20170080 Ver 1_Shoreline Stabilization_20170119

DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit $
Check i! Date Recv'd Initials
Date of Duke Energy lake Services, applicant and/or contractor on-site inspections Date Initials
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 ❑No (If Yes, explain in P.
Date Deposit Refunded Initials Date Permit Database Updated
* Forward copy of approved application (all pages, plus any attachments that Duke Energyla ed� k tp t
with Approval Letter and highlight any changes. File copies of Approval and Close-out Ch kl b�j n¢ o rk
Orders with annlication.
w 1
PART L -APPLICANT' INI•'ORMATION (Please Print) i v i s PurrtN 1-tNM1I 11NG/ �!�n/�
NameRjEh9_(/�/ ku�TS Telephone (3-36)/ O p �/l(e - /
Lake Add/ress 67446 z s /,gd D ReW✓ ��, Mailing Address � 7' 7 �K7/ "�
err; /is (Ijdifferent)
Contractor Company �/_Yf rA/ (Tl► �eWSc 4,pe5
Contractor Contact Person C's
Telephone 66 S�
LAKE LOT INFORMATION /
Lake rrylAa/ County(/')v City CrY� /IS /7,0 State IV 6 Tax Map No.
Subdivision /ARe ,b0!-,v%b�! �%� Lot/ Section No. Lot Sizel 01 Acres
Are there any Co -Applicants*? (check one) ❑Yes ❑No (If Yes, include names, addresses, phone nos., lot nos., lot
sizes 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. The check for the application filing fee and security
deposit should be from the party shown as Applicant and not several checks from the Applicant and Co -Applicants.
Do not continue the application until an on-site inspection has been conducted between a Duke Energy Lake Services
Representative (DELSR) and the applicant and/or the excavation contractor. NOTE. Initialising this portion of the
application by a DELSR 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) (applicanticontractor)
Duke Energy Page 1 of 14 rev 9/19/14
Excavation Program
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application 113 10.docx

DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
PART 11L - DESCRIPTION OF PROJECT
A. BASIC INFO
1. Type of excavation: (check one) New excavation O Maintenance excavation
2. Purpose of excavation: (check one)Boat Access Channel O Water Intake Channel
Wastewater Discharge Channel O Other (specify):
3. Lake user category. (check one)icivate OResidential Marina OCommercial Marina
Public 00ther (spec):
4. Max. Excavation Area Dimensions (ft): Length 1; D Width fo Depth J~`
(Note: include additional area dimensions if necessary so /response to #5 below equals maz area dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): 1P i� 7 /Cubic yards
6. Type of material removed (applicant determines by field sample ifpractical): Mdla sl l'k
7. Excavation Site area: D• D,� Acre (s)
Disposal Site area Acre (s)
8. Total Disturbed Anes (including equipment staging area): ./4 So Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one) 9(Yes ONo
10. Do you claim title to the disposal area? (check one) I Yes ONo
11. Do you claim title to the equipment staging area? (check one) Yes 0No
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area? (check one) OYes *o
(If Yes, specifY):
13. How will the excavated material be en d the
diWasal area design): lila ✓ K W % X 9C "NC
14. Type(s) of excavation equipment to be used:
see
15. Will waters or wetlands be crossed in transporting equipment to or from the site? (check one) Oyes *0
(Ifyes � )
16. Will return water re-enter the reservoir? (Check one)
show on Excavation Area Drawing)
OYes *o ON/A (If Yes," specify points) of re-entry and
17. Is there an existing facility (e.g. pier) that access is being maintained to by conducting the excavation? U
(If Yes, spec#ythe existing permit number. If No, include a scaled drawing of the proposed facility). Permit #P-
18. Total planned duration of the work (Include furs? equipment mobilization, excavation through final mitigation measures
complete): START AA/ 1_.k11 FINISH ,Ti✓ / &/ %
(MMA) (Year) (Month) (Year)
Duke Energy Page 2 of 14 rev 9/19114
Excavation Program
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application 113 l0.docx

DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
PART IL (Continued)
B. PROTECTION / AVOIDANCE AREA DESCRIPTION
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas
(check all that apply)
Approx.
Acreage
Identification Method M
Avoid (A) or Mitieste (Ml
•r
Field ID
Work Area Dwa. ID
a. Marshland, swamp, ponds, beneficial
aquatic vegetation or other potential wetlands (circle all
that apply)
'v l
b. Buffer Zones (spew width & source of
requirement)
�rK Gv �! �� SNL
�y �� 1
b�
c. Environmental Areas as identified by Duke
Energy
Ar A.
d. Natural Areas as identified by Duke Energy
e. Historic properties (specify)
AIIA
L Rare or threatened species (specify)
Duke Energy Page 4 of 14 rev 9/19/14
Excavation Program
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DUDE ENERGY EXCAVATION PERMIT APPLICATION FORM
Protection/Avoldance ArM
(check all that apply)
Approx.
Acreage
Identification Method (1*
Avoid (A) or Mitiaate (Ml
Reld ID
Work Area Dwa. W
**
e. Buried gas, water, sewer, communications
or electric lines (circle)
h. Impact Minimization Zones as identified by
Duke Energy
� f .4
I
i. Other areas requiring specific avoidance,
protection or mitigation (specj&)
* For "Field U' 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 5 of 14 rev 9/19/14
Excavation Program
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DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
C. APPLICANT'S SIGNATURES
Comments: �96T =,7 1A�/A /b; /✓Te—6(
Applicant Name -
Applicant Signature*.
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print),
Co -Applicant Signature*
Lot # /S
Date / •2'016
Lot #
Date
Lot #
Date
Lot #
Date
Co -Applicant Name (print) Lot #
Co -Applicant Signature*
VOM .
Co -Applicant Name (print) Lot #
Co -Applicant Signature* -Date
*Per my signature, the information provided in this application is correct to the best of my knowledge.
BEFORE YOU MAIL THE APPLICATION TO DUKE ENERGY LAKE SERVICES ENSURE YOU HAVE:
• CHECKED THE INFO THOROUGHLY
• MET ALL REQUIREMENTS FOR A COMPLETE APPLICATION (see cover letter of application package)
• INCLUDED A SINGLE CHECK TO DUKE ENERGY FOR THE APPLICATION FILING FEE AND SECURITY
DEPOSIT
• INCLUDED ALL AGENCY PERMITS OR COMMENT LETTERS AND RESOLVED ALL ISSUES RAISED
• INCLUDED ALL REQUIRED DRAWINGS (INCLUDING PROPOSED FACILITIES), PERMIT # FOR EXISTING
FACILITIES, SURVEYS AND PLANS
• INCLUDED COPIES OF DEEDS AND AUTHORIZATION LETTERS
Duke Energy Page 6 of 14 rev 9/19/14
Excavation Program
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application 113 10.docx

State of North Carolina
Department of Environment and Natural Resources
DW, JK Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form
Four copies of the application (including attachments) and the application fee should be sent to:
Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner
Name:
Mailing
Telephone Number: 336. %3/. 6d0/ Fax Number:
E-mail Address: r i e_Kyo "_A
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/rep.docs/Permits/SAMPLE AGENT AUTH
ORIZATION FOR/M.pdf) must be attached if the Agent has signed this application form.
Name: 13Y1d l.s
Company Affiliation: A147- v -A LLE
Mailing Address: 659 0.4K y-;4irc. FArrn Awl
Mo0v-csV%11?S C .�
Telephone Number: 70V GG0. 5-(// Fax Number: 0 460,516
E-mail Address: 6k 6,69 -1/S W A.4NV S74�'--
Person to receive the Certification Approval: tlA 42 25rr1dy-e,3
il. Project Information [15A NCAC 02H .0502(a) & (b)]
1. Attach a vicinity map (i.e. street map) clearly showing the location of the property with
respect to local landmarks such as towns, rivers, and roads.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces,
FORM: SSGP 10-2013 Page 1 of 4

construction access corridors. You may use the diagram provided at the end of this
application form.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of
some sort- a yard stick, shovel handle, etc.)
4. Location of
a property (where work is to be conducted) [/
County: TA��/� Nearest Town: 6krrois r°r`�,,/
Subdivision name or site address (include phase/lot number): int/ G /8
Dir ctions t site - please in'cl%de road names and numbers, landmarks, etc.: 57.7 A/
Z �7 3`i kib� 9; /5a Y2*d.✓ VS �;rd AU-, jZf,�J
Latitude (in decimal degrees 7 . Poi/5 Longitude (decimal degrees)O 9.3 �9 ?�
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Y—e,_5sdfdA.*/
6. Property size (acres): /. D
7. Lake/ river/ ocean adjacent to property: L4-K4-/✓vrMaA1
8. Describe proposed work (include discussion as to how/hardening of shoreline has been
avoided, or why it is necessary): dl^e4//ge IC"_ pan A- C, es 5
9. Will work be conducted from land? (� From water? ['71,
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres:
d 1 is 6"X51 66une,jd-s)
11. Total amount of disturbance (including all clearing, bac .fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres:
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level alid 50
feet landward to be impacted (number of trees, four ii Stan e): r /0-/--
Owner/Agent's
Owner/Agent's Sehature* Printed NamV Date
(15A NCAC 02H .0502(f)I
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

Full Pond/
Normal Water Level
Shoreline
(At Full Pond/
�546rr� /(S
��-764. yes
I
4ccess
ld 500 5►-',
C
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft x 100 ft)*:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10-2013 Page 3 of 3

Curve •
Radtus
Delta
Length
Tan ant
Chord/Br
x POINT PoAO SITE Cf
C2
505.00
505.00'
23•!8'13•
8.22'35•
205.40'
101. f4'
203.98'
N62-25-02. 911
z �'A.7 C4
FORD
25-00,
84.07' it
73.83'
36.98'
56'
73.76'
33, 50'
N78-15-21711
SHEPAILLS FORD !^1
C5
25. DO'
50. 00•
50.42' f3•
36.41' f0'
22.12'
11.
SF
0.735 ACRES
N40-23-08. 4w
C6
C7
5a 00'
36.09'25'
32.01'
31.55'
16.58'
16. 32'
3f. 47'
31.03'
X34-02-05. LIE
fE
C8
50.00'
5a Do,
29.01'06•
30.44'12'
25.32'
12. 94'
It1
25.05'
NC2-23-12. SX
N34-58-28 ON
C9
CIO
50. 00'
50.00'
29.20'53'
99'39'37'
26.82'
25.73'
74'
13. 16'
26.50'
25.44'
N64 -5f-01 7W
S85-02-21.011
Cif
C12
50.00'
25.00'
19.40'02'
50'42'13•
86.97'
IT 16'
59.23'
8.67'
76.41'
U. 08'
S20-28.05.811
1439-11-44.1X
Cf3
25. 00'
�5'�
85'35'44•
1'01'39'
22.12'
37.35'
11. B5'
23.15'
21.41'
33.97'
S23-40-39.OE
544-28-19.211
C15
Cffi
505.110'
909. 90'
9.51'39'
18.03'49•
9.06'
06. 9f'
4.53'
43.56'
9.06'
86.81'
586-45-21. 7M
S81-18-42.714
Nc 1n1Y. 1sd
286.86'
t44. 63'
285. 68'
S85-24-47.611
TER ELL
\VICINITY MAP (N. T. S. )
REFERENCES:
DEED BOOK 1863 PAGE 1275
DEED BOOK 947 PAGE 632
DEED BOOK 166 PAGE 36
PLAT BOOK 16 PAGE 9
DEED BOOK 1988 PAGE 665
TAX PARCEL 08X-02-7
LEGEND:
EIP = EXISTING IRON PIN
NIP - NEW IRON PIN
CCM • CONCRETE CONTROL MONUMENT
R/R • RAILROAD
RCP = REINFORCED CONCRETE PIPE
NOTES:
X IRON PINS SET AT ALL CORNERS UNLESS
OTHERw THERE MISENo NSGS HORIZONTAL CONTROL
MONUMENT WITNIN 2000'.
• ■ THIS PROPERTY DOES BORDER IN A SPECIAL
FLOOD HAZARD AREA AS DETERMINED BY THE
FEDERAL EMERGENCY MANAGEMENT AGENCY.
w MINIMUM BUILDING SETBACK LINES:
FRONTYARD - 30'
SIDEYARD • 15'
REARYARD • 30'
LAKEFRONT = 50' (DEED RESTRICTION)
w TOTAL ACREAGE = 16.580 ACRES
TOTAL x NUMBER OL18OTS
•
3.2- PER ANGLE
ERROR OF CLOSURE IS 1:34,933
64. 84'
CRESCENT RESOURCES, INC.
DEED BOOK 947 PAGE 632
1431.46'OT E
26.94'
(-LAKE NORMAN -)
30' VEGETATIVE
50' SETBACK LI
PROPERTY LINE FOLLOWS 760' CONTOUR
16. 80'
h
26.01'
Q. 00' � / /
55
6.94'
tie
,L z
1
t o
s `' LmfAlw;lE
LI s 3A3. 49'
X30- s iB
57, 112.75 SF 39, 7053 SF
f. 3f 1 ACPES _ - - - (/
top 63' PBZ / A C, 0.913 ACRES
t02. 6A' N76.22,9'f- � C 5A2. Be �4 1 U O
CCM aoA� �r
,S\_ pp1N� HARBOUR POINT COURT °� NBB'27
CS6
(45' PUBLIC RIGHT OF MAY) �yJ
CRESCENT RESOURCES. INC.
DEED BOOK 947 PAGE 632
NO1'31'47'E
5719.56'
10
0 100', NC GRID DISTANCE
COMBINED FACTOR
(0.9998586976)
•
BAR GRAPH N O B3 W,c:irll&ACLE' n'3B W
�-
49,267, 12 SF
1. 13l ACRES _C� ?
1
i
` 20' PUBLIC STOW*
DRAINAGE EASEMENT 242. 82'
35, ou. 2e
\ 'y+ 0.80.1 ACRES
a
"-\ •� 15' RCP v
O \ •t t 0. 0 5_16 �',�,
\ 4 g W
120. 98 SF \ 6,
62 ACRES \
N05. 45'52'E\ \ v
49'1 rr> 53. m u
15' R110, i
26 OB SF
0.
0.926 ACRES i
• )g. 4•
I
I S
] I
I00•4 30.302.44 SF i
0.979 ACRES Zi
ml
�I �I
12
LM
'North Carolina, Iredell County.
1, a Notary Public of the County and
State aforesaid, certify that
Graylon W. Pippin, a Registered Land
Surveyor, personally appeared before me
this day and acknowledged the execution
of the foregoing Instrument. Witness my
hand and official stamp or seal, this
f2th day of
Jully,, �1996.�j(�
_X2._J�
Carol B. Barringer, Notar Public
My commission expires 5/1!/97'
°QOM
..........
..AR9Zyc
9p
�L129 �< COut ,
1 30' VEGETATIVE BUFFER
1 3 �r+s 50' SETBrsiACK LINE
13.
0.
0.75858 ACRES
/
y /
1"1 N85'A6'OS'E\
223. 13'
N5!•S7'00•E
BO. 26' 1 4
N51'fT 00'E p6'815 SCS
12. 12'
N89'28'37'E
363. 99'
1
o I
15
+r- 4
45, 861. 11 SF
-• I
y�
I
1.053 ACRES
l0
342.
O
16
=
O
40 359. 69 SF
I
N o O
$ 3
32.021 86
0.926 ACRES
N
37.485. 02 SF
SF
0.735 ACRES
I
_ J
2 s 0.860 ACRES
0. 947 ACRES
_
fax a
SIGNT TRIANGLE
0'808 •ACRE9
30�5fTB1�K 11yE
9p.53"
C15 Cf
tA6. At
CCM
lImprovementsihaveether
12
LM
'North Carolina, Iredell County.
1, a Notary Public of the County and
State aforesaid, certify that
Graylon W. Pippin, a Registered Land
Surveyor, personally appeared before me
this day and acknowledged the execution
of the foregoing Instrument. Witness my
hand and official stamp or seal, this
f2th day of
Jully,, �1996.�j(�
_X2._J�
Carol B. Barringer, Notar Public
My commission expires 5/1!/97'
°QOM
..........
..AR9Zyc
9p
�L129 �< COut ,
1 30' VEGETATIVE BUFFER
1 3 �r+s 50' SETBrsiACK LINE
13.
0.
0.75858 ACRES
/
y /
1"1 N85'A6'OS'E\
223. 13'
N5!•S7'00•E
BO. 26' 1 4
N51'fT 00'E p6'815 SCS
12. 12'
N89'28'37'E
363. 99'
1
o I
15
40.066.92 SF
-• I
0.920 ACRES
I
NBT 18'40'E
l0
342.
I ~
16
34.369 30 SF
1\
(�
0. 789 ACRES
I r
N82-
82 A5360
33
360.33'
I
17
I
A1.267.56 SF
Y LINE FOLLOWS 760' CONTOUR
0. 947 ACRES
�.•• GA\R •,, -- . as rwoe FELT
•� PSN„ O •,� x - 1, 424, 222. 13185 FEET
_°' Tom~• PIPPIN LAND SURVEYING NG 9.AL NAP DATE 6/12/96
t ---- 1, f 0_ �' SURVEY DATE 3118/Q6
GRAYLON W. PIPPIN, R. L. S. DATA COLLECTOR FILE DRAW By
''y �,..• ,;: Q:,: 169 HOMER LANE SLAM- DEPT RAW IFN
0 4 �1 a\?,•;t, MOORESV I LLE, N. C. 28115
"•�• ••`"•t1' DATE BY PHONE [phone] I K ` "ED S
yA�AeA REVISION
GWP
1, Graylon W. Pippin, certify that this
plat was drawn under my supervision from
an actual survey made under my super-
vision (deed description recorded in
Book _bA_, Page _BA-, etc.)(other); that
the boundaries not surveyed are clearly
indicated as drawn from information
found in Book _NA_, Page -NA_; that the
ratio of precision as calculated is
f: 10,000; that this plat was prepared in
accordance with G.S. 47-30 as amended.
That the survey creates a subdivision of
land within the area of a county or
municipality that has an ordinance that
regulates parcels of land.
Witness my original signature,
registration number and seal this
12th day of July, A.D., 1996.
��puau4,A,,
N CAROZA�o,,
•
-------------
Fp: Graylon W. Pippin, L 3219
_ � � sEA►L �
CAO SSGA TE TNIL
UBL 1 C
AIGNi OF NAY)
AO 83 COORDINATES
686,871 56948 FEET
• 1, 421, 374. 82854 FEET
NCGS NONUNENT •PIER'
NAD B3 COORDINATES
Y • 687, 089. 5074 FEET
OB�x • 1, 425, 473. 45154 FEET
PROPERTY OF: CRESCENT RESOURCES, INC., 400 SOUTH TRYON ST. SHEET
SUITE 1300, CHARLOTTE, N.C. 26201-1300
LAKEPOINTE i
MOUNTAIN CREEK TOWNSHIP CATAWBA COUNTY NC. OF
SUBDIVISION PLAT 2
STATE OF NORTH CAROLINA
CATAWBA COUNTY
THE FOREGOING CERTIFICATES OF:
CAROL B. BARRINGER, IREDELL COUNTYNI). A
C
LAKE NORMAN
aPBLIC,
"°��y RECUT. THISUIINSTRUNTEWASFPRESENTED
�-
FOR
REGISTRATION THIS DAY AND
HOUR AND DULY
RECORDED IN THE OFFICE OF REGISTER OF
DEEDS OF CATAWBA COUNTY, N. C.
I N:
PLAT BOO,,K��..A_ll_ 4UPAGE_ � / �
__
TH IS � .DAY OF _ A. O. 1996
AT LL!ea O'CLOCK/Y-M.
HEGIS ER OF DEEDS
Y LINE FOLLOWS 760' CONTOUR
CERTIFICATE OF APPROVAL FOR MAJOR PLATS
This final
plat and the street names
shown hereon has been found to comply
with the Subdivision Regulations of
Catawba County Png Boa apt, a meet -
la-
ng held on the day of
lImprovementsihaveether
required1996
beend stall-
ed according to specifications and stan-
dards;
or a guarantee Of the Installa-
tion of the required Improvements in
an
amount and manner satisfactory to
Catawba County has been received. There-
fore, this plat Is
approved for record-
ing in the Office of the Register of
Deeds of Catawba County within sixty
(60) days of the date of this
approval.
t9225 �nt2 S6
DATE CHAIM N ATAWBA COUNTYT
RESOIICES. INC
P ANNING BOARD
OK 947 PAGE 632
CAO SSGA TE TNIL
UBL 1 C
AIGNi OF NAY)
AO 83 COORDINATES
686,871 56948 FEET
• 1, 421, 374. 82854 FEET
NCGS NONUNENT •PIER'
NAD B3 COORDINATES
Y • 687, 089. 5074 FEET
OB�x • 1, 425, 473. 45154 FEET
PROPERTY OF: CRESCENT RESOURCES, INC., 400 SOUTH TRYON ST. SHEET
SUITE 1300, CHARLOTTE, N.C. 26201-1300
LAKEPOINTE i
MOUNTAIN CREEK TOWNSHIP CATAWBA COUNTY NC. OF
SUBDIVISION PLAT 2

Map data 02016 Google 200 ft
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12/2/2016

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