20220891 Ver 1_Riparian Buffer Authorization Request_20220629

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 6/29/2022
A. Owner/Applicant Information
General Information
Primary Contact Email: *
Who is submitting the application?*
Jason Carter
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: *
7045778183
Jason Thomas Carter and Traci Anne Carter
(for Corporations)
Street Address
100 Steamboat Drive
Address Line 2
City State / Province / Region
Mount Holly NC
Postal / Zip Code Country
28120 United States
B. Project Information and Prior Project History
1. Project Information
1a. Name of Project: *
1 e. Email Address: * [e-mail]
310 Canal Road
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
Id. Subdivision Name: Canal Road
le. Nearest Municipality: Belmont, NC
If. Property Size: 0.82
acres

1g. County (or Counties) where the project is located:*
Gaston
1h. Property ID#
Tax PIN or Parcel id
1i. Deed Information
Date of Purchase
Type of Book
Deed
Map
Book#
Page#
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
310 Canal Road - Jason Carter.pdf 285.75KB
PDF only
1k. How would you like to provide the Latitude and Longitude information?*
• Address Lookup
Manually
Address Lookup
Latitude* 31
Street Address
310 Canal Road
Address Line 2
City State / Province / Region
Belmont NC
Postal / Zip Code Country
28120 United States
Longitude* 81
11. Is the project located in any of North Carolina's twenty coastal counties?*
Yes
O No
2. Surface Waters
2a. Name of the nearest body of water to proposed project: *
Lake Wylie
2b. Water Quality Classification of nearest receiving water:
Lake
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
200
(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:
Shoreline Stabilization that will include RipRap, Land scaping cloth/fabric, and other
items the permit requires.

3b. Attach an 8'/2 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
report.pdf 16.04KB
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
310 Canal Road - Jason Carter.pdf 285.75KB
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: *
Shoreline Stabilization that will include RipRap, Land scaping cloth/fabric, and other
items the permit requires. Excavator will be used from the shoreline, on a barge.
There might be some excavator work done from the land side to make sure the
shoreline matches the 3:1 ratio that the permit requires.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
report.pdf 16.04KB
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

Shoreline
Wylie
Permanent
Allowable
0.00
0.00
Stabilization
(P)
Square
Square
Map label (e.g. Road
Perm or Temp
Feet
Feet
Crossing 1)
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 0.00
Comments:
I do not know what you are asking in section lc.
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.
Improving the shoreline under supervision of the correct permits for the state and
county.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Excavators along the shoreline to stabilize the shoreline as well as add rip rap to
control future erosion.
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
310 Canal Road - Jason Carter.pdf 285.75KB
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?

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
• 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");
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: * Jason Carter
Signature
Submission Date:
04/28/2022
(Auto populated field)

Initial Review
Is this accepted into the review process?* • Yes No
Yes
• No
ID#* 20220891
Version:* 1
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

Amounts and percentages displayed may not total precisely due to rounding.
Your bonus may be prorated on events like change in salary, target, plan, or leaves of absence, etc.
00560142_0

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:
310 Canal Road
1 b. County:
Gaston
1 c. Nearest municipality:
Belmont, NC
1 d. Subdivision name:
North Lake Wylie (South Fork) 4C
1 e. Is the project located in any of North Carolina's twenty coastal counties?
If yes, answer 1 f below.
❑ Yes
No
0
lf. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?
❑ Yes
No
0
2.
Owner Information
2a. Name on Recorded Deed:
Carter Jason Thomas Carter Traci Anne
2b. Deed Book and Page No.
4591 page 0711
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created):
2d. Responsible Party
(for Corporations):
Jason Carter
2e. Street address:
100 Steamboat Drive
2f. City, state, zip:
Mount Holly, NC
2g. Telephone no.:
704-577-8183
2h. Fax no.:
n/a
2i. Email address:
[e-mail]
3.
Applicant Information (if different from owner)
3a. Applicant is:
❑ Agent ❑ Other, specify:
3b. Name:
3c. Business name
(if applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
4.
Agent/Consultant Information (if applicable)
4a. Name:
4b. Business name
(if applicable):
4c. Street address:
4d. City, state, zip:
4e. Telephone no.:
4f. Fax no.:
4g. Email address:
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):
3592297243
1 b. Site coordinates (in decimal degrees):
Latitude: Longitude:
lc. Property size:
.82 acres
2.
Surface Waters
2a. Name of nearest body of water to proposed project:
Lake Wylie
2b. Water Quality Classification of nearest receiving water:
Lake
2c. River basin:
Catawba 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:
Shoreline of the lake of a residential property
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 8 1/2 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:
0
3e. Explain the purpose of the proposed project:
Shoreline Stablization
3f. Describe the overall project in detail, including the type of equipment to be used:
Shoreline Stabilization with excavator and installation of rip rap from the shoreline
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 0 No ❑ Unknown
5b. If yes, explain and detail according to "help file" instructions.
6.
Future Project Plans
6a. Is this a phased project?
❑ Yes 0 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 ❑ Tar -Pamlico
❑ Randleman ❑ Jordan
0 Catawba
Creek
❑ Goose
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)
B1 0 P ❑ T
Riparian zone
RipRap
Catawba
❑ Yes 0 No
20
B2 0 P ❑ T
Brush Clearing
Clearing of Brush
Catawba
❑ Yes // No
50
B3 ❑ P ❑ T
❑ Yes ❑ No
B4 ❑ P ❑ T
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
lc. Comments: Install RipRap in Riparian Zone to protect shoreline erosion
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Install RipRap will improve the shoreline
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. Insure project meets all requirements of permit
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that
requires buffer mitigation?
❑ Yes 0 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 0 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
la. Does the project involve an expenditure of public (federal/state/local) funds or the
use of public (federal/state) land?
❑ Yes 0 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 0 No
2b. Is this an after -the -fact permit application?
❑ Yes 0 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