20140826 Ver 2_401 Application_20141114

of wArFq PAID
o� pG Office Use Only:
r Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version
Pre - Construction Notification (PCN) Form
A.
Applicant Information f J /ARLEy
1.
Processing
1a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit ❑Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: �w �';� or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
Yes
❑ No
1 d.
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 j9 No
For the record
❑ Yes
only for Corps Permit:
® 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
X No
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
2a.
Name of project:
712- MOMiSOIV FARM Rk
2b.
County:
1'r CA c-I
2c.
Nearest municipality / town:
TrUU +Y�t P, P4
2d.
Subdivision name:
NIA
2e.
NCDOT only, T.I.P. or state
project no:
K3
3.
Owner Information
NOV lu 14
3a.
Name(s) on Recorded Deed:
q O N P M A N T j& � A �
3b.
Deed Book and Page No.
15ppK P {S 7q-7q
401 a BUFFER PERMITTING
3c.
Responsible Party (for LLC if
applicable):
/
�(
3d.
Street address:
722- Mom say Rwi, W.
3e.
City, state, zip:
—r-r-o4W�A,'J /.,I C z g/ GG
3f.
Telephone no.:
905- 56& -;-5LPq
3g.
Fax no.:
3h.
Email address:
4,nti u.c ,ors . �V
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different`from owner)
4a
Applicant is
❑ Agent ❑ Other, specify- 5144Ne� ►'$ S DWilfe.�
4b
Name
4c
Business name
(if applicable)
4d
Street address
4e
City, state, zip
4f
Telephone no
4g
Fax no
4h
Email address
S.
Agent/Consultant Information (if applicable)
5a
Name
j Fj n'
5b
Business name
(if applicable)
C -(�jG 5Tl�N>✓ is Re yew-i N LLC_
5c
Street address
(15$ OAX 6A et- FA,—*,
5d
City, state, zip
Mo o rC8 V-i C o28 I t 5
5e
Telephone no
5f
Fax no-
70q - G�0-5�bq
5g 'Email address
C be SCQ,LJA- 4 tai #JdS
A �r
Page 2 of 11

B.
Project Information and Prior Project History
1.
Property Identification
la
Property identification no (tax PIN or parcel ID),
Lf(oZQ 7 / 1 50 S _
1 b
Site coordinates (in decimal degrees)
Latitude 35.6 331 Longitude -8'0.q181
(DD DDDDDD) ( -DD DDDDDD)
1c
Property, size
3.7lZacres
2.
SurfaceMaters
2a
Name of nearest body of water (stream, river, etc )gto
proposed project
AKC 14 cr MAIf
2b
Water Quality Classification of nearest receiving water
2c
River basin map is available at
http / /h2o enr state nc us /adman /maps/
C�Yf �UJ6A, •R;, e r
3.
Project Description
3a
Describe the existing conditions on the site and the general land use in the vicinity of the project at the time,of this
application
3b
List the'total'estimated acreage of all existingFwetlarids,on thetproperty
Na we IrIANdC'
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
(i0 5A'+r� r+ 5
3d
Explain the purpose of the proposed project I
N9 5 �OV•e �idVC- 4v �YtvaA)f- eroS��1
3e
Describe the overall project in detail, including the type,of equipment to be used
��' W,DrK W J It be aoAre' (� A'TCr q y %�r�L �1,5,�/�fq t 9►'�
+Iw-k
Page 3 of 11
PCN Form — Version 13 December 10, 2008 Version

4.
Jurisdictional Determinations
4a
Have jurisdictional wetland or stream determinations,by the
Corps or State been requested or obtained for this property /
El Yes
� No ❑ Unknown
project (including all prior phases) in the past?
Comments
4b
If the Corps made the jurisdictional determination, what type
❑ preliminary ❑ Final /V( A
of determination was made
4c
If yes, who delineated the jurisdictional areas?
Agency /Consultant Company.
Name (ifJknown)
Other
I'
4d
If yes, hst,the,dates of the Corps jurisdictional determinations or State determinations and attach documentation
6.
Project History
5a
Have permits or certifications been requested or obtained for
® Yes
❑ No ❑ Unknown
this project (mcluding4l prior phases) in the past?
5b
If yes, explain in detail according to "help file" instructions TW Atuq ACS
1a /'�� 3 ©0 o R Pe S
[,JdR s -77 ee
6.
Future Project Plans
6a- Is this a,phased project?
El Yes
No
6b
If yes, explain
Page 4 of 11
0

