20180960 Ver 1_Shoreline Stabilization_20180711

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Division ~fWater Resources zs»mCAC«a*.»s««-Water Quality Certification, Shoreline Stabilization
FORM- ySGP1O-2nz3
Shoreline Stabilization Application Form
Three copies of the attachments) and the application fee should basent
1
Division mfWater Resources
4O1&Buffer Permitting Unit
1617Mail Service Center
Raleigh, NC 27699-1617
Applicant Information [15A NCAC 02H .0502(a)
Owner
Name:
Mailing
E-mail Address: -hDp'Qe_gP cc ro-rn
2. Agent/ Contact Person |nfOnmabun
Asigned and dated copy of the Agent Authorization letter (a form can be downloaded here:
2_R1ZAM0_NE_0AM_,Ldf) must be attached if the Agent has signed this application form.
Company Affiliation: C80__'_JqM f— I 'Reel
Mailing Address:
Telephone Number:
E-mail Address:
Person to receive the Certification Approval -
U. Project Information ]
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..
Z. Provide adetailed site plan showing property boundaries and proposed locations of
FORM: SSGP 10-2013 Page I of 3

etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
and construction access corridors. You may use the diagram provided at the end of this
application form.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale
of some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County. _ _ Nearest Town: MSL AS
Subdivision name or site dress (include phase/lot number): 3
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude fin decimal degrees)_ L7, '"7�Z? Longitude (decimal degrees)_,a 1 q� t/(r153
5. Describe the existing land use or condition of t e site at the time of this application
(residential, undeveloped etc.):
6. Property size (acres): �_ 7?a
7. Lake/ river/ ocean adjacent to property: /1fi1 t -y rel
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):_ Q o�L � :8+ Admr_ A/-
9. Will work be conducted from land? From water?
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:
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the
square feet or acres:
12. Please describe the vE
50 feet landward to be impacted (number of trees, for instance): r
�d 44� 7 /
1ir
Owner/Agent's Signature" 115A NCAC 02H .0502(f)( Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSCP 10-2013 Page 2 of 3

/51-
3 Par-
6�
-nJ �% ws, Arc— Z) 3 /
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as loft x loo 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
5. Location of construction access corridors
FORM: SSCP 10-2013 Page 3 of 3

Duke Energy Excavation Permit Application Form
ICOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit S Check 4 Date Reev'd Initials
Date of Duke Energy Lake Services, applicant and/or contractor on-site inspections Date Initials
Date Final Protection/Avoidance Arca Markings Field- Verified
Approved to Start Work By *
Date Completion Required
Date Passed Closeout Inspection*
Initials
— Date
(Ptint) (Sign)
Date of Any Approved Extension Initials r
Initials
Any Stop Work Orders or SM0 Violations*? (check one) ❑Yes 0 N (Or Yes, ecplain 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) hack to applicant
with Approval Letter and highlight any changes. rile copies of Approval and Close-out Checklists and any Stop Work
Part I. Applicant Information (Please Print)
Name �DiJ Telephone (7 7 • �'S'��• �a-�-g
Email address:
Lake Address -� Mailin Address (if diff rent)
/ �oS3r* !'eru3��r�� nja l�laee, /4 / 7 � � r s� ['t�tiC � -1RJ .
err-�ltfiUhS /V� Q ��� Mny IUSUNI i ■c. d O 03 n
Contractor Company
K
Contractor Contact Person oipbi 1; rr. rh Telephone I04- 5( ! /
Contractor Email Address: ��� l� Q. S ®QI nd s{'r,e.l7�VY1
LAKE LOT INFORMATION
Lake NMgYlCounty ecA ( ity tl � 44-S StateA!.Tax Map No.
Subdivision !Y /ft' Lot/ Section No.15- V't0 N Lot Size./ -5s
Win
Duke Energy Page 4 of 14
Excavation Program

Duke Energy Excavation Permit Abuiication Form
Are there any Co -Applicants*? (check one) ❑Yes 1�,No W'Yes, include names, addresses or
lot numbers, phone niunbers, lot sizes in PART V — A1}DI'TIONAL 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 ,igthin 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 bet♦veen a
Duke Energy Lake Representative and the applicant and/or the excavation contractor.
NOTE: Initializing this portion of the application by a Lake Representative in no way
constitutes approval or etnittent approval of the excavation or any other lake use perinitting
activity.
Date of on-site inspection () U zO JR
Initials (Duke Energy) _ J UAL (applicant/contractor)-
227-
Duke Energy Page 5 of 14 rev 216/11
Excavation Program

Duke Energy Excavation Permit Apulication Form
Part ii. Description -of Project
A. BASIC INFO
1. Type of excavation: (check one) Ir/New excavation anon ❑ Maintenance excavation
2. Purpose of excavation: (check one) 17 Boat Access Channel
❑ ,Water Intake Channel ❑ Wastewater Discharge Channel
Er
Other (specify): 3 Wrivate
�aek�3. Lake user category: (check one) ❑Residential Marina
OCommercial Marina ❑Public
❑Other (specify):
i
4. Max. Excavation Area Dimensions (ft): Length. Width JPO
Depth 3. S'
(Note: include additional area dimensions if necessary so response to #S below equals max. area
dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): 3�q- 0 g Cubic yards
6. Type of material removed (applicant determines by field sample ifpractical): d% r'T A5, 7
7. Excavation Site area: O • Acre (s) Disposal Site area:• o� 1 Acre
(s)
8. Total Disturbed Area (including equipment staging area): Acre (s)
9. Does tlye project meet the requirements of the applicable General Permit? (check one)
IdYes ❑No
10. Do you claim title to the disposal area? (check one) ❑Yes M4
11. Do you claim title to the equipment staging area? (check one) ❑Yes Ciro
12. Are there any water-tr ent facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes O?Ro
(If Yes, specify):
13. How will the excavated material be entrapped anq the erosion ontroll ? (e.g. see attached
erosion fontrol pla anddisposal a ea d i ):
1.
7i <' - kCr
;
�cdecof�n.00►es�a�.�. r �.gt
Duke Energy i�.i�QQ/ Page 6 of 1 c5 rev?i6(t7
Excavation Program

Duke Energy Excavation Permit Awfication Form
14. Type(s) of excavation equipment to be used:
15. Will watersoSAvetlands be crossed in transporting equipment to or from the site?
(check one) Wes ONO
(If yes, etiplain)_
16. Will return water re-enter the reservoir? (Check one) Dyes dKo ON/A (If Yes, sped
points) of re-entry and show on Excavation Area Drativing)
17. Is there an ex�xistI facility (e.g. pier) that access is being maintained to by conducting the
excavation? 6dYes 0No
(If Yes, specify the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit # 17--77
3
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START o�_ FINISH6
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 14 rev 21&17
Excavation Program

Duke Enertsy 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
(check all that apply)
Duke
Approx
Identife tion
Met *
Avoid (A) or lYiititrate (Ml
Acre
Field ID
Work Area D jym ID
a. Marshland, swamp, ponds, beneficial
aquatic vegetation or other potential wetlands
(circle all that apply)
�/�
b. Buffer Zones (specify width c& source
ofrequirement)
by bag e..
c. Environmental Areas as identified by
Duke Energy
/1/ 19'
d. Natural Areas as identified by Duke
Energy
' Y
e. Historic properties (specify)
/V/14
L Rare or threatened species (spec)
VIA -
Energy Page 8 of 14 rev 2/6/17
Excavation Program

Duke Enemy Excavation Permit Application Form
Protection/Avoidance Areas Approx L Identification Method * Avoid (A) or Mitigate(M)
(check all that upvlv) Admp V. --IA Tn ... _
a. Buried gas, water, sewer,
communications or electric lines (circle) I l/1
b. Irnpact Minimization Zones as `�
identified by Duke Energy 4k
I F
L Other areas requiring specific �l
avoidance, protection or mitigation (sped) IVIA-
* 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
Dulce Energy Page 9 of 14
Excavation Program rev 2/6/17

