20201597 Ver 1_Riparian Buffer Authorization Request_20201026

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 10/26/2020
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?* r Owner
W 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:* 9198593428
Dan Kamykowski
(for Corporations)
Street Address
105 Winterbrook Court
Address Line 2
aty State / Province / Fbgion
Cary NC
Fbstal / Zip Code Country
27518-9301 US
le. Email Address:* [e-mail]
2. Applicant's Information (if different from owner):
2a. Name:
Christopher Ryan Newman
2b. Company Affiliation:
Newman Builders, LLC.
2c. Mailing Address:
Street Address
5617 Maram Ct.
Address Line 2
aty
Raleigh
Rbstal / Zip Code
27609
2d. Telephone:
8039839948
2e. Email Address:
[e-mail]
State / Province / Fbegion
NC
Country
United States

B. Project Information and Prior Project History
.............................................................................................................................................................................................................................. ....... ....... ._.
1. Project Information ^
........................................................................................... .
la. Name of Project:* Kamykowski Dock Project
(Subdivision, facility, or establishrrent narre)
1b. Is this a publicly -funded transportation project?*
r Yes
r No
1d. Subdivision Name: Summerwinds Subdivision
le. Nearest Town of Cary
Municipality:
1f. Property Size: 2.91
acres
1g. County (or Counties) where the project is located:*
Wake
1h. Property ID# Date of Purchase
0762945302 3/25/1991
Tax RN or Parcel id
1 i. Deed Information
.........................................................................................................
Type of Book F
Book# Page#
Deed
Map F I
1j. Attach a copy of the recorded map that indicates when the lot was last platted.
Clickthe upload button or drag and drop files here to attach docurrent
105 Winterbrook Ct. Survey.pdf 1.11 MB
RDF only
1k. How would you like to provide the Latitude and Longitude information?*
r Address Lookup
r Manually
Address Lookup Street Address
105 Winterbrook Court
Address Line 2
City State / Frovince / Region
Cary NC
Fbstal / Zip Code Country
27518-9301 us
Longitude * -
Latitude * 35.7396577 78.76599519999999
11. Is the project located in any of North Carolina's twenty coastal counties?
f Yes
r No

2. Surface Waters
2a. Name of the nearest body of water to proposed project:*
Lake Lochmere
2b. Water Quality Classification of nearest receiving water:*
Lynne Branch
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:*
5
(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:
The property includes a residential house. The construction area is normal and the
shoreline does not have an existing sea wall or any other construction.
3b. Attach an 8'/2 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
105 Winterbrook Ct. Lake Lochmere Topographical
2.59MB
Map.pdf
FDF 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 docurrent
105 Winterbrook Ct. Lake Lochmere Soil Survey.pdf 737.71 KB
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:*
Construction of a 16'x12' dock with a 4'x4' walkway from the shoreline. Minimal
equipment will be used. No vehicles will be used in the area. Construction will be
done using only power tools and a generator due to the location and access to build
site.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach docurrent
105 Winterbrook Ct. Survey Proposed.pdf 1016.51 KB
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?*
t: Yes
f No
5b. Who did the determination on the jurisdictional areas?
Who did the determination? List name if known11 Date Attach
(Narre I known) O
I d only
*** Please include the date of the determination and upload a copy of the determination.

Comments:
USACE have approved this project and have said that since a seawall or barrier will
not be constructed that this project can be completed.
6. Project History
6a. Have permits or certifications been requested or obtained forth is 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
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)
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* Impact Type * Zone 1 Zone 2
Nbp label (e.g. Finad Temporary Allowable 0.00 0.00
Crossing 1) (T) Square Square
F brm or Terrp Feet Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 0.00
Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.*
This project will be completed by manpower and power tools. No vehicles will be
used in this area. Lake bottom will only be disturbed while driving the 6 deck piers.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
Only power tools and man power will be used on this project. Lake bottom will have
little disturbance do to the use of flotation platforms.
E. Diffuse Flow Plan
0
A
la. 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:*
Project will not impede storm water flow.
1c. Diffuse Flow Documentation* Click the upload button or drag and drop files here to attachdocunent
105 Winterbrook Ct. Plan Detail 1.pdf 49.31 KB
FUF 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?
f Yes
F No
Violations
2a. Is the site in violation of DWR Wetland Rules (15A NCAC 021-11.0500), Isolated Wetland Rules (15A NCAC 02H .1300), DWR
Surface Water or Wetland Standards, or Riparian Buffer Rules (15A NCAC 02B .0200)?
r
c
2b. Is this an after -the -fact buffer authorization application?
C- Yes
4 No
G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments: dick 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)
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');
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:* Christopher Ryan Newman

