HomeMy WebLinkAbout20140388 Ver 1_Shoreline Stabilization_20140411DUKE POWER LAKE MANAGEMENT, EC12 -Q 2 Q 4 Q 3 g 8
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.
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II. Location of Proposed Project
A. Lake
B. Street Address
C. County
D. City, Town, Community or Landmark
E. Section
F. Directions to property by road
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L /f` Lot # Subdivision
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G. Latitude and longitude for the project site s,
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
B. Material
C. Distance from property line /shoreline
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signature Date
X �7 –
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G. Latitude and longitude for the project site s,
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
B. Material
C. Distance from property line /shoreline
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signature Date
X �7 –
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State of North Carolina
Department of Environment es
Divisi eeS
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
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
Applicant Information [15A NCAC 02H .0502(a) ]
Owner Information
Name: � r
Mailing Address: ` <,7
Telephone Number: .��� bPt�_�P 717ax Number:
E -mail Address: / C� 4.R It- 4P ,'r_77 - ` F
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.mil/Portals /59 /docs /re ug lator /y reg
docs/Permits /SAMPLE AGENT AUTHORIZATION FOR
M a f) must be attached if the Agent has signed this application form.
Name: ch,, 6r l-d7 c-S
Company Affiliation: C6 G
Mailing Address: 6,5.9 6XK r1 p � Q6 E_ r YM 4K)
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MppresdC (lei N C ge() -*3-
Telephone Number: r 60 - 5 M Fax Number: 7Q —•� j) - �cf 6 9
E -mail Address: (6C SeAW A- d.5 e W r OV4 4rC. m. /Ue- T
Person to receive the Certification Approval:
Project Information 115A NCAC 02H .0502(a) & (bl]
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
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:rcc � Nearest Town: Pt Dolt s� �(e' 8 C_
Subdivision name or site address (include phase /lot number):
(Y IA
Directions to site - please include road names and numbers, landmarks, etc.:
4vij 15o W 4-a Pev-[K 'RA oN FurN 41' l( U.)
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5. Describe the existing land use or condition of thelf site at the time of this application
(residential, undeveloped, etc.): Wes P, 110 mc- w ; • -t\ p e�
g. Property size (acres):
7• Lake/ river/ ocean adjacent to property: !q pr hn h �
g, Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or pwhy it is necessary): Y,e_yKOrc �G 4i a r-OCIL)
y'C-'1#J41r ll eXiS7i v Y "r'oGiL� A-N�t f c�ini - Fr�Si� / c,r- 1
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9. Will work be conducted fro and? Fr water? -:�OT�
10. Total amount of disturbance (inc uding all excavation, bac i , rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres:
� /X /
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
�,✓nd.,.Yr--)
walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward
in square feet or acres: /
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):
NCe. i I r 0-5'3
Owner /Agent's Signature; [15A NCAC O2H .0502(fl] Date
Agent's signature is valid only if an authorization letter from the
owner is provided.
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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
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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: – Robert Kirk
Street Address (at Lake)_595 Kenway Loop
Lake Name: Norman
Subdivision Name:–N/A-
Tax Parcel ID ( if known): 4638382048
City:-
Mooresville-State: NC
Latitude: 35.6268
Telephone:
704 - 608 -0927
Lot _49,
County:– Iredell
Zip: -28117
Longitude:_ 80.9099.
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
Kenway Loop.
Descriptive Structure (s) on Property (i.e. brick garage, white fence, mobile home, etc.):
595 Kenway Loop
595 Kenway Loop, Mooresville, NC - Google Maps
Gd Address 595 Kenway Loop
o�)s c Mooresville, NC 28117
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