20140780 Ver 1_401 Application_20140714

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NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
July 25, 2014
Cecil Barker
Legacy Building Co. LLC
PO Box 1133
Roxboro, NC 27573
Subject: REQUEST FOR ADDITIONAL INFORMATION
The Reserve Lot 23, Semora, Hyco Lake
Dear Mr. Barker,
John E. Skvarla, III
Secretary
DWR# 14 -0780
Person County
On July 23, 2014, the Division of Water Resources (Division) received an application, dated July 22;
2014, requesting a 401 Water Quality Certification from the Division for the subject project. 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:
I. According to ownership information on the Person County GIS website, the current owner
of the lot is Bobby and Lori Rose. If Legacy Building Co. LLC is the current owner, please
provide information that shows that ownership transfer has occurred.
2. When the applicant does not have title to the property, documentation must be provided
that the applicant has been authorized by the owner to apply for a certification. This can
be accomplished with a signed agent authorization form from the applicant and owner. An
example can be found online:
http: / /www.saw.usace.army.mil/ Portals /59 /docs /regulatory /regdocs /Permits /SAMPLE AG
ENT AUTHORIZATION FORM.pdf.
3. The application proposes impacts along 800 feet of shoreline. These impacts may not be
covered under a General Permit 198200030 from the US Army Corps of Engineers ( USACE).
It may be necessary that you apply for a Nationwide 13 from the USACE and send in a pre -
construction notification form to the USACE and DWR. This form can be found at
http: / /Portal.ncdenr org/ web /wq /swp /ws/ 401 /certsandpermits /apply /forms. Please
check with Eric Alsmeyer with the USACE at [e-mail] or (919) 554-
4884 ext. 23 to see which USACE permit can be used for this project.
Division of Water Resources — 401 & Buffer Permitting Unit
1617 Mall 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

DWR # 14 -0780
Request for Additional Information
Page 2 of 2
Please send four copies of the information requested above within 30 calendar days of your
receipt of this letter to Shelton Sullivan at 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
This letter only addresses the initial administrative review and does not authorize any impacts
to wetlands, waters or protected buffers. 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 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,
Karen Higgins, Supervisor
401 & Buffer Permitting Unit
cc: Duke Energy, PO Box 1551 NC RH 16, Raleigh NC, 27601
USACE Asheville Regulatory Field Office
Cheri Smith, DWR RRO — email copy
DWR 401 & Buffer Permitting Unit — file copy
Filename: 140780Legacy BuildingCoTheReserveLot23HycoLk (Person)_RequestForMorelnfo

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lu foflowing is an abed f" for Lase
Cfft on to impact FEW (Federal Effigy for a 441 water Quality
bottom ender the U.S. )mated cage sore or
� of GP30='T* tatmsot be used
for wetland or stream . Please seven ('f) c Sf and sapporting
imfor as well as a ble fee to ffie f Of W Qty of $240 AO
for of to lake batd m of less d=1 acre and $5W x! for hquets to lake bottom of Venter
or equal to 1 sere.
Apps shmW be sW to: b
&vWm of water Quality401 ova g �.�_.r ECE1VED
1650 4aff Service Curter
Raldgk NC z70.9-16a - JUL 23 2094
JUL 2 2014 DENR -LAND QUALITY
� �t � STORMWATER PERMITTING
QUM I?�,'
1. OwnedApplicaBt Infor6WOn ' t� " Sforr�, d� Br 0-
Name:
Mailing
Telephone Number: _C(2.,Z� �e-
2. gac Aiumber: E -ntail
Agent Information (A signed and dated copy of
the, Agent Autboii ation letter must be attached
if the Agent has signamy-zghm-� for the ®vnrenl*&=t,)
Name:
company AffiIiadon:
Mailing Address:
Telephone Number; , Fan Nmn;
&mail Address:
IL Project hdoraration
Attach a vicb*y map cleady sho tie IocaMc�' ' o .
as towns, f the p�v + yvrt� to
deveIuPment pleas relation to a y b ad
such
hand sketch of your p xiect. Also ow for may ; below to make a
Plan must include a scale and north arrow The foo4rmu of - � �;ty m and site
facilities mast be included, �' pemiow surfaces, or offer

I. Location
County: e- (Sa n Nearest Town: 3e c -
Subdivision name or site address (include phaseJlot number).
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): Yk"l -/ -�-N r-I-ft p
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2. Describe the existing land, use or condition of the site af the time of this application:
3. Property size (acres): /q
4. Nearest body of water (stream/riverlsound/oceaq/lake
S. Describe the purpose of the pro" work: L
' ►1AI
6. List the to be'
type of used to constrict the project ;
7. Amount of impact (including all' excavation backfill , rip rap, retaining wall s et
r
normal pool lake level in square, feet or acres: 800 .X I
8.a. Amount of ' ict including all clearin
�P ( g g, ack fill, excavation, p rap, retaining walls, etc.)
above the normal pool lake° le�� d 50 feet land -ward in, square feet or acres:
8.b. Please describe vegetation above the normal pool lakke level and 50 feet landward to imp
acte3
(number of trees for instance): e 1 p Yl/`S �1 f� /s kefuc
ApplicandAgent's Signature ,
(Agent's signature is valid' only if an authorization letter,from the applicant is provided.)

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Map Number A24 200
Person County, North Carolina - Property Record Card Record No. 27887
Data as of 24- JUL -14 - 22 12 22
QWNERBHIP— QZ242Q14— 21896 3Q2 ----
ROSE BOBBY R JR & LORI A ROSE
1PRQPERTY—DEBQRIPTIQN-- - - - - --
ITHE RESERVE /LT23 /BLDGS
TAX_BUBDIVV�IQNB - -- MAP NUMBER- - -QARQ NQ
ICUNNINGHAM TOWNSHIP
I A24 200 1
q
3550>SOUaTrH- CHURCHST 0-
BURLINGTONINC 27215'
QEED_ 857_ 1Q2N11262Q8— -----
OFF A24/177/REC27469 PER
PLAT16/495 FOR 2014
b IIFR BM DEEP WATER F14
_121EBTATE— RD---------- - - - - --
----- _ —_ - -- _ -
RECORD NUMBER 27887
1ROUTE 0
-- ILISTER PLCO62314
1REVIEWPLCQ62714___--
TQP4 - -- I BT —REET— I UT I LTTY
I ZQN - G— --- 11.98—
A-CREB-- - - - - --
1 ROLLING [PAVED, INONE
AFCT 6- HOMESITE
I
i NOTES ADD LAND F14
# ILAND3LA_a8— I--8 1ZE—_LBASERATE* FRNT *D21H *AD1=
11153UWTRVIEW31 1 OOACI 380000 I 1
12142ERESID 21 0 98ACI 40501 0 92ACFI
1
I
ADIRATE *UNITB =LND -VALUE
13800001 1 001 380000
37261 0 981 3651
I
ILAND —VALUE-------- - - - - -- - --
-- 388661
1 #IQTHER FEAT -1 — 81ZE— _LBA6ERATE *QQND
= ADBRATE *UNITS =QF6 -VALUE
11 1CGARAGE 1 23* 331 22 411
12184BCANOPY 1 13* 41 19 461
131 8BSHELTER 1 1* 6731 7 441
I
1 22 41 7591 17009
1 19 461 521 1012
7 441 6731 5007
1
1
I
IQTHER— VALUE - - - --
IENQ9TIQNIXTRFN16HIROQFTYPEIRQQFMTRLI61ZELQTYI
I I I I i I
-- ----- --- 28Q2.8
IWALLFN5— HIFLQQR5— IHEAT�AIRIHEATFUELI I
I I I I I I
QTHER - - -- — 4--- - - - - -�
±1 BTRUCTURELBKTQH= BF *BLT= AREA — RATE *QEQF +HEAT +EXWL *WLHI= ADIRAT* —AREA= _ RPQN*
DEPF *CNDF =BTR =VALUE
- - - - -- - -- -----
BTRUCTURE —V—ALUE..— ------ ------ - - - --- = - -
-- ------ - - - - -Q
V A LUAT QN1----------- - - - - --
LAND
OTHERFEATI
-VALUE I- - - - - -- - - -- I- - - - - --
38 1 1
23028
I - --
1 193763LV/AC
TOTAL VALUE 4066 7 9
STRUCTUREI 1
TQTAL --I ------- J--
01 I
4Q667R� - - - - -- -- �- - - - --
I
--- - --- -- -- --
--
-------------------------
--- - - - - -- ------------ --- APPRA 1 BED— VALUE -- 4Q6629

North Carolina Secretary of State
Page 1 of 2
North Carolina
Elaine F. Marshall DEPARTMENT-017 TI-IE
Secretary SECRETARYOFSTATE
PO Box 29622 Raleigh, NC 27626-0622 {919}807 -2004
Account Login Register
Our web site will be unavailable starting on 7/25/2014 at 5.00 PM due to scheduled electrical maintenance. We expect
service to be restored by 7 00 AM on 7/28/2014
Date: 7/25/2014
Click here to-
View Document Filings I File an Annual Report
J Print a Pre - populated Annual Report Fillable PDF Form I Amend A Previous Annual Report I
Corporation Names
Name
Name Type
NC LEGACY BUILDING CO., L.L.0
LEGAL
Limited Liability Company Information
SOSID:
0643540
Status:
Current - Active
Effective Date:
8/27/2002
Citizenship:
DOMESTIC
State of Inc.:
NC
Duration:
PERPETUAL
Annual Report Status:
CURRENT
Registered Agent
Business Address:
Agent Name: BARKER, CECIL EDWARD, JR.
Office Address: 333 OLD DURHAM ROAD SUITE 200
ROXBORO NC 27573
Mailing Address:
PO BOX 1133
ROXBORO NC 27573
Principal Office
Office Address:
333 OLD DURHAM ROAD SUITE 200
ROXBORO NC 27573
Mailing Address:
333 OLD DURHAM ROAD SUITE 200
ROXBORO NC 27573
Officers /Company Officials
Title:
MEMBER
Name:
CECIL EDWARD BARKER JR
Business Address:
333 OLD DURHAM ROAD SUITE 200
ROXBORO NC 27573
Title:
MEMBER
Name:
MARSHALL THOMAS DUNCAN JR
Business Address:
333 OLD DURHAM ROAD SUITE 200
ROXBORO NC 27573
http: / /www.secretary. state. nc. us / corporations /Corp.aspx ?PitemId= 5521169 7/25/2014

2.
^Amw followilmg is an abbrev% .
Catmemom to fiV8d FUC (Feder fear W for a 401 Water
for , &9 U.S. Army C+urps,�f R'� ") reg W d lake shore or
iorwMam 'e'er or stream .Fie t Gam' Thm A rlon be and
tOr as wel! aus a mm� ire � � � ��n a� saPPortieg
mcts of to Take b of 1em 1 a� aDd of W, 4w Qa X40
�' to i �57iw,to bke bottom of Vuter
Ao5calions dwW be xw tw 2 0 1$ 0 T 8 O
DWWOR- water Qty 401 ownWO0
16M Swv� �p
NC 27fi6ft-1668
L AppNeW Wonnadw S A P X 20111 ;
1. 0w=dAWHcmt WamtW. " Wv a�, � .l
Stt�rn -R QU a . Ty
Nam: ��bb rz, fiZ �',
Mailing Ate' --- C
Telephone Numb.
E-mvl Aft=:
a z 3 Z33�'
_ Fax Nutrtber:
Agent bfonnation
if the Agent has sigma � y Amt Atomization 1 must be
� ctanet�!l�), attached
Nanne:
CMMY Aeration:
Ming Add:
Telephone Nw%e . -
Faa Na�et:
E-mail Addmss:
Attach a vlkimfty AM" wIth
as towns, riveats, g the h)maon of liar
cievelop�t P� d Ii(. & MSO PwVW a s& � respect to local. Nadma&s such
hand sketch of your Froie �' . You ua;y and
plan must include a sale aw for gttida� g 6edow, to made a fot facilities must be inch � mow. m of all buildings, vicinity su f and site
�, or. other �- I�Yau�Q Cfi2 ck�
6qa-aq 13c1.Lo.�,cy

I • Location
county.
Nearest Tom: !'
Subdivision name or site
Directions to site e s f�iude phasellot atr), �S�Y Zj
Pl include road �, landmarks
tic tY included. ,etc. (Phis is not rwmsa y if an adequate
�- i ONJ 1
2.
Describe the existing land use m. condition
3. Pr�rty size ( ): , the site at the time of this application:
4. Nearest R � AC �5
S body of � fwerlsoake �
Describe the pte of the Mposed work: ,J(�
_ IC,Z dX o 1 "l '7 , ,I 1 sC
6. List the type,of m v
e4 Pmt to be" used to,onstixg
?• Amount ofia�i i D
g -all excavation, I
normal pool lake level ' ',�'aP rainfng walls, etc.} below the
M square feet or acres.
8.a. Amount of impact (fig
above the � �, back �: excavatimi, rip rap, retaining walls, etc.)
7 Z P �"S�'MR l and SO feet lard -ward - fee# or- �+es;
8.b. PIcasc describe vog on above the n
(number of Pool lake level and 50 feet landward to be impacted
go
Applican is Sim =
(Agent's signature is valid only an
y iUthorizatian letter fpm
�the aPPlicant is Provided.)

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4
CCD W
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
July 25, 2014
Cecil Barker
Legacy Building Co. LLC
PO Box 1133
Roxboro, NC 27573
Subject: , REQUEST FOR ADDITIONAL INFORMATION
The Reserve Lot 23, Semora, Hyco Lake
Dear Mr. Barker,
John E. Skvarla, III
Secretary
DWR# 14 -0780
Person County
On July 23, 2014, the Division of Water Resources (Division) received an application, dated July 22,
2014, requesting a 401 Water Quality Certification from the Division for the subject project. 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. According to ownership information on the Person County GIS website, the current owner
of the lot is Bobby and Lori Rose. If Legacy Building Co. LLC is the current owner, please
provide information that shows that ownership transfer has occurred.
2. When the applicant does,not have,title to the property, documentation mustbe provided
that the applicant has been authorized by the owner to apply for a certification. This can
be accomplished with a signed agent authorization form from the applicant and owner. An
example can be found online:
http://www.saw.usace.armv.miIZPortaIs/59/docs/reguLator yZ regdocs/Permits/SAMPLE AG
ENT AUTHORIZATION FORM pdf.
3. The application proposes impacts along 800 feet of shoreline. These impacts may not be
covered under a General Permit 198200030 from the US Army Corps of Engineers ( USACE).
It may be necessary that you apply for a Nationwide 13 from the USACE and send in a pre -
construction notification form to the USACE and'DWR. This form can be found at
http: / /portal.ncdenrorg/ web /wq /swp /ws/ 401 /certsandpe'rmits /apply /forms: Please
check with Eric Alsmeyer with the USACE at [e-mail] or (919) 554-
4884 ext. 23 to see which USACE permit can be used for this project.
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