20201198 Ver 1_Riparian Buffer Authorization Request_20200922

Water ResourcesENTAL QUALITY
Original Submittal 9/22/2020
A. Owner/Applicant Information
General Information
Primary Contact Email:*
Who is submitting the application?*
1. Property Owner Information:
la. Name on Recorded Deed:*
1b. Responsible Party:
1c. Mailing Address:*
1 d. Te le phone: * 9198109304
3. Agent Information:
3a. Name:
3b. Company Affiliation:
3c. Mailing Address:
[e-mail]
Please list the contact person's erreil for questions or payment on this project if needed.
17 Owner
r- Applicant other than Owner
rJ Agent
Perry Family Farm
Robert Jones
(for Corporations)
Street Address
1215 Jones Dairy Road
Address Line 2
City
State / Ftovince / Pbegion
Wake Forest
NC
Postal / Zip Code
Country
27587-8288
us
le. Email Address:*
...... ...... .....
[e-mail]
...... ...... ..... ..........
Street Address
Address Line 2
aty State / Ftovince / Region
Fbstal / Zip Code Country
3d. Telephone: 3e. Email Address:
3f. Attach a signed and dated copy of the agent aickthe upload button or drag and drop files hereto attach docurrent
authorization form. PDFQnly
B. Project Information and Prior Project History
1. Project Information ^

la. Name of Project:* Preserve at Jones Dairy South
(Subdivision, facility, or establishrrent narre)
1b. Is this a publicly -funded transportation project?*
r Yes
r No
1d. Subdivision Name: Preserve at Jones Dairy South
le. Nearest Rolesville
Municipality:
1f. Property Size: 57.00
acres
1g. County (or Counties) where the project is located:*
Wake
1h. Property ID# Date of Purchase
1759888905 7/12/2005
Tax RN or Parcel id
1 i. Deed Information
Type of Book Book#11 Page#
Deed F
1567
Map
1j. Attach a copy of the recorded map that indicates when the lot was last platted.
Click the upload button or drag and drop files here to attach docurrent
PerryFamilyFarmDeed11463Pg01568.pdf 97.99KB
Perry Family Farm 2017 Aerial.pdf 813.06KB
R7F only
1k. How would you like to provide the Latitude and Longitude information?*
r Address Lookup
r Manually
Address Lookup Street Address
1512 Jones Dairy Road
Address Line 2
aty
State / Province / Region
Rolesville
NC
Rzstal / Zip Code
Country
27571-8293
us
Latitude * +35.942699
Longitude *-78.460134
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:*

Sanford Creek
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:*
750
(linear feet only)
3. Project Description: A
........................................................................................................................................................................................................................................................................................................................................................................................................................................................ ...............................{.......
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:
Area and parcel is mutually comprised of mostly agriculture with mixed hardwood
forests. Parcel has intermittent stream transitioning to perennial near the middle
flowing southwest. Parcel is being actively farmed with soy beans. A couple
neighborhoods are in the area.
3b. Attach an 8 % x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site.
(lick the upload button or drag and drop files here to attach docurrent
Jones Dairy Rd SOUTH parcel USGS wPL.pdf 161.87KB
PDF only
3c. Attach an 8 % x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map depicting the
project site.
gick the upload button or drag and drop files here to attach docurrent
JDR South Soil Survey.pdf 83.6KB
PDF only
4. Proposed Activity
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:*
An aerial sewer crossing is proposed over an unnamed tributary to Austin Creek.
This sewer line will service the proposed subdivision. Equipment to be used on the
proposed sewer easement area includes typical timbering and land -grading
machinery.
Attach a site plan as applicable to the project:
gick the upload button or drag and drop files here to attach docurrent
South profiles C8 Grading.pdf 1.94MB
JONES DAIRY SOUTH 11X17 SS Buffer Impact.pdf 212.28KB
PDF 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?*
t: Yes
r No
5b. Who did the determination on the jurisdictional areas?
Who did the determination?
List name if known
Date
Attach
F
State
Laura
Robertson
(Nacre if known)
12/08/2015
Duke -Perry 1.66M.
Property. pdf
pdf only

