20170012 Ver 1_Shoreline Stabilization_20161230

DOKE ENERGY INTERNAL USE ONLY:
Date Received: I I FAF Paid
Application Complete
20170012
_ Construction
Application f: DUKE
wrppP ENERGY.
11. APPLICANT INFORMATION (applicant mailing address and contact information)
Name* S G1,1� F --IJ S Primary Phone' Tj- "7th
Address* I &ret* -QrV ( VI LA" Secondary Phone
City* G6(rY�Q,�iti(S State* Zip Code* r�a Fax Number
Address* p
City" State" ® Zip Code*
Lake*:
Subdivisio /Jj/y5-q1'f� Lot(s)
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)* I3 ►J 'i'lY� l b
service/software to easily acquire the location information. Values
should be provided in Decimal Degrees format (35.1245). �lJ a —
Longitude (e.g. -80.12345)' 1
example 3er3r�ce�''..httpJ/itouchr��i.tom/Iatlora�.ttirnl 2=1a
W. PROPOSED. ACTIVITY
C New/Modification of Existing Structure C Maintenance of Existing Structure Is Dock
Covered?
New/Modification of Existing Shoreline Stabilization C Maintenance of Existing Shoreline Stabilization ❑
(' New/Modification of Existing Structure & Stabilization C' Maintenance of Existing Structure & Stabilization of Slips
C Transfer of Ownership C' Other (please describe below) # of Jetports
Area over land (sq ft) Area over water (sq ft) Total 5quare Feet
Shoreline Stabilization (feet) Length of
Stabilization
Brief Description
of the Activity
ias
Distance from Shoreline) wJ
Materials
We—
Describe
L
Describe Briefly the Existing
Structures Over Land and
Water (include sq ft)
wc—

V. Dock BuiWer or Engineer
Cdh
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
E acture 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
[ErApplication fee (check only, payable to Duke Energy) Signed User Agreement Letter
[?Applicable local, state, and federal permits ❑ Man and profile drawing showing all measurements and elevations
0 Habitat Enhancement payment (if applicable)
• Approval Process
• Application is reviewed and determined if complete. Fields with an asterisk are required,
• If application isnot 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.
iNFaction;: bryiittoad -
Directions by v -&-AA l to 119 k, c
Road'
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 take Servicesfft
FQtm
Duke Energy
PO Box 10061 ECI2Q
Charlotte, NC 28201
I agree that the Information contained within is accurate. /(/ k— r
w44

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
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 Informa . n
Name: G ArL 165 S
Mailing Address: /7.2a6 I o
1Y( aed3t
Telephone Number: OV. . 610 A -77� Fax Number:
E-mail Address: — SS &ZD /K e.4( 51.0,g•��'1
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.armV.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHO
RIZATION FORM. df) must be attached if the Agent has signed this application form.
./ - -
Name:
Company Affiliation
Mailing Address:
� Oo PCJS tf d e , �/Y C P4 fl !;
Telephone Number: -70 ��0 S�/l ( Fax Number:
E-mail Address: W •We�=
Person to receive the Certification Approval:
�A nom. N'N
c
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, etc.),
rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations, and
FORM: SSGP 10-2013 Page 1 of 3

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)
Nearest Town:County: MCG�I✓
'O 1o��
Subdivision name or site address (include phase/lot number): �i� See /� 3
Direction to site - p1 ase i elude road names and nu hers, landmarks, etc.:
Latitude (in decimal degrees}�' 9 12, Longitude (dedmai dmrm)
S. ,Describe the existing land use or condition of/the s' ea the time of this application
(residential, undeveloped, etc.): re --5
6. Property size (acres): 6.4109
7. Lake/ river/ ocean adjacent to property: 1,.4 Al - Norm a -J
8. Describe proposed work (include disco siqn�' a to how h rdeni�ng of sh reline has b en
avoided, or why it is necessary): SPI i zL S�iio�r(��Kt = s; sN
9. Will work be conducted from land? ❑: From water? EJ
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;
/a25Ix 31
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal poll lake level/Normal Water Level and SO feet land -ward in
square feet or acres l a'S%C
12 Please describe the vegetation above the normal pool lakelevel/ Normal Water Level and 50
feet landward to be impacted (number of trees, for instance): _ rr4 S 5 — ,S"
[155 NCAC 021J .osaztfii
Agent's signature is valid only if an authorization letter from the owner is provided
FORM: SSCP 10-2013 Page 2 of 3

I'111S IS '1'0 CF:I('I'II Y TIIAT ON 'TIIF: ! J111.____._ DAY OF _ �1��"11,3� ... Iv • • ,,,. !...,....,.
Sl1R�I Y WAS MADK UNDER MY SUPERVISION OF THE, PROPERTY SHOWN ON 'fills PLAT, AND TIIAT THE BOUNDARY LINES
AND 'TIIF: IMPROVEMENTS. IF ANY. ARE AS SIIOWN IIEREON. '1'1115 PLAT MEE"I'S THE MINIMUM til'ANDARDS OF PRACTICE
FOR LAND SURVEYING IN NORTH CAROLINA. HOARD RULE 1000 (21 NCAC 56) AND THE F:RHOR OF CI-OSURK FOR 'rills
PARCEL DOES NOT EXCE.F:D ONE (1) FOOT I'IEIi 10.060 F4F:'1' OF' PERIMETER SURVEYED NOR 20 SECONDS 'TIMES 'TIIF:
SQUARE ROOT OF 'THE NUMBER OF ANGLES TURNED.
SIGNED_
R. II. PIIARR k ASS REGISTERED SUIIvt:YOIIS
.... _._._.__..._-----.---•---- WOo ASI WNRI Sr I CRC ;-- RA17i3 "'" RC01'STD-'
CIwi(704) NA. 20204(,1_� I lt_.I_. _.._..__.I
t ) C7 IFI. [phone] -
2IIILOT Ri-urli
MZ C
`��O �. •rrr rro`�
JOHN CONNER m M9pFFRf .' ad 9� :r
ROADSEAL -
c3 S Ok
L-3807 0:
N.C.. I IIYY. l �'� •;� /
"r,,s�1 ftySI.'�� /
INIERSIAW IIWY. !/ ���Li"441
/f1':.
—^' VICINITY HAP / a
NOV IO SCALE
LAKE NORMAN P.
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a Al
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t\amu �•
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7 WON_ �_�--.�� N n� II/`',7n7" �~ •
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F�
50 REpVXE OwER CO , ( I,OT 104APER � � I
rt li t I i
v I n I
LOT 103
LOT 102 '
� VACANT I vI
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4 I U
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ri m
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lui I IN
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1 INE I I�
LEGEND
r.l.l'. T XISTING IRON PIN I
NEW IRON PIN I r
R/W = RIGHT OF WAY L
I
E.i.p. I
t
NOTE: L'p41 LZ S
NO N.C.G.S. MONUMENT LIES WITHIN 3 ,OZpoLA y���
2000' OF SUBJECT PROPERTY. JS?: \�
EJ.p. GREEN DOLPHIN LINE �
Q 4 S.R. # 2308 `, �'oPK Noil
°if (60' DEDICATED PUBLIC RIGHT OF WAY)
�v
m
•la
I�
I
Area
28,165 sq.ft.
PK NoiIA 0.6466 acres
SURVEY OF
_ PART OF LOT 103, SECTION 2, LAKE NORMAN RECREATION LOTS AND ADJACENT PRACEI_ ^
LEMI,rY TOWNSHIP, MECKLENBURG COUNTY.
NORTH CAROLINA
THE PROPERTY OF DAVID M. I_EONHARDT AND TERESA B. LEONHARDT
FLOOD CERTIFICATION IS NOr
SCALE _1! .__ � ' Tills IS TO CERTIFY THAT TIIE SUBJECT PROPERTY
MAP GOOK 1 7 PAGE _ S�2 LOCATED IN A SPECIAL FLOOD HAZARD AREA AS SHOWN ON
MAPS PREPARED BY THE FEDERAL EMERGENCY MANAGEMENT
8818 0512 AGENCY FEDERAL INSURANCE ADMINISTRATION, DA'TF.D
DEED BOOK 7684 PAGE 0112
TAX NUMBER: 001-071—PART Of 33 couNiv COMMUNITY (PANEL NUMBER 370158 0(115 0 1( . % 46018

Lake
(At Full Pond/ Normal Water Level)
3
Full Pond/
Normal Water Level
...�
Shor line
r z-� 57-.4 #v,
A
l�5705•
lbs
l r /'p-57��p a 5'.P.
(�-Z,Att /ks, A C /u �- (4 3
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

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