20240419 Ver 1_Riparian Buffer Authorization Request_20240319

Original Submittal 3/19/2024
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?* 0 Owner
O Applicant other than Owner
Agent
Is there an agent working on this application but Yes
not submitting it? No
1. Property Owner Information:
1a. Name on Recorded Deed:* Moss construction and design
1b. Responsible Party: James moss
(for Corporations)
1c. Mailing Address:* Street Address
7105 Mary Dee Ct
Address Line 2
City State / Province / Region
Raleigh NC
Postal / Zip Code Country
27613 United States
1d. Telephone:* 9106223431 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:*
1410 JOE LOUIS AVE RALEIGH NC 27610
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
1d. Subdivision Name:
JOE LOUIS
le. Nearest Municipality:
RALEIGH
1f. Property Size:
0.07
acres
1 g. County (or Counties) where the project is located:
Wake
1h. Property ID# Date of Purchase
1713353525 10/12/2023
Tax PIN or Parcel id
1i. Deed Information
Type of Book Book# Page# I
Deed F9o
420
Map =F I
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
1410 final survey .pdf 155.17KB
PDF only
1 k. How would you like to provide the Latitude and Longitude information?
O Address Lookup
OO Manually
Latitude* 784259 Longitude* 103649
11. Is the project located in any of North Carolina's twenty coastal counties?* Yes No
2. Surface Waters
2a. Name of the nearest body of water to proposed project: * FALLS LAKE
2b. Water Quality Classification of nearest receiving water: NEUSE
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
50
(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:
The area is existing and has been untouched.
3b. Attach an 8'/2 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
24-079 1410 Joe Louis Avenue - Buffer
878.18KB
Determination Letter.pdf
PDF only
3c. Attach an 81/2 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
24-079 1410 Joe Louis Avenue - Buffer
878.18KB
Determination Letter.pdf
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:
We will be you building a new single-family home. We will do our best to stay out of zone one and keep the construction material in
zone to.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
1410 final survey .pdf 155.17KB
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?*
5b. Who did the determination on the jurisdictional areas?
Who did the determination?
List name if known I
Date
Attach
Agent/Consultant
Chris smith
02/21/2024
(Name if known)
24-079_1410 Joe Louis
878.18KB
Avenue- Buffer
Determination Letter.pdf
pdf only
*** Please include the date of the determination and upload a copy of the determination.
Comments:
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?
U Yes
0 No
6b. List any permits/approvals that have been requested or obtained for this project in the past.
Application Dateii Date Issued Permit Type

1/17/2024 11 Bldr
6c. Please explain and detail according to "help file" instructions.
We will be building a new single family house
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)
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 111 Zone 2
Joe Louis
Neuse
Permanent (P)
Allowable
0.00
190.00
Map label (e.g. Road Crossing 1)
Perm or Temp
Square Feet
Square Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 190.00
Total Buffer Impacts: 190.00
Comments:
There will be a small porch and some heated square feet in zone two
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.
We will be putting up vegetation in the area zone two to avoid soil lose. We will also use screening to cover zone one from any
construction presents.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Construction materials will be kept out of any zone in the rear of the property.
E. Diffuse Flow Plan
la. 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
1410 final survey .pdf 155.17KB
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?
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?
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
It was brought to our attention that the buffer existed from the Storm Water permit
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
1410 final survey .pdf 155.17KB
24-079 1410 Joe Louis Avenue - Buffer
878.18KB
Determination Letter.pdf
PDF only
Additional Comments:
H. Sign and Submit
By digitally signing below, I certify that:
IN
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 Moss
Signature
Submission Date: 03-19-24
(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
20240419
1
Zachary Thomas:zachary.thomas
Raleigh Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification