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Home My WebLink About20240789 Ver 1_Site Plan_20240611N 46 vtm ¢ n'' za � � 0 .•. � m � OT qNs O �'�� •-22E � � -4 CA n tc P6POject I€larre¢address:Jq L�ounty: Print rontracto r/aaent: LA. I& Signature Print Sig r he approval is for the purpose and design described in your application. Impacts not indicated in the application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC 02H .0506 1A NCAC 02B .0243(8)] Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless approved, Exception, those trees that are severely undermined along the immediate shoreline can be removed. Minimal shaping ana sloping along the immediate shoreline is allowed. [15A NCAC 02B .0243(6)] Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243 (6)] Leaches, impervious patios, irnpervious walkways, etc, are not allowed in the buffer unless specifically approved uy the Oivisivii. Y'1 ' e are linnitation on size for decks. [15A NCAC 02B .0243(4) and (6)] vVork 'io be conducted from land must indicate an access and indicate any trees that are to be removed. The wort; corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction r(,aierial must be outside tine buffer. [15A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), $ ] Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater discharges njust ue a-t the natural elevation and discharged prior to entering the buffer directed as diffuse or sheet flow at non -erosive velocities to the lake. [15A NCAC 02B .0243(5), (6)] hereby state that I have been informed of the Catawba "`' J`:' ian Bu-" :; ,;e• •,,;iy work conducted in the buffer, not specifically stated in the application and app by the Division; of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will bevel ts:ke such ciao h.e cX;st; uction will be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting Date: � za AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. 93 PLAN N0. ,-- PARCEL ID: q iP t i V r a-cj 8 3 2_0 S° RMT ADoprns: 1391 4LUr✓ 62 e,J 4,4 CATS & A+ u Ic NCO Z) � Please print: Property Owner- C-P i�A-ll. G fs,DD 1 E Property Owner; s/y(xL- The undersigned, registered property owners of the above noted property, do hereby authorize jc� of L.AY - a2g! iM7 (Contractor / Agent) (Name of consulting firm) 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 Owner's Address (if different than property above); Telephone: 7ni 'S'7S—a—a We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Authoriz d Anature Rate: 5 2d) �'f Authorized Signature Date: _5 J aP 124 • J • 46 Saw S. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): D.� :�.O�A_C_ 6. Describe proposed work (include discus-si%n as to how hardening of shoreline has been avoided, or why it is necessary): (Skb I aP S7AgLr7 V�'i 7. Will work be conducted from land? El From water? 8. Total amount of impacts below the normal pool lake level / Normal Water Level Permanent impacts (including allexcavation, backfill, rip rap, retaining walls, etc.) in square feet: V2 Temporary impacts in square feet: A) A 9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet land- ward Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet: Temporary impacts (temporary clearing, construction corridor) in square feet: M 1'k' 10. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50 feet landward to be impacted (number of trees, for instance): 11. Signature By signing below, 1, as the project proponent, certify to the following: The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief ® The project prop nt hereby requests that the certifying authority review and take action on this CWA 401 cert l tion request within the applicable reasonable period of time Owner g'ent's Signature' [15Aii£AO00€i.i€5�21a`�l Date 'Agent's signature is valid only if on authorization letter from the owner is provided. 12. Please approximately sketch thefollowing information on this plan and provide dimensionsfor each item: a. All proposed vegetation clearing b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation d. Location of any proposed structures such as buildings, retaining walls, docks, etc. e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation _hitiSib�Yz t<e tL 3c? ut �s '�r 1Y?E:�Laevsbc.:� ht^� tFa!7 bivl:xeec.j: �v:rtcx 5 [�_a :•.aaetU, ti:n:vunt�YCs�±v—EhC7 Im Full PA"4 iAF�eff f�atalce �a�®tuarmal -k v T— Le,� / Iib er-S j`Z*M, UMIMA-L 1ASlN �v � '-*VA B �� e" his +r pla��e approximately sketch the foli®vuin, Information o� item, Ruch 100 ftp�. Thisplan posed v@90t-ti®n clearing 2' R®ca6(nn Of rip rap Or fill to be placed ab®� tl�� 3. Location of rip rap or fill to be pl,,,d b,Ov ti'l Full dull P®nd/�Nnri al Water Leval elevation a. Location of any @nd/ Normal WOW Laval al�vatl®n 5, y Proposed structural such as buildings, retaining wail, da�cks® etc. Location of excavation ®r dredging bLi®�r t�� il �c�n�/ N®rid 5, L®catl®n Of construction accOss corridors j1 Water Lev@l elavat(nn FORM.55GP 10.201a Pain a of 9 N 46 vtm ¢ n'' za � � 0 .•. � m � OT qNs O �'�� •-22E � � -4 CA n tc