HomeMy WebLinkAbout20211097 Ver 1_Shoreline Stabilization_20210714Submission 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 1.11MB
Pre -fling Meeting or Request Date 6/10/2021
ID# Version
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 * renatahawkins75@gmail.com
Rease provide an err -ail address for payrrent and requests for pure infornation here.
Owner Information:
Name: * Renata Hawkins
Email: * renatahawkins75@gmail.com
Phone Number:* (704)575-1982
(xxx)xxx-xxxx
Mailing Address:* Street Address
P.O. Box 3893
Address Line 2
City
State / Frovince / Region
Mooresville
NC
Fbstal / Zip Code
Country
28117
United States
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
info@cbcstoneandrecychng.com
(704)660-5111
(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 672.2KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Hawkins 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:* 35.548829
959.17KB
6.69MB
716.94KB
Longitude:*-80.898923
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 1.14MB
Buffer Form.pdf 1.02MB
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 7.2MB
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: * 112 Southwood Park Rd. Mooresville, NC 28117 Lot 13 Marine Village
Include phase/lot nunber
Directions to site:*
610 E Center Ave
Mooresville, NC 28115
Head south on Evergreen St toward E Center Ave
13 s (197 ft)
Turn right onto E Center Ave
2 min (0.5 mi)
Turn left onto S Church St
1 min (0.4 mi)
Take NC- 1100/Brawley School Rd to Stutts Rd
12 min (5.6 mi)
Turn right onto E Wilson Ave
1.5 mi
Continue onto NC- 1100/Brawley School Rd
1.0 mi
Continue straight to stay on NC-1100/Brawley School Rd
3.2 mi
Follow Stutts Rd to Southwood Park Rd
3 min (1.5 mi)
Turn left onto Stutts Rd
1.4 mi
Turn right onto Baywatch Dr
417 ft
Turn left onto Southwood Park Rd
Destination will be on the right
49 ft
112 Southwood Park Rd
Mooresville, NC 28117
Rease include road names and nunbers, Iandnaft etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Undeveloped Lot
Ibsidential, undeveloped, etc.
6. Property Size 0.46 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Dredge a 16' x 20' area for new dock. Dredge by land, haul material off
by land.
8. How will the work be done?* I7 From Land
r 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.)
59.25 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 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.
Sketch: Dredge Application.pdf 10.92MB
Dredge Spoils Info.pdf 7.07MB
Sketch.pdf 292.47KB
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):
a $240.00 for impacts to lake (below normal water level) of less than 1 acre
a $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
a 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.
a 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");
a 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");
a 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:* JaniceFstep
Signature:
Initial Review
Is this accepted into the review
process?*
Project Number:* 20211097
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
Alan Johnsomeads\adjohnsonl
Mooresville Regional Office - (704) 663-1699
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification
r $240.00
f $570.00
Submittal Information
ID# 20211097
Project Name: Hawkins Dredge
Is this a transportation project?
Non -DOT
App Received Date:
Contact Emails
renatahawkins75@gmail.com
County (or Counties)
Iredell
Version: 1
Application Type:
Buffer Authorization
Web Access URL: https://edocs.deq.nc.gov/Laserfiche/indexaspx?
db=WaterResources#id=1907582;view=browse
Public URL: https://edocs.deq.nc.gov/WaterResources/Browse.aspx?dbid=0&startid=1907582
Payment Information
Fee Received* r Yes
f No - Application withdrawn by Applicant
r No - On hold for more than 30 days - application returned
Date Fee 7/14/2021
Received:*
Select Reviewer:* Alan Johnson:eads\adjohnson1
Select Reviewing Office:*
Mooresville Regional Office - (704) 663-1699
Contact Name*
Contact Email Address*
Project Owner*
Project Name *
Project County*
Owner Address:*
Is this a transportation project?*
Janice Estep
info@cbcstoneandrecycling.com
Renata Hawkins
Hawkins Dredge
Iredell
Street Address
112 Southwood Park Rd.
Address Line 2
aty
Mooresville
fbstal / Zp Code
28117
r' Yes r° No
Type(s) of approval sought from the DWR:
I'- 401 Water Quality Certification - l- 401 Water Quality Certification -
Regular Express
r Individual Permit r Modification
W Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes r No
State / Rovince / Re io r
NC
Country
United States
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 and include location information.*
Dredge a 16'x20' area for new dock. Dredge by barge, material
hauled out by land
By digitally signing below, I certify that 1 have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
• This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
• 1 understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
• 1 also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature III
Submittal Date 6/10/2021
H
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DREDGE SPOIL DISPOSAL FORM
'38111
Project Name/address: J')_ �jo�,}���a���arK ( resVkiM County: reCACAI
Location Address: (,38�arm8c1. ffloonff-su,flfy N( a$1IS
Parcel M_ 4-11 of a Q t Q f D L{
Parcel/lot size (, , 4 Q aCre,,;�
Disposal area required (sq ft and/or acreage) 100199
Acknowledgement o Notification
I, am aware that the site must adhere to all state regulations
and rules regarding secli . me4 and erosion control and water quality. And give permission for
Name of Individual and Company
to dispose of their dredge material at the above stated location
Owner:
Print
Date: tdlqlal
Along with form, please provide:
Aerial of parcel/lot (County GIS)
Photo of proposed spoil site
Identified proposed spoil site
Signature
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STATE OF NORTH CAROLINA
IREDELL COUNTY
I certify that this mop was drawn from an actual survey made Under my
supervision The unadjusted ratio of precision as calculated is 1': 10,000i
Boundaries not surveyed, if any, ore noted. Deed descriptions ore recorded in ok, ns
Page shown ,Witness my hand and seal this 4i^ day of 3UNE 2019.
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LEGEND
LINES SURVEYED
LINES NOT SURVEYED — — — — — —
Professiannl Land Surveyor
L-3703
NOTES:
• ALL DISTANCES ARE HORIZONTAL GROUND DISTANCES
UNLESS OTHERWISE NOTED.
a AREA BY COORDINATE COMPUTATION.
a PROPERTY SUBJECT TO ANY VAUD & ENFORCEABLE
EASEMENTS, RESTRICTIONS & RIGHTS OF WAY OF RECORD.
• SURVEY IS BASED ON PHYSICAL EVIDENCE AND EXISTING
MONUMENT FOUND DURING THE SURVEY.
• PROPERTY CORNER PIPE SIZES AS SHOWN ARE NOMINAL
INSIDE DIAMETER,
TO SCALE
L1
I NI4'58'43"E
60.30
L2
N64'57'57"E
24.31
L3
f S71'07'33"E
40.80
L4
S63'06'35"E
95.21
L5
S06'S5'28"E
4653
L6
N78'30'12"W
170.16
L7
I 554'19'3R"F
89 R9
TIE LINES -----'----
1 .�
OVHD DISTRIBUTION UNE — —
PIN 466B-30-1353
/
(OVERHEAD)
OAKRIDGE STORAGE,
LLCM--
R/W LIMITS
0.8. 2521 PG. 2033
/
R2, TRANSMISSION 0 NO MONUMENTATION
POWER UNLESS OTHERWISE
POLE
CENTERLINE NOTED
! /
C PROPERTY LINE
/
(F) DENOTES "FOUND"
(S) DENOTES "SET'
PIN 4668-20-8185
BRIDGES PROPERTIES, LLC
NTS DENOTES 'NOT TO SCALE"
D.S. 1602 PG. 1912 /
LOT #1—P.1 36 PG_ 150 /
CONCRETE
MONUMENT (F)
/ f
N 679940.48 FT
E 1462951.44 FT
NAD 83(2011)
/
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t
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4�U42
4 //
UUej PIN 4667-29-6642
rn /
BRIDGES 3
N n /
PROPERTIES, LLC �o
m o"1
D.B. 1602 PG. 1912
ff
v o w !
H n
PIN 4667-39-0000
ARGOS USA LLC
STAGING AREA
D.B. 2016 PG. 49B1(CO)
/
/
0.227 ACRE
DUKE ENERGY
TRANSMISSION LINE
L7—(TIE
P_33 _ 7'RgNSM! LINE ON
NAIL (F) AT BENT
#4 REBAR (F)
BENT #4
j
S%8'3g,�; 35
N 679337.77 FT
E 1462830.56 FT'
/REBAR (F)
— �� _ E
83(2011)
_ _
j j culsslory LtN �_ l L
M1NAD
- M
/f
GRAPHIC SCALE k E Z PIN 4667-29-5304
PCMFORI.ESS HOL➢INGS, LLC
4 75 /50
D.B. 2t80 PG. 1029
LOT #2—P.B. 26 PG. 73
LNS FILE NO.:
519051
DWG NO.:
S19051
( IN FEET)
SURVEYED BY:
N.D. WHITLI
DRAWN BY:
N-D_ WHITLI
1 inch = 150 ft.
CHECKED BY:
J.R. HOBE
TAX ID: 9-6642
FOR SOURCECE OF OF TITLE REFER TO D.BK. 1602 PG. 1912
PROPERTY OWNED BY
BRIDGES PROPERTIES, LLC SURVEY AND MAP PREPARED 8Y.
SURVEY SHOWING LOCATION OF LAn NORMAN SURVEYING
STAGING AREA & MAPPING PUC IIP-0190
CODDLE CREEK TOWNSHIP IREDELL COUNTY, N.C. 137 Jennings Rood, Suite C
SCALE: 1" = 150' DATE OF SURVEY: JUNE 3, 3019 Statesville, North Carolina 28625
BOOK: NA DATE OF MAPPING: JUNE 3, 2019 (704) 876-4450 Fox (704) 876-4451
J
MINIMUM
INIIIII NIIUM
Recorded: 41%23f2000440atT01.28 00 PH
Fee Amt: $674.0o P.Oe 1 of 3
EXelSO Tax: $654.00
Iredell Countv. Nc
Brenda D..� 8011 iiAepistter of Deeds �1
ax 1602 Pa 1912-1914
Excise Tax $654.00
Tax Lot No_ Parcel Identifier No 4667-29-6642 and 4668-20-8185-4.34
Verified by............................................................................... County on the .......... day of ................
b
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 made "s22nd.... day of November 2004, by and between
GRANTOR GRANTEE
Donald Ray Snyder and wife, Bridges Properties, LLC
Victoria A. Snyder, 628 Oak Ridge Farm Hwy
a/k/a Mooresville, NC 28115
Vicotira A, Snyder
Enter in appropriate block for each party; name, address, and, if appropriate, character of entity,
e.q. corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns
and shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does, grant, bargain, sell and convey unto the Grantee in fee simple, all
that certain lot or parcel of land situated in the City of Township, Iredell County,
North Carolina and more particularly described as follows:
See Exhibit "A" attached hereto and made a part hereof
The property bereinabove described was acquired by Grantor by instrument recorded in Book ,,,,,,,,,,,,,, Page ........,
A map showing the above described property is recorded in Plat Book. . ............. Page .........
TO HAVE AND TO HOLD the aforesaid lot or parcel of Iand and all privileges and appurtenances thereto belonging to the
Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same
in fee simple, that tide is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title
against the lawfid claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the property herein -
above described is subject to the following exceptions:
All easements, restrictions and rights of way 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 WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed
in its corporate name by its duly authorized officer(s) by authority of its Board of Directors, the day and year first above written,
...,. ..._...(Corporate Name) .. .. ._
A)
ZI DonaoRay Snyd
0
r . A4t-.s.r.�,, . tr.'.,:...5 %�4,j. c' sr.2� ,. (SEAL)
..................................... President
Attest: v Victoria A. Snyder
m ... (SEAL)
.......................... Secretary vW,
r•
i ,,tyOTAgy'
``_Y9� '4fJ8L1G 'r.i r
(SEAL)
.......... I., .................
NORTH CAROLIIVA &4<_ CO,
I, a Notary Public of the County and State aforesaid, certifyfi
SNyder, Grantor, personally appeared before s
foregoing instrument Witness my hand and o ial s n
My Commission Expires:. /0/% P�
................................ (SEAL)
Snyder and Victoria A.
�22ndj.y
ledged a execud n of the
vember 004.
................Notary lic
NORTH CAROLINA................................ COUNTY.
I. a Notary Public of the County and State aforesaid, certify that .......... .
...................................................... ..................... Grantor, personally appeared
before me this day and aclmowledged that he/she is .............. ........ of
................................................................................................................. a
corporation, and that he/she as. ................ ..., being authorized to do so, exe-
cuted the foregoing instrument on behalf of the corporation. Witness my hand and official stamp or
seat this .................. day of ..._............. .. 2004.
My Commission Expires: .................. .,.......Notary Public
The foregoing Certificatc(s) of.,.,
Ware certified to be correct, This instrument and this certificate are duly . " te2-t�a.ndtimwe he Book and Page
s f
e trst p e e f
•- •.•• ter Deeds forkounty
. . „_,_.......... . .. ................. Deputyl-A&S e"t—Register of Deeds
EXHIBIT "An
TRACT I: BEING all of that certain 6.49 acre tract located in Coddle Creek Township, Iredell
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 ft. right of way for NC Hwy 150 By-pass,
said point being located North 36-17-36 East 2,458.39 ft. (Ground) from NCGS Monument "Run
In" N: 206,469354 meters E: 445,280.693 meters Dated: 1991 NAD 83; thence continuing from
said point of Beginning and along the centerline of the right of way for NC Hwy 150, North 36-
22-16 East 561.58 ft. to a point; thence leaving said right of way and running with the line of
Whitman property (now or formerly) South 64-06-48 East 49.90 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 1t2" pipe; thence continuing with another line of Whitman property North 40-1943
East 305.82 ft. to an existing I" pipe; thence North 71-18-07 East 121.51 ft_ to an existing angle
iron in the line of Evelyn Brown (See Deed Book 308, Page 337, Iredell 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
1'me ofCaffey, et al South 15-00-41 West 614.81 ft. to an existing #2 rebar; thence with the
northern line of Lot 2, Scott D. Burton Property (see Plat Book 26, Page 73, Iredeil County
Registry) North 74-59-17 West 572.00 ft, to an existing 42 rebar in the eastern margin of the
right of way for NC Hwy 150; thence North 74-59-17 West 53.64 ft. to the point and place of
Beginning.
TRACT II: BEING all and the full contents of Lot No. I as shown on plat of Minor
Subdivision for William Wallace Whitman Estate and recorded in Plat Book 36, Page 150,
Iredell County Registry, to which plat reference is made for a more full and complete description
of said lot by metes and bounds.
R
Duke Energy Excavation Permit Application Form
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit $ Check # Date Recv'd Initials
Date of Duke Energy Lake Services, applicant and/or contractor on -site inspections Date (P Z Initials
Date Final Protection/Avoidance Area Markings Field - Verified
Approved to Start Work By *
Date Completion Required
Date Passed Closeout Inspection*
(Print)
Date of Any Approved Extension
Initials
Initials
Date
(Sign)
Initials
Any Stop Work Orders or SMG Violations*? (check one) ❑Yes ❑No (If Yes, explain in PART V)
Date Deposit Refunded Initials Date Permit Database Updated Initials
* Forward copy of approved application (all pages, plus any attachments that Duke Energy changed) back to applicant
with Approval Letter and highlight any changes. File copies of Approval and Close-out Checklists and any Stop Work
Orders with application.
Part I. Applicant Information (Please Print)
Name_ylp na-61 Telephone ''1ON
Emailaddress:
Lake Address Mailing Address (if different)
IlSo��-h� �d I�a>: k 4�d. ?. o . ��c 38Q3
oyresv�l ��e, l`lC `3��ttl monresv'tjie .NC 'ASI R
Contractor Company C3C �.4nne j.13 eCa_.1C V1 nA , WC.
Contractor Contact Person j0 ice E:5+e_D Telephone `1014- UUtp -51I k
Contractor Email Address:
LAKE LOT INFORMATION
Lake A,,r County 7Uredke11 City � v' 2 State _ Tax Map No.
Subdivision t�ex,�„�Q, �', k,a4� Lot/Section No. 13 Lot Size®.1-14Acres
Duke Energy Page 4 of 13 rev 10/1/2019
Excavation Program
Duke Ener2y Excavation Permit Application Form
Are there any Co -Applicants*? (check one) ❑Yes R o (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 permitting
activity.
Date of on -site inspection dA 013 Z0"L i
Initials (Duke Energy)
(applicant/contractor) i F_
Duke Energy Page 5 of 13 rev 10/1/2019
Excavation Program
Duke Energy Excavation Permit Application Form
Part II. Description of Project
A. Basic Information
1. Type of excavation: (check one) eNew excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) ❑ Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
[Other (spec): ne-w AocK
3. Lake user category: (check one) llPrivate ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (specify):
4. Max. Excavation Area Dimensions (ft): Length t UI Width �O Depth
(Note: include additional area dimensions if necessary so response to #5 below equals max. area
dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): 59. 25' Cubic yards
6. Type of material removed (applicant determines by field sample if practical): C) % r+ J SJ i I i-
7. Excavation Site area: 0.03Lo Acre (s) Disposal Site area: 3 , a9 Acre(s)
8. Total Disturbed Area (including equipment staging area): O , 0 y —j Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
Ci �es)Flo
10. Do you claim title to the disposal area? (check one) ❑Yes 0
11. Do you claim title to the equipment staging area? (check one) ffT es 4o
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) Yes CD
(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): i7red�e. b� k and W�I�' h 1C)n3
reachland
0c�,r'i d er l ar m VA w. MOOCe5 v t I le l Nc 2, F� I t -(
5,-Fe s t�38 9 J
Duke Energy Page 6 of 13 rev 10i1i2019
Excavation Program
Duke Enerwy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used:
Lon9 r>°.o�.ch e-x cava+car
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) ❑Yes S' O
(If yes, explain)
16. Will return water re-enter the reservoir? (Check one) ❑Yes Cal 0 ON/A
(If Yes, sped point(s) of re-entry and show on Excavation Area Drawing)
17. Is there an existing facility (e.g. pier) that access is being maintained to by conducting the
excavation? ❑Yes 6210
(If Yes, provide the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit # In�AS Y1 a jpG� ?e fM - C See 0.-4CLC_k-N
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START C[— / a1 FINISH mac-
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 13 rev 10/1/2019
Excavation Program
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Duke Energy Excavation Permit Annlication Forth
C. Applicant's Signatures
Comments: -1-Aet # 3C),CS
l a 5lbtwcLioq 1� .
op rC5 v k t\C , 1 Ac )181 h1
(ROOCCSv tie ,N(. aslti
Applicant Name (print) tit f f �q 1k)
Applicant Signature* LI fR t 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
Co -Applicant Name (print)
Co -Applicant Signature* Date
*Per my signature, the information provided in this application is correct to the best of my
knowledge.
Duke Energy Page 10 of 13 rev Iti?L201�
Excavation Program
Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date Sal 1 �1, I
TO: Duke Energy
c/o Lake Services - EC 12Q
526 S. Church Street
Charlotte, NC 28202
RE: Excavation For (Subdivision and Lot #'s or Other Project Name)
(Lake/County/City) IAo rrncA,0 / L redcl ( /.
(Applicant's full name) ena -o, '������ n5 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 ne_u) docK
In addition, 11we 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 11we obtain approval for a single, time extension (maximum of one year)
in writing from Duke Energy. 11we understand that if the SMP 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. I/we 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.
11we 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.
I/we 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, 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 work on their land.
Duke Energy Page I Rev: 4/6/2020
Ilwe 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.
I/we understand that for proposed excavations, I/we 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. 1/we understand that
written authorization and/or other permits may be required by some of these agencies and such
required authorizations must be obtained before I/we submit the final application to Duke
Energy.
At FERC-licensed reservoirs, I/we 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.
I/we agree that unless specifically approved otherwise in the application, explosives will not be
used as part of this excavation activity.
I/we understand that every reasonable effort must be made to minimize any adverse impact on
fish, wildlife and other natural resources.
I/we 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.
1/we understand that trees and vegetation growing within or adjoining the lake play an important
role in its overall environmental condition, and the ecological benefit the vegetation has on fish
and wildlife habitat directly supports a sound and healthy lake environment. I/we 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.
I/we 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
g Rev: 4/6/2020
I/we agree to adequately stabilize all excavated material and all disturbed shoreline to prevent
erosion and runoff into the lake.
I/we 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.
Fwe 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.
I/we 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.
1/we 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.
I/we agree that if any archaeological resources (e.g. pottery shards, Indian artifacts, etc.) are
discovered during the excavation, work shall be halted immediately. I/we will then notify Duke
Energy and the State Historic Preservation Office to determine what measures, if any, I/we must
pursue to protect or salvage the archaeological resources.
I/we agree that any excavation from within the Project Boundary will not exceed the volume as
outlined in the application and will remove and disturb only what is absolutely necessary to
achieve the project's stated purpose.
I/we agree to be fully responsible for the permitted lake use and I/we 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. I/we 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 Rev: 4/6/2020
Uwe agree to develop any required mitigation plans and to complete any required mitigation
activities at my/our own expense within the specified time frames. Ilwe 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.
Ilwe agree to notify Duke Energy by phone when the excavation is initiated and to ensure that
during the excavation period Ilwe will #lost Duke Enemy's arsprovhl letter in a clear waterproof
bag at the lob site and visible from the water's edge
Uwe 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.
Uwe recognize security deposits will not be refunded if any violations of the SMP, other
applicable guidelines, or this user's agreement occur.
Ilwe understand there will be no change in hydro project operations as a result of the excavation
and/or utilization of the excavated area.
Uwe agree to maintain the work area in a safe condition and to fully indemnify and save Duke
Energy harmless from any and all claims, liability, loss or damage that may arise from this
excavation project.
Uwe understand that this user's agreement does riot, 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) Epp#icant's Signor e
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Ca -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
Duke Energy Page 4
Rer-4%G'302p
Type: CONSOLIDATED REAL PROPERTY
Recorded: 10/19/2020 12:53:08 PM
Fee Amt: $226.00 Page 1 of 2
Revenue Tax: $200.00
Iredell County, NC
Ronald N. Wyatt Register of Deeds
BK 2745 PG 1321 -1322
NORTH CAROLINA, GENERAL WARRANTY DEED
Excise Tax: $200.00
Parcel Identifier No. 4636502017 Verified by County on the _ day of , 20
By:
Mail/Box to: Thomas & Webber, PLLC, 514 Williamson Road, Suite 431, Mooresville, NC 28117
This instrument was prepared by. Thomas & Webber, PLLC, 514 Williamson Road, Suite 431 Mooresville NC 28117
Title Insurance Company: Statewide Title, Inc. - r -
Brief description for the Index: P/O Lot I3 & 14. Marina Village
THIS DEED made this /6 day of October, 2020, by and between
GRANTOR
Waiter J. Lorgan, III and wife, Roxane Quaranta
1417 E. Beach Drive
Oak Island, NC 28465
GRANTEE
Brian W: Hawkins and wife, Renata Hawkins
Lot 13, Southwood Park Road
Mooresville, NC 28117
Enter in appropriate block for each Grantor and Grantee: name, mailing 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
WITNESSET I, 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, parcel of land or
condominium unit situated in the City of Mooresville, Iredell County, North Carolina and more particularly described as follows:
Beginning at an iron in the westerly edge of the right of way of Southwood Drive, said iron marking the northeast corner of Lot 13 and
the Southeast corner of Lot 12 Marina Village, Plat Book 8, Page 34, Iredell Registry, thence with the edge of Southwood Drive, South
00-12-00 East 164.36 feet to a point; thence with said edge the arc of a curve to the Right having a Radius of 45.0 feet an Are distance
of 10.22 feet; thence a new line in Lot 13 and Lot 14, said plat, North 57-10-09 West 234.19 feet to a point in the rear lot line of Lot
14 at the reputed 760 contour elevation line of Lake Norman, said point being located North 61-18-00 East 27.55 feet from an iron
marking the common comer between Lot 14 and 15 on said plat; thence a common line with Lot 11, said plat, North 56-15-00 East
64.90 feet to an iron (said iron marking a common corner between Lots 11-14 said plat); thence a common line with Lot 12 said plat,
South 89-09-00 East 119.22 feet to the point and place of Beginning; and being a part of Lot 13 and a part of Lot 14 Marina Village,
Plat Book 8, Page 34, Iredell Registry, and as shown on Boundary Survey of Revision of Lots 13 & 14 Marina Village made by Don
Allen Surveyors, February 7, 1989.
NC Bar Association Form No. 3 0 Revised 7/ 2013
Printed by Agreement with the NC Bar Association
North Carolina Bar Association - NC Bar Form No, 3
North Carolina Association of Realtors, Inc. - Standard Form 3
Page Count ROTC
NS PQ S1
Book: 2746 Page: 1321 Page 1 of 2
Deed Reference: Deed from Joseph K. Lord and wife, Kathy Lord to Powell L. Smith, JR.. dated February 13, 1990 of record in the
Iredell County Public Registry.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 800 page 194.
All or a portion of the property herein conveyed includes or _ X does not include the primary residence of a Grantor.
Delinquent property taxes, if any, are to be paid by the closing attorney to the county Tax Collector upon disbursement of the closing
proceeds.
A map showing the above described property is recorded in Plat Book 8 page 34.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in
fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in
fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the
lawful claims of all persons whomsoever, other than the following exceptions_
1. Ad valorem taxes for the current year (prorated through the date of Settlement);
2. Utility easements and unviolated covenants, conditions or restrictions that do not materially affect the value of the
Property.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and yeqr firglabove written.
(SEAL)
Walter
(SEAL)
Roxane Quaranta
State of North Carolina - County of
I, the undersigned Notary Public of the County and State aforesaid, certify that Walter J. Lorean, III and Roxane Ouarauta
personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein
expressed. Witness my hand and Notarial stamp or seal this -I-(p' --day of October, 2020.
c''}�
My Commission Expires: t i5tj r f
~
l
No Public
�4R
�tll�titt
U B L,G
s, '(, 00
K ��•
NC Bar Association Form No. 3 0 1976, Revised 0 It112010, 2013
Printed by Agreement with the NC Bar Association
This standard form has been approved by:
North Carolina Bar Association - NC Bar Form No. 3
Book: 2745 Page: 1321 Page 2 of 2
Project name/address. j G� county:I
Owner:
Print
Contractor/agent:
Print
Signatu
e-v
The approval is for the purpose and design described in your appl's ac tlon. 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. 115A NCAC 02B .0243(6))
Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243 (6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. There are limitation on size for decks. [15A NCAC 02B .0243(4) and (6))
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), (8))
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. [15A NCAC 02B .0243(5), (6)j
Acknowledgement of Notification
i, AV VVI k Bs Q V:�jN� vn S , hereby state that I have been informed of the Catawba
Riparia 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 an(s) a specification(s), and other supporting
materials. t
- - Q,�
Signature (owner): �� Date: � _ c� 1 ' ZIP—/
Lake
(At Pull Pon d/ Normal water Level}
Full Pond/ t u,
Norma[ Water Level
.� �■.... a� .� ... � a.6 � rye
Shoreline
Na trees 'CCMOtil ed
M n', lc�t Ct,s�v rba�c�
lo' +XD �
v nC�evelo
w i fl�
A
C,
S
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 or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10-2013 Page 3 of 3
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AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 13 PLAN NO. PARCEL ID:
STREET ADDRESS:
rnoo���
Pleasprint: � Zf AJe r� fTlk/9 tU�`�,S
Property Owner: — /V
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
c� r) of C 13 (2 (3 %O Ali
(Contractor / Agent) I (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone:
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Q.�' J"
Authorized Signature
Date: �� A oc�—
Authorized Signature
Date: