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Michael 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

Mr. Jacob May
5941 N, C, Highway 8
Lexington, NC, 27292

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JUL 1 '2 2005

July 8, 2005
DWQ# 05-1048
Davidson County

DENR - WATER QUAUTY
WETlANDS AIm STORMWAlER BRANCH

APPROVAL of 401 Water Quality Certification with Additional Conditions

Dear Mr, May:

You have our approval, in accordance with the attached conditions, to place fill within, or otherwise impact
by excavation, 1,100 square feet oflake shoreline below the normal pool lake level and 6,580 square feet of
lake shoreline above the normal pool lake level for the purpose of stabilizing an eroding shoreline on High
Rock Lake located at Lot 5A on Roy Coppley Road in Southmont, Davidson County, as described in your
application received by the Division of Water Quality on March 28, 2005, After reviewing your application,
we have determined that this activity is covered by General Water Quality Certification Number 3495, which
can be viewed on our web site at http://h20,enr,state,nc,us/ncwetlands,This Certification allows you to use
Nationwide Permit Number 13 when it is issued by the U.S, Army Corps of Engineers, In addition, you
should secure any other applicable federal, state or local pemlits 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
Open Waters 7,680 square feet Lot 5A, Roy Coppley Road,
Southmont, Davidson County

NlS{iliCaroli na
/Vatllmll!!

North Carolina Division of Water Quality
Wetlands Certification Unit 1650 Mail Service Center
2321 Crabtree Blvd,
Customer Service Number: 1.877.623-6748

Raleigh, NC 27699-1650
Raleigh, NC 27604-2260

Phone [phone] FAX [phone]
Internet http//:h2o.enr,state nc,us/ncwetlands

An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper

Mr, Jacob May
Page 2
July 8,2005

r

2, Appropriate sediment and erosion control measures which equal or exceed those outlined in the most
recent version of the North Carolina Erosion andSediment Control Planning and Design Manual or the
North Carolina Surface Mining 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
maintained properly to assure compliance with the North Carolina water quality standa~ds 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 9401 Certification has been completed,
This certificate should be returned to the 401lWetlands 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. \\

A WK/cdl

t

Mr, Jacob May
Page 3
July 8, 2005

Attachments

cc: Eric Alsmeyer, U, S, Army Corps of Engineers, Raleigh Regulatory Field Office
Winston-Salem DWQ Regional Office
Central Files
Wetlands/401 File Copy

0<;; WA r~1t
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~-r f Michael 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

July 8, 2005
DWQ# 05-1048
Davidson County

Mr. Jacob May
5941 N, C. Highway 8
Lexington, NC, 27292

APPROVAL of 401 Water Quality Certification with Additional Conditions

Dear Mr, May:

You have our approval, in accordance with the attached conditions, to place fill within, or otherwise impact
by excavation, 1,100 square feet of lake shoreline below the normal pool lake level and 6,580' square feet of
lake shoreline above the normal pool lake level for the purpose of stabilizing an eroding shoreline on High
Rock Lake located at Lot 5A on Roy Coppley Road in Southmont, Davidson County, as described in your
application received by the Division of Water Quality on March 28, 2005, After reviewing your application,
we have determined that this activity is covered by Gencral Water Quality Certification Number 3495, which
can be viewed on our web site at http://h2o.enr,statc,nc,us/ncwetlands,This Certification allows you to use
Nationwide Permit Number 13 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 Sedimcnt 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 describcd 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 gencral conditions of the
Ccrtification arc met. No other impacts, including incidental impacts, are approved:

Open Waters

Amount A roved
7,680 square feet

Plan Location or Reference
Lot 5A, Roy Coppley Road,
Southmont, Davidson Count

N~'lthCarolina
,;vat/lm//y

North Carolina Division of Water Quality
Wetlands Certification Unit 1650 Mail Service Center
2321 Crabtree Blvd.
Customer Service Number: 1-877-623-6748

Raleigh. NC 27699-1650
Raleigh. NC 27604-2260

Phone [phone] FAX [phone]
Internet h ttp//: h20 en r. sta te, nc. uslncwetland s

An Equal Opportunity/Affirmative Action Employer - 50% Recycled/l0% Post Consumer Paper

} Mr, Jacob May
Page 3
July 8, 2005

Attachments

cc: Eric Alsmeyer, U. S, Army Corps of Engineers, Raleigh Regulatory Field Office
Winston-Salem DWQ Regional Office
Central Files
Wetlands/401 File Copy

Triage Checl{ List

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Project Name: Jacob May
DWQ#: 05-1048
County: Davidson

Date:

6/14/05

Daryl Lamb, Winston-Salem Regional Office

To:

60-day processing time:
YadJcin RIver Basin

6/1 0/05

8/8/05

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From: Cyndi Karoly Telephone: [phone]

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

D
D
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D
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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
303d

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:

t'

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05'IOLJ6

(i)

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
~ 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 Watef Quality of $200.00 fOf
impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom
of greater or equal to 1 acre.

Applications should be sent to:

@ REQ/,lESI fwl~CfZ.I7-^\loN
W'H;)E.(2. NwP No, I~
'BeC~$E S\tO/2.{;IAN'S
STAt3IL-\ '2-ATIDN WIL..{,
~)(.c.e-ep 500 ~r,

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, JUN 1 0 200S :..:,.

Division of\Vater Quality Wetlands Unit
1650 Mail Service Centef
Raleigh, NC 27699-1650

I. Applicant Information

1, Owner/Applicant Information
Name: JAc.o6 MA-'(
Mailing Address: Sq 1.\ \ N.C.. H1&I-tWA..-t 6
U;-)l\lJ6T"N I NG (",1L..~'Z-

."~';:\ . /,,;rI:R QUAlITr
I::~ ,~ND STORMIVATER HfW1rH

Telephone Number: ~'3~.?C;1' 5005
E-mail Address:

Fax Number: "33~' "Yi1,1bt;"o

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: N/ It.
Company Affiliation: I '
Mailing Address:

Telephone Number:
E-mail Address:

Fax Number:

II. Project Information

Attach a vicinity map clearly showing the location of the property with respect to
local landmarks such as towns, rivers, and roads, Also provide a detailed site
plan showing property boundaries and development plans in relation to
surrounding properties, You may use the diagram below to make a hand sketch of

, .

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

1, Location
County: DAvID$CN Nearest Town: ~uil..HtA.oNT
Subdivision name or site address (include phase/lot number): $-0 llTfttUcNT) /..or SA
Directions to site please include road numbers, landmarks, etc, (This is not
necessary if an adequate vicinity map is included):
~ HWY ~ s-vu.T~ ~ L.eltltJ61crtJ ( 10 ~ull-flttoNTJ P~T
rl(l..c; 'DEPT. Tu<41 ~~,- ep,1 12c'i c.orPIEi I2cAD I P/ZoPE:1U'( IS
AI GJ'D Dr (loAD,

2, Describe the existing land use or condition of the site at the time of this
application: Ho-u4';;>'C; ~t:>ER... ~c;T14t.c...TloN oN PI2oPE-{tT'f '

3, Property size (acres):

{.€>6 PeG

4, Nearest body of water (stream/river/sound/oceanllake): }he,(-\- ~C\<::. ("'A~

5, Describe the purpose of the proposed work: To <i>TA-e>1 t....\ =t..e ~ €(lc.DI t-.)6
S\-\c~lrJe AND Pr20~1 \1 fflcvv\ fU"'T~{;12.. 6'loS\QN,

6, List the type of equipment to be used to construct the project:
~Bc.A-\l f11o~-r LoA-Dt'?(Z 012- -rp..~ ~e

7, Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc,) below the normal pool lake level in square feet or acres:
\ \00 <;Q. rT,

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: &t;6o ~. 'PT,

b, Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): App(1..o 'J.. -z.S -~ T~-S o'F VAR.IC:lU5
<;,t-?;e ~t> U,ND ITION WII,L. ~e- (Z&1.<.cvco Te Cll'w\pL..ere Ttf1~ WlJ}l.~,

b- (- 05

Applica gent's Signature Date
(Agent's signature is valid only if an authori ation letter from the applicant is provided,)

US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
15t Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 2880t-5006 CabaInls Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
"* Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Enginms Alleghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Granville Orange Wake
Telephone: [phone] ~ Guilford Person Warren
Fax: [phone] Dav' Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Enginecrs Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret · Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans .Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomcry Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
US Fish and WlIdHre Service I National Marine Fisheries Senice

US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]

US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 2880t
Telephone: [phone]

North Carolina State Agencies

Division of Water Quality
40t Wetlands Unit
1650 Mail Service Center
Ralcigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]

Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-16t9
Telephone: [phone]
Fax: [phone]

CAl\IA and NC Coastal Counties

Division of Coastal Managemcnt
1638 Mail Service Center
Raleigh, NC 27699-1638
Telcphone: (9t9) 733-2293
Fax: [phone]

Beaufort
Bertie
Brunswick
Camden
Carteret

Chowan
Craven
Currituck
Dare
Gates

NCWRC and NC Trout Counties

Western Piedmont Region Coordinator
3855 1dlewild Road
Kernersville, NC 27284-9180
Telephone: [phone]

Alleghany
Ashe
Avery
Burke

Mountain Region Coordinator
20830 Great Smoky Mtn. Expressway
Waynesville, NC 28786
Telephone: [phone]
Fax: (828) 506-t754 Haywood McDowell Yancey

Buncombe
Cherokee
Clay
Graham

Caldwell
Mitchell
Stokes
Surry

Henderson
Jackson
Macon
Madison

National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]

State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]

Hertford
Hyde
New Hanover
Onslow
PamIico

Pasquotank
Pender
Perquimans
Tyrrell
Washington

Watauga
Wilkes

Polk
Rutherford
Swain
Transylvania

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- I, M'CHML D. G~EEN ,CERTI". THAT THIS w.~ WAS DRAWN F'ROM AN ACTUAl. SURVEY
, W.oE UNoEIl MY SUPERVISION, THE AATlO or PRECISION AS CALCULATEO IS '1'0,000+.
- I HERElIY' N"flX MY HAND ANO S~ THIS ~ DAY or IAARCH . 2004.
- THE PROPOSED F'INISl1tD F'LOOR ELEVATION OF' loWN STRUCTURE IS NOT IN A F'LOOD
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REIoWNDER OF
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72.41'1 . ARF: FOR CLOSUR€ ONLY:
.4CT\JAl. PROP[RTY UN€
HIGH ROCK LAKE ~ j . FOLLOWS TH' e",,' CONTOUR.

~O['j LEGEND

WILLIAM M, WrL 7Y
08 748 PC; lOJ4

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N 41.4:l'411"W ":.
74,36'

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NOTE: TtilS PROpeRTY IS SUBJECT 10 ANY FACTS (PRIOR AGREEIo4ENTS. CONVEYANCES. OR
CAsEMEN1S Of RECORD) THAT I.IAY BE DISCLOSED BY A fULL AND ACCURATe T1TLE StloRCH.

TAX RtF,
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POINT (CALCU\oAT[;l)
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SURVEY F'OR:

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. - '_'_"'~'._ '.,. .- , '.1.
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i
MICHAEL GREEN AsSOCIATES
, CONSULTANTS .l>>lO Pl>>lNER6. SURVEYORS
P.O. DOX 53;' LEXINGTON, N.C. 272113' 338-24&-llI02

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YADKJN SHORELINE MANAGEMENT PROGRAM
PHASE I . SITE EVALUATION

DATE:~

A. APPLICANT NAME: Ja..cob ~t "

Lot No.: C:;A
-r~ wA-P ~c.-.sf)

B. LAKE: \-h.~\-\ \lDc~
Shoreline Length: 'TOTAL ~C;5 L:F !St60 Lr ~6~~ ~T~I\...It:J\--rION

C. LOCATION/ORIENTATION:

-Cove:
-Point:

./
V

-Open Water Exposure: ~_N
-Face Direction: X N_S_E_W

D. EXISTING VEGETATION: N~ O~~(,.r\jJ

Lap Trees: _ Y '><.N

E. SHORELINE CONDITIONS:"
.~~
-Rock: Dn eke ~ ~
-Ht of eroded bank:.Q.h (p'
-Slope above bank:t=lcX tc
\\Ui&yaJe.
F. CONSTRUCTION ACCESS:
U

II
-Undercut depth:~-ft, I g ,

-Lake bottom Glope: J~e..

-Lake bottom material: Scl~( -f ~f Rcc.~

....

G. OTHER OBSERVATIONS:
l~ u.~V' Ct\fshucfilrlV.
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VEGET ATE DISTURBED AREA
ABOVE SLOPE

_._____LEXISTING GRADE

-,
\
\
\ CLASS 1 RIP RAP

tJws

2
EROSION CONTROL FABRIC-'----'-

--......

!,c;\,
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LAKE 8OrTOM - -

TYPICAL CONDITIONS
, 12" TO 36" ERODED CUT
, WAVE EXPOSURE

FOR:

JACOB MAY
LOT 5A, ROY COPPLEY ROAD
HIGH ROCK LAKE
SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
HIGH ROCK LAKE

MINOR RIP RAP STABILIZATION

LOCA TION:

RESERVOIR:
PROJECT:

DRAWING TITLE:

10
....
1tI
;

03/01/05

DETAIL
2

. .

VEGETATION AND EROSION
CONTROL FABRIC

_ _ _ _ _ _ _ _ ~ EXISTING GRADE

CLASS 2 RIP RAP

'69'
1.\\

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." ",,"~ Co BOTTOM

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"

TYPICAL CONDITIONS
, 36" TO 72" ERODED CUT
, WAVE EXPOSURE

03/01/05

FOR:

DRAWING TITLE:

JACOB MAY
LOT 5A, ROY COPPLEY ROAD
HIGH ROCK LAKE
SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
HIGH ROCK LAKE

MODERATE RIP RAP STABILIZATION

DETAIL
3

LOCA TION:

RESERVOIR:
PROJECT:

10
"
III
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SHORELINE MANAGEMENT PLAN

. .....

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The following is an abbreviated application form for those applying for a 401 \Vater
Quality Certification to impact FERC (Federal Energy Regulatory Commission)
regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit
~ This Application cannot be used for wetland or stream impacts. Please
provide seven (7) copies of this application and supporting information as well as a
non-refundable application fee to the Division of Water Quality of $200.00 for
impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom
of greater or equal to 1 acre.

I.

Applicant Information

@ RE.Ql.lEST IwlHCfZn,(tlloN
~t>E.l2. NwP ND. I~
'BE~S€ Sl-\012.(;l.,IN'S
~TAf3I1..1 t.ATIDN WIl-{,
~)(.~ED 1~& ~r,
/if @@nW&~

JUN 1 0 tOU5 --'
OENR W.
WC1l.MiDs MD s%~~ 9l.JAL11'l
'\hi riA. TtR BRANcH

Applications should be sent to:

Division of\Vater Quality \Vetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650

1, Owner/Applicant Information
Name: JAc..oB lW~.'(
Mailing Address: Sq 4' N,e., >>'tc:'HwA-'i 6
Le)L\N6TDN I tJG (.,1~'\?-

Telephone Number: -:''3(;,' ~5"1' 5005"
E-mail Address:

Fax Number: "33(0' ?/i1/1 br;O

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: N/ A
Company Affiliation: I
Mailing Address:

Telephone Number:
E-mail Address:

Fax Number:

II. Project Information

Attach a vicinity map clearly showing the location of the property with respect to
local landmarks such as towns, rivers, and roads, Also provide a detailed site
plan showing property boundaries and development plans in relation to
surrounding properties, You may use the diagram below to make a hand sketch of

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

1, Location
County: D,wID$-ON Nearest Town: ~L[rHMcNT
Subdivision name or site address (include phase/lot number): ~UTftJ1~NTI f.,oT SA
Directions to site please include road numbers, landmarks, etc, (This is not
necessary if an adequate vicinity map is included):
t-.t, Hwy ~ SVu.T~ nuw. t,e)(1 /JClTtrN { 10 <;,cU,14-11AofJT J PAST
rll'l.e 't)EP"\. TuW L:&F"r 01-\ flo~ CP(>PIEi (leAD I Pl2DPE:g.T'( IS
A.I END Dr (q)~D '

2, Describe the existing land use or condition of the site at the time of this
application: Ho-u~-e ~t:>CR.. lz:Nc;Ta.u.c.....i1oN oN PI2oPE-(tT'f '

3, Property size (acres):

l.B~ ~

4, Nearest body of water (streamlriver/sound/ocean/lake): H1c,!-\- ~C"" ("'Ai4::

5, Describe the purpose of the proposed work: To ~T~ll".\te ~ ~floDI~6
S~O~lrJE, AND PrZo~1 II fflcM ru(a.T~~ Ef2oS\QN,

6, List the type of equipment to be used to construct the project:
~g.c..A--rl f1lo~, LoA-DlS12. 0\2. I(t.~ ~e

7, Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres:
\\00 <;Q."PT",

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: Cot;Bo ~. -P-T,

b, Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees forinstance): App(2.a~. -z.S -~ T~ o'F VAR.lou5
<;,t -?;e No! 'D U>N D I TloN WI I,l.,. ~e- (Z&1.<.c\JC'D Tc c..trvv\ pl..ere TIf1 ~ ~~,

~-!~ t/5

Applican i\gent's Signature Date
(Agent's signature is valid only if an aut rization letter from the applicant is provided,)

US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Ale~ander Cherokee lredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
15 t Pallon A venue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 2880 I -5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
-* Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Surty
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Granville Orange Wake
Telephone: (9 I 9) 876-8441 ~ Guilford Person Warren
Fax: (9 I 9) 876-5283 Dav' Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret. Green Pamlico Wa)1le
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans .Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: (9 I 0) 251-45 I I Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
US Fish and Wildlife Service I National Marine Fisheries Service

US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]

US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: (828) 665- t 195

North Carolina State Agencles

Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: (9 I 9) 733-6893

Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]

CA:\IA and NC Coastal Counties

Division of Coastal Management
1638 Mail Service Center
Raleigh, NC 27699-1638
Telephone: (9 I 9) 733-2293
Fax: [phone]

Beaufort
Bertie
Brunswick
Camden
Carteret

Chow an
Craven
Currituck
Dare
Gates

NCWRC and NC Trout Counties

Western Piedmont Region Coordinator
3855 Idle wild Road
Kemersville, NC 27284-9180
Telephone: [phone]

Alleghany
Ashe
Avery
Burke

Mountain Region Coordinator
20830 Great Smoky Mtn, E~pressway
Wa)1lesville, NC 28786
Telephone: [phone]
Fax: [phone] Haywood McDowell Yancey

Buncombe
Cherokee
Clay
Graham

Caldwell
Mitchell
Stokes
Surty

Henderson
Jackson
Macon
Madison

National Marine Fisheries Service
Habitat Conservation Division
Pivcrs Island
Beaufort, NC 28516
Telephone: [phone]

State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]

Hertford
Hyde
New Hanover
Onslow
Pamlico

Pasquotank
Pender
Perquimans
Tyrrell
Washington

Watauga
Wilkes

Polk
Rutherford
Swain
Transylvania

5/lqJ ;S-

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02100/2005 12:51 #fYlj P .0021002

- I, I'IC!-W:L 0, CRErN ,CERTIFY THAT THIS MA~ WAS CRAWN F'ROI.l AN ACTU,t.(, SURVEY
MAOE UNOER IN SUPERVISION, THE RATIO or PRECISION AS CAlCULATED IS 1/10.000+.
- I HEREEft' AffiX MY >WID AND SEAl. THIS ~ DAY or l,IARCiot . 2004.
- THE: PROPOSED F'INISHtD n.OOR ELEVATION OF' WJN STRUCTURE: IS NOT IN A n.OOO
HAZARD AREA (PER TAOKIN. INC. DATUM).

\ \ REGI~~~ NC

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NOm TI'4IS PROPCRTY IS SUilJE:CT TO ANY fACTS (PRIOR ACREEIo4ENTS, CONYtYANCES, OR
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MICHAEL GREEN AsSOCIATES
. CONSULTANTS . lAND PlANNERS, SURVEYORS
P.O. DOX 83i' LEXINGTON, N.C. 27ZIl3' 338-248-8102

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Y ADKJN SHORELINE MANAGEMENT PROGRAM
PHASE I- SITE EVALUATION

DATE:~

A. APPLICANT NAME: J~c.ob ~t .

Lot No.: 5A
1k4 W"M-P t-lD, ~B

B. LAKE: \1\G\-\ \lD(~
Shoreline Length: '"TOTAL "C;S /..1= /5::>0 Lr ~€ds <}T~Il.,IV-"'(ON

C. LOCATION/ORIENTATION:

-Cove:
-Point:

./
V

-Open Water Exposure: ..6"_N
-Face Direction: ~N_S_E_W

D. EXISTING VEGETATION: N~ Ob~{,y-'iJ

Lap Trees: _ Y '><.N

E. SHORELINE CONDITIONS:'
-Rock: ~ ek<>~ ~
-Hl of eroded bank:~ (p'
-Slope above bank: flcJ- tc
~\t.vfrra,te.
F. CONSTRUCTION ACCESS:
U

II
-Undercut depth:~fo I g

-Lake bottom olope: r~~

-Lako bottom matorial: ~"{ -r $tfjf Rcv~

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G. OTHER OBSERVATIONS:
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A~t(&>>i-~ ~ ~ ~~ kl\ ~~QL~ 1J
~,,~ Qt~ ~ ~m..J- OUJ>IW ~ i.J" ~ ~ lAb
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VEGET ATE DISTURBED AREA
ABOVE SLOPE

__ _ _ _ _ L EXISTING GRADE

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\ CLASS 1 RIP RAP

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LAKE BOTTOM - -

TYPICAL CONDITIONS
. 12" TO 36" ERODED CUT
. WAVE EXPOSURE

FOR:

JACOB MAY
LOT 5A, ROY COPPLEY ROAD
HIGH ROCK LAKE
SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
HIGH ROCK LAKE

MINOR RIP RAP STABILIZATION

LOCA nON:

RESERVOIR:
PROJECT:

DRAWING TITLE:

IQ
...
ICI
;

03/01/05

DET AIL
2

VEGETATION AND EROSION
CONTROL FABRIC

________~EXISTING GRADE

CLASS 2 RIP RAP

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1-\\

2
EROSION CONTROL FABRIC~

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//~~~1( LAKe:- -----
." ".,"~ Co BOTTOM

tc.a\'
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TYPICAL CONDITIONS
. 36" TO 72" ERODED CUT
. WAVE EXPOSURE

03/01/05

FOR:

LOCA TION:

JACOB MAY
LOT 5A, ROY COPPLEY ROAD
HIGH ROCK LAKE
SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
HIGH ROCK LAKE

MODERATE RIP RAP STABILIZATION

DETAIL
3

RESERVOIR:
PROJECT:

DRAWING TITLE:

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