20151314 Ver 1_Shoreline Stabilization_20151221

To whom it may concern:
This check is for two stabilization applications. One is for Rebecca Carr 16825 Jetton Rd and the other
one is for Jerry Carr at 16813 Jetton Rd. These lots are right beside each other. The check was written
by the developer. Hopefully this is okay. Thanks Ann Duncan

DUKE ENERGY INTERNAL USE ONLY: f—
Construction
Date Received: _ FAF Paid Application +, ` - 2015
.nE67Y.,
❑ Application Complete ""�°""'' _ J
DENf� I-�URCES
HEP Fund �—
Permit No. Water Strategy. Hydro Lice c811Sf E ITTING
CE
Duke Energy
PO Box 1006/ EC12Q
Site iD Close -Out Date Charlotte, NC 28201
I DATE OF APPLICATION* �� - :-� Permit/Tag
Il. APPLICANT INFORMATION (applicant mailing address and contact information)
Name* Primary Phone Lu� S, • �o �n�
Address* �J� �, � , A Y - Secondary Phone
City rA% State* © Zip Code' IgD S i Fax Number --�
Email*� r-;�/ � 1<',eA1& I A (fAle -/ ,P 915. 60M
)ii. PROPER INFORMATION (Iocation of permit)
Address` �j �� D�/ County, eA)
City �� � � State* Zip Code* County Parcel ID number
(e.g. Pin, Tax ID, TMS pp 3 3 6
Lake` p r/n 4i1' Number...)
Subdivision Lot(s)--, 9 9 Plat Book/Page
To enter the Latitude and Longitude 0f the property, please use a -Latitude (e.g. 35.i 2345)"
servicelsoftware to easily acquire the location information. Values
should be provided in Decimal Degrees format (35.1245), Longitude (e.g. -80.12345)*
example service: http://itouchmap.com/iationg.html
IV. PROPOSED ACTIVITY
(' New/Modification of Existing Structure r Maintenance of Existing Structureis Dock
11 Covered?
Modification of Existing Shoreline Stabilization (' Maintenance of Existing Shoreline Stabilization
((-'�ew//Modification of Existing Structure & 5tabiltzation C Maintenance of Existing Structure & Stabilization 4 of Slips
I- Transfer of Ownership (' Other (please describe below) li of Jetports E]
Area over land (sq ft) i i Area over water (sq ft) i i Total Square Feet i i
Shoreline Stabilization (feet) Length of- Distance From Shoreline //.ap�/e �2.j �,V :5",A4:.-
Stabilization f
Materials t! Ale,
Brief Description
of the Activity
nl S�R ti S / UQ . R e-lJ S4 4C LJ k 1l
Describe Briefly the Existing
Structures Over Land and
Water (include sq ft)
L00 odeCl rc g j et A-1 1 o+

V. Dock Builder or Engineer
Name/Company
AddressPhone Number
-30o 04-ky,'44e FA
00 Email
City State Zip Code
i —is -CAI"
A); Af 5;
V1. Checidist of Required Documents (to Include with Application Submission)
&ecent Survey (stamped/signed by a professional licensed surveyor showing the location of the existing or proposed
st
I
ructure 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 watet
9 Application fee (check only, payable to Duke Energy) rl Signed User Agreement Letter
(R/Applicable local, state, and federal permits M Plan and profile drawing showing all measurements and elevations
Habitat Enhancement payment (if applicable)
VII. Approval Process
o 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 A Duke Energy representative will visit the site to conduct a visual inspection.
o Applicant will be notified of approval or denial.
o 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.
tilff. Directions Ery Road
Directions by
Road*
1-- 17 IP -91 W OAJ C4 +A- U) X AVe,
—Je- H-0 ri
JX Applicbtlarisubmassicift
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, Kydro Licensing and Lake Services PrintFgrM
Duke Energy
PO Box 10061 EC1 20
Charlotte, MC 28201
I agree that the Information contained within is accurate.,

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 - Water Quality Certification, Shoreline Stabilization
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
Raleigh, NC 27699-1650 20 1 5 1 3 1 4
Applicant Information [15A NCAC 02H .0502(x)]
1. Owner Information
Name: RAZC=c..A CA v r
Mailing Address: IDA 9 POiA't- b-r-
C'��nrc�,Lc aC XSO31
Telephone Number: dA 9. 144. (,,'5o8 Fax Number:
E-mail Address: bY_ I I e, WerJNc4 bar fCr A, 944e s C0 rA
Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: CAI j3 rce s
Company Affiliation: C
ee
Mailing Address: fl -0-1 c- FqrYA 14.q�
M00" 5. Vi f I",Jac ;-$ IIS
Telephone Number: -7 Fax Number: 709(. 646-5-96-1
E-mail Address: C-hC,5"m0,l-//S elo.qdskrA In • t4j
Person to receive the Certification Approval: r'%i 12 Bf d'J3esIli
Project Information [15A 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. (Includea scale
of some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: NearestToWn: corgcta-s
Subdivision name or site address (include phase/lot number):
Directions to site - please include road names and numbers, landmarks, etc.:
5. Describe the existing land use or condition of the s' e at the time of this application
(residential, undeveloped, etc.): _�re_s (Jew ZIA-
6. Property size (acres): 40,
7. Lake/ river/ ocean adjacent to property: /,A gr- 140 mqd
8. Describe proposed work (include discussion as to how ha�rdenin of shoreline has been
avoided, or why it is necessary): 5"llu -- nr�-�/ , " /-Gq A//
12
9. Will work be conducted from land?E] 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:
X
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 SO feet land -ward in
square feet or acres: 1.50 J 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): C,
/.? - y- 15
Owner/Agent's Signature* f ISA NCAC 02H .0502(f)1 Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSCP 10-2013 Page 2 of 3

Lake
Please approximately sketch the following information on this plan (provide dimensionsfor each
item, such as 10ft x 100ft) *:
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: SSCP 10-2013 Page 3 of 3

Ana Lf - CLAD"'. 7V rorw4lw '�' 1,'P(NI�IPP•'INS,11�'PLI�Nyq,�q,I,1•I,PI•Il�,ly,,,l,: I,r�l'rl'1.
.. clurrr or lu5nalvlM s4rtma4u1.1
. Id.•T /uelN d 114 C. -Y us.wy
_ _
CRESCENT LAND 9 TIMBER CORP,nht / / BEARIN09 AND DISTANCES FOR LOTS
(JOHN RAYLIER) __, �,7'9Yp'/ 40 /•�
U. M.I. - 749 - - `+QFb\ r.m r ro 9mt na1M Tyv1ie j ON CONTOUR EL[VATION 780
5058_6 , 5811 Lt e/W / I LOT 1558 LOT 2f7
1. S12/21!-2':0 N. 9]0158x8 -Slee
♦ a \ON/ +^y t. 1B8rY1E-11.00' 589 1111 -10 058
4BepY. y i I.•°"~ / a(�9F,('.y �.p a I .. 13as
3.01FE "55, w. So'... Sa D3'
�.pt1 p4 O" J J r e',L '�� LOT 2ef 42. 350-11 , le.4e
�6� VON- y I SN1a/2a'E-li .69 15' .3 N571 4t. 98347'[-11.00'
t1 t' �\ lJ \ ,/ 7 885/98[-4314"' U17 !98
q
40- 9r S'' 2 .Q1 / a. 9s0/17'[-50. N' 41 81050,'[-61.81;
9 o f/ s 2°A4 4, 8 31002'(-11.4! 1). 05/'t-bt.ii'
10, S43tWE-33.91 48. N04t [-11.77'
a35l.BD
G" 49. 911!58 [-f.oe'
q� v d• 7 It. W015 94' Lp
or 180
LOT 190 70. 914400'[-x1.58['
13. BIO/Iq W-0,03' S�. 941/SEL-Ia.00,
'1i,� /'� 9J� !'L0 n •/f 4. SIS 371-04.40' et. eflroe[-x70
TO LOT s7. 8alt4ot_ S.egF
�s I 14. 9u/ot'e-1x.11
�ae -A'` . O O[o0pp yyNIC IDCATION IS, aSa1C'11-KM.4: e0. 901/w'G-17.00'
\� �''J °�+b �A 72P[E,T•77(F� I M. e2S4p1 C-IS.pO' 64.44x/]7[-30.00'
/a.s2� $ +, �l � __-_ dlpaL 437. 0122 C-11.00 llQQT 5800
.w , O( - __._ __ _J lDT 402 57. 58,310!5(-24.]0'
� � 9,L s A. astoo'W-n.a: as s3e/e3
-K • 20 S42a;136,11 S1 11/0x'1-1458!
��`•" , s'A z'� sii w i�oo' al. eu/as=GEis ai',
eY SPIN"I ' -2.4 o4
0 A. 58.81' P / 2(!7• \ AIyRlvrn R ACURMRCE /RRI iN[ TFROdLIQjApP4Y0t U. s10/I.W-10.]9'
' IRE•.'RITf :f 'Y[ 2t. 836. 7T . M.32 i0 t�DaQn;
O� p [ROKLLTJ- IxJ YD. 58!211!'[-x0:'4
0tU2D1: Y.^.�. •, 24. eM4fp'-58.97. 61 9xP 61 [-x1.0;
-.T1 ✓IY..� 45. deetlB [-R.00 N. 813111 R-41.00
In, . LOT 204 67. aN/x [ 58.1.74
I �� / // P '�' MF.YLL.�M' < CVIt1.ul4: L/•.+'11Tn1 E9. 310437'£-2141' 6S all/SOC- .4'
63449[1[-21fi LOT 302
/ 28.9131371-21.4(8 /IR'[-4o.M.
/I 3 4e ,.uN n4'o w: fn3orG[_aa.oi of
iw SP ,Jf' n. s3f/zl w-4�pe to; �tirw dt.oi
11, e""41[E0
1 G
St. 9N 439
SK40'W-e.a 73. 9,3580558'2-29A1'
W uu1+•� w�^, ' i A/ ,L9 ( _ " Lor x!e 74..'g 58058
A'3 31. 9Y74tep-ar.u' !le RAe'
SMI-o" 758. szs .76�q 1p 69,'
CONrouR - 3e. a0r44'F-te.o� 7e. 582(1. •J�'l-B.i3
SEA LEVEL 0 37. 92023 [-41.16 7T SII/Oe W-7.00
A l4 • / 4 �� 9 7S. JOt]:E-117.90'
•+• L 7/L N
LOT I" I LOT 300
ACRE - � l "O�
(7' SMS %COT ¢9S -r iW 0.80 ACRE ¢ M,7 A,
1.15 ACRES I n I X,0 B2 ACRE ,� pLOT 301
/ EDL`' ~'Y
LAT CR X r1 0.811 ACRE e /
0.72 ACRE '^, : �
Z
4N Ssw►m. T 3• Live ,� • I 1 ev - z e,I £'• vi LOT ACR Q /
t 0.77 ACRE
�,f l 1 • f!0 A.3TS 9'J4 F R. 3 OiSi N /
cr,�9y r4 °' •4.IY��-gel/1 w ROADROAD 00.2111 A.l;oa• s
R•TI e1 1 (JETTON 3 LOT 30.7
A• 7eJ 0.07 ACRE L.
R. 36 61 10 "IIT.
SO , '00 �'9>' 1Q�
2
� • I / u
'A AL I C1 '•,Y/ p
'P 1
Cs vO
Ne f � Nworo w 1ttL1/
' pe
.wv ,,,4, ,r��/y
4,Q
' 4.
0
����4?
f 4 Q � �N
h
�` -1
_rt
���• �R I k
1
/ 1 0A
A.
// A•/p/ �a / YW
ro
CW8s
!- CRESCENT LAND B TIMBER . T9
�1VVy1��-
•A \
/ /(�7p
LAKE NORMAN
�Cq\, MTP OF
TION
RECREALOTS mo
My.
NOTE: DUKE POWER OOMNY To ND LA5'
6 TIMBER CORP. DEED 11001( 740, MOE IDS
g�. T9
SECTION 2 F=` •'
\
r$
DATED MAY I. IM. m LOTS
288-290, 292, 294, 295 297-303
tIM/
A ET PL'
SON L 'l'O0N•Z9
9VILDIRD SETBACK LINES ARE 30 FEET MOM
ROAD RIGHT OF WAY LIMIT, s0 FEET FROM CONTOUR
ELEV. 700 U.8.0.S. SEA LCVCL DATUM, AND
LEMLEY TOWNSHIP
MEC KLENBURO COUNTY, N. C. f�l
`Vu•
Yy
10 FEET FROM 811E LOT LINE,
SCALE: 1"-100' Nov. E4, IDl8
ALL SWEET COINER RADII ARC 90 FEET. PROPERTY
LINE DISTANCFAES An COMPUTED TO POINT 0/
MI9C.800K N0.370 DWG. N0. C,E, 2_N
0100 too 300 100
INTRCr10R AT STREET. CORNERS. .. -. __
VALE IN FEET

-A
—76
Lot 298
0.618 ACRE
35.G33 SF
5.0
J\
JETTON . -ROAD--
60' pUBLJC RIW - S.R.# 91
LAKE NORMAN
N
------------------

Google Maps
Go gle Maps
sd
60'
OQ
dPt�
�9
a
JNton Road a
Alerghborhuad Park
a
`a
aa�
to
ry
1151
Goinsports
a` 4W
e5
a�
5po a
Z a F2
� 5
6
Page I of 1
'7-v Jib Rd
a Mary Kaye Cosmetics
Ro' P�O�
# Harbor �69h�0 eDt
Yacht Cfub Playground a < .,� ACN Indepem
„d 4 m Representatir
Peensuta Yacht Club. "`Go gler�n
aP, o
L
Map data ©2015 Google 500 ft t
https://www.google.com/maps/@35.472056,-80.9330857,16z 12/9/2015

MyTopo Map Print
S N O R M A N
Eva TION 760
R
1
Page 1 of 1
+ :V
-
��'�• � %
/1311
t X
r
F
Cl1117 Os1Ad.
C)
tr.
dp 0.5 Mi
0 3000 Ft Map provided by MyTopo.com
http://map-pass. mytopo. com/mapslprint_mytopo.asp?print=20&scale=2.5 & layer=DRG&l... 12/9/2015
Sy 1,
dp 0.5 Mi
0 3000 Ft Map provided by MyTopo.com
http://map-pass. mytopo. com/mapslprint_mytopo.asp?print=20&scale=2.5 & layer=DRG&l... 12/9/2015

^., y.'c.""� .. �'' .'$.�i' sf+�' wtY �7:�eilG tk •.,s rte: s ►
m u
> SFr
F Ywo
- Y