20170871 Ver 1_Shoreline Stabilization_20170714

�y 20170871
Y
DUKE ENERGY INTERNAL USE adNLY.
Construction �U��
Date Received. __ FAF Paid �� J ApplicatEan 6r
D Application Complete v.,,a.uv ENERGY,
. Permit No. �� Water Strategy, Hydro LlconsI and Lake Services
HEP Fund Duke Energy
Site ID Goss Out Date PO Box 1006/ EC120 @ a l/ j-�n
_ Charlotte ^NC 28201. l/ L9 D
1. LICATION• Perml!/Tag *.: ^- UL j
- _ DATE OF APP� _ _ ......-.�.. �_...... 4.2017
It. APPLICANT INFORMATION (applicant mailing eddteaa end contact Information)
• .. DEQ-WAT OUR
Name" izrz Primary Phone" '7aD - MITTIN
Address* 4�t) ..Q._�n Secondary Phone
CIV �.tySjE� State'•l�� zip Code* Fax Number
Small` .1 - W M N�� CMC -2
1lI. RROP�RTY 1NFORMA710N (lat;aatiott of perrnf�
Address' LAZ,,,►g iSMOtJ LAVE _ L� _.___...._. Counw CAc NQ..,..._. _ . ___....._......._ .
City' i e ELL State* C Zip Code* 28(ijaZ County parcel 10 number
(e.g. Pin, Tax ID, TMS
Lake'.
N0� Number-)
Subdivision }tri �(j�j bS Lot(s) D(L= Plat Book/Page
To enter the Latitude and Longitude of the property, please use a�
servicelsoftware to easily acquire the location information. Values Latitude (e.9 35.12345)"
should be provided in Decimal Degrees format (35.1245),
exxampleservice: http://itouchmap.cornllationg.htmI Longitude(t.g.-80.t234S1' �J yZ
�iV,PRORq13�tYAG11ViTY
r New/Modifrcation of Existing Structure (' Maintenance of Existing Structureis balk ^~
(P'9e'w/M0difica1i0n of Existing Shoreftne 5tablNxation r Maintenance of Usting Shoreline 5tabliization ❑ Covered?
C New/Modification of Existing Structure & Stabilization (Maintenance of Existing Structure & Stabilization t! of Sllps
('Transfer of Ownership C Other (please describe below) if of Jetpons
Am over land (sq ft) _ Area over water (sq ft) Total Squam Feet
Shoreline Stabiliaartion (het) Length of Distance From
Stabilization // r
Materials C
Brief Description
of the activity
Describe Briefly the Existing
Strictures Aver Land and
Water (include sq ft)
U/t
�t� r -A b
5; t"t /Ird1--

U. Dockl4ullderorenginser
Name/Company
Address CMZ° .....,LG�� ,�14t/Y►� _ Phone mber��
City yC1rt1� State ZlpCode R Emeq A 5 cJiNd s �r►�' . NUi
mCheridlate►fRequiredDocuments (to Include with Application Subt l'slon)
�ecenr
t Survey (stamped/signed by s professional IIcensed surveyor showing the location of the existing orproposed
�= structure and/or survey of the existing orproposed stabNliatlon)
PholosalongpmpertyshoreRneandphotosofanyexistingstructuresand/orstablli atlonInornearthewater
j�Application fee (check only, payableto nuke F.netgy) [, jogned laser Agreement letter
O<VIluble local, state, and federal permits Q Plan and profile draWlnp showing all measurements and elevations
0 Habitat Enhancement payment (dappticable)
�..... !1••..'..YNII •.VYIIY I...... 1..... , I .. .. .• ..n If.•.i ...Y.•./-... y. F. M ...4 .�Y I.. w.K•...•/w.... �iYYY41.... .. fl.•...'.. Y,.. .y n.jFIwYI•. .,vyr...•.f'
Vll. Altprova! ProcaYs
• Appilcalion Is reviewed and determined if complete. Fields with an asterisk are required.
• if application Is not complete or dors not Include all items and Information listed In the checklist, the
application will be returned as Incomplete.
e A Duke Energy representative will visit the site to conduct a visual inspection,
e 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.
VNI.Olreak" ttjiRood
77 -�O 341 WOW /YW /50� tsr✓
Wrecttons by 5 /l ,-.w tai✓ 5 /i'1.4.t/�(_0 ✓ L /v . o �j
Roads ( / !+ / •�' ' 1
M Application 5ubmlcaton
Please complete, print and sign this appiicat)an. Then enclose all items from the cheekhst above In sit envelope and
submit sit the Information to the address below
Water Strategy, Hydro licensing and Lake Services Print Farm
Duke Energy ---
100,1110000611C1124
Charlotte, He 28201 v
I agree that the information contalned withfn is accurate: _ _ 3•• —8 -- --

