20150427 Ver 1_Shoreline Stabilization_20150501

20150427
DUKE ENERGY INTERNAL USE ONLY:
Construction � dUKE
Date Received: FAF Paid Application ENERGY
F-1 Application Complete version 13p
HEP Fund Permit No. Water Strategy, Hydro Licensing and Lake Services
Duke Energy
�� Ch Box 1006/ EC
8201
Site 1D Close -Out Date Charlotte, NC 28201
1. DATE OF APPLICATION* Jr PermiVTag
Il. APPLICANT INFORMATION (applicant mailing address and contact information)
Name* I HA -rAis -T 1) 16 05/v1O— Z)AVfD r3•R0 4-5 Primary Phone* a 3q, �g I. 9/98
Address* r6 R)EX5 on1 rAkYr 4Af, Secondary Phone
City* Mot I% Wi AV— State* © Zip Code* ,28 1 % Fax Number Email*
Ili. PROPERTY INFORMATION (location of permit)
Address* 5� K�'/v� P RD , County *1 G,
City* omsVi liC I State* © Zip Code* County Parcel ID number
(e.g. Pin, Tax ID, TMS Y6a6977739
Lake *: 40rMAn1 Number...)
Subdivision Lot(s) 1634- PlatBook/Page P 1170
To enter the Latitude and Longitude of the property, please use a Latitude (e.g. 35.12345)*
service /software to easily acquire the location information. Values
should be provided in Decimal Degrees format (35.1245).
Longitude (e.g. - 80.12345)*
example service: http ://itouchmap.com /latlong.htm
1V. PROPOSED ACTIVITY
(New /Modification of Existing Structure (' Maintenance of Existing Structure Is Dock
❑ Covered?
C New /Modification of Existing Shoreline Stabilization (' Maintenance of Existing Shoreline Stabilization
(` New /Modification of Existing Structure & Stabilization (° Maintenance of Existing Structure & Stabilization # of Slips
(' Transfer of Ownership (' Other (please describe below) # of Jetports
Area over land (sq ft) Area over water (sq ft) Total Square Feet /
Shoreline Stabilization (feet) Length of D Distance From Shoreline W t ] -F0 11aL) �GI s �N9 fel %4d
Stabilization Materials . r'-i GW 5 0 NG'130Lk or �r
Brief Description �c�,� ' /� E sit ����� M e re INCA/ 7� ero s (D 11%
of the Activity
r.J .........'....�,y. f
Describe Briefly the Existing �°C
Structures Over Land and Vv 0 d (� (� 0
Water (include sq ft) MAY ® 1 2015 { i�j

V. Dock Builder or Engineer
Name /Company C/5c
Address 38 0'+g r; t f--4km ul Phone Number 70�,
City bOrr-5Vr11'e State K� Zip Code Email ,
VI. Checklist of Required Documents (to include with Application Submission)
�,/fiecent Survey (stamped /signed by a professional licensed surveyor showing the location of the existing or proposed
L'1 structure and /or survey of the existing or proposed stabilization)
Photos along property shoreline and photos of any existing structures and /or stabilization in or near the water
Application fee (check only, payable to Duke Energy) ❑ Signed User Agreement Letter
❑►pplicable local, state, and federal permits ❑ Plan and profile drawing showing all measurements and elevations
❑ Habitat Enhancement payment (if applicable)
VII. Approval Process
• Application is reviewed and determined if complete. Fields with an asterisk are required.
• If application is not complete or does not include all items and information listed in the checklist, the
application will be returned as incomplete.
• A Duke Energy representative will visit the site to conduct a visual inspection.
• Applicant will be notified of approval or denial.
• Applicant is to have the notice, to be supplied by Duke Energy upon application approval, posted and
must be viewable from water. The notice must remain posted until a representative inspects the
project and determines the project is complete and within the application specifications.
VAI. Directions by Road
Directions by
Road*
� IY
7`7• c#x 35r of 1�' S5ckvo •) Roar nt
04 /06C.Mr
IX. Application Submission
Please complete, print and sign this application. Then enclose all items from the checklist above in an envelope and
submit all the information to the address below.
Water Strategy, Hydro Licensing and Lake Services Print Form
Duke Energy
PO Box 1006/ EC12Q
Charlotte, NC 28201
I agree that the information contained within is accurate:

State of North Carolina
Department of Environment and Natural Resources
DWK
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of Water Resources FORM: SSGP 10 -2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 -1617
I
I. Applicant Information [15A NCAC 02H .0502(a)]
I. Owner Information
Name: AMT -4L-C <3- VICOSM.o — "t D' IR0W �
Mailing Address: F-A-w-m ".
Koorc %%1i lke..1(c
`11 J1
f i i�f
Telephone Number: g_nA87 9 /98 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:
httg: //www.saw.usace.army. mil / Portals /59 /docs /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM.adf) must be attached if the Agent has signed this application form.
Name: _ CA p l3#-i qc-s
Company Affiliation: C
Mailing Address: 4_38' AXY-;d c Err e m 14uJ1.
oorus.►� �P _ a-8 11,5
Telephone Number: 70� 640.5// 1 Fax Number: 7v • 6/Od. 5596 _
E -mail Address: e4C- 5c.�4- u�4115 ,v u�i Aid 5fre+4 M - IV e-
Person to receive the Certification Approval: 13rM1 e 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: j-- re-AC, Nearest Town: K00fcsV► 11L
Subdivision name or site address (include phase /lot number): 541 /�M P R�
-Ph A-s,-- S 8 , Z +- 1 b 5d-
Directions to site - please include road names and numbers, landmarks, etc.:
=77,A/ +y&J
1. '_o n) /�CM n
Latitude (in decimal degrees) 3-5.6 6, (v * Longitude (decimal degrees) �O • / ¢�7
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Gtti/c%Cve, %vocal /0� yj;- i q;e`r
6. Property size (acres): /.03
7. Lake/ river/ ocean adjacent to property:
8. Describe proposed work (include discussion as to how hardeniZpr-eyw of shorelii e has been
avoided, or why it is necessary): 54'4; ;•u ::51614 1 �"ic e'%'05i• o0'J
9. Will work be conducted from land? R✓r From water? 10
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool i lake level/ Normal Water Level in square feet or acres:
Aix loo
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 1 o b
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): W o oda /of -
Lu %i 50 rAe— _�r-c.c 5
Owner/
s Signature* [15A NCAC 02H .0502(f)]
Z
_ l
Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10 -2013 Page 2 of 3

F
Norm
S
Lake
(At Full Pond/ Normal Water Level)
3 bedoU)
A
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

sma M mom
sl d6991✓w
�i
IV-'at, y 9.=
"�I�v119N LL 11!
DEPMTREHT.OF tBAIVSVDR�fATION
DIVISION Of HIGHWAYS -
;' ^N5 �: �PRDFOSEO SUBOMSIDK �R0.1p. -.,
CONSTRUCTION SEANDARRDS CERTITIC%1f(ON
pSTRltt fA
/`pprc�e�LL, !�ec�Il n�c',L.,'�.� p�4nn•'�,q Ik?a+-cC,�
11�� N0i�'t-Yli,,id�'E,RIR�� .
J 8= CJ3tiC7, EvS = „'C /OR �S'l� w .P1
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---------
- - - - -- REVISION OF SECTION 6- - - --
NOTE: -
CRESCENT LAND 8 TIMBER CORK
LAKE LOT 1699
LAKE NORMAN
25 FT. FR ON ROAD RIGHT OF WAY LIMIT
1, 1162 49'9
'
KNOW ILL tNOI RT T11EiK ►R EiG(TS, Wt E, MM )•
a. ra44o5'E - 5323•
3. N 59l 09'9 - 27.07•
CRESCENT LANG B TIMBER CORP '
9x797, MM7 rftM' iMl 1 a.N YIe9 91v9fE.1d M Cnpg9t
4. x 9t 9 13' [ - 40.41'
( MANLY L2/.E 11 LLIA BISON 1 4
LINdi TY9ha7 C9tF./9d It.t C.LiT.CoMb th..NN97
S. x39v02'E - 22.14'
Y. Y.1. - 372 . c
- Lf&A MPAN7 lINNN% o thia p1t; r-L i T. Cal, dad-
9. 99ri 02'[ -w ilgr
- __. -_ __... _..
&4p
..y ICkmwbdp this V*L4nd 114wwnt t9 w Ca f-
lull
ul, old tla9. h.ny 0.dliktp -ta P-Iiic A aN su-L&
LAKE LOT 1634
.99r. 49919MM..nd .th..yu93c amm AN- 9n tmc
7. N 51 a 25'E - 50.07'
-
ylal t I9rfO9r c6M7 h- -1 Re W--d Elnd Sm997.7
LpY1 iKRh� • 6fw7 6d.nd1n2Nthla6t61atth.dj6-JAN
9. KST x30'9 - 12.37'
LMlT �'6a•
Cn9 Intl that th..n61. a99dIYw. h 9dthl.
9. N 6-26'9 - 16.36•
10. K 7 9 407'9 - 23.10'
♦ Nii
w l 6' 89.
0119 9.N9dafM9 M 6 1NKd ce1lw79d t. CMCW Elie i
11. N 40 •-37' E - 19.29-
TW W C9t'. YJ' 6 Md NNN K&d M OW i66111U 6t
12. N 609 34' 1 - 62.29'
pgp 4' � -1^�i' y"�
.�•..' / /�/Ilw
13. N 6 1 x66'1 - 26.74'
40�
9
'T
-
'
LIKE LOT 1633
14. N 57a 19'9 - 27.64•
-
LAKE LOT 1633
-
15. K46E33'E - 19.2t'
AREA 267 ACRES
-
_
I9. 174E 4S'1 - 13.93'
IT. 3 93v 21'9 - 2Y.09'
?ray
4 O
f1iLYt9 (Y /
I9. M 381 12' 9 - 13.83'
M
0 r
1 �l9.IU {.JI�•}E "h \TE N' //(�n,� �1 �`
�i.JNS3,RU,gl2µy
19. N 3 1 •• 119 - 34.21'
YO. NSOt59'[ - 44.15'
.�aM awal 4r�r x;Ld
21. N30010'1 - 29.71'
_
i 00
22. 211 v67'N- 27.00•
aroma. a.9r Nl.xly���E'i+� /
23. S49E 29'91- 29.09•
24. S 90% ININN - 349/
a -
sma M mom
sl d6991✓w
�i
IV-'at, y 9.=
"�I�v119N LL 11!
DEPMTREHT.OF tBAIVSVDR�fATION
DIVISION Of HIGHWAYS -
;' ^N5 �: �PRDFOSEO SUBOMSIDK �R0.1p. -.,
CONSTRUCTION SEANDARRDS CERTITIC%1f(ON
pSTRltt fA
/`pprc�e�LL, !�ec�Il n�c',L.,'�.� p�4nn•'�,q Ik?a+-cC,�
11�� N0i�'t-Yli,,id�'E,RIR�� .
J 8= CJ3tiC7, EvS = „'C /OR �S'l� w .P1
S n"_, J T M
---------
- - - - -- REVISION OF SECTION 6- - - --
NOTE: -
CRESCENT LAND 8 TIMBER CORK
BUILDINGOSETBACK LINES ARE
LAKE NORMAN
25 FT. FR ON ROAD RIGHT OF WAY LIMIT
LOTS
-50 FT-FROM- LAKEBOUNDARY
COT�f63t -TKFU T
10 FT FROM SIDE LOT LINE.
DAVIDSON TOWNSHIP
IREDELL COUNTY,N.C.
REFERENCE:
O 100 m0 wo 400
PLAT BOOK I5, PAGE 46
iiij
REF. DWG. N0. - C. F. 8 -M
SCALE Ix 7117

PATTERSON LAND SURVEYING, P. A.
P.0_ Box 5010, Mooresville, NC 28117 0—(704) 663 -0110 M —(704) 361 -0415
1 Joel H. Patterson III, certify that this plat was drawn under my supervision
from on actual survey made under my supervision (deed description and /or
Map Book 2246 Page 1177 . That the boundaries not surveyed are clearly
indicated as drawn from information as shown on survey, that the ratio
of precision as calculated is 1: 10,000+ that this plat was prepared in
accordance with G.S. 89 —C as amended. Witness my original signature,
' '_ -- — — ---i aa.:., nn .d..., —IF w,,OUCT e n 9(113
_S
7
`
1) This property may be subject to ony Easements,
L1
L2
Z)U.uO
18.38
11 7j CA -t13 M
S08'281001W
Page 95 as recorded in the Iredelt County Register
L3
23.10
S79'07'0(YW
L4
39.29
S40'37.00'W
L5
62.29
S60'54'0('W
L6
26.74
S61'S6'00'W
2) Boundary information based on Map Book 17 at
LEGEND
Page 95 as recorded in the Iredelt County Register
of Deeds.
RIV = Right —of —way
3) fits is a preliminary survey and is not intended for sates
AP.S = 4 Rebor Set
conveyonces or recordation.
4) No N.Gtx5 or U.S.G.S. Monuments
—1r = Not to scale
could be located within 200D:
O = Telephone Pedestal
5) Area by coordinate method
Co-, utility Pole
6) Elevation for 760 contour locotim B O U N D A R Y S U R V E Y
_ Cable Pedestal
based on Lake levels as provided by
Duke Energy. (Reading an August 13 2013 OF
= Water Meter
£!eY 75&.56)
LOT 1634 *CRESCENT LAND & TIMBER CORP.. SEC. 8'
SCALE 1" — 50' DAVIDSON TWSP., IREDELL CO.,
NC FIELD eowc: 002
FILE: 13072
ACQUIRED BY: SOUTHLAKE PRESBYTERIAN CHURCH, INC.
T,« YAP M 4M277739

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