20061148 Ver 1_COMPLETE FILE_20060714

o?0? WA
14_ Michael F. Easley, Governor
r?RQ?
09
DW V'
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William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of WaterQuality
August 1, 2006
Donald W. Polk
815 Seal Pointe Drive
Redwood City, CA 94065
DWQ Project # 06-1148
Caldwell County
Subject Property: River Bend Club Pointe / Phase 1 / Lot #115
Gunpowder View Circle, Granite Falls, NC 28630
Approval of 401 Water Quality Certification with Additional Conditions
Dear Mr. Polk:
You have our approval, in accordance with the attached conditions and those listed
below, to place fill within or otherwise impact 118 linear feet of shoreline for the purpose
of stabilization at the subject property, as described within your application received by
the N.C. Division of Water Quality (DWQ) on July 14, 2006. After reviewing your
application, we have decided that the impacts are covered by General Water Quality
Certification Number(s) 3492 (GC3492). The Certification(s) allows you to use
Permit(s) NW30 when issued by the US Army Corps of Engineers (USACE). In
addition, you should obtain or otherwise comply with any other required federal, state or
local permits before you go ahead with your project including (but not limited to) Erosion
and Sediment Control, Non-discharge, and buffer regulations. Also, this approval to
proceed with your proposed impacts or to conduct impacts to waters as depicted
in your application shall expire upon expiration of the 404 or CAMA Permit.
This approval is for the purpose 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. If total fills
for this project (now or in the future) exceed one acre of wetland or 150 linear feet of
stream, compensatory mitigation may be required as described in 15A NCAC 2H .0506
(h). This approval requires you to follow the conditions listed in the attached
certification and any additional conditions listed below.
The Additional Conditions of the Certification are:
401 Wetlands Certification Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
11 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
ie: 919-733.1786 / FAX [phone] / Internet: www. ncwaterqu a I ity. o rg
One
NonhCarolina
11hafrrrallJ
al Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
Polk Property
Page 2 of 5
August 1, 2006
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific
and general conditions of this Certification (or Isolated Wetland Permit) are met.
No other impacts are approved including incidental impacts:
Amount
Approved Units Plan Location or Reference
Shoreline 118 linear feet A
2. Erosion & Sediment Control Practices
Erosion and sediment control practices must be in full compliance with all
specifications governing the proper design, installation and operation and
maintenance of such Best Management Practices in order to protect surface
waters standards:
a. The erosion and sediment control measures for the project must be
designed, installed, operated, and maintained in accordance with the most
recent version of the North Carolina Sediment and Erosion Control Planning
and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and
erosion control measures must be such that they equal, or exceed, the
requirements specified in the most recent version of the North Carolina
Sediment and Erosion Control Manual. The devices shall be maintained on
all construction sites, borrow sites, and waste pile (spoil) projects, including
contractor-owned or leased borrow pits associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be
designed, installed, operated, and maintained in accordance with the most
recent version of the North Carolina Surface Mining Manual.
d. The reclamation measures and implementation must comply with the
reclamation in accordance with the requirements of the Sedimentation
Pollution Control Act.
3. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian
areas beyond the footprint of the impacts depicted in the Pre-Construction
Notification. All construction activities, including the design, installation, operation,
and maintenance of sediment and erosion control Best Management Practices,
shall be performed so that no violations of state water quality standards, statutes,
or rules occur.
Polk Property
Page 3 of 5
August 1, 2006
4. No Sediment & Erosion Control Measures w/n Wetlands or Waters
Sediment and erosion control measures shall not be placed in wetlands or waters
to the maximum extent practicable. If placement of sediment and erosion control
devices in wetlands and waters is unavoidable, they shall be removed and the
natural grade restored within six months of the date that the Division of Land
Resources has released the project.
5. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification
or applicable Buffer Rules, and any subsequent modifications, the applicant is
required to return the attached certificate of completion to the 401/Wetlands Unit,
North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650.
6. Riprap Installation
All banks shall be laid back at a 2:1 (length : height) slope and riprap applied at
the water / land interface (at full pool). Riprap shall be placed as a linear
protective measure upon the regarded slopes. Stone used in stabilization shall
be a random size, varying from Class B riprap up to 6 feet in diameter to provide
additional wildlife habitat. All exposed soils above the Riprap stabilized area
shall be replanted in accordance with the attached Guidelines for Riparian
Buffer Restoration. This authorization shall in no way be construed as allowing
the installation of a bulkhead or seawall.
7. Heavy Equipment
Heavy equipment should be operated from the bank whenever possible. All
mechanized equipment operated near surface waters should be inspected and
maintained regularly to prevent contamination of stream waters from fuels,
lubricants, hydraulic fluids or other toxic materials. Equipment used in stream
channel must be clean, new or low hour equipment.
8. Diffuse Flow
All constructed stormwater conveyance outlets shall be directed and maintained
as diffuse flow at non-erosive velocities through the protected stream buffers
such that it will not re-concentrate before being discharged. If this is not possible,
it may be necessary to provide stormwater facilities that are considered to
remove nitrogen. This may require additional approval from this Office.
Polk Property
Page 4 of 5
August 1, 2006
9. Catawba Buffer Tree Protection
No trees shall be removed from Zone 1 of the Catawba Buffer unless they are
directly within the construction access corridor. If trees are removed, forested
vegetation shall be re-established within the construction access or other
temporary impact area occurring in the protected buffer zone within the next
growing season following construction of the project.
10. Disturbed banks and a 25-foot vegetated zone, must be restored along the
shoreline to natural riparian conditions with native trees and shrubs (e.g., silky
dogwood, rhododendron, dog hobble, red maple, silky willow, tag alder, black
willow, sycamore) to provide long-term bank stability and stream shading. Note,
silky dogwood, silky willow and black willow can be planted as live stakes
collected during the dormant growing season. Cuttings should be randomly
planted on four (4) foot centers from the waters edge to the top of the bank.
Trees should be planted on ten (10) to twelve (12) foot centers. Stream banks in
these areas should also be seeded with a native annual and perennial seed mix
with a temporary nursery crop of wheat, millet or other grain.
10. No Impacts Beyond those in Application
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or
riparian areas beyond the footprint of the impacts depicted in the Pre-
construction Notification. All construction activities, including the design,
installation, operation, and maintenance of sediment and erosion control Best
Management Practices, shall be performed so that no violations of state water
quality standards, statutes, or rules occur.
12. Deed Restrictions
Deed Restrictions or similar mechanisms shall be placed on all retained
jurisdictional wetlands, waters and protective buffers in order to assure
compliance for future wetland, water and buffer impact. These mechanisms shall
be put in place prior to impacting any wetlands, waters and/or buffers approved
for impact under this Certification Approval and Authorization Certificate.
Violations of any condition herein set forth may result in revocation of this Certification
and may result in criminal and/or civil penalties. The authorization to proceed with your
proposed impacts or to conduct impacts to waters as depicted in your application and
as authorized by this Certification, shall expire upon expiration of the 404 or CAMA
Permit.
Polk Property
Page 5 of 5
August 1,2006
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.
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 contact Mr. Kevin Barnett in the
DWQ Asheville Regional Office at either Kevin. Barnett(aDncmail.net or at 828-296-4657.
Sincerely,
Alan W. limek, P.E., Director
Division of Water Quality
AW Klkhb
Enclosures: GC 3492
Certificate of Completion
cc: Mrs. Sue Harmon
Permits, Etc.
Post Office Box 234
Boiling Springs, NC 28017
USACE Asheville Regulatory Field Office
Cyndi Karoly, DWQ 401 Central Office
DLR Asheville Regional Office
File Copy
Central Files
Filename: 06-1148.PolkProperty.WQ3492.Approval
?D
od
Triage Check List
Date: 7/20/06
y a ..
Project Name: Donald Polk, Lot 115
DWQ #:06-1148
County: Caldwell
To
Kevin Barnett, Asheville Regional Office
60-day Processing Time: 7/14/06 to 9/12/06
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!
2n661148
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
LC_
1650 Mail Service Center
Raleigh, NC 27699-1650 IS to
L Applicant Information JUL 1 1 2006
UENR - VOJER QUALITY
1. Owner/Applicant Information STET QNDS NO src? ,? ? ;TEI? BRANCH
Name: MR DONALD W. POLK
Mailing Address: 815 SEAL POINTE DRIVE
REDWOOD CITY, CA 94065
Telephone Number: 650-888-0940 Fax Number:
E-mail Address:
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:
MRS. SUE HARMON
Company Affiliation: PERMITS, ETC.
Mailing Address: POST OFFICE BOX 234
BOILING SPRINGS, NC 28017
Telephone Number: 704-434-0706
E-mail Address:
II. Project Information
[e-mail].
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.
Fax Number: 704-434-7100
DONALD W. POLK
1. Location
County: _CALDWELL Nearest Town: -GRANITE FALLS
Subdivision name or site address (include phase/lot number): RIVER BEND CLUB POINTE /
PHASE 1 / LOT #115 (GUNPOWDER VIEW CIRCLE, GRANITE FALLS, NC 28630)
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): FROM HICKORY TAKE HWY 321 N / TR ON NEW FARM RD. /
TL ON RIVER BEND DR. / TL ON GUNPOWDER VIEW CIRCLE
2. Describe the existing land use or condition of the site at the time of this application:
THIS IS A VACANT, SOMEWHAT WOODED LAKE LOT.
3. Property size (acres): 0.681 ACRES
4. Nearest body of water (stream/river/sound/ocean/lake): LAKE HICKORY
5. Describe the purpose of the proposed work: _TO STABILIZE 118' OF ERODING BANK
ALONG THE SHORELINE OF THIS LOT BY APPLYING RIPRAP. THE HEIGHT OF
THE RIPRAP WILL BE 2 TO 3 FEET.
6. List the type of equipment to be used to construct the project: A BOBCAT AND HAND
TOOLS
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: 2 FT. X 118 FT. = 236 SQUARE FEET
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:
4 FT. X 118 FT. + 8 FT. X 50 FT. (CONSTRUCTION PATHWAY) _
472 SQ. FT. + 400 SQ. FT. = 872 SQUARE FEET
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): FOUR TREES, 3"-6" IN DIAMETER, AND 7 TREES
GREATER THAN 6" IN DIAMETER WILL BE REMOVED. EACH TREE REMOVED
WILL BE REPLACED AT A MINIMUM WITH A 2" CALIPER, NATIVE SPECIE TREE.
ANY DISTURBED AREA WILL HAVE MULCH APPLIED TO IT.
Applicant/Agent's Signature U ! ' Date I
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
X's- Show ri prap 11$ beef in
Ier A, a- 3 -6+ in hei9h+-
Ik
1Jorald W, Polk-
River Poend Club Poin&
Phan I /Lot # 115
G-rmte a,lls, NC
SITE PLAN ., n.•- =,Pu "An oc o mm am Mli. POKM w Lo"Lcy 7001m• mzKu mmv o-mm ovum,% SCALE:
?Ltbjed Troperf y -->
Lake (Full Pond)

Full Pon I I 1--Ropc6M toaf Dodd
?i?rC?nd Chub ?oin?e. __-
Phn 5? I /?of ? I15nnq?^
Lakeward
a,' X I I g' - RiM
41 X I IV- Clea d
Above, Fu.I I Pool
Cor6fr u.dicil R
g?w X5o` L
5b' 1_and_wa ??
?i?eY tid CIA Poir&
??- 115
Please approximately sketch the following information on this plan
(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 "Normal Pool"
elevation
3) Location of rip rap or fill to be placed below the "Normal Pool"
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 "Normal
Pool" elevation
6) Location of construction access corridors
r '
Granite Falls, NC Donald W. Polk
?? ? ?(,? v•_ - ?a (f ? _. `? `?- ? X11 _ ? I
%
r ,? , f4 r, " Donald W. Polk. _ . I
Rlver Bend Ckjb Pohte 1 L
Phase 1 / Lot 115
I per Granite Falb, NC 28630
}
^SR j t ?;? Jrgt1 a ,! ?t •
l t Latitude 35.789644 N
t $?r -
'J ?(U Longfh?de81.38270 W r{"
fZ4
321 ! : (?l l ^t a??? / `i` 1? ti Cl\.t ! 1V )
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Copyright O 18882005 Microsoft Corp. and/or its suppliers. All rights reserved. http://www.microcottcom/streets!
O 2004 NAVTEQ. All rights reserved. This data includes information taken with permission from Canadian authorities O Her Majesty the Queen in Right of Canada. O Copyright 2004 by
TeleAtlas North America, Inc. All rights reserved.
I K-
bona I d V?, Pb
?iyPr end Club poi??}"e?
Phc?s? I ? Lof # I15
To: North Carolina Division of Water Quality
I give Sue Harmon, of Permits, Etc., permission to sign as my agent on my
application for shoreline stabilization.
Signature (s)
Date jzc? 26
- ?
Don Polk
River Bend Club Pointe
Lot 115
DUKE POWER LAKE MANAGEMENT, EC12-Q
P0BOX1006
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 N/A in blank. PLEASE
SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING FEE, PAYABLE TO DUKE POWER,
TO ABOVE ADDRESS.
L Applicant Information
A. Name DONALD W. POLK
IL
HL
IV.
V.
B. Mailing Address 815 SEAL POWTE DRIVE, REDWOOD CITY, CA 94065
C. Telephone: [phone]
Location of Proposed Project
A. Lake LAKE HICKORY
B. Street Address GUNPOWDER VIEW CIRCLE, GRANITE FALLS, NC 28630
C. County CALDWELL
D. City, town, community or landmark GRANITE FALLS
E. Section -PHASE 1 Lot # 115 Subdivision RIVER BEND CLUB POINTE
F. Directions to property by road -FROM HICKORY TAKE HWY 321 N / TR ON NEW FARM RD. / TL ON
RIVER BEND DR / TL ON GUNPOWDER VIEW CIRCLE
G. Latitude and longitude for the project site -LATITUDE 35.78984 N LONGITUDE 81.38270° W_
H. Please submit a map showing the coordinates or a detailed map (USGS quad map, city map, etc.) showing the
exact location of the project site. (NOTE: Latitude/ longitude coordinates can be found on internet site,
www.mapsonus.com.
Description of Project
A. Length of wall 118 LINEAR FEET
B. Material RIPRAP
C. Distance from property line/shoreline WILL FOLLOW EXISTING SHORELINE
Intended Use of Project Area
A. Private
B. Commc
YES
Applicant Signature
Agent Signature N
PLEASE NOTE THE FOLLOWING: '
• 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 PA77ONAVE. - ROOM 208,
ASHEVILLE, NC 28801-5006
A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
CAROLINA" AND SEVEN (7) COPIES OF THE COMPLETED "NC DIVISION OF WATER QUALITY PRE-
CONSTRUCTION NOTIFICATION APPLICATION" MUST BE SUBMITTED WITH THE DIVISION OF WATER
QUALITY APPLICATION FEE TO:
NC DIVISION OF iVATER QUALITY
ATTENTION. JOHNDORNEY
PARKVIEJV BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
06/19/06ssb
4 60061 1!1.3
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
1.
2.
Applicant Information
Owner/Applicant Information
lf?
JUL 1 2006
DENR - WATER QUALITY
,AZTUPJp;ttsDSTOF? '.,ATERERM1CH
Name: MR DONALD W. POLK
Mailing Address: 815 SEAL POINTE DRIVE
REDWOOD CITY, CA 94065
Telephone Number: _650-888-0940 Fax Number:
E-mail Address:
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:
MRS. SUE HARMON
Company Affiliation: PERMITS, ETC.
Mailing Address: POST OFFICE BOX 234
BOILING SPRINGS, NC 28017
Telephone Number: _704434-0706
E-mail Address:
[e-mail]. corn
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.

Fax Number: 704-434-7100

DONALD W. POLK
1. Location
County: _CALDWELL Nearest Town: -GRANITE FALLS
Subdivision name or site address (include phase/lot number): RIVER BEND CLUB POINTE /
PHASE 1 / LOT #115 (GUNPOWDER VIEW CIRCLE, GRANITE FALLS, NC 28630)
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
vicinity map is included): FROM HICKORY TAKE HWY 321 N / TR ON NEW FARM RD. /
TL ON RIVER BEND DR. / TL ON GUNPOWDER VIEW CIRCLE
2. Describe the existing land use or condition of the site at the time of this application:
THIS IS A VACANT, SOMEWHAT WOODED LAKE LOT.
3. Property size (acres): 0.681 ACRES
4. Nearest body of water (stream/river/sound/ocean/lake): LAKE HICKORY
5. Describe the purpose of the proposed work: _TO STABILIZE 118' OF ERODING BANK
ALONG THE SHORELINE OF THIS LOT BY APPLYING RIPRAP. THE HEIGHT OF
THE RIPRAP WILL BE 2 TO 3 FEET.
6. List the type of equipment to be used to construct the project: A BOBCAT AND HAND
TOOLS
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool lake level in square feet or acres: 2 FT. X 118 FT. = 236 SQUARE FEET
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:
4 FT. X 118 FT. + 8 FT. X 50 FT. (CONSTRUCTION PATHWAY) _
472 SQ. FT. + 400 SQ. FT. = 872 SQUARE FEET
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance): FOUR TREES, 3"-6" IN DIAMETER, AND 7 TREES
GREATER THAN 6" IN DIAMETER WILL BE REMOVED. EACH TREE REMOVED
WILL BE REPLACED AT A MINIMUM WITH A 2" CALIPER, NATIVE SPECIE TREE.
ANY DISTURBED AREA WILL HAVE MULCH APPLIED TO IT.
2S 11 -, ArKL!h,, PC , '11111i
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

Xs- Show riprap 113 feef in
lercA, a" 3 -het in hei9hl-
Ik
Doruald W. I) of k
Ri ver Pmd Club Po146
Phz?, I /t-of # il5
Cannel rolI is I NC
SITE PLAN scale i ' ??
r, AU nw-Jo-ern un 4115 MAX ONE al ova goo au rrxn waHSm LoMe?Aor w«MP ma.a.L ea.Mr MCIfiH CAlkL1A SCALE: P'"
Subject 1Tropc4 --?
Lake (Full Pond)

Full Pon --V'dpO5ed{ oaf D°dC
Shorelin
Cor6fru&on BA E0, Lard-uw
?RiYerBVul CA CL POir&
[ot it 115
I)OraILw Pa
phn /I?of 115
Csrrnif f 15 N a??30
Lakeward
,2I X 11$
4' X I IV- Cleared -
AboVz Fu.I I Pool
Please approximately sketch the following information on this plan
(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 "Normal Pool"
elevation
3) Location of rip rap or fill to be placed below the "Normal Pool"
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 "Normal
Pool" elevation
6) Location of construction access corridors

Donald UJ. PoiK-
?iyer >?nd CI ub poi??}"e?
?hGS? I / l-?-t- # 115
To: North Carolina Division of Water Quality
I give Sue Harmon, of Permits, Etc., permission to sign as my agent on my
application for shoreline stabilization.
Signature (s)
26 111
yv
Date jaw_,.,
? ?
Don Polk
River Bend Club Pointe
Lot 115
Granite Falls, NC
Donald W. Polk

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Phaee 1 / Lot 115 J1f >? ` Lu' ?? I
Granite Fab, NC 28630 c J ?; ur r
Latitude 35.78)64' N
Lonalbide 81.38270° W t .

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Copyright O 188&2005 Microsoft Corp. and/or Its suppliers. All rights reserved. http:/Avww.microsoftcom/streeW
O 2004 NAVTEQ. All rights reserved. This data includes information taken with permission from Canadian authorities O Her Majesty the Queen in Right of Canada. O Copynght 2004 by
TeleAtlas North America, Inc. All rights reserved.
DUKE POWER LAKE MANAGEMENT, EC12-Q
P0BOX1006
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 N/A in blank. PLEASE
SUBMIT APPLICATION AND APPROPRIATE DUKE POWER FILING FEE, PAYABLE TO DUKE POWER,
TO ABOVE ADDRESS.
L Applicant Information
A. Name DONALD W. POLK
H.
HL
IV.
V.
B. Mailing Address 815 SEAL POINTE DRIVE, REDWOOD CITY, CA 94065
C. Telephone: [phone]
Location of Proposed Project
A. Lake LAKE HICKORY
B. Street Address GUNPOWDER VIEW CIRCLE, GRANITE FALLS, NC 28630
C. County CALDWELL
D. City, town, community or landmark GRANITE FALLS
E. Section -PHASE 1 Lot # 115 Subdivision RIVER BEND CLUB POINTE
F. Directions to property by road -FROM HICKORY TAKE HWY 321 N / TR ON NEW FARM RD. / TL ON
RIVER BEND DR. / TL ON GUNPOWDER VIEW CIRCLE
G. Latitude and longitude for the project site -LATITUDE 35.78984 N LONGITUDE 81.38270° W
H. Please submit a map showing the coordinates or a detailed map (USGS quad map, city map, etc.) showing the
exact location of the project site. (NOTE: Latitude/ longitude coordinates can be found on internet site,
www.mansonus.com.
Description of Project
A. Length of wall 118 LINEAR FEET
B. Material RIPRAP
C. Distance from property line/shoreline WILL FOLLOW EXISTING SHORELINE
Intended Use of Project Area
A. Private YES
B. Commercial
Applicant Signature
Agent Signature
Date Z6 Zco?
- 6q66?Faz - UU
PLEASE NOTE THE FOLLOWING: '
• 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 PATTONA VE. -ROOM 208,
ASHEVILLE, NC 28801-5006
A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
CAROLINA" AND SEVEN (7) COPIES OF THE COMPLETED "NC DIVISION OF WATER QUALITY PRE-
CONSTRUCTION NOTIFICATION APPLICATION" MUST BE SUBMTTTED WITH THE DIVISION OF WATER
QUALITY APPLICATION FEE TO:
NC DIVISION OF TVATER QUALITY
ATTENTION: JOHNDORNEY
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 27604
919-733-1786
06/19/06ssb