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HomeMy WebLinkAbout20011728 Ver 1_COMPLETE FILE_20011127e, DUKE POWER LAKE MANAGEMENT, EC12-Q P O BOX 1006 CHARLOTTE, NC 28201-1006 704-382-1567 or TOLL FREE 1-800443-5193 ' ??? 7 a, APPLICATION FOR PERIVIIT TO STABILIZE THE SHORELINE IN NORTH CARO'L&A L Applicant Information II^^ A. Name r ci er+- n B. Mailing Address 17 f a Lpnu S(ri & D fZ.L' Lam` Mc tr'e TUC, 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 DUKE POWER, TO ABOVE ADDRESS w.. C. Telephone:,] ri(4 OLD 3 Q 30( a II. Location of Proposed Project A. Lake ?zrrran B. C. D. E. G. Street Ad ess County City, town, community or Section ,,Directions to pro erty b i 1 r-?_ 041728 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.mapblast.com) t pperci III. Description of Project t ®an ??? ?'r A. Length of wall 60 B. Material IT 6161 0 C. Distance from property Iinelshoreline W. Intended Use of Project Area A. Private B. Commercial V. Applicant Signature Date PLEASE NOTE THE FOLLOWING: • 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 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 DIVISION OF WATER QUALITY ATTENTION. JOHN DORNEY 1621 MAIL SERVICE CENTER PAYMENT RALEIGH, NC 27699-1621 919-733-1786 `P"" LJ6-- t t i t u/00s%th Lot # I 1?1 Subdivision (,-!,)1()? Iasi IA)- r9 ( y/UE "A DUKE POWER DIRECTIONS BY ROAD FORM Lake Use Permit Applicants and Contractors: Ease of locating the proposed project site can have a big impact on permit processing time. Please complete this form and return it along with your completed permit application to: DUKE POWER CIO LAKE MANAGEMENT - EC 12 Q PO BOX 1006 CHARLOTTE, NC 28201-1006 1-80OA43-5193 Applicant's Name: 4 R,& J 0J. S-z Street Address (at lake): ? a G: 3 C- I, ee e r C,-,f Lake Name: IVo rn-, c"^ Subdivision Name: LoA? Cq T 1C?-J A rP.,, t Property nSection: City: County: Lot # /S State: A J L Zip: _ Telephone: ( -?J It )6 & 3- g 3 O ?o Type of Permit Requested "Circle": Private Facility Commercial Facility Excavauou- S bilization Conveyance Miscellaneous Uses Directions (from major road or highway): /s3 L,) IT S-ke.r„tlS F11rJ i?J, ILI' k1- e2+ , ?+ or ? 117?s B??I? g. met ??, 17r??ew•??l OA o,. SaK..?l?rS R-I ,) „ C 1, qpe r C4 , , t l e P4, Descriptive Structure on Property (i.e. brick garage, white fence, mobil home, etc): 4o,s, o, nc?cr -cry 11y,c?h ?l a -tl --c ? t \ b ?, -C4 c I •Note: Please use the back of this form if desired to draw us a map, to the site. 02 V& U 1 CiPAI/LAKI-M(iMl'/I.MI'I'M/I)IRI'(-UONS IXX' Effective natc: 11/15/98 Office Use Only: Form Version April 2001 USACE Action ID No. DWQ No. 011728 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 1. Check all of the approval(s) requested for this project: ? Section 404 Permit ? Section 10 Permit 401 Water Quality Certification `?' Riparian or Watershed Buffer Rules 2. Nationwide, Regional or General Permit Number(s) Requested: CZ20- 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: ? • P(} pr 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (see section VIII -Mitigation), check here: ? ?I II. Applicant Information 1. Owner/Applicant Information Name: &e? 2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent,has signatory authority for thg owner/applicant.) Name: Company Affiliat Page 3 of 12 Telephone Number: - Fax Number: E-mail Address: Telephone Number:la 6D]- P)Gj (? Fax Number-10 4- :ZQy? LV? E-mail Address: III. Project Information Attach a *icinity 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 pro erty 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 buil ' gs, impervious surfaces, or other facilities must be included. If possible, the maps and plans s ould include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the pro erty boundaries outlined. Plan drawings, or other maps may be included at the applicant's discr ti on, so long as the property is clearly defined. For administrative and distribution purpose the USACE requires information to be submitted on sheets no larger than 11 by 17-inch fo t; however, DWQ may accept paperwork of any size. DWQ prefers full-size constru tion drawings rather than a sequential sheet version of the full-size plans. If full-size p 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 2. T.I.P. Project Number (NCDOT Only): UTA- 3. Property Identification Number (Tax PIN): U' 1, 4. Location ?,.?? ? County: 11-1-In 12A N arest Town: Subdivision name (include phase/lot number): Directions to site (include road numbers, landmarks, etc.: I r c Y v Eq Do I > ?,- ' 5. Site cooduiates, if available (UTM or Lat/Long): ')5 bQ (Note - If project is linear, such as a road or utility line, attach a sheet hat 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: '<, I h r_J ? f- a- .I R.? n?v???1A? _ N-nn,t,?. I in)naP Oni )C 1L)U1 7. Property size (acres): a • '-5 CO 8. Nearest body of water (stream/river/sound/ocean/lake): LAK-r AJ01Q'1 PMjI 9. River Basin: C 1-4 w 6 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/maps .) Page 4 of 12 10. Describe the purpose of the proposed work: ??'IOfP I ne-, 5`11 Z vh?m 11. List the type of equipment to be used to constru t the project: IV. 12. Describe the land use in the vicinity of this project: ?(?P .arn I ly r'ciL't?? 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. V. Future Project Plans Are any additional permit requests anticipated for this project in the future? anticipated work, and provide justification for the exclusion of this work application: 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. If so, describe the from the current Page 5 of 12 1. Wetland Impacts Wetland Impact Site Number indicate on ma Type of Impact* Area of Impact acres Located within 100-year Floodplain** 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, nu, 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 htta'//www.fema.aov. *** 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: 01A- Total area of wetland impact proposed: ^l 1 o4 2. Stream Impacts, including all intermittent and perennial streams 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, 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 Xvmw.usgs.eoe. Several internet sites also allow direct download and printing of USGS maps (e.g., xvwx'.tonozone.com, Nv%vw.map(luest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: Page 6 of 12 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 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. Provide a brief description of the proposed mitigation plan. The description should provide as much information 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. Page 8 of 12 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 httv//h2o enr state nc ushvrp/index.htm. Jf 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. X. 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 (919) 733-5Q83 to review current thresholds for environmental documentation. rVi Yes ? No If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEP al approval letter. Yes ? No 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. Yes ? No If you answered "yes", provide the following information: Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Page 9 of 12 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 [tare feet Multiplier Required Mitigation 1 3 2 1.5 Total * Zone 1 extends out M feet perpendicular mom near DanK Vi urdlmcI, unM a { AwuuJ w. 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. A A r ,._ hf ,.. 17_71i 1J 1 A Ul 0/) sm i I ?Cawlai I v vffde- o A% 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. XII. 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 DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules? Yes ? No 9& Is this an after-the-fact permit application? Yes ? No1Q Page 10 of 12 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-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). Lj` '41 //- / T- o i Applicant/Agent's Signature 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 NC 28801-5006 Asheville Cabarrus Graham Madison Stanley , Telephone: (828) 271-4854 Caldwell Haywood McDowell Swain Fax: (828) 271-4858 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: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 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: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 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: (910) 2514511 Columbus Moore Sampson Fax: (910) 2514025 Cumberland New Hanover Scotland Pitt Tyrrell Washington Wayne Union Watauga Yancey Wilson Yadkin *Croatan National Forest Only Page 11 of 12 0"1 0FWAT?9pG O ? Gregory J. Thorpe, Ph.D. Acting Director Division of Water Quality Robert See 171 B Lansing Circle Mooresville, NC 28115 December 6, 2001 DWQ # 01-1728 Lincoln County APPROVAL of 401 Water Quality Certification with AddGtional Condkons and Authorization Certificate per the Catawba River Buffer Protection Rules (15A NCAC 2B .0243) Dear Mr. See: You have our approval, in accordance with the attacheJ conditions., to impact Lake Norman and the associated riparian buffer for the purpose of constructing 180 linear feet of seawall to staiblize the shorelkne on Lot # 15, Long Island Airport subdivision, as described in your application received November 27, 2001. After revMerrng your appication, we have decided that this fill is covered by General Water Quality Certification Number 3280, which can be dowibaded frorr, oar web site at httpJ/h2o.enr.state.nc.us/ncwetlands. This Certification allows you to use Regional Permit Number 1 ge27, 3030 when the US Amory Corps of Engineers (USACE) issues it. This letter shall also act as your approved Authorization Certificate tar inpacts to the p Aec ted riparian buffers as required under 15A NCAC 213 .0243(8). In addition, you should get any other federal, stafte ur local pearl t3 before you go ahead with your project including (but not limited to) Sediment and Erosion Control, Non-Discharge arrJ'!<?'ater Supply Watershed regulations. Also this approval will expire when the accompanying 404 permit expires unless ott',erwise specified in the General Certification. This approval is only valid for the purpose and design that you des= din your application. If you change your project, you must notify us in writing and you may be required to send us a rim, appfication fur a new certification. If the property is sold, the new owner must be given a copy of the Certification and apNoval letter and is thereby responsible for complying with all conditions. If total wetland fills for this project (now or in the future) exceed orie acre. c*nipensatory mifigatiort may to required as described in 15A NCAC 2H .0506 (h). For this approval to be valid, you must follow the corrJitims fisted in the attached cerifcation and those listed below. 1. Upon completion of the project, ttr-- applicarCstmC complete and return the enclosed "Certificate of Completion Form" to notify DWO that all work included b the 401 CediTication has been completed The responsible party shall complete the attached form and return it to the 401/Weda gds ithrt of the D vision of Water Quality. 2. No trees greater than or equal to 111 inches donet?r at the stimtp can be removed from zone 1 other than those within the access corridor. If you do not accept any of the conditions sf M& cmVicatkirk you ney ask for an ac![LKRcatory hearing. You must act within 60 days of the date that you receive this letter. To ask fu a heari-g. vurd a mitten petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative i5earings. 57U iJlail Serxice CC3 r, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask Ilex a hearing. This letter completes the review of the DWeion of WabrShiabty w4wSe?ffion 4011 d the Clean Water Act. If you have any questions, please telephone Pete Colwell in the OVIO, MoommlGe ReVKm CffcP- at 7,D4-653-6040 or Todd SL John In Raleigh at 919- 733-1786. CSMJ;aryJ. P6, h.D. Acting Dkoctor Attachment i cc: US Army Corps of Engineers Asheville FkgutatoryF400't6ce Mooresville DWQ Regional Office Central Files File Copy 01-1728 Bryan Ackerman; Slanting Bridge Empodow, 5142 Sim" B&O091Fkt(, Derrver, Jt1C 28037 N. C. Division of Water Quality 1650 Mail Servt4 Cenw ti 4 tic 2'7 w-'350 0319) 733-7015 Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources 6 Customer Service 1 800 623-7748 DUKE POWER LAKE MANAGEMENT, EC12-Q P O BOX 1006 CHARLOTTE, NC 28201-1006 704-382-1567 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 DUKE POWER, TO ABOVE ADDRESS 11728 L Applicant Information ''?,t '',, A. Name oL J'-+- B. Mailing Address 1,71 (3 LPnA) SIN & l ALt_e Mcxx? 2V t c? , k)(1 02811 C. Telephone: 11c"C4 OLD H. H. Location of Proposed Project CUP 391 Nll A. Lake ?20Ir(1'16n ?- - -- B. C. D. E. F. H-0" q G. 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.maphlast.com) III. Description of Project A. Length of wall B. Material 1 19od:.- C. Distance from property line/shoreline IV. Intended Use of Project Area A. Private X B. Commercial V. Applicant Signature Date ?- _ PLEASE NOTE THE FOLLOWING: • 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 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 DIVISION OF WATER QUALITY ATTENTION. JOIIN DORNEY 1621 MAIL SERVICE CENTER RALEIGH, NC 27699-1621 919-733-1786 Street Address County City, town, community or Section ?fuDirect? s to pro erty by i ?D 10 i ppera i 1 i 1 cvoossh Lot # I ? Subdivision (,a MLA I-41 tTl ( yX4 4 DUKE POWER DIRECTIONS BY ROAD FORM Lake Use Permit Applicants and Contractors: Ease of locating the proposed project site can have a big impact on permit processing time. Please complete this form and return it along with your completed permit application to: DUKE POWER CIO LAKE MANAGEMENT - EC 12 Q PO BOX 1006 CHARLOTTE, NC 28201-1006 1-800443-5193 Applicant's Name: Wo S- -- Type of Permit Requested "Circle": Street Address (at lake): a l 4 3 C 1 l P p e r Co w rt Private Facility Lake Name: Commercial Facility _ 131- Subdivision Name: ?- e, 5 A ' re.rt Stabilization Conveyance Property Section: Lot # Miscellaneous Uses City: ("+w,J? z, County: C-x -h, .J State: N C. Zip: 02 f-6, 0 Telephone: ( ? a `? ? , & 3 - q 3 a (o Directions (from major road or highway): t H, Il1, e Q+ a? s ?eg:, ? e f SJ t,) ? Sker, ,(ls P--,r l iZ). .4,,, Y,,- P-4- 1 a,,tk.5 194 o 1-, Clypt r C41, -0r,v{?J•y 43A N1??6? kd.t 2f 5- I 1 Descriptive Structure on Property (i.e. brick garage, white fence, mobil home, etc): ?I u ?7't'i y t ? ? hT '1 Cf *Note: Please use (lie back of this form if desired to draw us a map.to the site. (iPAI/I.AKEM(iMl'/t.M1'PM/)ll(IiCTIONS DOC EffectiveDaw 11/1 V98 Office Use Only: Form Version Ap612001 USACE Action ID No. DWQ Nop 1 1728 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 1. Check all of the approval(s) requested for this project: ? Section 404 Permit ? Section 10 Permit 401 Water Quality Certification `?' Riparian or Watershed Buffer Rules 2. Nationwide, Regional or General Permit Number(s) Requested: .0-I- 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: ? ?I II. Applicant Information 1. Owner/Applicant Information Name: 2. Agent Information attached if the Agei Name: Company Affiliatk (A signed and dated copy of the Agent Authorization letter must be _has signatory authority for the owner/applicant.) Page 3 of 12 Telephone Number: - Fax Number: E-mail Address: Telephone Number: ?(?? Fax Number-10 - jaq I E-mail Address: 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 11 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: LDI) c-, L!& ,a M a -t r, 5 2. T.I.P. Project Number (NCDOT Only): U p" 3. Property Identification Number (Tax PIN): 4. Location County:11-14 1P'jA- N arest Town: Subdivision name (include phase/lot number): Directions to site (include road numbers, landmarks etc.). -V) rn" k i,-, t?o re- -4 ors Irre?-,-- ' 5. Site cool dmates, if available (UTM or Lat/Long): (Note - If project is linear, such as a road or utility line, attach a sheet hat 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 7. Property size (acres): Q • 5 Q1D__ 8. Nearest body of water (stream/river/sound/ocean/lake): UgKl A JDfZYh A-Y, 9. River Basin: CA T-AW g 4 (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/.) Page 4 of 12 10. Describe the purpose of the proposed work: Is?'10cP (12i '?Gl?`?I Trt +?cm 11. List the type of equipment to be used to constru t the project: i r'l-, r. 111oP I Sk t d I Syr' 12. Describe the land use in the vicinity of this project: of ?'YAI -e tirtM I ly ?(I GtLti 1?1 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. 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 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. Page 5 of 12 . c 1. Wetland Impacts Wetland Impact Site Number indicate on ma Type of Impact* Area of Impact acres Located within 100-year Floodplain** no Distance to Nearest Stream linear feet Type of Wetland*** i * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized cteartng, graamg, nu, 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 htta://www.fema.Qov. *** 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: 01A Total area of wetland impact proposed: to Y1/ 2. Stream Impacts, including all intermittent and perennial streams 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) 1 J 0 J\j " 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, 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 w w.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., topozone.coil , www.matxtuest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: Page 6 of 12 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 identity temporary impacts. Impacts include, but are not limited to: mi, excavanon, dredging, flooding, drainage, bulkheads, etc. 4. Pond Creation 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.): h ? W IV 1 1-1 Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): l Size of watershed draining to pond: '• 1 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. Page 7 of 12 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 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/ncwetiands/strmgide.html. Provide a brief description of the proposed mitigation plan. The description should provide as much information 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. Page 8 of 12 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 hap://h2o.enr.state.nc.us/Nvri)/index. . -If use of the NCWRP is proposed, please check the appropriate box on page three and provide the following information: r ' Amount of stream mitigation requested (linear feet): N Pr 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. X. 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 (919) 733-5Q83 to review current thresholds for environmental documentation. Yes ? No If yes, has the document review been finalized by the State Clearinghouse? copy of the NEPA or SEP al approval letter. Yes ? No Proposed Impacts on Riparian and Watershed Buffers (DWQ Only) If so, please attach a 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 (Meuse), 15A NCAC 213 .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: Page 9 of 12 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 fran near bank of channel; Lone 1 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. I.n n, - i? . '-h( ,11niv Uri ?,il ?Cu.wai 1 V ?ua.d? ?u?+-h. XI. tormwater (DWQ Only) Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss storrnwater controls proposed in order to protect surface waters and wetlands downstream from the property. XII. 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 DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules? Yes ? No 9& Is this an after-the-fact permit application? Yes ? No I Page 10 of 12 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-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). CJ '41 //_/T- v 1 Applicant/Agent's Signature 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 NC 28801-5006 Asheville Cabamis Graham Madison Stanley , Telephone: (828) 271-4854 Caldwell Haywood McDowell Swain Fax: (828) 2714858 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: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 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: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 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: (910) 2514511 Columbus Moore Sampson Fax: (910) 2514025 Cumberland New Hanover Scotland Pitt Tyrrell Washington Wayne Union Watauga Yancey Wilson Yadkin *Croatan National Forest Only Page I I of 12 .C,dI/A/n t7r-T:.. "--- R 0 0 ,,i EbeG MW AD EASE HOW Np w USA SA? p / tart r.r tt St ?L I VICINITY MA ° (NOT TO SCALE 1'. U. Box 1036 Troutman, NC 28166 ',,77 - rmaa: holirortis?vvLnet 1.5 0 I 5,93.67, 100,I)w N 42'24'06' Nolc atTheM.soleEpurpose For arplot iothert toirabannrtJatian die bui4di6ng selbuek Unes us recow Jed SQlS9.ojthisty Lot 17 rjoon regarng dt?he lotr, refer to At,R,.i0 /.59. M. ? t 150 For any buildlng sdback Line related to this pkd, refer to curreta Catawba t 'nunp Zoning Regulations and/or current r ntrictn•e eonvenotin relating to LONG IS'I.,L1'D 1111POR I'SUBDIVISION. Final Plat - Revision Lots 13, 14, 15, and 16 of LONG ISLAND AIRPORT; Phase; 4, Map l (Previously recorded at H. R 30-159) Catawba Township Catgtvba County, NC Tar LD 4710-033049491, 4710-0330-7377, 4710-0330-6182, 4619.111.39-t,9,44.n*;,,4, D. B. 2224-293, 2224-293, 2235-330, 2224-293 -- M A 50-159 Property of., Syn-R-Cy. LI.C (Lots 13, 14, 16) Robert W. Yee and Jill ;jL .See (tot l i) P. U Box 353 171-B Lansing Circle Terrell, NC 28682 Mooresville, W. 2811S (828) 478-2642 (704)663-4306 scule: I"=100' R. S. llollifield Plat Date: July 3, 2001 land survtping/subdivision pliuming P. 0. Box 1036 1'routenan, M. 18166 (704) 871- 1175, fux (/04) Y / I • ? /77 entail: holi onawvi.net 0 0 L-1Z 61" mol- , 3 14 N 42'24'06' Nott: Te sal[ purpuss ojt/nis plot is fo abandon the budding setback Imes as reeve ded Lot 1 7 at" M, R SO 159. For arty other irjornudio,t regarding Ihev e tots, refer to ,l t. 1i .io 159. M. 1150-139 For any building setback tlm.7 related to this plea, refer to current Cahnvba t bump Zoning Regulations and/or current rewrictive eomr owes relating to I,(INQ ISI. I \'11 AIRPORT SURD/VISION. Final Plat - Revision Lots 13, 14, 15, and 16 of LONG ISLAND AIRPORT, Phase 4, Alap l (Previously recorded at H. R 50-159) Catawba Township Catawba County, NC LONG 19AA so fits 1D 4710-0330-9491, 4710-0330-7377,'4710-0330-6182, 4619-0139- b 3dv*- '.;, ;y D. B. 2224-293, 2224-293, 2235-330, 2224-293 -- H. B. 50-159 r NOW ro w Properly o R-G. LC (Lots 13, 14, 16) Robert W See. and VA. Yee (I.ut o) l•' 't- ? P. U. Box 353 171-B Lansing Circle Terrell, NC 28682 Mooresville, NC 2811S - "rt (828) 478-2642 (704)663-4306 ? 1 nst old I VICINITY MAP ° (NOT TO SCALE) P. 0. Box 1036 Troutman, NC 28166 '777 - email: holiror aJvvinet Scale: I"=100' R. V. Hollifield Plat Date: July 3, 2001 land surve.ping7subdivision planning P. I), liar 1036 Troutman, M 18166 (7(14)871-1175, ,%0-r (70.1) 8// -1.777 entail: bulnron a vvt.net ft e -. r..._: is t- ? -'* w 1? i. .?.? . _'- •_