20210791 Ver 1_Riparian Buffer Authorization Request_20210409

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
Water Resources
ENVIRONMENTAL QUALITY
Original Submittal 4/9/2021
A. Owner/Applicant Information
General Information
Primary Contact Email:*
Who is submitting the application?*
Is there an agent working on this application
but not submitting it?
1. Property Owner Information:
la. Name on Recorded Deed:*
Jeffrey Kaylor
Rease list the contact person's email for questions or payrrent on this project if needed.
✓ Owner
r7 Applicant other than Owner
✓ Agent
r Yes
C No
KIRBY RALPH H REVOCABLE TRUST
AGREEMENT
1b. Responsible Party: (for Corporations)
lc. Mailing Address:*
Id. Telephone:*
8282172398
Street Address
5405NCHWY16N
Address Line 2
Oty State / R-ovince / F�gion
Claremont NC
Fbstal / Zip Code Country
28610 United States
le. Email Address:* [e-mail]
2. Applicant's Information (if different from owner):
2a. Name: Jeffrey Kaylor / Kelli Kirby Kaylor
2b. Company Affiliation:
2c. Mailing Address: Street Address
5405 NC HWY 16 N
Address Line 2
aty State / Province / Region
Claremont NC
Fbstal / Zip Code Country
28610 United States
2d. Telephone: [phone]
n
2e. Email Address: [e-mail]

B. Project Information and Prior Project History
.............................................................................................
1. Project Information
.............................................................................................
la. Name of Project:*
Seawall repair at Kirby residence
(Subdivision, facility, or establishrrent nacre)
1b. Is this a publicly -funded transportation project?*
1d. Subdivision Name:
le. Nearest
Municipality:
Conover, NC
1f. Property Size: acres
lg. County (or Counties) where the project is located:*
Catawba
1h. Property ID#
6071 / 8044
Tax RN or Parcel id
1 i. Deed Information
Type of Book
Deed
!Map
Date of Purchase
Book#
2196
10220 01017
J
Page#
1544
1j. Attach a copy of the recorded map that indicates when the lot was last platted.
Cick the upload button or drag and drop files here to attach docunent
IJF only
1k. How would you like to provide the Latitude and Longitude information?*
F Address Lookup
r Manually
Address Lookup
Latitude * 35.8125931
Street Address
Address Line 2
ary
R stal / Zip Code
State / Province / Fegion
Country
Longitude *-81.2172645
11. Is the project located in any of North Carolina's twenty coastal counties?*
r Yes
C• No
2. Surface Waters
2a. Name of the nearest body of water to proposed project:*

Lake Hickory
2b. Water Quality Classification of nearest receiving water:*
WS-V-B
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:*
586
(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:
Soil behind the seawall 196' is eroding into the lake, permanent residence of owner.
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
FDF only
3c. Attach an 8 1/2 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
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:*
Dig out from behind the wall add geosynthetic fabric and back fill, replace soil and
replant the lawn. Will use a mini excavator
Attach a site plan as applicable to the project:
aick the upload button or drag and drop files here to attach docunent
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?*
✓ 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?*
C' Yes
( No
7. Future Project Plans ^,
7a. Is this project a phased project?*
C. Proposed Impacts Inventory
.......................................................................................................................................
Buffer Impacts
.....................................................................................................................................
Project is in which protected Basin?*
r Yes
r No

✓ Neuse River Basin (15A NCAC 02B.0233)
C' Catawba River Basin (15A NCAC 02B.0243)
✓ Randleman Lake Watershed (15A NCAC 02B.0250)
C Tar -Pamlico River Basin (15A NCAC 02B.0259)
✓ Jordan Lake Watershed (15A NCAC 02B.0267)
✓ 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
Seawall back fill
repair
Nap label (e.g. R ad
Crossing 1)
Lake
Hickory
Temporary
(T)
F2rmor Terrp
Allowable
0.00
Square
Feet
0.00
Square
Feet
Total Zone 1 Impacts:
Total Zone 2 Impacts:
Total Buffer Impacts:
Comments:
0.00
0.00
0.00
Will be removing old backfill dirt and adding Geo fabric at base of wall then
replacing the backfill dirt. A tree that is encroaching on seawall and endangering
structures due to erosion will be removed. Yard will be replanted with grass. This will
impact an area of about 5' behind wall and approximately 196' long. Project duration
will be about 10 days.
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.*
The existing wall is between the water and yard, will be working on 10-20-ft sections
at a time. Remove dirt, install Geo Fabric and replace dirt.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
Same as above
E. Diffuse Flow Plan
la. What type of SCM are you providing?*
I— Level Spreader
I— Vegetated Conveyance (lower SHWT)
I— Wetland Swale (higher SHWT)
17 Proposed project will not create concentrated stormwater flow through the
buffer
I— Other SCM that removed minimum of 30% nitrogen
lc. Diffuse Flow Documentation*
F. Supplementary Information
Environmental Documentation
Click the upload button or drag and drop files here to attach docun ent
Diffuse Water flow.pdf
FWF only
35.68KB
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?

r Yes
fr 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
C No
2b. Is this an after -the -fact buffer authorization application?
C Yes
C' No
G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments:
Additional Comments:
aickthe upload button or drag and drop files here to attach docunent
FCF only
This property is the permanent residence of Betty Jo Kirby age 90, daughter Kelli
Kirby Kaylor and husband Jeffrey Kaylor are submitting this application. The seawall
has been eroding for many years and Jo's late husband Ralph Kirby was trying to
get this repaired before his death last year. It is very un-safe and Jo cannot go into
the yard near the lake without risk of falling into eroded areas and holes that are
behind the wall.
Caldwell Landscaping will be doing the work.
The pictures attached show some of the areas that are eroding into the lake. This
project is all behind the existing seawall and includes no new construction or
destruction.
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")
• 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:* Jeffrey W Kaylor
Signature
Submission Date:
4-9-21
(Auto populated field)

Initial Review
Is this accepted into the review process?*
Is this project a public transportation
project? *
O Yes O No
O Yes
C' No
ID#* 20210791
Version:* 1
Select Reviewer: Alan Johnson:eads\adjohnsonl
Select Reviewing Office * Mooresville Regional Office - [phone]
Has payment been received?* ( No Payment Needed
✓ Fee Received
✓ Need Fee - send electronic notification

Not sure what to use here.
As there is a wall between the water and are we are repairing.