20150581 Ver 2_Riparian Buffer Authorization_20151026

State of North Carolina
Department of Environment and Natural Resources
" Division of Water iReaources V Division of Water Resources
15A NCAC 028 .0233 (8)(b), .0243 (8)(b),.0250 (11)(b), .0259 (8)(b), .0267 (11)(c),.0607 (e)(2) - Buffer Authorization
FORM: BA 30 -2013
Riparian Buffer; Authorization Form
A. Applicant Information
1. Project Information
1 a. Name of project: 100 Annandale
1 b. County: Wake
1c. Nearest municipality: Town of Cary
1d. Subdivision name: MacGregor Downs
1e. Is the project located in any of North Carolina's
twenty coastal counties. If yes, answer If below.
1f. Is the project located within a NC Division of Coastal
Management Area of Environmental Concern (AEC)? i
2. Owner Information
I f s (i
4
U
LEG�E_,C1 6
Pi
A1Ef2 RE 'ouka
NG -
❑ Yes o 11
❑ Yes ® No
2a. Name on Recorded Deed: Prem Amarnathan & Surya Balasubramani Pethi
2b Deed Book and Page No. BM 1961 - 00040
2c. Map Book and Page No. Not available
(include a copy of the recorded
map that indicates when the lot
was created):
2d.
Responsible Party
Owner of Record
(for Corporations):
2e.
Street address:
1013 N. Road!St.
2f.
City, state, zip:
Elizabeth City, NC 27909 -333
2g.
Telephone no.:
646.250.7736
2h.
Fax no.:
2i.
Email address:
prem @apaventures.corn
3.
Applicant Information
(if different from owner)
3a.
Applicant is:
® Agent ❑ Other, specify:
3b.
Name:
Vince DeFreitas
3c.
Business name
Silver Developers, LLC
(if applicable):
i 3d.
Street address:
1936 Olde Mill' Forest Dr.
3e
City, state, zip:
Raleigh, NC 27606
3f.
Telephone no.:
f 919.661.1292
3g.
Fax no.:
3h.
Email address:
Vince @Silverdevelopers.com
4.
Agent/Consultant Information (if applicable)
4a.
Name:
NA
4b.
Business name
(if applicable):
f 4c.
Street address:
f
4d.
City, state, zip:
1
4e.
Telephone no.:
j 4f.
Fax no.:
4g.
Email address:
FORM: BA 10 -2013 Page 1 of 5

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 0762184504
1 b. Site coordinates (in decimal degrees): Latitude: I Longitude:
1 c. Property size: .65 acres
2. Surface Waters
2a Name of nearest body of water to proposed project:
2b Water Quality Classification of nearest receiving water:
2c. River basin: Neuse
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 condition is vacant lot in a residential subdivision
3b. Attach an 8 Yz x 11 excerpt from the most recent version of the USGS topographic map indicating the location of
the site: Previously submitted Case #15 -0581
3c. Attach an 8 '/ x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map
depicting the project site: Previously submitted Case #15 -0581
3d. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
108'
3e. Explain the purpose of the proposed project:
New Residential home
3f. Describe the overall project in detail, including the type of equipment to be used:
Construction of a new home and all required equipment: Loader to clear the lot & skid steer.
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 I ® Yes ❑ No ❑ Unknown
project (including all prior phases) in the past?
1 5b. If yes, explain and detail according to "help file' instructions.
See Case #15 -0581
6. Future Project Plans
6a. Is this a phased project? I ❑ Yes ® No
6b. If yes, explain.
FORM: BA 10 -2013 Page 2 of 5

C. Proposed Impacts Inventory
I. Buffer Impacts
1a Project is in which protected basin? l Z Neuse ❑ Tar - Pamlico ❑ Catawba
❑ Randleman ❑ Jordan ❑ Goose Creek
1 b Individually list all buffer impacts below. If any impacts require mitigation, then you MIUST 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 House footprint Allowable Swift Creek ® Yes ❑ No 0 315
including deck Tributary #7
B2 ❑ P ® T Construction Allowable Swift Creek ❑ Yes ® No 0 626
traffic Tributary #7
B3 El M El Yes El No
B4 ❑ P ❑ T ❑ Yes []No
85 ❑ P ❑ T ❑ Yes ❑ No
B6 ❑ P ❑ T ❑ Yes ❑ No .
Total buffer impacts
1c. Comments: The total disturbed area in zone #2 is 315 sf. In addition a 10' perimeter area of temporary
disturbance around the house during construction. This lot is extremely constricted due to the buffers and the 100
yr. flood plain. Typical new homes in this subdivision are in excess 5,000 HSF. The cost of the lot dictates an
above average size home to make the house /lot ratio economically feasible. Minimal impact of only 315 sf into
Zone #2 is the least intrusive option available.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
We will install rain barrels for the gutters on the stream side of the home. These will be maintained by the owner
on a regular basis. The barrels will be emptied before a large forecasted rain event.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
We will set up silt fencing to protect all areas from any construction traffic that are not part of this application. No
disturbance will happen in Zone 1 or outside the areas proposed in Zone 2.
FORM: BA 10 -2013 Page 3 of 5

C. Impact Justification and Mitigation, continued
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 I Multiplier Required mitigation
(square feet). l (square feet)
4 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 El 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:
i
i
Page 4 of 5
FORM: SSGP3080 8 -13

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 El 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
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
Manual and attach a, BMP Supplement Form.
F. Supplementary Information
1. Environmental Documentation
la Does the project involve an expenditure of public (federal /state /local) funds or the use of ❑ Yes ❑ No
public (federal /state)i land?
1b. 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)?
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 021-1 .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):
1
I
i0
A plicant/Agent's Printed Name r Applicant /Agent's Signature Date
toetriu owtj e.Il-
(Agent's signature is valid only if an authorization letter from the applicant is provided )
Send this completed form and accompanying documents to the following:
For government transportation projects sent
by First Class Mail via the US Postal Service:
NC DWR, Transportation Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For all other projects sent by First Class Mail
via the US Postal;Service
Karen Higgins
NCDWR — 401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For government transportation projects sent
by delivery service (UPS, FedEx, etc.):
OR NC DWR, Transportation Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
For all other projects sent by delivery service
(UPS, FedEx, etc.):
OR Karen Higgins
NCDWR — 401 & Buffer Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
Page 4 of 4
FORM: BA 10 - "2013

FLOOD C£R
� TIFICAT!DN
,
B (X) THE PROPERTY iS LOCATED IN A FEW 100 YEAR FLOOD AND
FLOODWAY AREA PER f'IRAI MAP NO.
3720076200,1 PANEL 0762
EFFECTIVE DATE MAY 2, 2006.
♦♦ "-2.0
CURVE TABLE
CURVE
I DELTA RADIUS ARC
I TANGENT
CHORD
CHORD BRG.
f cl
1'37'46° J 52-740'
15 00'
750
15.00'
I S 45'40'53" El
C2
1 90'18'21'), 20.00'
315
20.11'
28.36'
S 00'17'11" W1
LC3 11'32'17` 422'26'
85.03'
42.66'
84 89'
I S 39'40'13" W1
LINE TABLE
,
Lac 1
j LINE
BEARING
DISTANCE
♦♦ "-2.0
( L1
S 44'52'00 E
97 48'
- OF PRECISION IS 131,201; AND THAT
- THIS MAP MEET THE, REQUIREMENTS OF
L2
S 45'26'21 W 8661'
'
i L3
N 56'09'04" W 155.19'
/THIS NCAC DAY .
OF 2015.
� L4
N 09'17'50" W 31.80' I ♦
�
J L5
N 54"04'36" E 13.60'
JOHN M. STPASSE7t
D.B. 14428, PC. 873
a �'
LOT 282
40GREM? DOWNS
am. 1971, PC. 40 y11 I ����2 •
P8J 076205 -18 -3605
LOT 283 yy "� G� to ♦
28,688 S.F.
Rf
0.659 ACRES
14CIN1TY MAP
IS 7TE'
8
Avr 10 sm
IVEPIDXM
1. DA 16624, PG 250
PAN 076L05- 16-43"
REID 0071681
FRO r7l S"W COWDwANM
CONCEIPT A6ICGR1
DOWNS, LLC
D.B 15637, PC. 905
au 1986. PC. t 1307
PIN 07d2.09-1676605
I
NC76' �
Y. ALL &SaiD l R/GMS OF
f11LW B.II. 1871. M 40 U
2 PROPERTY LS SUBJECT 70 A
ND 772E DC4WMWW /KS
,A RGMRLW BUFFM SHOMM 1
4. 5' U1R//Y EASEAdW ON RE
O0��Q6 1980. PC
& ND OR 1WlTER L6
6 ROSAWN & PLANIE PC A
7MT NKS LOCA70 AND A"
BS 50' FRONT
SETBACK
'Q. Zti 20' CORNER
SIDE SETBACK
20.3
ss N; • N�`
pw
(ca)-rwcm Stow
Of CLM
70' REAR } PIPE
SETBACK
/ }1OP OF ewt
J �
flOi�iiNl'�
WA
m.1m i $
PRELIMINARY PLAT -- NOT FOR RECORDATION,
CONVEYANCE, OR :TALE
IN MpEwumfiff /5 S.F.
mm fE700ftW 0677AMO CE N ZONE 2=626 S.F.
SAMW MR
PREY AMARNATHAN
AW Wff
BALASUBRAMANI PETHI
LOT 283 MACG'REGOR DOWNS SURYA
K/LDAIRE SECTION 0 60' 120' 180'
100 ANNANDALE DRIVE
WAKE COUNTY
GARY, M 27511 GRAPHIC SCALE
Rte• WW OF U4PS t871 PACE a•
I CERVfY TWAT THIS MAP WAS DRAWN
UNDER NY SUPERVISION FROM .IN ACTUAL
al" My
SURVEY MAD£ UNDER MY SUPERVISION
drn
fQ�. f�f�L41li1JCT:D/
DESCRIPTION RECORDED IN�S'U1����L�t AS SHOWN;
I -
I THAT T�C BOUNDARIES NOT
INDICATED AS DRAWN FROM INFORYAnON £
AW"%J7[AN
j IN I THAT THE RA770
a0 FU
- OF PRECISION IS 131,201; AND THAT
- THIS MAP MEET THE, REQUIREMENTS OF
wf��T
it$t FL" LAYOL
THE STANDARDS OFtPRACTICE FOR LAND
- SURVEYING IN NORTH CAROLINA
DESM 7ECH
/THIS NCAC DAY .
OF 2015.
PROFESSIONAL LAND�SURVEYOR L -4433
FXF. bvwr2sippm
ROBINSON & PLANTE PC
LAND .SURWMV
C -2687
1240 SE AAM40 8040
SLAFIE 203
27511
PHONE FAX 11 8),481 - 12135
DATE 6 -14-15 1 SGALE 1660'