20200029 Ver 1_Shoreline Stabilization_20200103

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 FORM: SSGP02-2072
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.)
Karen Higgins Karen Higgins
DWR-401 & Buffer Permitting Branch DWR-401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
Owner Information �� c
Name: CbLS H oWmox) 142 o�clInq iLLi` t'3/V\
Mailing Address: 7o5ba ]1. (y)0.in S+.
Oorne_IIuS� NG 2i�031
Telephone Number: gOLI. - loo9 - 5265- Fax Number:
E-mail Address: Chofymann-)Soukherr\Ca-1-k+[tene+
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 ALITHORIZ
ATION FORM.pdf)
Name:
Company Affiliation: Gife- rl Sccj S2ru ices,L_LC_
Mailing Address: L03R (^)a kr cede wrm i l L e -
�oc�reSvllle, NLC
Telephone Number: 1014-blot) -5111 Fax Number: gC)L4-LoLoh-S9LQq
E-mail Address: inV's2i C6 &�oneandr qc]l 6 orv)
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

i
9

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: hacV0enbu rA Nearest Town: ( orYle( I uS
Id
Lake/ river/ ocean adjacent to property: 1slorman
Property size (acres): (), 520
Subdivision name or site address (include phase/lot number): 2 1 1 Q9 L0.1se\I ieu_)Cr_
Cornet; uS , ML 28631 Lo% * Um CounAry I^ wh cS%iore5
Directions to site - please include road names and numbers, landmarks, etc.:
Sce o_ 4Q&)ed
Latitude (in decimal degrees) 3.5. 5bbg8b Longitude (decimal degrees) — 80. SJAIq 0
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): I�ieS�C�eY �1L3
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):-Dredae hu b�e=,Inavl oOF dredge
rnaAer��o.nA Sho.oe�W In l[ rntv+1-;na and �n�lr]er c''���ro+
r new S\10rchne..
7. Will work be conducted from land? Q From water? Q• SA-0_6, [%ZQ+Ion
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:
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 impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
Temporary impacts (temporary clearing, construction corridor) in square feet:
10 "( 50' GeCeSS 00r r I Clor' SH) SY -Vem^p( m
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): Q rOLSS 6)Vf r
11.
[15A NCAC 02H .0502(f)]
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 02-2017 Page 2 of 4

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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
VI Pond/ PLor dal Water
Shoreline
Plan View
n
F
Lake
(At Full Pond/ Normal Water Level)
123
house_
qo'
R
51 cu--�
W l Of.
ACCESS
Lake
lurwn
Existing Dock
M ft,7 t
3hr r50h
Full Pond/ Normal Water level
&low M1e WoN 11NM1
a —Ihoreime
Riprap
Wl
zx..lMft
aamno�ai aeams
'll receraary
E
AMPLE
Plan View
3 ' X 123
-beloua
I' X 123' a tee.
FORM: SSGP 02-2017 Page 3 of 4

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tea, above
a�
Lake
(At Full Pond/ Normal Water Level)
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Side View
75
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FORM: SSGP 02-2017 Page 4 of 4

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Google Maps 610 East Center Avenue, Mooresville, NC to 21109 Lakeview Cir, Cornelius, NC 28031 Drive 10.7 miles, 20 min
610 E Center Ave
Mooresville, NC 28115
t 1. Nord south on Evergreen St toward E Center Ave
17 a (1W h)
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161 h
21109 Lakeview Cir
Cornelius, NC 28031
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18335 OLD STATESVILLE ROAD
SUITE A
CORNELIUS, N.C. 28031
[phone]
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23.30
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20.30'
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20.35'
LEGEND
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COMPUTED POINT •
SUBJECT PROPERTY LINE
UNSURVEYED LINE — — — —
SETBACK UNE -
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NOTES:
1. PROPERTY MAY BE SUBJECT TO OTHER COVENANTS.
RESTRICTIONS EASEMENTS OR RIGHTS -OF -WAY THAT MAY BE OF
RECORD.
2. NO NCGS MONUMENT FOUND WITHIN 2000'. ALL DISTANCES
SHOWN ARE SURFACE HORIZONTAL DISTANCES.
3. THE PROPERTY IS SUBJECT TO THOSE RESTRICTIONS INDEED
BOOK 3664. PG 519 AS RECORDED IN THE MECKLENBURG REGISTRY
4. DUKE POWER RESERVES A PERPETUAL EASEMENT FOR RAISING
THE WATERS OF THE CATAWBA RIVER TO A SURFACE ELEVATION
OF 770' ABOVE MEAN SEA LEVEL, PER DB 7349, PG 210.
5. THE PROPERTY IS CURRENTLY ZONED -G-R- WITH THE TOWN OF
CORNELIUS PLANNING DEPARTMENT.
6. THE SETBACKS FOR'&R' ZONING ARE AS FOLLOWS. AND
PROVIDED BY THE CORNELIUS PLANNING DEPT.
FRONT- 50'(INFTLL)
SIDE-HY(MFILL)
REAR-25' FROM PROPERTY LINE OR 30' FROM THE LAKE CONTOUR
LINE, WHICHEVER IS GREATER
ACCESSORY STRUCTURE SETBACKS:
SIDE-9
REAR= 50 FROM THE 76V LAKE CONTOUR
7. THE SUBJECT PROPERTY HAS BEEN RECOMBINED WITH THE
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ADDITIONAL STRIP FRONONG LAKE THRU DEED BOOK 31672, PG 354
AS ONE CONTIGUOUS PARCEL.
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B. CONSULT WITH GOVERNING AGENCY FOR PREVAILING LAND
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DEVELOPMENT AND ZONING REQUIREMENTS PRIOR TO DESIGN OR
CONSTRUCTION OF ANY IMPROVEMENTS.
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OHoldings, 1
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IMPERVIOUS AREA FOR
DB 31671, PS 354
SUBJECT LOT IS 14,599 SQ.FT
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(DEl I IMPERVIOUS AREA FOUND AT
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f Surveyors, Inc.
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21109 Lakeview Circle
18335 Old Statesville Road Ste. A
('omelius, N.C.28031
H2 Holdings,
g3, LLC
Map Book, 12, Pg 329
Comelius, NC 28031
704-765.5134 Phone/Fax
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Polaris 3G Map — Mecklenburg County, North Carolina
Date Printed: 12/30/201910:35:26AM
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map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps, sways, planimetric maps, and other public records and data.
rs of this map or report are hereby notified that the aforementioned pudic primary information sources should be consulted for verification. Mecklenburg County and its mapping contractors assume no legal
ronsibility for the information contained herein.

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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
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Print J
Contractor/agent:
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, CIS kc�rm n µ _ i A T hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conduc din the buffer, not specifically stated in the application and approved
by the Division of Water Resour es (DWR), is a violation and subject to enforcement. Due diligence will be
taken such that the construso n will be built within substantial compliance and intent of the 401 Water
Quality Certification and B,p e/Rule�, the approved plan(s) and specification(s), and other supporting
materials. �.
Signature (owner): JT/�/t��/!/�/ Date: 1_2122/I9

Polaris 3G Map — Mecklenburg County, North Carolina
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Date Printed: 12/3012019 2:42:43 PM

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DREDGE SPOIL DISPOSAL FORM
Project Name/address:2I169 et►�2��� c.r l ernPl: �c nCounty:
Location Address:-Dt 5 DOsa j S '14e ' Co 3B QaK r I da L r � I . u i�cdrPGa�� . NC a S (IS"
ParcelM_ QLo U-1;1q to oq
Parcel/lot size (o . q QC Yes
Disposal area required (sq ft and/or acreage) I oo' '-A 1-00 1
Acknowledgement of Notification
I, ,e IA +` ► Mr. , am aware that the site must adhere to all state regulations
and rules regarding sedhWent 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: L--N1y
Print
3 Date: 12
Along with form, please provide:
Aerial of parceViot (County GIS)
Photo of proposed spoil site
Identified proposed spoil site
Signature

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DREDGE SPOIL DISPOSAL FORM
Project Name/address:21169 Lahavi2LmCr. County:
Location Address: _ t 5 Rosa-1 S ' ZIS Oak r ► da r rm 14< < 1 Mcao�v:) Imo, Nc a 8
Parcel M U La Lg —1 ;1 A t 9 Co t�
Parcel/lot size (J . �1 a ac re'
Disposal area required (sq ft and/or acreage) 1,0O, X I-00
Acknowledgement of Notification
1, \Jere 2 e'► do eS -,Tr, am aware that the, site must adhere to all state regulations
and rules regarding sedi ent and erosion control and water quality. And give permission for
r i nnyi ; n Q r,LI C
Name of Individual and Company
to dispose of their dredge material at the above stated location
Print Signature
Date: 12 •
Along with form, please provide:
Aerial of parcel/lot (County GIS)
Photo of proposed spoil site
Identified proposed spoil site

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s Duke Energy Excavation Permit Annlication 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 IZ G Z I Initials 4 lii
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 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
Part I. Applicant Information (Please Print)
Name C In ri s 11 oF�mcx n RZ rabid', cqS L) C Telephone 20 LI - Erna - 6 Z05
Email address: e ono mr3►.In c@- soLyklnern(! 2 one- '
Lake Address Mailing Address (if different)
211 o0i L.c V'e ul e,uj Cr Z o 5c)q tA. Mco n -
CC rune 1 %j ) NQ 2SO31 Corinel � vs.1�C 2g,b31
Contractor Company &&1u rQL[ &fC- P- n Sea-QeS S e r v I CeS L L G
Contractor Contact Person �� n} e � ,� Telephone j bj4_ iota 6 - 5I 1 j
Contractor Email Address: ► nio q� C �jG icy rre a,hcl r e rq Cl i rlo . co
LAKE LOT INFORMATION
Lake f4orM= County rYleck len69 City State jbW, Tax Map No.
Subdivisioncounkra Club S c>ren Lot / Section No. # 1 U Lot Sizec.419kcres
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-fiont 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 12 © M i4
Initials (Duke Energy)
(applicant/contractor)
Duke Energy Page 5 of 13 rev 10/1/2019
Excavation Program

Duke Energy Excavation Permit Application Form
Part II. Description of Project
A. Basic Information
1. Type of excavation: (check one) RrNew excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) ❑ Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
Rr Other (spec): neu_,) C�oGlh
3. Lake user category: (check one) Z'rivate ❑Residential Marina
[]Commercial Marina ❑Public
❑Other (specify):
4. Max. Excavation Area Dimensions (ft): Length qU, Width 5� Depth 5_
(Note: include additional area dimensions if necessary so response to #S below equals max. area
dimensions in #4)
Volume of Excavated Material (TOTAL for the project): 633,83 Cubic yards
6. Type of material removed (applicant determines by field sample if practical):
7. Excavation Site area: 0 - Acre (s) Disposal Site area: Acre(s)
8. Total Disturbed Area (including equipment staging area): 0.5a_7 Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
fes 'lo
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) ffi'es To See 064aach Ed deed
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) Yes Jo
(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): Dcec]9e. 1>boxBe. 1Dved5e 'f 'U-Ver i0.►
+o be- lncajled o�F b dump +rueV, on-}o,\.,e�n �o 61-aposal si-Fe
a} : 63$ C�oalk9 e Cm w�,ricl 14• fylooresviliQ NC 28115
,
Duke Energy Page 6 of 13 rev 10/12019
Ekcavation Program

Duke Enerwv Excavation Permit Application Form
14. Type(s) of excavation equipment to be used: Lo»9 reach e-*CQ.va:- or
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) ®Yes ONo
(If yes, explain)
16. Will return water re-enter the reservoir? (Check one) ❑Yes M o ON/A
(If Yes, sped points) of re-entry and show on Excavation Area Drawing)
17. Is there an existing facility (e.g. pier) that access is being maintained to by conducting the
excavation? ❑Yes l$lo
(If Yes, provide the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit # agw dock, perm + ►del n3 CLPPI I eGl -,�or
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START _ _ / 2C FINISH 7_ / 2p
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 13 rev 10/12019
Excavation Program

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Protection/Avoidance Areas
(check all that apply)
g. 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)
Duke Energy Excavation Permit Application Form
Avyrox
Avoid (A) or Mitigate (M)
* 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 lo/t/2o19
Excavation Program

Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
tures
Comments: f-Ae.4)6rg' il
Applicant Name (print)
Chr-1 S 140�Vrnan HZ 1400" n9S
21115 LaLikeview Cr.
Carne-V v51 NC 29031
Curk15 axd-XeOLnnf i)C5en0-
Z1103 L-alv%eview C"r•
Cornd'I U5tW- Z8631
Applicant Signature* /�
Dal
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 mv 10ni2019
Excavation Program

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date Z 2
TO: Duke Energy
c/o Lake Services - EC12Q
526 S. Church Street
Charlotte, NC 28202
RE: Excavation For (Subdivision and Lot #'s or Other Project Name)
ill o q La Qv%ew 4:�Coomr u re-
(Lake/County/City) Normo-n /�/
(Applicant's full name) Is, J4n?CYnQ � ( 14o1j ; n S hereby agrees to comply with all
recommendations, requi' �rements . 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 d
In addition, Uwe 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,
Uwe 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.
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, 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: 6116/17

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 1/we 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.
Uwe 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 Rer. 6116117

Uwe agree that all excavated material will be placed in upland areas, landward of the project
boundary, and confined to prevent erosion and sedimentation back into the lake or nearby
streams.
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 arty 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.
Uwe 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.
1
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:6/16117

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.
bag at the iob site and visible from the water's edge
Uwe agree to notify Lake Services in writing when the excavation is completed (including any
required mitigation measures) and that the excavation was completed per the approved
application, so a close-out inspection can be performed.
Uwe recognize security deposits will not be refunded if any violations of the SMP or this user's
agreement occur.
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 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- kpplicant'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
ar.EMW Page 4 sw: 6/1&17

FOR REGISTRATION
Fredrick Smith
REGISTER OF DEEDS
Mecklenburg County NC
2017 MAR 26 11:51:61 AM
BK:31672 PG:354-356
FEE:$26.00
EXCISE TAX: $E1 440.00
INSTRUMENT # 2817039721
BAKERFR
111111111111111111111111
NORTH CAROLINA GENERAL WARRANTY DEED
THE ATTORNEY AND FIRM PREPARING THIS INSTRUMENT HAVE MADE NO RECORD SEARCH OR TITLE
EXAMINATION OF THE SUBJECT PROPERTY, AND MAKE NO REPRESENTATION WITH RESPECT TO THE
SAME TO THE GRANTOR, GRANTEE, BENEFICIARY OR ANY OTHER PERSON OR FIRM.
Excise Tax: $1,440.00
Parcel Identifier
Verified by _
Mail/Box to: Grantee
un me __ uay
This instrument was prepared by: Ainv Shue Isaacs. The McIntosh Law firm P.C., P. O Box 2270 Davidson NC 28036
Brief description for the Indcx: Lot 16 and 17 Block A Country Club Shores No. 4
THIS DEED made this of March, 2017, by and between
GRANTOR
Alwyn Smith, widower
Mailing Address: C/o Thomas Elliott
11 Oxford Road
Anssdell, Lytham
Lancashire, ENGLAND
FY84EG
GRANTEE
H2 Holdings, LLC, A North Carolina Limitcd
Liability Company
Mailing Address:17830 Statesville Road, Suite 225
Cornelius, NC 29031
Property Address: 21109 Lakeview Circle
Cornelius, NC 28031
The designation Grantor and Grantee us 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 live 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
and all improvements and fixtures thereon, situated in the City/Town of Cornelius Mecklenburg County, North Carolina and more
particularly described as follows:

Subject to restrictions and easements including but not limited to in Deed Book 3664, Page 519 of Mecklenburg County Registry
of Deeds.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 3664, Page 519 and Estate of
Marjorie B. Smith 12-E-828 Mecklenburg County.
A map showing part of the above described property is recorded in Map Book 12, Page 329 Mecklenburg County Registry of
Deeds.
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 warrant and defend the title
against the lawful claims of all persons whomsoever, other than the following exceptions:
(1) All such valid and enforceable easements, conditions and restrictions as may appear of record and the ad valorem taxes for the
current and subsequent years and all matters which would be disclosed by a current survey and physical inspection. ue
This property is V is not part of the Grantors' primary residence.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
J4
JAL 1.a ' 'L. A {SEAL)
At Smith by Tho Elliott, Attorney in Fact
State of North Carolina -Mecklenburg County
I, UM114.yi �Ir 15 q (14oa rru-s the undersigned, a Notary Public of the County of iv =Wenbu4 and State aforesaid,
certify that Thomas Elliott. attorney in fact, personally appeared before me this day, and being duly sworn, says that he/she executed
the foregoing and annexed instrument for and in behalf of the said Alwyn and that his/her authority to execute and
acknowledge said instrument is contained in an instrument duly executed and acknowledged and that this instrument was executed
under and by virtue of the authority given by said instrument granting her/his power of attorney which is recorded in Book 31488 at
Page 386 in the Mecklenburg County Register of Deeds. I do further certify that the said Thomas Elliott acknowledged the due
execution of the foregoing and annexed instrument for the purposes therein expressed for and in behalf of the said Alwyn Smith.
Witness my hand and official stamp or seal, this OC n
T day of __ marc.i1. 2017.
No4 ilic
NOTARY SEAL Nor
q
A cl)= My Commission Expires:

Exhibit A
Tract 1 IvA Vak: r �- 001 SI 30
Being a combination of Lot #16 of Country Club Shores Subdivision recorded in Plat Book 12, Page 329
and a portion of that certain property conveyed to the Grantor by Deed recorded in Book 7348, page
210 in the Mecklenburg County Registry.
BEGINNING at a #4 Rebar Found in the Northern Margin of the 60' R/W of Lakeview Circle at the
common corner of Curtis W. Desena and Jeanne M. Desena, now or formerly (Deed Book 22875, Page
508) and Lot 16 of Country Club Shores Subdivision (Map Book 12, Page 329), and running thence with
the line of Lot 16 North 6V35'53" West 202.09 feet to a #4 Rebar Found; thence North 62°29'00" West
36.34 feet to #4 rebar found; thence North 65"25'22" West 8.97 feet to a #4 rebar found located at the
760' Lake Contour of Lake Norman; running thence with the 760 Lake Contour the following three
courses and distances: (1) North 52°00'32" East 54.65 feet to a point, (2) North 67033'09" East 60.35
feet to a point, and (3) North 59`45'59" East 2.83 Feet to a point; thence with the common Line of Lot
16 & 17 of Country Club Shores Subdivision South 47000'57" East 247.76 feet to #4 rebar found in the
Northern Margin of Lakeview Circle (passing a #4 rebar found at 24.17 feet); running thence with the
Margin of Lakeview Circle the following two courses and distances: (1) South 71045'57" West 20.30 Feet
to a point, and (2) North 85012'30" West 43.62 feet to the point and Place of BEGINNING, containing
.418 acres as shown on the "Boundary Line Survey of Lots 16, and 17 of Country Club Shores, #4 and
Additional Tract" by Professional Property Surveyors, Inc. dated January 6, 2017.
The above description being a combination of the parcels obtained by the Grantor by Deeds recorded in
Book 3664, Page 519 and Deed Book 7384, Page 210 in the Mecklenburg County Registry.
Tract 2 to � I-7 . 2-111 S—-e�lcr,�I �z
� � nc?(f 5)70
Being a combination of lot #17 of Country Club Shores Subdivision recorded in Plat Book 12, Page 329
and a portion of that certain property conveyed to the Grantor by Deed recorded in Book 7348, page
210 in the Mecklenburg County Registry.
BEGINNING at a #4 Rebar Found in the Northern Margin of the 60' R/W of Lakeview Circle at the
common corner of Lot 16 and Lot 17 of Country Club Shores Subdivision (Map Book 12, Page 329), and
running thence with the margin of Lakeview Circle the following two courses and distances: (1) North
71°44'21" East 78.86 feet to a point, and (2) North 45002'50" East 20.35 feet to a #4 rebar found at the
common corner of Mari H. Rink, now or formerly (Deed Book 3341, Page 485); running thence with the
line of Rink North 4404826" West 247.29 feet to a #4 rebar found; thence North 45007'25" West 25.02
feet to the #4 rebar found at the 760 Lake Contour of Lake Norman; running thence with the 760' Lake
Contour three courses and distances as follows: (1) South 53'17'04" West 12.57 feet to a point, (2)
South 38005'32" West 37.09 feet to a point, and (3) South 59°45'59" West 52.75 feet to a point; running
thence with the common line of Lot 16 and Lot 17 of Country Club Shores Subdivision South 47000'57"
East 247.76 Feet (passing a #4 rebar found at 24.17 feet) to the point and Place of BEGINNING
containing .568 acres as shown on the "Boundary Line Survey of Lots 16, and 17 of Country Club Shores,
#4 and Additional Tract" by Professional Property Surveyors, Inc. dated January 6, 2017.
The above description being a combination of the parcels obtained by the Grantor by Deeds recorded in
Book 3664, Page 519 and Deed Book 7384, Page 210 in the Mecklenburg County Registry.

,a (.
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7tio-r r� Of aP-V)1
I
,Z Sf I 19 ,y -I nJS
_.3
i

STATE OF NORTH CAROLINA
IREDELL COUNTY
I aertify fiat Nb mile won drawn Iran an oclaW survey made under my
superMslon The unadjusted ratio of precision as caimlated is I': 1000D,
Baundones net aaneyad, if any, Pre noted- Deed deacpUma are Z—
Peye Noen .W.inees my (land and sell Nis 4W day of DUNE , 2019.
CARD
-
�: E I31 $'� ti �'
Profmglal3 Swayer
r L 53703
',a
suit cy
ynsu 0
e'i
ALL DISTANM ARE HORZQVTAL MMM DIBTANCES
UNIFSS 01HER"M NOTED.
t\\\
4JAC 0 'S
YrAA�SEf
As AREA BY 000RDNAIE COMPUTATON,
N\O1\\````
• PEASENWENTTSWBSIRIC%Efi h WWAYMECORD.
1Rj111
RMIS OF R�
• SURVEY IS BASED ON PH\SCAI EVIDENCE AND Ef0511NG
MONUMENT FOUND WRING IHE SURVEY.
0 PROPERTY CORNER PIPE 92ES A9 SHOWN ARE NOMWAI,
IN9DE DIAMETER.
LEGEND
umm 91RVEYFD
UNES NOT WR\EYED------
THE LNES —__�_--_--
OWD DISMOUTION UK —
(OVERHEAD)
R/W Uln6
I(L TRANSMISSION 0 NO MONUMERTATW
PONFR POUF UNLESS OTNERNTSE
Q CENIEAUNE NOIEO
E PROPERTY UK
(F) DENOTES'FWW'
(S) DENOTES 'SET'
NMI DENOTES 'NOT TO SCAur
N
ryuN
iM
UNE
PIN 4668—] I=
OAKRIDGE STORAGE,
O.B. M21 PG 2OW
PIN e668-20-81&5
BRMGES PROPERTl6S, TLC
DA. 1602 PG 1912
UTT /14'JE. % PG Iw
STAGING
0.227 I
PIN BRIDGMS
9—BB42
PROPERTIIIS, L,C
O.S. mot PG 1912
�
GRAPHIC SCALE PO.
466T-�004
0. PCIDEO891 .DRTGS, L.0
0 M 130 O.B. 21&1 PG 1029
EAT /2—P.B. 26 K. n
( IN FEET )
I Inch = 150 tL
TAX ID: 4667-29-6642
FOR SOURCE OF TITLE REFER TO DAK. 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
PIN 4667-39-0(00
ARGOS USA ILC
02. 2016 PG 4981(C0)
Ulm
SURVEY AND MAP PREPARED BY...
LAKE NORMAN SURVEYING
& MAPPING PLLC 4P-0180
137 Jennings Rood, Suite C
StotesWle, North Carolina 28625
04) 876-4450 Fox [phone]

Doe r0: 000889980003 Tv": CAP
Recorded: 11,23,2004 at 01:2a:0o Pit
Fes ant: S874.00 Peas 1 of 3
Ex cis R♦ Tax: ta54.D0
Irodell county. No
Brands D. Bell Radiator of Deeds
Bx 1602 PD 1912-1914
Excise Tax $654.00
Tax Lot No. Parcel Identifier No 4667-29-6642 and 4668-20-81854.34
Verifiedby............................................................................... Cotmty on the .......... day of ..................................
by...........................................................................................................................................................................
Mail after recording to: Grantee
This instrument prepared by: Lut2el, 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
Donald Ray Snyder and wife,
Victoria A. Snyder,
awa
Vicotira A, Snyder
GRANTEE
Bridges Properties, LLC
628 Oak Ridge Farm Hwy
Mooresville, NC 28115
Enter in appropriate block for each patty; 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 onto 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
J-
The property heminabove described was acquired by Grantor by instrument recorded in Book .............. Page .........
A rnao showing the above described property is recorded in Plat 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 GMutce,'ftt.Grautor is seized of.thepreudses in fee simple, has the right to convey the same
in fee Simpl
e, ,that tide is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend -the titleagains - t ; lawihl claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the pr"Openyherein-
above described Is subject to the following exceptions.
All easements, restrictions and rights of way of record.
Ad valorem taxes for the year 206 and subsequent years not yet due and payable.
All matters revealed by and accurate survey of the property.
IN WnMS 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 office*) by authority of its Board of Directors, the day and year first above written.
(Corporate Name) ... ... ................ .. ..... ... .............. �EAL)
Dona]JdZ&y Snyd
By: ............................................
0
..................
... (SEAL)
..................................... President 9
Attest. 6 Victoria A. Snyder
.............................................................. '04 ..... I ..................................................................... (SEAL)
..................................... Secretary W
ca
Z)
t_ IYO,
�•
%
%%OTA
J13L.10 Sci
.�Couvii .sS
(SEAL)
.......................................... (SEAL)
_J
NORTH OMX"04C-
1, a Notary Public of the County and State aforesaid, cell
SNyder, Grantor; personally appeared before
foregoing instrument. Witness my hand and o=
My Commission Expires:
NORTH CAROLINA ................................ COUNTY.
1. a Notary Public of the County and State aforesaid, certify that
22nd.
and Victoria A.
xecutwn of the
........................................................................................ Grantor, personally appeared
before we this day and acknowledged that be/she is ................................... or ......................
....................................................................................................................... a
corporation, and that he/she as ............................................... being authorized to do so, exe-
cuted the foregoing instrument an behalf of the corporation. Witness my hand and official stamp or
seal this .................. day Of ..................................... 2004.
MYCommission Expires: .......................... ............................................................ .... Notary Public
The foregoing Certificare(s) of
is/are certified to be correct. This instrument and this certificate are duly. Ip-
gistered at thI'and *time'
s ow Ifustp e e
... .... . . .......... .......... ter Deeds r-4-44 -my
. ............. . ................ .. .. .............. ....... . ......... Deputy/At &i"61Qt--Re9i9tcr of Deeds

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 36-17-36 East 2,458.39 ft. (Ground) from NCGS Monument "Run
In" N: 206,469.354 meters E: 445,280.693 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 ft. to a point; thence leaving said right of way and running with the tine of
Whitman property (now or formerly) South 64=06A8 East 49.80 ft. to as 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 40-1943
East 305.82 ft. to an existing 1" pipe; thence North 71-18-07 East 121.51 ft, to an existing angle
iron in the line of Evelyn Brown (See Deed Book 308, Page 337, Iredell County Registry);
thence a new line of John W. Caffey, et a] (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 42 rebar, thence with the
northern line of Lot 2, Scott D. Burton Property (see Plat Book 26, Page 73, Iredell County
Registry) North 74-59-17 West 572.00 ft. to an existing 42 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 Adl 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 Rcgistry, 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. i U PLAN NO. PARCEL ID:
STREET ADDRESS: 21 l 04 Layie K 1 e Lu r
Cocne�i_ ��(�G 2Q�b�1
Please print:
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Janice E.4aw of �a�ural �r�ceer� �^� r,v_ ulrC5,LLC,
(Contractor / Agent) 1 (Name of consulting firm)
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):
ZO5bG 1q. 11 �aiYl Sk 0ornPj1u,,
Telephone: ICA - lob9 - 526
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date: 12f 2-7Tq Date: