20110446 Ver 1_Stormwater Info_20110406

'.WSPmSELLS
Transportation & Infrastructure
April 1, 2011
NCDENR
Division of Water Quality
2321 Crabtree Blvd., Suite 250
Raleigh, North Carolina 27604
919-715-3425
Attention: Ms. Annette Lucas
Reference: Permit Application
Storm Water Management Plan
Cottonwood Village
Lincoln County, NC
Dear Ms. Lucas:
NORTH CAROLINA 1 28 Overhill Drive
CONNECTICUT Suite 105
MASSACHUSETTS Mooresville, NC 281 17
NEW HAMPSHIRE Tel: [phone]
NEW JERSEY Fax: [phone]
NEW YORK
www.wspsells.com
PENNSYLVANIA
SOUTH CAROLINA
VIRGINIA
20 1 1 0 4 4 6
On behalf of Shoreline Property Management, Inc., please find attached two copies of the Storm
Water Management Plan, two copies of the calculations (soils map and USGS map), and
Operations and Maintenance Agreements for the wet detention basin, one original and one copy of
the Storm Water Management Permit Application, and a check in the amount of $505 for the above
referenced project.
In summary, the proposed subdivision will include eight lots and common open space. Six lots will
be commercial/business and one lot multi-family. Phase I and 2 of the subdivision will include 785
If of roadway, storm drainage, and utilities. Once the limit 24% impervious is reached Pond 1 will
be constructed. An erosion and sediment control plan is currently under review by Lincoln County
Natural Resources Department.
If you have any questions or require additional information, please contact us.
Respectfully submitted,
WSP SELLS
Jonathan A. Carter, P.E.
Project Manager
cc: Mr. Erich Hahne, Shoreline Property Management, Inc.
ug/;?iwygo 0
APR 0 6 2011
WE STLADAND TORMWATER BRANCH
x
State of North Carolina
Department of Environment and Natural Resources 90 1 10 44 6
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
CottonWood Village
2. Location of Project (street address):
Approx. 900' West of the intersection Hwy 16 and NC 73
City: County:Lincoln Zip:
3. Directions to project (from nearest major intersection):
Approx. 900' West of the intersection Hwy 16 and NC 73
DWQ USE ONLY
Date Received Fee Paid Permit Number

Applicable Rules: ? Coastal SW -1995 ? Coastal SW - 2008 ? Ph II - Post Construction
(select all that apply) ? Non-Coastal SW- HQW/ORW Waters ? Universal Stormwater Management Plan
? Other WQ M mt Plan:
4. Latitude:35° 26' 47" N
II. PERMIT INFORMATION:
Longitude:81° 00' 02" W of the main entrance to the project.
1. a. Specify whether project is (check one): ®New []Modification
b. If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: []Not Started []Partially Completed* ? Completed* *provide a designer's certification
2. Specify the type of project (check one):
[]Low Density ®High Density []Drains to an Offsite Stormwater System []Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
?CAMA Major ®Sedimentation/Erosion Control: 2.28 ac of Disturbed Area
?NPDES Industrial Stormwater ®404/401 Permit: Proposed Impacts 150ft
b. If any of these permits have already been acquired please provide the Project Name, Project/ Permit Number,
issue date and the type of each permit:404 Permit, CottonWood Village/2010-01950, December 8, 2010
Form SWU-101 Version 07Jun2010
D
APR 0 6 2011
DENR -WATERQU&P
Page 1 of 6 111 U ANDSTOWMTERMWH
7
V
III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/ Organization: Erich Hahne
Signing Official & Title:Owner
b. Contact information for person listed in item 1a above:
Street Address:137 Cross Center Drive. Suite 246
City:
State:NC
Zip: 28972 a 8 e 3 7
Mailing Address (if applicable):
City: State: Zip:
Phone: (704 ) 827-9104
Email:
Fax:
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
? Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
? Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
? Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/ Organization:
Signing Official & Title:
b. Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City:
Phone: ( 1
State: Zip:
Fax: ( )
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/ Organization:
Signing Official &
b. Contact information for person listed in item 3a above:
Mailing Address:
City:
Phone:
Email:
Form SW-101 Version 07Jun2010
State: Zip:
Page 2 of 7
Sta
Fax:
Zip:
4. Local jurisdiction for building permits: Lincoln County
Point of Contact:Andrew Bryant
IV. PROJECT INFORMATION
Phone #: (704 ) 736-8424
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater will be treated with a wet detention basin that will be constructed prior to the site reaching 24%
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
? Approval of a Site Specific Development Plan or PUD Approval Date:
? Valid Building Permit Issued Date:
? Other: Date:
b. If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
? Coastal SW -1995 ? Ph II - Post Construction
3. Stormwater runoff from this project drains to the Catawaba River basin.
4. Total Property Area: 31.66 acres
5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:
acres
+ Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal Hi h Water (Nline or Mean High Water
(MHM line, and coastal wetlands landward from the NHW (orW line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non-coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 60

9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Form SWU-101 Version 07Jun2010 Page 3 of 7
Basin Information Drainage Area 1 Drainage Area _ Drainage Area Drainage Area
Receiving Stream Name Forney Creek
Stream Class *
Stream Index Number
Total Drainage Area (sf) 710,323
On-site Drainage Area (so 657,320
Off-site Drainage Area (so 53,003
Proposed Impervious Area** s 409,316
% Impervious Area** total 57
Impervious" Surface Area Drainage Area 1, Drainage Area Drainage Area _ Drainage Area
On-site Buildings/Lots (sf) 89,500
On-site Streets (sf) 63,775
On-site Parking (so 228,441
On-site Sidewalks (so 27,600
Other on-site (sf)
Future (so
Off-site (so
Existing BUA*** (so
Total (so: 409,316
* Stream Class and Index Number can be determined at: http.aortal.nedenr.or /wg eb/wgZps/csu/classifications
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
'Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off-site impervious area listed above determined? Provide documentation. areas were
deliniated in AutoCAD
Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per NCAC 02B.0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from h!tp://portal.ncdenr.org/web/wq/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http:/ /portal.ncdenr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms dots.
I ' 'als
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M_
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
hgp://www.envhelp.org/pages/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
Form SWU-101 Version 07Jun2010 Page 4 of 7
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the Ch
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/z
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/ Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/ project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off-site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior
to submittal, [phone].)
10.
11.
A copy of the most current property deed. Deed book: 1595 Page No: 763
For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per NCAC 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
hn://www.secretary.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built-upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
htt2://portal.ncdenr.org/web/wq/ws/su/statesw/forms docs. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot.

