20221048 Ver 1_Shoreline Stabilization_20220803

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H.0500—Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
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.)
Karen Higgins Karen Higgins
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 A. Applicant Information [15A NCAC 02H .0502(a)] p © C O V�/J
E -111. Owner Information
Name: +�%��-�' l,�S ll� , H-eQC�ms
AUG 0 3 2022
Mailing Address: C4 ) ) j v -r Or- DENR•WATER RESOURCES
` C 3 3 •T gpOR{1ei'l5fi PERMITTING UNIT
Telephone Number: ofitz.oa 12r134- Fax Number:
E-mail Address: C(M('Iosns S47 yrnae.,OCc
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
B. Project Information [15A NCAC 02H .0502(a) & (b)]
J1. 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.
FORM:SSGP 02-2017 Page 1 of 3

®IIIII! Division of Water Resources
Water Resources 15A NCAC 02H.0500—Water Quality Certification,Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
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.)
Karen Higgins Karen Higgins
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
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information /^
Name: l ih &i V S U ), n . CUr't1S
Mailing Address: ( ,3.U ) ►K 'q i v`er Dr-.
-pe,)c. iJ c 9 5 a 3
Telephone Number: gm ,.3D,2 1 73* Fax Number:
E-mail Address: Cd(I(J(Jams .c'7 ogi'Y)OP•C on')
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/refidocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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.
.y
FORM:SSGP 02-2017 Page 1 of 3

®! Division of Water Resources
Water Resources 15A NCAC 02H.0500—Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
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.)
Karen Higgins Karen Higgins
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
A. Applicant Information (15A NCAC 02H .0502(a)]
1. Owner Information
Name: ( Th Ct-r LQS Lt), n d arnS
Mailing Address: I '?N`e.- Dr_
LAFRAL, FJ c a''7 5 9 3
Telephone Number: f. J ) n'73i Fax Number:
E-mail Address: �,�ui n5 E6117QGInicti,JJ.0
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/reftdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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.
FORM:SSGP 02-2017 Page 1 of 3

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: "Person Nearest Town: �OXbOrO, N
Lake/ river/ ocean adjacent to property: Hy CO t.cr,Ke_.
Property size (acres): 3, (38 of S
Subdivision name or site address (include phase/lot number):
AAA c LP 1401)o0 GIIon 'V phase I
Directions to site - please include road names and numbers, landmarks, etc.:
_ 2 5IN eQ gold churth_gd- g0 Appro_x_Lialt7
-to L-1 0LI is -J r L.4o__c 1_z_rdie Su 1 rnr12e r
Latitude (in decimal degrees) — g a Longitude (decimal degrees) 367,4 S q
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): IY5 i d°Ail CO
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): ,
La(,Q < i` die rbp rap to CW id r- '
-e'dsicv)
7. Will work be conducted from land? ® From water? ❑
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
Appr 01 , IS-10 ..04-- e)4- r t 9 r o (7s` /ory x
Temporary impacts in square feet:
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:
Temporary impacts (temporary clearing, construction corridor) in square feet:
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):
4'r ee_s 5" repfix,c^ •11 br osk
FORM:SSGP 02-2017 Page 2 of 5

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: --� �
r5cr) Nearest Town: Roxboro,1\I
Lake/river/ocean adjacent to property: Au Co L,ax&
Property size (acres): 3, A GICS
Subdivision name or site address (include phase/lot number):
Lu ALP NO loW Se &Ion ` phase t
Directions to site -please include road names and numbers, landmarks, etc.:
-10 0 5(J(9 10 Po ricorc) @With 12d- --u-ii Left-go cfb'Dx l VY) z
'1"Larh rg11� C)/ 3f>n:x 'z rai Si ryier
Oar) NC1gMt- Oo f)re)c. ►f? m,'1 V tuirlo Leff Cnro
A- ,. L-c=t
Latitude (in decimal degrees)— QQ DR Longitude (decimal degrees) 3(6,45 1/
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped,etc.): IN,5 i d'Li Ca)
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
L0ou� C ►" �, H ris fz 1' rap IV ccworc1 ''
7. Will work be conducted from land? ® From water? ❑
8. Total amount of impacts below the normal pool lake level/Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.)in square feet:
ADO r DsA ,. �or,�C X /O'
Temporary impacts in square feet:
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:
Temporary impacts (temporary clearing, construction corridor) in square feet:
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):
Yt'tF= +-'8 a:2:�c�v T!'��.:t f rf:: / hr 1 ih re. 1vedi_
ay
FORM:SSGP 02-2017 Page 2 of 5

