20240714 Ver 1_Site Plan_20240523

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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Nameladdress- Caravella Shoreline
Owner- Thorras Garayelia
Print
Contractor/agent: Dean Flaher
Co ry. Catawba
5sgnatur
Print signature
The approval is for the purpose and design describes in your application. impacts not indicated in the
application is a violation of the Buffer Ruk. Site specific work should be provided in the application. (15A NCAC
02H ,0504 and LSA NCAC D28 V43(8)]
Trees are not aiInwed to be removed from Zone I of the Buffer (within 30 ft of the full pond elevation), unless
approved. Exception, those trees that are yxwrrely undermined a1mg the immediate shor6itrr ran be removed.
Minimal shaping and sloping along the immediate shoree'snc is allowed. [15A NCAC 02B _fl243(6)]
Benchinv virid grading i n the buffer is not allowed. Excosssve disturbance or ground cover_ [1_5A NCAC 079 ,0243
(6)1
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. '+fsere are limitation on sim fur decks. [15A NCAC 02B .0243(4j and (6)1
Work to be conducted from land must indicate an access and indicate any trom that are to be removed. The
work corridor should be descrWed. The approved )ci*ss corridor shall be restored_ Stagin& spo+7, cow-UruCYon
material must be ou^turff- the buffer. 115A NCAC 02H .0502 and 15A NCAC 02B .024314), (6), (ft)]
StormwatCr cannot be piped or channeled for direrr discharge to the lake. All construct-anemwater
discharges must be at the Itiatk:ral elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at no"rossve velocitlCs to the take. (15A NCAC 02B .0243(5). (6)]
Atknowfedgement of Notification
I T homes Caravella , hcreby state that I have been informed of the Catawba
Riparian duffer Rule. Any work conducted in the buffer, not specifically hated in the application and approved
by the Division of Water Hr_snurces (DWR), is.) violation and sub}ett to enforcement. Due diligence will be
taker. suet'+ that the construction will be built within substantial compliance and intent of the 401 Water
Quality Cerlific,§Mn and Buffer Rules, the approved plans) and specification(s), and other supportiN
rnaterl3ls.
Signature leaner): Date-.

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SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 2 PLAN NO. PARCEL ID: 462802560125
STREET ADDRESS: 9689 Island Point Road Sherrills Ford NC 28673
Please print:
Property Owner: Thomas Caravella
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Dean Fisher of Lake Norman Custom Dock & Pile Driving, Inc
(Contractor J Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized 5gnat r Authorized Signature
Date: 5/14/2024 Date: