20150790 Ver 1_Shoreline Stabilization_20150805

IDUKE.ENEkV INTERNAI:;USE
Construction
DateYRecewed: yFAF.Paid ;, Yj A lieation DUKE
'N version 13p �/
Application Complete.`. -` 4.n Y.
a` _`4u`Fermit ? -No" Water Strategy, Hydro Licensing and Lake Services
rHEP{Furid`F '" JJ#. '` k- Duke Energy
PO Box 1006/ EC12
Site'IDa
Charlotte, NC 28201
I. DATE OF APPLICATION' 17.2� S Permit/Tag
mai1ig adrsd contact`ginfo oration): f -4 INFORMAT (ON,;(appicanfndIlPLCA es an
Name* , 1,3Arhdt,CA 1k)M1{6✓ Primary Phone* � 333.006
Address* 11,711 113evev1 y UY Secondary Phone
City* IUhft-y-� 4-t State* ABC Zip Code *I a°8'W 7 Fax Number
Email*
1; ROPERTYaINEORMATION`° location of
r ,." eS,_
Address* 3 63 �- 5j6gR0e4 7—rA -� , County *I Y^C�G�1
City*DOYC3vi Ile- State* Zip Code *I .,7_8/17 County Parcel ID number
(e.g. Pin, Tax ID, TMS /1/ 3 N-17
Lake *: J j��v'MpA/ Number...) %Tp
Subdivision I Lot(s), 302 Plat Book/Page 1,4 3 y5 -2 fee
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). l � • / 4 7
x��.�����,_:.��,� ._�,'� �.;F~�a. ��a. -� n•. : � „ >��.. -._ < :,.- , . ,.� ,,.,> r,,�y,,,�_ Longitude (e.g. - 80.12345) * Jr 3
�`3K' example service: r httpJ/ itouehriiap: co`r'nlla`tlong:ttml:�-;;rfr��,�
�� - , -d _5d• :�{I.� r+ti'iY£� `ir°i.. :�i: "- 2iAi , _ ;3. "�d'+..: - �i� -,r '4;:`@Yy% + �
IV'PROPOSED.AC7IIVITY ��., � • <:� "�� "�'y.�uv `:�„ - r�;,•.n�t _�- .'.��. ;:�;
New /Modification of Existing Structure F 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 I
Area over land (sq ft) I Area over water (sq ft) I Total Square Feet I
Shoreline Stabilization (feet) / J Distance From Shoreline11 �l o� �,s / m
Length of 5 ��fDl� Gy' - T •
Stabilization
Materials ! r/' i D r1E p
Brief Description re Y I r A Q-J 5 l'0Y'e `' O'J
of the Activity
Describe Briefly the Existing AUG ® �j � I � �- � 5
Structures Over Land and eA)� A p G� 2015
Water (include sq ft) DENR -WATER R
401 & BUFFER p RM117iNG

uU' Dock'Builder:or Engineer'.
Name /Company I ���q� ��sa'�t �ifI�G
Address I i��� � � �p /t/f Phone Number (�� g . 47T, 4 691 �
City S o,�;l rc( State Zip Code I a847 3 Email / rr4& 6 4 c dONIS• a w\
VI:'Checkli t;of i2e wired Documentsito -ir dude witfiRA' Iication SU — mission )
decent 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)
-4hotos 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)
ro`val °Process , � r _ .' A
• 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.
T 77N cc' f" 3310 Qdri 6J%Iki or^ --,ON F'ot , 4:1 -'004 Scr"o(.y !
Directions by /` �DN / Kfr it 1 � r (C A,,:fve wj4 am 1G r't b•Gya Nd S7/14 -b 1, N•
Road*
gavj,. ,.lyr"aw :•.Y+li - -- '. -,�` .'$i;.: - - `.�),'.' - _ - "F: - `M",,r':' -Y: -�.y.. _�,n ,.,x+a
ss o
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:
Signed By

State of North Carolina
Department of Environment and Natural Resources
D-W,_
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
Four copies of the application (including attachments) and the application fee should.be send®
Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
1. Applicant Information 115A NCAC 02H .0502(a)]
1. Owner Information
Name: /�'' PJA f K&Y-
Mailing Address: 1711 v-/y ,Dr
Telephone Number: 333.006 h Fax Number:
E -mail Address:
2. Agent/ Contact Person Information
20'50,
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 /repulatory /repdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be /attached if the Agent has signed this application form.
Name: �? '13
Company Affiliation: %3 13G DAX5
Mailing Address: 9J`J� ` � pe."' le .
Arc- "M
Telephone Number: 8:-8.479. . 4/8 %7.,Fax Number:
E -mail Address: _ �j I-A-d 0 Ph / bcicS . C4r7l JJ��
Person to receive the Certification Approval: BroW 3 " #e—
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: ,fir t We // Nearest Town: ADD r(-3✓Cll e-
Subdivision name or site address (include phase /lot number):
Directions to site - please include road names and numbers, landmarks, etc.:
7? A%� � .3 3 . AJm/ Ah'&Amrick/ /�*[ .f �'— o ^l D3 rAw/r y Sc
ro V-A l
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Y S f_^ Ti'A -J 1 ©`t'
6. Property size (acres): /, Z//
7. Lake/ river/ ocean adjacent to property: kl <e A10 r A4p-AJ
B. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Y`� . � 4OV- e j i '� L r.� r4P r l4 p
9. Will work be conducted from land? 5-71 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:
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the norma� pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres: % X / -5-7
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted (num er of trees, for instance):
Iret, �A � ���- ,. cis ��{—`P
_/VaC502 e/--r
Owner /Agent's Signature* (15A NCAC 02H .0502(f)1 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 Watei Level) '
IN -
;® P
C> C-
0`
C)
Full Pond)
NormalWater Level
Shoreline : r . <3!� m . -C,*
Please approximately sketch the following information on this plan (provide dimensions foreach
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: SSGP 10 -2013 Page 3 of 3

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NOTES:
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PHYSICAL SURVEY
• PROPERTY MAY BE SUBJECT TO RECORDED OR
UNRECORDED RIGHTS OF WAYS OR EASEMENTS � CF Rpdiu3
NOT OBSERNED �
Length
Child
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Chard Beer.
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FOR
• OWNER TO VERIFY ALL SETBACKS AND ZONING I l:2 6(M.59
REGULATIONS PRIOR TO ANY PLANNING OR
16.61
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GREGORY J. WALKER
CONSTRUCTION.
THIS PUT SHOULD OF AL NOT BE SCALED H RN ON
THIS PAT ALL IMPROVEMENTS SHOWN ON / /
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& WIFE BARBARA
UPON FOR DESIGN OR CONSTRUCTION WITHOUT
,
A FIELD
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VERIFICATION OF ALL DIMENSIONS.
• THIS FILE ARE FOR REFERENCE /
'Ci
LOT /326 OF CRESCENT LAND 3 TIMBER
DIGITAL COPIES OF
ONLY AND MAY NOT BE USED FOR DESIGN WORK. /
• 10' DRAIN. k UTILITY EASEMENT MAY EXIST ALONG EACH LOT UNE. /
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O 363 TUSKARORA TRAIL, MOORESVILLE NC
• /
DATE: 5 -e -15 DB: N/A PG: xxx
NO USGS MONUMENT FOUND WITHIN 2000 OF SUBJECT PROPERTY.
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DAVIDSON
IREDELL COUNTY, INC
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DEDMON SURVEYS
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CHUCK POOVEY, PLS $3762
05 PIN
ROBERT DEDMON, PLS #3899
LEGEND: 'Ld'i'
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3704 NC HIGHWAY #16 BUSINESS NORTH
BOUNDARY LINE 15 P"'
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P.O. BOX 494 - DENVER, NC 28037
PHONE: 8
-_ - NATURAL GAS LINE E / '
3 2 6
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704/483/2170
- UNDERGROUND POWER 14
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-' UNDERGROUND TELEPHONE
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E/P . EDGE OF PAVEMENT
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• A PORTION OF THIS PROPERTY IS LOCATED IN A 100 YEAR FL000 PLAIN p
AS DESIGNATED BY FIRM PANEL / 3710461400E 'r \
EFFECTIVE DATE: 3 -IB -2006 ��P, \\
,
328
i CERDFY THIS PUT WAS DRAWN FROM AN ACTUAL
SURVEY AND rs CORRECT AND TRUE To THE BEST
OF MY
I � 3762
PROFIT LICENSE NO.
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DEDMON SURVEYS 760' CONTOUR 1T
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NOTE: ACTUAL 760'
CONTOUR HAS NOT BEEN IDENTIFIED OR MAPPED.

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