20150976 Ver 1_Shoreline Stabilization_20150921

DUKE ENERGY INTERNAL USE ONLY:
Construction DUKE
Date Received: I I FAF Paid I I Application r
Application Complete venlon13p �. ENERGY
HEM Fund Permit No. I I Water Strategy, Hydro Licensing and Lake Services
Duke Energy
PO Box 1006/ EC12Q
Site ID Close-Out Date - f
I O Charlotte, NC 28201 I n G,� �-,
I. DATE OF APPLICATION- Permit/Tag
j._.. _ .
11. APPLICANT INFORMATION (applicant mailing address and contact information) M5�
b -: I a C�UftiCk
Name* I L Primary Phone* I -� E ITT G
Address* I P © ®� �a�� I SecondaryPhonel
City- I I�C� V vOSoy I State* Zip Code *� Fax Number I - M - 93a 9
Email* 0�P y- J��d -, -. i(\�
� _ P rvv--,, Aj Cow ..�.. __
III. PROPERTY INFORMATION (location of permit)
Address* L t�ts �VS �Q:' f� �(`� �IY.t i (, I County"I
City- I n�:�5v � �� I State* ,4jC Zip Code-1 a8 I County Parcel ID number
(e.g. Pin, Tax ID, TMS
Lake *: I . r,.,.,a, v--, Number_J l
Subdivision �VA 1 Lot(s) I a
To enter the Latitude and Longitude of the property, please use a
service /software to easily acquire the location information. Values
should be provided in Decimal Degrees format (35.1245).
( example service: hnpJ /itouchmap.com /Ietlong.html i
!V. PROPOSED ACTIVITY
Plat Book/Page I .�� P� X49 3y (el d6a 1534
Latitude (e.g. 35.12345)* 13 S . sU�,l yid
Longitude (e.g. -80.12345)'l - -FU- 9 9,0 .2 zZ I
C New /Modification of Existing Structure C Maintenance of Existing Structure El Is Dock
VNew /Modification of Existing Shoreline Stabilization C Maintenance of Existing Shoreline Stabilization Covered?
New /Modification of Existing Structure & Stabilization C' Maintenance of Existing Structure & Stabilization 41 of Slips
C' Transfer of Ownership i Other (please describe below) - # of Jetports I]
Area over land (sq ft) I I Area over water (sq ft) I I Total Square Feet I
Shoreline Stabilization !� � 6 )vLen g th of l jl
G
Stabilization Materials ,
Brief Description
of the Activity
Describe Briefly the Existing
Structures Over Land and fjj4 I / �-
Water (include sq ft)

V. Dock Builder or Engineer
Name /Company CQti �&
Address ��S-6 �JP�i �� - j Phone Number
City , State Zip Code I'2 F/ e, 6 I Emai
�GVfi�a.. G,.- �crvt.Ga S� +'Z:[C�
VI. Checklist of Required Documents (to include with Application Submission)
e- recent Survey (stamped /signed by a professional licensed surveyor showing the location of the existing or proposed
LLJJ structure and /or survey of the existing or proposed stabilization)
ff"Photos along property shoreline and photos of any existing structures and /or stabilization in or near the water
D 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)
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.
VIII. Directions byRoad
Road ions by'�d V t �.,0-0e -A- fit L
9X. 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 I Print Form
Duke Energy
PO Box 1006/ EC72Q
Charlotte, NC 28201
1 agree that the information contained within is accurate:
Signed By

State of North Carolina
DWR Department of Environment and Natural Resources
Division of Water Resources
i5A NCAC 02H .0500 - Water Quality Certification, Shoreline Stabilization
Division of Water Resources FORM. 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 AID
401 & Buffer Permitting Unit f� -
1650 Mail Service Center 2
Raleigh, NC 27699 -1650 Jc Q 9 ,
6
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Informati n
Name: J� , �"`� uve"_.)
Mailing Address: �. d. Q 0 X l a s t
D J;1)sC"-, �J -c, -) Ro360
Telephone Number: 1�4'30'c1- (2ffM Fax Number:�lir�-4 /9k. 93,)l
E -mail Address: �a�Vato
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
htti): / /www.saw.usace.armv.fiiil/ Portals /59 /does /rejp,uIatory /i-epdoc-,/Permits /SAMPLE _AGENT AU 1H
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: 4' Z
Company Affiliation: L ea S f ✓r aUcle i;/-'Y-
fy 5��►-s stir
Mailing Address: d
1 IZ /
T — UVI.�.� ..i n. 4 7, ?%/ b G
Telephone Number: y✓ /'S'2e' -7yva Fax Number: 7v ° / -r 2d -.3 VO-0
E -mail Address:i,e,►., �r-floGlts� b� - Z• c� .-
Person to receive the Certification Approval:
II. Project Information 115A 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: r,,ec(e�/ Nearest Town: -A - 0 /,BJfv f'l1LO
Subdivision name or site address (include phase /lot number):
Directions to site - please include road names and numbers, landmarks, etc.:
r� ".,1141Y Sc 616 / X c�
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Ae -t L
6. Property size (acres):
7. Lake/ river/ ocean adjacent to property: Lo, �_'e .Vv �rr-G s✓
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): 0y
R', /-Y,/, -9 /:i , &/ 2irGA-" �,'v Go,A, -0 L r.­& sro
9. Will work be conducted from land? Er�_ 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:
OX /v 0
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: ?A- /O- C
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): o L
Ltt VI-
Owner /Agent's Signature' (15ACAC 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

Full Pond/
Normal Water Level
ser'o
Shoreline
La ke
(At Full Pond/ Normal Water Level)
r g
u �
r�
L�
�J
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
I 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
5. Location of construction access corridors
FORM: SSGP 10 -2013 Page 3 of 3

1 Tli—.
1. f•A NAr r,uh Jut dr rlP w
(a..e AreNP«•e e.Aadr �
,rrre.rrlrPr.er,~
1 MdYIAY w•
rrL�wd rl elr M,�
wr.,b"C.dn
All b• eldbb M
ee.Y, d• w3.
Nrw CrM•• Mr14a MP�.r•e•eml Mwpe.+A rd r SPm1.. er
Arp of l..d.Il Cawry
deN4Jn I1e1F
I brnrei•e M 1r•eyed w dslY kdlelJ r
e NPlrre• r NwwMi r
.>pu rnad� rr.y M•I.Iprr..
– III11.1WP1RrJ --�–
eM NerwJ"p elA nJka.iui
1 Ireley melh AM I w 0. ame. Mde .r.yeeq Any. •M
bvl.J bna..bldbrn••Ar tlr nlbAl w frl•NaUen
.l0. Cw.Ay M A�1•II rd d.l l �IMiq p� f
rbl.brn vib wy l�v�Ir TIC
bulMiq r..•y r rsA.
lAFdv .rih x.r.
..r. w e drA lrl�k.on �Nd rill b+WrJ by
er wTrebA reAiM•bw, rN
b. pwwmp•erlvr•i.eRJ eleA el wy Lb.l.
Mraa e.a•1loe ebk "..c• - -brYr ePPlkAbrJR
r 1MJI Cnu.y !•bA1•I•Nn MAbuly ger"ml.bld .ill
b.kl•1ed try L ^9••r•A xddibb d
c. I sdw.e.d M rMmer NRt "•J mbkur
rNw oer rere•mW •Iw^^areJ nyr.IMIyJ
b.1.n c..eH. wn.rb nCa.sr. ed i.
Iryd yRie.bl.la. o!
O..a frr
\.. LUC�FiN'F LIE
Review arincascaRrmrwPR
N!- 1 Cam) • Nwry Nb.e b rIA`� ►,1•��y�,T.,^
sr bArR ery,rA•lrNde•0.r�.�pr.r•IH TAIL –l� ^:
\ e1PIefJ rJ, � FrAeP
^
[�'
.W
;:;- f'ES PARK 60
. . . . ..............
�...
"ATROFNO CAIIOUNA \ `.., V�
L= .. –e" —� Rww ellfc�.l nlFl]eLI. COONYV, e.elh erl0.nRprPYr
.ekb dY ewllfrallee He� 10 N"rwyregJlmwaa blc.rdrL \. `•. • �O• •'
a6f!• a n_ iii "_ �... \...` /� �.�
R..e. nlne.e o•r �... .' 40
CrH11sY dAPPee.Rl r.R..wr. ` p
1. RrJry cexh Y r WI•I.kw dJ u•..• br.e.lr b•1e rrJ rreobnid 4
W111s R4lrler de. fmiry MY.rO. ebd bJbr d erelr Prs.br RMr•dN M
flly.ynl AAJ•L►/•r• =. FRMMOTa�F•R.e1RwdOr�NF«IN Corry.
SedrY i� •IINn lrnedw •nrr. M rbcn / .
Q 0 rod
4n VCOt ni13G3 MaanrRl ewRIrMMNe Lee'dPe.Pr4 / "� y -
PK NAIL CENTER O 'ROADw— ( `
vourt e�i•� ovoRlkwIVMLL Ll41q
Ov.•ner� LOT #2
lay S. HenneR / \ FORMALLY
265 Tuskuom I'mil LOT 41728
Mooresville N.C. 28117 •�'•, AREA
1.163 AC
BEARCREE Y-\RO
601 RIW p w
La0@1R
TNOS \ \ \
Fv yr. H.. rr wl H u
l.r.A
mm \ \
.A PAir4{4ae Pr PwJ fD laeileTl nrA RruktlRe RepbrMl '\
m r'ndd Mr Pr u,l,c Rrm Pr aeJ n r.e. sn
RN RlerroR+y wr..belr. Nlml•n •edeh LY.ey. '�\
h P— w hvpwenr RsYentl.l ]S Plm Red Rlebl of W.y Lbeir
iH Pln llydr. dr MSrYey: ADwl 1, mil WPIan W.Rerdry
n•le MPIY: ANe 11, nil IS Imw ub I�+Lir
PR9 1S NNI Sr Dre •f Slrvry l...e 11,1011 10 Pvllk flrlree Panel et SNe Lrr
PR4 PR M.II F.wJ lop llN: dllMll
urld Mrunln
•Mde d•I•1.. �a.nr.1. tln W 1-110 1ne tl"ePb
.U.<re bee ige.lN a Rn+md M III Cemey IfeNd
n.Irr�l. uesl b.eer.A.Ib.< 11 ro.mm. wl. e.jleq
50 0 60 100 160 pemll.ul b lrra
rYir� � 1
GRAPHIC SCALE - rW
•.' xr.r
1P
noun
>+ LOT #1
..:rr ... ................. FORMALLY
0.689 ACRES+/ -
rre ,] a
LOT #381
Jerry F. and Sandra H.
Birckett
,e,ylwr.�rPl _ _ Flood area
l�lv— Pon+r I -M See c— dmmunity
me w"•''"•''Y —r' "YT,�T� - --PR 103UW624WK
Lake Norman Full and
Zt E1.760
N
Nnanl�e aPhc'F
yin naob 33 PY M
R•vM M Nc.Mrea C'.nrvY. N t:.
VICINITY MAP
amyls Rego
�ra°'ey
E
mlii i
oe. lei wuyeaeovvf Fy..: eRP
Re..rde0: Oe /fi /tO1e n 0a:1e:N r
..1,:ii
t.11.v J. l
-62 -130
MIl A �if1 A 1M
R -20 TOT I. At"IIP.CIIIS� /•
/'I•Cn MINOR SUBDIVISION SURVEY
for
" S. JAY HENNETT
RECORDED IN PLAT BOOK 22 Pg. 699
LOT #378 ALSO PLAT BOOK 34 Pg. 26 and
Joe D. Booze
DB 5799 PG. 735 PLAT BOOK 58 Pg. 113
Revised Plat: June 2D, 2011
R—= Plat: June 23, 2014
Revised Plat July 7, 2014
DAVIDSON TOWNSHIP IREDEIL COUNTY NORTH CAROLINA
FORMALLY
LRMLFY TOWNSHIP MPCKLRNBURO COUNTY
NORTH CAROLINA
eFas r.rA.e r d. Red•eel doedeonr b R1lslrsen Gr+l'.r nrd eeA M,aPep lyl.
HENLINE INC.
LAND SURVEYORS
1991 MAIDEN SALEM ROAD
MAIDEN NC 28650
a
0
m
m
d
N
!D
Y8
m

NUM15
search nearby: (hotels restaurants;
72Y Tuzkprons Ts6;1
1728 Tuskarora Trail - Google Maps
Sireel View sea,chnekrby
1116,
41
Grove L,, r-2-1 fil
°s
k
•
S1
0-
Estes P.)rY.C�
lucent in
We"
FP Et
>
Sunstem Or
63,
ot2.
'4x
A_,
mVdmOm5Goo*

3/5/2015 MapCard- Print your custom map
{l c IREDELJ, Co
t 1 Water�i�fE('KLENEi1KG ('p
t 1'A; r -
{
,��• � ao� ! �-, r � -,= �,- � ����..� 1, ` - � �,, �
'i -
'1 r
Ram
Ar ca
L A K E
r +oN t
E t_Ev�a 'so
N
0 0.5 Mi
0 2000 Ft

' ±'` , •cam... "',� •:ys, U' -,
�iy ya i � : 7.o..JfieE
r'' �1�`.r%!� �`•'� lip��' , lilj, "�� t;,,�l 1� �! � N S'U i a# ,yr�
All
SRI