20160711 Ver 1_Shoreline Stabilization_20160721

� �
Di1KE EAERGY INTERNAL USE ONLY: 201e07
Construction DUKE
Date Received: FAF Paid Application
[] Application Complete '"esivi13p
ENERGY,
HEP Fund Permit No. Water Strategy, Hydro Licen alumni* es
Duke Energy
PO Box 1006/ EC12Q TT
Site ID Close -Out Date Charlotte, NC 28201
I. DATE OF APPLICATION* , Z Permit/Tag #.:
If. APPLICANT INFORMATION (applicant mailing address and contact information)
Name* �� �p,�j�� Primary Phone* g, p36
Address* T7 Secondary Phone
City"90-fff X1 I
State* © Zip Code* `}3 Fax Number n �`
i
Email*
Ill. PROPERTY INFORMATION (166ation of Permit)
Address* �f'� �9 // .
City'sdVif- State*® Zip Code* 0� 7
Lake*: o
Subdivision C f Lot(s)
JUL 21
W
County Parcel ID number
(e.g. Pin, Tax ID, TMS
Number_)
Plat Book/Page
To enter the Latitude and Longitude of the property, please use a Latitude (e g. 35.12345)* 5. 5 ��� 7
service/software to easily acquire the location information. Values
should be provided in Decimal Degrees format (35.1Z45). Longitude (e.g. -80.12345)* 91,�jp� 5'p 7
example �er�nc h tpJ, , .1 �m�p cmmi tioiag.h nl
IV, PROPMED ACTIVITY t
i New/Modification of Existing Structure
Vw/M
odification of Existing Shoreline Stabilization
odification of Existing Structure & Stabilization
(' Transfer of Ownership
C Maintenance of Existing Structure Is Dods
Covered?
(' Maintenance of Existing Shoreline Stabilization
(-Maintenance of Existing Structure & Stabilization # of Slips
(1 Other (please describe below) -
# of Jetports 11
Area over land (sq ft) I IArea over water (sq ft) I I Total Square Feet J
D
Shoreline Stabilization (feet) Length of Distance From Shoreline ,11 Ajj,,.,�
Stabilization Materials
Brief Description , r rr ,
of the Activity 1-:s-�a S-�'O if al V A- -Fc G IJ 5 v e- W A l l / G 0 X'5
Describe Briefly the Existing
Structures Over Land and
Water (indude sq ft)

V. Do& Builder or Engineer
Name/Company
Address I 638
�ToAle eG G • �I!
1-1 G F,4-,vM Phone Number
City State ® Zip Code�/ Emailr3�� - 5 ���,���� e7—
VI. Checklist of Required Documents (to include with Application Submission)
Vecent 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)
C, hotos along property shoreline and photos of any existing structures and/or stabilization in or near the water
eApplication fee (check only, payable to Duke Energy) EK19ned User Agreement Letter
[R/Applicable 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.
Vlll. Directions by Road
Directions by
Road*
`t1 %49 W 71v AAW S .� c N kJe, h s O N ;w,6 / .� N•�
A/ el 4
t
1X. 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 Print Form
Duke Energy
PO Box 1006/EC12Q I
Charlotte, NC 28201
I agree that the information contained within is accurate: T
Signed

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources ISA 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
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: CK Y /-V oe4n/CC,e
Mailing Address: 4p 4- - NG
Derjve.� A/c 940 57
Telephone Number:W- 4ef -W3 6 Fax Numbef :
E-mail Address: i LJ/I//✓C /1'l/�/ C06'Y)
2. Agent/ Contact Pe Information
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 AUTH
ORIZATION FORNj/'�
) must be attached if the Agent has signed this application form.
Name:!/J /r'
Company Affiliation: CC �-5Ta^<< eG C 'At
Mailing Address: 6 3 T �6W r JJ L r W
A uo irc_50 4e, --N(- o4e { l - -
Telephone Number: % 6, 5/11
E-mail Address: rnk ,-5e�/l , i
Person to receive the Certification Approval:
Fax Number:: Of �,' D.
JCh ip e_5
II. Project Information [15A NCAC 02H .0502(a) & (b)I
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

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: NCO /n! Nearest Town: ✓C r
Subdivision name or site address (include phase/lot number): (f T_ /ol,)"q—
~tions to site - please i
tt- 0 A GcJedhs A
ide road names and numbers, landmarks, etc.: /►'�
Latitude (in decimal degrees65. 'S'2 95M T Longitude (decimal degrees) N - 0Ot 50 7
5. Describe the existing land use or condition of the sA*e atf the time of this application
(residential, undeveloped, etc.): Ye5it
6. Property size (acres):. D• 8 /
7. Lake/ river/ ocean adjacent to property: 1_A1 e_ Ah rm j9 -N
8. Describe proposed work (include discussion as to how h:1An
rd ning of shoreline ha been
avoided, or why it is necessary): S � OYI- s% re- irci✓ e_ro5r o A/
9. Will work be conducted from land? X 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:
/oe'x 4' 1Dox 0'
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:100'X / I DO `X 2—,
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50
feet landward to be impacted (number of tre�js, for instance):
e4e %�
YeLcCo, Lot-z�gr—
Owner/Agent's Signature Printed Name Date
(15A NCAC 02H .0502(f)l
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

Full Pond/
Normal. Water Level
W" on oft
Shoreline
Lake
(At Full Normal Water Level)
4 8 0 at, k) 4
I Ict 6 cv-e-
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

E-
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Sf� /) 'g3• 11 t A=14.69 1
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CATAWBA CO. -- ` R'121. 2 691131 W 556101'W-II.81'
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CRESCENT LAND B TIMBER CRESCENT LAND 6 TIMBER CORP.
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LOTS 113-119 8 124— 129
CATAWBA SPRINGS TOWNSHIP
/ NOTE: FOR DETAILS OF I GEOGRAPHIC LOCATIONI /42��5O� 0 LINCOLN COUNTY, N. C. 400
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