84957_Kenneth Shaffer_20211004

000LS''/ [ LAMA IIIDREDGE & FILL K5 N9 84957 A. 40 C D
,
y GENERAL PERMIT 'L'0 �qgq Previous permit
Date previous permit issued li/ 11
❑New ['Modification I Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I 5A NCAC /-I' I r Gam• ❑Rules attached. Ei General Permit Rules available at the following link www.deq.nc.gov/CAMArules
f "
Applicant Name �-r ,'\r�e. A S\C'`�•-e----t-r. Authorized Agent -_-_-- -
Address. /'T) sTO O. C/.c.� F. .L.! ,r,S�,( ma" c'-- - Project Location(County): 1 a ti �l�•-•-�City,fn e'`Fr/:• <<_..,".c..A State l J A,- (ZIP Z"),,S J Street Address/State Road/Lot#(s)Phone#(2n el 7 r-i C '12 2,- 6 7 /Y)t J/,`Z 0,(1(f f n" 1 r/ -s' I`i t ! _)
,,__. I i-
r
Email F,) -`' I.-t.t.,..-( 'f�, p'„,..c s.r . , l'O---. Subdivision
City K.,"f_.••�--r"\.p ZIP 2 --\ s 7 '/
Affected ElCW NEW PTA ❑ES LIFTS „ Adj.Wtr.Body (e,7 ' c per (!� (6a iian/unk)
AEC(s):` El OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body .V,C_ _� ;-PC r'-""
ORW:yes/re PNA•y/no
•
Type of Project/Activity ail 4 -�J . (/n .w': —16 f f ': i 2---u / 4} ' j 1 14v '---.."
' .; 9,s/ /1rv,. f-cr{ - - �. era 5,4=r--)``4 i' _.e (Scale: PJ►l- )
Shoreline Length f 1 6 7(.- '
0
Access Length 11111111111111111111111111111111111111111M1111111111111111111111111111•1111111111111111111111111111
IIIIIIMIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIIMIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIMNIIII
Pier(dock)length" ' 7 " _
=Mot ____ 10.11111111111111111111111111111111111111111111111111111111111111111111111111111
Fixed Platform(s) /2' 1 (e . 11111111111111111111111111
1111
Floating Platform(s) - )
Finger pier(s) / m� w
iw-- --". .- (_NW --
Total Platform area _ eY t ®
Groin length/# immimummummummomitananimmi ail
Bulkhead/Riprap length =1/ a I
Avg distance offshore / ;;�11110111111111M11111111111111111111111111.111111 �!�!��
Breakwater/Sill Mt �I.IIIIIIIIIItlitillMllillIllI • •
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMI
Max distance/length .IIIIIIIM �
CUIBasin,channel / '
bic yardsI-
IIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIII
Il
Boat ramp 1
��_ ��' ; 111111111111111111111111111111111111111111111111111111111
Boathouse/Boatlift ■
Beach Bulldozing f
Other / l 1 II
? IIIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIKIIIIIIIIIIIIIEIIIIIIIIIIIIIIIIIIIIIIIIIIIII
-—, IIMMIEWIMINIIIMIIIIIIIIM
SAV observed: yes =---no I II
—
Moratorium: n/a• yes moo,,, _
ite Photos: yes. ,no�� �11���� M
Riparian Waiver Attached: s no
A building permit/zoning permit may be required by: --/-z 7"=1 r f n l G ,
Permit Conditions _ �„ _G ', _ / ,+-.-�--- ©TAR/PAM/NEUSE/BUFFER(circle one)
i -
� '� 0' ❑See note on back regarding River Basin rules
❑See additional notes/conditions on back
///// -„ '—". - S I.
I AM AWARE OF��STATUTES,CRC RULES ANND.CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWEDVI COMPLIANCE STATEMENT.
STATEMENT lease Initial) Nilf
_---------
Agent or AApjpflicant;PRINTED Names` Permit Offi er's PRINTS/D lSJa e'
Signattuure**PPleaas� rreeaad compliance statement on back of permit** ' Si nature/�'\ --� / �— , /j
Application Fee(s) Check#/Money Order f) uing Date ' Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the-applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin.These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City,NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates,Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

,�ot°AS f 1 AMA ;❑'DREDGE & FILL KS , , N9 84957 A �?C D
1 GENERAL PERMIT yID # 4 716/3 Previouspermjt' / / I a
Date previous permit issued ✓ /`
n New n Modification n Complete Reissue ❑Partial Reissue •
As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I 5A NCAC -''"! ' 1 c.'`: `'.- n Rules attached. IN General Permit Rules available at the following link:'www.deq.nc.gov/CAMArules
!�` r4 ,` ,
N -
. '
Applicant Name i - ,•.' , -, -. ..a-'Y t-•-',-' •-ti Authorized Agent _-
� t c.
Address J 4��'" ,� �` � - ��r� -�• Project Location(County): ••- —. � � - •
City - 1 - , • State k_ i ,ZIP "'' : V Street Address/State Road/Lot#(s)
Phone#(' ,'. 1 7
, i ...77, _7. / ) ),i/- , 1 F, ,'� - I
Email ' - , . - - Subdivision
j City ' , - , ZIP �: " ' / /
Affected n cW n EW n PTA n ES ❑PTS Adj.Wtr.Body . - (,( (nat/man/unk)
AEC s: nOEA nIHA nUW nSPIMA nPWS Closest Maj.Wtr.Body .A/ � � `- � :.J -I <�r-
ORW:yes/ho PNA::yes/no •
Type of Project/Activity — ' !
' I ,i' yt
.
ti, �- , , _., , . , . ; I r>. .'-' (Scale: *- i-; )''
Shoreline Length r
i
.Access Length '�
Pier(dock)length /
Fixed Platform(s) / .' r ' ,, ��.�; �■®■■1■.1■1 ■11. �1111
Floating Platform(s) i '
/
Finger pier(s) /
I 111111111
`Total Platform area - j f' ii
Groin length/#
Bulkhead/Riprap length r'�. ,. in 1
Avg distance offshore /
Breakwater/Sill ri
- Max distance/length 1!
i 1 r
Basin,channel
Cubic yards / `
Boat ramp
Boathouse/Boatlift
Beach Bulldozing II _
Other .,,....
SAV observed: yes no HUll IIiIIHIIIIIIIIIIHHH
liii
Moratorium: . n/a yes no_ IIII
Site Photos: yes no
Riparian Waiver Attached: ._'yes ' no
A building permit/zoning permit may be required by: i-,- . ' r'
Permit Conditions ._ `''i: --1` ❑� TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
❑See additional notes/conditions on back
' S a
I AM AWARE OF STATUTES,CRC RULES AND.CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE'STATEMENT..-'' (Please,Initial) j'+'„-r-
y;�ih1=, 1. °E' ` =� 3 , / li. I.�• ) t-vf
Agent or Qpplican PRINTED Na e" Permit Officer's PRINTED tuame
1%�` ,�.-'`o�',/,.` :,,. %' //X/_.y..•-,...------------- , ,
•
Signature**Please read compliance statement on back of permit** - Signature " Uf j' /
,f '_c •7 f, / ' ' _ i 2& / - /" - 1_) , (/ e- ; -
Application Fee(s) Check#/Money Order -)ssuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit,the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin.These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

'- = '• ' . . ,.. , '. .,-
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111099ENERAL PERM IT'
-. ._--. , ,• ,,,,,, _ , „.t. . . . ,,..- - ' i'•••-„,,-_-',..';;.,
` ",,ii,..-.,,:"--..;1- Date ,r,"--, ,
- p\lew. LIModiOcation 0Cornolete.Reissue ''.;111Pertial Reissue'. . ' . '"-c-.1',',4,F4',.. -oreviocis 0j)errntt'issued /1,0`itt,.-,.,:-,-..=x.,.'_:_-`,.,;-,..,',,
. ,. .,....„ , ...,., , . .. ,--,• -,.:,,,e4;19.i---..---3,.'z-..° ..,-,,,,-. ....-,,.;„-,. L..--.A,,,,,-,',:r..--:',,.. • ;'„,-...-.,„ ;..,,,i.,,';",,,"""i, ,-',`,,„, •• • • , r r '
As authorizedbyAbe State of North Carolina;Department c4 Environmental Quality ..„,' ,',,,, ' _",. - '‘';',-'e, . •-' ''.2,'''?:'''',1-? ',.4.;'-,'• ,-^,,t,''.` !3', .
'. and the Coastal Resources_Commission in an'area,of environmental'concern pursuant to ItA N.c A` e'.--" —i.i-,,''':.'f.e'-''-°?-----}' -''----; '1.- -..''.' =--. ''''''-'-. -7'-,_- ‘1--.".."•,,'=;,,-7,
,,'-'''f•', - ,'- '''-„,,;it.14... -.-, ' 5,1 ,2,..,;::: ,,-„-„_.-:.„-,,:-..;',.`-J...---,1 ..-- ..alRulesattathed.--;',,,'.....•.f,-....:',;•l'cf.;(f.:''''.
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Applicant:Name, 11-'..,--7,r-Lei-,-- n.,_ --.47-;' _ ( 'erc .'-'-..2',.--" - __._.-.,'Project Lo'cation: County:[
Address ,.(. -1:
,
_--; q. 7 ----)r.-.:':' '.1:c-'1,-;-- ; -.4 .;(, ,--''',., ;-..1.6.,:r'. .. -..,q;f2.-'.. Street Address/State Rbad/.1,6t#(s):-,/"-t'...-4,''',.-- 4./).:;1"7;
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"-.-- ') ": - ,',' -:,r2",.`,';,,f.,-,.- , •:-:, ..!,, ./. .,,.)- ,4'",, - , ..,..,..„'-"e? C!,`..."..P 1't;_4: '', ,:i7::.,./•f,,,„ ,,e!"%s...i,,i4,,44i.;.-...-Ni, .,-r.Ji._,w'.,c,,, - - c,, '''-• •,--,;,.--2 c','-'-':P-- •'
CitY r I./.--.:t4.,.../,..,,,-...i.:,,fr, . , - State (,41 ZIP-!---:,e..".:)-),,-"" ,-.-) "._'=i-;:' ' './- . ' t- ---)‘'. ''r•--f-,- -•r-- e'''. ,-"--'''.;, ..", ` • L",,. t,,' ,. •"-- ''
-r. Phone#(--)4-9) / I//( Y4 c
e".a./ ! • ' ' •— •; •-1,--•-•''' ,r'"-; ,',---: ' '' '.P' r." ''''Y'',-'--,
Subdivision ' ----
.'" ' - 4 i" • - - . '' - ' 2. cif
.'.-..Authorized Agent —,-7--7"-77-7-7-----,_•":„..`_,` . ' _ -: _ ..... 1'._`. ,..,:,.,----.--.I.T-'' City( 't.Ae.,..o. ,_I'-.:. _.._ .4:.,..':,_-:°,'_._,,,.....r...81.:'..-:,. Z112,_ __.--.,,) ...,. ':.,_,..,_,,,.: ....i,.,.,..., .,-.'._
'.."-,..'7-;. -" • ' ',-0 cw ' 17_4EVi ." .Vf PTA',?1"-.:,,in.Ei.,„,^,"beiri:':..'''.' .„i'.`:". ''','','.. .;'''', Phone-#-(-'7_7=7,7)' !.... . :_....-S::"--."''".;',.--Riifit=Basin Ale-,4.`e-;'.";
Affected - '.-,,--,,_-_,H-' - •- ...- —.;`: ,--,..-- ..`_.'-`-:: ,- .E. i..-- `... -,,,-,', -,,-.1:=,"CI OEA El HHF I:11H : ';-'th_1"-tlfiA.•`:'1-].'1,1/PI:-', 1:'..• -•.;i..-"- '. •
i.AEC(S): •; Adj.Wtr.BOCIy7 .4.---(_17e.:._ ' ", _ - - __ fi-"rat-141tin tunkn),
` ' -..
:0 PWS: • ._ ',-,. -•••,':: , '',.- •7. z:' „-. -2- - .-•c”,t-'",,-" ,
•:,.'-.•`: .,
- - --", , .., •,,
- - r. ;, .• ' . ,-., Closest Maj.Wtr.Body:.,141---'`;''''..1-'''''-. 'Y'L-1f-- '`..-
ORW:- yes.7.•. o ,) '-PNA ',ygs,./rici,".4.-/..; ,,,--c.•,-,.?'4..-`'`,.v-'-,...I'lb.,,.....,--,,,.4.,•--,i...-:;-: :'.
..,, '-.<.....---, • --,c-=•--.,,,, ,_ /._2 .!... ,. , ,
..,.
..",-i -.i - .... c.- '::- -I-• ; ' ' ,•••i''' --.• '
-"- • 4:1' -. .i"•-,...," ' •I • , , f • 1.,- ,, ; ;_._..., ;,
.• , _ ,,,t,,-,-. ..„,,_ ,,.....r.,,,,,-",,-,.., , r+,...... 6' %, " .r.A.,.'...-1 4,3..,t,t. '.=',.. ..• 4.,‘-•-•.' 01,1,6...,',-.-j- a,"1-4-Shyir_.." i
-Type of Frojecti Activity ' I'.1.-t' 82.1.!.....7.,•-7.''''' ' ' -k..• ? ' !'E ''' --e ''. , - - r -,- ,.., -
. -•11( y.:-7 ''''' i;: - -,'''-'''';';',.---'' f i---'' :-.: 1,1- € - - ei-c.:-'• :(---,'"-ef,, .J.-''.."•'; - kc- ' '.--'
(Scale: /,. 2 .) •
--1 . __...). ,.......t.)v .., ....4-- , -..........,,,--,. , •,, _ ,,_..__ -.>•( '
.
Pier(dock)-length
, , , ,, ,
ir-,-) , .,. •.. , -Lk'I. • ,
Fixed PlaiForrn(s),,,, .‘-:A../t.7;.1" = _ f, i: k'-•1 "-_ '-.'-'.'.- ' --.2', '''',—',' .:-.:4-.. "1".);.16.. (...,',_ . r.. •,, -1 ,. ..
-Floating Platform(s) ., ,., .
- ''r''''f, . I
Finger pier- (s). 4,, t , , ,- , . ,-, .....
''''''ILL• 1 ' '''''-- : ." T
—. _
Groin length -- _ % . •
j 1 - I_ --.. '
'„.;... ' number , '' i •I..•.,1
----1------— '\.1 - . -•,
.,- - ./', ....,.'•-II• --- •+-1`---,...,----.. -. .I_ '
•- '-' - ' " I . -,1'- -. . . ,
Bulkhead/Riprap length •,--.,,,-.)r• .-r, ' , .Z"-f- . .... , -- , , 'I. j r'' '.'' ..;'..'; ''.11',-.'.•' % ' :'''''':..' ' ' ' '
, 'r;--C' ' 1', i'.(‘) .' ''-' , ,, ,.• 1
.r'. avg distance offshore-, • --`1'. - -, .fil .. '*,
• I '
max distance offshore.',....5,r .- ''1. .„:-,,i-,- -"' ",- • . -.
Ir..-• - - fi" - i '-) - ' '' ' ' -'
----' 'I- -.-,---, •I',"-r• I`...• --''''.. . , --. .:_: , 1-.' •
, -• Basin channel • •.-„, - 4. ''.-_:l'.-:r-.1- -r... .- •'.._ , . r. -•. - l' • - !!,--'r '' t •• " - ••"-• :4,.• '__l'..,".'r_ -:-..-1'_'-t-,'--- .' •<- - ,-• ••1 '
;;, , -. , ,-.1;1•:,:fr,•':„,,,:k,, . -", ,r,-. ',,- :r '. .',''. [. , .14 i.v,,'i ,:'Th;,..4',',.,..•' '.SJ:1,,';''.,., M..,' ,,I,,
' ,. 'Y::: :,•:,'.. .::, '::, y1',,,,-',,,''!'l.. ,;,:.1,-4,Nit:, : -, ,7 7 . ,,'rn ."'.+ ,;-, , 1,1k. ' r' + (.f.''':•.%'',.1-,.?' ,,,--n;4""',1
Boat ramp , , ''•
iV 7'71
. ' .., Boathouse/Boattift. . -----'• .,.4 - , -,t /• —71 ' , ,. , .-- , . -: - .
....1.,..., ";v.'.... I ', '',. ...:'Ift ..' I. '. ......V....,. ' ., ,,,...,!,..- .. . ..
, . •
:1 ,r.r 7:r(Vi"j5e,- '-• . . r- .., - _ . . -• 1- 1 ,. 1 r----..
- -----. ,-
i-,.. . Beach Bulldozing' , ,_ --I.,, • - .. , 4, ,4„._r . , , . ..„,,,,.,,,, ,,. , ., , .,•_.:„ , .,,,1 ,. ,,.,.‘._ ..„ ,,,, ,,,.,„t ,,..,4,,,,,,,,,„,_,,,,,,t .,, ,,_4_,,,,,, .:,. „.,
Other. ' . ,'.• '' „_- - • H,;:.•' f- . , ' .'.i.,,; , ' II/
' I •1 ' ''- `;-.000,...,.;:_r_.-;',-f.--.---: 1 -- , . .„.„
''- = .1 ' --'•:\ r, .) -- ", ':-,-,-, :.',. -I' - -- 1
-r- - -
.- , '- , ,•-- - ' - -4r---. I , 1`-i A. I;:L.: - •-1 -1 ; - . l•-'1 ....., -
- _ .I , i I_, _ .__„,-.-..--- ----- . - _ , 11- i I, ,. - ,,,,
'- ".• : '- 9 r './<C,:i.' 1:, r: ' t, J-I.., ,,,,' ' -.'
. r'r Shorelthe Length'4‘-.-' ,-..= - -'-'t . -I , -., , i -.', ' l- I,t ..,, ` -- ,-.,
, .. , . ,. - , ,
•
•
SAV:' ,,,,not sure yes,- .no - ; - , - ,
. ,•,. ,_ , .1,- - • _ , ,_-, ' P. 1, ":.:.e.77:: I ''1---1- ...*:-.---N. . r,• c•-•-• 1 .-.• , . ', . `,i 14-7'. , - .: . ' •15. 1 :,,,-- 7
Moratorium'. n/a,, , yes eacr..- 1, V r-A 4 11 /: "le: " '' ' 5' °'l''''' , , "'''. 2 ' ''''- '''' '''' '.'''
Photos:):.: ; .1' - yes-` ' ,- 7-57 ' - -. l' '],,q , - , ,. . 1 . • . „ . .„.„.. ... p. „ ... .
. .,.._, ,.
no
Z.,• ' -- .-- --:--- -',,- , , .., :' - - -, -, ---. .,. -:. +. ,';___I,..—,. .,,...,._...,,,-...... ,.-... River Basin rules
-= 'A 66.1)4 iv)gp errni .4,37.ibe reqUi;ti.by!,- -ri-;,'.:4;,..i,-1(11-L4'-4--- '.-•,-.`',...,''...-,--_''..:n.: `'.,.- ,....;-,..,,7'"f'f.,,.,'.-,.;..',': '-..' -.-./-..".‘:..•;,•..,..Labee ritife*,PIK-regaroingA :-
,-., ,
(Note Local-Planning jurisdiction), .,.-,. , ''. , .:,'.i....• - -: '.. ..: `:•. :','•.._- -,. -', ;:.,;r,.'-,_.-4;...'",";,..,% .-4,4..:f.:414:v..,I•,,g1 :;;,,444:...7,,._, : ,. 1.-_.:,::g,.,/ ;--,`d
[
- • Notes/Special Conditions-. -',- .'),'-'9.:,=:*-75.-;".;716/ °--"_.."5 h /..er:;.le--'4.-- e-.1: -'''‘''-1`-C<-.`---,'._1( -"..f""2..-...::. _``.= - .. '.iti,..:;!.A---.1e- :-e-- ..',., r '
. .
--.)----(;-\;..,,..-, Ar---,f,---‹..r .',' f:' 'C eie i....i ----,4,---A...aL k''-,:,-//,'" -1' f-'7f,,-,.._-,;,y. (4.,,-,61-4-:e.,.,C.,..44,_ V.-,-.,,.• ; e.,,,. e"4 -f , _
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