20100527 Ver 1_401 Application_20100710

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps: '
? Section 404 Permit ? Section 10 Permit"
1 b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? ? Yes ? No
1 d. 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 Riparian Buffer Authorization
1e. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ? No For the record only for Corps Permit:

? Yes ? 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
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ? No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ? No
2. Project Information
2a. Name of project:
2b. County:
2c. Nearest municipality / town:
2d. Subdivision name: c
2e. NCDOT only, T.I.P. or state
project no:
JUL
-6
1
3. Owner Information 01> !;WATER Wft
3a. Name(s) on Recorded Deed: \ h Q[UR.;.%,jrjhjtWM
3b. Deed Book and Page No. n 9
77
3c. Responsible Party (for LLC if
applicable):
3d. Street address: b-j? ?? ti,
3e. City, state, zip: ;'l C? 0 5 vC'c N irD 1
3f. Telephone no.: G ._ oc-? _
3g. Fax no.: _
3h. Email address: v?nG? C k Ekp"1C c_ Cr"C C' C?UY"'1
41
Page 1 of 10
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Ap ht is: ? Agent ? Other, specify:
Name: LaKf,
a Y1 r _t . n <
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip: 'kr. Cr A\ wv
4f. Telephone no.: -7c L4-3 o,-'j - cc,O
4g. Fax no.: `? c? 1 iF q ` (c ?>
4h. Email address: ;Ac;?? (c tiw1
5. A t/Consultant Information (if applicable)
Name: 6?c<<???
5b. Business name
(if applicable):
e, ?
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5c. Street address: 5 It AY,
5d. City, state, zip: ;'
5e. Telephone no.: .,. -?C ` .C C C'
5f. Fax no.: `7 -- _ . I - (i . -
5g. Email address: "Ar"k 104 'A n 0C `cct e
Page 2 of 10
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): '_. c:: - C, ?d-
1 b. Site coordinates (in decimal degrees): Latitude: Longitude: -
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to C,( rov1 C'cc?'t 'l\ti/-,? c
proposed project:
2b. Water Quality Classification of nearest receiving water:
_77 t/
2c. River basin:
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: y
,
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-? ? -? + - , c P(CA? e c o &
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k
3b. List the total estimate acreage of all existing wetlands on the property?

3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
e,
3d. Elain the purpos of the proposed project:

3e. Describe the overall project in detail includin
r the type p equip ent to used: 1
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r? LCt l GJ\t
4. Juris ictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / ?
[I Yes ?'VO ? Unknown
project (including all prior phases) in the past?
C x
#_
omments: x
4b. If the Corps made the jurisdictional determination, what type
? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
co Project History
5a. Have permits or certifications been requested or obtained for es ? No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to " elp file" instructions.
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6. Future Project Plans
6a. Is this a phased project? ? Yes [?-tao
6b. If yes, explain.
Page 3 of 10
PCN Form -Version 1.3 December 10, 2008 Version
C. Prop sed Impacts Inventory
1. I cis summary
a. Which sections were completed below for your project (check all that apply):
? Wetlands ? Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts
2h. Comer s:
3. tream Impacts
f there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ? P ? T ? PER ? Corps
? INT ? DWQ
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form - Version 1.3 December 10, 2008 Version
L
4. Open ater Impacts
If the are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
t S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ?PQT
02 ?P?T
03 ?PQT
04 ?PQT
4f. Total open water impacts
4g. Comments:
5. Pon r- ake construction
If - d or lake construction proposed , then complete the chart below.
5a. 5b. 5c. 5d. 5e.

Pond ID
Proposed use or
ur
ose Wetland Impacts (acres) Stream Impacts (feet) Upland
p
p (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. uffer Impacts (for DWO)
liroject will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? [QCatawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Tem ora T impact re u' ed?
61 PQT ?.. r" QYes
Q No
B2 ?PQT ?Yes
? No
:B:3:0?P:noT ?Yes
? No
6h. Total buffer impacts
6i. Comments:
Page 5 of 10
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or mini ?j i e the proposed, impac i signing project. _i, 00

ur stake to a oid or minimize?the proposed imps s th?u h construction techniques.
1 b. ' S e ifically des ibe m CA
h i
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? ? Yes *o
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this
project? ? Mitigation bank

F1 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 Quantity
3c `Comments:
4. omplete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): 105®0 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 Permittee 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 1.3 December 10, 2008 Version
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 B-les ? No
buffer mitigation?
6b. 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 rj ?c 3 (2 for Catawba) ,5'Q
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).
<< ?/ f It -e u ?- 'j?J r v l -
/
6h. Comments:
Page 7 of 10
PCN Form -Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diff `Flow Plan
Does the project include or is it adjacent to protected riparian buffers identified ? Yes ?o
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 ? No
Commeen1s:
2. tormwater Management Plan
2a. What is the overall percent imperviousness of this project? %
2b. Does this project require a Stormwater Management Plan? ? Yes ? No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e. Who will be res onsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit

led Local Government Stormwater Review
3. if
3a. In which local government's jurisdiction is this project?
? Phase 11
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?.
4. Q Stormwater Program Review
? Coastal counties
? HQW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply):
? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
? Yes ? No
attached?
S. D 401 Unit Stormwater Review
a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No

Page 8 of 10
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1
- 2
vironmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the ? Yes ? No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ? No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. 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
letter.) ? Yes ? No
_ _ Comments:

2. Vi lations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H.0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ? No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ? No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cu ive Impacts (DWQ Requirement)
a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes F'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 DWQ policy. If you answered "no," provide a shortfnarrative description.
1 C G? q f u ??v ??' b-ci / r Of7 ?/Id
4. S ge Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater
enerated from
the proposed project, or available capacity of the subject facility. g
19,
Page 9 of 10
PCN Form - Version 1.3 December 10, 2008 Version
5. End!nqered Species and Designated Critical Habitat (Corps Requirement)
,fsa. Will this project occur in or near an area with federally protected species or ? Yes No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act 64?es EKo
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted. El Raleigh
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Ess gal Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes 21qo
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
7. 'Ostoric 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 to
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?
8. od Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ? Yes eo
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?

Applicant/Agent's Printed Name Applican Ag nt's ignature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 10 of 10
PCN Form - Version 1.3 December 10, 2008 Version
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June 16, 2010 (revised)
Shannon Miller
Lake Norman Dredging
PO Box 3156
Mooresville, NC 28117 Expiration of Acceptance: March 15, 2011
Project: Slanting Bridge Staging Area County: Catawba
This letter replaces one dated June 15, 2010. The purpose of this letter is to notify you that the North Carolina Ecosystem
Enhancement Program (NCEEP) is willing to accept payment for impacts associated with the above referenced project. Please note
that this decision does not assure that the payment will be approved by the permit issuing agencies as mitigation for project impacts.
is the responsibility of the applicant to contact these agencies to determine if payment to the NCEEP will be annmved_ Ynn mn-tt al
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the following
table.
River
Basin CU
Location Stream (feet) Wetlands (acres) Buffer I
(Sq. Ft.) Buffer II
(Sq. Ft.)
Cold Cool Warm Riparian Non-Riparian Coastal Marsh
Impact Catawba 03050101 0 0 0 0 0 0 1,050 0
Credits Catawba 03050101 0 0 0 0 0 0 Up to
2,100 0
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation. If the regulatory agencies require
mitigation credits greater than indicated above, and the applicant wants NCEEP to be responsible for the additional mitigation, the
applicant will need to submit a mitigation request to NCEEP for approval prior to permit issuance. The mitigation will be performed
in accordance with the Memorandum of Understanding between the N.C. Department of Environment and Natural Resources and the
U.S. Army Corps of Engineers dated November 4, 1998.
If you have any questions or need additional information, please contact Kelly Williams at [phone].
Sincerely,
"a 'W'KZ
William D. Gilmore, PE
Director
cc: Ian McMillan, NCDWQ Wetlands/401 Unit
Alan Johnson, NCDWQ-Mooresville
Steve Enyeart, agent
File
kestDYGK?... ... Pro", Our Stag
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North Carolina Ecosystem Enhancement Program, 1662 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-0476 / www.nceep.net
This acceptance is valid for nine months from the date of this letter and is not transferable. If we have not received a copy of the
issued 414 Permit1401 Certification/CAMA permit within this time frame, this acceptance will expire. It is the applicant's
responsibility to send copies of the permits to NCEEP. Once NCEEP receives a copy of the permit(s) an invoice will be issued based
on the required mitigation in that permit and payment must be made prior to conducting the authorized work. The amount of the In
Lieu Fee to be paid to NCEEP by an applicant is calculated based upon the Fee Schedule and policies listed at www.nceep.net.