20151078 Ver 1_More Info Received_20151102

Lake Norman Dredging
DWR
Division of Water Resource
,Co�Sl
0�
7046646232 p.1
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H.0500 — Wate Quality Certification, Shoreline Stabilization
s &o FORM: SSGP 10 -2013
V u
Shoreline Stabil%ia �ppflcatiion Form
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 -1617
Applicant Information f15A NCAC 02H .0502(a)]
1. Owner InfRrmation
Name: 1 ?'K 2r &r e0/cz_
Mailing Address: 13D 3 1.0054- R .
r i rf'U 1.1 �A f 4bq'71.
J
10 NOV 0 2 2015
DENR - WATER RESOURCES
401 & BUFFER PERMITTING
Telephone Number: 21S• 59q - -'7 7" lax Number: /
E-mail Address: 6�A►'.� o 2r FYIGt� I • 2. Agent/ Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
htto: / /www.saw.usace.armv. mil / Portals /59 /dots /reeulatory /reizdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM.Pdf) must be attached if the Agent has signed this application rm.
Name: L aje-p, N iD i !i/�Lt �/" � � ►1c, w ttt i S�'
Company Affiliation:
Mailing Address:.t) . PPY
—7
Telephone Number: _704- t6ll J0 117 Fax Number: _Q14-
E -mail Address:DiC�1'CaAP ML7LA_4r'Person to receive the Certification Approval: SGY%.
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 3

Lake Norman Dredging
7046646232 p.2
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: Ji 11,x01 p n Nearest Town: UPNdGf'
Subdivision name or site
ss (include phase number):
3Qi tY ie 1 d SP
Directions to site - please include road names and numbers, landmarks, etc.:
See �irec6b 1s i Actuded rh NAe"t'alS cept
Latitude (in decimal degrees) 35•� 3D7S7 Longitude Necimaidegrees))�
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): iPLSi �n il��rSv re ;
6. Property size (acres): 3;L & -1 S�! 1; 7- LAO �
7. Lake/ river/ ocean adjacent to property: k or nut, �
8. Describe proposed work (include discussion as to how hardening of shoreline has been f
avoided, or why it is necessary): � o d ! n S� f r1 a � ` v
(b�}, r �_%orefiy.. 4P
9. Will work be conducted from land? 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:
3' firm)
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake level/ Formal Water Level and 50 feet land -ward in
square feet or acres: , - ,Pa,, Pv`e _-,
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):
Owner /Agent's Signature" 115A NCAC 02H .0502(f)1 Date
Agent's signature is valid only if on authorization letter from the owner is provided.
FORM: SSGP 10 -2013 Page 2 of 3

Lake Norman Dredging 7046646232 p.3
DUKE ENERGY DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project site can have a big
impact on permit processing time. Please complete this form and return it along with your completed permit
application to:
DUKE ENERGY
C/O LAKE SERVICES - EC 12 Q
PO BOX 1006
CHARLOTTE, NC 28201 -1006
1- 800 443 -5193 or Option S
Applicant's Name.f- FeLQ,*,& ' �b ,
Street Address (at lake): 7115� 11 es /a�l1 �i
Lake Dame: NVLMAIn
Subdivision Name: Sa.1 i view
Property Section. ! (�v� Lot #
J. e j
City: nVz ' County:
State: - Zip:
Telephone: o'� �� - 56 1 ��y , - 'Tqq q
Directions (from major road or highway):
S�!tP
Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobile home, etc):
*Note: Please use the back of this form if desired to draw us a map to the site.

Lake Norman Dredging 7046646232 p.4
1118 River Highway, Mooresville, NC to 4314 Artesian Cove Ct, Denver, NC 28037 - G._. Page 1 of I
1118 River Highway, Mooresville, NC to Drive 14.7 miles, 23 min
i� GOO$IQ 4314 Artesian Cove Ct, Denver, NC 28037
p 1118 River Hwy %
Mooresville, NO 28117
Take NC -150 W to Webbs Rd in Catawba Springs
t 1. Head west on NC -150 W toward McCrary Rd
41 2. Turn left onto Slanting Bridge Rd
t 3. Continue ontc Campground Rd
*1 4. Turn left onto Will Proctor St
*1 5. Turn left onto NC -16 Business S
Continue on Webbs Rd. Drive to Artesian Cove Ct in Westport
'1 6. Turn left onto Webbs Rd
41'1 7 Turn left onto Burton Ln
N 8 Turn right onto Webbs Chapel Church Rd
1+ 9. Turn right ono Sailvlew Dr
41 10. Turn left cnto Chapel Creek Dr
r 11. Turn right onto Artesian Cove Ct
0 Destination will be on the left
O 4314 Artesian Cove Ct
Denver, NO 28037
These directions are for planning purposes only You may find that construction
projects, traffic, weather, or other events may cause conditions to differ from the
map results, ano you s -)oulc plan your route acccrdingly_ You must obey al signs or
notices regarding your route.
11.9mi!18mn
53mi
23mi
21 mr
05mi
1 7mf
2.Emi /6min
1.7 mi
0.4 mi
03mi
0.1 mi
0.2 mi
171 ft
https:lhvww.google.comimaps /dirk 118+ River +Highway, +Mooresville, +NC14314 +Artesia... 7/21/2015