20220460 Ver 1_Riparian Buffer Authorization_20220322

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
. Project Information
la. Name of project:
lb. County:
lc. Nearest municipality:
1d. Subdivision name:
le. Is the project located in any of North Carolina's twenty coastal counties?
If es, answer 1f below.
1f. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern AEC ?
. Owner Information
L; Ct L1=N.ti1<:
C
2a. Name on Recorded Deed:
2b. Deed Book and Page No.
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created :
2d. Responsible Party
for Cor.orations :
2e. Street address:
2f. City, state, zip:
2g. Telephone no.:
2h. Fax no.:
21. Email address:
. Applicant Information (if different from owner)
3a. Applicant is:
3b. Name:
3c. Business name
if a..Iicable
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
.7+-1, Ci1---
F- it144dv 1 . LC ' S Cc.1,"
' I'57)-7
Agent ■ Other, specify:
4. Agent/Consultant Information (if applicable)
4a. Name:
4b. Business name
a
if ..licable
4c. Street address:
4d. City, state, zip:
4e. Telephone no.:
Fax no.:
4g. Email address:
❑ Yes
❑ Yes
r
a -No
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):
'-1r� a >' ' j t s'. (c ./
lb. Site coordinates (in decimal degrees):
Latitude: �; ; zr,: 7c; 5 Longitude: - I • ; -;,•,•
lc. Property size:
, G. ` i acres
2.
Surface Waters
2a. Name of nearest body of water to proposed project:
'.�:, ;(_ ' ; ,V1.:0,-1
2b. Water Quality Classification of nearest receiving water:
2c. River basin:
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:
_ \ca
V .t:.. )C --.-
3b. Attach an 8 1/2 x 11 excerpt from the most recent version of the USGS topographic map indicating the location
of the site
3c. Attach an 81/2 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:
3e. Explain the purpose pf the proposed project: _ )
3f. Describe the overall project in detail, including the typejof equipment to be used:
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?
❑ Yes ❑ No --Unknown
Comments:
4b. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/ Consultant Company:
Other:
4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach
documentation.
5.
Project History
5a. Have permits or certifications been requested or obtained
for this project (including all prior phases) in the past?
❑ Yes ' No ❑ Unknown
5b. If yes, explain and detail according to "help file" instructions.
6.
Future Project Plans
6a. Is this a phased project?
❑ Yes , No
6b. If yes, explain.
FORM: BA 10-2013
Page 2 of 4

C. Proposed Impacts Inventory
. Buffer Impacts
la. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico
[] "Catawba
❑ Randleman ❑ Jordan ❑ Goose Creek
1b. 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)
B1 P ❑T
B2 _P T
B3 _ P ❑T
B4_P❑T
B5❑P❑T
B6❑P❑T
Reason for
impact
Type of impact
(exempt, allowable,
allowable w/
mitigation)
Stream name
Buffer
mitigation
required?
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.
EiTie—CI No
❑ Yes ❑ No
❑ Yes ❑ No
0 Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Zone 1
impact
(sq ft)
Zone 2
impact
(sq ft)
Total buffer impacts
1 b. Specifically descri e m=asures taken to avoid or minimize the proposed impacts through construction
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that
requires buffer mitigation?
•
techni ues.
•
■
Yes
N
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
Zone 1
Zone 2
Multiplier
3 (2 for Catawba)
1.5
Total buffer mitigation required:
2c. If buffer mitigation is required, is payment to a mitigation bank or NC DMS
proposed?
Total impact
s•uare feet
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:
■
Required mitigation
s uare feet
Yes
■
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
Manual and attach a BMP Supplement Form.
❑ Diffuse flow
❑ Other BMP
F. Supplementary Information
1.
Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the
use of public (federal/state) land?
❑ Yes - -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 ❑ No
lc. 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 ❑ 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

• vv. • •vr..v• •
V M FM VIV 41 V NO Il.y
)arcel Information:
'arcel ID: 462801187678
'arcel Address: 2431 WELLESBOURNE LN
)ity: SHERRILLS FORD, 28673
.RK(REID): 801112
)eed Book/Page: 3664/1537
Subdivision: LAKEPOINTE NORTH PH 2
.ots/Block: 68/
.ast Sale: $1,150,000 on 2021-06-15
'lat Book/Page: 46/5
.egal: LOT 68 PL 46-5
'alculated Acreage: .690
ax Map:
bwnship: MOUNTAIN CREEK
State Road #: 3102
ax/Value Information: Tax Rates(pdf)
;ity Tax District: All in County
:ounty Fire District: SHERRILLS FORD
3uilding(s) Value: $496,800
.and Value: $254,300
assessed Total Value: $751,100
'ear Built/Remodeled: 2005/
:urrent Tax Bill
lliscellaneous:
luilding Permit Address Search for this parcel.
available, Building Permits for this parcel. Septic links
re not permits.
septic Final Permits prior to 08/2018, contact
:nvironmental Health.
luilding Details
VaterShed: WS-IV Critical Area
'oter Precinct: P31/ Voting Map
'arcel Report Data Descriptions
ist all Owners
Owner Information:
Owner: CERINO ANTHONY LOUIS III
Owner2: CERINO KIMBERLY
Address: 2431 WELLESBOURNE LN
Address2:
City: SHERRILLS FORD
State/Zip: NC 28673-9129
School Information:
School District: COUNTY
Elementary School: SHERRILLS FORD
Middle School: MILL CREEK
High School: BANDYS
School Map
Zoning Information:
Zoning District: COUNTY
Zoningl: R-30
Zoning2:
Zoning3:
Zoning Overlay: CRC-O,WP-O,FPM-0
Small Area: SHERRILLS FORD
Split Zoning Districts: /
Zoning Agency Phone Numbers
Firm Panel Date: 2008-03-18
Firm Panel #: 3710462800K
2010 Census Block: 2017
2010 Census Tract: 011503
Agricultural District:
Deed History Report Assessment Report
is map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and
>eiing Information contained on this map or data on this report. Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the
sr. The County of Catawba, its employees, agents, and personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which
ses or may arise from this map/report product or the use thereof by any person or entity.
© 2022, Catawba County Government, North Carolina. All rights reserved.

Catawba county Geospatial Real Estate Search
MAKING. LIVING. BETTER. Information Services
20.22
17.18
14.42
13.15
23,18
21.52
19.44
14.65
8.20
6) 9.66
20.02 1 .u1 ,� ,o 6, 17.61
5.89
16.00
13.05 21.55
10.37
20.32
15.92
17.70 56.92
18.59
26.55
14.29
W E
19.21
30.79
53.68
9.24 'g2
16.68
36.35
18.85
16.32
9.17
20.04
97.51
S
Parcel: 462801187678, 2431 WELLESBOURNE LN SHERRILLS FORD, 28673
Owners: CERINO ANTHONY LOUIS III, CERINO KIMBERLY
Owner Address: 2431 WELLESBOURNE LN
Values - Building(s): $496,800, Land: $254,300, Total: $751,100
cv
N
40.80
18.77
12.73
121.20
1 in=80ft
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2021 Catawba County NC
03/21/2022

17.18
14.42
13.15
2a18
19 44
22 66
19.65
2?.
24.4C 21
20.42

•P Ic<NA co,/,°:14,0
N
-
S
,(:) 74a ' s
C.O.S., SEPTIC 7,q,
& ENTRANCE
MONUMENT LOT `',i
t
F%
131 30
ACRES
1 NCGS "PINNACLE"
NAD 83
N= 681155.95'
E=1424222.13'
COMB. GRID FACTOR
PROPERTY LINE FOLLOWS
CENTERLINE OF CREEK
FOR FOUR CALLS
L-1
± 1.66
ACRES
15' SEPTIC
EASEMENT
CAROLINA CENTERS, LLC
PART OF DB 1898 PG 427
PART OF PB 35 PG 129
TAX ID: PART OF 4628-01-17-4686
•
s;o)
0.40
0 �
`''�t,(1.
•.' r
S 4534 314 E — -- S 43.2 '29"W (293.28') `�_-.�•:.� �-
24.86'\
= 0.99986026
CERTIFICATE OF APPROVAL FOR MAJOR PLATS
± 0.68
ACRES
146.27'
\tfi
EXISTING
t RR SPIKE
v7
x
AkN14
03
�d
LA
OD
O 0
This final plat, and the street names shown hereon,
has been found to comply with the Subdivision
Regulations of Catawba County; and, were approved by
the Catawba County SubdivAion Review rd at
a meeting held on the c—�-- day of Bo
1998. All streets, utilities and other requir improvements
have been installed according to specifications and
standards; or a guarantee of the installation of the
required improvements in an amount and manner satisfactory
to Catawba County has been received. Therefore, this plat
is approved for recording in the office of the Register
of Deeds of Catawba County within sixty (60) days of
the date of this approval.
i
'iira4)7)13
ate Chairperson-aatawba Coun Subdivision Review Board
i
± 1.07
ACRES
± 0.95
ACRES
-15
± 0.75
ACRES
± 0.65
ACRES
/ 0.43
6
o85;
3
N 35 24'39"E
v 41.63'
�r--.-'7�M°-20
L-18 NI /0
± 0.79
ACRES
va
0
z
trA
z
rW
N 36e54'42'E N
44.35' ° '
o — %.:3!"
o
n Ico /
I^ IM
50' MBLZ
PER DEED
RESTRICTION
r-
(73a)
O
-0
CO
0
1
Review Officer's Certificate
STATE OF NORTH CAROLINA
COUNTY OF CATAWBA
I, 41
7
PIER
N 31.02.36T, 7 ZONESN
z 30.00' i 1apg59 A
ull'0 �1 o z �-- ool o
P �1 J
'"! J•1 Ss'
1 m
/ vI,W • •
.--1 "in 0
\ f.
SUBJECT \
TO OFFSITE
SEPTIC SYSTEM\ /1/:`
74 : ,
± 1.10
ACRES
Ic'
0
± 0.77 ;�
ACRES
, 24" RCP
: SUBJECT
• TO OFFSITE
.:1a-SEPTIC SYSTEM
`.34' C-56
WELLE
�68 a
SHEET 1 0
@5a)
(64a)
, Review Officer
Catawba County, certify ghat the map or plat to
this certification is affixed meets all statutory
requirements for recording.
Date
/54 a
of
which
Review Officer
� 630
8 42)1. /9.s, /.:1)0?-,9-,7u)
Pr -5,
� 53 a
LAKE NORMAN
N 38e22'41E
36.39' N
�•\ sw \
=.�. o
�
\
( 6 0;
NI. 38e59'43" FN 28.39 53�s
30.00' 2C 42.37 \coe
.� \ \\ �i�\ �\
s\\o ss • sos \�.
oho 7C3 .
± 0.80
ACRES
-6
SUBJECT
TO OFFSITE
SEPTIC SYSTEM
N\
/
(59;
AMENITY
SEE NOTE 10
Co
N 45e47'08"E
/'30.007
oN
o° ^-)
/h
/ry
/�
N��poa
± 0.80,
ACRES '�
--SUBJECT
- TO OFFSITE
N48b 7E312.81
/•-4 C-45.vd, SUBJECT _ — —
\•.• . , TO OFFSITE
C-k� \ •.'••u'• ± 0.80
— ~ SEPTIC SYSTEM
18" RCP �6'� ACRES
�:F ,
SUBJECT \>.., \
•TO OFFSI TE : �� .•`?,,
SEPTIC SYSTEM qF: `'o.
`�F.N
•
,q‘ •
/ • 6 4 'V
i5 7/
15 8;
Jeffrey C. Allen , certify that this plat was
drawn under my supervision from an actual survey
made under my supervision (deed description
recorded in Book _AS__, page NOTED, etc.)(other);
that the boundaries not surveyed are clearly
indicated as drawn from information found in
Book AS —, page NOTED, that the ratio of precision
as calculated is 1:10,000+; that this plat was
prepared in accordance with G.S. 47-30 as amended.
Witness my original signature, registration number
and seal this 11th day of AUGUST , A.D., 1998.
This survey creates a subdivision of land within the
area of the county that has an ordinance that
regulates parcels of land.
C
\NN\ 4 ;: A:''o /0
S. E`o /� S. Re
SEAL
L-3810
oolismiloo
L-3810
55/
56/
w
61.047
/pp.• 6�9 3�
ISLAND PO/NT ROAD
HWY 150
VICINITY MAP (NTS)
PROPERTY LINE FOLLOWS
760' CONTOUR
01'
48e08'37" E
Fo.00' -- 7
6 pc
o �a�
^ /a
/,
lq%•wJ
LAKE NORMAN
r
(L\
LEGEND
EIP
EIR
IRS
EPK
MBL
R/W
E/P
SE
PSDE
RCP
CH
RAD
PIER
ZONES
1/2" EXISTING IRON PIN
5/8" EXISTING IRON REBAR
5/8" REBAR SET
EXISTING MASONRY NAIL
MINIMUM BUILDING LINE
RIGHT OF WAY
EDGE OF PAVEMENT
SIGHT EASEMENT TRIANGLE
15' PERMANENT STORM DRAINAGE EASEMENT
REINFORCED CONCRETE PIPE
CHORD DISTANCE
RADIUS
DESCRIPTION OF REVISION
DATE
DRAWN
CHECKED
APPR'V'D
FINAL PLAT PHASE 2
LAKEPOINTE NORTH
MOUNTAIN CREEK TOWNSHIP CATAWBA COUNTY
NORTH CAROLINA
100 50 0 100 200 300
David W Mitcham
Henry Wf Murray
B. Bruce Nooe
Wiliam E. Mitchell
David B. Boyfes
Jeffrey C. Allen
Lic. No.
L - 1527 NC
L - 3091 NC
PE 23544 NC
L - 3213 NC
PE 7480 NC
L - 1528 NC
PE 13073 NC
L - 3135 NC
L - 3810 NC
MITCHAM & ASSOCIATES, P.A.
ENGINEERS -SURVEYORS -PLANNERS
5913 High Point Road
Greensboro, N.C. 27407
[phone]
[phone]
SURVEYORS -PLANNERS
1704 East Boulevard Suite 100
Charlotte, N.C. 28203
[phone]
[phone] FAX
ONG. NO.
SURVEYED
JCA
DRAWN
JCA
CHECKED
JF
APPROVED
JOB NO.
974772
SCALE
1" = 100'
DATE
08/11/98
BOOK
SHEET
3 OF 4

Parcel Report - Catawba County NC
Parcel Information:
Parcel ID: 462801187678
Parcel Address: 2431 WELLESBOURNE LN
City: SHERRILLS FORD, 28673
LRK(REID): 801112
Deed Book/Page: 3664/1537
Subdivision: LAKEPOINTE NORTH PH 2
Lots/Block: 68/
Last Sale: $1,150,000 on 2021-06-15
Plat Book/Page: 46/5
Legal: LOT 68 PL 46-5
Calculated Acreage: .690
Tax Map:
Township: MOUNTAIN CREEK
State Road #: 3102
Tax/Value Information: Tax Rates(pdf)
City Tax District: All in County
County Fire District: SHERRILLS FORD
Building(s) Value: $496,800
Land Value: $254,300
Assessed Total Value: $751,100
Year Built/Remodeled: 2005/
Current Tax Bill
Miscellaneous:
Building Permit Address Search for this parcel.
If available, Building Permits for this parcel. Septic links
are not permits.
Septic Final Permits prior to 08/2018, contact
Environmental Health.
Building Details
WaterShed: WS-IV Critical Area
Voter Precinct: P31/ Voting Map
Parcel Report Data Descriptions
List all Owners
Deed History Report
Owner Information:
Owner: CERINO ANTHONY LOUIS III
Owner2: CERINO KIMBERLY
Address: 2431 WELLESBOURNE LN
Address2:
City: SHERRILLS FORD
State/Zip: NC 28673-9129
School Information:
School District: COUNTY
Elementary School: SHERRILLS FORD
Middle School: MILL CREEK
High School: BANDYS
School Map
Zoning Information:
Zoning District: COUNTY
Zoningl: R-30
Zoning2:
Zoning3:
Zoning Overlay: CRC-O,WP-O,FPM-O
Small Area: SHERRILLS FORD
Split Zoning Districts: /
Zoning Agency Phone Numbers
Firm Panel Date: 2008-03-18
Firm Panel #: 3710462800K
2010 Census Block: 2017
2010 Census Tract: 011503
Agricultural District:
Assessment Report
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling
information contained on this map or data on this report. Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.
The County of Catawba, its employees, agents, and personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises
or may arise from this map/report product or the use thereof by any person or entity.
© 2022, Catawba County Government, North Carolina. All rights reserved.