HomeMy WebLinkAbout20231179 Ver 1_Site Plan_20230825Nora
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From Tanio a Hagof Mmarahager 4 dwzj. Qom
Subled: Wray anareane pica,
DOW: Aug�t 10, 2023 a! 1-55 PM
TO: TAMAAA HA,GER nagwwakepermd.corn
_J
Tamara Hager
704--575-2227
The information contained in this message is confidential and is intended solely for the
recipient(s) identified above. If you are not the intended recipient or there are any
problems, please notify the sender immediately. The unauthorized use, disclosure, or
copying of this message is strictly forbidden and may subject you to legal action.
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AGENT AUTHORIZATION FORM
PROPERTY t EGAL QESCRiPTION.
LOT NO. PLAN NO. �� _ PARCEL ID: . � 1 � _ 17
STREET ADDRESS: _ 244 G'S
MA
_e,
tl/c Pr&73
Please print:
Property owner:
r CR
W
The ur de_rslgnea, ► Oste'ed Wo9rPY Owners of the above nobad
// property, d4 hereby authortre
//� /Jeo,',TGe "
Cq I ) 4 ram• -
(Name of cxansut[inq firm)
to ad On rrty behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all sUmdard and s; a al conditions attached.
P'Werty OKrnefs Address (if different than property above)=
Telephone: ?P�
We hereby certify the above inf6rrnation submitted in this application is true and accurate to the
best of our kT*wledge.
A gnaW. e
m
Date; it Iz 3
Date:
-;Ai, SA RIPARIAN BUFFER NOTIFICATION FORM
Signature
I& � Siffat 1.1.4
-
rpcse and design descriaed In your application. Impacts not Indicated in the
- -• ",ie Buffer Rule. Site specific worts should be provided In the application, [15A NCAC
'.? .0243991)
rem
oved from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless
d(e "verely u,iuermined along the lmmedia.e shoreline can b& rernrnred,
��.. blOng f.e immediate saureilne is allowed, [15,4 1 Cr4C 0-& .0243(6)
' - ? er aot lov.*d. Exces5kFe disturbance of ground cover. [15A NCAC 02B .0243 (6)]
. as: `• .: IT-"Pe1ViO'is Wa,xways, etc. are not allowed In the buffer unless specifically approved
r,,.ation on size for decks. [15A NCAt 02B _0243(41 and (6)1
1 -T:+.A indicate an accass and indicate any trees that are to be removed. The
_ �scribeo_ The approved access corridor shall be restored. Staging, spoil, constructiOn
..1 r.:15A %� C 02. , .O- and 15A NCAC G23 -0243 t4).(6).(8)1
_ - . �d or channeled for direct discharge to the lake. All constructed stormwater
and disc�-arged prior to entering the ri-i fer directed as diffuse or
the ake. [15.t r-ICAC 02B .0243(Sj, (Q
+` C g yjr,-g, hereL; state that l have been Infortnad of the Catawba
:.:cteJ i,::ne bu.I :, not specifically stated In the application ano approved
u Arm (D'WA), is a violation and subject to enforcement_ Due diligence will be
.iM oe buitt withln substantial compliance and intent of the 4.01 Water
ar 7.ulys me approved pian(s) and speciflcation(s), and other supporting
dare: r 1 3