MBarberpermit.pdf

Go gle Maps 17822 Wilbanks Dr
Mike Barber
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17822 Wilbanks Dr
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17822 Wilbanks Dr, Charlotte,
NC 28278
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THIS 15 TO CERTIFY THAT ON THE 14th DAY OF MARCH 2O23, AN ACTUAL SURVEY WAS MADE UNDER MY
SUPERVISION OF THE PROPERTY SHOWN ON THIS PLAT, AND THAT THE BOUNDARY LINES ANQ THE
IMPROVEMENTS, IF ANY, ARE AS SHOWN HEREON. !!
SIGNED,_
!'p PROFESSIONAL LAND SURVEYOR
V1rmTY ASAP
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1. PIO 21736242
2 THIS PRO¢ERTY MAY BE" S 474LCT TO
AW1770MAL RECORDED OR UNRECORDED
EASEMENTS S£IBACKS AND BUFFERS INCLUDING
THOSE W71WM THE APPLICABLE UMAED
DEVELOPMENT ORDINANCE' (UFO), RIGHTS -OF --WAY,
DWPET2l7OUS AREAS & OVILY UPON AREA (BUA)
RESTRICTIONS AND/OR RES7RIOnlE COVENANTS,
OMER 7NAN 5HOW4
Z A POR77ON OF 7HlS PROPERTY 15 LOCATED
MINTY AN AREA RAVING A ZO,VE D£S74riA77ON AE
BY 7HF FED$RAL 6wE7RGENCY MANAGFM£NT
AGENCY (FEMA), ON FLOOD INSURANCE RATE AfAP
(FIRM) Na J710348800J, W177i A DATE OF
IDEN7;RCA770N OF 03/02/2009
ZONE X DENMR70N_ ARF4S DEXE7AfWED TO BE
OUTSIDE THE O.2Z ANNUAL CHANCE FLOODPLAIN.'
4. SURVEY MADE YdTHOUT THE BENEFIT OF A
777LE EXAMINATION,
S PROPERTY ZONED: R-5
SEYVACKS SHOKN ARE PER MAP BOOK 75, PAGE
450 AND ARE SUBJECT 70 IN7ERPRETA7ION BY
Tr7E PROPER ZONING ADMIMSTMA 77&NT
6. UNDERGROUND UDU77ES ARE NOT SHOW. ALL
UNDERGROUND UnUTIES ARE TO BE ACCURATELY
MARKED BY 07HERS PRIOR TO CONSTRUCTION OR
EXCAVAITON.
7. ONES 5HOK7V REPRESEN77NG FENCES AND
WALLS ARC MEASUREP FROM IRE APPROXIUA7F
CENTERUN£ AND DO NOT ACCOUNT FOR THE
THICKNESS, PLUMBNESS OR MFANDER OF YHE
FFNCE UNLESS OTHERWISE STATED,
-NOW OR FORMERL Y
JEFFREY 0. CARROLL: ET' AL
D& 322751273
yo� P!O 21736102
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17F, dS -S' •' ;'
-�-RICH T OF VIA CLTM•ATER
i .i' WATER EASEMENT
11 uE URTTED rf (MpBp. 7f 1450)
BENCHMARK r ! US 1f Yd 1, �f \
REBAR (SET) +
\EL£v:579.83 5S PUBLIC R2/N
�NAlO88)
7F CURB (ME 711450)
-TOPOGRAPHICAL S U R VE Y
SCALE 1 40° OF
SURvEYEp
L_OT 33 of WILBANKS
CITY OF CHARLOTTE, MECKI.LWHURG COUNTY, NOR7H CAROLINA
M/ke Bprber
MAP BOOK 71 - PAGE ¢2 DEED BOOK -_PAGE---
DRAW,V BY— `FIELD WORK cW-�___FIELD BOOK n—
CAROUKA SURVEYORS. INC
P.O. Box 267
PINEMUEI W.C. 28134
(704) B8R-7601
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PROEM 23-0075
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B. Project Information 15A NCAC 02H .0502 a & b
Attach a vicinity map (i.e. street map) clearly showing the location of the property with
respect to local landmarks such as towns, rivers, and roads.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, buildings, retaining walls, docks, impervious surfaces, 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.
3. 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 ,,! L� Nearest Town: rlo -F*C—.
Lake/ river/ ocean adjacent to property:J�ftKeLJr
Property size (acres):
Subdivision p4me or site a dress (include phase/lot number):
Directions to site - please include road names and numbers, landmarks, etc.: ��
Latitude (in decimal degrees).3S. O$ 9 14 34 Longitude (decimal degrees)_.: �c /. 0 /Q 3 D
S_ Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): ? es_ '�" C�Vm-
4, ciA
7. Will work be conducted from land? ❑ From water? E`�
S. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impactsa(including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
Temporary impacts in square feet:
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
FORM: 55GP 09-2020 Page 2 of 6

Temporary �impacts (temporary clearing, construction corridor} in square feet:
10. 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): �1 ��� j1 C:, C-
AN.
11. Signature
By signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true,
accurate, and complete to the best of my knowledge and belief
• The project proponent hereby requests that the certifying authority review and take action
on(his CWA 401 certification request within the applicable reasonable period of time
i-k - 3 - -1.`3
Owner/Ag-ert's Signature* 15A NCAC 02H .0502(f)l - Date
"Agent's signature is valid only if an authorization letter from the owner is provided
12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ 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 walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level
elevation
FORM: SSGP 09-2020 Page 3 of 6

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental quality State of North Carolina
Department of Environment Quality
Division of Water Resources
1SA NCAC 02H .0500 -- Water Quality Certification, Shoreline Stabilization
Shoreline Stabilization Application Form
FORM: SSGP 02-2022
A complete copy of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
A. Applicant Information [15A NCAC 02H .0502(a)l
1. Owner Information
Name:
Mailing
If sending via delivery service {UPS, FedEx, etc.)
Paul Wojoski
DWR-401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
Telephone Number: 704_q.34v &b4 Fax Number:
E-mail Address: M r r C or+-,
2. Agent/ Contact Person information
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded Mere:
http://www.saw.usace.arMy.miVPortaisL59Ldors re ulato re does Permits SAMPLE AGENT AUThiORlZ
ATION FORM.V1df)
Name: ; r m iP
Company Affiliation: A) .
Mailing Address: 58SO (AAr�e3 ,
Telephone Number: '903- 31- /4:� 33 Fax Number.
E-mail Address:
®�.,' North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh. North Carolina 27699-16[7
919,707.9000