HomeMy WebLinkAbout20231063 Ver 1_spoils form_20230801DREDGE SPOIL DISPOSAL FORM
Project Name/address: 145 Fom Haven, Moorosvillo NC 28117
Location Address: _ 145 Fenn Hnvon , Moorosvillo NC 28117
Parcel #: 46,2897133
Parcel/lot size .521 Acres
Disposal area required (sq ft and/or acreage) 50' x 50'
County: Iredell
Acknowledgement of Notification
I. Satisha & Ashwini Ghatpande J am aware that the site must adhere to all state regulations
and rules regarding sediment and erosion control and water quality. And give permission for
Name of Individual and Company
to dispose of their dredge material at the above stated Iota
Owner:
Satisha & Ashwini Ghatpande
Print
Date: 7/27/2023
Along with form, please provide:
Aerial of parcel/lot (County GIS)
Photo of proposed spoil site
Identified proposed spoil site
Signature
I County, North Carolina July 28, 2023
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MAP FOR REFERENCE ONLY
MOORESVILLE,NC 28117 NOT A LEGAL DOCUMENT
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into 2956 / 545 - WD - 20221028 Iredel County, North Carolina makes no claims and no
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PB14-11 Data updated 07/2712023
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