20211793 Ver 1_Shoreline Stabilization_20211209

Shoreline Stabilization Application Form
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
DRAFT -NOT FOR USE AT THIS TIME
Submission Form
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 *
Owner Information:
Name: *
Email:*
Phone Number:*
Mailing Address: *
[e-mail]
Please provide an email address for payment and requests for more information here.
Ron Carroll
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
P.O. Box 4297
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28117 US
Is there an agent working on the project?* ® Yes
O No
Agent/Consultant Information
Name: * Janice Estep
Company Affiliation: * CBC Stone & Recycling, LLC
Email:* [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx

Mailing Address: *
Street Address
638 Oakridge Farm Hwy
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28115 United States
A signed and dated copy of the Agent Authorization letter:*
Auth. Form.pdf 576.63KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Carroll 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. *
Upload File
Look up address
Property Address Lookup: *
Latitude:* 35.568 168
Street Address
112 Kirkwall Place
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28117 US
Longitude: *-80.952078
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
Please use the diagram at the link below:
975.33KB
1.06MB
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 and Shoreline Pics.pdf 12.34MB
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: *
Directions to site: *
610 E Center Ave
Mooresville, NC 28115
Lot 221 Crescent Land and Timber Corp.
Include phase/lot number
Head south on Evergreen St toward E Center Ave
13 s (197 ft)
Take NC-1100Brawley School Rd to McKendree Rd
17 min (7.6 mi)
Turn right onto E Center Ave
0.5 mi
Turn left onto S Church St
0.4 mi
Turn right onto E Wilson Ave
1.5 mi
Continue onto NC-1100Brawley School Rd
1.0 mi
Continue straight to stay on NC-1100/Brawley School Rd
4.3 mi
Follow McKendree Rd to Kirkwall PI
5 min (2.5 mi)
Turn right onto McKendree Rd
2.3 mi
Turn right onto Lakeview Shores Loop
0.2 mi
Continue straight onto Kirkwall P1
Destination will be on the right
331 ft
112 Kirkwall PI
Mooresville, NC 28117
Please include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application: *
Residential, new construction
Residential, undeveloped, etc.
6. Property Size
0.8 acres
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Dredge a 50' x 50' area for new dock. Old dock to be removed. Push down
existing rip rap on shoreline. Reshape and re -slope bank, install matting
and install fresh layer of boulder rip rap to refresh stabilization. Dredge by
barge, haul material out by land.
8. How will the work be done?*
From Land
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.)
462.96 cubic yards
below for dredge, 4'
below on shoreline
(940 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 (235 sf)
10' x 50' access
corridor (500 sf of
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:*
(number of trees, for instance)
Grass buffer, no trees removed, minimal disturbance to buffer, existing
boat ramp to be used for access
Sketch:
Dredge Application.pdf 11.24MB
Dredge Spoils Info.pdf 7.46MB
Sketches.pdf 734.09KB
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):
• $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:
a I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
o I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
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");
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act");
a I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
a I intend to electronically sign and submit the Shoreline Stabilization online form.

Full Name:*
Janice Estep
Signature:
Submittal Date: 12/8/2021

Initial Review
Is this accepted into the review process?* - Yes No
Project Number:* 20211793 Version:* 1
Select Reviewer: * Alan Johnson:eads\adjohnsonl
Select Reviewing Office: Mooresville Regional Office - [phone]
Has payment been received? * No Payment Needed
Fee Received
• Need Fee - send electronic notification
What amount is owed?*
• $240.00
$570.00

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. . I PLAN NO. PARCEL ID:
STREET ADDRESS: I IA K i rIA w0.11
Pigoore.s1-,11 M� as i 1i
Please print:
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Jan \ ce �� , of C.3C Skone ectvl
(Contractor / Agent) (Name of consulting firm) �J
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):
l? - ox LIagZ 'nooresv'111eNC a81\-1
Telephone: 104 - 400 • 0,35
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Si nature
Date: I i7//
Authorized Signature
Date:

VICINITY MAP
NOT TO SCALE
LEGEND
PROPERTY LINE
RIGHT 85 WAY
RE LINE
N07ES
7) Area determined by Coordinate Computat/mr Method.
2) Property subject to any facts that may be disclosed by a full
a accurate true search.
3) Property may be subject to any Restdct/on. Easement. and/
Right of Ways of record and those not of retard /f they eclat.
4) A portion of Subject Property IS located M o Special f7aod Hazard Aran
(ZONE AE) as designated by the FEA/A FLOOD INSURANCE RATE MAPS
See Map Number 3710481600L - Effective Date 3/18/2008.
5) No Geodetk Monument found withal 2000' of SLb,6ct Property
6) Subject Property Z Mg - R20.
7) Setbacks 07om per PB 72-33
1
220
NOW OR FORMERLY
ERNEST & BETSY PRUITT
DB 1613-1892
PB 69-136
- ADJOINING PROPERTY LINE
PROM DEED 08 PUT
— — — BUILDING SETBACK LINE
E7P 506010G REBAR
Williams Land Surveying, Ina
License Number C-8838
274 Beymount Drive Statesville NC 265
phone (704) 878=3998 - emelt• runntnganfatthObellsout1.net
ttta 27VKRKWALL
5o' LAKE
ORMAN
j▪ N- G','=SS &' EGRE
SS EASE yoNT
NUM
BEARING
DISTANCE
S5'44'04"W
14.95'
L2
N69'O5'58'E
13.27'
L3
566'41'00'E
18.97"
L4
N83'34'00"E
20.40'
L5
888'42'00-E
37.22'
LB
S8119'00E
30.03'
L7
N79'01'00"E
25.85'
L8
SID59'00'E
L9
N79'01'00"E
22.47'
L10
N7224'00'E
61.42'
40 0 40
219
01P
25522,22' _ T �.
30
w
NOW OR FORMERLY
MICHAEL COFFEY REVOC TRUST
DB 2756-1903
Pe 89-138
80
SCALE: 1" — 40'
DP
',ENSIGN: 9/9/2021 - .400 PER PROAC7WN LINE
1, Thames E Warn. certify that lids plat was dpm under my suprnslon
from on acted awvey mode under my super. kn (deed desajotim recorded M
Book 2903, Po.e 426 or other reference source AS NOTED 0
Not the boundaries not sur.y.a0 atom as broken N. dawn from
=frmation farad M a.hsh9 deeds end plate m 00738 that the mllo of predNan a 7 ; 700001; and that the pot meal. We
rqu5anenfs of The Stmdads of Race for Laid SLraoIn9 M North Carolina
according to North Cordtm AdmMatrat/ve Code 77t7e 21, Chapter 55 Section 16C0.
fib survey is of on edletln9 parcel or percale of fond and does not
create a new street or change en =dating street.
This 23rd day of August, 2027.
.7/1,0471cria, S. LWil ,t ,
Thomas E. Morns, NCPLS 4778
221C
NOW OR FORMERLY
ERNEST & BETSY PRUITT
DB 2485-2375
PB 72-33
��%%'`'�AR.<4,1
a. o FEs sIo ••. ti •
?;Qo ti''•v'
SEAL
.1- L-4718
sux.:•�P•
.................
n•
%so'�
Boundary and Physical Survey
112 Kirkwall Place
CRESCENT LAND & TIMBER CORP.
LAKE NORMAN RECREATION LOTS
SECTION 8 LOT 221
Davidson Township, Iredell County, NC
PIN# 4616-97-5421 ' DB 2803-425 PB 72-33
Property of: Ronald & Rachel Carroll

12/2/21, 3:22 PM
CON ` N CTGIS
WEB HOSTING
https://iredell.connectgis. com/Map.aspx
Iredlell County:
Iredell.ConnectGIS
1:117
Feet

12/2/21, 3:20 PM
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1/1

Lat, 35.568014 L -80.951389
,2()00-ft
Legend
r7; 112 Kirkwall PI

Full Pond/
Normal V1/ater Level
Shoreline
ramp
4,
48.
Alin.
Lake
(At Full Pond/ Normal Water Level)
50
50
5' Cut
y ' 13e.Iou3 )( D 35'
r slat gm r am Web �.r *,i:. ill.1r•aiatdnly
�.r14.. /musss�ii rv(t•i�ssfi•'rtr�
w r•`
1' above X Q35'
No i-rees re,rnoved
mo. c1 o5#ur\3ar,cc.
+o 6 of -e r
10'
wide.
c.
c
5
5
3.35le.n3kh
New
Con4ruc4,
house.
Please approximately sketch the following information on this plan, length of shoreline
(provide dimensions for each. item, such as 10 ft x 100 f t) *:
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

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: [12 iiirktua.11 ?I. iioaresvelle a8(15 County: "rre.cle It
Owner: lon e, r rot \
Print
Contractor/agent: C IPC 8—one Fte cycd , I..LC.
Print
jiant.Lek
Signature
f:1-1 r)
'sate re
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 02B .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 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)]
Acknowledgement of Notification
I, I`n n L rro it , hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be
taken such that the construction will be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting
materials.
Signature (owne
Date:

T&VIINNWRM/11.

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 L'Initials
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 ❑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 {�o f Co,fr'ol t
Email address:
Telephone
re)a7 S+orebr.%dr.tuxurgnovnes.Cora
Lake Address
[ l a woe k wcLi t-Mckee.
ObieSk►tie,RC astri
104- bo - 12,3�
Mailing Address (if different)
o. 3 4 a'11
Cfloores\ ►1\e lit C. a.81 1
Contractor Company CBC Stone & Recycling, LLC
Contractor Contact Person
Janice Estep
Telephone [phone]
Contractor Email Address: [e-mail]
LAKE LOT INFORMATION
Lake Norman County lrede.11 City '(floores.)'‘qe State tvG Tax Map No.
Subdivision('_rese,t- Lot / Section No. aa,\ Lot Size o. R Acres
Duke Energy
Excavation Program
Page 4 of 13 rev 10/1/2019

Duke Ener2v Excavation Permit Application Form
Are there any Co -Applicants*? (check one) ❑Yes @No (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 12 07 Z (
Initials (Duke Energy) `J 12K. flj
Duke Energy
Excavation Program
(applicant/contractor) F ,
Page 5 of 13 rev 10/1/2019

Duke Energy Excavation Permit Application Form
Part II. Description of Project
A. Basic Information
1. Type of excavation: (check one) 0 New excavation 0 Maintenance excavation
2. Purpose of excavation: (check one)
0 Water Intake Channel
El Other (specify): new dock
❑ Boat Access Channel
❑ Wastewater Discharge Channel
3. Lake user category: (check one) EPrivate ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (spec):
4. Max. Excavation Area Dimensions (ft): Length 50' Width 50' 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): 462.96
6. Type of material removed (applicant determines by field sample if practical):
Dirt/Silt
7. Excavation Site area: 0.286 Acre (s) Disposal Site area: 2.29
Cubic yards
Acre(s)
8. Total Disturbed Area (including equipment staging area): 0.297 Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
✓ {es To
10. Do you claim title to the disposal area? (check one) ❑Yes ✓ I4o
11. Do you claim title to the equipment staging area? (check one) Yes \To
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) Yes ✓ 'To
(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):
Dredge by barge, haul material off by land and take to disposal site located at 638
Oakridge Farm Hwy. Mooresville, NC 28115
Duke Energy Page 6 of 13
Excavation Program
rev 10/1/2019

Duke Ener2v Excavation Permit Application Form
14. Type(s) of excavation equipment to be used:
Long Reach Excavator, Dump Trucks
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) 0Yes DNo
(If yes, explain) By barge
16. Will return water re-enter the reservoir? (Check one) ❑Yes ONo
(If Yes, sped 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? ❑Yes ONo
(If Yes, provide the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit # new dock permit
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START 7 / 22 FINISH 7 / 22
(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
a. Marshland, swamp, ponds, beneficial
N/A
aquatic vegetation or other potential wetlands
(circle all that apply)
xxxx b. Buffer Zones (sped width & source
0.011
Dredge by barge, Haul material
off by land
of requirement)
10' wide access through 50' buffer
c. Environmental Areas as identified by
N/A
Duke Energy
d. Natural Areas as identified by Duke
N/A
Energy
e. Historic properties (specify)
N/A
f. Rare or threatened species (spec)
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 Dwg. ID
Lijt
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 rev 10/1/2019
Excavation Program

Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
Comments: Ne►gh6ors
Er nest o vu! eS -Pros i-\-
t O LQ r11i u.c0i cice-
Mooreslle,NC a�3i17
C� I nn Ui 111arn5
Vi.1r41wail P oce
mooresv'►1(e,NC gsbiti
Applicant Name (print)
Applicant Signature% /._.�/ �-- Datejy2:(2/
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
Excavation Program
Page 10of13
rev 10/1/2019

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date i l- - 2.l
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)
Lo4 as l C rescex-1#- Land E 1► rnloe r Co it 9. 1111 r1.1wal l lPlace_
(Lake/County/City) Norrman / Zredeti / (111e0resv'ill2.
(Applicant's full name) -2,Q,n (ter ro 11 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 new docK
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 Uwe 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, Uwe
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 I/we submit the final application to Duke
Energy.
At FERC-licensed reservoirs, Uwe understand that except for maintenance excavations, any
excavation exceeding 2000 cubic yards of material removed or any excavation or shoreline
stabilization work needed to support an application that requires FERC review does itself require
specific review and approval by the FERC before Duke Energy can issue any approvals.
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.
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.
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
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.
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 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.
Uwe 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, Uwe must
pursue to protect or salvage the archaeological resources.
Uwe agree that any excavation from within the Project Boundary will not exceed the volume as
outlined in the application and will remove and disturb only what is absolutely necessary to
achieve the project's stated purpose.
Uwe agree to be fully responsible for the permitted lake use and Uwe understand that this
responsibility is considered to transfer automatically along with ownership and leases of the
adjoining tract.
Uwe 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

I/we agree to develop any required mitigation plans and to complete any required mitigation
activities at my/our own expense within the specified time frames. I/we 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.
//we agree to notify Duke Energy by phone when the excavation is initiated and to ensure that
during the excavation period, .Uwe will post Duke Energy's approval letter in a clear waterproof
bag at the lob site and visible from the water's edge.
I/we agree to notify Duke Energy in writing when the excavation is completed (including any
required mitigation measures) and that the excavation was completed per the approved
application, so a close-out inspection can be performed.
I/we recognize security deposits will not be refunded if any violations of the SMP, other
applicable guidelines, or this user's agreement occur.
I/we 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,
. .nalt
Applicant's Namc (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Duke Energy
Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
Page 4
Co -Applicant's Signature
Rey 4/6/2020

Type: CONSOLIDATED REAL PROPERTY
Recorded: 4/13/2021 4:22:49 PM
Fee Amt: $1,426.00 Page 1 of 4
Revenue Tax: $1,400.00
Iredell County, NC
Maureen P. Purcell Register of Deeds
BK 2803 PG 425 - 428
NORTH CAROLINA GENERAL WARRANTY DEED
Excise tax: $1,400.00
Tax parcel ID No. 4616 97 5422
No title opinion rendered by Preparer
Prepared by Attorney Wilford V. West, IV 116 S. Main Street, Ste 201 Mooresville, NC 28115
Return to Grantee
THIS DEED is made this ` day of March, 2021, by and between:
GRANTOR: Ernest B. Pruitt and wife Betsy F. Pruitt
whose mailing address is 195 Mayfair Road, Mooresville, NC 28117
GRANTEE: Ronald K. Carroll and wife Rachel G. Carroll
whose mailing address is P.O Box 4297, Mooresville, NC 28117
WITNESSETH:
For valuable consideration from Grantee to Grantor, the receipt and sufficiency of which is hereby
acknowledged, Grantor hereby gives, grants, bargains, sells and conveys unto the Grantee in fee simple,
subject to the exceptions and reservations hereinafter provided, if any, the following described property
located in the County of Iredell, State of North Carolina, more particularly described as follows:
See attached Exhibit A
Pursuant to N.C.G.S. 105-317.2(2), this certain lot or parcel of land does not include the principal
residence of the Grantor.
submitted electronically by "Jones, Childers, Donaldson & Webb, PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Iredell County Register of Deeds.

Exhibit "A"
Property Description
Lying in Davidson Township, Iredell County, NC:
BEING all of Lot 221 in Section 8 of the Crescent Land & Timber Corp. property,
as shown on a plat entitled Recombination Plat CL&T Section 8, Lots 221 & 221C
recorded in Plat Book 72, Page 33, said plat being a revision of map recorded in
Map Book 69 Page 136 and Map Book 15 at Page in the Office of the Register of
Deeds for Iredell County, North Carolina.
There is also conveyed herewith an easement 30 ft. width for ingress and egress
known as Kirkwall Place being more particularly described in Plat Book 72, Page
33 and Map Book 69 Page 136, Iredell County Registry.

State of North Carolina
County of Iredell
1, Men a,„, —To S , a Notary Public for said County and State, do
hereby certify that Ernest . Pruitt and Betsy F. Pruitt personally appeared before me this day
and acknowledged their due execution of the foregoing instrument.
I certify that the Signatories personally appeared before me this day and
_ I have personal knowledge of the identity of the Signatory, or
XX I have seen satisfactory evidence of the Signatory's identity, by a current state or
federal identification with the Signatory's photograph in the form of:
XX (a) a driver's license, or
(b) a credible witness has sworn to the identity of the Signatory.
The Signatories acknowledged to me that they voluntarily signed the foregoing document
for the purposes stated therein and in the capacity indicated.
Witness my hand and notary stamp/seal this the 7A., day of March, 2021.
My commission expires: %fAxt.. _'Z1 2022-
SEAL
IIIYlltIt‘k

TO HAVE AND TO HOLD unto the Grantee, together with all privileges and appurtenances thereunto
belonging, in fee simple, subject to the Exceptions and Reservations hereinafter and hereinabove
provided, if any.
And the Grantor hereby warrants that Grantor is seized of the premises in fee and has the right to convey
the same in fee simple, that title is marketable and is free and clear of encumbrances other than as set
forth herein, and that Grantor will forever warrant and defend the title against the lawful claims of all
persons or entities whomsoever.
Title to the property described herein is subject to the following exceptions:
The current year's ad valorem taxes and subsequent years which are not yet due and payable and all liens,
easements, restrictions, conditions, and other matters appearing upon public record.
All references to Grantor and Grantee as used herein shall include the parties as well as their heirs,
successors and assigns, and shall include the singular, plural, feminine or neuter as required by context.
IN WITNESS WHEREOF, the Gram has duly executed the foregoing as of the 2P day of
March, 2021.
Ernest B. Pruitt
tq,vcLi„ -RAJ
Betsy F. PrOtt

DREDGE SPOIL DISPOSAL FORM
Project lame/address: la K,Ticwct.takce. NcareSy; lle. , me a g t n County: T rg,c c11
Location Address: ► .. -_ r g a ' Liza
Panel#: Utpte Uta1
Parcel/tot size Lj , 4 q aC ref
•
Disposal area required (sq ft and/or acreage) i L'1Q ' 'X - 1-00 I
Acknowledgement of Notification
l' E.ve e.-j+e ter dq eS Ur. , am aware that the site must adhere to all state regulations
and rules regarding seditti nt and erosion control and water quality. And give permission for
�n rriat
Name of ndividual and Company
to dispose of their dredge material at the above stated location
Owner: �ve'r *+e 1?j'r- ►6 cceS Tr.
Print
Date: I t - ao - a t
Along with form, please provide: •
Aerial of parcel/tot (County GIS)
Photo of proposed spoil site
Identified proposed spoil site

5/24/2021
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STATE OF NORTH CAROLINA
IREDELL COUNTY
I certify that this mop was drawn from an actual survey mode under my
supervision The unadjusted ratio of precision es calculated is 1': 10,000±
Boundaries not surveyed, if any, ore noted. Deed descriptions ore recor ed in Book as
Page shown ,WStness my hond and seal this 4u' day of JUNE , 2019.
Professional Land Surveyor
L-3703
NOTES:
• ALL DISTANCES ARE HORIZONTAL GROUND DISTANCES
UNLESS OTHERWISE NOTED.
• AREA BY COORDINATE COMPUTATION.
• 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.
LEGEND
LINES SURVEYED
LINES NOT SURVEYED
TIE LINESOVHD DISTRIBUTION UNE — —
(OVERHEAD)
R/W LIMITS
ca., TRANSMISSION 0 NO MONUMENTATION
POWER POLE UNLESS OTHERWISE
CENTERUNE NOTED
E PROPERTY LINE
(F) DENOTES "FOUND"
(S) DENOTES "SET"
NTS DENOTES NOT TO SCALE"
/
/
._- /
/--_`_
P-33
-_ /
!~—
BENT g4
/REBAR (F
/
DUKE ENERGY
TRANSMISSION UNE
GRAPHIC SCALE
0 75 150
( IN FEET)
1 inch = 150 ft.
�tSMlssioN
1 LOCATION MAP NOT TO SCALE
UNE TABLE
LINE BEARING
Li I N14'58'43"E
L2 1 N64'57'57"E
L3 I S71'07'33"E
L4 1 S63'06'35"E
L5 ; SO6'55'28"E
1 L6 I N78'30'12"W
L7 I 354"19'38"E
PIN 4668-30-1353
OAKRIDGE STORAGE,
D.B. 2521 PG. 2033
PIN 4668-20-8185 /
BRIDGES PROPERTIES, LLC /
D.B. 1602 PG. 1912 /
^ LOT gl—P.B. 36 PG. 150 /
/.— /
819,53E
0J
PIN 4667-29-6642
BRIDGES
PROPERTIES, LLC
D.B. 1602 PG. 1912
y
STAGING AREA
0.227 ACRE
L3 L7—(TIE
(e LINE ONLY)
571,73
�ANSMIS5ION UNE VW
1
LLC
/
/ -- /
/
CONCRETE
MONUMENT (F)
N 679940.48 FT
E 1462951.44 FT
NAD 83(2011)
DISTANCE
60.30
24.31
40.80
95.21
46.53
170.16
82.82
PIN 4667-39-0000
ARGOS USA LLC
D.B. 2016 PG. 4981(CD)
NAIL (F) AT BENT
44 REBAR (F)
N 679337.77 FT
E 1462830.56 FT
NAD 83(2011)
PIN 4667-29-5304 ' `�- — —
PCMFORLESS HOLDINGS, LLC
D.B. 2180 PG. 1029
LOT g2—P.B. 26 PG. 73
TAX 10: 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
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 PLLC #P-0190
137 Jennings Road, Suite C
Statesville, North Carolina 28625
[phone] Fax [phone]

111111111111111111111
Doc ID: 008889980003 Tvice: CRP
Recorded: 11/23/2004 at 01:28:00 PH
Fee Amt: $874.00 Page 1 of 3
Excise Tax: $854.00
Iredell County. NC
Brenda D. Bell Register of Deeds
BK1602PG1912-1914
Excise Tax $654.00
Tax Lot No.
Verified by County on the .......... day of
by
Parcel Identifier No 4667-29-6642 and 4668-20-8185-4.34
Mail after recording to: Grantee
This instrument prepared by: Lutzel, Gandy Broadway, PLLC
Brief Description for the Index
NORTH CAROLINA GENERAL WARRANTY DEED
THIS Db.bD n>adethis 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

The property hereinabove 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, bas 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.
By:
(Corporate Name)
President
Attest:
Secretary
(SEAL)
Dona Ray Snyd
c • cc .044.2— (SEAL)
Victoria A. Snyder
NORTH CAROLINA COUNT
I, a Notary Public of the County and State aforesaid, certify Snyder and Victoria A.
SNyder, Grantor, personally appeared before eexecuti n of the
foregoing instrument Witness my hand and o 004.
My Commission Expires: 0i/OL/P7 Notary lic
(SEAL)
(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:
The foregoing Certificate(s) of .
is/are certified to be correct This instrument and this certificate are duly tend at thh14i and time and in the Book and Page
e first p
Notary Public
Deeds fo unty
Depucy/AssigoaseL—Register ofDeeds

EXHIBIT i°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 NAB 83; thence continuing from
aid 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
line 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, Iredeli County
Registry) North 74-59-17 West 572.00 ft. to an existing i#2 rebar in the eastem 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.

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