20191507 Ver 1_Riparian Buffer Authorization_20191121

State of North Carolina
Department of Environmental Quality
Division of Water Resources Division of Water Resources
1sA NCAC 02B .0233 (8)(b), .0243 (S)(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
1 a. Name of project:
Lot 4131
1 b. County-
Wake
1c. Nearest municipality:
Garner
1d. Subdivision name:
Eagle Fridge
le. Is the project located in any of North Carolina's twenty coasial counties?
If Yes, answer 1f below.
❑ Yes x® No
1f. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?
I ❑ Yes No
2. Owner Information
2a. Name on Recorded Deed:
i JLS Homes LLC
2b. Deed Book and Page No.
17532 1884
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created):
2d. Responsible Party
for Cor rations :
2e. Street address:
121 Holyoke Ct
2f. City, state, zip:
Raleigh, NC 27603
2g. Telephone no.:
9194227306
2h. Fax no.:
NA
2i. Email address:
I [e-mail]
3. Applicant Information (if different from owner)
3a. Applicant is:
❑ Agent ❑ Other, specify:
3b. Name:-.--
3c. Business name
ii a iicabie :
3d. Street address:
3e. City, state, zip:
3f Telephone no.:
3g. Fax no.:
_
3h. Email address:
4. Agent/Consultant Information (it applicable)
4a. Name:
4b. Business name
if a licable :
4c. Street address:
4d. City, state, zip:
4e. Telephone no.:
4f. Fax no.:
i
4g. Email address:
FORM: BA 10-2013 Page 1 of 4

113. Project information and Prior Project History
1. Property identification
1a. Property identification no. (tax PIN or parcel 10):
1609190299
1b. Site coordinates (in decimal degrees):
Latitude: 35.670953 1 Longitude: 78,659373
1 c. Property size:
.28 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Swift Creek 1 Lake Benson
2b. Water Quality Classification of nearest receiving water,
WS ill; NSW; CA
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:
Wooded
3b. Attach an 8 Y2 x 11 excerptfrom the most recentversion of the USGS topographic map indicating the location
of the site
3c. Attach an 8'/ x 11 excerpt from the most recent version of the published County NRCS Sail Survey Map
depicting the project site
3d. List the total estimated llnear feet of all existing streams (intermittent and perennial) on the property:
3e. Explain the purpose of the proposed project:
3f. Describe the overall project in detail, including the type of equipment to be used:
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by
the Corps or State been requested or obtained for this
roe I project(including all priorphases) in thepast?
0 Yes No xZ Unknown
Comments:
4b. If yes, who delineated the jurisdictional areas?
Name (i€ known):
Agency/ Consultant Company:
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 I
for this project (including all priorphases) in thepast?
Yes No 0 Unknown
5b. if yes, explain and detail according to "help file" instructions.
8. Future Project Plans
6a. is this a phased project? Yes No
6b. If yes, explain.
FORM: BA 10-2013 Page 2 of 4

C. Proposed impacts inventory
I - Buffer Impacts
1 a. Project is in which protected basin?
Neuse
❑ Randleman
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
Lnumber—
Permanent (P)
or Temporary
Reason for
impact
i
Type of impact
(exempt, allowable,
allowable wJ
mitigation)
Stream name
Buffer
mitigation
required?
Zone i
impact
(sq ft)
Zone 2
impact
(sq ft)
i 61 P ❑ T
House
Allowable
Swift
Yes M No
1360
132 P OT
Yes No
B3 ❑ P ❑ T
❑ Yes ❑ No
34 ❑ P ❑ T
85 P T
❑ Yes ❑ No
Yes ❑ No
B6 ❑ P ❑ T 11
❑ Yes No
t
Total buffer impacts
ic. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
f 1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Silt Fencel Light grading
Ib. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques.
2. Buffer Mitigation
22. Will the project result in an impact within a protected riparian btrf€er that Li Yes ® No
requires buffer 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
(square feet
Multiplier
Required mitigation
(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 IL
proposed? I
Yes ED No
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 love
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 3 of the NC Stormwaier DIVIP
i%Jhiiliai and attach a BMP Supplement Form.
F. Supplementary information
1, Environmental Documentation
[ la. Does the project involve an expenditure of public (federallstate/focal) funds or the
Yes No
use of public federalistate land?
1b. 1f you answered "yes" to the above, does the project require preparation of an
❑ Yes fX-1 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
0 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
❑ Yes ' No
Wetland Rules (I5A NCAC 02H .1300), DWR Surface Water or Wetland Standards,
or Riparian Buffer Rules 15A NCAC 0213.0200 ?
2b. Is this an after -the -fact permit application?
Yes Na
{{ 2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
_Les Clark
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
e:ure is valid erdy if an authorization lalier f. m theappiicant is provided.)
Send 3 complete sets of this farm and accompanying documents to the following:
For government transportation projects sent by
First Class Mail via the US Postal Service.
NC DWR, Transportation Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For all other projects sent by First Class i tid via
the US Postal Service
For government transportation projects sent by
delivers service (UPS, FedEX, etc.):
OR NC DWR, Transportation Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
For all other projects sent by delivery service
(UPS, Fed Ex, etcj:
Karen Higgins Karen Higgins
NCD"IR-441 & Buffer Permitting Branch OR NCDWR-401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699 - 1617 Raleigh, NC 27604
FORM: BA 10-2013 Page 4 of 4

STnGECREST DR Course Bearing Distance
LY I S 89°18'36- E 51.73'
6
SITE
O° Curve Radius Length Chord Chord Be.,.
�+ Cl 50.00' 41,17' 40.02' N 23-0Y'26' W
TEN -TEN RD
VICINITY MAP (NTS)
LEGEND
NTS
NOT TO SCNiF
BP
EI=NG IRON PPE
PP
POWER POLE
W/M
WATER METER
TB
TELEPHONE BOX
UPS
IRON PPE SET
A'hL
TRANSIHXd R
CAN
CPBLE TV BOX
L POLE LIGHT POLE
ONPL
OVERHEAD POWER LINE
TES.
FLARED ENO =ON (PIPE)
RCP
RUNFORCED CONO PIPE
B.O.C.
BACK OF CURB
FSi.
FIRE HYDRANT
C\O
SEWER CLEAN OOT
E6
EXiMNG RON STAIa
MTV
MANHOLE
ECM
EXISRNG CONCRETE MONUMENT
PX-
PARKER KALAN NAIL
397
\ .O.M.2013, PG.99\
DISTURBANCE
315 SQ.Fl-.
Z
N
400
�
rn
B.O.M.2014, PG.773
—
\COI s B.O.M.2013, PG_990
ti ry °a
A
� CECK
L
PROPOSED
HOUSE
h
PROPOSED
DRIVE &
WALK
HOLYOKE COURT
(55 - PUBLIC R/W)
NOTE: SHOWN IS LOT 401 OF
EAGLE RIDGE SID - PHASE 6B
REF: B.O.M.2014 PG.772-773
AREA = 0.280 ACRES
121 HOLYOKE COURT
i
50' CREEK BUFFER
402
B.O.M.2014, PG.773
E \ 10' PUBLIC STREET
TREEEASEMENT
\ 1
1
NOTE: DECK WILL BE OVER 8'
OFF OF FINISHED GRADE.
30 0 30 60 90
GRAPHIC SCALE - FEET
THIS G TO CERTIFY THAT TINS MAP WAS
PRELIMINARY PLOT PLAN FOR:
SURVEYSU o THE
P E AN MY
JLS HOMES
M
THAT THERE ARE NOT ANY BICROAM111MENT5,
EXCEPT AS NOTED TD THE BEST OF MY KNOWLEDGE.
THAT THE RATIO OF PROD" AS CALCULATED BY
PANTHER CREEK TWSP., WAKE CO., N,C.
LATITUDES AND DEPARTURES IS 1:10,ODO.
SCALE 1" = 30' JUNE 13, 2019
TENS MAP WAS PWA3ED FOR THE COMPANY USE
REVISED: NOVEMBER 8, 2019 (PER CLIENT EMAIL)
AND E NOT NITENOFD FOR RECORDATION OR
CONVEYANCES WUTIOUi WWTTEN AUTHORIZATION
IfAUlDIN — WATxm SUR raw, P.A.
OF THE SURVEYOR AND OTHER APPROPRATE OFFICws
P.O. BOX 444 / 1301 W. BROAD ST.
PROFESSIONAL LAND SURVEYOR
PRELIMINARY PLAT
FIXMY VAMNA, NORTH CAROUNA 27526
L-3247
NOT FOR RECORDATION
[phone]
z7ss-aa1