20220331 Ver 1_Riparian Buffer Authorization Request_20220301

Water Resources
ENTAL QUALITY
Original Submittal 3/1/2022
A. Owner/Applicant Information
General Information
Primary Contact Email: * [e-mail]
Please list the contact person's email for questions or payment on this project if needed.
Who is submitting the application?* Owner
Applicant other than Owner
Agent
Is there an agent working on this application but Yes
not submitting it? No
1. Property Owner Information:
...................................................................................................................................
1a. Name on Recorded Deed:*
Mark and Dana Carpenter
1b. Responsible Party:
(for Corporations)
1c. Mailing Address:*
Street Address
113 Old Tram Street
Address Line 2
City
State / Province / Region
Lincolnton
NC
Postal / Zip Code
Country
28092
United States
1d. Telephone:* 7043086626
B. Project Information and Prior Project History
1e. Email Address:* [e-mail]
1. Project Information A
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
1a. Name of Project:* Carpenter Property Dock
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
1d. Subdivision Name: Crystal Falls
le. Nearest Municipality: Hickory NC
1f. Property Size: 0.83
acres

1g. County (or Counties) where the project is located: *
Caldwell
1h. Property ID# Date of Purchase
08120A 1 6 1/10/2022
Tax PIN or Parcel id
1 i. Deed Information
Type of Book Book#11 Page#
Deed 2044 1974
Map 35 207
1 j. Attach a copy of the recorded map that indicates when the lot was last platted.
Click the upload button or drag and drop files here to attach document
Crystal.pdf 128.97KB
PDF only
1k. How would you like to provide the Latitude and Longitude information?*
Address Lookup
• Manually
Latitude* 35.814798 Longitude*-81.338484
11. Is the project located in any of North Carolina's twenty coastal counties?*
Yes
O No
2. Surface Waters
2a. Name of the nearest body of water to proposed project:
Lake Hickory
2b. Water Quality Classification of nearest receiving water:
WS-IV;CA?
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:*
120
(linear feet only)
3. Project Description:
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:
Sparcely wooded lot near water. Front of lot cleared. Residential community.
Surrounding area is rural land.
3b. Attach an 8'/2 x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site.
Click the upload button or drag and drop files here to attach document
Map including 4722 Crystal Falls Ave, Hickory NC.pdf 36.42KB
PDF only
3c. Attach an 8 % x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map depicting the project site.
Click the upload button or drag and drop files here to attach document
20220228_20135908614_25_Soil_Map.pdf 320.38KB
PDF only

4. Proposed Activity
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:
A proposed dock with a three -foot -wide gangway starting at 10 feet off the left
property line. This placement was prescribed by Duke Energy due to water willow
plants on the right property line. A tree lies within the area prescribed for the
gangway. Normal dock building equipment.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
Drawing of proposed dock and locations of dead
474.18K6
trees.pdf
PDF only
5. Jurisdictional Determinations
5a. Have jurisdictional wetlands or stream determinations by the Corps or State been requested or obtained for this property/project
(including all prior phases) in the past?*
Yes
• No
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
Yes
• No
7. Future Project Plans
7a. Is this project a phased project?* Yes
• No
C. Proposed Impacts Inventory
Buffer Impacts
Project is in which protected Basin?*
Neuse River Basin (15A NCAC 02B.0233)
• Catawba River Basin (15A NCAC 02B.0243)
Randleman Lake Watershed (15A NCAC 02B.0250)
Tar -Pamlico River Basin (15A NCAC 02B.0259)
Jordan Lake Watershed (15A NCAC 02B.0267)
Goose Creek Watershed (15A NCAC 02B.0606 & 15A NCAC 02B.0607)
Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form.
Site# - Reason Stream Name Buffer Impact* Impact Type Zone 1 Zone 2
Proposed dock 1 Lake Temporary
Allowable
12.00
0.00
Map label (e.g. Road
Hickory
(T)
Square
Square
Crossing 1)
Perm or Temp
Feet
Feet
Total Zone 1 Impacts: 12.00
Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 12.00

Comments:
Area of the proposed gangway in the buffer would be 12 square feet. Tree required to
be removed to place at prescribed location would be replanted.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.
A proposed dock with a three -foot -wide gangway starting at 10 feet off the left
property line. This placement was prescribed by Duke Energy due to water willow
plants on the right property line. Gangway width restricted to 3 feet wide.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Standard dock construction with only impact to one tree due to prescribed location of
gangway.
E. Diffuse Flow Plan
1a. What type of SCM are you providing? *
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Proposed project will not create concentrated stormwater flow through the buffer
Other SCM that removed minimum of 30% nitrogen
1 c. Diffuse Flow Documentation Click the upload button or drag and drop files here to attach document
Blank Page.pdf 176.27KB
PDF only
F. Supplementary Information
Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
Yes
No
Violations
2a. Is the site in violation of DWR Wetland Rules (15A NCAC 02H .0500), Isolated Wetland Rules (15A NCAC 02H .1300), DWR Surface
Water or Wetland Standards, or Riparian Buffer Rules (15A NCAC 02B .0200)?
Yes
• No
2b. Is this an after -the -fact buffer authorization application?
Yes
• No
G. Additional Information ,�
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments: Click the upload button or drag and drop files here to attach document
Duke Energy specifications for dock.pdf 632.34KB
PDF only

Additional Comments:
Duke Energy required specifications for proposed dock attached.
H. Sign and Submit
By digitally signing below, I certify that:
o I have given true, accurate, and complete information on this form;
o I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions
Act')
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
o I intend to electronically sign and submit the application form."
Print Name:* Dana Carpenter
Signature
Submission Date: 3-1-2022
(Auto populated Feld)

Initial Review
Is this accepted into the review process?*
Is this project a public transportation project?*
ID#*
Version:
Select Reviewer:
Select Reviewing Office*
Has payment been received?*
• Yes No
Yes
• No
20220331
1
Amy Annino:eads\amannino
Asheville Regional Office - [phone]
• No Payment Needed
Fee Received
Need Fee - send electronic notification

Soil Map —Caldwell County, North Carolina
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From: "Brennan, Cayce" <Cayce.Brennan duke -energy .com>
Date: August 23, 2021 at 11.39.42 AM EDT
To: Debra Osborne <debra trans-tech.net>
Subject: FW: [EXTERNAL] Re: Crystal Falls Lot
Good morning, Ms. Osborne —
Lake Services can review an application for a dock permit for your property at
4722 Crystal Falls Ave. Because of the expansive water willow adjacent to your property, and in
order to comply with the Shoreline Management Guidelines, the application must show the
proposed structure beginning 10' off of the left property line. The drawing must also show a 3 ft
wide walkway until it is beyond the existing water willow bed.
Please note that the above statement does not represent a preliminary approval, and review of a
complete application is the only way that we can determine if the proposed activity will be
approved by Lake Services. To complete the application process, the property owner will need
to submit the Lake Permit Application and User Agreement forms that are located
here: hops://www.duke-energv.com/ /media/Pdfs/community/lakes-and-
reciconstruciionappdf%la=en. In addition to these forms, a list of additional items required for
the submittal can be found on Page 2 of the application, and include the following:
copy of a registered survey of the lot — surveyor's signature and stamp
must be visible, and the proposed location of the structure must be
indicated (subdivision plat map is ok)
plan and profile drawing of the proposed dock — including all dimensions
(exam2le)
copy of the county building permit
$350 application fee payable to Duke Energy (see fee schedule for
appropriate fees)
$250 fee payable to the NC HEP (Habitat Enhancement Pro ram)
Let me know if you have any other questions. Thank you.
Cayce Brennan I Lake Representative
Duke Energy I Lake Services
526 S. Church Street I Charlotte, NC 28202 1 EC12Q
2: [phone]
II II°idirmllMiin(J about Ibecoirnrudiiiin(J a IIDuke III ineir(JY lake undiilJlll°idboir?" Cllliick here fair iiirnruillpoirtm ant liiu foirurnrivabiion.
PLEASE ALLOW 30 DAYS FOR APPLICATIONS TO BE REVIEWED
Please consider the environment before printing this e-mail.