20200772 Ver 1_Riparian Buffer Authorization_20200609

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources Division of Water Resources
15A NCAC 02B .0233 (8)(b), .0243 (8)(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
la. Name of project:
Lot 388Eagle Ridge
1 b. County:
Wake
1c. Nearest municipality:
Garner
1d. Subdivision name:
Eagle Ridge
1e. Is the project located in any of North Carolina's twenty coastal counties?
If yes, answer 1f below.
❑ Yes ® No
1f. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?
❑ Yes ® No
2. Owner Information
2a. Name on Recorded Deed:
JLS HOMES LLC
2b. Deed Book and Page No.
017532
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created):
01864
2d. Responsible Party
for Corporations):
2e. Street address:
107 Owensboro Ct
2f. City, state, zip:
Raleigh, NC 27603
2g. Telephone no.:
9194227302
2h. Fax no.:
2i. Email address:
[e-mail]
3. Applicant Information (if different from owner)
3a. Applicant is:
❑ Agent ® 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
if 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 parcel ID):
16091911740
1 b. Site coordinates (in decimal degrees):
Latitude: 35.672080 Longitude: 78.658450
1 c. Property size:
.29 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Swift Creek/ Lake Benson
2b. Water Quality Classification of nearest receiving water:
WS III; 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'/2 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 project site
3d. List the total estimated linear 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
property/ project(including all priorphases) in thepast?
❑ Yes ❑ No ® Unknown
Comments:
4b. If yes, who delineated the jurisdictional areas?
Name (if 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
for this project(including all priorphases) in thepast?
❑ Yes ® No ❑ Unknown
5b. If yes, explain and detail according to "help file" instructions.
6. 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
1. Buffer Impacts
1a. 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
this form.
fill out Section D of
Buffer impact
number —
Permanent (P)
or Temporary
T
Reason for
impact
Type of impact
(exempt, allowable,
allowable w/
mitigation)
Stream name
Buffer
mitigation
required?
Zone 1
impact
(sq ft)
Zone 2
impact
(sq ft)
B1 ®P El
El Yes ®No
618
B2 ❑ P ❑ T
❑ Yes ❑ No
B3 ❑ P ❑ T
❑ Yes ❑ No
B4 ❑ P ❑ T
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
1 c. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques.
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that
requires buffer mitigation?
❑ Yes ® No
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
proposed?
❑ Yes ❑ 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 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.
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 8 of the NC Stormwater BMP
Manual and attach a BMP Supplement Form.
F. Supplementary Information
1. Environmental Documentation
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public federal/state land?
1 b. If you answered "yes" to the above, does the project require preparation of an
❑ Yes ® 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
❑ 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 (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 permit application?
❑ Yes ® No
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
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Send 3 complete sets of this form 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 Mail via
the US Postal Service
For government transportation projects sent by
delivery 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, FedEx, etc.):
Karen Higgins Karen Higgins
NCDWR — 401 & Buffer Permitting Branch OR NCDWR — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699 - 1617 Raleigh, NC 27604
6-2-20
Date
FORM: BA 10-2013 Page 4 of 4

LEGEND
NTS
NOT TO SCALE
STAGECREST DR
EIP
EXISTING IRON PIPE
PP
POWER POLE
W/M
WATER METER
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TB
TELEPHONE BOX
SITTEE
IPS
IRON PIPE SET
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CP&L
TRANSFORMER
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CAN
CABLE TV BOX
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OHPL
OVERHEAD POWER LINE
0
F.E.S.
FLARED END SECTION (PIPE)
RCP
REINFORCED CONC. PIPE
B.O.C.
BACK OF CURB
TEN -TEN RD
F.H.
FIRE HYDRANT
C\O
SEWER CLEAN OUT
EIS
EXISTING IRON STAKE
M.H.
MANHOLE
ECM
EXISTING CONCRETE MONUMENT
VICINITY MAP (NTS)
P.K.
PARKER KALON NAIL
386
385
�
\
20' CITY OF RALEIGH SANITARY
SEWER EASEMENT
20.00'
65.00'
N 06' 15' 12"E 85.00'
10F
IABLE WIDTH PUBLIC
RM DRAIN EASEMENT
TONK �\
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o PROPOSED 388
ZONE 2
o
DISTURBANCE
o
618 SQ.FT.
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1 _
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00
00
Z
p
00
N PROPOSED
HOUSE
10' PUBLIC STREET
TREE EASEMENT
_\
z
GRID NORTH, NAD 83 N.C. p M 2013, PG.989)
(REF: B-
11.3
10,5' PORCH 82 20.7 34.3'
PROPOSED
IU DRIVE &
cn
in WALK
S 06' 15' 12"W 85.
OWENSBORO COURT
(55' PUBLIC R/'W)
NOTE: SHOWN IS LOT 388 OF 30 0 30 60 90
EAGLE RIDGE S/D - PHASE 6B
REF: B.O.M.2013 PG.988-990
AREA = 0.292 ACRES GRAPHIC SCALE - FEET
107 OWENSBORNSBORO COURT
THIS IS TO CERTIFY THAT THIS MAP WAS
PRELIMINARY PLOT PLAN FOR:
PREPARED ANPREMISES, FROMUAL SURVEY OF
JLS HOMES
MADEUNDERT MY SUPERVISION, AND
THAT THERE ARE NOT ANY ENCROACHMENTS,
EXCEPT AS NOTED TO THE BEST OF MY KNOWLEDGE.
THAT THE RATIO OF PRECISION AS CALCULATED BY
LATITUDES AND DEPARTURES IS 1:10,000.
PANTHER CREEK TWSP., WAKE CO., N.C.
THIS MAP WAS PREPARED FOR TITLE COMPANY USE
SCALE 1 " = 30' MAY 18, 2020
AND IS NOT INTENDED FOR RECORDATION OR
CONVEYANCES WITHOUT WRITTEN AUTHORIZATION
ULDIN - WATKINS SURVEYING, P.A.
OF THE SURVEYOR AND OTHER APPROPRIATE OFFICIALS.
O. BOX 444 / 1301 W. BROAD ST.
PROFESSIONAL LAND SURVEYOR
PRELIMINARY PLAT
[FUQUAYVARINA. NORTH CAROLINA 27526
L-3247
NOT FOR RECORDATION19)
552-9326
2768-388