HomeMy WebLinkAbout20220812 Ver 1_Shoreline Stabilization_20220615 ROY COOPER ` `.
Governor "-alo' a
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 hereto 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.
RECEIVED
Date of Pre-filing Meeting Request: / / (required)
DWR ID# Version (if applicable) JUN 1 5 2022
DEQ-WATER RESOURCES
401 &BUFFER PERMITTING
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: V I( .kr., wln;j�•IAgf on
Mailing Address: )4gi f3It,t Oory Lr,
Denver-, JJC ''--so3 7
Telephone Number: 571 - i33- llig Fax Number:
E-mail Address: I3 vh;.t4ift9Eoi7 (A 501.3e4.a•ter• cvp1
4 North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1617 Mail Service Center Raleigh.North Carolina 27699 1617
NOH if CAROL NA
+ar++• l Quality 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: \iau5l7n (.714y -.ri
Company Affiliation: LQKe f(ot,i. pve01,5,
Mailing Address: 1544 G i.5{1. ( UK uiy (Ant,
Cc4hu,vbv Atc anaq
Telephone Number: 70/-yaa-3140 Fax Number:
E-mail Address: JqL IUl (g4205ma,I.coAn
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: L4,1to(v, Nearest Town: Pe over
Lake/river/ocean adjacent to property: L-4 i'e Mu es piglet
Property size (acres): D. S I N
Subdivision name or site address (include phase/lot number): Eayf-vmcl Cov e
Sabd,vrsra.7 PI* ,, L. l6
Directions to site- please include road names and numbers, landmarks, etc.: Fror1 16
wvi 04+0 veL4 s Rd, / I fiat o ov C s - 4 4 Cove rd./ f4rN r,310- o�d a R;aa►Acll Ell.,
f wa l+>« J'
Latitude (in decimal degrees) 3S, 5153 C. Longitude (decimal degrees)"$0.9r173-6 13(04+ Ns, is,,
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): rt5;d0✓4-4
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Dr{d9;49 dock eevelyc to a depkl of" ' .f
4" pu(I Pond ¢ar 6ogf QCCe55
FORM:SSGP 09-2020 Page 2 of 5
7. Will work be conducted from land? From water? rv(
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:
st
Temporary impacts in square feet:
0
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): L.-yti+1y 1..o6ded , f-h413
r,pacfsd
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)] 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: �; I1 W ;4-1-<1'.n Pad
Owner: WiWWh4,b, J'' /lA
Print
Contractor/agent: Vet uyM„ 6#,yCall-
Print
County: G nCOI h
Signature 6_
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)]
Acknowledgementiii1/4
lof N tific tion
I, i1 W1/ it#4 8Zf/ , hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Aray'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
m ate ria ls.
Signature (owner):4
Date: .--u ycZaCc31\.
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 6/II./ZL Initials e,
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) ❑Yes ❑No (If Yes, explain in PART V)
Date Deposit Refunded Initials Date Pemut 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 13;' I ( J ki-4-113F0A
Email address: Q Wh;4+' 1JT04 ® Sggtrteave,-. col.
Mailing Address (ff different)
Lake Address
39f2- 13(46 atry Lh
Penyer, /vG 037
Contractor Company
Telephone 511 - 2 3 3 - 0-)4
l-a ke Alartwti, Dnd,MLtp
Contractor Contact Person V ecug(in %'r4 P/ Telephone 10Y --if02----3)-Itc
Contractor Email Address: VA qhn 14 4 2-0 90% A 1(• Co,.
LAKE LOT INFORMATION
Lake /Year? 44 County Li coin City Peel vtr" State NC Tax Map No. $i-fc(D 1
Subdivision r etSf wand f eve- Lot / Section No. b Lot Size t9'CIXeres
Duke Energy Page 4 of 13 rev 11/22/21
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) Dyes ENo (If Yes,
include name and mailing address below.
Name: Tax ID:
Mailing Address:
Are there any Co -Applicants*? (check one) DYes i No Of 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 6/S/ZZ
Initials (Duke Energy) _l_.4f l (applicant/contractor) 4c 6
Duke Energy Page 5 of 13 rev 11 /22l21
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 IMaintenance excavation
2. Purpose of excavation: (check one) Boat Access Channel
❑ Water Intake Channel 0 Wastewater Discharge Channel
❑ Other (spec):
3. Lake user category: (check one) «Private DResidential Marina
DCommercial Marina DPublic
❑Other (spec'):
4. Max. Excavation Area Dimensions (ft): Length 66 Width 3� Depth �' S
(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): 20 b Cubic yards
6. Type of material removed (applicant determines by field sample if practical):
C l a7, sO^di o33a',r ("
7. Excavation Site area: 0,0S)- Acre (s)
(s)
Disposal Site area:
8. Total Disturbed Area (including equipment staging area):
0,Iaf
o.0S2-
Acre
Acre (s)
9. Does tjie project meet the requirements of the applicable General Permit? (check one)
Yes DNo
10. Do you claim title to the disposal area? (check one) DYes t�No
11. Do you claim title to the equipment staging area? (check one) l!!Yes DNo
12. Are there any water-treatm�e' facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes it No
(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):
Motfer,q( will be axcG uea vs)," q (pfy rtack eXtavtlil Olt a burs&
Duke Energy
Excavation Program
Page 6 of 13
rev 11/22/21
Duke Energy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used:
I3a � 1 e g4- Roca"( [.w3 rco.cA► extol v6tb'
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) ❑Yes I No
(If yes, explain)
16. Will return water re-enter the reservoir? (Check one) ❑Yes
C1No ❑N/A
(If Yes, specify point(s) of re-entay and show on Excavation Area Drawing)
17. Is there an a sting facility (e.g. pier) that access is being maintained to by conducting the
excavation? IYes ❑No
(If Yes, provide the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit # 130L(Cf
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START 0.`6 l '1-0)-7- FINISH d i /
(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 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
m
a. Marshland, swamp, ponds, beneficial
��
aquatic vegetation or other potential wetlands
(circle all that apply)
b. Buffer Zones (specs width & source
A r
IVA-
of requirement)
c. Environmental Areas as identified by
li -
Duke Energy
d. Natural Areas as identified by Duke
Pik
Energy
e. Historic properties (specify)
Nth
f. Rare or threatened species (specify)
rr
rA-
g. Buried gas, water, sewer,
Mk
communications or electric lines (circle)
Duke Energy
Excavation Program
Page 8 of 13
rev 11/22/2021
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
!�
h. Impact Minimization Zones as
NA
identified by Duke Energy
i. Other areas requiring specific
avoidance, protection or mitigation (spec)
* For "Field ID" column, specify entity or person that performed the identification and how it was physically marked (e.g. Duke
Energy (John Doe)/Pink and purple -dotted tape, Corps of Eng. (John Smith)/ yellow flagging). For "Work Area Dwg ID" column,
show the symbol that is used on the drawings to identify the protection/avoidance area.
** List and attach mitigation plans
Duke Energy Page 9 of 13
Excavation Program
rev 11/22/2021
Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
Comments:
Applicant Name (print) LIkips%141
sI
Applicant Signature* b Date l 'alga�
Co-Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Date
Date
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
Excavation Program
rev 11/22/2021
Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date 5-24 -10Z2-
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)
Rash -Ad coue 64cisin5ion P0-1 , 1.4 F- 16
(Lake/County/City) Nur/'►an / LNwl^ / 0yrhva/'
(Applicant's full name) 13; I I uN04-1-:fts -M 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 (3acj— A-cces5
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. Uwe understand that if the SMP or other applicable guidelines or
rules change during any extension period, Ave 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 4/6/2020
Uwe understand that all excavation work must be done directly in front of my/our property and as
specified in Duke Energy's approval. Uwe also understand that access channels must run
perpendicular to the shoreline while within the third of the cove area that is nearest my/our
property.
I/we understand that for proposed excavations, I/we must notify the appropriate local, state and
federal agencies in advance of the activity by sending them a completed copy of Duke Energy's
Excavation Permit Application Form and other required information. 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 Uwe 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.
Uwe 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.
Uwe 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.
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 Energy
Page 2
Rev 4/62020
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.
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.
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. I/we 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. I/we 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.
I/we understand Duke Energy representatives may issue Stop Work Directives for violations of
the SMP or other applicable guidelines and other consequences may result from such violations,
including but not limited to suspension or cancellation of approved permits, increases in fees,
modification or removal of non -complying structures and restoration of disturbed areas at my/our
own expense or loss of any consideration for future lake use permits. 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.
Dule Enemy
Page 3
Rev. 4/6/2020
Uwe agree to develop any required mitigation plans and to complete any required mitigation
activities at my/our own expense within the specified time frames. 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.
llwe 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.
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,
Wi/&W� Applicant's Name int) Applicant's Signature
Co -Applicant's Name (Print)
�i
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
Mule Energy
Page 4
Rev' 416/2020
CERTIFICATE OF SURVEY AND ACCURACY
STATE OF NORTH CAROLINA, LINCOLN COUNTY
Frederick Iro Gore, certify that the plat was draw, w,der
SuperviSiOn from m actual > ey mode under m
pmpervlelon(deed description recorded ,n Book_
tge __) that the I50undon4e not surveyed ore crly indicated
m drown from information found in Book �wpo4e
that lM ea precision a ratio of culatsd Is _ ,that this
plot
e
ac le,m�m with GG.S.4T-30 m •led-
L•Ilr dy .'ei msi a registration
SCADS
run., if. this
w a i' 343
Reglsvation Wmb.,
Watershed Certificate
All lots within the E4.tmuurSOls_-- Sutdlvl>iop, to the best
Elf my knowledge, Ile within the WS IV CRITICAL watershed of
Lake Ne as designated by the North Carolina Division 0f Envva...rad ,s,t and m apcelra on the Watershed
Protection ad(o ff
on Ma of
Date
Gate Subdlvls,on Adminlstrato
Filed for registration and recorded
this the 11th day of October, 2005,
at 11:57 A.M. 1n Plat Hook 13, Page
329.
ELAINE N. HARMON
Register of Deeds for Lincoln County
BY: f t't1YA . 1•W.4cxx1—
{Y, Register of Deeds
THC PURPOSE tN 00, 016104LLY 055ORIDED SMB 11,�P�PGE 12ro.
ND TJ R CHANGES
26,
OTHER CNAttGEe WERE 1MADC.
PORTIONS Of THIS PROPERTY LIE WITHIN
A FEMA ZONE °A° (LAKE NORMAN) A5 SHOWN ON
COMMUNITY PANEL NO. 370144-0075.
APPROXIMATE
FEMA 100 YR.
FLOODPLAIN
(EL.131.O0)
LAKE NORMAN
PROPERTY 15 ZONED R-P0
MINIMUM SETBACKS,
FRONT SETBACK - 30'
SIDE YARD - 10'
REAR YARD - 40'
s cow Ea (T�
LOTS , A. do . 2 ,r
N/F
WILLIAM B ANDERSON
PARCEL ID 25755
PIN 46051.2' ]65
DB 551 PG ]
G
EOHq,
�CC�
CNF
EV TREE SAVE / BUFFER
t_.ia¢m_nYGZ- w Officer of Lincoln County, certify
that the map or plat to h this certification tlification is Mf.ve4 meets all etawtay
requirements for recording which
i0.06-0(74
EXEMPT CERTIFICATION STATEMENT
y hereby Ufy that to 1mtha best of my doillt
■e besubdivsion pliotratw t 1 hoe roterm,net tiw1
`Its subdivision Subdivision
p t >bw, ea„ a rot object o
j Lincoln Conte S euol,, on ,ly 00001 wrsua, W the
W nd-inooln Comte SUbdinaron Ordnaee
�+'�P...- ,-;, a T. eterminnaua, is based eemennts°rmanelby the
' 1�-Pe•+Fr wliont as IW.a,o the t0 the Naha ofarts and the hyper...
recorded anm ...Gent to August Si, KIER d Juary ,
1.14, Purtheerna'e such formation, ,f incorrectwould
result N the caeeltat,m this s certificate
Date
04'3pE
sa ✓xe WATER CT l..
LOTS , A \\
OWE POW
ENVIRONMENTALLY ER
SENSITIVE AREA.
Lrninistroter
DUKE EN50511 MN-LY V11EENSITIVE AREA.
•
Qos. jo yper
Date
016714
Ia i- urns
(-3a9
II'•5T rm
ai°•Pcl
CERTIFICATE OF OWNERSHIP AND DEDICATION
hereby certify that I an t> owner of the property shown
w.f..and descr,bed hereon, wf.. located in the suMrv,wo,
jurisdiction of Lincoln County that I hereby cabpt this
of subdvisiw, with m free c t, establish holding
>etbock tone ad decloe all streets, wolks, parka, ak other
odes end emernents to public or private
vate use as noted.
Furthermore, I hereby dedicate allpublic solitary acwers to
all Norm sewers to
and NI water I,'ne> to
(1t10_0f
DATE
22,L51115
1 \c,PD 0ss , acres IL
Lot 2N
ILLot y Qf p4
5 aS
0.'
0
Lot Ed
21,041 sArt.
0.4E nrss �
. N1: ITA4 L't�
RAM STATION Lon
CASTHIND COVE SIDIVISION, PH. 2
FUTURE DEVELOPMENT
DUKE
POKER
SEt1;tgr RGRtALL'Y
GRAPHIC SCALE
( IR FIST)
1 1000 - 100 f .
ATCH LINE
W. 0f 4
31
053t23,4e orest
sAvE AREA
OVERHEAD TRANSMISSSION LINE
TEN LINE
PG. i OP
\ 006E POWER CO RAN
_
LINETYPE LEGEND
PUBLIC R/W ----
ADJOINER — — — —
PROPERTY LINE
EASEMENT - - - --. ---
REBAR
DB BB] PG IT5 Z
Dizfe
Soproved
f1D
3 OF 4
BK 3167 PG 834 - 836 (3) DOC# 652751
This Document eRecorded: 05/25/2022 11:51:06 AM
Fee: $26.00 DocType: DEED Tax: $3,000.00
Lincoln County, North Carolina
Danny R. Hester, Register of Deeds
Excise Tax Sm.a,,QQQ,QQ [Recording Time, Book and Page]
Tax Lot No.
Verified by Lincoln County on the — day of , 2022
by
Parcel Identifier No.
84401.
Mail after recording to William Webster Whittington and Amy Hines Whittington
3992 Blue Dory Lane, Denver, NC 28037
Matthew H. McComas, Esq., c/o Law Office of David L. Thurston, 1 Sanford Avenue,
This instrument was prepared by 33altimnrr, A1i�12]?2R_
Brief description for the Index
Lot 16, Eastwind Cove Subdivision
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this 18t1i _ day of May_ , 2022 , by and between
GRANTORS
April Marie Bevan
Troy Layne Holzschuh
GRANTEES
WilliamWebster Whittington
Amy Hines Whittington
as tenants by the entirety, their assigns and unto the survivor of
them, and the survivor's personal representatives and assigns
PROPERTY ADDRESS:
3992 Blue Dory Lane
Denver, NC 28037
The designations "Grantors" and "Grantees" 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 Grantors, for a valuable consideration paid by the Grantees, the receipt of which is hereby
acknowledged, have and by these presents do grant, bargain, sell and convoy unto the Grantees in fee simple, ail that certain lot or
parcel of land situated in the City of Denver, County of.1.,IncQJf, North Carolina, and more particularly described as follows:
submitted electronically by "Crown Title Corporation"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Lincoln county Register of Deeds.
BK 3167 PG 835 DOC# 652751
All that certain lot or parcel of land situate in the County of Lincoln, State of North Carolina, and being more
particularly described as follows:
BEING all of Lot 16 of Eastwind Cove Subdivision as same is shown on map thereof recorded in Map Book 13, Pages
327, 328, 329 and 330 in the Office of the Register of Deeds for Lincoln County, North Carolina.
Together with and subject to any and all covenants, conditions, restrictions, reservations, easements and rights -of -way of public
record.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the
Grantees in feo simple.
And the Grantors covenant with the Grantees that Grantors are seized of the premises in fee simple, have the right to convey the
same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantors will warrant and defend the title
against the Iawful claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the property hereinabove
described is subject to the following exceptions:
APPLICABLE ZONING.
ANY EASEMENTS AND RIGHTS OF WAY FOR SERVICE LINES, ROADS AND UTILITIES AS MAY
BORDER OR CROSS THE PROPERTY, INCLUDING THE SUBDIVISION STREETS AS SHOWN ON
RECORDED PLAT.
ANY EASEMENTS RESERVED IN THE RESTRICTIVE COVENANTS, INCLUDING HOMEOWNERS
ASSOCIATION PROVISIONS.
APPLICABLE RESTRICTIVE COVENANTS OF RECORD AND STREET ASSESSMENTS,
2022 REAL PROPERTY TAXES.
IN WITNESS WHEREOF, the Grantors have hereunto set their hands and seals the day and year first above written.
A
c4
8
April Marie Bevan
/7l
Trov,Layn Igo
y2.#
(SEAL)
(SEAL)
SEAL -STAMP
A
2
Fa
NORTH CAROLINA, MECKLENBURG COUNTY
1, a Notary Public of the County and State aforesaid, certify that A,pfll_Mer e_)py_og_ 4 .'f)Qy
Lg nka:Mwii i._, personally appeared before me this day and acknowledged the execution of the
foregoing instrument.
Witness my hand and official stamp or seal, this ,,... „ day of ,1022 .
M,,, commission expires: C j.111L4?—' � �� Public
JENNIFER CANOE:;,
Notary Public, North Carolina
Mecklenburg County
My Commission Expires
September 16, 2026
BK 3167 PG 836 DOC# 652751
The foregoing Certificate(s) of
is/are certified to be correct. This instrument and this certificate are duly registered at the date and time and in the Book and Page shown on the first
page hereof,
REGISTER OF DEEDS FOR LINCOLN COUNTY
By Deputy/Assistant— Register of Deeds
�'
xCa vc, ��d� f L-
1 - i$1v.. Uorii 1.11
De11re/ /i x 037
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Cott/
r
t4<� �,.y, �a .� Lo 4- 16
10$ yd; 6e.- "cove, ei
f
of
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39
Lige ToRe
line f
Louth
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1.15
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045' 39' 07.211
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044' 0723.381
16
65.007
W' Or 56.631
17
i12.309
str 41' 10.7770
IA
13.6114
Sir 61 17.73n3
19
51.609
Sir 69° 10.301
LID
405950
mir tl'J' 40.261
L 1
51.630
235° E0' 30.861
L12
22.707
S32' 33" 04.3370
13
31.960
6' Kt' ria.00lt
LID
000.977
335° 4,1' 17.7370
La
33.557
611P 39' 37.1170
Lla
137. 36
Idle .1.1' 40.851
L13
157706
0163' 40' 50451
14
124.169
Sir 49' 30.301
114
166.0
00P? 12' 41.17"0
020
13,768
3614 14' 41.3070
".
70.007
337' :•k`f 41.601
Lt
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1.403.33)
,303F.97 1.41.9.1[11'.
1509CLI
1,99,99M
OIPSTER
3/L 3333 17i;
)
1.90,1th.p.t. C.41, (r9 $9,1
- 1944 f 4,335 V 949
5979.1,0 9:30,
- --j,4 999,1P0009
PI IMP
ig 1 -239
GOODSON
DEED EIE:2337-7:10
75 ACRES BY DEED REMAINING
1
GZKIEE1111.147 0.11RVALANA k411)X10.19N.
I (WEr) hereby artily )bet 2 m (we are) iht awouft,)
of t hr property ahem) and de scrhvd hereon end that !
(Re) befell el dep0 thle plan of math:8,1E85n with my
(out) free conveat.
Dete Proper!) Omer
NJ
2 Z.-± LA, -
4 7
--",,,4)40:92 "
61100541
DEP 022-67f,
503 F1.0.. _
7,r,7'r 54' 02 7H'77
2 ACRES TO DE
PRICATED AS .5
'STUMP DUMP'
3214660 2101405n:7;
731717. 3e
:ADE 40
17
L -
1" PIF3.7
RI' 57 533
011114010
Lb •
NEN .EARCEL
10.01 ACRES
t.,;t: 4r 011111N 11,11
le
FACE IANT
gi
1.
Disposal Site
6792 Kiciville itd.
Denver, NC 28037
Lincoln County
2.9 Acres of Disposal Area
'80'4- Disposal Area
V. p„
AMA
NOLAN
WI, 533 -360
94h:399,049r ,149,19A9t49949 1344JA 9 o 49449 13.19,441.3 49.. 9 9 1199.1
.5,3 14191,,399, rg.4.1).11,91th9 4469 0, 4.959/ .1.1“,"
1. 41.90. 195th 11.,0 WIVP9, ,409191, 9,14:99190: 9.1191K • .9.6 .3,1, 17 o.,y
of A ,,91 2110A IT
006t the eurvey is of another r.i.,t(lor", auch a, th, nreembination or
pioseelh, 11 uurt- ordered 4041410, or other oxemplion or
except!. to thr dellnitiey sl sadivklon.
Jar oh Ile 1 toe 4 / ;;?t) I 8
NEW
BOUNDARY
SURVEY
for
SAMUEL T. GOODS()
CA0AY51A SPR,NOS T4PAN.t
LINCOLN CQU31-4". NC
APRIL 17. 'APS
ScALL 1=4050
PROPERTY INPORMATION,
PHYSICAL ADDRESS:
8702 KIDVELLE ROAD
DERM. NC 211037
PIN 13894013270
MA, ZONE Y,
MAP # 37105004D/4
ZONING: RT
OWNED INEDDRA110N,
5AM1EL 1, OODISON
DARING ADDHLSS,
6700 DOODSON ROAD
DWYER NC 28037
PlrAT NOTES:
0190 1,9,,
DAM) An .9 2.11, %A?
HV.r.;-"tifsie
LAND 44V42V2).493
704-834.9354
070190404,A0 S. rm.
JACM) V. (2ELTOR PID
1704) 634.- DIU
7345 FORNEY MIL RD
ARM Pe D3037
DEED AND PLAT RIIBREWS.
DB: an PC, 750
DP: 082 PG: 075
DR 17E PC, 472
PM 13 1%, 439
•
'RA PHI,. St ALF 13-2,5,'
VIC31131 SKIMS NO SVALZ
IS: R41110'
31TE „
ik
TO WHOM IT MAY CONCERN:
SAMUEL GOODSON GIVES AUTHORIZATION TO SHANNON MILLER WITH LAKE NORMAN DREDGING &
MARINE CONSTRCTION TO USE PROPERTY LOCATED AT 5790 KIDVILLE RD, DENVER NC 28037 FOR
DREDGE MATEP,IAL DISPOSAL SITE
PARCEL NUMBER- # 3694021277
SAMUEL GOODSON
BOOK 2337PAr&E 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
111111
11111
II
Prepared by: Richard E. Jonas, Attorney at Law, Lincolnton, NC
After recording mail to: Grantee
IIIIIII
II
111111
1111
u
1111
IIIIIII
STATE OF NORTH CAROLINA
COUNTY OF LINCOLN
Deed of Gift
WARRANTY DEED
This deed made this air day of CZu- 7 , 2012 by and between
KATHLEEN GOODSON FISHER, FKA KATHLEEN GOODSON
hereinafter referred to as "Grantor" and
SAMUEL THOMAS GOODSON �
Address: G 79O 1(cd`�'`e/21
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 2337PwGE 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.
7" 1SEAL)
Kathleen Goodson Fisher
BloK 2337PAGE 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 day of
2012.
My Commission Expires: li -43- 4/
Notary Public
7
BOOK 2337PPGE 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'/2 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 Tess.
Deed Reference: Book 379, Page 381.
TRACT 2: BEGINNING at an iron stake, a new comer 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 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 comer 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.
r
line Table
Line #
Length
Dnectron
L15
224 528
943. 39' 07 211
12
67 042
NOV 45' 00.001
15
76.894
S44" 07' 22 98'E
18
55 807
S44. 02' 361331
L7
53.309
S43' 41' 35 771E
18
53 884
943' 08' 17 731E
19
51.369
S43. 49' 16 381E
LIO
48.953
S38" 00' 48 281E
111
61.838
S35' 22' 20 801E
112
63.787
S32 23' 04,331E
113
31.980
S25. 00' 00 001
116
100 837
1955' 44' 17 73"W
L17
85537
912 39' 371111
118
107 398
814' 33' 42.851
119
137.953
N63' 48' 58 6511
1A
124 139
S43. 48' 20.381E
114
190.000
S07. 12' 41 171
120
30788
Nile 44' 41301E
12
32.850
537. 38' 41 001
LI
29 620
980. 04' 42.001
HESTER
DB 263B-176
LEGEND
• GEODETIC MONUMENT
▪ SMONU ENTW NOTED
fa REG. SET v U,NOTED
O NO PONY SET DR FOUND
OUNDARY RE (AS SURVEYED)
BOUNDARY LINE (BY DEED m PLAT)
OLD TRACT LNE
Rt., OF LOY UNE
EASEMENT LNE
T. UNE
OVERHEAD POWER UNE
— — cps 04 / CST.— As -e- R+ — CENTER
ME wnaARNE OF GER
— — — — EDGE OF GRAVEL
CENTER LINE
BLYTHE
DB' 2491-289
169.--(30 00° Y1
/ 66 p0j
36 °o 8
.Bi512 00/
GOODSON
DEED BK.2337-730
75 ACRES BY DEED REMAINING
CERTIFICATE OF OWNERSHIP AND DEDICATION
I (11e) hereby certify that I am (we are) the owner(s)
of the property shown and described hereon and that I
(We) hereby adopt this plan of subdivision with my
(our) free consent
N77 38' 43 38"E
78 739
Date Property Owner
N71' 06' 33 30"W
89 596
/
KEEVER
DEC 922-575
47 2M__
_micro. 0 00"W
L3
L2
L1
436 610
_4r� 582' 22r47 007C
506 189
S87' 31;_Q2 91"W
2 ACRES TO BE
DEDICATED AS A
"STUMP DUMP"
f /
50 0 t
0
KEEVER
DB 924-67
BUILDING SEYBACES
FRONT* SD'
REAR 40'
SIDE. 10'
.4u
479
1" PIPES
SET A7 NIT
CORNERS
S07' 12' 41 17"W
179 674\
/
L20
L4
L5
b.
L6 \
L7
L8 ` .
L9
NEW PARCEL
10.01 ACRES
0.32 AC. WITHIN R/W
�1
08
NN
hb
EfONE IN OLD
FENCE UNE
10' BED OAx W OLD
FENCE UNE
yi
O N gl
Y ^ @k
N
1,5' PIPE ON
BILL SIDE
LI 0
L11
L12
L13
BY BENT f5
ROAR
NOLAN
DB' 503-360
A
NEW
BOUNDARY
SURVEY
for
SAMUEL T. GOODSON
CATAWBA SPRINGS TONMSHIP
LINCOLN COUNTY, NC
APRIL 17, 2018
SCALE 1"= 200'
PROPERTY INFORMATION
PHYSICAL ADDRESS
6792 KIDVILLE ROAD
DENVER NC 28037
PIN 63604023379
FEMA ZONE X
MAP 6 3710369400J
ZONING RT
OWNER INFORMATION
SAMUEL T GOODSON
MAILING ADDRESS
6790 GOODSON ROAD
DENVER, NC 28037
PLAT NOTES
I PLAT NORTH 15 BASED ON DEED 2337-730
2 GEODETIC MONUMENTS. NONE FOUND INTIM 2000'
INNEN COMPUTED USING COORDINATE LIE11100
4 ALL OSTANCES ARE GROUND HORIZONTAL UNLESS
OTHERWISE NOTED
SANT TRAVERSE ADJUSTMENTS BERE PEFFCRMED USING
THE DOM/ITCH RULE
&SUDIGT PROPERTY DOES NOT LIE NINN A R000
HAZARD AREA OR PROTECTED WATERSHED
7N0 IMPROVEMENTS DR UTILITIES WERE SURVEYED
&DEEDS DO NOT CLOSE
9 PROPERTY IS SUBICT TO ANY AND ALL BURDENS 0R
BENEFITS
HELTO N�
LAND SURVEYING
704-634-9354
JWHELTCNLLC®ACL CCM
JACOB W IIELTON, PIS
(704) 634-9354
7345 FORNEY BILL RB
DENVER, NC 28037
1
DEED AND PLAT REFERENCES
DB 2337 PG 730
DB 922 PC 575
DB, 17E PC 472
PB' 13 PG 439
0'
'S.
I, Jacob W Bch. cernfy that th,s plat was drawn under my opens,,an fore en actuo1 survey made under my'
superc,o,on (from deed references voted), that the buundanes not surveyed are dearly ,ndtented as down (from
deed rcfUA.nuc, s noted), that the rn5o mammon as calculet3d Is 110000+, that clam plot was amour"! m SURVEY
accordance ugh G 947.30 as amended WthsUs my ong,nal ognuture, ogutrnnon number and seal th,s 17 day JH 4/10
otAprEL 2018 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 /9c-�N,,, �-0
DATE
100' 200'
GRAPHIC SCALE 1 -200'
DRAWN
190 4/17/18
400'
04
JOB/DRAWING/
p1310D
VICINITY Sh'ETCH NO SCALE
MISDATE II
EN tar
Go' gle Maps 3992 Blue Dory Ln
3992 Blue Dory Ln
O O O ® O
pone
Q 3992 floe Dory to. D.,ver. NC
Photos
,rendot Rd
Go oL
=XCaUgF��n 5Pre
L-0 35. S2537
Lon. -to .gg3)6
Map clam .022Google 100
Gocgle Maps 6792 Kidville Rd
6792 Kidville Rd
0 @ 0 ED
p 11 ono
2vood, :Dower7D7
ra2+A RorOwtarolgoo
Go gle
II*054(
3;,
Low, - 61.otosi