20051638 Ver 1_Complete File_20050826

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Michael F. Easlcy, Govemor

William G. Ross Jr., Sccrctary
North Carolina Dcpartment of Environment and Natural Resourccs

Alan W. Klimek, P.E. Director
Division of Water Quality

November 14, 2005
DWQ# 05-1638
Iredell County

Mr. Joseph Polak
409 Grasshopper Circle
Mooresville, NC 28117

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. Polak:

You have our approval, in accordance with the attached conditions and those listed below, to place fill in
or to otherwise impact approximately 0.009 acre of waters and 0.005 acre of riparian buffer for the purpose of
stabilizing approximately 165 linear feet of shoreline on Lake Norman as described in your application received
on October 7, 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://h20.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 this office in writing, and you may be
required to submit 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. This approval, however, should not be construed as authorization to impact any part of the 50-foot
riparian buffer that currently exists on the main stem of the Catawba River under the Catawba River Buffer
Protection Rule (15A NCAC 2B .0243). 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 condition:

1. No impacts shall occur in the buffer, including the removal of trees, except along the immediate shoreline.

2. Upon completion of the project, the applicanUresponsible 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
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.

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North Carolina Division of Water Quality 610 East Ccnter Ave., Suite 301 Moorcsville, NC 28115
Internet h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Ernployer - 50% Recycledl10% Post Consumer Paper

Phone [phone]
FAX [phone]

Customer Service
1-877-623-6748

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,
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for Alan W. Klimek, P.E.

cc: Corps of Engineers Asheville Regulatory Field Office
Wetlands Unit- Ian McMillan
CBC
Central Files

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Re: Heads up Tardy

Subjcct: Rc: Heads up Tardy
From: Alan Johnson <[e-mail]>
Datc: Mon, 28 Nov 2005 16:53:10 -0500
To: Ian McMillan <[e-mail]>

issued

Ian McMillan wrote:

Alan, I'm finishing up Tracking/Tardy and came across this one and wanted to give
you the heads up on it in case you are out of the office. Thanks, Ian

*05-1638*, Joseph Polak, Iredell Co, GP30

10/03/05

12/01/05

Alan Johnson - [e-mail]
North Carolina Dept-:--of-Env.rro-nment-&--Natural Resources
Div. of Water Quality
610 E. Center Ave., Suite 301
Mooresville, NC 28115
Ph: [phone] Fax: [phone]

1 of 1 11/29/20058:21 AM

Staff Report

Project Num: 20051638 Version: 1
Name: Joseph Polak
County: Iredell
Location: Lake Norman CTS basin Mooresville
Latitude: +35034'30"

Status: Received

Project Type: Sank Stabilization & Shoreline
Stabilization (sills, rip rap)
Region: Mooresville

Longitude: -80055'46"

SW Plan Location:
Owner: Polak, Joseph
Contact Person: Polak, Joseph

Title:

Phone: [phone]

Inspection Date: 11/14/2005

Entry Time: 10:00 AM

Exit Time:

Reason for Inspection: Routine

Inspection Type: Staff Report

On-Site Representative(s):

Primary Inspector: Alan D Johnson
Secondary Inspector(s):

Phone: [phone] Ext.207

Question Areas:
I!I Site Visit

Inspection Summary:

spoke with agent on phone. seawall will be reduce to 165 ft as compared to 204. The middle of lot will be left alone since the shore
gently slopes to waters edge.

Page: 1

Project Num: 20051638
Inspection Date: 11/14/2005

Owner: Polak, Joseph
Inspection Type: Staff Report

Reason for Visit: Routine

Site Visit
Do impacts described in the application differ those seen in the field?
If yes, please describe differences:
Are the IntermittenUPerennial calls different in the application?
If yes, please describe differences, and how mitigation ratios are affected:
Are there additional impacts not described in the application?
If yes, please describe and quantify:
Were the impacts in place prior to the application for the 401 Certification?
Additional conditions recommended for the Certification:
Recommended project modifications:
Is this a modification request to an existing Certification?
Are there additional stromwater conditions that should be required due to the following classifications:

# 303(d)list, Class WS, NSW, ORW, HOW
Describe:

Is this a subdivision or otherwise part of a larger project?
# If yes, what phase is this?
Are there prior impacts from prior phases?
If yes, what are the cumulative imacts for this project?
Possible secondary impacts noted:
Comment:

Yes No NA NE

0000

0000

0000

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0000
0000

0000

0000

Page: 2

Triage Check List

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Project Name: Joseph Polak
DWQ#: 05-1638
County: Iredell

Date: 10/05/05

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To: Alan Johnson, Mooresville Regional Office

60-day Processing Time: 10/03/05 - 12/01/05

From: Cyndi Karoly Telephone: [phone]

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

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

Comments: As per our discussion regarding revision ofthe 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!

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Michael F. Easley, Governor
William G. Ross Jr., Secrctary
North Carolina Department of Environmcnt and Natural Rcsources

Alan W. Klimek, P.E., Director
Division of Watcr Quality
Colccn II. Sullins, Dcputy Dircctor
Division of Water Quality

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CERTIFIED MAIL

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August 30, 2005
DWQ # 2005-1638
Irede11 County

Rowboat Dock & Dredge
AUn: Gaylynn Meyer
858 Williamson Road
Mooresville, NC 28117

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Subject: Joseph Polak Lot 458
Application Fee Payment

Ms. Meyer:

On August 26,2005 the Wetlands/401 Unit of the Division of Water Quality received your application on behalf
of Joseph Polak for a 401 Certification in Iredell County, North Carolina. Please note that beginning January 1,
1999, the N.C. General Assembly passed legislation requiring payment of a fee for all 401 applications. The fee
for applications is $200 for projects impacting less than an acre of wetland and less than 150 linear feet of
streams. For projects impacting one or more acres of wetland or 150 or more feet of streams, the fee is $475. In
order for DWQ to begin review and process your request, you must send a check in the appropriate amount made
payable to the N.C. Division of Water Quality. Please reference the above DWQ # in all future correspondence.

If you have any questions regarding this letter please do not hesitate to call me at (919)-733-1786.

CBK/ljd

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OCT 3 i. 2005

cc: Joseph Polak, 409 Grasshopper Circle, Mooresville NC 28117
File copy
Central Files

DENR. WATER QUALITY
WETlANDS fIND STORMWATER eRANCH

20051638 Joscph Polak (Iredell) Hold for Money

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N. C. Division of Water Quality, 401 Wctlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree I31vd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http:::l,2".enntJtc.nc.lIs.'nc\\ctbnt!s)
Customcr Service #: 1-877-623-6748

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Michael F. Easley, Govcmor
William G. Ross Jr., Sccretary
North Carolina Departmcnt of Environmcnt and Natural Resourccs

Alan W. Klimek, P.E., Dircctor
Division ofWatcr Quality
Colccn H. Sullins, Deputy Dircctor
Division of Watcr Quality

August 30, 2005
DWQ # 2005-1638
Iredell County

CERTIFIED MAIL

Rowboat Dock & Dredge
Attn: Gaylynn Meyer
858 Williamson Road
Mooresville, NC 28117

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Subjcct: Joscph Polak Lot 458
Application Fcc Paymcnt

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Ms. Meyer:

On August 26,2005 the Wetlands/401 Unit of the Division of Water Quality received your application on behalf
of Joseph Polak for a 401 Certification in IredeIl County, North Carolina. Please note that beginning January 1,
1999, the N.C. General Assembly passed legislation requiring payment of a fee for all 401 applications. The fee
for applications is $200 for projects impacting less than an acre of wetland and less than 150 linear feet of
streams. For projects impacting one or more acres of wetland or 150 or more feet of streams, the fee is $475. In
order for DWQ to begin review and process your request, you must send a check in the appropriate amount made
payable to the N.C. Division of Water Quality. Please reference the above DWQ # in all future correspondence.

If you have any questions regarding this letter please do not hesitate to call me at (919)-733-1786.

CBK/Ijd

cc: Joseph Polak, 409 Grasshopper Circle, MooresviIIe NC 28117
File copy
Central Files

20051638 Joseph Polak (Ircdcll) Hold for Money

ATA
NCDENR

N. C. Division ofWatcr Quality, 401 Wetlands Certification Unit,
1650 Mail Scrvice Ccntcr, Raleigh, NC 27699-1650 (Mailing Addrcss)
2321 Crabtrce Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (htlp:Itl12o,cnr.statcnc.lIs!ncwctlands)
Customer Service #: 1-877-623-6748

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[R{(Q)WBOAT

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2 005 1 638

Dock & Dredge

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THE ROWBOAT COMPANY. INC.

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August 24, 2005

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US Army Corps of Engineers
Regulatory Office
151 Palton Ave.
Room 208
Asheville, NC 2880 I

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RE: Lake Norman

To Whom It May Concern:

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Our firm is processing this application on behalf of Mr.;losepll Polak, to stabilize waterfront shoreline by
installing approximately 4' X 204' Keystone (409 GdssllOpper Circle" Mooren'i1/e, NC 28/17) on Lake
Nonnan, Iredell County, North Carolina. :::

A copy of the Duke Power Company application, pertjlJ9,nt drawings and a location map are enclosed for
your use. ;',: 1
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DIRECTIONS: 1-77 Norlh 10 Exil 33, lurn left. Pro~Jc~/lo Brawley School Road, lurn left, Proceed 10
IIfcKendree, 111m righl Proceed 10 Grasshopper CircliH;/lIm right..
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We look forward to hearing from you at the earliest tiiri6;possible.
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AUG 2 6 2005
DENR - WATE
l\'ETl.ANos Mo STf\l'~ QUJ\Lrrv
vrv,flVATER BRANcH

cc:

NCDWQ (7 copies)

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858 Williamson Road' Mooresville, NC 281~~ . 704-663-3478 . FAX [phone]
www.rowboatcompany.com..:~.~lail:[e-mail]
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DUKE PO\VER LAKE MANAGEMENT, EC12-Q
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POBOX Idb'6
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CHARLOTTE, NC f$,201-100G
704-382-1567 or TOLL FREE 1-800-443-5193
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APPLICATION FOR PERMIT TO STABILIZE THE SlfORELlNE IN NORTH CAROLINA.

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. Please type or print and fill in all blanks. If information is not apl~li~ablc, so indicate by placing a N/ A in blank.
PLEASE SUBMIT APPLICATION AND APPROPRIATE DU,KE POWER FILING FEE. PAYABLE TO DUKE
POWER, TO ABOVE ADDRESS. ;.1

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Applicant Information
A. Name

.JOl' Polal.

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:'Iloon'syille, Nbi 2X It7

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Mailing Address

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Telephone

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Location of Proposed Pl'Oject~~/{
A. Lake 1';0rlll;lll;\'li
B. Strect Address ,W'} GI'a~shoPllr~'
C. County Iredt'll I,:"
D. Cityrrown/Community or Landmark :(.):; i\1(jon'~,ilk
E. Section LW;!A 4:"N Subdivision
F. Directions to property by road ~,;j! 1-77 N to [,it .13. lul'/lll'l'l. Prm'l'l'lI to
Br;mll~Y SdlOOI [{d. tUl'll kit i'rocccr:H(1 i\ld\l'lIdn:t' [{d. IIII'll right. Prol'l'cd
to G..a~shflJl"l'r Circk. turn to the right::,
Latitude and Longitude for the project si't~i SEE ATTACHED MAP
Please submit a map showing thc coordji~i!es or a detailed map (USGS quad map. city
map, etc.) showing the exact location of:tIR: project sileo (NOTE: Latitude/Longitude
coordinates can be found on internet siLe;,I~'WH'.l1I(lfJbl(lst.c(}l1I)
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II.

III.

Description of Project :j. ,:'
A. Length of wall 204' ,: ,
B. Matcrial I\l'~~tOl1l' BIfid, . '
C. Distance from property line/shoreline

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AUG 2 6 2001

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Del4R - WATER QUALITY
WETlANDS AND STORMtlATER BRANCH

IV. Intended Use of Project Area
A. Private:\ , .
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B. Commcrcial r ^ 0'.'

v. AIlPlicant', Signalure 9 #PpJL-~~( aJ
PI,EASE NOTE THE FO!J,OWIN(;.,,:! ?5 - )
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^ COPY OF "I1lE COMPLETE)) ^PPLlCArION WITH t\1~0^)) tvtJ\P SHOWING LOCAI'lON OF TIlE
PROPERTY MUST BE SUBMrrrEDTO: US ARMY cm~PS OF ENGINEERS, 151 PATTON AVE.-
ROOM 20S, ASHEVILLE, NC 28801-5006 . ',.
^ COPY OF TIlE "DUKE POWER ^ppLlC^TION FOR gi'}tMIT TO ST^B1L1ZE TIlE SIIORELINE IN
NORTH C^ROLlNA" AN)) SEVEN (7) COPIES OF 'I1IE~bMPLETED "NC DIVISION OF W^TER
QU^LffY I'RE-CONS'I1WC'110N NOTIFICAIlON ^1'1'~<;,^'nON" MUST BE SUBMiTtED WITII
11 IE DIVISION OF W ^TER QU^LlTY ^pI'LlCA'l10N liCit TO:
NC mVISION OF W^TER QV^PTY
AITENTION: JOlIN DORNEY
2321 CR^JrnmE RO^!)'j
R^LElGH. NC 27604-2~6pJ
[phone] ';,!~
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Applications should bc sent to:

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Thc f~ilowing is an abbrcviated al)plicatioH~form fOI' thosc applying fOI' a 401 Watel'
Quality Ccrtification to impact FERC (fj'~~lcral Energy Regulatolj' Commission)
rcgulated lakc shorc 01' bottom under th~)p.S. Army Corps of Engincers Pcnnit
GP30. This Application cannot bc usedr::fpl' wctland 01' strcam impacts. PI case
pl'ovidc sevcn (7) copics of this applicatior~And supporting infonnation as wcll as a
non-rcfundablc application fec to thc Dh'lsion of 'Vatcl' Quality of $200.00 fOI'
impacts of to lakc bottom of less than 1 aci~t;bnd $475.00 fOI' impacts to lal{c bottom
of grcatcr 01' equal to 1 acrc. ~l:;l
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I. Owner/Applicant Informalion n 1'1:1
Name: Jocoeph ruJ!ik-
Mailing Address: LJoq Gv-Ll$~~PArf71 (?1Y"c-le
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Applicant Information

Division of \Vatcl' Quality Wetlands Unit
1650 Mail Sel'Vicc Centcl'
Ralcigh, NC 27699-1650

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Telephone Number: f!o<t) ~31.5q,2.-
E-mail Addrcss: ' "

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2. Agent 'l11fur.o2ation (A signcd and daJcd copy of thc Agcnt Authorization Icttcr
must be attachCaif c Agcnt has sign~t9ry authority for thc owncr/applicant.)
Namc: 'c',
Company Affiliation:
Mailing Addrcss:

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Project Information

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Attach a vicinity map c1carly showing,thc location of thc propcrty with rcspect to
local landmarks such as towns, riversriand roads. Also providc a dctailcd sitc
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plan showing propcrty boundarics,;and dcvclopmcnt plans in relation to
surrounding propcrtics. Y Oll may usc ~h~ diagram below to makc a hand skctch of
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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 surfaccs, or other facilities must be included.

L .Location .
County: .I:Ye.-d~j { Nearest Town: Iv/ODyeS'" llc.
Subdivision name or site addrcss (include phaselIot number): L~+ 4:t '-Iff??
Directions to site please include r9ad numbers, landmarks, etc. (Th~s is not
n cessary if an adequate vicinit map is include"'): r: '7'1 E'l/t:3 Ll-u..m
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2. Describe the existi~? lanq use or condition o~ th: site. at the time of this
application: ra.?Idm:boJ LJ~ 0411 /2lf1~~ np rap Walt

3. Property size (acres): .'](P 4c.ve.s
4. Nearest body of water (stream/river(sc>und/ocean/lake): We. N Drman

5. Describe the purpose of the proposed' work: C.(')i) t5i:rLwt kt~~+O(1"- ~
f)CJfinYrI1 -to f)Vt1;VP.n ttu.i~~l1.~ r PXD'6"'l~

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6. List the type of equip,ment t9 be used to construct the project:
";10 '10 ~ D~S( -tvac~
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7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake levclin square feet or acres: lfD8 ~.jf--

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 acrcs:-3...5 a5~ fh

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b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees' for instance):
nbn~ .

n. ._f_ {by f~ if, Zt/ -06

AP~e Date
(Agent's signature is valid only if an authorization lctter from thc applicant is providcd.)

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For Recreational Use Only

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Joseph Polal{
409 Grasshopper Circle, Lot #458
Mooresville, NC 28117
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AUG-24-05 WED 18:20 JOSEPH POLAK

703 796 695~

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DtS DON ALL E N & ASS 0 C I ATE S . P. A.
.Since 1071.
Commorcial · Rll;ldeotioJl · lJort~cgll Surveys · MultI-Family
Conlltruction Stckin9 · Subdlvi2lon Dulg" . T6po~rophicol
[phone] [phone] tax
I. certify thot thi:! mop was drown undor my supervIsion from on actual
survey made under my 5upervision recorded in deed book 834 . poge_.2~, and/or
plat book_~_-, PQgl!: 70-85 ,that the ratio of precision is ":10,000, that this mop
was prepared in accordanco with the General Statuto:! of North Carolina Chapter 8ge.
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DONALD H. MOORE ~
.AND AMANDA K. MOORE ~
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LiKE NORMAN

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LOT 459
JAMES M. DRYE
AND ELAINE DRYE
818/471

GRASSHOPPER CIRCLE
(PAYED)

6000'

Riff

0' 2:)' ~O'
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SCALE IN FEET

100'
I

LiGEND
"tb D P.P. .. PO\NI;R POLE
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PHYSICALSURVEY
0;:-
+ct CM$:lI+OPF'IJ'l ClItcu:
LOT 458 CRESCENT LAND & l11~BER CORP. SECllON B

ACOUIRED BY;

SCALE ~""_~ DAVIDSON TWSP., IR1!:DI:!:LL co.. NC

"0.0 BOOK> 827 PO ct
nu:, 10524
DC nu:; ... O~A"," D'" ~.
TAll loW' NO; 462760728'

JOSEPH POLAK AND TERRIE POLAK

DUKE POWER 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
POBOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193

Applicant's Name:

Joseph Polal{

Street Address (at lake):

409 Grasshopper Circle

Lake Name:

Lal{e Norman

Subdivision Name:

Property Section:

Lot#:

458

City:

County: Iredell

Mooresville

State:

NC

Zip:

28117

Telephone:

[phone]

Directions (from major road or highway):

1-77 North to Exit 33, turn left. Proceed to Brawley School Road, turn left. Proceed to
McKendree Road, turn right. Proceed to Grasshopper Circle, turn to the right.

Descriptive Structure on Property (i.e. brick garage, white fence, mobile home, etc.):

*Note: l'lease use the baek of this form, if desired to draw us a map to the site.

GP AULAKEMGMT/LMPPM/DIRECTIONS.DOC

Type of Permit Rcquestcd
"Circle":

Private Facility
Commercial Facility
Excavation
Stabilization
Conveyance
Miscellaneous Uses

I
Effectivc Datc: 11/15/98
I

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Mooresville, NC 28117-8597, US

End:
409 Grasshopper Cir
Mooresville, NC 28117-6616, US

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responsibility for any loss or delay resulting from such use.

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20051638

August 24, 2005

US Army Corps of Engineers
Regulatory Office
151 Patton Ave.
Room 208
Asheville, NC 2880 I

RE: Lake Norman

To Whom It May Concern:

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R@W[B(Q)AT

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Dock & Dredge

THE ROWBOAT COMPANY. INC.

..,
Our linn is processing this application on behalf of Mf),'Josepll Polak, to stabilize waterfront shoreline by
installing approximately 4' X 204' Keystone (409 Grt~t~/lOpper Circle" Mooresville, NC 28117) on Lake
Norman, Iredell County, North Carolina. Ci'
t"- ;
A copy of the Duke Power Company application, pertinent drawings and a location map are enclosed for
:' . ~ ~
your use. ;'n:l

DIRECTIONS: 1-77 Nort" to Exit 33, turn left. Proc~'~!? to Brawley School Road, tllrn le.fi. Proceed to
McKendree, turn right Proceed to Grasshopper Circlfi:furn right..
,...."
We look forward to hearing from you at the earliest tiIj~~ possible.
. . /.'"")
Smcerely, ,:';,~

THEROWIlOATC~~

cc:

NCDWQ (7 copies)

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AUG 2 6 Z005

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DENR - WATER QUALITY
WETlANDS N-lO STORMWATER BRANCH

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858 Williamson Road . Mooresville, NC 28hz. . 704-663-3478 . FAX [phone]
www.rowboatcompany.com .: cmail: [e-mail]
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DUKE POWER LAKE MAN1,;EMENT, ECI2-Q
POBOX Id~~ ~~@~O~/t~i:~ i,i.

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CHARLOTTE, NC 2~1201-1006
704-382-1567 or TOLL FR~ffi 1-800-443-5193 AUG 2 6 lUln

APPLICATION FOR PERMIT TO STABILIZE THE siioRELINE IN NORTH CAJU)f).fi/i'lR\WATERQUI\l.ITr
,. : ~ STORMWATER BRANCH
...Pleasc typc or print and fill in all blanks. If information is not ap{JiiCable, so indicatc by placing a N/ A in blank.
PLEASE SUBMIT APPLICATION AND APPROPRIATE DU~E POWER FILING FEE, PAYABLE TO DUKE
POWER, TO ABOVE ADDRESS.; ,

IntcmJcd Usc of Projcct Arca lti~
? ::.;
A. Privalc X :. : I
B. Commcrcial ^ \(Y~i I

V. AllJllicant', Signatnre ~~(Qj

PLEASE NOTE THE FOU,OWING.',: j 0 - j

A COPY OF TIlE COMPLETED APPLICATION WITI I A ~lioAD MAP SI lOWING LOCATION OF TI IE
,t - ~:,
PROPERTY MUST BE SUBMfIIED TO: US ARMY C9~~PS OF ENGINEERS, 151 PATTON AVE. -
ROOM 2118, ASHEVILLE, NC 288111-51106 }j
A COPY OF TIlE "DUKE POWER APPLICATION FOR mV~MIT TO STABILIZE TI IE SI 10RELINE IN
NORTH CAROLINA" AND SEVEN (7) COPIES OF TIIli.~~pMpLETED "NC DIVISION OF WATER
QUALITY PRE-CONS'IlWC"1l0N NUIlFICA110N APPL!CA'1l0N" MUST BE SUBMITI"El) WrIlI
,," f
11 IE DIVISION OF WATER QlMLIlY ApPLICA'110N I;Elf TO:
NC DIVISION OF WATER Ql);\)Xry
ATrENTION: JOliN DOI{}JI~Y
2321 CRABTREE RCM(\li
RALEIGH. NC 27604-22"fil)1
[phone] hj~

".....
.

I.

II.

III.

IV.

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Applicant Informalion
A. Namc

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Mailing Addrcss

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Loc,ltion of Pro[losed Projcct1ii~
A. Lake NOrl11al1 !:~)~
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B. Slreel Address .fO'} C; ras,hllJllil~li'
C. Counly In:dl'll :',,:, :
D. CityrrO\YII/Community or Landmark ,/-,;'.1 i\1()rtJT~,ilk
E. Section Lo,(i/~ .t:,1\ Subdivision
F. Dircctions 10 propcrty by road !.y;; '-77 N 10 E\it .U. IIIi'll kfl. "ron'cll tn
Bra"k~' Schoo' HII. IIIi'll kft. Pron'C,i,.th i\lcl\l'llllrCl' HiI. lurn ri!!hf. Pron'l'cl
10 Grasshnppcl' ('irek. IIIi'll tothe rj~hl'.\
G. Latitudc and Longitudc for thc project srt~l SEE ATTACHED MAP
Plcasc submit a map showing thc coordikilcs or a detailed map (USGS quad map, city
map, ctc.) showing thc exact location of.lhc project silc. (NOTE: Latitudc/Longitudc
coordinales can be found on internet sile,;imw.11/apblasl.co11/)
1...1
~", :'.

Description of Project r ~'.;
,-I \'
A. Length of wall 20.t' \.i

B. Matcrial I\l'ystOlll' Bind,' ;

C. Distancc from property line/shorelinc ': ,!
;,:r't

on the 7(,0 i\ISL

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Date

&-24 --D'S'

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The following is an abbreviatcd applicatio~lJonu for those applying for a 401 Water
Quality CCI.tification to impact FERC (k~cdcral Encl'gy Rcgulatol)' Commission)
I'cgulatcd lal,cshol'e 01' bottom undel' th.c, .u.S. Anuy Corps of Engincers Pcrmit
GP30. This Application cannot bc uscdJor wetland or sh'cam impacts. Please
IH'ovide scvcn (7) copies of this applicatiori"~lI1d suppol.ting infol"mation as well as a
non-I'cfundable al)plication fee to the Division of 'Vatcl' Quality of $200.00 fOI'
impacts of to lake bottom of less than 1 act'~"and $475.00 for' impacts to lake bottom
of greatcl' or cqual to 1 acre. ' ,

Applications should be scnt to:

j ~.,

Division of Water Quality \Vetlands Unit ""
1650 Mail SCI'Vice Centcl' '
Raleigh, NC 27699-1650

, '

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Applicant Information

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1. Owner/Applicant Information n:n
Name: JO<i>tph rcdkk.
Mailing Addrcss: 40Q C-v-11f6hpPP(?1 (!1J"c-{e
!v1oOfe.5\1j lle~!r\f(2 gt 11'7
l'l;/r
I,V';?

Telephone Number: 'rfolJ. '7.3/- 3gtt.-
E-mail Addrcss: " ,

Fax Numbcr:

2. Agcnt 1nfot:I:!2ation (A sign cd and da:t~ copy of the Agcnt Authorization lettcr
must be attacheaif c Agent has signatory authority for the owncr/applicant.)
Namc:"
Company Affiliation:
Mailing Addrcss:

Fax Numbcr:

., j

11. Project Information

Attach a vicinity map clearly showing the location of thc 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 rclation to
surrounding propcrtics. Y Oll may lIse ~h~ diagram below to make a hand skctch of

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your project. Also, see the example bClow 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.

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2. Describe the existi~p lapel ~se or' condition of the site, at the time of this
application: ('~?/d.mtJaj 11~~ 0411 t21fi~~ np rap Walt

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3. Property size (acres): · 1(P Ac.ve.s

4. Nearest body of water (stream/river!sound/ocean/lake): We. N Drman

5. Describe the purpose of the propose'd work: ('./')i) tSWU{1r kt~..s..-f..t>(ll2. ~
BCJ(}lJYl!1 +0 fJVf01D1 ~~ r PY'Dcg-'I~

6. List the type of equip,ment t9 be used to construct the project:
:JO '10 ~ P~S( -tva>

7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake lev.el in square feet or acres: If{)g ~ fl--

8. a. Amount of impact (including aU; 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:--..i.5 'B..5~ Yi

'.,..-.

b. Please describe vegetation abovetl~e normal pool lake level and 50 feet land-
ward to be impacted (number of trees; for instance):
nbne.. . ,

AP~ ~~): g~~c1-()5

(Agent's signature is valid only if an authoriz.1tion letter from the applicant is provided.)
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For Recreational Use Only

Page 1 of 1

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Joseph Pola":
409 Grasshopper Circle, Lot #458
Mooresville, NC 28117
[phone]

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Joseph l)olak
409 Gnlsshopper Circle, Lot #458
Mooresville, NC 28117
[phone]

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AUG-24-05 WED 19:20 JOSEPH POLAK

(""~ "-".:fII'1C> 1C>".:fII'~:?

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DtS DON ALL E N & ASS 0 C I A T .E S . P. A.
'Slne. 1071'
Commercial · R..,dtfltlal · t.lortilO94t SUl'Yeya · Multl-'Famlly
eoolltructlor\ Stoklno * Subdlvhllon o.*lgrl · TOF>04l'OphlC<l1
(704) 664-702& (70.) &e4-8041 F'Q)(
I, certify thot this map was drown under 1'11)1 supervision from 011 actual
survey mode under my supervision recorded in deed book_~~___. page_Jl~_. and/or
plot book_J.~__. pogl! 70-68 _, thot the ratio of precision is ":10,000. that this mop
was prepared in acoordonoe with the General Statutes of North Carolino Chapter age.
my hand and seal on' the _-.P1-_, doy of ___~___. A.D. 20~__ ........,.......,...
~-(I" 01./,,:......

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LAK8 NORMAN

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DONALD H. MOORE 01
AND AMANDA K. MOORE ';\,
1547/2163 ~.

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(PAV1!D)

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SCALE IN FEET

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I) 1I1IS PROP(RTY iliA Y lIE lIllft,ECT TO
ANY ~A8E/lIENT AND/OIl IlIOIIn-Of-W^Y
Of" RlOOllD.
2) AlItA COIo/PU'IIll BY M! COOlIIlIHA 1E
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UVEl A T COWAN'S F'OllD OfIM (!lE^OiNO
ON 4/27/05) El,EVA'IlOtb 767.4

PH YSI CAl"., SURVEY
OF'
.Of ~ QlI;U:
~OI 4~ CRESCf:NT LANO & TIMBER CORP. SECTION 8

SCALE ~~.:"'_~~'_ DAVIDSON TWSP.. IR~D~LL CO.. NC

ACQUIRED BY;

JOSEPH POLAK AND TERRIE POLAK

/\
"----

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LOT 459
JAMES 11. DRYE
AND ELAINE DRYE
818/471

6000'

R/"

WItiM)
'tb .. P.P. .. I'OWP POI.[
OHE - O\'EIlI€AO nEC'1lIC
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I.I",S. - 14 M:IlM IItT
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l'lI!Ul 9001<. 827 '"0 ""
~ 10524
DC ALE; .t4 OItA"" Bill 101I>&
TAll MAP NO: 4lI2780ne~

DUKE POWER DIRECTIONS BY ROAD FORM

Lake Use Permit Applicants and Contractors: Ease of locating the proposed project site can have a big
impact on pennit processing time. Please complete this fonn and return it along with your completed
pennit application to:

DUKE POWER
C/O LAKE MANAGEMENT - EC 12 Q
POBOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193

Applicant's Name:

Joseph Polak

Street Address (at lake):

409 Grasshopper Circle

Lake Name:

Lalie Norman

Subdivision Name:

Property Section:

Lot #:

458

City:

County: Iredell

Mooresville

State:

NC

Zip:

28117

Telephone:

[phone]

Directions (from major road or highway):

1-77 North to Exit 33, turn left. Proceed to Brawley School Road, turn left. Proceed to
McKendree Road, turn right. Proceed to Grasshopper Circle, turn to the right.

Descriptive Structure on Property (i.e. brick garage, white fence, mobile home, etc.):

*Note: Please use the baek oC this Corm, iC desired to draw us a map to the site.

GP Al1LAKEMGMTILMPPM/DIRECTIONS.DOC

Type of Permit Requested
"Circle":

Private Facility
Commercial Facility
Excavation
Stabilization
Conveyance
Miscellaneous Uses

I
I
Effective Date: 11/15/98
I

i

. '

-: r.\A.?Q_~;:~l -

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f~~,

Tcm, II
()

Page 2 of2

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Start:
858 Williamson Rd
Mooresville, NC 28117-8597, US

End:
409 Grasshopper Cir
Mooresville, NC 28117-6616, US

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