20202012 Ver 1_Riparian Buffer Authorization Request_20201221

Water ResourcesENTAL QUALITY
Original Submittal 12/21/2020
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:* 919-422-4704
3. Agent Information:
3a. Name:
3b. Company Affiliation:
3c. Mailing Address:
[e-mail]
Please list the contact persons erreil for questions or payment on this project if needed.
rJ Owner
r- Applicant other than Owner
rJ Agent
Saint Johns Wood, LLC
James Lipscomb
(for Corporations)
Street Address
3407 Barber Mill Road
Address Line 2
City
State / Ftovince / Fbgion
Clayton
NC
Postal / Zip Code
Country
27520-8574
us
le. Email Address:* [e-mail]
Street Address
Address Line 2
City 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. PDFCnly
B. Project Information and Prior Project History
1. Project Information ^

la. Name of Project:* Saint Johns Wood Lot 39 E. Hamby Street
(Subdivision, facility, or establishrrent narre)
1b. Is this a publicly -funded transportation project?*
r Yes
r No
1d. Subdivision Name: McCullers
le. Nearest Clayton
Municipality:
1f. Property Size: 0.32
acres
1g. County (or Counties) where the project is located:*
Johnston
1h. Property ID# Date of Purchase
165920-91-1358 11/20/2020
Tax RN or Parcel id
1 i. Deed Information
Type of Book Book#11 Page#
Deed F
132-134
Map 7 307
1j. Attach a copy of the recorded map that indicates when the lot was last platted.
aick the upload button or drag and drop files here to attach docurrent
DB 7 Pg 307 Mccullers subdivision 1955.pdf 144.79KB
FDF only
1k. How would you like to provide the Latitude and Longitude information?*
r Address Lookup
r Manually
Latitude * 35.648820
Longitude*-78.464143
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:*
Little 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:*
103
(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:
The lot consists primarily of mixed pine/hardwood forest with the exception of lawn
located along the northwestern property line. Land use in the vicinity of the lot
consists of a residential neighborhood within the Town of Clayton. Please refer to
the attached USGS Location Map (Figure 1), Johnston County Soil Survey Map
(Figure 2B) and Aerial Map (Figure 3-attached after Figure 26) for more information
on the project setting.
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
SPEC20041-Lot 39 Hamby-Fig1 USGS.pdf 1.74MB
FDF only
3c. Attach an 81/. 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
SPEC20041-Lot 39 Hamby-Fig2 SS.pdf 1.98MB
SPEC20041-Lot 39 Hamby-Fig3 Aerial.pdf 1.22MB
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:*
A single-family home, driveway, sidewalk and porch are proposed to be constructed
on the lot. The driveway and a portion of house will impact the riparian buffer on the
lot as shown on the attached plot plan.
Heavy equipment typical for home and driveway construction will be used to
construct the proposed project such as a track hoes and/or bulldozer.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach docurrent
Lot 39 Hamby St Plot Plan 7-27-20.pdf 113.1 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?*
r Yes
r No
5b. Who did the determination on the jurisdictional areas?
Who did the determination? List name if known11 Date Attach
Agent/Consultant Jennifer 06/02/2020 1 0
Burdette pdt only
(Nave if known)
*** Please include the date of the determination and upload a copy of the determination.
Comments:
A delineation was completed but found no areas that met the criteria for a wetland.
The stream channel and riparian buffer are the only regulated features on the lot.
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*

f Yes
r No
7. Future Project Plans
7a. Is this project a phased project?* 0 Yes
d 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 0213.0259)
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
B1-Driveway &
UT to Little
Permanent
Allowable
756.00
1,381.
House
Creek
(P)
Square
00
bhp label (e.g. Fbad
Perm or Terrp
fit
Square
Crossing 1)
Feet
Total Zone 1 Impacts: 756.00
Total Zone 2 Impacts: 1,381.00
Total Buffer Impacts: 2,137.00
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.*
The stream and riparian buffer run through the lot lengthwise. The home and
driveway were placed as far from the stream and outside the riparian buffer as
much as possible while adhering to building setbacks for the lot. Splash pads will be
placed at each downspout to diffuse flow from these points.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
Orange tree protection fencing will be installed prior to construction to prevent
impacting the buffer beyond the impact approved by the authorization.
E. Diffuse Flow Plan
la. What type of SCM are you providing?*
h

r Level Spreader
rJ Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
r Proposed project will not create concentrated stormwater 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
Lot 39 Hamby St Plot Plan 7-27-20.pdf 113.1 KB
FDF only
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?
r Yes
r No
G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments: Click the upload button or drag and drop files here to attach docurrent
FiDF only
Additional Comments:
H. Sign and Submit
By digitally signing below, I certify that:
• 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:* Jennifer Burdette
Signature
Submission Date: (Auto populated f ield)

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
20202012
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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NOTES:
1. USGS; 7.5 MINUTE, QUAD, CLAYTON, NORTH CAROLINA; 2019
2. LAT: 35.648820, LONG:-78.464143
1,000 2,000
"0
J
FIGURE 1. USGS TOPOGRAPHIC MAP
Feet
SAINT JOHNS WOOD LOT 39 E HAMBY ST
1 inch = 2,000 feet
CLAYTON, JOHNSTON COUNTY, NC
VERSION: 1
DATE: 12/21 /2020
McADAMS
JOB NO: SPEC-20041
DRAWN BY: burdette
M:\Projects\!FORSPEC\SPEC-20041 Lipscomb On -Call Natural Resource Consultinq\04-Production\Natural Resources\Clayton Lots\GIS\SPEC20041-Lot 39 Hamby-Fig1 USGS.mxd,

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NOTES:
1. NRCS; SOIL SURVEY SHEET 1, JOHNSTON COUNTY, NC (1994)
0 1,000 2,000
FIGURE 2B. BUFFER SUBJECTIVITY SOIL SURVEY
Feet
SAINT JOHNS WOOD LOT 39 E HAMBY ST
1 inch = 2,000 feet
CLAYTON, JOHNSTON COUNTY, NC
VERSION: 1
DATE: 12/21 /2020
McADAMS
JOB NO: SPEC-20041
DRAWN BY: burdette
M:\Projects\!FOR-SPEC\SPEC-20041 Lipscomb On -Call Natural Resource ConsuItinq\04- Prod uction\Natural Resources\Clayton Lots\GIS\SPEC20041-Lot 39 Hamby-Fig2 SS.mxd, 12/21

0

MINIMUM BUILDING SETBACKS
ZONING: R-8
FRONT........................25 FEET
SIDE ...........................10 FEET
REAR ..........................25 FEET
LOT SUMMARY
IMPACT TABLE
® ZONE 1 IMPACT: DRIVE (B1).......................756 SF
[]ZONE 2 IMPACT: HOUSE & DRIVE (B1)....1381 SF
MINIMUM LOT WIDTH — 60'
MINIMUM LOT AREA — 8000 SQ. FT
MAXIMUM BUILDING HEIGHT — 35'
MAXIMUM BUILDING COVERAGE — 35%
MAXIMUM IMPERVIOUS SURFACE — 55%
LINE
BEARING
DISTANCE
L1
S40' 13'52"E
67.49'
L2
N40'07'20"W
68.06'
L3
N40'10'04"W
199.99'
IPF
1p
IPF
NOTE: L2 AND L3 ARE `
TIE LINES ONLY
50'
RIPARIAN
BUFFER
CAR \,4(/ \
SIp�iOl�il % O�
7 NOTE: x = DOWNSPOUT (TYP.) o�q
SEAL
L-3990 = —
DOWNSPOUT Q�oQ�°c>F•
\
\
IPF
1481
tk
tk
d
Q�Ro��,
PRO\CONC
PAD
2
30
RIPARIAN
BUFFER
IN 2'
DRIVEWAY
SHOULDER
� PRO.
PORCH /
?.0.
i 0 .
og
IPF-\ NORMAL HIGH
\ WATER LINE
\
\
\
LOT COVERAGE TABLE
HOUSE.................................................... 1113 SF
LOT AREA .............................................. 13824 SF
PERCENTAGE OF IMPERVIOUS AREA ......... 8.05%
DOES LOT HAVE STATE ROAD FRONTAGE? YES (___1 NO
DOES LOT HAVE RECORDED EASEMENT? (___1 YES NO
DRIVEWAY OR ACCESS DRIVE DRAINAGE CULVERT
TYPE AND SIZE
STORMWATER ADMINISTRATOR SIGNATURE
PLOT PLAN
O
LOTF 39
E HAMBY STREET
TOWN OF CLAYTON
FOR
LIPSCOMB, LLC
SCALE: 1 " = 40'
0
c�
o_
m
CL
S
IPF
ALL
IPF G
6 -b-b �4/F
1382S
AC
*THIS PLOT PLAN IS FOR PRECONSTRUCTION
PURPOSES ONLY.
*NOTE: RIPARIAN BUFFER IS MEASURED FROM
HIGH WATER LINE.
NOTES:
PUBLIC WATER SYSTEM M YES (] NO
WELL (___1 YES 0 NO
PUBLIC SEWER SYSTEM 0 YES (] NO
HOUSE DIMENSIONS: 70' X 20'
IMPERVIOUS SURFACE TABLE
HOUSE....................................................1113 SF
DRIVE & WALK.......................................1678 SF
CONC PATIO...............................................56 SF
TOTAL......................................................2847 SF
LOT AREA..............................................13824 SF
PERCENTAGE OF IMPERVIOUS AREA ........... 20.6%
TRUE' LINE' SURvEYING.0 P. C.
205 W. MAIN STREET
CLAYTON, N.C. 27520
TELEPHONE: [phone]
FAX: [phone]
www.truelinesurvoying.com
20 0 40 80
522.051 ' """""' MATT
7/10/2020 I `'"""" CURK

MINIMUM BUILDING SETBACKS
ZONING: R-8
FRONT........................25 FEET
SIDE ...........................10 FEET
REAR ..........................25 FEET
LOT SUMMARY
IMPACT TABLE
® ZONE 1 IMPACT: DRIVE (B1).......................756 SF
[]ZONE 2 IMPACT: HOUSE & DRIVE (B1)....1381 SF
MINIMUM LOT WIDTH — 60'
MINIMUM LOT AREA — 8000 SQ. FT
MAXIMUM BUILDING HEIGHT — 35'
MAXIMUM BUILDING COVERAGE — 35%
MAXIMUM IMPERVIOUS SURFACE — 55%
LINE
BEARING
DISTANCE
L1
S40' 13'52"E
67.49'
L2
N40'07'20"W
68.06'
L3
N40'10'04"W
199.99'
IPF
1p
IPF
NOTE: L2 AND L3 ARE `
TIE LINES ONLY
50'
RIPARIAN
BUFFER
CAR \,4(/ \
SIp�iOl�il % O�
7 NOTE: x = DOWNSPOUT (TYP.) o�q
SEAL
L-3990 = —
DOWNSPOUT Q�oQ�°c>F•
\
\
IPF
1481
tk
tk
d
Q�Ro��,
PRO\CONC
PAD
2
30
RIPARIAN
BUFFER
IN 2'
DRIVEWAY
SHOULDER
� PRO.
PORCH /
?.0.
i 0 .
og
IPF-\ NORMAL HIGH
\ WATER LINE
\
\
\
LOT COVERAGE TABLE
HOUSE.................................................... 1113 SF
LOT AREA .............................................. 13824 SF
PERCENTAGE OF IMPERVIOUS AREA ......... 8.05%
DOES LOT HAVE STATE ROAD FRONTAGE? YES (___1 NO
DOES LOT HAVE RECORDED EASEMENT? (___1 YES NO
DRIVEWAY OR ACCESS DRIVE DRAINAGE CULVERT
TYPE AND SIZE
STORMWATER ADMINISTRATOR SIGNATURE
PLOT PLAN
O
LOTF 39
E HAMBY STREET
TOWN OF CLAYTON
FOR
LIPSCOMB, LLC
SCALE: 1 " = 40'
0
c�
o_
m
CL
S
IPF
ALL
IPF G
6 -b-b �4/F
1382S
AC
*THIS PLOT PLAN IS FOR PRECONSTRUCTION
PURPOSES ONLY.
*NOTE: RIPARIAN BUFFER IS MEASURED FROM
HIGH WATER LINE.
NOTES:
PUBLIC WATER SYSTEM M YES (] NO
WELL (___1 YES 0 NO
PUBLIC SEWER SYSTEM 0 YES (] NO
HOUSE DIMENSIONS: 70' X 20'
IMPERVIOUS SURFACE TABLE
HOUSE....................................................1113 SF
DRIVE & WALK.......................................1678 SF
CONC PATIO...............................................56 SF
TOTAL......................................................2847 SF
LOT AREA..............................................13824 SF
PERCENTAGE OF IMPERVIOUS AREA ........... 20.6%
TRUE' LINE' SURvEYING.0 P. C.
205 W. MAIN STREET
CLAYTON, N.C. 27520
TELEPHONE: [phone]
FAX: [phone]
www.truelinesurvoying.com
20 0 40 80
522.051 ' """""' MATT
7/10/2020 I `'"""" CURK