Ryan Smalley - Shoreline Application

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
iSA 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.
RECEIVED
Date of Pre -filing Meeting Request: (required)
DWR ID p version (if applicable) MAR - 4 2024
DEQ-WATER RESOLMCM
401 & BUFFER PERMITTING
A. Applicant Information 115A NCAC 02H .0502(a)1
1. Owner
Name:
Mailing
Telephone Number:-]by-575-(N4�> Fax Number:
E-mail Address: Ry0.nS►nci.I lg T(Pho-k"clxL ,COeyi
DE QJ� North Carolina Department of Environmental Quality I Division of Water Resources
_ 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59/dots/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name:
Compar
Mailing
Telephone Number:
E-mail Address:
--Irl[r-,IV) fi7n NC 23b12
Fax Number:
B. Project Information [15A NCAC 02H .0502(a) & (b)l
1. Attach a vicinity map (i.e. street map) clearly showing the location of the property with
respect to local landmarks such as towns, rivers, and roads.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, buildings, retaining walls, docks, impervious surfaces, rip rap, excavation
or dredging below Full Pond/ Normal Water Level elevations, and construction access
corridors. You may use the diagram provided at the end of this application form.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (include a scale of
some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: ) i n Ct7) ✓1 Nearest Town: .L Y hye k-
Lake/ iver/ ocean adjacent to property: "O Y rtrn Gl r1
Property size (acres): % —1 —7
Subdivision name or site address (include phase/lot number): c d y mcco0 U-)1
1�\2vwe✓ K\C ?ND1 _ webbs
Directions to site - please include road names and numbers, landmarks, etc.: } w 4 ) (0 S OL
s s•
Latitude (in decimal degrees)Longitude (decimal degrees) —
S. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): rP S o a-A-\o- C
6. Describe proposed work (include discussion as to how hardening of shoreline has been cc
avoided, or why it is necessary): �? CG c� oY� 'Cl l L)c CL-"� /`" "ss-
FORM: SSGP 09-2020 Page 2 of 5

7. Will work be conducted from land? ❑ From waterX
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including alEVxcavatio , backfill, rip rap, retaining walls, etc.) in square feet:
impacts in square feet:
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
impacts (temporary clearing, construction corridor) in square feet:
10. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50
feet landward to be impacted (number of trees, for instance):
11. Signature
By signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true,
accurate, and complete to the best of my knowledge and belief
• The project proponent hereby requests that the certifying authority review and take action
on this CWA 401 certification re nest within the applicable reasonable period of time
Owner/A�ent's Signature [15A NCAC 02H .0502(f)1 Date
Agent's signature is valid only if an authorization letter from the owner is provided.
12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level
elevation
FORM: SSGP 09-2020 Page 3 of 5

Duke Energy Excavation Permit Application Form
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fees Security Deposit E_ Check# Date Recv'd Initials
Date of Duke Energy Lake Services, applicant and/or contractoron-site inspections Date _Initials_
Date Final Protection/Avoidance Area Markings Field - Verified Initials
Approved to Start Work By • : Date
(Prig) (Sign)
Date Completion Required Date of Any Approved Extension Initials
Date Passed Closeout Inspection' Initials
Any Stop Work Order, or SMG Violations'? (check one) MY= ONo(y Yes, explain in PART V)
Dale( 1tq�lilf6ak(all Pages, pW44- mkaftW edWNOie Enemy chaoaebjtldak to applicant
with Approval Letter and highlight any chaagm File copies of Approval and Closeout Checklis6 and any Stop Work
Part I. Applicant Information (Please Prim)
Name R\1C11 Telephone "1i1Li'S��J"I���
Email address: �� Ct �l �1V\Cl I I et-\ ®1 1 oiy"ci-� L cor -)
Lake Address
l`181I Shade i'Y1ecLablo
�erluer f'IC ; gKog2
Mailing Address (fdifferenfl
Contractor Company II-Q D V M 0
I rl v-e
L h
Contractor Contact Person �� 1 fV r�4 S'k Telephone �O`� "✓�0 �' DO`
Contractor Email Address: C i \Q IOpP
LAKE LOT INFORMATION
Lake (iOYMeMCounty I•InC�lrl City I eYI�J State MC -Tax Map No.
Subdivision
Lot / Section No. _�6_ Lot Size 11'�cres
Duke Energy Page 4 of 13
r. Excavation Program
rev 11/2221

