HomeMy WebLinkAbout20120722 Ver 1_Shoreline Stabilization_2012073020120722
DUKE ENERGY LAKE SERVICES
EC12 Q
P O 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 to blank PLEASE
SUBMIT APPLICATION AND APPROPRIATE DUKE ENERGY FILING FEE PAYABLE TO DUKE ENERGY
TO ABOVE ADDRESS
L Applicant Ill
A Name
-
B Mailing
oojA -1- rLm6 fir 0 Nt~ 7-k017-
C Telephone -] U Ll Lot —1$3 c
II Location of Proposed Project
A Lake t H L 1(=
B Street Address_ _ /21 RarL TO-WI VC C�x� [_�s�tir, JVc �- 8'J / Z
C County, �-t'iaN
D City town community or landmark - d O N E
E Section Lot # Subdivision
F erections to property by J," 7b ielfi4f=4" KEF�FC o,-,
olNfK BL-VA &,-7ar o N LA-K 2 /��/NTi£ ti -1 ✓t'i L!i r-T o AJ
ours N ,� ^ of- -S., I Pow AJCI aL.)
G Latitude and longitude for the project site d4 9. _
H Please submit a map showing the coordinates or a detailed map (USGS quad map city m etc ) showing the
exact location of the project site (NOTE Latitude/ longitude coordinates can be found o internal site,
www mapsonus com Directions Don t register click Maps enter address draw map elect Map Clicking
Will select `l.at/Long click map)
III Description of Project L,ITT S 15
A. Length of wall 0
B Material P L o l i 6' g 01 g Z W
C Distance from property line/shoreltne
IV Intended Use of Project Area
A Private t/
B Commercial c,
V Applicant Signature Date ! Z
PLEASE NOTE THE FOLLOWING
• PIES OF THE DUKE ENERGY APPL ATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
CAROLINA PHOTOGRAPI3S OF THE SHORELINE TO BE STABILIZED AND FN)C5 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
PARKVIEWBLDG 2321 CRABTREEBLYD
RALEIGH NC 27604
919 733 1786
Y U.AKEMOWMckage Infonnatton\NC Shoreline Stabilization Application doc
O�ot WATr9OG
O <
20 1 2072 2
Office Use Only
Corps action ID no
DWQ project no
Form Version 13 Dec 10 2008
Page 1 of 14
PCN Form - Version 1 3 December 10 2008 Paper Version
Pre Construction Notification (PCN) Form
A
Applicant Information
r '
1
Processing
1a
Type(s) of approval sought from the
❑ Section 404 Permit ❑ Section 10 Permit
Corps
lb Specify Nationwide Permit (NWP) number or General Permit (GP) number
1c
Has the NWP or GP number been verified by the Corpse
❑Yes
❑ No
1d
Type(s) of approval sought from the DWQ (check all that apply)
LZ401 Water Quality Certification — Regular ❑ Non 404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1e
Is this notification solely for the record
For the record only for DWQ
For the record only
for Corps Permit
because written approval is not
401 C rtification
required
Yes ❑ No
❑ Yes
❑ No
1f
Is payment into a mitigation bank or in lieu fee program proposed for
mitigation of impacts? If so attach the acceptance letter from mitigation
❑ Yes
No
bank or in lieu fee program
1g
Is the project located in any of NC s twenty coastal counties If yes
❑ Yes
liallo
answer 1 h below
1h
Is the project located within a NC DCM Area of Environmental Concern
❑ Yes
ONo
(AEC)?
2
Project Information
2a
Name of project
¢�
2b
County
6kS 7--v
J11!
2c
Nearest municipality / town
2d
Subdivision name
pp
�8 q�
2e
NCDOT only TIP or state
project no
Page 1 of 14
PCN Form - Version 1 3 December 10 2008 Paper Version
3
Owner Information
3a
Name(s) on Recorded Deed
3b
Deed Book and Page No
LAG, 0
(s
3c
Responsible Party (for LLC if
applicable)
3d
Street address
fit
1 2- / zI4 W12 IWO C'(x) it
3e
City state zip
L
2 b I Z
3f
Telephone no
'�Vy
--( U
3g
Fax no
3h
Email address
b (� vl(
s u"I 6e.4 4-4 k cow
f
4
Applicant Information (if different from o her)
4a
Applicant is
Agent Other s eci
4b
Name
4c
Business name
(if applicable)
4d
Street address
4e
City state zip
4f
Telephone no
4g
Fax no
4h
Email address
5
Agent/Consultant Information (if applicable)
5a
Name
5b
Business name
5c
Street address
5d
City state zip
5e
Telephone no
5f
Fax no
59
Email address
Page 2 of 14
PCN Form — Version 13 December 10 2008 Paper Version
B
Project Information and Prior Project History
1
Property identification
1a
Property identification no (tax PIN or parcel ID)
Z- 0
lb
Site coordinates (in decimal degrees)
Latitude � 5 � � � � N
(DD DDDD)
Longitude - 0' 6 r �j Z �
o
( DD DDDD)
1c
Property size e Ac
(acres)
2
Surface Waters
2a
Name of nearest body of water (stream river etc) to
proposed project
�k. � `- , `'i i
vv
2b
Water Quality Classification of nearest receiving
water
2c
River basin C ��� A
3
Project Description
3a
Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application { - ^ ~� +�
r J c 1 S Gi `-mrd Tod' a C's I &,Ai4 l hone `-� ( kC Neirce
does
0 O A- L►co v'C e, S 4-r-vL iv i k - . i4",or Will b , , 0&;,A qr u
q r j
- -ct d Icii CLcA ! �4wcl dUt
is
3b List the total estimated acreage of all existing wetlands on the property
(acres)
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
0
(linear feet)
3d
Explain the purpose of the proposed project
N-L S (l 2�'tl o-� `� 4 r y 1/1u12 �v3 t1 GLytCA
CtS.
3e
Describe the overall project in detail including the type of equipment to be used
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P,
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Page 3 of 14
PCN Form — Vernon 1 3 December 10 2008 Paper Vernon
4
Jurisdictional Determinations
4a
Have jurisdictional wetland or stream determinations
by the Corps or State been requested or obtained for
this property / project (including all prior phases) in the
past')
❑ Yes 2 No ❑ Unknown
Comments
4b
If the Corps made the jurisdictional determination
what type of determination was made
Preliminary E-1 Final
4c
If yes who delineated the jurisdictional areas?
Name (if known)
Agency /Consultant Company
Other
4d
If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5
Project History
5a
Have permits or certifications been requested or
obtained for this project (including all prior phases) in
the past?
❑ Yes [0"No ❑ Unknown
5b
If yes explain in detail according to help file instructions
6
Future Project Plans
6a
Is this a phased projects
❑ Yes [�rNo
6b
If yes explain
Page 4 of 14
PCN Form - Version 1 3 December 10 2008 Paper Version
A-
C Proposed Impacts Inventory
t
1 Impacts Summary
1a Which sections were completed below for your project (check all that apply)
❑ Wetlands ❑ Streams tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2 Wetland Impacts
If there are wetland impacts proposed on the site then complete this question for each wetland area impacted
2a
Wetland impact
number -
Permanent (P)
or Tern crar T
2b
Type of impact
2c
Type of wetland
(if known)
2d
Forested
(Yes or No)
2e
Type of Jurisdiction
(Corps 404 10
DWQ - non 404 other)
2f
Area of impact
(acres)
W1 ❑ P ❑ T
❑ Corps ❑ DWQ
W2 ❑ P ❑ T
❑ Corps ❑ DWQ
W3 ❑ P ❑ T
❑ Corps ❑ DWO
W4 ❑ P ❑ T
❑ Corps ❑ DWQ
W5 ❑ P ❑ T
❑ Corps ❑ DWQ
W6 ❑ P ❑ T
❑ Corps ❑ DWO
W7 ❑ P ❑ T
❑ Corps ❑ DWQ
W8 ❑ P ❑ T
❑ Corps ❑ DWQ
2g Total wetland impacts
2h Comments
Page 5 of 14
PCN Form - Version 1 3 December 10 2008 Paper Version
M�
3 Stream Impacts If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the
site then complete this question for all stream sites impacted
3a
Stream impact
number
Permanent (P)
or Temporary (T)
3b
Type of impact
3c
Stream name
3d Perennial
(PER) or
intermittent
(INT)'?
3e
Type of
Jurisdiction
(Corps 404 10
DWO - non404
other)
3f
Average
stream
width
(feet)
3g
Impact
length
(linear
feet)
S1 ❑ P ❑ T
S2❑P❑T
S3 ❑ P ❑ T
S4 ❑P ❑T
S5 ❑ P ❑ T
S6 ❑P ❑T
3h Total stream and tributary impacts
31 Comments
4 Open Water Impacts If there are proposed impacts to lakes ponds estuaries tributaries sounds the Atlantic
Ocean or any other open water of the U S then individually list all open water impacts below
4a
Open water
impact number -
Permanent (P) or
Tem ora T
4b
Name of
waterbody
(if applicable)
4c
Type of impact
4d
Waterbody type
4e
Area of impact (acres)
01 ❑P ❑T
01 ❑P❑T
01 ❑P ❑T
01 ❑P ❑T
4f Total open water impacts
4g Comments
Page 6 of 14
PCN Form - Version 1 3 December 10 2008 Paper Version
3
5
�W
kA\�
5 Pond or Lake Constr ction If pond or lake construction proposed then complete the chart below
5a
Pond ID
number
5b
Proposed use or purpose
of pond
5c
Wetland Impacts (acres)
5d
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f Total
5g Comments
5h Is a dam high hazard permit required?
❑ Yes ❑ No If yes permit ID no
51 Expected pond surface area (acres)
5I Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWQ) If project will impact a protected riparian buffer then complete the chart below If yes then
individually list all buffer impacts below If any impacts require mitigation then you MUST fill out Section D
6a Project is in which protected basin
❑ Neuse 1:1 Tar Pamlico F1 Other
❑ Catawba ❑ Randleman
6b Buffer impact
number —
Permanent (P) or
Temporary T
6c
Reason for
impact
6d
Stream name
6e
Buffer
mitigation
required?
6f
Zone 1 impact
(square feet)
6g
Zone 2 impact
(square feet)
B1 ❑ P
B2 ❑ P
63❑ P ❑T
B4 ❑ P ❑T
B5 ❑ P ❑T
B6 ❑ P ❑T
6h Total buffer impacts
61 Comments
Page 7 of 14
PCN Form — Version 1 3 December 10 2008 Paper Version
V.-
.r-
D Impact Justification and Mitigation
1 Avoidance and Minimization
1a Specifically escribe measures taken to avoid or minimize the proposed impacts in designing project
Si � � (v\ Ic' in U ( it -Lon ./
04ACA r4kkAci
TJtZs �,Uta 114;J14
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Aaw:::�L outy-' CL4
v
1b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
a ACII— I fx c> ,� 1 �c I'CLIZ-r S K91 �,1Q SiCI),24 r 1
(n s ie s Ln
V A-
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State
Yes �No
2b If yes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c if yes which mitigation option will be used for this
project?
F-1 Mitigation bank
❑ Payment to in lieu fee program
❑ Permdtee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
3c Comments
4 Complete if Making a Payment to In lieu Fee Program
4a Approval letter from in lieu fee program is attached
❑ Yes
4b Stream mitigation requested
(linear feet)
4c If using stream mitigation stream temperature
❑ Warm ❑ cool ❑cold
4d Buffer mitigation requested (DWQ only)
(square feet)
4e Riparian wetland mitigation requested
(acres)
Page 8 of 14
PCN Form - Version 1 3 December 10 2008 Paper Version
4f Non riparian wetland mitigation requested
(acres)
4g Coastal (tidal) wetland mitigation requested
(acres)
4h Comments
5 Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
6 Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that
requires buffer mitigation
Yes ❑ No
6b If yes then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate
the amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required
6g If buffer mitigation is required discuss what type of mitigation is proposed (e g payment to private mitigation bank
permittee responsible riparian buffer restoration payment into an approved in lieu fee fund)
6h Comments
Page 9 of 14
PCN Form — Version 1 3 December 10 2008 Paper Version
E Stormwater Management and Diffuse Flow Plan (required by DWQ)
1 Diffuse Flow Plan
1a Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules?
❑Yes F] No
1b If yes then is a diffuse flow plan included? If no explain why
Comments
❑ Yes ❑ No
2 Stormwater Management Plan
2a What is the overall percent imperviousness of this project?
%
2b Does this project require a Stormwater Management Plan?
❑ Yes ❑ No
2c If this project DOES NOT require a Stormwater Management Plan explain why
2d If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan
2e Who will be responsible for the review of the Stormwater
Management Plan?
❑ Certified Local Government
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
Page 10 of 14
PCN Form - Version 1 3 December 10 2008 Version
C Stormwater Management and Diffuse Flow Plan (required by DWQ) continued
3 Certified Local Government Stormwater Review
3a in which local government s jurisdiction is this project?
❑ Phase II
NSW
❑ W
3b Which of the following locally implemented stormwater
❑ U
management programs apply (check all that apply)
❑
Water Supply
Watershed
❑ Other
3c Has the approved Stormwater Management Plan with proof
❑ Yes
❑ No
of approval been attached?
4 DWQ Stormwater Program Review
❑ Coastal counties
4a Which of the following state implemented stormwater
❑ HOW
❑ ORW
management programs apply (check all that apply)
❑ Session Law 2006 246
❑ Other
4b Has the approved Stormwater Management Plan with proof
❑ Yes
❑ No
of approval been attached?
5 DWQ 401 Unit Stormwater Review
5a Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b Have all of the 401 Unit submittal requirements been met'
❑ Yes ❑ No
Page 11 of 14
PCN Form — Version 1 3 December 10 2008 Paper Version
F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federal /statellocal) funds or
the use of public (federal /state) land?
Yes
t�No
lb
If you answered yes to the above does the project require preparation of an
environmental document pursuant to the requirements of the National or State
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
E] Yes
E] No
1c If you answered yes to the above has the document review been finalized by
the State Clearing House? (If so attach a copy of the NEPA or SEPA final
approval letter )
Comments
1:1 Yes
E] No
2
Violations (DWQ Requirement)
2a
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500) Isolated
Wetland Rules (15A NCAC 2H 1300) DWQ Surface Water or Wetland
Standards or Riparian Buffer Rules (15A NCAC 28 0200)?
❑ Yes
n No
2b
Is this an after the fact permit application?
RrYes
n No
2c
l
If you answered yes to one or both of the above questions provide an explanation of the violation(s)
WqI no14W4lgc 461 rl,a rya /���,���4 Oe,-m
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ill /< < --i c ' sr
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i9lPill AC / 44!3.'d 1 Lr1�- 4b"s -l! �1J —4u f 4—
3
C.-1 V t v ' .� w� i v �� �F— (+� d r ,c� jJj�� -LG /V
Cumulative Impacts (DWQ qulremen
3a
Will this project (based on past and reasonably anticipated future impacts)
result in additional development which could impact nearby downstream water
quality?
n Yes
20NO
3b
If you answered yes to the above submit a qualitative or quantitative cumulative impact analysis in accordance
with the most recent DWQ policy If you answered no provide a short narrative description
Page 12 of 14
PCN Form —Version 1 3 December 10 2008 Version
4
Sewage Disposal (DWQ Requirement)
4a Clearly detail the ultimate treatment methods and disposition (non discharge or discharge) of wastewater generated
from the proposed project or available capacity of the subject facility
R /A7
5
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a
Will this project occur in or near an area with federally protected species
or habitat?
❑Yes ❑ No
5b
Have you checked with the USFWS concerning Endangered Species Act
impacts
❑Yes ❑ No
5c
If yes indicate the USFWS Field Office you have contacted
E] Raleigh
❑ Asheville
5d
What data sources did you use to determine whether your site would impact Endangered Species or Designated
Critical Habitat?
6
Essential Fish Habitat (Corps Requirement)
6a
Will this project occur in or near an area designated as essential fish
habitat
❑Yes ❑ No
6b
What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Page 13 of 14
PCN Form — Version 1 3 December 10 2008 Paper Version
7 Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state federal or tribal
governments have designated as having historic or cultural preservation
status (e g National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
Yes E] No
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
8 Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA designated 100 year floodplain?
❑ Yes FA; -' No
8b If yes explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination?
%u%, I
Appli , nUA Ji t s Signature
(Agents signature is valid on y an a uthorization letter from the
a hca rovided
Date
Applicant/Agent s Printed Name
Page 14 of 14
PCN Form — Version 13 December 10 2008 Paper Version
N
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