20060425 Ver 1_COMPLETE FILE_20060315

v - F-"L.-
Michael F. Easley, ovemor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
March 29, 2006
DWQ# 06-0425
Iredell County
Mr. David E. Townsend
122 Chicory Lane
Troutman, NC 28166
Subject: Lot #30, High Hills Drive, Pinnacle Shores Phase IV 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 Mr. Townsend:
You have our approval,. in accordance with the attached-conditions and those listed below, to place fill in
or to otherwise impact approximately 0.03 acre of water and 0.01 acre of riparian buffer for the purpose of
stabilizing approximately 250 linear feet of shoreline on Lake Norman, as described in your application
received on March 15, 2006. 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
http://h2o.enr.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 your approved Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 26
.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 t+?c l&at
?atura!!y
Mooresville Regional Office Division of Water Quality Phone [phone] Customer Service
Internet: www.ncwaterquality.org 610 East Center Ave, Suite 301 Mooresville, NC 28115 Fax [phone] I-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 for a 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
Gyndi 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
\O?O? vv n t FRQG
d 'C
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
March 29, 2006
DWQ# 06-0425
Iredell County
Mr. David E. Townsend
122 Chicory Lane
Troutman, NC 28166
Subject: Lot #30, High Hills Drive, Pinnacle Shores Phase IV 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 Mr. Townsend:
You have our approval, in accordance with the attached conditions and those listed below, to place fill in
or to otherwise impact approximately 0.03 acre of water and 0.01 acre of riparian buffer for the purpose of
stabilizing approximately 250 linear feet of shoreline on Lake Norman, as described in your application
received on March 15, 2006. 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
http://h2o.enr.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 your approved Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 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 t?+g}3i(iat
turally
Mooresville Regional Office Division of Water Quality Phone [phone] Customer Service
Internet: www.ncwaterquality.oro 610 East Center Ave, Suite 301 Mooresville, NC 28115 Fax [phone]
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 for a 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
W A rF9pc
r
O `C
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
March 29, 2006
DWQ# 06-0425
Iredell County
Mr. David E. Townsend
122 Chicory Lane
Troutman, NC 28166
Subject: Lot #30, High Hills Drive, Pinnacle Shores Phase IV 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 Mr. Townsend:
You have our approval, in accordance with the attached conditions and those listed below, to place fill in
or to otherwise impact approximately 0.03 acre of water and 0.01 acre of riparian buffer for the purpose of
stabilizing approximately 250 linear feet of shoreline on Lake Norman, as described in your application
received on March 15, 2006. 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
http://h2o.enr.state.nc.us/ncwetiands. 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 your approved Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 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 rk-04bat
ura!!y
Mooresville Regional Office Division of Water Quality Phone [phone] Customer Service
Internet: www.ncwaterciuali!Y.org 610 East Center Ave, Suite 301 Mooresville, NC 28115 Fax [phone]
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 for a 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
i
DWQ Project No.:
Certificate of Completion
e,? ?(, --CJZ/ ZS-
County: _LRED(FZL
Applicant: JPr V i D E. U VJ n/SE.nJ b
Project Name: LOT 0 3 0 /j JAN f?rcL!5- DtZ A1v/y -It u_ Stta,eo -sHo?r-z?wr
23
1 P RAP
Date of Issuance of 401 Water Quality Certification: M A CLP-14 >?7) zoo ?
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit,
North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form
may by returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is
_not necessary-to send certificates from all of these.
Applicant's Certification
I' 1 AV J D F ? -7_o61_i n,Se-n/J , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be
built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans cifications, and other supporting materials.
Signature: Date: ! 8
Agent's Certification
I, hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be
built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Date:
If this project was designed by a Certified professional
I, , as a duly registered Professional Le.
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to
observe (periodically, weekly, full time) the construction of the project, for the Permittee hereby state that,
to the best of my abilities, due care and diligence was used in the obseryation of the construction such that
the construction was observed to be built within substantial compliance and intent of the 401 Water Quality
Certification and Buffer Rules, the approved plans and specifications, and,other supporting materials.
Signature: Registratio : Date:
5?? ? 57,006
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Details! __
. - - - - _- _
Project Number, 20060425 Version 1 _ Status
Issued Last ActionDesc:
?ProjectIssued
*Project Name David E Townsend Lot 30 ? •Proje ctType: Shoreline Stabilization (sills, rip rape
Project Desc: 'shoreline stabilization
'Owner. Townsend, David E {' r Detaiis._
'Received From: jApplicant r ] COEID: _a `Primary County. IredO
J ' > DOTTIP: ! `Admin Region: Mooresville I
Received Ot '0311512006 1 '_ - - Reviewer. bang Iore
_
Issued Dt -L03Q912006 ?-
_ - ------
"SacondarrCount?,?
Statutory Ot 05114/2006
CAMA NEPA/ SEPA Received Dt
r
OCM Office: --- - - -? SW Plan Received Ot
r- - --7 -
COE Office: , Wil tee Regulat -ory Field OfOcel ?- --- _
SW Plan Approved Dt
Public Notice Published Dt
Last Updated By. !!barry.love SW Plan Location: Public Notice Received Dt

Last Updated On: 1 0 313112 0 0 6 ;-
Sewage Disposal_
P.N. Comment Period Ends Dt

<Back Close
r - (Ready Page 111 fSSID: WPD1
Triage Check List
Date: 3/20/06 Project Name: David E. Townsend, Lot 30
DWQ#: 06-0425
County: Iredell
Alan Johnson, Mooresville Regional Office
To:
60-day Processing Time: 3/14/06 - 5/12/06
From: Cyndi Karoly Telephone : [phone]
The file attached is being forwarded to you for your evaluation.
Please call if you need assistance.
? Stream length impacted
? 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
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? 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!
?s•
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

I. Applicant Information
1. Owner/Applicant Information
GIs ant ,r7
Name: r7)?q y i ID to
Mailing Address: 2-7- Chf i CG L-Ai
' I P'n ' , i 14 A AI Al C- Z ? l ?-
Telephone Number: 7,0 q -
E-mail Address:{t' W ;i
Fax Number: N
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: A' lid
Company Affiliation:
Mailing Address:
Telephone Number. Fax Number.
E-mail Address:
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.
2. Describe the existing land use or condition of the site at the time of this
application: L low- rL va D ') ati l H pr oy g b /for=t s,T?
3. Property size (acres): Lg• "iQ /f P_
4. Nearest body of water (stream/river/sound/ocean/lake): LAKE PVOAHI} n1
5. Describe the purpose of the proposed work: T/t?Z€ Jf ?ru C=x Tx:s
zlfr??Cunl? Fl?s.z??J , u>a?eic cut?< Sri?Gi7.1 Sit-??.xZew? r?u?;?t-i?u=e
?/ Lip eti l?t-CK Gtt ¢ 5Tit?,rrL?? l?•/' J2?i?- hri!'
6. List the type of equipment to be used to construct the project: /31Vf_Ae1 bC
Far'&,T" -L Na ",+ZC•rz-
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: 6' X 2 (?b'
1S-Gl0 S61 Yi L1169 'r /?rtLK/ 21P
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: ti 2 r X 2sZ '
1
Z//,i / 116
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance):` 3% S 1!5na?(s t /Yte r.S ,
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Location ?l
County: Tie E Dr2L Nearest Town: , [ OO2 E5 V I L Lt- 7T
Subdivision name or site address (include phase/lot number): TI1v mf e L.E Srt6gL3
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included): FP-c?-i 5-77 ?R,ei-
PIP ?&r
y'S'xzs?'
Rc:Law 7t:.:;
t
(please provide dimensions for each item, such as 10 ft. x 100 ft):
1) All proposed vegetation clearing (provide dimensions).
.2) Location of rip rap or fill to be placed above the FUN Pond-elevation
3) Location of rip rap or fill to be placed below the . FuR Pond elevation
4) The location of any proposed structures such as buildings, retaining
walls, docks, etc.
5) The location of any excavation or dredging below the Full Pond
elevation.
B) Location of construction access corridors.
'Fp C, Nc VGA eL L=mar .?
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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
I. Applicant Information
1. Owner/Applicant Information
Name: -))A y I D -Tb tV A/5 Fnj D
Mailing Address: 2- 7- C/f r Cok
Tr?ni mAnJ _ n1 r Z2t?.
Telephone Number:
E-mail Address:
2- Fax Number:.
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number. Fax Number.
E-mail Address:
II. Project Information
Attach a vicinity 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.
2. Describe the existing land use or condition of the site at the time of this
application: L /6?t7'Ly 41410 De/) Uri /H r'r009 D AIVC s.rE
3. Property size (acres): 69•
4. Nearest body of water (stream/river(sound/ocean/lake): L- se4 JV K/t n1
5. Describe the purpose of the proposed work: '!N-6 ? A&5 ? -Fx" 1--_)e Tgx+ .r id'F
lte, PEtJ?Jc F7?iSr2?n) , ecU?[c Cvt?? Srtc?i7t S/tar?Z«c Cet?c;?t-MrC
?/ L, c etT ! t-tK F[ct ?} STi??ir G?z !ci j?t 17- hNP
6. List the type of equipment to be used to constrict the project: 2/1-1/c4vc'e
Fa c,. T- - CCUD L,,*
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: 46 ' x 2 SZ?'
•y /SGY? Sep !Y% ?L?GHT /.irKC?-«< ? %Z1P.Zr?f')
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: , 2' x 2s-Z? '
I%-
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): 3s s

Applicant/Agent's Signature a Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Location
County. TR E Dr2L Nearest Town: l`?vv2 8 V i L ??- 77
Subdivision name or site address (include phase/lot number): ?z v v, e_L,=_ St -,et3 rlSC-
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included): F!-c.., 5-77 7A,4=
-2 sue'

-- -_W- .-- ----------
(Please provide dimensions for each item, such as 10 ft. x 100 It):
1) All proposed vegetation clearing (provide dimensions).
2) Location of rip rap or fill to be placed above the Fun Pond-elevation
S) Location of rip rap or NI to be placed below the - Full Pond elevation
4) The location of any proposed structures such as buildings, retaining
walls, docks, etc.
5) The location of any excavation or dredging below the Full Pond
elevation.
6) Location of construction access corridors.
TC?
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Map of [IOU-12/) High Hills Ur Mooresville, NC: by MapQuest
PAAPQUEST.
[100-127] High Hills Dr
Mooresville, NC 28117, US

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it 2005 ldapQuest, Inc:0 2006 Tele Atlas
All rights reserved. Use Subject to License/Copyright
This map is informational only. No representation is made or warranty given as to its content. User assumes all risk
of use. MapQuest and its suppliers assume no responsibility for any loss or delay resulting from such use.

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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
I. Applicant Information '
,t
1. Owner/Applicant Information
Name: 7)A v I D F. T w AIS F.,O
Mailing Address: Z 2 C°! ff i C 6 L'O+'
„ 7-14A n) _ A) C^- Z 2l 6
Telephone Number: 7U/ - S"Z P -4, 2S3 Fax Number:
E-mail Address: d+r, .; D 9 i r' L, I I sew 4-4 , 1,1 e-
N
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: NIA
Company Affiliation:
Mailing Address:
Telephone Number. Fax Number:
E-mail Address:
If. 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.
2. Describe the existing land use or condition of the site at the time of this
application: L !wit TL y ?c i? l t?v /?t r?2? y n A1V Cs',TE
3. Property size (acres): 0, '75-P IC
4. Nearest body of water (stream/river/sound/ocean/lake): L AX /VOR YI1 nJ
5. Describe the purpose of the proposed work: ?H mac` 91t-5 •Pf2FV f x TEn%s iJ?
`?ltoE--CUn1? F!'--??27n1 , u:?,?lc wtL? Srlya?r S/to,e?`z.c?:c t'i.t2t'?-Ztt=(
L! e. Et l /'yi-Cic F141- ? S _&Aat Z -f z- k/ R I P- RI4 P
6. List the type of equipment to be used to construct the project:
i=T- - o-rj D "/r ??=72
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: X 7 <-V
•L /S2,Y? S,* Y% LAG ft l' b I+C Kr= «< 4 IZt P .z1}P?
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: , 2' x 2sZ '

b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance):
c

9// 3 06
Applicant/Agent's Signature Daie
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Location
County. TQ E Dt2L Nearest Town: //Oo /Z 8 Vii-1-z-7 77
Subdivision name or site address (include phase/lot number): ?I v Nfe1- St
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included): FP.c 41 5-77 7AA4o
z sz'
RN I pw 7(:?;
?j
t rl_?.S
""
Please approximately sketch the following information on aus plan
(please provide dimensions for each item, such as 10 ft. x 160 ft):
4) All proposed vegetation clearing (provide dimensions).
A Location of rip rap or fill to be placed above the Fug Pon&elevatlon
3) Location of rip rap or fill to be placed below the - Full Pond elevation
4) The location of any proposed structures such as buildings, retaining
wallso docks, etc.
3) The location of any excavation or dredging below the Full Pond
elevation.
6) Location of construction access corridors.
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Map of I IUO-127] High Hills Dr Mooresville, NC by MapQuest
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[100-127] High Hills Dr
Mooresville, NC 28117, US
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All rights reserved. Use Subject to License/Copyright
This map is informational only. No representation is made or warranty given as to its content. User assumes all risk
of use. MapQuest and its suppliers assume no responsibility for any loss or delay resulting from such use.

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