19980945 Ver 2_401 Application_20110429

qg-00145 u2
Harbor Watch Homeowners Association, Inc. of Lake Norman
P.O. Box 5665
Statesville, NC 28687
April 28, 2011
North Carolina Division of Water Quality, 401 /Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Dear Sirs:
Enclosed please find five (5) copies of our Project's Pre-Construction Notification (PCN)
Form with attachments that describe the project in detail along with a check in the
amount of $240.00 for the required processing fee.
Alan Johnson, of the DENR Regional Office in Mooresville, assisted us with the
application process.
Sincerely,
Loretta Michael
Responsible Party for the Project
APR D
9 2011
WE TLANDS
DENR, MD STOR?? INCH
CC: Harbor Watch Homeowner's Association Inc. of Lake Norman
O?0F W ATF9oG
R 8- Dot 4 5 u ?-
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
Processing
1a. 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
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 Riparian Buffer Authorization
1 e. 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 [Vo
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
a. Name of project: rep ca f7,4rt G ' erer o ra-r(NG AKNa AAA t/ v
2b. County: T re dt?t Cour4TY
2c. Nearest municipality / town: 15-T-a \? r (( - C
2d. Subdivision name: 14 A K Qo K W aTG k
2e. NCDOT only, T.I.P. or state
project no:
3) Owner Information
3a. Name(s) on Recorded Deed: ' AIZ ANZ oMC14 o m -'_ Ow o c t o 'R C o
3b. Deed Book and Page No. ©? tj Q- 6 I
3c. Responsible Party (for LLC if
applicable): 1? ""
Lo R e,lT i CN E L
3d. Street address: Z ((5 LA, KKF- _Mt?f
3e. City, state, zip: m- -F- S\Z t (e tA C '7
3f. Telephone no.: - _ SZ-R- 0 6
3g. Fax no.:
3h. Email address: ,"a l Co. A4
Page I of 10
PCN Form - Version 1.3 December 10, 2008 Version
Page 2 of 10
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1 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. 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. 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
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 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 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (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 DWQ)
If project 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.
? use ? Tar-Pamlico ? Other:
Project is in which protected basin? Catawba ? 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)
Temporary T impact required?
B1 P?T Se-e es
V
e N
o
B 2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments:
Page 5 of 10
PCN Form - Version 1.3 December 10, 2008 Version

D. mpact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
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 No
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

? 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. Complete 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): 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
buffer mitigation? Yes ? No
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. m6T Rewired Pot ALAN d ,-,iso4 (
See

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier ,
6e.
Required mitigation
(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: Pro3 2CT Ke PL-ace 5 F-"Y-45O K6 I, (eeoa 4s x6 6TRucTu eeS
Page 7 of 10
PCN Form - Version 1.3 December 10, 2008 Version
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 ? No
Comments:
2. Stormwater 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 responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
? Phase II
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. DWQ Stormwater Program Review
? Coastal counties

4a.
Which of the following state-implemented stormwater management programs apply ? HQW
? ORW
(check all that apply):
? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? No
5. 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? ? Yes ? No
Page 8 of 10
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental 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. Violations (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. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
ddi
i ? Yes ? No
a
t
onal development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact anal
sis in accordance with the
y
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or dischar
e) of wastewater
en
t
d f
g
the proposed project, or available capacity of the subject facility. g
era
e
rom
Page 9 of 10
PCN Form - Version 1.3 December 10, 2008 Version
6. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. 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 ? Yes ? No
impacts?
?
Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ? No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-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?
ZORe77 IV ICJ1 /gel--
Applicant/Agent's Printed Name Applicant/Agent's Signature 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
Harbor Watch Homeowners Association Inc. of Lake Norman
P. O. Box 5665
Statesville, NC 28687
April 22, 2011
Mr. Alan Johnson
NCDENR
Re: Request to Replace Sandboxes in Harbor Watch Subdivision
Dear Alan,
We appreciate you taking time from your busy schedule to meet with us and offer your
suggestions concerning repair and/or replacement of the sandboxes located on Lake Norman in
our neighborhood. As we discussed on April 13, 2011, our homeowners association would never
have constructed sandboxes such as this along the water front. This entire area was constructed
by the developer of our community and then the homeowners association inherited it from the
developer and became responsible for it in 2000.
This small marina area is the only amenity that Waterfront Properties constructed in our
development. The only part of the marina area that is really usable is the dock and the boat
launch. The sandboxes are unusable because of the unsanitary condition of the sand and the
deterioration of the supporting timbers around the sandboxes.
We would respectfully request that you review the following information and provide us with
your guidance in correcting the existing problems that we are having with the marina area. We
would request that you approve our request to (i) replace the rotting timbers now in place as the
walls surrounding the sandboxes with standard blocks made by Belgard; (ii) replace the existing
sand in the sandboxes with permeable pavers suitable for a picnic area; and (iii)'place a roof over
the existing dock area in order to provide some type of shade. Your help and understanding with
this project is greatly appreciated.
Background: During the past few years our boat launch area has fallen into disrepair. Every
year we face the same problems concerning the condition of the boat launch area in general and
the sandboxes in particular. Every year we attempt to remedy the problems with a "quick fix" or
"band aide." The Dock Committee is in agreement that our boat launch area needs a major
overhaul and a permanent repair and/or modification to avoid facing this same problem year after
year. The timbers forming the walls around the sandboxes are rotting and becoming unsafe.
Every summer the sandboxes are infested with nests of yellow jackets, wasps, hornets, etc. and
are unsafe as a play area for our children, as well as, a picnic area for our families. The area is
also in need of a shaded area. This can be accomplished by construction of a roof over the sitting
area of the existing dock. Our committee would ask that the NCDENR take into consideration
the following items when considering our request for approval of this amenity:
Contact Information
Telephone: [phone]; E-Mail: Ibm9628(gmail.com
SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 131 PLAN NO. PARCEL ID: 4-711201801-600
STREET ADDRESS: 14 AR 4 O A C L I -?l D k Ne-
.S- aTeS \(? L(e, i?C 29677
Please print:
Property Owner: 6AYsoa W&Tt:.I, F6 ueo WNeKS ASSociaTlok -r4C 0-; LAKe Ko Ruaa
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Lot2eTM RAtCkgel of 1AgrByQ GUa? l Aoµ2oLJA"S Ass o-t- LaUe *r?
ResPogl 81e f*" Mtf AM)
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):
,2n (<< Le D t? Sblmss ti, (t l?l?C a 8 6 -77
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
0(ltk-02 (? Cam ,
-To H tv P. Ski E V 'i?r.N
Authorized Signature - 14AIL 6oR WATCL- Authorized Signature
16meowr4eyS ASSOc .iuc of Wte P(0fM49- Jd.*rd Me Be+e.
Date: ?ti?Q z / a O / I Date: y/My e, I i
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