20191014 Ver 3_Shoreline Stabilization_20220628

Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Quality
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
DRAFT -NOT FOR USE AT THIS TIME
Submission Form
I. Applicant Information [15A NCAC 02H .0502(a)]
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all
mandatory questions are answered.
Primary Contact Email *
[e-mail]
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 5/20/2022
submitted on: *
Owner Information:
..........................................................................................................
Name: * John Muesing
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
221 Sunstede Drive
Address Line 2
City
Mooresville
Postal / Zip Code
28117-7322
State / Province / Region
NC
Country
US
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name:* Donna P Hrko
Company Affiliation: * Lancaster Custom Dock and Lift Systems, Inc.
Email: * [e-mail]

Phone Number:*
Mailing Address:*
[phone]
(xxx)xxx-xxxx
Street Address
1156 Perth Road
Address Line 2
City State / Province / Region
Troutman NC
Postal / Zip Code Country
28166-8640 US
A signed and dated copy of the Agent Authorization letter:*
Muesing Signed Agent Authorization.pdf 1 39.38KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Muesing Dredge
If your project has a formal name please use this. If your project does not have a formal name, please identify your project
by the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses
any other names that have been used to identify the project in the past.
1. Provide a vicinity map (i.e. street map) clearly showing the location of the property with respect to
local landmarks such as towns, rivers, and roads.*
Upload File
Look up address
Property Address Lookup: *
Latitude:*
35.503749
Street Address
221 Sunstede Drive
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28117-7322 US
Longitude: *-80.959605
2. Provide a detailed site plan showing property boundaries and proposed locations of vegetation clearing,
structures (buildings, retaining walls, docks, impervious surfaces, etc.), rip rap, excavation or dredging below
Full Pond/ Normal Water Level elevations, and construction access corridors. You may use the diagram under
section 12.normal pool lake level/normal water level*
Muesing Detailed Site Plan and Info.pdf 6.43MB
Please use the diagram at the link below:
https://edocs.deq. nc.gov/WaterResources/0/edoc/616616/Shoreline%20Layout.docx
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a yard
stick, shovel handle, etc.)
Muesing Photos.pdf 219.77KB
4. Location of the property (where work is to be conducted)
Nearest Town: * Mooresville

County:* Iredell
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: *
Crescent Land + Timber Section 6, Lot 292 221 Sunstede Dr Mooresville,
NC 28117
Include phase/lot number
Directions to site: *
From I-77 NB, Exit 35, Left onto Brawley School Road, Right onto
Tuskarora Trail, Right onto Sunstede Drive. Property is at the end of the
road just past Strawpocket Lane.
Please include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application: *
Residential
Residential, undeveloped, etc.
6. Property Size
.80 Acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Dredge area for new dock and boat slip access.
8. How will the work be done?*
From Land
From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level: *
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
3596 sf
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet land-
ward: *
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
500 sf const.
corridor
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet landward to
be impacted:*
(number of trees, for instance)
None
Sketch:
Application Fee:
Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#. The
application fee is as follows (pursuant to G.S. 143-215.3D):
a $240.00 for impacts to lake (below normal water level) of less than 1 acre
a $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
a I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
a I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.

a I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of
the NC General Statutes (the "Uniform Electronic Transactions Act");
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act");
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
• I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name: * Donna P. Hrko
Signature:
Submittal Date: 6/24/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20191014 Version:* 3
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office: Mooresville Regional Office - [phone]
Has payment been received?* ( No Payment Needed
C Fee Received
C• Need Fee - send electronic notification
What amount is owed?*
C• $240.00
C $570.00

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO: PLAN NO: PARCEL ID: 4614-64-8003
STREET ADDRESS:
221 Sunstede Drive
Mooresville, NC 28117
Please print:
Property Owner: John Muesing
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Donna P. Hrko , of Lancaster Custom Dock and Lift Systems, Inc.
(Contractor/Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
permit or certification and any and all standard and special conditions attached.
Property Owners Address(if different than property above):
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate tothe
best of kno ledge.
Author' ed Sign e Authorized Signature
6-17-22
Date Date

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
Lake
(At Full Pond/Normal Water Level)
`ore
Full Pond/ Normal Water Level �J
Shoreline m `�
•
5 O .
Plan View
I �
Lake
{At Nil PitAdi%crud Water Levell
Existing Dock
tffftx7ft
rrw r'�'�Mrr�'��+'y'1 :•r'iwi'r�i 3fr a15o ft
Full Pond/Normal Water Levelf�• Wow rdE F ond/Eu�4
Shoreline • 1.1 ;;Fiw ' —774 9ftx156ft
MIAMKRoi Riprap Wet ieiaii Above FA Pond/NWL
xnum2 ft.x 150 ft. �.�a �•
sddtfo.,a1 dearing
•if nec4saary
FORM:SSGP 02-2017 t
Il. l :I
Platy View + Page 3 of 4

[lU
N
J
La ke•
(At Full Porid/Normal Water Level)
•
Side View 0
3 ft-below full pond water level 4 ft.above full pond water level 2 .additional clearing
I I 'if necessary•
l I 1
Existing bank
V
i:r144tklb
10 ft.bank
height W�/
�d
.�� Qua
AmpLESide Vi
i!
FORM:SSGP 02-2017 Page 2 of 2

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address:Mp esii a[4Vci n[C�j.1u e bc County: r - de
Owner: _ M
h� uesl 0 .,vc, e127
Print ` Sign 4 I
Contractor/agent: ` ! y�(r6I�!�` r
Print r
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)1
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. j15A NCAC 0213 .0243(5), (6)]
Acknowledgement of Notification
I, —VON)n Koe_.,71 r) -, hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work co d�cted 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 pian(s)and specification(s), and other supporting
materials.
Signature (owner): Date: ( - 11-2

DREDGE SPOIL DISPOSAL FORM
Project Name/address: I:, .I+2 e le I County: /re❑e i f
L�]� ! u it Yiv�coresut 2 it, !VC 28117
at�oPi 'c� ls: 11 [,p 2, Ives hwc, M resv I I le, NC Z ))7
Parcel#: 4 to5 j 2,0 1 g Z I
Parcel/lot size 2. 73 acre s
Disposal area required(sq ft and/or acreage) . OB
Acknowledg meat o Notification
I, n4a 'ex- , am aware that the site must adhere to all state regulations
and rules regarding sediment and erosion control and water quality. And give permission for
Name of Individual and Company
to dispose of their dredge material at the above stated location
Owner; ti), 1 firV---. nk-A-j��D
Pri Signature
Date: (0--11"�
Along with form, please provide:
Aerial of parcel/lot (County GlS)
Photo of proposed spoil site
identified proposed spoil site

LUNNLL1(iib
4614-PA-677
26
4514-34-8210
05;
4,11_
1 : 250 Feet
Printed June 21, 2022
See Below for Disclaimer
Addresses
Infrastructure
• NonResidential Use
•
Residential Use
streets
— Interstate
Ramp
— US Hwy
— State Hwy
— Main Road
Local Road
Residential
Private
Inactive
Parcels Hooks
Parcels
Parcel Labels
C f'y LI rn is
Lake Norman
Iredell Countylire
L_j
NC Counties
maps prepared for this website are generated from recorded deeds, plats, and other public records. Users of these maps are hereby notified that the information
vided herein should be verified. Iredell County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the use of
of this information is at their own risk. All maps on this site were prepared using a 1000a€"" Grid based upon the North Carolina State Plane Coordinate System from
1983 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to be used or relied upon as
:ial notice of tax liens. For additional information regarding delinquent taxes, contact the Iredell County Tax Collector's Office.

Iredell County
Property Data
Parcel Number: 4614648003.000
Inquiry Date: 6/21/2022
Disclaimer: While every effort is made to keep information provided over the internet accurate and up-to-date, the County does not certify
the authenticity or accuracy of such information. No warranties, express or implied, are provided for the records and/or mapping data
herein, or for their use or interpretation by the User,
Property Map
Owner/Property Info
Tax Account Number: 80064000
Old Parcel Number: 001 391 28
Owner Name: MUESING JOHN C+LISA M
Mailing Address: 221 SUNSTEDE DR MOORESVILLE NC 28117
Property Location: SUNSTEDE DR
Lot Number: 292
Legal Description: CRESCENT LAND+TIMBER S6 M17-628 MECK NECK P834-32
Municipa: urination
Township Code: 17
City Code: Null
Neighborhood Code: 17018
Value Information. - Current Year Property Record Card (PRC)
Building Value: 332790
Other Building Features: 12600
Land Value: 570000
%I-,I•i.,• nir9nn

Land Information - R gister of Deeds Online Search
Date Recorded Document Type Deed Book Deed Page Plat Book & Page Land Area Land Type Zoning
20190709 WD 2630 229 34-32 0.8 AC R-20
Tax Information
Exemption Tax Code 1 Tax Code 2 Tax Code 3 Tax Code 4 Tax Code 5
Null C ADVLTAX Null FRO6ADVLTAX Null Null
Current Zoning Contact Info.
Iredell County 704.878.3118
Harmony 704.878.3118
Love Valley 704.878.3118
City of Statesville 704.878.3575
Town of Troutman 704.528.7600
Town of Mooresville 704.662.7040
Village of Davidson 704.892.7591

Duke Energy Lake Services
Guidance for Completing an Excavation Permit Application
Note: If you are proposing excavation in association with the permitting of a new
or expanded facility under the Marina or Conveyance Programs, you do not need
to complete this application. Instead, you should incorporate the excavation
request into the permit application for the marina/conveyance using the
appropriate application.
Step 1: Contact Duke Energy Lake Services
Complete "Part I" of the application and develop a drawing of the proposed excavation area.
Contact Duke Energy Lake Services to schedule a site visit. Lake Services will conduct a site
visit to determine if Duke Energy will accept an excavation permit application for the proposed
work. If the Lake Services representative determines the application process may proceed,
he/she will initial Part I of the application.
Step 2: Draft Application Development
Complete Parts II-III.A-G and Part V of the Excavation Permit Application.
Step 3: Agency Consultation
Send the draft application developed during Step 2 to the agencies for review and comment on
the proposed activity. Refer to the Agency / Organization List available from Duke Energy to
determine which federal, state, regional, and local agencies and organizations require
consultation or review.
Note: Duke Energy reserves the right to require consultation with additional organizations
beyond those included in the Agency / Organization List.
Each agency / organization must be provided at least 30 days prior notification. Evidence must
be provided (e.g., response letter or Certified Mail receipt) in the complete application to show
each agency / organization was given the opportunity to review the proposal.
Consultation letters must be dated within the two years preceding Duke Energy's receipt of the
application. All permits must be valid at time of application and have a term longer than the
projected schedule for completing the permitted project.
What to Expect During Agency Review and Comment:
• You will typically receive a letter from each agency / organization either documenting its
concurrence with your proposal, requiring additional information, recommending
modifications, or offering no comment. You must address each agency's / organization's
comments with a follow-up letter and in your final application as described in part IV.
• If you do not receive any documentation from an agency / organization within 30 days of its
receipt of your proposal, you must provide the agency / organization with a follow-up letter
requesting comment on your proposal within 15 days from the date of the follow-up letter. If
you still do not receive any response as a result of the second letter, type "NO RESPONSE"
Duke Energy Page 1 of 13
Excavation Program
rev 11/22/21

at the top of the follow-up letter and include it in the application along with proof of the
agency's / organization's receipt of the letter (e.g., Certified Mail receipt). You may proceed
with the application process recognizing, however, that if its comments come later in the
application process, you will be required to address them.
• From the United States Army Corps of Engineers (Corps): (** Note — The Corps may have
additional forms to submit for your proposal and an additional fee.) If the excavation can be
done under the requirements of the General Permit (GP) or a Nationwide Permit (NWP), you
will typically receive a copy of the Corps' tear sheet documenting authorization and
providing any additional instructions. If the excavation isn't covered under the GP or a
NWP, you'll be required to obtain an individual 404 Dredge and Fill permit from the Corps.
You must receive written documentation from the Corps that your application either (1)
meets the requirements of the GP or a NWP or (2) the proper 404 Dredge and Fill permit has
been received before Duke Energy can process your application.
• From the North Carolina Department of Environmental Quality (NCDEQ), Division of
Water Resources: (Note —NCDEQ may have additional forms to submit for your proposal
and an additional fee) If the proposal meets the requirements of the Clean Water Act Sect.
401 Water Quality Certification, you will typically receive a letter from the NCDEQ Division
of Water Resources documenting Sect. 401 Certification and providing any additional
instructions. You may also receive a letter requiring additional information or
recommending modifications. You must receive written documentation from NCDEQ
noting any required Sect. 401 Certification has been received before Duke Energy can
process your application.
• From the North Carolina Wildlife Resources Commission (NCWRC): If you do not receive
any documentation from the NCWRC within 30 days of their receipt of your application, you
may proceed with the application process without submitting a follow-up request,
recognizing however if comments come in later in the application process, you will be
required to address them.
• From the South Carolina Department of Health and Environmental Control (SCDHEC):
(Note — SCDHEC may have additional forms to submit for your proposal and an additional
fee.) The SCDHEC conducts a joint application process with the USACOE in S.C. If the
proposal meets any applicable requirements of the Clean Water Act Sect. 401 Water Quality
Certification, you will typically receive a letter from SCDHEC documenting Sect. 401
Certification and providing any additional instructions. You may also receive a letter from
USACOE requiring additional information for the agencies participating in the joint
application process. You must receive written documentation from SCDHEC noting Sect.
401 Certification has been received if required before Duke Energy can process your
application.
• From the South Carolina Institute of Archaeology and Anthropology (SCIAA): The applicant
must wait 30 days after receiving the signed postal returned receipt. If a response from
SCIAA has not been received by this time you may proceed with the application process
without submitting a follow-up request, recognizing however if comments come in later in
the application review process, you will also be required to address them.
Duke Energy Page 2 of 13 rev 11/22/21
Excavation Program

Step 4: Final Application & Submittal to Duke Energy
Following the consultation process, finalize the application. The final application submitted to
Duke Energy should incorporate all comments and recommendations provided by agencies and
organizations during the agency consultation process as well as copies of all permits received. In
addition to the final application include the following:
• One check payable to Duke Energy for the application fee and security deposit
• If applicable, a separate check payable to the appropriate Habitat Enhancement Program fund
• Signed Excavation Program Applicant's Agreement
Note: Co -applicants must also submit the application fees and applicable HEP fees with the
application.
Duke Energy Page 3 of 13
Excavation Program
rev 11/22/21

