20221161 Ver 1_Riparian Buffer Authorization Request_20220825

Buffer Authorization Application Form
15A NCAC 02B .0233 (8)(b), .0243 (8)(b), .0250 (11)(b), .0259 (8)(b), .0267 (11)(c), .0607 (e)(2) Buffer Authorization Online Form -
Update 10/23/2018
Water Reources
ENVIRONMENTAL QUALITY
Original Submittal 8/25/2022
A. Owner/Applicant Information
General Information
Primary Contact Email:*
Who is submitting the application?*
[e-mail]
Please list the contact person's email for questions or payment on this project if needed.
Owner
Applicant other than Owner
Agent
1. Property Owner Information:
la. Name on Recorded Deed: * Samuel and Whitney Ketner
1b. Responsible Party: (for Corporations)
1 c. Mailing Address:* Street Address
17235 Connor Quay Court
Address Line 2
City State / Province / Region
Cornelius NC
Postal / Zip Code Country
28031-6503 US
Id. Telephone:* 704-239-0527 le. Email Address:* [e-mail]
3. Agent Information:
3a. Name:
3b. Company Affiliation:
3c. Mailing Address: Street Address
Address Line 2
City
Postal / Zip Code
3d. Telephone:
3e. Email Address:
State / Province / Region
Country
3f. Attach a signed and dated copy of the agent Click the upload button or drag and drop files here to attach document
authorization form.
PDF Only
B. Project Information and Prior Project History
1. Project Information

la. Name of Project: * 17235 Connor Quay Court
(Subdivision, facility, or establishment name)
Survey of Property.pdf
PDF only
1b. Is this a publicly -funded transportation project?*
Yes
No
Id. Subdivision Name: Connor Quay Court
le. Nearest Municipality: Cornelius
If. Property Size: 0.69
acres
1g. County (or Counties) where the project is located:*
Mecklenburg
1h. Property ID#
00184158
Tax PIN or Parcel id
1 i. Deed Information
Date of Purchase
7/16/2020
Type of Book
Book#
Page#
Deed
34813
262-264
Map
60
1851
1 j. Attach a copy of the recorded map that indicates when the lot was last platted.
Click the upload button or drag and drop files here to attach document
618.16KB
1k. How would you like to provide the Latitude and Longitude information?*
- Address Lookup
Manually
Address Lookup
Latitude * 35.4624543
Street Address
17235 Connor Quay Court
Address Line 2
City State / Province / Region
Cornelius NC
Postal / Zip Code Country
28031-6503 US
Longitude*
11. Is the project located in any of North Carolina's twenty coastal counties?*
Yes
• No
2. Surface Waters
-80.9263467999999
9
2a. Name of the nearest body of water to proposed project:*
Lake Norman

2b. Water Quality Classification of nearest receiving water:
WS-Iv
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
0
(linear feet only)
3. Project Description:
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:
Currently the 142' of shoreline has a retaining wall along the lakefront boundary of
the property.
3b. Attach an 8'/2 x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site.
Click the upload button or drag and drop files here to attach document
USGS 17235 Connor Quay Ct..pdf 502.06KB
PDF only
3c. Attach an 8 1/2 x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map depicting the project site.
Click the upload button or drag and drop files here to attach document
PDF only
4. Proposed Activity
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used: *
The applicant wishes to pay for the buffer mitigation.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
DUKELakeManagementAppandPermit.pdf 2.61MB
PDF only
5. Jurisdictional Determinations
5a. Have jurisdictional wetlands or stream determinations by the Corps or State been requested or obtained for this property/project
(including all prior phases) in the past?*
Yes
® No
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
Yes
No
6b. List any permits/approvals that have been requested or obtained for this project in the past.
Application Date
Date Issued
Permit Type
1/21/2021
2/8/2021
Shoreline Lake
Management
6c. Please explain and detail according to "help file" instructions.
See attached application. The applicant installed a retaining wall along the lakefront
of their property because of an adjacent existing retaining wall along the neighbors
shoreline. The applicant was concerned that the eroding shoreline would continue to
fail without applying the same methods as used by the neighbor.
7. Future Project Plans

7a. Is this project a phased project?*
Yes
• No
C. Proposed Impacts Inventory
....................................................................................................................................
Buffer Impacts
Project is in which protected Basin?*
Neuse River Basin (15A NCAC 02B.0233)
• Catawba River Basin (15A NCAC 02B.0243)
Randleman Lake Watershed (15A NCAC 02B.0250)
Tar -Pamlico River Basin (15A NCAC 02B.0259)
Jordan Lake Watershed (15A NCAC 02B.0267)
Goose Creek Watershed (15A NCAC 02B.0606 & 15A NCAC 02B.0607)
Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form.
Site# - Reason
Stream Name
Buffer Impact*
Impact Type
Zone 1
Zone 2
1
Map label (e.g. Road
Crossing 1)
Lake
Norman
Permanent
(P)
Perm or Temp
Allowable
w/
mitigation
7,100.
00
Square
Feet
0.00
Square
Feet
Total Zone 1 Impacts: 7,100.00
Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 7,100.00
Comments:
The applicant proposes to pay into the State's mitigation bank. The proposed
mitigation fee would be 7,100*$1.98 which equals $14,058.00.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.
Due to the existing adjacent retaining wall, the applicant felt it was best to utilize the
same techniques. To avoid further impacts to the aquatic environment the applicant
wishes to pay into the NCDMS for their mistake.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Erosion and Sedimentation controls, in accordance with State and Local
requirements, were strictly adhered to during the construction of this shoreline
stabilization project.
2. Buffer Mitigation
2a. The table below identifies the square footage of impact to each zone of the riparian buffer and the required mitigation.
Zone 1 - Catawba Only
Total Impact
Multiplier
Required Mitigation
7,100.00
Square Feet
2
14,200.00
Square Feet

Zone 2
TTotal
Impact
Multiplier
Required Mitigation
0.00
Square Feet
1
1.50
0.00
Square Feet
2b. What is the mitigation plan proposed for this Payment to private mitigation bank
project?* Payment to Division of Mitigation (DMS)
Permittee responsible mitigation
2f. Attach your reservation letter from DMS. *
2g. Comments:
E. Diffuse Flow Plan
Click the upload button or drag and drop files here to attach document
pdf only
la. What type of SCM are you providing?*
v Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Proposed project will not create concentrated stormwater flow through the buffer
Other SCM that removed minimum of 30% nitrogen
lc. Diffuse Flow Documentation
F. Supplementary Information
Environmental Documentation
Click the upload button or drag and drop files here to attach document
PDF only
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
Yes
No
Violations
2a. Is the site in violation of DWR Wetland Rules (15A NCAC 02H .0500), Isolated Wetland Rules (15A NCAC 02H .1300), DWR Surface
Water or Wetland Standards, or Riparian Buffer Rules (15A NCAC 02B .0200)?
• Yes
No
2b. Is this an after -the -fact buffer authorization application?
Yes
No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
Applicant installed a retaining wall in lieu of rip rap along shoreline.
G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments: Click the upload button or drag and drop files here to attach document
PDF only

Additional Comments:
H. Sign and Submit
By digitally signing below, I certify that:
o I have given true, accurate, and complete information on this form;
o I agree that submission of this 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");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
o I intend to electronically sign and submit the application form."
Print Name: * Gregg Antemann
Signature
Clorilwzairor
Submission Date: (Auto populated field)

Initial Review
Is this accepted into the review process?* • Yes No
Yes
• No
ID# * 20221161
Version:* 1
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office* Mooresville Regional Office - [phone]
Is this project a public transportation project?*
Has payment been received?* • No Payment Needed
Fee Received
Need Fee - send electronic notification

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B60 - P851A
FOR REGISTRATION
Fredrick Smith
REGISTER OF DEEDS
Mecklenburg County NC
2017 MAR 09 01:54:14 PM
BK:60 PG:851-851 4-A.
FEE:$21.00
INSTRUMENT # 2017030317
PHETSL m• 11
11110110
2017030317
8
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i

/ DUKE
ENERGY.
February 08, 2021
SWK, LLC
17235 Connor Quay Court
Cornelius, NC 28031
Lake Services
Duke Energy
526 S Church Street 1 EC12Q
Charlotte, NC 28202
RE: Permit Application Approval
Norman - Shoreline Stabilization- 17235 Connor Quay Court
Dear Sir/Madame:
This office has reviewed your application to stabilize the shoreline within the Project Boundary of a
Duke Energy lake and is authorizing the stabilization subject to the following conditions:
• You must meet all requirements of the United States Army Corps of Engineers and the
North Carolina Division of Water Resources.
• All work must be as described in your application(s).
• The work must be completed within twelve (12) months from the date of this approval.
• Please place a copy of this letter in a watertight plastic bag and post it along the
shoreline where you are implementing your approved activity.
• You must notify us upon completion of the project so a final inspection may be made.
• Transfer approved.
River rock should be limited to only that necessary to adequately stabilize the existing
stabilized shoreline. Rock must be confined to the area between 6' below full pond
elevation not to exceed 1' above full pond. This approval does not authorize the use of
fill material. No other impacts are approved, including incidental impacts.
Note: Applicants must immediately notify Duke and stop all work if historical or
archeological resource are discovered during the implemenation of an authorized project.
Thank you for your cooperation with this program. If you propose to build any additions, make any
modifications, including maintenance, or have any further questions, please contact me at 704-382-7506.
You may also email [e-mail] or you may call 1-800-443-5193 and select the
appropriate option.
Sincerely,
Joseph R. Kluttz, III
Lake Services Representative
Duke Energy Lake Services
Enclosure(s)

1,;�- Gr
f� �
V" eS��� ‘cust �y J

DUKE ENERGY INTERNALUSEONLY
Date Received I Zi 14
Site ID
Mr. rrir f Ir�Zd
imp
App Fee Amt
HEP Fee
3ro . * qv.
Lake Permit % DUKE
Application
wENERGY
rslon za[
Duke Energy Lake Services
Mail Code EC12Q
526 5. Church St.
Charlotte, NC 28202
I. APPLICANT / PROPERTY OWNER INFORMATION (property owner mailing address and contact information)
Name*
Address*
City*
Email
SWK LLC
17235 CONNOR QUAY COURT
!CORNELIUS
State*
NC
Primary Phone*
Secondary Phone
Zip Code
704-239-0527
,28031
SAM U E LK ETN E R@YAH OO. CO M
II. LAKE PROPERTY INFORMATION (location of permit)
Is there an existing dock or other facilities
along the shoreline property or over the Lake?
Address*
City*
Subdivision
E✓ Yes
0 No
If yes, include Dock Tag h. If tag
cannot be located, note that here. *
17235 CONNOR QUAY COURT
CORNELIUS
State*
NC
Zip Code*
28031
CONNOR QUAY
County*
Lake*
Lots}
9041
MECKLENBURG
NORMAN
15 & 16
Latitude and longitude of the property. Please use a service/software to acquire the location information. Values should be provided
in Decimal Degrees format (35.1245),
Example service: http://getlatlong.net/
III. PROPOSED ACTIVITY (check all that apply)
❑ New/Modification of Existing Structure
❑ New/Modification of Existing Shoreline Stabilization
nTransfer of Ownership (check box if you want a copy
of permitting history ❑ )
Structure size
(square feet)
N/A
Shoreline Stabilization Length of
stabilization (feet)
Brief Description of
the Activity
Describe briefly the
existing structures
over land and water
(include sq ft)
Is dock covered?
Latitude (e.g. 35.12345)*
Longitude (e.g.-80.12345)*
35.462484
-80.926359
Maintenance of Existing Structure
Q✓ Maintenance of Existing Shoreline Stabilization
Other (Describe below. lithe activity involves an irrigation
withdrawal, include the pump capacity.)
is structure a
common use dock?
142'
ElYes pNo
nYes* 0 No
'If yes, see special note in Section VR
Number of slips
Number of jetports
Distance from shoreline (feet)
1
2
3'
Materials
RIVER ROCK
REFURBISH RIVER ROCK TO SHORELINE FOR STABLIZATION
RIVER ROCK BARE ERODED AREAS

IV. Additional Requirements (Include with application; limit document sizes to 11" x I r or smaller)
You must include the following items with your application (unless specifically excluded for your application type).
Survey stamped/signed by a professional licensed surveyor
showing the location of the existing or proposed structure
and/or survey of the existing or proposed stabilization (not
required far transfer)
El Application fee (check only, payable to Duke Energy)
❑✓ Signed User's Agreement Letter
Habitat Enhancement Program payment (required only for
Orew/Modified structures at Catawba-Wateree and
Keowee-Toxaway lakes and shoreline stabilization at
Keowee-Toxaway)
Plan and profile drawing showing all measurements,
elevations, and irrigation line routing (not required for
transfer or shoreline stabilization)
4 Local and state permits (contact your county for all
structure applications in NC; Tega Cay, SC; Kershaw County,
SC; NCDWR approval required for shoreline stabilization in
NC; not required for other applications)
V. Application Processing
• 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.
• A Duke Energy representative will visit the site to conduct a visual inspection.
• Applicant/Property Owner will be notified of approval or denial, typically via email.
VI. Directions by Road
Directions by Road*
SEE ATTACHED
Gate Code
5327
VII. Application Submission
Please complete, print and sign this application. Then enclose all items required per Section IV above and submit to the
address below.
Duke Energy Lake Services
Mail Code EC12Q
526 5. Church St.
Charlotte, NC 28202
agree the information contained within is accur
Pro a - rty Owner
gnature *
Common Use Dock Co -Owner Signature(s) and Infor tion (. 11 owners of common e docks must submit a signed
User's Agreement and application fee) Attach additional sheets if there are more co owners
Name
Address
Name
Address
Signature
Signature

DUKE ENERGY PRIVATE FACILITIES
"APPLICANT'S USER AGREEMENT"
(Fill in blanks with required information. Please Print)
Date 11/10/2020
TO: Duke Energy
c/o Lake Services - EC12Q
526 S. Church Street
Charlotte, NC 28202
RE: (Lake Name) JNORMAN
(Lake Address)
17235 CONNOR QUAY COURT
JCORNELIUS
NC
8031
(Applicant 's full name) SWK LLC hereby
agrees to comply with all requirements and conditions set forth by Duke Energy Lake Services
("Duke Energy"), and any federal, state or local agencies pertaining to my/our application to
construct and/or maintain a MAINTAIN RIVER ROCK TO SHORELINE FOR STABLIZATION
(collectively, the "Facility" and together
with the right to use any Facility the "Permitted Use") on Lake NORMAN k"Lake").
In addition, I/we have read and agree to comply with Duke Energy's applicable shoreline or lake
guidelines (collectively, the "Guidelines") and understand that written authorization must be
obtained from Duke Energy prior to beginning any activity or construction, including changes to
land form such as grading, excavation, or filling, within the area subject to the Guidelines.
Approval of the Permitted Use is granted and maintained solely at Duke Energy's discretion. I/we
understand the Permitted Use may be revoked at any time by Duke Energy or its successors for
any reason whatsoever. If the approval is revoked, I/we agree to remove the Facility at my/our
own expense within the specified timeframe set by Duke Energy.
1/we will complete construction approved as a result of my/our application as described in the
approved application and within twelve (12) months following the date of approval by Duke
Energy. Failure to complete construction within the 12-month build -out period or any Duke
Energy approved extension will require me/us to file a new application that complies with the then -
current Guidelines. I/we agree to notify Duke Energy when construction is completed and during
the construction period, I/we will post the Duke Energy approval provided by Duke Energy at the
job site visible from the Lake.
Page 1 of 5
Rvv52GROlo

IJwe attest to be the owner or lease holder of the tract of land immediately adjoining the area subject
to the Guidelines where the Facility is to be constructed. Uwe understand the physical location of
my/our lot in relation to the common property line with Duke Energy (if any), the Federal Energy
Regulatory Commission ("FERC") or non-FERC Project Boundary (as applicable), and all deeded
flood easements.
1/we understand the Lake was constructed as a working reservoir for the primary purpose of
producing cost-effective electric energy and that this remains the Lake's primary purpose. There
will be no change in reservoir operations as a result of the construction or use of my/our Facility.
I/we acknowledge Duke Energy provides no guarantee of any specific quantities or quality of water
in the Lake. 1/we understand Lake levels will rise and fall over time in response to weather events
and reservoir operations and Duke Energy does not guarantee the Facility or Lake will have
sufficient water depth to be accessible by boat or for other water -related activities or uses.
Furthermore, I/we understand that the approval of my/our Facility is for compliance with the
Guidelines and other Duke Energy documents related to the Permitted Use and is not a statement
by Duke Energy that the Facility is acceptable to any other governing body (i.e. a local land use
agencies), nor that the Facility will withstand any wear and tear, weather events; or reservoir
operations.
Uwe understand during drought conditions Duke Energy may request reduced usage or
discontinued usage of any water withdrawal or related systems, until such drought conditions
improve. Failure to do so may cause possible removal of the system or any other Facility that I/we
may have. The costs associated with removal of any Facility or non -permitted improvement will
be assessed to the lot owner.
I/we understand the Facility to be installed and maintained are my/our property and 1/we therefore
agree to be fully responsible for the Facility including maintaining the Facility in good repair. If
the Facility is deemed by Duke Energy to be unsafe or non -compliant with the Guidelines, I/we
agree to repair or remove the Facility at my/our own expense and within the specified timeframe
set by Duke Energy.
I/we understand I/we may need to obtain approvals from other entities including, but not
necessarily limited to, governmental agencies, quasi -regulatory agencies, homeowners'
associations, and others to authorize my/our Facility or Permitted Use.
I/we understand ownership/interest in a Common Use Facility or residential marina eliminates the
option of having a separate private facility on my/our owned or leased lot within the affected
subdivision.
I/we understand lake use permit holders have the authority to take reasonable and legal steps to
prevent others from trespassing on the Facility. I/we also understand, however, that 1/we do not
have any authority to impede anyone from pursuing lawful public recreation or enjoyment of lands
and waters subject to the Guidelines. Except as specified otherwise in the Guidelines, other Duke
Energy documents (e.g. Public Safety Plans), or a separate lease agreement, public recreation and
enjoyment includes, but is not limited to, fishing around/under facilities built by others,
Page 2 of 5
Rev 5/26/2020

walking/wading/fishing within the area subject to the Guidelines, and boating in the Lake's waters
without having to get anyone's permission to do so.
.Uwe understand Duke Energy approval of the Permitted Use in no way constitutes assignment of
any interest in real property Duke Energy may have (i.e. land rights).
1/we agree to exercise all care and due diligence to preserve and maintain the character of the area
subject to the Guidelines. I/we agree to comply with the Duke Energy vegetation management
requirements as stated in the Guidelines. Ilwe agree further to not allow sewage, including
discharge from septic tanks (or similar facilities) or boat holding tanks, garbage, trash, or other
waste material to be discharged or dumped into the reservoir, tributaries or property subject to the
Guidelines.
1/we understand the Facility shall be used only for the purposes described in the information
submitted to Duke Energy and other appropriate. governing bodies for approval. 1/we agree the
Duke Energy property and the land subject to the Guidelines shall be used exclusively for non-
commercial recreational purposes and that 1/we shall not rent or otherwise allow third parties
(except for temporary use by guests, family members, and leaseholders of the residential property)
to use the Facility.
Uwe acknowledge I/we are responsible for the locating of any submerged utility lines extending
from my/our upland property into the reservoir and ensuring the construction and operation of
my/our Facility avoids adverse effects to said submerged utility Iines.
I/we understand trees and vegetation growing within the area subject to the Guidelines play an
important role in the overall environmental condition of the Lake. The ecological benefit the
vegetation has on the fish and wildlife habitat supports a sound and healthy Lake environment.
I/we also understand unauthorized removal of shoreline vegetation or the disturbance of the
shoreline buffer is not permitted. Unauthorized removal or disturbance may result in the
permanent revocation or temporary suspension or denial of lake use permitting requests for me/us
as well as future owners and lease holders. If the removal or disturbance is found to be in violation
of the state or county watershed buffer regulations or Duke Energy's vegetation management
requirements as stated in the Guidelines, 1/we may be required by Duke Energy to re-establish the
vegetation.
I/we understand every reasonable effort must be made to minimize adverse impacts on fish,
wildlife, and other natural resources. Uwe agree to maintain any prescribed mitigation activities
that are required in order to gain approval for Facility construction, as long as the Facility exists.
I/we agree that if any historic or archaeological resources are discovered during construction of a
Facility 1/we must stop work immediately and contact Duke Energy. I/we understand that in the
event that anyone discovers a potential site of archaeological or historic significance (whether
during construction or not) including any gravesite within the area subject to the Guidelines, the
individual must immediately notify Duke Energy.
Page 3 of 5
R v 5rz6a020

