20150791 Ver 1_Shoreline Stabilization_20150805

DUKE;ENERGY.INTERNAL,USE�ONLYc Construction
Date„Received.;I ~` l FAF•Paid: I I. Application DUKE
°Application (omplete' -
—lion 13p ENERGY.
,Permit No•' I, I# Water Strategy, Hydro L" s� ices
=HEP'Furid Duke Energy
PO Box 1006/ EC12Q �✓✓
Site-1D R ( ,,`,Close- Out:Date l - - _ I Charlotte, NC 28201
AUG UG 0 �.�_
I. DATE OF APPLICATION" I , j �� Permit/Tag #.:
II: APPLICANT INFORMATION, a lica6t�:mailiri address and�contact information d �trFF � �E
PPa g` p `Y
Name* ly ���� 4,A�_M l Primary Phone* I �31V ^yiy- f!rl��
Address* I ' �-� n y� J Ca, IP Secondary Phone
City* lcaj- AQ�,US State* Zip Code *I 2 021 Fax Number
Email* `\ �Y \O✓lC�'OS �Ma, Ie ©M
N: f ton of ' eemit i.
„III,PROPERTY INFORMATIO oca q`
Address* I 1 —1i N>e� +nSQ \C. co'je L ( County *I eCk 10. 6vey
• v
City* ico rile kiV g State* 't 1C Zip Code *I 2 V�r County Parcel ID number
(e.g. Pin, Tax ID, TMS oO /6 ,,
Lake *: I lL,e �?�rn^oh Number...) 4 ! 31
Subdivision ( , ' A S J tC, I Lot(s) 1 'Z� I Plat Book/Page d .ZS �p L f ff
To enter the Latitude and Longitude of the property, please use a I Latitude (e.g. 35.12345)* �• l
�
service /software to easily acquire the location information. Values T �p
should be provided in Decimal Degrees format (35.1245). 18 O . $,
s _.. 1 . c'_' - ? _. , _3� Longitude (e.g. - 80.12345)* S
ezample�ser' vice: r,: fittp} l /itouchmap,comGlatlong;htmL•
IV., PROP-OSED-ACTIVITY' -
C New /Modification of Existing Structure C Maintenance of Existing Structure Is Dock
❑ Covered?
( 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) I
Area over water (sq ft) I
Total Square Feet
Shoreline Stabilization (feet) Length of nt Distance From Shoreline�Jj// 744/00' tyl5 r•W?
Stabilization �i
Materials ( +('t p r 14-�
Brief Description �j s �/L 4114 re ✓� no
� e -S 0 A)
of the Activity
Describe Briefly the Existing
Structures Over Land and Y-C -I; c ) �
Water (include sq ft) 1

V. Dock Buiider. oirtn' ier-., _
Name /Company I C�QC 1Z>o—(6 br4 4✓3> -(C
Address 195 1 �� � POI-A17 W , Phone Number I �Q�� 9Z
City Aorrds< F"� State ® Zip Code 1 Email �%G�OC
�a�o�73
.i�S • C6IY�
VI: CFiecklist of?Req'uired 'Document s' (to include_ wiih'Appl'ication-Subm' ission) _
e cent 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)
2-1p;hotos along property shoreline and photos of any existing structures and /or stabilization in or near the water
L'� H plication 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)
MCI
•" 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.
Vlll. Directionsib "Road;,
Directions by
Road*
IX:nApplication,Sulimission �
..
-
•; Y, ,.' � � ,'
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
agree that the information contained within is accurate.
VnBy

State of North Carolina
DWR Department of Environment and Natural Resources
Division of Water Resources
ISA NCAC 02H .0500 — Water Quality Certification, Shoreline,Stabilization
Division of Water Resources g9-1 P'--`' k4
FORM: SS P 30 -'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
Raleigh, NC Center 2 O
NC 27699 1650' S 0 l 9
1. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information (�
Name: :'o1 .1. C� • p r•J
Mailing Address: I�t�i (-i l ri T @✓► +�nCv�a Cotx
Cnrn( I A1 C
Telephone Number: rR210- gtq-tr181 Fax Number:
E -mail Address: `'P 6AAt05 Q M6k.' /. ('o("I
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.armv. mil / Portals /59 /docs /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM nrifl m+ict ha attached if the Agent has signed this application form.
Name: _ &rACA 13�kaHc'
Company Affiliation: BBC pv,�.KS
Mailing Address: g521 --c.51A�;a Pow Rk
Telephone Number: SzB: 4�7f- �tyj;?_-Fax Number:
E -mail Address: b md- G h bC J0C.kS , C-6 W\
Person to receive the Certification Approval: 13Whci 13i,15 ic-
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: t�Qc�����v Nearest Town: COMP
Subdivision name or site address (include phase /lot number):
5.
[.1
7
Directions to site - lease include road names and numbers, landmarks, etc.:
�1. w Q• 2 J� - r7.. t Z •ti•: P on
rl�� C�nro, IC C' ■ ( i� IP T i� t��l @l�.�Jf^ 1
Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): �C: c�a.�`�� k6l-k
Property size (acres): a'0 � LfA
Lake/ river/ ocean adjacent to property: Lf e- 0nrma4n
IZ
8. Describe proposed work (include disc ssion as to how hardening of shorel;7;1perv-S been
avoided, or why it is necessary): s6� -lac �(' ^rt- id A)
0
9. Will work be conducted from land? X From water? ❑
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:
'51X/10/
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 //0
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted (nu ber of trees, for instance): qr' 4!- ) S r
i
O ner /Agent's Signature* j15A NCAC 02H .0502(f)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

Lake
(At Full Pond/ Normal Water Level) f
/r
p ® 8 0 C,
m ® d o my
Full Pond/ C!55 ' `� CS
Normal Water Level C)
Shoreline E> Q (3 ® 6 v d aU
f as es ev C�-
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 f t 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

PENINS ULA
COVE LANE
40' PUBLIC R/W
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STI1 �LLIANIS, P L. .
V E ROAD
NORTH PER My A� 00 25, PAGE 483 (-30 F�ONrI,ICK 18335 OLD STATES ILL
1 SUITE 1
001 -641 -32
MARK S. WELT
SUSAN A WELT
OB 7779, PG. 721
NO Fs
1 NO NC'GS NIONI0,11-N-1
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1 ANDDI- VLLOPNILNI AND
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PRIOR FO DLSIGN OR
CONSIRUC'1I0\01 ANN
IMPROVENIFNIS
I I G-ND
=4 RLBAR I ( UNU O
COAIPt' FIa) POIN I •
I LLI PI IONS PI-DI S I AI
CORNELIUS. N.C. 28031
(70.4) 765 -5134
J �
LAKE NORMAN
waphlc ti Ile
40 0 n 4u
Scaler +I Drao mu I Ineh = 40 1 ect
LINE TABLE
001 - 641 -30
LINE I LENGTH
KAREN W. RAY
Survey of Lot 281
I
LOT 28'�'
28,7115Q. FT.
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CURVE TABLE
0.659 ACRES
LENGTH RADIUS
ml
CONCRETE DRIVE
I
m�
C2
Im
24.15 S45-33'11 "WI
3 228
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59.951 N08'00'24 "W I
Map Book 2i. Pu 483
704- 76i -;1 34 Phonc.Fav
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waphlc ti Ile
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j�: vw \
159' W
20
Nato �5 /
a
LINE TABLE
001 - 641 -30
LINE I LENGTH
KAREN W. RAY
Survey of Lot 281
ROBERT P. RAY JR.
N06- 22'07 "El
DB 17910 PG 77
CURVE TABLE
j�: vw \
159' W
20
Nato �5 /
a
LINE TABLE
LINE I LENGTH
BEARING
Survey of Lot 281
I 15.61
N06- 22'07 "El
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CURVE TABLE
CURVE
LENGTH RADIUS
CHORD CHORD BRG
C1
5760 230.00
57.45 S09- 33'12 "WI
C2
25.20 25.00
24.15 S45-33'11 "WI
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47 21 55.00
45.771 549'50'05 "WI
TIE C4
63 40 55.00
59.951 N08'00'24 "W I
Physical
Survey of Lot 281
of The Peninsula, Phase VI
Professional
Propert}
Site Address'
A, Recorded in
7 �
Survewrs. Inc.
Properly ol'
18417 Peninsula Co\e Lane
Deed Book 29523. Piz 7;0
18335 Old Statesville Road
Ste. A. Cornelius. N.C. 28031
John I loildros
Cornelius. NC 28031
Map Book 2i. Pu 483
704- 76i -;1 34 Phonc.Fav
Mccklenbul County
I Inn I,I-ame C -)nh6
021105 -03 IMI_
111000 I 40'
001- 6-11 -31 1IONDROS
_ I ul 1 _ 02/2_7,201
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