20231231 Ver 1_Site Plan_20230911

La ke
(At Full Pond/ Normal Water Level)
�10� ytc�
Full Pond/
Normal Water Level
Shoreline
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mil-, nt ,mil C1`s� u �-l��r►C�
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Please approximately sketch the following information on this plan, length of shoreline
(provide dimensions for each item, such as 10 ft x 100 ft)*a
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining wails, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORIM; SSGP 10-2013 Page 3 of 3

CATAMA RIPARIAN BUFFER NMCATIO FORM
ProjedN�rme/address._a13��1(� av r�_%�yb�� CJor►Ze�Lu$ +Coar�ty. +(YlecKlehb�
Print v ,v Signature
Contxa�d or/agent: C coone
Print . " //' 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 Rune. 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 I 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, 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 iimirtation 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. Surging, spoil, construction
material must be outside the buffer. [25A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), (8))
Stormsrater cannot be piped or channeled for direct discharge to the lake. All constructed storrnwater
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 take. f 15A NCAC 0213.€i243N, (6)]
1, �&Je. Kin rU hereby state that l have been informed of the Catawba
Riparian Buffer Rule. AW y work�onducted 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 cormpisance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plan(s) and sp+ecification(s), and other supporting
materials.
Signature iowner):--

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PaTIEW 41.. U _U 6 71 2k 9 ( W
pawceil9wt
M,5p@51�11 area yequNred (Sq ft and/or acreage) I-C) Q I
Acknowledgement of Mofffication
am aware that the site most adhere to all state regulations
and rules regarding sediffent and erosion control. and water Quality. And give permission for
Name of Individual and
to dispose of their dredge material at the above stated location
Owner.,
Date.
Along With form, please provide,
Aerial of parcel/lot (County GIS)
Photo of proposed spoil site
Iden'tifiled proposed spoil site

Iredell County, North Carolina
November 8, 2022
J : DisposalSite;
E
4
ET
1
E
S2
234.03089671010602 ft
Tar. Mao Informaiion
Print map scale is approximate.
•PIN 4667296642.000
Critical layout or
Address 638 OAKRIDGE FARM HWY
y measurement
• Account # Acct774359$0
activities should not be done using
=Tax Owner BRIDGES PROPERTIES LLC
this
Mailing Address 638 OAKRIDGE FARM HWY
resource.
MOORESVILLE, NC 28115
MAP FOR REFERENCE ONLY
• GIS Owner BRIDGES PROPERTIES LLC
NOT A LEGAL DOCUM ENT
• Deed Info 160211912 - WD - 20041123
Tax Acres 6.49 AC
Iredell County, North Carolina makes no claims and no
• Lot #
warranties, expressed or implied, concerning the validity or
Description PT 6 BRAWLEY NC150
accuracy of the CIS data presented on this map.
Zoning HLI
• Old Parcel # 0301M000ODA016
• Bldg Value $406,440
• OBXF Value $27,950
'.
• Land Value $451,700
Total Value $086.090
• Defer Value $0
• Tax Districts MOORESVILLE--MV SCH -

lreueu t-ounty, Ivorin L;arouna
November 8, 2022
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1" = 234.03027959138652 ft
Tax Map Information .,,.-,:,.,_„_,.: _..
Print map scale is approximate.
•PIN 638O KRID E Critical layout or measurement
• Address 638 OAKRIDGE FARM HWY Y
•Account# Acct77435930 activities should not be done using
• Tax Owner BRIDGES PROPERTIES LLC this resource.
• Mailing Address 638 OAKRIDGE FARM HWY
MOORESVILLE, NC 28115 MAP FOR REFERENCE ONLY
• GIS Owner BRIDGES PROPERTIES LLC NOT A LEGAL DOCUMENT
• Deed Info 1602 / 1912 - WD - 20041123
• Tax Acres 6.49 AC Iredell County, North Carolina makes no claims and no
• Lot # warranties, expressed or implied, concerning the validity or
• Description PT 6 BRAWLEY NC150 accuracy of the CIS data presented on this map.
-Zoning HLI
• Old Parcel 03011000000A015
• Bldg Value $406,"0
• OBXF Value $27,950
• Land Value W1,700
• Total Value $886,090
• Defer Value $0
• Tax Districts MOORESVILLE--MV SCH -

