20150356 Ver 2_Shoreline Stabilization_20160212

January 27, 2016 [1161
K 4 f I®
NC Dept of ENR
Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
11290 Olde Cedar Court
Davidson, NC 28036
S �6�35
o I . V d -
(It
Project: NW Lake Wylie LLC
Planned: Request to Expand an existing True Public Marina
Location: Lake Wylie -- Gaston County, NC & York County, SC `
Dear Sir,:
This project was previously submitted to your office for review on March 16, 2015. 1 have enclosed
the response received from your office.
We subsequently received comments from area residents regarding the location of some of the
boat slips included in the original marina layout plan. A series of meetings (with Duke Lake
Management and representatives of the area residents) designed to address those comments
yielded the updated plan presented for your review in the enclosed Master Plan prepared by
Merrick & Company dated January 18, 2016 and the Marina Boundary Survey prepared by
Lawrence Associates dated January 7, 2016.
I
Activities proposed by the applicant within the Lake Wylie Project Boundary as a part of the
updated'plan include:
1. Expansion of the existing true public marina to include the 45 mooring locations detailed
on the enclosed plan and described below:
• Dock A will have 4 - 10'x 20' boat slips attached to a pier that includes a 6' wide
main walkway 74.0' long with 3' wide slip fingers and 3 PWC slips.
• Dock B will have 4 -10 x 24 'boat slips attached to a pier that includes a 6' wide
main walkway 65.0' long with 3' wide slip fingers.
• Dock C will have 10 -10' x 24' boat slips attached to a pier that includes a 6' wide
main walkway 105.8' long with S wide slip fingers, 7 PWC slips, and 1 end tie.
• Dock D will have 14 -10' x 24' boat slips attached to a pier that includes a 6' wide
main walkway 108.7' long with 3' wide slip fingers, and 2 end ties.
2. Conversion of an existing boat ramp to an elevated launch pad/bulkhead (30' wide x 40'
long) to serve a new landside dry stack storage facility that will house approximately 300
boats. The concrete pad will be designed to accommodate specially designed forklifts that
will transport stored boats to and from the lake
3. Re -alignment and conversion of an existing fixed pier and floating dock to a new boarding
dock and boat ramp. The boat ramp will be constructed adjacent to the boat launch facility
to provide daily lake access for trailered boats. The realigned boarding dock will be 65'
long x 6' wide. The concrete boat ramp will be 65' long x 15' wide.
4. 580' of shoreline stabilization is proposed as a part of the marina expansion. Enhanced
rip rap will be installed where the bank height is less than 2'. Rip rap only is proposed
where the bank height exceeds 2'. All stabilization activities will adhere to the criteria
outlined in the Shoreline Management Guidelines.

5. Dredging will be required as a part of this request. Approximately 4,700 cubic yards of
material will be removed (see dredge limits on the enclosed drawing). The dredging will
be done by land/barge and the spoil will be disposed of on site. All excavation activities
will adhere to the criteria outlined in the Shoreline Management Guidelines.
6. The leased area requested for the marina expansion totals 1.15 acres.
7. The applicant is requesting the following shoreline classification changes:
• That 904' of shoreline located on the west shore, next to the existing marina, be re-
classified from Future Public Recreation to Future Residential
• That 2,252' of shoreline located on the west shore, next to the existing marina, be
re-classified from Future Public Recreation to Future Residential Marina
• That 2,440' of shoreline located adjacent to the northernmost pond be re-classified
from Future Residential Marina to Residential
• That 192' of shoreline embankment adjacent to the southernmost pond be re-
classified from Future Residential to Business Industrial .
8. The applicant is requesting that shoreline classifications be added to two areas not
currently classified -- earthen dams separate these areas from Lake Wylie. The areas are
identified on the enclosed Merrick & Company drawing. The specific requests follow:
• Classify 2,122' of shoreline as Environmental
• Classify 1,130' of shoreline as Natural
9. The applicant is requesting that the expanded marina be designated as an approved
staging area.
10. The applicant is requesting the right to reserve no more than four boat slips within the
marina for law enforcement and emergency response vessels.
11. The expansion will include the addition of pump -out facilities and public restrooms based
on Duke Energy's Guidelines for True Public Marinas.
Please advise me by return mail, of any comments you may have regarding the proposed activities
or any permits your agency may require. Your comments are a requirement of the FERC
application process and we appreciate your prompt response to this request.
Should you need additional information, please let me know. Feel free to contact me by cell phone
704-652-2957 or by email at [e-mail].
Thank you in advance for your assistance.
Sincerely,
Ann L. Duncan
Permits 4 U, Inc.
Enclosures

State of North Carolina
Department of Environment and Natural Resources
DWR
Division of Water Resources
Division of Water Resources 15A NCAC 02H.0500 —Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
ShiaFeffnexitabiLlUation Application Form
Four copies of the application (including attachments) and the application fee should be sent to:
Division of Water Resources
401 & Huffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information [15A NCAC 02H .0502(a))
1. Owner Information
Name: LA -1<6 -
Mailing
I<EMailing Address: _
I , t LLC 57rV, Al_
3 StI-i¢,E'i itl ►t
Telephone Number: '�f . 5J• �� �� Fax Number:
E-mail Address:
2. Agent/ Contact Person Information
►,/
A signed and dated copy of the Agent Authorization letter (a'form can be downloaded here:
hLa f wvrw.saw.usace.army,mil/Porl'als/59/docs/rulatory/reRdacs PcrmitSJSAMPLC AGENT AUTII
ORIZATIOW FORM.pdf) must be attached if the Agent has signed this application form.
Name: r,6XM rA✓,nD
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Person to receive the Certification Approval:
Fax Number:
II. Project Information [15A NCAC 02H .0502(a) & (b)]
1. Attach a vicinity map (i.e. street map) clearly showing the location of the property with
respect to local landmarks such as towns, rivers, and roads.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, structures (buildings, retaining walls, docks, Impervious surfaces,
FORM: SSGP 10-2013 Page 1 of 4

etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
and construction access corridors. you may use the diagram provided at the end of this
application form.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale
of some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted) /
County: Comh_57v � __ Nearest Town: �C�ihor✓4
Subdivision name or site address (include phase/lot number): .& W L *k -e IA u%'e LLC_
IJ
Directions tosite - plea s8
/se include road names nd numbers, landmarks, etc.:.-
// 5 S
VAI 40r/ %� ►r�/ � o,v �L 57'o A/'6-/-:;W.Al
, Lta
5. Describe the existing land use or condition of the si`e at the time of this application
(residential, undeveloped, etc.): !F-Xf _�i7 yq'4A C --"V in/ A
6. Property size (acres): 470
7. Lake/ river/ ocean adjacent to property: ZAg&- kJL, !! e
E. Describe proposed work (include disc_ usslon as to how hardening of shoreline has been
avoided, or why it is necessary): rr& ida ,e- cK96iairty yi'mnl-i n/A
9. Will work be conducted from land? ❑ , From water?
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres:
e, �X X 2'd<en
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool -lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres: , I A/ /A
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted (number of trees, fo instance):
�M
Owner/Agent' ignature* (15A NCAC'02H .0502(f)) Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

v �
A
LZ1
• '4qVosr
eb4s 210
(op 01 D10t�1
Iz rovi
a���Q> 611 jzzl cz1—r !osl
U . 4
Full Pond/
Normal Water L
Please approximately sketch the following information on this plan (provide dimensions for each
item,, such as 10 ft x 100 ft)*:
I. All proposed vegetation clearing
2. Location of rip rap or rill to be placed above the Full Pond/ Normal Water Level elevation
3. Location of rip rap or fill ,to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavatioh or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10-2013 Page 3 of 3

PWA
IKUM
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
April 27, 2015
Mr. Steven Hinshaw
NW Lake Wylie, LLC
423 South Sharon Amity Road
Charlotte, NC 28211
Donald van der Vaart
Secretary
DWR # 15-0356
Gaston County
Subject: Approval of 401 Water Quality Certification and Catawba Riparian Buffer Authorization
with Additional Conditions; Seven Oaks Marina, shoreline stabilization, Lake Wylie
Dear Mr. Hinshaw,
You have our approval for the impacts listed below for the purpose described in your application dated
April 12, 2015, and received by the Division of Water Resources (Division) on April 13, 2015. These impacts
are covered by Water Quality General Certification Number 3898 (attached), Catawba Buffer Rules and the
additional conditions listed below. This Certification is associated with the use of Regional Permit Number
198200030 issued by the U.S. Army Corps of Engineers and expires on the same day. Please note that you
should obtain any other applicable federal, state or local permits before proceeding with your project,
including those required by (but not limited to) the local lake management authority, erosion and sediment
control, non -discharge, and water supply watershed regulations.
This approval requires you to follow the conditions listed in the enclosed Certification, the General Permit,
and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification/Buffer Authorizations are met. No other impacts
are approved, including incidental impacts. (15A NCAC 02H .0506(b), 15A NCAC 02H
.0507(c) and 15A NCAC 02B .0243(8)]
Type of Impact
Amount Approved (sq. ft.) permanent
Open Waters
1185 sq. ft.
Buffer
790 sq. ft.
Shoreline length
395 sq. ft.
Dredge
1200 cu. Yds.
Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Phone: [phone] / Fax: [phone]/Customer Service 1-877-623-6748
Internet: www.ncdenr.gov
An Equal Opportunity 1 AfBrrndwe Action Ertrployer — Made in part by recycled paper

DWQ# 15-0356
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Buffer Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate fee. If
the property is sold, the new owner must be given a copy of this approval letter and
Certification/Buffer Authorization and is responsible for complying with all conditions. [15A
NCAC 02H .0506 and 15A NCAC 026.0243(8)]
3. Work is to be conducted from land and/or from water by barge. Any access corridor
(through the buffer) shall not exceed 10 -feet in width and shall be restored to its original
condition prior to the project. No trees are proposed or allowed for removal. [15A NCAC
02B.0243(6), 15A NCAC 02H .0502 and 15A NCAC 02B .0243(8)]
4. Dredged material shall be stockpiled outside of the Catawba Riparian Buffer and properly
stabilized using proper sediment/erosion control measures. All staging, including spoil,
stockpile and construction materials, shall occur outside of the buffer. [15A NCAC 02B
.0243(4)]
5. Minimal shaping and sloping along the immediate shoreline is allowed. Only those trees
that are severely undermined can be removed [15A NCAC 02B .0243(6)]
6. Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless
specifically approved by the Division and must meet the Catawba Riparian Buffer Rule
requirements. [15A NCAC 02B .0243(4) and (6)]
7. The Division's Mooresville Regional Office (610 East Center Avenue, Suite 301, Mooresville,
NC 28115) shall be notified in writing once construction at the approved impact areas has
commenced. [15A NCAC 02H.0502 (e)]
8. All stormwater shall be directed as diffuse or sheet flow (not piped) at non-erosive
velocities through the protected lake buffer and should not re -concentrate before
discharging into the lake. [15A NCAC 02B.0243(5)]
9. The applicant and/or authorized agent shall provide a completed Certificate of Completion
Form to the DWR 401 and Buffer Permitting Unit within ten days of project completion.
(available at: http://Portal.ncdenr.orgZweb/wo/swp/ws/401/certsandpermits/apply/forms) or see
attached. [15A NCAC 02H.0507 (c) and 15A NCAC 02B.0243(8))
This approval and its conditions are final and binding unless contested.
This Certification/Buffer Authorization can be contested as provided in Articles 3 and 4 of General Statute
1508 by filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH). A petition form may be obtained from the OAH at htto://www.ncoah.com/ or by
calling the OAH Clerk's Office at [phone] for information.
Within sixty (60) calendar days of receipt of this notice, a petition must be filed with the OAH. A petition is
considered filed when the original and orle (1) copy along with any applicable OAH filing fee is received in
the OAH during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).

DWQ# 15-0356
The petition may be faxed to the OAH at [phone], provided the original and one copy of the petition
along with any applicable OAH filing fee is received by the OAH within five (5) business days following the
faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS, FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh, NC 27699-6714 Raleigh, NC 27609-6285
One (1) copy of the petition must also be served to DENR:
Sam M. Hayes, General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh, NC 27699-1601
This letter completes the review of the Division under section 401 of the Clean Water Act and the Catawba
Riparian Buffer Rules as described in 15A NCAC 02B .0243. Please contact Alan Johnson at 704-663-1699 or
[e-mail] if you have any questions or concerns.
Sincerely,
r
Michael L. Parker, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Enclosures
cc: David Brown, USACE Asheville Regulatory Field Office, email
DWR MRO - file copy
DWR 401 & Buffer Permitting Unit —file copy

DUKE ENERGY INFERNAL 115E ONLY:
Construction
Date Received:
FAF Paid
Application �`
DUKE
=
ENERGY..
� Application Complete
veisbn 13p
Permit No.
Water Strategy, Hydro Licensing and Lake Services
NEP Fund
Duke Energy
Box 1006/ E C1 2Q
Site ID
Close -Out Date
Charlotte, NC 282018201
Ch
I. DATE OF APPLICATION*
Permit/Tag #.:
II. APPLICANT INFORMATION (applicant mailing address and contact information)
Name* j#Wjr4K,C W c aC ,STEVE1V 14 jNSNAkI Primary Phone* t%p¢. to50 . & 176
Address* 423 .Sk eviv Mi R • Secondary Phone
City" ChAriloh State*© Zip Code* -A$e20 17 Fax Number
Email*
111. PROPERTY INFORMATION (location of permit)
- /
Address* I NFW AtP£ M. S ARM5ko RJ. *s' kP j
City' $e ftfJ State* g Zip Code* aZ$ 0
Lake*: Woie
Subdivision I'V W 1; e Lots)
R` County' C'I-454VN
County Parcel ID number
(e.g. Pin, Tax ID, TMS C2,A DO 3
Number...)
Plat Book/Page 46 lo a-0 ¢9
To enter the Latitude and Longitude of the property, please use a Latitude (e.g. 35.12345)*
service/software to easily acquire the location information. Values
should be provided in Decimal Degrees format (35.1245).
Longitude (e.g. ,80.12345)* 8 t . 0552--
example,�eMO!; httWWt9u4imap1c4triVla09ng htm1
SIV PROPOSED ACTIVITY
(' New/Modification of Existing Structure C' Maintenance of Existing Structure I Is Dock
Covered?
New/Modification of Existing Shoreline Stabilization
C, New/Modification of Existing Structure & Stabilization
C Transfer of Ownership
• Maintenance of Existing Shoreline Stabilization ❑
i Maintenance of Existing Structure & Stabilization # of Slips
C' Other (please describe below) # of Jetports F]
Area over land (sq ft) I I Area over water (sq ft) I Total Square Feet l
Shoreline Stabilization (feet) Length of
Stabilization
Brief Description
of the Activity
Distance From Shorelinek)
Materialsr' 1 Y A
EN hANCEd Y-1 r r A P -f-� 6e i w s R Vf erG bA� K e��h-f
Describe Briefly the Existing
Structures Over Land and
Water (include sq ft)
Srna (( MA -600— (SevaW 19,495)

V. Dock Builder or Engineer
Name/Company • T-0 t dC f—'rm i HCA
Address Phone Number
City E== State ❑ Zip Code Email
VI. Checklist of Required Documents (to include with Application Submission)
Recent Survey (stamped/signed by a professional licensed surveyor showing the location of the existing or proposed
structure and/or survey of the existing or proposed stabilization)
❑ Photos along property shoreline and photos of any existing structures and/or stabilization In or near the water
❑ Application fee (check only, payable to Duke Energy) ❑ Signed User Agreement Letter
❑ Applicable local, state, and federal permits ❑ Plan and profile drawing showing all measurements and elevations
❑ Habitat Enhancement payment (if applicable)
VII. Approval Process
• Application is reviewed and determined if complete. Fields with an asterisk are required.
• If application is not complete or does not include all items and information listed in the checklist, the
application will be returned as incomplete.
• A Duke Energy representative will visit the site to conduct a visual inspection.
• Applicant will be notified of approval or denial.
• Applicant is to have the notice, to be supplied by Duke Energy upon application approval, posted and
must be viewable from water. The notice must remain posted until a representative inspects the
project and determines the project is complete and within the application specifications.
Vill. Directions by Road
85 Sexp 27 tOWA elvr,os ON CFt11
Directions by GIM Nuq
c- ON +.o KeRoft %bfA •, L4- m R • L STO WC RAS L+ ONI
Road* 14 W ;,L7 3 s / +o1J q-t4i P-% i E• I pr -op OIC �}
!J 1 1
IX. Application Submission
Please complete, print and sign this application. Then enclose all items from the checklist above in an envelope and
submit all the information to the address below.
Water Strategy, Hydro Licensing and Lake Services
Duke Energy Print Form
PO Box 1006/ EC12Q
Charlotte, NC 28201
I agree that the information contained within is accurate:

DUKE ENERGY EXCAVATION PERNUT APPLICATION FORM
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit S.
Check it Date Recv'd Initials
Date of Duke Energy Lake Services, applicant and/or contractor on-site inspections Date snit ials __
Date Final Protection/Avoidance Area Markings Field - Verified. _ _ _ _ _ _ Initials
Approved to Start Work By' : _ Date
Date Completion Required Date of Any Approved Extension -- ______ _ _ Initials _-
Date Passed Closeout Inspection* ...... , Initials
Any Stop Work Orders or SMG Violations'? (check one) OYes GNo (If Yes, explain in PART V)
Date Deposit Refunded _ Initials Date Permit Database Updated . _. __ ___- Initials
• Forward copy of approved application (all pages, plus any attachments that Duke Energy changed) back to applicant
with Approval Letter and highlight any changes. File copies of Approval and Close-out Checklists and any Stop Work
Ord&- with application.
PART I. - APPLICANT PWORMATION (Please Print)
Name 1��AK� uG Ltt 5 �VC.0 j{i.JS{LArJ_- Telephone 1-$a-076
Lake Addressl c�el� $�t e -m5�" ,/i . MailingAddness 3 5kgrw kr41 W.
&(WW*j I�fC _ (Ifd{Qiene:ir) h hof o We, me_ ;t (r_ ! 1
j Ah4rGVA _ Per m,�s Lt T,< AAA!"I DuAre*WiilgooIetaC:e e,rC).
an N K N c j#4 �' h i S A ✓t a`5c r 1 Arc 3`�° 36
Contractor
Come Y _ /�'T i M c_
Contractor Contact Person
Telephone
LA—KE LOT INFORMATION
La><e i county__�_ City,e m o nl _ _ State 14C_ Tax Map No.
Subdivision hi Vj k.A4Cei.i.C. _ Lot / Section No. - _ ,-� —. -T •__ Lot Size f%O b Acres
Are there any Co -Applicants*? (check one) OYcs 17No (If Yes, inchuk named addr==, phone nor., lot nor., lot
sines in PART V — ADDITIONAL INFORMATION) • Co -Applicants exist when the proposed work is being done under a
single application, will be performed by a single contractor as one oontinuous project and is done to benefit multiple owners %
lease holders of project -front properties within a single development The check for the application filing fee and security
deposit should be from the party shown as Applicant and not sevoW checks from the Applicant and Co -Applicants.
Do not continue the application uptil as on -cite inspection has been conducted between a Duke Energy Labe Services
Representative (DELSR) and the applicant indlor the excavation contractor. NOTE: Inidellfi s;g Ak portion of the
applleatim by a DELVR In no way c ma tgrles approval or earlliraal a Wvva/ of die areavadar or my oj*sr h*e xge
pmmWirg
Date of on-site inspection _ y_ Initials (Duke Energy) (applitamUc atraclor)
Duke End' Page l of 14 rcr 9/19/14
fteavattam Prow
e:40erslamlapPd=UOC allmicro"fkhwladowa%Umporwy lnteumet flleskmmmtoWooklmp7eo1,j91c-w erccavation
application 113 IO.docx

DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
PART U. - DESCRIPTION OF PROJECT
A. BASIC INFO
1. Type of excavation: (check one) 1(New excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) 0 Boat Access Channel O Water Intake Channel
0 Wastewater Discharge Channel Kother (syr, r�i� L X �►N 5, eN P� 1v1AYrN A
3. lake user category: (check one) 13Nvate OResidential Marina ]l�ommercial Marina
OPublic OOther klspeci&):- -- ,- _-`-
4. Max. Excavation Area Dimensions (It): length ___ � S__ _-_- Width - - - Depth _ 2— ----
(Note: include additional area dimensions ijrtec(ssary so response to #S below equals mss. area dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): 47o —Cubic yards
6. Type of material removed (applicant determines b), field sample ifpracticao _
7 Excavation Site area:_ A_ `} - -_ Acre (s) Disposal Site area: `{ y Acre (s)
8. Total Disturbed Area (including equipment staging area) 'Z-"9 - _ _ _ _ _ Acre (s)
9 Does the project meet the requirements of the applicable General Permit? (check one) Ayes ONo
10. Do you claim title to the disposal area? (check'one) KYes ' [No
11. Do you tiara► title to the equipment staging areal (check one) fes C7No
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area? (check one) Oyes XNo
((f Yes. spec): - - ---- - - -
13. How will the excavated material be enunpped and the crosi r control4 ed? (e g see ayarhed erosion control plan and
disposal area d6tpt;►,_
14. Type(s) of excavation equipment to be used: :_ q,-_�C W1 ft IDN 1 AA h ye AIYA4 Y-
15. Will waters or wetlands to crossed in transporting equipment to or from the site? (check one) OYes *0
(If yea, explafnl 4 ''
16. Will return water re-enter the reservoir? (Check one) OYes *o ON/A (I, f Yes, specify point(s) of re-entry and
show on Excavation Area Drawing)
17. Is there an existing facility (e:g. pitr) that access is being maintained to by conducting the excavation? 'es ONo
(If Yes, spec] jy the existing permit number. If No, include a scaled drawing ofthe proposed facili y). Permit Il
18. Total planned duration of the work (Include first equipment mobilisation, excavation through final mitigation measures
complete): " START i FINISH /
(Month) (Year) (Month) (Year)
Dtilce'Energy + Page 2 of 14 rev 9/19/14
Excavation Program
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application 113 l0.docx

