20220443 Ver 1_Riparian Buffer Authorization Request_20220317

Original Submittal 3/17/2022
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:*
Victor C. Bryan
1b. Responsible Party:
(for Corporations)
1c. Mailing Address:*
Street Address
402 Pollock Street
Address Line 2
City
Pollocksville
Postal / Zip Code
28573-8814
1d. Telephone:* [phone]
B. Project Information and Prior Project History
State / Province / Region
NC
Country
US
le. Email Address:* [e-mail]
Water Resources
ENTAL QUALITY
1. Project Information A
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
1a. Name of Project:* BRYAN TRENT RIVERBANK WASHOUT REPAIR
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
1d. Subdivision Name: 402 &3rd Street repair
le. Nearest Municipality: Pollocksville
1f. Property Size: 0.80
acres

1g. County (or Counties) where the project is located: *
Jones
1h. Property ID# Date of Purchase
543612898600 9/16/2019
Tax PIN or Parcel id
1 i. Deed Information
Type of Book Book# Page# 11
Deed 404 218
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
Bryan - Map with Flood info.pdf 1014.3KB
PDF only
1k. How would you like to provide the Latitude and Longitude information?*
• Address Lookup
Manually
Address Lookup
Street Address
402 Pollock St
Address Line 2
City
Pollocksville
Postal / Zip Code
28573-8814
Latitude* 35.00909559999999 Longitude*
11. Is the project located in any of North Carolina's twenty coastal counties?*
Yes
No
2. Surface Waters
2a. Name of the nearest body of water to proposed project:
Trent River
2b. Water Quality Classification of nearest receiving water:
C,Sw, NSW
State / Province / Region
NC
Country
us
-77.2242138
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
240
(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:
Existing conditions presently are a wooded shoreline of about 240 lineal feet of
riverbank, of which the easterly extremity was washed out by Hurricane Florence.
The .76 acre lot has a residential structure and may be considered suburban
residential.

3b. Attach an 8 % 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
ArcGIS.pdf 173.22KB
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
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:
See .pdf 1370&1372. To line the sand/mud flats from water edge with approximately
50' of sediment control wattle. Fill lower 6'- 8'
with clean concrete rubble and cover with class 1 rip rap, along lineal frontage.(See
profile in pdf 1370 &1372.) What can't be reached by backhoe from the undisturbed
historic river bank, will be hand placed. The area above the rip rap will be filled with
broken bricks, and clean concrete rubble , overlain by 3'-8' sand and topsoil. Finish
grading accomplished by hand. Area to be sodded with centipede grass, saw
palmetto and cypress seedlings
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
IMG_1372.pdf 18MB
IMG_1370.pdf 19.79MB
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 0213.0259)
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
Bryan bank
trent river
Temporary
Exempt
240.00
0.00
washout repair
(T)
square
square
Map label (e.g. Road
Perm or Temp
Feet
Feet
Crossing 1)
Total Zone 1 Impacts: 240.00
Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 240.00
Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.
n\a
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
limited use of heavy equipment, except out of jurisdictional area. Use of small utility
equipment, where practical. Use of sediment control wattle. Immediate sodding and
seeding. Hand grading and rip rap placement.
E. Diffuse Flow Plan
la. 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
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
A

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
PDF only
Additional Comments:
H. Sign and Submit
........ ......... ......... ......... .......... ......... .... .... ....... ....... ...... ............ ......... .... ...... ......... .... .... ........ .... ..... ...... .......... .... ...... .... ...... ..
By digitally signing below, I certify that:
• 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');
o 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:* Victor C. Bryan
Signature
Submission Date: (Auto populated field)

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
20220443
1
Robert Tankard:eads\rbtankard
Washington Regional Office - [phone]
• No Payment Needed
Fee Received
Need Fee - send electronic notification

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