20231129 Ver 1_Shoreline Stabilization_20230809

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AGENT AUTHORIZA�4N FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO.
PARCEL ID: I 0_1 J 3 —1
D C ' a► • �� ! I • 1►' —
► i � i
Please print -
Property owner: lX-� l �� - l ✓+-� ,�-� Yy �-� , �.
The undersigned, registered property owners of the above noted property, do hereby authorize
err LysI� of Lcuke 06 rmo,,; I�e � rL
1�4
contractor t
s q
( I en) (Name of consulting firm) Jj
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 attadied.
Property Owner's Address (if different than property above):
Telephone: 10 vl — 1 D t- 0 S J�
We hereby certify the above infatuation submitted in this application is true and aaurate to the
best of our knowledge.
Authoriz d'Signature
Date:
Authorized Signature
Date:
RECEIVED
AUG - 9 2023
DEOMATER RESOURCES
401 & BUFFER PERMITTING

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
[i =3
Owner: W 1 i LgYn
Print
Contractor/agent: 1,4C Ocrm
Print
c:n lbMSr-430n COWAJA
vt�
"County: M e t k
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. [iSA 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 028.0243(6))
Benching and grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 028.0243
(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.115A 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 026.0243(5), (6))
Aclmow/edpemeW of Nodficatlon
1, ki j kkk ,L— l �r nS , 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): V� � � Date: --7" 1-7- 23

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA State of North Carolina
Environmental Quality
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: LA—) i
Mailing Address:
Telephone Number:
E-mail Address:
C0S-+c1r
l y l01- 0553 Fax Number:
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11b17 Mail Service Center I Raleigh, North Carolina 27699-1617
aoarH cnaairu. � r
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: y- r �4
Company Affiliation: L.oAf Y) 6 Y, mo ►-) vt !2�
Mailing Address:
Telephone Number
E-mail Address:
nk
Lincolnon QC Z!&0O 2
`I()"- 2U&-C C>4 Fax Number:
Cho,12pellSh 0 ah00 • Cows
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),, I
County: 0eC VLe,1 bO Nearest Town: ,,1```tyY1 ►'SU
Lake/ river/ ocean adjacent to property: Ln-L �:sz N O Y m cw-\
Property size (acres): #
Subdivision name or site address (include phase/lot number):
C o oe Ccd )Au vcv t Ito t-1 C 2(;�:0q �
Directions to site - pl se include road names and numbers, landmarks, etc.:
me -13 E n kAa0(:erS -k�((-u " 'S+Ansor,
Latitude (in decimal degrees) s-J, y� Longitude (decimal degrees) _gd' cl 3
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): CeSdQ ti1�_ %�L 1
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): A p(� P 12 A"b A, 10
eIC- pS► pJ1
FORM: SSGP 09-2020 Page 2 of 5

7. Will work be conducted from land? ❑ From water? X
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Pemanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
Temporary impacts in square feet:
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
Sao s) �� n 9ab
Temporary impacts (temporary clearing, construction corridor) in square feet:
10. Please describe the vegetation above the normal pool lake level/ N rmal 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
Owner/Agent's Signature' [15A NCAC 02H15A 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:
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

Full Pond/ Normal Water Level
Shoreline
Plan View
La ke
(At Full Pond/ Normal Water Level)
0U
Full Pond/ Normal Water Level
orene
2 h.. 150 h.
additional clearing
A --y
E X
Plan View
d0Ch0 � ISb x ZFk
Lake
(at rug Pond/ N—M Water L-41 Existing Dock
�30ft. 7h
FORM: SSGP 09-2020 Page 4 of 5

2.qA- a�o,� Q �u PGA
T
k
0
J
Lake a�
(At Full Pond/ Normal Water Level)
S a,
C
io —
E w
'- o
O C
Z cn
C
Side View CIL
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
'if necessary
Existing bank
10 ftbank
height
Side Vi
AMPLE
FORM: SSGP 09-2020 Page S of S

DUKE ENERGY INTERNAL USE ONLY
Date Received — I App Fee Amt
Site ID F _ HEP Fee E
Lake Permit ,� DUKE
Application ''"�' ENERGY.
ver�ia. 21.
Duke Energy lake Services
Mail Code EC12Q
526 S. Church St.
Charlotte, NC 28202
1. APPUCANT / PROPERTY OWNER INFORMATION (property owner mailing address and contact information)
Name` ', � (, t a v-,,� 1 Primary Phone` L. , 1 � �S
Address' C P Vab Secondary Phone
City' 1� k> vl ! ICJ J State`�J C� Zip Code 2_SM a
Email I C ho ppe h5he yahoo. CCU✓✓x
II. LAKE PROPERTY INFORMATMN (location of permit)
Is there an existing dock or other facilities Yes If yes, include Dock Tag #. If tag
along the shoreline property or over the lake? Q No cannot be located, note that here. `
Address'" ) 6 3 r; y, N. County VI
^4rckirn .,
City` )9v,�(Crji' j State' ` Zip Code* r}gr7% lake` Ndr-4 `7
Subdivision Lot(s) 1 ��
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)` 1?j c�, ,y
Example service: http://getiationg.net/ longitude (e.g.-80.12345)` `tj 0- 23 1
111. PROPOSED ACTIVITY (check all that apply)
QNew/Modification of Existing Structure ❑ Maintenance of Existing Structure
❑New/Modification of Existing Shoreline Stabilization Maintenance of Existing Shoreline Stabilization
Transfer of Ownership (check box if you want a copy M Other (Describe below. If the activity involves an irrigation
of permitting history ❑) withdrawal, include the pump capacity.)
Structure size Is dock covered? ❑ Yes No Number of slips
(square feet) F Is structure a
common use dock? ❑Yes' No Number of jetports O
'y yes, see special note in section Vll
Shoreline Stabilization length of i r
stabilization (feet) 1 —DU Distance from shoreline (feet) 2
Materials
Brief Description of
the Activity
Describe briefly the
existing structures
over land and water
(include sq ft)
i ,AppI`) V-,p ��o cybc ;(6-n

IV. Additional Requirements (Mclude 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 fe+- (check only, payable to Duke Energy)
Signed User's Agreement Letter
Habitat Enhancement Program payment (required only for
New/Modified structures at Catawba-Waterec and
r,,.) x, is i c1 !�Vjy 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`
C (-2 E hay YS ky r Qd , S-�A nS n c Q e 0-1
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 29202
I agree the information contained within is accurate:
Owner Signature
Common Use Dock Co -Owner Signatures) and Information (all owners of common use docks must submit a signed
Users Agreement and application fee) Attach additional sheets I there are mare co -owners
Name
Address Signature
Name
Signature
Address

DUKE ENERGY PRIVATE FACILITIES
"APPLICANT'S USER AGREEMENT'
(Fill in blanks with required information. Please Print)
Date
TO: Duke Energy
c/o Lake Services - EC 12Q
526 S. Church Street
Charlotte, NC 28202
RE: (Lake Name) y LQ. I LP N O Y rn 4p-r1
(Lake Address) n Co,je
0un-}ev�itl{ NC ZB018
(Applicant's full ream) W % 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 S V1 ore 1
(collectively, the "Facility" and together
with the right to use any Facility the "Permitted Use") on Lake 1 11 or rmcw% CLAW).
In addition, Live 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. Ifwe
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, L`we agree to remove the Facility at my/our
own expense within the specified timeframe set by Duke Energy.
Ifwe 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. 1/we agree to notify Duke Energy when construction is completed and during
the construction period, L'we will post the Duke Energy approval provided by Duke Energy at the
job site visible from the Lake.
Page I of 5
Rar IWNMI

Uwe 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.
Live 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.
11we acknowledge Duke Energy provides no guarantee of any specific quantities or quality of water
in the Lake. Uwe 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, Uwe 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.
Live 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 Uwe
may have. The costs associated with removal of any Facility or non-pertnitted improvement will
be assessed to the lot owner.
Live understand the Facility to be installed and maintained are my/our property and Uwe 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, Uwe
agree to repair or remove the Facility at my/our own expense and within the specified timeframe
set by Duke Energy.
11we understand Live 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.
Ave 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.
Live understand lake use permit holders have the authority to take reasonable and legal steps to
prevent others from trespassing on the Facility. Uwe also understand, however, that Uwe 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 S
R" AWnM1

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).
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 Uwe 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 Uwe are responsible for the locating of any submerged utility lines extending
from mylour upland property into the reservoir and ensuring the construction and operation of
mylour 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 melus
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.
Uwe 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.
Ave agree that if any historic or archaeological resources are discovered during construction of a
Facility Uwe must stop work immediately and contact Duke Energy. Uwe 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" IGrAMI

Ave 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.
Live 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. 11we 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.
Ifwe 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. Uwe 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.
Uwe 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, Ifwe am/are not entitled to reliance damages.
Uwe agree for myself/ourselves, members of my/our family, guests and invitees that Live 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. Live as the adjoining property owner(s) further agree Uwe will indemnify, protect,
defend, and save harmless Duke Energy from any and ail 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).
Uwe 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
R" IWISMI

permitted by law, including but not limited to, attorneys' fees and court costs incurred in such
action and/or enforcement.
�,e agree to fully disclose all information regarding
the Facility to any prospective
buyer/leaseholder of the property and any new owner/leaseholder. Ave 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.
Applk=tt Name
{ 6 339 St'l „5an Co vc
Lake Sanet Address
N v rr3 { k 1114 C
City/sta&Zip Code
Preferred contact Phone Number
Email Address
Applicant 5ignatwe
Home Mailing Address _
City/stawzip Code
Home Phone Number
------------
Date
Page S of S
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ts34370 - rL40
For Registration
Fredrick Smith
Register of Deeds
Mecklenburg County, NC
Electronically Recorded
2020 Feb 26 02:18 PM RE Excise Tax: $ 5046.00
Book: 34316 Page: 245 - 246 Fee: $ 26.00
Instrument Number: 2020026843
Excise Tau $5,046.00 _ I Recording Terse, Book and Page
Tax Lot No. 001-013 37 Parcel Identiffer No. 001-013-37
Verified by County on the day of
By
Tnls instrument was prepared Doyle & WaOace, PU.C, 2701 Coltagate Road, Suite 210, Charlotte, NC
by: 28211
Brief Description for the Index: Title Co.: Investors Title Insurance Company
NORTH CAROLINA GENERAL WARRANTY DEED
This Deed made this 26th day of February, 2020 by and between:
TOWERS AT MATTIE ROSE, LLC
1111 Central Ave 320
Charlotte, NC 28204
GRANTEE(S)
WILUAM B. HERRNSTEIN and spouse, AUBREY
K. HERRNSTEIN
Property Addrow.
16334 Stinson Cove Road
Huntersville, NC 28076
MA11109 Address:
10 Suncrest Ct
Chillicothe, OH 45601
Enter In appropriate block for each party: name, address and, if applicabie, character of entity (e.g., corporation or
partnership)
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors and assigns,
and shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH that Grantor, for a valuable eonskieration paid by Grantee, the receipt of which is hereby
adcnowledged, has and by these presents does grant, bargain, sel and convey w to Grantee in fee simple, all that
certain lot or parcel of land situated in the City of Huntersville Township
Macklenbur+g County, North Carolina, and more particularly described as follows:
Being Lot #1 of the Esther Stinson Johnson Property as shown on an unrecorded map
prepared by Donald Ray Allen, Registered Surveyor, dated March 10, 1975, and more
particularly desenW as follows:

1544370 - rz.40
AN Ora portion of the pr operly henln conveyed , Includes or_xdoee not tnohtde the primaryresidence
of a G rev tor.
The properly harshniebove desatbed was aoquied by Grantor by inat ument receded M Book AM at Page =
A map shorting the above destxHted property Is recorded in Map Book at Page .
To HAVE AND TO HOLD tho of ressid lot or parcel or tend and all prly ftm and appurtsnencee thereto belonging
to the Grantee to fee simple.
And the Grantor covenertts with the Grantee that Grantor is selxad of the premises In fee simple, has the right to
convey the same In fee sknple, that title is marketable and tree and clew of all encumbrances, and that &M" vM
warrant and defend ttte Ville apainst the lawful claims of all persona whomsoever. except for the w=ptlons
hereinafter stated. TMe to the property hterekwbove dewAbed is subject to the foNmft exceptions:
Any and all valid and ardoroeable Mbictlons, cor4dons and covenants of record and the ad valorem taxes for the
current year. which the Grantee hereby assumes end agrees to pay.
IN WITNESS WHEREOF, Grantor has hereunto set his hard and seal the day and year first above written
TOWERS AT MATTIE tJ C by.
STATE OF - COUNTY OF
I, the undersigned Notary Public of said County and State, oertfiy that Matthew Ewers personally came before me
this day and admowbdged that hte/** Is the ManagWMember of The Towers at Media Rose, LLC, and that by
solixxity duty given as the act of such artily, he slgned the foregoing inalrumerd in its name on ks behalf as he act
and dead. I�
V+illness my hand and Notarial stamp or seal, this V? day of February. 2020.
t V ,���'���N KH!c'••
tofy Commission Expires: �%�Vp"� zr�ZQ•' 001AR �• `J` %
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