20020757 Ver 1_COMPLETE FILE_20020513

NjVH /F Nlichaul Y. tasley, Uovernor
9 William G. Ross Jr., Secretary
OG North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
-? Division of Water Quality
June 12, 2002
Stanly County
DWQ Project #: 02-0757
APPROVAL OF 401Quality Certification with ADDITIONAL CONDITIONS
Jerry Stevens
16118 Indian Mound Road
Northwood, NC 28128
Dear Mr. Stevens:
You have our approval, in accordance with the attached conditions, to fill in 150 feet of shoreline
and 450 square feet of lake for the purpose of shoreline stabilization on your property on Lake Tillery
at Indian Mound Road as you described in your revised application dated May 29, 2002. After
reviewing your application, we have decided that this fill is covered by General Water Quality
Certification Number 3373, which may be viewed on our website at
http://h2o.enr.state.nc.us/ncwetlands. This certification allows you to use General Permit Number
198200030 when the Corps of Engineers issues it. In addition, you should get any other federal, state
or local permits before you go ahead with your project including (but not limited to) Sediment and
Erosion Control, Coastal Stormwater, Non-Discharge and Water Supply Watershed regulations. This
approval will expire when the accompanying 404 or LAMA permit expires unless otherwise
specified in the General Certification.
This approval is only valid for the purpose and design that you described in your application
except as modified below. If you change your project, you must notify us and you may be required to
send us a new application. If the property is sold, the new owner must be given a copy of this
Certification and approval letter and is thereby responsible for complying with all conditions. If total
wetland fills for this project (now or in the future) exceed one acre, compensatory mitigation may be
required as described in 15A NCAC 2H.0506 (h) (6) and (7). This approval shall expire when the
corresponding Nationwide Permit expires or as otherwise provided in the General Certification. For this
approval to be valid, you must follow the conditions listed in the attached certification and any
additional conditions listed below.
1. Upon completion of the project, the applicant shall complete and return the enclosed
"Certification of Completion Form" to notify DWQ that all the work included in the 401
Certification has been completed. The responsible party shall complete the attached form and
return it to the 401/Wetlands Unit of the Division of Water Quality.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory
hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing, send
a written petition, which conforms to Chapter 150B of the North Carolina General Statutes to the
Office of Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 276 1 1-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
+s*h
NNNIR
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetlands
This letter completes the review of the Division of'Water Quality under- Section 401 of the Clean
Water Act. If you have any questions, please telephone. John Dorsey at 919-733-1786 or Mike Parker at
our Mooresville Regional Office at 704-663-1699.
Sincerely,
n >. Klim , P.E.
Attachments
cc: Coips of En-ineers Asheville Field Office
Mooresville DWQ Regional Office
bile copy
Central Filcs
VG
? r
VVIII18m G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
May 30, 2002
DWQ # 02-0757
Stanley County
CERTIFIED MAIL - RETURN RECEIPT REQUESTED r ?`d
Jerry Stevens
16118 Indian Mound Road
Norwood, NC 28128
Dear Mr. Stevens:
On May 13, 2002 the Division of Water Quality (DWQ) was notified by receipt of your
application regarding your plan to fill wetlands for the purpose of shoreline stabilization in Stanley
County. Approval from DWQ is required to disturb these areas. Please provide 7 copies of the
following information and refer to the DWQ # listed above in your reply. In particular as described in
15A NCAC 213 .0502, we will require you to locate all streams and ponds on the property. Please show
these on maps of suitable scale (for instance 1" = 100 feet) so we can begin to determine your projects'
compliance with 15A NCAC 21-1.0500.
Please provide additional information describing the need for the proposed stabilization.
Photos of the shoreline will be helpful.
Please telephone me at 919-733-1786 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 by writing within three (3) weeks we will assume you no longer
want to pursue the project and will consider it withdrawn.
Program
cc: Mooresville DWQ Regional Office
Asheville Corps of Engineers
Central Files
File Copy
AM
North Carolina Division of Water Quality, Wetlands/401 Certification Unit NEM
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
Ph: [phone], Fax: [phone], http://h2o.enr.state.nc.us/ncwetlands/
Sincerely,
020757
The following is an abbreviated application form for those applying for a 401 Water
Quality Certification to impact FERC (Federal Energy Regulatory Commission)
regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit
GP30. This Application cannot be used for wetland or stream impacts. Please
provide seven (7) copies of this application and supporting information as well as a
non-refundable application fee to the Division of Water Quality of $200.00 for
impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
1. Applicant Information

j o I J

Owner/Applicant Information
Name: If A R T EVE At S
Mailing Address: A,//4 -f-N a /6 At /r]n UAf 70 a >>
/V C R L 'u, c) i-) iv C ;Q K/1 R
Telephone Number: 70 4 Q 74( - 4 3 u ?', Fax Number:
E-mail Address: Jiu c,TEV.EnI S (`? V N P--T : ',.I >? T
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
11. 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. You may use the diagram below to make a hand sketch of
,411A

your project. Also, see the example below for guidance. Both the vicinity map and
site plan must include a scale and north arrow. The footprints of all buildings,
impervious surfaces, or other facilities must be included.
1. Location ?, /
County: S 1 A N l- Y Nearest Town: I V c k w o C) r)
Subdivision name or site address (include phase/lot number):
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included):
2. Describe the existing land use or condition of the site at the time of this
application: R
3. Property size (acres): F1 L i?E 5
4. Nearest body of water (stream/river/sound/ocean/lake): L,. A K L T I L L C a; `/
5. Describe the purpose of the proposed work: O C A Tf?r L Lh 1) L R.LSI nM
6. List the type of equipment to be used to construct the project:
IC SIA UV E i2AKr NAN7f2
i
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: 2 P i RP
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above the normal pool ake level and 50 feet land-ward in
square feet or acres: R 1 f j? fi Q 1 X I -ajA " 6 o. K E't L A 5
2l-iZ) L6V6L C,i i= %t . NA "t:eAL - lair A
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): 0 1 RE E 5
Date
(Agent's f(ignature is valid only if an authorization letter from the applicant is provided.)

N)?4- \V Lake (Full Pond)
&CAI
00
Full Pond
Shoreline;,.

1,

kv
t
?a
Please approximately sketch the following information on this plain
(please provide dimensions for each item, such as 10 ft. x 100 ft):
1) AN proposed vegetation clearing (provide dimensions o
Z) Location of rip rap or fill to be placed above the Full Pond elevation
3) Location of rip rap or fill to be placed below the Ful Pond elevation
d) The location of any proposed structures such as buildings, retaining
walls, docks, etc.
5) The location of any excavation or dredging below the Full Pond
elevation.
BI Location of construction access corridors.

06/11/2002 11:46 7044744303 JERRY STEVENS ` PAGE 04 `
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The following is an abbreviated application form for those applying for a 401 Water MAY 2 9
i
Quality Certification to impact FERC (Federal Energy Regulatory Commissbregulated lake shore or bottom under the U.S. Army Corps of Engineers PernGP30. This Application cannot be used for wetland or stream impacts. Please
provide seven (7) copies of this application and supporting information as well as a
non-refundable application fee to the Division of Water Quality of $200.00 for
impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to: T
Division of Water Quality Wetlands Unit T?//S DE,?u ??
1650 Mail Service Center
Raleigh, NC 27699-1650
FILE COPY
1. Applicant Information
1. Owner/Applicant Information
Name:
Mailing Address: /r;,
iS T/-)
Mfi)(*'E SukE 17_)ENTiPN
/S i_i'IDE Or RD101r1PA1
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Telephone Number: u
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter /
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:_
Mailing Address:_
Telephone Number:
E-mail Address:
If. Project Information
Fax Number:
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. You may use the diagram below to make a hand sketch of
Fax Number:_
\I 2 T ,J E T-
your project. Also, see the example below for guidance. Both the vicinity map and
site plan must include a scale and north arrow. The footprints of all buildings,
impervious surfaces, or other facilities must be included.
Location
County: i Nearest Town: 1 t? , ( ( i
Subdivision name or site address (include phase/lot number):
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included):
2. Describe the existing lard use or condition of the site at the time of this
application:--
3. Property size (acres):- r c L-
4. Nearest body of water (stream/river/Sound/ocean/lake):-! ri K L- i i 1 L C.
5. Describe the purpose of the proposed work: i ` ( I L _ ?_.;) N i')
6. List the type of equipment to be used to construct the project: -?
tc.. ', I1?.?,c-L Pour ItA r.t ?>
1
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the norma pool lake level in square feet or acres: t t' E\t'
1 t1 1. 1.
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above the normal pool ake level and 50 J feet land-ward in
square feet or acres: 1,N, I r' h ,i iI ? X 1 n POauX, i? A(' f<? r L J? j
\)\C(4,uAIt:L1, r' i-& vc.L Ci I_' i7(, '' N1-110.LOL_ 1-1L'1-? h
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees For instance): Ise: L 5

Applicant Agent's Ygnature I - I Date
(Agents signature is valid only if an authorization letter from the applicant is provided.)
Lake (Full Pond)
ONE 301 ?v (s?? ??+
TICN
?I04
Full Pond CPLj
I lft??
L 3,) A'D
Shoreline
- -- - ! spy -
Ulf-
Please approximately sketch the following information on this plan
(please provide dimensions for each item, such as 10 ft. x 100 ft):
11 All proposed vegetation cleanng (provide dimensions)
Z) Location of rip rap or fill to be placed above the Full Pond elevation
3) Location of rip rap or fill to be placed below the Full Pond elevation
4) The location of any proposed structures such as buildings, retaining
walls. docks, etc.
5) The location of any excavation or dredging below the Full Pond
elevation.
6) Location of construction access corridors.
06/11/2002 11:46 7044744303 JERRY STEVENS PAGE 01
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06/11/2002 11:46 7044744303 JERRY STEVENS PAGE 03
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\14-\41 Lake. (Full Pond)
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Full Pond" oR. x,,.30 pal ` Of,
Shoreline 11'
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Please approximately sketch the following information on Me plan
(please provide dimensions for each items, much as 10 ft. x 100 ft):
1) Al proposed vegetation clearing (provldle dimensions)
2) LacAtlon of rip rap or 10 to be placed above the Full Pond elevation
3) Location of rip rap or 114 to be placed below the full Pond elevation
4) The location of any proposed structures such as htAldings, retaining
walla. docks, etc.
S) The loeatlon of any axcavation or dridging below the Full Pond
elevation.
6) Location of construction access corridors.
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. . -.Wy, VVVV111V1
OG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
o Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
May 30, 2002
e` DWQ # 02-0757
Stanley County
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
Jerry Stevens
16118 Indian Mound Road
Norwood, NC 28128
Dear Mr. Stevens:
On May 13, 2002 the Division of Water Quality (DWQ) was notified by receipt of your
application regarding your plan to fill wetlands for the purpose of shoreline stabilization in Stanley
County. Approval from DWQ is required to disturb these areas. Please provide 7 copies of the
following information and refer to the DWQ # listed above in your reply. In particular as described in
15A NCAC 213 .0502, we will require you to locate all streams and ponds on the property. Please show
these on maps of suitable scale (for instance 1" = 100 feet) so we can begin to determine your projects'
compliance with 15A NCAC 21-1.0500.
Please provide additional information describing the need for the proposed stabilization.
Photos of the shoreline will be helpful.
Please telephone me at 919-733-1786 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 by writing within three (3) weeks we will assume you no longer
want to pursue the project and will consider it withdrawn.
Sincerely,
?4?
Dorney
r Quality ert' cation Program
cc: Mooresville DWQ Regional Office
Asheville Corps of Engineers
Central Files
File Copy
North Carolina Division of Water Quality, Wetlands/401 Certification Unit
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
Ph: [phone], Fax: [phone], http://h2o.enr.state.nc.us/ncwetlands/
??Fil 4T .
I %
Applications should be sent to: 020757
The following is an abbreviated application form for those applying for a 401 Water
Quality Certification to impact FERC (Federal Energy Regulatory Commission)
regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit
GP30. This Application cannot be used for wetland or stream impacts. Please
provide seven (7) copies of this application and supporting information as well as a
non-refundable application fee to the Division of Water Quality of $200.00 for
impacts of to lake bottom of less than I acre and $475.00 for impacts to lake bottom
of greater or equal to 1 acre.
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
1. Applicant Information U VV 4, (,o I
'o +ti"cap
1. Owner/Applicant Information
Name: Jam ;?? r ? 1 6 b z V 5
Mailing Address: i;
Telephone Number: ,?? Q lei - 6 I?ax Number:-
F'-mail Address: EVE;q T ,i : T-
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation: ______ _____
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
11. 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. You may use the diagram below to make a hand sketch of

your project. Also, see the example below for guidance. Both the vicinity map and
site plan must include a scale and north arrow. The footprints of all buildings,
impervious surfaces, or other facilities must be included.
Location
n
County: Nearest Town: t` (; C
Subdivision name or site address (include phase/lot number):
Directions to site please include road numbers, landmarks, etc. (This is not
necessary ifan adequate vicinity map is included):_
2. Describe the existing land use or condition of the site at the time of this
application:-
3. Property size (acres):-?{
4. Nearest body of water (stream/river/sound/ocean/lake): K L i ; LL C i `/
5. Describe the purpose of the proposed work: . i _ Li) fj ?) L. I:L; `?t l r l
6. List the type of equipment to be used to construct the project:
7. Amount of' impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: Flr'
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above the normal pool ake level and 50 feet land-ward in
square feet or acres: ;i I t' h
IZL4' ,itkL L, I r Lt, vc L I F rf N k 1 U. 01 H L' 1-
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): r? I L -.i
(.,.ALV
?? - - ; Y
Applicant/Agent's Signature Date
(Agent's signature is valid only ifan authorization letter from the applicant is provided.)
Lake (Full Pond)
Full Pond
Shoreline

Please approximately sketch the following information on this plan
(please provide dimensions for each item, such as 10 ft. x 100 ft):
1) All proposed vegetation clearing (provide dimensions)
2) Location of rip rap or fill to be placed above the Full Pond elevation
3) Location of rip rap or fill to be placed below the Full Pond elevation
d) The location of any proposed structures such as buildings, retaining
walls, docks, etc.
5) The location of any excavation or dredging below the Full Pond
elevation.
6) Location of construction access corridors.
06/11/2002 11:46 7044744303 JERRY STEVENS PAGE
06/11/2002 11:46 7044744303 JERRY STEVENS PAGE 03
06/11/2002 11:46 7044744303 JERRY STEVENS PAGE 02
06/11/2002 11:46 7044744303 JERRY STEVENS PAGE 01
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