20160721 Ver 1_Shoreline Stabilization_20160725

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
kmmww�15A NCAC 02H .0500 — Water Quality Certificati f Ah ftTation
Division of Water Resources
F 2013
Shoreline Stabilization Application Form 6 O j
21
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617 �Ar
I. Applicant Information [15A NCAC 02H .0502(a)]JUL 2 5 20116
1. Owner Information
Name: 1 DEQ -WATER RESOURCES
ITTING
Mailing Address: 1 r v"e 461 &BUFFER PERM
5tpu�,(-)1A 4,5(f)5z
Telephone Number: '740 -AN -235(0 Fax Number:
E-mail Address: � i�W0A1e_ ' R QO l . COQ
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
,http://www.saw.usace.army.miI/Portals/59/docs/regulatory/reedocs/Permits/SAMPLE AGENT AUTH
ORIZATION FOORM.pdf) must be attached if the Agent has signed this application form. T
Name: )nv-\ na q'4) 0 r'
Company Affiliation: ]�v1 CCl`-3�' r UtAD J ��.� �..t R �I�, x_yyls 11,)C_Mailing Address: �Q er+�1 �OQd��f'
C-r-ou-4-w�a�✓� NC S I tD LO
Telephone Number: 704 •5Z8-7400 Fax Number: 7n4 - 5Zf�- 3400
E-mail Address: CIonyla. t. C
Person to receive the Certification Approval: r
Lanco-Lbkr avb vvi 0-0—OK5
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 3

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: i re_clel` Nearest Town: --V'V-0t.0C (Xn I
Subdivision name or site address (include phase/lot number): Ql`e.Y1C�ale -ROi4
I,4 Z0
Directions to site - please include road names and numbers, landmarks, etc.: Erern El N5
4ay-le ei& 4 z, . Turn 14 � 0n+o U52,1 Noy+yi -nwafA TVrowkrmn . Turn I eaai-
III I is X
UMM. 29.1%1=1211 11111 LL 1, AA
Latitude (in decimal degrees) 35. (oZ9 OR Longitude (decimal degrees)" a1) • ` L91Z9
5. Describe the existing land use or condition of the site tat the time of this application
(residential, undeveloped, etc.): 'ReS1de.nAiCA
6. Property size (acres): • 5%
7. Lake/ river/ ocean adjacent to property: Nr_YV V an
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Dre3Ge. area- -�p 4 U ct R& L)rm('
-rn,r- n"P-c-'Cl
9. Will work be conductecrom land? ❑ From water? M
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:
3R3 a.-.
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: 0
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted (number of trees, for instance): 9�
Owner/Agent's Signature Printed Name Date
[15A NCAC 02H .0502(f)]
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM- SSGP 10-2013
Page 2 of 3

A
Full Pond/
Normal Water Level
m � � � �
Shoreline
(At Full Pond/ NoLake
t Water Level} Dre8,�C. e � /0 aond �
C F ' � ,N
'44 If
C,
j �r
t
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft x 100 ft)*:
1. All proposed vegetation clearing
2. Location of rip rap or fill 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 excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10-2013
Page 3 of 3

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DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
FOR DUKE ENERGY USE ONLY
Duke File No
Application Fee $ Security Deposit $ Check # Date Recv'd Initials
Date of Duke Energy Lake Services, applicant and/or contractor on-site inspections DatQQ . 7 1[ n Initials09—K
Date Final Protection/Avoidance Area Markings Field - Verified
Approved to Start Work By *
Date Completion Required
Date Passed Closeout inspection*
Initials
(Pi uu) (Sign) Date
Date of Any Approved Extension Initials
Initials
Any Stop Work Orders or SMG Violations*? (check one) []Yes ❑No (If Yes, explain in PART V)
Date Deposit Refunded initials Date Pen nit Database Updated P 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
Orders with annlicatinn_
PART 1.. - APPLICANT INFORMATION (Please Print)
Name_ f1Ock CO 10 p[2;ra Ykl( wgILP� ��,�. j Telephone (740)2,59- 03 go
Lake Address—Ze"A Al 1 eridake 1rcIe, Mailing Address co M"
rC (`f diff r) �Y' n )' woMex'
Contractor Company L DL)r
LJ
Contractor Contact Person
LAKE LOT INFORMATION
Lake J�_nCounty re
Subdivision k1 en d to l?hl Y1-1-
5
Ir Ory i eW r Va.
_ H 4 5(o5Z _
Telephone (%- 400
304 (o Z, 9- (o09 (o
city.. V_Qq. (i Y) State L V V Tax Map No. 4(vZb1097(p i (o
Lot / Section No ZD Lot Size .54
Are there any Co-Applicants*9 (check one) ❑Yes [Ko (If Yes, include names, addresses, phone nos., lot nos, lot
sizes in PART V - ADDITIONAL INFORMATION) * Co -Applicants exist when the proposed work is being done under a
single application, will be perfonned by a single contractor as one continuous 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 several checks from the Applicant and Co -Applicants
Do not continue the application until an on-site inspection has been conducted between a Duke Energy Lake Services
Representative (DELSR) and the applicant and/or the excavation contractor. NOTE: Initializing this portion of the
application by a DELSR in no way constitutes approval or eminent approval of the ercavation or any other lake use
permitting activity.
Date of on-site inspection��: Z 4 1Q
Initials (Duke Ener '1
Energy) �`� (applicant/contractor)
Duke Energy Page 1 of 11
Excavation Program rev 9/19/14
e.\#daren\@duke permit\c-w excavation application 11 3.10.docx

DUKE ENERGY EXCAVATION PERMIT APPLICA'T'ION FORM
PART II. - DESCRIPTION OF PROJECT
A. BASIC INFO
I Type of excavation (check one) ❑ New excavation R Maintenance excavation
2 Purpose of excavation. (check one) Coat Access Channel ❑ Water Intake Channel
❑ Wastewater Discharge Channel ❑ Other (specify).
3 Lake user category. (check one) 9Wn—vate ❑Residential Marina ❑Commercial Marina
❑Public ❑Other (specify). /� r
4. Max Excavation Area Dimensions (ft) Length 8 Width '-1 —) Depth /
(Note include additional area dimensions if necessary so response to #5 below equals niax. area dimensions in #4)
5 Volume of Excavated Material (TOTAL for the project). 1 5ct Cubic yards
6 Type of material removed (applicant determines by field sample if practical) C.Ayj(� ' �j^I I CI 1 \'
7 Excavation Site area . J 9 3 '1
Acre (s) Disposal Site area- • 33 Acre (s)
8 Total Disturbed Area (including equipment staging area) 3q.3 Acre (s)
9 Does the project meet the requirements of the applicable General Pennit9 (check one) CKes ❑No
10 Do you claim title to the disposal area9 (check one) CJ'S'es ❑No
1 I Do you claim title to the equipment staging area? (check one) O'Yes ❑No
12 Are there any water -treatment facilities within 50 feet of the proposed excavation area9 (check one) ❑Yes Flo
(If Yes, specify)
13 How will the excavated material be entrapped and the erosion c
o trolled a design)
trolled (e g see attac:ed erosion control pipit and
drs al area desr n) r-ple- II Ve b
r
14 Type(s) of excavation equipment to be usedkYl�
15 Will waters or wetlands be crossed in transporting equipment to or from the site9 (check one) ❑Yesto
(If yes, explant)
16 Will return water re-enter the reservoir? (Check one) ❑Yes kNo ❑N/A (If Yes, specify point(s) of re-entry and
show on Excavation Area Drawing)
17 Is there an existing facility (e g pier) that access is being maintained to by conducting the excavation? []Yes ONo
(If Yes, specify the existing penrrrt number If No, include a scaled drawing of the proposed facility) Pernui #
18 Total planned duration of tf}etiwork (Include first equipment mobilization, erca`von throughfinal mrhgatron measures
complete) START �/ / !_� FINISH / __/ _L
(Month) (Year) (Month) (Year)
Note: Notify Duke Energy Lake Services at 1-800-443-5193 prior to commencing any excavation work within
the project boundary.
Duke Energy Page 2 of 11 iev 9/19/14
Excavation Program
e:\#daren\@duke permit\c-w excavation application 11.3 10.docx

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DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
C. APPLICANT'S SIGNATURES
Comments -
Applicant Name (print)
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*
Co -Applicant Name (print)
Co -Applicant Signature*
Lot # Z V
Date co— 15 —,
Lot #
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 ENERGY LAKE SERVICES 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 ENERGY 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
Duke Energy Page 5 of 11 rev 9/19/14
Excavation Program
e:\#daren\@duke permit\c-w excavation application 11.3. l0.docx

DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
PART III - INFORMATIONAL REQUIREMENTS FOR ALL APPLICANTS (NC & SC)
In addition to the completed application form PARTS I & If, the following items must be provided to Duke Energy Lake Services
for all applicants in North and South Carolina
fl A copy of the deed and registered survey plat or other instrument under which the applicant claims title to the affected
property (the shoreline adjoining the excavation area, equipment staging area and the disposal area), OR if the applicant is
not claiming to be the owner(s) of said property, then forward a copy of the deed and registered survey plat or other
instrument under which the owner(s) claim title plus wntten authorization from the owner(s) to carry out the project on
their land.
An accurate scaled drawing (i"=25' for projects <1000 cubic yards of material removed or I"= 100' for larger projects) of
the area to be excavated, including all the infonnation required under Application Process - ITEM 5 of the Application
Package cover letter (Attachment 1)
le An accurate scaled drawing (I"=25' for projects <1000 cubic yards of material removed or 1"= 100' for larger projects) of
the proposed design for the disposal area, including all the information required under Application Process - ITEM 6 of the
Application Package cover letter (Attachment 1). Also include any erosion control plan or standard reporting form
requirements as noted under ITEM 6 of the Application Package cover letter
,p' A map or Duke Energy Directions by Road form showing directions to the excavation area and disposal area
JV A USGS topographic map with a directional arrow indicating the exact location of the excavation project and Latitudinal
and Longitudinal coordinates for the project site
/ A list of names and addresses of adjoining property owners for both the excavation area and disposal area.
G A copy of all permits and/or letters of correspondence to/from local, state and federal agencies that require notification or
issue individual permits
H Provide the existing permit number if excavation is being conducted to maintain access to an existing facility (e g pier) or
provide an accurate scaled drawing of any proposed facility if a facility does not currently exist Note: A separate
application and approval is required for proposed Private Facilities (e.g pier)
A check for the application filing fee and security deposit and the signed Excavation Project User's Agreement letter
*USGS maps may be accessed via the Internet at http-//eis enr.state.nc us/ utilizing the following pathway Data
catalogue/Digital Raster Graphics/specific county. Longitudinal and latitudinal information is available via the Internet at
www mapblast.corn, www mapsonus corn or www.maptech.com
Duke Energy Page 6 of 11 1 e 9/19/14
Excavation Program
e.\#daren\@duke permit\c-w excavation application 11.3.10.docx

DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
PART IV — AGENCY REVIEWS/APPROVALS REQUIRED
A NORTH CAROLINA APPLICANTS ONLY
I The following agencies and the Catawba Indian Nation Tribal Historic Preservation Office require at least 30 days prior
notification for all excavations in North Carolina reservoirs. Notify them by forwarding a completed copy of this
application, including the infonnation required under PART III A -F to
U S. Army Corps of Engineers N C State Historic Preservation Office
Regulatory Field Office N C. Dept of Cultural Resources
151 Patton Avenue Division of Archives & History
Room 208 c/o Ms. Renee Gledhill -Earley
Asheville, North Carolina 28801 4617 Mail Service Center
[phone] Raleigh, NC 27699-4617
[phone]
Catawba Indian Nation Tnbal Historic Preservation Office
Dr Wenonah Haire
1536 Tom Steven Road
Rock Hill, SC 29731
[phone]
What to Expect.
a) If the excavation can be done under the requirements of the General Pen -nit (GP) or a Nationwide Pen -nit (NWP),
you will typically receive a copy of the Corps' tear sheet documenting authorization and providing any additional
instructions. if the excavation isn't covered under the GP or a NWP, you'll be required to obtain an individual
404 Dredge and Fill permit from the Corps
b) You will typically receive a letter from the NC SHPO documenting their concurrence with your application,
requiring additional information or recommending modifications You must address each comment in your final
application
c) You must receive written documentation from the Corps that your application either meets the requirements of the
GP or a NWP or that the proper 404 Dredge and Fill pen -nit has been received before Duke Energy can process
your application
d) If you do not receive any documentation from the NCWRC within 30 days of their receipt of your application, you
may proceed with the application process, recognizing however that if their comments come in later in the
application process, you will also be required to address them (See exception for Commercial/Conveyance/FERC
review applications below)
e) if you do not receive any documentation from the NC SHPO within 30 days of their receipt of your application, you
must provide that agency with a follow-up letter requesting the agency comment on your proposal within 15 days
from the date of the letter If you do not receive any response as a result of this second letter, you may proceed
with the application process, recognizing however that if their comments come in later in the application process,
you will also be required to address them Note: This second 15 -day letter requirement also applies to the
agency reviews in PART M.A. 1-4 when the application is far a Commercial Facility, Conveyance or other
application requiring FERC review.
2. In addition to the three entities in PART iV A I above, if the proposed excavation is located in the counties listed below, the
applicant must also provide at least 30 days prior notification to the following agency by forwarding a copy of the completed
Excavation Pen -nit Application Fonn (including the information required under PART 111 A -F) to
(For Alexander, Catawba, Cleveland, Gaston,
Iredell, Lincoln or Mecklenburg Counties)
N.C. Dept of Environment & Natural Resources
Division of Water Resources
610 East Center Avenue, Suite 301
Mooresville, North Carolina 28115
[phone]
[phone] (fax)
(For Burke, Caldwell, McDowell or
Transylvania Counties)
N.0 Dept of Environment & Natural Resources
Interchange Building
59 Woodson Place
Asheville, North Carolina 28801
[phone]
What to Expect
a) You will typically receive a letter providing Division of Water Resources concurrence, which may require additional
information or recommend modifications You must address each comment in your final application to Duke
Duke Energy Page 7 of 11
Excavation Program
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rev 9/19/14

DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
b) You must receive written documentation from the NCDENR that 401 Water Quality requirements are met before
Duke Energy can process your application
3 In addition to the above requirements, if the proposed excavation is located in Mecklenburg County, the following agency
must be provided with a copy of the completed Excavation Permit Application Fonn (including the infonnation required
under PART III A -F)
Mecklenburg County Land Use and Environmental Services Agency
700 North Tryon Street
Charlotte, North Carolina 28202
[phone]
What to Expect:
a) You will typically receive a letter from the county documenting their concurrence with your application, requiring
additional infonnation or recommending modifications You must address each comment in your final application.
b) If you do not receive any documentation from the county within 30 days of their receipt of your application, you may
proceed with the application process, recognizing however that if their comments come in later in the application
process, you will also be required to address them (See exception for Commercial/Conveyance/FERC review
applications below)
4 In addition to the above requirements, if the proposed excavation is part of a Commercial Facilities Application,
Conveyance Application, or will require FERC review, the applicant must provide at least 30 days prior written
notification to the following additional agencies by forwarding the completed Excavation Permit Application Form,
including the infonnation required under PART III A -F
N C Wildlife Resources Commission
U S Fish & Wildlife Service
c/o Mr Chns Goudreau
c/o Mr Mark Cantrell
645 Fish Hatchery Rd
160 Zillicoa Street
Marion, NC 28752
Asheville, NC 28801
828-652-4360 Ext 223
[phone] Ext. 227
(For lakes Wylie, Mtn Island, Norman, Lookout, Hickory)
(For lakes Rhodhiss and James)
N C. Dept of Environment & Natural Resources
N.0 Dept. of Environment & Natural Resources
Division of Environmental Health
Division of Environmental Health
Public Water Supply Section
Public Water Supply Section
c/o Mr Britt Setzer
c/o Mr Harold Saylor
610 East Center Street; Suite 301
59 Woodfin Place
Mooresville, NC 28115
Asheville, NC 28801
N C. Dept of Environment & Natural Resources
Division of Parks and Recreation
12700 Rayleaf Church Road
Raleigh, NC 27614
[phone]
What to Expect.
a) You will typically receive a letter from each agency documenting their concurrence with your application, requiring
additional infon nation or recommendmg modifications You must address each agency comment in your final
application
b) If you do not receive any documentation from an agency within 30 days of their receipt of your application, you
must provide that agency with a follow-up letter requesting the agency comment on your proposal within 15 days
from the date of the letter If you do not receive any response as a result of this second letter, you may proceed
with the application process, recognizing however that if their comments come in later in the application process,
you will also be required to address thein. Note: This second 15 -day letter requirement also applies to the
agency reviews in PART /V.A. 1-4 when the application is for a Conintercial Facility, Conveyance or other
application requiring FERC review.
Duke Energy Page 8 of 11 rev 9/19/14
Excavation Program
e:\#daren\@duke permit\c-w excavation application 11 3 10 docx

DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
PART IV — AGENCY REVIEWS/APPROVALS REQUIRED
B SOUTH CAROLINA APPLICANTS ONLY
I Consultation or review is required by the S C State Historic Preservation Office (SC SHPO) and the S C Institute of
Archaeology and Anthropology (SCIAA) for all excavations in South Carolina. The applicant must submit a copy of the
completed South Carolina Department of Archives and History State Histonc Preservation Office Project Review Form
(attached) to
S.C. State Historic Preservation Office
S.C. Institute of Archaeology & Anthropology
Department of Archives and History
c/o Mr. Jim Spirek
c/o Ms. Caroline Wilson
1321 Pendleton Street
8301 Park Lane Road
Columbia, SC 29208
Columbia, SC 29223-4905
What to Expect
a) You will typically receive a letter from the resource agencies documenting the agency's concurrence with your
application, requinng additional information or recommending modifications You must address each agency's
comment to your final application.
b) if you do not receive any documentation from the resource agencies within 30 days of their receipt of your
application, you must provide that agency with a follow-up letter requesting the agency comment on your proposal
within 15 days from the date of the letter If you do not receive any response as a result of this second letter, you
may proceed with the application process, recognizing however that if their comments come in later in the
application review process, you will also be required to address them
c) For the SCIAA agency the applicant must wait 30 days after receiving the signed postal returned receipt If a
response from SCIAA has not been received by this time you may proceed with the application process,
recognizing however that if their comments come in later in the application review process, you will also be
required to address them.
2 (For Lake Keowee only) Consultation or review is required by the Eastern Band of Cherokee Indians (EBCI) for all
excavations on Lake Keowee The applicant must submit a copy of the completed Tribal Historic Preservation Officer
(THPO) Consultation Information Form (attached) to
Eastern Band of Cherokee Indians
c/o Tyler Howe
PO Box 455
Cherokee, NC 28719
What to Expect
a) You will typically receive a letter from the EBCi documenting the tribe's concurrence with your application,
requiring additional information or recommending modifications. You must address each comment from the tribe
in your final application
b) if you do not receive any documentation from the EBCI within 30 days upon their receipt of your application, you
must provide the tnbe with a follow-up letter requesting the tribe's comment on your proposal within 15 days
from the date of the letter. if you do not receive any response as a result of this second letter, you may proceed
with the application process, recognizing however that if their comments come in later in the application review
process, you will also be required to address them
3 (For Catawba - Wateree lakes only) Consultation or review is required by the Catawba Indian Nation Tribal Historic
Preservation Office for all excavations on the Catawba —Wateree Lakes in South Carolina. The applicant must submit a
request for comments to the Catawba Indian Nation Tribal Historic Preservation Office at:
Catawba Indian Nation Tribal Historic Preservation Office
Dr Wenonah Haire
1536 Tom Stevens Road
Rock Hill, SC 29731
[phone]
What to Expect -
Duke Energy Page 9 of 11 rev 9/19/14
Excavation Program
e.\#daren\@duke permit\c-w excavation application 11.3.10.docx

DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
a) You will typically receive a letter from the Catawba Indian Nation Tribal Historic Preservation Office documenting
the tribe's concurrence with your application, requiring additional information or recommending modifications.
You must address each comment from the tribe in your final application
b) if you do not receive any documentation from the Catawba Indian Nation tribal Preservation Office within 30 days
upon their receipt of your application, you must provide a follow-up letter requesting comments on your proposal
within 15 days from the date of the letter If you do not receive any response as a result of this second letter, you
may proceed with the application process, recognizing however that if their comments come in later in the
application review process, you will also be required to address them
4 if the excavation meets the requirements of the applicable General Pennit (GP 87-14-001) and will remove from 50 to 150
cubic Yards, in addition to the entities listed above in PART IV.B 1 and 2, the S.C. Department of Natural Resources
(SCDNR) must be provided with a copy of the completed Excavation Permit Application Fonn, including the infoniiation
required under PART 111 A -H for at least 30 days consultation
S.0 Dept of Natural Resources
c/o Mr. Mark Hall
206 Laurel Valley Road
Sunset, SC 29685
[phone]
What to Expect
a) You will typically receive a letter from the SCDNR documenting the agency's concurrence with your application,
requiring additional mfonnation or recommending modifications. You must address each agency comment in
your final application
b) if you do not receive any documentation from the SCDNR within 30 days of their receipt of your application, you
may proceed with the application process, recognizing however that if their comments come in later in the
application process, you will also be required to address them
5 In addition to the entities listed above in PART IV.B.I and 2, the following agencies must be provided with a copy of the
completed Duke Energy Excavation Permit Application Form, including the information required under PART iII A -H, for
all excavations not covered under the applicable General Pen -nits on South Carolina reservoirs:
(For Lake Keowee)
S.0 Dept of Natural Resources
c/o Mr. Mark Hall
206 Laurel Valley Road
Sunset, SC 29685
[phone]
S C Dept of Health &Environmental Control
Water Quality Standards & Wetland Section
c/o Mr Chuck Hightower
2600 Bull Street
Columbia, SC 29201
[phone]
(For Catawba-Wateree lakes)
S C Dept of Natural Resources
c/o Greg Mixon
Rembert C. Dennis Building
2600 Bull Street
PO Box 167
Columbia, SC 29602
[phone]
What to Expect.
a) You will typically receive a letter from each entity documenting concurrence with your application, requiring
additional infonnation or recommending modifications You must address each comment in your final
application.
b) If you do not receive any documentation from an entity within 30 days of their receipt of your application, you must
provide that entity with a follow-up letter requesting comment on your proposal within 15 days from the date of
the letter If you do not receive any response as a result of this second letter, you may proceed with the application
process, recognizing however that if their comments come in later in the application process, you will also be
required to address them.
Duke Energy Page 10 of 11 rev 9/19/14
Excavation Program
e:\#daren\@duke penmit\c-w excavation application 11.3.10.docx

DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
6 In addition to the consultation requirements specified for the agencies listed in Part IV. B. I and 2, the following agencies
must be provided with a copy of the completed Duke Energy Excavation Permit Application Form, including the
information required under PART III A -H, for any excavation that is part of a Commercial Facilities Application,
Conveyance Application or will require FERC review on South Carolina reservoirs.
U.S. Army Corps of Engineers
Regulatory Functions Branch
c/o Mr. Colton Bowles
1835 Assembly Street
Room 865B-1
Columbia, SC 29201
[phone]
US Fish and Wildlife Service
c/o Ms Amanda Hill
176 Croghan Spur Road, Suite 200
Charleston, SC 29407
[phone] ext 12
S.C. Dept. of Parks, Recreation & Tourism
c/o Mr Tony Bebber
Edgar A Brown Bldg
1205 Pendleton Street
Suite 110
Columbia, SC 29201
[phone]
S C Dept of Health & Environmental Control
Water Quality Standards & Wetlands Section
c/o Mr Chuck Hightower
2600 Bull Street
Columbia, SC 29201
[phone]
S.0 Dept of Natural Resources
c/o Greg Mixon
Rembert C. Dennis Building
PO Box 167
Columbia, SC 29202
[phone]
What to Expect
a) You will typically receive a letter from each entity documenting concurrence with your application, requiring
additional infonnation or recommending modifications You must address each comment in your final
application.
b) If you do not receive any documentation from an entity within 30 days of their receipt of your application, you must
provide a follow-up letter requesting comments on your proposal within 15 days from the date of the letter. If you
do not receive any response as a result of this second letter, you may proceed with the application process,
recognizing however that if their comments come in later in the application process, you will also be required to
address them
PART V - ADDITIONAL INFORMATION
(Reference previous parts as applicable. /f more pages are needed, add a suffix to last page (e.g 12a, 12b, 12c, etc.)
Duke Energy Page 11 of 11 rev 9/19/14
Excavation Program
e:\#daren\@duke permit\c-w excavation application 11.3.10.docx

w - -
Doc ID: 010361040003 Type: CRP
Recorded: 12/28/2006 at 08:11:44 AM
Fee Amt: $20.00 Page 1 of 3
Excise Tax: $0.00
Iredell County, NC
Brenda D. Bell Register of Deeds
OK1812 P(1816-818
ORTH CAROLINA GENERAL WARRANTY ]DEED
Excise Tax: /"Ali) /'i,DuPiv v �-
Parcel Identifier No. Verified by County on the day of , 20_
By:
NO title ex3fflination requesreZI or 3r errormea iBy Preparer of MITI
Mail/Boxto: instrument. No Closing performed by reparer of this instrument.
This instrument was prepared by: Mark T. Davis, Attorney, PO Box 1087, Taylorsville, NC 28681
Brief description for the Index:
THIS DEED made this V day of �L , 20-06by and between
GRANTOR I GRANTEE
SCIOTO INCORPORATED ROCA COMPANY, an Ohio General Partnership;
Daniel J. Stewart, General Partner;
Robert W. Stewart, General Partner;
Mary Ellen Berry, General Partner;
Ruth I. Stewart, General Partner and
Frank L. Wall r, x Managin General Partner
�vd
p'i7�e�,nQ
0A 2
Enter in appropriate block for each party: name, address, and, if appropriate, charac of entity, e.g. corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has
and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in
the City of Township, Iredell County,
North Carolina and more particularly described as follows:
FOR COMPLETE DESCRIPTION SEE EXHIBIT "A" ATTACHED HERETO AND INCORPORATED HEREIN BY
REFERENCE.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 375page 373
A map showing the above described property is recorded in Plat Book page
NC Bar Association Form No. 3 m 1976, Revised C 1977, 2002 + James Williams & Co., Inc.
Printed by Agreement with the NC Bar Association - 1981 www.JamesWilliams.com

..
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee
simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the
lawful claims of all persons whomsoever, other than the following exceptions:
+
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year rsd abq a wR t1k!r- ;d, %
SCIOTO INCORPORATED •a% 1 bSILj�
(Entity Name) % •4 a �,e ' ,:
y •• ti ,
By:'did•. >A4'
'
Title: L. WALLER, President O +.,,,'{�����q�.�+fi
aG
VIM
By: v (SEAL)
Title.
as
By: (SEAL)
�--^Title• �
M1� 19 �� U a State of County of SC 1 OT0
O 01410
I, the undersigned Notary Public of the County and State aforesaid, certify that
z F R AN K L.WALLER personallyapbefore me this day
and
o` • • t :�, �,u : �.1 acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my
.\�, `�!• `, f' ' y v hand and Notarial stamp or seal this oZ.d T H day of D EC E IN B E R , 200(0
/ti • �:� •• T rY
PMBLIC
8FI.10 IR S 4Z.W§ornmission Expires: 4–S-1009
• }� ,,y a Notary Public
State of XMIbIhmotino - County of SC i OTO
0Hr0
1, the undersigned Notary Public of the County and State aforesaid, certify that
+Ql';' Frank L. Waller personally came before me this day and
,r O acknowledged that he is the President of Scioto Incorporated
a North Carolina or corporationHinated Ujabiiity-t;otttpanyIFgt.►Er t-p=t=t51 rev- ed
partaerehip (strike through the inapplicable), and that by authority duly given and as the act of each entity,
he signed the forgoing instrument in its name on its behalf as its act and deed. Witness my hand and
• �!� ,•, '– •�;.-
VEXPIRES
Notarial stamp or seal this Z07 k dayof 200 (p
' COhIM LOW
OTARY P Commission Expires: 4-8–za09 4$Zppg Notary Public
SFA]= ST 1%1r, a State of North Carolina - County of
I, the undersigned Notary Public of the County and State aforesaid, certify that
Y
Witness my hand and Notarial stamp or seal this day of , 20—.
wMy Commission Expires:
a Notary Public
The foregoing Certificate(s) of I is/are certified to be correct.
This instrument and this certificate are duly registered at the date and ti a and in the Book and Page shown on the first page hereof.
Register o Deeds for County
By: Deputy/ ssistant - Register of Deeds
NC Bar Association Form No. 3 0 1976, Revised 0 1977, 2002 * James Williams & Co., Inc.
Printed by Agreement with the NC Bar Association - 1981 www.JamesWilliams.com

EXHIBIT "A"
BEING ALL OF LOT NUMBER 20 of Allendale Point owned by Scioto
Incorporated and shown on Plat recorded in Plat Book Number 7 on
Page 21 in the Office of the Register of Deeds of Iredell County.
Reference to said Plat is hereby made for a greater certainty of
description.
FOR BACK TITLE
Iredell County
conveyed.
d/roca2.exa
see Deed recorded in Book 375 at Page 373 of the
Registry, this being the same property therein

AREA 5UMMARY
LOT 20
O 54G ACRE
23.802 50 FT
N
5
h
a
NOTES
0 Anon Morafined by O—ok to O hput.Ma, Math d
2) Prnp.nrr wb)ed In, my Tach that may be &,dowd by a IW
dacaeah tm..escn
5
1 Hapset m r be wbArct to my RwbkUma, Enwmmfa OWW
Rlyht of Wbyf of .aooro and Now not of r.aP.d N they .
4) A pat/an of -%&bct P,,,Wy a located k a Spedd Flood Hared A,vo
(Ar)Zmthee
Ery cin �a JAN 1C MAPS
Sao Map NuMs371j 462
S) Shb,Yct Rupsrty Zoned R -2a
d) No Glodtk Mmumant fond WMk 2000' of S.bbcf R)oorty
7) A. Rwfrkti- Go—and. OB 375-J7a
CURVE TABLE
NUM I DELTA ARC RADIUS BEARING DISTANCE
C7 1092'10 49 75 284 00' N64R6 4J -E 1 4968
D, 1/2• RPE
' I t
I �
40 0 40 80
SCALE I'= 40'
AaM 0eae OTAW ANa W
Williams nSuru vam"nUgAInc.
auvcArm Ecorse lo/
License Number C-3898
274 BWynwaat Drive, SYAteevillo, NC 29LIM
;t-
0 (9D1)B76-SM - on.9 rumfa0..t.Ab0ho1Lmuthaet
IALLJ➢l020
L mama E W]len. asllly Nor an pal .aa anon ands mr Mva tnb,
hen, an aabw arr'..aa uMs my eoonfeW (~ d«amflar racrad n
door "Z Pop 814 s otos nhrmw saw AS NOTED r
Nor N. ewaNale mt rives .a a. .ron m arva.l w« sew, ton
k,,W,afM hurw k adpnkenof.e
that N. -W of prshbn b I It4fxtDE, and NaI Nb pal mesh the,
,.yM.nh of as SfmdedA of R — b Lena a *, b NPN O-oN,a
xmds,p ro NSEh Qmva a Aannkbtreb4 Oaa. I10e 21 Choptv, eR A flan 100a
Than aa,ey kof an cadging pscal m pared. of land and does rel
seato a no.
eb.et s Change an . WkIg .fleet '
Tl. 24th day of .Aloe. 2016
1'RLR DOL7A1H4T OlO01NILLIf MIND AND SSA7�
BY 700MAS R. ^n MR PLS L -4n4 ON 1U" 84, =a
FW AWnW ZRAU NOT BE tXbY USM A Gmrn7w DOGT11fQ/7
Thomas E WTflkma, NCPLS 4718
a••ut CAR ,..,.
•9 . Olio
QT
SEAL
[.4718 ? i
i A
Z44L4r LL,s44•
5" Mm
LAKE
NORMAN
Boundary and Physical Survey
224 Allendale Circle
ALLENDALE POINT
LOT 20
Fallstown Township, Iredell County, NC
PIN# 4628-69-7676 — DB 1812-816 — PB 7-21
Property of ROCA COMPANY
LEGEND
PRpaER7Y LME (PA)
��—
RIGHT OF WAY (R/W)
RE LINE
ADJaNMG PROPERTY LME
FROM DEED LIR PLAT
_ _
FULL POND
---------
FEMA FLOOOLME
—.-.-.-.-.--.—
FENCE
e POWER LIN£
— —
BUILDING SETBACK LINE
_ _ _ _
_ _ - 50' IEGETA77W BUFFER
EX
EXISnNC
PP
POWER POLE
LP
LHO4T POLE
TP
TELEPHONE PEDESTAL
40 0 40 80
SCALE I'= 40'
AaM 0eae OTAW ANa W
Williams nSuru vam"nUgAInc.
auvcArm Ecorse lo/
License Number C-3898
274 BWynwaat Drive, SYAteevillo, NC 29LIM
;t-
0 (9D1)B76-SM - on.9 rumfa0..t.Ab0ho1Lmuthaet
IALLJ➢l020
L mama E W]len. asllly Nor an pal .aa anon ands mr Mva tnb,
hen, an aabw arr'..aa uMs my eoonfeW (~ d«amflar racrad n
door "Z Pop 814 s otos nhrmw saw AS NOTED r
Nor N. ewaNale mt rives .a a. .ron m arva.l w« sew, ton
k,,W,afM hurw k adpnkenof.e
that N. -W of prshbn b I It4fxtDE, and NaI Nb pal mesh the,
,.yM.nh of as SfmdedA of R — b Lena a *, b NPN O-oN,a
xmds,p ro NSEh Qmva a Aannkbtreb4 Oaa. I10e 21 Choptv, eR A flan 100a
Than aa,ey kof an cadging pscal m pared. of land and does rel
seato a no.
eb.et s Change an . WkIg .fleet '
Tl. 24th day of .Aloe. 2016
1'RLR DOL7A1H4T OlO01NILLIf MIND AND SSA7�
BY 700MAS R. ^n MR PLS L -4n4 ON 1U" 84, =a
FW AWnW ZRAU NOT BE tXbY USM A Gmrn7w DOGT11fQ/7
Thomas E WTflkma, NCPLS 4718
a••ut CAR ,..,.
•9 . Olio
QT
SEAL
[.4718 ? i
i A
Z44L4r LL,s44•
5" Mm
LAKE
NORMAN
Boundary and Physical Survey
224 Allendale Circle
ALLENDALE POINT
LOT 20
Fallstown Township, Iredell County, NC
PIN# 4628-69-7676 — DB 1812-816 — PB 7-21
Property of ROCA COMPANY

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DUKE ENERGY DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project
site canhave a big impact on permitting processing time. Please complete this form and
return it along with your completed application to:
Applicant's Name:
Street Address (at 1
DUKE ENERGY
C/O LAKE SERVICES - EC 12 Q
526 SOUTH CHURCH STREET
CHARLOTTE, NC 28202
OCA - C r)m pay) q NrAy,W0.l I e.r pre--.
r I
ake):1 _Z ASI I en &I e- C:1 CLI e. -VQW�' iCA V'1 I C 21b) to(o
If
Lake Name: NorvyjcLn
Subdivision Name: AJI
Property Section:
pn-1
Lot #: Z V
City: 1�oa 0gan County: I re_ A e, I I
State: I o d e wro ki y) a Zip: ZZ9) 110 to
Telephone: 740- -,�i5Z' 1506c ll,
Directions (from major road or highway): �rowt 1--7 7 N � -72"e,C� �' 4'Z.
ru-rn I e F-} OniD .L
M 2, [ N ov-+Vi ► U V of 8 7-r ouAvylo NI . —1-LAx ''i
0.} --'ra-PRLLi lh�l� ov1vo Wa n er 5t- � pe► Rdy-Fi Turn
r' I1 Vi i- o v) to e. llar K l0. d . -Tu r n 1 C -i- b ►'1
t SO''1 5cvrn Road L.e f+ o h to Al leoda le. Cycle--...
Descriptive Structure(s) on Property i.e. brick garage, white fence, mobile
home, etc.)
*NntP• PIPAQP 11CP the hot -Ir of this fnrm if rlacirM to AVOW vile a man to thv CUP

W W U S DEPARTMENT OF THE INTERIOR
US GEOLOGICAL SURVEY
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M16 141

List of Names of Adjoining Property Owners
224 Allendale Circle
Troutman, NC 28166
Excavation Neighbors
Deborah Riffle
222 Allendale Circle
Troutman, NC 28166
Richard and Anne Clay
226 Allendale Circle
Troutman, NC 28116
Disposal Neighbors
Harold Edwin and Cherie C. Stutts
8585 E NC 150 Hwy
Terrell, NC 28682

f� DUKE
ENERGY.,
EXCAVATION PROJECT USER'S AGREEMENT LETTER
(Please fill in the blanks. Please Print)
Date
TO: Duke Energy
c/o Lake Services - EC 12Q
P. O. Box 1006
Charlotte, NC 28201-1006
RE: Excavation For (Subdivision and Lot #'s or Other Project
Name) -ran W c ll.e r- , P
(Lake/County/City) Arman / I re, d c—
(Duke File No.)
Lake Services
Duke Energy
526 South Church Street
Charlotte, NC 28202
Mailing Address
EC 12Q / PO Box 1006
Charlotte, NC 28201-1006
(Applicant's full name) 5r VJa l ler' hereby agrees to comply
with all recommendations, require -lents and/or conditions of Duke Energy Lake
Services, General Permit(s) (if applicable) and other federal, state and local agency
requirements pertaining to the application to excavate for the purpose of a
_boc& EA, D Ca(' 0_&_C35
In addition, Fwe have read and agree to comply with Duke's current Shoreline
Management Guidelines (SMG), much of which is repeated hearin, and understand that
written authorization must be obtained from Duke Energy Lake Services prior to
beginning any activity within the FERC project boundary or on Duke Energy land. The
excavation will be completed as described in the approved application and within
eighteen (18) months from the date of written approval by Lake Services, unless
specifically noted otherwise in the application or unless 11we obtain approval for a single,
time extension (maximum of one year) in writing from Duke Energy Lake Services. 11we
understand that if the SMG or other applicable rules change during any extension period,
I/we will be expected to comply with the new requirements to the maximum extent
practicable. 1/we also recognize that failure to complete the excavation within this build-
out period will require the filing of a new application within the then -current SMG and
that the new application must include any applicable fees and security deposits.
www duke -energy com

Uwe attest to be the owner(s) or lease holder(s) of the land immediately adjoining the
project boundary or Duke-owned peripheral strip where the excavation activity is to take
place, or if not the owner or lease holder, Uwe have included proof of title to the property
and written authorization from the owner(s) or lease holder(s) to carry out the proposal
within the project boundary adjacent to their land.
Uwe attest to be the owner(s) or lease holder(s) of the land that will be used for
equipment staging and disposal of excavated material or if not the owner or lease holder,
Uwe have included proof of title to the property and written authorization from the
owner(s) or lease holder(s) to carry out the work on their land.
Uwe understand that all excavation work must be done directly in front of my/our
property and within the third of the cove nearest my/our property or within any middle
third of the cove that Duke Energy owns, or I/we have written authorization from the
owner(s) or lease holder(s) to carry out the proposal within the project boundary adjacent
to/on their land. Uwe also understand that access channels must run perpendicular to the
shoreline while within the third of the cove area that is nearest my/our property.
I/we understand that for proposed excavations , Uwe must notify the appropriate local,
state and federal agencies in advance of the activity by sending them a completed copy of
Duke's Excavation Permit Application Form and other required information. 11we
understand that written authorization and/or other permits may be required by some of
these agencies and such required authorizations must be obtained before 1/we submit the
final application to Duke Energy Lake Services.
Uwe understand that except for maintenance excavations, any excavation exceeding 2000
cubic yards of material removed or any excavation or shoreline stabilization work needed
to support an application that requires Federal Energy Regulatory Commission (FERC)
review does itself require specific review and approval by the FERC before Duke Energy
can issue any approvals.
I/we agree that unless specifically approved otherwise in the application, explosives will
not be used as part of this excavation activity.
Uwe understand that every reasonable effort must be made to minimize any adverse
impact on fish, wildlife and other natural resources.
I/we understand that applicants in South Carolina proposing excavations that are not
covered under the General Permit, or are greater than 150 cubic yards, must receive prior
written authorization from the South Carolina Department of Health and Environmental
Control (SCDHEC) or the US Army Corps of Engineers (as applicable) before
submitting the completed application to Lake Services.
Duke Energy Page 2, Rev 9/15/06
EXCAVATION APPLICATION CI%cune Dale 11/15/98
GpaVLAKEMGMT/Package In(ormauonlNC C-W Dredge/En,agm9 15 06 doc

I/we agree that excavation activities in North Carolina and South Carolina will not occur
during the months of March, April, May and June because of the potential impacts to fish
spawning areas.
I/we understand that trees and vegetation growing within or adjoining the lake play an
important role in its overall environmental condition, and the ecological benefit the
vegetation has on fish and wildlife habitat directly supports a sound and healthy lake
environment. 1/we also understand that unauthorized removal of shoreline vegetation (e.g.
button bushes, willows, cattails, etc.) and/or disturbance of the shoreline buffer may
result in suspension or denial of lake use permitting requests, forfeiture of security
deposits and require re-establishment of vegetation at my/our expense, particularly if the
disturbance is found to be in violation of state or local ordinances or impacts FERC
project buffers.
I/we agree that all excavated material will be placed in upland areas, landward of the
project boundary, and confined to prevent erosion and sedimentation back into the lake or
nearby streams.
I/we agree to adequately stabilize all excavated material and all disturbed shoreline to
prevent erosion and runoff into the lake.
I/we understand that the double handling of excavated material will not be allowed;
therefore, all excavated material must be placed above the project boundary in one
handling.
I/we have designed the hydraulic excavation process (if any will be 11sed) so that return
water re-enters the lake in the same general vicinity and cove as the excavation, to the
maximum extent practicable.
I/we agree that the proposed excavation will not be for the purpose of creating additional
shoreline, will not alter the project boundary or the full pond contour, and will not impact
threatened or endangered species, historic properties, or environmentally -important areas,
unless special public entity provisions were made in the application.
I/we recognize that it is my/our responsibility to clearly locate in the field and label on
my/our work area drawings any areas that require specific protection or avoidance during
this excavation work. Examples of these protection/avoidance areas include but are not
limited to, any Environmental Areas, Natural Areas or Impact Minimization Zones as
identified by Duke; jurisdictional wetlands; historic properties; rare or threatened species;
and buried gas, water, sewer, electric or communications lines. I/we agree to provide
my/our contractor with a copy of these work area drawings showing these areas to stress
the necessary protection measures.
1/we agree that if any archaeological resources (e.g. pottery shards, Indian artifacts, etc.)
are discovered during the excavation, work shall be halted immediately. 1/we will then
notify Duke Energy Lake Services and the State Historic Preservation Office to
Duke Energy Page 3 Rev 9/15106
EXCAVATION APPLICATION EReane Date 11/15/98
GpaVLAKEMGMT/Package Informauon/NC C -W Dredge/Excagre9 15 06 doe

determine what measures, if any, I/we must pursue to protect or salvage the
archaeological resources.
1/we agree that any excavation from within the project boundary will not exceed the
volume as outlined in the application and will remove and disturb only what is absolutely
necessary to achieve the project's stated purpose.
1/we agree to be fully responsible for the permitted lake use and 1/we understand that this
responsibility is considered to transfer automatically along with ownership and leases of
the adjoining tract.
1/we understand that Lake Services representatives may issue Stop Work Directives for
any violations of the SMG and that other consequences may result from such violations,
including but not limited to suspension or cancellation of approved permits, increases in
fees, modification or removal of non -complying structures and restoration of disturbed
areas at my/our own expense or loss of any consideration for future lake use permits.
I/we agree to immediately comply with any Stop Work Directives, to fully cooperate with
Duke Energy Lake Services and other agencies as necessary and to perform the necessary
remedial actions within the specified time frame.
1/we agree to develop any required mitigation plans and to complete any required
mitigation activities at my/our own expense within the specified time frames. 1/we
recognize that the excavation work is not considered complete and deposits will not be
refunded until the mitigation requirements (if any) have been satisfactorily fulfilled.
I/we agree to notify Lake Services by phone when the excavation is initiated and to
ensure that during the excavation period, the weather-proof "Duke Energy Approved
Lake Use Activity"sign (to be provided by Duke Energy) remains posted at the job site
and visible from the water's edge.
I/we agree to notify Lake Services in writing when the excavation is completed
(including any required mitigation measures) and that the excavation was completed per
the approved application, so a close-out inspection can be performed.
I/we have included a check for the applicable filing fee and security deposit, and copies
of all other necessary permits. 1/we recognize that security deposits will not be refunded
if any violations of the SMG or this user's agreement occur.
1/we understand that there will be no change in hydro project operations as a result of the
excavation and/or utilization of the excavated area.
1/we agree to maintain the work area in a safe condition and to fully indemnify and save
Duke Energy harmless from any and all claims, liability, loss or damage that may arise
from this excavation project.
Duke Energy Page 4 Rev 9115/06
EXCAVATION APPLICATION ERCLRe Dare H/15/98
Gpal/LAKEMGMT/Package Inlor tion/NCC-WDredge/Excagre91506doc

Uwe understand that this user's agreement does not, in any way, constitute the transfer of
any rights in real property and that nzy/our use and enjoyment of FERC project lands and
waters shall not hinder the general public's lawful use and enjoyment of the same.
Sincerely,
I�res�de��-
TO & COmPoLn\l
Applicant's qame (Pri t) Lot # Applicant's Signature
*Co -Applicant's Name (Print)
*Co -Applicant's Name (Print)
*Co -Applicant's Name (Print)
*Co -Applicant's Name (Print)
Lot # *Co -Applicant's Signature
Lot # *Co -Applicant's Signature
Lot # *Co -Applicant's Signature
Lot # *Co -Applicant's Signature
* Co -Applicants exist when the proposed work is being done under a single application, will be performed
by a single contractor as one continuous 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 several checks from the Applicant and Co -
Applicants By signing this agreement, Co -Applicants are in fact recognizing and agreeing to the same
conditions as Is the party signing as Applicant
Duke Energy Page 5
EXCAVATION APPLICATION
GpaULAKEMGMT/PaUage Inf0r ation/NC C -W Dredge/Ercagn:9 15 06 doc
Re, 9115/06
rlrecure Date 11/15/98