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Home My WebLink About20170421 Ver 1_Shoreline Stabilization_20170406DUWE ENERGY INTERNAL USE ONLY: Construction DUKE Date Received: L - FAF Paid Application n Application Complete velsion13P Permit No.�� Water Strategy, Hydro Licensing and Lake Services HEP Fund Duke Energy l 7 4 2 PO Box 1006/ EC12Q Site ID Close -Out Date Charlotte, NC 28201 I. DATE OF APPLICATION" , ��, j:�/ 7 Permit/Tag # : 0 00�- If. APPLICANT INFORMATION (applicant mailing address and contact information) 6- (� Name*Cr im h1Q Primary Phone* . 5�' p r -S Address * �3 3 e opt/ Secondary Phone m c City" t'AiC i us State* Zip Code` Fax Number Z Email* III. PROPERTY INFORMATION (location of permit) .Address* 03 3 _ e County* A'ecK 1tw`J City* Gl-� State* W Zip Code* F,Tf3 County Parcel ID number (e.g. Pin, Tax ID, TMS 001331015 Lake*: Number...) Subdivision 1)eA/jAfS1{ Lot(s) 1 o 3TZ4 Plat Book/Page � 7 To enter the Latitude and Longitude of the property, please use a � service/software to easily acquire the location information. Values Latitude (e.g. 35.12345)*5. 7� I 5 should be provided in Decimal Degrees format (35.1245). Longitude (e. 80.12345) example service: httpJ/itouchmap.cam/Jatlong.html g g - * So 93 Z f10 IV, PROPOSeD ACTIVITY New/Modification of Existing Structure (' Maintenance of Existing StructureI Is Dock Covered? IKNew/Modification of Existing Shoreline Stabilization C Maintenance of Existing Shoreline Stabilization (' New/Modification of Existing Structure & Stabilization (-Maintenance of Existing Structure & Stabilization C Transfer of Ownership Area over land (sq ft) C Other (please describe below) Area over water (sq ft) Shoreline Stabilization (feet) Length of �J Stabilization O` Total Square Feet # of Slips # of Jetports Distance From Shoreline + oy Materials L—vQ Brief Description ',��Z of the Activity 5�/ Z// �� Describe Briefly the Existing t� i1Ke- + C� Structures Over Land and Water (include sq ft) V. DockBuilderor Engineer Name/Company Phone Number 7• of o . S I Orp t"G3,Vi �% State Zip Code Address Phone Number City VI. Checklist of Required Documents (to include with Application Submission) —"fiecent 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) Photosalong .properly 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 VApplicable local, state, and federal permits Plan and profile drawing showing all measurements and elevations Habitat Enhancement payment (if applicable) V". 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. VI". Directions Directions by Road* 'X. Application Submission 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 PO Box 1006/ EC 12() print Form Charlotte, NC 28201 I agree that the information contained within is accurate: Signed By /qIwc�-> State of North Carolina Department of Environment and Natural Resources DWR Division of Water Resources 1SA 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 02U .0502(a)] 1. Owner Information Name. Mailing Address: iM&r(H 5A_ 10x5 ��vc/' u�s& C—° 3 1 Telephone Number: 79� (062. G Fax Number: E-mail Address: 2, Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter (a form can be downloaded here: htt :/f www.saw.usace.arm .mil Portals 59/dors/rep�ulato regLo� sl(—I fnitsLS�t t'LL AGENT AUTi O R1ZATI0N __FORMpdf) must be attached if the Agent has signed this application form. Name: �C11111.5 ,l'rd e_s Company Affiliation: Mailing Address: Telephone Number:ZOf (Q� 57Z/l Fax Num er: -70 S4 W- E -mail -E-mail Address: � hc_5e4m� lIS e-w!Aral-5 trCA/A - Are- f` Person to receive the Certification Approval: )3 r/wo-e s Il. 