20240026 Ver 1_Site Plan_20240103

i.
- ? State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
I/Vaw,r'Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Gfrv)i3or,Nr(41AL OUALiTY FORM: SSGP 02-2017
Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing - hVi6 C'VW1 N In 6VM
b. Location of rip rap or fill to be placed above the Full bond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining wails, docks, etc. got-) if,
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
r� Y t'�c
i'
Ati ull Band/ i�Qrimai 11 r ieve j
.14
k
Full Ponds 1�r t aL, r -eve.If �
FORM: SSGP 02-2017 Page 1 of 3

Side View
U—
FNb
FORM: SSGP 02-2017 Page 2 of 3

i.
- ? State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
I/Vaw,r'Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Gfrv)i3or,Nr(41AL OUALiTY FORM: SSGP 02-2017
Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing - hVi6 C'VW1 N In 6VM
b. Location of rip rap or fill to be placed above the Full bond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining wails, docks, etc. got-) if,
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
r� Y t'�c
i'
Ati ull Band/ i�Qrimai 11 r ieve j
.14
k
Full Ponds 1�r t aL, r -eve.If �
FORM: SSGP 02-2017 Page 1 of 3

Side View
U—
FNb
FORM: SSGP 02-2017 Page 2 of 3

'IV, All
"o 0(
1w,
7

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 40 PLAN NO. PARCEL ID:
STREET ADDRESS: 17913 WILBANKS DR CHARLOTTE NC 28278
Please print:
Property Owner:
JAMIE R ERGLE
21736249
The undersigned, registered property owners of the above noted property, do hereby authorize
TODD FLOWERS
(Contractor / Agent)
of LAKE WYLIE DOCK CONSTRUCTION
(Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone:
704-771-9552
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
OWNER
i
thorized Signature
Date: Q\a�
Authors Signature
Date:
AGFNT
Authorized Signature
Date: /1-7,�ZQA