20230822 Ver 1_Riparian Buffer Authorization Request_20230608

Original Submittal 6/8/2023
A. Owner/Applicant Information
General Information
Primary Contact Email-*
Who is submitting the application?*
1. Property Owner Information:
1a. Name on Recorded Deed:*
1b. Responsible Party:
1c. Mailing Address:*
1 d. Telephone:* 919-255-0411
[e-mail]
Please list the contact person's email for questions or payment on this project if needed.
Owner
Applicant other than Owner
Agent
Michael Hubbard
(for Corporations)
Street Address
1807 Chester Rd.
Address Line 2
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27608
United States
le. Email Address:* [e-mail]
2. Applicant's Information (if different from owner):
2a. Name:
Lee Beatrous
2b. Company Affiliation:
Anthony & Sylvan
2c. Mailing Address:
Street Address
2101 Westinghouse Blvd. #115
Address Line 2
City
Raleigh
Postal / Zip Code
27604
2d.Telephone:
9192706382
2e. Email Address:
[e-mail]
State / Province / Region
NC
Country
United States

2f. Attach a signed and dated copy of the authorization granting the applicant owner approval. An agent authorization form is
acceptable.
Click the upload button or drag and drop files here to attach document
Hubbard Auth Agent Form_CAMA_signed.pdf 136.88KB
PDF only
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:* Hubbard Pool
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
1d. Subdivision Name:
le. Nearest Municipality:
1f. Property Size: 0.67
acres
1 g. County (or Counties) where the project is located:*
Wake
1 h. Property ID# Date of Purchase
1704092185 3/31/2017
Tax PIN or Parcel id
1i. Deed Information
Type of Book Book# Page# I
Deed 16738 2727
Map 1987
447

1j. 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
Hubbard_deed_pg_PDFViewWake.pdf 210.81 KB
PDF only
1 k. How would you like to provide the Latitude and Longitude information?
Address Lookup
Manually
Address Lookup
Street Address
1807 Chester Rd.
Address Line 2
City
Raleigh
Postal / Zip Code
27608
Latitude* 35.8079796 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: * Neuse River
2b. Water Quality Classification of nearest receiving water: River/Stream
State / Province / Region
NC
Country
us
-78.6615477
Yes
No
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
100
(linear feet only)
3. Project Description: 6
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................
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:
Run-off stream runs through backyard of the property, home and secondary structure built on the property well above the stream.
Homeowners are looking to build pool directly behind the home.
Neighbors recently built in the same buffer we are requesting to build in. homeowners willing to mitigate construction area to improve
buffer area.
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
land_hubbard.pdf 590.37KB
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:
Homeowners hope to build a gunite pool and paver patio. required equipment will be a mini excavator(7'width), a small front end
loader, and ditch digging machine. construction to happen with the installation of a silt fence to protect waterway.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
Hubbard_ v1.2_siteplan01.pdf 5.27MB
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?*
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past? *
7a. Is this project a phased project?*
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.
Site# - Reason I Stream Name Buffer Impact* Impact Type Zone 1 Zone 2
Map label (e.g. Road Crossing 1)
Neuse River
Permanent (P)
Allowable w/
0.00
0.00
Riparian Buffer C/L
Perm or Temp
mitigation
Square Feet
Square Feet
Creek
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 0.00
Comments:
Neighbors home goes directly through buffer. We feel after the build there will be no negative impact to the nearby run-off stream.
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.
Proper silt fence to be installed. design built as close to the house as possible considering existing conditions.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Silt fence to be installed, seeding and naturally occurring vegetation to be installed post construction.
2. Buffer Mitigation
2a. The table below identifies the square footage of impact to each zone of the riparian buffer and the required mitigation.

Zone 1
Total Impact Multiplier IF Required Mitigation
0.00
3
0
Square Feet
Square Feet
Zone 2
Total Impact Multiplier Required Mitigation
0.00
1.50
0.00
Square Feet
Square Feet
2b. What is the mitigation plan proposed for this E) Payment to private mitigation bank
project? * F) Payment to Division of Mitigation (DMS)
0 Permittee responsible mitigation
2c. Provide a description of your mitigation plan.*
Rip Rap placed along construction side and re -seeding any disturbed area.
2d. Attach a detailed planting plan to include plant type, date of plantings, the date of the one-time fertilization in the protected
riparian buffers, and a plan sheet showing the proposed location of the plantings.
Click the upload button or drag and drop files here to attach document
Hubbard_v1.3_Planting_drainage.pdf 966.33KB
PDF only
2g. Comments:
E. Diffuse Flow Plan
1a. 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
Hubbard_v1.3_Planting_drainage.pdf 966.33KB
PDF only
F. Supplementary Information C�
....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
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;
• 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')
d 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');
d 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:* Lee Beatrous
Signature
Lcc koi6ua
Submission Date: 06-08-2023
(Auto populated field)

Initial Review
Is this accepted into the review process?* Yes No
Is this project a public transportation project?* u Yes
a No
ID#* 20230822
Version: *
Select Reviewer: *
Select Reviewing Office*
Has payment been received?*
Chem Smith: Cherri.Smith
Raleigh Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification