20191167 Ver 1_Shoreline Stabilization_20190829

State of No
Carolina
Department of Environment and Ntu altR sources
Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 –�s�'��
Water Quality Certification, Shoreline StabilizaF,n
FORM: SSGP 10-2013
Shoreline StabilizatiOn Application Form
three copies of the application (including attachments) and the a
t®' ppiication fee should be sent
Division of Water Resources
401 & Buffer Permitting Unit
163.7 Mail Service Center
Raleigh, NC 27699-1617
I• Applicant Information 15A NCAC 02H .0502(a)]
1. Owner Information )�
Name:
Mailing Address
Telephone Number: � 'i>
-mail Address:0-6
Fax Number: --.
C � a b
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a nrm can be dow
11!1: 11/www.saw.usao
ce.arm .mil/Portals/59 docs re Mato re docs/Permits SAMpLE AGENT AU
nloaded here:
ORIZATiON FORM. dfJ must be attached if the Agent has signed this application
Name: A"i f form.
Company Affiliation:
Mailing Address:
Telephone Numb�r:740 5-7-5- 7 Fax Number:
E-mail Address:
Person to receive the Certification Approval:—i—r,��v�r i� \
il• Project Information1 J
[ 5A NCAC 02H .0502 a & (b)
� • Attach a vicinity map (i.e. street map) clearly showing the location of thero erty with
respect to local landmarks such as towns, rivers, and roads.
p p
2. Provide a detailed site plan showing
property
'vegetation clearing, structures (buildings, re a boundariesg walls,
proposed locations of
FORM: SSGP 10.20!3 ocks, impervious surfaces,
Page 1 of3

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.
I 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: -��—�L Nearest Town: Da r�
Subdivision name or site address (include phase/lot number): T4+-�L�-�L
19 YALfl — o e l
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degre1415, S1 10 37 AI Longitude (decimal degrees)_ —$p , g33Ma
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): _ i n _
ws&oWropertysize (acres): fs
,,_
7. Lake/ river/ ocean adjacent to property: ti( c -M,
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Y
9. Will work be conducted from land?
❑ From water? ©I�p��L Li-NCl
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)t�
below the normal pool lake level/ Normal Water Level in square feet or acres:
b�
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: nip('I,jr, — 9'V T� AV CS
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):
'511�� Gj
Date
Hyenas 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
..r.�+��
Shoreline
Lake
(At Full Pond/Normal WaterLevel)
J
v
�vD jZ&MdvL7
ATI -1A L D IS7uP Lac
T i3u �
LAN 7 IZ L�'LW
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft 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

Project Name/address:
owner,
Print
Contractor/agent: Lj.. , _4 4 s +,
Print
The approval iLe�T�'lic 7ti"— Signature
s for the purpose and design described in your application.
application is a violation of the Buffer Rule. Site specific work should be r
02H .0506 and Impacts not indicated in the
15A NCAC 02B .0243(8)] provided in the application.
[15A NCAC
Trees are not allowed to be removed from Zone 1 of the Buffer(within
approved. Exception, those trees that are severely undermined along the mdate shoreline can be removed.
me the full pond elevation), unless
Minimal shaping and sloping along the immediate shoreline is allowed.
Benching, grading in the buffer is not allowed. Excessive di [15A NCAC 026.0243(6)]
disturbance of ground cover. [15A NCAC 02B .0243 (6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unlessspecificallyapproved
by the Division. There are limitation on size for decks. are[15NCAC 02B .
Work to be conducted from land must indicate an access an 0243(4) and (6)]
work corridor should be described. Thea d ►ndicate any trees that are to be removed. The
pproved 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), (g)]
Stormwater cannot be piped or channeled for direct discharge to the
discharges must be at the natural ural elevation and discharged prior to entering the buffer directed as diffuse o
sheet flow at non-erosive velocities le the lake. g lake' All constructed stor use or
r
[15A NCAC 028 .0243 (5), (6)]
Acknowledgement or Not,
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 a
takenby the Division of Water Resources (DWR), is a violation and subject to
taken such that the construction will be built within substantial compliance and approved
Quality Certification and Buffer Rules, the enforcement. ince Due he 401 will be
materials. and intent of the 401 Water
� approved Plan(s) and specification (s), and other supporting
Signature (owner
Date: I

