20150581 Ver 1_Riparian Buffer Authorization_20150612

D, W-IR i
State of North Carolina
2 0 1 5 0 5 8 1 Department of Environment and Natural Resources
Division of Water Resources Division of Water Resources
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15A NCAC 028.0233 (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 j
{ 1 a. Name of project: 100 Annandale !,
1 b. County: Wake
{ 1 c. Nearest municipality: Town of Cary
{ 1 d. Subdivision name: MacGregor Downs
1 e. Is the project located in any of North Carolina's ❑ Yes ® No
twenty coastal counties. If yes, answer 1 f below.
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:
2b. Deed Book and Page No.
2c. Map Book and Page No.
(include a copy of the recorded
map that indicates when the lot
was created:
2d. Responsible Party
(for Corporations):
{ 2e. Street address:
{ 2f. City, state, zip:
{ 2g. Telephone no.:
{ 2h. Fax no.:
Prem Amarnathan & Surya Balasubramani Pethi
BM 1961 - 00040 j
Not available
Owner of Record
1013 N. Road St.
Elizabeth City, NC 27909 -333
646.250.7736
{ 2i. Email address: [e-mail]
3. Applicant Information (if different from owner)
{ 3a. Applicant is: ® Agent ❑ Other, specify:
{ 3b. Name: Vince DeFreitas
13c. Business name Silver Developers, LLC
(if applicable):
{ 3d. Street address:
{ 3e. City, state, zip:
{ 3f. Telephone no.:
{ 3g. Fax no.:
1936 O1de Mill Forest Dr
Raleigh, NC 27606
919.661.1292
{ 3h. Email address: VinceQSilverdevelopers.com
4. AgentiConsultant Information (if applicable)
4a. Name: NA
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 1 Page 1 of 5

B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID): 0762184504
1 b. Site coordinates (in decimal degrees): Latitude: Longitude:
1c. Property size: .65 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
2b. Water Quality Classification of nearest receiving water:
2c. River basin: Neuse j
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:
Existing condition is vacant lot in a residential subdivision
3b. Attach an 8'r4 x 11 excerpt from the most recent version of the USGS topographic map indicating the location of
the site: Attached. i
3c. Attach an 8 1/2 x 11 excerpt from the tMst recent version of the published County NRCS Soil Survey Map
depicting the project site: Attached
3d. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
108' j
3e. Explain the purpose of the proposed project:
New Residential home
3f. Describe the overall project in detail, including the type of equipment to be used:
Construction of a new home and all required equipment: Loader to clear the lot & skid steer.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the ❑ Yes ❑ No ® Unknown
Corps or State been requested or obtained for this property/ Comments:
project (including all prior phases) in the past?
4b. If yes, who delineated the jurisdictional areas? Agency/ Consultant Company:
Name (if known): I Other:
4c. If yes, list the dates of the Corps jurisdictional determinations or St to determinations and attach documentation.
I
5. Project History
5a. Have permits or certifications been requested or obtained for this ❑ Yes ❑ No ® Unknown
project (including all prior phases) in the past?
5b. If yes, explain and detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
6b. If yes, explain.
it ❑ Yes ® No
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FORM: BA 10 -2013 Page 2 of 5

I C. Proposed impacts Inventory
1. Buffer Impacts
1 a. Project is in which protected basin? ® Neuse ❑ Tar - Pamlico ❑ Catawba
i
Randleman Jordan ❑ Goose Creek
1b. Individually list all buffer impacts below. if any impacts require mitigation, then you MIUST 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, j mitigation impact impact
Permanent (P) allowable w/ mitigation) required? (sq ft) (sq ft)
or Temporary (T)
fB1 9P OT House footprint Allowable SwiftlCreek ® Yes ❑ No 0 66
Tributary #7
1 B2 ❑ P ® T Construction Allowable SwIkCreek ❑ Yes ® No 0 126
traffic Tributary #7
B3 ❑ P ❑ T ❑ Yes ❑ No
Bq ❑ p ❑ T j ❑ Yes ❑ No
B5 ❑P ❑T i ❑Yes 0 N
B6 ❑ P ❑ T ❑ Yes ❑ No
Total buffer impacts
1c. Comments: The total disturbed area in zone #2 is 192 sf which includes a 10' perimeter area of temporary
disturbance around the house during construction. This lot is extremely constricted due to the buffers and the 100
yr. flood plain. Typical new homes in this subdivision are in excess 5,000 HSF. The cost of the lot dictates an
above average size home to make the house/lot ratio economically feasible. Minimal impact of only 66 sf into
Zone #2 is the least intrusive option available.
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.
i
We will install rain barrels for the gutters on the stream side of the home. These will be maintained by the owner
on a regular basis. The barrels will be emptied before a large forecasted rain event.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
We will set up silt fencing to protect all areas from any construction traffic that are not part of this application. No
disturbance will happen in Zone 1 or outside the areas proposed in i Zone 2.
FORM: BA 10 -2013 Page 3 of 5

C. impact Justification and Mitigation, continued
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that requires buffer ❑ Yes ® No
mitigation?
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 Multiplier Required mitigation
(square feet); (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 ❑ Yes ❑ No
mitigation bank or NC EEP proposed?
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.
12f. Comments:
FORM: SSGP3080 8 -13 Page 4 of 5

E. Diffuse Flow Plan
i
Ali 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 ®ether 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.
I
F. Supplementary Information
1.
Environmental Documentation
TM r (vA4
rem A ti �q
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the use of
❑ Yes ® No
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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public (federal /state) land?
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1 b.
If you answered `yes" to the above, does the project require preparation of an
❑ Yes ❑ No
by delivery service (UPS, Feda, etc.)
environmental document pursuant to the requirements of the National or State (North
OR NC DWR, Transportation Permitting Unit
1617 Mail Service Center
Carolina) Environmental Policy Act (NEPA/SEPA)?
Raleigh, NC 27699 - 1617
1 c.
If you answered 'yes" to the above, has the document been finalized by the State
❑ Yes ❑ No
via the US Postal Service
Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.)
Karen Higgins
OR Karen Higgins
Comments -
NCDWR — 401 & Buffer Permitting Unit
2.
Violations
Raleigh, NC 27699 - 1617
2a.
Is the site in violation of DWR Wetland Rules (15A NCAC 02H .0500), Isolated Wetland
❑ Yes ® 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?
❑ Yes ® No
2c.
If you answered `yes" to one or both of the above questions, provide an explanation of the
violation(s):
TM r (vA4
rem A ti �q
Applicant/Agent's Printed Name
Applicarit/Agerilt's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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Send this completed 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 delivery service (UPS, Feda, 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 Classdlail
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. Salisbury Street
Raleigh, NC 27699 - 1617
Raleigh, INC 27604
FORM: BA 10 -2013
Page 5 of 5

i
FLOOD CERTIFICATION VICINITY MAP
. j
B N THE PROPERTY IS LOCATED IN A FEW 100 YEAR FLOOD AND
FLOODWAY AREA PER FIRM MAP NO. 3720076200) PANEL 0762 1 A
EFFECTIVE DATE MAY 2, 2006.
CURVE TABLE SITE a g
CURVE DELTA RADIUS ARC TANGENT CHORD CHORD BRG. 8`
I Cl 1'37'46" 52740' 15.00' 7 50' 15 00' S 45'40 "53" El
C2 90'18'21" 2000' 31 52' 2011' 2836' + S 00'17',11" Wl NOT 70 SCALE
I C3 1 1'32' 17" 422.26' 85 03' 42.66' 84 89' I S 39'40'113" W 1
2EFERENCES
UNE TABLE MAG A(A /L IN CURBING 1 D B 15824, PG 2549
NC GRID COORDINATES PIN 0762 05 -18 -4504
LINE BEARING DISTANCE I N -728, MC 74 REID 0071681
` L1 S 44"52'00" E 97 48' E °2,06 ,456 07
PROTECTIVE COVENANTS
2 D a ?980, Pc 139
0
L2 S 45'26'21" W 86.61' �; ° (TIE)
I L3 N 56'09'04" W 15519' 1 "
L4 N 09'17'50" W 31.80' 1 INSET
1 L5 N 54'04'36" E 13.60' 1 RBA , c *azs 7d7 SCALE
ror
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JOHN M S IRA SSER" �i "( our'3sss. �� - -412
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MACGREGOR DOWNS -
KILDA/RE SECTION BM 1971, PG 40 0-
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PIN 0762 05 -18 -3605 �" ` 1 !�" - 7� V
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(NO RECORD FOUND) (CP)- COMPUTED POINT o
` `y_r` / (CAB) - CABLE BOX
j PlPF • (CB) -CATCH BASIN
(BC) -BACK OF CURB "ice
r 70' REAR/ (CSW)- CONCRETE SIDEWALK¢ -
rm V.� SETBACK (RCP) - REINFORCED CONCRETE PIPE h
CONCERT MACGREGOR °' / 1 (RW)- RETAIN /NG WALL
DOWNS, LLC / (IW) _TOP OF BANK pV vt
D B 15637, PG 905 / 60, / (lNV) -PIPE INVERT 2m
B M 1986, PG 1307 ? ffi w� en (GR) -GUARD OF o� _
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PIN 0752 09 -16 -6605 69 I (70C) -TOWN OF GARY O� o
PROTECTNE "& v
COVEAPIMTS 2U2U
- NOTES SETB4CKS (ZOSENL•.D�R --
1 ALL EASEMENTS, RIGHTS OF WAY AND BOUNDARY INFORMATION TAKER
FRONT-50' ROADWAY COLLECTOR -30" -
FROM BM 1971, PG 40 UNLESS OTHERWISE NOTED 510E -15 ROADWAY OTHER -20'
2 PROPERTY IS SUBJECT TO ALL EASEMENTS AND RESTRICTIONS OF RECORD REAR -70' REAR -25'
NO T17LE EXAM /NATION HAS BEEN DONE BY ROBINSON & PLANTE PC rnsnMW BUFFER AREA TABLE -
3 RIPARIAN BUFFERS SHOWN ON TOWN OF CARY GIS TOTAL HOUSE AREA IN ZONE 2 -66 SF
4 5' UTILITY EASEMENT ON REAR AND INTERIOR SIDE LOT LINE PER PROTECTIVE TOTAL HOUSE AREA IN TOC SUFFER -262 SF
COVENANTS, D B 1980, PG 139 TOTAL DISTURBED AREA IN ZONE 2 & TOC BUFFER -328 S F
5 NO CLEAN OUT OR WATER METER FOUND FOR SURVEYED SUBJECT PROPERTY 1
6 ROBINSON & PLANTE, PC FIELD LOCATED THE 3571' 100 YEAR FLOOD CONTOUR
THAT WAS LOCATED AND MARKED BY OTHERS SURVEY FOR
PREUM /NARY PLAT- NOT FOR RECORDATION, PREM AMARNATHAN
CONVEYANCE; OR SALE AND WIFE
LOT 283 MACGREGOR DOWNS SURYA BALASUBRAMAN/ PETHI
KILDAIRE SECTION 0 1 60' 120' 180`
1DO ANNANDALE DRIVE
WAKE COUNTY
GARY, NC 27511 GRAPHIC SCALE
REFERENCE. BOOK OF M4PS 1971 PAGE 40,
1 F8E IWL01Z8.FPR6
I cER77FY SUPERVISION 7N/S MAP WAS AN DRAWN
AC ROBINSON & PLANTE PC '
UNDER MY SUPERVISION FROM AN ACTLL4L FOR REVIEW ONLY - i
SURVEY MAD£ UNDER MY SUPERVISION �MDT FOR CONSTRUCTIDN� LAND SURVEYING
RECORDED INR£fER£NCES AS SHOWN,
THAT THE BOUNDARIES NOT SURVEYED ARE C -2687
INDICATED AS DRAWN FROM /NFORUATION AMARNATHAN i 1240 SE MAYNARD ROAD
IN OF PRECISION IS 1.21,201, AND 1HE �� THAT CAD FILE SUITE. 203
THIS MAP MEET THE REQUIREMENTS OF 1 sf FLOOR LAYOUT
THE STANDARDS OF PRAC77CE FOR LAND I CARY, N.C. 27511
SURVEYING IN NORTH CAROLINA
(21 NCAC 56 16000) )
PHONE [phone]
THIS a4Y OF 2015 I FAX [phone] -
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PRpFESSIONAL LAND SURVEYOR L -4433 1 -
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MILES
1000 0 1000 2000 3000 4000 5000 60 OD 7000
FEET
CONTOUR INTERVAL 10 FEET
NORTH AMERICAN VERTICAL DATUM OF 1988
This map was produced to conform with the
National Geospatial Program US Topo Product Standard, 2011.
A metadata file assnriated with this nrodurt is draft version 0.6.11
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