Loading...
HomeMy WebLinkAbout20160987 Ver 1_401 Application_20161016DUKE ENERGY INTERNAL USE ONLY: Construction DUKE Date Received: FAF Paid Application ENERGY: Ej Application Compiete --- 14p HEP Fund Permit No. —� Duke Energy Lake Services LL Mail Code EC12Q 526 S. Church St. Site ID Close -Out Date_ Charlotte, NC 28202 I. DATE OF APPLICATION' PermitlTag II. APPLICANT INFORMATION (applicant mailing address and contact Information) Name* ✓ fit- ,Err t Primary Phone* i d y _ yr - G 1 Address* (� g �b I� )� ri ✓ L SecondaryPhone '%0 ti -9 YZ --.z &(/ y (Ljvr.k) City" /��:n� 14; State* ►V Zip Code* Fax Number Ill. PROPERTY INFORMATION (location'of permit) Address* F b rJ 0 A C1 County' f t I trl bvtr t- City* State* R Zip Code* % County Parcel ID number (e.g. Pin; Tax ID, TMS Lake*: t/ Number...) Subdivision Lot(s) I 3q He Book/Page I To enter the Latitude and Longitude of the property, please use a g * oT3- service/software to easily acquire the location information. Values Latitude (e. 35.12345) 5 Z7 7 should be provided in Decimal Degrees format (35.1245). G example service: httpJ/itouchmap.eotMatlonghtml Longitude (e.g. -80.12345)* IV. PROPOSED ACTIVITY (' New/Modification of Existing Structure C" Maintenance of Existing Structure Is Dock Covered? New/Modification of Existing Shoreline Stabilization C Maintenance of Existing Shoreline Stabilization ❑ New/Modification of Existing Structure & Stabilization C Maintenance of Existing Structure & Stabilization # of Slips (, Transfer of Ownership C` Other (please describe below) * of Jetports El Area over land (sq ft) I I Area oyer water (sq ft) I Total square Feet I I Shoreline Stabilization (feet) Distance From Shoreline Length of &0 Materials O�i/3 _ KJ Stabilization Materials A- Brief Description /N 6 f )" /� {� fir k 1q,4, o of the Activity Describe Briefly the Existing O deer /0 t .5-e �e J� Structures Over Land and / Water (include sq ft) S4 M/,-Wc V. Dock Builder or Engineer Name/Company I RA/ h 7 -/l n/h Address 960 �}YcJ /l ✓C l Phone Number �Q �. -/ � D • City State Zip Code Email Vi. Checklist of Required Documents (to include with Application Submission) Vecent Survey (stamped/signed by a professional licensed surveyor showing the location of the existing or proposed structure and/or survey of the existing or proposed stabilization) Cotos along property shoreline and photos of any existing structures and/or stabilization in or near the water pplication fee (check only, payable to Duke Energy) 19 Signed User Agreement Leiter applicable local, state, and federal permits ❑ Plan and profile drawing showing all measurements and elevations ❑ Habitat Enhancement payment (if applicable) VII. Approval 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 application specifications. VIII. Directions Iby Road' Directions by0 S / / / �/ I ,�A0� Road* /i.dr`j y'OIV ` i7(. Application Subntission Please complete, print and sign this application. Then enclose all items from the checklist above in an envelope and submit all the information to the address below. Water Strategy, Hydro Licensing and Lake Services Print Form Duke Energy PO Box 1006/ EC12Q Charlotte, NC 28201 , t agree that the information contained within is accurate: State of North Carolina DWR Department of Environment and Natural Resources Division of Water Resources Dlvlslon of Water Resources 15A NCAC 02H .0500— Water Quality Certification, Shoreline Stabilization 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 I. Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information _ Name: 7 -e r -e Jc,-- Mailing Address: (a ,2 U ,6 ry v 2 bt ru l - Telephone Number: -7yV- 5-K-6 YSo Fax Number: E-mail Address: TPre Jct ,%fie If e—Abe rfr I -r-4; c&rc it I, to y a 4 c -e . cr` Agent/ Contact Person Information (J� A signed and dated copy of the Agent Authorization letter (a form can be downloaded here: u a ar �mll P©rials 59 r uWoryfigllogoper i P T U HO RIZATION FORM. f) %est be a ached if the Agent has signed this application form. Name: G/ � Company Affiliation: r Mailing Address: 5 M V.-/ Telephone Number: Fax Number: E-mail Address: Person to receive the Certification Approval; II. Project Information [ISA NCAC 02H .0502(a) & (W 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, etc.), rip rap, excavation or dredging 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: Amepc Af kti X814- Nearest Town: Subdivision name or site address (include phase/lot number): Dire tions to site - plese include road names and numbers landmarks, etc.:�75 Ll- 0 7 gda 5 4e r 4 NC s. P4 ecl ­Sh ontjtvAl / ow/ 1AJi Atr5 41. Latitude (in decimal degrees) 0 Longitude (decimal degrees) & • 0 D/ 5. Describe the existing land use or condition of the site at the time of this application (residential, undevelc 6. Property size (acres): 7. Lake/ river/ ocean adj 8. Describe proposed work (include discu iop asjo how har ening f sho line has bee avoided, or why it is necessary): � �'"•� 5 1-c-'��i/c. rc e -A bee avoided, s vN 9. Will work be conducted from land? 9 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: /91'x4-/ 11. Total amount of disturbance (including all clearing, backfill, 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: 19d x I I 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): W d 0J eJ t e 4- �� INA Owner/Agent's Signature* 1-0169 /•K 1ftf Printed Name f15A NCAC 02H .0502(f)l 'Agent's signature is valid only if an authorization letterfrom the owner is provided. 0.to. lb Date FORM: SSGP 10-2013 Page 2 of 3 Lake (At Full Pond/Normal {Nater Level) FII Pond/ 3 NormIQW&�6eI ... �' <v- Shoreline Cj r 0 ca, , C- ((�pdC. 011- I90 Please approximately sketch the following information on this plan (provide dimensions for each item, such os 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 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: SSGP 10-2013 Page 3 of 3 PRIVATE FACILITIES USER'S AGREEMENT LETTER (You may use this letter and fill in the requested information. Please Print) Date o. /,0 - al -0 16 TO: Duke Energy c/o Lake Services - EC12Q PO Box 1006 Charlotte, NC 28201-1006 RE: (Project Name�G3 l� /� 1 �4rq '� (Labe Address) D I % i'11 CYS /CGf L (Applicant's full name)G e3h �G�-f'� �tY hereby agrees to comply with all requirements and oditions set forth by Duke lnergy's Lake Services' office, or any federal, state or local agencief pertr4nuig to our Private Face 'es application to construct pndjorrpaintain a 5/t0 v -e , Av c 5T7F/g/Ni Zd-j�-; o �✓ on Lake Wv 1. L . in addition, Uwe have read and agree to comply with Duke Energy's 9holreline Management Guidelines (SMG) and understand that written authorization must be obtained from Duke's Lake Services' office prior to beginning any activity/construction within the Project boundary. The construction will be completed as described in the approved private facilities program application and within twelve (12) months following the date of approval by Lake Services. Failure to complete construction within the twelve-month build -out period will require the applicant to file a new application within the then -current guidelines. The filing will include any applicable fees and security deposits. Ifwe attest to be the owner or lease holder of the tract of land immediately adjoining the Project boundary where the proposed private facility is to be constructed. hive understand that the structures to be installed and/or maintained are my/our Property and Uwe therefore agree to be fully responsible for the permitted reservoir use including maintaining structures in good repair. if the private facility is deemed unsafe by a Lake Services Representative, Uwe agree to repair or remove the private facility at my/our own Page I of S r flMn Lbm Apwamt CW KT &W 1 12 02 J& mAoe Iw 2-21-10 expense and within the specified timeframe set by Lake Services. This responsibility is considered to transfer automatically along with ownership and leases of the adjoining tract. 1/we agree to fully disclose all information regarding the approved private facility to any prospective buyer/leaseholder of the property and any new owner/leaseholder. I/we agree to notify Duke Energy Lake Services immediately of any sale/tratisfer of the property, including the name and address of the new owner and to transfer the permit to the new owner/leaseholder. Uwe understand that unless the private facility was permitted by Lake Services before June 1, 1996, no more than (1) pier/dock or one Common Use boat slip per waterfront lot will be considered for approval. Ownership/interest in a Common Use Facility or residential marina eliminates the option of having a separate private facility on any other owned or leased lot within the affected subdivision. I/we understand that Lake Services' approval of the requested reservoir use in no way constitutes assignment of an interest in real property (i.e. land rights). The approval is granted and maintained solely at Duke's discretion. I/we also understand that the permitted use may be revoked at any time by Duke Energy or its successors for any reason whatsoever. If the approval is revoked, 1/we agree to remove the facility at mylour own expense within the specified timeframe set by Lake Services. 1/we specifically waive any claim for consequential damages arising out of or relating to this application, Duke's approval or denial of it, or Duke's subsequent revocation of approval, and I/we specifically understand and acknowledge that, because Duke Energy can revoke the permitted use at any time, 1/we are not entitled to reliance damages. I/we understand during drought conditions Duke Energy may request reduced usage or discontinued usage of any water withdrawal or related systems, until such drought conditions improve. Failure to do so may cause possible removal of the system and/or any other permitted facilities that I/we may have, and any costs associated with removal of the facilities will be assessed to the lot owner. Uwe understand that this lake was constructed as a working hydropower reservoir for the primary purpose of producing cost-effective electric energy and that this remains as the lake's primary purpose. I/we understand that the lake and its associated hydropower station are operated by Duke Energy Lake Services under the terms of a license issued by the Federal Energy Regulatory Commission (FERC) and that there will be no change in hydro project operations as a result of the construction and/or use of any facilities that I/we may be allowed to place within the FERC Project boundary or on Duke Energy Lake Services -owned property. I/we understand that the proposed private facility will be used only for the purposes described in the information submitted for approval by Lake Services and other appropriate governing bodies. Page 2 of 5 H�d�o trhiv�HPrives FWWds Uw APUMM CW XT Md 1 120! ji A. 1rr 3.11.16 Uwe understand that this lake is open for use by the general public and that maintaining safe and lawful public use is one of the primary lake management objectives of Duke Energy Lake Services. Uwe understand that the use for which we are applying is a private use and it should not interfere with the general public's safe and lawful use of the lake. Live understand that every reasonable effort must be made to minimize any adverse impact on fish, wildlife, and other natural resources. Live understand that trees and vegetation growing within the Project boundary play an important role in the overall environmental condition of the lake. The ecological impact the vegetation has on the fish and wildlife habitat is necessary to ensure a sound and healthy lake environment. Live also understand that unauthorized removal of shoreline vegetation (i.e. button bushes, willows, cattails, etc.) and/or disturbance of the shoreline buffer may result in suspension or denial of lake use permitting requests and require metus to re-establish the vegetation if the disturbance is found to be in violation of the state or county watershed buffer regulations or Duke Energy's Vegetation Management Requirements. (For construction on I.Ake Keowee) Uwe agree that if land disturbing activities are to occur within the Project boundary prior review/approval from Duke Energy Lake Services, the State Historic Preservation Office and the Eastern Band of the Cherokee Indians is required prior to work beginning. Uwe agree that if any historic or archaeological resources are discovered during construction of an approved activity the applicant must stop work immediately and contact Duke Energy Lake Services. Uwe understand that in the event that anyone discovers a potential site of archaeological or historic significance including any gravesite within the Project, the individual must immediately notify Duke Energy Lake Services. Uwe agree to notify Lake Services when construction is completed. During the construction period, the weather-proof "Duke Energy Approved Lake Use Activity" sign (to be provided by Duke Energy) must be posted at the job site, visible from the water's edge. Uwe have included a check for any applicable filing fees, security deposits and copies of all other necessary permits. Live agree that if any action is taken by Duke Energy to enforce any provision, covenant or agreement contained in this user agreement or Duke Energy Lake Services SMG or if Duke Energy is required to retain an attorney to enforce any provision, covenant or agreement contained in this user agreement or SMG (including, without limitation, the payment of fees due hereunder or the removal of an encroachment constructed in violation of this user agreement or SMG), then Duke Energy shall be entitled to recover all of its reasonable costs associated with such an action, including but not limited to, attorneys' fees and court costs incurred in such action and/or enforcement. Page 3 of 5 FdiurUr AOm=mstCA[Tf d1nftA Amc PATIM16 Uwe understand that Lake Services' representatives may issue Stop Work Directives for any violations of the SMG or engagement in prohibited acts or activities on Duke Energy Lake Services' property as specifically identified in the SMG. I/we understand that persons found to be in violation will be subject to Duke Energy Lake Services sanctions which can include: 1) restoration of the impacted area at the person's expense; 2) loss of consideration of any future lake use permitting activities for up to five years for improper vegetation removal or until vegetation is satisfactorily re-established (even if there is a change in property ownership); 3) revocation of a previously issued permit and loss of consideration of any future lake use permitting activities and/or reinstatement of the revoked permit; 4) increases in fees; 5) modification or removal of non -complying structures; and/or 6) further legal action being taken by Duke Energy Lake Services . I/we understand that certain activities specified in the SMG are prohibited because of environmental concerns, boating capacity limitations, safety considerations and other reasons. Uwe understand that ownership/mterest in a Common Use Facility eliminates the option for me/us to also have a separate facility on any other lot within the affected subdivision that I/we own or lease. Uwe understand that this lake is open for use by the general public and that maintaining safe and lawful public use is one of the primary lake management objectives of Duke Energy Lake Services. I/we understand lake use permit holders have the authority to prevent others from trespassing on the structures they have built. Uwe also understand that Ave, however, do not have any authority to impede anyone from pursuit of the lawful public recreation enjoyment of FERC Project lands and waters. Except as specified otherwise in the SMG or other Duke Energy Lake Services documents (e.g. Public Safety Plans), anyone may fish around/under structures built by others, may walk/wade/fish within the FERC Project boundary or any Duke Energy Lake Services -owned peripheral strip, boat in the lake's waters, etc. without having to get anyone's permission to do so. Boaters may not block ingress/egress to piers/docks. I/we agree to exercise all care and due diligence to preserve and maintain the character of the Duke Energy Lake Services's adjacent property. Uwe agree to comply with the Duke Energy Lake Services Vegetation Management Requirements. I/we agree further to not allow sewage, including discharge from septic tanks (or similar facilities) or boat holding tanks, garbage, trash, or other waste material to be discharged or dumped into the reservoir, tributaries or adjacent property. I/we understand that as an adjoining property owner Ave can make no change in land form of land within the FERC Project boundary or land owned by Duke Energy Lake Services , such as grading, excavation or filling without prior written approval by Lake Services. Uwe agree for myself/ourselves, members of my/our family, guests and invitees that Uwe Page 4 of 5 'aplP�iv�te FWMWW Uwe ArWMW CW RT f W 1 u a j* MAoo RM U 1.16 assume all risks of personal injury or property damage incident to my/our occupancy and use of the premises; including but not limited to any personal injury or property damage which may be sustained as a result of flood waters or in connection with the rise and fall of water in the reservoir as a result of floods or of the operation of Duke Energy's hydro electric facilities. Uwe as the adjoining property owner further agree that Uwe will indemnify, protect, defend, and save harmless Duke Energy from any and all loss, cost, claims damages, expenses, judgments and causes of action for all injuries and damages sustained by the members of my/our family, guests, and invitees arising or claimed to have arisen in connection with their occupancy or use of the Duke Energy Lake Services -permitted facility(s). . Uwe acknowledge that Duke Energy Lake Services has the right to charge reasonable user's fees for private use of its property and that failure to pay any applicable user's fees in a timely manner can result in the suspension or cancellation of any previously approved lake use permit. Ilwe recognize that Uwe have the continuing responsibility to ensure that the constructed structures are maintained in good repair, including, but not limited to maintenance of the dock and boat slips, and proper erosion control within the permit area and along the shoreline, and agree to take all reasonable steps necessary to meet this responsibility. Uwe agree to maintain all struc uffes within the Project boundary on Duke Energy Lake Services - owned property in a sound condition and in a neat appearance and pay all costs for said maintenance. Sincerely, - Tit- f -1 G.., P f / 44 1 4ry 41" (Applicant's Name) 01 w--5 & take Street Addjuss City/SffitePZip C&e Lake Phone Number (Designated Duke Energy Agent) Page.5 of 5 Applicant's Signature 86 � /jYo�� rc��tJ ,fir• City/St to Zip Code 704 5y5. 4 9156 Home Phone Number Date: 40 ` /0 ' I_k Date: Fadlus Uws Apaaoem CW 83 fed 1 1208 A MAN Rn 3.1 L16 Google Maps Go gle Maps r`r/Tt�N�M1, .0 �ff.. lf. v�G �m ,nngpointLr N9 d 7 chk" 2P��R °dd Page 1 of 1 W'° Eastwood Homes Sr "�eP atRiverwood Map data ©2016 Google 200 ft https://www.google.com/maps/(x,35.1504483.-81.0019222,17z 10/10/2016 MapCard - Print your custom map I A ` Page 1 of 1 U 0.5 Mi 4 0 2000 Ft http://map-pass.mytopo.com/maps/print local.asp?print=l&scale=5.00&layer=DRG&lat... 10/10/2016 THIS IS TO CERTIFY THAT ON THE 9TH __DAY OF SURVEYED THE PROPERTY SHOWN ON THIS PLAT, AND THAT THE PROPERTY LINES, AND THE IMPROVEMENTS IF ANY ARE AS SHOWN HEREON. REVISED -ENCROACHMENTS 06-07-2016 ///��� REMOVE ENCROACHMENTS 1 07-09-2016 •/�\ J/\/ GO' �SIGNED ,a G PROFESSIONAL LAND SURVEYOR �O' JQ JOHN HR/S11AN 11 Ph �a0 JACK CHRISTIAN & ASSOCIATES 7811 OLD CONCORD RD, CHARLOTTE, N.C. 28213 y,& L8f4l PHONE. (704)596-2214 �C EDC pACn VICINITY MAP / / / Z / / / LINE_TABLE UNE I LENGTH I BEARING L1 37.37 N82'15 36"W L2 27 73N57S8 38"W L3 2B.83- NBC; 2043-W_ L4 21.83 Nd5 53'51 "W. L5 51 93 NOO 5726'W LB 29.-39f N19 39'54"E C38.91 _ N14 58'36"E LB 9.98 N10'10'18"W L9 3.29 SB6'09'39"E SYMBOL LEGEND 4py, POWER POLE (P.P.) —E—E— ELECTRIC LINE E.I.R. EXISTING IRON REBAR E.I.P. EXISTING IRON PIPE 1J ASPHALT- / �I I P„ M►SooA" 'e OF T N 30_SE7BACFS_ o LOT 40 CDs NEIGHBOR'S CONCRETE 4v DRIVES NEIO/ \ \ RETAINING WALL LOT 38 ! LOT 39 \\ FRAME / 19, 940 Sq Ft STORAGE 0.46 Ac. (v N :lb / / C � yF0 184.98' u H26'p8,33"W GRAPHIC SCALE 40 O 20 40 DEED 30515 P.303 8,028 Sq Ft 0.18 Ac. 5701 �\ LAKE WYUE .r - SURVEY OF V / Cr ni J7LN W OTHER R/W'S, EASEMENTS OR SETBACKS MAY EXIST WHICH MAY NOT BE SHOWN. LOT 39 H. J. WITHERS PROPERTY & DEED ADDITION, CITY OF CHARLOTTE, MECKLENBURG COUNTY, NORTH CAROLINA SCALE 1 "=40' THE PROPERTY OF. TERESA HELFENBERGER 515 MAP RECORDED IN BOOK 1844A T PAGE 535 DEED RECORDED IN BOOK 306709 PAGE 30028