20230231 Ver 1_Riparian Buffer Authorization Request_20230207

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 2/7/2023
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:* [phone]
Jerry Dowless and wife Nancy Dowless
(for Corporations)
Street Address
162 West Winds Rd
Address Line 2
City
Macon
Postal / Zip Code
27551-9003
B. Project Information and Prior Project History
1. Project Information
1a. Name of Project: *
State / Province / Region
JD
Country
United States
le. Email Address:* [e-mail]
Dowless Home Placement Buffer Variance
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
Id. Subdivision Name: Orchard Creek Estates
le. Nearest Municipality: Oriental
If. Property Size: 0.34
acres

1g. County (or Counties) where the project is located: *
Pamlico
1h. Property ID#
K08-66-3
Tax PIN or Parcel id
1 i. Deed Information
Date of Purchase
5/5/2019
Type of Book
Book#
Page#
Deed
650
281 - 285
Map
424
787
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
Latitude*
35.060913
Longitude* -76.642703
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:*
Brite Creek
2b. Water Quality Classification of nearest receiving water:
SA;HQW,NSW
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:
The site has a few trees in the 30 DW Buffer and the general land use is Suburban
Development
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
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.
Click the upload button or drag and drop files here to attach document
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: *
Lay foundation with bock and brick. Deliver to site two 15' x 56' modular units to the
site where they will sit outside of the foundation area and off of any public roads.
Units will be lifted by crane onto the foundation, as well as prefab trusses that will be
used to construct the 12/12 pitch roof. All materials must be kept on site. Two
porched will be added to the modular units, one 6' x 32' porch will be added to the rod
side of the house and one 8' x 32' porch will be added to the water side end.
A 12' x 16" workshop will be placed on the property near the NW end of the
foundation with adequate space to moving equipment between the two.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
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
O 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.
7. Future Project Plans
7a. Is this project a phased project?*
O Yes
O 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

Residential
Brite Creek
Permanent I
Allowable
0.00
0.00
Properties
(P)
Square
Square
Map label (e.g. Road
Perm or Temp
Feet
Feet
Crossing 1)
I
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.
vegetation and grasses are added to limit runoff.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Porch area will be supported on pilings
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
1 c. Diffuse Flow Documentation Click the upload button or drag and drop files here to attach document
Diffuse Flow Plan.pdf 43.25KB
PDF only
F. Supplementary Information
Environmental Documentation
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
By digitally signing below, I certify that:
Click the upload button or drag and drop files here to attach document
PDF only
• 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:* Jerry Dowless
Signature
CZt-t, d
Submission Date: (Auto populated field)

Initial Review
Is this accepted into the review process?* • Yes No
Yes
• No
ID#* 20230231
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

Diffuse Flow Plan
All water from the porch roof in zone 2 will be collected and sent to the front of the property drainage
ditch and dispersed there.