20181221 Ver 1_Shoreline Stabilization_20180904

State of North Carolina
Department oU—
en m itc
Dtve aC! L -CS
Division of Water Resources
15A NCAC 02H .0500— Water Quality Certification, Shoreline Stabilization
MRM- CC!110tn'In1,2
Shoreline Stabilization Application Forrn
Three copies of the application (including attachments) and the application fee should be
sent to:
Division of Water Resources
401 & Buffer Permitting Unit 2 0 8
1617 Mail Service Center
Raleigh, NC 27699-1617 PX
I. Applicant Information [ 1 JA NCAC 0,2{H� 050-' a)] P/
1. Owner Injformation - rfi CT [� � �
Name: [—, jIn��y LSj P L 16- H
Mailing Address:
pUt, ,U314 L-4 f 1 a-?� j) "1
Telephone Num4 9 ) 944 q - -S'7) E) Faxes N let^
E-mail Address:
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Autho;Lion 1 er (a form can be downloaded here:
http://www.saw usace army.mil/Portals/S9/docs/regulatory/reg
docs/Pen-nits/SAMPLE AGENT AUT14ORIZATION_FOR
M. must be attached if the Agent has signed this application form.
Name LS
Company Affiliation:
[,V-,yj 0
Mailing Address:
1-7� t✓I "4 Gfft)S S [�
Telephone Number: Fax N��
m� b 5-75-
E- Ad ess:
Person to receive the Ceficfati'on A oval:
rin
s
II. 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
t,
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vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces,
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.
J . 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:��,y Nearest Town:
Subdivision name or site address (include phase/lot number):
Directions to site - please include road names and numbers, landmarks. etc.:
Latitude (in decimal degrees)_ Longitude (decimal
de es) 35. Sag 4,q2-- -0,. (�
5. Describe the existing land use or condition of the site at the time of this application
(residential; undeveloped; etc.): n
6. Property size (acres):
%. Lake/ river/ ocean adjacent to property lv u Y lC iV,C A, A
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
-12-�jw
9. Will work be conducted from land? F om water? W4je
10. Total amount of disturbance (including all excavation bacldill, 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 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 and
50 feet landward to be impacted (number of trees, for instance):
Owner/Agent's signature Printed / ��:'�
Name 6.41 Date ' L'1 'D
[I 5A NCAC 02H 05020] 110
Agent's signature is valid only if an authorization letter from the
owner is provided.

Full Pond/
Normal Water Level
Shoreline -
Lake
(At Full Pond/ Normal Nater Level)
e
Please approximately sketch the following information on flus plan (provide dinrensiofrs for eucfi
deur, such as 10h x 100 f j `:
l . All proposed vegetation clearing
2. Location of rip rap or rill to be placed above the Full Pond/ Normal Water Level elevation
J . Location of rip rap or till to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings.. retaining Ivalls, docks; etc.
S. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FOR11d: SSGP 10-2013 Page 1 of 4

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date _ Lq) 2- a
TO: Duke Energy
c/o Lake Services - EC12Q
526 S. Church Street
Charlotte, NC 28202
RE: Excavation For (Subdivision and Lot #'s or Other Project Name)
TRC- Pb i w < �rJ
(Lake/County/City) �Jo)�tiAA4 /_ =/ At aD c
(Applicant's fill name) L.AI'.V? kJ LU (S P Yl•f hereby agrees to comply with all
recominendations, requirements and/or conditions 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 'j���"D�,
In addition, Ilwe 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 Ilive obtain approval for
a single, time extension (maximum of one year) in writing from Duke Energy Lake Services.
Ihve understand that if the SMP or other applicable rules change during any extension period,
Ave will be expected to comply with the new requirements to the maximum extent practicable.
I/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.
I/tive 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, IAt e 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.
I/n/e 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, Ywe have included
proof of title to the property and written authorization from the owner(s) or lease holder(s) to
carry out the work on their land.
Duke Energy Page 1
Rev: 6/16/17