Uwe acknowledge Duke Energy has the right to charge reasonable user's fees for private use of
the area subject to the Guidelines and failure to pay any applicable user's fees in a timely manner
can result in the suspension or cancellation of any previously approved lake use permit.
1/we understand Duke Energy representatives may issue Stop Work Directives for any violation(s)
of the Guidelines or engagement in prohibited acts or activities as specifically identified in the
Guidelines. I/we understand persons found to be in violation will be subject to Duke Energy
sanctions which can include, but are not necessarily limited to: 1) restoration of the impacted area
at the person's expense; 2) loss of consideration of future lake use permitting activities for me/us
as well as future owners and lease holders; 3) permanent revocation or temporary suspension of a
previously issued permit for me/us as well as for future owners and lease holders; 4) increase in
fees; 5) modification or removal of non -complying facilities; and/or 6) further legal action being
taken by Duke Energy.
1/we agree to comply with all applicable FERC orders (as modified or interpreted by FERC), with
all other applicable FERC Rules and Regulations implemented by Duke Energy, and with all rules
or regulations imposed on Duke Energy by any governmental agency. I/we agree not to allow any
use of Duke Energy's property, and will exercise due care and diligence to prevent all other persons
that are affiliated with mylour property (including invitees, family members, guests, etc.), to
violate an applicable federal, state or local law or regulation. Examples include, but are not limited
to nudity, illegal discharge of firearms or fireworks, controlled substance abuse, public
drunkenness, public urination or defecation, or other activities determined to be a nuisance by law
enforcement officials.
Ilwe specifically waive any claim against Duke Energy for consequential damages arising out of
or relating to this application, Duke Energy's approval or denial of it, or subsequent revocation of
approval, and Uwe specifically understand and acknowledge that, because Duke Energy can revoke
the permitted use at any time, I/we am/are not entitled to reliance damages.
I/we agree for myself/ourselves, members of my/our family, guests and invitees that 1/we assume
all risks of personal injury or property damage incident to my/our occupancy and use of land owned
by Duke Energy or any land subject to the Guidelines, including, but not limited to, any personal
injury or property damage which may be sustained as a result of flood waters or in connection with
the rise and fall of water in the reservoir as a result of floods or of the operation of Duke Energy's
reservoirs. Uwe as the adjoining property owner(s) further agree I/we will indemnify, protect,
defend, and save harmless Duke Energy from any and all loss, cost, claims damages, expenses,
judgments and causes of action for all injuries and damages sustained by the members of my/our
family, guests, and invitees arising or claimed to have arisen in connection with their occupancy
or use of the Facility(s).
1/we agree if any action is taken by Duke Energy to enforce any provision, covenant or agreement
contained in this user agreement or the Guidelines or if Duke Energy is required to retain an
attorney to enforce any provision, covenant or agreement contained in this user agreement or the
Guidelines (including, without limitation, the payment of fees due hereunder or the removal of an
encroachment constructed in violation of this user agreement or Guidelines), then Duke Energy
shall be entitled to recover all of its reasonable costs associated with such an action to the extent
Page 4 of 5
Rev 5/26/2020

permitted by law, including but not limited to, attorneys' fees and court costs incurred in such
action and/or enforcement.
I/we agree to :hilly disclose all information regarding the Facility to any prospective
buyer/leaseholder of the property and any new owner/leaseholder. 1/we agree to notify Duke
Energy immediately of any sale or transfer of the property, including the name and address of the
new owner and to transfer the permit or Duke Energy lease to the new owner.
SWK LLC
Applicant Name
17235 CONNOR QUAY COURT
Lake Street Address
CORNELIUS 1INC 1
28031
City./State/Zip Code
704-239-0527
Preferred contact Phone Number
for>ntkr L KE7ismo atoo
Email Address
cum.
17235 CONNOR QUAY COURT
Home Mailing Address
CORNELIUS
NC
28031
City/State/Zip Code
Home Phone Number
(tozotz
Date
Page 5 of 5
Rev 3/24 2D2O

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Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft x 100 ft)*:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/Normal Water Level elevation
3. Location of rip rap or fill to 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
5. Location of construction access corridors
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FORM: SSGP 10-2O13
Page 3 of 3

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DB 31623 PG 961
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LICENSE 143
DEDMON SURVEYS
CHUCK POOVEY, PLS #3762
ROBERT DEDMON. PLS #3899
3704 NC HIGHWAY #16 BUSINESS NORTH
P.O. BOK 494 — DENVER, NC 28037
PHONE [phone]
FAX; 704/483/2170
DATE: 10/27/2020 Da
: 34e13
De:
SCALE 1' . 30' PIS: Bo
PG: 252
PC:
PG: 551
LEMLEY TOWNSHIP
MECKLENBURG COUNTY. NC
SL AV. EW: I01J
ORA4*WJ: Ind
J001 0015
PHYSICAL SURVEY
FOR
SAM KETNER
ALL 0r REC0) IHW LOTS 15 AND 1e AS SHOWN
ON A RECOUBWATION PLAT OF CONNOR QUAY, MAP 1
0 17235 CONNOR QUAY cr, CORNEuus, NC