HomeMy WebLinkAbout20240411 Ver 1_More info receivedDuke 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. r
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 11/2=1
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 ofArchaeology 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 11=1
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 Energy Excavation Permit Application Form
FOR DUKE
Duke File
Application Fee $ Security Deposit $ Check 4 Date Recv'd Initials
Date of Duke Energy Lake Services, applicant and/or contractor on -site inspections Date`s EL_t' {, Initials t i�i'✓�r
Date Final Protection/Avoidance Area Markings Field - Verified
Approved to Start Work By * :
Date Completion Required
Date Passed Closeout Inspection*
(Prins)
Date of Any Approved Extension
Initials
Initials
Initials
Any Stop Work Orders or SMG Violations*? (check one) OYes ONo (If Yes, explain in PART V)
Date
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
Part I.�QAppli'cant Information (Please Print)
Name I)CL1/j �O X Telephone %04'ZOI - 5Z5%
Email address: b P_C V)\l a, )X (E� p 1M( l 1. C 0 w)
Lake i dress ,
��oYesvllle. NC 2�311-T
Contractor Company
Mailing Address (if different)
Contractor Contact Person NY Y-)n ? 4 ct ) O Telephone '3D I - &Zjq "CpD9b
Contractor Email Address:
NE
LAKE LOT INFORMATION
plt,
Lake Nor ryta County rPA P I I City r vl l State N C- Tax Map No.4i,E�71co
Subdivision L (y ieNl2W Par K Lot / Section No. 14 Lot Size AoAcres
Duke Energy Page 4 of 13 rev 1122/21
Excavation Program
i , r
AM
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 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) .L Yes ONo (If Yes,
include name and mailing' address, Ibelow. ,1
Name: I ay-ayS� L lr JO i ) l, Tax ID: 510 —1q3 � q44
Mailing Address:
Are there any Co -Applicants*? (check one) ❑Yes )3�o (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
--
Initials (Duke Energy) °.�'��- � I (applicant/contractor)
Duke Energy Page 5 of 13 rev 1122/21
Excavation Program
Duke Enerav Excavation Permit Application Form
Part II. Description of Project
A. Basic Information
1. Type of excavation: (check one) blew excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) ❑ Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel 1
0Other(specify):'R.eMcN&Baclh�ill 5-o✓Yl Fro'lec+ bomnCl0.Yy
Lake user category: (check one) .01�rivate ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (specify):
4. Max. Excavation Area Dimensions (ft): Length 14-y ` Width 7, I Depth �2
(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): / (00 Cubic yards
6. Type of material removed (applicant determines b field sample i ractica :
d s, l-�
7. Excavation Site area: Acre (s) Disposal Site area: 07 Acre
(s)
8. Total Disturbed Area (including equipment staging area): /,�- — Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
Oyes ❑No
10. Do you claim title to the disposal area? (check one) ❑Yes ,CNo
11. Do you claim title to the equipment staging area? (check one) ❑Yes E No
12. Are there any water-treatme facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes =o
(If Yes, spec fy):
13. How will the excavated material be entrapped and the erosion controlled? (e.g. see attached
erosion control elan and disposal area desien):
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Duke Energy
Page 6 of 13
rev 11/22/21
Excavation Program
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Duke Energv Excavation Permit AnDlication Form
14. Type(s) of excavation equipment to be used:
ages, clump -Irudl '5' 10VI read) e CaVa'iV ^
Sh o c v-+- 1r-eah eY CoLV q-}Dv bob Cat
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) gYes ❑No
(If yes, explain)
TJvec- lani-
�
LAV Cus-�awNocS'O ce 464-c3v n UM
0-r-ro5s L4Ke 'rah
+D Aro eC} locre4 or1.
16. Will return water re-enter the reservoir? (Check one) ❑Yes ❑No */A
I Yes, s ect oint(s) ojre-ent7y 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 J�No
(If Yes, provide the existingpermit number. If No, include a scaled drawing of the proposed
y facility). Permit# &j
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measurej complete):
START / FINISH _z9j
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 13 rev 112221
Excavation Program
Duke Ener¢y Excavation Permit Application Form
Part II. (Continued)
B. Protection / Avoidance Area Description
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas
Aoprox
Identification
Method *
Avoid (A) or Mitigate (M)
Acre
Field ID
Work Area Dw . ID
S *1
(check all that apply)
a. Marshland, swamp, ponds, beneficial
aquatic vegetation or other potential wetlands
�/�
circle all that apply)
b. Buffer Zones (specify width & source
of requirement)
6xcava}iov� w.l ! be aCCo atphIte a
t-]titon F,Shor-Freac%exC¢v%
loaded; C $¢ r
kctccmP
gqegg4r!dirrki rtedt I
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hlt',tJri Inalonio'arutt
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c. Environmental Areas as identified by
Duke Energy
d. Natural Areas as identified by Duke
Energy
e. Historic properties (sped)
^^ //
A/A
f. Rare or threatened species (specify)
q
g. Buried gas, water, sewer,
/
communications or electric lines circle
Duke Energy Page 8 of 13 rev 11/22/2021
Excavation Program
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Duke Enemy Excavation Permit Application Form
Protection/Avoidance Areas
(check all that apply)
Approx
Identification
Method (x)
Avoid (A) or Mitigate (M)
Acre
Field ID
Work Area Dw . ID
h. Impact Minimization Zones as
identified b Duke EnergyV
n //�
i. Odier areas requiring specific
avoidance, protection or mitigation (specify)
,t //A-
* For "Field ID" column, specify entity or person that performed the identification and how it was physically marked (e.g. Duke
Energy (John Doe)/Pink and purple -dotted tape, Corps of Eng. (John Smith)/ yellow flagging). For "Work Area Dwg ID" column,
show the symbol that is used on the drawings to identify the protection/avoidance area.
* * List and attach mitigation plans
Duke Energy Page 9 of 13 rev 11/=021
Excavation Program
Duke Ener¢y Excavation Permit Application Form
C. Applicant's Signatures
Comments:
Applicant Name (pri
Applicant Signature
nt) r
* Date 5 -Zn z4-
/
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 1122/2021
Excavation Program
Duke Energy Excavation Permit Auulication Form
Part M. 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 muumum, 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 Ulan. 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 reporting form 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 I 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 Applicant Response
A enc 1
The activityis a roved as proposed.
NA
Agency 2
The on -site well provides drinking water to the
Contacted Mr. Smith on 1/l/20xx. No
public. Please contact 1&. 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.
I construction
Agency 3
Requested agency comments on 1/l/20xx and
NA
again on 2/1/20xx. No response as of
2/16/20xx.
Agenc
y 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 Agencv Permits and Certifications Table
Agency
Permit/Certification Name
Date of
Date of
bsuance
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=021
Excavation Program
Duke Enern Excavation Permit Apulication 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 I).
Duke Energy Page 13 of 13 rev 11/2=021
Excavation Program
0 ..do%
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Doc ID:
Recorded: 81%0$/2o0050atii
Te: CRP
Fee Amt: $i.3i7,p0 pale 1 of :02 AM
Exclss Tax: $1.300,o0
Iredell county, kc
Brenda D, 8e11 Register of Deeds
1BK 1613 F49 7-1 QQ
9 V
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $1300.00
Parcel Identifier No.
By:
�,erificd by
County on the day of
, 20_
Mall/Box to: WILFORD V.
WEST, IV
618 N. MAIN STREET
MOORESVILLE, NC 28115
This instrument was prepared by:
LAW OFFICE
OF WILFORD V. WEST,
IV
Brief description for the Index:
Lot 149 LAKEVIEW PARK S/D
THIS DEED made this 29th
GRANTOR
JAMES OSCAR HENSLEY, JR. AND WIFE
EMOGENE V. HENSLEY
day of December 20 04by and between
GRAN*rEF.
LANCE FOX AND WIFE BECKY FOX
371 CAM?NO REAL ROAD
MOORESVILLE, NC 28117
Enter in appropriate block for each party: name, 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 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:
BEING all of Lot 142 LAKEVIEW PARK SUBDIVISION, as shown_ on plat thereof on file
in Plat Book 7, Page 5, Iredell County Registry.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 599 page 432
A map showing the above described property is recorded in Plat Book 7 page 5
NC Bar Association Form No. 3 0 1976, Revised it 1977, 2002 * James Williams & Co., Inc.
