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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 Q 4 m G 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 VIII 0 z z M \� N N MIR 9 m to to O N 0 co G! 0 0 to �n 0 m a n. w v O N D_ W 0 O O m` W, I 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. }`WW111511i711�� yLH1lCl , 0 *�v� E53rQ�Ft Z `Q SE �°T `- r� L,-3703 F 1wO R `r, S . N fl '10111111111 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) / � 1 t z 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 00 0 W CD x� o o m o LA CD G .. CD �b i its R Cs Q ft CD n Q l) RCD _ Q� K RD CD II o r-- CS P ° 5 o � 0 x� >e d v ° z G b CD 0 "MW O � O � o � O CD "ts CD 'D � O CD � � � O CAD 6 z CD O C/) N C ,4L CD n CD � O UQ � UQ Q" � O OC � O � a �• d� x d� CD o� CD o w m m (D �A o Z C~. C C. � d 0 Y �• m dx- d 0 d 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 ON O �p O O lU O C 3 C 3 =CD Q n CL c an D N CO CL ° D p O o 5 IDS ° ° o 0 o i S z o m to S CD m ° m 0 0 9 -+ g 0 n s n < O. 0 o _ O C j to m ° o a s m 7c o W D a z g c o ti 0 o 3 a °- co o m m � N 0 0 � 47, g e 0 p Sr, m � m 0 s G. 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W NNW W J fW0 (Nli ❑ ❑ O m � Vl n < �>�n O rn-O Snvt�*if> D G � Amy VNZm000 -0 2 QJAn � Z N L'J q L) ; z, =oFm Z 1((tlr O -n -i o f n n 'U o Pn C• o y' `:p:c+� .o�,, SOX p m\❑ 2 O n N z I� ON N27tld OOOMH1f105 o z rn'"o 0 N -sD:= A., 23 'P 'n m fGn c oc Z O II o N KJ O1> 'i xl c•b .p D :< Al P D >�� O RO NOmD Z ii! O oo zO > D A N1 �� Z� nC�rbGnC", D NZ OO N O m vl ;N � �-i ✓� 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: