20161193 Ver 1_Shoreline Stabilization_20161205

DUKE ENERGY INTERNAL USE ONLY:
Construction
' Date Received: FAF Paid Application
Application Complete vml-13p
Permit No. Water Strategy, Hydr
HEI' Fund Duke Energy
Site IDClose Out Date PO Box 1006/ EC 12Q
Charlotte, NC 28201
I. DATE OF APPLICATION" I Ia , /, 10/,6 I Permit/Tag #.:
6 7 1 93
DUKE
E[ ` ERGY
V
11. APPLICANT INFORMATION (applicant mailing address and contact information) 401 1 BUFFER PERMING
Name* G 5 F~ .� ltiY r Primary Phone* 76 95 03 75
Address* %4/5 Pr' I Secondary PhoneI76560-3770_
City* �.�Ne ; State* Q Zip Code* f% �� Fax Number
Email* ' • � u�r1r � � t} -I S j
Ill. PROPERTY INFORMATION (location of permit)
Address* i AfKk_R_ P"C6 County"
City* r I�1C LLS State* ® Zip Code* County Parcel ID number
(e.g. Pin, Tax ID, TMS bo13 �OS
Lake*: Number._)
Subdivision O ¢ Tc Lot(s) Plat Book/Page I b
To enter the Latitude and Longitude of the property, please use a Latitude (e.g. 35.i 2345)* 3 3 5
service/software to easily acquire the location information. Values
should be provided in Decimal Degrees format (35.1245). .
Longitude (e.g. -80.12345)* gQ . 5
example service:;http//itouc#�rriap.tonallation:fitri3l
IV. PROPOSED ACTIVITY
(` New/Modification of Existing Structure C Maintenance of Existing Structure I Is Dock
Covered.
New/Modification of Existing Shoreline Stabilization
(' New/Modification of Existing Structure & Stabilization
C Transfer of Ownership
(' Maintenance of Existing Shoreline Stabilization F](' Maintenance of Existing Structure & Stabilization # of Slips
(- 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 A
Stabilization
Materials
Brief Description) ---ry D
of the Activity r_ i
Describe Briefly the Existing
Structures Over Land and
Water (include sq ft)
A-1 13 0" x ' 5 , I
r AT - Sk6pc- f s 10r G 5 (ev-dloNl �- 4,v" A- i-onjsi si{z -1-j r Fed
>°NnA-AlceA YQ
t-

V. Dock Builder or Engineer�_...�....�........�.._,.,._.....,®...��-�...u..�-
Name/Company I Lbc— oc s ne C t.tj
Address 3g V'J &4�v,T k1r;,e- �`A✓� Phone Number �Q ¢ 660. So
City oo (6 � state Zip Code a 8(/ Email ))
Q 0 Vl5
VI. Checklist 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
LJ structure and/or survey of the existing or proposed stabilization)
EY"P'hotos 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) 19"Signed User Agreement Letter
DirApplicable 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.
Vill. Directions by Itoed
r-F-7� 0 Je 4-DO'i
Directions by .� �D� 0�� O Lw
Road* D cJ U (�O/l%/1!e1�/�'/ /� %� P
I / t'A/kle Y" t'JfFGe I
X. Appl+cation.
Spbtrilssion
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
ifritirin -
Duke Energy
PO Box 1006/ EC12Q
Charlotte, NC 28201 _
I agree that the information contained within is

State of North Carolina
Department of Environment and Natural Resources
DWR 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
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Informat�ion
.1�
Name: J A M�� F-,1'7tor1r
Mailing Address: 70 c% 'rN KER. PlACe-
('o �rMC. l 4As . N C .2-FlD 3 /
Telephone Number: 704-. $95.039-5 Fax Number:
E-mail Address: , ► I'err C0 rh
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FOR d -f-1 must bJ� attached if the Agent has signed this application form.
Name: [ ' hI ► n /;Jr �Tlv s _
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
j� Vi—b^fe- r 1�'eL eli^h
3$ Ot+kri c Z
10'0f' -Svc l fe. *C- _3_z l t 5r
Person to receive the Certification Approval: )13r'id * e s
11. 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

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) 1
County: AG/C � Auvg Nearest Town: rAlebws
Subdivision name or site address (include phase/lot number):
Dir ctions to ite - please include oad games and numbers llaannddm rks, etc.:e tow
Latitude (in decimal degrees) 5 Longitude (decimal degrees) p O .9 *Q 4�.57
5. Describe the existing land use or condition fp'f theAit at the time of this application
(residential, undeveloped, etc.): r C 5Sfe r/'�Atf/
6. Property size (acres):
7. Lake/ river/ ocean adjacent to property: ill® r;
8. Describe proposed work (include disc ssion a to h=Are-
avoided,
ing ofl�horeline has
Peen
or why it is necessary): 7a rL'1lU✓f C�4s<Dil/
9. Will work be conducted from land?
From water? f%
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the norm pool lake level/ Normal Water Level in square feet or acres:
o xs
11. Total amount of disturbance (including all clearing, backfill, 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: 30 )( f
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):
14
r/,Agent's Signature' Printed Name
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
M� �
Shoreline
41-
c 6b 0 fc.
Lake
(At Full Pond/ Normal Water Level)
C------�>
Ile 70f -7-e:it/KE/� 101ACe-
C'qY- its NC tw°31
'64be-lo w
� � � NK
Please approximately sketch the following information on this plan (provide dimensions for each
item, such os 10 ftx 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: SSCP 10-2013 Page 3 of 3

'. aey- . -,
t
THE SUBJECT PROPERTY IS LOCATED WITHIN ZONE
ACCORDING TO FLOOD INSURANCE RATE MAP
COMMUNITY PANEL #371046220OK
EFFECTIVE DATE: 03/02/2009
TOWN OF CORNELIUS
CIO N0. PANEL SUFFIX
370498 4622 K
BDA' 151E
!-IRB
NORMAN
v MTY MAP ��SnEj NOT TO SCALE
LAKE
NORMAN
LEGEND
P.P. . POWER POLE
7-1 - DUKE POWER TRANS.
E.I.P. = EXISTING IRON FOUND
I.P.S. - 04 REBAR SET
R/W • RIGHT-OF-WAY
(D - WELL
CP . COMPUTED POINT
LAKE
NORMAN
PROPERTY LINE TABLE \
L1NE LENGTN BEING
u ARv
Le swa•v
La 1 Y•IS'ea•V
6 )6e'V
m Ilm
Ll 63Y4 0a•V
Ll N •1 v
as av
L9 : , A•
Ua 99 lea'eMV
L11 1 NMS'
9 t 110
�'
760 CONTOUR LINE TABLE
L8 sp
BEARING
1' aaNTaIM ONE t\
�6
rE1a Y
.a amcY
60.66'
re�
Pe
3946' ' W
IB.IO'
,- 50'
w I
1
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v 7
o
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LO7
1 S. lNP89TY6S9NTS. LLC
29600/204
I y
`iv
177560
A
y 0C.
001913 A1266
16.14'
34.10'
NF .o
N 69'59'20' W
NS'S'5-W
IR� I
3 `•F
� J
9.71'
li naw oRAw
LOT 62
JZRSMlAH N. WIA7'T, II
JENNIFER K. WrATT
4566/618
'k Y ` , `• (CHORD
D -,�b-s
D 0 N ALLEN & A8 SO C I AT' ES P. A
-Encu 1971 -
Commercial • ReMdmtial • Mortgqaage Surveys • Mull]-F..6y
const—tion slaking ' Su6divlebn Design • Topographicd
II -B Raceway DNw • Moorw— . N.C. 28111
(704) 5e4-7029 (704) eB4-8941 —
e40p F
760 CONTOUR LINE TABLE
LINE
BEARING
LENGTH
L12
5 29'00'59- W 1
60.66'
L13
3946' ' W
IB.IO'
L14
_
_ _}"'7' 6'0 W
15.98
L15
L15__
I 0' . W
N 60'p8'S5"_W
16.14'
34.10'
LTJ
LI8
N 69'59'20' W
NS'S'5-W
66.90'
5.19'
119
N 40'35'00' E
9.71'
L 20
5.6819'00 W
6.00'
L21
5 8 19'00" W
15.95'
L29
L29
_£ 39'S1'Sj'. W
9'51'5 W
]5.0]'
75.0]'
L29
3 '51' ' W
75. ]'
L32
L33
44 ' F _..
N 12-46'2 • W
26.76'
38.24'
133
L33
hljT6'29* W
N12'46'
38.24'
38,24'
L34
N 59-55'05" W
53.19'
L35
5 40. " w
t36
_
N 55'05' W
1.27'
L37
t 48U0W_
23.22'
08
N 41-03'30' W
4350
L39
N 17-50'57' W
52.60'
L40
N 01-33'55" W
0.91'
L41
I N 40'
4. T
'k Y ` , `• (CHORD
D -,�b-s
D 0 N ALLEN & A8 SO C I AT' ES P. A
-Encu 1971 -
Commercial • ReMdmtial • Mortgqaage Surveys • Mull]-F..6y
const—tion slaking ' Su6divlebn Design • Topographicd
II -B Raceway DNw • Moorw— . N.C. 28111
(704) 5e4-7029 (704) eB4-8941 —
e40p F
� fid'
ra�"Ra
;e
liv
1
�
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I
Z
FOR RECORDING.
M
DATE RENEW OFFICIER
Z
861 - P748
Certificate of Approval: This property is located within a Public
Wo ter Supply Watershed. Development restrictions may apply
I certify that the plat shown hereon complies wlthg the Watershed
Protection Ordinance and is approved by the Town of Cornelius
for recording at the Mecklenburg County Re ister of Deeds.
Data Watershed Administr, or, Town of Cornelius IFILED FOR
4i Gi 301 6711 RECIsrRATaN
Mnµ Il'a�n �; IAN ] 1708
f LAKE,
NORMAX2. l
. '2 4
LABS NORMAN
\47 232 "w N7j]i Jy
sj6 N
N RAR A
FpU=p NE 4J �Oa}\
J•
�SE TBACI(\ �B �87A
I �
I \
h m \r
M Q OI
tom NI
I of
I
LOT 64A
JA" ROLSIFICZ
SARA ROLCWICZ
256611463
60/786
C.
ole 1205
/
x. /
M
NN. /
,W
LOT 64B
�A9f BONN -A INC
9A"abs 25609/75
NOTES
I) THIS PROPERTY MAY BE SUBAiCT TO ANY EASEMENTS
AHD/OR RIGHTS OF WAY OF RECORD.
2) ACREAGE COMPUTED BY THE COORDINATE METHOD,
J) SETBACKS ACCESCRT STRUCTURE SETBACKS
NRONT. 3a MINIMUM` SIDE • 5'
NMW
M .
RE50' FROM 760 CONTOUR LINE REAR . 50' FROM 750 UNE
SIDE . 10' ~M
4) TOTAL NUMBER OF LOT ON THIS PUT: 2
5) NO GEODETIC MONUMENT WITHIN 2000'
4) PROPERTY ZONED: GR ADJOINING PROPERTY ZONED: OR
7) REEDRENM Me. 17 PG. 550 a MB. 50 PG. 765
e) T. MM NO. 001312M a 001312M
9) TOTAL MOECT MEA: 1.51 AC.
10) ALL Lon Me swalE FAIBLY RESWENTAL
11) This property Iiae within the Corporate Unite of The
Town Of Cornelius,
12) This plat aupercedee any Previously recoradwd plate.
13) THE SOLE PURPOSE OF THIS PLAT IS TO SHOW THE
ACTUAL 760 CONTOUR LINE AND TO REVISE THE 50
FOOT SETBACK UNE TO BE MEASURED FROM THE
ACTUAL 760 CONTOUR LINE INSTEAD OF THE
REAR PROPERTY UNE. THERE IS ALSO A STORM DRAIN
EASEMENT BEING ADDED TO LOT 63.
14) SUBJECT PROPERTY IS LOCATED IN LME NORMM,
CRITICAL AREA, IMPERVOWS EXEMPT
OWNERS CERTIFICATE AND DEDICATION
I herby certify that I am the owner of the property
shown and described herein, which is located In the
subdivision jurisdiction of the Town of Cornelius and that
I adopt this plan of subdivision with my free consent
,establish minimum building setback lines,preserve and
protect all significant trees over 18 Inches dlomater in
the tree and root protection orea,plant suppiemen lazy
trees if required,end dedicate all streets,olleys,wolks.Parks
,and other sites and easementa,la public or private uses
as noted. Futhermore,l hereby dedicate all sanitary sewer,
storm sewer,ond water linea that are located In public
utility easements or right-of-way to the Town of
Cornelius and the Charlotte-Mecklenbur
Department.
Date OBER - 63
Data
SURVEYORS CERTIFICATION
I, WILLIAM M. ALLEN CERTIFY THAT THIS MAP WAS DRAWN
UNDER MY SUPERVISION FROM AN ACTUAL SURVEY MADE
UNDER MY SUPERVISION DEED DESCRIPTION RECORDED
IN BOOK ---.PAGE : THAT THE RATIO OF
PRECISION AS CALCULATED BY LATITUDES AND
DEPARTURES IS 1:10000, (THAT THE BOUNDARIES NOT
SURVEYED ARE SHOWN AS BROKEN UNES PLOTTED FROM
INFORMATION FOUND IN BOOK PAGE
TH9- _,S AlI1G�,WAS PREPARED IN ACCORDANCE WITH
�S 47-J0, AS AMENDED.
TTN111�1NJql�llrvAA�rT
AND SEAL THIS �?__ DAY OF
D. 2G12.
�Q SEAL
L34.D REGISTERED LAND SURVEYORS
Jq,AMIM11�p REGISTRATION NUMBER
CER TE OF APPROVAL FOR RECORDING
I herbycertify that the subdivision plat shown hereon is
exempt from the subdivision provisions of the Cornelius
Land Development Code, and is therefore exempt from its
provisions.The plot has been found to comply with the
zoning regulations of the Cornelius Land Development
Code,ond has be approved by the Town of Cornelius
for recording In the office of the Register of Deeds of
Mecklenburg County.
IiIVIL-
Data Planning Dilecttor,Cornelius.Nortif Carolina
THIS SURVEY IS OF AN EXISTING PARCEL OR PARCELS OF LAND.
PR�SSIONAL LAND SURVEYOR
EXEMPT PLAT
OF
LOT 63 & LOT 64A CRESCENT LAND & TIMBER, SEC. 6
MAP BOOK 17, PG. 550
MAP BOOK 50, PG. 785
LEMLEY TWSP., TOWN OF CORNELIUS, MECKLENBURG CO., N.C.
SCALE: 1• . 40• DATE PLATTED: DECEMBER 26. 2012
GRAPHIC SCALE OWNER (LOT 63): STL INVESTMENTS, LLC
„ P.O. BOX 1677
CORNELIUS, NC 28031
(
IN FEET) OWNER (LOT 64A): JAMIE ROLEWICZ & SARA ROLEWICZ
t Inch • 40 n P.O. BOX 1677
CORNELIUS, NC 28031
FILE NAME: i30736DWG
RENEW OFFICER CERTIFICATION
\
STATE OF MORN CAROUNA, COUNTY OF ME.1,111ORG
K4rer1 W �'�� RENEW
�
I,
OFFICER OP COUNTY. CERTIFY
ION 1
PLAT TO ATUTORY CERTIFICATION IS
THIS MAP PLAT TO
\
AFFIXED. MEETS ALL STATUTORY REQUIREMENTS
EE
FOR RECORDING.
DATE RENEW OFFICIER
,W
LOT 64B
�A9f BONN -A INC
9A"abs 25609/75
NOTES
I) THIS PROPERTY MAY BE SUBAiCT TO ANY EASEMENTS
AHD/OR RIGHTS OF WAY OF RECORD.
2) ACREAGE COMPUTED BY THE COORDINATE METHOD,
J) SETBACKS ACCESCRT STRUCTURE SETBACKS
NRONT. 3a MINIMUM` SIDE • 5'
NMW
M .
RE50' FROM 760 CONTOUR LINE REAR . 50' FROM 750 UNE
SIDE . 10' ~M
4) TOTAL NUMBER OF LOT ON THIS PUT: 2
5) NO GEODETIC MONUMENT WITHIN 2000'
4) PROPERTY ZONED: GR ADJOINING PROPERTY ZONED: OR
7) REEDRENM Me. 17 PG. 550 a MB. 50 PG. 765
e) T. MM NO. 001312M a 001312M
9) TOTAL MOECT MEA: 1.51 AC.
10) ALL Lon Me swalE FAIBLY RESWENTAL
11) This property Iiae within the Corporate Unite of The
Town Of Cornelius,
12) This plat aupercedee any Previously recoradwd plate.
13) THE SOLE PURPOSE OF THIS PLAT IS TO SHOW THE
ACTUAL 760 CONTOUR LINE AND TO REVISE THE 50
FOOT SETBACK UNE TO BE MEASURED FROM THE
ACTUAL 760 CONTOUR LINE INSTEAD OF THE
REAR PROPERTY UNE. THERE IS ALSO A STORM DRAIN
EASEMENT BEING ADDED TO LOT 63.
14) SUBJECT PROPERTY IS LOCATED IN LME NORMM,
CRITICAL AREA, IMPERVOWS EXEMPT
OWNERS CERTIFICATE AND DEDICATION
I herby certify that I am the owner of the property
shown and described herein, which is located In the
subdivision jurisdiction of the Town of Cornelius and that
I adopt this plan of subdivision with my free consent
,establish minimum building setback lines,preserve and
protect all significant trees over 18 Inches dlomater in
the tree and root protection orea,plant suppiemen lazy
trees if required,end dedicate all streets,olleys,wolks.Parks
,and other sites and easementa,la public or private uses
as noted. Futhermore,l hereby dedicate all sanitary sewer,
storm sewer,ond water linea that are located In public
utility easements or right-of-way to the Town of
Cornelius and the Charlotte-Mecklenbur
Department.
Date OBER - 63
Data
SURVEYORS CERTIFICATION
I, WILLIAM M. ALLEN CERTIFY THAT THIS MAP WAS DRAWN
UNDER MY SUPERVISION FROM AN ACTUAL SURVEY MADE
UNDER MY SUPERVISION DEED DESCRIPTION RECORDED
IN BOOK ---.PAGE : THAT THE RATIO OF
PRECISION AS CALCULATED BY LATITUDES AND
DEPARTURES IS 1:10000, (THAT THE BOUNDARIES NOT
SURVEYED ARE SHOWN AS BROKEN UNES PLOTTED FROM
INFORMATION FOUND IN BOOK PAGE
TH9- _,S AlI1G�,WAS PREPARED IN ACCORDANCE WITH
�S 47-J0, AS AMENDED.
TTN111�1NJql�llrvAA�rT
AND SEAL THIS �?__ DAY OF
D. 2G12.
�Q SEAL
L34.D REGISTERED LAND SURVEYORS
Jq,AMIM11�p REGISTRATION NUMBER
CER TE OF APPROVAL FOR RECORDING
I herbycertify that the subdivision plat shown hereon is
exempt from the subdivision provisions of the Cornelius
Land Development Code, and is therefore exempt from its
provisions.The plot has been found to comply with the
zoning regulations of the Cornelius Land Development
Code,ond has be approved by the Town of Cornelius
for recording In the office of the Register of Deeds of
Mecklenburg County.
IiIVIL-
Data Planning Dilecttor,Cornelius.Nortif Carolina
THIS SURVEY IS OF AN EXISTING PARCEL OR PARCELS OF LAND.
PR�SSIONAL LAND SURVEYOR
EXEMPT PLAT
OF
LOT 63 & LOT 64A CRESCENT LAND & TIMBER, SEC. 6
MAP BOOK 17, PG. 550
MAP BOOK 50, PG. 785
LEMLEY TWSP., TOWN OF CORNELIUS, MECKLENBURG CO., N.C.
SCALE: 1• . 40• DATE PLATTED: DECEMBER 26. 2012
GRAPHIC SCALE OWNER (LOT 63): STL INVESTMENTS, LLC
„ P.O. BOX 1677
CORNELIUS, NC 28031
(
IN FEET) OWNER (LOT 64A): JAMIE ROLEWICZ & SARA ROLEWICZ
t Inch • 40 n P.O. BOX 1677
CORNELIUS, NC 28031
FILE NAME: i30736DWG

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Map data ©2016 Google 200 ft
Todd Properties
https://www.google.com/maps/g35.454335,-80.9404257,17z 12/l/2016

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