20230255 Ver 1_Express Permit Review_20230214

North Carolina Department of Environmental Quality
Request for Express Permit Review
For DEQ Use ONLY
Reviewer:
Submit:
Time:
Confirm:
FILL-IN all the information below and CHECK the Permit(s) you are requesting for express review. Call and Email the completed form to the
Permit Coordinator along with a completed DETAILED narrative, site plan (PDF file) and vicinity map (same items expected in the application
package of the project location. Please include this form in the application package.
• Asheville Region -Alison Davidson 828-296-4698; alison.davidson(a.ncdenr.gov
• Fayetteville Region-Johnathan Watts 910-433-3353; iohnathan.watts(a.ncdenr.gov
• Mooresville Region -Jesse McDonnell 704-235-2107; jesse.mcdonnell(d.ncdenr.gov
• Raleigh Region -David Lee 919-791-4204; david.leeOncdenr.gov
• Washington Region -Lyn Hardison 252-948-3842; lyn.hardison(dncdenr.gov
• Wilmington Region -Cameron Weaver 910-796-7265; cameron.weaver(?incdenr.gov
• Winston-Salem Region -Paul Williams 336-776-9631; paul.e.williamsal?.ncdenr.gov
NOTE: Project application received after 12 noon will be stamped in the following work day.
Project Name: SHILMOVER County: MECKLENBURG
Applicant: SCOTT HESLINK Company: ROWBOAT DOCK & DREDGE
Address: 858 WILLIAMSON RD City: MOORESVILLE, State: NC Zip: 28117-_
Phone: [phone], Fax: _ _ _, Email: [e-mail]
Physical Location:20307 RAINBOW CIRCLE CORNELIUS NC 28031
Project Drains into LAKE NORMAN waters — Water classification WS-IV, BCA (DWR Surface Water Classifications Map)
Project Located in CATAWBA River Basin. Is project draining to class ORW waters? YIN, within'/2 mile and draining to class SA waters Y/N or within 1
mile and draining to class HOW waters? N, Trout Waters? N, Water Supply Watershed (e.g., WS-I, II, III, IV, V)? Y
Provided Existing Permits
related to this Project
SW
SW
SW
NPDES
NPDES
WQ
WQ
E&S
E&S
Other
Engineer/Consultant: Company:
Address: City: , State: Zip:
Phone: - - , Fax: - - , Email:
SECTION ONE: CHECK ONLY THE PROGRAM (S) YOU ARE REQUESTING FOR EXPRESS PERMITTING
❑ Land Quality ® Erosion and Sedimentation Control Plan with <1 acres to be disturbed.
® 401 Unit ❑ Stream Origin Determination: _ # of stream calls — Please attach TOPO map marking the areas in questions
❑ Intermittent/Perennial Determination: _ # of stream calls — Please attach TOPO map marking the areas in questions
❑ 401 Water Quality Certification ❑ Isolated Wetland (_linear ft or _acres)
® Riparian Buffer Authorization ❑ Minor Variance ❑ Major General Variance
❑ State Stormwater ❑ General ❑ SFR, ❑ SFR < 1 ac. ❑ Bkhd & Bt Rmp, ❑ Clear & Grub, ❑ Utility ❑ Other
❑ Low Density ❑ Low Density -Curb & Gutter # Curb Outlet Swales ❑ Off -site [SW (Provide permit #)]
❑ High Density -Detention Pond _ # Treatment Systems ❑ High Density -Infiltration _ #Treatment Systems
❑ High Density -Bio-Retention # Treatment Systems ❑ High Density —SW Wetlands _ # Treatment Systems
❑ High Density -Other _ # Treatment Systems I ❑ MOD:❑ Major ❑ Minor ❑ Plan Revision ❑ Redev. Exclusion SW (Provide permit#)
❑ Coastal Management
❑ Excavation & Fill ❑ Bridges & Culverts
❑ Upland Development ❑ Marina Development ❑ Urban Waterfront
SECTION TWO — PLEASE CHECK ALL THAT IS APPLICABLE TO YOUR PROJECT
Stream(s) and/or Wetland(s) on Site ❑ Yes ® No
Wetlands Delineation has been completed: ❑ Yes ❑ No
US ACOE Approval of Delineation completed: ❑ Yes ❑ No
Received from US ACOE ❑ Yes ❑ No
For DEQ use only
•
❑ Structures Information
Buffer Impacts: ❑ No ® YES: lacre(s)
Isolated wetland on Property ❑ Yes ® No
404 Application in Process wl US ACOE: ❑ Yes ® No Permit
moun
SUBMITTAL DATES
Fee
SUBMITTAL DATES
Fee
CAMA
$
401:
$
SW (■
HD,
■
LD,
■
Gen)
$
Stream Deter,_
$
LQS
$
NCDEQ EXPRESS January 2023

TSB.i- 1
LAKE
NORMAN
I'
NCGS M008 933
(it LINE)
N=6 83 (201160,25 3 �? f \o
N=1,4899795ft. J93357 (`- F`
E=1,429,979,69ft.
ELEV=763A7 `1 • ass)
Digitally signed by
Justin R. Williams, N.C. PLS L-4942
Professional Property
Surveyors, Inc. 06-24-2021
JUSTIN R. WILLIAMS,P.L.S.
18335 OLD STATESVILLE ROAD
SUITE A
CORNELIUS, N.C. 28031
[phone]
RAINB O W CIRCLE
60' PUBLIC R/W
(MB.67, PG. 636)
NOTES:
1. TIE TO NCGS MONUMENT SHOWN HEREON.
ELEVATIONS AS SIJOWN HEREON ARE BASED UPON
GPS OBSERVATIONS UTILIZING NCGS NETWORK RTK
SYSTEM AND ARE REFERENCED TO THE THE NAVD RS
GEOID MODEL (12B).
2. PROPERTY MAY BE SUBJECT TO DEED RESTRICTIONS
PER AS RECORDED IN DEED BOOK 2381, PAGE 591
RECORDED IN THE MECKLENBURG COUNTY
REGISTRY. PROPERTY MAY ALSO BR SUBJECTTO
OTHER COVENANTS, RESTRICTIONS, EASEMENTS OR
RIGHTS -OF -WAY THAT MAY 13E OF RECORD.
3. THE SETBACKS SHOWN ARE PER MB 67,1'0636.
4. 50' UNDISTURBED LAKE BUFFER BASED FROM FIELD
LOCATED 760' LAKE CONTOUR ATNAV 29 DATUM.
5. A PORTION OF THE SUBJECT PROPERTY IS LOCATED
WITHIN A SPECIAL FLOOD HAZARD AREA
ACCORDING TO FEMA FLOOD INSURANCE RATE MAP -
PANEL 93710463300J; EFFECTIVE DATE; 03/02/2009.
6. FLOOD ZONES DEPICTED HEREIN WERE NOT FIELD
LOCATED BY PPS AND ARE SHOWN USING
INFORMATION FROM FEMA PANEL 93710463300J;
EFFECTIVE DATE: 03/02/2009. , AND ALSO USING
INFORMATION PROVIDED BY MECKLENBURG
COUNTY STORM W ATERS FLOODZONE MAPPING CAD
FILE.
7. THE FLOOD MAPS ARE SUBJECT TO CHANGE WHEN
FLOOD INSURANCE RATE MAPS (FIRM's) ARE
UPDATED AND ADOPTED BY THE FEDERAL
EMERGENCY MANAGEMENT AGENCY (FEMA). THESE
CHANGES SUPERCEDE THE RECORDED PLAT.
8. CONSULT WITH GOVERNING AGENCY FOR
PREVAILING LAND DEVELOPMENT AND ZONING
REQUIREMENTS PRIOR TO DESIGN OR
CONSTRUCTION OF ANY IMPROVEMENTS.
Additional References:
MR. 67, PG. 436
MB. 10, PG. 185
DB. 2381, PG. 591
DB. 2209, PG.573
LEGEND:
¢4 REBAR FOUND
IRON PIPE
COMPUTED POINT
MAG NAIL FOUND
NCGS MONUMENT
MAP BOOK
DEED BOOK
PAGE
SUBJECT PROPERTY LINE
ADJOINER PROPERTY LINE
BUILDING SETBACK
STORM PIPE
FEMA FL000 LINE
FENCE LINE
0
0
MB
DB
PG
TIME
RA REBAR
N:637,14S.13'
E: 1,431,298.28'
WV: 769.34'
001-701-65
ROBERT E. RANDLE
REVOCABLE TRUST
DB 33299, PG 867
10
ASPHALT DRIVE
CROSSES THE PROPERTY;
LINE 9.5'Y 19.9'
FEMA 100 YEAR+1
FLOOD LINE
W
v
Z
v;
N
to
M
Z
FIELD LOCATED
LAKE 760' CONTOUR
DATUM: NAVD 29
12" RCP 12" RCP
INVERT:767.8N INVERT; 767.91'
/ /
.1
of
154'FRONTSETBACK
001-701-63
LESTER & MARY YANDLE, LLC
DB 35465, PG 940
PORTION OF
ASPHALT DRIVE
OUTSIDE PROPERTY
00041c, SI it - L 50
Ca�t�R�4• SP101($
FEMA 100 YEAR+1
FLOOD LINE
Ilics
LAKE
NORMAN "—'
Graphic Scale
40 20 0 40
Scale of Drawing I Inch = 40 Feet
REV, 9.27'13
CONCRETE
BOAT DOCKING
AREA
LINE
L1
L2
L3
L4
L5
BEA♦jINCi
S 54'10 22' W
S 37'11'00" W
S 50'32'20" W
S 56'34'34" W
N 55'59'22" W
DISTANCE
22.05'
14.50'
12.13'
49.34'
32.03'
L6
N 23'39'01" W
31.72'
CURVE
CI
LENGTH
35.07'
RADIUS
75.00'
CHORD
34.75'
CHORD BRG
S 67'36'42'. E
C2
54.07'
75.00'
52.91'
N 31'58'43" W
T Physical Survey of Lot 24 of Biscayn Park (Revised)
Professional
ill Property
Surveyors, Inc.
18335 Old Statesville Road Ste. A
Cornelius, N.C. 28031
704-765-5134 Phone/Fax
Firm License: C-3666
Property of:
Fred Shilmover
As Recorded in:
Map Book 67, Pg 636
Deed Book 33299, Pg 867
Site Address:
20307 Rainbow Circle
Cornelius, NC 28031
Mecklenburg County
061421-01 JML
2 1:10,000 1"=40'
001-701-64 TAMMARO
1 of 1 6/24/2021
Job No. Prepared By
Error of Closure Drawing Scale
Tax Parcel Number Drawing File Name
Sheet Number Date

DUKE ENERGY INTERNAL USE ONLY
Date Received
Site ID
App Fee Amt
HEP Fee
Lake Permit tn, DUKE
Application„? ENERGY.
version 21a
Duke Energy Lake Services
Mail Code EC12Q
526 S. Church St.
Charlotte, NC 28202
I. APPLICANT I PROPERTY OWNER INFORMATION (property owner mailing address and contact information)
Name* I Fae-D Primary Phone*
Address*
City*
Email
aoEt7 VoRMAN Blom' Rd
Co& Ntbbus
State*
fie
i-i'eD oILNGai/CL Mail CC)".l
Secondary Phone
Zip Code
7. ''f6.2S3�
2 9 03 r
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
® Yes
No
If yes, include Dock Tag #. If tag
cannot be located, note that here. *
2 0 301 qA i N 6D'o Ct rc .
Carnet CS
State*
Arc
Zip Code*
2-00 3
‘-3iscore I.\ r-1<
County*
Lake*
Lot(s)
x yes, v de/rl[a
klJ
2y
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://getlatIong.net/
III. PROPOSED ACTIVITY (check all that apply)
[New/Modification of Existing Structure
❑ New/Modification of Existing Shoreline Stabilization
Transfer of Ownership (check box if you want a copy
of permitting history ❑ )
Structure size
(square feet)
&.00 5 t4
AilIov;n/
Shoreline Stabilization
Brief Description of
the Activity
Describe briefly the
existing structures
over land and water
(include sq ft)
Length of
stabilization (feet)
Materials
Is dock covered?
Is structure a
common use dock?
NIA
Latitude (e.g. 35.12345)*
Longitude (e.g.-80.12345)*
Maintenance of Existing Structure
Maintenance of Existing Shoreline Stabilization
Other (Describe below. If the activity involves an irrigation
withdrawal, include the pump capacity.)
Yes E1No
yes* nNo
*If yes, see special note in Section VII
Number of slips
Number of jetports
Distance from shoreline (feet)
2
fia,42L1.%a)nPr !S kyi/i,NS rtr'4"
att. de t A.ti cr. /► Q,w ,, my k r` io dhc., . ad, q z7I4&e j area
go/ Pie-R, N'ON) —co.1 [v+fli.,t . , IDF de tdes4e loaa¢
JJ � c�u.�' Cci t�%% OL S>� �c
Poc,K it b4 a wood AA sfeel �� � cJJl A 5
00,K i as. p'c- 7 L uAOltra/I7�I �• i a ��a41e r-JC�/

Survey stamped/signed by a professional licensed surveyor
f�f showing the location of the existing or proposed structure
Jal and/or survey of the existing or proposed stabilization (not
required for transfer)
Application fee (check only, payable to Duke Energy)
0 Signed User's Agreement Letter
Habitat Enhancement Program payment (required only for
Ea New/Modified structures at Catawba-tillaterree and
L'g Keowee-Toxaway lakes and shoreline stabilization at
Keowee-Toxaway)
IV. Additional Requirements (Include with application; limit document sizes to 11" x 17" or smaller)
You must include the following items with your application (unless specifically excluded for your application type).
Plan and profile drawing showing all measurements,
elevations, and irrigation line routing (not required for
transfer or shoreline stabilization)
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* /
f zo "4 71 L'prn ii l i e i�c 4- ) -j'u:CN r7 °o I CA"LA OJ A- A'�Z kyt d N 8i-, vd awe",
oN SpDt-senrrJ Ito R4/0 .Cale(e.
Gate Code
Nf1
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 S. Church St.
Charlotte, NC 28202
I agree the information contained within is accurate:
� y
Property 0 er Signature *
Common Use Dock Co -Owner Signature(s) and Information (all owners of common use 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
TO:
it
Duke Energy
c/o Lake Services - EC12Q
526 S. Church Street
Charlotte, NC 28202
RE: (Lake Name) _
n%p/j4 il
(Lake Address)
2O3c7 AiItoBoi.0 CtRC/t
2.0o3i
(Applicant's full name) 1in S/limMave/t hereby
agrees to comply with all requirements and conditions set forth by Duke Energy Lake Services
("Duke Energy"), and any federal, state ot local agencies pertaining to my/our application to
construct and/or maintain a ( esidei tia fo
(collectively, the "Facility" and together
with the right to use any Facility the "Permitted Use") on Lake /Vo/tMA!v ("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.
I/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
Rev 10/28/2021

I/we 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. //we 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.
I/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. I/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.
I/we 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.
Uwe understand the Facility to be installed and maintained are my/our property and I/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, lakebed landowners, and others to authorize my/our Facility or Permitted Use.
//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 I/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 10/28/2021

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.
I/we 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).
I/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. I/we 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.
I/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. I/we agree the
Duke Energy property and the land subject to the Guidelines shall be used exclusively for non-
commercial recreational purposes and that I/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.
I/we 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 lines.
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, I/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. I/we 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 I/we must stop work immediately and contact Duke Energy. //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.
Page3 of 5
Rev 10/28/2021

I/we 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.
I/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.
I/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 my/our 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.
I/we 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 I/we 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 I/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. I/we as the adjoining property owners) 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).
I/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 10/28/2021

permitted by law, including but not limited to, attorneys' fees and court costs incurred in such
action and/or enforcement.
I/we agree to fully disclose all information regarding the Facility to any prospective
buyer/leaseholder of the property and any new owner/leaseholder. I/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.
rti6 S1, /KOli f
Applicant Name
D30-7 eAi14060 Clae%
Lake Street Address
OPItha-
NG
Z go31
City/State/Zip Code
Ri7. .2s36
Preferred contact Phone Number
F4eo SrcMoveA��
Email Address (/
Applicant Signature
© 111 4/0/11,4N Co /a,N y
Home Mailing Address
Iro/3/vei/P1
City/State/Zip Code
I ivG
/
Home Phone Number
Date
ZSD3
/00 /2--2_
Pages of 5
Rev 10/28/2021

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867- P 636
STATE OF NORTH CA4OUNA MECKLENBURG COUNTY
'I. MARK C. CARTER, CERTIFY THAT THIS MAP WAS DRAWN UNDER MY SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER MY SUPERVISION
(DEED DESCRIPTION RECORDED IN BOOK 33299, PAGE 887 OR 0171ER REFERENCE-SOURCE__)4 THAT THE BOUNDARIES NOT SURVEYED
INAT THE RATIO
OF PRECISION ICRI POSITION ACCURACY S 1OM 1,000, ANDIAATON THAT MIS WA PREPARED IN PACE 185 CR DACWR�ANCE PATH G.S.NCE �7 30 AS AMENDED.
WTNESS MY ORIGINAL SIGNATURE. REGISTRATION NUMBER AND SEAL THIS SRh DAY OF SEPTEMBER. 'A.D., 2020.
OFE59OJAL LAND SURVEYORREGISTRATIONNUMBER
certify to one or mare of the following C. Gorier, Registered Land Surveyor
102,
hdicoled
thus. 9 or ❑:
(RA That this plat I, of a survey that emotes a subdivision
f land within the areo of a county -or municipality that
hoe an ordlnance that regulates parcels of land.
08. That this plot le at a survey that iW located M .such
portion of county or munlelpdity Mot le unregulated
as to an ordiance that regulates parcels of land.
DC. That Sills plat ie o1 a survey of an 0Xle5ng parcel or
parade of land.
OD. That toe Plat Is o1 o survey of another coteloor8asuch ered as
the rerombin0tlon of existing Parcels, cour
t-ordered
or other exception to the definition of eabdiolhion.
OE. That the Information available to this surveyor Is 0h that
I am unable to make a determinatlon to the best
of my
profuelonol ability as to provisions contained In (A) through
(D) above.
CERTIFICATE OF APPROVAL FOR RECORDING
1 HEREBY CERIFY THAT THE SUBDINSIDN PLAT SHOWN HEREON
15 EXEMPT FROM THE SUBOINSION PROVISIONS OF THE
CORNEUUS LAND DEVELOPMENT CODE, AND IS THEREFORE
EXEMPT,FROM ITS PROVISIONS. ME PLAT HAS BEEN FOUND
TO COMPLY WITH THE ZONING REGULATIONS OF 11E CORNELIUS
TOWN 27 0000NELCODE,NT US FOC RECORDING IN THED HAS BEEN OFFICE PROVED 'BY E OFFICE OF THE
REGISTER OF DEEDS OF MECKLENBURG COUNTY
916,24)
PLANNING DIRECTOR, CORNEUUS, NORM CAROLINA DATE
CERTIFICATE OF APPROVAL FOR RECORDING
WATERSHEDFiTY DEVELOPMENT RE^0TR4C0ONS MAY 4871Y UPPLV
CERTIFY THAT 1HTEPLLAT SHOWN HEREON COMPLIES W1TI1 THE
0040 T OWN
OF OORNEUUS F'WATECOR RINANCOIL CE NGIAT ME0VE0 BY
MECKLENBURO COUNTY REGISTER OF DEEDS OFFICE.
14-
WATERSHED ADMINISTRATOR, TOWN a CORNEUUS DATE
RENEW OFFICER CERTIFICATION
STATE OF NORTH CARO0NA
MECKLENBURG COUNT
M hPH{r REVIEW OFFICER OF
MECKLENBURG N1Y, N.C. CERTIFY THAT TIRE MAP OR PLAT
TO YMIC11 STATUTORY REQUIREMENTS IS CERTIFICATTON ISREQUIRE404TS F'ORRECORD G. EFTS ALL THE
REVIEW OFFICER DATE
-LAKE NORMAN-
FIELD LOCATED _
TOP OF BANK
• 1/2'IP
y'4
IPF
FLOOD FRINGE UNE IN ZONE
AE AS SCALED FROM
COMMUNITY PANEL R
3710463300J.
DATED MARCH 02, 2009
LEGEND
RF REBOIL FOUND 4004
RS SET
PIPE FOUND
07 IRON
CP COMPUTED POINT
VW RIGHT-OF-WAY
SF
MF SQUARE FEET
MB MAP 0K
DB DEED BOOK
FS PADS
FS FRONT SETBACK
RY REAR YARD
SY SIDE YARD
RCP REINFORCED CONCRETE PIPE
-X.-- CHAINUNK FENCE
OVERHEAD
p- OVERHEAD POWER UNE
o POWER POLE
- SETBACK
PEDESTAL
SETBACK LINE
EXTERIOR PROPERTY UNE
-•-••--UNDISTURBED LAKE BUFFER
-
- ADJONER PROPERTY UNE
-• - OLD PROPERTY LINE
- RAY LINE
PART 07 LOT 27
MB 10 PC 185
/
__RIM
1/2•IPF
PATRI0A WARREN
NOW OR FORMERLY
LOT 26
DB 31305 PG 132
MB 10 PG 185
TAX / 001-701-33
4
eAC
/4
E
17
ATE ROTES.
BUILDING SETBACK REQUIREMENTS (MINIMUM) ZONED G
FRONT: 25 FEET
SIDE YARD: 10 FEET
REAR YARD: 25 FEET
FLOOD NOTE:
A PORTION O ME SUBJECT PROPERTY SHDLIN HEREON
LIES WITHIN A SPECIAL FLOOD HAZARD AREA PER
F.E.M.A. FLOOD INSURANCE RATE MAP. COMMUNITY
PANEL 3710483300J, DATED: MARCH 2. 2009.
1/2"1PF
off`" i SEAL 27
L-5102 c
Ag
o?caDI 5335 3(v
STORAGE
BUILDING
LOT 25
0.619 ACRES
26,975 SF
A /
/�
BOLT
FOUND
CERTIFICATE OF OWNERSHIP AND DEDICATOR
i HEREBY CERIFY THAT 1 AM THE OWNER DE THE PROPERTY SHOWN
''MME TOWN OF CC4NEUUS ANND THAT IH EBY ADOPTRTF95ICTION OF
PLAN
14TH MY FREE CONSENT, ESTABLISH MINIMUM BUILDING SETBACK
LINES. PRESERVE AND PROTECT ALL SIGNIFICANT TREES OVER 18
INCHES DIAMETER IN ME TREE AND ROOT PROTECTION AREA,
PLANT STREETS,ALLEYS,
SUPPLEMENTARY,DEDICATE
Th ALL
WALKS PARKS AND OTHER SITES AND
EASEMENTS, TO PUBUG 0R PRIVATE USES AS NOTED. STREETS
HAVE. BEEN ACCEPTED BY THE TOWNOR 'ME STATE STREET TREES
SHALL BE MAINTAINED AND CARED FOR BY THE PROPERTY OWNER
ADJACENT TO THE TREE, EXCEPT IN SUSDINSIONS WHERE THE
PROPERTY OWNERS ASSOCIATION RROVIDES MAINTENANCE AND
CARE. PRIOR TO 4IKLLT ACCEPTANCE, THE DEVELOPER SHALL BE
RESPONSIBLE FOR. ENSUWNG MAINTENANCE AND CARE.
AS
NECESSARY. FURTHERMORE,DE HH RREBBYY DDEOCATEREPLACEMTDALLIMMING SANITARY
SEWER, STORM SEWER, AND WATER LINES THAT ARE LOCATED IN
PUBLIC UTILITY EASEMENTS OF RIGHT -Of -.WAY TO THE TOWN OF
ELIUS AND JHA OT'TE W R. - �- I„ 2^2^
-LAKE NORMAN-.,
FLOODWAV AREA IN ZONE AE
�AS SCALED FROM COMMUNITY y
PANEL 0 3710463300J,
' DATED MARCH OE. 2009 r
(g) DATE
YL SIDING ar•
LOT 24
0.792 ACRES
34,501 SF
n�Q
RAINBOW CIRCLE
60' R/W
per MB 10 PC (85
1
GRAPHIC SCALE
A4R5
/4R5
( IN FEET)
L Inch = 40 ft
PART OF LOT 20
MB 10 PG 1115
OWNER INFO.
ROBERT E RANDLE REVOCABLE TRUST
F80 OLJDN RANDLE UAD
ROBERT E RANDLEREVOCABLETRUST
F80 R10HAR0 RANDLE UAD
2368 RUSH.BRNCH. RD
SUGAR GROVE, NC 28879
WC/NI TY MAP
(Not to Sco/e)
NOTES
1. AREA CALCULATED BY COORDINATE COMPUTATION.
2. AD10N1G PROPERTY OWNERS NAMES WERE TAKEN
FROM MEOKCENBURG COUNTY TAX OFFICE RECORDS
AND ARE CONSIDERED AS NOW OR'FORMERLY.
3. IRON RODS AT ALL CORNERS UNLESS NOTED.
4. THIS MAP IS SUBJECT TO. ANY AND ALL APPLICABLE
DEED RESTRICTIONS. EASEMENTS, RIGHT-OF-WAY.
PLANMITES
AF1 RESTRICTIVE
6IC IVE COVENANTS AND PRELIMINARY
5. ALL DISTANCES ARE HORIZONTAL GROUND DISTANCES
MEASURED WITH ELECTRONIC MEASURING DEVICES.
8. LOT SUBJECT TO ALL .ZONING ORDINANCES OF TOWN OF
CORNEUUS. BUILDER/OWNER MUST VERIFY THAT LOT IS
IN COMPLIANCE W114 ALL COUNTY AND HOMEOWNERS
ASSOCIATION
SURBANCE OR ICONS1RDI0 04. PRIOR TO ANY LAND
7. THIS SURVEY. VMS PERFORMED WITHOUT THE BENEFIT
OF A RILE SEARCH.
B. NO NCGS MONUMENT FOUND WITHIN 2000 FEET.
9. FRONT SETBACK AND SIDE YARD 94011N per DB 2361
PG. 591. REAR YARD PER CURRENT ZONING
REQUIREMENT.
10. SUBJECT PROPERTY ZONED OR (GENERAL RESIDENTIAL
per MECKLENBURG COUNTY LAB,
11. PROPERTY SUBJECT TO RESTRICTIONS PER DB 2381 PG
591.
12 THERE IS RESERVED A RIGHT OF WAY ACROSS TILE
LOTS DESCRIBED IN DB 2361 PG 591 FOR POLES. LINES
AND/OR CONDU4TE FOR USE IN CONNECTION WITH
SUPPLYING UGHT POWER, WATER, TELEPHONE AND
OTHER UTILITIES TO PROPERTY SHORN ON MB 10'P0
185 OR DIRER PROPERTY ADJACENT THERETO PER DB
2381 PG 591.
13. PROPERTY'SUBJECT TO RIGHTS. EASEMENTS. AND
PRIVILEGES TO DUKE POWER COMPANY PER DB 2209
PG 573.
14. ANY CONSTRUCTION OR USE HIN T1E AREAS
DDWNEA1ED AS FLOODWAY ARE SUBJECT TO THE
RESTRICDAMAGER7REVENRON ONS IMPOSED BY FLOOD
15. TOTAL ACREAGE = 2.055 AC
18. SUBJECT PROPERTY IS LOCATED IN THE RAKE NORMAN
CRITICAL WATERSHED AREA.
17. LOW IMPERVIOUS COVER OPTION - N0 DEVELOPMENT
SHALL EXCEED TWO' OWEWNG UNITS. PER ACRE. NO
RESIDENTIAL LOT SNAIL SE LESS THAN DNE-HALM
(1/2)
N• EST RIGHT (00F1 2,240 SQUARE FEET EXCLUDING
8. ACCESSORY STRUCTURE SETBACKS:
A ACCESSORY. STRUCIURFS LESS THAN 800 SF.
10' FROM THE SIDE PROPERTY LINES. 10' FROM
THE REAR PROPERTY LINE OR 50' FROM THE
760 CONTOUR UNE, WHICHEVER IS GREATER.
O . ACCESSORY STRUCTURES 40D SF AND LARGER::
15' FROM THE SIDE PROPERTY LINES. 15' FROM
THE REAR PROPERTY LINE OR SO' FROM THE
780 CONTOUR UNE, WHICHEVER IS GREATER.
FL00D FRINGE LINE IN ZONE I�'-
AE AS SCALED FROM
COMMUNITY PANEL Y
3710482300J,
DATED MARCH 02, 2009
JAMES VEIRONE
e KAREN BETRONE
NOW CR FORMERLY
PART OF LOT 22
DB 8683 PG 93
MB 10 PG 165
TAX 9 001-701-35
PART OF LOT 21
MB 10 PG 185
U1 18' 0'36" E
L2 S B6'09'18":W r
L3 S 70•25'02" W 36.94
L4 S 36 47 39" W14 51
9.5 6 50 23'32" W 12.13
L6 S 5625'46" W 49.34
L] S 53YJ8'05" W 44.34
L8 S 7346'15" W 42.69
L9 N 56'08'10" W 32.03
10 N 37'17'45' W 60.41
_11 N 23'49'52" W 31.71
LI2 N 10'54/53" W 66.77
L13 N 6378'30" E 7.01
L14 N 7031'34" E 25.32
C2
C3
53.7
,35.0
40.4
p 75.0 41' 2'29"0,T
75.00' 3O'44'09" S 80'01"
41,02'02
75.00' 30'53'35" N 84'30'06" E
4:e
�0�
PURPOSE STATEMENT:
THE PURPOSE OF THIS PLAT IS TO RECOMBINE LOT 23. 24 k 25
OF THE BISCAYNE PARK SUBDIVISION. THIS PLAT SUPERCEDES MB
67 PO 436 FOR THESE LOTS 'MUCH WAS PREN00SLY RECORDED IN
THE MECKLENBURG COUNTY REGISTER OF DEEDS..
8
LENGT0(
REVISED FINAL PLAT
RECOMBINATION OF LOTS 23-25 OF
THE BISCAYNE PARK SUBDIVISION
TAX #S 001-701-65, 001-701-64 &
001-701-63, DB 33299 PG 867
TOWN OF CORNELIUS, MECKLENBURG COUNTY, NC
FOR: GLENN RANDLE & RICHARD RANDLE
DATE: SEPTEMBER 8, 2020
PHOENIX LAND SURVEYING, INC
3316 OLD MONROE ROAD
STAILNGS. NORM CAROUNA 28104
EMAIL: INONO-335-M5NNG.COM
FIRM 40 C-3912 Lone Surveying RELD WORK: JF, DM •" MAPPING: IF, ART, ON2
(-end Planning PROD 731-1813-01 20307 RAINBOW OR

Mecklenburg County
Land Use and Environmental Services
2145 Suttle Avenue
Charlotte, NC 28208
(980) 314 - CODE (2633)
Building Permit
One/Two Family
Permit: B4276353
Issue Date: 10/19/2022
Issued By: Smith, Holland
Property Details:
Address:
Subdivision:
Owner:
Owner Address:
20307 RAINBOW CIR
Frederick Shilmover & Adriane Shilmover
20117 Norman Colony RoadCornelius, NC 28031
Tax Jurisdiction: CORNELIUS
Parcel Id: 00170164
Owner Phone No: 9178462536
Block: Lot:
Minimum Setbacks (ft.)
Land Area: Corner Lot: N
Front: 25.0 Rear: 25.0 Right Side:
Irregular Lot: N Through Lot: N
10. Left Side: 10.
0 0
Project Details:
Project Number:
Project Name:
USDC Code:
Occupancy:
Lien Agent:
441202
PEPPERWOOD / NEW RES / PLAN REV
101 - One Family Detached
R3 * RESIDENTIAL - SINGLE FAMILY
Agent: Chicago Title Company, LLCPhone: [phone]Fax:
[phone]Email: [e-mail] Address:
19 W Hargett ST Unit: 507, Raleigh, North Carolina
27601 Physical Address: 19 W Hargett ST Unit: 507, Raleigh,
North Carolina 27601
Res Master Plan #:
Lien Agent No:
1766414
Trade Details:
Building
Details: New. SF Dwelling Detached. SI Required: N Bedroom Addition:
Type of Work: New
Square Footage: Heated: 4507 Renovated: Deck:
Unheated: 2120 Converted:
Does the weight of the PV system exceed 3lbs per square foot?
Does the roof possess more than one layer of asphalt shingles?
Does the roofing material consist of a type other than asphalt or metal?
Solar PV Option:
Electrical
Service:
Total Amps:
New Power Company: DUKE ENERGY
400 # of Circuits: 30 Circuits at 120V: 26 Circuits Over 120V: 4
Mechanical
Heating Details:
Gas Company: PIEDMONT NATURAL GAS
# of Gas Connections: 3 # of Appliances
Heat Pump, Central A/C, Prefabricated Fireplace
This permit will expire if work either has not started within 6 months or is discontinued for a period of 12 months.
Inspection required for verification of progress made.
No credit or refund will be given unless applied for within 120 days after a permit has expired.
Page 1 of 5

Permit #: M4303364
Contract Cost: $1,200.00
Plumbing SERVICE PLBG OF CHARLOTTE INC Contr ID: X27260
Contractor
Phone: [phone] License #: 21540
Address: P 0 BOX 148000RNELIUS, NC 28031 Homeowner: No
Permit #: P4303362
Contract Cost: $8,100.00
Agency Holds
As of the time of this permit issuance, the following holds exist on this project:
Agency
Additional Information:
NOTE:
Phone # Reason
Permit Notes
SP1.0:
Be Advised:
- Zoning and site plans are not part of plan review.
- Pool not part of plan review - pool to be completed under separate petinit.
A1.10: Verify rail and guard extend beyond stair bottom tread to second floor.
Be Advised:
- Stairs shall comply with requirements set forth in section R311.7 of the 2018 NCRC and shall be equipped
with a handrail on at least one side that complies with section R311.7.8.
-Verify the width of stairs. Be sure the framers account for gypsum on the walls when framing the stairs. The
36" width required per section R311.7 of the 2018 NCRC is from finished wall to finished wall.
- Garage Door to meet the requirements of R302.5.1 of the 2018 NCRC.
- Where the bottom exposed edge of the glazing is less than 36 inches (914 mm) above the plane of the
adjacent walking surface of stairways, landings between flights of stairs and ramps shall be considered to be a
hazardous location. Tempered glazing is required per R308.4.6 of the 2018 NCRC (Glazing adjacent to stairs
& ramps).
- Where the bottom exposed edge of glazing is less than 60 inches above any wet standing or wet walking
surface, tempered glazing is required per R308.4.5 of the 2018 NCRC (Glazing and wet surfaces).
- Verify Tread continuity at stairs down to dining/kitchen area, where tread turns 90 degrees tread depth
exceeds 3/8" allowance for tread depth per section R311.7.5.2 of the 2018 NCRC - Reviewer has supplied
local interpretation for contractor.
A1.20:
Be Advised:
- Stairs shall comply with requirements set forth in section R311.7 of the 2018 NCRC and shall be equipped
with a handrail on at least one side that complies with section R311.7.8.
This permit will expire if work either has not started within 6 months or is discontinued for a period of 12 months.
Inspection required for verification of progress made.
No credit or refund will be given unless applied for within 120 days after a permit has expired.
Page 3 of 5

LAKE NORMAN
Lake Norman - Waterfront Property
1. No setback encroachments allowed (decks, stairs, chimneys, porches, bay windows, etc.)
2. HVAC must be in the side or rear yard, must be screened from view, and must be setback 5' from property
line.
3. LKNCWA
4. Impervious exempt
5. 50' undisturbed buffer from 760 contour line.
6. Be aware of natural drainage patterns on your property. Know where water flows during rain and flood
events. Property owner is responsible for drainage on, through, and off this property and such drainage may
not negatively affect surrounding properties.
Disclaimer: Mechanical equipment shall be placed in side and rear yards only and shall not encroach into any
required setbacks.
1. No setback encroachments allowed (decks, stairs, chimneys, porches, bay windows, etc.)
2. HVAC must be in the side or rear yard, must be screened from view, and must be setback 5' from property
line.
3. LKNCWA
4. Impervious exempt
5. 50' undisturbed buffer from 760 contour line.
6. Be aware of natural drainage patterns on your property. Know where water flows during rain and flood
events. Property owner is responsible for drainage on, through, and off this property and such drainage may
not negatively affect surrounding properties.
Charlotte -Mecklenburg Storm Water Services (CMSWS) observed construction activities and tree removal
within the 50-foot undisturbed buffer. Please contact Ron Eubanks at 980-721-4191 with any questions.
Inspection Team
Your project has been assigned to the Residential Inspection Team. For further assistance you can
contact the Residential Inspection Team:
Manager: Griffin, Jeff
Supervisor: Salema, Jared D.
Supervisor: Kale, Michael
Supervisor: Barrett, Dave
Supervisor: Barrett, Dave
To contact your project manager, inspection supervisor, or obtain inspection assistance with your
project, call 980-314-3168.
This permit will expire if work either has not started within 6 months or is discontinued for a period of 12 months.
Inspection required for verification of progress made.
No credit or refund will be given unless applied for within 120 days after a permit has expired.
Page 5 of 5