20110328 Ver 1_General Major Variance_20110728

DEnnls Forms Associates
Professional Land Surveying
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n r l" Major "Variance Application Farm -
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N¢-use River Bas'm Nutrient. Sensitive Waters Management Strategy
Protection and Maintenance of Riparian Armas Rule (15A NCAC .0233)
Tar-Par rii o River ire: Nutrient Sensitive Water Ilar r'r?er$t
Strategy Protection and Maintenance of Riparian Areas Rule (I 5A
NC;AC .02591
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1,0 c. o'-Istitale Ga complete applicalion, all of the information requested in this torn?
must lae provided. Inclomplete alalalications will he returned to the applicant. The
original and two copies of the €.tssrpletod "'General" Variance Application Form and
any attachments must be serrf to the L?1l Q 401! ,Wetlands Certification limit, f650 Mail
Service Center, Raleigh,. NC; 27699-1650, 91Q-733.1786 to constitute a ccamPlete
submittal, This form may be photocopied for use as an or-ighrial.
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