HomeMy WebLinkAboutNCG520126_Application_20211028 2,,,
.„ . .,..
ROY COOPER Governor
ELIZABETH S.RISER . _6
Secretary •�°""�`-�'
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
October 28, 2021
Randy Austin
Randy H Austin
239 Quiet Water Rd
Belmont, NC 28012
Subject: Permit Renewal
Application No. NCG520126
239 Quiet Water Road
Gaston County
1 Dear Applicant:
The Water Quality Permitting Section acknowledges receipt of your application for a new NPDES WW permit, including
supporting documentation and your check number 5428 in the amount of$100.00 as payment of the application fee.
These items were received in our offices on October 28, 2021. Your application will be assigned to a permit writer within
the Section's NPDES WW permitting branch. The permit writer will contact you if additional information is required to
complete evaluation of your application. Your timely and direct response to any such request will help to expedite the
review process. Please note that acceptance of the application does not guarantee a NPDES permit will be issued for the
proposed activity. A permit will only be issued following a complete review of the application, concluding the proposed
discharge is allowable per applicable statutes and rules.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sinc ly, ''II
11 ItoI--1
Wren The. ord
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
DE Q.�� North Carolina Department of Environmental Quality I Division of Water Resources
�pp�w •��'� Mooresville Regional Office 610 Last Center Avenue.Suite 301 Mooresvilk.North Carolina 28115
Eri=f=.+o.+b� 704.663.1699
FOR AGENCY USE ONLY
re
" , i ,'=lr Date Received
Year Month Day
ire
Certificate of Coverage
NORTH CAROLINA N C G 5 2 b 1 �!
Environmental Quality
Check# Amount
NCDEQ / Division of Water Resources �ya 100
National Pollutant Discharge Elimination System Assigned To: Chap e5pgreL
Application for Coverage Under General Permit `�
NCG520000 RECEIVED
Sand Dredging operations and similar point source discharges
OCT282021
NOTICE OF INTENT NCDEQ/DWR/NPDES
[Required by 15A NCAC 02H .0127(d); Term definition see 15A NCAC 02H .0103(19)]
(Please print or type)
1) Mailing address of owner/operator: (address to which all correspondence should be mailed)
Company Name: Randy H. Austin
Owner Name: Randy H. Austin
Street Address: 239 Quiet Waters Rd.
City: Belmont State: NC ZIP Code: 28012
Telephone No.: 704-609-8801 Fax:
Location of facility producing discharge:
Facility Name: Austin/Nichols Cove
Facility Contact: Randy H. Austin
Street Address: 239 Quiet Waters Rd.
City: Belmont State: NC ZIP Code: 28012
County: Gaston
Telephone No.: 704+609-8801 Fax:
2) Physical location information:
Please provide a narrative description of how to get to the facility(use street names, state road
numbers, and distance and direction from a roadway intersection).
Head south on South Point Road to Lower Armstrong Road and turn left. Travel approximately
1 mile to the Forrest Bay subdivision on the right and turn into Forrest Bay which is Quiet
Waters Road. The address is 249 Quiet Waters Road.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be
submitted with this application)
Page 1 of 4
NCG520000 New Application
3) This NPDES permit application applies to which of the following:
X New[term definition see 15A NCAC 02H .0103(16)] or Proposed
o Modification
Please describe the modification:
o Renewal
Please specify existing permit number and original issue date:
4) Does this facility have any other NPDES permits [term defmition see 15A NCAC 02H .0103(15)]?
X No o Yes-If yes, list the permit numbers for all current NPDES permits for this facility:
5) Description of Discharge: [Required by 15A NCAC 02H .0105(c)(1)]
a) Is the discharge directly to the receiving water? ❑Yes X No-If no, submit a site map with the
pathway to the potential receiving waters clearly marked.This includes tracing the pathway of the
storm sewer to the discharge point, if the storm sewer is the only viable means of discharge.
b) Number of discharge points(ditches,pipes,channels,etc.that convey wastewater from the
property): None
c) Volume of discharge per each discharge point(in GPD):
#1: #2: #3: #4:
d) Please describe the type of process the sand dredging wastewater is being discharged from,be
specific:
The sediment will be hauled from Lot 27 on the lake to Lot 19/20 which is across the street to a
hole that will be dug to contain the sediment more than 500 feet from the lake.
e) Is there any treatment being applied to the wastewater before discharge(check the type of
treatment in use)?:
❑ Settling pond o Lagoon X None o Other:
f) How much of the volume discharged is treated(state in percent)? 0%
g) If any box in item(e)above,other than none,was checked, please include design specifics(i.e.,
design volume,retention time,surface area,etc.)with submittal package. Existing treatment
facilities should be described in detail. Design criteria and/operational data(including
calculations)should be provided to ensure that the facility can comply with the requirements of the
General Permit,as required by 15A NCAC 02H .0127.
The treatment shall be sufficient to meet with the limits set by the general permits. The trapping
efficiency should be greater than 75%. The surface area should be as large as possible to insure
sedimentation occurs. To secure optimum efficiency the flow length of the basin to the basin
width should have a ratio of 2:1
Note: Construction of any wastewater treatment facilities requires submission of three(3)sets of
plans and
specifications along with the application. Design of treatment facilities must comply with
requirements of 15A NCAC 02H .0138. If construction applies to this discharge, include the three
sets of plans and specifications with this application.
2
NCG520000 New Application
6) Discharge Frequency: [Required by 15A NCAC 02H .0105(c)(1)]
a) The discharge is: ❑ Continuous X Intermittent ❑ Seasonal
i) If the discharge is intermittent, describe when the discharge will occur: This will be a one
time occurrence during dredging of the cove. There should be no direct discharge into Lake
Wylie.
ii) If seasonal check the month(s)the discharge occurs:
❑ Jan. ❑ Feb. ❑ Mar. ❑ Apr. ❑ May ❑Jun. ❑ Jul. ❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. ❑ Dec.
b) How many days per week is there a discharge? Should be less than 10 days
c) Please check the days discharge occurs: ❑ Sat. ❑ Sun. X Mon. X❑ Tue. X❑ Wed. X Thu. X
Fri.
7) Receiving waters: [Required by 15A NCAC 02H .0105(c)(1)]
a) What is the name of the body or bodies of water(creek, stream, river, lake,etc.)that the facility
wastewater discharges end up in? If the site wastewater discharges to a separate storm sewer
system(4S), name the operator of the 4S (e.g. City of Raleigh). Lake Wylie
b) Stream Classification:
8) Alternatives to Direct Discharge:
[Evaluation required by G.S. § 143-215.1(b)(5)(a) and 15A NCAC 02H .0105(c)(2)]
Address the feasibility of implementing each of the following non-discharge alternatives
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal(including nitrification field,infiltration gallery,injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating
that a subsurface system is neither feasible nor practical as well as written confirmation indicating that
connection to a POTW is not an option. It should also include a present value of costs analysis as
outlined in the Division's "Engineering Alternatives Analysis (EAA) Guidance Document".
Additional Application Requirements:
For new or proposed discharges,the following information must be included in triplicate with this
application or it will be returned as incomplete. Per I5A NCAC 02H .0105(c)
a) 7.5 minute series USGS topographic map(or a photocopied portion thereof)with discharge
location clearly indicated.
b) Site map, if the discharge is not directly to a stream,the pathway to the receiving stream must be
clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
c) If this application is being submitted by a consulting engineer(or engineering firm), include
documentation from the applicant showing that the engineer(Or firm) submitting the application
has been designated an authorized Representative of the applicant; per 15A NCAC 02H
.0138(b)(1).
3
1
NCG520000 New Application
d) Final plans for the treatment system(if applicable). The plans must be signed and sealed by a
North Carolina registered Professional Engineer and stamped-"Final Design-Not released for
construction;"per 15A NCAC 02H.0139.
e) Final specifications for all major treatment components(if applicable). The specifications must be
signed and sealed by a North Carolina registered Professional Engineer and shall include a
narrative description of the treatment system to be constructed;per 15A NCAC 02H.0139.
CERTIFICATION
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true,complete,and accurate.
Printed Name of Person Signing: Randy H.Austin
Title: Owner
(Please review 15A NCAC 02H .0106(e) for authorized signing officials)
,j-----e____
/G -- 26 Zv 2 /
(Sign ure of Applicant) (Date Signed)
North Carolina General Statute 4 143-215.6B provides that:
Any person who knowingly makes any false statement representation, or certification in any application,
record, report, plan, or other document filed or required to be maintained under this Article or a rule
implementing this Article; or who knowingly makes a false statement of a material fact in a rulemaking
proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders
inaccurate any recording or monitoring device or method required to be operated or maintained under this
Article or rules of the Commission implementing this Article, shall be guilty of a Class 2 misdemeanor
which may include a fine not to exceed ten thousand dollars($10,000). 18 U.S.C. Section 1001 provides a
punishment by a fine or imprisonment not more than 5 years,or both, for a similar offense.
Notice of Intent must be accompanied by a check or money order for$100.00 [per G.S. $ 143-
215.3(a)(1b)]made payable to: NCDENR
Mail three(3)copies of the entire package to:
Division of Water Resources
NPDES Permitting Section
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Final Checklist
This application will be returned as incomplete,as allowed by 15A NCAC 02H.0107(b),unless all of
the following items have been included:
o Check for$100.00 made payable to NCDENR
o 3 copies of county map or USGS quad sheet with location of facility clearly marked on map
o 3 copies of this completed application and all supporting documents
o 3 sets of plans and specifications signed and sealed by a North Carolina P.E.
o Thorough responses to items 1-10 on this application
4
NCG520000 New Application
❑ Alternatives analysis including present value of costs for all alternatives
Note: The submission of this document does not guarantee the issuance of an NPDES permit
5
assign
81 r x e[a.0 O.r/OMmr• GaaY
.0¢i 0 " Randy H.k Mary P.Austin ECEA 1 Z
P AS
T SI MO CASE LESS
Know wham below. 0 ",C 2J9 Quiet MOAT Rd. 6T5 Huntsman Court aces
Caii before you dig Belmont.N.C.28012 Gastonia.NC Teosa
(216 0 Site"aa
Ras CC
a sm.wT CONTROL M H ea HUNTSMAN COURT
NIP ITeEm.0 1 D9 mT ors. 0 .LLR OP RECORD a APIN .RE �4A En o %M NO vas.
N NC LICENSE P-0129
.F..]l.a.: '" ZO PHONE:Iro41 asaaem
9849
9WE9W9.NDRron..L.WYSE.E o r w t:�)0000O.a•R
'LLm.E9 ras 1.E EN120 lE s 9T.9 rm ` 't oucE VICINITPs
Y SKETCH 0
v u tElli Ra. r rt'"VO.m."..n RIVI.wic 'WS 9 81PIAL PIT MI NNF RY mran IR FI FVAPOB PROJECT/: 20210138
Lana
160'L a 30.ge x T..
',Ea C b. eF r6r6 CF ns m er r. CT
\ v °DRAWN BY: BJPJ
56.5 20 20 0 0 06
566 756 see s9D S6D 43.33 6.52 52 IA-
CHECKED BY: ACL
\ 588 2464 312 2034 3704 75.33 13]&.119
\ SY N58 336 2970 6674 110.00 247.16 ,y DATE:10/21/2021
__ NO 4500 360 3976 62 47.33 394.62
-- \ - � TOTAL 659.26
I \ ��_ SCALE: 1•m 30.
o
l
\ ONE BEARING DISTANCE m I4 \_
Ll N 01'/5'45'E 41.3Y �� p (-�
• \\\ <Z N 312B'41•W 41.33• N — _,"._. A � �A9.
X, • \ ?3 . �_ =r am s -�a 1, \ '�/ ry�
A El
i� I i i '3�HA\��
: t. "ld
-.,...--\..- ----:-
`s3-.., .N R '\,�xrm�N;. `\, •
III \, s \\ �Y�1.\ -� Q \
•
,° • 1'___ ,� \ , • I
` I 1 \S LL \ \ RA,y ° , LEGEND
/' —�'. •. `` I/ - EMZ / wTp�CL ' .T Aljl\\\ `� r. .. \ I
•
N. \ j \ t�
_w
ND.
\ \ miumit�. . ,.... i
k.
�� \ \ o f OF OS
`� / / 5403664 Sq Felirt \ \ 1 ..� o
N / / 1.2543 Are \ •
• ® Eri to.zt.zD21
\ \ \ r+ . LT_
onD L / \\ \s ... E K C/�
zl D.R 7THE PE.N" / / \ RN .684
n3CP I"t 1•1
• 04
o=Ea9W.u �R ISM
; ot oW /_
TM9 9wa .." EDR�FARD 4 a�wE=" — _ _.�.memo we fr o a
„ � � w
11, w
.N».ST TROY SSE VISE TO C.a..r 1.111.ND o 1
Owner y Da..INer 0,4 awry.,by /��' z
Randy N d Nary P.Austin ECEA
811 w�•• aeaw BNmanL239 tNCt2H012 Caataners Rd. 625 �atNC2HO5fsman t
�l6sfoAyou Site"� Ulip
•NO\\v/CIMR. VVVaaa
�T DRE.1 DFP1H AREA 01 0 p♦ /— � r
• ZIT
'At
NC=MBE WE Pain
,..a NA Z .Ropy:wxrsaarm
MS
1.0▪ qsm 490 awe a VICINITY SKETCH U �o
�_40110 �«�' era UM MS Et PROJECT/: 2021088
MOM. °DRAWN BY: BJPJ
• .VMS 201100 an 1_CHECKED BY: ACL
S 0 DATE:10/05/2021
2s E 321.18' ?i• Z
72'13'�2� R RJ. SCALE: 1".20'
AK. WY'.IF: RM.It MANY AMIN
-
J
•
24 'w°wwr.aO.MIME Z
w
g z
-c_N•
�, 04
z
MA MOW 1•01 IMTC.M..7 r, '/ < ®.a.ox.�>� ooa N 535p•55,W• a 8,•
• • ii k�l
l �� ® 31pp Mk�d
W CI
Y ' E PROPOSED ORM..
iA.
J snxO GRADE Or m .Ox TARE f',•,A;..,...,.. O.,ARE00.57051,12920.259).0,0107 SF A..x«w.,...>> AREA
LEGEND il
_ ST
AREA-Ewer 1 wa-1.w s • n..c...
— us,Ea..29 23
\r�J*�.•. w
/T.. CM.Cf TM PROPOSED D1MCE M.TO OE
/ —— w•n
u.a.o..a ram.�+.r.w
Eu n.DLL MIME i M.. .
OFTSM
n.
a_vmm�....EEAs-.M•.,.a. ".."^t rrA.,w :u SE.F�.atM..) 1
/' _ _ air y8qCY'YJy'r
r..u.
v
+.-•—. ..,........m+.. LS air..iii '" ."C.:
Rya 1® Pr...1..All TS ,11 10.22.2021
...Rauu/ •
o o IV p x[Yo„w,xa,n[E[fuxG r• .My ...
'APPROXINZE LOCI OF JO'ARM..COO,NOUSE, ...were um.Al u.exMv c W
W... 8
SE NOVO.Or v o.�TO MT MAC.MIMES 0 .._e Lamy TMAA M.... 5 C7
• Ea R.
T• IE AMMO.A ° ▪ MEM A
Z
« M,n ROM.
MOM, m.
» ARAMs MA 00511.S.C.. o I— A
.1 . . w
LLD a
N. 0.n&/aweless& a..V.V.'',
Z
RUCTION SEMEN,FOIE DPEDC.
�� Randy N&Mary P.Austin ECEA
Know what's below. 239 0✓i&Waters Rd. 525 Huntsmen Court O
Belmont.NC 28012 mtoaa NC 28054
811IZZI
• C3��betoreyoudig q �LLp. s C U 0 ecea
r.x..�....._
Site
' � r' \• / ,.� r.AOxn.N COURT
A) & .ENURED, RECO.o .°neC....CE..ARE rri \ % a Z LICENSE I.O.M.rrov
ONE
r ^. ^ 0 .Axtmgaoa.w
2.0 ••\ VICINITY SKETCH ()
...... &m...n.x n . •e .. *n \ ; --y- S 4 \ EC PROJECT R 2021088
ma''- /1 t<1«<( i `CAE-
\ \9 i / I �` `` •
\ DRANK BY: BJPJ
/` ti\ i ` CHECKED BY: ACL
uwr nB.a.en DrAIN vn \ �� t '/ 11 I >♦♦ •\ . OATE:10/21/2021
NEI fell Os),
1.
FORRIUR ELEVATE.
a.. IstSE MST 'x40 \ <\
SCAB:1"-w'
N
1..
e.o .woes ,.. x,e W:2 TOTAL IRS.. " 3i: >� \ \l\ ,¢�:y,S,n \ -lit
COO 00
r wex ,sm m \ \\ '��\a\ \
N. 1.\\\ ee. . •.,
• i - .i --/"rr / 1 IFGEND i"'
w,��•�� / I _•_ ....,.---
We"ewe unw
Willy FENN*
/
.- / .... ca...1 x .• OvEhRod Pe.(EOM*
I. '...
/ .1=.....
c
r I Zr.....--s,aw<.a c-n.ue-.. ry
/ ® ne...e n-..n. 10.21.2021
/ r / ""'r "a" ry 1
nest r' ..r aanon..,�_ _ .,.,-.a a..
RM...ANO AS PET
HE APPROVED
2) THE
ELY
ONNERREM.ACTUAL FIELD COMMONS/TM EVELOPIDE Cr Yo EP:w�.FOUND�urE,.ow r' /O ESIST I
ci
„ o
n a,
• un s' w C7
roD�.,n..° �row_ - .._..,.-- C9
I I I— (A
n'Y .' w
eE ,0E..E
. n.E.,1 . ',APT')a•Ew.m.ERTIT11 ! 2 2 A
p•nn po.a • OW pts,by
8i �
' C • r
cwnnnncxxaxnwmwua��.c..vxsn.a.omww.tow. wnnw•w.mm.. Ron0y H Q Mary P.Auatin ECEA/ - au et Watera 82s Nu Cour
tBelmmk N.C.2B012 Gastonia.a.NC 280s• /': ZO
- ecea
/ • Site c•M.
...•••.......—..
ad. eL
y x__� \ �/ -' ts` 1— w,AaneMAB wuBr
' W 0N18.a201364
n a .xccwo•.�osom.xon•x \ NC lcr .wa- pay asaa•m
" -- -r \ O ....WOO
x arzx.x.n ro..am.0.A•xaa \ /e/ �` o '•\ VICINITY SKETCH (� "'®`"""'�"'�"""
- 4 y • EC PROJECT 202108B
�a xaknax. >!- � tiC"q a QQ`` \.
\ \9 4'-J' --` i tl \ w. y, \ t. 0 DRAWN BY: BJPJ
-- "� 1 1 NA' \ CHECKED BY: ACL
,oT otv1H Aw;e VOL \ - / i 1 i �. \ , DATE:10/21/2021
en u0.n.�w'`m�x vws i Sy We • ... ( i 1I/• 1 /N ll i• \ SCALE:1" 30'
[ICa E aaSC•Cm.¢w.r. CwJ'S y , w zw \� f` % I, /1, \\ \''...'‘‘' '''
�NV, '-.k r.o •
•
331 N. EN 2•76 0674 moo kola .f ..\\
NW 3.0 3978 IONS 147.13 bilbt 4.1411 3.0441 133 \ , \ v\.. 41%".....:11.1). 'V. \''. .-‘..'"4/if';'5,e' . •
:.-sue• - \ft t"'•
•
,...‹..irr r........ ,
\, �,-, \N, '''''.:' -'...- A z
oai
mats- / 1 10143�� 1EGEND W 1 III
11
": / 1 • ...v....
1N>01
® - _-=
14
s.
=- . — ra:�
--- : 11 -
411
14.
V‘lsZ
_ . m , ....
10.2.la® w..4 a..1 rm a... iy 12021
- .•.....r,..C.a..... w
11 ALL
00.76170.1,•.•00:b:aau w,"•D,.'3 ID a•ann.. / ' `"°.. .`.`x.
y / ga.a•nNpD.a. aa°6'4011 FOUND VD
MST '°"'WW1 MO.FELD COMMON. a ,.a,
41
64
om x,.o.na.s Eut omw �a.w. pr,..—"6
. .+ r • va
ID OR naaa ""."..a w61444,
y .196SIN° EMTA,
.a.....r .6a44 O :. m..o..... h CO
0 x. . ci Ii WI TO SE
y WOOED
awax
y wwA o ~ A
.moa�we. ro ax..x.,..a 2 g. i —
Owner/DeMOcr• OW DeNN 6y —
FOnCy H.R Story P.Austin ECEA ��< Z e
811
xKnow �' 9OuiersB O\ Site MA •
10T WOOED VOIH Mee VOL VOL \ R� B' �'wirw•.eeM wrwv
H ea aUKTswO WORT
PO__ 2•3 TIC LICENSE NO.P.12B
s ..No Am 304 Z :mn w.•m
'It
BMA UM MEWL Amv NO T.•O WO SOO O WF.F.Xw.F00T*MOO,.Oa�
.wE..•0.130 M ,•m c.m N• VICINITY SKETCH O
o-Sw a-,x C.
46•�a-m<r •N Yno
LN of PROJECT/: 2021088
pr,oTu ' N.a• m DRAWN BY: BJPJ
T. 14.i> u•o mf_z CHECKED BY: ACL
® S
•
2 - 321.18' �/ DATE:IO/OS/2021
T Z•13'DZN E 9 ALA• SCALE: 1".20'
i4 Mt GMT MOMS 10
MOM WC.211012 J v /D
\,1 i i I l` /J
•/, r I 1 j ' I/WY/7, Z
< oocY.c"aY�R"Aw W
'L,I PROPOSED TRAVEL
I rY �__ ni v`°•wnc LOT O W �i I' 1
h i V y POOL VW(n.) (mecuLem pug mg., 0011.11 m) Q' A
AMA MOM••04 42011102.
_�__- !� rl'° SST..n....••oa N 55.
-
4.1
FRAM IMMO
• .-. . 26 •aOs,,Lc x.o,L 5•W 310.O8'••
' et-111:TRADE au PROPOSED,�, a, ou.we•au.A,Oa
"..,�..:-�. .. ' ._ OFp..TSET ONS.->maR l- •STM LEGEND il
1¢YYSY Mad TAM F,a —_. u n cn,• s.ib. el Pend
.,pim.u.
Proem. . 0
WEL �® StoneStone•Prep.T� w u L•urn 1 10.22.2021
Prep.Te.NO...n..lE•UALI •
10'MOM FULL PDOL •o OO.HOT ESL.HU 0-.01, .Prepooll
T:°er'ry"'ORM
`
Prep.LL„a.a ea.... a W o oro AROUND HH.,E SLOPE •woe aOU. Prep.wanes.Arm LE. e
Pre .,,,.LOP.a.n. .
,mDs S"..:r Pr M an
D ell w,S,T.c,Da OUST•E w.uTT.O Ka.owa.
Om LIMB g oA a0•1 or un arrxv..z TTM !.
01 T � Poe
.1 1OrO ANY O,. MITE Roam coma .. Prep.r.me,Toe.Pw•- u U
°a .�Y�LmE: w b
.A M � "" ° A•T• Moe • m : s
r
M
T) Lv,r. FOR Rc
R mam •
W W
BY P, MALOPE•,R,Ia,HAS KEN aTAII M DDT.W MC.010 PROT LA
Y iAo Cr)
Owne
8Rand/.&Mar• EA Magn by
�.�y.. ORMAL POOL ELEVATION 570' (MSL) Ready N.h Mary P.Austin ECEa �!+% Z
�I...�. 239 Quiet Waters 12 Gas Huntsman Court O ecea
OATING DOCK (TYP.) Belmont.N.C.zeorz Gastonia.NC 28054 F-
(�MIr�Meia Site MCe O
�� �"'•__.. asp"un°"""mc"` ......
CC
c.Aloru,NC HOU
BOATHOUSE TYP. b MC LICENSE Ro r�a1>9
Z 11,10...17110.++o�no
Orw ^tea.+
VICINITY SKETCH (� gym"
RANDY & MARY AUSTIN _ PROJECT/ 2021088
239 QUIET WATERS RD DRAWN BY: BJPJ
BELMONT, N.C. 28012 XIST NG GRADE OF THE PROPOSED CHECKED BY: ACL
25.0 DREDGE AREA TO BE EXCAVATED e . OZ DATEn0/05/2021
APPROXIMATELY 3'-5'
SCALE: 1"=30'
I
1 I 1 I I I I UJ I 1 I _ }
3, 5, Z CC
w Is—T e1itC
0-1
A CC
�F I IIIII III( In (flll_=TI 1111 11111 11111 II iii(f=—M' o
z
25.0 P,
SECTION5.0
T B'—B' A
ORMAL POOL ELEVATION 570' (MSL) Pq�El il
�ii
OATING DOCK (TYP.) LEGEND
/ [
CY
RANDY & MARY AUSTIN _•
239 QUIET WATERS RD
BELMONT, N.C. 28012 — — """"""'
XISTING GRADE OF THE PROPOSED
BOATHOUSE (TYP.) DREDGE AREA TO BE EXCAVATED a.
30.0 APPROXIMATELY 3'-5' _ ."° /,1d 0R /1,.1:<ssiy•
w.w
EtJ1' 'C.3 5 ,�
�1 ,® 9 10.22.2021
Niquomiiimilimommionimoirommir
mmummi
Novo
a.1) ALL oaaronauuus�a®c,SECLI61106 AND AS Pat 111E AMMO.0.11044 5P
`n. +, 1II®11111E11111_11111E11111®11111_11111®1111®1111M1111 IIIIMIIII1EIIIIEIIIIII—IIIIIEIIIIII—III E-IIIIII -"'3''T G
. COY u SpQ I��� ����� ���������� ���� ������ ����®���� I���� �������������®�����-���� �����=������_ M' . , o
z
O r 11 ..a 37.0 0 ..... `" O
E 0
W _ 5B.oM• . men. a"" €
E 4
O ate N U
ME.� MI BMW..ME... r 1 I—
S) NAME U .aOS.�m� 1, '° SECTION A'—A'
ORMAL POOL ELEVATION 570.
8 ,1
( ° �Qf11O0er nv°aMy,°yi
Z
,K eCea
il �iMSLOAT NGDOCK (TYP)
o...CC �..m.....•....
BOATHOUSE (TYP.) �V� COURT
nm.
Z awKE:(MI Boma
VICINITY SKETCH (J '" � '`0"'
FRANK NICHOLS
XI GRADE OF THE PROPOSED • f.PROJECT/t 2021088
243 QUIET WATERS RD DREDGEDGE AREA TO BE EXCAVATED O DRAWN BY: BJPJ
BELMONT, N.C. 28012 APPROXIMATELY 3'-5'.
1- CHECKED BY: ACL
37.0 • a OZ DATE:10/05/2021
1 U I SCALE: 1"a 30'
Mir >-
=11111EI11111 III111M11111—NIIII0III111 IIIII®11111-E1111M1111II=IIIIII=IIIII®11IISIIIIM IIINIIIIM11111-IIIIII—B11111=IIIIII=1111111EIIIIII= g Z
71111E111111E1111E-11111�11111=111111 1111E-11111®IIIII=IIIIII=111111E1111®1111811111E=11111M11111E11111=11111R-1111 REMIT=111m- E I,, 4�
"'q' 3 7' q lelll IIIIMIIIIIIEIIIIIIIIII 1111®IIIIIIIMII�IIEIII_Illll-IN-=llll-=.1111 I®IIIIIII I®I IIIIII III_IIIII®EIII EIIIIIIIII—II I m=111IIhP�"�s\5" 5 4.4
�1
37.0 � Z
57.0
SECTION B'-B' 4--4
NORMAL POOL ELEVATION 570' (MSL)
GATING DOCK (TYP.)
LEGEND 1
FRANK NICHOLS _•_
243 QUIET WATERS RD XISTING GRADE OF THE PROPOSED - - _ l 1
BELMONT, N.C. 28012 DREDGE AREA TO BE EXCAVATED �^'"' !�
APPROXIMATELY 3'-5.. �....n
BOATHOUSE(TYP.)f - m..AH- #� s
`... R:nA•a 9m,K 8 SUL
IIIIIIIIIIIII.IIIIIII,-1.-1--IIII■— ,�ti— �+ m4.F Of IN r �a�
,' � .._ ry 10.22.2021
° - M
”;a 111111E111111E111111E111111 IIIIII=111111E111111E111111EIIIIII=111111EG111=IIIIII=IIIIII=IIIIII-111111E1_11111.IIu --:._ a: N
_ _ + —IIIIIIEIIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII==IIIIII=IIIIII=IIIIII=IIIIII-11IIoP e
J' —111111E111111E111111E111111EIIIIII-111111E111111EIIIIII=IIIIII=IIIIII=111111=111111=lli , .- g F
m:'aaoww'un`i a••••••ru••••a �oo— _ — — — — — _�MPx 3 ,ur
�1 Mill•:�..m.m•.•. M F'IIIIII=11►III=IIIIII=111111EIIIIII=IIIIII=IIIIII=IIIIII=IIIIII==IIIIII-IIIIII O
a.•a,acwo�.6.xr aaao
z
T CO O
a1 .rraam 24.0 P Q I-'I
m wn 44.0 § re N") V
,1 •au,m W
SECTION A'-A' `i
(n
Dena'/01,110 e" ClW 0.•lyn 6y: �� Z
Fundy H.R Mary P.Austin ECEA
811• yam.. puiet Waters 12 825 Huntsman NC 051ecea
�N RandyBelmont.N.C. ry P. ECEA Gastonia.NC 2B05s
W.
9r MM�y0Y1� Site�. U 0.
•ROPOSED 12'X16' C, e"�'•en1'""'"u
ORMAL POOL ELEVATION 570' (MSL) FLOATING DOCK (TYP.) `ta CC
�m N
RANDY & MARY AUSTIN
249 QUIET WATERS RD o � �
BELMONT, N.C. 28012 VICINITY SKETCH v
LC PROJECT 1 202108B
XISTING GRADE OF HE PROPOSED O DRAWN BY: BJPJ
DREDGE AREA TO BE EXCAVATED
APPROXIMATELY 3'-5' ,_CHECKED BY: ACl
12.0 • r O DATE:10/05/2021
MIIIII SCALE: 1"=30'
I_____I
,iiiiiiiimii. iiimirr, }
z Cr)
o
"°1=IIIIII=IIIII g-IIIIII=IIIIII=IIIIII=IIIIII==IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IMF; w g 4
"'-7-r pill1=IIIIII—IIIIII-IIIIII—IIIIII—IIIIII—IIIIII—IIIIII—IIIIII—IIIII S�
R°-I11111=111111=111III=IIIIII=I1111=11IIII—IIIIII=111,,,,, 1/q
S`p-e wmglIIIIII=IIIIII= dimIIIIII=IIIIII= '"" c,
Ih O
Lr_
72.0
1ml
32.0
SECTION B'—B' r9
...". H g
I FGEND
ROPOSED 12'X18' — —
ORMAL POOL ELEVATION 570' (MSL) FLOATING DOCK (TYP.) • D
RANDY & MARY AUSTIN ==
249 QUIET WATERS RD _._ Oft ,.
BELMONT, N.C. 28012
XISTING GRADE OF THE PROPOSED "_u+q, •�'""w
DREDGE AREA TO BE EXCAVATED e... +/,g' `� .`i[ss26t`k'"l
APPROXIMATELY 3'-5' (Ti,, K1b •
i3`: '1Q I `
18.0 1y
_ `i ynar� "W[C
10.22.2021
3'_5.
= -: $
Cl 1011. 41jII' -= III-'I1= II11®11=IIIIII= I =III=III=I =I I °I°9� •w= =III �' -..
" ,» II M I I =I—IIIII IIIU=IIIIII-1 IIIII O
3 a
TMwnOAn 'Spp1lr111111-111I1E11111M11111—IIIII 1III •III—IIIIII=IIIIII-11111EI11117. 5 o (Dzw a1,, .•,,, a
=IIIIII-IIIIIIE1111E-111111=1111:1-111111=IIIIII=1111IIPIr o •---.-� •
u b O
;) 'ALL "• 0 '.,
18.0 \ € il
't U
cwin
ra ; d A'A..m a..r,n.,aa,7,N1ERED DURING GRADING.Au.BE MOORED AS SECTION A'—A'
,o In
Owen-7 o...as• Crw D.agn Dy:
811b�e�lye.�� [NORMAL POOL ELEVATION 570' (MSL) Randy N R Mary P.Austin ECEA239 IL' Z g
Y�IYAe Belmont tN..C.ters Rd. 625 28012 Gastonia,smon NC 2B051Court O
�r � OATING DOCK (TYP.) Site"D•p1 U
oecea
e.►•se.uve.aM•w
�4�, � Wa nunrewu.mtArr
BOATHOUSE (TYP.) vi
ONC MIME NO./20129
.DOM..o
P FM D.Leal.
VICINITY SKETCH (� WEIEP""�"E,Om
RANDY & MARY AUSTIN - PROeECT�. 20210BB
239 QUIET WATERS RD .DRAWN BY: BJPJ
BELMONT, N.C. 28012 XISTING GRADE OF THE PROPOSED i_ CHECKED BY: ACL
25.0 DREDGE AREA TO BE EXCAVATED ° DAlE:10/OS/2021
APPROXIMATELY 3'-5'
SCALE 1"=30'
u II IJ I� I U I I
/ I
g 4
I 4 L.I
25 b
T .
SECTION B'—B w
NORMAL POOL ELEVATION 570' (MSL)
COATING DOCK (TYP.) ).EGEND II
RANDY & MARY AUSTIN - _•_
239 QUIET WATERS RD
BELMONT, N.C. 28012 _
XISTING GRADE OF THE PROPOSED
BOATHOUSE (TYP.)� DREDGE AREA TO BE EXCAVATED a..n 01
H ••..,,t �-"^•.,
30.0 APPROXIMATELY 3'-5' �'. -:°,.. /R�0Va.'+:\
10.22.2021
ICI-1N I I� =O {Min = = = - el
_- = - ,, e
D N. Ri J.
_ _ -_-_ = MNX.3'
RE
.r .ae " 37.0 O H
sr ZIEr
DE AMMO.AS Ple:211,ArLEABLE KV:M.w.uWADER58.0
» • COMPLETED fee OWING smuC.Ueo o WI.AMEN.IMMO DST SECTOR GEDIEMPI I-- W
11) WO;14a.,le..MNDRAMNTWO. • SECTION A'—A' i i _ �1
4o In
armor y D..I.Br• aw 0s4on 6y:Bo O
Bore.. 0 Randy N.X Mary P.Austin ECEA
2J9 Quist Kbton R0. 625 Huntsman Court
I!!;
811Know what's below ... 0 iom oxu Belmont,N C 28011 Gastonia.NC 2BOSA cea
Call before you dig. WOE
Wry. .ONCE MIRY ro�., ALL w�� Site..
.:102
. �.Bawd .,,. o .6u v pEcwB E MY opsw NOES AK>.4 �'�
B) El Z .HO.E:1700 1.01100
VREC,a..ap 1r 67w APROPERJANAILLCCEPTANCE ArlIONAL"W""""s 6) tat VICINITY SKETCH 0 w66...
ALL EROS.AND OILWIENTE re A E6..® . ,) NCI
REMOVED CNCE,.r OURS WMAL s rt.uurin TO ALL w,wpnr°r.wB wW a 61lLL YR M uE eY mN}0uR 61EVADpL Q.PROJECT k 2021088
,xBvp:*.w. yo'6.•.a 3C.r r s6ym
\ BEY d C I6�CE Om.Cf W6-CY C1mSk O DRAWN BY: BPJ
666 W 2M 0 0 0 a
3Y 788 3M 600 803 11332 1632 CHECKED BY: ACL
\ 387 ON VA 1170 1870 N.33 BLAB 1
—.----- ____\ 3M 34 WEN>D)• 0A 71y 13>.16 .
_ 380 3 338 2870 MA 11060 2A).18 DATE:10/21/2021
380 tl00 380 WO 10552 1A7.33 38452
II \ \ W— ___ `` TOTAL 838.36 I SCALE:1" 30'
• I 5 D y V d
USE WARM DISTANCE 1 E -1 �£ \.
L1 N 45.02'41'E 20J7' £y _ Z
L2 N AS02'AI'W 41.33' N . yq�.. 4
V N 31'25'N•W 48.61' 9 _ r �f -
\\ \\ e \
\ •,—_— 3
\ A. ilR i/7e 1./ �\ !\! \ hK6 \ p� 1\1 Y �S� \ /// vv�
YI D _� \ \ \\ � \\ 1,a •)\ '\ ,• Iq�4
\ \\ ,, .... , .,,,,„‘ \ .
.. ' ..'' ,.• •. N 11..rga 71 \ / , ‘ ,‘ , ,
�\ _. ____
_ \% ,� ydr .!4 ad'ifs3iy:�r
J \ .. w
_--- \\\ \\`� i \ \ n.r r u.. T HIN
\\\ / /
•3A 6]862 Si, .N \ \ 1.1
I rtJ w
Cl\ 0.21.2021
\\ / 1.2543 An.. \ \• \ �B
° apse s B ...B / \\` T IEg
,
15)
STORAGE TAWS
e..�.�. U aBd--� gL b1 ) .PEN
r— I,r.''
n .CE710 MR nsnw SIMUCT.INES
n e seUr4Zi ` LU
W
.:Ea�pEp,1,w 1..E p.CC ro Cwp1.War pEpW,»Ba. , o I
ORMAL POOL ELEVATION 570'(MSL) �a in,wc. c.a D.s.by
Know what's below. COATING DOCK TYP. Nnndy Quiet,M sR P.AwtM 525 Z
( ) Run /H. Mary Rd. ECE Huntvnon Court O
8111• CBI)betel you dig. Belmont,N c zem2 Gastonia,NC 2e05t e e
`-.��- Site U ....o,V�..�..V.-..�
BOATHOUSE (TYP.) *,tvt I— WS MAMMA.COURT
Z NC u0144 no.no umn
O FAx:crop tes..
VICINITY SKETCH ()
FRANK NICHOLS
243 QUIET WATERS RD -EXISTING GRADE OF THE PROPOSED PROJECT it 20210ee
DREDGE AREA TO BE EXCAVATED O DRAWN BY: BJPJ
BELMONT, N.C. 28012 APPROXIMATELY 3•-5'. L�
i_CHECKED BY: ACL
37.0 e r Z DAiE:10/05/2021 1-1 I 11 11 IL I I J 4 _ 1 SCALE:1••-
Mq-itii 111=11111I=11111®IIII®IIII III_Illmllll®IIII®IIIIonifflIIII-111t®IIIIEIilll®llll�llllElllll.11l_II=111_II,„,,lll °PE w PTA
3 clllill-111111 1111®IIII®imff_IIIII�IIII-IIII®IIII®IIII®IIIILIIIII®II IHIIIII IIII®IIIIIwIIIII=IIIIII "5:�S W hyi
S70.6 III=II111 I I- II- III I- 1-II-III-III a - II-I `=II - -III-IIII=III' M"" x H
e
37.0
57.0 - FI
SECTION B'-B'
ORMAL POOL ELEVATION 570' (MSL) 41
LOATING DOCK (TYP.)
LEGEND 11
FRANK NICHOLS -•—
243 QUIET WATERS RD EXISTING GRADE OF THE PROPOSED ---
BELMONT, N.C. 28012 DREDGE AREA TO BE EXCAVATED
APPROXIMATELY 3'-5'.
BOATHOUSE (TYP.) - 4•'s'' \ M4,
3
.iiiiiiiimi imiwpv = —7,—
__ 0.R.l, ..r r_ E nr AD' c.
/® ? 10.22.2021
e.-. — C M
"11=IIIIII=IIIIII=IIIIII=IIIIII-IIIIIIEIItIIlE111111EBIIIIEIIIIIIEIIIIIIEI�ill=1 IIIIEI IIII=1 E---111111E111111-M.F5' ""'""`
IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII==IIIIII=IIIIII=IIIIII111I1 1111"- t.....W..' `�'
R 'AF�..a „,l:a r ' 's<<IIIIII=IIIIII=111111E111111=IIIIII=IIIIIIM11111E111111E111111E111116111111E111111E111111.3 S°P� �r O
°pFIIIIII=IIIIII711111=IIIII11=111IIIEIIIIIIEIIIIII=IIIIII=IIIIII==IIIIII=111111E MPx a
ecnEw Amu nun
_ T z
0 24.0 - 0 M1
ct M a xa-scc.r,-n cwusaa s7 µII.s 44.0 - - - -
s`.
, t7 U
f 114ali vgo rt m.owc wI suwum o
.t ,s.a r�,eo rar oum.e s,.uca..s F. w
SECTION A'-A' ¢ 1= I^K
Know what'she10W. 239Cy a wwy P.Austin ECEA Z
�a 2JB Wi. Waters RC. 625 Huntsman Court o
8�1' before you dig. Belmont N.C.28012 Gaetano,.NC 28051 Site a U
�. 0 ecea
/"' ORMAL POOL ELEVATION 570' (MSL) •ROPOSED 12'X18' D
FLOATING DOCK (TYP.) `tea Ce w�• -may
RANDY & MARY AUSTIN 4,i°a t~itp
249 QUIET WATERS RD
z ROME:(AN
o
BELMONT, N.C. 28012 VICINITY SKETCH c.)
PROJECT it 2021088
XISTING GRADE OF THE PROPOSED p
DREDGE AREA TO BE EXCAVATED L.DRAWN BY: BJPJ
APPROXIMATELY 3-5' CHECKED BY: ACL
12.0 • Z DATE:10/05/2021 I
irimil. 1.1 .11 inv. I , :
Z
Z Cin
ttl_ _ _ .... o
Mq7IIIIIIIItIIIUIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII-1111IIIIIIIIIIIIIIIIIIIilllllllllllliillllll1111llllllllllllllllllll„S�IoQ' 3 f
4.1 1iRIIIIR1111II=IIIIII=IIIIII IIIIIII=111111=111111=III:0-3'' 5 -Y.
_ _ ui
S4Ope -null=IIIIII=IIIIII=116J=IIIIII=IIIIII- ' ix E., ,
0
L�
12.0 4
32.0
SECTION B'-B'
4
•ROPOSED 12'X18. LEGEND11
ORMAL POOL ELEVATION 570' (MSL) FLOATING DOCK (TYP.) —•— d" f "
RANDY & MARY AUSTIN ----
249 QUIET WATERS RD
CY
BELMONT, N.C. 28012 — u.
XISTING GRADE OF THE PROPOSED �
DREDGE AREA TO BE EXCAVATED =_ a� `.k C�i't,H
APPROXIMATELY 3'-5' �,g
18.0 -' 9 fr µ�1
m F a.AUt
o
-- 1 10.22.2021
ON
el
11210,
DO,C1.1 MUST OE �,ACCORDANCE_TM 'tIIaI__IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII==IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII- 0
fro, '—IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII—IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIIIII=IIRS\-6' „.
CONS 3'S<ppIIII_IIIIII—IIIIII—IIIIII—IIIIFiIIIIII-IIIIII—IIIIII—IIIIII—IIIIIIIUIII 0. ;- o a
-,>o ,..4 F IIIIII=IIIIII=IIIIII=IIIIII1111JIIIIII=IIIIII=IIIIII-III' '" 0 = (0 Z
p H: €
SECTION
18.0 .. . Q
' .��,.�.. IT.. , SECTION A'-A' W
Duke Energy Excavation Permit Application Form
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee$ Security Deposit$ Check# Date Recv'd Initials
Date of Duke Energy Lake Services,applicant and/or contractor on-site inspections Date Initials
Date Final Protection/Avoidance Area Markings Field-Verified Initials
Approved to Start Work By*: Date
(Print) (Sign)
Date Completion Required Date of Any Approved Extension Initials
Date Passed Closeout Inspection* Initials
Any Stop Work Orders or SMG Violations*?(check one) ❑Yes ❑No (If Yes,explain in PART V)
Date Deposit Refunded Initials Date Permit Database Updated Initials
*Forward copy of approved application(all pages,plus any attachments that Duke Energy changed)back to applicant
with Approval Letter and highlight any changes.File copies of Approval and Close-out Checklists and any Stop Work
Orders with application.
Part I. Applicant Information (Please Print)
Name Randy H. Austin Telephone 704-609-8801
Email address: randy@visionmetering.com
Lake Address Mailing Address (if different)
239 Quiet Waters Rd
Belmont, NC 28012
Contractor Company Randy H. Austin (will bid dredging once permits received)
Contractor Contact Person Randy H. Austin Telephone 704-609-8801
Contractor Email Address: randy@visionmetering.com
LAKE LOT INFORMATION
Lake Wylie County Gaston City Belmont State NC Tax Map No.
Subdivision Forrest Bay Lot/Section No. 27, 28 & 29 Lot Size 2•6 Acres
Duke Energy Page 4 of 13 rev 10/1/2019
Excavation Program
Duke Energy Excavation Permit Application Form
Are there any Co-Applicants*? (check one) EYes ❑No (If Yes, include names, street
addresses or lot numbers,pier numbers,phone numbers, and email addresses in Part V—
Additional Information)
* Co-Applicants exist when the proposed work is being done under a single application,will be
performed by a single contractor as one continuous project, and is done to benefit multiple
owners/ lease holders of Project-front properties within a single development. There can be no
more than 4 co-applicants in addition to the lead applicant on any application.
Do not continue the application until an on-site inspection has been conducted between a
Duke Energy Lake Representative and the applicant and/or the excavation contractor.
NOTE:Initialling this portion of the application by a Lake Representative in no way
constitutes approval or eminent approval of the excavation or any other lake use permitting
activity.
2/2/2021
Date of on-site inspection
Initials (Duke Energy)_ (applicant/contractor)
Duke Energy Page 5 of 13 rev 10/1/2019
Excavation Program
Duke Energy Excavation Permit Application Form
Part II. Description of Project
•
A. Basic Information
1. Type of excavation: (check one) D New excavation 0 Maintenance excavation
2. Purpose of excavation: (check one) 0 Boat Access Channel
❑ Water Intake Channel 0 Wastewater Discharge Channel
❑ Other(specify):
3. Lake user category: (check one) DPrivate ❑Residential Marina
❑Commercial Marina ❑Public
❑Other(spec):
4. Max. Excavation Area Dimensions (ft): Length 150' Width 30' Depth 3'to 5'from 97'
(Note: include additional area dimensions if necessary so response to #5 below equals max. area
dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): 500 to aoo Cubic yards
6. Type of material removed (applicant determines by field sample if practical):
Sediment, Silt, Sand
7. Excavation Site area: .5 to.75 Acre (s) Disposal Site area: 1.25 Acre(s)
8. Total Disturbed Area(including equipment staging area):-5 to.75 Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
✓ {es Jo
10. Do you claim title to the disposal area? (check one) EYes No
11. Do you claim title to the equipment staging area? (check one) ❑Yes '10
12. Are there any water-treatment facilities within 50 feet of the proposed excavation area?
(check one) Yes ✓ to
(If Yes, spec):
13. How will the excavated material be entrapped and the erosion controlled? (e.g. see attached
erosion control plan and disposal area design):
A hole will be dug on lot 20 across the street from Lot 27(269 Quiet Waters Rd.) in the
area designated on the attached map. Silt fencing will be installed around the hole and
spoils and SCE to burial pit.
Duke Energy Page 6 of 13 rev 10/1/2019
Excavation Program
I �
Duke Energy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used:
Track Hoe and/or pump
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) ❑Yes UNo
(If yes, explain)
16. Will return water re-enter the reservoir? (Check one) ❑Yes I INo ON/A
(If Yes, sped point(s) of re-entry and show on Excavation Area Drawing)
17. Is there an existing facility(e.g.pier)that access is being maintained to by conducting the
excavation? r21Yes ❑No
(If Yes,provide the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit#
18. Total planned duration of the work(Include first equipment mobilization, excavation
through final mitigation measures complete):
START 11 / 2021 FINISH January / 2022
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 13 rev 10/1/2019
Excavation Program
Duke Energy Excavation Permit Application Form
Part II. (Continued)
B. Protection/Avoidance Area Description
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas Approx Identification Method(*) Avoid(A)or Mitigate(M)
(check all that apply) Acre Field II) Work Area Dwg. ID
None a. Marshland,swamp,ponds,beneficial
aquatic vegetation or other potential wetlands
(circle all that apply)
None b. Buffer Zones(speck width&source
of requirement)
None c. Environmental Areas as identified by
Duke Energy
None d. Natural Areas as identified by Duke
Energy
None e. Historic properties(sped)
None f. Rare or threatened species(sped)
Duke Energy Page 8 of 13 rev 10/1/2019
Excavation Program
Duke Energy Excavation Permit Application Form
Protection/Avoidance Areas Approx Identification Method(*) Avoid(A)or Mitigate(M)
(check all that apply) Acre Field ID Work Area Dwg. ID
None g. Buried gas,water,sewer,
communications or electric lines(circle)
None h. Impact Minimization Zones as
identified by Duke Energy
None i. Other areas requiring specific
avoidance,protection or mitigation(spec)
* For"Field ID"column, specify entity or person that performed the identification and how it was physically marked(e.g. Duke
Energy(John Doe)/Pink and purple-dotted tape,Corps of Eng. (John Smith)/yellow flagging). For"Work Area Dwg ID"column,
show the symbol that is used on the drawings to identify the protection/avoidance area.
** List and attach
on miti ati plans
g
Duke Energy Page 9 of 13 rev 1 of 1/2019
Excavation Program
Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
Comments: I am a General Contractor in North Carolina with an unlimited license and
my license number is 60134.
Applicant Name (print) Randy H. Austin
Applicant Signature* Date
Co-Applicant Name (print) Frank B. Nichols
PP
Co-Applicant Signature* Date
Co-Applicant Name (print)
Co-Applicant Signature* Date
Co-Applicant Name (print)
Co-Applicant Signature* Date
Co-Applicant Name (print)
Co-Applicant Signature* Date
*Per my signature,the information provided in this application is correct to the best of my
knowledge.
Duke Energy Page 10 of 13 rev 10/1/2019
Excavation Program
Duke Energv Excavation Permit Application Form
Part III. Additional Information
A. Deed and Survey Plat: A copy of the deed and registered survey plat or other instrument
under which each applicant and co-applicant claims title to the affected property(the
shoreline adjoiningthe excavation area, equipment stain area, area crossed by any spoil
staging
and return water lines, and the disposal area). If the applicant(s) is(are)not the owner(s)of
said property,then forward a copy of the deed and registered survey plat or other instrument
under which the owner(s)claim title plus written authorization from the owner(s)to carry
out the project on their land.
B. Excavation Area Drawing: An accurate drawing of the area to be excavated.The drawing
must show at a minimum, a North arrow;the boundaries and acreage of the proposed
excavation area and equipment staging areas; lake,county, city, cove,tributary, road and
subdivision names and lot numbers(as applicable);property corners for project front lots;
the full pond elevation contour and lines dividing the cove width into equal thirds(as
applicable); approximate volume in cubic yards of the material to be excavated; point(s)of
return water re-entry;the boundaries of any adjoining areas that are to be specifically
avoided or protected during the work and the location(address)of the disposal area for the
excavated material. [NOTE: A copy of this drawing must also be provided to the
excavation contractor to ensure restricted areas are not impacted.]
C. Disposal Area Drawing: An accurate drawing of the proposed design for the disposal area.
The drawing must show at a minimum,a North arrow;the boundaries and acreage of the
proposed disposal area; lake,county, city, cove,tributary,road and subdivision names and
lot numbers(as applicable);the full pond elevation contour(unless disposal is well away
from the lake);the boundaries of any adjoining areas that are to be specifically avoided or
protected during the work;the location(address) of the excavation area from which the
material came and a statement of the disposal area's capacity with all dimensions labeled
that were used in the volume calculation. [NOTE: A copy of this drawing must also be
provided to the excavation contractor to ensure restricted areas are not impacted.]
Also note for projects larger than one (1) acre in North Carolina, including excavated,
equipment staging, and disposal areas, you must submit an erosion control plan. For
projects larger than two(2)acres in South Carolina, including excavated, equipment staging
and disposal areas, you must submit an erosion control plan. For projects< two(2)acres in
South Carolina,you must submit a completed standard reporting form for construction sites
disturbing two(2)acres or less to the South Carolina Dept. of Health and Environmental
Control (SCDHEC)- Stormwater Management
D. Vicinity Map and Driving Directions:A vicinity map and directions by road showing
directions to both the excavation area and disposal area. Include the latitude and longitude of
both the excavation area and the disposal area.
Part IV. Agency Reviews and Approvals
Begin this section with a summary table of all agencies consulted and applicant response to
agency comments as shown in the example table below. Agencies should be listed in the order
Duke Energy Page 11 of 13 rev 10/1/2019
Excavation Program
Duke Energy Excavation Permit Application Form
shown in the Agency/Organization List. Consultation letters must be dated within the two years
preceding Duke Energy's receipt of the application.
Table IV-1. Sample Agency Comment and Res onse Table
Agency Comment I Applicant Response
Agency 1
The activity is approved as proposed. NA
Agency 2
The on-site well provides drinking water to the Contacted Mr. Smith on 1/1/20xx. No
public. Please contact Mr. Smith to discuss the further action needed.
proposed changes and potential issues
associated with your proposal.
You must contact us immediately if Applicant will contact Agency 2 if
endangered species are located during the endangered species are located during
course of construction. construction
Agency 3
Requested agency comments on 1/1/20xx and NA
again on 2/1/20xx. No response as of
2/16/20xx.
Agency 4
Section 401 Water Quality Certification Applicant will comply with the conditions of
the 401 Water Quality Certification
Following the table of agency comments and applicant responses, include a table of permits and
certifications issued by the reviewing agencies. As with the table of agency comments and
applicant responses, agencies should be listed in the same order as they are listed in the
Agency/Organization List.
Table IV-2. Sample Agency Permits and Certifications Table
Agency Permit/Certification Name Date of Date of
Issuance Expiration
Agency 1 Surface Water Withdrawal Permit
Agency 2 Section 401 Water Quality Certification
Following the two summary tables, include a copy of all correspondence to and from any local,
regional, state and federal agencies or other organizations with which you are required to consult,
including any required permits(e.g., Section 401 water quality certifications, Section 404
dredge/fill permits,building permits, etc.)or other approvals or comments which have been
obtained from these organizations regarding this activity. Include a copy of any local,regional,
state or federal regulations or guidelines that will be followed. All permitting issues must be
resolved and clearly documented. Correspondence should be organized in the order the agencies
are listed on the Agency/Organization list with the applicant's request for comments followed by
additional correspondence in chronological order. All permits must be valid at time of
Duke Energy Page 12 of 13 rev 10/1/2019
Excavation Program
Duke Energy Excavation Permit Application Form
application and have a term longer than the projected schedule for completing the permitted
project.
Part V. Additional Information
Provide relevant additional information. Reference previous parts as applicable. Include the
FERC-required Environmental Assessment if you were directed to do so during the initial site
visit. If there are co-applicants, this is where their information would be provided (see Part I).
Frank B. Nichols at 243 Quiet Waters Road, Belmont, NC 28012 will be joining the
dredging process so we do the entire cove at one time. His email address is
fbnichols@yahoo.com.
RandyH. Austin owns the propertyat 269 Quiet Waters Rd, Belmont, NC 28012.
Duke Energy Page 13 of 13 rev 10/1/2019
Excavation Program
' s,. Y
.m,
n^
«_ E'�i-•
k]aanex J 1 'A
,/erg '4.. \ fl,rwoW. - r `S• ' r.
GASTONIA �_—__ /„+ ✓' \ rm.'r
caa
e
:. it .0' r 1
F
1
. ." SITE,,
x R
\ j a,r. ,s 4 I
\ .....^. , (
'4. N \\\,. .' ' - 11, i
k-in cA�n LINA ~n9 ' V ,
A�ouNA
— — a
a t
rs e t J' 's f.
1
EXCEL CIVIL&ENVIRONMENTAL TOPOGRAPHIC MAP it
ASSOCIATES, PLLC
625 HUNTSMAN COURT Excel Project No. 2021088
GASTONIA, NC 28054
(704) 853-08000 N
Source: USGS Belmont NC-SC, 2016