HomeMy WebLinkAbout20072035 Ver 1_401 Application_20071207Office Use Only: Form Version March OS
~7-2035
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing p
1. Check all of the approval(s) requested for this project:
^ Section 404 Permit ^ Riparian or Watershed Buffer Rules
^ ~fiection 10 Permit ^ Isolated Wetland Permit from DWQ
401 Water Quality Certification ^ Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: ns~. ~, ~iQ-,/V1~4 ~'~~ss'
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ^
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ^
5. Ili your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Manageme Area of
Environmental Concern (see the top of page 2 for further details), check here: , ~ i ~ . Rµ:'~r7 ~ ` ~,
a ~ , a ~ ~ ~, I-~-,-i 1
~~~.~. v~. ~ ~ a 1~
.~ I.I. Applicant Information ~~
C ~ '1001
1. Owner/Applicant Information
Name:_ _ ~, ~_ fry sl~~i ~rx, c~- , ~sc,~v~!-e <s G ~ ~ --, p ~~ r~„~ ~r~r,;~,PuR DER ~ttr+~CFa
Mailing Address: //~3y C/na.~ .~' , (,r<C'~assc ~ ~ ~y~c~ r
"Telephone Number: bd8 -7~i ~ -3 57Y Fax Number: ~~'y -7 ~{l - 4T7lra
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: yarn v~~ Lv_ C'ICci~,
Company Affiliation: jNw'r~;~7IS~;Hc° 1:3t°u~t, /~'7G~t«~
Mailing Address: ~~~ i~iuf rd, s h/v ~~{-~fsv:tic ar~xc~~ ,~ aEr~~ t'LU
Telephone Number: 9 ~~ ~S(~> - lv ~• ~•~> Fax Number: Ci/U :3s ~ °- ~79t-,
E-mail Address:
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project:__i'J9trirrc~'~ ~~ y c~~-e
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): ~ ~ ~~ ~ ~ C~~' ~ ' C~ C' ~ ` G ~~
4. Location
County: ~~t~ ~lrt~rz~~r:~ Nearest Town: ~'V/~u6ii5v~tl~ /3c~~ci--,
Subdivision name (include phase/lot number):
Directions to site (include roac~,numbers/names, landmarks, etc.):
5F.
Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.) ,.
Decimal Degrees (6 digits minimum): .~~'~! `' /,.~ ~ , ~ ~-~1 °N 77 ~ ~ ~ . gC~{ °W
-r
6. Property size (acres): 3 QC n'S
7. Name of nearest receiving body of water: /''I~HS G hcrwNe.~
8. River Basin: ~%~~ l-ec~,~'
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httpa/h2o.enr.state.ne.us/acjmin/maps!.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: /~u~irvr~ ~v~~ 13c'~.t Sr~Cos
Page 6 of 12
10. DescAribe the overall project in detail, including the type of equipment to be used:
1.~t<~infv.vrrN~wr /~vi°C' n c ~.,; /-/~. .; hc~r-vcc.v>rc• G~r'cc~ G
11. Explain the purpose of the proposed work: /)'Ir~iry Crwfz,~~. l.~v~~~'c., i~ c cif
J~1r~:,~i ~.,.. her .}t;, „ ~~ -- ~ 4~ b/ b
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. C.AM~I Z15- ~I
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and rovide justification for the exclusion of~/this work from the current application.
~_t"Grr r•~~- ,.~ /~1Cr~~. t_4~•~t-r CvYc~ ~~lc= /13 t~~<~~
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Provide a written descrintinn of the nrnnnceri imnartc• ~' ~~ ~ ~ ~`~''~='='
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and floodinu.
Wetland Impact
Site Number
(indicate on map)
T e of Im act
yp p Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)
~f
Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: ~ a~ ~'~' ~~~~-sZ~ ~~~;,
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage. multiply length X width_ then divide by 4'i 5hn
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Im act Impact
Length
linear feet Area of
Impact
(acres
-r
Total Stream Impact (by length and acreage)
Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dred~in~, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma
Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. Area of
Impact
acres)
~1 66 /~'~
Total Open Water Impact (acres)
Page 8 of 12
6. List f
he cumulative im act to all Waters of the U.S. resulting from the project
Stream Impact (acres):
Wetland Impact (acres):
Open Water Impact (acres): !, ~3
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear feet):
7. Isolated Waters
Do any isolated waters exist on the property? ^ Yes [~No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
,~~ Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
~y Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. .r.,~j~
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.eirr.state.nc.ushlcwetlands/strmgide.html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
(919) 715-0476 to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.cnr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres): ~~
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/sta /local) funds or the use of
public (federal/state) land? Yes ^ No
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at (919) 733-5083 to review current thresholds for environmental documentation.
