20170100 Ver 1_Shoreline Stabilization_20170123

LAKE NORMAN DREDGING/ MARINE CONSTRUCTION
PO BOX 3156 Mooresville, NC 28117
PH -704-664-1010 I FAX [phone]
NC Dept. of Environmental & Natural Resources
Division of Water Services
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
919-807-6584
Lake Norman Dredging and Marine Construction has been contacted by:
Kevin Combs
to Dredge an area of lakefront property located at:
134Thunder Hill, Mooresville, NC 28117
7 Q 1 0 0
J
I JNfV 2 3 201
The purpose of dredging is to allow easier boat access. The area to be dredged is a
60 X 80 X 3 Dredge Area
The dredge spoil will be excavated, then hauled away by barge to our site located at 4561 Slanting
Bridge Rd Denver, NC.
Please contact Mickey at 704-664-1010, if you have any questions or require further information.
We look forward to your response and approval of this project.
Kind Regards,
Mickey Larson
[e-mail]

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
ISA NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of Water Resources FORM: SSGP 10-2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Kevin Combs
Mailing Address: 134 Thunder Hill Road
Mooresville. NC 28117
Telephone Number:
E-mail Address:
704-309-0002 Fax Number:
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/reRdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: Mickey Larson
Company Affiliation: Lake Norman Dredging
Mailing Address: P.O. Box 3642
Mooresville, NC 28117
Telephone Number: 704-664-1010 Fax Number:
E-mail Address: geodredgelarsongmail.com
Person to receive the Certification Approval: Mickey Larson - Lake Norman Dreding
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 conducted)
County: Iredell Nearest Town: Mooresville
Subdivision name or site address (include phase/lot number):
134 Thunder Hill Road, Mooresville, NC 28117 - Lot 357, 358
Directions to site - please include road names and numbers, landmarks, etc.:
Take 1-77 S to Exit 35 for Brawley School Road. Turn right onto Brawley School Road.
Continue Straight onto NC -1100. At the traffic circle take the 2nd exit and stay on NC -1100.
Turn right onto Tuskarora Trail. Turn left onto Thunder Hill Road.
Latitude (in decimal degrees) 35.503696 Longitude (decimal degrees) -80.949640
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Residential
6. Property size (acres): .895
7. Lake/ river/ ocean adjacent to property: Lake Norman
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Purpose of dredging is to allow easier boat access
9. Will work be conducted from land? ❑ From water? FKI
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:
3' Below
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: 2' Above
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): N/A
Owner/AgentVSignature
Mickey Larson
Printed Name
(15A NCAC 02H .0502(f))
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013
1/19/17
Date
Page 2 of 3

60' length
Full Pond/
Normal Water Level
Shoreline
Lake
(At Full Pcrnp/Normal 14ter lever
80' width
1
3' Below
2' Above
1
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

-4
DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
I FOR DUKE ENERGY USE ONLY
Duke File No.
Application Fee $ Security Deposit $ Check # Date Recv'd Initials
Date of Duke Energy Lake Services, applicant and/or contractor on-site inspections Datea t It 17 Initials d
Date Final Protection/Avoidance Area Markings Field - Verified
Approved to Start Work By * :
Date Completion Required
Date Passed Closeout Inspection*
(Print)
Date of Any Approved Extension
Initials
Initials
Date
(Sign)
Initials
Any Stop Work Orders or SMG Violations*? (check one) ❑Yes ❑No (If Yes, explain in 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) Tax ID or Social Security Number
Name Kevin Combs
Telephone ( 704 704-309-0002
Lake Address 134 Thunder Hill Rd, Mailing Address (Ifdierent)
Mooresville, NC 28117
Contractor Company Lake Norman Dredging
Contractor Contact Person Mickey Larson
Telephone ( 704 ) 664-1010
LAKE LOT INFORMATION
Lake Norman county . lredell city Mooresville State NC Tax Map No. L 3 -7 �'!3
Grid Section Subdivision N //� a Section or Phase No.
Lot No.3 5 8 Lot Size . 0-fS Acres
Do not continue the application until an on-site inspection has been conducted between a Duke Energy Lake Services
Representative (DELSR) and the applicant and/or the excavation contractor. NOTE. Initializing this portion of the
application by a DELSR in no way constitutes approval or eminent approval of the excavation or any other lake use
permitting activity.
Date of on-site inspectiono.11117 Initials (Duke Energy) WWI (applicant/contractor)
GpWocas \APPENDIX OT;davation Applicatioadoc Page 1 REV: Wnz/zoos
Effective Date: 11/15/98

14
DUKE ENERGY EXCAVATION PERMIT APPLICATION FORM
Are there any Co -Applicants*? (check one) ❑Yes to, (If Yes, include names, addresses, phone nos., lot nos., lot sizes
in PART V — ADDITIONAL INFORMATION)
* Co -Applicants exist when the proposed work is being done under a single application, will be performed by a single
contractor as one continuous project and is done to benefit multiple owners / lease holders of project -front properties within
a single development. The check for the application filing fee and security deposit should be from the party shown as
Applicant and not several checks from the Applicant and Co -Applicants.
PART II - DESCRIPTION OF PROJECT
A. BASIC INFO
1 _ Type of excavation: (check one) ® New excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) M Boat Access Chan'1 ❑ Water Intake Chan'1 ❑ Wastewater Disch. Chan']
❑ Other (specify)
3. Lake user category: (check one) Wrivate ❑Commercial/Res. ❑Commercial/Non-Res. ❑Public
❑Other (spec)
4. Max. Excavation Area Dimensions (ft) Length 60 Width 80 Depth 3
(Note: include additional area dimensions if necessary so response to #S below equals max. area dimensions in #4)
5. Excavated material (TOTAL for the project) Cubic yards 633
6. Type of material (applicant determines by field sample if practical) Silt/Sand/Clay
7. Excavation Site area V 11 Acre (s) Disposal Site areajj 2.5 Acre (s)
(
8. Total Disturbed Area (including equipment staging area) . ' Acre (s)
9. Does the project meet the requirements of the applicable General Permit? (check one) ®Yes ❑No
10. Do you claim title to the disposal area? (check one) ®Yes ❑No
11. Do you claim title to the equipment staging area? (check one) INYes ❑No
12. Are there any water -treatment facilities within 50 feet of the proposed excavation area? (check one) ❑Yes ®No
(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 deli )
Material wilfbe excavated by hdraulic dredge and/or excavator, loaded onto bare
en hauled to our approved s aging area at Slanting t3nage Road.
14. Type(s) of excavation equipment to be used: Tugboat, Barge, Excavator, Dredge
15. Will waters or wetlands be crossed in transporting equipment to or from the site? (check one) ❑Yes ®No
(Ifyes, explain)
16. Will return water re-enter the reservoir? (check one) ❑Yes ® No (If Yes, speck points) of re-entry and show on
Excavation Area Drawing)
GpalUocassee\APPENDIX 01Encavation AppGcation.doc Page 2 REV: 7/22/2008
Effective Date: 11/15/98

DUKE ENERGY DIRECTIONS BY ROAD FORM
Lake Use Permit Applicants and Contractors: Ease of locating the proposed project site can have a big
impact on permit processing time. Please complete this form and return it along with your completed permit
application to:
DUKE ENERGY
C/O LAKE SERVICES - EC 12 Q
PO BOX 1006
CHARLOTTE, NC 28201-1006
1-800-443-5193 or Option 5
Applicant's Name: Kevin Combs
Street Address (at lake): 134 Thunder Hill Road
Lake Name: Lake Norman
Subdivision Name: N/A
Property Section: Parcel ID 4614-93-7893 Lot # 357, 358
City: Mooresville County: Iredell
State: NC Zip: 28117
Telephone: [phone]
Take 1-77 S to Exit 35 for Brawley School Road. Turn right onto Brawley School Road.
Continue Straight onto NC -1100. At the traffic circle take the 2nd exit and stay on NC -1100.
Turn right onto Tuskarora Trail. Turn left onto Thunder Hill Road.
gpal/LAKEMGMT/Package Information/Directions by Road Form.doc August 18, 2006

A
N
Type: CONSOLIDATED REAL PROPERTY
Recorded: 1/3/2017 2:00:55 PM
Fee Amt: $1,530.00 Page 1 of 3
Revenue Tax: $1,504.00
Iredell County, NC
Ronald N. Wyatt Register of Deeds
BK 2467 PG 1301 - 1303
Excise Tax 51,504.00 Recording Time, Book and Page
Tax Lot No.
Verified by _
by
_ Parcel Identifier No. 4614 93 7983.000
County on the _ day of
2016 `
Mail after recording to Grantee
This instrument was prepared by Todd J. F�w, Attorney at Law, The Lake Law Office, PLLC, PO Box 4328, Mooresville, NC 28117
Brief Description for the index
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made December 19, 2016,
GRANTOR
MICHAEL PAUL DOUZUK, JR. AND
NANCY L. DOUZUK, HUSBAND AND WIFE
1606 KENDALE COURT
BRENTWOOD, TN 37027
GRANTEE
KEVIN D. COMBS AND SHANNON B. COMBS,
HUSBAND AND WIFE
134 THUNDER HILL ROAD
MOORESVILLE, NC 28117
Enter inappropriate block for each party: name, address, and if appropriate, character of entity, e.g., corporation m partnership
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
IREDELL County, North Carolina and more particularly described as follows:
SEE ATTACHED EXHIBIT "A"
THE AFOREDESCRIBED PROPERTY WAS NOT THE PRIMARY RESIDENCE OF THE GRANTOR.
THE AFOREDESCRIBED PROPERTY WILL BE THE PRIMARY RESIDENCE OF THE GRANTEE.
Book: 2467 Page: 1301 Page 1 of 3
(ROTC

The property hereinabove described was acquired by Grantor by instrument recorded in Book 2083, Page 1761.
A map showing the above described property is recorded in Plat Book /, at Page /.
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 except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
Ad valorem taxes for current and subsequent years. Closing attorney certifies that delinquent taxes, if any, shall be paid
from closing proceeds.
Any and all valid easements, restrictions and rights of way in existence in or over said premises which may appear
as of record in the Office of the Register of Deeds for said County.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed in its
corporate name by its duly authorized officers and its seal to be hereunto affixed by authority of its Board of Directors, the day and year
fust above written.
.r �: Y::tF �•
'STATE OF
� ,Q
(SEAL)
:TENNESSEE
z NOTARY
MICHAEL PAUL DOUZUK, JR.
=•• PUBLIC
SONc ,1t` `
(SEAL)
rr„n aE9g1
E� "County,
ANCY LOU
1144, IlY-\ TENNESSEE
SFAL-STAMP
I certify that the following person(s) personally appeared before me this day, and I have seen satisfactory
evidence of the principal's identity, by a current state or federal identification with the principal's
photograph in the form of a driver license; each acknowledging to me that he or she voluntarily
signed the foregoing document for the purpose stated therein and in the
capacity indicated: MICHAEL P DOUZUK, JR. AND NANCY L. DOUZUK, HUSBAND AND
WIFE
Date: /(p
o /P Notary Public
My Commission Expires: 9.7. aod-D
Book: 2467 Page: 1301 Page 2 of 3

EXHIBIT "A"
BEGINNING AT A Ito REBAR FOUND IN THE SOUTHERN MARGIN OF THE CUL-DE-SAC FOR
THUNDERHILL ROAD AT A COMMON CORNER WITH WILIJAM H. HENDERSON, JR. (SEE BOOK 4327,
PAGE 578); AND RUNNING THENCE WITH THE LINE OF HENDERSON SOUTH 00-15-00 WEST 245.86
FEET TO A Ito REBAR IN THE 761 CONTOUR ELEVATION UNE OF LAKE NORMAN; THENCE WITH THE 761
CONTOUR ELEVATION LINE OF LAKE NORMAN AS FOLLOWS: (1) NORTH 78-46-00 WEST 48.03 FEET: (2)
NORTH 27-28-00 WEST 58.66 FEET; (3) NORTH 1846-00 WEST 64.11 FEET AND (4) NORTH 5425-S2
WEST S1.08 FEET TO A"REBAR FOUND, A COMMON CORNER WITH KEITH L. ALM (SEE BOOK 5422,
PAGE 275); THENCE WITH THE UNE OF ALM NORTH 06-37-22 WEST 176.73 FEET TO A #4 REBAR
FOUND IN THE SOUTHERN MARGIN OF THE RIGHT OF WAY OF BALLYCASTLE ROAD; THENCE WITH THE
MARGIN OF THE RIGHT OF WAY OF BALLYCASTLE ROAD ON A CURVE TO THE LEFT, SAID CURVE
HAVING A RADIUS OF 203.62 FEET FOR AN ARC DISTANCE OF 109.38 FEET TO A POINT MARKING THE
INTERSECTION OF BALLYCASTLE ROAD AND THUNDERHILL ROAD; THENCE WITH THE MARGIN OF THE
RIGHT OF WAY OF THUNDERHILL ROAD AS FOLLOWS: (1) ON A CURVE TO THE RIGHT, SAID CURVE /J
HAVING A RADIUS OF 210.81 FEET FOR AN ARC DISTANCE OF 79.43 FEET TO A POINT AND (2) ON A
CURVE TO THE LEFT, SAID CURVE HAVING A RADIUS OF 50.00 FEET FOR AN ARC DISTANCE OF 92.28 _ , [
FEET TO THE POINT AND PLACE OF BEGINNING, AND BEING A PORTION OF LOT 3 7 SECTION 6 OF
CRESCENT LAND & TIMBER CORP. AS SHOWN ON PLAT RECORDED IN PLAT B00t.17, PAGE 620, j� ��
MECKLENBURG COUNTY REGISTRY. 354
THIS PROPERTY WAS PREVIOUSLY LOCATED IN MECKLENBURG COUNTY AND IS NOW, BY ACT OF
LEGISLATURE, IN IREDELL COUNTY. FOR BACK TITLE, SEE BOOK 4154, PAGE 335, MECKLENBURG
COUNTY REGISTRY, WHICH TITLE IS INCORPORATED HEREIN BY REFERENCE.
19 55?
Book: 2467 Page: 1301 Page 3 of 3

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PROP6Ily SURA RR1 ro CTS FATHAT NAY BE
PROPERLY 6lYNl®: R-20 -1A®ELL CWNTY 2DNDIG JURISDICTION. BY A AND
ACCURATE TIRE SEARCH.
PROPEIITY M SUBIECT roA 3S fAONT (FY), W 90E 0M, TO FA931EIRS AND ffi H OF WAY
STRffT (SSY) 8 50' m 76W CONTOUR (LY) HD40 N BUDDING OF RCOORD AND TNDSE NDT OF RBOMD, IF ANY f105T.
SETRAO( Rai N®BL CCIMY 2CINDIG ORDIIUNp=. ME BY CDO —TE COMRIfATION.
SUBDIVCSICW RAT SEIBA06 ME 3Q fllQ1 ROAD R/W, SD' fROM PROIERTY AtAv BE SUR)ECT M GDVERMID ORDINANCES,
CDNTOUR ]6[Y R ID' SIDE LINE MININIIM BUllINNG SETBAIX 1161E ZONOIG ARD CENl31 RHiMTiONS CL1HCmI8)Y(' THE DIVmON
Dal I.D.31, PG. 20 - INt3)81 COUNry REG6IRY. AND DEVBDPMEM CF R B AL
1lD SUBiERRl11FAN SURVEY PBiFORAED PT THIS SITE.
a Road
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SURVEYOR CERTIFICATION
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Total Area: ,0%300 sq.ft.
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GRAPHIC SCALE
CURVE TABLE
CURVE IEAIGIH RAD1U5 [H RRG CH DIS
Cl 3435 2D.00 SB1'S1'S9'E 30.28'
C2 55.% 210.81 52R'06 WE 55.80'
(DI pm
C3 92.96 50.00 S20 -2133,E 80.11'
I IR96 = 40 R
IJORDAN
GRANT
JOB NAME:
Kevin Combs
CHECKED BY. MG
ENGINEERING• SURVEYING• PLANNING
� �
IIEED,2101-IM PIN ND: 4614937993
JORDAN GRANT & ASSOCIATES, PLLC
DATE OF NAP 11.0616 RIIWEY MTE: 1Od1-16
P.O. BOX 151 ' STATESVILLE, NC 28687
rnattg@jorQLn-granLCDrn [phone]
REY61CON: DRAVANG FILE: 20163017
FIRM # P-1227
134 THUNDER HILL RDAD-NDORaVR1� N.C. 29117
DAVID" TOM" — DUMI COUFM — NOW" OUIOLBN

1 l 2474
,, 8882
FILED
CATAWBA COUNTY
RUTH MACKIE
REGISTER OF DEEDS
FILED
AT
BOOK
PAGE
REVENUE $596.00
Catawba 4 ty O 2 2W3
NORM CAROLINA
Real E=l��_
Excsea�cS5BaA0
Excise Tax S 596.00
Jun 04, 2003
10:07:03 am
02474
BOOK 2474PME 802
foregoing certificate(,) of
SUSAN tiIGGINSON
0802 notary/notaries public
A. -"re cortifiedA be correct.
r
RU IIAACKIE Register of Deeds
Recording Tuno, Book and Page
Tax Lot No.: 4606-02,87-0545 Parcel IdaWfier No.
Verified by County on the day of 20
Xb
it after recording to CISS4att Resource LLC_ Ann- C H;o drin ,., nn Box 10o3 am flotte. NC MM
This instrument was premed by _Parker. Poe. Adams A Bernstein L L P Three Wart 'a r to Suite 30Qp,
401 South lam Street Cbedotm KC 28202 (WWF)
Brief Description For The Index_ --
4.235 Acres. Mountain Creek Township, Catawba County, NC
NORTH CAROLINA SPECIAL WARRANTY DEED
THIS DEED made this C— day of lune, 2003, by and Wive=
GRANTOR I GRANTEE
CRESCENT RESOURCES, LLC,
a Georgia limited liability company
S -Tract 3458
LAKE NORMAN DREDGING & MARINE
CONSTRUCTION, INC.. a North Carolina
corporation
P. O. Box 3156
Mooresville, NC 28117
Enter in appopriW block tar each party: name. 80reaa, Ano. H
APPropnata, kiwaraer of aMity, e.g. arporafan or parbkeraNp-
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 Grantor, for a valuable consideration paid by Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto Grantee in fee
simple, all that certain lot or parcel of land described in Exhibit A attached hereto ("Property").
CLT 696769v i
Page I of 9

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Kevin Combs, 134 Thunder Hill Road, Mooresville, NC 28117
AWCONNKT�IS
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Excel 2000/2003
Address City State Zip Street Name
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AUTHORIZATION FORM
LAKE NORMAN DREDGING
PO BOX 3156
MOORESVILLE, NC 28117
[phone]
The undersigned, registered property owners of the noted property, do hereby authorize
LAKE NORMAN DREDGING
To act -on my behalf and take all actions necessary for the processing, issuance an
U M
this permit or certification and any and all standard and special conditions attachlE1c, v U V D
I:AAN 2 6 2017
Property Owner's mailing address:
Please print:
Property Owner: -e c i
Please sign:
Property Own r
Property Owner's Address (where work
�t will be performed):
x-17 1 /
Phone:
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Auth V ized Signature Authorized Si
Date:- Date.- O 1( p i 2 F