Printed by Agreement with the NC Bar Association - 1981 www.JamcsWilliams.com
J 9�*'
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:
AD VALOREM TAXES; ANY RESTRICTIONS, EASEMENTS AND RIGHTS OF ktAY OF RECORD.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
(SEAL)
(Entity Name) dJAMES OSCAR HE)\SLEY, JR.
40
(SEAL)
By. 0 EMOGENE . HENSLEY
Title: x
z
By: (SEAL}
Title: Q
.a
m
By: W (SEAL)
Title:
,`\`0%111 11/1' State of North Carolina - County of IREDELL
1 z
� �� ' ' . ' ' ��'4 �x I, the undersigned Notary Public of the County and State aforesaid, ce tha J �'• SCAR
ARY .O `z HENSLE TR. AND EMO ENE V . HENSLEY nally be f me this day and
t j ; �0 V
PU I(; acknowledged the due execution of the fbregoingWentfborrA t rein d. Wi y
• � , Exp• hand and Notarial stamp or seal this day De _ 2CO4.
•f( —
A211-05 �. 2�; ccm
%� ' • . � w My Comission Expires: 12 / 11 / OS
14C'" �` = ota-;ivb<c
State of North Carolina - County of
y, 1, the undersigned Notary Public of the County and State aforesaid, certify that
-a personally came before me this day and
0 acknowledged that he is the of
za North Carolina or corporationtlimited liability company/general partnership/limited
g partnership (strike through the inapplicable), and that by authority duly given and as the act of each entity,
U he signed the forgoing instrument in its name on its behalf as its act and deed. Witness my hand and
o.a Notarial stamp or seal this day of , 20
My Commission Expires:
Notary Public
J State of North Carolina - County of
z
1, the undersigned Notary Public of the County and State aforesaid, certify that
UWitness my hand and Notarial stamp or seal this day of , 20`.
My Commission Expires:
Notary Public
The foregoing Certificate(s) of
This ' ment and this certificatea duly regist t the date and time and in the Book and Page shown on the first page hereof.
Register of Deeds for a&tlC. County
g Deputy/Asswwt - Register of Deeds
is/are certified to be correct.
NC Bar Association Form No. 3 0 1976, Revised z' 1977, 2002 * James Williams & Co.. Inc.
Printed by Agreement with the NC Bar Association - 1981 www.JamesWilliains.com
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ENG[NEERING•SURVEYING•PLANNING
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JORDAN GRANT &ASSOCIATES. PLLC
P.O. BOX 151 • STATESVILLE, NC 28887
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Proposed
(Plan View)
Full Pond/ Normal V
Shoreline
La ke
(At Full Pond/ Normal Water L
t-o 1 �Gv
wry p.�Ghho
Conte i����r
c9
Lake
(At Full Food/ Normal Water Level)
Existing Dock
30 ft. 7 ft
3 ff x 350 ff
Belm full pond/ NWL
Full Pond/ Normal Waterer
ror�ellne _
Riprap
aM=ft
Above full pond/ NWL
l ft.. 350 N.
addblonal clearing
• if neeeeeary
E
AMPLE
Plan View
x ► 43' _ �435�
Proposed
(Side View)
La ke z
(At Full Pond/ Normal Water Level) 0 v
0)
a� v
0
i7 7 L
3 ft. below full pond water level A ft. above lull pond water lowl •if nxessary
Existing bank
10h(et.Bbank �Koea
1886
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MNL(iW@jwtleRgmtmn (ID1)!
FIRM # PA227
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 INC. IS PROHIBITED.
ALL DIMENSIONS USED IN THIS DRAWING ARE NOMINAL
I
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ISSUE
12 06 23 CLIENT
O Becky and Lance Fox
DRAWN BY 371 Camino Real Road
M.H. Mooresville, N.C. 28117
Lancaster Custom Dock and Lifts
1156 Perth Road Troutman
North Carolina
i'
e.. a _ .I s. •e.
Project Name
�t t lton�di
Parcel #: _I!t
Parcel/lot size
Disposal area required (cq !t end/or acreage)
re l
an rules regaking sediment and co rol and a that the site must adhere to all state r
q ri• d glv perm foregulations
Individual and Compa�arooslon
iO o"si ose O` their dredge material at the above stated location
t r
IIate s s�f, Sagna ure
A:crC •whh f, rm 1:�L,;,•' provide:
:aerie: cl t,3-ce!/ict (County GIS)
pi of proposed spoil site
Identified proposed 'poll site
i:tiooM
•;�i��:�J ��t ���}1 t1��5G tit
84g tw+h (Lo+s 4 5�
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d :t Wr•:� ♦ti"...'::;,:•'^�i:tj':•1'••r:'�' • �.••HY fG •_1'r}�riin-:.•.t•:•.hJ••k.•..:; As'.ts: v.• �Z: •'�f.
flo0� p g 0! PG 1356 �►
ZUDMI . GMUM
STATE OF
u-ss-w
$150.88
Real Estate
Excise Tax
Tax
FILED
IREDELL COUNTY
931101115 PH 3: 13
BRUN D. BELL
Recorau a Tuft Boots sad page
TaxLot No...................................................................................... Parcel Identifter No............... . ..- .... .................
.......................
Verified by .«...:..................... ^Y
............................... County on the . ....... day of ........................................ 18. .........
by.................................................................................................. ..................«........«.
No TIT" OPMON >tBMEM
Mail after recordlrtg to ............................................................................................
................................................................................. ....................... .................«
This instrument. was prepared by .. Jo11a• McLain Massgq, Attorney,; • P.•„O. Box I22, Statesville, NC 28687
_ ......... .. ... ..... ....
Brief description for the Index
NORTH CAROLINA GENERAL WARRANTY DEED
T8i8 DEED made this ..lOth day of .. November , is 93 . by and between
GRANTOR
PAUL C. WAGNER and wife,
HARM R. WAGNER, of
Iredell;, County, North Carolina
GRAD TEE
DOUGLAS ALLEN RAMME, of
Iredell County, North Carolina
Dialling Address:
Route 5, Box 571
Statesville, NC 28677
84 is 89Pop:4te bb a tar mb guy►: —nm address and. 9 appOPUIP, character of enuW. e4. alrgatat% A
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and a signs, and
shall include singular, plural. masculine, feminine or neuter as required by context.
WITNB8SETH. that the Grantor. for a valuable consideration paid by the Grantee, the receipt of which is hereby,
aclolowledged, 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 Citr of N/A. Barringer Township.
Iredell County. Forth Carolina and more particularly described as follows:
BEING sH of Lots No. Four (4) ad Five (5) of Trautman Business Park as the same is platted, plaMd and
racmded in Plat Book 19. page 63, Laden Caumy Raosuy.
The above -described proPMy is bang waved s*M to the restrictive (*V=aats recorded in Book 86Z pp
1216, IreM Counly Regtstcy.
KGmrAssoc.FaunKa39IMM%&drIgn-anoaIV. Vea- .. cttan
a':�.t ;tir•;�..••v,nw�nty�"• Jp :yr. a YtrKev LCsif
;••'�•°J i{ • �'y..:'ti�li� • -. t �r"' . • !'' ^'.' .?.•{ '•!Rf -;'. S+ • -i•.:. n f '•RNA �:i - e:, :'•", Y �. ., •t•:Y.
BK0901PSI 357
The property hereinabove described was acquired by Grantor by instrument recorded in .... ...............
.........-...............................
.........................................................................._....-............................................................................................................................................
A map ahowing 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 Grant�r covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the rigbt 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 �;ainst 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:
My and easements ements for public roads and utilities that may of fact the premises and the
restrictions herein set; out and referred to.
IN � Dr � dul3r aumodled otueees�sad iIS se i toosot
ae�hete band
a&tnaCd ey s thU comamo Its Ba tea of f fade MW a � �
(Cotpaeate tiatue) Paul C. Wagner
Br------------------------------------------------- ------- Martha R. Wa
f __k--gne�f 'r 14
--------------
_----
csrwrt
Y
AZZSS'!: -------------------------------------------------------------(as=
-•--------------- -------------------------------
.-----SOesefaeyr tcomoeate Beal) arc
•, '{ ... �� •,r ..i.............................................................
'•.�,-•. ,i`�r, " rtoarrtt cnnoaava.-----REDELL----
-------------- county.
• 1 i3 t CIA r = 1. a Notar pohlte of the county and state atortsaw estttty mat
=' Martha_ R _ Naguer. _
iletsonatb ammared before see this day and acknowledged the execution of the foregohq tastna=L mess my
-• `•-•�::N!'` i� ! P !cane and offlew Stamp or iesi. this -- - day as44,% _.._.. _ OVeilili@r q3..
ji�1J... 8-16-96 _ .
13y eatameixsioa a:ptres: --•--- -- ----------------- •• Mob" Ptthift
I
strwL.sssaY+ Naa= CAML M4------------------------- ---------coneaty.
I
_. it 14atsty ftbue of the County and state aro"Mad, Conner that ------------------- -_-_
pasoaaMY cease actors me this dssr and aeftostedged that ---- he is __saaetssy as
t •------------------------ _----------- --------- a Notts Carotlaa sorporattoa.and that by atttimAW duly
orm and as the set ar tht cospotsttes, the gotsgotag tosuament eras stgtsed In tta saint bT its
aPeesideat, eer:ed Wkb gs easposate seal a" attested by ----------- as Us -------------- ------------ tussetm.
Wmu= my and sea salsas! stamp or SM% this --------------------
myeonuatodoo emotes: -------------------------_.- — ---------------------------- ----- ». Not" i UWft
ss.Ong cetwa►tew et �.a-Notar�_Fisblfc,�_of North_Cary
_....»..---•-----»..--------.....ti------------------------------------ --------------------------------- --------------------------------
�.._--------------------------- ---------------- _------------------------ -------------------------
------------»_ »....
IsIOUb/ttNeettirled to be'sosreel This latrte went sus this eeedneau ate nasty regestesee at the axis sad teaeie send tss mr t3.ete can ptege Steoam an tie
tesrect.
+R== D Icy
— » - ..--------- - -----=crsZ= trt arms
----- -- -•- _--------t;epuw-n+stmi, as Dads
X C.Rw A..w. Tam Xa. J 7 lM Braised Vk 1 W7 - tr..nr.-... ac. e.w
Haueu L,uunry, Nunn 1.aroiina
5, 2024
TaX Map Information
• PIN
4740775621.000
• Address
SOUTH MAIN ST
•Account#
Acct T]3T1963
•Tax Owner
HANELINE DOUGLAS ALLEN
• Mailing
3379 AMITY HILL RD
Address
STATESVILLE, NC 286I7
•GISOwner
HANELINE DOUGLASA
•Deed Info
90111356-WO-19931115
T. Acres
0.6 AC
Lot#
5
• Description
TROUTMAN BUSINESS PARK P819-
63
Zoning
GB
• Old Parcel
1604FO4000AGOS
• Bldg Value
W
•OBXF Woo
$0
-Land Value
$120,000
• Total Value
$120.000
•Defer Value
$0
•Tax Districts
-ALLCNTY FIRE--
Haneline Disposal Area - Lot #5
MAP FOR REFERENCE ONLY
NOT A LEGAL DOCUMENT
Iredell County, North Carolina makes no claims and no
warranties, expressed or implied, concerning the vafidily or
accuracy of the GIS data presented on this map.
Geometry updated 21/1512023
Data updated 11114/2023
Print map scale is approximate.
Critical layout or measurement
activities should not be done using
this resource.
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GERALD K GRANT
B ASSOCIATES
'
'
P. o. Box
STAnSYILL[. R. C. 286n
. -
P..I M4472- M[
371 Camino Real Rd. Mooresville, NC 28117
0 0.125 0.25 0.375 mi KFATSRD I oil
35.536991,-80.888341
Drag Me!
sMaps Legal
CRM
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♦ Deg ♦ DMS Help
Decimal Degrees Latitude: 35.536991
Decimal Degrees
-80.888341
Longitude:
DU E ENERGY DIRECTIONS 8Y 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): 844 South Main Street
Lake Name:
Subdivision Name: Troutman Business Park
Property Section: Lot #: Lot #4 & 5
City: Troutman County:Iredell
State: NC Zip Code: 28166
Directions (from major road or highway):
From I-77 NB, Exit 42, Left onto US-21/South 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 if desired to draw us a map to the site.
844 South Main Street Troutman, NC 28166
ri rvwunc
0 250 500
35.680180,-80.859925
sMaps Legal
CRM ♦ Deg
Diamond
Detailing
State Electric
Supply Co.
7
NO Arby's
♦ DMS Help
Decimal Degrees Latitude
Decimal Degrees
Longitude:
35.680180
-80.859925
Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date
TO: Duke Energy
c/o Lake Services - EC12Q
526 S. Church Street
Charlotte, NC 28202
RE: Excavation For (Subdivision and Lot #'s or Qther Project Name)
(Lake/County/City)
(Applicant's full name) A1�y (Z) X 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 1r-equi ements pertaining to the application to
excavate for the purpose of a:5 re I) nP. Yeb�flrCt?1 O r1 z prj G I ✓KZ t 10OL(�i,v't / ,
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 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. Uwe also recognize that failure to complete the
excavation within this build -out period will require the filing of a new application within the then -
current SNIP or other applicable guidelines and the new application must include any applicable
fees and security deposits.
Uwe 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, Uwe
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.
Uwe 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, Uwe 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.
DA rE=W Page 1 Pam: n MMO
Uwe understand that all excavation work must be done directly in front of my/our property and as
specified in Duke Energy's approval. Uwe 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.
Uwe understand that for proposed excavations, Uwe 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. Uwe 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, Uwe 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.
l/we agree that unless specifically approved otherwise in the application, explosives will not be
used as part of this excavation activity.
Uwe understand that every reasonable effort must be made to minimize any adverse impact on
fish, wildlife and other natural resources.
1/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.
I/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.
Uwe 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. Uwe 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.
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Uwe agree to adequately stabilize all excavated material and all disturbed shoreline to prevent
erosion and runoff into the lake.
Ywe 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.
Ywe 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.
Ave 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.
1/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 M;n;mion Zones as identified by Duke
Energy; jurisdictional wetlands; historic properties; rare or threatened species; and buried gas,
water, sewer, electric or communications lines. I/we agree to provide my/our contractor with a
copy of these work area drawings showing these areas to stress the necessary protection
measures.
Ywe agree that if any archaeological resources (e.g. pottery shards, Indian artifacts, etc.) are
discovered during the excavation, work shall be halted immediately. Ywe will then notify Duke
Energy and the State Historic Preservation Office to determine what measures, if any, Ywe must
pursue to protect or salvage the archaeological resources.
Ywe 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.
Ywe agree to be fully responsible for the permitted lake use and I/we understand that this
responsibility is considered to transfer automatically along with ownership and leases of the
adjoining tract.
Ywe 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. Ywe 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.
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Awe agree to develop any required mitigation plans and to complete any required mitigation
activities at my/our own expense within the specified time frames. Uwe 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.
Uwe aeaee to notify Duke Energy by phone when the excavation is initiated and to ensure that
during the excavation period, Uwe will host Duke Energy's approval letter in a clear watermof
b at t the job site and visible from the water's edge.
Uwe agree to notify Duke Energy in writing 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.
Uwe recognize security deposits will not be refunded if any violations of the SMP, other
applicable guidelines, or this user's agreement occur.
Ave understand there will be no change in hydro project operations as a result of the excavation
and/or utilization of the excavated area.
Uwe 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.
Ave understand that this user's agreement does not, in any way, constitute the transfer of any
rights in real property and that my/our 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 Nale (Print) Applicant goa
Co -Applicant's Name (Print)
Co -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
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