STATE OF NORTH CAROUNA
1REDELL COUNTY
i I certify that this mop was drawn from on actual survey mode under my 21
supervision The unadjusted ratio of precision as calcuioted is 1': 10,000i
Boundaries not surveyed, if any, ore noted. Deed descriptions are recorded in oak, os �
Page shown Xitness my hand and seal this 4a' day of JUNE 2019, — ` RD. SITE
1 C1
� a
``1fiti111I1i11 trrr7 /� L its fiat
`ti filinifrrr - Professional Land Su
s S rveyor t-
6 r� � L-3703 I 152
O t04�:� f_ j 150
�r L-3703 a7 =
v o_ NOTES:
9/,u' SURN4, �ap UNLESSALL T07H�JiW1 EARE
NOTED,
HORIZONTAL GROUND DISTANCES i
'* rfrunntw00 s AREA BY COORDINATE COMPUTATION. LilG'ATION MAP
p ,' PROPERTY NOT TO SCALE
rr7rrt illRtlfii�tt`',` ® EASEMENTSf RESTRICTIONS 3 RSUBJECT TO ANY IGGHTS OF WAY OF RECORD. LINE TABLE
® SURVEY IS BASED ON PHYSICAL EVIDENCE AND EXISTING LINE �— BEARING DISTANCE
MONUMENT FOUND DURING THE SURVEY. L1 j N14'58'43"E 60,30
® PROPERTY CORNER PIPE SIZES AS SHOWN ARE NOMINAL
INSIDE DIAMETER. L2 N64'57'57"E I 24.31
L3 S71'07'33"E 40.80
L4 I S63'06'35"E 95.21
L5 S06'55'28"E 46.53
LEGEND E6 N78'30'12"W 170.16
LINES SURVEYED
I L7 I
S54'19'38"E
82.8
LINES NOT SURVEYED------
r
TIE LINES----------
OVHD DISTRIBUTION LINE — —
PIN 4668-30-1353
(OVERHEAD)
OAKRMGE STORAGE,
LLC /
R/W LIMITS
O.B. 2521 PG. 2033
/
COL; TRANSMISSION O NO MONUMENTARON
POWER POLE UNLESS OTHERWISE
fL CENTERLINE NOTED
P PROPERTY LINE
/ /r
(F) DENOTES "FOUND"
!
!
(S) DENOTES "SET'
FIN 4668-20-6165
BRIDGES PROPERTIES, LLC
NTS DENOTES "NOT TO SCALE"
D.B. 1602 PG. 1912 /
LOT Ti-P.B, 36 PG. 150
CONCRETE.
/^ j
MONUMENT (F)
I J
N 679940.46 FT
E 1462951.44 FT
NAO 83(2011)
4 P=
O�GeJ� PIN 4667-29-6642
BRIDGES 3
b w /
PROPERTIES, LLC N
�M
1602 PG. 1912 c
PIN 4667-39-0000
ARGOS USA LLC
STAGING AREA
D.B. 201E PC. 4951(CO)
J
!
0.227 ACRE
/ DUKE ENERGY
TRANSMISSION LINE
(
P`3- - _-TRANS)
LINEONLY)-I
_.ISSfO LF 1
-�•LIA'£ R7w .r /NAIL (F) AT BENT
-`�-..
/ #+ REBAR (F)
/ --
BENT 14 �-�-
p r
5783�9, 35 LB
N 679337.77 FT
E 1462830.56 FT
/REBAP. (F)
-�� E` -
( NAO 83(2011)
GRAPHIC SCALE
PIN 4667-29-5304
FCMFORLESS HOLDINGS, LLC
0 75 5D
O.B. 2180 PG. 1029
LOT #2-P.B. 26 PG. 73
LNS FILE ,NO,:
S1905(
DWG NO.!
S1905(
{ IN FEET)
5UNVLYED SY:
N.D. WHITLf
DRAWN BY:
N.D. VJHiTLf
1 inch = 150 ft.
!CHECKED BY:
J.R. HOBE
TAX ID: 4667-29-6642
FOR SOURCE OF TITLE REFER TO D.BK. 1602 PG. 1912
PROPERTY OWNED BY
BRIDGE'S PROPERTIES, LLC
SURVEY SHOWING LOCATION OF
STAGING AREA
CODDLE CREEK TOWNSHIP IREDELL COUNTY, N.C.
SCALE: 1" = 150' DATE OF SURVEY: JUNE 3, 3019
BOOK: NA DATE OF MAPPING: JUNE 3, 2019
SURVEY AND MAP PREPARED BY.'
LAKE NORMAN SURVEYING
& MAPPING PLLC #P-0I9D
)37 Jennings Rood, Suite C
Statesville, North Carolina 26625
[phone] Fax [phone]