State
Stephanie Goss
(Narre if [mown)
08/16/2016
*** Please include the date of the determination and upload a copy of the determination.
Farmstead at 959.7..
Dukes
Place.pdf
pdf only
Comments:
Keller Environmental (Jay Keller) also met on -site with Rick Trone on August 2,
2018.
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 Plar
7a. Is this project a phased project?* r Yes
r 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)
r Randleman Lake Watershed (15A NCAC 02B.0250)
r 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)
Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form.
Site# - Reason I
Stream Name
Buffer Impact*
Impact Type *
Zone 1
Zone 2
Aerial sewer
LIT to
Permanent
Allowable
2,018.
1,532.
crossing
Sanford
(P)
00
00
Ivbp label (e.g. Road
Creek
Fbrmor Terrp
Square
Square
Crossing 1)
Feet
Feet
Total Zone 1 Impacts: 2,018.00
Total Zone 2 Impacts: 1,532.00
Total Buffer Impacts: 3,550.00
Comments:
Proposed 30-foot wide permanent utility easement. No impacts to the stream
channel are proposed.
D. Impact Justification and Mitigation
....................................................... . ........... . .....................................................................................
h
1-1
1. Avoidance and Minimization ^
........................................................................... ............................................................................................................................................................................................................................................:..

1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.
Sewer line will avoid impacting stream since aerial crossing is proposed.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
Erosion control devices & tree protection fences will be utilized to protect
environmental areas of concern.
E. Diffuse Flow Plan
1a. What type of SCM are you providing?*
r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
r- Proposed project will not create concentrated stormwater flow through the
buffer
W Other SCM that removed minimum of 30% nitrogen
1b. Describe how diffuse flow will be maintained:*
The subdivision that this proposed sewer line will be servicing is currently under
review by Wake County stormwater staff. Diffuse flow in this proposed sewer line
easement area will be provided.
1c. Diffuse Flow Documentation* aick the upload button or drag and drop files here to attach docurrent
South profiles C8 Grading.pdf 1.94MB
RDF only
F. Supplementary Information
Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
r Yes
r 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
2b. Is this an after -the -fact buffer authorization application?
C Yes
r No
G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments: nick the upload button or drag and drop files here to attach docurrent
FDF only
Additional Comments:
H. Sign and Submit
By digitally signing below, I certify that:

o I have given true, accurate, and complete information on this form;
o 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")
• 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');
o 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:* jay keller
Signature
Submission Date: 09/22/2020
(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?*
r Yes r No
f Yes
r No
20201198
1
Stephanie Goss:eads\szgoss
Raleigh Regional Office - [phone]
r No Payment Needed
f Fee Received
r Need Fee - send electronic notification

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BK011463PGO1567
WAKE COUNTY, MC 479
LAURA M RIDDICK
REGISTER OF DEEDS
PRESENTED & RECORDED ON
07r1212005 AT 15:01:55
HOOK:011463 PAGE:01567 - 01570
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Tax: None
Parcel Identifier No.
of ,
By:
0054654 Verified by
20_
County on the day
Mail to: Benjamin H. Hervey, Hervey & Hervey, P.A., 701 E. Chatham St., Ste. 205, Cars
North Carolina 27511
This instrument was prepared by: Benjamin H. Hervey,Hervey, & Hervey, P.A. _
Brief description for the Index: Freeman Land
THIS DEED made this e day of , 2005, by and between
GRANTOR
Harold Duke Perry and
Emma Jean Averette Perry
GRANTEE
Perry Family Farm LLC
1512 Jones Dairy Road
Wake Forest NC 27587
The designation Grantor and Grantee as used herein shall include said parties, their heirs,
successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as
required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey
unto the Grantee in fee simple, all that certain lot or parcel of land situated in Wake County,
North Carolina and more particularly described as follows-
1

BK011463PGO1568
See Exhibit A attached hereto.
The property hereinabove described was acquired by Grantor by instrument recorded in Book
7311, Page 133, Wake County Registry.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title
as Grantor received, and Grantor will warrant and defend the title against the lawful claims of all
persons claiming by, under or through Grantor, other than the following exceptions:
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and
year first above written.
PA� ' / r�►
(SEAL)
Emm can Averette Perry
State of North Carolina - County of 3,�kt
I, the undersigned Notary Public of the County and State aforesaid, certify that Harold Duke
Perry and Emma Jean Averette Perry personally appeared before me this day and
acknowledged the due execution of the foregoing instrument for the purposes therein expressed.
Witness my hand and Notarial stamp or seal this $ day of , 2005.
NotPublic
My Commission Expires: /0-08,L�U7
2

BK011463PGO1569
Exhibit A
Tract 1:
BEGINNING at an iron stake corner of the lands of R. A. Averett in the line of Mrs. Sallie
Averette, thence with the line of Mrs. Sallie Averette, North 82' 30' East 2400 feet to a maple;
thence North 23' East 1572 feet to the center of the Rolesville-Wake Forest Road marked by an
iron stake on the South side thereof; thence with the center line of said road South 45' 15' East
1878 feet; South 47' East 117 feet; South 52' East 442 feet to the R. A. Averette line, marked by
an iron stake on the South side of said road; thence South 4° 30' West 77 feet to the
BEGINNING, and containing 42.5 acres, more or less, as shown by plat and survey thereof made
by Phil R. Inscoe, R.L.S. in 1952, and being designated as Lot No. 3 on said plat. Being the
identical land conveyed by R. A. Averett and wife, Bessie J. Averett, to Harold D. Perry and
wife Emma A. Perry, by deed dated 12"' day of December, 1952, and recorded in the Office of
Register of Deeds for Wake County, North Carolina in Book 1186, Page 222.
SAVE AND EXCEPT THE FOLLOWING PARCEL OF LAND DESCRIBED AS:
Parcel A, containing 3970 total acres, as shown on that map entitled 'Minor Subdivision and
Recombination Plat for Harold Duke Perry, et als", prepared by James 0. Murphy, PE, dated
December 03, 2004 and recorded in Book of Maps 2005, Page 93, Wake County Registry.
Tract 2:
BEGINNING. at a Railroad. spike in the center State Road 1945, the
southeastern corner of Tract 2, and running thence along and with
the centerline of said road South 07 degrees 44.minutes 57 seconds
West 811.2.1 feet to a F.K. Nail, said'P.K. Nail, -being North along
add with the Centerline of said road 588.1 feet from an' 16-tech
reinforced concrete pipe] degrees 50 minutes 38
seconds West 2,100.52 feet to a stone,.thence North 02 degrees 39
minutes 38 seconds East 1,423.34 feet to.an ironpipe; thence South
85 degrees 20 .minutes 46 'seconds East 1,488•.60 feet to an 'iron
pipe, thence South'40 degrees 43 minutes 58 seconds East 7S2.63
feet to an iron pipe, thence South 87 degrees 51 minutes 16 seconds
East 198.97 faee to a Railroad spike, the point and place s:
BEGINNING, 'containing 63.35• acres, more or less, according tQ the
survey of Jessie J. Parrish, R.L.S. dated July 31, 1974; and being
all of Tract 1 of the Robert A. Averett Estate as shown on a map or
plat thereof by Jesse J. Parrish, R.L.S., dated July 31, 1974.
Being that tract of real property conveyed by R.A. Averett, Jr. at
al. to grantor by deed recorded on October 2, 1974 in Book•2275,
Pages 288-291.

BK011463PGO1570
LBOOK:011463 PAGE:61567 - 01576 I
Yellow probate sheet is a vital part of your recorded document.
Please retain with original document and submit for rerecording.
Wake County Register of Deeds
WAK
E Laura M. Riddick
COUNTY Register of Deeds
NORTH CARMINA
North Carolina -- Wake County
The foregoing certificate of in
0
Notary(ies) Public is (are) certified to be correct. This instrument
and this certificate are duly registered at the date and time and in the book and
page shown on the first page hereof.
This Customer Group
# of Time Stamps Needed
Laura M Riddick, Reg' e f Deeds
C
By:
Assistant/Deputy Register of Deeds
This Document
New Time Stamp
2t--- # of Pages
22.004-7111103

M
_FORPROU„U — _
IT
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Perry Family Farm 2017
Aerial
PIN:1759888905
PIN Ext: 000
Real Estate ID: 0054654
Map Name: 1759 02
Owner: PERRY FAMILY FARM LLC
Mail Address 1: 1512 JONES DAIRY RD
Mail Address 2: ROLESVILLE NC 27571-8293
Mail Address 3:
Deed Book: 011463
Deed Page: 01567
Deed Acres: 36.94
Deed Date: 7/11/2005
Building Value: $0
Land Value: $1,131,390
Total Value: $1,131,390
Biling Class: Business
Description: FREEMAN LD
Heated Area:
Street Name: JONES DAIRY RD
Site Address: 0 JONES DAIRY RD
City:
Planning Jursidiction: RO
Township: Wake Forest
Year Built:
Sale Price: $0
Sale Date:
Use Type:
Design Style:
Land Class: Agriculture
N
0 215 430 860 ft
1 inch = 400 feet
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

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Water Resources
ENVIRONMENTAL QUALITY
Perry Family Farm, LLC
1512 Jones Dairy Road
Rolesville, NC 27587
PAT MCCRORY
Cown ar
DONALD R. VAN DER VAART
Se, claw
S. JAY ZIMMERMAN
December 21, 2015
Subject: Buffer Determination
NBRRO #15-535
Wake County
Determination Type:
Buffer Call
Isolated or EIP Call
® Neuse (15A NCAC 213 .0233)
❑ Ephemeral/Intermittent/Perennial
❑ Tar -Pamlico (15A NCAC 2B .0259)
Determination
❑ Jordan (15A NCAC 2B .0267)
❑ Isolated Wetland Determination
Project Name:
Location/
Directions:
Subject Stream:
Duke -Perry Property
Property is located at 1512 Jones Dairy Road,
Rolesville, Wake County, NC
Sanford Creek
Determination Date: December 18, 2015 Staff: Laura Robertson
l hrccwr
Not
Subject
Subject
Soil
USGS
To
To
E/I/P*
Start@
Stop@
Survey
Topo
Buffers
Buffers
A
X
E
SW property
SW
X
(yellow star)
property
corner
" E/11P . EphemeraUlntermtttent/Perenntal
State of North Carolina I Environmental Quality I Water Resources
1628 Mail Service Center I Raleigh, North Carolina 27699-1628
919 791 4200

Explanation: The feature listed above was located on the Soil Survey of Wake County, North
Carolina, but was not present on the property. There may be other streams located on your
property that do not show up on the maps referenced above but, still may be considered
jurisdictional according to the US Army Corps of Engineers and/or to the Division of Water
Resources (DWR).
This on -site determination shall expire five (5) years from the date of this letter. Landowners or
affected parties that dispute a determination made by the DWR or Delegated Local Authority
may request a determination by the Director. An appeal request must be made within sixty (60)
days of date of this letter or from the date the affected party (including downstream and/or
adjacent owners) is notified of this letter. A request for a determination by the Director shall be
referred to the Director in writing c/o Karen Higgins, DWR WeBSCaPe Unit, 1650 Mail Service
Center, Raleigh, NC 27699.
This determination is final and binding unless, as detailed above, you ask for a hearing or appeal
within sixty (60) days.
The owner/future owners should notify the Division of Water Resources (including any
other Local, State, and Federal Agencies) of this decision concerning any future
correspondences regarding the subject property (stated above). This project may require
a Section 404/401 Permit for the proposed activity. Any inquiries should be directed to the
Division of Water Resources (Central Office) at (919)-807-6300, and the US Army Corp of
Engineers (Raleigh Regulatory Field Office) at (919)-5544884.
If you have questions regarding this determination, please feel free to contact Laura Robertson at
[phone].
Respectfully,
Danny Smith, Supervisor
Water Quality Section
Raleigh Regional Office
cc:
RRO/SWP File Copy
Jeff Harbour, Environmental Service, Inc.
4901 Trademark Drive, Raleigh, NC, 27610

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Water Resources
ENVIRONMENTAL QUALITY
August 23, 2016
Perry Family Farm, LLC
1512 Jones Dairy Road
Rolesville, NC 27587
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Director
Subject: Buffer Determination Letter
NBRRO #16-262
Wake County
Determination Type:
Buffer
Intermittent/Perennial
® Neuse (15A NCAC 2B .0233)
❑ Tar -Pamlico (15A NCAC 2B .0259)
El intermittent/Perennial Determination (where local buffer
ordinances apply)
❑ Jordan (15A NCAC 2B .0267)
(governmental and/or interjurisdictional
projects)
Project Name
Farmstead at Dukes Place
Address/Location: 1512 Jones Dairy Road, Rolesville, NC 27587
Stream(s):
Unnamed
Determination Date: 08/16/2016
to Sanford Creek in the Neuse River Basin
Staff: Erin Deck and Stephanie Goss
Stream
E/l/P
Not
Subject
Start@
Stop@
Soil
USGS
*
Subject
Survey
To o
Stream A*
X
Approx. 35.9427
Throughout
X
X
-78.4625
*Please note: See Buffer Determination NBRRO# 15-535, for the buffer applicabilityfor the remainder of
the site. This determination is just in reference to the drained pond*
*E/1/P = Ephemeral/Intermittent/Perennial
Explanation: The stream(s) listed above has been located on the most recent published NRCS Soil Survey of Wake
County, North Carolina and/or the most recent copy of the USGS Topographic map at a 1:24,000 scale. Each
stream that is checked "Not Subject" has been determined to not be at least intermittent or is not present. Streams
that are checked "Subject' have been located on the property and possess characteristics that qualify it to be at least
an intermittent stream. There may be other streams located on the property that do not show up on the maps
referenced above but may be considered jurisdictional according to the US Army Corps of Engineers.
Division of Water Resources, Raleigh Regional Office, Water Quality Operations Section http://portal.ncdenr.org/web/wq/aps
1628 Mail Service Center, Raleigh, NC 27699-1628 Phone: [phone]
Location: 3800 Barrett Drive, Raleigh, NC 27609 Fax: [phone]

This on -site determination shall expire five (5) years from the date of this letter. Landowners or affected
parties that dispute a determination made by the DWR may request a determination by the Director. An
appeal request must be made within sixty (60) days of date of this letter. A request for a determination by the
Director shall be referred to the Director in writing. If sending via US Postal Service: c/o Karen Higgins;
DWR — 401 & Buffer Permitting Unit, 1617 Mail Service Center; Raleigh, NC 27699-1617. If sending via
delivery service (UPS, FedEx, etc.): Karen Higgins; DWR — 401 & Buffer Permitting Unit; 512 N. Salisbury
Street, Raleigh, NC 27604.
This determination is final and binding unless, as detailed above, unless an appeal is requested within sixty
(60) days.
This project may require a Section 404/401 Permit for the proposed activity. Any inquiries should be
directed to the US Army Corp of Engineers (Raleigh Regulatory Field Office) at (919)-554-4884.
If you have questions regarding this determination, please feel free to contact Erin Deck or Stephanie Goss at (919)
791-4200
S cer y,
Danny Smit
Supervisor, Water Quality Regional Operations Center
cc: RRO DWR File Copy
Jeff Harbour, 4901 Trademark Drive, Raleigh, NC 27601

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