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 ZZ Z.2initials s 1 ett
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 Permit Database Updated Initials
*Forward copy of approved application(all pages,plus any attachments that Duke Energy changed)back to applicant
with Approval Letter and highlight any changes.File copies of Approval and Close-out Checklists and any Stop Work
Orders with application.
Part I.^ Applicant Information (Please Print)
Name �3O\\r1 k..}e' fl Telephone '7O4 Bqo- %q3o
Email address: V\rfl%}e tn3 \(Q> . C iv
Lake Address Mailing Address cif different)
2ZI 5twnt -ec ,e.
Apo -et l le, NC. ZB11`7
Contractor Company nests er .d 4 U f 1-5434eY 1 L n c.
Contractor Contact Person DVIy1c, kIr1)l❑ Telephone 304- 102q W 1.00
Contractor Email Address: dp YlfQ, la.ncab+e,-d 0(.1215 m C�.i C YY'
LAKE LOT INFORMATION
Lake RCK010.6 County iv-eAe l I City tppresvt lie. State ,Tax Map No. ( 3
Subdivisionefettervi. rlrl Lot 1 Section No. 17140___ Lot Size -Acres
—Ci keyl bey- e_o P
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) des ONo (If Yes,
include name and mailing address below.
Name: Tax ID: 5(0- q (..0q i4
4CC.t..54-er_CIA.S6111)062-1
'-5v5YYlS 1r1L.
Mailing Address: 115[n ?eri-h
-CrbuA-man, 2.C3I O1
Are there any Co-Applicants*? (check one) Oyes .D o (If Yes, include names, street
addresses or lot numbers,pier numbers,phone numbers, and email addresses in Part V-
Additional Information)
* Co-Applicants exist when the proposed work is being done under a single application, will be
performed by a single contractor as one continuous project, and is done to benefit multiple
owners/lease holders of Project-front properties within a single development. There can be no
more than 4 co-applicants in addition to the lead applicant on any application.
Do not continue the application until an on-site inspection has been conducted between a
Duke Energy Lake Representative and the applicant and/or the excavation contractor.
NOTE:Initialling this portion of the application by a Lake Representative in no way
constitutes approval or eminent approval of the excavation or any other lake use permitting
activity.
Date of on-site inspection
Initials (Duke Energy) ri C14 (applicant/contractor)
Duke Energy Page 5 of 13 rev 1 1/22/21
Excavation Program

Duke Energy Excavation Permit Application Form
Part IL Description of Project
A. Basic Information
1. Type of excavation: (check one) ,2'New excavation 0 Maintenance excavation
2, Purpose of excavation: (check one) Boat Access Channel
0 Water Intake Channel 0 Wastewater Discharge Channel
❑ Other(spec):
3. Lake user category: (check one) .private OResidential Marina
❑Commercial Marina ❑Public
❑Other(spec):
4. Max. Excavation Area Dimensions (ft): Length t 4.) Width JOt Depth �"
f
(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): 340 Cubic yards
6. Type of material removed(applicant determines by field sample if practical):
r1 , 5 IA C ekxt
7. Excavation Site area: .0e) Acre (s) Disposal Site area: . OS Acre
(s)
8. Total Disturbed Area (including equipment staging area): - /6'0 Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
2es ONo
10. Do you claim title to the disposal area? (check one) ❑Yes Jallo
11. Do you claim title to the equipment staging area? (check one) J2Yes ONo
12. Are there any water-treatment facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes io
(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):
D e t-1-11 1 v1A reac v 4io r. P lbr_e.v na.4er i ct l i nhp hopper'
•■ . Q�1 CL i l7� e..
� � b,� ' 1i le�`d o,rr�o dc�rnp�l�s
O a Iran',Ppr+ -tc C{t .
Duke Energy Page 6 of 13 rev I1/22/21
Excavation Program

Duke Energy Excavation Permit Application Form
14. Type(s)of excavation equipment to be used:
reach e .CaNacec 5hor-- rectrii a]ova.-br-, braes,
I u, p tr~uch5
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) 1es ONo
(.If yes, explain)
Ni �e�► eci i Prnev,}� i *rans ri-ed ►�c.-Flact-h pIQy4.w -h
-�v - LAY]Cct.S kr-DOc.l� j► ot.r'�,4 0-1-Vice. in
MI. ec.�r s -e o � Fyn (
J 4
16. Will return water re-enter the reservoir? (Check one) ❑Yes DNoIIA
(If Yes, sped point(s) of re-entry and show on Excavation Area Drawing)
17. Is there an existing facility e.g. pier)that access is being maintained to by conducting the
excavation? ❑Yes 17'No N a vJ p i ey-fiD be.C.on*u.cfed, See. A-R y2
(If Yes,provide the existing permit nu ber. If No, include a scaled drawing of the prof osed
facility). Permit# r'►-1o.-ke. Vctc,li+tes fis ru►��itiv�► p r;cc on
6 `tneev'in -DrctlNtn 5
18. Total planned duration of the work(Incl de first equiiment mabilizeirion, excavation
through final mitigation measures complete):
START S / 7 21 FINISH 2 1 22
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 33 rev 11/22/21
Excavation Program

Duke Energy Excavation Permit Application Form
Part 1I. (Continued)
B. Protection 1 Avoidance Area Description
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas
Aonrox
Acre
Identification
Method (*)
Avoid (A) or Mitigate (M)
(check all that apply)
Field ID
W
Work Area Dwg. ID
Li
a. Marshland, swamp, ponds, beneficial
A
aquatic vegetation or other potential wetlands
(circle all that apply)
b. Buffer Zones (spedfy width & source
GLoV[ on of ntoatrIaL16 will be_
i jyylp I td5 wa-hl
Patckr cl±br r1a,}eriiClt f oe.
tepertaTies-
-to oFF
rifj
of requirement)
c. Environmental Areas as identified by
q . 4W f
e..e 4:34%
Duke Energy
d. Natural Areas as identified by Duke
W/A
Energy
e. Historic properties (specij5)
hid
f. Rare or threatened species (spec)
N/4
g. Buried gas, water, sewer,
• Y IA
communications or electric lines (circle)
Duke Energy
Excavation Program
Page 8 of 13
rev 11/2212021

Duke Energy Excavation Permit Application Form
Protection/Avoidance Areas
A rox
Identification
Method (*)
Avoid (A) or Mitigate (M)
(check all that apply,
Acre
Field ID
Work Area Dwg. ID
h. Impact Minimization Zones as
��
identified by Duke Energy
1. Other areas requiring specific
Adt/A
avoidance, protection or mitigation (sped)
* 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 11t22/2021

Duke Energv Excavation Permit Application Form
C. Applicant's Signatures
Comments:
Applicant Name (print) T
[�PSLY�c'
Applicant Signature* Date (0 - 17-
J
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Date
Co -Applicant Signature* Date
Co -Applicant Name (print)
Co -Applicant Signature* Date
Co -Applicant Name (print)
Co -Applicant Signature* Date
*Per my signature, the information provided in this application is correct to the best of my
knowledge.
Duke Energy
Excavation Program
Page 10 of 13 rev 11/22/2021

Duke Energy Excavation Permit Application Form
Part III. Additional Information
A. Deed and Survey Plat: A copy of the deed and registered survey plat or other instrument
under which each applicant and co -applicant claims title to the affected property (the
shoreline adjoining the excavation area, equipment staging area, area crossed by any spoil
and return water lines, and the disposal area). If the applicant(s) is(are) not the owner(s) of
said property, then forward a copy of the deed and registered survey plat or other instrument
under which the owner(s) claim title plus written authorization from the owner(s) to carry
out the project on their land.
B. Excavation Area Drawing: An accurate drawing of the area to be excavated. The drawing
must show at a minimum, a North arrow; the boundaries and acreage of the proposed
excavation area and equipment staging areas; lake, county, city, cove, tributary, road and
subdivision names and lot numbers (as applicable); property corners for project front lots;
the full pond elevation contour and lines dividing the cove width into equal thirds (as
applicable); approximate volume in cubic yards of the material to be excavated; point(s) of
return water re-entry; the boundaries of any adjoining areas that are to be specifically
avoided or protected during the work and the location (address) of the disposal area for the
excavated material. [NOTE: A copy of this drawing must also be provided to the
excavation contractor to ensure restricted areas are not impacted.]
C. Disposal Area Drawing: An accurate drawing of the proposed design for the disposal area.
The drawing must show at a minimum, a North arrow; the boundaries and acreage of the
proposed disposal area; lake, county, city, cove, tributary, road and subdivision names and
lot numbers (as applicable); the full pond elevation contour (unless disposal is well away
from the lake); the boundaries of any adjoining areas that are to be specifically avoided or
protected during the work; the location (address) of the excavation area from which the
material came and a statement of the disposal area's capacity with all dimensions labeled
that were used in the volume calculation. [NOTE: A copy of this drawing must also be
provided to the excavation contractor to ensure restricted areas are not impacted.]
Also note for projects larger than one (1) acre in North Carolina, including excavated,
equipment staging, and disposal areas, you must submit an erosion control plan. For
projects larger than two (2) acres in South Carolina, including excavated, equipment staging
and disposal areas, you must submit an erosion control plan. For projects < two (2) acres in
South Carolina, you must submit a completed standard reporting form for construction sites
disturbing two (2) acres or less to the South Carolina Dept. of Health and Environmental
Control (SCDHEC) - Stormwater Management
D. Vicinity Map and Driving Directions: A vicinity map and directions by road showing
directions to both the excavation area and disposal area. Include the latitude and longitude of
both the excavation area and the disposal area.
Part IV. Agency Reviews and Approvals
Begin this section with a summary table of all agencies consulted and applicant response to
agency comments as shown in the example table below. Agencies should be listed in the order
Duke Energy Page 11 of 13 rev 11/22/2021
Excavation Program

Duke Energy Excavation Permit Application Form
shown in the Agency/Organization List. Consultation letters must be dated within the two years
preceding Duke Energy's receipt of the application.
Table IV -I, Sample Agency Comment and Response T
Agency Comment
Applicant Response
Agency 1
The activity is approved as proposed.
NA
Agency 2
The on -site well provides drinking water to the
public. Please contact Mr. Smith to discuss the
proposed changes and potential issues
associated with your proposal.
Contacted Mr. Smith on 1/1/20xx. No
further action needed.
You must contact us immediately if
endangered species are located during the
course of construction,
Applicant will contact Agency 2 if
endangered species are located during
construction
Agency 3
Requested agency comments on 1/1120xx and
again on 2/1/20xx. No response as of
2/16/20xx.
NA
Agency 4
Section 401 Water Quality Certification
Applicant will comply with the conditions of
the 401 Water Quality Certification
Following the table of agency comments and applicant responses, include a table of permits and
certifications issued by the reviewing agencies. As with the table of agency comments and
applicant responses, agencies should be listed in the same order as they are listed in the
Agency/Organization List.
Table IV-2. Sample Agency Permits and Certifications Table
Agency
Permit/Certification Name
Date of
Issuance
Date of
Expiration
Agency 1
Surface Water Withdrawal Permit
Agency 2
Section 401 Water Quality Certification
Following the two summary tables, include a copy of all correspondence to and from any local,
regional, state and federal agencies or other organizations with which you are required to consult,
including any required permits (e.g., Section 401 water quality certifications, Section 404
dredge/fill permits, building permits, etc.) or other approvals or comments which have been
obtained from these organizations regarding this activity. Include a copy of any local, regional,
state or federal regulations or guidelines that will be followed. All permitting issues must be
resolved and clearly documented. Correspondence should be organized in the order the agencies
are listed on the Agency/Organization list with the applicant's request for comments followed by
additional correspondence in chronological order. All permits must be valid at time of
Duke Energy
Excavation Program
Page 12 of 13 rev 1 t12212021

Duke Energy Excavation Permit Apnlication Form
application and have a term longer than the projected schedule for completing the permitted
project.
Part V. Additional Information
Provide relevant additional information. Reference previous parts as applicable. Include the
FERC-required Environmental Assessment if you were directed to do so during the initial site
visit. If there are co -applicants, this is where their information would be provided (see Part I).
Duke Energy
Excavation Program
Page 13 of 13 rev 11/22/2021

Type: CONSOLIDATED REAL PROPERTY
Recorded: 7/9/2019 2:29:52 PM
Fee Amt: $3,110.00 Page 1 of 2
Revenue Tax: $3,084.00
Iredel] County, NC
Ronald N. Wyatt Register of Deeds
BK 2630 PG 229 - 230
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $3,084.00 Purchase Price: $1,542,OOO.00
Parcel Identifier No. 4614648003 Verified by County on the day of , 20
13y:
MaillBox to: Grantee
Instrument prepared by: Ben S. Thomas, a licensed North Carolina attorney, 514 Williamson Road, Ste. 431, Mooresville, NC 28117
File# 2019050166
Title Insurance Company: Master Title Agency
Brief description for the Index: Lot 292 Section 6
THIS DEED made this 07103/19, by and between
GRANTOR
Mark Lindsay Jefferey Bierman and spouse,
Stuart Alan Henderson
411 S. Marshall St. Suite 402
Winston-Salem, NC 27101
GRANTEE
John Carl Muesing and spouse,
Lisa NI. Mnesing
Property Address:
221 Sunstede Drive
Mooresville, NC 28117
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and
by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in
Ueda County, North Carolina and more particularly describcd as follows:
Being all of the Lot 292, Section 6, Crescent Land Si Timber Corp. as shown on map thereof recorded in lredell County, North
Carolina Public Registry in Plat Book 34 at Page 32, reference to said map hereby made for a more particular description
Pn:!•. t yint L
^0TC ❑i��;,}D51

Delinquent property taxes, if any, are to be paid by the closing attorney to the county Tax Collector upon disbursement of the
closing proceeds.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 2373, Page 2343.
All or a portion of the property herein conveyed _x_ includes or i does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Book 34, Page 32.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and ail privileges and appurtenances thereto belonging to the Grantee in
fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple. has the right to convey the same in fee
simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the
lawful claims of all persons whomsoever, other than the following exceptions:
1. Any and all easements, rights of way and restrictions of record.
2. Any and all zoning and planning ordinances.
3. Any discrepancies as an accurate survey of the premises might reveal,
4. Any and all other matters of record.
IN WITH S WHEREOF, the Grantor has duly executed the foregoing,
++'►.e.► (SEAL)
Stuart Alan Henderson
(SEAL) (SEAL)
State of North Carolina - County or City of Iredell
1, the undersigned Notary Public of the County and State aforesaid, certify that Mark Lindsa erey Bierman and spouse,
Stuart Alan Henderson personally appeared before me this day and acknowledged the due execution a foregoing instrument for the
purposes therein expressed. Witness my hand and Notarial stamp or seal this 3 day of 20/ y.
,,,,
S.
TFfp,,\
NOTARY `'s
PUBLIC ¢
MY Commissbn
Expires
1, die undersigned Notary Public of the Cou •% e,. ri35tq
a e. Certify that
Witness my hand and Notarial stamp or seal, this ,da• , Na""/ , 20
My Commission Expires3fi /6k '
(Affix Seal)
State of North Carolina - County or City of ]redell
Notary Public
Notary's Printed or Typed Name
My Commission Expires:
(Affix Seal)
Notary Public
Notary's Printed or Typed Name

gi
ACQUIRED BY:
T1 DON ALLEN & ASSOCIATES,P. A
-Since 1971'
Cemrnerclal * Residential * Mortgage Surveys * Multi -Family
Construction Staking * Subdivision Design * Topographical
131 Crosslake Park Drive - Suite 102 * Mooresville * NC * 26117
[phone] [phone] Fax
I, certify that this map was drawn under my supervision from an actual
survey made under my supervision recorded in deed book 2373
plat book_ 34 3� page 2343 and/or
�-a page , that the ratio of precision is 1':1O,OOO, that this reap
was prepared in accordance with the General Statutes of North Carolina Chapter 89C.
my hand and seal on the 19 day of JUNE
A.D. 20 19
VICINITY MAP
NO SCALE
LOT 293
ED WARD R.
SCOTT, II
2241/416
tft
•
NOTES
1) TNPROPERTY
SEMENT RECORD. 0/OR ITS --OF
ANY WAY
2} AREA ODLIPIJTED BY THE COQRWNATE
3) EASING 780' 8: 751' coins11pi ELE1r--
ATIoN BASED all LAKE HORLFAN !ACE
LEVEL AT COWAN'S FORD DAM (REMIND
ON 6/19/19 ) ELEVATION: 788.r
OVERHEAD POWER
N0 GRD MONUMENT FOUND it-'11
24DO FEET.
LAKE
NORMAN
r,
•
•
rf s" r/�//lfi�lf
0.8
�� G
WIWAM M.
760 CONTWR L:HE PER
ACTUA. FELF] SURVEY
t
LOT 292
0.80 AC.
T6.9
}
r
cgACX i
r
�- tar° 'Z i
152,61'
LOT 291
BARBARA A. SPURLING
.2594/1601
ALLEN, Pi r+1i1°'+rr►
r;p
SEAL
f
LAKE
NORMANl.
LINE TABLE
LINE
BEARING
L€NGTh
Li
S 69'50'G0" W
54.40'
L2
S 83 49'00" W
73.05'
L3
N 71 21'00" W
47.05'
L4
S 023616' W
35.03'
PH YSI CAL SURVEY
OF
221 SUNSTEDE DRIVE
LOT 292 CRESCENT LAND & TIMBER CORP.. SECT. 6
SCALE 1" - 5{}' DAVIDSON TWSP., IREDELL CO., N.C.
JOHN MUEStNG
LEGEND
�ZZi w Y.P. - POeLIi POLE
[] a POWER TRANS
• EXISTING 1RON FOUND
1.P.S $$R. MBAR SET
12/w - RIDNT-PP-WAY
WELL
• mL- LroNTPOLE
PDE a PU&JC DRARIAGE EASEMENT
CP - COMPUTED POINT
FIELD NOOK: 503Z
FILE CLT 292 3*
DC HUE;
TAX MAP NO: 4S1i6JRYY4

