20221529 Ver 1_Riparian Buffer Authorization Request_20221027

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 10/27/2022
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:* 919-414-4614
Stephan T. and Sue N. Leitch
(for Corporations)
Street Address
106 Halpen Drive
Address Line 2
City
Cary
Postal / Zip Code
27513-5667
B. Project Information and Prior Project History
1. Project Information
1a. Name of Project: *
State / Province / Region
NC
Country
US
le. Email Address:* [e-mail]
Leitch back deck/porch
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
Id. Subdivision Name: Preston Crossings
le. Nearest Municipality: Cary
If. Property Size: 0.24
acres

1g. County (or Counties) where the project is located:*
Wake
1h. Property ID#
0744556861
Tax PIN or Parcel id
Deed Information
Date of Purchase
5/7/2014
Type of Book
Book#
Page#
Deed
015652
01005
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
34.25KB
img-429112804-0001.pdf
PDF only
1k. How would you like to provide the Latitude and Longitude information?*
• Address Lookup
Manually
Address Lookup
Latitude*
Street Address
106 Halpen Drive
Address Line 2
City State / Province / Region
Cary NC
Postal / Zip Code Country
27513-5667 US
Longitude *
-78.8460279999999
35.7990624 9
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: *
Turkey creek
2b. Water Quality Classification of nearest receiving water:
Unknown
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
0
(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:
Single family home in single family neighborhood. Yard abuts old farm pond that
drains into creek.

3b. Attach an 8'/2 x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site.
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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.
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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: *
Extend deck 4 feet and convert it to a covered screen porch. Portion closest to pond
will be approximately 7 feet over ground level.
Extend lower deck by 2 feet
Equipment - Small excavator to dig footings and clear for concrete slab.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
Deck Overview.pdf
Deck Rear view.pdf
PDF only
5. Jurisdictional Determinations
361.28KB
611.67KB
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
5b. Who did the determination on the jurisdictional areas?
Who did the determination?
List name if known
Date
Attach
State
Sara Knies
(Name if known)
02/29/2016
106 Halpen
Drive.pdf
4.69...
pdf only
*** Please include the date of the determination and upload a copy of the determination.
Comments:
Was thinking of adding a screen porch over current deck but never went through with
plans.
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
Yes
No
A
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
Map label (e.g. Road
Crossing 1)
UT to
Turkey
Creek
Permanent
(P)
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:
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.
No construction will take place other than within the footprint proposed. No
equipment nor supplies will be near pond.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
No large equipment will be in yard near pond. Clearing will only take place under
proposed footprint.
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?

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
....................................................................................................................................
By digitally signing below, I certify that:
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PDF only
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")
• 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
• I intend to electronically sign and submit the application form."
Print Name: * Steve Leitch
Signature
Submission Date: (Auto populated field)

Initial Review
Is this accepted into the review process?* • Yes No
Is this project a public transportation project?*
Yes
• No
ID#* 20221529
Version:* 1
Select Reviewer: * Zachary Thomas:eads\ztthomas
Select Reviewing Office* Raleigh Regional Office - [phone]
Has payment been received?* • No Payment Needed
Fee Received
Need Fee - send electronic notification