20181222 Ver 1_Shoreline Stabilization_20180904

State of North Carolina
Department of ii °nf :en:
Divisic .i e ` e 4':> -es
Division of Water Resources
15.4, NCAC 0211.0500—Tater Quality Certification, Shoreline Stabilization
FORNI: SSGP 10-2013
Shoi eine Stabi➢ization Application Fog*rn PAID
Three copies of the application lication including attachments anti theapplication fee should be
T I lP ( b )
sent to:
IDiAsion of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center 2 0 1 8 2 2 2
Raleigh, NC 27699-1617
I. Applicant Information [ 15: k1' C!`_C O2I-1 J602 a l]
1. Owner Information-
Name:
nformation
Name: I� p
AW
Mailing Address: Z D L� VDOSr ? "�
�'� V"�' C'/1U&("f rj (_ I"l
Telenhone Numbero Si� y?3^ 4lC)Fax' r r=
E-mail Address: y � ��a �(/L ®t�!`j�
Agent/ Contact Person information
A signed and dated coPe of the Agent Authorization letter (a form can be dokN.Tdoaded here:
��Zv'��.Sall.L1Sace. a1-n-ov.mij. iJil11C!Is 59, loics
doc.s'Pern11t5-'' A_N'ATl 1✓ ACTEh.iTM. od" must be attached if the Agent has signed this application form.
Name: -T-.G. S A- �tt.'L_ 6.47 CC
Company Affiliation: L � . D L ,VCS
\/Inlina Address:
/v1,0D ✓cS✓t
C,o.�c
N(__'
Lti
1-7� �
Telephone \umo):s 75 � ����
Fax I`I�r h�et�
(-7W
E-mail Address: dr,
Person to receive the Certification Approval:
^
�Aq y -
II. Project Information [I uff)-:__)
01,2
�i,�v9TFRAQvgC g
I . Attach a vicinity map (i.e. street map) clearly- showing the location of the properly With � ,i J �
respect to local landmarks such as towns, rivers, and roads. A`�1`
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 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 Surd stick, shovel handle, etc.
4. Location of the property (Avhere work is to be conducted;
Count�Nearest Town:
lit
Subdivision name or site address (include phase/lot number):
--Tiu (61 ar c?� l9ev atoAl
Directions to site - please include road names and numbers, landmarks, etc.:
ja a{ -pec
Latitude !in decimal degrees)_
Longitude ldeci» it
de¢mes?
J. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.:;: i O-(
6. PropeM, size (acres):
. Lake/ river/ ocean adjacent to propern :� �� le_ZL_�7
.c /
coy. Describe proposed work(include discussion as to hoz° Hardening of shoreline has been
avoided, or why it is necessary):
�-r
vat _, 1, ^,CJ-�L-19. �.Vill work be conducted from land'.'O
10. Total amount of disturbance (including all excat•ation. bacl ill. x -.p rap_ retaining %•:alis.
etc.) be ow the normal pool lake level/ Normal Water Level in square feet or acres.
D O 1 �� - 5 4)
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
N ills. etc.) abot'e the normal pool lake level/ Normal Water Level and 50 feet land -ward
in square rent or acres:
12. Please describe flee vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted (number of trees, for instance):
0xviter/Agent's Sia-rlature f Printed S J /� ���� I .�Y
L 0 (L 0� / ,�
/ J (_ ( ,
Name S J�L / Date-
't% i�j�ts� :N .V5V!it i
Agent's signature is valid only fan authorization letter f-om the
owner is provided.

Shoreline'
V�
1
Please approximately sketch the followins information on this plan (provide dimensions for eu
i tem, such as 10 f x 100 f 1 'T:
l . Ail proposed vegetation clearing
. Location of rip rap or till to be placed above the Full Pond/ Normal V�%ater el elevation
j. Location of rip rap or fill to be placed belox the Full Pond/ Normal «% er Level elevation
4. Location of any proposed structures such as buildings, retaining s. docks. etc.
. Location of atn, excavation or dredging below the Full Pon ormal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10-2013 Page 1 of 4

Duke Energy Excavation Permit Application Form
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee S Security Deposit S Check R Date Recv'd Initials
Date of Duke Energy Lake Services, applicant and/or contractor on-site inspections DateQPJ KA ►g Initials
Date Final Protection'Avoidance Area \larkings Field - Verified
Approved to Stan «`ork By * :
Date Completion Required
Date Passed Closeout Inspection*
(Print)
Date of Any Approved Extension
Initials
Initials
Date
(Sign)
Initials
AnN Stop t% ork Orders or SMG Violations`:' (check one) 11 Yes ❑No (If 1'es, 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 I. Applicant Information (Please Print)
0
�i'�''..��) OfAT
�1,�.� . 1 �ephone)� �-f % 3�
Name J
Email address:����
Lake Address
Mailing Address (if different)
Contractor Company Lc6_% Q C E' er I A'
13-GTelehone ��
Contractor Contact Person S' �� 1 LL p
Contractor Email Address: e,
LAKE LOT INFORMATION
Laked i� 1ti1,6q, ' County 4 L� City LLLj : -y 1�4'L(.� State IPTax Map No.
33�c azo
t J Lot /Section No. i Lot Size rUAcres
Subdivision l r pL N (2n'
Duke Energy
Page 4 of 14 rev 6120117
Excavation Program.

Duke Energy Excavation Permit Annlication Form
Are there any Co -Applicants`? (check one) ❑Yes 010 (If Yes, include names, street
addresses of- lot numbers, pier numbers, phone numbers, and email addresses in Part V —
Additional Information)
k 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 arse permitting
activity.
Date of on-site inspection 0,R t Cp I a
Initials (Duke Energy) P-14t1C,
(applicant/contractor) N
Duke Energy Page 5 of 14
Excavation Program. rev 6/20/17

YOUR TRIP TO: MCDQDOW
Marshall Steam Station
26 MIN 1 12.8111111
Est. fuel cost: $1.37
M Print a full health report of your car with
Trip time based on traffic conditions as of 1:38 PM on August
1, 2018. Current Traffic: Moderate v HUM vehicle diagnostics [phone]
1. Start out going north on Old Post Rd toward Moors End.
Then 0.32 miles
0.32 total miles
2. Turn left onto Easton Dr.
Then 0.29 miles
0.62 total miles
a 3. Turn right onto Meeting House Sq.
1 -
Then 0.04 miles
0.66 total miles
4. Take the 1st right onto The Point Dr.
If you reach Trump Sq you've gone a little too far.
Then 0.14 miles
0.80 total miles
r+ 5. Enter next roundabout and take the 1 st exit onto Brawley School Rd.
Then 5.25 miles
6.05 total miles
6. Turn left onto Williamson Rd.
Then 0.89 miles
6.94 total miles
` 7. Turn left onto River Hwy/NC-150. Continue to follow NC -150.
`'
NC -150 is just past Joann Ln.
If you are on Bluefield Rd and reach Carriage Club Dr you've gone about 0.2 miles
too far.
Then 5.83 miles
12.77 total miles
r} 8. Marshall Steam Station, 8320 Nc Highway 150 E, Terrell, NC, 8320 NC
HIGHWAY 150 E is on the right.
Your destination is just past NC Highway 150.
If you reach Marshall Rd you've Cone a little too far.
Use of directions and maps is subject to our Terms of Use. We don't guarantee accuracy, route conditions or usability. You assume all risk of use.

321
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Drawn By: Duke Energy Corporation
Mail To:' Crescent Resources, Inc.
2414 Brawl ey School Road
Mooresville, NC 28117
STATE OF NORTH CAROLINA )
LEASE
COUNTY OFIREDELL }
Book 1165
pages 0432 - 0464
FILED 33 PAGE(S) n
IREDELL COUNTY NC
09/29/1999 8:24 AM .✓3
BRENDA D. BELL
Register of Deeds
THIS LEASE, Made and entered into as of the _ day of Lw f py` ^- , 1999,
by and between DUKE ENERGY CORPORATION, a North Carolina Corporation, Lessor, and
THE POINT ON NORMAN, LLC, Lessee;
WITNESSETH:
That Lessor, for and in consideration of the rents to be paid and the covenants and
agreements hereinafter expressed, to be kept and performed by Lessee, hereby leases to Lessee
and Lessee hereby leases from Lessor, subject to the exceptions and reservations and upon the
terms and conditions and for the purposes in this instrument set out, the following property
located in Iredell County, North Carolina, hereinafter sometimes referred to as "the leased
premises," to wit:
All tracts of land containing the following:
Pier Easement A - 1.0214 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed May 29, 1998;
Pier Easement B - 1.0136 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed May 29, 1998;
Pier Easement C - 0.534 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed January 12, 1998;
Pier Easement D - 0.597 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed January 12, 1998;
Pier Easement E - 1.008 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed January 12, 1998;
Pier Easement F - 0.6058 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed May 29, 1998;
Pier Easement G - 0.679 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed January 12, 1998;
Pier Easement H - 0.917 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed January 12, 1998;
Pier Easement 1 - 0.520 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed unknown date;
Pier Easement J - 0.885 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed May 29,1998;

6J}. !64.4486
1.`J1,6a},5505
PIER EASEMENT I
-
`' J 23.637 S1±
�'S 83'57'44 0.5?0 ACRES' _--
O Jp.
--- 12-.......tt_ --PROPO5t0
---PIERS ---
i - _ -- -
— _ EN-ARONI4ENTALLT
—' SFN9avE
\ 'q> COMMON OPEN SPACELa-�� AREA
7 c t
v CRCSCCr-T RESOURCES.01C.. ET AL
08K 904 PC 1969 IRON
08K 633 PC 236 FOUND
CVRVE TABLE _..
[".WwM .Cue Tb G.n•tC .JCCu ra.Kr. m.n.w wt. �. ...
MIMS AND BOUNDS SHOWN ON [OVMON OPEN
SPACE WERE C4LCU1-ATED A%'0 HOT �IELO
SURvEYED. THESE ARCAS ARE CONCEPTUAL
1N NATURE AND MLL BE RE1+15ED AT SUCH
TIKE THE CONFICURATION IS ES7AFJLlSHE0 AND
SuPvEYEO.
THIS PLA' NOT PPEPARED FOR RECORDATION
t0 UnC��tON "`.C. ktvy ISO
o z
OAT OR RO• -
D �
J
D 1n Y
z
p FrEk o
OR ATTALNME4T To DEEDc
rHIC PROPERTY MAT 6E SU?JECT TO C
aJNtT
`� 1111N11.1t1.r�
ANr EASEW[NTS AND\OP R-C,1TS OF WAY Z
NO MONI-MENTATION NAS BEEN SET AT EASEMENT Q ••---•. t
COPNCPs UNLESS 011 FOSE wOTEO
T1iI: "LA' WAS PREPAPED UNDER MY SUPER%A510rr[ SEAL _
*No WAS BASED ON AN t.C'UAL SURVEY -
r -S 'S NOT A OWNDARr CURVEY AND 1+ uNTEND�•Fofi L-3046 �..
51A.1%, -.u? ll• EA''EMENT UNLT �'•
N
`JfoOSUR�l�y��\c�:
J_ R.fK �If— -- -- IO\17 4% RO9 A{(y�p,�/ lcpmt
FRO1�C7541��4MOn
? 1\6\98 +x08 ADD METES AND gOtJNUS
TO COMMON QPEN SPACE
3 1\15\98 Rudl kOvE PIER fAS%MENT
UNE
I DIFECni
THIS MAP IS NOT A CERTIFIED SURVEY AND HAS NOT
L1
N 71'4o'S7 w
38.31'
BEEN REVIEWED BY A LOCAL GOVERNMENT AGENCY
N 81'02 29' w
47.96'
rFsSCENT aESouRCE�.M!
FOR COMPLIANCE WITH ANY APPLICABLE LAND
50-47-
NCGS MON. `[RUGA'
He to cooFlos._Pc
lo
- OBK 964 PC 1#69
236-•
DEVELOPMENT REGULATIONS.
LS
-00.6002
N:
31.2] •
Lo
Nb7-1302- w
E: 1.427,d33 SSS1
L7
N 64 S4 36 W
60.48'
760 CONTOUR TOUR LINE
-'
31.26'
L9
ncLo ow+ o.
CSP ASSOCIATCS o
39.36
p
1195
- �,:
_ �--'" ___ -•- ��� /``'
�o
Lt 3
. 5 71'49'57' E
7.+6'
V 4
S 7223'38* E
11.48'
L15
N 65'09'50- w
2-03'
�" •aaP''
j' i' F
_ _ 1,AKE NORAIAN
6J}. !64.4486
1.`J1,6a},5505
PIER EASEMENT I
-
`' J 23.637 S1±
�'S 83'57'44 0.5?0 ACRES' _--
O Jp.
--- 12-.......tt_ --PROPO5t0
---PIERS ---
i - _ -- -
— _ EN-ARONI4ENTALLT
—' SFN9avE
\ 'q> COMMON OPEN SPACELa-�� AREA
7 c t
v CRCSCCr-T RESOURCES.01C.. ET AL
08K 904 PC 1969 IRON
08K 633 PC 236 FOUND
CVRVE TABLE _..
[".WwM .Cue Tb G.n•tC .JCCu ra.Kr. m.n.w wt. �. ...
MIMS AND BOUNDS SHOWN ON [OVMON OPEN
SPACE WERE C4LCU1-ATED A%'0 HOT �IELO
SURvEYED. THESE ARCAS ARE CONCEPTUAL
1N NATURE AND MLL BE RE1+15ED AT SUCH
TIKE THE CONFICURATION IS ES7AFJLlSHE0 AND
SuPvEYEO.
THIS PLA' NOT PPEPARED FOR RECORDATION
t0 UnC��tON "`.C. ktvy ISO
o z
OAT OR RO• -
D �
J
D 1n Y
z
p FrEk o
OR ATTALNME4T To DEEDc
rHIC PROPERTY MAT 6E SU?JECT TO C
aJNtT
`� 1111N11.1t1.r�
ANr EASEW[NTS AND\OP R-C,1TS OF WAY Z
NO MONI-MENTATION NAS BEEN SET AT EASEMENT Q ••---•. t
COPNCPs UNLESS 011 FOSE wOTEO
T1iI: "LA' WAS PREPAPED UNDER MY SUPER%A510rr[ SEAL _
*No WAS BASED ON AN t.C'UAL SURVEY -
r -S 'S NOT A OWNDARr CURVEY AND 1+ uNTEND�•Fofi L-3046 �..
51A.1%, -.u? ll• EA''EMENT UNLT �'•
N
`JfoOSUR�l�y��\c�:
J_ R.fK �If— -- -- IO\17 4% RO9 A{(y�p,�/ lcpmt
FRO1�C7541��4MOn
? 1\6\98 +x08 ADD METES AND gOtJNUS
TO COMMON QPEN SPACE
3 1\15\98 Rudl kOvE PIER fAS%MENT
UNE
I DIFECni
DtSiANCE
L1
N 71'4o'S7 w
38.31'
L2
N 81'02 29' w
47.96'
L3
N 83'41'25' w
50-47-
L4
N 87$615 w
40.43'
LS
S 7223'36' E
31.2] •
Lo
Nb7-1302- w
35.59'
L7
N 64 S4 36 W
60.48'
L8
N 69'37 22 W
31.26'
L9
S 88.31'41- W
39.36
L11
S 7 '23 38 E
6.08-
L12
N 81'57'56- E
22.03'
Lt 3
. 5 71'49'57' E
7.+6'
V 4
S 7223'38* E
11.48'
L15
N 65'09'50- w
2-03'
BAR SCALE "=100'
0 50 100 200
E.S.P. ASSOCIATES. P.A.
cngir,oecIr%g - eur-vcyir+g • planning
10916 Ql'Ts4ERN LOOP BOVLEvARD
PI L£'PTY4 CAROLINA 2*61,44
(704) 583-t3+4
PIER EASEMENT FOR:
CRESCENT RESOURCES, INC..ET AL. n4;c-100
9\1S\97
DAVIDSON TOwNSMP "T' -.w
IREDELL COUNTY PrER 10wG
NORTH CAROLINA LA27

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Duke Energy Excavation Permit Application Form
Part II. Description of Project
A. Basic Info
1. Type of excavation: (check one) 0/Ney excavation ❑
Maintenance excavation
2. Purpose of excavation: (check one) Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
❑ Other (specify):
3. Lake user category: (check one) 0Private ❑Residen
tial Marina
❑Commercial Marina ❑Public
❑Other (specify):
4. Max. Excavation Area Dimensions (ft): Length Width 2'C
Depth �z `
(Note: inchide additional area dimensions if necessary so response to #5 beloli equals max. area
dimensions in -44)
5. Volume of Excavated Material (TOTAL for the project): /-73 Cubic yards
6. Type of material removed (applicant determines by field sample ifpractical)j-,-Y-*'-'1-6'k I'-
7. Excavation Site area: s 00 1 Acre (s) Disposal Site area: Acre
(s)
S. Total Disturbed Area (including equipment staging area):_ Lam) Acre (s)
9. Does th project meet the requirements of the applicable General Permit? (check one)
es ❑No
10. Do you claim title to the disposal area? (check one) Er es ❑No
11. Do you claim title to the equipment staging area? (check one) Q' es ❑No
12. Are there any water-treatm�.e,�nacilities within 50 feet of the proposed excavation area?
(check one) ❑Yes UNo
(If Yes, specify):
13. How will the excavated material be entrapped nd the erosion controlled? (e.g. see attached
erosion control plan and disposal area design): ,
�'l r
Duke Energy Page 6 of 14 rev 6/20/17
Excavation Program.

Duke Energy Excavation Permit Application Form
14. Tvne(s) of exeavatirni PnidnmPnt to 1,P „e,-A-
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) ❑Yes QIKO
(If yes, explain)
16. Will return water re-enter the reservoir? (Check one) OYeso
Y(If Yes, specify point(s) of re-entry and shoti>> on Excavation Area Dratil�ing),
17. Is there an exi 'ng facility (e.g. pier) that access is being maintained to by conducting the
excavation? es ONo
(If Yes, specify the existing permit number. If No, include a scaled drmving of the proposed
facility). Permit,
18. Total planned duration of the work (Include fust equipment mobilization, excavation
through final mitigation measures complete):
START / FINISH
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 14 rev 6/20117
Excavation Program.

Duke Eneray Excavation Permit Application Form
Part II. (Continztec)
B. Protection / Avoidance Area Description
Compefollowing table including all land areas within and immediately adjoining the disturbed area:
Protection/ idance Areas
(check all tha ly)
Approx
Identification
Method (r)
Avoid (A) or Mitigate (M)
Acre
Field ID
Work Area Pyg. ID
a. Marshland, swamp, pop eneficial
aquatic vegetation or other potential wetla
(circle all that apply)
b. Buffer Zones (sped width & source
of requirement)
c. Environmental Areas as identified by
Duke Energy
d. Natural Areas as identified by Duke
Energy
'
e. Historic properties (spec)
f. Rare or threatened species (specify)
Duke Energy
Excavation Program
Page 8 of 14
rev 2/6/17

Dukc Enerary Excavation Permit Application Form
Protection/Avoidance Areas
(check all that apply)
Approx
Identification
Method (*)
Avoid (A) or Mitij4atc (M)
Acre
Field ID
Work Area Dwg. ID
�. Buried gas, water, sewer,
communications or electric lines (circle)
h. Impact Minimization Zones as
identified by Duke Energy
I. Other areas requiring specific
avoidance, protection or mitigation (spec)
* 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 14 rev 2/6/17
Excavation Program

Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
Comments:
Applicant Name (print)
Applicant Signaturer
Date
'' 2
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 14 rev 2/6/17
Excavation Program

Duke Energy Excavation Permit Application Form
Part III. Information Requirements for All Applicants
In addition to the completed application form PARTS I & II, the following items must be
provided to Duke Energy by all applicants:
A. A copy of the deed and registered survey plat or other instnunent under which each
applicant and co -applicant claims title to the affected property (the shoreline adjoining the
excavation area, equipment staging area and the disposal area), OR if the applicant(s) is(are)
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 written
authorization from the owner(s) to carry out the project on their land.
B. An accurate scaled drawing (1"=25' for projects <1000 cubic yards of material removed or
l"= 100' for larger projects) of the area to be excavated. The drawing must show at a
minimum, a North arrow; a vicinity map; 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 frill pond elevation contour and lines dividing the cove width into equal thirds;
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.]
C. An accurate scaled drawing (1"=25' for projects <1000 cubic yards of material removed or
1"= 100' for larger projects) of the proposed design for the disposal area. The drawing must
show at a minimum, a North arrow; a vicinity map; 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. A map or directions by road showing directions to both the excavation area and disposal
area.
Duke Energy Page I 1 of 14 rev 2/6/17
Excavation Program

Duke Energy Excavation Permit Application Form
E. 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.
F. A list of names and addresses of adjoining property owners for both the excavation area and
disposal area.
G. 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).
H. A copy of all permits and/or letters of correspondence to/from local, state and federal
agencies that require notification or issue individual permits.
Duke Energy Page 12 of 14 rev 2/6/17
Excavation Program

Duke Energv Excavation Permit Application Form
Part IV. Agency Reviews and Approvals
(Begin this section with a summary table of all agencies consulted, comments received, and
applicant response to agency comments (see example table belotii). Agencies should be listed in
the order shotilm in the Agency/Organization List. Consultation letters must be dated within the
nw years preceding Duke Energy's receipt of the application.
Table IV -1. Sample Agency C'nmmPnt and D--_ Ir -Li
A enc
—'"AA—. , vuac, i
A enc Comment
avec
Applicant Response
Agency 1
The activity is approved as
NA
ro osed.
Agency 2
The on-site well provides drinking
Contacted Mr. Smith on 1/l/20xx.
water to the public. Please contact
No fiirther action needed.
Mr. Smith to discuss the 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
endangered species are located
during the course of construction.
during construction
Agency 3
Requested agency comments on
NA
1/l/20xx and again on 2/l/20xx. No
res onse as of 2/16/20xx.
Following the table of agency comments and applicant responses, include a table ofpermits and
certifications issued by the reviewing agencies. As tivith 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. Sam le Agency Permits and Certifications Table
Agency Permit/Certification Name Date ofTExpiratio
ate of
Issuance
Agency 1 Surface Water Withdrawal Permit
Agency 2 I Section 401 Water Quality Certification
Follotiving the nw 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 f •om these organizations regarding this activity. Include a copy of any local, regional,
state or federal regulations or guidelines that vi,ill 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 tivith the applicant's request for comments
follolved by additional correspondence in chronological order. All permits must be valid at time
Duke Energy Page 13 of 14 rev 2/6/17
Excavation Program

Duke Energy Excavation Permit Application Form
of application and have a term longer than the projected schedule for completing the permitted
Project.
Part V. Additional Information
(Provide any relevant additional information. Reference previous parts as applicable. Include
the FERC -required Environmental Assessment if applicable. If there are co -applicants, this is
Where their information should be provided.)
Duke Energy Page 14 of 14 rev 2/6/17
Excavation Program

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date �1 z /I
TO: Duke Energy
c/o Lake Services - EC12Q
526 S. Church Street
Charlotte, NC 28202
RE: Excavation For (Subdivision and Lot #'s or Other Project Name)
(Lake/County/City) C=C CC Vi Li -C
(Applicant's full name) 0--,iJ k l) ) AL -D JAIM hereby agrees to comply with all
recommendations, requirements 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 DCI) Cl t
In addition, I/we have read and agree to comply with Duke's current Shoreline Management Plan
(SMP), much of which is repeated herein, 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 I/1ve obtain approval for
a single, time extension (maximum of one year) in writing from Duke Energy Lake Services.
I/tine understand that if the SMP or other applicable rules change during any extension period,
I/ive will be expected to comply with the new requirements to the maximum extent practicable.
Ave 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 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 or Duke -owned peripheral strip where the excavation activity is to take place, or if not
the owner or lease holder, Ihve 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.
1/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, 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 work on their land.
Duke Energy Page 1 Rev: 6/16/17

I/we understand that all excavation work must be done directly in front of my/our property and
within the third of the cove nearest nny/our property or within any middle third of the cove that
Duke Energy owns, or Ilwe 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. Ywe also understand
that access channels must run perpendicular to the shoreline while within the third of the cove
area that is nearest nny/our property.
I/we understand that for proposed excavations, Vive 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. I/time 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/tine submit the final application to Duke
Energy Lake Services.
IAi,e 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.
Yvi,e 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.
I/ive 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/1>>e 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. I/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
nzy/our expense, particularly if the disturbance is found to be in violation of state or local
ordinances or impacts FERC project buffers.
Duke Energy Pale 2 Rev: 6/16/17

Ai,e 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.
Ihve 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.
Ave have designed the hydraulic excavation process (if any 11411 be zisecl) so that return water re-
enters the lake in the same general vicinity and cove as the excavation, to the maximum extent
practicable.
Vive 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-iinportant areas, unless
special public entity provisions were made in the application.
I/i-ve 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. Yii e agree to provide Tny/our contractor with a copy of
these work area drawings showing these areas to stress the necessary protection measures.
I/tive agree that if any archaeological resources (e.g. pottery shards, Indian artifacts, etc.) are
discovered during the excavation, work shall be halted immediately. Ilive will then notify Duke
Energy Lake Services and the State Historic Preservation Office to determine what measures, if
any, I/i•ve must pursue to protect or salvage the archaeological resources.
IAu/e 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.
Ave agree to be fully responsible for the permitted lake use and Ihve understand that this
responsibility is considered to transfer automatically along with ownership and leases of the
adjoining tract.
Ihve understand Duke Energy representatives may issue Stop Work Directives for violations of
the SMP and 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/tive agree to immediately comply with any Stop Work
Duke Energy Page 3 Ree: 6/16/17

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.
Uwe agree to develop any required mitigation plans and to complete any required mitigation
activities at n7y/our own expense within the specified time frames. I/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/tive agree to notify Lake Services by phone when the excavation is initiated and to ensure that
during the excavation period. Aye will post Duke Energy's approval letter in a clear waterproof
baa at the iob site and visible from the water's edge.
Ai,e 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/tine recognize security deposits will not be refunded if any violations of the SMP or this user's
agreement occur.
I/i-ne understand there will be no change in hydro project operations as a result of the excavation
and/or utilization of the excavated area.
JAve 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.
Vive 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 lands and waters shall
not hinder the general public's lawful use and enjoyment of the same.
Sincerely,
Applicant's Name (Print) Applicant's Sig a e
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
Duke Energy Page 4 Rev 6/16/17