20151082 Ver 1_Riparian Buffer Authorization_20151016

2 0 1 5 State of North Carolina
1 0 8 2 Department of Environment and Natural Resources
Division of Water Resources Division of Water Resources
15A NCAC 0213.0233 (8)(b), .0243 (8)(b),.0250 (11)(b), .0259 (8)(b), .0267 (11)(c), .0607 (e)(2) - Buffer Authorization
FORM: BA 10 -2013
2. Owner Information
2a. Name on Recorded Deed:
2b. Deed Book and Page No.
2c. Map Book and Page No.
(include a copy of the recorded
map that indicates when the lot
was created):
2d. Responsible Party
(for Corporations):
2e. Street address:
2f. City, state, zip:
6 0 '?'7
2g. Telephone no.:
2h. Fax no.:
2i. Email address:
3.
Riparian Buffer Authorization Form
,ate --
A.
Applicant Information
wo �B I
Oprp.r�
1.
Project Information
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1a.
Name of project: I 2-01 ty(e -r-- J W11 Or
Business name
(if applicable):
1 b.
County: Wet
1c.
Nearest municipality:
3e.
3f.
1d.
Subdivision name:
3g.
1e.
Is the project located in any of North Carolina's Q
I El Yes
�o v
Email address:
twenty coastal counties. If yes, answer 1 f below.
1f.
Is the project located within a NC Division of Coastal I ❑ Yes
�No
Management Area of Environmental Concern (AEC)?
2. Owner Information
2a. Name on Recorded Deed:
2b. Deed Book and Page No.
2c. Map Book and Page No.
(include a copy of the recorded
map that indicates when the lot
was created):
2d. Responsible Party
(for Corporations):
2e. Street address:
2f. City, state, zip:
6 0 '?'7
2g. Telephone no.:
2h. Fax no.:
2i. Email address:
3.
Applicant Information (if different from owner)
3a.
Applicant is:
rfAgent ❑ Other, specify:
3b.
Name:
I C1^!i
3c.
Business name
(if applicable):
6 C E x +c-� i o ir 5
3d.
Street address:
_ '1390 F ,., ( ( _z V * t1 C- key
3e.
3f.
City, state, zip:
Telephone no.:
P¢ (L; k. n,C 2-74 p 3
9144 -40 - ` 5S?
3g.
Fax no.:
3h.
Email address:
Ck i, W nee +ite4ia I.'ek. P.vltr 'r'a!'5 COIN.
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.: I `�
4g. Email address:
FORM: BA 10 -2013
Page 1 of 4

B. Project Information and Prior Project History
1. Property Identification C7 %6 /1 Z9 S 77
1a. Property identification no. (tax PIN or parcel ID):
1 b. Site coordinates (in decimal degrees):
1c. Property size:
2. Surface Waters
2a. Name of nearest body of water to proposed project:
2b. Water Quality Classification of nearest receiving water:
2c. River basin:
Latitude: I Longitude:
n,J'? acres
e° ct-s
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: �f
d�rU
�3b., Attach an 8 '/ x 11 excerpt from the m ?t recent ver n of the USGS topographic map indicating the location of
the site
3c: Attach an 8 Y 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 fee; of all existing streams (intermittent and perennial) on the property: 15o.C41F 104
a,ra ter. IfJ �1 ��or
3e. Explain the purpose of the proposed pro�ect:
3f. Describe the overall project in detail, including the type of equipment to be used:
^0 j- e—A —"'�_ , turn v,�-E 1
4. Jurisdictional Determinatiortd e
4a. Have jurisdictional wetland or stream determinations by the Cj 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): J0--ra. L ti,`G,� 10-12--15 Other: ow P-
4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History j
5a. Have permits or certifications been requested or obtained for this I ❑ Yes ❑ No d] Unknown
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? I ❑ Yes �No
6b. If yes, explain.
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.
Zone 1 Zone 2
Buffer impact
Reason for Type of impact
number —
impact (exempt, allowable,
Permanent (P)
allowable w/ mitigation)
or Temporary (T)
B1 0 P❑ T
QcGt t.l<�a�lfro�-
%i � to W Al I t.
B2 ❑P ❑T
❑ Yes ❑ No
B3 ❑P ❑T
B4 El ❑T
B5 El ❑T
B6 ❑P ❑T
1c. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
Stream name Buffer
Zone 1 Zone 2
mitigation
impact impact
required?
(sq ft) (sq ft)
1Oa 6�s �r e ❑ Yes EN o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Total buffer impacts
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
vl oo t;'yt cr r� 11.a dea.v�Z 9 , p Vk&-; T
1 b. Speciifical describe measures taken to oid or minimize the proposed impacts through construction techniques.
Sri) ilv,,a f e. v 'o_ a be- ire cu, rApf 'e., i'vi
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that requires buffer I ❑ Yes ffkNo
mitigation?
2b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigatjfan and
calculate the amount of mitigation required in the table below. 7
Zone Reason for impact Total impact I Multiplier Required mitigation
(square feet) (square feet)
Zone 1 13 (2 fo�eatawba)
Zone 2 1.5
Total bufferw tigation required:
2c. If buffer mitigation is required, is payment to a ❑ Ye ❑ No
mitigation bank or NC EEP proposed?
2d. If yes, attach the acceptance letter from the mitigatie6bank or NC EEP.
2e. If no, then discuss what type of mitigation i
2f. Comments:
FORM: BA 10 -2013 Page 3 of 4

E. Diffuse Flow Plan
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. akidG
If due to site constraints, a BMP other than a level spreader is proposed, please provide a 1/6 lb
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP r`'
Manual and attach a BMP Supplement Form.
F. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal /state /local) funds or the use of ❑ Yes [d No
public (federal /state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an ❑ Yes i No
environmental document pursuant to the requirements of the National or State (North
Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. 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):
r d0AAA 01/3/16 -
Ap licant/Agent's Printed Name Applicant/Agent's Signature 'Da%
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Send th
V" v
C �
FORM:
and accompahying documents to the following:
For government trbws ortatton pro send
by First Class Mail via e ostal Serv' e:
NC Trans lon ermitting Unl OR
4650 Mai ice Center
, NC 27699 - 1650
For a end by First Class Mail
via the US Postal Service
Karen Higgins , OR
NCDWR — 401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 - 1650
For government transportation projects send
by delivery service (UPS, FedEx, etc.):
NC DWR, Transportation Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
For all other projects send by delivery service
(UPS, FedEx, etc):
Karen Higgins
NCDWR — 401 & Buffer Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
Page 4 of 4

0
SUBJECT PROPERTY
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IS ❑ IS NOT a LOCATED IN A SPECIAL FLOOD HAZARD AREA AS DESIGNATED ON
FEDERAL EMERGENCY MANAGEMENT AGENCY (FE MA ) FLOOD INSURANCE RATE MAP ( F.I.R M.)
COMMUNITY - PANEL NUMBER 37183CO511 E ZONE X
TOWN OF CARY
BUILDING SETBACKS
FRONT 30'
REAR 20'
SIDE 10'
SIDE STREET 18'
RESTRICTIVE COVENANTS
SETBACKS
FRONT 3S'
REAR 25'
SIDE 10'
1 S1DE STREET 20'
LOT 74
� 1
o _
E 1r
FES
N 3' 4T
S7
CrEIP LE SAN SEMT e
VARIABGEEASEyIEN �a
Q DRAINA
fV U a !
in
'MH s�
1 LOT 73
11647 S,F.
Z ` DECK
r�1 7.5'
o HIGH —
G ��Jr21�s o 944W 9.2 r,
19! XP 13.7 10.a t
1 � m
2 21.4
R =650.00' Q zo.z _ LOT 72
TWO STORY FRAME a N
A =102.90' N a
C =102.79'
C0=S07'54'07 "E 12.1 -j9: aa{12,22 1 21.a 1 io.9 _ M
J I i N
n 1 CONC, 1 0
6,1 STOOP 1 DRIVE 1 Z
I f 1
1 I
I �
I 1
4 I
R =20.00' I
I 1 � EIP
A =31.16' N87.22.38 "E - 66.73' J
C= 28.10'
CB=S47'59'41 "E
MERRY HILL DRIVE
50'RW
FIELD CLOSURE= I : 17,182
NOT WITHIN 2000' OF GEODETIC MON.

201 Merry Hill Drive
Wake County
October 13, 2015
Page 2 of 2
This dete
rmination is final and binding unless, as detailed above, you ask for a hearing or appeal within sixty (60) days.
The owner /future owners should notify the Division of Water Resources (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subject property (stated
above). This project may require a Section 404/401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Resources (Central Office) at (919)- 807 -6300, and the US Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919) - 554 -4884.
If you have questions regarding this determination, please feel free to contact Sara Knies at (919) 791 -4258.
Resp� fully,
Danny Smith, Supervisor
Water Quality Section
Raleigh Regional Office
cc: RRO /SWP File Copy

North Carolina Department of Environmental Quality
Pat- McCrory Do n a id. P, va*,, Aer Vaat+
6ioverA.0 -r sec refarg
Jamie and April West
201 Merry I-fill Drive
Cary, NC 27518
Determination Type:
' Buffer Call
® Neuse (15A NCAC 2B.0233)
October 13, 2015
Isolated or EIP Call
Subject: Buffer Determination
NBRRO# 15 -439
Wake County
❑ Tar - Pamlico (15A NCAC 213 .0259) ❑ Ephemeral /Intermittent/Perennial Determination
E) Isolated Wetland Determination
❑ Jordan (15A NCAC 2B .0267)
Project Name: 201 Merry Hill Drive, Cary
Location/Directions: Subject parcel is a private property located at project address; property
meets Session Law 2012 -200 requisites;
Subject Stream: UT to Dutchmans Branch
Determination .Date: October 13, 2015 Staff. Sara Knies
Feature Not Subject E/UP* Start@ Stop@ Soil USGS
/Flag Subject To Survey Topo
To Buffers
Buffers
A X P Throughout I Throughout I X
*E /I/P - Ephem era UIntermittent/Perennial
Explanation: The feature(s) listed above has or have been located on the Soil Survey of Wake County, North
Carolina or the most recent copy of the USGS Topographic map at a 1:24,000 scale. Each feature that is checked
"Not Subject" has been determined not to be a stream or is not present on the property. Features that are checked
"Subject" have been located on the property and possess characteristics that qualify it to be a stream. There may be
other streams located on your property that do not show up on the maps referenced above but, still may be
considered jurisdictional according to the US Army Corps of Engineers and/or to the Division of Water Resources
(DWR).
This on -site determination shall expire five (5) years from the date of this letter. Landowners or affected parties that
dispute a determination made by the DWR or Delegated Local Authority may request a determination by the
Director. An appeal request must be made within sixty (60) days of date of this letter or from the date the affected
party (including downstream and /or adjacent owners) is notified of this letter. A request for a determination by the
Director shall be referred to the Director in writing c/o Karen Higgins, Karen Higgins, DWR — 401 & Buffer
Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699 -1617.
None Caro ina
atindy
North Carolina Division of Water Resources 1628 Mail Service Center Raleigh, NC 27699 -1628 Phone [phone]
Internet: www.ncwateroualitv.ora Location: 3800 Barrett Drive Raleigh, NC 27609 Fax [phone]
Am, Ea, v4L Oppm�IAfYi rrn44 Ardi ov, Ewf>LQyer — 50% R"ctedl1_0% Po:pk �r Pataer