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Home My WebLink About20151254 Ver 1_Shoreline Stabilization_20151204RE'CEIVED DEC 0 4 2015 DUKE ENERGY INTERNAL USE ONLY: ConstructficitriR. U111 KE Date Received: FAF Paid Applica-troRmvl"l�l-Il l�,t�-t� -�� Application Complete , Ian 13p ENE Y HEP Fund Permit NO. Water Strategy, Hydro Licensing and Lake Services Duke Energy PO Box 1006/ EC1 2Q Site ID Close -Out Date Charlotte, NC 28201 1. DATE OF APPLICATION* PermitiTag #.: It. APPLICANT INFORMATION (applicant mailing address and contact Information) Name* Primary Phone* MZZ 9-'54---q79-31 I A E9,4ar- y i - r I - Address* 11311 ,tee yw,4i It P-14. Secondary Phone City- L /4,atajf:, I ej- State -W(_] Zip Code-1,,?,,e//7 I Fax Number Email*i I on, th 4y leq cu L co 01 111. non of pennitj Address- 112- 13 Peyw M-; K W. CounW1 TV-Cde-11 I City- 40V-6S%/4,j State- IV(- Zip C0de-j,;2&1/-7 County Parcel ID number (e.g. Pin, Tax ID, TMS 163 �D fG 3 + Lake*: 1 1VVii-MAA1 Number-) Subdivision Lot(s) Plat Book/Page t,'5 lb f, 1-1- To enter the Latitude and Longitude Of the property, please use a Latitude (e.g. 35.12345r servicelsoftware to easily acquire the location information. Values should be provided in Decimal Degrees format (35.1245). Longitude (eg. -80.12345)*l 514-cl 1 1 example service- http:/Tttouchrriap.com/iationg.htmi - - ---------- �i� - -- --- iv. 6� �VAE� New/Modification of Existing Structure Maintenance of Existing Structureis Dock M Covered? r'New/Modification of Existing Shoreline Stabilization Maintenance of Existing Shoreline Stabilization /r New/Modification of Existing Structure & Stabilization r Maintenance of Existing Structure & Stabilization #ofsllps F] (- Transfer of Ownership (' Other (please describe below) #of Jetports Area over land (sq ft) Area ovarwatav(sq ft) Tout Square Feet Shoreline Stabilization (feet) Length of f Q Distance From Shorehne,�;t,fj�/ 4111fj 40� Stabilization Materials I k- 7/.00 eqp 6_ 1 ; Z e 'Ar dAS_S f3 �� T36 R6p Brief Description 15 ko"j, e of the Activity +D r. -e v-c-fi+ enr a -,1 a 4 Describe Briefly the Existing Structures Over Land and \NO� Water (Include sq ft) V. Dock Builder or Engineer Name/Company ` Cl�� S-I—Oric 1' 11 Arq �J J Address g af} YI �j}rM 41ni y I Phone Number ( 704. (06 Q , 6-111 City AjarrS,)A/Lel State F6� Zip Code �� I Email -I- _ - Vi, Checklist of Required Documents (to include with Application Submission) -,Recent Survey (stamped/signed by a professional licensed surveyor showing the location of the existing or proposed uu structure and/or survey of the existing or proposed stabilization) [Photos 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) Vil!. Approval Process _ • Application is reviewed and determined if complete. Fields with an asterisk are required. d If application is not complete or does not include all items and information listed in the checklist, the application will be returned as incomplete. e 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. 11, Directions by Road-I�i^._..__.____-_ --7-7 7 /Y/ /b �- 7F �� y�,l nl HW7 / S o �-�-d�l P Directions by Road' h &J �L' /' i / f✓ iX.Ap�licationSubmissiona�...�.._�_.___~_-.��_�....n._..,. 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/ EC12Q Charlotte, NC 28201 1 agree that the information contained within is accurate: Signed 8y State of North Carolina Department of Environment and Natural Resources Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization lvislon of Water Resources FORM- SSCP 10-2013 Shoreline Stabilization Application Form Four copies of the application (including attachments) and the application fee should be sent to: PDivision of Water Resources 401 & Buffer Permitting Unit s 1650 Mail Service Center Raleigh, NC 27699-1650 Applicant Information 115A NCAC 02H .0502(a)] 1. Owner Information Name: d Y Mailing Address: 3 F��IV /H Ic JffUll Telephone Number: 1F54.'?2q3 Fax Number: E-mail Address: i o h t4 4- -PY-A le, t4 McL no ryi 2. Agent/ Contact Persoyinformatio'n 20151254 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/regulatory/`regdocs Permits/SAMPLE AGENT RUTH ORIZATION FORM.pdf) must be attached if the Agent has signed this application form. Name: "id qts Company Affiliation: a(" "57w4c, � Pee I -Ala Mailing Address: 638 0AKr1A,)c F -r;m Aw-f M6Virr_3V-&- lie', /4C '::7A/t5' Telephone Number:�4o-,5-aL_ Fax Number: E-mail Address: I�A/_ Z-? e A .-JAtfs 0 U.) I'Al 4/5A-eA M - Af Person to receive the Certification Approval: cA r /3 r- -d e Project Information [15A NCAC 02H .0502(a) & NJ i. 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 I of 4 0. 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: _:J;Ce_A C -ti Nearest Town: M ocy-e-5vZ A Subdivision name or site address (include phase/lot number): Ci- `T- Lot 2 Directions to ite - please include road names and numbers, landmar4l etc.: =77 0A1 # i4/q Al re Y S. Describe the existing land use or condition of the site at h time of this application 4 (residential, undeveloped, etc.): YYG;dLe,6iT'�1 7' 4 6. Property size (acres): 19. 1t `121 -- 7. Lake/ river/ ocean adjacent to property: /,AKI 140v -MAA) 8. Describe proposed work (include dis ussio t h pas o ow hardening of shoreline as been avoided, or why it is necess ;Pwae 5b r -'.1i 7/p r --O V?AI�4 OrV 5 1 OIIJ 9. Will work be conducted from land? F -I From water? 0 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 normal po ,pl lak5 level/ Normal Water Level and 50 feet land -ward in square feet or acres: lq�l 12. Please describe the vegetation above the normal pool lake level/ Normalyvater Level and 50 feet landward to be impacted (number of trees, for instance): WOOM 1c) 4- Owner/Agent's Signature* f 15A NCAd02 H .0502(fll 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) Gov G & 6 0 D O oC o Full Pond/ o Q a ® o C) Normal Water Level b o O .E �■s .� ..6 ..� Shoreline c� o 0 /6 (�' VV- I/ T f ,� 9 3 cu.�A 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 w n•VMM vmYv nd .rr1M r• Nps .>r^ - nn[-� M rOY. Y r. yda.; µr awn Iw. qyM M sKIM i400 p.nkb.ib .nkn�nM. n nMrmn wr nwe•I�Ps[M N h•. MM /reW e/ leY pwrtY w• �1nn o 51•tle' fbm r�b.w wr (YMn) I.• ttW YM JYDJ/J MJI J 2n. M. D)/�IlIDp1) /\/(�\\✓\\/� IBtn dor of May. 2010 41404 N NOTE' SU8,,ECT PROPERTY /S ZONED RR. ALL LOTS ARE SUBJECT TO A 10' DRAINAGE AND UTILITY EASEMENT ALONG EACH LOT UNE. VES—ROAD' RICHARD EDWARAMERY RCT KAREN ANN CAMERY RL T '•'`{ N•M DB 1914-440 n� I \ Lot 1 ! 0.666 Ae ) +, / \pzxr Lake Norman t 5 0 _ W — SCA(C 1' � 30' ..r[ nov nAu Ar. .. rq eu or® tAtMAfMI la.n. r0, R S.Holliff e/d ,p�6� Y� Y edl.mvn a aa,rm P .bar ION —I— uc mt6.-IR1. pfw.. (ro41 R/l-nm % r7w) e»-rrn - .m.u: ba,.oawb.wpr.ena.l tN. iaeJrrm!ffi ,OOaMwEE.�R CERTIFICATE .qtyfI(Z.- ad" Y.tll .`.)/.A: //c K,L I IJLC "_vizi G G �Y14 �' �/YY Fic•L.-. '6.., M.. J Mdw NOTARY STATEMENT =M�W t untr. T. WUftI\ . /IY Ir M. n.b f.. ftwo ..�.. .aw • wMw4 J r¢w fw— ,.y b+w fnw .twt..r .s.l. sw w j.L- dw If -11� -11 .��1 I l Mi�:�r%�aA/p6jpisTlO: in:�ia /vf o-w°il cove 1¢'a' r or 1 wvd. o..•ti nwt•e.� er D..d. -57 -117 WATERSHED C£R TIFICA DON ti :anti IM (CA) I °n:°�i�oo (CAT M4 -- 0—WR)wA ws[a o.Mo 4.q�a1.J OY IM Mnln LodFp n1N.ke .1 E.Mw•n" ,Imap.n.nf wd o1 v.p.o.. M M• M1t/.n.. Rof•cf4+ Alq al n•d.• GdnfY Pvl. SddAsbn AanNNlrofw x.e.v CpnrA rfC CERTIFICATE OF APPROVAL FOR RECORDING .roy ...-ury M.f en. w.eaN.k.. Mvf .np... n..oe Iw....r Arad ro eanpy .,M fM SpDd.Wn Mw•MM. pI M. CeunrY of niN, Nertn DwdYr..na q.f MN pbf Dwi epp� ..a DY M, sWdN.bn Awnndfrofpr lo• nvo'd"Y N rM OI.ry o/ ,n. .p4lr or Ow Os e/ ,rMM� CpunfY ar•sv-M �i/wlrL A7I. 0 Ade..;,porv- u...n RENEW OFFICER CERTIFICATION smf. er Wren CowNe caNry//ol N...x Lg fs.0 rhly Mel M p pb� fo •nkn Mb pnfllkpikn � oIa•q mri.fs dl .rob wY /whnrr. Ar ncwMq Dvl• ...b. mr.. Final Plat .".• \ �1 ;Q —MID I \ \ 1 A Revision of Lot 1008 of Section 15 ,e CL&T CORP. Lake Norman Rec. Lots Lot 2 \ {+j 064E A. \ F.Ibbm r.—.hfp lr.d.11 County. NC LEGEND 1tr fD .w.l.-0r-Of6Y - A 6 zoe7-I'2.6 + P 8 I6-1. � A.w.l.n cK na K u. l JOHN A FRALEY SSlrrq DM. S.Pt—b., DR 2009 NC PLS L-1404 AND WFE ADELAIDE B NORTON M rAd .v.A.nr 1.) DO 1058-1226 t 5 0 _ W — SCA(C 1' � 30' ..r[ nov nAu Ar. .. rq eu or® tAtMAfMI la.n. r0, R S.Holliff e/d ,p�6� Y� Y edl.mvn a aa,rm P .bar ION —I— uc mt6.-IR1. pfw.. (ro41 R/l-nm % r7w) e»-rrn - .m.u: ba,.oawb.wpr.ena.l tN. iaeJrrm!ffi ,OOaMwEE.�R CERTIFICATE .qtyfI(Z.- ad" Y.tll .`.)/.A: //c K,L I IJLC "_vizi G G �Y14 �' �/YY Fic•L.-. '6.., M.. J Mdw NOTARY STATEMENT =M�W t untr. T. WUftI\ . /IY Ir M. n.b f.. ftwo ..�.. .aw • wMw4 J r¢w fw— ,.y b+w fnw .twt..r .s.l. sw w j.L- dw If -11� -11 .��1 I l Mi�:�r%�aA/p6jpisTlO: in:�ia /vf o-w°il cove 1¢'a' r or 1 wvd. o..•ti nwt•e.� er D..d. -57 -117 WATERSHED C£R TIFICA DON ti :anti IM (CA) I °n:°�i�oo (CAT M4 -- 0—WR)wA ws[a o.Mo 4.q�a1.J OY IM Mnln LodFp n1N.ke .1 E.Mw•n" ,Imap.n.nf wd o1 v.p.o.. M M• M1t/.n.. Rof•cf4+ Alq al n•d.• GdnfY Pvl. SddAsbn AanNNlrofw x.e.v CpnrA rfC CERTIFICATE OF APPROVAL FOR RECORDING .roy ...-ury M.f en. w.eaN.k.. Mvf .np... n..oe Iw....r Arad ro eanpy .,M fM SpDd.Wn Mw•MM. pI M. CeunrY of niN, Nertn DwdYr..na q.f MN pbf Dwi epp� ..a DY M, sWdN.bn Awnndfrofpr lo• nvo'd"Y N rM OI.ry o/ ,n. .p4lr or Ow Os e/ ,rMM� CpunfY ar•sv-M �i/wlrL A7I. 0 Ade..;,porv- u...n RENEW OFFICER CERTIFICATION smf. er Wren CowNe caNry//ol N...x Lg fs.0 rhly Mel M p pb� fo •nkn Mb pnfllkpikn � oIa•q mri.fs dl .rob wY /whnrr. Ar ncwMq Dvl• ...b. mr.. I Final Plat 1.228 Total Acs. A Revision of Lot 1008 of Section 15 ,e CL&T CORP. Lake Norman Rec. Lots F.Ibbm r.—.hfp lr.d.11 County. NC LEGEND 1tr fD .w.l.-0r-Of6Y - A 6 zoe7-I'2.6 + P 8 I6-1. � A.w.l.n cK na K u. -----------.n w. r... u.n SSlrrq DM. S.Pt—b., DR 2009 NC PLS L-1404 M rAd .v.A.nr 1.) Pot D.(.May la 2010 • wim O cutArsp rtwr R.•blon M.y 14 2010 p r County rnmm.nta /• Cufr.nt o.n.r: Rob.rt .ad VOMn Jr M.1,Jn 1271 Flfrn Rill Rwd n�+roftnr Or (.'a•w.fJ lu M houtm.n, NC 27186 I Google Maps G, pl � Google Maps St Cfizr4� "M D, Oii View D, Page I of I ENE Appraisal SM. - Go gle Map data @2015 Google 500 ft; Cornelius Creek https://www.google.com/maps/g35.621519,-80.9199047,16z 11/11/2015 MapCard - Print your custom map Page 1 of 1 to it }. %/+ .. `n� •5 n _✓j1�1 0 0.5 Mi 4 0 2000 Ft http://map-pass.mytopo.com/maps/print_local.asp?print=l &scale=5.00&layer=DRG&lat... 11/11/2015