20021172 Ver 1_COMPLETE FILE_20020724

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July 30, 2002
Caldwell County
DWQ Project #: 02-1172
APPROVAL OF 401Quality Certification with ADDITIONAL CONDITIONS
Mr. Gwyn Kiziah
11951 SW 18"' Court
Davie, FL 33325
Dear Mr. Kiziah:
You have our approval; in accordance with the attached conditions, to impact 0.07 acres of
wetlands or waters for the purpose of shoreline stabilization at 5045 Addison Lane, Lots 58 & 22A on
Lake Hickory as you described in your application dated July 23, 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
CAMA permit expires unless otherwise specified in the General Certification.
This approval is only valid for the purpose and design that you described in your application
except as modified below. If you change your project, you must notify us and you may be required to
send us a new application. If the property is sold, the new owner must be given a copy of this
Certification and approval letter and is thereby responsible for complying with all conditions. If total
wetland fills for this project (now or in the future) exceed one acre, compensatory mitigation may be
required as described in 15A NCAC 211.0506 (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. 27611-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
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/ncwettands
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
:
n4
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 Dorney at 919-733-1786 or Mike Parker at
our Asheville Regional Office at 828-251-6208.
Attachments
Sincerely,
Oim P.E.
cc: Corps of Engineers Asheville Field Office
Asheville DWQ Regional Office
File copy
Central Files
Sue Harmon, Permits Etc.
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 ApplicaQpil 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
?, . WEE
kA i E C p'
1. Applicant Information tSSUED
1. Owner/Applicant Information
cLh
Narne: Mr v n 8i 7j
Mailing Address: 11951 ':;W IR+h C'n rf
Davie, FI 333 25
Telephone Number: q 54 ' 9 lo- 1.a3 4 Fax Number:
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: ermi f5? E4-c-. Mailing Address: P. Kok J??4_
Telephone Number:184 - 43q -0'760 Fax Number: '71)q - 4 34 - '1100
E-mail Address: Permi t5 ei-cCa,, Caro) nc rr, COrn
II. 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
County: C? . [d bje t 1 Nearest Town: H t Kc r u
Subdivision name or site address (include phase/lot number): ;O QdA; Sin Ln ILzW5I& 6
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included): cram i J<c rW +6 kj:. 1.4 I NI
2 Describe the existing land use or condition of the site at the time of this
al
3. Property size (acres): 3M Jb fmt of IMA 10-F5
4. Nearest body of water (stream/river/sound/ocean/lake): Wye 141`d/ o rV
5. Describe the purpose of the proposed work: -fb 6f h i I i zX +1tir. dh o n I i nP. a tJ
6. List the type of equipment to be used to construct the project: 133-cAhne anrl
hand bo15
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres:
3' µV ' I382 -Ft
a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above the normal pool lake level and 50 feet land-ward in
square feet or acres: X ?{ ?Co t A' X 50
A
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): Nt) frtc5 wi I I need fy he, r'emo>recl
o_pp l i ed 4-0 i+.
Applicant/Ageent_s Signature U Dade
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
( n v -
aL,gn Kiziah
Lake (Full Pond).
Full Pond
Shoreline
Rip
) .-- /`V-
C Iearec
Area
l_r, Kev?r? rd
/ / COmbinah'On
J Dck-- -?---? 3 X 4 R, Sec, W t, I i /(tail blcc K/Wccd
x ?F3(?' Geared Agrea
?1.xve Pond
so" Lcu,duard
4
'&wyn Kiziah 6w4n Kiziah
Lo+ X58 Lo+- 4- P,;), A
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 fip to be placed above the "Normal Pool" elevation
3) Location of rip rap or fip to be placed below the "Normal Poor elevation
4) The location of any proposed structures such as buildings, retaining
walls, docks, etc.
3) The location of any excavation or dredging below the "Normal Pool"
elevation.
6) Location of construction access corridors.
node+) Sea, tivall wi !1 be approxi mah)j -Fe?h i n fengA,
Woo&n seawa1) wi I 1 he, approxi male ly 4 -+ high
PR Ian bloc.K Wat I will Nin a+- +f e- and o-F -H-)c Ljav1ef) wz - 1.
V will 64ai+ o- 5 f'f in he-i9114, and progress Io a heigh4-
o-F <8 -Fee.+ 0_+ Ae? end of Ae, rto+, Allan btock wall
v\ft Q Cover app r ox i nIa+eI q . a3a -6e 4- in 1"44
Gwyn Kiziah
11951 SW IS Court
Davie, FL 33325
July 15, 2002
North Carolina Devision of Water Quality
RE: Shoreline Stabilization Wall
From: Gwyn Kimah
Dear Sir/Madam:
I hereby grant permission for Sue Harmon of Permits Etc., to sign as my agent on my application
for a shoreline stabilization wall permit.
Sincerely,
14
Gwyn Kiziah
State of Florida
County of Broward ss

Sworn to and subscribed before me this 15th. day of July, 2002.
My comm. expires:
F-e- „ , Notary Pubti State of Florida at Large COMMISS
OOMWBBION?,
MY,
APR 7 2004
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• Owner Name. KIZIAH GWYN W & PHYLLIS
• MailingAddreswl1951 SW 16TH CT
• City.DAVIE
• State:FL
• Zip.333250000
• Tax Account#:046118
• Deed Rem nce:PL 20161 TRACT A 2.00 AC )
• NCP/N3705669573
• srce14D:061201 W)
• Total Value: $60,000.00
• Fir• Dilsbict:G CHAPEL
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• Owner Name:KIZIAH GWYN W & • eteronce PLAT 20161 YR 2002 TACTB-
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• Malling Address 11951 SW 18TH CT • CPIN37057623
• City, DAVIE • Pervol-ID.W SEC12 22A i
• State:FL • Total Value: $30,000.00
• Zip:333250000 • Fire DWtkM CHAPEL
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Ev*ryone neadi a lit& diwflon in life
G w n KI zl'a.h
Hickory, NC 28601

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[loon Latitude: 35.8083144, Longitude: -81.3384181
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