20140958 Ver 1_Buffer Determination Request_20140909

I+ State of North Carolina
�'�, Department of Environment and Natural Resources
Division of Water Resources 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 30 -2013
Riparian Buffer Authorization F ,Ili'
A.
Applicant Information
1.
Project Information
la.
Name of project:
Coggins Home 4.
1b.
County:
Beaufort
1c.
Nearest municipality:
Washington, NC
Id.
Subdivision name:
Beaufort Pointe, Phase II
le.
Is the project located in any of North Carolina's
twenty coastal counties. If yes, answer If below.
X Yes ❑ No
1f.
Is the project located within a NC Division of Coastal
Management Area of Environmental Concern (AEC)?
X Yes ❑ No
2.
Owner Information
2a.
Name on Recorded Deed:
Robert and Mary Coggins
D.B. 1833, P. 424
2c. Map Book and Page No.
(include a copy of the recorded
map that indicates when the lot
was created):
Plat Cabinet H, Slides 4- 8,4- 9.4 -10
2d.
Responsible Party
(for Corporations):
2e.
Street address:
5186 County Home Road
2f.
City, state, zip:
Winterville, NC 28590
2g.
Telephone no.:
252- 714 -4049
2h.
Fax no.:
2i
Email address:
I ncc000ins pembaromail.com
3.
Applicant Information (if different from owner)
3a.
Applicant is:
X 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.
AgentiConsultant Information (if applicable)
4a.
Name:
John A. Dominy, II
4b.
Business name
(if applicable):
Spruill & Associates Inc.
4c.
Street address:
2747 East Tenth Street
4d.
City, state, zip:
Greenville, NC 27858
4e.
Telephone no.:
252 - 757 -1200
4f.
Fax no.:
252 - 757 -1269
4g.
Email address:
spruill(&coastalnet.com
FORM: BA 10 -2013 Page 1 of 5

i INTERNAL DRAFT- NOT FOR PUBLIC USE
Section A. Applicant Information, continued
FORM: SSGP3080 8 -13 Page 2 of 5

.'i
B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
5684 -84 -2862
1b.
Site coordinates (in decimal degrees):
Latitude:
N 35.505630°
Longitude:
W 77.023232°
1c.
Property size:
0.244 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Pamlico River
2b.
Water Quality Classification of nearest receiving water:
SB; NSW
2c.
River basin:
Tar- Pamlico
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:
vacant lot in new subdivision
3b.
Attach an 8'/: x 11 excerpt from the most recent version of the USGS topographic map indicating the location of
the site
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
3d.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
None
3e.
Explain the purpose of the proposed project:
construction of new residence
3f.
Describe the overall project in detail, including the type of equipment to be used:
new residential construction, no heavy equipment needed
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?
X Yes ❑ No ❑ Unknown
Comments: Pamlico River
4b.
If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/ Consultant Company: Anthony
Scarbraugh (DWQ)
Other:
4c.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Discussion with Anthony Scarbraugh on August 21, 2014
5.
Project History
5a.
Have permits or certifications been requested or obtained for this
project (including all prior phases) in the past?
❑ Yes X No ❑ Unknown
5b.
If yes, explain and detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes X No
6b.
If yes, explain.
FORM: BA 10 -2013
Page 3 of 5

C. Proposed Impacts Inventory
Impact Justification and Mitigation
1.
1. Buffer Impacts
1a.
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
House plans were drawn specifically to fit within the buildable area on lot.
1a. Project is in which protected basin?
❑ Neuse X Tar - Pamlico ❑ Catawba
❑ Randleman ❑ Jordan ❑ Goose Creek
tb. 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
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 X P ❑ T
steps
allowable
Pamlico River
❑ Yes X No
68
B2 ❑ P ❑ T
Zone 2
❑ Yes ❑ No
1.5
B3 ❑ P ❑ T
Total buffer mitigation required:
❑ Yes ❑ No
If buffer mitigation is required, is payment to a
mitigation bank or NC EEP proposed?
❑Yes X No
B4 ❑ P ❑ T
If yes, attach the acceptance letter from the mitigation bank or NC EEP.
2e.
If no, then discuss what type of mitigation is proposed.
N/A
❑ Yes ❑ No
Comments:
B5 ❑ P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
1c. Comments:
D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
1a.
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
House plans were drawn specifically to fit within the buildable area on lot.
1b.
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
minimal landscaping and site preparation to minimize environmental impact on the lot
2.
Buffer Mitigation
2a.
Will the project result in an impact within a protected riparian buffer that requires buffer
mitigation?
❑ Yes X 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 EEP proposed?
❑Yes X No
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.
N/A
2f.
Comments:
FORM: BA 10 -2013
Page 4 of 5

E. Diffuse Flow Plan
All buffer impacts and high ground impacts require diffuse flow or other form of
X Diffuse flow
stormwater treatment. Include a plan that fully documents how diffuse flow will be
El 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 X No
plan for stormwater treatment as outlined in Chapter S of the NC Stormwater BMP
public (federal /state) land?
Manual and attach a BMP Supplement Form.
1b.
F.
Supplementary Information
1.
Environmental Documentation
la.
Does the project involve an expenditure of public (federal /state /local) funds or the use of
❑ Yes X No
public (federal /state) land?
1b.
If you answered "yes" to the above, does the project require preparation of an
❑ Yes X No
environmental document pursuant to the requirements of the National or State (North
Carolina) Environmental Policy Act (NEPA/SEPA)?
1c.
If you answered "yes" to the above, has the document been finalized by the State
❑ Yes X 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 X 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 X No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
John A. Dominy, 11
Applicant/Agent's Printed Name ApplicantlAgent's ignature Date
(Agent's 16 ature is valid only if an authorization letter from the applicant is provided.)
Send 3 complete sets of this form and accompanying documents to the following:
For government transportation projects sent For government transportation projects sent
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 sent by First Class Mail For all other projects sent by delivery service
via the US Postal Service (UPS, FedEx, etc.):
Karen Higgins Karen Higgins
NCDWR —401 & Buffer Permitting Unit OR 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 5 of 5

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 67 PLAN NOP1atCab H PARCEL ID: 5684 -84 -2862
_Slide 4 -8, 4 -9,
4 -10
STREETADDRESS: Lot 67 Beufort Pointe, Phase II
Whichard: -Road
Please print: Robert
Property Owner:
Property Owner: Mary Coggins
The undersigned, registered property owners of the above noted property, do hereby authorize
John A. Dominy, II of Spruill & Associates Inc.
(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):
5186 County Road, Winterville, NC 28590
Telephone:
252- 714 -4049
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
/ r,
Authorized Signature
Date:
Authorized Sign re
Date:

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CONVEYANCES, OR SALES
\ EXISTING SHORELINE /NORMAL HIGH
\ WATER LINE AS MARKED 6Y GW
\ \ AOR
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6114.2 S.F. DUSTING AEC TOTAL AREA
840 S.F. PROPOSED IMPERVIOUS AREA
13.7,5 PROPOSED IMPERVIOUS
WITHIN 75' AEC
ROOF
OVERHANG
UT
�I 67
309 CYPRESS
I
NOTE
30' MBL
— PROPOSED HOUSE WILL n
BE BUILT ON 8 "X8" WOOD g
POSTS 8' DEEP
— ENTIRE LOT IS WITHIN THE _
100 YEAR SPECIAL FLOOD 1D• un EM,
HAZARD AREA (ZONE AE)
N 22 1'02 "W 9.91' -
X06)
TWCHARD liAn
PRIVATE 50' R/W PAVED
UNCOVERED
DECK
68
KENNETH P. WHICHARD, JR.
125 EDGEBROOK DRIVE
GREENVILLE, NC 27858
_ R/W
E/P
E/P
CAW MINOR PERMIT PLAN FOR
ROBERT AND MARY COGGINS
LOT 67 BEAUFORT POINTE, PHASE 11
CHOCOWINITY TWP. BEAUFORT CO. NC
SCALE 1"=30' AUGUST 19, 2014
ti
S ruiU & Associates Inc `
2747 seat Tenth street ® 30 y '�' 3�' 6 30 60 90
Greenville, North Carolina 27858
epruillOccast alneL com
(252) 767 -1200 Firm No. C -97e GRAPHIC SCALE — FEET
7 JU.7JU
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-
p COVERED
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17
\
PORCH
23..5' 5'
L 14.0'
a
I
66
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37.5'
,
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2.0'
CV
SINGLE FAMILY
t0
o
HOME
KATHY W. BROOK
Z
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2410 WATERVIEW DRIVE
I
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GREENVILLE, NC 27858
21.z•
to
12.2• COVERED
13.8
11.
-
NOTE
30' MBL
— PROPOSED HOUSE WILL n
BE BUILT ON 8 "X8" WOOD g
POSTS 8' DEEP
— ENTIRE LOT IS WITHIN THE _
100 YEAR SPECIAL FLOOD 1D• un EM,
HAZARD AREA (ZONE AE)
N 22 1'02 "W 9.91' -
X06)
TWCHARD liAn
PRIVATE 50' R/W PAVED
UNCOVERED
DECK
68
KENNETH P. WHICHARD, JR.
125 EDGEBROOK DRIVE
GREENVILLE, NC 27858
_ R/W
E/P
E/P
CAW MINOR PERMIT PLAN FOR
ROBERT AND MARY COGGINS
LOT 67 BEAUFORT POINTE, PHASE 11
CHOCOWINITY TWP. BEAUFORT CO. NC
SCALE 1"=30' AUGUST 19, 2014
ti
S ruiU & Associates Inc `
2747 seat Tenth street ® 30 y '�' 3�' 6 30 60 90
Greenville, North Carolina 27858
epruillOccast alneL com
(252) 767 -1200 Firm No. C -97e GRAPHIC SCALE — FEET
7 JU.7JU