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: I-er3Ot Nearest Town: I"S OXioro,N
Lake/river/ocean adjacent to property: Hu co La
Property size (acres): . , QCV'-S J
Subdivision name or site address (include phase/lot number):
ttu cP NO►I a0 Se dim IV phase. I
Directions to site -please include road names and numbers, landmarks, etc.:
-iti Yw 5'1 1 (D ricoPc eht tom& Yd- +w-v1 o operox l Milt
Ockh ao appro. lb rn`te Leff afro
►� 1 �dn c t ( I Pent fL4 o9 ,On1 to f a
Latitude (in decimal degrees)— d g9 Longitude (decimal degrees) 36,145 4
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped,etc.): No S i d j l
cLP
6. Describe proposed work(include discussion as to how hardening of shoreline has been
avoided,or why it is necessary):
V O LLQ CO C i V- -to I AiU) !j1) rap -t o avoid rvirliur
-erosion.
7. Will work be conducted from land? ® From water? ❑
8. Total amount of impacts below the normal pool lake level/ Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.)in square feet:
Ap r -7S0 /9r2 x / '!= c )
Temporary impacts in square feet:
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:
Temporary impacts (temporary clearing, construction corridor) in square feet:
10. Please describe the vegetation above the normal pool lake level/Normal Water Level and 50
feet landward to be impacted��,${l�(number of trees,for instance):
r '� ��� T/'�i :: J a lam?'1':,- - - / ids vsk re iv,g v d:
r-c P 8:�s"
tir
FORM:SSGP 02-2017 Page 2 of 5

11. Sign ure
Owner/Agent's Signature* [15A NCAC 02H .0502(f)] Date
*Agent's signature is valid only if an authorization letterfrom 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
s
�,nii� x ��It10 i1(i ib,m, !�� �t.L i.,, ,
�� t�'Full and!NormalWater f l �'.
iPtt �
'�
' r
;0
i
Full Pond/ Normal waV.ter,Leve ,Ir
y
' J �,� sSharelin'e (4,
W xY .' qaH . 4� k �� � nm r w �
re!:,ti :7.
Plan View � ;`
FORM: SSGP 02-2017 Page 3 of 5

11. Signature . _ !
Owner/Agent's Signature* [15A NCAC 02H .0502(f)1 Date
Agent's signature is valid only if an authorization letterfrom 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 orfill 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
== _ Y = "iNo al-Water Level): __ =- _ _
Pond/ ft
.:
_ _- - - • - "- •
_ - _ - =_tom>.,.N^ -_
7fv
—_ - No.� - ;a �'. - _ ',ass^- 'a....7a• - -T+s;=' ---- -
Full Pond/
Shoreline .' _
JX t
•
•
Plan View
FORM:SSGP 02-2017 Page 3 of 5

11. Signature _
fl
Owner/Agent's Signature* [15A NCAC 02H .0502(f)1 Date
'Agent's signature is valid only if an authorization letterfrom the owneris 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 orfill 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
•
__ _ _ _ _________ _
-___r -- - (At Full Pond/Normal WaterLevet);`=__=_ _
• - __" s'a--4'.h' _ — :�--s- ��.zu --_ _
__ _ - - _— - 7is:V`.`v`S�'t:a=.:L�..S'£x€h -.�. �- �rt'?9 •� `Fz....' _- _- _ _ _ _ s`l _-__
Full Pond/ Normal Water«Leve _- ,- ,>` 4 `' """ ` _
=. —
Shorelin'e ' _ � :- � - ' _
" '1-.13:-----;4113r4'e:er's.1
Plan View _,_ =___ �- ___ 1;
FORM:SSGP 02-2017 Page 3 of 5

b1 ui
4
.. 4 y�( D
_art
)ci
tep
ti,,,,,,v,m4.,1;7'-'-4'''.46-1'44'-4''''''4'''''''''i",4?k:'''Z-;*-P„-',47,14-tr-fi'llNit-* •,,' '':j!10,f,01;1,ilb!!!:,EN:10;i"'",7:',:`,',:',":"E'L'T,;'"';,9;:,!:,''''',":'T'',','''',''' "::''"'—''- ,,, ,,,,, , ,,,,„, ,,z 2,,,,,,,!,,,,,,,,, ,,,,:, „,„, ,
tee.
... .� 1"� � ro fat`s LXI;+ _ .. ''
13
Side View "-
Ll_
wa
Lake-_
4 a001,y th '"1-0 tt0i, Pondl_plorhtai iroaterEavetl' ,e aatIng Dock,
: .: 3614z7it ..
o
AgrAt ■po rvrur�rlrg.. .._.� 6elowtup.,,:, , Wl
Full °�+.�, VI _ ��PO...1.0�..1��/ ,���s,
r .o ... r;;i,fir- T--,',-r� w9 ,t,.e ter°
hove ine r�wr��� �1 R���� of.loan
ir:riirriii Riprap ii7, , i .5w'..i Abovefull pond/NWl
2 ft.z15oh 0.1010�110 •�1 �����
i
k ei;
Plan View
FORM: SSGP 02-2017 Page 4 of 5

.-Fri !'d+'��•s�....<�' ib° "
Qir f
co'
410
w sit
9=
.• O s
Side View
Lake
{At ruff po dmon,xg water Leref) Existing Dock
3aftx7 ft
warm(' &timid
•00.l�l�.l�. ....... 1,�..l.. 3ftxi50ft
Full Pond!Normal Water Level
r�'y�Z'f'fl t�f'f '� l- .�...t50
�( /���• More feq pord/NWL
iiiiiii
ad
2ft.x15aar ..._
�ffonafII
•If necessary
- E Am p .,,, , E
Plan View
FORM:SSGP 02-2017 Page 4 of 5

a
4VL
grid � i �� � �xi: ir
.�.4 a r� om .:
oaC
' ` '�" 5''�t - _ as 14
rx ,,, ` i ce_`'t`
C
Side Vie View
LII—
Lake
(urarvo■ilxomwt t L &} Existing Dock
/3kkz7R
•
rrrr ♦rrrrrr '.',.7i ' pond/.... L
Full Pend Nortnai Water Level•$••1•i�i•4�i• %•ems,
f ore�ine i•••:i% RipraP • •w�r�•• aca��n�nair+m
2 ft.LSIIR s••••:0 L3 i • � ��:•..
a tlonai cteadg ,
a necessary
pm
ask L.
- . , ...
Plan View
.a
FORM:SSGP 02-2017 Page 4 of 5

NOT FOR LEGAL USE
$ ,77: Person County GIS
€ - - - _ - s ,i = r +tee °� •.: --;
4P-vAlVi,
•
--, --_,-,-4 7-e.1-,,,*...7;. ,..„;,,,,,
•
a � , �_
- - £-A� .s
iF -
Legend 2/11/2022 NOT FOR LEGAL USE
Address Easement A-r ca fv-, r ,C r ala •r•5-Lt.( N
Roads pp
Utility A ArcGIS Web ABuilder
Easements
— All Other
— Conservation mi
ri' Tax Parcels 0 0.02 0.04 0.06

NOT FOR LEGAL USE Person County GIS
tie �i ffi .� -fr
.L
•
I'62 . - -
' y
--tr. .. , , . .
< "
. ' . -: ...
_ :-_.-04, , , ,
. ,.
. „.„-3..! --,,,,,-/--• , -
, 1., -, , _ ,. ,
_ . , , . ,„.., , . -,,,_
, __ ._ . -
4,„_,..,./- . .
., -..„-- -, _..-- , -
. , ,.. ,
0...,• iAgi . . ,
_ ... , .. .... .. _ . ,
, , . ....._
.; • F
--- - - - - - - - � =I+C}�I C3 '1 '-
Legend 2/11/2022 NOT FOR LEGAL USE
V Address Easement •At CO— A- r;p rip ;r54-a„t( N
Roads ArcGIS Web AppBuilder A
Utility
Easements
All Other
— Conservation
mi
_ Tax Parcels 0 0.02 0.04 0.06

NOT FOR LEGAL USE u GI
S
County IS
:a �-i 1 Z 71
� „ --- ti t e - - _ �' - "`.'
5
- tea'_ -. _ -- _. - _ - -
- - - - - - - - - - e. - - - -
� � --� l
- ,cif:41117.__7--,2-,P'':;.,i';.:1-4:1;Ftft:IR-T-go rz,,A,'f.,31-2-.
_
Legend 2/11/2022 NOT FOR LEGAL USE
AV Address — Easement //��
rea-4r r"i�p rof ,r6 if N
Roads Utility ArcGIS Web AppBuilder n
Easements /V
All Other
— Conservation
Tax Parcels mi
0 0.02 0.04 0.06

