20231126 Ver 1_Shoreline Stabilization_20230811

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-� RECEIVED
AGENT AUTHORIZATION FORM A U G 1 1 2023
PROPERTY LEGAL DESCRIPTION: DEq_WATER RESOURCES
LOT NO. � . , ,o PLAN N0. PARCEL ID: 401 &BUFFER PERMITTING
srREE1r ADDRESS: 11 b c spy i 6C � K Imo ove5v L l �, ekJ C 2 g I17
Please print:
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
e y- L u5 k- . of Luke n 6 Y m o,7', 1-�e
l YL
(Contractor % ent Name of consulting firm)
( J
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Ownees Address (if different than property above): t
Telephone:
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
G �J�
Authoriz ignature
Date: %' 2 2 2�
Authorized Signature
Date:

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA Environmental Quality State of North Carolina
Department of Environment Quality
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Shoreline Stabilization Application Form
FORM: SSGP 09-2020
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.)
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
NOTE: Before submitting this form, please ensure you have submitted the Pre -Filing Meeting Request
Form as we will not be able to accept your application without this important first step. The Pre -Filing
Meeting Request Form is used in accordance with 40 C.F.R. Section 121.4(a) which states "At least 30
days prior to submitting a certification request, the project proponent shall request a pre -filing
meeting with the certifying agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all
certification requests must include documentation that a pre -filing meeting request was submitted to
the certifying authority at least 30 days prior to submitting the certification request. Click here to read
more information on when this form is needed prior to application submission or here to view the
form.
Attach documentation of Pre -Filing Meeting Request to this application.
Date of Pre -filing Meeting Request: ___/_/ (required)
DWR ID # Version (if applicable)
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Mailing
Telephone Number:
E-mail Address:
Z.yg- 23J- K22—Fax Number:
Ch cx n n-P 1151i (&3 % rGr r w-N
DE
Q7>
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

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: SL►Prrv� i��k
Company Affiliation: or vnCAi D ve
Mailing Address: Z0(D [ U YX yp V1 C1-\
LI►nCylh+C).'A MC Z8bCN2
Telephone Number:—1bH-30$ -C>C)y(qFax Number:
E-mail Address: CYl ahvp-e I Sh e V a hoc. C dm
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.
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 redekk Nearest Town: �(100Y2SV�1'e
Lake/ river/ ocean adjacent to property: Like N c, r mo.Y-\
Property size (acres): o
Subdivision name or site address (include phase/lot number): On iJcmAIASUC L' X C n
Directions to site - please include road names and numbers, landmarks, etc.
Latitude (in decimal degrees) Longitude (decimal degrees)_
Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Y eSK&(4iCL(
S_chma I
�bY�2U 3U Cl2
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): i'Ya-D +C�' ,8jJn\�
�rOsl c7 �1 h%t r r l.�aNl
FORM: SSGP 09-2020 Page 2 of 5

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:
Term ray impacts in quare feet:
.-8 ��� r�"cn.c L,4,u 6, Sp(,i. , sl
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, ri rap, retaining walls, etc.) in square feet:
i 6.�<< W
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):
11. Signature
By signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true,
accurate, and complete to the best of my knowledge and belief
• The project proponent hereby requests that the certifying authority review and take action
on this CWA 401 certification request within the applicable reasonable period of time
,!�2 - ,
& #:: -- - zo-'e, 0 'K
Owner/Agent's Signature* [15A NCAC 02H .0502(f)] Date
'Agent's signature is valid only if an authorization letter from 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
FORM: SSGP 09-2020
Page 3 of 5

15L x21:
Full Pond/ Normal Water
am am>_1k:
Shoreline
lxz
Plan View
La ke
(At Full Pond/ Normal Water Level)
lO6X
��
x2-��
f.
rLoCN
y
Z (�
60
Full Pond/ Normal Water Le
"t orer"ne
2 ft. x 150 ft.
addltionsi clearing
If necessary
Lake
(At Full Pond/ Normal Water Level) Existing Dock
3ftx150ft
Below full pond/ NWL
aftxl50ft
Above full pond/ NWL
.4N n--LE
Plan View
FORM: SSGP 09-2020 Page 4 of 5

Z F�
Lake Z 1F q 4i
(At Full Pond/ Normal Water Level)
1
I
c
Side View
3 ft. below full pond neater level 4 ft. above full pond water level 2 ft. additional clearing
if necessary
Existing bank
10 ft. bank a
height Oy0
�OQ
Q
r
1
Side Vi t OR)
�s
FORM: SSGP 09-2020 Page 5 of 5

DUKE ENERGY INTERNAL USE ONLY Lake Permit ��, DUKE
Date Received App Fee Amt Application �, ENERGY.
version 23a
Duke Energy Lake Services
Site ID HEP Fee Mail Code EC12Q
526 S. Church St.
Charlotte, NC 28202
I. APPLICANT / PROPERTY OWNER INFORMATION (property owner mailing address and contact information)
Name* �i11 �lAke Primary Phone* 2 1022
Address* \ \ kia �e�S UC kl.� Secondary Phone
City* moo rest � \ R State* C Zip Code ZS
Email -6\\\ C\VQ 2-2 Y=k Cory
11. LAKE PROPERTY INFORMATION (location of permit)
Is there an existing dock or other facilities Yes
along the shoreline property or over the +Lake? No
Address* �\S [`YJ(I�L�SU�, I Q Lvn
City* moc)rP5v\ 11e State* N1C
Subdivision
If yes, include Dock Tag #. If tag
cannot be located, note that here.
County* v,d 2 k I
Zip Code* 2g � \-� Lake* 0 b'( Y-ela'A
Lot(s)
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).
Latitude (e.g. 35.12345)* ?jS .
Example service: http://getiatlong.net/
Ill. 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 Is dock covered?
(square feet) Is structure a
common use dock?
Shoreline Stabilization
Brief Description of
the Activity
Describe briefly the
existing structures
over land and water
(include sq ft)
Length of
stabilization (feet)
Materials W% 0
15
Longitude (e.g.-80.12345)* -,a b .9 2.
Maintenance of Existing Structure
Maintenance of Existing Shoreline Stabilization
Other (Describe below. If the activity involves an irrigation
withdrawal, include the pump capacity.)
Yes No Number of slips
Yes* No Number of jetports
*If yes, see special note in Section VII
Awk � '?-:\ 9 "L� -��
Distance from shoreline (feet) Z
Amo"J 2rrbS1z>n

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).
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 for transfer)
Application fee (check only, payable to Duke Energy)
Signed User's Agreement Letter
Habitat Enhancement Program payment (required only for
New/Modified structures at and
Keowee-Toxaway lakes and shoreline stabilization at
Keowee-Toxaway)
V. Application Processing
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 Coy, SC; Kershaw County,
SC; NCDWR approval required for shoreline stabilization in
NC, • not required for other applications)
• 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* 13�f'0.*-� SC CQro
U S h Q v-erL&✓ 'D lr .O.D. 4 Pco--11 9 f sU 4-tg- l n
Gate Code
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
1 agree the information contained within is accurate:_/`�
Property Owner 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 Signature
Name
Address Signature

DUKE ENERGY PRIVATE FACILITIES
"APPLICANT'S USER AGREEMENT"
(Fill in blanks with required information. Please Print)
Date "I- 1 D-
TO: Duke Energy
c/o Lake Services - EC 12Q
526 S. Church Street
Charlotte, NC 28202
RE: (Lake Name) CO r 0-1 aYN
(Lake Address)
rnooresu <<Le me 2zs I n
(Applicant's full name) 1—)1 a A ) k-XV
agrees to comply with all requirements and condi
("Duke Energy"), and any federal, state or local
construct and/or maintain a o ire l % nQ.
hereby
set forth by Duke Energy Lake Services
to. my/our application to
(collectively, the "Facility" and together
with the right to use any Facility the "Permitted Use") on Lake N p Y ma "Lake").
In addition, Ilwe 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. Ilwe
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, Ilwe agree to remove the Facility at my/our
own expense within the specified timeframe set by Duke Energy.
Ilwe 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. Ilwe agree to notify Duke Energy when construction is completed and during
the construction period, Ilwe 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

1/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. I/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. 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, 1/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.
1/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 1/we
may have. The costs associated with removal of any Facility or non -permitted improvement will
be assessed to the lot owner.
1/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,l/we
agree to repair or remove the Facility at my/our own expense and within the specified timeframe
set by Duke Energy.
1/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.
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 1 N282021

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).
Uwe agree to exercise all care and due diligence to preserve and maintain the character of the area
subject to the Guidelines. Uwe agree to comply with the Duke Energy vegetation management
requirements as stated in the Guidelines. Uwe 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.
Uwe 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. Uwe 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 1/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.
Uwe 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.
Uwe 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, Uwe 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.
Ave 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. 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
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.
11we 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 1/we specifically understand and acknowledge that, because Duke Energy can revoke
the permitted use at any time, Uwe 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 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).
11we 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 10/282021

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.
V `l 1 I)L&
Applicant Name
s Ock IR 1n
Lake Street Address
MaoresvL e NC 2$ l F�
City/State/Zip Code
I'-Z31- ��22
Preferred contact Phone Number
/����
App icl ant Signature
11D,c LP Ian
Home Mailing Address
Moo IresV� l Cc � C 2S l (-I—
City/State/Zip Code
Home Phone Number
'&\\ dy%e Z7- (& Val m •com '-"1- `c6
Email Address / Date
Page 5 of 5
Rev 10/28/2021

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: �A wen S O C County:
Owner:
Print _ Signature
Contractor/agent:
Print I Signature
The approval is for the purpose and design described in your application. Impacts not indicated in the
application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC
02H .0506 and 15A NCAC 02B .0243(8)]
Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B .0243(6)]
Benching and grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243
(6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. There are limitation on size for decks. [15A NCAC 02B .0243(4) and (6)]
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), (8)]
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. [15A NCAC 02B .0243(5), (6)]
Acknowledgement of Nodflcation
l A \ b ulyne . hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be
taken such that the construction will be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting
materials.
Signature (owner): _ // Date:

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D DON ALLEN & ASSOCIATES, P. A.
"Since 1971'
Commercial * Residential * Mortgage Surveys * Multi -Family
Construction Staking * Subdivision Design * Topographical
131 Crosslake Park Drive - Suite 102 * Mooresville * NC * 28117
[phone] [phone] Fax
I, certify that this map was drawn under my supervision from an actual
survey made under my supervision recorded in deed book 612 page 74 and/or
plat book_ 74 _ page 95 . that the ratio of precision is 1':10,000, that this map
was prepared in accordance with the General Statutes of North Carolina Chapter 89C.
my hand and seal on the 3 day of NOVEMBER
A.D. 20_ 21
WI LLI Ab>fpNiQ1 S
v
SITE
ICICLE - SEAL -
LN. 3 & L-3499�oQ..
x g SUR�'�:'':c�:
**LAKE KF'
o NORM"*
BRAWLEY SCHOOL ROAD
VIONITY MAP NO SCALE
760 CONTOUR LINE LOCATED WOOD DOCK
PER ACTUAL FIELD SURVEY AND PIER
760 CONTOUR / 'g
FOLLOWS WOOD .a
SEA wALL S67'24'00"E'coNc.'� / 4
WOGD SEA WALL 99.03'00," ms
I' EIP
— — _ LOT 47
FLOOD
IPS ® S60'31'OO"E i CP tae LINE NANCY J. &
FLOOD 1.27'
UNE - 87.65' i PAD BLOCK
VINYL/
Op BILL E. DUKE
BOAT- 21121705
LOT 46 aj g HOUSE
00 (0.57 AC.) "'i 1�� v:03
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® j WOOD p�
50' BUFFER I�-� PORCH Z
y DECK �1 —50' BUFFER_-- � �� �� ✓
LOT 45
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SQI 1 STORY BRICK/ CONC \ o
WILLL"S z m BRICK/VINYL VINYL PAD
6131812 rn I COMP. ROOF GARAGE — _ — \
II C V W
W _ _1� — J — — �00 J 35' FRON� rD
p 43.5' DECK W
v
m COVERED
WOOD PORCH CONIC CONC. 1S;
WALK '-DRIVE
'I C1
EIP ElP
=w 123.52' _N64'5WOO"W
R/W !� �. • � �
If
z ! HONEYSUCKLE LANE \`
P d (60' R/W)
NAIL
R/W—
-- -- ------ -----tea--�-------_``��`�
LEGEND 0' 20' W. 100' NOTES
- P.P. - POWER POLE 1) THIS PROPERTY MAY BE SUBJECT
CP = COMPUTED POINT TO ANY EASEMENTS AND/OR
RIGHTS OF WAY OF RECORD.
EIP. - EXISTING IRON FOUND SCALE IN FEET 2) ADAGE COORDINATE
BY 7HE
I.P.S. - /4 REBAR SET 3 OVERHEAD POWER
R/w -RIGHT-OF-WAY P H YS I C A L SUR VEY 4; N�GRID FEET. MONUMENT FOUND N77FIN
® -WELL
5) SETBACKS 910MN PER ZONING
Xy - LP - LIGHT POLE OF ORDINANCE
118 HONEYSUCKLE LANE
LOT 46 CRESCENT LAND AND 11MBER SECTION 9
SCALE 1� — 40' DAVIDSON TWSP., IREDELL CO., N.C. FIELD BOOK: 79.D
FLEE: cLr 4e se.Dwc
ACQUIRED BY: BILL DUKE & NANCY DUKE DC FIM-
TAX MAP NO: 48277=95
CURVE TABLE
CURVE
RADIUS
LENGTH
BEARING
CHORD
C1
397.87'
99.21'
N 57'58'56" W
98.95'

Type: CONSOLIDATED REAL PROPERTY
Recorded: 12/21/2021 8:39.24 AM
Fee Amt: $1,626.00 Page 1 of 4
Revenue Tax: $1,600.00
Iredell County, NC
Maureen P. Purcell Register of Deeds
BK 2881 PG 1890 - 1893
Submitted electronically by La_ncaster.1rotter. &aMR: Poe PL•LC in compliance witb North Carolina statutes governing
recordable documents and the terms of the submitter agreement with the Iredell County Register of Deeds.
GENERAL WARRANTY DEED
Excise Tax:
Tax Parcel ID No.: 4627-72-8195 Verified by: Iredell County
on the day of , 20 By:
This instrument was prepared by and mail to: Alan W. Guffy, Jones, Childers, Donaldson & Webb, PLLC, PO Box
3010,149 Welton Way, Mooresville, NC 28117
Brief description for the Index:
NO TITLE SEARCH PERFORMED AND NO TITLE OPINION RENDERED BY PREPARING ATTORNEY
THIS DEED, made this the / G0 day of December, 2021, by and between
GRANTOR: Archie Lee Hames. Jr. and wife. Carolyn M. Hames
whose mailing address is 143 Dairy Farm Road, Mooresville, NC 28115
(herein referred to collectively as Grantor) and
GRANTEE:
(herein referred to collectively as
WITNESSETH:
For valuable consideration from Grantee to Grantor, the receipt and sufficiency of which is hereby acknowledged,
Grantor hereby gives, grants, bargains, sells and conveys unto Grantee in fee simple, subject to the Exceptions and
Reservations hereinafter provided, if any, the following described property located in the Town of Mooresville,
Township of Davidson, County of Iredell, State of North Carolina, more particularly described as follows:
BEING Lot 46 in Section 9, as shown on map recorded in Map Book 14, Page 98 in the office of the Register of
Deeds for Iredell County AND BEING a part of the property conveyed to Crescent Land & Timber Corp. by
deed of Duke Power Company recorded in Book 481, Page 91 in the office of the Register of Deeds for said
County.
Said property having been previously conveyed to Grantor by instrument(s) recorded in Book 612, Page 74, and being
reflected on plat(s) recorded in Map/Plat Book 14, page/slide 95.
All or a portion of the property herein conveyed ❑ includes or ❑ does not include the primary residence of a Grantor.
Revised December 17, 2009
Book: 2881 Page: 1890 Page 1 of 4

TO HAVE AND TO HOLD unto Grantee, together with all privileges and appurtenances thereunto belonging, in fee
simple, subject to the Exceptions and Reservations hereinafter and hereinabove provided, if any.
And Grantor hereby warrants that Grantor is seized of the premises in fee and has the right to convey same in fee
simple, that title is marketable and is free and clear of encumbrances other than as set forth herein, and that Grantor
will forever warrant and defend the title against the lawful claims of all persons or entities whomsoever.
This conveyance is made subject to the following Exceptions and Reservations:
1. ANY AND ALL EASEMENTS, RIGHTS OF WAY AND RESTRICTIONS OF RECORD.
2. ANY AND ALL ZONING AND PLANNING ORDINANCES.
All references to Grantor and Grantee as used herein shall include the parties as well as their heirs, successors and
assigns, and shall include the singular, plural, masculine, feminine or neuter as required by context.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
-XV1 acl,.� (SEAL) J a �i~'i'iX ;.✓ �j �'
Archie Lee Names, Jr., by C roll yn M.'Hames / v
his attorney in fact
ZI
State of North Carolina
County of Iredell
1, a Notary Public of said County and State, do hereby certify that Carolyn
M. Names, Agent for Archie Lee Names, Jr., personally appeared before
me this day and being by me duly sworn, says that she executed the
foregoing and annexed instrument for and in behalf of Archie Lee Names,
Jr., and that her authority to execute and acknowledge said instrument is
contained in an instrument duly executed, acknowledged and recorded in
Book j$(, Page 1-71in the office of the Register of Deeds for Iredell
County, North Carolina, and that said instrument was executed under and
by virtue of the authority given by said instrument granting her power of
attorney; that the said Carolyn M. Names acknowledged the due execution
of the foregoing and annexed instrument for the purposes therein
expressed for and in behalf of the said Archie Lee Names, Jr..
Date: I z - It, - Z-' l
Notary Public
Notary's Printed or Typed Name
My Commissiop Expires:
State of North Carolina Official/Notarial Seal)
County of Iredell
I certify that the following person(s) personally appeared before me this day, °�,o'
each acknowledging to me that he or she signed the foregoing document: .
Carolyn M. Names. ! " 1�,O TA,Q�'
Date: 1 z i b. z 1 t�f✓ ` A
S tary Public •, UBLIC :
Notary's Printed or Typed Name
My Commission Expires:
November 13. 2025
Revised December 17, 2009
Book: 2881 Page: 1890 Page 2 of 4

b X N .Terr //p ••
AGENT'S CERTIFICATION AS TO THE VALIDITY OF
POWER OF ATTORNEY AND AGENT'S AUTHORITY
(N.C.G.S 32C-3-302)
Return to: Lanraskt �fr1 _ d Foe' ' 611 C W /A Per ZJ rA ► A hb- f Z 1l0
i
I, raaloHq,-Ss (Name of Agent), do hereby state and affirm the
following under penalty of perjury:
j
(1) r��`'`' (Name of Principal) granted me authority as an
agent or successor agent in a power of attorney dated 9- 2 Z- Z©2o (herein "Power of
Attorney").
(2) The powers and authority granted to me in the Power of Attorney are currently exercisable by
me.
(3) 1 have no actual knowledge of any of the following:
(a) The Principal is deceased.
(b) The Power of Attorney or my authority as Agent under the Power of Attorney has been
revoked or terminated, partially or otherwise.
(c) The Principal lacked the understanding and capacity to make and communicate decisions
regarding his estate and person at the time the Power of Attorney was executed.
(d) The Power of Attorney was not properly executed and is not a legal, valid power of attorney.
(e) (Insert other relevant statements)
1-1-2018
Book: 2881 Page: 1890 Page 3 of 4

(4) 1 agree not to exercise any powers granted under the Power of Attorney if I become aware that
the Principal is deceased, that the Power of Attorney has been revoked or terminated, or that
my authority as Agent under the Power of Attorney has been revoked or terminated.
SIGNATURE AND ACKNOWLEDGMENT
Agent's Sig6lature
AgAnt's Name Printed:
Agent's Ad ess:
Agent's Telephone Number.
/-/A/71.5� 4 a'i y-
Date: �-�•� - /�,� a 1
State of iUv
County of�,.��
Sworn to or affirmed and subscribed before me this day by: r'OL6 � 4 n ryl. 14 ami J
Date: l,- A, - 2 1
(Official/Notarial Seal)
Notary Public
Notary's Printed or Typed Name
My commission expires: q
1-1-2018
Book: 2881 Page: 1890 Page 4 of 4