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HomeMy WebLinkAbout20060003 Ver 1_Complete File_20051227F O wATF \O ROG Michael F. Easley, Governor William G. Ross Jr.; Secretary } r North Carolina Department of Environment and Natural Resources D `C Alan W. Klimek, P.E. Director Division of Water Quality February 7,; 2006 F EE 1 3 2006 - DWQ# 06-0003 Catawba County t7lNR -WAr?R Ms. Margaret Black ??DSANDgr R 3199 Royal Birkdale Way Port Orange, FL 32128 Subject: Lot #20, Peninsula Lane, Mountain Creek Shores S/D APPROVAL of 401 Water Quality Certification and Authorization Certificate per the Catawba River Buffer Protection Rules (15A NCAC 2B .0243) with Additional Conditions Dear Ms. Black: You have our approval, in accordance with the attached conditions and those listed below, to place fill in or to otherwise impact approximately 0.009 acre of water and 0.01 acre of riparian buffer for the purpose of stabilizing approximately 205 linear feet of shoreline on Lake Norman, as described in your application received on December 27, 2005. After reviewing your application, we have determined that this project is covered by Water Quality General Certification Number 3492, which can be viewed on our web site at h tt ://h2o.enr. a state.nc.us/ncwetlands. This General Certification allows you to use Regional Permit No. 198200030 once it is issued to you by the U.S. Army Corps of Engineers_(USACOE). This letter also serves as our approved Authorization y Certificate for impacts to the protected riparian buffers per 15A NCA C 2B .0243. Please note that you should get any other federal, state or local permits before proceeding with your project, including those required by (but not limited to) Sediment and Erosion Control, Non-Discharge, and Water Supply Watershed regulations. The above noted Certification will expire when the associated USACOE's 404 permit expires unless otherwise specified in the General Certification. This approval is only valid for the purpose and design that you described in your application. If you change your project, you must notify us in writing, and you may be required to send us a new application for a new certification. If the property is sold, the new owner must be given a copy of the Certification and approval letter; and is thereby responsible for complying with all conditions. If the total wetland fill for this project (now or in the future) exceeds one acre, compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h). In addition to the requirements of the certification, you must also comply with the following conditions: 1. No impacts shall occur in the buffer, including the removal of trees, except in the immediate shoreline stabilization area. 2. Mulch or pine needles (6" deep) shall be used to help reestablish the buffer upon completion of the project. 3. Upon completion of the project, the applicant/responsible party shall complete and return the enclosed "Certificate of Completion" form to the Division of Water Quality's 401/Wetlands Unit. If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition (that N"bAnCarolina dva lm"Iy North Carolina Division of Water Quality 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone (704) 663-1699 Customer Service. Internet: h2o.enr.state.nc.us FAX (704) 663-6040 1-877-623.6748 An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper Page 2 conforms to Chapter 150B of the North Carolina General Statutes) to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask fora hearing. This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you have any questions, please telephone Barry Love in the Mooresville Regional Office at 704-663-1699 or Cyndi Karoly in the Central Office in Raleigh at 919-733-9721;. Sincerely, for Alan W. Klimek, P.E. Attachments cc: Corps of Engineers, Asheville Regulatory Field Office Wetlands Unit- Ian McMillan Central Files Rowboat - Gaylynn Meyer- Triage Check List Date: 1/05/06 Project Name: Margaret Black, Lot 30 DWQ#: 06-0003 County: Catawba Alan Johnson, Mooresville Regional Office To: 60-day Processing Time: 12/27/05 - 2/25/06 From: Cyndi Karoly Telephone : (919) 733-9721 The file attached is being forwarded to you for your evaluation. Please call if you need assistance. Stream length impacted E:i Stream determination Wetland determination and distance to blue-line surface waters on USFW topo maps Minimization/avoidance issues ? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman) ? Pond fill Mitigation Ratios D Ditching ? Are the stream and or wetland mitigation sites available and viable? ? Check drawings for accuracy Is the application consistent with pre-applicationmeetings? Cumulative impact,concern Comments: As per our discussion regarding revision of the triage and delegation processes, please review the attached file. Note that you are the first reviewer, so this file will need to be reviewed for administrative as well as technical details. If you elect to place this project on hold, please ask the applicant to provide your requested information to both the Central Office in Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim procedure as we slowly transition to electronic applications. Please apprise me of any complications you encounter, whether related to workload, processing times, or lack of a "second reviewer" as the triage process in Central had previously provided. Also, if you think of ways to improve this process, especially so that we can plan for the electronic applications, let me know. Thanks! a i- ;R f 5? Office Use Only: Form Version March 05 20060003 USACE Action ID No. DWQ No. (€t any particular item is not applicable to this project, please enter "Not Applicable" or 'NIA".) 1. Processing 1. Check all of the approval(s) requested for this project: Section 404 Permit D Riparian or Watershed Buffer Rules Section 10 Permit ? Isolated Wetland Permit from DWQ 401 Water Quality Certification R Express 401 Water Quality Certification 2. Nationwide, Regional or General Permit Number(s) Requested: U'04aa . damh f 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: 4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII, and check here: 5. If your project is located in any of North Carolina's twenty coastal counties (listed on page 4), and the project is within a North Carolina Division of Coastal Management Area of Environmental Concern (see the top of page 2 for further details), check here: 0 H. Applicant Information 1. Owner/Applicant Info ation DEC ` 7 I C (1 Name: Mailing Address: DER _ W/01, F' U WULAW5 AND S r > Telephone Number: 24 -1134, Fax Number:6$6(e' loon- 9671 E-mail Address: 2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter must be attached if the A ent has sign to authority for th owner/applican ) Name: 6 h + - 7 0. V1. Company Affiliation: ' Mailing Address: Yd le- W? ?11)1 1%,J \,+?lll VllV lIu Al E-mail Address: Page 5 of 12 III. Project Information Attach a vicinity map 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. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible; the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format, however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: &J 12A bhol 2. T.I.P. Project Number or State Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): (o l (o 03 2D 8(0?? 4. Location /j pper ?YV m C?//A County: (?Lw bil Nearest Town: ? Subdivision name (include phase/lot number): Lod- ?2,0 erections to site (include road numbers/n es, landmarks, etc.): PrD? 41) 6L,,Am? Ar'rho. RJ I,9.l? .7rtp/ v0A 4n -J - - 5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) Decimal Degrees (6 digits minimum); ILL °N °W 6. Property size (acres): .'345' 7. Name of nearest receiving body of water: LaL z Ney n-Url 8. River Basin: A i WY (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at i? :alt ?c? ?i,s/.) 9. Describe the existing conditions on the site and general land use in the vicinity of the project at the time of this application: Y'0-,s Page 6 of 12 Q 1.0. Describe the overall project in detail, including the type of equipment to be used Shoal ihe_ salo? l tiaii on 11. Explain the purpose of the proposed work a, L ,,tQe, A2_-W11 za+r n1Q IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. t? Ia- V. Future Project Plans Are any future permit requests anticipated for this project? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application. no VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. Each impact must be listed separately in the tables below (e.g., culvert installation should be listed separately from riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts, permanent and temporary, must be listed, and must be labeled and clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) should be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts: Page 7 of 12 2. Individually list wetland impacts. Types of impacts include, but are not limited to mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, cPnarate.ly iist imnaets due to loth structure and flooding. Wetland Impact Site Number (indicate on map) Type of Impact of Wetland Type (e.g., forested, marsh, herbaceous, bog, etc.) Located within Floo 100-year ut o esfno) Distance to Stream Nearest (linear feet) Area of mpact (acres) Total Wetland Impact (acres) 3. List the total acreage (estimated) of all existing wetlands on the property: 4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams m,,et hP inolm4p,4' Tn ralnulatP arrPaap midtinly length X width- then divide by 43.560. Stream Impact Number (indicate on map) Stream Name Type of Impact Perennial or Intermittent? Intermittent? Average Stream Width Before Impact Impact Length (linear feet) Area of Impact (acres) Total Stream Impact (by length and acreage) 5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic Ocean and any other water of the U.S.). Open water impacts include, but are not limited to fill narravntinn tlrpA ring flnndino drairincre hulkheads_ etc. Open Water Impact Site Number (indicate on map) Name of Waterbody (if applicable) Type of Impact Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) Area of Impact (acres) &6gyralw - Total Open Water Impact (acres) Page 8 of 12 . 6. List the cumulative impact to all Waters of the U.S. resulting from the project: Stream hn act (acres): rtA Wetland Impact (acres : Open Water Impact (acres): 3 Total Impact to Waters of the U. S. (acres) 0 3 Total Stream Impact (linear feet): 7. Isolated Waters Do any isolated waters exist on the property? Q Yes [No Describe all impacts to isolated waters, and include the type of water (wetland or stream) and the size of the proposed impact (acres or linear feet). Please note that this section only applies to waters that have specifically been determined to be isolated by the USAGE. 8. Pond Creation If construction qql a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): El uplands Q stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Current land use in the vicinity of the pond: Size of watershed draining to pond: Expected pond surface area: VIL Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. a VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. Wage 9 of 12 USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on January 15, 2002, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to reducing the size of the project, establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at }tttp i x ?s. r? .state. nc.i.islaic wet:i_a.tids/sti-m ;ide.htrnl. 1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e-g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is need . 9K- 2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at (919) 715-0476 to determine availability, and written approval from the NCEEP indicating that they are will to accept payment for the mitigation must be attached to this form. For additional information regarding the application process for the NCEEP, check the NCEEP website at h?`lr??c=.rtat:€ a3???/?clx.t?n. If use of the NCEEP is proposed, please check the appropriate box on page five and provide the following information: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet) Amount of Riparian wetland mitigation requested (a Amount of Non-riparian wetland mitigation requests Amount of Coastal wetland mitigation requested (ac Page 10 of 12 IX. Environmental Documentation (required by DWQ) 1. Does the project involve an expenditure of public (federal/stateflocal) funds or the use of public (federal/state) land? Yes ? No ? 2. If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No ? 3. If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No ? X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. 1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Meuse), 15A NCAC 2B.0259 (Tar-Pamlico), 15A NCAC 02B.0243 (Catawba) 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No 2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers. if buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. * Zone 1 extends out 30 feet perpendicular from the top of the new bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. 3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment_ into the Riparian Buffer Restoration Fund). Please attach a appropriate information as identified within 15A NCAC 213,0242 or.0244, or.0260. -? Zone* Impact (square feet) Multiplier Required Mitigation I 1,9 f 3 (2 for Catawba) ?LO 2 l0 IS 0.0 Total p M Page I 1 of 12 XI. Stormwater (required by DWQ) Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. If percent impervious surface exceeds 20%, please provide calculations demonstrating total proposed impervious level. N ?Q XIL Sewage Disposal (required by DWQ) 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. XM. Violations (required by DWQ) Is this site in violation of DW Wetland`Rules (15A NCAC 2H.0500) or any Buffer Rules? Yes ? No Is this an after-the-fact permit application? Yes ? No 12 XIV. Cumulative Impacts (required by DWQ) Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality? Yes ? No E] If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with the most recent North Carolina Division of Water Quality policy posted on our website at htt/,!h ?,en stswrr,:3J?rvcvtlr??UU no, please provide a short narrative description: XV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). Z /O pplicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided. ) Page 12 of 12 The following is an abbreviated application form for those applying for a 401 Water Quality Certification to impact FERC (Federal Energy Regulatory Commission) regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit GP30. This Application cannot be used for wetland or stream impacts. Please provide seven (7) copies of this application and supporting information as well as a non-refundable application fee to the Division of Water Quality of $200.00 for impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom of greater or equal to 1 acre. Applications should be sent to: Division of Water Quality Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 L Applicant Information 1. Owner/Applicant Information - Name: _ a_r Mailing Address: Telephone Number to w Fax Number: 641- 2.7g E-mail Address: 2. Agent Information (A signed and dated copy of the Agent Authorizati er must be attached if the Agent has signatory authority for the own p icant.) Name: Company Affiliation: Mailing Address: Telephone Fax Number: II. Project Information Attach a vicinity map 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. 1. Location County: Nearest Town:- ? i ?, zY d Subdivision name or site address (include phase/lot number): Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate vicinitymap is included):1 '1n tJ 4a ?xt; ? ale Jef?l Pra??g,( fir, 2. Describe the existing land use or condition of the site at the time of this application: Y'g ?A bvlj a 3. Property size (acres): - 3J? 4. Nearest body of water (stream/river/sound/ocean/lake): ???, /?1?y?Y1Q Y1 5. Describe the purpose of the proposed work: 15hoyzLC:m 4, d? 1t ,a+Lpl a&_hmn ?fy. 6. List the type of equipment to be used to construct the project: 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level in square feet or acres: 416 8. a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc) above the normal pool lake level and 50 feet land-ward in square feet or acres: b. Please describe vegetation above the normal pool lake level and 5 feet land- ward to be impacted (number of trees for instance):?uj a&.d A4JIIO-& Appl' nt/ gent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) DUKE POWER LAKE MANAGEMENT, EC12-Q P O BOX 1006 CHARLOTTE, NC 28201-1006 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 applicable, so indicate by placing a N/A in blank. PLEASE SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING FEE, PAYABLE TO DUKE POWER, TO ABOVE ADDRESS. I. Applicant Information A. Name Margaret Black B. Mailing Address 3199 Royal Birkdale Way Port Orange, FL 32128 C. Telephone (386) 299-7936 II. III IV V. I1/10/00ssb Location of Proposed Project A. Lake Norman B. Street Address 8259 Peninsula Lane C. County Catawba D. City/Town/Community or Landmark Sherdils Ford E. Section Lot # 20 Subdivision Mountain Creek Shores F. Directions to property by road I-77 North to Exit 36, left. Proceed to Slanting Bridge Rd, left. Proceed to Keistler Store Rd, turn Left. Proceed to Mt. Shore Drive, left. Proceed to Peninsula Lane, left. G. Latitude and Longitude for the project site SEE ATTACHED MAP 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, ww*n.mapblastcom ) Description of Project A. Length of wall 205 B. Material Keystone C. Distance from property line/shoreline On the 760 Intended Use of Project Area A. Private X B. Commercial Applicant's Signature `2 WALE Date /O ZD -D6' A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO., US ARMY CORPS OF ENGINEERS, 151 PATTON AVE. - ROOM 208, ASHEVILLE, NC 28841-5006 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: JOHN DORNEY 2321 CRABTREE ROAD RALEIGH, NC 27604-2260 (919) 733-1786 DUKE POWER DIRECTIONS BY ROAD FORM 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 it along with your completed permit application to: DUKE POWER C/O LAKE MANAGEMENT - EC 12 Q P O BOX 1006 CHARLOTTE, NC 28201-1006 1-800-443-5193 Applicant's Name: Margaret & Andy Black Type of Permit Requested „Circle": Street Address (at lake): 8259 Peninsula Lane Private Facility Lake Name: Lake Norman Commercial Facility Excavation Subdivision Name: Mountain Creek Shores Stabilization Conveyance Property Section: Lot #: 20 Miscellaneous Uses City: Sherrills Ford County: Catawba State: NC Zip: 28673 Telephone: (386) 299-7936 Directions (from major road or highway): I-77 North to Exit 36, left onto NC 150. Proceed to Slanting Bridge Rd, left. Proceed to Keistler Store Rd, left. Proceed to Mtn Shore Dr, left. Proceed to Peninsula Lane, left. Descriptive Structure on Property (i.e. brick garage, white fence, mobile home, etc.): *Note: Please use the back of this form, if desired to draw us a map to the site. GPAL/LAKEMGMT/LMPPM/DIRECTIONS.DOC Effective Date: 11/15/98 -^1 858 Williamson Rd ICI 8259 Peninsula Ln Mooresville, NC 28117- Sherrills Ford, NC 28673- 8597, US 9250, US Total Est. Time. Total Est. Distance. 28 minutes 14.39 miles Maneuvers Distance l 1: Start outgoing SOUTHEAST on US-21. 0.2 miles ft-tA 2: Merge onto I-77 N via the ramp on the LEFT. 2.7 miles 3: Take the NC-150 exit- EXIT 36- toward 0.1 miles MOORESVILLE / LINCOLNTON. 4: Turn LEFT onto NC-150 / W PLAZA DR. Continue to 8.1 miles follow NC-150. 5: Turn LEFT onto SLANTING BRIDGE RD. 2.0 miles 6. Turn LEFT onto KEISTLER STORE RD. 0.3 miles 7: Turn LEFT onto MT SHORE DR. 0.6 miles 8: Turn LEFT onto PENINSULA LN. 0.1 miles u I : A 9: End at 8259 Peninsula Ln Sherrills Ford, NC 28673-9250, US Tota l Est. Time: 28 minutes Total Est. Distance: 14.39 miles rage i or z 10 _ f „ems i t Q ?u a ? J Mack, Margaret & Andy 8259 Peninsula Lane Sherrills Ford, NC 28673 m ;NAME: BLACK MARGARET K & ;ACCOUNT: 201486 ,NAME2: PAYNE KAREN A 'CALCULATED ACREAGE: .36 ADDRESS: 3199 ROYAL BIRKDALE WA Y TAXMAP: 018CX 02020 ADDRESS2: TOWNSHIP: MOUNTAIN CREEK CITY: PORT ORANGE SUBDIVISION: MOUNTAIN CREEK SHORES 'STATE: FL SUBDIVISION BLOCK: ........ ...._ ??_ _ :ZIP: 32128-6815 ._d. ?. , e...,... _ .. _ ._w . ?_._...u ... m .. _ . LOTS: 20 DEED BOOK: 2687 , I 1j; PLAT BOOK: 16 DEED PAGE: 0285 PLAT PAGE: 132 FIRE DISTRICT: DENVER RURAL BUILDING NO.: 8259 MUNICIPAL TAX DIST: COUNTY STREET NAME. PENINSULA LN C,!, ICK F0F? '1 X PA-111 °ES{#? -SITE ZIP: 28673 (Sherrills Ford) ALL BLDGS VALUE. $0.00 STATE ROAD#. LAND VALUE: $123,500.00 NEIGHBORHOOD: 132 TOTAL VALUE. $123,500.00 tt1 ',?FI?F±: WS-IV Critical Area YEAR BUILT: WATERSHED SPLIT: NO YEAR REMODELED: VOTER PRECINCT: i f . o R-1 ZONING DISTRICT: COUNTY _... _..... .._ _v ._ ? _....... .._.__._. ? .v.. _ ..__ _ . ___: .....E SPLIT ZONING DIST. 1: SPLIT ZONING DIST. 2: SCHOOL DISTRICT: CATAWBA COUNTY 'SCHOOL SPLIT: NO ;ELEM. SCHOOL: SNP ?_?' E l IM y ?, ! = aU ;MIDDLE SCHOOL: ;HIGH SCHOOL. F r `:> > REID/LRK: 19417 2000 CENSUS TRACT: 011502 ?_..v . r._ ., .u. 040 2000 CENSUS BLOCK. 4 a FIRM Panel#. .370050035 0C FIRM Panel Date: 9/7/1998 Product of Catawba County GIS Page 2 of 2 rage t or t:: rtl?„ eltl?? N1 ap " el, t^t. Zoom In r zoom out r Zoom All t Pan r Identify r Adjoining Properties Layers f Structures Aerial Photo 02 F Streams Lakes / Ponds r Misc. Lines 461603208675 Update Ma 1 "Cataw*baa Coun NC Returp Jo Full ENtew[ Enter Search Data Address: Number Street Find Find Last Name: PIN: I- Find LRK/REID: Find Any Portion of Name: Find Tile Number: ?- Find Subdivision: I Find Plat Book: Plat Pager Find Date & Time Stamp This map product was prepared from the Catawba County, NC Geographic Information System. Catawba County has made substantial efforts to ensure 10/21/2005 the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of 4:04:50 PM any data contained on this map product by the uses. The County of Catawba, its employers, agents, and personnel, disclaim, and shall not be held liable EST for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this map product or the use thereof by Scale: 1 54' any person or entity. THIS IS NOT A LEGAL DOCUMENT PARCEL ID: 461603208675 BUILDING CODE: 06 r1? +??'' p?grFgp?Tlr WY it su .rtc1 TO -R'E" ,•? mk sbED JORTS OF. rerj 44 e i 'M.Ts l pm RE 7R V?RIFIt L4. -f !lT,?A?T• a rKS qe4?7?4TrR P idR T ?? TiLAANE PL HIKG. i?E tOFISTRUCTI, 60'R/Y? r: !sm?tL?Pa?' !f t atl LOT=* T ? i Ciw c ip VOT 7.i 2d0{ P mip": 3d. o to UOUNIAIN CREEK TplWAIIP cATA WA MItY, • "Th CAROL cklN It &DimaJ1) SGJ AybR$ RONNfE bEC* . 'RL$ WOV ?., ?. CHUCK PWV?E__1?t rp?_ F 76z Set. / PHILI IP ryApplS.. PCS 16 l o 37-NCIIIHIQ 'AY a16 N h Un ?4 b. Q, 409 4194 r OENMER, N. e dui oeit? gx:: ,_ P cll9: l 704 )'-aps 06 CgML. F141E1 tl; 37g06O-aoot ,w ?t:f, / _GgND EFfcat. 0?'R s-E-rsa sy : -aX: s ,. a,. f. ? l? FImo • ra+.E -;--?.s q -? aflMiMT TICrE# u a d.EE Tv4p6w k. Oak }tihf l 11P o r .. T pi.T ??.?,---•-r-- "YEN 4Ild .- ? . , : E'S7@t A, y { i M-4isrEttl,'T - gT"Rt?? b i p - t-?-e ?--- RU?rE» tit l tE?E X09 awrn b b ;.t (p rrgl !Et tFr : EpY'r4mv ?RL'• • r .t *4' • rR rrzna ?"?rr ?f IPT w wp q " m . i C,JFRT K"i++irs nor 1416 aAMM rege as 41,eu? L?DT#2 i t f R?lr ; " awrra-iF i •. rt %1 a rig , COWFO An Tm m tw r t +T .. "P 37. wRY, 8TC' *10 bR4M: 04; MIKE ram'- MG 44 gviiu s i ' ,.Q ni} s ?T V/ C I ? `TY MAP,. o to scr u{aa*+g ly_-L?plfllF PEMLY A Avc M13? S8' 12.• w e{ . ' 4 AT ((( 7 4 / 5. Black, Margaret & Andy 0., Ito: 8259 Peninsula Lane V%a GRAPHIC SCALE .-,FEET '?'` Sherrells Ford, NC 28673 'EaREw tx AN, V f 16 3 ? I P •? n A to .« ?-st a c > *CAW k??s ; k t s`? ? M m `'? ? bA .C L , ? a ROWBOAT Dock & Dredge THE ROWBOAT COMPANY, INC. December 21, 2005 US Army Corps of Engineers Regulatory Office 151 Patton Ave. Room 208 Asheville, NC 28801 RE: Lake Norman - Margaret & Andy Black To Whom It May Concern: Our fine is processing this application on behalf of Margaret & Andy Black to stabilize approximately 410 linear feet of shoreline by installing Keystone Block (8259 Peninsula Ln, Sherrills Ford, NC) on Lake Norman, Catawba County, North Carolina. A copy of the Duke Power Company application, pertinent drawings and a location map are enclosed for your use. To access the project: I-77 North to Exit 36, left onto NC 150. Proceed to Slanting Bridge Rd, left. Proceed to Keistler Store Rd, left. Proceed to Mtn Shore Dr, left. Proceed to Peninsula .Ln, left. We look forward to hearing from you at the earliest time possible. Sincerely, E ROWBOAT COMPANY, INC. G y nn Meyer Sales Department, ¢°. cc: NCDWQ (7 copies)' 0 EC 2 7 ?on?J I wCl4 a s.@s ._AP°N 858 Williamson Road • Mooresville, NC 28117 704-663-3478 FAX 704-663-5298 www.rowboatcompany.com • email: rowboatnc@aol.com Office Use Only: Form Version March 05 20060003 USACE Action ID No. DWQ No. (If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A":) + s 1. Processing g 1. Check all of the approval(s) requested for this project: ? Section 404 Permit ? Riparian or Watershed Buffer Rules Section 10 Permit ? Isolated Wetland Permit from DWQ 401 Water Quality Certification ? Express 401 Water Quality Certification 1 Nationwide, Regional or General Permit Number(s) Requested: G0411d Lla 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: 4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII, and check here: 5. If your project is located in any of North Carolina's twenty coastal counties (listed on page 4), and the project is within a North Carolina Division of Coastal Management Area of Environmental Concern (see the top of page 2 for further details), check here: ? IL Applicant Information mJ 1. Owner/Applicant Info ation DEC 7 jjj Name: Mailing Address: °!?#d5k r, .. Telephone Number: 24 --1 Fax Number: ('(e) &qg- eo'y E-mail Address: 2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter must be attached if the A enthas sign to authority for th owner/applican) Name: iv b 12 e Company Affiliation: 153 Will'a L10 Mailing Address: Lie '?_qnl Telephone Number: "hyd &A-51M Fax Number: (p b `v (pp?Q?rDt,?)?O?t}???/YtA 1/Cbn? E-mail Address: Page 5 of 12 III. Project Information Attach a vicinity map 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. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be includes If possible; the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet- version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: 4191 u I,t &L 2. T.I.P. Project Number or State Project Number (NCDOT Only): 3 Property Identification Number (Tax PIN): l 03 2D 8(07 4. Location /? pper// County: 0-'aft bQ Nearest Town: ahp_Yil 116 ?Pr Subdivision name (include phase/lot number): Lod- ?irections to site (include road numbers n"es, landmarks, etc.): I 5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) Decimal Degrees (6 digits minimum): V14a. ON °W 6. Property size (acres): 3 4 6* 7. Name of nearest receiving body of water: Ld?t Nb?0YlU 8. River Basin: 0", 4a.? ba-A i V'kd (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at 11(r s;lt' e?_ 1 r.. :1_t f1c=A s lia cl3?? R /m s/.) 9. Describe the existing conditions on the site and general land use in the vicinity of the project at the time of this application: ?dgr Page 6 of 12 10. Describe the overall project in detail, including the type of equipment to be used: 5ht)&bhA?- slz&d jiaz on 11. Explain the purpose of the proposed work: 12" &W c l IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction' schedules, n C1,- V. Future Project Plans Are any future permit requests anticipated for this project? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application. VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. Each impact must be listed separately in the tables below (e.g., culvert installation should be listed separately from riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts, permanent and temporary, must be listed, and must be labeled and clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) should be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs maybe included at the applicant's discretion. If this proposed impact is strictly for wetland or stream mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts. Page 7 of 12 2. Individually list wetland impacts. Types of impacts include, but are not limited to mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, enr»rotPly lict imnnetc Au, to h nth ctnintnre. and flondinLy. Weiland Impact Site Number (indicate on map) ype of Impact Type of Wetland Typ (e-g-, forested, marsh, herbaceous, bog, etc-) Located within lo 00 -year (yes/no) no) Distance to Nearest Stream (linear feet) Area of Impact (acres} Total Wetland Impact (acres) 3. List the total acreage (estimated) of all existing wetlands on the property: 4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams mii # IN inA1,.irwt TA oalrirlatP a?rraaaP. midtinlV length X width- then divide by 43.560. Stream Impact Number (indicate on ma) Stream Name Type of Impact Perennial t Intermittent? Average Stream Width Before Impact Impact Length linear feet ( Area of Impact (acres) Total Stream Impact (by length and acreage) 5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic Ocean and any other water of the U.S.). Open water impacts include, but are not limited to -CAI -+i- rtrnrlnin.rv flnnrlina drainnop hullthParle etc, Open Water Impact Site Number (indicate on ma) Name of Waterbody (if applicable) Type of Impact Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) Area of Impact (acres) Ldkt' . 03 Total Open Water Impact (acres) Page 8 of 12 6. List t he cumulative impact to all Waters of the U. S. resulting from the ro ect Stream Impact (acres : adl- Wetland Impact (acres): Open Water Impact (acres): Total Impact to Waters of the U. S. (acres) , 0 3 Total Stream Impact (linear feet): 7. Isolated Waters Do any isolated waters exist on the property? [] Yes EJ/N0 Describe all impacts to isolated waters, and include the type of water (wetland or stream) and the size of the proposed impact (acres or linear feet). Please note that this section only applies to waters that have specifically been determined to be isolated by the USAGE. & Pond Creation ?l q, a pond is proposed, associated wetland and stream impacts should be If construction oil included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): El uplands ? stream Q wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Current land use in the vicinity of the pond: Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. a VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. Page 9 of 12 USAGE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on January 15, 2002, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application tacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at Eittf?-//1i2o.eni'.state.rii us`/iic etit.,gl;?/?ttn!i-id lit;n,l. 1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to; site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e-g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needgd. IU 2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at (919) 715-0476 to determine availability, and written approval from the NCEEP indicating that they are will to accept payment for the mitigation must be attached to this form. For additional information regarding the application process for the NCEEP, check the NCEEP website at.httP://'h2o.e i st n . its/W ? kt. If use of the NCEEP is proposed, please check the appropriate box on page five and provide the following information: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres):_ Amount of Coastal wetland mitigation requested (acres): Page 10 of 12 IX. Environmental Documentation (required by DWQ) 1. Does the project involve an expenditure of public (federal/stateAocal) funds or the use of public (federal/state) land? Yes ? No ? 2. If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No ? 3. If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No ? X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ) It is the applicarifs (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. 1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Neuse), 15A NCAC 2B.0259 (Tar-Pamlico), 15A NCAC 02B.0243 (Catawba) 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No ? 2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. Zone* Impact (square feet) Multiplier Required Mitigation 1 0 D 3 (2 for Catawba) ? 0 2 0 1.5 Total Q t )'LA) * Zone l extends out 30 feet perpendicular from the top of the new bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. 3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i. e., Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the Riparian Buffer Restoration Fund). Please attach a appropriate information as identified within 15A NCAC 213.0242 or.0244, or.0260. r Page 11 of 12 XI. Stormwater (required by DWQ) Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. If percent impervious surface exceeds 20%, please provide calculations demonstrating total proposed impervious level. of Q XII. Sewage Disposal (required by DWQ) 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. XIII. Violations (required by DWQ) Is this site in violation of DW Wetland Rules (I 5A NCAC 2H _0500) or any Buffer Rules? Yes ? No Is this an after-the-fact permit application? Yes ? No XIV. Cumulative Impacts (required by DWQ) Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality? Yes ? No ? If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with the most recent North Carolina Division of Water Quality policy posted on our website at tgjp:4 ii?o.eti state. tic, € s/nowetl_a it& . If no, please provide a short narrative description: XV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). VUU Pplicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 12 of 12 The following is an abbreviated application form for those applying for a 401 Water Quality Certification to impact FERC (Federal Energy Regulatory Commission) regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit GP30. This Application cannot be used for wetland or stream impacts. Please provide seven (7) copies of this application and supporting information as well as a non-refundable application fee to the Division of Water Quality of $200.00 for impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom of greater or equal to 1 acre. Applications should be sent to: Division of Water Quality Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 1. Applicant Information 1. Owner/Applicant Information - Name: - ar Mailing Address: 1 4ftL?"_ Telephone Number fo & Fax Number: 64-7- E-mail Address: 2. Agent Information (A signed and dated copy of the Agent Authorizati er must be attached if the Agent has signatory authority for the own p icant.) Name: Company Affiliation: Mailing Address: Telephone NpmCer: Fax Number:_ II. Project Information Attach a vicinity map 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. 1. Location County: [ .a a.c1 a , Nearest Town: ?9,?Q y r 11, 6 E-C'Y' . Subdivision name or site address (include phase/lot number): Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate vicinity, map is included): 2. Describe the existing land use or condition of the site at the time of this aonlication: r0.5?1 rya I 3. Property size (acres): - 4. Nearest body of water (stream/river/sound/ocean/lake): ? Q, X ?y'P ayl 5. Describe the purpose of the proposed work: SOh&YLLe ngl f-l'ah di -lah: n t n iffiA 6. List the type of equipment to be used to construct the project: J ro 1 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level in square feet or acres: 4 Ib ' 8. a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal pool lake level and 50 feet land-ward in square feet or acres: QW, b. Please describe vegetation above the normal pool lake level and 5g feet land- ward to be impacted (number of trees for instance): ?rru.F? ??it S?Yt Appr nt/ gent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) DUKE POWER LAKE MANAGEMENT, EC12-Q P O BOX 1006 CHARLOTTE, NC 28201-1006 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 applicable, so indicate by placing a N/A in blank. PLEASE SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING FEE, PAYABLE TO DUKE POWER, TO ABOVE ADDRESS. 1. Applicant Information A. Name Margaret Black B. Mailing Address 3199 Royal Birkdale Way Port Orange, FL 32128 C. Telephone (386) 299-7936 II. Location of Proposed Project A. Lake Norman B. Street Address 8259 Peninsula Lane C. County Catawba D. City/Town/Community or Landmark Sherrills Ford E. Section Lot 4 20 Subdivision Mountain Creek Shores F. Directions to property by road I-77 North to Exit 36, left. Proceed to Slanting Bridge Rd, left. Proceed to Keistler Store Rd, turn left. Proceed to Mt. Shore Drive, left. Proceed to Peninsula Lane, left. G. Latitude and Longitude for the project site SEE ATTACHED MAP 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, wwmmapblastcom ) III. Description of Project A. Length of wall 205 B. Material Keystone C. Distance from property line/shoreline On the 760 IV. Intended Use of Project Area A. Private X B. Commercial 11/10/00ssb Applicant's Signature _ Date /0 20 -06' llL l VLLV !! 11 A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITIED TO: US ARMY CORPS OF ENGINEERS, 151 PATTON AVE. - 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 PRF,-CONSTRUCTION NOTIFICATION APPLICATION" MUST BE SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO: NC DIVISION OF WATER QUALITY ATTENTION: JOHN DORNEY 2321 CRABTREE ROAD RALEIGH, NC 27604-2260 (919) 733-1786 DUKE POWER DIRECTIONS BY ROAD FORM 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 it along with your completed permit application to: DUKE POWER C/O LAKE MANAGEMENT - EC 12 Q P O BOX 1006 CHARLOTTE, NC 28201-1006 1-800-443-5193 Applicant's Name: Margaret & Andy Black Type of Permit Requested "Circle": Street Address (at lake): 8259 Peninsula Lane Private Facility Lake Name: Lake Norman Commercial Facility Excavation Subdivision Name: Mountain Creek Shores Stabilization Conveyance Property Section: Lot 20 Miscellaneous Uses City: Sherrills Ford County: Catawba State: NC Zip: 28673 Telephone: (386) 299-7936 Directions (from major road or highway): 1-77 North to Exit 36, left onto NC 150. Proceed to Slanting Bridge Rd, left. Proceed to Keistler Store Rd, left. Proceed to Mtn Shore Dr, left. Proceed to Peninsula Lane, left. Descriptive Structure on Property (i.e. brick garage, white fence, mobile home, etc.): *Note: Please use the back of this form, if desired to draw us a map to the site. GPAL/LAKEMGMT/LMPPM/DIRECTIONS.DOC Effective Date: 11/15/98 rage i or 1 858 Williamson Rd I??18259 Peninsula Ln Mooresville, NC 28117- Sherrills Ford, NC 2867 3- 8597, US 9250, US Total Est. Time: Total Est. Distance: 28 minutes 14.39 miles Maneuvers Distance l 1: Start out going SOUTHEAST on US-21. 0.2 miles 2: Merge onto I-77 N via the ramp on the LEFT. 2.7 miles 3: Take the NC-150 exit- EXIT 36- toward 0.1 miles MOORESVILLE / LINCOLNTON. 4: Turn LEFT onto NC-150 / W PLAZA DR. Continue to 8.1 miles follow NC-150. 5: Turn LEFT onto SLANTING BRIDGE RD. 2.0 miles 6: Turn LEFT onto KEISTLER STORE RD. 9.3 miles 7: Turn LEFT onto MT SHORE DR. 0.6 miles 8: Turn LEFT onto PENINSULA LN. 0.1 miles 9: End at 8259 Peninsula Ln Sherrills Ford, NC 28673-9250, US Tota l Est. Time: 28 minutes Total Est. Distance: 14.39 miles NI w r u , Black, Margaret & Andy 8259 Peninsula Lane Sherrills Ford, NC 28673 Page 2 of 2 INAME: BLACK MARGARET K & ACCOUNT: 201486 ... . ?NAME2: PAYNE KAREN A CALCULATED ACREAGE: .36 ,ADDRESS: 3199 ROYAL BIRKDALE WAY TAXMAP: 018CX 02020 iADDRESS2. ;TOWNSHIP: MOUNTAIN CREEK CITY: PORT ORANGE SUBDIVISION: MOUNTAIN CREEK SHORES 'STATE: FL SUBDIVISION BLOCK: ZIP: 32128-6815 LOTS: 20 i ;DEED BOOK: 2687 ..F .r? PLAT BOOK: 16 DEED PAGE: 0285 PLAT. PAGE: 132 FIRE DISTRICT: DENVER RURAL BUILDING NO.: 8259 MUNICIPAL TAX DIST: COUNTY STREET NAME: PENINSULA L N r [J117v F.,OR E X PA F .; ,4?f? SITE ZIP: 28673 (Sherrills Ford) ALL BLDGS?VALUE: $0.00 STATE ROAD LAND VALUE: $123,500.00 NEIGHBORHOOD: 132 TOTAL VALUE: $123,500.00 r'A?"ERF' ! WS-IV Critical Area YEAR BUILT: WATERSHED SPLIT: NO YEAR REMODELED: VOTER PRECINCT: P41 R-1 ZONING DISTRICT: COUNTY SPLIT ZONING DIST. 1: J, `- - SPLIT ZONING DIST. 2: SCHOOL DISTRICT: CATAWBA COUNTY SCHOOL SPLIT: NO ELEM. SCHOOL: S, FORD Ei FI,'I 'MIDDLE SCHOOL: ,'! ° . HIGH SCHOOL: REID/LRK: 19417 2000 CENSUS TRACT: 011502 2000 CENSUS BLOCK: 4040 FIRM Panel#: 37005003500 FIRM Panel Date: 9/7/1998 A.`?C` Product of Catawba County GIS. rage 1 of C f , k jj1 Zoom In C Zoom Out Zoom All C Pan Identify Adjoining Properties Layers Structures Aerial Photo 02 r Streams ~~? ; r Lakes / Ponds ??yL roo Misc. Lines iJ 5' Contours r 100YR Flood Update Map ea4sna-jntta7g Location Map Enter Search Data Address: Number -Street Find Last Name: ?? Find PIN:? Find LRKIREID: Find Any Portion of Name: F Find Tile Number: ?? Find Subdivision: Find Plat Book:F-Plat Page:1 Find Date & Time Stamp This map product was prepared from the Catawba County, NC Geographic Information System. Catawba County has made substantial efforts to ensure 10/21/2005 the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of 4:04:50 PM any data contained on this map product by the user. The County of Catawba, its employees, agents, and personnel, disclaim, and shall not be held liable EST for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this map product or the use thereof by Scale: 1 " = 54' any person or entity- ACP¢PT)r 147 it SuP.ItcT To il[ ? • ?`? ??? OTEgS tUE?IQHTS pF iAr4 do E iE IFPANK OR RAH 1 qA 7G V?RIIFh L4. a KS - ?T T A ? A?j' INKG G C01}3TR gE4'?7L IT W P IdA ` /I T } ?.'t liiVl ?!',''h'•T\' tt Pl N IliCT1 . Ldfaq Al -dlaq *,+ ?? ,14GU6r 7.. 2dei, a r s *Lk. V •,ad a 14 r r UMNIAIN CREEK TprNr:i?I P t. CATA"A C4UIif*, - "TH -CAROL yFt 6 ? Idly. ? L1Le0ipqk `SGIRVYORg Y LS 1F? 62 lloF. s !(? RMEFT OEQ*, 00 p' 88i ct PH.I}( IV "AARIS.. PL S"• Me / •? 4?3zNCigI2jAY016N' ?Tf••' 'j ? . ! ` h. q, QOX p9 ? OEM1lEt{, N. E gfpae u?xgx:. sE/t , s a vim.: c T44 "i40- 9C* c>DYlL.rJ?IEF d: nigado?aavc , ? ? .L. .. rt i ? ,_" ??-D .. ?AX':? { 7g1)??-21.7p :. /ll ?e?lgj[x' {, CIE *.0 LIW iMQ: •rraE' I'" -;---•--r--?-ate 4I, qll?? LI,I? .;..' T. ? e+ ' ?. ,.t?0,-..?.y?.. ?OrEllplll[?' MLA 'k ,?jv, U`•? ? i? ' 11. •i rr..?.--•??- IMREN ?qE. _ :L?3r6t 'ik= AV O 3 aFC. kt` t:E1111E suai4 ol - I", ICY (FO ?; t/ Or ?q.. 1gltm P(!{rT 1#i} Y MQI?Q 1 Ctm ly`TMr! n4T rie M TApr aN e e. L?DT =+ a e ?v v • mAt a ?ailsadrT 4*4axtoa ISO! 37- Par. ?.r?'' a ?' i1 .. ??/ `p?- sump srr tpiNt blt4n: Btr rjrt "?d; pC? $P: of Tosrx . R. Si -?yr??.}_ Y C I N LAK N 43" }8' 12` w e+ 4, !?3' •i ?b G Black, Margaret & Andy 60 . bo s m 8253 Peninsula Lane a, El IH4-, GRAM C SCALE! - FEET Sherrills Ford, NC 28673 ?e?°511e,. As f ? j :4p? A ate- ?f W-+ tl ! } + ' 1 j } ? z ? r,l4 r >, M Q r N L ?z a u ey z. r 00 u m ? ROWBOAT Dock & Dredge THE ROWBOAT COMPANY, INC. December 21, 2005 US Army Corps of Engineers Regulatory Office 151 Patton Ave. Room 208 Asheville, NC 23801 RE: Lake Norman - Margaret &, Andy Black To Whom It May Concern: Our firm is processing this application on behalf of Margaret & Andy Black to stabilize approximately 410 linear feet of shoreline by installing Keystone Block (8259 Peninsula Ln, Sherrills Ford, NC) on Lake Norman, Catawba County-, North Carolina. A copy of the Duke Power Company application, pertinent drawings and a location map are enclosed for your use. To access the project: 1-77 North to Exit 36, left onto NC 150. Proceed to Slanting Bridge Rd, left. Proceed to Keistler Store Rd, left. Proceed to Mtn Shore Dr, left. Proceed to Peninsula Ln, left. We look forward to hearing from you at the earliest time possible. Sincerely, E ROWBOAT COMPANY, INC. G y nn Meyer Sales Department w a, cc: NCDWQ (7 copies) 7 858 Williamson Road • Mooresville, NC 28117 • 704-663-3478 • FAX 704-663-5298 www.rowboatcompany.com • email: rowboatnc@aol.com ¦