20191625 Ver 1_Shoreline Stabilization_20191125

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline, Stabilization
ENVIRONMENTAL QUALITY FORW.' SSGP 02-2017
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
Karen Higgins
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Mailing
If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins
DWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
RECEWVEAI©EWDWR
NOV 25 2019
Telephone Number: q iq - We - '106L4 Fax Number:
E-mail Address: M -2a-kg2 Z j2rncc:,I , cor l
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.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
B. Project Information [15A NCAC 02H .0502(a) & (b)]
1. Attach a vicinity map (i.e. street map) clearly showing the location of the property with
respect to local landmarks such as towns, rivers, and roads.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, buildings, retaining walls, docks, impervious surfaces, rip rap, excavation
or dredging below Full Pond/ Normal Water Level elevations, and construction access
corridors. You may use the diagram provided at the end of this application form.
FORM: SSGP 02-2017 Page 1 of 3

3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of
some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: Nearest Town: C.,orne1105
Lake/ river/ ocean adjacen to property: 1-%O rr oo-h
Property size (acres): 0, 51-j =reS
Subdivision name or site address (include phase/lot number): 2151 16h.rVi'A avG Rd
CG rnel i us Ke- nos l ) ,d # 22_ 1' -6A r trio$ e. 5ynoreS
Directions to site - please include road names and numbers, landmarks, etc.:
S e2 [i-N WhD1 i
Latitude (in decimal degrees) 35,Lj9311j3 Longitude (decimal degrees) - 5o, 88'40 q
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Yie5,18er4", a-1
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): _T')rP=dQe _ %u VIr�.roe , (re jdaP ma�cr ►a,�
%j e b u cLa
7. Will work be conducted from land? RT From water? Rr
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:
Z81,'Z►`i 89 o� 1rnPack-
Temporary impacts in square feet:
T
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:
Temporary impacts (temporary clearing, construction corridor) in square feet:
10. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50
feet landward to be impacted (number of trees, for instance): Gn5t55 h��e r
a+ MYYI . Se e a+ 0.ach -*M 15.510 n te4e r (pre) M
11. Signature
/4
Owner/Agent gnature` [15A NCAC 02H .0502(f)l Date
`Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 02-2017 Page 2 of 4

12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
Full Pond/
S
Full Pond/ Normal Water Level
�. — .
�hore�ne
2 ft. x 150 ft.
additional clearing
' if necessary
Plan View
La ke
(At Full Pond/ Normal Water Level)
Is' Cu
Lake
(At Full Pond/ Normal Water Level)
Existing Dock
/30 ftx lit
►rrr�r rr
mmilgilo
FORM: SSGP 02-2017 Page 3 of 4

112222019 610 East Center Awenre, Mooresville, NC to 21511 SeMyCove Rd, Cornelius, NC MI - Coogle Maps
Go: gle Maps 610 East Center Avenue, Mooresville, NC to 21511 Sandy Cove Rd, Cornelius, NC 28031 Drive 10.0 miles, 20 min
610 E Center Ave
t 1. Head south on Evergreen St toward E Center Ave
15 s (197 it)
r► 2. Turn right onto E Center Ave
1 min (0.5 m)
Continue on S Church St to S Main St
2 min (0.6 m)
h
3. Turn left onto S Church St
0.5 mi
r'
4. Turn right onto College St
01 mi
Continue
on S Main St. Take NC-115 S, Langtree
Rd and 1-77
S/US-21 S to Torrence Chapel Rd in Cornelius
13 min (7.am')
h
5. Turn left onto S Main St
1.2 nn
t
6. Continue onto NC-115 S
21 mi
r
7. Turn right onto Langtree Rd
11 mi
B. Usethe left 2lanes to turn left onto the
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77 S/US 21 S ramp
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9. Merge onto 1-77 S/US-21 S
2.9 mi
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1122/2019 610 East Cara Aerim Mooresville, NC to 21511 Sandy Coe Rd, Corrdius, NC 29031 - Google Maps
10 10. Take exit 28 for US-21
a2 m,
11. Merge onto W Catawba Ave
456 it
Continue on Torrence Chapel Rd. Drive to Sandy Cove Rd
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0.7 m
41 13. Turn left onto Schooner Dr
03mi
r 14. Turn right at the 1 st cross street onto Sandy Cove
Rd
6 Destination will be on the left
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21511 Sandy Cove Rd
Cornelius. NC 28p31
These directions are for planning purposes only
You may find that construction projects, traffic.
weather, or other events may cause conditions to
differ from the map results, and you should plan
your route accordingly. You must obey all signs or
notices regarding your route.
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EXHIBIT MAP
LEGEND
MICHAEL ZAK
EIR EXISTING IRON REBAR
21511 SANDY COVE ROAD
IRS IRON REBAR SET
CORNELIUS, NC 28031
ECM EXISTING CONCRETE MONUMENT
SSMH SANITARY SEWER MANHOLE
TOWNSHIP
COUNTY
STATE
DEED BOOK
PAGE
RCP REINFORCED CONCRETE PIPE
LEMLEY
MECKLENBURG.
tic
23961
34B
R/W RIGHT—OF—WAY
EP EDGE OF PAVEMENT
SUBDIVISION
LOT
SECTION
MAP
MAP BOOK
PAGE
WM WATER METER
ROCKRIDGE SH0-E5
22
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IB
153
3° 15' 0' M. DATE TAX PID
TP TELEPHONE PEDESTAL
LP LIGHT POLE
03/'!/09 00140120
HVAC HEAT / AIR CONDITION UNIT
SC.'JOB NO SUR`>EYcD
•! � t' 30
DRAM
672F MCK
CJS
NOTE
N;TCHAV, & ASSOCIATES, P.A.
CLOSURE 1:10,000+
SURVEYORS - PLANNERS
18449 OLD STATESIl1E ROAD, CORNELIUS, NC 28031
[phone] [phone](FAX)

Polaris 3G Map — Mecklenburg County, North Carolina
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This map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps, surveys, planimetric maps, and other public records and data.
Users of this map or report are hereby notified that the aforementioned public primary information sources should be consulted for verification. Mecklenburg County and its mapping contractors assume no legal
responsibility for the information contained herein.

11/21/2019
21511 Sandy Cove Rd - Google Maps
Go gje MapS 21511 Sandy Cove Rd
Imagery ©2019 Maxar Technologies, Orbis Inc, U.S. Geological Survey, Map data ©2019 50 ft
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11/21/2019
21511 Sandy Cove Rd - Goog le Maps
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` Legend
Lat. 35.493163 Long.-80-884864
21511 Sandy Cove Rd
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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: Z 1511 S.CL4 Love ?-J. Corr►el'i 05. IV— 28o3lCounty: meck[e"10Qrc►
Owner:
Print
Contractor/agent: _
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, 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, j (�11(I IPA Z� , hereby state that I have been informed of the Catawba
Riparian uffer 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): ��U� �� Date: // i i / p

11/20/2019
21511 Sandy Coke Rd - Goog le Maps
�� Maps 21511 Sandy Cove Rd
Imagery @2019 Google, Map data @2019 , Map data @2019 20 ft
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To: To Whom It May Concern — CBC Stone and Recycling
From: Colin Furcht — President — Rockridge Shores HOA
Date: November 15, 2019
RE: Michael Zak Dredging/Access Lot usage — Conditional Approval
It has been agreed to allow CBC Stone and Recycling the ability to use the 'Access Lot", known as the
open lot at the corner of Schooner Dr. and Sandy Cove Ln, to remove dredging material from the Zak
Project in the winter of 2019/2020.
The Client, Mr. Zak and the Provider, CBC Stone and Recycling, agree to be responsible for any and all
debris from the project and for making sure it is removed from the Access Lot during and after the
project is complete. It is also agreed that and additional damage to the ramp will be the responsibility of
the two parties as well.
While the Rockridge Shores HOA acknowledges the ramp is damaged, documentation showing the
current state will be compared to the final state upon completion of the project. Any additional damage
will be the responsibility of the parties to repair.
This conditional approval is only valid for parties named above during the time period of this letter until
the completion of the project. Any additional work or access outside of this approval will required new
and additional approvals from the Board.
Signed:
Colin Furcht
President
Rockridge Shores HOA

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21511 Sandy Cove Rd.
Cornelius NC 28031

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DREDGE SPOIL DISPOSAL FORM
Project Name/address: 21 Sit '7and4 is., e laid. arne-1' as . NC--Z 8631 County:
Location AddressQt5po5Q.1 S I-�e : Las 0aKhie. t-adQrm dad U IJcaorP. j�� NC a8��s
Parcel #: _ U LP U -1 a(I 10 "H
Parcel/lot size _La . l4 q ac res
Disposal area required (sq ft and/or acreage) I no ' X l 00
Acknowledgement of Notification
I, Ve re >° JBr ►eiqeS r. , am aware that the site must adhere to all state regulations
and rules regarding sedirWent and erosion control and water quality. And give permission for
Name of Individual and Company
to dispose of their dredge material at the above stated location
Owner: _6_V eYe+-'e
Print
Date: i l l Za j i 4
Along with form, please provide:
Aerial of parcel/lot (County GIS)
Photo of proposed spoil site
Identified proposed spoil site
Signature

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121312018
CBC Stone & Recycling, LLC - Google Maps
Go -gle Maps CBC Stone & Recycling, LLC
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Duke Energy Excavation Permit Application Form
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit $ Check # Date Recv'd Initials
/DDy
Date of Duke Energy Lake Services, applicant and/or contractor on -site inspections Date (I Iq 14 Initials
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) [JYes [:lNo (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 M chore.1 Z,_K Telephone q Ig • 7-08 - '1y0L{
Email address: MZCl,KE32a7gMCL j . Carr
Lake Address Mailing Address (if different)
21511 %ndq �av e-1U . Same —
Contractor Company
Contractor Contact Person T ;h C el E _ 54eTelephone Pl bi _ WA b - 511
Contractor Email Address: t Cl �L �_ _ cS-� Ir]� Q. 1(E� t ►c+ �,Y1Q CptfY1
LAKE LOT INFORMATION
Lake Dior fflWCounty M:e.clV'1e_n6�yity ('r r►ey we' State KC- Tax Map No.
Subdivision ?GGt&,r,Age -f, r� Lot / Section No. J�{- � � Lot Sizea.sI7Acres
PlN#00Ho12o
Duke Energy Page 4 of 13 rev 10/1/2019
Excavation Program

Duke Energy Excavation Permit Application Form
Are there any Co -Applicants*? (check one) ❑Yes ONo (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
it <4tq
Initials (Duke Energy) gCMlu
(applicant/contractor)
Duke Energy Page 5 of 13 rev 10/1a019
Excavation Program

Duke Enerfv Excavation Permit Application Form
Part II. Description of Project
A. Basic Information
1. Type of excavation: (check one) ❑ New excavation ® Maintenance excavation
2. Purpose of excavation: (check one) W Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
N Other (specify): Ge,r r,cw doe-V%
3. Lake user category: (check one) QPrivate ❑Residential Marina
[]Commercial Marina ❑Public
❑Other (specify):
4. Max. Excavation Area Dimensions (ft): Length 15 Width IS- Depth 3_
(Note: include additional area dimensions if necessary so response to 45 below equals max. area
dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): 126. 00 Cubic yards
6. Type of material removed (applicant determines by field sample if practical): d i r+! ✓ 11+
7. Excavation Site area: C. 0'17`{ Acre (s) Disposal Site area: I. aq Acre(s)
8. Total Disturbed Area (including equipment staging area): 0.0 —1 -1 H Acre (s)
9. Does the vroject meet the requirements of the applicable General Permit? (check one)
H Jo
10. Do you claim title to the disposal area? (check one) ❑Yes No
11. Do you claim title to the equipment staging area? (check one) ❑Yes ITo
12. Are there any water-treatmen facilities within 50 feet of the proposed excavation area?
(check one) Yes Jo
(ff Yes, spec):
13. How will the excavated material be entrapped and the erosion controlled? (e.g. see attached
erosion control plan and disposal area design): —b red 2e. 6� l Darse.. ,-Dr ed5e, rna+eekc.
+o 6 e. lna.0 l ed O X b� d u m P +ry c K and A-a.K en +o c1 i 5 too sa.t 5 i fie. a,+ ;
Ct3C 56ne 1Recyd,n3,LLC U38C3.l,,rid3e�&rM Nwy. (Yloore5v'i CJNC.
2all5 CSee c+l-a bed 5urve j =cicteecl
Duke Energy Page 6 of 13 rev 10/1/2019
Excavation Program

