20181027 Ver 1_Shoreline Stabilization_20180726

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s ; State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR-401 & Buffer Permitting Branch DWR-401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Duke Energy Progress, Inc.
Mailing Address: 526 Church Street, Mailcode EC12Q Charlotte, NC 28201
Telephone Number: 704-382-8849 Fax Number: 704-382-6814
E-mail Address: [e-mail]
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: Todd Gingerich, P.E.
Company Affiliation: Civil & Environmental Consultants, Inc.
Mailing Address: 1900 Center Park Drive, Suite A Charlotte NC 28217
Telephone Number
E-mail Address:
980-237-0373 Fax Number: 980-237-0372
[e-mail]
B. Project Information [15A NCAC 02H .0502(a) & (b)]
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, buildings, retaining walls, docks, impervious surfaces, rip rap, excavation
or dredging below Full Pond/ Normal Water Level elevations, and 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)
FORM: SSGP 02-2017 Page 1 of 3

County: Montgomery Nearest Town: Mt Gilead
Lake/ river/ ocean adjacent to property: Lake Tillery
Property size (acres): 6.0
Subdivision name or site address (include phase/lot number):
4917 NC Highway 24/27, Mount Gilead NC
Directions to site - please include road names and numbers, landmarks, etc.:
From Albermarle- head east on NC 24-27, once you cross over Lake
Tillery drive 500 feet past the intersection of Highway 73 and NC 24-27. Turn right onto the
latitude (in decimal degrees) N.35.3058 Longitude (decimal degrees) W80.0742
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Existing boat access area
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Installing proposed sidewalk and concrete bulkhead for
floating pier.
7. WiII work be conducted from land? ® From water? ❑
8. Total amount of impacts below the normal pool lake level /Normal Water Level
Permanent impacts (including all
excavation, backfill, rip rap, retaining walls, etc.) in square feet:
162 SF
Temporary impacts in square feet:
9. Total amount of impacts above the normal pool lake level /Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
Temporary impacts (temporary clearing, construction corridor) in square feet:
10. Please describe the vegetation above the normal pool lake level/ Normal Water Level and SO
feet landward to be impacted (number of trees, for instance): Grass
11. Signature ,�
7?Y 6d�
Owner/ gent's Signature* [15A NCAC 02H .0502(f)l Date
*Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 02-2017 Page 2 of 4

12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
ull Pond/ Normal Water Level
Plan
La ke
{At Full Pond/ Normal Water Level}
E AMP E
Plan View
FORM: SSGP 02-2017 Page 3 of 4
Lake
(At Full Pond/ Normal Water Level)
Existing Dock
0ftx7ft
3ftx15oft
Below full pond/ NWL
Full Pond/ Normal Water Level
�l
orel lne — _
_
4ftx150ft
Ri pra p
Above full pond/ NWL
2 ft.x 150 ft.
additional clearing
" if necessary
E AMP E
Plan View
FORM: SSGP 02-2017 Page 3 of 4

7
N
La ke
(At Full Pond/ Normal Water Level)
C
EL
jI�
Side View
U-
3 ft. below full pond water level 4 ft. ahove full pond water level 2 ft. additional clearing
if necessary
Existing bank
16 ft. bank
height
Side Vi
AMPLE
FORM: SSGP 02-2017 Page 4 of 4

H
L
F3
3
NORTH
4i
�- EXISTING BOAT RAMP
\� ACCESS AREA PARKING
\\ CAROLINA POWER & LIGHT Q /
\ \ PROGRESS ENERGY ` Q
\ DUKE ENERGY PROGRESS O
\ \ TILLERY HYDROELECTRIC ��\ Q
\ \ \ \ PROJECT BOUNDARY
\ \
SEE.- L -D-8963 SHEET 11 V
\\ \ \ DEED FILE 482 FEE SIMPLE TRACT NO. 206
FROM T. PRESTON THOMAS, ET. AL, DB. 79 PG 22
`\\ \\ \�� • DEED FILE 442 -FEE SIMPLE TRACT NO. 205FROM JANE E LIL Y, ET • ,f \\ Q /
\ \ \ e MONTGOMERY COUNTY AL, D8. 90 PG. 152\
/' � � 4 WORK AREA /
0
CXR \ ,
1,900 SF OF PERMANENT
\, \t \\ \\ Ml``` %' \ �• • IMPACTS ABOVE FULL POND
` 1 \ \ ` • , ` EXISTING GRASS AREAS TO
\ \ \\ \ • • / � � I Q BE RIPRAP OR PAVED
1
PROPOSED HANDICAP —
PARKING SPACES
APPROXIMATE
FULL POND CONTOUR
OU �- c•p (277.30)
REMOVE AND REPLACE
'�7 ' EXISTING RIPRAP
10
i I j 11%r / Q D' / INMIFULL TS O POND
ROVEMENTS
EXISTING WOOD
BULKHEAD TO �\
BE REMOVED10 111
•
2.0' .
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I I I o
, .... SF OF TEMPORARY
1 \ `• r _ °'•' Q D IMPACTS BELOW FULL POND
1
-<7 -0,
PROPOSED SIDEWALK
AND CONCRETE ABUTMENT
17
P OPOSED FLOATING
• ��
.River Haven
.'ca HAVEN DR c�''
IREFERENCE
1. EXISTING TOPOGRAPHICAL INFORMATION PROVIDED BY
PATTERSON LAND SURVEYING, P.A. ON JULY 17, 2015
2. ACCESS DELINEATION SURVEY PREPARED BY STANTEC, INC.
DATED NOVEMBER 6, 2013 PROVIDED BY DUKE ENERGY
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27
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R'I"SHORES DR
4
LOCATION MAP
4917 NC HIGHWAY 24/27, MOUNT GILEAD, NC (MONTGOMERY COUNTY)
N35.3058, W80.0742
U.S. .S. 7.5 MIN. TOPOGRAPHIC MAP,
MORROW MOUNTAIN, NC QUADRANGLE, DATED: 2013
1 "=1 ,000'
cc
i
0
o1
f Buzzard '
Mountain
v
EXISTING RIPRAP v v�
LAKE TILLERY
WATER LEVEL 276.9'
(AS OF 7/16/15 ® 10:45 AM
FULL POND ELEVATION= 277..3'
SCALE IN FEET
0 100 200
Am
1- EXISTING BOAT RAMP
LAKE TILLERY
PROPOSED CONCRETE
SIDEWALK AND ABUTMENT
(OVER EXISTING GRASS AREA)
EXPANDED ASPHALT PARKING LOT --i
6 15 I 7
EXISTING BOAT -
RAMPS TO REMAIN
LEGEND
�
PROPERTY LINE
— —
w
C%
u
APPROXIMATE
FULL POND CONTOUR
OU �- c•p (277.30)
REMOVE AND REPLACE
'�7 ' EXISTING RIPRAP
10
i I j 11%r / Q D' / INMIFULL TS O POND
ROVEMENTS
EXISTING WOOD
BULKHEAD TO �\
BE REMOVED10 111
•
2.0' .
I o� \\ ® /
I I I o
, .... SF OF TEMPORARY
1 \ `• r _ °'•' Q D IMPACTS BELOW FULL POND
1
-<7 -0,
PROPOSED SIDEWALK
AND CONCRETE ABUTMENT
17
P OPOSED FLOATING
• ��
.River Haven
.'ca HAVEN DR c�''
IREFERENCE
1. EXISTING TOPOGRAPHICAL INFORMATION PROVIDED BY
PATTERSON LAND SURVEYING, P.A. ON JULY 17, 2015
2. ACCESS DELINEATION SURVEY PREPARED BY STANTEC, INC.
DATED NOVEMBER 6, 2013 PROVIDED BY DUKE ENERGY
o�
"A,
�-
sl 00 24 77-
27
\�\ �
R'I"SHORES DR
4
LOCATION MAP
4917 NC HIGHWAY 24/27, MOUNT GILEAD, NC (MONTGOMERY COUNTY)
N35.3058, W80.0742
U.S. .S. 7.5 MIN. TOPOGRAPHIC MAP,
MORROW MOUNTAIN, NC QUADRANGLE, DATED: 2013
1 "=1 ,000'
cc
i
0
o1
f Buzzard '
Mountain
v
EXISTING RIPRAP v v�
LAKE TILLERY
WATER LEVEL 276.9'
(AS OF 7/16/15 ® 10:45 AM
FULL POND ELEVATION= 277..3'
SCALE IN FEET
0 100 200
Am
1- EXISTING BOAT RAMP
LAKE TILLERY
PROPOSED CONCRETE
SIDEWALK AND ABUTMENT
(OVER EXISTING GRASS AREA)
EXPANDED ASPHALT PARKING LOT --i
6 15 I 7
EXISTING BOAT -
RAMPS TO REMAIN
SCALE IN FEET
0 10 20
EXISTING FULL POND LOCATION
/DIM NSION
VARIES
DIMENSION VARIES 4' MAX. ,
SIDE VIEW
N.T.S.
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FULL POND ELEVATION = 277.3'
APPROXIMATE LAKE BOTTOM
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NORTH CAROLINA
BOARD OF EXAMINERS
FOR ENGINEERS AND
SURVEYORS LICENSE
NO. C-3035
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NO. C-3035
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DUKE
ENERGY,
August 11, 2016
Mr. Todd Gingerich, Project Manager
Civil & Environmental Consultants, Inc.
1900 Center Park Drive, Suite A
Charlotte, NC 28217
Water Strategy, Hydro Licensing
and Lake Services
Duke Energy Progress, LLC
EC1201526 South Church Street
Charlotte, NC 28202-1802
a 704382.6920
c 704 681,2703
f 704 382.4671
Reference: Agent Authorization Letter for Yadkin -Pee Dee Hydroelectric Projects (FERC No. 2206)
Pee Dee Access Area
Swift Island Access Area
Grassy Island Access Area
Blewett Falls Tailwater Access Area
Clarks Creek Access Area
Dear Todd:
This tetter is provided to serve as the "Agent Authorization Letter" to provide Civil & Environmental Consultants,
Inc. (CEC) signature authority for Duke Energy for the amenity upgrades of the following Yadkin -Pee Dee
Hydroelectric Projects (FERC No. 2206):
• Pee Dee Access Area: 579 Boat Landing Road, LilesviIle, NC 28031, Anson County
• Swift Island Access Area: 4917 NC Hwy 24/27, Mount Gilead, NC 27306, Montgomery County
• Grassy Island Access Area: 2356 Grassy Island Road, Ellerbe, NC 28338, Richmond County
• Blewett Falls Tailwater Access Area: 2593 Power Plant Road, Lilesville, NC 28031, Anson County
• Clarks Creek Access Area (new site): 177 Tillery Dam Road, Mount Gilead, NC 27306, Montgomery
County
The upgrades at these access areas and construction of the new site at the Clarks Creek Access Area are part of
the approved Recreation Management Plan related to this project license.
This authority is granted to assist CEC in the acquisition of the necessary permits to complete the proposed
amenity upgrade work at these access areas and the new site at the Clarks Creek Access Area.
Please keep Duke Energy informed of the progress of these projects.
Sincerely
atir'
T vis Sinclair, Project Manager II
Public Safety & Recreation Strategy Services