20211028 Ver 1_More Info Received_20210621

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 Form -
Update 10/23/2018
Water Resources
ENVIRONMENTAL QUALITY
A. Owner/Applicant Information
For instructions on how to fill out this form, see the Buffer Authorization Application Help Document posted on DWR's 401 & Buffer page.
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all mandatory questions are answered.
A. Owner/Applicant Information
General Information
Primary Contact Email:*
[e-mail]
Rease list the contact person's eneil for questions or paynent on this project if needed.
Is this project a public transportation r Yes
project?* C' No
Who is submitting the application?* I7 Owner
✓ Applicant other than Owner
✓ Agent
Check all that apply
Is there an agent working on this application
but not submitting it?*
1. Property Owner Information:
la. Name on Recorded Deed:*
1b. Responsible Party:
lc. Mailing Address:*
Id. Telephone:*
9198645418
r Yes
C' No
Christopher and Kerry Shearer
(for Corporations)
Street Address
9201 Cub Trail
Address Line 2
City State / Rovince / Region
Raleigh NC
RDstal / Zip Code Country
27615-3999 US
1e. Email Address:* [e-mail]
m
If the applicant is not the property owner, in addition to providing the Agent's information, select 'Applicant other than Owner' above, enter the applicant's
information, and attach an authorization granting the applicant owner approval.

B. Project Information and Prior Project History
B. Project Information and Prior Project History
1. Project Information
.............................................................................................
la. Name of Project:*
Shearer Screening in of Existing Deck
(Subdivision, facility, or establishrrent nave)
If your project has a formal name please use this. If your project does not have a formal name, please identify your project by the owner name and
proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any other names that have been used to identify the
project in the past.
1b. Is this a publicly -funded transportation project?*
r Yes
C' No
Id. Subdivision Name: Durant Trace
le. Nearest
Municipality:
Raleigh
If. Property Size: 0.25
acres
lg. County (or Counties) where the project is located:*
Wake
1h. PropertylD#
17280325551
Tax RN or Parcel id
1 i. Deed Information
Date of Purchase
3/30/2012
Type of Book
Book#
Page#
Deed
14709
1100
Map
1728
13
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 docunent
R2064301 -8X14 -05-25-21.pdf 367.01KB
FDF only
1k. How would you like to provide the Latitude and Longitude information?*
F Address Lookup
r Manually
Address Lookup
Street Address
9201 Cub Trail
Address Line 2
aty State / Ftovince / Region
Raleigh NC
Fbstal / Zip Code Country
27615-3999 US

Latitude * 35.9021485 Longitude *-78.5939174
11. Is the project located in any of North Carolina's twenty coastal counties?*
r Yes
C' No
Coastal Management information can be found at:
o About Coastal Management
o Staff Listing
o Coastal County Lookup
2. Surface Waters
2a. Name of the nearest body of water to proposed project:*
Falls Lake
Link to Soil Surveys for North Carolina Counties. (Please see instructions in the Help Document to determine the most recent published version.)
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:*
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:
This is a suburban lot with partial tree cover. Stormwater stream runs at property
line. Only used in strong storms.
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
NC_Bayleaf_20190730_TM_geo.pdf 112.86MB
ItF only
Link to TOPO Map lookup: https://viewer.nationalmap.gov/basic/
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.
aick the upload button or drag and drop files here to attach docurrent
20210618_08532108304_4_Soil_Report.pdf 755.81 KB
IIF only
Link to Soil Surveys for North Carolina Counties. (Please see instructions in the Help Document to determine the most recent published version.)
4. Proposed Activity
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:*
Existing deck built during house construction in 1995. With approval, we wish to add
a roof and make the deck a screened in porch. No additional size will be added, will
be using same deck as currently exists and just adding a roof.
Attach a site plan as applicable to the project:
❑ickthe upload button or drag and drop files here to attach docurrent
siteplan9201 cub.pdf 541.01 KB
REF only
** Below is a link with instructions on what you will need to show on your site plan.
http://edocs.deg.nc.gov/WaterResources/O/doc/402224/Page1.aspx

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?*
C Yes
o 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
6b. List any permits/approvals that have been requested or obtained for this project in the past.
Application Date
8/21/2020
Date Issued
6/18/2021
Permit Type
Building
6c. Please explain and detail according to "help file" instructions.*
Permit/approval above is still pending due to stormwater concerns in City of Raleigh.
Date issued is just today's date, permit still not issued.
7. Future Project Plans
7a. Is this project a phased project?*
✓ Yes
C' No

C. Proposed Impacts Inventory
C. Proposed Impacts Inventory
............................................................................................................................................................................................................................................
Buffer Impacts
............................................................................................................................................................................................................................................
la. Project is in which protected Basin?*
C Neuse River Basin (15A NCAC 02B.0233)
✓ Catawba River Basin (15A NCAC 02B.0243)
✓ Randleman Lake Watershed (15A NCAC 02B.0250)
f 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)
You can find which river basin you live in at the link below.
http://www.eenorthcarolina.org/riverbasins-gis-map.asp
lc. Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form.
Please note: if the impact you list below requires mitigation choose "allow w/ mitigation" under impact type.
Site# - Reason
Stream Name
Buffer Impact*
Impact Type*
Zone 1
Zone 2
Deck 1
Up label (e.g. Road
Crossing 1)
Unnamed
Tributary
Permanent
(P)
Fermor Terrp
Allowable
0.00
Square
Feet
Square
Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 0.00
Comments:
Since the existing deck (and newly proposed roof) are just outside of the Zone 1
and Zone 2 buffers, I assume I do not need to record any sq feet of impact.

D. Impact Justification and Mitigation
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. *
Since the existing deck is outside of the two zones (50'), we assume there is no
need for avoidance. We are keeping the same deck structure and just adding a roof
to the structure, which will of course also be outside of the two zones. There is also
already a silt fence put in at 50' of the buffer for construction.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
ALready installed a silt fence at 50' from stream bank (top).

E. Diffuse Flow Plan
E. Diffuse Flow Plan
All buffer impacts & high ground impacts require diffuse flow or other form of stormwater treatment. If the project is subject to a state implemented
riparian buffer program, upload a plan that fully documents how diffuse flow will be maintained. All stormwater control measures (SCMs) must be
designed in accordance with the NC Stormwater Design Manual. Associated supplement forms and other documentation must be provided.
For a list of options to meet the diffuse flow requirements, click here.
la. What type of SCM are you providing?*
✓ Level Spreader
✓ Vegetated Conveyance (lower SHWT)
✓ Wetland Swale (higher SHWT)
r% Proposed project will not create concentrated stormwater flow through the
buffer
✓ Other SCM that removed minimum of 30% nitrogen
lc. Diffuse Flow Documentation*
aickthe upload button or drag and drop files here to attach docurrent
R2064301 -8X14-05-25-21.pdf 367.01 KB
FDF only

F. Supplementary Information
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?
✓ 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)?
✓ Yes
✓ No
2b. Is this an after -the -fact buffer authorization application?
✓ No
G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments: nick the upload button or drag and drop files here to attach docunent
FCF only
Additional Comments:
Please consult R2064301-8x14-05-25-21.pdf, as it shows the existing silt fence and
how the top o f the bank and existing project have more than 50'. We are just
looking to add a roof for a screened porch on an existing deck. No additions have
been added. The silt fence is at the 50' buffer line and you can see that the deck
project is outside of the buffer.

G. Sign and Submit
G. Sign and Submitt
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
• I intend to electronically sign and submit the application form."
Print Name:*
Signature *
Christopher Shearer
(41400
Submission Date: (Auto populated field)