20231715 Ver 1_Riparian Buffer Authorization Request_20231213

Original Submittal 12/13/2023
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?* 0 Owner
O Applicant other than Owner
O Agent
Is there an agent working on this application but Yes
not submitting it? No
1. Property Owner Information:
.............................................................................................................
1a. Name on Recorded Deed:*
1b. Responsible Party:
1c. Mailing Address:*
1 d. Telephone:* 7039448025
Jeffrey Michael Peirson
(for Corporations)
Street Address
224 Arbordale Ct.
Address Line 2
City
Cary
Postal / Zip Code
27518
B. Project Information and Prior Project History
1. Project Information
State / Province / Region
NC
Country
United States
le. Email Address:* [e-mail]
1a. Name of Project: * Peirson proposed accessory building at 224 Arbordale Ct
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
1d. Subdivision Name: Southchase
le. Nearest Municipality: Cary
1f. Property Size: 0.61
acres

1 g. County (or Counties) where the project is located:*
Wake
1h. Property ID# Date of Purchase
0751675372 3/9/2012
Tax PIN or Parcel id
11. Deed Information
Type of Book Book#11 Page#
Deed F
2379
Map F95
1999
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
Land survey.PDF 920.1KB
PDF only
1 k. How would you like to provide the Latitude and Longitude information?
Address Lookup
Manually
Latitude* 35.7208101 Longitude*-78.8092804
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: * Symphony Lake
2b. Water Quality Classification of nearest receiving water: not rated
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
0
(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:
Site of the proposed shed is sparse vegetation and trees only. It's part of the back yard of the home at 224 Arbordale Ct within the
fence as indicated on the survey. Land is not specifically used for anything.
The property at 224 Arbordale does not include the stream, but the zone 2 riparian buffer area is on the property.
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
NC_Apex _20220825_TM_geo.pdf 45.75MB
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
20231204_21102409336_19_Soil_Map.pdf 156.67KB
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: *
Homeowner will build a 12' x 24 workshop / shed at the site indicating on the attached survey. Foundation will be treated wood, on six
1 foot diameter concrete piers. Wood foundation will be raised above the groundline between 0" and 12" - will minimally affect runoff
into stream. No grading will be required. No vegetation removal will be required.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
Land survey with shed.PDF 1.72MB
Riparian impact map.pdf 514.86KB
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? *
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 ImpacImpact Type Zone 1 Zone 2
t*
Proposed Shed
unnamed tributary to
Permanent (P)
Allowable
0.00
32.00
Map label (e.g. Road Crossing 1)
Symphony Lake
Perm or Temp
Square Feet
Square Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 32.00
Total Buffer Impacts: 32.00
Comments:
See attached "Riparian impact map.pdf' for location of proposed shed in relation to the zone 2 buffer. Shed will be raised 0-12" from
the ground using a concrete pier foundation design - will minimize soil and runoff impact.
D. Impact Justification and Mitigation

la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.
Shed will be installed on a wood foundation on a concrete pier footing design, with minimal to no ground contact, to minimize
disruption to water runoff. No grading is needed and no vegetation removal is needed.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
See I regarding concrete pier footings and above -ground wood foundation.
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
Diffuse flow plan.pdf 50.65KB
PDF only
F. Supplementary Informatic
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)?
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
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');

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
• I intend to electronically sign and submit the application form."
Print Name:* Jeffrey Michael Peirson
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
20231715
1
Chem Smith:Cherri.Smith
Raleigh Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification