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Home My WebLink About20180057 Ver 1_Shoreline Stabilization_20180110PAS Duke Energy Esc 'on P ' . lication Form C/lo 91 n. r - -- -��... --. - - . -J C. Vi'1 L,7 Duke File No. 2 0 1 8 0 0 5 7 Application Fee $ Security Deposit $ Check # Date Recv'd Initials Date of Dunce Energy lake Services, applicant amt/or contractor on-site inspections Date Initials Date Final Protection/Avoidance Arca Markings Field - Verified Initials Approved to Start Work By (Print) Date Bate Cmiipletion Required Date (sign) of Any Approved Extension Initials Date Passed Closeout Inspection* Irsitrals Any Stop Work Orders or SIC Violations*? (check one) Dyes ❑No (!f Yes, explain in PART V) Date Deposit Refunded Initials Date Permit Database U ated Pd Initials * Forward copy of approved application (ail pages, plus any attachments that Duke Energy changed) back to applicant with Approval Letter and highlight any changes. File copies of Approval and Cbse-out Checklists and any Stop Work Orden with appllcatian, Part L Applicant Information (Please Print) Natne 5,A fAfd Telephone 0 4 Email address. rD S S bQ Aw.� ►rc , Sohn v' — Lake Address -7 Mailing Address (if different) Contractor Company C a G 5-rn&re- Contractor Contact Person Gkt12mid { g Telephone -"0 Contractor Email Address:` -C-r C. ----) e- A- -A) 44 �C> 1A); AlW srrV-- m . eve t� LAKE LOT INFORMATION Lake County, r4e,dk City 0 r State IAC Tax Map No. Subdivisiosl r �,f : S ;� r�l'� X o { Seefi tr'�?�. lot Size ' 6 �A�Pres RECEFIVEI) JAN 10 2011 Duke Energy Page 4 of 14 LMt)rev x'6/17 Excavation Program S� i�TT Duke Energy Eycavad n Permit AIn Are there any Co-Applicants*7 (check one) ❑Yes ONo (If Yes, include names, addresses or lot nu rs, phOne :numbers, 10t sires in PART V — ADDITIONAL INFORMATION) * CO-A�icants exisi: wllert t:w p'M�. wo 's �tio a Si4e appaica mon, wit] be performed by a single contractor as one continuous project, and is done to benefit multiple owners / lease holders of Project -front properties within a single development. The check for the application filing fee and security deposit should be from the party shown as Applicant and not several checks from the Applicant and Co -Applicants. Do not continue the applications until an on-site Wspecdon has been ate between a Duke Energy Lake Represeuta&e Md ae a lr cant mor the excavatan contrmtor. NOTE.• Initializing d s portion of the application by a Lake Representative in no way constitutes approval or eminent approval of the excavation or any other lake use permitting activity. Date of on-site inspection I Z a" 'T Initials (Duke Energy) t (applicant/contractor) Duke Energy Page 5 of 14 Excavation Program 1e" 2/6/17 Duke Enerev Excavation Permit Aaniicadon Form A. 13A51C INFO 1. Type of excavation: ;.(check one) iew C'ca,vati0fi 0 Vatntenance excavation 2. Purpose of excavation: (check one) oat Access Channel ❑ Water Intake Channel ❑ Other (spec13 Wastewater Discharge Channel ify): 3. Lake user category: (check one) i�Frivate ❑Residential Marina QCom ercW Mwina ❑Public ❑other (spec): 4. Max. Excavation Area Dimensions (ft): Length Width BO Depth —J (Note: include additional area dimensions iyfneemsary,so response tri #5 below eqa&maw area dimensions in #4) 5. Volume of Excavated Material (TOTALfor the project): —IL t5 Cubic yards 6. Type of material removed (applicant determines by field sample if practical):�%G(G% 7. Excavation Site area: (0./ Acre (s) Disposal Site area: d. / S (s) Acre 8. Total Disturbed Area (including equipment staging area):____12_, . Acre Acre (s) 9. Does th project meet the requirements of the applicable General Permit? (check one) Res CINo 10. Do you claim title to the disposal area? (check one) Wes 'Mo 11. Do you claim title to the equipment staging area? (check one) IR6s ❑No 12. Are there any wate�r-Jt �atment facilities within 50 feet of the proposed excavation area? (check one) ❑Yes [6 o (If Yes, specify): 13. How, will the excavated material be entrapped end ata prior. contra L � (e . see attached erosion control plan and disposal area design): ,S j Duke Energy Page 6 of 14 E=avaition Program rev 2W17 Duke Ener�y Excays�tian Permit Abolieatian Form 14. Types) of excavation equipment to be used: �N9 rra4c� �av� 15. Will waters or wetlan s be crossed in transporting equipment to or from the site? (check one) Oyes &o (Ifyes. explain) 16. Will return water re-enter the reservoir? (Check one) E7yes fikgo pN/A (If Yes, sped paints) of re-entry and show on ,Excavation Area Drawing) 17. is there an exirgcliy (mg_ ptier) t access swezrag n':ned :o by conducting the excavation? Lames E}Na (If Yes, specify the existing permit number. If No, include a scaled drawing of the proposed facility). Permit # , 18. Total planned duration of the wc�ric {lne%rde firsi pguip +mobilization, excavation through fcnal mitigation measures'complete): START / (month) 7 FINISH ,��! ! (Year) (Month) (year) � Duke Energy Page 7 of ld Excavation Program rev 2/6117 i?4 a Eaersv Excavaiavd Permit Awjig„ on-_jLorxn PART 11. (Continued) B. ERQT.ECTION / AVIOIDANCE AREA DE,S!QRIPTION Complete the following table including all land areas within and irnniddiately adjoin ng the disturbed aria.: otecd2n/Avoiroi lace AreasI _- I Mettt 9012ion (check all MWI PhL) _a, Marshland, swaOi0i pdutis, beneficial aqu tic, vegetation or other potential wetlands (curie all tlNo apply) —b. Suffer Zones QPII ify Width & source of re vuirernent) Duko Energy t;yeas as identified by Areas as Propertie's (SP00059 or threatened Duke kkrg w;1r .ems dove, if b y b i o f -f- 6 y /'# H Dui: a Energy Page 8 of 14 rev 2r6/t 7 Ex �jtvation Program Duke EnLW Excavatiao Pert -,I Atak cation Fprm _Ptotection/AyoidaV� Aporox (check all that cry /) , e -/ N1,4 --____ —,g. Buried gas, water, 4swer, comm +nieatioas or electric lin+s {sire%) A Impact MinimizatiXt ,Zones as ideotif,,d by Duke Energy A1 % L Other areas requi&t� specific ( - - avoida»re, protection or mitigation (spec) WiA * )nor "Field LD" columot, specify entity or person that performed the i(lentifivatiot)and how it was physically marked (e.g. Duke Enemy (John Doe)/Pink a td purple -dotted tale, Corps of Eng. (Jobe Srn;ih)/ yellow nagging). For "Work Area Dwg I,•' column, show the symbol that is u ed on the drawings to identify the prote ion/av oidanoe area,. ** List and attach mitigation pians Duke Cajergy Page 9 of 14 Excava t inn Program rev 216/17 DukeEner Excavation Perm{t Anal{cation Form C. APPLICANT'S SIGNATURES Comments: of OrS Applicant Name (print) Applicant Signaivret' d,l/ Co -Applicant Name (print) Co -Applicant Signature* Co -Applicant Name (print). Co -Applicant Signature* Co -Applicant Name (print) Co -Applicant Signature* Co -Applicant Name (print). Co -Applicant Signature* IM61-c- Lot # �A�Date 'T 19-1.7 Lot # Date Lot # Date Lot # Daae Lot # Date Co -Applicant Name (print) Lot # Co -Applicant Signature* Date *Per my signature, the information provided in this application is correct to the best of my knowledge. Duke Energy Page 19 of 24 Excavation Program MV 2 I7 Owner: Print Contractor/agent: Signature Print Signature The approval 'is for tic purpose and design described 'in your appiicafion. `lmpam -nut tcdb'-d ` tke application 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(8)] 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. �15A NCAC .9243(fr) Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243 (6)] Beaches, impervious patios, impervious walkways, etc. pare not allowed in the buffer unless specifically approved by the Division. There are limitation on size for decks. [15ANCAC 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 corridor shall be restored. Staging, spoil, construction material must be outside the buffer. [15ANCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), (8)] Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater dischargea trust be at the nam ckvaWa agd &560ged pew to aftring dw bier &cgftd as &ffvsc OF sheet flow at non --erosive verucides to Oe faA:e. C.'5? NCA r' 2R - 4j� (TI Acknowledgement of Notification 1, ' 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 M WR), is a violation and subject to een€ormnent. Due diligence will be taken such that the construction will be vuiit widlin Nubsitt W-' CW0V' a • tei.^' 1 _e X40? W»' -e' Q,.a�''" iiani.�, F►n.4 in o. �. Ceriui on a i i ? spec/ s , w -d. Wier sopporOng zzaa iuls. Signature (owner): �a�mJ� "'G' l Date: State of North Carolina Department of Cnnvftntw t and NaU" Resamues _D WIVR Division of Water Resources Division of Water Resources 15A NCAC 02H.0500 — Water Quality Cert cation, Shoreline Stabilization FORM: SSCP 10-2013 ihomhne Stabifizatmn A hcavon Form Three copies of the appl: `or, ." :r'lu :e;'' y!}e!t7s� and the aPplic2tiOn friss shouid he Sect to: Division of Water Resources 401 &;Buffer,P$rrrti g Unit 1617 Mail Service Center Raleigh, NC 27699-1617 i. Awfiicant ft*mnatio}n WA NCAC 2H :05+02(all 1. Owner Name: Mailing Telephone Number: , Fax Number: E-mail Address: 011-0 .b Kgs m6W r�kk -Com 2. Agent/ Contact Person Information A sued a M dated COPi/ of the Agent Audorizatwn deter (a form can be downloaded here: http:/Iwww.saw.usace.army.mil/Portals/59/docs/reeulatory/regdoCs/Permits/SAMPLE AGENT AUTHO Z%TY'3Nk : -'n- pll�.�atiron form. Name: ME) �VI dwS Company Affiliation: Mailing Address: Telephone Number: &- mil W-5ff i Fax lumber: E-mail Address: Person to receive the Certification Approval: Project Information (15A NCAC 02H .0502(a) & (b)1 1. Attach a vidnit3trmap lige. sb est rags) c4wr1y sf*v ang the !radon 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 Fuff Pond/ Normal Water level elevations, and FORM: SSCP 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 the property (where work is to be conducted) County:_ Nearest Town: MODY,i Subdivision name or site address (include phase/lot number) -p _41 Directions to site - please include road names and numbers land , etc.: N 3j''�(.j � /� y�1��1 l/�C�t'arrfwn ,�..,/�Vim_ ��.1��/ { 1� 0 -l-[MA A TI/ii , r Latitude (in dedmal Longitude 5. Describe the existing land use or condition of the site at the time of this app!5cation (residential, undeveloped, etc.): flL_�rc �kQ 6. Property size (acres): J. tato 6V 7. Lake/ river/ ocean adjacent to ,property: -- 8. Describe proposed work (include kLscussion as to how ardening of shoreline has been avoided, or why it is necessary): fYt 9. Will work be conducted from land? ,Orrt water? 10. Total amount of disturbance (including aN excavation, backfill, .rip rap, retaining walls, etc.) below theormal pool lake level/ Normal Water level in square feet or acres: -0 x 970Y si 11. Total amount of disturbance (including all clearing, backfill, excavation, rip rap, retaining wails, etc.) above the normal pool lake level/ Normal !Nater Level and 50 feet land -ward in square feet or acres: Nut,, 12. Please describe the vegetation above the normal pool lake level/ Norma{ Water Level and 50 feet landward to be impacted (number of trees, for instance): L -T-2 5;,5 "VA4- 66ZAX ,� sit ,ts R u ti�i Owner/Agent's. Signature* Printed Name Date laaA NSL' `- 02H .0 3iJL:+r• Agent's signature is valid only if an r uftrization fetter from the owner is provided. FORM: S%D 20-2413 Page 2 4 3 Fuh Annd j 50 �.ake (A I Pond/Normal Water Leven 1 i] M rMmiG'Yd. Iso l"s Point livor ti -e *tl-<- Zi�)j r -i Please apprGWmately sketch the following information on this ,glary ,(provide dimensions for each iftl4 Ugh = jn�.i1X 1004- *: I. All proposed vegetation Bearing 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, dodcs, etc. S• L*Catkm of anyr excavation or drecWna below the Full Pond/ Norma! Water Level elevation 6. Location of construction access conidors P *M. Sw JOJM3 Page 3 of 3 NOTES _ UNE TABLE UNE BEARING *LENGTHL1 N 70'28'20" '0�ros1 W623 �3' DO N ALLEN h ASSOCIATES P.A. Cid "sk" � 1971' .:oNtrariGes Shf.4y " - �p ',/x 131 CR09KMM PMK OR 8191E 182• Mnv.wB.. KC. 28117 (704) 884-7M (704) 6N—W41 fm 111.31UML *)UKVt.T OFLOT 1 &2 TRAVIS Pow (PR 64 PG. 138) 'DAMSON TWw.. IREDEIL CO.. N.C: SCALE: I' - 50' DATE: OCT. 18. 2018 PURCHASER: SALLY GAM13RELL %GiWHIC sc.t U- 50 0 23 50 100 280 IN n" 1 inch = 50 rL Page 1 of 1 MW data 02017 Google United States 500 ft l't"://www,90091e-cOm/maps/@35.5399787; 30.-SS39112,.16z 9/18/2017 MapCard - Print your custom map Page I of I 1 1V N 0 0.5 Mi .11 0 2000 Ft http://map-pass-mytopo.com/mapslprint_local.asp?print=l&scale=5.00&laver=T)RCT,R,lat= 0/1 Rani : i 1 1V N 0 0.5 Mi .11 0 2000 Ft http://map-pass-mytopo.com/mapslprint_local.asp?print=l&scale=5.00&laver=T)RCT,R,lat= 0/1 Rani M u 'Y*u Nn' m vt. ......, ��' ..-.. • ;+ ` AM - ... .rte' A • mop � �� ►' t* ♦ � r1p�p lb ' ♦ ♦$ • Hir � a `• �1� t f 1y qp so JN e AV �. ♦ ! i ., R r � r,, C�JII eRIV .�;- ;:�'; r . ,, :,; �,. .�:: ::, �. Y.: . � � � x ,��=- ,. y �� f R ! J.s �y .�r,.i' � r �' _a• �� F �'V'.� 4 '� � r � � ��' ° 3'��-. � , � �,. rrkt.". �!{M. � "Y Y � 6 y.0 i� �., "_ � r i �y r A � t � ..3� J 'fir .':tib pu M � � *i� � 'a �� ']: ,i It� 4ni