20210026 Ver 1_Riparian Buffer Authorization_20210104

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 Onlin
Update 10/23/2018
Original Submittal 1/4/2021
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:* [phone]
Ron Cox
(for Corporations)
Street Address
2479 Camelia Pointe Drive
Address Line 2
aty State / Province / Fbgion
Sherrills Ford NC
Fbstal / Zip Code Country
28673-9139 US
le. Email Address:* [e-mail]
2. Applicant's Information (if different from owner):
2a. Name:
Chase Miller
2b. Company Affiliation:
Southern Stone Landscapes
2c. Mailing Address:
Street Address
516D River Highway
Address Line 2
215
aty
Mooresville
Rbstal / Zip Code
28117
2d. Telephone:
704-223-2572
2e. Email Address:
[e-mail]
State / Frovince / Fegion
NC
Country
US

B. Project Information and Prior Project History
1. Project Information
la. Name of Project:* Cox, Hardscape
(Subdivision, facility, or establishrrent narre)
1b. Is this a publicly -funded transportation project?*
r Yes
r No
1d. Subdivision Name: Lakepointe
le. Nearest
Municipality:
1f. Property Size: acres
1g. County (or Counties) where the project is located:*
Catawba
1h. PropertyID# Date of Purchase
4628-01-28-4512
Tax RN or Parcel id
1 i. Deed Information
.... ...... ...... ...... ......
Type of Book F
Book# Page#
Deed
Map
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
Lot 54 Survey, p1.pdf
242.49KB
Lot 54 Survey, p2.pdf
291.58KB
RJF only
1k. How would you like to provide
the Latitude and Longitude information?*
r Address Lookup
f Manually
Address Lookup
Street Address
2479 Camelia Pointe Drive
Address Line 2
city
Sherrills Ford
Postal / Zip Cade
28673-9139
Latitude * 35.6264408 Longitude
11. Is the project located in any of North Carolina's twenty coastal counties?
State / Frovince / Region
NC
Country
us
-80.9437981

r Yes
r No
2. Surface Waters
2a. Name of the nearest body of water to proposed project:*
Lake Norman
2b. Water Quality Classification of nearest receiving water:*
unknown
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:*
0
(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 site currently is hardscaped with a paver patio, paver walkway, and retaining
wall. It is used as an outdoor entertainment area.
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 docunent
2479 camelia_TM.pdf 110.33MB
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 docunent
catawba.pdf 7.38MB
F DF only
4. Proposed Activity
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:*
We are going to demo and haul off the epsting walkway, patio, and retaining wall.
We are going to install a new path to the water that is located where the old path is.
The new path is going to be less total square feet then the old one. We are going to
move the patio back closer to the house and build a retaining wall at the base of the
patio to make it level.
Equipment to be used on site will be a mini excavator, a tracked skid steer, and a
plate compactor.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach docunent
Current Site 2479 Camelia Pointe.pdf 242.49KB
New Site Plan 2479 Camelia Pointe.pdf 238.12KB
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
F No
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?* 4 Yes
d No
C. Proposed Impacts Inventory
Buffer Impacts
Project is in which protected Basin?*
f 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
Ift label (e.g. Finad
Permanent
Allowable
-
330.00
Crossing 1)
(P)
200.00
Square
Perm or Tenp
Square
Feet
Feet
Total Zone 1 Impacts:-200.00
Total Zone 2 Impacts: 330.00
Total Buffer Impacts: 130.00
Comments:
We are removing the patio in zone one and building a new one closer to the house.
We are also removing the e)asting path that "Y's" and making one direct path.
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.*
We are removing the existing impact in Zone 1 and replacing it with a design that is
200 sgft less of an impact.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
During the construction of the project, we will be removing impact from zone 1.
E. Diffuse Flow Plan
1a. What type of SCM are you providing?*
r Level Spreader
❑ Vegetated Conveyance (lower SHWT)
❑ Wetland Swale (higher SHWT)
17 Proposed project will not create concentrated stormwater flow through the
buffer
❑ Other SCM that removed minimum of 30% nitrogen
h

1c. Diffuse Flow Documentation*
F. Supplementary Information
Environmental Documentation
Click the upload button or drag and drop files here to attach docurrent
New Site Plan 2479 Camelia Pointe.pdf 238.12KB
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,
G iv
2b. Is this an after -the -fact buffer authorization application?
r
(-- Nu
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 certify that:
Click the upload button or drag and drop files here to attach docurrent
FDF only
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:* Chase Miller
Signature
�J
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
r No
20210026
Alan Johnson:eads\adjohnson1
Mooresville Regional Office - [phone]
C No Payment Needed
r Fee Received
r Need Fee - send electronic notification

LAKEPOINTE NORTH
PLAT BK. 46 PG. 4
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SETBACKS
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FRONT - 190'
SIDE = 15'
EXISTING --�
5/B" REBAR �' N �$. 2(
REAR 50'
Survey For:
PLA
MARC SCHWARU
SE7H TUCKER
2479 CAMELIA POINTE DRIVE NOTES:
MOUNTION CREEK TOWNSHIP
CATAWBA CO., N. C. 1. TRAVERSE ADJUSTED 6Y COMPAS
2. AREAS DETERMINED BY COORDIN.
Project / 160190-1 Date: 8 AUGUST, 2016 3. ALL DISTANCES ARE HORIZONTAL
FIRM J F-0902
REFERENCES: DEEDS AND MAPS
BOWDEN SURVEYING 704-691-5256
& MAPPING 317 SOUTH LAUREL ST.
LIWOLNrON, N.C., 28092

SITE
n G. 4
Curve Radius Chord Bearing and Distance Arc Length
C1 45.00' S 7' 39' 30" E 29.44' 29.99'
Line
Bearing
Distance
L1
S 24' 33' 25" E
7.59'
L2
N 53' 03' 45" W
12.91'
L3
N 3' 26' 10" W
4.49'
L4
N 16' 30' 56" E
9.60'
L5
N 33' 10' 36" E
15.27'
L6
N 15' 29' 56" E
14.67'
L7
N 19' 15' 38" E
17.29'
LB
N 47' 10' 57" E
13.36'
L9
N 45' 41' 43" E
17.16'
L10
N 45' 11' 40" E
32.37'
L11
N 50' 56' 10" E
26.22'
L12
N 67' 50' 02" E
18.92'
L13
N 68' 56' 12" E
13.41'
L14
S 27' 33' 01 " W
25.06'
1
1
1
1
LOT 54
32619 Sq.Ft.
0.75 Ac.
LOT 53 r,
LAT BK. 46 PG. 4
EXISTING
1
5/B' REBAR
EXISTING
5/8" REBAR
EXISTING
5/5 REBAR
190, 3 77. S2, 27- e i
LOT 55
BK, 46 PG. 4
RULE ADJUSTMENT METHOD.
TE COMPUTATIONS.
GROUND DISTANCES.
;HOWN HEREON.
I
I
/
VICINITY MAP —NTS—
1, Michael R. Bowden, certify that
this plat was drawn by me from
on actual field survey made under
my direct supervision; that the
boundaries shown are from the
record information noted hereon;
that the actual ratio of precision
exceeds 1:10,000; and that this
plat represents an existing parcel
of land. Witness my original sig-
nature, seal, and license number
this the ,12th day_gf August, 2016
1
E] = WELL
- EXISTING IRON AS NOTED
0 R 1/2" REBAR SET
O = POINT - NOTHING SET
LOT 54
ROBERT L. DELIA SR.
and SUSAN K. URQUHART
DEED BK. 2631 PG. 343
PIN #4628-01-28-4512
• 25 • 50 lot
A
Cj SCALE
OF DRAWING IS 1 INCH = 5• FEET

LAKEPOINTE NORTH
PLAT BK. 46 PG. 4
_
I
J
LAKE
° L�2
EXISTINGR
BAR
0.
°
s 1
LOT 5:
NORMAN
°
p, PLAT BK. 46
a.
�g
A N
/
co
tal
NI
\
LOT 54 \\
o
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\
1
LOT 55
PLAT 8K. 46 PG. 4
SETBACKS
-�
FRONT - 190'
SIDE = 15'
EXISTING --�
5/B" REBAR �' N �$. 2(
REAR 50'
Survey For:
PLA
MARC SCHWARU
SE7H TUCKER
2479 CAMELIA POINTE DRIVE NOTES:
MOUNTION CREEK TOWNSHIP
CATAWBA CO., N. C. 1. TRAVERSE ADJUSTED 6Y COMPAS
2. AREAS DETERMINED BY COORDIN.
Project / 160190-1 Date: 8 AUGUST, 2016 3. ALL DISTANCES ARE HORIZONTAL
FIRM J F-0902
REFERENCES: DEEDS AND MAPS
BOWDEN SURVEYING 704-691-5256
& MAPPING 317 SOUTH LAUREL ST.
LIWOLNrON, N.C., 28092

LAKEPOINTE NORTH
PLAT BK, 46 PG. 4
Tc6�e ct . Coy ' qafascc,Q e
111 /WI TO. tll
LAKE I •
'-3Ul 4 1m C� z0va
- aoo ;+--;L Lp"s5 4"
NORMAN �
Curcr4
v--� 01 �s
i
o< <n
SETBACKS
FRONT = 190'
SIDE 15'
REAR 50'
Survey For:
MARC SCHWARU
SETH TUCKER
2479 CAMELIA POINTE DRIVE
MOUNTION CREEK TOWNSHIP
CATAVOBA CO., N. C.
Project f 160190-1 Date: 6 AUGUST, 2016
FIRM j F-0902
EXISTING
5/8" REBAR
LOT 5;
PLAT BK. 46
\
Ll
^h `� LOT 54
.0 `\ 1 r
.9s
LOT 55 !
PLAT BK. 46 PG. 4
EXISTING
5/8" REBAR 21,
PLA
NOTES:
1. TRAVERSE ADJUSTED BY COMPAS
2. AREAS DETERMINED BY COORDIN-
3. ALL DISTANCES ARE HORIZONTAL
REFERENCES: DEEDS AND MAPS
BOWDEN SURVEYING 704-691-5256
& MAPPING 317 SOUTH LAUREL ST.
LINCOLNTON, N.C., 28092