20240507 Ver 1_Riparian Buffer Authorization Request_20240401

Original Submittal 4/1/2024
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
0 Applicant other than Owner
0 Agent
Is there an agent working on this application but Yes
not submitting it? No
1. Property Owner Information:
.............................................................................................................
1a. Name on Recorded Deed:*
1b. Responsible Party:
1c. Mailing Address:*
1 d. Telephone:* 9198896823
Andrew H. Osterlund and Kristen M.
Osterlund
NA
(for Corporations)
Street Address
1717 Evergreen Avenue
Address Line 2
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27603-3079
US
2. Applicant's Information (if different from owner):
2a. Name: Jane Karatu
2b. Company Affiliation:
2c. Mailing Address:
le. Email Address:* [e-mail]
Osterlund Architects, PLLC
Street Address
5 W Hargett St
Address Line 2
Suite 310
City
Raleigh, NC
Postal / Zip Code
27601
State / Province / Region
NC
Country
United States
2d. Telephone: [phone]

2e. Email Address:
[e-mail]
B. Project Information and Prior Project History
1. Project Information 0
...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
1a. Name of Project:* Evergreen Residence
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
1d. Subdivision Name: Johnson Subdivision
le. Nearest Municipality: Raleigh
1f. Property Size: 0.58
acres
1 g. County (or Counties) where the project is located:*
Wake
1h. Property ID# Date of Purchase
0792865772
Tax PIN or Parcel id
11. Deed Information
Type of Book Book#ii Page#
Deed F25 976
Map F
12
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
Map.pdf 568.52KB
PDF only
1 k. How would you like to provide the Latitude and Longitude information?
Address Lookup
Manually
Address Lookup Street Address
1709 Evergreen Avenue
Address Line 2
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27603
us
Latitude* 35.746372 Longitude*
-78.667799
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: * Walnut Creek
2b. Water Quality Classification of nearest receiving water: C; 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:
Wooded, vacant lot, adjacent properties are single-family residential of similar character.
3b. Attach an 8'/z 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
TOPO.pdf 215.21 KB
PDF only
3c. Attach an 8'/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
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:
New single-family residence, including driveway, basement, covered parking with living areas above. Footprint
of residence is 800 square feet, plus semi -pervious elevated decks. Shed -roof drainage is dispersed in lieu of
gutters and downspouts. Traditional residential -scale construction equipment will be used, including tree clearing,
excavator, and lull -type forklift.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
2235 Evergreen Residence PROGRESS Set
15.86MB
3.28.24.pdf
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
.......................................................................................................................................... .....................Q......
7a. Is this project a phased project?* 0 Yes a No
C. Proposed Impacts Inventory
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Buffer Impacts
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Q......

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)
Permanent (P)
Allowable w/
0.00
2,030.00
Perm or Temp
mitigation
Square Feet
Square Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 2,030.00
Total Buffer Impacts: 2,030.00
Comments:
D. Impact Justification and Mitigation
nrl Mininni7Afinn
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.
The home is designed vertically to have a minimum built footprint to limit site disturbance.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The home is built with pre -fabricated wall, floor and roof panels to minimize staging and on site fabrication. The
construction site is near the accessed road via a short driveway.
2. Buffer Mitigation
2a. The table below identifies the square footage of impact to each zone of the riparian buffer and the required mitigation.
Zone 1
Total Impact
Multiplier
Required Mitigation
0.00
Square Feet
3
0
Square Feet
Zone 2
Total Impact
Multiplier
Required Mitigation
2,030.00
Square Feet
1.50
3,045.00
Square Feet
2b. What is the mitigation plan proposed for this Payment to private mitigation bank
project? * Payment to Division of Mitigation (DMS)
Permittee responsible mitigation

2f. Attach your reservation letter from DMS. *
2g. Comments:
E. Diffuse Flow Plan
1a. What type of SCM are you providing?*
Click the upload button or drag and drop files here to attach document
Evergreen Residence DMS Acceptance.pdf 302.99KB
pdf only
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
1c. Diffuse Flow Documentation
F. Supplementary Information
Environmental Documentation
Click the upload button or drag and drop files here to attach document
2235 Evergreen Residence_A100 SITE
2.02MB
PLAN_2.29.24.pdf
PDF only
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)?
Yes
No
2b. Is this an after -the -fact buffer authorization application?
Yes
No
G. Additional Information
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Q......
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
2235 Evergreen Pre Application Submittal.pdf 61.51 KB
PDF only
Additional Comments:
Residence is specifically designed to minimize site impact, including open-air pedestal -type vertical construction, small
footprint, and using natural off -site prefabricated panelized construction materials.
H. Sign and Submit
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
By digitally signing below, I certify that:
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")

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');
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
I intend to electronically sign and submit the application form."
Print Name:* Jane Karatu
Signature
,Tov
Submission Date: 04/01/2024
(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
20240507
1
Chem Smith:Cherri.Smith
Raleigh Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification