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Certificate of Completion log @SS T= I
JUN 2 3 2005
DWQ Project No.: D 5- d V S County: 14 i d tl (,
Applicant: spi P, L r Rico `,ETW@3 MD' ST(PJMW TER 6 af't'
Project Name: SN02£[,i lJC S7A6 i t;?A [ ,'6Af
Date of Issuance of 401 Water Quality Certification: 117t?u _ 005
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit,
North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form
may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is
not necessary to send certificates from all of these.
Applicant's Certification
I, S14 er-I Fs4/V , W -;%C U , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be
built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature: u?Pv? Date: _ u ??D 066
Agent's Certification
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be
built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature: Date:
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to
observe (periodically, weekly, full time) the construction of the project, for the Permittee hereby state that,
to the best of my abilities, due care and diligence was used in the observation of the construction such that
the construction was observed to be built within substantial compliance and intent of the 401 Water Quality
Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature: Registration No.: Date:
WAT?R?G
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Ms. Shirley Rico
163 Wilson Lake Rd.
Mooresville, NC 28117
Michael F. Easley. Governor
William G. Ross Jr.. Secretary
North Carolina Department of Environntcin and Natural Resources
Alan W. Klimcl. F.E. Director
Division of Water Quality
May 3, 2005
DWQ-# 05-0705
Iredell County
APPROVAL of 401 Water Quality Certification and Authorization Certificate per the Catawba River Buffer
Protection Rules (15A NCAC 2B .0243) with Additional Conditions
Dear Ms. Rico:
You have our approval, in accordance with the attached conditions and those listed below, to place fill in
or to otherwise impact approximately 0.003 acre of waters and 0.003 acre of riparian buffer for the purpose of
stabilizing approximately 40 linear feet of shoreline on Lake Norman, as described in your application received
on April 26, 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
http://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 impact to the buffer shall occur, including the removal of trees.
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. You
If you do not accept any of the conditions of this certification,
To ask for a hearing, senJd al written petition (that
must act within 60 days of the date that you receive this
North Carolina Division of Water Quality 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone [phone]
Intemet h2o.enrstate.nc.us FAX [phone]
An Equal Opportunity/Affirmative Action Employer- 50°6 Recycled/10% Past Consumer Paper
No Carolina
?turally
Customer Service
1-877-623-6748
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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,

for Alan W. Klimek, P.E.
Attachments
cc: Corps of Engineers Asheville Regulatory Field Office
Wetlands Unit- Cyndi Karoly
Wendy Ward
Central Files
MAY 1 0 2005
I'-cTU1NDSN40 STORUN TER SUCH
"I I

North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
April 29, 2005
Shirley A. Rico
163 Wilson Lake Road
Mooresville, NC 28117
Dear Ms. Rico:
On 4/27/05, the Division of Water Quality received PCN,,application for the Lake Norman
shoreline stabilization project in Iredell County, North Carolina. The DWQ project number for
this file is #050705. You did not sign the check for $200.00. The check is enclosed for
signature and return.
If you have any questions regarding this letter please do not hesitate to call me at (919)-733-
1786.
Sincerely,

Laurie Dennison
Enclosed: Check received April 27, 2005
CC: Central Files
File copy
Wetlands/401 Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650 One
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604 NorthCarolina
Phone: [phone] / FAX [phone] / Internet: http:?-h2o.enr.st.,te.,,c.ns nc.%ea-,3nds Aatmpa?ly
Personal Account Information Redacted
Triage Check List
Date:
4/27/05
Project Name: Shirley Rico
DWQ#: 05-0705
County: Iredell
To: Alan Johnson, Mooresville Regional Office
60-day Processing Time: 4/26/05 to 6/24/05

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
1-1
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!
P. O. BUX 1Uu6
CHARLOTTE, NC 28201-1006
704-382-1567 OR TOLL FREE 1-800-443-5193
06 070 71-7
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH
hADnl mIA
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 D IN EE, PAYABLE
TO DUKE POWER, TO ABOVE ADDRESS. (;{7?
1. Applicant Information AP
A. Name Shirley A. Rico R 2 G 2005
B. Mailing Address 163 Wilson Lake Rd -Mooresville, NC 2811 F1U+IdDSA, DTo t UAL/Ty TFMPI C. Telephone [phone] urw`CH
II. Location of Proposed Project
A. Lake Norman
B. Street Address 163 Wilson Lake Rd

C. County Iredell
D. City, Town, Community or Landmark Mooresville
E. Section Lot # SR1480 Rico Subdivision NIA
F. Directions to property by road 1-77 N to exit 36- West on Hwy 150 - Right on Perth
Church Rd - Right on Lakeshore School Rd - Left on Wilson Lake Rd - Blue
House at first curve
G. Latitude and longitude for the project site 80.88901 35.61422
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. Directions: Don't register, click "Maps", enter
address, draw map, select "Map Clicking Will...", select "Lat/Long", click map)
III. Description of Project
A. Length of wall 30 - 40'
B. Material Wooden
C. Distance from property line/shoreline Will follow existing shoreline
IV. Intended Use of Project Area
A. Private X
B. Commercial
V. Applicant Signature Date
PLEASE NOTE THE FOLLOWING:
A COPY OF THE COMPLETE APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: CIS
ARM.YCORPS OF ENGINEERS, 151 PATTON AVENUE, ROOA1208, ASHEWLLE, 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 WATER QUALITY, ATTENTION. Cyndi
Kamly PGRKVIFW RI nr. 2121 CRARTRFF RI Vn RAI FIRH NC 97And PHnNF- Q1Q_7TZ-17R9
401 WATER QUALITY CERTIFICATION APPLICATION
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 to lake bottom of less
than 1 acre and $475.00 for impacts to lake bottom of greater or equal to 1 acre.
APPLICATIONS TO BE SENT TO:
DIVISION OF WATER QUALITY WETLANDS UNIT
1650 MAIL SERVICE CENTER
RALEIGH, NC 27699-1650
1. Applicant Information
Owner/Applicant Information
Name Shirley A. Rico
Mailing Address 163 Wilson Lake Rd
Mooresville, NC 28117

Telephone Number 704-660-0387
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 Wendy Ward-Smith
Company Affiliation Permits 4-U
Mailing Address 19721 Bethel Church Rd
Cornelius, NC 28031

Telephone Number 704-634-4135
Fax Number 704-235-1493
E-mail Address [e-mail]
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.
Location
County Iredell Nearest Town Mooresville
Subdivision name or site address (include phase/lot number): N/A
Directions to site - please include road numbers, landmarks, etc. (This is not necessary
if an adequate vicinity map is included): 1-77 North to exit 36 - West on Hwy 150
Right on Perth Church Rd - Right on Lakeshore School Rd - Left on Wilson Lake Rd
Blue house at first curve - on left
2. Describe the existing land use or condition of the site at the time of this application:
House on property with few trees
3
4
Property size (acres): 0.88
Nearest body of water (stream/river/sound/ocean/lake):
Norman
5. Describe the purpose of the proposed work: Stabilize remaining 30' -40' of Shoreline
With 1' high wooden seawall- To control erosion -
6
List the type of equipment to be used to construct the project: Work will be done
By hand - this is very small job to finish existing shoreline stabilization
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below
1' x 30'- 40'
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:
1' x30'-40'
b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance): Landscaped yard with very few trees
ApplicantlAgen ''st sAnature
(Agent's signature is valid only if an authorization letter from the applicant is provided)
Z- 'af
Date
Lake (Full Pond)
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.o each Item, such as iV it. X i0o {t.).
LUC aion of sip taip Ui liii iu L7C to ca:i:U dtJuvv iilu FUN ruliu UwMui
a) Location of rip rap or R H to be placed u iolu he t'in't Pond davauvi"i
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6) Location of construction acres corridors.
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AMOUNT OF FILL

CUBIC YARDS
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Iredell County assumes no legal responsibility for infatuation contained on this map. 1 d3 Feet
littp://gis.co.iredell.nc.us/website/iredelliveb/MapFrame.htm 4/19/2005
DUDE PORTER DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project
site can have a big impact on permit processing time. Please complete this form
and return it along with your completed permit application to:
DUKE POWER
C/O LAKE MANAGEMENT - EC 12 Q
P. O. BOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193
Applicant's Name: Shirley A. Rico
Lake Name: Norman
Subdivision Name: N A
Property Section: Lot: SR 1480 Rico
City: Mooresville County:Iredell
State: NC Zip: 28117
Telephone: [phone]
Type of Permit
Requested
"Circle":
riva ' i3
Commercial Facility
Excavation
Stabilization
Conveyance
Miscellaneous Uses
Directions (from major road or highway): I-77 N - to exit 36 -West on Hwy 150 -
Right on Perth Church Rd - Right on Lakeshore School Rd - Left on Wilson Lake Rd
Property (description)-::
163 Wilson Lake Rd - Blue house at first curve
*Note: Please use the back of this form, if desired, to draw us a map to the site.
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Map Size: 370 x 400 0 R`yeryivy 3 1 LESS DETAIL
Snuller Bigger 1 0. 4 MI 163 WILSON LAKE RD, MOORESVILLE, NC 281 17
Map by Maps on Us tW
Custom Size 01984-2005 TeleAtlas N.M., Switchboard. Use subject to LICENSE.
Default Size
Scale (mi/in): 0.40 Map-Clicking will: Show Long/Lat
REDRAW MAP I WHAT'S NEARBY?
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Problems printing? Get a Printable Map.

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littp://mapsoiius.switchboard.com/bin/maps-maponly/usr- -4265895a.ec2bO.4a30.7/c=3/for... 4/19/2005
Lake Norman North quadrangle
Projection is UTM Zone 17 NAD83 Datum
http://www.topozone.com/print.asp?z-- 17&n=3941929.76190369&e=509925.024478072&,.
M=-7.171
G=0.0164
4/19/2005
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