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HomeMy WebLinkAbout20220681 Ver 1_Shoreline Stabilization_20220518 c), 6 .- — 0 '& ' 1 ROY COOPER ) + �, Governor i l MICHAEL S.REGAN •. /_/ Secretary 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. RED Date of Pre-filing Meeting Request: / / (required) DWR ID# Version (if applicable) MAY 1 8 2022 DEQ-WATER RESOURCES 401 &BUFFER PERMATIN0 A. Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information Name: TOM sr"ii'h Mailing Address: 41'6141 iiatbor Ln. 9teerills ro,j , NG 21613 Telephone Number: '19" 633- 't13 7 Fax Number: E-mail Address: Tom @ T 5r^t 'i c pa,cot., D E j North Carolina Department of Environmental Quality I Division of Water Resources 512 North Salisbury Street 11617 Mail Service Center I Raleigh,North Carolina 27699-1617 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: Uto9►,n 134 yap(1' Company Affiliation: C-oikL ►Jor,..+n Drt \y P2rm,N-4.5 Mailing Address: I$4k kts ,cl Val), l a,c C a.1,01...,64 NC.-, i8609 Telephone Number: 704- Fax Number: E-mail Address: Vetwik.i (aq--ayMw 1•c•D,., B. Project Information [15A 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: Cu+a✓bcN Nearest Town: Penvef Lake/ river/ocean adjacent to property: fake Morran Property size (acres): 0.uii Subdivision name or site address(include phase/lot number): Coloaty Ior / LA 12 Directions to site- please include road names and numbers, landmarks, etc.: Fidr+ 14✓y 150 fivrn on}a li3rior `h, / eve) pF c (des'C vn r4,510- Latitude (in decimal degrees) 3S, S716 8 Longitude (decimal degrees) '93•INS3 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): reS;d,,n4,u( 6. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): 19xiigil DetS:n' 6qF 4c tt55 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: 2'600 $41i P�- Temporary impacts in square feet: O 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: v 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): 0-64t 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 A/,L 14 ' ' I f 'i-Z-- Owne Agent's Signature* [15A NCAC 02H .0502(f)] Date *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: -Tor'i 5A4 kh D/2dy' County: (al-av+ Owner: 1"eVi 3 It - Print Signat a Contractor/agent: Vu jkn y ea/r - 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 , 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 (owner): Date: ,O2��� 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 .'d 4Z 22 Initials /415 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) OYes [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 Torn 5, i Telephone R l q- G 3 3 -R l 3 7 Email address: To a rsrA % c fA•t>orti Lake Address Mailing Address (if different) yZ9Q 14wb.r La*.L 5harrills rent NC 1-2'67j Contractor Company L-4 kt: Noi'r 9(,44 Contractor Contact Person Vawyt+n t1-19yt;•re- Telephone 701' 101--3)-$0 Contractor Email Address: 1fattgl.n MO-kit (,cor% LAKE LOT INFORMATION Lake Piorr•an County CRra'+k City Skerr Pid State NC Tax Map No. 011 Sx 10 Subdivision Colony A-car of Lot/Section No. iZ Lot Size C yb Acres Duke Energy Page 4 of 13 rev 1 l/22/21 Excavation Program Duke Energy 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) OYes ONo (If Yes, include name and mailing address below. Name: Tax ID: Mailing Address: Are there any Co-Applicants*?(check one) OYes ONo (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 S'Z LZ— Initials(Duke Energy) /,A=1*--) (applicant/contractor) VC/✓ Duke Energy Page 5 of 13 rev 112221 Excavation Program Duke Energy Excavation Permit Application Form Part II. Description of Project A. Basic Information 1. Type of excavation: (check one) 0 New excavation 14 Maintenance excavation 2. Purpose of excavation: (check one) riBoat Access Channel ❑Water Intake Channel 0 Wastewater Discharge Channel ❑Other(spec): 3. Lake user category: (check one) ®Private ❑Residential Marina ❑Commercial Marina ❑Public ❑Other(spec jy): 4. Max. Excavation Area Dimensions(ft): Length 10 Width 40 Depth ti (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): 3.07 Cubic yards 6. Type of material removed(applicant determines by field sample ifpractical): 041/ Sand 1 8cganst m 7. Excavation Site area: 0,0 GLt Acre(s) Disposal Site area: 0.06 ( Acre (s) 8. Total Disturbed Area(including equipment staging area): 0,11? Acre(s) 9. Doese project meet the requirements of the applicable General Permit?(check one) Bil Yes ❑No 10. Do you claim title to the disposal area?(check one) ❑Yes 'l'_IN° 11. Do you claim title to the equipment staging area?(check one) Yes ❑No 12. Are there any water-treatmej t facilities within 50 feet of the proposed excavation area? (check one) ❑Yes ENo (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): M*1-crc4 I wi ll b4- exca akd LtSim, a (►ny rem excavahr o-n G barge Duke Energy Page 6 of 13 rev 11/22/21 Excavation Program Duke Energy Excavation Permit Application Form 14. Type(s)of excavation equipment to be used: ?-erivr baths , I,uit3 reuth gi(Catmier 15. Will waters or wetlands be crossed in transporting equipment to or from the site? (check one) ❑Yes Ito (If yes, explain) 16.Will return water re-enter the reservoir?(Check one) DYes INo ON/A (If Yes, specify point(s)of re-entry and show on Excavation Area Drawing) 17. Is there an eisting 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# 18. Total planned duration of the work(Include first equipment mobilization, excavation through final mitigation measures complete): START aut ly / ?-o2Y FINISH Owl y / 1 D 2 - (Month) (Year) (Month) (Year) Duke Energy Page 7 of 13 rev 11/22/21 Excavation Program Duke Energy Excavation Permit Application Form Part II.(Continued) B. Protection/Avoidance Area Descriution Complete the following table including all land areas within and immediately adjoining the disturbed area: Protection/Avoidance Areas AmDrox Identification Method(*l Avoid(A)or Mitigate(M) (check all that apply) Acre Field ID Work Area Dwg.ID_ u a. Marshland,swamp,ponds,beneficial aquatic vegetation or other potential wetlands f1I (circle all that apply) b. Buffer Zones(spec fy width&source of requirement) 'r N A- c. Environmental Areas as identified by au, Duke Energy d. Natural Areas as identified by Duke Energy ly it e. Historic properties(specify) IVA f. Rare or threatened species(specify) Mk g. Buried gas,water,sewer, communications or electric lines(circle) Iv Duke Energy Page 8 of 13 rev 11/22/2021 Excavation Program Duke Energy Excavation Permit Application Form Protection/Avoidance Areas Aonrox Identification, Method(*) Avoid(Al or Mitigate(M) (check all that apply) Am Field ID Work Area Dwg.ID h. Impact Minimization Zones as N� identified by Duke Energy i. Other areas requiring specific avoidance,protection or mitigation(spec) AA * 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 11/22/2021 Excavation Program Duke Energy Excavation Permit Application Form C. Applicant's Signatures Comments: Applicant Name(print) Applicant Signature* Date 5)s,h oZZ Co-Applicant Name (print) Co-Applicant Signature* Date Co-Applicant Name(print) Co-Applicant Signature* Date Co-Applicant Name (print) Co-Applicant Signature* Date Co-Applicant Name (print) Co-Applicant Signature* Date *Per my signature,the information provided in this application is correct to the best of my knowledge. Duke Energy Page 10 of 13 rev i 1/22/2021 Excavation Program Excavation Project User's Agreement Letter (Please fill in the blanks.Please Print) Date ld'1H `102-3- TO: Duke Energy do Lake Services-EC12Q 526 S.Church Street Charlotte,NC 28202 RE: Excavation For(Subdivision and Lot#'s or Other Project Name) Pet sc ; DrecA05 (..0loni , L.I- 1)- (Lake/County/City) Ifor"an l Cu{-t / 51ntmrlls Fdrol (Applicant's full name) To,n fin,i 1-11 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 (3o44,1- A--ccw,6 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 I/we obtain approval for a single,time extension(maximum of one year) in writing from Duke Energy.I/we 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.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. 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. Uwe 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:416202o 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. Uwe 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.Uwe understand that written authorization and/or other permits may be required by some of these agencies and such required authorizations must be obtained before I/we submit the final application to Duke Energy. At FERC-licensed reservoirs,I/we understand that except for maintenance excavations,any excavation exceeding 2000 cubic yards of material removed or any excavation or shoreline stabilization work needed to support an application that requires FERC review does itself require specific review and approval by the FERC before Duke Energy can issue any approvals. I/we agree that unless specifically approved otherwise in the application,explosives will not be used as part of this excavation activity. 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. 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.Uwe 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. Uwe 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 EaorgY Page 2 Re,:4/6/2020 Uwe 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. Uwe 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. 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 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. I/we agree to immediately comply with any Stop Work Directives,to fully cooperate with Duke Energy and other agencies as necessary,and to perform the necessary remedial actions within the specified time frame. Duke Enagy Page 3 R:4/e2020 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. Uwe 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 job 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. 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. 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, 6tht, fou e6f2-- Applicant ame(Print) 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 Co-Applicant's Name(Print) Co-Applicant's Signature Duke Energy Page 4 Rev 4/6/2020 Z � J � F N I / �3 R 2''� ,,,a- 5,53/W— ` nil S. \e kE- �56.3 95 O 29.6 20 H 09 V a i E•, •; a'� N ;,4 c. 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I11 � Ny fi -¢ ¢ C k 1 O 1 qQy 0. 