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
20201597
1
Rick Trone:eads\rvtrone
Central Office - [phone]
C No Payment Needed
r Fee Received
r Need Fee - send electronic notification

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Soil Map —Wake County, North Carolina
v
701870 701900 701930 701960 701990 702020 702950 702080
35o 44' 26" N
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701870 701900 701930 701960 701990 702020 702050
v
Map Scale: 1:1,610 if printed on A landscape (11" x 8.5") sheet.
N Meters
0 20 40 80 120
Feet
0 50 100 200 300
Map projection: Web Mercator Coner000-clinates: WGS84 Edge tics: UTM Zone 17N WGS84
USDA Natural Resources Web Soil Survey
Conservation Service National Cooperative Soil Survey
702110 702140 702170
702110 702140 702170
a
702200
35o 44' 26" N
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10/26/2020
Pagel of 3

MAP LEGEND
Area of Interest (AOI)
0
Area of Interest (AOI)
Soils
Q
Soil Map Unit Polygons
,N
Soil Map Unit Lines
Soil Map Unit Points
Special
Point Features
Blowout
Borrow Pit
Clay Spot
Closed Depression
Gravel Pit
Gravelly Spot
0
Landfill
A.
Lava Flow
Marsh or swamp
Mine or Quarry
Miscellaneous Water
Perennial Water
Rock Outcrop
Saline Spot
Sandy Spot
Severely Eroded Spot
Sinkhole
Slide or Slip
o
Sodic Spot
Soil Map —Wake County, North Carolina
MAP INFORMATION
Spoil Area
The soil surveys that comprise your AOI were mapped at
1:24,000.
Stony Spot
th
Very Stony Spot
Warning: Soil Map may not be valid at this scale.
Wet Spot
Enlargement of maps beyond the scale of mapping can cause
misunderstanding of the detail of mapping and accuracy of soil
4�
Other
line placement. The maps do not show the small areas of
Special Line Features
contrasting soils that could have been shown at a more detailed
scale.
Water Features
Streams and Canals
Please rely on the bar scale on each map sheet for map
measurements.
Transportation
—
Rails
Source of Map: Natural Resources Conservation Service
Web Soil Survey URL:
­0
Interstate Highways
Coordinate System: Web Mercator (EPSG:3857)
US Routes
Maps from the Web Soil Survey are based on the Web Mercator
Major Roads
projection, which preserves direction and shape but distorts
distance and area. A projection that preserves area, such as the
Local Roads
Albers equal-area conic projection, should be used if more
accurate calculations of distance or area are required.
Background
Aerial Photography
This product is generated from the USDA-NRCS certified data as
of the version date(s) listed below.
Soil Survey Area: Wake County, North Carolina
Survey Area Data: Version 20, Jun 3, 2020
Soil map units are labeled (as space allows) for map scales
1:50,000 or larger.
Date(s) aerial images were photographed: Oct 19, 2019—Oct
28, 2019
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
shifting of map unit boundaries may be evident.
USDA Natural Resources Web Soil Survey 10/26/2020
Conservation Service National Cooperative Soil Survey Page 2 of 3

Soil Map —Wake County, North Carolina
Map Unit Legend
Map Unit Symbol
Map Unit Name
Acres in AOI
Percent of AOI
CeC
Cecil sandy loam, 6 to 10
percent slopes
1.0
9.9%
ChA
Chewacla and Wehadkee
soils, 0 to 2 percent slopes,
frequently flooded
2.7
26.1 %
PaD
Pacolet sandy loam, 10 to 15
percent slopes
4.8
45.6%
UdE
Udorthents loamy, 0 to 25
percent slopes
0.7
6.4%
W
Water
1.3
12.1 %
Totals for Area of Interest
10.6
100.0%
USDA Natural Resources Web Soil Survey 10/26/2020
Conservation Service National Cooperative Soil Survey Page 3 of 3

N.C.S.R. 1009
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VICINITY MAP (N.T.S.)
NOTE: APPROXIMATE M.U.D. 100-YEAR FLOOD LIMIT
LOCATION AN0 ELEVATIONS AS DETERMINED FROM
TON" OF CAR' TOPOGRAPHIC SHEET N0. a DATED
MARCH 1974 AND H.U.D. FLOOD INSURANCE MAP
NO. 370238 0015 B. DATED FEBUARY, 1982.
EIP S 38-54.57-E ' CONC, NON.
UNDER WATER
599. 4B
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NOTE: LAKE MAINTENANCE AGREEMENT _ L-2601
RECORDED IN 06. 3052 PG. 990.
S v
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Book of Maps i987 Vol_ Page619 Deed Book 48 4 Pg_ County of WAKE
LOT 52 SUBDIVISION SUMMERWINDS
I HEREBY CERTIFY THAT THIS MAP IS CORRECT AND THAT THE BUILDING FOUNDATION LIES WHOLLY
THEREON THE LOT AND THAT
ARE NO ENCROACHMENTS ON SAID LOT EXCEPT AS NOTED.
SiJfY'd: t..
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Job No,
as
4/14/93
Scale V = 30'
BASS, NIXON & KENNEDY, INC.
PROPERTY OF
DAN KAMYKOWSKI
CONSULTING ENGINEERS
t
Si741E
CHAPEL HILL ROADSARA
RALEIGH, NORTH CAROLINA z76o7
JOAN ZENTARA
INC..
RALEIGH NORTH CAROLINA

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VICINITY MAP (N.T.S.) I
NOTE, APPROXIMATE H.U.D. 100-YEAR FLOOD LIMIT
LOCATION ANO ELEVATIONS AS DETERMINED FROM
TOWN
OF CARY TOPOGRAPHIC SHEET ND. S DATED
MARCH 1974 AND H.U.D. FLOOD INSURANCE HAP
N0. 370238 0015 B, DATED FEBUARY, 1982.
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NOTE: LAKE MAINTENANCE AGREEMENT
RECORDED IN DB. 3052 PG. 990.
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Book of Maps 1987 Vol_ Page619 Deed Boo 4k 874 Pg__ County ofwAKE
LOT 52 SUBDIVISION SUMMERWINDS
I HEREBY CERTIFY THAT THIS MAP IS CORRECT AND THAT THE BUILDING ,FOUNDATION LIES WHOLLY ON THE LOT AND THAT
THERE ARE NO ENCROACHMENTS ON SAID LOT EXCEPT AS NOTED.
EVANs ©F"n osw Chk'd. EHO Job No. _ oar
4/ 14/93 Seat 1 = 30 '
PROPERTY OF
DAN KAMYKOWSKI
s
SARA JOAN ZENTARA
RALEIGH NORTH CAROLINA
DUMGAN-PAaNELI, INC., NAtE1pN Jb 919-BSa-��ii

NOTES FROM THE CUSTOMER I DESIGNTITLE
DAN K
CUSTOMER NAME
Ryan Newman
CUSTOMER ENTAIL ADDRESS
new [e-mail]
THIS DRAWING WAS GENERATED BY I CUSTOMER PHONE NUMBER
DECK PLANNER SOFTWARE -
DRAWING
PLAN VIEW DRAWING, LEVEL 1
SCALE CHECKED BY
NOT TO SCALE
DATE CHECK DATE
10/9/2020 7:00 AM
CREATED BY STORE
JOB ID
PAGE
7