20130012 Ver 1_Application_20130107

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Applic�taL s 81tea�id be eat tbs 2
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Adage.
0130012
T Nmber. 159 -7 3 aot Fa Nokea: 336 S- 3 all
Add c ba r kerr _ - `� 8
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2. AgM moat (A signori and da�ad oopr ofthe A Avtboorization l�r mug be awed
if the,A Las , �r the
y Aiio®:
Toatel+iota�er:
EL
Fax NmNw.
A UM a W y the of the puope:ty with respect to locat landmab such
as towns, r s, andfOadL Alaup wide a dabW the pin dm npo" bomdom and
hand *etch Of o t in =Wm to swommbt PWOftL YOU My usa the ding= below to nee a
Plan mtt�mc$rde�s a� s� �tth amo�v. beh�av iar B� the vicinity nnp and .%M
f c hies be of ag buddmr�, impr�vious surfaces, or other
JAN 0 7 2013
rra - WA-MR QUALITY
Wadands s SWmwmW Stench _

1 • Location
County' n Nearest Town:
Subdivision1 name or site MWM= (include phasellot number): 1 S
Directions to site please include mad
numbers, landmarks, etc. (This is not
vicinity man is included): ( y if an adequate
C/i �-�.� ��� �o� v
Or s Z D �4 n �A/ �� _ ? t�10
7 c — -sue
2.
3.
4.
5.
Descnbe the existing lam use or condition of the site at the time of
this application:
D-- L-- side (acres): /. D2 A Po
Neat body of waW ( riVedsamd/ooeao/la );
4--,R3. &L41
4107
Describe the purpose of the proposed worlk: XW -
6. List Lire type of evipment to be used to constrw the pub Sit/0 S
7. Amo�.t of m>pact (mclndiIIg all a -
�o� �kfill, � rep, retamfng walls, etc.) below the
nornW pool lake level in square feet or acres:
8.a. Amount of impact (including all clearing, back M excavad
abovr�e, the normal pool lake level sp f � -w� � °II' �'�' Iling walls, etc.)
O 0 square feeet or aches:
8.b. Plcas� describe vegelat{on above the normal pool take level and 50 feet landward to be impacted
(number of trees for lnuanw)). < SftlgLlj
- /
APplicaWAS#w's Sipafim 'Date
(Agent's signare is valid only if an authorization letter fivm the applies is provided.)

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\\ \ \ B71.31•a4•e FOUNDATION LOCATION
31 95' \ � I
�" �\ - ''� -___ ► CECIL E. BARKER, JR .
LBIv r \ \\ ,, RENEE G. BARKER
-�...{
LAW RIDS \\ ` - i 1 CUNNINGHAM TWP., PERSON COUNTY, W.C.
stYE ® ROAD RO NUT HAMLETT- JENNINGS 8 ASSOCIATES, C -948
1313 �1 \ \ D.B.82CI"P.22D'7�' ' 212 S. LAMAR STREET, ROXBORO, N.C.
sown \ DECEMBER 2012, JOHN J. JENNINGS L -3082
VICINITY MAP BAREFOOT \
LANDING
LANE
\
tt \t 20- ORAIWIELD t \\
\ t ACCESS EEAASEMENT
aDIWBtPE;6AWW DO t
` -�- -.
i I i f
\
R 1 .42 A C , DO . \�`E
\ / BASE FLOOD ELEVATION
\ LOT to IRNISWI AtD'
\ FOO7(NO
tl „ � Et��r�GN •'4 \
$ \ LORI 9410MR SMITH .e'• '� \
\ RORY TH ,
t D B. 648C. SMI, P. EOS .� � FLEVTTIpJ tr
Swim NOR wmtt#A Foam Dowy
V.S. CNA L S. N 319 \ \t ��• • EL46Y _ - I CERTIFT TSA7 THIS'
SURVEY IS OF AN IVISIIND PARCO, (OR PARCELS
I SI THIN _ 6pRRY AS IMCDRDED IN GEED SOON
{. �pp PACs JtLL.
\\ ? •`. S, '1� mm t �0 AS, AND/ PLACANOLIMA DtfER.it STATVTE
47 -00 A9 AYDOm RlGGAgDtNG 7105 SWE 1NIAt SRN
j! MO SEAL 1MS X DAY M
\ CONTROL �Rfd'iLllHl$_. 20_L3_.
LEB£NC COrN!ir
NF NAIL FO" N EVATION
N94 NAIL �T \� r�i +' iF `. n418 2' t
IF • IRON SET \\ i Pm7`e ��
IF o IRON SET
0 MATHEMATICAL k HYOO
• �t "� \ CONTRW ' I. „Jw�j 0A_. =TIFY THAT THIS
PLAY ORARN WOW W SLPERVISION FROM
ELEVATION " \� AN b SMIVtr MADE tom Mr BwERYISION
^" \ ,\ I IOQD DESCRIPTION IOOOROEO IN JOE.
t&LESS SIGNED. SEALED AND DATED, THIS IS A _ w — �„� `, f PACE .i2,1 ETC.TlOTWRlt YNAT THE SkWARIES
PRELIMINARY PLAT, NOT POR ACONIATION. SALES \i \ NOT SW4VED ARE CLEARLY INDICATED AS WAN
OR CONREfANCE4
/ _1 IKW7 TIC RATIO OF WAIST AS OAAL-
MATER IS I, 129M , ?PAT THIS PLAT LAS
HAMNEE�—,�1 ` \ j �N , ,t PREPARED /N ACCORDMU t1 IN O.S. 47-X AS
- JENNINGS � OPAL y �� s o�`\�s i R T° T"NUWKR Ac T IS TLa DAY
SOCIATES A F t1TC0 LANE �j. f'� 1 'L
$URyEyORS BASE ROOD ELEVATION
212 PVL'. MS ." 417- L-3052
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R07(BOR ��) 519- 877L4O2VA 27573 1 ,�tlN sutil r� SISIYEYORT'

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