20151056 Ver 1_Riparian Buffer Authorization_20151013

20151056
State of North Carolina
Department of Environment and Natural Resources
D� ivision of Water Resources Division of Water Resources
15A NCAC 02B.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
1 a. Name of project: Riverview Deck and Steps
1 b. County: Beaufort
1c. Nearest municipality: Chocowinity
1 d. Subdivision name: Bayside Shores
1e. Is the project located in any of North Carolina's ® Yes ❑ No
twenty coastal counties. If yes, answer 1f below.
1f. Is the project located within a NC Division of Coastal ❑ Yes ® No
Management Area of Environmental Concern (AEC)?
2. Owner Information
2a. Name on Recorded Deed:
Miles Glenn Swink
4b.
2b. Deed Book and Page No.
1869/0192
(if applicable):
2c. Map Book and Page No.
568400, 921543
4d.
(include a copy of the recorded
4e.
Telephone no.:
map that indicates when the lot
Fax no.:
4g.
was created):
(r1jt ; •- �.,
2d. Responsible Part
(for Corporations):
NA
Illl�t ice, `�
2e. Street address:
890 E. Bayside Shores
OCT Y q
2f. City, state, zip:
Chocowinity, NC 27817
"' Iu
2g. Telephone no.:
252 - 469 -1545
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2h. Fax no.:
NA
a BUFFER PE "• • '�� tv
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2i. Email address:
swinkgle @gmail.com
3. Applicant Information (if different from owner)
3a. Applicant is:
❑ Agent ❑ Other, specify:
3b. Name:
3c. Business name
(if applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
4. Agent/Consultant Information (if applicable)
4a.
Name:
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 Page 1 of 4

B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID): 12017029
1 b. Site coordinates (in decimal degrees): Latitude: 35.50239 I Longitude: - 77.024461
1 c. Property size: 0.31 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Pamlico River
2b. Water Quality Classification of nearest receiving water: SIB, NSW
2c. River basin: Pamlico
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:
Currently has a single family 3 bedroom home.
3b. Attach an 8 '/ x 11 excerpt from the most recent version of the USGS topographic map indicating the location of
the site
3c. Attach an 8'/ x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map
depicting the project site
3d. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
78 linear feet on canal and 75 linear on Pamlico River
3e. Explain the purpose of the proposed project:
Install an open slat wood 8 elevated deck with steps.
3f. Describe the overall project in detail, including the type of equipment to be used:
Salt treated decking, framing, 6 1Ix6" post and steps, Vinyl handrails and deck rails.
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): Other:
4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for this ❑ Yes
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.
❑ Yes
® No ❑ Unknown
►.1 •
FORM: BA 10 -2013 Page 2 of 4

C. Proposed Impacts Inventory
1. Buffer Impacts
1a. Project is in which protected basin?
❑ Neuse
® Tar - Pamlico ❑ Catawba
❑ Randleman
❑ Jordan ❑ Goose Creek
1 b. Individually list all buffer impacts below.
If any impacts require
mitigation, then you MUST 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,
mitigation impact impact
Permanent (P)
allowable w/ mitigation)
required? (sq ft) (sq ft)
or Temporary (T)
B1 ® P ❑ T Home Add.
Allowable
Pamlico River ❑ Yes ® No 0 180
B2 ❑ P ❑ T
❑ Yes ❑ No
B3 ❑ P ❑ T
❑ Yes ❑ No
B4 ❑ P ❑ T
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
1c. Comments:
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.
Proposed impacts are the minimum needed to utilize the intent of the designed use.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Structure will be elevated with slat wood construction with vegetation under structure.
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.
2f. Comments:
FORM: BA 10 -2013 Page 3 of 4

E. Diffuse Flow Plan
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided )
Send 3 complete sets of this 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, FedEx, 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 Class Mail 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, NC 27604
FORM: BA 10 -2013 Page 4 of 4
All 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
❑ Other 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
0
�Le►ia =,� I)�cfc
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
Manual and attach a BMP Supplement Form.
L ?� "1) ci NnLiy�eff-r ll'
F.
Supplementary Information
1.
Environmental Documentation
1 a.
Does the project involve an expenditure of public (federal /state /local) funds or the use of
❑ Yes ® No
public (federal /state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
❑ Yes ❑ No
environmental document pursuant to the requirements of the National or State (North
Carolina) Environmental Policy Act (NEPA/SEPA)?
1c.
If you answered "yes" to the above, has the document been finalized by the State
❑ Yes ❑ No
Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.)
Comments:
2.
Violations
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):
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided )
Send 3 complete sets of this 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, FedEx, 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 Class Mail 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, NC 27604
FORM: BA 10 -2013 Page 4 of 4

West
"Canal"
North
Existing
House 24 x 36
South
Proposed Steps
Existing
Sunroom
10' x 26'
,,�0' Line ,High water line
Proposed /
Raised
Deck
30 � 45
East
30 "River"
30
5Q

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