20171772 Ver 2_Shoreline Stabilization_20171102

DUKE ENERGY INTERNAL USE ONLY:
Construction � �� DUKE
Date Received: FAF Paid Application
M Application Complete version 13P ` ENERGY
HEP Fund Permit No. Water Strategy, Hydro Licensing and Lake Services
Duke Energy
PO Box 1006/ EC12Q
Site ID Close -Out Close-OutDate
Charlotte, NC 2820 i.
1. DATE OF APPLICATION' Q , t`,1 %•Z Permit/Tag #.of
��.
11. APPLICANT INFORMATION (applicant mailing address and contact information) Y '
Name* ��A MA Primary Phone*7p e 3 W L
w �
Address" 7 COAfA li- Qt t A f 7- - Secondary Phone l i
City6+r C l 5 State*R4
Zip Code* b'p'i r Fax Number —�
Email* IKe 14A � kA l I'S Co Gtzl . C cw
111. PROPERTY INFORMATION (location of permit)
Address* [ %� 7 d `� CY�I `t1� -� N �' . County" e U4v AJ111- �
City r t ( t15 State` W(I Zip Code*County Parcel ID number
(e.g. Pin, Tax ID, TMS E00
�
Lake*: Or/L1 / AI Number...)
Subdivisione'�Ov- 4&/)-v Lot(s) 1 12- Plat Book/Page
To enter the Latitude and 1_ongitbde of the property, please use a Latitude (e.g. 35.12345)*�� `(v
service/software to easily acquire the location information. Values
shot9d be provided in Decimal Degrees format (35.1,245).,
example service: httpJfitouchmap.comAationg.html Longitude (e.g. -80.12345)* �(U • 'I a V 1'75'1
IV. PROPOSED ACTIVITY
C New/Modification of Existing 5tructure !^ Maintenance of Existing Structure ks Dock
g Q Covered?
(' New/Modification of Existing Shoreline Stabilization Maintenance of Existing Shoreline Stabilization
(' New/Modification of Existing Structure & Stabilization (' Maintenance of Existing Structure & Stabilization °f Slips
r —
C Transfer of Ownership (- Other (please describe below) 1 4 of Jetports H
Area overland (sq ft) Area over water (sq ft) �� Total Square Feet
Shoreline Stabilization (feet) Length of Distance From Shoreline
Stabilization 3 UCS
Materials ""j' rA %1 ore t
ReoU,,Y,-A0v'c"P 4 rt 'lr re>r��z 300 `v *ms's ;:,r W�tb' : � �"er/elvll
Brief Description � fit' i/' ��• cv' �+'/S- SS i* V' i r 1� S Af
of the Activity �';� 1� � �
Ns� r� r(a 3r wrel �, rAI &A a-4 LAT �t �6,f 0 -f=-QPs~��
Describe Briefly the Existing r{ S - 4 iA , it
Structures Over Land and
Water (include sq ft)

V. Dods Builder or Engineer
Name/Company ( C R C ` f log e g k Plia d; Af
Address© x r �� N/ Phone Number ZO 140.
city�xre it t State^ F/� 0 Y Zip Code (I r {. T 4 s ,V;A, /I� � - XiJ
tnents
vs...wal m ��res a -e
Vi. Cheddist of Requi reel Doau(to include frith Appl�xion Submission) ��
CErAecent Survey (stamped/signed by a professional licensed surveyor showing the location of the existing or proposed
structure.and/orsurvey of the existing or proposed -stabilization)
[v"Photos along property shoreline and photos of any existing structures and/or stabilization in or near the water
(�Apphication fee (check on(y, payable to Duke Eneogy) w signed User Agreenwin getter
R/Awlicable local, state, and €ederal permits E] Plan and profile drawing showing all measurements and elevations
0 ,HabitatEnhamcemera payment (if applicable)
wr.� assts.^nrsys.,.---•..:,:,ra�.a�a::--"-- sxc.anzr a�-�rtar:rz:.-•.-__.•r++mn.rsm-_ssm-�-.-_•�-w:xsrr=mr
Vil. 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
appkcatlon 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 insoects the
project and determines the project is complete and within the application specifications.
Vill. Directions by Road
r 77 �, OA/
, / vel �J OA 'J
Directions by ? ,CAM tJJ� � � /C � J ot/ �0 il%it!d ►' C�1C C�.
Road*
U. Application 5ubmissicn'
Please complete, print and sign this application. Then enclose all items from the checklist above in an envelope and
submit ail the information to the address below.
Water Strategy, Hydra Lkensing! and Lake Services ,�
Duke Energy Prnrt. •' r
PO Bax 7 006/ EC12Q
ChwhAte, NC 20201
I agree that the information contained within is accurate: &&edffL�_ %-JI. 50�

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project r mains: 4. VANA.. C -r. counw. me C*r- h,✓�u
Owner. _ /7,''�• ,t Itfj�yL'ifi ,-�,r..;,l�Jr� ...•r.tir,.._
Pr: r ignatu7
Contractor/agent: ,Gf/G�Y,�f�`� 1—i/�Ae S
Print Signature
The approval is for the purpose and design described in your application. Impacts not indicated in the
appii,cation is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC
02H .0506 and 15A NCAC 02B .0243($)1
Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B.0243(6)]
Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. 115A NCAC 028.0243 (6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. There are limitation on size for decks. [15A NCAC 02B.0243(4) and (6)]
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access,corrrdar shalt IL restored. Staging, spoil, construction
materw must be outside the buffer. [15A NCAC 02H-.0502 andt 15A NCAC 02B`.0243 (4y, (6), (8)1-
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non-erosive velocities to the lake. [15A NCAC 02B.0243(5), (6)]
Acknowledgement of Notiftation
I, /) e/ yp hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be
taken such that the construction will be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting
materials.
Signature (owner): ,t'.c g!! 3 • Date: / 0
S! c r ir:::?, ti'ru ;:r c: ' 'r irx;

State of North Carolina
Department of Environment and Natural Resources
Dw"_ "PC Division of WAter Resources
15A NCAC 02H .050o i- water quality Certification, Sboreline Stabilization
Divis+Lon of Water Resources FORM: SSGP 10-2013
Shoreline Stabilization Application Form
Fow es of the a pUcation flncWdng Machrrcentsj an-dthe ZIPAUcMicrt fee shueid be seed to:
Division of Walter Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information 115A NCAC 02H .0502(a)]
1. Owner Information
Name: L A'
Mailing Address: Z
Telephone Number: D Fax Number:
E-mail Address: U°
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
htti)/Iwww saw usace army mil/Portals 591docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
Ogg
RIZATlC EM/ ~
.odf] must be attached if the Agent bas signed this application forrn.
"I'd CIII M. %_JE %.
Company Affiliat
Mailing Address:
Telephone Number: % e • 57t F Fax NuMbe¢: 0
E-mail`Address:
Person to receive the Certification Approval: r _
ii. Project information 115A I4CAC 02H 0502 a & b)]
1. Agac� a vAcjvjtyy map (i.e• street apo dearly 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. 1ocabon o/1yt'�ne prop)erW (where woT4K is eco be c4d�nbucte
County: 1 � eQ41 eA1b 9N''9' Nearest Town:
Subdivision name or site address (include phase/lot number): AIWOV' (AA4 0
Directions to 'te - please include road amesXnd numbers,
landmarks, etc.:
)"�t
. 7 %
t'Z
4-0,j -ti N CO At A e /tel , !2�` �,v �o,�,✓o �Vltft cE-
Latitude (in decimal degrees) . J . W A -7_04O 3 Longitude (decimal degrees) O / q 75/
5. Describe the existing land use or condition of the ite t the time of this application
(residential, undeveloped, etc.): Y e f
6. Property size (acres):
7. Lake/ river/ ocean adjacent to property:
Y -M /4Ao)
8. Describe proposed work (include discussion as to how hardening of shoreline has been
Al
1..
avoided or why it is necessary): r cv aovx.
em;J"Ar-1 WA -11--_3704400 . 5 1 W
fi 3001
" c A -0.1v
Will work be conducted from land? [ From water?
Total amount of disturbance ��n6u&"B a'A excavation, bacicU, rip rap, retaining walls, etc.)
below the normal pool take level/ Normal. Water level in square feet or acres:
3001 X +4
3.1. Total arnourkt of distuArbance (i4iduding alt 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: ot'51 /X 1
12. please describe the vegetation above the normal pool take levet/ Normal Water Level and 50
feet landward to be impacted (number of trees, for instance): a C4 55 5 !u'g
Owner/Agent's Signature*
€tinted Name untie
(15A NCACO2H .0502(81
'Agent's signature is valid only if an authorization letter from the owner is provided.
Page 2 of 3
FORM: SSGP 10-2013

Full Pond/
Normal Water Level _ r
Sh717Toreline _ ,
Lakee
(At Full Pond/Normal WaterLevel)
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ftx 100 ft)*:
1. Ali` proposed vegetartiory 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/ Nor,tal 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: SSGP 10-2013
Page 3 of 3

dETla ROAD
OO1dtOR 'lull,
&&&&&&
WART
® u
0.06 AC. TO TBS
760' CONTOUR LINS
WAP Book_. `%� - .�.:. � PAW -.l.V p.: r
F44:0 FOR REOIS7RATUXI
OAR TIME PM
PAGes
.�.... REUMERED In RED= OF_�._.__.COUNTY
MB. 34 PG. S91 __..�__
IWI;WEA W DEEDS
v
/ w i
1
't
/r6op --'1
PwUD Ii;21
DRNNAOE
EATBIFNT y N
Yk �°
t
LOT YY
XYLA` 1/. TAYLOR
16658/606
ZAK$ NORMAN
707 O(jh,:AW, trW PCR
ACTU41 1") 51RrEY
NOB,c,p7^ YI h>9yJ
YO.
Da arascr � \
I
101' COR RUNE PIR
AC•'UAL W SURtEY
/ (FLVClU,tE7
LOT Y3
JUPI) R. COOL
16@37/267
R
_mmi) T.
il+'f fFSWEHTS AND/OR CT
PoOF+TS OF WAY tTF RF.00Rp.
1) ACREAGE COMPUTED Ar TRE
C. DZ ITHUD.
3) 59;A -!5DatE SE:HA-" ah MM)
REAR- 57 moo -NE 7OO' OONTOUN
a= . 17
4) IK 501E PORPO$i cv INS PUT MID RENSE 1NE K
760 CONTOM {dRE <<'4 AOT 12 TIaS AT
RPERCFDES ANY PP_'rOUSIY RECOrdab RATS
5) NO Groom moko -'i? NTNR 2000"
0) MMS'II:NO T07 76" C*NTOUR ELEY-
All RASEn (� 112 NDRLIAy LINE
.,a AT WWAR'S FO?D OAu (RtAO"NO
ON 3/2/1004 ) E4EY�+tJN: 75;,4'
7i DOS PROPERTY IS Wr..ATED IN TRE RARE NORMAN
WATERSHED - ob1n .. AREA (MA'A 2N: 61PERW S COVERAr-
Im"Am" COVER POR FOR LOT 12 - P,OOc SD.Pr.
0) PROPERTY ZONED: GMMAL PESIDERIIEI
UNC~t?`.
•�' nt —" a s 7 w 1
s s. 5
is2s
--a _ N_g7d8 QTY 1
i7 H 51 4
(CrtOk?gyICD E
S �SY.82t)D'
Q R a SC.
COIVN07( QUAY COURT
(PAVND)
(40' PUPLIC R/N)
GRAPHIC SCALE
a r a r Re
(>r1KR)
1 loth . 40 M.
RECORD PLAT
REVISION OF
We 12 CONNOR QUAY, MAP 1
(PLAT NK 34 PANE 591)
LEMLEY TB6P., MECKLMURC CA., N.C.
SNE: i• - 40' DATE ,MIM 21. 2004
n
Wray and Aec4rodW 1.
Dib maP ea. (trach pndAr my .rPrNpa, dwr ai
nWr andr mr wprgdaa)
reta) (tN es Mot the tmr Ih 4 e +Q! &, 0
+0 aaartara b 1: �„ that Ih. Oaunea',a •w! s,-r4yad
pr.<dn Irw Plpn.d from Irhrmatt mond b. 0**
r t lhl. mop w. P,aa.d h aavarAmw +✓hry0.'L.'4T-30 a0 ar,rndM.
CrtlMt4 •.,f C,m.WP and DeBaeEm, I hwabY Wtly t -t I aM pa w of
tM CY6ut> .FW,n and dwcrlwd I, e'I.h b I— P7 :t. abdivhtm
)ra�4ttdn ra ih. Tem N c—di , and Not I hrabY ala;:t IM. Plan H
WAdd,'kl rJ, my Ra —t. vat-wl b m'rham uA:f/hl TNbnck INM,
P.'rrN and p-el.t a'1 dynlaeMf 4104 ort TO InMw dW In D1a Ira
o% tool P,atP:tiar area. pltla! wlppbmtnear Ira. Ir ray^SFT. Pd dMkst.
au .D•w1A la vY4 .am" "ft and oa- .Ito and wMr��,te. 4 PW1b ar
...r�ane•.y i`, d
FIM—sM
t4pnb Wr69 tiN d lwy w . tarn
.lybt.-
II„ot0,. Tor, of C—W. and th.D.Pwtl
CLabTM-MtsK(+wry utlElY
Ba--- -�`— Drn ,
CMi0ep1. y� 1{,pra•.1 lar R.cormtq, I Iweby erNfy Not Na wbfNebn
pit d1Rw �,:.,• tan Iq, Dtan 7wnd le comply viN he land N•%Paraat Cab Ter
Cant1104 NwIb Cardlna, and Nt this pbt h0. boar app �'nd o1) No Tuan N
Crne,W. Tq f�aKAo:Qth. OIRu of UM Rpb1.r n N 4arMaMury
Cant% I fu:i•K rAwry tM! M. Boots of GmImNtArar. wry a:arta M.
d./wff,ni of tn. Pia park. tlRr tM.o^, I/ ash vorAa an I,MI.d W0.
TEM eapat tr
R. N Camtlua, but oosome. ro rdgarr. ,y,ly t< ep',n a
mdMdA th. NPn. nn U. h Na ow. of NA Bawd P p. `n,IrlonKR I b h
W. PobN '.,.:.rat to ao as
Cra4FNk Nvih wolvid arrY,y etu.
C.rtll pto a fpr Romefv , lbla prap.rty M bP Id eMin a Rblb
d �9� q'� /a d. O—w— ,valrktkro AY aC'.4 CrUfy that N.
'Fen oamplW Ath th. Nb1aMa Atae4en nq and b
aawond 6y (ra tom N Cemdw fa r..a,*4 t IN. U-3:4n,vy cant.
Its'. of ikad. OIOen
a a' -
I.atm.aod 4.,histroW, T.- ar Camtw
R.Nw !y)K�ew t)oM. Sit. e, RartA Cabhs, Oa ntY {r M.da.nbary .
R.tli ORI.v H N.oMtn'ns coon!% artxy Not
TEM map a tdsi h Mdah this ertlfketion b aRa.d mwb a y„ .talotory
requ►.m.nb h' rrmdbrtt
8'°�'A oy'-p'�
Oats MYW
stMv[Y ry a ANDTwt CATEDORY, gra As TRE
REOOMORIATISYI Ov ERBW16 PAW" A ORDERED
b�tRVSY, OR arttR RIVOSIsTa TO gimw
1.Era3n
R3 - P.I. - FOYER roLF
01WER: AN. i MARIE HALL
19309 PENINSULA SHORES DRIVE
PROUSMAL LWO stA»r,�
`�"--
C3- ntRo: POVER TRANS
CORNEIWS, NC 28031
THE O, cr PROPERTY IS LACA'W WDIw
OCA ALLENM ASSOCIATES C•. A
E.I.P. - FV61N0 IRON fOUNJ
=y,E A MEA ACCMAwO TD noon
INAALWr7 NATE W COVIarM7Y pANFl p7D160 01:8
Carrrtnrclal • P,.j 9trwa IP71'
F Matgog. S -p
Wrtr,wthn 3e
LP.S - N RfPAR 5ET
R/W . RMT-OF-aAt
EF'ECDK. DATE- n2/03/1yy3
,' ,Tttd
7aMWO-Pamyy
labeµtlm Oo P vq m -.d
fit -6 R—'tet•. • U.—Au . NA 16117
® " VaL
(704) 6d• -702t CW) 1164-0041 Fa.
P E HAM 6638x. 02.
TAX NO: 001-3t-154

Google Maps
Maps
Map data 02017 Goode United States 1000 ft
Page 1 of 1
hnps://wwww.google.eom/maps/@35.4620683,-80.9299751,15z 10/21/2017

MapLard - Ynnt your custom map
Page I of 1
Hunvr
� Y
f
hey
tV •
r'+r
ham,, •
, r �
t
1�
0 0.5 Mi
0 2000 Ft
http://map-pass.mytopo.com/mapslprint_local.asp?print=l &scale=5.00&layer=DRG&Iat... 10/21/2017
r ,
Page I of 1
Hunvr
� Y
f
hey
tV •
r'+r
ham,, •
, r �
t
1�
0 0.5 Mi
0 2000 Ft
http://map-pass.mytopo.com/mapslprint_local.asp?print=l &scale=5.00&layer=DRG&Iat... 10/21/2017

t sy
♦
,�. � �♦ems,.. � wz SFr ♦ & �i'
♦
v.
s»
4 }}
S .
a
- s
qqq
A ♦` + ♦Y � � ♦ � "NR` +.': o .1 t: '+.'.�MSpw., •aMMPipe..
qs. _i.,,y,�.`.� ..r nA ` �r ". •»,r Ma .:<.. ,, a-te...,A w.*/dr.e vf,w.w•♦��„�p.,p,
♦ . i • ° " �°" } " .��T�,7S • �,. , `M1�... r ", _ ' Y' bi 3 w1,i'M:-.� a a.
M y ,
♦ ...i♦ srfiP- , ! �" `es'wrlIyl p '!ra 1 4" ♦s ill
i
r
A