20140720 Ver 1_Riparian Buffer Authorization_20140711

DWR 201 40720
J State of North Carolina
'��/� Department of Environment and Natural Resources
Division of Water Resources I I Division of Water Resources
�yq j �QJ� ?(8)(b),.0267 15A NCAC 02B .0233 (8)(b), .0243 (8)(b3 , .t'j�, pl)(b), .025 (11)(c), .0607 (e)(2) -Buffer Authorization
�tsglTy FORM: BA 10 -2013
B
Cy
Riparian Buffer Authorization Form
A. Applicant Information
1. Project Information
la. Name of project:
f AAGISSI
1 b. County:
Irle-
1 Nearest municipality:
i.
1d. Subdivision name:
e_ S in d
1 e. Is the project located in any of North Carolina's
twenty coastal counties. If yes, answer 1f below.
❑ Yes] No
1f. Is the project located within a NC Division of Coastal
Management Area of Environmental Concern (AEC)?
❑ Yes No
2. Owner Information
2a. Name on Recorded Deed:
Pn,
I Ct in ci rb e( re it �'�
2b. Deed Book and Page No.
iq 1 i.`wt Ctu r.-f Al
2c. Map Book and Page No.
(include a copy of the recorded
map that indicates when the lot
was created):
�t,.
11-23 j 1
2d. Responsible Party
(for Corporations):
NA
2e. Street address:
10F, - C -_s t 2
2f. City, state, zip:
°fin N l
2g. Telephone no.:
r _ L, G
2h. Fax no.:
2i. Email address:
r7 r--L- 0 - ,F1 i L LU FA
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:
t ; u -z 75, 7
4e. Telephone no.:
qL L2 - S i9 51.
4f. Fax no.:
4g. Email address:
a, L"', ev V ✓ic
FORM: BA 10 -2013 Page 1 of 4

B.
Project Information and Prior Project History
1.
Property Identification
1a
Property identification no (tax PIN or parcel ID)
(0
1 b
Site coordinates (in decimal degrees)
Latitude 35''' 144` s z'`
I Longitude g il .t ' g-7"
1 c
Property size
110 acres
2.
Surface Waters
2a
Name of nearest body of water to proposed project
GY1 ' ►��,YIC;
2b
Water Quality Classification of nearest receiving water
S
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 'Re-44- y -a W, ft` prop- ctva.krac_ ¢x.lt. -y 1� �e �k<< fi «✓�saL a� aetr��. pC�
V-L, $a4vi "t-4 Lt ot"L- dl
b' Attach an 8'/ x 11 excerpt from the most recent version of the USGS topographic map indicating the location of
the site
Attach an 8'/ 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
�E��x�plajjin the 1purpose of the proposed project �- kL erg `L'" S' s cx� rt�'3 r r c L� i� c H P �V
4` -4' eld v� � G %In hC [� 4- .--. -b (nt,J� 4..tt -Lk a -t�wa. 7a Gc� +-a h¢ e'� t JW. -i.i a�.e.e `'✓_ 1 Sw•.. ✓c.J ra^,
3f Describe the overall project in detail, including the type of equipment to be used e y - r '
-tJ j✓v +iJ ►�Qw' t dray than. �1� Wu� k olvan �i �c-�q.
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) IS OrVL, JZ�-iq e S d OL M
Agency/ Consultant Company
I Other D K,
4c
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
J U V) e— '1
5.
Project History
5a
Have permits or certifications been requested or obtained for this
project (including all prior phases) in the past
❑ Yes Vi'No ❑ Unknown
5b
If yes, explain and detail according to "help file" instructions
6.
Future Project Plans
6a
Is this a phased project?
❑ Yes yNo
6b
If yes, explain
'FORM- BA 10 -2013 Page 2 of

C. Proposed Impacts Inventory
1. Avoidance and Minimization
la Specifically describe measures taken to avoid or minimize the proposed Impacts In designing project
7t4 sro -14- ;,o4 mc-.0 -ti- �k -trre riw �.,c�14N 4i- � I'aNf1'�.'�/ !'wi F-s.
Ai4A;,iLi - ( occ i i uH -(w -iG.. ru >sed
lb Specifically describe measures taken to avoid or minimize the proposed Impacts through construction techniques
1�0 ogu Ito e�� t, ;l( �,� wss-� . fill t, ✓k fii ta. c�n �3 (�.
1. Buffer Impacts
2a WIII the protect result in an Impact within a protected riparian buffer that requires buffer
mitigation?
❑ Yes 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 requlred,In the table below
1 a Project is in which protected basin?
\
ICJ Neuse ❑ Tar - Pamlico ❑ Catawba
❑ Randleman ❑ Jordan ❑ Goose Creek
lb 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)
61 P ❑ T
p- j,,V De C-
Ll r1C (01)C
❑ Yes No
Total buffer mitigation
B2 k P ❑T
PC, Ck 6- tJ4a c� +H,
�1(dGr�C,4
ILa Z?
E] Yes ®No
2e If no, then discuss what type of mitigation Is proposed
32—
133 ❑ P ❑ T
❑ Yes ❑ No
134 ❑ P ❑ T
❑ Yes ❑ No
65 ❑ P ❑ T
❑ Yes ❑ No
136 ❑ P ❑ T
❑ Yes ❑ No
Total
buffer impacts
1c 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
7t4 sro -14- ;,o4 mc-.0 -ti- �k -trre riw �.,c�14N 4i- � I'aNf1'�.'�/ !'wi F-s.
Ai4A;,iLi - ( occ i i uH -(w -iG.. ru >sed
lb Specifically describe measures taken to avoid or minimize the proposed Impacts through construction techniques
1�0 ogu Ito e�� t, ;l( �,� wss-� . fill t, ✓k fii ta. c�n �3 (�.
2. Buffer Mitigation
2a WIII the protect result in an Impact within a protected riparian buffer that requires buffer
mitigation?
❑ Yes 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 requlred,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 EEP proposed?
❑ Yes RNo
2d If yes, attach the acceptance letter from the mitigation bank or NC EEP
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
Diffuse flow
stormwater treatment Include a plan that fully documents how diffuse flow will be
❑ Other BMP
maintained If a Level Spreader is proposed, attach a Level Spreader Supplement Form
la
If due to site constraints, a BMP other than a level spreader is proposed, please provide a''
❑ Yes \V No
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
R,cLIf ti /`` -4
Manual and attach a BMP Supplement Form
1 b
F.
Supplementary Information
by First Class Mail via the US Postal Service
1.
Environmental Documentation
OR NC DWR, Transportation Permitting Unit
la
Does the project Involve an expenditure of public (federal /state /local) funds or the use of
❑ Yes \V No
Raleigh, NC 27604
public (federal /state) land?
For all other projects send by delivery service
1 b
If you answered "yes" to the above, does the project require preparation of an
❑ Yes No
OR Karen Higgins
environmental document pursuant to the requirements of the,National or State (North
NCDWR — 401 & Buffer Permitting Unit
1650 Mail Service Center
Carolina) Environmental Policy Act (NEPA /SEPA)?
Raleigh, NC 27699 - 1650
1 c
If you answered "yes" to the above, has the document been-finalized by the State
❑ Yes No
Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter )
Comments
2.
Violations
2a
Is the site In violation of DWR Wetland Rules (15A NCAC 02H 0500), Isolated Wetland
❑ Yes I\q No
Rules (15A NCAC 02H 1300), DWR Surface Water or Wetland Standards, or Riparian
Buffer Rules (15A NCAC 02B 0200)?
2b
Is this an after - the -fact permit application?
❑ Yes \U No
2c
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
7l « /ru
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided )
Send this completed form and accompanying documents to the following
For government transportation projects send
For government transportation projects send
by First Class Mail via the US Postal Service
by delivery service (UPS, FedEx, etc )
NC DWR, Transportation Permitting Unit
OR NC DWR, Transportation Permitting Unit
1650 Mail Service Center
512 N Salisbury Street
Raleigh, NC 27699 - 1650
Raleigh, NC 27604
For all other projects send by First Class Mail
For all other projects send by delivery service
via the US Postal Service
(UPS, FedEx, etc)
Karen Higgins
OR Karen Higgins
NCDWR — 401 & Buffer Permitting Unit
NCDWR — 401 & Buffer Permitting Unit
1650 Mail Service Center
512 N Salisbury Street
Raleigh, NC 27699 - 1650
Raleigh, NC 27604
FORM BA 10 -2013 Page 4 of 4

MCDENR
'North Carolina Department of Environment and Natural Resources
Pat'McCrory
Governor
June 3„2014
Paweland Barbara Molenda
108 Agassi Court
Cary, NG 2751.1
John E. Skvarla, •III
Secretary
Subject: Surface Water Determination Letter
NBRRO# 14 -1'75,
Wake County'
Determination Type
Buffer Call
Isolated,or EIR Call
® Neuse (15A NCAC 2B 0233)'
Start@
❑'Tar - Pamlico (115ASNCAC 2B •0259)
❑ Ephemeral /Iptermlttent/Perenrnal Deterrnrnatlon
'
USGS
❑ 'Isolated.WetlandDetermination
❑ Jordan (15A NCAC 2B -0267)
to Buffers
Project Name.' . 1108 Agassi Court
`Location/Direchons:- Subject propertyas a privately owned tract located at project address,
proposed project.the replacemenvof an exisfing impervious deck;
construction would stay in,the exisfing'footprint of previous deck -,'
Subje&Stream- Long•Branch
Determination Date: 6/2/2014
Staff Sara•Knies
,St`ream
E %UP'* '
Not,Subject
Subject
Start@
S "top@
Soil
USGS
to Buffers
to
Survey
Topo
Buffers
A
P I
3C
Through-out
,Throw out
X
X
*E/UP'= Ephemera LlInter,,mittent /Perennial
Explanation The,feature(s) listed above has orihave,been located on -the Soil Survey of Wake County, North
Carolma,or the most recent copy-of the USGS4Topographic map at a 1.24,000- scale. Each.feature that•is checked,
"Not Subject" ha -s been, determined "not toibe'a.stream or is not present on the property Features that are checked.
"Subject" have been'located on the propertyand,possess characteristics that qualify -it to beia stream There may be
other +streams °located on,your'property thatdo not show up on ihe,maps referenced above but,sfill.inay be i
,considefed juri'sdictiorial according to the US Army Corps of Engineers' and/or to the Division of Water Resources
'(j)WR)
This ton-site, determination shalfexpire-five.(5) years from,the date of thisfletter. Landowners•or affected parties that
dispute a determination made by the DWR or Delegated Local,Autho_rity may request;a.determination by the
!Director -.,An appeal request,musf be made within sixty,(60) days•of,date of this letter,or from the date the affected
VoCaroltha-
a, e ura!!k
North' Carolina Division•of, Water Resources 1628 Mad Service Center Raleigh, NC 27699 -1628 Phone,(919) 7914200
,Internet' www ncwaterQuality org Location 13800 Barrett Drive Raleigh, NC, *27609 Fax [phone]
An Equal Opportunity /AffirmAVe Action Employer —,50 %Recycled /10% Post Consumer Paper

I,08 Agassi Qouit
6/2/2044
Page, 2, of 2
party (incl'uding downstream and /dr%dlacent owners),is notified of this letter. .A request,for a,determination bythe
Director shall beireferred to the Director in writing.-c/o Karen,Higgins; DWR WeBSCaPe Unit; 165Q Mail. Service
Centet, Raleigh,,NC 27699. '
This determination is final and binding, unless „as,d'etailed above; you,ask for-a'hearing or appeal within sixty (60)
days.
The owner /future owners should notify the Division of Water Resources (including any other Local, State; and
federal[ Agencies) of this decision concerning:any future correspondences regarding,the subject property (stated
above).. This project may�require a Section 404/401 Permit -for the proposed activity. Any inquiries,shouWbe
directed to the'Division of Water.'Resources (Central Office) at,(919,)- 807 -6300, and the US Army'Corp,of Engineers
(Raleigh Regulatory'Field ©ffice),at•(919)- 5544884.
If you have questions regarding this determination, please feel free to contact,,Sara -Knies at (919) 7914258
Sincerely,
Danny Sin�th
Supervisor, Water'Quality Regional Operations Center
i
cc RRO, DWR He Copy

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LAW IF
Ail
4.f
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VICINITY MAP (NTS) I 30' 15' 0 30'
GRAPHIC SCALE
1 "= 30'
`EDGE OF
LAKE 3 n}
OPEN SPACE
50' NEUSE RIVER °1g13 W 529
BUFFER 4
- D50'FROM N26 °p3,
M W EIPN 19
TOP OF BANK — EIP
DaLk
cP N
—1 -6
� Ll (j('!0 f9fmti N 12 6' DECK
C)
c,5 86' s i /rrc �l i
Cq �lL ivy ba /:
2 -S -F -D
a� rlLk f° be 305
G�ytVvti�¢c� 106'
SwlrnYrn�.
CD
CD
cD JEIP
LEGEND
Lines Surveyed
DRI E
1
— — Lines not surveyed
E I P Existing Iron Pipe
I P S Iron Pipe Set
P P Power Pole
M I-I Manhole
VICINITY MAP (NTS) I 30' 15' 0 30'
GRAPHIC SCALE
1 "= 30'
`EDGE OF
LAKE 3 n}
OPEN SPACE
50' NEUSE RIVER °1g13 W 529
BUFFER 4
- D50'FROM N26 °p3,
M W EIPN 19
TOP OF BANK — EIP
DaLk
cP N
—1 -6
� Ll (j('!0 f9fmti N 12 6' DECK
C)
c,5 86' s i /rrc �l i
Cq �lL ivy ba /:
2 -S -F -D
a� rlLk f° be 305
G�ytVvti�¢c� 106'
SwlrnYrn�.
CD
CD
cD JEIP
I, David VV Barrier,certlfy that this plat
was drawn under my supervision from
an actual survey made under my
supervision, that the boundai ies not
surveyed are clearly indicated and any
encroachments are shown
80M 1989p
' G 1488
/ POIN IN
DRI E
1
I,n, ,
LoL
LOT 304,'T1=1� LAWNS
IN WIMBLEDON,
RECORDED IN B 0 M
1989, PG 1488, WAKE CO
I, David VV Barrier,certlfy that this plat
was drawn under my supervision from
an actual survey made under my
supervision, that the boundai ies not
surveyed are clearly indicated and any
encroachments are shown
80M 1989p
' G 1488
EIPU
eve
Z
41
N
C5
Cb
M
GREENWAY
CD
N
CONC 304 CO -
DRIVE 0 155 AC
2 °2 '05" E 6438, EIP
303
PROPERTY OF
PAWEL MOLENDA
& BARBARA MOLENDA
108 AGASSI CT CARY, N C
SCALE, 1 " =30'Y
+ David W, Bal ner
DATE, 6/11/14 Ll( ell; e(1 `�lll "Veyo,
H,tl°1ison 1�ve
BOOK, M- 235 -39 Cai v, N �' 27 51 1
9N 469 -28 :IJ4
"4
LoL
EIPU
eve
Z
41
N
C5
Cb
M
GREENWAY
CD
N
CONC 304 CO -
DRIVE 0 155 AC
2 °2 '05" E 6438, EIP
303
PROPERTY OF
PAWEL MOLENDA
& BARBARA MOLENDA
108 AGASSI CT CARY, N C
SCALE, 1 " =30'Y
+ David W, Bal ner
DATE, 6/11/14 Ll( ell; e(1 `�lll "Veyo,
H,tl°1ison 1�ve
BOOK, M- 235 -39 Cai v, N �' 27 51 1
9N 469 -28 :IJ4