20211746 Ver 1_Agent Authorization_20211205 (2)

ATAWEA RIPARIAN BUFFER NOTIFICATION FORM
Frrajert lJaro�{address Hop Land Fesvllle off 1 7 County.. tredell
Owner.. John & Ari is Gibson
Prim Signature
C0114M2"/q nta Beth osteiler
Prim 51gnatufe
The Approval is for the purpose and Ea -slip de5cri1e4 In your applicatran. Impart# not indicated in the
aRplicatlon Is a violation of the Buffer Ruie, Site spe€ilk work should be provided In the appii€4an, 115A IYCAC
0ZI4,0506and-5ANCAC 02B.0243(8)1
Trees are riot allowed to be removed from ZGme ? of the Buffer OAthln 30 ft of the full pond grerationI, unlen
approved. Exmptign, t[rose trees that are severely urlderm ined along the immediate shorelirwe €air bq removed.
rvlinrmal shaping and sloping along the immediate sho-reline is allowed. [15A NCAC 026 ,0243I6))
Benching, grading in the buffer is not al[owed. Excessive disturbance of$round ter. [3SA NCAC 9,0243 (6))
beaches, impervious patlos, rmpeFwraus watkways, etc, are not allowed in the buffer unless speclflcallyapproved
by Lie nivrri n_ There are &hniptron on size for de&c4- [15A NCAC 02B _W43(4) and 16)]
Work to be tundorted From lard rnL�st indicate an mmess and lndlcate any trees=#hat are to be renwved. The
work corridor should W described. The approved aeaess corridor shall be restored_ Staging, spell, construction
marerral must be outside the buffer. 115A NCAC 02R _0502 and 1$A WCAC 02B _11243 f4I, f61, (S)l
Stormwater cannot he piped or thanneied for direct discharge to the lake. All constructed stormvnater
d[scharges must be at the natural e[evatlan find discharged ptior to entering the buffer direned as dlfhm or
sheet Raw at non-eroslye velociries to the lake. JIi A NCAC 02 B .0243f5)r (15)]
AC*i76wledgemerrr of f &iftrnrian
1, _ John & ANida Faib5on hereby state that I have been informed of the Catawba Aipanan
Buffer kule_ Any work cons ucted in the bufferr not specrficallly stated In the apLolcadan and approved by the
orvrsion of Wat&r 11ewurces f [YWR), is a vMation and subject to t: nforoemern- Due diNgenae wlll be taken such
that theoorrstivttlan will be bunt w"in Substantial wmpliance anal intent of the 401 Water Quallty
CerWrrcadpn and Buffer Rules, the approv plan(s) and spedflcatinn(s)r and other suppartrng materl-als.
Skriatwre(c►wr,er)= _ _ % ,3,7. ter,'
5ignatum (owner): pate;