20211414 Ver 1_Site Plan_20210927 (2)

A� SUFFERAOTJFICATION FORM
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,he approval 3s for the purpose and design described in your appircati n. Im acts not indicated in the
application is a iolation of the Buffer Rule. Site specific work should be provided in the application_ 115A
NCAC
02H OSG6 and 15A NCAC- 2 .0243(g))
Trees are not allowed to be removed from Zone I o the Suffer (within 30 ftot the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed,
Minimal shaping and sloping along the immediate, shoreline is allowed. 15A NCAC 026,024
Renchin , grading in the buffer is not allowed. Excessive disturbance of ground cover. [sSA wAC 028.024316)]
Beaches, impervious patios, impervious walkways, etc_ are not allowed in the buffer dnlessspeci ica ly approved
by the Division. There are limitation on size for decks. ISA NCAC 02B_ 2 3 and ( )i
ork to be conducted from lancl must indicate an access and indicate any trees that are to be removed. Th
work corridor should be described. The approved access corridor :cell be restored. Staging, spoil„ r onstrructiax-
material must be outside the buffer. [ISA NCAC 02H .05,1.12 and ISA NCAC 028_02 3 (41, 1 l it
5tormwarer cannot be piped or channeled for direr discharge to the iake. All constructed storin ater
discharges mast be at tfie natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flog at iron- ro,;;ve velocities to the rake. [ 5A NCAC 028. 2 (510 ` )
Acknowledgement o :,vortfication
j� �:. ' hereby state that 1 have beer k1f rrned of the Catawba
Riparian duff ftul Any work conducted in'the buffer, not specifically stated in the application and approved
by the Division of grater Resources (DWR), is a violation and subject to enforcement. Due diligence will be
takers such that the const action will be built ailhin -substantial compliance and intuit of the 401 Water
Quality Certification and Buffer Rules, the approved plan(s) and spedf ation sl, and other supporting
materials,
Signature (owner)-. �,°' ,; mate ' a -I - X1