20231580 Ver 1_Site Plan_20231120

1�•�'`°'' Illy
Proposed a '�`
3' 4eIe,.N 4-µItroj
(At Full Pond/ Normal Water Level)
2 ft. additional clearing
3 ft. below full pond water level 4 ft. above full pond water level *if necessary
Existing bank
i
10 ft. bank �?
heightMPLE
I
Side Vi
i

Proposed
(Plan View)
Full Pond/ Normal Water
IM-M &IM am IM Ir
Shoreline
Lake
(At Full Pond/ Normal Water Level)
e o 2 112' X g
• p ip �'p ono �A a^a S "%
p ba,K. �11
Ck,-4-atop
�
Lake -- ---
` (At Full Pond/ Normal Water Level)
Existing Dock
30ftx7h
1
y
3 ftx]50 ft
Below full pond/ N W L
FUII Fong IVornal Waiersvei
� arM?iA�inae�em tit
4ftx75oft
Riprap Above full pond/NWL
2 ft. x 150 ft. ..�
additional clearing i
' if necessaryE,AMP E
I
{
Pian View
i

C118
T
1
Z

C118
T
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JS
o
JW,RbfirVd&Dttks
'k J' S� a!C�; I �� i - ,� .\ - 7. ♦ti � MC�mta n CreeM PaR . • -. ,
1 oliwr.�d s�♦ h.,`r ..,1
� - y9� s ,Lake Norman � Z
Of CaUwba
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k I
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y?. _ •%i .> ;I ke l,man
O '' b 4 'iiY
�. ! a A aacverd %'idgeeoo it
Y a: ` y IJ "jOse olRidn
83
1�:2 Nrtnopndy Road o .. _ ..
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D.
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RA
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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:
010
Parcel ID: �y !J 3 A/ / W
Property Owner Narne(s) — please print:
Property Owner: IC.°�G�/ C/G,i 14
Property Owner:
The undersigned, registered property owners of the above noted property, do herebyauthorize
I 4lC , of Z: Xis /"�'ke AA."`t JPx ,Le-
(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):
L
Property Owner(s) Telephone: 70 Y- 5-/ 7 s G �®
We hereby certify that the above information submitted in this application is true and accurate to the
best of our knowledge.
�,,//
C�zs'
Authorized Si ure
Date
Authorized Signature
Date