20220937 Ver 1_Riparian Buffer Authorization Request_20220711

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 7/11/2022
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
1. Property Owner Information:
..........................................................................................................................................................................................
la. Name on Recorded Deed:* Brian and Jaimi Riley
lb. Responsible Party: (for Corporations)
lc. Mailing Address:* Street Address
751 Lake Royale
Address Line 2
City State / Province / Region
Louisburg NC
Postal / Zip Code Country
27549-9599 US
I d. Telephone:*
[phone]
3. Agent Information:
3a. Name:
3b. Company Affiliation:
3c. Mailing Address: Street Address
Address Line 2
City
Postal / Zip Code
3d. Telephone:
le. Email Address:* [e-mail]
3e. Email Address:
State / Province / Region
Country
3f. Attach a signed and dated copy of the agent Click the upload button or drag and drop files here to attach document
authorization form.
PDF Only
B. Project Information and Prior Project History
1. Project Information

la. Name of Project: * Riley Waterfront
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
Id. Subdivision Name: Lake Royale
le. Nearest Municipality: Bunn
If. Property Size: 1.45
acres
1g. County (or Counties) where the project is located:*
Franklin
1h. Property ID#
019976
Tax PIN or Parcel id
1i. Deed Information
Date of Purchase
5/2/2022
Type of Book
Book#
Page#
Deed
2298
725
Map
12
12 &
45
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
Latitude* -78.196559
Longitude* 35.956138
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 royale
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:
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:
currently undeveloped land with large growth hardwoods, pines, vegetation and
underbrush
lots adjacent are residential single family dwellings
3b. Attach an 8'/: 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
683 sagamore us topo.pdf 1.04MB
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
683_Web Soil Survey.pdf 1.09MB
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: *
clear out all underbrush and low vegetations and (12) twelve large trees in order to
gain access and construct/install 100 lineal feet of corrugated vinyl seawall along
shoreline, new boat slip with a boat house roof and adjacent docks over water.
excavation shall occur at shoreline for new boat slip and will use a track excavator
and boom lifts and skid steer
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
20220711_683 site plan.pdf
683 waterfront plan and section.pdf
PDF only
5. Jurisdictional Determinations
1.32MB
557.41 KB
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
equipment path
and access
Map label (e.g. Road
Crossing 1)
cypress
creek/ lake
royale
Temporary
(T)
Perm or Temp
Allowable
0.00
Square
Feet
0.00
Square
Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 0.00
Comments:
plans and pictures provided for proposed work
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.
project will minimize the impacts by using a small portion of the available lineal
footage of lake/ stream by means of leaving all existing vegetation and trees in place
on the remaining areas of the property.
only removing necessary trees to construct boat house and sewall work
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
a series of silt fences and temp storm banks/ hold backs will be made with straw
bales and rip rap and gravel, straw waddles.
activities to start and finish within a few weeks to minimize the impacts. temporary
measures will be taken durin install to keep any erosion or debris from impacting the
lake water quality
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
683 pic 3 shoreline.pdf
PDF only
F. Supplementary Information
Environmental Documentation
4.56MB
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
C• No
G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments:
Additional Comments:
Click the upload button or drag and drop files here to attach document
683 pic 1 trees to be removed.pdf
683 pic 3 shoreline.pdf
20220428_prefile email confirmation.pdf
PDF only
uploaded additional attachment of email confirmation of pre -file meeting request
H. Sign and Submit
By digitally signing below, I certify that:
4.2MB
4.56MB
286.61 KB
▪ I have given true, accurate, and complete information on this form;
• 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:* shaun patrick liggett
Signature
Submission Date:
7/11/22
(Auto populated field)

Initial Review
Is this accepted into the review process?* • Yes No
Yes
• No
ID#* 20220937
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

7/11/22, 4:04 PM
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683 sagamore drive louis
-78.198786°, 35.96141 1 °
1600 ft
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Franklin County, North Carolina (NC069)
Franklin County, North Carolina (NC069)
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W Water 0.0 0.8%
Totals for Area of 1.7 100.0%
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REFERENCES: Lots 483 & 484, Lake Royale Subdivision
Deed Book 2298, Page 725
Deed Book 2226, Page 1164 — Restrictive Covenants
Map Book 12, Page 12 (Map Book 12, Page 45—Amended)
Tax Record No. 019976
LEGEND: • .
0.
found iron as noted
set iron as noted
100—year flood limits line (see Note)
property line plotted from record
easement or buffer line
NOTE: Area of Lot = 1.445 Acres ( Coordinate Method )(To Tie Lines;
NOTE: N.C. Grid station unavailable within 2000' at this time.
NOTE: This survey is subject to all easements, agreements,
rights —of —way and restrictive covenants recorded prior to
the date of this survey.
NOTE:
100—Year Flood Limits line scaled and plotted from Franklin
County GIS, "Flood Area Layer"
I, William T. Dement, Jr., certify that this plat was drawn under my supervision from an
actual field survey made under my supervision (deed description recorded in Book 2298,
Page 725; that the boundaries not surveyed are clearly indicated as drawn from information
found in Map Book 12, Pages 12 & 45; that the ratio of precision as calculated is 1/15,000;
that this survey is of an existing parcel or parcels of land and does not create a new
street or change an existing street; that this map was prepared in accordance with G.S.
47-30 as amended. Witness my original signature, license number nd seal, this 4th day
of May, 2022.
Professional Land Surveyor
L-1456
Found Mag Nail w/
Top Flush In
Intersection
Chd.: N 42"19'25"E 117.72'
L=127.41' R=93.23'
2
H
O
Z
0
0
w
N
c
a.
N
A
R/W
A
Found 5/8" Iron
Rebar w/Top
Flush w/Ground
ache
Drive
Set Mag Nail w/ NN•
1
Top Flush LA
Intersection
15'
N 81'14'15"E
16.00'
S
a
Riparian Buffer
N 02'54'20"E
24.99'
Found 5/8" Iron
Rebar w/Top 2"
Below Ground
PLAT OF BOUNDARY SURVEY FOR
BRIAN LYNN RILEY & WIFE, JAIMI RENAE RILEY
(Property Owner — Brian Lynn Riley, et ux)
683 Sagamore Drive, Cypress Creek Township, Franklin County, NC
Uti�54
lity vE �_
7ent
1609
VICINITY MAP
( No Scale )
LAKE
ROYALE
sit
•• ‘`N �CARq 1i,
•
SEAL
'ii' T DENS
Chd: N 82'53'00"E 18.33'
L=18.34' R=498.82'
ve
ore pri
8y14'15„E
135.18
Found 5/8" Irol
Rebar w/Top 1
Eelow Ground
\ Found 5/8" Iron
\ Rebar w/Top
\ Flush w/Ground
/ \0.5' E of Edge CO
of Branch ^ O
O
r
( 485 )
Now or Formerly
Lake Royale POA, Inc.
( D.B. 904, P. 115 )
6
Found 5/8" Iron \
Rebar w/Top 1" \\
Above Ground
1
R W
•
70.53'
N 87'22'40"E
Chd.
eo9e
or C
°ke
ow
Private
4:39
I11
Found 5/8" Iron
Reber w/Top 2"
Below Ground 0.5'
N of Power Pole
High—water Mark
of Lake Is
Property Line
R W
Found 1/2" Iron
Pipe w/Top 1"
Below Ground
( 482 )
Now or Formerly
Charles E.
Gragg, et ux
D.B. 1175, P. 1041 )
Found 5/8" Iron
Rebar w/Top 7"
Below Ground
100—Year Flood Limits
( See Notes )
Edge of Cake
20' — Lake Royale —
Now or Formerly
Lake Royale POA, Inc.
( D.B. 1803, P. 923 )
Scale: 1 "=60'
60 0
Date: May 4, 2022
60 120 180
GRAPHIC SCALE — FEET
Surveyed & Mapped By
WILLIAM T. DEMENT, JR., Professional Land Surveyor, P.A.
L-1456, C-0649
(0)919-496-6159 (M)919-496-9502
102 West Nash Street Louisburg, N.C. 27549
NOTE: Owner's name shown for indexing
purposes only and does not constitute
title certification.
(File No. 3992-2)

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[e-mail]
From: [e-mail]
Sent: Thursday,April 28, 2022 11:26 AM
To: [e-mail]
Cc: [e-mail]
Subject: Riley Waterfront Project- Prefile Meeting Request
Morning,
In accordance with 40 C.F.R. Section 121.4(a)
Hereby request a prefiling meeting for the Riley Waterfront project for the property listed below
Project: Riley Waterfront
401 General Permit
Riparian Buffer Authorization to build dock, bulkhead,and boat house
Location:
683 Sagamore Drive Louisburg NC 27549, Lot#483 Tax ID#019976
Lake Royale-Cypress Creek
Tar Pamlico Watershed
thanks
Shaun Liggett
Concept Contracting and Design LLC
Aviator Woodwork LLC
301 E. Nash Street
Louisburg NC 27549
[phone]
1

dotloop signature verification:
SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 4s S T 7 PLAN NO. PARCEL ID: v/ / 6.
STREET ADDRESS: 6'3 s46 -N o C>f2-1
7-0(-2rsa:) A/'-
Please print: �� �L
Property Owner: t� y
Property Owner: cl.-/A(( Fr
The undersigned, registered property owners of the above noted property, do hereby authorize
U , of CoA(C T C'tA cT7r0.lz .nrE.s/6.J Gz,C
(Contractor/ Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
mailing: 751 Lake Royale, Louisburg, NC 27549
physical: 105 Wynoming Dr., Louisburg, NC 27549
Telephone: Brian Riley 308-529-0116
Jaimi Riley 812-725-4763
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
dotloop verified
// ��«� ��� 07/09/22 11:35 AM CDT
3PDF-6SNP-17G75 CQ OZ,41f/4161e�%'4eef dotloop verified
'''`'O� 07/09/22 5:30 PM CDT
I0UM-6BCC-XENP-2E2A
Authorized Signature Aut luriLeu Jlyrldi.uIC
Date: 07/09/2022 Date: 07/09/2022