20120369 Ver 1_401 Application_20120412

(P'rofesszonal ft mats
185 Waher lDnve
Taylorsvaffe, WC 28681
Phone 828 - 320 -0792
Fax [phone]
pro fessionafpermi is @ em 6argmaif com
Apnf9, 2012
To Whom It Way Concern
20120368
RIM@ IN
---- 0e��
APR 1 6 2012
I am su6mitting an application for my client, Kevin W oore, for shoreline
sta6ilization. 'lease send approvafretter to the above address and not to my client
as I wall need to send another packet to (Duke Energy If you have any questions,
please feeffree to call me
Than ou,
PoLnTnahw 9Waher/Agent
Trofesstonaf (Termits

To North Carolina Division of Water Quality
I give Robin Maher, of Professional Permits, permission to sign as my agent on my
application for shoreline stabilization
Signature (s) �—
Date %13 // '-,

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 five (5) copies of
this application and supporting information as well as a non - refundable application fee to
the Division of Water Quality of $200 00 for impacts to lake bottom of less than 1 acre and
$475 00 for impacts to lake bottom of greater or equal to 1 acre
Applications should be sent to
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, N C 27699 -1650
Applicant Information
Owner /Applicant Information
Name Kevin Moore
Mailmg Address 22 Schofield Road
Phoenixville, PA 19460
Telephone Number 856- 313 -6829
E mail Address kevin4moore @verizon net
Agent Information
(A signed and dated copy of the Agent Authorization letter must
be attached if the agent has signatory authority from the owner /al
Name Robin Maher
Company Affiliation Professional Permits
Mailing Address 185 Maher Drive
Taylorsville, N C 28681
Telephone Number 828 - 320 -0792 Fax Number 828- 495 -3855
E mail address professionalpermits ,embargmail com
APR 1 6 2012
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

Location
County Burke
Nearest Town Connelly Springs
Subdivision name or site address (include phase/lot number)
Paradise Harbor
Directions to site Please include road numbers landmarks etc (this is not
necessary if an adequate vicinity map is included)
I40 West to Exit 113 and turn right off of the exit
Turn right at the light onto Hwy 70 /Connelly Springs Road
Go approx 2 miles and turn left onto Shady Grove Road
Shady Grove Road turns into Tomlinson Loop
Paradise Harbor will be on the right
Go through the gate 2 4 miles to Pegasus Drive
Lot is at the end of the street
2 Describe the existing land use or condition of the site at the time of this application
Lot is being graded for the construction of a new house
3 Property size (acres) 1501 acres
4 Nearest body of water (stream/nver /sound/ocean/lake)
Lake Rhodhiss
5 Describe the purpose of the purposed work
To stabilize the existing shoreline
6 List the type of equipment to be used to construct the project
Track -hoe and track- loader
7 Amount of impact (including all excavation, backfill rip rap retaining walls etc )
below the normal pool lake level in square feet or acres
2 Ft x 250 Ft = 500 Square Feet
8a 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
4 Ft x 250 Ft = 500 Square Feet
THERE WILL BE NO CONSTRUCTION PATHWAY
8b Please describe vegetation above the normal pool lake level and 50 feet land ward to
be impacted (number of trees for instance)
No trees will be removed
Applicants /Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant is provided)
obi Date 4- q- i a,

•- - - l ! US
y)q,1 Ptomsug brtyL
Lake (Full Pond)
Please approximately sketch the following information on this plan
(please provide dimensions for each item such as 10ft. X OWL)
1) All proposed vegetation clearing (provide dimensions)
2) Location of rip rap or fill to be placed above the "Normal Pool elevation
3) Location of np rap or fill to be placed below the Normal Pool elevation
4) Location of any proposed structures such as buildings retaining walls, docks etc
5) Location of any excavation or dredging below the "Normal Pool" elevation
6) Location of construction access corridors
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Paradise Harbor Kevin Moore
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Kevin Moore
Falls
1072 Pegasus Drive
321
Connelly Springs, NC 28612
Paradise Harbor Lot #216
Alt o
LatRu d e: 35.78266N
321
Longitude: 81.46892'W
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0 mi 0.5 1 1.5 2 2.5
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BOARD are trademarks of NAVTEQ. © 2005 Tole Atlas North America, Inc. All rights reserved. Tele Atlas and Tele Atlas North America are trademarks of Tele Atlas, Inc.

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DUKE ENERGY LAKE SERVICES
EC 12 -Q
P O BOX 1006
CHARLOTTE, N C 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 the blanks If information is not applicable so indicate
by placing N/A in blank PLEASE SUBMIT APPLICATION AND APPROPRIATE
DUKE ENERGY FILING FEE, PAYABLE TO DUKE ENERGY, TO ABOVE
ADDRESS
I Applicant Information
A Name Kevin Moore
B Mailing Address 22 Schofield Road
Phoenixville, PA 19460
C Telephone [phone]
II Location of Proposed Project
A Lake Rhodhiss
B Street Address 1072 Pegasus Drive
C County Burke
D City town community or landmark Connelly Springs
E Section N/A Lot# 216 Subdivision Paradise Harbor
F Directions to property by road
I40 West to Exit 113 and turn right off of the exit
Turn right at the light onto Hwy 70 /Connelly Springs Road
Go approx 2 miles and turn left onto Shady Grove Road
Shady Grove turns into Tomlipson Loop
Paradise Harbor will be on the right
Go through the gate 2 4 males to Pegasus Drive
Lot is at the end of street
G Latitude and longitude for the project site LATITUDE 35 782660N
LONGITUDE 8146892°W
H Please submit a map showing the coordinates or a detailed map (USGS quad
map city map etc ) showing the exact location of the project site

(NOTE Latitude/Longitude coordinates can be found on internet site)
www mapsonus c,om
III Description of Project
A Length of wall 250 linear feet
B Material Rip Rap
C Distance from property/shoreline Will follow the existing shoreline
IV Intended Use of Project Area
A vate
B Commercial
V Applicant Signature c— Date L /A; f /2-
Agent Signature Pb
Phone #8Z- 3 .)i3 -07ga Fax $�l8 -�FgS- BSS
PLEASE NOTE THE FOLLOWING
* A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO
STABILIZE THE SHORELINE IN NORTH CAROLINA" AND FIVE (5)
COPIES OF THE COMPLETED "NC DIVISION OF WATER QUALITY
PRE - CONSTRUCTION NOTIFICATION APPLIATION" MUST BE
SUBMITTED WITH THE DIVISION OF WATER QUALITY
APPLICATION TO
NC DIVISION OF WATER QUALITY
ATTENTION JOHN DORNEY
PARKVIt" BLDG 2321 CRAB I REI+ BLVD
RALEIGH N C 27604

Subdivision Para& sa uG 6YLLot # --) I (-
1, , have requested that Robin Maher, of
Signature
Professional Permits, act as my agent, to apply for the Burke County
Shoreline Protection and/or Zoning permits required for shoreline
Stabilization and/or a boat dock or pier
I state that I have read the rules and regulations of Article XII of the Zoning
Ordinance for Burke County, North Carolina
i0 {n r5 5 /d,-'1`- 9
NAME (Print) /� , ti /`Z ►� N- Z 2 9341 V31
SIGNATURE
DATE 7 3 .9?Q /2
NOTARY PUBL C�
/I-
COUNTY Q 2�
0TA/�
CO
STATE
F
U e ``G
MY COMMISSION EXPIRES
�� '*'% NDER CO\