Duke Enerry Excavation Permit Application Form
C. APPLICAiNT'S SIGNATURES
Comments: NQI a A &1 -,, ori j 2 n,.:.., /4 /7_. -.�'-
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.
Duke Energy Page 10 of 14 my 2/6/17
Excavation Program
fig m
1
Q'
o
mss, c.. aFlv3
Applicant Name (print)
�',.� Lot #
5 Pq
Applicant Signature*
Kj
Date
Co -Applicant Name (print)
Lot #
Co -Applicant Signature*
Date
Co -Applicant Name (print)
Lot #
Co -Applicant Signature*
Date
Co -Applicant Name (print)
Lot #
Co -Applicant Signature*
Date
Co -Applicant Name (print)
Lot #
Co -Applicant Signature*
Date
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.
Duke Energy Page 10 of 14 my 2/6/17
Excavation Program

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 (Subdiv' 'on and Lot #'s or Other Project
(Applicant's full name) � �p �, hereby agrees to comply with all
recommendations, requirements .and/or con 'tions of Duke Energy Lake Services, General
Permit(s) (if applicable) and other federal, state and local agency requirements pertaining to the
application to excavate for the purpose of a >cS S
In addition, I/we have read and agree to comply with Duke's current Shoreline Management Plan
(SMP), much of which is repeated herein, and understand that written authorization must be
obtained from Duke Energy Lake Services prior to beginning any activity within the FERC
project boundary or on Duke Energy land. The excavation will be completed as described in the
approved application and within eighteen (18) months from the date of written approval by Lake
Services, unless specifically noted otherwise in the application or unless lhve obtain approval for
a single, time extension (maximum of one year) in writing from Duke Energy Lake Services.
Uwe understand that if the SMP or other applicable rules change during any extension period,
!/tive will be expected to comply with the new requirements to the maximum extent practicable.
!/we 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 SMP and the new application must
include any applicable fees and security deposits.
Ihve attest to be the owner(s) or lease holder(s) of the land immediately adjoining the project
boundary or Duke -owned peripheral strip 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, Ave have included
Da. en.w Page 1
Rm S:ISl17

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.
Ihve understand that all excavation work must -be done directly innt froof my/our proped
rty an
within the third of the cove nearest in property or within any middle third of the cove that
Duke Energy owns, or Ave have written authorization from the owner(s) or lease holder(s) to
carry out the proposal within the project boundary adjacent tolon their land. Ihve also understand
that access channels must run perpendicular to the shoreline while within the third Is the cove
area that is nearest my/our property.
Ihve understand that for proposed excavations, Ihve must notify the
federal agencies in advance of the activity by sending them a completedroopy of Dukeop 's
to and
Excavation Permit Application Form and other required information. I/we understand that
written authorization and/or other permits may be required by some of these agencies and such
required authorizations must be obtained before Ihve submit the final application to Duke
Energy Lake Services.
1/we 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 Federal Energy -Regulatory Commission (FERC) review doielf
require specific review and approval by the FERC before Duke Energy can issue any approvals. es ts
f/tive 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.
Ihve understand that applicants in South Carolina proposing excavations that are not covered
under the General Permit, or are greater than ISO cubic yards, must receive prior written
authorization from the South Carolina. Department of Health and Environmental Control
(SCDHEC) or the US Array Corps of Engineers (as applicable) before submitting the completed
application to Lake Services.
I/we agree that cxcavation activities iII Norm Gar"m and -South Carolina will not Occur during
the months of March, April, May and June because of the Potential impac
areas. ts t0 fi5h Sp1W111IIg
Ilwe 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 vegetationo
h
and wildlife habitat directly supports a sound and healthy lake environment. Ias n fish/we 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
nzyloccr expense, particularly if the disturbance is found to be in violation of state or local
ordinances or impacts FERC project buffers.
D.6 E—W Page 2
Rer. 1%19/17

[I've agree that 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.
Ihve agree to adequately stabilize all excavated material and all disturbed shoreline to prevent
erosion and runoff into the lake.
Uwe 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.
I/we 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.
I/we 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 Minimization Zones as identified by Duke;
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.
Uwe agree that if any archaeological resources (e.g. pottery shards, Indian artifacts, etc.) are
discovered during the excavation, work shall be halted immediately. I/we will then notify Duke
Energy Lake Services and the State Historic Preservation Office to determine what measures, if
any, I/we must pursue to protect or salvage the archaeological resources.
1/we 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.
Vim agree to be fully responsible for the permitted lake use and 1/we understand that this
responsibility is considered to transfer automatically along with ownership and leases of the
adjoining tract.
Uwe understand Duke Energy representatives may issue Stop Work Directives for violations of
the SMP 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. Uwe agree to immediately comply with any Stop Work
°id`° Enasy Page 3

Directives, to fully cooperate with Duke Energy Lake Services and other agencies as necessary,
and to perform the necessary remedial actions within the specified time frame.
I/we agree to develop any required mitigation plans and to complete any required mitigation
activities at my/our own expense within the specified time frames. I/we 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.
I/we agree to notify Lake Services by Rhone when the excavation is initiated and to ensure that
during the excavation Reriod, Ave will Rost Duke Energy's approval letter in a clear waterproof
bag at the lob site and visible from the water's edyre
I/we agree to notify Lake Services 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.
Ave recognize security deposits will not be refunded if any violations of the SMP or this user's
agreement occur.
1/we understand there will be no change in hydro project operations as a result of the excavation
and/or utilization of the excavated area.
1/we 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.
1/we 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 lands and waters shall
not hinder the general public's lawful use and enjoyment of the same.
Sincerely,
Sa n 71
Applicant's IName�(PV-) Lot # 's lire
*Co -Applicant's Name (Print) Lot # *Co -Applicant's Signature
*Co -Applicant's Name (Print) Lot # *Co -Applicant's Signature
*Co -Applicant's Name (Print) Lot# *Co -Applicant's Signature
Duke E=V Page 4 Rer. visrn

*Co-Applicant's ;+lame (Print) Lot #
Co-Applicant's Signature
* 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
Applicant. pplicants the Applicant and Co -Applicants. By signing this
agreement, Co-Aare in fact recognizing and agreeing to the same conditions as is the party signing as
owm ear Page 5

B31966 - P962
For Registration Fredrick Smith
Register of Deeds
Mecklenburg County, NC
Electronically Recorded
2017 Jui 1211:55 AM RE Excise Tax: $ 2650.00
Book: 31956 Page: 952 Fee: $ 26.00
Instrument Number. 2017093003
PREPARED BY: Matheson Law Firm, P.A.
RETURN TO: 9013 Perimeter Woods Dr. Suite I
Charlotte, NC 28216
EXCISE TAX: $ 2,650.00
PARCEL ID# 00131209
NORTH CAROLINA
MECKLENBURG COUNTY GENERAL WARRANTY DEED
This deed made this 12th day of July, 2017 by and between
JDW Holdings, LLC, a North Carolina Limited Liability Company and
H2 Holdings, LLC, a North Carolina Limited Liability Company
Address: 17830 Statesville Road Ste 225
Cornelius, NC 28031
hereinafter referred to as "Grantor"
and
Susan Canupp Pope, married
Address: 16536 Pender Pointe Place
Cornelius, NC 28031
hereinafter referred to as "Grantee."
The designation "Grantor" and "Grantee" as used herein shall include said parties, their heirs,
personal representatives, successors and assigns an shall include the singular, plural, masculine, feminine
or neuter as required by the context.
The property does not constitute the principal residence of the Grantor.
Submitted electronically by "Matheson Law Firm, P.A."
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Mecklenburg County Register of Deeds.

B31956 - P953
WITNESSETH, that the Grantor, for ten dollars ($10.00) has and by these presents does grant, bargain,
sale and convey unto the Grantee in Fee Simple, all that certain lot or parcel of land situated in
Mecklenburg County, North Carolina and more particularly described as follows:
TRACT ONE. BEGINNING at an iron stake located on the line between the fonner Rossetta C. Pender
property and the William B. Brown (now or formerly) property, northeast corner of Lot 5 of the Rossetta
Pender property; thence with the line between Lots 5 and 6 South 16-59 East 327.56 feet to the point on
the Duke Power Company line, the same being 780 contour elevation; thence with said contour line North
88-15 West 74.5 feet to a point; thence a new line North 14-31 West 304.37 feet to a point on the Brown
line; thence with the Brown line North 73-29 East 57.5 feet to the point or place of BEGINNING, being
all of Lot 5 and the easterly portion of Lot 4, Rossetta C. Pender property shown on a survey prepared by
.lames C. Gamble, dated August 2, 1951.
TRACT TWO: BEGINNING at an iron stake, the northeast corner of Lot #5 on William V. Brown's line
(]now 0. formerly); thence with William V. Brown's line (now or formerly) North 73 degrees 29 minutes
East 40.0 feet to an iron, the northwest corner of Lot #7; thence with the western line of Lot #7, South 18
degrees 01 minutes East 300.58 feet to an iron, the southwest corner of Lot #7, also Duke Power
Company's corner (now or formerly); thence with Duke Power Company's lines (now or formerly) as
follows: South 37 degrees 18 minutes West 49.0 feet to an iron; thence North 88 degrees 15 minutes West
6.0 feet to an iron, the southeast corner of Lot #5; thence with the eastern line of Lot #5, North 16 degrees
59 minutes West 327.56 feet to the BEGINNING corner, containing 0.309 acres.
Property Address: 16536 Pender Pointe Place, Cornelius, NC 28031
The property was acquired by the Grantor herein in Deed Book 31383, Page 722 of the Mecklenburg
County Registry.
TO HAVE AND TO HOLD the aforesaid tract or parcel of land and all privileges and appurtenances
thereunto belonging to the said Grantee in Fee Simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in Fee Simple, has the
right to convey the same in Fee Simple, that title is marketable and free and clear of all encumbrances,
and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever
except for the exceptions hereinafter stated. Title to the property hereinabove described is subject to the
following exceptions:
Current year's ad valorem taxes.

B31956 - P964
IN WITNESS WHEREOF, the Grantor has hereunto set his hand the day and year first above written.
H2
State of A r I
Managing Member
County of Z!A,*P
sa , a Notary Public of t
of — County, State
certify that Christopher Hoffman, personally came before me
this day and acknowledged that he is the Managing Member of H2 Holdings, LLC, a North Carolina
limited liability company, and that he, as said Managing Member, being authorized to do so, executed the
foregoing instrument on behalf of said company.
Witness my hand and official seal, this the 10 day of -Tv 14 2017.
Notary Public
My Commission Expires: fz• L—Leap
E:1*060ro
otary Public
rth CerOhas
COWi1Y

B31956 - P956
IN WITNESS WHEREOF, the Grantor has hereunto set his hand the day and year first above written.
Holdings, LLC
D Wagoner, General Manager
State of flo-,XA LoAv U
County of
1, P\ r-�,-A..%--L c oho,,,r t•. A i� , a Notary Public of '11, e&P, t
zoo C ; Count State
Of Nin C , certify that John D Wagoner, personally came before me this
day and acknowledged that he is the General Manager of JDW Holdings, LLC, a North Cardina limited
liability company, and that he, as said General Manager, being authorized to do so, executed the
foregoing instrument on behalf of said company.
Witness my hand and official seal, this the 4 day of J —tti 2017.
,
Notary Public
My Commission Expires:
MICHAEL C MARSHALL
Notafy Public. Noith Carolina
�.'.. I,edell County
My Commission Expues

WA
LAKE
NORMAN
:r
LAKC �` f SITE
NORMAN
1
Graphic Scale
50 25 0 S0
Scale of Drawing 1 Inch = 50 Feet
(TIE ONLY)
N73'24'19"E
135.60'
I 30' RECIPROCAL NON-EXCLUSIVE
EASEMENT FOR ROAD RIGHT OF
WAY & PUBLIC UTILITIES
(DB 15661, PG 355)
I 001-312-10
Benjamin C. Gruen
Rhonda B. Griffin
DB 19751, Pg 364 &
OB 4086, Pg 515
001-312-94 /
Saflnaz Amirpashafe
Bahar L Amirpashale
DB 27284, Pg 508
97.43'
v !p
'
BEARING
'1
C 18335
49.00
DARYL W. LO-NG-/V--L.S.
OLD STATESVI
.<� 8 a�'
LE ROAD
ti
SUITE A
CORN) 28031
yyv�t�,`,``
765-5134 /
Graphic Scale
50 25 0 S0
Scale of Drawing 1 Inch = 50 Feet
(TIE ONLY)
N73'24'19"E
135.60'
I 30' RECIPROCAL NON-EXCLUSIVE
EASEMENT FOR ROAD RIGHT OF
WAY & PUBLIC UTILITIES
(DB 15661, PG 355)
I 001-312-10
Benjamin C. Gruen
Rhonda B. Griffin
DB 19751, Pg 364 &
OB 4086, Pg 515
001-312-94 /
Saflnaz Amirpashafe
Bahar L Amirpashale
DB 27284, Pg 508
97.43'
�w
Q 3 v^1
tir C Q
C
w
4
(TIE ONLY)
S73'32'10"W
81.13'
NOTES:
v !p
'
BEARING
90' FRONT SETBACK
49.00
F
I
�w
Q 3 v^1
tir C Q
C
w
4
(TIE ONLY)
S73'32'10"W
81.13'
NOTES:
LUNE
'
BEARING
1. NO NCGS MONUMENT FOUND WITHIN 2000',
49.00
I
I
2. PROPERTY MAY BE SUBJECT TO OTHER
'14"
L3
? r_
COVENANTS. RESTRICTIONS, EASEMENTS OR
L4
1.97
07 Z
RIGHT'S -OF -WAY THAT MAY BE OF RECORD.
704-765-5134 PhondFax
*
uI "VACANT
Mecklenburg County
Firm l : C-3666
,
J
3. THE SETBACKS SHOWN ARE PERCORNELIUS
120716-03 JWQ
Job No.
E. DO1 2—�9
'62 N rn
PLANNING DEPT FOR "GR" ZONING.
te
FRONT=25'
Wof
33,938 SQ, FT.
3:
SIDE=10
p
V; 0.779 ACRES
a)
REAR -25' FROM PROPERTY LINE, OR MY FROM
Cn
760' ELEVATION CONTOUR, WHICH EVER IS
GREATER.
M
(A "0
4. THE PROPERTY IS SUBJECT TO A 30'
N
RECIPROCAL NON-EXCLUSIVE EASEMENT FOR
I �4
ROAD RIGHT OF WAY & PUBLIC UTILITIES, PER
I
DB 15661, PG 355.
5• THE FLOOD LINE SHOWN IS BASED ON FEMA
FIRM PANEL 4622K & FLOODPLAIN MAPPING
CAD FILE PROVIDED BY JONATHAN
O
BELLER,�S'REAq
SEr
�S
OF CHARLOTTE-MECKLENBURG STORM \ CK /
WATER SERVICES.
N
6. CONSULT WITH GOVERNING AGENCY FOR 88 32 3
PREVAILING LAND DEVELOPMENT AND 74 3Q, ~W
ZONING REQUIREMENTS PRIOR TO DESIGN OR —
CONSTRUCTION OF ANY IMPROVEMENTS. �?
7. THE MAXIMUM AREA ALLOWED FOR THE
SUBJECT PROPERTY IS 80% OF THE LOT AREA
(27,150 SQ.FT.), PER THE CORNELIUS PLANNING n
DEPT. SEE NOTERS a�
APPROAMATE 100 -TEM FLOOD FRINGE UNE
(PER MECR CO. FLOODPLAIN MAPPING RLE). ,
LEGEND: ,;
m
jF4 REBAR FOUND p F
COMPUTED POINT • a
SUBJECT PROPERTY LINE �?
UNSURVEYED LINE
BUILDING SETBACK t
001-312-07
Keith A. Wilson it
Kimberly Wilson
OB 31119, Pg 72
(TIE ONLY)
S75ro4'30"W
72.69'
nEa — .
W UNDISTURBED
—UUM BUFFER
FlEID LOCATW
-'7��1A11E W1fT•UfT U�
LAKE
NORMAN
UNE TABLE
LUNE
LENGTH I
BEARING
Lt
49.00
7' 'yy
L2
6.00
'14"
L3
39.96
•S '31"W
L4
1.97
N
-u "Y;511:Q1 Jul VCy OL L -OLS 3, o & ran or Lot 4 of Rosetta C. Pender Property an Unrecorded Map
Professional
Property
IwV Inc.
Property of
Site Address:
18335 Old Statesville Road Ste. A
Tony Pope &
As Recorded in:
16536 Pender Point Place
Cornelius, N.C. 28031
Susan Po P=
Deed Book 31383, Pg 722
ComelitL% NC 28031
704-765-5134 PhondFax
*
Mecklenburg County
Firm l : C-3666
120716-03 JWQ
Job No.
2 1:10,000 I "=50
r o —T STixfe
001-312-09 STIE PI AN
Bx Parte m eru ale Nma
I of 1 4!182017
p

a
w� `sg11111111q��
- ,���•��qN CARO''.
NORMAN
*_ ¢I1� *S D YL \V. LONG .L.S.
18335 OLD STATESVI E ROAD
20. SUITE A
L sITE AKE'�9p'``�� CORNELIUS, N.C. 28031 /
NORMAN 4�; ,1 Nq �� [phone]
Graphic Sndc ODI -312-94 /
50 25 0 5o Safinaz Amirpashaie
8ahar L Amirpashaie
Cal hteh - 50 Feet
(TIE ONLY)
N73'24'19"E
135.60'
rM
30' RECIPROCAL NON-EXCWSIVE
EASEMENT FOR ROAD RIGHT OF
WAY & PUBUC UT1UTIES
(DB 15661, PG 355)
DB 27284, Pg 508
N7320'52"E
97.43'
ctn
wma
� 41
�w
qw 4 Q ;-
w�
(TIE ONLY)
S73'32'10"W
81.13'
90' FRONT SETBACK
001-312-10 7
Benjamin C Griffin iO I 001a12-07
Rhonda B. Griffin n Keith A. Wilson lr
DB 19751, Ps 364 & limberly Wilson
DB 4086, PS 515 M I I DB 31119, Pg 72
NOTES:
i. NO NCGS MONUNIENT FOUND WITHIN 2000'.
2. PROPERTY MAY BE SUBJECT TO OTHER
— 30'
? r
COVENANTS. RESTRICTIONS. EASE. IEM OR
49.00S372rArW
W Z
RIGHTSAF-WAY7IL1TMAY BE OF RECORD.
"VACANT"
m
3. THE SETBACKS sH01VN ARE PER CORNELHIS
PLANNING -GR -ZONING.
O
PID # a
001_51.2-09
! n
NRI
'
DEPT FOR
FRONT -25'
!+J of 33,938 SCT, FT.
m
I
DEPT.
--- stx nora+s
APP80XllM7E100-yWfLooa
WIN M= CO. 11000RM ruwelG
SIDE -Hr
RGR=23 FROM PROPERTY LI,�lE OR 30' FROM
0.779 ACRES
O � �
W
760' ELEVATION CONTOUR. WHICH EVER IS
Mecklenburg County
U,
M
GREATER
1 of I 4r18l1Ot7
4. THE PROPERTY IS SUBJECT TO A 30'
N
LID
RECIPROCAL NON-EXCLUSIVE EASEMENT FOR
SUBJECT PROPERTY UNE
ROAD RIGHT OF WAY & PUBLIC URLITIES, PER
UNSURVEYED UNE — — —
BUILDING
U! tr
DB 15661. PG 355-
SETBACK
TL____•_ _r n
5. THE FLOOD LINE SHOWN IS BASED ON FEMA
FIRM PANEL 46211K & FLOODPLAIN MAPPING
2S•REARS
CAD FILE PROVIDED BY JONATHAN BELLER
OF CHARLOTTE,%i STORM
WATER SERVICFS.
\z: C/C LAn
Cn
N8 .
6. CONSULT WITH GOVERNING AGENCY FOR 8 32 3] a �1 ��
PREVAILING LAND DEVELOPMENT AND %4 uUM
ZONL\G REQUIREMENTS PWORTODESIGN OR
CO-STRUCCION OF ANY IMPROVEMENTS-
— 30'
LENGTH BEARB40
Li
49.00S372rArW
�2
:. THE MAXIMUM ARFA ALLOWED FOR
L3
39.96 mr31`W
SUBJECT PROPERTY IS 1IM& OF THE LOT
1.97 t -1W
As Recorded in:
127.150 SQ.FT.L PER THE CORNELIUS PLA
k".1j—
Cornelius, N.C.29031
704-765-5134
Sloan PopeDeed
DEPT.
--- stx nora+s
APP80XllM7E100-yWfLooa
WIN M= CO. 11000RM ruwelG
a
M
LEGEND:
Mecklenburg County
12071603 JML
7
2 1:10.000 1 e50
ErrorotClos�cc Dray Sw1c
#4 REBAR FOUNDF
1 of I 4r18l1Ot7
ra
COMPUTED POINT 0
LID
+r
4
SUBJECT PROPERTY UNE
UNSURVEYED UNE — — —
BUILDING
SETBACK
TL____•_ _r n
2
(TIE ONLY)
S75'04'30"1
7269'
REI
atom
�tni��on�ow
LAKE
NORMAN
UNE TABLE
UNE
LENGTH BEARB40
Li
49.00S372rArW
LZ
600 N '14' W
L3
39.96 mr31`W
L4
1.97 t -1W
— ---- h] 41 -.y — -vu ,, a OG ran or Loy,4 or Kosetta u. render Property an Unrecorded Map
Professional
rl I Propert
Suryey yP1Op
f °
�
18335 Old Statesvilleille RoadSte. A
Tony Pope &
As Recorded in:
16536 P nderPoint Place
Cornelius, N.C.29031
704-765-5134
Sloan PopeDeed
Book 31383, Pg 722
Comelius, NC 28031
PhonelFdmr
Firm Lia r C-3666
Mecklenburg County
12071603 JML
7
2 1:10.000 1 e50
ErrorotClos�cc Dray Sw1c
001-312 09 SCIS PLAN
TaxPaoci um praT 1
1 of I 4r18l1Ot7
owe
0 -A
0
m W
M
0 0
N =-
_C?
V �
v

give
CBC Stone and Recycle, LLC./Natural Green
5capes, LLC authorization to obtain the
necessary information for stabilization and
dredge permits.
I agrees
Date;

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
l(o53(p f �er' f�or� plael,
Project Name/address ,�ySdn�ap�� �MG(`� �f� ��D3) �u�;
Owner \SJsan o �
Print Sign ur
Contractor/agent: r '; UP 0., . 1 i _ A A
Print
Signature
The approval is for the purpose and design described in your app lication.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 0213.0243(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 be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 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 Notificotion
1., 6 USatr, "?o a -e - 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. — /1
Signature
Date: & 13 1
State of North Carolina I Environmental Quality ! Water Resources
512 N_ Salisbury Street 1 1611 l Sail Service Center I Raleigh. NC 27699-1611
1119.707.9000

Polaris 3G Map — Mecklenburg County, North Caro:
Susan Pope 16536 Pender Pointe Place Cornelius, NC 2803'
Dai

Polaris 3G Map — Mecklenburg County, North Caro]
Susan Pope
r
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