20230896 Ver 1_Wagner Shoreline Sketch form_20230809

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
I fL x 150 fC
addidanal CWadnq } e;
• if nemssary .. -
E ))(.AM Po% L E
Plan View
FORM: SSGP 02-2017 Page 3 of 4

3 ft. below full Pond water IOVo1 4 ft. above full pond water level 2 ft. *If necessary
Bearing
If necessary
FORM: SSGP 02-2017 Page 4 of 4