20211324 Ver 1_Shoreline Stabilization_20210803

Shoreline Stabilization Application Form
15ANCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM SSGP 10-2013
DRAFT -NOT FOR USE AT THIS TINE
Submission Form
Pre -Filing Meeting Information
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not be able
to accept your application without this important first step. The Pre -Filing Meeting Request Form is used in accordance
with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project proponent shall
request a pre -filing meeting with the certifying agency" and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5)
all certification requests shall include documentation that a pre -filing meeting request was submitted to the certifying
authority at least 30 days prior to submitting the certification request. Click here to read more information on when this
form is needed prior to application submission or here to view the form.
Attach documentation of Pre -Filing Meeting Request here:
Pre -Submittal Meeting Request Form.pdf 2MB
Pre -fling Meeting or Request Date 8/3/2021
ID#
I. Applicant Information [15A NCAC 02H .0502(a)]
Version
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all
mandatory questions are answered.
Primary Contact Email *
Owner Information:
Name:*
Email:*
Phone Number:*
Mailing Address:*
[e-mail]
Rease provide an email address for payment and requests for more information here.
Forest Staples
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
22523 Torrence Chapel Road
Address Line 2
City
Cornelius
Fbstal / Zip Code
28031-6796
State / F7ovince/ legion
NC
Country
US

Is there an agent working on the
project?*
Agent/Consultant Information
a Yes
0No
Name:*
Company Affiliation:*
Email:*
Phone Number:*
Mailing Address:*
Janice Estep
CBC Stone & Recycling, LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
638 Oakridge Farm Hwy
Address Line 2
City State / R-ovince / Region
Mooresville NC
Fbstal / Zip Code Country
28115 United States
Asigned and dated copy of the Agent Authorization letter:*
Auth. Form.pdf 1.24MB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
Staples Dredge and Shoreline
If your project has a formal name please use this. If your project does not have a formal name, please identify your project by
the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any
other names that have been used to identify the project in the past.
1. Provide a vicinity map (i.e. street map) clearly showing the location of the property with respect
to local landmarks such as towns, rivers, and roads.*
C Upload File
C•' Look up address
Property Address Lookup:*
Latitude:*
35.501842
Street Address
22523 Torrence Chapel Road
Address Line 2
City State / Rovince / Region
Cornelius NC
Fbstal / Zip Code Country
28031-6796 US
Longitude:* -80.891930
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
Buffer Form.pdf
2.56MB
2.13MB

Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/O/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 Pics.pdf 12.16MB
Shoreline Pics.pdf 11.93MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Cornelius
County: * Mecklenburg
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:* Lot 21 Country Club Shores
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 nu)
Continue on S Church St to S Main St
2 min (0.6 mi)
Turn left onto S Church St
0.5 mi
Turn right onto College St
0.1 mi
Continue on S Main St. Take NC-115 S, Langtree Rd and I-77 S/US-21 S
to Torrence Chapel Rd in Cornelius
13 min (7.8 mi)
Turn left onto S Main St
1.2 mi
Continue onto NC-115 S
2.1 mi
Turn right onto Langtree Rd
1.1 mi
Use the left 2 lanes to turn left to merge onto I-77 S/US-21 S
3.1 mi
Take exit 28 for US-21 S toward Catawba Ave/Lake Norman/Cornelius
0.2 mi
Keep right at the fork, follow signs for Lake Norman and merge onto W
Catawba Ave
0.1 mi
Turn right onto Torrence Chapel Rd
Destination will be on the left
3 min (1.7 nu)
22523 Torrence Chapel Rd
Cornelius, NC 28031
Rease include road naves and nu , landrrarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential
Ftsidential, undeveloped, etc.
6. Property Size
0.590 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Dredge a 35' x 45' area around dock for boat access. Reshape and re -
slope 40' section of shoreline at dock, install matting and class 'B" rip rap
to refresh

8. How will the work be done?*
r From Land
17 From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level:*
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
291.66 cubic yards
below for dredge,
5' below on
shoreline (200 sf)
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet
land -ward:*
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
0' above for dredge,
1 above on
shoreline (40 sf)
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet
landward to be impacted:*
(number of trees, for instance)
Grass buffer, no disturbance to buffer, project done by barge
Sketch: Dredge Application.pdf 24.77MB
Dredge Spoils Info.pdf 15.16MB
Sketch.pdf 865.79KB
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):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
o $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.
o I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of
the NC General Statutes (the "Uniform Electronic Transactions Act");
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");
o I 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:* JaniceEstep
Signature:
Submittal Date: 9/3/2021

Initial Review
Is this accepted into the review
process?*
Project Number:* 20211324
Select Reviewer:*
Select Reviewing Office:
Has payment been received?*
What amount is owed?*
a Yes C No
Version:*
Alan Johnson:eads\adjohnsonl
Mooresville Regional Office - [phone]
✓ No Payment Needed
✓ Fee Received
F Need Fee - send electronic notification
0' $240.00
✓ $570.00

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. ak PLAN NO. PARCEL ID:
STREET ADDRESs: a2.5a3 kor r e nee Onolop
CO rneN1 Q6 I 1\ke.. gb3
Please print:
Property Owner: V-ore&S4o-spl ES
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
(Contractor / Agent) (Nam
airl ire of COC 56ne. E nj) 1
e of consulting
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditiOns attached.
Property Owners Address (if different than property above):
T.etephone: 1014 7 co5 1(1143
We hereby certify the above information Submitted in thisapplication is true and :accurate to the
beet of our knowledge
Authorized Signature
Date: /70/2-.77.1
Authorized Signature
Date:

LOCATION MAP
NOT TO SCALE
Ei
#5 REBAR
FOUND
NOTES:
#FOl1NDR' -LO1 21
/ BLOCK A 1
25,183 SQ. FT.
---0578 ACRE
Y
0
001-151-36
COMMERCIAL
PROPERTIES LTD, LLC
DB 21718 PG 433
1. NO NCGS MONUMENT FOUND
WITHIN 2000'
2. PROPERTY MAY BE SUBJECT
TO OTHER COVENANTS,
RESTRICTIONS, EASEMENTS OR
RIGHTS -OF -WAY THAT MAY BE
OF RECORD.
1- PINCHED
PIPE FOUND
FIELD LOCATED
760 CONTOUR
,0"L
,3"71t" S•S.,L tl
a 1 STORY W/BASEMENT ti
a BRICK/HARDBOARD °'
O
#4 REB
FOUND ON �;. _ U". /5 REBAR
LINE ,-._ _ FOUND
0
_.. 00CK
LAKE
NORMAN
sir
4,0
001-151-34
ALVIN E DRESSER
LORENE H DRESSER
DB 3169 PG 413
CRAIG L IG P.LS.
1406 N.;iCIA$ll STREET
MOORESVIE2ErN.C. 28115
[phone]
it PIPE
FOUND
LEGEND
IRON FOUND 0
#4 REBAR SET OO
SAN. SEWER MANHOLE
SEWER CLEAN OUT c-o.
POWER POLE
PHYSICAL S UR VE Y OF
LOT 21, BLOCK A of COUNTRY CLUB SHORES, NUMBER 4
PROPERTY OF RAPHAEL STAPLES, JR. AND ROBIN LAWLER
SCALE: 1 "=40' CORNELIUS, MECKLENBURG COUNTY, N.C. DATE: 5/17/2011
AS RECORDED IN: MAP BOOK 12, PAGE 329 PID: 001-151-35
22523 TORRENCE CHAPEL ROAD EOC >=1:10,000

Polaris 3G Map — Mecklenburg County, North Carolina
Date Printed: 8/2/2021 2:43:05 PM
This map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps, surveys, planimetric maps, and other public records and data,
Users of this map or report are hereby notified that the aforementioned public primary information sources should be consulted for verification. Mecklenburg County and its mapping contractors assume no legal
responsibility for the information contained herein.

Polaris 3G Map — Mecklenburg County, North Carolina
Date Printed: 8/2/2021 2:47:14 PM
I his map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps, surveys, planimetric maps, and other public records and data.
Users of this map or report are hereby notified that the aforementioned public primary information sources should be consulted for verification. Mecklenburg County and its mapping contractors assume no legal
responsibility for the information contained herein.

Legend
22523 Torrence Chapel Rd

9113/21, 12:14 PM
610 East Center Avenue. Mooresville, NC to 22523 Torrence Chapel Rd - Google Maps
Go;:" g e Maps 610 East Center Avenue, Mooresville, NC to 22523 Drive 10.7 miles, 21 min
Torrence Chapel Rd
610 E Center Ave
Mooresville, NC 28115
t 1. Head south on Evergreen St toward E Center Ave
13 s (197 ft)
r► 2. Turn right onto E Center Ave
Continue on S Church St to S Main St
oi 3. Turn left onto S Church St
r' 4. Tum right onto College St
2 min (0.5 ml)
2 min (0.6 mi)
0.5 mi
D.1 mi
Continue on S Main St. Take NC-115 S, Langtree Rd and 1.77
S/US-21 S to Torrence Chapel Rd in Comelius
13 min (7.8 mi)
41 5. Turn left onto S Main St
t 6. Continue onto NC-115 S
1.2 mi
2.1 mi
Map data r92021 1 ml
913/21, 12:14 PM 610 East Center Avenue, Mooresville, NC to 22523 Torrence Chapel Rd - Google Maps
r' 7. Turn right onto Langtree Rd
A 8. Use the left 2 lanes to turn left to merge onto 1-77
S/US-21 S
31 mi
e 9. Take exit 28 for US-21 S toward Catawba
Ave/Lake Norman/Cornelius
02mi
j 1 10. Keep right at the fork, follow signs for Lake
Norman and merge onto W Catawba Ave
0,1 mi
rs 11. Turn right onto Torrence Chapel Rd
0rlestin dtir,n evilI l/: rrn tit(' lefl
22523 Torrence Chapel Rd
commius,3/C^ O/1
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may causeconditions to
differ from the map results, and you should plan
your route accordingly You must obey all signs or
notices regarding your route.
3 min (1.7 mi)
https://www.google.com/mapsMir/618+East+Center+Avenue,+Mooresville,+NC/22523+Torrence+Chapel+Rd,+Cornelius+NC+28831435.5314653,-... 1/2 https:Awww.google.com/maps/dir/610*East+Center+Avenue,+Mooresurlle,+NC/22523+Torrence+Chapel+RdsCornelius.+NC+28031/@35.5314653,-... 212

Full Pond/
Norrnalwn Water Level
aism BM awL.,
Shoreline
Lake
(At Fut( Pond/ Normal Water Leve
C t"
61-\-Dox Lio`
L1O 1-ens+h
hou S e--
I
1\10 rcrnoved
dovtc.
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*:
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

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: aa5 23 lorrence 0. ha pe.l R. Car mi ► vS 114C .County: Orec+.k Denbo rq
Owner: Fy kited g44-4.-Clirks
Print Signature
Contractor/agent: £ 2C! 51orlg E ie.cg i t1 LLC..
Print
Eth-p
azure
The approval is for the purpose and design described in your application. Impacts not indicated in the
application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC
02H .0506 and 15A NCAC 02R .0243(8)1
Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B .0243(6)]
Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 028 .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..115A NCAC 02B .0243(4) and (6)1
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described, The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. 115A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), {6), (8))
Stormwater cannot be piped or channeled for direct :discharge to the lake. .All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. (15A NCAC 02B .0243(5), (6)1
Acknowledgement of Notification
1, �o re5% cS�o �C5 , hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement, Due diligence will be
taken such that the construction will be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plan(s) and speclfication(s), and other supporting
materials.
Signature (owner):
Z�/

1

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 Datep8 Zi. Initials i aI .U1
Date Final Protection/Avoidance Area Markings Field - Verified Initials
Approved to Start Work By * : Date
(Print) (Sign)
Date Completion Required Date of Any Approved Extension Initials
Date Passed Closeout Inspection* Initials
Any Stop Work Orders or SMG Violations*? (check one) DYes ONo (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 Forest Staples
Email address: [e-mail]
Telephone [phone]
Lake Address
22523 Torrence Chapel Rd.
Cornelius, NC 28031
Mailing Address (f derent)
Same as Lake
Contractor Company CBC Stone & Recycling, LLC
Contractor Contact Person
Contractor Email Address:
Janice Estep
Telephone [phone]
[e-mail]
LAKE LOT INFORMATION
Lake Norman County Mecklenburg City Cornelius State NC Tax Map No.
Subdivision Country Club Shores Lot / Section No. 21 Lot Size °'S9° Acres
Duke Energy
Excavation Program
Page 4 of 13 rev 10/1/2019

Duke Energy Excavation Permit Application Form
Are there any Co -Applicants*? (check one) DYes liNo (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 g t C7 Z
Initials (Duke Energy) d W (applicant/contractor) fi
Duke Energy
Excavation Program
Page 5 of 13 rev 10/1/2019

Duke Ener2v Excavation Permit Application Form
Part II. Description of Project
A. Basic Information
1. Type of excavation: (check one) 0 New excavation El Maintenance excavation
2. Purpose of excavation: (check one)
0 Water Intake Channel
IrOther (spec): (lew cleeK
I Boat Access Channel
0 Wastewater Discharge Channel
3. Lake user category: (check one) DPrivate ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (spec fy):
4. Max. Excavation Area Dimensions (ft): Length 35' Width 45' Depth 5'
(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): 291.66
Cubic yards
6. Type of material removed (applicant determines by field sample if practical):
Dirt/Silt
7. Excavation Site area: 0.180 Acre (s) Disposal Site area: 2.29 Acre(s)
8. Total Disturbed Area (including equipment staging area): 0.180
Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
✓ {es q-o
10. Do you claim title to the disposal area? (check one) ❑Yes ✓ No
11. Do you claim title to the equipment staging area? (check one) ❑Yes ✓ Jo
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) Yes ✓ .To
(If Yes, spec):
13. How will the excavated material be entrapped and the erosion controlled? (e.g. see attached
erosion control plan and disposal area design):
Dredge by barge, haul material off by barge to access, Toad onto dump trucks and haul
to disposal site located at 638 Oakridge Farm Hwy. Mooresville, NC 28115.
Duke Energy
Excavation Program
Page 6 of 13 rev 10/1/2019