Ilgl{�fl�l{Iillf(Illl{I{B{�I��Ill�lllilll{II{I�
Ooc IQ: 008899980003 Woe: CRP
Recorded: 11123/2004 at 01;88;00 pm
Pee AM $674.00 Page 1 of 3
ExolaO Tax; ffiti54.00
rrodell county. Me
Brenda D. Sell RogLster of Deeds
SK 1602 PG; 1 9 1 2-129— 14
Excise Tax $654.00
Tax Lot No. Parcel Identifier No 4667-29-6642 and 4668-20-8185-4.34
Verifiedby............................................................................. County on the .......... day of ..................................
by........................... ............. ................ ............... .......................................................... -
Mail after recording to: Grantee
This instrument prepared by. Lutzel, Gandy Broadway, PLLC
Brief Description for the Index
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DM) made this 22nd.... day of November 2004, by and between
GRANTOR GRANTEE
Donald Ray Snyder and wife, Bridges Properties, LLC
Victoria A. Snyder, 628 Oak Ridge Farm Hwy
alk/a Mooresville, NC 28115
Vicobra A, Snyder
Enter in appropriate block for each party; name, address, and, if appropriate, character of entity,
e.q. 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 the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does, grant, bargain, sell and convey unto the Grantee in fee simple, all
that certain lot or parcel of land situated in the City of ................. Township, Iredell County,
North Carolina and more particularly described as follows:
See Exhibit "A" attached hereto and made a part: hereof

J
The property hereinabove described was acquired by Grantor by instrument recorded in Book .............. Page .........
A map showing the above described property is recorded in Plat Book ............... Page ...............
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the
Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same
in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor %ill warrant and defend the title
against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the property herein -
above described is subject to the following exceptions:
All easements, restrictions and rights of way of record.
Ad valorem taxes for the year 2005 and subsequent years not yet due and payable.
All matters revealed by and accurate survey of the property.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seat, or if corporate, has caused this instrument to be signed
in its corporate name by its duly authorized officer(s) by authority of its Board of Direc(ors, the day and year first above written.
-
(Corporate Name) ..... ... .... .............. ¢SEAL)
o Donard Ray Snyd r
--y-- t
By: .......... .....—_....
........................ ........ ..... — ,._. .i.1.R•.4s.rb,....tJ,'..:...i %k4.f.cG .7 {SEAL)
..................................... President
Attest: 2 Victoria A. Snyder
m....................................
........ .......... ............
........ (SEAL)
........ Secretary
.......................................................................... (SEAL)
"w"7w �' NORTH CAROLINA -- COL•NT
I, a Notary Public of the County and State aforesaid, certify Snyder and Victoria A,
f
Q ° SN der, Grantor,
ur 8®fir oT'2 y personally appeared before s 46d acknowledged a executi n ofthe
foregoing instrument. Witness my hand and offxiai s trip o . eal this 22nd y n ovemher 0t)4.
�� a9 o cam.+'` My Commission Expires .alt/�1 .. r<:
1.• ..Notary Fu lie
Al COUP.
(SEAL) NORTH CAROLMA................................ COUNTY,
I, , Notary Public of the County and State aforesaid, certify that ...
.............---.........-...__._............................................__..Grantor, personally appeared
before me Us day and acknowledged that he/she is .................................. of ..............-.......
................................
corporation, and that he/she as ........................ .......... being authorized to do so, exe-
cuted the foregoing instrument on behalf of the corporation, witness my hand and official stamp or
seal this .................. day of ..................................... 2004.
..........
My Commission Expires : .......................... ..................... .......................Notary Public
The foregoing Certificate(s) of..., .............
/!
is/are certified to be correct. This instrument and 4his certificate are duly - gistered at tlr d and time and in the Book and Page
s e first p e er.F
... ster Deeds forC unty
........_..... ........................................ .................. Deputy/A�Regisrer of Deeds

EXHIBIT 64A"
TRACT L BEING all of that certain 6.49 acre tract located in Coddle Creek Township, Iredetl
County, North Carolina on NC Hwy 150 By-pass; being more particularly described as follows:
BEGINNING at a point in the centerline of the 100 ft. right of way for NC Hwy 150 By-pass,
said point being located North 36-17-36 East 2,458.39 ft. (Ground) from NCGS Monument "Run
In" N; 206,469.354 meters E: 445,280.693 meters Dated: 1991 NAD 83; thence continuing from
said point of Beginning and along the centerline of the right of way for NC Hwy 150, North 36-
22-16 East 561.58 ft. to a point; thence leaving said right of way and running with the line of
Whitman property (now or formerly) South 64-06-48 East 49.90 ft. to an existing 94 rebar in the
eastern margin of the right of way for NC Flwy 150; thence South 64-06-48 East 246.91 it. to an
existing 1 1/2" pipe; thence continuing with another line of Whitman property ]Torch 40-19-43
East 305.82 ft. to an existing 1" pipe; thence North 71-18-07 East 121.51 ft. to an existing angle
iron in the line of Evelyn Brown (See Deed Book 308, Page 337, Iredetl County Registry);
thence a new line of John W. Caffey, et at (see Deed Book 601, Page 538, Iredetl County
Registry) South 42- 31-26 ;Nest 221.12 ft. to an existing concrete monument; thence another new
line of Caffey, et al South 15-00-41 West 614.81 fl. to an existing #2 rebar; thence with the
northern litre of Lot 2, Scott D. Burton Property (see Plat Book 26, Page 73, Iredetl County
Registry) North 74-59-17 West 572.00 ft, to an existing 92 rebar in the eastern margin of the
right of way for NC Hwy 150; thence North 74-59-17 West 53.64 ft. to the point and place of
Beginning.
TRACT R., BEING all and the full contents of Lot No. 1 as shown on plat of Minor
Subdivision for William Wallace Whitman Estate and recorded in Plat Book 36, Page 150,
Iredell County Registry, to which plat reference is made for a more full and complete description
of said lot by metes and bounds.

Duke Ener2y Excavation Permit Application Form
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit $ Check # Date Recv'd`` Initials
i� �^�� i
Date of Duke Energy Lake Services, applicant and/or contractor on -site inspections Dat�2_._n, nitials U —1
Date Final Protection/Avoidance Area Markings Field - Verified
Approved to Start Work By * :
Date Completion Required
Date Passed Closeout Inspection*
Initials
Date
(Print) (Sign)
Date of Any Approved Extension Initials
Initials
Any Stop Work Orders or SMG Violations*? (check one) ❑Yes EINo (If Yes, explain in PART V)
Date Deposit Refunded Initials Date Permit Database Updated Initials
* Forward copy of approved application (all pages, plus any attachments that Duke Energy changed) back to applicant
with Approval Letter and highlight any changes. File copies of Approval and Close-out Checklists and any Stop Work
Orders with application.
Part I. Applicant Information (Please Print)
Name Hale Kingsbury Telephone [phone]
Email address: hckingsburya-yahoo.com s
Lake Address Mailing Address (if different)
21231 Country Club Drive same as project address
Cornelius, NC 28031
Contractor Company CBC Stone & Reuclina. LLC
Contractor Contact Person Janice Estep Telephone [phone]
Contractor Email Address: [e-mail]
LAKE LOT INFORMATION
Lake Norman County Mecklenburg City Cornelius State XQ_ Tax Map No.
Subdivision Country Club Shores Lot / Section No. 1 Lot Size 0.414 Acres
Duke Energy Page 4 of 13 rev t ti22i21
Excavation Program

Duke Enerey Excavation Permit Application Form
Security Deposit Refund Information
The security deposit will be refunded after the excavation permit has expired if no violations of
the approval occurred. The applicant will receive the security deport refund at the mailing
address in Part I unless an alternative recipient is identified.
Send the security deposit to an alternative recipient? (check one) ❑Yes ONo (If Yes,
include name and mailing address below.
Name:
Mailing Address:
Tax ID:
Are there any Co -Applicants*? (check one) ❑Yes ONo (If Yes, include names, street
addresses or lot numbers, pier numbers, phone numbers, and email addresses in Part V -
Additional Information)
* Co -Applicants exist when the proposed work is being done under a single application, will be
performed by a single contractor as one continuous project, and is done to benefit multiple
owners / lease holders of Project -front properties within a single development. There can be no
more than 4 co -applicants in addition to the lead applicant on any application.
Do not continue the application until an on -site inspection has been conducted between a
Duke Energy Lake Representative and the applicant and/or the excavation contractor.
NOTE: Initialling this portion of the application by a Lake Representative in no way
constitutes approval or eminent approval of the excavation or any other lake use permitting
activity.
Date of on -site inspection O—q cfz-3 ' 3
Initials (Duke Energy) `j off( t
(applicant/contractor)
U '
Duke Energy Page 5 of 13 rev 11/22/21
Excavation Program

Duke Energy Excavation Permit Application Form
Part II. Description of Project
A. Basic Information
1. Type of excavation: (check one) ❑ New excavation 0 Maintenance excavation
2. Purpose of excavation: (check one) ❑ Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
0 Other (sped): new dock construction
3. Lake user category: (check one) ®Private ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (specify):
4. Max. Excavation Area Dimensions (ft): Length 40' Width 4Y Depth 4-
(Note: include additional area dimensions if necessary so response to #5 below equals max. area
dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): 237.03 Cubic yards
6. Type of material removed (applicant determines by field sample if practical)
Dirt/Silt
7. Excavation Site area: 0.146 Acre (s) Disposal Site area: 2.29 Acre
(s)
8. Total Disturbed Area (including equipment staging area): 0.157 Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
®Yes ❑No
10. Do you claim title to the disposal area? (check one) ❑Yes 13No
11. Do you claim title to the equipment staging area? (check one) laYes ❑No
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes 13No
(If Yes, spec):
13. How will the excavated material be entrapped and the erosion controlled? (e.g. see attached
erosion control plan and disposal area design):
Dredge by barge, haul dredge spoils out by land access onsite and take by dump truck to
disposal site located at 638 oakridge Farm Hwy. Mooresville, NC 28115
Duke Energy Page 6 of 13 rev 1 v22/21
Excavation Program

Duke Energy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used:
Long Reach Excavator, Dump Truck
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) OYes ONo
(Ifyes, explain)
By barge
16. Will return water re-enter the reservoir? (Check one) ❑Yes ONo ON/A
(If Yes, specify point(s) of re-entry and show on Excavation Area Drawing)
17. Is there an existing facility (e.g. pier) that access is being maintained to by conducting the
excavation? ❑Yes ®No
(If Yes, provide the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit 4 new dock permit applied for by Rowboat
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START 12 / 23 FINISH 12 / 23
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 13 rev 11/22/21
Excavation Program

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Duke Energy Excavation Permit Application Form
C. Applicant's Signatures
Comments: iHeigh hors -.
IA
i
I a W3 C-6um"
i CO rne-l') Us, t4 C. aS 03,
Y'e
(2'
IQ C aso�� I
i Cornd. U-SI
Applicant Name (print) HQLIC Kin05ktirJ
AplAi"M Nli-j
..Date
W,
Co -Applicant Name (print)
Co -Applicant Signature* Date
Co -Applicant Name (print)
Co -Applicant Signature* Date
Co-Appli-cant Name (print)
Co -Applicant Signature* Date
Co -Applicant Name (print)
Co -Applicant Signature* Datc
*Per nny signature, the information provided in this application is correct to the best of my
knowledge.
Duke Energy Page 10 of 13 rev H Y22/2021
Excavation Program

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date 8/25/23
TO: Duke Energy
c/o Lake Services - EC 12Q
526 S. Church Street
Charlotte, NC 28202
RE: Excavation For (Subdivision and Lot #'s or Other Project Name)
Lot 1 Country Club Shnra.
(Lake/County/City) Norman / Mecklenburg / Cornelius
(Applicant's full name) Hale Kingsbury hereby agrees to comply with all
recommendations, requirements and/or conditions of Duke Energy, General Permit(s) (if
applicable) and other federal, state and local agency requirements pertaining to the application to
excavate for the purpose of a new dock construction
In addition, I/we have read and agree to comply with Duke Energy's current Shoreline
Management Plan (SMP) or other applicable guidelines, much of which is repeated herein, and
understand that written authorization must be obtained from Duke Energy prior to beginning any
activity within the Federal Energy Regulatory Commission (FERC) project boundary or on Duke
Energy property associated with a reservoir, collectively referred to as Project Boundary. The
excavation will be completed as described in the approved application and within eighteen (18)
months from the date of written approval by Duke Energy, unless specifically noted otherwise in
the application or unless Uwe obtain approval for a single, time extension (maximum of one year)
in writing from Duke Energy. Uwe understand that if the SMP or other applicable guidelines or
rules change during any extension period, Uwe will be expected to comply with the new
requirements to the maximum extent practicable. 1/we also recognize that failure to complete the
excavation within this build -out period will require the fling of a new application within the then -
current SMP or other applicable guidelines and the new application must include any applicable
fees and security deposits.
I/we attest to be the owner(s) or lease holder(s) of the land immediately adjoining the Project
Boundary where the excavation activity is to take place, or if not the owner or lease holder, 1/we
have included proof of title to the property and written authorization from the owner(s) or lease
holder(s) to carry out the proposal within the Project Boundary adjacent to their land.
1/we attest to be the owner(s) or lease holder(s) of the land that will be used for equipment
staging and disposal of excavated material or if not the owner or lease holder, 1/we have included
proof of title to the property and written authorization from the owner(s) or lease holder(s) to
carry out the work on their land.
Duke Energy Page I Rev: 4/6/2020

I/we understand that all excavation work must be done directly in front of my/our property and as
specified in Duke Energy's approval. Twe also understand that access channels must run
perpendicular to the shoreline while within the third of the cove area that is nearest my/our
property.
I/we understand that for proposed excavations, I/we must notify the appropriate local, state and
federal agencies in advance of the activity by sending them a completed copy of Duke Energy's
Excavation Permit Application Form and other required information. I/we understand that
written authorization and/or other permits may be required by some of these agencies and such
required authorizations must be obtained before Uwe submit the final application to Duke
Energy.
At FERC-licensed reservoirs, I/we understand that except for maintenance excavations, any
excavation exceeding 2000 cubic yards of material removed or any excavation or shoreline
stabilization work needed to support an application that requires FERC review does itself require
specific review and approval by the FERC before Duke Energy can issue any approvals.
I/we agree that unless specifically approved otherwise in the application, explosives will not be
used as part of this excavation activity.
I/we understand that every reasonable effort must be made to minimize any adverse impact on
fish, wildlife and other natural resources.
I/we understand that applicants in South Carolina proposing excavations that are not covered
under the General Permit, or are greater than 150 cubic yards, must receive prior written
authorization from the South Carolina Department of Health and Environmental Control
(SCDHEC) or the US Army Corps of Engineers (as applicable) before submitting the completed
application to Duke Energy.
1/we agree that excavation activities will not occur during the months of March, April, May and
June because of the potential impacts to fish spawning areas.
I/we understand that trees and vegetation growing within or adjoining the lake play an important
role in its overall environmental condition, and the ecological benefit the vegetation has on fish
and wildlife habitat directly supports a sound and healthy lake environment. 1/we also understand
that unauthorized removal of shoreline vegetation (e.g. button bushes, willows, cattails, etc.)
and/or disturbance of the shoreline buffer may result in suspension or denial of lake use
permitting requests, forfeiture of security deposits and require re-establishment of vegetation at
my/our expense, particularly if the disturbance is found to be in violation of state or local
ordinances or impacts FERC project buffers.
I/we agree all excavated material will be placed in upland areas, landward of the Project
Boundary, and confined to prevent erosion and sedimentation back into the lake or nearby
streams.
Duke Energy Page 2 Rev: 4/6/2020

Uwe agree to adequately stabilize all excavated material and all disturbed shoreline to prevent
erosion and runoff into the lake.
Uwe understand that the double handling of excavated material will not be allowed; therefore, all
excavated material must be placed above the Project Boundary in one handling.
1/we have designed the hydraulic excavation process (if any will be used) so that return water re-
enters the lake in the same general vicinity and cove as the excavation, to the maximum extent
practicable.
Uwe agree that the proposed excavation will not be for the purpose of creating additional
shoreline, will not alter the Project Boundary or the full pond contour, and will not impact
threatened or endangered species, historic properties, or environmentally -important areas, unless
special public entity provisions were made in the application.
I/we recognize that it is my/our responsibility to clearly locate in the field and label on my/our
work area drawings any areas that require specific protection or avoidance during this excavation
work. Examples of these protection/avoidance areas include but are not limited to, any
Environmental Areas, Natural Areas or Impact Minimization Zones as identified by Duke
Energy; jurisdictional wetlands; historic properties; rare or threatened species; and buried gas,
water, sewer, electric or communications lines. 1/we agree to provide my/our contractor with a
copy of these work area drawings showing these areas to stress the necessary protection
measures.
I/we agree that if any archaeological resources (e.g. pottery shards, Indian artifacts, etc.) are
discovered during the excavation, work shall be halted immediately. Uwe will then notify Duke
Energy and the State Historic Preservation Office to determine what measures, if any, Uwe must
pursue to protect or salvage the archaeological resources.
I/we agree that any excavation from within the Project Boundary will not exceed the volume as
outlined in the application and will remove and disturb only what is absolutely necessary to
achieve the project's stated purpose.
I/we agree to be fully responsible for the permitted lake use and Uwe understand that this
responsibility is considered to transfer automatically along with ownership and leases of the
adjoining tract.
I/we understand Duke Energy representatives may issue Stop Work Directives for violations of
the SMP or other applicable guidelines and other consequences may result from such violations,
including but not limited to suspension or cancellation of approved permits, increases in fees,
modification or removal of non -complying structures and restoration of disturbed areas at my/our
own expense or loss of any consideration for future lake use permits. I/we agree to immediately
comply with any Stop Work Directives, to fully cooperate with Duke Energy and other agencies
as necessary, and to perform the necessary remedial actions within the specified time frame.
Duke Energy Page 3 Rev: 4/6/2020

1/we agree to develop any required mitigation plans and to complete any required mitigation
activities at my/our own expense within the specified time frames. Ilwe recognize that the
excavation work is not considered complete and deposits will not be refunded until the
mitigation requirements (if any) have been satisfactorily fulfilled.
Iwe a ee to noti11Duke Ener b none when the excavation is initiated and to ensure that
durin& the excavationeriod Ilwe will post Duke Energy's aDDroval letter in a clear wets roof
bag at the iob site and visible from the water's edge
Uwe agree to notify Duke Energy ink when the excavation is completed (including any
required mitigation measures) and that the excavation was completed per the approved
application, so a close-out inspection can be performed.
Ywe recognize security deposits will not be refunded if any violations of the SMP. other
applicable guidelines, or this user's agreement occur.
ilwe understand there will be no change in hydro project operations as a result of the excavation
and/or utilization of the excavated area.
Fwe agree to maintain the work area in a safe condition and to fully indemnify and save Duke
Energy harmless from any and all claims, liability, loss or damage that may arise from this
excavation project,
Ywe understand that this user's agreement does not, in any way, constitute the transfer of any
rights in real property and that mylour use and enjoyment of FERC project and Duke Energy
lands and waters shall not hinder the general public's lawful use and enjoyment of the same.
Sincerely,
Applicant's Name (Print)
Co -Applicant's Name (Print)
_ _. 6 -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Name (Print)
Co -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's Signature
MiL,. F—_n Iv Page
Rn- de51--(r,f.

1 -4--. 1
'FOR REGISTRATIOER,OF AVIDSGRANBERRY
REGISTMECKLENBURG COUNTY, NC
2010 MAR 30 01;26:13 PM
BK.25514 PG:315-317 FEE:$22.00
INSTRUMENT # 2010035633
111111111111111111111
2010035633
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax $ 0,00
Parcel Identifier No. 001-164-11
Verified by County on the day of
1--
Mail after recording to Grantee
This instrument was prepared by G. Patteson Williams
Brief description for the Index
1.OT 1, COUNTRY C1.13B SHORES, N0,2
25, 2010, by and between
GRANTOR
HALEA. KINGSBURY
and wife,
CARLA A. KINGSBURY
jka CARLA B. ABERNATHY
GRANTEE
HALE A. KINGSBURY
tin wife,
CARLA A. KINGSBURY
Property & Tar :Nailing Address.
21231 Country Club Drive
Davidson, NC28036
Furry I f.,A g,, r,MA r.r r ,rnrnr. mI,[ ' i(,uu­,wj I — f r. Yn' F , ort a aAu
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 ets required by contest.
WITIVESSETA that the Grantor, for a valaahlc consideration paid by the Grantee, the iviceipt of which is herehy acknowledged,
has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land
situated in the City/Town of Davidson, Lemiey Township. Mecklenburg Counnr, North Carolina and mare particularly described as
follows:
BEING all of Lot] of that subdivision known as COUNTRY CLUB SHORES, NO.
2, as shown on a map thereof recorded in Map Book 12 at Page 21 in the
Mecklenburg County Public Registry.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 8146, Page 63.
All or a portion of the property herein conveyed _X includes or _does not include the primary residence of a Grantor.
A nmp showing the above described property is recorder! in Plat Book 12 at Page 21.
The purpose oj'Ihis deed is to create a tenancy by the entirety in the Grantee.
N-C. Bar ABSOC• Form No. 3 ' 1476 ReViBed 1/1/2010
Pri—ed by Agreement with the N.C. Bar Asaoc.

TO HAVE AND TO BOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the
Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the scene in
fee simple. that title is marketable and free and clean of tall encumbrances, and that Grantor will warrant and defend the title against
the lax fid claims of all persons whomsoever, other than the following exceptions:
Title to the properiv hereinabove described is subject to the following exceptions:
Tit is conveyance is made subject to all restrictions, easements and rights -of -waft, including those for utilities and public roadways and
the lien of fitarre ad valorem taxes, which rice Grantee assumes and agrees to pay:
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the clay and year first above written_
_(SEAL)
a e A. Kingsb r
Carla A. Kingsbury
fka Carla B. Abernathy
as> X Y NORTH CAROLINA, Mecklenburg County.
wQ, ASIEW4aI, a Notary Public of the County and State aforesaid, certify that Hale A. Kingsbury , Grantor,
;F'O : personally appeared before me this day and acknowledged the due execution of the foregoing
i ��•' OTR� Y ,� �` instrument for the purposes therein expressed. Witness my hand and official stamp or seal, this
_ _ !1 i day of March, 2010.
•1ay�yca •••'Ovr t Notary Public
pppurnm�"~ %fe�14.. lr/
Notary's Printed or Typcd Name
My commission expires: /02 e%/�©1
SEAL -STAMP NORTH CAROLINA, Mecklenburg County.
1, a Notary Public of The County and State aforesaid, certify that Carla A. Kingsbury tka Carla
�.teBEah"4, D. Abernathy, Grantor, personally appeared before me this day and acknowledged the due
a !Q •••,,,� At�fI execution of the foregoing instrument for the purposes therein expressed. Witness my hand and
,.•' ti� ylse official stamp or seal, this !JE day of March, 2010.
otary Public
Notary's Printed or Typed Name

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AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. J— PLAN NO. PARCEL ID:
STREET' ADDRESS: a1a3t (2.,,nArq Clo
acne—v' Q51. mc
Please Mt. Property
Owner: lioe— Y-I'l vlcts6v
Property Owner:
The undersigned, registered property owners --of the above noted property, do hereby authorize
ice
_e Of 213L 510 n -e � �Ccuck M. LLC-
(Cc-ntractor/ Agent) (Name of consultirig -fit�m)
to act: on my behalf and take ail actions necessary for the processing, issuance and acceptance of
'this permit or certification and any and all standard and special conditions attached,
Property Owner's Address (if different than property above):
-Telephone: '10LI - -U 51 - 3SO I
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Au�i-Zed Signature Authorized Signature
Date'. a3 Date.
I

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