20230303 Ver 1_Riparian Buffer Authorization Request_20230221

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
Original Submittal 2/21/2023
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.
4 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:*
1 d. Telephone:* 9194172014
John Gard and spouse, Karen Gard
(for Corporations)
Street Address
508 Pace Street
Address Line 2
City
Raleigh
Postal / Zip Code
27604-1958
B. Project Information and Prior Project History
1. Project Information
1 a. Name of Project: *
State / Province / Region
NC
Country
US
1e. Email Address: * [e-mail]
Gard Addition
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
)Yes
No
Id. Subdivision Name: Oakwood Historic District - North Amendment
le. Nearest Municipality: City of Raleigh
If. Property Size: 0.16
acres

1 g. County (or Counties) where the project is located:*
Wake
lh. Property ID#
1704923273
Tax PIN or Parcel id
li. Deed Information
Date of Purchase
6/6/2013
Type of Book
Book#
Page#
Deed
15305
2697
Map
12006
1495
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
1 k. How would you like to provide the Latitude and Longitude information? *
Address Lookup
Manually
Address Lookup
Latitude* 35.7889183
Street Address
Address Line 2
City
Postal / Zip Code
State / Province / Region
Country
Longitude* -78.6310520999999
9
11. Is the project located in any of North Carolina's twenty coastal counties?*
2. Surface Waters
..........................................................................................................................................................................................................
2a. Name of the nearest body of water to proposed project: *
2b. Water Quality Classification of nearest receiving water:
Cemetery Branch
C;NSW
Yes
No
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
50
(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 lot slopes down from the street. The existing house is 2.5 stories and sits towards the street. The yard drops in grade
approximately 10' from street to the standing water located at the SE corner of the lot. There is an existing rear deck with a set of
steps to grade that transitions the main level of the house down to the backyard. The back yard is open with grass and a few newer
trees. The standing water is protected by stone walls and a bridge has been built over the water to allow access to the rest of the lot.
The general land use of the existing area where the addition is planned currently has a deck which represents approximately half of
the proposed additions footprint and a set of steps down to grade with an area of gravel. A portion of the deck, steps and gravel are
already in the zone 2 area of the buffer. The addition takes place of the deck, steps and gravel area as well as will need
approximately 120 SF of additional footprint in the zone 2 buffer.

3b. Attach an 8'/z 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'/: 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: *
Create a rear addition to the house in the current footprint of the deck and expand all the way across the rear elevation of the house.
The addition will be 2 stories and set on foundation piers if needed. The addition will allow for a larger kitchen and more open flow of
space on the inside of the house. There will need to be a small deck and set of stairs to grade from the addition. A one story side
entry and mudroom is to be added on to the side of the house where the concrete driveway already exists. A small corner of this one
story addition will be in the zone 2 of the buffer.
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
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
7. Future Project Plans
7a. Is this project a phased project? *
C. Proposed Impacts Inventory
Buffer Impacts
Yes
No
Project is in which protected Basin?*
Neuse River Basin (15A NCAC 02B.0233)
Q Catawba River Basin (15A NCAC 02B.0243)
O Randleman Lake Watershed (15A NCAC 02B.0250)
O Tar -Pamlico River Basin (15A NCAC 02B.0259)
G Jordan Lake Watershed (15A NCAC 026.0267)
Q Goose Creek Watershed (15A NCAC 02B.0606 & 15A NCAC 026.0607)
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
Rear residential addition
Map label (e.g. Road Crossing 1)
Cemetery Branch
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:
We can have the GC keep all heavy equipment out of the buffer zone and hand dig the footings for the piers.
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.
The addition will take the place of an existing deck, steps and gravel area. The one story addition will be located where part of the
existing concrete driveway is located. The footprint that encroaches into the buffer has been kept as minimal as possible and still
achieve the expansion needed for the residence. The rear addition can be built on masonry piers to create less digging in the buffer
zone.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
All heavy machinery will be kept out of the rear yard and buffer zone. Dumpster and lay down area for staging will be in the existing
concrete driveway. A silt fence will be erected and maintained throughout the project to make sure debris etc does not enter the
standing water area.
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
508 PACE ST REV -diffuse-water-flow-plan.pdf 1.4MB
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)?
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:
Click the upload button or drag and drop files here to attach document
Photo-rear-yard-1.pdf 447.49KB
Photo-rear-yard-2.pdf 412.05KB
Photo-rear-yard-3.pdf 457.8KB
PDF only
The additional SF requested is minimal and will be built on piers to help keep water moving on the site. The existing house has
gutters and downspouts to help control the water run-off. The addition will not add more concentrated water to the rear yard. The
established yard will help diffuse the storm water just as it does now. We will implement a vegetated conveyance system if deemed
necessary per BMP manual.
H. Sign and Submit
By digitally signing below, I certify that:
• 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
o I intend to electronically sign and submit the application form."
Print Name: * John Gard
Signature
Submission Date:
2/21/2023
(Auto populated field)

Initial Review
Is this accepted into the review process? * Yes No
Is this project a public transportation project? * Yes
@ No
ID#* 20230303
Version:* 1
Select Reviewer: * Zachary Thomas:[e-mail]
Select Reviewing Office* Raleigh Regional Office - [phone]
Has payment been received?* No Payment Needed
Fee Received
Need Fee - send electronic notification