Duke Energy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used:
Long Reach Excavator, Dump Trucks, No?der on ‘a.r'3e.
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) PlYes DNo
(If yes, explain) By barge
16. Will return water re-enter the reservoir? (Check one) ❑Yes [,7No
(If Yes, specify point(s) of re-entry and show on Excavation Area Drawing)
DN/A
17. Is there an existing facility (e.g. pier) that access is being maintained to by conducting the
excavation? f,/]Yes DNo
(If Yes, provide testing permit number. If No, include a scaled drawing of the proposed
facility). Permi.
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START 12 / 21 FINISH 12 / 21
(Month) (Year)
(Month) (Year)
Duke Energy
Excavation Program
Page 7 of 13 rev 10/1/2019

Duke Energy Excavation Permit Application Form
Part II. (Continued)
B. Protection / Avoidance Area Description
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas
Approx
Identification
Method (*)
Avoid (A) or Mitigate (M)
(check all that apply)
Acre
Field ID
Work Area Dwg. ID
II*j
a. Marshland, swamp, ponds, beneficial
N/A
aquatic vegetation or other potential wetlands
(circle all that apply)
b. Buffer Zones (specify width & source
Dredge by barge, haul material
out by barge
of requirement)
c. Environmental Areas as identified by
N/A
Duke Energy
d. Natural Areas as identified by Duke
N/A
Energy
e. Historic properties (spec)
N/A
f. Rare or threatened species (specify)
N/A
Duke Energy
Excavation Program
Page 8 of 13
rev 10/1/2019

Duke Energy Excavation Permit Application Form
Protection/Avoidance Areas
Approx
Identification
Method (*)
Avoid (A) or Mitigate (M)
(check all that apply)
Acre
Field ID
Work Area Dwa. ID
Lkyi
g. Buried gas, water, sewer,
N/A
communications or electric lines (circle)
h. Impact Minimization Zones as
N/A
identified by Duke Energy
i. Other areas requiring specific
N/A
avoidance, protection or mitigation (spec)
* For "Field ID" column, specify entity or person that performed the identification and how it was physically marked (e.g. Duke
Energy (John Doe)/Pink and purple -dotted tape, Corps of Eng. (John Smith)/ yellow flagging). For "Work Area Dwg ID" column,
show the symbol that is used on the drawings to identify the protection/avoidance area.
* * List and attach mitigation plans
Duke Energy Page 9 of 13
Excavation Program
rev 10/1/2019

Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
Comments: Re,hbocS : L 1D, av 65 E (A' y U is haox
� 9
a35ii twelve Cn& e1
Cornel'iUS,t4lC. a6p31
OLee e ttirit ) \14,n+1 ne.
33,5 31 t oo rre+nce. Gino el
CorneliusNC.. a8o31
Applicant Name (print) 7 7 is e-I L .3 f.
Applicant . Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Date 7 r / a,/
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 ofmy
knowledge.
Duke Energy Page 10 of 13 rev t0/1/2019
Excavation Program

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date 1/3 )/a
TO: Duke Energy
c/o Lake Services - EC12Q
526 S. Church Street
Charlotte, NC 28202
RE: Excavation For (Subdivision and Lot #'s or Other Project Name)
aa•6a3 Torrence. Knape , d. Lod Counkr�.l CUD Sk res
(Lake/County/City) Norvrna.rer
/
(lee. n%urq / (�,rrwJl05
(Applicant's full name) rest S txptes 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 Vpti-+ access, new ciecK
In addition, I/we 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 I/we obtain approval for a single, time extension (maximum of one year)
in writing from Duke Energy. Uwe 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.
I/we attest to be the owner(s) or lease holder(s) of the land immediately adjoining the Project
Boundary where the excavation activity is to take place, or if not the owner or lease holder, //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 1
Rev: 4/6/2020

I/we understand that all excavation work must be done directly in front of my/our property and as
specified in Duke Energy's approval. I/we 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. I/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 Uwe 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.
Uwe agree that excavation activities will not occur during the months of March, April, May and
June because of the potential impacts to fish spawning areas.
I/we understand that trees and vegetation growing within or adjoining the lake play an important
role in its overall environmental condition, and the ecological benefit the vegetation has on fish
and wildlife habitat directly supports a sound and healthy lake environment. 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.
//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
Rev: 4/6/2020

Uwe agree to adequately stabilize all excavated material and all disturbed shoreline to prevent
erosion and runoff into the lake.
Uwe 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.
I/we have designed the hydraulic excavation process (if any will be usea) 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.
I/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. Uwe 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.
I/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. Uwe 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

Ifwe agree to develop any required mitigation plans and to complete any required mitigation
activities at my/air own expense within the specified time frames. liwe 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.
Uwe agree to notify Duke Energy by phone when the excavation is initiated and to ensure that
during the excavation period, Ifw? will post Duke Energy's approval letter in a clear waterproof
bag at the job 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.
.Uwe understand there will be no change in hydro project operations as a result of the excavation
and/or utilization of the excavated area.
I/we 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.
I/we understand that this user's agreement does not, in any way, constitute the transfer of any
rights in real property and that my/our use and enjoyment of FERC project and Duke Energy
lands and waters shall not hinder the general public's lawful use and enjoyment of the same.
Sincerely,
' ,I,,,&./ fo"testSdr4,1T. "?2,6Z- A, '
Applicant's Name (Print) licant's Signature
Co -Applicant's Name (Print) Co -Applicant's Signature
Co -Applicant's Name (Print) Co -Applicant's Signature
Co -Applicant's Name (Print) Co -Applicant's Signature
Co -Applicant's Name (Print) Co -Applicant's Signature
Puke, Energy
Page 4
Rey, 4/6/2020

Excise Tax ` U ' a."`
FOR REGISTRATION J. DAVID GRANBERRY
REGISTER OF DEEDS
MECKLENBURG COUNTY, NC
2011 JUN 03 10:10:48 PM
BK•26521 PG:332-337 FEE:$31.00
EXCISE TAX:$842.00
NSTRUMENT 1i 20 1052735
111202735
i
i
i
i
Recording Time, Book and Page
Tax Parcel Identifier No. 001-151-35
Verified by County on the day of
by
N
Mail/Box to 22523 Torrence Chapel Rd., Cornelius NC 28031 6796
This instrument prepared by H. Mac Tyson, 11, Esq., (Bar Number: 8068) J. Rosenberg, PA,
4647 Main Street, Suite 11, Shallotte, NC 28470.
Brief description for the Index
Commitment Number: 121973
Seller's Loan Number: 0017855982
NORTH CAROLINA SPECIAL WARRANTY DEED
TI-IIS DEED made this j�fj } , 2011, by and between
GRANTOR
Deutsche Bank National Trust Company, as
Trustee for the Certificateholders of
Soundview Home Loan Trust 2005-OPT3,
Asset -Backed Certificates, Series 2005-OPT3,
by American Home Mortgage Servicing as
Attorney In Fact
whose address is 4600 Regent Blvd., Ste. 200,
Irving, TX 75063
GRANTEE
Raphnel F Staples Jr. and Robin Lawler, •
Onrnc.rY-tect. Utz Marrtc.d.
M \ 114, aad (0 veal, as
whose address is 22523 Torrence Chapel
Rd., Cornelius NC 28031 6796

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.
The property conveyed is not the principal residence of the grantor.
WITNESSETH
Deutsche Bank National Trust Company, as Trustee for the Certificateholders of Soundview
Home Loan Trust 2005-OPT3, Asset -Backed Certificates, Series 2005-OPT3, grantor, for
$421,000.00 (Four Hundred and Twenty -One Thousand Dollars and no Cents) in consideration paid,
hereby gives, grants, bargains, sells and conveys, in fee simple, subject to the exceptions and
reservations hereafter provided, if any, to Raphnel F. Staples Jr. and Robin Lawler, hereinafter
grantees, whose tax mailing address is 22523 Torrence Chapel Rd., Cornelius NC 28031 6796,
the following described real property:
All that certain parcel, lot or tract of land lying and being in the County of Mecklenburg, State
of North Carolina and being more particularly described as follows: Being all of Lot of 21 in
Block A of the Country Club Shores, Number 4 Subdivision, as shown on a map thereof
recorded in Map Book 12 at Page 329 in the Mecklenburg County Public Registry. Together
with improvements thereon located; said property being located at 22523 Torrence Chapel
Road, Cornelius, North Carolina.
Property Address is: 22523 Torrence Chapel Rd., Cornelius NC 28031 6796

Seller makes no representations or warranties, of any kind or nature whatsoever, other than
those set out above, whether expressed, implied, implied by law, or otherwise, concerning the
condition of the title of the property prior to the date the seller acquired title.
The real property described above is conveyed subject to the following: All easements, covenants,
conditions and restrictions of record; all legal highways; Zoning, building and other laws, ordinances
and regulations; Real estate taxes and assessments not yet due and payable; Rights of tenants in
possession.
TO HAVE AND TO HOLD unto the Grantee, in fee simple, the same together with all and singular
the appurtenances thereunto belonging or in anywise appertaining, and all the estate, right, title
interest, lien equity and claim whatsoever of the said grantor, either in law or equity, to the only
proper use, benefit and behalf of the grantee forever.
The Grantor covenants with the Grantee that Grantor has done nothing to impair such title as Grantor
received, and that Grantor will warrant and defend the title against the lawful claims of all persons
claiming by, under or through Grantor, except for the exceptions herein stated.
The Grantor makes no representations or warranties, of any kind or nature whatsoever, other than
those set out above, whether expressed, implied, implied by law, or otherwise, concerning the
condition of the title of the property prior to the date the seller acquired title.
Said property having been previously conveyed to Grantor by: Book 25954, Page 67

IN WITNESS WHEREOF, Grantor has executed this instrument as o
2011:
Deutsche Bank National Trust Coipany, as Trustee for the Certificateholders of
Soundview Home Loan Trust 200 -OPTS, Asset -Backed Certificates, Series 2005-
OPT3, by American Home Mortgage Servicing as Attorney In Fact
Print/Type Name:
Title: S c5 .
A Power of Attorney relating to the above described property was recorded on 02-03-2011 at
Document Number: book 26270 page 311.
The existence of title insurance is unknown to the preparer.

STATE OF _
COUNTY OF
the undersigned Notary Pub1i of the County and State aforesaid, certify that
its 5 sz . on behalf of Deutsche Bank
National Trust Company, as Trustee for the Certificateholders of Soundview Home Loan
Trust 2005-OPT3, Asset -Backed Certificates, Series 2005-OPT3, by A erican Home Mortgage
Servicing as Attorney In Fact, personally appeared before me this latj 23) ?a) day
and acknowledged that by authority duly given and as the act of Deutsche Bank National Trust
Company, as Trustee for the Certificateholders of Soundview Home Loan Trust 2005-OPT3,
Asset -Backed Certificates, Series 2005-OPT3, by American Home Mortgage Servicing as
Attorney In Fact and on behalf of Deutsche Bank National Trust Company, as Trustee for the
Certificateholders of Soundview Home Loan Trust 2005-OPT3, Asset -Backed Certificates,
Series 2005-OPT3, by American Home Mortgage Servicing as Attorney In Fact he/she executed
this deed as his/her free and voluntary act for the purposes set forth in this instrument and that he or
she signed this foregoing instrument on behalf of Deutsche Bank National Trust Company, as
Trustee for the Certificateholders of Soundview Home Loan Trust 2005-OPT3, Asset -Backed
Certificates, Series 2005-OPT3, by American Home Mortgage Servicing as Attorney In Fact as
its act and deed. �.
Notary Public
KIM FURMAN
otary Public, State of Texas
My Commission Expires
March 03.. 2015

J. DAVID GRANBERRY
REGISTER OF DEEDS, MECKLENBURG
COUNTY & COURTS OFFICE BUILDING
720 EAST FOURTH STREET
CHARLOTTE, NC 28202
PLEASE RETAIN YELLOW TRAILER PAGE
it is part of the recorded document, and must be submitted with original for re-recording
and/or cancellation.
Filed For Registration: 0610312011 10:10:48 AM
Rook: RE 26521 Page: 332-337
Document No.: 2011062735
DEED 6 PGS $31.00
NC REAL ESTATE EXCISE TAX: $842.00
Recorder: ELLA MILLS
III
II I
11111111 11111 01
1111111111111111
1111111111111
2011062735
111

Catawba Indian Nation
Tribal Historic Preservation Office
1536 Tom Steven Road
Rock Hill, South Carolina 29730
Office 803.328.2427
Fax [phone]
September 1, 2021
Attention: Janice Estep
CBC Stone and Recycling
Re. THPO # TCNS # Project Description
2021-566-23 Forest Staples — 22523 Torrence Chapel Road, Cornelius, NC
Dear Ms. Estep,
The Catawba have no immediate concerns with regard to traditional cultural properties,
sacred sites or Native American archaeological sites within the boundaries of the
proposed project areas. However, the Catawba are to be notified if Native American
artifacts and / or human remains are located during the ground disturbance phase
of this project.
If you have questions please contact Caitlin Rogers at 803-328-2427 ext. 226, or e-mail
[e-mail].
Sincerely,
Wenonah G. Haire
e .dt{ ^ - Tribal Historic Preservation Officer

DREDGE SPOIL DISPOSAL FORM
Project Name/address: o1�t52,3 Iq.r resnct i..,. rtfe.1 1�r1, l n r net U Nif County: Mor.lesleyliDo
Location Address:1)15 ps&l 5 t- e : LAW Otairidae. rim 1-6.3 3. ... r v' ( te Nic. a
Parcel #1: y LA 41 q by
Parcel/lot size Os o L( g ae rf -
Disposal area required (sq ft and/or acreage) 1 tit? lk i ( C} I
Acknowledgement of Notifrcatlon
i, Evere-i+e r idaaes 7r.. , am aware that the site must adhere to all state regulations
and rules regarding sedu ent and erosion control and water quality. And give permission for
'Gres-t !es
Name of Individual and Corpany
to dispose of their dredge material at the above stated location
Owner:
Print Signature
Date: 1- 36 -al
Along with form, please provide:
Aerial of parcel/lot (County GIS)
Photo of proposed spoil site
Identified proposed spoil site

5/24/2021
IredeII.ConnectGIS
'CONN Ewci90
Iredell County
1:125 1 Feet
https://iredell.connectgis.corn/Map.aspx
111

8/11/2021
Iredell.ConnectGlS
CONNEC i IS
1:130
j Feet
https://iredell.connectgis.com/Map.aspx
111

STATE OF NORTH CAROLINA
IREDELL COUNTY
I certify that this mop was drown from an actual survey made under my
supervision The unadjusted ratio of precision os calculated is 1': 10,000*
Boundaries not surveyed, if any, are noted. Deed descriptions are recorded in Book as
Page shown ,Witness my hand and seal this 4th day of JUNE 2019.
1111tlH IHtrrr
NOTES:
R. NO `.
If 111110111.
LEGEND
ONES SURVEYED
UNES NOT SURVCTU
TIE LINESOVHD DISTRIBUTION LINE — •
(OVERHEAD)
R/W UMITS Ft)., TRANSMISSION 0 NO MONUMENTATION
POWER POLE UNLESS OTHERVASE
CENTERUNE NOTED
E PROPERTY UNE
(F) DENOTES "FOUND"
(5) DENOTES "SET'
NTS DENOTES 'NOT TO SCALE'
Professional Land Surveyor
L-3703
• ALL DISTANCES ARE HORIZONTAL GROUND DISTANCES
UNI Fci OTHERWISE NOTED.
• AREA BY COORDINATE COMPUTATION.
• PROPERTY SUBJECT TO ANY VALID & 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
cc
�ccN
-42 IM m h
zma
v.
zzC,
33
BENT S4
/REBAR (F
/
/
1
DUKE ENERGY
ANSMISSION UNE
--=R SMISsi„, PRE
µ,
P_
B3ys3"E
GRAPHIC SCALE
0 75 ir
( IN FEET )
1 inch = 150 ft.
LOCATION MAP NOT TO SCALE
UNE TABLE
BEARING DISTANCE
N14'58'43"E 60.30
LINE
L1
L2
L3
L4
L5
L6
L7
PIN 4668-30-1353
OAKRIDGE STORAGE,
D.B. 2521 PG. 2033
PIN 4668-20-5185
BRIDGES PROPERTIES, LLC /
O.B. 1602 PG. 1912 /
LOT #1-P.B. 36 PG. 150 /
PIN 4667-20-6642
BRIDGES
PROPERTIES, LLC
D.B. 1602 PG. 1912
STAGING AREA
0.227 ACRE-7
L
71.73
NSMI LIN _ -'I
L7—(TIE
UNE ONLY)
PIN 4667-29-5304
ORLESS HOLDINGS, LLC
D.B. 2180 PG. 1029
LOT #2—P.B. 26 PG. 73
TAX ID: 4667-29-6642
FOR SOURCE OF TITLE REFER TO D.BK. 1602 PG. 1912
PROPERTY OWNED BY
BRIDGES PROPERTIES, LLC
SURVEY SHOWING LOCATION OF
STAGING AREA
CODDLE CREEK TOWNSHIP IREDELL COUNTY, N.C.
SCALE: 1" = 150' DATE OF SURVEY: JUNE 3. 3019
BOOK: NA DATE OF MAPPING: JUNE 3, 2019
N64'57'57"E
S71'07'33"E
S63'06'35"E
24.31
40.80
95.21
506'55'28"E 46.53
N78'30'12"W 170.16
S54'19'38"E 82.82
LLC
/
/ /
J /
/
ONCRETE
ONUMENT (F)
N 679940.48 FT
£ 1462951.44 FT
NAD 83(2011)
PIN 4667-39-0000
ARGOS USA LLC
D.B. 2016 PC. 4981(C0)
NAIL (F) AT BENT
¢4 REBAR (F)
N 679337.77 FT
E 1462830.55 FT
NAD 83(2011)
LNS FILE NO.:
S190507
DWG NO,: S190507
SURVEYED BY: N.D. WHITLEY
DRAWN BY:
N.D. WHITLEY
CHECKED BY:
J.R. HOBBS
SURVEY AND MAP PREPARED BY.
LAKE NORMAN SURVEYING
& MAPPING PT,T.G #P-0190
137 Jennings Road, Suite C
Statesville, North Carolina 28525
[phone] Fax [phone]

111111111 II1I 11IMHO IJ
Doc ID: 008889980003 Tvoe CRP
Recorded: 11/23/2004 at 01:28 00 Pri
Fee Amt: $874.00 Page i of 3
Excise Tax: $654.00
Iredell County. NC
Brenda D. Bell Register of Deeds
BK 1602 PG 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
by
Mail after recording to: Grantee
This instrument prepared by: Lutzel, Gandy Broadway, PLLC
Brief Description for the Index
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this 22nd_ ... day of November 2004, by and between
GRANTOR
Donald Ray Snyder and wife,
Victoria A. Snyder,
a/k/a
Vicotira A, Snyder
GRANTEE
Bridges Properties, LLC
628 Oak Ridge Farm Hwy
Mooresville, NC 28115
Enter in appropriate block for each party; name, address, and, if appropriate, character of entity,
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

President
Attest:
Secretary
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 land and all privileges and appurtenances thereto belonging to the
Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same
in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title
against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the property 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)
z Donar.I Ray Snyd
By: ti.(114-4 x: r<(SEAL)
Victoria A. Snyder
(SEAL)
NORTH CAROLINA. .a4C_ COUNT
�.� per•*•'•*+. , I, a Notary Public of the County and State aforesaid, certify :. , ' • Snyder and Victoria A.
m4= it
Ity rim),% SNyder, Grantor, personally appeared before tt i . td acknowledged a executi. of the
foregoing instrument. Witness my hand and o t . o j.eal this 22nd ..y o ..vember 004.
pUBO •• v ^ My Commission Expires: LX . 2//.P � r `2 -
Notarylic
�
(SEAL)
hCOHO
.11 It in
(SEAL)
NORTH CAROLINA, COUNTY.
I, a Notary Public of the County and State aforesaid, certify that
Grantor, personally appeared
before me this day and acknowledged that he/she is of
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
seal this day of 2004.
My Commission Expires: „..........Notary Public
The foregoing Certificate(s)
is/are certified to be correct.
•
and this certificate are duly *gistered at tltK d and time and in the Book and Page
Deeds for tailBounty
Deputy/AssisWat—Register of Deeds

EXHIBIT "A"
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: 206,469.354 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 49,80 ft. to an existing #4 rebar in the
eastern margin of the right of way for NC Hwy 150; thence South 64-06-48 East 246.91 ft. to an
existing 1 1/2" pipe; thence continuing with another line of Whitman property North 40-19-43
East 305.82 ft. to an existing 1" pipe; thence North 71-18-07 East 121.51 ft. to an existing angle
iron in the line of Evelyn Brown (See Deed Book 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
lint of Caffey, 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, Iredell 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. 1 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.

,ram 35' --�
�o
---- 35'
z;j2/
'i
a'
Area fa
remove,

Contact Name *
Contact Email Address*
Project Owner*
Project Name *
Project County*
Owner Address:*
Janice Estep
info ©c b csto n e a n d re cyc l i n g. co m
Forest Staples
Staples Dredge and Shoreline
Mecklenburg
Street Address
22523 Torrence Chapel Rd.
Address Line 2
City State / FYovirce / Region
Cornelius NC
Fbstal / Zip Code Country
28031 US
Is this a transportation project?* r Yes C No
Type(s) of approval sought from the DWR:
✓ 401 Water Quality Certification - r 401 Water Quality Certification -
Regular Express
r Individual Permit r Modification
✓ Shoreline Stabilization
Does this project have an existing project ID#?*
✓ Yes c: No
Do you know the name of the staff member you would like to request a meeting with?
Alan Johnson
Please give a brief project description below and include location information.*
Dredge a 35' x 45' area around dock. Shape and slope approx 40' of
shoreline, install matting and class "B" rip rap. All work done by barge
including dredge spoils disposal.
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
• This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
• I understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
• I also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.

Signature *
Submittal Date 8/3/2021