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Home My WebLink About20171245 Ver 3_Shoreline Stabilization_2017103014) DUKE ENERGY INTERNAL USE ONLY Construction DUKE Date Received �� App Fee Amt Application ENERGY version 17a Check # Check Date Duke Energy Lake Services Mail Code EC12Q Site ID HEP Fee 526 S. Church St. ❑ Application Complete Charlotte, NC 28202 I. DATE OF APPLICATION*$ 29.2017 Tag #: II. APPLICANT INFORMATION (applicant mailing address and contact informatior Name* Jim Shalvoy Primary Phone* Address* RVA t I L� a Y-0 D� Secondary Phone City Cornelius Email I t 54 4110 y ( c State NC I Zip Code III. PROPERTY INFORMATION (location of permit) 28031 Address* 18101 John Connor Rd County* MEcklenburg City* Comelius. State* NC Zip Code* 28031 Lake* Norman Subdivision Lotts) NIA 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)* 35.46006. should be provided in Decimal Degrees format (35.1245). Example service: http://itouchmap.com/latlong.htmi Longitude (e.g. -80.12345)* 80.92593 IV. PROPOSED ACTIVITY (check all that apply) ❑New/Modification of Existing Structure ❑Maintenance of Existing Structure Dock is covered F] QNew/Modification of Existing Shoreline Stabilization ]Maintenance of Existing Shoreline Stabilization # of slaps a QTransfer of Ownership ❑Other (please describe below) #1 of Jetports o Area overland (sq ft) Area over water (sq ft) 17 Total Square Feet 61 Shoreline Stabilization (feet) Length of 1180 FEET Distance from Shoreline �' q/ /' //a�Zs � Stabilization / 4o Brief Description of the Activity Materials BOULDER WALL Install approx. 180' of boulder seawall average height is 4' tapered down at the beach. Describe Briefly the Existing Structures Over Land and Water (include sq ft) Old house with old pier V. Dodc Builder or Engineer Name/Company LAS /3 c--- n "w -c- ;_ ffC o Address 1638 Q�q.K Y`i�t Fi�}r-p� ►� Phone Number L7 f 0 6 0 O.S CityovrtS t7luia State WI Zip Code Email VI.ChecldistofT.�__..� Required Documents (to include with Application Submission) ZX event Survey (stamped/signed by a professional licensedsurveyorshowing the location of the existing or proposedNW structure and/or survey of the existing or proposed stabilization) 2 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) [ Signed User Agreement Letter applicable local, state, and federal permits ❑ Plan and profile drawing showing all measurements and elevations ❑ Habitat Enhancement payment fif applicable) :I"�'1L^(�4i'RE-:..:d'SS1li'm'9'•Y}��?(':P�.•�.TTL^S'R:i�"..X:A-]�ri3L»L1'KL.S^�-•.aNi�^�5.••�-�-- L ��•M: _—_ �__�'V�s..TirLneA9C�^-�ALTas.pLt6 ST31�i16^a5 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. Vlll. Directions by Road E-7-7 IV 717 Directions by / a J _'�d 6 N N e Road* L— iX. 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 Print Fgrm Duke Energy PO Box 1006/ EC120 Charlotte, NC 28201 I agree that the information contained within is accurate: d 0--1A ",,y.y/ State of North Carolina Department of Environment and Natural Resources DWPv Division of Water Resources Division of !Nater 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: 1. Division of Water Resources 401 & Buffer Permitting Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Applicant Information 115A NCAC 02H .0502(a)] Owner inform Name: Z. i rv" S h l4 l J o Mailing Address: Telephone Number: Fax Number: E-mail Address: S ri vo 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. f),must be attached if the Agent has signed this application form. Name: C s Company Affiliation: C_ -r lye r A9,e G r rV Mailing Address: $' r'►9'r'w` to YV l o o arc Su i Wt C_ �V It 5 - Telephone Number: �� % �0 s 1 ( Fax Number: E-mail Address: L1jc. s P.4PJ4-ds Oi -5 Person to receive the Certification Approval: Gi-cD reA o . oUc Project information L15A NCAC 02H .0502(x) & (b)l 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: CO rNc, (i ,q s Subdivision name or site address (include phase/lot number): _1.9-619 kAl �jnGy�r Di ections to ite - please include road roa/d names and number landmarksgtc.: Latitude (m decimaldegrees)�15 0,04 33 Longitude (declmaidegrees) & �--L- "f:- 5. Describe the existing lana use or condition of th sit at the time of this application (residential, undeveloped, etc.): (-c 5 i 4 t4 6. Property size (acres): D • 5 [ t 7. Lake/ river/ ocean adjacent to property: ,AKc do r01 A -Al 8. Describe proposed work (include discu Sion as to how hardenin&of shloe"VOCAIIO�-Crvs ine has be n avoided, or why it is necessary): S /�� l Z� 5� 1,i�►c ' 0**1 9_ Will work be conducted from land? R 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: / 90 X 31 11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal pool take level/ Normal Water Level and 50 feet land -ward in square feet or acres: / kQ `k / / 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): K/ru S s eL 4-5) S U�A KZZ Owner/Agent's Signature Printed Name Date [15A NCAC 02H .0502(f)] 'Agent's signature is valid only if an authorization fetter from the owner is provided. FORM: SSGP 10-2013 Page 2 of 3 Full Pond/ Normal Water Level VE Shoreline t Lake (At Full Pond/ Normal Water Level) o_ td _ 9 d JO4AfCWNLr" /c.I k,51 Arc ��0 3 ;G 7 cu. 05 j.4GLt SS gq 30 s. --r Please approximately sketch the following information on this plan (provide dimensions for each item, such as 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 CORNER AS DESCRIBED O COMPUTED POINT • UTILITY POLE J1 LIGHT POLE i} SUBJECT PROPERTY LINE �� ADJOINER PROPERTY UNE N BUILDING SETBACK - — OVERHEAD UTILITIES O �Q/ I t ROAD RIGHT OF WAY - - NOTES. I. NO NCLLS MONLJMENr r(0. IND wnum ,mv. 2. PROPERTY MAY 11F. S19U11: r T [ COV'0 OTFIF ENANTS, RESTRICflONS, EASEMENTS OR RIGI ITS -OF -WAY 11IAT MAY OF OF RFCORD 3 SETIIACKS SIIOLI'N ARI: PFR 1 II TOWN OF CORNEI,IUS OR REQAR Z(N41NO. SErNAC'KS ARE AS REeAR FOLLOWS. 12335OLD STATESVILLCROAD FRONT -3(r �� SIDE 11.) IS' -'R' IR)2D' N .EAR-. FROM LAKE oC4 (%W r0I IR- OR 25' FROM O �Q/ I t PROPERTY LINE. WHICY RSVER M GREATER- \ 4. nils PROPERTY IS ALLOWPD 80%OF THF LO I' AREA FOR N C �"y� MAXIMIAIIMill is 001.84142 Eva G Connor COVERAGIC PER TI IF >; Cj t^1 m G7 A `, CORNMAUS PIANNING UIiPT. MB 29, PG 163 5 �b RIGHT LN WAY SHOWN ON 0427172 JML TITr: PROPERTY IS DASTD C� UP N4 MAP I"W. 28.1'/11 IR,Q. MAP RA)OK 27 P(1441 AND IS ' IMPROVEMENTS. rV 0 A DmWin Fifc Nam S . Numbor Z! � REBARAFFF* PAF O d% a \ Ao4,O N�)'1'f I1wRMwr[ Orr(10M wAWFIw )w�¢�I°m"c•*[lartwwww vmoc ow)[o3/m7-4m {� 10 �< -' n �Q'lsFk f / bRE \ 's B9.20. 3 SETIIACKS SIIOLI'N ARI: PFR LAKE TOWN OF CORNEI,IUS OR NORMAN Z(N41NO. SErNAC'KS ARE AS Property / FOLLOWS. 12335OLD STATESVILLCROAD FRONT -3(r �� SIDE 11.) IS' -'R' IR)2D' N .EAR-. FROM LAKE yi (%W r0I IR- OR 25' FROM / PROPERTY LINE. WHICY RSVER M GREATER- \ 4. nils PROPERTY IS ALLOWPD 80%OF THF LO I' AREA FOR ' MAXIMIAIIMill is '�y vennuo[Rr COVERAGIC PER TI IF y 7 avlEw CORNMAUS PIANNING UIiPT. a 5. ,nir: x)iIN coNNOR RonO �b RIGHT LN WAY SHOWN ON 0427172 JML TITr: PROPERTY IS DASTD C� UP N4 MAP I"W. 28.1'/11 IR,Q. MAP RA)OK 27 P(1441 AND IS ' (*w -.-r 6(rFROM niE RIGI n' 1 CA •M OF WAY LINES AS DEULIFIR) �Alt-XI SS ��y4 2� 4; 9 ,Z* IN SAID MAP UOOM Property / OB 28222, P1955 12335OLD STATESVILLCROAD f, TIF: IN111-t41' of TRE: 60' 1OHN1' �� CI)NN(M RIGI IT OF WAY IS TO N A'"QSV IN DFVE7.OMNL 110, yi 1Is11.mm r.NV1:ixim of n0. / 'ROPERTY. IT Is 1,101-110. / INIFNT To DEmm I; Rio IT ' OF wnv. 3 7. L"suL:rwrntGovFRMNG X45 AGENCY FOR PREVAILING 10 LAND IXiVIiLOPMF.NT'Aj AND ZONIW; REQUIREMENT% 0427172 JML PRIOR TO DESIGN OR C� C()NSTRIK-ICON OF ANY / ' IMPROVEMENTS. :iS Parcel Nunlbcr FIELD LOCATED LAKE E )' CONTow- , - / -0.83' / )p•SDE�Ly�y�J/ RE s4(/ hrr�TOTAL AREA / JF ?2,62950. FT. / 0.519 ACRES ! / 3m y / (TIE) )g, Rk NAIL ! igRfigus ls�. IGM / / / m4crrt8.1.4 w.)c'r.6 ' / j 15' SIDE SETBAGk� ry f�nT PIPE 001-841-34 1 CA •M 1Imothy A. Gueny �Alt-XI SS ��y4 2� 4; 9 ,Z* Jennifer L Guerry Property / OB 28222, P1955 12335OLD STATESVILLCROAD MR 54, PG 807 Surve ors, Inc. Y SUITE AZ+• CORNIi1.lUS, N.C. 21031 �W (704) 765-5134 4,3'r6SOJT Jim Shalvoy / o -LOO ACRES Comelius. N.C. 28031 Deed Book 2578. Pg 343 Mecklenburg County 3 Firm License: C-3666 0427172 JML m /ro SHALVOY ' 4_11/2017 :iS Parcel Nunlbcr ! igRfigus ls�. IGM / / / m4crrt8.1.4 w.)c'r.6 ' / j 15' SIDE SETBAGk� ry f�nT PIPE 001-841-34 1 CA •M 1Imothy A. Gueny �Alt-XI SS ��y4 2� 4; 9 ,Z* Jennifer L Guerry Property / OB 28222, P1955 12335OLD STATESVILLCROAD MR 54, PG 807 Surve ors, Inc. Y SUITE AZ+• CORNIi1.lUS, N.C. 21031 �W (704) 765-5134 �'Yt Vy- t.� o Jim Shalvoy Deed Book 2604, Pg 336 Cornelius, NC 28031 Comelius. N.C. 28031 Deed Book 2578. Pg 343 Mecklenburg County 704-765-5134 Phonef ax r REBAR L4 / \ 3 /o aF / / / LINE TARENS76=W20'E LINE LENGTH Ll 30.370'EL2 30.006-wL3 29.814-WL4 3.714-WL5 30.004'ELB 5203EL7 18.208-ELB7.78Lli 32.64ew / CUR YE TABLE CURVE LENGTH RADIUS I CHORD aim NG / L7 82.45 871561 8142 Nt /I C21 312.641 873.561 310.98 '58.04 Physical Survey of 181 U 1 John Connor Koad 1 CA •M �Alt-XI SS ��y4 2� 4; 9 ,Z* DARY LONG, P.L.S. Property / IIO�,y 12335OLD STATESVILLCROAD ' Surve ors, Inc. Y SUITE AZ+• CORNIi1.lUS, N.C. 21031 Zg�q (704) 765-5134 �'Yt Vy- t.� o r REBAR L4 / \ 3 /o aF / / / LINE TARENS76=W20'E LINE LENGTH Ll 30.370'EL2 30.006-wL3 29.814-WL4 3.714-WL5 30.004'ELB 5203EL7 18.208-ELB7.78Lli 32.64ew / CUR YE TABLE CURVE LENGTH RADIUS I CHORD aim NG / L7 82.45 871561 8142 Nt /I C21 312.641 873.561 310.98 '58.04 Physical Survey of 181 U 1 John Connor Koad Professional Property / As Recorded in: Site Address. Surve ors, Inc. Y Property of 1810 t John Connor Raid 19335 Old Statesville Road Ste. A Jim Shalvoy Deed Book 2604, Pg 336 Cornelius, NC 28031 Comelius. N.C. 28031 Deed Book 2578. Pg 343 Mecklenburg County 704-765-5134 Phonef ax Firm License: C-3666 0427172 JML 2 1:10,1100 1-49 001-841-17 SHALVOY 1 0f 1 4_11/2017 :iS Parcel Nunlbcr DmWin Fifc Nam S . Numbor Jho T�Ci — P ErTorOfClosutc i rBwin Scale I�Lc Google Maps Maps Map data 02017 Google United States 200 ft Page 1 of 1 https://www.google:com/maps/@35.4600633,-80.925934,17z 8/24/2017 MapCard - Print your custom map Page 1 of 1 Mar* •, is • y Camptrt undS • �. ` i t Ifunw, , s ?71 • i' • " M7,1 ti i 4•, 0 0.5 Mi 0 2000 Ft http://map-pass.mytopo.com/maps/print_local.asp?print=l &scale=5.00&layer=DRG&lat=... 8/24/2017