20220128 Ver 1_Riparian Buffer Authorization_20220222

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02B .0233 (8)(b), .0243 (8)(b), .0250 (11)(b), .0259 (8)(b), .0267 (11)(c), .0607 (e)(2) - Buffer Authorization
FORM: BA 10-2013
Riparian Buffer Authorization Form
A. Applicant Information
1.
Project Information
1 a. Name of project:
3000 Westview Drive
1 b. County:
Pitt
lc. Nearest municipality:
City of Greenville
ld. Subdivision name:
Greenville County Club
le. Is the project located in any of North Carolina's twenty coastal counties?
If yes, answer 1f below.
❑ Yes
X No
1f. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?
❑ Yes
X No
2.
Owner Information
2a. Name on Recorded Deed:
Harry J Deantonio
2b. Deed Book and Page No.
Bk 3943, Pg 88-90
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created):
Bk 43, Pg 24
2d. Responsible Party
(for Corporations):
Harry J Deantonio
2e. Street address:
3000 Westview Drive
2f. City, state, zip:
Greenville, NC 27834
2g. Telephone no.:
252-414-9469
2h. Fax no.:
2i. Email address:
[e-mail]
3.
Applicant Information (if different from owner)
3a. Applicant is:
❑ Agent ❑ Other, specify: Owner
3b. Name:
Harry J Deantonio
3c. Business name
(if applicable):
3d. Street address:
221 County Club Road
3e. City, state, zip:
Greenville NC 27834
3f. Telephone no.:
252-414-9469
3g. Fax no.:
3h. Email address:
[e-mail]
4.
Agent/Consultant Information (if applicable)
4a. Name:
Len Tozer
4b. Business name
(if applicable):
Tozer Builders, Inc
4c. Street address:
150-A E. Firetower Rd.
4d. City, state, zip:
Winterville, NC 28590
4e. Telephone no.:
252-561-6410
4f. Fax no.:
4g. Email address:
[e-mail]
FORM: BA 10-2013
Page 1 of 4

B. Project Information and Prior Project History
1.
Property Identification
la. Property identification no. (tax PIN or parcel ID):
PIN. 4677509540, parcel # 53067
1 b. Site coordinates (in decimal degrees):
Latitude: 35.581971 Longitude: -77.398986
lc. Property size:
1 acres
2.
Surface Waters
2a. Name of nearest body of water to proposed project:
Greens Mill Run
2b. Water Quality Classification of nearest receiving water:
C-NSW
2c. River basin:
Tar -Pam
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:
Vacant residential lot that use to have a home on it but it burned down between 2013-2015
3b. Attach an 8'/2 x 11 excerpt from the most recent version of the USGS topographic map indicating the location
of the site
3c. Attach an 8 % x 11 excerpt from the most recent version of the
published County NRCS Soil Survey Map
depicting the project site
3d. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
— 108.62 ft
3e. Explain the purpose of the proposed project:
Land owner wants to build his home in the old foot print of the burnt home
3f. Describe the overall project in detail, including the type of equipment to be used:
Proposal to build a one story stucco dwelling with basement, greater than 3700 sq ft.
4.
Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by
the Corps or State been requested or obtained for this
property/ project (including all prior phases) in the past?
X Yes ❑ No ❑ Unknown
Comments: Stream Determination and the
stream is subjected to buffer reg. The stream
was part of a proposed stream restoration
4b. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/ Consultant Company: NCDEQ-DMS
Other: Green Mill Run (UT) Restoration 99-0595
4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach
documentation.
March 14, 2000 DWR # 20061206
5.
Project History
5a. Have permits or certifications been requested or obtained
for this project (including all prior phases) in the past?
❑ Yes ❑ No /1 Unknown
5b. If yes, explain and detail according to "help file" instructions.
6.
Future Project Plans
6a. Is this a phased project?
❑ Yes /1 No
6b. If yes, explain.
FORM: BA 10-2013
Page 2 of 4

C. Proposed Impacts Inventory
1. Buffer Impacts
la. Project is in which protected basin?
❑ Neuse
❑ Randleman
/1 Tar -Pamlico
❑ Catawba
❑ Goose Creek
❑ Jordan
1 b. Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of
this form.
Buffer impact
number—
Permanent (P)
or Temporary
(T)
Reason for
impact
Type of impact
(exempt, allowable,
allowable w/
mitigation)
Stream name
Buffer
mitigation
required?
Zone 1
impact
(sq ft)
Zone 2
impact
(sq ft)
To build a
dwelling
Allowable
Greens Mill
Run
0
210
B1 /1 P ❑ T
❑ Yes /1 No
B2 ❑ P ❑ T
❑ Yes ❑ No
B3 ❑ P ❑ T
❑ Yes ❑ No
B4 ❑ P ❑ T
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
0
210
lc. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The home that burned was within the same footprint as the proposed home. The property of the subdivision
was plotted in 1993
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. Implement best management practices and keep the area vegetated.
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that
requires buffer mitigation?
❑ Yes /1 No
2b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation and
calculate the amount of mitigation required in the table below.
Zone
Reason for impact
Total impact
(square feet)
Multiplier
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
Total buffer mitigation required:
2c. If buffer mitigation is required, is payment to a mitigation bank or NC DMS
proposed?
❑ Yes ❑ No
2d. If yes, attach the acceptance letter from the mitigation bank or NC DMS.
2e. If no, then discuss what type of mitigation is proposed.
2f. Comments:
FORM: BA 10-2013
Page 3 of 4

E. Diffuse Flow Plan
All buffer impacts and high ground impacts require diffuse flow or other form of
stormwater treatment. Include a plan that fully documents how diffuse flow will be
maintained. If a Level Spreader is proposed, attach a Level Spreader Supplement Form.
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
❑ Diffuse flow
❑ Other BMP
Manual and attach a BMP Supplement Form.
F.
Supplementary Information
1.
Environmental Documentation
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
use of public (federal/state) land?
❑ Yes /1 No
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State (North
Carolina) Environmental Policy Act (NEPA/SEPA)?
❑ Yes /1 No
1 c. If you answered "yes" to the above, has the document been finalized by the State
Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.)
Comments:
❑ Yes /1 No
2.
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 permit application?
❑ Yes ❑ No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
Applicant/Agent's Printed Name
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Date
Send 3 complete sets of this form and accompanying documents to the following:
For government transportation projects sent by
First Class Mail via the US Postal Service:
NC DWR, Transportation Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For all other projects sent by First Class Mail via
the US Postal Service
Karen Higgins
NCDWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For government transportation projects sent by
delivery service (UPS, FedEx, etc.):
OR NC DWR, Transportation Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
OR
For all other projects sent by delivery service
(UPS, FedEx, etc.):
Karen Higgins
NCDWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
FORM: BA 10-2013
Page 4 of 4