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Home My WebLink About20230623 Ver 1_Riparian Buffer Authorization Request_20230427Original Submittal 4/27/2023 A. Owner/Applicant Information General Information Q .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Primary Contact Email: * andrew@waypointnc.com Please list the contact person's email for questions or payment on this project if needed. Who is submitting the application?* ❑ Owner ❑ Applicant other than Owner p Agent 1. Property Owner Information: 1a. Name on Recorded Deed:* Woodrow Park iii LLC 1b. Responsible Party: Cynthia Degiacinto (for Corporations) 1c. Mailing Address:* Street Address 211 Westridge Dr Address Line 2 City State / Province / Region Raleigh NC Postal / Zip Code Country 27609 United States 1d. Telephone:* 9199312868 le. Email Address:* andrew@waypointnc.com 3. Agent Information: 3a. Name: 3b. Company Affiliation: 3c. Mailing Address: Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country 3d. Telephone: 3e. Email Address: 3f. Attach a signed and dated copy of the agent Click the upload button or drag and drop files here to attach document authorization form. PDF only ................................................................... ......... B. Project Information and Prior Project History 1. Project Information ........................................................... 1a. Name of Project:* Claremont Lot 59 (Subdivision, facility, or establishment name) 1b. Is this a publicly -funded transportation project?* Yes No 1d. Subdivision Name: Anderson Heights le. Nearest Municipality: Raleigh 1f. Property Size: 0.33 acres 1 g. County (or Counties) where the project is located:* Wake 1h. Property ID# 1705745333 Tax PIN or Parcel id Date of Purchase 3/16/2017 1i. Deed Information Type of Book Book#IF Page# _1177 Deed 017422 11 02408 Map FAttaced Docs 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 Street Address Anderson Heights Address Line 2 City Raleigh Postal / Zip Code Latitude* 35.817114 Longitude* 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: * Crabtree Creek 2b. Water Quality Classification of nearest receiving water: cnsw State / Province / Region NC Country us 78.6412922 Yes No 2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 75 (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 is single family residential. we are proposing an encroachment in the zone 2 of the buffer. See attached docs 3b. Attach an 8 % 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: Single family residential home. See attached documents 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?* Yes 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. 1 1 711 Site# - Reason Stream Name Buffer Impact* Impact Type one 1 Zone 2 J Map label (e.g. Road Crossing 1) Permanent (P) Allowable 0.00 80.00 Perm or Temp Square Feet Square Feet Total Zone 1 Impacts: 0.00 Total Zone 2 Impacts: 80.00 Total Buffer Impacts: 80.00 Comments: Zone 2 will have an impact of 80 square feet D. Impact Justification and Mitigation 1. Avoidance and Minimization 1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project. See Attached Documents 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. See Attached Documents E. Diffuse Flow Plan la. What type of SCM are you providing?* L, Level Spreader 0 Vegetated Conveyance (lower SHWT) 0 Wetland Swale (higher SHWT) p 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 Buffer Auth for Lot 59 Claremont Road^J Raleigh^J 287.1 KB NC.pdf PDF only F. Supplementary Information Environmental Documentation 1a. 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 f- Please upload any additional information you would like the Division to consider during application review. Additional Attachments: Click the upload button or drag and drop files here to attach document PDF only Additional Comments: H. Sign and Submit Q .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... 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:* Andrew Thompson Signature Submission Date: 4/27/2023 (Auto populated field) Initial Review Is this accepted into the review process?* Yes No Is this project a public transportation project?* � Yes No ID#* 20230623 Version: * Select Reviewer: * Select Reviewing Office* Has payment been received?* Zachary Thomas:zachary.thomas@ncdenr.gov Raleigh Regional Office - (919) 791-4200 No Payment Needed Fee Received Need Fee - send electronic notification