20190077 Ver 1_Shoreline Stabilization_20190114

State of North Carolina
Department of Environment and Natural Resources
Division of Water Rurces�
15A NCAC 02H .0500 —Water Quality Certification, Shoreliabilizabon
Division of Water Resources
FORM: SSGP 10-2013
Shoreline Stabilization Application Form ? 0 1 9 0 0 7 7
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617' \
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information 1 II //
Name: 11.1*, ( I I Q.rYI C�,r1('[ �� , zc�b2Jh Vi , te_
Mailing Address: IR44S L;ve. Oa.Ks fir.
De.n,4e_ra NC )A03'7
Telephone Number: "10K -53C) - a53ci Fax Number:
E-mail Address: h; Uk"te� horn ,1. coM
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http://www.saw.usace.army.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation:
Mailing Address:
Telephone Number: JoN - U60 - S 111 Fax Number: cloy - &(pO - 5G Coq
E-mail Address: W,%
Person to receive the Certification Approval:�an,ce. E;5 eff
II. Project Information [15A NCAC 02H .0502(a) & (b}]
1. Attach a vicinity map (i.e. street map) clearly showing the location of the property with
respect to local landmarks such as towns, rivers, and roads.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces,
FORM: SSGP 10-2013 Page 1 of 3

etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
and construction access corridors. You may use the diagram provided at the end of this
application form.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale
of some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: Li ncnt n Nearest Town: -i e.n\jer
Subdivision name or site address (include phase/lot number): ' u q'1 R6 66 J C t.
)enve.v- NIC )26-3"1 Lo -t # --L
Directions to site - please include road names and numbers, landmarks, etc.: i_ 'l'1 N.
If, ex'atl l� _ hgi'- Jed IL"h'._ i�eCv NC. IU IA -urr\ r%ghA-on ,�c� ,--,0k,rchQd
(urnr1 60
ZY4- on+n NIC I e -G sin 5c, ) I r n k + on+c, We -66-,, MSCI ; + to 164 OfTio
llur6n Ln E,rn r►nhkonIo We)n6S Chapel L -i UrCII PA +ham rtaht cynic, i lc ���r,
Latitude (in decimal degrees) 35. 5 3 q 1 IS Longitude (decimal degrees) — 80, q LO to a 1
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): I e_5►de4161
6. Property size (acres): a.82, ac -res
7. Lake/ river/ ocean adjacent to property: hlo r man
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):�r� do,r,o Vi� kna9
e _ rnn-6-ria
A-0 6c_ haukecl nc)-� 1 -Ju a_an_c
IJ
9. Will work be conducted from land? Er, From water? E'
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres:
o.ngLQ
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres: IO' X Io 0.reo Coro.e�J +C' bo -L) rv)aker-%O
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted (number of trees, for instance): Q MZS kopyer'
M i rl.. tY1Q_( C1144t )rnn ne p 4-n �N-4-�t r' r%n ry mn.co A
U ti I �— T-qo (,
M[15A NCAC 02H .0502(f)l Date
`Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

Full Pond/
Normal Water Level
i®iii}
Shoreline
La ke
(At Full Pond/Normal Water Level)
10'
M
a' C0-�
below
T
5 (0 13yF�er
r�bo�e�
WIDe,
ACCe.5b
bj%I[iamE, CItzal CAh Ie-
rl to l9 -P%v`N�h`t � C r.
-ben\jer, KC. a6c) v9
® i i i r i
No -�Yees removed
YYl ; n rna.` I) ►4u r6a rC,e
-E-o b�F�er
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft x 100 ft)*:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10-2013 Page 3 of 3

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
K'►Ie-
Project Name/ad ress: q b C 6 County: L, r\(;o1Y)
Owner:
Print
Contractor/agent: _Me_ Bee -LI nq LLC
Print iBnature
n4&
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, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 0213.0243 (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)]
Ack owl gement of N ificgtion
Ihereby state that I have been informed of the Catawba
Riparian Buffer Rule. ny ork 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 t econstrtlo wit be built within substantial compliance and intent of the 401 Water
Quality Certificat n a d Buffr ule , the appro lan(s) and specification(s), and other supporting
materials.
Signature (owner): Date:
State of North Carolina I Environmental Quality I water Resources
512 N. Salisbury Street 1 1611 Mail Service Center I Raleigh. NC 2 769 9-1611
919.7079000

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DEDMON SURVEYS
CHUCK POOVEY, PLS /3762
ROBERT DEDMON, PLS /3899
3704 NC HIGHWAY #16 BUSINESS NORTH
P.O. BOX 494 - DENVER, NC 28037
PHONE: [phone]
FAX: [phone]
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B. G. JOHNSON
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932 CHEROITEE RD
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AGENT T - DEONK SURVEYS - CHUCK POOMEY
704-453-4905
PROPOSED USE - RomEN11M.
PROPERTY IS ZONED R -SF
SETBACKS:
FRONT - 30'
REAR - 40'
SIDES - 10'
REFERENCES:
PN 4015-57-2050
PN 4915-57-1103
PW 4815-57-1242
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DB: 577
PG: 296
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DATE 9-10-18 EE7M:-
86-91
REV. 12-6-16 PO:
SCALE: 1 ` w 50' 52
CATAWBA SPRINGS TOWNSHIP
LINCOLN COUNTY, NC
SUR:. Br: HL I DRAWN: CP JOB/ RABBITS
EXEMPT COMBINATION
FOR
M. HAYES & MARY ANN P. HA
MULTIPLE PARCELS AS SHOWN
0 7679 RABBIT CIRCLE - DENVER NC

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William and Elizabeth Kile
7679 Rabbit Cr.
Denver, NC 28037
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DREDGE SPOIL DISPOSAL FORM
Project Name/address: 7Qls'� ►ebb, 4 Cr L�n ,� r ?SIC d�631 County: ,icy(►-� _
Location Address: l�,
�•rm I-��uU ��v r�,�i,l(� NC' af�llr
Parcel #: L{ t eI „ —1 _,), G l _ I _ IJ -,'A
Parcel/lot size (`o . L4Q c, Lr
Disposal area required (sq ft and/or acreage) L Cc) X 100 l
Acknowledgement of Notification
am aware that the site must adhere to all state regulations
and rules regarding sedi ent and erosion control and water quality. And give permission for
Name of Individual and Company
to dispose of their dredge material at the above stated location
Owner:
Along with form, please provide:
Aerial of parcel/lot (County GIS)
Photo of proposed spoil site
Identified proposed spoil site

SPCONNEC-�GIS
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Duke Ener2v Excavation Permit Ayip ieation Form
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit S Check # Date Recv'd Initials
Ditto of Duke Energy Lake Services, applicant and/or contractor on-site inspections Date Initials
Date Final Protection/Avoidance Arca Markings Field - Verified Initials
Approved to Start Work By * : Date
(Sign)
Date Completion Required Date of Any Approved Extension Initials 4 r
Date Passed Closeout Inspection*
Initials
Any Stop Work Orders or SMG Violations*? (check one) ❑Yes ❑No (!f Yes, explain irr 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 I. Applicant Information (Please Print)
NameLJ-, IIia_tft E ; 2"e4i1i i _ Telephone ring- Sao - R539
Emailaddress:•- •�. u' ...
Lake Address. -I allIg
`
Contractor Company
Mailing Address (i different
'78J457 Lyp Oaks Dr
1, N 1 M-44
Contractor Contact Person , Ta kr- Telephone (_)lett - UG() -SI 11
Contractor Email Address:LAKE LOT LOT INFORMATION
Laked County Li innj n City -be -ave -e State_UO_Tax Map No.
Subdivision N A Lot / Section No. Lot SizeAcres
Duke Energy Page 4 of 14 rev 216/17
Excavation Program

Duke Energy Excavatlon -Permit Apniicatlon Farm
Are there any Co -Applicants*? (check one) OYes hyo (If Yes, inchtde names,
addresses or
lot numbers, phone mmnbers, lot sues 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. The check for the
application filing fee and security deposit should be from the party shown as Applicant and not
several checks from the Applicant and Co -Applicants.
Do not continue the application until an on-site inspection has been conducted behveen a
Duke Energy Lake Representative and the applicant and/or the excavation contractor.
NOTE: Initializing 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 perfnitting
activity.
Date of on-site inspection l
Initials (Duke Energy)
(applicant(contractor)
Duke Energy Page 5 of 14 rev 2/6117Excavation Program

Duke Enerav Excavation Permit AvOication Form
Part 11. Description of Project
A. BASIC INFO
1. Type of excavation:.(check one) O New excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) ❑ Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
'Other (specify): ncL• + docVk L,.a=y e,95
3. Lake user category: (check one) 0fr"ivate ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (specify):
4. Max. Excavation Area Dimensions (ft): Length 30, Width —r-10'
Depth r4 '
(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): 155. IS.5 _Cubic yards
6. Type of material removed (applicant determines by field sample if practical):
7. Excavation Site area: _ Qq to Acre (s) Disposal Site area: Q, aq Acre
(s)
S. Total Disturbed Area (including equipment staging area): _ OG l0 Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
❑Yes ❑No
10. Do you claim title to the disposal area? (check one) 6'Yes ❑No see cL4+c- i of deed
11. Do you claim title to the equipment staging area? (check one) ❑Yes W<0
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes Of4o
(If Yes. specify):
13. How will the excavated material be entrapped and the erosion controlled? (e.LcLra
see attached
erosion control plan and disposal area design): -breAae. -66 e Arm u b e -
Duke Energy Page 6 of 14 rev y6/17
Excavation Program

Duke Energy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used:
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) Ores ONo
(Yves, explain)_ "Gj -i acme,
16. Will return water re-enter the reservoir? (Check one) OYes 61io ON/A (If Yes, sped
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? existing
ONo
(If Yes, specify the existing permit number. If No, include a scaled drawing of the proposed
facility). - Permit #—I
18. Total planned duration of the work (Inchide first equipment mobilization, excavation
through final mitigation measures complete):
START a_ /. i g FINISH
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 14 rev y&i 7
Eeeavation Program

Duke Enerzy Excavation Permit Application Form
PART U. (Continued)
B. PROTECTION / AVOIDANCE AREA DESCRIPTION
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protectiou/Avoidance Areas
(check all that apply)
Approx
Identification
Method in
Avoid (A) or Mitigate (M)
Acre
Field ID
Work Area DnZ. ID
a. Marshland, swamp, ponds, beneficial
aquatic vegetation or other potential wetlands
(circle all drat apply)
b. Buffer Zones (specify wielth & source
of require»rent)
logiw idf- nr_ces5
�d
�-ia.V1 �re 2 i1�aerlet(
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c. Environmental Areas as identified by
Duke Energy
d. Natural Areas as identified by Duke
Energy
e. Historic properties (speck)
L Rare or threatened species (sped)
Duke Energy Page 8 of 14 re 3/6/17
Excavation Program

Duke Energy Excavation Permit Appflcation Form
P_ rotection/Avoidance Areas
(check all that apply)
Approx
Acre
Identification
Method M
Avoid (A) or Mitieate (141)
Field ID
Work Area Dwn. ID
a. Buried gas, water, sewer,
communications or electric lines (circle)
h. Impact Minimization Zones as
identified by Duke Energy
J. Other areas requiring specific
avoidance, protection or mitigation (spec)
* For "Field ID" column, specify entity or person that perfonned 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 mw,/6117
Excavation Program

Duke Energy Excavation Permit A 011catio_,_ nim
C. APPLICAVT'S SIGNATURES
Comments:
ver a O
n
r
Applicant Name (print) i r ` C
Lot #_
Date
Co -Applicant Name (print) �"'� ���[
Lot #
ra���i�► _ Date AfL2�
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
CQ -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant blame (print)
Co -Applicant Signature*
Lot #
Date
Lot #
Date
Lot #
Date
Lot #
Date
*Per my signature, the information provided in this application is correct to the best of my
knowledge,
Duke Energy Page 10 of 14
Excavation Program rev 2/6/17

Excavation Project User's Agreement Letter
(PIease fill in the blanks. Please Print)
Date
TO: Duke Energy
C/o Lake Services - EC12Q
526 S. Church Street
Charlotte, NC 28202
RE: Excavation For Su
Name)
(Lake/County/City)
Lot #'s or Other Project
AW . . .-Ism
(Applicant's All nafne) j;1 a,,,,, f ''� 2�„u hereby agrees to comply with all
recommendations, requnements and/or conditions of Duke Energy Lake Services, General
Permits) (if ('PPlicable) and other federal, state and local agency requirements perta
application to excavate for the purpose of a Me i ►, ,,,
--�-�.4Z, �ea-� c ining to the
In addition, -[Ave 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 b within%inning any activity
project boundary io oa Duke Energy land, The excavation will a ompleted
describedthe inthe
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 lfwe obtain approval for
a single, time extension (maximum of one year) in writing from Duke Energy Lake Services.
I/we understand that if the SMP or other applicable rules change during any extension period,
!/eve will be expected to comply with the new requirements to the maximum extent practicable.
1/we also recognize that failure to complete the excavation within this build -out period will
-current SMP and the new application must
require the fling of a new application within the then
include any applicable fees and security deposits.
Mve attest to be the owner(s) or lease holder(s) of the land immediately adjoining th
boundary or Duke -owned peripheral strip where the excavatioe project
n activity the owner or lease holder, I/we have included proof of title to the.Propertyty is to take place, or if not
authorization from the owner(s) or lease holder(s) to c and written
boundary adjacent to their land.Y out the proposal within the project
Ihve attest to be the owners) or lease holder(s) of the land that will be used for equipment
staging and disposal of excavated material or if not the owner or lease holder, Uwe have included
DUW &�V
page 1
rtN: vivn

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.
1/1ve understand that all excavation work must be done directly in front of any/our property and
within the third of the cove nearest my/our property or within any middle third of the cove that
Duke Energy owns, or Ave 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. 1/tive also understand
that access channels must run perpendicular to the shoreline while within the third of the cove
area that is nearest my/our property.
I/we understand that for proposed excavations, Uwe must notify the appropriate local, state and
federal agencies in advance of the activity by sending them a completed copy of Duke's
Excavation Permit Application Form and other required information. fAve understand that
written authorization and/or other permits may be required by some of these agencies and such
required authorizations must be obtained before Ihve submit the final application to Duke
Energy Lake Services.
11we 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.
11we understand that every reasonable effort must be made to minimize any
fish, wildlife and other natural resources. adverse impact on
unvdeer
understandthatapplicantsinsouthCarolinaproposing excavations that are not covered
the General permit; or are greater than ISO cubic yards, must receive prior written
authorization from the South Carolina Department of Health and Environmental Control
application to SCDHEC) or the US Army Corps of Engineers (as applicable) before submitting the completed
Lake Services.
'r"" agroe 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/tive 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 environm
that unauthorized removal of shoreline vegetation (e.g. button bushes;ent. I/we also understand
,willows, cattails, etc.)
and/or disturbance of the shoreline buffer may result in suspension or°desual of lake use
permitting requests, forfeiture of security deposits and require re-establishment of vegetation at
my/our expense, particularly if the disturbance is found to be in violation of state or local
ordinances or impacts FERC project buffers.
Duke Swrgy
Page 2
R=5113117

Uwe 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/ive agree to adequately stabilize all excavated material and all disturbed shoreline to prevent
erosion and runoff into the lake.
I/we understand that the double handling of excavated material will not be allowed; therefore, all
excavated material must be placed above the project boundary in one handling.
Mve have designed the hydraulic excavation process (if any will be used) so that return water re-
enters the lake in the same general vicinity and cove as the excavation, to the maximum extent
practicable.
Mve agree that the proposed excavation will not be for the purpose of creating additional
shoreline, will not alter the project boundary or the full pond contour, and will not impact
threatened or endangered species, historic properties, or environmentally -important areas, unless
special public entity provisions were made in the application.
1/we recognize that it is mylour responsibility to clearly locate in the field and label on my/our
work area drawings any areas that require specific protection or avoidance during this excavation
work. Examples of these protection/avoidance areas include but are not limited to, any
Environmental Areas, Natural Areas or Impact Minimization Zones as identified by Duke;
jurisdictional wetlands; historic properties; rare or threatened species; and buried gas, water,
sewer, electric or communications lines. I/we agree to provide mylour contractor with a copy of
these work area drawings showing these areas to stress the necessary protection measures.
Mve agree that if any archaeological resources (e.g. pottery shards, Indian artifacts, etc.) are
discovered during the excavation, work shall be halted immediately. 1/we will then notify Duke
Energy Lake Services and the State Historic Preservation Office to determine what measures, if
any, I/we must pursue to protect or salvage the archaeological resources.
I/we agree that any excavation from within the project boundary will not exceed the volume as
outlined in the application and will remove and disturb only what is absolutely necessary to
achieve the project's stated purpose.
I/we 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.
Ilive 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/we agree to immediately comply with any Stop Work
ow.. en*W Page 3
Rn: NJ JIM

Directives, to fully cooperate with Duke Energy Lake Services and other agencies as necessa
and to perform the necessary remedial actions within the specified time frame. ry'
Ave agree to develop any required mitigation plans and to complete any required mitigation
activities at my/our own expense within the specified time frames. 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.
--u-ii uuKegi
q at the 'ob site and visible from ehelwater's ed e.
I/tive 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.
Uwe recognize security deposits will not be refunded if any violations of the SMP 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 tofully indemnify and save Duke
Energy harmless from any and all claims, liability, loss or damage that may arise from this
excavation project.
111-ve understand that this user's agreement does not, in any way, constitute the transfer of any
rights in real property and that my/orrr use and enjoyment of FERC project lands and waters shall
not hinder the general public's lawful use and onjoynoat of the same.
Sincerely,
i
Lot #
ti Zd
Lot #
ouk. Ea v
*Co -Applicant's Name (Print) Lot
Co -Applicant's Signature
*Co -Applicant's Name (Print) L— o — ,
Co -Applicant's Signature
Page 4
RCY.118117

"Co-Applicant's Name (Print) Lot #,
Co-Applicants Signature
* Co -Applicants exist when the proposed work is being done under a single application, will be performed by a
single contractor as one continuous project and is done to benefit multiple owners / lease holders of project -front
properties within a single development. The check for the application filing fee and security deposit should be from
the party shown as Applicant and not several checks from the Applicant and CO-Appiicants. By signing this
agreement, Co -Applicants are in fact recognizing and agreeing to the same conditions as is the party signing as
Applicant.
Duke Enagr Page S
aer, s:iani