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Home My WebLink About20170451 Ver 1_Shoreline Stabilization_20170417I DUKE ENERGY INTERNAL USE ONLY: Construction t� Date Received: FAF Paid Application C V�� ❑ Application Complete version 73p ENERGY HEP Fund Permit No. Water Strategy, Hydro Licensing and Lake Services Duke Energy PO Box 1006/ EC12Q 2 0 7 0 4 5 Site ID Close -Out Date Charlotte, NC 28201 I. DATE OF APPLICATION* Permit/Tag #.: If. APPLICANT INFORMATION (applicant mailing address and contact information)y�� Name* `j o Y-\ r� �,)a Dim&r Address* I r Q -'�® k 41 t -j--) I Secondary Phone Primary Phone* I _� 04 - i�. State N/ Zip Code* III. PROPERTY INFORMATION (location of .permit) Address* City* x ?.J Q�. S V l;3 P6 t ��.. Or. County" 1l County Parcel ID number RESOURCES � PERMITTI c o<, n � t i 6 State - [q Zip Code* (; 100 0 Lake*: (� k c f Dirw�G (e.g. Pin, Tax ID, TMS 1'l Number._) Subdivision U i 4" - . L /� — �'10yY1�"� � �� Lot(s) � Plat Book/Page 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. L� should be provided in Decimal Degrees format (35 1245). example service: httpJltout#�rr�ap.coni/latlora htrni Longitude (e.g. -80.12345)*Lb 0. IV, .PROPOSED ACTIVITY C New/Modification of Existing Structure C Maintenance of Existing Structure Is Dock 0 New/Modification of Existing Shoreline Stabilization C Maintenance of Existing Shoreline Stabilization ❑ Covered? C' New/Modification of Existing Structure & Stabilization (' Maintenance of Existing Structure & Stabilization # of Slips ❑ C Transfer of Ownership (' Other (please describe below) # of Jetports ❑ Area over land (sq ft) I r Area over water (sq ft) j- I Total Square Feet Shoreline Stabilization (feet) Length of fi Distance From Shoreline Stabilization Materials bou ida- rr 1-7 (-AV Brief Description x'15 t C> l 1 5, C rN 0� v1 �r1 La l� Cbout d�r i'\ CLA- C,, CF' rc. P 5+ of the Activity ! C) I /v rG h C) r` I� rA r cx ��(G 5 -j -c �rt-A Describe Briefly the Existing tJ 4 l S�, x 1 I, j Lq Structures Over Land and Water (include sq ft) V. Dock Builder or Engineer Name/Company I C:b(-. '5-ttn(- 3 'fie ("-tr'l ; -1 Address K J6 O'A(-N'U t' wr-) W Phone Number City OUIf' j ( State R Zip Code 1 Email VI. Checklist of Required Documents (to include with Application Submission) V �- IVuu Recent 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) [(Photos 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) mlSigned User Agreement Letter applicable local, state, and federal permits ❑ Plan and profile drawing showing all measurements and elevations ❑ Habitat Enhancement payment (if applicable) Vil. Approval Proce$S • 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. YYlll. Direc*oris bylioad Directions by Road* 1� nUX, t f 541 t o� cam-+ X, App1�on 5ubm1ssion 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 Form_ PO Box 1006/EC12Q r Charlotte, NC 28201 I I agree that the information contained within is accurate: 12,— State of North Carolina Department of Environment and Natural Resources D WR Division of Water Resources Division of Water Resources 15A NCAC 02H .0500 — Water quality certification, Shoreline Stabilization FORM: SSCP 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 1. Owner Information Name: ,'Tovin wck�on<,r Mailing Address: Cor nzI iUS, AL a�3631 Telephone Number:'1uL1-,X5(P -0550 Fax Number: E-mail Address: �1yn n,tJq 9p1�C5 �; I . Go,�►-i 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: C h i 9 1(1 d 9 �5 Company Affiliation: Etc-, �Siw-t. Mailing Address: (fit .S�3 ( rlri`°1°)�_ VArm 110 Telephone Number: 16LI -(A (s 0 - 5 j I j Fax Number: -15 Li - (A Co 6 - '5GI (911( E-mail Address: c,bC,Sta W G 15 1ptff' WG( 5+ ru "l Person to receive the Certification Approval: Project Information [15A NCAC 02H .0502(a) & (b)1 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: l)5 Subdivision name or site address (include phase/lot number): 0OV(i"0►%ny &/Q C)13 � (�� I'icyloolf, Pbi, pry Cora.--i;u 3 IyG Directions to site - please include road names and numbers, landmarks, etc.: 11 Q)f 'b Cx,+ d8,Q,(-S4 pn y 5 G.1 Latitude (in decimal degrees)3S • t-13 9 Longitude (decimal degrees) Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): (L!061\4 ('C, hd Y►14- tj t -01 ;j�r, (-i4i Property size (acres): U • Lllq(J cluf 5 Lake/ river/ ocean adjacent to property:. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): WJ/- ( c�dfy.. Lo I J G r)J ,,No trLfj li. / I Y� 1 l� �✓ib� �� L��1 l„)) do I�� ti, (Q2 . 9. Will work be conducted from land? 21, 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: I X &15' 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: 5;/a >< G-1:51 12. Please describe the vegetation above the normal pool lake level/ Normal W ter Level and 50 feet landward to be impacted (number of trees, for instance): rrII5 s Sce,_ %c,+GS � LJ -t, 0;” /Agent's Signature* Printed Name Date '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 A��,c� ' Lake (At Full Pond/Normal Waterlevel) FAI /9/3x2 SAX /� ✓� �r- ago�t 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 I 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 o FS LOT 42 21,618 SOFT Z cam/ 0.496 ACRES b W a - z z A, / 2 is r/ - a0• spd � 9� J \ Graphic Scale 40 20 0 40 Scale of Drawing 1 Indy - 40 Feet n 001-753-02 JAMES RANDALL FERREL LORI L FERRET. DB. 2BB07, PG 495 NOTES 1. NO NCGS MONUMENT FOUND WITHIN 2000'. 2. PROPERTY MAY BE SUBJECT TO OTIM COVENANTS, RESTRICTIONS. EASEMENTS OR RIGHTS -0F -WAY THAT MAY BE OF RECORD. 3. SETBACKS SHOWN ARE PER TOWN OF CORNELIUS CURRENT 'GR" INFILL ZONING. AND THE TOWNS PLANNING AND CODE ENFORCEMENT DEPT. VIA EMAIL DATED 12/012016. 4. CONSULT WITH GOVERNING AGENCY FOR PREVAILING LAND DEVELOPMENT AND ZONING REQUIREMENTS PRIORTODESIGNOR CONSTRUCTION OF ANY IMPROVEMENTS. LEGEND: 44 MAR FOUND CAko� Crai .Long, P.LS. p �Essr '•. ti 1833 ILLE . SUITE A tsi r/ L 2993 CORNELIUS, N.C. 28031 x (704) 765-5134 O ch j`-/-...... ADJOINER PROPERTY UNE As Recorded in a 18335 Old Statesville Road Ste. A Comelius, N.C. 28031 OVERHEAD UTILITIES 11u CORNELIUS NC 28031 704-765-5134 Phone/Fax Homes DB. 19110, PG. 165 MECKLENBURG COUNTY Firm License: C-3666 spd � 9� J \ Graphic Scale 40 20 0 40 Scale of Drawing 1 Indy - 40 Feet n 001-753-02 JAMES RANDALL FERREL LORI L FERRET. DB. 2BB07, PG 495 NOTES 1. NO NCGS MONUMENT FOUND WITHIN 2000'. 2. PROPERTY MAY BE SUBJECT TO OTIM COVENANTS, RESTRICTIONS. EASEMENTS OR RIGHTS -0F -WAY THAT MAY BE OF RECORD. 3. SETBACKS SHOWN ARE PER TOWN OF CORNELIUS CURRENT 'GR" INFILL ZONING. AND THE TOWNS PLANNING AND CODE ENFORCEMENT DEPT. VIA EMAIL DATED 12/012016. 4. CONSULT WITH GOVERNING AGENCY FOR PREVAILING LAND DEVELOPMENT AND ZONING REQUIREMENTS PRIORTODESIGNOR CONSTRUCTION OF ANY IMPROVEMENTS. LEGEND: 44 MAR FOUND O COMPUTED POINT • 60d NAIL FOUND A UTILITY POLE fY SUBJECT PROPERTY LINE ADJOINER PROPERTY UNE As Recorded in BUILDING SETBACK 18335 Old Statesville Road Ste. A Comelius, N.C. 28031 OVERHEAD UTILITIES 11u Physical Survey of LOT 42 OF MOUNTAIN VIEW BEACH Professional Site Address: Fr/ Property Surveyors, Inc. Made at the 19132 N. BEATTIES FORD Request of: As Recorded in ROAD 18335 Old Statesville Road Ste. A Comelius, N.C. 28031 Southern Cottage t PLAT BOOK 12, PG. 13 CORNELIUS NC 28031 704-765-5134 Phone/Fax Homes DB. 19110, PG. 165 MECKLENBURG COUNTY Firm License: C-3666 LAST REVISED 12/01/2016 SETBACKS 110916-01 JEC 21 10000 1 "=40' Error oTR Dmwio Scale 001-753-01 19132 N BEATTI Tax Parcel Number Drawing File Name 1 of 1 Shcet Number 11/11/1016 Date Job No. P Google Maps Go gle Maps 0 n OAuto 21St 0 Page 1 of 1 Flex Lease Financial E O Map data 02017 Google 200 ft 1 https://www.google.com/maps/@35.4738069,-80.9266744,17z 4/7/2017 MapCard - Print your custom map LtNIV `a CO \ K E LLEVA t ION y760 t Boat ' Marina s ! Ramp / 1V' 0 R lel' A N ' Marisa �{ -, f '^Y y� ,�'• Marina 777' mpgrounds w / \ e j� 4 A 0 0.5 Mi 0 2000 Ft Page 1 of 1 http://map-pass.mytopo.com/maps/print_local.asp?print= l &scale=5.00&layer=DRG&lat=3... 4/7/2017 2