20041942 Ver 1_Complete File_20041206

Certificate of Completion
DWQ Project No.• County: Y
Applicant: U)f' LL j C-
Project Name: ?y T a-?' Lt'.?i`U?1=??/??F/?f?r ?J CDate of Issuance of 401 Water Quality Certification: -??- y
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, 1.621. 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, A( w1'L1-,;qm 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: IG? -- Date: 4 5
Agent's Certification
h , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the constriction 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: DO
` p 2 7 2005
DENR - WATER QUALITY
If this project was designed by a Certified Professional WETLANDS ANDSTORWVYATERBRANCH
1, , 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:
NCDENR
North Carolina Department of Environment and Natural Resources
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Alan Klimek, P.E., Director
Division of Water Quality
January 14, 2005
Montgomery County
DWQ Project #: 04-1942
APPROVAL OF 401Water Quality Certification
with ADDITIONAL CONDITIONS
Tony M. Williams Construction, Inc.
1801 Tower Industrial Drive n l??
Monroe NC 28110
JAN 1 8 2005
Subject Property: Windemere Pointe Subdivision, Lot 28
Off Highway 73 DEt?R - WATER QUALITY
4°jETI.FuN0S AND D STO STORl.dv'VATER BRANCH
Dear Mr. Williams:
You have our approval, in accordance with the attached conditions and those listed
below, to place fill within or otherwise impact approximately 0.0055 acres of waters on
Lake Tillery for the purpose of installing rip-rap to stabilize approximately 120 feet of
shoreline, as described within your application dated November 30, 2004. After
reviewing your application, we have decided that this fill is covered by Nationwide
Water Quality Certification Number 3492, which may be viewed on our website at
http://h2o.enr.state.nc.us/ncwetlands. This certification allows you to use General Permit
Number 198200030 when the Corps of Engineers issues it. In addition, you should get
any other federal, state or local permits before you go ahead with your project including
(but not limited to) Sediment and Erosion Control, Coastal Stormwater, Non-Discharge
and Water Supply Watershed regulations. This approval will expire when the
accompanying 404 or CAMA 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 except as modified below. If you change your project, you must notify us
and you may be required to send us a new application. If the property is sold, the new
owner must be given a copy of this Certification and approval letter and is thereby
responsible for complying with all conditions. If total wetland fills for this project (now
or in the future) exceed one acre, compensatory mitigation may be required as described
in 15A NCAC 2H .0506 (h) (6) and (7). This approval shall expire when the
corresponding Nationwide Permit expires or as otherwise provided in the General
Certification. For this approval to be valid, you must follow the conditions listed in the
attached certification and any additional conditions listed below.
vro
Fayetteville Regional Office
225 Green Street - Suite 714, Fayetteville, North Carolina 28301-5043
Phone: [phone]/FAX: [phone]Internet: www.enr.state.nc.us/ENR
An Enual Onnortunity 1 Affirmative Artinn Emnlnver- 50% Rarvrlad 1 10% Post Consumer Pam
Tony M. Williams Construction
January 14, 2005
Page 2
Conditions of Certification:
1. Upon completion of this project, the applicant shall complete and return the
enclosed "Certification of Completion" form to notify DWQ that all the work
included in the 401 Certification has been completed. The completed form shall
be returned to the 401/Wetlands Unit of the Division of Water Quality.
2. This project is for the installation of rip-rap to prevent further erosion of the
property due to wave action. The use of mechanical equipment on the beach
must be minimized.
3. Equipment and materials may be offloaded to the beach at the work site but
_ steps must be-taken-to-keep-all equipment-out-of-the-reservoir: - - - -- --
Violation of any condition herein set forth may result in revocation of this Certification
and may result in criminal and/or civil penalties. This Certification shall become null
and void unless the above conditions are made conditions of the Federal 404 and/or
coastal Area Management Act Permit.
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, P.O. Box
27447, Raleigh, N.C. 276 1 1-7447. 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 Cyndi Karoly at 919-
733-9721 or Ken Averitte of our Fayetteville Regional Office at 910-486-1541, ext.722.
S'
Alan W. Klimek, P.E.
