20230940 Ver 1_Riparian Buffer Authorization Request_20230629

Original Submittal 6/29/2023
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:*
Anne Marie Mazza
1b. Responsible Party:
(for Corporations)
1c. Mailing Address:*
Street Address
406 WARREN AVE
Address Line 2
City
Cary
Postal / Zip Code
27511
1 d. Telephone:* 9196105507
B. Project Information and Prior Project History
1. Project Information
State / Province / Region
NC
Country
United States
le. Email Address:* [e-mail]
1 a. Name of Project: * Mazza Tuck Deck Addition
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
1d. Subdivision Name: Coronado Village
le. Nearest Municipality: Cary
1f. Property Size: acres
1 g. County (or Counties) where the project is located:*

1h. Property ID# Date of Purchase
0097548
Tax PIN or Parcel id
1 i. Deed Information
Type of Book Book# Page# I
Deed
[Map F IL
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
PDF only
1 k. How would you like to provide the Latitude and Longitude information?
Address Lookup
Manually
Address Lookup
Street Address
406 Warren Avenue
Address Line 2
City
Cary
Postal / Zip Code
27511-4044
Latitude* 35.7815678 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: * Walnut Creek
2b. Water Quality Classification of nearest receiving water: C;NSW
State / Province / Region
NC
Country
US
-78.7739859
Yes
No
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
0
(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:
Personal property. House with deck. Garden/yard in back.
3b. Attach an 8'/2 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
PDF only
3c. Attach an 81/2 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
8

4. Proposed Activity
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:
Deck addition. seven concrete footers and above ground wooden decking.
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
6b. List any permits/approvals that have been requested or obtained for this project in the past.
Application Date
Date Issued
Permit Type
9/10/2022 ]F26/2022
Town of Cary Building Permit Number: 23-
B P-2289
6c. Please explain and detail according to "help file" instructions.
Building permit granted for house addition. Resubmitting for deck addition.
7. Future Project Plans
7a. Is this project a phased project?* 's
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 Stream Name Buffer Impact* Impact Type1 F Zone 1I I
Zone 2
Warren Ave House
Walnut Creek
Permanent (P)
Allowable
0.00
147.00
Map label (e.g. Road Crossing 1)
Perm or Temp
Square Feet
Square Feet

Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 147.00
Total Buffer Impacts: 147.00
Comments:
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.
Above ground deck being built. ground below will remain permeable to water.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Seven concrete footers required. No other disturbance to ground below.
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
406 renovations plus 2023 deck revision (1).pdf 3AMB
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?
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:
• 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')
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');
o 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:* Anne Tuck
Signature
Submission Date: (Auto populated field)

Initial Review
Is this accepted into the review process?* Yes No
Is this project a public transportation project?* � Yes
No
ID#* 20230940
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