20190742 Ver 1_Shoreline Stabilization_20190604

The fo,�awing
� an abbrev ,
• aP � f©
bottom ander SRC {edit R f for a 401 Water Quality
for wetland or �' `army C° °f sneers Pei mit tz gnbawy Ong related lake store or
tease
P30. This Applt#ion cannot be used
ini as well as a provide s�►en (7) copies of tws app on and
for ' $PP1h:at€on fee to Dives of WP°rtiag
or � 2 � e atom of less tW 1 � � $570.00 for °f $240 00
App ions s&mM be sent to:
Dioisionof Water
'&% AW Service C d01 Over fir, ' pmtg
Raleigh, NC 276991650
14 Appbcant 1hfonnation
Owner/Applicant Information
Name: Z ,f�iLA,o 5 nw-
LU hie bottom of greater
OV
wiling Address: cl % Z o T o r r
71 � ZZo 3 cI
Telephone Number. 9 b (o �fL
Email Address: _ % i ,��� Fax Number:
2• Agent Infvrrnation (A signed and dated
as ty for the copf the y
a Amt Authorization letter must
if the Agent has signatory be attached
applicant).
Name:
Company Affiliation:
Mailing Address:
Telephone Number.
Fax Number.
E-mail Address:
D- Project Wol swoon
Attach a vicinity
map cle�Y showln
as riv g the location of the
development plans d Also provide a detailed gibe pl88p showinmsPectg to local landmarks sack
relation to ptopertiea. You
away oSe byesand
Land sketch of your prosect, Also, see the example below for below to make a
Plan must include a scale and north arrow. The f ��`'e- Both the vicinity map and site
facilities must be included. O° °f dings, impervious smfaces or other

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1. Location
county: der
Nit Town:
vision name or site -add fMIUdeDimflons plias ox:nu rj.
to site Please inchwe . 1
vicinity gyp,adequate
t n ' l etc. (T'is is not nec essery if as
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fib,
L 7 No r i, rt7if ehele �J
6/1 , v im U c - #7 � c LL -
2. a "�
ttn land use or site
condition of:ti�.
3, y (3. . the time of this application:
4.
Nearst body of avatar ift"M iverlsoandjo �.
S. - Go La
Propose of the Proposed work: �N S mit �/ roc
6• List lire type
of egaip�t to ya
7. Amount of i ' to oonstiv P
_�,
8 excavation
normal ' n rap. retaining walls, etc.) below the
Pool lake level .in aluare feet or ac m. 0DO /
8.a fitofMpactCog an
above cing:_k.�eaccavation, nPmP. t+�sining walls, etc.)
00
p° _P°ol I$1� lei and 50 fent lard -ward to square feet or
! s - acres:
8.b. Plcasc dcseribe.ve
on ab°ve t IIOmd pool, lake level and 30 fleet
(number of ares `� IrC for sward to be imps
��
�s ��3/�
Appheant/AVW,t sign !
(AMmrs Signe is- valid only if an mon letter
Elam tk applicant is provided.%

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I SITE-�
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1314
ci
1313 57
VICINITY MAP
NORTH CAROLINA PERSON COUNTY
i, J- JENNINGS CERTIFY THAT THIS
SURVEY IJOW S OF AN Ex 15T7NG PARCEL (OR PARCELS)
WITHIN PERSON COUNTY AS RECORDED IN DEED BOON
22L PACE425. ANDAM PLAT S t -16 PAGE .93.
ALL PROVISIONS OF NORTH CAROLINA GENERAL STATUTE
47-30 AS AMEN" REGARDING THIS SURVEY HAVE BEEN
MET. WITNESS MY NAND AN SEAL THIS -Ll-- DAY OF
SEPT. 20-111-
-2
PROFE ONAL AANVEY
THAT
FROM INFORMATION FOUND IN 0.& 1— PACE
—/- THAT THE RATIO OF PRECISION AS CAL-
CULATED IS 1: (CLOW, • THAT THIS PLAT S
PREPARED IN ACCORDANCE WITH G.S. 47-30 AS
AMENDED. WITNESS MY ORIGINAL SIGNATURE.
REGISTRATION NUMBER ANSEAL THIS ..]1- DAY
SE
OF PT- A. D.. 2014_.
SURVEYOR
REGISTRATION
20'
PUIPLINE
EASEMENT
ESTATE ROAD ___------ —
VARIABLE
WIDTH R/W — — — —
(PRIVATE)
LOT 29
ERESERVE•
16. P. .93
LEGEND
E.IaI Uq I,on Bor (Ij2- .nl.aa n.l..) E-.-
ni-0
1/lIron PIP. S.l OE.I.l ln9 Nail Nel l S.l 6.CP — Poi.l A
Lln.. ft Si dN 8 5
RI9nl-0N-Wer Lln.a------- y
C.nlMllno---------
LIn T. IN N—.! ---------- -----
----
?:•ESS/•'
o'•;E►'':
R:
G L -30S7 :
c- -4
ZONING: R
SETBACKS: FROMT 25'
REAR 25'
SIDE 20'
TAX MAP: At. -206
TAX PARCEL RECORD NUMBER: 27695
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