20201498 Ver 1_Shoreline Stabilization_20201201

Submission Form
Pre -Filing Meeting Information
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not be able
to accept your application without this important first step. The Pre -Filing Meeting Request Form is used in accordance
with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project proponent shall
request a pre -filing meeting with the certifying agency" and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5)
all certification requests shall include documentation that a pre -filing meeting request was submitted to the certifying
authority at least 30 days prior to submitting the certification request. Click here to read more information on when this
form is needed prior to application submission or here to viewthe form.
Attach documentation of Pre -Filing Meeting Request here:
Ferdon DWR Pre -Filing Meeting Request
51.23 KB
Form.pdf
Pre -fling Meeting or Request Date 10/19/2020
ID# 20201498 Version 1
I. Applicant Information [15A NCAC 02H .0502(a)]
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Primary Contact Email *
Owner Information:
Name: *
Email:*
Phone Number:*
Mailing Address:*
[e-mail]
Rease provide an er ail address for payment and requests for more infornation here.
William Ferdon
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
280 Marietta Road
Address Line 2
City
Mooresville
Postal / Zip Code
28117-8426
State / Province / Region
NC
Country
US

Is there an agent working on the F Yes
project?* r No
Agent/Consultant Information
Name: * Donna P. Hrko
Company Affiliation:* Lancaster Custom Dock and Lift Systems, Inc.
Email:* donna. lancasterdocks@gmaiL corn
Phone Number:* [phone]
(XXX)XXX-XXXX
Address:* Street Address
1156 Perth Road
Address Line 2
City
State / Province / Region
Troutman
NC
Fbstal / Zip Code
Country
28166-8640
US
Asigned and dated copy of the Agent Authorization letter:*
Ferdon Signed Agent Authorization Form.pdf 143.48KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* FerdonDock/Dredge
If your project has a formal name please use this. If your project does not hake a formal name, please identify your project by
the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any
other names that have been used to identify the project in the past.
1. Provide 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.*
r Upload File
r Lookup address
Property Address Lookup:* Street Address
280 Marietta Road
Address Line 2
city
Mooresville
Fbstal / Zip Code
28117-8426
Latitude:* 35.646542
State / Province / Region
NC
Country
US
Longitude:*-80.912456
2. Provide a detailed site plan showing property boundaries and proposed locations of vegetation clearing,
structures (buildings, retaining walls, docks, impervious surfaces, etc.), rip rap, excavation or dredging
below Full Pond/ Normal Water Level elevations, and construction access corridors. You may use the
diagram under section 12.normal pool lake level/normal water level*
Ferdon Dock Dredge Application Packet.pdf 5.71MB
Please use the diagram at the link below:

https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%2OLayout.docx
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a
yard stick, shovel handle, etc.)*
Ferdon Dock Dredge Photo 1.JPG 199.11KB
Ferdon Dock Dredge Photo 2.JPG 194.91KB
Ferdon Dock Dredge Photo 3.JPG 195.45KB
Ferdon Dock Dredge Photo 4.JPG 120.49KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Mooresville
County:* Iredell
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:* Crescent Land +Timber Corp. Section 16 Lot #35
Include phase/lot number
Directions to site:*
From I-77 NB Fait 36, Left onto NC-150 WB, Right onto Perth Road,
Left onto Fernhill Road, Right onto Marietta Road, Property is on the
right on the corner of Marietta Road and Merrin Court. Vehicular access
is on Merrin Court. First house on the left.
Rease include road narres and nunbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential
Fbsidential, undeveloped, etc.
6. Property Size 1.12 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Dredge area for boating access.
8. How will the work be done?* I7 From Land
rJ From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level:*
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
4200 sf
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet
land -ward: *
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
500 sf construction
corridor
square feet
11. 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)
None

Sketch:
Application Fee:
Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#. The
application fee is as follows (pursuant to G.S. 143-215.3D):
0 $240.00 for impacts to lake (below normal water level) of less than 1 acre
0 $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
o I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief
o I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
o I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of
the NC General Statutes (the "Uniform Electronic Transactions Act');
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
0 1 understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* DonnaP. Hrko
Signature:}7

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201498
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
Alan Johnsomeads\adjohnsonl
Mooresville Regional Office - [phone]
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification
r $240.00
f $570.00

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO: 35
STREET ADDRESS:
280 Marietta Road
Mooresville, NC 28117
Please print:
PLAN NO:
Prooertv Owner: William Ferdon
Property Owner:
PARCEL ID: 4639158653
The undersigned, registered property owners of the above noted property, do herebyauthorize
Donna P. Hrko of Lancaster Custom Dock and Lift Systems, Inc.
(Contractor/Agent) (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 Owners Address (if different than property above):
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate tothe
best of our knowled .
Autfibrized Signature Authorized Signature
11-16-2020
Date
Date

A

CAI&W-JA RIPARMN BUFFER NOTIFICATI N O M
cmitra /agem
The approval Is fo? 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. 115A
NCAC 02H .0506 and 15A NCAC 02B .0243(g)]
Trees are not allowed to be removed frorn 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 shorellne is allowed. [15A NCAC 028.0243(6)]
Benching, grading In the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 028 .0243
(6)]
Beaches, Impervious patlos, 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. [ZA NCAC 02H .0502 and 15A NCAC 023.0243 (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 dlsdtarged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. [15A NCAC 028.0243(5), (6)]
Ad �o jwledgement of NaMoa dan
1, _ Vy % 1 V1 a0m r er8 Q 1'l . hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement Due diligence will be
taken such that the construction will be built within substantial compliance and intent of the 401 Water
Oijailty Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting
materials.
Signature (owner). Date;

Duke Energy Lake Services
Guidance for Completing an Excavation Permit Application
Note: If you are proposing excavation in association with the permitting of a new
or expanded facility under the Marina or Conveyance Programs, you do not need
to complete this application. Instead, you should incorporate the excavation
request into the permit application for the marina/conveyance using the
appropriate application.
Step 1: Contact Duke Energy Lake Services
Complete "fart I" of the application and develop a drawing of the proposed excavation area.
Contact Duke Energy Lake Services to schedule a site visit. Lake Services will conduct a site
visit to determine if Duke Energy will accept an excavation permit application for the proposed
work. If the Lake Services representative determines the application process may proceed,
he/she will initial Part I of the application.
Step 2: Draft Application Development
Complete Parts fl-III.A-G and Part V of the Excavation Permit Application.
Step 3: Agency Consultation
Send the draft application developed during Step 2 to the agencies for review and comment on
the proposed activity. Refer to the Agency / Organization List available from Duke Energy to
determine which federal, state, regional, and local agencies and organizations require
consultation or review.
_Note: Duke Energy reserves the right to require consultation with additional organizations
beyond those included in the Agency / Organization .List.
Each agency / organization must be provided at least 30 days prior notification. Evidence must
be provided (e.g., response letter or Certified Mail receipt) in the complete application to show
each agency / organization was given the opportunity to review the proposal.
Consultation letters must be dated within the two years preceding Duke Energy's receipt of the
application. All permits must be valid at time of application and have a term longer than the
projected schedule for completing the permitted project.
What to Expect During Agency Review and Comment:
• You will typically receive a letter from each agency / organization either documenting its
concurrence with your proposal, requiring additional information, recommending
modifications, or offering no comment. You must address each agency's / organization's
comments with a follow-up letter and in your final application as described in part IV.
• If you do not receive any documentation from an agency / organization within 30 days of its
receipt of your proposal, you must provide the agency / organization with a follow-up letter
requesting comment on your proposal within 15 days from the date of the follow-up letter. If
you still do not receive any response as a result of the second letter, type "NO RESPONSE"
Duke Energy Page 1 of 13 rev 10/1 /20 19
Excavation Program

at the top of the follow-up letter and include it in the application along with proof of the
agency's / organization's receipt of the letter (e.g., Certified Mail receipt). You may proceed
with the application process recognizing, however, that if its comments come later in the
application process, you will be required to address them.
10 From the United States Army Corps of Engineers (Corps): (** Note — The Corps may have
additional forms to submit for your proposal and an additional fee.) If the excavation can be
done under the requirements of the General Permit (GP) or a Nationwide Permit (NWP), you
will typically receive a copy of the Corps' tear sheet documenting authorization and
providing any additional instructions. If the excavation isn't covered under the GP or a
NWP, you'll be required to obtain an individual 404 Dredge and Fill permit from the Corps.
You must receive written documentation from the Corps that your application either (1)
meets the requirements of the GP or a NWP or (2) the proper 404 Dredge and Fill permit has
been received before Duke Energy can process your application.
• From the North Carolina Department of Environmental Quality (NCDEQ), Division of
Water Resources: (Note NCDEQ may have additional forms to submit for your proposal
and an additional fee) If the proposal meets the requirements of the Clean Water Act Sect.
401 Water Quality Certification, you will typically receive a letter from the NCDEQ Division
of Water Resources documenting Sect. 401 Certification and providing any additional
instructions. You may also receive a letter requiring additional information or
recommending modifications. You must receive written documentation from NCDEQ
noting any required Sect. 401 Certification has been received before Duke Energy can
process your application.
• From the North Carolina Wildlife Resources Commission (NCWRC): If you do not receive
any documentation from the NCWRC within 30 days of their receipt of your application, you
may proceed with the application process without submitting a follow-up request,
recognizing however if comments come in later in the application process, you will be
required to address them.
From the South Carolina Department of Health and Environmental Control (SCDHEC):
(Note — SCDHEC may have additional forms to submit for your proposal and an additional
fee.) The SCDHEC conducts a joint application process with the USACOE in S.C. If the
proposal meets any applicable requirements of the Clean Water Act Sect. 401 Water Quality
Certification, you will typically receive a letter from SCDHEC documenting Sect. 401
Certification and providing any additional instructions. You may also receive a letter from
USACOE requiring additional information for the agencies participating in the joint
application process. You must receive written documentation from SCDHEC noting Sect.
401 Certification has been received if required before Duke Energy can process your
application.
• From the South Carolina Institute of Archaeology and Anthropology (SCIAA): The applicant
must wait 30 days after receiving the signed postal returned receipt. If a response from
SCIAA has not been received by this time you may proceed with the application process
without submitting a follow-up request, recognizing however if comments come in later in
the application review process, you will also be required to address them.
Duke Energy Page 2 of 13 rev 10/1/2019
Excavation Program

Step 4: Final Application & Submittal to Duke Energy
Following the consultation process, finalize the application. The final application submitted to
Duke Energy should incorporate all comments and recommendations provided by agencies and
organizations during the agency consultation process as well as copies of all permits received. In
addition to the final application include the following:
• One check payable to Duke Energy for the application fee and security deposit
• If applicable, a separate check payable to the appropriate Habitat Enhancement Program fund
• Signed Excavation Program Applicant's Agreement
Note: Co -applicants must also submit the application fees and applicable HEP fees with the
application.
Duke Energy Page 3 of 13 rev 10/1/2019
Excavation Program

Duke Enersy 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 tb Zd 2Qhitials 4 << 1
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 ❑No (If Yes, explain in PART V)
Date Deposit Refunded Initials Date Permit Database Updated Initials
* Forward copy of approved application (all pages, plus any attachments that Duke Energy changed) back to applicant
with Approval Letter and highlight any changes_ File copies of Approval and Close-out Checklists and any Stop Work
Orders with application.
Part I.\ , l Applicant Information (Please Print)
Name VV t1tayy-i Ve.,r8on Telephone 704-65Q-L334-
Email address: W V 5 V 3 b@ Ck► c' M. C.,om
Lake Address �1
k RQrteAa RoQJ _
Mailing Address (ifdifferent)
t�ooresy'l 11e. I-V_ ZN n
Contractor Company L%CGLS+'er5 CL AwbocM L1 �+tq S4�ewls. Inc.
Contractor Contact Person Do Y1y)Ct Telephone W4 _ _ Q
Contractor Email Address: 8o n n a . � CQv1 CCL5+er &r �i , Qtri Ce m Q i 1. r h m
LAKE}} LOT INFORMATION 'PIN q(o3q 156053
Lake �V >n County v e It
City D v 1 11 L'_ State N C.Tax Map No.77 9 _7
Subdivision CYMCen+ LGY�A+ Lot / Section No. rJ LU Lot Size l -12ACres
01 w1be-y- Cb r p
Duke Energy Page 4 of 13 rev 10/I/2019
Excavation Program

Duke Energy Excavation Permit Application Form
Are there any Co -Applicants*? (check one) ❑Yes ❑No (If Yes, include mimes, street
addresses or lot numbers, pier numbers, phone numbers, and email addresses in Part V —
Additional Information)
* Co -Applicants exist when the proposed work is being done under a single application, will be
performed by a single contractor as one continuous project, and is done to benefit multiple
owners / lease holders of Project -front properties within a single development. There can be no
more than 4 co -applicants in addition to the lead applicant on any application.
Do not continue the application until an on -site inspection has been conducted between a
Duke Energy Lake Representative and the applicant and/or the excavation contractor.
NOTE: Initialling this portion of the application by a Lake Representative in no way
constitutes approval or eminent approval of the excavation or any other lake use permitting
activity.
Date of on -site inspection i6 Zt- ZO
Initials (Duke Energy)
(applicant/contractor) r 1r -
Duke Energy Page S of 13 rev 1011r2019
Excavation Program

Duke Enerzy Excavation Permit Application Form
Part Ill[. Description of Project
A. Basic Information
1. Type of excavation: (check one) ONew excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) H"Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
❑ Other (sped):
3. Lake user category: (check one) private ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (specify):
4. Max. Excavation Area Dimensions (ft): Length '70 Width �Depth 1 Lam"
(Note: include additional area dimensions if necessary so response to 45 below equals max. area
dimensions in IN)
5. Volume of Excavated Material (TOTAL for the project): 6'z'l Cubic yards
6. Type of material removed (applicant determines by field sample if practical): 'JC A 1 St `} �4 6Q1
7. Excavation Site area: .q Acre (s) Disposal Site area: 01 Acre(s)
S. Total Disturbed Area (including equipment staging area): . / Acre (s)
9. Does t roject meet the requirements of the applicable General Permit? (check one)
('es Jo
10. Do you claim title to the disposal area? (check one) ❑YesL J
l 1. Do you claim title to the equipment staging area? (check one) 0 es vo
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) Yes Q10
(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): D realcc��e ycL{e+ri 0.IS W ►�-Ll 1 OV 1 reQC �'1
Ekccov cLA-v v-. I cLLe, ►-y1cc+ericLl in hT e.r b arqq es 0.vi< d o� dt t�'xp
*V-ucylb . Pao 1(X a4 10 loco e. -�o o l
wok d xr,spor-}- �t'o c! , ��osc�l i
cd u k-np t ruc.y-1 s , VACLU i d'ti+rrc���{ + D d 1 s 1>o l
Duke Energy Page 6 of 13 rev 10/1/2019
Excavation Program

Duke Energy Excavation Permit Application Form
14. Type(s) of excavation equi went to be used: LQ n 'rfAC.h e-Va lchy- , 5v)o r+
r eubll e)XCmv r, bco- e, d�rn P fi"uj'�5
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) des ❑No
(dyes, explain) /-\ikdrgdCAl✓1 P-9U1PYYl2Yj+- I 5P0r�cCi V►CL'PIOQ11►'iG
ro+m Lc�nccc5*.r-CA6-1-o rn Doc K La�i-Sy S >�cy cs lift
�i ✓i g><-k-�V�yria�►Ce. �i-O ro ec�" st '�^e gCr*c5s� i,.a�-ic �or»cgn .
� P �
16. Will return water re-enter the reservoir? (Check one) ❑Yes ❑No JeN/A
(If Yes, specify point(s) of re-entry and show on Excavation Area Drawing)
17. Is there an existing facility (e.g. pier) that access is being maintained to by conducting the
excavation? EKes ❑No New dod' +O be eoV1Sir► -&e-8
(If Yes, provide the existing permit n mber. If No include a scaled drawing of the pro osed
facility). Permit #��� 2,� e-� 1AP A e-�'► +';le_V-2tyl�j �''awi''�)UAS
�1 b C.1 l 1 + i c5 ag 5A 1XC-TTd+�►
18. Total planned duration of the work (Include first equipment' n bilazation, excavation
through final mitigation measures complete):
START ()I / ZL FINISH a /
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 13 rev 10/1/2019
Excavation Program

Duke Energy Excavation Permit Application Form
Part U. (Continued)
B. Protection / Avoidance Area Description
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas
Annrox
Identification
Method
Avoid (A) or Mitisate (M)
Field ID
Work Area Dwg. ID
Lin
(check all that apply)
Acre
a. Marshland, swamp, ponds, beneficial
aquatic vegetation or other potential wetlands
I v
(circle all that apply)
b. Buffer Zones (sped width & source
of requirement)
Ye 4 n wi It lop -
V Iq.� ic��
l�-)^I Ion h exc,c�
q.{tr�i a W Lit
dLL"-P b ht hoP
ba °dI �� �
_
c. Environmental Areas as identified by
Duke Energy
d. Natural Areas as identified by Duke
Energy
N }�
f ^�
/
e. Historic properties (spec)
f. Rare or threatened species (specify)
Duke Energy Page 8 of 13 rev 10/1/2019
Excavation Program

Duke Eae Excavation Permit Application Form
Protection/Avoidance Areas
(check all that apply)
Approx
Acre
Identification
Method *
Avoid (A) or Mitigate (M}
Field CD
Work Area Dwe. ID
Lin
e. Buried gas, water, sewer,
communications or electric lines circle
f�
h. Impact Minimization Zones as
identified by Duke EncrgX'v
r /�
i. Other areas requiring specific
avoidance, protection or mitigation (specify)
N/A
* For "Field ID" column, specify entity or person that performed the identification mid 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 l o!t/2o 19
Fxcavation Program

Duke EueM Excavation Permit Application Form
C. Aoplicant's Signatures
Comments:
Applicant Name (print) t 11 QW1
Applicant Signature*_ "' �'� v '' Date " RO-20
Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Date
Date
Date
Date
*Per my signature, the information provided in this application is correct to the best of my
knowledge.
Duke Energy Page 10 of 13 rev 10/1/2019
Excavation Program

Duke Energy Excavation Permit Application Form
Part III. Additional Information
A. Deed and Survey Plat: A copy of the deed and registered survey plat or other instrument
under which each applicant and co -applicant claims title to the affected property (the
shoreline adjoining the excavation area, equipment staging area, area crossed by any spoil
and return water lines, and the disposal area). if the applicant(s) is(are) not the owner(s) of
said property, then forward a copy of the deed and registered survey plat or other instrument
under which the owner(s) claim title plus written authorization from the owner(s) to carry
out the project on their land.
B. Excavation Area Drawing: An accurate drawing of the area to be excavated. The drawing
must show at a minimum, a North arrow; the boundaries and acreage of the proposed
excavation area and equipment staging areas; lake, county, city, cove, tributary, road and
subdivision names and lot numbers (as applicable); property corners for project front lots;
the full pond elevation contour and lines dividing the cove width into equal thirds (as
applicable); approximate volume in cubic yards of the material to be excavated; point(s) of
return water re-entry; the boundaries of any adjoining areas that are to be specifically
avoided or protected during the work and the location (address) of the disposal area for the
excavated material. [NOTE: A copy of this drawing must also be provided to the
excavation contractor to ensure restricted areas are not impacted.]
C. Disposal Area Drawing: An accurate drawing of the proposed design for the disposal area.
The drawing must show at a minimum, a North arrow; the boundaries and acreage of the
proposed disposal area; lake, county, city, cove, tributary, road and subdivision names and
lot numbers (as applicable); the full pond elevation contour (unless disposal is well away
from the lake); the boundaries of any adjoining areas that are to be specifically avoided or
protected during the work; the location (address) of the excavation area from which the
material came and a statement of the disposal area's capacity with all dimensions labeled
that were used in the volume calculation. [NOTE: A copy of this drawing must also be
provided to the excavation contractor to ensure restricted areas are not impacted.]
Also note for projects larger than one (1) acre in North Carolina, including excavated,
equipment staging, and disposal areas, you must submit an erosion control plan. For
projects larger than two (2) acres in South Carolina, including excavated, equipment staging
and disposal areas, you must submit an erosion control plan. For projects < two (2) acres in
South Carolina, you must submit a completed standard reporting form for construction sites
disturbing two (2) acres or less to the South Carolina Dept. of Health and Environmental
Control (SCDHEC) - Stormwater Management
D. Vicinity Map and Driving Directions: A vicinity map and directions by road showing
directions to both the excavation area and disposal area. Include the latitude and longitude of
both the excavation area and the disposal area.
Part IV. Agency Reviews and Approvals
Begin this section with a summary table of all agencies consulted and applicant response to
agency comments as shown in the example table below. Agencies should be listed in the order
Duke Energy Page l l of 13 rev 10/1/2019
Excavation Program

Duke Enemy Excavation Permit Apolication
shown in the Agency/Organization List. Consultation letters must be
preceding Duke Energy's receipt of the application.
Table IV-1. Sample Agency Comment and Response Table
Agency Comment Appli
A enc 1
The activity is approved as proposed. NA
A,qency 2
The on -site well provides drinking water to the
Contacted Mr. Sm
public. Please contact Mr. Smith to discuss the
further action neec
proposed changes and potential issues
associated with your proposal.
You must contact us immediately if
Applicant will con
endangered species are located during the
endangered specie
course of construction.
construction
Agency 3
Requested agency comments on 1 /1 /20xx and
NA
again on 2/l/20xx. No response as of
2/16/20xx.
Agency 4
Section 401 Water Quality Certification
Applicant will cor.
the 401 Water Qu:
Following the table of agency comments and applicant responses, inc
certifications issued by the reviewing agencies. As with the table of
applicant responses, agencies should be listed in the same order as th
Agency/Organization List.
Table IV-2. Sample Agency Permits and Certifications Table
Agency
Permit/Certification Name
Date of
Issuance
Date of
Expiration
Agency 1
Surface Water Withdrawal Permit
Agency 2
Section 401 Water Quality Certification
Following the two summary tables, include a copy of all correspondence to and from any local,
regional, state and federal agencies or other organizations with which you are required to consult,
including any required permits (e.g., Section 401 water quality certifications, Section 404
dredge/fill permits, building permits, etc.) or other approvals or comments which have been
obtained from these organizations regarding this activity. Include a copy of any local, regional,
state or federal regulations or guidelines that will be followed. All permitting issues must be
resolved and clearly documented. Correspondence should be organized in the order the agencies
are listed on the Agency/Organization list with the applicant's request for comments followed by
additional correspondence in chronological order. All permits must be valid at time of
Duke Energy Page 12 of 13 rev 101=9
Excavation Program

Duke Encray Excavation Permit Application Form
application and have a term longer than the projected schedule for completing the permitted
project.
Part V. Additional Information
Provide relevant additional information. Reference previous parts as applicable. Include the
FERC-required Environmental Assessment if you were directed to do so during the initial site
visit. If there are co -applicants, this is where their information would be provided (see Part 1).
Duke Energy Page 13 of 13 rev kOIIY2019
Excavation Program

—0—
Exeise Tex
?72; Boob: 1154
Pages 0 s>+ 0782
FILED
IREDELL CUJNTY KC
07/28/1999 11.01 IM
BREHDA D. BELL
Resister Of Deeds
Recording Time. Book and Page i a IV
Tax Lot No. .... . ............................................. .. . Parcel Identifier No. . . .
Verified by ..... .... —................................................ .... .. County on the day of . i9
by....._...............................................................
Mail after recording to ,William V. Ferdon, Jr. 280 Marietta Rd. Mooresville, NC
This instrument was prepared by CarQ.1e..A. Hicks
Brief description for the Index Lot 35 Crescent Land & Timber
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED trade this 23rd - day of . .I:11 v ... . . , 19 99-- by and between
GRANTOR
WILLIAM V. FERDON, JR.
GRANTEE
WILLIAM V. FERDON, JR.
and wife,
DEBORAH P. FERDON
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity. e4 corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and
shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee In fee simple, all that
certain lot or parcel of land situated in the City of Davidson Township,
I.r. edell . County. North Carolina and more particularly described as follows;
BEING Lot 35 in Section 16, as shown on map recorded in Map Book 13 at Page 38
In the Office of the Register of Deeds for Iredell County AND BEING a part of
the property conveyed to Crescent Land & Timber Corp, by deed of Duke Power
Company recorded in Book 481 Page 91, in the Office of the Register of Deeds
for said County.
N. C. Bar A Inc. Fi No. 3 r 1974, Bevi-d F] 1977 — � w — a co

The property hereinabove described was acquired by Grantor by instrument recorded in ....................... ,........... .... ....... ................
Book.--1044.E Page 540
A map showing the above described property is recorded in Flat Book ... _ . - -. . page.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey
the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and
defend the title against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated.
Title to the property bereinabove described is subject to the following exceptions:
LN WITNESS W1tEaEOF. the Grantor has herennt0 set his hand and seal, or if corporate, has caused this instrument to he signed is its
corporate name by its duly an horized officers and its seal to be hereunto afftxeqb, thority or it Beard of Direclon, the day —it year first
above written....... r fC_ _ ~ _.____ ____(SKAL)
(Corporate Name) a WILLIAM V. FERDON, JR.
.'7
63....__._
______________ _..____President
ATTEST: .N _____________________________ ___________________________(SEAL)
_________- ___
--_ ^ Keetary (Corporate Sea!) ,tp
t •:'i
.c'Sk.�S7A\l�' _ NORTH CAROLINA, _Irede -----------
----------- county.
4,�t +•�;?ryy 1, a Notary Public of the County and Stale aforesaid, certify that ___t111.1j_ani_V, Fexdnt't..r_.lr'-__-_---
�..:.A
�--------------------------------------- __------------------------------------- Grantor,
personally appeared before Jae this day and ac$anwledlird the execuCian Of the fare;olng instrument. W)tnesr my
• - Y
a •' ] hand and official stamp or seat, this 23rd day of _July ----- 1a29-_.
/� ff �7 p /1
nay commission expires: [L_3-P_y3-- aSD_a .____ _ _ .o4q Pablle
g$AL-STAMP N04LTH CAROLINA__ ------------------ --------------County.
1, a Notary Public of the County and State aforesaid, certify that ------------------------------------------
personally came before me this day and acknowledged Thal ____ he it --------------------------- Secretary of
r
�--------------------------------------------- a Norltt Carotin+ oarparatien, and that by authority duly
0 given and as the art of the cerporattea, the foregotag lastrument was signed In its name, by Its ---------------
�' President, sealed with Its corporate seal and attested by ----------- as its ___________________________ secretary.
7
Witness my hand sad official rtaeop or seal, this ------- day of -, to ---------
My commbslon expires: ___________ ________---------------------------------------- Notary Public
The foregoing Cvrlfleate(s) of ___ _ __ ___ _ ___ - - - - * ___ __ _
------------------------------- - ` 1vi- ---- ----------------------------------------------------------
------------------------------------------ ------------- ------ ----------------------
is;1Wrectified to he correct. This instremeat and Chit CertiflCate are duly reflatered at the date and time w is the aaak and Page shown on Me
first pat ereor, l�y'�]
_T _____ ___ __ _)�t�-__________---__--"GISTER Or DF.F.DS FOR_____ ___. __. GOL; NTX
�______ _ -- __. ________`-aaVatlj Assists nt- Register of Deeds
slur ,{war. Form No. 3 r 1976. Rini" r' W7 t. W- 1 -.a r1... r.., •11 ra,..ni... tr r 111,•,.
.,-pnfl�r Asian..., n ar -­ V t — —. i!W,

SURVEY FOR
W I LLI AM V. FE RDON AND WIFE SHELLEY P FE RDON
BEfNG LOT 35 OF SEC. 16 OF CRESCENT LAND R TIMBER CORD PL BK 1 3, PG
FALLSTOWN TQWNSHdP IREDELL COLAITY, N C
S CA L E ! "= 4 0' A P R I L 17 , 1 9 9 1
L- B G R 1 E „[3„�,. S- STA TESVILLE , N.C.
S7g�;f 1, L GRIER n �l�i%:RED LAND 5URWyoR
�y L, CL71►fr ikA' 7HIs t�,1i WAS t1Ra11WrY FpQNj AN
SEAL ACTUA4 FIELD K"Y PERF p IMEQ My
L - 5 6 8 ¢ QIRECT10dr MIA Ste,
�oauo II�WINR�S�.�„�.
3 6
50 0
A E I \S>�o3 �, •, I
$ F N 860 04' E E I P-
?93
*qN' 39. 4 B
E.4 P
A
r
s , z
>
ai r A ti' N O T F 0 F2
COROATION
A ♦ ' 1.7
m' � � • CF • c'`' c
'I PS -9q � 9
t
s / �
J
N
Q``
D FCC .a L
34 L ••
� r
�`L J
E I P Q.
f

SURVEY FOR
W ! LLI AM V. FE RDOIV AND WIFE
B Ei.NG LOT 35 O F SEC. 16 or` CRESCENT LAND a TIM e H E L L E Y P. FE RD O N
ER FALLSTOWN TOWNSHIP CORE PL,BK ! 3, PG,
lREDELf_ CQ1.,IVTY, N. C
SCALE I " =40'
APR! L17 1991
L.B. G R I E
" ,-.5' STATESVILLE, N,C.
'(� f .
i, L % GRtr:k ktGiSi_RED Un �
`8�?'4tt4 CSTIfY rnAr THIS f WAS D AyM FKV Ali
SEAL ��
AWWWK
C. 00
f
3S ? N 860 04' E E a P. r
P. 3
z 9. 4 8 ,.
� `
� - v
q r
s
D xcs
c> v oo
Nor FOR
RECORD
-tom - A r ! 0 N
Ov
Q �0r s
Pdv �' •� o � �.�.t as "� �
rh 4� F
� f
* O ti0 ` �t
305

SURVEY FOR
W
I LLI AM
V. FE RDON AND
WIFE SHELLEY P FE RDON
BEING LOT 35 OF SEC. 16 OF CRESCENT LAND a TIMBER CORP PL.BK 13, PG.
FALLSTOWN TOWNSHIP
IREOELL COUNTY, N. C
S CA L
E 1 = 4 0'
APR] L 17 , f 9 9 1
L. B. G
R I E 19,4, S.
STATESVILLE, N.C.
CA
`
g��RFo `�'
>
1, L GRIER 6 G1S T ERED LAND SURVM
CERTIFY THAT THLS 10AP WAS WAYM FROM AN
�c
ACTH FIELD SIVKY PERFAC LOW MY
SEAL
DKM AND SIIPERVM.
L-5&S a
36
1
S i
O- 00
1M
�
D
E 13113,
E N
860 04' E E I P.
\
X- 23 g3
E.1.Q.
39. 4 871
m
\
Y
CIO✓ n
cvV `^e `q N O T F O R
'
0S� � l� � RECORDATION
Ln
43
\`° I P5
a
+N \S C
l
o .
c�
�G
c-
4h ./rJ
r�
0

V

r
CU i 1�0
i 3 �
1

DUKE ENERGY DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project
site canhaveabig impact on permitting processing time. Please complete this form and
return it along with your completed application to:
DUKE ENERGY
CIO LAKE SERVICES -- EC 12 Q
526 SOUTH CHURCH STREET
CHARLOTTE, NC 28202
Applicant's Name: William V Ferdon Jr.
Street Address (at lake): 280 Marietta Road
Lake Name: Norman
Subdivision Name: Crescent Land + Timber Corp.
Property Section: 16 Lot #:
City: Mooresville County: Iredell
State: NC Zip: 28117
Telephone: [phone]
Directions (from major road or highway):
From 1-77 NB Exit 36, Left onto NC-150 WB, Right onto Perth Road, Left onto
Fernhill Road, Right onto Marietta Road. Property is on the right on the corner
of Marrietta Road and Merrin Court. Vehicular access is on Merrin Ct. First
house on the left.
Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobile
home, etc.)
*Note: Please use the back of this form if desired to draw us a map to the site.

FouchMap.com
Address or Place -
Home » Find Latitude and Longitude
o zbo aoo Tao r,
amaps
280 Marietta Road Mooresville, NC 28117
Ads by Google
Stop seeing this ad Why this ad?
35.646727,-80.912895
Drag Me!
•
CRIVI • Deg ♦ DMS
Decimal Degrees Latitude: 35.646727
Decimal Degrees Longitude:-80.912895
Clear Show Point
Help
9 11V
Lim' — +

Google Earth
C, 2020 Google
+ 280 Marietta Rd g
any_
80 it
_ y .

DUKE ENERGY DIRECTIONS BY ROAD FORM
LANCASTER CUSTOM DOCKS DISPOSAL SITE
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project
site canhaveabig impact on permitting processing time. Please complete this form and
return it along with your completed application to:
DUKE ENERGY
C/O LAKE SERVICES — EC 12 Q
526 SOUTH CHURCH STREET
CHARLOTTE, NC 28202
Applicant's Name: Lancaster Custom Dock Disposal Site
Street Address (at lake): 1162 River Highway Mooresville, NC 28117
Lake Name: Norman
Subdivision Name: Big- Daddy's of Lake Norman
Property Section:
Lot 4:
City: Mooresville County: Iredell
State: NC
Telephone: [phone]
Zip: 28117
Directions (from major road or highway): From I-77 NB, Exit 36, Left onto NC-
150 WB, Disposal Area is on the right behind Big Daddy's Restaurant
Complex.
Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobile
home, etc.)
*Note: Please use the back of this form if desired to draw us a map to the site.

1%
Owib. 14
44.
4b
Fa i I
-4 1-)i-1 ft

� I, __,�
�, �I ff ,

_,.ran•I
.

ID#* 20201498
Version* 1
Regional Office * Mooresville Regional Office - [phone]
Reviewer List* Alan Johnson
Pre -Filing Meeting Request submitted 10/19/2020
Contact Name*
Contact Email Address*
Project Name*
Project Owner*
Project County*
Owner Address:
Donna P. Hrko
donna. [e-mail]
Ferdon Dock/Dredge
William Ferdon
Iredell
Street Address
280 Marietta Road
Address Line 2
aty
Mooresville
Postal / Zip axle
28117
Is this a transportation project?* r Yes (' No
Type(s) of approval sought from the DWR:
* 401 Water Quality Certification - F 401 Water Quality Certification -
Regular Express
* Individual Permit F Modification
W Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes (-- No
State / Province / Pegion
NC
Country
United States
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below.*
Construct new dock. Dredge for boat slip access.
Please give a couple of dates you are available for a meeting.

Please attach the documentation you would like to have the meeting about.
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
1 understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
1 also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature
Submittal Date 10/19/2020