20231063 Ver 1_duke app_20230801

I►Ac VncrCm FmA,l nllon 11ct•nlll v%pplleallon horn[
►Im hl kI I \I It/,\ 1'\1 41%11
I►Ikr1IlrN„
Mrl., ■n ,n 1 rl ►11-11 \ t'hcek M - -- Dole ItcCV'd
t1Nr ,•I INAI I nr•C, 1 n►r \rt,, hey. gq•lp enl nrnl 01 I1•n11Ilk 1U1 1111-ii1C DnIC_
t•p" 1 f .•1,.,,.•n \ ,•,,I.n,r )%I%•a Milking% I leld - Villlled
Initials
Initials
Initials
�rr�•... 1,` \u� NI,,•A 11% ' -- — — Date
1 h In 1I (Sign)
I•„e 1 ,,I,q.l,-n... h,V�nnd _ Date of Any Apprrn ed lixicnsion Initials
ro—ei Initials
*.r� %,wc %%oit (*Orr% or S\Ili Violations•:'tchr(k one) ❑Yes ❑No (if Yes, explain in PART V)
lUw I1ro.11 Kcttiin ik�d Initials Date Permit Database Updated Initials
• 1 orwand copy of appro%ed application (all pages, plus any attachments that Duke Energy changed) back to applicant
.Ice Apprul al Letter and highlight any changes. File copies of Approval and Close-out Checklists and any Stop Work
OrOrrs w lth application.
Part 1. applicant Information (Please Print)
Nye Satish & Ashwini Ghatpande Telephone [phone]
Email::ddress: [e-mail]
Lake Address Mailing Address (if dijerent)
145 Fern Haven 131-D Berkeley Ave.
Mooresville, NC 28117 Mooresville, NC 28117
Contractor Company CTC Grading
Contractor Contact Person Tina Little Telephone [phone]
Contractor Email Address: [e-mail]
LAKE LOT INFORMATION
Lal.e Norman County Iredell City Mooresville State NC Tax Map No. 4628971333
Subdivision Lot / Section No. Lot Size .5210\cres
Duke Energy Page 4 of 13 Io% 111211:1
Excavation Program

puke Energy Excavatlon Permit Application Form
Security Deposit Refund Information
111c security deposit will he refunded alter the excavation permit has expired if no violations of
the approval occurred. The applicant will receive the security depost refund at the mailing
aci,lrrss in Pan 1 unless an alternative recipient is identified.
Scn,l the '.County deposit to an alternative recipient? (check one) ❑Yes O�No (If Yes,
rr, hi 'c n,ur►c clad nruiling adcl►•ess below.
Name:
Mailing Address:
Tax ID:
Are there any Co -Applicants*? (check one) ❑Yes ONo (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 inspection 01 18
Initials (Duke Energy) JQEJII
(applicant/contractor) I
Duke Energy [Inge 5 of 13 MV tlrzaa
Excavation Program

Dukc Encray h:xcavatian Permit Application Form
Part IL Description of Project
A. hasic lnfoainn14211
1. 0 New excavation ❑ Maintenance excavation
Purpose of excavation: (cheek once) ❑ Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
El Other (spccify): existing dock boat access
Lake user category: (check one) ®Private ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (spec(}-):
4. \lax. Excavation Area Dimensions (ft): Length 50' Width 44' Depth 6'
(Vote: include additional area dimensions if necessary so response to #S below equals max. area
dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): 488.88
6. Type of material removed (applicant determines
Clay, Silt
Cubic yards
7. Excavation Site area: •05 Acre (s) Disposal Site area: .057 Acre
(s)
8. Total Disturbed Area (including equipment staging area): .107 Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
QYes ❑No
10. Do you claim title to the disposal area? (check one) MYes ❑No
11. Do you claim title to the equipment staging area? (check one) ]Yes ❑No
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes ®No
(If Yes, specify):
13. 1low will the excavated material be entrapped and the erosion controlled? (e.g. see attached
erosion control plan and disposal area design):
Dredge will be done by barge, material will be hauled by land to site on the owners property by dump
truck. Material will be left on owners site.
Duke Energy Page 6 of 13 rev 11122121
Excavation Program

Duke Energy Excavation Permit Aaolleation Form
IA. Type(s) of excavation c+Opment to be used:
Barge, Long Reach Excavator, and Dump truck
15, Will water, or wetlands be crossed in transporting equipment to or from the site?
tchn-R one) ajl'es GNo
t li ►rs. ��t�lain)
' By barge
i o. Will return eater re-enter the reservoir? (Check one) ❑Yes ®No ON/A
x lf) i•s, specili, points) 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 ❑No
(If Yes, provide the existing permit number. If No, include a scaled drawing of the proposed
faciliA9. Permit 4-See copy of approved dock plan and drawing no tag number
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START 11 / 2023 FINISH 11 / 2023
(Month) (Year) (Month) (Year)
Duke L'nagy Page 7 of 13 rev t 1/22t2t
Excavation Program

)
�
E
(
�
2
�
e
�
�
ƒ
_
ca
ca
\
�
k
(
)
cz
�
2
\
�
�
q
'7
q
/
k
73
ƒ
'u
4
B
/
el
/
(
�
¢
�
•§
a
�
q
{
_
�
k
/
»
�
0
<
2
}
§
,
�
■
c
I
�
k
�
§
uj
k:0
Ev.
: \=
Ji
\5
/\Wo
%7
0@\
§ E
—
2
>=u
&/0-
) E
K
¥
£
«
ƒ
2
0\/
2
2
2
2
2
a|
<�
�
2
�k
<2§a
tj
k
;
t
2
§U
�
2
+
k
3
0
0
k
/
/
��
a�
79 °
} k
k
\
.k 2
u
E2
R
2
0
fn
\
/
J
LI

i
v
a
C
•
C
s
—
a
3
s
i
u
�
3
c
a
C
Q
z
z
LI
�,
✓-
U k
.. >
0 a
v
°>
M
Ea

Duke h'ncft'l' F,%cm-melon Permit Aimlicntlon Form
C. Applicant's Sip,q,t Ix
C�rnuiuntc;
Applicant Name (f)rint) S•A-T/S
applicant Signature* Date C '�Z`al L-3
Co -Applicant Name (print) ^ ►--'I� IN CTHATPA-WF-
Co-Applicant Signature* l� Date d b Z
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 Patio 10 of 13 Rv 11122R021
Excavation Program