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Home My WebLink About20150564 Ver 1_Buffer Determination Request_20150526RECEIVED/NCDENR /DWR MAY 2 6 2015 State of North Carolina a,W-RJK Department of Environment and Natural Resources D`Nlslon of Water Resources V. xuatrty Regional Division of Water Resources yywy� rations Secaonft�ca 1SA NCAC 02B.0233 (B)(b), .0243 (8tto�;� i��0 1�iJ��)� %%9 (S)(b), .0267 (11)(c), .0607 (e)(2) - Buffer Authorization FORM: BA 10 -2013 Riparian Buffer Authorization Form A. Applicant Information 1. Project Information la. Name of project: Auton Deck 1b. County: Pamilco 1c. Nearest municipality: Oriental 1d. Subdivision name: N/A 1e. Is the project located in any of North Carolina's twenty coastal counties. If yes, answer if below. ® Yes ❑ No 1f. Is the project located within a NC Division of Coastal Management Area of Environmental Concern (AEC)? ® Yes ❑ No 2. Owner Information 2a. Name on Recorded Deed: John L Auton III and wife, Mitchelle C Auton 2b. Deed Book and Page No. 231 & 695 2c. Map Book and Page No. (include a copy of the recorded map that indicates when the lot was created): 6476 2d. Responsible Party (for Corporations): 2e. Street address: 1308 Pagan RD 2f. City, state, zip: Raleigh , NC 27603 2g. Telephone no.: 919 - 369 -9872 2h. Fax no.: 919 -567 -0241 2i. Email address: Jauton7l @gmail.com 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 4 B. Project Information and Prior Project History 1. Property Identification 1a. Property identification no. (tax PIN or parcel ID): 6476309233000 1b. Site coordinates (in decimal degrees): Latitude: 34 59'36.67" N Longitude: 76 44'58.16" W 1c. Property size: .19 acres 2. Surface Waters 2a. Name of nearest body of water to proposed project: Neuse River 2b. Water Quality Classification of nearest receiving water: River 2c. River basin: Neuse 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: It has a elevated house of app. 1389 square foot on it. 3b. Attach an 8' /z x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site 3c. Attach an 8'h 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: 3e. Explain the purpose of the proposed project: Build a 12'x 22' elevated wood slat deck on back of house. 3f. Describe the overall project in detail, including the type of equipment to be used: Three pilings will have to be installed for construction of new deck. 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 prior phases) in the past? ❑ Yes ® No ❑ Unknown Comments: 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? ❑ Yes ❑ No ® Unknown 5b. If yes, explain and detail according to "help file' instructions. 6. Future Project Plans 6a. Is this a phased project? ❑ Yes ®No 6b. If yes, explain. FORM: BA 10 -2013 Page 2 of 4 C. Proposed Impacts Inventory Impact Justification and Mitigation 1. 1. Buffer Impacts 1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. 1a. Project is in which protected basin? Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. ® Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Jordan ❑ Goose Creek 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 Multiplier Required mitigation (square feet Zone 1 ❑ Yes ❑ No 3 (2 for Catawba) B2 ❑ P ❑ T Zone 2 ❑ Yes ❑ No B3 ❑ P ❑ T Total buffer mitigation required: 2c. ❑ Yes ❑ No ❑Yes ®No 2d. B4 ❑ P ❑ T 2e. If no, then discuss what type of mitigation is proposed. None required 2f. ❑ Yes ❑ No B5 ❑ P ❑ T ❑ Yes ❑ No B6 ❑ P ❑ T ❑ Yes ❑ No Total buffer impacts 1c. Comments: D. Impact Justification and Mitigation 1. Avoidance and Minimization 1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. 2. Buffer Mitigation 2a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? ❑ Yes ® No 21b. 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 1.5 Total buffer mitigation required: 2c. If buffer mitigation is required, is payment to a mitigation bank or NC EEP proposed? ❑Yes ®No 2d. If yes, attach the acceptance letter from the mitigation bank or NC EEP. 2e. If no, then discuss what type of mitigation is proposed. None required 2f. Comments: FORM: BA 10 -2013 Page 3 of 4 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. 1 b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State (North Carolina) Environmental Policy Act (NEPA/SEPA)? If due to site constraints, a BMP other than a level spreader is proposed, please provide a 1c. If you answered "yes" to the above, has the document been finalized by the State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.) Comments: plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP 2. Violations Manual and attach a BMP Supplement Form. 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)? F. Supplementary Information For government transportation projects sent 1. Environmental Documentation by delivenj, service (UPS. FedEs, etc.): la. Does the project involve an expenditure of public (federal /state /local) funds or the use of public (federal /state) land? ❑ Yes ®No 1 b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State (North Carolina) Environmental Policy Act (NEPA/SEPA)? ❑ Yes ❑ No 1c. If you answered "yes" to the above, has the document been finalized by the State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.) Comments: ❑ Yes ❑ No 2. Violations For all other projects sent by delivery service 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 permit application? ❑ Yes ❑ No 2c. If you answered "yes' to one or both of the above questions, provide an explanation of the violation(s): NCDWR -401 & Buffer Permitting Unit 1617 Mail Service Center 512 N. Salisbury Street Raleigh, NC 27699 - 1617 Raleigh, NC 27604 Date Applicant/Agent's Printed Name Applicant/Agent's Signature (Agent's signal a 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 For government transportation projects sent by First Class Mail via the US Postal Service: by delivenj, service (UPS. FedEs, etc.): NC DWR, Transportation Permitting Unit OR NC DWR, Transportation Permitting Unit 1617 Mail Service Center 512 N. Salisbury Street Raleigh, NC 27699 - 1617 Raleigh, NC 27604 For all other projects sent by First Class Mail For all other projects sent by delivery service via the US Postal Service (UPS, FedEx, etc.): Karen Higgins OR Karen Higgins NCDWR -401 & Buffer Permitting Unit NCDWR -401 & Buffer Permitting Unit 1617 Mail Service Center 512 N. 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