20201837 Ver 1_Riparian Buffer Authorization Request_20201130

Water ResourcesENTAL QUALITY
Original Submittal 11/30/2020
A. Owner/Applicant Information
General Information
Primary Contact Email:* [e-mail]
Please list the contact persons erreil for questions or payment on this project if needed.
Who is submitting the application?* ® Owner
❑ Applicant other than Owner
❑ Agent
Is there an agent working on this application O Yes
but not submitting it? O No
1. Property Owner Information:
.....................................................................................................
la. Name on Recorded Deed:*
1b. Responsible Party:
1c. Mailing Address:*
1d.Telephone:* 8452347502
Larry Beresnoy
(for Corporations)
Street Address
119 Emerald Point Lane
Address Line 2
City
State / Province / Region
Mooresville
NC
Wstal / Zip Code
Cbuntry
28117-5823
us
le. Email Address:*
..........................................
[e-mail]
B. Project Information and Prior Project History
1. Project Information
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
la. Name of Project:* Beresnoy - 612 Stonemarker - Remove Tree/Mound
(Subdivision, facility, or establishrrent narre)
1b. Is this a publicly -funded transportation project?*
r Yes
r No
1d. Subdivision Name: CRESCENT LAND+TIMBER CORP
le. Nearest Mooresville
Municipality:
1f. Property Size: 1.20
acres

1g. County (or Counties) where the project is located:*
1h. Property ID# Date of Purchase
4614999801.000 8/3/2020
Tax RN or Parcel id
1 i. Deed Information
Type of Book Book# Page#
Deed 2722 F
1-1153
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
612 Stonemarker Rd. Mooresville NC - Survey 07-14-
243.68K6
20. pdf
FDF only
1k. How would you like to provide the Latitude and Longitude information?*
r Address Lookup
f Manually
Address Lookup
Latitude * 35.5198121
Street Address
612 Stonemarker Road
Address Line 2
City
State / Frovince / Fbgion
Mooresville
NC
Rbstal / Zip Code
Country
28117
us
Longitude*-80.9495322
11. Is the project located in any of North Carolina's twenty coastal counties?*
r Yes
r No
2. Surface Waters `h
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2a. Name of the nearest body of water to proposed project:*
Lake Norman
2b. Water Quality Classification of nearest receiving water:*
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:*
100
(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:
Nearly level lot for new residential single family home.

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
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
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:*
Remove tree and level small dirt mound.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach docurrent
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?*
r 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
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)
f 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 w/
0.00
0.00
Crossing 1)
(T)
mitigation
Square
Square
F brm or Tenp
Feet
Feet
Total Zone 1 Impacts: 0.00
A
J

Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 0.00
Comments:
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.*
Grade and replace vegetation.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
Grade and replace vegetation.
2. Buffer Mitigation
2a. The table below identifies the square footage of impact to each zone of the riparian buffer and the required mitigation.
Zone 1 - Catawba Only
Total Impact Multiplier 11 Required Mitigation
0.00
2
0.00
Square Feet
Square Feet
Zone 2
Total Impact Multiplier Required Mitigation
0.00
1.50
0.00
Square Feet
Square Feet
2b. What is the mitigation plan proposed for ❑ Payment to private mitigation bank
this project?* ❑ Payment to Division of Mitigation (DMS)
7 Permittee responsible mitigation
2c. Provide a description of your mitigation plan.*
Replace vegetation.
2d. Attach a detailed planting plan to include plant type, date of plantings, the date of the one-time fertilization in the protected
riparian buffers, and a plan sheet showing the proposed location of the plantings.*
Click the upload button or drag and drop files here to attach docurrent
612 Stonemarker Rd. Mooresville NC - Survey 07-14-
243.68K6
20. pdf
FDF only
2g. Comments:
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 stormvvater flow through the
buffer
r Other SCM that removed minimum of 30% nitrogen
1c. Diffuse Flow Documentation*
F. Supplementary Information
Environmental Documentation
pick the upload button or drag and drop files here to attach docurrent
612 Stonemarker Rd. Mooresville NC - Survey 07-14
243.68K6
20. pdf
FDF only
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
C 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)?
C
2b. Is this an after -the -fact buffer authorization application?
r Y—
r No
G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments:
Additional Comments:
H. Sign and Submit
By digitally signing below, I certifythat:
aick the upload button or drag and drop files here to attach docurrent
PCF only
• 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:* Larry Beresnoy
Signature ,/

Submission Date: 11/30/2020
(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?*
O Yes O No
O Yes
O No
20201837
Alan Johnson:eads\adjohnson1
Mooresville Regional Office - [phone]
C No Payment Needed
r Fee Received
r Need Fee - send electronic notification

Mooresville
Vicinity Map
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Legend
....Property Corner
o ....Calculated Point
FS..... Front Setback
SS ..... Side Setback
SSS... Side Street Setback
RS..... Rear Setback
R/W... Right —of —Way
CMP... Corrugated Metal Pipe
NGVD..Notional Geodetic Vertical Datum
This 13th day of July, 2020.
;6�a, 2===�—
Mark S. Pence L-3680
Professional Land Surveyor
SFAL
L-3630 5z,•®
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Surveyor's Notes
• Parcel #4614-49-9801
• Current Zoning: R-20
• This Property Does Lie in a Special Flood
Hazard Area Per FEMA Panel #3710461400K,
Community Name: Iredell County
Community Number: 370313
Panel #4614
Effective Date: March 18th, 2008
• Area Computed by the Coordinate Method
• This Survey was performed without the benefit
of Title Search and is therefore subject to any
Easements, Restrictions and/or Rights —of —Ways
of Record.
Setbacks Per R-20 Zoning:
Front = 35'
Side = 15'
Rear 35'
Lake Buffer = 50'
I certify that this map was drawn under my
supervision from an actual survey made
under my supervision (deed description
recorded in Book 2139, page 736; that the
boundaries not surveyed are indicated as
drawn from information in Plat Book 62.
Page 50 or other reference source; that the
ratio of precision or positional accuracy is
1:20,000; and that this map meets the
requirements of The Standards of Practice
for Land Surveying in North Carolina (21 Lot #1
NCAC 56.1600).
#4614-99-7921
Robert K. Weaver
& Mary T. Mock
Deed Book 2611 Page 1845
Minor Subdivision of
Crescent Land & Timber Corp.,
Section 6, Lots 1 & 2
Plat Book 62, Page 50
® o �
#4 Rebar
Found \
Lake Norman Field Located o'
Site Benchmark 760' Contour
Water Level ® 9:30 am Line
on 07/07/2020 was L4
757.50' (NGVD 29)
�3
L2 #4
Rebor
Found
I- Rebar
Found
�o
ot.
#4 Rebar �
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Inlet
#4 Reba
ound
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\ CP
�y Junction
Box Lot #2
(Approximate
Location) 1.210 Acres \
�MQ 52,725 Sq. Ft.
Rip Rap �$� #4614-99-9801
Crescent Land & Timber Corp., I
Section 6, Lots 1 & 2
1.62 P 50 umi
Plat Boo age I
L7 I — Vacant Lot
50' Lake Setback I
from Field Located
760' Contour Line
Calculated Points
along Field Located
760' Contour Line /
S
262'0 °
Lot #3
#4614-99-8529
Alison Courtney Leffler
& Jason C. Leffler
Deed Book 2139 Page 736
Minor Subdivision of
Crescent Land & Timber Corp.,
Section 6, Lots 1 & 2
Plat Book 62, Page 50
GRAPHIC SCALE
0 25 p 715 100
i inch = 50 ft.
/CP
v
#4
Rebar
Found
Boundary & Physical Survey
for Lot #2 of the Minor Subdivision of
Crescent Land & Timber Corp., Section
6, Lots 1 & 2 Prepared for Larry Beresnoy
Davidson Township, Iredell County, Mooresville, NC
Scale 1 "= 50' — Date of Survey, July 8th, 2020
\ Current Owners: Alison Courtney Leffler & Jason C. Leffler
\ 588 Stonemarker Road, Mooresville, NC 28117
Lot #2 of the Minor Subdivision of Crescent & Timber Corp.,
Section 6, Lots 1 & 2, PB 62 PG 50, DB 2139, PG 736
Site Address: 612 Stonemarker Road, Mooresville, NC 28117
PIEDMONT DESIGN ASSOCIATES, P.A.
ENGINEERING — SURVEYING — PLANNING
Suite 101 Westfield Center, 125 S. Plaza Dr., Mooresville, N.C. 28116
Phone [phone] Fax [phone]
Corporate Lieense #C-1007
Stonemarker Road
N 60' Public R/W
U
CID
Line Table
Line
Direction
Length
L1
S15' 48' 25"W
81.83,
L2
N58' 38' 55"W
5.14'
L3
N76' 33' 54"E
6.84'
L4
N71' 57' 40"E
8.95'
L5
N42' 29' 11 "E
9.94'
L6
N20' 07' 49"E
6.28'
L7
NO' 43' 39"W
20.50'
L8
N26' 14' 51 "W
12.10'
L9
N43' OW 11 "W
14.28'
L10
N68' 30' 49"W
13.54'
L11
N54' 52' 28"E
7.83'
L12
N48' 07' 24"E
74.76'
Curve Table
Curve
Radius
Length
Chord Direction
Chord Length
C 1
198.47'
109.00'
S40' 55' 43"E
107.64'
C2
183.85'
132.42'
S4' 33' 40"E
129.58'
C3
i 55.42'
S1.62'
S6* ®" 38"'
Jv 2® ,,® ,J
51 '
., , .38
Project # 200621

Mooresville
Vicinity Map
Not to Scale
s
o
SITE
00.
'03
0
c 00
r
01 o
ARff@ok '
TN
W E
.,\
00/1 ��
s
moo•
5µo<010
Legend
....Property Corner
o ....Calculated Point
FS..... Front Setback
SS ..... Side Setback
SSS... Side Street Setback
RS..... Rear Setback
R/W... Right —of —Way
CMP... Corrugated Metal Pipe
NGVD..Notional Geodetic Vertical Datum
This 13th day of July, 2020.
;6�a, 2===�—
Mark S. Pence L-3680
Professional Land Surveyor
SFAL
L-3630 5z,•®
�O
�� •®S ROE .11-11,�®
®®lllel®e
Surveyor's Notes
• Parcel #4614-49-9801
• Current Zoning: R-20
• This Property Does Lie in a Special Flood
Hazard Area Per FEMA Panel #3710461400K,
Community Name: Iredell County
Community Number: 370313
Panel #4614
Effective Date: March 18th, 2008
• Area Computed by the Coordinate Method
• This Survey was performed without the benefit
of Title Search and is therefore subject to any
Easements, Restrictions and/or Rights —of —Ways
of Record.
Setbacks Per R-20 Zoning:
Front = 35'
Side = 15'
Rear 35'
Lake Buffer = 50'
I certify that this map was drawn under my
supervision from an actual survey made
under my supervision (deed description
recorded in Book 2139, page 736; that the
boundaries not surveyed are indicated as
drawn from information in Plat Book 62.
Page 50 or other reference source; that the
ratio of precision or positional accuracy is
1:20,000; and that this map meets the
requirements of The Standards of Practice
for Land Surveying in North Carolina (21 Lot #1
NCAC 56.1600).
#4614-99-7921
Robert K. Weaver
& Mary T. Mock
Deed Book 2611 Page 1845
Minor Subdivision of
Crescent Land & Timber Corp.,
Section 6, Lots 1 & 2
Plat Book 62, Page 50
® o �
#4 Rebar
Found \
Lake Norman Field Located o'
Site Benchmark 760' Contour
Water Level ® 9:30 am Line
on 07/07/2020 was L4
757.50' (NGVD 29)
�3
L2 #4
Rebor
Found
I- Rebar
Found
�o
ot.
#4 Rebar �
Found aJ�
\ Gt
JCL
p0
�e
a
Drop 'pooa
Inlet
#4 Reba
ound
v
\ CP
�y Junction
Box Lot #2
(Approximate
Location) 1.210 Acres \
�MQ 52,725 Sq. Ft.
Rip Rap �$� #4614-99-9801
Crescent Land & Timber Corp., I
Section 6, Lots 1 & 2
1.62 P 50 umi
Plat Boo age I
L7 I — Vacant Lot
50' Lake Setback I
from Field Located
760' Contour Line
Calculated Points
along Field Located
760' Contour Line /
S
262'0 °
Lot #3
#4614-99-8529
Alison Courtney Leffler
& Jason C. Leffler
Deed Book 2139 Page 736
Minor Subdivision of
Crescent Land & Timber Corp.,
Section 6, Lots 1 & 2
Plat Book 62, Page 50
GRAPHIC SCALE
0 25 p 715 100
i inch = 50 ft.
/CP
v
#4
Rebar
Found
Boundary & Physical Survey
for Lot #2 of the Minor Subdivision of
Crescent Land & Timber Corp., Section
6, Lots 1 & 2 Prepared for Larry Beresnoy
Davidson Township, Iredell County, Mooresville, NC
Scale 1 "= 50' — Date of Survey, July 8th, 2020
\ Current Owners: Alison Courtney Leffler & Jason C. Leffler
\ 588 Stonemarker Road, Mooresville, NC 28117
Lot #2 of the Minor Subdivision of Crescent & Timber Corp.,
Section 6, Lots 1 & 2, PB 62 PG 50, DB 2139, PG 736
Site Address: 612 Stonemarker Road, Mooresville, NC 28117
PIEDMONT DESIGN ASSOCIATES, P.A.
ENGINEERING — SURVEYING — PLANNING
Suite 101 Westfield Center, 125 S. Plaza Dr., Mooresville, N.C. 28116
Phone [phone] Fax [phone]
Corporate Lieense #C-1007
Stonemarker Road
N 60' Public R/W
U
CID
Line Table
Line
Direction
Length
L1
S15' 48' 25"W
81.83,
L2
N58' 38' 55"W
5.14'
L3
N76' 33' 54"E
6.84'
L4
N71' 57' 40"E
8.95'
L5
N42' 29' 11 "E
9.94'
L6
N20' 07' 49"E
6.28'
L7
NO' 43' 39"W
20.50'
L8
N26' 14' 51 "W
12.10'
L9
N43' OW 11 "W
14.28'
L10
N68' 30' 49"W
13.54'
L11
N54' 52' 28"E
7.83'
L12
N48' 07' 24"E
74.76'
Curve Table
Curve
Radius
Length
Chord Direction
Chord Length
C 1
198.47'
109.00'
S40' 55' 43"E
107.64'
C2
183.85'
132.42'
S4' 33' 40"E
129.58'
C3
i 55.42'
S1.62'
S6* ®" 38"'
Jv 2® ,,® ,J
51 '
., , .38
Project # 200621

Mooresville
Vicinity Map
Not to Scale
s
o
SITE
00.
'03
0
c 00
r
01 o
ARff@ok '
TN
W E
.,\
00/1 ��
s
moo•
5µo<010
Legend
....Property Corner
o ....Calculated Point
FS..... Front Setback
SS ..... Side Setback
SSS... Side Street Setback
RS..... Rear Setback
R/W... Right —of —Way
CMP... Corrugated Metal Pipe
NGVD..Notional Geodetic Vertical Datum
This 13th day of July, 2020.
;6�a, 2===�—
Mark S. Pence L-3680
Professional Land Surveyor
SFAL
L-3630 5z,•®
�O
�� •®S ROE .11-11,�®
®®lllel®e
Surveyor's Notes
• Parcel #4614-49-9801
• Current Zoning: R-20
• This Property Does Lie in a Special Flood
Hazard Area Per FEMA Panel #3710461400K,
Community Name: Iredell County
Community Number: 370313
Panel #4614
Effective Date: March 18th, 2008
• Area Computed by the Coordinate Method
• This Survey was performed without the benefit
of Title Search and is therefore subject to any
Easements, Restrictions and/or Rights —of —Ways
of Record.
Setbacks Per R-20 Zoning:
Front = 35'
Side = 15'
Rear 35'
Lake Buffer = 50'
I certify that this map was drawn under my
supervision from an actual survey made
under my supervision (deed description
recorded in Book 2139, page 736; that the
boundaries not surveyed are indicated as
drawn from information in Plat Book 62.
Page 50 or other reference source; that the
ratio of precision or positional accuracy is
1:20,000; and that this map meets the
requirements of The Standards of Practice
for Land Surveying in North Carolina (21 Lot #1
NCAC 56.1600).
#4614-99-7921
Robert K. Weaver
& Mary T. Mock
Deed Book 2611 Page 1845
Minor Subdivision of
Crescent Land & Timber Corp.,
Section 6, Lots 1 & 2
Plat Book 62, Page 50
® o �
#4 Rebar
Found \
Lake Norman Field Located o'
Site Benchmark 760' Contour
Water Level ® 9:30 am Line
on 07/07/2020 was L4
757.50' (NGVD 29)
�3
L2 #4
Rebor
Found
I- Rebar
Found
�o
ot.
#4 Rebar �
Found aJ�
\ Gt
JCL
p0
�e
a
Drop 'pooa
Inlet
#4 Reba
ound
v
\ CP
�y Junction
Box Lot #2
(Approximate
Location) 1.210 Acres \
�MQ 52,725 Sq. Ft.
Rip Rap �$� #4614-99-9801
Crescent Land & Timber Corp., I
Section 6, Lots 1 & 2
1.62 P 50 umi
Plat Boo age I
L7 I — Vacant Lot
50' Lake Setback I
from Field Located
760' Contour Line
Calculated Points
along Field Located
760' Contour Line /
S
262'0 °
Lot #3
#4614-99-8529
Alison Courtney Leffler
& Jason C. Leffler
Deed Book 2139 Page 736
Minor Subdivision of
Crescent Land & Timber Corp.,
Section 6, Lots 1 & 2
Plat Book 62, Page 50
GRAPHIC SCALE
0 25 p 715 100
i inch = 50 ft.
/CP
v
#4
Rebar
Found
Boundary & Physical Survey
for Lot #2 of the Minor Subdivision of
Crescent Land & Timber Corp., Section
6, Lots 1 & 2 Prepared for Larry Beresnoy
Davidson Township, Iredell County, Mooresville, NC
Scale 1 "= 50' — Date of Survey, July 8th, 2020
\ Current Owners: Alison Courtney Leffler & Jason C. Leffler
\ 588 Stonemarker Road, Mooresville, NC 28117
Lot #2 of the Minor Subdivision of Crescent & Timber Corp.,
Section 6, Lots 1 & 2, PB 62 PG 50, DB 2139, PG 736
Site Address: 612 Stonemarker Road, Mooresville, NC 28117
PIEDMONT DESIGN ASSOCIATES, P.A.
ENGINEERING — SURVEYING — PLANNING
Suite 101 Westfield Center, 125 S. Plaza Dr., Mooresville, N.C. 28116
Phone [phone] Fax [phone]
Corporate Lieense #C-1007
Stonemarker Road
N 60' Public R/W
U
CID
Line Table
Line
Direction
Length
L1
S15' 48' 25"W
81.83,
L2
N58' 38' 55"W
5.14'
L3
N76' 33' 54"E
6.84'
L4
N71' 57' 40"E
8.95'
L5
N42' 29' 11 "E
9.94'
L6
N20' 07' 49"E
6.28'
L7
NO' 43' 39"W
20.50'
L8
N26' 14' 51 "W
12.10'
L9
N43' OW 11 "W
14.28'
L10
N68' 30' 49"W
13.54'
L11
N54' 52' 28"E
7.83'
L12
N48' 07' 24"E
74.76'
Curve Table
Curve
Radius
Length
Chord Direction
Chord Length
C 1
198.47'
109.00'
S40' 55' 43"E
107.64'
C2
183.85'
132.42'
S4' 33' 40"E
129.58'
C3
i 55.42'
S1.62'
S6* ®" 38"'
Jv 2® ,,® ,J
51 '
., , .38
Project # 200621