20170143 Ver 1_Riparian Buffer Authorization_20170104

Riparian Buffer Authorization Form
A. Applicant Information
RECEIVED/NCDENRIDWR
Z� ( 0 i� 3
DWR
JAN 4 2017
State of North Carolina
1e. Is the project located in any of North Carolina's twenty coastal counties?
If yes, answer if below.
x❑ Yes ❑ No
Department of Environmental Quality
INvislon of Water Resources
Water Quality Regional
Division of Water Resources
0orations Section
15A NCAC 02B.0233 (8)(b),.0243 (8)(b),.0250 (31){p)���87110fl)(c), .0607 (e)(2) - Buffer Authorization
2b. Deed Book and Page No.
Deedbook588lpage126
FORM: BA 10-2013
Riparian Buffer Authorization Form
A. Applicant Information
1. Project Information
Ia. Name of project: Cowell Loop Rd
1b. County: Pamlico
1c. Nearest municipality:
Bayboro
td. Subdivision name:
1e. Is the project located in any of North Carolina's twenty coastal counties?
If yes, answer if below.
x❑ Yes ❑ No
1f. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?
x❑ Yes ❑ No
2. Owner Information
2a. Name on Recorded Deed:
Owen Lee Peale
2b. Deed Book and Page No.
Deedbook588lpage126
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created):
2d. Responsible Party
forCorporations):
2e. Street address:
282 Peels Rd.
2f. City, state, zip: V
Aurora, NC 27806
2g. Telephone no.:
252-945-5596
2h. Fax no.:
2i. Email address:
[e-mail]
3. Applicant Information (If different from owner)
3s. Applicant is:
❑ Agent LJ Other, specify:
3b. Name:
3c. Business name
if applicable): '
3d. Street address:
3e. City, state, zip:
3f. Telephone no.: ,
3g. Fax no.:
3h. Email address:
4. Agent/Consultant Information (if applicable)
4a. Name:
4b. Business name
f applicable):
4c. Street address:
4d. City, state, zip:
4e. Telephone no.:
4f. Fax no.:
4g. Email address:
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 pamr IUM)
H03-29
ib.
Site coordinates _(in decimal degrees):
Latitude: 76 44'32"W -16ngitude:35912"N
1c.
_
Property size:
.1 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:Raccoon Creek
2b.
Wa ter Quality Classification of nearest receiving water: Bay River
2c.
River basin: Neuse —^
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:
Scrub ve etation next to drainage canal farmland
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'/z x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map
depicting the proiect site
3d.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
1.000
3e.
_
Explain the purpose of the proposed project:
Clear canal of debris
3f.
_
Describe the overall project in detail, including the type of equipment to be used:
Clear a 200'x 20' area for access to maintain debris from clogging canal
4.
Jurisdictional Determinations
_
4a.
Have jurisdictional wetland or stream determinations by
the Corps or Slate been requested or obtained for this
property/ protect (including all prior phases) in the past? _
xE3 Yes ONo Unknown
Comments:
_
4b.
If yes, who delineated the jurisdictional areas?
Name (if known): Anthony Scarbraugh
Agency/ Consultant Company: DWQ
Other:
4c.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach
documentation.
12/29/2016
5.
_
Project History
5a.
Have permits or certifications bean requested or obtained
Lor this project (including all prior phases) in the past?
0 Yes x❑ No ❑ Unknown
6.
5b. If yes, explain and detail according to "help file" instructions. —
Future Project Plans
6a.
Is this a phased project? ❑ Yes TO No
6b.
If yes, explain.
FORM: BA 10-2013 Page 2 of 4

C. Proposed impacts inventory
1. Avoidance and Minimization
1 a.
1. Buffer Impacts
1 b.
Specifically describe measures taken to avoid or minimize the proposed Impacts through construction
techniques. A mini excavator(smaller footprint) will be used to clear vegetation. Area will be seeded over and
maintained
1 a. Project is in which protected basin?
x❑ Neuse
❑ Randleman
El Tar -Pamlico
❑ Jordan
❑ Catawba
❑ Goose Creek
1 b. Individually list all buffer Impacts below. If any impacts require mitigation, then you MUST fill out Section D of
this form.
Buffer impact Reason far
number— impact
Permanent (P)
or Temporary
Type of impact Stream name Buffer
(exempt, allowable, mitigation
allowable w/ required?
mitigation)
Zonal Zone 2
Impact Impact
(sq ft) (sq ft)
B
P T
( u1
Yes No
Yes No
llocc
B3 P T
Total buffer mitigation required:
LJ Yes D No
If buffer mitigation is required, is payment to a mitigation bank or NC DMS ❑ Yes No
proposed?
B4 OP OT
If yes, attach the acceptance letter from the mitigation bank or NC DMS.
Yes No
If no, then discuss what type of mitigation is proposed.
B5P T
Comments:
Yes No
B6 LIP UT
❑ Yes El No
Total buffer impacts
4,060
1c. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a.
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Only debris will be removed, area will be grassed and maintained
1 b.
Specifically describe measures taken to avoid or minimize the proposed Impacts through construction
techniques. A mini excavator(smaller footprint) will be used to clear vegetation. Area will be seeded over and
maintained
2. Buffer Mitigation
2a.
Will the project result in an impact within a protected riparian buffer that
requires buffer mitigation?
0 Yes RrNo
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 mitigation bank or NC DMS ❑ Yes No
proposed?
2d.
If yes, attach the acceptance letter from the mitigation bank or NC DMS.
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.
�Mi3i t �� g`t
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
environmental document pursuant to the requirements of the National or State (North
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
RG�GE�t
Manual and attach a BMP Supplement Form.
1c. If you answered "yes" to the above, has the document been finalized by the State
F. Supplementary Information
1. Environmental Documentation
lig. Does the project Involve an expenditure of public (federallstatellocal) funds or the
Yes x No
use of public federal/state land?
11b. If you answered "yes" to the above, does the project require preparation of an
El Yes No
environmental document pursuant to the requirements of the National or State (North
Carolina) Environmental Policy Act NEPA/SEPA 7
1c. 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. lathe site in violation of DWR Wetland Rules (15A NCAC 02H.0600), Isolated
0 Yes No
Wetland Rules (15A NCAC 021-1.11300), DWR Surface Water or Wetland Standards,
or Riparian Buffer Rules 15A NCAC 02B.0200)?
2b. Is this an after -the -fact permit application?
Yes No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
Owen Lee Peale
Applicant/Agent's Printed Name
Applicant/Agents Signature
(Agent's signature is valid only if an authortrallon letter from the applicant I& provided.)
Send 3 complete sets of this form and accompanying documents to the following:
_1/4/2017
Date
For government transportation projects sent by For government transportation projects sent by
First Class Mail via the US Postal Service: 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 Mail via
the US Postal Service
Karen Higgins
NCDWR-401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For off other projects sent by delivery service
(UPS, FedEx, etc.): -
OR Karen Higgins
NCDWR —401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
FORM: BA 10-2013 Page 4of4

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Soil Map—Pamlico County, North Carolina
Map Unit Legend
Pamlico County, North Carolina (NC137)
Map Unit Symbol Map Unit Name Acres In AOI Percent of AOI
Ar Argent loam 0.5; 0.7%
Yo I Yonges loamy fine sand 84.0
Totals for Area of Interest 64.5 100.0%
IAM Natural Resources Web Soil Survey 1/3/2017
9� Conservation Service National Cooperative Soil Survey Page 3 of 3

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