20011053 Ver 1_COMPLETE FILE_20010711

-* 4 0 C, 1/ o53
DWq Project No.: 0 1116-3 County:
Applicant: lnI16616 R
Project Name: Lcak o?, S'6046r Laet Lo; ;i DFC - 3
Date of Issuance of 401 Water Quality Certification: 816 /o
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina Division
of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621.This form may be returned to DWQ by the applicant, the
applicant's authorized agent, or the project engineer.lt is not necessary to send certificates from all of these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial compliance and
intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting
materials.
Signature: Date:
Agent's Certification
1, C./ANE K ?fS/zN/i?tt? , hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial compliance and
intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting
materials.
Signature: Date: ///2 -7/0/
If this prole t was designed by a Certified Professional
1, , as a duly registered Professional (i.e., Engineer, Landscape
Architect, Surveyor, ect.) In the State of North Carolina, having been authorized to observe (periodically, weekly, full time) the
construction of the project, for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial compliance and
intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting
materials.
Signature Registration No. Date
Attachment
cc: Corps of Engineers Asheville Field Office
Mooresville DWQ Regional Office
File copy
Central Files
Janet Abernathy; 10264 Fox Hall Drive, NC Charlotte, NC 28210
0 vvryr?9oG
r
o ?
micnaei r, tawey, governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
August 6, 2001
Catawba County
DWQ Project # 011153
APPROVAL of 401 Water Quality Certification and ADDITIONAL CONDITIONS
Maggie Korn
Post Office Box 427
Catawba, NC 28609
Dear Ms. Korn:
You have our approval, in accordance with the attached conditions and those listed below, to place fill material in 250 square
feet of waters for the purpose of constructing a shoreline stabilization device at Lookout Shoals Lake, Lot 21 as described in your
application dated July 11, 2001 and email dated July 27, 2001. After reviewing your application, we have decided that this fill is
covered by General Water Quality Certification Number 3280. This certification allows you to use Regional General Permit Number
030 when the Corps of Engineers issues it. In addition, you should get any other federal, state or local permits before you go ahead
with your project including (but not limited to) Sediment and Erosion Control, Coastal Stormwater, Non-Discharge and Water Supply
Water shed regulations. This approval will expire when the accompanying 404 or CAMA permit expires unless otherwise
specified in the General Certification.
This approval is only valid for the purpose and design that you described in your application except as modified below. If you
change your project, you must notify us and you may be required to send us a new application. If the property is sold, the new owner
must be given a copy of this Certification and approval letter and is thereby responsible for complying with all conditions. If total
wetland fills for this project (now or in the future) exceed one acre, compensatory mitigation may be required as described in 15A
NCAC 2H .0506 (h) (6) and (7). For this approval to be valid, you must follow the conditions listed in the attached certification and any
additional conditions listed below.
1. Deed notifications or similar mechanisms shall be placed on all remaining jurisdictional wetlands and streams to notify the state in
order to assure compliance for future wetland and/or water impact. These mechanisms shall be put in place within 30 days of the
date of this letter or the issuance of the 404 Permit (whichever is later).
2. The area within 50 feet of the Lake shoreline must be regarded to it's original contour and planted within seven days of completion
of the seawall.
3. Upon completion of the project, the applicant shall complete and return the enclosed "Certification of Completion Form" to notify
DWQ that all the work included in the 401 Certification has been completed. The responsible party shall complete the attached
form and return it to the 401/Wetlands Unit of the Division of Water Quality.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must act within 60
days of the date that you receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of the North
Carolina General Statutes to the Office of Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you have any
questions, please telephone at Danny Smith 919-733-9716 or Ken Averitte at our Fayetteville Regional Office at 910-486-1541.
Sincerely,
J. Thorpe, Ph.D
Wetlands/401 Unit 1650 Mail Service Center RaleighVW 7699-1650 Ph: [phone] Fax: [phone]
A R
Customer Service
1 800 623-7748

DWQ Project No.: County: _
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 4011Wetlands Unit, North Carolina Division
of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621.This form may be returned to DWQ by the applicant, the
applicant's authorized agent, or the project engineer.lt is not necessary to send certificates from all of these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial compliance and
intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting
materials.
Signature: Date:
Agent's Certification
I, , hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial compliance and
intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting
materials.
Signature: Date:
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e., Engineer, Landscape
Architect, Surveyor, ect.) in the State of North Carolina, having been authorized to observe (periodically, weekly, full time) the
construction of the project, for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial compliance and
intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting
materials.
Signature Registration No. Date
MAGGIE P. KORN APPLICATION FOR 401 WATER QUALITY CERTIFICATION
Subject: MAGGIE P. KORN APPLICATION FOR 401 WATER QUALITY CERTIFICATION
Date: Fri, 27 Jul 2001 11:45:43 EDT
From: [e-mail]
To: [e-mail]
We received your letter concerning the shoreline stabilization proposed on 401 "SSUED
the Lookout Shoals Lake property of Maggie P. Korn. In your letter you
expressed concerns about the impact on the protected buffers. The seawall in
question is to be built on property that was cleared and grassed over more
thatn 20 years ago. It is being built to preserve the property since the
bank has eroded approximately 8 feet. The project will be hand worked and
wheel barrows will be used. The site will be back filled and new grass will
be sewn immediately.
If you have any further questions concerning the project, please contact me
at [phone]. Thank you for your assistance in this matter.
Sincerely,
Janet K. Abernathy

CSY J
N?1

1 of 1 7/30/01 11:37 AM
OF W ATF19T Michael F_Easley
Governor
6 William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
4,01 ti L:, .r
July 13, 2001
Catawba County
DWQ Project No. 01-1053
Maggie P.Korn
P.O. Box 427
Catawba, NC, 28609
Dear Ms. Korn:
On July 11, 2001, the NC Division of Water Quality (DWQ) received your application for a 401 Water Quality
Certification for shoreline stabilization on your property in Catawba County. Please note that the Catawba River buffer rules
became effective on June 30, 2001. Shoreline stabilization is classified as an "allowable" use within the rules. "Allowable"
uses require written authorization from the Division of Water Quality (DWQ) prior to construction. We are concerned that
construction of the shoreline stabilization measures proposed in your application will result in excessive impact to the
protected buffers. Please provide details on how you plan to install these shoreline stabilization measures, what measures
you will take to minimize impact to the buffers and then how and when you plan to replant the unavoidably impacted
portions of these buffers.
Until the information requested in this letter is provided, I will request (by copy of this letter) that the Corps of Engineers
place this project on hold. Also, this project will be placed on hold for our processing due to incomplete information (15A
NCAC 2H.0507(h)).
Thank you for your attention. If you have any questions regarding the Catawba River Buffer Rules in relation to your
project, please contact Bob Zarzecki at [phone].
Sincerely,
a
/1-1111 n Dorney
cc: Corps of Engineers Asheville Regulatory Field Office
Mooresville DWQ Regional Office
Bob Zarzecki
File Copy
Central Files
Janet Abernathy, 10264 Fox Hall Drive, Charlotte, NC, 28210
011053
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
(l.(1 11O 1-C 1.,1---% ll. l1 - -1 1,-, 1....-.I/L, rl.. ...,. .... -., .. .., .,.....Jl..-, .1.,,
o?oF W A rFR pG Michael F. Easley
\ Governor
UJ r William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
4 01 I??ICE.; U E ? Division of Water Quality
July 13, 2001
Catawba County
DWQ Project No. 01-1053
Maggie P.Korn
P.O. Box 427
Catawba, NC, 28609
Dear Ms. Korn:
On July 11, 2001, the NC Division of Water Quality (DWQ) received your application for a 401 Water Quality
Certification for shoreline stabilization on your property in Catawba County. Please note that the Catawba River buffer rules
became effective on June 30, 2001. Shoreline stabilization is classified as an "allowable" use within the rules. "Allowable"
uses require written authorization from the Division of Water Quality (DWQ) prior to construction. We are concerned that
construction of the shoreline stabilization measures proposed in your application will result in excessive impact to the
protected buffers. Please provide details on how you plan to install these shoreline stabilization measures, what measures
you will take to minimize impact to the buffers and then how and when you plan to replant the unavoidably impacted
portions of these buffers.
Until the information requested in this letter is provided, I will request (by copy of this letter) that the Corps of Engineers
place this project on hold. Also, this project will be placed on hold for our processing due to incomplete information (15A
NCAC 2H.0507(h)).
Thank you for your attention. If you have any questions regarding the Catawba River Buffer Rules in relation to your
project, please contact Bob Zarzecki at [phone].
Sincerely,
'in /1-1 D rrney
cc: Corps of Engineers Asheville Regulatory Field Office
Mooresville DWQ Regional Office
Bob Zarzecki
File Copy
Central Files
Janet Abernathy, 10264 Fox Hall Drive, Charlotte, NC, 28210
011053
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
.... i...............+_,
non - -, i.. L.--- % non ono - I-A ...... m.n,. --

01 1 r (71:
Office Use Only: q Q 5 JForm Version April 2001
9
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing c
1. Check all of the approval(s) requested for this project:
? Section 404 Permit ko
r:? Section 10 Permit
[401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: 3 0
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ? N /q
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ? Al 1,4
II. Applicant Information
1. Owner/Applicant Information
Name: 111,4 & 6 / e P Xv,eN
Mailing Address: P. 0. 60x `la7
04711 Wrslt , /?(- X84 0 S
Telephone Number: Fax Number:
E-mail Address: M
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Tfl 4 E ?g t.e.r?t i y
Company Affiliation: A wE? or-- A -,r;vA jr Y
Mailing Address: /vas, Y Fo x f/,? a. 6,L-
,-/' NfJRro ,Tf Al C a QJ/)
Telephone Number: 0 3 - a 6 -7 o Fax Number: 70 Y3 - ei3 6.3
E-mail Address: J7 4beep a01, c 0,V-i
"? PIENT
(TIV[D
? ? -
Paae of 11
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than l l by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: J ?A ?,? cc. - 141 9 /a! /?d,c/?
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
3 ;7 -/ S/ - p 3 -- Ya --3 7,5-6-, o n 0 y
4. Location
County: C.4 r4 SUB,+ Nearest Town: CJ_4R f ono ,V T IV(
Subdivision name (include phase/lot number): 20040v> 5// 1(,.c LAKE :59.2/
Directions to site (include road numbers, landmarks, etc.): ..X-5/Ou/;-b oxpyrey ScNooi,? ,10
r/X 17' /38 - %9KE Q 16 R 7 0 I? OXro eo /tot) c 1 o/ta 70 kl4e 0 Bv,?,cbi ///14- y46H S'/Y001
SiEw'aT?
LFF T A7 Solo ,S/6.?? 47,scHoo t . tCIGH7 On/ ,r3OC /c,e /?/oyp 1.?/6 y7 0,V
/K ff % /9 n) (,Iefj S/af LFP"T On) - bNJ6 r-/fGU .-S-,. - ( gI960 Gvtj691fLO S7.>
5. Site coordinates, if available (UTM or Lat/Long): N 4A
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application: V,461 >
7. Property size (acres): .14- 116,2 t J
8. Nearest body of water (stream/river/sound/ocean/lake): 100X0117 -5?1o/lc s Z Ix f:
9. River Basin: (2,11 ,g-
__3q-(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc,.us/admin/maps/.)
Nap4of1
10. Describe the purpose of the proposed work: .SFA u/gcc 76 S-F-OP e Qos 1o2?
Ar?S /`o O-eA//,/ i To CX1S7',-r6 ?5tAWf(-L 0,ti i40719cF- Aj?O1'f1fY4=
,0i -4 .2 0.
11. List the type of equipment to be used to construct the project: / O/V fi
12. Describe the land use in the vicinity of this project: /?'ESioE*ti'%,
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
/'Y ! /A
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: Al kL
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Nap5of17
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fcmaZov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams 4 1A
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditch ing/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
* * Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.uses.t ov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site:
Pave 6 of I l
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S.
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres
Name Wate)
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.
HORtiLrIY? t00X0?T S U LS L4A 0

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation dh
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.)
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
PaoP 7 of 11
VI11. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
1. ProvAde.ahrief descriptiop of.the ,pr_oposgd.:mitiga-ti.on_plan, .The descriptiopshoulri_.provide.
F . as much iO'oinik ien _pos le,irtiel?ad shut by 1imite k_site J akm n' Mach (hies rtsa
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)'
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if ?or space is needed.
PaoP R of 1
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc,us/wrp/index,htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information: / /A-
Amount of stream mitigation requested (linear feet)`::
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ? No
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ? If you answered "yes", provide the following information:
PAOP 9 of 1
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
Gone 1 extends out 3U feet perpendicular from near bank of channel; Gone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B.0242 or.0260.
XI. Stormwater (DWQ Only) N 1JA__
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
XII. Sewage Disposal (DWQ Only) ? A
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.
XUL Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No E0
Is this an after-the-fact permit application?
Yes ? No 2]
Pave in of 1 q
XIV. Other Circumstances (Optional): .4I -
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
7/1o%
ApplicantMent's Signatures Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Rowan
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret* Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
PROP 11 of 0
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Agent Authorization Letter
I, Maggie P. Korn, authorize my daughter, Janet K. Abernathy, to sign the Pre-Construction
Notification Application Form for the construction of a seawall a 4pier on my property
at Lookout Shoals Lake.
Maggi . Korn
7=
Date