20200031 Ver 1_Shoreline Stabilization_20200103

Wa ter Resources
ENVIRONMENTAL QUALITY
C�')032000,3/
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
SSA NCAC 02H .0500 - Water Quality Certification, Shoreline Stabilization
FORM: SSGP 02-2017
{
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent to: f
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
Raleigh, NC 27699-1617
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Chris
Mailing Address:
512 N. Salisbury Street
Raleigh, NC 27604
C
Telephone Number: '1Uz1 - CeoQ - 5Zo5" Fax Number:
E-mail Address: 0-hoEOnlanCi�S6u-)kec-ciPn+A-e 4e..ne-E-
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:
httD://www.saw.usace.armv.mil/Portals/59/docs/reeulatorv/regdocs/Permits/SAMPLE AGENT ALITHORIZ
ATION FORM.Ddf)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: 11(jz1 -1010O - 6 111 Fax Number: r10z[ - lttn!) - ri4 In -i
E-mail Address: i n�o n� ChC S1nne. ox'd recUc ]) nA _ Corn
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: McCKIeYl1-.-_)12r3 Nearest Town: CornejuS
Lake/ river/ ocean adjacent to property: Kn r M0.4
Property size (acres): PL_2.n cierc5
Subdivision name or site address (include phase/lot number): 7_ I j l IaKeV,e6U i✓ r.
/1 A- — , I _ L # 1-1 n 01 _L QL _._dam
Directions to site - please include road names and numbers, landmarks, etc.:
See 0_44achj Cd
Latitude (in decimal degrees)_ 5� 500g 9& Longitude (decimal degrees) - 80. Bq, 4q 7
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): l inde.veknp&cd toy-'
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
±(lwldc
No Sh"i rig , 51opi ng or ma. 41n9
7. Will work be conducted from land? Q From water? 0
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:
1,905 5� of impw_' dredge_ Cis Gor Shnm ;rte—
in sauare 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:
0-1moacA7 &Me e_ 0 [Ynoar C+ S"orallnn
Temporary impacts (temporary clgaring, construction corridor) in square feet:
10. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50
feet landward to a impacted (number of trees, for instance): a aGS 'kO�yP C
c
11. Signature �/y'% . na}ive S?eCleS to be PlanAed can enhanced SIcre1; VU_
121 -1 r 19
Signature' [15A NCAC 02H .0502(f)] Date
is valid only if an authorization letter from the owner is provided.
FORM: SSG 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
Full Pond/ Normal Water
Shoreline
Plan View
Lake
(At Full Pond/ Normal Water Level)
I Z3' l e
. unde�eloPed
wIpf 101-
F4GCES5
Full Pond/ Normal Water L
wt orerne � 1
l ft., rsa ft.
ad .-I
x — ..,Y
E
Plan View
Lake
W fW Fb 1/aanulY to 1,
Riprap
AM
q0' 5' CU-r
123' X wlde
�h�SS�s�riril
Existing Dock
�30ftx7ft
3fti 150ft
&Iw Ra pnW rAYI
G ft �ISOft
PL a/Wl priQI NWL
EE
FORM: SSGP 02-2017 Page 3 of 4

tN00'an6 010Fal Awalu, Mcorewlls, NC b2n151aNwLb,Candlo, NC=1-GeeNMp
Google Maps 610 East Center Avenue, Mooresville, NC to 21115 Lakeview Cir, Cornelius, NC 28031 Drive 10.7 miles, 21 min
Directions are to 21109 Lakeview Cr 21115 is now the emptylout to the right of 21109
610 E Center Ave
Mooresville, NC 28115
t 1. Head south on Evergreen St toward E Center Ave
17 a (197 h)
ro 2. Turn right onto E Center Ave
2 min ins ma
Continue on S Church St to S Mein St
2 man (as m)
-1
3. Turn left onto S Church St
0.5 mi
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4. Turn right onto College St
0.1 ml
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a min (IS mq
r• 12. Turn right onto Torrence Chapel Rd
17mi
-1 13. Turn left onto Lakeview Or
of mi
t 14. Continue straight to Mayon Lakevlew Ck
151 h
21115 Lakeview Cir
Cornelius, NC 28031
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1.
DAR W. LONG, P.
18335 OLD STATESVILLE ROAD
/011110/
SUITE A
CORNELIUS, N.C. 29031
[phone]
aoe� LAKE
NORMAN
AEMOXIENITE LOrnr ON OF
\INLYR FLO/OD FRINGE LINE
(TIE"ONLY
V51'3900.70 `! I
FIELD LOEATED 7W
uIECOMWR
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LINE TABLE
LINE
LENGTH
I BEARING
L1
52.75
N59'45'59"E
L2
37.09
N3"5'32"E
L3
12.57
N53'17'04"E
L4
20.35
S45'02'50"W
001-151-30
H2 Holdinga, LLC
!REAR
I
SEEK
DO 3167Z Pit 354
NOTES:
I PROPERTY MAY BE SUBJECT TO OTHER
l'OVENANTS, RESTRICTIONS, EASEMENTS OR
Z
-
RIGHTS -OF -WAY THAT MAY BE OF RECORD.
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LOT 17 to
' NO NCGS MONUMENT FOUND WITHIN 2000'. ALI.
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24 780 Sa FT
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DISTANCES SHOWN ARE SURFACE HORIZONTAL
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3. THE PROPERTY IS SUBJECT TO THOSE
RESTRICTIONS IN DEED BOOK 3664, PG 519 AS
N
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RECORDED IN THE MECKLENBURG REGISTRY.
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4, DUKE POWER RESERVES A PERPETUAL
Or
EASEMENT FOR RAISING THE WATERS OF THE
.Nj
C'ATAWBA RIVER TO A SURFACE ELEVATION OF
N
77V ABOVE MEAN SEA LEVEL, PER DO 7348, PG 210.
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5. THE PROPERTY IS CURRENTLY ZONED "G-R"
WITH THE. TOWN OF CORNELIUS PLANNING
I
DEPAR'rMENr.
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#
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6 THE SETBACKS FOR "G-R" ZONING ARE AS
V
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(v
I'I.ANNINU DEPT:
FRONT- ME (INFB.L)
SIDE-W GNFILLI
REAR-25' FROM PROPERTY LINE OR 30' FROM THE
LAKE CONTOUR LINE. WHICHEVER IS GREATER
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ACCESSORY STRUCTURE SETBACKS:
I
ED
SIDES' \
V
REAR- 50' FROM THE 76d FAKE CONTOUR
7. CONSULT WITH GOVERNING AGENCY FOR \
PREVAILING LAND DEVELOPMENT AND ZONING \
RI QUIREMENTS PRIOR TO DESIGN OR
L ONSTRUCDON OF ANY IMPROVEMENTS. �,'Fc-- ¢¢?J+
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k4 REBAR FOUND
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COMPUTED POINT
SUBJECT PROPERTY LINE
UNSURV£YED LINE
SETBACK LINE
EXISTING
STRUCTURE
ROaENF EL,
001-151-32
Mari H. Rink
DB 3341, Pg 485
100.
Graphic Scale
40 20 0 40
Sale of Dmvine I inch - 40 Far
Boundary Survey of Lot 17 of Country Club Shores #4, and Additional Tract
Professional
• Surveyors, Inc.
Pro of
P=nY
As Recorded in:
Site Address:
21115 Lakeview rcle
18335 Old Statesville Road Ste. A
H2 Holdings, LLC
Map Book 12, Pg 329
Cornelius, NC 28031
8031
Cornelius, N.C. 28031
Deed Boo] 31672. Pg 354
704-765-5134 Pha•e/Fax
Mecklenburg County
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Polaris 3G Map — Mecklenburg County, North Carolina
Date Printed: 12/30/2019 11:29:11 AM
A
0.0031.006 0.012 Miles
s map or report is prepared for the inventory of real property within Mecklenburg County and ls compiled from recorded deeds, plats, tax maps, sways, planknetric maps, and other public records and data. sm of this map or report are hereby notified that the aforementioned pudic primary information sources should be consulted for vedication. Mecklenburg County and its mapping contractors assume no legal
ponsi bNity for he information contai red herein_

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21115 LBI/;New Cir - Google Maps.
Go gle Maps 21115 Lakeview Cir
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21115 LalWew Cir - Google Maps
Google Maps 21115 Lakeview Cir
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Lat. 35.500898 Long. - 80.892497
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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: 2 t/ f 5 LQk v i L r_ Co r ne.l iy �. 4 County: C
Owner:
Print
Contractor/agent:
Print
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, ii_ h r i C l^(pYyln n hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be
taken such that the constructi will be built within substantial compliance and intent of the 401 Water
Quality Certification and Bpff rjtulethe approved plan(s) and specification(s), and other supporting
materials. i �� /
Signature (owner): ZZ42 `�Date: 1

Polaris 3G Map — Mecklenburg County, North Carolina
S&+I% toffs love Same owner
nata Prinhut• 19i4nI9n1 o >•d9•dz o..

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DREDGE SPOIL DISPOSAL FORM
Project Name/address:_2/I is- Lakey-Lew Cr. - I95 eve -County: JiQea
Location Address: 15 2osa.1 S i-�e ' & 319 ©ak r i da e. ra T 1-�u u i�oo - -I I le � (�C a S'
Parcel #: _moo 'l a, Gl t °ug
Parcel/tot size ( o . q ox YGS
Disposal area required (sq ft and/or acreage) I oo
Acknowledgement of Notification
I, I r,r am aware that the site must adhere to all state regulations
and rules regarding sed�ent nderosion 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: _h\1y-C
Print
Date:
Along with form, please provide:
Aerial of parcel/lot (County GIS)
Photo of proposed spoil site
Identified proposed spoil site
Signature

am �

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12I32018
CBC Stone & RecWling, LLC - Google Maps
Go gle Maps CBC Stone & Recycling, LLC
TImagery®2018 Google, Map data@2018 Google 50R
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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
Date of Duke Energy Lake Services, applicant and/or contractor on -site inspections Date M_ 0 , i,glnitials V
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) OYes ONo (If Yes, explain in PART V)
Date Deposit Refunded Initials Date Permit Database Updated Initials
* Forward copy of approved application (all pages, plus any attachments that Duke Energy changed) back to applicant
with Approval Letter and highlight any changes. File copies of Approval and Close-out Checklists and any Stop Work
Part I. Applicant Information (Please Print)
Name Ck,r i 5 HeGman H2 On(Ai na54.LC. Telephone i oLl - ioOq ' J z�rJ
Email address: r �o��mQ n'� &x2lkec Ccr4a ae-.
Lake Address Mailing Address (f different
Rills JaVi2yieuu Or. 20509 N. mr0 i n
Cente1-1 usInorne021 fA0- 23�
Contractor Company Na+" rack Green SCa_PeS , L.LC-
Contractor Contact Person �,� n ri f- Telephone r t) q - Co 6 O - 511
Contractor Email Address 1�� CIoC S ione�'s 1�i �PCUei ; nn . C o C1r�
LAKE LOT INFORMATION
Lake Rorm County M eeKjen6� JCity rntJ; Q�,_ State ,Tax Map No.
Subdivision Co.,,rjN C6 6 Shores Lot / Section No. _ 1-1 Lot SizeoS,?.DAcres
Duke Energy Page 4 of 13 rev 10/l/2019
Excavation Program

Duke Energy Excavation Permit Application Form
Are there any Co -Applicants*? (check one) ❑Yes Mo (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 12p
Initials (Duke Energy) qet III
(applicant/contractor) to
Duke Energy Page 5 of 13 rev 10/1/2019
Excavation Program

Duke Energy Excavation Permit Application Form
Part H. Description of Project
A. Basic Information
1. Type of excavation: (check one) eNew excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) ❑ Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
&TOther (spec): hLcw doG1Ai
3. Lake user category: (check one) E'1'Private ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (spec):
4. Max. Excavation Area Dimensions (ft): Length qD, Width 50 ' Depth
(Note: include additional area dimensions if necessary so response to #5 below equals max. area
dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): Cubic yards
6. Type of material removed (applicant determines byfield sample ifpractical):
7. Excavation Site area: e . S 1 Lo Acre (s) Disposal Site area: _a. 19 Acre(s)
8. Total Disturbed Area (including equipment staging area): O. 521 Acre (s)
9. Does thoject meet the requirements of the applicable General Permit? (check one)
Ces Jo
10. Do you claim title to the disposal area? (check one) ❑Yes
11. Do you claim title to the equipment staging area? (check one) VYes Flo See 0.AOUC'�Ied deec'
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) Yes �10
(If 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): 1D re d y- b 3 boxy e- . D re d9 e- ma+e ri a l
to be 1)cwked ov:� b j, 1o�nd Icy +oa�ndeM dum`� �ocK and +"eh
to d 15 po5at s'A-e a+ . G 38 OaK r i d e fa r m HuJ-9oot e s v I � N C. 2 811 �
e -kA-=a hed Suvve and deed
C Se
Duke Energy Page 6 of 13 rev 10/1/2019
Excavation Program

Duke Energy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used: Long reach 2Y,CaVQ+Oe-
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) ErYes ❑No
(If yes, explain) - J b0.r3 e,
16. Will return water re-enter the reservoir? (..Check one) ❑Yes 01�0 ❑N/A
(If Yes, speck 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 O-To
(If Yes, provide the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit # ne-uu Ana y ermM + -l-o be 0-ppltf-d For
18. Total planned duration of the work (Includefirst equipment mobilization, excavation
through final mitigation measures complete):
START a / a_ FINISH 0 / Q
(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
Approx
Identification
Method (")
Avoid (A) or Mitigate (M)
Acre
Field ID
Work Area Dwg. ID
xr
(check all that apply)
a. Marshland, swamp, ponds, beneficial
aquatic vegetation or other potential wetlands
A
circle all that apply)
___V,l b. Buffer Zones (speck width & source
6 � (xr-v—
l7�edge. �
ofrequi�•ement) IO` w>tdt (t.cceSS
+- Ircw wso' b0V�er zarle.
Qo l
CY��-�e�r al 1nG.utec!
Nc +V-eeS ceM61PP-d
OFF by J ►.vncd w%IA-h
inn►n,MOAA
dump +rQCV)
c_ Environmental Areas ac identified
Duke Energy
d. Natural Areas as identified by Duke
Energy
e. Historic properties (specify)
NIA
f. Rare or threatened species (spec)
Duke Energy Page 8 of 13 rev 10/1/2019
Excavation Program

Duke Energy Excavation Permit Application Form
Protection/Avoidance Areas
Aimrox
Identification
Method N
Avoid (A) or Mitigate (M)
Acre
Field ID
Work Area Dwg. ID
**
(check all that apply)
s. Buried gas, water, sewer,
communications or electric lines circle
jq
h. Impact Minimization Zones as
identified by Duke Energy
N Ili
i. Other areas requiring specific
avoidance, protection or mitigation (specify)
V-4 10
* 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 C h r i s 14dPCman
Comments: (Aicj3h6ors'. ® 142. NOtCaIrugS,L-LC
2.,1115 Lo-Vv t1ew Cr.
C'ornet" %J5 tNC 2bo3i
CL) lnar'1
2tzoS LAVAevlewC.r,
Applicant Name
Applicant Signature* //�/l/� —� _ Dat
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
Co -Applicant Signature* Date
*Per my signature, the information provided in this application is correct to the best of my
knowledge.
Duke Energy Page 10 of 13 rev 10/1/2019
Excavation Program

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date 1_2 12-7 11�G
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
(Lake/County/City)llormart /er /`�Corr►el ins
(Applicant's full name) r; .-,` W 1 c, t '. na S hereby agrees to comply with all
recommendations, requirements and/or conditions of D e 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 new &CK
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 SW 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 SW 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:6/16/17

b
I/we understand that all excavation work must be done directly in front of my/our property and
within the third of the cove nearest my/our property or within any middle third of the cove that
Duke Energy owns, or 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.
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.
1/we understand.that trees and vegetation growing within or adjoining the lake play an important
role in its overall environmental condition, and the ecological benefit the vegetation has on fish
and wildlife habitat directly supports a sound and healthy lake environment. 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

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 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.
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.
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 SNIP 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 flames. 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,
C k r i S ian
Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
uaeeneW Page 4 R: wun

y
3a IsloPe
ct&eQ .v pLe - qc_
301
50'
/1 o N4
9o,

FOR REGISTRATION
Fredrick Smith
REGISTER OF DEEDS
2017MAR:51:1
Mecklenburg
211NAM
SK:31672 PG:354-356
FEE:$26.00
EXCISE TAX: ga1 440.00
INSTRUMENT # 2017039721
BAKERFR
2017039721
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 No. 001-151-30
Verified by County on the — day of , 20_
Mail/Box to: Grantee
This instrument was prepared by: Amy Shue Isaacs, The McIntosh Law Firm, P.C.. P. O. Box 2270, Davidson. NC 28036
Brief description for the Index: Lot 16 and 17 Block A Country Club Shores No. 4
THIS DEED made this a I& of March, 2017, by and between
GRANTOR
Alwyn Smith, widower
GRANTEE
H2 Holdings, LLC, A North Carolina Limited
Liability Company
Mailing Address: C/o Thomas Elliott Mailing Address:17830 Statesville Road, Suite 225
11 Oxford Road Cornelius, NC 28031
Ansdell, Lytham
Lancashire, ENGLAND Property Address: 21109 Lakeview Circle
FY84EG 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 the Grantee, the receipt of which is hereby acknowledged,
hus 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.
AA I
L i�:t+v� ' 't'' a (SEAL)
Alwyrf Smith by Tho Elliott, Attorney in.Fact
State of North Carolina -Mecklenburg County
t��. r)k\-%- S111 q 15 C�khmh&w s
I, ,the undersisned. a Notary Public of the County of � and Mate afnrPca;d_
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 Smith, 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 DPI �7 day of M i�i�C'_l . 2017.
NOTARY SEAL
My Commission Expires: 1. ) - -. 9U 1

Exhibit A
Tract 1,A -;iiol PkvwW � 00115-130
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 62°35'53" West 202.09 feet to a #4 Rebar Found; thence North 62029'00" West
36.34 feet to #4 rebar found; thence North 65025'22" 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 67°33'09" 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 47'00'57" 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 85°12'30" 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 �C� I J yll(S (Gt�tcU1 ld ��-u� 0(7115170
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 45°02'50" 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 44"48'26" West 247.29 feet to a #4 rebar found; thence North 45"07'25" 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 59645'59" 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 47'00'57"
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.

121 19 526Soxn Clod $tree( Charade. NC bae0al Fam Hy- Cxople Maps
Go gle Maps 526 South Church Street, Chadotte, NC to 638 Oakridge Farm Hwy Drive 30.7 miles, 34 min
526 S Church St
Ctadotte. NC 28202
Get on 1-277 S
1 min (0 4 mi)
t 1. Head southwest on SChurch St toward W
Stonewall St
01m
x 2. Turn right to merge onto 1-277S
02mi
Fallow 1-77 N to NC-150 E/W Plaza Or in Mooresville. Take
exit 36 from 1-77 N
2b mb (27.0 mp
x 3. Merge onto 1-277 S
14 mi
t 4. Continue onto US-74W
75 h
Y 5. Take exit 1 C to merge onto 1-77N
264 mi
Y 6. Take exit 36 for NC-150 toward
Mooresville/Linminton
02 mi
to 7. Use the right 2 lanes to turn right onto NC-150 E/W
Plaza Or (signs for Mooresville)
Continue to follow NC-150 E
Pass by Burger King (on the right in 1,9 mi)
Destination will be on the right
y min (34inp
-DN<-ec+ions �c� 1�[s� G,Jc-
14rraawam9MaoMr4r4r5N»SOMMCNrUr�Street�ClrMb.eNC�arOlri�HFmnIMy�M�aYIIq�NCs�11Y�3SA1391Pa-966IA1rB,HslnnWeN=14m1N4n1T 1niN Inal 1aO6d5Bma:... 1R
taaa'AI9
638 Oakridge Farm Hwy
Mooresville, NC 28115
These directions are for plannxp purposes only
You may find that construction projects, traffic,
weather, or inner Bents may cause condiiaie to
Men (rain lha map results, and you sh0uB plan
your (Me aocaftly, You must obey at syJM19 or
lwlbes re9andin, your We
SaVSoeh Crunch 9Peet. Cherloxi, NC b6890elridde Fam Hwy- Goole Maw
ll¢alMwgao9lemNnryMlr(SEsaRrrCtuntlwStrKeCMIIaOe.eNC,W9r09nQlarFammlNyrManWIh�NGi8115'®3S/13Bp10,-aa9JdN9,tts/alcVdb=14m141Nn151hr91m111va9�6ePG... Xt

STATE OF NORTH CAROUNA
IREDELL COUNTY
I certify that Ulia map .ao Nam tram a octaal W,Nay made urea my
.P"n -r The ,..elated roue PI Preclvon as cdealated Ia 1'. 10000d:
Baardwiea not aw.elad. if any, cre noted. Deed de"tiona ae 1.2"_7 Beo'Tg
Page Mean .WlResa my Nand arW ofaw mm 4H day of mn 2019.
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4 �``& ALL AR DISTANCES E HOR12 NTAL MMW DISTANCES
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Q ; • AREA BY COORDINATE COMPUTATIM.
yAyAysla RillNOaa``` • EASEMENTS, RESMCTIONS h WWTS OF WAY OF RECOIA.
• SURVEY IS BASED ON PHYSICAL ENDENCE AND EMSTING
ANIII IT FWND WRING THE SDIIWY.
0 PROPERTY COINER PIPE SIZES AS SHOW! ARE NOMINAL
INSIDE DUME EIR.
LEGEND
ONES SVRVE B
UNES NOT SURI£TID------
T@ UNES
OWD OISiFNWTIW LRTE — (OVERHEAD)
R1w I11N15
r0.. TRANSNISSIW 0 NO MWUMENTAIIW
POKER POLE UNLESS OTHERWISE
¢ CENIERUNE NOTED
e PROPERTY UK
(E) DENOTES •FWND•
(S) DENOTES •SE'
NTS DENOTES 'NOT TO WALE'
i
LINE
PIN 166 M-1353
OAKRIDGB STORAGE,
ma. 021 PO 207]
PIN 4666-20-6165
BRIDGES PROPERTIES, LLC
O.B. 1602 M. 1912
LOT /1-PA. ]6 PSI IN
STAGING
0.227 .
PIN 1867-29-6642
BRIDGES
PROPERTIES, LLC
D.& 1602 PG 1912
BENT 04,41101011 /
E'!-r
GRAPHIC SCALE RHO N ---
PCIRORL&43 LDINIIEGS, LLC
a 75 Im D.B. 21110 PO Ion
IDT 12—r,0. 28 PSI )]
( IN FEET )
1 inch = 150 ft. —
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
PIN 1667-]9-0000
ARGOS USA LLC
DI 2016 M. 4961(M)
JL1L V
SURVEY AND MAP PREPARED BY.
LAKE NORMAN SURVEYING
& MAPPING PLLC OP-0190
137 Jennings Road, Suite C
Statesville, North Carolina 28625
[phone] Fox [phone]

111111100111110111
DoC ID:'. '0089a9880003 Tvoe:-.CHP
Aecodded: 11/23/2004=at 07 28:00 Ptt
Fee Amt: W4.00:P'age i of 3-
Excise Tax: $654.6
Iredell county. No"
Rrenda;:D. Be11 Register of Deeds
1602 M1-9'12-1914
Excise Tax $654.00
3
Tax Lot No. Parcel Identifier No 4667-29-6642 and 4668-20-81854.34
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 DEER
TIBSDE®madethis22a &...dayof November 2004,byandbetween
GRANTOR
Donald Ray. Snyder and wife,
Victoria A. Snyder,
alk/a
Vicotim A, Snyder
GRANTEE
Bridges Properties, LLC
628 Oak Ridge Farm Hwy
Mooresville, NC 28115
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, plurali 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

The Prapertyherchiabove described was acquired by Grantor bYinfftrUMffntrecorded in Book .............. Page .........
A map showing the above described property is recorded in PlatBook .............. page ...............
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging jorThe
(3matee.infi:e-simple.
And,theGrantor covenants with the GranteethatGrantor is seized of thepremises 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 herein -
above , described is subject - to the following, exceptions.
All easements, restrictions and rights of way oftecord.
Ad -valorem taxes forthe year 2005 and subsequent.years not yet due and payable.
All matters revealed by and accurate survey of the property.
IN WITNESS WHEREOF; the Grantor has hereunto set his hand and seat, 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) ... ... ................ .. ..... ... .............. �AL)
DonallZiay Snyd
By: ..............................................................
6
1 Li :4...7—
.....................................
{SEAL) 6 ...
President
Attest-
Victoria A. Snyder
...........
1
I .........
...................................... .......................................................................... (SEAL)
...... ..................
..... ....Secretary
.......................................................................... (SEAL)
NORTH CARO LiN �4( COUN
% AN I!,
I, allotary Public Of the County and State aforesaid,, certify Snyder and Victoria A.
SNYder, Grantor, personally appeared before s d acknowledged e cxecuti n of the
foregoing instrument Witness my hand and o ial s o cal ' 22nd. vembe
MycommissicPu Exp ires: ... . .................................. Notary lic
.
(SEAL)
NORTH CAROLINA ................................ COUNTY.
1. a Notary Public of the County and State aforesaid, certify that ................................. ..........
........................................................................................ Grantor, personally appeared
before me this day and acknowledged that he/she is .................................... of .... I .................
....................................................................................................................... a
corporation, and that he/she as ............................................... being; authorized to do so, exe-
cuted the foregoing instrument on behalf of the corporation. Witness my hand and Official stamp or
sealthis - v ................ day of ..................................... 2004.
MyCommission Expires: ....................... ..................................................... ............ NotaryPublic
The foregoing Certificate(s) of ........
This instrument and this certificate are duiy;�gisi
and m the Book and Page
is/are certified to be correct. d .1 th and tune am, in
_I I W
unty
�-U
........... De

W- A
EXHIBIT "A"
TRACT I: BEING all of that certain 6.49 acre tract located in Codale Creek Township, Iredell
County, North Carolina on NC Hwy 150 By-pass; being rnore.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 line of
Whitman property (now or formerly).South 64-06-48 East 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 tine of Whitman property North 40-19-43
East 305.82 ft, to -an existing 1" pipe; thence North 71-18-07 East 121.51 fl, to an existing angle
iron in the tine of Evelyn Brown (See Deed Book 308, Page 337, Iredell County. Registry);
thence a new line of John W. Caf ey, et al (see Deed Book 601, Page 538, Iredell County
Registry) South.42- 31-26 West 22.1.12 ft. to an existing concrete monument; thence another new
line of Caffey, ei al South 15-00-41 West 614.81 ft. to an existing 92 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 II: 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. -�t 1-7 PLAN NO. PARCEL ID:
STREET ADDRESS:-2 1115 LolAeVreto Or
CorneliuSrfVC i8b31
Please print:
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
zi)-tce ES j) of Nca-kim I CtP n &n PeS &ry c cS� LLC,
(Contractor / Agent) I (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):
2050Q R. QUn S4-Cornolius-NC 2B031
Telephone: '10 L4 - Lh 0q - S 2e)
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date: 12127T1 q Date: