20140680 Ver 1_Shoreline Stabilization_20140627

DUKE POWER LAKE MANAGEMENT, EC12 -0
P. O. BOX 1006 2 0 1 4 0 6 8 0
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. PAID
1. Applicant Information
A. Name J OS-r h J LA rzL 'I, �' T
B. Mailing Address 93t GTsS n Perv- Gi iY/t �� �/, /1Z ,y C -4/117
C. Telephone Oy- �1�5'J�13 U Sas��►� S
IPq- yyy - 3815 - 1Z�s�+1�• ones
II. Location of Proposed Project
A. Lake AO rA1AAJ
B. Street Address 9 3 ( — Y-►�SS �p r l r� ��
C. County =r A e_ (l
D. City, Town, Community or Landmark RbCY-e5V t
E. Section Lot # Lf Zct Subdivision
F. Directions to property by road ' , -7
/
h A- 551'! -� � ►' ' r c �
G. Latitude and longitude for he project site 6. 37ff3
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 coq - -
be found on internet site, www.mapsonus.com. Directions: Don't register, click Ono
I
address, draw map, select "Map Clicking Will... ", select "Lat/Long ", click map) -- - -
Description of Project
i
A. Length of wall ! co
B. Material by L& e--V-
C. Distance from property line /shoreline
IV. Intended Use of Project Area
A. Private X
JUN 7 26111,
Q NF WATER QUALITY
L
(J.5 - s It! e-
;114 ) (. L) ex; 3f-; �► (, 6ht rc (; 4
B. Commercial
V. Applicant Signature Date �/ I
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: [phone]

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
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
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Mailing Address1
4
Telephone Number: TIOy -!IDS f3q3_q Fax Number:
E -mail Address: ( n r4in . ri^or 16.)ka tyv-,
2. Agent/ Contact Person Informati
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 /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: -an GS
Company Affiliation:
Mailing Address: OA- Krickac- Fr, v -y', 4 W'1
ocresv� l(C I l\( L C; 1-oI
Telephone Number: -6�,,O -511 t Fax Number: ZO - &66 , 5'16'V
E -mail Address: G�C_5e4,,)Alls ��c�g-Fre�� • NC
Person to receive the Certification Approval: e-Ai p 13r dyt�
H. 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: -T—r'eJ < -II — Nearest Town: MIb0m5Vcp_��C��1FC
Subdivision, name or'site address (include phase /lot number): /eT `t2-9
ons to/site,- please include
%,!;/33. Wow- W'� 0
d names and number , landmarks, eZz,
:
_L:-7
5. ,Describe the existing, land use orcondition of the site at the time of this application
(residential, undeveloped, etc.): r &5 ids tiA-( kz ►wc_
6. Property size (acres): 0"99
7 ak river/ ocean adjacent to property: NO, v- MA &J
8. Describe, proposed work (include disc ssiion as to how [hard 7- ning o shoreline has been
avoided, or why it is necessary): A- AA -1i2-e
9. Will work be conducted from land? 2-11" From water? 0'
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:
106 fx
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: b G X l
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): r�ss r htik.(c�
Owner /Agent's Signature- [15A NCAC 02H .0502'(f)]
Date
'Agent's signature is valid only if anaauthor►zation letter from the owner is „provided:
FORM: SSGP 10 -2013 Page 2 of 3

R
Normi
S
La ke
(At Full Pond/ Normal Water Level) i
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.
S. 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

D DON ALLEN & ASSOCIATES, P A.
"Since 1971'
Commercial * Residential * Mortgage Surveys * Multi — Family
Construction Staking * Subdivision Design * Topographical
111 —B Raceway Drive * Mooresville * NC * 28117
(704) 664 -7029 (704) 664 -8041 Fax
I, certify that this map was drawn under my supervision from an actual
survey made under my supervision recorded in deed book_??BB page-26-1--, and /or
plat book_ 75 __, page_? ___, that the ratio of precision Is 1':10,000, that this map
was prepared In accordance with the General Statutes of North Carolina Chapter 89C
my hand and seal on the 1 , day of _FEBRUARY
o' 20' 40' 100,
� ISSjAM M. A LE
r�
SCALE IN FEET &0 a
•'
Z 0431'
TTON, JR.
SUTTON
X9/1599
�3
LAKE NORMAN
L3 v
/ h LOT 429
0.89 AC. l
oti� saG
LOT 427C
ROBERT E.
'CHINN, JR.
JOANNE B.
i os's /1 so 9
siTEp \' ¢ass 60
Jee-o", a
fpS
RD y
:INITY MAP * *** NO SCALE 60 O'
NOTES
1) THIS PROPERTY MAY BE SUBJECT
TO ANY EASEMENTS AND/OR
RIGHTS OF WAY OF RECORD
2) ACREAGE COMPUTED BY THE
COORDINATE METHOD
C7
I N
'W 3
Nra
j Nor
a
LINE TABLE
LINE
BEARING
LENGTH
Lt
N 3852'08" E
17 79'
L2
N 49'16'00" E
50 49'
L3
N 86'32bO' E
19.88'
L4
N 26'14'00" E
28 61'
L5
N 37'22'OD" W
17.72'
L6
N 21'10'59' IN
23 OS'
SURVEY
3) NO CRID MONUMENT FOUND WITHIN OF
2DOD FEET
231 GRASSHOPPER CIRCLE
LOT 429 CRESCENT LAND & UMBER CORP . SECT. 8
SCALE V' = 40' DAVIDSON TWSP., IREDELL CO„ N.-P.
,ACQUIRED 'BY. JOSEPH J. JURIS & ROSETTA L. JONES
LEGEND
cl)j = P P - POWER POLE
0 - DIME POWER TRANS.
EIP = 61STING IRON FOUND
LP S. _ 14 REBAR SET
R/WN RIGHT —OF —WAY
® = WELL
FlELDJBOOK
FILE. CRESCENT SLOT 429 SS
DC FRE:'
TAX MAP NO 4627601230

DUKE ENERGY DIRECTIONS BY ROAD
Lake Use Permit Appicants and contractors: Ease of;locating the proposed project site can
have a big impact on ,permit processing time: Please complete this form and return in along with your
completed permit application to:
Duke Energy
C/O Lake-,Services — EC12Q
P O Box 1006
Charlotte, NC 28201 -1006
1- 800 -443 -5193 and select Option 5
Applicant's Name: Joseph,Juras `& RosettaJones.
Street Address (at Lake) 231 Grasshopper Circle
,Lake Name: 'Norman
Subdivision Name: N/A Lot -429
Tax Parcel ID (if,known): 4627601230
City:_Mooresville County Iredell'
State: NC Zip: 28117
Latitude: 35.3783 Longitude: 80:9291
Telephone: [phone]
Directions from major road or highway):
1 =77 North to exit 33 — West on Williamson Rd - Left on Bravuley School Rd — Right on
McKendree — Right on Grasshopper" Circle
Descriptive Structures (s) on Property (i.e. brick garage, white fence, mobile home, etc.):
231 Grasshopper Circle

231 Grasshopper Cir - Google Maps
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