20011635 Ver 1_COMPLETE FILE_20011109

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TFRQ
otaG
7
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Michael F. Easley, 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
December 19, 2001
DWQ # 01-1635
Gaston County
Richard J. La Veccehia
16105 Woodwine Road
Charlotte, NC 28278
APPROVAL of 401 Water Quality Certification with Additional Conditions and Authorization Certificate per the Catawba River
Buffer Protection Rules (15A NCAC 2B .0243)
Dear Mr. LaVeccehia:
You have our approval, in accordance with the attached cxidrtions, to impact 357 linear feet of Lake Wylie shoreline for the purpose
of stabilizing the shoreline on Lot 21, Phase 1, Woodland F,--y sub vision in Gaston County as described in your amended application
received December 6, 2001. After reviewing your appliic E lion, aA have decided that this fill is covered by General Water Quality
Certification Number 3280, which can be downloaded from oar arm sit- at httDJ/h2o.enr.state.nc.us/ncwetlands. This Certification allows
you to use Regional Permit Number 198200030 when the US Amy Corps of Engineers (USACE) issues it. This letter shall also act as
your approved Authorization Certificate for impacts to the prota=ed riparian buffers as required under 15A NCAC 26 .0243(8). In
addition, you should get any other federal, state or local permits More you oo ahead with your project including (but not limited to)
Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. Also this approval will expire when the
accompanying 404 permit expires unless otherwise specmed in thp- General Certification.
This approval is only valid for the purpose and design tft'at you descrb-scl in your application. If you change your project, you must
notify us in writing and you may be required to send us a new a;?oication for a new certification. If the property is sold, the new owner
must be given a copy of the Certification and approval leter anc is in27aby r-asponsible for complying with all conditions. If total wetland
fills for this project (now or in the future) exceed one acre, compamnsatory mitigation may be required as described in 15A NCAC 2H .0506
(h). For this approval to be valid, you must follow the conditions i'isad in the attached certification and those listed below.
1. Upon completion of the project, the applicant sbal! ca.ipie-Le and return the enclosed "Certificate of Completion Form' to
notify DWQ that all work included in the 401 Certffcafron has been completed. The responsible party shall complete the
attached form and return it to the 401JWetk-mds'lt-iii of the Division of Water Quality.
2. No trees greater than or equal to 6 inches diam:t'-;a the stump can be removed from within zone 1 other than those within
the construction access corridor. tf any trees ar? removed frorn the access corridor, they must be replanted by the next
planting season. -
If you do not accept any of the conditions of this ceti"fr;atir_t, you rriFf ask for an adjudicatory hearing. You must act within 60 days
of the date that you receive this letter. To ask for a;hearing, Beard e w7inen petition which conforms to Chapter 1508 of the North Carolina
General Statutes to the Office of Administrative Hearings, 5714 Uial _:rvics Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing.
This letter completes the review of the DivWbn of WaterDvait* under Section 401 of the Clean Water Act. If you have any
questions, please telephone Pete Colwell in thie DWO Moorpsvilia ir-g-ell Office at 704-663-1699 or Todd St. John in Raleigh at 919-
733-1786.
Attachment
cc: US Army Corps of Engineers Asheville FkgL tory Fi>?ldeflica-
Mooresville DWQ Regional Office
Central Files
File Copy
Kenneth Smith; 4245 Maplewood Place, Edgqrnom, SC
I
. Tho , Ph.D.
Director
N_ C. Division of Wager Quality 1650 Mail Serfr,* CwrWx Aa4i,7 _.hr_- c %G-1650 [phone]
01-1635
Customer Service
1 800 623-7748

r
From: Quality Piers
4245 Maplewood Place
Edgemore, S. C.29712
803-328-2587
To: N.C. Division of Water Quality
Aft: John Dorney
Dear Mr Dorney,

oft ft 6 206'
I received a copy of your letter to Mr. LaVeccehia . And I am tring to determen what
information you need. Has the package I sent to you been misplaced or is additional
information needed. Or is the methord of work in question, I called your office last week
and left messages. But no one will return my calls.
Our intention is to place a silt fence on the lakeside, use a mini excavator to brake off the
undercut. Place a filter cloth to control erosion, and cover with a neatly placed layer of rip
rap rock. One road ingress and outgress {marked on the Crescent communities maps]
will be used. All so one road across the shore line will be used after which will be back
bladed and graded and mulched. No trees will be cut down , and there is no under
vegitation. This shoreline stabilization will inhance futtier water quality.
Included is a copy of your letter DWQ# 01-1635 and a copy of my first letter.
Please let me know how I can help get these permits underway.
Cell # 803-323-8218
Home # 803-328-2587
E-Mail KkennethBSmith(a),aoLcom
Sincerely,
r
Kenneth B. Smit
12-02-01
..,

From: Quality Piers
4245 Maplewood Place
Edgemore, S. C.29712
803-328-2587
To: N.C. Division of Water Quality
Att: John Dorney
Dear Mr Dorney,
I received a copy of your letter to Mr. IaV'eccehia . And I am tring to determen what
information you need. Has the package I sent to you been misplaced or is additional
information needed. Or is the methord of work in question, I called your office last week
and left messages. But no one will return my calls.
Our intention is to place a silt fence on the lakeside, use a mini excavator to brake off the
undercut. Place a filter cloth to control erosion, and cover with a neatly placed layer of rip
rap rock. One road ingress and outgress fined on the Crescent communities maps]
will be used. All so one road across the sbore line wffl be used after which will be back
bladed and graded and mulched.. No trees vl be cut dovm , and there is no under
vegitation. This shoreline stabffization ashance fidtier water quality.
Included is a copy of your letter DWQ# 01-1535 and a copy of my first letter.
Please let me know how I can help get Am permits underway.
Cell # 803-323-8218
Home # 803-328-2587
E-Mad KkennethBSmith@,aoLcom. ?n
A
From: Quality Piers
4245 Maplewood Place
Edgemore, S.C.29712
803-328-2587
To:. N.C. Division of Water Quality
Aft: John Dorney
Dear Mr Dorney,
Please find the enclosed seven copies of the permit application for Shoreline Stabilization
and a check from Mr. La Vecchia in the amount of $475.00.
Included in the application is a complete subdivision map (folded), that indicates North.
Also included is a Duke Power Permit, and a Crescent Communities Permit with
instructions as to how the job will be done. The Crescent Communities Permit includes
two maps showing ingress and egress, and shoreline. Also included is three Blast Maps
that shoes Lat. and Lon. I hope that I included enough information so there will be no
delays. Any information that you don't need, fill free to discard.
Mr. Dorney, you can E-Mail me at KkennethBSmith@,aoLcom Please let me know when
you receive my package.
Sinc ely,
Kenneth B. Smith
10-25-01
FROM : Panasonic FW SYSTEM DHOW ND.
ir0V z:! L1 1 1 ) : i1Ja Hndre"w luc:ker-
7C14_:8f+8'/U9
Nov. 30 2001 09:55M Pl
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'e.r
?,.? `rot. Vr A 1 9C> Michael V Easley. Goverm
vwfam A Rose it.. Socto"
P Mart^':n?
?' IUCRi:'.3fA{11i i kY 10! !G, ttonr wn; an %AUgal tgl8rfyrGU
Gregory 1. Tnxot: Ph-D
D m"n 0! liwatcr Gummy
CERTIFIED MAIL-RETURN RECEIPT REQUESTED
November 21, 2001
DWQ # U .-1635
Meektonburg County
Mr. Rtchard La vecchla
16105 VVootwk* Road
Charlotte. yC 28V-8
Dear WM, Ira Vecchia
On November S. 2001 the Unwisian of Water Quality (DWG) was nofffied by :eceipt of your appticaum regar ft Your Plan to
impact 0.008 acres ;357 feet', of :horeiine -,m Lake at W 21, .1hodiard Say Island for the ytrpose of stabkrka the OxWone•ci
your lot in fkdlenburg Cosnty. Apr mv'dt frcrn DWO is requked to trmxd tt:ese vmters. Please provide seven series of the iofirnainp
i t matim o-.W refer to the iWO # rsted above in your reply.
1. Tit? CarAviba RMr tamer noes becartte effe Ave arts 30.2001 W allow st;creltne stabtlizati n treasures VAhin
the protected butters *% Lake Jwttes. We a-. coran ed trot ctx>$ttucbW of ft* stVeling stably ton
("Ossunes wilt result In excessive impact to the p Mdad buffers. Please provide details on how you plan iD install
these shoreline sta6t iMon measures, what measures you A take A ttlttbl Iw impact to the buters era! that
how and when you plan to r+e*o ow unavokw* 'snpa*d po. of #,m tuners
Base cal Todd St. John. Bob 7.areecki or me at [phone] d vas have any questio:ts or would mqui e c opts of our rtes or
pracedutaE materiais. Ras proved wilt remain on hold as i xv" In accordance with 15A NC-AC 2M .05M. Tt e p ocessing titrte
for this applK ation wV1 begin when this informatm is reoeived. if vm do ::ot ter you by wrtl:ng withitt three (3) waeics we vA rre
you no forger wart to pursue ttre MWIt and will consiaet it withdrawn.

cc:. Mooresville DWO Regional office
Asfveville Corps of Et>girieem
Central Flles
File Copy
Kenneth Smith
?? *'J1
DOW ?j
Michael F. Easley, Governor
?0F WATE90 William G. Ross Jr., Secretary
`p 0 North Carolina Department of Environment and Natural Resources
? r Gregory J. Thorpe, Ph.D.
0 Y Acting Director
Division of Water Quality
CERTIFIED MAIL-RETURN RECEIPT REQUESTED
November 21, 2001
DWQ # 01-1635
Mecklenburg County
Mr. Richard La Vecchia
16105 Woolwine Road
Charlotte, NC 28278
Dear Mr. La Vecchia
On November 9, 2001 the Division of Water Quality (DWQ) was notified by receipt of your applications regarding your plan to
impact 0.008 acres (357 feet) of shoreline on Lake Wylie at lot 21, Woodland Bay Island for the purpose of stabilizing the shoreline of
your lot in Mecklenburg County. Approval from DWQ is required to impact these waters. Please provide seven copies of the following
information and refer to the DWQ # listed above in your reply.
1. The Catawba River buffer rules became effective June 30, 2001 and allow shoreline stabilization measures within
the protected buffers along Lake James. We are concerned that construction of these shoreline stabilization
measures 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
Please call Todd St. John, Bob Zarzecki or me at [phone] if you have any questions or would require copies of our rules or
procedural materials. This project will remain on hold as incomplete in accordance with 15A NCAC 2H .0505©. The processing time
for this application will begin when this information is received. If we do not hear you by writing within three (3) weeks we will assume
you no longer want to pursue the project and will consider it withdrawn.
PDomey
cc: Mooresville DWQ Regional Office
Asheville Corps of Engineers
Central Files
File Copy
Kenneth Smith
Wetlands/401 Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Ph: [phone] Fax: [phone]
.
1MIN RL
Customer Service
1 800 623-7748
l3 f?'
>w
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
Michael F. Easley
Governor
William G. Ross, Jr. Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
A)6 V"t'
DWQ # 01-
County
klu- Acres U / S
Dear
On ?2 , the Division of Water Quality (DWQ) was Ified by receipt of your applications regarding
your plans to impact _ Ott of shoreline on Lake f?l li4, at for the purpose of stabilizing the shoreline
of your lot in Mecklenburg County. Approval from DWQ is required to impact these waters. Please provide seven copies
of the following information and refer tQ th DWQ number listed above in your reply.
l ?. Also the Catawba River buffer rules became effective on June 30, 2001 and allow shoreline stabilization
measures within the protected buffers along Lake James. We are concerned that construction of these
shoreline stabilization measures 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.
Please call Todd St. John, Bob Zarzecki or me at 733-1786 if you have any questions or would require copies of
our rules or procedural materials. This project will remain on hold as incomplete in accordance with 15A NCAC 2H
.0505(c). The processing time for this application will begin when this information is received. If we do not hear from you
within three (3) weeks of the receipt of this letter, we will assume that you no longer want to pursue this project and will
consider it withdrawn.
Sincerely yours,
John Dorney
Cc: Mooresville DWQ Regional Office
Asheville Field Office Corps of Engineers
File copy ?_n c c?
Central files i _ leGJQC?' A(?' e mom/
.???.??,?- ?t??s DPI ?
K A Win
Customer Service Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 [phone]
1 800 623-7748
1
From: Quality Piers
4245 Maplewood Place
Edgemore, S.C.29712
803-328-2587
To: N.C. Division of Water Quality
Aft: John Dorney
Dear Mr Dorney,
Please find the enclosed seven copies of the permit application for Shoreline Stabilization
and a check from Mr. La Vecchia in the amount of $475.00.
Included in the application is a complete subdivision map (folded), that indicates North.
Also included is a Duke Power Permit, and a Crescent Communities Permit with
instructions as to how the job will be done. The Crescent Communities Permit includes
two maps showing ingress and egress, and shoreline. Also included is three Blast Maps
that shoes Lat. and Lon. I hope that I included enough information so there will be no
delays. Any information that you don't need, fill free to discard.
Mr. Dorney, you can E-Mail me at KkennethBSmith na aol.com Please let me know when
you receive my package.
01'1635
Sincerely,
Kenneth B. Smith
10-25-01
",Z?
P,q?'?FNl
L7.,L-
DUKE POWER LAKE MANAGEMENT, EC"
P O BOX 1006 01 1635
CHARLOTTE, NC 28201-1006
704382-1567 or TOLL FREE 1-800-443-5193
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA
Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A in
blank PLEASE SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING FEE,
PAYABLE TO DUI E POWER, TO ABOVIL ADDRESS.
L
IL
Applicant Information
A.
B.
C.
Location of Proposed Project
A. Lake 1'? -
B. Street Address
C. County
D.
E. City, town community or law
Section Lot # _
F. Directions-to-property by road

Subdivision
Il
r

op
AW
G. Latitude and longitude for the project site 9-1 90 F-7 - s O lR-,
Please_ submit a map showing the coordinates or a detailed map (USGS quad map, city
map, etc.) showing the exact location of the project site. (NOTE: Latitude/ longitude
coordinates can be found on ire 'site, w?vw a by las?com}

•
Applicant Signature
Area
0--1?=a/
A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF
THE PROPERTY MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 151
PATTONAVF- - ROOM 208, ASHEVILLE, NC 28801-5006
• A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE
IN NORTH CAROLINA" AND SEVEN (7) COPIES OF THE COMPLETED -NC DIVISION OF
WATER QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION" MUST BE
SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO:
NC DIVISION OF ABATER QUALITY
ATTENTION- JOHNDORNEY
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
III. Description of PNprwe ,? 1"" \
A. Length o? ?F
B. Material
???-
C. Distance fiddshorelincl
L&_ J
CRESCENT C O M M U N I T I E S
400 South Tryon Street
Suite 1300
P.O. Box 1003
Charlotte, NC 28201-1003
[phone]
August 15, 2001
Mr. Richard LaVecchia
16105 Woolwine Road
Charlotte, NC 28278
Re: Woodland Bay, Lot 21
Dear Mr. LaVecchia:
FAX [phone]
This letter is to inform you that the shoreline stabilization submittal for the above referenced lot
in Woodland Bay has been reviewed by the Architectural Control Committee and has been
approved with the following notations:
• Disturbed areas within the buffer to be mulched upon completion b
• Copy of approval from Duke Lake Management is required to be submitted prior to
construction
This purpose is for architectural purposes only, and does not include any requirements from Duke
Lake Management, or any other governmental or regulatory agency.
Please give me a call to schedule an on-site meeting to determine limits of clearing, and what
trees will be required to be mitigated.
If you have any questions, please feel free to contact me at [phone].
Sincerely,
Blake Kiger
Project Manager
Enclosures
S
j?
Crescent Communities
Architectural Control Committee
Shoreline Stabilization
Request For Review
Name:ki, N-cwt, pc? u,,- - C W
Phone Number: (Z? asp S3g5
Date: 7LOln)
Dex-eiopment Name: l_l?c?t t?.>n R,4?4 Lot Number:
Shoreline Stabilization Type: Rig Rap
(Circle One)
Rock (include type):
Block
Color(s):
Height above High Water Mark:
(Note: If height varies, note locations
Elevations if Necessary)
Additional Comments/Explanations:
CRES&NT COMMM UES
Final Plans Approval
The approval of these Foal plans (including the accompanying specifications) by the architectural
control committee (the 'ACC") does no imply approval by the ACC of the im
provements, as actually
constructed: and the ACC shall be entitled to Periodically inspect such improvements during the
construction period to ascertain whether the improvements are being constructed in accordance with the
approved Final Plans. The ACC reserves the right to require that any errors or omissions in the Final
Plans that are observed by the ACC during the construction of the improvements be addressed and
rectified at that time. Also, the approval of these Final Plans by the ACC shall not be deemed or
construed as a representation or watranry of the ACC, Crescent Resorrms, Inc. or any affiliate of either
of them (i) that improvements constructed in accordance with these Final Plans will comply with
applicable zoning ordinances, building codes, or other govemmental or quasi-governmental laws.
ordinances, rules and regulations of (ii) as to the structural soundness, quality. durability, suitability,
fitness or proper functioning of improvements constructed in accordance with these Final Plans: and
any responsibility or liability therefore is hereby disclaimed.
FINAL PLANS APPROVAL
Approved as submitted: t/
Approved subject to changes noted: 1
AR RAL CONTROL COMMITTEE
By: --C-
Masonry
Other:
4'
heights on site plan. Include
'lot Plan) at 40 Scale (1" = 40') Showing
if Clearing, and Vehicular Access Points
mmlttee
1300
"Final Approval" of these plans and the
accompanying specifications does not
3 28201--1 imply approval of the final structures actually
erected, as periodic inspection to assure
compliance with these plans and specifications
will occur from time to time. Additionally,
the ACC reserves the right to cure oversight errors
on its part in the plans and specifications which
may appear to be observed during construction
in order to maintain and preserve the integrity
of the Architectural and Landscape Guidelines
7-1 Phase:

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Office Use Only: 0 1 1 6 3 Form Vexsim April 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "NIA" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
? Section 404 Permit
? Section 10 Permit
P401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested:
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
H. Applicant Information
1. Owner/Applicant Information

atf"
Telephone Number. Fax Number:
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
,4+Q,.1,..A ;fthP AcrPnt hac cionatorv authority for the owner/awlicaig.) , ?.-1,
company Affiliation: o
Mailing Address:
Telephone Number: 3- S Fax Number: S'' 7 2S 5
E-mail Address: i? Ak 1AA' . e'Om
AaaP Z of V)

M. Project Information
Attach a vicinity map clearly showing the location of the property with respect to kcal
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 USES Topograplic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at thf applicant's discretion,
so long as the property is clearly def nett For administrative and di?tri$ution purposes, the
USA requires information to be submitted on sheets no larger than, rl 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 unti t&cipherable maps are provided.
1. Name of
2. T.I.P. Project Number (NCDOT Only): JJ A
3. Property Identification Number (Tax PIN):
4. foocatio 5-h Al Nearest Town: AeIL&io-n-4-
Subdivision qty:- ?
name (include phase/lot number). Gt to +5?
Directions to site (inchide road numbers, marks, etc.):
Hurt .-L-19 . MAW taro yj,1g2QW -Ao d A',1 - 7p?99L t r
5. Site coordinates, if available (UTM or Latll ong): LA 3 rs, 2M _ 40,N 5.- R1, I
a?it4ch a sheet fluat separately lists the
(Note - If project is linear-, such as a road or utility line, WA,
coordinates for each crossing of a distinct waterbody.) b. Deribe the existing land use or condition of the site at the time of this-application:

7. Property size (acres): 7 1,
8. Nearest body of water (stream/river/sound/ocean/lake):4G-L
n i r
9. River
A
(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/m".)
D....e A ^r V)

10. Describe the purpose of the proposed work:
i ment to be used to construct the project: ?X ?? t OR
11. List the type of equ p
d
12. Describe the land use in the vicinity-of this project:
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 T3.i' project, along with
cop"on schedules. r
V. Future Project--Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated wo and provide just ion for the e/x lusio of PV' work from the current
:4--l A /7 FrV C,
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicants (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
ite
and temporary, must be listed herein, and must be clearly identifiable o ima ni h an
plan. All wetlands and waters, and all streams (intermittent and perennial) Wetland and stream
delineation map, whether or not impacts are proposed to these systems.
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.
Do AS of 1
i.
1. Wetland Impacts 14®V-M5E:
Wetland Impact
Site Number
indicate on map)
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
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
(FIlt1U1), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at httpJ/www.femagov.
*** 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 Kjbj,,?
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
(linear fed
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
lease i

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to. culverts and associated np-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net losdgain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching1straightening, 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 fa nd 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
ww%vusQs.Qov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.toDozone.coni,
www.mmuest.com' etc.).
Cumulative impacts (linear distance in feet) to all streams on site:

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

acres
Name of cable) ody
(if applicable Type of Waterbody
(lake, pond, estuary, sound,
ba , ocean, etc.
9301a 3So
L

Ust each impact separately and identify temporary impacts. Impacts include, but are not limited to. fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation Not, ?
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 appli-cation.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., damtembankment, 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.
-Va Mamnl4t7_ JMmac,c.. ?p ?1,.X' c?.t.s?rLa -r!?? . M tau. ty' ?2iCs'
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VIII. Mitigation
DWQ - In accordance with I5A 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 erects 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 if 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 atdf 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.ne.us/ncwetlands/strmgide.html.
1. Provide a brief description-of the proposed mitigation plan. The description should provide
as much information as passible, including, but not limited to: site location (attach directions
and/or mapff offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservationr mechanism (e.g., deed restrictions, conservation easement, etc.), and a
deseriptim of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
StvE S -mil C'a

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 avaihible as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at han:/Wo.enr.sWe.nc.ugLwrprmdex.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information.
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 E4
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carohna 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. Allproposed 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 Requireis}j or other (please identify )?
Yes ? No If you answered "yes", provide the following information:
P.- 0 nF 17

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
* Zone 1 extends out 30 feet perpendicular from new bank of channel; Zane 2 extends an
additional 20 feet from the edge of Zone 1.
N?-
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)
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.
X UL Sewage Disposal (DWQ Only)
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.
XIII. Violations (DWQ Only)
Is this site in violation of DW Wetland Rules (15A NCAC 211.0500) or any Buffer Rules?
Yes ? No [
Is this an after-the-fact permit piication?
Yes ? No f

XIV. Other Circumstances (Optional):
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 associaW with consftuction or sequencing tha; may impose limits on
work schedules (e.g., dravwd v;n schedules -for Takes, dates associated- with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
plicant/Agent's Signature Date
(Agent's signature is valid only if an a rization letter from the applicant is provided.)
\ ' US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredeil 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 Haywi3od 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
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DUKE POWER LAKE MANAGEMENT, EC12-Q
P O BOX 1006 01163-5
CHARLOTTE, NC 28201-1006
704.382-1567 or TOLL FREE 14800-443-5193
APPLICATION FOR PERMIT TO STABILIZE THE SHORELIN : IN NORTH CAROLINA
Please type or print and fill in all blanks. If infonmarion is not applicable, so indicate by placing N/A in
blank. PLEASE SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING FEE,
PAYABLE TO DUKE POWER, TO ABOVE ADDRESS.
L Applicant Information 4,f G A. Name
B. Mailing Address
4? 641z-- 7a"
C. Telephone:
IL Location of Proposed Project
A. Lake
B. Street Address S'! OI.rJI l?/Z
C. County
D. City, town, community or landmark
y
E. Section F -;'Lot Subdivision _ 2711f'-CO '4
F. Directions to property by road ?O/?s-t? a71?/V /°N 1O
G. Latitude and longitude for the project site S < < D ???
Please submit a map showing the coordinates or a detailed map (USGS quad map, city
map, etc.) showing the exact location of the project site. (NOTE: Latitude/ longitude
coordinates can be found on internet site, www mapblas9.cwm)
III. Description of Project ,/ ?--?
A. Length of wall J F-F ( _
B. Material
C. Distance from property ' shorelin FC??7-
IV. Intended-U Project Area
A. Private
B. rcial
V. Applicant Signature
• A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF
THE PROPERTY MUST BE SUBMITTED TO: USARMY CORPS OF ENGINEERS, 151
PATTONAVE -ROOM 208, ASHEVILLE, NC 28801-5006
• A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE
IN NORTH CAROLINA" AND SEVEN (7) COPIES OF THE COMPLETED "NC DIVISION OF
WATER QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION" MUST BE
SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO:
NC DMSIQN OF WATER QUALITY
ATTENTION: JOHNDORNEY
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604 P? ?? ? , ct7
919-733-1786 REG'E1 V F8
CRESCENT C O M M U N I T I E S
400 South Tryon Street
Suite 1300
P.O. Box 1003
Charlotte. NC 28201-1003
[phone]
August 15, 2001
Mr. Richard LaVecchia
16105 Woolwine Road
Charlotte, NC 28278
Re: Woodland Bay, Lot 21
Dear Mr. LaVecchia:
FAX [phone]
This letter is to inform you that the shoreline stabilization submittal for the above referenced lot
in Woodland Bay has been reviewed by the Architectural Control Committee and has been
approved with the following notations:
• Disturbed areas within the buffer to be mulched upon completion
• Copy of approval from Duke Lake Management is required to be submitted prior to
construction
This purpose is for architectural purposes only, and does not include any requirements from Duke
Lake Management, or any other governmental or regulatory agency.
Please give me a call to schedule an on-site meeting to determine limits of clearing, and what
trees 4 be required to be mitigated.
If you have any questions, please feel free to contact me at [phone].
Sincerely,
Blake Kiger
Project Manager
Enclosures
S

Crescent Communities
Architectural Control Committee
Shoreline Stabilization
Request For Review
Name:?1{-^ ??? ?? .? k} Date: 7
Phone Numben. ?s _ g3g5
Dex-elopment Name: ti,,l,, , ,,,p R> Lot Number:7-1_Phase:?
Shoreline Stabilization Type: Rip Rap
(Circle One)
Rock (include type):
Block
Masonry
Other:
Color(s):-rp,,,A
Height above High Water Mark: -Top r3F E'RQMS , ?yj?
(Note: If height varies, note locations and approximate heights on site plan. Include
Elevations if Necessary)
Additional Comments/Explanations: LuommlkVrb
CRESINT COMMUNITIES
Final Plans Approval -
The approval of these Final Plans (including the accompanying specifications) by the architectural
Comm[ committee (the "ACC") does not imply approval by the ACC of the improvements.
constructed, and the ACC shall be eroded to
periodically inspect such improveements as actually
during the
construction period to ascertain whetter the improvements ate being constructed in accordance with the
approved Final Plats. The ACC reserves the right to require that any errors or omissions in the Final
Plans that are observed by the ACC during the construction of the improvements be addressed and
rectified at that time. Also, the approval of these Final Plans by the ACC shall not be deemed or
construed as a representation or warranty of the ACC, Crescent Resources, Inc. or any affiliate of either
of them (0 that improvements constructed in accordance with these Final Plans will comply with
applicable zoning ordinances, building codes, or otter governmental or quasi-governmental laws.
ordinances, rules and regulations of (ii) as to the structural soundress, quality. durability, suitability,
fitness or proper functioning of improvements constructed in accordance with these Final Plans: and
any responsibility or liability therefore is hereby disclaimed.
FINAL PLANS APPROVAL
Approved as submitted:
Approved subject to changes noted: s
AR RAL CONTROL COMMITTEE
By: -L Lam-----?
'lot Plan) at 40 Scale (1" = 40') Showing
if Clearing, and Vehicular Access Points
mmittee
1300
"Final Approval' of these plans and the
accompanying specifications does not
3 28201 -1 imply approval of the final structures actually
erected, as periodic inspection to assure
compliance with these plans and specifications
will occur from time to time. Additionally,
the ACC reserves the right-to cure oversight errors
on its part in the plans and specifications which
may appear to be observed during construction
in order to maintain and preserve the integrity
of the Architectural and Landscape Guidelines
t
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Lot 31, Lakeside Point Drive Gsatoytw pF
Of Woodland Bay
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Office Use Only: Fans Version Apci12WI
USACE Action ID No. DWQ No. 011635
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
I. Processing
1. Check all of the approval(s) requested for this project:
? Section 404 Permit
? Section 10 Permit
P401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested:
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
H. Applicant Information
1. owner/Applicant information

Telephone Number: Fax Number:a4f
E-mail Address:
2. Agent information (A signed and dated copy of the Agent Authorization letter must be
.}
attached-if a Agent }gnatory a glority for the owner/ Wfican
Name: n /!
Company
Mailing A
Telephone Number:
E-mail Address:_ )
r?
Fax N}?
fib'U',,:J4 B 6117,
00"a Z of 17

M. 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 thg applicant's discretion,
so -long ass the property is clearly define& For eve and di*ibution purposes, the
USACE requires information to be submitt & on sheets no larger than-1-1 -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 ucipherable maps are provided.
1. Name of
2. T.I.P. Project Number (NCDOT Only): 11 A
3. Property Identification Number (Tax PIN):
4. Location
County: ®l l Nearest Town: Afe..' L ZY)O 71-
Subdivision name (include phase/lot number): Gt ti 52
Directions to site (include road numbers, landmarks, etc.):
5. Site coordinates, if available (UTM or Lat/Long): 200 -4Dn . -- AI
(Note - If project is linear, such as-a: road or utility line, a h a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.) U•
6. DeMibe the exist' land use or co ion of the site at the time of this-.application:
Soos-t, OAJejr C &.!!5b tdg sn
7. Property size (acres):
8. Nearest body of water (streamhiver/sound/oceanllake):4G W R c
n i t
9. River
(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.ne.us/adniin/m".)
D- A .,r 17
-za4, )
se of the proposed work: k, Ile, o
10. Describe the purpose
IV.
V.
VI.
of ui ment to be used to construct the project: ?X ?' L OR
11. List the type eq P
o PV 1
12. Describe the land use in the vicinity of this project: e 5 -
Prior Project WHstory
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
co ction schedules.
Future Project PI"s
Are any additional permit requests anticipated for this project in the future? If so, describe the
amid wo rovide ion for the ex lusio of work from the current
n., r
4 it
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, Per.manent
site
and temporary, must be listed herein, and must be clearly identifiable on an accompanying
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.
D.- l AT 11
1. Wetland Impacts t4mhN6E
Wetland Impact
Site Number
indicate oa
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
(es/no Distance to
Nearest Stream
ear 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, ditchingIdrainage, eta For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplams are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIIt1VI), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1400-358-9616, or
online at httpJ/www.femagov.
**' List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, eta)
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 Kjdl?,E
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
(linear feet
Stream Name** Average Wider
of Stream
Before Impact Perennial or
Intermittent?
lease specify)

* List each impact separately and identify temporary impacts. Impacts include, but are not umitea ur. sutverts and assocratca np-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net losslgain),
stabilization activities (cement wall, ripgap, crib wall, gabions, eta), excavation, ditching/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
wwtiv.usgs.eov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.tonozone.com,
wlvw.mapguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site:
D--4 -V I I
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 of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary' sound,
bay, ocean, etc.

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 NONJ?
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., damlembankment, 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. At$o 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.
I?PPRs?P Ip?'!!? E%Qs-.c*J cowt'tPJML_ tvrt?S JZE' 7rAJ4&hJ
Paerr 7 of 17
VIII. 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 ant- main wining 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.ne.us/newetiands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as muchnformation as possible, including, but-not limited to: site location (attach directions
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 more space is needed.
r___A_C1
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 NCVM website at httD://h2o enr state nc u&*rp/mdex htcn. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
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 E4
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 yow are not sure whether a NEPA/SEPA document is required, mall the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has tledocument 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 appl?uant 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
(Neese), 15A-NCAC 2B .0259 (Tar Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Require s), or ether (please identify )?
Yes ? No If you answered "yes", provide the following information:
P.-OnF17
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* Imps
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
Zone 1 extends out 30 fed perpendicular from near bank of channel; Zone 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 (ie., 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)
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.
0<0
XH. Sewage Disposal (DWQ Only)
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.
XIII. Violations (DWQ Only)
Is this site in violation of DW Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
XIV. Other Circumstances (Optional):
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-&wn schedules - lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

y
icant/Agenfs Signature ' Date
nt's signature is valid only if an au rtzation 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 Allegheny 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 Onstow
US Army Cops 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
*C,'roatan National Forest Only
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