20231629 Ver 2_Site Plan_20240724

Proposed
(Plan View)
Full Pond/ Normal V
Shoreline
La kd
(At Full Pond/ NorIIrx.x OreCeve1)
571x ,�4'40"a i t� ►�d)
wt�Li regvrre 6lbj�e-S
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o n
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Lake
(At Full Pend/ Normal Water Level) Existing Dock
3oftx7ft
3ftx150ft
Below full pond/ NWL
Full Pond/ Normal Water Level _ �;� x, z��
r. ed • _
19ore'lina
Riprap z j a ft x 150 ft
2 ft.x15p ft. Above foil pond/ N W L
additional clearing
• if necessary
E AMPLE
Plan View

v
Lake
(At Fell Pond/ Normal Water revel)
M
r�
1 --
E
a
0
cI)
Side View
1-
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
'if necessary
Existing bank
10 ft. bank
height
I Q�O�O
r'��
..�'
Nz.
FORM: SSGP 02-2017 Page 4 of 4

Iredell County, North Carolina
Juw J-U, ZU24
M
240
•
Tax Map Information
• PIN
4639052905.000
• Address
249 STILLWATER RD
• Account ff
Acct 80102512
• Tax Owner
SHEPARD BERNARD K li
• Mailing
165 HOPKINTON DR
Address
•
MOORESVILLE, NC 28117
• 019 Owner
SHEPARD BERNARD K II+MELISSA
• Deed Info
2994118 - WD - 20230524
• Tax Acres
0.83 AC
Lot to
13
• Description
CRESCENT LAND+TIMBER CORP S18
PB13-47
Zoning
RR
Old Parcel#
1503CO300OA013
• Bldg Value
$0
• OBXF Value
S5,200
• Land Value
$550.000
• Total Value
$555,200
• Defer Value
$0
• Tax Districts
-ALLCNTY FIRE- -
Shepard Aerial View of Property
245
jL5
M
MAP FOR REFERENCE ONLY
NOT A LEGAL DOCUMENT
Iredell County, North Carolina makes no claims and no
warranties, expressed or implied, concerning the valdity or
accuracy of the GIS data presented on this map.
Geometry updated 0512212024
Data updated 03118/2024
1" = 67,75982384802536 ft
Print map scale is approximate.
Critical layout or measurement
activities should not be done using
this resource.

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 I 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 11t=1
Excavation Program

at the top of the follow-up letter and include it in the application along with proof of the
agency's J 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=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 t 122IIt
Excavation Program

Duke Energy Excavation Permit Application Form
FOR DUKE ENERGY USE ONLY
Duke Pile No.
Application Pee $ Security Deposit $ Check 9 Date Recv'd Initials
Date of Duke Energy Lake Services, applicant and/or contractor on -site inspections Dat4'�4�J q -Z4 Initials Q (1
Date Final Protection/Avoidance Area Markings Field - Verified
Approved to Start Work By * :
Date Completion Required
Date Passed Closeout Inspection*
(Print)
Date of Any Approved Extension
Initials
Initials
Date
(Sign)
Initials
Any Stop Work Orders or SMG Violations*? (check one) ❑Yes ONo (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 1. Applicant Information (Please Print)
Name 'B er n +-(A�� �� Telephone 3 ND rJ t 4
Email address: D ) • S V1 r
Lake Address , 1 } w r Mailing Address (if different)
CA
1 ouA'nMn. N C ? _ Koore6vI lle..NC 2 lg 17
Contractor Company l,�c� E e ft
Contractor Contact Person Y Telephone D4 " Z - (p
Contractor Email Address:
. I Q.n
7AA1
LAKE LOT INFORMATION P/ W
Lake County t ne-AeL cityState NLTax Map No.44P3905 905
Subdivision re,ctfn- ` �and+ Lot I Section No. /3 Lot Size -183Acres
1 I Mber- CD#- .
Duke Energy Page 4 of 13 rev 112z21
Excavation Program

