20240325 Ver 1_Site Plan_20240228

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(Plan View)
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Riprap Above full pond/ NWL
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additional dealing
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Plan View

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3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
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Duke Energy Lake Services
Guidance for Completing an Excavation Permit Application
Note: If you are proposing excavation in association with the permitting of a new
or expanded facility under the Marina or Conveyance Programs, you do not need
to complete this application. Instead, you should incorporate the excavation
request into the permit application for the marina/conveyance using the
appropriate application.
Step 1: Contact Duke Energy Lake Services
Complete "Part I" of the application and develop a drawing of the proposed excavation area.
Contact Duke Energy Lake Services to schedule a site visit. Lake Services will conduct a site
visit to determine if Duke Energy will accept an excavation permit application for the proposed
work. If the Lake Services representative determines the application process may proceed,
he/she will initial Part I of the application.
Step 2: Draft Application Development
Complete Parts II-III.A-G and Part V of the Excavation Permit Application.
Step 3: Agency Consultation
Send the draft application developed during Step 2 to the agencies for review and comment on
the proposed activity. Refer to the Agency / Organization List available from Duke Energy to
determine which federal, state, regional, and local agencies and organizations require
consultation or review.
Note: Duke Energy reserves the right to require consultation with additional organizations
beyond those included in the Agency / Organization List.
Each agency / organization must be provided at least 30 days prior notification. Evidence must
be provided (e.g., response letter or Certified Mail receipt) in the complete application to show
each agency / organization was given the opportunity to review the proposal.
Consultation letters must be dated within the two years preceding Duke Energy's receipt of the
application. All permits must be valid at time of application and have a term longer than the
projected schedule for completing the permitted project.
What to Expect During Agency Review and Comment:
• You will typically receive a letter from each agency / organization either documenting its
concurrence with your proposal, requiring additional information, recommending
modifications, or offering no comment. You must address each agency's / organization's
comments with a follow-up letter and in your final application as described in part IV.
If you do not receive any documentation from an agency / organization within 30 days of its
receipt of your proposal, you must provide the agency / organization with a follow-up letter
requesting comment on your proposal within 15 days from the date of the follow-up letter. If
you still do not receive any response as a result of the second letter, type "NO RESPONSE"
Duke Energy Page 1 of 13 rev t 1/22/21
Excavation Program

at the top of the follow-up letter and include it in the application along with proof of the
agency's / organization's receipt of the letter (e.g., Certified Mail receipt). You may proceed
with the application process recognizing, however, that if its comments come later in the
application process, you will be required to address them.
• From the united States Army Corps of Engineers (Corps): (** Note — The Corps may have
additional forms to submit for your proposal and an additional fee.) If the excavation can be
done under the requirements of the General Permit (GP) or a Nationwide Permit (NWP), you
will typically receive a copy of the Corps' tear sheet documenting authorization and
providing any additional instructions. If the excavation isn't covered under the GP or a
NWP, you'll be required to obtain an individual 404 Dredge and Fill permit from the Corps.
You must receive written documentation from the Corps that your application either (1)
meets the requirements of the GP or a NWP or (2) the proper 404 Dredge and Fill permit has
been received before Duke Energy can process your application.
• From the North Carolina Department of Environmental Quality (NCDEQ), Division of
Water Resources: (Note NCDEQ may have additional forms to submit for your proposal
and an additional fee) If the proposal meets the requirements of the Clean Water Act Sect.
401 Water Quality Certification, you will typically receive a letter from the NCDEQ Division
of Water Resources documenting Sect. 401 Certification and providing any additional
instructions. You may also receive a letter requiring additional information or
recommending modifications. You must receive written documentation from NCDEQ
noting any required Sect. 401 Certification has been received before Duke Energy can
process your application.
• From the North Carolina Wildlife Resources Commission (NCWRC): If you do not receive
any documentation from the NCWRC within 30 days of their receipt of your application, you
may proceed with the application process without submitting a follow-up request,
recognizing however if comments come in later in the application process, you will be
required to address them.
• From the South Carolina Department of Health and Environmental Control (SCDHEC):
(Note — SCDHEC may have additional forms to submit for your proposal and an additional
fee) The SCDHEC conducts a joint application process with the USACOE in S.C. If the
proposal meets any applicable requirements of the Clean Water Act Sect. 401 Water Quality
Certification, you will typically receive a letter from SCDHEC documenting Sect. 401
Certification and providing any additional instructions. You may also receive a letter from
USACOE requiring additional information for the agencies participating in the joint
application process. You must receive written documentation from SCDHEC noting Sect.
401 Certification has been received if required before Duke Energy can process your
application.
• From the South Carolina Institute of Archaeology and Anthropology (SCIAA): The applicant
must wait 30 days after receiving the signed postal returned receipt. If a response from
SCIAA has not been received by this time you may proceed with the application process
without submitting a follow-up request, recognizing however if comments come in later in
the application review process, you will also be required to address them.
Duke Energy Page 2 of 13 rev t 1/22/21
Excavation Program

Step 4: Final Application & Submittal to Duke Energy
Following the consultation process, finalize the application. The final application submitted to
Duke Energy should incorporate all comments and recommendations provided by agencies and
organizations during the agency consultation process as well as copies of all permits received. In
addition to the final application include the following:
• One check payable to Duke Energy for the application fee and security deposit
• if applicable, a separate check payable to the appropriate Habitat Enhancement Program fund
• Signed Excavation Program Applicant's Agreement
Note: Co -applicants must also submit the application fees and applicable HEP fees with the
application.
Duke Energy Page 3 of 13 rev 11/22/21
Excavation Program

Duke Enermy Excavation Permit Application Form
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit S Check # Date R�ecvv"d Initials
Date of Duke Energy Lake Services, applicant and/or contractor on -site inspections DatJ)Z d 1 Afnitials SMI
Date Final Protection/Avoidance Area Markings Field - Verified Initials
Approved to Start Work By * : Date
(Print) (Sign)
Date Completion Required Date of Any Approved Extension Initials
Date Passed Closeout Inspection* Initials
Any Stop Work Orders or SMG Violations*? (check one) ❑Yes []No (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 Michael Van Wingerden Telephone [phone]
Email address: [e-mail]
Lake Address
18213 Capstan Greens Road
Cornelius, NC 28031
Mailing Address (if different)
Contractor Company Lancaster Custom Dock and Lift Systems, Inc.
Contractor Contact Person
Donna P. Hrko
Telephone [phone]
Contractor Email Address: donna. lancasterdocks ,gmail.com
LAKE LOT INFORMATION
Lake Norman County Mecklenburg City Cornelius State NC Tax Map No. 00161126
Subdivision The Peninsula Lot / Section No. Lot #116
Lot Size .461 Acres
Duke Energy Page 4 of 13 rev 11/22l21
Excavation. Program

Duke Enerjly 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 depost 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 ❑No (If Yes,
include name and mailing address below.
Name: Lancaster Custom Dock and Lift Systems, Inc. Tax ID: 56-1936944
Maihn4. Address: 1156 Perth Road
Troutman, NC 28166
Are there any Co -Applicants*? (check one) ❑Yes RNo Qf 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 2/1 /2024
Initials (Duke Energy) Ali
(applicant/contractor)
Duke Energy Page 5 of 13 rev 11/2212t
Excavation Program

Duke Energy Excavation Permit Application Form
Part U. Description of Project
A. Basic Information
1. Type of excavation: (check one) ❑ New excavation lR Maintenance excavation
2. Purpose of excavation: (check one) 0 Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
0 Other (specify): Jet Ski Access
3. Lake user category: (check one) Private ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (sped):
4. Max. Excavation Area Dimensions (ft): Length 20' Width 67f Depth 10'
(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): 277 Cubic yards
6. Type of material removed (applicant determines by field sample if practical):
sand, silt, and clay
7. Excavation Site area: _03 Acre (s) Disposal Site area: .03 Acre
(s)
8. Total Disturbed Area (including equipment staging area): •06 Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
Wes []No
10. Do you claim title to the disposal area? (check one) ❑Yes IANo
11. Do you claim title to the equipment staging area? (check one) ❑Yes 1ANo
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes CANo
(If Yes, specify):
13. How will the excavated material be entrapped and the erosion controlled? (e.g. see attached
erosion control plan and disposal area design):
Dredge with long reach excavator. Place materials in hopper barges. Haul away by barge to offload into
dump trucks and transport to the disposal site.
Duke Energy Page 6 of 13 rev 11/22/21
Excavation Program

Duke Energy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used:
Long reach excavator, short reach excavator, barges and dump trucks
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) CRYes ❑No
(Ifyes, explain)
Dredging equipment will be transported via floating plant from Lancaster Custom Dock
Office and staging area across Lake Norman to project site.
16. Will return water re-enter the reservoir? (Check one) ❑Yes ONo RN/A
(If Yes, sped 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 RNo New dock will be constructed in same general location as existing dock.
(If Yes, provide the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit # 8149
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START cam_ / 2024 FINISH 2 ! 2025
(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:
Applicant Name (print) Micheal )j:@n Wingerden
Applicant Signature* •,
---- Date 1 /31 /2024
Co -Applicant Name (print)
Co -Applicant Signature*
Date
Co -Applicant Name (print)
Co -Applicant Signature*
Date
Co -Applicant Name (print)
Co -Applicant Signature*
Date
Co -Applicant Name (print)
Co -Applicant Signature*
Date
*Per my signature, the information provided in this application is correct to the best of my
knowledge.
Duke Energy Page 10 of 13 rev 11/22/2021
Excavation Program

Duke Energy Excavation Permit Application Form
Part III. Additional Information
A. Deed and Survey Plat: A copy of the deed and registered survey plat or other instrument
under which each applicant and co -applicant claims title to the affected property (the
shoreline adjoining the excavation area, equipment staging area, area crossed by any spoil
and return water lines, and the disposal area). If the applicant(s) is(are) not the owner(s) of
said property, then forward a copy of the deed and registered survey plat or other instrument
under which the owner(s) claim title plus written authorization from the owner(s) to carry
out the project on their land.
B. Excavation Area Drawing: An accurate drawing of the area to be excavated. The drawing
must show at a minimum, a North arrow; the boundaries and acreage of the proposed
excavation area and equipment staging areas; lake, county, city, cove, tributary, road and
subdivision names and lot numbers (as applicable); property corners for project front lots;
the full pond elevation contour and lines dividing the cove width into equal thirds (as
applicable); approximate volume in cubic yards of the material to be excavated; point(s) of
return water re-entry; the boundaries of any adjoining areas that are to be specifically
avoided or protected during the work and the location (address) of the disposal area for the
excavated material. [NOTE: A copy of this drawing must also be provided to the
excavation contractor to ensure restricted areas are not impacted.]
C. Disposal Area Drawing: An accurate drawing of the proposed design for the disposal area.
The drawing must show at a minimum, a North arrow; the boundaries and acreage of the
proposed disposal area; lake, county, city, cove, tributary, road and subdivision names and
lot numbers (as applicable); the full pond elevation contour (unless disposal is well away
from the lake); the boundaries of any adjoining areas that are to be specifically avoided or
protected during the work; the location (address) of the excavation area from which the
material came and a statement of the disposal area's capacity with all dimensions labeled
that were used in the volume calculation. [NOTE: A copy of this drawing must also be
provided to the excavation contractor to ensure restricted areas are not impacted.]
Also note for projects larger than one (1) acre in North Carolina, including excavated,
equipment staging, and disposal areas, you must submit an erosion control plan. For
projects larger than two (2) acres in South Carolina, including excavated, equipment staging
and disposal areas, you must submit an erosion control plan. For projects < two (2) acres in
South Carolina, you must submit a completed standard reportingform orm for construction sites
disturbing two (2) acres or less to the South Carolina Dept. of Health and Environmental
Control (SCDHEC) - Stormwater Management
D. Vicinity Map and Driving Directions: A vicinity map and directions by road showing
directions to both the excavation area and disposal area. Include the latitude and longitude of
both the excavation area and the disposal area.
Part IV. Agency Reviews and Approvals
Begin this section with a summary table of all agencies consulted and applicant response to
agency comments as shown in the example table below. Agencies should be listed in the order
Duke Energy Page 11 of 13 rev 11/22/2021
Excavation Program

Duke Energy Excavation Permit Application Form
shown in the Agency/Organization List. Consultation letters must be dated within the two years
preceding Duke Energy's receipt of the application.
Table IV-1. Sample Agency Comment and Response Table
Agency Comment T Applicant Response
Agency 1
The activity is approved as proposed.
NA
Ag-ency 2
The on -site well provides drinking water to the
Contacted Mr. Smith on 1/1/20xx. No
public. Please contact Mr. Smith to discuss the
further action needed.
proposed changes and potential issues
associated with your proposal.
You must contact us immediately if
Applicant will contact Agency 2 if
endangered species are located during the
endangered species are located during
course of construction.
construction
Agency 3
Requested agency comments on 1/l/20xx and
NA
again on 2/l/20xx. No response as of
2/16/20xx.
Agency 4
Section 401 Water Quality Certification
Applicant will comply with the conditions of
the 401 Water Quality Certification
Following the table of agency comments and applicant responses, include a table of permits and
certifications issued by the reviewing agencies. As with the table of agency comments and
applicant responses, agencies should be listed in the same order as they are listed in the
Agency/Organization List.
Table IV-2. Sample Agency Permits and Certifications Table
Date of
Date of
Agency
Permit/Certification Name
Issuance
Expiration
Agency 1
Surface Water Withdrawal Permit
Agency 2
Section 401 Water Quality Certification
Following the two summary tables, include a copy of all correspondence to and from any local,
regional, state and federal agencies or other organizations with which you are required to consult,
including any required permits (e.g., Section 401 water quality certifications, Section 404
dredge/fill permits, building permits, etc.) or other approvals or comments which have been
obtained from these organizations regarding this activity. Include a copy of any local, regional,
state or federal regulations or guidelines that will be followed. All permitting issues must be
resolved and clearly documented. Correspondence should be organized in the order the agencies
are listed on the Agency/Organization list with the applicant's request for comments followed by
additional correspondence in chronological order. All permits must be valid at time of
Duke Energy Page 12 of 13 rev 11/22/2021
Excavation Program

Duke Energy Excavation Permit Application Form
application and have a term longer than the projected schedule for completing the permitted
project.
Part V. Additional Information
Provide relevant additional information. Reference previous parts as applicable. Include the
FERC-required Environmental Assessment if you were directed to do so during the initial site
visit. If there are co -applicants, this is where their information would be provided (see Part 1).
Duke Energy Page 13 of 13 rev 11/22/2021
Excavation Program

VVWwVw - I VVV
For Registration
Fredrick Smith
Register of Deeds
Mecklenburg County, NC
Electronically Recorded
2023 Sep 2710:54 AM RE Excise Tax: $ 7560.00
Book: 38395 Page: 530 - 531 Fee: $ 26.00
Instrument Number: 2023092377
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $ 7,560.00
Parcel Identifier No. 001-611-26 Verified by County on the day al! , 20
By
MaillBox to: Thebeau &Associates. PA 14600 W Catawba Ave Bide k Ste 100, t`•o±+egus NC 28031
This instrument was prepared by: Thebeau & Associate PA 19600 u% Catawba A,aq_,Rldg, A, Ste, IM t'omelis_cc_ NC 28031
Brief description for the Index: LOT 116. The Peninsula
THIS DEED made this — 278t day of S gLnnber �, 20 23, by and between
GRANTOR
Dc Steven S. Binder and wife,
Frances E. Binder
7349 Webbs Chapel Cove Court
Denver, NC 28037
M714 <iTI tT -
Michael Van Wingerden and wife,
Courtney Van W ingerden
18213 Capstan Greens Road
Cornelius, NC 28031
Enter in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate. 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 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 simplc, all that certain lot, parcel of land or condominium unit
situated in the City of Cornelius _ Township, MECK LENBURG County,
North Carolina and more particularly described as follows:
BEING all of LOT 116 of The Pellmsula Subdivision as sbovm on the map thereof recorded in Map Book 24 at Page 115 in the Office of the Register
of Deeds for Mecidenburg Cottrity
Page 1 of 2
NC Bar Association trorm No. 3 01976. Revised 01977. 2002. 2013
Printod by Agreement with the NC Afar Association —1981
This standard form has been aprnved by:
North Carolina Bar Association —NC Bar Berm No. 3
submitted electronically by "Thebeau and Associates"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Imecklenburg county Register of Deeds.

vvvvvv - • vv
The property hereinabove described was acquired by Grantor by instrument recorded in Book 104496 page 142
All or a portion of the property herein conveyed X includes or _ does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Plat Book - 24 page 115
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 will warrant and defend the title against the lawful
claims of all persons whomsoever, other than the following exceptions:
All such valid and enforceable emements and restrictions of record.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of firs 11 �rit
pawwrrh
(EntityNarne).+' �A;g�, Prin ape ame.- Dr. StevenS. Binder
13y:
s
PrintlType Name & Title: x A s NOj' & Print/Type Na
Ic
r:
By: r a (SEAL)
Print/Type Name & Title: 's ..�'' �` Print/Type Name:
By.-".`H.""'- (SEAL.)
PrintfType Name & Title: Prinaype Name:
State of -hjMtj VMYb I i r3 VA -County or City of MECKLENBURG
1, the undersigned Notary Public of the County or City of tan , ogYY V 5 and State aforesaid, certify that
Dn Steven S. Binder and wife, Frances E. Binder personally appeared before me this day and acknowledged the
due executio.��p�nof the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this 27th dayof
My Commission Expires: 12-1 1-21Mfi32.q Notary Public
(Affix Sea]) Notary's Printed or Typed Name
State of - County or City of
L the undersigned Notary Public of the County or City of M� and State aforesaid, certify that
personally appeared before me this day and acknowledged the
due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial swnip or seal this dayof
------ --- 20--
My Commission Expires: Notary Public
(Affix Seal) Notary's Printed or Typed Name
State of _ - County or City of
); the undersigned Notary Public of the County or City of ----- and State aforesaid, certify that
_ _--____— personally came before nee this day and acknowledged that
-he is the of �_ , a North Carolina or
conxwation/limited liability company/general partnership/limited partnership (strike through the
inapplicable). and that by authority duly given and as the act of such entity, _he sighed the foregoing instrument in its name on its
behalf as its act and deed. Witness my hand and Notarial stamp or seal, this __— day of -- 2t)—.
My Commission Expires: r --_Notary Public
(Affix Seal) Notary's Printed or Typed Name
Page 2 of 2
NC Bar Association Form No. 3 b 1976, Revised 0 1977, 2002, 2013 This standard fcmn has been approwd by:
Printed by Agreement wilt the NC Bar Association 1981 North Carolina Isar Association — NC Bar Norm No. 3

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THE INFORMATION CONTAINED IN THIS DRAWING IS THE SOLE PROPERTY OF LANCASTER'S DOCK& LIFTS SYSTEM INC.
ANY REPRCDVCT/DN IN PART OR AS A WHOLE WITHOUT THE WRITTEN PERMISSION OF LANCASTER'S DOCK & LIFTS SYSTEM INC. IS PROHIBITED.
ALL DIMENSIONS USED IN THIS DRAWING ARE NOMINAL.
ISSUE
D1-DI-24
DRAWN BY
MA
CLIENT
Michael Vanwingerden Lancaster Custom Dock and Lifts
16213 Capstan Greens Road Carnilius, N.G. 28031 1156 Perth Road Troutman
North Carolina
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0114 ruts am aware time the site Must adhem to all state�-edlrne�rastan @Or&ol and water UaI4 And Zj pe foI�ivns
I; dual and Company
to 04064,7f 'Their dredge W4@tLf..,7j t fir;PbOtreTcaTed lovatloft
Chv"r.
Sign
"r* with k'M', Pfc4se PrOWdo:
ot p rCeVtot (County(ils)
ho Of prop._,�azc 2;taii site
ldCrrib'a , ;ed prop� soil site

r: � :.+.� .:({�� cap:y;,i:.c+•• t,'.S• .,�,H .. -.. ..�.;; :.,,?t,:A�iw';:�.:u?�•."--• Y•�;;.,� �.p..EK;^a. {r.. .... qY:��:n- "�t+a
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rs+ •.�i.�'v�JrX'.''vl',:�'t+�; '3:td��•- 1��s+. ,.y4�a ..:r ..:,}!• N3;.:.?±�'�'' .r.�.
000� BK 0 9 01 PG 1356 �+
2 OSA, =UM
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$150.00
Real Estate
Excise Tax
sxotse 4kx
FILED
IREDELL COUIITY
93 NOV 15 PH 3.- 13
BRENDA D. BELL
G!.'.l;1QTia nr 7. !:F•;�
Reeardlis 1101e, Book aid Pape
TaxLot No............ »...»......»._ ...................... ........ ........ .... ........ Parcel Identifier Na ..............
Verifiedby ..... .................... ..... »............... I ...... ....... ...... County on the . day of ...................... .... 19......,.,,»
by... ............................... _......................,.................................... ,........ ....... .................... ... ........... ...................... .... __ ..................... ......
NO TITLE OPINION itEti EM
114H after recording to ........... ...... I... ..................
.............._........ ...... ........... .... ................ ............... ............... .... ............... _
This instrumut was prepared by .. John_HcLairs Massayt, Attorney, , P.. O. Sox 122, Statesville, NC 28.687_
Brief description for the Index
NORTH CAROLINA GENERAL WARRANTY DEED
TRW DEED made this -JAO. day of .. November
GRANTOR
PAUL C. WAGNI:R and wife,
X41M R. WAGNER, of
Iredell County, North Carolina
, 19.93 , br and between
GRANTEE
WUGLAS ALLEN BASELINE, of
Iredell County, North Carolina
Mailing Address:
Route 5, cox 571
Statesville, NC 28677
fttar In appropriate black tar —b party- nW, addrem ai4 If approlriiatq character or milt. &% corporation or pastaeoMp.
The designation Greater and Grantee as used herein shall include said parties, their licks, successors, and aaslm and
shall include singular, plural. awseuline, feminine or neuter as required by conlest.
WITNESSETH. that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
aclmowiedge4 has and by those presents does Brant; bargain, sell and convey unto the Grantee is fee aimple, all that
certain lot or pareel of land situated in the City of NIA. Barringer Totvaahip,
. .. 1"dell Count}. North Carolina and more particularly described as follows:
BMG all of Lots No. Four (4) sled Five (5) of Troutman Bushum Pak as the same is platted, pleased and
recoaW in Plat Back 19. page 63, heM County Reglstfyr.
The above dtlscrl' W pmperty is being cored subject to tIM reshiCl%V covenants r000rbil in Book 86Z pw
1214 heM County Regtstfy.
ZZ C. tW Aaoe. foaalia 3 it -ere. as�+ee r tv77 - w.ram...sa. xs.a».n. n�..m,.a. c am„

'.v9s: Sxsr.{w«aewsnia" ^,x.:r�;' <�; •+« �.... i •.; •,...
BK0901 PG 1357
The property herainabovs described was acquired by Grantor by instrument recorded in .... .......... »....».._.. » .. __.....
A snap showing the above described property is recorded to Plat Book .................................. page. ............ ..........
TO HAVE AND TO HOLD the aforesaid lot or pared of land and all privileges and appurtenances thereto belonsfAg to
the Graales in foe simple.
And the Grantor covenants with the Grantee, that Grantor is seised of the premises in fee simple, bas the right to convey
the same in fee simple, that title is marketable and free and clear of all encumbravem and that Grantor will warrant and
deW the title against the lawful ciatme of sit persons whomsoever except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
Any and easements for public roads and utilities that may affect the premises and the
restrictions herein set out and referred to.
III wariq 3 wimaxot: tee cnnw tam neeeaoto met us band and seal. or u cavomte. Des cmand tbft indmmeat to bs za f6e
by pa dW7 stmatsrsd onken snd its seat to be h"o=to atnrza,dby ��s90wiftyy of us of Plneta 16SIC Vdar tts dry aaQ Yes !teat
(Cot W"" 2mmo Paau�ulff C. Wagner
sr:.»..-------- ------- —._..-----•--- ----- --- --- y __:!d .k. e�-------- »_tsuta
Martha R.
agner
----_---"--__-'-_:»----aesee+av tcoeyocats ties7) aG .............................................
._... -----..._.....-_----- - --- .-.CBXAU
YAWS caacuxA---»-IREDEfd---------- ---------Caanty.
(� l� A R p : %, t a bfotaey Four of the CoMW and state atoctsaW C"WY tut peli _rrr
:. 1Nartha Ems,.R°eYa.................... ....................»c:antaar.
a, 1! % 1 G: yeasonaftr appatsd Debuts one thta +say and aetna+rtedred We sucntfmn at ehe to:etotas tmteaotmt. tTttaw my
449
w'�. ` 7 Aattd snd otnxttl :tamp of seal oft.Am- daY of -i..'r'�
�y `yE2 ;^• cepeapu=......8-16�-9b
gy..___».._ A &-b91
saAL-STAMP tttntsn CABS. -------- ---------- -- ---- - ---.--county.
& a Navy Aawk of the COAaty Ana suet afotseats. "telly eat .---- --.»».- ----- �
VeMnaay cow bdon me u is *W and aeXuastsdte d flea -... hs H ...-.-•- -.seasaw of
;! ------- »------------ ------- ----- ..__»-.-- a !torts Caeonaa sospotutton. and au by AGOAaw duly
s'33 girm and As tDe eyes of the salva"nou. us lor"Oft bstrumtut on Apra In as atase by us -----..•»-
= AftlMwms4 sawn wUh ns corporate seal and aby--- ------- as Us ...._»....»..»--.. -» SeLre iat.
Wttntcf my nmd ad coda! scamp at esrd, MIS ....».dry of ri».......
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go bona.
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Tact Map Information
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{'
•PIN
4740775569.000
• Address
844 SOUTH MAIN ST
• Account
Acct77371963
• Tax Owner
HANELINE DOUGLAS ALLEN
• Mailing
3379 AMITY HILL RI)
Address
MAP FOR REFERENCE ONLY
•
STATESVILLE, NC 28677
NOT A LEGAL DOCUMENT
• GIS Owner
HANELINE DOUGLAS A
- Deed Into
90111356 - wD - 19931115
Iredel9 County, North Carolina makes no claims and no
• Tax Acres
0.8 AC
warranties, expressed or implued, concerning the validity or
Lot #
4
accuracy of the GIS data presented on this map.
• Description
TROUTMAN BUSINESS PARK P519-
Geometry updated 11115/2023
63
Daia apdazed 11I1412023
Zoning
GB
• Old Parcel #
1604FG4000AC04
• Bldg Value
$46.130
• OBXF Value
$4,380
• Land Value
$120,000
• Total Value
$170.510
• Defer Value
$0
• Tax Districts
-ALLCNTY FIRE- -
1" = 67.73184478249442 ft
u
Print map scale is approximate.
Critical layout or measurement
activities should not be done using
this resource.

DUKE ENERGY DIRECTIONS BY ROAD FORM
Lake Use Permit Applications and Contractors: Ease of locating a proposed project
site can have a big impact on permitting processing time. Please complete this form
and return it along with your completed application to:
DUKE ENERGY
C/O LAKE SERVICES — EC 12Q
526 SOUTH CHURCH STREET
CHARLOTTE, NC 28202
Applicant's Name: Haneline Disposal Area
Street Address (at lake):
Lake Name:
844 South Main Street
Subdivision Name: Troutman Business Park
Property Section: Lot #: Lot #4 & S
City: Troutman County:Iredell
State: NC Zip Code: 28166
Directions (from major road or highway):
From 1-77 NB, Exit 42, Left onto US-211South Main Street Troutman. The property is
on the left just beyond Flower House Loop.
Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobile home,
etc.) Building Lot.
Note: Please use the back of this form H desired to draw us a map to the site.

844 South Main Street Troutman, NC 28166
0 250 Soo
35.680180S-80-859925
7-
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Diamond
Detailing Irj
State Electric
SUPPIV Co.
Arby's
CRM v Deg v DMS Help
Decimal Degrees Latitude: 35-68018un
Decimal Degrees E-80--859925
Longitude:

THE INFORMATION CONTAINED IN THIS DRAWING IS THE SOLE PROPERTYOF LANCASTERS DOCKS, LIFTS SYSTEM INC.
ANY REPRODUCTION IN PART OR AS A WHOLEWITHOUT THE WRfTTEN PERMISSION OF LANCA STER S DOCK & LIFTS SYSTEM INC. IS PROHIBITED.
ALL DIMENSIONS USED IN THIS DRAWING ARE NOMINAL
ISSUE
01-D9-24
DRAWN BY
MA
CLIENT
Michael Vanwingerden Lancaster Custom Dock and Lifts
18213 Capstan Greens Load Cornilius, N.C.28031 1156 Perth Road Troutman
North Carolina
LO
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fQ

DUKE ENERGY DIRECTIONS BY ROAD FORM
Lake Use Permit Applications and Contractors: Ease of locating a proposed project
site can have a big impact on permitting processing time. Please complete this form
and return it along with your completed application to:
WJ L4
CIO LAKE SERVICES — EC 12Q
526 SOUTH CHURCH STREET
CHARLOTTE, NC 28202
Applicant's Name: Michael Van Wingerden
Street Address (at lake): 18213 Capstan Greens Road
Lake Name: Norman
Subdivision Name: The Peninsula
Property Section:
Lot #: Lot # 116
City: Cornelius County: Mecklenburg
State: NC Zip Code: 28031
Directions (from major road or highway):
From I-77 NB, Exit 28, Left onto West Catawba Ave. WB, Right onto Jetton Road, Left
onto Peninsula Club Drive, Left onto Lochharron Drive, Left onto Balmore Pines Drive,
Right onto Capstan Greens Rd., Property is on the left.
Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobile home,
etc.) Building Lot.
Note: Please use the back of this form if desired to draw us a map to the site.

18213 Capstan Greens Road, Cornelius NC 28031
0 250 500 ft
CRM • Deg ♦ DMS Help
Decimal Degrees Latitude: [3754766064
Decimal Degrees
Longitude:
1-80-908737

THE INFORMATION CONTAINED IN THIS DRAWING IS THE SOLE PROPERTY OF LANCASTER'S DOCK& LIFTS SYSTEM WC,
ANY REPRODUCTION IN PART OR AS A WHOLEWITHOUT THE WRITTEN PERMISSION OF LANCASTER'S DOCK & LIFTS SYSTEM WC. IS PROHIBITED.
ALL DIMENSIONS USED IN THIS DRA WING ARE NOMINAL
ISSur
01-0&24
DRAWN BY
M.H.
CLIENT
Michael Vanwingerden Lancaster Custom Dock and Lifts
18213 Capstan Greens Road Gornilius, N.C.2803i 1156 Perth Road Troutman
North Carolina

THE INFORMATION CONTAINED 1N THIS DRAWING 13 THE SOLE PROPERTY OF LANCASTERS DOCK& LIFTS SYSTEM INC.
ANY REPRODUCTION IN PART OR AS A WHOLEWITHOUT THE WRITTEN PERMISSION OF LANCASTER5 DOCK & LIFTS SYSTEM INC. IS PROHIBITED
ALL DIMENSIONS USED IN THIS DRAWING ARE NOMINAL
ISSUE
01-0324
DRAWN BY
M.H.
CLIENT
Michael Vanwingerden Lancaster Custom Dock and Lifts
18213 Capstan Greens Road Cornilius, N.C.28031 1156 Perth Road Troutman
North Carolina

THE INFORMATION CONTAINED IN THIS DRAWING IS THE SOLE PROPERTY OF LANCASTER'S DOCK& LIFTS SYSTEM INC.
ANY REPRODUCTION IN PART OR AS A WHOLE WITHOUT THE WRITTEN PERMISSION OF LANCASTER'S DOCK & LIFTS SYSTEM 1NC. IS PROHIBITED.
ALL DIMENSIONS USED IN THIS DRAWING ARE NOMINAL
96'-0'
4' 0'
62'-0"
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3'-0" La �
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D 155UE CLIENT
■ 01-09-24 Michael Vanwingerden
18213 Capstan Greens Road Lancaster Custom Dock and Lifts
DRAIYN BY Cornilius. N.C. 28031 1156 Perth Road Troutman
M.H. North Carolina
ai

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ME
ri

WAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project P
Owner:
Contract
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, 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, [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 1SA 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 Notification
I, I ✓" hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any 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 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: 1 3/ e-11'r

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 116 PLAN NO. PARCEL ID: 00161126
STREET ADDRESS: 18213 Capstan Greens Road
Cornelius, NC 28031
Please print:
Property Owner: Michael VanWingerden
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Donna P. Hrko
of
(Contractor / Agent)
Lancaster's Custom Dock and Lift Systems, Inc.
(Name of consulting firm)
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 Owner's Address (if different than property above):
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature Authorized Signature
Date: 1-31-24 Date: