20150950 Ver 1_Riparian Buffer Authorization_20150911

Dr,,State 2 of North Carolina
, �" 0 1 5 0 9 5 ODepartment of Environment and Natural Resources
D on hrW of Water Resources Division of Water Resources
15A NCAC 02B .0233 (8)(b), .0243 (8)(b), .0250 (11)(b), .0259 (8)(b), .0267 (11)(c), .0607 (e)(2) - Buffer Authorization
FORM: BA 10 -2013
Riparian Buffer Authorization Form
A. Applicant Information
1. Project Information
1a. Name of project: Sister's Cove - Phase V - Community Dock Access Path
1 b. County: Iredell
1c. Nearest municipality: Mooresville
1 d. Subdivision name: Sister's Cove
1e. Is the project located in any of North Carolina's ❑ Yes ® No
twenty coastal counties. If yes, answer If below.
1f. Is the project located within a NC Division of Coastal ❑ Yes ® No
Management Area of Environmental Concern (AEC)?
2. Owner Information
2a.
Name on Recorded Deed:
2b.
Deed Book and Page No.
2c.
Map Book and Page No.
(include a copy of the recorded
map that indicates when the lot
was created):
2d.
Responsible Party
4f.
(for Corporations):
2e.
Street address:
2f.
City, state, zip:
2g.
Telephone no.:
2h.
Fax no.:
2i.
Email address:
Sister's Cove Of LKN, LLC
2297/193
63/11
Nest Homes, LLC
PO Box 3965
Mooresville, NC 28117
704 - 433 -9947
n/a
mwetter @nesthomes.com
3. Applicant Information (if different from owner)
3a.
Applicant is:
® Agent ❑ Other, specify:
3b.
Name:
Michael Wetter
3c.
Business name
Nest Homes, LLC
4e.
(if applicable):
4f.
3d.
Street address:
PO Box 3965
3e.
City, state, zip:
Mooresville, NC 28117
3f.
Telephone no.:
704 - 433 -9947
3g.
Fax no.:
n/a
3h.
Email address:
mwetter @nesthomes.com
4.
Agent/Consultant Information (if applicable)
4a. Name:
4b.
Business name
(if applicable):
4c.
Street address:
4d.
City, state, zip:
4e.
Telephone no.:
4f.
Fax no.:
4g.
Email address:
/nom
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tNR tn. 1 1015 A
FORM: BA 10 -2013 Page 1 of 4

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 4648489059000
1 b. Site coordinates (in decimal degrees): Latitude: Longitude: -
35.626116832203465 80.86809754371643
1c. Property size: .263 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Lake Norman
2b. Water Quality Classification of nearest receiving water: CA
2c. River basin: Catawba
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:
New homes are being built on site and a new community dock is going to be constructed. We need to install a
ADA access to the dock.
3b. Attach an 8 '/ x 11 excerpt from the most recent version of the USGS topographic map indicating the location of
the site
3c. Attach an 8'/2 x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map
depicting the project site
3d. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
0
3e. Explain the purpose of the proposed project:
To install ADA access to the proposed community dock
3f. Describe the overall project in detail, including the type of equipment to be used:
A 5 ft. wide concrete path or wooden boardwalk with 1/4 gaps shall be constructed down the edge of lot #24,
along the lake to the proposed dock. This work shall be performed with a track unit skid steer and wheelbarrows.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the ❑ Yes ® No ❑ Unknown
Corps or State been requested or obtained for this property/ Comments:
project (including all prior phases) in the past?
4b. If yes, who delineated the jurisdictional areas? Agency/ Consultant Company:
Name (if known): Other:
4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been, requested or obtained for this ® Yes ❑ No ❑ Unknown
project (including all prior phases) in the past?
5b. If yes, explain and detail according to "help file" instructions.
Shoreline stabilization permits have been obtained
6. Future Project Plans
6a. Is this a phased project? ( ❑ Yes ® No
6b. If yes, explain.
FORM: BA 10 -2013 Page 2 of 4
a

C. Proposed Impacts Inventory
1. Buffer Impacts
1a. Project is in which protected basin?
❑ Neuse
❑ Tar - Pamlico ® Catawba
❑ Randleman
❑ Jordan ❑ Goose Creek
1b. Individually list all buffer impacts below.
If any impacts require
mitigation, then you MUST fill out Section D of this
form.
Buffer impact Reason for
Type of impact
Stream name Buffer Zone 1 Zone 2
number — impact
(exempt, allowable,
mitigation impact impact
Permanent (P)
allowable w/ mitigation)
required? (sq ft) (sq ft)
or Temporary (T)
B1 ® P ❑ T ADA access path
allowable
❑ Yes ® No 780 100
B2 ❑ P ❑ T
❑ Yes ❑ No
B3 ❑ P ❑ T
❑ Yes ❑ No
B4 ❑ P ❑ T
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
1c. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization I
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
We have chosen the most direct path for the ada access
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
silt fence will be installed along wall during excavation for sidewalk and all work that can be completed by hand
will be done to minimize the use of equipment within the buffer zones.
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that requires buffer I ❑ Yes ® No
mitigation?
2b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation and
calculate the amount of mitigation required in the table below.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
Total buffer mitigation required:
2c. If buffer mitigation is required, is payment to a I ❑ Yes ❑ No
mitigation bank or NC EEP proposed?
2d. If yes, attach the acceptance letter from the mitigation bank or NC EEP.
2e. If no, then discuss what type of mitigation is proposed.
2f. Comments:
FORM: BA 10 -2013 Page 3 of 4

E. Diffuse Flow Plan
All buffer impacts and high ground impacts require diffuse flow or other form of ❑ Diffuse flow
stormwater treatment. Include a plan that fully documents how diffuse flow will be ❑ Other BMP
maintained. If a Level Spreader is proposed, attach a Level Spreader Supplement Form.
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
Manual and attach a BMP Supplement Form.
F. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal /state /local) funds or the use of ❑ Yes ® No
public (federal /state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an ❑ Yes ❑ No
environmental document pursuant to the requirements of the National or State (North
Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document been finalized by the State ❑ Yes ❑ No
Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.)
Comments:
2. Violations
2a. Is the site in violation of DWR Wetland Rules (15A NCAC 02H .0500), Isolated Wetland ❑ Yes ® No
Rules (15A NCAC 02H .1300), DWR Surface Water or Wetland Standards, or Riparian
Buffer Rules (15A NCAC 02B.0200)?
2b. Is this an after - the -fact permit application? I ❑ Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
FORM: BA 10 -2013 Page 4 of 4
"
J. Michael Wetter Jr.
~- "`�'I�
_9/3/15
Applicant/Agenfs Signature
Applicant/Agent's Printed Name (Agent's signature is valid only if an authorization letter from the applicant is provided) Date
Send 3 complete sets of this form and accompanying documents to the following:
For government transportation projects sent
For government transportation projects sent
by First Class Mail via the US Postal Service:
by delivery service (UPS, FedEx, etc.):
NC DWR, Transportation Permitting Unit
OR NC DWR, Transportation Permitting Unit
1617 Mail Service Center
512 N. Salisbury Street
Raleigh, NC 27699 - 1617
Raleigh, NC 27604
For all other projects sent by First Class A4ail
For all other projects sent by delivery service
via the US Postal Service
(UPS, FedEx, etc.):
Karen Higgins
OR Karen Higgins
NCDWR — 401 & Buffer Permitting Unit
NCDWR — 401 & Buffer Permitting Unit
1617 Mail Service Center
512 N. Salisbury Street
Raleigh, NC 27699 - 1617
Raleigh, NC 27604
FORM: BA 10 -2013 Page 4 of 4

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