20201320 Ver 1_Shoreline Stabilization_20201029

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/29/2020 12:45:38 PM (Submittal)
Submit by Montalvo, Sheri A 10/29/2020 8:22:21 PM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 10/29/2020 12:45 PM

Submission Form
Pre -Filing Meeting Information
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not be able
to accept your application without this important first step. The Pre -Filing Meeting Request Form is used in accordance
with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project proponent shall
request a pre -filing meeting with the certifying agency" and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5)
all certification requests shall include documentation that a pre -filing meeting request was submitted to the certifying
authority at least 30 days prior to submitting the certification request. Click here to read more information on when this
form is needed prior to application submission or here to viewthe form.
Attach documentation of Pre -Filing Meeting Request here:
Allen Stoneking DWR Pre -filing Meeting
292.06KB
Request form.pdf
Pre -fling Meeting or Request Date 9/28/2020
ID# 20201320 Version 1
I. Applicant Information [15A NCAC 02H .0502(a)]
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Primary Contact Email *
Owner Information:
Name: *
Email:*
Phone Number:*
Mailing Address:*
[e-mail]
Rease provide an er ail address for payment and requests for more infornation here.
Jeffrey Allen ETAL
jef£[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
766 Beaten Path Road
Address Line 2
City
Mooresville
Fbstal / Zip Code
28117-8984
State / Rovince / Fbgion
NC
Country
US
Name:* Brad Stoneking

Email:* [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Address:* Street Address
766 Beaten Path Road
Address Line 2
City
State / Province / Region
Mooresville
NC
Fbstal / Zip Code
Country
28117
US
Is there an agent working on the G Yes
project?* O No
Agent/Consultant Information
Name: * Donna P FIrko
Company Affiliation:* Lancaster's Custom Dock and Lift Systems Inc.
Email:* [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
1156 Perth Road
Address Line 2
City
State / Province / Fagion
Troutman
NC
Fbstal / Zip Code
Country
28166-8640
US
Asigned and dated copy of the Agent Authorization letter:*
Allen Stoneking Agent Authorization Form.pdf 185.54KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
..............................................................................................................................................................................................................
Project Name:* Allen/Stoneking Dredge and Shoreline Refresh
If your project has a formal name please use this. If your project does not have a formal name, please identify your project by
the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any
other names that ha\.e been used to identify the project in the past.
1. Provide 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.*
f Upload File
F Lookup address

Property Address Lookup:* Street Address
766 Beaten Path Road
Address Line 2
city
Mooresville
Fbstal / Zip Code
28117-8984
Latitude:* 35.575927
State / Province / Pegion
NC
Country
US
Longitude:*-80.920493
2. Provide a detailed site plan showing property boundaries and proposed locations of vegetation clearing,
structures (buildings, retaining walls, docks, impervious surfaces, etc.), rip rap, excavation or dredging
below Full Pond/ Normal Water Level elevations, and construction access corridors. You may use the
diagram under section 12.normal pool lake level/normal water level*
Allen Stoneking NCDENR Shoreline
6.06MB
Stabilization Dredge Application.pdf
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%2OLayout.docx
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a
yard stick, shovel handle, etc.)*
Allen Stoneking Photos and Property Info.pdf 1.39MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Mooresville
County:* Iredell
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:* Crescent Land +Timber Corp. Section 9, Lot 16
Include phasellot nunber
Directions to site:*
From I-77 NB, Exit 35, Left onto Brawley School Road, Right onto
Blume Road, Left onto Beaten Path Road, Left onto Cicero Lane, Left
onto Shavender Drive to "T" , Left onto Beaten Path Road. Property is on
the right.
Please include road naves and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential
Fosidential, undeveloped, etc.
6. Property Size .69
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Dredge area for boatslip access as shown in application . Shoreline
refresh for stabilization and erosion control.
8. How will the work be done?* I7 From Land
V From Water

9. Total amount of disturbance below the normal pool lake level/ normal water level:*
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
1269 sf
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet
land -ward:*
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
500 sf
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet
landward to be impacted:*
(nunber of trees, for instance)
None
Sketch:
Application Fee:
Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#. The
application fee is as follows (pursuant to G.S. 143-215.3D):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
0 $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
o I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief
o I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
o I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of
the NC General Statutes (the "Uniform Electronic Transactions Act');
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
0 1 understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Donna P. Hrko
Signature:}7

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201320
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
Alan Johnsomeads\adjohnsonl
Mooresville Regional Office - [phone]
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification
r $240.00
f $570.00

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO: 16 PLAN NO:
STREET ADDRESS:
766 Beaten Path Road
Mooresville, NC 28117
Please print:
Property Owner: Jeffrey Allen
Property Owner: Bradley Stoneki
PARCEL ID: 4627809058
The undersigned, registered property owners of the above noted property, do herebyauthorize
Donna P Hrko
(Contractor/Agent)
of Lancaster's Custom Dock and Lift Systems, Inc.
(Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
permit or certification and any and all standard and special conditions attached.
Property Owners Address (if different than property above):
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate tothe
best of our knowledge.
Auth i ignature orized Signature
Date 10-2-2020
Date10-2-2020

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I redel I County
Property Data
Parcel Number: 4627809058.000
Inquiry Date: 9/23/2020
Disclaimer: While every effort is made to keep information provided over the internet accurate and up-to-date, the County does not certify
the authenticity or accuracy of such information. No warranties, express or implied, are provided for the records and/or mapping data
herein, or for their use or interpretation by the User.
Property
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Not,
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fr a r
ry o r
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Owner/Property Info
Tax Account Number: 80059144
Old Parcel Number: 1702LO400OA016
Owner Name: ALLEN )EFFREY M ETAL
Mailing Address: 766 BEATEN PATH RD MOORESVILLE NC 28117
Property Location: BEATEN PATH RD
Lot Number: 16
Legal Description: CRESCENT LAND+TIMBER CORP S9 P014-92
Township Code: 17
City Code: 00
Neighborhood Code: 17084
Value Information - Current Year Proper Record Card (PPS)
Building Value: 190150
Other Building Features: 10260
Land Value: 300000
Tax Assessed Value: 500410
Deferred: 0

Land Information - Register of Deeds Online Search
Date Recorded
Document Type
Deed Book Deed Page Plat Book & Page
Land Area Land Type Zoning
20181207
WD
2592 2475 14-92
0.69 AC R20
Tax Information
Exemption
Tax Code 1
Tax Code 2 Tax Code 3
Tax Code 4 Tax Code 5
Null
C ADVLTAX
Null FR06ADVLTAX
Null Null
Currant Zoning Contact Infra.
Iredell County
704.878.3118
Harmony
704.878.31IS
Love Valley
704.878.3118
City of Statesville
704,878.3575
Town of Troutman
704.528.7600
Town of Mooresville
704.662.7040
Village of Davidson
704.892.7591

I CONNECTGIS Iredell
Printed October 28, 20
20
SeNG e Below for Disclaimer
1
Addresses
` Infrastructure
NonResidential Use
la&1 Residential Use
Streets
— Interstate
Ramp
.,y
— US Hv�y
'— State Hay
Main Road
Local Road
Residential
Private
�l Inactive
Parcels Hooks
J
Parcels
13
Parcel Labels
Citv Limits
Lake hormar
Iredell Court,,, -lire
NC Courties
75 Feet
rel
aps prepared for this website are generated from recorded deeds, plats, and other public records. Users of these maps are hereby notified that the information
ed herein should be verified. Iredell County assumes no legal responsibilities for any of the information contained on this site. users are advised that the use o
this information is at their own risk. All maps on this site were prepared using a 1000SEgyp Grid based upon the North Carolina State Plane Coordinate System from
83 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to be used or relied upon a
notice of tax liens. For additional information regarding delinquent taxes, contact the Iredell County Tax Collector's Office.

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LAKE NORW NORTH, NC

Project
Owner. . J e k-trey /A 1 1 e n
Print
Contractor/agent _
print
e,
The approval is The the purpose and design described in your application. Impacts not indicted in the
application is a violation of the Buffer Rule. Site specific work should be provided in the application_ [15A
NCAC 02H .0506 and 15A NCAC 02B .0243(g)]
Trees are not allowed to be removed frorn Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be
removed. Minimal shaping and sloping along the Immediate shoreline is allowed. [15A NCAC 028.0243(6)]
V.
Benching, grading in the buffer Is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243
(6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically
approved by the Division. Them are limitation on size for decks. [15A NCAC 02B .0243(4) and (6)]
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved actem corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), (8)]
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. [15A NCAC 028.0243(5), (6)]
AcbmWedgement of Na ii wdw
I, e i 1 hereby state that I have been Informed of the Catawba
Riparian Buffer R le. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWiR), is a violation and subject to enforcement Due diligence will be
taken such that the construction will be built within substantial compliance and Intent of the 401 VVater
Quality Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting
materials.
Signature (owner): pate; 1 0, - Z -ZL

K" State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Please approximately sketch the following information on this plan and provide dimensions far
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
Full Pond/ Normal Water Level
�'''' M
Shoreline
Plan View
FORM: SSGP 02-2017
Full Pond/ Normal Water
7horeone i
2ft:150k
addltlorW dearhS
• If �ry
E
Plan View
La ke
(At Full Pond/ Normal Water Level)
�tro
a ke
red
Lake
(A[ FOP Pond/ N-I Warrr I—J)
Existing Dock
/ 30 ft.7 f,
��• rr� ram• -
�a)wa1�N
AMPLE
Page 1 of 3

i V )xAU Tlctl e Av
Lake a
{At F I Pond/ Normal Water Level)
Side View
LL.
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
"if necessary
Existing bank
10 ft. bank
Side Vi
AMPLE
FORM: SSGP 02-2017 Page 2 of 2

Duke Energy Lake Services
Guidance for Completing an Excavation Permit Application
Note: If you are proposing excavation in association with the permitting of a new
or expanded facility under the Marina or Conveyance Programs, you do not need
to complete this application. Instead, you should incorporate the excavation
request into the permit application for the marina/conveyance using the
appropriate application.
Step 1: Contact Duke Energy Lake Services
Complete "Part I" of the application and develop a drawing of the proposed excavation area.
Contact Duke Energy Lake Services to schedule a site visit. Lake Services will conduct a site
visit to determine if Duke Energy will accept an excavation permit application for the proposed
work. If the Lake Services representative determines the application process may proceed,
he/she will initial Part I of the application.
Step 2: Draft Application Development
Complete Parts Il-III.A-G and Part V of the Excavation Permit Application.
Step 3: Agency Consultation
Send the draft application developed during Step 2 to the agencies for review and comment on
the proposed activity. Refer to the Agency / Organization List available from Duke Energy to
determine which federal, state, regional, and local agencies and organizations require
consultation or review.
Note: Duke Energy reserves the right to require consultation with additional organizations
beyond those included in the Agency / Organization List.
Each agency / organization must be provided at least 30 days prior notification. Evidence must
be provided (e.g., response letter or Certified Mail receipt) in the complete application to show
each agency / organization was given the opportunity to review the proposal.
Consultation letters must be dated within the two years preceding Duke Energy's receipt of the
application. All permits must be valid at time of application and have a term longer than the
projected schedule for completing the permitted project.
What to Expect During Agency Review and Comment:
• You will typically receive a letter from each agency / organization either documenting its
concurrence with your proposal, requiring additional information, recommending
modifications, or offering no comment. You must address each agency's / organization's
comments with a follow-up letter and in your final application as described in part IV.
• If you do not receive any documentation from an agency / organization within 30 days of its
receipt of your proposal, you must provide the agency / organization with a follow-up letter
requesting comment on your proposal within 15 days from the date of the follow-up letter. If
you still do not receive any response as a result of the second letter, type "NO RESPONSE"
Duke Energy Page 1 of 13 rev 10/1/2019
Excavation Program

at the top of the follow-up letter and include it in the application along with proof of the
agency's / organization's receipt of the letter (e.g., Certified Mail receipt). You may proceed
with the application process recognizing, however, that if its comments come later in the
application process, you will be required to address them.
From the United States Army Corps of Engineers (Corps): (* * Note — The Corps may have
additional forms to submit for your proposal and an additional fee.) If the excavation can be
done under the requirements of the General Permit (GP) or a Nationwide Permit (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.
You must receive written documentation from the Corps that your application either (1)
meets the requirements of the GP or a NWP or (2) the proper 404 Dredge and Fill permit has
been received before Duke Energy can process your application.
From the North Carolina Department of Environmental Quality (NCDEQ), Division of
Water Resources: (Note NCDEQ may have additional farms to submit for your proposal
and an additional fee.) If the proposal meets the requirements of the Clean Water Act Sect.
401 Water Quality Certification, you will typically receive a letter from the NCDEQ Division
of Water Resources documenting Sect. 401 Certification and providing any additional
instructions. You may also receive a letter requiring additional information or
recommending modifications. You must receive written documentation from NCDEQ
noting any required Sect. 401 Certification has been received before Duke Energy can
process your application.
From the North Carolina Wildlife Resources Commission (NCWRC): 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 without submitting a follow-up request,
recognizing however if comments come in later in the application process, you will be
required to address them.
• From the South Carolina Department of Health and Environmental Control (SCDHEC):
(Note — SCDHEC may have additional forms to submit for your proposal and an additional
fee.) The SCDHEC conducts a joint application process with the USACOE in S.C. If the
proposal meets any applicable requirements of the Clean Water Act Sect. 401 Water Quality
Certification, you will typically receive a letter from SCDHEC documenting Sect. 401
Certification and providing any additional instructions. You may also receive a letter from
USACOE requiring additional information for the agencies participating in the joint
application process. You must receive written documentation from SCDHEC noting Sect.
401 Certification has been received if required before Duke Energy can process your
application.
• From the South Carolina Institute of Archaeology and Anthropology (SCIAA): 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
without submitting a follow-up request, recognizing however if comments come in later in
the application review process, you will also be required to address them.
Duke Energy Page 2 of 13 rev 10l1/2019
Excavation Program

Step 4: Final Application & Submittal to Duke Energy
Following the consultation process, finalize the application. The final application submitted to
Duke Energy should incorporate all comments and recommendations provided by agencies and
organizations during the agency consultation process as well as copies of all permits received. In
addition to the final application include the following:
• One check payable to Duke Energy for the application fee and security deposit
• If applicable, a separate check payable to the appropriate Habitat Enhancement Program fund
• Signed Excavation Program AppIicant's Agreement
Note: Co -applicants must also submit the application fees and applicable HEP fees with the
application.
Duke Energy Page 3 of 13 rev 10w2019
Excavation Program

Duke Energy Excavation Permit Application Form
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit S Check # Date Recv'd Initials
Date of Duke Energy Lake Services, applicant and/or contractor on -site inspections Dat�7�p Initials��—
Date Final Protection/Avoidance Area Markings Field - Verified
Approved to Start Work By * :
Date Completion Required
Date Passed Closeout Inspection*
(Print)
Date of Any Approved Extension
Initials
Initials
Date
019-)
Initials
Any Stop Work Orders or SMG Violations*? (check one) ❑Yes ONo (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
Part 1. Applicant Information (Please Prints) nth
Name 7E? g� ey Ak l en ETA L- Telephone — G�7- "l'1(D(o
Email address:
Mailing Address (if different)
Contractor Company LanCC1�-P-m-5, C.
Contractor Contact Person n Q i' k tr KO Telephone 3Q4 . (yZ9 _1c09&
Contractor Email Address:
LAKE LOT INFORMATION
p 1 N : CPV"o58
Lake No,fl, rounty Irddell City Dior r;1 StateA/6 Tax Map No. 8M5q 1414
Subdivision Lot / Section No. Lot Size •(99 Acres
+T,Y-A ay- Corp
Duke Energy Page 4 of 13 rev 10/1f2019
Excavation Program

Duke Energy Excavation Permit Application Form
Are there any Co -Applicants*? (check one) ❑Yes Mo (If Yes, include names, street
addresses or lot numbers, pier numbers, phone numbers, and email addresses 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 continuous project, and is done to benefit multiple
owners / lease holders of Project -front properties within a single development. There can be no
more than 4 co -applicants in addition to the lead applicant on any application.
Do not continue the application until an on -site inspection has been conducted between a
Duke Energy Lake Representative and the applicant and/or the excavation contractor.
NOTE. Initialling this portion of the application by a Lake Representative in no way
constitutes approval or eminent approval of the excavation or any other lake use permitting
activity.
Date of on -site inspectiod)q 3b -zo
Initials (Duke Energy)
Duke Energy
Excavation Program
(applicant/contractor)

Duke Ener v Excavation Permit Application Form
Part II. Description of Project
A. Basic Information
1. Type of excavation: (check one) eNew excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) Q Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
❑ Other (specify):
3. Lake user category: (check one) 011rivate ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (specify):
4. Max. Excavation Area Dimensions (ft): Length 4 U Width $ Depth �
(Note: include additional area dimensions if necessary so response to #5 below equals max. area
dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): z / Cubic yards
6. Type of material removed (applicant determines by field sample if practical): GJ4n 81 '�5 t ,k' q C1al
7. Excavation Site area: Z Acre (s) Disposal Site area: . O Acre(s)
8. Total Disturbed Area (including equipment staging area): '�' Acre (s)
9. Does t roject meet the requirements of the applicable General Permit? (check one)
ees Jo
10. Do you claim title to the disposal area? (check one) ❑Yes ✓50
11. Do you claim title to the equipment staging area? (check one) 131res Vo
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) Yes Rio
(If Yes, specify):
13. How will the excavated material be entrapped and the erosion controlled? (e.g.. see attached
erosion control plan and disposal area design): Dre6,0.1e, Y1r10.{eri0JS ID 1C1tCll
exCowator, Load MaLl-ericJs into dump irLvLl'SS 410r Pie►-' S
o-n d tr4-r1S pcw+ -it dis'Posal oLr*CL.
Duke Energy Page 6 of 13 rev 10/1/2019
Excavation Program

Duke Energy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used: L=C-Vve-,
reja.ci exmva+o�-, 5ho+r + reach
�.xC0.Va'l-Dr) 1oo�+r9e5 44 CILLMP
15. Will wate77,;
etlands be crossed in transporting equipment to or from the site?
(check one) ❑No LJCA-V�e- levels
.pr-v j4-rt�
(If es, explain) CXCOlVC1.�OV1 eCjl)i vh tILCCv1a�i0a�
1��-, Dre e_ Wi1l�
10 d led o to M ba;n
,
v1 r 1�4c_N ov 1 5(o er�T"�
16. ill return water re-enter IFie reservot ecLe I dfi e"
V"jk vne *es i QN48117 C�7N/A
4 )
(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, provide the existing ermit number. I No, include a scaled drawing!of t�e proposed
facil�i.{�yv). Perr it # W %leW doc-M be i'1"11
�• Sew
0.*CLChe en9>`neer;n plcLns. �'�va.�e acs NO
-1S. Total planned duration of the �v'ork (Include first equipment mobilization, e�On
through final mitigation measures complete);
START /Z I &= FINISH 1 ZOV
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 13 rev 10/1/2019
Excavation Program

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Duke Enert!v Excavation Permit Application Form
C. Applicant's Signatures
Comments:
Applicant Name (print) �elti �U MenT1-k L�
Applicant Signature* Date
Co -Applicant Name (print)
Co -Applicant Signature* Date
Co -Applicant Name (print)
Co -Applicant Signature* Date
Co -Applicant Name (print)
Co -Applicant Signature* Date
Co -Applicant Name (print)
Co -Applicant Signature* Date
*Per my signature, the information provided in this application is correct to the best of my
knowledge.
Duke Energy Page 10 of 13 rev 10/1/2019
Excavation Program

Duke Eneri!y Excavation Permit Application Form
Part III. Additional Information
Deed and Survey Plat: A copy of the deed and registered survey plat or other instrument
under which each applicant and co -applicant claims title to the affected property (the
shoreline adjoining the excavation area, equipment staging area, area crossed by any spoil
and return water lines, and the disposal area). If the applicant(s) is(are) not 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 written authorization from the owner(s) to carry
out the project on their land.
Excavation Area Drawing: An accurate drawing of the area to be excavated. The drawing
must show at a minimum, a North arrow; the boundaries and acreage of the proposed
excavation area and equipment staging areas; lake, county, city, cove, tributary, road and
subdivision names and lot numbers (as applicable); property corners for project front lots;
the full pond elevation contour and lines dividing the cove width into equal thirds (as
applicable); approximate volume in cubic yards of the material to be excavated; point(s) of
return water re-entry; the boundaries of any adjoining areas that are to be specifically
avoided or protected during the work and the location (address) of the disposal area for the
excavated material. [NOTE: A copy of this drawing must also be provided to the
excavation contractor to ensure restricted areas are not impacted.]
Disposal Area Drawing: An accurate drawing of the proposed design for the disposal area.
The drawing must show at a minimum, a North arrow; the boundaries and acreage of the
proposed disposal area; lake, county, city, cove, tributary, road and subdivision names and
lot numbers (as applicable); the full pond elevation contour (unless disposal is well away
from the lake); the boundaries of any adjoining areas that are to be specifically avoided or
protected during the work; the location (address) of the excavation area from which the
material came and a statement of the disposal area's capacity with all dimensions labeled
that were used in the volume calculation. [NOTE: A copy of this drawing must also be
provided to the excavation contractor to ensure restricted areas are not impacted.]
Also note for projects larger than one (1) acre in North Carolina, including excavated,
equipment staging, and disposal areas, you must submit an erosion control plan. For
projects larger than two (2) acres in South Carolina, including excavated, equipment staging
and disposal areas, you must submit an erosion control plan. For projects < two (2) acres in
South Carolina, you must submit a completed standard reporting form for construction sites
disturbing two (2) acres or less to the South Carolina Dept. of Health and Environmental
Control (SCDHEC) - Stormwater Management
�D Vicinity Map and Driving Directions: A vicinity map and directions by road showing
directions to both the excavation area and disposal area. Include the latitude and longitude of
both the excavation area and the disposal area.
Part IV. Agency Reviews and Approvals
Begin this section with a summary table of all agencies consulted and applicant response to
agency comments as shown in the example table below. Agencies should be listed in the order
Duke Energy Page 1 1 of 13 rev 10/1/2019
Excavation Program

Duke Energy Excavation Permit Application Form
shown in the Agency/Organization List. Consultation letters must be dated within the two years
preceding Duke Energy's receipt of the application.
Table IV-1. Sample Agency Comment and Response Table
Agency Comment
Applicant Response
Agency 1
The activity is approved as proposed.
NA
Agency 2
The on -site well provides drinking water to the
Contacted Mr. Smith on 1/l/20xx. No
public. Please contact Mr. Smith to discuss the
further action needed.
proposed changes and potential issues
associated with your proposal.
You must contact us immediately if
Applicant will contact Agency 2 if
endangered species are located during the
endangered species are located during
course of construction.
construction
Agency 3
Requested agency comments on 1/l/20xx and
NA
again on 2/1/20xx. No response as of
2/16/20xx.
Agency 4
Section 401 Water Quality Certification
Applicant will comply with the conditions of
the 401 Water Quality Certification
Following the table of agency comments and applicant responses, include a table of permits and
certifications issued by the reviewing agencies. As with the table of agency comments and
applicant responses, agencies should be listed in the same order as they are listed in the
Agency/Organization List.
Table IV-2. Sample Agency Permits and Certifications Table
Agency
Permit/Certification Name
Date of
Date of
Issuance
Expiration
Agency 1
Surface Water Withdrawal Permit
Agency 2
Section 401 Water Quality Certification
Following the two summary tables, include a copy of all correspondence to and from any local,
regional, state and federal agencies or other organizations with which you are required to consult,
including any required permits (e.g., Section 401 water quality certifications, Section 404
dredge/fill permits, building permits, etc.) or other approvals or comments which have been
obtained from these organizations regarding this activity. Include a copy of any local, regional,
state or federal regulations or guidelines that will be followed. All permitting issues must be
resolved and clearly documented. Correspondence should be organized in the order the agencies
are listed on the Agency/Organization list with the applicant's request for comments followed by
additional correspondence in chronological order. All permits must be valid at time of
Duke Energy Page 12 of 13 rev 10/1l2019
Excavation Program

Duke Energy Excavation Permit Application Form
application and have a term longer than the projected schedule for completing the permitted
project.
Part V. Additional Information
Provide relevant additional information. Reference previous parts as applicable. Include the
FERC-required Environmental Assessment if you were directed to do so during the initial site
visit. If there are co -applicants, this is where their information would be provided (see Part I).
Duke Energy Page 13 of 13 rev 10l112019
Excavation Program

Type: CONSOLIDATED REAL PROPERTY
Recorded: 12I7f2018 4:12:03 PM
Fee Amt: $1,626.00 Page 1 of 4
Revenue Tax- $1,600.00
Iredell County, NC
Ronald N_ Wyatt Register of Deeds
BK 2592 PG 2475 - 2478
Drawn by: Alan G. Carpenter, Attorney at Law
1318-C Davie Avenue, Statesville, NC 28677
Excise Tax: $1,600.00
STATE OF NORTH CAROLINA
GENERAL WARRANTY DEED
COUNTY OF IREDELL
THIS DEED made this 7zn day of December, 2018, by and between
William F. Bitters and wife, Cheryl A. Bitters,
hereinafter called the "Grantor," whose mailing address is: 1002
Thessalian Lane, Indian Trail, NC 28079
and
Jeffrey M. Allen and wife, Jennifer M. Allen (a one-half undivided
interest) and Bradley J. Stoneking and wife, Katharine E. Stoneking
(a one-half divided interest),
hereinafter called the "Grantee," whose mailing address is: 766
Beaten Path Road, Mooresville, NC 28117
(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 the context.)
WITNESSETH:
Page 1 of 4
R.O.T.C. ftse eetmt
BINS OPQ 0SF

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 Iredell County, North Carolina, and more particularly
described as follows:
TRACT I:
BEING all of Lot 16 Section 9 as the same is shown on a map thereof
recorded in Map Book 14 at page 92, Iredell County Registry. For
back title, see Deed Book 1018, page 2088, Iredell County Registry.
Parcel 1: That certain tract of land containing 0.0049 acre, bound
on the east by lands now or formerly of M. Henry Deal and on all
other sides by Grantor's Cowans Ford Hydroelectric Project (Lake
Norman), as shown on plat of survey as attached to the deed
recorded in peed Book 1024, page 785, Iredell County Registry.
Parcel 2: That certain tract of land containing 0.0161 acre, bound
on the southeast by lands now or formerly of M. Henry Deal and on
all other sides by Grantor's Cowans Ford Hydroelectric Project
(Lake Norman) as shown on plat of survey as attached to the deed
recorded in Deed Book 1024, page 785, Iredell County Registry.
Parcel 3: That certain tract of land containing 0.0021 acre,
bound on the east by lands now or formerly of W. Henry Deal and on
all other sides by Grantor's Cowans Ford Hydroelectric Project
(Lake Norman), as shown on plat of survey as attached to the deed
recorded in Deed Book 1024, page 785, Iredell County Registry.
The above three tracts containing a total of 0.0231 acre are shown
on a plat of survey entitled "Duke Power Company Cowans Ford
Development Land Exchange with Lot 16 Section 9 Recreation Lots",
dated March 20, 1997. For back title see Deed Book 1024, page 785
and Book 74, page 7B in the office of the Register of Deeds for
Iredell County.
Duke Power Cc. reserved from the conveyance In Deed Book 2024, page
785, the following rights, privileges and easements:
A perpetual easement for the purpose of intermittently and
recurrently flooding or raising the waters of the Catawba River and
its tributaries over and upon any portion of the land hereinabove
conveyed having a surface elevation less than 770.0 feet above mean
sea level, U.S.G.S. datum, in connection with or incident to the
operation of a hydroelectric power plant and dam on the Catawba
River having a height at the top of the spillway gates when closed
of 760.0 feet above mean sea level, U.S.G.S. datum; together with
Page 2 of 4

the right at any time and from time to time to clear a portion of
said land up to 770.0 feet above mean sea level, U.S.G.S. datum, of
trees, underbrush and other growth and to drain and otherwise use
said portion of said land in any manner and to any extent up to
770.0 feet above the mean sea level, U.S.G.S. datum, which Duke
Power Co. finds necessary or desirable in connection with the
maintenance, operation, construction or reconstruction, of the said
dam and power plant and the reservoir of lake created by same; and
for the purpose of exercising the rights herein reserved, Duke
Power Co. reserves the right of ingress and egress over the land
hereinabove described, such right to be over such roads as are now
or as hereafter may he on said land, and in case there is no road
on the land which is suitable for ingress and egress by Duke Power
Co. , the Grantor will have ingress and egress over the lands herein
conveyed to the edge of the water for the purpose of exercising the
rights herein reserved.
SUBJECT to the easement to Duke Power Company recorded in Deed Book
1024, page 785, Iredell County Registry.
SAVING AND EXCEPTING the following:
PARCEL 1A: That certain tract of land containing 0.0005 acres,
bound on the northwest by Grantee's Cowans Ford Hydroelectric
Project (Lake Norman), and on the southeast by lands now or
formerly of M. Henry Deal, as shown on plat of survey recorded in
Deed Book 1028, page 1387, Iredell County Registry.
PARCEL 2A: That certain tract of land containing 0.0010 acres,
bound on the northwest by Grantee's Cowans Ford Hydroelectric
Project (Lake Norman), and on the east by lands now or formerly of
M. Henry Deal, as shown on plat of survey recorded in Deed Book
1028, page 1387, Iredell County Registry.
The above two tracts containing a total of 0.0015 acres are shown
on a plat survey entitled "Duke Power Company Cowans Ford
Development Land Exchange with Lot 16 Section 9 Recreation Lots,"
dated March 20, 1997, marked Request No. 91786, a copy of which is
attached to Deed Book 1028, page 1387, Iredell County Registry.
PIN: 4627-80-90SS
Property address: 766 Beaten Path Road, Mooresville, NC 28117
The property does not include the primary residence of the Grantor.
(NCGS § 105-317.2).
TO HAVE AND TO HOLD the aforesaid tract 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 the Grantor
is seized of the premises in fee simple, has the right to convey
Page 3 of 4

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 ail persons whomsoever except
for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the
following exceptions:
Easements, rights of way, covenants and restrictions of
record, if any.
IN WITNESS WHEREOF, the Grantor has duly executed the
foregoing, as of the day and year first above written.
(SEAL)
William F. Bitters
�t y¢ (SEAL)
Cheryl Ad Bitters
STATE OF NORTH CAROLINA
COUNTY OF IREDELL
I, a Notary Public of the aforesaid County and State, certify
that William F. Bitters and Cheryl A. Bitters, personally came
before me this day and acknowledged the execution of the foregoing
instrument. witness my hand and official stamp or seal, this
day of December, 2018.
My Commission Expires: I1-tp_Zo7-1
(Official Seal)
3ANd BENFlELD
Nahry Pub4o
ieda� Cam. NC
F F1:uoertax�
tF4 07M., " M, Pow,.-
. U
Page 4 of 4

Parcel 3
A?va= 0 AM
93.55 Sr, Ft.
(To Lot 16)
LAAS' N01r?dWN
DUKE POWER COMPANY
(W. A. MAYHEW, ET AL.)
UMI - 58
D.S. 74, PG_ 78
Parcel 2
A91va= 00hry ,
701.78 Sq_ Ft_
(To Lot 16)
PJL FGLLGWS
Q.P.GQ. PROJECT
BOUNDARY
(LAKE NORUAN)-
J
E
1
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E
I
E
i
E
t.00A PION LIAP - NOT TO SCALE
LOT f7
CAROLYN HAYNES SANDOVAL �
D.B. 950. PC. 1867
(Base 8eori
IV 66 51 bo" W
s 2o7.27-
V
Parcel 2A
r� Arsa= 0 00M Acre
J o 44.22 Sq. Ft.
o (D.P.Co.)
'ORIGINAL DP -CO.
SOUNOAR Y
Parcel 1 A
Area= 0.0005 Acre
21,84 Sq. Ft.
(D_P.Co.)
Parcel 1
E1-- II.Ot949 Ache
212.5E Sq. Ft.
(To Lot 16)
N 77.33'00" W
LOT 16
M_ HENRY DEAL
D.B. 687. PG. 481
192.88'
LOT 15
M. HENRY DEAL
CA F "*ti
�.a.er., I l .
NOTE:
TOTAL AREA TO LOT 16 — 0.0231 Ac.
TOTAL AREA TO D.P,Co_ = 0.0015 Ac.
DUKE POWER PROJECT BOUNDARY BASED ON A WATER
ELEVATION OF 757.2' ON MARCH 20, 1997 AT 7:30 a.m.
Map Prepared by:
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LINES SURVEYED i
LINES NOT SURVEYED = — — ^- --- — �
ALL CORNERS ARE AS NOTED Q
CALCLKATED POINT 0
NOTES: SURVrY LADE USING DIOSANG PHYSICAL
EVIDENCE F(NJND AT TWE OF WRWFY.
SUBJECT PROPERTY MAY eL SUBJECT 10
REEC01iDED OR UNREGOIiDIMI EASl3IFNM
RICH? -OF -WAYS. SETBAXS AND/%W
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DUKE ENERGY DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project
site can have a big impact on permitting processing time. Please complete this form and
return it along with your completed application to:
DUKE ENERGY
C/O LAKE SERVICES — EC 12 Q
526 SOUTH CHURCH STREET
CHARLOTTE, NC 28202
Applicant's Name: Jeffrey Allen, Bradley Stoneking, Katherine Stoneking
Street Address (at lake): 766 Beaten Path Road Mooresville, NC 28117
Lake Name: Norman
Subdivision Name: Crescent Land + Timber Co .
Property Section: Section 9 Lot #:
City: Mooresville County:
Iredell
State: North Carolina Zip: 281
Telephone: _ jeff allengdaimler_com bstonekin 1018 n,icloud.com,
katiestonekingntriad.rr.com
Directions (from major road or highway):
From I-77 NB, Exit 35, Left onto Brawley School Rd., Right onto Blume Road,
Left onto Beaten Path Rd., Left onto Cicero Lane, Left onto Shavender Dr. to
"T", Left onto Beaten Path Road. Property is on the right.
Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobile
home, etc.)
*Note: Please use the back of this form if desired to draw us a map to the site.

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DUKE ENERGY DIRECTIONS BY ROAD FORM
LANCASTER CUSTOM DOCKS DISPOSAL SITE
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project
site canhavea big impact on permitting processing time. Please complete this form and
return it along with your completed application to:
DUKE ENERGY
CIO LAKE SERVICES — EC 12 Q
526 SOUTH CHURCH STREET
CHARLOTTE, NC 28202
Applicant's Name: Lancaster Custom Dock Disposal Site
Street Address (at lake): 1162 River HighwayHighwqy Mooresville NC 28117
Lake Name: Norman
Subdivision Name: Big Daddy's of Lake Norman
Property Section:
Lot #:
2
City: Mooresville County: Iredell
State:
Telephone: [phone]
Zip: 28117
Directions (from major road or highway): From 1-77 NB, Exit 36, Left onto NC-
150 WB, Disposal Area is on the right behind Big Daddy's Restaurant
Complex.
Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobile
home, etc.)
*Note: Please use the back of this form if desired to draw us a map to the site.

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