20240772 Ver 2_Riparian Buffer Authorization Request_20240531

Original Submittal 5/31 /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?* ❑ Owner
❑ Applicant other than Owner
p Agent
1. Property Owner Information:
1a. Name on Recorded Deed:*
Robert Riggs
1b. Responsible Party:
(for Corporations)
1 c. Mailing Address:*
Street Address
1511 Ravine Court Southeast
Address Line 2
City
State / Province / Region
Niles
OH
Postal / Zip Code
Country
44446-3745
us
1d. Telephone:* 719-337-7219
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:*
McLean- South Shore Phase 2/ 864 Lakeforest Dr.
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
1d. Subdivision Name:
McLean -South Shore Phase2
1e. Nearest Municipality:
Belmont
1f. Property Size:
0.92
acres
1 g. County (or Counties) where the project is located:*
Gaston
1h. Property ID#
311282
Tax PIN or Parcel id
111. Deed Information
.............................................
Date of Purchase
4/5/2024
Deed 101 108
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
864 Lakeforest Dr Survey.pdf 1.27MB
PDF only
1k. How would you like to provide the Latitude and Longitude information?
Address Lookup
Manually
Address Lookup Street Address
864 Lakeforest Drive
Address Line 2
City
Belmont
Postal / Zip Code
28012
Latitude* 35.1519907 Longitude*
11. Is the project located in any of North Carolina's twenty coastal counties?*
2. Surface Waters
.............................................................................................................................................................................................................................................................................................
2a. Name of the nearest body of water to proposed project: * Lake Wylie
2b. Water Quality Classification of nearest receiving water: WS-V
State / Province / Region
NC
Country
US
-81.0465322
Yes No
O

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:
Vacant / Wooded / Future Home Site
3b. Attach an 8 % 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
864 Lakeforest Dr--Topo Map.pdf 520.32KB
PDF only
3c. Attach an 8 % 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
864 Lakeforest Dr --Soil Survey Map.pdf 1.18MB
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:
Clear 255' of the total 310' of shoreline and place Class B Rip Rap along shoreline. We will be using Mini Excavator and Skid Steer
Loader to do the work by land. All disturbed areas to be mulched when job is complete.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
864 Lakeforest Dr —Site Plan.pdf 1.55MB
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
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 Name711 Buffer Impact*11 Impact Type11 Zone 111 Zone 2
Map label (e.g. Road Crossing 1) Permanent (P) Allowable 1,640.00 0.00
Perm or Temp Square Feet Square Feet
Map label (e.g. Road Crossing 1) Temporary (T) Allowable 0.00 400.00
Perm or Temp Square Feet Square Feet
Total Zone 1 Impacts: 1,640.00
Total Zone 2 Impacts: 400.00
Total Buffer Impacts: 2,040.00
Comments:
This property nhas an old logging trail that has no trees on it and will bee some of our access to shoeline.
The Zone 1 is where we have to remove under brush and trees.
D. Impact Justification and Mitigation
1. Avoidance and Minimization 8
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.
Here at Clawsons we only use small equipment to clear and grade for Rip Rap. That helps cut back on the amount of disturbed areas.
As stated earlier, this property has an old logging trail that helps as access.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Lots of hand work and smaller equipment helps alot.
E. Diffuse Flow Plan
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
1a. 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
864 Lakeforest Dr_--Stormwater Control Plan.pdf 431.48KB
PDF only
F. Supplementary Information Ci
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
Yes
No
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?
Yes
No
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
864 Lakeforest Dr -Shoreline pictures 1.pdf 8.89MB
864 Lakeforest Dr Shoreline pictures 2.pdf 7.71 MB
PDF only
Additional Comments:
Let me know if anything else is needed.
H. Sign and Submit
By digitally signing below, I certify that:
o I have given true, accurate, and complete information on this form;
• 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');
• 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:* Randall S. Clawson
Signature
�i rlel?1li 5: C-/11? 11/1W
Submission Date: 05-31-2024
(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
20240772
2
Andrew Pitner:andrew.pitner
Mooresville Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification