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Home My WebLink About20180020 Ver 2_Shoreline Stabilization_20180125'Z� a/ f6odo Vd- Duke Energy Excavation Permit Application Form FOR DUKE ENERGY USE ONLY Duke File No. Application Fee $ Security Deposit $_ Check # Date of Duke Energy Lake Services, applicant and/or contractor on-site inspection Date Final Protection/Avoidance Area Markings Field - Verified Approved to Start Work By * (Print) Date Completion Required Date of Any Approved Extension .1 t ,1Y} t`'�i:�t."A1 :,.li.D�l'L'41. t".}Si7ti'l:#.1C731'�• : x2Ya Date Rai PA IDials s Date Lti 1� . Initials Date (Sign) Initials Any Stop Work Orders or SMG Violations*? (check one) ❑Yes ❑No (!f Yes, explain in PART V) Date Deposit Refunded Initials Date Permit Database Updated Initials * Forward copy of approved application (all pages, plus any attachments that Duke Energy changed) back to applicant with Approval Letter and highlight any changes. File copies of Approval, and Ctose-out Checklists and any Stop Work [4 -7- -7 "7el 0_ t :L;'2 0 Lake Address , %315 GAArL� S4 Contractor Compwny Mailing Address (if different) Lakeg��lM,4ACountJy City � ��5 �� State/A Tax Map No. Subdivision Lot/ Section No. 3 Lot Size •S/OAcres RECEIVED JAN ? -3 2013 DFR--LAND QUAUN STORMVWAMER PERUHNS Duke Energy Page 4 of 14 rev 2/6/17 Excavation Program Y, f..7J �:1ah6JVJI� }. Y _ r ♦.:'tl33451iV LL�a .v iissa7 < ani _ ' •a.. a.. ry z i t uii zc r« r « T r' _ora . r * — Lakeg��lM,4ACountJy City � ��5 �� State/A Tax Map No. Subdivision Lot/ Section No. 3 Lot Size •S/OAcres RECEIVED JAN ? -3 2013 DFR--LAND QUAUN STORMVWAMER PERUHNS Duke Energy Page 4 of 14 rev 2/6/17 Excavation Program Duke Energy Excavation Permit Aaalication Form Are there any Co -Applicants*? (check one) GYes ONo (If Yes, include names, addresses or lot numbers, phone munbers, tot sizes in PART V — ADDITIONAL INFORMATION) Co-Appheants exist when thUe proposed work is IDcCirig do ac, Und"Cr a singic alp`oicat`wr..::ii! W 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. "`--- --...: __�__..a 2_.....,._'. "'_.__ .... .. _+',. ._,. _..!._..,. .._..sae .....,. .._« �.fE.._ 1. __. __..._: • !.a i _..J ;_ t, ;7 L j-:: �s :;e Duke Energy Lake Representative and the applicant and/or the excavation contractor. NOTE: Initializing this 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. s Initials (Duke Energy) (applicant/contractor) Duke Energy Page 5 of 14 rev 2/6117 Excavation Program Duke Energy Excavation Permit Application Form Part Il. Description of Project 1. Type of excavation: (check one) t (New excavation O Maintenance excavation 2. Purpose of excavation: (check Boat Access Channel O Water Intake Channel one) X Wastewater D s barge Channel ,O Other {specifYY 3. Lake user category: (check one) )SPrivate OResidential Marina OCommercial Marina OPublic OOther (specify): 4. Max. Excavation Area Dimensions (ft): Length 5 Width 60 Depth 1- vrit�: I Cliiui uutiiidiilaiis area tafanGSiaTbV �+, •`yw i ` vv ; i1v v jiv:. + i dimensions in #4) 5. Volume of Excavated Material (TOTAL for the project): --321—Cubic yards 6. T of material removed (a*kanrt determines by jield sar�de if practical: ` •Sr�� J Acre . 4 S Acre 7. Excavation Site area: �• � (s) Disposal Site area: p (s) 8. Total Disturbed Area (including equipment staging area): ®• 0 Acre (s) 9_ Does the.nroiect meet the requirements of the applicable General Permit? (check one) i7iTi i vo wi`iv 10. Do you claim title to the disposal area? (check one) 13"es ONo 11. Do you claim title to the equipment staging area? (check one) Iyles ONo 12. Are there any water -treatment facilities wixhin 'S0 .feat of the proposed excavation area? (If Yes, specify): 13. How will the excavated material be entrapped and the erosion controlled? (e.g. see attached erosion control plan and disposal area design): f — Duke Energy Page 6 of 14 rev 216117 Excavation Program Duke Energy Excavation Permit Application Form 14. Type(s) of excavation equipment to be used: il 15. Will waters or wetlands be crossed in transporting equipment to or from the site? (check one) 13Yes 6K (Ify,es, explain) Yes reservoir? (Check one) es <o If , sped 16. Will return water re-enter the resery OYaro ON/A (fy point(s) of re-entry and show on Excavation Area Drawing) excavation? EgIrfes ONo (If yes, specify the existing permit number. If No, include a scaled drawing of the proposed facility). Permit 18. Total planned duration of the work (Inchidefirst e1quiPment mobilization, e-ccavation throughfinal mitigqon measures complete): ( (Month) (year) {Month) (Year) Duke Energy Page 7 of 14 rev 216/17 Excavation Program RuEne my ExCayaIV•„4 Permit cR ''�en Form l! PX[Ii'r 11. (Continued) B. g W -TION 'MQUA-M-A Q:[EQjION I A% �!:)U) Coir, jete the following” T,,, joriL'i 'ng the disturbed 11 a: 1!; 0 ble including all L td areas within arl' I jn=ediately ad .0 . . ...................... 1. , e.Areas ............. , Identification protectigorAlAvoldl 11 Field ED (check all that i''VIY) -Age a. Marshland, ponds, beneficial , //n aqaat;,,; vegetation or other pc.;'retial wetlands (Circl'? 311 that apply) Buffer Zones (sj, '; I& svidth &source " 14 ht 4"ojve-- of c iremen 0 #41 1,4 c. Environmental entified by Dukt. �' nervy Natural Areas a.; entified by Duke Ener.' Historic properdp ' S�c A1111 Rare or threaten(: ',species (specify) .. ........... . -J .......... H rev M/17 Dul -,. Enoqy Page 8 of 14 Exc,-!-,lation Program Rnet�y Exca» .; ian Permit Aaa1 j • &H Form Pro eecdon/Avo?, :; tgt Areas identification field ID (check all rit re / - �• Buried gas, was' , sewer, coir :". unications or electric; ^nes (circle) h. Impact Minimi • .tion Zones as ides Fled by Duke Energy —_ _i. Other areas req'"ing specific avc, , Inpe, protection or 6 , lation (specify) jI Avoid or Midgate (Arlt For "Field ID" co - in, specify entity it person that perfi Med the identifier ;)n and how it Fwas ysi Area D cally ked : column, John Doe)/Pi.)and purple-dotte:f;; tape, Corps of En,E (John Smith)/ yet[ v flagging). E :,-gy ( sh, , v the symbol that used on the drawi.i _ gs to identify the } >tection/avoidanGe . rea. *'- List and attach m i 'gation plans rev 216117 Di,'� Energy Page 9 of i=! E,u . vation Program Duke Enemy Excavation Permit Application Form C. APPLICANT'S SIGNATURES Comments: 7�i%riGl ST -- e- - 7379 n;d Sr-- 1,W-/ Applicant Name (print) f aw?/' /- Lot # -3 Appiieant Signatni'�e* Date r — Co -Applicant Name (print) Lot # Co -Applicant Signature* Date ('o-Annlicant Name (print) __ Lot # Co -Applicant Signature* Date Co -Applicant Name (print) Lot # !'•+rAa+ll��n# �'Ia•ihe-p __ Date Co -Applicant Name (print) Lot # Co -Applicant Signature* Date !'.._ A s��+liwwn4 ilInm� /reri±nt� T nt :I# Co -Applicant Signature* Date *Per my signature, the information provided in this application is correct to the best of my knowledge, Excavation Program CATAWBA RIPARIAN BUIFFER NOTWICATNnN ;0;1m-- Project 0;1 — Project Name/address: County: ra_�`�uwioG__� kwner: Print Signature (� Contractor/agent: n.� t� ue' t i rum LLC . ' n .., e `A ` Print Signature The approval is for the purpose and design described in your application. impacts not indicated in the _ _ _ _ _.._ __, _____ _. .. .,,�c _,. ,-�-,.�.., .. ... ,...� M .,.L ,.. v`viuiu .0 i..c niair n�Yui■- � Yiaa w� iii 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. Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B.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 shouldbe. described. The approved access corridor shall,be restored. Staging, spoil, construction material must be outside the buffer_ I15A NCAC 02H ns02 and 1';A NrAr o? -r4 n?nft (Al IM 1Q11 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 Notification •: = ► — i. ■ i% Y ■ i i Lt i 1[ -.ice l l � �■ f' ♦. � .+'1JW-p.`..Yr ! !-ITFG -F . �l°!�h.YYi .I .�. �r� ��...r .....v...v.v .r a..... ....v....Y..w v• 4v.Ei vN IM •t Y4 Riparian Buffer Rule. Any work conducted i 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. 1109 X11/_ z 4fv if- 3aiT ti`Y i:_01' L IF,Y"Jv�'Y'ffi�T) i' yv i(iWY+Y" - J'.i�/■.i'-i `ilyi Sat€six�i�:5ircc'i ' Fnfl� }aiiti��ricaCryric:;• � !t'�4et.l;,;0+`�2�G49-fbR State of North Carolina -, - Department of Environment and Natural Resources Division of Water Resources T 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization Division of Water Resources er%am- 5etzo +n_�n� a - - - - - 1111------•1115 aLUVL 1111-- 45 Four copies of Zne app 1CdAI n1 tm��uuu�g aa�ac��•�cr.roj a.... vr►+✓.rw� v . .w �..�� :« �... Division of Water Resources 401 & Buffer Permitting Unit 1650 Mail Service Center �.11sin4+ MC 7ZC-gQ-1 Arn 1. Applicant Information 115A NCAC 02H .0502(a)j 1. Owner Information Name: �Dui d SGof�'��,rry Mailing Address: Telephone Number: 7D4� 798- Fax Numbe r: E-mail Address: o w. 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter (a form can be downloaded here: ,- t---„►_.�_.,�. . .«/Onrmite/C�A/lPl F AGMIT AHTH "',•1111 11,11, ... _111.11111 .-..- - -- 1111--- ORIZATION FORM.pdf) must be attached if the Agent has signed this application Corm. Name: '� S Al Company Affiliation: �M'�t- r- ' Mailing Address: $ AK�"�'��/c 1! JAn��_S di ��t /x Telephone Number: 7��i toeoi9 -51'1- Fax Number; �D� GGO S°1G9 E-mail Address: Id C seAw� ' N erf- Person to receive the Certification Approval: 6X; P. thil . - --_•-- 1. Attach a vicinity map (i.e. street map) clearly snowing the ��d�� «<= r 'Y”. "' -• 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 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.) ^-F fin nrnnorfij furFtQrra vionrie is to Ka rnnril lriArii County: (_,A fk&)hh Nearest Town: Subdivision name or site address (include phase/lot number): %3 95 e!;-,4 � r; e.,j STY-e-cf a 3 Di u,ns to�ite - piease include road names a" U tu�mbers, landmarks, etc.: —'U- . rna 6r Latitude (in decimai degrees) O 5 •5g 3O/ (o� Longitude (decimal degrees) 9l • 00 $ 6 /17 o 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): X7r-5744tOJ�I',4 b. Property size (acres): 7. Lake/ river/ ocean adjacent to property: L-,fiK� A) 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): he GC 7. VVlil wuiK uC 1.v11Uul..lcu „v,!„aln.+: j�j .••. ...•`...: i� 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: X6-5 '*'x ea" o'x E; ' 11. Total amount of disturbance (including. all clearing, backfill, excavation, rip rap, retaining square feet or acres: 12. Please describe the vegetation above the normal pool lake level/ Normal Water Level Fd 550 feet landward to be impacted (number of trees, for instance): �► r/a-s� Cr,� s Owner/Agent`s Signature* Printed Name Date '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) Full Pond/ Normal Water Level Shoreline i'icdac appi iJAH i WLi:iy JNi4.L,Ai vim :...i.:f- 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 wails, docks, etc. I — k -I^ ., +PNn 1=, 911 Pnnsl / Nnrmal Mlater I PVPI elevation 6. Location of construction access corridors FORM: SSGP 10-2013 Page 3 of 3 LAKE NORMAN JOHN W. FOSTER 9 STEW 7-1- 4_� ART CAX4JVN AS- RYMfT Of WAY U. Z5AC- LOT 03 LOT 01 9.31MC.4—ITOTALJ 14 I 4 0.48AO..- CLEAR OF Woof LOT 011 A, 4us.or W&AMM" ML. A l00 GRAPWZC SCALE — V 40- Wit YJ Ma v RY voogle iviaps Maps Map data 02017 Google 200 ft Page 1 of 1 Page 1 of l http://map-pass.mytopo-com/maps/print_local.asp?print=l &scale=5.00&layer=DRG&lat... 12/11/2017 m IN