HomeMy WebLinkAbout20231349 Ver 1_Site Plan_20231004-
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AGENT AUTHORIZATION FORM
PROPERTY LLF q DeC MION:
LOT No. a PLAN NO, PARCEL ID: Q4zje- q'
STRUT ADDRESS:
'i ��7r�5trr jLc C sE it
Please print. _
Property Owner:
Property owner: Y
The undersic rned, registered proPerty owners of the move noted property, do hereby authorize
A-;4
} (Name of aons king firm)
to act on my behaV and take al actions necessary for &* proaecning.. issuance and acaeiptance of
#his permit or oertfficabon and arry and al stwxiard and special conditions attached.
Prnpr'rty Owner's Address (if different than property above):
Telephone:
we hereby wr* the above Wormabon subm)"d in this application is true and accurate to the
best of our imovAedge,
kd up)r Signature Authorized Sigrtiature
Date:
_ _ Date:
F: aject Name address
ATAWBA RIPARIAN BUFFER NOTIFICATION FOR
'T. ,44g,7'--- Ga It
I< For +pie purpose and design described In your application. Impacts not indicated in the
�! i��itip is = auia; D n of the Buffer Rule, Site specific work should be provided in the application. 'L15A NCAC
1'r as are nct :ii'oweL to be removed from Zane 1 of the Buffer (within 30 ft of the full pond elevation), unless
i.; ,.rL:u. L,i .1,j$11 .rKc,, ihai are se.erely undermined along the immediate shoreline can be removed.
g a" tree immediate snore{lne is allowed. [15A NCAC 028 .0243(6)]
b - ,cr�irig, grading In t pie Lufrer Is not allowed. Excessive disturbance of ground cover. 115A NCAC 028.0243 (6))
.1zr1z1, irrpLr--aus patios, impervious wakkway5, etc, are not allowed in the buffer unless specifically approved
b'� tiL9 .71vi5inr1. Trie e are limitation on size for decks. IISA NCAC 02B .0243(4) and (6)]
M be C::OLJC tE.i }Too-, and must indicate an access and indicate any trees that are to be removed. The
%,-on( corridar should be describea. The approved access corridor shall be restored, Staging, spoil, construct6on
J—. ar,a0 mus: ae 3L.-.iJ �-- tD j-fEr, IISA NCAC 02h 0502 and 15A NCAC 023.0243 (4i, i6), (8)]
Stwrmwater cannot oe vip¢ri or channeled for direct discharge to the lake. All constructed stormwater
is rr—a .e ai the naij: al elevation and discharged prior to entering the oiffer directed as diffuse or
t 4,GN nor;" vplocitles to the lake. I15A NCAC 02B .0243(5), (6)i
o4':.sf0W1edgE777ent 0,- NOttPeaTion
v[sc- � G EL , hereby state that l have been infor.mad of the Cat.a}r: oa
::L„ 7 E, A-orA CLVt..CteJ in :he buffEr, not specifically stated in the application and approved
U .e Uivis:ut- Df 4%,a;er Resources (DVVB), is a violation and subject to enforcement. Due diligence will be
;L�: , ul J::i ,; -611 be built within substantial compliance and intent of the 401 Water
C ���..tW Cer`Eti _etlCn s,r d tier Rule the approved pFants) and specification(s), and other supporting
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Date: VoLzs