20211234 Ver 1_Riparian Buffer Authorization Request (2)_20210815

Water Resources
Original Submittal 8/15/2021
A. Owner/Applicant Information
General Information
Primary Contact Email:* [e-mail]
Please list the contact person's 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:* 704-609 6135
Douglas A Gould and wife Linda S Gould
(for Corporations)
Street Address
329 Robinson Road
Address Line 2
Cty State / Province / Region
Mooresville NC
Festal / Zip Code Country
28117-9035 us
le. Email Address:* [e-mail]
..........................................
B. Project Information and Prior Project History
1. Project Information
la. Name of Project:* Gould Residential Walkway to Dock on Lake Norman
(Subdivision, facility, or establishnent nacre)
1b. Is this a publicly -funded transportation project?*
r Yes
r No
1d. Subdivision Name: n/a
le. Nearest Mooresville
Municipality:
1f. Property Size: 0.87
acres

1g. County (or Counties) where the project is located:*
Iredell
1h. PropertyID# Date of Purchase
4638 04 4021 2/15/2019
Tax RN or Parcel id
1 i. Deed Information
Type of Book Book#11 Page#
Deed 697 877
Map 14 47
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
FDF only
1k. How would you like to provide the Latitude and Longitude information?*
r Address Lookup
r Manually
Address Lookup Street Address
329 Robinson Road
Address Line 2
City
State / Province / Region
Mooresville
NC
Fbstal / Zip Code
Country
28117-9035
us
Longitude *
-
Latitude * 35.6143532
80.91651519999999
11. Is the project located in any of North Carolina's twenty coastal counties?*
r Yes
F 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:*
ws-iv,b;ca
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:*
150
(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:

Residential Lot on Robinson Rd which totals appro)amately .87 acres. There is a
natural drainage ditch on the North side of the property that runs the lower 1/2 of
the property. The west boundary/lot line is the 760 elevation of Lake Norman. The
50 ft. State of North Carolina buffer area is sown in grass. The general use of the
land pertaining to this application is our safe and reasonable use of lake access.
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 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:*
This project requests installing a 50 ft. long and 3 ft. wide walkway from the Lake
Norman 760 ft elevation to the State of North Carolina Lake Norman buffer. The
project also includes continuing this same walkway, approximately 55ft., to the newly
constructed home at 329 Robinson Road, Mooresville NC. The walkway will consist
of a base of crusher run, polymeric sand. Paver (4x4 with polymeric sand) will be the
walking surface. The purpose of this walkway will be the access from the home to
the dock.
In addition, large rocks will be installed on a piece of shoreline where there is not
any rip -rap and the terrain drops vertically approxdmately 13 inches. This work is for
erosion control and soil preservation.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
scan0017.pdf 7.93MB
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?* C Yes
a 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 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 Typef] I
Zone 1 Zone 2
Ivhp label (e.g. Finad Permanent Allowable 0.00 0.00
Crossing 1) (p) Square Square
Perm orTenp Feet Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 0.00
Comments:
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.*
I have had discussions with Alan Johnson (Senior Env. Specialist), Dennis Whitaker
(Duke Energy), and Joe Klutz (Duke Energy) to be certain that I tried to meet
necessary expectations and requirements. Hopefully, I have met those expectations
and look forward to making this project successful. Thanks to all.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Based on discussions with persons listed above, I feel that this pro -active approach
has avoided any issues.
E. Diffuse Flow Plan �J
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
la. What type of SCM are you providing?*
r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
17 Proposed project will not create concentrated stormwater flow through the
buffer
r- Other SCM that removed minimum of 30% nitrogen
1 c. Diffuse Flow Documentation* click the upload button or drag and drop files here to attach document
scan0017.pdf 7.93MB
FDF only
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?
r Yes
F 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?
C
G 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
FDF only
Additional Comments:
H. Sign and Submit ^
....................................................................................................................................................................................................................................................................................................................................................................................................
By digitally signing below, I certifythat:
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');
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:* Douglas A. Gould
Signature
a4 0 -le
Submission Date: 08/15/2021
(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?*
G Yes 0 No
O Yes
r No
20211234
Alan Johnson:eads\adjohnson1
Mooresville Regional Office - [phone]
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification

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