20201394 Ver 1_Riparian Buffer Authorization Request_20201005

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 10/5/2020
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:*
1d. Telephone:* [phone]
halearch1 @nc.r.com
Rease list the contact person's en -ail for questions or payrrent on this project if needed.
r Owner
W Applicant other than Owner
W Agent
Abdessamad Hachby
Abdessamad Hachby
(for Corporations)
Street Address
309 N. Dawson Street
Address Line 2
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27603
USA
le. Email Address:*
[e-mail]
2. Applicant's Information (if different from owner):
2a. Name:
Matthew Hale
2b. Company Affiliation:
Hale Architecture, PC
2c. Mailing Address:
Street Address
P. O. Box 1437
Address Line 2
City
State / Province / Fegion
Wake Forest
NC
Postal / Zip Code
Country
27588-1437
USA
2d. Telephone:
[phone]
2e. Email Address:
[e-mail]
2f. Attach a signed and dated copy of the authorization granting the applicant
owner approval. An agent authorization form is
acceptable.

(lick the upload button or drag and drop files here to attach docurrent
Agent Authorization (Hach by-signed).pdf 23.47KB
RJF only
3. Agent Information:
3a. Name:
3b. Company Affiliation:
3c. Mailing Address: Street Address
Address Line 2
City State / Frovince / Region
Rstal / Zip Code Country
3d. Telephone: 3e. Email Address:
3f. Attach a signed and dated copy of the agent Clickthe upload button or drag and drop files hereto attach docurrent
authorization form. R7FOnly
B. Project Information and Prior Project History
1. Project Information
la. Name of Project:* Hach by New Residence
(Subdivision, facility, or establishrrent narre)
1b. Is this a publicly -funded transportation project?*
r Yes
r No
1d. Subdivision Name: Fairview Acres, Section 2
le. Nearest Raleigh, NC
Municipality:
1f. Property Size: 1.05
acres
1g. County (or Counties) where the project is located:*
Wake
1h. PropertyID# Date of Purchase
0783.09-17-3460 6/29/2018
Tax RN or Parcel id
1 i. Deed Information
Type of Book Book#11 Page#
Deed F
145
Map F
9
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
Wake Co BM 1954 Page 9.pdf 316.49KB
PDF only
1k. How would you like to provide the Latitude and Longitude information?*
r Address Lookup
r Manually
Address Lookup
Latitude * 35.7757619
Street Address
365 Meredith Street
Address Line 2
Lot 25 Fairview Acres, Section 2
City
State / Ftovince / Plegion
Raleigh
NC
Festal / Zip Code
Country
27606-1224
us
Longitude*-78.7256112
11. Is the project located in any of North Carolina's twenty coastal counties?
r Yes
O No
2. Surface Waters
2a. Name of the nearest body of water to proposed project:*
Walnut 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:*
172
(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 single-family home site in an older, existing subdivision (platted in 1954,
modified 1955). The site is bisected by a stream running north -south and is partially
covered in trees of multiple varieties, shrubs and other undergrowth. Due to steep
topography (exceeding 25%) at the front (northwest) of the site, the original
residence was built on the rear (southeast) of the site where the grades were more
suitable for home construction.
This lot shares a common paved driveway with its neighbor to the north. The
driveway crosses the stream over a concrete culvert.
Old headwalls, garden walls, bridges and other "hardscaping" indicated on the
survey and within the stream buffer are pre-existing. They were constructed
decades ago by the previous property owner.
The original home, garage and shop building were in dilapidated condition and have
recently been demolished.
Existing land uses in the vicinity are single-family residential subdivisions,
townhouse developments and a public school.
3b. Attach an 8 % x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site.
Click the upload button or drag and drop files here to attach docurrent
NC_Raleigh_West_20190730_TM_geo.pdf 96.45MB
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.
Click the upload button or drag and drop files here to attach document
Soil Types around 365 Meredith St.pdf 6.1MB
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:
The property owner is seeking to build a new home in the same general location on
site as the original dwelling.
General construction equipment (including backhoes for excavating footings,
concrete trucks, materials delivery trucks) and personal vehicles for laborers will
access the building site using the existing shared driveway.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
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?* r Yes
o No
C. Proposed Impacts Inventory
Buffer Impacts tJ
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
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 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*
Impact Type *
Zone 1
Zone 2
Retaining Wall @
Unnamed
Permanent
Allowable
0.00
18.00
Driveway
Tributary
(P)
Square
Square
Nbp label (e.g. Fbad
Perm or Tenp
Feet
Feet
Grossing 1)

Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 18.00
Total Buffer Impacts: 18.00
Comments:
A low retaining wall along the edge of the existing driveway is necessary to protect
the driveway from collapse/erosion down into the stream buffer.
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.*
This retaining wall will only be as long as necessary for its intended purpose. The
Plot Plan indicates just 18 linear feet.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
This retaining wall will be constructed using segmental masonry units (similar to
Keystone, Rockwell or VersaLok brands). This strategy minimizes proposed impacts
because segmental block walls do NOT require excavating & pouring large footings
to resist overturning, as would be the case with conventional reinforced masonry
walls or reinforced concrete walls.
Any disturbed areas whether uphill or downhill of the retaining wall will be
restored/replanted.
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)
W Proposed project will not create concentrated stormwater flow through the
buffer
r- Other SCM that removed minimum of 30% nitrogen
1c. Diffuse Flow Documentation* Click the upload button or drag and drop files here to attachdocurrent
NCDWR Letter - Diffuse Flow Documentation. pdf 91.75KB
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?
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 Yes
r No
2b. Is this an after -the -fact buffer authorization application?
f Yes
F No
A
n

G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments: (lick the upload button or drag and drop files here to attach document
FDF only
Additional Comments:
Thank you for your consideration of this request.
H. Sign and Submit
By digitally signing below, I certifythat:
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:* Matthew Hale
Signature
Submission Date: (Auto populated field)
h

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
20201394
1
Stephanie Goss:eads\szgoss
Raleigh Regional Office - [phone]
r No Payment Needed
f Fee Received
r Need Fee - send electronic notification

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION
Lot Number: 25 Subdivision: Fairview Acres, Section 2
Wake County Parcel ID: 0783.09-17-3460
Property Address: 365 Meredith Street
Raleigh, NC 27606-1224 s
AUTHORIZATION
(Please print):
Property Owner: Abdessamad Hachby
The undersigned, registered property owner of the above noted property, does hereby
authorize
Matthew Hale of Hale Architecture, PC
(Contractor/Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and
acceptance of this permit or certification and any and all standard and special
conditions attached.
Property Owner's Address:
Property Owner's Telephone:
Property Owner's Email:
309 N. Dawson Street
Raleigh NC 27603
[phone] mobile
[phone] work
I hereby certify the above information submitted in this application is true and
accurate to the best of my knowledge.
thorized Signature
W/ A/;C)
Date

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3: Soil Map —Wake County, North Carolina
(Soil Types around 365 Meredith Street)
37 �' a9" N
374''13"N
37a''a9"N
8
8
8
8
8
8
8
8
374''13"N
705200 705300 705400 705500 705600 705700 705800 705900
3 3
Map Scale: 1:5,460 if printed on A portrait (8.5" x 11") sheet.
M Meters a
N 0 60 10D 3ID 30D
A ft
0 2A 600 1000 1600
Map projection: Web Mercator Came coordinates: WGS84 Edge b6: UTM Zone 17N WGS84
USDA Natural Resources Web Soil Survey 9/28/2020
Conservation Service National Cooperative Soil Survey Page 1 of 3

Soil Map —Wake County, North Carolina
(Soil Types around 365 Meredith Street)
MAP LEGEND
MAP INFORMATION
Area of Interest
(AOI)
jA
Spoil Area
The soil surveys that comprise your AOI were mapped at
0
Area of Interest (AO0
1.24,000.
Stony Spot
Soils
Very Stony Spot
Warning: Soil Map may not be valid at this scale.
Soil Map Unit Polygons
Wet spot
Enlargement of maps beyond the scale of mapping can cause
,y
Soil Map Unit Lines
misunderstanding of the detail of mapping and accuracy of soil
p
other
line placement. The maps do not show the small areas of
Soil Map Unit Points
contrasting soils that could have been shown at a more detailed
Special Point Features
+
Special Line Features
scale.
V
Blowout
Water Features
Streams and Canals
Please rely on the bar scale on each map sheet for map
Borrow Pit
.---
measurements.
Transportation
Clay Spot
Rails
Source of Map: Natural Resources Conservation Service
Web Soil Survey URL:
0
Closed Depression
Interstate Highways
Coordinate System. Web Mercator (EPSG.3857)
Gravel Pit
US Routes
Maps from the Web Soil Survey are based on the Web Mercator
Gravelly Spot
projection, which preserves direction and shape but distorts
Major Roads
distance and area. A projection that preserves area, such as the
Landfill
v
v
Local Roads
Albers equal-area conic projection, should be used if more
pp
Lava Flow
accurate calculations of distance or area are required.
tl
Background
Marsh or swamp
.
Aerial Photography
This product is generated from the USDA-NRCS certified data as
of the version date(s) listed below.
s
Mine or Quarry
Soil Survey Area: Wake County, North Carolina
Miscellaneous water
Survey Area Data. Version 20, Jun 3, 2020
0
Perennial water
Soil map units are labeled (as space allows) for map scales
v
Rock outcrop
1:50,000 or larger.
Saline Spot
Date(s) aerial images were photographed: Oct 19, 2019—Oct
28, 2019
Sandy Spot
The orthophoto or other base map on which the soil lines were
f
Severely Eroded Spot
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
0
Sinkhole
shifting of map unit boundaries may be evident.
Slide or Slip
Sodic Spot
usDn Natural Resources Web Soil Survey 9/28/2020
4111111110 Conservation Service National Cooperative Soil Survey Page 2 of 3

Soil Map —Wake County, North Carolina
Soil Types around 365 Meredith
Street
Map Unit Legend
Map Unit Symbol
Map Unit Name
Acres in AOI
Percent of AOI
CfC
Cecil -Urban land complex, 2 to
10 percent slopes
46.4
30.8%
ChA
Chewacla and Wehadkee
soils, 0 to 2 percent slopes,
frequently flooded
8.0
5.3%
HeB
Helena sandy loam, 2 to 6
percent slopes
1.5
1.0%
PaE
Pacolet sandy loam, 15 to 25
percent slopes
1.0
0.6
PbD
Pacolet-Urban land complex,
10 to 15 percent slopes
32.8
21.8
Ur
Urban land
57.6
38.2%
W
Water
3.4
2.2
Totals for Area of Interest
150.6
100.0
USDA Natural Resources Web Soil Survey 9/28/2020
Conservation Service National Cooperative Soil Survey Page 3 of 3

I
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October 5, 2020
To: NC Department of Environmental Quality / Division of Water Resources
Re: Diffuse Flow Documentation for Buffer Authorization Application
365 Meredith Street, Raleigh NC 27606-1224 (Lot 25, Fairview Acres Subdivision - Section 2)
Greetings:
As noted in the above -referenced Application, we propose to build a new single family home on
the same general location as the previous home, garage and workshop which were recently
demolished.
Per the Plot Plans submitted with the above -referenced Application, we propose to construct 18 square
feet of new segmental block retaining wall within the Zone 2 stream buffer, in order to reinforce and
protect the edge of the existing shared driveway just before it crosses the stream over an existing
culvert.
On the application form, Section E - Diffuse Flow Plan, Question la: "What type of SCM are you
providing?" I have checked the box that says "Proposed project will not create concentrated stormwater
flow through the buffer".
I am not qualified to perform runoff calculations to compare pre -construction versus post-constrction
impacts, but with respect to the buffer impact of this retaining wall, there should be no greater
"concentrated stormwater flow" through the buffer after this wall is constructed, than what exists now
from the existing pavement and residential parking areas.
Please let me know if you have any additional questions, comments or concerns.
Best Wishes,
Matthew Hale, Architect
NC Architect Registration #4289
Hale Architecture, PC • Post Office Box 1437 • Wake Forest, NC 27588-1437 • [phone]