20230695 Ver 1_Riparian Buffer Authorization Request_20230515

Original Submittal 5/15/2023
A. Owner/Applicant Information
General Information Q
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Primary Contact Email: * [e-mail]
Please list the contact person's email for questions or payment on this project if needed.
Who is submitting the application?* 0 Owner
O Applicant other than Owner
O Agent
Is there an agent working on this application but Yes
not submitting it? No
1. Property Owner Information:
.............................................................................................................
1a. Name on Recorded Deed:*
1b. Responsible Party:
1c. Mailing Address:*
1 d. Telephone:* 9103523103
Derrick and Beverly Moore
Derrick Moore
(for Corporations)
Street Address
3908 Bach Circle
Address Line 2
city
Greenville
Postal / Zip Code
27858-6077
B. Project Information and Prior Project History
1. Project Information
State / Province / Region
NC
Country
us
le. Email Address:* [e-mail]
1a. Name of Project:* Derrick Moore (Placement of mobile shed on property)
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
1d. Subdivision Name: Tucker Estates
le. Nearest Municipality: Greenville, NC
1f. Property Size: 0.45
acres

1 g. County (or Counties) where the project is located:*
Pitt
1h. Property ID# Date of Purchase
Tax PIN or Parcel id 8/12/2014
1 i. Deed Information
Type of Book Book#11 Page#
Deed 567 840
Map 52 65
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
Address Lookup
Street Address
3908 Bach Circle
Address Line 2
City
Greenville
Postal / Zip Code
27858-6077
Latitude* 35.5764889 Longitude*
11. Is the project located in any of North Carolina's twenty coastal counties?*
State / Province / Region
NC
Country
us
-77.3472706
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: * Meeting House Branch
Creek
2b. Water Quality Classification of nearest receiving water: Surface Water
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 condition of the property where the [movable] shed will be placed is a flat grassy surface located at the end of the side driveway -
placing it 1 Oft within the riparian buffer. Attached is a bird's eye view noting the intended location of the shed.

3b. Attach an 8 % 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 81/. 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:
I will be placing a [movable] shed in the rear of my home at the end of the side driveway. If the flow of rain water from the roof of the
shed is a concern, I am willing to place rain gutters on the shed to redirect the flow of water.
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 U
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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 ImpactImpact Type Zone 1 Zone 2
*
47
Meeting House
Temporary (T)
Allowable
0.00
0.00
Map label (e.g. Road Crossing 1)
Branch
Perm or Temp
Square Feet
Square Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 0.00

Total Buffer Impacts: 0.00
Comments:
I will be placing a [movable] shed in the rear of my home at the end of the side driveway. If the flow of rain water from the roof of the
shed is a concern, I am willing to place rain gutters on the shed to redirect the flow of water.
In my ignorance, I unfortunately purchased the movable shed -which is on hold for delivery- prior to the understanding that I would
need permits from both the state and city. If there is anything I can do to ease the concern for the riparian buffer, please inform.
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.
I will ensure the shed remains movable. The shed will not consume no more than 16ft of the 50ft riparian buffer. It will not impact the
creek or the foliage at its border. To control the direction of the water flow from the roof, I am willing to install roof gutters onto the
shed.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The shed is T9" in height, 16' long, and 10' wide. It is a movable shed built on skids.
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
2022-11-23 Gable Roof Design Documents - East
1.36MB
(28).pdf
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: Click the upload button or drag and drop files here to attach document
PDF only
Additional Comments:
H. Sign and Submit
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');
• 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: * Derrick Moore
Signature
Submission Date: 5/15/2023
(Auto populated field)

Initial Review
Is this accepted into the review process?* Yes No
Is this project a public transportation project?* � Yes
No
ID#* 20230695
Version: *
Select Reviewer: *
Select Reviewing Office*
Has payment been received?*
Robert Tankard:[e-mail]
Washington Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification