20221273 Ver 1_Riparian Buffer Authorization Request_20220914

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
Water Reources
ENVIRONMENTAL QUALITY
Original Submittal 9/14/2022
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: *
1b. Responsible Party:
lc. Mailing Address:*
Id. Telephone: * 2526262922
Charles J Foret III
(for Corporations)
Street Address
1308 Brices Creek Rd
Address Line 2
City
New Bern
Postal / Zip Code
28562
B. Project Information and Prior Project History
1. Project Information
1a. Name of Project: *
State / Province / Region
NC
Country
USA
1 e. Email Address: * [e-mail]
Foret property side deck
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
Id. Subdivision Name: none
le. Nearest Municipality:
If. Property Size: 0.40
acres

1g. County (or Counties) where the project is located:*
Craven
1h. Property ID#
7-103-056
Tax PIN or Parcel id
1 i. Deed Information
Date of Purchase
6/12/2012
Type of Book
Book#
Page#
Deed
3101
559
Map
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
Address Lookup
Street Address
1308 Brices Creek Road
Address Line 2
City State / Province / Region
New Bern NC
Postal / Zip Code Country
28562-9002 US
Latitude* 35.0701056 Longitude* -77.0592796
11. Is the project located in any of North Carolina's twenty coastal counties?*
• Yes
No
1m. Is the project located within a NC Division of Coastal Management Area of Environmental Concern (AEC)?
Yes
® No
2. Surface Waters
2a. Name of the nearest body of water to proposed project:*
Brices Creek
2b. Water Quality Classification of nearest receiving water:
SB Sw
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
180
(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:
My residence on Brices Creek in a mostly residential area.

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
1308 topo.pdf
PDF only
518.53KB
3c. Attach an 8'/z 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
1308 Soils.pdf 2.9MB
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: *
Add a deck onto the side of my house. No motorized equipment to be used.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
58.25KB
1308Siteplan.pdf
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
6b. List any permits/approvals that have been requested or obtained for this project in the past.
6c. Please explain and detail according to "help file" instructions.
Bulkhead built on creek front. My photo records show completion Dec 2012.
7. Future Project Plans
7a. Is this project a phased project?*
Yes
® 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 02B.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
deck
Map label (e.g. Road
Crossing 1)
Brices
Creek
Permanent
(P)
Perm or Temp
Allowable
0.00
Square
Feet
375.00
Square
Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 375.00
Total Buffer Impacts: 375.00
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.
Landscape mat under whole deck with pea gravel on top. Shrub borders planted with
this deck project in mind.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Not tearing up any grass or moving any bushes.
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
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)?

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
Click the upload button or drag and drop files here to attach document
PDF only
By digitally signing below, I certify that:
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");
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: * Charles Foret
Signature
C ddeS Faiel
Submission Date: (Auto populated field)

Initial Review
Is this accepted into the review process?* • Yes No
Yes
• No
ID#* 20221273
Version:* 1
Select Reviewer: * Robert Tankard:eads\rbtankard
Select Reviewing Office* Washington Regional Office - [phone]
Is this project a public transportation project?*
Has payment been received?* • No Payment Needed
Fee Received
Need Fee - send electronic notification

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