20231564 Ver 1_Site Plan_20231117

Proposed
(Plan View)
Lake
(At Full Pond/ Normal Water Level)
%0.
Full Pond/ Normal Water Level
=0 � � � � 4=
Shoreline
Jp.s f j\?''Agg0'
d
1°00
`- M Mom'ove
GiCCG SS
Lake
(At Full Pond/ Normal Water Level)
Existing Dock
30"t Ift
1
3full
w ISO ft
tun Pon rvorm�t wilier L£vel Selovrfull pond(Nwl
r frlli Me � • r � �
�io're�line a ftx 1so ft
Riprap Above full pond/ NWL
f 2ft.x150 ft.
additional deering
necessary
E AMP -LE
I
Plan View

Propose
(Side Viievj)
La ke
(At Full Pond/ Normal W e) aU
CL 'all
U- v
3 ft. beloc, foil pond water !eve! r A ft. above full pond crater level 2 fit, additional clearing
if necessary
Existing bank
P '
i
10 ft.bank a
Height
M
I",
Side V i Gi��s�' —\ - c

WE
(e e
4
Cs.

>ea
-'— -' .a.�:.

AMR-
o
0_03�� P7*'-'F_

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IfM Stallon,.
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High Shoat ' P I L,(e Chu h
Alum
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Please note that multiple forms may be necessary if there are more than two owners of the property.
PROPERTY LEGAL DESCRIPTION:
STREET ADDRESS OF EXISTING HOME or LATITUDE/LONGITUDE OF NEW CONSTRUCTION:
f33 q 44
D,,,,,, Ale. ?0 3 7
Parcel ID: 4/4! 3 Y 3 2 811
Property Owner Names) — please print:
Property Owner: M Af,J, {Z. Kr
Property Owner:
The undersigned, registered property owners of the above noted property, do hereb/yauthorize
-
l •w4 C_ t gle- , of s (� S LALe �ic.^"l` cSG.c.yr�G�
(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):
Property Owner(s) Telephone: %0 Y r SI i® G PD 3
We hereby certify that the above information submitted in this application is true and accurate to the
best of our knowledge.
s
Authori ed 'g ture
Date
Authorized Signature
Date