20180132 Ver 1_Shoreline Stabilization_20180112

11290 Olde Cedar Court
Davidson, NC 28036 P ID
January 3, 2018
NC DEQ D
Division of Water Resources, 401 & Buffer Permitting Unit4N 1 2 2018
1650 Mail Service Center
Raleigh, NC 27699-1650 D EO -WATER RES u Es
Subject: Promenade On The Lake
Promenade On The Lake, LLC has contracted with my company Permits 4U, Inc., to obtain necessary
permits for a proposed planned project listed above. The purpose of their s project is to stabilize the
shoreline around their marina. The marina was originally granted approval in a FERC Order issued on
September 16 1983, docket NO. 2232-064 to Crescent Land & timber Corporation for the operation of
marina facilities. The existing marina has approximately 2951 feet of shoreline. The existing lease area is
1.32 acres. Plese see attached drawing by Carolinas Design Group, PLLC
The improvement that is being proposed by the current owner includes:
Stabilize 2,289 feet of shoreline with rip rap.
280' will be stabilized with enhanced rip rap or it will be a beach area. 2 0 1 8 0 1 3 2
186' of enhanced rip rap
197' will not be touched because it is classified as environmental
Please find enclosed a survey showing the entire shoreline and where the rip rap will be placed and when
the enhanced rip rap will be place.
The environmental area is in the back of the cove on the left hand side looking at the water. I have also
enclosed a street map and pictures along with Duke Energy Shoreline Management Plan Map.
Please advise me on any comments, questions or changes/additions you might have concerning this
request for this stabilization application My address is 11290 Olde Cedar Court Davidson, NC 28036
My email is [e-mail]
Sincerely
Ann L. Duncan
Permits 4U, Inc.
Attachments

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Montalvo, Sheri A
Subject: Promenade on the Lake
Date: Jan 16, 20' at 10:57:28 AM
o : Ann Duncan
Ann,
Vie, reeelved tha fee and rir-awinog fnr tho q.hn\fp There. \ki9S not ;in
application along with it. Can you please send the app that goes along
with this request?
Thanks
Sheri Montal-vo
Administrative Assistant
4V *L &PJ'Rat r.W;Az50q '01-aMA
Division of Water Resources
919 807-6494 (fax)
Physical: 512 N_ Salisbury SL, Ste 942-1), Raleigh, NC 27604
Mailing- 1617 Mail Service Center, Raleigh, NC 27699-1617
KA'Nothinq Compares
&Lmad correspondence to and from Mis address is sabject to the
gForth Carolina Pijbfic Records -!a7l ard ma -V be cliscifelsed to third palt'le
RECEIVIED
]AN 2 5 2013
I)ENR-LAND QUALITY
STORMATER PERMITTING

State of North Carolina
Department of Environment and Natural Resources
DWR
Division of Water Resources
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 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information promenade on the Lake, LLC
Name: C/O MORRIS DENTAL GROUP
Mailing Address: _ 7215 Lebanon Road Suite G
Mint Hill, NC 28227
ATTN: Melinda Love
Telephone Number
E-mail Address:
RECEIVED
JAN 25 e01J
DEN'R-LANE) QUALITY
STORItINT90 P"MITTINd
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/regulatoryZregdocs/Permits/SAMPLE AGENT AUTHO
RIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:a4QlL
Company Affiliation:
Mailing Address:
r -
Telephone Number,, 9�� � ' � Fax Number: 7 " u7
E-mail Address: - M C n� c LG MA
Person to receive the Certification Approval: &R, AD
LAK LLCI
II. 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, structures (buildings, retaining walls, 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:I r2 n Lam— Nearest Town: I r wo 5�����,. NC,
Subdivision name or site address (include phase/lot number):
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees) Longitude (decimal degrees)
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): M hKi'4
6. Property size (acres): l (o '-n dei .
7. Lake/ river/ ocean adjacent to property: �lowu
8. Describe proposed work (include discussion as to /how hardening of shoreline has been
avoided, or why it is necessary): /N-s-mcl- z)SA57—,�
9. Will work be conducted from land? tK 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:
-7.-5
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pogl lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres:
X 2—%5`x"
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50
feet landward to be im
cted (number of trees, for instance):
l -N;
i
Owner/Agent' Signature
* Printed Name Date
[15A NCAC 02H .0502(f)]
'Agent's signature is valid only if an authorization letter from the owner is provided.
"fiq
FORM: SSGP 10-2013 Page 2 of 3

/7 r
Full Pond/
Norrn%I&atteL6eveel
Shoreline
80 C� . �WGA
p
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.
S. Location of any excavation or dredging below the l=ull Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSCP 10-2013 Page 3 of 3

OF W ATF9
MA
0
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A. Applicant Information ����1/��J1�A-J,7� A -'r -rAe_ IA K15-
1. Processing
1a. Type(s) of approval sought from the Corps:
❑ Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps?
❑Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
63"401 Water Quality Certification - Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification - Express ❑ Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
10/yes ❑ No
For the record only for Corps Permit:
Eyes [I No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes ❑ No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
/
❑ Yes ❑v No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes 21No
2. Project Information
2a. Name of project:
RX v m F x pE7 fi! T THE LArK6-
2b. County:
DELL.
2c. Nearest municipality / town:
/ADO rec5vi !lE Jif
2d. Subdivision name:
MAko INA
2e. NCDOT only, T.I.P. or state project no:
]AN 2 J 2013
3. Owner Information
3a. Name(s) on Recorded Deed: XPi: O P 0 le r KO R �T iif ;
3b. Deed Book and Page No.
b • I (� I l I �-3
3c. Responsible Party (for LLC if
applicable):
,, rr
o bo t� • VA C) e16 S
3d. Street address:
72- 15 A rJ ON
3e. City, state, zip:
Ki Ai -r VV- It A C
3f. Telephone no.:
0 4-. q 6% • OQ 8 q
3g. Fax no.:
3h. Email address:
P� E D MIA t2 l N A tM A-;, L0
Page 1 of 10
PCN Form - Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
[g"Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
?C'
4d. Street address:
r',C�
( )-CIO O (,C CeAw G '
4e. City, state, zip:
-DPrvi t2SorJ A/C., vi-$ 0'5�o
4f. Telephone no.:
-704f. 78' q-• SS -57--
S-5Z4g.
4g. Fax no.:
D • 2 -to O. O+(a Lf'
4h. Email address:
V -O&0 A Cj4n( ('�Q-rar/�'� • 'r'r' �Om
S. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10

B. Project information and Prior Project History
"�
1. Property Identification Y'O Mir MINA� � -rW L-4KI-�►tv iAJ 04-
Ia. Property identification no. (tax PIN or parcel ID): 1 A-4 y 650 7 2...5 1 . 0e'v
1b. Site coordinates (in decimal degrees): Latitude: 3 5 3 (o q. -L3 N Longitude: SO. 5 5 -J�`/. 16 w
1c. Property size:
14,.5 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
KLz N vRO Ani
2b. Water Quality Classification of nearest receiving water:
2c. River basin: ATA4 W b A
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application: �.r -��. s 8 A4r'C%i n!c 4 rott -t -t'N-t- A Ale;n!'ft • QN GtGJS LA-NAi f
�d re rg U eAr7 - s &c Y'o s s -FFu-Coy G J
M C3
3b. List the total estimated acreage of all existing wetlands on the property: 9'�, d,F' �t/VlA°0/►1EN AYtCA
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d. Explain the purpose of the proposed project: �T ��•Z� 4o,-r-(,.tL 4 ,,OMAC„/f --rv-S o�
3e. Describe the overall projgct in detail, including the type of equipment to be used:
wf it b e -,4*%/%7 wj • , r r e► 280' • f She rc%;,v� ,,,.!( be s# fes'/'zcel �:
{eAtAMvee r3p r-ra r or W f beA<A &V-cA • /8(9'w:�/ k�� � '�Y•u.( •u; r
,p rk -17 7i�;� b�- /t Ff- Wvi ror►ewl 47.
4. Jurisdictional Determinations 2 /tNev- ;—
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project(including all priorphases) in thepast?
❑ Yes No ❑ Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes [I No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes R No
6b. If yes, explain.
Page 3 of 10
PCN Form - Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary r
1a. Which sections were completed below for your project (check all that apply): 818
❑ Wetlands ❑ Streams — tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 -
Choose one
Choose one
Yes/No
-
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
-
W4 -
Choose one
Choose one
Yes/No
-
W5 -
Choose one
Choose one
Yes/No
-
V116 -
Choose one
Choose one
Yes/No
-
2g. Total Wetland Impacts:
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c. 3d. 3e.
Stream name Perennial (PER) or Type of
intermittent (INT)? jurisdiction
3f. 3g
Average Impact
stream length
width (linear
(feet) feet)
S1 -
Choose one
- -
S2 -
ne
- -
S3 -
ne
- -
S4 -
ne
tChne
- -
S5 -
ne
- -
S6 -L
- -
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indivi ually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c. 4d.
Type of impact Waterbody
ripe
4e.
Area of impact (acres)
01 _
Choose one Choose
O2 _
Choose one Choose
03 -
Choose one Choose
04 -
Choose one Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If Dond or lake construction proDosed. the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d. 5e•
Stream Impacts (feet) Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mi ' ation, then y2u MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet
6g.
Zone 2
Impact
(square
feet
B1 -
Yes/No
B2 _
Yes/No
B3 -
Yes/No
B4 _
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in de ignin roject.
/�iclobw -/-;,r b��c 40-f—. 0srr. W; l( b � EIVG toy (an�c� W, t�. 5; (t'-f-e^mac s
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
:54
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes 19'90
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
❑ Yes ❑ No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c.
6d.
6e•
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. if buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in4ieu fee fund).
6h. Comments:
�w,,(_ L/,r f,• �.e�.c._ / 74-
Page 7 of 10

E. Stonmwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules?
❑ Yes ❑ No
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
2b. Does this project require a Stormwater Management Plan?
❑ Yes 9No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: OAJ GtStwo r � I rr'/4p
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which local governments jurisdiction is thisproject?
3b. Which of the following locally4mplemented stormwater management programs
apply (check all that apply):
❑ Phase II
❑ NSW
USMP
Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
4. DWQ Stormwater Program Review
4a. Which of the following state-implemented stormwater management programs appy
(check all that apply):
❑Coastal counties
❑HQW
ORW
HSession Law 2006-246
[]Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/statellocal) funds or the
❑ Yes
L`/ No
[B/
use of public (federal/state) land?
1b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered `fres" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes
❑ No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
❑Yes
[jrN/o
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
or Riparian Buffer Rules (15A NCAC 213 .0200)?
2b. Is this an after -the -fact permit application?
❑Yes
[JrNo
2c. if you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
G�No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Flo
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
habitat?
0 Yes [�No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts?
[la yes 0 No
5c. If yes, indicate the USFWS Field Office you have contacted.
3�n dti "
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat? MS, F WS
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes [a'l`to
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
ct1j 4x4 CzTr S a'f i Nc"'
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
0 Yes 131�0
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
S. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ONo
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
Applicant/Agents Printed Name
Date
Applicant/Agents Signa re
(Agents signature is valid only if an aufthization
letter from the applicant isprovided.)
Page 10 of 10