20160878 Ver 1_Shoreline Stabilization_20160909

2 0 1 6 0 8 7$
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 sJ;iould be sent to:
Division of Water Resources
401 & Buffer Permitting Unit U
LV
�p
1650 Mail Service Center
Raleigh, NC 27699-1650 <,
1. Applicant Information [15A NfCAC 02H .0502(a)]F�
1. Owner Information �1&Name: i° GZ- %3A�yMailing Address:D X 37L L G%
e�#k,Pt-o rre . /Ji` c;LV3 7
Telephone Number: 7dV. &q- ffl0 Fax Number:
E-mail Address: So1v'U'11,4j Aer-jArC
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http:/Iwww.saw.usace.armv.mil/­­Portals/59/­­docs/regu
jatory/redocslPermits/SAMPLE AGENT AUTH
ORIZATION FORM df) must be attached if the Agent has signed this application form.
Name: ee1V G9 ��-C- C�'t f r- idq eS
Company Affiliation:
Mailing Address: -3
Noo res v; u Svc ;?-g!1 �'
Telephone Number: 7(o&0,5-111 Fax Number: _7(� i(, (a(pD . s y
G
E-mail Address: hC--->e,4 '; 04if5 U,`XJaI5 0 • Ne f
Person to receive the Certification Approval: ('ftp ri yew
If. Project Information [15A NCAC 02H .OS02(a) & (b)j
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. (Include a scale
of some sort- a yard stick, shovel handle, etc.)
4. Location of the proper(where work is to be conducted) //
County: e�✓ lar Nearest Town: CrAle—< K.S
Subdivision name or site address (include phase/lot number): %-a+ rpt aRy
Directions to site - please include road names and numbers, land arks, etc.:
7 c a2 T B e li c 1c--_cA
p At o r -Al A -At Co 46V I ou ,
S. Describe the existing land use or condition oft a si a at the time of this application
(residential, undeveloped, etc.): t Cs (Je.V 'A-
6.
rt
6. Property size (acres):
7. Lake/ river/ ocean adjacent to property: LA -Ke -
0 r.
8. Describe proposed work (include dis pssion as to how hardening of shoreline has been
avoided, or why it is necessary): R- ' e_ rc vu✓T� ; On/
9. Will work be conducted from land? From water?
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lap level/ Normal Water Level in square feet or acres:
143
11, Total amount of disturbance'(including all clearing, back fill, excavation, rid
walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in
r `
square feet or acres: �- 3 )( I
12. Please describe the vegetation above the normal pool lake level/ Normal ater Level and
50 feet landward to be impacted (number of trees, for instance): V✓©��
10 ) ef ev15
Owner/Agent's Signature* 115A NCAC 02H .0502(f)l Date
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
-:
Shoreline
Lake
(At Full Pond/ Normal Water Level)
Pleas, appy axjmately sketch the folf4wing information on this plan (provide dimens/oris reach
item, such as 20 ftx 100 ft)*:
I. 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 wails, docks, etc.
5. Location of any excavation or dredging below the full Pond/ Normal Water Leve_ i elevation
6. Location of construction access corridors
FORM: SSGP 10-2013 Page 3 of 3

DUKE ENkRGY INTERNAL USE ONLY:
Date Received: FAF Paid
0 Application Complete
Construction
Application
version 13p
��f DUKE
`` ENERGY.
Permit No. I I Water Strategy, Hydro Licensing and Lake Services
HEP Fund Duke Energy
PO Box 1006/ EC12Q
Site ID Close -Out Date Charlotte, NC 28201
-7�I. DATE OF APPLICATION* 10-20-2015 Permit/Tag #.:
Il. APPLICANT INFORMATION (applicant mailing address and contact information)
Name*L t-:: va-w)v Primary Phone* [phone]
Address* P O Box 37229 Secondary Phone
City* Charlotte State* NC Zip Code* 28237 Fax Number
Email* [e-mail]
III. PROPERTY INFORMATION (location of permit)
Address* Lot 1 Norman Colony Rd 20315 County* Mecklenburg
City* Cornelius State* NC Zip Code* 28031 County Parcel ID number
(e.g. Pin, Tax ID, TMS 00113401
Lake*: KM A Number...)
Subdivision I Keel '[3ay Lot(s) 11 Plat Book/Page
To enter the Latitude and Longitude of the property, please use a Latitude (e.g. 35.12345)* 35.4901
service/software to easily acquire the location information. Values
should be provided in Decimal Degrees format (35.1245).
Longitude (e.g. -80.12345)* 80.8914
example service: http://itouchmap.com/lationg.html
IV. PROPOSED ACTIVITY _
C New/Modification of Existing Structure �Y � C Maintenance of Existing Structure Is Dock
0 Covered?
C New/Modification of Existing Shoreline Stabilization C Maintenance of Existing Shoreline Stabilization
(^ New/Modification of Existing Structure & Stabilization (' Maintenance of Existing Structure & Stabilization # of Slips
(` Transfer of Ownership (y Other (please describe below) # of Jetports
Area over land (sq ft) Area over water (sq ft) Total Square Feet
Shoreline Stabilization (feet) Length of Distance From Shoreline will follow existing shoreline
Stabilization 143
Materials VA fieldtone Staggered Stacked Wall
Brief Description
of the Activity
Install VA Fieldstone Staggered Stacked Wall
Describe Briefly the Existing
Structures Over Land and wooded lot
Water (include so ft'

11. Dock Builder or Engineer
Name/Company-L—c,
Address e- Fr-�,+Wrtn Phone Number 170'Y. (5(o -57//
J _J
city //1601rState rzip Code Email
W. 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 pennits; f -I Plan and profile drawing showing all measurements and elevations
0 Habitat Enhancement payment (if applicable)
VIL Apprpvzl Process
e Application is reviewed and determined if complete. Fields with an asterisk are required.
0 If application is not complete or does not include all items and information listed in the checklist, the
application will be returned as incomplete.
01 A Duke Energy representative veill visitthe site to conduct a visual inspection.
* Applicant will be notiflied 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.
Vilf. Direcdoi.is by Road
Please complete, print and sign this application. Then enclose ail items from. the checklist mauve in an envelope and
submit all the information to the address below.
water Strategy, tiydro Licensing and Lake Services
Duke Energy Print Form
PO Box, 10061 ECI 20
charlotlM NC 28201
1 agree "flat the information contained within is accurate: —J N

869 - P469
NOTES: LINE TABLE BOUNDARY REFERENCES:
• THIS PROPERTY WAS SUIV I•ED ENTIRELY BASED DEED 30102, PAGE 931
ON DEED 30102/931 • 301D2/936 C.- Bering Net- DEED 30102, PAGE 938
AS SOURCE OF LE 16.8% AC.+- TOTAL PHASE 1
• PNOSOUR MAY BE SUBJECT i0 RECORDED OR 1 N J7'/ 18.59 AIECKLENBURG COUNTY TAX MAPS AS NOTFTI
UHRECOKOED RIGHIs OF WAYS OR EASEMENTS N 1 7 41. PUT BOOK 38 PAGE 151
OWNER 10 VE 12.812 AC.+- TOTAL THIS MAP 5 7722 ` °. `
• OWNER TO VE ALL SETBACKS IMO ZONING 17'37 0 W 9.07
NEGul AIKNS VgIUR TO ANY PLANNING OR IS 1 S 053813 E S
W.STRUCTON S 2627 A .
• DIMLNSIUNs Of ALL IMPROVEMENTS SHOWN ON L7 S 2118 5 E 9.48
THIS
PUl SHOULD NOT BE SCALED OR RELJEO B 5 iT200 W 36.
UPON FOR DESIGN OR CONSTRUCTION WITHOUT 9 5 07'05'30- W 19.42
A FIELD VERIFICATION OF ALL DIMENSIONS. r.rt'f le f MaYoVel Iw RecoMina. I heroby ceNfY tMt the eu0diviwon DIc1 10 5 25.52 39 5.00
• DIGITAL COPIES Of IRIS FILE ME FOR REFERENCE horn hereon ha• been Io1Md to comply with The Land Development Coda fw 11 5 25'52 5.{7
ONLY AND MAY NO, BE USED FOR DESIGN WORK.' CeYMius, North Carolina, and that this plat hat, been approved by the Town of 4T55 .92 ^
•ALL UNMRVNOUNU UbUYES ME NOT SHOWN HEREON. Comefiue for rocordin In the Office of the Nell-, of Denim of Mecklenburg N 8 5748 E 1 Gh
•
THIS PROPERTY WNOERS A SPEGVL FIOUD HAZARD MU Coonty I further certlly that the Board of Cammieeionwe oMy accepts the dedication N ZS 10 18.9
AS MfE.INEU BY THE FEDERAL EMERGENCY MANAGEMENT of the public parks shown MK -n, if such poral o a bested wRhin the corpwaM 1111,91 21
ACENcc smite of Cornell- but aeeumee no reap-Rifily to open « maintdn the -me until, 1 N 2'0518 E I31.80 -
•ALL MU CALGVUIED 8Y THE COORDINATE METHOD, in NBoard
e opinion of the of Commnime e., it ie in the pudic in West io do eo. 17 N ? 318 E .10 p
• NO HORIZppNNffK CONTROL MONUMENTS FOUND WITHIN 1"' I I 16 N Ofl 2 .64 ✓O
•ALL CSIANCES SNOWH ME GROUND DISTANCES. L_6"IL 1 N 10'00 1.
• THE PUNPUSE OF I_ MAR IS FOR NEW LOT RECORDATION -------Plannin OMectw, Cornelius. North Cordino 1 N 1000 J3 .{
• THE PURPOSE OF IME STORM O"NAGE EASEMENT (SUE 5 TO PROVIDE STORM WRIER Oct. 9 N 13 0 E .30 �W
CONVEYANCE BUILDINGS ME NOT PERMITTED N THE f EIEMY MEA. ANY OTHER 1 N 34'71 DB 1. 1
OBIECIS WWN IMPLDE STORM WATER FLOW OR SYSTEM MAINTENANCE ARE ALSO PROIIBULU.
MHNIENANCE OF KL SDE•S AS SHOWN ON PUT 15 THE RESPONSIBILITY Of THF. PROPERII' N 34'11 46.31 .. ... .... .
OWNERS OR ASSIGN%. N 315 .86
THE SUBOADED PROPERTY IS CONSIDERED A LARGER COMMON PL,W OF DEVELOPMENT AND N 41' 49 0.7
THEREFORE WILL BE SUGUECT TO THE ARPLICABLE PORTIONS OF THE TOWN OF CORNEOUS r.nY'� e r Mereval 1« Record na. This property N bcatatl wlNin a PUDIid N L' 49 03.58
POST -CONSTRUCTION $TORN WATER ORDINANCE DURING DEVELOPMENT AND REDEVELOPMENT wales Supply Watershed. Oewlopm-t restriction. may apply. I ceHify that the N 1 51 .73
(INCLVONG EXPANSION) - c
TOTAL ACREAGE OF PROJECT - 16.596 AG
plat mown hero ompliee With Rha Waleroned Proleclion Mlfinonce Ad i S4.4'23'13 -W 8,81
• TOTAL ACREAGE W PHASE 1 MM 1 (THIS SHEET) 12.812 AC,,- pproved by the Town of Cornelius for recording at the Mectoenburg county S 47 0.1 7 W 6.62
TOTAL ACREAGE IN STREET R/W THIS SHEET - 0.332 AC- Register of Deed. Office. 41.0 37 W 6D.49
S 7709'04" W
5 54 3 1.
• PROPEKTY [(NEO GR Data J'---- --- --XI
.. - S 6!'38 9 9.72
SETBAA:KS: FRONT - 25'
Data Wotaraminlelralw, Town d Cwrlaliue 5'20 1 W 2.31
KENT -
SO • FROM WE
SHIES - B' OR TOR OF
TO NIAGE WIDTH
ACCESSORY STRUCTURE
5• SIDE k REAR NECILLEnBING COlaltt:
APRNYED he ACCOROMCE WON THE FNGWfEAING RE 7'6 OF THE sueo "MON CURVE TABLE
oHmeaM+FE OF THE TUWI OF caaEwsy�E HaWp
THIS PROPERTY IS LOCATED N A STRIC I WATERSHED 1.-i -4 I.• (e L/f0 1� curve Rndia. L.rptn cn«d cMra Be.,.
AREA AND IS sOf COR EI ANY RESTRICTIONS Ns AS COUNTY
V 1 I 60 4 1 4.64-1S 3!"0137 W
PLIAWABLEWIMPEAN0U5 ES US OR 3 x AIDE PER LOIRALOWARLE IMPERVIOUS YECIrLFNMIIC COUNTY STAF �OA1- 4.1 7 .53 4• 46 W
MUS ARE SHOWN IN TABLE BELOW, j C3 1 314.17'18.4 1 OB'03 35 W
REGUUIEU DRINKING WATERSHED: LYSE NORNM WATERSHED CA (\J/ .00 1 .41 26'4437 W
STREAM WATERSHED: WE NORMAN WATERSHED C5 1 5.00 SORB .10 45814 W
• 'f le or D.nmeh'o a O dicalion" Mney artily Thal I m One o r or the 473. 40.10 ID. 51'Og w -W
property anon ane -.used heron, .Man ie Iowl.d N B. ubaiadon �ju-Gon 0. 21.65 2 5 505 W
er the Ta- of Cornelia. ort IMI I Mreby adopt tote plan of tubd-n .Rh my Iran 4 8.78 5.74 N 66"5856 W
IMPERYIOUS AREA CALCULATIONS asnat wad mi imam w abq eetDarA lin- pre-- onaopwubd w e:gniH'cmt 71'02 !B W
tcon r ie ilwh-ndipr-ter �Im h. Iree nd row leecikn plmll.appenee ., 10 45. 160.59 B 81'35 f2 E
ress J reguvea, ons dedicate dl str-ts, eMye, .db. park., art dHer vA- ane 11 0.00 14,10 .81 N 36' 237
snE NiFA 16.896 AC. ]33.9.9 SF (/BOK ]6a' UNE OrIY) menta, b 1.M. or pn-l' u -e oe notal. G-ennole. 1 -ecy aadical. all
EMselo 1.1EN.10Us MFA - 141]5 sT (10 BE REMOKD a ONFCIEO) =112.11-
ll2ry oa-n Horm -r, on, -1•r Ii- inol «. I-- in Pot- ucwb 1 13.00 4 .48 4J.46 N 5!'09 30
Mw nghM-ol-wry to the Town w C«ndi- ort tM CMdete-Mecbenburq 1 5.00 2 5 21,82 N 56'3211
rH 1.0 IMPENVKKIs ,YEA - W47.9 sF (2J.Oax) -Illy De 0-0. 14 30. .4 47.26'
66'40 52 E
NWUWA IwElivbU1 MFA . 14TH 1
SNIEW.An ne". a115 ARG - 3, 13 Si 3e I\ �A�1r 1 ?3syD T, I"�C
01 111 GOT Us MEA - 1,02a SF "" IED ON LOT Y2E)-4'1L T� I D el nd In.Ialbtion w SNews UBltae ,^99g
NtIA IN L015 3511.45. Y .- Data Owner(.) Other Reaulretl Imlunvommlf. noraOY certify toot o4 elrxl0. utlMll-, d other
IMrtFIVKRlI Ah. M.LOWEO PER 101: rsaWrad impravemmle lave Sem Inetdled in m actt To manner and according to
L - 8 • t T -n Spac.-tian. - slardord. w Nal g ea - pf Ue inel ei h.
L 33951 k1-331{ ale Ow (a) r.yaired impnn-enl. M an amount ord m nor 11 M brY b Ue T o1
been Tec d. c
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lar 12 Hae 15e sf tees w.lwo (m e.) lIe FILED FOR
P ar ple 1. N. we c.rtiri-H;oI• M ell- m -le all the .lowlwY REGISTRATION
WrrJmws MOA . 2.,]3a .1.9131. Ia1,300 - ell.l. SF
roaorabq. =p \
IMPfNv10Us Hrm'r .E - 23.0 (24x MM. w/b ewes) �_____ --- JUN 10 •mW
Me Rewe ons. _'^NOR1fAN=_
AT _yp'TyIR:^ PARCEL 00113403
"'e -r----- JOSEPH A. TURLEY
STATE OF NORTH CAROLINA
1. °AHO C. POOVEY CERTIFY THAT THIS MM WAS (DRAWN BY M0 59 D� - ( L-2 PB 15-45
(DRAWN
UNI MY S
U
P
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R
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FROM (- ACRJAL SURVEY MODE �...--•-- q, 16310/895
BY ME) (AN ACTUAL SURVEY AME CINDER MY SUPEAYISAN) (DEED 911 �♦ T / \♦
DESCRIPTION RECORDED IN BOOK J0�0] _. PACE 931 ,/� n{� �T �'YQ /
BOOK X110? PATE 9J0 : BOO( , PAGE �: / (/ I I.y U 7 OZ f 4 e�♦♦ // ♦♦`\ i
THAT THE RATIO OF PRECISION AS CALCUTAIED BY UTITVDES AND
DEPARTURE IS 1:_10,000 (TENT THE BOU cRitS NOT SURVEYED
ARE S - A5 tlRO(pl LINES ROTTED "BOY IHFORW1gN 1WHD ! wr leodway�anM // [20315]
IN .1 30102 . PACE 931 ): THAT TWS LAP WAS O
PREPARED N ACCORDANCE WRH G.S. 47-30, AS AMENDED. I1 Icy
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WIINESS MY HND AND SIL THIS THE 1 MY OF _ J r.v.nhen Old,....,
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I FLNIMLK CkNUIY 'THAT THE SURVEY CREATES A SUBDMSK)N p' I 1� `h/�♦ 03 934 SF ♦I\
LAND WITHIN THE MEA OF A COIWRY OR MUIFCIPAJIY IIIAT 11A5 \♦`
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t BILLY RODDEY ( 90190 SF ' Inl�r 1 1
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DAVID ABERNETHY
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I 28469/801
DEDMON SURVEYS
�. � I � oo11u7. A 60 0 60 120 leo
MARK ZENOII
F.�'f•i I / GRAPHIC SCALE - FEET
GJ L-43 PB 29-710
7 nc%F / \ 25246/045 NOTE: J4 PNS SET AT ALL CORNERS UNLESS NOTED OTHERWISE
VICINITY MAP •� DATE 9-29-15 LEGEND • sMr,rMN a,WR NATAL
ppP9 a REV. DATE 6-1-16 DB: 30,02 PG: 931 pHYSICAL SURVEY/ FINAL PLAT w
�EDMQN SURVEYS D8: 30102 PG: 938 n9Hra- n�w�IICNPEam"
SCALE: 1� = 60' PB: 38 PG: 151 FOR R CRONE
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http://map-pass.mytopo.com/maps/print_ local. asp?print=l &scale=5.00&layer=DRG&lat... 10/16/2015