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08-0022
The following is an abbreviated application form for those applying fora 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 anon-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
I. Applicant Information
1. Owner/Applicant Information
Name: Mike Morin
Mailing Address: 123 Village Creek Way
St. Simon Island, Georgia 31522
Telephone Number: 912-634-9104 Fax Number: N/A
E-mail Address: N/A
2. Agent Information:
(a signed and dated copy of the Agent Authorization letter must
be attached if the agent has signatory authority from the owner/applicant).
Name: Robin Maher
Company Affiliation: Professional Permits
Mailing Address: 185 Maher Drive
Taylorsville, N.C.
Telephone Number: 828-495-7015 Fax Number: 828-495-3855 ,~ ~_
E-mail address: professionalpermits ct,embargmail.com~ ~ ~ `~ ~ ~ ~ d
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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: Caldwell Nearest Town: Granite Falls
Subdivision name or site address (include phase/lot number):
5660 Anchor's Drive
Granite Falls, NC 28630
Anchor's Landing Lot #30
Directions to site:
127 North to Bethlehem.
Turn left onto Rink Dam Road.
Bear left at stop sign onto Shiloh Church Road.
Turn right at stop sign onto Hubbard Road.
Go straight through stop sign onto Icard Dam Road.
Turn left onto Petra Mill Road.
Go to stop sign and bear right, then turn right onto Grace Chapel Road.
Turn left onto Falls Avenue.
Turn left onto Meandering Way.
Turn left onto Greens Road.
Go through black wrought iron gate at Anchor's Landing.
Turn right onto Anchor's Drive. Vacant, wooded lot (#30) on left.

2. Describe the existing land use or condition of the site at the time of this application:
This is a vacant, wooded lot.
3. Property size (acres) 1.145
4. Neazest body of water (stream/river/sound/ocean/lake):
Lake Hickory
5. Describe the purpose of the proposed work:
To stabilize 194 feet along the shoreline of this lot by applying rip-rap. The
height of the rip rap will be 4 feet.
6. List the type of equipment to be used to construct the project:
Track hoe, skid steer, 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 194 Ft. = 388 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-wazd in square feet
or acres:
4 Ft. x 194 Ft. + 8 Ft. x 50 Ft. (construction pathway) _
77b Ft. + 400 Ft. =1176 square feet.
8b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance):
6 trees, 3"- 6" in diameter, and 12 trees greater thaw 6" iul diameter will be
rlenpove~l• Eacp tree removed will be replaced at a minimu~p With a 2" caliper,
~Rat~Ye species tree. Any disturbed area will have mulch applied to it.
Applicants/Agent's Signa~~aQ ~G't/YYUJ~ Date:) a "3 ~~ 0 7
Robin `fY1a.~u/~ JP
(Agent's signature is valid only if an authorization letter from the applicant is
provided).

FROM :I(r?JIN HEFREP. SURVEY?NG CO. FRX N0. :828-4?5-737@ Oct. 25 2~7 i33:35PM Pl
KEVIN D. ~ HEFNER & ASSOCIATES
SURVEYING & MAPPING
F.O. BOX 6184 BETHLfiHEM STATION FBCKOAY. N.C. 28603
79 RINK DAM ROAD HICKORY, N. C.
Phone: B28-493-7377 Fnx: 828-495-?378
KEVIN D. HEfNER PLS-3045 EMA0.: hei»erCw6ne+
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Pleaseapproximately sketch the following information on this plan
(please provide dimensions for each item, such as 10 ft. x 100 ft.):
1) All p~posed vegeta#ion clearing (provide dimensions}
2) Location of rip rap or fi11 to be placed above the "Normal Pooi"
elevation
3) Location of rip rap or fill to be placed below the "Normal Pool"
elevation
4) The location of any proposed structwes such as buildings,
retaining walls, docks, rte.
5) The location of any excavation or dredging below the "Normal
Pool" elevation
6} Location of conshvction access comdors
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North Carolina, United States, North America

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To: North Carolina Division of wa#er {duality
I give Robin Maher, of Professional Pernuts, permission to
sign as my agent on my application for shoreline ..
stabilization.
Signature (s) ~~' I~/`~ ' ' W " ~
Date: ~ ~' ~ `~ v ~

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: l1~ike Morin
B. Mailing Address: 123 Village Creek Way
St. Simon Island, Georgia 31522
C. Telephone: [phone]
II. Location of Proposed Project
A. Lake: Hickory
B. Street Address: 5660 Anchor's Drive
C. County: Caldwell
D. City, town, community, or landmark: Granite Falls
E. Section: N/A Lot: # 30 Subdivisions: Anchor's Landing
F. Directions to property by road:
127 North to Bethlehem.
Turn left onto Rink Dam Road.
Bear left at stop sign onto Shiloh Church Road.
Turn right at stop sign onto Hubbard Road.
Go straight through stop sign onto Icard Dam Road.
Turn left onto Petra Mill Road.
Go to stop sign and bear right, then turn right onto Grace Chapel Road.
Turn left onto Falls Avenue.
Turn left onto Meandering Way.
Turn left onto Greens Road.
Go through black wrought iron gate at Anchor's Landing.
Turn right onto Anchor's Drive.
Vacant, wooded lot (#30) on left.

G. Latitude and Longitude for project site: Latitude: 35.791911
Longitude: 81.39153°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.com
III. Description of Project:
Length of wall: 1941inear feet.
Material: Class "B" rip rap.
Distance from property line/shoreline: will follow existing shoreline.
IV. Intended Use of the Project:
A~
B. Commercial
V. Applicant Signature: Date: `d1 ~~~
I
Agent Signature p rrIl~la~ P1~1~ ~f~
Phone:[phone] Fax:[phone]
PLEASE NOTE THE FOLLOWING:
• COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP
SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED
TO:
.1SlH~:~~I[.l_1~;, \~' 2K~iUl-St}06

• A COPY OF THE "DUKE POWER APPLICATION FOR THE PERMIT
TO STABILIZE THE SHORELINE IN NORTH CAROLINA" AND FIVE
(5) COPIES OF THE COMPLETED "NC DIVISION OF WATER
QUALITY PRECONSTRUCTION NOTIFICATION APPLICATION"
MUST BE SUBMITTED WITH THE DIVISION OF WATER QUALITY
APPLICATION FEE TO:
\C' 1)I~~lSI(}ti~ OF ~~~;1T'I:lt Ql".1LI~i~Y
1"T'TI~:A"110\~: JUF~'~ f)OR11Y
P:1Kk~~IF,«~ 13LI)G., Z3?1 (~R.V~TR1~.[~: 13Lti~U.
s)19-73 Z-178b