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: u� Nearest Town: (,O rive l'!tiS Subdivision name or site ad ress (include phase/lot number): III -t- &i*-S&,IA X073-00 eO &--, -L /6,Y!5_3 J�ffeN A( Directions t site - please include r ad parnes and numbers, landmarks, etc.: 77 Al Latitude (in decimal degrees) 5. t61 /5 Longitude (decimaldegrees) 2d • /32-9 7 5. Describe the existing land use or condition of theite at the time of this application (residential, undeveloped, etc.): 4- 6. Property size (acres): '0. 95.E 7. Lake/ river/ ocean adjacent to property: I—Axe- Aorin,4d 8. Describe proposed work (include dis/cucgion as to how hardening f shoreline has been avoided, or why it is necessary): 5T"il'zG S6Lo /'G�nlc �ri 9. Will work be conducted from land? VI 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: 11. Total amount of disturbance (including all clearing, back fill, 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: -7-0,2-0 X / 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): i7 - Owner/Agent's Siknature Printed Name C [15A NCAC 02H .0502(f)] "Agent's signature is valid only if an authorization letter from the owner is provided. Date FORM: SSCP 10-2013 Page 2 of 3 Lake (At Full Pond/Normal Water Level) 3► W&tAl Ful! Pond/ NormajWUteLLe reel ! ■r �.. as war ars Shoreline - 3;.5 c(c• yd s I r� �cccss ro' CD r -Al `as, AC -ASO 31 -c- Pc,v V s 44 to � 300 Sec. "L - Please — 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: SSGP 10-2013 Page 3 of 3 AREA ' ARY LOT 300 0.830 ACRE 36.]52 SOFT. No7ES 7) Arm sWameae by OW01fi. CWOUWkn N.enea 2) r ■aay p% to wr FraN Out .Ae dbot W by a Aa ena aocwtl m. ealrr. S) Ngar(y r M n./)ief ro wr rAal::tAne EmwrrM and/or Alynt W •p * mwd ens Dew 111 W /a N IMr aY� Mw o/ 9aA1 -�jyofW byfy r FEW Iia lboe I) A. Amp AeA1Mr iNoNYim �HNON RA)E YAPS 5)Ab aeeAtA• AA.—t ft d WMR, roan' W sreAst v v«ty 4) SWee.n wb atW AM 17-544 7) Sue)at Pnwy 81aq . a CURVE TABLE l INmee a � a I* Aw I" PW a /Ta r4 N eyavAoa Asn w .ear" na! a4r ar a4ertAta (res Iae�►tAn raw/ w w n1« v wiii, rW w A.aar w w.aLW a. s1w.r w r.e.r dww�an smww AArnaefa Rand h e/MrM 4ear ear Mw w aceta Def Da retlo W I : r44GDH Ird eta R► ear mwb /a N A" C.I." A ~INibaYa f7IiY NNS tJ 00th 11.0. wort meN a �` eibMf enKer/ /aM1r r pseA oI /ars tns bw trot doge w e�AO Iewt. W. 21st day or.Adrl 20tH. NUM TA ARC RADIUS BEARING DISTANCE }8✓8 DOCOIma p113H4ALY IDB® AHD a/Lm Cl 00. 0, 111.ND' BSS. N41 0 111.58 HY THUYAB L NC.1rANL Pld 4.471A oN JNLI ?; ldOU _ 1ffi YID/8Y Rutz NOT n A �IO/ID DOrT/AfWl. LINE THOLE , NUM BEARING DISTANCE Tho -as E W1..A 0"I.S 4718 L1 S1MY 24.45 L2 rDio�D c�i �� t CAR�1111,� W o 9HV200 57.74 \ L5 slssa 4J 34 \ 2f�EESS%p1 9%t La 57BY4 E 24 St ?QQ '�, L7 AL c 40 0 40 80 SCALE: 1" - 40' =AI"M 101,rLRLN tains TpA Wlamrveyina Inc. LNIDII Humber c -am rx A17wounL @flet A.A.-MAR Nc mm phone (7W)878 -WW ^ emaLl Xunn/nDanBr1LA1DIILouLI.nW Nr �LZTaeoa Lt L-4716 Q IX ,III Boundary and Physical Survey 16833 Jetton Road C.L.&T. CORP LAKE NORMAN RECREATION LOTS SECTION 2 LOT 300 Town of Cornelius, Mecklenburg County, NC Parcel 4 00133105 - DB 27949-167 - MB 17-549 Property of: Kimberly Carr Walls \ \ 09� \ LEGEND try tAME (P/L) — — — — — RIGHT OF HAT (R/R) nE LDL' — — — — — AD" NG PROPEIM LOW FROM DEED LIT PUT -------------- PUL PGAV --------- PENH noomw PEVw POIIER LAME HU10W0 SEYBACK LAW --- ------ SO' WWA ?AV B/H7ER EX EMSIM PP PGNER POLE NY NN LER AEIER IF, 1ELEPHOIME PEDESTAL PS MESS" SEVER BOX 40 0 40 80 SCALE: 1" - 40' =AI"M 101,rLRLN tains TpA Wlamrveyina Inc. LNIDII Humber c -am rx A17wounL @flet A.A.-MAR Nc mm phone (7W)878 -WW ^ emaLl Xunn/nDanBr1LA1DIILouLI.nW Nr �LZTaeoa Lt L-4716 Q IX ,III Boundary and Physical Survey 16833 Jetton Road C.L.&T. 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