20070653 Ver 1_Application Returned_20070411

~~~~ ~! A T~C~~
~:-
P
C~ 'C`
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
March 30, 2007 D 7 0 6 5 3
Ms. Ann Duncan
Permits-4-U
19721 Bethel Church Road
Cornelius, North Carolina 28031
SUBJECT: Return 401 Certification application for Jim Surane
Caldwell County
Dear Ms. Duncan:
The Asheville Regional Office-Surface Water Protection (ARO-SWP) is returning your
application for 401 water quality certification. The ARO-SWP cannot process your application for the
401 certification, as the application package must first be sent to Raleigh. The attached Pre-
Construction Notification (PNC) Application Form has the mailing address highlighted.
If you have questions regarding the application process please, feel free to contact Mr. Kevin
Barnett at 828-296-2400.
Sincerely,

Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
CC: Kevin Barnett, ARO-SWP
Laurie Moorhead, ARO-SWP
Jim Surane, 19520 W. Catawba avenue, Cornelius, NC 28031
o~,~
No hCarolina
~llflfC6l~~lf
North Carolina Division of Watcr Quality 2090 U.S. }lighway 70 Swannanoa, NC 28778 Phone [phone] Customer Service
Internet: www.ncwaterquality.org FAX [phone] I-877-623-6748
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper

FROM C. PHONE N0. 704 7844384
MAR-6-2807 13:05 FRQM:WAT 82829646b3
Orrice Uwe Only:
TO
Mar. 09 2007 09:32AM P2
---~
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USACE A~ctton ID Na p{~yQ Np.
(tf ony ~attieular i1c~n is not a~pRcable to dds ~m+jess. Please ernes "Not Applicnh[o" a "N/A"-~
x. rro~~g PAYMENT
~, che~ jai ofthe ~,-~l(s~ roquested ~ttiis .mot: RECEIVED
?cation 404 ~'ermit ar Watccshed Btti~cr Rules U ~u.ow-mac-,
Section 10 Pemtit ^ Isolated Wettaatd Permit trorn DWQ
~} 4or waca Quali~- Certification Q Fps aol water t~uali~y ccct3t~ioa~
-.
2. hiacionwidq Regional or Getraat Peravt Number(s) R;agu~d;
3. If this Aotificatioo is solely a courtesy Dopy because written appmoval far ~ 401 Cd'tii'tcacicm
is slot required, check here: ^
4. if payerteM iMo the North Carolina Eeosyste~rp Babancemcn! program (NCF.~ ~ prnp0$ed
fior sniti~ttlon cif impacts. attach fire ecceptserce letter from NCEEP, aorttplete section Vll1,
and chexk here: ^
I
r
I
5. If your project is loeabed is arty of North CaroBma`s twenty roastal counties (lisOed on page
4), wad the project is within a North Carollaa Divistoa of Coasts! Managpucat Arcs. of
F,rtvimnrttemtal Concern (gee tha top of page 2 for further details), claeotc hare: ^
IL Appiicamt IrdornrstiuA ~~ ~~ ~: ,,E' , ~~~ ~
t.
2
,...
~ ~ ZC10
v;~. 4°~ -
rzd~;r~q~`,~r, ~~Rq~tCH
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A$eAtlCottsultant lnfotmatroo (A signed artd d f titre Agcjtt Anthorizmiou letter
roust ba al` ~sigttatvty sudto ~ o<the ov-~nerl~rlicarrt.)
Nedne• ~--
Ccss+panY Affrtiation: 9 `c to /h ~ (,~,
filing Address- .~ .. ,
.~ d `
Tek~ttoue Number. 5 Fax Num6cr_ ~ ~, ?~ ~r
~y~~ ~,j~ . --
Addre~s. T ._.. ! i_~ 2 r° _ ! /.... !7 ~... t / ... ... a ~1l
An ~„
Page 5 of is
Tel~ho~rtz Number: - ZZ--- 33 Fenc Nuno-bec; - Z -
B-snail Address:

FROM RANDY I~ICf~I V~SPAR, INC. PHONE N0. 704 7844384 Mar. 09 2007 09: 32AM P3
hWR-6-?087 13:~ FR~IaWAT 8c''8~Ca4F~63 YO:91E@83~25442 P_6~12
' i
1
r
nI. Pl'+OjlCt 171~01'SlihOA
Atteah a vicinity map eteatly shoroving th+e ! of flea ptopeuty with tb ~oeat.
landn~arlrs such as towns, rive, a~ roads. Also prowtde a deitailcd sHe shov~g Prot~Y
bv~mdaries aad de+relopment plans in s~eleaune to sorroundeng tsop~bes. Badt the vtctt+ity asap i
sod siitc plan met8~ 3rtcbnde a scaic $ad tiocth arron~-. 'tea specific tbotptmts ol* aA buitd~s,
impervious sttrf~s,, or odttx ft~itities mast ixt includod. lfpossible, the maps and plans steauld
iuicbtde the appropriate USCsS Topogrnphi~ Qaad Map and NRCS Solt Survey with tt>C property
bouasfar~s nutlincd. Ptah drawing or atber maps miry be inclmled as the apptlcant~ disp~lios~.
so IcutS ~ ffic pr~opeeey is cieasly dcfssxsi.. For administtativc asut distribution proposes, the ,_ ;
USACE regaues i~o~vtneadoa to ba sut~oit[ed m- at>eets no that, 11 by 17attch fonr~t; .~
however, DWQ shay accept mark of any siu. DWQ ptc~s 5tlt~e anion •
drawings ratba t!>an. a shat versos of the fittl-awe plans. t~f £nll-91~o pleas epee ~ ~•
reduced to a small ac:ale sad, tint the 6na! vecaiara is itkgible, t}m applicant wilt be it+i~Crr,ed tl~ I
tbe~ penjed has barn plaood on hold othdl dxiphexablc mans arc provided.
1. Nsmc oPprojcc~ G-w ~ ~ ~-- ~' ~-r~'~-j--/ ~ l~ ~ ~ i~ ~-
2 T.i.P. Ptnjece Nt2mbcr cr S"tatic Pm,~xt Nemtlwr (i`tC~T thy}:
a. Property [aantific~st Numtur (Tax ~: ~ ~ ~~~-1 7 -~ ~- `l
C~~C,Q tc.7 ~ L ~ C.o ,
4. Locatioex 11,___ f
Cetngy+• ~ NCacc9R Taws 1 L
s~aiv~a t~ (mcaadt phasellot aeanber3: ~..iV
Disectior-s act site (intltsde road swrtehetrshtames. landmarks, cte.~:
~ - w e ~ fV fZ.4v i
5. Site cotadinates (For linear projects. sueh es a cued at ettitity title, ets9eh a s[met t>ttlL"
sepat'sndY t'~s flu coo~rd3.nates fior each crossing of adistinct watabod -}
Uecisoat Degrees (6 digit teeittirnttee~ ° •ZZ` d S J~ ~ Z Z. ~~y
___.__
6. Pt~opaty s~ (ae~j; 2. • ~ ii.-c--6''es-
7. Names of t>earCSt roeciviag body t-f water: L-i~•~-~Yuf ~ ~ '-P ~ °^ ~~ . ~,
8. Rivvx Basin-~ ~ "~ (~l~jj ~~ .
(Note -,this trust be one of rJoeth Carolina's sevetetter- des3gtt~xt major river basins. The
bCcver Basile map is ae-ailahlc at ~pJIMZa.c~rsraLesm.u~l~/tt~(.) I
9. 17csext"be the escisting costditions on the site and genets) land use in flee vicinity of the project
Page 6 c+f f 2

FROM RANDY DUNCAN tJALSPAR, INC.
MAR~6-20@7. 13:06 FRDM:WA7 8282964663
PHONE N0. 704 7844384 Mar. 09 2007 09:33AM P4
70:97.8283229442 P:~~12
i
10_ Desgdbe the on+erall project in stet ioel ing of ec~upmwt be lssod:
.l.-,~-
,d -
1 }. Explain tiu purpose ol'ttle pcopased Worl~, ~ ~~- _ .rl -~L~.~ ~,~ ~-d
~~
tC ~? ~ /i~ 2 ~£i / ~ i A ~ D
/YtA?t~ ~ ~- '
fV. Prior Project H~
'l
!f jeci~l'uctmaa! ~icrcrmis+3tiolts a1u!/or pfrmics gave bc~1 rcxlorstrd aadlor obtaiucd foe this ,
prgjext Cnchtdmg all. prim pT~s of the same subdivisaoat) o~ tin; past P1ea3c' el~irs. 1lmiude '
the U3AtE Ammon }D ltitumba, DWQ PrcyecX Nuat~r, sppl'teffilon , and d~ permits and
cettiScations were issued or withdrawn. Provide photocapics of prcviozssly issuc7d pcnnit~
cdti~lacations or odrer usef'vl neon. Uescrs6e previously approved wetta~nd, stew aml.
buffet impacts, alvTg with associated mitigation (wi>ere applica6~). If this is aNt..DtYT pt~ier~
}igt and deseri'be pelm}ts isseuxi far prior segments of tho Barns T.LP. prc+ject, along wide ~
cot~trrr~wre sc8t~d~lcs. - j
~.~ ~ © ..... .r..
V. hatnrre Projerc Plaes '~
Are foflure it r oasts Boric for this 'act? if so describe t}ie
~Y ~ e9 1P~ t~J
and provide Justificatron fur the exclusion of this work firm the c~irreat appl ~ ~ '
~~d3r.~r1~~a a-f manana 1nt~Le~1 9~3~
_ tila~kG rw ~,~:•l~. ~e.fe,~,_~r~llV~ A^F rl-i.;S ~~'nvt ,,.,. j
.~._
VL Proposed Impacts to Waters oFttm United StalsaJWaters of fire 9tgtc
z
h tie tier appin~ttc C~ kcal rtirvurq- ut Oe>Et7DTile, aelmeaee uri4 map aui rrr to
weeds, open w~dr, send beam channels associated with the project. Bch itn`~et- mustT
tis6ed separasely is rise tables below (C.~, culwat i~alladlaa should be listed separately from i
•riprap dissipater pads). Be sure to'rn3i aopact.is teavporaty. Ail proposed impacts, '
pecmanertt artid t~tporaty, must be listed, artd most be labeled mod clearly identifwbte on an
accompatoying site plan. Atl wetlands anti wateas, and all streams (inteamitoalt std peraUOi~ '•
should be shown oft a dclifltsetiem mace: whether ar sot impacts ast proposed m these systems. .
Wetland and streern avahletiion ~ delineation forms should bo included ~ a~ppnpprlate.
p'ho~bogtaphs ma}' ~ in;}uded at the spplicm~'s d'on_ if this propmed, impact is strictly for
vvet}atrd or s~tt+eam mitig~e~ion, list end describe rite impact in Sectioe Yttl blow: If sdditioz:a} .
spars is needed iiot lsstmg of demon. please attach s sq~~a..oe shcxi.
1. l~DVIdC 8 Written description oftbe pr~OSed uopatts: ~~/~~r
F'oge 7 of 12

FROM RANDY DUNCAN UALSPAR, INC.
MAR-6-2007 13:06 FROM:WAT 8282964663
PHONE N0. 704 7844384 Mar. 09 2007 09:33AM P5
70:918283229442
Z. ]ndividuaUy list wctlaud impacts. Types of impacts irrcJetti,e, but are rwt l?Iniicd >x~
mechat-i~~d clearing, grad'eng, fit(, excavation, flooding, ditchit>g/drainage, e~ Far dams,
ccnaratr[v list ient~ar_ta due to tuuh Qtn,e!tnta+ mnd flnnditiur
Wetland Impact

Sift Number
(itidicote on ittep}

Typo of l~r-poe: Typc of Wetland

(ag.. ~resa,a, mesh,
betbeoeous; bag, etc.J Locettxi within
1Op-ymr
~'toodptaGn I~iatanCC to
i~lcan~t
Stream
!~~ ~ Area of
itt~t+et
(ages)
N x

1•cual Wetland Impost (acres
3. ,List the Wtal acreage (e~tiatated} of at! existing wetlands an the prape~ty: (~ p
4. Individually list atl ir~itte~tt and pen~alal stream itngac~. Se since to ;dcatify temporary
impacts. Stl~ill impacts iocludq but a~ not limiDed to placement of fill ar cul`retts, darn
cot-struction, flaQding, retecatiott, stabilesion atxivities (ems., cett>snt walls, rip-ram crib
walls, 8abioszs, ct~j, cxcavaLiotf, dite6ingjstraigFteening. ebc. Tf stlvam t+ela is ,
Pla»s atld jtrnftites showivg the linear T'votptiai fox bath the original and ralocatcd stlratlis
must be included_ Tn ~lculaec acreAne_ n~uitin[v fEnat6 X ...:dth *l.p.. d:.rdr 6.. d4 C6A
Sti+eom Im~et
NvmbKr
7t3diCBtC {1A al
9tsgsm Manic
Type oFlmpnet
Fetcnnial or
ZtI~f7Ft11fCnt7 Avcnlgc
3traam'Widch
BC~4rGIR1 Tinpaat
Length
A1Ci r.~t Area of
tmpuct
.4CfC!

Total Sn~cam Impact (by Icndth and ate)
3. Individually lisle aU open wain itnpac[s (irlalading lakes, Panels, ~mariea, gouocis, Attaptic
t)cesit aad any other rNater of the U.S.Q. Upeat .enter impacts include, bat are twt titaited 'Do
f11!_ excavatitx~_ drrllo~inn_ flnndinn drainAere~ tniki9PSrle ,.r„
ripen Water Impact
Site Nuenbor
indicefe oh to
Nave of Walerbody
(tPapplioablc)
TYpe of Imgaet "" l'ype n4 Waterbody
(Inke, Isond, estwry, sound. twpr,
fin. uc. Area of
Isnpaot
ocreA
h.a

Total Open Waux Sn-Paet (acres)
P:B'12
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Pope ti of t ~

FROM RANDY DUNCAN VALSPAR, INC.
HqR-6-200 ~ 13= 06 FRAM: WR7 824663
6. list 1
PHONE N0. 704 7844384 Mar. 09 2007 09:34AM P6
Y0:918E83229442 P:9~12
ho cumvlgtive " act ttt all W stet's M the u.l. main me u~
Stream 1 sacs ' -
Wettand a~ .
Water acres
Total to Nrametx of the U.S. vacs
T impact n~ feet): C3
7. L~oolatcd Waters .
- Do any isorlaDCd waters esnst on the propcriYt ^ ~a C'"! ~O
I)csctibc sit ioipecrs to isoleaed waters, and ir~ch~dt die type of waeex (vretland or strearn~ and
. the sme of the impact (awes or jiacar feed. Pleasc ac+te fleet flue sectioa only
applies to wars that tvsve qty tussn datarmated to be i9ulsued try t1m t.ISACB.
8. Pond t~oation
if c~strncpon of a pond es ptapo9rd, ~ tvctlmtd at~d st~tntttepacts shomW be .
included above in the wetieod end sttesm, inapeet sectiooa. A1AO, the proposed pond should
be described bcrc and illustrated an say amps i~lttdod attth then a~tctnnotr.
Pam,d to be cras~d in (duck ati that ap~+tr): ^ oP~ C] D arectands
besotlbe t3se method of co~cuctioo (cg., darn/crubanitmt~, e~~. ins~latiou of
draw-doom valve o: spittway, ete.)• ~ trout paad,
Proposed use ar pmposc of pond (e.g., livcatoclc wst~g isriga-tioo,
>ocai ~ tequi[Gme.~ et~c.j: n~fJ~~ -
Cumnt land sae in the vicinity aftlm panda, ----, r.,.~..._.~ -
SiZe of wat4shed draine~gg ~ posut:_.__.~ E P~ surface at+gt:
VIL ltmpact J1ioe (A~aidaacc and llgitrir~tios)
Spccificslly da~tibe m taken tb avoid the propa~d impacts. h may rye usefat ~ luvvide
infotmaticm rttatrd m site can snch as topog~ty, buildn~ ord"ast~, a~'bsC~jrr and
iai viabr'lity of the project. The applicant aray attach deawiegs of alterrtetivc, towet~-imipad
sine layouts, and esplavr why ttuse design. options were rare ftasr'ble. Alga dis+m3.4 how ienpa~ets
vrtxe enittimimod cmce the desired site plan was devetopad. Xf licabtq di:~cttss on
ter~unigt~es m tree fottaM-ed diuing oor~adion ~ impsets.~t ~d : 2arlt {~~ a i t ~ bn a e~
. , _ 1 . M. ,. n . _ .n

nwq - ra ~ w+th ~~- tveae ZH .asoo, mitegat+on tn~r to ~roquic~ed by the Ne
Division oFWatex quality l~Or prcyecss invoivue~ grtater'dtan or agval tD cme axe of impacts to
ttesbwaler a ~ greater than ar equal to 154 teneac feet of m1a1 impaets m paenaeal
streams.

PaRo 9 of l2

FROM : Rf~JDY DL~iCAN UALSPAR, INC. PHONE NO. 704 7844384 Mar. 09 2007 09:34AM P7
hIAR-6^2007 I3=07 F~1'1:G~1T 6282964663 70:919283229442 P:10~12
USACB - in ncoosdartce with the lino! Notice of Ism and Madificesion of N,ationwidc
Pencils, publisi~ed in the Federal Register an Jsauary 15, X002, ntitig~rwod7t wJU be rcquirod whca
nocCS~ry to elua~e tiu~ advttrae effects tc- the aquatic ca-v~ia~t arc mbinial_ Fadata
ieclud[ng seze a~ type of prorposed and fia~ctia~n eod rdetive vahro of the anpaaDed
aquatic rasonrce wiil be cor~sldaect is dete~btiog aabilRy of appteTsia~ and praedcabk
uiitigat~n as pe+a~posed. pks of mi6gat'x~ then may be apprapria~Ee and ~ iociudq
but aro rttit limbed Uw: mdo~ng tl~e siu cif the p~ect; eeRab[ishiog sad .
and/or uplatxl va~mtcd twfters m psatut open waters sash as sMeair~s-, and reP~nB loasa9 of
aquatic re~urct Uarctic~ end values b3+ cuing, eeswriag rnbst~eing, er pre~nring siwila~
functions aml values incRrsb[c in ttte same'watershed.
if mitigation is teq<m+ed Lot' this pe4,~cc, a soapy of tha rnitigatioo plan roust tie a~cleed in ~
fnr U3ACE or AWQ to consickx tlu a7~ complcac ~' pn6• ~Y ~
~png a soqu~d. tamg~oa plan. or NC~P ~ shall bn plaocd ~on hold as inoontpte~.
An applicsoR maY also choose to review t1ro curtart gdtdei'mea for stream Sian im pWQ's
UcaR T~micssl Gwdc for ~c9m Work io North CaTOI€na, avaitabk at
.//h29 ear cM~o nr n_s~ny^s^s* ~~f~ry,~G.~1tr[{~.
1. IftOVfde S htief d~Cttp~OR 0~'thC ptO~sed tntctgation P~• T~ dCSL Shaa~&1 r'""""'
SS lnt~Cli /tan ps possi5t~e, u~tuding, ~ Hat 1'indbed ~ sit+e location ~ d'cracdans
e>td/vr mag, yf affshe~ e~od strmao a~ ~ ~ cma avwant (aer+eal;9en3aesct ~
of nitigation peaposed (rem, enlent, cr~tion, or prescnration)~ a piers view,
pr~nt3tiern iosx~aiato (Gg-, deed ~stticttoas, cor~ecv3titast etc- and a
des~criptios- of the current sne cmtditions and praposad metlrod of constncatum. Please att®dt
2 Miti~ion cosy also bd made by paymra~ into the North C~olim. F~cosysaan Eflhesteomc~rt
Prot (NC~6p°j. Please Hate it is the epplica~'s re~onsr'bitity to the NCEEP at
(91~ 715-A476 m debnrr-ioc ~rails6otitjy aced. wchtrxr approval froett the Nt~P1-vrdic~g
that t6cy are wr'!1 to asxept pe-ymaet far this mitigation mvs~ be ~ tlris form. Far
additrornslv~on regarding the apQii filar dte N(:FEP_ dtedc ~
~vaboito ot~!~ n~er waee~_ua/,.w~~uiew . tmn_ If ~ of f~ Nt.~'~'~ iq ~.~1, p4Aar:
check tha appa+opti~ box arc gaga fives ar+d provide the fotiowing infas~adotx
Ama~of strum miti rcxluest~ ( ice}:
{bnoaant of buffo mitigationf aeQua~cd (sgosie &~}= -.
Amotmt ofRipae'iess wetland mitigation Teq~od €ac~+?=
AgnoriM ofNcm-riposimt wtd mi~3,gat~n cecta~ (~~=
Asnowxt of Coa~tat vvetlsirrd.mitigration regte~ (acr+CS): .
pso~ i b of 12

FROM RANDY I~JNCAN Uf~SPAR, INC
hIAR-b-2~7• 13:07 Fh'OM: WAT X64663
Td:9i6263229442 P:11~12
YX. Eavisona~ts! Dac+otmentatitta (r~equira3 ~ pwQ)
1. Uses the project invoivo an cxpenditu~o of public (£ederaVstetetlotat) fiords or the use of
public (t"ederatls4te) tared? Yes ^ No~
2. rf yes, dory tale project require preperstioD of an ewimntner~tal docurn~ putbv>lunt bD the
requiranaits of the Natiouat tx North Caroliaa F,nviranme~l Paliay Act (NEPAJ3F.PA~9
Nate: if yvu are not sate whether a NEPA~P'A doc+tnxant is required, call ~ SSPA
c~aordiaaam at (9197,33 5083 to review c~urr~rrt dmsfiolds ~r enviranrneistal doc~meeotetian.
Yes Q No L1
3_ if yes, [rss tfie doeurnatt review been Simtiza! by Ure Rtex Ctause4 If sa piease
attach a copy of drn NfiPA or SP.I'A fie~at airptrn-al lertcr. Yes ® 1Jo ^
X. Proposed impacts os Ripariaa and Warmed Bps (tegain~d by DWQ}
1t is the appli~t's (ar agent's) resporaa'bility m determine, delir~sta and map aU impacts bo
required state and lots! Ixtffrss assaciatod uvith the pdajc+x. Th~c appliclptt at~t also provide
jusdficatiextan for' these imps in Ser.Liar- VQ above. Alt proposed intpacis snarl be lisEed harem,
and mast be ckacly ideabt5abk ova lire acoaa~>7panyitig site plea. All buffi~rs most be shovrrt out a
nsap, wltetllear or oat isnpacxs are proposes tQ the be~era. cort+espottdetsoe from the >;lwQ
ltegi,a:ra) Otfca ~- he inctmded. ~ ~ Phesogaphs rosy alto ba inchaled at t3la
eppl;~c~ ~_
~. wiu ~ prnjcat ioopact protect+cd sipasrialt buffer «s 1SA rreAC as A23~
(Meuse}, f Sa NCAC 213.0259 (Tar Pasnticoj~ 15A NCAC 02B A?A3 (Catawba} ISA NCAC
zB .0250 (Raralless;art Reeks end Watisr 5uppbr Baffec Requs}..oz oti>er (pteate
idcstnfy,.,,,~,a~t~'r~~t~-zJ _)7 Yes ~ No ^
2. if "yes' ; idemttfy the sgvace le~ci and. aecc+c~e of impset to east ~e of the repariea tnrffcrs.
~#' buffer' mitigation is required calcaetah~ the ragetirai a><laotet of mitigetiQa by ~l~g ~
burr liras.'
2one'~ t p~,R Ragweed
~ g 3 (Z £or C~o6wb~ $ ?~
z is
Told
~ "la+ol~odsovt9~&titpape~iu~Me'6nmtl+etopoflhen~ha~dcaftlmnaet;T.one2bAa~r+en
• od~ioo~al~S~otLrwnd~eadse~allroe~e t.
3. if buffs mitigation is tcyuised, Please disarss whet ~ of mitigation is proposes (ie.,
Donatias- of Property, Riparian Butler l~bosaotion f Ealtaacemcmt, Or Pay~t i~ •the
Riparian BuPBtx Re~ptalnoo Fund}. pleasie attach ail appe+aptialre ireoo es id~Od
withta 15A NCAC 28 .dZ42 or .0244, or .0260. „ ~},Qrt, ~ _ - s 2~1a 11 y htn b te.-f-~~n
~0%'N k- -FOR SA-~E~~ . Th~c ~pl iCri'h)~ W % ~~
Page u ~ tz
PHONE NO. : 704 7844384 Mar. 09 2007 09:35AM P8
~c- tar f1 ~K~ -~
-}-~ RE s~e~~--E : o•, ~~ red .

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1

b ~ ! o '. to `' X t S a ` L o,.~ .~ t a` s ~~-lore IL
`C~t watt w; ti

FROM RANDY DUNCAN VALSPAR, INC, PHDNE N0. 704 7844384 Mar. 09 2007 09:36AM P9
- Tp:g1g2$3229442 P:1212
MAR-8-2007 13:07 Fi2[1M: WAT 828296466'3
ItX. StotynwAtcr (regnirai >ri' xlWt~ 1
Describe ht~esvlous acreage (existing sad proposed) versus total acreage on ttte sits. Dtcuss
ytmmwater ccmtrols peroposad in ordes to prOte~t waters and wetlands doh ~+ .
the property. tf pa~-t impervitws surthCe exceeds 20°Ya, please provide c~alcntatiotls
demanstiet'mg toter proposed impervious 1eve1. D ~ t~ 2aad~ ~ n ~-i,_ 1YlA-tz~ n c-~ - I
1.! 0 ~fi-S : n ~i 5 ~ - -
XTi. Sewage Dierpossl(t+egair~d b9 DWG .
Qcarly detail the ultimate treatment methods and dispositi~ (non-d"~~herga a discbargc3 of ~.
..o..~..wosos ion«oted $+a}+R dso piopoood p~j~ o• v,•niln6lo.-apsfelty oftb4+ w.hje.•r F~e:,lily 1-
t`
]tlLl. VwWtia~ (rcgairat 1'ry- Ia'WQ)
is this aibe in violatime of A Wetland Rados (15A NCAG 2H .OStltl) or any Avg Rn1cs? i
Ycs ^ No [~
s is ~ athsr--the-feat remit licaliau? Yes ^ l~to ~ .
1 th p BPP
XtV. Cpatolatfve Impacts (reqult~ed by DWG
Wit! this projcci (based on past and reasonably ar-tictpabed Srntre impacts) s~esult is ell
develop~»ent, which could impact n~rby downstresa- water Quality? Yes Q TJo ~' i,
Tf yes, pleases submit a quafimtivc or q~ wmulativa impad in acc~ with '
the mast recent North Carolina prvigioA oP Water ~mlitY policy p~ on out websitc at
~pJNt2o enr .rte us/ltcwetla~~- ifna,. Please provide a shod narrative description:
' XV. Other Circumstitnces (Optioasll: ,
!t is tht apphea~ot's c~esporisibiNty to submit the application ~fbcientiy in advance of desired
constrttatioa dates to avow pcoccssing tame fax these pe:miss. However, an appl3eani may
choose to List conssr$irtts associated with tonstrudiun or sequencing that may impacs limits o4t
work schedules (e.g.. draw-down schedules ~'ot lakes. lobes associated wig Fsndsngesed and ~ ,
wed Specirs, aeceas~elity problem v~ other iss~uw outside ofthe appticaant's coofirol~- ,
~~
APpii~ntlA~cu a Signatsrc ~ ~ i
(Age'nt's signature is valid only if art autbartzatiat letter from ~ applicmtt is ptovtded.) .
Pe~ge ! 2 of t2

PERMITS,4-8 ~
19?21 Be~ths~ Chutr+t~h Raed, Cot~neiius, NC 28Q31
AUTHORIZA'TiON TO ACT AS AGENT
To Whom t# May Concern: ~~ 0 6 5 3
Pronertv OwnerlContractorglves WerxiYWard-Smith with Pemntts-4-tJ. tnc.
authorizatbn th act as agent in obtaining the applicable permits as being requested by
the attached application for pier pemlit, dredge petrnit ardor shoreline statriliaation
permit for the referenced property on Lake Norman.
Property Owner Name:

Lake Address: ~ ~ ~ ~ t..4 IYi ~ Ch L1=Yn -ems
Lot #: ~ ~ f~-
Teiephone Number. g ~ ~ ~ ~ ~ ~ ' ~ 9 ~~ r
Properly Owner
The Fdlowing Sedan is Required
Con#ractor Name:
Address:
Telephone Number:
Fax Number.
Stgna#ure:
PERMITS-~4~-U, INC.
Does Not Guat~atntee
Apptrovais
~,---- ~ ~~,,Z,~-nom,

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