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Home My WebLink About20191281 Ver 1_Buffer Authorization Application Form_20191112ErvvWaiaonmter Resources Ex,n� ouw�i,r A. Owner/Applicant Information For instructions on how to fill out this form, see the Buffer Authorization Application Help Document posted on DWR's 401 & Buffer page. Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered. A. Owner/Applicant Information General Information Primary Contact Email:* Who is submitting the application?* shawn@concepteight.com Rease list the contact person's enail for questions or payrrent on this project if needed. V Owner r- Applicant other than Owner r- Agent Check all that apply Is there an agent working on this application r Yes but not submitting it?* r No 1. Property Owner Information: la. Name on Recorded Deed:* 1b. Responsible Party: 1c. Mailing Address:* 1d. Telephone: * 9196015078 Concept 8 Holdings, LLC Concept 8 Holdings, LLC (for Corporations) Street Address 307 S Salem St Address Line 2 Suite 200 city State / R'ovince / Pbegion Apex NC Rostal / Zip Code Country 27502-1845 us le. Email Address:* shawn@concepteight.com ............... If the applicant is not the property owner, in addition to providing the Agent's information, select Applicant other than Owner' above, enter the applicant's information, and attach an authorization granting the applicant owner approval. B. Project Information and Prior Project History B. Project Information and Prior Project History 1. Project Information la. Name of Project:* Concept 8 Holdings, Single Family Home (Subdivision, facility, or establishrrent narre) If your project has a formal name please use this. If your project does not have a formal name, please identify your project by the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any other names that have been used to identify the project in the past. 1b. Is this a publicly -funded transportation project?* r Yes r No 1d. Subdivision Name: N/A le. Nearest Raleigh Municipality: 1f. Property Size: 0.27 acres 1g. County (or Counties) where the project is located:* Wake 1h. Property ID# Date of Purchase 1714038643 8/14/2019 Tax RN or Parcel id 1 i. Deed Information Type of Book Book# Page# -7Deed 17539 1890 Map F16 1549 1j. Attach a copy of the recorded map that indicates when the lot was last platted. nick the upload button or drag and drop files here to attach docurrent Norris subdivision PLAT.pdf 390.86KB P7F only 1k. How would you like to provide the Latitude and Longitude information?* r Address Lookup r Manually Address Lookup Street Address 1012 Norris Street Address Line 2 city Raleigh Fbstal / Zip Code 27604-1916 State / Province / Fbgion NC Country us Latitude * 35.79266179999999 Longitude *-78.6262974 11. Is the project located in any of North Carolina's twenty coastal counties?* r Yes G No Coastal Management information can be found at: o About Coastal Management o Staff Listing o Coastal County Lookup 2. Surface Waters 2a. Name of the nearest body of water to proposed project:* Cemetary Branch Creek Link to Soil Surveys for North Carolina Counties. (Please see instructions in the Help Document to determine the most recent published version.) 2b. Water Quality Classification of nearest receiving water:* C, NSW 2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:* 95 (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 currently holds single family dwelling with turf lawn within the buffer. Closer to the stream is forested. The general vicinity of the site is primarily single family 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 docurrent NC_Raleigh_West_20190730_TM_geo.pdf 113.57MB FDF only Link to TOPO Map lookup: https://vievver.nationalmap.gov/basic/ 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 docurrent Wake soil survey.pdf 18.78MB FDF only Link to Soil Surveys for North Carolina Counties. (Please see instructions in the Help Document to determine the most recent published version.) 4. Proposed Activity ^ .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:* Demolition of eAsting single family dwelling. Tree clearing, excavation for new single family home with walk -out basement. All clearing and excavation to happen outside of the 50' buffer. Construction of single family home. Equipment include track excavator. tracked skidsteer. wheeled forklift. Attach a site plan as applicable to the project: Click the upload button or drag and drop files here to attach docurrent 1012 Norris St PLOT PLAN. pdf 319.51 KB FDF only '* Below is a link with instructions on what you will need to show on your site plan. http://edocs.deq.nc.gov/WaterResources/O/doc/402224/Pagel.aspx 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?* r Yes r No 6. Project History 6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?* r Yes r No 7. Future Project Plans 7a. Is this project a phased project?* C. Proposed Impacts Inventory C. Proposed Impacts Inventory Buffer Impacts 1a. Project is in which protected Basin?* t: Neuse River Basin (15A NCAC 02B.0233) r Catawba River Basin (15A NCAC 02B.0243) r Randleman Lake Watershed (15A NCAC 02B.0250) C Tar -Pamlico River Basin (15A NCAC 02B.0259) r Jordan Lake Watershed (15A NCAC 02B.0267) f Goose Creek Watershed (15A NCAC 0213.0606 & 15A NCAC 02B.0607) You can find which river basin you live in at the link below. http://www.eenorthcarolina.org/riverbasins-gis-map.asp 1c. Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form. Please note: if the impact you list below requires mitigation choose "allow w/mitigation " under impact type. Site# - Reason Stream Name Buffer Impa��:11 Impact Type * Zone 1IF Zone 2 1. 1012 Norris St Cemetary Permanent Exempt 0.00 115.00 Screened porch Branch (P) Square Square FbrmorTerrp Feet Feet Map label (e.g. Fbad Crossing 1) 2. 1012 Norris St Cemetary Permanent Exempt 0.00 15.00 Wood deck Branch (P) Square Square stairs Perm orTerrp Feet Feet Nbp label (e.g. Fbad Crossing 1) Total Zone 1 Impacts: 0.00 Total Zone 2 Impacts: 130.00 Total Buffer Impacts: 130.00 Comments: 1. 1012 Norris St - Screened Porch: Screened porch built over zone 2 buffer area (115 SF of impact) 2. 1012 Norris St - Wood deck stairs: Landing and wood stairs built over zone 2 buffer area (15 SF of impact) D. Impact Justification and Mitigation 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.* The single family house has been designed and sited to keep the foundation wall and house footprint outside of the 50' buffer. The exception is (4) piers and related impervious area proposed within the zone 2 buffer for deck and screened porch support. 1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.* Silt Fence and tree protection fencing is proposed to protect the 50' buffer from equipment traffic and debris. E. Diffuse Flow Plan E. Diffuse Flow Plan All buffer impacts & high ground impacts require diffuse flow or other form of stormwater treatment. If the project is subject to a state implemented riparian buffer program, upload a plan that fully documents how diffuse flow will be maintained. All stormwater control measures (SCMs) must be designed in accordance with the NC Stormwater Design Manual. Associated supplement forms and other documentation must be provided. For a list of options to meet the diffuse flow requirements, click here. 1a. What type of SCM are you providing?* r Level Spreader r Vegetated Conveyance (lower SHWT) r Wetland Swale (higher SHWT) W Proposed project will not create concentrated stormwater flow through the buffer r Other SCM that removed minimum of 30% nitrogen 1c. Diffuse Flow Documentation* aickthe upload buttonordrag and drop files here toattach docunent Supplement EZform.pdf 562.74KB RDF only F. Supplementary Information 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? r Yes F 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)? r Ya^ No 2b. Is this an after -the -fact buffer authorization application? r Yes r No G. Additional Information Please upload any additional information you would like the Division to consider during application review. Additional Attachments: aick the upload button or drag and drop f iles here to attach docurrent FDF only Additional Comments: G. Sign and Submit G. Sign and Submitt 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:* Shawn Donovan Signature * q 1Z IW [Xf�i"(YFNC Submission Date: (Auto populated field) VICINITY MAP (Not to Scale) This map is of an existing parcel of land and is only intended for the parties and purposes shown. This map not for recordation. No title report provided. LEGEND PO = PORCH SP = SCREENED PORCH CP = COVERED PORCH WD = WOOD DECK SW = SIDEWALK , DW = CONC DRIVEWAY P = CONC PATIO - ® = COMPUTED POINT 0 = IRON PIPE FOUND ® = IRON PIPE SET (IPS) 0 = DRILL HOLE FOUND ® = WATER METER CO = CLEAN OUT AC = AIR CONDITIONER 0 = SEWER MANHOLE UELECTRIC BOX = CABLE BOX m =TELEPHONE PEDESTAL CI = CURB INLET IC = IRRIGATION CONTROLLER LIGHT POLE = FIRE HYDRANT DI = DRAIN INLET N = WATER VALVE I, STEVEN P. CARSON, CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY DIRECT SUPERVISION FROM A SURVEY MADE UNDER MY SUPERVISION (PLAT BOOK REFERENCED IN TITLE BLOCK); THAT THE BOUNDARIES NOT SURVEYED ARE CLEARLY INDICATED AS DRAWN FROM INFORMATION LISTED UNDER REFERENCES; THAT THE RATIO OF PRECISION AS CALCULATED IS 1:10,000+; AND THAT THIS MAP MEETS THE REQUIREMENTS OF THE STANDARD QF,?lili/i CE FOR LAND SURVEYINGlN RTtt* ��.. L-4752 DATED: �� ( 0� Zpo``ES Sr'*0 is 7 6/19 ?O SUR�I��••C•�� .,�: FN •P G PQ-�. 69h •ed 9M 90 GRASSY gRgNH � o S09°58'43"W 90.37' TOp OF BANK / I - � _240- 102 ZO E71. Z�EAR� BACK N SE BUFFER--,, cl 11,720 SF _,RtpARIAN BUFFPK 0.269 AC cS 50' FROM TOP gF-BAN47) !�� i CV)1. ,t 2163E screened porch ZONE 2 / 1 115 5 SF impact to zone 2 b ffer jlMiT OFfifiDIST R�B�Eu \-___242 �30SFwoodde i io 15 SF impact to zone 2 baf(ee>; / N/F LOT 101 SOUTHERN BUILDERS & SUPPLIERS SHELTON TUNSTALL PIN # 1714038751 BM 1950 PG. 121 P3.6'_ EXISTING HOUSE 50 o oq o M N N UTILITY POLE ohm PLOT PLAN INFORMATION BLOCK Footprint: Total S . Crawl: Slab: Basement: Mean Height: Stories: Facade: Impervious Surface Area: 16.8' - -PROPOSED _ - -HOUSE - LOT INFORMATION: PIN:1714038643 TOTAL LOT AREA = 0.269 AC = 11,720 SF HOUSE = 1,944 SF PORCHES = 292 SF SIDEWALKS = 160 SF DRIVEWAY = 652 SF AC PAD =18SF COVERED PORCH = 266 SF PROPOSED IMPERVIOUS = 3,332 SF PERCENT IMPERVIOUS = 28.4 % AREA OF DISTURBANCE = 6,446 SF FRONT YARD AREA = 1,470 SF DRIVE AND WALK IN FRONT YARD = 346 SF PERCENTAGE IN FRONT YARD = 23.5% PIN #: 1714038643 ZONE: R-10 OVERLAY DISTRICT: NONE CURRENT USE: VACANT LOT EXISTING IMPERVIOUS: 0% INFILL STATUS: INFILL MAX. BUILDING HEIGHT: 4073 STORIES BUILDING SQUARE FOOTAGE: 1,944 SF BUILDING SETBACKS: FRONT = *SEE SETBACK TABLE CALCULATIONS BELOW* REAR = 20' SIDE = 5' EXISTING HOUSE SETBACKS ADDRESSES DIST. TO R/W 1014 NORRIS ST. 23.8' 1006 NORRIS ST. 14.8' 1004 NORRIS ST. 12.5' 1002 NORRIS ST. 13.3' AVERAGE = 14.05' AVERAGE + 25% = 17.56' 00 AVERAGE - 25% = 10.54' INFORMATION SHOWN PROVIDED N , BY BUILDER USING PLOT PLANS 7.1. r46- ,17.0-100 I 00 -247/ I _248- - -L� -- 7.1' a 20.0' EL= 2 19.9' 250.4' / o P °6 O 11Y FRQt4T SET ACK n V7 - in 06 N02000 3 "E ®93.31' 16.E 3.5' / / 3.5'R NORRIS STREET - PUBLIC R/W VARIES SCALE: 1"=30ft. 3� BENCHMARK = 252.16' N/F LOT 52 OAKDALE AT MORDECAI PIN # 1714038564 BM 2016 PG. 1549 EXISTING HOUSE V7 �F SIDEWALK LINES REVISIONS: ADD EXISTING GROUND TOPOGRAPHY, EL AT PROPOSED HOUSE CORNERS, AREA OF DISTURBANCE 8-5-19 - ADORES S 10-8 19 - TRUE ELEVATIONS 10-17-19 - CHANGE AVERAGE SETBACKS 10-28-19 REFERENCES: SEE SURVEY TITLED SOUTHERN BUILDER TO VERIFY HOUSE LOCATION BUILDERS & SUPPLIERS - LOT 102 PREPARED BY DIMENSIONS AND REVIEW TOTAL NOTES: JEFFERY W. BAKER, PLS DATED APRIL 22, 2019. IMPERVIOUS NOTED ON THIS PLOT PLAN 1. THIS SURVEY WAS PREPARED BY BATEMAN CIVIL SURVEY CO., UNDER THE SUPERVISION OF STEVEN P. CARSON, PLS. 2. THIS PLAN HAS BEEN PREPARED FOR LAYOUT AND PERMITTING PURPOSES ONLY. 3. PROPERTY LINES SHOWN WERE TAKEN FROM EXISTING FIELD EVIDENCE, EXISTING DEEDS AND PLATS OF PUBLIC RECORD, AND INFORMATION SUPPLIED TO THE SURVEYOR BYTHE CLIENT 4. ALL DISTANCES ARE HORIZONTAL GROUND DISTANCES AND ALL BEARINGS ARE NORTH CAROLINA STATE PLANE COORDINATE SYSTEM UNLESS OTHERWISE SHOWN. S. THIS MAP IS NOT FOR RECORDATION AND SHOULD BE REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR COMPLIANCE WITH ANY APPLICABLE LAND DEVELOPMENT REGULATIONS 6. THE BASIS OF NORTH AND ALL EASEMENTS, RIGHTS -OF -WAYS, BUFFERS, SETBACKS AND ADJOINERS, ETC. REFERENCED IN TITLE BLOCK 7. NO INVESTIGATION INTO THE EXISTENCE OF JURISDICTIONAL WETLANDS OR RIPARIAN BUFFERS PERFORMED BY THIS FIRM. 8. SURVEYOR HAS MADE NO INVESTIGATION OR INDEPENDENT SEARCH FOR EASEMENTS OF RECORD, ENCUMBRANCES, RESTRICTIVE COVENANTS, OWNERSHIP TITLE EVIDENCE OR ANY OTHER FACTS THAT AN ACCURATE AND CURRENT TITLE SEARCH MAY DISCLOSE. 9. ALL GROUND MOUNTED MECHANICAL EQUIPMENT TO BE SCREENED WITH LANDSCAPE OR FENCING. LANDSCAPE OR FENCE SCREENED TO BE GREATER THAN OR EQUAL TO THE HEIGHT OF THE AC UNITS. SEE RALEIGH REQUIREMENTS 10. STREET TREES ARE TO BE PLANTED IN ACCORDANCE WITH TPP-03 CITY DETAIL BETWEEN OCTOBER 1 AND APRIL 30. 11. ALL CONSTRUCTION AND ACTIVITY IN THE RIGHT-OF-WAY SHALL BE IN ACCORDANCE WITH THE NCDOTAND/OR CITY OF RALEIGH STANDARDS AND REGULATIONS. 12. THIS PROPERTY GRAPHICALLY APPEARS NOT TO BE IN A FEMA FLOOD HAZARD AREA AS PER COMMUNITY NUMBER 3720171400J DATED MAY 2, 2006. 13. ZONING: R-10 - ---------------- - --- - ---- ;.,: = Bateman Civil • Survey Company, PC EXCLUSIVELY FOR: CONCEPTEIGHT Engineers. Surveyors. Planners PROPERTYKNOWNAS '• �' 2524 Reliance Avenue, Apex, NC 27539 1012 NORRIS STREET, RALEIGH, NC •ii�i¢ WAKE COUNTY '�� DATE: 7/26/19 DRAWN BY: RTD CHECKED BY: SPC =� NCBELS C 2378 REFERENCE: DB 3858 PG. 463 BCS# 190264 SCALE: 1" = 30'