20220749 Ver 1_Riparian Buffer Authorization Request_20220526

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 5/26/2022
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: *
FERGUSON, ROBERT A FERGUSON,
CHELSEA F
1b. Responsible Party: (for Corporations)
lc. Mailing Address:*
Id. Telephone:*
9195786222
Street Address
6816 Rainwater Road
Address Line 2
City
Raleigh
Postal / Zip Code
27615-7115
2. Applicant's Information (if different from owner):
2a. Name:
2b. Company Affiliation:
2c. Mailing Address:
State / Province / Region
NC
Country
US
1e. Email Address:* [e-mail]
Mike Poupard
Grayson Homes, LLC
Street Address
5711 Six Forks Rd ste 103
Address Line 2
City State / Province / Region
Raleigh NC
Postal / Zip Code Country
27609-3888 US
2d. Telephone: [phone]
2e. Email Address: [e-mail]

B. Project Information and Prior Project History
1. Project Information
la. Name of Project: *
6816 Rainwater Rd.
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
Id. Subdivision Name: Northridge
le. Nearest Municipality: City of Raleigh
If. Property Size: 0.44
acres
lg. County (or Counties) where the project is located:*
Wake
1h. Property ID#
1717626658
Tax PIN or Parcel id
li. Deed Information
Date of Purchase
5/12/2022
Type of Book
Book#
Page#
Deed
019023
01336
Map
1717
15
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
6816 RAINWATER RD FIN.pdf
PDF only
830.19KB
1k. How would you like to provide the Latitude and Longitude information?*
Address Lookup
Manually
Address Lookup
Street Address
6816 Rainwater Road
Address Line 2
City State / Province / Region
Raleigh NC
Postal / Zip Code Country
27615-7115 US
Latitude* 35.872459 Longitude* -78.6063483
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: *
Neuse
2b. Water Quality Classification of nearest receiving water:
B, NSW
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
110
(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:
New single family residential home was just built on lot and landscaped around.
General use for land is residential with neighboring properties installing their own
fences/pools in backyards that also back up to this buffer
3b. Attach an 8 YZ 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
Wetland Sketch Map.pdf 4.08MB
PDF 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 document
6816 soils.pdf
PDF only
4. Proposed Activity
1.71 M B
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used: *
Proposing a 4' tall aluminum fence to be installed around backyard of property(within
30 feet of the buffer) for the purpose of containing pets and children. Manual post
hole diggers to be used by installers
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
6816 RAINWATER RD FIN.pdf
Rainwater Fence Sketch PDF.pdf
PDF only
5. Jurisdictional Determinations
830.19KB
121.55KB
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
C• 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?*
O Yes
O No
C. Proposed Impacts Inventory

Buffer Impacts
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
Fence
Map label (e.g. Road
Crossing 1)
Perry Creek
Permanent
(P)
Perm or Temp
Exempt
50.00
Square
Feet
25.00
Square
Feet
Total Zone 1 Impacts: 50.00
Total Zone 2 Impacts: 25.00
Total Buffer Impacts: 75.00
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.
Disturbance will be minimized throughout installation and vegetation to remain
untouched
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Use of hand operable tools and no power tools to ensure the preservation of
vegetation and buffer
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
lc. Diffuse Flow Documentation
F. Supplementary Information
Environmental Documentation
Click the upload button or drag and drop files here to attach document
Rainwater Fence Sketch PDF 5.pdf 124.87KB
PDF only

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
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")
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");
• 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: * Mike Poupard
Signature
Submission Date:
f
05/26/2022
(Auto populated field)

Initial Review
Is this accepted into the review process?* • Yes No
Yes
• No
ID#* 20220749
Version:* 1
Select Reviewer: * Colleen Cohn:eads\cmcohn
Select Reviewing Office* Raleigh Regional Office - [phone]
Is this project a public transportation project?*
Has payment been received?* • No Payment Needed
Fee Received
Need Fee - send electronic notification

TOB 1
TOB 17
ARAINWATER RDNORTH RIDGE DR
NC Center for Geographic Information & Analysis
Project Number:
SB
Project Manager:
1" = 100'Scale:
06/28/2021Date:
Map Title:
Source:
Wetland Sketch Map
6816 Rainwater Rd
NC One Map
¯0 100 200
Feet
14825.W1

Detailed Delineation of Waters of the US
Suitable for Preliminary Planning Only

S&EC reserves the right to modify this map based on more fieldwork,
and any other additional information. Approximations were mapped using
topographic maps, air photos and ground truthing. If the site is going
to be disturbed, S&EC’s detailed delineation should be approved and
permitted by the U.S. Army Corps of Engineers as required. If the user of
this work desires an accurate map of the regulated features flagged by
S&EC, they should retain a NC Registered Professional Land Surveyor to
locate S&EC’s flagging.
Legend
Evaluation Area
Potentially Jurisdictional Perennial Stream
Potential 50' Neuse River Riparian Buffer
2' Wake County Contours
CfC
HeB
Disclaimer
iMaps makes every effort to produce and publish
the most current and accurate information possible.
However, the maps are produced for information purposes,
and are NOT surveys. No warranties, expressed or implied
,are provided for the data therein, its use,or its interpretation.
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COVERED DECK 220 50. PT.
A/C PADS 27 SO. PT.
AVERAGE ROOF
HEIGHT 3G.6'
TOTAL 5 1 13 50. FT,
L E G E N D
RCA: SITE
Elf,EXISTING IRON PIPE
FES FLARED END SECTION
RON PIPE sAT
TI1R/W
1S PROPERTY IS NOT LOCATED AA IRIGHT OF WAY
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