20200608 Ver 1_Riparian Buffer Authorization Request_20200506

Buffer Authorization Application Form
15ANCAC 02B .0233 (8)(b), .0243 (8)(b), .0250 (11)(b), .0259 (8)(b), .0267 (11)(c), .0607 (e)(2) Buffer Authorization Online Fo
Update 10/23/2018
Original Submittal 5/6/2020
A. Owner/Applicant Information
General Information
Primary Contact Email:* [e-mail]
Rease list the contact person's en -ail for questions or payrrent on this project if needed.
Who is submitting the application?* W Owner
r Applicant other than Owner
r Agent
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:* 704-892-7640
Grainda Builders Inc
Joe Grainda
(for Corporations)
Street Address
PO Box 1221
Address Line 2
aty
State / Province / Pbegion
Cornelius
NC
Fbstal / Zip Code
Country
28031
United States
le. Email Address:* [e-mail]
B. Project Information and Prior Project History
...................................................................... ...................................................... .................. ..............
1. Project Information
la. Name of Project:'
Mt Isle Lot 1 Boardwalk
(Subdivision, facility, or establishrrent narre)
1b. Is this a publicly -funded
transportation project?*
Yes
r No
1d. Subdivision Name:
Mt Isle Estates
1e. Nearest
Charlotte
Municipality:
1f. Property Size:
1.65
acres
A

1g. County (or Counties) where the project is located:*
Mecklenburg
1h. Property ID# Date of Purchase
3123140 1 /8/2020
Tax RN or Rarcel id
1 i. Deed Information
.... ...... ...... ...... ......
Type of Book Book# Page#
Deed F I
Map 49 757
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
X19MIE1-Model.pdf 251.13KB
RDF only
1k. How would you like to provide the Latitude and Longitude information?*
r Address Lookup
r Manually
Address Lookup Street Address
2455 Mountain Park Drive
Address Line 2
aty
State / Frovince / Ibgion
Charlotte
NC
Fbstal / Zip Code
Country
28214
us
Latitude * 35.346159 Longitude *-80.969858
11. Is the project located in any of North Carolina's twenty coastal counties?
r Yes
r No
2. Surface Waters
2a. Name of the nearest body of water to proposed project:*
Mountain Island Lake
2b. Water Quality Classification of nearest receiving water:*
0
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:

This is a residential home site with direct access to Mountain Island Lake.
Topography map link: https://viewer.nationalmap.gov/basic/?
basemap=b1 &category=nbd,bathydem,bathylidar,ned,nedsrc,histtopo,nhd,naip,nbd
mi,gnis, smaIIscale,nsd,vectorcmb,ntd,ustopo,wood Ian d&q=&zoom=16&bbox=-
80.97758532,35.33970429,-80.96316576,35.35234105&preview=-&avail=&refpoly=
3b. Attach an 8'/. x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site.
nick the upload button or drag and drop files here to attach document
2455 Mountain Park Drive Charlotte Topography.pdf 175.72KB
FDF only
3c. Attach an 81/2 x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map depicting the
project site.
aick the upload button or drag and drop files here to attach docurrent
NC -Paw Creek_164315_1948_24000_geo.pdf 9.08MB
FDF only
4. Proposed Activity
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:
There is a ravine between the house and the lake. We propose building a
boardwalk over the ravine to allow easy access to the lake for the homeowners.
This would be a 8' wide wood slatted deck structure spanning over the ravine. This
raised structure would be supported by timber pilings similar to a pier.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach docurrent
2455 Mountain Park Drive Charlotte.pdf 106.82KB
FDF 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?*
f 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?* O Yes
O No
C. Proposed Impacts Inventory
Buffer Impacts
Project is in which protected Basin?*
r Neuse River Basin (15A NCAC 02B.0233)
r Catawba River Basin (15A NCAC 02B.0243)
f Randleman Lake Watershed (15A NCAC 0213.0250)
r Tar -Pamlico River Basin (15A NCAC 0213.0259)
r Jordan Lake Watershed (15A NCAC 02B.0267)
r 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 Impact*
LlmpactType:—]L
Zone 1
Zone 2
r
Boardwalk - lake
Mountain
Permanent
Exempt
0.00
0.00
access
Island Lake
(P)
Square
Square
K/lap label (e.g. Road
F@rnnor Terrp
Feet
Feet
Crossing 1)
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 0.00
Comments:
The boardwalk would have little to no impact on the ravine. Water only flows through
the bottom of the ravine during a rain. Shortly after the rain stops, the water flow
recedes and then no water is in the bottom of the ravine. The raised boardwalk will
be constructed similar to a pier to allow easy access to the lake for the
homeowners.
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 boardwalk will be built by manual labor requiring no machines at the build site.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
Boardwalk materials will be hand delivered to the site. Tools will be small power tools
to cut and join materials.
E. Diffuse Flow Plan
1a. What type of SCM are you providing?*
E Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
V Proposed project will not create concentrated stormwater flow through the
buffer
F— Other SCM that removed minimum of 30% nitrogen
1c. Diffuse Flow Documentation* aick the upload button or drag and drop files here to attach docurrent
Supplemental EZform- MI1 Boardwalk.pdf 171.5KB
FDF only
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?
C 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)?
r Yes
t: No
2b. Is this an after -the -fact buffer authorization application?
f Yes
F 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 docunent
FDF only
Additional Comments:
This is a small project but because it sits in the buffer, Charlotte Zoning is requiring
a buffer authorization before issuing a permit to construct the boardwalk.
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');
• 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:* Joe Grainda
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?*
O Yes O No
O Yes
O No
20200608
Alan Johnson:eads\adjohnson1
Mooresville Regional Office - [phone]
C No Payment Needed
r Fee Received
r Need Fee - send electronic notification

2455 Mountain Park Drive Charlotte, NC

UNITED STATES
`s DEPARTMENT OF THE INTERIOR
�'- GEOLOGICAL SURVEY
FILE COPY
1,-,^A-B ion and lSekl*V-
STATE OF NORTH CAROLINA
HIGHWAY AND PUBLIC WORKS COMMISSION
35°22'31
161
I
17'3
5600
FE
35°1!
n1 ­1 8.7 Mi. TO N.C. 73
Mapped, edited, and published by the Geological Survey
Control by USGS, USC&GS, and 'North Carolina Geodetic Survey
Compiled from aerial photographs by multiplex methods
low Aerial photographs taken 1948. Field check 1948
Polyconic projection. 1927 North American datum
10,000-foot grid based on North Carolina coordinate system
Red tint indicates area in which only
landmark buildings are shown
- ,_
SCALE 1:24000
1 0 1 MILE
1 1000 0 1000 2000 3000 4000 5000 6000 7000 FEET
--------------
1 .5 0 1 KILOMETER
z �
m
A zz
z
DATUM IS MEAN SEA LEVEL
X.
APPROXIMATE MEAN
DECLINATION, 1948 THIS MAP COMPLIES WITH NATIONAL MAP ACCURACY STANDARDS
FOR SALE BY U. S. GEOLOGICAL SURVEY, WASHINGTON 25, D. C.
A FOLDER DESCRIBING TOPOGRAPHIC MAPS AND SYMBOLS IS AVAILABLE ON REQUEST
USCs
Historical File
TOROVJaphic DiYisiop
PAW CREEK QUADRANGLE
NORTH CAROLINA op��
7.5 MINUTE SERIES (PLANIMETRIC) 10
OnOC7/7n"
°22'30"
000
r
F,
30"
15,
80'52'30"
.c,
ROAD CLASSIFICATION ��,
4 LANE 16 LANE LI ht-dU 0 i8 ty...................... T F
4 LANE 16 LANE F
Medium -duty � Unimproved dirt =---_-= 9�
U. S. Route O State Route
FILE C$op
PAW CREEK, N. C.
N3515—W8052.5/7.5
1948
�g52

NOTES:
* PROPERTY MAY BE SUBJECT TO RECORDED OR
UNRECORDED RIGHTS OF WAYS OR EASEMENTS
NOT OBSERVED
* OWNER TO VERIFY ALL SETBACKS AND ZONING
REGULATIONS PRIOR TO ANY PLANNING OR
CONSTRUCTION.
* DIMENSIONS OF ALL IMPROVEMENTS SHOWN ON
THIS PLAT SHOULD NOT BE SCALED OR RELIED
UPON FOR DESIGN OR CONSTRUCTION WITHOUT
A FIELD VERIFICATION OF ALL DIMENSIONS.
* DIGITAL COPIES OF THIS FILE ARE FOR REFERENCE
ONLY AND MAY NOT BE USED FOR DESIGN WORK.
* A PORTION OF THIS PROPERTY IS LOCATED IN A
100 YEAR FLOOD PLAIN.
* NO PORTION OF THE PROPOSED STRUCTURE
IS LOCATED IN THE 100 YEAR FLOOD PLAIN.
60 0 60 120 180
GRAPHIC SCALE - FEET
MOUNTAIN
ISLAND
LAKE
LOT #2
MB 49-757
Course
Bearing
Distance
L1
S 17°12'08" E
22.85'
L2
S 27°52'37" E
52.10'
Curve
Radius
Length
Chord
Chord Bear.
Cl
1 170.00'
32.64'
32.59'
S 22°22'37" E
LEGEND
R\W
RIGHT—OF—WAY
E\P
EDGE OF PAVEMENT
C\L
CENTERLINE
PDE
PERMANENT DRAINAGE EASEMENT
X
UTILITY POLE
LIGHT POLE
OVERHEAD UTILITY LINE
FENCE
MOUNTAIN PARK RD
40' PUBLIC R\W
COMMON AREA
MB 28-987
SITE PLAN SURVEY
FOR
GRAINDA
BUILDERS
2455 MOUNTAIN PARK DR, CHARLOTTE, NC
LOT #1, MT. ISLE ESTATES
CITY OF CHARLOTTE, MECKLENBURG COUNTY, NC I
SCALE: 1" = 60'
DEDMON SURVEYS
CHUCK POOVEY, PLS #3762
ROBERT DEDMON, PLS #3899
3704 NC HIGHWAY #16 NORTH
P.O. BOX 494 - DENVER, NC 28037
PHONE: [phone]o8
FAX: [phone]
.. N CA
Q�pFESSI
SEAL
L-3899 = —
%�FRT SURD
/��llll 111111\\\
3899
PROFESSIONAL LAND SURVEYOR LICENSE N0.
SURV. BY: N\A I DRAWN: RD J JOB# RD
VICINITY MAP
SITE
a
0
0
MT ISLE
7z
HARBOR DR
i
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m

2455 Mountain Park Drive Charlotte, NC

SUPPLEMENT-EZ COVER PAGE
FORMS LOADED
1 Project Name Mt Isle Lot 1 Boardwalk
2 Project Area (ac)1.65
3 Coastal Wetland Area (ac)0
4 Surface Water Area (ac)0
5 Is this project High or Low Density?Low
6 Does this project use an off-site SCM?No
7 Width of vegetated setbacks provided (feet)0
8 Will the vegetated setback remain vegetated?Yes
9 Is BUA other that as listed in .1003(4)(c-d) out of the setback?No
10 Is streambank stabilization proposed on this project?No
11 Infiltration System 0
12 Bioretention Cell 0
13 Wet Pond 0
14 Stormwater Wetland 0
15 Permeable Pavement 0
16 Sand Filter 0
17 Rainwater Harvesting (RWH)0
18 Green Roof 0
19 Level Spreader-Filter Strip (LS-FS)0
20 Disconnected Impervious Surface (DIS)0
21 Treatment Swale 0
22 Dry Pond 0
23 StormFilter 0
24 Silva Cell 0
25 Bayfilter 0
26 Filterra 0
FORMS LOADED
27 Name and Title:Joseph Grainda, President
28 Organization:Grainda Builders, Inc.
29 Street address:17824 Statesville Rd. Suite 121
30 City, State, Zip:Cornelius, NC 28031
31 Phone number(s):704-892-7640
32 Email:[e-mail]
Certification Statement:

Designer
______________________________________________
Signature of Designer
______________________________________________
Date

I certify, under penalty of law that this Supplement-EZ form and all supporting information were prepared under my direction or
supervision; that the information provided in the form is, to the best of my knowledge and belief, true, accurate, and complete; and
that the engineering plans, specifications, operation and maintenance agreements and other supporting information are consistent
with the information provided here.
PROJECT INFORMATION
NUMBER AND TYPE OF SCMs:
DESIGNER CERTIFICATION
COMPLIANCE WITH 02H .1003(4)
Seal