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Home My WebLink About20141202 Ver 1_401 Application_20141114DUKE POWER LAKE MANAGEMENT, EC12 -Q ' P. O. BOX 1006 2 0 1 4 1 2 02 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. I. Applicant Information A. Name Craig Montgomery B Mailing Address 18380 Nantz Road Cornelius NC 28031 C. Telephone 704 - 363 -6429 II. Location of Proposed Project A. Lake Lake Norman B. Street Address 18380 Nantz Road Cornelius NC 28031 C. County Mecklenburg D. City, Town, Community or Landmark Cornelius NC E. Section Lot #D93,Y yJ_g6.5 Subdivision F. Directions to property by road Turn down Nantz road from Catawba and go approx .6 miles. House is on the left (_T-7 7 4 �v exi i )- r, k1 os4J C,+ hl JM IV G. Latitude and longitude for the project site 35" Z7 " 'Ib.159'1 ' lJ &' 53' zycl Low 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) Description of Project A. Length of wall 98 feet B Material Virginia Fieldstone C. Distance from property line /shoreline Intended Use of Project Area A. Private X B Commercial V. Applicant Signature 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 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 M @ D Raleigh, NC 27699 -1650 0V 1 9 2014 r N 4 10 I. Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information 2 Name: Craig Montgomery Mailing Address: 18380 Nantz Road Cornelius NC 28031 Telephone Number: 704 - 363 -6429 Fax Number: E -mail Address: craig.montgomery @ferguson.com 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 /regulatory /regdocs /Permits /SAMPLE AGENT AUTH ORIZATION FORM.pdf) must be attached if the Agent has signed this application form. Name: CA 1'n �rjdie_S Company Affiliation: Mailing Address: 638 04Kriclgc_t -A,rh A4wy "-e s 'J f 11c Telephone Number: 704.660, 5111 Fax Number: %� 6(04 , 517 9 E -mail Address: C bC4- tif3 //e C U- J�/VWSfyeA M • A/ C- Person to receive the Certification Approval: di /. .s 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: Mecklenburg Nearest Town: Cornelius Subdivision name or site address (include phase /lot number)- 18380 Nantz Road Directions to site - please include road names and numbers, landmarks, etc.: From Catawba Ave turn onto Nantz road Go approx.6 miles and 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.)- residential 6. Property size (acres): 1.09 acre 7. Lake/ river/ ocean adjacent to property: Lake Norman 8. Describe proposed work (include discussion as to how hardening of shoreline has be n avoided, or why it is necessary): /J er05;Ow 9. Will work be conducted from land? Z From water? a 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: q6 x,), ` 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- Cle A / 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): ✓C51 �•� � lo4—, CSe-e pko�z� Own gent's Signature* /I A NCAC 02H .0502(f)j Date #Agent's signature is valid only if an authorization letter from the owner is provided. FORM SSGP 10 -2013 Page 2 of 3 {At Full_,?ond/ Normal Water Level) : � � a °�. 4F s t 5 wr�' „ys fax mg , Full Poiad j'� Norma ^! WaterfLeve " ';'' = p ;, �� ,,,� „., EM IM'SM Shoreline d d ( � CG 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 ro 0 m d az� nQO�w Yd L� 4D K y t"1 aan° O S Z L w ° ,,,,,,,,, U! W tPW9 W " Ji CO) o 6p Q 0 < J m o %e� +, DON Eo ED v z r. .v '` LL U � Q ro 0 m d az� nQO�w Yd L� 4D K V •k O S Z L w ° ,,,,,,,,, U! tPW9 W " Ji e �aa $�K o y < J m o %e� +, DON Eo ED v z r. .v '` LL oOC mO a F L V 7 N e �aa $�K o y J Eo ED iL^ <S '` LL d� ttttunttt Z lltl15��11 j o a�w l�i7z!ell o� ZyMd \'s �' z l�Ol i „ m �cn�r � p4' "' � \ i ��y llltl��ili lttlltlilll to aq S'SS lllltitllll z gcao o��c t� 3 � m 0O \ 0 � aw P P r� zo oo �' 00 e �aa $�K o y J Eo ED iL^ <S S - LL Z wo�F hj \N .i� ozl ,04 ,L Atd2tt 3.rr,4r.so N rddt� - o� ZyMd z gcao o��c t� DUKE ENERGY DIRECTIONS BY ROAD 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 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:_Craig Montgomery Street Address (at Lake) 18380 Nantz Rd Lake Name: Norman Subdivision Name:_n /a Lot_DB- 3869 -965 Tax Parcel ID (if known): 001186124 City:_Cornelius County Mecklenburg_ State: NC Zip: 28031 Latitude: 35.2746 Longitude: 80.5344 Telephone: 704 - 363 -6429 Directions from major road or highway): 1 -77 North to Exit 28 West on Catawba Ave — Right on Nantz Rd Descriptive Structures (s) on Property (i.e. brick garage, white fence, mobile home, etc.): 18380 Nantz Rd 18380 Nantz Rd - Google Maps `e:i80 Nantz Rd. comehus, NG 28031 5.veet View Seuu -Y. �Farny �t. 4 Page 1 of 1 M.p data 02014 Google 200 k https: / /www.google.com/maps /place/ 18380 +Nantz +Rd, +Cornelius, +NC +28031/ @35.462... 11/10/2014 MyTopo Map Pass I W i Page 2 of 3 r W W SOUTH W 0 ^.5 miles State: [click for map source and date] Map Actions Current map: Untitled Location: Lat 35.4639, Lon - 80.8967 Having trouble printing or saving maps? Read more about Java updates. S http: // map - pass. mytopo. com /maps /mapper.asp ?lat = 35.463911 &Ion =- 80.896717 &zoom =... 11/10/2014 POI d LO i y •.' ' - � �T�`'r- '�s" _arc. ��ti -�"� � - i7