Form SWU-101 Version 07Jun2010 Page 5 of 7
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:Tonathan Carter
Consulting Firm: WSP Sells
Mailing Address: 128 Overhill Drive, Suite 105
City:Mooresville State:NC Zip:28117
Phone: (704 ) 662-0100 Fax: (704 ) 662-0101
Email:[e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) . certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) with (print or type name of organization listed in
Contact Information, item 1a) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Date:
I,
a Notary Public for the State of
County of
do hereby certify that
before me this _ day of
personally appeared
, and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
Form SWU-101 Version 07Jun2010 Page 6 of 7
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a) Erich Hahne
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormw W n er 15A NCAC 21-1.1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211.
Signature: Date: 12-22-- Z O/ U
1, t' a Notary Public for the State of M%fI ((?y (?1?,?, County of
do hereby certify that End,- e a4t, 4 personally appeared
before me this day of r7 e; ` t? , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal, ( /G .
P- S 0,
X§ .6 O y ell
,,t?OTAi?y 9
? N1? Comm. Exp. U
rn 30282014
n PUBLIC

SEAL
My commission expires 3 ?g/y
Form SWU-101 Version 07Jun2010 Page 7 of 7
DWQ USE ONLY
Date Received Fee Paid Permit Number

Applicable Rules: ? Coastal SW -1995 ? Coastal SW - 2008 ? Ph II - Post Construction
(select all that apply) ? Non-Coastal SW- HQW/ORW Waters ? Universal Stormwater Management Plan
? Other WQ M mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality 2 0 1 1 0 4 4 6
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
CottonWood
2. Location of Project (street address):
Approx. 900' West of the intersection Hwy 16 and NC 73
City: County:Lincoln Zip:
3. Directions to project (from nearest major intersection):
Avnrox. 900' West of the intersection Hwv 16 and NC
4. Latitude:35° 26' 47" N Longitude:81° 00' 02" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New []Modification
b. If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: []Not Started []Partially Completed* ? Completed* *provide a designer's certification
2. Specify the type of project (check one):
[]Low Density ®High Density []Drains to an Offsite Stormwater System []Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
?CAMA Major ®Sedimentation/Erosion Control: 2.28 ac of Disturbed Area
?NPDES Industrial Stormwater 0404/401 Permit: Proposed Impacts 150ft
b. If any of these permits have already been acquired please provide the Project Name, Project/ Permit Number,
issue date and the type of each permit:404 Permit CottonWood Village/2010-01950, December 8, 2010
WL!9Q5L4UW7R
APR D
® 6 2011
wr ,v????ouAun
Form SW-101 Version 07Jun2010 Page 1 of 6 ? NawcN
III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/ Organization: Erich Hahne
Signing Official & Title:Owner
b. Contact information for person listed in item 1a above:
Street Address:137 Cross Center Drive, Suite 246
City:, Denver State:NC Zip:2h72 O 3"7
Mailing Address (if applicable):
City: State: Zip:
Phone: (704 ) 827-9104 Fax: ( )
Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
? Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
? Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
? Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/ Organza
Signing Official & Title:_
b. Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City:
Phone: ( )
Email:
State: Zip:
Fax: ( )
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/ Organization:
Signing Official & Title:
b. Contact information for person listed in item 3a above:
Mailing Address:
City:
Phone: ( )
Email:
State:
Zip:
State:
Fax: ( )
Form SVX-101 Version 07Jun2010 Page 2 of 7
4. Local jurisdiction for building permits: Lincoln County
Point of Contact:Andrew Bryant
IV. PROJECT INFORMATION
Phone #: (704 ) 736-8424
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater will be treated with a wet detention basin that will be constructed prior to the site reaching; 24%
imperviousness
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
? Approval of a Site Specific Development Plan or PUD Approval Date:
? Valid Building Permit Issued Date:
? Other: Date:
b. If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
? Coastal SW -1995 ? Ph II - Post Construction
3. Stormwater runoff from this project drains to the Catawaba River basin.
4. Total Property Area: 31.66
acres 5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+: acres
+ Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal Hi h Water (Nline or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MiiK line. The resultant project area is used to
calculate overall percent built upon area (B U& Non-coastal wetlands landward of the NHW (orMHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 60

9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Form SWU-101 Version 07Jun2010 Page 3 of 7
Basin Information Drainage Area 1 Drainage Area _ Drainage Area _ Drainage Area
Receiving Stream Name Forney Creek
Stream Class *
Stream Index Number
Total Drainage Area (sf) 710,323
On-site Drainage Area (sf) 657,320
Off-site Drainage Area (so 53,003
Proposed Impervious Area** s 409,316
% Impervious Area** (total) 57
Impervious" Surface Area Drainage Area 1 Drainage Area _ Drainage Area _ Drainage Area
On-site Buildings/Lots (sf) 89,500
On-site Streets (so 63,775
On-site Parking (so 228,441
On-site Sidewalks (sf) 27,600
Other on-site (so
Future (so
Off-site (so
Existing BUA*** (so
Total (so: 409,316
* Stream Class and Index Number can be determined at: littp://portal.ncdenr.or /zog eb/wq/ps/csu/classifications
Im ervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidpewalks, gravel areas, etc.
'Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off-site impervious area listed above determined? Provide documentation. areas were
deliniated in AutoCAD
Proiects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per NCAC 02B.0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from h!!p://portal.ncdenr.org/web/wq/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http://portal.ncdenr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs.
I ' 'als
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http:// www.envhelp.org/pages/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
Form MVU-101 Version 07Jun2010 Page 4 of 7
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor <J?7-
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/ Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/ project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off-site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 1595 Page No: 763
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per NCAC 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http:/ /www.secretary.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built-upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
http://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot.
Form SWU-101 Version 07Jun2010 Page 5 of 7
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer Jonathan Carter
Consulting Firm: WSP Sells
Mailing Address:128 Overhill Drive Suite 105
City:Mooresville State:NC Zip:28117
Phone: (704 ) 662-0100
Fax: (704 ) 662-0101
Email:jonathan.carterOwspsells.com
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) with (print or type name of organization listed in
Contact Information, item 1a) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature:
I,
a Notary Public for the State of
County of
, do hereby certify that personally appeared
before me this day of , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
Form SWU-101 Version 07Jun2010 Page 6 of 7
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a) Erich Hahne
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormw f rul er 15A NCAC 2H.1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211.
Signature: Date: lz ~Z L" a ?rU
I, k112 /A a Notary Public for the State of On t z& - , County of
me'(; &4 Kai:{% CT, do hereby certify that 2'-1 i GG t- Zc.? f personally appeared
before me this day of l Yar6-z) &, ,r C ? , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal, CG ??
?? -4 tP- 1111111
*N
S O;*G
My comm. EXP.
w rn 3 VM14
46-
q? (?t G 1co

SEAL
My commission expires 3?c? ?'???nfy
Form SWU-101 Version 07Jun2010 Page 7 of 7
201 1044 6
Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Wet Detention Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
The wet detention basin system is defined as the wet detention basin,
c
pretreatment including forebays and the vegetated filter if one is provided.
This system (check one):
® does ? does not incorporate a vegetated filter at the outlet.

This system (check one): o_
U @0
? does ® does not incorporate pretreatment other than a forebay.

Important maintenance procedures:
- Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
- No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
- Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
- If the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
- Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and
within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a
Coastal County). Records of operation and maintenance should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element: Potential problem: How I will remediate the problem:
The entire BMP Trash/debris is resent. Remove the trash/debris.
The perimeter of the wet Areas of bare soil and/or Regrade the soil if necessary to
detention basin erosive gullies have formed. remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Vegetation is too short or too Maintain vegetation at a height of
long. ap roximatel six inches.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 1 of 4
Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element: Potential problem: How I will remediate the problem:
The inlet device: pipe or The pipe is clogged. Unclog the pipe. Dispose of the
swale sediment off-site.
The pipe is cracked or Replace the pipe.
otherwise damaged.
Erosion is occurring in the Regrade the swale if necessary to
swale. smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
The forebay Sediment has accumulated to Search for the source of the
a depth greater than the sediment and remedy the problem if
original design depth for possible. Remove the sediment and
sediment storage. dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred. Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present. Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf Best professional practices Prune according to best professional
show that pruning is needed practices
to maintain optimal plant
health.
Plants are dead, diseased or Determine the source of the
dying. problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present. Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The main treatment area Sediment has accumulated to Search for the source of the
a depth greater than the sediment and remedy the problem if
original design sediment possible. Remove the sediment and
storage depth. dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over Consult a professional to remove
50% of the area. and control the algal growth.
Cattails, phragmites or other Remove the plants by wiping them
invasive plants cover 50% of with pesticide (do not spray).
the basin surface.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 2 of 4
I
Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element: Potential problem: How I will remediate the problem:
The embankment Shrubs have started to grow Remove shrubs immediately.
on the embankment.
Evidence of muskrat or Use traps to remove muskrats and
beaver activity is present. consult a professional to remove
beavers.
A tree has started to grow on Consult a dam safety specialist to
the embankment. remove the tree.
An annual inspection by an Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
The outlet device Clogging has occurred. Clean out the outlet device. Dispose
of the sediment off-site.
The outlet device is damaged Repair or replace the outlet device.
The receiving water Erosion or other signs of Contact the local NC Division of
damage have occurred at the Water Quality Regional Office, or
outlet. the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 708.00 feet in the main pond, the
sediment shall be removed.
When the permanent pool depth reads 709.00 feet in the forebay, the sediment
shall be removed.
BASIN DIAGRAM
011 in the blanks)
Sediment Removal
Bottom
0 Permanent Pool Elevation 712.00
L.70700 Pe anen Pool
- - - - - - - - - Volume Sediment Removal Elevation 708.00 Volume
-------------------------------------------- ------
- Mm.
Sediment Bottom Elevation 707.00 1-ft n
Storage Sedimer
Storage
FOREBAY MAIN POND
Form SW401-Wet Detention Basin O&M-Rev.4
Page 3 of 4
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a) Erich Hahne
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater q undfr 15A NCAC,2H .1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211.
Signature:
Date: ) 2 -2 1 _Z U ( v
I, /Z' , a Notary Publics for the State of cyAk l?. '[lr
?.,
'C do hereby certify that eri e-i .. /? hi k&/Z c'- personally
County of
appeared
before me this,,2-/ day of Ot CG'S>! ,(Y and acknow7 ldge the due ae/xec tion of the application for
a stormwater permit. Witness my hand and official seal, IK e "
My corml. Exp.
: 3128201
:n UBU
4RG ?GO`??'````•
SEAL
My commission expires 3?, J s /,--kyq
Form SWU-101 Version 07Jun2010 Page 7 of 7
GROUND
TECHNOLOGICAL
SERVICES
INC,.
March 10, 2011
ATTN: Erich Hahne
73/16 Partners LLC
7781 South Little Eqypt Road
Stanley, NC 28164
Re: Cottonwood Phase I Drainage Features
Hwy 16 and Hwy 73
Denver, North Carolina
GTSI-C201102-38
Mr. Hahne:
Per your request, Ground Technological Services, Inc. (GTS
preliminary subsurface exploration for the referenced site, and
subsurface data accompanied by our comments and recommer.
The purpose of this preliminary subsurface investigation is to
regarding the subsurface conditions and to provide recommer,
aspects of site preparation and foundation design. GTSI undo
proposed development of the site presently is for a creek Gros
GTSI obtained the subsurface information from borings in.,
depths throughout the reference site location. Information 1
this report is based on the preliminary project layout of the
the site plan prepared by WSP-SELLS Engineering dated I
GTSI. 4837 N Hwy 16 ¦ Denver, NC 28037 ¦ Phone [phone]? 78
s completed the
in submits the
general information
for the geotechnical
that the current
d BMP #1.
various distances and
to the site within
located by GTSI per
28, 2010.
I ¦ Fax [phone]

? n
-o

a
March 10, 2011
Cottonwood Phase 1 Drainage Features
Page 2
Ground Technological Services, Inc. appreciates the oppo
this phase of the project. If we can be of further service or if
concerning this report, please do not hesitate to contact our o
Sincerely,
Ground I
Gregory Balk P.E.
Principle Engineer
44
SUAL
* GIN

1'-((
_. i
.y to assist you during
have any questions
GTS1 ¦ 4837 N Hwy 16 ¦ Denver, NC 28037 ¦ Phone [phone] ? Fax [phone]
TABLE OF CONTENTS
I Page
1.0 INTRODUCTION .........................................................................................1
2.0 PROJECT DESCRIPTION ....................................................................................................1
2.1 General ...................................................... ....................................... 1
2.2 Site Description .........................................................................1
3.0 EXPLORATION PROCEDURES .................................... ..........................................2
3.1 General ............................................ ................................2
3.2 General Subsurface Conditions ..................................................................2
3.3 Measured Groundwater Levels .......................................................................3
3.4 Measured Rock ........................................... ..................................... 3
3.5 Seismic Site Classification ......................... .:................................ 3
4.0 ENGINEERING EVALUATION AND RECOMMENDA I S .............................3
4.1 Pipe Crossing .......................................... ..............................3
4.2 BMP 41 ....................................................................................4
5.0 QUALITY CONTROL ......................................................... .......................................4
6.0 REPORT LIMITATIONS ..................................................................................................4
APPENDIX
1. Association of Soils and Foundation Engineers (ASFE) Public. ti
2. Boring Location Plan, Figure 1
3. Report of Standard Penetration Resistance Testing
4. Laboratory Testing
1
1.0 INTRODUCTION
Ground Technological Services, Inc. (GTSI) has completed the subsurface geotechnical evaluation
for the Phase I creek crossing and BMP Pond #1. GTSI her in submits the subsurface data
accompanied by our comments and recommendations. The Appendix contains a site location map,
Association of Soils and Foundation Engineers (ASFE) Publication, a boring location map, report of
Standard Penetration Resistance Testing and laboratory testing.
The purpose of this preliminary subsurface investigation is to obtain general information regarding
the subsurface conditions and to provide recommendations for the geotechnical aspects of the
proposed twin 72 inch RCPs and the soil conditions for the BM TSI understands the area is
zoned for commercial building development. GTSI attempted to o tai the subsurface information
from borings located across the site.
This report does not include any environmental assessment of the
information regarding the presence or absence of toxic or hazards
Analysis Report provides preliminary environmental information
There are important limitations to this and all geotechnical studies
discussed in the Association of Soil and Foundation Engineers
included in Appendix 1.
2.0 PROJECT DESCRIPTION
2.1 General
The subject site is totally wooded with general surface drainage to t
The creek parallels the northern property boundary flowing in a west
easement is also located along the northern property boundary. AA,
servicing a two story office building to the south on Advance Aveni
the cleared limits of a dirt road. The dirt road is a 550 feet one
traversing the property beginning at the southern end of an asphalt p
Sundries Restaurant.
2.2 Site Description
and accordingly there is no
ubstances. A Limited Soil
separate report.
of these limitations are
publication, which is
>rth into an existing creek.
direction. A sanitary sewer
-th south sewer trunk line
verses the property within
cleared access dirt road
ig lot south of the Midtown
The subject Phase I is the easterly section of a four phase commercial development. The planned
development for the Phase I will consist of four two-story office b ild ngs. Two buildings will be
located on the west side and two on the east side of the planned entr ice roadway. All four buildings
will front the roadway. Planned storm drainage will be directed i to the planned BMP #1. The
surrounding development consists of commercial retail/office strut ur s.
3.0 EXPLORATION PROCEDURES
3.1 General
Three (3) borings were advanced with a Tracked Mounted Ge pr be Drill Rig to evaluate the
density of in-situ soils. Each boring was advanced with a 6" hollo stem auger. Within each boring,
Standard Penetration Resistance Testing was performed in accordance with ASTM D1586-84 at
desired intervals to provide an index for estimating soil strength andensity. A drive hammer point
is first seated into the soil to insure that the cone is completely i e ded. The sliding 140-pound
hammer is then dropped from 30 inches. The number of blows required for the sampler to advance
6-inches is recorded and the process repeated for two additional )-inch increments. The last two
incremental readings are combined for the "N Value" indicated o the attached data sheet.
When properly evaluated, the Standard Penetration Resistance - alue) provides an index for
estimating soil strength and relative density. Typically a blow c un of 8 to 9 is approximately
equivalent to 95% of Standard Proctor Moisture Density Relations STM D-698 or 3,000 pounds
per square foot (psf), with generally a higher blow count indicative o higher densities.
GTSI field located the borings based on a drawing provided by WS -S LLS Engineering titled Soil
Boring Exhibit Sheet EX-1.0 dated 12/28/10. One boring labeled t ning basin #1 was advanced
within the approximate proposed basin area to a depth of thirty fee b low existing ground surface
elevation. The other two borings labeled as creek north and creek s ut were extended to a depth of
twenty feet below existing ground surface elevation.
The creek borings encountered seven to nine feet of clayey fill soi underlain by sandy silty soils
with varying amounts of sand to termination. The BMA boring en o tered generally fine sandy
silty soils with some near surface traces of clay. Within the borings, (N) Values ranged from 26
blows per foot to refusal. A more detailed description of the soi s and blow counts obtained is
attached for your review. In conjunction with penetration testing, oil samples were collected and
classified in the field by trained soil technicians. Soil types are indi at in the attached boring logs.
3.2 General Subsurface and Bearing Conditions
Based on the plan review and field observations a sewer main is 1 cat d under the planned creek
crossing structure. As previously mentioned a sewer lateral also exists south from the sewer main
within the limits of the dirt road. For the proposed pipe crossing st ct re GTSI anticipates a 2500
psf bearing elevation at or near approximate elevation of 702. This elevation is located in residual
fine sandy silts. Water table readings were obtained at boring Jerinination only. Due to the
consistency of the soils the north side was dry and the south side re o ed at elevation 700. Water
tables may be expected to fluctuate but can be considered to be at xis ing creek elevation. GTSI
closed the creek crossing borings on completion due to noticeable foot traffic possibly from the
restaurant.
2
The BMP boring was extended to a depth of thirty feet below e:
Red/brown clayey silts were encountered in the upper five +/-
mainly fine sandy silts. SaproIite or severely weathered rock saml
silt was encountered from approximate elevation of 718 to be
elevation of 700. GTSI understands that the elevation of the pla
Laboratory testing of a sample of this soil indicated it to be
Classification of ML. The sample was obtained at or near the F
The results of the field exploration boring logs are summarized in
stratifications presented in the soil descriptions represent our inter
during the performance of the borings. The stratification lines repr
between soil types. The actual transitions may be more gradual d
attached report for additional detail located in the Appendix.
3.3 Measured Groundwater Levels
GTSI did encounter groundwater in the creek crossing south
elevation of 700. A 24 hour water table reading in the BMP#1
elevation 705.
3.4 Measured Rock
GTSI did encounter (rock) or auger refusal during the
crossing south location at approximate elevation of 693.
3.5 Seismic Site Classification
Based on extensive site evaluations within the planned project
1615. 1.1 of the IBC (International Building Code), GTSI assigns
4.0 ENGINEERING EVALUATION AND RECOMMENDA'
4.1 Pipe Crossing
For the pipe crossing structure as previously mentioned an anticipa
at elevation 702. Actual bearing elevation should be verified by fie
the structure. Once bearing elevation is verified a base consisting
used to bed the pipe and headwall structure. Compactive effort sho
of the surge stone. Upon installation of the twin 72 inch pipes the
one third of their height with quarry screenings.
ig ground surface elevation.
The underlying soils were
s black-gray and white sandy
termination at approximate
bottom of the BMP is 708.
plastic with a Unified Soil
bottom elevation.
port in the Appendix. The
ion of the soil encountered
the approximate boundary
nplied. Please refer to the
at approximate
recorded at approximate
of the boring at the creek
and according to Section
s D site classification.
aring elevation is assumed
:ing during, excavation for
urge type stone should be
utilized during placement
should be cradled at least
3
4.2 BMP #1
Based on the data obtained the soils within the limits of the BMP
to boring termination at approximate elevation 699. Water tab]
approximate elevation of 705 or three feet below the planned b
GTSI would suggest the placement of a clay soil liner with a minin
This would require over excavating the BMP to accommodate I
alternative would be the installation of a synthetic liner. Shoulc
selected, extreme care would have to be used during future maint
liner.
5.0 QUALITY CONTROL
We recommend establishing a comprehensive quality control pi
and pipe foundation construction is conducted in accordance
specifications. If required, Ground Technological Services,
materials testing and inspection services.
6.0 REPORT LIMITATIONS
These preliminary analyses and recommendations submitted Y
obtained from the soil borings presented on the attached logs and
This report does not reflect any soil variations, which may occur b
Figure 1, Boring Location Plan. The nature and extent ofthe variat
become evident until or during construction commences. If var
characteristics of the variations should be evaluated, and it will
recommendations presented in this report.
This report has been prepared in accordance with generally
engineering practices. In the event any changes occur in the de
proposed facilities, Ground Technological Services, Inc. she
conclusions and recommendations in this report. We also reco:
modifications to the final design and specifications by our offic
foundation recommendations are properly interpreted and implem(
list of permeable sandy silts
Eidings were recorded at an
n of BMP at elevation 708.
three feet across the bottom.
ment of the clay. A second
use of a synthetic liner be
ice so as not to damage the
i so that all site preparation
the appropriate plans and
)enver office, can provide
are based upon the data
wined loading conditions.
n the borings presented on
:tween the borings may not
then appear evident, the
cessary to re-evaluate the
pted soil and foundation
nature, or location of the
;view the applicability of
d a review of any design
,nsure that earthwork and
n the design specifications.
to
4
APPENDIX
1. Association of Soil and Foundation Engineers (ASFE)
2. Boring Location Plan, Figure 1
3. Report of Standard Penetration Resistance Testing
4. Laboratory Testing
Geolechnical ?,En. ineerl
WOPOUPI S®ruicWM?fnrt?d felt, • elevation, configur ion location, orientation, or weight of the
gosos, Perris, and PP*Cts proposed structure,
Geotechnical engineers structure (half services to meet the specific needs of • composition of the desi In team, or
their clients, A geotechnial engineering study conducted for a civil engi- • project ownership.
veer may not fulfill the needs of a construction contractor or even another
civil engineer. Because each geotechnical engineering study is unique, each Asa general rule, alwa inf rm your geotechnical engineer of project
geotechnical engineering report is unique, prepared solely for the client. No changes-oven minor ones. and request an assessment of their impact.
one except you should rely on your geolechnial engineering report without Geolechnical engineers ca of accept responslbOy orhaltfyy for problems
first conferring with the geolechnical engineer who prepared it. And no one that occur because thell to rtsdo not consider devel'apmerits of whit It
---notemnyou-should apply the report for any purpose, or project they are not informed
except the one originally contemplated.
StubsuMace CO IN W Can CWM
Read the f d Report A geotechnical engine ing port is based on conditions that existed at
Serious problems have occurred because those relying on a geotechnical the time the study was rfo med. Do not rely ona geolechnical engineer-
engineering report did not read it all. Do not rely on an executive summary, inrg repod whose adeq cy y have been affected by: the passage of
Do not read selected elements only. time; by man-made eve Is, ch as construction on or adjacent to the site;
or by natural events, stich as floods, earthquakes, or groundwater fluctua-
k GeoWllinkid higi =ft ofht IS 10e0 00 Lions. Always contact th g technical engineer before applying the report
A MOM Set of PRIM-800C Factors to determine if it is stilt lia Ie. A minor amount of additiariai letting or
Georechnical engineers consider a number, of unique, project-specific fac- analysis could prevenl jor problems,
tors when establishing the scope of a study. Typical factors include: the
client's goals, objectives, and risk management preferences; the general Most Geotec al ndbas Are Proffessloinal
nature of the structure involved, its srre, and configuration: the location of aplffl11=
the structure on the site; and other planned or existingsite improvements, Site exploration identifle su surface conditions only at thosepoints vihere
such as access roads, parking lots, and underground utilities. Unless the subsurface tests are con uct d or samples are taken. Geotechnlcal engi-
geotechnical engineer who conducted the study specifialiv' indicates oth- neers review field and la ora ry data and then apply their professional
erwise, do not rely on a geotechnical engineering report that was; judgment to render an o 'nio about subsurface:conoifions throughout the
• not prepared for you, site. Actual subsurface ndl ions may differ=sometimes significantly-
• not prepared for your project, from those indicated in our eppd., Retaining the geotechnical engineer
• not prepared for the specific site explored, or who developed your rep t to provide construction ouservation is the
• completed before important project changes were made. most effective method of ma ng the risks associated with unanticipated
conditions.
Typical changes that an erode the reliability of an existing geotechnical
engineering report include those that affect: A Report's R motions Are Not HW
• the function of the proposed structure, as when it's changed from a bo not overrely on the c str lion recommendations included in your
parking garage to an office building, or from a fight industrial plant report. Thoserecommen tia sure not final, because geotechnical engi-
to a refrigerated warehouse, neers develop Item prin !pall from judgment and opinion. Geotechnical
engineers can finalize t irr ommendations only by observing actual
subsurface conditions revealed during construction. The geotechnical
engineer who developed your report cannot assume responsibility or
liability for the nporrs recommendations if that engineer does not perform
construction observation.
A GeoteC *al nMwb* Report is. Su*ct to
IVllshlterpl'iotIQ
Other design team members' misinterpretation of geotechnkal engineering
reports has resulted in costly problems. Lower that risk by having your geo-
technical engineer confer with appropriate members of the design team after
submitting the report. Also retain your geotechnical engineer to review perti-
nent elements of the design leam's plans and specifications. Contractors can
also misinterpret a geotechnicat engineering report. Reduce that risk by
having your geotechnical engineer'padicipate in prebid and preconstruction
conferences, and by providing construction observation.
Do Not Redraw the ftllil er's logs
Geotechnical engineers prepare final boring and testing logs based upon
their interpretation of field logs and laboratory data. To prevent errors or
omissions, the togs included in a geolechnical engineering report should
never be redrawn for inclusion in architectural or other design drawings.
Only photographic or electronic reproduction is acceptable, but recognize
that separating logs trom the report carrelevale risk.
Give ContraCtors'a Co111111ll10te Report Md.
GUMOM
Some owners and design professionals mistakenly, believe they ran make
contractors liable for unanticipated subsurface conditions by limiting what
they provide for bid preparation. To help prevent costly problems, give con-
tractors the complete geotechnical engineering report, bafpreface it with a
clearly written letter of transmittal, In that letter, advise contractors that the
report was not prepared for purposes of bid development and that the
report's accuracy is limited; encourage them to confer with the geolechnical
engineer who prepares the report (a modest fee may be required) and/or to
conduct additional study to obtain the specific types of information they
need or prefer, A prebid conference can also be valuable. Be sure conlrac-
Us have sufficient Aineto perform additional study. Only then might you
be in a position to give contractors the best information ava`lable to you,
while requiring them to at least share some of the financial responsibilities
stemming from unanticipated conditions.
Read Respons?lllty PrOVisla0 Closely
Some clients, design professionals, and contractors do not recognize that
geotechnical engineering is far less exact than other engineering disci-
plines, This lack of understanding has cleated unrealistic expectations that
have led to disappoint , claims, and disputes. To help reduce the risk
of such outcomes, ge ech ical engineers commonly include a variety of
explanatory provision in t eir reports. Sometimes laoeled'9imitations"
many of these provisi ns t dicate where geotechnical engfrteers' responsi-
bilitfes begin and end, to h Ip others recognize theirown responsibilities
and risks. Read these rove ions closely. Ask questions:. Your geotechnical
engineer should r d f ty an
espo frankly.
Gooet?Vllnot?me
m td Compne Are Not$overed
The equipment, fechni ues, and personnel used to perform a gemnviron-
menlal study differ sig 'fica tly trom.lhose used to perform a geolechnical
study` For that reason, ge technical engineering report does not usually
relate any geoerpiiron Ma findings, conclusions, or recommendations;
e.g.; about the likeliho of countering underground storage tanks or
regulated contaminant U niicipated environmental prr?blerrrs have lest
to numerous project fa ur If you have not yet obtained your own geoen-
vironmental informatio , as your geotechnical consultant for risk man-
agement guidance. Do of r y on an environmental report prepared for
someone else.
DhM Prolll>sssl a Asslstamce To 00 MM Mold
Diverse strategies can b ap tied during building design, construction,
operation, and mainten ce prevent significant. mounts of mold from
growing on indoor surf s. o be effective, all such strategies should be
devised for the express rp se of mold prevention, integrated into a com-
prehensive plan, and eK cute with diligent oversight by a prolessional
mold prevention consultant, ecause just a small amount of water or
moisture can lead to the de lopment of severe mold infestations, a num-
ber of mold prevention rate ies focus on keeping building surfaces dry.
While groundwater, ware inti tration, and similar issues may have been
addressed as part of the of finical engineering study whose findings
are conveyed in Ihis re rl, I e geolechnical engineer in charge of this
project is not a mold pr enti n consultant; none of. the services per-
formed !n connecdo rtrl the geolechnical engineers study
were designed or co d ed for the purpose of mold preven-
tion. Proper lmple to on of the recommendations conveyed
In this repod will oo of f effbe sufficlent to prevent mold from
growing in or an the ure involved.
Re1W on Yoar-A C?ateChnc?al
En ter for AS*UMW
Membership in ASFEtth 6e t People on Earth exposes geotechnicaf
engineers to a wide aria f rf management techniques that can be of
genuine benefit for every no I volved with a construction project. Confer
with you ASFE-member eote hical engineer for mere information.
ASFE
i'N
.
I
I ;
N
BY. G ROUND COTTONWOOD MULTI-USE DEVELO M NT SCALE: N.T.S.
DENVER, NC
T ECHNOLOGICAL SOIL BORING LOCATION DIAG i DRAWN BY: GJB
S ERVICES BMP #1 & CREEK CROSSING DATE: 3-10-11
I NC. FOR:
73/16 PARTNERS LLC j GTSI-CM201102-38
GEOTECHNICAL DRILLING RESUL
ELEV.
FT. DESCRIPTION BLOWS PER SIX INCHES
N-VALUE
729.0 Surface WA N/A
Red Brown Clayey Silt
.5
720.0
710.0
700.0
Brown Silt Tan
Light Tan Silt
White Gray Black Fine Sandy
Silt w/ Trace to Some Rock Frag
725.0
5-6-7 13
3-3-4 7
720.0
3-4-8 1 12
715.0
LL
s
a
3-2-2 4
710.0
3-7-9 16 11 705.0
2-4-7 1 11 1 700.0
695.0 -N
0
BLOWS VS. DEPTH
20 30
(Blows)
BORING NUMBER: Retaining Basin #1
BORING TERMINATION: 699.0 DATE DRILLED: 3/3/2011
WATER TABLE AT TERMINATION: WA PROJECT NUMBER: CM 201102-38
CAVE-IN ELEVATION AT TERMINATION: 702.0 PROJECT: Cottonwo Village-Denver, NC
WATER TABLE AT 24 HOURS: 705 CLIENT: Erich Hahne
HIS RECORD IS A REASONABLE INTERPRETATION OF SUBSURFACE
CONDITIONS AT THE EXPLORATION LOCATION. SUBSURFACE CONDITIONS
T OTHER LOCATIONS AND AT OTHER TIMES MAY DIFFER. INTERFACES GROUND T CH OLOGICAL SERVICES, INC.
ETWEEN STRATA ARE APPROXIMATE TRANSITIONS BETWEEN STRATA
MAY BE GRADUAL
GEOTECHNICAL DRILLING RESUL
ELEV.
Fr. DESCRIPTION BLOWS PER SIX INCHES
N-VALUE
712.0 Surface N/A N/A
Gray Brown Clay
w/ some Organics
(Possible Fill)
710.0
708.0
703.0
Gray Black Sandy Silt
2-2-2 1 4
3-4-5 9 705.0
3-3-4 7
LL
L
Q
d
'90.0
698.0 10-11-15 26
White Gray Black Silt w/ Sand
695.0
693.0 Hard Rock-Refusal 50/100
Sample as Gray Silt
w/ Coarse to Fine Sand
690.0
0 10
BLOWS VS. DEPTH
30 40
(Blows)
50
BORING NUMBER: Creek South
BORING TERMINATION: 693.0 DATE DRILLED: 3/3/2011
WATER TABLE AT TERMINATION: 700.0 PROJECT NUMBER: CM 201102-38
CAVE-IN ELEVATION AT TERMINATION: WA PROJECT: Cottonwoo Vil age-Denver, NC
WATER TABLE AT 24 HOURS: N/A CLIENT: Erich Hahne
HIS RECORD IS A REASONABLE INTERPRETATION OF SUBSURFACE
i
CONDITIONS AT THE EXPLORATION LOCATION. SUBSURFACE CONDITIONS
T OTHER LOCATIONS AND AT OTHER TIMES MAY DIFFER. INTERFACES GROUND T CH OLOGICAL SERVICES, INC.
BETWEEN STRATA ARE APPROXIMATE TRANSITIONS BETWEEN STRATA
MAY BE GRADUAL
GEOTECHNICAL DRILLING RESULTS
ELEV.
FT. DESCRIPTION BLOWS PER SIX INCHES
N-VALUE
711.0 Surface N/A N/A
Gray Brown Silty Clay w/ Sand
$, Mica w/ Trace of Organics 710.0
(Possible Fill)
707.0 1-1-1 2
705.0
704.0 3-2-6 8
702.0 2-3-6 9
White Gray Black Fine Sandy Silt
w/ Soft Weathered Rock
r
710.0
O
697.0 6-8-9 17
White Gray Black Silt
w/ Soft Weathered Rock
695.0
8-8-7 1 15
BLOWS VS. DEPTH
690.0
0 1 20 30
P negation (Blows)
BORING NUMBER: Creek North
BORING TERMINATION: 692.0 DATE DRILLED: 3/312011
WATER TABLE AT TERMINATION: DRY PROJECT NUMBER: CM 201102-38
CAVE-IN ELEVATION AT TERMINATION: N/A PROJECT: Cottonwoo VII ge-Denver, NC
WATER TABLE AT 24 HOURS: N/A CLIENT: Erich Hahne
HIS RECORD IS A REASONABLE INTERPRETATION OF SUBSURFACE
CONDITIONS AT THE EXPLORATION LOCATION. SUBSURFACE CONDITIONS
T OTHER LOCATIONS AND AT OTHER TIMES MAY DIFFER. INTERFACES GROUNDT CH?OLOGICAL SERVICES, INC.
BETWEEN STRATA ARE APPROXIMATE TRANSITIONS BETWEEN STRATA
MAY BE GRADUAL
Project: Cottonwood Village Job # C201102-38
Location of Project: Rt 73 west of Rt 16 Boring # BMP Samplet 1
Description of Soil Tan Brown Silty/Sand w/ Trace of Clay
Test Performed by: D.A. Fuller Date of Test: 3/7/2011
Depth of Sample 5'
Litit id I imit notorminafinn
Can No. NAT. MOISTURE A F D
Wt. of can + wet soil 310,00 37.00 32.10 28.00
Wt. of can + d soil 252.60 31.70 28.20 31.40
Wt of can 110.00 21.00 20.80 21.10
Wt. ofd soil 142.60 10.70 7.40 10.30
Wt. of moisture 57.40 5.30 3.90 6.60
Water content, w% 40.00 50.00 60.00 70.00
No. of blows, N 27 30 17
70
60
so
40
30

0

v
o I
U
1

Flow index F,= 45
Liquid limit = 60
Plastic limit = 50
Plasticity index Ip= 10
PI
,u 70 zu Z5 M 40 60 80 100
No. of blows, N
Plasfic I imif naforminafinn
Can No_ G H 7
Wt. of can + wet soil 9.90 10.30 9.60
Wt. of can + d soil 9.70 9.70 9.20
Wt of can 8.80 8.80 7.90
Wt. ofd soil 0.90 0.90 1.30
Wt. of moisture 0.20 0.60 0.40
Water content, w% 30.00 70.00 40.00
Project: Cottonwood Village Job # C201102-38
Location of Project: Rt 73 west of Rt 16 Boring # BMP Sampl 2
Description of Soil Tan Brown Silty/Sand w/ Trace of Clay.
Test Performed by: D.A. Fuller Date of Test: 3/7/2011
Depth of Sample 20'
Liau.*d Limit Determination
Can No. T. neoisTU G H C
Wt. of can + wet soil 310.00 40.50 43.30 45.00
Wt. of can + dry soil 260.70 35.40 37.60 39.30
Wt of can 110.00 20.60 20.40 23.20
Wt. of dry soil 150.70 14.80 17.20 16.10
Wt. of moisture 49.30 5.10 5.70 5.70
Water content, w% 24.70 34.00 33.00 35.00
No. of blows, N 19 24 17
35
34
33
32
31
30
I

k

0
U
N

10 15 20 25 30 40 60 # 100
No. of blows, N
Flow index F, = 32
Liquid limit = 32.9
Plastic limit= 29.5
Plasticity index lp = 3.4
ML
Plastic Limit Determination
Can No. G F C
Wt. of can + wet soil 9.50 9.60 8.90
Wt. of can + dry soil 9.30 9.40 8.90
Wt of can 8.80 8.90 8.30
Wt. of dr soil 0,50 0.50 0.50
Wt. of moisture 0.20 0.20 0.10
Water content, w% 28,60 40.00 20.00
uu)314 BOOK 15 9 5 PAGE 763
LINCOLN Tuesday, June 01, 2004

01"
STATE OF
$1,876.00
,%) NA Real Estate
, Excise Tax
1473
Ri
Excise Tax $ /9 76 . pO
NORTH CAROLINA, LINCOLN COUNTY
The following certificates of Margaret Ross,
Notary Public of Catawba County, NC, are
certified to be correct. Presented for registration
and recorded June 1, 2004, at 10:55 AM in Book
1595, Page 763.
ELAINE N. HARMON
Register of Deeds for Lincoln County, NC
BY: _ A
O. OMM1I/l . X.1
Depu /Assistant Register of Deeds
Tax Lot No. ,3<Z`?/
Verified by County on the day of 2003
by
Mail after recording to James M. Talley, Jr., Horack, Talley, Pharr & Lowndes, 301 S College St, 2600 One Wachovis
Center, Charlotte, NC 28202-6038
This instrument was prepared by James M. Talley, Jr.
Brief Description for the index 10.72 Acres, North Carolina
F Highway73, Lincoln County
NORTIJ 9AROLINA GENERAL WARRANTY DEED
THIS DEED made this day of /','2004 by and between
GRANTOR
John H. Reeves and Linda K. Reeves
(as tenants in common), each owning a twenty-five
(25%) percent undivided interest, and
Gwenlo F. Gore f/k/a Gwenlo F. Williard (as a tenant in
common), owning a fifty (50%) percent undivided
interest, and husband, Carl E. Gore
GRANTEE
Shoreline Property Management, Inc.
18115 West Catawba Avenue
Post Office Box 2001
Cornelius, North Carolina 28031
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.g., 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 Lincoln County, North Carolina and more particularly described
as follows ("the Property"):
See Exhibit A attached hereto and made a part hereof
793 9?
For earlier instruments dealing with the Property, see Book / 2Z Page of the Lincoln County
Public Registry. IF7 52-7
TO HAVE AND TO HOLD the aforesaid Property 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 Property in fee simple, has the right
HTPL: 218147.1
BM 1595PAGE 764
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 set forth on Exhibit B attached hereto and made a part hereof (the "Permitted Exceptions").
The interests conveyed hereby are as follows:
John H. Reeves - 25% undivided interest
Linda K. Reeves - 25% undivided interest
Gwenlo F. Gore fka Gwenlo F. Willard - 50% interest
IN WITNESS WHEREOF, the Grantors have caused thi.,
and year first above written.
c<:2, &" LeJ -F,?a eC?rJ?t F? /Cry ??,2vc2J
Gw o F. Gore f$t/a F. Williard
Carl E. Gore
HTPL: 218147.1
BOOK iMpaE 7 6 5
SEAL- STATE OF NORTH ARO INA
STAMP COUNTY OF CCCaI!/ dl
,``R,ttYVpnillllligl/;,,?',r
;,^arv la;?E r ji'0? ,y Before me, the undersigned Notary Public in and for the County and State aforesaid,
?? .• v? = personally came John H. Reeves and acknowledged the due execution of the
c : NO n?? 3 foregoing instrument in writing for the purposes therein expressed.
%
WITNESS my hand and notarial stamp or seal, this of day of
n : f='ZI1 ?G : `v` 2004.
''` oeA COV Notary Public _
My Commission Expires: 7?? 2 - Z d0I
STATE OF NORTH CjJROLI A
. ?, ,; •, S •>_ COUNTY OF G'd.. (Al OL
r•?°' g Before me, the undersigned Notary Public in and for the County and State aforesaid,
U personally came Linda K. Reeves and acknowledged the due execution of the
?•: ??:,%? ;,_?? ,• -_9 foregoing instrument in writing for the purposes therein expressed.
... % • U '1011 WITNESS my hand and notarial stamp orI'seal, ? this day of
?'••?,,,., AKICu 2004. G2?(?i% /???•
1 Notary Public
My Commission Expires: 7-.Z2 - Gds '
?PFt?T Rp??
Q• "•• S STATE OF NORTH CAR LINA
r• OUNTY OF Lc+-+a U% CA-
• ?efore me, the undersigned Notary Public in and for the County and State aforesaid,
,: •4CJ U iersonally came Gwenlo F. Gore f/k/a Gwenlo F. Willard and acknowledged the due
0'•,=''' •" s execution of the foregoing instrument in writing for the purposes therein expressed.
9 ,l? \??\ WITNESS my hand and notarial stamp or seal, this z c? day of
2004.
04Notary Publi
My Commission Expires: 7- iZ Z -;&LI T?
., • •?ip'>- STATE OF NORTH CjpAROL1 NA
Q; •T^ • °•. S COUNTY OF C.6t fvtW/J'rk
A n,? 9 Before me, the undersigned Notary Public in and for the County and State aforesaid,
C / ill s? a{j s personally came Carl E. Gore and acknowledged the due execution of the foregoing
z,. •, ??, instrument in writing for the purposes therein expressed.
Ile,
- WITNESS my hand and notarial stamp or seal, this day of
2004.
otary Public
My Commission Expires: - 2 Z -
HTPL: 218147.1
BOOK 1595PA5E 766
The foregoing Certificate(s) of
is/are certified to
be correct. This instrument and this certificate are duly registered at the date and in the Book and Page shown
on the first page hereof.
REGISTER OF DEEDS FOR COUNTY
By Deputy/Assistant-Register of Deeds.
HTPL: 218147.1
BOOK 15 9 5 PAGE 7 f 7
Exhibit A
(10.72-Acre Parcel)
Being all that certain parcel of land situated in Catawba Springs Township, Lincoln County, North
Carolina and more particularly described as follows:
Beginning at a found V2" solid iron, said point being S 09°00'13" W 304.89 feet from a found 2"
solid iron and also being a point on the Wayne Ellis Nixon line (Deed Book 1107 Page 413), thence
with the southern line of Tract 2, N 74°21'26" E 799.70 feet to a found 1" solid iron, a common
corner with Lot 2 of Triangle Crossroads, LLC (Deed Book 1120 Page 397); thence S 31 '2717" W
547.71 feet to a found #4 rebar, a common corner with Lot 2 Triangle Crossroads, LLC and Lot 1
Dawal, LLC (Deed Book 975 Page 778); thence with the western line of Lot 1 Dawal, LLC
S 31027'17" W547.44 feet to a found #4 rebar, being a common corner with Lot 1 Dawal, LLC and
John Reeves (Deed Book 1226 Page 364), the next three courses and distances being new lines, then
S 05 ° 56'20" W 229.08 feet to a #4 rebar set on the right-of-way of Advance Avenue (Undeveloped),
thence with the right-of-way of Advance Avenue on a curve to the left, with a radius of 48.00 feet,
having a chord of S 81 °21' 16"" W 93.38 feet to a #4 rebar set; thence leaving said right-of-way S
25°37'29" W 10.34 feet to a found 1" solid iron, a common comer with John Reeves, now or
formerly (Deed Book 793 Page 289); thence with the Reeves line N 82°48'12" W 199.31 feet to a
found #4 rebar on the Nancy Little line, now or formerly (Deed Book 475 Page 606); thence with
the Little line N 07'l 5'00" E 573.56 feet to a found axle, a common comer with Nancy Little (Deed
Book 521 Page 427); thence N 07°09"53" E (passing through a found axle 324.30 feet) a total
distance of 378.81 feet to The Point and Place of Beginning. Containing 10.72 acres, more or less,
as shown on a survey by Chas. H. Sells, Inc., dated April 9, 2004, the same being Job No. 036298,
File Name 03629LEAGL.
FriPL:221534
BOOK 15 9 5 PAGE 7 6 8
EXHIBIT R
1. Lien of 2004 ad valorem taxes.
2. All valid and enforceable covenants, conditions, easements and restrictions of record.
3. Right-of-way in favor of Duke Power Company, recorded in Book 449, Page 316, Lincoln
County Public Registry.
4. Right-of-way Agreement regardingaccesstoN.C.Highway#73,recordedin Book 731, Page
561; which agreement was modified by Easement Agreement and Modification Agreement
recorded in Book 945, Page 360, Lincoln County Public Registry.
5. Storm Water Drainage Easement and Rip Rap Area contained in that Easement Agreement
and Modification Agreement recorded in Book 945, Page 360, Lincoln County Public
Registry.
6. Deed of Easement and Right-of--way in favor of East Lincoln County Water & Sewer
District, recorded in Book 948, Page 544, Lincoln County Public Registry.
7. Agreement for Access Easement and Construction, recorded in Book 1338, Page 725,
Lincoln County Public Registry.
8. Subject to right-of-way for Advance Avenue as shown on plat recorded in Plat Book 11,
Page 389, Lincoln County Public Registry.
221749.1
I •
OW513 BOOK 15 9 "7PAGE 121
NORTH CAROLINA, LINCOLN COUNTY
The following certificates of Margaret Ross,
Notary Public of Catawba County, NC, are
certified to be correct. Presented for registration D ulJ1J
and recorded June 3, 2004, at 12:45 PM in Book -0

?
V V
'V V
1597, Page 121.
OLN N%
LINC
Thursday, Juneo3,2004 ELAINE N. HARMON
STATE OF (? /?
OORTIJ ?p7?769.OV Register of Deeds for Li in County, NC
M
?{?0? Real Estate ??
YMAII
rit1
f
BY
E
i
T
?
0
m
J
:
xc
ax
se
V
? cm
14765 Deputy * Register of Deeds

a,3 Excise Tax $ Z7 uo NJ ?LN
Tax Lot No. _
Verified by ? County on the day of 12003
by
Mail after recording to James M. Talley, Jr., Horack, Talley, Pharr & Lowndes, 301 S College St, 2600 One Wachovia
Center, Charlotte, NC 28202-6038
This instrument was prepared by James M_ Talley, Jr.
Brief Description for the index 4.37Acres, Highway 73 North Carolina,
Lincoln County, North Carolina
NO TH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this day of 2004, b and between
GRANTOR GRANTEE
Carl E. Gore and wife, Gwenlo F. Gore; and Shoreline Property Management, Inc.
Bobby W. Smith and wife, Leslie H. Smith 18115 West Catawba Avenue
8269 Bright Water Lane Post Office Box 2001
Denver, North Carolina 28037 Cornelius, North Carolina 28031
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.g., 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 Lincoln County, North Carolina and more particularly described as
follows ("the Property"):
See Exhibit A attached hereto and made a part hereof
For an earlier instrument dealing with the Property, see Book 1277, Page 695 of the Lincoln County Public Registry,
whereby Grantor acquired the Property.
TO HAVE AND TO HOLD the aforesaid Property 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 Property 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 set forth on Exhibit B attached hereto and made a part hereof (the "Permitted Exceptions").
IN WITNESS WHEREOF, the Grantor has caused this instrument to be signed and delivered, the day and year
first above written.
Bou 15 9 7 PAGE 12 2
SEAL-
STAMP
?PU.PFIET hp??
,' t4
`e Se?y?At?y
r?,°.. ,• kl_
'f t'SF1 C03,0„`,.
N?kET
?U
E J B'

S?AGpAET R??
\rj
A CO's ++P?
STATE OF NORTH CAROLINA
COUNTY OF CC\.-? aul &k
Before me, the undersigned Notary Public in and for the County and State aforesaid,
personally came Carl E. Gore and acknowledged the due execution of the foregoing
instrument in writing for the purposes therein expressed.
WITNESS my hand and notarial stamp or seal, this 2 day of
:1 (/'1 i' , 2004.
Notary Public
My Commission Expires: -7 •- A2 - 261C' S
STATE OF NORTH CAR%)NA
COUNTY OF ?,rA ( kok_
Before me, the undersigned Notary Public in and for the County and State aforesaid,
personally came Gwenlo F. Gore and acknowledged the due execution of the foregoing
instrument in writing for the purposes therein expressed.
WITNESS my hand and notarial stamp or seal, this day of
2004.
/? Ud
Notary Public _
My Commission Expires: 7 - a-2 - ZC/UJ
STATE OF NORTH CAROLINA
COUNTY OF Cck i)A((/6(n
Before me, the undersigned Notary Public in and for the County and State aforesaid,
personally came Bobby W. Smith and acknowledged the due execution of the foregoing
instrument in writing for the purposes therein expressed.
WITNESS my hand and notarial stamp or seal, this t day of
f (t h 2004.
Notary Public
My Commission Expires: 7_ aZZ - ZdaS?
STATE OF NORTH CAROLIry A
COUNTY OF C Ck+Ck(1 bol
Before me, the undersigned Notary Public in and for the County and State aforesaid,
personally came Leslie H. Smith and acknowledged the due execution of the foregoing
instrument in writing for the purposes therein expressed.
my hand and notarial stamp or seal, this ( day of
e 2004.
My Commission
1'
HTPL: /221998 V I -DEED --GORES AND SMITHS TO SHORELINE -- 4.37 ACRES. DOC
BOOK 15 9 7 PAGE 12 3
Exhibit A
(4.37-Acre Parcel)
Being all that certain parcel of land situated in Catawba Springs township, Lincoln County, North
Carolina and more particularly described as follows:
Beginning at a computed point in the centerline of NC HWY 73, said point being S 74 °50'59" W
273.31 from a found 1" solid iron; thence with the centerline of NC HWY 73 S 53 °48'56" E 274.77
feet to a computed point; thence leaving the centerline of said right-of-way S 10'12'04" W (passing
through a computed point on the right-of-way of NC HWY 73 at 55.17 feet) a total distance of 62.84
feet to a found 1" solid iron, a common comer with Tract 1 and Lot 2 of Triangle Crossroads, LLC
(Deed Book 1120 Page 397); thence with the northern line of Tract 1, S 74°21'26" W 799.70 feet
to a found 1/2" solid iron, a point on the Wayne Ellis Nixon line (Deed Book 1107 Page 413); thence
with Nixon line N 09°00'13" E 304.89 feet to a found 2" solid iron, a common corner with Hope
Springs Builders, Inc. (Deed Book 952 Page 370) and Morrow Properties, LLC (Deed Book 1291
Page 713); thence with the Morrow Properties, LLC line N 74°50'59" E (passing through a found
#4 rebar on the right-of-way of NC HWY 73 at 466.87 feet) a total distance of 530.15 feet to The
Point and Place of Beginning. Containing 4.37 acres, more or less, as shown on a survey by Chas.
H. Sells, Inc., dated April 9, 2004, the same being Job No. 036298, File Name 03629LEAGL.
HTPL: 221534
BOOK 15 9'7 PAGE 124
EXHIBIT B
Lien of 2004 ad valorem taxes.
General Service Easement/Right-of-Way Agreement to Duke Powerrecorded in Book 302 at page
446, Book 449 and Page 307 and in Book 593 at Page 496, Lincoln County Public Registry.
Right of Way/Easement to State Highway Commission recorded in Book 443 at page 402, Lincoln
County Public Registry.
222011.1