20040590 Ver 1_COMPLETE FILE_20040414

Mlcnael 1"'. basley, uovernor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources

Alan W. Klimek, P.E., Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality

i"'
~~_.

April 20, 2004
DWQ Project #: 04-0590
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

Dr. W. Thomas Jackson
257 Kensway Loop
Mooresville, NC 28117

Dear Dr. Jackson:

You have our approval, in accordance with the attached conditions and those listed below, to place fill
within or otherwise impact approximately 0.01 acres of waters and 0.02 acres of protected riparian
buffers on Lake Norman for the purpose of installing rounded river rock boulders and large river rock to
stabilize approximately 162 feet of shoreline, as described within your application dated April 6, 2004.
After reviewing your application, we have decided that the impacts are covered by the N.C. Division of
Water Quality (DWQ) General Water Quality Certificatio;n Number(s) 3373 (GC3373). The
Certification(s) allows you to use Regional General Permit No. 198200030 when issued by the US Army
Corps of Engineers (USACE). This letter shall also act as your approved Authorization Certificate for
impacts to the protected riparian buffers per 15A NCAC 2B .0243. In addition, you should obtain or
otherwise comply with any other required federal, state. or local permits before you go ahead with your
project including (but not limited to) Erosion and f Sediment Control and Duke Power regulations and
permits. Also, this approval will expire when the. accompanying 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 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. For this approval to be valid, you must follow the
conditions listed in the attached certification and any additional conditions listed below.

Conditions:

1. Diffuse Flow

An additional condition is that all stormwater shall be directed as diffuse flow at non-erosive
velocities through the protected stream buffers and will not re-concentrate before discharging
into the stream as identified within 15A NCAC 2B .0243(5).

N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
(919) 733,1786 (phone), 919-733-6893 (fax), (htt.p://h2o.enr.state.nc.us/ncwetlands)
Customer Service #: 1,877-623,6748

Page 2
Dr. Jackson
April 20, 2004

2. Certificate of Completion

Upon completion of all work approved within the 401 Water Quality Certification or applicable
Buffer Rules, and any subsequent modifications, the applicant is required to return the attached
certificate of completion to the 401/Wetlands Unit, North Carolina Division of Water Quality,
1650 Mail Service Center, Raleigh, NC, 27699-1650.

If you do not accept any of the conditions of this Certification (associated with the approved wetland or
stream impacts), 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.

Any disputes over determinations regarding this Authorization Certificate (associated with the approved
buffer impacts) shall be referred in writing to the Director for a decision. The Director's decision is
subject to review as provided in Articles 3 and 4 of G.S. 150B.

This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act and the Catawba riparian buffer protection rule as described within 15A NCAC 2B .0243. If you
have any questions, please telephone John Dorney at 919-733-9646 or Bob Zarzecki at 919-733-9726.

Sincerely,

Attachments:

Certificate of Completion
GC 3373

JRDlbs

cc: Duke Power Lake Management, PO Box 1006, Charlotte, NC 28201-1006
USACE Asheville Regulatory Field Office
DWQ Mooresville Regional Office
File Copy
Central Files

DWQ # 04-0590

ROWBOAT

Dock & Dredge

THE ROWBOAT COMPANY, INC.

July 8, 2004

A TTN: Beverly

WETLANDS /401 GROUP
JUL 1,2.2004
WATER QUALITY SECTION

NC Department of Water Quality
2321 Crabtree Boulevard
Raleigh, NC 27604-2260

RE: File #040590

Dear Beverly,

We previously requested approval for a shoreline stabilization permit (File #040590 - W. Thomas Jackson,
M.D.). However, we had the incorrect address on the application at that time. The correct address should
be 134 Fern Haven Rd, Mooresville, NC 28117). Please update your files with the correct information
attached.

If you have any questions, please feel free to give me a call.

Sincerely,

THE ROWBOAT COMPANY, INC.

tJ~

Gaylynn Meyer
Sales Department

cc: NCDWQ (7 copies)

858 Williamson Road. Mooresville, NC 28117 · 704-663-3478 . FAX [phone]
www.rowboatcompany.com · email: [e-mail]

,

ROWBOAT

Dock & Dredge

THE ROWBOAT COMPANY, INC.

July 8, 2004

WETLANDS /401 GROUP
JUt 1 2.2004
WATER QUAUTYS~l:'
J;;CTlON

u.s. Anny Corps of Engineers
Regulatory Office
151 Patton Avenue
Room 208
Asheville, NC 28801

To Whom It May Concern:

We previously requested approval for a shoreline stabilization pennit for W. Thomas Jackson, M.D.
However, we had the incorrect address on the application at that time. The correct address should be 134
Fern Haven Rd, Mooresville, NC 28117). You approved this project on 04/1212004. Please update your
files with the correct infonnation attached.

If you have any questions, please feel free to give me a call,

Sincerely,

THE ROWBOAT COMPANY, INe.

~~e~

Sales Department

cc: NCDWQ (7 copies)

858 Williamson Road · Mooresville, NC 28117 . 704,663,3478 · FAX 704-663,5298
www.rowboatcompany.com . email: [e-mail]

~.

.
,

ROWBOAT

Dock & Dredge

THE ROWBOAT COMPANY, INC.

July 8, 2004

WETLANDS /401 GROUP
JUL 1 2.2004
WATER QUALITY SECTiON

NC Department of Water Quality
2321 Crabtree Boulevard
Raleigh, NC 27604-2260

A TTN: Beverly

RE: File #040590

Dear Beverly,

We previously requested approval for a shoreline stabilization pennit (File #040590 - W, Thomas Jackson,
M.D.), However, we had the incorrect address on the application at that time. The correct address should
be 134 Fern Haven Rd, Mooresville, NC 28117). Please update your files with the correct information
attached,

If you have any questions, please feel free to give me a call.

Sincerely,

THE ROWBOAT COMPANY, INe.

IJ~

Gaylynn Meyer
Sales Department

cc: NCDWQ (7 copies)

858 Williamson Road. Mooresville, NC 28117 . 704-663,3478 · FAX 704.663,5298
www.rowboatcompany.com · email: [e-mail]

'''"''

W THOMAS JACKSON,M. D.
LORI A JAC[{SON
257 Kenway Loop
Mooresville, NC 28117
w Ph 704-528~884 , " ..;,..,., '" ,', .".>$

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Gayly"" Meyer

From:
Sent:
To:
Subject:

jack4 71 @bellsouth.net
Tuesday, April 06, 2004 3:33 PM
[e-mail]
Permit applications

You have my permission to sign my name to the permit applications for my seawall.

w. Thomas Jackson, M. D.

1

,)

.J

The following is an abbreviated applic~Bo~i form for those applying for a .401 "Vater
Quality, Certification to impact FERC{Federal Energy Regulatory Commission)
regulated lalce shore or bottom under:Jlie U.S. Army Corps of Engineers Permit
, ',GP30. This Application cannot' be '\Js'~i(,for"wetland or stream impacts. Please
: provide seven (7) copies of this applica:iibri: and supporting infonnation as wen :lS a
non':..refu'ndable application fee t~;'thc::':Pi:visioil:. of "Vater QU:llity of $200.0'0' for
::fnl'pach{of,tolake bottom of less tilh'Jr,"l;:~,c~cal{d'$475.00 for impacts to lake bottom
~:"of"grcatcror equ~1 to l' acre.' ' ., " '..,. .

::,^pplic'ati~lls should be sent to:

ni,:,ision of Watcr Q\iality WctlandsUn,if'
.'1:'65,0. Mail Serv'icc Celttcr
:Raleigh; NC 27699-1650

!. ,

i: ' " Applicant Information

I: 'Ownerl Applicant Information
Name:
Mailing Address:

.JVlV

. ..... . ~

Telephone Number:
E-mail Address:

Fax Number:

2. .Agent Informatio.n (A signed,an(~:..~c1,atCcI,copy of. the Agent A~iz;:tion letter
must be attachecllf the Agent has "hatory authonty for the p.wner/apphcant.)
Name: '
Company Affiliation:
Mailing Address:

Telephone Number:
E-mail Address:

'.'. '" ", '.

',",

. II. J>rojcct Information

\ ;
Attach a vicinity map clearly showing ,the location or the property with respect to
10bLlandmarks sueh as towns;ri~ers', and roads. Also provide a detailed site
plan' showing property botmclari2'S Hl1d development plans in relation' to
. I . ,,'I.." .'
surrounding properties. Yau may, u~c:the diagram below to make a hand sketch of

)

./

I

.your project. Also, see the example"b~low for guidance. Both the vicinity map and
'site plan must include a scalc"ari~r:iiorth: ,lrrow. The' footprints of all buildings,
imperviolls surfaces, or other' f,lciIHl=d:mllst be included.

L Location ---r-" tI:
. County: ~dtj) ,', , ' Nearest Town: ~Ye~if~e.. '
Subdivision name or site addrcSs:,.(include phase/lot number): 'let' HLlYtC17
Directi011s to site please inchldcj-oad numbers, landmarks, etc. (This is not
necessa-ry if an adequate vicinit"i.map is included):

2. Describe the existing land us6::~)I;, condition of the site at the time of this
application: prl'v(11-e pr~fi!hi/ fJi!:r~aJ tJ.5f~

. 3. Property size (acres): l{ifl..,%'e..:

4. Nearest body of water (strea;11Jr1v#~/sou'nd/ocean/lakc): (,t/1lu-- !\.~(n{)JY)
I ~ strd 1 hLnclL Sk2Lw~ll (R~ ~)

5. Describe the purpose of theproP9i;cd\vo'rk:
~ tY1/l j J eDIt) - (! It-r

6. List the type of equipment to be lis'~(J to construct the project: (h I () t OJIt?l..Lva..1vV

7: Amount of ,impact (including alf''Sxc;~vat!on, backfill, rip rap~l:etai~g walls,
etc.) below the normal poollake,:lcvel'll1 square feet or ; cres: If f2 ~ r2-e...--}
a I J .

, ." 'I'
8: a. Amount of impact (includin!i:'.',all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above, the riOlinal )001 lake level and 50 feet land-ward in
sq are fe9t or acres: ' J Ie I ' &:; 0
~

, .
b. Please describe vegetation'abClvq the normaI' pool lake level and 50 feet land-
'ward to l{e impacted (nuinbvr'o(t~9~es forinsta!1ce): (}'UlDt (i),DflJ/ 3fJ'7JU2- 6~tL
,'\ v~~tt11Lf))" } Y1ff1hi'6l?V~Y:01/' in dt~rnol]v .'

.,~~. ( 57 l11,c4.( a/~, AJ.v.-tlr~dt.i& 1)I/D4-',
, 'Applicant/Agent'sSi nature ' ' ' "U. Date' "j'
(Agcnt's's;'gnature is valid only if anall't11ori~ati.on!letter from the applicant is provided.)

E AII'PL
'," I
"I '
I "''', /, .

: i'. I' .

, ! ,j' f\ :!' ,": '

Please approximately sketch the ro1f:o~ing information on this plan
(please provide dImensions for eac't(lfem, such as: 1:0 ft. x 1010 ft):
1) An: proposod vegetation e1earil1g'(~rovide dimensIons)
.2) location of rip rap or fill to be~ pr~:~ed above! the Fun: Pond clevatron
3) Location of rip rap or fill to be! placed helow the Full Pond elevation
4) The location or any proposedlsttijctcire's: such as buildings, retaining
walls, dooks. etc., ",' ;
5) The rocation of any excavation! or;=.'dredging be:loW'the' Full :P'ond
elevation. ' , '
:6j Loc'al:ion of <:onstructio'n acce~S')':,brrid.,r$.'

Gayly"" Meyer

From:
Sent:
To:
Subject:

jack471 @bellsouth.net
Tuesday, April 06, 2004 3:33 PM
[e-mail]
Permit applications

You have my permission to sign my name to the permit applications for my seawall.

W. Thomas Jackson, M. D.

1

DUKE POWER LAKE :MANAGEMENT, EC12-Q

POBOX 1006
CHARLOTTE, NC 28201-1006
704-382-1567 or TOLL FREE 1-800-443-5193

APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA.

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

L

Applicant Information
A. Name

{Jr'" -\,!~ ~rhtnruas JaC~{~f.Hl

B.

Mailing Address

.257}({:rnV;;4,y IA}np

'f'ln~}ll'f:S.~C?'l-~(~'! T'~-(~' 281-t 7

C.

Telephone

(71:L}) 528,..n~84

II. Location of Proposed Project
A. Lake T'~~-'nr'{lU~n
B. Street Address U4Fcn! Han~n Drin"
C. County h:er.kH
D. City/Tmvn/Community or Landmarkrvlon:n:-syme
E, Section Lot # l02 Subdivision
F. Directions to property by road ,.7""',:C,r'" 1'~ ",ii,,6. ,;:,." len ,,,,,'>>':('15;\. Cni" ''<'rill ,",J,

hH'tj r(:!.M. -r;~1 f:i) F-::rn Hm r>.L ~urf! ki'l:, F,-'rn nm -li:(~ ~-~-.H;:f{,:mi {FiO'n~ Hnl R<:nd ~~n:F hrbF!'l'H Jhy~':r;

G. Latitude and Longitude for the project site SL'E ;\'n,''\CzIEU,\f/\P
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: LatitudelLongitude
coordinates can be found on internet site, www.mapblast.com)

~.".t Hw 'md ~;:f ~h~' l'1.'<;i.,L.. SEE\J A_P ATT,_i,.CHVi), T 01\) '1.),4 Vem n~n'1:~ R~L, :\{'};.';--f';'P,',m.",.<, 2;)1 (7"')

III. Description of Project
A. Length of wall H,:r
B, Material K~:l,\itmH"Hl{)ck
C. Distance from property line/shoreline on tnt 760

IV. Intended Use of Project Area
A Private X
B, Commercial

V Applicant's 5i,nature 01/ \, ,1t/ll11tl ). f) I' ~ . '-Jrk41 {:f }oa"

PLEASE NOTE THE FOLLOWING:
A COPY OF THE C011PLETED APPLICATION WITH A ROAD MAP SHOVv1NG LOCATION OF THE
PROPERTY MUST BE SlJBlv!ITTED TO: US ARMY CORPS OF ENGINEERS, 151 PATTON AVE. -
ROOM 208, ASHEVILLE, NC 28801-5006
A COPY OF THE "DUKE POW'ER APPLICATION FOR PER1\1IT TO STABILIZE THE SHORELINE IN
NORTH CAROLINA" AND SEVEN (7) copms OF THE COMPLETED "NC DIVISION OF WATER
QUALITY PRE-CONSTRUC110N NOTIFICATION APPLICATION" MUST BE SUBMITTED WITH
THE DIVISION OF WATER QUr'\LITY APPLICATION FEE TO:
NC DIVISION OF WATER QUALITY
ATTENTION: JOHN DORNEY
2321 CRABTREE ROAD
RALEIGH, NC 27604-2260
(919) 733,1786

1 / I / Df

I ii 10:00550

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

End: 134 Fern Haven Ln
Mooresville, NC
28117-9489 US

Distance: 15.67 miles

Total Estimated Time: 30 minutes

Directions Distance

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28117-9489 US

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h/l 717004

lredell County, NC Tax Map - Property Data
Iredell County, North Carolina

Page 10f2

Parcel Number (PIN): 4628973486.000

Property_Data

Inquiry Date: 6/24/2004

Disclaimer: While everv effort is made to keep information provided over the internet accurate and up,to'date, the Countv does
not certify the authenticity or accuracy of such information, No warranties, express or implied, are provided for tl)e records and/or

mapping data herein, or for their use or interpretation by the User.

Owner I Property Information
Tax Account Number 000077420368
Old Parcel Number 1503C10000A102
Owner Name JACKSON W THOMAS & LORI A
Mailing Address 257 KENWAY LOOP, MOORESVILLE, NC, 281170000
Property Address
Lot Number
Legal Description Ll02 S-15 PB 14-2-11

Municipal Information
Township Code 15
City Code 00

l-.+-t~.I/~;~ ~~ ;~",;!",11 ....~ lwfT~",;!",l1D"'1"\,.u.t;1"\('T/r"'r\"rt "'''r\,)Pfl'J=L1h,)RQ71J.~h nn()

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Iredell County, NC Tax Map - Property Data

Neighborhood Code 15004
Fire Code 0

Value Information "C!ickHeI'~fortht3 CyrrentYear Tax (;iJrd
Building Value 0
OtherBuilding Features 4410
Land Value 200000
Fair Market Value 204410
Tax Assessed Value 204410
Deferred 0

Land Information
Date Document
Recorded Type
020021227 WD

Deed
Book
01398

Deed
Page
2016

Plat Book
& Page
14 / 11

Tax Information
Exemption Tax Code 1
C

Tax Code 2
FR04

Tax Code 3
SW

For.Current Zoning Information Contact:
Jurisdiction
Iredell County
Harmony
Love Valley
City of Statesville
Town of Troutman
Town of Mooresville
Village of Davidson

- End of Report ..

Land
Area
0.84

Land
Type
AC

Tax Code 4

Contact Number
704-832-2304
704-832-2304
704-832-2304
704-878-3575
704-528-7600
704-662-7040
704-892-7591

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Page 2 of2

Zoning

RR

Tax Code 5

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Dr. Thomas Jackson Seawall Configuration
Project #04-50
Drawing #04-50-01

Rowboat Dock & Dredge

858 Williamson Rd.
Mooresville, NC 28117

Keystone Block Wall
Built on 760 MSL

~ ~~~~~~~~~~ I(
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~~~"'0"'0~~"'0"'0~~~~~~"'0"'0~"'0~~"'0~~~~
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~~~~~~~134 Fern Haven Dr ~~~~~~~
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~~~~~~~~~~~'07~~~~~'07~~~y~~~~y~~
,,~,,~,,~,,~,,~,,~,,~,,~,,~,,~,,~,,~,,~,,~,,~,~,,~,,~,,%<,{<<,(<<,,~,~x"h,(<<x"/.A%
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~~~~~~~~~~~~~~~~~~~~~~~~
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~~~~~'M~'M~~~~'M~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~
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,-<<-<<~-<<~-<<~~~~-<<~~-<<~~~~-<<~-<<-<<0

Class B Rip Rap Stone
at Base of Wall

Game Call Technologies Map

Page 1 of 1

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Map Center: Latitude: 35.6326 Longitude: '80.9116

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For Recreational Use Only

Dr. IAI. ~ill :kkslJn 1 MD

134 Fern Haven Ln.
Mooresville, NC 28117

httn://w\Nwmvultimatemancom!man,asn?SV al= 13&TV al=2&East= 317&North=:2464&Zo, 7/1/2004

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401 ~SSUED

ROWBOAT

Dock & Dredge

THE ROWBOAT COMPANY, INC.

April 6, 2004

-

04059'01

US Army Corps of Engineers
Regulatory Office
151 Patton Ave.
Room 208
Asheville, NC 28801

RE: l,ake Norman

WETLANDS /401 GROUP

To Whom It May Concern:

APR 1 4 2004

WATER QUALITY SECTION
Our firm is processing this application on behalf of Dr. W. Thomas Jackson to stabilize
waterfront shoreline by installing approximately 250 linear feet of random sized rounded river
rock boulders and 177' of large river rock (257 Kenway Loop, Mooresville, NC 28117) on Lake
Norman, Mecklenburg County, North Carolina.

A copy of the Duke Power Company application, pertinent drawings and a location map are
enclosed for your use.

To access the project, proceed north on 1-77 to Exit 42 (merge left onto US 21/NC lIS toward
Mooresville). Proceed to Flower House, turn right Proceed to Carlyle, turn left and again right
to stay on Carlyle. Proceed to Fern Hill, turn right and left onto Kenway Loop. See Map/Driving
Directions (257 Kenway Loop, Mooresville, NC 28117).

We look forward t6 hearing from you at the earliest time possible.

Sincerely,

THE ROWBOAT COMPANY, INC.

Gaylynn Meyer
Sales Department

cc: NCDWQ (7 copies)

858 Williamson Road · Mooresville, NC 28117 · 704-663-3478 · FAX [phone]
www.rowboatcompany.com .' email: [e-mail]

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

DUKE POWER LAKE'MANAGEMENT, EC12-Q
P o BOX 1006
CHARLOITE, NC 28201-1006
704-382-1567 or TOLL FREE 1-800-443-5193
APPLICATION FOR PERMIT TO STABILIZETHE SHORELINE IN NORTH CAROLINA

Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/ A in
blank. PLEASE SUBMIT APP,LICATION AND APPROPRIATE DUKE POWER FILING FEE,
PAYABLE TO DUKE POWER,'TO ABOVE ADDRESS.

I.

Applicant Information ___

A. Name 0,... W. I~S"rl.

B. Mailing Address 'l.01'} ~ ~DP

MObVe.'5Vl'Ue. I N~ 2/61/'1

C. Telephone: fJDt.J.) 52.'8'o~'gtJ.

Location of Proposed Project

A. Lake No(fY1U1
B. Street Address 2.. .
C. County
D. City, town, community or landmark
E. Section Lot # Subdivision
F. Directions 1-77 North to Exit 42...merge left onto US 21/NCI15 toward Mooresville. ~
Proceed to Flower House - turn right. Pr9Ceed to Carlyle turn left and again right 'A A \...e d
to stay on Carlyle. TUOl rt onto Fern Hill and left onto Kenway Loop. See w.:-IJ
map/driving directions.
G. Latitude and longitude for the project site 5t::l2. a...tt1.1C.h~d
Please submit a map showing the coordinates or a detailed map (USGS quad map, city
map, etc.) showing the exact location ofthe project site. (NOTE: Latitude! longitude
coordinates can be found on internet site, www.mapblasl.com)

II.

III.

Description of Project

~~'
A. Length of wall
B. Material ~ tDnt'.. bl~k..
C. Distance from property ine/shoreline . ' bn the. '1Cd5

IV. Intended Use of Project Area

A. Private ~
B. Commercial (

V. AppU..nt Signatnre L:(]., 1h.t,-iY)(). b qruJu, 6n :; h df...e ~ " &, "D <I

PLEASE NOTE THE FOLLOWING, ~ .~~ ~ e-"~
· A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF
THE PROPERTY MUST BE SUBMITTED TO: US ARMY CORPS OF ENGINEERS, 151
PAITON AVE. - ROOM 208, ASHEVILLE, NC 28801-5006
, .

· A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE
IN ,NORTH CAROLINA" AND SEVEN (7) COPIESQF THE COMPLETED "NC orVIS ION OF
WATER QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION" MUST BE
SUBMITTED WITH THE orVISION OF WATER QUALITY APPLICA TJON FEE TO:
". NC DIVISIONOF WATER QUALITY
A TTENTION: JOHN DORNey
1621 MAIL SERVICE CENTER
RALEIGH, NC 27699-1621
919-733-1786

11/10/00ssh

Gayly"" Meyer

From:
Sent:
To:
Subject:

[e-mail]
Tuesday, April 06, 2004 3:33 PM
[e-mail]
Permit applications

You have my permission to sign my name to the permit applications for my seawall.

w. Thomas Jackson, M. D.

1

q:~~F1f~,,~{~f.;\ik~'r;':'i;Yiii;::;;1{!':;:~;f:~I:B~~~..:j;):::;.:;'5;(,:.:.......:~:::;:iE!!!i:\;~,d";"-;~~:B~:'.'}'i~'-t;';(:'~t1f

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.. The following is nn :lbbrevinted npplic~'tiH;l; form for those npplying for a 401 \-Vater r:~'.
',," . .. Quality, Certificntion to, impact FERC:(FedernlEnergy Regulatory Commission) !:-.
regulated lake shore or bottom un<Ic'~,::.tiicu.s. Army' Corps of Engineers Permit ~.:.
...., . GP30. This Application cannot' be 'lIS'ciiJor" wetland or' stream impacts. Please !:...
" ..., .: provide seven (7) copies of this applic~in),i' and supporting information as well as a [
~i.j,)(:~",::t ';, .' non'~refll'ndablc application' fcc, to/thc.:..:J~i"isioll.:of \-Vater Quality of $200.0'0 for';.
\tti:jl;.)J:.::;~f::::-:;.>:;:~;,;illi'pachrOf. to lalcc bottom of I'css tiih'ii:;-1;:.a.cr~ar{d'$475.00 for impacts to lake bottom ' . ,: ;;'1:::;:
r.~;;~~::;t'~.:y,:':!;::.'::::!:.'of..grcatct.orcqual to lacrc' ':;'::';';:'.:~~\";;' ' " . '.Y.
~if/;i~;f':!!\~::; '.:>, ::':"::'~::;: '. .';- '.;', ". " '.. :' ;,(:,;:>::X~:; .' f;':
r.~....;;.;'.;~,": .' .:: :ApphcatlOns should be scnt to.>;..;:,,;,.::.:.,j:'.:' , '. i\
t;~:1:~~:1}::~;r." ::,:::-::;.:, .: ":i:".' . '~:.:'O;':..:~;:~/::< ..}:.Ji:
~;.:>Y!~;'",:: ",;. D'lvisiol'i of Watcr Qllality W ctlarl(ls 'Un.'it,;..' .l:.. . . I'
't:!(fd:'.'! .' "6' .'., . ... S '. C ' :..I~! '.:"
~;'1~~:~,:'::';.\.:: ,:'.1, 5,0. ~ml. erVlce enter, . :,.r,;,,')" :., ...,'. !,}:
~!/~9t:;rl'" .:::!.:R:lIeigh;NC 27699-1650 .>';','i

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"Applicant Information

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L' , Owner/Applicant Info
Name:
Mailing Address:

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Telephone Number: (1f)tl-}~Z~;'; 6~8 q.. ,
E-mail Address: " .

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2. Agent Information (A Signed.;~~~:/::i~hledCOPY of the A Authorization letter
'must be attached ifthe Agent hri's sigtory authority fJ the owner/applicant.)
Name: . ....
Company Affiliation:
Mailing Address:

Telephone Number:
E-mail Address:

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Project Information

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Attach a vicinity map clearlyshow~llg the location of the property with respect to
lobI. .landmarks such as towns;' rfv~r$'" and roads. Also provide a detailed sitc, '.
plan' . showing property bOtmdari'cs' and development plans in relation'. to
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surrounding properties. You mayu~e::thediagram bClow to make n hand sketch of
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.your project. Also, see the exampfe"&~lowfor guidance. Both the vicinity map and
site plan must include a seah'arit("rorth>trrow. The' footprints of all buildings,
" " .t..:
imperVio\.ls surfaces, or other'facil:rt'~:r:S?~ust be included.

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'1.

Location .... ~ . ~I

. County: ' ' ' . '. ".' ," Nearest Town: \

Subdivisi.on name or site a(~drc,#.(ineludc phase/lot number): 2. ':~~w ~6P

Directions to site please includq.road numbers, landmarks, etc. (This is not

neeessa'rv if an adequate viCirii't")Unap is included):
1-77 North to Exit 42...merge left onto US 21/NCI15 toward Mooresville.
_ Proceed to Flower House - turn right. Proceed to Carlyle turn left and again right
to stay on Carlyle. Turn rt onto Fern Hill and left onto Kenway Loop. See
- map/driving directions.

.' t.:

2. Dcs~rib~ the eXiS~i~~_^la~dUS~',;::,'9(, condition of the sit: at
apphcatlon:--P('1VCl2l:t.-f1(Dr(Jr.'b1+PIYS~ ' LtSL

. . . . .. .

the time of this

. 3. P~operty size (acres):--' a6(~

.'

5. Deseribethe purpose ofthe 'proP9.s'cd wo'rlC:

t 1 okLt1or mll>1
,'ns'+llli, 5fAJnal~ - bJtX'~k

4. Ncarest body ofwatcr (strcarlljrlvddsou'nd/ocean/lake):
........ -.

'"

,,6. List the type of equipment to be i.is~(no construct the project: . f'11 /V} - Ey...c ,AVAro{C,
Srl'l J4 / I 'L.Sdb- CAT "

- 7:

Amount of impact (including all;,y~e~vat!on, backfill, rip rap, retaininlLwalls,
etc.) below tl:e normal poollake,1cvel'm square feet or acres: P-lf - (d.,4p y-l),.
b-e. rLAco-'V f-l "/:I3I-l$.e.' o--P &vY-J..l/ / (., 3 LJ;.J~L -?r-.

a. Amount of impact (incltidil~'ii::"all clearing, baek fill, excavation, rip rap,
retaining walls, etc.) above,tlle no~:fual poollalce level and 50 feet land-ward in
sqi.wrefectoracres: ,-"'i/.x /eo-g' c,...j.."'. J~sm,..,'" "DLoelc (.A../A'11 0''-' 70C)/
'73r-K..A/1 Wi'yi,jof-S'7" STONe:: , lS,4cK,..};// LAS-;-'G, ,/ t..v/r<--< VJ'('):

. 8:

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, "

. b. Please describe vegetati?~:.ab(fy~:.the~ormar p~ollake level and 50 feet land-
. ward to be impacted (numbcr'd(tt'Qcsfodnstancc): 1'h v ">7 C &"""r .s c.);..,~
. '3yVlJ4i/ f.J~y-'7?4.fri,oJ:;/':: /0c;-;1..r~ O(/-M'_., -;SJl ,'.-1 )>/AI""7-4!':7..p.<..
. \ ,', ....: ~',..,

"';~~~a~s~g~'Y:i:~.,c~;;~~~~ ~~.&)

,: (Agcilt's'slgnature is valid o~ly if an 'atl'tllb'~'i~atioI1 ilette/' from the applicant is provided.)
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Map for 257 Kenway Loop 28117

1:12,000

Troutman
7.5-minute Quadrangle

Index map

NC SPCS E: 436909.0;N:210104.9imeters (NAD83)
Long: -80.906749TW; tat: 35.6290627 N (NAD83)

http://gis.em.state.nc. us/topoviewerl gisprint.j sp

3/18/2004

1Vlap\.lueSl: unvmg UlreCUOns: l''10rUl1-\1llCnCa

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Need InK?

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

Buy printer cartridges:
Save up to 75%
Free UPS 2-day shipping

End: 257 Kenway Loop
Mooresville, NC
28117-8410 US

Buv Novv!

www.InkSell.com

Distance: 14.52 miles

Total Estimated Time: 27 minutes

Directions

Distance

lal 1. Start out going Southeast on US-21. 0.2 miles

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r~ 4. Merge onto US-21 SjNC-115 S toward MOORESVILLE. 0.9 miles

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<8>'" ~~....;~'~~ ..~~~' ~~~~..~'~'~'~.~'~~;~~~~~~~' ~~:...... ......... ........ ..................'.... ..... ................... ........ ,....~ :';..~;';~~
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<8>'" ~~....;~~'~..~~~~;..~~~~' ~~~ ~~~'~;~~~~..~~'~~,.~~~........ ........ ................ '................... .................... ....;~'~..~;.;~~
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III End at 257 Kenway Loop, Mooresville, NC 28117-8410 US

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257 Kenway Loop
Mooresville NC
28117-8410 US

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T. Thomas Jackson Seawall Conti ation
Project #04-50
Drawing #04-50-01

Rowboat Dock & Dredge

858 Williamson Rd.
Mooresville, NC 28117

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at Base of Wall

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HcUCU LUUl1lY, I'lL 1 ax iVlap - t'rupClty Uata

l'agt 1 V1 L.

Iredell County, North Carolina

_prQRertyJ~.)~t:~

Parcel Number (PIN): 4639414076.000

Inquiry Date: 3/25/2004

Disclaimer: While every e((orl is nlil(le (II keep ["(Olll/illion IJ/'(w!i!ed ovel the intern'" ,lccurale and up-to-date, Ihe County does
no[ certify the authenticity 01 ,ICCUlilCY ,,( such II/IUI n"llion, No w, u"ilnli('~" eXI" ('5'; ,)/ il/lplied, a/I' pi ovided /01 the reco/ds and/or

mapping data herein, or for their use 01 inte/pletalion by the Us,.r,

Property Map

Owner I Property Information
Tax Account Number 000077420368
Old Parcel Number 1702S05000A007
Owner Name JACKSON W THOMAS & LORI A
Mailing Address 257 KENWAY LOOP, MOORESVILLE, NC, 281170000
Property Address
Lot Number
Legal Description L7 S-15 DUKE PB 14-12-18

Municipal Information
Township Code 17
City Code 00
Neighborhood Code 15004
Fire Code 0

Value Information - Click Here for the Current Year Tax Card

http://gis.co.iredell.nc. us/IredellReporting/report.asp?PIN==463 9414076.000

3/25/2004

lfcueu ~OUIllY, l~~ lax IV1UP - rropeny valli

Building Value 310260
Other Building Features 25930
Land Value 220000
Fair Market Value 556190
Tax Assessed Value 556190
Deferred 0

Land Information
Date Document
Recorded Type
020020712 WD

Deed
Book
01354

Deed
Page
0315

Tax Information
Exemption

Tax Code 1
C

Tax Code 2
FR04

For Current Zoning Information Contact:
Jurisdiction
Iredell County
Harmony
Love Valley
City of Statesville
Town of Troutman
Town of Mooresville
Village of Davidson

Plat Book
& Page
I

Tax Code 3
SW

- End of Report -

Land
Area
1

Land
Type
LT

Tax Code 4

Contact Number
704-832-2304
704-832-2304
704-832-2304
704-878-3575
704-528-7600
704-662-7040
704-892-7591

http://gis.co.iredell.nc. uslIredellReporting/report.asp?PIN=463941407 6.000

1 ug'-' L VI L

Zoning

RR

Tax Code 5

3/25/2004