20141023 Ver 2_Riparian Buffer Authorization_20150609

June 8, 2015
Attention :
Karen Higgins
From:
Michael Moorefield
511 Emily Street
Wilmington, North Carolina 28401

Riparian Buffer Authorization Form
A. Applicant Information
1. Project Information
1 a. Name of project:
5712 Calton Dr., Moorefield Residence
1 b. County:
Wake
1 c. Nearest municipality:
Raleigh
1d. Subdivision name:
Sir Walter Hills
1e. Is the project located in any of North Carolina's
twenty coastal counties. If yes, answer if below.
X❑ No
1f. Is the project located within a NC Division of Coastal
Management Area of Environmental Concern (AEC)?
X❑ No
2. Owner Information
2a. Name on Recorded Deed:
Kenneth Michael Moorefield and Karen Decarlo Moorefield
2b. Deed Book and Page No.
Deed book 15611 page 93
2c. Map Book and Page No.
(include a copy of the recorded
map that indicates when the lot
was created):
Map book 0796 10
2d. Responsible Party
(for Corporations):
2e. Street address:
511 Emily Street
2f. City, state, zip:
Wilmington, NC 28401
2g. Telephone no.:
1- 910 - 251 -2777 (o) 910 - 274 -1590 (c)
2h. Fax no.:
n/a
2i. Email address:
[e-mail]
3. Applicant Information (if different from owner) jU
3a. Applicant is:
❑ Agent ❑ Other, specify: VV
3b. Name:
ao NR _
3c. Bf app cable I a
C ):
FFFR ERA, SO
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 7
o, D
s.
RC
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B. Project Information and Prior Project History (DWR # 14 -1023)
1. Property Identification
1a. Property identification no. (tax PIN or
parcel ID):
0796276354 000
1 b. Site coordinates (in decimal degrees):
Latitude: 35.8583
Longitude: - 78.6873
1c. Property size:
.52 acres
2. Surface Waters
2a. Name of nearest body of water to
proposed project:
UT to Hare Snipe Creek
2b. Water Quality Classification of nearest
receiving water:
Class C NSW
2c. River basin:
Neuse
FORM: BA 10 -2013 Page 2 of 7

B. Project Information and Prior Project History
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 in a developed suburban single family subdivision but remains in a natural wooded
(forested) state.
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:
192 [in. ft.
3e. Explain the purpose of the proposed project:
The home was originally designed to comply with surveyed information that established the required
front setback at 26' (based on Raleigh Zoning requirements for Infill Lots). Recently I discovered that
the property is in the Brookhaven Overlay Area and is subject to a 50' front setback. After
discussions with City Planning, it was determined that the only way to build the house with a two car
carport would be to move the carport to the south side of the home and keep it behind the 50'
setback.
Construction of a new single family residence
3f. Describe the overall project in detail, including the type of equipment to be used:
This is a request for an additional 305 sq ft of Zone 2 impervious area —210 additional sq ft for the
house and 95 additional sq ft for the drive (see attached drawing) — to the project initially approved
as noted below.
The residence will be a one story structure with an attached 2 car carport. The construction is slab
on grade with a poured in place concrete retaining wall along the north and east walls of the
structure. All other construction will be wood, a few structural steel columns and a small amount of
brick veneer. The carport roof will be a green vegetated flat roof. The main roof of the home will is
designed as a "butterfly" roof with a significant central water collecting scupper that will channel and
collect water into cisterns to be slowly released into the ground or to be used as landscape irrigation.
A silt and construction limitation fence will be installed along the 30' Zone 1 buffer line prior to the
commencement of any work. The line will be staked out by a licensed surveyor. Only vegetation that
impacts the footprint of the house will be removed: there will be not disturbance of Zone 1. In the
course of construction there will be grading for the foundation, concrete trucks for the pouring of the
wall and slabs and then only typical small scale residential construction. The parking area will be
gravel. The landscaping will be designed to restore as much of the natural ambience of the site as
possible.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the X❑ Yes ❑ No ❑
Corps or State been requested or obtained for this property/
project (including all prior phases) in the past? Unknown
Comments:
4b. If yes, who delineated the jurisdictional areas?
Name (if known): Sarah Knies 13 -297
Agency/
Consultant
Company:
NCDNER
Other:
4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
October 21, 2013
FORM: SSGP3080 8 -13 Page 3 of 7

Project Information and Prior Project History
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
X❑ Yes ❑ No ❑ Unknown
5b. If yes, explain and detail according to "help file" instructions.
(DWR # 14 -1023)
6. Future Project Plans
6a. Is this a phased project?
❑ Yes x❑ No
6b. If yes, explain.
C. Proposed Impacts Inventory
1. Buffer Impacts
1a. Project is in which protected basin?
�(❑ 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
Reason for
Type of impact
Stream name
Buffer
Zone 1
Zone 2
number—
impact
(exempt, allowable,
mitigation
impact
impact
Permanent (P)
allowable w/ mitigation)
required?
(sq ft)
(sq ft)
or Temporary T
B1 X❑ P ❑ T
Single family
allowable
UT to Hare
El Yes X❑
0
210
home
Snipes Creek
No
B2 X❑ P [—IT
Driveway for
allowable
allowable
❑ Yes X❑
0
95
house
No
133 ❑ P ❑ T
❑ Yes ❑ No
B4 ❑ P ❑ T
❑ Yes ❑ No
135 ❑ P ❑ T
❑ Yes ❑ No
136 ❑ P ❑ T
❑ Yes [:]No
Total buffer impacts
0
305
1c. Comments:
FORM: SSGP3080 8 -13 Page 4 of 7

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Silt fence along 30' setback
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Limit use of heavy equipment
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that requires buffer
mitigation?
El es x❑ 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
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.
2f. Comments:
FORM: BA 10 -2013 Page 5 of 7

C. Impact Justification and Mitigation, continued
FORM: SSGP3080 8 -13 Page 6 of 7
F.
Supplementary Information
1.
Environmental Documentation
1 a.
Does the project involve an expenditure of public (federal /state /local) funds or the use of
❑ Yes XEI No
public (federal /state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
❑ Yes X ❑
environmental document pursuant to the requirements of the National or State (North
Carolina) Environmental Policy Act (NEPA/SEPA)?
No
1c.
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 Wetland
❑ Yes XEI No
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?
El xX[:] No Yes
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
E.
Diffuse Flow Plan
All buffer impacts and high ground impacts require diffuse
X❑ Diffuse flow
flow or other form of stormwater treatment. Include a plan
that fully documents how diffuse flow will be maintained. If a
❑ Other BMP
Level Spreader is proposed, attach a Level Spreader
Supplement Form.
Undisturbed native vegetation
between house
and stream
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.
FORM: SSGP3080 8 -13 Page 6 of 7

Kenneth Michael Moorefield 6/8/2015
Applicant/Agent's Printed Name Applicant/Agents Signatur
(Agents signature is valid only if an authorization letter from t applicant is provided.) Date
Send this completed form and accompanying documents to the following:
For government transportation projects send
For government transportation projects send
by First Class Mail via the US Postal Service:
by delivery service (UPS, FedEx, etc.):
NC DWR, Transportation Permitting Unit
OR NC DWR, Transportation Permitting Unit
1650 Mail Service Center
512 N. Salisbury Street
Raleigh, NC 27699 - 1650
Raleigh, NC 27604
For all other projects send by First Class Mail
For all other projects send 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
1650 Mail Service Center
512 N. Salisbury Street
Raleigh, NC 27699 - 1650
Raleigh, NC 27604
FORM: BA 10 -2013 Page 7 of 7

Please Note:
The two attached drawings are identical in content. The Mw print is more legible.

Moorefield Residence
5712 Calton Drive, Raleigh NC
Proposed Modifications to original scheme
Scale 1" = 20'
June 8, 2015
Undisturbed Riparian
Buffer Area Zone 1
Impervious Change Requested:
+210 sq it (New carport roof)
+ 95 sq ft (New gravel drive)
+305 sq ft (addition impervious are required)
Rlpiarlan zone ""'
sa' setback - Additional Carport Roof
Request - 210 sq ft
i Additional Gravel Drive
Request - 95 sq ft
-^ Original Approved
`,� Parking Area
Rlpiarlan zone' 2"
50' setback
New Proposed Carport Roof
4' -8"
1,630.15 sq it
Ripiarian zone "2" 50' setback
Previously Approved
Building in Zone 2 - 1650 sq ft
New Utility
Courtyard
�50' front setback
setback
Property line
a
L
r.
O
4W
WOMMe
r
W]
CaltonDrive21 Model ONLY02.oln: NCDENER Proposal Worksheet: 1" = 20': 618!15. 4:14 PM

Moorefield Residence
5712 Calton Drive, Raleigh NC
Proposed Modifications to original scherrie
Scale I" = 2-7
June 8, 2015
1,,. 30.'5 sc ft
UndiStUrbed Riparian
Buffer Area Zone 1
Previously Approved
Building In Zone 2 - 1650 sq ft
- - - Creek
i --.k I
il%'I
Lrqj: -erv,Jour Change Fie ueste:l
+210 zkI It (New carport rmif)
:L- . !� (New gravel drive)
+305 sq ft (addition impervious are required)
Ripianan
one
30.se"ck r Additional Carport Roof
Request - 210 sq ft
Additional Gr:v�el �Drlve
F Request - 95 sq ft
Original Approved
o'— Parking Area
Rrpianan Zane "2
11 setback
--- -- - - --
+ --
New Proposed Carport Roof
41-811
irrr
zone-
50' front setback
Property line
C.3
C a tc Or ive 21 M idel ON L K12 L fin NCD EN1 - FR Pr o xsa I Wo rkEJier 1, 1 "_:20';3.- f5/15. 4 ' D FIM