Duke Enersy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used: Long mae-t1 e?C eavoQVo r
d u m? Arc IF, S
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) ®Yes ❑No
(If yes, explain) -�)
16. Will return water re-enter the reservoir? (Check one) ❑Yes ErNo ❑N/A
(If Yes, specify point(s) of re-entry and show on Excavation Area Drawing)
17. Is there an existing facility (e.g. pier) that access is being maintained to by conducting the
excavation? V'fes ❑No
(If Yes, provide the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit # l* 3 30 new docV, P e r rr 4 f o b2- a f P (1 ed C r
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START _ I / 2n FINISH _ / 2 n
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 13 rev 10/1/2019
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
Aoarox
Identification
Method *
Avoid (A) or Mitieate (M)
Acre
Field ID
Work Area Dwe. ID
(check all that apply)
A. Marshland, swamp, ponds, beneficial
aquatic vegetation or other potential wetlands
circle all that apply)
V b. Buffer Zones (speck width & source
e- -Dred b harp e'
9 J
of requirement)
J
W wade 6oa--4- ro-mp
-Dredge rno-A-ex'i0_1 t-o
CICCeSS in WUA
V,.e, ho-oked oFV %4 tand
Common .Area.
Comm00'44 booLA-
c. Environmental Areas as identified by
Duke Energy
d. Natural Areas as identified by Duke
Energy
e. Historic properties (specify)
f. Rare or threatened species (specify)
N
Duke Energy Page 8 of 13 rev 10/112019
Excavation Program

Duke Energy Excavation Permit Application Form
Protection/Avoidance Areas
(check all that apply)
Approx
Identification
Method *
Avoid (A) or Mitizate (M)
Acre
Field ID
Work Area Dwg. ID
!
s. Buried gas, water, sewer,
communications or electric lines circle
h. Impact Minimization Zones as
identified by Duke Energy
i. Other areas requiring specific
avoidance, protection or mitigation (spec)
* For "Field ID" column, specify entity or person that performed the identification and how it was physically marked (e.g. Duke
Energy (John Doe)/Pink and purple -dotted tape, Corps of Eng. (John Smith)/ yellow flagging). For "Work Area Dwg ID" column,
show the symbol that is used on the drawings to identify the protection/avoidance area.
** List and attach mitigation plans
Duke Energy Page 9 of 13 rev 10/1/2019
Excavation Program

Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
tAe,ghbac-s
Comments: �QV ` Qr K� -T r 1 C Iq,_i�jcsSS 1
Z 1519 yCave RA.
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Applicant Name (print) 7a,K
Applicant Signature* Date /9
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Date
Date
Date
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 10/1/2019
Excavation Program

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date 11 1150
TO: Duke Energy
c/o Lake Services - EC 12Q
526 S. Church Street
Charlotte, NC 28202
RE: Excavation For (Subdivt'%*on and Lot #'s or Other Project Name)
A 10,1 l � ",4. ► 0, _ Lcyt— A 7?
(Applicant's full name) ,chime Za,_ k hereby agrees to comply with all
recommendations, require a is 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 boo,% o cce,:551 nP_u dock;
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 Uwe obtain approval for
a single, time extension (maximum of one year) in writing from Duke Energy Lake Services.
Uwe understand that if the SMP or other applicable rules change during any extension period,
I/we will be expected to comply with the new requirements to the maximum extent practicable.
Uwe also recognize that failure to complete the excavation within this build -out period will
require the filing of a new application within the then -current SMP and the new application must
include any applicable fees and security deposits.
I/we attest to be the owner(s) or lease holder(s) of the land immediately adjoining the project
boundary or Duke -owned peripheral strip where the excavation activity is to take place, or if not
the owner or lease holder, 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.
Uwe 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 Energy Page 1 Rev:6/t6/17

Uwe understand that all excavation work must be done directly in front of my/our property and
within the third of the cove nearest my/our property or within any middle third of the cove that
Duke Energy owns, or Uwe 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. Uwe 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.
Uwe understand that for proposed excavations, Uwe must notify the appropriate local, state and
federal agencies in advance of the activity by sending them a completed copy of Duke's
Excavation Permit Application Form and other required information. Uwe understand that
written authorization and/or other permits may be required by some of these agencies and such
required authorizations must be obtained before Uwe submit the final application to Duke
Energy Lake Services.
Uwe 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.
Uwe understand that every reasonable effort must be made to minimize any adverse impact on
fish, wildlife and other natural resources.
Uwe 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.
Uwe 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. Uwe 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: 6/16117

1/we agree that all excavated material will be placed in upland areas, landward of the proje t
boundary, and confined to prevent erosion and sedimentation back into the lake or nearby
streams.
Uwe agree to adequately stabilize all excavated material and all disturbed shoreline to prevent
erosion and runoff into the lake.
Uwe 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.
Uwe 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.
Uwe 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. Uwe 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. Uwe will then notify Duke
Energy Lake Services and the State Historic Preservation Office to determine what measures, if
any, Uwe must pursue to protect or salvage the archaeological resources.
Uwe 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.
Uwe agree to be fully responsible for the permitted lake use and Uwe understand that this
responsibility is considered to transfer automatically along with ownership and leases of the
adjoining tract.
Uwe 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. Uwe 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.
Uwe agree to develop any required mitigation plans and to complete any required mitigation
activities at my/our own expense within the specified time frames. Uwe recognize that the
excavation work is not considered complete and deposits will not be refunded until the
mitigation requirements (if any) have been satisfactorily fulfilled.
I/we agree to notify Lake Services by phone when the excavation is initiated and to ensure that
during the excavation period, I/we will post Duke Energy's approval letter in a clear waterproof
bagat t the job site and visible from the water's edge.
I/we agree to notify Lake Services in writing when the excavation is completed (including any
required mitigation measures) and that the excavation was completed per the approved
application, so a close-out inspection can be performed.
I/we recognize security deposits will not be refunded if any violations of the SMP or this user's
agreement occur.
I/we understand there will be no change in hydro project operations as a result of the excavation
and/or utilization of the excavated area.
I/we agree to maintain the work area in a safe condition and to fully indemnify and save Duke
Energy harmless from any and all claims, liability, loss or damage that may arise from this
excavation project.
I/we understand that this user's agreement does not, in any way, constitute the transfer of any
rights in real property and that my/our use and enjoyment of FERC project lands and waters shall
not hinder the general public's lawful use and enjoyment of the same.
Sincerely,
Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Appli ant' Signature
Co -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
Duke Energy Page 4 Rev: 6/16117

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DL I V 7J - r 100
FOR REGISTRATION
J. David Granberry
REGISTER OF DEEDS
2012Meck1Dn rf County NC
BK:27953 PG1785 786PM
INSTRUMENT
21866@3
MILLSES
Excise Tax $0.00 Recording Time, Book and Page
Tax Lot No.
Verified by
by
Parcel Identifier No.001-401-20
County on the day of
2012
Mail after recording to Grantee
This instrument was prepared by Todd J. Farlow, Attorney at Law, The Lake Law Office, PLLC, PO Box 4328, Mooresville, NC 28117
Brief Description for the index LOT 22, BLOCK A, ROCKRIDGE SHORE
SUBDMSION
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made December 31, 201
GRANTOR
STANLEY J. ZAK, WIDOWER
1537 ISLER CIRCLE NW
CANTON, OH 44708
and between
GRANTEE
MICHAEL S. ZAK
21511 SANDY COVE ROAD
CORNELIUS, NC 28031
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.g., corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
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
MECKLENBURG County, North Carolina and more particularly described as follows:
LYING AND BEING IN THE STATE OF NORTH CAROLINA, COUNTY OF MECKLENBURG AND BEING MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
BEING KNOWN AND DESIGNATED AS LOT 22, BLOCK A OF THE ROCKRIDGE SHORE SUBDIVISION AS RECORDED IN
MAP BOOK 18 AT PACE 153 OF THE MECKLENBURG COUNTY PUBLIC REGISTRY.
JANET E. ZAK DIED TESTATE ON SEPT. 5, 2009 IN STARK COUNTY, OHIO LEAVING HER ENTIRE ESTATE TO HER
HUSBAND, STANLEY J. ZAIC SEE STARK CO., OHIO ESTATE FILE # 207628.
THE AFOREMENTIONED PROPERTY WAS NOT THE PRIMARY RESIDENCE OF THE GRANTOR.
THE AFOREMENTIONED PROPERTY IS THE PRIMARY RESIDENCE OF THE GRANTEE.
THE PREPARER OF THIS DOCUMENT NEITHER CERTIFIED TITLE TO NOR PARTICIPATED IN THE SETTLEMENT

