20191141 Ver 2_Shoreline Stabilization_20210108

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:
Pre -Submittal Meeting Request Form.pdf 425.31 KB
Pre -fling Meeting or Request Date 12/7/2020
ID# 20191141 Version 2
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 * [e-mail]
Rease provide an err -ail address for payrrent and requests for pure infornation here.
Owner Information:
Name: * Derik Bahich
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
103 Kenway Loop
Address Line 2
City
State / Frovince / Region
Mooresville
NC
Fbstal / Zip Code
Country
28117-7472
US

Is there an agent working on the
project? *
Agent/Consultant Information
.................................................................................................................
Name:
Company Affiliation:*
Email:
Phone Number:*
Mailing Address:*
F Yes
f^ No
Janice Estep
CBC Stone & Recycling, LLC
[e-mail]
[phone]
(XXX)XXX-XXXX
Address
638 Oakridge Farm Hwy
Address Line 2
City
Mooresville
Fbstal / Zip Code
28115
Asigned and dated copyof the Agent Authorization letter:*
Auth. Form.pdf 202.3KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Baltich Dredge
State / Province / Fbgion
NC
Country
United States
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 acti\ity (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
Upload Map: Survey.pdf
Vicinity Maps.pdf
Directions.pdf
Latitude:* 35.607094
344.35KB
1.77MB
232.49KB
Longitude:*-80.914707
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*
Site Plan.pdf 296.4KB
Buffer Form.pdf 361.97KB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%20Layout.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.)*
Dredge Area Pic s.pdf 4.81MB
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: * 165 Ross Rd. Mooresville, NC 28117 Lot #227 Crescent Land & Timber
Corp.
hclude phase&t nun ber
Directions to site:*

610 E Center Ave
Mooresville, NC 28115
Take Evergreen St to E Center Ave
32s(0.1mi)
Head east toward Evergreen St
108 ft
Turn right onto Evergreen St
417 ft
Take NC-150 W to Waddle Rd in Davidson
17 min (7.1 mi)
Turn right onto E Center Ave
0.5 mi
Turn left onto S Church St
397 ft
Turn right onto E McLelland Ave
1.1 mi
Use any lane to turn left onto NC-150 W/E Plaza Dr
Continue to follow NC-150 W
Pass by Zaxby's Chicken Fingers & Buffalo Wings (on the right in 1.3
mi)
5.4 mi
Follow Hermance Ln to Ross Rd
2 min (0.6 mi)
Turn right onto Waddle Rd
236 ft
Turn right onto Hermance Ln
0.3 mi
Turn right onto Ross Rd
Destination will be on the left
0.3 mi
165 Ross Rd
Mooresville, NC 28117
Rease include road narres and nun -hers, landrrarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Undeveloped Lot
F;bsidential, undeveloped, etc.
6. Property Size 1.06 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Dredge 40' x 50' area for new dock
8. How will the work be done?* 17 From Land
17 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.)
185.18 cubic yards
below
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.)
0' above for dredge
10' x 50' access
corridor (500 sf
temp. impact)
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet
landward to be impacted:*
(nunber of trees, for instance)
Grass buffer, no trees removed, minimal disturbance to buffer. Dredge
by barge, material hauled of by land and taken to disposal site.
Sketch: Dredge Application.pdf 4.21MB
Dredge Spoils Info.pdf 2.23M13
Sketches.pdf 374.08KB
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:* Janice Estep,
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20191141
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 2
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. 3LgL71 PLAN NO, PARCEL ID:
STREET ADDRESS: I US os s Ia • - -
Please print: ;� 1
Property Owner: X- �
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
�0.C1 of C c oy) e I'A�-e r u o, � Y Q
(Contractor / Agent) (Name of consulting fi
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone:
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
t e Authorized Signature
Date: Date:

DON A L L E s N & A S S Q C >! ATE S, P. A.
D . S "Since 1971"
Commercial * Residential * Mortgage Surveys * Muiti--Family
Construction Staking * Subdivision Design * Topographical
[phone] [phone] Fax
1, certify that this map was drawn under my supervision from an actual
survey made under my supervision recorded in deed book._?085 page 937 _, and/or
plat book__ 11 page_51 that the ratio of precision is 1':10,000, that this map
was prepared in occordonce with the General Statutes of North Caroli, .,Q64 ter 89C,
my hand and seal an the 4� day of NavEMeER _ '�C80
I
BELL CROSSROADS
SECTON 11
�_.C_ HWY. 150
\WN7Y MAP
I.P.S. SET 5' ON LINE
LAKE NOR_iIAN _
NO SCALE
11t� I-P,S. SET 2' ON LINE _
27'45'E3D"c 65.52Y
760' C 80.55'
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FENCE .40' OvER
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LOT 227
1.05 ACRES
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R71 0.00
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ROSS ROAD
A 6 0' R/W
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Full Pond/
Normal Water Level
Shoreline
Lake
(At Full Pond/Normal Water Level)
kO f
501
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No frees removed.
tn.' 'n, MCA 6IS{ur6oi.nce
% 6o f�.r .
Please approximately sketch the following information on this plan, length of shoreline
(provide dimensions for each item, such as 10 ft x 100 ft) *:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. Location of rip rap orfill 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

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address:
Owner:
Print
Contractor/agent:
Print
County: _ rcde i I
ture
The approval is for the purpose and design described in your applYtion. 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 0213 .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. 115A 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
1, 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
Quality Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting
materials.
Signature (ow er): Date: ',�

jI .
j7'
2y _,
— t

Duke Enema 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 Dat4Z Oq_ 00 Initials �C tl
Date Final Protection/Avoidance Area Markings Field - Verified
Approved to Start Work By * :
Date Completion Required
Date Passed Closeout inspection*
(Prim)
Date of Any Approved Extension
Initials
Initials
Date
(Sign}
Initials
Any Stop Work Orders or SMG Violations*? (check one) ElYes 0No (If Yes, explain 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 L Applicant Information (Please Pant)
Name l 2r►�.2)211-1CA% Telephone rjy%4- a-(-I-?yQ5
Email address: QY'�
Lake Address Mailing Address (if different)
_1u5 Rc>ss lkci. tom 1�e_nwcw LQQp
Contractor Company (2 RC Slime �'enge_kn4 . t__L -C
Contractor Contact Person _:E t c e_ Telephone _
Contractor Email Address: l C1 Fa Q� C , c S orie- nd rec c! e. U nn _C n m
LAKE LOT INFORMATION
Lake Some, County Z'rr_de_lt City lmnorState N C. Tax Map No.
Subdivision CrtsccrMr L(xM f,lnm car Lot / Section No. `l Lot Size 1.O(oAcres
CfP
Duke Energy Page 4 of 13 rev 10/112019
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 -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 permiffing
activity.
Date of on -site inspection 17- ®Q Z®
Initials (Duke Energy)
(applicant/contractor)
Duke Energy Page 5 of 13 rev 1011i2014
Excavation Program

Duke Energy Excavation Permit Application Form
Part U. Description of Project
A. Basic Information
1. Type of excavation: (check one) EINew excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) ❑ Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
®'Other (specify):
3. Lake user category: (check one) Oprivate ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (specify):
4. Max. Excavation Area Dimensions (ft): Length L4c Width Depth ---A. 5 '
(Note: include additional area dimensions ifnecessary so response to 45 below equals max. area
dimensions in 44)
5. Volume of Excavated Material (TOTAL, for the project): [ 85. 18 ,. Cubic yards
6. Type of material removed (applicant determines by field sample if practical):
7. Excavation Site area. 0. 11 Acre (s) Disposal Site area: a. a Acre(s)
8. Total Disturbed Area (including equipment staging area):_ O. 12 5 Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
> _es Rio
10. Do you claim title to the disposal area? (check one) ❑Yes LVo
11. Do you claim title to the equipment staging area? (check one) O' es s;o
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) Yes
(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): -fete 6 ,5 La,ncAaAe_ C ►0.A
hak)ke� 61 land and +wAen ` o dtsPosa k 5`,�e a.+ (o3s
(.kr ,89e RW�•ooreSV 111e, NC as (l5 (See ached Geed)
Duke Energy Page 6 of 13 rev 10/1/2019
Excavation Program

Duke Enemy_ Excavation Permit Application Form
14. Type(s) of excavation equipment to be used: L6r3 r,C ac h e K C a\)c Vo r
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) es ONo
(If yes, explain)
16. Will return water re-enter the reservoir? (Check one) ❑Yes Mo ❑NIA
(If Yes, specify 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 Of%;o
(If Yes, provide the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit 9_neW Ckcr-K pP 111 ed
18, Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START a / a t FMSH / a
(Month) (Year) (Month) (Year)
Dicke Energy Page 7 of 13 rev 10/1/2019
Excavation Program

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Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
Comments: �Ae,5hbors
Applicant Name (print)
Applicant
Ocr[�1C� F" a n n i-e- Viarn5
1`13 1jos5 Ind .
Moores v'Ikke, Nc- a81k1
C �are.r�ce �e�ncald5
113 �,oss laid.
fY�odv-esv tlle, C a8�t�i
Co -Applicant Name (print)
Co -Applicant Signature* Date
Co -Applicant Name (print)
Co -Applicant Signature" Date
Co -Applicant Name (print)
Co -Applicant Signature* Date
Co -Applicant Name (print)
Co -Applicant Signature* Date
*Per my signature, the information provided in this application is correct to the hest 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
TO: Duke Energy
c/o Lake Services - EC12Q
526 S. Church Street
Charlotte, NC 28202
RE: Excavation For Subdivision and Lot # 's or Other Project Name)
5 0 5 r g
(Lake/County/City) dorm � I �,r e��{ I / �oeres.; IP
(Applicant's full name) -Ke, 16 -B0_I _VI Ch hereby agrees to comply with all
recommendations, requirements and/or conditions of Duke Energy, General Permit(s) (if
applicable) and other federal, state and local agency requirements pertaining to the application to
excavate for the purpose of a n e Lt,� [J or k
In addition, Ihve have read and agree to comply with Duke Energy's current Shoreline
Management Plan (SMP) or other applicable guidelines, much of which is repeated herein, and
understand that written authorization must be obtained from. Duke Energy prior to beginning any
activity within the Federal Energy Regulatory Commission (FERC) project boundary or on Duke
Energy property associated with a reservoir, collectively referred to as Project Boundary. The
excavation will be completed as described in the approved application and within eighteen (18)
months from the date of written approval by Duke Energy, unless specifically noted otherwise in
the application or unless Ifwe obtain approval for a single, time extension (maximum of one year)
in writing from Duke Energy. Ifwe understand that if the SW or other applicable guidelines or
rules change during any extension period, I/we will be expected to comply with the new
requirements to the maximum extent practicable. Ifwe also recognize that failure to complete the
excavation within this build -out period will require the filing of a new application within the then -
current SMP or other applicable guidelines and the new application must include any applicable
fees and security deposits.
1/we attest to be the owner(s) or lease holder(s) of the land immediately adjoining the Project
Boundary where the excavation activity is to take place, or if not the owner or lease holder, I/we
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.
Ifwe 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, Ilwe 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 E"�E1` Page 1 Rev: 4/6/2020

1/we understand that all excavation work must be done directly in front of my/our property and as
specified in Duke Energy's approval. 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 Energy's
Excavation Permit Application Form and other required information. Ifwe understand that
written authorization and/or other permits may be required by some of these agencies and such
required authorizations must be obtained before 1/we submit the final application to Duke
Energy.
At FERC-licensed reservoirs, 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 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.
Ifwe 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 Duke Energy.
I/we agree that excavation activities will not occur during the months of March, April, May and
June because of the potential impacts to fish spawning areas.
I/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. Ilwe 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.
Uwe agree 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.
Duke Energy Page 2 Rev: 4XI2020

11we agree to adequately stabilize all excavated material and all disturbed shoreline to prevent
erosion and runoff into the lake_
Ihve 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.
11we 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.
_(4e 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.
11we 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
Energy; 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. IAve will then notify Duke
Energy 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 nccessqa to
achieve the project's stated purpose.
Uwe agree to be fully responsible for the permitted lake use and -[Ave understand that this
responsibility is considered to transfer automatically along with ownership and leases of the
adjoining tract.
1/we understand Duke Energy representatives may issue Stop Work Directives for violations of
the SMP or other applicable guidelines 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. Ifwe agree to immediately
comply with any ,Stop Work Directives, to fully cooperate with Duke Energy and other agencies
as necessary, and to perform the necessary remedial actions within the specified time frame.
Duke Energy Page 3
g Rev-416/2020

I/we agree to develop any required mitigation plans and to complete any required mitigation
activities at my/our own expense within the specified time frames. Ifwe 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.
IAae a ee to notify Duke Energy by phone when the excavation is initiated and to ensure that
during the excavation period, I/we will post Duke Energy's a roval letter in a clear waterproof
bag at the job site and visible from the water's edge.
-[fwe agree to notify Duke Energy in writing when the excavation is completed (including any
required mitigation measures) and that the excavation was completed per the approved
application, so a close-out inspection can be performed.
I/we recognize security deposits will not be refunded if any violations of the SMP, other
applicable guidelines, or this user's agreement occur.
-[Ave understand there will be no change in hydro project operations as a result of the excavation
and/or utilization of the excavated area.
Ifwe 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.
1/we understand that this user's agreement does not, in any way, constitute the transfer of any
rights in real property and that my/our use and enjoyment of FERC project and Duke Energy
lands and waters shall not hinder the general public's lawful use and enjoyment of the same.
Sincerely,
Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
s Signature
Co -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
D.kc Ene gy Page 4 Rm 4/612020

Excise Tax: $505.00
Tax Parcel ID No.: 4638-01-9306
on the day of
Type: CONSOLIDATED REAL PROPERTY
Recorded: 7/26/2019 1:25.05 PM
Fee Amt: $531.00 Page 1 of 2
Revenue Tax: $505.00
Iredell County, NC
Ronald N_ Wyatt Register of Deeds
BK 2633 PG 1528 - 1529
GENERAL WARRANTY DEED
20 By:
Verified by: Iredell County
Mail/Box to: Grantee
This instrument was prepared by: Kevin C. Donaldson, Jones, Childers, Donaldson & Webb, PLI_C, 149 Welton
Way, Mooresville, NC 28117
Brief description for the Index:
THIS DEED, made this the 26th day of July, 2019, by and between
GRANTOR: Andrew P. Hanellin and wife, Leslie C. Hanellin
whose mailing address is 160 Lay Low Lane, Salisbury, NC 28147
(herein referred to collectively as Grantor) and
GRANTEE: Derik N. Baltich and wife Stephanie T. Baltich
whose mailing address is 103 Kenway Loop, Mooresville, NC 28117
(herein referred to collectively as Grantee) and
WI TNESSETH:
For valuable consideration from Grantee to Grantor, the receipt and sufficiency of which is hereby acknowledged,
Grantor hereby gives, grants, bargains, sells and conveys unto Grantee in fee simple, subject to the Exceptions and
Reservations hereinafter provided, if any, the following described property located in the Town of Mooresville, County
of Iredell, State of North Carolina, more particularly described as follows:
BEING ALL OF Lot 227, Section 11, as shown on map recorded in Map Book 14 at Page 50 in the Office of the
Register of Deeds for Iredell County.
Grantor reserves for the benefit of Lot 226 of Map Book 12, Page 50, a septic setback easement for the
purpose of maintaining the required set back distance between the septic system (located on Lot 226) and Lot
227. Said is easement described as follows:
Beginning at a point in the dividing line of Lots 226 and 227 of Map Book 12, Page 50 of the Iredell County
Registry, said point lying S 44-39-00 E 40 feet from the northern most corner of Lot 227, thence from said point
of beginning with the dividing line of said lots S 44-39-00 E 50 feet to a point; thence S 45-21-00 W 10 feet to a
point, thence N 44-09-00 W 50 feet to a point, thence N 45-21-00 E 10 feet to the point and place of beginning.
Said septic setback easement to run with the land and be appurtenant to Lot 226.
Revised December 17, 2009
r' 0TG

Said property having been previously conveyed to Grantor by instrument(s) recorded in Book 1705, Page 2257, and
being reflected on plat(s) recorded in Map/flat Book 14, page/slide 50.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
TO HAVE AND TO HOLD unto Grantee, together with all privileges and appurtenances thereunto belonging, in fee
simple, subject to the Exceptions and Reservations hereinafter and hereinabove provided, if any.
And Grantor hereby warrants that Grantor is seized of the premises in fee and has the right to convey same in fee
simple, that title is marketable and is free and clear of encumbrances other than as set forth herein, and that Grantor
will forever warrant and defend the title against the lawful claims of all persons or entities whomsoever.
This conveyance is made subject to the following Exceptions and Reservations:
1. ANY AND ALL EASEMENTS, RIGHTS OF WAY AND RESTRICTIONS OF RECORD.
2. ANY AND ALL ZONING AND PLANNING ORDINANCES.
All references to Grantor and Grantee as used herein shall include the parties as well as their heirs, successors and
assigns, and shall include the singular, plum, masculine, feminine or neuter as required by context,
IN WITNESS WHEREOF, th ntor h duly executed the foregoing as of the day and year first above written
` L�— SEAL
AndroW P. Hanellin
`" I- SEAL
esde C. Hanellin
State of North Carolina (Official/Notarial Seal)
County of Iredell
I certify that the following person(s) personally appeared before me this day,
each acknowledging to me that he or she signed the foregoing document:
Andrew P. Hanellin and wife, Leslie C. Hanellin.
Date: c (Sk L . C �tD�IiLJ\
Erin C. Ziegler Notaff Ptolic
Notary's Printed or Typed Name
My Commission Expires.
11 /13/20
ERIN C. ZIEGLER
Notary Public
Iredell County, N
My Commission Expir®R: 111151-71
Revised December 17, 2009

Catawba Indian Nation
Tribal Historic Preservation Office
1536 Tom Steven Road
Rock Hill, South Carolina 29730
December 23, 2020
Attention: Janice Estep
CBC Stone & Recycling, LLC
Re. THPo # TCNS # Project Description
2021-566-8 Derik Baltich -165 Ross Road, Mooresville, NC
Dear Ms. Estep,
The Catawba have no immediate concerns with regard to traditional cultural properties,
sacred sites or Native American archaeological sites within the boundaries of the
proposed project areas. However, the Catawba are to be notified if Native American
artifacts and 1 or human remains are located during the ground disturbance phase
of this project.
If you have questions please contact Caitlin Rogers at 803-328-2427 ext. 226, or e-mail
[e-mail].
Sincerely,
Wenonah G. Haire
Tribal Historic Preservation Officer

DREDGE SPOIL DISPOSAL FORM
Project Name/address: ILpSre5V NC a°�county- �ecce! 1
i.ocation Ad€iressQ_k 5 poSa.. 5 4 Lfl �b ...�[a l� r i �qe r,rm § W • JIG -
Parcel #•
Parcel/iot size
Disposal area required (sq ft and/or acreage) i no' .. < I-_QO
Acltnowledger-nent of Notification
{° E� r as am aware that the site must adhere to all state regulations
and rules regarding seditWent and erosion control and water quality. And give permission for
Name of Individual and Company
to dispose of their dredge material at the above .St;;tPr1 Inrntinn
Owner:
ffilsj�RMWTr7
Along with form, please provide:
Aerial of parse[/lot (County G15)
Photo of proposed spoil site
Identified proposed spoil site

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STATE OF NORTH CAROLINA
IREDELL COUNTY
I certify that this Dltlp was drawn from on oetuol survey rnrede under my
27
supervision The unedjustW ratio of precision as celaulotW is 1': IG,OGG#
Boundaries not surveyed, if any, are noted. Deed descripttora are recur a in , ns
Page shown .Mtness my hand and seal this #� day of. JUKE
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v �0 SL1 R��v`~ [q;� ♦ ALL DISTANCES ARE HORIZCWTAL GROUND DISTANCES
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• AREA BY COORDINA7E COMPUTATION.
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LOC.
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EASDAFNTSS RESTRICTIONS
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& RIGHTS OF W� AYOF RECORD.
• SURVEY IS BASED ON PHYSICAL EVIDENCE ANO E)OSTING
LINE
MONUMENT FOU14D DURING THE SURVEY.
L7
- PROPERTY CORNER PPE SIZES AS SHONE¢ ARE NOMINAL
INSIDE DIAMETER.
L2
L3
L4
UGEND
L5
L5
LINES SURVEYED
L7
LINES NOT SURVEYED-------
NOT TO SCAL
DISTANCE
60.30
24.31
40,60
95.21
46.53
170.16
82.82
TIE LINES----�------
!
OVX0 DISTRIBUTION LINE ^-- .. —
PIN 4668-30 -1353
(OVERHEAD)
DAXMGE STORAGE,
R/W LIMITS
O.D. 252l PC. 2033
NLESOTHERWSE
POWER POLE UNLESS OTHERWSEON
ri CFNTERtANE NOTED
P PROPERTY LINE
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(F) DENOTES ^F4YJND"
(S) DENOTES 'SET'
PIN 4668-20-6165
BRIDGES PROPERTIES, LLC !
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Nr5 DENOTES NOT To SCALE'
D.B. 1602 PG. 19i2
r-� LOT #I--P.R. 36 PG. 150 !
CONCRETE
MONUMENT (F)
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N 679940.48 FT
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E 1462951.44 FT
NAD 83(2017)
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ARGOS USA LLC
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D.B. 2016 PG. 4981(CO)
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0.227 ACRE
- / DUKE ENERGY
` J TRANSMISSION LINE
v-(TIE
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LINE ONLY)
NAIL
(F) AT {SENT
BENT #4 ~-�--
$4 REBAR (F)
N 679337.77 FT
E 1462830,55 FT
E
NAD 83 2017
P-3s
GRAPHIC SOLE
PIN 4667-29-5304�
PcMFORLESS HOLDINGS, LLC
0 75 ISO
O.B. 218D PC. 1029
LOT2-P.B. 26 PG. 73
LNS FILE NO.;
S I 905(
DWG NO-:
S1905(
(N FEET
5t1RVLYED BY:
N.D. WHITLE
DRAWN BY:
N.D. WHITU
1 inch = 150 #t.
CHECKED BY;
.I R HnRF
TAX fS: SOURCE
OF TITLE R
FOR SOURCE OF TITLE REFER TO D_6tc_ 1642 r'G. 1912
PROPERTY OWNED BY1111V43
BRIDGES PROPERTIES, LLC SURVEY AND MAP PREPARED BY
SURVEY SHOWING LOCATION OF LAKE NORMAN SURVEYING
STAGING AREA & MAPPITiG PLLC #P—OPSD
CODDLE CREEK TOWNSHIP IREDELL COUNTY, N.C. 137 ,lennings Rood, Suite C
SCALE: I" = 750' DATE OF SURVEY- JUNE 3, 3019 SYotesville, North Corolino 28625
BOOK: NA DATE OF MAPPING: JUNE 3, 2019 [phone] r ,,, (704) S76-4451

fl���Wf�I�V�I(I�fVffV�'G� ��f
Dcc ID: 00888991204D9 Tvoe: ORP
Recorded: 2tf23IZ044 at 03:28:4p F"
Fee Amt; 6174.o0 Raga I of 3
EMSa6! Tax: M354.D0
trade]1 County. Mc
Brenda D. Bell Rocister of Deeds
BK 1602 pc1912- 191T
Excise Tax $654.00
Tax Lot No- Parcel Identifier No 4667-29-6642 amd 4669-20-8185-4,34
Verified by ................ — ........... ............................. .................. County on the .......... day of ....... ..-......... ..............
by•............................................................................................................................
Mail after recording to: Grantee
This instrument prepared by: Lutzel, Gandy Broadway, PLLC
Brief Description for the Index
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED rnadethis 22nd.... day of NOM nter 2W4, by and between
GRANTOR GRANTEE
Donald Ray Snyder and wife,
Victoria A. Snyder,
awa
Vicotim A, Snyder
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,
-1. corporation ar partnership -
The designation Grantor and Grantee as used herein shot] 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 cerrain 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 property bereimbove described was acquired by Grantor by instrument recorded in Book -- ......... Page .........
A imp showing the above described property is recorded in Plat Book ............... Page .............-.
TO HAVE AND TO BOLD the aforesaid lot or parcel of land and all privileges and appurtenances lherela belonging to the
Grantee in fee simple.
And the Grantor covenants with the Gmutee, that Grantor is seized of the premises in fee sin Ic, has the right to convey the sarne
in fec simple, that title is marketable and fire and clear of all encumbrances, and that Grantor wilt warrant 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 easerncnts, restrictions and rights of way of record -
Ad valorem taxes for the year 2005 and subsequent years not yet due and payable.
All matters revealed by and accurate survey of the property.
IN'WrfNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instmrent to be signed
in its corporate name by its duly authorized offieer(s) by authority of its Hoard of Directors, the day and year first above written.
(Corporate Name)
.. ........... ............. •• AL)
y„
D_ onaW Ray Snyd
......................... 1........... President '
Attest: U Victoria A. Snyder
.-'..................................................................................----.................................. (
m SEAT.)
............................ Secretary rr"n
.......................................................................... (SEAL)
r
NORTH CAROLiN [>v1� COLNT .
•'�t,l alb��%4+
,•`'�Pi- �.� .c� I, a Notary Public of the County and State aforesaid, certify Snyder and Victoria A.
dt%OTAI?Yy y's Snyder, Grantor, personally appeared before s d acknowledged a executi n of the
` y - foregoing instrument. Witness my hand and o ial o at this 22n& y vember 2004_
x
`• = My Commission Expt
--
res: .-- - ................Notary lie
COu
(SEAL) NORTH CAROLINA.............. ................ .CO[3NTY,
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, cxe-
cuted the foregoing instruzoent on behalf of the corporation. Wi'mess my hand and official stamp or
sealthis .................. day of .......... ................... ........ 2004-
My Comrnission Expires: .......................... ....................................................... ........Notary Public
The foregoing Certificates) of.... Zed
----------------------J1
Ware certified to be correct. This instrument and this certificatere duly ' at. and time and n the Book and Pace
s e first p e er f
ter Deeds for .......kunty
.............. --- Deputyfe�-i& --Register of Der&
r

EXHIBIT lIBIT µArt
TRACT 1: BEING all of that certain 6.49 acre tract located in Coddle Creek Township, lredell
County, North Carolina on NC Hwy 150 By-pass; being more particularly described as follows;
BEGINNING at a point in the centerline of the 100 It. tight of way for NC Hwy 150 By-pass,
said point being located North 36-17-36 East 2,458.39 fl. (Ground) from NCCS Monument "Run
In" N. 206,469354 meters E: 445,2807 693 meters Dated: 1991 NAD 93, thence continuing from
said point of Beginning and along the centerline of the right of way for NC Hwy 150, Notch 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 1 112" pipe; thence continuing with another line of Whitman property North 40-19-43
East 305-82 ft. to an existing 1" pipe; thence North 71-18.07 East 121-51 ft. to an existing angle
iron in the line of Evelyn Brown (See Deed Book 309, Page 337, lredell County Registry);
thence a new line of John W. Caffey, et al (see Deed Book 601, Page 538, Iredell County
Registry) South 42- 31-26 West 221.12 ft. to an existing concrete monument; thence another new
line of Caffey, et al South 15-00-41 West 614.81 ft. to an existing 42 rebar, thence with the
northern line of Lot 2, Scott D. Burton Property (see Plat Book 26, Page 73, lredell County
Registry) North 74-59-17 West 572.00 . t, to an existing 42 rebar in the eastern margin of the
right of way for NC Hwy 150; thence North 74-59-L7 West S3.64 ft. to the point and place of
Beginning.
TRACT CI: BEING all and the full contents of Lot No. I as shown on plat of Minor
Subdivision for William Wallace Whitman Estate and recorded in Flat Book 36, page 150,
Iredeli County Registry, to which plat reference is made for a more full and complete description
of said lot by mates and bounds.

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ID#* 20191141 Version* 2
Regional Office* Mooresville Regional Office - [phone]
Reviewer fist* Alan Johnson
Pre -Filing Meeting Request submitted 12/7/2020
Contact Name * Janice Estep
Contact Email Address* info@(;bcstoneandrecycling.com
Project Name * Baitich Dredge
Project Owner* Derik Baltich
Project County* Iredell
Owner Address: street address
165 Ross Rd.
Address Line 2
cay
Mooresville
R)stal 1 Zip Code
28117
Is this a transportation project?* t` Yes r No
state I Rovince 1 Fbgkon
NC
Country
United States
Type(s) of approval sought from the DWR:
r 401 Water Quality Certification - f 401 Water Quality Certification -
Regular Express
F Individual Permit r Modification
W Shoreline Stabilization
Does this project have an existing project ID#?*
(' Yes r No
Do you know the name of the staff member you would like to request a meeting with?
Alan Johnson
Please give a brief project description below.*
Dredge 40' x 50' area for newdock. Dredge by land and haul rnaterial
off by land.
Please give a couple of dates you are available for a meeting.

121812020
12/9/2020
12/10/2020
12/11/2020
12/14/2020
Please attach the documentation you would like to have the meeting about
Baltich Dredge.pdf 2.15MB
pd c+ly
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.
Y 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 12/7/2020