C. Proposed Impacts Inventory
1. Impacts Summary
la Which sections were completed below for your project (check all that apply)
❑ Wetlands ❑ Streams - tributaries Buffers
®-Open Waters ❑ Pond Construction
2. Wetland Impacts Alp W l/4g�S
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 �c 5�q �+. j M hR 5
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
31 Comments
Page'5,of 11

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 indivi ually 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
01 I,gJ P ❑ T
IAI(e. l(ov -&&I
STA,5% ; zA oil
AKe-
103 %ut. ds .
02 ❑ P ❑ T
001 0 o 5lid+/�f/IaVC �
03 ❑P ❑T
04 ❑ P f❑ T
0. Total open water impacts
0.3 c*-
4g Comments
S. Pond or Lake Construction
If pond or lake,construction proposed, then com lete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream'lmpacts,(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
51 Expected pond surface,area (acres)
5j Size of pond watershed (acres)
5k Method of construction
6. Buffer 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 any impacts require mitigation, then you MUST fill out Section D of this form
6a.
El Tar-Pamlico El Other
Project is in which protected'basin?
.�❑ /Neuse
I� 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
61 [A P'❑ T
^
NA
❑
�5q Ck.0 S
I
SAo�.Z
Nos
Aft �C
B2 ❑ P'FIT
'Q Yes
polsi ( W
s
B3 ❑ P ❑ T
❑ Yes
❑ No
6h Total buffer impacts
& • 05 '
61 Comments, A .J a ,die bg ]jar aCte:SS
Page 6 of 11

D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
1a
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
b
Specifically describe measures,taken to avoid,or minimize the proposed impacts,through construction techniques
A � � LOO f-k 00f\8UC-4 ea 6(,c\ bo_n Sz_ -0 M,i Aim. ze �MP0.CtS fa
by � f r Zone . Z�
I
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?
J@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
projects
❑, Mitigation bank
El 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 - ripanan wetland mitigation requested
acres
4g
Coastal (tidal) wetland mitigation,requested'
acres
4h Comments
Page 7 of 11
PCN Form — Version 1, 3 December 10, 2008 Version

S. Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
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? If Yes, you will have Wfill out'this entire.form — please
contact'the State for more information
0 Yes [ANo
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
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
312 for Catawba)
Zone 2
15
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
Page 8 of 11

E.
Stormwater, Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
la
Does the project'include or is it adjacent to protected ripanan buffers identified
f �Q Yes [J 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.
El CH 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
S I`ar� I: n e s'�ab;1. zwa pan ally
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?
Tre-�,W l C&u j
❑ 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,Pro ram Review
❑ Coastal counties
❑ HQW
4a
Which of the following state - implemented stormwater management programs apply
❑ ORW
(check all that apply)
❑ Session Law 2006 -246
❑ Other
4b
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
5.
DWQ 401 Unit Stormwater Review
5a
Does the•Stormwater Management Plan meefthe appropriate requirements?
❑ Yes ❑ No
'5b 'Have all'ofthe 401 Unit submittal requirements been met?
❑ Yes '❑ No
Page 9 of 11
PCN Form — Version 1 -3 December 10, 2008 Version

F. Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes ® No
use of public (federal /state) land?
lb
If you answered "yes" to the above, does the�project °require preparation of an
environmental document pursuant to the regwrements,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 beenxfinalized by the
State Clearing House? (If so, attach' a copy of'the ,NEPA or SEPA final approval
letter )
❑ Yes Do No
Comments.
2.
Violations (DWQ Requirement)
2a
Is the site,m 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 f? No
2c.
'if you answered "yes "`to one or both of the above questions, provide an explanation of theMolation(s)-
3.
Cumulative Impacts (DWQ Requirement)
3a
Will this project (based on past and reasonably anticipated future impacts) result`m
Yes No
additional development, which could impact nearby downstream water quality?
3b
If you answered "yes" to the,above, submit ,a qualitative or quantitative cumulative impact °,analysis in accordance with the
most recent DWQ policy Ifyou answered "no," provide a-short narrative description
4.
Sewage Disposal (DWQ Requirement)
4a
Clearly detail the ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility
Page 10 of 11
PCN Form — Version 1 3 December 10, 2008 Version

5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will thWproject occur imor near amerea,with federally protected species or
❑Yes Is NO
habitat?
5b Have you checked with the USFWS conceming Endangered'Species Act
[] Yes ®No
impacts?
❑ Raleigh
5c. If yes, indicate theMSFWS Field Office you have contacted.
Asheville
5d What data sources,did you use to determine whether your site would impact Endangered Spectes�or Designated Critical
Habitat
6. Essential Fish Habitat (Corp Requirement)
6a. Will this project occur in or near an area designated as'essenbal fish habitat?
❑ Yes to No
6b' What data sources did you use to'detertnne whether your scte would impact Essential Fish Habitat?
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Wdl;this project occur in or near awarea,thafthe state, federal +outribal
govemments have designated,as having historic or cultural preservabon
❑ Yes No
status (e.g , National Histonc ?rust 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,RequWment)
Be Will this project occur in a FEMA -designated 100 -year floodplain?
L❑ Yes No
8bAf yes, edam how project meets FEMA requirements ^
8c What source(s) d0ouuiuse to make the ftoodplam determination?
Applicant/Agen's'Pnnted Name tcanVA&q nature Date
(I f ears sigria4ire R valid only d an authmizahon letter from the appkwd
��- - -- — — isQr°vitted 1
Page 11 of 11

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID 2014 -01986 County Iredell U S G S Quad NC- Troutman
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Permitee Anthony & Maniie Earley
Address 722 Morrison Farm Road
Troutman, North Carolina 28166
Telephone Number 205 -566 -2549
Nearest Town Troutman
Nearest Waterway Lake Norman
River Basin/ HUC Catawba
Coordinates 35.6331 -N, - 80.9281 -W
Location description The project is located at 722 Morrison Farm Road, lot 128, on Lake Norman, Troutman, Iredell County,
North Carolina.
Description of projects area and activity This permittee is authorized to impact approximately 400 Ift of shoreline on Lake
Norman during a bank stabilization project. 3001ft of shoreline stabilization was authorized under RGP 198200030. Total
shoreline to be stabilized is 7001ft.
Applicable Law E Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization Regional General Permit Number or Nationwide Permit Number 13
SEE ATTACHED RGP or NWP GENERAL, REGIONAL, AND SPECIAL CONDITIONS
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted application and attached information dated October 14, 2014. Any violation of the attached
conditions or deviation from your submitted plans may subject the permittee to a stop work order, a restoration order, a Class
I administrative penalty, and /or appropriate legal,action.
This verification will remain valid until the expiration date identified below unless the nationwide /regional authorization is modified,
suspended or revoked If, prior to the expiration date identified below, the nationwide /regional permit authorization is reissued and/or
modified, this verification will remain valid until the, expiration date identified below, provided it complies with all requirements of
the modified nationwide /regional permit If the nationwide /regional permit authorization expires or is suspended, revoked, or is
modified, such that the activity would no longer comply with the terms and conditions of the nationwide /regional permit, activities
which have commenced (i e , are under construction) or are under contract to commence in reliance upon the nationwide /regional
permit, will remain authorized provided the activity is completed within twelve months of the date of the nationwide /regional permit's
expiration, modification or revocation, unless discretionary authority has been exercised,on a case -by -case basis to modify, suspend or
revoke the authorization
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification You
should contacvthe NC Division of Water Resources (telephone,919- 807 -6300) to determine,Section,40f requirements
For activities occurring withm the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N C Division of Coastal Management
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals /permits
If there are any questions I g this erificario any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Ta ande t 828 -27 7 0, ext.,226 or t sha.l:alexander @usace.army.mil
Corps Regulatory Offici Date November 7, 2014
sha Alexander
Expiration Date of Verification March 18, 2017

2014 -01986
Determination ,of Jurisdiction:
A. ❑ Based on preliminary information, there appear to be waters of the US including wetlands within the above described project
area This prelimmary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
( Reference 33 CFR Part 331)
B. ❑ There are Navigable Waters of the United States within the above described project area subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act Unless there is a change in the law or,our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification
C. ® There are waters of the US and/or,wetlands within the above described project area subject to the permit requirements of
Section 404 of the Clean Water Act (CWA)(33 USC § 1344) Unless there is a change in the law or our published regulations,
this determination may be relied upon for a period not to exceed five years from the date of this notification
D. ❑ The jurisdictional areas within the•above described project area have been identified under a previous action Please reference
jurisdictional determination issued Action ID SAW-
Basis for Determination:
There are open waters located on4he property that,exhibit indicators of ordinary high watermarks The Open waters on the
property are known as Lake Norman which is an impoundment on the Catawba River The Catawba River is located in the
Santee watershed and eyentually drams to the Atlantic Ocean Specifically, the Catawba River joms the Santee - Cooper River
in South Carolina before entering the Atlantic Ocean Is a Section 10 water acthe Mountain Island Lake Dam on Lake Wylie
in Mecklenburg County This jurisdictional determination is valid for the impact areas only
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits -of Corps' Clean Water Act jurisdiction for the particular site
identified in this request The delmeation/determination may not be,valid for the wetland conservation provisions of 'the Food Security
Act of 1985 If you or your tenant are USDA Program participants, or,anticipate participation in USDA programs, you should request
a certifiedwetland determination from the local office of the Natural Resources Conservation Service, prior to starting work
F.' Appeals Information (This information applies only to approved jurisdictional determinations as indicated in B
and C above).
This correspondence constitutes, an approved jurisdictional determmation'for the above described, site If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331 Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form If you request to appeal this determination you
must submit a completed RFA form to the following address
US Army Corps of Engineers
South Atlantic Division
Attn. Jason Steele, Review,Officer
60 Forsyth Street SW, Room 1OM15
Atlanta, Georgia 30303 -8801
Phone: [phone]
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 3315, and thatat has been received by the Division,Office within 60 -days of'the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address within 60 of the issue date below
* *It is not necessary to submit an RFA form to the Division Office if you do not object to the determmatiomm this correspondence **

2014 -01986
Corps Regulatory Official
Issue Date of JD November 7, 2014
Expiration Date of JD Five years from Issue Date
The Wilmington District is committed,to providing the,highest level of support to the public. To help us ensure we
continue to do so, please complete our Customer Satisfaction Survey, located onlme at.http Hre ug latory usacesurvey cone/
Copy furnished Chip Bridges, CBS Stone & Recycling, LLC, 638 Oak Ridge Farm Hwy, Mooresville, NC 28115

Action ID Number: 2014 - 01,986
Permittee: Anthony & Manjie Earley
Date Verification Issued: November 7, 2014
Project Manager: Tasha Alexander
County: - Iredell
Upon completion of the activity authorized by this permit and any mitigation required by the permit, sign this
certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn.: CESAW -RG -A
151 Patton Avenue, Room 208
Asheville, North Carolina 28801 -5006
Please note that your permitted activity is subject .to a compliance, inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may result-in the
Corps suspending, modifying or revoking the authorization and/or issuing a Class I administrative penalty, or
initiating -other appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been completed in accordance with
the terms` and condition of the said permit, and required mitigation was completed in accordance with the,permit
conditions.
Signature of Permittee Date

Applicant Anthony & Manjie Earley File Number SAW-2014-0198 I Date: November 7, 2014
Attached is See Section below
❑ INITIAL PROFFERED, PERMIT (Standard Permit or Letter of ermission) A
❑ PROFFERED PERMIT (Standard Permit or Letter of permission) B
HI PERMIT DENIAL C
® APPROVED JURISDICTIONAL DETERMINATION D
F-11 PRELIMINARY JURISDICTIONAL DETERMINATION E
SECT,ION'ITfieoRowin identifiesourri _ its andi'o tBoris°"rea din anadministrative -a eat of the abouedecision.
�_ gig _I?P ° ; {T
'd itional n ormation may be°found at h p_l��www�usace: army :�n�iUlVhssions /Csiv�iWorkslL�e ulataryProgramandPeimi&&s_i_ =
nor Co s re a atTons ati33 CI R)art=331. y,
A: INITIAL PROFFERED PERMIT: You may accept or,object to the permit.
• ACCEPT- If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and,conditions, and approved jurisdictional determinations associated with the
permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having determined that the permit,should be issued as previously written. After
evaluating your objections, the district,engineet-,will send you a proffered permit for your reconsideration, as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you- received.a.Letter of Permission (LOP), yowmay,accept the LOP and your work is authorized Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
you may appeal the declined permit under the,Corps of Engineers Administrative Appeal Process by completing Section II 'of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within,60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may acceptor appeal the approved JD or provide new
information.
• ACCEPT. You do not need to notify the Corps to accept an approved JD. Failure to.notify the Corps within 60 days of the
date of this notice, means that you accepnhe approved JD in its entirety, and waive all rights to appeal the approved JD
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal,Process by completing Section II of this form and sending the form to the district engineer. This form
mustbe received by the division engineer within,60 days,of the,date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD The Preliminary JD is not appealable If you wish, you may request an approved JD (which maybe appealed),
by contacting the,Corps district for further instruction. Also you may provide new information for further` consideration by the
Corps to reevaluate the JD
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an-initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where, your reasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the,Corps may add new infonnation,or analyses to the record.
However, you may provide additional information to clarify the location of information that,is already in the administrative
If you have questions regarding this decision and/or the If you only have questions regarding the appeal process you may
appeal process you may contact. also contact:
District Engineer, Wilmington Regulatory Division, Attn.: Mr Jason Steele, Administrative Appeal Review Officer
151 Patton A_ venue CESAD -PDO
Room 208 U S Army Corps of Engineers, South Atlantic Division
Asheville, North Carolina 28806 60 Forsyth Street, Room IOM15
Tasha Alexander Atlanta, Georgia 30303 -8801
828- 271 -7980 Phone: [phone]
RIGHT OF ENTRY Your signature below grants the right of entry to Corps of Engineers personnel, and any govermnent
consultants, to conduct investigations of the project site during the course of the appeal process You will be provided a 15 day
notice of anv site mvestiaation; and will have the ODDortunity to'narticioa`te in all site investigations
Date: I Telephone number•
llant or
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn.: Tasha Alexander, 69 Darlington.Avenue, Wilmington, North
Carolina 28403
For Permit denials, Proffered,Permits and approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Jason Steele, Administrative, Appeal
Officer„ CESAD -PDO, 60 Forsyth Street, Room 1OM15, Atlanta, Georgia 30303 -8801
Phone: [phone]

DUKE POWER PAO BOX 006 MENT, EC12 -Q
CHARLOTTE, NC 28201 -1006 pC
704 - 382 -1567 OR TOLL FREE 1- 800 -443 -5193
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
CAROLINA
Please type or print and fill in all blanks. If information is not ap li indica
blank. PLEASE SUBMIT APPLICATION AND APPROPRI TE I WOWER FILI I
TO DUKE POWER, TO ABOVE ADDRESS.
I. Applicant Information / NOV 13 2014 j
A. Name V �dl✓ �� n�G� DENR - WATER 11 CES
B. Mailing Address )0, 0, 44Q IrT�NG
C. Telephone 2dL54� 2 7:
J k:
II. Location of Proposed Project Jn� U �
u
A. Lake L/� y 2014
B. Street Address D�5
C. County 4018BFFERPEROUTR
D. City, Town, Community or Landmark
E. Section Lot # 12 f Subdivision
F. Directions to property by road �or� �_ 77,�,Xyr Y,2 64 ,f.igr 6&,
/A - eAvTe Sim;
G. Latitude and longitude for the project site 3 s, 3 3 I �j0 - `t' Z el
H. Please submit a map showing the coordinates or a detailed map (USGS quad map, city map,
etc.) showing the exact location of the project site. (NOTE: Latitude /longitude coordinates can
be found on internet site, www.mapsonus.com. Directions: Don't register, click "Maps ", enter
address, draw map, select "Map Clicking Will...", select "LaULong ", click map)
Ill. Description of Project
A. Length of wall o
B. Material ✓� � .5 NL �p� Cr U-%A
C. Distance from property line /shoreline �/j l�/ /•� Gx %st ►•�6 5 K ovLl�l/�
IV. Intended Use of Project Area
A. Private X
B. Commercial
i
V. Applicant Signature -.:7 "I" Date
PLEASE NOTE THE FOLLOWING:
• A COPY OF THE COMPLETE APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: US
ARMY CORPS OF ENGINEERS, 151 PATTON AVENUE, ROOM 208, ASHEVILLE, NC 28801 -5006
• A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA" AND SEVEN (7)
COPIES OF THE COMPLETED "NC DIVISION OF WATER QUALITY PRE - CONSTRUCTION NOTIFICATION APPLICATION" MUST BE
SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO: NC DIVISION OF WATER QUALITY, ATTENTION: Cyndi
W -1., OADVIRM 1 DI 11P_ 9994 1•DAO7'OCC 00 1 /11 OAI CJr_'LJ Mf1 07CAA OL nMC• 040.7924708

State of North Carolina
DWR Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of Water Resources FORM: SSGP 10 -2013
Shoreline Stabilization Application Form
Four copies of the application (including attachments) and the application fee should be sent to:
Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
I. Applicant Information 115A NCAC 02H .0502(a)]
1. Owner Information
Name: Anthony & Marjie Earley
Mailing Address: P.O. Box 180
Troutman, NC 28166
Telephone Number: 205- 566 -2549 Fax Number: 704 - 508 -1256
E -mail Address: anthony @amproductions.tv
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http: / /www.saw.usace.armv.mil/ Portals /59 /docs /reaulatory /reRdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM. df) must be attached if the Agent has signed this application form.
Name: :/) /19elW1 c s
Company Affiliation: C L
Mailing Address: e. )�:'-;4rM �t�►
- Avy,ewi (I
Telephone Number: Fax Number:
E -mail Address: fA) i AJW_- 4rG*A1 • Alf-
Person
to receive the Certification Approval: n 13r :dl CS
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 4

La ke
(At Full Pond /Normal Water Level)
b'(0 w
oeo c oQ
Full Pond/ ©�> 0 C
Normal_ Water Level c� f3 d
Shoreline
Lf o 0
$�-5 C(4- Yds
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

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SURVEY AND MAP PREPARED BY
COAANS FORD DEVEW)WENT LAKE, 'NORMAN SURVEYING
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alltvE TABLE - ` �AVIDSON TOWN90P MWEL. COUNTY. N 6E0.6t Ingram Rope
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DUKE ENERGY DIRECTIONS BY ROAD
Lake Use Permit Applicants and contractors: Ease of locating the proposed project site can
have a big impact on permit processing °time. Please complete this form and return in along with your
completed permittapplication,to:
Duke Energy
C/O Lake Services – EC12Q
P :O Box 1006
Charlotte, NC 28201 -1006
1- 800 -443 -5193 and select Option 5
Applicant's Name:—Anthony Earley'
f:
Street Address (at Lake) _ 722 Morrison Farm Rd
Lake Name: Norman _ I - '
j` Subdivision Name: Cowans Ford Development Lot -128
Tax Parcel ID (if known 4629711508
City: Troutman . County Iredell
State: NC ZIP: 28166
Latitude: 35.6331 Longitude: 80.9281
Telephone: [phone]
D'o'rections`(rdin major road or highway):
1177 North to EXIT 42 – Weston Hwy 21/115 – turn left on Perth Rd – right on State Park,Rd
turn Left on Morrison Farm Rd
DesciptiverStructures (s) on Property (i.e. brick garage, white fence, mobile home, etc.):
Vacant lot
'V "?

722 Morrison Farm Rd - Google Maps
722 Morrison Farm Rd
7rGUtm2r., NC 28766 DMOGns Save
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