20110657 Ver 1_401 Application_20110713

ICON
AP
Professional Construction Services
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIMON:
Office: 828-743.7928 - fox 828-7437994 - 786 Kghway 107 S. Cashiers, NC 28717
E-mail Aaaress: -jcLA t U,N?_ (,4 r T - vy , . t .- , _
H. Project Information
Attach a vicinity map clearly showing the location of the property with respect to
local landmarks such as towns, rivers, and roads. Also provide a detailed site
plan showing property boundaries and development plans in relation to
surrounding properties. You may use the diagram below to make a hand sketch of
your project. Also, see the example below for guidance. Both the vicinity map and
site plan must include a scale and north arrow. The footprints of all buildings,
impervious surfaces, or other facilities must be included.
Location
_?acy__So?1 Nearest Town: (Ste V) 1/1 I
County: --
Subdivision name or site address (include phase/lot number): S vAn Se 4- shoe PS d f y
Directions to site please include road numbers, landmarks, etc. (This is not
necessary if an adequate vicinity map is included): D? Q on 61pr Wyn 610
r'.0 a) !f t..1 r-nCP5k- 1 ()n <aM01{rS(??g L e;,/J .?yHrrJ
2. Describe the existing land use or condition of the site at the time of this
application: oe_k' C 4, C OX IM.4 Po r(o `?1°?1
3. Property size (acres): , 01a r r P S
4. Nearest body of water (stream/river/sound/ocean/lake):
5. Describe the purpose of the proposed work: 00f ! o 4 C 0 6 ?-ro
6. List the type of equipment to be used to construct the project: AA 111 1 1' X (L& VC -to r
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: I t9C)o
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above the normal pool lake level and 50 feet land-ward in
square feet or acres:
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted (number of trees for instance):
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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