Duke Energy 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 Jf�No (If Yes,
include name and mailing address below. ,X
Name:
Mailing Address:
Tax ID:
Are there any Co -Applicants'? (check one) OYes ❑No (If Yes, include names, streel
addresses orlot numbers, pier numbers, phone numbers, and email addresses in Part V —
Additional Information)
r 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
Initials (Duke Energy) _ (applicant/contractor)
Duke Energy Page 5 of 13 ror t �zzi
Excavation Program

Duke Ener¢v Excavation Permit Application Form
Part II. Descri tion of Project
A. Basic Informa ion
1. Type of excava ion: (check one) 'New excavation Maintenance excavation
2. Purpose of exci nation: (check one) oat Access Channel
❑ Water It take Channel ❑ Wastewater Discharge Channel
❑ Other (s -eciify):
3. Lake user catei try: (check one) #Wrivate ❑Residential Marina
❑Commer ial Marina ❑Public
❑Other (sl cify):
4. Max. Excavatic r Area Dimensions (ft): Length 12 G Width 1� Depth
(Note: include adc bonal area dimensions if necessary so res vane to #5 below equals max. area
dimensions in #4) Q p c o
5. Volume of Exc vated Material (TOTAL for the project): O o D 0 _Cubic yards
6. Type of materi, I removed (applicant determines byfield s7mple ifpracticall:
7. Excavation Site area. oobtq Acre (s) Disposal Site area: Ot U 2 g Acre
(s)
8. TotalDisturbec Area (including equipment staging area):__ 0 . C)5%Acre(s)
9. Does the projec meet the requirements of the applicable General Permit? (check one)
es ❑No
10. Do you claim itle to the disposal area? (check one) ElYes t?.lo
11. Do you claim itle to the equipment staging area? (check one) pYes ❑No
12. Arethere any vater-treatment facilities within 50 feet of the proposed excavation area?
(check one) ❑li ss �IV0
(If Yes, specify):_ ^^
13. How will the t ecavated material be entrapped and the erosion controlled? (e.g. see attached
erosion control ph u and disposal area design):
LOnc� PLc _ah by acAlry .
Duke Energy Page 6 of 13 rev I12221
Excavation Program

Duke Enerev Excavation Permit Apolication Form
14. Type(s) of ex( svation equipment to be used:
�OYS4nele' bocv-\
15. Will waters or wetlands ossed in transporting equipment to or from the site?
(check one) ❑Y ;s o
(Ifyes, explain) IT
16. Will return wa ar re-enter the reservoir? (Check one) CIYes l0 ON/A
I Yes, specify of t(s) of re-entry and show on Excavation Area Drawin // ``
17. Is there an exi ring facility (e.g. pier) that access is being maintained to by conducting the
excavation? OY :s ONo
(If Yes, provide the existing permit number. If No, include a; caled drawing of the proposed
facility). Permit # 8 S 1,-2
18. Total planned luration of the work (Include first equipment mobilization, excavation
through final miti€ vion measures complete):
START_FINISH__/�
(Me nth) (Year) (Month) (Year)
Duke Energy Page 7 of 13 rev i 62227
Excavation Program

Duke Enemy Excavation Permit Atlolicatioe Form
Part 11. (Continue4
B. Protection / Avoidance . rea Description
Complete the following tabb including all land areas within and immediately adjoit ing the disturbed area:
Pnitectloo/Avodana krimi
Aooms
Ideadnaltim
mctbw •)
Avoid 9Al or Ntiaam t.Ml
('he,* di MW oM )
Marshland. swamp, p mK bmefiaW
_a.
aqumc vegemm or Oder potent d weilads
/
amle all rhu
_h. Buffer Zones ispecirb Firkh & "tact
of regkl_N)
/
e Envininimm it Area; : identified by
Duke Energy
d. Natural Areas m idea tied by Duke
/
Energy
e. Historic properties(y cify)
L Rae m thraalaW spr ies(spe,*)
is Buned ga& waLLr, sn x,
--
cimmaoiatiansorelectric lines i i,de
Duke Energy Page g of 13 .11WZaH
Excavation Progtan

Duke Ener¢v Excavation Permit Applies ion Form
Proteetioo/Avotdanse eras
Appro.
Identif"fion
Avoid lAf or % ifit w (% l
Acre
yield ID
rk area Dw . ID
jJ
(.hack u11 that urp r
h. Impact Mimminnion .> as
identified Duke Energy
/
k Others requiring! mific
avoidanm, protection or mmgano (slvc'J,c')
/
* For "Field ID" column. x ify entity or person that performed the identitiicatio t and how it was physically marked (e.g. Duke
Energy (John Doe)fPink and iurple-dotted tape, Corps of Eng. (John Smithy yellow flagging). For -Work Area Dwg ID" column,
show the symbol that is used m the drawings to identify the protection/avoidance aria.
•• List and attach mitigatio plans
Duke Energy Page 9 of 13 iev u2mozi
I Xe Won Program

4
Duke Enernv Excavation Permit Aua ication Form
C. Applicant's Si e ratures
Comments:
Applicant Name (F rint)
Applicant Signatu e_ %;G/ Date
Gl
Co -Applicant Nan - (print)
Co -Applicant Sign .ture*
Co -Applicant Nam - (print)
Date
Co -Applicant Sign Lure* Date
Co -Applicant Nam , (print)
Co -Applicant Sign, ture* _ Date
Co -Applicant Nam (print)
Co -Applicant Sign: Lure*
Date
*Per my signature, t �e information provided in this application is correct to the best of my
knowledge.
Duke Energy Page 10 of 13 rev i tn_v2o2i
Excavation Program

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on er
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IGIPA L- l

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date �u-a'2-�—
TO: Duke Ener, ;y
c/o Lake Si rvices - EC 12Q
526 S. Chu -ch Street
Charlotte, I JC 28202
RE: Excavation For (Subdivision and Lot #'s or O er Prtgect Name)
,LISII ;hciac_A mecL�o� Jr, der OC Z `tZ
(Lake1Coui ty/City) r a" / t o Cp I h i e Yl e r
(Applicant's full n rme) L Q n S rqp 1 .e_ hereby agrees to comply with all
recommendations, requiremen s and/or conditions of Duke Energy, General Permit(s) (if
applicable) and otl ,er federal, state and local a ency requirements pertaining to the application to
excavate for the pt rpose of a EO C CQ SS
In addition, Uwe 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 wr tten authorization must be obtained from Duke Energy prior to beginning any
activity within the Federal Energy Regulatory Commission (17ERC) 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 E.pplication and within eighteen (18)
months from the d ite of written approval by Duke Energy, u iless specifically noted otherwise in
the application or i nless Uwe obtain approval for a single, time extension (maximum of one year)
in writing from Di ke Energy. 1/we understand that if the SNIP or other applicable guidelines or
rules change duri tg any extension period, 1/we will be expected to comply with the new
requirements to th , maximum extent practicable. Uwe also rt cognize that failure to complete the
excavation within his build -out period will require the filing .:)fa new application within the then -
current SMP or of ter applicable guidelines and the new app ication must include any applicable
fees and security d :posits.
Uwe attest to be & owner(s) or lease holder(s) of the land immediately adjoining the Project
Boundary where d e excavation activity is to take place, or if not the owner or lease holder, Uwe
have included pro( f of title to the property and written author ization from the owner(s) or lease
holder(s) to carry ( ut the proposal within the Project Boundary adjacent to their land.
1/we attest to be th• owner(s) or lease holder(s) of the land that will be used for equipment
staging and dispos d of excavated material or if not the owner or lease holder, 11we have included
proof of title to tht property and written authorization from the owner(s) or lease holder(s) to
carry out the work on their land.
mks F y, Page 1 �-, 4 &2.xu

Uwe understand th it all excavation work must be done direct y in front of my/our property and as
specified in Duke inergy's approval. Uwe also understand that access channels must run
perpendicular to tt a shoreline while within the third of the ccve area that is nearest my/our
property.
Uwe understand th d for proposed excavations, Uwe must not fy 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 authorizati. in and/or other permits may be required b} some of these agencies and such
required authorizai ions must be obtained before Uwe submit :he final application to Duke
Energy.
At FERC-licensed reservoirs, I/we understand that except for maintenance excavations, any
excavation exceed ng 2000 cubic yards of material removed or any excavation or shoreline
stabilization work ;ceded to support an application that requi -es FERC review does itself require
specific review ant approval by the FERC before Duke Energy can issue any approvals.
1/we agree that unl. ss specifically approved otherwise in the tpplication, explosives will not be
used as part of this excavation activity.
I/we understand th, t every reasonable effort must be made to minimize any adverse impact on
fish, wildlife and o her natural resources.
I/we understand th, t applicants in South Carolina proposing excavations that are not covered
under the General. 'ermit, or are greater than 150 cubic yards. must receive prior written
authorization from the South Carolina Department of Health wind Environmental Control
(SCDHEC) or the; JS Army Corps of Engineers (as applicabw) before submitting the completed
application to Duki Energy.
I/we agree that exc ovation activities will not occur during the months of March, April, May and
June because of th; potential impacts to fish spawning areas.
I/we understand th; t trees and vegetation growing within or adjoining the lake play an important
role in its overall a rvironmental condition, and the ecological benefit the vegetation has on fish
and wildlife habita directly supports a sound and healthy lake environment. Uwe also understand
that unauthorized r !moval of shoreline vegetation (e.g. button bushes, willows, cattails, etc.)
and/or disturbance >f the shoreline buffer may result in suspension or denial of lake use
permitting request' forfeiture of security deposits and require re-establishment of vegetation at
my/our expense, pa ocularly if the disturbance is found to be n violation of state or local
ordinances or imps ;ts FERC project buffers.
Uwe agree all exca• ated material will be placed in upland areas, landward of the Project
Boundary, and con ined to prevent erosion and sedimentation back into the lake or nearby
streams.
rns E�.- Page 2 n ,. a67um

11we agree to adeq lately stabilize all excavated material and ;ill disturbed shoreline to prevent
erosion and runoff into the lake.
Uwe understand th it the double handling of excavated material will not be allowed; therefore, all
excavated material must be placed above the Project Boundary in one handling.
Uwe have design( the hydraulic excavation process (ifany will be urea so that return water re-
enters the lake in ti to same general vicinity and cove as the excavation, to the maximum extent
practicable.
Uwe agree that the oroposed excavation will not be for the purpose of creating additional
shoreline, will not titer the Project Boundary or the full pond contour, and will not impact
threatened or enda igered species, historic properties, or envitonmentally-important areas, unless
special public entii ✓ provisions were made in the application.
Five recognize thal it is my/our responsibility to clearly locate in the field and label on my/our
work area drawing • any areas that require specific protection or avoidance during this excavation
work. Examples o *these protection/avoidance areas include gut are not limited to, any
Environmental Art as, Natural Areas or Impact Minimization Zones as identified by Duke
Energy; jurisdictio ial wetlands; historic properties; rare or threatened species; and buried gas,
water, sewer, elect is or communications lines. 11we agree to )rovide my/our contractor with a
copy of these work area drawings showing these areas to stre!s the necessary protection
measures.
Uwe agree that if y archaeological resources (e.g. pottery stards, Indian artifacts, etc.) are
discovered during r he excavation, work shall be halted immediately. Uwe will then notify Duke
Energy and the Sta a Historic Preservation Office to determine what measures, if any, Uwe must
pursue to protect of salvage the archaeological resources.
11we agree that any excavation from within the Project Boundary will not exceed the volume as
outlined in the app ication and will remove and disturb only what is absolutely necessary to
achieve the project s stated purpose.
1/we agree to be fully responsible for the permitted lake use and Uwe understand that this
responsibility is co esidered to transfer automatically along with ownership and leases of the
adjoining tract.
Uwe understand Dt ke Energy representatives may issue Stop Work Directives for violations of
the SMP or other a iplicable guidelines and other consequences may result from such violations,
including but not li nited to suspension or cancellation of approved permits, increases in fees,
modification or ren oval of noncomplying structures and restoration of disturbed areas at my/our
own expense or los ; of any consideration for future lake use permits. Uwe agree to immediately
comply with any S op 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.
we«, Page 3 n�,.uamm

Uwe agree to deve ap any required mitigation plans and to complete any required mitigation
activities at mylou, own expense within the specified time fr mes. Ave recognize that the
excavation work i� not considered complete and deposits wil not be refunded until the
mitigation require) tents (if any) have been satisfactorily fulfilled.
Ave agree to notif Duke Energy by phone when th(
during the excavat on period, Ilwe will Post Duke Er
ba at t thelob site : nd visible from the water's edge.
Ilwe agree to notif' Duke Energy in writing when the excava:ion is completed (including any
required mitigatior measures) and that the excavation was completed per the approved
application, so a cl )se -out inspection can be performed.
Uwe recognize sec Irity deposits will not be refunded if any v olations of the SMP, other
applicable guidelir -s, or this user's agreement occur.
Uwe understand thi re will be no change in hydro project operations as a result of the excavation
and/or utilization c rthe excavated area.
IAve agree to main ain the work area in a safe condition and to fully indemnify and save Duke
Energy harmless fi )m any and all claims, liability, loss or damage that may arise from this
excavation project.
Uwe understand th, t this user's agreement does not, in any way, constitute the transfer of any
rights in real prope ty and that mylour use and enjoyment of rERC project and Duke Energy
lands and waters sl all not hinder the general public's lawful use and enjoyment of the same.
Sincerely,
IJ
Applicants Nam : (Punt) Applicant's Sigirlittire
Co -Applicant's t ame (Prim)
Co -Applicant's t ame (Print)
Co -Applicant's t ame (Print)
Co -Applicant's tame (Print)
Co -Applicant's Signature
Co -Applicant's Signature
Co -Applicant's signature
Co -Applicant's Signature
o Page 4 u,- V&=,

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address:,
Owner:
Print
Contractor/agent:
f
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 NCA : 02B .0243(8)]
Trees are not allowed tc be removed from Zone 1 of the Buffer (wi:hin 30 ft of the full pond elevation), unless
approved. Exception, the se trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and slo eing along the immediate shoreline is allowed. [15A NCAC 02B .0243(6)]
Benching and grading in :he buffer is not allowed. Excessive disturbance of ground cover. 115A NCAC 028.0243
(6)]
Beaches, impervious pat )s, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. There ai a limitation on size for decks. [15A NCAC 028 .0243(4) and (6)]
Work to be conducted fr :)m land must indicate an access and Indic3te any trees that are to be removed. The
work corridor should be iescribed. 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 )iped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at th a natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. [35A NCAC 02B .0243(5), (6)]
Acknowledgement ofNc tijicotion
I, C\ t l t 4? hereby state that I tave been informed of the Catawba
Riparian Buffer Rule. Am work cond cted in the buffer, not specific311y 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 const -uction will be built within substantial com 3liance and intent of the 401 Water
Quality Certification and Suffer Rules, the approved plan(s) and specification(s), and other supporting
materials.
Date
Signature (owner

AGENT AUTHORIZATION :ORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
STREET ADDRESS
AAD`DRESS
TR
'l/C_�rive Y-
Please print:
Property Owner:
Property Owner: _
PLAN NO. PARCEL ID: fy zk
The undersigned, egistered property owners of the above noted property, do hereby authorize
of Lo. ke d r (y) a n �rec�Ji v��q
(Contractor / Age t) (Name of consutfing firm)
to act on my beha f and take all actions necessary for the processing, issuance and acceptance of
this permit or cert 5cation and any and all standard and special conditions attached.
Property Owner's, bdress (if different than property above):
Telephone: L I- S- 5- I H Li 3
We hereby certify he above information submitted in this application is true and accurate to the
best of our knowie dge.
Au zed Signatt re
Date:
' b 23

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NOTE I DUKE POWER COMPANY TO CRESCENT
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RECREATION LOTS
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SECTION 37
11
LOTS 30, 32 9 33, 35-37, 39 8 40, 9 43 — 48
LOT 48
Be KS.02'F-BO.AO'
CATAWBA SPRINGS TOWNSHIP
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LOT SO ui 1 6j5 yA
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='1
FRANK P. BROTHERTON
REF. MTN. ISLAND DWO. ND 745
C.-F. 37-F

BK 3285 PG 455 - 457 (3) DOC# 673490
This Document eRecorded: 10/26/2023 01:21:58 PM
Fee: $26.00 DocType: DEED Tax: $1,750.00
Lincoln County, North Carolina
Danny R. Hester, Register of Deeds
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax:
$1,750.00
Parcel ID:
72821
Mait/Box to:
Law Firm Carolinas, 1927 S. Tryon Street, Suite 100, Charlotte, NC 28203
Prepared by:
Law Firm Carolinas, 1927 S. Tryon Street, Suite 100, Charlotte, NC 28203, DELINQUENT TAXES, IF ANY,
TO BE PAID BY THE CLOSING ATTORNEY TO THE COUNTY TAX COLLECTOR UPON
DISBURSEMENT OF CLOSING PROCEEDS.
Brief description
for the index:
THIS GENERAL WARRANTY DEED ("Deed") is made on the 26th day of October, 2023, by and between:
GRANTOR
IGRANTEE
Mitchell D Sherrill and spouse, Beneta Abernethy Sherrill
I Ryan 7 Smalley and spouse, Emily Allyn Sample
4418 Wentz Rd
Mailing & Property address:
Blowing Rock, NC 28605
4811 Shady Meadow Lane
Denver, NC 28037
Enter in the appropriate block for each Grantor and Grantee their name, mailing address, and, if appropriate, state of organization
and character of entity, e.g. North Carolina or other corporation, LLC, or partnership. Grantor and Grantee includes the above
parties and their respective heirs, successors, and assigns, whether singular, plural, masculine, feminine or neuter, as required by
context.
FOR VALUABLE CONSIDERATION paid by Grantee, the receipt and legal sufficiency of which is acknowledged, Grantor by this
Deed does hereby grant, bargain, sell and convey to Grantee, in fee simple, all that certain lot, parcel of land or condominium unit in
the City of Denver, Lincoln County, North Carolina and more particularly described as follows (the "Property"):
See attached Exhibit "A" incorporated herein by reference.
All or a portion of the Property was acquired by Grantor by instrument recorded in Book 1626 Page 43,
All or a portion of the Property 0 includes or a does not include the primary residence of a Grantor.
NC Bar Association Real Property Section Form No. 3 ® Revised 02l2021
Printed by Agreement with the NC Bar Association
submitted electronically by "Black, Slaughter & Black, PA"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Lincoln County Register of Deeds.

bK 6ZOO k'U 400
A map showing the Property is recorded in Book Page
UUI.?f b / 34VU
TO HAVE AND TO HOLD the Property and all privileges and appurtenances thereto belonging to Grantee in fee simple. Grantor
covenants with Grantee that Grantor is seized of the Property in fee simple, Grantor has the right to convey the Property in fee simple,
title to the Property is marketable and free and clear of all encumbrances, and Grantor shall warrant and defend the title against the
lawful claims of all persons whomsoever, other than the following exceptions:
IN WITNESS WHEREOF, the Grantor has duly executed this North Carolina General Warranty Deed, if an entity by its duly
authorized representative.
Name:
Name:
STATE OF
Entity Name
By: _
Name:
Title:
By: _
Name:
Title:
I, a Notary of the above state and county, certify that the following person(s)
perso y appeared be ore me on the -- �9 4 f _ , 20 �3 each acknowledging to
me Mhe/she/they signed the foregoing document, in the capacity represented and identified therein (if any):
Mitchell D Sherrill and Beneta Abernethy Sherrill
tr Affix Notary Seal/Starnp
41
n
NC Bar Association Real Property Section Form No. 3 ® Revised 022021
Printed by Agreement with the NC Bar Association
Ptilihic'(0flicittl Signatufe
M commission expires:

br\ OZOO rV 401 UUU7T b / 34yU
EXHIBIT A
All that certain tract of land containing 0.808 acre, bounded on the northeast by a thirty foot road right-of-way;
on the South by lands of Chris Couteller and wife, Lisa Couteller; on the West by Duke Power Company's
Cowans Hydroelectric Project (Lake Norman); and on the northwest by lands of Venice L. Smithers and wife,
Helen L. Smithers, as shown on plat of survey dated March 6, 1997, marked request No. 91526, a copy of
which is attached to Deed Recorded In Book 995, Page 322, Lincoln County Public Registry.

A
TO WHOM IT MAY CONCERN:
SAMUEL GOODSON GIVES AUTHORIZATION TO SHANNON MILLER WITH LAKE NORMAN DREDGING &
MARINE CONSTRCTION TO USE PROPERTY LOCATED AT 6790 KIDVILLE RD, DENVER NC 28037 FOR
DREDGE MATERIAL DISPOSAL SITE.
PARCEL NUMBER- a 3694021277
SAMUEL GOODSON

oaoK 2337PAGE 730 ouszss
Filed
Date: _August 282O12 __ Pgs:
Time: 2.06 PM Recording Fees
Book: 2337 $26.00
Page: 730
Danny R. Hester
Register of Deeds
Lincoln County, NC
2337 0730 201209253 DEED
iiiii I IIIIiNI NIIN IiIIAIillill
Prepared by: Richard E. Jonas, Attorney at Law, Lincolnton, NC
✓ After recording mail to: Grantee
2G(4)
STATE OF NORTH CAROLINA
WARRANTY DEED
COUNTY OF LINCOLN
Deed of Gift
This deed made this at' day of LZ" �! . 2012 by and between
KATHLEEN GOODSON FISHER, FKA KATHLEEN GOODSON
hereinafter referred to as "Grantor' and
SAMUELTHOMAS GOODSON
Address: 6790 �t'coi -4
a,00 �-an -A 6 ;z ifa 3 7
hereinafter referred to as "Grantee"
The designation "Grantor and Grantee" as used herein shall include said parties, their heirs,
personal representatives, successors and assigns and shall include the singular, plural, masculine,
feminine or neuter as required by the context.

o me 2337PAGE 731
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 Catawba Springs Township,
Lincoln County, N. C. and more particularly described as follows
All of Tax Parcel 34700 being all of the Keith Goodson heirs property on the
southwestern side of Kidville Road, the same being property described in deed
recorded Book 379, Page 381, Book 512, Page 573 and Book 603, Page 70, to which
deed reference is made for further description which is incorporated herein by this
reference.
See also Exhibit A for further deed description.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereunto belonging to the said 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 except for the exceptions hereinafter stated. Title to the property hereinabove
described is subject to the following exceptions',
Valid and enforceable reservations, restrictions, conditions, easements and rights -of -ways in
the record chain of title.
The draftsman of this deed did not examine or certify title and did not participate in the closing
of this transaction
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, the day and year
first above written.
Kathleen Goodson Fisher

BOOK 2337PAGE I34
NORTH CAROLINA,
COUNTY OF LINCOLN
I, a Notary Public for said County and State do hereby certify that Kathleen Goodson Fisher
personally appeared before me this day and acknowledged the due execution of the foregoing
instrument.
Witness my hand and Notarial Seal,
2012.
My Commission Expires: li —l3—fY
this the a? S1- day /of
L �
Notary Public

Bou 2337PAGE 733
Parcel34700
6792 Kidville Road
TRACT 1: BEGINNING at a stake on West side of a branch in Susan Keever's line, and
runs North 65 '/z deg. East 93 poles to a white oak; thence North 3 deg. East 47 % poles
to a stone; thence North 25 deg. East 45-7/8 poles to a stone on West side of
Lincolnton Road; thence North 9 deg. West 22 poles to a stone; thence North 62 '/4 deg.
West 6-3/5 poles to a stone; thence South 16 deg. West 8 Y. poles to a stone; thence
North 78'/2 deg. West-1 1-1/5 poles to a stone; thence South 86 'h deg. West 29 '%
poles to a stake in the Road; thence South 81-3/4 deg. West 29 poles to a stake in the
Road; thence South 44 deg. West 37 poles to a dogwood near a branch; thence South
72 deg. West 22 poles to a cedar; thence South 66 deg. West 46 poles to a stake in the
branch; thence, down the branch as it meanders, to the beginning, being about 99'/2
poles, containing 85 acres, more or less.
Deed Reference: Book 379, Page 381.
TRACT 2: BEGINNING at an iron stake, a new comer on the old line of C.A. Keever
and also corner of the property of Keith Goodson, and runs thence with Keith
Goodson's old line, South 89 deg. 10 min. 24 sec. East 482.63 feet to an iron stake,
Keith Goodson's old corner, thence North 1 deg. 34 min. 21 sec. East 69.25 feet to an
iron stake a new corner in the old line at the edge of the right of way of State Road No.
1381, thence three (3) new lines with the lands of C.A. Keever, South 41 deg. 58 min.
17 sec. West 32.85 feet to an iron stake, thence, South 64 deg. 24 min. 18 sec. West
29.52 feet to an iron stake, thence South 86 deg. 42 min. 23 sec. West 436.61 feet to
the point of BEGINNING, containing 0.20 acres more or less.
Deed Reference: Book 603, Page 70.
TRACT 3: BEGINNING at a point in the center of N.C. Highway #1381, new corner in
the old A.B. Keever line, and runs thence with the center of the highway South 32 deg.
10 min. East 183.5 feet to a point in the center of the highway (which said corner is
located North 78 deg. 30 min. West 27.4 feet from an old control comer), and runs
thence with other lands of Goodson North 78 deg. 30 min. West 122.5 feet to an old
corner; thence with property of A.B. Keever North 2 deg. 45 min. West 109.8 feet to the
BEGINNING.
Deed Reference: Book 512, Page 573

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