20181278 Ver 1_Shoreline Stabilization_20180913

2 0 a 2 7 State of North Carolina
Department of Environment and Natural Resources
DWR 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
Three copies of the application (including attach ts) a pplication fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit A c7cp
1617 Mail Service Center
Raleigh, NC 27699-1617 Pik/? 1 d�
Sro�W,griRr,
I. Applicant Information [15A NCAC 02H .0502(a)]�i^`�j�/��
1. Owner Information
Name: 101,XC LLnd hcLrc>tn Mor�on
Mailing Address: 3 it) 2)'l [Aor mca) Shnr s -)r
(Inrncl ivs. NC_ ago31
Telephone Number: 909S - 7q l - 1.23to Fax Number:
E-mail Address: +O -ho ( U Ll 5 3t o [ 1i) 13CA rnO:, \ P aim
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/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation:
Mailing Address:
Telephone Number: 76Ll -&(u0 - 5 11 1 Fax Number: 17py- (b1.0 • 5C1U9
E-mail Address: 0 In C `aeo-«-3 L.1(5cD tA ', ti �(2l -,-) ��p ciL ao . ne,�-
Person to receive the Certification Approval: Tln �r p 2` i -e p
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
vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces,
FORM: SSGP 10-2013 Page 1 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 conductedd)�
County: Nearest Town: car LSS
Subdivision name or site ad ress (include phase/lot number): 1 U 3' 1 Ko rD004
't," 'en ��, r��� i- # C�. o r n 1 i
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees) 3 S . H Q S JL4 Longitude (decimal degrees] ad. S'199 2
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): _Ees♦►Clen�jo�_Q,
6. Property size (acres):
7. Lake/ river/ ocean adjacent to property: rAo r YYn[ur>
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): -nrecloe_ Q11 100CLA7
LJ
&C.(°_e. SS
9. Will work be conducted from land? ❑ From water? Qr
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 normal pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres: tAn d , d r o �n,�ho j v�
ke LJ 6-ge-
12. Please describe the vegetation above the normal pool lalevel/ Normal Water Level and
50 feet landward to be impacted (number of trees, for instance):
�'M rnr,-s h � F e.r ;ono 1ye-e s -Fo I)e v e.mny e_cl
[15A NCAC O2H .O5O2(f)] Date
'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
.�elinee ''
Shor'
Lake
(At Full Pond/ Normal Water Level)
Pb6tt,
CorY,et•�
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

Duke Energy Excavation Permit Application Form
DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit S Check'4_ Date Recv'd Initials
Date of Duke Energy Lake Services, applicant and/or contractor on-site inspections Date W InitialsdMil_
Date Final Protection/Avoidance Arca Markings Field - Verified
Approved to Start Work By * :
Date Completion Required
Date Passed Closeout Inspection's
Initials
Date
(Print) - (Sign) _
Date of Any Approved Extension Initials
Initials
Any Stop Work Orders or SMG Violations*? (check one) ❑Yes ❑No (!f 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 F. Applicant Information (Please Print)
Name r% 1cel 1F_ V)a= NA n Telephone
m. .t1 ! r /s. 11.r • a1
AddressLake
Nor a 1Cx ! • l
\ i•
Mailing Address (if different)
Contractor Company OT.�C 9, _k-ne_ � !3eo w c I nQ . LLC
Contractor Contact Person J n; c e SA-e_►7 Telephone (_) 7(X1- LQCoO v 111
Contractor Email Address: C60 -lo e0. t_o[Ll is Q Lit nd tArea_wri . l; lei -
LAKE LOT INFOKNUTION
Lake , County M g, C�& City C.rne.k ;,x State N, Tax Map No.
Subdivision N 14 Lot I Section No. Lam- a Lot Size,y_ylAcres
Duke Energy Page 4 of 14 rev 216117
Excavation Program

Duke Energy Excavation Permit Application Form
Are there any Co -Applicants*`? (check one) ❑YesNo (If Yes, include names, addresses or
lot munbers, phone manbers, 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 I 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 Representative and the applicant and/or the excavation contractor.
NOTE: Initializing this por7ion of the application by a Lake Representative in no way
constihttes approval or efninent approval of the e_rcavation or any other lake [Ise permitting
activity.
Date of on-site inspection �Q Olt 1,G3
Initials (Duke Energy) t) OU1
(applicant/contractor)
Duke Energy Page 5 of ht rev 2/6117
Excavation Program

Duke Energy Excavation Permit Application Form
Part II. Description of Project
A. BASIC INFO
1. Type of excavation: (check one) eNew excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) eBoat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
IrOther(specify): Incas access SO Ir .6mk
3. Lake user category: (check one) erivate ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (sped):
4. Max. Excavation Area Dimensions (ft): Length Width
Depth 1;; r
(Note: include additional area dimensions if necessary so response to #5 below equals max. area
dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): 53 rl Cubic yards
6. Tyjge of material removed (applicant determines by field sample if practical):
►r4 1
7. Excavation Site area:. Q 1p LD Acre (s) Disposal Site area: o`� • a q Acre
(s)
8. Total Disturbed Area (including equipment staging area): . b Le U Acre (s)
9. Does tete project meet the requirements of the applicable General Permit? (check one)
es ❑No
10. Do you claim title to the disposal area? (check one) Res ❑No Ste- o_4ached CW—_D—zed
11. Do you claim title to the equipment staging area? (check one) ❑Yes Mlgo
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area?
(check one) ❑Yes Sf4o
(If Yes, spec):
13. How will the excavated material be entral
erosion control plan and disposal area design
the erosign controlled? (e.g. see attached
Duke Energy Page 6 of ld rev 216t 17
Excavation Program

Duke Energy Excavation Permit Application Form
14. Type(s) of excavation equipment to be used: P eX ra OQ.6::) (2
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) des ONo
(If yes, explain) �A� Pl
16. Will return water re-enter the reservoir? (Check one) Oyes GKo ON/A (If yes, sped
points) of re-entry and show on Excavation Area Drawing)
17. Is there an existing facility (e.g. pier) that access is being maintained to by conducting the
excavation? l(Yes CNo
(If Yes, specify the existing permA
number. If No, include a scaled drawing of the proposed
facility). Permit # x; s{,I nn � 6e', n9 devYidd- (lou ne rS have- r p roved
w
18. Total planned duration of the hTe work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START �_ / DO/tS FINISH �_ / _301
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 14 =2 I& 17
Excavation Program
dock �Wmi t-
(a++6rj1ed

Duke Energy Excavation Permit Apalieation Form
PART 11. (Continued)
B. PROTECTION /-AVOIDANCE AREA DESCRIPTION
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protectioa/Avoidance Areas
(check all dial apply)
a. Marshland, swamp, ponds, beneficial
aquatic vegetation or other potential wetlands
(circle all that apply)
Approx
Acre
Identification
Method *
Avoid (A) or Mitigate (M)
Field ID
A' / P -
Work Area Dwa. ID
b. Buffer Zones (specify tvidtA do source
of requirement)
A I I
V
c. Environmental Areas as identified by
Duke Energy
N'LQ
r t
d. Natural Areas as identified by Duke
Energy
� A
f
e. Historic properties (specify)
l\4 1 r
f. Rare or threatened species (specify)
NIA IV(A
Duke Energy Page ll of 14 rev 2i6/17
Excavation Program

Duke Energy Excavation Permit Application Form
Protection/Avoidance Areas
(check all that apply)
Anarox
Identiticat'on
Method *
Avoid (A) or Mitieate (M)
Acre
Field D
Work Area Dwe. ID
a. Buried gas, water, sewer,
communications or electric lines (circle)
b. Impact Minimization Zones as
identified by Duke Energy
/4
J. Other areas requiring specific
avoidance, protection or mitigation (specify)
* For "Field ID" column, specify entity or person that performed the identification and how it was physically marked (e.g. Duke
Energy (John Doe)/Pink and purple -dotted tape, Corps of Eng. (John Smith)/ yellow flagging). For "Work Area Dwg ID" column,
show the symbol that is used on the drawings to identify the protection/avoidance area.
** List and attach mitigation plans
Duke Energy Page 9 of 14 rev 2/6117
Excavation Program

Duke Enerzy Excavation Permit Aaulication Form
C. APPLICANT'S SIGNATURES
Comments:
Applicant Name
Applicant Signatu
l rme.� �1S me- ago --it
Co -Applicant Name (print),
Co -Applicant Signature*
Co -Applicant Name (prin garcri Nor --6n
Co -Applicant Signature*
Co -Applicant Name (print),
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Co -Applicant Name (print)
Co -Applicant Signature*
Lot #
Date
Lot # d�
Date f fi
Lot #
Date
Lot #
Date
Lot #
Date
*Per my signature, the information provided in this application is correct to the best of my
knowledge.
Duke Energy Page 10 of 14 rev 2/6117
Excavation Program

Excavation Project User's Agreement Letter
(Please fill in the blanks. Please Print)
Date q
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
(Lake/County/City) No InnA
(Applicant's All name)lQ_I f �.F
hereby agrees to comply with all
recommendations, requirements aiid/o conditionsuke 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 1 o�(�, n r SS
In addition, IAve 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 Uwe obtain approval for
a single, time extension (maximum of one year) in writing from Duke Energy Lake Services.
IAve 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.
Uwe 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, I/we 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.
Yive attest to be the owner(s) or lease holder(s) of the land that will be used for equipment
staging and disposal of excavated material or if not the owner or lease holder, Uwe have included
oukc &�v Page 1 RerVIV17

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.
I/tive understand that all excavation work must be done directly in front of inylour property and
within the third of the cove nearest my/our 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 to/on their land. IAve 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.
IAve understand that for proposed excavations, IAve 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. Uwe understand that
written authorization and/or other permits may be required by some of these agencies and such
required authorizations must be obtained before 1/we submit the final application to Duke
Energy Lake Services.
Ave 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/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.
IAve understand that applicants in South Carolina proposing excavations that are not covered
under the General Permit, or are greater than 150 cubic yards, must receive prior written
authorization from the South Carolina Department of Health and Environmental Control
(SCDHEC) or the US Army Corps of Engineers (as applicable) before submitting the completed
application to Lake Services.
IAve 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.
I/we understand that trees and vegetation growing within or adjoining the lake play an important
role in its overall environmental condition, and the ecological benefit the vegetation has on fish
and wildlife habitat directly supports a sound and healthy lake environment. Uwe also understand
that unauthorized removal of shoreline vegetation (e.g. button bushes, willows, cattails, etc.)
and/or disturbance of the shoreline buffer may result in suspension or denial of lake use
permitting requests, forfeiture of security deposits and require re-establishment of vegetation at
i y/our expense, particularly if the disturbance is found to be in violation of state or local
ordinances or impacts FERC project buffers.
°ike EncrZy Pae 2
Page ate: 3119117

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.
I/we 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.
Mve 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.
Ihve 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 fny/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. Mve 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. Ave 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.
Yu,e 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.
I/we 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 ,ny/our own expense or loss of any
consideration for future lake use permits. 1/we agree to immediately comply with any Stop work
OakeEr&V Page 3 Rcr.SAV17

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.
1/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. Ne 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.
Ihve agree to notify Lake Services by phone when the excavation is initiated and to ensure that
during the excavation period, Ave will post Duke Ener=gy's approval letter in a clear waterproof
bag at the lob site and visible from the water's edge.
1/we agree to notify Lake Services in writine 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.
I/we 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.
I/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.
I/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,
M 1C I\C OeA II)y6n a.
-IApplicant's Name (Print) Lot # icant's Signature
\4rkrm N\01-610
*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 Er m. Page 4 Rev. 5119/17

*:Co-Applicant's Name (Print) Lot #
Co-Applicants 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 fromthe Applicant and Co -Applicants. By signing this
agreement, Co -Applicants are in fact recognizing and agreeing to the same conditions as is the party signing as
Applicant.
Duke Energy Page 5 Ran s:IV17

CBC St6ne and kid ale : LLC/Neuralreer$
Scapes., LLI aha horizatfo to obtain 111 -he
necessary ItInformotion for iliza-Tion and
dredge Permits,
gr ee:
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DUKE
Lake Services
D V KE �,+ Duke Energy
ENERGY
►�. } p f� i 526 S. Church Sleet; E:C120
f'rI (1ti.7 Chadatte, NO 28202
May 23, 2018
Michael Norton
21037 Norman Shores Drive
Cornelius, NC 25031
RE: Private Facilities Permit Application Approval
Norman - Pier- 21037 Norman Shores Drive
Dear Sir/Madame:
This office has reviewed vour Private Facilities permit application(s) and is authorizing the
building of the structure(s) subject to the following conditions:
• The construction of the facilit}- must be completed as described in the approved
application and within twelve (12) months from the date of this approval.
Lake Services must be notified upon completion of the structure(s) so the lake use
permitting process can be completed; a permit tag will be attached at final inspection
(if one is not alreadypresent'on an existing structure).
Please place a copy of this letter in a watertight plastic bag and post it along the
shoreline where you are implementing your approved activity.
• New, expanded or rebuilt facilities or mooring buoys must be situated or constructed in
size, dimension, or design such that an averag-e-size (10 foot minimum) moored
watercraft will not interfere with access to other facilities and not obstruct ingress and
egress of watercraft.
• AlthouQh DE -LS has reviewed and approved your Private Facilities Permit
Application; because not allapplications are submitted with plans that are drawn to
scale, the applicant must ensure that (1) the structure described in the Application does
not extend bevond 1/3 the distance of the cove or one hundred and twenty feet
(including any moored watercraft); (2) facilities must be situated or constructed in size,
dimension, or design such that an average -size moored watercraft will not interfere
with access to other facilities and not obstruct ingress and egress of watercraft;
facilities must provide a clear maneuvering area of at least 25 ft between the
farthermost portion of the facility (including any moored watercraft) and the opposite
shoreline or any existing permitted facility; (4) the structure does not exceed the total
square feet listed on the application (420), and; (5) the unapproved facility identified
during the application revievy shall be removed before the inspection and approval of
the above referenced structure will be completed.
Note: Permitees must immediately notify Duke and stop all work if historical or
archeological resource are discovered during the implementation of an authorized project.
Please note: This approval does not approve electrical service on dock or piers. Lot owners should contact
their county Buildings and Codes office for electrical service requirements and/or restrictions. Some
counties may restrict submersible pumps in the lakes.
Thank you for your cooperation with Phis program. If you propose to build any additions, make any

modifications. including maintenance.'or have any further questions; please contact me at 704-382-7506.
You may also email lakeseniices@duk,,"e-eneroy-.com or you may call 1-800-4=13-5193 and select the
appropriate option.
Sincerely,
Joseph R. Kluttz, III
Lake Services Representative
Duke Energy Lake Services
Enclosure(s)
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20170.t9300
NORTH CAROLINA GENERAL WARRANTY DEED
Purchase
Parcel Identifier No. 00143166; 00174298 V
By:
Mail/Box to: Grantee
$562,500.00
by County on the day of
20
Instrument prepared by: Ben S. Thomas of THOMAS & GODLEY, PLLC, 514 Williamson Road, Ste. 421, Mooresville, NC 28117
File# 2016127174
Title Insurance Company: Master Title Agency
Brief description for the Index: Ll MM595 Triangle 21019 Norman Shores
THIS DEED made this 02/14/17, b and between'
GRANTOR GRANTEE
Jose A. Mejia and spouse, Michael Page Norton and spouse,
Carol A. Mejia Karen Elaine Norton
1966 Magnolia Grove Road
Iron Station, NC 28080
Property Address:
21037 Norman Shores Drive
Cornelius, NC 28031
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and
by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in
Mecklenburg County, North Carolina and more particularly described as follows:
TRACT L•
BEING all of Lot 1, of Section I of Lake Point Shores, as same is shown on the map recorded in Map Book 19 at Page 595 of the
Mecklenburg County Public Registry.
TRACT U:
All of Grantor's right, title and interest in and to that small triangular shaped tract of land which lies directly west of Lot 1, and
being described as follows:
BEGINNING at a point which lies S 86 0138 W;46.30 feet from the southwesterly corner of the above described Lot 1, thence
from said beginning point S 86 48 20 W, 105.67 feet, to an iron set, thence in a northerly direction, N 04-01-38 W, 52.54 feet, to
an iron set, thence S 72-26-36 E, 42.50 feet to a point, thence S 63-51-36 E, 76.50 feet, to the point and place ofBEGINMING, an
as shown on that certain survey, prepared for Carol A. Mejia, and Jose Mejia, by Yarbrough, Williams & Houle, Inc., dated
November 18, 2011.

Delinquent property taxes, if any, are to be paid byxhe closing attorney to the county Tarx Administrator upon disbursement of
the closing proceeds.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 30239, Page 356_
All or a portion of the property herein conveyed _;& includes or _ does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Book 19, Page 595.
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:
1. Any and all easements, rights of way and restrictions of record.
2. Any and all zoning and planning ordinances.
3. Any discrepancies as an accurate survey of the premises might reveal.
4. Any and all other matters of record.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing,
(SEAL,
Carol
SEAL
Jose A. jia —(SEAL) Carol. A. Mejia ( )
State of North Carolina - County or City of Irede
I, the undersigned Notary Public of the
personally appeared before me this day and aclo
expressed. Witness my hand and Notarial stamp
My Commission Expires:
(Affix Seal)
(SEAL)
(SEAL) (SEAL)
)unty and State aforesaid, certify that Jose A. Mejia
vledged the due execution of the fo egoing instrum
sea] this f' `T day of
s. THOMm's
y�,qq 3':�1F VAS i1t�f�i_.,
andspouse, Carol A. Mejia
for the purposes therein
20 /7
Nofary's Printed -or Typed Name
State of North Carolina - County or City of Iredell
I, the undersigned Notary Public of the County and State aforesaid, certify that
Witness my hand and Notarial stamp or seal, this
day of 120
Public
My Commission Expires: Notary Public
(Affix Seal) Notary'sPrinted or Typed Name

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THE JOHN W_ CAFFEV. JR. TI
anti MARY FRANCES CAFfEY III
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