20050225 Ver 1_Complete File_20050204

O?O? W AT ?RQG
p ' "C
Mr. Steven D. Huffman
120 Adrian Road
Salisbury, NC, 28146
Michael F. Easley, Governor
February 21, 2005
I"E4A psA, psTOaR' A ALI DWQ# 05-0225
TER RANCH Davidson County
William G. Ross Jr., Secretary
I North Carolina Department of Environment and Natural Resources
Alan \V. Klimek, P.E. Director
@?
? D Division of Water Quality
EB 2 8 @ 0 vV 2005 ?
F D
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Huffman:
You have our approval, in accordance with the attached conditions, to place fill within, or otherwise impact
by excavation, 0.014 acre of waters for the purpose of constructing a pier on High Rock Lake at Lot 01A,
Riverside Drive, Southmont, in Cotton Grove Township, Davidson County, as described in your application
received by the Division of Water Quality on November 22, 2004. After reviewing your application, we have
determined that this activity is covered by General Water Quality Certification Number 3492, which can be
viewed on our web site at http://h2o.enr.state.nc.us/ncwetlands. This Certification allows you to use Regional
General Permit Number 198200030 when it is issued by the U.S. Army Corps of Engineers. In addition, you
should secure any other applicable federal, state or local permits before you proceed with your project,
including (but not limited to) those required by Sediment and Erosion Control, Non-Discharge, and Water
Supply Watershed regulations. Also, this approval will expire when the accompanying 404 permit (Regional
General Permit) expires unless otherwise specified in the General Certification.
This approval is valid only for the purpose and design that you have 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 total fill for this project (now
or in the future) exceeds one acre of wetland or 150 linear feet of stream, compensatory mitigation may be
required as described in 15A NCAC 2H .0506 (h). For this approval to be valid, you must follow the
conditions listed in the attached certification, as well as the additional conditions listed below:
1. The following impacts are hereby approved as long as all other specific and general conditions of the
Certification are met. No other impacts, including incidental impacts, are approved:
Amount Approved Plan Location or Reference
Waters 0.014 acre Lot 01A, Riverside Dr., Southmont
2. Appropriate sediment and erosion control measures which equal or exceed those outlined in the most
recent version of the North Carolina Erosion and Sediment Control Planning and Design Manual or the
North Carolina Surface Mining 1fanual (available from the Division of Land Resources at NCDENR
regional offices or the central office), whichever is more appropriate, shall be designed, installed and
One
North Carolina
Alatraally
North Carolina Division of Water Quality
Wetlands Certification Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Phone [phone] FAX [phone]
2321 Crabtree Blvd. Raleigh, NC 27604-2260 Internet htlpl/:h2o enrstate nc uslncwetlands
Customer Service Number: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
Mr. Steven D. Huffman
Page 2
February 21, 2005
maintained properly to assure compliance with the North Carolina water quality standards that are
applicable to lakes and reservoirs. Such measures must equal or exceed the requirements specified in
the most recent version of the North Carolina Sediment and Erosion Control Manual. These measures
must be maintained on all construction sites, borrow sites, and waste pile (spoil) sites, including
contractor owned and leased borrow pits, which are associated with the project.
3. 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 measures in wetlands or waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
project is completed or, if applicable, within six months of the date that the project is released by the
North Carolina Division of Land Resources.
4. 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.
Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of
Completion" to notify NCDWQ when all work included in the §401 Certification has been completed.
This certificate should be returned to the 401/Wetlands Unit of the NC Division of Water Quality at the
address listed on the form.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You
must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition
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 telephone Daryl Lamb in the DWQ Winston-Salem Regional Office at 336-
771-4600 or Cyndi Karoly in the Central Office in Raleigh 919-733-9721.
Sincerely,
Z Alan W. Klimek, P.E.
AWK/cdl
Attachments
cc: Andrea Wade, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
Winston-Salem DWQ Regional Office
Central Files
Wetlands/401 File Copy
Andy N. Morris, Uwharrie Real Estate, P. O. Box 189, Southmont, NC 27351
MEMORANDUM
TO: John Dorney Regional Contact:
Non-Discharge Branch WQ Supervisor:
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Steven Iluffman
Project Number 05 0225
Recvd From APP
Received Date 2/4/05 Recvd By Region
Project Type Dredging
Certificates
Permit Wetland Wetland Wetland Stream
Type Type Impact Score Index
Daryl Lamb
Steve Tedder
County Davidson
County2
Stream
Class Acres
Prim. Supp. Basin Req.
Region Winston-Salem
Stream Impacts (ft.)
Feet A
Req.
?F-- O Y_@ N F__ 12-(124.5) wsw cn 30,704. 0.01
F__ ?OY ON ??????? I ?
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? O Y *N Did you request more info? O Y *N
Have Project Changes/Conditions Been Discussed With Applicant?O Y O N
Is Mitigation required? O Y O N Recommendation: O Issue * Issue/Coed O Deny
Provided by Region: Latitude (ddmmss) 354042 Longitude (ddmmss) 801930
Comments:
Site visit made on 01/27/2005. This iG a FERC 401 Water Q ualit y Ceritfication application for
authorization to impact open waters of High Rock Lake by dredgjng. The purpose of the dredging-j5-
to create an area of deeper water sufficient to allow the construction of a recreational pier connecting_
a private residential lot to the open waters of the lake. The area of proposed dredging is 20 feet by
30 feet to a depth of 8 feet (as measured from the lake surface at the end of the pier to the bottom of
the dredged lake bottom at full pond elevation). All spoil associated with this dredging will placed on
the appkant's residential lot of 0.93 acre. This spoil will be used for lot fill only. There are no stream
or wetland impacts associated with the proposed dredging, nor wills oip I be placed in any stream or
wetland. WSRO will issue authorization, with additional conditions, to use General Water Quality
Certification #3492 for this impact in conjunction with the USACE's Regional General Permit
#198200030,
cc: Regional Office
Central Office Page Number 1
O?O? W A T ?9QG
(DWa -
p --- J?
_f -
h1ichacl 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
February 21, 2005
DWQ# 05-0225
Davidson County
Mr. Steven D. Huffman
120 Adrian Road
Salisbury, NC, 28146
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Huffman:
You have our approval, in accordance with the attached conditions, to place fill within, or otherwise impact
by excavation, 0.014 acre of waters for the purpose of constructing a pier on High Rock Lake at Lot 01A,
Riverside Drive, Southmont, in Cotton Grove Township, Davidson County, as described in your application
received by the Division of Water Quality on November 22, 2004. After reviewing your application, we have
determined that this activity is covered by General Water Quality Certification Number 3492, which can be
viewed on our web site at http://112o.enr.state.nc.us/tlcwctlands. This Certification allows you to use Regional
General Permit Number 198200030 when it is issued by the U.S. Army Corps of Engineers. In addition, you
should secure any other applicable federal, state or local permits before you proceed with your project,
including (but not limited to) those required by Sediment and Erosion Control, Non-Discharge, and Water
Supply Watershed regulations. Also, this approval will expire when the accompanying 404 permit (Regional
General Permit) expires unless otherwise specified in the General Certification.
This approval is valid only for the purpose and design that you have 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 total fill for this project (now
or in the future) exceeds one acre of wetland or 150 linear feet of stream, compensatory mitigation may be
required as described in 15A NCAC 2H .0506 (h). For this approval to be valid, you must follow the
conditions listed in the attached certification, as well as the additional conditions listed below:
1. The following impacts are hereby approved as long as all other specific and general conditions of the
Certification are met. No other impacts, including incidental impacts, are approved:
Amount Approved Plan Location or Reference
Waters 0.014 acre Lot 01 A, Riverside Dr., Southmont
2. Appropriate sediment and erosion control measures which equal or exceed those outlined in the most
recent version of the North Carolina Erosion and Sediment Control Planning and Design Manual or the
North Carolina Surface Afining Manual (available from the Division of Land Resources at NCDENR
regional offices or the central office), whichever is more appropriate, shall be designed, installed and
One
NolihCarolina
?Aalurally
North Carolina Division of Water Quality
Wetlands Certification Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Phone [phone] FAX [phone]
2321 Crabtree Blvd. Raleigh, NC 27604-2260 Internet htto'l:h2o.enr.state.nc us/newetlands
Customer Service Number: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
Mr. Steven D. Huffman
Page 2
February 21, 2005
maintained properly to assure compliance with the North Carolina water quality standards that are
applicable to lakes and reservoirs. Such measures must equal or exceed the requirements specified in
the most recent version of the North Carolina Sediment and Erosion Control Manual. These measures
must be maintained on all construction sites, borrow sites, and waste pile (spoil) sites, including
contractor owned and leased borrow pits, which are associated with the project.
3. 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 measures in wetlands or waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
project is completed or, if applicable, within six months of the date that the project is released by the
North Carolina Division of Land Resources.
4. 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.
5. Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of
Completion" to notify NCDWQ when all work included in the §401 Certification has been completed.
This certificate should be returned to the 401/Wetlands Unit of the NC Division of Water Quality at the
address listed on the form.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You
must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition
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 telephone Daryl Lamb in the DWQ Winston-Salem Regional Office at 336-
771-4600 or Cyndi Karoly in the Central Office in Raleigh 919-733-9721.
Sincerely,
Alan W. Klimek, P.E.
AWK/cdl
Attachments
cc: Andrea Wade, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
Winston-Salem DWQ Regional Office
Central Files
Wetlands/401 File Copy
Andy N. Morris, Uwharrie Real Estate, P. O. Box 189, Southmont, NC 27351
MEMORANDUM
TO: John Dorney Regional Contact: Daryl Lamb
Non-Discharge Branch WQ Supervisor: Stpvp Tpddpr
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Steven fIuffman County Davidson
Project Number 05 0225
Recvd From APP
County2
Region Winston-Salem
Received Date 2/4/05 Recvd By Region
Project Type DredginE
Certificates Stream
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
F-F O Y O N F_12-(124.5) FSfV CA 30,704.
F_ F__PY O N F F_ F__F__ F__ F__
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? O Y 0 N Did you request more info? O Y 0 N
Have Project Changes/Conditions Been Discussed With Applicant? ®O Y O N
Is Mitigation required? O Y *N Recommendation: O Issue O® Issue/Cond O Deny
Provided by Region: Latitude (ddmmss) 354042 Longitude (ddmmss) 801930
Comments:
cc: Regional Office
Central Office Page Number 1
Facility Name Steven Huffman
Project Number 05 0225
Comments (continued from page 1):
Date: 2/18/2005
County Davidson
Regional Contact: Daryl Lamb
cc: Regional Office
Central Office Page Number 2
Triage Check List
Date:
2/10/05 Project Name: Steven Huffman
DWQ#: 05-0225
County: Davidson
To: Daryl Lamb, Winston-Salem Regional Office
60-day processing time: 2/4/05 4/4/05
From: Cyndi Karoly Telephone : [phone]
The file attached is being forwarded to your 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
Is the application consistent with pre-application meetings?
? Cumulative impact concern
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy

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!
9AdWAW&
REAL ESTATE
January 28, 2005
Ms. Cindi Bell
4401 Reedy Creek Road
Raleigh, NC 27607
Dear Ms. Bell:
Enclosed please find the forms forwarded to us from Yadkin, Inc. the lake basin
managers for High Rock Lake. Our request is for a permit to excavate an area in
the lake basin so as to meet the needed water depth as required by Yakin to
qualify for a pier. The property owner has request that we file these forms on his
behalf, as he wished to sell the property and a condition of the sell is that it must
have an excavation permit.
Please advise if additional information is needed, or how we need to proceed to
obtain the permit.
Sincerely,
Andy N. Morris
Broker
Enclosures:
o R 12Nbf p
FEB 0 4 2005
DENR - WATEP QUALI iY
E'.:WDSAND STOR)INATER MiCH
r?

P.O. Box 189 -10763 NC HWY. #8, SOUTHMONT, NC 27351
TOLL FREE [phone] -PHONE [phone] -FAX [phone]
WWW.UWHARRIEREALESTATE.COM
R12@20WRI
FEB 0 1 2005
DWQ ID: DENR -11ATER QUALITY
1%EnA DSA M STO&NATER Duxii
FERC 401 WATER QUALITY CERTIFICATION
APPLICATION
FOR EXISTING FERC PERMITS
SEND SEVEN (7) COPIES AND THE
APPROPRIATE FEE (SEE ITEM # 16)* OF THIS APPLICATION TO:
THE NC DIVISION OF WATER QUALITY
TT '.-T-0DD-&T-daHN-
4404-R EED G R E E1( o n
RALEIGH, NC 27607.
(PLEASE PRINT OR TYPE.)
1. OWNER'S NAME: Steven D. Huffman
Uwharrie Real Estate, Agent Andy h!orris
2. MAILINGADDRESS: 6 Bex 1€9-,-SouthmentTNr 27351
PROJECT NAME: Riverside Drive Lot 01A
CITY: Lexington STATE: NC ZIP CODE: 27292
PROJECT LOCATION ADDRESS (IF DIFFERENT FROM MAILING ADDRESS
ABOVE):
Lot 01A, Riverside Drive, Lexington, 111C 27292
3. TELEPHONE NUMBER: (WORK) 3( 3 6) 798-4090
4. IF APPLICABLE: AGENTS NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER:
llwh,,a,- peal Estate- Andy'llnrric 3-16 798 4096
5. LOCATION PROJECT (PROVIDE A MAP, INCLUDING A COPY OF USGS
TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Davidson NEAREST TOWN: L e x i n g t o n
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.)
I,ot 01A p-side Drive I ast I nt nn 1 Pft at Rnid End
6. IMPACTED STREAM/RIVER: Y a d k i n RIVER BASIN: Y a d•k i n/ P e e D e e
CURRENT DIVISION OF WATER QUALITY (DWQ) CLASSIFICATION:
7. (a) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF
COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ?
NO
(b) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR
LIST OF COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP)
DESIGNATION?
Version 1.0
January, 1999
8. (a) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN
THE FUTURE? YES ? NO J3 IF YES, DESCRIBE ANTICIPATED WORK:
9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN PROJECT: .93
10. PROVIDE AN APPROPRIATE ENVIRONMENTAL DOCUMENT. THE DOCUMENT
SHOULD ADDRESS:
(a) DATA SHOWING THAT A 7Q10 MINIMUM FLOW WILL BE PROVIDED
(b) A COST BENEFIT ANALYSIS OF THE PROJECT SHOWING WHY THE PROJECT
IS STILL NECESSARY
(c) DESCRIPTION OF LENGTH OF BYPASS REACH (IF ANY) AND MEASURES TO
PROVIDE FLOW TO THE REACH IN LOW FLOW CONDITIONS.
(d) MEASURES PLANNED OR TAKEN TO MAINTAIN DOWNSTREAM WATER
QUALITY SUCH AS ADEQUATE DISSOLVED OXYGEN.
11. WHAT IS THE SIZE OF THE WATERSHED WHAT IS THE FULL-POND
SURFACE AREA? H i g h Rock L a k e
12. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY
FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR
THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY
BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED:
1 9R 2nns
13. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION
OFFICER. DATE CONTACTED: 1 28 1 005
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT
AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE
CONTACTED:
14. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE
OF PUBLIC (STATE) LAND? YES ? NO ® (IF NO, GO TO 15)
(a) IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN
ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE
NORTH CAROLINA ENVIRONMENTAL POLICY ACT? YES ? NO ?
(b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ?
NO ?
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM
THE STATE CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL
POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS
SHOULD BE DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE
CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF ADMINISTRATION, 116
WEST JONES STREET, RALEIGH, NORTH CAROLINA 27603-8003, TELEPHONE
[phone].
Version 1.0
January, 1999
15. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL
MATERIAL INTO WETLANDS:
(a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES,
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21,
26, 29, AND 38). ALL STREAM (INTERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH
EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET OF THEIR EQUIVALENT.
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE
IMPACTED BY PROJECT.
(c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
(d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
(e) WHAT IS LAND USE OF SURROUNDING PROPERTY? $Q c i d P n t i l1
A t t D METHOD OF SEWAGE DISPOSAL?
(f) IF APPLICABLE, HAT IS PROPOSE
Septic Permi Copy 16. CERTIFICATION FEE
(a) IF THE IMPACT IS LESS THAN 1 ACRE OF WETLAND OR WATER AND LESS THAN 150 FEET
OF STREAM, PLEASE ENCLOSE A CHECK FOR $200.00 MADE OUT TO THE NORTH
CAROLINA DIVISION OF WATER QUALITY.
(b) CIF THE IMPACT HECK FOR $475X00 MADE OUTRTO THE E O NORTH CAROLINA DIVISION OF WATER QUALITY.
17. PUBLIC NOTICE IS REQUIRED FOR ALL FERC PROJECTS. PLEASE NOTE THAT THE
APPLICANT IS REQUIRED TO REIMBURSE THE DIVISION OF WATER QUALITY FOR THE
COSTS ASSOCIATED WITH THE PLACEMENT OF THE PUBLIC NOTICE. REFERENCE 15A
NCAC 2H.0503 (1).
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER
QUALITY CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE
PROPOSED ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA
COASTAL MANAGEMENT PROGRAM,
c i
OWNER'S/AG N S S IC; NAT R D E
(AGENTS SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
Version 1.0
January, 1999
1 0 U1.GiaNn ?t /yh Cm C&Z.,A
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Davidson Co., NC -- Printable Map
Davidson Co., NC
Page 1 of 1
Parcels
Parcel Number: 0602900000001A Land Units:.93 AC
Pin Id: 6700-04-64-5620 Deed Book: 01520 Pg: 1469
Owner: Deed Date: 05/06/2004
HUFFMAN STEVEN D & TONYA B Account Number: 000009072550
120 ADRIAN DRIVE Township: Cotton Grove
SALISBURY NC 28146-0000 Exempt Code:
Property Address: Building Value: $0
RIVERSIDE DR Other Building Value: $0
Additional Information : Land Value: $40,000
L1A BK1520-1469 Market Value: $40,000
WATERSHIP DNS Assessed Value: $40,000
Deferred Value: $0
DISCLAIMER: The information contained on this page is NOT to be construed or used as a "legal description". Map
information is believed to be accurate but accuracy is not guaranteed.
http://ww?v.webgis.net Anderson & Associates, Inc. http://www.andassoc.com
http://arcims2.ivebcris.net/davidson/printable.asp?process=id 1 &x2=1606515.1528125&y2=704599... 1/27/2005
-> /:.I_ - . f-r-r -11
t<a?

i
?? <o?
Davidson Co., NC -- Printable Map
Davidson Co., NC
Page 1 of 1
Parcels
Parcel Number: 0602900000001A
Pin Id: 6700-04-64-5620
Owner:
HUFFMAN STEVEN D & TONYA B
120 ADRIAN DRIVE
SALISBURY NC 28146-0000
Property Address:
RIVERSIDE DR
Additional Information
L1A BK1520-1469
WATERSHIP DNS
Land Units:.93 AC
Deed Book: 01520 Pg: 1469
Deed Date: 05/06/2004
Account Number: 000009072550
Township: Cotton Grove
Exempt Code:
Building Value: $0
Other Building Value: $0
Land Value: $40,000
Market Value: $40,000
Assessed Value: $40,000
Deferred Value: $0

DISCLAIMER: The information contained on this page is NOT to be construed or used as a 'legal
information is believed to be accurate but accuracy is not guaranteed.
http://www.webgis.net Anderson & Associates, Inc. http://www.andassoc.com
http://arcims2.webgis.net/davidson/printable.asp?process=idl &x2=1606515.1528125&y2=704599...
Map
1/27/2005
Davidson Co'.Un`?'Y
w Health Department
7,` r Diane D. Crouse, D.S.N., M. .A.
Health _Mrecto
`r f r
NOUC!f, OF COND'IFTIONS ON THIS ?"EMMI'T'
FILM, NUMBS
This septic tank. system requires a pump. A condition of this permit is that the
pump is tested and' approved before moving into the home or business. Your septic tank
contractor will probably install your pump, but not Svire it. This requires a licensed
electrician and'ari Inspection by Cie building Inspector. This may create a lag time
between the installation of the septic tans: and when the pump can be tested.
'YO II ARE RI;SPONSI13LlJ TO DO '_1[' FOLLOWTNIG:
---Fill the pump tank ( tank with the manhole) with water up to the first float on the
Pump pipe, this can be done with a garden hose..
--Provide a drop cord to run the pump.
--Gail the Health Department when this is done.
Qo NOT WAIT UNT.rr. YOU ARIu RTA DY TO I1IIOVE, IN TO DO T_ RTSi
You can not get final electrical power or ::cove in until this is.done'and there can be
probleins or changes that must be made.
NAI'r11; rr'
?-
0wner/Authorized Agent
DATh; I
DATE
=^?1n?:a Ofilce
NC 27293-0439
MO) .242-2300
[phone]
&L"-=,, a o::,ce
203 Old UxLiiton Road
Thoaianwe, i;6 27360
[phone].
1tc

7 J
4

if the i iform: tlon oil the Improvement Permit is falsified, c111111 ed or the site is altered, thei'< the
improvement Permit shall become invalid. /
Permit is Valid for Five Years: V No Ext)iration data:
Date 12ec: 1-Wap Code: 4--C -3E File No: 2004001379
?pplic:mt Address: MHARIZIE RE-i,L ESTATE LLC Daytime Phone: [phone]
1,0ORRIS ANDY P O BOX 159
SOUTHMONT
NC 273 1-
)wner/Lcn-al Representative: Address: Daytime Phone: [phone]
HUi•FMAN STEVEN D & TONYA B 120 ADRIAN DRIVE
SALISBURY
NC 231.160000
:ubdivision: WATERSHIP DOWNS Map 29 Lot IA Section -I Tmviiship: 06
toad Name: RIVERSLDE DR Specific Directions: to Property L/S ROAD T.12 RIVERSIDE DR END ON LEI--F
acility Type: H New X Repair: 1?xpansion: 'Water Supply: PULL
io. of Bedrooms: 4 No. of Occupants: Basement y i3asement Fixtures:
io. of Employees' Other: Projected Daily Floev: Qod
ljump: ?7es No Proposed Wastewater System 't'ype
'ermit Conditions:V
r ? /4. ?.r-i... • a.?,? s /O it?s?n • hem •-Lw.;,?? ?, ._ .
e?nit rante( riiDenied: --'?Iuthori.ed State Aacrt: Date - a3 - 0 =
Dwner/Legal Representative's SianaturQ:' '
date
=oVritten Report ami Notification oi' ^n i-nprovement Permit 3l ni al
In compliance with 15A NCAC 18A. 19370). the aforenicritioncd property was evaluated pursuant to this
section and the pernit was denied due to:
a) Unsuitable topography and landscape position, 1940 d) Inadequate soil depth. 1943
b) Unsuitable soil. 1941 e) Inadequate space. 1945
C) Soil Wetness Condition. 1942 f) 0111cr
2. Suggestions, 1Vlodifications, or Alternatives (ifayailablc)
3. This permit denial may be appealed to the State by the follon-ing incthods:
A. Request all informal review by the Dept. of Environment and Natural Resources.
B. Request an opportunity to gather scientific data and system design on this property and submit the data to
the Dept. of Environment and Natural Resources at P.O. Box 276187, Pmlei gib, N.C.. 27611-7657.
C. Appeal the decision under G.S. 130A-24 and have this appeal lield in Davidson County.
.Joie: for appeal options (a) or (c) please contact the Ile• 1(11 Delia rtnient for the aiipropri ate formti
4. If no informal review. technical revicw, or appeal to the Office of Administrate Hearings is requested v;itliim 30
days this property is denied and Improvement Permit by the Davidson County Health Department at this time
Sec Site Tian / Plat or: Attached Street
Davidson Co., NC -- Printable Map
Davidson Co., NC
Page 1 of 1
i
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titi 1
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tl ?? ,? s
:
s ? II 5 s
1 r J _ ?
r i ?1 lII -?L- 1 4 J ,?lF..
0 1000fl
Parcels
Parcel Number: 0602900000001A Land Units:.93 AC
Pin Id: 6700-04-64-5620 Deed Book: 01520 Pg: 1469
Owner: Deed Date: 05/06/2004
HUFFMAN STEVEN D & TONYA B Account Number: 000009072550
120 ADRIAN DRIVE Township: Cotton Grove
SALISBURY NC 28146-0000 Exempt Code:
Property Address: Building Value: $0
RIVERSIDE DR Other Building Value: $0
Additional Information : Land Value: $40,000
L 1 A BK1520-1469 Market Value: $40,000
WATERSHIP DNS Assessed Value: $40,000
Deferred Value: $0
DISCLAIMER: The information contained on this page is NOT to be construed or used as a "legal description". Map
information is believed to be accurate but accuracy is not guaranteed.
http://www.webgis.net Anderson & Associates, Inc. http://www.andassoc.com
http://arcims2.webgis.net/davidson/printable.asp?process=id 1 &x2=1606515.1528125&y2=704599.,. 1/27/2005
L-
iuenrtry
Identify Adjoininq_Parcels
Buffer: 0 ft Search
Parcels
Parcel Number: 0602900000001A
Pin Id: 6700-04-64-5620
Owner:
HUFFMAN STEVEN D & TONYA B
120 ADRIAN DRIVE
SALISBURY NC 28146-0000
Property Address:
RIVERSIDE DR
Additional Information
L1A BK1520-1469
WATERSHIP DNS
Land Units:.93 AC
Deed Book: 01520 Pg: 1469
Deed Date: 05/06/2004
Account Number: 000009072550
Township: Cotton Grove
Exempt Code:
Building Value: $0
Other Building Value: $0
Land Value: $40,000
Market Value: $40,000
Assessed Value: $40,000
Deferred Value: $0
View. Property, Card
Mailable link
?WZoom to
Other Attributes
at point 1606515, 704600
City Limits:
None
Fire Districts:
Name: SOUTHMONT
Sq.Miles: 32.4
Townships:
Name: COTTON GROVE
Sq.Miles: 41.67
Zoning Districts:
Zone: RS
Soils:
DSL Name: DaD
Soil Name: DAVIDSON
Type: LOAM
Percent SL: 8-15
Hydric:
1ttp://arcims2.webgis.net/davidson/identify.asp?process=id 1 &activelayer=l9&recordld=77587&... 1/27/2005
I
UWHARRIE REAL ESTATE LLC
IniP1 non " •. P.O. BOX 189 336-798-4090
?-- y SOUTHMONT, NC 27351
DENTON. NORTH CAROLINA
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[Fwd: Duplicate 401 Application]
Subject: [Fwd: Duplicate 401 Application]
From: Cyndi Karoly <[e-mail]>
Date: Wed, 30 Mar 2005 09:43:10 -0500
To: Laurie J Dennison <Lauri [e-mail]>
CC: [e-mail]
Laurie - please handle, see me as necessary. Thank you.
Subject: Duplicate 401 Application
From: Daryl Lamb <[e-mail]>
Date: Tue, 29 Mar 2005 14:46:18 -0500
To: Cyndi Karoly <[e-mail]>
Hi Cyndi,
Earlier this month (03/07/2005) I received the PCN for DWQ# 05-0381, Steven and Tonya Hoffman.
This is a duplicate of the PCN for DWQ# 05-0225, Steve and Tonya Huffman. GWQC authorization
(GC# 3492) for DWQ# 05-0225 was issued by WSRO on 02/21/2005. The copy of the PCN for DWQ#
05-0381, which I currently have in hand, lists the applicants as Steven and Tonya Hoffman rather than
Steven and Tonya Huffman. The agent authorization letter included with both PCN copies (DWQ#
05-0225 and DWQ# 05-0381) is signed "Steven D. Huffman", so Huffman is the correct applicant
name. Perhaps this is what caused the confusion and duplicate entry. Please delete DWQ# 05-0381,
Steven and Tonya Hoffman, from the 401 database.
Best regards,
Daryl
Daryl Lamb
NC DENR Winston-Salem Regional Office
Division of Water Quality
Winston-Salem, NC 27107
Voice: [phone] ext 293
FAX: [phone]
Daryl Lamb <Daryl.Lamb(a_?NCmail.net>
WSRO
NC DENR
Duplicate 401 Application Content-Type: message/rfc822
:
Content-Encoding: 7bit
1 of 1 3/30/2005 10:13 AM
Triage Check List
Date: 3/3/05 Project Name: Steven/Tonya Hoffman
DWQ#: 05-0381
County: Davidson
NOTE WEIRD SITUATION OF THE DAY. THE APPLICANT HAS USED A CAMA
APPLICATION FORM FOR THIS PROJECT. IF IT DOESN'T PROVIDE THE INFO
To: YOU NEED, BY ALL MEANS PUT IT ON HOLD.
Daryl Lamb, Winston-Salem Regional Office
60-day processing time: 2/28/05 4/28/05
From: Cyndi Karoly Telephone : [phone]
The file attached is being forwarded to your 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!
C
Form T3CM-MP 1
FEB 2 8 2005
?F { H_,TDENR - WATER Ct Ll i i
_ / ti'iETUVDS AND STORMI"/Al L t i VI VI
(To ba completed r,y ::rl n; plicants)
1. APPLICANT
a. Landowner:
Name 5??vynaD.il?btr?in
Address 120 Adrian Drive
City S a 1 i s b u r _y state
Zip 28146 Day Phone [phone]
Fax
b. Authorized Agent:
Name Uwharrie Real Estate
Address p 0 g n x 189
City Southmont State r1C
Zip 27351
Day Phone[phone]
FaR36 798 9220
c. Project name (if any)
NOTE: Permit wQ be issued in name of lan?ow-ur(s), and-or
project name.
2. LOCATION OF PROPOS 1D
PROJECT
a. County D a v i d s o n
b. City, town, community or landmark
c. :'erect address or sxondary road number
lot 1-A Riverside Dr
d. Is proposed wor': within city limits or planning
jurisdiction? Yes X X No
e. N^jm2 of body of water nearest project (e.g. river,
crc ck, sound, bay) H i g h Rock L a k e
Yadkin River
3. DESCRIPTION AND PLANNED USE
O PROFOSED PROJECT
a. List all development activities you propose (e.g.
Luilding a home, motel, marina, bulkhead, pier, and
excavation and!or filling activities.
_Rii i1d nn;j HnmP( vi ithin v z--
FxravatP fnr Pier nPnth
_Riii_1d Pi Pr
b. Is the proposed activity maintenance of an existing
prc,ject, new work, or both? PJPvi
c. Will 11=e project b: for public, private or commercial
use? _P- LV_a t e
d. Give a brief description of purpose, use, methods of
constntction and daily operations of proposed
Project. If more space is needed, please attach
cdditional pages.
(? -edge area in lake basin to
ghtLLn an 8 ft. Water Depth
zLt. ELI Pond at, a 75 ft. length
f_r1!n the ):{_i_ LtatPr Mark as e_r
r_2_quire cn_ts from Yadkin- Tnc_
Revised 03195
Form DCM-MP-1
4. LAID AND WATER
CHARACTERISTICS
a. Size of entire tract
b. Size of individual lot(s)
93 Ac
.93
c. Approximate elevation of tract above MHW or
NWL 8 ft ,
d. Soil type(s) and texture(s) of tract
DaD / Davidson / Loam
e. Vegetation on tract F o r e s t e d
f. Man-made features now on tract
None
What is the CAMA Land Use Plan land
classification of the site? (Consult the local land use plan.)
Conservation Transitional
Developed Community
_X Rural Other
h. How is the tract zoned b to government?
RS Rural Stick Bulyt
i. Is the proposed project consistent with the applicable
zoning? )(._ Yes No
(Attach zoning compliance certificate, if vppLicabfe)
j. Has a professional archaeological assessment been
done for the tract? Yes X No
If yes, by whom?
k. Is the project located in a National Registered
Historic District or does it involve a National
Register listed or eligible property?
Yes X No
1. Are there wetlands on the site?_ Yes X No
Coastal (marsh) Other
If yes, has a delineation been conducted?
(Attach documentation, if available)
in.. Describe existing wastewater treatment facilities.
None existin.g future residential
septic permit attached
n. Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
wastewater, industrial /commercial effluent, "wash
down" and residential discharges.)
TuturP residential disc-harge
Permit atta___
o. Describe existing drinking water supply source.
?LeL]
5. ADDITIONAL INFORMATION
In addition to the completed application form, the
following items must be submitted:
A copy of the deed (with state application only) or
other instrument under which the applicant claims title
to the affected properties. If the applicant is not
claiming to be the owner of said property, then
forward a copy of the deed or other instrument under
which the owner claims title, plus written permission
from the owner to carry out the project.
o An accurate, dated work plat (including plan view
and cross-sectional drawings) drawn to scale in black
ink on an 3 1/2" by I1" white paper. (Refer to
Coastal Resources Commission Rule 7J.0203 for a
detailed description.)
Please note that original drawings are preferred and
only high quality copies will be accepted. Blue-line
prints or other larger plats are acceptable only if an
adequate number of quality copies are provided by
applicant. (Contact the U.S. Army Corps of
Engineers regarding that agency's use of larger
drawings.) A site or location map is a part of plat
requirements and it must be sufficiently detailed to
guide agency personnel unfamiliar with the area to the
Revised 03195
Form DCM-MP-1
site. Include highway or secondary road (SR)
numbers, landmarks, and the like.
o A Stormwater Certification, if one is necessary.
A list of the names and complete addresses of the
adjacent waterfront (riparian) landowners and
signed return receipts as proof that such owners
have received a copy of the application and plats
by certified mail. Such landowners must be advised
that they have 30 days in which to submit comments
on the proposed project to the Division of Coastal
Management. Upon signing this form, the applicant
further certifies that such notice has been provided.
Name Der Hong Hanson
Address 3259 Riverside Dr- I Px rlc
Phone 336 79&3509_
Name APGI / Yadkin, Inc
Address P 0 B o x 576
Phone Badin tJC 28009-057h
888 836 1063
Name
Address
Phone
© A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
O A check for $250 made payable to the Department of
Environment, Health, and Natural Resources
(DEHNR) to cover the costs of processing the
application.
A signed AEC hazard notice for projects in
oceanfront and inlet areas.
O A statement of compliance with the N.C.
Environmental Policy Act (N.C.G.S. 113A - 1 to
10) If the project involves the expenditure of public
funds or use of public lands, attach a statement
documenting compliance with the North Carolina
Environmental Policy Act.
6. CERTIFICATION AND PERMISSION
TO ENTER ON LAND
I understand that any permit issued in response to this
application will allow only the development described in
the application. The project will be subject to conditions
and restrictions contained in the permit.
I certify that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's
approved Coastal Management Program and will be
conducted in a manner consistent with such program.
I certify that I am authorized to grant, and do in fact,
grant permission to representatives of state and federal
review agencies to enter on the aforementioned lands in
connection with evaluating information related to this
permit application and follow-up monitoring of the
project.
I further certify that the information provided in this
application is truthful to the best of my knowledge.
This is the 28 day of J a n ig 2 0 0 5
Print Name
Andy N. Morris, agent
Signature
Lmndowner or Authorized Agera
Please indicate attachments pertaining to your proposed
project.
DCM MP-2 Excavation and Fill Information
DCM MP-3 Upland Development
_
_ DCM MP-4 Structures Information
DCM MP-5 Bridges and Culverts
DCM MP-6 Marina Development
NOTE: Please sign and date each attachment in the
. space provided at the bottom of each form.
Revised 03195
T6 WM014" Oct 61,47 Col et1w

IC Y
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Davidson Co., NC -- Printable Map
Davidson Co., NC
Page Iof I
Parcels
Parcel Number: 0602900000001A Land Units:.93 AC
Pin Id: 6700-04-64-5620 Deed Book: 01520 Pg: 1469
Owner: Deed Date: 05/06/2004
HUFFMAN STEVEN D & TONYA B Account Number: 000009072550
120 ADRIAN DRIVE Township: Cotton Grove
SALISBURY NC 28146-0000 Exempt Code:
Property Address: Building Value: $0
RIVERSIDE DR Other Building Value: $0
Additional Information : Land Value: $40,000
L1A BK1520-1469 Market Value: $40,000
WATERSHIP DNS Assessed Value: $40,000
Deferred Value: $0
DISCLAIMER: The information contained on this page is NOT to be construed or used as a "legal description". Map
information is believed to be accurate but accuracy is not guaranteed.
http://www.webgis.net Anderson & Associates, Inc. http://WWW.andassoc.com
11ttp:Harcims2.ivebgis.net/davidson/printable.asp?process=idI &x2=1606515.1528125&y2=704599.... 1/4/2005
Davidson Co., NC -- Printable Map
Davidson Co., NC
Page 1 of 1
Parcels
Parcel Number: 0602900000001A
Pin Id: 6700-04-64-5620
Owner:
HUFFMAN STEVEN D & TONYA B
120 ADRIAN DRIVE
SALISBURY NC 28146-0000
Property Address:
RIVERSIDE DR
Additional Information
L1A BK1520-1469
WATERSHIP DNS
Land Units:.93 AC
Deed Book: 01520 Pg: 1469
Deed Date: 05/06/2004
Account Number: 000009072550
Township: Cotton Grove
Exempt Code:
Building Value: $0
Other Building Value: $0
Land Value: $40,000
Market Value: $40,000
Assessed Value: $40,000
Deferred Value: $0
DISCLAIMER: The information contained on this page is NOT to be construed or used as a "legal description". Map
information is believed to be accurate but accuracy is not guaranteed.
http://www.webgis.net Anderson & Associates, Inc. http://www.andassoc.com
http://arcims2.webgis.net/davidson/printable.asp?process=id 1 &x2=1606515.1528125&y2=704599.... 1/4/2005

1
a© xz, o'`.

$/
7111
7s

• Davidson County.
Health Department
Diane D. Crouse, B.S.N., M.P.A.
Health Director
NOTICE OF CONDITIONS ON THIS PERMIT
FILE NUMBER
This septic tank system requires a pump. A condition of this permit is that the
pump is tested and'approved before moving into the home or business. Your septic tank
contractor will probably install your pump, but not wire it. This requires a licensed
electrician and*ati Inspection by the building Inspector. This may create a lag time
between the installation of the septic tank and when the pump can be tested.
YOU ARE RESPONSIBLE TO DO THE FOLLOWING:
---Fill the pump'tank ( tank with the manhole) with water up to the first float on the
Pump pipe; this can be done with a garden hose.-
--Provide a drop cord to run the pump.
--Call the Health Department when this is done.
DO NOT WAff UNTIL YOU ARE READY TO MOVE INTO DO THIS!
You can not get final electrical power or move in until this is.done and there can be
problems or changes that must be made.
NAME r
Owner/Author' d Agent
DATE I (-a3- 0
DATE // -
Lunn oa Otilce
P.O. Box 439
L-g-Llen. NC 27293-0439
(910).242.2300 '
fog n% r-- -
Thomasville OMce
203 Old Lesington Road
Thomasville, NC 27360
1 javicison uounty Healtn I Repartment
Improvement Permit
If the information on the Improvement Permit is falsified, changed or the site is altered, then the
Improvement Permit shall become invalid. /
Permit is Valid for Five Years: ? No Expiration date:
Date Rec: Map Code:" T-T?-3E File No: 2004001379
lpplicant Address: UWHARRIE REAL ESTATE LLC Daytime Phone: [phone]
MORRIS ANDY P O BOX 189
SOUTHMONT
NC 27351-
)wner/Legal Representative: Address: Daytime Phone: [phone]
HUFFMAN STEVEN D K TONYA B 120 ADRIAN DRIVE
SALISBURY
NC 281460000
subdivision: WATERSHIP DOWNS Map 29 Lot IA Section 4 Township: 06
Load Name: RIVERSIDE DR Specific Directions: to Property L/S ROAD T.R RIVERSIDE DR END ON LEFT
Iacility Type: H New X Repair: Expansion:
1Y_ • PUBL
Water Supply:
lo. of Bedrooms: 4 No. of Occupants: Basement Y Basement Fixtures:
lo. of Employees: Other: Projected Daily Flow: 4$d %C(
Pump: Yes y" _ No Proposed Wastewater System Type ?ne
Permit Conditions: So
er sit rante : P rmlt'Denied: _ _Authori ed State Aunt: Date
Owner/Legal Representative's Signatur, -? "
, ? - ? Date ?'' • >_ t' • ??%
Written Rcport and Notification of an Improvement Permit Denial
1. In compliance frith 15A NCAC 18A.1937(1), the aforementioned property was evaluated pursuant to this
section and the pcnnit was denied due to:
a) Unsuitable topography and landscape position. 1940 d) Inadequate soil depth. 1943
b) Unsuitable soil. 1941 c) Inadequate space. 1945
C) Soil Wetness Condition. 1942 f) Othcr
2. Suggestions, Modifications, or Alternatives (if available)
3. This pcnnit denial may be appealed to the State by the following methods:
A. Request an informal review by the Dept. of Environmcnt and Natural Resources.
B. Request an opportunity to gatlier scientific data and system design on this property and submit the data to
the Dept. of Environment and Natural Resources at P.O. Box 27687, Raleigh, N.C.. 276 1 1-7687.
C. Appeal the decision under G.S. 130A-24 and have this appeal held in Davidson County.
Note: for appeal options (a) or (c) please contact the 11calth Department for the appropriate forms
4. If no infonnal review, technical review, or appeal to the Office of Administrate Hearings is requested within 30
days this property is denied and Improvement Pcnnit by the Davidson County Health Department at this time.
See Site Plan / Plat on Attached Sheet
A?
6
Davidson Co., NC -- Printable Map
Davidson Co., NC
Page 1 of 1
ti ,? i -"---__ _-- - - - iii II
i r ~
-
i
i
f fJFj _
0 10DON
f
Parcels
Parcel Number: 0602900000001A Land Units:.93 AC
Pin Id: 6700-04-64-5620 Deed Book: 01520 Pg: 1469
Owner: Deed Date: 05/06/2004
HUFFMAN STEVEN D & TONYA B Account Number: 000009072550
120 ADRIAN DRIVE Township: Cotton Grove
SALISBURY NC 28146-0000 Exempt Code:
Property Address: Building Value: $0
RIVERSIDE DR Other Building Value: $0
Additional Information : Land Value: $40,000
L1A BK1520-1469 Market Value: $40,000
WATERSHIP DNS Assessed Value: $40,000
Deferred Value: $0
DISCLAIMER: The information contained on this page is NOT to be construed or used as a "legal description". Map
information is believed to be accurate but accuracy is not guaranteed.
http://www.webgis.net Anderson & Associates, Inc. http://www.andassoc.corn
http://arcims2.webgis.net/davidson/printable.asp?process=idl &x2=1606515.1528125&y2=704599... 1/27/2005
iuennry
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Parcels
Parcel Number: 0602900000001A
Pin Id: 6700-04-64-5620
Owner:
HUFFMAN STEVEN D & TONYA B
120 ADRIAN DRIVE
SALISBURY NC 28146-0000
Property Address:
RIVERSIDE DR
Additional Information
L 1 A BK1520-1469
WATERSHIP DNS
Land Units:.93 AC
Deed Book: 01520 Pg: 1469
Deed Date: 05/06/2004
Account Number: 000009072550
Township: Cotton Grove
Exempt Code:
Building Value: $0
Other Building Value: $0
Land Value: $40,000
Market Value: $40,000
Assessed Value: $40,000
Deferred Value: $0
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Other Attributes
at point 1606515, 704600
City Limits:
None
Fire Districts:
Name: SOUTHMONT
Sq.Miles: 32.4
Townships:
Name: COTTON GROVE
Sq.Miles: 41.67
Zoning Districts:
Zone: RS
Soils:
DSL Name: DaD
Soil Name: DAVIDSON
Type: LOAM
Percent SL: 8-15
Hydric:
1ttp://arcim s2.webgis.net/davidson/identify.asp?process=id 1 &activelayer=19&recordld=77587&... 1/27/2005
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P.O. BOX 189 336-798-4090
SOUTHMONT, NC 27351
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