20160141 Ver 1_Riparian Buffer Authorization_20160212

Division of Water Resources
2 0 1 6 0 14 1 State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02B .0233 (8)(b), .0243 (8)(b), .0250 (11)(b), .0259 (8)(b), .0267 (11)(c), .0607 (e)(2) - Buffer Authorization
FORM: BA 10-2013
Riparian Buffer Authorization Form
A. Applicant Information
1. Project Information
1 a. Name of project: co
1 b. County:
1c. Nearest municipality:
Id. Subdivision name: JV06
UJ 0 0
1 e. Is the project located in any of North Carolina's
twenty coastal counties. If yes, answer if below.
❑ Yes o
1f. Is the project located within a NC Division of Coastal
Management Area of Environmental Concern (AEC)?
❑ Yes MICO
2. Owner Information
2a. Name on Recorded Deed:
2b. Deed Book and Page No.
Q g
2c. Map Book and Page No.
(include a copy of the recorded
map that indicates when the lot
was created):
s 3 d
2d. Responsible Party
(for Corporations):
2e. Street address:
10 ,
2f. City, state, zip:
2g. Telephone no.:
L _
2h. Fax no.:
2i. Email address:
SCo a . vV1
3. Applicant Information (if different m owner)
3a. Applicant is: gent ❑ Other, specify:
3b. Name: y
3c. Business name
(if applicable): _
e
3d. Street address: ,
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.: t -
3h. Email address:
4. Agent/Consultant Information (if applicable)
' -rU iJy
4a. Name:
r
4b. Business name
(if applicable):
4c. Street address:
4d. City, state, zip:
4e. Telephone no.:
4f. Fax no.:
4g. Email address:
FORM: BA 10-2013
Page 1 of 4

r
B. Project Information and Prior Project History
1. Property Identification
Property identification no. (tax PIN or parcel ID):
1aE2.Surface
S Z b
e coordinates (in decimal degrees):
Latitude:�jg, �$�y
Longitude: =}S, 30o�
operty size:
0.23acres
Waters
2a. Name of nearest body of water to proposed project:
ori
2b. Water Duality Classification of nearest receiving water.
SS
2c. River basin:
3. Project Description
the existing conditions on the site and the general land use in the vicinity of the project at the time of this
on:
4Aftsacch�an
8'/ x 11 exce t from the most recent version of the USGS topographic map indicating the location of
the site
3c. Attach an 8 % x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map
\ depicting the project site
3d. List the totala timated linear feet of all existing streams intermittent and perennial) on the property:
o A G nv.— o
3e. Explair e`ose of the propose proje
p�
�
3f. Desc 'be the o erall project in detail, includi the type of eq i ment to be used:
ut� ! W o0
4. Jurisdictional Determination
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property/
project (including all prior phases) in the past?
.50 Yes ❑ No ❑ Unknown
omments:
4b. If yes, who delineated the jurisdictional areas?
Name (if known): p (k) 6L
Agency/ Consultant Company:
Other.
4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
,;-/.- 12_O/
6. Project History
5a.=Havemits or certifications been requested or obtained for this
ncluding all prior phases) in the past?
es ❑ No ❑ Unknown
5b. If yes, explain and detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
6a.
Yes o
6b. if yes, explain.
FORM: BA 10-2013
Page 2 of 4

a
C. Proposed Impacts Inventory
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
as ywo, a l IL
1. Buffer Impacts
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that requires buffer
mitigation?
1 a. Project is in which protected basin?
euse ❑ 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.
Buffer impact
number—
Permanent (P)
or Temporary
Reason for
impact
Type of impact
(exempt, allowable,
allowable w/ mitigation)
Stream name
Buffer
mitigation
required?
Zone 1
impact
(sq ft)
Zone 2
impact
(sq ft}
B1 ❑ P ❑ T
Ck zvK
Zone 2
❑ Yes No
O
to
B2 ❑ P ❑ T
Total buffer mitigation
required:
❑ Yes' ❑ No
❑ Yes ❑ No
2d. If yes, attach the acceptance letter from the mitigation bank or NC EEP.
B3 ❑ P ❑ T
2f. Comments:
❑ Yes ❑ No
B4 El ❑T
El Yes E] No
B5 ❑ P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total
buffer impacts
1c. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
as ywo, a l IL
1b. Specificall 'd sc ibe measures taken 0 e oid or minimize the proposed imllacts throuch con truction techniques.
MAE-So,,,
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that requires buffer
mitigation?
❑ Yes Q�N0
' \
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
(square feet
Multiplier
Required mitigation
(square feet
Zone 1
3 (2 for Catawba)
Zone 2
1.5
Total buffer mitigation
required:
2c. If buffer mitigation is required, is payment to a
mitigation bank or NC EEP proposed?
❑ Yes ❑ No
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:
FORM: BA 10-2013 Page 3 of 4
es

E. lan
s and high ground impacts require diffuse flow or other form of
FIlr
❑Diffuse flow
ment. Include a plan that fully documents how diffuse flow will be
Other BMP
manane. Level Spreader is proposed, attach a Level Spreader Supplement Form.
1 a.
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
❑ Yes Mo
,plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
public (federallstate) land?
Manual and attach a BMP Supplement Form.
1 b.
F.
Supplementary Information
by First Class Mail via the US Postal Service:
1.
Environmental Documentation
OR NC DWR, Transportation Permitting Unit
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the use of
❑ Yes Mo
Raleigh, NC 27604
public (federallstate) land?
For all other projects send by delivery service
1 b.
If you answered "yes" to the above, does the project require preparation of an
❑ Yes ❑ No
O Karen Higgins
NCDWR — 401 & Buffer Permitting Unit
environmental document pursuant to the requirements of the National or State (North
512 N. Salisbury Street
,Raleiah. NC 27699 - 1650
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):
?4a 1
licanUAgent's Printe Name gent's Signature te
App
(Agents 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 send
For government transportation projects send
by First Class Mail via the US Postal Service:
by delivery service (UPS, FedEx, etc.):
NC DWR, Transportation Permitting Unit
OR NC DWR, Transportation Permitting Unit
1650 Mail Service Center
512 N. Salisbury Street
Ralei h �7RA9 - 1 -
Raleigh, NC 27604
For all other projects send by First Class Mail
For all other projects send by delivery service
via the US Postal Service
(UPS, FedEx, etc.):
Karen Higgins
NCDWR — 401 & Buffer Permitting Unit
O Karen Higgins
NCDWR — 401 & Buffer Permitting Unit
1617 Mail Service Center
512 N. Salisbury Street
,Raleiah. NC 27699 - 1650
Raleigh, NC 27604
FORM: BA 10-2013
Page 4 of 4

Water Resources
ENVIRONMENTAL QUALITY
Kevin and Karen Scofield
105 Chaparral Ct.
Cary, NC 27513
PAT MCCRORY
GovQRor
FEB 12 2016 DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
DNector
February 9, 2016
Subject: Surface Water Determination Letter
NBRRO# 16-032
Wake County
Determination Type:
Buffer Call
Isolated or EIP Call
® Neuse (15A NCAC 2B .0233)
Start@
❑ Tar -Pamlico 05A NCAC 2B .0259)
❑ Ephemeral/Intermittent/Perennial Determination
USGS
❑ Isolated Wetland Determination
❑ Jordan (15A NCAC 26.0267)
Buffers
Project Name:
Location/Directions:
Subject Stream:
105 Chaparral Ct., Cary
The projected area is at 105 Chaparral Ct. in Wake County
Crabtree Creek
Determination Date: 02/05/2016
Staff: Cheng Zhang
Stream
E/I/P*
Not Subject to
Subject to
Start@
Stop@
Soil
USGS
Buffers
Buffers
Survey
To o
A
I
X
End of flared end
X
ie
*E/UP = Ephemeral/Intermittent/Perennia!
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. Theremaybe
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 Ijsending via US Postal Service c/o Karen Higgins DWR — 401 &
Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617. If sending via delivery service (UPS, FedEx,
etc.) Karen Higgins DWR — 401 & Buffer Permitting Unit; 512 N. Salisbury Street Raleigh, NC 27604
Division of Water Resources, Raleigh Regional Office, Water Quality Operations Section http://portal.ncdenr.org/web/wq/aps
1628 Mail Service Center, Raleigh, NC 27699-1628 Phone: [phone]
Location: 3800 Barrett Drive, Raleigh, NC 27609 Fax: [phone] -

1u,).t,naparrW u., t.ary
—Wake County
02/05/2016
Page 2 of 2
This determination 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 Cheng Zhang at (919) 7914259.
Stly,
Danny Smith
Supervisor, Water Quality Regional Operations Center
cc: RRO DWR File Copy

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