20230620 Ver 1_Riparian Buffer Authorization_20230420

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources Division of Water Resources
15A NCAC 02B .0233 (8)(b), .0243 (8)(b), .0250 (11)(b), .0259 (8)(b), .0267 (11)(c), .0607 (e)(2) - Buffer Authorization
FORM: BA 10-2013
Riparian Buffer Authorization Form
A. Applicant Information
1. Project Information
1 a. Name of project:
grandchildren observation shed and play space
1 b. County:
wake
1c. Nearest municipality:
Raleigh
1 d. Subdivision name:
windy hills
1e. Is the project located in any of North Carolina's twenty coastal counties?
If yes, answer 1f below.
® No
1f. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?
® No
2. Owner Information
2a. Name on Recorded Deed:
Ellis L. Harris
2b. Deed Book and Page No.
13284 book 1884 page
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created):
Bm 1995 book 1951 page
2d. Responsible Party
(for Corporations):
2e. Street address:
6324 bannock ct
2f. City, state, zip:
Raleigh, NC 27603
2g. Telephone no.:
919-696-8970
2h. Fax no.:
2i. Email address:
[e-mail]
3. Applicant Information (if different from owner)
3a. Applicant is:
❑ Agent ❑ Other, specify:
3b. Name:
3c. Business name
(if applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
4. Agent/Consultant Information (if applicable)
4a. Name:
4b. Business name
(if applicable):
4c. Street address:
4d. City, state, zip:
4e. Telephone no.:
4f. Fax no.:
4g. Email address:
FORM: BA 10-2013 Page 1 of 5

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1607347429
1 b. Site coordinates (in decimal degrees):
Latitude: 35.6035484 1 Longitude:-78.6501994
1 c. Property size:
3.26 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
little creek
2b. Water Quality Classification of nearest receiving water:
2c. River basin:
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:
wooded with dead grass and downed trees. Land use none existent just private homeowners
3b. Attach an 8'/2 x 11 excerpt from the most recent version of the USGS topographic map indicating the location
of the site
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
3d. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
250ft
3e. Explain the purpose of the proposed project:
wooded nature observation and play area for grand kids
3f. Describe the overall project in detail, including the type of equipment to be used:
small shed like 1 V X12' with small deck 7'X12' screws pt wood, skill saw, ladders, nail gun, drill post
hole digger
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by
the Corps or State been requested or obtained for this
property/ project(including all priorphases) in thepast?
® No
Comments: not need because of size
4b. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/ Consultant Company:
Other:
4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach
documentation.
5. Project History
5a. Have permits or certifications been requested or obtained
for this project (including all prior phases) in the past?
® No
5b. If yes, explain and detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ® No
6b. If yes, explain.
FORM: BA 10-2013 Page 2 of 5

C. Proposed Impacts Inventory
1. Buffer Impacts
1 a. Project is in which protected basin?
® Neuse
1 b. Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of
this form.
Buffer impact
number —
Permanent (P)
or Temporary
(T)
Reason for
impact
Type of impact
(exempt, allowable,
allowable w/
mitigation)
Stream name
Buffer
mitigation
required?
Zone 1
impact
(sq ft)
Zone 2
impact
(sq ft)
B1 ® P ❑ T
OBSERVATIN
SHED
LITTLE CREEK
® Yes ❑ No
204
B2 ❑ P ❑ T
❑ Yes ❑ No
B3 ❑ P ❑ T
❑ Yes ❑ No
B4 ❑ P ❑ T
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
204sgft
1 c. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a.
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Planted fescue grass , small shrubs along edge of creek in zone 1
1 b.
Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. Did not work on rainy days and limited workers to 2 persons, no heavy equipment used all
work done by hand.
2. Buffer Mitigation
2a.
Will the project result in an impact within a protected riparian buffer that
requires buffer mitigation?
® Yes ❑ No
2b.
If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation and
calculate the amount of mitigation required in the table below.
Zone
Reason for impact
Total impact
(square feet)
Multiplier
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
Observation shed
204sgft
1.5
306sgft
Total buffer mitigation required:
306sgft
2c.
If buffer mitigation is required, is payment to a mitigation bank or NC DMS
proposed?
❑ Yes ® No
2d.
If yes, attach the acceptance letter from the mitigation bank or NC DMS.
2e.
If no, then discuss what type of mitigation is proposed.
To allow existing shed to remain with modification to runoff water collection plan. see attachment 2
2f.
Comments:
FORM: BA 10-2013 Page 3 of 5

E. Diffuse Flow Plan
All buffer impacts and high ground impacts require diffuse flow or other form of
® Diffuse flow
stormwater treatment. Include a plan that fully documents how diffuse flow will be
❑ Other BMP
maintained. If a Level Spreader is proposed, attach a Level Spreader Supplement Form.
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
Manual and attach a BMP Supplement Form.
F. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public federal/state land?
1 b. If you answered "yes" to the above, does the project require preparation of an
❑ Yes ❑ No
environmental document pursuant to the requirements of the National or State (North
Carolina) Environmental Policy Act NEPA/SEPA ?
1 c. If you answered "yes" to the above, has the document been finalized by the State
❑ Yes ❑ No
Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.)
Comments:
2. Violations
2a. Is the site in violation of DWR Wetland Rules (15A NCAC 02H .0500), Isolated
❑ Yes ® No
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 permit application?
® Yes ❑ No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
Observation shed is in zone 2 and disturbed vegetation located in the 204sgft that it is in.
Ellis L. Harris LGG/S D f,�28 Mar 23
Applicant/Agent's Printed Name Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Send 3 complete sets of this form and accompanying documents to the following:
For government transportation projects sent by
First Class Mail via the US Postal Service:
NC DWR, Transportation Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For all other projects sent by First Class Mail via
the US Postal Service
For government transportation projects sent by
delivery service (UPS, Fed Ex, etc.):
OR NC DWR, Transportation Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
For all other projects sent by delivery service
(UPS, FedEx, etc.):
Karen Higgins Karen Higgins
NCDWR — 401 & Buffer Permitting Branch OR NCDWR — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699 - 1617 Raleigh, NC 27604
FORM: BA 10-2013 Page 4 of 5

FORM: BA 10-2013 Page 5 of 5

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Remediation plan of riparian buffer for 6324 Bannock CT Raleigh, NC
Date of plan: March 28, 2023
Responsible party: Ellis L. Harris 919-696-8970 [e-mail]
Zone 1 (undisturbed veL-etation)
Size of area=17 feet x 30 feet=510 square feet=.0117acres
Trees will be planted at a density of 260 trees/acre on an 8'x8' grid
Number of trees required for this area=.0117x260 =3 trees
There is 1 existing white oak, 1white birch in this area. Therefore 2 trees will be planted per diagram.
O = existing white oak 1
B = existing white birch-1
R = heritage river birch (betula nigra) — 2trees
The trees purchased will be in 7gal containers about 5ft in height
Erosion control for zone 1
In addition to help control erosion in zone 1 grasses have been planted in between the trees fescue.
Zone 2 (managed Vegetation)
Size of area=17 feet x 20 feet=340 square feet=.007805 acres
Shrubs and grasses have been planted in this area at the required spacing for the plants.
There are no existing trees or shrubs in this area
The shrubs will be purchase is gallon sized containers heights will vary.
The following will be planted is this area per diagram
S = summer snowflake - 2
N = Shasta viburnums — 2
G = fescue — 400sgft

Erosion control zone2
To help further control erosion in zone 2 turf builder will be applied bi- monthly for 3 months, gutters
will be installed to catch water runoff the roof and be collected in 55gal barrel. Barrel will be emptied as
needed and water collected will be used around property to water flowers beds ( see attachment 2) site
will be managed and monitored over the next 3 years for problems and issues that need to be
addressed.
Sources for trees and shrubs were purchased from Henns plant farm 370 Lindsey loop rd. Fletcher, NC
28732. Phone number 828-684-2321

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