20201006 Ver 1_Shoreline Stabilization_20200804

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Department of Environment and NaturaltResources
.. Division of Water Resources
Division of Wa#er Resoerces 15A NCAC 02H .0500 — Water Qualitlr Certification, Shoreline Stabi '
I�zation
FORM: SSGP 10-2013
Shoreline Sta(�ilization Appiicaiion Form
Three copies of the application (including attachments) and the
t°� application fee should be sent
Division of UVater Resources
403 &Buffer Permitting Unit
3.617 Mail Service Center
Raleigh, NC 27699-1617
I• Applicant Information
�- Owner Information
Name:
Mailing Address:
Telephone Number:
E-mail Address:
(15A NCAC 02H n�n2(a)]
/ �`1 Fax Number:
-- —
RECEIVEa
AUG 0 4 2020
NCDEQ/DWR/NPDES
✓UCA� L�
2• A ent `!�
g /Contact Person Information �'�'�
A signed and dated copy of the Agent Authorization letter (a form can be dow
htt : /wwiv.sa,,v usace.arm .mil Portals 59 does re ulato re does Permits SAM nloaded here.
ORIZAT(ON FORM. df) must be attached if the Agent has signed this ap licati PLE AGENT AU;
Name: I ` p on form.
Company Affiliation: / � �A�' . H- L-���
Mailing Address: i
l�i�, k- t EtiC-, S �.-�CSS L.�-/U�
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Telephone Number:7�/� � /.5--
E-mail Address:
`- T---��% Fax Number: -----'
Person to receive the Certification A � � �`'�
pprovai:—f—��ri��'� /
� J .fi(
ll• Project Information [15A NCAC 02H OSmr� � Q �w„ J
1. Attach a vicinit `� "'
y 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 showin
vegetation clearing, structures (buildipngspeeta bo g wa��ss and proposed locations of
FORM: SSGP Tp_Zp�3 ,docks, impervious surfaces,
Page 1 of 3

etc.}, rip rap, excavation or dredging below Fult Pond/ Normal Water Level elevations,
and construction access corridors. You may use the diagram provided at the end of this
application form.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (include a scale
of some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: ���� �- "��
Nearest Town: Te 1'iC.,v�
Subdivision name or site address (include phase/lot number
o ) �%�' �.
r�lfL
Directions to site -please include road names and numbers, landmarks, etc.:
S� � �ia� u-�-»
Latitude (in decimal degrees) 3rJ. �'$L/L�SIj
Longitude (decimal degrees) — g U , 9 � $ (dL#
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): � � i
��r-�trr�-t
6. Property size (acres): � (o(� ���-
7. Lake/ river/ ocean adjacent to property: N 1��' ;,Vy /.� 1
8. Describe proposed work (include discussion as to how hardenin of shore �
avoided, or why it is necessary): � g ne has been
Z,�c+ !�
9. Will work be conducted from land?
❑ From water? � `1�A'�r-CAL ��- Lo'�v�?,
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.��i�
below the normal pool lake level/ Normal Water Level in square feet or acres:
� r�,�� - ,I ' �13f��L
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres: �I, Of�r —_��� �(��ipC� ��
12. Please describe the vegetation above the normal pool lake level/Normal Water Level
50 feet landward to be impacted (number of trees, for instance): and
Owner/Ag is
Agent's si ature is
FORM: SSGP 10-2013
��1�� �.�
5A NCAC 02H .0502 f Date
y if an authorization letter from the owner is provided.
Wage 2 of 3

La [ce
(Ai Full Pond/Normal Waterl.evel)
1=u1( Pond/
Normal Water Leve( � ^ , G
Shoreline ;{- ���,
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Please approximately sketch the following information on this plan (provide dimensions foreoch
item, such as 10 ft x 100 ftJ *:
�� . All proposed vegetation clearing
Z. Location of rip rap or fill to be placed above the Full Pond/Normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4• Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
In r�
S' "��
FORM: SSGP 10-2013
Page 3 of 3

'T�t�2c. � N C .?8� $�
Project Name%ads�ress: q S`( G�p�}yz. wac,�p 7�ZA-t �
u��r: CA-�,.,gp
G�vi��r; S.�f �i its R tvo � �'�`
Print Signatur
Coi«rGir�ar%�ge9]t: �,
Print ��y.� Signature
The approval is for the purpose and design described in your application. Impacts not indicated in the
application is a violation of -the Buf�er Rule. Site specific work should be provided in the application. iiSA i�!CA
02H .0506 and 15A NCAC 026.0243(8)I
T rees are not allo�n�=d to be removed from Lone 1 of the outer (within 30 � � of the full pond elevation), unless
approved. E�cception, those trees that are severely undermined along the immediate shoreline can be removed.
il�linimal shaping and sloping zlong the immediate shoreline is allowed. (15A NCAC 02B .02c3i6)j
oenching, grading in the bu;;er is not allowed. F;ccessive disturbance of;round cover. (15A NCAC 026.OZ43 (6)j
3each�s, impervious patios, impervious walkways, etc. are not allo�,ved inehe bu��er uniessspecificallyapproved
by the Division. There are limitation on size for decks. i�SA i�CACO26 .02�3{�) and (5}j
V�orl; to b� conducted � rom land must indicate an access and indicate any gees that ar= to be removed. Tn=
�n�ork corridor should be described. The approved access corridor shall be restored. Staging, spoil, constructior.
material must be outside the bu��er. [15A NCAC 02H .0502 and 15A P!CAC 02B .02�3 (^� (6) (8)
Stormwater cannot be piped or channeled for direr dischage to the lake. Ali constructed storm�Nat2r
discharges must be at the natural elevation and discharged prior to entering the bu��er directed as di��us� or
sheet flow at non-=rasiv2 velocities to the lake. i � 5A NCAC 026 .02�3(S), (b} I
lekno�;iledce„�erro� lyo�i�icacion
�, �ef�,GEY C �3✓� c.c
"`I 17ZvtS7��" hereby stateThat I have been informed of the Catawba
Riparian Burer Rule. Any work conduced in the bu��er, not specifically stated in the application and approved
by the Division of V!rater Resources (DWR), is a violation and subjec to enforcement. Due diligence �nrill be
taken such thatthe construction will be built within substantial compliance and intent of the ?01 trVater
Quality Certification and Bu��er R , t approved plans) and specification(s), and othersupportinQ
materials. �,
Signature (ownerj� � (� r� q
D'eZe � ! U �e'Z�

�r.�
Parcel Report
Parcel Report -Catawba County NC
Parse I Information:
P a rc e I I D: 461704733329
Parcel Address: 3954 CEDAR WOOD TR
City: TERRELL, 28682
LRK(REID): 13993
Deed Book/Page: 3340/1223
Subdivision:
Lots/Block: 1/
Last Sale:
Plat Book/Page: 31 /214
Legal: LOT 1 PL 31-214
Calculated Acreage:.660
Tax Map: 013 X 04002
Township: MOUNTAIN CREEK
State Road #:
Tax/Value Information: Tax Rates(pdf)
City Tax District: All in County
County Fire District: SHERRILLS FORD
Buildings) Value: $0
Land Value: $302,800
Assessed Total Value: $302,800
Year Built/Remodeled: /
Current Tax Bill
Miscellaneous:
Building Permit Address Search for this parcel
ff available, Building Permits for this parcel.
Septic links are not permits.
Septic Final Permits prior to 08/2018, contact
Environmental Health.
Building Details
Watershed: WS-N Critical Area
Voter Precinct: P41/Voting Map
Parcel Report Data Descriptions
List all Owners Deed History Report
Owner Information:
Owner: BAILEY JEFFREY C REVOCABLE
TRUST
Owner2:
Address: 2748 OCEAN SHORE AVE
Address2:
City: VIRGINIA BEACH
State/Zp: VA 23451-1455
School Information:
School District: COUNTY
Elementary School: SHERRILLS FORD
N6ddle School: MILL CREEK
High School: BANDYS
School Map
Zoning Information:
Zoning District: COUNTY
Zoning1: R-30
Zoning2:
Zoning3:
Zoning Overlay: CRC-O,WP-O,FPM-O
Small Area: SHERRILLS FORD
Split Zoning Districts: /
Zoning Agency Phone Numbers
Firm Panel Date: 2008-03-18
Firm Panel #: 3710461700K
2010 Census Block: 5011
2010 Census Tract: 011504
Agricultural District:
Assessment Report
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to
ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends the
independent veriflcatlon of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and personnel,
disclaim, and shall not be held liable for any and all damages, loss or Ifabil'dy, whether direct, indirect or consequential which arises or may arise from this
map/report product or the use thereof by any person or entity.
httpJ/gis.�c•9avr�orr�pl�Parcet ��•PhP�46�7047333�8�typ=P 1/2

�'"` Ge+7spatiai
�, ':' `� "� `? �' `�� `: �'` ' = i- l; Information Sereices Real Estate Search
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Parcel: 461704733329, 3954 CEDAR WOOD TR TERRELL, 28682
Owners: BAILEY JEFFREY C REVOCABLE TRUST,
Owner Address: 2748 OCEAN SHORE AVE
Values - Building(s): $0, Land: $302,800, Total: $302,800
1 in=60ft
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and
personnel, disGaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this maplreport product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
02/19/2020

from s tamara hager tamarahager�yahoo.com
Subject.: Bailey google earth pic
Datee Jul 16, 2020 at 12:40:04 PM
Toe TAMARA HAGER hagerC�tatcepermit.com
Tamara Hager
704-575-2227

From tamara hager tan��arahageryahoo,com
Subjecto Bailey dredge pic
Date: Jul 16, 2020 at 12:01:50 PM
%: [e-mail]

L�
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����-
Tamara Hager
704-575-2227

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7/31/2020 Marshall Steam Station to 3954 Cedar Wood Trail, Terrell, NC - Google Maps
G� gle Maps Marshall Steam Station to 3954 Cedar Wood Drive 1.0 mile, 4 min
Tra i I, Terrel I, NC
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Marshall Steam Station
8320 NC-150, Sherrills Ford, NC 28673
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t 2. Continue onto Kiser Island Rd
'7 3. Turn left onto Cedar Wood Trail
8 Destination will be on the left
3954 Cedar Wood Trail
Terrell, NC 28682
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause conditions to
differ from the map results, and you should plan
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3954 Cedarwood Trail, Terrell, North Carolina 28882. United States
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Department of Environment and NaturaltResou�'ces
.. Division of Water Resources
Dlvislon of thlater Resoerces 15A NCAC 02H .0500 —Water Quality Certification, Shoreline Stabilizati
�n
FORM: SSGP 10-2013
�h®rel6ne �tat�ilizafiion Application Forl�
three copies of the application (including attachments) and the a
to; pplication fee should be sent
t�ivision of UVater Resources
401 � Buffer Permitting Unit RECEIVED
617 Mail Service Center
Raleigh, NC27699-2617 AUG 0 4 2020
i• �pplicani Information 15A NCAC 02H 0502(a)j NCDEQ/DWR/NPDES
1- Owner Information
Name: � C
Mailing Address: � � � � ` V U�� L �%(J�
..2%tea C�-}�-� ffi0(Lf �'V�
1l�.�i_,.r. � -�. - --
Telephone Number: L.`C��, � �—
� !7 Fax Number: --
E-mail Address: b� -
2. Agent/ Contact Person information �'�'�
A signed and dated copy of the Agent Authorization letter (a form can be dow
htt : /www.saw.usace.arm .mil/portals/59 does re ulato re does Permits SAMPnloaded here:
ORIZA T ION FORM. df) must be attached if the Agent has signed this ap licatio LE AGENT AU i
Name: � P n form.
Company Affiliation: � � '�''� _ � i-l.�-L=�� �-
MailingAddress: _�
Telephone Number: �� S7S_ _
E-mail Address: �7�—�2 � Fax Number: ----
Person to receive the Certification A -�--- ��� i � � � ���L
I!. Project Information [15A NCAC 02H 0502(a) & (b)] �
1• Attach a vicinity map (r.e. street map) clearly showing the location
respect to local landmarks such as towns, rivers, and roads. °f the property with
z. Provide a detailed site plan showin
vegetation clearing, structures (buildipngspeeta bo g wallssd ndproposed locations of
CORM: SSGo sp_20�3 ocks, impervious surfaces,
gage I o� 3

etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
and construction access corridors. You may use the diagram provided at the end of this
application form.
3. Attach a photograph of the shoreline/buffer proposed to be stabilized. (include a scale
of some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: �e rlC�-
Nearest Town:
Subdivision name or site address (include phase/lot number): !,�%�
° rce.,lc. �
Directions to site -please include road names and numbers, landmarks, etc.:
LatitU d e (in decimo! degreesJ_� 5' �L f S�
5. Describe the existing land use or condition of the Bite at the time9oeesJ —S U , g� $ (,d[ f
(residential, undeveloped, etc.): <? j f this application
L✓ �� i (�t�lT � �{�I
6. Property size (acres): � (o(o ���
7. La{ce/ river/ ocean adjacent to property: /�i
S. Describe proposed work (include discussion�fow ha Benin of shor'� �
avoided, or wh it is necessar g erne has been
y vl_ SIC � x�'
�.� — �,
9. Will work be conducted from land? �� � 2�0
10. Total amount of disturbance (includin�al From water? � ��'���L �z 1.�`(V�l
g I excavation, backfill, rip rap, retaining walls, etc.��� l�
below the normal pool lake level/ Normal Water Level in square feet or acres:
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool take level/ Normal Water Level and 50 feet land -ward in
square feet or acres: t�iDf�l,f% — �
12. Please describe the vegetation above the nor [ •� CAL
50 feet landward to be impacted (number oftreesp, for instalncel/Normal Water Level and
e).
0
L i �l
Owner/Ag is at re' SA NCAC 02H .0502 f � ���� � �
'Agent's si ature is voli - Date
y if an authorization letter from the owner is provided.
FORM: SSGP 10-2013
Page 2 of 3

Lake
(At Full Pond/Normal Waterl..evel)
P I E12 0 � 1���.-T
i=u(I Pond/ �-
1�(orma(Ui/ater Level
�sr��rr
Shoreline
h �
� ���
��J
,� v
� .o��p� �
�1� ��_� �
1 �L�
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V" � .
� � GIA � S �
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f
t�L�'�%��'L./LL_ blsTLcF�L'�/-17-u
�T 13u�1�
lts 1 � �j L��' �-, 1Z �a� �
�c.�vx � �� <-- �t��,z�,
Please approximately sketch the following information on this plan (provide dimensions foreoch
rfem, such as 10 ft x 100 ftJ r:
� • All proposed vegetation clearing
2. Location of rip rap or fill Lo be placed above the Full Pond/Normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
��
FORM: SSGP 10-2013
Page 3 of 3

�,�a�"�9iU�A i�HP�V�9�� �l�E��►�� ��ii0t����a � �Q� ��u �'r
'T�R�u. � N G ,?8� $a,
Proj�cti Name/adr�ress: 9 S`( G'�-pAyL wt,c,-p ?RA-t �
user: CA-�r..,g�
G�vt�er: _ Sty-�t�y � n .e.. � .-,. �.,,.... ,, - - !�>.. � /"� /! �
Print Si;natu
CflhZti'u�to:'/ageri�;� 11/IlLl.I�Yl �Lk-N I���l., �
Print � �,�,� j.� ��� Signature
The approval is Tor the purpose and design described in your application. lmpaci:s not indicated in the
application is a violation of the Buffer Rule. Site specific work should be provided in she application. iiSA i�!CAC
02H .0506 and 15A NCAC 02B .0243(8) I
Trees are not a(lo�n�ed to be removed from %one 2 oTthe Buyer (within 30 �� ofthefull pond elevation), unless
approved. E;cception, those treesthat are severely undermined alongthe immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. 115A PJCAC 0?B .02c3(6)j
5enchin" grading in the bu;;er is not allowed. �:<cessive disturbance oT;round cover. f15A [\1CAC 026.OZ�3 (6)]
�e2CheS, impervious patios, impervious walkways, etC. ere not allowed Inthe but ter UnIeSSSpeC1iIC211yapproved
by the Division. There are limitation on size .or decks. i�SA i�CAC 02B .02^3(4) and (5) i
Vdortc to be conductzd Trom land must indicate an access and indicate any trees that are to be removed. The
�n�ork corridor should be described. The approved access corridor shall be restored. Staging, spGil, constructior.
material must be outside the bu„er_ (SSA fUCAC OZH _0502 and 15�. t�iCAC 02B .02L3 ��), (5), (8)j
Stormwater cannot be piped or channeled .or direr discharbe to the lake_ All consructed storm�watzr
discharges must be at the natural elevation and discharged prior to entering the bu��er directed as di��use or
sheet �lov�+a� non -erosive veloci�ies �o she lake. (SSA NCACO?B .0243t5), (6)I
��fek,-�o�✓leGce,-herca l�Jo�ilcGior
I` — �tf�,GE`/ C - �'� �� 17LvtS1� hereby state that I have been in-"ormed oTthe Catatiniba
Riparian Buy � er Rule. �,ny work conduced in the 6u� per, not speci�ically stated in the application and approved
by the Division of V!rater Resources (D�VR), is a violation and subjec to en�orcement_ Due diligence will be
taken such that the construction will be built within substant!al compliance and intent oTthe ?O1 1Nater
Quality Cerification and Bu��er Ru , t, approved plans) and specification(s), and othersupporing
materials. �.,
Signature
Date 7 8 0�0�

ron�; TAMARA HAGER ����R�iei�:�e���.o
��eota Sugar wood lane
��e � Aug 21, 2019 at 12:37:28 PM
� os TAMARA HAGER hageriakePe� m�t�co�
s���
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Thank You
LaKe PeRmiT LLC
[e-mail]
Tamara Hager
704-575-2227

' � l i�! { ,ice_, f�' i!; if i�� i � n� �,
Project l*lame/address:� �'�j� /� n ,. /v� �r.
h
Locatioa Address:
N C o'i-g' v� �
Parcel #: ____! 5
P:ucelllot size
�'� s
Disposal area required (sq ft and/or acreage) _ _ ��-�
:iclazr • edgement of.\ratif��f'
�GI�I�Ia
rues regarding sediutent and erosion control and � aterjaualitt•t the site must adhere to all state regulations and
q _ And ;it�e permission for
\Taste ofIndit�idual and Company -
to disoose of their dredge material at the aboti=e stated location
Lhsner:
n.:_, ..
Date: �% ���
Along ���ith Fonu_ please pro��ide:
aerial of parcelrlot (Couni<� Gi5 i
Photo of proposed spoi i site
Identified proposed spoil site

7/2/2020
Parcel Report
Parcel Report -Catawba County NC
Parcel Information:
Parcel ID: 461704733329
Parcel Address: 3954 CEDAR WOOD TR
City: TERRELL, 28682
LRK(REID): 13993
Deed Book/Page: 3340/1223
Subdivision:
Lots/Block: 1/
Last Sale:
Plat Book/Page: 31/214
Legal: LOT 1 PL 31-214
Calculated Acreage:.660
Tax Map: 013 X 04002
Township: MOUNTAIN CREEK
State Road #:
TaxiNalue Information: Tax Rates(pdf)
City Tax District: All in County
County Fire District: SHERRILLS FORD
Buildings) Value: $0
Land Value: $302,800
Assessed Total Value: $302,800
Year Built/Remodeled: /
Current Tax Bill
Miscellaneous:
Building Permit Address Search for this parcel.
ff available, Building Permits for this parcel.
Septic links are not permits.
Septic Final Permits prior to 08/2018, contact
Environmental Health.
Building Details
Watershed: WS-N Critical Area
Voter Precinct: P41/Voting Map
Parcel Report Data Descriptions
List all Owners Deed History Report
Owner Information:
Owner: BAILEY JEFFREY C REVOCABLE
TRUST
Owner2:
Address: 2748 OCEAN SHORE AVE
Address2:
City: VIRGINIA BEACH
State/Zp: VA 23451-1455
School Information:
School District: COUNTY
Elementary School: SHERRILLS FORD
Ntddle School: MILL CREEK
High School: BANDYS
School Map
Zoning Information:
Zoning District: COUNTY
Zoning1: R-30
Zoning2:
Zoning3:
Zoning Overlay: CRC-O,WP-O,FPM-O
Small Area: SHERRILLS FORD
Split Zoning Districts: /
Zoning Agency Phone Numbers
Firm Panel Date: 2008-03-18
Firm Panel #: 3710461700K
2010 Census Block: 5011
2010 Census Tract: 011504
Agricultural District:
Assessment Report
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to
ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends the
independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and personnel,
disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this
map/report product or the use thereof by any person or entity.
http://gis.catawbacotxitync.ga/nornapJparcel report.php?I��461704733329&tyfrP 1/2

, r G�oSpatiaf
��, � �� �� �' �� � Information Services Real Estate Searcf�
�, ��
N
w�e 1 in=60ft
5
Parcel: 461704733329, 3954 CEDAR WOOD TR TERRELL, 28682
Owners: BAILEY JEFFREY C REVOCABLE TRUST,
Owner Address: 2748 OCEAN SHORE AVE
Values - Building(s): $0, Land: $302,800, Totai: $302,800
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, Indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
02/19/2020

From tamara hager amarahager�yahoo.com
Subject; Bailey google earth pic
Date.• Jul 16, 2020 at 12:40:04 PM
To: TAMARA HAGER � �ager�«�akepermit.com
__ __ __
Tamara Hager
704-575-2227

From: tamara hager [e-mail]
Subject Bailey dredge pic
Date: Jul 16, 2020 at 12:01:50 PM
Tc� hagerC�lakepermit.com

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704-575-2227

nc, c: PHti 61CAi. SUR\'El'
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L'NPE:OROED RIGHTS of WAS^.. oR E/.:EUFNiS FOR
-"'C."�lTRED C1 926.00' 148.13' 146.9R' N2G°27'24.,,, �=L4KE=�==�� JEFFREYCBAILEY
� UYINER fu VEi4FY ALL 5lT9ACh'. ANU PONING
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• owENx«; a ALL IMF RChENENTs sx;+N �1. L
tti15 PLA? SHLWID NOT BE SCA:,ED CP REUEO U P, a' 19' OJ' E :^^<.80' v —
UP`N F1'R DESIGN OR CiNSTRUCT ON N.TFOt1T L^ S ti4°C5'OU" E 6f.10' -` \ ` / I'r
A FIE D VE �FICATION Cy' ALL DNIEVSRYJS. _ _ .. _ __ _ __ �- ','lT Al, EL ? BE�H E-.ILLY Ph,T E.. i
• 0.01TA1 C a.ES ^r THS fR.E ARE FUR�REFEREIrCE ` \ � ^�/�y
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7/31/2020 Marshall Steam Station to 3954 Cedar Wood Trail, Terrell, NC - Google Maps
Marshall Steam Station to 3954 Cedar Wood Drive 1.0 mile, 4 min
�7C}•_.g�� ���5 Trail, Terrell, NC
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Map data ©2020 1000 ft r �
Marshall Steam Station
8320 NC- i 50, Sherrills Ford, NC 28673
t 1. Head south toward NC-150 E
0.2 mi
t 2. Continue onto Kiser Island Rd
0.6 mi
..� 3. Turn left onto Cedar Wood Trail
e Destination will be on the left
0.2 mi
3954 Cedar Wood Trail
Terrell, NC 28682
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause conditions to
differ from the map results, and you should plan
your route accordingly. You must obey all signs or
notices regarding your route.
https://wHnnrg oog le.corr✓maps/dir/Marshall+Steam+Station,+North+Cardi na+150,+Sherri Its+Ford,+N C/3954+Cedar+Wood+Trai I,+Terrell,+NC/@35.5908179,... 1/1

4��y iop�
t1�'i ;r.,ic �9APS COt.?n,Cf . = LO'�,G.
Step 'l: Where should your map be centered?
Entera place/address, or double-click on the map, to locate maps available in that area.
3954 Cedarwood Trail, Terrell, North Carolina 28682, United States
�� ��
� p� o
300m
'~�� �' �� Lat: 35.580402 Lon: �80.956536
Browse our Stock Map collections:
Classic USGS Quad Sheets (North Carolina)
USGS US Topo Series and Classic USGS Quad Maps.
Listed by Quad Name.
classic Hunting Area / GMU Maps
USGS BLM maps with State hunt area or GMU boundaries.
Listed by State and GMU ID.

Duke Ener�v Excavation Permit Aunlication 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 � 2�' d Initials t�4
Date Final Protection/Avoidance Area Markings Field -Verified
Approved to Start Work By
Date Completion Required
Date Passed Closeout Inspection*
Initials
Date
(Print) (SiSn)
— Date of Any Approved Eartension Initials
Initials
Any Stop Work Orders or SMG Violations*? (check one) ❑Yes ❑No (If I es, e.�plain In PART V)
Date Deposit Refunded Initials Date Permit Database Updated Initials
x Forward copy of approved application (all pages, plus any attachments that Duke Energy changed) back to applicant
with Approval Letter and highlight any changes. File copies of Approval and Close-out Checklists and any Stop Work
_Orders with application.
Part I. Applicant Information (Please Print)
�.G ✓Ula
Name�P �yy ,� [ Ci �A1 ��/ T✓t.�Cfi
Telephone �%� y CI(� • i Zal S
Email address: ��(� ��,�� ���• r.��
Lake Address Mailing Address (rf cl�e��ent)
��re� l 1J L a-� �S 2 \/iQ �...� � a� �,y'�AFla �� a3u5"1
Contractor Company ,t- '
Contractor Contact Person T_��� Telephorie,(Z '• - a'a'
Contractor Email Address:
LAKE LOT INFORMATION
LakeCounty w� City Statet'�AL Tax Map No.
Subdivision �D�,I,,�,Fh/1 �- � Lot /Section No. Lot Size . �cres
��
Duke Energy Page 4 of 14 rev 6�zo/17
Excavation Program.

Duke Energy Excavation Permit Annlication Form
Are there any Co -Applicants*? (check one) ❑Yes j�(No (If Yes, include names, sb•eet
addresses or lot nunsbers, pier ntcmbers, phone ntcmbers, 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/oz• the excavation contractor.
NOTE: Itzitialliltg this portion of the application by a Lake Representative ilt no way
constittctes approval or eminent approval of the excavation or a)ty Otlter' lake crse perinitting
11CtlVlf��.
Date of on -site inspection �C{ ��j
Initials (Duke Energy) �—'
(applicant/contractor
Duke Energy Page 5 of 14
Excavation Program. rev 6;?on7

Duke Ener_ Excavation Permit Application Form
Part II. Description of Project
A. Basic Info
1. Type of excavation: (check one)
2. Purpose of excavation: (check one)
� Water Intake Channel
❑ Other (sped):
3. Lake user category: (check one)
❑Commercial Marina
❑Other (sped):
New excavation ❑Maintenance excavation
❑ Boat Access Channel
❑ Wastewater Discharge Channel
jSiPrivate ❑Residential Marina
❑Public
4. Max. Excavation Area Dimensions (ft): Length U' Width _ � � a �
Depth
(Note: include additional rn•ea dimensions if necessary so response to #� belorn egarals max. area
dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): 01 CI % Cubic yards
6. Type of material removed
determines by freld sample if practical):
� S A�-�D �7
7. Excavation Site area:__ • Di Acre (s) Disposal Site area: . O� Acre
(s)
8. Total Disturbed Area (including equipment staging area):__ . � � Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
T�Yes ❑No
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) �lYes ❑No
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes �No
(If Yes, specify):
13. How will the excavated material be entrapped and the erosion controlled? (e.g. see attached
erosion control plan and disposal area design):
PPt✓ d-
Duke Energy Page 6 of 14 rev 6/20/17
Excavation Program.

Duke Ener�y Excavation Permit Apulication Form
14. Type(s) of e�cavatuon a ui� ment to be usnd:, t-Otily ��y�(-1 A� �r-H,gt�1� �q.�
�,.�_
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) ❑Yes �jNo
(If yes, explain)
16. Will return water re-enter the reservoir? (Check one) ❑Yes No ❑N/A
(If Yes, sped points) of re-enhy and sho�a� on Excavation Area Drcr1-vin�
17. Is there an existing facility (e.g. pier) that access is being maintained to by conducting the
excavation? ❑Yes "�No
(If Yes, specify the existing permit nzrmber. If No, inclztde a scaled di•mning of the proposed
facility). Pernsit # � o �
18. Total planned duration of the work (Include first ec�zripment mobilisation, excavation
through frnal mitigation measures complete):
START _(��____ / %DZ% FINISH �� / �,s/
(Month) (Yern) (Month) (Yeas)
Duke Energy Page 7 of 14 re<<6!20/17
Excavation Program.

Dulce Ener�v Excavation Permit Application Form
Part II. (Continued
B. Protection /Avoidance Area Description
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas
(check all that apply)
Ar��rox
Acre
Identification
field ID
a. Marshland, swamp, ponds, beneficial
aquatic vegetation or other potential wetlands
(circle all lhcrl apply)
b. Buffer Zones (spec�j� tividth &source
of regun•errrer�t)
c. Environmental Areas�as identified by
Duke Energy
d. Natural Areas as identified by Duke
Energy
e. Historic properties (specify)
WS 1 ��
f. Rare or threatened spe�s'(specify)
Duke Energy Page 8 of 14
Excavation Program rev 2/6/17

Protection/Avoidance Areas
(check all that apply)
�. Buried gas, water, sewer,
communications or electric lines (circle)
h. Impact Minimization Zones as
identified by Duke Energy
i. Othe►• areas requiring specific
avoidance, protection or mitigation (specify)
Duke >Cner�v Excavation Permit Application Form
A rox
tJ
t�-S I I�'�i I,ors�� ,��ac-k' L—�v7��
�y
For "Field ID" column, specify entity or person that performed the identification and how ii was physically marked (e.g. Duke
Energy (John Doe)/Pink and purple -dotted tape, Corps of Eng. (Jolul Smith)/ yellow flagging). For "Work Area Dwg ID" column,
show the symbol that is used on the drawings to identify the protection/avoidance area.
*x List and attach mitigation plans
Duke Energy Page 9 of 14
Excavation Program rev 2/6/I7

Duke Ener�v Excavation Permit Annlication Form
C. Applicant's Signatures
Comments:
Applicant
Applicant
Co-Applic
Name (pT•irrt) LG Ti�Lt�S'I
Signatur Date 2'�
���
�� �
ant Name (prrrzt) ��
ature�
Co -Applicant Name (prx
Co -Applicant Signature"
Co -Applicant Name (prillt)
Co -Applicant Signature
Co -Applicant Name (,vrint)
.,�
Date
Date
Date
--
Co-Applicant Sig urea` Date
*Per my signature, the information provided in this application is correct to the best of my
knowledge.
Duke Energy Page 10 of 14 ree 2/6/! 7
Excavation Program

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FILF.L7 CeflaMtbte OOIBI7�
on May os, 20'16 at 02:i3:00 pm
Btel6e Tits >�DD (qT)
INST. vOT220
i]ONiU► ihYCRS SPEIiGER,
R�dM' of Dt#PBB
a� 03340 � 1223-1224
Excise Tax 50.00 I Recording Time, Book erd Pege
Parcel Identifier No. 461ti02670218. 461602579399. 461602670429 161 e�a4st 461fi02576574. 461601577965
074.4617 733329 4617 734235 4616QZ670046. aad 46160267nt�
J1Nai1 after retarding to: Kennedy & Wulfborst, P.A. — 3758 Hwy l6 North, Denver, NC 2so37
This instrument was prepared try: D. Todd WuMrorat - Keouedy � Wnlliroray P.A. — 3758 Hwy 16 North, Denver, NC 28037
BriefDescriptioa for the index 4 tracts Elirbeth Sberrlil Bailey property
NORTH CAROLINA GENERAL WARRANTY DEED
its 7a' day of AoriL 2016. by and henvwP„
GRANTOR
JEFFREY C. BAII.EY, and wife
LISA BAILEY
2748 Ocean Shore Avenue
Virgiela Beach VA 23451
GRANTEE
JEFFREY C. BAILEY, Trustee of
THE JEFFREY C. BAILEY REVOCABLE TRUST
DATED OCTOBER 3, 2005
2748 Ocean Shore Avenue
Virginia Beath VA 23451
The designation Gtanmr 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 Gntntor, for a valuable wnsideration paid by the Grantce, the receipt of which is hereby aclarowledged, has
and by these presents does grant' bargain, sell and convey unto the Grantee in fee simple, all first certain lot or parcel of land situated in
the Mountain Creek Township, Catawba County, North Carolina and more particularly described as follows:
TRACT ONE: Being all of Lot Nos. b, 7, 8, 9, aad 10 as shown oa a revisal map prepared by Sam Rowe, Jr. Surveyor, dated
November 29, f 982 aad rawrded in Plat Book 18 at Page 266 in the oRice of the Register of Deeds for Catawba County.
TRACT TWO: Being aB of Lot Nos. 2 and 3 as shows on a survey and plat prepared by Roaale Dedmon, Dated August fy
1987 entitkd'�Elizabeth SherrUl Bailey" which acid plat le recorded is Plet Book 22 at Page 199 is the ofTrce of the Register of
Danis for Catawba County.
TRACT THREE: BeiaQ atl of Lot Nos. i aad 3 as shown on a plat prepared by Ronnie Dedmon, Surveyor, dated July 30,1988
entitled "Land Division for Eltrabeth Sberrill Batley" whkh said plat B reeorded in Plat Book 31 at Page 214 In the office of
the Register of Deeds of Catawba Coaoty.

TRACT FOUR: Being all of lab Nos 4 sad S of the revised map of the Elirabet6 Sherrill Bailey Property, according bo a plat
of the same recorded k plat Book 18, at Page 266, is the Oflloe of the Register of Dads ibr Catawba Coanty, to which
refer+eace is hereby nude for s more particalar deacriptbo.
NO TITLE EXAM REQUESTED, NO TITLE OPINION GIVEN 1224
AND DRAFTER DID NOT PARTICIPATE IN CLOSING OF THIS TRANSACTION
The property does not include the primary residerta of the grantor.
The property hereirtebove desrn'bed was acquired by Grantor by hrstruments recorded in Book 30.'ig, at Page gOg and Book 1409, at
Page 753.
A map showing the above described property is recorded in Map 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
fce simple.
And the Grantor covenants with the Grantee, that Grargor is seized of the premises in fee simple, has the right to convey the same in fee
simple, that fide is marketable arxl free and clear of sll encumbrances, and that Grantor will wartarrt and defend the title against the
lawful claims of all persons whomsoever except for the exceptions hereirmfkr stated.
Title to the property hereinabove described is subject to the folbwing exceptions:
Vaud and enforceable reservations, ratrktions, easement, rnndittona and right^of--ways in the record chak of title.
IN WITNESS WHEREOF, the Grantor has hereunto set his band and seal, or if corporetq has caused this instrument to be signed in
its wrporate name by its duly authorized officers and its seal to be hereunto effaced by authority of its Bard of Directors, the day and
year fast above written.
iSEA1-)
JEF B E
r a�e (SEAL)
LISA li' ILEY
SEALSTAMP STATE OFftORY87'IQtOG �166bPF6gHlFp'�
I, a Notary Public of the County and State aforesaid, certify that, Jeffrey C. Balky and Lba
Bailey Grantor, personally appeared before me this day and admowledged the execrdion of the
foregoing instrument
Witness my hand and official stamp err seal, this u day of April, 2016.
Notary Public Q
My Commission Expires: .r .3/— s2D/
IlAsglt
� ��sota