20140297 Ver 1_401 Application_20140314

DUKE POWER LAKE MANAGEMENT, 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 in
blank. PLEASE SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING FEE, PAYABLE
TO DUKE POWER, TO ABOVE ADDRESS. ID
I. Applicant Information
A. Name
B. Mailing Address
C. Telephone
704- go2-653�(-
J9//7
II. Location of Proposed Project
A. Lake 610- r
B. Street Address 14-3 `tj rc
C. County __J__y_CAe k1
D. City, Town, Community or Landmark 00reSV e Nf C
E. Section Lot # 6f Subdivision 1 o 4— o Vj e— A(
F. Directions to property by road Z , -6 L I 3(, owl vvy 0
p of P , �4 IJ on! F�—IJ
G. Latitude and longitude for the project site 3.5 �7�4 o
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)
III. Description of Project
A. Length of wall 155",
B. Material V� w `t tG0 54� c�
C. Distance from property line /shoreline W �l fly/ C.X i 5 J;A1q 5{ID+"Llr nIC.
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signature A",vv, 1 ate 3
PLEASE NOTE THE FOLLOWING:
• 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: Cyndi
Karoly, PARKVIEW BLDG., 2321 CRABTREE BLVD., RALEIGH, NC 27604, PHONE: 919 - 733 -1786

20140297
State of North Carolina
DWR Department of Environment and Natural Resources
Division of Water Resources
1SA NCAC 02H .OSOO — 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
Mail
Center
Raleigh, 27699 1650 9 2�'Q
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: MARVtd W. MGCotk65 I I I
Mailing Address: 14-5 Pvim+ o � ViCW Po-.
Mooresv; H e-, N C X8117
Telephone Number: ` 64- go2-Y53Y Fax Number:
E -mail Address:
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
htt� ww.saw.usace.army.mil Portal1591do _c�regulatoryjregdocs PermitsJSAMPLE AGENT AUTH
ORIZATION_FORM.pdf) must be attached if the Agent has signed this application form.
Name: CA1 i P f3ri �qc..s -- --
Company Affiliation: LV�'C _ "
Mailing Address: (9,33 DA-Kr; c t�nti
MooreSVia(_. C_ X115
Telephone Number:
E -mail Address:
04- 6(,t) -.5111 Fax Number:
l' � c. Se0. taal•Ig e vJ i ,J� 9-�r-er+ -�r.. rfC �"
Person to receive the Certification Approval: CJL;h 13�'d9cg
H. Project Information [15A NCAC 02H .0502(aJ&�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: rt< \� Nearest Town: �b0� c5 �' �� r� L�'?
Subdivision name orsite address (include phase /lot,number): ,piM'% a�
Directions to site - please include road names'and numbers, landmarks, etc.:
_. 'ii ii
It )
5. .Describe the existing,land use or condition of the site at the time of this:a,pplication
(residential, undeveloped', etc:): rc5rrA cap '01 ho Wit=
6. Property size (acres): • 7$
7. Lake / river/ ocean adjacent to property: �-/�Ke
orrn��
,8. Describe proposed work (include dis�jussion as to h�wh �di g'�of'�s orelin�h�b�r '
avoided, or why it is necessary): ST, ��"�'(Ze- etc �gt0g
9. Will work be•conducted from, land? Er From water? E9`
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:
qIX 155 �. O,.o 1 A- rc:s
11. Total amount,of disturbance (including all clearing; back fill, excavation, rip'rap, retaining
walls, etc.) above the normal pool lake level/ Normal'Watet Level and 50 feet land =ward in
square feet or acres: ©'O ( 4kG"'�g I X 155
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) -:
•Ste
Owner /Agent's Signature [15A NCAC 02H .0502(f)) Date
`A "gent's signature is valid only if an authorization letter from the owner
provided.
FORM: SSGP 10 -2013 Page 2 of -3

FL
Norma
SI
La ke
(At Full Pond/ Normal Water Level)
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 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

MAR -01 -2013 08:52 McCombs Steel Co. 7048736753 P.001 /002
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DUKE ENERGY 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 Energy
C/O .LAKE. SERVICES – EC 12Q
PO BOX 1006
CHARLOTTE, NC 28201 -1006
1 -800 -443 -5193 and select Option 5
Applicant's Name: Marvin McCombs
Street'Address (at Lake)_143 Point of ViewDr.
Lake Name: —Norman
Subdivision Name: Point of View.
City:—Mooresville.
County,:_Iredell
State: NC, Zip: - 28117.
Latitude: 35.6210:
Telephone: [phone]
Lot 9
Longitude:_ 80.9194.
Directions (from major road or highway):
I -77 North to exit 36– West on Hwy 150 – right on Perth Rd –,Left on Fern Hill –'Left on
Point of View at the, end of Fern Hill
Descriptive Structure (s) on Property (i.e. bri&,garage,,white4ence, mobile home,,etc.):
143 Point of View Dr

143 Point of View Drive, Mooresville. NC - Google Maps
`� Address 143 Point of View Dr
V 1 L Mooresville, NC 28117
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