancement Program payment (if applicable) Please limit documents sizes to 1111X 17" or smaller. V pr+ro j Process • Application is reviewed and determined if complete. Fields with an asterisk are required. • If application is not complete or does not include all items and information listed in the checklist, the application will be returned as incomplete. A Duke Energy representative will visit the site to conduct a visual inspection. Applicant will be notified of approval or denial. Applicant is to have the notice, to be supplied by Duke Energy upon application approval, posted and must be viewable from water. The notice must remain posted until a representative inspects the project and determines the project is complete and within the approval specifications. A. Wrectbu by Road C77 ,N( �O 1644,,74- •3c, we A/ Ifw,%� r sol /oto.✓ p,�,,.{ r ri 50 A/ Directions by Road* / ^/ /1 -off% _ VII ApPiicaltl" Submission -- Please complete, print and sign this application. Then enclose all items from the checklist above and submit all the information to the address below. Duke Energy Lake Services Mail Code EC12Q 526 S. Church St. Charlotte, NC 28202 I agree the information contained within is accurate Ptojeo ryl Owner: w.3 Printalge�n►u■G Contractor/agent: SOft #r b IM The approval 'is `for the purPse and design described in your application. Impacts not indit;ai,Cci m frte, application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC 02H.0506 and 15ANCAC 02B.0243(8)1 Trees are not allowed to be removed frmn Zone I of the BuZer (within 30 R of the full pond elevation), unless approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed. 1�ai shwpmg M16s s eXt""wed: �A5AQAC M.M4L3(6)1 Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15ANCAC 02B .0243 (6)] Beaches, impervious patios, impervious walkways, etc. are not ,allowed in the buffer unless specifically approved by the Division. There are limitation on size for decks. jI 5A NCAC 02B .0243(4) and (6)] Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction material must be outside the buffer. [15ANCAC 02H .0502 and 15ANCAC 02B .0243 (4),(6), (8)] Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater discl�axgea must be at *C naxal elevator old &ckmSed 1 * aftfing, the buffer &TcdW as Muse or sheet flow at nonerosive ve Odties ter i ` �tslie• I -A iL' A. ..324s(-' ) (M Acknowledgement of Mftfl"tion L bAV , A J wf- A i o w s , barby .state that I have been informed of the Catawba Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved by;the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be taken such that tie construction will be built within subslardlal compharsce and mtent of the 401 Water Quality Cer iA. ov. 'B�r �,ft Wpoved pW%) Md sp ez;tficahora(s), M -d odlff. SWPowng ma s, Signature (owner): GZ}�, /,���.1 Date: �� State of North Carolina Department of Environment and Natural Resources Division of water Resources _DW'W'q R 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization Division of Water Resources FORM: SSGP 10-2013 Shoreline Stabilization Application Form Three copies of the application (including attachments) and the application fee should be sent to: Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information ff Name: D A0 , C T ,A -5 Mailing Address: 'P, 0" 6 cry 5 S'3 -1-Ro t('T A) ASV 1� C Z - Telephone Number: iuy 52.E-0.SSFax Number: E-mail Address: <4 i' n r,,gd a tvS CO L , e- ►�� 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.mil/Portals/59/docs/rep,ulatory/regdocs/Permits/SAMPLE AGENT AUTHO RIZATION FORM.pdf) must be attached if the Agent has signed this application form. Name: 5A m C A-5 OWNe-v"' Company Affiliation: Mailing Address: Telephone Number: Fax Number: E-mail Address: Person to receive the Certifi ation Approval: IL Project Information [15A N AC 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, structu s (buildings, retaining walls, docks, impervious surfaces, etc.), rip rap, excavation or dredgirig below Full Pond/ Normal Water Level elevations, and FORM: SSGP 10-2013 Page 1 of 3 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: -1-Q_ dkT m 6N Subdivision name or site address (include phase/lot number): iit) 14(L&I 2roL LN Directions to site - please include road names and numbers, landmarks, etc.: !�ToA~% ►DAQle- fZa -"7-0 wrrLJ, PA2k — z- 6-fr O N `%10a ,_sm FA a m rL� — L a r --r op ro� n1', R A'-- G. N Latitude (in decimal degrees] . 32 -i iv & Longitude (decimal degrees) -69 . 1 of 5U.A 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): /2rsi t E �? : wt - �, ,� E fL 6. Property size (acres): o4 MC. are'5 7. Lake/ river/ ocean adjacent to property: —IV 6 2 M Arl 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): l2 a K : Jd S f-- p w A (V A!9 YJ r= �. o k.T 6 E ).� i N c_ 9. Will work be conducted from land? ❑� From water? ❑ 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: .J 75 1 . 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: /751)( 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): a 210 S S c vo R �) -9 -�J 2 r as Owner/Agent's Signature* Printed Name 115A NCAC 02H .0502(f)) 'Agent's signature is valid only if on authorization letter from the owner is provided. Date FORM: SSGP 10-2013 Page 2 of 3 Lake (At Full Pond/Normal Water level) Full Pond U � Norm�N a -� - a Shore lne IO ... 1. _ . fit?ria- ~-r2-' rc- OU s r �i cn V _ to s�t 4cee55 Zz`O s� Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft x 100ft) t) *: 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 placed below 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; SSCP 10-2013 Page 3 of 3 Google Maps Go gle Maps Page 1 of 1 Map data 02018 Google 200 ft https://www.google.com/maps/@35.6324166,-80.9259076,17z 11/12/2018 MapCard - Print your custom map Page 1 of I 0 0.5 Mi 0 2000 Ft httn-//man-nass.mvtono.com/mans/print local.aso?print=l&scale=5.00&laver=DRG&lat... 11/12/2018