20030170 Ver 1_Complete File_20030214

614 North Main Street Telephone [phone]
Salisbury, North Carolina 28144
CARROL RSHER CONSTRUCTION CO.
February 5, 2003
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
c/o John Dorney
2321 Crabtree Blvd.
Parkview Building
Raleigh, NC 27604
Project: Pebble Bay
Planned: Residential Community w/ 245 Lots
Location: Lake Norman, Catawba County, NC
SECOND REQUEST
Please respond by March 31,
2003. Master Plan attached.
With regards to the above referenced project, please find enclosed a master plan dated February 4,
2003, which shows eight (8) boat slips and one (1) boat ramp. Pebble Bay is situated on approximately
489 acres with a total shoreline of 7,078.57 linear feet. Based on Duke Powers' Lake Management
Shoreline Management Plan map dated July 1, 2001 there is a total of 2,133.45 linear feet of 2's, which is
classified commercial residential. There will be no dredging associated with the boat slips. The shoreline
will be stabilized at the boat slip access lot associated with the boat slips. This facility will not require a
pump-out based on Duke Power's guidelines for pump outs at commercial marinas.
Application is hereby being made to Duke Power Company for the required FERC permit to construct
these boat slips and ramp. The enclosed plan shows the location of these boat slips as well as Duke
Power's Shoreline Management Plan Shoreline Classifications. The environmental areas will in no way be
impacted.
We ask that you advise us, by return mail, of any comments you may have concerning these boat slips
and boat ramp or any permits your authority may require. Your comments are a requirement of the
_ FERC application process. We thank you in advance for your cooperation and we appreciate your
prompt response.
Sincerely,
i? -1
Wendy Ward
Enclosures
WETLANDS/ 401 GROUP
MAR 2 4 2003
WATER QUALITY SECTION
Direct All Correspondence To.
Permits-4-U
Attn: Wendy Ward
12702 Sulgrave Drive
Huntersville, NC 28078
[phone]
3-19-03
CerkFre4_rntq?`J- Tool a sio ow& 64179 53613
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.
1. Applicant Information
I
A. Name `
B. Mailing Address f <?`
C. Telephone: ?? t?L 3 ` to C
II. Location of Proposed Project
A. Lake rig-'s r-%
B. Street Addres 11 11) 042 cb 4
C. County
D. City, town, community or landmark
E. Section Lot # P O 5 Subdivision = h!
F_ Directions to property by road' --+
G. Latitude and longitude for the project site 4-5 , '2 5 )S
H. Please submit a map showing the coordinates Ora detailed map (USGS quad map, city map, etc.) showing the
exact location of the project site. (NOTE: Latitude/ longitude coordinates can be found
www.mapsonus.com. Directions: Don't register, click "Maps", enter address, draw map, select "Map
Clicking Will__", select "LatfLong", click map)
III. Description of Project
A. Length of wail Ct
B. Material f t e i &e2
C_ Distance from property line/shorelinc t1 I Lr1j
IV. Intended Use of Project Area
A_ Private
B. Commercial ?
V. Applicant Signature
Date 2- -1 -ts
A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOVING LOCATION OF THE PROPERTY
MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, IS] 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 T14E DIVISION OF WATER
QUALITY APPLICATION FEE TO:
NC DIVISION OF WATER QUALITY
ATTENTION.- JOHN DORNEY
PARKVIEW BLDG.; 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
tt° If, 02-t,

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 seat to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
1. Applicant Information
Owl
L ?? ` - In t Fax Number:
Telephone Number-1104-
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.)
Rl-
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:_
II. 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
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 g
County: i ' A-V7} x tlra?? Nearest Town: ?
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): 1 N A-n '01 ri- -
2. Describe the existing land use or condition of the site at the time of this
application:__) io J ) i
?51 d. ,
3. Property size (acres).<
4. Nearest body of water (stream/river/sound/ocean/lake):? ? k?.?f (Vkc_
?(?
5. Describe the purpose of the proposed work:
6. List the type of equipment to be used to construct the project: to, Co
7. Amount of impact (including all excavation, backfill, rip rap, retain walls,_
etc.) below the normal pool lake level in square feet or acres: 1 1
8. 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 irk
square feet or acres: ?2
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (nutnr of trees for instance): c j G? dZR -- n b A t lle
i -1 S o h e- - Al A-dd t' f7'e A l f !? ?,2?r 1 A-rzEh- P n
t/Agentgna re Date
signature is valid only if an authorization letter from the applicant is provided.)

Please approximately sketch the following information on this plan
(please provide dimensions for each item, such as 10 ML x 100 ft):
#) 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
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.