AWK/PER/ka
Attachments
cc: Corps of Engineers Wilmington Field Office
Fayetteville DWQ Regional Office
Cyndi Karoly, 401/Wetlands Unit
Central Files
T.willamso4-1942
Date: _IV/4/c4
Triage Check List
Project Name: IO n,,?t cmr?s?v
DWQ#: 04-1 `iqz-
County: k-jJfjo _ j
1) 1
To: ? ARO Kevin Barnett
[4' FRO Ken Averitte
? MRO Alan Johnson
? RRO Mike Horan
From: ? • (Jr-n v,
Telephone : (919) "73-3-t_7/6-
The file attached is being forwarded to dour 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 y
ff Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman) &/4
? Pond fill
? Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concern
Comments:
0?
lr 11 y CQ/'1-5
307
J-E r,_r4r' i'a-/
? WaRO Tom Steffens and Kyle Barnes
? WiRO Noelle Lutheran
? WSRO Daryl Lamb
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 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:
Division of Water Quality Wetlands UnJJC
1650 Mail Service Center
Raleigh, NC 27699-1650
041942
1. Applicant Information
R[9@[RflW[R0
DEC 0 B 2004
WEn?DNSAND AST?kft7?ER TM BNO
1. Owner/Applicant Information
Name:
i?
Mailing Address: 40 La
e1j=/ ,Clri <!
i t 1

Telephone Number:'Xlq-S'74 - V7 7 Fax Number: 7C!Ef-- ? ? `? ` ?' ,5
E-mail Address: • f t A44 t z,_) ;' 145 t) . C,()Al
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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: 1.` 1) f 1 l? Nearest Town: 4,E4,4 ; ?-'l ?'
Subdivision name 6 r site address (include phase/lot number):
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: L61 t 1160r,- /4
r, t! Sr-p lc.,7i6A.?
3. Property size (acres): a 4YL4 4CA S
4. Nearest body of water (stream/river/sound/ocean/lake): L aKc- Jri L L /? ?'
5. Describe the purpose of the proposed work: . & L ; d6l,&- I ',o = 5, i I C.U
6. List the type of equipment to be used to construct the project:
TJ~4c; K 44,4 if o
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: 1) +, S, /-:
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: .1160 SF
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance): o f)Z V
cJ(x,.'&) co LLRe Ar"tWf1LCII .
8- 3 0 -0
Applica t/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Fund:
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From the office of -
WRIGHT & FIELDS LAND SURVEYING ??-
1340 Albemarle Road, Suite C
N C 27371 !
Troy, .. /; Found:
"
3/4
Iron
Rod
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Found: j
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3/4
Iron ee
N Rear
Tie Li
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S? 75'47.ne
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Iron Rod /
34
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? F
- - Survey of
Lot No. 28 of the
Windemere Pointe Subdivision
Pee Dee Township, Montgomery County, North Carolina
Deed Reference Book 404 Page 844
Plat Cabinet B Slide 338
Surveyed by Thomas J. Fields, PLS-2906, on May 31, 2004.
REVISED & UPDATED on October 20th, 2004.
50 0 50
Scale is in Feet
1"= 50' Found: /
(Ot No 29 3/4" Iron
Rebar /
h r y5 0t Qt T? \ 42'04'
oAe t09 GQ1fV \Foot Seib f ?5855
4° Qt Q ?xi y? - \ oak p & Easeme A, Mti?Qj
! ?/ loth ?oyy Proposed nt
T1e tine ?_ House Site -\. Found:
S 82'23'02" . it \ 3/4" Iron r
Found: 116, E
3/4" Iron g2 FT i?---?-`- L 1Vp z8 Rebar
Rod "
/Found: ati /
/ 3/4" Iron
/ Rebar
/
NORTH CAROLINA
MONTGOMERY COUNTY
I, Thomas J. Fields, certify that this plat was
prepared from an actual survey done by me in
May 2004 and is in all respects correct
to the best of my knowledge and belief. The
ratio of precision as calculated by latitudes and
departures is 1:20.000'+ . This plat was
prepared in accordance with Board Rule .1600
Witness my original signature and official stamp
this the 20th day of October 2004
?1.saQ- ? ,'faoX?
SURVEYOR (f PLS-2909
No horizontal control within 2000 feet.
MAGNETIC
NORTH
May 2004
- o oyw /
N 8X2129 W 288,g¢1FTFoot Setback & Eosement ?``o ^.. / // TOTAL AREA
y / 0 44 Acre f
(Ot /V0. 27
??+t?rNnnrrrrg /
SEAL
S : L-2906
l0
`?.
JFFFR?'
''/rr+ur n?NL?Y??
Lake
Tillery
Na 24 q7
.--
SITE
N
ce N0 H
c
Q°?O6 ?c`` N wy,3
NTS w s e
VICINITY MAP
/ C by coordinates
Found: 2"?
Iron Pipe
°
Found:
Concrete /
Monument
Legend
/ 0 ...... denotes monuments found
' or set as noted on plat.
Job No. 2004-123