3495-1221 FILED ELECTRONICnr.r,Y CATAWBA COUNTY NC DONNA HICKS SPENCER FILED Mar 07, 2019 AT 03:55:00 PM BOOK 03495 START PAGE 1221 END PAGE 1223 INSTRUMENT # 03674 EXCISE TAX $1,070.00 NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax: $1,070.00 Parcel Identifier No.460719517198 Verified by County on the day of ,20_ By: Mail/Box to: Samantha H.Terres,PLLC,16501 D Northcross Drive,Huntersville,NC 28078 • This instrument was prepared by: Samantha II.Terres,PLLC,16501 D Northcross Drive,Huntersville,NC 28078 • • Brief description for the Index: LOT 12, BLK A, Colony Harbor • THIS DEED made this 4th day of March ,2419 by and between GRANTOR GRANTEE Christopher H.Nichols and Katherine L.Nichols Jennifer Smith and spouse,Thomas Smith 1209 Forest Ridge Court 10801 Copperdale Drive Winston-Salem,NC 27106 Raleigh,NC 27614 • • Enter in appropriate block for each Grantor and Grantee: name,mailing address,and,if appropriate,character of entity,e.g. corporation or partnership. The designation Grantor and Grantee as used herein shall include said parties,their heirs,successors,and assigns,and shall include singular, plural,masculine,feminine or neuter as required by context. 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,parcel of land or condominium unit situated in the City of Sherrills Ford , Township, Catawba County, North Carolina and more particularly described as follows: See Exhibit"A"Attached Hereto. ++ The property hereinabove described was acquired by Grantor by instrument recorded in Book 3058 page 416 All or a portion of the property herein conveyed X includes or does not include the primary residence of a Grantor. A map showing the above described property is recorded in Plat Book 17 page_ 211 Page 1 of 2 NC Bar Association Form No. 3 01976,Revised®1977,2002,2013 This standard form has been approved by: Printed by Agreement with the NC Bar Association—1981 North Carolina liar Association—NC Bar Form No,3 Submitted electronically by "Samantha H. Terres, PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Catawba County Register of Deeds. 3495-1222 TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee,that Grantor is seized of the premises in fee simple,has the right to convey the same in fee simple,that title is marketable and free and clear of all encumbrances,and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever,other than the following exceptions: 2019 Ad valorem taxes which are a lien but not yet due and payable and all restrictions,easements,right of ways and other en rances of record. IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as o d d 77fabov • . (SEAL) (Entity Name) Prin ype ame: ols By: / (SEAL) Print/Type Name&Title: ype Name: Katherine I, ols By: (SEAL) Print/Type Name&Title: Print/Type Name: • By: (SEAL) Print/Type Name&Title: Print/Type Name: State of North Carolina -County or City of Catawba I,the undersigned Notary Public of the County or City of Gaston and State aforesaid,certify that Christopher H.Nichols and Katherine L.Nichols personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes,t i8 ta� v9sscd. Witness my hand and Notarial stamp or seal this day of My Commission Expires: March 29,2021 = —o Kimberly C.Frady Notary Public (Affix Seal) O.% f't;l,L.iC ` Notary's Printed or Typed State of -County or Cfty a, ;•.:`' I,the undersigned Notary Public of the County i'QPt ra` and State aforesaid,certify that personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this day of ,20 • My Commission Expires: Notary Public (Affix Seal) Notary's Printed or Typed Name State of -County or City of I,the undersigned Notary Public of the County or City of and State aforesaid,certify that personally came before me this day and acknowledged that • ...he is the of ,a North Carolina or corporation/limited liability company/general partnership/limited partnership(strike through the inapplicable),and that authoritydulygiven and as the act of such entity, he signed the foregoinginstrument in its name on its by tY, � behalf as its act and deed. Witness my hand and Notarial stamp or seal,this day of ,20 . My Commission Expires: Notary Public (Affix Seal) Notary's Printed or Typed Name Page 2 of 2 NC Bar Association Form No. 3 01976,Revised 01977,2002,2013 This standard form has been approved by: Printed by Agreement with the NC Bar Association—1981 North Carolina Bar Association—NC Bar Form No.3 3495-1223 Exhibit"A" BEING all of Lot No. 12, BlockAof COLONY HARBOR Subdivision as shown on plat thereof recorded in Plat Book 17 at Page 211 in the Office of the Register of Deeds for Catawba County. There is also conveyed a 1/17 th undivided Interest in the ACCESS LOT as shown on plat. Also conveyed is an easement for the purpose of ingress, and egress and across the lands for access to Lake Norman as conveyed in Deed Book 1270, Page 427. (2019-SMITH033.PFD/2019-SMITH 033/18) gx‘c‘vcki'ter% ',--[e , t .,--- ., _.. _ . .._......,.._. N --1)-crf. f-i-Dt'.4,,,, I Lt7:/r7 ''''' ,...--- i.rv.s icvl ?NZ „....,- 1-4 Kt NOtetti, ---,7 C .10.,;•4,t Cavil y fr.- , r ------ 1 ., ',-,--Grimr L,04- I,. ..-- ....- f --.'' 6e E.-.7,cavcri .: ..., I 0,0 Gq ikc., c o4". , f / i ! I . 1.. I . I . , . . I ' 1 ( 1 . i, 70 f4-- f . i 1 ) 4. I4., \ i 1 fr---- __----1 — _ _ ArEcN La lo t. eXtkvo1-ed ,------ — ------ -3;1 c..ft.f-„, T Disposal Site ' A 1 6792 Kidville Rd. NEW LIVER Denver,NC 28037 BOUNDARY DB:Y22-576 �] SURVEY La Lincoln County for L \ 15 2.9 Acres of Disposal AreaSAMUEL T.GOODSON 136E_0,,,r-�2.2y7.o0"w e2o. �,\\4�h..Disposal Area - .7B.50T."w404`y,�06 L6 \'''' CAT.YAA6MiNO6 ipWaNp:.7 UNco7N cauN-Y.Nc // a ::�S APNNT.201e if J �, uo ecAil r-IOD' 'c1, B117118 o{Y/cP \; 2 porter/a76la47wtt \,./ OB.2191-289 G. /'„3 \ PBS°ICLL AMOK jn 4 .'P4' . DM, Lt3 679E CMS ROAD • /5 ?' I Llf PAS it Ni°i DOPER RC 2037 Femme 0.zi'g / D.01 1.niCRES x /B �POLL IONO 3 i a'S , NAP 0 nK3M91U ✓57"`09. N77'30'43.38't E611DNi:rP / / 76.739 908169_ __ niY a/ D1N0 IROBNe'Aa1: I' T9 Po 9B7'3g 02.91"W L7w ry SIIRI0.7.OOBD6M y NAB816 DS= /�ti 67W GOODSON 10AD / I J DW®.7 MC mOM 4 / 2 ACRES TO BE u:OMATED AS A I PIA7 DOM "STUMP DUMP" r ne 4, ypa a ODInn Wok t WO a CIOAl"rdo \ GOODSONAT sz,AT MR- fern WI d ucuac mu/OfT TX WC ARM 21m' M..7sYe DEED BK:2337-730 4 ar �n e...NW(me rsN+t WART Mee d iay► N.Itsu \ 75 ACRES BY DEED REMAINING ; s la ix a� ' es IOU rwao.rrmn54I., u6 t6NO76 0/r 6r D7211 \ 13 57.o3 NOT a'06.0011 \ y h • y e...eer...Cr...0 u w r 11 s a noro to 76.N1 NI'oY 2 101 - - it NDIAM Mt.ot,.a rewe1a IMP. D 66e01 MT Of Min \'• i Ip�E,y 01:6OJ-960 :In am9. a r,owrs uru MX 9.00 47 6e.M/ Nr II'oa.trz \\ i k p/ MOT PO AO tau u 66N Nr Of 17.76Y \ .5115 t K Mar C.A.No 41.1..5 ltw w la 61.63E 14T M'11.61'1 A. 507'12'41.i7"w If en aN l L/ 01M Mr//'KR/R \�� 179.67e\ nW= r � \OJ\'�. D LTO Me, WI 61.0 339 fY WTI 4o, lANO 13UIIVEYIND UI saes SW tY a.ea"1 \ \\ / �O4o 0.o5 o.,oN UI 61.MI see'or 110.0(11 , N71.06'33 30"W . .N WOO B.1a76N.BIB De Inn? tar K'I7.771 N2028- 09.096 / Irar..,- D@ 26:iB-17d / t W7 65.59/ NI!7Y 67.11'1 // //\ yeas 101'1m ai11A M[MNi ll/ 167.1M NIP er Kd6Y \ Dp0�%/ --� MD it4D PLAT NOORRE9 WI 137.163 N/r If 160611 \\ O69 o 2 0!�J7 PG:730 Y KI.IM Nr If M.M'/ //1 D&322 PC:67a / \ DB:171 PG:172 WI 100001 617'lr 41.179 \ / PG 16 PC:Ie9 IA UM 7 NW K'AI.M N // K 1E 3E060 Err 33*Hon \ �./ DB:ro1- 67 n _ xrr I. ter . LI 5.61D Mr N'IZM 1 I kurMW Ike..conk A:rrN. w•mru..ee.r a..Falern/.ie.NO r, nArrne SCALE I �rr Iwa.rke.nn� o i.l{II:NIr �� ',Maarlkoe,lel*Nr.rc,..+Mkefbe Ammar.k.neama.ed a.day maead et bean lnrn . �„��... - d:d.1e...e,r.e,toW r. Alcano,,..,W, ..kl.I r4.rk.dk,H.,..,.mond,,n Nmr: tan 166rowead) er.",mw;.e�w r,A dl.n.Amodad Wt.*o ny,w.e.v..rea,aw.r r.ber w.ce e.,It day e..they....WV MA.leHAn A VleJai ep7/+e f yte+a am As vas a•a n n®cri scum No iuis Thal the survey ie of atwitter category,sees 6 the reeombinatloo of -e e Veeco AR CAA m su a�t C Ta)b.171 0r DBNn6! Ne D ON I nt tl3I purl,a TWO-ordered surrey,or other mmaptiot or a - -te,.,e,,. 1(1a)Wetly mortify that 1 am iv.aryl Um aware(.) .r.Puwn to the dMnillon of.nealrfllo.. ..-..g..-a..a.n.. raau rAmIp6, ..,`s,,,,,,,, ,„„,,...TIT.,,,,, ---- --- - e.t-m.re 8a of the property shwa ea described hereon and Oat 1 / ---- -- L1e""'^te'° M1 Den a daeott Belton f/17/2016 ir`c 'qA9 - - 1 ) b .opt sus pima a atbmpbn nth my -• - i leer)tin wmaeDt. .sI sun ? • = y1g Dale Property Ayer Se re 1 e 'et 1t!O- �',t� 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 2 3 3 7 PAGE 730 009253 Filed Date: August 28. 2012 Pgs: 4 Time: 2:06 PM Recording Fees Book: 2337 $26.00 Page: 730 Danny R. Hester Register of Deeds Lincoln County, NC 2337 0730 201209253 DEED 1111II11U1I1III1u111111 ll 11 Prepared by:Richard E.Jonas,Attorney at Law,Lincolnton,NC After recording mail to:Grantee 2Co(. ) STATE OF NORTH CAROLINA WARRANTY DEED COUNTY OF LINCOLN Deed of Gift This deed made this ass day of au..7 ,2012 by and between KATHLEEN GOODSON FISHER,FKA KATHLEEN GOODSON hereinafter referred to as"Grantor" and SAMUEL THOMAS GOODSON / Address: 9 o Kcdv-Zsr !� 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. Title 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. Kathleen Goodson Fisher BoOK 2337 PAGE 732 NORTH CAROLINA, 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 a? d day of 2012. 0.7 Notary Public My Commission Expires: C-f 3-(y c rorrnrrrnr o ,� .+�°_003 ty0<% o�fl 4aviO'' .77= C�34;>> • BOOK 2337PAGE 733 EXHIBIT A Parcel 34700 6792 Kidville Road TRACT 1:BEGINNING at a stake on West side of a branch in Susan Keever's line,and runs North 65%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% 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 corner 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 corner,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 corner 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 corner),and runs thence with other lands of Goodson North 78 deg.30 min.West 122.5 feet to an old corner;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. 7 A NEW BOUNDARY KEEVER SURVEY DB:822-575 L3 +\ L4 for L2L i�'. _ \_' L5 SAMUEL T.GOODSON 4�6,6_0 ��\ ,,pp �-- 582'22.--1-7 Op"W L20 \NI4'' 1J 476;ao_ d /� SBt;4 p.00W L6 \`\\�9 CATAWHA SPRINGS T.NNSHIP L7 \' BB��O,� LINCOLN COUNTY.NC / LB 's�•\ APRIL 17.2018 L10 SCALE.1"=200' 41 t BLYTHE 1�,7 >� +`. 1 LI2 PROPERTY INFORMATION: ids... ..'' x \' PHYSICAL ADDRESS: DB:2491-289 si n /O eY n L13 0792 EMUS ROAD o /hak =' 0y NEW PARCEL cc MT RUBM DENVER,NC 28037 / 10.01 ACRES PIN.3894023379 ill CI' 0.32 AC.WITHIN R/W FEW:TANG I ., 3 YAP/9710389400Jip N ry p�57L pv N77'38'43.36"E .0 Nam, TONING'RT / 78.739 / 506.189 e h OWNER WFORWATNIN: 75g/0o po/ S87'34Fo2.91"W [7 SAMUEL T.GOODSON \ pp/W 9 y^' WAILING ADDRESS: /001/ I r° 8790 GOODSON ROAD /506 DENVER,NC 28637 // II/ ACRES TO BE PLAT NOES: 1 EDICATED AS A "STUMP DUMP" I'PIPES (/ ROM DI OLD I.PLOT NniN 6 BASED 00 DEED 1307-130 • \A GOODSON m OM HI m t 2CEODEsc oON.00N12:NONE PS.ND wen BOW Line Table DEED BK:2337-730 4, :3 BARER COMPUTED USING c0NA1[METHOD line i Length Direction \ 75 ACRES BY DEED REMAINING 3 w +J +Au(STANCES OE GROUND00Rrzo+ru LAE55 18'9m OAS IN OLD CrxTMSE BOTEU LID 224.626 N{Y Sil'072111 \ PR L8 ONE m e m a BAN,IRRYERSE w,uSNENIs TOE PER.ORNED USN, \ N N 5I P NE BJa0TCH NUE L9 57.042 NO2'15'OO.OD'W \\ f; n h-!1 — O.we.rcr PROPERTY DOES NOT LIE 01010 A 11005 \\` a' NOLAN HAZARD AREA CR PROTECTED NARR9IED U 7B604 SU'0Y 22.98'B — +� 1No IMPROVEMENTS ON L'nll R[s REM 010061ED a i�d/y DB:503-380 U 55.907 SW 02'96.&9'8 \\ z � a ,A° a0EED5 OD N01 SOY. L7 53,301 243'41'35.7711 \\ I y 28 HN001300rsERn Is wBECr 10 Our AND ALL 05000s OR LASS664 349'or17.798 La51.369 SW49'16.38'1 1�J'• S07'12'41,17'W IA°PIPE ON 179.674� RILL SIDE 111 N E LD WO 48.853 ssr 00'4828'1 7.,,,, i T NLl1 51.838 335'22'20.00'B Co 0, LAND SURVEYING \F 704-S34-9354 L12 69.767 Mr 2Y 04.391 \ \ I I / eLTor+LLa@ACIL.00rn WI 31.980 325'00'00,00'S N71'06'33.30"W // JACOB I.®NON,P18 L18 100.837 N65'44'17.73"W NESTER \c 89.596 // 7 1 Po DB:2838-178 \ ►0 W7 85.537 NI?9V 37.111 / 345 FORM NC IW03'l 6 / L16 107.398 N14'SY 42.BSY /p0,00/ 411 -W9 197.959 000'48'S8.869 \ 34 0 ri'D®AND PIATPS:REFERENCES: 05.0.A DB:2337 PG:730 / DB:922 PG:S7S U 1E4.199 S49'/B'Po56R \ // \ PB:191 PC:4499 72 \ / W{ IPo.000 PoT'Ir 4L17'W / KEEVER 120 30.788 031'44'41.901 \\ // DB:924-87 411 sx U 32.850 337'38'41.00'W / :r IMP 2000 uxr LI 29.620 360.04'42.001 GRAPHIC SCALE I'-.15r - \ I.cow"w holes.Deify rxm Nli.l plat was drown ender my 0,10I lmTeel en actual"urva mode ender ley 1.1 i<BI AVID mpervimnn(foam deed reactances cued?.010 Not Nis bns,eianer Iwo wrvayed aro dearly indocmW an drawn(fmm dwd ere 02.710uNed).7.t. rwi.,of Sans:ea i iv8144 ea i+L I000u,.:uiN lhiY Phd wax mPsr d.is BORYBY: DgARd: 10B/%11114 11 • Searle Mw0Aai Moe„w,wew,roc.sa';,touN.ne�4,4 w�me.ny,vipiuvl A.gnamoo rrgistmnm,nNn,ecr eae�a:roia l)dmA IB//IB 0084/l7/IB /m100 • arnw uoaMlner i Norm of April.201 R A.O. OR PRO..KT II 1.1.01.01 VICINITY SHI CH:NO SCALE • NO sn an raw That the survey is of another category,such as the recombination of suw.ey uw(Os u..01m) CERTIFICATE OP OVERSEW MD DEDICATION I existing parcels,a court-ordered surrey,or other exemption or mum Mr - -amawuT uw MY OLEO OR run exception to the definition of subdivision. pe - — —yo Owl Lxc I(We)hereby certify that I am(we are)the owners) I awn It - - moo-or-eom toe of the property shown end described hereon end that I Jacob Helton 4/l7/201B °+4�oS o'., - - -WNW ue (We)hereby adopt this plan of subdivision with my a- TIE WE a031ee0 1 00' r: SITI - -P._ ,a P WE (our)free consent. TOONE w' NAME DATE - w*UMW/0a[FR Ra 4 10' 0L-5105r . T 2 - aw�w .11 N a1 Date Property Owner SIDE 10' '.a.o'= .,,Lo` 'sit. r `— — — —mouua 1 L B'"'”"A A 6 -:i 4299 Harbor Ln • • a � W �•?. yr C 1 E. • La— 3S.S77 _ Lon 660e g4853 4299 Harbor Ln O O O ® C nmreuonm Smw nea.by to yan SM1.,,r Q' 4299 Harbor Ln,Snerriaa Ford,NC 28673 Photos ewwIeo 4uoN IdNW Q xraixxa LE08Z3Niaaaao gaamw Z6L9 O. augd ®a WS ([i\)us AquaN (6)e5 '^gyp PH ail!AP!)1 Z6L9 5Lh0' 'f- / f15 b5*v7►i .5 v. _ uHa/h�py P J aIkM01 Z6L9 `'7"L^1 al6 09