20201319 Ver 1_Pre-Filing Meeting Request_20200928

ID# * 20201319 Version* 1
Regional Office* Mooresville Regional Office - [phone]
Reviewer List* Alan Johnson
Pre -Filing Meeting Request submitted 9/28/2020
..................................................................................................................................................................................................................................................................................................................
Contact Name * Timothy Torri
Contact Email Address [e-mail]
Project Name* 327 Windemere Isle - dock and shore stabilization
Project Owner* Mary Self and Sarah Haden
Project County* Iredell
Owner Address: Street Address
327 Windemere Isle Rd
Address Une 2
aty State / Frovince / Pbegion
Stateville NC
Fbstal / Zip ODde Country
28677 USA
Is this a transportation project?* r Yes r No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - F 401 Water Quality Certification -
Regular Express
W Individual Permit r- Modification
W Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes r No
Do you know the name of the staff member you would like to request a meeting with?
Alan Johnson
Please give a brief project description below.
We would like to obtain all needed permits to place a dock and stabilize the
shoreline for a residential lot on Lake Norman. The stabilization \&411 be
riprap. The dock will be a floating dock The PCN has been submitted to
ACE and we are currently awaiting approval of the permit from ACE. We
have already secured the appropriate zoning and building permits from
Iredell County.

Please give a couple of dates you are available for a meeting.
9/29/2020
9/30/2020
10/1/2020
10/2/2020
Please attach the documentation you would like to have the meeting about.
PCINI 327 Windernere Isle Rd - Wth
2.81VIB
attachnnents.lodf
pd only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
• This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
• I understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
• I also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature
Submittal Date 9/28/2020

ov� WA "I --
A
'q
5W,4
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A. Applicant Information
I. Processing
1 a. Type(s) of approval sought from the Corps:
Section 404 Permit E] Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number: RGP 80
1c. Has the NWP or GP number been verified by the Corps?
Eg Yes E] No
1d. Type(s) of approval sought from the DWQ (check all that apply):
401 Water Quality Certification — Regular Non-404 Jurisdictional General Permit
401 Water Quality Certification — Express E] Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
El Yes Z No
For the record only for Corps Permit:
0 Yes N No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
Yes No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 In
below.
Ej Yes No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
0 Yes No
2. Project Information
2a. Name of project:
RIPRAP FOR SHORELINE STABILIZATION ON LAKE NORMAN
2b. County:
IREDELL COUNTY
2c. Nearest municipality / town:
STATESVILLE
2d, Subdivision name:
WINDEMERE ISLAND
2e. NCDOT only, T.I.P. or state project no:
3. Owner Information
3a. Narne(s) on Recorded Deed:
MARY S. SELF AND SARAH S. HADEN
3b. Deed Book and Page No.
2335 PG. 81-84
3c. Responsible Party (for LLC if
applicable)�
N/A
3d. Street address:
327 WINDEMERE ISLE RD
3e. City, state, zip:
STATESVILLE, NC 28677
3f. Telephone no.:
336-403-0477
3g. Fax no.:
3h. Email address: —�[e-mail]
Page 1 of 10
PCN Form - Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
R Agent El Other, specify:
4b. Name:
TIMOTHY C. TORRI
4c. Business name
(if applicable):
4d. Street address�
2168 GARARDS FORT RD
4e. City, state, zip:
WAYNESBURG, PA 15370
4f. Telephone no.:
724-833-5763
4g, Fax no. -.-
4h. Email address:
[e-mail]
S. Agent/Consultant Information (if applicable)
5a. Name:
N/A
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. F-mail address:
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID):
4710-72-5135.000
1 b. Site coordinates (in decimal degrees): I Latitude: 35.663624 Longitude: -80.960657
1 c. Property size:
0.62 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
LAKIE. NORMAN
2b. Water Quality Classification of nearest receiving water:
WS-IV,B,CA
2c. River basin.,
CATAWBA
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
UNDEVELOPED VACANT RESIDENTIAL LOT
3b. List the total estimated acreage of all existing wetlands on the propertyz 0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 0
3d. Explain the purpose of the proposed project:
PLACE RIPRAP ALONG THE SHORELINE TO MITIGATE FUTURE SHORELINF EROSION.
3e. Describe the overall project in detail, including the type of equipment to be used:
SHORELINE STABILIZATION USING RIPRAP. RUBBER TRACKED SKIDLOADER TO BE USED.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property
ject (including all prior phases) in the past?
0 Yes No Unknown
Comments:
__proi
4b. If the Corps made the jurisdictional determination. what type
of determination was made?
Preliminary E] Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
S. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
El Yes 10 No 0 Unknown
5b. If yes, explain in detail according to 'help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
El Yes No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
D Wetlands El Streams — tributaries El Buffers 0 Open Waters El Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary M
2b.
Type of impact
2c.
Type of wetland
2d,
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1
Choose one
Choose one
Yes/No
-
W2
Choose one
Choose one
Yes/No
W3
Choose one
Choose one
Yes/No
W4
Choose one
Choose one
Yes/No
W5
Choose one
Choose one
Yes/No
W6
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c,
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1
Choose one
S2
Choose one
S3
Choose one
S4
Choose one
S5
Choose one
S6
Choose one
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indivii ually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary (T)
4b.
Name of waterbody
(if applicabie)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 P
LAKE NORMAN
Other
Lakc%
0.032
02
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f. Total open water impacts
0.032
4g. Comments: ESTIMATE OF TOTAL SHORELINE AREA COVERED BY RIPRAP,
5. Pond or Lake Construction
If pond or lake con ruction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5C.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
Yes E] No If yes, permit ID no-,
5i_ Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, t en you MUST fill out Section D of this form.
6a. Project is in which protected basin?
Neuse El Tar -Pamlico Catawba E] Randleman Other:
6b.
Buffer I mpaGt
number —
Permanent (P) or
Temporary IT)
5c.
Reason for impact
6d.
Stream name
6e,
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g,
Zone 2
impact
(square
feet)
B1
Yes/No
B2
Yes/No
B3
Yes/No
134
Yes/No
B5
Yes/No
B6
Yer/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project,
PLACING ONLY STONE RIPRAP ALONG THE SHORELINE.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
USING SMALL SKIDLOADER EQUIPMENT TO COMPLETE INSTALLATION OF RIPRAP.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
E] Yes No
2b. If yes, mitigation is required by (check all that apply):
E] DWQ El corps
2c. If yes, which mitigation option will be used for this
project?
El Mitigation bank
El Payment to in -lieu fee program
Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b, Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
El Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d, Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f, Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h, Comments:
5. Complete if Using a Perinittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires Yes No
buffer mitigation?
Ob. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
Yes No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
Yes N o
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
0%
2b. Does this project require a Stormwater Management Plan'?
El Yes ZNo
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
IMPERVIOUS SURFACE LESS THAN 24%
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
NIA
El Phase 11
3b. Which of the following locally -implemented stormwater management programs
NSVV
USMP
apply (check all that apply):
Water Supply Watershed
Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
El Yes No
attached?
4. DWQ Stormwater Program Review
OCoastal counties
[--IHQW
4a. Which of the following state -implemented stormwater management programs apply
[_]ORW
(check al I that apply) i
E]Session Law 2006-246
F1 Other: N/A
4b. Has the approved Stormwater Management Plan with proof of approval been
E] Yes No
attached.
S. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
Yes No
5b. Have all of the 401 Unit submittal requirements been met?
E] Yes No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
I El Yes
No
use of public (federal/state) land?
lb
If you answered "yes" to the above, does the project require prepatation of an
environmental document pursuant to the requirements of the National or State
Yes
No
(North Carolina) Environmental Policy Act (NEPAISEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (if so, attach a copy of the NEPA or SEPA final approval
Yes
E] No
letter.)
Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (1 5A NCAC 2H.1 300), DWQ Surface Water or Wetland Standards,
El Yes
No
or Riparian Buffer Pules (15A NCAC 2B .0200)?
2b�
Is this an after -the -fact permit application?
El Yes
No
2c.
If You answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWO Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
El Yes
Z No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWO policy. ff you answered "na" provide a short narrative description.
4.
Sewage Disposal (DWQ Requirement)
4a. 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.
NIA
Page 9 of 10
PCN Form — Version 1.4 January 2009

S. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
E] Yes No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
El Yes No
impacts?
5c, If yes, indicate the USFWS Field Office you have contacted,
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
PCN FORM INSTRUCTIONS AND INTERNET
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
El Yes No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
PCN FORM INSTRUCTIONS AND INTERNET
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a- Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
Yes No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
PCN FORM INSTRUCTIONS AND INTERNET
B. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated I 00-year floodplain?
Yes No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
FLOOD. NC,GOV WEBSITE.
TIMOTHY C. TORRI
�//-3/zor Z-6
Applicant/Agent's Printed Name
Date
App an&gent's
,Vs ture is 'al 0
(Age s na� d
letter from the applicant is provided.)
Page 10 of 10

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 11
PLAN NO. Andernere Island 05 28-171
PARCEL ID: 4710-72-5135.000
STREET ADDRESS: 327 Windemere Isle Rd., Statesville, NC 28677
Please print:
Property Owner: Ma[y S. Self
Property Owner. Sarah S. Haden
The undersigned, registered property owners of the above noted property, do
hereby authorize
Timothy �- Torri , to act on my behalf and take all actions
necessary for the processing, issuance and acceptance of this permit or
certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Same as.-abQve
Telephone: [phone]
We hereby certify the above information submitted in this application is true
and accurate to the best of our knowledge.
Autho d Si t re Authorized Signature
Date: 7-1,2,--20Z-0 Date: C:7� - 12- � --10:20

E M0990 RD
SEA -7.
TZ 183 3 5 OLD STATESVILLE ROAD
D �AL W. L� �C;
—7
SUITE A
CORNELIUS, N.C. 28031
[phone]
Graphic Scale
40 11 D 40
Scale of Driviing 1 Inch - 40 Fe
19 �,,V,
1Vq 4�
Pilo pal
NOTES: Doak- 6-47
S 2Z29'55" E
I - NO NCGS MONUMENT 56.36, 16-15
FOUND WITHIN 20001. 71.. O� Zir,
ADJOINERS
76, 761
2. PROPERTY MAY BE SUBJECT 76" 11EA.11
762
TO OTHER COVENANTS, 784 7 61�3
7 7 —,76,2: 0 21-52: 43" W
RESTRICTIONS. EASEMENTS OR 766'
RIGHTS-oF-WAY THAT MAY BE 767' nVEG 100.67'
768-
OF RECORD, 769, (TIEONLY)
I 7q8-1-3S,;RE- 76"
771 769' - YARD
3. SETBACKS SHOWN ARE 7
PER MR. 28, PG. 170 7 2,69. 66:
773' '0, ;671
774
77 661
4, CONSULT WITH C 771-
OVERNINC 69,
7'
AGENCY FOR PREVAILING 7
LAND DEVELOPMENT AND 71,
ZONING REQUIREMENTS PRIOR
TO DESIGN OR CONSTRUCTION 2-61.
OF ANY IMPROVEMENTS.
" do- LOT I I
SUBJECT ADJOINER'S BRICK, a, >81 , " —
5. A PORTION OF THE PAT�O IS ONLINE ��l --1
PROPERTY
IS LOCATED IN THE 78 0�622 Acres".>,>
FLOODWAY AREA ACCORDING 431 91
TO FEMA FLOOD PANEL MAPS. 01
HOWEVER, THE RESIDENCE IS 04
ABOVE AND BEYOND THE
SPECIAL FLOOD HAZARD AREA
PER FEMA PANEL 3710471 OOOK
DATED: 03/1
812008.
& NC GRID COORDINATES AS 9
'e..
SHOWN HEREON ARE BASED 3�'
69 RANDALL SCHUM
UPON GPS 06SERVATioNs , .96, L4 'g,
UTILIZING NCG5 NETWORK RTK
SYSTEM AND ARE REFERENCED DR. 1330, PC. 265
TO THE NAD 83(2011) DATUM.
GEOID MODEL� CONUSi2B 4710-72-12. 5
VERTICAL DATUM: NAVD88 ROMANO 07,
9. ADJOINEWS WALL
LIVING TRUST 0101p, 45- SiETRACK IS OFF WNE
7. ALL LOT LINES ARE SUBJECT D5. ISE, PG. 76 1103, 1
TO A I WEASEM ENT (EITHER 93'
SIDE) 11N -
110
LEGEND:
#4 RERAR �OUND 75'24'591,
o
#4 REBAR SET TBM! CMF EDGE OF PAV MENT
ELECTRIC BOX
CONCRETE MONUMENT FOUND El K:702,171.5 �M!*4RBF �TIEOIII
CALCULA7EO POINT 0 E1,417,423.96 "I's, '01" 1,0j. 00.-111:702,086.7�
E ELEV: 806.76 E:1,417,458.70
TEUEPkONE PEDESTAL ELEV:797.36
CABLE TV PEDESTAL
POWER TRANSFORMER
LIG14T POLE WINDEMERE ISLE ROAD
45'PUBLII R-
POWER POLE I... ., . , �, LINE BEARIN( DILTI�NCF
SUBJECT PROPERTY LINE I a, EP PTO, Ep
AD)OINER PROPERTY LJNr 211H129;H-W11 7.D9' I
BUILI)ING SETBACK
EASEMENT C
I Ll 1 11-40 lizz-50-i 17.29-IM22-18-07"Wl
Topographical Survey of Lot 11, Windemere Island Subdivision
Property
7qSProfessiorial
urveyors. Inc.
Survey For:
As Record ed in:
Site Address:—
18335 Old Statesville xDd Ste. A
I
3 2 7 Wl N DEM ERIE ISIL � ROAD
Cornelius N C 2803 2
704-755-Yi 34 �honelFax
KELLIE MCCANN
TIM TORRI
D8.2552,P13.6
STATESVILLE, NC 28677
Firm L(cense: C-3666
MB. 28, PG. 170
IREDELL COUNTY
[ V�yq�V*Ul I I —J-J0.00-L 1 1--=40" — I 42JU2-SJRS I mccANN-127 1 1 r%f I I

Map