20220651 Ver 1_Shoreline Stabilization_20220511

�vi.STATE 4 jo o �(
RO^COOPER 4,44i'l---i.- ,_
MICHAEL S.REGAN
Secretary sasitcugo
f
S.DANIEL SMITH NORTH CAROLINA State of North Carolina
Director Environmental Quality
Department of Environment Quality
Division of Water Resources
15A NCAC 02H.0500—Water Quality Certification,Shoreline Stabilization
FORM: SSGP 09-2020
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.)
Paul Wojoski Paul Wojoski
DWR—401 & Buffer Permitting Branch DWR—401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
NOTE: 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)which states "At least 30
days prior to submitting a certification request, the project proponent shall request a pre-filing
meeting with the certifying agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all
certification requests must 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 to this application.
Date of Pre-filing Meeting Request: / / (required) RECEIVED
DWR ID# Version (if applicable)
MAY 1 1 2022
DEQ-WATER RESOURCES
A. Applicant Information [15A NCAC 02H .0502(a)] 401 &BUFFER PERMITTING
1. Owner Information
Name: —4704,144, kevi PotG(f•41
Mailing Address: 1-12.M 3 Pr6ar i.61
5►,ern.I(5 pr4 , IYC 3403
Telephone Number: 7O1—‘10 — Ob)-15 Fax Number:
E-mail Address: Kell. PoOr,an 43lalid ,can
- - North Cn ofEnvironmental Quality Reu
512 Northaroli SalisburyaDepartment Street 11617Envir Mail Service Center I Raleigh,Division NorthofWater Carolinaso 2769rces9-1617
oenanm..,;r E:omm..rmi weuq 919.707.9000

2. Agent/Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: vwa ln.1 EfrIy c4ra--
Company Affiliation: L.akt Mo 'ri Dieol�.� Ptrr- s .,
Mailing Address: I Sq KeSfrl.1 IVgltty CALL
C«fIvbC, , PI C, 2$609
Telephone Number: 1014-`fOz 3140 Fax Number:
E-mail Address: 14v�623Ma;(.cocA
B. Project Information 115A NCAC 02H .0502(a) &(b)]
1. Attach a vicinity map(i.e. street map) clearly showing the location of the property with
respect to local landmarks such as towns, rivers, and roads.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, buildings, retaining walls, docks, impervious surfaces, rip rap, excavation
or dredging below Full Pond/Normal Water Level elevations, and construction access
corridors. You may use the diagram provided at the end of this application form.
3. Attach a photograph of the shoreline/buffer proposed to be stabilized. (Include a scale of
some sort-a yard stick, shovel handle,etc.)
4. Location of the property(where work is to be conducted)
County: 6.44-a.eby Nearest Town: Ponce-
Lake/river/ocean adjacent to property: (.a k6 njb sQ„
Property size(acres): 0•6O
Subdivision name or site address(include phase/lot number): C,'(o'y I•Foi6( , Lot Ii
Directions to site -please include road names and numbers, landmarks,etc.: Ntugloilb
frrrs 0,.y ISD t,.rh oni`o (+C.rbo , �.,d h IaS) kw use ovt +ke / lr/-
Latitude (in decimal degrees) 3S. S77`$ Longitude (decimal degrees) -5("9115
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped,etc.): r/,S IdQn4-,1(
6. Describe proposed work(include discussion as to how hardening of shoreline has been
avoided,or why it is necessary): °red," Qw {,,al- *CC€4)
FORM:SSGP 09-2020 Page 2 of 5

7. Will work be conducted from land? n From water? (�
8. Total amount of impacts below the normal pool lake level/ Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
Temporary impacts in square feet:
9. Total amount of impacts above the normal pool lake level/Normal Water Level and 50 feet
land-ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
0
Temporary impacts (temporary clearing, construction corridor) in square feet:
0
10. 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): 41-I1, wodel
11. Signature
By signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true,
accurate, and complete to the best of my knowledge and belief
• 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
Owner/Agent's Signature [15A NCAC 02H .0502(f)] Da e
*Agent's signature is valid only if an authorization letter from the owner is provided.
12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level
elevation
FORM:SSGP 09-2020 Page 3 of 5

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: Reh Poel,•wh Die asi County: C4411.66ct
Owner:
Print
Contractor/agent:
�G>i! hWA'N
FhyecitF
Signature
Sri 'Qs+�tlJ
Print Signature
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)]
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 and 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
KI, kI ' aZ A 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 Rul s, the approved plan(s) and specification(s), and other supporting
materials.
Signature (owner):
Date: S 2

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�7f Initials I-i
Z on -site inspections Date
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 Onders or SMG Violations*? (check one) ❑Yes ❑No (lf 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 KC„ Pool MAA
Email address:
Telephone 10Y'6l 0 -
; s s Kw%. POGI Mart 4ge+et! . CAA
Lake Address
1-143 Prirbor �+-
SherrNis Nrot , Nt 67 3
Contractor Company LAtkt 1•bN}+An
Mailing Address (f different)
P
Contractor Contact Person Ifc4K3e Frtyeirt- Telephone 'WY-(402- -3,40
Contractor Email Address: Vat5kn cam
LAKE LOT INFORMATION
Lake Norman County C•14-ftabq City 9heer,9ls pael State Alt Tax Map No. 013- BX 01011
Subdivision Lokaktir Rtuipor Lot / Section No. i( Lot Size 0. 6 Acres
Duke Energy
Excavation Program
Page 4 of 13 rev l l /22/21

Duke Enemy Excavation Permit Application Form
Security Deposit Refund Information
The security deposit will be refunded after the excavation permit has expired if no violations of
the approval occurred. The applicant will receive the security depost refund at the mailing
address in Part I unless an alternative recipient is identified.
Send the security deposit to an alternative recipient? (check one) ❑Yes IJNo (If Yes,
include name and mailing address below.
Name: Tax ID:
Mailing Address:
Are there any Co -Applicants*? (check one) °Yes 14No (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 < 2--y7--
Initials (Duke Energy) L44 (applicant/contractor) V Ci
Duke Energy Page 5 of 13 rev 11/22/21
Excavation Program

Duke Enemy Excavation Permit Application Form
Part H. Description of Project
A. Basic Information
1. Type of excavation: (check one) 0 New excavation elMaintenance excavation
2. Purpose of excavation: (check one) ElBoat Access Channel
❑ Water Intake Channel 0 Wastewater Discharge Channel
❑ Other(specify):
3. Lake user category: (check one) Private ❑Residential Marina
❑Commercial Marina ❑Public
❑Other(specify):
4. Max. Excavation Area Dimensions(ft): Length 14.0 Width '3-5 Depth 10
(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): Cubic yards
6. Type of material removed (applicant determines by field sample if practical):
0.1, sad, orgw,a, ><
d,0�3 Acre Disposalo.0y3
7. Excavation Site area: (s) Site area: Acre
(s)
8. Total Disturbed Area(including equipment staging area): Acre(s)
9. Does pie project meet the requirements of the applicable General Permit? (check one)
ellYes ❑No
10. Do you claim title to the disposal area?(check one) ❑Yes IMNo
11. Do you claim title to the equipment staging area?(check one) EfNies ❑No
12. Are there any water-treatmept_ facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes I9No
(If Yes, sped):
13. How will the excavated material be entrapped and the erosion controlled?(e.g. see attached
erosion control plan and disposal area design):
Mn4-er q l to It be euAi.,w.f lAct5 a tong rc 4i Ic a vA For av► a {Daryl-
Duke Energy Page 6 of 13 rev 11/22/21
Excavation Program

CI(sIo
DN/A
Duke Energy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used:
(3wye, rtncler &, }- Long buck p,3c to vafo,r
15. Will waters or wetlands be 9rossed in transporting equipment to or from the site?
(check one) Dyes l No
(If yes, explain)
16. Will return water re-enter the reservoir? (Check one) DYes
(If Yes, specify point(s) of re-entry and show on Excavation Area Drawing)
17. Is there an a fisting facility (e.g. pier) that access is being maintained to by conducting the
excavation? IYes DNo
(If Yes, provide the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit # 93413
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START J,fy / 1o3.s- FINISH trZI7 /
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 13 rev 1lrz2/21
Excavation Program

Duke Energy Excavation Permit Application Form
Part H. (Continued)
B. Protection / Avoidance Area Descriution
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas
ADArox
Identification
Method (*1
Avoid (A) or Mitigate (M)
(check all that apply)
Acre
Field ID
Work Area Dwg. ID
j**1
a. Marshland, swamp, ponds, beneficial
N�
aquatic vegetation or other potential wetlands
(circle all that apply)
b. Buffer Zones (specify width & source
N14-
of requirement)
c. Environmental Areas as identified by
Oli-
Duke Energy
d. Natural Areas as identified by Duke
N r
Energy
e. Historic properties (specify)
tJ P'
f. Rare or threatened species (spec)
/JA
g. Buried gas, water, sewer,
r4fA-
communications or electric lines (circle)
Duke Energy
Excavation Program
Page 8of13
rev 11 /22/2021

Duke Enemy Excavation Permit Application Form
Protection/Avoidance Areas
ADDrox
Identification
Method (*)
Avoid (Al or Mitigate (M)
(check all that apply)
Acre
Field ID
Work Area Dwe. ID 1
L1
h. Impact Minimization Zones as
AA
identified by Duke Energy
i. Other areas requiring specific
Wk
avoidance, protection or mitigation (specify)
* 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
Excavation Program
Page 9 of 13 rev 11/22/2021

Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
Comments:
Applicant Name (print)
Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Date 0/4622.
Date
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 10 of 13 rev 11/22/2021

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date t't '002.)-
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)
Kew Palm% P,zdym5 Colony N' I»f
(Lake/County/City) Noonan / C, i-tAvia / Sh•t tkr Rand
(Applicant's full name) Kei, PoctmwA 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 f3'4$- kcc.,s5
In addition, Uwe 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, Uwe will be expected to comply with the new
requirements to the maximum extent practicable. Uwe 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.
Uwe 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.
//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, Uwe 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.
Uwe understand that every reasonable effort must be made to minimize any adverse impact on
fish, wildlife and other natural resources.
Uwe 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.
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

1/we agree to adequately stabilize all excavated material and all disturbed shoreline to prevent
erosion and runoff into the lake.
I/we understand that the double handling of excavated material will not be allowed; therefore, all
excavated material must be placed above the Project Boundary in one handling.
Uwe 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.
Uwe 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.
1/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.
//we understand Duke Energy representatives may issue Stop Work Directives for violations of
the SNIP 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 E agy
Page 3
Re: v6/2020

Uwe agree to develop any required mitigation plans and to complete any required mitigation
activities at my/our own expense within the specified time frames. Uwe 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 Enemy 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 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.
Uwe agree to maintain the work area in a safe condition and to fully indemnify and save Duke
Energy harmless from any and all claims, liability, loss or damage that may arise from this
excavation project.
Uwe understand that this user's agreement does 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,
Diu MMgr/ V%lkla
Applicant's Name (Print)
Co -Applicant's Name (Print)
Applicant's Signature
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
Duke Energy
Page 4
Rev. 416J2020

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( CRAIG GATES REALTY LINCOLNTON, N,C. 735.0428 )
9.5767 TOT. ACRES
SCALE: 1'50
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SURVEY P.Y
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ZONING CLASC ICAT ION I SUP. D. S. A DJOINING
SEPT. 1 1961
.-N 61'O6.,'29.E 136.0•
302,60' TO Q. EAST END OF BRIOGE-
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3189-0993
Excise Tax: 8376.00
FIB Colombo Caney
on May 23, 2013 at:12:37:00 pm
Mae Tax $.OD (BR)
INST. o 10142
DONNA HERS SPENCER.,
Rogloter of Deeds
El 03189' 0993-0995
NORTH CAROLINA GENERAL WARRANTY DEED
Parcel Identifier No. 4607-1951-7121 Verified by
County on the _ day of , 20
✓ Mail/Box to: Wax
This instrument was prepared by: Robert I. Brown. THE TONAS LAW FIRM. PLLC Denver. NC
Brief description for the Index: Lot 1 I Colony Harbor (17/2111
THIS DEED made this day of May 2013 by and between
GRANTOR
Gtegay P. Cote, unmarried and
Tanya V. Oliver, unn arried
6121 Seward Road
Moulton, NC 27040
GRANTEE
Kenneth R. Poelman and wife,
Jennifer L. Poelman
7893 Chapel Creek Drive
Denver, NC 28037
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, fora valuable consideration paid by the Grantee, the receipt of which is hereby admowledged, has and
by these prestaits does grant, bargain, sell and convey unto the Grantee m fee simple, all that certain lot or parcel of land situated in the
Mountain Creek Township, Catawba County, North Carolina and more particularly described as follows:
For legal description see Exhibit "A" hereto attached and made a part hereof
The property hereinabove described was acquired by Grantorby instrument recorded m Book 3093 page le and Book WI page ?,W9.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Plat Book 12 page 211.
NC Br Association Faro No. 3 O 1976, Revel O Utl20t0
Primed by Ageon,as with the NC Br Association
3

3189-0994
Exhibit `•A"
All and the full contents of Lot Number Eleven (11), Block A, of COLONY HARBOR
SUBDIVISION, as shown on a plat thereof prepared by Roy C. Turner, Registered
Surveyor, dated September 11, 1981, recorded in Plat Book 17, Page 211, Catawba
County Public Registry, to which reference is made and had for full description by metes
and bounds.
There is also hereby conveyed a 1/17 undivided interest in the Access Lot as shown on
the plat of Colony Harbor Subdivision as recorded in Plat Book 17, Page 211, Catawba
County Registry.
SUBJECT, HOWEVER, to those Protective Covenants recorded in Book 1271, Page
423, and easements in favor of Duke Power Company for utility purposes as recorded I
Book 220, Page 477; Book 665, Page 417; Book 695, Page 306 and Book 717, Page 179,
all recorded in the Catawba Public Registry.
The above described property is conveyed subject to the flood easements to the 770
contour elevation line as set forth in deed from Frank Howard and wife, Annie Howard,
to Duke Power Company, which deed is recorded in Deed Book 632, Page 70, Catawba
County Public Registry.
Also conveyed is an easement for the purpose of ingress and egress over and across the
lands lying between the 760 contour elevation line and the waters of Lake Norman during
periods of low water for access to Lake Norman as conveyed in the Deed from Alson L.
Goode, Jr. to Craig P. Gates, Incorporated, dated September 9, 1981, recorded in Book
1270, Page 427, Catawba County Registry.
Reference made to Deeds recorded in Book 3093, Page 769 and Book 2156, Page 299,
Catawba County Public Registry.

3189-0995
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 Onmtor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in095
simple, that tide is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against
lawful claims of all persons whomsoever, other than the following exceptions:
(1) 2013 AD VALOREM TAXES; AND
(2) ALL VALID AND ENFORCEABLE EASEMENTS, RESTRICTIONS, RESERVATIONS, RIGHTS OF WAY AND
OTHER CONDmONS THAT MAY APPEAR IN THE RECORD CHAIN OF TITLE.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
Greaory P. C
V(� /
(SEAL)
(SEAL)
Slate of North Carolina - County of Lincoln
I certify that the following person(s) personally appeared before me this day, acknowledging to me that they
voluntarily signed the foregoing document for the purpose stated therein and in the capacity indicated: Gregory P. Cote,
unmarried and Toava V. Oliver, unmanied.
Witness my hand and official se itla ,dday of May 2013.J'41 /�'.►Q �,,
,t loan j, y0 s (Ali - VwNY1Ur r4/Y�
My Commission Expires:1�06_ sO My Comm E,p. fa Christine E. Anthony, Notary Public
(Affix Ste) c 12/06/2016
er'YLIC 4) f
Stets of of
I, a Notary Public°NPNtaty and State aforesaid, certify that poly
came before me this day and acknowledged that site is President of allorth Carolina Corporation,
and that s/he as President being authorized to do so, executed the foregoing on behalf of the corporation.
I certify that the following Person personally appeared before me this day, acknowledging to me that he or she voluntarily
signed the foregoing document for the purpose stated therein and in the capacity indicated:
Witness my hand and official seal this day of , 2013.
'a<_
My Commission Expves: Notary Public
(Affix Seal) Notary's Printed or Typed Name
NC Bar Aseocistioe Form No. 3 01976, Revised 0 1/12010
Printed by Apasaest with the NC Bar Axodarke

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\\ GOODSON
DEED BK:2337-730
75 ACIOS BY DEED REMAINING
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of the prepaid ohm and described heoon imd that I�
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Property Omer
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179.674".\
Disposal Site
6792 Kidville Rd.
Denver, NC 28037
a Lincoln County
L6 2.9 Acres of Disposal Area
Disposal Area
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NEW
BOUNDARY
SURVEY
SAMUEL T. GOODSON
CATAWB A 6710NOO 7017048110
LINCOLNCOUN'Y. MC
APNIL 1T.2010
6E/LLE 1- NV
PRORRTY INIBMWTION:
PERKS ADMIRE
6700 ODPIII1 ROAD
D01PDR, NC 01077
PIN /3540C9971
104E T0103
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existing panels, s court -ordered nuley, or other exemption w
exception 1e the de5nllion of s,ltdlehloo.
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TO WHOM IT MAY CONCERN:
SAMUEL GOODSON GIVES AUTHORIZATION TO SHANNON MILLER WITH LAKE NORMAN DREDGING &
MARINE CONSTRCTION TO USE PROPERTY LOCATED AT 6790 KIDVILLE RD, DENVER NC 28037 FOR
DREDGE MATERIAL DISPOSAL SITE.
PARCEL NUMBER- # 3694021277
SAMUEL GOODSON

BOOK 2337 PAGE 730 009253
Filed
Date: August 28. 2012 Pgs: 4
Time: 2:06 PM Recording Fees
Book: 233L_ $26.00
Page: 730
Danny R. Hester
Register of Deeds
Lincoln County, NC
2337 0730 201209253 DEED
1111111111111111lt ItlilIIl
Prepared by: Richard E. Jonas, Attomey at Law, Lincolnton, NC
After recording mail to: Grantee
STATE OF NORTH CAROLINA
COUNTY OF LINCOLN
Deed of Gift
WARRANTY DEED
This deed made this a-fs day of QcA,. 7 2012 by and between
KATHLEEN GOODSON FISHER, FKA KATHLEEN GOODSON
hereinafter referred to as "Grantor" and
SAMUEL THOMAS GOODSON
Address: G 7 90 l(Loiv 4
hereinafter referred to as "Grantee."
The designation "Grantor and Grantee" as used herein shall include said parties, their heirs,
personal representatives, successors and assigns and shall include the singular, plural, masculine,
feminine or neuter as required by the context.

BOOK 2337PAGE 731
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 Catawba Springs Township,
Lincoln County, N. C. and more particularly described as follows:
All of Tax Parcel 34700 being all of the Keith Goodson heirs property on the
southwestern side of Kidville Road, the same being property described in deed
recorded Book 379, Page 381, Book 512, Page 573 and Book 603, Page 70, to which
deed reference is made for further description which is incorporated herein by this
reference.
See also Exhibit A for further deed description.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereunto belonging to the said 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. Tale to the property hereinabove
described is subject to the following exceptions:
Valid and enforceable reservations, restrictions, conditions, easements and rights -of -ways in
the record chain of title.
The draftsman of this deed did not examine or certify title and did not participate in the closing
of this transaction.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, the day and year
first above written.
7-4.,46EAL)
Kathleen Goodson Fisher

eooK 2.337PAGE 732
NORTH CAROUNA,
COUNTY OF LINCOLN
I, a Notary Public for said County and State do hereby certify that Kathleen Goodson Fisher
personally appeared before me this day and acknowledged the due execution of the foregoing
instrument.
Witness my hand and Notarial Seal, this the o0 `+- day of
2012.
My Commission Expires: G-13—ry
Notary Public
7

EXHIBIT A
Parcel 34700
6792 Kidville Road
BOOK 2337Paa 733
TRACT 1: BEGINNING at a stake on West side of a branch in Susan Keever's line, and
runs North 65 %z deg. East 93 poles to a white oak; thence North 3 deg. East 47 '/ poles
to a stone; thence North 25 deg. East 45-7/8 poles to a stone on West side of
Lincolnton Road; thence North 9 deg. West 22 poles to a stone; thence North 62' deg.
West 6-3/5 poles to a stone; thence South 16 deg. West 8'/. poles to a stone; thence
North 78'/ deg. West 11-1/5 poles to a stone; thence South 86'/ deg. West 29'
poles to a stake in the Road; thence South 81-3/4 deg. West 29 poles to a stake in the
Road; thence South 44 deg. West 37 poles to a dogwood near a branch; thence South
72 deg. West 22 poles to a cedar; thence South 66 deg. West 46 poles to a stake in the
branch; thence, down the branch as it meanders, to the beginning, being about 99 %z
poles, containing 85 acres, more or less.
Deed Reference: Book 379, Page 381.
TRACT 2: BEGINNING at an iron stake, a new corner on the old line of C.A. Keever
and also comer of the property of Keith Goodson, and runs thence with Keith
Goodson's old line, South 89 deg. 10 min. 24 sec. East 482.63 feet to an iron stake,
Keith Goodson's old comer, thence North 1 deg. 34 min. 21 sec. East 69.25 feet to an
iron stake a new corner in the old line at the edge of the right of way of State Road No.
1381, thence three (3) new lines with the lands of C.A. Keever, South 41 deg. 58 min.
17 sec. West 32.85 feet to an iron stake, thence, South 64 deg. 24 min. 18 sec. West
29.52 feet to an iron stake, thence South 86 deg. 42 min. 23 sec. West 436.61 feet to
the point of BEGINNING, containing 0.20 acres more or less.
Deed Reference: Book 603, Page 70.
TRACT 3: BEGINNING at a point in the center of N.C. Highway #1381, new comer in
the old A.B. Keever line, and runs thence with the center of the highway South 32 deg.
10 min. East 183.5 feet to a point in the center of the highway (which said corner is
located North 78 deg. 30 min. West 27.4 feet from an old control comer), and runs
thence with other lands of Goodson North 78 deg. 30 min. West 122.5 feet to an old
comer; thence with property of A.B. Keever North 2 deg. 45 min. West 109.8 feet to the
BEGINNING.
Deed Reference: Book 512, Page 573.

Doe Table
lain. I
LoxIth
Direction
115
224.526
243 30' 07211
49
67.04E
NOr 43' 00.00'7
1,5
70.804
844' 07' 22.961
18
55.907
S44' 02' Stool
L7
53.309
94Y 41' 90.771
18
53.584
34r 03' 17.73E
18
51.369
840 49' 16.387
LIO
48.053
033 DO' 46281
111
51.636
935' E2' 20.601
1.12
89.767
332. 23' 04.331
113
31.980
025' CO' 00001
WS
106,97
555' 44' 17.73-1
147
85.537
Nlr 39' 37.111
140
107.398
220' 33' 42.851
119
137.953
8000 48' 56.851
U
124.19S
843 18' 20a61
L14
190.000
SOT 12' 41.171
120
30.786
831. 44' 41.30.E
12
32.659
337. 38' 41.0011
L 1
29.520
560. 04' 42.001
HESTER
DB: 283E-178
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BLYTHE
DB: 2491-289
36% °00"W
GOODSON
DEED BK:2337-730
75 ACRES BY DEED REMAINING
KEENER
DB: 922-575 L3 •, L4
L2
LII 478y500_"W -
581. 4r;' D0.00
/
N77' 38' 43.38"E
78.739
N71' 06' 33.30"W
89.595
506.189
S87' 3444002.91"W
2 ACRES TO BE
EDUCATED AS A
"STUMP DUMP"
/
F /
30 O90/
N65 h001
KEEVER
\ /
\ / DB: 924-87
\
CERTIFICATE OF 01N®t0HIP AND DEDICATOR
1 (We) hereby certify that I am (we are) the oener(s)
of the property shown and described hereon and that I
(We) hereby adopt this plan of subdivision eith my II
(our) tree consent.
Date Property Owner
@IIDOQI4.B11 '
reuse 0.
au1
»m10'
C 0'
4�6.60
582' 2�7 0"W
1' PIPES
SET AT NEE
109141R
S07' 12' 41.17'W
179.674
/
/
L5
NEW PARCEL
10.01 ACRES
0.92 AC. WITHIN R/W
Ny
h
STONE IN OLD
PENCE ID76
Ir RED OH IN OLD
FENCE LINE
IS' PPE ON
06L SIDE
0
L11
L12
L13
H. SENT i5
HEAR
NOLAN
➢B: 503-380
A
NEW
BOUNDARY
SURVEY
for
SAMUEL T. GOODSON
CATAWBA SPRINGS TOANSNIP
LINCOLN COUNTY. NC
APRIL 17.201E
SCALE 1"= 2W
PROPERTY INFORMATION:
PHYSICAL ADDR123:
6792 239012E ROAD
DEN/®1, NC 26037
PIN #3894023379
FINS: TANK II
MAP j 371096940U
PLAT NOTES:
ZONING: R7
OWNER INFORMATION:
SAMUEL T. GOODSON
MAILING ADDRESS:
8790 GOODSON ROAD
DENVER, NC 28037
I PUT HO21H IS 4A ED OM DEED 2331-130
2(EOEETIt M51JIIx1S NONE 1)44,O PATIN 2000'
1AREA COI.PIrt10 ION° CORDNAIC 11111106
1.ALL DETANEES ARE (ROUND HORIZONTAL UNLESS
OTHERN % NOTED
5. AN" 11420205E .YAAISMENTS WERE 544100ED 3100
THE DOM TEN RCIE
8SUDICr PROPERTY DOES NOT LIE MINN A ROOD
HAZARD AREA 0R PROTECTED WAIER9e0
7N0 IMPROVEMENTS OP 01NMS MERE SURVEYED
execs DO N01 SOBS.
9PROFER1r IS SUEECT 10 ANY AND ALL BURDENS OR
BENEFITS
HELTON�
LAND SURVEYING
704-634-9354
J W NELTONLLC@AOL.00N
1ACOB 1. ®SON, AB
[phone]
7345 POEM ®L RI
DC17®L NC E5097
DEED AND P14? RE203240 &
DB:2337 PG:730
DB: 922 PG: 575
DB: 171 P0: 472
PB: 19 PG: 439
1
14
2 Jaco2W Ikiwi, 0006'TAaetOin pith was dram mtlerinrmpm0ln PIUM arecy made under In
aulxr4ia00 (frn,n deed .crerona, mind} that Me mmUdancx not ureeyod aro oloady indoamd an drawn (from
decal reielea1w Welk Ibm the In1iu or IN,Mirwe m cdadMad it 1.10000'. Nam air PMM war arequed io
oemNmwc mt5 f. S 47-.30 as mnmMed. Witnom n1\' n5ginW A'gnmure, rtgiarodor Number and wet Pox 17 day
of ARril, N1IS A.D.
That the survey is of another category, such as the recombination of
existing parcels, a court -ordered survey, or other exemption or
exception to the definition of subdivision.
Jacob Helton 4/17/2018
NAME DATE
IY 100' 200. 41Nr
GRAPHIC SCALE I"-2.00'
ORGY: DRAIN: JO8/DB0INI
HI 4/18 138 4/17/16 •I8100

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6/92 Kid.Ile Rd
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6792 Kidville Rd
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