20201190 Ver 1_Riparian Buffer Authorization_20200914

Strickland, Bev
From: Montalvo, Sheri A
Sent: Thursday, September 17, 2020 3:31 PM
To: Strickland, Bev
Subject: FW: [External] DWR- Authorization Form 404 E Chatham Street
Attachments: NRCS Authorized Agent Form Jul 30 Doc 2.pdf, NRCS Soils & TOPO Map 404 E
Chathams .pdf, Site Plan Buffer Zone 404 E Chatham .pdf, DWR - Reparian
Authorization Form 404 E. Chatham.pdf, Reparian Buffer site plan 404 E Chatham.pdf
Still combining with the PDF image and not the attachment info.
This for DWR# 20201190 v1 no fee
Thanks,
Sheri Movitalvo
Administrative Specialist
401 & Buffer Permitting Branch
Division of Water Resources
Department of Environmental Quality
Office: [phone]
[e-mail]
Mailing address: 1617 Mail Service Center, Raleigh, NC 27699-1617
Physical address: 512 N. Salisbury Street, Raleigh, NC 27604
From: Goss, Stephanie
Sent: Monday, September 14, 2020 1:18 PM
To: Montalvo, Sheri A <[e-mail]>
Subject: FW: [External] DWR- Authorization Form 404 E Chatham Street
Sheri,
Please see the attached buffer authorization application to be processed and assigned a project #. Thank you and hope
you had a good weekend!
Stephanie Z. Goss
Environmental Specialist II
Division of Water Resources
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 276og
919-791-4256
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
1

From: Jeff Fike [mailto:[e-mail]]
Sent: Friday, September 11, 2020 11:18 AM
To: Goss, Stephanie <[e-mail]>
Cc: Brigham, Joshua S <[e-mail]>; 'David H. Recht' <[e-mail]>
Subject: [External] DWR- Authorization Form 404 E Chatham Street
External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
[e-mail]
Stephanie,
Attached is the authorization form for this Location.
Joshua has been onsite and made a call that we can proceed to submit the form and expand this house with mitigation.
I will need your guidance on the mitigation part of this.
• ZONE 1:
o I'm eliminating a Shed and AC unit that are in Zone #1 =100 sf. The new SF areas in Zone #1 equals 102
sf so the net impact is 2 sf.
• ZONE II:
o Approximately 221 Sf- I'm thinking replanting the bare areas on the stream bank would mitigate for
Zone 11.
• Please review and let me know if I am thinking about this properly.
Thank you,
Jeff Fike
Authorized Agent for Oak City Assets LLC
919-422-2214
Fil

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SURVEY FOR:
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NRCS Soil & Topo Map
PIN:0742502149
PIN Ext: 000
Real Estate ID: 0020706
Map Name: 0742 19
Owner: EVANS, ROBERT C
Mail Address 1: 209 S SALEM ST
Mail Address 2: APEX NC 27502-1824
Mail Address 3:
Deed Book:009746
Deed Page: 00281
Deed Acres: 0.26
Deed Date:11/19/2002
Building Value: $113,496
Land Value: $90,000
Total Value: $203,496
Biling Class: Individual
Description: LOGR PT 3 RCMB ROBERT C
ATKINSON II BM1988 -698
Heated Area: 1380
Street Name: E CHATHAM ST
Site Address: 404 E CHATHAM ST
City: APEX
Planning Jursidiction: AP
Township: White Oak
Year Built: 1940
Sale Price: $126,000
Sale Date: 11/19/2002
Use Type: SINGLFAM
Design Style: Conventional
Land Class: Residential Less Than 10 Acres
A
0 25 50
1 inch = 50 feet
100 ft
Disclaimer
Maps makes every effort to produce and publish
the most current and accurate information possible.
However, the maps are produced for information purposes,
and are NOT surveys. No warranties, expressed or implied,
are provided for the data therein, its use,or its interpretation.

SAMPLE AGENT AUTHORIZATION FORM
PROPERtt LEGAL DESCN ION: /! P S � //
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Pmperty pWm;
RMDIXrty AWf
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we �errby cerufy the above information submMtrd In this appan Is true and &oauate 0o the
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Divislon of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02B .0233 (8)(b)l .0243 (8)(b)p .0250 (11)(b); .0259 (8)(b), .0267 (11)(C)o .0607 (e)(2) - suffer Authorization
FORM. BA 10-2013
A. Applicant Information
Iff
211
3-9
Project information
Name of project.0
County:
Nearest municipality:
Subdivision name:
Riparian Buffer Authorization Form
E . CVA RT4R P/1
is the project located in any of North Carolina's
If vas, answer 1 # below.
twenty coastal counties?
If. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?
Owner Information
2a, Name on Recorded Deed:
2b. Deed Book and Page No.
2c. Map Book and Page No.
{include a copy of the
recorded map that indicates
when the lot was created):
2d. Responsible Party
(for Corporations): _
2e. Street address:
2f. City, state, zip:
fig. Telephone no.:
2h. Fax no.:
2i. Email address:
t.-
El Yes (�' No
El Yes No
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Applicant Info ation cif different from owner)
.10
3a.
Applicant
3b.
Name: EEEEEFF�
3c,
Business name
(if applicable):
3d.
Street address:
3e.
City, state, zip:
3f.
Telephone no.:
3g,
Fax no.:
3h.
Email address:
t3 Agent
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4. Agent/Consultant Information (if applicable)
4a.
Name:
fib.
business name
(if applicable
4c.
Street address:
4d.
City, state, zip:
fie.
Telephone no.:
4f.
Fax no.:
4g.
Email address:
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FORM: BA 10-2013 Page 1 of 4

Project Information and Prier Project History
1. Property Identification
1 a. Properly identification no. (tax PIN or parcel fD): p o�q Ze 5"D ?.*1 y
1 b. Site coordinates (gin decimal degrees): Latitude: Longitude:
1c. Property size: E2 7Z a' , 293 acres I o� qqq 5 r
2. Surface Waters
2a. Name of nearest body of water to proposed project: S 07 LIJ K �
2b. Water Quality Classification of nearest receiving water:
2c. River basin: N 9 WS E
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: co -D-p"4 V R *e
3b. Attach an 8 Y2x'i 1 excerpt from the most recent version 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 Soil Survey Map
depicting the project site
3d. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
5- 3 L. F9
3e. explain the purpose of the proposed project: ?DRT9 aXPRtJ3
�� ��0��
3f. Describe the overall project in detail, including the Type of equipment to be use ��L � �sL;.►.�
Ba t*
4. Jurisdictional Determinations
4a. Have junsdictional wetland or stream determinations by Yes No Unknown
the Corps or State been requested or obtained for this Comments:
roe 1 ro'ect includin albpdor hoses in the past?
4b. If yes, who delineated the jurisdictional areas? Agency! Consultant Company:
Name cif known): � p��} F}V�rl ther: V-t C V ff Q
4c. If yes, list the dates of the Carps jurisdictional determinations or State determinations and attach
documentation. � �26 . zo
6., Protect History
5a. Have permits or certifications been requested or obtained Yes ❑ No Unknown
for this prolect (including all prior phases) in the past?
mmw�
.000 5b. If yes, explain and detail according to "help file" instructions.
6. Future Project Plans
Ga. Is this a phased project? El Yes No
6b. If yes, explain.
FORM: BA 10-2013
Page 2 of 4

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a.
Specifically describe measures taken to avoid or minimize the proposed impacts
in designing projec...
6 A 'r -
1 b.
Specifically describe measures taken to avid or minimize the proposed impacts
through construction
techniques. S + LT F fa P t.Z
Z. duffer Mitigation
2a.
Will the project result in an impact within a protected riparian buffer that
Yes allo
requires buffer mitigation?
2b.
If yes, then identify the square feet of impact to each zone of the riparian buffer t at requires mitigation and
calculate the amount of mitigation required in the table below.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)s
uare feet)
done I
p a� A lD � "�'o WM v4.rc-
'] 7
3 �� for Catawba)
Zone 2
IT wyftj rwz. 1.5
Total buffer mitigation required:
2c. If buffer mitigation is required, is payment to a mitigation bank or NC DIVIS
U Yes t? ❑ No
proposed? To � : j, . �,; 1
•
2d. If yes, attach the acceptance letter from the mitigation bank or NC DIVIS.
2ev If no, then discuss what type of mitigation is proposed..
2f. Comments,; T2 4 S r 16
�-A � � �` too &0
I- W. - IV A,
YD Fr PJ t(%
Cro M -ewo C YN A
FORM: BA 10-2013
Page 3 of 4

Diffuse Flow Plan
All buffer impacts and high ground lmpac#s require diffuse flow or other form of
stormwater treatment, Include a plan that fully documents haw diffuse flow will be
maintained. if a Level Spreader is proposed, attach a Level Spreader Supplement Form.
It 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 BMA SUDOement Form.
7PFF FLKS EEEWFWP�
Applicant/Agent's Printed Name
El Diffuse flow
❑ Other BMP
I \Mplicant/Agent's Signature
(Agents 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 Closs Mafl 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
Karen Higgins
NCDWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699 -1617
For government transportation protects seat by
delivery service (ZIPS. FedFx, etc. ):
OR NC DWR, Transportation Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
For all other projects sent by delivery service
(UPS, FedFx, etc. ):
R Karen Higgins
NCDWR — 401 8 Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
Date
FORM: BA 10-2013
Page 4 of 4