Type: CONSOLIDATED REAL PROPERTY
Recorded: 5/26/2017 4:38:07 PM
Fee Amt: $1,726.00 Page 1 of 2
Revenue Tax: $1,700.00
Iredell County, NC
Ronald N. Wyatt Register of Deeds
BK 2491 PG 2305 - 2306
NORTH CAROLINA GENERAL WARRANTY DEED
F=ise Tax: $1,700.00 Purcbase Price: $850,000.00
Parcel Identifier No. 462547-8127 Verified by County on the _ day of 20
MaiL/Box to: Grantee
instrument prepared by: Ban S. Thomas of TROMAS dt GODLEY, PUC, 514 Williamson Road, Ste. 421, Mooresville, NC 28117
File# 2017047718
Title bmsotance Company. Fidelity National Tide Company
Brief description for the Index: Lot 23 The Harbour
lei;7:l;risi7
Leigh Ann SL Aadmw Combs a/k/a Leigh A. Combs James Michael Clabomn and spouse,
1196 Rivas ReachDrive Jan Marie Clabora
Charleston, SC 29492
Property Address:
290 LWwJdJst Dinve
Mooresville, NC 28117-3514
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 narbar as requi ed by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the reoeipt of which is hereby acknowledged, has and
by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, aU that certain lot or parcel of land situated in
Iradell County, North Carolina and mora particularly described as follows:
Being all of Lot 23, in Block 4 of The Harbour Subdivision, Phase 4, as same is shown on map thereof recorded in Map Book28,
at Page 111-112, in the hfredeU County Pnbfic Registry.
Page r ount 2
ROTC NS PQ 5i
Book: 2491 Page: 2305 Page 1 of 2

Delinquent propertytaxes, if any, are to be paid by the closing attorney to the county Tax Administrator upon disbursementof
the closing proceeds.
The property hereinabove described was acquired by Grantor by instrument recorded in Hook 2201, Page 1360.
All or a portion of the property herein conveyed Ymchxtm or ^ does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Hook 2g, page 111.
TO HAVE AND TO HOLD the aforesaid lot orparcel 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
ample, 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 ofrecord.
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 ofrecord.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing,
C�r 'Z' " ��. - (' '1_04M)
Leigh Ann St Andrew Combs a/k/a Leigh A. Combs
(SEAL)
I SEAL)
C0bLrr& OJrlesl'rn
State of NetOreaavlma - County or City of kadeji —
ktl UVMers ;ned Notary Public of the County and State alnresaid, certify that Leigh Amu St Andrew Combs a/k/a Leigh A.
Co ,6sopglj}; d before me this day and acknowledged the due execution ofthe foregoing instrument forthe purposes therein
ex aWitae m 6lrsigd and Notarial stamp or seal this 2L�day of in gq , 20 jj
cXft r� > Notary Public
�A� ) ,• ,��'� Notary's Printed or Typed Name
stew
North Carolina - County or City ofltedell
1, the undersigned Notary Public of the County and State aforesaid, oatify that
W rtrness my head and Notarial stamp or see], this
My Commission Expires:
(Affix Seal)
Book: 2491 Page: 2305 Page 2 of 2
day of 20
Notary Public
Notary's Printed or Typal Name

awl C -7N Mul L;L (� , GIVE
LAKE NORMAN DREDGING INC. AUTHORIZATION TO OBTAIN THE NECESSARY
INFORMATION FOR STABILIZATION AND DREDGED PERMITS.
I- AGREE: X
DATE: SJ (, I Zc;i t

LAKE NORMAN
30' VEGETATIVE BUFFER
ALONG ENTRE LAKE SHORELINE ...
c� LAKE NORMAN
4 y 30' VEGETATIVE BUFFER
555555 ALONG ENTIRE LAKE SHORELINE
Qr e j PROPERTY
PROJECT CT
(ESTABLISH
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UNE FOLLOWS DUKE POWER CO.
LNNIS FOR LAKE NORMAN.
ED BY SURVEY OF 760'
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\ .pp'''>i•� J DEPARTMENT OF TRANSPORTATION
>y �,' ^ S Q• ,or •.^ -Lo
r DIVISION Of HIGHWAYS
ri `v
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NORTH CAROLINA, IR / //�\ / gQy'i',9`r r \ " O.o1�P ��;U / t lmh 100 tL
011 INV IF TE Oi a� \ / Og. / \ / '947
7sD2 \ >• r ,N.N SHEET TITLE
A BL1C0' E nFlm q 1 �'q /\ ��j� OWNER/DEVELOPER RECORD PLAT — 27.005 ACRES
�E CARIIECT. /RESENTED FON REGIS AND `.P'. / \ S \ CRESCENT RESOURCES, INC. /�•pa
Dfp IN iNlg DTMIE E Iq M/1T BOOK s DEED: 924-WIS
i �Y i jN PROJECT ,q
AT OCLOCK IY y
WREN v REG1 a DEEw THE HARBOUR PHASE 4
" ti £ DAVIDSON TIYSP., IREDELL CO., NC .. ' .#-,""Ess
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SEE M P 2 OF 2 FOR NOTES, SETBACKS, �1 YARBROUGH — 1/I16LNS eT ASSOCLATES, mc.
LINE TABLE, CURVE TABLE, & STREET DETAILS. xo �y LOT 61 PLANNNGG.� SURVEN�G r• ENGINEERING
fl COMMON OPEN SPACE A s.

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OWNER/DEVELOPER SHEET TITLE
CRESCENT RESOURCES INC,
DEET: 924-488 RECORD PLAT - 27.005 ACRES
PROXCT
THE HARBOUR PHASE 4
DAVIDSON TBSP., IREDELL CO., NC
YARBROUGH — W11"AYB & AS40CIAM, JXC,
PLANNING • SURVEYING • ENGINEERING
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DEET: 924-488 RECORD PLAT - 27.005 ACRES
PROXCT
THE HARBOUR PHASE 4
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From: TAMARA HAGER [e-mail]
Subject: Sugar wood lane
Date: Aug 21, 2019 at 12:37:28 PM
To: TAMARA HAGER [e-mail]
Thank You
LaKe PeRmiT LLC
hagerjakepermit.com
Tamara Hager
704-575-2227
D r_-P_dr16
:Jisposo,
rc.e-1 S (o` -t0
L5
L-0 D L,�
De�n `o�.�- JLC, `37

MERGE SWiT liltlfS_POS a tr a.Q4„
ProjectName/address , /Ri0 / IST
ounty : —1 _ 1: � �--
Location Address:
NC
Parcel #: S L
Parcel/lot size
Disposal area required (sq it and/or actea�e)
.lcknr dgetnentof=�'otificati
I-�/ �GtGI1i1� M ��tf
ru es regarding sediment anderosion control and ma"'"rare
re that the site must adhere to all state regulations and
q a_ive permission for
Mame of Individual and Companm,
to dispose of their dredee material at the ab�oll. stated location
Owner:
Date:
.-gi/L249i-
Along "pith form. please protide:
Aerial ofparcel/lot (Count,, GIS
Photo of proposed spoi i site
Identified proposed spoil site

From TAMARA HAGER [e-mail]
Subject Pics Claborn
Date Aug 19, 2019 at 7:39:28 PM
To: TAMARA HAGER age r�� iaKepermit.com
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DESCRIPTION OF DREDGE CUT PROFILE
The scope of this dredging event is to remove sediment that has accumulated around the shoreline area
of Lake Norman. Work will be performed from water using a long reach mechanical bucket dredge that
will excavate the spoils and place them directly into hopper barges. LKN Dredging and Marine
Construction will unload at 4561 Slanting Bridge Rd, Sherrills Ford, NC 28673 then all material is taken
to their Dredge Spoil Site located at Lot #15 Sugar Wood Lane, Denver, NC 28037. Disposal area acreage
is approximately .8 acres.
Shown from Google Earth in Red Claborn personal dock, the pier will be removed and dredged
involving mechanical removal of approximately 222 cubic yards of sediment from shoreline. After work
is complete pier will be reattached.
RED Depth of cut is 30 feet by 50 feet by 4 feet deep when measured at full pond.
Impacted area is .01 acres.

8/23/2019 290 Lalae Mist Dr - Google Maps
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8/23/2019
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290 Lake Mist Dr, Mooresville, NC, USA
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8/23/2019 Marshall Steam Station to 290 Lala Mist Dr, Moores\iIle, NC 28117- Google Maps
Go - gle Maps Marshall Steam Station to 290 Lake Mist Dr, Drive 11.6 miles, 21 min
Mooresville, NC 28117
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8/23/2019 Marshall Steam Station to 290 Lalae Mist Dr, Mooresville, NC 28117 - Google Maps
Marshall Steam Station
8320 NC -150, Sherrills Ford, NC 28673
t 1. Head south toward NC -150 E
47 2. Turn left onto NC -150 E
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1100/Brawley School Rd
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ro. 6. Turn right onto Bay Harbour Rd
'1 7. Turn left onto Lake Mist Dr
290 Lake Mist Dr
Mooresville, NC 28117
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause conditions to
differ from the map results, and you should plan
your route accordingly. You must obey all signs or
notices regarding your route.
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