20061021 Ver 1_COMPLETE FILE_20060623

AO? W A T ?9PG
co
? -I
Mr. John Jahnsen
136 Lighthouse Rd.
Mounty Holly, NC 28120
Michael F. Easley, Governor 0, 1
7VJ
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
F I
AUG 2 4 2006
DENR •'AAl F-K QUALITY
WETLANDS AND STO"AIER 6RANCH
Subject Property: Lot 28, Thamon Crossing, Moss Lake
Alan W. Klimek, P.E. Director
Division of Water Quality
July 5, 2006
DWQ Project # 06-102f
Cleveland County
Approval Of 401 Water Quality Certification And Authorization Certificate with Additional
Conditions
Dear Mr. Jahnsen:
You have our approval, in accordance with the attached conditions and those listed
below, to dredge, fill in, or to otherwise impact the following as described in your application
dated June 23, 2006:
Amount Approved Units Plan Location or Reference
Shoreline 100 feet
404/CAMA Wetlands acres
Waters 0.006 acres
Buffers - Zone 1 (square ft.
Buffers- Zone 2 (square ft.
After reviewing your application, we have decided that the impacts are covered by the N.C.
Division of Water Quality (DWQ) General Water Quality Certification Number(s) 3495. This
Certification (s) allows you to use Regional General Permit No. 198200277 when issued to you
by the US Army Corps of Engineers (USACE). This letter shall also serve as your approved
Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 2B .0243.
In addition, you should obtain or otherwise comply with any other required federal, state or local
permits before you proceed with your project, including (but not limited to) Erosion and
Sediment 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 for the purpose
and design that you described in your application. If you change your project, you must notify
us and you may be required to send us a new application. If the property is sold, the new owner
must be given a copy of this Certification and approval letter and is thereby responsible for
complying with all conditions.
N""o,h?Carolina
,vatima!!y
North Carolina Division of Water Quality 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone [phone]
Customer Service Internet: ncwaterquality.org FAX [phone]
1-877-623-6748
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
Page 2 of 2
Date
This approval requires you to follow the conditions listed in the attached certification and
any additional conditions listed below.
1. All stormwater shall be directed as diffuse flow at non-erosive velocities through the protected
stream buffers and will not re-concentrate before discharging into the stream as identified
within 15A NCAC 2B.0243(5).
2. Upon completion of all work approved by this 401 Water Quality Certification, and any
subsequent approved modifications, the applicant is required to return the attached certificate
of completion form to the 401 Oversight/Express Review Permitting Unit, North Carolina
Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.
Violations of any condition herein set forth may result in revocation of this Certification
and may result in criminal and/or civil penalties. If you do not accept any of the conditions of
this Certification (associated with the approved wetland or stream impacts), 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, which 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.
-Any disputes over determinations regarding this Authorization Certificate (associated
with the approved buffer impacts) shall be referred in writing to the Director for a decision. The
Director's decision is subject to review as provided in Articles 3 and 4 of G.S. 150B.
This letter completes the review of the Division of Water Quality under Section 401 of the
Clean Water Act and the Catawba riparian buffer protection rule as described within 15A NCAC
2B .0243. If you have any questions, please telephone Cyndi Karoly at 919-733-1786 or Alan
Johnson at 704-663-1699.
Sincerely,
for Alan W. Klimek, P.E.
Enclosures: Certificate of Completion
GC 3495
cc: Duke Power Lake Management, PO Box 1006, Charlotte, NC 28201-1006
USACE Asheville Regulatory Field Office
File Copy
Central Files
Fi
d W
tl
d P
o
ect . Xl

n
e
an
r
j .. _ ..,_ ,..
.
es Afiliations E finis IpspaCtlons 1 - comments
Im acts Mitigations j 4e
y
Detallst 8
Project Number '20061021 Version: t Statue Issued Last ActionDesc: Project Issued
'Project Name: Jahnsen Dock & Rip Rap 'Project Type: Fhorelme Stabilization (sills, np rap)+
Project Desc: slip covered dock & rip rap sea wall 1
'Owner: 'Jahnsen, Leslie C. _ Details..
'Received From: IApplicant - COE ID: ` *Primary County. Cleveland
DOTTIP: 'AdminRegion: Mooresville
Received Dt ,0 612 312 0 0 6 I u Renewer.
alanjohnson
Issued Dt: '.07N512006

-- --
--
'Seconds Coun
Statutory Dt: 0 7t212006
--
-. CAMA NEPA! SEPA Received Dt: , I
DCM ORCe:? ro SW Plan Received Dt ?-
_
COE Office: Neville RegulatoryField Oji SW Plan Approved Dt Pub1IC Notice Published Dt )
Last Updated 8y. 'laurla dennison _ SW Plan Location: -??
- PUbIIC Notice Received Dt T J ,
Last Updated On: 06868008
Sewage Disposal: P.N. Comment Period Ends Dt

Back :. '. Close

..,.Ready ?._ _. .. if
;,Page Ill __a. SID:YVPDt,
Triage Check List
Date: 6/26/06 Project Name: John and Leslie Jahnsen
DWQ#: 06-1027
County: Cleveland
To: Alan Johnson, Mooresville Regional Office
30-day Processing Time: 6/23/06 - 7/23/06
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 (Neuse, 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 !
John & Leslie Jahnsen
136 Lighthouse Road
Mount Holly, NC 28120
June 21, 2006
Division of Water Quality, 401 Mletlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
To Whom It May Concern:
Subject: Pre-construction Notification (PCN) Application Form
f"l'r.,ar' S
t
2000102'
Please see enclosed in this package (7) copies of the "Pre Construction Notification
(PCN) Application Form", as requested, with a personal check in the amount of
$200.00 for required application fee. As well as copies of engineer's plans.
We would like written approval, in the form of a "401 Certification", to begin
construction of a one slip covered dock with 100 feet of rip-rap seawall. This
construction will be at our homes location, 222 Thamon Road, Shelby, NC, Tax Map
Ref.# 3139-1-177, on John H. Moss Reservoir.
Please see enclosed application for further details of this project. If there is any
further questions not found in this application, we can be reached by phone: 909-
553-3263, e-mail: leslie iahnsenCaD_msn.com, and mailing address: 136 Lighthouse
Road, Mount Holly, NC 28120.
Thank you for your time and consideration.
Respectfully,
John & Leslie Jahnsen
?; ? ?: 2QC5
Office Use Only' Form Version March 05
20061021
USACE Action ID No. DWQ No.
(If anv particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
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
2. Nationwide, Regional or General Permit Number(s) Requested:
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 ? _ t7 7"
f ,?r F ..a 4 X ?j6 F.?-. L.?
Q/
H. Applicant Information
?s? ,IUN ?? ? 206
1. Owner/Ap licant Information 3-A
Name: L es L s I-i ds c/?
a._tt ,r
Mailing Address: i L I &-H- F H 0 to 5C
Telephone Number: q O S S S c (? Fax Number:
E-mail Address: L e-S L i e- al-? s e,"z?D M , C.d ,^n.
t_ U r\J2e, r-1 ; n z s? rv,6 0 )
2. Agent/Consultant 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:
E-mail Address:
Fax Number:
Page 5 of 12
III. Project Information
5.
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 ofproject: J A H O5EiJ "-Doc'Ic t FA P
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): ?K A? ?c F =4 7 7
4. Location
County: C t e'Je t_fl ?i l? Nearest Town: S H EL 9 y
Subdivision name (include phase/lot number): .L-DT 4 2S Y M P Z l- A."c?r l .c>SS i ?,J Cr
Directions to site (include road numbers/names landmarks, etc.):
Site coordinates (For linear projects, such as a road or utility line,
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): ON
6. Property size (acres): ? h 8
7. Name of nearest receiving body of water: H o ss LA ;_e
8. River Basin: L) LA
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.ne.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: 14 O U 5 e 1 S ISc; kJ G,- l.',U < <-- L O0 -FH F_
I _n , _ -1-4 E? 2E:_: i <. A.rJ P-.u ? c- -n 0 (,- Hno sr--- A T ZZL4 TH A", nn,
attach a sheet that
oW
Page 6 of 12
10.1) e cribe the overall project in detail, including the type of equi ment to be
L_C
SU A7
'a7.)-r- P 2RP -r'n v nF, Swop cen<- c> /
11. Explain the purpose of the proposed
S-1 ,nip S f-t n Cam. a Cz<,- - 1
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 permitsiss?ed for prior segments of the same T.I.P. project, along with
construction schedules. A
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.
N0Q
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: (2-4 P ZA A -' SHV -e t._t,Uc,
O -p "c, c (-t `14-r ,
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,
separately list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
( es/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
must be included. To calculate acreaLre. multinlv length X width- then divide hv 4'A 560
Stream Impact
Number
indicate on ma
Stream Name
Type of Impact
Perennial or
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, excavation, dredging, floodin , drainage bulkheads etc.
Open Water Impact
Site Number
(indicate n ma) Name
(if applicable) Watee)
Type of Impact Type of Waterbody
(lake, Pand estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)
( MO 51, LA X£ IZ, P RA P t_A ?-_E Z

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 project:
Stream Impact (acres):
Wetland Impact (acres):
Open Water Impact (acres):
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear feet):
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes X 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 of 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): ? uplands ? 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:
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. ?j f
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
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 maybe 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
httl):Hh2o.enr.state.ne.us/ncwetlands/stringide.html.
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 needed.
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
[phone] 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.enr.state.nc.us/wm/index.htm. 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
VC Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No A
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 [phone] 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 V Yes ? No Z
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 Multiplier Required
1 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near 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 all appropriate information as identified
within 15A NCAC 2B.0242 or.0244, or.0260.
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. ('? r2 A SS c,J ?c l E f rJ t?
OA) Lam.
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.
1M /eA
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No .L
Is this an after-the-fact permit application? Yes ? No 0
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 El 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
http://h2o.enr.state.nc.us/ncwetlands. 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).
plicant/Agent's Signature U Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
k
i
y
?OJ O

' Rd Stubbs ° B
0
?-? m 1
Buffa O ???aaa

•
p a
agta c d%
ove
e pPa# ?"
mm 3

d 4Lnda.
- j o St
Ilion
15 °
,o
V
Ot
o 1
$ "-.,r
/\d
y s t
Or
G°uftneY 211
ro0 Cove°
`o
' J a
3 ?. ell
r "!'loop
Napa ° O
O? V Cake
O C ` O{ m5? C `?'''•
Haven Ys H? Gam" ..
a peep
h? °
??

7ro g Sy Dm?
a f Nort
m - Sh WY ` `°
res
Z
'Q .• q' m $ =,`_
2y

° N=
f Harrison Homestead
Rd •r0?
L Or ?p a 1 m?
'.! a as ca
o Q-
, .
r
?

rB? -
" r?goGo
m 2 _ _
r
m 0-
? of
w .v V S ?
?.„
re

2-2 -
0-
n
Rd
Fairview Farms ew r .: ?r Yr?J.. `r?"s'go ?M'
r. ?iy r
? e a
r
/N
180 D »
NSY?r, ,.?
to a ? ?4 ,, C £ Orb `S94irre/
.. ZebCline C
n
R o°? 9 r z .vn?i c"? 3 d vu pate
W Cove
1 ?
4
t Fail ry--tew i 3 i
.? 1YI
O
.S.S : 3m
I ya
t ,
a : c coess Bottom
Gt
:.. rwman Rd ?tae x?.??? ?" e m
o
o
He r
F m
Lansdowne

Elizabeth

H; M nd Cir „
ohn
Goforrb l
Rtl
m. f Z Av `
o
Dr
F/t Dr
no m m o y o`
- x e,S ewGte
N - v Dunes
ad
Q
ab
/ eth Etea
4 e? > 3 oe
9f 1 - . "`
t u
Hollow
PJ¢ Oerb ..-. I", , r f Rd Pine Lake Dr 3,

vOa
P
S
` O
s
G3 Jonas St 8
marr
I ?m
h .oa ` Yti Ruby C,
r
Pa
D sad
` dr {
=
r m
sCr
` 'b
m0 <
C? : t"
0
N 'o L
G
Or - hoq
? v
x .3
9 -
m

GAO Stone ev
Ln
Cv C "a
u-

?

andlewOod Dr;) A

Dr7r

G
a,
s`e'Sr @ m
k Oak se pc Od?? Woodb ridge
?, m:. , wood
y
od _ O °? Go
Oakwood ?f f Course
akwo
Rd
a- La
wood Or c

S
O '/30• Moo O ,. r :.' a t0s

O.
\ ?
te Ric} r
° ?"?..- aF
Esr
•\
?_ m4 0 a
e,
Cd R°' ..... ' r ,,
Q,
m?
N
a, Q

z ` a
^ F
BUS
G"
?d
7A
S S W 7 .1 y Y t i'f ';5,'. W
a ?7 v; w Q `, z p Z Li
-2 11 -2
r d x I N o H0 w 2 CL t-
0 4 0 _. ?? ---- Q >L J d r
, pia F J ?
Lo O r
V
a
} N
ti I
x
N,
•30o dt I ! ?
_ I _? 'd H I v Q,
F-
N
S?j _ z
I c Q
O,g Z ?
u
Ol
M I r fl 1
l Q r , ?g .y41 Q
o? ?b nd' s SZI,. I J
l rv,1 S il L G
i
I
4 a
,y
0 A 7,
ks:
o
"71 L

John & Leslie Jahnsen
136 Lighthouse Road
Mount Holly, NC 28120
11i=iVE t
June 21, 2006
Division of Water Quality, 401 M/etlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
To Whom It May Concern:
Subject: Pre-construction Notification (PCN) Application Form
0001021
Please see enclosed in this package (7) copies of the "Pre Construction Notification
(PCN) Application Form", as requested, with a personal check in the amount of
$200.00 for required application fee. As well as copies of engineer's plans.
We would like written approval, in the form of a "401 Certification", to begin
construction of a one slip covered dock with 100 feet of rip-rap seawall. This
construction will be at our homes location, 222 Thamon Road, Shelby, NC, Tax Map
Ref.# 3139-1-177, on John H. Moss Reservoir.
Please see enclosed application for further details of this project. If there is any
further questions not found in this application, we can be reached by phone: 909-
553-3263, e-mail: Leslie iahnsenCcD_msn.com, and mailing address: 136 Lighthouse
Road, Mount Holly, NC 28120.
Thank you for your time and consideration.
Respectfully,
John & Leslie Jahnsen
JUN Z `' Z
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. t3 1 0 2 1
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
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
2. Nationwide, Regional or General Permit Number(s) Requested:
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
T
Environmental Concern (see the top of page 2 for further details), check here ?
L U V) L.-
II. Applicant Information
JUN 2 3 2006
1. Owner/Ap licant Information `
Name: 13 L J A4-1dS?/V DEL N, 'P{ ,:Q rr
Mailing Address: I L I GH i H O 0 S E - - ,_ .., . .
0 0 ,AJ-T 1-4 0 t..l-V N C t ark
J
Telephone Number: q02 5S3 s 2 S Fax Number:
E-mail Address: ( e.s l i e- a. N 6S m S YN., e-a rI
t2?_ur\ Qerk ; ACC SY1'K.60)
2. Agent/Consultant 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:
Page 5 of 12
M. 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 A H 1J S E_ 0 J-Doe'Ic 121 P FA P
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): , ?me MA? ?E[,-4 S I M t - ( _74. Location
County: C t.. eye- C_..fl t'),?) Nearest Town: S H F-L.- 9 y
Subdivision name (include phase/lot number): LD A 2Z 0;7 M AP Z ?F 4AMC)k) Q,&SS I Cs-
Directions to site (include road numbers/names landmarks, etc.):
(,ti wi 4 ` i tJ t ONE\/ (),,\I i©Ng.y t0 irk t 10
-n4 a. m n.,.) a P? -??_' 2 _FH A M 0 r) 1Z .
.
Site coordinates (For linear projects, such as a road or utility line,
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): ON
6. Property size (acres): ,08 -
7. Name of nearest receiving body of water: 0 S LA ic-c
8. River Basin: () /A
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use
at the time of this application: & K U US r-_ l S F-- i JQ
E.
attach a sheet that
°W
vicinity of the project
2.24 TH A"n k i
S
Page 6 of 12
10. Describe the overall project in detail, including the type of equi ment to be used:
C `.n?.?s (?.un -?-cnj tTL_e Sze P Cn,/
??o2G
AP
11. Explain the purpose of the proposed
S I n P S i-1 AR a a CL-C) <_,, 1,n
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. 1J A
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.
N C) Q-,-
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: R-t t= '? A7- t`1Nc
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,
separately list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(yes/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
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
indicate on ma
Stream Name
Type of Impact Perennial or
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, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicat n ma) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)
M0 S c, L' 1'Z I P RA r 1_ A (: Z i

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 Impact (acres):
Wetland Impact (acres):
Open Water Impact (acres):
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear feet):
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes X 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 USACE.
8. Pond Creation
If construction of 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): ? uplands ? 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:
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.
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
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
hl!p:Hh2o.enr.state.ne.us/ncwetlands/strmgide.html.
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 needed.
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
[phone] 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 htt-P:Hh2o.enr.state.nc.us/wrp/index.htm. 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
VL
X.
Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federaUstate) land? Yes ? No X
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 [phone] 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 ?
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 213 .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 V Yes ? No 0
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.
Impact Required
Zone* Multiplier A T:4: 4: w
3 (2 for Catawba)
1.5
Total
* Zone 1 extends out 30 feet perpendict
additional 20 feet from the edge of Zone 1.
the top of the near bank of channel; Zone 2 extends an
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 all appropriate information as identified
within 15A NCAC 2B.0242 or.0244, or.0260.
Page 11 of 12
M. 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. Co R-A SC, W) u_- 9E }?c_A rJ--te_'b
l7AJ Lr -.
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.
M /A
XM. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No ,K
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 El 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
http://h2o.enr.state.nc.us/ncwetlands. 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).
Xfiplicant/Agent's Signature U Date `
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
? o
w?
d s
o?r
J ? O
6 h s
J -.2 w
2 d
N
U,
N
r d x
o f 0 rf
{emu 9• N0? t
} N
h.
ly ;S
x
N
AAt
'? c?V? `, r?• 1 L
Li :2
7 4 o 1CllI,1
?-
? W
U
N X 1J Q 'wn U [7
o UO
L11
?' v O U Q J ` O
CL
w -1 4 '61 1-
I
N J W J
? cq F

I I ? i
- i _? •joo? dtH ! ?
0
10
- ---- _ '.9 - - ---
„0,8 z
R

V1
4i ?U
Q ,•t
? - f
UI a 1 ?
z

? ? LL
4 q

I
J

Z L' E L I N\,LI ,c? .9rcN +?

av r.

• a
?9 7 C-
`o
Q
"r

, v+?"1
S c
`?
c?
; 1
1 ? _ '? I d
4 a °?d p } I J

y n I _,

?c
? r
a a

' O

.1
.1
4
3
f
r
o
'
0

Ra Stubbs
B
o
P`t o
?
m ) 1
Buffo 0

r ?
a91e c N,
?ove
n?,1
c?2 r '?.
O " ?' ,gym`
a? am ZSN
3 C ' w 'Po,
F
t
{'Dt
`
-`-
Sava 3S
/P?? Ot
O e4' t`

d orm
. .'
$
= rp g St
Z>
Ilion c
raj
Or O c
O° <o O3 n
150 k
p
? 0 N
8 ? ? , m
Q m
4r
,
o m ! Ot g
C CouMeY Or

g
Cog
b j V
k
'O
n
a ? ?
'
c -.
v+ood
aKe
N? O`
o m
' `
? U Cake
F/e? Y
O a
`E- SPA

ee
O
Ot vo
_
O Ctwd Haven- e
vY ..
o Sy DC ,. ?_'? Nort 2 "
? ^ o rn 8 ,Y/'? y Hannon Homesteatl
Tro Rd O
' l o Sh
F o.
res Ur
m
L
n
e take

Z-r

-
'
. Gordon Rd
Fairview Farms
yt ew .tc•.i ?,
- ts. `+ir
, vx ""' ' c a rh
180 e
?a EaF lw
. N ;, tYt f ":tip E d 0?9Sp?? Li ?O
\
O w d A Zeb 4 Cline 9 er a,'s

< C'
C4
R of
,
? Cova V
ite?
Fairview
- -? o t
Moss :a
r
'
v
! a ,.,?fi e+?tX'F. 1 -- .. ? m\\\'c Coess Bottom
Ct
f
mF oa
_• !Lowman Rd e

C Lansdowne

Elizabeth F"
nd
Cir
ohn G
Rd oforth
?
° S?t?
be Or
'no t e
tH
? Oerb
oJ O Or
? a
Smart PIvOm ti tal ?m P G4 Jon
St?'s? Rub
Park
O
t ? e
d?/ar
s
` t O Oar ?o+?Z ?-.F?- <?.}};' -, J?ed°l MatloryCt
o
r s
m
iQ ,?
r"r.?? •Cra N o'..
€V
\5

CEO

N Stoned V Cr)
d Crt
iiiiw
t f ..;7 r

N
andlewood or
?.
"

Q/

7r

V
eja L
?e s N o t !
CID hr e 0 L
Oaks M d¢? Wood ridge
a
tlod
ood Go
Oatc++ood f Course
o COjTep ?o• 4" akw
r a °•
' o m
Rd ?? Sr r La wood Dr p

O 6 Moose Dry
?a
- ?? o'
a o
Ps/ \

a ??, ? r
t: ? .? as
asA `\
H
\ .. is ?..i x
O.

Est '? `. s
6 or p`
a p n i
U
?
7
Z ,--......-
d
a
o-
^ F
Y Grove
Ftd