20160386 Ver 1_Shoreline Stabilization_20160419

DUKE ENERGY INTERNAL USE ONLY:
Date Received: FAF Paid
F] Application Complete
HEP Fund Permit No.
Site ID Close -Out Date
1. DATE OF APPLICATION*
-/5- �4`/6 1 Permitlfag #1.:
Construction
Application
version 13p
Water Strategy, Hydro Licens' g and Lake Servi
Duke Energy
Q
6
PO Box 1006/ EC12Q
0 3 8 @
Charlotte, NC 28201
II. APPLICANT INFORMATION (applicant mailing address and contact information)
Name*/,9 Primary Phone* Q 33
Address* �� ��Q rI 13 E4 /–W, Secondary Phone
City" cede / State* C Zip Code* e2gU3 Fax Number �_ n
/j
Email*
—Pik—i ITt,�s?4YAry h(ef+/-Goy
Ill. PROPERTY INFORMATION (location of Permit) o 20
Address* eCounty"R
C c,C e,4
City' e j State* Zip Code* 8D3 County Parcel ID number
(e.g. Pin, Tax ID, TMS
Lake*: (x/53 U3Q�rM.4A� Number–)
Subdivision Lot(s) Plat Book/Page L16 a 6
To enter the Latitude and Longitude of the property, please use a Latitude (e.g. 35.12345)* ,
service/software to easily acquire the location information. Values
should be provided in Decimal Degrees format (35.1245). Q
example service: hi✓frtQul Ibnl .corrijJat#or�g html ' Longitude (e.g. -80.12345)* d , / r7
IV. PROPOSED A10TIVITY
(' New/Modification of Existing Structure (' Maintenance of Existing Structure Is Dock
Covered?
New/ odification f Existing Shoreline Stabilization (' Maintenance of Existing Shoreline Stabilization
New/Modification of Existing Structure & Stabilization (' Maintenance of Existing Structure & Stabilization # of Slips F]
C Transfer of Ownership (' Other (please describe below) # of Jetports F]
Area over land (sq ft) I I Area over water (sq ft)
Shoreline Stabilization (feet) Length of
Stabilization
Brief Description Ids
of the Activity
Describe Briefly the Existing
Structures Over Land and
Water (include sq ft)
itilu � �'1
Total Square Feet
Distance From Shoreline 1 f IoW p'5 5 ,y S re/44
Materials r ;,b r4 i3
ry f �� ,q�1� �¢ Sc 0)0
Y'GSic'e,#JkA-1101►e k �; e�

V. Dock Builder or Engineer
Name/Company IC 57a/I/E EC ('/✓
Address !O3 ne Number
CrtY rrsdlfle i State Zip Code Email �,L,,S�AI���$ e,e1&A61►'6*?1, A✓el
Vi. Checklist of Required Documents (to include with Application Submission))
r,rRecent Survey (stamped/signed by a professional licensed surveyor showing the location of the existing or proposed
Luh structure and/or survey of the existing or proposed stabili2ation)
[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
[gApplicable local, state, and federal permits ❑ Plan and profile drawing showing all measurements and elevations
❑ Habitat Enhancement payment (if applicable)
Vii. Approval Process
• 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.
Viii. Directions by Road
7-7 ie -1a S , G,K/ t*m Fu rr a., eold Nor i
Directions by
Road' f!/l//� f r' � dN f i� O l e it X
IX. Application Submission
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 Print Form
PO Box 1006/ EC120
Charlotte, NC 28201
I agree that the information contained within is accurate: r��
k �-"--

State of North Carolina
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
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
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Infoa ion /
N a me: ,4-7''% u ;�
Mailing Address: (o I)o er
C19rAre /,'aJ , NC 9V31
Telephone Number: 7d . "&?. #-/-3-3 Fax Number:
E-mail Address: IJ*lrlC/A 5 AA-r14wX (D qm4, . LD/'L
2. Agent/ Contact Person
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http://www.saw.usace.army.mii/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHO
RIZATION FORM. df) must be attached if the Agent has signed this application form.
Name: /o If JYe,5
Company AffiliatiW f ceycli
Mailing Address: 47 39 0,g,�r� y -c �i4Ti
Moarrs,rW.- /W 9d//5—
Telephone Number: 4! 6(a 0, S ///
E-mail Address: �.bC.Se aJ,4 ' 5
Person to receive the Certification Approval:
II. Project Information [15A NCAC 02H .0502(a) & (b)1
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, etc.),
rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations, and
FORM. SSGP 10-2013 Page 1 of 3

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.
L3! 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 p opert(where work is to be conducted)
County: Nearest Town:
Subdivision name or siteadd (include �phase/lot
/number):
Di ctions to ite - please include road na a and n bers, landmarks, etc.:
L-! �. n , � 7 L1 4 \ _ �� upt�
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, ett):
6. Property size (acres):ac -p , � %
7. ake Iver/ ocean adjacent to property: il_\C'
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): (�A_req—c P , n lcv�kr-o I .A` L, -,o . , , .
9. Will work be conducted from land? From water?
LZIJ
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below pool 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 pool l
I 4e level/ Normal Water Level and 50 feet land -ward in
square feet or acres:
12. Please describe the vegetation above the normal pool lake level/ Normal ater Level and
50 feetlandward to be im acted (number of trees, f r instance):
nt's
Agent
(15A NCAC O2H O5O2(f)1
Date
*
if on authorization letter from the owner is provided.
FORM: SSGP 10-2013 \I_/ Page 2 of 3
7

Fuli fond/
N( --;r„ tal.Water Le4iei
f b k7
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft x 100 ft) *:
2. 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
FORIA: SSGP 10-2013 Page 3 of 3

SITE Lake
Norman
-1 CAROB/
oEESS
-7
9r'.
a
QQ SEAL
'•_
- ormonCIsland Dr.
•o° _
s
y L-2993 Boa• :
tiQ SL1WOOD
f7I�
DOCK
FINER
C�
�q/G •..L.••'�O�
LOCATION MAP
NOT TO SCALE
KE
L.LA
1406GN. MAINGSTREET
IVORMA2V
MOORESVILLE, N.C. 28115
[phone]
— _ FIELD LOCATED
\ 760' CONTODR'
S0\
-300ry -
%gyp
S24'37'56"E
'00' 92.62'
�Zc
o
a
0' 6
30' MINIMUM UNDISTURBED
\
/ T
BUFFER FROM 760' CONTOUR
F–
LOT > 6-
"_�
.1./
20,352 SO. FT.
0.467 ACRE i
`<
001-531-22
ARNOLD B FOX
VICKIE C FOX_
22. '
I
—
DB 17046 PG 447
r--- COVERED p 15.1'
PORCH .6
–
29.5' iO
J
NOTES:
2.5
O
1. NO NCGS MONUMENT
2 STORY
Y I r n WOOD SIDING m I
,
FOUND WITHIN 2000'
a 25
w �nl
p
2. PROPERTY MAY BE
0_ Lo I
N
SUBJECT TO OTHER
r; 446' �� ._23.2
I
DDl-531-24
COVENANTS, RESTRICTIONS,
No COVERED �y
DAVID A DECKER
EASEMENTS OR
p0 a
N DB 21436 PG 845
RIGHTS-OF-WAY THAT MAY
N_
I
°D
BE OF RECORD.
Z
IN
O1
128'
3. BUILDING SETBACKS SHOWN 24.0' o
ARE PER A TOWN OF
N
CORNELIUS ZONING
0
3
VERIFICATION LETTER DATED
I a
SLAB
MARCH 19th, 2009.
nCONC. c4GRAVEL
FOR GARAGE"
LEGEND
DRIVE
CJ
120' 24.0'
Lr)
#4 REBAR FOUND O
STONE FOUND EI
I \
POWER POLE
�I
n/ L 25' FRONT SETBACK
20' RAW W",Ejj-
INTAKE EASEMENT
FIDLER LANE
- X37 -2o
'607�
EASEI M7ENT 1'5�' E_/P TO E/_P_
THE TOWN OF
__0
_ —
S�HD3BU.N48IE302R6S'5VPILL0GE "4
E4
100.14'
99.92'
PHff CAL S UR VE Y of
LOT 16 of D. A. FIDLER HEIRS PROPERTY (UNRECORDED MAP)
PROPERTY OF EHAB SHARAWY AND PATRICIA SHARAWY
SCALE: 1"=30' CORNELIUS, MECKLENBURG COUNTY, N.C. DATE: 3/23/2009
AS RECORDED IN: DEED BOOK 16826, PAGE 636 PID: 001-531-23
16800 FIDLER LANE EOC >=1:10,000

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