20170097 Ver 2_Shoreline Stabilization_20170202

DUKE ENERGY INTERNAL USE ONLY:
Construction
Date Received: FAF Paid Application
Application Complete
version 13p
DUKE
ENERGY,
Permit No. I I Water Strategy, Hydro Licensing and Lake Services
HEI' Fund Duke Energy
PO Box 1006/ EC12Q
Site 10 Close -Out Date Charlotte, NC 28201
I. DATE OF APPLICATION* 7 dol 7 Permit/Tag
If. APPLICANT INFORMATION (applicant mailing address and contact information)
Name* Y/5 Arn
Address* /I/!. S St e- n 1rG L
City*p(^CSVI �� State* © Zip Code*
III. PROPERTY INFORMATION (location of Permit)
Address* /f 5 iffe C < Cj rG G
City* 1701-e5 State* © Zip Code*
Lake*: o r .41
Subdivision lzvo r ty"Q Lot(s) l
Primary Phone` 5-7� 3 - X54
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)*Z-
service/software to easily acquire the location information. Values
should be provided in Decimal Degrees format (35.1245). ¢�
Longitude (e.g. -80.12345)* W • �
example service: http✓Titouchmap.comAatlong.htmI
IV. PROPOSED ACTIVITY
C New/Modification of Existing Structure C1 Maintenance of Existing StructureI Is Dock
El Covered?
New/Modification of Existing Shoreline Stabilization C Maintenance of Existing Shoreline Stabilization
New/Modification of Existing Structure & Stabilization (i Maintenance of Existing Structure & Stabilization
C Transfer of Ownership
(^ Other (please describe below)
Area over land (sq ft) I I Area over water (sq ft) I I Total Square Feet I
# of Slips 11
# of Jetports ❑
Shoreline Stabilization (feet)Length of - Distance From Shoreline Wi �� C �eW 'S Ari
itN
Stabilization 2Jv
Materials .5710/v< -
Brief
/NL
Brief Description
of the Activity
�&jle/4 WA1 T ej.�i 5
er ��A� T�A�iS D^l prop ev, J
���� 5 i �
Describe Briefly the Existing
Structures Over Land and
Water (include sq ft)
res ijt^ +A-1 Gee rpt AAJfY aAr,4C�_h ,/

V. Dock Builder or Engineer
Name/Company I 07 -WC- >ry R
Address L{�L� ©r9Kn;c�gc �.� Nr Phone Number (�QG�
cityN i� s.r., 0O rYs tl i l c c ' w State © Zip Code �iiit�S Emai J SCf� k% ��f 1���1/�S in'R At
VI. Checklist of Required Documents (to include with Application Submission)
e—ecent 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)
Erphotos 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
P 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. Diirectiorts by.Rdad
Directions by �-- (�
Road* 0 o✓ Fe v -A( ! l-1
IX. Appliicadpn,. Subrriission
e
L�D S S e G C%vGf�
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
Box 1006/ E
Ch
Charlotte, NC 282078201
I agree that the information contained within is accurate:

