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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$1v.. Uorii 1.11 De11re/ /i x 037 Like, P1a«FA Cott/ r t4<� �,.y, �a .� Lo 4- 16 10$ yd; 6e.- "cove, ei f of H F � f - Steil=. S{e g 39 Lige ToRe line f Louth Dirtcllou 1.15 22.4.609 045' 39' 07.211 ,-- Noe 4a. 00.00'0 13 57.042 15 73./104 044' 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 02.127 500' 04' 42-01 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