20230015 Ver 2_Riparian Buffer Authorization Request_20230623

Original Submittal 6/23/2023
A. Owner/Applicant Information
General Information Q
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
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
p Agent
1. Property Owner Information:
1a. Name on Recorded Deed:*
Scott Corby
1b. Responsible Party:
(for Corporations)
1 c. Mailing Address:*
Street Address
6233 Riviera Run Estates Drive
Address Line 2
City
State / Province / Region
Hickory
NC
Postal / Zip Code
Country
28601
us
1d. Telephone:* 7048800764
le. Email Address:*
[e-mail]
3. Agent Information:
3a. Name:
3b. Company Affiliation:
3c. Mailing Address: Street Address
Address Line 2
City State / Province / Region
Postal / Zip Code Country
3d. Telephone: 3e. Email Address:
3f. Attach a signed and dated copy of the agent Click the upload button or drag and drop files here to attach document
authorization form. PDF only
B. Project Information and Prior Project History
1. Project Information

1a. Name of Project:* Corby - Caldwell
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
1d. Subdivision Name: Riviera Run Estates
le. Nearest Municipality: Hickory
1f. Property Size: 0.83
acres
1 g. County (or Counties) where the project is located:*
Caldwell
1h. Property ID#
08-140-1-15
Tax PIN or Parcel id
Date of Purchase
11 /19/2019
1i. Deed Information
Type of Book Book#IF Page#
Deed 1976 11 204
Map 16 11 220
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
Corby Scott 2 - Topo plat.pdf 623.38KB
PDF only
1k. How would you like to provide the Latitude and Longitude information?
Address Lookup
Manually
Address Lookup Street Address
6233 Riviera Run Estates Drive
Address Line 2
City
Hickory
Postal / Zip Code
28603
Latitude* 35.783212 Longitude*
11. Is the project located in any of North Carolina's twenty coastal counties?*
2. Surface Waters
2a. Name of the nearest body of water to proposed project: * Lake Hickory
2b. Water Quality Classification of nearest receiving water: Catawba River
State / Province / Region
NC
Country
United States
-81.363742
Yes
No

2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
20
(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:
Soil, some grassy yard areas, silt fence on slope, for current home construction. Minimal vegetation impact for this project.
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
Corby Scott 2 - Topo plat.pdf 623.38KB
PDF only
3c. Attach an 8'/z 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
Corby Scott 2 - Survey & Buffer.pdf 2.94MB
PDF only
4. Proposed Activity (l
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:
Homeowner is requesting approval for a block retaining wall within Zone 1, possibly reaching the edge of Zone 2. (Estimating at the
25-35 ft buffer mark). Wall to be approximately 50 ft in length and 4 It tall.
Also, requesting approval for a concrete pathway to the dock, passing through Zone 1 and 2. Walkway estimating 50-60 ft in length,
no wider than 6 ft.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
Corby Scott 2 - Scope of Work pg 2.pdf 370.19KB
Corby Scott 2 - Site plan on survey.pdf 963.3KB
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
6b. List any permits/approvals that have been requested or obtained for this project in the past.
..........................
Application Date Date Issued Permit Type
12/30/2022 6/5/2023 11 Buffer
6c. Please explain and detail according to "help file" instructions.
Vegetation, tree clearing for dock construction and/or dead, diseased, root exposed.
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
Retaining Wall
Catawba River
Permanent (P)
Allowable
10.00
40.00
Map label (e.g. Road Crossing 1)
Perm or Temp
Square Feet
Square Feet
Retaining Wall Construction -
Catawba River
Temporary (T)
Allowable
Square Feet
240.00
Temp Corridors
Perm or Temp
Square Feet
Map label (e.g. Road Crossing 1)
Pathway Catawba River Permanent (P) Allowable 180.00 120.00
Map label (e.g. Road Crossing 1) Perm or Temp Square Feet Square Feet
Total Zone 1 Impacts: 190.00
Total Zone 2 Impacts: 400.00
Total Buffer Impacts: 590.00
Comments:
See drawings
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.
Homeowner requests 2 temporary access points for retaining wall construction, to minimize buffer impact.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Homeowner requests 2 temporary access points for retaining wall construction, to minimize buffer impact. One temporary access
point will also be used for pathway construction in zone 1.
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
Corby Scott 2 - Topo plat.pdf 623.38KB
PDF only
I

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
Corby Scott 2 - yard.pdf 3.73MB
Corby Scott 2 - Directions.pdf 1.36MB
PDF only
Additional Comments:
H. Sign and Submit
...................................................................................................................................................................................................................................................................................................................
By digitally signing below, I certify that:
o I have given true, accurate, and complete information on this form;
• 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:* Scott Corby
Signature
4S�rr1` C�ot��
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
20230015
2
Joey Winston: Joey. Winston
Asheville Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification