20180254 Ver 1_Shoreline Stabilization_20180220

T
F%1D 20180254
DUKE ENERGY INTERNAL USE ONLY: 'Construction
DUKE
Date Received: aid I I FAF P Application
;ENERGY
E] Application Complete v&Mon 14p iC
HIP Fund Permit No. Duke Energy Lake Services
Mail Code EC1 2Q
526S , Church St.
Site ID Close -Out Date Charlotte, NC 28202
I. DATE OF APPLICATION* Pen-nitrrag
H. APPLICANT INFORMATION (applicant mailing address and contact information)
Name* Kri<Aiin LaVdS-C Primary Phone"
Address* 16301 Te-iLft (—c,,, -f— Secondary Phone
City- State* FN� Zip Code* Fax Number
Email* K 5C FAW1 Z 5rvux i I -Coy--%
Ill. PROPERTY INFORMATION (location of permit)
Address*
City* State* Zip Code' County Parcel ID number Pro:
Lake*-.C;W (e.g. Pin, Tax ID, TMS -
Numb,,.-) 04 C93 -q.5
Subdivision Lot(s)D1=Plat Book/Page Lk o 3
To enter the Latitude and Longitude of the property, phase use a
service/software to easily acquire the location information. Values Latitude (e.g. 35.12345)* 155. V33 37e
should be provided in Decimal Degrees format (35.1245).
example service: http-.//itouchmap.comAatlong.htmi Longitude (e.g. -80.12345)* yon v 5 115
"IV. PROPOSED ACTIVITYI
+ (New/Modification of Existing Structure Maintenance of Existing StructureIs Dock
C' New/Modification of Existing Shoreline Stabilization Maintenance of Existing Shoreline Stabilization Covered?
* New/Modification of Existing Structure & Stabilization Maintenance of Existing Structure & Stabilization # of Slips
* Transfer of Ownership Other (please describe below) # of Jetports
Area over land (sq ft) I I Area over water (sq (t) j I Total Square Feet I I
Shoreline Stabilization (feet) Length of /j_/ Distance From Shorelinej- RCONDWI t-
Stabilization Materials
Brief Description
of the Activity
4--)/1z4 jeLid tAIL
Describe Briefly the Existing A i IM 1�_ U-11- -14, ice; e- r
Structures Over Land and
Water (include sq ft)
" 20

V. Dock Builder orEngineer
..�.A...___._._....._.._ _,..�.,,..._.W_.....__......__...W.____�...........___�..�._._._-__,..�..._.....___.._ ...
Name/Company l/• 1 A X WELL LAA(0S CA p/
Address
Pty so rY,jI State T,1 Zip Code
Phone Number
VI. Checklist of Required Documents (to include with Application Submission)
event Survey (stamped/signed by a professional licensed surveyor showing the location of the existing or proposed
structure and/or survey of the existing or proposed stabilization)
VPhotos along property shoreline and photos of any existing structures and/or stabilization in or near the water
�plication fee (check only; payable to Duke Energy) lsigned User Agreement Letter
Applicable local, state, and federal permits ❑ Plan and profile drawing showing all measurements and elevations
Habitat Enhancement payment (if applicable)
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
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.
Vlil. iNrections by Road
Directions by
Road"
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.
Duke Energy Lake Services
Mall Code EC12Q Print Form
526 S. Church St.
Charlotte, NC 28202
I agree that the information contained within is

nq *"4-15 Vfive, 1x c18�51b' V
Print
Contractorlagent:
Print ' Signature
'lite approval 'is for 'the purpose and design descn"bed in your appiicazion. "impacts not in&caiW m the
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 I of the Buffer (within 30 A of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
2+r1'bAMM shaWg acrd s�aprg Mmg't wme&ft s'amOme is aAkvwa6..ISA XCAC WR.Q743(6)}
Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243
(6)]
Beaches, impervious patios, impervious walkways, dc. are not allowed in the buffer unless specifically
approved by the Division. There are limitation on size for decks. f 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 15ANCAC 02B .0243 (4),(6),(8)]
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
disc� must be at the nalazal ekva Dn and disdhmsed pm to atcrips. the buffer dwemd as diffuse or
shoot flow at torp -erosive veloaUvs to We lake. E:5A NCAC OB .0243M (GIf
Acknowledgement ofNodficadon
1, _ASi'i5H • [..�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 ithe Division of Viker.Resources (DWR), is a violation and subject to enforcement Due diligence will be
taken such that the construction will be built vitt subsUwtW compliz cc and intent of the 401 Water Quality
Cedifibaatm ud-Oaffier Res, &emoved p (s) and specirwadon(s), and ober sWonft ia1s.
:.� : `i�>A!Al [wi� 'F; GAJ r:

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
W. 15A NCAC 02H.0500—Water Quality Certification, Shoreline Stabilization
Division of Water Resources FORM: SSGP 10-2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent to:
Division of Water Resources
401 & BAiffer Pw)iittk-1g Unit
1617 Mail Service Center
Raleigh, NC27699-1617
Applicant Information (15A NCAC 02H ,0502(a)1
1. Owner Information
Name:r�j
Mailing Address: -renuuw vX
i suds r r- a gon S
Telephone Number: ?!.�kj-604-5a81 Fax Number:
E-mail Address: 63C.'F fi_-L Z .4YACI.
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/rexdocs/Permits/SAMPLE AGENT AUTHO
RIZ4TION FORM.Pdf) must be attached if the Agent has signed this application form.
Name: D6 &/A)
Company Affiliation: O L✓4/,-K_ M 4XwEL L--
MaiiingAddress: /ri/e? SiAXZe7-tA! A -DA>
/h ry h . #/L 2qua
Telephone Number: 7 b/%- 9.S = A/Ls' Fax Number:
E-mail Address: Am&.4SLAAtss'C2 (.M,411— Gtr
Person to receive the Certification Approval: -t'l2 P 09 Y -;Al
Project Information f15A NCAC Q2H .0502(x) & ib))
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 wails, docks, impervious surfaces, etc.),
rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations, and
FORM: SSGP 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: 11iK kt �nl i�iyR.{� Nearest Town: — U � 4i _
Subdivision name or site address (include phase/lot number):
Directions to site - please include road names and numbers, landmarks, etc.:
SAM 1:!yYta_ �xi�77�i1I T :CAYF R16 -PT' out'Cr,144 [ 11th
Latitude pndedmaldegrees)35.2%'33,3g0� Longitude (dedmaldeames) g�•G%/rJ%��%
S. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): jp�, /, l✓M A f -,mhss nd,# e /,+ti rj
6. Property size (acres): _ 0.87 1-
7. Lake/ river/ ocean adjacent to property: G J10 r -A4 A/J
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
_Se112lg.D l .(� A F1f1r�'P'�n•�N�n1T'
9. Will work be conducted from land? V 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:
11. Total amount of disturbance (including all clearing, backfill, excavation, rip rap, retaining
walls, etc.) above the normal pool take level/ Normal Water Levet and SQ feet land -ward in
square feet or acres: _ /,54/
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50
feet landward to be impacted (number of trees, for instance): rsass - "VO Z�X�c
ISLE '1 a 9f41C t�� .
VQLU
USA NCAC 02H 0502(f)l
'Agent's signature Is valid only If on authorization letter from the owner is provided.
FORM: 55GP 10-2013 Page 2 of 3'

No
Full Pond/
AtC e55
I �-j IC
Lake
(At f=ull Pond/Normal Vlfaaor Leval)
ie rr+1 �
/1�w b� /1; NC
a 9'.0 7K
73 r -V wArS 6 ✓f_ /0/- /'-
Please approximately sketch the following information on this plan (provide dimensions for each
FLem, such as 10 ftx 100ft)*:
1. All proposed vegetation clearing
Z. 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.
S. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM; SSCP 10-2013 Page 3 of 3

VICINITY bWP
T,10T TO SC ALE)
S 73".{8.5.• E
RF 10 .26 1f)
I"
SURVEY NOTES:
I. ALL DISTANCES ARE HORIZONTAL
GROUND DISTANCES.
2. AREA COMPUTED BY THE COORDINATE
METHOD.
3. REFERENCE(S): MAP BOOK 12 PAGE 31.
4. ALL BUILDINGS SHOWN LIE WHOLLY ON
THE SUBJECT PROPERTY.
S. BUILDING SETBACKS AS SHOWN,
6. THERE ARE NO ENCROACHMENTS OR
PROJECTIONS EXCEPT AS SHOWN.
7. PROPERTY SUBJECT TO ANY 3 ALL
EASEMENTS AND RESTRICTIONS OF 00
N
RECORD.
B. PROPERTY LIES PARTIALLY IN A SPECIAL Ile
FLOOD HAZARD ZONE AS SHOWN.
IFIRM NO.3710463 )ODKI
9. THIS SURVEY WAS CONDUCTED
WITHOUT THE BENEFIT OF A TITLE REPORT. 12,6'
10. SETBACKS SHOWN PER TOWN OF
HUNTERSVILLE INTERACTIVE ZONING
ORDINANCE AND ARE SUBJECT TO
VERIFICATION.
O
T E R R
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SYMBOL LEGEND
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GRIC3 I
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1 PIN # 001-023-45 i m
ROBERT C. MATSEY, JR
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CONTOUR LIN[
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(BASE FLOOD ELEV. 760.2)
APPROX. EDGE OF WA19
GRAPHIC SCALE
50 0 25 50
IIN FEET)
1 inch = 50 ft.
I CFR%IFI 7HAT THIS MAP WAS DRAWN UNDER MY SUPE ION
°R4 O'AN ACT UAL SURVEY MA DE UNDER MY SUPEWISKNI H
IDEED 0ESC RVIION RECORDED IN BOOK 2047& PAGE 251:
i HAT THE BOUNDARIES NOT SURVEYED ARE INDICATED AS
DRAWN FROM INFORMATION REFERENCED HEREON; THAT THE
RATIO OF PRECISION AS CALCULATED EXCEEDS 1:10.ODD: THAT
THIS MAP MEETS THE REOUIREMFJJIS OF THE STANDARDS OF
PRACTICE FOR LAND SURVEYING IN NORTH CAROLINA (21
NGC 56.1600). WITNESS MY ORIGINAL SIGNATURE,
REGISTRATION NUMBER AND SEAL.
THIS STI{ DAY OF MAY , A.D., 2026.
TIMOTHY § GUISEWHUE. PLS
NORTH CAROLINA REGISTRATION NUMBER L-4912
TtnnBER BULY.HE�D
:.r- �— �
--760
CONTOUR LIN[
BY ELEVATION
LAKE
INGVD 29 DATUM)
NORMAN
SURVEY OF PROPERTY for:
KRISTIN A. LAPRISE
16301 TERRY LANE
1.01 14, NtOWNS COVE SUODWMN
�j
IONN Of llwacL.wm W=tky loWdw
uCCtlP1Y1Rf CdN1Y, NC
L -,A5 I< 1 ty e j
PROJECT NUMBER: Sl
HensonFoley
lv¢IIc4><'Mtlileehl�• I CM6pk—kq I Suv p q
WI2TMWhoinrA.. AoM7A. IYi —9v NC78078
P:7D4.0'7WMS E704AVSOMI vn'Av.flQ Io°Y/AAt
NC IIRM UCTNSF No. P -IBRD
5URVEY DALE: 12/2172015 DRAWN BY: T!
UPDATED: 05111/2016

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