DUKE ENERGI' EXCAVATION PERMIT APPLICATION FORM
Note: Notify Duke Energy Lake Services at 1-800443-5193 prior to commencing any excavation work within
the project boundary.
Dake EneW Page 3 of 14 M9/19/14
Excavation Program
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application 113 10.docx

DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
PART IL (Continued)
B. PROTECTION / AVOIDANCE AREA DESCRIF /TON
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas Approx.
(check all that apply) Acreage
IdentificationMethod (•)
Avoid (A) or Nfitizate
filld ID
Work Area Dwe, ID
a. Marshland, swamp, ponds, beneficial
aquatic vegetation or other potential wetlands (circle all
that apply)
I )I
A
b. Buffer Zones (speck width & source of
requirement)
, - r I (� N oa i..
�WOYX �4 t C+I
P,0
_
e Environmental Areas as identified by Duke
Energy
Njti
d. Natural Areas as identified by Duke Energy
N R
—'— e. Historic properties (specify)
1
#/ A
tit
f
i
i
f. Rare or threatened species (specify)
Duke Energy Page 4 of 14 rev 9/19/14
Excavation Program
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DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
Protection/Avoidance Areas
(cluck all that apply)
Aniprox.
Identification Method (•)
Avoid (A) or Mitleatt(M)
Field ID
Work Area RM. ID
Acreage
•)
Q. Buried gas, water, sewer, communications
or electric Imes circle
lV
I
b. Impact Minimization Zones as identified by
Duke Energy
PjI A
1. Other areas requiring specific avoidance, —
protection or mitigation (spec)
1
• For "Field ID" column, specify entity or person that performed the identification and how it was physically marked (e.g. Duke Energy(John Doe)/Pink and purple -dotted tape,
Corps of Eng. (John Smithy yellow flagging). For "Work Area Dwg ID" column, show the symbol that is used on the drawings to identify the protection/avoidance area
•• List and attach mitigation plans
Duke Energy
Excavation Program Page'S of 14 rev 9/19/14
c:\Users\sm�aPPdaftuocallmicrowffiwindows\temporary intemet files\content.outlookltnp7eolj9le-w excavation application 113 10.docx

DUKE POWER EXCAVATION PERNIIT APPLICATION FORM
C. APPLICANT SIGNATURE
Comments: Neighbors
Applicant Name (print) Z4 Pt//1 I//
Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*_
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
ZJ L Lot (s) >>/
Date
Lot #
Date
Lot #
Date
Lot #
Date
Lot #
Date
*Per my signature, the information provided in this application is correct to the best of my knowledge.
BEFORE YOU MAIL THE APPLICATION TO DUKE POWER LAKE MANAGEMENT ENSURE YOU HAVE:
• CHECKED THE INFO THOROUGHLY
• MET ALL REQUIREMENTS FOR A COMPLETE APPLICATION (see cover letter of application package)
• INCLUDED A SINGLE CHECK TO DUKE POWER FOR THE APPLICATION FILING FEE AND SECURITY
DEPOSIT
• INCLUDED ALL AGENCY PERMITS OR COMMENT LETTERS AND RESOLVED ALL ISSUES RAISED
• INCLUDED ALL REQUIRED DRAWINGS (INCLUDING PROPOSED FACILITIES). PERMIT # FOR EXISTING
FACILITIES, SURVEYS AND PLANS
• INCLUDED COPIES OF DEEDS AND AUTHORIZATION LETTERS
GpWU.akemgmtU.mppmlExcavation\Exveppfm6.30.03.doc Page 6 REV: 6/30/03
Effective Date: 11/15/98

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2.0%
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138.4 Miles
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2.1
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Environmental
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22.
. Natural
23.3 Miles
68%
Shoreline Classification Totals
340.3 Miles
10(
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0.5 Miles
0.2
Full Pond Shoreline Total
348.5 Miles
a --g- Bottomiand Hardwood Area
0.3 Miles
0.1 %

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