20181452 Ver 1_Shoreline Stabilization_20181024

20181452
DUKE ENERGY INTERNAL USE ONLY
Date Received I I App Fee Amt
Site ID HEP Fee
Construction
Application
version 18c
Duke Enerl
Mail Code
526 S. Chui
Charlotte, I
I. APPLICANT INFORMATION (applicant mailing address and contact information)
Name* IRODNEY SMITH voimary Phone
Address* 19104 SHOREWOOD PLACE W6
I? rw condar
y Phone
city* eELMONT State* / Zip Code
2i012
Email C O J I e a0l. Li'l_
,,( DUKE
" ENERGY.
11. PROPERTY INFORMATION (location of permit)
Is there an existing dock or other facilities ❑✓ Yes If yes, include Dock Tag #. If tag
3673
along the shoreline property or over the Lake? ❑ No cannot be located, note that here.
Address* 17046 LAKESIDE POINTE DRIVE I County* Gaston
City* BELMONT State* NC zip Code* 128012 Lake* JVVYLIE
Subdivision Lot(s)F23
Latitude and longitude of the property. Please use a service/software to acquire the location information. Values should be provided
in Decimal Degrees format (35.1245).
Latitude (e.g. 35.12345)* 35.17455
Example service: http://getlatlong.net/ Longitude (e.g. -80.12345)* 181.04417
III. PROPOSED ACTIVITY (check all that apply)
❑ New/Modification of Existing Structure ❑ Maintenance of Existing Structure
❑✓ N ew/Modification of Existing Shoreline Stabilization ❑ Maintenance of Existing Shoreline Stabilization
❑Transfer of Ownership (check box if you want a copy ❑Other (Describe below. If the activity involves an irrigation
of permitting history F-1) withdrawal, include the pump capacity.)
Structure size (square Is dock covered? ❑ Yes ❑ No Number of slips -1
feet) Is structure a
❑Yes* No Number of jetports
common use dock? 1�
*If yes, see special note in Section VII
Shoreline Stabilization Length of
157.32 Distance from shoreline (feet) W1LL FOLLOW E%ISTINO SORELN
HE
stabilization (feet)
Brief Description of
the Activity
Describe briefly the
existing structures
over land and water
(include sq ft)
Materials
RIP RAP WITH FABRIC
CLEARING BRUSH IN BUFFER AND UING RIPRAP TO STABILIZE
COVERED DOCK WITH EXTRA JET SKI LAUNCH AROUND 400 SID FT

Survey (stamped/signed by a professional licensed tj Applicable local, state, and federal
surveyor showing the location of the existing or _�! permits
structure and/or survey of the existing or --- Signed Applicant's User Agreement Letter
Proposed stabilization) Plan and Profile drawing showing all measurements
Photos along property shoreline and photos of any and elevations
existing structures and/or stabilization in or near the Habitat Enhancement Program payment f
water (i
applicable)
Application fee (check only, payable to Duke Energy)
Pkase limit documents sfres to IS"X 37- or sma/kr.
— AW -W 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 noted 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 approval specifications.
CGUOM Y Read
5O44�,,tJ70 11
New M,/op.
Directions by Road" leve II't ""
J p",�� 1
`� acd l�IVilt' /�N [ Lel, v i,
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(moi- JS
©h ✓t 1�E, 70fb ��C'
VII. Application SYbmlSSl00
Please complete print and sign this application. Then enclose all nems from the checklist above and submit all the
information to the address below.
Duke Energy Lake services
Mail Code EC12Q
526 S. Church St.
Charlotte, NC 26202
I agree the information contained within is accurate:
Ay.the
propertyowne
G'Jhp%a fey.
(bole ,'S -tf 12 / Z

OATAWBA RIPARIIN BUFFER NOMICAMN FOR
'/`
Project Nasreladdr<ss: � o � (C n (� IJ" � / �0
1
Print //j1 — — —
t'ontractnr/a¢enU rj i'� �/V `j Signature
�.
C h
(he apposai is Cnr rhe puro.we and design described in _"ur u?icaei t;,ypae=� net indicated in thr
application is a I iolatiun of the Buffer RWe. Site specific work should be pmcided in the application. (I>A
NCAC 0211.AS(N and 15A NCAC 026 .0243(811
frees are not allowed to 1 e in ed Irom Zone I of the Buffer I within 30 11,,l the hull pnnd elecau,,n), unless
ppr ed 1:¢ int n. (1 1-1 (r,- that are sevemk und-rmmed a6mg tluunru,iate >hurctinr can be rcmo+ed.
\CAI fj u
B-rtuitp. cid n;tR-blasnot ello• a �•esdrr-_:m un, ...
(6)1 - _. �:-. ISA \CAC (-'It
Beaches, impcniow pati,,,. imps,, -foul u•alkmays. etc. arc tent allnued in the bufief unless s,cill,all,
approcad by the Db inion. ]here are limitation an Bile for decks. 115ANCAC 02B .0243(4) aftd (611
'Rork ?o fv o'u'lucred Ir"n 1: d nu 1 indicate an and ;udi.'Le an+ n-. char are et, be reuto'ed, the
N%ork dor hoidd be de,crilvd. ihr app d eortid:rt >haflhe rc,a,rad. Staging. spt»L construction
dt: hmucs mu 1 he t the natural 11"ati,ni nd disch.,yed n,, mLL' mg the buff,, d --ted •as dtltosi nr
hlet tlow at nark-res+r� �ekkms to the lake- [15A NCAC 02B .0:43(5), t6)I
tA !e gime !s'rmf
R puna Bu uL Am w rk in therb tfer. �t hit'.
'x sit t d r fara
b e2r D-+-isc, Pe it allc ,rot d in the appl uu on and appnn ed
ta-eu econ,rucmew tieiDWRl. sa¢:olae.�rt and ,uMut�.o v:ecc+umr. liar dih
Certs such that the construction will he built within substan 1 Wat ww ai
,mpliance and intent of the lU1 Water Quality
Crnification and Bul , thr apprnccd planlsl ands ilhntiun(,). and other sup//pn��ni)n/'g material.,
Signature(owner): � te
51) /�
Da' {// lJ
mf_ AAA NCZ?0)z
ppIrno I
r

1' state of 1*mh cararou
Depa www of Erwnaiai a and Nat W Am un:es
DWK UrA!im of Mpft Aesorrroes
DtMishu of Ntity Rena 15A W-XOM .Q900— Water QuaMty Cer artioq, Shoreline 9tebi�atlon
FOM MR 142013
..l.•L=e�4i:- •'� -i(i•. � s,+.i rid.•. •i!I(',
Thrw copies of the application (Including attachments) and the apftatlon fee should be sent to:
[vision Of Water ResOurces
402 & &mer fto ttingUnit
1617 Mail Service Center
Raleigh, NC 27699-1617
L
L
Applicant Irdbrmation [15A NCAC 02H .05021a11
Owner
Name:
Teka r :.. • i Fax ...'
Address: o r m
Z Agent/ Contact Person Information
c,r an. dated copyof the A4putAudiorbationerr_r (a fem candownloaded hem
tt 1w ,• 12L tl ,Li�Li _tr r...� LL -:t ?-:�._• :rte. li iii t., yTJM
RIZATION must be attad _rif the .. _. this application cit .l5orm
Nam: V,4Af L
•
Telephone Neer_
E-mail Address:
Person to receive the
N. Project Via"nadon USA WCAC 02H 05021ai & {E331f
1. Attach a vicinity map O.e. street miapj dearly showing the location of the property with
respect to k xM landmiarks such as towns, rivers, and roads.
Provide a detailed site Pian dKwift property boundaries and proposed locations of
vegetMon deter structures (be"args, retaining wars, docks, impervious surfaces, etc -k
np rap, excavation or dredging below Full Pond/ Normal Water Level elevations, and
FOM 5" 10-2013 Pap l of 3

• o AT&T 'I 5:41 AM 1000/
Done 20181016134300150
2of2
cornslnlrtion coons cwrtdon. You may arse the Owwn W&AdW at the end of fN%
app•cslim tone.
S. Attach a photarapb of the sAonvbW buffer proposed to be stabflled. (Nxsudr a fair of
some son• a yard stkt, shovel ban&, Mc)
4. locatkm of the property (wire work is to be conducted)
County: CT'"6l N•aroft Town: 5[ mp'i t
Subdheelon narnx or site address (4ictuda ph.w/loe nwnberl' 111 f A l f W1 504%4-
ION,
el%ION, AAKtfidt NAVE
CwvObm to %** • p*ow bwW* road nekton wW nuwA s% eu.: _
L� nal % �1'bit S;A& a�y, R'+
twltuea «.u.rr.w�•►. � r c 17't��_ f«�kude Ms•..M•••1.81��t1?
S. ascribe the adstNr land use or condtion of tM f1t. at tM tine Of thb appkc MlOn
(reside ntiat undeveloped, etc.): rt tips A
6. Property We (acres) � _ 4 31
7. lake/ rlar/ ocean adjoc nt to poem iv; LJI Kt
B. Decor proposed woA (bKkWe dhcL"m as to how thadenWI of O rvbw has brat
avoided. or wh/ lth n@m% V): Slw bi 1 i rt OP /;" • 16 P=Gs t Ud:e,!
f, WIN woA be oornductad Horn Woo 50 b►omwaler7 n-
10
10 Total amount of ANslrbana pncludun• a/ eacavNIM bKVN L rlp rM r W ft waft. etc.)
klgW the normal popl bba level/ "flW Weer level In puce feet or KM:
/57.7Y x 3l
11. total amount of dkturbw" (imckWks A dasem& back IK ourmallon, rlp rap, rw•Ywft
we*% 44t I d8m tele normal pool tab* Tavel/ NwmN Water Tavel and So bel *4 ward in
Soar• few or ace.: __I.S 7 . " ' X 1, __.,
17. P"w daKmw ft weptation above rhos normal pod We Iw•1/ Normal OWN (•vel and SA
few landMnre lobe In erted (nsnnber of trem for rnatance) m t •v �w d
sxf►tt -�..
(!/,St�latWe' ►riMed Nana 0440
115AtlfAC Q1tt.fK01fry1
�Aarwrti wwehre Al MW only ifM wRAaper*w ktar from fir 0wW is pre►Aerd

Full Pond/�
Normal ieLev el
ho
Sreline
La ke
(At Full Pond/ Normal Water Level)
13.2 G V. \I A-$
"oma ��UdQcx
a
fa
0
157, 3y�
Access / 7D�6 �RK�srIe ?DI►1�k "�>f
gold..
-2>1 b.tlovi
Please approximately sketch the following information on this plan (provide dimensions for each
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 walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: 5SGP 10-2013 Page 3 of 3

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. I ) PLAN NO.
PARCEL ID: / / 3 2 6
STREET ADDRESS: -70 ` � bk-asiap Ev,,+
Please print:
Property Owner:
Property Owner:
W
r�
The undersigned, registered property owners of the above noted property, do hereby authorize
T140A 1i Q V q I of V0 V OtLij CoO
(Contractor / Ag ) (Nam f consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's fkc, Addrerrss (if different thanproperty above):
�Ioq SYOrPWeo.� I-��Wtoh'�i Vc 29012—
Telephone: %0 q W — % 5
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date: _ lT� Date:

STCASTON ATE OF CAROLINA
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LOCATION MAP -NOT TO SCALE
LEGEND
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NOTES SURVEY MATE USM EWSMG PHYSICAL
ENOENCE FOUND AT TINE OF SURVEY.
SUBJECT PROPERTY MAY BE SUBJECT TO
RECORDED OR UMECORD' EE, EAS0"TS,
waNr-a-RAYS. sETBAas um��lpqq
NEREOFJ.
PEECK WYpN/75 NOT SIa1e1
100 YEAR FLOW INFO TAKEN FROM nRM MAP 3-MO3552DDJ
CAROLINAS
DESIGN
GROUP,PLI
•LANO SURVEYINGeLAND PLANNING
201 West Second Avenue Coeton(a, NC 28052
Phone: [phone] r 704-864-9007 a Fox 704-854-9328
NC LICENSE #P-0186
® POPAR
• RIIXORY
© GAl
O CHERRY
I
GRAPHICAL SURVEY
TREE SURVEY
OF
3 WOODLAND BAY
FOR
CONSTRUCTION
'HPOINT TOWNSHIP
UASfON COUNTY, N.C.
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