20220905 Ver 1_Shoreline Stabilization_20220705

ROY COOPER r ', Qr_-c`-
Governor
MICHAEL S.REGAN
Secretary i.
S.DANIEL SMITH NORTH CAROLINA State of North Carolina
Director Environmental Quality
Department of Environment Quality
Division of Water Resources
15A NCAC 02H.0500—Water Quality Certification,Shoreline Stabilization
FORM: SSGP 09-2020
Shoreline Stabilization Application Form
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.)
Paul Wojoski Paul Wojoski
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
NOTE: Before submitting this form, please ensure you have submitted the Pre-Filing Meeting Request
Form as we will not be able to accept your application without this important first step.The Pre-Filing
Meeting Request Form is used in accordance with 40 C.F.R. Section 121.4(a)which states "At least 30
days prior to submitting a certification request, the project proponent shall request a pre-filing
meeting with the certifying agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all
certification requests must include documentation that a pre-filing meeting request was submitted to
the certifying authority at least 30 days prior to submitting the certification request. Click hereto read
more information on when this form is needed prior to application submission or hereto view the
form.
Attach documentation of Pre-Filing Meeting Request to this application.
RECEIVED
Date of Pre-filing Meeting Request: / / (required)
DWR ID# Version (if applicable) JUN - 5 2022
EQ&BATER REURCES
401DWUFFER PERSOMITTING
A. Applicant Information [15A NCAC 02H .0502(a)1
1. Owner Information
Name: SI-eptiell 5o5 hoWSIC
Mailing Address: 41I2-I A2-41c4 Rd.
Sherr,Iiy Ford ,, MC Z SC 73
Telephone Number: 76 -42°'Z'0y I Fax Number:
E-mail Address: Sty5rwanb n'&g,ka;I,coM
D_E Q) North Carolina Department of Environmental Quality I Division of Water Resources
�� 512 North Salisbury Street 11617 Mail Service Center I Raleigh.North Carolina 27699 1617
o.p.....of rm,.o.wa orp 919.707.9000

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: 1h 191,E Enytar
Company Affiliation: LNKt Norm4A Dit4 P, - -l7xg
Mailing Address: Wire kr -re,( Viif L43.e
CQ(-ct Am AK-, .)_(‘,6?
Telephone Number: Mi kas--32-86 Fax Number:
E-mail Address: Vctu361 (442 6)via; coM
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.
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: 6611-4 'k Nearest Town: 5 e rr;Its Ford
Lake/ river/ocean adjacent to property: Lew.? Narrn4n
Property size (acres): I.oyi
Subdivision name or site address (include phase/lot number): L.t- 3
A2GI;ct (kaki sUbdtv,Sgti
Directions to site - please include road names and numbers, landmarks, etc.: tin Strerrei4
Fred rd �4rn r),'40 Mollys Q4aloont7 i�cn �wch raI - onto udat4 Road
Latitude (in decimal degrees) 3$. 63$o y Longitude (decimal degrees) , • 5 7 19
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): r?5rden4.,v4
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Drv/..1.49 for pAces5e °F boar acceSS
FORM:SSGP 09-2020 Page 2 of 5

7. Will work be conducted from land? n From water? Fr
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:
I Sd q,fir
Temporary impacts in square feet:
0
9. Total amount of impacts above the normal pool lake level/ Normal Water Level and 50 feet
land-ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
0
Temporary impacts (temporary clearing, construction corridor) in square feet:
0
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): ►i5h-Hy walled / hoP705
r ajed
11. Signature
By signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true,
accurate, and complete to the best of my knowledge and belief
• The project proponent hereby requests that the certifying authority review and take action
on this CWA 401 certification request within the applicable reasonable period of time
/,zoa a
Owne /�i Signature* 15A NCAC 02H .0502(f)] Date
g g �
'Agent's signature is valid only if an authorization letter from the owner is provided.
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
FORM:SSGP 09-2020 Page 3 of 5

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: P114V - DSd0uW5t D, die County: C41`114'114
Owner: ..‘1?�He 1.1srfOtnj
Print Sig ture w �
Contractor/agent: V a u31/! En y'gal f
Print Signature
The approval is for the purpose and design described in your application. Impacts not indicated in the
application is a violation of the Buffer Rule.Site specific work should be provided in the application. [15A NCAC
02H .0506 and 15A NCAC 02B .0243(8)]
Trees are not allowed to be removed from Zone 1 of the Buffer(within 30 ft of the full pond elevation), unless
approved.Exception,those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B.0243(6)]
Benching and 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)]
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, 67r yoAle_ii A , 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: (o "2 6. -a:).20.

Duke Energy 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 6,'21-ZZ Initials
Date Final Protection/Avoidance Area Markings Field-Verified Initials
Date
Approved to Start Work By*: (Sign)
(Print)
Date Completion Required Date of Any Approved Extension Initials
Date Passed Closeout Inspection* Initials
Any Stop Work Orders or SMG Violations*?(check one) OYes ONo (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)
h 7 e)-1().a —zHgl
Name Step cn SoShowf Telephone
Email address: 505Man bby0JCr"0<com
Lake Address Mailing Address (f different)
k(Z( A- 4/ e i. (-d
Sherr1(5 Pord / NC )-- 73
Contractor Company 1-q t t7rtdy,5n5
Contractor Contact Person Vauglur rktfea& Telephone 70f-K07--31$6
Contractor Email Address: Vt tt3 14 (9 42 ge14:1, Co w
LAKE LOT INFORMATION
Lake Nor".4n County Cci.1 c b et City Sher/t Alt Pad State NC Tax Map No.
Subdivision A-za1eci crock A Lot/Section No. Lot Size Lan Acres
Duke Energy Page 4 of 13 rev 11/22/21
Excavation Program

Duke Energy Excavation Permit Application Form
Security Deposit Refund Information
The security deposit will be refunded after the excavation permit has expired if no violations of
the approval occurred. The applicant will receive the security depost refund at the mailing
address in Part I unless an alternative recipient is identified.
Send the security deposit to an alternative recipient? (check one) ❑Yes �No (If Yes,
include name and mailing address below.
Name: Tax ID:
Mailing Address:
Are there any Co-Applicants*?(check one) ❑Yes ❑No (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 6-Z7-2-2
Initials(Duke Energy) (applicant/contractor) VCC
Duke Energy Page 5 of 13 rev 11/22/21
Excavation Program

Duke Ener Excavation Per A
mit lication Form
Part IL Description of Project
A. Basic Information 1. Type /
of excavation: (check one) 0 New excavation ® Maintenance excavation
—
LI/Boat Access Channel
2. Purpose of excavation:(check one) � Wastewater Discharge Channel
❑Water Intake Channel
❑ Other(specify):
Private ❑Residential Marina
3. Lake user category: (check one) public
❑Commercial Marina
❑Other
4. Max. Excavation Area Dimensions(ft): Length 65 Width 30 Depth 3
(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): (7 Cubic yards
6. Type of material removed (applicant determines by field sample if practical):
C I a r , 5.44 o ry+n%c r►a�C
7. Excavation Site area: 4.V45 Acre(s) Disposal Site area: OtiS Acre
(s)
8. Total Disturbed Area(including equipment staging area): (9,0 Acre(s)
9. Does the project meet the requirements of the applicable General Permit?(check one)
6Yes DNo
10. Do you claim title to the disposal area?(check one) ❑Yes l&o
11. Do you claim title to the equipment staging area? (check one) SYes DNo
12. Are there any water-treatme t facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes ad No
(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):
/41 aFrnit I Cnq tra-r,I v5A, a 0n9 excet too,. on a barge
Duke Energy Page 6 of 13 rev 11/22/21
Excavation Program

Duke Ener Excavation Permit A tication Form
14. T pe(s)of excavation equipment to be used:
�eaek eiccuvgi-aa
I,n (vs e, re 'r bPaa-s , L- x
15. Will waters or wetlands be rossed in transporting equipment to or from the site?
(check one) ❑Yes be
(I es, ex lain)
16. Will return water re-enter the reservoir? (Check one) ❑Yes
No C1N/A
(If Yes, sped point(s)of re-entry and show on Excavation Area Drawing)
17. Is there an e sting facility(e.g. pier)that access is being maintained to by conducting the
excavation? DYes DNo
(If Yes,provide the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit# 7&Cs
18. Total planned duration of the work(Include first equipment mobilization, excavation
through final mitigation measures complete):
START 04 / - '- - FINISH O i )..)-
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 13 rev t tnzrzt
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 Approx Identification Method_* Avoid(A)or Mitigate(M)
(check all that apply) Acre Field ID Work Area Dwg.ID
a. Marshland,swamp,ponds,beneficial
aquatic vegetation or other potential wetlands
(circle all that apply)
b. Buffer Zones(specify width&source
of requirement)
N�-
•
c. Environmental Areas as identified by
Duke Energy
d. Natural Areas as identified by Duke
Energy IJ�
e. Historic properties(specify) AAII
f. Rare or threatened species(specify)
NPr
g. Buried gas,water,sewer, Nir
communications or electric lines(circle)
Duke Energy Page 8 of 13 rev 11/22/2021
Excavation Program

Duke Energy Excavation Permit Application Form
Protection/Avoidance Areas Approx Identification Method f*) Avoid(A)or Mitieate(M)
(check all that apply) Acre Field ID Work Area Dwe.ID_
h. Impact Minimization Zones as N�
identified by Duke Energy
i. Other areas requiring specific
avoidance,protection or mitigation(specify)
iqk
* For"Field ID"column, specify entity or person that performed the identification and how it was physically marked (e.g. Duke
Energy (John Doe)/Pink and purple-dotted tape, Corps of Eng. (John Smith)/yellow flagging). For"Work Area Dwg ID"column,
show the symbol that is used on the drawings to identify the protection/avoidance area.
** List and attach mitigation plans
Duke Energy Page 9 of 13 rev 11/22/2021
Excavation Program

Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
Comments:
Applicant Name (print),c,51-rC Pi/E t J f., - Z o S 1s16 t,JSK-'
Applicant Signature* Ctipa4 —d Date 60 —0I -232-7
Co-Applicant Name (print)
Co-Applicant Signature* Date
Co-Applicant Name(print)
Co-Applicant Signature* Date
Co-Applicant Name (print)
Co-Applicant Signature* Date
Co-Applicant Name (print)
Co-Applicant Signature* Date
*Per my signature,the information provided in this application is correct to the best of my
knowledge.
Duke Energy Page 10 of 13 rev 11/22/2021
Excavation Program

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date "20'1°�-�—
TO: Duke Energy
do Lake Services -EC 12Q
526 S. Church Street
Charlotte,NC 28202
RE: Excavation For(Subdivision and Lot#'s or Other Project Name)
StePher. So5ra'5(i'
(Lake/County/City) Morhgn / Gtt- ,k'' I 5herr.'It5 Porc(
(Applicant's full name) 5fephcn SajKo is!; hereby agrees to comply with all
recommendations, requirements and/or conditions of Duke Energy, General Permit(s) (if
applicable) and other federal, state and local agency requirements pertaining to the application to
excavate for the purpose of a Boca f- Aue45
In addition, I/we have read and agree to comply with Duke Energy's current Shoreline
Management Plan (SMP) or other applicable guidelines, much of which is repeated herein, and
understand that written authorization must be obtained from Duke Energy prior to beginning any
activity within the Federal Energy Regulatory Commission(FERC) project boundary or on Duke
Energy property associated with a reservoir, collectively referred to as Project Boundary. The
excavation will be completed as described in the approved application and within eighteen (18)
months from the date of written approval by Duke Energy, 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. 1/we understand that if the SMP or other applicable guidelines or
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 SMP or other applicable guidelines 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 where the excavation activity is to take place,or if not the owner or lease holder,Uwe
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,Uwe 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 ems,. Page 1 Rev 416f2(20

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.
Uwe 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
Energy;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 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 or other applicable guidelines 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 Directives,to fully cooperate with Duke Energy and other agencies
as necessary,and to perform the necessary remedial actions within the specified time frame.
Dace Effigy Page 3 R.N.4/6/2020

required mitigation plans and to complete any required mitigation
Uwe agree to develop any eq recognize that the
activities at my/our own expense within the specified time rames. I/be we refunded the
excavation work is not considered complete and deposits
mitigation requirements(if any)have been satisfactorily fulfilled.
to ensure
I/we a ee to noti Duke Ener b hone when the excavation is oval letter in aarid
lear Ovate throof
at
durin the excavation eriod I/we will st Duke Ener s
ible from the
baa at the job site and vasty=� u� water's edge.
I/we agree to notify Duke Energy wwrthin when the excavation is completed(including any
required mitigation measures)and that the excavation was completed per the approved
application,so a close-out inspection can be performed.
Uwe recognize security deposits will not be refunded if any violations of the SMP,other
applicable guidelines,or this user's agreement occur.
Uwe understand there will be no change in hydro project operations as a result of the excavation
and/or utilization of the excavated area.
Uwe 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.
Uwe 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 and Duke Energy
lands and waters shall not hinder the general public's lawful use and enjoyment of the same.
Sincerely,
Applicant's Name(Print) Applicant's ignature
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 I:new, Page 4 Rev:47612020

ale: ox,Ie1!
0
yy
/. Ne9Nk /IM/yle4, ,. % 11er rhAld.,.wn Mu.w nndn nm •elmeraiew
11.IHr Henndxrin yel l--elf",ilrl
Wire
M1
\
Lot
'1.272 Acres
100
R. S. I r'oli tl/; ei (i rn„ ml,e •ta[al(/ rlu ll.l ;; t /r1.o 00,6 rear#**, N[' 2xlae
phone (01J1 R71-f173 » J.e I'n "*/-1771 - rnrurl, Ledfly[u rrddµ1
ann°�°`^r�
wF�
Lo/3
1.084 Acres
Iwe Ny"'a eAA'"Id'M.L1AL I1,wR//AJARnt*Lh
l1 �,
0.854 Acre
.wmAt „s'
LOf lr
- 6 TURIi N(o9AIAN R!"('. /IIT'-
^/'. IL I0-7-
I.o,y.4Smith W 1 White. M.
IA /( 1144..E
Lake Norma"
<341
b eS�N Flpti t(N"
I(et .NK IL,rt/
AZALEA ROAD
ix. N' N.4R INW - R R /t17-111 ,Ip&Y
(.,m
n ,o',ha'O1 Ss'
L
0
`v,
NOTES;
•
(],/(LIIl uL All Mewl 8a/IJ'. No 1,l,v, uJ,�,
r,..16.,•l, fJell,rdul4 eha otri, drdhrern,nibleere aY
' Y• r..1...al,Ywrl..R
J h- 1r qJ l
lY •W+ !Im at Judm �ahrw
x A.wh.r... / • m, , ., . H ,.,,.r..r I
1//,111,,V
Ca Nay AA,. pi. Me ALa and Cowl yy owl.
(/p,[ Healer wul. lrther.1. Ilellrn7 M..".. aft•e before
mexN anor.,4*dme e.wrn"WweJwpe,.�11N
R' AaNeMaxxY y.r"l deo eke eY- Jay N Z__, tee!
NSwyl n y.yl e,.l Wrvr'r!
All MRr,,,emen • rr, xrl/ann with the (':I/:111 MI f.'l l.Wtl',1'Irllllll'l.1'/I)N Wan V I V11:
Peoprit it hone,11 0.
Alinurmrn S'whe,L, to ,n,,rm with euereni 1 Muwde 1'rmmy JrurJued•.
Al (4 •uhjxr l" a jR'shah. a erlJ ✓ilire ememe„r one** uJe N NH l a Awn
Iran 1Nn W aR /Y earner, mile" •ha,.n uHerwi e.
('('A/ - (')LV(IIL rl L'11',1'R111. ,11117! ',t,;\ l'
rlli - Public llrrnrge 1.40axe10
rl rumen• ih4 property h Anwed in•.thh tell/e;eeJ Iree Je•ipiued Ap the 1,11
I' low 1IlurJlleand yAl,pit 1•o/J-x(•I1711p11111;fI 1' Omer .\xW 111
1JN,u•W Haut S'gmm,W 7, /et1
Lw re he •ern•J Ay imA,i.MW well, up.. 4A am, ire* IA
Al/ 44 within Ihe,!(1l r.1 11! IalNi•eoun la the Au•t m/hny 4"niedtr, he within the
l_A'-[,I_I(_II ✓Jthr / '/i/t��l h(! J�'ll_narr(a I itriI.11 11LIL1III_/1 w Jearthe1e, Ar the
North Caroline/14 *Jr.Sa44 l.flan,y(emex an✓ m• yyuee•en 11,11u.n1e,
IYw• uteuMop N l�awtR /.LR41y
tut 27i
-e1 a r1Axt NO2+1.6w.oI S
-/'. It Ir-148-
Sghea R' hit." Imhof , 14:Welh 1l.
/1 R. )/10.11h
41, 7,11 'J,J. LILl'Ir1 kyy0l/L11114' 1.4111 , I,l
m •I.M,I, 1..ne.1 IJ.d,L. _ .e,.4 _ d
if I ILO ✓I IA (It;J,rl /I(((
N('wwy
•J ,Ae� Jr r Aeirhw �n✓r y/nr mr utl�
maw, MT fa/e,.n/er A."M,y.
Rxtir(t4 IX" }.°3
a21'7.ir 11/' P! WPM hl' (LILJ(R, I URN Aq
...Nei, aw,6h.e al did nryw re•ed. + e.m.h ••••••
yxe u.ymu.yeona. No
ii- L-e3
Heel
dAc, _7, 4003 act 3:52 e' )
Gnat 4 9.4_dt' t: J PQ.c�Bo+(�' S`7
. �kah.•
(t:4'13
1-i1/,i117,(' ',,!i i i',S(lb,lil'i.,llln
3.2/0 i'Ill;r'.'rrrs I/,,,.r IL1-A:,lt /L 3743)
f'ZALE/, it' Cr: i `S/JLL,' %iICN
ALnur,,rin (;..L rnvR.4lp (rowels /'o1,lll',
Tux PM J4/F-NJN1-1Ir4X - 01. 11, ?✓/.l IA /1 11..(' lb
Prolierrr J 'lrrrl,pl',/0,. ' yr A',,B411, r.,y1, ' What ;! / kj:j,:
/'. It Erra,j,IUA
,,11ah'3r1,1/Y, N(' 111117:11Ya
(744 462 64W/
Souk: / ^ .. 30' 14. an0l/(yh9
Mar /Haler ,Vrrrnrbay.l, dauJ laud iorrYWRk /WM141411,R IA,uloGry
11 11, /laA /RJA /ih.RlAhla, Nt, 1R/hh
179J1 R71. Ira /elk iwi+) h7/•1777
' bilikomkpl Rd
5510 /3-