Yes ^ No ^
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ^ No ^
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .025U (Randleman Rules and Water Supply Buf~ Requirements), or other (please
identify )? Yes ^ No LI
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* Impact Multiplier Required
(square feet) Mitieation
1 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. N~ ~"
Page 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. N~~
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (ISA NCAC 2H .0500) or any Buffer Rules?
Yes ^ No [~
Is this an after-the-fact permit application? Yes ^ No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No t^~''
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http:%lh2o.enr.statc.nc.us~`ncwetlands. If no, please provide a short narrative description:
~~n F r-~r~, ~.1,~~rn ~F.,} v ~ r-~° (~.L .,,- sr ti tv; // lt~t:l~ f~l~~ c~ c~vrt
~ r~ a f c:a~
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
/r/riZ >s r'/'~ ~ic~:~. ~r~ c~.FF S-~C>w.S'~.~ ~: !% b~ r±,lr.~ i r.? 5,;~~ , ~._
/~' .~ P"f
'" Applicant/Agent's Signature ~,„ J Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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Sales
Residential
Commercial
Misc. Improvements
Perrriits
Land
Values
Agricultural
Sketch
Full Leyal
Exemptions
Original Parcel Info
Sub-parcels} Info
Parcel Map
7 - ~ n ~ ~ Page 1 of 1
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S-tocsa=v Property Records
Owner Address Parcel ID Advanced
PARID:R05718-005-002-000
PRETASKY ROACH 130 SHORT ST
Parcel ~ '~ . _ _1 of .
Alt ID 315720.81.9526.000 Return to Sear
Address 130 SHORT ST
Unit
City WRIGHTSVILLE BEACH
Zip Code -
Neighborhood 6310
~ P
i
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S
Class r
nta
e
u
COM-Commercial
Land Use Code 449-Marina-Marine Craft Dock r'n
Living Units U Printable Ve,
Acres 1.3
Zoning C-3-COMMERCIAL
Current Tax Statement FOR FURTHER INFORMATION ,CLICK HERE
Legal
Legal Description PT LT 11A SHORE ACRES DEV 3
Tax District WB
Owners
Owner PRETASKY ROACH
City LACROSSE
State WI
Country
Zip 54601
The data is from 2007
Data Copyright New Hanover County [Disclaimer] [Privacy Policy] Last Updated: 26 Nov 2007
~` Site Design Copyright 1999-2006 Akanda Group LLC. All rights reserved.
http://etax.nhcgov.com/Forms/Datalets.aspx?mode=PROFILLALL&taxyear=2007&ownseq=l &... 11 /28/2007
A
~ -, _„ ,., ,~ ~.. ~ Yage 1 of 1
a-i:~=ca4 Property Records
Owner Address Parcel ID Advanced
PARID:R05718-005-002-000
PRETASKY ROACH
Parcel
Alt ID
Address
Unit
City
Zip Code
Neighborhood
Class
Land Use Code
Living Units
Acres
Zoning
315720.81.9526.000
130 SHORT ST
WRIGHTSVILLE BEACH
6310
COM-Commercial
449-Marina-Marine Craft Dock
130 SHORT ST ~-~idZ`e~W:'a`'
N ~L __ 1 of
Return to Sear
MF Profile
Sales
Residential
Cornrnercial
Misc. Improvements
Permits
Land
Values
Agricultural
Sketch
Full Legal
Exemptions
Original Parcel Info
Sub-parcels} Info
Parcel Map
Current Tax Statement
t_egal
Legal Description
Tax District
Owners
Owner
City
State
Country
Zip
1.3
C-3-COMMERCIAL
FOR FURTHER INFORMATION ,CLICK HERE
PT LT 11A SHORE ACRES DEV 3
WB
PRETASKY ROACH
LACROSSE
WI
54601
The data is from 2007
fnl Printable Su
Printable Vey
Data Copyright New Hanover County [Disclaimer] [Privacy Policy] Last Updated: 26 Nov 2007
Site Design Copyright 1999-2006 Akanda Group LLC. All rights reserved.
http://etax.nhcgov.com/Forms/Datalets.aspx?mode=PROFILEALL&taxyear=2007&ownseq=l &... 11/28/2007
w w ww w
Perm~tCiass
~ TRANSFEPJ:RENEWAL
X
X
' STATE OF NORTH CAROLINA
Department of Environment; Health & Natural Resources
and - . ~--~~~
Coastal Resources Commission
. ,~:. :.~~ sEP 2 s ~qy~
Major DevelopmenC in`an Area of Env_iivnmental Concern
pursuant toNCGS;113A=I18::-: ~ ~,< ~IVISIUhd GF
- .. _ CU:4STAL MP,t~AGENiEh~
Excavation and/or filling pursuant to NCGS 113-229
Issued to Pretasky-Roach Properties, L.I,.C., ("pRp"), clo Roantree & Seagle, LLP, 2419 Market St, W~7mington, NC 28403
authorizing development in New Hanover County az- Motts Channel and the AIWW, Wrightsville
Beach
as requested in the permittee's application dated X29/89includingattachedworkpians,
l -4 of 4 dated 7/89 and transfer request dated 6/3/97.
This permit, issued on ~1- ~~.._~'r1 , is subject to compliance with the application (where consistent
with the permit), all applicable regulations, special conditions and notes set forth below. Any violation of these terms may
be subject to a fine, imprisonment or civil action; or may cause the permit to be null and void.
1) In order to protect juvenile shrimp and finfish populations, no excavation or filling will be permitted
between April 1 and September 30 of any year without prior approval of the Division of Coastal
Management in consultation with the Division of Marine Fisheries.
2) Excavation will not exceed -6 feet below the mean low water level.
3) No marsh grass will be excavated and the maximum feasible separation distance, not less than 10
feet, shall be maintained between aay marsh grass fringe and the dredge cut.
4) All excavated materials will .be confined above mean high water and landward of regularly or
irregularly flooded marsh behind adequate dikes or other retaining structures to prevent spillover of
solids into any marsh or surrounding waters.
- (Attached sheet for Additional Conditions)
This permitaction may be appealed by the permittee or
other qualified persons within twenty (20) days of the
issuing date. An appeal requires resolution prior to work
initiation or continuance, as the case may be.
This permit must be accessible on-site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not
covered hereunder requires further Departmental approval.
All work must cease when the permit expires on
December 31,1999
In issuing this permit, the State of North Carolina agrees
that your project is consistent with the North Carolina
Coastal Management Program.
Signed by the authority of ~e Secretary of DEHNR and the
Chairman of the Coastal Resources Commission.
.. -~Qa~~ Roger . Sc ester, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee
-- MgW(+ 3
5~
.
!~ --- .
. ~ SECTTON A - - - - - MOTI'S
- .
CE[ANNEL
~
l~` _ ~
~ _
. - SECTION,B - _ - MOI`IS
. .CHANNEL
-G -
._g _ .- - - ~ - - -
. - - - SECTION C MOTTS
DREDGED OIIANTITY C'ALCULA~'iON SECTION VIEWS
sl~c.A a s~ sgYa~
SEGB = 49.8 3gYda HATCHED AREAS
(A~~ DREDGING DETAIL
SECC = 31.8 SgYds
TO BE DREDGED ~ ~ (HOR.)
Distancc SEC.A to SEC.B =43.3 Yds
. 1~ ~ ~, .
Distance SEGB to SEC.C =433 Yds - -
SEC.A + SEGB X 43.3 ~ 2427 CnYds ~ ~ - - -
2
SEA B" + SBG~ X433 = ~ GtinYd~ .
2
~
4194 CuYds
Total to be Dredg®d: -
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Disposal Area 249
C t n t ~- ~ P~~
----~~~ Right-Of-Way N
80ft Setback ~ ~'4'
Navigation Channel 400 200 0 400 800 1,200 x.800
Feet US Mmy Corps
of Engineard
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PLAN VIEW OF PROJECT AREA
SCALE: 1"=10(1'
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,:~ ,.
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Inactive Disposal Areas
Channel
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Authorized Agent Conserrt Agreement
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YVtIG~a G ROU Jr.. Seut~iry
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in order to obtain any t:A11AA Permit(s) -equi.~ed tar the propery frst~d t:etow The aat~ori¢'afion is to the
s,~ecific at.~iv~~es destnbec in the attached sketch.
IOCATIOAI OF PROJECT:
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PROPERTY OWN)~R MArl.~+iG ADDRESS;
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AUTHORIZED AGENT NAILING aDClRFSS:
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Date:
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