20231278 Ver 1_Site Plan_20230918

Proposed
(Plan View)
Full Pond/ Normal Water Leve
Shoreline
Lake
30
(At Full Pond/ Normal Water L,11
tp
Colo
'r oa
a e 0 e-%3
S'O i
T)Ilz e 11 j
e P tLe,"'
8 vjo,,�, IIIIJ
93/6
__ POD A-3 IL
2 i,m 1 6 k4- ty, 3 J
Lake
(At Full Pond/ Normal Water Level) Existing Dock
30ftx7ft
3 ft X 150 ft
Full Pon elow fUll pond/ NWL
Normal water Level
Iffo�. am =U� ��
reline 4 ft x 1,5"0rft
Ri ra Above full pond/ NWL
2 11. x 150 IftL
iI ad iti )nalclearin
if'necessary
A M P
Plan View

Proposed
(side View
q,b,14- A
Labe
(At Full Pond/ Normal W
I�
u
yy z►
l`d}bc,d'e. _1 _ :►.► % a
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
°if necessary
Existing bank
10 f#. bank 100heightI r6

0
S
VIA
rm-

.- :_i2 i�i �^.[ 6lGEC Mer Ave,Mooresville, NC 28115t014521 NC-]3, Huntersnlle, NG 2Sp]8 pme 15.3 miles, ZG min
to EC�mAw u.vm.mxuvc�x zr
Mgaesnle, NC 2Sll5
GH an 4n SNS215 fmm 5 Malnsl, NC-115 S or1tl
WnBGvm Rd
13min15.)mi)
T 1. Heatl sOUN on Evergreen Sti towartl ECenler Ave
Ea 2, Tum H01 onto E Conter Ave 19Ig
h 3. Tomleh onto SCM1urch Sl o..M
4. Tomdght.-College3l O.Smi
h 5. Tum left gntoSMaln51 O.l col
? 5. COMi- M. NC-115S t1m
ra T. Tum right onm lnegtree Rd 21M
x 8. Uae Uro 2ndthekH bneta mm bfl mnrerge
am i-n s/u.21zl s
wBowEn s mno-�3 w m Hwtemmne
la mml9.a 1
x 9. pe oMa FT)SNS215
% 1Q Ke�dphl a:the fotkto continue on F]1S 21m
t.3ml
'%' ll. KeeO right a[1M1e forkl0 smy an FTIS
A 12 TA—H25mwaNC —,d/Hunter A. trmi
f4 13. Tum riphtonto NG>3 W 03mi
O Ce:t.n� i-n..iil La o� the �ght
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Hwpxan8S 18:288)8

Please note that multiple forms may be necessary if there are more than two owners of the property.
wilou1 ;'ia e,T
STREET ADDRESS OF EXISTING HOME or LATITUDE/LONGITUDE OF NEW CONSTRUCTION:
3S; qa2 9 3 5-�, 60, 2 3 .2 & 5'
Parcel ID: D 0 10 21
Property Owner Names) — please print:
Property Owner: —R- 6e eJ L. 4 \/ I, -a
Property Owner: gz t lY Q v 1,O'4 Li
The undersigned, registered property owners of the above noted property, doherebyauthorize
/
(Contractor/Agent) (Name of company)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
permit or certification and any and all standard and special conditions attached.
Property Owners Mailing Address (if different than property address above):
lit nJ 42 h- J 1 �l -- 2 � -7; -- -
Property Owner(s) Telephone: 0 3� P goo
We hereby certify that the above information submitted in this application is true and accurate to the
Authofizeo,Signature
1 22 3
Date
best of our knowledge.
]�� %Iwou�
Authorize(d,� i a^t�ure
Date