20190843 Ver 1_Shoreline Stabilization_20190624

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500—Water Quality Certification,Shoreline Stabilization
ENVIRONMENTAL QUALITY - r FORM: SSGP 02-2017
Shoreline Stabilization Application Form 2 01 9 ,
8 4 3
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.)
Karen Higgins Karen Higgins
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
A. Applicant Information [15A NCAC 02H .0502(a)] `� c I'
I
1. Owner Information l
Name: l3prry 1C,t\Oy
Mailing Address: I Lp(2) 1AQr1 ner P6tn3rP Lane.
'N\orlrefmNft11e, 7$t11
Telephone Number: An- 4(00- I tl5 Fax Number:
E-mail Address: `( I3b\t b0.rfy 0 Nall .Cnm
2. Agent/Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: T)pnnct 'P 1-krAD
Company Affiliation: \ Colal e S ( �Dtm l lnc 'LI c+5y n', Inc..
Mailing Address: I k5(1) Ped h ?load-
- -rh�-1-mati , NG 2$IlolD
Telephone Number: 304-(p2,Q-(00911 Fax Nu�mber: 7D4 55�-31i
E-mail Address: drnr a. �QnC. L 4ec r'� CXil) grna1 I, CD yYl
B. 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, 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.
FORM:SSGP 02-2017 Page 1 of 3

/. 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)nn
County: 1 re_del I Nearest Town: 1'1CX res-V 1 Ile,
Lake/ river/ocean adjacent to property: /vOrrY1&V1
Property size (acres): .(112)
Subdivision name or site address (include phase/lot number): r c-�
.t r• a.C.-le alOreS
Lp+ 13, Roe, Mp.riner (Poin#,a Lake MporrSy,(1e, NC_. Zf3117
Directions to site- please include road names and numbers, landmarks, etc.: From 1-77NB,
xii- 1 n r
"Properly 15 On +her ►'1+ near and o sire et.
Latitude (ui decimal degrees) 6J.Cc 2 81Z Longitude (decimal degrees)e0,g388LS
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): les1den4tak.
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): 511ore rie )3ipl ap Refresh for.tzzbl/1liDnc
ern5iprl OD/Th-0 1, Dr-cage area around new dDCi4 Inca Oh Rr
bocq-Finery access. x 47 C .
7. Will workTe conducted from land? I From water? R------
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:
�lnbre�;r, - 5�� r�Vlc�-ipn -� , 77/ /= Jr.
Temporary Vnpacts in square feet:
AiO n e.
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land-ward
Permanent impacts (including back fill, e(xcc vation, 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): !—
11. Sigrre /
i 5- / 5- 19
Owner/Agent's Sig ISO e* [15A NCACSIS .0502 f Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM:SSGP 02-2017 Page 2 of 4

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
Lake
(At Full Pond/Normal Water Level)
(C.6141e-P-'
n
NI0e1ig [Ili
000 -RciN
—
Full Pond/ Normal Water Leve.�;r.,,..�,*�...',.tr.,� .,t;...711, ,i,���•- w
M — — — i II= fl• ft• ft•
Shoreline
Plan View
Lake
(At Full Pond/Normal Water Level)
Existing Dock
30ftx7ft
�••.•:.....�.�.�.��...... 1 M.l�.. 3 ft x 150 ft
��� �l���ro���oa MU. Below full pond/NWL
Full Pond/Normal Water Level..���' ..
r��1t� i f;. Mort
r ahoreane tirstee* �� 1;�:�� af1:15off
�����•• Ri ra �� arg
•��•��� p • �d ,�� • Above full pond/NWL
2 ft x 150 ft 0.41 1411111•0
additional clearing '
•If necessary
E
iAM P E FORM:SSGP 02-2017 Page 3 of 4
Plan View

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er
Lake ,;;,,
(At Full Pond/Normal Wa -r Level) r-
c ' !- W
dal"
� .
rN
diKtart
Oar Z V)i
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Side View
LI-
3 ft.below full pond water level 4 ft.above full pond water level 2 ft.additional clearing
if necessary
I I I
Existing bank ,
',r
411
10 ft.bank ,, a
height ,'► Oyu
qp„
WAS JAM pLE
Side View try
(9
FORM:SSGP 02-2017 Page 4 of 4

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DREDGE SPOIL DISPOSAL FORM
Project Name/address: , l! by gatiar;ntrP;e, County: Ireds
J 1 /`il gDresvr I le, NC Z8l 7 'I
Location Address: //(.Z R/Ve 4 / jbWL>/ �ODresv1ll2, Alt �117
Parcel#: 41e38 ZO/U 21 `.1
Parcel/lot size 2, 73 OG-es
Disposal area required (sq ft and/or acreage) - 02.)
Acknowledgement of Notification
I, IAtar V / ayeO,/eY- , am aware that the site must adhere to all state regulations
and rules regarding sediment and erosion control and water uality. And give permission for
Lov)(1)S4-PrtS L.Li Drii lrr144 L/ .?y.5i-PsoS inr..
Name of Individual and Company
to dispose of their dredge material at the above stated loc tion
Owner: r
CPrint Signature
Date: 5- /J-/g
Along with form, please provide:
Aerial of parcel/lot (County GIS)
Photo of proposed spoil site
Identified proposed spoil site