3
d a
. F s??,2•,x_ J 4 _ 1?i_ g 't5'e S '?` vv pa` ?' E k+? 4a ? 3?J^`.,
e
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Henson Hanington,Inc.
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BOATSLIP / RAMP PLAN
BOAT DOCK AND RAMP PERMIT r 6w
PEBBLE BAY DA
cwswagwaamrnLw?c?oants ?;
PEBBLE BAY OF DENVER, LLC 2109-
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Henson Haningtonjnc. VICINITY MAP
BOAT DOCK AND RAMP PER Mff
PEBBLE BAY
CATAMNA CC@fiY,?XXM fY?7A
PEBBLE BAY OF DENVER, LLC
JI
EXHIBIT
SCAM
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February 21, 2003
Catawba County
DWQ Project #: 03-0170
Approval Of 401 Quality Certification with
Additional Conditions and Catawba River Buffer Rules
Carrol Fisher Construction Company
614 N. Main Street
Salisbury, NC 28144
Dear Mr. Fisher:
You have our approval, in accordance with the attached conditions, to impact 0.007 acres of
shoreline/waters for the purpose of shoreline stabilization at Pebble Bay subdivision on Lake Norman
as you described in your application dated February 11, 2003. 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. This approval is also valid
for the Catawba River buffer rules (15A NCAC 2B .0243). 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 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. Stormwater shall be directed to flow at non-erosive velocities across the entire protected stream
buffers;
2. No trees shall be removed from Zone 1 of the Catawba Buffer unless they are directly within
the construction access corridor. If trees are removed, at least two species of native forested
vegetation shall be re-established within the construction access or other temporary impact area
occurring in the protected buffer zone within the next growing season following construction
of the project;
3. This project is for the installation of riprap to prevent further erosion of the property due to
wave action. The use of mechanical equipment on the beach must be minimized;
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), (hftp://h2o.enr.state.nc.us/nowetlands
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
4. Equipment and materials may be offloaded to the beach at the bulkhead site, but steps must be
taken to keep all equipment out of the reservoir;
5. Any disturbance within 50 feet of the shoreline must be done in compliance with the Catawba
River buffer rules;
6. Upon completion of the project, the applicant shall complete and return the enclosed
"Certification of Completion Form" to notify DWQ that all the work included in the 401
Certification has been completed. The responsible party shall complete the attached form and
return it to the 401/Wetlands Unit of the Division of Water Quality.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory
hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing, send
a written petition, which conforms to Chapter 150B of the North Carolina General Statutes to the
Office of Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean
Water Act. If you have any questions, please telephone John Dorney at 919-733-1786 or Alan Johnson
at our Mooresville Regional Office at 704-663-1699.
Sincerely,
JRD/bs
Attachments
Kli , =P: rector
cc: Corps of Engineers Asheville Field Office
Mooresville DWQ Regional Office
File copy
Central Files

Pebble Bay of Catawba, LLC
614 N. Main Street
Salisbury, North Carolina 28144
Phone: [phone]
Fax: [phone]
March 26, 2003
Alan W. Klimek, P.E., Director
North Carolina Division of Water Quality
401 Wetlands Certification Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Project: Pebble Bay
Planned: Residential Community w/ 245 Lots
Location: Lake Norman, Catawba County, NC
DWQ Project#: 03-0170
Dear Mr. Klimek:
*000% 1 V G0oUP
MAR I Z0O
ER W L\-N SECI0
Thank you for your response to our letter regarding the above referenced project. We
acknowledge receipt of the letter and will follow the conditions listed therein.
Sincerely,
Wendy Ward
Enclosures
Direct Aii Correspondence To;
Permits-4-U
Attn; Wendy Ward
12702 Su/grave Drive
Huntersvi//e, NC 28078
[phone]
A Michael F. Easley, Govern
p?pF W rF9OG William G. Ross Jr., Secreta
North Carolina Department of Environment and Natural Resource
Alan W. Klimek, P.E., Direct
7 -
o < Division of Water Quali
February 21, 2003
Catawba County
DWQ Project #: 03-0170
Approval Of 401 Quality Certification with
Additional Conditions and Catawba River Buffer Rules
Carrol Fisher Construction Company
614 N. Main Street
Salisbury, NC 28144
Dear Mr. Fisher:
You have our approval, in accordance with the attached conditions, to impact 0.007 acres of
shoreline/waters for the purpose of shoreline stabilization at Pebble Bay subdivision on Lake Norman
as you described in your application dated February 11, 2003. 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.ne.us/ncwetlands. This certification allows you to use
General Permit Number 198200030 when the Corps of Engineers issues it. This approval is also valid
for the Catawba River buffer rules (I 5A NCAC 2B .0243). 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 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. Stormwater shall be directed to flow at non-erosive velocities across the entire protected stream
buffers;
2. No trees shall be removed from Zone I of the Catawba Buffer unless they are directly within
the construction access corridor. If trees are removed, at least two species of native forested
vegetation shall be re-established within the construction access or other temporary impact area
occurring in the protected buffer zone within the next growing season following construction
of the project;
3. This project is for the installation of riprap to prevent further erosion of the property due to
wave action. The use of mechanical equipment on the beach must be minimized;
AM
NGOENR
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), 919-7336893 (fax), (http://h2o.enr.state.nc.usincwetlands
N:.
4. Equipment and materials may be offloaded to the beach at the bulkhead site, but steps must t,,
taken to keep all equipment out of the reservoir;
5. Any disturbance within 50 feet of the shoreline must be done in compliance with the Catawba
River buffer rules;
6. Upon completion of the project, the applicant shall complete and return the enclosed
"Certification of Completion Form to notify DWQ that all the work included in the 401
Certification has been completed. The responsible party shall complete the attached form and
return it to the 401/Wetlands Unit of the Division of Water Quality.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory
hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing, send
a written petition, which conforms to Chapter 150B of the North Carolina General Statutes to the
Office of Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean
Water Act. If you have any questions, please telephone John Dorney at 919-733-1786 or Alan Johnson
at our Mooresville Regional Office at 704-663-1699.
Sincerely,
JRDlbs
Attachments
1
Kii , P. rector
cc: Corps of Engineers Asheville Field Office
Mooresville DWQ Regional Office
File copy
Central Files
614 North Main Street Telephone [phone]
Salisbury, North Carolina 28144
CARROL FISHER CONSTRUCTION CO.
February 5, 2003
North Carolina Department of Environment, Health and Natural Resources L?F
Division of Water Quality
c/o John Dorney
2321 Crabtree Blvd.
t yi011
Parkview Building 030196
Raleigh, NC 27604
Project: Pebble Bay
Planned: Residential Community w/ 245 Lots
Location: Lake Norman, Catawba County, NC
With regards to the above referenced project, please find enclosed a master plan dated February 4,
2003, which shows eight (8) boat slips and one (1) boat ramp. Pebble Bay is situated on approximately
489 acres with a total shoreline of 7,078.57 linear feet. Based on Duke Powers' Lake Management
Shoreline Management Plan map dated July 1, 2001 there is a total of 2,133.45 linear feet of 2's, which is
classified commercial residential. There will be no dredging associated with the boat slips. The shoreline
will be stabilized at the boat slip access lot associated with the boat slips. This facility will not require a
pump-out based on Duke Power's guidelines for pump outs at commercial marinas.
Application is hereby being made to Duke Power Company for the required FERC permit to construct
these boat slips and ramp. The enclosed plan shows the location of these boat slips as well as Duke
Power's Shoreline Management Plan Shoreline Classifications. The environmental areas will in no way be
impacted.
We ask that you advise us, by return mail, of any comments you may have concerning these boat slips
and boat ramp or any permits your authority may require. Your comments area requirement of the
FERC application process. We thank you in advance for your cooperation and we appreciate your
prompt response.
Sincerely,
Wendy Ward
Enclosures v?
Direct Alf Correspondence To;
Permits-4-U
Attn: Wendy Ward
12702 Su/grave Drive
Huntersvi//e, NC 28078
[phone]
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Henson-Haningtonjnc. VICINITY MAP ExMBIT
BOAT DOCK AND RAMP PERMIT lam--s' w
. su?: PEBBLE BAY DATE
03
704.875.1615 T GTAWRACOUNTY NOWNCAMMA
1
FQ.E:
PEBBLE BAY OF DENVER, LLC EX Mrrl
SUMMARY:
2133.45 L£ of 2's
1121.23 Lf of 3's
89250 L£ of 148
293139 L£ of Emr l
50897 OF is
IMPACT
LABENORMAN
1442.79' OF 2's
FUTURE
COMISRtCIAL/
35333' OF M
IMPACT
AIMMEM ZATION
I TONE
499.11' OF 3%
FUTURE
M RESI
VHW AL :
759 77' OF
ENYIRONMEty"rAL'' ?,?
622.12' OF 3%
FUTURE
--
LAIQ?,
2141AT OF
Henson Ha ington,Inc.

MAR OF 2's
FUTURE
COMb1lR1L/
SHORELINE MANAGEMENT PLAN
_*-Atli:
BOAT DOCK AND RAMP PERMrr rmacro'
PEBBLE BAY r?
FS&
`x PEBBLE BAY OF DENVER, LLC 21o?'ls
Henson-Harrington,lnc.
112 S. Old Satcsvilk Road
suite 109
mmlk, North Carolina 28078
704.875.1615 phone
704.875.0959 fax
--Henson-lfarringon.oom
1
MASTER PLAN EXHIBIT
SCAM: fit&
BOAT DOCK AND RAMP PERMIT
PEBBLE BAY DA 4/0
CATAWBA COUMY, TX?SH CARaUNA FK E_
PEBBLE BAY OF DENVER, LLC 2109-TB
b'
DUKE POWER LAKE MANAGEMENT, EC12-Q
P O BOX 1006
CHARLOTTE, NC 28201-1006
& F
L Applicant Information ,iryG;?
A. Name U cTpj,
e
B. Mailing Address
C. Telephone: ?0=(? 6?-
II4 Location of Proposed Project %;u '' •r.,
A. Lake s r-YY? f1
B. Street Addres t) a na Q-4. cL
C. County D. City, town, community or landmark
E. Section Lot Subdivision = h /
F. Directions to property by road ..A
704-382-1567 or TOLL FREE 1-800-443-5193
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORT' y _ , NA
Please type or print and fill in all blanks. If information is not applicable, so indicate by placing in b?fank PLEASE
SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING FEE, PAYABLftE O/DUKE OWER, TO
ABOVE ADDRESS.r ., U
G. Latitude and longitude for the project site 35-. 55 ?6 K -j" tj XD D. -/"I b 6
H. Please submit a map showing the coordinates or a detailed map (USGS quad map, city map, etc.) showh
exact location of the project site. (NOTE: Latitude/ longitude coordinates can be found or;
www.mapsonus.com. Directions: Don't register, click "Maps", enter address, draw map, select ".Map
Clicking Will...", select "Lat/Long", click map)
III. Description of Project
A. Length of wall ` 9- C(
B. Material Gq_p
C. Distance from property line/shoreline n tti? .
IV. Intended Use of Project Area
A. Private
B. Commercial
V.- - ` Applicant Signature
.Date. -2- -1 - Q
PLEASE NOTE THE FOLLOWING:
• 3k 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
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
O: 16 02ssh

BIO-rt NGtNrCRJNG AND SHORELINE STABUZATION MITIGATION
TECHNIQUES
FOR LAKES MANAGED BY DUKE POWER, LAKE MANAGEMENT
L Bio-engineering
A. Definition
Bio-en veering is an effective scientific method, using a combination of natural and living
rrt'atertals, to stabilize eroded banks along the shoreline. Bio-engineering techniques vary
according to a number of factors, including but not limited to; slope, soil type and wave action.
Often a combination of techniques may be utilized to most effectively control erosion in areas
with varying conditions.
B. Benefits
In addition to controlling erosion, and the aesthetic value of a more natural shoreline, the use of
native plants create additional habitat for wildlife. A permit and written authorization for any
shoreline stabilization project is required from Duke Power, Lake Management. By utilizing bio-
engineering as the primary stabilization technique, the permit application fee for shoreline
stabilization is waived.
t
Mote. Other plant species that are not listed may also be acceptable. Plant species that are not
native to Duke Power lakes should not be considered and wil( not likely be approved.
,\,-, v:'1!*H
C. Native Plant Species
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
1
Owner/Applicant
Name:-1- A
Mailing Addr
Telephone Number.-I 104- 102,3 - a 1 2-0 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:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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.
1
Location
County: 1 ?.1 Nearest Town:
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 vicjnity map is included):_ I L,, M An 12? -AAA--
2. Describe the existing land use or condition of the site at the time of this
3. Property size (acres): ?JLe?
4. Nearest body of water (stream/river/sound/ocean/lake): ,V-"L- o(7 f (we/ n
5. Describe the purpose of the proposed work:
Tf
6. List the type of equipment to be used to construct the project: lcac ge-
7. Amount of impact (including all excavation, backfill, rip rap, retain' ? walls,
etc.) below the normal pool lake level in square feet or acres: 7
8. 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 vp
square feet or acres: A. , I
r
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted.,?(number of trees for instance): 7,0 0 -- PA I A
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A-1 s 0 be- A rJ A-ddt'-'i h t-1.1 5-41 nA-j "A AIZE-R- On
EVE/ ©P rn ?
A team/Agent gna re Date
( rnt's signature is valid only if an authorization letter from the applicant is provided.)
I , 3 Are2c-.S
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
4) The location of any proposed structures such as buildings, retaining
walls. doc*s, etc.
5} the location of any excavation or dredging below the Full Pond
elevation.
6) Location of construction access corridors.
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MW 109
Huuwrmle, lalorth C uo&m 931078
704,87.9.1615 phone
704.875.0959 fax
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SlAft 109 DATE:
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