3423-1284
FILED ELECTRONICALLY
CATAWBA COUNTY NC
DONNA HICKS SPENCER
FILED Oct 23, 2017
AT 01:00:00 PM
BOOK 03423
START PAGE 1284
END PAGE 1285
INSTRUMENT # 18211
EXCISE TAX $1,458.00
GENERAL WARRANTY DEED
Excise Tax: $1,458.00
Tax Parcel ID No.: 461904822877000 Verified by: Catawba__. County
on the_— day of , 20 _ By:
Mail/Box to: Jones Childers Donaldson & Webb, PLLC PO Box 3010 Mooresville NC 28117
This instrument was prepared by: Kevin C. 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 17th day of October, 2017, by and between
GRANTOR: Michael L. Savigny and wife, Cheri L. Savigny
whose mailing address is: Y,O._Box_1118, Denver, NC 28037
(herein referred to collectively as Grantor)and
GRANTEE: Stephen A. Sosnowski and Carol A.Suleski, Trustees of the Suleski Sosnowski Revocable Trust
dated July 28, 2017
whose mailing address is: 2958 OraAvo Terrace, Vista, CA 92084
(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 Mountain Creek County of Catawba, State of North Carolina, more particularly described as follows:
BEING all of Lot 3 of AZALEA ROAD SUBDIVISION as same is shown on map thereof recorded in Plat Book 59
at Page 15 in the Catawba County Public Registry.
Said property having been previously conveyed to Grantor by instrument(s) recorded in Book 2960, Page 477, and
being reflected on plat(s) recorded in Map/Plat Book 59, page/slide 15.
All or a portion of the property herein conveyed ._X__includes or _ does not include the primary residence of a
Grantor.
Revised December 17, 2009
submitted electronically by "Jones, Childers, Donaldson & Webb, PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Catawba County Register of Deeds.

3423-1285
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.
(SEAL)
Michael L. Savigny
(SEAL)
Cheri L. Savigny
(SEAL)
(SEAL)
State of North Carolina (Official/Notarial Seal)
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:
Michael L.Savigny and wife,Cheri L. Savigny.
Date: j(•:-jq—/? (1,�.. rf'c�vto r� Robin Kale Robinson
No ary Public Notary Public
h; (� Catawba Rob;i sv r� County
Notary's Printed or Typed Name North Carolina
My Commission Expires:
Revised December 17, 2009

xceotofivil 5je
et Ala Ito, .
SbetI" Its f?rJ , NC a` 0
I,.ukt 140I I\
C& & J (OtiA y
Lo4-3
21 1 y41 lit e t(co f-eof
0,045 Acac of e, c ,v4fion a(to
farts, }o be, el.c pfed
' { S afrfy loge .- I ..
N

hoe Tolle
HAa 1
length
Direction
1.15
224.660
Nor 30' 072)1
IA
67.01E
NOY 45' 00.00'1
1.5
10114
044' or 22.061
IA
86.407
514' 02' 0MY1
L7
63.301
34? 41' 35.771
L0
3.1,114
64? Or 17.731
U
81.46
546' 40' 16.51-1
1.10
40453
566' 00' 44201
1.11
31.001
53Y PC 20.801
1.12
4.107
030 EY 04.53.1
LIS
31,100
1126' 00' 0000'1
Lle
100.077
IS? 14' 17.73'1
127
05.567
NIP 3r 37.1111
115
107.208
014. 33' 42.0611
0.11
137.003
MY 46' 511051
U
124.130
547 40' E0.3611
L14
106.000
SOT le' 41.17"1
120
30.700
63)' 44' 41.30.1
L2
52.0000
52? 38 41.4011
LI
20.620
510' 04' 42.01
NESTER
DB::020-17D
1.14)1iNn
• ae/M aoawrra�
Flesrnc ...a a NM
00 w M. ire u 8.0e.0
o �Ia' rrr N wuea
a>uoaaV lot gar P,su.0)
--" - aaraeaar) 4 la• aHo a Ma*)
--- - a1y PIK? OW
1.041-y_Na Ore
CAMM UM
re OW
--- - ----- a,NeAl RAIN IOW
.- -_ aalw loe Or UUN,O, / s0rn
oar %WOW%
BLYTHE
0B: 2491-289
OOO/"`N
'19� C'J
' 6
\
G00DSON
DEED BX:2337-730
75 ACRES BY DEED REMAINING
/
4.44
/ as
N77' 36' 43.3tl'f_
78.739 \.
N71' 00' 33.30"w
159.298
£68II Mt_Of .4Rv1'afRP_ A8.PH4lc6T1DA 1
1 (Vet hereby certify Mat 1 am (we are) the orron(a)
of the properly aboon and deacrihrrd hereon and that 1'
(1e) hereby adopt this plan of su6diviat0o ai8 my
(our) free consent, I
-- Date Property Omer
KEEPER
DB: 422--075 L3
L2-
L
f\J
434-60
478.500.- _".- -'►"- 562' 2 7.00"'N L20
506.189_
-- S67' 31: 02 9)"w
ACRES TD BE
VACATED AS A
"STOMP D13)403'
OC%
30 l2
1':SUL% 5rateei
acaer x'
Rs, se'
ter le
EWER
DB: 024-ed
7RY9
set AT ine
comet
Disposal Site
6792 Kidville Rd.
Denver, NC 28037
14 Lincoln County
�Ls
2.9 Acres of Disposal Area
184a- Disposal Area
?mod
UU
U'
L12
-L13
a MT
MAR
10.01 ACRES
0.32 AC'. 11THR1 11/1
S07' 12' 41.17"w_
179.674 \�
D VW
Met 1101
a
1a'd OAP DOM
IM1t 6PM
NOLAN
80: 003-360
1 le...6 0.. rkMen ,wnfr eta dN v gar. wxv a...08,84a ow vvx .a,n, Imn, an xPlnr.rin.Y 0 Y MOO m
kla Ktan.o(tmrt deed .eiewecen moody Out Ow 6nw6d4rle6 m.3 wrv0W so,lke!) mitta,r osd,aun(mm�
dvmJ,al6sem 66oM04). *AI UM rdu!„(p,aiw*n SS.elynlwd I. 1.100W,, IW1114, 4,4 was ...eat in
m.a.dara...1,1) 5 41-60 as nnntled 1.1.66. en. tow . W A,6.1% , rcglemMni,mNhe• ord.. Ona IT,t;,v
a0Ala4. 2M 4 A n
That the survey is of another category, *Ieh as the retvmbinatiaa N
existing poree)e, o court- ordered surrey, or other exemption or
exception to the definition of subdivhlon.
Jacob Helton 4/17/2018
Oer'Ea" - cm -TA`
A
NEW
BOUNDARY
SURVEY
for
SAMUEL T. GOODSON
CATAYAA SPRINGS TOWI61118
LRCM COON-Y. NC
APRIL 17. 2016
6CALC 1"<2OD'
PROPERTY INFORMATION:
PHYSICAL A8DR635:
7702 OIOOIILL ROAD
DENVER. NC 20037
PIN 80604003070
EPEE ZONE 7.'
NAP / 3710300400I
001106:: ET
CANED D47OR057106:
SA1111 0. CD9E80N
MAILING ADDRESS:
6700 (r001150N ROAD
DENVE1. NC 28037
PUT NOTES:
'Pm WPM 2 6.671 41 UV U)2 140
2800818 08..NLa10 M7 i M AO Vim 200
1Ura 1(T1RIf10 CUM cixre)a668F843
a cr) WAW.ES 41C a(1*D n%•No0U 1N24!
611011rr wm.
5 *6 M.(r'l /08888or- Reg IS+arc• I..ai.
w eww1a a)tr
s plow ar3'i0rr 0300 *71 lA •aw c r105
Im2*) :N4. CA 0ROnt2O e40 51Y0
1ao 40lOWSe a1S P 6161!a5 44K ws418
Oee= DO 801 UNd.
Weiss
15 21CIL1 10 plr PP KL OIPJtai
HELTL7N�
LAND 6URVOEYINICd
704-634.9354
JW HCI.TONLLCINACL.n0M
2ACB 1. BETON. P18
[phone]
7145 )01NPY PM 0D
1042 , Kr 26057
D-- AND PLAT REPERENCAS:
DR: 2337 PC: 730
DR: 522 PC: 073
DB: (7E PC: 472
Ph: 13 PC: 410
101 200. 4141
GRAPHIC SCALE I"- :WV
SUM 041N: 100/O0A11N
111 4/10 MI 4/17/18 #10100
T[CINMY 5E17M6 NO SCUP
w "Mae'

IT MAY CONCERN:
t:SON GIVES AUTHORIZATION TO SHANNON MILLER WITH LAKE NORMAN DREDGING
TO USE PROPERTY LOCATED AT 6790 KIDVIIiE RD, DENVER NC 28037 FOR
SAL DISPOSAL SITE.
NUMBER-8 3694021277

BOOK 2337PAGE 730 OW1253
Filed
Date: August 28. 2012 Pgs: 4
Time: 2:06 PM Recording Fees
Book: 2337 $26.00
Page: 730
Danny R. Hester
Register of Deeds
Lincoln County, NC
2337 0730 201209253 DEED
1111111111111111
Prepared by: Richard E. Jonas, Attorney at Law, Lincolnton, NC
v' After recording mail to: Grantee
IIIIIIII
STATE OF NORTH CAROLINA
WARRANTY DEED
COUNTY OF LINCOLN
Deed of Gift
This deed made this ais day of a 7 , 2012 by and between
KATHLEEN GOODSON FISHER, FKA KATHLEEN GOODSON
hereinafter referred to as "Grantor" and
SAMUEL THOMAS GOODSON �A
Address: 6 7 9 0 /'(cd r4 72-1
hereinafter referred to as "Grantee."
The designation "Grantor and Grantee" as used herein shall include said parties, their heirs,
personal representatives, successors and assigns and shall include the singular, plural, masculine,
feminine or neuter as required by the context.

BOOK 2337PAGE 731
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto
the Grantee in fee simple, all that certain lot or parcel of land situated in Catawba Springs Township,
Lincoln County, N. C. and more particularly described as follows:
All of Tax Parcel 34700 being all of the Keith Goodson heirs property on the
southwestem side of Kidville Road, the same being property described in deed
recorded Book 379, Page 381, Book 512, Page 573 and Book 603, Page 70, to which
deed reference is made for further description which is incorporated herein by this
reference.
See also Exhibit A for further deed description.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereunto belonging to the said Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee
simple, has the right to convey the same in fee simple, that title is marketable and free and clear of
all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all
persons whomsoever except for the exceptions hereinafter stated. Title to the property hereinabove
described is subject to the following exceptions:
Valid and enforceable reservations, restrictions, conditions, easements and rights -of -ways in
the record chain of title.
The draftsman of this deed did not examine or certify title and did not participate in the closing
of this transaction.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, the day and year
first above written.
7- •'4SEAL)
Kathleen Goodson Fisher

Boor 2.337PAGE 732
NORTH CAROLINA,
COUNTY OF LINCOLN
I, a Notary Public for said County and State do hereby certify that Kathleen Goodson Fisher
personally appeared before me this day and acknowledged the due execution of the foregoing
instrument.
Witness my hand and Notarial Seal, this the a day of
2012.
My Commission Expires: G-13—(Y
Notary Public
7

BOOK 2337PPGE 733
EXHIBIT A
Parcel 34700
6792 Kidville Road
TRACT 1: BEGINNING at a stake on West side of a branch in Susan Keever's line, and
runs North 65'A deg. East 93 poles to a white oak; thence North 3 deg. East 47 % poles
to a stone; thence North 25 deg. East 45-7/8 poles to a stone on West side of
Lincolnton Road; thence North 9 deg. West 22 poles to a stone; thence North 62 % deg.
West 6-3/5 poles to a stone; thence South 16 deg. West 8 % poles to a stone; thence
North 78' deg. West 11-1/5 poles to a stone; thence South 86 'A deg. West 29 %
poles to a stake in the Road; thence South 81-3/4 deg. West 29 poles to a stake in the
Road; thence South 44 deg. West 37 poles to a dogwood near a branch; thence South
72 deg. West 22 poles to a cedar; thence South 66 deg. West 46 poles to a stake in the
branch; thence, down the branch as it meanders, to the beginning, being about 99'A
poles, containing 85 acres, more or less.
Deed Reference: Book 379, Page 381.
TRACT 2: BEGINNING at an iron stake, a new comer on the old line of C.A. Keever
and also comer of the property of Keith Goodson, and runs thence with Keith
Goodson's old line, South 89 deg. 10 min. 24 sec. East 482.63 feet to an iron stake,
Keith Goodson's old corner, thence North 1 deg. 34 min. 21 sec. East 69.25 feet to an
iron stake a new corner in the old line at the edge of the right of way of State Road No.
1381, thence three (3) new lines with the lands of C.A. Keever, South 41 deg. 58 min.
17 sec. West 32.85 feet to an iron stake, thence, South 64 deg. 24 min. 18 sec. West
29.52 feet to an iron stake, thence South 86 deg. 42 min. 23 sec. West 436.61 feet to
the point of BEGINNING, containing 0.20 acres more or Tess.
Deed Reference: Book 603, Page 70.
TRACT 3: BEGINNING at a point in the center of N.C. Highway #1381, new corner in
the old A.B. Keever line, and runs thence with the center of the highway South 32 deg.
10 min. East 183.5 feet to a point in the center of the highway (which said comer is
located North 78 deg. 30 min. West 27.4 feet from an old control corner), and runs
thence with other lands of Goodson North 78 deg. 30 min. West 122.5 feet to an old
corner; thence with property of A.B. Keever North 2 deg. 45 min. West 109.8 feet to the
BEGINNING.
Deed Reference: Book 512, Page 573.

r
Line Table
Use /
length
Direction
115
224.526
N43' 39' 07.2111
15
57.042
902' 45' 00.001
L5
76.894
344' 07' 22.981E
IA
55.907
044' 02' 36.631E
L7
53.309
343' 41' 35.77'11
1B
59.884
943' 06' 17.73.E
L9
51.869
340' 49' 16,38'W
110
48.953
338" 00' 48.26.E
L11
51.838
335' 22' 20.80.E
L12
69.767
632' 23' 04.33'1
L13
31.980
025. 00' 00.00'W
1.16
100.837
955' 44' 17.73"1
L17
65.537
012' 39' 37.1111
L18
107.396
914. 33' 42.86"1
L19
137.953
003' 48' 50.651
IA
124.139
343' 45' 20.36.E
1.14
100.000
SOT 12' 41.1711
120
30.788
031' 44' 41.30.E
12
32.850
gar 38' 41.00"1
LI
29.520
360' 04' 42.0011
HESTER
DB: 2636-176
LEGEND
• GEODETIC MONUMENT
• Sa TNG MONUMENT Notto
OVM RERAN SET IF LWNOTEO
O NO POINT SET UP MAO
B ( )
NE (BY DEED ON PLAT)
wwww•T OLD TRACT L.
MOO OF WAY
EASEMENT mEON[
E
nE LINE
OVERHEAD POWER LINE
NCI i CRIES
-a.a$M - w,MARnEn
- EDGEElOF GPM,
CET,. Um
/560 01:/
BLYTHE
DB: 2491-289
_ Op^W
A�57Y
GOODSON
DEED BK:2337-730
75 ACRES BY DEED REMAINING
45)44
41,9
N77' 38' 43.38'E
78.739
CERTIFICATE OF OWNERSHIP AND DEDICATION
I (We) hereby certify that I am (we are) the owners)
of the properly shown and described hereon and that 1
(We) hereby adopt this plan of subdivision with my
(our) free consent.
Dale Property Owner
KEEVER
DB: B22-575
L2
436.610
II 478y50 �� 582' 2Z 47.00"W
581: 4[a0.00"W
506.189
SB7' 34;j2.91'W
2 ACRES TO DE
DEDICATED AS A
'STUMP DUMP"
N71' 06' 33.30"W..---1
89.596
/
/p0 p0%
• ►
e1.
Nj�
KEEVER
DB: 924-67
Eninl-SEMOITI
PPM SD'
RSA 40'
me u'
L
a4A
PPD
SET AT MU
COMM
S07' 12' 41.17"W
179.674
4
07
STONE IN OLD
PENCE LINE
18' BED OAK IN OLD
FENCE UNE
0
N
1.5' PPE ON
HILL SIDE
L10
11
L12
13
CWOR/5
m/9
NOLAN
DB: 503-360
A
NEW
BOUNDARY
SURVEY
for
SAMUEL T. GOODSON
CATAWBA SPRINGS TOWNSHIP
UNCOLN COUNTY. NC
APRIL 17. 2018
SCALE: 1' • 200'
1
PROPERTY INFORMATION:
PHYSICAL ADDRESS:
6792 KIDVILLE ROAD
DENVER, NC 28037
PIN 13694023379
FEMA: ZONE %
MAP / 3710369400J
ZONING: RT
OWNER INFORMATION:
SAMUEL T. GOODSON
MAILING ADDRESS:
6790 GOODSON ROAD
DENVER, NC 28037
PLAT NOTES:
I.PLAI NORM IS BASED 08 CUD 1337-730
2GE00E11C MONUMENTS. NIXIE FON! 6LNN 1000'
3.A9EA COMPUTED USING CA7RONIAIE MEDICO
TALL 051ANCE5 ARE GROUND HORIZONTAL UNLESS
ODIERRSE N01E0
S.ANY TRAVERSE ADA10100410 800 PERFORMED USING
THE BOWDON RULE
S.SUBICI PROPERLY DOES NOT LE WIN A FLOOD
HAZARD AREA OR PN01EC1ED MIMIC)
7.N0 IMPRDYTMENIS OR UnUDE3 WERE SURYEIEO
&DEEDS DO N01 CLOSE.
9.PR0PERIY IS L181C7 10 ANY AND ALL BURDENS OR
BENEFITS
1
H ELTD Ne
LAND SURVEYING
7D4-634.93S4
JWHcLTCNLLC®AOL,CCM
DEED AND PLAT REFERENCES:
DB: 2337 PC: 730
DB: 922 PG: 575
DB: 17E PG: 472
PB: 13 PG: 439
JACOB W. HELTON, PIS
[phone]
7345 FORNEY HILL RD
DENVER, NC 28097
1. Jacob W. Halt.. certify that this plat Was drawn under my 0pen'inon from ea actual survey made under my�
Pe ' (f deed f td) htth b loci t y 1 I ly d'. tad d (f
deed mimosas noted); that the ratio of prmmon as calculated Is 1 LIMO , that this plat was prepmnd m
accord.. with 0.847-30 as amended Wilneas my dripped aignetum. mgt.4Wa number and real this 17 day
of April, 2018 A.D.
That the survey is of another category, such as the recombination of
existing parcels. a court -ordered survey, or other exemption or
exception to the definition of subdivision.
Jacob Helton 4/l7/2018 /94�'. o,,,,
NAME
IY 100 200
400'
ORAPEHC SCALE 1'-200'
SURVEY:
1H 4/18
DRAWN:
1WH 4/17/18
JOB/DRAWINGI
116100
VICINITY SKETCH: NO SCALE
L

Go gle Maps 9121 Azalea Rd
".)(Cavgfam S3-e
9121 Azalea Rd
D.rectKns Sane Neaby Santo Store
pbare
Q 9121 Auk,* , 0fad, WC26678
35, 6380
L11 _ to.95711'
e2e22 ,00

Go gle Maps 6792 Kidville Rd
6792 Kidville Rd
Drtec*ions Save Nerb, Send to Shale
phone
FIX2,11( DeaseL Nora Casaba