Iredell County
Property Data
Parcel Number: 4627396974.000
Inquiry Date: 5/7/2019
Disclaimer: While every effort is made to keep information provided over the internet accurate and up-to-date,the County does not certify
the authenticity or accuracy of such information. No warranties,express or implied,are provided for the records and/or mapping data
herein,or for their use or interpretation by the User.
•
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164
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10 c
299 D
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168 }1,4
172
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Owner/Property Info
Tax Account Number: 80037175
Old Parcel Number:
Owner Name: RIGBY BARRY K
Mailing Address: 168 MARINER POINTE LANE MOORESVILLE NC 28117
Property Location: MARINER POINTE LN
Lot Number: 13
Legal Description: PINNACLE SHORES P3 M1 PB27-104-106
Municipal Information
Township Code: 17
City Code: Null
Neighborhood Code: 17202
Value Information -Current Year Property Record Card(PRC)
Building Value: 402700
Other Building Features: 27380
Land Value: 350000
Tax Assessed Value: 780080
Deferred: 0
Land Information -Register of Deeds Online Search

Date Recorded Document Type Deed Book Deed Page Plat Book&Page Land Area Land Type Zoning
20160726 WD 2434 1718 27-104 0.92 AC RR
Tax Information
Exemption Tax Code 1 Tax Code 2 Tax Code 3 Tax Code 4 Tax Code 5
Null C ADVLTAX Null FRO2ADVLTAX Null Null
Current Zoning Contact Info.
Iredell County 704.878.3118
Harmony 704.878.3118
Love Valley 704.878.3118
City of Statesville 704.878.3575
Town of Troutman 704.528.7600
Town of Mooresville 704.662.7040
Village of Davidson 704.892.7591

Iredell County
Property Data
Parcel Number: 4638201821.000
Inquiry Date: 5/20/2019
Disclaimer: While every effort is made to keep information provided over the internet accurate and up-to-date,the County does not certify
the authenticity or accuracy of such information. No warranties,express or implied,are provided for the records and/or mapping data
herein,or for their use or interpretation by the User.
Property Map
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1158 1158
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1156
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Owner/Property Info
Tax Account Number: 77374349
Old Parcel Number: 1702N04000A001
Owner Name: BIG DADDYS OF LAKE NORMAN
Mailing Address: 1162 RIVER HWY MOORESVILLE NC 28117
Property Location: ROBINSON RD
Lot Number: PT1
Legal Description: WEST LAKE VALLEY PB11-52 BIG DADDYS ANNEX PB45-79
Municipal Information
Township Code: 17
City Code: 03
Neighborhood Code: 03060
Value Information -Current Year Property Record Card(PRC)
Building Value: o
Other Building Features: 9380
Land Value: 207480
Tax Assessed Value: 216860
Deferred: o
Land Information - Register of Deeds Online Search

Date Recorded Document Type Deed Book Deed Page Plat Book&Page Land Area Land,Type Zoning
19910607 WD 823 933 45-79 2.73 AC CMX
Tax Information
Exemption Tax Code 1 Tax Code 2 Tax Code 3 Tax Code 4 Tax Code 5
Null C ADVLTAX CIO3ADVLTAX Null Null Null
Current Zoning Contact Info.
Iredell County 704.878.3118
Harmony 704.878.3118
Love Valley 704.878.3118
City of Statesville 704.878.3575
Town of Troutman 704.528.7600
Town of Mooresville 704.662.7040
Village of Davidson 704.892.7591

'CON NECTGIS �_ Iredell
-''f � Printed May 20,2019
WEB HOSTING Iredell County '•' See Below for Disclaimer
Addresses
A Infrastructure
4638-21-1111 • No nResidential Use
• Residential Use
Streets
III —Interstate
Ikliirt
— Ramp
G
—US Hwy
—State Hwy
r
. ..g. !' —Main Road
�' 4,1 4'�H „i,2 — Local Road
or 1 I
n ir , 41 * -
w I. 8 Residential
,,, c'Ai ' _ 5 Private
•
— 4 ? a �t 1160 ' Inactive
+" '' • 1.- + .' Parcels Hooks
r-
1 i: ;, —
.' r4 _ ^"+ 1.60 - f Parcels
1 0pr r ❑
a �:38-20553' d Parcel Labels
.. tH • I ? -1420
5 ,.
•... „ . :
' z_S\'ILLE .;Y cit�+Limits
es,.. .
1-R a Lake Norman
ram •
- 'k jt Iredell Countyline
1, .: l,, , .% 11.56 i m•
I I • NC Counties
• 117811• ' •' t �� ❑
1178 tr■ 7 1 I rt t411/4: * 1
•1178.1,8, ;(a,�...r --_
N- v ± o
4638-20-2203 f 1g "' 1 •:131 Feet
S '6
he maps prepared for this website are generated from recorded deeds,plats,and other public records.Users of these maps are hereby notified that the information
•rovided herein should be verified.Iredell County assumes no legal responsibilities for any of the information contained on this site.Users are advised that the use of
-ny of this information is at their own risk.All maps on this site were prepared using a 1000a€"Grid based upon the North Carolina State Plane Coordinate System from
he 1983 North American Datum.The delinquent real property tax overlay is updated monthly.The information presented is not intended to be used or relied upon as
•fficial notice of tax liens.For additional information re.ardin.delin•uent taxes,contact the Iredell Coun Tax Collector's Office.

•
•
•
•
_091NA Excise Tax
�_-
. a �/1 ° , a . co FYI -
IREP!!'. COUNTY
•
'91 JU11 7 Ph 4 25
•
itioKOMAGENO
D.BEEU.
REM)t ES OF DEEDS
$88.00
leer as Recording 11os.Boot end Aide
Tat Lot Na __..... ......_._..._ .__ _.....-•--•- • - Parcel identifier No. ... _... _...........__.___^
Yarded by- . — __. County on the day'of.... .la._.__
by ..-.__ ...__...........__ _......_.......,.......__..—..............__
•
Hail after recording to_........... .110NESLEY, JONES,-GAMS.6 FIELDS
_ ........_._ —_..._._.._rah..Dos 1235,Mooresville.-•NC 28115
•
Thin instrument was prepared by . :Bo>.esley,,Jr., Attorney ere Lay-_.. .. .. ....... .
Brief description for the Index •
J I
NORTH CAROLINA GENERAL WARRANTY DEED
• ?WS DEED made this.-Ith._...day of. _ June.." .19 91• .by and between
. GRANTOR GRANTEE •
•
•
EDDIE R. BAILEY and Wife, BIG DADDY'S OP LAKE NORMAN, .,-
PEGGY S. BAILEY - a North Carolina corporation
•
of-Iredell County,•N.C. Whose milling address 1st
Bouts 8, Box 581
Mooresville, NC 28115
Eats l n esrropdale bloc:IS seen pair:slim addles.sad.if ippm elete..kentter el ealltr. 4 seseatien or psrtamahlu
•
The designation Castor and.Grantee as used ioreie shall include said parties.their heirs,aneeeasors.and assigns,and •
shall include Sa ular,plural,mexuline,feminism or neuter as requllied by-context.
WlTNESS6T$. that the"Grantor. for a satiable consideration paid by the Grantee, the receipt of which Is berets
;dmowladged.has and by these presence does-grant.bargain,sell end coney unto the Grantee in fce simple,all that
certeie dot or rseel"of land situated to the City of - • ... . . Davis** _ . Towushlp
Iredell Count North Ce[eliaa sad more particularly deacribed as follows:
BEGINNING at a point in the tenter of S.R. 1396. sold poitlt of beginning being
the northeast corner of W. A. Howard and running thence with the centerline o1
S.S. 1396 North 06 deg 03 nth.•40 sec."pest 150.03 feet to a point, the southeast
• career of Sidney Eager; and running thence with the Eager line North 87 deg. 56
rain. 37 sec. Nest 1.147.65 feet to en.iron pin in the•Albert.K. Torrance line;
thence with,the•Torrene. line Sonth'50 deg. . 16 sin. 47 sec. East 270.12 feet
•
to an iron pia, the northwest corner of To Lancaster; thence with the Lancaster.
line North 88 deg..53 .in. 14 true. East 652.12 feet to-an iron pin, comma corner
•
of Toady Lanceetsr and V. A..Ro end; thence with.the Howard lime South 83 deg.
36 sin. 10 sec. East'273.0 feet to the point of BEGINNING. the cane being in ecooriaaee
with a survey mule by Don Alpes.Survepirs, Inc., dated Mei"31, 1991.
And being the sate property conveyed to Eddie R. Bailey and wife, Peggy S. Bailey
by deed recorded in Deed Book 759, at Page 808, iredell County Registry.
•
• sr.ay.t.an FA No.3 c rem aai.nl Y 1p7-+.e...It..e..ar..n.►cs..:s e c gnu

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The property hereinabove described was worked by Grantor by anatromeat recorded in _...------._.___....�.__._....
Deed.look 759,Page itos._IE 4.01. co. Re$i°trL• __ _.��..__ __.:._...__:..�..
A map showing the above dmcribsd property is recorded in Plat Book •
........ _ _... ._.pap
TO HAVE AND TO$OLD the aforesaid lot.or parcel of land and all privileges and appettenaneea thmito belootinl in
the Grantee Mice ilmpb.
- And tint Grantor covenants with the Grantee, that Grantor la seised of the pre nlaes in fee simple.has the risht to;convey •
•- the tam in fen einaplei,that title is atarb table and free and clear of all encumbrances,sad that Grantor will warrant and
p
"defend the title against the lawful claims of aU persona whomsoever except for the-exceptb hereinafter stated.
Title to tbe.property herelnabove described is subject tr,the following exceptions:
• This conveyance is wade SUBJECT TO all restrfctioaa. easements and rights of way
of'record. including those for utilities Mad public roadways. •
•
•
ax wrl a wumator.'as caaas has lessia sat Ida lead an sal,w V retaetaa has recess nb kdnweat to be Man ban•
• d eat saw b ue�aaateawe Ipteera are m.arsa t.w leraaae areas/ly se ikons �taenur ace to an war flint•
t.
•
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.y.I.a tiwa Vona tee oa�rr,eael pale in4Hafe.eeaUly teat .... --�.
L' 1• 4:7O f Ai2�-sa a Pdd�g R,• . _Z �SY 1►� 4a.P�87t7-�:_�ai�aA ._...__._.—__...aadw
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G s r mrptated eefim an Ms eta ab aneesbaate Oe eusetlu et the heeaa4a War a6 mums q
Ter t/ 3 l% =s arcs war San Jana it spa stab-Wt.day er___.•
June
• per� *�,pi.+ •Waadat coeu uathas_..11-12-92_...____-_ _ Sabi,lens
_ XOarla Caaeaatk
a.a mare rears at tea Cesnty an state ataaaal0.*clean ibis
• Mnia9y caws retina ae eW ap eN ansiaaftein Gd:.-sob lesaaaof d
_______...... __--_-_ ..... a tent Canals enpnfbat and twat or aa%est car •
a rhea as ea IS.as ar Sirsweat/us'tan tensest Meet solemn la oa awn av)d
raisaaat.saaW 155 lea estaeeate teat ear attested try it In atwitter
.Mom as wars sad dads chap m era>,tW...__..W d________________
Ply taaawlaa pi am—. ._._..........Kamm!at><c
ley tnspsaa OrrtrarW tl_ -L._...—m—. _..._.._ _
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rum •M oe M swam s1L aaa nY eaaBMb ate tray retlatan at the dale an gasaaa ta ur watt ad rasa Ursa in 9a
OM • /y�fVl __-mounts or scars
nap ly,AasYl n•Nun s.s Meta '
KG asAaaaIaaltaa0lew,Wen 0gar)-o.eac o a at. te ISteteDra.itCtart
. Fara.eaunrou•seinC wan_rap .

redeq
•CONNETGIS Ihosnrvc Iredell County See Below forDisdaimer
4638-118480 4638-21-0410 I ..�`f 2480 Addresses
1 ' Infrastructure
NonResidential Use
4638-21.0254
• Residential Use
Streets
—Interstate
- Ramp
—US Hwy
State Hwy
N. —'Main Road®
1,r, Local Road
411,15011
• Residential
Private
Inactive
Parcels Hooks
i , , ; —
75 Parcels
s L pgr rr ❑
' ' +G, �r _" i Parcel Labels
I {
., I
I . City Limits
Lake Norman
MOORESVILLE • I . 37
Iredell Courlryfire
NC Cour;ies
1 + 10
t
hi 2 s a
1 y tl :135 Feet t
lr \ . . I .•..._...i
maps prepared for this website are generated from recorded deeds,plats,and other public records.Users of these maps are hereby notified that the information
•ovided herein should be verified.Iredell County assumes no legal responsibilities for any of the information contained on this site.Users are advised that the use o
ny of this information is at their own risk All maps on this site were prepared using a 10006E'"Grid based upon the North Carolina State Plane Coordinate System from
he 1983 North American Datum.The delinquent real property tax overlay is updated monthly.The information presented is not intended to be used or relied upon .
• cial notice of tax liens.For additional information re•ardi •deli •uent taxes,contact the Iredell Coon Tax Collectors Office.

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infirm State Plane Coordinate System from the 1983 North American Datum-The delinquent real property tax overlay is updated monthly.The information presented is not intended to be used or relied upon as official nob
. liens.For additional Information regarding delinquent taxes,contact the Iredeil County Tax Collector's Office.

Duke Energy Lake Services
Guidance for Completing an Excavation Permit Application
Step 1: Contact Duke Energy Lake Services
Complete"Part I"of the application and contact Duke Energy Lake Services to schedule a site
visit. Lake Services will conduct a site visit to determine if Duke Energy will accept an
excavation permit application for the proposed work. If the Lake Services representative
determines the application process may proceed,he/she will initial Part I of the application.
Step 2: Draft Application Development
Complete Parts II-III.A-G and Part V of the Excavation Permit Application.
Note: If you are proposing excavation in association with the permitting of a facility under the
Marina or Conveyance Programs, you do not need to complete this application. Instead,you
should incorporate the excavation request into the permit application for the marina/conveyance
using the appropriate application forms.
Step 3: Agency Consultation
Send the draft application developed during Step 2 to the agencies for review and comment on
the proposed activity. Refer to the Agency/Organization List available from Duke Energy to
determine which federal, state,regional,and local agencies and organizations require
consultation or review.
Note: Duke Energy reserves the right to require consultation with additional organizations
beyond those included in the Agency/Organization List.
Each agency/organization must be provided at least 30 days prior notification. Evidence must
be provided(e.g.,response letter or Certified Mail receipt) in the complete application to show
each agency/organization was given the opportunity to review the proposal.
Consultation letters must be dated within the two years preceding Duke Energy's receipt of the
application. All permits must be valid at time of application and have a term longer than the
projected schedule for completing the permitted project.
What to Expect During Agency Review and Comment:
• You will typically receive a letter from each agency/organization either documenting its
concurrence with your proposal,requiring additional information,recommending
modifications, or offering no comment. You must address each agency's/organization's
comments with a follow-up letter and in your final application as described in part IV.
• If you do not receive any documentation from an agency/organization within 30 days of its
receipt of your proposal,you must provide the agency/organization with a follow-up letter
requesting comment on your proposal within 15 days from the date of the follow-up letter. If
you still do not receive any response as a result of the second letter,type"NO RESPONSE"
at the top of the follow-up letter and include it in the application along with proof of the
agency's/organization's receipt of the letter(e.g., Certified Mail receipt). You may proceed
Duke Energy Page 1 of 14 rev 6/20/17
Excavation Program.

with the application process recognizing,however,that if its comments come later in the
application process,you will be required to address them.
• From the United States Army Corps of Engineers (Corps): (**Note—The Corps may have
additional forms to submit for your proposal and an additional fee.) If the excavation can be
done under the requirements of the General Permit(GP)or a Nationwide Permit(NWP),you
will typically receive a copy of the Corps'tear sheet documenting authorization and
providing any additional instructions. If the excavation isn't covered under the GP or a
NWP,you'll be required to obtain an individual 404 Dredge and Fill permit from the Corps.
You must receive written documentation from the Corps that your application either(1)
meets the requirements of the GP or a NWP or(2)the proper 404 Dredge and Fill permit has
been received before Duke Energy can process your application.
• From the North Carolina Department of Environmental Quality(NCDEQ), Division of
Water Resources: (Note—NCDEQ may have additional forms to submit for your proposal
and an additional fee.) If the proposal meets the requirements of the Clean Water Act Sect.
401 Water Quality Certification,you will typically receive a letter from the NCDEQ Division
of Water Resources documenting Sect. 401 Certification and providing any additional
instructions. You may also receive a letter requiring additional information or
recommending modifications. You must receive written documentation from NCDEQ
noting any required Sect. 401 Certification has been received before Duke Energy can
process your application.
• From the North Carolina Wildlife Resources Commission (NCWRC): If you do not receive
any documentation from the NCWRC within 30 days of their receipt of your application,you
may proceed with the application process without submitting a follow-up request,
recognizing however if comments come in later in the application process,you will be
required to address them.
• From the South Carolina Department of Health and Environmental Control(SCDHEC):
(Note—SCDHEC may have additional forms to submit for your proposal and an additional
fee.) The SCDHEC conducts a joint application process with the USACOE in S.C. If the
proposal meets any applicable requirements of the Clean Water Act Sect. 401 Water Quality
Certification,you will typically receive a letter from SCDHEC documenting Sect. 401
Certification and providing any additional instructions. You may also receive a letter from
USACOE requiring additional information for the agencies participating in the joint
application process. You must receive written documentation from SCDHEC noting Sect.
401 Certification has been received if required before Duke Energy can process your
application.
• From the South Carolina Institute of Archaeology and Anthropology(SCIAA): The applicant
must wait 30 days after receiving the signed postal returned receipt. If a response from
SCIAA has not been received by this time you may proceed with the application process
without submitting a follow-up request,recognizing however if comments come in later in
the application review process,you will also be required to address them.
Step 4: Final Application & Submittal to Duke Energy
Duke Energy Page 2 of 14 rev 6/20/17
Excavation Program.

Following the consultation process, finalize the application. The final application submitted to
Duke Energy should incorporate all comments and recommendations provided by agencies and
organizations during the agency consultation process as well as copies of all permits received. In
addition to the fmal application include the following:
• One check payable to Duke Energy for the application fee and security deposit
• If applicable,a separate check payable to the appropriate Habitat Enhancement Program fund
• Signed Excavation Program Applicant's Agreement
Note: Co-applicants must also submit the application fees and HEP fees, if applicable,with the
application.
Duke Energy Page 3 of 14 rev 6/20/17
Excavation Program.

Duke Energy Excavation Permit Application Form
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee$ Security Deposit$ Check# Date Recv'd Initials 1
Date of Duke Energy Lake Services,applicant and/or contractor on-site inspections Date(.3 d 1 Initials !Z eit!
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 SMG Violations*?(check one) ❑Yes ❑No (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 I. Applicant Information (Please Print)
Name Qrry 111 13i310/ Telephone 41 - 4 - 1 I75
Email address: V 19by bar - @\( \' X .C.Or
Lake Address J-(� 1 Mailing Address (f different)
KQY i ier POitnTPLAne.
t cX re%i Ile, t C. ZR11 1
Contractor Company Q.Y1Caf er s CU.Sita'n boctk 4 Lt-PTsl:54-erilS l nr..
Contractor Contact Person NArIn4 V }}r 1,110 Telephone ( -(n ZQ- 6004()
Contractor Email Address: ClOnnCL. (ci&rer c oc ik 5 6Q VY1Q YI t 1 . CQY
LAKE LOT INFORMATION `}
Lake l orvlrlariCounty 1rede L1 City V\ppre,SNi ile StateNC. Tax Map No.4 )273%%o974
Subdivision�infcddP there 5 Lot/ Section No. 13 Lot Size •.Acres
Duke Energy Page 4 of 14 rev 6/20/17
Excavation Program.

Duke Energy Excavation Permit Application Form
Are there any Co-Applicants*?(check one) ❑Yes lBf o (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 CJ 04 14 NV
Initials (Duke Energy) J D Ll (applicant/contractor)
•
•
Duke Energy Pageof 14 rev 6/20/17
Excavation Program.

Duke Enemy Excavation Permit Application Form
Part II. Description of Project
A. Basic Info
1. Type of excavation: (check one) ErNew excavation 0 Maintenance excavation
2. Purpose of excavation: (check one) lB'goat Access Channel
❑ Water Intake Channel 0 Wastewater Discharge Channel
❑ Other (spec):
3. Lake user category: (check one) L3rivate ❑Residential Marina
❑Commercial Marina ❑Public
❑Other(spec):
4. Max. Excavation Area Dimensions (ft): Length 70 Width 53
Depth /0
(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): `-178 �xi Cubic yards
6. Type of material removed (applicant determines by field sample if practical): a
Si 1-4- c tel
7. Excavation Site area: .07 Acre (s) Disposal Site area: . 0 2 Acre
(s)
8. Total Disturbed Area(including equipment staging area): . or Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
Byes No
10. Do you claim title to the disposal area? (check one) ❑Yes QKo
11. Do you claim title to the equipment staging area? (check one) ❑Yes EKO
12. Are there any water-treatment facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes ElKo
(If Yes, specify):
13. How will the excavated material be entrapped and the erosion controlled? (e.g. see attached
erosion control plan and disposal area design :WorVt pP4rwt.•A loy Wecirr, Mai ' .
r ! � Jt �• 1 _ YZ!_ 1 ' l•, •• •,l • • I lb � bA � i •% • \).• •
Vio..bares it Mt• •yMlarcnaa. Off londeribent a urKpiruc. 's "int.nspwkd-}E)
dlsposc 1 s i#•
Duke Energy Page 6 of 14 rev 6'20/17
Excavation Program.

Duke Energy Excavation Permit Application Form
14 Type(s) of excavation equipment to be used: i. T LIJ) Reams �(CaVtcT�-/t r,
T 3 r-1- beach � �avafDr, es ` D uy» P —1 cucl4i5
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) ETVes ONo
(If yes, explain)
16. Will return water re-enter the reservoir? (Check one) ❑Yes ❑No C1%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? ❑Yes 171cro xt 5}i yl a 1;+y ID be reknove d replacer ten+
(If Yes, specify the existing permit number) No, include a scaled ddr ng of the proposed
facility). Permit # 680(p -'4C,t t'�( Duut(f*v dui e►1-} EAie. 10C.a tion.
18. Total planned duration of the work(Include first equipment mobilization, excavation
through final mitigation measures complete):
START 07 / /9 FINISH 01 / 2D
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 14 rev 6/20/17
Excavation Program.

Duke Energy Excavation Permit Application Form
Part II. (Continued)
13. Protection /Avoidance Area Description
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas Approx Identification Method(A) Avoid(A)or Mitigate
(check all that apply) Acre Field ID Work Area Dwg.ID (M)(**)
a. Marshland,swamp,ponds,beneficial
aquatic vegetation or other potential wetlands /�
(circle all that apply)
b. Buffer Zones(specify width&source be.exxava edwii+_3h
of requirement) t reach ca.' o*UY' Ioci
Iv► vapp r loarqeS.teals
w iransporRdAN)is hopper
to M
ucrtb
g+raYirr�cd� sa.l
elea
sat, ectearict
e.
offb4
c. Environmental Areas as identified by
Duke Energy N
d. Natural Areas as identified by Duke ,
Energy N/
e. Historic properties(specify)
— — Ai A
Duke Energy Page 8 of 9 rev 2/6/17
Excavation Program

Duke Energy Excavation Permit Application Form
f. Rare or threatened species(specify)
g. Buried gas,water,sewer,
communications or electric lines(circle) N/A.
h. Impact Minimization Zones as N identified by Duke Energy /A_i. Other areas requiring specific
avoidance,protection or mitigation(specify)
AI/k
* 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.
Duke Energy Page 9 of 9 rev 2/6/17
Excavation Program

Duke Energy Excavation Permit Application Form
** List and attach mitigation plans
Duke Energy Page 10 of 9 rev 2/6/17
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Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
Comments:
Applicant Name (print) CY-ml1 111 "R. by
Applicant Signature* f Date 5-11-
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 11 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 copy of the deed and registered survey plat or other instrument under which each
applicant and co-applicant claims title to the affected property(the shoreline adjoining the
excavation area, equipment staging area 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.
An accurate scaled drawing(1"=25' for projects<1000 cubic yards of material removed or
1"= 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 full 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.]
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
uonurul (SLvrmL) - iormwaa.er management
I/A map or directions by road showing directions to both the excavation area and disposal
area.
Duke Energy Page 12 of 14 rev 2/6/17
Excavation Program

Duke Energy Excavation Permit Application Form
y/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.
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 13 of 14 rev 2/6/17
Excavation Program

•
Duke Energy 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 below). Agencies should be listed in
the order shown in the Agency/Organization List. Consultation letters must be dated within the
two years preceding Duke Energy's receipt of the application.
Table IV-1. Sample Agency Comment and Response Table
Agency Agency Comment Applicant Response
Agency 1 The activity is approved as NA
proposed.
Agency 2 The on-site well provides drinking Contacted Mr. Smith on 1/1/20xx.
water to the public. Please contact No further 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
1/1/20xx and again on 2/1/20xx. No
response as of 2/16/20xx.
Following the table of agency comments and applicant responses, include a table of permits and
certifications issued by the reviewing agencies. As with the table of agency comments and
applicant responses, agencies should be listed in the same order as they are listed in the
Agency/Organization List.
Table IV-2. Sample Agency Permits and Certifications Table
Agency Permit/Certification Name Date of Date of
Issuance Expiration
Agency 1 Surface Water Withdrawal Permit
Agency 2 Section 401 Water Quality Certification•
Following the two summary tables, include a copy of all correspondence to and from any local,
regional, state and federal agencies or other organizations with which you are required to
consult, including any required permits (e.g., Section 401 water quality certifications, Section
404 dredge/fill permits, building permits, etc.) or other approvals or comments which have been
obtained from these organizations regarding this activity. Include a copy of any local, regional,
state or federal regulations or guidelines that will be followed. All permitting issues must be
resolved and clearly documented Correspondence should be organized in the order the
agencies are listed on the Agency/Organization list with the applicant's request for comments
followed by additional correspondence in chronological order. All permits must be valid at time
Duke Energy Page 14 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 would be provided.)
•
Duke Energy Page 15 of 14 rev 2/6/17
Excavation Program

Type: CONSOLIDATED REAL PROPERTY Type: CONSOLIDATED REAL PROPERTY
Recorded:7/26/2016 2:21:08 PM Recorded:7/26/2016 11:58:08 AM
Fee Amt: $1,430.00 Page 1 of 2 Fee Amt: $26.00 Page 1 of 2
Revenue Tax: $1,430.00 Revenue Tax: $0.00
Iredell County, NC Iredell County,NC
Matthew J. McCall Register of Deeds Matthew J.McCall Register of Deeds
BK 2434 PG 1718 - 1719 BK 2434 PG 1533 - 1 534
GENERAL WARRANTY DEED
Excise Tax: $1,430.00 _ Re-Recording to include Revenue Stamps
Tax Parcel ID No.: 4627 396974 —_Verified by: iredeii County
on the day of 20 By
Mail/Box to: Grantee
This instrument was prepared by: ,Attorney at Law,Jones,Childers. McLurkin 8 Donaldson PLLC, 149 Welton Way
Mooresville, NC 28117 _.-
ar
Brief description for the Index:
0
THIS DEED, made this the 12th day of July, 2016,by and between u 4.
J c 4J
GRANTOR: Donna Evans Davenport,Trustee of the Donna Evans Davenport Living Trust dated September 8, El-t m
2015 -u aJ
coz
whose mailing address is 8068 Cortona Dr, Myrtle Beach SC 29572 0-0
,
(herein referred to collectively as Grantor)and
ro.co
croo
GRANTEE: Barry K.Rigby, unmarried oo "
whose mailing address is 168 Mariner Pointe Lane, Mooresville NC 28117 _.�
(herein referred to collectively as Grantee)and c L.13
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Y CIL
LCN
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WI i'NI,SSETH: UW�
For valuable consideration from Grantee to Grantor, the receipt and sufficiency of which is hereby acknowledged, 2 m�
Grantor hereby gives, grants, bargains, sells and conveys unto Grantee in fee simple, subject to the Exceptions and •o a
Reservations hereinafter provided, if any, the following described property located in the City of , Township
of County of Iredell, State of North Carolina, more particularly described as follows: u s
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BEING all of Lot 13, Phase II1 of Pinnacle Shores Subdivision as shown on those plats thereof recorded in Plat Book
27 at Pages 103-108 in the Office of the Register of Deeds for Iredell County and being a portion of that property
conveyed to Leonard G.Davenport by deed recorded in Bock 481 at Page 91 in the Office of the Register of Deeds for 2,u
Iredell County.
,- L Vf
roo
uz a/
Said property having been previously conveyed to Grantor by instrument(s) recorded in Book 2380, Page 789, and o 4'
being reflected on plat(s)recorded in Map/Plat Book 27, page/slide 103-108. ;•3 0
adv,
All or a portion of the property herein conveyed includes or_x_._ does not include the primary residence of a a
Grantor. submitted electronically by "Jones, Childers, Mct.urkin & Donaldson, PLLC" � '.
in compliance with North carolina statutes governing recordable documents 4.) aaJ
:and the terms of the submitt:er agreement: with the Iredell county Register of Deeds. E.c
Revised Deoeirruei r r, zuuy -0
cc

•
•
•
•
TO HAVE AND TO HOW unto Grantee,together with all privileges end appurtenances thereunto belonging,in fee
simple,subject to the Exceptions and Reservations hereinafter and hereinabove provided,if any.
And Grantor hereby warrants that Grantor is seized of the premises in fee and has the right to convey same In fee
simple,that title Is marketable and Is free and clear of encumbrances other than asset forth herein,and that Grantor
wit forever warrant and defend the title against the lawful claims deli persons or entities whomsoever.
This conveyance Is made subject to the following Exceptions and Reservations:
1.ANY AND ALL EASEMENTS,RIGHTS OF WAY AND RESTRICTIONS OF RECORD.
2.ANY AND ALL ZONING AND PLANNING ORDINANCES.
All references to Grantor end Grantee as used herein shell Include the parties as well as their heirs,successors and
•
assigns,and shall include the singular,plural,masculine,feminine or neuter as required by context.
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day end year first above written. .
Donna Evens Davenport,Trustee of the n = .
Evans Davenport Living Trust dated September
• 8,2015
(SEAL)
(SEAL)
(SEAL)
State of ou a. inn (O(ficial/Notarial Seal)
County of
I certify that the ollowfng person(s)personally appeared before me this day,
each acknowledging tome that he or she signed the foregoing document
Donna dated
Evans p Davenport,Trustee of the Donna Evans Living
Trust dated September 8,Z015
Date:J))y i'!,zo„.. t /1-- n
!/ J•PS1-ieven Cock,1104.1
Notary's Printed or Typed Name
My CommissioQn Expires:
I�rew,bev ID,2oz3
•
t• rr!
to %F.s ?,
Revised December 17,2009

,•
NOTE5 LEGEND PHYSICAL SURVEY
•PROPERTY MAY BE SUBJECT TO RECORDED OR 40 0 40 80 120 FOR
UNRECORDED RIGHTS OF WAYS OR EASEMENTS
NOT 000EXVIED • • • M • 0•1•11111M1 *10 pmEr-or-TTAY
•OWTIER TO YEW ALL SETBACT3 AND ZONINO 111111111 • 11MINIMMIIIIMI II
, CU. ED2E OF FOMENT
CENTERLINE BARRY K.RIGBY
REGUU01015 PRIOR TO MY KAMM ON GRAPHIC SCALE — letz2 PC! PEITAINENT WNW FINDANT
CONSIITUCTION. .
•DIMENITIONS Of ALL INPINNEMENPS SHO'ffil ON X UTILIIY POLE
THIS PLAT SRO=NOT BE SCALED OR REUEn r( MIT POLE
168 MARINER POINTE IN-MOORESVILLE,NC
UPON FOR LESION OR CONSTRUCTION WITHOUT 6 swim WM MATAIOLE
A FELD VERIFICATION OF AIL DIMENSIONS. ....new\A•CMEMIEN Um!LIE LOT tT13,PHASE III,PINNACLE SHORE SU BDIV.
•MORAL COP1151 OF THIS FILE ME FOR REFERENCE
ONLY AND MAY NOT BE USED FOR DENC/4 WORK. \ DAVIDSON TOWNSHIP,IREDELL COUNTY,NC
•A PORTION OF 716 PROPERTY IS LOCATED IN A Sr_ALE:1".40'
100 YDA F1Doo PLAN. #4REBAR
•No PORTIoN OF THE RESIDENTIAL STRUCTURE 33 DEDMON SURVEYS
5 LOCATED IN IHE 100 YEAR F1000 PLAJN. ,p., \
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CHUCK POOVEY,PLS#3762
G. ia ROBERT DEDMON,PLSO/3899
- 704 NC HIGHWAY 016 NORTH
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DUKE ENERGY DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project
site canhave a big impact on permitting processing time. Please complete this form and
return it along with your completed application to:
DUKE ENERGY
C/O LAKE SERVICES —EC 12 Q
526 SOUTH CHURCH STREET
CHARLOTTE,NC 28202
Applicant's Name: Barry Rigby
Street Address (at lake): 168 Mariner Pointe Lane Mooresville, NC 28117
Lake Name: Norman
Subdivision Name: Pinnacle Shores
Property Section: _ Lot #: 13
City: Mooresville County: Iredell
State: NC Zip: 28117
Telephone: Cell 419-460-1175
Directions (from major road or highway):
From I-77 North Bound, take Exit 36, left onto River Highway (NC-
150 WB), Left onto Mariner Pointe Lane, Property is on the right
near end of street.
Descriptive Structure(s) on Property (i.e. brick garage, white fence,
mobile home, etc.)
*Note: Please use the back of this form if desired to draw us a map to the site.

Fociv LS,DEPARTMENT OF 111E INTERN WOW* LaE ON solni(PLANO
ig INU4 U.S,GEOLOGICAL SUB EI NORM BOUM
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Barry K Rigby
168 Mariner Pointe Lane
Mooresville, NC 28117
Disposal Neighbors
Finley William M III + Jeanne T Revoc TR ETA
1178 River Highway
Mooresville, NC 28117
Hager Sidney B + Hallie
139 Robinson Road
Mooresville, NC 28117

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date 5- I I- Jq
TO: Duke Energy
c/o Lake Services - EC 12Q
526 S. Church Street
Charlotte,NC 28202
RE: E cavation For(Subdivision and Lot #'.s or Other Project Name)
' ►�nnocl� �horeg L 4 i3 lUby(Lake/County/City) Nnr�n / I rerle,II / ✓'
(Applicant's full name) Bar r 1 by hereby agrees to comply with all
recommendations, requirements and//dr con � Energy' s df Duke 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 laykil fl Q Cr 5
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/we 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,
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 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,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,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 my/our property or within any middle third of the cove that
Duke Energy owns, or I/we 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. I/we 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,I/we 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/we understand that
written authorization and/or other permits may be required by some of these agencies and such
required authorizations must be obtained before I/we submit the final application to Duke
Energy Lake Services.
I/we 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.
I/we 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/we 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/we 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
my/our expense,particularly if the disturbance is found to be in violation of state or local
ordinances or impacts FERC project buffers.
Duke Energy Page 2 Rev:6/16/17

I/we 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.
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.
I/we 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.
I/we 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.
I/we 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.I/we agree to provide my/our contractor with a copy of
these work area drawings showing these areas to stress the necessary protection measures.
I/we agree that if any archaeological resources (e.g. pottery shards, Indian artifacts, etc.) are
discovered during the excavation,work shall be halted immediately. I/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 I/we understand that this
responsibility is considered to transfer automatically along with ownership and leases of the
adjoining tract.
I/we 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
Duke Energy Page 3 Rev: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.
I/we agree to develop any required mitigation plans and to complete any required mitigation
activities at my/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/we agree to notify Lake Services by phone when the excavation is initiated and to ensure that
during the excavation period,I/we will post Duke Energy's approval letter in a clear waterproof
bag at the job site and visible from the water's edge.
//we 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/we 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 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 lands and waters shall
not hinder the general public's lawful use and enjoyment of the same.
Sincerely,
4 ,rrV iCA
Applicant's* (Print) Ap litany i atu 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