20191535 Ver 1_Shoreline Stabilization_20191105

Water Resources
ENVIRONMENTAL QUALITY
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500 —Water Quality Certification,
Shoreline Stabilization Application Form
FORM:
ilization
02-2017
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service
Karen Higgins
DWR - 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, Fed Ex, etc.)
Karen Higgins
DWR - 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: A
Mailing Address: r
--ma e5NI'l l I el I I NC. ZR ►1I
Telephone Number: 7C 4- 75(,p, 40cno Fax Number:
E-mail Address: C0yr, Church CAM
2. Agent/ Contact Person Information
�C
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:
htta://www.saw.usace.armv.mil/Portals/59/docs/regulatory/`regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: 1 ' �O'�1r1Qy-y)o
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
B. Project Information [15A NCAC 02H .0502(a) & (b)]
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)
County: r� f' Nearest Town: _ nor 5y1
Lake/ river/ ocean adjacent to property:
Property size (acres): 1. 0a O,C.re 5
Subdivision name or site address (include phase/lot number): ber
C.or~u 1.._ot 1044 , 2.69 Sfump�'ree h M Mmrefil 1 le N C N I`7
Directions to site - please include road names and numbers, landmarks, etc.: Vrom I-'l"Mi
R'd, NropertJ 15 0n *V)et _Ieil�.
Latitude (in decimal degrees)3Ib.(oz,920Ct Longitude (decimal degrees) -8bAcc518
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): T1ebWe rVial
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Y� r Q it ZX f Wii-11►'e iced
510oes ! 352W P_,Ons-hv seamalt r
bo6-+ 5ti? acccsS mn d Shorelt'ne 5frbi1i2afici✓1.
7. Will work be conducted from land? [a From water? a
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Perm.anent impacts (including all excavation, backfill, rip ra retaining walls, etc.) in square feet:
Pd 357 5' .SeQ,�ta 11 �.
L®�
Temporary impacts in square feet:
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
Permanent p� is (including back f8?SSation�rip rap, retai ing walls, etc.) in square feet:
r e i5 l si
Ou 4 i5 sca nq area ocx.. At
Tempbrar im cts (temporary cl aring, construction corridor) in square feet:
an GC,C n a ('n r- , & r 6 6_AI7®I no 0-rect ?AID = 46= = 2 �
ZO X ZD 'fo0
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): }o y e— e5
4ha� have ,been �.r nda -�saskP�rzn�� 64�k
11. Signature
IDr 1- Iq
Owner/Agent's Signature* [15A NCAC 02H .0502(f)] Date
*Agent's signature is valid only if an authorization letter from the owner is provided.
er
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)
it
�
Full Pond/ Normal tWEIIIIIIIIIIIIII UM ama4V4�
Shoreline
Plan View
FORM: SSGP 02-2017
Z,5'X-1,5%bqcl ll IC
y I a~c, ss-tt��
Lake
(At Full Pond/ Normal Water Level) EXlsting Dock.
3G It 7ft
3 ftx 150ft
.,=full pond/ NWL
Full Pond/ Normal Water Level
®
horellne ? ftx
Riprap 5. Above
pond/ full pond/NWL
2 ft.x 150 ft.
additional clearing
' If necessary
EXAMPLE
Plan View I
Page 3 of 4

�w
Lake
(At Full Pond/ Normal Water Level) o t
Side View
10 ft. bank
hei¢ht
Side Vi
0311
A" be,
w
3 ft. below full pond water level 4 ft, above full pond water level 2 ft. additional clearing
f necessary
Existing bank
FORM: SSGP 02-2017 Page 4 of 4

50 0 50 100 150
GRAPHIC SCALE — FEET
\
LEGEND
R\W
RIGHT-OF-WAY
E\P
C\L
EDGE OF PAVEMENT
CENTERLINE
POE
PERMANENT DRAINAGE EASEMENT
R
UTILITY POLE
LOT 1043
X
UGHT POLE
PB 18-80
®
SANITARY SEWER MAlIHOLE
I
I
OVERHEAD UTILITY LINE
/
#5 REBAR /
,4'46'00"E 243.53'
/
I
71NORMAN---- --7
DOCKS, PIERS OR OTHER'E jj6 REBAR
�I,MPgANY OV[IAElU 6UlT ON
WE NOT SHi1 ON RIIS \
.SURWY PWT--- \—APPROXIMATE 100
— — — — A (6, YEAR FLOOD UNE \`'N
eDSO OK FFER V
\t & s EWcls.��a4
p, FENCE CORNER IS 01 `" OQ- ® /
LOT 107 6.0' ONTO LOT 1044 NOTES:
PB 13-31 M ~® y / PROPERTY MAY BE SUBJECT TO RECORDED OR
h - UNRECORDED RIGHTS OF WAYS OR EASEMENTS
NOT 0 v®�.. Q / • RVED
OWNER TOE VERIFY ALL SETBACKS AND ZONING
0 1.089 AC +- / J / REGULATIONS PRIOR TO ANY PLANNING OR
o o LOT 1044 / /' CONSTRUCTION.
/ • DIMENSIONS OF ALL IMPROVEMENTS SHOWN ON
y 2 I a PB 18-80 / / THIS PLAT SHOULD NOT BE SCALED OR REUED
m /
o /' UPON FOR DESIGN OR CONSTRUCTION WITHOUT
N / ``•• �. / A FIELD VERIFICATION OF ALL DIMENSIONS.
n I / / " ONLY ANCD MIEAY NOT BIE USED FOFILEER DESIGN WORK•
FOR RENC
L / rr / • A PORTION OF THIS PROPERTY IS LOCATED IN A
Jv 100 YEAR ROOD PLAIN.
FENCE CORNER IS
4.0' ONTO LOT #1044
qs REBAR N 8710 00 89.87' /
SENECA PLACE
60' R\W /
Course
Bearing
Distance
L1
S 80°06'39" E
49.62'
L2
S 35014'00" E
11.31'
L3
N 54*46100" E
11.31'
L4
S 75"16'00" E
54.75'
L5
N 38045100" W
46.61'
L6
N 54°44'00" W
69.61'
Curve I Radius I Length Chord Chord Bear.
C1 431 .33' 305.66' 299.31' S 33°3V21" W
C2 363.75' 31.31. 32.34' S 51 °13'14" W
PHYSICAL SURVEY
FOR
MARIN DEVELOPMENT
LOT 41044, CRESCENT LAND & TIMBER, SECT. 14
DAVIDSON TOWNSHIP, IREDELL COUNTY, NC
SCALE: 1" = 50'
DEDMON SURVEYS
CHUCK POOVEY, PLS #3762
ROBERT DEDMON, PLS #3899
3704 NC H IGH WAY #16 NORTH
P.O. BOX 494 - DENVER, NC 28037
PHONE: [phone]
FAX: [phone]
c SEAL
2 L-3899
I, ROBERT J. DEDMON, CERTIFY THAT THIS PLAT WAS
DRAWN FROM AN ACTUAL SURVEY MADE UNDER MY
SUPERVISION (DB 2324, PG 2369)(PB 18, PG 80);
THAT THE RATIO OF PRECISION AS CALCULATED
EXCEEDS 1:10,000'; THAT THIS PLAT WAS PREPARED
IN ACCORDANCE WITH GS 47-30 AS AMENDED.
WITNESS MY ORIGINAL SIGNATURE, DECEMBER 28,
2017.
vvf 3899
PROFESSIO 11 LAND SURVEYOR LICENSE NO.
SURV. BY: Wr I DRAWN: RD IJOB# WSP104
VICINITY MAP
L1Vq
1'`WE
VSrrE CRK RID

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: l:7l D
®wner: ohn ,I b
Print
Contractor/agent: r 1;
Print
289 511JLM y Creeu, jd,.
�" Y'eSv 1 J 1£. NO— County: lre�all
The approval is for the purpose and design described in yoyr 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 02B .0243
(6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically
approved by the Division. There are limitation on size for decks. [15A NCAC 02B .0243(4) and (6)j
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), (8)]
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. [15A NCAC 02B .0243(5), (6)]
Acknowledgement of Notification
I, 7yo VI G_I 630n , hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be
taken such that the construction will be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting
materials. _
Signature (owner): Date:

1043
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Display Labels 1-1

John Ramon & Alici
289 Stumpy Creek I
Lot 1044

John Ramon & Alicia Elizabeth Gibson
289 Stumpy Creek Road, Iredell, NC
Lot 1044

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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-M.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 6/20117
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.
a 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.
a 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.

F
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 final 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
Excavation Program.
rev 6/20/17

Duke Eneru Excavation Permit Application Form
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit $— Check # Date Recv'd Initials
Date of Duke Energy Lake Services, applicant and/or contractor on -site inspections Date i 1, Z' -r- I Li Initials 4 C�tg--
Date Final Protection/Avoidance Area Markings Field - Verified
Approved to Start Work By * :
Date Completion Required
Date Passed Closeout Inspection*
(Print)
— Date of Any Approved Extension
Initials
Initials
Date
(Sign)
Initials
Any Stop Work Orders or SMG Violations*? (check one) ®Yes 13No (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 -;y ovn Grlbc-orl Telephone (704_'j5(0-,qMQ
Email address: GI @ cz \r e- 0iurd). r) V-CA
Lake Address
2LA �cniumpm Cree-v) 96
I I
McarnN'%Ike, 1AC, Zb1i
Mailing Address (if different)
Contractor Company C:TC, Grra8incA4 RQu I i na
i Ili
Contractor Contact Person b')6g, Hand\j Telephone i7TI q0Z- 1,385
Contractor Email Address: o-+r'1-Ckv-nCA1,nn . r nm
Lake County kre8elL city i le. StateiRc, TaxMapNo.40 -5 -ZZC)q
Nbire5v' I — _a_ q
Subdivision efftCE4 Lana 4 Lot / Section No. 1044 Lot Size I -CA Acres
T'% M loe-y- Co rp -
Duke Energy Page 4 of 14 rev 6120117
Excavation Program.

Duke Energy Excavation Permit Application Form
Are there any Co -Applicants*? (check one) ❑Yes M�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 I a
Initials (Duke Energy) I F-r-01
zX/I
(applicant/contractor)
Duke Energy Page 5 of 14 rev 6/20/17
Excavation Program.

Duke Energy Excavation Permit Application Form
Part H. Description of Project
A. Basic Info
1. Type of excavation: (check one)
2. Purpose of excavation: (check one)
❑ Water Intake Channel
❑ Other (specify):
3. Lake user category: (check one)
❑Commercial Marina
❑Other (specify):
ew excavation ❑ Maintenance excavation
ffBoat Access Channel
❑ Wastewater Discharge Channel
MfQate ❑Residential Marina
❑Public
4. Max. Exca non Area Dimensions (ft): Length Width 2LO1
Depth
(Note: include additional area dimensions if necessary so response to #5 below equals max. area
dimensions in #4)
S. Volume of Excavated Material (TOTAL, for the project): "'t' / Cubic yards
6. Type of material removed (applicant determines by field sample if practical): 5QLnJ_ 0 61 f�
7. Excavation Site area: • ® I Acre (s) Disposal Site area: , d Z Acre
(s)
8. Total Disturbed Area (including equipment stagi'n area): 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) &Kes ���� ❑No
11. Do you claim title to the equipment staging area? (check one) @Yes ❑No
12. Are there any water -treatment Facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes C+3No
(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): Ure&e. W,'i be accer►taii5l�ed w i-i-h
. ... . . . . . . .
4itR7�i �- *wR :1W-MrINIt. MC s A'1rITT_r-AM KO"72%rir-Mr/TFL=;J'AY&iA
Duke Energy Page 6 of 14 rev 6i20/17
Excavation Program.

Duke Energy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used: L n Q re c% Xrt1vaA 6 91d
6+e-e<r I baA e_T ba.!--a e 6
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) CKes ❑No
(Ifyes, explain) Aar-Qe rep;/1 e rah in Via P Dr"Idn,
IJ
16. Will return water re-enter the reservoir? (Check one) ❑Yes 2<0 ❑N/A
(If Yes, specify point(s) of re-entry and show on Excavation Area Drawing)
17. Is there an existing f ility (e.g. pier) that access is being maintained to by conducting the
excavation? ❑Yes o Av6c-�ed 'PerrKU'i foy- new docK-
(If Yes, specify the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit #
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation mea,�ures complete):
START / _� FINISH /
(Month) (Year) (Month) (Year)
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Excavation Program.

Duke Energy Excavation Permit Application Form
Part II. (Continued)
B. Protection / Avoidance Area Description
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas
(check all that apply)
Approx
Identification
Method M
Avoid (A) or Mitigate
Acre
Field ID
Work Area Dw . ID
M **
a. Marshland, swamp, ponds, beneficial
aquatic vegetation or other potential wetlands
(circle all that apply)
l J�
/v //
b. Buffer Zones (specify width &source
of requirement)
major j!, Will be ,� f oemed
b b0•� h 1 O..nd It . VVZLA-C-r.
WCJOnip Iced WtmSed 5 V4 dapd5iaer-
OLnG on
OVICp�rr 1 O2
- vide.
e�7o i ��
eu�er�bh e
-
c. Environmental Areas as identified by
Duke Energy
�/�
d. Natural Areas as identified by Duke
Energy
�/
e. Historic properties (specify)
Duke Energy Page 8 of 9 rev zic>n 7
Excavation Program

Duke Energy Excavation .Permit Application Form
/V/A
f. Rare or threatened species (.specify)
/A
g. Buried gas, water, sewer,
communications or electric lines (circle)
/) /
J +' J f-�
h. Impact Minimization Zones as
identified by Duke Energy
, V f
i. Other areas requiring specific
avoidance, protection or mitigation (specify)
t
* 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.
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Excavation Program

Duke Energy Excavation Permit Application Form
** List and attach mitigation plans
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Excavation Program

Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
Comments:
Applicant Name (print)
Applicant Signature* "'ate
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 2.16/17
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.
B. 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.] -
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 reportingfonn for construction sites
disturbing two (2) acres or less to the South Carolina Dept. of Health and Environmental
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
IV A USES 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.
)2 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. Ener2v Excavation Permit AwDlication 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
e
two years preceding Duke Energy's receipt of the application..
rrahla YQT_1 Cam"la Arran, v 1 nmman+ antl Racnanep Tnhl,-
Agency.
ency 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/l/20xx. No
res otse.as.of2/16/20xx..
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.
Tahla TV_9 Camnle AaPnev Psmrmitc anti C evrtifiratinns Table -
Agency
Permit/Certification blame
Date of
Issuance
Date of
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

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date /0— / r / g
TO: Duke Energy
c/o Lake Services - EC 12Q
526 S. Church Street
Charlotte, NC 28202
RE: Excavation For (Subdivision and Lot #'s or Other Project Name)
_P.re SCen+ i_ar�ci+ \`s,fOP.I p0- ('f%%- % 51Pr%n.,% iA I ,.,A-# i
(Lake/County/City)
(Applicant's full name) _ 01n v1 Gr e b50 r} 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 bmk 5110
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.
1/we understand that if the SNIP 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.
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 SNIP and the new application must
include any applicable fees and security deposits.
Uwe 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.
We attest to be the owner(s) or lease holder(s) of the land that will be used for equipment
staging and disposal of excavated material or if not the owner or lease holder, 1/we have included
proof of title to the property and written authorization from the owner(s) or lease holder(s) to
carry out the work on their land.
Duke E:nerci Page e 1
g Rev: 6/ 16/ 17

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 muddle 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. 1/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, 1/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 1/we submit the final application to Duke
Energy Lake Services.
1/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.
Uwe 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.
Ywe 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.
1/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.
Ywe 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.
Ywe 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.
Ywe 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, Ywe must pursue to protect or salvage the archaeological resources.
Ywe 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.
Ywe agree to be fully responsible for the permitted lake use and Ywe 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. Ywe 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.
Ywe agree to develop any required mitigation plans and to complete any required mitigation
activities at my/our own expense within the specified time frames. Mwe 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 Ywe will host Duke Energy's approval letter in a clear waterproof
bag at the job site and visible from the water's edge
1/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 SNIP or this user's
agreement occur.
Ywe understand there will be no change in hydro project operations as a result of the excavation
and/or utilization of the excavated area.
1/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.
Mwe 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) Appli s Signature
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
Duke Energy Page 4 Rev: 6/16/17

Type: CONSOLIDATED REAL PROPERTY
Recorded: 2/1/2018 3:12:53 PM
Fee Amt: $183.00 Page 1 of 2
Revenue Tax: $157.00
Iredell County, NC
Ronald N. Wyatt Register of Deeds
BK 2537 PG 530 - 531
GENERAL WARRANTY DEED
Excise Tax: $157.00
Tax Parcel ID No.: 4638-59-2209 Verified by: Iredell County
on the day of_
20 By:,
NO TITLE OPINION RENDERED -NO CLOSING HELD BY PREPARING ATTORNEY
Mail/Box to: Grantee
This instrument was prepared by: Kevin Donaldson, Attorney at Law, Jones, Childers, Donaldson & Webb, PLLC, 149
Welton Way, Mooresville NC 28117
Brief description for the Index:
THIS DEED, made this the 191" day of December, 2017, by and between
GRANTOR: John C. Richards and wife Lee Ann Richards
whose mailing address is: P.O. Box 4613, Mooresville, NC
(herein referred to collectively as Grantor) and
28117
GRANTEE: John Ramon Gibson and wife Alicia Elizabeth Gibson
Those mailing address is: 145 Yellowbell Road, Mooresville, NC 28117,
(herein referred to collectively as Grantee) and
WITNESSETH:
For valuable consideration from Grantee to Grantor, the receipt and sufficiency of which is hereby acknowledged,
Grantor hereby gives, grants, bargains, sells and conveys unto Grantee in fee simple, subject to the Exceptions and
Reservations hereinafter provided, if any, the following described property located in the City of
Township of Davidson County of Iredell, State of North Carolina, more particularly described as follows:
All that certain tract of land located in Davidson Township, Iredell County, North Carolina, designated as
"LAKE LOT 1044, AREA = 1.09 ACRES" as shown on plat recorded in Plat Book 18, Page 80 ("Plat'); AND
BEING all or a portion of the land conveyed to Catawba Manufacturing & Electric Power Company (presently
known as Duke Energy Carolinas, LLC) by deed from Mary J. Ervin (widow) et al (UMI-117) recorded July 25,
1924 in Deed Book 76, Page 425; by deed to Catawba Manufacturing & Electric Power Company from J.F.
Ervin and wife, S.F. Ervin (UMI-157) recorded January 6,1925, in Deed Book 78, Page 340; by deed to Catawba
Manufacturing & Electric Power Company from W.J. Ervin and wife, M.J. Ervin (UMI-209) recorded January 14,
1926, in Deed Book 87, Page 310; and by deed to Crescent Land & Timber Corp. (presently known as Crescent
Communities, LLC) from Duke Power Company (presently known as Duke Energy Carolinas, LLC) recorded
December 22,1969, in Deed Book 481, Page 91.
submitted electronically by "Knipp Law office, PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Iredell County Register of Deeds.
Revised December 17, 2009
Book: 2537 Page: 530 Page 1 of 2

Said property having been previously conveyed to Grantor by instrument(s) recorded in Book 2483, Page 177, and
being reflected on plat(s) recorded in Map/Plat Book 18, page/slide 80.
All or a portion of the property herein conveyed includes or vl' does not include the primary residence of a
Grantor.
TO HAVE AND TO HOLD unto Grantee, together with all privileges and 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 as set forth herein, and that Grantor
will forever warrant and defend the title against the lawful claims of all 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 and Grantee as used herein shall 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 and year first above written.
G (SEAL)
Lee Ann Richards
State of North Carolina
County of Iredell
I certify that the following person(s) personally appeared before me this day,
each acknowledging to me that he or she signed the foregoing document:
John C. Richards and Lee Ann Richards.
Date: 1 —30 - IR" &A-1 Lc &
Notary Public
Notary's Printed or Typed Name
My Commission Expires:
Revised December 17, 2009
(official/Notarial seal)
1 Robin Kale Robinson
ti '
Catawba Z)unt�
North Carolind
1JS f :/J� -if 111 r ✓J JI.IJYll./��
Book: 2537 Page: 530 Page 2 of 2

John Ramon & Alicia Elizabeth Gibson
289 Stumpy Creek Road, Iredell, NC
Lot 1044
IOU
00ALL MEN n TxoE fEEtufE, +� Mti. L
j
N.Ae�tG, 'mRI.BIvW,p C"%tM—
LBa1TBile... .xAllwe.L tq.l►uWa
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.D.JI, Y —ft and .AR "It — I*— Old.
"Ut I tEl.. ON" MdE 2.0'lNd t.t!-v,-_•
' L. DAL.AtilIW0. .KM".B[..a eu.y.td f.E 4--'P'
REC. LOT 115 IREC. LOT III
A CiiL,�arp.xd and u. xdnlltldAmb�C=7^
111 C. ILONG
er lLtlxtlElMa M ■met e.m.Tl b Cnas twE
• Tkwo.►t7.Ow" —ad bD dMLL.YNa
9.W R.di47-
: REC. LOT I I B
EqR � T.. KI. DER �
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_ REC. LOT III
tia'e'15E , 0004:
e�
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as .. uul...w++
p�,�,,,u�.����``p``•
Pr+rid.6 tll.tAOEPE
a1KtY I'D) dt Btmt APDL'+ �� 1ttDlD
i.
ENBamax.dW t/ �+ P I D
DEPARTMENT OF TRANSPORTATION
DIVISION OF RIGHWAYS
PPOPWO SJdOtASION RWD
APPROY W_�L_w,aR
rmn v¢+x[u
GATE ems•
REC. LOT 104
A. B. DAVIS
LAKE +31+t
NORMAN
+Says v
x�to�[_do�ss
CRESCENT LAND 5 I.
,TIMBER CORP.
l.. J. EN". I
CRESCENT LAND 5 TIMBER CORE
I J !. ENVIN 1
IST, TN. I
CRESCENT LAND
TIMBER CORP.
IJ M. [Nvm, ESIATE 1
u...L _ IIT
`v11 tNud���y
plQ.Eu.[YJ>1B^T WlL7ie4/1A ro%dc L
BELL!
CW!l RDAlM
�(�*t o q I _ CRESCENT LAND B TIMBER CORP.
�o NOTE: BUILDING SETBACK LINES ARE REVISION N RMAN
SECTION 14
9y 35 FT. FROM ROAD RIGHT OF WAY LIMIT•4 Oox �_.. 50 FT. FROM LAKE BOUNDARY AND-- ------------ LOTS IO43 THRII 1045-'-'—"—"—�
OM SID.t.1 CiW
TT I DAVIDSON TOWNSHIP
IREDELL COUNTY, N.C.
PooLl[ I REFERENCE: - ,
PLAT.BOOK I3, PAGE 31 0 100 200 300 400
GEOGRAPHIC LOCATION I REF. DWG. N0. C.F• 14-N SCALE: I" • iod JUNE 25, IBS!
!GALE: 1- 2%ILES I MISC. BOOK No. Se, 396,3BT • DWG. NO. GE 14-H-1 .f

50 0 50 100 150
GRAPHIC SCALE — FEET
� Kff
\\
LEGEND
LAW
ESP
RIGHT —OF - TAT
EDGE OF PAVEMENT
L4OEFWNE
POE
PERMANENT DRAINAGE EASEMENT
x
UnUTY POLE
LOT 1043
A
LIGHT POLE
•
SANITARY SExm MANHOLE
PB 18-80
I
OVERHEAD UTILITY LINE
05 REGAR
243.53'
N B4'46'OO'E
1
::NORMAN-
ANY DOCKr PIERS OR�+OMm,
e6 RD1AR - - -7
\ — •� —
\
SURVEY PUTS �+
f-100
YEAR FLOOD LINE
YEAR FLOOD LANE
1 �
/
50' LAKE BUFFER
T\ & SETBACK
LOT 107
107
p,
FENCE CORNEA IS
I 6.0' ONTO LOT J1044 /�,
% NOTfS:
PB
w
I /i
^�
• PROPERTY MAY BE SUBIECF TO RECORDED OR
UNRECORDED RIGHTS OF WAYS OR EASEMENTS
/
NOT
�FY
• OWNER ALL SETBACKS AND ZONING
/
I� 1.089 AC +- /
REGULATIONS PRIOR TO ANY PLANN9NG OR
o
I�G LOT 1044 /
/ CONSTRUCTION.
z
I` PB 18-80
/ THHIiS ru SHOULLDD IMPROVEMENTS
OTBE E ED O SHOWN ED
UPON FOR DESIGN OR CONSTRUCTION WITHOUT
A FIELD VERIFICATION 6F ALL DIMENSIONS.
I / (•
• DIGITAL COPIES OF THIS FILE ARE FOR REFERENCE
ONLY AND MAY NOT BE USED FUR DESIGN WORK.
L — — — — — -� �QV /
• A PORnON OF THIS PROPERTY IS LOCATED W A
100 YEAR FLOW PLAIN.
\
ONTO LOT
/4�0' f1M4 �V(�QA
11 — — — ' O'er /
IT/1 I5 Rmut N 8T1000 89.87 /
/
SENECA PLACE /
/
60- R\W /
Course
Bearing
Distance
L7
S 60°06'39' E
49.62'
L2
S 35'14'00' E
11.31'
L3
N 54°46'000 E
11.31'
L4
S 75°16'00' E
L5
N 38°45'00' W
46.61'
46.61'
L6
N 540441000 W
69.61'
— — ' — — ' — — • — — • — / Curve Radius I Length I Chord I Chord Bear.
7 / Cl 431.33' 1 305.68' 1 299.31' 1 S 33-37-21" W
C2 363.75' 1 32.35' 1 32.34' 1 8 51°13'14" W
PHYSICAL SURVEY
FOR
MARIN DEVELOPMENT
LOT N1044, CRESCENT LAND & TIMBER, SECT. 14
DAMDSON TOWNSHIP, IREDELLCOUNTY, NC
SCALE: 1" - 50'
DEDMOIN SURVEYS
CHUCK POOVEY, PLS #3762
ROBERT DEDMON, PLS #3899
3704 NCHIGHWAY #16 NORTH
P.O. BOX 494 - DENVER, NC 28037
PHONE: [phone]
FAX: [phone]
SEA.
L-3899
I, ROBERT J. DEDMON, CERTIFY THAT THIS PLAT WAS
DRAWN FROM AN ACTUAL SURVEY MADE UNDER MY
SUPERVISION (DB 2324, PC 23B9)(P8 1B, P9 80);
THAT THE RATIO OF PRECISION AS CALCULATED
D(CEEOS 1:10,0001, TRAT THIS PLAT WAS PREPARED
IN ACCORDANCE WITH GS 47-30 AS AMENDED.
WITNESS MY ORIGINAL SIGNATURE- DECEMBER 28.
2017.
4cv(A 7/. RS4.cY�mcn. 3899
. LAND SUHVEYOR LICENSE NO.
I SUFN. BY: WT I DRAWN: RD I JOB% WSP104
I VICINITY MAP
LAVA L4Ng
SITE p,
K
51Ury
Cits
STUMPY CRK RD

tc (,-
I
DETFvA

50 0 50 100 150
GRAPHIC SCALE — FEET
LOT 1043
PB 18-80
\ APPROXIMATE 760'
\ OUR LINE
N B4'46'OO'E 243.53'
ANY DOCK% PEeIuB OR OTNEA' /8 REGAR—
�'�sxoxr+`oN°nis�
\—APPRO%RUTE 100
(5, YEAR
FLOOD LINE \ /
/6 R L1
50• LAKE BUFFER /
@ SETBACK /
LOT 107 —
&o��D � 070
PB 13-31
4-
N
Iul
/
'03
1@ 1.089AC
o
LOT1044
z
�� PB 18-80
L-------�///
ONTO�WEDT IS
4H0
/5 aEeiR
N 8T1000 89.87
SENECA PLACE
60' R\W
/
7
/
LEGEND
RAW
RIONF—OF—WAY
GU
EDGE OF iNEAYDIOi`
CENTERLPDE
PERMANENT DRAKWE EASEMENT
x
UTILITY POLE
)(
LIGHT POLE
.
SANITARY SUM MANHO LE
r
—OVERHEAD UWTY LINE
r
i
/ NOTES:
/ • PROPERTY MAY BE SUBJECT TO RECORDED OR
UNRECORDED RIGHTS OF WAYS OR EASEMENTS
/ NOT OBSERVED
/ • OWNER TO VERIFY ALL SETBACKS AND ZONING
REGULATIONS PRIOR TO ANY PLANNING OR
/ CONSTRICTION.
/ • DMENSIONS OF ALL IMPROVEMENTS SHOWN ON
THIS PUT SHOULD NOT BE SCALED OR RELIED
/ UPON FOR DESIGN OR CONSTRUCTION WITHOUT
/ A FIELD VERIFICATION OF ALL DIMENSIONS.
• DIGITAL COPES OF THIS FILE ARE FOR REFERENCE
/ ONLY AND MAY NOT BE USED FOR DESIGN WORK.
/ • A PORTION OF THIS PROPERTY IS LOCATED IN A
100 YEAR FLOOD PLAIN.
Course
Bearing
Distance
L1
S 80'06'39' E
49.62'
L2
S 35'14'00' E
11.31'
L3
N 54'46'00' E
11.31'
L4
S 75'16'00' E
54.75'
L5
N 38'45'GO' W
46.61'
L6
N 54044'00' W
89.61'
Curve I Radius I Length I Chord Chord Bear.
Cl 1 431.33' 1 305.66' 1 299.31S 33'37'21" W
C2 1 363.75' 1 32.35' 1 32.34' S 51313'14" W
PHYSICAL SURVEY
FOR
MARIN DEVELOPMENT
104 SENECA PLACE - MOORESVILLE, NC
LOT N1044, CRESCENT LAND & TIMBER, SECT. 14
I DAVIDSON TOWNSHIP, IREDELLCOUNTY, NC I
SCALE: 1' = 50'
DEDMON SURVEYS
CHUCK POOVEY, PIS #3762
ROBERT DEDMON, PLS #3899
3704 NC HIGHWAY#16 NORTH
P.O. BOX 494 - D ENVER, NC 28037
PHONE: [phone]
FAX: [phone]
SEAL
L-3a99
I, ROBERT J. DEDMON, CERTIFY THAT THIS PLAT WAS
DRAWN FROM AN ACTUAL SURVEY MADE UNDER MY
SUPERVISION (DB 2324, PG 2369)(PS 1a. PG Be);
HE RATIO OF PRECISION AS CALCULATED
EXCEEDST
EXCS 1:10,0Do'; THAT THIS PLAT WAS PREPARED
IN ACCORDANCE WITH CS 47-30 AS AMENDED.
WITNESS MY ORIGINAL SIGNATURE, DECEMBER 28.
201� n L n n n 3899
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URV. BY. WT DRAWN: RD MOB) WSP704
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DEPARTMENT OF THE INTERIOR
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TROUTMAN, INC
2019
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DUKE ENERGY DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project
site canbavea 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: John Gibson
Street Address (at lake): 289 Stumpy Creek Road Mooresville, NC 28117
Lake Name: Norman
Subdivision Name: Crescent Land and Timber Corporation
Property Section: Section 14 Lot #: 1044
City: Mooresville
State:
Telephone: [phone]
County: Iredell
Zip:
28117
Directions (from major road or highway): From I-77 NB, Exit 36, Left onto NC-
150 W13, Right onto Perth Road, Left onto Stumpy Creek Road, Porperty is on
the left after boating access area.
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.

John Gibson
Stumpy Creek Road
Mooresville, NC 28117
Excavation and Disposal Neighbors
Elizabete and Jose Madeira
110 Seneca Place
Mooresville, NC 28117
Arthur and Whitney Lowe
105 Dearborn Lane
Mooresville, NC 28117