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HomeMy WebLinkAbout20060460 Ver 1_COMPLETE FILE_20060321O?CF W A T ?RQG o ? Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality April 3, 2006 DWQ# 06-0460 Lincoln County Mr. William R. Cline 11912 Royal Lytham Court Charlotte, NC 28277 Subject: Lot 97, Fox Hollow Dr., Denver APPROVAL of 401 Water Quality Certification and Authorization Certificate per the Catawba River Buffer Protection Rules (15A NCAC 2B .0243) with Additional Conditions Dear Mr. Cline: You have our approval, in accordance with the attached conditions and those listed below, to place fill in or to otherwise impact approximately 0.02 acre of waters and 0.004 acre of riparian buffer for the purpose of stabilizing approximately 190 linear feet of shoreline on Lake Norman, as described in your application received on March 21, 2006. After reviewing your application, we have determined that this project is covered by Water Quality General Certification Number 34.92, which can be viewed on our web site at http://h2o.enr.state.nc.us/ncwetlands. The General Certification allows you to use Regional Permit No. 198200030 once it is issued to you by the U.S. Army Corps of Engineers (USACOE). This letter also serves as your approved Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 2B .0243. Please note that you should get any other federal, state or local permits before proceeding with your project, including those required by (but not limited to) Sediment and Erosion Control, Non-Discharge, and Water Supply Watershed regulations. The above noted Certification will expire when the associated USACOE's 404 permit expires unless otherwise specified in the General Certification. This approval is only valid for the purpose and design that you described in your application. If you change your project, you must notify us in writing, and you may be required to send us a new application for a new certification. If the property is sold, the new owner must be given a copy of the Certification and approval letter; and is thereby responsible for complying with all conditions. This approval, however, should not be construed as authorization to impact any part of the 50-foot riparian buffer that currently exists on the main stem of the Catawba River under the Catawba River Buffer Protection Rule (15A NCAC 2B .0243). If the total wetland fill for this project (now or in the future) exceeds one acre, compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h). In addition to the requirements of the certification, you must also comply with the following conditions: 1. No impacts shall occur in the buffer, including the removal of trees, except along the immediate shoreline. 2. Mulch or pine needles (6" deep) shall be used to help reestablish the buffer upon completion of the project. 3. Upon completion of the project, the applicant/responsible party shall complete and return the enclosed "Certificate of Completion" form to the Division of Water Quality's 401/Wetlands Unit. If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written pefjbon (that No Carolina atoally North Carolina Division of Water Quality 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone (704) 663-1699 Customer Service Internet: ncwaterquality.org FAX (704) 663-6040 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper conforms to Chapter 1506 of the North Carolina General Statutes) to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless " you ask for a hearing. This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you have any questions, please telephone Alan Johnson in the Mooresville Regional Office at 704-663-1699 or Cyndi Karoly in the Central Office in Raleigh at 919-733-9721. Sincerely, G for Alan W. Klimek, P. E. Attachments cc: Corps of Engineers Asheville Regulatory Field Office. Wetlands Unit- Ian McMillan Central Files Vol' GJ„ 79 Triage Check List Date: 3/23/06 Project Name: William R. Cline, Lot 97 DWQ#: 06-0460 County: Lincoln Alan Johnson, Mooresville Regional Office To: 60-day Processing Time: 3/21/06 - 5/19/06 From: Cyndi Karoly Telephone : (919) 733-9721 The file attached is being forwarded to you for your evaluation. Please call if you need assistance. ? Stream length impacted ? Stream determination Wetland determination and distance to blue-line surface waters on USFW topo maps ? Minimization/avoidance issues ? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman) ? Pond fill Mitigation Ratios ? Ditching ? Are the stream and or wetland mitigation sites available and viable? ? Check drawings for accuracy ? Is the application consistent with pre-application meetings? D Cumulative impact concern 1-1 Comments: As per our discussion regarding revision of the triage and delegation processes, please review the attached file. Note that you are the first reviewer, so this file will need to be reviewed for administrative as well as technical details. If you elect to place this project on hold, please ask the applicant to provide your requested information to both the Central Office in Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim procedure as we slowly transition to electronic applications. Please apprise me of any complications you encounter, whether related to workload, processing times, or lack of a "second reviewer" as the triage process in Central had previously provided. Also, if you think of ways to improve this process, especially so that we can plan for the electronic applications, let me know. Thanks! r The following is an abbreviated application form for those applying for a 401 Water Quality Certification to impact FERC (Federal Energy Regulatory Commission) kegulated lake shore or bottom under the U.S. Army Corps of Engineers Permit GPM. This Application cannot be used for wetland or stream impacts. Please provide seven (7) copies of this application and supporting information as well as a non-refundable application fee to the Division of Water Quality of Ve or ,impacts of to lake bottom of less than 1 acre and $475.00 for impacts to tto m of greater or equal to 1 acre. 'Applications should be sent to., Division of Water Quality Wetlands Unit 4 ? 0 ? 1650 Mall Service Center R 2 1 2006 Raleigh, NC 27699.1650 L Applicant Information 1. Owner/Applicant Infonmsbon Name: w#,1 J a !n lea K da l I G r i ne , /' oAr U n A h -x Mailing Address: 119 ! a- /?' c ?a t L? k G L 3 ?. r Gl? ?r I o fi t? to • G - a. I'1 ? Telephone Number: 20 4 9_ 6 7ro E-mail Address ir4+n d•? ii e A 2. Agent information (A signed and dated copy of the Agent Authorization letter must be attached if the tx- company nt has signatory authority for the owner/applicant.) Name: Affiliati Mailing Address. Telephone Number. - Fax Number.- E-mail Address: H. 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. You may use the diagram below to make a hand sketch of your project. Also, see the example below for guidance. Both the vicinity map and site plan must include a scale and north arrow. The footprints of all buildings, impervious surfaces, or other facilities must be included- Location ' .r 7.e A v e r /(. County. 10%4 al VN Nearest Town: Subdivision name or site address (nclude phase/%t number): ?S e c i o -, 3 -7 Directions to site please include mad numbers, landmarks, etc. is is not necessary if an adequate is map is inclu ©vv• A e v e r v ?. t4, l toL e P4 av. Wte665 • - .:j:? .4e4 ? lean S G+? $urfi?h L-.0.? 2+?i re,6% C Y 1Cw . u r? L,%. ?V2 s e-k e - T 1 4 e ple t. {nIC 's C f. /e?1/-o+n Vht. + eH+n/c 4 J ek L G fie'. ecvhA (P a;. Fo* ?oilaW 19 so 4.5- F. y4al lov..+CaA mA; DctJC , o?ge 14..5 5r?? st 1? 2. Describe the existing land use or condition of the site at the time of this r e e S a p p l i c a t i o n : A, u v s r e + t A e- i S e r o Jr wt, rat 4A t care "o' 's ;A. %/•,ter. Ty s I ff+r?ad deoLd, -Fad f _sK La?(Pc- a y. 1?ore ke a s6!Q P ?f are i, n? re?a t rC, e Y\1 a 9n ?J+atS `vim a s ; e.SA $a Ae l-5k ors ke-ve st4ble 3. P r o p e r t y s i z e (acre: 0.6o 4rc r-e S r i p r e e sew i t s 4. Nearest body of water (stream/river/sound/ocean/lake): e k e A a w 4 w 5. Describ TV-4 6. List the ft 11 Z.J a et . 5kdre . 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level in square feet or acres: 8 a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal pool lake level and 50 feet land-ward in square feet or acres:.2 S U ° -51 -1, ir f- CC &t b. Please describe vegetation above the normal pool lake level and 50 feet land ward to be impacted (number of trees for instance): r 111% b s a K d 3 ?e aj it e e s w4L.,? Applicant/Agenfs Signature (Agent's signature is valid only if an JgtkA 3/16/at. letter from the applicant is provided.) Y ` b, ,? 3 a I G? Rlk K; PAC Ari)? ,,,,r p?mo?p CLA C io / / 1 1 O?a 13 , e_ac . T J r, ? ??? eve i Y12 6v r a TA vt Y Fait a({?r'? fa rG15e 5kore(t4xP o 0, u v? t fi^l 4- Ct?t ?YPv?\ S?aY?'1V1?' U???f':-? r i rah1Ctvt . Pr 3 rd 6,,,,Q ?w ? t Pa n? Ya ? o,#\ 6 u A'k f? o e LUYI??YK4? , a fLPS 5 O? b D-{ I1 g? cY P S r7 •'? i? O ?t S C' Please approelysketch the fooo tormatia?n on #&-plan "a" P "M& t?ensiats for sat* Items„ such as"R. X 100 IW. M Woposod vsVoWM t arms (faWde tensions). .3) lion of f%l rep arfil to be placed cbm the ftd PWWd efs ion. 3)'Laaaln of I* rap or 0 to he pbod bdawdo • PA POW Okvstlon 4)1?'.t??a ia.Cra??W Of MY PMPOsd Sbt" 00* as buldMv„ Ong >aan?M ?i?*si vav+ S) The on 'Of MY exCAVa%n or drWft beloi'? P? fond 6) eLocadon of cmdroemm ace Carddom l 7 Cr.L-tSt 1T e ,lt v tt ?Ltrff'?t? ??Otr!=?' 1.S ??? sotc.? C, fo cc 3° r 4 I k2 t 1I? ? ? ? Ea? ? .a Vt h ?Lt ) Ou.C S?vre 1•?? it 2 h ?X r v1a e ?, ?{ 'Fvee?s 0, 3 f -k" tj j ot r ` to D ? ! m t is ti cn a 2 I om fA 0 liff- *b?u?? J09.gs ? ? ? it F-JOg.aq. ?' , ` •vp?i ( ?, OpBI ? '®4'?S h tee. ge' t' ?? O4 ?• ( Z I N. G. GRID ?.„ 104 4 t 9h p Do 0$L ? '?`i?y0,6 ' v? 6*a Q? ? pda ,L•L L? ? ,gy + •pw'+ti ao•4p r 00 ?'? \ V'Irpti iov. avow 1 ill >t tt? ' tt.34' 041 t [41t IA W ?? ??4, tnw ?m? ?' ?J i}?? •v16 ? Nl?ip'R•A•1(i' ? ? I ??'' ?j N' '1 4 , two IL r •? 'a 4OD 0ti to sp -40 N y?r. w t , I? ? . ? A ? fn i? yoy ??p • oti a M a? A 's. @p ? 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The following is an abbreviated application form for those applying for a 401 Water Quality Certification to impact FERC (Federal Energy Regulatory Commission) regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit GP30. This Application cannot be used for wetland or stream impacts. Please provide seven (7) copies of this application and supporting Information as well as a non-refundable application fee to the Division of Water Quality of 00. or ,impacts of to lake bottom of less than 1 acre and $475.00 for impacts to 1 e bottom of greater or equal to 1 acre. 'Applications should be sent to: Division of Water Quality Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 L Applicant Information 1. Ka ft ?060460 MA-f? 2 D T Z006 VVRWjj Z ?, C1ihe, l?C-fkrvh AKo Mailing Address' )Ill.)- R o a L t k G Ok L 6 tkr +t" Gl? r l o fi f e_ to c- d- Ta •7 Telephone Number: E-mail Address:- r 2. Agent Information (A signed and dated copy of the Agent Authorization letter atory authority for the owner/applicant.) has sign must be attached if Wr Name: Company Afliliatibn: Mailing Address: Telephone Number; Pax Number: E-mail Address: II. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. You may use the diagram below to make a hand sketch of your project, Also, see the example below for guidance. Both the vicinity map and site plan must include a scale and north arrow. The footprints of all buildings, impervious surfaces, or other facilities must be included 1. Location County. rj 1 ^ t Nearest Town: -A -e ON y r . Subdivision name or site address (include phase/lot number): ? e e f i" o -,, 3 -1 L a ? 7 Directions to site please include road numbers, landmarks, etc. (This is not necessaaryry if an adequate i I )• ?r o v- A e 14 W . I b L e -P4 aw LJeb6s .:i fi dea e-A S GA. Bsn{? oh L.N, Q 1 2h?r?wee f Vies,, . Le ft V Lake e- 14 5, Gl. e ? 7'a c e rtP t rf. -Si, {nJe(?`3 GI. eAA1 o 01%4r{ ha/c 1 ?e )tkK 4 ?C. A. ecv IP ? a?. roy, Flat+pW l?r. WSo?J F-?L f4el (oaJ C a^ m 1 ?c au'Se 1, -,_5 G?? / si • ?t1 this J 2. Describe the existing land use or co$dition of the site at the time of 44, application: f v e s? u r e t t ri i.S e r o oQ I h u d Q w3, 14 ? r e e.5 -?-f.at air e ?.? o.,. ? c. ' ti w •?. e r . "i`r s ?s ?f ? o a ea. f sk t,otfe? o ?. tiore "e- to tsh ore i, he re la : re. 4"t9 t? @ V? e t t? d `? ?v J S t 2 j , ?a NP ifn11 At =S ?C..ve, e-tc-ble. 3. (Propertysize ": 0-loo 4er-e r P )r ?,p sew ,? i l s . 4. Nearest body of water (stream/river/soundlocean&ke): k c- A o r 0%. 4 S t? , z G?` i a . sc work: _..5 ore I t ?e e Ir a S i a,^ 5. Describe the purpose of the pro Dee &al,ee s o v P i ?. s +-c, i fi.?" a c v55 r o'tn C w a h r u P? b otk S; e s e (&-$. 6. List the type of equipment to be used to construct the project: u ct e z e /(? ??rt= i-r ???s o 6-ivtc. i w- riP r'a Y`vC'k . -- -J V 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level in square feet or acres: --S O a O s e, feel 8. a, Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal pool lake level and 54 feet land-ward in s u ? ?e ?`?' square feet or acres: -2S'00 b. Please describe vegetation above the normal pool lake level and 50 feet landi + ward to be impacted (number of trees for instance): 4 T-115-5 a ti oL 3 d t? ?l -frees. Applicant/Agenfs Signature (Agent's signature is valid only if an A. 311,6 1z) G letter from the applicant is provided.) L 3 ,9 i° R a + , Ak 00' 10 I-&- g"V,pq sC"'JAk` p >r ? ?C tt ? c? r i t +reeS „i? ( ? r $$ 'r { f? ?„}??{? IDOfi4. ri21r?Rn?ksra.T?iPrt y?? t. . +?IQa Sq• ?+' CaflIl C.? s?,JY? I+he + balk. {? ,,}x F- H Pa „ r& p e v\ + Jt ?? . ?Cl.) 60e Ip?-th s?d? s ?-? I?o? se Please swuhnatelt•sketch the foWmAng irdormgli;wfion on this.pwn M prwAft won dpi (pwRom such as 10 It. x A s) 100 ft): 2} LoWlan of rip rap or 0 to be pboed Above the fW poryd kekmMo n 3) Localkni of d p trap or fib to be pttmd bdmthe - Baru-! devaion 4) The WAU*n of any proposed Wu"" such as hu l t#o„ WoUftg wafts dock% etc. 6) The bcsOm of =W excavM*n or Ong bd a w the FUN Pared i} ? of o ---U cUon seem coftlom 1 {,A r r C' ?1? 5 h u r,?J jjj1c }y?? fi?uS? ? ? hr? d ?any? -?,s? ? c?:a-lei 5 a+'l u au. {' ?I,o?rf' PY ?VllhN?: Gan G" _r. , Lk Vxj jj ;n 1 f" X ?m w w m 1 %Apo P „ +M1'go? 09.08 t ?N F-Dp9,,tq• i' y4+ pp_i R? Jg lg9, 99• t'a Z ? ls B yy G ? ? ? o anaa>rs?'J. • y ? em=u ?+° 6 A7y /J °9L°1141y ?? b'9w? wtia y+? ?? X0'0 rs?o g r' 1oR.aV.e o+ w` a'? o' L\+ o obey y° G9 ? o' . :; - _ 94,1?? 1816 y 'r,Ly.?\ °S• ? ??-.:. , . ....-' .`-.. 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W c t. r POINTS OF. 4 ooc:EaFxo.owr .... a 3 GctotY 1 1 t• ; !? _,_i' 8 INTEREST mmx 9F.!.0Nf CaUNMY Cly..........M Westport m ! ?"v* w44EMRMM .... ......a„ x`"r."'_ .. ,........ Olt A l A.ft MOW* .......411 lwE1KK.rtAr 7e C 1 wr¢wsEge tr.lw,....01. $W- . E_.En ..........a Ib Blades re a a J ? P wnKa.r ...................v lfccrwren r? .Fwrcr. r011D YC a1h E WCA. .. •.••N t 1 1 A4w000r9 AN..._....... lt stwren... ENI'_.en ... /1. PNO WeBje? ~WESICAft' a A .OM*ec .. ......... an l,e Twrwloew4ooiw '-'2 fl• . _ .or 8 Ls caI .ooOomi OOO «,nw " » .........a Q.a Q . ? l1 t Is ?y .tn..1 7 uw„WE CEN,Ew ..... r! YWICWf4aMf a, `? COPE NlYFn... ... C,. uCONlSMlf slnaY ..... N f t I?Ck Ct. ••' Vi? 1L • } con fO.D ... .. ,IOUntwrN WEa Ir"' CC-V.YCEa.. .. Cu YNWGWK e.GG .?......k 1 ?•••\ t. •• C u -Olio wr.. .c,s tpw..N UNmxa •. ! r&.}? ` Mrg?N. llckw c,s a1.,wwN.:nEEw.. ms eta 1.189 0 ?? p CO Cl wNlw ..ar UaNNeKxq aewfwelp •. : 1 VEft0K Caaf.GMY1INY tN . 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NAIiMR • DRY 5TORAG£" 'i1 rs? 1 011\,?/?/ r 13 1393 Fe r R? is. c° i * 1 A LJNCOLN CO. j) tf03A• DUKE POWER LAKE MANAGEMENT, EC12-Q 6 a 6 P O BOX 1006 Q ?k CHARLOTTE, NBC 28201-1006° ?d ?` 704382-1567 or TOLL FREE 1-8070-443-5193 0 ?'?`!6 APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA Please type orprint and fill in all blanks. If information is not applicable, so indicate by placing N/A in blank. PLEASE SUBMIT APPLICATION AND APPROPRIATE DUKE POWER TILING FEE, PAYABLE TO DUKE POWER, TO ABOVE ADDRESS. J L Applicant Information 94J", A. Name W % p ! 11 C_? G 11 +n1t (? c. r ./ ?i B. Mailing Address I ( 9 ( .2 I` 0 ?ja L I CA C C. Telephone: "7 6 `? b 7 II. Location of Proposed Project A. Lake A o r v+._ a w B. Street Address S 0 ,Y P-6 of o-- C. County L i h "I V% D. City, town, community or landmark e a V e E. Section 31 Lot # Subdi F. D' tions t?oj pro erty b z rD w . i)?r n? 'left oA Te,ka S2LuN f eC'4 '?r A a F-4 al . ?L9 MAR 2 1 2006 r/1•G . ?8U3? vision o C. o . 1 o 1!$ A C kyef T.. S o-. YKC, cs.,.r . 0 6..,e 4t?0L(5 A,4 *k 6 14 1 V1 e- kJ ?adC' oA-1a W` .ell -m+ w_5 e4..Oal G. Latitude and longitude for the project site a e- e n e-(o S e el ?. ' _ H. Please submit a neap showing the coordinates or a detailed map (USGS quad trap, city neap, etc.) showing the exact location of the project site. (NOTE: Latitude/ longitude coordinates can be found on intemet site, www.mapsonus.com. Directions Don't register, click "Maps", enter address, draw map, select "Map Clicking Will...", select "Lat/Long", click map) M. Description of Project A. Length of wall /J n`} ' B. Material- k1 Pv?- C. Distance from propertyline/shoreline T k* S I e e new 5 k o r e k n e- IV. Intended Use of Project Area n 1 A. B. V. Applicant Signature Date 3 b b R!4.+ 170 t ?. K k?. rK4 ?h. PLEASE NOTE THE FOLLOWING: + A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO: US ARMY CORPS OFENGINEERS,151 PATTONAYE. -ROOM 208, ASH,EVMLE, NC 28801-5006 • 2 COPIES OF THE "DUKE POWER APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH CAROLINA", PHOTOGRAPHS OF THE SHORELINE TO BE STABILIZED, AND FIVE (5) COPIES OF THE COMPLETED "NC DIVISION OF WATER QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION" MUST BE SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO: NC DIVISION OF WATER QUALITY ATTENTION: CYNDI KAROLY PARKKEW BLDG., 2321 CRABTREE BLVD. RALEIGH, NC 27604 919-733-1786 DENR - W, - ?""DS?sro??'ry 04/18/05 GPAULAKEMGMTILMPPM\STABILIZATION.6.271STABILIMHORLIN.STAB.NC.doc DUKE POWER DIRECTIONS BY ROAD FORM Lake Use Permit Applicants and Contractors: Base of locating the proposed proje.0t site can have a big impact permit processing time. Please complete this form and return it along with your completed permit application to: DUKE POWER C/O LAKE MANAGEMENT - EC 12 Q PO BOX 1006 CHARLOTTE, NC 28201-1006 1-800-443-5193 or Option 5 Applicant's Name• 1J a a-11 _ C. i^t e- /<a v n Street Address (at lake): _ o `?? o i o w r : ? Lake Name: A 0 r G Subdivision Name: --- n jt w r _t ?t.,-'' Telephone: t e L/ 6 J,'vte' bu,"er 6 Property section: _ j Lot # 9 -7 City 11 e V e r, f County, L I K[ v( h State: - C Zip: 3 7 Type of Permit Requested "Circle": Private Facility Commercial Facility Excavation bdizzation'3 I:anveyance Miseellaneaus Uses -5" Directions (from major road or highway): ra r? (0C. We ?. r a Le-"-e Leff- a? IKir 4a?. LG ti e. eai eA e A '1 o V%- arty A r ewfi e -,tr ice f, SG •r I v,t' w) ? Ri , a .,, We. 6 h s ]Qo "4 . R-? - a.. e,.CGhAe N LGhe ? 5e.stde We-1031!i le-H- ."40 Fay. hallow ? f ke- .ate.)vj Le- -f pc.4+ tke F,,Y- A aw -11 c,V iPf+ 0 ?naC; Gia- Grey ??'Cr??vt / q kok.S4f Descriptive Structute(s) an Pro b J jy perty (t.e, nck garage, white fence, mobil home, etc): '? t9 u s G'_ (u i ? (ti l ? G1 1'l ? ? 9? C. ?/ .5 ? ? ? '•?? Tf j O ? ? o .ti (Nt G c .1 VS ? lC. . *Note.' Please use the back of this form if desired to draw us a map to the site. GPAULAUMGMT/LMPPM/DIPJ3CTIONS t .9.DOC Effective Dates fn/Go u of d" 65 so?5 Fb oalt-a n e- 40, 4.9 ' a? ? sa ?o Fps 4? 44`; k?k ? ? : • ? K ? ? ?? < <f q po ?'s o,o ?' &':i i ,p. 00 00. Ulu 100 IN p I N $ 9jY`t 0 ° ,AV1 r C? J r? Z bA IPA!'. %? ?1y? O'n pOf' t? qA w W IRS 440 6 bP` app \ r p t 10 41A \?? V\'\* 64' 8.40 ,rc.. lgi Tl+r t u ? 'l?J F ? •.? 4 IR O, y W 1i W \ ti ` f Q?Ay\O ,Ito to O%?? 06 '50 1 ey14 ?,?/pei ? q{gyti 11 4.b?•Z a ab6 ?p As arb°? p. 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