State of North Carolina
Department of Environment and Natural Resources
DWRDivision 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 Inform(r 'on
Name: VJ ;Ty_" TrS+ y
Mailing Address: 7& 14444 1
e1Jv.803-7
Telephone Number: 70 .363. $f)6Z)
E-mail Address: (r1-)4 KZM
2. Agent/ Contact Person Information
Fax Number: -7-#14.6 4 7 • (, r{'D 1
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 df) must be attached if the Agent has signed this application form.
Name: 7 -5r -,die s
Company Affiliation: �-M C_
Mailing Address: 619 0
Aka'd!1C,m
fn60 rY S U i 11 t, a e 4 115-
J
Telephone Number: 701(,"O • 511 I Fax Number: '70
E-mail Address: C'Iar Se.xty*/ & 4)%A/, Ate
Person to receive the Certification Approval: rA;12 /13V-
Project
3
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 th property/(where work is to be conducted) f
County: /! Nearest Town: eY�L
Subdivision name or site address (include phase/lot number): 7%4 ViXt y±!2r s
Directions to ite - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees) Longitude (decimal degrees)–2-P d - 5 775�—
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Ire- 5 '- d -Lrl -A' AI
6. Property size (acres):
7. Lake/ river/ ocean adjacent to property: AAKe Norm
8. Describe proposed work (include discus ion ajto how hardening of s reline has been
avoided, or why it is necessary): �c� T Cro S's"'
9. Will work be conducted from land? 1� 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:
%/s/)� 4
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: / 05 X I
12. Please describe the vegetation above the normal pool lake level/ Normal Water Leel and 50
feet landward to be impacted (number of trees, for instance): / •1 eN 1 04 -
(15A NCAC 02H .0502(f)I
'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/
Norma'W-ter7 '
Shoreline
lb5a�
Lake
(At Full Pond/ Normal Water Level)
Oo 0 O Z) <
7-18 `J ffd
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: 55GP 10-2013 Page 3 of 3

Final Plat, Sheet 1 of 2IoP- I l un 2715-902
Pm '
8.324 Total Acs
..r
I AeXRVs Im I +M
P. o
The Vineyards .At Kiser AWRAAv£hL6NCXAI,F F —
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W M^400
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sur KISER ISLAND ROAD
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Lot I \G 51[p a> f FJ
Lot 3
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1.439 Ac. S
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7k r Lot 4
c
1.189 Ac.
I Total
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Google Maps
Map data 02017 Google 200 ft'
Yage 1 of i
https://www.google.corn/maps/@35.5770608,-80.9674192,17z 6/15/2017

MapCard - Print your custom map
rage I U1 I
http://map-pass.mytopo.com/maps/print_local.asp?print=l &scale=5.00&layer=DRG&lat=... 6/15/2017

Ann Duncan
From: Len Bealer (via Google Photos)<norep ly-b295472f92998424a56dc11254ff8960
@google.com>
Sent: Wednesday, July 05, 2017 5:29 PM
To: [e-mail]
Subject: Len Bealer shared 4 photos with you
r Google Photos
Len Bealer: Lot 6 Kiser Island . Lake is near full pond
1

37, STY 6,
4,
1P,
4 -
V
_77
eceived this mail because Len Realer shared these photos uvjjt,. y0j, If YOU r')o longet wish to receive email "IctifiCations of shared photos, unsUbscrib
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