ociVa*2 - 1-100
The property hereinabove described was acquired by Grantor by instrument recorded in Book 23%1, Page 348.
A map showing the above described property is recorded in Plat Book 18, at Page 153.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the 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 wan -ant 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:
Ad valorem taxes for current and subsequent years. Closing attorney certifies that delinquent taxes, if any, shall be paid
from dosing proceeds.
Any and all valid easements, restrictions and rights of way in existence in or over said premises which may appear
as of record in the Oiflce of the Register of Deeds for said County.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed in its
corporate name by its duly authorized officers and its seal to be hereunto affixed by authority of its Board of Directors, the day and year
first above written.
� W-�WWA 2. -
SEAL -STAMP
I certify that the following person(s) personally appeared before me this day, and I have seen satisfactory
evidence of the principal's identity, by a current state or federal identification with the principal's
photograph in the form of a 0 'o driver license; each acknowledging to me that he or she voluntarily
signed the foregoing document for the purpose stated therein and in the
,......N.. capacity indicated: STANLEY J. ZAK, GRANTOR
O'rpIAL
Date:
BECKY A. POOLE - o L- a Notary Public
My t�mnotary �lon State of�-a0/,6 My Commission fires: �- l9-d o /b
r� OF r
The foregoing Certificate(s) of
istare certified to be correct. This instrument and this certificate are duly registered at the date and tine and in the Book and Page shown on
the fast page hereof.
COUNTY REGISTER OF DEEDS FOR ,MECKLENBURG
By
Deputy/Assistant-Register of Deeds.

STATE OF NORTH CAROLINA
I
H
IREDELL COUNTY
1
-
I 21
1 certify that this map was drawn from on actual survey mode under my
supervision The unadjusted ratio of precision as calculated is V: 10,DOOt
Boundaries not surveyed, if any, are noted. Deed descriptions are recorded Book.
Page shown MAIness my hand and seal this 41h doy of JUNE ..15,
RD. SITS
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801
Professional Surveyor
Land
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NOTES:
• ALL DISTANCES ARE HORIZONTAL GROUND DISTANCES
�ir�
it e` �' UNLESS OTHERWISE NOTED.
,SIU
g • AREA BY COORDINATE COMPUTATION.
i
; LOCATION
MAP
NOT TO
"I'll,
/'// `S R, H O'N'` • PROPERTY SUSXCT TO ANY VAUD dr ENFORCEABLE
_SCALE
//r1171111tt1t� EASEMENTS, RESTRICTIONS dt RIGHTS OF WAY OF RECORD.
LINE TABLE
• SURVEY IS BASED ON PHYSICAL EVIDENCE AND EXISTING
LINE
BEARING
_
DISTANCE
MONUMENT FOUND DURING THE SURVEY.
Ll
N14'58'43"E
60.30
• PROPERTY CORNER PIPE SIZES AS SHOWN ARE NOMINAL
INSIDE DIAMETER.
L2
N64'57'57"E
24,31
L3
S71'07'33"E
40.80
L4
S63'06'35"E
95.21
L5
S06-55.28"E
46.53
LEGEND
I Ls
I N78'30'12"w
170.16
ONES SURVEYED (
L/ I S54'19'38"E 1 82.82
LINES NOT SURVEYED ------
/
TIE LINES ----------
OVHD DISTRIBUTION UNE — - ' — PIN 4668-3G-1353
OAKRIDGE STORAGE, LLC
(OVERHEAD)
R/W UMITS------- D.B. 2521
PG. 2033 /
co, TRANSMISSION 0 NO MONUMENTARON
POWER POLE UNLESS OTHERWISE
4 CENTERLINE NOTED
{ PROPERTY LINE
(F) DENOTES -FOUND" PIN 4668-20-8185
(S) DENOTES 'SET' BRIDGES PROPERTIES, LLC
NTS DENOTES 'NOT TO SCALE' D.S. 1602 PG. 7912
/
LOT #1-P2. 36 PG. 150
/ CONCRETE
MONUMENT F
N 679940.48 FT
E 1462951.44 FT
NAD 63(2011)
/ Oej PIN 4667-29-6642
> m / BRIDGES
3
S atN / PROPERTIES, LLC
N
Ohm / D.B. 1602 PG. 1912
n
I
ry
m O /
ro PIN 4667-39-0000
r"
�5
ARGOS USA LLC
Z z // STAGING AREA
D.B. 2016 PG. 4981(CD)
i 0.227 ACRE
- / DUKE ENERGY
TRANSMISSION LINE
L7-(RE
�� -- __ uwE ONLY)
is
P' 3 1R1`SuLs� LINE
R/µ.
NAIL (F) AT BENT
�•�__ - `__
14 REBAR (F)
P-3
N 679337.77 FT
BENT {4 S7 83-•
/REBAR (F) '- - E
E 1462830.56 FT
NAD 83(2011)
571.73• P-
--1-
GRAPHIC SCALE PIN 4667-29-5304
PCMFORLESS HOLDINGS, LLC
_ --
0 75 150 D.8_ 2180 PG. 1029
LOT j2-P.B. 26 PG. 73
LNS FILE NO.: S1905
DWG NO.: 519051
,.. .. ..NO.:. ..., .. _ 190
( IN FEET )
1 inch = 150 five
TAX ID: 4667-29-6642
FOR SOURCE OF TITLE REFER TO D.BK. 1602 PG. 1912
PROPERTY OWNED BY
BRIDGES PROPERTIES, LLC
SURVEY SHOWING LOCATION OF
STAGING AREA
CODDLE CREEK TOWNSHIP IREDELL COUNTY, N.C.
SCALE: 1" = 150' DATE OF SURVEY: JUNE 3, 3019
BOOK: NA DATE OF MAPPING: JUNE 3, 2019
-L��
SURVEY AND MAP PREPARED BY.-
LAKE NORMAN SURVEYING
& MAPPING PLLC hP-OISD
l37 Jennings Rood, Suite C
Statestoille, North Carolina 28625
[phone] Fax [phone]
�l lzpoux� 3-,-ke,

�N�II��INIIII(NIIIIIIINIININI�I(INIl�IIINNN
Doc ID: 008889980003 TYDe: CRP
Recorded: 11,23/2004 at 01:28:00 PM
Fee Amt: $674.00 Page 1 of 3
Excise Tax: $554.00
Iredell Countv. Nc
Brenda D. Bell Reolster of Deeds
SK 1602 PG 1912-1914
Excise Tax $654.00
Tax Lot No. Parcel Identifier No 4667-29-6642 and 4668-20-8I85-4.34
Verifiedby............................................................................... County on the .......... day of ..................................
by............................................................................................................................................... .
Mail after recording to: Grantee
This instrument prepared by: Lutzel, Gandy Broadway, PLLC
Brief Description for the Index
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this 22nd.... day of November 2004, by and between
GRANTOR I GRANTEE
Donald Ray Snyder and wife, Bridges Properties, LLC
Victoria A. Snyder, 628 Oak Ridge Farm Hwy
awa Mooresville, NC 28115
Vicotira A, Snyder
Enter in appropriate block for each party; name, address, and, if appropriate, character of entity,
e.q. corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns
and shall include singular, plural, masculine, feminine or neuter as required by context.
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 the City of ..................................... Township, Iredell County,
North Carolina and more particularly described as follows:
See Exhibit "A" attached hereto and made a part hereof

4
�F-
The property bereinabove described was acquired by Grantor by instrument recorded m Book .............. Page ......
A map showing the above described property is recorded in Plot Book .............. Page ...............
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the
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 five and clear of all encumbrances, and that Grantor will warrant and defend the tide
against the lawful claims of all persons whomsoever except for the exceptions hereinafter sated. Title to the property herein -
above described is subject to the following exceptions:
All easements, restrictions and rights of way of record.
Ad valorem taxes for the year 2005 and subsequent years not yet due and payable.
All matters revealed by and accurate survey of the property,
IN WrINESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed
in its corporate name by its duly authorized officer(s) by authority of its Board of Directors, the day and year first above written.
...........
(Corporate Name) . .............. .. ..... ... .....
Ray Sny Don ;Ray Sny
6 -- Itoia '
By: .............................................................. 4 ". - .. C ('-
. .... a4,.j,— (SEAL)
..................................... President
Attest Victoria A. Snyder
.............................................................. m......................................................................... (SEAL)
Secretary..................................... I S
D
.......................................................................... (SEAL)
NORTH CAROUNAJ��idU(-
1, a Notary Public of the County and State aforesaid, cer
SNYder, Grantor, personally appeared before
foregoing in9ftuMenL Witness my hand and 0
My Commission Expires: U�1011117 .... F
22nd.
and Victoria A.
xecudw of the
...............Notary
(SEAL) NORTH CAROUNA ................................ COUNTY.
1. a Notary Public of the County and State aforesaid, certify that ............................................
....................................... I ................................................ Grantor, personally appeared
before we this day and acknowledged that be/she is ................................... of ......................
....................................................................................................................... a
corporation, and that he/she as .............................................. being authorized to do so, exe-
cuted the foregoing instrument on behalf of the corporatiorL Witness my hand and official stamp or
seal this .................. day of ..................................... 2004.
MyCommission Expires: .......................... ..................................................... ....Notary Public
The foregoing certificates) of. ...... � ..........
teirw at
is/are certified to be correct. This instrument and this certificate are t m
e---� the Book and Page

EXHIBIT "A"
TRACT I: BEING all of that certain 6.49 acre tract located in Coddle Creek Township, Iredell
County, North Carolina on NC Hwy 150 By-pass; being more particularly described as follows:
BEGINNING at a point in the centerline of the 100 ft. right of way for NC Hwy 150 By-pass,
said point being located North 3647-36 East 2,458.39 & (Ground) from NCGS Monument "Run
In" N: 206,469.354 meters E: 445,290.693 meters Dated:1991 NAD 83; thence continuing from
said point of Beginning and along the centerline of the right of way for NC Hwy 150, North 36-
22-16 East 561.58 R. to a point; thence leaving said right of way and running with the line of
Whitman property (now or formerly) South 64-06AS But 49.80 ft. to an existing #4 rebar in the
eastern margin of the right of way for NC Hwy 150; thence South 64-06-48 East 246.91 ft. to an
existing 1 1/2" pipe; thence continuing with another fine of Whitman property North 40-19-43
East 305.82 ft. to an existing 1" pipe; thence North 71-1M7 East 121.51 ft, to an existing angle
iron in the line of Evelyn Brown (See Deed Book 309, Page 337, Iredell County Registry);
thence a new line of John W. Caffey, et al (see Deed Book 601, Page 538, Iredell County
Registry) South 42- 31-26 West 221.12 ft. to an existing concrete monument; thence another new
line of Caffey, et al South 15-00-41 West 614.81 ft. to an existing #2 rebar, thence with the
northern line of Lot 2, Scott D. Burton Property (see Plat Book 26, Page 73, lmdell County
Registry) North 74-59-17 West 572.00 ft, to an existing 02 rebar in the eastern margin of the
right of way for NC Hwy 150; thence North 74-59-17 West 53.64 ft. to the point and place of
Beginning.
TRACT 11: BEING all and the full contents of Lot No. 1 as shown on plat of Minor
Subdivision for William Wallace Whitman Estate and recorded in Plat Book 36, Page 150,
Iredell County Registry, to which plat reference is made for a more full and complete description
of said lot by metes and bounds.

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 44 27- PLAN NO.
PARCEL ID: 0014 012n
Corn e I I UE'.-ve-- j 31-
Please print:
Property Owner: !20 L ck-, a e_l ay,
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
jo-m-1ce ,of C50.. SJ 6nc L1',ecUAr ;na,LLC.
(Contractor / Agent) (Name of consulting fir )
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone: q t9 - 2oa -'10Oq
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized ature
Date: /.// a / q
Authorized Signature
Date: