20231013 Ver 1_Riparian Buffer Authorization Request_20230718

Original Submittal 7/18/2023
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?* ❑ Owner
❑ Applicant other than Owner
p Agent
1. Property Owner Information:
1a. Name on Recorded Deed:*
1b. Responsible Party:
1c. Mailing Address:*
Catherine H Clark Trustee
(for Corporations)
Street Address
5
Address Line 2
City
WILMINGTON
Postal / Zip Code
28403
State / Province / Region
NC
Country
United States
1d. Telephone:* 803-360-8038 le. Email Address:* [e-mail]
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:*
Clark Neuse Ranch
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
1d. Subdivision Name: Woodrow Marshes Lot 1
1e. Nearest Municipality: New Bern
1f. Property Size: 0.85
acres
1g. County (or Counties) where the project is located: *
1h. Property ID# Date of Purchase
8-111-001 12/30/2022
Tax PIN or Parcel id
1 i. Deed Information
Type of Book Book# Page# I
_71
Deed 3751 1023
[Map IF
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
509 Harbor Drive
Address Line 2
City
New Bern
Postal / Zip Code
28560-2203
Latitude* 35.1317091 Longitude*
11. Is the project located in any of North Carolina's twenty coastal counties?*
State / Province / Region
NC
Country
us
-77.0512743
Yes
No
1m. Is the project located within a NC Division of Coastal Management Area of Environmental Concern (AEC)?
Yes
Q No
2. Surface Waters
2a. Name of the nearest body of water to proposed project: * Neuse River

2b. Water Quality Classification of nearest receiving water: Brackish
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:
Existing single family home, driveway and established lawn and vegetation
3b. Attach an 8'/z 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 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:
addition and renovation of home, including drip through decks and in ground pool.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
C1.00 SITE PLAN.pdf 648.21KB
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
7. Future Project Plans
7a. Is this project a phased project?* Yes
No
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)
I
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 Type Zone 1 Zone 2
Drip Through Decks
Neuse River
Permanent (P)
Allowable
0.00
230.00
Map label (e.g. Road Crossing 1)
Perm or Temp
Square Feet
Square Feet
Deck on Grade
Neuse River
Permanent (P)
Allowable
0.00
535.00
Map label (e.g. Road Crossing 1)
Perm or Temp
Square Feet
Square Feet
Concrete Pavers
Neuse River
Permanent (P)
Allowable
0.00
180.00
Map label (e.g. Road Crossing 1)
Perm or Temp
Square Feet
Square Feet
Equipment platform
Neuse River
Permanent (P)
Allowable
0.00
80.00
Map label (e.g. Road Crossing 1)
Perm or Temp
Square Feet
Square Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 1,025.00
Total Buffer Impacts: 1,025.00
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.
Impact of addition in zone 2 is minimal and impact on zone 1 is avoided
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Staging of construction will occur mostly on existing concrete and asphalt drive. Silt fence will be installed to protect zone 1 from
construction activity. Grading and excavation in zone 2 will be minimal and as required to satisfy code and construction requirements.
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
C1.00 SITE PLAN.pdf 648.21K6
PDF only
F. Supplementary Information
Environmental Documentation
1a. 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)?
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:
I used the site plan for the diffuse Flow attachment.
H. Sign and Submit
By digitally signing below, I certify that:
o I have given true, accurate, and complete information on this form;
o 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:* James C Graham
Signature
Submission Date: 07/18/2023
(Auto populated field)

Initial Review
Is this accepted into the review process?*
Is this project a public transportation project?*
ID#*
Version:
Select Reviewer:
Select Reviewing Office*
Has payment been received?*
Yes No
Yes
No
20231013
1
Robert Tankard:robert.tankard
Washington Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification