20221421 Ver 1_Riparian Buffer Authorization Request_20221012

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 10/12/2022
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:* 19196339962
Su_deck_project
(for Corporations)
Street Address
101 Penchant court
Address Line 2
City
Cary
Postal / Zip Code
27513
B. Project Information and Prior Project History
1. Project Information
1a. Name of Project: *
State / Province / Region
NC
Country
United States
le. Email Address:* [e-mail]
su_deck_proj
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
Id. Subdivision Name:
le. Nearest Municipality:
If. Property Size:
0.28
acres

1g. County (or Counties) where the project is located:*
Wake
1h. Property ID#
0191172
Tax PIN or Parcel id
1 i. Deed Information
Date of Purchase
10/18/2001
Type of Book
Book#
Page#
Deed
09118
1048
Map
0764 15
0764549324
1 j. Attach a copy of the recorded map that indicates when the lot was last platted.
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su_deck_project_last_dated.pdf 60.41 KB
PDF only
1k. How would you like to provide the Latitude and Longitude information?*
Address Lookup
• Manually
Latitude*
35.79517747285853
Longitude *
11. Is the project located in any of North Carolina's twenty coastal counties?*
Yes
• No
2. Surface Waters
2a. Name of the nearest body of water to proposed project: *
Neuse Stream
2b. Water Quality Classification of nearest receiving water:
NEUSE RIVER (Falls Lake below normal pool
elevation)
-78.7777929023610
6
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
20
(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:
This site is a developed suburban residential area, it is using as a back yard. We
have grass and bushes in this yard.
3b. Attach an 8'/z x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site.
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SU_deck_project_USGS_map_location.pdf 124.79KB
PDF only

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.
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NRCS_soil_survey_map.pdf 6.43MB
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: *
This deck is old, so we want to renovate, widen and build a screen room on top. We
will use composite material for the deck and the screen room. The purpose is to relax
in our own property.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
SU_deck_project_Riparin_buffer.pdf 404.61 KB
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
O No
7. Future Project Plans
7a. Is this project a phased project?*
C. Proposed Impacts Inventory
Buffer Impacts
...............................................................
O Yes
O 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 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
NEU
Map label (e.g. Road
Crossing 1)
Neuse
Permanent
(P)
Perm or Temp
Exempt
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:
Buffer impact: permanent, this deck will be there after we get the permit.
Impact type: exempt, the stream is underground. So we believe this development get
exempt from beginning.
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.
N/A
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
N/A
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
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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?
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
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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:* Keli Su
Signature
Submission Date:
10/12/2023
(Auto populated field)

Initial Review
Is this accepted into the review process?* • Yes No
Yes
• No
ID#* 20221421
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