20140860 Ver 1_Shoreline Stabilization_20140801

2 0 1 4 0 8 6 0 1(1 1 46 8 6 0
State mf North Carolina
"��o��. Department of Environment and Natural Resources
0��� Division of Water Resources
---
Nv|x|nn of Water Resources 15A NCACO2H,05OO— Water Quality Certification, Shoreline Stabilization
FORM: 6SGpzO-2013
Three copies of the application (including attachments) and the application fee should be sent
Divisionof Water Resources
4O1& Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Applicant Information
1. Owner Information
Name:_____�^
Mailing Address:
\ { N , [� ��r T
Telephone Number: Fax Number:
.
E-mail Address:
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
must he attached if the Agent has signed th:is application form.
�
L ~
Name: -T-O-
�'
Company Affiliation:
Mailing Address:
Telephone Number: FaxNurnber:
E-mail Address: '
Person to receive the Certification Approval: —
K. Project Information
l. Attach 0 vicinity map (i.e. street map) clearly showing the location of the property with
respect tolocal landmarks such as towns, rivers, and roads.
2. Provide G detailed site plan showing property boundaries and proposed locations of
vegetation clearing, Structures (buildings, retaining walls, docks, impervious surfaces,
FORM: SIGP1O-ZO2] Page 1mf4

etc], rip rap, excavation ordred'g|ng below Full Pond/ Normal Water Level elevations,
and construction access corridors, You may use the diagram provided adthe end ofthis
application form.
3. Attach a photograph of the shoreline/ buffer proposed tobe stabilized. (Include ascale
of somesVrt- aVandztick, shovel handle, etz.)
4. Location ofthe property (where work isbobeconducted)
County: S �C� Nearest Town: iJ ,X
Subdivision name or site address (include phase/lot number):
Directions to site - please include road names and numbers, landmarks, etc.:
/
�
Latitude (in dccimu Longitudehdecm,7/
5� Describe the existing land use or condition of the -site at the time of this application
(residantia|, undeveloped, ietc.\:
G. Property size /acres\: <
7, Lake/ river/ ocean adjacent to property: I—,
& Describe proposed work (include discussion as to how hardening of shoreline has been
avo[�e�,orvv�y]tismecess�nJ� ���� ��u-i L^n ''��h�J����^� ^~ �4r�',4r^ `c~
9� Will work be conducted from land? R~ From water?
10. Total amount of disturbance (including all excavation, backfiU, rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres:
ll. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land-ward in
square feet oracres:
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
5O feet landward tobe impacted (number of trees, for insiamce):
^
-7 u'
Owner/Agent's S+atunz Date
'Agent's signutureisvo8d only /fonouthonbutiun/ct1crfrmm the owner bprovided.
FORM: SSGPlU-ZQ13 Page 2of3

La ke
(At Full Pond/Normal Water Level)
Full Pond/
Normal
Shoreline
P I ease approximately sketch the following information on this p Ian (provide dimensions for each
item, such os2U/txI00 ft) *:
1 All proposed vegetation clearing
J. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3� Location of rip rap or fill tn be placed below the Full Pond/ Normal Water Level elevation
4- Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6, Location of construction access corridors
FORM: SJRPl0-20l3 Page 3uf3

