Scarrow Meck county permit.pdf

Mecklenburg County
Land Use and Environmental Services
2145 Suttle Avenue
Charlotte, NC 28208
(980) 314 - CODE (2633)
Building Permit
One/Two Family
Property Details:
Address: 15800 HENRY LN
Subdivision:
Owner: mark scarrow
Owner Address:
Permit:
Issue Date
Issued By:
B4368669
02/22/2023
POSSE system
power user
Tax Jurisdiction: HUNTERSVIL
LE
Parcelld: 00102367
Owner Phone No: 5618896400
Block: Lot: Land Area: Corner Lot: N Irregular Lot: N Through Lot: N
Minimum Setbacks (ft.) Front: 40.0 Rear: 50.0 Right Side: 10. Left Side: 10.
0 0
Project Details:
Project Number: NR0832475
Project Name: Dock Repair/Replace.
USDC Code: 434 - Res Dwelling (Alteration, Repair, Replace)
Occupancy: R3 ' RESIDENTIAL - SINGLE FAMILY
Lien Agent:
Trade Details:
Building
Details:
Type of Work: Repair/Replace
Square Footage: Heated: Renovated:
Unheated: Converted:
Does the weight of the PV system exceed 3lbs per square foot?
Does the roof possess more than one layer of asphalt shingles?
Does the roofing material consist of a type other than asphalt or metal?
Solar PV Option:
Res Master Plan #:
Lien Agent No:
SI Required: N
Deck
Bedroom Addition:
160
Electrical
Service: Existing Power Company:
Total Amps: # of Circuits: Circuits at 120V: Circuits Over 120V:
Mechanical
Heating Details:
Gas Company:
# of Gas Connections:
# of Appliances
This permit will expire if work either has not started within 6 months or is discontinued for a period of 12 months. Page 1 of 3
Inspection required for verification of progress made.
No credit or refund will be given unless applied for within 120 days after a permit has expired.

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N
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�- La
(At Full Pond/ Normal Wate
Full Pond/
cV
a.
Level)
Dreline
Boardwalk--5'x50'
t4 QDcr
120 sgft above 760 elev
e Sho.%w
130 sgftbelow 760 elev
Xyi
constructed with round w
ded piles
2x8 girders and 2x8 joist
erlaid with
PVC decking material. A
1 structural
framing in ground contact
reated SYP
WS 4 Or_
No guts )?> rU 6uF)
MINNIIMAL DISTURBANCE TO
BUFFER
7Y
..-SP01 Vt(il
D►SPoSM1L
Please approximately sketch the following information on this plan, length of shoreline
(provide dimensionsfor ach item, such as 10ftx 100ft)*:
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

DocuSign Envelope ID: 3C9C717C-DAAD-4FA5-BA4F-C1CA7D273851
AGENT AUTHORIZATION FORM
Au m
ftise wiyt
ftPerty Oar: 4�1 �4't2t� SCE f C1n
Property Owner:
a T ae :.a .:=a:,, :a a e a a . a t - . a• a 11 a+ as :. 19 a • c ;,a a y
(Nm a of Ong firm)
tD aft MY WOW and take all acbom nec a for the pressing, issuance and acceptance of
this PmW ar cert� and any and all standard and specW conditions attached.
PrQPe+tV t wneKs Addmm (If Merertt than property above):
Tefepho
We hereby Y the Above iErfiartrration submitted in this application is true and accurate to the
best of our knoWalglc
[1>a.avl Scavrew
tom:
Auqvt�ized
Date: ___ l 71L--_. _

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DocuSign Envelope ID: 3C9C717C-DAAD-4FA5-BA4F-CICA7D273851
DREDGE SPOIL DISPOSAL FORM
Project Name/address: County: �A`EW_[C_SRIAYZO
Location Address: _19M NG 2�blr
Parcel M
Parcel/lot size
Disposal area required (sq ft and/or acreage)
Acknowledgement R�R.K
Notification
11 A_lR_V_ NJ —.—,am aware that the site must adhere to all state regulations
and rules regarding sediment and erosion control and water quality. And give permission for
C T-C 6 R /tb I K (2� L"Al UALIDUI
Name of Individual and Company
to dispose of their dredge material at the above stated location
Owner: Mtkk, MILE a QLAJ S�AWW
Print Signature
Date: A 1 2-D
Along with form, please provide:
Aerial of parcel/lot (County GIS)
Photo of proposed spoil site
Identified proposed spoil site

Certificate Of Completion
Envelope Id: 3C9C717CDAAD4FA5BA4FC1CA7D273851
Subject: Complete with DocuSign: Scarrow_ToSign.pdf
Source Envelope:
Document Pages: 3 Signatures: 4
Certificate Pages: 4 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Record Tracking
Status. Original
3/27/2023 7:10:00 AM
Signer Events
Mark Scarrow
[e-mail]
Sales manager
Security Level: Email, Account Authentication
(None)
Holder: Brittany McIntyre
[e-mail]
Signature
Docus�a��anr:
t Barrow
27AAF99271644AC..
Signature Adoption: Pre -selected Style
Using IP Address: 69.38.95.86
Status: Completed
Envelope Originator:
Brittany McIntyre
8024 Calvin Hall Road
Indian Land, SC 29707
Brittany. [e-mail]
IP Address: 69.132.70.177
Location: DocuSign
Timestamp
Sent: 3/27/2023 7:11:27 AM
Viewed: 3/27/2023 7:15:04 AM
Signed: 3/27/2023 7:15:13 AM
Electronic Record and Signature Disclosure:
Accepted: 3/27/2023 7:15:04 AM
ID: 13988b09-ce 1 f-42fd-a3f7-4a809ac6bfea
In Person Signer Events
Signature
Timestamp
Editor Delivery Events
Status
Timestamp
Agent Delivery Events
Status
Timestamp
Intermediary Delivery Events
Status
Timestamp
Certified Delivery Events
Status
Timestamp
Carbon Copy Events
Status
Timestamp
Witness Events
Signature
Timestamp
Notary Events
Signature
Timestamp
Envelope Summary Events
Status
Timestamps
Envelope Sent
Hashed/Encrypted
3/27/2023 7:11:27 AM
Certified Delivered
Security Checked
3/27/2023 7:15:04 AM
Signing Complete
Security Checked
3/27/2023 7:15:13 AM
Completed
Security Checked
3/27/2023 7:15:13 AM
Payment Events
Status
Timestamps
Electronic Record and Signature Disclosure