IIEC':1_L1 .1611 1 1; - 'I fl 11 R I '31(1 lit 1 J rNI"
0
"REFERENCES"
DB 204-800
PC 15-283
PC 15-282 C�
LINE TABLE
LINE
LENGTH
BEARING
Ll
L2
L3
L4
L5
L6
L7
L8
L9
1.10
LI
1.12
L13
L14
L15
L16
L17
L18
L19
L20
L21
122
123
L24
L25
126
127
L28
129
L30
L31
132
L33
L34
L35
L36
L37
L39
Cic, L40
j• L41
F ^ L42
L43
L44
,)L45
70.74
99.35
100.00
24.29
18.35
49.17
88.71
80.00
41.67
100.00
139-77
140.00
125.82
137.08
89.34
48.06
84.16
129.26
93.10
70.50
108.14
42.13
165.65
127.87
37.26
44.52
72.31
68.62
181.86
122.90
163.40
69.00
42.10
30.19
6937
67.84
66.37
60.85
41.14
107.45
118.30
125.51
75.14
64.53
100.11
77.28
365.00
139.47
L
L 54.52
0 50.00
' 27.80
L50
L51
L52
153
%64.00
130.71
S 29'34'8" F
$ 24'24'19 F
S 5413'23" W
5 20'31'43' W
S 2031'43" W
5 2031'43' W
5 05726" F
5 057'26- F
$ 25'42'41" W
N 7545'39" W
N 29327' W
N 634'21' W
N 738'1' E
N 54'52'25` W
N 41.30'37 w
N 1'29'42' F
N 1'29'56" F
N 16013" W
N 2051'46" W
N 55'23'22" E
N 55'23'22" E
5 81'50'56` E
N 3613'33" E
N 6211'31' E
N 6211'31' E
5 73'51'56• E
N 69'37'35" E
N 40'7'28` E
S 73'32'15` E
5 131'29'2" E
S 86945' E
N 89'50'36" E
N 7931'12" E
N 7631'12" E
N 65'22'32' E
N 5253'24" E
N 5759'0. E
N 741'20' E.
N 84'32'20` E
N 6637'14" E
N 7(743'31` W
5 5T28'30' W
5 7657'52` W
N 81'29'2' W
N 7043'31` W
N 6630'29' W
$ 7619'45' W
S 42'57'7" W
S 82'42'44" W
S 81.512' W
N 6755'45" E
S 5728'30` W
N 32'31'30 W
i
/-1
008E ENERGY
NYCO LAKE"
/ DUNE ENER
NVCO 1N1E'GY
WATER USE ',-
�� LINE
OUNL HOLLOW HYCO. LLC
08 204-800
PC IS-282
RECN 26564
'(ixx CURVE TABLE
CURVE
LENGTH
RADIUS
DELTA
CHORD
CHORD BEARING
TANGENT
Cl
54.77
275.21
11'24'150
54.68
N 3,616'11" W
27.48
C2
124.22
951.21
728'56`
124.13
N 25'49'36' W
62.20
C3
50.12
313.45
9-9'44-
50.07
5 2640'50 E
25.12
C4
99.88
836.24
650'36'
99.82
N 27.49'36' W
50.00
C5
147.54
533.00
15'51.34"
147.06
N 1628'32' W
74.24
C6
24.913
533.00
74118'
24.97
N 712'12' W
12.49
C7
98.59
175.00
3716'42"
97.29
N 1016'42" E
50.64
C8
109.10
225.50
2743'14'
108.04
N 40'16'40` E
55.64
C9
188.89
321.98
33'36'42'
186.19
S 3720'2' W
97.25
010
119.39
318.37
21'29'10'
118.69
5 9479" W
60.40
011
196.38
421.90
2640'8"
194.61
N 12'22'37' E
100.00
C12
150.68
458.12
1650'42'
150.00
S 64'20'16" E
76.03
C13
60.04
458.25
7'30'26"
60.00
5 51'9'44" E
30.06
C14
142.91
458.13
1752'22"
142.33
5 36213'20' E
72.04
C15
146.90
431.85
1929'22"
145.19
5 6713'11' W
74.17
MICHAEL T. BRANDON
PROFESSIONAL LAND SURVEYORL-4922
1437 BROOKS DAIRY RD.
ROXCBORO,N.C. 27574
PUONE: 919�-358-6�432�,�..�
1RW1w3E1CbReu rsado p1w.wwW
EIP
CONTROL
CORNER
OUAIL HOLLOW HYCO. LLC
OR 204-800
PC 15-767
RECN 27275
Sf
0
SO
„7
FILED - PERSON Cseal yy,, NC
N. D. 30 201S el 0119:34 PR
/JIAIW 9. NARK El
61ST�Rppi,�ellEE y
NI IIIIIIuirnnuuiji/
�.uH,.a,N4LJ -ex.) M4-
I HEREBY CERTIFY THAT THIS PUT 15 OF THE FOLLOWNG HYPE
G.S. 47-30 (F)(I IXD). THIS SURVEY IS OF ANOTHER
CATEGORY, SUCH AS THE RECOMBINATION OF EXISTING PARCELS,
A COURT -ORDERED SURVEY. 0R OTHER EXCEPTION TO THE
DEER/M ON OF SUBDIVISION.
1. MICHAEL T. BRANDON, CERTIFY TENT THIS PLAT WAS DRAWN
UNDER MY SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER
MY SUPERVISION (DEED DESCRIPTION RECORDED O BOOK 204,
PAGE 800, ETC.): THAT THE BOUNDARIES NOT SURVEYED ARE
CLEARLY INDICATED AS DRAWN FROM INFORW7ION FOUND IN
(SEE 'REFERENCES"): TENT THE RATIO OF PRECISION AS CALCULATED
5 I:I0,000: THAT THIS PUT WAS PREPARED IN ACCORDANCE RIM
G.S. 47-30 AS AMENDED. WITNESS MY 0RLG941L 5C6418RE,
REGISTRATION NUMBER AND SEAL TENS
28TH DAY OF DECEMBER, AD., 2075
41:`-‘troctaik14.4,3
( SEAL •:
L-4922
PROFESSIONAL LAND SURVEYOR REG. NUMBER L-4922
CERTIFICATE OF EXCEPPON: (we) hereby certify
Hal ama(wee area M nerN twhich M�PcoPrtY
shown to me(us) b describedhereon,
n Book conveyed
-
a that said property recorded
al1Ges as an <sa bon
to a provisions I he Person County Subdivision
Regulation under Section 16-1.
owa<r(s)
Planning � 2N nin9 lr or
Perron Co., .C.
Date
t74-2.4-207S
Date
State of North Carolina
County of Person. 1
Pa,1A (NW,: Review Officer of
Person Ca., certify thieM mop or plat to
which this certificate is affixed meets all
statutory requirements for recording.
YU.a- i�4.,.1r� 12-74-' 35
Review Officer Date
**NOTE: ALL INTERIOR DASHED LINES TO BE REMOVED.
RECOMBINATION SURVEY FOR
QUAIL HOLLOW SECTION IV, PHASE 1
CUNNINGHAM TWP., PERSON CO., NORTH CAROLINA
FIELD WORK PERFORMED DECEMBER 2015
PROPERTY AS DESCRIBED IN DB 204-800
PROPERTY STANDING IN THE NAME OF
QUAIL HOLLOW PARTNERS
GRAPHIC SCALE
100 0 50 100 200 400
(INFEST)
lilt 200R
OWNER ADDRESS:
OVAA. HOLLOW NYCO, LLC
31 REAMS AVE.
ROXBORO. IC 27573
PARCEL DATA
REP* 25668
TAIL MA: A18242
Pet 111740463S604
PROJECT: 20160137
Of BV:MTH
REVIEWED:MIB
REVISED:
0
0
MEM
Ia
mcv Mtm CRP!! VET
EO0lM9101101A1BR FOIlD
1 H
MMTBMTION. POW
NSION NIB ET
PROPIIIMNI
1E19®
L99n10LiB6BICE
WTAML
MBIIBlMOFIIMI
NOM MOM WINO!
.4

nu L1.3 19I I I'.
it, 6 ,I •.t l'.
0
0
'REFERENCES'
OB 204-800
PC 15-283
PC 15-282 C3
LINE TABLE
LINE
LENGTH
BEARING
L1
L2
L3
L4
L5
LB
L7
1B
L9
110
L1
L12
L13
L14
L15
L16
L17
L18
L.
L20
L21
L22
L23
L24
L25
126
L27
128
L29
130
L31
L32
L33
134
L35
L36
L37
138
\-1 1 L39
x.h L40
L41
Q L42
L43
1(''' L44
E9L45
L4
150
L51
L52
W
70.74
99.35
100.00
24.29
18.35
49.17
8871
80.00
41.67
100.00
139.77
140.00
125.82
137.08
89.34
48.08
84.16
129.26
93.10
70.50
100.14
42.13
165.65
127.87
37.26
44.52
72-31
68.62
181.86
122.90
163.40
69.00
42.10
30.19
6937
67.84
66,37
60.85
41,14
107.45
118.30
125.51
75.14
64.53
100.11
77.28
385.00
139.47
54.52
0 50.00
-C1 27.80
130.71
*a64.00
5 29'34'6' F
5 74'24'19' F
5 548'23' W
5 20'31'43' W
5 2031'43' W
5 2031'43' W
S 057'26" F
S 057'26' E
S 25'42'41' W
N 7345'39' W
N 29327' W
N 5'34'21' W
N 238'1'F
N 54'52'25' W
N 41'30'37' W
N 1'79'42° F
N 1'79'56' F
N 16'0'23" W
N 2051'46' W
N 55'2322' E
N 5523'22' E
S 8150'56' E
N 361333" E,
N 62'11'31" F
N 82'11'31" E
5 7351'56' E
N 69'37'38" E
N 407'28" E
73'32'15' E
5 81'28.2' E
S 689'45" E
N 8950'38' E
N 79'31'12" E
N 78'31'12' E
N 6522'32' E
N 52'53'24' E
N 5759'0'E
N 74'1'20" E,
N 8412'20" E
N 8637'14' E
N 7043'31' W
S 5728'30' W
76'57'52' W
N 81'29'2' W
N 7043'31' W
N 6630'29' W
7619'45' W
S 42'577' W
8242'44' W
5 81'5'12" W
N 6755'45' E
5 5728'30' W
N 32'31'30' W
OVKE ENERGY/
'11YC0 W(E`
WATER E
UN
/
/DUKE ENERGY
?1YC0 LAKE'
WATER USE ONE
OUNL HOLLOW HYCO. LLC
06 204-800
PC 15-282
RECN 26564
'�xx CURVE TABLE
CURVE
LENGTH
1'd4DIUS
DELTA
CHORD
CHORD BEARING
TANGENT
1,1
54.77
275,21
11'24'10'
54.68
N 35'16'11' W
27.48
C2
124.22
951.21
728'56'
124.13
N 25'49'38' W
62.20
C3
50.12
313.45
69'44'
50.07
5 26'40'2' E
25.12
C4
99.88
836,24
650'38'
99.82
N 27'49'36' W
50.00
C5
147,54
533.00
1551'34'
147.06
N 16'28'32' W
74.24
C6
24.98
533.00
2'41'6'
24.97
N T12'12' W
12.49
C7
98.59
175,00
3216'42'
97.29
N 1816'42" E
50.64
CB
109.10
225.50
2743'14'
108.04
N 4016'40" E
55.64
C9
188.89
321.98
33'36'42'
166.19
S 3720'2' W
97.25
C10
119.39
318.37
2E29'10'
118.69
S 6479' W
60.40
C11
196.38
421,90
26/018'
194.61
N 1222'37' E
100.00
C12
150.68
458.12
1650'42'
150.00
S 64'20'18' E
76.03
C13
60,04
458.25
730'28'
60.00
5 5E9'44' E
30.06
C14
142.91
458.13
1752'22'
142.33
5 3828'20' E
72,04
1,15
146.90
431.85
19'29'22'
146.19
5 8713'11' W
74.17
MICHAEL T. BRANDON
PROFESSIONAL LAND SURVEYORL-4922
1437 BROOKS DAIRY RD.
ROXBORO, N.C. 27574
PHONE: [phone]
wwwinichaeDivadooplamom
COHFROL
CORNER
OUAIL HOLLOW HYCO. LLC
08 204-900
PC 15-767
RECN 27275
Oyu
FILED et PERSON Coady, NC
to Dm 30 2615 al 011934 P11
A4�FMIAIDIA W. GALRETT
IAm5U M,1
U� TER Of
l r,t
II IIIIIIIIIIIII.IIIIIM
VICINITY MAP
NOT TO SCOLE en1
O
I HEREBY CERTIFY THAT THIS PLAT IS OF THE FOLLOWING TYPE,'
G.S. 47-30 (Fy(11)(D). THIS SURVEY IS OF ANOTHER
CATEGORY. SUCH AS TIE RECOMBINATION OF EXISTING PARCELS,
A COURT -ORDERED SURVEY, OR OTHER EXCEPTION TO THE
DEFINITION OF SUBDMSION.
'L MICH AEL T. BRANDON. CERTIFY ROT THIS FIAT WAS DRAWN
UNDER MY SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER
MY SUPERVISION (DEED DESCRB'R0N RECORDED IN BOOR 204.
PAGE BOO. ETC.); THAT THE BOUNDARIES NOT SURVEYED ARE
CLEARLY INDICATED REFERENCESJJA�S DRAWN FROM INFORMATION FOUND IN
(LATED
SI:10 DOS PLAT WAS PREPARED INN71447 THE RATIO OF ACCORDANCE AS CALCUWRN
as.47-30 AS AMENDED, W1FNE55 MY DRMIN4L SIGNATURE,
RL1a5TNAipN NUMBER AND SEAL THIS
28TH DAY OF DECEMBER. AO., 2015 tNNlNrrrrr
z,ti L-4922 Ls-
y T1�IlttttP.
PROFESSIOML LAND SURVEYOR REG. NUMBER L-4922
CERTIFICATE OF EXCEPTION_ 1(we) hereby certify
Not mshown auveore)ee eh e, tN he property
me(us) h n Book m conveyed
tl that said property the Person
es an esce ti0n
to Ne Person County Subdivision
Regulationsvr under Section 16-1.
Owner(s) Dote
wannrn9 + zonm9 ��- t. or
Person CO., N.C.
Slate of North Carolina
County of Person. 1
I, f(LMIAL MUY9 Review Officer of
Person Co., certify that to mop or plot to
which this certificate is affixed meets 011
statutory requirements for recording.
YU44A- A.e4 17-74-7015
Review Officer Date
**NOTE: ALL INTERIOR DASHED LINES TO BE REMOVED.
RECOMBINATION SURVEY FOR
QUAIL HOLLOW SECTION N, PHASE 1
CUNNINGHAM TWP., PERSON CO., NORTH CAROLINA
FIELD WORK PERFORMED DECEMBER 2015
PROPERTY AS DESCRIBED IN DB 204-800
PROPERTY STANDING IN THE NAME OF
QUAIL HOLLOW PARTNERS
GRAPHIC SCALE
100 0 50 100 200 400
(INPEET)
1 ID1i• MO IL
OWNER ADDRESS:
QUAIL HOLLOW 111CO, LLC
31 REAMS AVE.
RO%80R0, NC 27573
PARCEL DATA
RECri 2066E
TAX MAP, A16242
Phi 997904493304
PROJECT. 20160137
DRAWN BY:MIB
RENEWED: MIB
IREVEIED:
tEHRER
0 RUM ROD MITE SLR
84 DOBOA U0N01B8I0M0
Q TRff
MATP8BM7NW,roon;
Mololufe+rEr
1,1oRarY1.Q
TE uFs
UM. MOM REMEENCE
1MA19WN_
09ltERlE OF AO.
ROAD NOD OF MY
1
/6 - i.‘5%

1111 I 321 ( I:
'REFERENCES'
D8 204-800 N
PC 15-283
PC 15-282
LINE TABLE
LINE
LENGTH
BEARING
L1
L2
13
L4
L5
L6
L7
18
L9
110
L11
L12
L13
L14
1.15
L16
L17
LIB
L19
L20
L21
L22
L23
L24
125
L26
127
128
L29
L30
L31
L32
L33
L34
135
L36
L37
70.74
99.35
100.00
24.29
18.35
49.17
88.71
80.00
41.67
100.00
139.77
140.00
125.82
137.08
89.34
48.08
84.16
129.26
93.10
70.50
108.14
42.13
165.65
127.87
37.26
44.52
7231
68.62
181.86
122.90
163.40
69.00
42.10
30.19
69.37
67.84
56.37
5 79141' F
5 24'7419' F
S 541E23' W
S 2031'43' W
5 2031'43" W
S 20'31'43' W
5 05726" E
5 05716' E.
5 25'42'41" W
N 73'4539" W
N 29'327' W
N 534'21'W
N 238'1' E
N 54'52'25. W
N 41'30'37" W
N 1'79'42" C
N 1129'56" E
N 16'0'73' W
N 2051'46' W
N 5,52312' E
N 502322" E
5 811016' E
N 361313' E
N 62111'31'
N 62'11'31' F
5 7351'56" E
N 69'37'38" E
N 407'2B' E
5 7332'15' E
5 61'29'2" E
5 88'9'45" E
N 89'5036' E
N 7911'12' E
N 7911'12" E
N 652212" E
N 575314' E
N 5759'0' E
L38
AL • L39
L40
• 141
N„.., L42
L43
C L44
Y'u
i47
150
151
L52
L53
60.85
41.14
107.45
118.30
125.51
75.14
64.53
100.11
77.28
385.00
139.47
0 50.00
O 27.60
130.71
%64.00
N 741'20" E.
N 84132'20" E
N 063714" E
N 7043'31" W
572810' W
5 7615752" W
N 81191' W
N 7043'31' W
N 661019' W
S 7619'45' W
5 4257'7' W
S 8242'44" W
S 01112' W
N 6755.45' E
S 572810" W
N 323110" W
DUKE ENERGY
"NYCO LAKE'
LINE
---� 5
E
4
\
/
/ D1 YCUKE 0 ENER17 E'Gr
/ warm US
LINE
QUAIL HOLLOW NYCO. LLC
DB 204-800
PC 15-282
RECN 26564
'''xx CURVE TABLE
CURVE
LENGTH
R4DIUS
DELTA
CHORD
CHORD BEARING
TANGENT
CI
54.77
275.21
11'24'10'
54.68
N 3516'11' W
27.48
C2
124.22
951.21
720'56"
124.13
N 2549138' W
62.20
03
50-12
313.45
91'44'
50.07
5 2640'2' E
25.12
C4
99.88
836.24
65019'
99.82
N 27'49'36" W
50.00
C5
147.54
533.00
105114"
147.06
N 1628'32" W
74.24
C6
24.98
533.00
2411"
24.97
N 712'12" W
12.49
C7
98.59
175.00
3216'42"
97.29
N 1016'42" E
50.64
C8
109.10
225.50
274314"
10804
N 4016'40" E
55.64
C9
188.89
321.98
3336'42"
186.19
5 37201' W
97.25
010
119.39
318.37
21'29.10'
118.69
5 9'471" W
60.40
C11
196.38
421.90
26401'
194.61
N 122217' E
100.00
C12
150.66
458.12
1650'42"
150.00
5 6410'18" E
76.03
C13
60.04
450.25
73016"
60.00
5 51'9'44' E
30.06
C14
142.91
458.13
175212"
142.33
5 381810" E
72.04
C15
146.90
431.85
1919'22'
146.19
5 6713'11' W
74.17
MICHAEL T. BRANDON
PROFESSIONAL LAND SURVEYOR L4922
1437 BROOKS DAIRY RD.
ROXBORO, N.C. 27574
PHONE: [phone]
wW.,•.1W4bR600e190 W'L00un
COM• ROL
COMM
OUA1L HOLLOW NYCO. LLC
OB 204-800
PC 15-767
0ECN 27275
SO.
FILED in PERSON Cwe'yy,, MC
. ON 30 2018 41 01193/ P11
yy AIINCA 9UMW6
151[ROfOE,i
11111111111.161111111
�, (.. ,,,QM4w) .4u 4We.44'
VICINI YMAP
NOT TO SOME
O
I HEREBY CERTIFY THAT R95 PUT 15 OF ME FOLLOWING TYPE:
GS 47-30 (F)(IXO) THIS SURVEY I5 OF ANOTHER
CATEGORY. SUCH AS ME RECON&N0TION OF COSMIC PARCELS,
A COURT -ORDERED SURVEY, OR OTHER EXCEPTION 10 THE
8EFINMON OF SUBOM510N.
1, MICHAEL T. BRANDON, CERTIFY RAT NIS PUT WAS DRAWN
UNDER MY SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER
MY SUPERVISION (Dal) DESCRIPTION RECORDED IN BOOK 204.
PAGE &A0. ETC.): RAT ME BOUNDARIES NOT SURVEYED ARE
CLEARLY INDICATED AS DRAWN FROM INFORMATION FOUND IN
(SEE REFERENCE57: 17MT ME RA710 OF PRECISION AS CALCULATED
15 I:10,000; THAT THIS PUT WAS PREPARED IN ACCORDANCE WITH
G.S. 47-30 A5 AMENDED. WITNESS MY ORIGINAL SIGNATURE,
REGISTRATION NUMBER AND SEA. THIS
287H DAY OF Da:DARER, AO.. 2013
u Nwny
SEAL
z k L-4922
rir� It T
PROFESSIONAL LAND SURVEYOR REC. NUMBER L-4922
CERTII10411 OF E%CEPOON: I(see) hereby c rtiy
of motive
eive are)
r eee e6o eo ar() io propertysho
foetus) by deed recordedo Book zconveyed Pone
and that said property 9ufies as an exception
to Rego...ofthe
Person 1. County Subdivision
guts under
Owner(s) 111AA,.. A/n1�. Dote
440,09 YIUN..-11..1 1L"21-IOIT
Plann�n9 h Non�n9 1 or Date
Person Co.. .C.
Slate of North Carolina
County of Person.
P9L.,IA dvAM.1107 Review Officer of
Person Co. certify that map or plat to
which this certificate saffixed meets oil
statutory requirements lot recording_
RIF.�uL�i`
Review Officer
**NOTE: ALL INTERIOR DASHED LINES TO BE REMOVED.
RECOMBINATION SURVEY FOR
QUAIL HOLLOW SECTION IV, PHASE 1
CUNNINGHAM TWP., PERSON CO., NORTH CAROLINA
FIELD WORK PERFORMED DECBMBER 2015
PROPERTY AS DESCRIBED IN DB 204-800
PROPERTY STANDING IN THE NAME OF
QUAIL HOLLOW PARTNERS
17-M"'m15
Dote
GRAPHIC SCALE
t00 0 50 100 200
(INFEST)
1 is it. 200 R.
OWNER ADDRESS:
QUAIL HOLLOW HYCO, LLC
31 REAMS AVE.
ROXBORO, NC 27573
PARCELDATA
REM MOO
TAX MAP. A15242
P941 9878-0/ 9804
PROJECT: 20190137
DRAWN BY:M7B
REVIEWE.IXRIB
REVISED:
0
0
A
lEG@Oc
11631111000AP18SBT
0O9110YON1891T10110
TRH
taxnewn00. row
NOIONIIBITET
3.0 LOWS
I/BIN011 RW8814E
wee t>MIL
oRFMiL1PIOAD
ROAD MOH OFIWY
L4L45"
ti 5452