20151101 Ver 1_Shoreline Stabilization_20151026

QUK• EPA RGYMITERNAL USE OWLir:
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Date Rece4•erj: PL
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Application Complete
j
�Ier mi t No- i �A/,3ter Strategy. Hydro Liceming and Lake Services
IiEp Fund
Duke Energy
PO Box 1006/ E C I 2Q
Site ID i # dose -out Date j Charlotte, NIC 28201
1, DATE OFF 1. PFUC4TIO
Permit/Tag
Q. APFILICAWT INFORMATION (applicant mailing address and contact information)
Names p0maly Phone'
Address" Secondary Phone,
City, i 6rfdie 3 State' Zip Code-' 1() 1 Pax Number 4A
Email'
Ill. PROPEWnl WFORMATION (Iocation of pemilt)
Cou
Pot-Ile I
Address
City- State, zip code;} 7- I Counry Parcel ID number a03q14-
leg, Pin, Tax 11), TMS t
Lake': Number...)
Subdfvisloni "'t
Lot(s) PiatSook/Paoe
To enter the Latitude and Longitude of the property, please use a
serAce/software to easily acquire the location information. Values Latitude (e.g. 35-12345)'
should be provided In Decimal Degrees format (35.7 27745). L"itude (e.g. -80.12345)"), C)
example service: iittp:liitouctiniap.comilationg,htrnI
PROPOSED AGMITY
lN:odification of Existing Structure r Maintenance of Existing Structure 7J Is Dock
Covered?
of Shoreline Stabilization i— Maintenance of Existing Shoreline Stabili7atior,
1 4 of Slips 't_ -,-_
I
New/MocifficzVon of Existing Structure& Sratuffi2arion C Maintenance of Existing Szrucrufe & Stahili2a' 100` ' ,
C' Transfer of Ownership C­ Other (please clescribe below) 0 of Jetports
Li
Ara. over%, (�ef ft) To=o5quarer-eet
,e,, �!r land 154Q ft) I
Sharer Stabilization (feet)
Distance Rom Shbtelilw .5 tb, rw'
Lenoth of
Staf?i117atif)n
Brief Description
of the Activity IA15
Describe Briefly the ExiSlIng
Strurtures Over Land and woodeal Y-e5tweoj��
water "include SCI ftl
PIECE,
CST '2. 2015
bi.-NR-LAND QUALITY
TING

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State of North Carolina
KW Department of Environment and Natural Resources
Division of Water Resources
U-J t
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 sent to:
Division of Water Resources
401 & Buffer Permitting Unit PAM
1650 Mail Service Center
Raleigh, NC 27699 -1650 2 5 1 1 Q
I. Applicant Information (15A NCAC 02H .0502(a)]
1. Owner Information
Name: I f G-i54 A./ler-
Mailing Address: .5 5i-•7 vi 494 -
tt r m e C..
Telephone Number: `TLt 0- `1/'3.4YLL 1 Fax Number: /J%
E -mail Address: %i5a• • q ����"�IQDK
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 /repulatory /repdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: ('A It7 1 V_3' V_ AA /c4e 5
Company Affiliation: c�& _ �j
Mailing Address: (rag o4Krtdge 1 arm /5�vJq
Dr65vi 11P; AfC_ IIS J
Telephone Number: 7/)�.to �,O S1 I l Fax Number: 70 9
E -mail Address:
Person to receive the Certification Approval: !'� �D ✓'�d9 ES
II. Project Information j15A 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.i, rip rap, excavation. or dredging below Fuli Pond / Normal Water Level elevations,
anC construction access corridors. You may use the diagram provided at the end of thlS
application form.
3. Attach a photograph or 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 conduct
County: Nearest Town :_ �t
Subdivision name or ite address (include phase /lot number):
_..T 4k,r +'Yl
Ddreswons to site - please in Jude road names and numbers, landmarks, etc.:
31 , as
G. Describe the existing land use or condition oftt the site at the time of this application
(residential, undeveloped, etc.): rl✓ IA t
E. property size (acres): 77Z
7. Lake/ river / ocean adjacent to property: tkf w4G
8, describe proposed work (include dtsc +ussion as to how hardening of shoreline has been
avoided, or why it is necessary): 5+ir`i boe , l►7Aj M W. 4 13
r�,n vrA )N
9. Will work be conducted from land? i From water? j17
10. Total amount of disturbance (indudrng all excavation, backfili, rip rap, retaining walls, etc.)
below the normal pool ke level / Normal Water Level in square feet or acres:
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
watts, etc.) above the normal 000l lake level/ Norrrgai Water /Level and,50 feet tand -ward in
square feet or acres: f 93 X /
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): dow lame— +res
f'1t nAq 1,wq 4mjfl i'_ )t 1�u } �{rttS 4 wdlrwuA .
Owner /Agen gd ' 115A NCAC 02H .05021M Date
Agent's signanly d an authori zation letter from the owner is provided.
FORAM: SSGP to -2013 Page 2 of 3

Lake
(At Full Pond/ Normal Water Level)
T
cull Pond/ © c3 c9 j <7
Nort -nal Water Le rel 'c �� c� pG3 C-7
Shoreline
q3
Tease approximately sketch the following information on this plan (provide dimensions for each
item, such as IOft 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

THIS F TO CERnFY 'RAT ON in: 271r DAY Or MR„4 2114 A.\ AC UA- SURVEY WAS MAO'. UNDER MY SOPE^WS'ON Or iri: PROPEM
SHOWN ON THIS PLAT, AND TFAT THE BOUNDARY LINTS AND THE IMPRMtMENTS, IF ml, ARE AS SHOWN HEREON. TH'c PLAT MEETS Trr MINDA M STANDARDS OF
Or 0'1- OR LAND SUM11N; IN NORTH CAROLINA, R(M..RD RULE .!6000 (21 N';AC 56) AND THE RATIO OF PRECIS _S NOT E %GEED AN ERkOP. OF CLOSURE
PRACTICE F) FOOT PER t0.0Y,t F`r'i OF PEWM ^ER SUR.RF` NOR 20 SECONDS TMCF: THE SOUARE ROOT OF TH' N 9ER OF ANGLES TURNED
�SSOCIA7ES,
JA ES MAUNEY
1 PROP Rr Is zor:EO: -R
PROFESSIONAL SURVEYORS
� r./�\ SE ACl1 S PER M6 67 -s; !!U// 6t.,_ `NSIAiIt 'iL' .,:.tJ. SJ:T.. tT
E SIDE
• 3D' LICENSE LICENSE, \`0 O 26312
SID TS C -2373
RL1AR. 40 y TEL-, 704 -829 -9625 FAX [phone]e 5
ir9S MAP REPRESE.',S 4 SJR4E't F Ah LASIZING �AP..M, OF ;AND NOUN
'`J 3 ti - 6TA\CES SiDN'•: ARE %+CR?DvT+,:, ORV,;'_D 01SA.NC=S \ \UN tI,CA�rrf�
--IS SURVLY WAS PERmRME0 MTHO:TI 6ENFJ T OF A TiTlr. COMMITMENT REPORT
,mES wWZ k ASSOCIATES, PA DOES NOT CLAW THAT A:.L MAITERS OF RECORD \,` R 4
`C V-IJC � MAY OR MAY NOT AFFECT TnE S' 2JECT PROPERTY ARE SHOW :`: HEREON �� Q'. S S••
L 5. THIS SUR\'£T IS INTT_NaM FOP T/:E tiAMED PA°..Y OR PARTIES 0 LY, NO WARRANTEES ' •F. ) •'•.
. ARE H£Rc'BY IMPLIED OR GRANID TO ANY OTnER PARTY FOR ANY PIJRPOSF
6. LLEVATIONS 3RSED ON LAKE '� C'L O 03/14 /2014 C S-iSPM - elZ/ATtON 566.89' a SEAL -Y
4' R£FI Ma 67, PG 87 B1,V�' �, i = L -3885 0�
st1 ...... ' .
? VUDC � ?G 0'
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AA
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LOT
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MAY 8. 2014 - TO SHN
PROPOSED HOUSE
CP - CALCUtATEO POINT
w - DEED B00 ti
aR - MSTING IRON ROD
MB - MAP BOOK
t4R - l-* IRON R. O
PB - POIFR BOX
PG -PAGE
PR - POP:AR
2/R• - RIGHT-OF-WAY
SEX - St"Ll sox
SO.F i. - SOUARE F-11" T2 - TELEOHONE BOX
W14 - NATEF METER
I UNF
L
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CUM
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j Hti,,RiNG
} N25.37'30'E
r \
I otw
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577.1 577.6�i_ 4 ,�
lY
s3 E1 (/1
250
PROPOSE. L+ � Ms LOT 248
o d- H�USE \3D'I, N ca-
\ 4HHI �
! N
� \
PLOY 249
AE
cc
1 �
sr:6
SgB. 6L
c!sTr tcE ! r{>
3 d' ✓, . 1
24.37' ! 0��C PREA
! RA9,US ! A,,C LENGTH L CHORD LENGTH CHORD BEARNNC 1 19,2'6.3 SQ.FT OR
! E25.E3' 1 55.52' 1 55.56 N2c O0-'59 'E 1 0 442 ACRES
SURVEY OF
LOT 249, REFLECTION POINTE - PHASE 2
CT9'Y OF BELMONT. GABTON COUNTY, NOR'T'H CAROILKA
PR=EPARED FOR ERIC W. MILLER, JR.
SCKE =40
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