Vive understand that all excavation work must be done directly in front of my/ozii• property and
within the third of the cove nearest my/our property or within anymiddle third of the cove that
Duke Energy owns, or I/we have written authorization from the owner(s) or lease holder(s) to
carry out the proposal within the project boundary adjacent to/on their land. I/we also understand
that access channels must run perpendicular to the shoreline while within the third of the cove
area that is nearest my/our property.
I/time understand that for proposed excavations, I/ive must notify the appropriate local, state and
federal agencies in advance of the activity by sending them a completed copy of Duke's
Excavation Permit Application Form and other required information. I/tive understand that
written authorization and/or other permits may be required by some of these agencies and such
required authorizations must be obtained before Ilwe submit the final application to Duke
Energy Lake Services.
I/ive 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 does itself
require specific review and approval by the FERC before Duke Energy can issue any approvals.
I/ive agree that unless specifically approved otherwise in the application, explosives will not be
used as part of this excavation activity.
Yii,e understand that every reasonable effort must be made to minimize any adverse impact on
fish, wildlife and other natural resources.
I/lwe understand that applicants in South Carolina proposing excavations that are not covered
under the General Permit, or are greater than 150 cubic yards, must receive prior written
authorization from the South Carolina Department of Health and Environmental Control
(SCDHEC) or the US Army Corps of Engineers (cis applicable) before submitting the completed
application to Lake Services.
I/we agree that excavation activities in North Carolina and South Carolina will not occur during
the months of March, April, May and June because of the potential impacts to fish spawning
areas.
IAt,e understand that trees and vegetation growing within or adjoining the lake play an important
role in its overall environmental condition, and the ecological benefit the vegetation has on fish
and wildlife habitat directly supports a sound and healthy lake environment. I/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
my/our expense, particularly if the disturbance is found to be in violation of state or local
ordinances or impacts FERC project buffers.
Duke Energy Page 2
Rev: 6/16/17

I/we 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.
Ih►/e agree to adequately stabilize all excavated material and all disturbed shoreline to prevent
erosion and runoff into the lake.
1/tive 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.
Ihne 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.
I/we recognize that it is my/our responsibility to clearly locate in the field and label on 771Y10117 -
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. Yii,e agree to provide my/our contractor with a copy of
these work area drawings showing these areas to stress the necessary protection measures.
Ihne agree that if any archaeological resources (e.g. pottery shards, Indian artifacts, etc.) are
discovered during the excavation, work shall be halted immediately. _1111,e will then notify Duke
Energy Lake Services and the State Historic Preservation Office to determine what measures, if
any,111ve must pursue to protect or salvage the archaeological resources.
I/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 projects stated purpose.
I/we agree to be fully responsible for the permitted lake use and I/we understand that this
responsibility is considered to transfer automatically along with ownership and leases of the
adjoining tract.
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. I/we agree to immediately comply with any Stop Work
Duke Energy Page 3
Rev: 6/16/17

Directives, to fiilly 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 177YI01ir own expense within the specified time frames. Ave 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.
Ilwe agree to notify Lake Services by hone when the excavation is initiated and to ensure that
during the excavation period. Five will post DukeEnergy's approval letter in a clear waterproof
bag at the lob site and visible from the water's edge
I/ive 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.
Ilwe recognize security deposits will not be refunded if any violations of the SMP or this user's
agreement occur.
Ilwe 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 Rilly indemnify and save Duke
Energy harmless from any and all claims, liability, loss or damage that may arise from this
excavation project.
I/We understand that this user's agreement does not, in any way, constitute the transfer of any
rights in real property and that nay/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,
t-'t2� Lir S Pc J� '/
Applicant's Name (Print) plicant's Si_ ature
icant's Name (Print)
Co -Applicant's Name
Co -Applicant's
s Name (Print)
Duke Energy
Lo -Appal s Signature
Co -Applicant's Signature
Co-App;fi Signature
Co -Applicant's Signature
Page 4
Rev: 6/16/17

Duke Energy Excavation Permit Application Form
FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit $ Check 4 Date Recv'd Initials
Date of Duke Energy Lake Services, applicant and/or contractor on-site inspections Date08 I U 18 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
(Sipa)
Initials
Any Stop Work Orders or SMG Violations*? (check one) ❑Yes ❑No (If )es, 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 I. Applicant Information (Please Print)
�bG
Name 4r PD) rlST go Lip Pi_- 5' Telephone
Email address: (✓-}S l Gl j/eO­ -Z
Lake Address Mailing Address (if different)
� � FAtitilcu f N 'L� �
tiLc� Ls ��i i rte-
J
Contractor Company L�-l� %i ,���I tj
Contractor Contact Person Telephone,%'.�5
Contractor Email Address: �F� �1C C�i� %� LL'L(1� • CI lit
LAKE LOT INFORMATION
� n'{
Lake �L County !ZLU
-L City k4j,- 2F,) / - State A. ",Tax Map No. Z4 43S ) 3 ))S(� L
Subdivision -i+yI5 PDi1'`-'( G fo lv ' to / Section No. 3 7ZPhl y IA Lot Size Acres
Duke Energy Page 4 of 14 rev 6/20/17
Excavation Program.

Duke Energy Excavation Permit Application Form
Are there any Co -Applicants*? (check one) ❑YesNo (If Yes, include names, street
addresses or lot numbers, pier numbers, phone num ers, 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 O$; 1 Cn I g
Initials (Duke Energy) Jf2uti
(applicant/contractor) S/LA
Duke Energy Page 5 of 14 rev 6120/17
Excavation Program.

Duke Energy Excavation Permit Application Form
Part II. Description of Project
A. —Basic Info
1. Type of excavation: (check one) UN"`ew excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) at Access Channel
❑ Water Intake Channel Wastewater Discharge Channel
❑ Other (specify):
3. Lake user category: (check one)rivate
❑Residential Marina
❑Commercial Marina
❑Public
❑Other (spec):
4. Max. Excavation Area Dimensions (ft): Length –� Width
Depth _ "
Wote: include additional area dimensions ifnecessaiy so response to #S beloi-v equals max. area
dimensions in T=l)
5. Volume of Excavated Material (TOTAL for the project): ) -7
Cubic yards
6. Type of material removed (applicant deter1771-nes by field sample fpractical):
7. Excavation Site area: ; Acre (s) Disposal Site area: „�
(s) Acre
8. Total Disturbed Area (including equipment staging area): LQ
LQ-- Acre (s)
9. Does theproject meet the requirements of the applicable General Permit? (check one)
es ❑No
10. Do you claim title to the disposal area? (check one) Ues ❑No
11. Do you claim title to the equipment staging area? (check one) 4 es ❑No
12. Are there any water-treatR10
facilities within 50 feet of the proposed excavation area?
(check one) ❑YeS
(If Yes, spec):
13. How will the excavated material be entrapped and the erosion controlled? (e.g. see attached
erosion control plan and disposal area design):
L,UL
Duke Energy Page 6 of 14
Excavation Program. rev 6/20/17

Duke Energy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used:
15. Will waters or wetlands be� c�r ed in transporting equipment to or from the site?
(check one) ❑Yes ONO
(If yes, explain)
16. Will return water re-enter the reservoir? (Check one) []YesWK M11/ -A
(If Yes, specify point(s) of re-entry and shote, on Excavation Area Drawing)
17. Is there an existing facility (e.g. pier) that access is being maintained to by conducting the
excavation? ❑Yes ONO
(If Yes, speck the existing perinit number. IfAio, include a scaled drawing of the proposed
facility). Permit #
18. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitiga ion ineasures complete):
START / j— FINISH
(Month) (Yeai) (Month)
Duke Energy Page 7 of 14
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Duke Energy 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:
Duke Energy Page 8 of 14
Excavation Program rev 2/0/17

Duke EnerYy Excavation Permit Application Form
Protection/Avoidance Areas A rox Identification
(check all that apply) Acs a Method (r) Avoid (A) or Mih ate (M)
r�e1d I D .,,
g. Buried gas, water, sewer,
communications or electric lines (circle)
h. Impact Minimization Zones as
identified by Duke Energy
i. Other areas requiring specific
avoidance, protection or mitigation (sPecifj,)
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. g)
xX List and attach mitigation plans
Duke Energy Page 9 of 14
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DukeEnergy Excavation Permit Application Form
C. Applicant's Signatures
Applicant Name (print)
Applicant Signature's Date
Co -Applicant Name (print)
Co -Applicant Signature' Date
Co -Applicant Name (print)
Co -Applicant Signature" Date
Co -Applicant Name (print)
Co -Applicant Signature" Date
Co -Applicant Name
Co -Applicant Sture"
Date
'Per my signature, the information provided in this application is correct to the best of my
knowledge.
Duke Energy Page 10 of 14
Excavation Program rev 2/6/17

Duke Energy Excavation Permit Application Form
Part III. Information Requirements for All Applicants
In addition to the completed application form PARTS I & 11, the following items must be
provided to Duke Energy by all applicants:
A. 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 and the disposal area), OR if the applicant(s) is(are)
not claiming to be the owner(s) of said property, then forward a copy of the deed and
registered survey plat or other instrument under which the owners) claim title plus written
authorization from the owner(s) to carry out the project on their land.
B. An accurate scaled drawing (1 "=25' for projects <1000 cubic yards of material removed or
1 "= 100' for larger projects) of the area to be excavated The drawing must show at a
minimum, a North arrow; a vicinity map; 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;
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. An accurate scaled drawing (1"=25' for projects <1000 cubic yards of material removed or
V= 100' for larger projects) of the proposed design for the disposal area. The drawing must
show at a minimum, a North arrow; a vicinity map; the boundaries and acreage of the
proposed disposal area; lake, county, city, cove, tributary, road and subdivision names and
lot numbers (as applicable); the frill 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. A map or directions by road showing directions to both the excavation area and disposal
area.
Duke Energy Page 11 of 14
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Duke Energy Excavation Permit Application Form
E. A USGS topographic map with a directional arrow indicating the exact location of the
excavation project and Latitudinal and Longitudinal coordinates for the project site.
F. A list of names and addresses of adjoining property owners for both the excavation area and
disposal area.
G. The existing permit number if excavation is being conducted to maintain access to an
existing facility (e.g. pier) or provide an accurate scaled drawing of any proposed facility if a
facility does not currently exist. Note: A separate crpplication and approval is required for
proposed Private Facilities (e.g. pier).
H. A copy of all permits and/or letters of correspondence to/from local. state and federal
fication or issue individual permits.
agencies that require noti
Duke Energy Page 12 of 14
Excavation Program rev 2/6/17

Duke Energy Excavation Permit Application Form
Part IV. Agency Revie-tvs and Approvals
(Begin this section with a summary table of all agencies consulted, comments received, and
applicant response to agency comments (see example table beloii). Agencies should be listed in
the order shown in the Agency/Organization List. Consultation letters must be dated within the
tivo years preceding Duke Energy's receipt of the application.
Table IV -1. S
Agency 1
Agency 2
Agency 3
Comment and
Agency Comment
The activity is approved as
proposed.
nse Table
The on-site well provides drinking
water to the public. Please contact
Mr. Smith to discuss the proposed
changes and potential issues
associated with your proposal
You must contact us immediately if
endangered species are located
during the course of construction
Requested agency comments on
1/l/20xx and again on 2/1/20xx. No
response as of 2/16/20xx.
NA
Contacted Mr. Smith on 1/l/20xx.
No further action needed.
Applicant will contact Agency 2 if
endangered species are located
during construction
NA
Following the table of agency comments and applicant responses, include a table of permits and
certifications issited by the reviei-ving agencies. As with the table of agency comments and
applicant responses, agencies should be listed in the same order cis they are listed in the
Agency/Organization List.
Table IV -2. Sam le A enc Permits and Certifications Table
EAgency Permit/Certification Name Date of Date of
Agency 1 Surface Water Withdrawal Permit Issuance Ex iratio
gency 2 Section 401 Water Quality Certification
Following the h"O 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 perinitse.g.Section
404 dredge/fill permits, buildingpermils( etc.) orother appiovalss orlcommeiry z scivh ch Section
e been
obtained f om these organizations regarding this activity. Include a copy of any local,r
regional,
state or federal regulations or guidelines that tivill be folloived 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
Duke Energy Page 13 of 14
Excavation Program
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Duke Energy Excavation Permit Aublication Form
of application and have a term longer- than the projected schedule for completing the permitted
project.
Part V. Additional Information
(Provide any relevant additional it formation. Reference previous parts as applicable. Include
the FERC -required Environmental Assessment if applicable. If there are co -applicants, this is
tivhere their information ihould be provided.)
Duke Energy Page 14 of 14
Excavation Program rev 2/6/17

SPEICH LARRY LOTSPEICH DANA
FALMOUTH RD
.7507
COUNTY (100), COUNTY FIRE (100), SOLID WASTE (1)
I Year: 2015 Tax Year: 2018 L37 -THE PINT ON NORM-PHIA-M3-PB-31-44
aised by 18 on OS 01 2015 17011 THE POINTE NORTH
CONSTRUCTION DETAIL MARKET VALUE
dation - 3
mous Foo[in 5,0 Eff. BASE
°lour System -4 US D Area A RATE RCN A—
ior
Al
I 08 01 4 112 145 178.35 74237 2Walls - TYPE: SFR E)(CEPTIONAL
int/Wood Fibib er Sidi 30.0
ig Structure - 06 STYLE: 3 - 2.0 Stories
filar 13.0
19 Cover - 10
ntenOrFloor Cov3er - 14
705
a et
9.0(
eating Fuel - 0
125,
as
1.0
eating Type - 04
833,
orced Air - Ducted
4.0
Ir Conditioning Type - 03
;EL
entral
4.0C
rooms/Bathrooms/Half-
L TAXABLE VALUE - PARCEL
athrooms
PRIOR
3/1
5.00
edrooms
VALUE
AS - 1 FU - LL -0
VALUE
athrooms
:NT USE VALUE
-2LL-0
AS-Bat
;RED VALUE
alf-Bathrooms
AS-IFUS -0LL- 0
VALUE NOTES
ice
PW CK
AS-OFUS-0LL- O
LT
OTAL POINT LUE
116.00
B IL I AD STMENT
arket/Design 6 FACTOR
I 1.100
6
TOTAL PRESENT USE DATA
uali 3 AVERAG
1.000
ize Siz Size
1.140
OTAL ADJUSTMENT FACTOR
1.25
OTAL QUALITY IND IX
14
or
Return/Appeal Notes: Parcel: 4635-13-1136. 000
PLAT: 31/44 UNIQ ID 385556
CARD NO. 1 of 1
0.690 AC SRC= Owner
SINGLE FAMILY RESIDENTIAL
Click on image to enlarge
OF
+nW VALUC - I.AKD
705
t. OB/XF VALUE - GRD
2,
KET LAND VALUE - GRD
125,
Ll MARKET VALUE - GRD
833,
LL APPRAISED VALUE - GRD
833,
iL APPRAISED VALUE - PARCEL 833,
.L PRESENT USE VALUE -
Q I
;EL
12 99
L VALUE DEFERRED - PARCEL
Q V
L TAXABLE VALUE - PARCEL
833,:
PRIOR
X I
'ING VALUE
705,:
VALUE
2,I
VALUE
125,(
:NT USE VALUE
0 1.0000 0 1.0000125,000.0
;RED VALUE
TYP
�wre DEEDSALES
MO R
TYPE
U I
PRICE
7 014
WD*
Q I
7990
10999
DS
Q I
51101
12 99
DS
Q V
701A
8 0
WD
X I
EPT SIZE MOD FACT OT
HEATED AREA 3,737
NOTES
W2154 1115E,00 BS#8 PIER J'Ol BS TO HO—A-9'0
REN
=N15WIOW5S3W"N3Wi5S13W7S24ESSlIE12EiN8E10S3E15N16E19N12W10Area:2183;UOP=N7W4N4W1954W457E453E18N3ESArea:319;UOP=52E26
W15N1 W lOS6W 1Area:187; FOP=N2 W IOS2E10Area:20; FGD=S18E452EISN2ESN46WS57 2 W i aci ee,e..anc.,, ��_.t �.
ND INFORMATION
------- "''------"-' bArea:1554-PrO=E5N18Wi5S3Si5ElOArea:270•TotalA.rea
5439 • � •V••+V•�r•
THER
IGHEST DJUSTMENTS
NO BEST USE LOLL FRON
DEPTH LND COND RF CAND TES
C TO
TOTAL
OA
SE CODE ZONING TAGE
EPT SIZE MOD FACT OT
LAND UNIT LAND
TYPE
UNT
;TOTAL;ADJUS-TEJDLAND
OVERRIDE LAND
FR WAT/AC 0124 R20 175
0 1.0000 0 1.0000125,000.0
PRICE UMTS
TYP
RIVALUE
VALUE NOTES
PW CK
1.0
LT
,00012500 OCUD
TOTALMARKET LAND DATA
TOTAL PRESENT USE DATA
125,00

Pier Easement K — 0.434 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed June 22, 1998;
Pier Easement L — 0.421 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed January 12, 1998;
Pier Easement M — 0.8267 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed May 29, 1998;
Pier Easement N — 0.8008 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed June 22, 1998;
Pier Easement O — 0.373 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed January 12, 1998;
Pier Easement Q — 0.366 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed January 12, 1998;
Pier Easement R — 0.315 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed January 12, 1998;
Pier Easement S — 0.4094 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed May 29, 1998;
Pier Easement T — 0.469 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed January 12, 1998;
Pier Easement U — 0.7274 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed June 22, 1998;
Pier Easement V — 0.9720 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed May 29, 1998;
Pier Easement W — 1.0944 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed June 22, 1998;
Pier Easement X — 1.0513 acres lying within the bed of Lake Norman, as shown on the
attached plat labeled "Pier Easement Plat for Crescent Resources,
Inc." and signed May 29, 1998;
COMMUNITY MARINA — 9.402 acres lying within the bed of Lake Norman, as shown
on the attached plat labeled "Pier Easement Plat for Crescent
Resources, Inc." and signed date unknown;
All surveys have been prepared by ESP Associates, P.A., 10915 Southern Loop
Boulevard, Pineville, NC.
1. Term: This lease shall begin on C(- /,�, I? , and shall terminate on
August 31, 2008. Except, however, this lease may continue in effect on a year-to-year basis
thereafter upon the payment and acceptance of the annual rental, but Lessor shall not be
obligated to renew. Lessor may terminate this lease at any time if directed to do so by the
2

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No .(fit':11i:11t(' I1\95
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THIS PROPERTY MAY B£ SUBJECT TO ANY - C Yii ,
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L-3046 50 100 200
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CORNERS UNLESS OTHERWISE NOTED
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THIS IS NOT A BOUNDARY � �EN `
SURVEY AND IS INTENDED FOR THEl�'rrr(rtlltttttt 10915 SOUTHERN LOOP BOULEVARD
ESTABLISHMENT OF A PIER EASFMENT ONLY PINEVILLE NORTH CAROLINA VARD
2-8 164
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CURVE TABLE
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29.822 SF
0.685 ACRES
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CRESCENT RESOURCES,INC., ET AL
DBK 904 PG 1959
DBK 833 PG 236
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ENVIRONMENTALLY _
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ESP ASSOCIATES
o n > m METES AND BOUNDS SHOWN ON COMMON OPEN
SPACE WERE CALCULATED AND NOT FIELD
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IN NATURE AND WILL RE REVISED AT SUCH
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SURVEYED. B1.ISHED aNp FIELD RUN BY
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No .(fit':11i:11t(' I1\95
VICINITY MAP NTS �� tt1 V APO 11
THIS PLAT NOT PREPARED F a�••'^ ySCALE
OR ATTACHMENT TO DEED 03 RECORDATION (�-•,f l i ,y,' �i r BAR 1”--100'
cQ. !i
THIS PROPERTY MAY B£ SUBJECT TO ANY - C Yii ,
EASEMENTS AND\OR RIGHTS 0;7 WAY -
L-3046 50 100 200
NO MONUMENTALON HAS BEEN SET AT EASEMENT Q
CORNERS UNLESS OTHERWISE NOTED
THIS GATE OF SURVEY 11\95 sF•. t.��\�;.� �c1 ; E.S.P. ASSOCIATES, P.A
AND ISLAT BASEDSONRAPAACTUALDPLATY SUPERVISION rf�'Ay'•r•."•• . Q
���• engineering Surveying • planning
THIS IS NOT A BOUNDARY � �EN `
SURVEY AND IS INTENDED FOR THEl�'rrr(rtlltttttt 10915 SOUTHERN LOOP BOULEVARD
ESTABLISHMENT OF A PIER EASFMENT ONLY PINEVILLE NORTH CAROLINA VARD
2-8 164
` RI IC. 30ti� ------•---
[phone]
PIER EASEMENT FOR-
CRESCENT RESOURCESJNC—ET AL o„�=100-
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#PIER�
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