20140939 Ver 1_More Info Requested_20140905

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
September 5, 2014
Freddie Lee
F.B. Lee Development Co. Inc.
811 Bryan Road
Thomasville, NC 27360
Subject: REQUEST FOR ADDITIONAL INFORMATION
2340 Riverview Road, Lexington, High Rock Lake
Dear Mr. Lee,
John E. Skvarla, III
Secretary
DWR# 14 -0939
Davidson County
On August 28, 2014, the Division of Water Resources (Division) received 3 pages of an incomplete
application regarding shoreline stabilization for the subject project. A copy of the 3 pages received by
the Division is attached for your reference. The Division has determined that the application is
incomplete and cannot be processed at this time. The application is on -hold until the following items
are addressed.
1. Please resubmit 3,copies of the application using the updated Application Form for Lake Area
Residence Work and Application Checklist, attached for your reference, or you can find these
forms on the internet at: http•/ /portal ncdenr orp/ web /wq /swp /ws/ 401 /certsandPermits /apply /forms .
a. With these application forms, please confirm your mailing address as Bryan or
Riverview Road in Thomasville or Lexington Also, please confirm the address of the
project location as 2340 Riverview Road in Lexington or other.
b. Please provide the length and width of shoreline proposed for stabilization. See the
following example or the Shoreline Stabilization Help Document on the web at link
above.
c. In the following example, the shoreline is 150 ft. in length and there are 4 ft. of impacts
above the full pond water level and 3 ft. below the normal water level, measuring
horizontally from the top of the slope but not down the slope.
Division of Water Resources — 401 & Buffer Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699 -1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 919 - 807 -63001 FAX: 919 - 807 -6494
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper

Full Pond/
Normal Water Level
Shoreline
Lake Existing
(At Full Pond/ Normal Water Level) Dock
30ftx7ft
Riprap
znx ISO U
ddional
ad nal
clearing
• ifnecessary-
I
F.B. Lee Development Co. Inc.
DWR# 14 -0939
Request for Additional Information
Page 2 of 3
3ftx150ft�
Below full pond /; N W L
®_VON
__-
4ftx150ft
Above full pond/ NWL
2 ft. additional
clearing
3 ft_ below ful I pond 4 ft. above full pond water 'if necessary'
L water level level
2. It is not necessary to resubmit an application fee. The Division received check no. 1102 for
$240 on August 28, 2014 and this will be processed.

F.B. Lee Development Co. Inc.
DWR# 14 -0939
Request for Additional Information
Page 3 of 3
Please send 3 copies of the information requested above within 30 calendar days of your receipt of this
letter to Shelton Sullivan at Shelton.sullivan @ncdenr.gov or to the below:
If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.)
DWR — 401 & Buffer Permitting Unit DWR — 401 & Buffer Permitting Unit
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699 -1617 Raleigh, NC 27604
Pursuant to Title 15A NCAC 02H .0502(e), the applicant shall furnish all of the above requested
information for the proper consideration of the application. If all of the requested information is not
received in writing within 30 calendar days of your receipt of this letter, the Division will be unable to
process the application and it will be returned. The. return of this project will necessitate reapplication
to the Division for approval, including a complete application package and the appropriate fee. Please
be aware that there is no authorization under the Section 401 of the Clean Water Act for this activity
and any work done within waters of the state or within any riparian buffers may be a violation of North
Carolina General Statutes and Administrative Code.
Please contact Shelton Sullivan at (919)- 807 -6361 or shelton.sullivan @ncdenr.gov or me at (919) 807-
6360 if you have any questions or concerns.
Sincerely,
e—
Karen Higgins, Supervisor
401 & Buffer Permitting Unit
Enclosure: Incomplete application; Updated application form; Application checklist
cc: Freddie Lee, F.B. Lee Development Co. Inc., 1981 Hickory Point Drive, Lexington, NC 27292
USACE Asheville Regulatory Field Office
Sue Homewood, DWR WSRO
DWR 401 & Buffer Permitting Unit — file copy
Filename: 140939FBLeeDevColncHighRock (Davidson)_RequestForMorelnfo

The following is an abbreviated application form for those applying Y for a 401 4fiater Quality
ig
Certification to impact FERC (Federal Energy Regulatory Commission) regulated lake shore or
j bottom under the U.S. Army Corps of Engineers permit GP30, This Application cannot be used
for wetland or stream impacts. Please provide five (5) copies of this application and supporting
"iinformation as Well as a non - refundable application fee to the Division . i on of Water Quality' of $2.10.00
for impacts to lake 1 >0ltom of less than 1 acre and $570,00 for impacts to lake bottom of greater or
equal to 1 acre.
Applications should be sent to:
Division of 11"Rter Quality 401 Oversight/Express Review Permitting
•1650 flail Service Center
Raleigh, NC 27699 -1650
I. Applicant Information
1. Owner /Applicant Information
Name: -, ti �. .ti
Mailing Address: tt
Telephone Number:
E -mail Address:
0
C'
r
�� ys
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached
if the Agent has signatory authority for the owner /applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E -mail Address:
II. Project Information
Attach a vicinity neap clearly showing the location'of the property with respect to local landmarks such
as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and
development plans in relation to surrounding properties. You may use the diagram below to make a
hand sketch of your project. Also, see the example below for guidance. Both the vicinity map and site
plan must include a scale and north arrow. The footprints of all buildings, impervious surfaces, or other
facilities must be included.

►. Davidson County Map Output Page
avidson County GIS
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Parcel Number:
06035DOOLOO 19
Land units:
LT
Pin Id :
6710 -04 -50 -8824
Deed Book:
1743 Pg: 1143
F Q LEE DEVELOPMENT CO INC
Owner:
1318 LEE ROAD
Deed Date:
1 1/01 /2006
THOMASVILLE NC 27360 -9434
Property Address:
2140 RIVERVIEW RD
Account Number:
9082682
Township:
06
Exempt Code:
Building Value:
SO Other Building Value:
s0
Land Value:
5125.000 Market Value:
8125,000
http: / /webgis.co.davidson.nc.us/ website /davidsongis /printpage.aspx 8/22/2014

Davidson County Map Output Page
all
Page 1 of 2
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i Davidson County GIS s
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Parcel Number :
06035DOOL OO19
Land knits:
LT
Pin Id:
6710 -04 -50 -8824
Deed Book:
1743 Pg:1143
F B LEE DEVELOPMENT CO INC
Owner:
1318 LEE ROAD
Deed Date:
1 1!01/2006
THOMASVILLE NC 27360 -94 34
Property Address:
2340 RIVERVIEW RD
Account Number:
9082682
Township:
06
Exempt Code:
Building Value:
SO Other Building Value:
SO
Land Value:
5125,000 Market Value:
S125.000
http: // webgis. co. davidson. nc. us / website /davidsongis /printpage.aspx 8/22/2014

Provide three (3) copies of the application and supporting information (maps, drawings, etc.),
as well as the appropriate application fee (see below), to the Division of Water Resources,
401 & Buffer Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699 -1617.
Applicant Information
❑ Owner Information: Please provide complete and accurate contact information
❑ Agent Information: Per 15A NCAC 02H .0502 , an agent may be given signatory
authority for the owner /applicant if a signed and dated copy of an Agent Authorization
letter is included with the application. (A sample form may be found at
http: / /www.saw.usace. army. mil / Portals /59 /docs /regulatory /regdocs /Permits /SAMPLE
AGENT AUTHORIZATION - FORM.pdf)
Project Information
❑ Vicinity/ Site Map: Some type of site map so that someone unfamiliar with the area can
locate your project. A county map or USGS topographic map indicating the project
location is usually sufficient.
❑ Site Plan: A site plan showing the location of the shoreline, location of the impacts to
the shoreline and /or lake bottom and the location and any vegetated areas that will be
impacted. In most cases the site plans do not have to be professionally prepared.
However, if you intend to conduct hydraulic dredging, professionally prepared drawings
will likely be required for the spoil structures. See example below.
❑ Photograph of shoreline to be impacted/ disturbed
❑ Description of property (including location information and lat /long coordinates) and
existing features on and near the site
❑ Description of project and impacts/ disturbance proposed
III. Signature
❑ Per 15A NCAC 02H .0502 , the application shall be considered a "valid application" only
if it bears the signature of a responsible officer of the company, municipal official,
partner or owner. This signature certifies that the applicant has title to the property, has
been authorized by the owner to apply for certification or is a public entity and has the
power of eminent domain.
IV. Appli tion Fee <�7
The a pp lication must be accompanied by the a pp ro riate application fee (checks made
out to the NC Division of Water Resources). The application fee is as follows (pursuant
to G.S. 143- 215.3D):
➢ $240.00 for impacts to lake (below normal water level) of less than 1 acre
➢ $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
INSTRUCTIONS FOR APPLICATION SSGP307980 08 -13 & SUPPORTING DOCUMENTATION Page 2 of 3

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
D­_W1
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of Water Resources
FORM: SSGP 10 -2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 -1617
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Mailing Address:
Telephone Number:
E -mail Address:
2. Agent/ Contact Person Information
Fax Number:
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http: / /www.saw.usace.army.mil/ Portals /59 /docs /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E -mail Address:
Person to receive the Certification Approval:
Fax Number:
II. Project Information [15A NCAC 02H .0502(a) & (b)]
1. Attach a vicinity map (i.e. street map) clearly showing the location of the property with
respect to local landmarks such as towns, rivers, and roads.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces,
FORM: SSGP 10 -2013 Page 1 of 3

etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
and construction access corridors. You may use the diagram provided at the end of this
application form.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale
of some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: Nearest Town:
Subdivision name or site address (include phase /lot number):
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees) Longitude (decimal degrees)
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):
6. Property size (acres):
7. Lake/ river/ ocean adjacent to property:
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
9. Will work be conducted from land? ❑ From water? ❑
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres:
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in
L
square feet or acres:
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted (number of trees, for instance):
I
Owner /Agent's Signature
Printed Name
[15A NCAC 02H .0502(f)]
"Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10 -2013
Date
Page 2 of 3

Full Pond/
Normal Water Level
I
st
Lake
(At Full Pond/ Normal Water Level)
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft x 100 ft) *:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10 -2013 Page 3 of 3