20160469 Ver 1_Shoreline Stabilization_20160510

$ P40411)
May 3, 2016
iM
N.C. Department of Environment and Natural Resources
Division of Water Resources
610 East Center Ave, Suite 301
Mooresville, NC 28115
REF: Lake Norman— Hartmut Kossack
Dear Sirs and/or Madams
ROWBOAT
Dock & Dredge
858 Williamson Road
Mooresville, NC 28117
[phone] [phone] (FAX)
www.rowboatcomaany.com
RECEIVED/NCDENRIDWR
MAY - 6 2016
WOROS
MOORESVILLE REGIONAL OFFICE
Our firm is processing this application on behalf of the attached applicant, to install
approximately 1021f of rip -rap for a shoreline stabilization project on Lake Norman, Iredell
County, North Carolina (131 Hanes Bee Lane, Mooresville, NC 28117).
A copy of the Duke Energy Company application, pertinent drawings, and a location map are
enclosed for your use.
Sincerely,
Devon Hurst �~
Permitting and Procurement Coordinator Q ��
Enclosure(s) JR/
l 0 MAY D
2o1s I

l
d� �`�� �\
�` i .. . ��
ton 71A 'i1J/. n-
-,
_ �
� `
�.�_�.,Yr �,I?' �_
_ i t
I �
'1 e
�.� _
y .�/� .s__ _ _�
%�
� � �
.,
_ ! f
�'
� j .��� .-

J�
D -.,.WL.. -R
D' tvlston of Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
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 Information
Name: Hartmut Kossack
Mailing Address: 141 HanPc RPP I n
Mooresville, NC 28117
Telephone Number: Fax Number:
E-mail Address:
2. 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/resdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: ' Rowboat Dock and Dredge
Company Affiliation: General Contractor
Mailing Address: 858 Williamson Rd
Mooresville, NC 28117
Telephone'Number: 704-663-3478 Fax Number:
E-mail Address: [e-mail]
Person to receive the Certification Approval:
II. 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 1of 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.
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: ' Iredell Nearest Town: Mooresville
Subdivision name or site address (include phase/lot number):
Directions to site - please include road names and numbers, landmarks, etc.:
177 N - Exit 35 to Brawley School Rd/NC 1100, go 4.7 miles. at traffic circle take 2nd exit and
stay on NC 1100. continue on Stonemarker East Rd to Hanes Bee Ln, Right onto Hanes Bee Ln,
Reuse -9.. left
Latitude (in decimal degrees) 35 520908, Longitude (decimal degrees) -80940054
5. Describe the existing land use or condition of the site at the time of this application .
(residential, undeveloped, etc.): residential
6. Property size (acres): 72 ac
7. Lake/ river/ ocean adjacent to property: Lake Norman
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Insta11102Ifofclass Brip rap
9. Will work be conducted from land? IN From water? ❑
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the no mal pool lake level/ Normal W�ter Level in square feet or acres:
'.i P - I ,W" I za, C -C
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
square feet or acres:
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):
44/1J ner/Agent's Signature* [15A NCAC 02H .0502(f)1 Date
'Agent's signature is valid only if an authorization letter from the owner is provided. r
FORM: SSGP 10-2013 Page 2 of 3
/'lJv

R
Normi
S
take
�(At Full Pond/ Normal Water Level)
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

THIS IS TO CERTIFY THAT ON THE DAY OP �yNE Ili 9Z 1 SURVEYED THE,
PROPERTY SHOWN ON THIS PLAT. AND THAT THE PROPERTY LINES. WALLS AND BUILDINGS ARE AS SHOWN
HEREON: THAT THE BUILDINGS LOCATED ON SAID LOT DQ NOT ENCROACH OR PROJECT ON ADJACENT STREETS
OR PROPERTY: AND THAT NO ADJACENT BUILDINGS OR WALLS ENCROACH OR PROJECT ON SAID PREMISES.
L 07- /6 95
' LOT 71
� I
✓rCrw/rYY MAP \
�f
I GOT 70
This ,lK1provCi.Ien n :;ho rz ot,1 ';ii_i,; aroperl,; ailo :'iot L,,n l-ood
BCALE
PHYSICAL SURVEY
OF
OT �/ .��G'.G�E" T/ON LATS ftt7/d.✓ to
_ S!' NT L/v/✓p •T.�Bex C3�,�'r , 1•.ar6 �VaeM'.a.J
PROPERTY OF
//4, y
�� 4 r DEED RECORDED MAP RECORDED B /61 P as

DUKE ENERGY INTERNAL USE ONLY: Construction
%
pp
Date Received: FAF Paid (A lICdt1017 DUKE
ENERGY
❑ Application Complete version 13p
Water Strategy, Hydro Licensing and Lake Services
HEP Fund Permit No.
I Duke Energy
Site ID Close -Out Date PO Box 1006/ EC 1 2Q
Charlotte, NC 28201
I. DATE OF APPLICATION*
Permit/Tag #.:
II. APPLICANT INFORMATION (applicant mailing address and contact information)
Name* Hartmut Kossack
Address* 131 Hanes Bee Lane
City* Matthews State* NC Zip Code* 28105
Email*
III. PROPERTY INFORMATION (location of permit)
Address*
City*
Lake*:
17908 John Connor Rd
Mooresville:1
State* NC
Zip Code* 28117
Norman
Primary Phone* [phone]
Secondary Phone
Fax Number
County* Mecklenburg
County Parcel ID number
(e.g. Pin, Tax ID, TMS
Number...)
Subdivision Lot(s) Plat Book/Page
4625-20-7053
To enter the Latitude and Longitude of the property, please use a
service/software to easily acquire the location information. Values Latitude (e.g. 35.12345)* 35.52095
should be provided in Decimal Degrees format (35.1245).
example service: http✓/itouchmap.com/lationg.htmi Longitude (e.g. -80.12345)* -80.940065
IV. PROPOSED ACTIVITY
C, New/Modification of Existing StructureMaintenance of Existing Structure Is Dock
C., New/Modification of Existing Shoreline Stabilization© Covered?
C Maintenance of Existing Shoreline Stabilization
C New/Modification of Existing Structure & Stabilization (-)Maintenance of Existing Structure & Stabilization "Slips
Slips
i Transfer of Ownership
Area over land (sq ft)
Other (please describe below)
Area over water (sq ft)
Total Square Feet
Shoreline Stabilization (feet) Length of Distance From Shoreline
Stabilization 102
Materials Rip Rap
Brief Description
of the Activity
Shoreline Stabilization with Class B Rip Rap
Describe Briefly the Existing
Structures Over Land and
Water (include sq ft)
Dock
Fol
# of Jetports ❑

V. Dock Builder or Engineer
Namie/Company �Ow904T -1)Gr,-K $` 39tEbGE
AddressI �Se 1411Z-L1,41Y SOA/ ACi,+-b Phone Number 7O � �0 63 3 � 7�
i �
City MXRESV141 state I A C Zip Code aP // % Email
VI. Cheddist 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
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 f Plan and profile drawing showing all measurements and elevations
F- Habitat Enhancement payment (if applicable)
VII. Approval Process
q 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
Directions by 03 VA I�OS 6Y 0 urW a f :C "Q ,� -� C)
Road" U Vim' LU J J�,,1 �t,� Ke r.
,P V
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/ IAAI��O

►,
C
r- i
Q
Py
'
4
30&A
W
g
,r14,
s
4
•- 5
= U
LJ
2 V
i�
Kms\ Gt
u
;na
s �
'
S
yah
Qa
o m O
a
Oj
c�
��eys �aPo Lod` �
Qa
�Q
Oedhamloop
O
r
M
r
5 >E
tom;: E >
Rd
o
gaff Qd
c
C
N
J
4l
m
(d
M
r
�
Q.
Cha
�
a
s
cis
LI
Ai06
,Z' �
nr`� rn a
� 0uivan In
o
R4,CD
��tl
00,
Ea
L
;
►,
C
r- i
Q