20220172 Ver 1_Shoreline Stabilization_20220201

02 6 - c9 a 72._
h,a STAT E ✓J��?'l
ROY COOPER al s -, D%
frill
Governor lob"» 2 k
MICHAEL S.REGAN r ,_,,,,p,, a
Secretary 4.rg`p+u+"'0°.
S.DANIEL SMITH NORTH CAROLINA State of North Carolina
Director Environmental Quality
Department of Environment Quality
Division of Water Resources
15A NCAC 02H.0500—Water Quality Certification,Shoreline Stabilization
FORM: SSGP 09-2020
Shoreline Stabilization Application Form
Three copies of the application(including attachments)and the application fee should be sent to:
If sending via US Postal Service If sending via delivery service(UPS, FedEx, etc.)
Paul Wojoski Paul Wojoski
DWR—401& Buffer Permitting Branch DWR—401& Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
NOTE: 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)which states"At least 30
days prior to submitting a certification request,the project proponent shall request a pre-filing
meeting with the certifying agency." In accordance with 40 C.F.R.Section 121.5(b)(7), and(c)(5), all
certification requests must 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 view the
form.
Attach documentation of Pre-Filing Meeting Request to this application.
Date of Pre-filing Meeting Request: / / (required)
DWR ID# Version (if applicable) -,(_, '
vIv 4 L
a
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Reber-'-n MQr,•kriejo5
Mailing Address: 1O1- We5fi c(fi' 5fru4- un11- 656
Lkarlo fte , NG a-8 lop-
Telephone Number: 70N -S30- 5 70 8 Fax Number:
E-mail Address: Y Maz.ctric5os ®3"a;'I ( urn
V+ D E�^- North Carolina Department of Environmental Quality I Division of Water Resources
([[[�,�//���� 512 North Salisbury Street 11617 Mail Service Center ! Raleigh,North Carolina 27699-1617
D.p.m:.M oli';,, ontel OunN� /`° 919.707.9000

2. Agent/Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59/dots/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: vr.t lin ycar1-
Company Affiliation: L-c ke Norma,., D-cd1;r5 Pcrn�H- ng
Mailing Address: 1%1414 (Ses ( V'c u.tr one.
sti-ck , Pt 25 Loci
Telephone Number: 704-401--3240 Fax Number:
E-mail Address: Vaugkh 19 91-
f��rtick;l .
B. Project Information f 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, buildings, retaining walls,docks, impervious surfaces, 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: C Nearest Town: [jeviver
Lake/river/ocean adjacent to property: LaKc. W orr,4/
Property size(acres): I.Aq
Subdivision name or site address(include phase/lot number): 76'(( 131ac4 welder (d.
Dentrer, NC 26037
Directions to site-please include road names and numbers, landmarks,etc.: Pro*, µsr 150
'Turn yr h c''44bSI,nf b- ut5e- -k h.rn riyh-r woaa i 1d-cptideAre L.n,� f-kc., trhr,tku(e
ego eittu(wd
Latitude(in decimal degrees) 35,55 loci Longitude(decimal degrees) ' 10.qR 6 9'7
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped,etc.): uhct velope�l
6. Describe proposed work(include discussion as to how hardening of shoreline has been
avoided,or why it is necessary): Dreagzva5 Glrvund ex.W clod(
FORM:SSGP 09-2020 Page 2 of 5

7. Will work be conducted from land? n From water? Wi
8. Total amount of impacts below the normal pool lake level/Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls,etc.) in square feet:
2544- 4o depi+, anund dock welt) a 100r4- 250 Chwpel going out
Temporary impacts in square feet:
9. Total amount of impacts above the normal pool lake level/Normal Water Level and 50 feet
land-ward
Permanent impacts(including back fill, excavation, rip rap, retaining walls,etc.) in square feet:
Temporary impacts(temporary clearing,construction corridor)in square feet:
10. 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): Voocled
11. Signature
By signing below, I, as the project proponent,certify to the following:
• The project proponent hereby certifies that all information contained herein is true,
accurate, and complete to the best of my knowledge and belief
• 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
7 l/j /.<<>
� Z j
wri r/A ent's Signature' [15A NCAC 02H .0502(f)] Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
12. Please approximately sketch the following information on this plan and provide dimensions for
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
FORM:SSGP 09-2020 Page 3 of 5

tr uo E {- 'I
Full Pond/
MIN i MN Mill —
Shoreline
- - - - - - - Lake - - - `I
(A1(t Fo1IPontt1 N6rnrai VltaterLevvI}
( `
Normal Water Level
Plan View
1N SIN
10
S,
Full Pond/ Normal Water Level
-thoreirne
2 h.x 150 h.
additional clearing
• if necessary
E
Plan View
Lake
(A[ Full Pond/ No mal Wales Level)
Existing Dock
/30hx 7k
♦ A�'
�� Riprap
n 03 1
AMPL
3 hx 150h
Below full pond/ NW'.
4hx150h
abc, a full pond/ N\0'L
E
FORM: SSGP 09-2020 Page 4 of 5

', Lake ; a;
(A�Full Pond/Normal Water Level)
i � c
_ ' C f._ �T
13
C
Side ViewCL
D
LL
3 ft below full pond water level 4 ft above full pond water level 2 ft.additional clearing
I I I 'if necessary
••
Existing bank ',�.
',,►
10 ft.bank
height eV' O�ea OQ
Side Vi
FORM:SSGP 09-2020 Page 5 of 5

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: Ro o'(A-0 Ma is(P egos p feokSi nq County: C a4-a,4 a
tt JJ
Owner J.0SE g: t' 221 E LTvS
Print ture
Contractor/agent: VawJlin 1?-4 y Csr I— - 4wj.�
Print Signature
The approval is for the purpose and design described in your application. Impacts not indicated 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(8)]
Trees are not allowed to be removed from 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 02B.0243(6)]
Benching and 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. There 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 access 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 02B.0243(5),(6)]
Acknowledgement of Notification
I, Z. M A121 ,hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffer,not specifically stated in the application and approved
by the Division of Water Resources(DWR),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 Water
Quality Certification and Buffer Rules,the approved plan(s)and specification(s),and other supporting
materials.
Signature(owner): Date: j I /l ei/7v 2

Duke Enerev Excavation Permit Application Form
FOR DUKE ENERGI USE ONLY
Duke File No.
Application Fee S Security Deposit S Check# Date Recv'd Initials
Date of Duke Energy Lake Services,applicant and/or contractor on-site inspections Date .1f r(21 Initials Lit7)
Date Final Protection/Avoidance Area Markings Field-Verified Initials
Approved to Start Work By*: Date_
(Print) (Sign)
Date Completion Required- Date of Any Approved Extension , initials
Date Passed Closeout Inspection* Initials
Any Stop Work Orders or SM(i 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
Orders with application.
Part t. Applicant Information(Please Print)
Name Ptoberla /4azaffe3o5 Telephone 10'4 -S sd ' S706
Email address: 3Et.Maya r.^e.Sos D9r+et:,Con
Lake Address Mailing Address/if different)
76 k6 /3lae.4( .older rat, q0 - West `{r'' Sircee4- Leo-656
Denver , Nc no3 1 U•ro(lo+F,, plc -c3O�-
Contractor Company LQKL Ntreewa Preol3;13
Contractor Contact Person lictqu( r.✓lyersrV Telephone 161-t.o2 -) 560
Contractor Email Address: VD u3k t I Q92..@yrt itt I.Con
LAKE LOT INFORMATION
Lake NorMar County Ci ii bq City Newer State MC- Tax Map No.
Subdivision Lot/Section No. 2. Lot Size t•4q Acres
Duke Energy Page 4 of 13 RECEIVED re% 11,12"y
Excavation Program
FFH
DEQ-WATER RESOURCES
401 &BUFFER PERMITTING

Duke Enerev Excavation Permit Application Form
Are there any Co-Applicants*?(check one) ❑Yes IKAo (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.
i
Date of on-site inspection i
Initials(Duke Energy) ( ci> (applicant/contractor) VC
Duke Energy Page 5 of 1 3 re v 10'1 2019
Excavation Program

Duke Energy Excavation Permit Application Form
Part II. Description of Project
A. Basic Information
1. Type of excavation:(check one) l'New excavation 0 Maintenance excavation
2. Purpose of excavation:(check one) l°1Boat Access Channel
❑Water Intake Channel 0 Wastewater Discharge Channel
❑Other(specify'): I
3. Lake user category:(check one) Private ❑Residential Marina
❑Commercial Marina ❑Public
❑Other(specify):
4. Max.Excavation Area Dimensions(ft): Length 110 Width 25 Depth f 2•zs
(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): 90417 Cubic yards
6. Type of material removed(applicant determines by field sample ifpractical):
0 WI, 0,4 n re4:c th;
7. Excavation Site area: 0,07 5 Acre(s) Disposal Site area: 0.075 Acrc
(s)
8. Total Disturbed Area(including equipment staging area): 0,15 Acre(s)
9. Does the project meet the requirements of the applicable General Pennit?(check one)
L6Yes ONo
10. Do you claim title to the disposal area?(check one) ©Yes ONo
1 1. Do you claim title to the equipment staging area?(check one) Yes ONo
12. Are there any water-treatm9nt facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes 11Mo
(If Yes,sped/v):
13. How will the excavated material be entrapped and the erosion controlled?(e.g.see attached
erosion control plan and disposal area design):
Maherwl "411 be_ GJtcay.+td ,^G%, et 105 rePrA, e,cLgvlda/ 4 bony..
Duke Energy Page 6 of 13 rev 11/22/21
Excavation Program

Duke Enemy Excavation Permit Application Form
14. Type(s)of excavation equipment to be used:
( .rgey t ¶e„dei 4Soe15, 1 omi reach a-xeavafar
15. Will waters or wetlands be y.rossed in transporting equipment to or from the site?
(check one) ❑Yes No
(If yes,explain)
16.Will return water re-enter the reservoir?(Check one) ❑Yes 19No ON/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? MYes ❑No
(If Yes,provide the existing permit number. If No,include a scaled drawing of the proposed
facility). Permit# (1317
18. Total planned duration of the work(Include first equipment mobilization,excavation
through final miti ation measures complete):
START d h y / 2O - FINISH Ja II / 3-4 -2-
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 13 rev 11/22/21
Excavation Program

Duke Enerev Excavation Permit Application Form
Part II.(Continued)
B. Protection/Avoidance Area Description
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas Auorox Identification Method(*) Avoid(A)or Mitigate(MI
(check all that apply) Acre Field ID Work Area Dwe.ID_ u
a. Marshland,swamp,ponds,beneficial
aquatic vegetation or other potential wetlands IV ft
(circle all that apply)
b. Buffer Zones(specify width&source
of requirement)
NA
c. Environmental Areas as identified by tiA
Duke Energy
d. Natural Areas as identified by Duke
Energy NA
e. Historic properties(specify) AA
f'1
f. Rare or threatened species(specify)
N14
g. Buried gas,water,sewer, -r A
communications or electric lines(circle) Iv
Duke Energy Page 8 of 13 rev I I:22n021
Excavation Program

Duke EnerEv Excavation Permit Application Form
Protection/Avoidance Areas Approx Identification Method(*i Avoid(A)or Mitieate(MI
(check all that apply) Acre Field ID Work Area Dwe.ID
h. Impact Minimization Zones as
identified by Duke Energy
i. Other areas requiring specific
avoidance,protection or mitigation(specify)
* For`Field ID"column,specify entity or person that performed the identification and how it was physically marked(e.g.Duke
Energy(John Doe)/Pink and purple-dotted tape,Corps of Eng.(John Smith)/yellow flagging). For"Work Area Dwg ID"column,
show the symbol that is used on the drawings to identify the protection/avoidance area.
** List and attach mitigation plans
Duke Energy Page 9 of 13 rev 11/22/2021
Excavation Program

Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
Comments:
•
Applicant Name(print) A s c-- I L py 1 A Lsa%1-1 L-G.c S
Applicant Signature* t Date I Z/cj /_1 c L
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 11/22/2021
Excavation Program

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FILED COW IN
on Asp Q:f,2016 at 01 A900 pm
erase e Tag tows (MC)
rat#13178
DOWM HICIIsIrPeiceR,
arrerofoeeae
Mt03365 erg 06484649
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $300.00
Parcel Identifier No. Verified by County on the_day of ,20_
By: .{
Mail/Box to: 'l Sw ss-bent,"
Thin imtrumeet was prepared by: The Jonas Law Finn,PLLC,2279 North Highway 16,Denver,NC 28037
Brief description for the Index: LOT Tract 2, Minor S/div H.Mercer Davis(64/54)
THIS DEED made this 3rd day of August ,2Ci 6 by and between
GRANTOR GRANTEE
James M Hirst,Jr.and wife, Jose Roberto Mazariegos and spouse,
Kim W.Hirst Edgar Rolando Castro
160 Whitney Blvd,Unit 66
Lake Lure,NC 28746 4564 Sawgrass Ct
Denver,NC 28037
Enter in appropriate block for each Grantor and Grantee: name,mailing address,and,if appropriate,character of entity,e.g.
corporation or partnership.
The designation Grantor and Grantee as used herein shall include said pasties,their heirs,slace:mo n,and assigns,and shall include singular,
plural,masculine,feminine or neuter as required by context.
WITNESSETR,that theGraneor,fora 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,parcel of land or condominium unit
situated in the City of Mountain Creek Township, Catawba County,
North Carolina and more particularly described as follows:
BEING all and the full contents fo Tract#2 containing 1.985 acres as shown on plat and survey entitled"Minor Subdivision for H.
Mayer Davis"dated July 26,2006,prepared by Ronnie Dedmon Surveyors and recorded in Plat Book 64 at Page 54,Catawba
County Registry.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 3219 page 1750 ,
All or a portion of the property herein conveyed_includes or 21 does not include die primary residence of a Grantor.
A map showing the above described property is recorded in Plat Book 64 page 54 .
Pepe ld2
NC Ear AUOCi*ImFOIDtNO,301976.Revised 01977,2002.2013 This standard tom bes boo approved by.
Primed by Aprsmeec wit she NC Ear AasocWioa—1981 North Carob=Bar Auocia6m—NC Bar Form No.3

TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appuitenances thereto belonging to the Grantee in fee
simple.
And the Grantor covenants with the Gnome,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 flee and dear of all encumbrances,and that Grantor will warrant end defend the title against the lawful
claims of all persons whomsoever,other than the following exceptions:
VALID AND ENFORCEABLE EASEMENTS,RESTRICTIONS,RESERVATIONS,RIGHTS OF WAY AND OTHER
CONDITIONS THAT MAY APPEAR IN THE RECORD CHAIN OF TITLE. ��
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written.
(SEAL)
(Entity Name) r/fype Name y J
By: . %{ ,,ff�__ --``
1.i. J-f111� (SEALI
Print/Type Name&Title: Name: Kim W Furst
By: (SEAL)
Prut/Type Name&Title: Print/Type Name:
By: (SEAL)
Print/lype Name&Title: Print/Type Name:
State of kBlfth('tufauna -County or City of
I,the undersigned Notary Public of the County or to of and State aforesaid,certify that
James M Hint.Jr.and wife,Kim W.Hirst paeon ily appeared before methb day and admow thedue
i ttoan foregoing i for the.., , . T-..^ • Witness my hand and Notarial stamp or seal this 5'^day of
Iyter ,
ll
My Commission Expires: 9 ,r;:1,, ' 1 fib itmIn r I ''.,oa � Public
(Affix Seal) BUG f Notety'sPrimedor •-•
State of -County or Ci 11`4• tr
I,the undersigned Notary Public of the County or City of and State aforesaid,certify that
persooally appeared before me this day and acknowledged the due
execution of the foregoing imtnmwnt for the purposes therein expressed. Witness my hand and Notarial stamp or seal this_day of
20.
My Commission Expires: Notary Public
(Affix Seal) Notary's Printed or Typed Name
State of -County or City of
I,the undersigned Notary Public of the County or City of and State aforesaid,certify that
personally came before me this day and acknowledged that
_he is the of a North Carolina or
corporation/limited liability company/general parmetship/limited partnership(strike through the
inapplicable),and that by authority duly given and as the act of such entity,__he signed the foregoing instrument in its name on its
behalf as its act and deed. Witness my hand and Notarial stamp or seal,this_day of ,20 .
My Commission Expires: Notary Public
(Affix Seal) Notary's Printed or Typed Name
Page 2 of 2
NC bar Assodadoa Liam No.3 01976.Remhed 01977,2002,2013 Thu studied form has teen approved by:
Printed by Ayee®t with the NC Bye Association-1981 Nash Carolina Bar Aaaariattan-NC Bar Rum No.3

12/12/21,1:08 PM 7646 Blackwelder Rd-Google Maps
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Excavation Project User's Agreement Letter
(Please fill in the blanks.Please Print)
Date (1'C'l02-1
TO: Duke Energy
c/o Lake Services-EC 12Q
526 S.Church Street
Charlotte,NC 28202
RE: Excavation For(Subdivision and Lot#'s or Other Project Name)
74N C 13kat welch/ !d, Denver, !Kt- zpso37
(Lake/County/City) Korean / Cafo.4k / Denver
(Applicant's full name) Rober4o Aaz0.rre3o5 hereby agrees to comply with all
recommendations, requirements and/or conditions of Duke Energy, General Permit(s) (if
applicable)and other federal,state and local agency requirements pertaining to the application to
excavate for the purpose of a 5 4- ctCCt55
in addition, I/we have read and agree to comply with Duke Energy's current Shoreline
Management Plan(SMP) or other applicable guidelines, much of which is repeated herein,and
understand that written authorization must be obtained from Duke Energy prior to beginning any
activity within the Federal Energy Regulatory Commission(FERC)project boundary or on Duke
Energy property associated with a reservoir, collectively referred to as Project Boundary. The
excavation will be completed as described in the approved application and within eighteen(18)
months from the date of written approval by Duke Energy,unless specifically noted otherwise in
the application or unless Uwe obtain approval for a single,time extension(maximum of one year)
in writing from Duke Energy.1/we understand that if the SMP or other applicable guidelines or
rules change during any extension period, I/we will be expected to comply with the new
requirements to the maximum extent practicable.I/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 SMP or other applicable guidelines and the new application must include any applicable
fees and security deposits.
I/we attest to be the owner(s)or lease holder(s)of the land immediately adjoining the Project
Boundary where the excavation activity is to take place,or if not the owner or lease holder,I/we
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.
I/we 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,1/we 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.
Duke Enery, Page 1 Re,1'6'2020

•
Uwe agree to develop any required mitigation plans and to complete any required mitigation
activities at my/our own expense within the specified time frames. Uwe 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 Duke Energy by phone when the excavation is initiated and to ensure that
during the excavation period,Uwe will post Duke Energy's approval letter in a clear waterproof
bag at the job site and visible from the water's edge.
I/we agree to notify Duke Energy 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.
Uwe recognize security deposits will not be refunded if any violations of the SMP,other
applicable guidelines,or this user's agreement occur.
I/we understand there will be no change in hydro project operations as a result of the excavation
and/or utilization of the excavated area.
I/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.
I/we understand that this user's agreement does not,in any way,constitute the transfer of any
rights in real property and that my/our use and enjoyment of FERC project and Duke Energy
lands and waters shall not hinder the general public's lawful use and enjoyment of the same.
Sincerely,
s r'
._-I C Sc l L . M A Z, ;LI c etcS -
Applicant's Name(Print) plicant's Signature
Co-Applicant's Name(Print) Co-Applicant's Signature
Co-Applicant's Name(Print) Co-Applicant's Signature
Co-Applicant's Name(Print) Co-Applicant's Signature
Co-Applicant's Name(Print) Co-Applicant's Signature
Dukc em g, Page 4 Rev:4/6/2020