20170341 Ver 1_Shoreline Stabilization_20170324

2 0 1 7 0 3 4
DUKE ENERGY INTERNAL USE ONLY:
Construction DUKE
Date Received: FAF Paid Application -( "'ENERGY version 13p E ` `E RGY
[� Application Complete
Permit No. Water Strategy, Hydro Licensing and Lake Services
HEI' Fund Duke Energy -
PO Box 1006/ EC12Q
Site ID Close -Out Date Charlotte, NC 28201
I. DATE OF APPLICATION*
Permit/Tag #.:
If. APPLICANT INFORMATION (applicant mailing address and contact information)
Address* D 1WX 3 3`90 Secondary Phone
City" State* Zip Code* Fax Number
Email* %/(&— keAi/ lk, r—,,� Aknite-5-COM
III. PROPERTY INFORMATION (location of permit)
Address* ��G 'TY-{ L d County* :rrGdtll
City* 00 -stn it d State* ® Zip Code* County Parcel ID number �I
(e.g. Pin, Tax ID, TMS1-
Lake*: eV -M ¢/J Number...)
Subdivision Lot(s) Plat Book/Page a 36 % P /9 8T
To enter the Latitude and Longitude of the property, please use a Latitude (e.g. 35.12345)* 5 , �7 0 g
service/software to easily acquire the location information. Values
should be provided in Decimal Degrees format (351245).
exam 1e ervre .:l+ dTr#t ucfim .cotxi/latlo htrnl Longitude (e.g. -80.12345)* 90, f /Z /,j
IV. PROPOSED A11MI ITY
C New/Modification of Existing Structure C Maintenance of Existing StructureIs Dock
Covered?
ew odification of Existing Shoreline Stabilization C Maintenance of Existing Shoreline Stabilization ❑
C ew/Modification of Existing Structure & Stabilization (' Maintenance of Existing Structure & Stabilization # of Slips
C Transfer of Ownership (' Other (please describe below) # of Jetports F1
Area over land (sq ft) I I Area over water (sq h) I I Total Square Feet
Shoreline Stabilization (feet) Length of S74 Distance From Shoreline W �) �(/� e r,,1
Stabilization
Materials
Brief Description
of the Activity
Describe Briefly the Existing
Structures Over Land and
Water (include sq ft)
KoodeGk I A -

�V. Dock Builder or Engineer....._. -....._....,......._... ... _.._...,.. .._....._....__._._------.__...._._...._.�_._....._..... .. _..
Name/Company eGy :.0yq
AddressJ7 8 �! �j4 s'7il Phone Number d •S//�
City 4- State 9 Zip Code
j0W.,1 � Email �5 i/✓i{57�/r7� •
V!. Checklist of Required Documents (to Include with Application Submission) _
•ecent Survey (stamped/signed by a professional licensed surveyor showing the location of the existing or proposed
uu structure and/or survey of the existing or proposed stabilization)
8/photos along property shoreline and photos of any existing structures and/or stabilization In or near the water
[�Applicatlon fee (check only, payable to Duke Energy) Signed User Agreement Letter
21pplicable local, state, and federal permits ❑ Plan and profile drawing showing all measurements and elevations
Habitat Enhancement payment (If applicable)
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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.
MR. Directions byltoad - - -
Directions b)/
Ro
Road•
�M Appikotdon Subtnlsilow
Jai W to wt I11*rA504 ICA.1 o
�.
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
Duke Energy Print: Fottn
PO Box 1006/ EC12Q
Charlotte, NC28201
1 agree that the information contained within Is

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of Water Resources 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
Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information 1 I
Name: lowa ` IQ' �r�/ieuJ L -LC Lei I&Adsr
Mailing Address: R a ?)0x 33M
YYl OOMSMlt NC S(I-7
Telephone Number:71A. -62.6 410 Fax Number:
E-mail Address: Awl @/-,1en1We_1A &wlerAomcs • com
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 AUTHO
RIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: CA i n 15Y-Jqe. s
Company Affiliation: c6c
Mailing Address:t�J/4-KrY'i
c
mac.
Telephone Number: 70�. �(00• SI l ( Fax Number:70`E D 5oJ 9
E-mail Address: rhe 5e,404-dS C° lL);AI [eS/ Lre- 4`n • J*J5-
Person to receive the Certification Approval: rA10Q Reld 9 LS
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)
County: Ir–TreA41 Nearest Town: oo rCSd� l�
Subdivision name or site address (include phase/lot number):
Directions to ite -please include road names and numbers, landmarks, etc.:
4.31% 0 8"J W!% !/4M'�SoN )U. �."��Ai ✓A -W ( sL�+os�11�l
Vim__, -i2.._LT__ .OJ
Latitude (in decimal degrees) 35 •670 �DO -r Longitude (decimal degrees) 2P •
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Y -C Si4e:"J44r,
6. Property size (acres): 5.3151
7. Lake/ river/ ocean adjacent to property: Kc- 0 r""J
8. Describe proposed work (include discussion as to how hardening o shoreline ha been
avoided, or why it is necessary):
9. Will work be conducted from land? ;4 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:
675 Ix 3-1P
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: g%5( x I
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): W odd p"s)
— I
er/Agent's Signature*
K. M J8(*Ier
Printed Name
f15A NCAC 02H .0502(f)1
'Agent's signature is valid only if an authorization letter from the owner is provided.
. 2.0.7017
Date
FORM: SSGP 10-2013 Page 2 of 3

Lake
(At Full Pond/ Normal Water Level)
Full Pond/ CO o Q a 6 Q G c,
C9�p �
C' 0, o�O op
Normal � i . <' c' o � C5 0 o e
Shoreline G a a O o d
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P
15
ag�16ad.iD
qj
C-
AY -
'UPI
J ke-IL-)o
3-q
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.
S. 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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--_______BTREE ROAD
Boundary and Physical Survey
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5.351 ACRES
Davidson Township, Iredell County, NC
PIN# 4626-96-6650 — D.B. 2242-1690
PIN# 4626-98-6427 — D.B. 2242-1690
PIN# 4636-06-2314 — D.B. 2242-1690
ns:M I M2Property of: CRESCENT COMMUNITIES LLC
Survey for: WOODLAND AND WATERVIEW, LLC
LOT 539
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--_______BTREE ROAD
Boundary and Physical Survey
a3 .50.5-19Y t Po ,F,TI
5.351 ACRES
Davidson Township, Iredell County, NC
PIN# 4626-96-6650 — D.B. 2242-1690
PIN# 4626-98-6427 — D.B. 2242-1690
PIN# 4636-06-2314 — D.B. 2242-1690
ns:M I M2Property of: CRESCENT COMMUNITIES LLC
Survey for: WOODLAND AND WATERVIEW, LLC

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