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) -dYes ❑No (If Yes,
include name and mailing address below.
Name: S �!� Tax ID: 5 (-p ` 1q3 (eq 4 4
Mailing Address:
l ro �1�Y�cc l� C 8 i &
Are there any Co -Applicants*? (check one) ❑Yes ANo (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 ' � t !.
Initials (Duke Energy) q t2(�
(applicant/contractor)
C�
Duke Energy Page 5 of 13 rev i f aziz 1
Excavation Program

Duke Eneray Excavation Permit Application Form
Part II. Description of Project
A. Basic Information
1. Type of excavation: (check one) PNew excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) ,13toat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
❑ Other (specify):
3. Lake user category: (check one) ePrivate ❑Residential Marina
❑Commercial Marina ❑Public
DOther (spec):
`-� ` e.xc.
4. Max. Excavation Area Dimensions (ft): Length [ c�� Width 5Z Depth 2.5 aVC{ reolo,44`
(Note: include additional area dimensions if necessary so response to 45 below equals max. are
dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): Cubic yards
6. Type of material removed (applicant determines by. field sample iif practical):
C3QLnd Glow
7. Excavation Site area: , OF25 Acre (s) Disposal Site area: 3 Acre
(s)
8. Total Disturbed Area (including equipment staging area): , /&69 Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one)
)ayes ❑No
10. Do you claim title to the disposal area? (check one) ❑Yes Flo
11. Do you claim title to the equipment staging area? (check one) ❑Yes ,Mo
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes o
(1f Yes, specify):
13. How will the excavated material be entrapped and the erosion controlled? (e.g. see attached
erosion controlplan and disposal area design):
r e e, w on re, ch excoAaL r-. lct e m , a S in
hog- 1oa�- e5. 1� 1 aa !��
s
Duke Energy Page 6 of 33 rev t 1/22/21
Excavation Program

Duke Enerary Excavation Permit Application Form
14, Type(s) of excavation equipment to be used:
U VAc) r eAc J i exccojaivv-, 51n6 ,r-}- read e x cav at r-r,
barges j� 6 um-p �ruc-I� s
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) )2Yes ONO
(I es, explain)
redr�tnq eqqulpm n�
4-wi he an t v
r-tIQ Ipa 'h icwa�-
�s�m a� ��. n d i n Q�ea
�1ro �e Norm r to
16. Will return water re-enter the reservoir? (Check one) ❑Yes ONO [�/A
(If Yes, specify point(s) of re-entry and show on Excavation Area Drawing)
17. Is there an existing facility (e.g. pier) that access is being maintained to bb
conducting the _]
excavation? ❑Yes �Vo N 1!V Be >r £ VO �'} �p +�-b►?.�
(If Yes, provide the existing permit num�er. If No, me ude a scatg d drawing the proposed
facility). Permit # 5 e� a4a.c.�l ed P kin S,
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START ID / � FINISH /
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 13 rev I I M 2!
Excavation Program

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Duke Enersv Excavation Permit Application Form
C. Applicant's Signatures
Comments:
Applicant Name (print) &Z`y}G*' 5Y1PDQ✓['�
Applicant Signature*� Date - -
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Date
Date
Date
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 11/2 021
Excavation Program

Duke Energy Excavation Permit Application 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 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 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 11/22/2021
Excavation Program

Duke Enerav 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 Anencv Comment and Resnonse Table
Agency Comment Applicant Response
AjZency I
The activity is approved as proposed.
r7KA
Agency 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 pmposal.
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 1/1/20xx and
NA
again on 2/l/20xx. No response as of
2/16/20xx.
Agengy 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 Anencv Permits and Certifications Table
Agency
PermiMertification Name
Date of
Date of
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 I1=021
Excavation Program

Duke Enerev Excavation Permit Auolication 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 1 tt=021
Excavation Program

Type: CONSOLIDATED REAL PROPERTY
Recorded: 5/24/2023 11:44:05 AM
Fee Amt: $1,226.00 Page 1 of 7
Revenue Tax: $1,200.00
Iredell County, NC
Renee L. Holland Register of Deeds
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: S11200.00
Parcel Identifier No.4639052905 Verified by County on the day of , 20
THE DRAFTER OF THIS INSTRUMENT DID NOT RENDER AN OPINION ON TITLE AND DID NOT
PARTICIPATE IN THE CLOSING OF THIS TRANSACTION.
Mail/Box to: Grantee
This instrument was prepared by: Lisa M. Valdez, Esq., PO Drawer 1776, Statesville, NC 28687
Brief description for the Index: Lot 13 Section 18
THIS DEED made this 1"1- day of , 2023, by and between
GRANTOR
GREGORY L. GIBSON, legally separated
AMY GIBSON JOHNSON and spouse,
BRANDON M. JOHNSON
BR.ADLEY L. GIBSON, Single
GRANT E. GIBSON, Single
CARRIE MARIE PHILLIPS and spouse,
PATRICK R. PHILLIPS
JASON R. BRAKE, Single
c/o 4653 NC Hwy 67
Boonville, NC 27011
GRANTEE
BERNARD K. SHEPARD II
and spouse,
MELISSA SHEPARD
249 Stillwater Rd,
Troutman, NC 28166
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, parcel of land or
condominium unit situated in Iredell County, North Carolina and more particularly described as follows:
Page I of 7
NC Bar Association Form No. 3 0 Revised 7/2013
Printed by Agreement with the NC Bar Association
North Carolina Bar Association — NC Bar Form No, 3
North Carolina Association of Realtors, Inc. Standard Form 3
submitted electronically by "The Ewing Law Group, PLLC"
In compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the iredell County Register of Deeds.

BEING Lot 13 in Section IS, as shown on map recorded in Map Book 13, page 47 in the Office of the Register of Deeds for
Iredell County AND BEING a part of the property conveyed to Crescent Land & Timber Corp by deed of Duke Power
Company recorded in Book 481, page 91, in the office of the Register of Deeds for said County.
THIS CONVEYANCE IS MADE SUBJECT TO THE EASEMENTS, RESERVATIONS, CONDITIONS AND RESTRICTIONS
more particularly set forth in Deed recorded in Book 596, page 55, Iredell County Registry.
Euvalea Kimball Strickland died testate on August 17, 2022 leaving the subject property to Gregory L. Gibson, Amy Gibson Johnson,
Bradley L. Gibson, Grant E. Gibson, Carrie Marie Phillips and Jason R. Brake, see the estate file of Euvalea Kimball Strickland filed in
22-E-473, Iredell County Clerk of Court. The property hereinabove described was acquired by Euvalea Kimball Strickland by
instrument recorded in Book 596, page 55.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Plat Book 13, page 47.
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:
Subject to restrictions, reservations, conditions and easements that are enforceable against the property; and matters and things apparent
from a careful inspection of the premises; and any and all taxes, assessments and similar matters and things payable after the date of this
deed.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
.N
(SEAL)
Gregory 1- 6ibson
State of County County of
1, the undersigned Notary Public of the County of pJ &- and State aforesaid, certify that Gregory L. Gibson
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 stamp or seal1� *of 02023.
My Commission Expires: S
st � Notary Public
(Affix Seal) M o0 1 ,1 0, N Notary's Printed or typed Name
c0- .1���
[SIGNATURES
Page 2 of 7
NC Bar Association Form No. 3 0 Revised 7/2013
Printed by Agreement with the NC Bar Association
PAGES]
North Carolina Bar Association - NC Bar Form No. 3
North Carolina Association of Realtors, Inc. - Standard Form 3

f
SEAL
Amy Gib on Johnson
,4 -t(SEAT.)
Brandon M. Johnson
State of 1\)M4 'C� - County of
I, the undersigned Notary Public of the County of and State aforesaid, certify that Amy Gibson
Johnson 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 stam�y jhis �� day of , 2023.
r'
���4��,\ p, MAfj,�j ..
My Commission Expires: �3 jjXjv7 e �QTAR1� t Notary Public
(Affix Seal) a Aayco j i exp. Notary's Printed or Typed Name
``tM.
,�
.�_' ER CU
State of INAN -h— {..blIW' NF'Vt" -County of KXAA#tXA '1
I, the undersigned Notary Public of the County of
Johnson personally appeared before me this day and acknowPedgge�
therein expressed. Witness my hand and Notarial stamp or seal this
My Commission Expires:
(Affix Seal)
[SIGNATURES
Page 3 of 7
&4 and State aforesaid, certify that Brandon M.
e execution the foregoing instrument for the purposes
day of , 2023.
r .r, A I . D
Notary Public
's Printe - l ped ame
PAGES]
NC Bar Association Form No. 3 0 Revised 712013
Printed by Agreement with the NC Bar Association North Carolina Bar Association — NC Bar Form No. 3
North Carolina Association of Realtors, Inc. — Standard Form 3

9��
44
!X. SEAL
Bradley L. Gibddn
State of N r+h to" l ln(A - Coutityof (i dl<l l
I, the undersigned Notary Public of the County of and State aforesaid, certify that Bradley L. Gibson
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 stamp or seal this - day of 2023.
ca"10. wn(ok
My Commission Expires: 4 2� �i� Notary Public
(Affix Seal) Notary's Printed or Typed Name
L INDSAY P. CRANFORD
Notary Public
Yadkin County, VC
My Commission Expires z*
Page 4 of 7
NC Bar Association Form No. 3 0 Revised 7/2013
Printed by Agreement with the NC Bar Association North Carolina Bar Association — NC Bar Form No. 3
North Carolina Association of Realtors, Inc. — Standard Form 3

• SEAL
rant E. Gibson
State of _ '�' 6xxA�l County of
I, the undersigned Notary Public of the County of and State aforesaid, certify that Grant E. Gibson
personally appeared before me this day and acknowledge th ue execution f lie foregoing instrument for the purposes therein
expressed. Witness my band and Notarial stamp or seal this day of , 2023.
My Commission Expires: c�7 Notary Public
(Affix Seal) RS .►..otary's P int&1Sr' TyWa-me
ti148'CXRY i
`• ,
ER
[SIGNATURES CONTINUED ON FOLLOWING PAGES]
Page 5 of 7
NC Bar Association Form No. 3 0 Revised 712013
Printed by Agreement with the NC Bar Association North Carolina Bar Association — NC Bar Form No. 3
North Carolina Association of Realtors, Inc. — Standard Form 3

//�� 4k
SEAL.
bafJ�riie Marie Phillips
1 a�
Patrick R, Phillips r
State of �v e< - County of
I, a undersigned Notary Public of the County of _hk State aforesaid, certify that Carrie Marie
Phillip eared before me this day and acknowledged the ecutio the foregoing insn- t for the purposes
there,.'1$p my hand and Notarial stamp or seal this da of 423.
fln`� 4b 009�
M'Ec m' ion P, Public
VA eal p N ry's r o Typed Name
0. 0 �
t`
WOO
,f;, til�tit���'����
State of _T`/ i - CountyofI 1W.41111197A
I, the undersigned Notary Public ofthe County of 0,0 G
personally appeared before me this day and acknowledgede due execu,
expressed. Witness my hand and Notarial stamp or seal this day of
Stage aforesaid, certify that Patrick R. Phillips
`foregoing instrument for the ores therein
vt / A . 2023. "
Notary's
[SIGNATURES CONTINUED ON FOLLOWING PAGES]
Page 6 of 7
Name
NC Bar Association corm No. 3 D Revised 712013
Printed by Agreement with the NC Bar Association North Carolina Bar Association — NC 13ar Form No. 3
North Carolina Association of Realtors, Inc. — Standard Dorm 3

� `kJ � o b rW&e SEAL
Jason R. Brake
State of NGVW CQYOU it & - County of ", ( U 11
I, the undersigned Notary Public of the County of and State aforesaid, certify that Jason R. Brake
personally appeared before the this day and acknowledged the due executi of the foregoing instrument for the purposes therein
expressed. Witness my hand and Notarial stamp or seal this day of M1 Aj .2023.
LA
My Commission Expires:— M
iff alftNotary Public
(Affix S ei �1�1 Notary' rinted or Typed Name
V.
1
y
Mosti0��� �
Page 7 of 7
NC Bar Association Form No. 3 ® Revised 7/2013
Printed by Agreement with the NC Bar Association North Carolina Bar Association — NC Bar Form No. 3
North Carolina Association of Realtors, Inc. — Standard Form 3

D#S DON ALLEN & ASSOCIATES. P. A
"Since 1971"
Commemlal • Realdentloi • IAortgage Surveys * Auld -Faintly
Construction Staking • SubdHFsiion Design • Topographkal
127 Promenade Drive - Suite E • MooresAle • NC • 28117
(704) 6e4-7029 [phone] Fax
1, certify that this map was drawn under my supervision from an actual
survey made under my supervision recorded in deed book 598 page 5� and/or
plat book 13 page 47 that the ratio of precision is 1'.10,003, thatthis map
was prepared in accordance with the General Statutes of North Carolina Chaptgf,, ,9,,,
my hand and seal on the 8 _ day of JUL �,•' �}� Cq ��r
A.D. 20 p
�9
W W AM M. ALLIN, 6 P�SEAL r`9 2
A CDNrOUR LINE PER
AGNAL nElp SURVEY
S32'13'00'W �
LADE 11 & 57.97'
:nE NORMAN _ -
NA Mv. ,SO
VICINITY MAP NO SCALE1Ti.
EY
ON PROPN VALVE ew ho ►m ee, �
�I under Con5#rubo Q
10... a P.P. - POMER PULE 5 Tv^1
❑ . PUMEa TRANS.
F.].P. - [)aSIPMa UM POUND
NF4WM
SETs+� w1 naN vu E o
R/W RWHT- wRicA
OF -WAY W $ FN(3tDAUfES OL4d
®- MwEu m I 1 LOT rs JJ
ME . Tvaua DRAkhZ EASEMENT 0.82 AC. m 1 LOT 12
CP - oo�,En PowT � OF Fi SALLY W.
PAVEMENT AVE E � m '4 I EISELLE
� LOT 14 677/798 1 ! �
ROBERT M. DOOLEY 1
EDITH DOOLEY
7421530
� sETsnrx
R�84.7a', N s3, d9
Sy.95 DO•E
52i6' A- 1a2& e
(CF40R0 91 LNG) R-
S.2 94l'f ED, OF VAVLAENT
18.2
le
F µ7 OVf1afEAp PpyyQ♦' . , 4
20' 40' 1GOT
TmlES
'! i Y PROPOrrY E AAKDY� «�is=-oF WAY
or mmc m. SCALE 1N FE£r
2) AREA COMPUTED 9Y THE COOFWMTE Tit
3) -7a781CONIOUR LOAM
P H YS I C A L SU R VEY
ATaA' N
LEVEL
°"OF
AST ) °TATnl.'" ° 249 SLWATER ROAD
<� Ovo"EA Po"2R FOUND LOT 13 CRESCENT LAW & TI�{8ER CORP. SECT. 18
a NO GWO MONUMENT MnFILI
20M FEET,
SCALE 1" - 40 FALLSTOWN TWSP., IREDELL Co.. N.C. E° CLYis
AcaulREn 9Y: BERNARD & MEUSSA SHEPARD na Ttv
TAX MAP NO: 4339052205

D 0 N ALLT;N & ASSOCIATES, P. A
"since 1971"
Cammercfal • Residential •Mortgage Surveys * Multi-Fam4y
Construct bn Staking • Subdlvison Design • Topographkmi
127 Promenode Drive - Suite E • Mooresville NC • 28117
(764) 864-7C29 (7a4) 664-8041 Fox
I, certify that this map was drawn under my supervision from an actual
survey made under my supervision recorded in deed book 595 po9e 58 and/or
plat book 13 page 4_? _ that the ratio of precision is 1':14,ODD, that this map
was prepared in accordance with the General Statutes of North Carolina Cha t
my hand and seal on the a day of JULY *. P�t}���q��'�q
A.D. 20 23 .K — AMA
`WI 11 L !u ��r.. r* s
N.a mrr. isa
YICLNM YAP Na SCALE
O—
NOUGATION VALVE
ON PROPERTY
UNE
LEL�
"I. — P.P. — POYM POLE
�] - POWER 11 A M
E.LP. - ftln lO RON FOUND
N q
R®M sr
w w
RJW - MDNT-aF WAY
®'WELL
�i
PRE - PUBUC DR WAGE EASEMENT
CP - COMPUTED PCW
EDGE of
PAVEMENT
LOT i4
ROBERT M DOOLEY
EDITH DOOLEY
7421530
57x b 4 x i`�'� • A
Ol+ Full pond
Hrt�>., re ui�w*d
' CONTOUR LNE PER
F1EL0 S�IRYFY
_� $ 532'l3'00"w
s7.sr
NI OROh2� W ''
6g
IRWQA'nOm YALvE
rENCROACHES o.4o'
fond-ej•rruci
LOT is ul
ml 0.82 AC.
37 rROMi --j
SETBACK
kz
D1
7
C
I
3
N
�w,
`"C P�
3 J
/Z4
LOT 12
SALLY W.
EIS'ELLE
677179E
gB:195' N36'S3'Da'E t�
5218'
�'s D BEANtAG)
(� R alas 00, k`
T123.32"Jl'E FLOC of PAVEMENT
RIeI g3.44 N4 g 8§4C)
44. i 5! 51r \
W .'� � OYERNEAo %bMER�..
vy
r +•ter �� �
NOTES 20 W. 1 Da' G'Y
1) TRG PROPERTY WY BE SUBJECT TO � � �,e�
ANY EASDIMT ANO/CR WQna-W-WAYOF
z) COWIL" a 9Y TIE COORDOLITE SCALE 1N FEET
a) PHYSICAL -SURVEY
a� AI�i= )t DAM �0 a 249 STILLWATER ROAD 1
OF
3� � +r �D WrIUN LOT 13 CRESCENT LAND & TIMBER CORP„ SECT. 18
SCALE FALLSTOWN TWSP., 1REDELL CO., N.C. FM
Daia�
ACQUIRED 9Y- 6ERNARD & MEUSSA SHEPARD DC FLE'
TAX YAP N2 4830052M

9
OR
I

>< ":»s' pf':.• �:�". :.�-,M1•r a•• i:d;;.:i,: :.% �n •.:�..�1,,.�.ti.� �::'.-• � °"':•� ": V ••.'N �k � + .!.<• � :w y.'+-,r.i " ;: a•'. =•'SY''s:' _xii:-•r+•'f,.s;w F;.
,.i ,f..a ,.,,•R^�t. •' - - r_ .F 'z4i a.+La .rc;e�• t'• � nt •rf`. 'A h. '•,",��."• •�4fS:i•�°.�..•«k 'v� t •' �' an. �
�'%'�`•""isyr}•:�P','•.,Y`i'`vi?•nv:.'S:.; '3r'SL%a.��::�`of{.,a >` •?': '� ,;;.,.,;;': i••%+r-i
tI00 � 610901?G1355 �
$TAT@
11-1e-"
*i55. as
Real ate
Excise Tax
, T3 11nt
FILED
IREDELI COUNTY
93110V 15 Pit 3.- 13
BlSElM D. DELL
� - A I " r " nr -� nS
-t ,
TYm% Hook and Pate
Taxlot No. ........... .........»........_...................................................... Parcel identifier No............... .. ... .... ........... ...... ..._..................
Verleedhy........................_......_................................ County on the . ....... day of ..... ..... ........ ..... ....... ..... ...... y 19.......-.
by.........._ . ......................................... .................... ............... ....... ......... ......
.................................-......................._ .__ ........._........__....
NO TITLE OPINION RENDERED
Mail after recording to .•................. .......... ......... ....... .......
...............................•............_.-
................................. ........ ........... _. ..... ..............
This rmatrumentwa_
s prepared by ..John, HcLaia MMss" * Attorneq, . P. O. Box 122, Statesv311e, 1� 25687
Brief description for the Index
NORTH CA.ROLINA GENERAL WARRANTY DEED
THIS DEED made this -.10l? . day of .. November
GRANTOR
PAIR. C. WAGNER, and wife,
MARTHA R. WAGNER, of
7redell,County, North Carolina.
, 19 . 93 , by and between
GRANTEE
DOUGLAS ALLEN RAMME, of
Iredell Country, North Carolina
Mailing Address:
Route 5, Bon 571
Statesville, NC 28677
Eater to appmyrrata M-k for rseb party, name. addrers, and, u app oydat'k chmader of enub. aq. corporation or wtnetablp.
Th
e Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and
singular, plural, masculine. feminine or neuter as required by content.
VVITI E&RETM that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acletowledged, 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 NIA. Barringer Township,
i edell County. Forth Carolina and more particuLarb• described as follows:
BMG all of; Lots Na Four (4) and Five (5) of Troutman Burin Park as tine same is patMd, lkmud wad
recorded in Pict Book 19. page 63, beM County Registry,
The abov"t"MIM! prel Wy is befog conveyed aubiat to the restrkd" covanims recorded in Book 862, page
1216, IreM County Reesity.
x e- err An— tom!" 3 V twtb, ik bw r own - o „

�1i.1 ✓.vx.rq• �A'Lt .�/t'M� r� 14.: h �. i:i f h i..
�_.4^""' �•?':_ - - ___ `+f'r 'dt-� `.'�eNfi,:J # aQ: %y'�'10.5�' � �::�..iG '. ..t. .�.a: ^� _
;,. • - - - -,I • a : Q. `•"'f.GtY � . !r� :y )• `,7rti;;� •'-Ww RYat�:',_ � v •�,... _ .x
BK090 I PC 1357
The property hereinabove described was acquired by Grantor by instrument recorded in ..... . ............ ................. .._..._...............
A Wrap ahowing; the above described property is recorded to Plat Book ................................... page.........................
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtensncoa thereto belonging to
the Grantee in fee simple.
And the GranU c covenants with the Grantee, that Grantor is seized of the premises in fee dimple, has the rigbt to convey
the setae in feed 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 pro�r hereiaabove 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.
its wrrNRsa lytt9S80P tpe Grmtw pas neee�eo see hts Gana and :eat. or if eatp.rate. ht taund sett insitamrat to am ►e s Ined A: tq
e sorste by qs ddy mardrad oltdtxss and U. seal to irc heteaato atIk" by aathhoray of Its board of Detectors, the day aa6 r ar line
-_...---------------------- ---------- ---------------------
__Y l��+F _ !�:.L�:!lr _---------__tattasa
(earners!. Nat") Pawl/ C. Wagner
sr.._.....------------------------------------------ ------- _7�13AlC_
---------------- rrssEaras .�.' Martha R. Wagner
A'r186t: d............................•-------------•----------------_.tSISALI
__________________________________--_- AAA
(Cotnorate Seal) cc
ssei► ttiu¢'r"�941, Nowt cnaou ve...... R Ap RT--------------- —easy ........................_.----------tateAl)
r@ A i A : ' L a Notary pabete of the a Pa and {3 r 5t oanfy sad state alatesa[a. artttY sort�'►p$R.gF_-----.,It'�@.a.----
Martha 8- tia r
..a._ ..... Grantor.
s' fy' 11 1 lllttanatty aMat.d bslore sae this der and actsnartedGea the eaeeaUen of the ta"Saina hatromm" tartness my
t�i • a sate and a�at mat: or ua), rem lO.... any of -----. - oaember .. . a 9...
+�h-i L two ;t'• fdy eotamissiaa a:vtres: _._...8-1b-96---------
agAX,SICAW NORM eASOLVJA,
L a Natty pttblfa of the County sad State arareeedd, mW.V tsar.--.....-.•-----_...�.._..».»....__..,
peftanany wars before the this day and aclnoetedaed that --.. he Is ----.---_----� seesetaey of
�t•------------------------------- ----•-----.-__—• a N0tb catafta earDatsttoo. aad teal by sammny duly
'.! shvu and as the set of the samanum tea Santana hawatatal was sigma to Ira tame by as---- --
vradd.a4 saw with Us aorporaq seal, sad atredee by ----------- as He ------ ---- w .--------•--- aeeretary.
ttatana tar bind sad afnetd stamp or st%L this _..„„».,day el ----------------
slycommlpma �jt°e----------------------------....-------__'-.•---•-------..�»»_». Notary pttbec
'are gmtelas earnae:tagp w _ -. : i sltya Hal as Fu61f��_of 1lte -- Caro iva -•- �_....._»_�
--------------••-------.__...__.--......-----------».........---»..---...---------•—---------
aDu peraattO be eaarest Inds lnt MMA sad INS eertlQnL ate duty cured an the date and seas aM In the neap and pare skmen on no
g-...-f ..
as nerds
X.G%Aaw-.V4m%s .3Y19tigtsind?la»_r...rnc.,.ao r,. W.rn.m—.xtmoss

2f|
n
�
�d
§)2
,
|�z
J °
|
`
■

Pra#act Narne/adde�sc:LO
Patel #:
ParceIN
�V-
r � COLIntr eed
�] ,_
DISPmal area requi �("snd/or ac s r
wrrgey�,� of IV,
' la S n
and ►es � �5 am aware that the site must adhere to all state refutations
"ment an erosinrt control and rota ualf
�� �-lj � q An �Jve
tia'� W C and Cornpany
E
FA
zu a-VuSe of thew dr edge mat1 Yl C,
- , eria€ at fire �t�aue stated location/
Elate
A, �. .6 =i. � iWol, i%E��ak j}rcv de:
Feria! of Ra'W/�Ot (County Gfs)
Phot3 of Proposed spoil site
Id'"'Med prapased spoil site

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
CIO LAKE SERVICES — EC 12Q
526 SOUTH CHURCH STREET
CHARLOTTE, NC 28202
Applicant's Name: Bernard Shepard
Street Address (at lake): 249 Stillwater Drive
Lake Name: Norman
Subdivision Name: Crescent Land + Timber Corporation
Property Section: 18
Lot #: 13
City: Troutman County:Iredell
State: NC Zip Code: 28166
Directions (from major road or highway):
From I-77 NB, Exit 42, Left onto US-21N /South Main St. toward Troutman, Left onto
Wagner Street/Perth Road, Right onto State Park Road, Left onto Morrison Farm Road,
Left onto Stillwater Road, Property is on the left.
Descriptive Structure(s) on Property (i.e. brick garage, white fence, mobile home,
etc.) Building Lot. New home being constructed on building lot.
Note: Please use the back of this form if desired to draw us a map to the site.

249 Stillwater Drive Troutman, NC 28166
0 0.25 0.5 0.75 mi
��.
oLake Norman
State Park
•
35.647110,-80.918017
Drag Me!
sMaps Legal
CRM • Deg • DMS Help
Decimal Degrees Latitude: 35.647110
Decimal Degrees
80.918017
Longitude:

WiCE ENERGY DIRECTIONS SY 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
CIO 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-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 if desired to draw us a map to the site.

844 South Main Street Troutman, NC 28166
Itol�
i-C..... L . .7�
9
35.680180,-80.859925
Diamond
Detailing
State Electric
supply Co.
AW
a
0
0
D
0
z
w
0
J
LL.
*Maps Le9ai
r
115 Arby's
CRM ♦ Deg ♦ DMS Help
Decimal Degrees Latitude: 35.680180
Decimal Degrees
:-80.859925
Longitude:

CAT kWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address:�.m�County: Inc
Owner: P sr ✓lr� , o;� r( Trou j-rYt l Q_ _01 &10
Print
Contractor/agent: _
Print
E
Signature
The approval is for the purpose and design described in your application. Impacts not indicated in the
application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A
NCAC 02H .0506 and 15A NCAC 023 .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 02B .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 he conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B ,0243 (4), (6), (8)]
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. [15A NCAC 02B .0243(5), (6)]
Acknowledgement of Notification
1, — e-F � �i 1P { — hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be
taken such that the construction will be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plan(s) and specification(s), and other, supporting
materials.
Signature (owner): Date: -Z 3

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 13 PLAN NO. PARCEL ID: 4639052905
STREET ADDRESS: 249 Stillwater Lane
Troutman, NC 28166
Please print:
Property Owner: Bernard Shepard
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Donna P. HMCo
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):
165 Hopkinton Dr.
Mooresville, NC 28117
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
9/29/23
Date:
Authorized Signature
Date: