20150511 Ver 1_Shoreline Stabilization_20150520

DLIKE'ENERGY lNT,NALUSE:NC,
- r v _ ,•° .:.h Construction
.,FAFUc-�Date Rce ve - . Application
DUKE
Appiieatiiin- Corrrp ,late version lap
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• =_; YA Water Strategy, Hydro Licensing and Lake Services
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4,. Duke Energy
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a .;; .c;: °'-- ,, =` " a `1.� , PO Box 1006/ EC12Q
e= 0ufrDate, .` -" '` a -; ^'':
v F.0 oCl'os F Charlotte NC 28201
I. DATE OF APPLICATION" �-�8 —�5 I Permit/'Tag #..
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FI{'APPLICANi'(NFORitfiATION, a' "licarit,mailin` 'nddP Warnl,contait irif6nnatioTri x 3: =x-
:V - 6 s' 4" ''t ;2cry
Name* Q ,5S f Q Primary Phone* .5 7-5. YF99
Address* 15A 49r, Secondary Phone
City" BOresl C State* ® Zip Code* Fax Number
Address* 1.33Y L..1« (i e_ a1,5AL ere_5 L ov County* _eZjj--e dG1
City* State *R Zip Code County Parcel ID number
(e.g. Pin, Tax ID, TMS '60
Lake *: Number...)
Subdivision 4 rr 7— Lot(s) 1 Plat BooWPage b .2 ;1 f 7
To enter the Latitude and Longitude of the property, please use a
service /software to easily acquire the location information. Values Latitude (e.g. 35.12345)* .5,
should be provided in Decimal Degrees format (35.1245).
„• . Longitude (e.g. - 80.12345)* go. 9
~exai ►service: I�ttpJ�t�uc � rno` rnll�tlo�g�titrnl
(': New /Modification of Existing Structure C, Maintenance of Existing Structure Is Dock
(A Covered?
ew /Modification of Existing Shoreline Stabilization C'� Maintenance of Existing Shoreline Stabilization ❑
C. New /Modification of Existing Structure & Stabilization (--Maintenance of Existing Structure & Stabilization # of Slips
(–,Transfer of Ownership (` Other (please describe below) # of Jetports R
Area over land (sq ft)
Area over water (sq ft)
Total Square Feet
Shoreline Stabilization (feet) Length of / Distance From Shoreline �� �!o 3 �•
Stabilization 0260
Materials Y�. , � Gl�S�/«✓
Brief Description
of the Activity
'5hm /; '4 ;”" 4 ,0"Wl.11 CcrDSto
Describe Briefly the Existing
Structures Over Land and
Water (include sq ft)
C�'rkss,

V: <DockBuI der. or Eng neer 4;
Name /Company
Address ��f /�/Q % fj(Y� %i�y Phone Number 7014/ 6 O• �/% % 1
City ppy�c�&/,'1 e State , Zip Code %�,$' Email
�h�_SP�- �v.�15� w;NJ51V-eA.K . .
e ecent Survey (stamped /signed by a professional licensed surveyor showing the location of the existing or proposed
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
Applicable local, state, and federal permits ❑ Plan and profile drawing showing all measurements and elevations
❑ Habitat Enhancement payment (if applicable)
.s !^ - '? -M "� c�. _ � '= s' °krtl `&i ✓.n,, Yi- ^W;r•'Fi� 2F.Ej _'b, h F -e a ° -!�'
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• 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.
's'�'f^ �r '. �" KG= i "`=�. �' Y:k ^} ^iz`8, '�: 4�g�. ��` ^C �'( ^_� F•-. k' s " ^,`4e'+�S'?�a rr� •s;.:;..,�+.r',�.�-
1/II[Dir "'ectlonsls Road
es:.xL%x ai -. �'crT'_xu °-- A "r�rR."i -'.�.2, •eaw'�.'.� ki ".?: �`:. y- ,Mi=T_ \,ra�"tb..n <, ' ,:; r.` � r '
� tcu°s
Directions by /.� / p/✓ 'l.G /\ �Q%YGG � � R 40AI I—A t 9/� e�
Road* �•�f • f
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
Duke Energy
PO Box 1006/ EC12Q
Charlotte, NC 28201
I agree that the information contained within is accurate:
51

2 0 1 5 0 5 1 State of North Carolina
D, R beJartment of Environment and Natural Resources
W_
Division of Water Resources
15A NCAC 02H .0500 —Water Quality Certification, �horeli0e Stabilization
Divlsfon of Water Resources �EpRM45 P 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)]
1. Owner Information
Name:
Mailing Address:
uu
Telephone Number: 70.x'75 -88'99 Fax Number:
E -mail Address: g oo . "on
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 /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation: J
Mailing Address: f 38 0.¢A!riLlgG E*rm y
/74,0,0 irrr,V A! T!yG 2� /��
Telephone Number: 70!1 "0. 5-//1 Fax Number: 70t/.
E -mail Address: C4C 1AM115 f0 W %Alef_4 'rGAr" • ArC
Person to receive the Certification Approval: !fit //b
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: —1� e_d o I Nearest Town: M60VICS SI G
Subdivision name or site address (include phase /lot number): CL--r- lot 301
Directions to site - please include road names and numbers, landmarks, etc.:
-(ro Put 3 3, j�l o IJ i I I i A-M SwJ l4 - . k40,✓ BfJ+W IC 14 SC"I /U.1
—. �oAt M 114e/ zAv- Le _T ny 4AK< yi6&d .Sid re- l-a�on
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): YC_ W; IKe- 4 e— Y'
6. Property size (acres): jo- 8,1
7. Lake/ river/ ocean adjacent to property: 4"lrt. OrMd.✓
8. Describe proposed work (include discussion as to how hardening of shoreline ha s been
avoided, or why it is necessary): � 7 1i 7 C 5Lc.1JNc. to Avy —yeW / ' eYOSto/v
9. Will work be conducted from land? Q From water? 2�
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
j below the normal pool lal a level/ Normal Water Level in square feet or acres:
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: ;Zlo0 �x
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level -nd
50 feet landward to be impacted (number of trees, for instance): r SS
r /Agent's Signature [15A NCAC 02H .0502(f)l
5 J�1 /5
Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10 -2013 Page 2 of 3

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LOT 261
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LOT 266
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LOT 300
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LOT 301
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CRESCENT LAND A TIMBER CORP.
I NANCY LONE WILLIAMSON I
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L A K E N 0 R M A N I.P1N
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SECTION 11
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DUKE POWER COMPANY TO CRESCENT LAND 4
T IMOEp claw. OEEO am 481 PAGE al.
DATED MY 1. LOU
SUILOINO 6ET6RCX LINES MME E6 FEET FROM `
R000 R10MT OF WIT. 50 FEET FROM CONTOUR V
ELEVATION 160. U•6.0.0. SEA LEVEL OATIM
90 10 FEET FM 610E LOT LINE.
ALL STREET CORNEA RR011 ARE 20 FEET.
PIIOFERTT LIME DIOTANCE6 ME COMPUTED 10
►01RT OF IrICARECTION al OTAEET LOANERS.
PROPERTY LINES SHOWN WHICH FORM THE EDK
OF LAN[ NORMAN FOLLOWS CONTOUR ELEVAT1011
740. l U•4 a.$. 614 LEVEL OAIWA I
750 CONTOUR
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C1E5CENT LRNO 4 TIMOER CORP•
LAKE NORMAN of
RECREATION LOTS
SECTION 8
LOTS 294 -301
DAVID50M TOWNGHIF
IREOELL COUNTY. N. C.
6 p SNI {OD w6
4CRLE 1" .100' pUOWT I3. 1676
RISC- 00 NO. 471. 472 l 475 Do. NO- C. F. 9 - CC

Ft
Norm2
S!
La ke
(At Full Pond/ Normal Water Level)
Please approximately sketch the following information on this plan (provide dimensions for each
item, such os 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: 55GP 10 -2013 Page 3 of 3

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