20050620 Ver 1_Complete File_20050412

.~...........___"'--"'____. .._____~"....A,. _........r..~_. .. "_'''__ _ _."''' ....._"-~.. .:..:......._....~..~ .._.~...A.. . .-. .. ..J..... .....

. '. ._.. ..~ . ~ . .'~. _'_.' _. _;. .. ..".... --<I ....... -. . . . .... .. .' ..

Michael F. Eols1cy. Governor

10) ~ @ ~ nM rs fr\\ William G. Ross Jr., Secretary
lrU r~orth\!arb~,) 1!!tartment of Environmentlllld Natural Resources

APR 2 6 Z005 Alan W..~limek,I>E. Director
DIvIsion of\\'ater Quality

DE~R - WATER QUALITY
\','ETLANDS AND STORl.i'NA TER 6RN;cH

April 19, 2005
DWQ# 05-0620
Gaston County

Mr. Rick Goins
P.O. Box 380
Dallas, NC 28034

Subject: Lot 11, Harbortowne SID

APPROVAL of 401 Water Quality Certification and Authorization Certificate per the Catawba River Buffer
Protection Rules (15A NCAC 2B .0243) with Additional Conditions

Dear Mr. Goins:

You have our approval, in accordance with the attached conditions and those listed below, to place fill in
or to otherwise impact approximately 0.01 acre of waters and 0.01 acre of riparian buffer for the purpose of
stabilizing approximately 98 linear feet of shoreline on Lake Norman, as described in your application received
on April 12, 2005. After reviewing your application, we have determined that this project is covered by Water
Quality General Certification Number 3492, which can be viewed on our web site at
htto://h2o.enr.state.nc.us/ncwetlands. The General Certification allows you to use Regional Permit No.
198200030 once it is issued to you by the U.S. Army Corps of Engineers (USACOE). This letter also serves
as your approved Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 2B
.0243. Please note that you should get any other federal, state or local permits before proceeding with your
project, including those required by (but not limited to) Sediment and Erosion Control, Non-Discharge, and
Water Supply Watershed regulations.

The above noted Certification will expire when the associated USACOE's 404 permit expires unless
otherwise specified in the General Certification. This approval is only valid for the purpose and design that you
described in your application. If you change your project, you must notify us in writing, and you may be
required to send us a new application for a new certification. If the property is sold, the new owner must be
given a copy of the Certification and approval letter; and is thereby responsible for complying with all
conditions. If the total wetland fill for this project (now or in the future) exceeds one acre, compensatory
mitigation may be required as described in 15A NCAC 2H .0506 (h).

In addition to the requirements of the certification, you must also comply with the following conditions:

1. All stormwater shall be directed as diffuse flow at non-erosive velocities through the protected stream buffers
so as not to re-concentrate before discharging into the stream (as identified in 15A NCAC 2B .0243 (5)).

2. No trees shall be removed from the buffer (> 3" diameter at breast height) except along the immediate
shoreline.

3. Upon completion of the project, the applicant/responsible party shall complete and return the enclosed
"Certificate of Completion" form to the Division of Water Quality's 401/Wetlands Unit.

If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You
must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition (that

Nlf.rh Carol ina
/Vn/llral/!!

North Carolina Division of Water Quality 610 East Center Ave., Suite 301 Mooresville. NC 28115
Internet h2o.enr.state.nc.us
An Equal Opportunity/AffjrmaU,e Action Employer - 50% Recycledl10% Post Consumer Paper

Phone [phone]
FAX [phone]

Customer Service
1-877-623-6748

--:...:.....i.:.t..t~........-.__~~,;,:,w........J;:....~~..:.....-~-:.~;". ." , --.. ..~.....'.,. ..'... ~--=--. ~~.~~'~-~..\Jo.....'.;""':''':':'';:..:-;~''''''';''-':''':''''~:''~~~,..i-t-~~~.;.....~~.~~".''::'~...~,.(~~..~~,....._. '.'

Page 2

conforms to Chapter 150B of the North Carolina General Statutes) to the Office of Administrative Hearings, 6714
Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless
you ask for a hearing.

This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act.
If you have any questions, please telephone Mr. Alan Johnson in the Mooresville Regional Office at 704-663-
1699 or Ms. Cyndi Karoly in the Central Office in Raleigh at 919-733-9721.

Sincerely,

1), RA,t ;e~

for Alan W. Klimek, P.E.

Attachments

cc: Corps of Engineers Asheville Regulatory Field Office
Wetlands Unit- Cyndi Karoly
Central Files

....

Triage Check List

Date:

4/14/05

Project Name: Rick Goins
D\VQ#: 05-0620
County: Gaston

To:

Alan Johnson, l\'Iooresville Regional Office

60-day Processing Time: 4/12/05 to 6/1 0/05

From: Cyndi Karoly Telephone: [phone]

The file attached is being forwarded to your for your evaluation.
Please call if you need assistance.

o Stream length impacted
o Stream detennination
Wetland determination and distance to blue-line surface waters on USFW topo maps
o Minimization/avoidance issues
o Buffer Rules (Neuse, Tar-Pamlico, Catawba, Randleman)
o Pond fill
O Mitigation Ratios
Ditching
o Are the stream and or wetland mitigation sites available and viable?
o Check drawings for accuracy
o Is the application consistent with pre-application meetings?
Cumulative impact concern
o

o

o

Comments: As per our discussion regarding revision of the triage and delegation processes,
please review the attached file. Note that you are the first reviewer, so this file will need to be
reviewed for administrative as well as technical details. If you elect to place this project on hold,
please ask the applicant to provide your requested information to both the Central Office in
Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim
procedure as we slowly transition to electronic applications. Please apprise me of any
complications you encounter, whether related to workload, processing times, or lack of a "second
reviewer" as the triage process in Central had previously provided. Also, if you think of ways to
improve this process, especially so that we can plan for the electronic applications, let me know.
Thanks!

A. Private
B. Commercial
V. AppUcantSIgnatu'e ~tJ

PLEASE NOTE THE FOLLOWING:
. A COpy OF TIIE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF TIlE PROPERTY
MUST BE SUBMITIED TO: US ARMY CORPS OF ENGINEERS, 151 PATTON AVE. - ROOM 208,
ASHEVILLE, NC 28801-5006

... ... ..-
.

---- .-.-- . " ..o....... ""-III".... "11"11__'......,...... '-'U"'- UU.L"""t IV

...JIU"'.:Jc..c.."-tl~'"'t

r.l:Jc.

DUKE POWER LAKE l\lA..l\lAGEMENT, EC12-Q

l' 0 BOX 1006
CHARLOTrE, NC 28201-1006

704-382-1567 or TOLL FREE 1-800-443-5193

APPLICATION FOR PERMIT TO STABILIZE TIlE SHORELINE ll\ NORTH CAROLINA

(I)

Please type or print and fill in all blanks. If infornution is Dot applicable, so indicate by placing Nt A in blank. PLEASE
SUllMlt APPLICATION AND APPROPRIATE DUKE POWER FILING FEE, PAYABLE TO DUKE POWER, TO
ABOVE ADDRESS.

I.

Applicant Inforoati.oD II '
A. Name K I~k ~ 01 h5
B. Mailing Ad~ess '-p. 0, I~ () 1- 3 )( (), no II C1 <,
C. Telephone: rat{-- 9;),3 - f ~11 ,~ I

Ii C eJ-rf()3r/
m~@rgUWrg@
APR 1 2 2005

IL

~

\"E1I.Z~rm. WATER QUALITY
.1: lDS MiD STORIliVATER 13PJJtCH

;:2 7-.3 r1rJI1sl-rV/12)
, J C

O. Latitude and lo~itudc for the project site .s e e a'7-fq. eft eel
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.rnftosollus.com.Directions:Don.tregister.click "Maps", enter address, draw map, select "Map Clicking
Will... ", select "LatlLong", click map)

m.

nescrlpUon orProj." r ~ I
A. Lengthofwall
B. Material 1? ,..
C. Distance from property line/shoreline

Intended Use of Project Area
vi

(( !2,ia ~QP )
-6 -

IV.

//1 ~.:.v

~/I(p. /tJS-

.

Date

. 2 COPIES OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
CAROLINA", PHOTOGRAPHS OF THE SHORELINE TO BE STABILIZED, AND FIVE (5) COPIES OF THE
COMPLETED liNe DIVISION OF WATER QUALITY PRE..cONSTRUCTION NOTIFICATION APPLICATION"
MUST BE SUBMITtED WITH TIIE DIVISION OF W A'fER QUALITY APPLlCA TION FEE TO:

NC DIVISION OF WATER QUALITY
ATTENTION: CYNDJ KAROLY
PAREVlEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, NC 21604
919-733-1786

03/1 1105 OP AULAKEMGM1\LMPPM'ST AB1UZATION.G.27\STABILIZE\SHORLIN.STAB.NC.doc

03-15-2005 13:16 EAGLEEYE 7049224154

PAGE: 2

DUlCE PO\VER DIRECTIONS BY ROAD F01Th1

Lake Use rermit Applicants and Co'n(radocs: Ease oflocatlng the proposed project site can have a big
impact on pennit processi.ng time. please complete this fonn and retum it along with your completed
pennitapplication to:

DUKE POWER
Cia LA.KE MANA.GEMENT - EC 12 Q
PO nox 1006
CHARLOTfE, NC 28201-1006
1-800-443-5193

Applicant's Name: f{;~ I; Co;,.4 .5
Street Address (at lake): . t/ I ~ .~ c? b('/~
Lake Name: t ex k <. fA) :J / ; .e-
Subdivision Na\Ue: .f! v\ rb4 "..

Type of Penuit Requested
~Circle":

Dr.

Private Facility
Commeccial Facility
Excavation
Stabilization
Conveyance
Miscdlaneous Uses

-
/ d t-V /f <2-

Property Section:

City: B f.! I rvI (J "" r
SL1.le: A..J L
Telephone:! 0 c.(-

II
(;-".>fo,-1
Zip: ;A 'g 0 I J....
'7 J- 3.- 'f-J-/-.:3

Lot If

County:

Directions (from major road or highway):

511 t.t fl" rf 1 Ai e.,J i!a~~)
C 0 r1 rl 0 /tJ /' ~ I J.. ~ r r
~<- b /,;,1 j

j, ~fr ~./f ;J..?..> I ~5 t-r t! /f
o /f U ~ //:'11/ l...f / j 1-11 tJ /?

Dcscriplivc Structurc on Propcrty (i,c. brick garagc, whitc fcnce, mobil homc, clC):

V 17 Ct/ tV T

). 6 r

. No(<:: l'k"se use (he L"d~ o( (ltis (orlll i( desired (0 d"1 \\' uS · III 1(1 (0 (1<<: si(<:_

GI'^1 fI ^1:Ef.{Gf.nll..Mrrfo.{J\)((tLCllOr~S()OC

Ulc<:tj,'e 1)&'( 1 tll Stl~

~1aps On Us: Show Map

I.~ j '; f 1-:;:; . ~;-!~.--I (-} r' I j .--.J
, .... " '.E J;..;:.j. ~?::.:.J.:....-.; -! J J'--'~
-.- --....
r ~ 'l-".__.r--;;-;"~di;-;:~I""J_'rd.,7,'~~---'--

'Nhat's Nearby

-----------
---------

CI~k to viU;"-J un rn~p

_ Dining

Coffee Shops

Restaurants

Brew Pubs

Chinese

Italian

. Mexican

Pizza

Seafood

Steak
+ Recreation &
Entertainment
+ Community Services

+ Shopping & Services

+ Travel

Page 1 of2

j--l:UH u_ ". !tr~.--~..---..~.- --~-II ...:.- -~-- -'I . . ..-.. :1' .
\0 ~ ,~.,. : l.'~~'.: (,' : :!"!~,";.I .. :;..,.':^ c:'J ':',~;_ "; C'_" .' .:" ,...... ",. ~:"_ l : ll:''-~'" ,~
_ i'''~'''f.' c________~_________.___~__~~_________ ____~~~~~
.. ......... 1 Current Map I ~.' I'.' .

__.__.... - _. __ - . __ u.__---, '_.,.- .--..-------~_;:__---_~~._...-_=_-,.......,._.____;-___._,_c-_,_----.,,____~:_.,_~__._~_,.-_-__c___~,-.,.-....,...,,---~_ _.._......_._..-.,-----.-. __ _ ,..__-="__.
.:.~~~:~~,l:~r~~..._~~~_~.~~_~:~~~...o_~_~'_~."~-r:;~'~_-~.;~~....-~~~-~.~-:~~__".~~~,_~ ~"~ _'O!~ ~~,~~._._~__.-~; ~~. -Wi
~ Stop missing important calls while online! IL?3.:~f~:~::i0.;i~:~::J1 i

_..~.---<~- .~--_.- --- .--....---~-..~.~-..- ~~.~._.<_~~_'_. __~~_~.__~_ ~ ~._~__....~....____ ._. __I

. :,,~
- ;..
. . 'q

'~.\' ~_;.~;j t.:..:i (

..-~' .
,.'J
','-~ .
'-;";..
. "~>.

. ....
;;.,~
:"~}-:" : d'
.~:..).. -~':-.
. ..... ~;

.~?" ,,;~,::'

~~
.. .
('to.
.-:--"
..."

5-...~~.".
'J;'. .

-,
--,
'..J -
.:...

.~

Use your
browser's
Print
button to
print.

.,'
:.
, ..~

C@)

1- 81,03766 35.162231
V'.

@)

When
done,
click on
map to
return to

t.-.:_ _..,.:.
!l !t.,,;! '.~:~'_~~:. _

..., -,-.

0.4 /,,11

CENTER: -81.03906 35.16215

t;,~.p by ;~.;.; ;:"-. :;; (~)
019S~-2005 HI.AtI..s N.Am.I switctlb~..rd. USe ;ubj.ct to ~

~ .. ( - ~

~ -. 7 .:.~ .(;.~.; ;:~ -

http://mapsonus.switchboal'J.com/bin/maps-maponly/usr=-.423fJabJ.l bca.3f30. 7/c= 13/isn:dil'= 11

~'~: ~:":I ';~' hi.':

...
1
~

-' t ~ .. : .. .

~ . - . .. .. - ....
o _ .. .. .. . . ,~

~., : -: ~:7 _':_: i-:: or::.:
- . ~

. ".'- j

-.-3
~
1
. j
..._..1

Sign up nO\l
tor' us tow us

- Imo.

fer the: rir,t
:J menth!>.

.1
~

~
: -: .': j
. .~

.-- '~-'-"'1
j

i

fast,
easy ane
offol'dabl

3/21/2005

1\;1:1n" On JT". Shmv 1\;1:1n
- -.'C- - -- - -. ---- .. ----or

. . .. .
. ,f -'lrYJ'Fl'r';~r-;;:rlcl}~
- - . ...J - - _.' 1..1 -___~ -1 J ~:;;::;,:)
I-~:..:.- -:';J -:..cr= X.i:-;;:.~rd.co;n
-..L/"
,

PRge 1 of 2

C-.::lP" 1-;~;;~~'i~~~--II'i";7'~'!~~:~;~-II';~y, r:~~.~~::-;:-~-:;'i .,;~;'~~,';~ir~;
"viAi"'':> I .. - 00_. -- I ... . ---.,,-.- .... "--"---'-- i -- ...- i .

Pr~."Y Nc..~.' r-.1.:lp I Current f.~3p I ~~1~p_~qtttr.g~ I t~1_;ljJ}.~:lR

$16U,000 iV10rtgage for Under $135J.iVlonth! .. Ii
I ~. ." .- .~,:..!:~~II~ .' ~.'('milt:"l.tJ.a~~nl ... L1u.lLJ!.~. u .~~......l<...,~<_.f>~'-'~-'
J 1~!' 1_':~ff;':r~":-::j~'; 1:;~'1~W.;;.r;i"i:llitrf;~frr'TiTtZ;:1, t:..: 1'2Zt;'~:. .~.LW;?'.'.- ".. ..

_ . '." ..'1....,.,..,.......,.~..,.... .. ...1---.- ._-- ~:.:.'::t...-~ ~ tL:.=_~---- ,~uf ~'. t"; .......~t~- "I.' . .,'.
A_~"'t",,,,,_.....~,.'t:'l"'l.,,....-t 7" 1..1 TI.d"J -.. /,,- '{"'; t.il.t,.....;..... -
"--:,,, ~r.- :=-~...-_::: ~_~::.,.II~_:.-=.It H1."'" ~T~~..;..1----c~::...H:.-:.~~: >:."_.;.!_.._ - ---~~ Lovvcf

i; ::j.. ~ l- -," H,:' .;'. [.- - ~..- .-......,... ,...... u...~....... ;.;.,,)'-~ ).."".,..i...... .t.t ,.,S;H

What's Nearby

Click to view on map

_ Dining
(' Coffee Shops
(' R.estaurants
,- Brew Pubs
C Chinese

,-- "'_1:__
ILa1la11

(- Mexican

(' Pizza

(' Seafood
Steak

+ Rpr.rp::ltinn P.
Entertainment
+ Community Services

+ Shcppir,g eo Scn/iws
+ Tr<,v.;>1

I
I /
( ',/

1-'
I
I
t
I:
I .',

.' .'
r'...... /,/
I _,_,J''''-
I',~,
r
r

.--- ".. . {,.. . ,,' .--' II
\,', ,',. ----,:..;.:""t'~IIP.A'NBy: :
:' ,~.':;>~'.' \ 1..,_ I.... ,-'" J ,..A....rli,C.~:1 :U~L ~a:EEN .

,.~~'.,.~ )--' .'<~>/.'-:~;.:i\ ". .... .('<ij ~
:~i:- [~_:,' '/:.,f'/ ';o}'>J _I II 1,.'1;'1"'1
'\~;" \."r:.-~~/ /-:;::,//~/- ~ HALF SCREEN
\'?:i r- J ~S~>,'>,':'~\(/<.:,C'; . ._} H ~
,'<:1..:- ,... \ ~~ '". -\ /, .' U ~
~,,>-,__, ~'/ ',' \.r ~ , I'; I"' ('I
.' It-.>..~) II.
,i4i4Sebtinqutive[':i ,_' III LUUMrAl<lN :
!~./ /t:.~:..\ ". ~ [_~~~~~~~._..J

, . " U,

.' \ 1/ ~ _~:~~, ~U:..~
It l.~.lJUI'l'1 ~ ~~ r UU I
~ I BLACK& WHITE
~ i ERASE LA6ELS

II
~
111 LESS DET.Ai ~

@)

-
~
./

'.

ReQister with MJPS On L

~..;.-:..:.,;.-'"..'"
~~""~:J.
t:;f~~.:~~J~~~3~]
:c';7~:'~:': ~~..~;~;: ~~~1
~.::~r;~:~.~-:.~. ~-.." :;.~~,;::,)
::~ :.;:_.~-~.=: ~.:.:=J
t~~::7~~~:~r::,:!,
_____~.-.'--.-1

~~iI!f
. - J _t.lir;~~..-~ ~1

~~l;~;:j

f.,....,...,'.O:;:, ._.,. ~'f!;

2~~~'~~~;f~!;j
~.~~~t:1~::]

;:--- ."~":,,'~=:::.:."-:--:-~

:.:=.~~,:?:::_.~~::':~J
--:-'-"'::"~==::.~:":'.1
~~~~~:~~~~~ ...:,~..;-._:. :~:;~.I
~3i:..~-~=~.:":!;,j
~~~ ~~:'.; -~::J
'-..."_ ',~' ..J
:~--"~'~,-;ijf

..., ':-::: .:1
. j
J
~.l
. I

'. ~ . 1
-o.~.. .... --. J

" .......,..,....,..J

~t-""~-:-~:--~-~-"...-. ,

i-.~-...,.-;

__. _. ..::.~:.:~..: :7-_ -' . _'_ ....J

. . .':'''.< " J

. ~'.. .. J
._---=-._~;:--~.~- ~j

nltn.llm:1n<:onl1<: <.;wikhno:ml romlnin/m:m<:-m:1nonlv/11<:r=-4?1fhhd 1 hl':1 1 no 7/r=1 li<:rt.dir=l 1
--~'C'.'----'J.------'-'-"------_..---'----- -------~-r- ----.r--~""..._- ------.--..----..--- -... - -.-----.-- -.

../

\ .
,. l

.<
.,
" ,

,
.'

;\

\ ' (
l... r' l .-:
t. \ _"",

I("'~

f
I

,- .

0,4 ~,~

.; i.. 3coi\i;-.;G, OEUT~j-~;, i-,ie 20G,2

Map by 1,!i<F'S On u~ (R)
01984-2005 TtltAtlas N Am, switchboard USt subitct to LICENSE

rn;~~- ~~'~----'-'"
Scale (milin): 10.40 .:.1 Map-Clicking will:l Show Long/Lat .~J
REDRAW MAP ! \VHAT'S NEARBY? I
~.~...~c~~~~."~E~CO. _o~~~._.J .~..~ ~~._~.~"__~.~_.~.~__..J
F)(r1rlin Mrlr Orp.rrltion~
Problems pr:nt:ng? Get a Pr.~t~b!~ ~.bp.

3/21/2005

'-
--
-.........---..........

,. I
, I
,. ti
, 't I
/ ~ I
/
/ ~ <0 I
/.
/ t). I
/
, I
/ I
/
I L-.
I ... CO[
/ J I
, g
, I
I 0'"
I t; .1 "..
., ~. .
'\". r, ..~
f:1r)
~ I,.
t)' /.

,/

.,.....---- -. ---;.-
'. . -...
-'-
,-- ""!. C'9 l?C' '1'C,,-

w.

:>
g~
" .
"':
i

I
I
/ .., .
. ..../' .
,/
r 09646 AC.
I .
I: 8
I
"
J.
I~
'i
I
\
\
\
\

//_~

,--- -- ---------'
. ~'i'lJ E

/-
" ,/
?~ ,. LAKE
r- '_' ."

.c.
06 ".
0.47 \4.

"-
'\ .'

J
o

ti
'\"
i:1-v-
.:;
t).

""1M P" C1~
";lie . I
\
\

,'/\
/f\\
\

'.' n ~~C
i:....~4

ti
"

r'\f

4734 AC.
D. 25 .

---
-
,/
,/ 0;}
------ --:---" ~,

.', ..' YACHT .CLU
LAK~~gD EXISTING ':
PARKING ~REA

'" to

pol 0.
~.l Z':l l1v .:No:":>>

CT.. - 50' RjW

10".,n

2~56'7 AC.

.?o
. ,,-oJ
..G

--------------~-

'~..2'

~11"( ~.:Nl
..., . 14;....

21.0<

....... -

L

:>
g

"',
'--

Form 398578 (R9-8S)

SHORELINE MANAGEMENT PROGRAM
PERMIT APPLICATION FORM

Proviously Form 06940

Utility Co.

Permit No. ;z. rJ ~ - /.J. .:z
Grid Sect.
Ownership0~ 2 Lease

Go I :-'/f
Last

NC 1 SC 2
Co. No.
Lake
APPLICANT
Name:

I.D.No.

tt. C. K f)ett yf
FIrst ~ 1.?"iddle
? [) B () 'f- 3 8' [) /('._
7)0( /1 C(S j1 C

:~~::::: ~?~;8~

Circle the appropriate number l:5elow

Address:

;;26'05"V
s70 <f j>~tJ -'197'1- ~p

Number

Ex!.

Ramp &
Marine Shoreline
Pier Railway Boathouse Stabilization Other
cp 1 1 (i)
2' 2 2
STATUS:
1 Existing ~ 1 1 1
2. 2 2 @
MATERIALS: ~edW~ Q
1. Concrete 1 1 1 4 1
2. Masonry - . ntreatea wOod 2 5 3 2 5 2
3. Metal 6. Other 3 6 6 3 6 3
Q 1
2 2
3 3
1 1 1
@ 2
3 3
1--;)1/ --l -h= ::;-1 I-- --l I-- --l
T ,,1- T T T
~
- t t
"T
~ .L
<i t
1 L t 1- _----1
--l 1- --l& I-- --l /- -I I-- -i 1-
Fig. 1 Fig. 2 Fig. 3 Fig. 4 Fig. 5 Fig. 6 (other)
Pier Dimensions: See Figure Above ..2.. Pier surface area /60 sq. ft.
Float surface area sq. ft.
Condition of P:;:>r: 0 Good o Fair o Poor
Permitted: r 1 reS oNo Date: By:
Additional information:

COMMON USE PERMIT
If this application is for the common use of a facility, those parties using the facility appoint the individual listed in the
applicant section of this form as the agent applying for the permit. All parties using the facility must sign below.

Name Date Address

(I}

APPLICATION F'OR ZONING PERMIT
ONE AND TWO F'AMILY DWELLINCS ONLY

.JSINCLC f"AIo4ILY D TWO I"AIo4IL..Y D "'ANUI"ACTU"CO HOIo4E I ;~:"'IT oN
..::J ACCESSO~ ~L..oo. D ..EIo400EL.. F1 ....OOITION 0 PRIV....TE RESIDENTI....L QUARTERS Z.:....)..- 1~].:2..

, 1../ I ......- /\:\ !--- /...." " i " ,
OWNER j", ','. I , ,1,'>'." i'\ \ ;.JL'fl .-

ADDRESS ~.'., ),) j.:-,.. i, ( ,J I) J

CITY I' ( STATE: ,\ /4

N
E
R'

ZIP

<) i-: 0) ( 1'7

TAX J.D. NO. ,,,,) - Iii) - II, I'-!; I CENSUS TRACT

.}),;,~, 0 '"'~

DAY PHONE: '-f~/.-3 G<l. (:.-,"
,- .

ZONING DISTRICT

.'? <-

L
o
C
A
T
r
o
N

SUBDIVISION NAME:
AE).[)RE:SS/ L.OCATION
" V \ (., \
\ \'-.J . ',-" ..........._~. ,,;

l'l' I., , , " \.. L.OT " I I B L.OC K # b
t
.!II il , l~\ \ - 1-1 'L , 'L .-~ ~"'1 '/
); II, :::.. ,\ 41',_."l I )
~ f - , .. -,'{.,J ,) - '......L'...._.\ ! - , ,--)
-, j L) , , .J '- , :.--' r ;.
, , \ " I I ..).. ,it
J , . I I \ I , , , c , ',~ .. '.J .
_._p - '~.
() '.1 )/ ( -" ) I 1-1'
PAllO. NO. () !.... WATERSHED DISTRICT .

nOOD PLAIN

c.~/ ACCE:SSo'~~ STRUCTURE ~ ,,",\, --1.0
....... ua~. I ( ". f alz~ ''5 f.J ~ U
P-'~POSED SCTBACKS I REQUIR.E:r:~.}.E;rBAC~S
ntONT .... f 'ntONT ...."'\ " , '1 . , \ /
IUA" .~(./ If. J .11 ',.' C ("i:AIt'- '- " ' /...
L SIDE " L alDI: I
" sloe It alnl:

PRINCIPLE STRUCTURE

PROPOSED SETB....CKS REQUIRED SETB....CKS
("'001 STItI:I:T ItIG04T-Or-WAY AHQ PltCWCIITY UNCS)

,.ROHT ""OHT

RCAIt "CAR

LaiD&: L :Sloe

R aun: '-.", It sine

WIDTH AT .LDC UN&: ' WJOTH AT .&.DO UNI:

HCIONT HI:IoH\:

LOT al%&: , '~ l ROAD "Ro..1.o,E
, ,

~"IV"'TE: ~~al:",1C
,[J:;wa:u.
o CO....UNrTT WI:u.
n CO....UNrTT al:Wl:.

MANUF'ACTUREQ. HOME PARKS ONLY

UTILITIES:

UANUFAClURED HO..,ES ONLY

WANurACTUREO HOWE CLASS 0 A"-~OB Dc 0 D
ACaUOllt WANUrACTUlltD HOME' O'l'tS 0 Na-- CQU)I
KAHUF'. TEAR $IZE.: .----.

PARK NAME

PARK OWNER

PLOT PLAN (SHOW DIUENSIONS OF LOT AND ALl. BUILDINGS - SHOW DISTANCES
OR PROPERTY UNE. WHICH ~ IS CLOSER TO THE STRUCTUR~)
/ ~ ;
.... I'

,l.-
I.'

, I
1
"~, I
..
,

I
.;~r~\
"~I -'\
I.
\ >\
i,\

r.-
~lrJr

,I

....;

.,
-

~ \.

. \' II. /1 3
;. .' L <. '.. , \. ~ ''- ",\. f I
\'~ ~,; '...... \ -'

o
T
~
E
..

APPLICANTS NAME (if other thon owner:)
ADDRESS

CITY

PUBLIC 0 .EWE"
o WATeR

----.
-~
'....." LOT NO.
----...

Of BUlLOINGS FROM STREET RIGHT-OF-WAY liNE

G1~{
J
)

\-y\ /
=\ ,~:2~~/
~~r-.-- /;0{~

( -\ .~, .
, r
( ,
'(

PHONE"
STATE ZIP

TIl( UNDCIlSICH[D HunT turns TIlAT HE/SJI( IS tRHEIl THE OWNtR 011 TIlt AlITllOIlI2CD ACtIO' or THE OWNER AHD HIRtBY lUJtts APl'UCATlON rOR A PERIIlT AHD IKSPttTlOH or WORK OESCRlSED IJll)
-"UtsTO colIPLnmuuuplJCJ.8l.[ UWS RECWTlNC TwtwORIC. THIS f'[JMT EXPIIltS AIltR SIX (6) 1I0tllHS now CArt or ISSUE IT NOT l1StD AHll VAUIllTtD.
I AlSO ACRa: TO AUJW 0InDTt[S or C04S1OH COUKTY TO [KltR THIS PROPtIlY DURINC RtASOIWllt HOURS FOR Tllt I'IJRl'OSE or WoU:lHC ZONIHC AHl) BUIlDIlIC JNSP[CTlOHS.

r . ' '\ ~I' \
.' .j' t /"1 ,,../' ~; ; \
......=.-i.~, '.-..; .", ...)-~./-.;) II' i\ ,;' .
r C.,., ,.. .::;:r.. . \;",. \ i.."; ) '. " " ......\ \\...',
A,.,.UCANTS SIGN....TURI: .....TL --- 1.......!'UV~g .T'

. TofAL rEE $ .;u. c J
filii ..,) '~I ., .-1
!. : I IV. I . / ,.,
""'IL RE:CE:IPT I ..,-,

SITE INSPEClIONS

B'f:_oot: B'f:_DAit: B'f:_DAit: EXPIRATION DATE: II).. .//-::(
C).WRCMll om ~ DIf'PllOwtD C)lOUPflllMD Dm>RM'D D40UPPRMD ~~~~c:';;~:.':.~~::~ ..--sm ,

A-r 0 ruu ,~ -

jJU L: (.:' -\-

tJ 6 "- "r. t-
/'"- fe, r"v l.-
av (i. "- ......-

----=------1
,~ -/~1

GAS TO;..; C01_:;-<TY CCJOE E\TORCE.\1E~'T
REVIE\\.'ED FO:-I. Ci;'PiiCQ)'lPLL\..\'CE
REVIE~'.'ED BY I Y c..-c:-
DATE "Ji,. / 'r _ <i or-
PAGE-f-OF -f--

'-

.0

C'6

-~

Q{]

ALL IRC CODES MUST BE MET:, IT
SHALL BE THE CONTRACTOR S
RESPONSIBILITY TO CONFORM TO
ALL THE TECHNICAL CODES

-

THESE APPROVED PLANS MUST DE PRESENT
DURING EACH INSPECTION OR THE
lNSPECfl0N \HLL NOT DE COMPLETED. A RE-
REYlEW FEE OF $25.00 WILL DE CHARGED fOR
LOST OR CHANGED PLA.....S

<:::l

......

foe

-- ... ... -. -......- III1Itt"...L-IIL-I1...... woe. OOL'+ IV ::J(~4::t~~41=>>4 P.15

(!)

The following is an abbreviated appliC3tion form for those applying for a 401 Water
Quality Certification to imp3ct FERC (Federal Energy Regulatory Commission)
regulated lake shore .or bottom under the U.S. Army Corps of Engineers Permit
GP30. This Application <::annot be used for wetland or stream impacts. Please
provide seven (7) copies of tbis application and supporting information as well U$ a
non~refundablc application fee to tbe Division of Water Quality of 5200.00 for
impacts of to lake bottom of less than 1 acre and 5475.00 for impacts to lake bottom
of greater or equal to 1 acre.

Applications should be sent to:

Division ofWatcr Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699..1650

L

~~@~u~~~

ApplicantInformation APR 1 '2 2005

1. Owner/Applicant Infof!Ilation /I . DENR. WA1E~ ~~~rRAllCH
Name: R, d~ !2'"o I it S ":91 fJjOSNIOSiQRlf.1
Mailing Address: P 0 PJ 0 ',L ,;') Q 0 I,
,bet/Ins rJc .;;1,RO.34

t' '-j;J,.1- >/.2/.6
Telephone Number: . ,/', Fax Number: 'iIJ <f 9;:;::J - <If:::; t/
E-mail Address:.F)~o.rtl5y..fDHt{;"(~act.Coli\...

2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached ift e Agent has signato!)' authority for the owner/applicant.)
Name: It-
Company Affiliation:
Mailing Address:

Telephone Number:
E-mail Address:

Fax Number:

ll. Project Information

Attach a vicidity 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

03-15-2005 13:19 EAGLEEYE 7049224154'

PAGE: 15

.. - ---- .. -. .. '-' t II I ., .&.II L..n~~ I'IMI"tMOc.nc.I't I ~ \.JOe:. 001"+ I U ::J (t::J4=t~~4!::J4 t-'. 16

your project. Also, see the example below for guidance. Both the vicinity map and
site plan must include a scale and north arrow. The footprints of all buildings,
impervious surfaces, or other facilities must be included.

1. Location f2 . I B I J
County: a-as\{..<) h Nearest Town: . e V)l 0 f1 't-
Subdivision name or site address (include phascIIot number): Lot II 'i/a.--hM'k>Lt..J/te-
Directions to site please include road numbers. landmarks, etc. (This is not (
necessary if an adequate vicinity map is included):

2. Describe the existing land use or condition of the site at the time of this
application: V{{ Q(p Y1't. L o~

3. Property size (acres): .5 'e 1/ d-. cuJuz. ')
4.

5.

/I 12 '- I II
6. List the type of equipment to be used to construct the project: 1...)("1 r) r (I i

7. Amount of impact (including all excavation, backfill, rip rap. retaining walls.
etc.) below the nOrmal~OOllake level in square feet or acres: R /{.j te~ n
1'iB .[:j }.. ':;);;' ~ -"1V' :::: II 0 LId.. ~g a...~ ' I
l ~%o .
8. a. Amount of impact (including all clearing. baek fIll, excavation~~~ {~f Ct b~
retaining walls, etc.) abo.ve the normal pool lake level and 50 feet land-wa~--d ,_./
square feet or ac.res: (! leer rll1 C) (Y F U I1der b ru"5/, CCild :5e leCl'i-{ve, 'if1tn.",'tlc,
,u'f-o.[: di'5fCrsed (uld V{(1.p Hlca" d 'l-rt'e.$~ DI?Sfrt>_ i-o <'" '-l..s
h\tU\Y of. 'fht2.. a.r~er I'Canary'l ees as pO:Js/J;/e....
b. Please describe vegetati<Sn above the norfnal pool lake level and 50 fe t land-
ward to be impacted (number of trees for jnsk1ncc): 'frer:-"5 'alt /> ,nqll Sluee'
tOn :2. / OW (~osed I/O. 7edClr cJl/ ariM'
0-+ Si1taf( I1der br-u sir... ?Icot Yo Ila It:f 13/I.N6(Jrrf 8u.'S^(}s 1A-H<J.V.,.; ;f:
fl / 0 ~' .// / Olced
~~ (. ,~ "Vll%S
Applicant! em's Signatu Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

03-15-2005 13:20 EAGLEEYE 7049224154

PAGE: 16

I I"" 1..J

L-li:.,IIC..J..J j,L.--...U . .1 I'''' _. _11''''- 1.......--..-... .

I I -/ J'
/0 X ~O F(O~1{f1'i
. tJdC (c;.
1/" ~
tla I' >( ~ 1M I! ~':1

C/~re.cR'
I1r~"
SiX //f'

l1i~ I"a.~
5' X 9'1' bt/o w
;:",11 I'(J~' Ii- ''(/~
4k 11(. Fie II ,1" ~

w

~ 0' 12 ea.c ~
I1rLo..

pl 0 I SeOl.ch t11'@(i'.
wit-A. AJo f'~ ""'~

Please approximately sketch the following information on this.plan
(please provide dimensions for each Item, such 8s10 It. x 100 ft):
1) AU proposed vegetation clearing (provide dimensions).
.2) Location of rip rap or fill to be placed above the FuU Pond, elevation
3) Location of rip rap or fill to be placed below the . FulP4nd elevation
4) The location of any proposed strudUfe$ such as buUd(ng~ retaining
waIts, docks, etc.
5) The Ioeation of any excavation or dredging below the FuU Pond
elevation.
6) Location of construction access conidOI'$.

03-15-2005 13:20 EAGLEEYE 7049224154

PAGE: 17

I\laps On Us: ShO\v Map

r-
I

~

.-c~~ :
.L~/-
,:

.\ f i -.;..-.. .---,. ~
j. ... _ _. ~.l4o ,_ .
..l. -E ..J...:-...1 ~~.=}
-'.::::.-..-

:""~ i-
f . r 1
...:....../...t .J

- - ....
! : - ."-J
-..J--~-)

I ,(A"V, I.,'~~-;~~,-,!f ;':_~,-~-;~;--;.~~-c-~ll:~-::-:::~".': r~~';; ,;-;-..,f,.

_'! . t~____.________.__________.____________~
,. I Current Map I:.'::'" 1:.-: .,

.~I ';t-.-r., :......: ....f ::;~...,~{.l<'J~.J..1rd.~(_.J!"

What's Nearby

-----------
----------

Click to \li,m en map

_ Dining
Coffee Shops
Restaurants
Brew Pubs
Chinese

Italian

Mexican

Pizza

. Seafood

Steak
+ Recreation &
Entertainment
+ Community Services

+ Shopping & Services

+ Travel

.. ....---..-...--- .',.---o----~___.........,.___~____"~__r_--_____._~__=-__,,..__-_-~_____._.__..._--_.~___.,,-,__,........~..,...: -_.~.,._:-~,' - __'~.~j
~:u:2:~~~~_~~_*"~~~~--~~ _~_~-:,..~~- ~~_>~'-'~'~ ~~_ ~-~..o~:~~:~~-~__~-~~"_u~,;~;;~-,~~ :tl.J;;
,

~ Stop missing important calls while online! 1[:Q:?I~:~:W~y.~;:~:']1 !

__,.~."_=~.~~"o.,~,_~._'.~~~.~,~ ,_~_. ._"__."_~.__,_._....__._~~.~._~. ~~.~,~.~.,~~_..~~J

. ~.~ r- ,; l
. 'ft.!

....\.:~..);lt.~(

~_.

::-2;\.
t.>-
."';'
. '~},
"'::~y -
..:...

...
v'"
(;
~.
~.)~
_~1
__r..... .-
.<'
':.~.

,,^
i..,-t
.,.:/;_1-

:('"!.
to.'
....'
. ~/,:" - 'c';;

~..I

(@)

:.,.
, ~./

Use your
browser's
Print
button to
print

/'1-61.0376635.162231
, V-,'

C@)

When
done,
click on
map to
return to

: i"! t~= r~ ,~: t;\/ i}

.. , -, ,',

0.4 MI

CENTER: -81.0390635.16215

t~6.P by;.:...;.; Vt-. :.;;. (R)
0193~-200S T.l.AtI... N.Arn., $witchbcud, Ua subject to ~

.-- -~
-- -".,....

-: ., . ~
. -..... .-....
t..~-.::~i;.L~;:: ~

http://mnpsonus.switehbonrJ.eom/bin/maps.maponly/usr~~423 Dabd.l ben.3 DO. 7/c= 13/isrcdir= 1/

Page 1 of2

-, . ..
~":.''>!;';~'~I ~"'::l :-.' :',l~. t.;~! I.

-,
'1
j

.
.... 0>_' ~;; .. 4 T _ _ _ _ ....
~ ~ ;. ...; ;, . :..~:.:: " ~ .. .~
j

~'~-7.'~~.:i' -~~ :f:'.~
I
~
.

. ~
'1
:.,_~.~ :.~~_, _~~i

Sign up no'.l
for d!a tow uS

..~. Illlo.

fer the fin!
:J mcnths..

. ..
,
j
.~
1
l
~

___:_A,.:{;, _;;.~.':. ~~j
_.'..1
-..-']
i
- j
___---I

fast;

easy ane
affordabl

3/21/2005

M8.p" On Us: Show M8.p

. . .

II' :1;"7'}-;="; :rj~~ <r:;,rJ'
. - ' ...J. _. ... J ".) --. J.J
-~~~' -;'~;:~~..~. - --=-- -
I · "<1~cr'.c"vf,,,..I.vl.nQ_rd.~om
'. L-"-
.,

j L.-..J
~t, :J " ~j

._---'---''',--'---_._-'--'--_. '-'" .--_.
;"i'0;" '-r;n..'~'" ;:'-;1-11" .:. ~~j F-!r;!~ :~<:: ,_ "..; ,"; l\.i';:;r ":::r-':
~I.,..._L. .~.u I ...u.. -~-...---II..\. ..--..-----

Dr.J'.Y Nc'''.~}..1~p I Current ~.1~p I ~'.1.Jp~qtt::ig~ I ~t;1:!}.1:'R

~-~ l~; i~ ~.~s-i I~~
I

Page 1 of 2

!.~ ::-:".~.~ f. -',. f.L ~ :;. 1.-

What's Nearby

-----
-----------

Click to view on map

_ Dining
(' Coffee Shops
,. R8staurants
,- Brew Pubs
Chinese

..-- '1._1:_-
IL(JII~II

(- Mexican
;' Pizza

(" Seafood

Steak
+ Rp~rp:\tinn R.
Entcrbinmcnt
+ Community Services

+ Shc;;ping .& SGr~jCQS
+ Tr"vpl

I i
I ./
. '.-

I.
....

I
I
[
I'
I .'

t--/ / /

I,'?
I -'-j
;

r

I .

~:',~~~'r,~>'

t-,.... ,.J

ReGister with M.ws On L

:..'~;':":- .~
~~::;:"-.;::::1

r~~~'Y~0~~
.'- ;~~:>~'-?:=;;1
~':..,..~:_:'-, *~ ~
f~~:~;;~:S-~~

'n _.-.~~_.-..,,;,;:::1
~<\? rrull
.J-".--.r-.:jId_-.",,-~:IIa..t.
::1~J 1: t~; ~_.~\! "J II

. i
J-~--_ ..~
~~~;~fl~~
:: _.~~~~~..:.:.~::::]
f::,~~;.(-~::-:,0.<'~,..~-~~~
:::=~:::;;::::=~<.:"~-~'
~~~f-~'.-'';''''; ~;--
..~-,......-..'...-.-,.....;;..~~.

:~2~~~~~."~~i

:::::=:":':'::'.':::::-':- ]

--;.>~-;,";-'"
;, ;:=~;:':-":,. ....:-.:
~=- .. ~:~- ~ '~,' :'-""~~:1

l ,..", - ."....1

..']

- ::.......-=~::.;.:..]..
., "'"".".'
.v. ""."-"".~'
___.. '_"'~""''''_: ','''' 'OJ
, .- .~ .~"_. " .' -'1
..." ~-"""",,,~-';.-.::.. .-
::;:,~~~""~,,::;, .,,- .'
~",,,'_"'-"iI'...~. '0
=:::: ::::~ ..:.~
L'f-~f-{ --. ,
..
I
i
, :-1
,J
J
" . j
,3

-..::::=-~~ ~]

h1tn.//m~n<:onll<: <;wit"hno~rd "flm/nin/m~n<:-m~nonlv/lI<:r=-4?1fhnd 1 nl'~ 1 no 7/,,=1 /i<:rpdir=l /
--.. r .. . ---.. r - - --.- -. - .. . - - - - - - - .-- --. - - --~ - -- ---.. r - ---.. r - --" . .. - - . - - -- .. - ~.. - - . ... - -- . . . . - -. -- - - -- -- -.

,
,
.---
ceJ
./

-~,- .11
:~P.B.N BV,. .
'''-M11,e,,!II :U~L ~C~EEN

)~ '~,/~_,_ /.~'\ .. '.' Y"--jlfl ~
- s-/ ~,';;~?:''''' . ~
_....~,-' ~_-:,~o /" 'i:}~ i It '"'" 1-'-'1 -..
\....~~~/ /~~~~/~~'_.~- ~ HALF SCREEN
7....... ;.:" "C:,' ~ tifti.-.^.; ~.'
...,,:.. /"'V _1,.:.;.:..
j.VJ .,--~ - -~ i, '-i
. -:' ' , ~', ,..."':..1' 0"
...... , >,; . . . -
il'." ___~,,,/
.j4i4Sebrinqurivei'. ..' II: LUUMt-AKiN ,
. I~-/' r_:.: . i ( ~ r~!~~~~~__.J

\ i :__{"__ U ..---___~

" II ~ ~~~~~. ~u:". :
\-" IltB::~~::~;~
\~ , './ ~ I ERASE LABELS
II
II
/I
It:
II! LESS DEl.A.!L

, .
- \, .,.

..

\
\. ;'._-)

.."

.:~-:.:~ >-:>~.. )
~ .... I

'c ,
....-;z../ ,
..... .
..-~,
\~.
\, t!j;.
.. r.;,"'
'....'~ ,-'
:k\ '.
,,<l-'_ .

,
~... '----

<ill)

,
..
,

--./

/"\
/ .

- ,
~ - -. -'

i

o.~ ~,~

.; ;.; 3ci3ru;.;G~ [;cL\~O; ~i, r.le 20 U ; 2

trla.p by ~,~Zq:'~ Dn U:; (R)
0198.-2005 TeleAtlu rU,m. SlI'itchboud Use subiect to LICENSE

Scale (miJin): fD."'40iJ Map-Clicking willJShow LongJLat~~~J
REDRA'v'V MAP I 'v'VHAT'S NEARBY? 1
~,~....~~_~c_"..,,~.~."c._c~c~.,"J ,,,.~,. _.__~.~.__,..~,~,~~~.~_..l
F)(r1rlin Mrlr Orp.rrllion~
P~~b!cms printing? Get a Pr.~::::b!c Mop.

3/21/2005

/

,..
G

./
,
~
\?.
"
~
',.
~

.'
.::
.

12

c(

13

(:,

.....

~

15

g

_ ~ Lake

./

B

N

o

Q

R

s

T

u

b! ,...'....-::
",,_",-_k"1..~

~I

""-.'~I.$o.;,....""~O( C)- "'~ =-.
:/ ~ ~Jo~.i' ~!!

_t/_,4

~\

<. -.
I

". ~r \C;~ ~>..J'" u .!
.. <
...~~[.l.$r:;'::;To... !;

~~ ~. ...~,o
I' '~(.':' ';,,;" .' '" '.. c"
~-'-" ..~~E .. ~ .f c ~ .1\.,
so ~ FSrC44~4- ...~.:- "".:

"".'"FE:=TI"'" '....., {4". ~"r..
- . ,~
t Q \ ( 14tH. s-) ~~I)(''' ~l
. IIJ'j.~~~P[ /~ ...~,~. .-.........~ '"" ,../~'l'-

I '

I r~
.' ._.e\'u'/1

Ie I

~ - ... ... -. -."..- '""1I""''-'''-1'1~ -..JOe. 001"+ IV ::;'(~4~~~41~4 P.15

(j),
I .I

The following is an abbreviated application form for those applying for a 401 Water
Quality Certification to imp3ct 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 Qr streanl impacts. Please
provide seven (7) copies of this application and supporting information as weD a$ a
non~refundab(c applicatioD fee to the Division of Water Quality of 5200.00 for
impacts ot 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 27699~16S0

L

Applicant Information

~@,@@,u~@,~

APR 1 '2 LGGS
ER QUALI\1'
OENR - W A In. "'I"1ER sRNlCH
"::J1 N1QSN-lOSIVI"..j
..

1. Owner/Applicant Info~ation /) .
Name: R, l:/~ (70 I II S
Mailing Address: P 0 ~ (J "- ,~9 0
Do,,! Ins rJ C .;?R 0,;3 4

t" '-j;) ~ :.( .:.2/3
Telephone Number: .-~- Fax Number: 71' rf 1./;J - <liS cf
E-mail Address: .RcJror tl5 'He HI ~ (~) act. (-0 Ii\..

2. Agent Infonnation (A signed and dated copy of the Agent Authorization letter
must be attached ift e Agent has signatory- authority for the owner/applicant.)
Name: 4-
Company Affiliation:
Mailing Address:

Telephone Number:
E-mail Address:

Fax Number:

ll. 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
piau showing property boundaries and development plans in relation to
surrounding properties. You may use the diagram below to make a hand sketch of

03-15-2005 13:19 EAGLEEYE 7049224154'

PAGE: 15

. - ~--- . ~. ..... ." ." UI '-n"~ Ilnl~noc:;nC:;I'1I'" ..:lCc; CO 14 I U :;j (\::J4:;jcc41::14 1-'. 16

your project. Also, see the c~ple below for guicfunee. Both the vicinity map and
site plan must include a scale and nonh arrow. The footprints of all buildings,
impervious surfaces, or other facilities must be included.

1. Location r2 ' I B I I
County: era.S\{.<) h Nearest Town: . e Vll 0 fl 'i-
Subdivision name or site address (include phasellot nwnbcr): Lot II 'H<-l.rhnv'-/...Du.)ile..-
Directions to site please include road numbers. landmarks, etc. (This is not (
necessary if an adequate vicinity map is included):

:L Describe the existing land use or condition of the site at the time of this
application: V{{Qa Y1 -t. L o'f-

3. Property size (acres): ~ S 'e 1/;).. cu.ruz. ')
4.

5.

I'B tIll
6. List the type of equipment to be used to construct the project: ("I 'J r (I"

7. Amount of impact (including all excavation, backfill, rip cap. retaining walls,
etc.) below the normal~. 001 lake level in square feet or acres: R /p I2Cl n
1<jE .[:j }. ~);:;. 1jJ!/ ~ t1 0 LI'd.. '151 a..~ ' ,
\..: Y3'ibo . ~c'{Y(~
S. a. ~ount of impact (including all clearing. baek fill, excavation~~~ / ol/J'ff ci6oV'e/
retalmng walls, etc.) abo,ve the normal pool lake level and 50 feet land-ward m-:-- - .--
squarefcctorac,res: (!/E?4.rlII c1 f'F- underbruc;/'crn,{ 0elet1'f-J'v. e, '-/h111""nc.....
~'I- of: di<5fCf<5ed cu,d v I -e HtCiC d 'f-rt't'..$" Dl?s (rt> 'i-o o? ~ . 'I:-s
h\p.t\Y of- 'fhe.. Qr'\t'r 1'(!jV10ryll ees as po::-s//;/e
b. Please describe vegetati~n above the norfnal pool lake level and 50 fe t land-
ward to be iropacted (number of trees for jnsta. .ncc): +re~ 'a.~ 1", //(((11 Sll/ee'
tOn /2. OW (f'oc:;ed J a lfJdCtr (1Itd ~ OY!"<
O-t Srn.a.(( I1der bjr(,{ sA - Plcut Yo plalt1- E/l((76<?rr/ 8u.sJ...es 1'\ -Hd-u,.~ ;-r:
--:--~ Dr ~~ '-I /to /0:; %ed
ApplicantJ em's Signatu Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

03-15-2005 13:20 EAGLEEYE 7049224154

PAGE: 16

IIMI'\. I....J

L-YV...J .l~..lU 1.1 I" ...... _.,.,,- "",..._-"-,,. .

..'

I 1./ '"
Iv X JO FfO~lIt1')
, ./Jack
4"~

tJO I X. b (/Ala.!! ,,b, 7

C/t!:A.recR'
Ifr~1A..
,sIX Ilfl

Ai,., "ct~
S I X 'I? I b t!o /AI
':,,11 f'{J~'v- 51'('~
~kllc. FIC If ~4~

~

rJ. 0' J2 eA.t "
I1rLo..

pl 0 I Se~ch IIfea
wi-}J... If) 0 ;" ~ 1'o4,a

Please approximately$ketch the following infonnation on thisplm
(please provide dimensions for each item, such as10 ft. x 1QO ft):
1) All proposed vegetation clearing (provide dimensions).
.2) locatIon of rip rap or fill to be placed above the FuU Pond . elevation
3) Location or lip rap or fill (0 be placed below the . FulP4nd elevation
4) The locatIon of any proposed strudure1i such u buildings. retafnlng
waIts. docks, etc.
5) The location of any excavation or dredging below the FuU Pond
elevation.
6) Location of construction access corridors.

03-15-2005 13:20 EAGLEEYE 7049224154

PAGE: 17

0.

"

.11---____

z: /'7:: 2 ~~;j~ -)YJJt
I.. / 1/ 0 ) v / dQ
J (I...L.. / (/
'.-L J fv I JCf ~ 5' /;/ ;;

,. 11"'\_ n

\1 "') ) ( I

"

<J

C);

r=-- -~- , OJ

-?

/oe

J

fJ6 L: (.: i-

tJ 6 A-v(, t-
1"'_ ( I'\..- \...-
au {i,. "- ........ c

A-r rrvv' ~ -

-1
j

I 0 (]

aASTO~ COTJ:-'IY COC'E E\FORCE\1E;.,T
REVIE\".'ED Fa;{ C9ViiCQ),fPLLiSCE
REVIE~"ED BY I Y VG.-
DATE JJ_ I 'r_ v.r
PAGE-{-OF-f-

ALL IRC CODES MUST BE MET: IT
SHALL BE THE CONTRACTOR'S
RESPONSIBILITY TO CONFORM TO
ALL THE TECHNICAL CODES

-

THESE APPROVED PLANS MUST DE PRESENT
DURING EACH INSPECfION OR THE
INSPECf!ON 'W1LL NOT DE COMPLETED. A RE-
REVIEW FEE OF $25.00 'WlLL DE C/lARGED FOR
LOST OR CHANGED PLA1',S

c:::.

"

I
I
I
I
,
I
I
I.
I
I
I
I
I
I
,
I
,
I
I
,

C..i
"

rv

c..
"
i:?'V'
::?
~.

~.., t1 ex
"J.;. . I
\
. \

\1/\
/f'\
\
\

c.,'
"
ti'CO
~
~.

...

c.,'
'"-
N'Ct)
~
~.

"I}, n ~2r
i.;., 4

/
/
I
I
I
I
I
I
'",,_L__
J f
I
.1 ~ ~
-( .;:
" ..
I,. .

I'

//

.-

/

..~.

/ ,.
.-
,/
;~ ,. L.AK~..

--

;---

,.--
-------./

'--. ~--

~'YLrE

". .-....

I
I

. .-.... //. .., . .
,/
",
r 0.9646 AC.

I: 8
I
II
j.
I'
'i
I
\
\

-'-
-- . -
.....Mp~ 1P<l,.

8 ..

\
, \

)
g
.. .
"~
i

)
o

(

~--..,.,/
--
-- ------

21
0.4634 AC.

~
"0
;.2 .
'"
-il
..

. 20
0.4557 AC.
. "8"
BLO.CK .,~ p' lie
, ""o~!7f

0.4552 AC.
23

0.47S4 AC:
25

0.4t/.L ~ ~
~. ?~;;
~~-_:-_--

:~

~KEWOOD YACHT .CLU
AND EXISTING .-
PARKJ~G ~REA

2~56' 7 AC.

---
-
",
,/ 0,}
---- --_...../ ~,

,., 10

p.O'
"'.." 11"3 i':>> 11., )e.:,,)

.. 'OD RE CT.. - 50' R/W
CONN . . _""
. ..., ,., tn:~... ZLD6

,"'.n

'I.J'

)
8

""',
'--

--------------....:-

---...-u.-.,N'"

'".0'

L