20171080 Ver 1_Shoreline Stabilization_20170828

DUKE ENERGY INTERNAL USE ONLY: Construction
DUKEr
Date Received:F77== FAF Paid Application . rt
version 13p r Lf .
Fj Application Complete—
Permit No. Water Strategy, Hydro Licensing and (,ak Se�+�ces
HEP FundF7== O
Duke Energy s �
PO Box 1006/ EC12Q
Site ID Close -Out Date Charlotte, NC 28201 �Gy l9 n
I. DATE` OF APPLICATION'U/ 7 Permit/Tag #.-.
II. APPLICANT INFORMATION (applicant mailing address and contact information)
m...__..._.0 _e -)r . Primary Phone*
Name*
Address* �(3 2 fi Gt I tl e✓ 13 v Secondary Phone
City* =tC',ItA State* Zip Code* b �j Fax Number
Email* ` S C,
. 't- In`, r -c-, ed
Ill. PRO RTY INFORMATkAq (location of permit)
Address* 1 J O :11Ci
v✓ G A-- County*
City* ro�l, MR State* © Zip Code* O �[�(O County Parcel ID number r I
(e.g. Pin, Tax ID, TMS / 3q��1 �7/
Lake*:
Number...) /
'"
Subdivision W1 d 0j �CS onl j;k '140 —� Plat Book/Page �/ 8 7p
6
To enter the Latitude and Longitude of the property, please use a Latitude (e.g. 35.12345)* 5•
service/software to easily acquire the location information. Values _
should be provided in Decimal Degrees format (35.1245). Longitude (e.g. -80.12345)* 86 . l18b
example service: httpJ/itouchmap.com/latlong.html
IV. PROPOSED ACTIVITY
i I Is Dock
(' New/Modification of Existing Structure (' Maintenance of Existing Structure Covered?
t New/Modification of Existing Shoreline Stabilization (' Maintenance of Existing Shoreline Stabilization
New/Modification of Existing Structure & Stabilization (—Maintenance of Existing Structure & Stabilization
C Transfer of Ownership
(^ Other (please describe below)
Area over land (sq ft) I Area over water (sq ft) ( Total Square Feet
Shoreline Stabilization (feet) Length of
Stabilization
Brief Description
of the Activity
Describe Briefly the Existing
Structures Over Land and
Water (include sq ft)
Distance From Shoreline
# of Slips F]
# of Jetports F]
!W r'G

V. Dock Builder or Engineer
Name/Company 61�96 6"Ale
Address 639 rr� -e_Phone Number Q
State Zip Code ! is Emil � r' a;„jd s7�eq ncity y6r�e-lwl-
'
VI. Checklist of Required Documents (to include with Application submission)
_ �1 �ecent Survey (stamped/signed by a professional licensed surveyor showing the location of the existing or proposed
°V structure and/or survey of the existing or proposed stabilization)
P'Photos along property shoreline and photos of any existing structures and/or stabilization in or near the water
L9l plication fee (check only, payable to Duke Energy) 53/signed User Agreement Letter
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.
e A Duke Energy representative will visit the site to conduct a visual inspection.
e Applicant will be notified of approval or denial.
e 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.
VIII. Directions by Road
--- -- •�� y�7 'D
�� d�
Directions by
Road*
M Application Submission
rte,
0�l J CJI/ -, ICif'%
4j40r/
9r''✓V'5'0t/
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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
PO Box 1006/ EC12Q
Charlotte, NC 28201 R
I agree that the information contained within is

State of North Carolina
INEL Department of Environment and Natural Resources
DWKDivision of Water Resources
15A NCAC 02H .0500 — Water Quality Certification,FORMn SStabilization
10 2013
Division of Water Resources
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(all
1. Owner Informs tion
Name: DE'' °
Z►—
Mailing Address: 913 -T
6 ws f N C- �-8 D 31
Telephone Number:0� `-7Z, ZY D Fax Number-
E-mail
u ber:E-mail Address:
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/) rtals 59 docs regulatorylfeL:,docs/Permit, A AKAPLF AGENT Al I-
ORIZATI.ON FOR df) must b attached if the Agent has signed this application form.
Name: I'o t S
Company Affiliation:
Mailing Address:
7 oort'sV; i t
Telephone Number: 0 • ©. Jrl T Fax Number: `rO (P• 69 40 49 ` Sy 6 9
E-mail Address: .�� .��"���5 p��du� w► • �''�
Person to receive the Certification Approval: /J' s
11. Project Information [15A NCAC 02H .0502(a1 & (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,
Page 1 of 4
FORM: SSGP 10-2013

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: :rCAe-t l Nearest Town: _ >
Subdivision name or site address (include phase/lot number): 7176004 Cof 5-5,
V. r-; soa) (o�' S
Dir ctions to pte - please include road names and
umbers Ian , arks etc.:
4- 1341 oh/ L✓ JrC7 � VA 1 r Qa✓
�. e,� d �; o Lie �✓
Latitude (in decimal degrees) 3 ✓�• /b 73 Longitude (decimal degrees) O O • 1 8�
5. Describe the existing land use or condition of th sit at the time of this application
(residential, undeveloped, etc.): �+✓5`at74��
6. Property size (acres): 16. v
7. Lake/ river/ ocean adjacent to property: LAXe- 6VIMkA✓
8. Describe proposed work (include discu%sio of to how
�1 /� hardening of shoreline has been
avoided, or why it is necessary,. J
9. Will work be conducted from land? ❑ From water?
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lakes level/ Normal Water Level in square feet or acres:
X
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:
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50 l
feet landward to be impacted (number of trees, for instance): hod a 5,e -,e Asks)
nt's Signature* Printed Name Date
[15A NCAC 02H .0502(f)]
`Agent's signature is valid only if an authorization letter from the owner is provided.
Page 2 of 3
FORM: SSGP 10-2013

Lake
(At Full Pond/ Normal Water Level)
J� ECJ
( 6 J'V)
d o a p a
Full Pond/ <=>0
c�� o Q �° �' �'o <=>a
Normal Water Level O 40
.�. aw- .� Q 4 4 Q© c� Q d
Shoreline I* -
�b
f N � V e C;
„w1 Co��s e P%
0
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
loNormal laelevation
3. Location of rip rap or fill to be placed below
4. Location of any proposed structures as buildings, walls, etc
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
Page 3 of 3
FORM: SSGP 10-2013

r
LOT 6 r �.
-36 5
3.-6--', JEFF COOPER and
%WIN COVE'S ON M0RRIS0NSTALE PARK RD.
,I
PLAT BK. 62 PG. 30 moo.a
e�
SITE
LOT 8
S PLAT BK. 60 PG. 89 ' C"
F RAMS
BUILDING
?)i VICINITY MAP -NTS-
spouse LISA MERKEL
DEED BK. 2387 PG. 861
PIN ,#4639-08-1276
443014 Sq.Ft
10.17 Ac.
I Michael R. Bowden, certify that this
' plat was drown by me from an actual
field survey made under my direct super
-vision; that the boundaries shown are
from the record information noted hereon,•
and that this plat pepresents an existing
parcel of land. Witness my originiol sig-
nature, seal, and license number this the
29th day, A `Ain P 2017
3 Professional Land ~ ur X11
o LOT 8 s
PLAT BK. 60 PG# 89 S�L
L-3811
�` 12
0WELL
Z El
11.`�� rn
0
N 2.5 STORY FRAME HOUSE ,
i BASEMENT y
�+ / (DECK
CONCRETE ° r
i POM£R N °
TRANSFORMER ' LAKE
0 _j0 SEPTIC
Z LZ. ® TANKS
LOT 2 It,
1 i
PLAT BK. 60 PG. 89 °
+ `,, N NORMAN 50,
UNDERGROUND
` PROPANE TANK
CP a 0 W
+
_------------- `ice
tai o Ln
' W
Line Bearing Distance ,` 37" 32529'
L1 S 27' 40' 51" W 79.67' i �� °
S 82' 41 +
L2 N 41' 53' 08" W 53.01'
L3 N 52' 51' 33" W 55.43' ;
L4 N 72' 27' 21" W 56.94' ; ! v
L5 S 87' 25' 03" W 55.41' I
L6 S 72' 59' 57" W 15.33' ; I
L7 S 53' 01' 07" E 82.02' It+ ;
L8 S 8' 55' 49" W 99.22' 11 LOT 4 `+
L9 S 24' 06' 07 E 70.61' It `PLAT 8K. 62 PG. 30 +
L10 S 12' 55' 15" E 61.89' ' `
L11 S 45' 20' 44" E 94.77' +; ,% M
L12 S 68' 45' 50" E 94.90' `
4b +
L13 S 29" 39' 18" E 17.27' 9 '
L14 S 27' 39' 18" E 20.55'
L15 S 25' 03' 44" E 25.33' ---------------'' `
L16 S 17' 29' 41" E 22.09' ,, 100 50 0 100 200
L17 S 17' 28' 31" E 22.58' o `�`I
L18 S 17' 13' 37" E 28,12' L6 L5 '0SCALE OF DRAWING IS 1 INCH = 100 FEET
L19 S 1' 16' 24" E 24.84' ° °
L20 S 16' 05' 43" W 21.39' C4 ° �3
L21 S 12' 17'30" E 26.20:
39'
L22 S 12' 39 12" E 44.64 REVISED 07/19/17 - TO SHOW GRAVEL DRIVE - UTUTIES � 11B
0
L23 S 13' 15' 24" E 22.09' --- -
L24 S 24' 02' 51" E 26.97' ��' ��'�, <<, SURVEY FOR:
L25 S 6' 26' 10" E 13.03' 0
L2S 16' 29' 35" E 130.97' \` KELT Y =7 M/ BUILDERS
L277 S 7' 40' 15" E 134.73' �`- �`-
6p'yO `,��. 123 HONEYDEW CIRCLE
NOTES: �\ FALLSTOWN TOWNSHIP
C' by IREDELL CO., N. C.
1. AREAS DETERMINED BY COORDINATE COMPUTATIONS. k
C rid Project KELLY Dote. 30 ✓UNE, 2017
2. ALL DISTANCES ARE HORIZONTAL GROUND DISTANCES. o�,� FIRM ,f F-0902
�0 �
REFERENCES: DEEDS AND MAPS ARE SHOWN HEREON ����. d� BOWDEN SURVEYING 7o4 -6e1-5256
317 SOUTH LAUREL ST
\ ; & MAPPING UNCOLNTON NC 28092
IL
a

Google Maps
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Back Of The Cove 0
Map data 02017 GO09le United States 200 ft K.
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https://www.google.com/maps/@35.6516731,-80.9201186,17z 8/14/2017

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