20140504 Ver 1_401 Application_20140514

DUKE POWER LAKE MANAGEMENT, EC12 -Q
P. O. BOX 1006
CHARLOTTE, NC 28201 -1006
704 - 382 -1567 OR TOLL FREE 1- 800 -443 -5193
20140504
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.
I. Applicant Information PAID
A. Name CACKV I VC-p,14 0c-
B. Mailing Address /(,C> Pest 1t4.s L)_ 1a._ M6N-e_3 vi- I -e n
C. Telephone J 3(o - ;L'31 _ Lf A57
II. Location of Proposed Project
A. Lake 1�0rrAhA/
B. Street Address &,0 FArA . SC. Ptnl(NSct 4
C. County =rode- L I
D. City, Town, Community or Landmark 1VV00,re,5VI ntt 4c
E. Section V/A Lot # ;L— Subdivision N1114
F. Directions to property by road S77 4r, e,K; t 3G) VV ppi �61 150,
L4-00,j 7)Ancct;5e_ Pn- 4NSCJd_
G. Latitude and longitude for the project site 351.600-4 1 'FQ, y;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)
.7-,Pir 7
III. Description of Project
A. Length of wall
B. Material MA #;A11 w,( Da er, ►-I rti-
C. Distance from property line /shoreline
r
IV. Intended Use of Project Area ors
A. Private x MAY 2 1 2014
B. Commercial kNR - A N
&u►cfi
V. Applicant Signature (�� �� Date 4
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

State of North Carolina
Department of EnvironmenVand Natural Resources
Division of Water Resources
15A NCAC 02H .0500 - Water Quality Certification, Shoreline Stabilization
;bivlslon of Water Resources FORM: SSGP 10 -2013
Shoreline Stabilization Application Forth-
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 4650
1. Applicant Information [15A NCAC 02H .0502fa)]
1. Owner Info_ rm Giaton '' //
Name: Xervl 'Vt.,0JA J' *-
Mailing Address:
Telephone Number:
E- mail'Address:
APO PAV -/Ve i, 5 c. f e/�iN S cc /cam
tn6ofesv; I!t . I�iC .29/l7
336 - .23/—,11-25117 Fax Number:
Slc,Veal _. qoc� r) w op r4 4<,v
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 /,dots /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
ORIZAT.ION FORM Of) must be attached if the Agent has signed this application form.
Name: ��rD.13 r-(41ge s
Company Affiliation:
Mailing Address: 635 O*Kridje— F *v-m H&V7 _
IX OO.�S ✓i 14 e� 4 C oV, //S
Telephone Number:
E -mail Address:
Person to receive the 1
II. Project Information [15A NCAC 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, 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: �'rCJ't it Nearest Town: M /V C_
Subdivision name or ite address (include phase /lot number):
/too PAN -o -A i 5c PeN i Ill s G (Q
Directions to sVe - please in,ylude road' names and numbers, landmarks, etc.:
---F----77 n -77 • 4z eKi t -3(.. VJ oN 14ww 150, L'oN P Esc- I)cW :oVSt . _
5. Describe the existing land use or condition of•th e site at th'e time of'this application
(residential, undeveloped, etc.): 9e3iie d •• A- ht of
6. Property size (acres): . 0 7G
7. Lake/ river/ ocean adjacent to property: I—,+K G _ o+rm .4A/
8. Describe proposed work (include discussion as to h//ow hardening of shoreline has been
avoided, or why it is necessary): Y'GN1 DYG C X57 :A/ roGr- r oc�,'E" old u)ooJenl
//
9. Will work be conducted from land? [r From water? R_
10. Total amount of disturbance (including all excavation, backfill, rip rap; retaining walls, etc.)
below the normal' pool lake level/ Normal Water Level in squarefeet or acres:
/77 ix �4'
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: / % X
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 r4_55
Own er /Agent's'Signature* [15A NCAC 02H .0502(f)l
A/ I
Date
- Agent's signature is valid only if an authorization letter from the owner is provided
FORM. SSGP 10 -2013 Page 2 of 3

No
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 WaterLevel elevation
6. Location ;of construction access corridors
FORM• -SSGP 10 -2013 Page 3 of ,3

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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 POWER
C/O LAKE MANAGEMENT - EC 12 Q
P. O. BOIL 1006
CHARLOTTE, NC 28201 -1 "006
1 -800- 443 -5193 and select Option 5
Applicant's Name:- Cheryl Vernable
Street Address (at lake):_160 Paradise Peninsula Rd
Lake Name: Norman
Subdivision Name: N/A
Tax Parcel ID (if known): 4627791239 Lot # 212
City: Mooresville County: Iredell STATE: NC Zip: 28117
Latitude 35.6020 Longitude: 80.9251
Telephone: _336 - 2314257
Directions (from major road or highway): 177 North to exit 36 - West on Hwy
150 Left on Paradise Peninsula Rd right before McCrary Creek Access Areaa
Descriptive Structure (s) on Property (i.e. brick garage, white fence, mobile home,
etc.
160 Paradise Peninsula Rd On right hand side.

160.Paradise Peninsula Drive, Mooresville, NC - Google Maps
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Address 160 Paradise Peninsula Dr
Mooresville, NC 28117
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