1. DAVID M. MEDLIN CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY SUPER'ASION FROM AN ACTUAL SURYE.Y MADE UNDER MY SUPERVISION. LEGAL
DESCRIPTION RECORDED IN DEED BOCK 4ZZZ PAGE 72L THAT THE BOUNDARIES NOT SURVEYED ARE CLEARLY INDICATED AS FROM INFORMATION
FCUND IN DEED BOOK 122-- PAGE THAT THE RATIO OF PRECISION AS CALCULATED IS 1:1%OOD +;. NITNESS MY ORIGINAL SIGNATURE,
REGISTRATION NUMBER AND SEAT. THPS THE 28t's DAY OF ,UNL A.D.., 2414.
DAVID M. MMNi NICF'L;
\ } }31llliiltfvr
R }T`H G. A R 0 L I',�
0 FESS`1 °0 N 1
IN R0 N A !
P SEAL '
L L -4286
AN 0 5URVE. IIN L L;
r DAV °I "U..MEi7 `
PIPE TOP OF SANK
LAKE TILLEICY
5 ?3'b6'2D`E FOUND --- FOUND
3822, E
52.5
FOUND
1'
58,3'
IRON FOUND
11(3.23` INSIDE OF PIPE
--
SCALE: 1'=40'
JOSH WORTH AIRHEART and
wife,
BATE: 8-28 -2014
5
(PE LtNE� 726 69` --"" -.
NOW OR
LOTS 8418 8c 699 OF TILLERY BEACH
_ HARR IN
ROB ERT L. G, JR,
CONCRETE.. NOW OR FORMERLY
PIN: 6"17 4D g5.y8'
117118
PAD J.C. CRAWFORD, 111
-
FOUND
cy
IDEED REF: 3272 -721
�° M8T i PG 222
C�vi
NOW OR FORMERLY
CAROLINA POWER
v+
tl
anal LIGHT COMPANY
and TAMARA 5. ARHEART
UEt.[phone] '
DR 1272. PG 737 o
C=
,r
r
LOTS 898 k 899
M'EI�1insI3RVR5rwYAHaa.coM ____.
MB I. PG 222 ' p
PIPE (TIE ONLY) IRON
FOUND —.� (TIF ONLY) IRON
i
5 ?3'b6'2D`E FOUND --- FOUND
3822, E
52.5
--�
S23 °06'20 °E
1'
58,3'
IRON FOUND
11(3.23` INSIDE OF PIPE
--
SCALE: 1'=40'
JOSH WORTH AIRHEART and
wife,
BATE: 8-28 -2014
TAMARA S. AIRHEART
a• ss'
NOW OR
LOTS 8418 8c 699 OF TILLERY BEACH
_ HARR IN
ROB ERT L. G, JR,
CONCRETE.. NOW OR FORMERLY
PIN: 6"17 4D g5.y8'
117118
PAD J.C. CRAWFORD, 111
-
LOT
MO t. 549 PG 232
tj
PIN: 65740116696.3
��,
IDEED REF: 3272 -721
�° M8T i PG 222
FLOOD CERTIFICATION
v+
JOSH W. AIRHEART
'fit tP tJ+
and TAMARA 5. ARHEART
UEt.[phone] '
DR 1272. PG 737 o
C=
-'• e0
LOTS 898 k 899
M'EI�1insI3RVR5rwYAHaa.coM ____.
MB I. PG 222 ' p
Tq
PIN: 6+51401166923 �
2
c7
LOTS 898
'
C.37 ACRES
{y
t
N24T s'aDW
N24-65`21" W
LEGEND! 1RODJ 49.93'
L IRON
�GENU
1p�.()�`
FOUND FOUND
IRON
R/W : RIGHT OF WAY
U TILL TY FOUND
POLE
EXISITNG PROPERTY LINES
-
_
- - -- LINES NOT SURVEYED (0R AS NOTED) I To
EXISTING RIGHT OF WAY LINE _ }L.i
f, C-� f
BERRY HILL DI\ L � EDGE of
PAVEMENT
�®
0 EXISTING IRON FOUND
PIPE FOUND
NOTES1
t. T)iIS PLAT IS .SUBJECT TO ALL RIWS.
GRAPHIC SCALE
EASEMENTS AND RESTRIC71VE COVENANTS
0 40 60 80 T20
OF RECORD.
2. NO TITLE SEARCH OR ENVIRONMENTAL
INVESTIGATION BY MEDLIN SURVEYING CO.
3. AREA BY COORDINATE METHOD.
( IN FEET)
4. THE RECORDING OF THIS PLAT IS FOR
1 Inch - 4O ft.
ILLUSTRATION PURPOSES ONLY..
ViCkNITY MAP
NIGH
R `Ls RD.
s�o
m
� sDTE
z
0
s
A
HOT TO SCALE
PHYSICAL SURVEY f ER
SCALE: 1'=40'
JOSH WORTH AIRHEART and
wife,
BATE: 8-28 -2014
TAMARA S. AIRHEART
TAX 55740SDAA021
LOTS 8418 8c 699 OF TILLERY BEACH
SEVENTH ADDITION
PAWN DID:: DMx
PLAT ASP: l — ? ??
NORWOOD TOWNSETP, STANI.Y CO.. N.C.
IDEED REF: 3272 -721
FLOOD CERTIFICATION
MEDLIN SURVEYING CO.
2916 ST GS RID, MS
EARRDBRURG' N.C. 28075
THIS IS TO CP,MIY THAT SUBJECT PROPERTY IS
LOCATED WITHIN FEMA AREA "X" AS SHOWN'
ON FIRM CDMMUNTTY PANEL 3710657400K
UEt.[phone] '
DATED: 94/99/0(1
M'EI�1insI3RVR5rwYAHaa.coM ____.

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Frunn: Higgins, Karen [karenhig ins@ncdencQov
6mnt: Monday, July 28,2O143:33PM
To: tmorkehop@goicom
idere is the form — let me know if you have any questions.
Ittr
You want tm use the "Application Form for Lake Area Residence VVodc" There isa help document as well to
he|� you fill out the form.
Thanks'
Karem
Ka/cnHi8gins
4Ol@ Buffer Permitting Unit Supervisor
N[ DENR Division of Water Resources
l6I7 Mail Service Center, Raleigh, NCZ7695-1817 *Note new Mail Service Center Number*
Phone: (g19)807-6360
Emai|:
/Vebxite�
�-'n`oJ correspondence hso*d/rnm this address may be subject to the North Carolina Public Records Low ond nquy be
-:iisclosed to third parties.
>Jo virus fhund io this ozcsmuge.
[bcCkcdbvA\/(}-
Vo,.,s�on: 2014.0.4716 / Virus Database: 3986/7937 - Release Date: 07/28/14

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CcnnectGIS Feature Report Pa2c I o IC 2
,- -I . . e . n K --- �„c An hR 4/1.4/" } 14

ConnectGIS Feature Report
Not 2 of
C, 3J ECTID
Tax Record
Owner NRainle
24577
AIRHEART JOSH W TAMARA 5;-1UE
0'wner Name 2
Mai ring Address
Mailing Address_2
2989 OLD SALISBURY RD
City
State
Z
:1 R
CONCORD
NC
28025
PIN
Deed Acres
Lots
657401166923
0
Physical Address
District Code
District Desc
B RRY HILL DR
540
NORWOOD
Township Code
Township Desc
Description)
NORWOODTWP
VACANT
Yt ar Built
Finished Area
Land Value
0
28647
Oth - er ' Value
Total Value
Deed Book
28647
1272
Deed gage
Plat Book
Plat Page
7--?
Landuse Record
No
hr, mop is prepared for the inventory of Real Property found within this jurisdiction, and is compiled from recorded deeds, plats and other public records an c rjita
f 0!e map are hereby notified that the aforementioned public primary information sources should be consulted for verification of the ir,fm'n)a6on contained oi) . r al,'
he ' ;lanky County Geographic Information Systems Division of the Office ofInformation Technology assumes no legal responsibility fa,r the information conta4iol,'i :„r
)a,. Alw,, olien the deeds and or plats are viewed for a parcel, the Stanly County Register of Deeds Office makes no guarantees regarding the collocito,, ,,,, ul!,C%-`
,itnenticity, or use of these records. The web site is for informational use and convenience only. The Register of Deeds shalt in no way Z)e held resisompie for
im-,sions in these records nor for any actions resulting from their use. The official records are kept in the Stanly County Register 0 Deeds Of ice. To view deeds o- 7�s
nlut , instail the AtternallIFF viewer. To install, please visit httpV/www,alternatiff.com/install-ie/
L — - _ " i-- — 1. , --in --l—A V 1- —k-9;= — ---I�M 4 / i 4/7) C) 14

7/24/14
Very little impact, just pillions (post for pier) and "if" wood wall, post
for wall
Thank You

COMPLETE APPLICATION ONLINE:
U.C. DEPARTMENT OF CULTURAL RESOURCES
I po. tt cdcr .gov /er /er_email_submittal,html
APPLICATION FOR APPROVAL FORM
FOR SOIL DISTURBANCE ON DUKE ENERGY PROGRESS"
PROJECT LAND — LAKE TILLERY
MAIL APPLICATION TO:
N.C. DEPARTMENT OF
CULTURAL RESOURCES
State Historic Preservation Office
4617 Mail Service Center
Raleigh, NO 27699-4617
1. DATE OF APPLICATiON�
II, APPLICATION INFORMATION (PLEASE PRINT) °„ s ..
di p.. dn, tlame(S). QJ e_ e-2 k
r, crass: P {).� rk—: h4 .'` i , Fax:
L;JGiS Topographic Quadrangle Map (check applicable map below):
adir, NC ❑ Morrow Mountain, NC ❑ Mount Gilead West, NC Albemarle, NC
1
S
ES iiopographic quadrangle maps MONTGOMERY COUNTY STANLY COUNTY
r 1 I r ained from Natural Resources 227 -D N. Main Street 26032 -F Newt Road
n,
Conservation Service: Troy, NC 27371 Albemarle, NC 28001
910.572.2700 704.982.6811
Page 3

IV, CHECKLIST OF ENCLOSURES
_..... ..v,. _ -,_ --
Application for Approval Form for Soil Disturbance on Duke Energy Progress' Project Lanai — Lake Tillery
Copy of quadrangle map clearly indicating the affected area
Copy of property map clearly indicating the following items:
• I_or leased by lessee
• Duke Energy Progress land between the lot and shoreline
• Water area associated with the lot
• Allocation lines that determine facilities locations and dredging area
• Dimensions of area to be dredged
• Amount of dredged material to be removed
• Desmption of desired facilities (walkways, piers, boathouses, deck areas lover water only], seawalls]
• IDirrrensions of desired facilities (walkways, piers, boathouses, deck areas (over water only], seawalls)
• r x siing square footage (water area covered) of water- dependent structures
• wroposed square footage (water area covered) of new water - dependent structures
• Maximum distance facilities will extend horizontally into Lake Tillery and cove widths where appropriate
__J Plan for disposal of dredged material — applicant must attach a written description of their plans for disposing of dredged maternal
No dredged material may be disposed of within the FERC project boundary, or on property owned or managed by Duke Energy Progres�e
.... _-
Resource impacts assessment — applicant must attach a brief written description of the potential impacts of the proposed soil disturbance
on surrounding reservoir resources, including impacts to water quality and fish habitat. If there is any vegetation growing in or around the area cf
. ra teased soil disturbance, it should be noted and the areas of vegetation should be photographed, and included with the application.
z' Schedule for conducting) the proposed sail disturbance — applicant must attach a written schedule for completing the proposed
Ad disturbance.
I Agency approvals — applicant must attach copies of written concurrence with the proposed soil disturbance from the following agencies
reefer to instructions —far Application for Approval Form for Soil Disturbance on project land):
• North Carolina Division of Water Resources (seawalls and dredging)
V. APPLICANT SIGNATURE(S)
h,2t,>by apply for an approval form to perform the above- described soil disturbance at Lake Tillery. I agree to abide by all applicable requirements of
Jr ke Energy Progress' Shoreline Management Plan, the conditions of the Application for Approval Form for Soil Disturbance on project land (walkways,
lures, boathouses, deck areas Inver water only], seawalls and dredging), the Guidelines for the Use of Leased Properties at Lake Tillery and other
Dr ke Energy Progress procedures and requirements. I also agree that no work will begin until I receive an Approval Form signed by Duke Energy F'r[ grins
sL -
A'. cr 5 gnatu
tin rn Sitanature t l gate
`a g ^ d.

Fded 03119/2009 0 T,45 44 FIM BOOK 1272 PAGE 731(3) 317607
Suzanne W. Lowder, Register of Deeds
Stawy County, NC �I I�ll�C ���ill� "�������� �,')
aH
PLAL ESTATE EXCISE TA�X s2oom
C S 61-3 l a 1) This instruirrent prepared by
A. '. hi!!4's. Jr. P,O, Box 1 162 Albemarle, NC
11 o2. a licensed NC attorney. Delinquent taxes,
i C,ar\ to he paid by the closing attorney to the county
[3e:u- or upon disbursement of'closing proceeds,
Prepared by� James A. Phillips, Jr,
Albernarle, NC 28002 -1 1 62
IFTER RECORDING RETIJIZN TO Crrdntee: 2989 Old Salisbury Rd. Concord NC 28025
NORTH CAROLINA GENERAL WARRAN7Y DEED
THIS DEED, made this the I I' day of March 2009
by and between
Arlin Jerr), Tucker and wife, Permelia. B. Tucker
hereinafter- called GR.ANTOR
and
Josh Worth Ait-heart and wife, Tamara Shut Airheart
hereinafter called GRANTEE
The designation. Grantor and Grantee as used herein shall include said parties, their heirs,
— -c� C,
-�:ssors, and assi-ns, and shall include singular, plural, masculine, feminine or neuter as
-CqUired by Context.
YY]TNI',SSETl 1, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of
.yhlch is hereby acknowledged, has and by these presents does grant, bargain, sell and convey
�nto the Grantee in fee simple, all of that certain lot or parcel of land situated in
he E Center Township, County of'Stanl), State of North Carolina, and being more particularly
described as follows:
SEE EXHIBIT A
"his conveyance is made subject to restrictions I I restri I . recorded in Deed Book 175, page 557, Stanly
Couniy Registry-

BK 1272 PG 732 DO #317607
IAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
-i)purienances thereto belonging to the Grantee in fee simple.
he Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has
!he nghl to convey the same in fee simple, that title is marketable and free and cicar of all
�ircurnbrarices, and that Grantor will warrant and defend the title against the lawful claims Mall
�ICMMS Whomsoever except for the exceptions hereinafler stated. Title to the property
Allrei ri above described is subject to the following exceptions:
An and all rights of way, easements, uses, permits, zoning ordinances, reservations and
restrictions of record.
2009 Stanly County (and City,'fown if applicable) ad valorem taxes.
WITNESS '£ IIEREOF the Grantor has hereunto set his hand and seal, or it' corporate, has
,at:sud this instrument to be signed in its corporate name by its duly authorized ofl-icers and its
)CUI to be hereunto affixed by authority of its Board of Directors, the day and year first above
.VrITICII,
Arlin Jerry Tucar
(Seal)
Permelia B. Tucker
' i
�"�ORTH CAROLINA,
TANIY cawry.
�aj 4 a Notary Public of said County and Slate, certify` (ha t ferry
.'%rhrl Tucker and wife, Permelia B. Tucker, Grantor, personally appeared before me this day,
-�ndl' each acknowledging; to me he/she/they voluntarily signed the lbregoing document for the
Stated therein and in the capacity indicated.
and official seal, this the _14
day of at Zk
2009
f Notary Public
:J 9
i real-s,ac':aevd farm 2009 airb.in-alaii 109

` .
Constructi
atio
N24R
vers ton Up
e
14, FI-
T N
Water Strateg
Duke Energy
'77'
0,
PO Box 1006/
te
Charlotte, NC 28201
1. DATE OF APPLICATION* Permit/Tag #.:
I
I
Name*
Primary Phone*
Address*
Secondary Phone
City* Concord State* FNC Zip Code* 28025
Fax Number
Email* jmvorkshup@moicom
Address* Lot 898 Lot 899 Berry Hill Drive County* Istanly
[/cy° State* K | Zip Code* County Parcel ID number
(e.g.Pin, Tax ID, TMS 657401166923
Lake' ITillery Number...)
Subdivision Lot(s) P|atBook/Page 1 1272
'`~~~
Toenter the Latitude and Longitude oftheproperty, please use a
Latitude 35l2345)° 35.248094
sem/ce/sofmvaetoeasUyacquire the location information. Values � � �
should beprovided inDecimal Degrees format (]5]]45).
Longitude (eg.'80]2345)° 80.099484
New/Modification of Existing Structure (7Maintenance of Existing Structure
Is Dock
F Covered?
C- New/Modification of Existing Shoreline Stabilization Maintenance of Existing Shoreline Stabilization
Cc� New/Modification of Existing Structure & Stabilization C, Maintenance of Existing Structure & Stabilization # of Slips
('- Transfer of Ownership (-, Other (please describe below) # of Jetports U
Area over land (sq ft) I I Area over water (sq ft) 1 1,200 :1 Total Square Feet
Shoreline Stabilization (feet' Distance From Shoreline
Length of
Stabilization
Materials Rock or Wood
Brief Description
ofthe Activity
Rebuild pier and install sea wall */IRECEUVE
V"
(,f rao brhdU4� JUL m120«4
Describe Briefly the Existing
Structures Over Land and
VVnte, (include 5qft)
UENK-LAND QUALITY

V Dock Builderi°or En"✓ ineera-x
Name/Company Reliable Woodworks, Inc
Address 3688 Penninger Road Phone Number [phone]
City Concord State [NC] Zip Code 28025 Email [e-mail]
.;,
,..
VI:`:Ckeeklistof:Re~"uired.,Documents-to'`in I,=;v
q, �,( c u'de.with.Applitatior Submission-)
.AV.: , 4�
ea v, wmma +smunwr,.-.-.xa-sa-w •`' "•� _��`." , ",��",`� 'stere••�`'saaaw.r.�nwwaexuw��-emmm„w, •a••• ••°moi•" mavreassm«'"�"¢,x•�"���ft'�v Aa wrmu�a�ww�vnx,aavrtn�amux.n.ma�rv„mm�m
Recent Survey (stamped/signed by a professional licensed surveyor showing the location of the existing or proposed
0 structure and/or survey of the existing or proposed stabilization)
Z Photos along property shoreline and photos of any existing structures and/or stabilization in or near the water
X Application fee (check only, payable to Duke Energy) Signed User Agreement Letter
© Applicable local, state, and federal permits © Plan and profile drawing showing all measurements and elevations
Habitat Enhancement payment (if applicable)
a:,:,rrrr,.ur:,t�+�,a,a�o�.aasa"x r:xa�:>�r.*M�'.*„�,�r,�•,
%Xa�eq'a0.'.:a %:` •, i,.t2pn• :i5%:. 'x,•$;'' � .Sir;T-v3T,-�n• Y< „':k}$°•,'+.•
s':•u` ., L �. ,.cel- ..:f;;,"�i�.w✓.. a^'• .%%^'� :��:. ?,�xs; �y,,,,e,
a
rova'Pr
ocess=
.,,
n
e Application -is reviewed and determined if complete. Fields with an asterisk are required.
® If application is not complete or does not include all items and information listed in the checklist, the
application will be returned as incomplete.
0 A Duke Energy representative will visit the site to conduct a visual inspection.
O Applicant will be notified of approval or denial.
Applicant is to have the notice, to be supplied by Duke Energy upon application approval, posted and
must be viewable from water. The notice must remain posted until a representative inspects the
project and determines the project is complete and within the application specifications.
.,fr te
xs;
VIIL`�D ections.b, ..Roa�drn"�= ` „
„
,....
D rections by
Road*
Indian Mound rd turn towards Norwood Camp Ground on Lake Shore, left on Berry hill, pass camp ground, go
up and start down hill, lot on left.
>-1X A lication;Subm�ission � °f �,. <
Please complete, print and sign this application. Then enclose all items from the checklist above in an envelope and
submit all the information to the address below.
Water Strategy, Hydro Licensing and Lake Services
Duke Energy
PO Box 1006/ EC12Q
Charlotte, NC 28201
I agree that the information contained within is accurate: _LLV_
Signed
Print F,orm:hF- w;