State of North Carolina
Department of Environment and Natural Resources
DWI&
Division of Water Resources
Division of Water Resources 1SA 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 Infor,,m/ation
Name: (.�!r,s CAmp6elI
Mailing Address: 1.5,'¢' NNC s se_e_ Ci rdt
M oores rt 11 e 9 At C X8//7
Telephone Number: 57- • .25 3 - a 556 Fax Number:
E-mail Address: r;s (p /-r ; OA3CCA(5uIii Nq • Co M
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 FORM.pdf) must be attached if the Agent has signed this application form.
Name: /-_A If n R r - t dm e 5
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
pAyt'r%
&a re_yvi ne
"0.
! RQ c 1-W
Fax Number:
Person to receive the Certification Approval: 6A
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 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: Nearest Town: DYE Sd% ll�
Subdivision name or site address (include phase/lot number): Alor`/-fr► Woo 4 1 a PA.1�SL
Directions to site - please incl de road names and numbers, landmarks, etc.: A
lqrwl
� �✓'�sscc Cr,rY
Latitude (in decimal degreesJ� '6 LK01— Longitude (decimal degrees) 0.11018 _
5. Describe the existing land use or condition of
y site at the time of this application(residential, undeveloped, etc.): rifSidwX0 I
6. Property size (acres): 7
7. Lake/ river/ ocean adjacent to property:
8. Describe proposed work (include discuJsion a to how hardening of sh eline has b n
avoided, or why it is necessary): STA6i i Sha jNc ►'rl/cr✓ G!-oSiOA/
7
10.
Will work be conducted from land? P4 From water? []
Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
11. Total amount of disturbance (including all clearing, backfill, excavation, rip rap, retaining
walls, etc.) above the normal pool)ake 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/ Nor all Wa r Level and 50
feet landward to be impacted (number of trees, for instance): S
rJ9 I*?
Owner/Agent's Signature Printed Name Pate
j15A NCAC 02H .0502(f))
'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
�C
Lake
(At Full Pond/ Normal Water Level)
S/6 �
a 50 (
6'�P- � �✓PSSee (;'r6A-
Moo resvi Ut ., n(C 98117
yCA, Yj-
.5'e
.
0 5--�"
1-��) gee CSS
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

NORTXNOOD CROUP. LLC
1023/81
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DONALD C. MKLCX. JR
COU"O Al l2 X \ 1
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DONALD C. MKLCX. JR
COU"O Al l2 X \ 1
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LOT 3 COLLINS KSTAT6
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BARRY TODD XONKYCUTT
77! NE
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00N ALLBM k ASSOCIATZ9 P.A.
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•
go�
P.d1eNg0on IN'" •• •5+010rW - WNyn�T MWtaPogipMWy '
III Q..d"t D"-%tr 102• Vb .LLQ 2M
tl7
(701) 0117909 1704) 04-6N1 ft
dmew7OMM4.annN
LOT 3 COLLINS KSTAT6
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BARRY TODD XONKYCUTT
77! NE
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NOlEB
1) ANY FAg71D11SY AND/OR CT .
flCREA M MAY OF BY
TNK
2) ACREAGE COOU7F0 BY THE
COMM MERDO.
3) OVERNM FOM
NO ORD MONIA"T FOUND mm
2DOO FEDI.
S) TAX REFOID E NNI9ERS 40309679/9 k 4630469932
6) OW REFERENCE MAMM 1217/1470
LOT ILOT E
7.23 AC. KEVIN SCOTTXOMMU77
IOWA
30' VEGETATIVE \ \
BUFFER ON EACH
SIDE OF CREEK \ \ .�-
9URvEvou conmAim
L N UJAM M. MIEN OBRIFT THAT 'DQ MAP WAS ORANN
USM NY UNOER MY SUPIDWSION FROM AN ACIURN. "VV MW
N DEEP O TDN RECd10l0
N eDON_� PACE �D LAW TIE AN D OF
PREC90N AS 1:1000% BY T INE 0E8 AND
0EPM1ED A D; 1: 1000% (INAT TIE IM PLOT ES NOT
FRO
91D1iTED ARE SHOWN AS 6NaIfEN W!E PLDTi® FR01
eeFOR7uTIDN FOWD N BOO( ►AQ _,k
7NAT 1196 W1P 1M3 PREPARED N AOCOIDANCE NITN
6B. 47_39 As AIEIDEO.
wTl eNfO AND SEN. TIMe ri�l. DAY 0/
AA. loll. /ii -1
BOUNDARY SURVEY
OF
IATS i & 5 NORTHWOOD SUBD., PH• i
DAVOSM TMSP. MEW C0. N.C.
60NC r - 60'PAM NONMIM 14 2014
OWNER: PAUL E. LONG
a 3D• a tm'
SCALE N FEET
�
y ` 11 � 1� / , \ \
6` LOT 4 1 161ieua i \ \
4C. KDNNDTX Y. PARACR 1 1ep14 HA,RR N, V' \
11 T8R1 /IBBPARM LOT f
ix"xrm A Borm". JR
Vfa L, �i 2$& }/ 163
LOT 3 \
P/DRRB YOISD 1 \
1 1
152211754
ISD
2291/163
FRE NN/E NORTHMDOD 1-3

•••p•,� l- - — ..,arc w - —.11w u.vr v --V P-1111,srR be Awed.
d) Property Zoned: RR
9) Totaf froct to be subd~ this sheet: ,'14.70+/- Acres
to) rotof numbw of lots created this sheet- t/
11) Smallest lot eswotsd this sheet• tot 2 0113 Arne
12) AN area desfgnated of Per recreation use !haft be
owned and mafntained by the homeowners oasocfat/on.
13) bons set 10' on /lie along waterfront lots only
/era X17 mo o roo ma e» we
Alt
(
IN FEET )
I inch - ZDO tL
PA=RSON SURVEYING, P.A.
P.O. BOX 1367, Mooresville, N.C. 26115
[phone] • fox [phone]
I Joel N. Patterson IA, eerttfy that this plat was dray under my superhslon
from an actual syrvey made der my supervision (deed description and/or
Mop Book )02J Page 81 That the boundaries not surveyed aro dearly
indicated as drown from Information found in Book � Pogo that
the ratio of precision as calculated Is 1: 10,000+ that this plot creates a
subdivision of land within o county or municipality that has an ordinance that
regulates parcels of land. The ratio of precision os calculated Is V: 10,000'+
that this plat was prepared in accordance with G.S. 47-30 as amended.
Witness my original signature, registration number and sed.
This_ 16t�r Mj2e - A.D. 1997.
Nor" Carolina, IiW49fr0tM ty
4Aa�/
JOEL H. PATTERSON III `
REGISTRATION NUMBER: L-3717
1. o Notary Public if the County and State aforesaid, certify that
Joel H. Patterson M, a Registered Land Surveyor, personally appeared
before me this day and acknowledged the execution of the foregoanq
instrument Witness my hand and officid stomp or sed, this Is.+'�
day of mss., 1997.
"Of f lU4l SEAL"
t Notary Fuhir, North Carolina
County of Iredell NotM Public
Cindy M. Cardamon s
4 My Commission Expires t -i My commission explies: (8-2- o2
I hereby certify that the subdivision plat shown hereon has been found to comply
with the subdivision regulations of the county of Iredell, North Carolina. I
further certify that all streets, utilities and other required Improvements have
been Installed in an acceptable manna or the Installation of the required
Improvements in an bond amount and mormw satisfactory to the County of
Iredell has been received, and that the filing fee for this plat In the amount
of S -0 has been received This plat hos bee approved by "e subdivision
administrator far recording in the Office of the Register of Deeds of Iredell
County.
AnMV &&,/71�� -
Date Subdivision Adm-stratur
AN lots within Northwood Subdivhlon to the best of my la ow edge IN
within the WS -IV. Critical area of the Lake Norman/Catawba watershed bosh
as designated by the North Carolina Division of Environmental Management
and as appears on the Watershed Protection Map of Iredell County.
b'
Date Subdivision Administrator
I, hereby certify that I am the owner of the property shown and des,o ed
hereon. which Is located In the subdvlslon jurisdiction of the County of Iredell.
And that I hereby adopt this plan of subdivision with my free consent and
establish
minimum building oetbyks as noted.
�5�•� r r f_
/
Monger/ Northwood Group. LLC
North Caroline, Iredell County.
4 Cindy M. Co. do.. one. a Notary Public for said County and Stole, do hereby
certify 1HORN7CW BROLKS on -Wer of 1A0R7NW0X1 QWW,, UC a limited liability company,
peraonoAy appeared before me this day and acknowledged the due
execution of the foregoing Instrument an behalf of "e. company.
Wain a my hand and official stamp or sed, this 1� day
of Li 1997.
: 0111CIA1 $CAL••1%&Wry Public
(,Q : Notary Pubfit, North Carolina
\;� I. r Cou�ryoflrcdell My Commfssion expIrer. %'ZL20QZ
� C ` `' TI. Cardamons
rr B 0 2 2011

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