20201998 Ver 2_Riparian Buffer Authorization Request_20220406

Buffer Authorization Application Form
15A NCAC 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
Original Submittal 4/6/2022
A. Owner/Applicant Information
General Information
Primary Contact Email: *
Who is submitting the application?*
[e-mail]
Please list the contact person's email for questions or payment on this project if needed.
Owner
Applicant other than Owner
Agent
Is there an agent working on this application but Yes
not submitting it? • No
1. Property Owner Information:
la. Name on Recorded Deed: *
1b. Responsible Party:
lc. Mailing Address:*
Id. Telephone: *
7046576661
Cecil Kevin & Retha B Davis
(for Corporations)
Street Address
1670 Kale Rd
Address Line 2
City
Catawba
Postal / Zip Code
28609
B. Project Information and Prior Project History
1. Project Information
1a. Name of Project: *
State / Province / Region
North Carolina
Country
United States
le. Email Address:* [e-mail]
Kevin & Retha Davis
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
Id. Subdivision Name:
le. Nearest Municipality:
If. Property Size:
1.75
acres

1g. County (or Counties) where the project is located:*
Catawba
1h. Property ID#
470002997821
Tax PIN or Parcel id
1i. Deed Information
Date of Purchase
2/26/2020
Type of Book
Book#
Page#
Deed
03556
0917
Map
1 j. 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 document
PDF only
1k. How would you like to provide the Latitude and Longitude information?*
• Address Lookup
Manually
Address Lookup
Latitude* 35.684080
Street Address
1670 Kale Rd
Address Line 2
City State / Province / Region
Catawba North Carolina
Postal / Zip Code Country
28609 United States
Longitude* -80.987800
11. Is the project located in any of North Carolina's twenty coastal counties?*
Yes
• 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: *
Lake Norman
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:
Private home
3b. Attach an 8'/z 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 document
PDF only

3c. Attach an 8'/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 document
PDF only
4. Proposed Activity
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used: *
Planting 21 trees to restore 30 ft buffer. May use a skid steer.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
PDF 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
• No
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
( Yes
• No
7. Future Project Plans
7a. Is this project a phased project?*
C. Proposed Impacts Inventory
Buffer Impacts
Yes
• No
Project is in which protected Basin?*
Neuse River Basin (15A NCAC 02B.0233)
• Catawba River Basin (15A NCAC 02B.0243)
Randleman Lake Watershed (15A NCAC 02B.0250)
Tar -Pamlico River Basin (15A NCAC 02B.0259)
Jordan Lake Watershed (15A NCAC 02B.0267)
Goose Creek Watershed (15A NCAC 02B.0606 & 15A NCAC 026.0607)
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
Map label (e.g. Road
Crossing 1)
Permanent
(P)
Perm or Temp
Allowable
w/
mitigation
60.00
Square
Feet
0.00
Square
Feet
Total Zone 1 Impacts: 60.00
Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 60.00

Comments:
Stone steps.
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.
Kept the steps as narrow and short as practical to get to the bottom of the steep
bank.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Kept the steps as narrow and short as practical to get to the bottom of the steep
bank.
2. Buffer Mitigation
2a. The table below identifies the square footage of impact to each zone of the riparian buffer and the required mitigation.
Zone 1 - Catawba Only
Total Impact
Multiplier
Required Mitigation
60.00
Square Feet
2
120.00
Square Feet
Zone 2
Total Impact
Multiplier
Required Mitigation
0.00
Square Feet
1.50
0.00
Square Feet
2b. What is the mitigation plan proposed for this Payment to private mitigation bank
project?* Payment to Division of Mitigation (DMS)
Permittee responsible mitigation
2e. Attach statement of availability from mitigation provider. *
Click the upload button or drag and drop files here to attach document
Dogtown Buffer SOA - Kevin & Retha Davis.pdf 144.7KB
PDF only
2g. Comments:
E. Diffuse Flow Plan
la. What type of SCM are you providing?*
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Proposed project will not create concentrated stormwater flow through the buffer
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
PDF 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?
Yes
• 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?
• Yes
No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
We removed diseased and fallen trees in the 30 foot buffer and had to remove a few
others to be able to get to the diseased and fallen ones. Total of 6 to 8 trees.
G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments:
Additional Comments:
H. Sign and Submit
By digitally signing below, I certify that:
Click the upload button or drag and drop files here to attach document
PDF only
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: * Kevin & Retha Davis
Signature
Submission Date:
03/29/2022
(Auto populated field)

Initial Review
Is this accepted into the review process?* • Yes No
Yes
• No
ID#* 20201998
Version:* 2
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office* Mooresville Regional Office - [phone]
Is this project a public transportation project?*
Has payment been received?* • No Payment Needed
Fee Received
Need Fee - send electronic notification

fires
EBX Buffer Mitigation Banks
Statement of Availability April 4, 2022
NC Division of Water Resources
Doug Perez
610 East Center Ave., Suite 301
Mooresville, NC 28115
Re Project: Kevin & Retha Davis
This document confirms that Kevin & Retha Davis (Applicant) for the Kevin & Retha Davis (Project)
has expressed an interest to utilize 130.00 Square Feet of Riparian Buffer Mitigation Credits from the
following bank, RES Dogtown Buffer Mitigation Bank. The specific bank site that may be debited
Dogtown, that is located in the Catawba River watershed, specifically HUC 03050101. As the official
Bank Sponsor, EBX, attests to the fact that mitigation is available for reservation at this time.
These mitigation credits are not considered secured, and consequently are eligible to be used for alternate
purposes by the Bank Sponsor, until payment in full is received from the Applicant resulting in the
issuance of a Mitigation Credit Transfer Certificate by the bank acknowledging that the Applicant has
fully secured credits from the bank and the Banker has accepted full responsibility for the mitigation
obligation requiring the credits/units.
The Banker will issue the Mitigation Credit Transfer Certificate within three (3) days of receipt of the
purchase price. Banker shall provide to Applicant a copy of the Mitigation Credit Transfer Certificate and
a documented copy of the debit of credits from the Bank Official Credit Ledger(s), indicating the permit
number and the resource type secured by the applicant. A copy of the Mitigation Credit Transfer
Certificate, with an updated Official Credit Ledger will also be sent to regulatory agencies showing the
proper documentation.
Please contact me at 919-209-1055 or [e-mail] if you have any questions.
Best,
Amy Staley
Resource Environmental Solutions, LLC
701 E. Bay Street, Suite 306
Charleston, SC 29403
Bank Sponsor — Environmental Banc & Exchange (EBX)