DS DON ALLEN"Since & ASSCCIATES,P. A.
197'1"
Commercial ' Residential * Mortgage Surveys • Multi -Family
Construction Staking * Subdivision Design * Topographical
131 Croeslake Park Drive - Suite 102 * Mooresville * NC * 28117
[phone] [phone] Fox
I, certify that this map was drawn under my supervision from an actua€
survey made under my supervision recorded in deed book 2373 page 2343 , and/or
Oat hook 34 , page 32 that the ratio of precision is 1':10,000, that this map
was prepared in accordance with the General Statutes of North Carolina Chapter 89C.
my hand and seal an the 19 , day of JUNE
A.D. 20 19
VICINITY MAP
d
a
n
NO SCALE
N
LOT 293
EDWARD R.
SCOTT, II
2241/416
1
0-'O
Y1
6a
1)
2)
3)
•
NOTES
THIS PRCPER1Y MAY BE SUBJECT 117
ANY EASEMENT ANs/OR RIGHTS -OF ICY
OF RECORD.
AREA COMPUTED BY THE COORDINATE
iAETH0O.
£6STINe 700' # 761' CONTOUR ELEV-
ATION EASED ON LAKE HORIAAH LAX
LEVEL AT COWAN'S FORD DAM (READING
ON 6/16/16 ) ELEVATTONI 7Sa-4'
OVERHEAD POWER
NO GRID MONUMENT R'RN
2090 FEET.
SCALE 1 " = 50'
ACQUIRED BY:
A
m
LAKE
NORMAN
W€Ll.IAM M. ALIEN, pLS►{uu1" 'Ar
SEAL
. L-3499 ro
769 CONTOUR LNE PER a • r3 SURJC--t� ([,
ACTUAL FIELD SURVEY.••'L''�r
%ffill111{1{{''
C3 i
7'0
LOT 291
AAREARA A. SPURLING
2594/1601
C'fa l
V 1~
LAZE'
NORMAN
LINE TABLE
LINE
BEARING
LENGTH
L1
S 69'50'00' w
g4,4q
=2
S 8349'00" W
N 71'21'00" W
5 0216'S8" W
73.05'
47.05'
35.0,3'
L 3
L4
PHYSICAL SURVEY
OF
221 SUNSTEDE DRIVE
LOT 292 CRESCENT LAND & TIMBER CORP., SECT. 6
DAVIDSON TWSP.. IREDELL CO_. N.C.
JOHN MUESING
LEGEND
P.P. - POWER POLE
m POWER TRANS.
EXISW1e IRON FOIJNU
LP.S -f4 MAR SET
RAV .. RIGHT-CF'--WAY
- WF1L
I C [P - MGHT POLE
POE ^ PUBUC DRAINAGE EASUENT
CP - c0AIPUTED POINT
F1ELD BODII: 503Z
FILE_ CLT 262 $8
DC FIE:
TAX MAP NC: 4S1464903

f
'In 4\
es1 Yl
SOn e�
& eava
\Nt -Pr\ er
ItrPc1 s

PROJECT
MADE
PK
Rer.
JOB NO.
SUBJECT
—
Jr
1—

Big Daddy's of Lake Norman
1162 Perth Road Mooresville, NC 28117
Lancaster Custom Dock and Lift Systems, Inc
Dredge Disposal Area
Google Earth

DUKE ENERGY DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project
site canhavea big impact on permitting processing time. Please complete this form and
return it along with your completed application to:
DUKE ENERGY
CIO LAKE SERVICES —EC 12 Q
526 SOUTH CHURCH STREET
CHARLOTTE,NC 28202
Applicant's Name: John Muesing
Street Address (at lake): 221 Sunstede Drive
Lake Name: Norman
Subdivision Name: Crescent Land+ Timber Corp.
Property Section: 6 Lot #: 292
City: Mooresville County: Iredell
State: NC Zip: 28117
Telephone: [phone]
Directions (from major road or highway):
From 1-77 NB, Exit 35, Left onto Brawley School Road. Right onto Tuskarora
Trail. Right onto Sunstede Drive. Property is at the end of the road just past
Strawpocket Lane.
Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobile
home, etc.)
*Note: Please use the back of this form if desired to draw us a map to the site.

221 Sunstede Drive Mooresville NC 28117
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Decimal Degrees Latitude: [35.503818
Decimal Degrees Longitude : I -80.959630 3

DUKE ENERGY DIRECTIONS BY ROAD FORM
LANCASTER CUSTOM DOCKS DISPOSAL SITE
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project
site canhavea big impact on permitting processing time. Please complete this form and
return it along with your completed application to:
DUKE ENERGY
C/O LAKE SERVICES —EC 12 Q
526 SOUTH CHURCH STREET
CHARLOTTE, NC 28202
Applicant's Name: Lancaster Custom Dock Disposal Site
Street Address(at lake): 1162 River Highway Mooresville, NC 28117
Lake Name: Norman
Subdivision Name: Big Daddy's of Lake Norman
Property Section: _ Lot #: 2
City: Mooresville County: _ Iredell
State: NC Zip: 28117
Telephone: [phone]
Directions (from major road or highway): From I-77 NB, Exit 36, Left onto NC-
150 WB, Disposal Area is on the right behind Big Daddy's Restaurant
Complex.
Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobile
home, etc.)
*Note: Please use the back of this form if desired to draw us a map to the site.

1162 River Highway Mooresville NC 28117
0 1.25 2.5 ini 4 HO "I
0
Lake Norman
State Park
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Decimal Degrees Latitude : ( 35.604043
Decimal Degrees Longitude : E80.910286
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