20151123 Ver 1_Shoreline Stabilization_20151028

,DUKE ENERGY INTERNAL USE ONLY:
_ Construction DUKE
Date Received: FAF Paid Application
i PP
r
version 13p ( ENERGY. A
Application let e
( Permit No. Water Strategy, Hydro Licensing and Lake Services
HEP Fund'- I Duke Energy D �fJ
PO Box 1006/ EC12Q C V
Site ID - _ Close =Out Date Charlotte, NC 28201 I (�
1. DATE OF APPLICATION* � � � 1,� _ I �
PermiVTag #.: I ` ' 218 2015
IL APPLICANT INFORMATION (applicaritmailing address antl contact,inforrtiation): E ` DENR -WgrER RESOUF
• - -. .. ,. _ .401- B.RIICr. -Pi r �j��l.rr
Name* � : CZ lZl.l [� - .: ��5(�& -� .�f Primary Phone* �eail }tit 36o d6ti..
Address* l () �� Secondary Phone 1u7-kiC 9)Z 433Q 5Ab
City* i�•d\"LC� f}�.ttQt-r State* [14G Zip Code *I z&, SS Fax Number
Email* pe-t! ,r bcv; a (,;
J III:_ PROPERTY' I. FORMATIQ locati6h:bf, it
( _P. O_
Address* I '-Ili - l.l:_ G tZGt, - County*l e- A -rA W4 PEA
City* I%[LfL L.L i State* Ir"C,, Zip Code *l Z`b(o1b2 ', County Parcel ID number G
(e.g. Pin, Tax ID, TMS f�17�24�'4�'��
Lake *: I �(.� �.,�Ery Number...)
I K i s eY �t l prp � Lots) l Plat Book/Page
Subdivision
To enter the Latitude and Longitude of the property, please use a Latitude (e.g. 35.12345)* 135-5q17
service /software to easily acquire the location information. Values
should be provided in Decimal Degrees format (35.1245). p
r , >�� �. r s �� } Longitude (e.g. - 80.12345)* I �Q
�y example) seniicewhttp%% itouehmap .com /latlorigufifmlN'',;� - - -
f ft - ', 5 .I. V 4_ /,,: � . P.a,. � 2" <_ 5..,� e- ��s.',:3n ..pa_... . - . .;. x,8. : �� , . ._�y . � v..� t r : ;' 1.ei: T.'ixti:.Y= s zf=•1 ,d" A ROPs ., ';:r.' - :rs�- ..; •;o ;`+.r.",. v y;
r$1rM 4' - r.., - <.a "- 2,: _ a . =dr.;,s;e, t ,ry : .• °; 'V & ^,' " ,.da.
�" - _.. -c•• � �• . - ..,_ . ...., yr -�,. y ..- .n.��z.,_.,�- __ ..,w,.:�<"� ;�a',`�:;:x �'`:�a:,��'' ..x _.-''� °� _.._ `i
(;, New /Modification of Existing Structure C. Maintenance of Existing Structure r Is Dock
Covered?
New/ dification of Existing Shoreline Stabilization (', Maintenance of Existing Shoreline Stabilization r
New /Modification of Existing Structure & Stabilization C , Maintenance of Existing Structure & Stabilization # of Slips cation
C. Transfer of Ownership C Other (please describe below) # of Jetports
Area over land (sq ft) I Area over water (sq ft) I Total Square Feet l
Shoreline Stabilization (feet) ; Distance From Shorelinel w-114 Aow
Length of
Stabilization
Materials
Brief Description N
of the Activity
Describe Briefly the Existing j j
Structures Over Land and Te �iC� t&4.-
. ov �d0+
Water (include sq ft)

V,',Dock wild` r "r.
B e o fn'- nee��°
9 -
Name /Company I / i4 rA C-FyeeN xiMpGS" 5ev viee5 49C
1'7W, po0. j j Address Phone Number CFAW
--- - J - j l
-- - -- — -
City M60tXSvilic State Zip Code IdZgjlS Email ))
CbC_SCa4WA��5 C µli.lf�S�►'►, nreT'
` VI Checklist of -Re - 'uired Documents y °,in I' .wi h=A"' 'li` i' '`
q_ (fo c ude t pp cat on Submission);`-
,/Recent 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)
r ✓Photos along property shoreline and photos of any existing structures and /or stabilization in or near the water
rV-Application fee (check only, payable to Duke Energy) r, Signed User Agreement Letter
(— /Applicable local, state, and federal permits Plan and profile drawing showing all measurements and elevations
r Habitat Enhancement payment (if applicable)
,' ;, •.
o a Proce's3 ` > '.��•'
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.
Cr •=
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Directions by / S ii 94 / � -) h-- -OAJ �OU564 LJ PJ- j k�0/�f D0 y �
Road Jam' J
na`:
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IX A licatiori3ubmission`:. � ::';,. ' _
Syr
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 P�iht'Form _
PO Box 1006/ EC12Q
Charlotte, NC 28201 r
I agree that the information contained within is accurate:
Signed By
11.,

State of North Carolina
DWR Department of Environment and Natural Resources
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 sent to:
Division of Water Resources
401 & Buffer Permitting Unit
�®
1650 Mail Service Center 2 0
Raleigh, NC 27699 -1650
I. Applicant Information [15A NCAC 02H .0502(a))
1. Owner Information
Name: P� ,r k-• Bee-3
Mailing Address: J 31 D W *140ri .
Telephone Number: <�1-33.'�--�'d1-3, Fax Number:
E -mail Address: d P h b c.d ock S o Bonn
2. Agent/ Contact Person Information
s
X23
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http: / /www.saw.usace.armv.mil/ Portals /59 /dots /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM.Ddf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation: G -rceiJ Sc.fq es , LLC_
Mailing Address: $T DA-K vC iAq e_ FA-,r A M VJ y -
YI(1 o o rL s v; I I c; A(C- 9-8115'-'
Telephone Number: 7694-.6 60, J`J/ 11 Fax Number: D. 5969
E -mail Address: (P ii ; 511-ea4M . Aie_ --
Person to receive the Certification Approval: r✓k F3 r `r ej t.3
II. Project Information [15A NCAC 02H .0502(a) & (b)j
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 rope�rrty (where work is to be conducted)
County: CA IT, Nearest Town: ��rre-
Subdivision name or site address (include phase /lot number): Ki bcYr -'B()4Md
Directions to . ite '4 - please i clude road names and numbers, landmarks, etc.: / - 0
Af , -f' 4� kt d Do y 14-9- C cd e-
5. Describe the existing land use or condition of the ;ite
` a� the time of this application
(residential, undeveloped, etc.): Y--5c
6. Property size (acres): I • P M
7. Lake/ river/ ocean adjacent to property: tAKC /fit WW) t✓
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Lqi- W C_ IA-5 -5 T5 ri P
9. Will work be conducted from land? i 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:
"')'00 aC 3
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
a t
square feet or acres: �a X
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted Inumber of trees, for instance): W004 4
A to
Owner /Agent's Signature* 115A NCAC 02H .0502(f)) 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)
31b doo
de ' �o�a
a
Full Pond / `�� a �m �' o ®moo d
Normal Water Level d� �' �5" .d) o 0
Shoreline
V
I C OJ 6V'e-- IC / 1>
"�96ce--,.ya/s
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
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

STATE Of NORTH CAROLINA
IREDDLL COUNTY
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T 'wWQrr 1'6 TAdTAJj)" FILED Dec19.2000 07.43:00pm •� X64
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pd wWW .. �u.isvor a L p�61)G es ` BOOT( 00066 CATAWBA COUNTY NC . w� °.� �9p1,ai�ul¢ a�wW° �►L�'"L w .. L6s
DONNA HICKS SPENCER .iemau xaw.rzoanlMe xalm c.A CIA c.:l: a ui aL
crrorU. YOAO- 3494 N�a •? PAGE 0076 REGISTER OF DEEDS f8
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IMP D: .61 -1 76-2 REFER 70 D.BN.1698 7R:. 427 �J%\ \ \`vl / / //- `K \i \)/ll9 L75
PROPERTY OWNED BY I L76
woelae ar nw a BL9wc
CA80LWA CBN"N LLC
COI/ANS FORD DEVELOPMENT SURVEY AND MAP PREPARED BY 79
ExEWT SUBDIVISION OF LAKE NORMAN SURVEYING a�� -
LN ND.: 1 GRAPHIC SCALE Le
KISER ISLAND TRACTS & MAPPING PLLC uLS"sbrA 71MIle9WWrNauwu
8Y: GA OAVIS � L62
MAN. CREEK TOWNSHIP 137 Jennings Rood, Suite C REVISED SURVEY BY: 1G JAYNES RAWprt awm eY. u"�Pp1i,..`ri Inv,""! rW °Nxol10q v °w",a'ar°1L,etgp I,� Lao
CATAWBA COUNTY, N.C. RCWSEO: FEBRUARY 27• 2000 L�
Statesville, North Corofina 28625 1DELA+s�-oBeY: A:ACAYPBELLI CAROLINA CENTERS. LI.0 srWYXe�arwrauL nonlLT nsW Lmrar
SCA1F: I' v 200• DATE Of SURVEY: AUGUST 24. 20D4 aow[wi DIA,a M auBaT.
BOON: F% DATE OF uAPRINC: SEPTEMBER 4 2004 (704) 876 -4450 Fax [phone] � ury7tT�p1I ii� ` ryt)„ Two wAAxrric __-7- 1 l IN FEET )
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