20231271 Ver 1_Riparian Buffer Authorization Request_20230915

Original Submittal 9/15/2023
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:* Maules Point LLC
1b. Responsible Party: Crowell Pope
(for Corporations)
1c. Mailing Address:* Street Address
824 Dogwood Lane
Address Line 2
City
State / Province / Region
Washington
NC
Postal / Zip Code
Country
27889-7112
US
1d. Telephone:* 2529447899 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:* Maules Point Property, Screen Room
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
1d. Subdivision Name: NA
le. Nearest Municipality: Blounts creek
1f. Property Size: 2.00
acres
1 g. County (or Counties) where the project is located:*
Beaufort
1h. Property ID# Date of Purchase
27304 5/15/2015
Tax PIN or Parcel id
1i. Deed Information
Type of Book Book#IF Page#
Deed 001872 11 00386
Map F 93-8
1 j. 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
MAUL POINT MAP.pdf 292.78KB
PDF only
1k. How would you like to provide the Latitude and Longitude information?
Address Lookup
Manually
Address Lookup Street Address
4373 Maules Point Road
Address Line 2
City
State / Province / Region
Blounts Creek
NC
Postal / Zip Code
Country
27814-9595
US
Latitude* 35.4476056 Longitude*-76.9290601
11. Is the project located in any of North Carolina's twenty coastal counties?* 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: * Blounts Bay
2b. Water Quality Classification of nearest receiving water: BSB, NSW
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:
Gently sloping mix of grass and trees to the water. Property is residential use.
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
NC_Blounts_Bay_20220823_TM.pdf 4.22MB
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
Web Soil Survey.pdf 3.34MB
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:
Construct a screen room and porch on the end of the existing garage.
Typical carpentry tools.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
SitePlan.pdf 13.04MB
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?* G 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)
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
Map label (e.g. Road Crossing 1) Temporary (T) Exempt 0.00 0.00
Perm or Temp Square Feet Square Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 0.00
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.
All new construction will be placed on existing impervious material, concrete slab.
Approximately 450 sgft of existing concrete is to be removed and replaced with pervious material.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Maintain a clean and tidy job site.
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
RTM_POPE_SCM.pdf 66.27KB
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
QQ 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:
0
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:* Chris grubbs
Signature
Submission Date: 9/15/2023
(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
20231271
1
Robert Tankard:robert.tankard
Washington Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification