20161137 Ver 1_Riparian Buffer Authorization_20161118

DW R
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02B.0233 (8)(b) and .0259 (8)(b) — Buffer Authorization
Riparian Buffer Authorization Form
2 n n
FORM: BA 10-2015
A. Applicant Information
1. Project Information
1 a. Name of project: 408 Oakridge Road
1 b. County: Wake
1c. Nearest municipality: Cary
2. Owner Information
2a. Name on Recorded Deed:
Pitt, Calvin Philip & Stacey L
2b. Deed Book and Page No.
014879;02174
2c. Map Book and Page No.
(include a copy of the recorded
map that indicates when the lot
was created):
Plat Book 1966; Page 111
2d. Street address:
408 Oakridge Road
2e. City, state, zip:
Cary, NC 27511
2f. Telephone no.:
919-650-1251
2g. Fax no.:
2a.
2h. Email address:
[e-mail]
3. Agent/Consultant Information (if applicable)
River basin:
Neuse
3.
3a. Name:
ILI
Explain the purpose of the proposed project:
Constructing a deck where a sunroom currently exists (attached to the house and in Zone 2)
3b. Business name
(if applicable):
UNOV 1 S 2016
3c. Street address:
3d. City, state, zip:
-
MOINQ
3e. Telephone no.:
3f. Fax no.. -
3g. Email address:
B.
Project Information
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
0763732401
1 b.
Site coordinates (in decimal degrees):
Latitude: 35.764985
Longitude: -78.773504
1 c.
Property size:
0.46 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Lynn Branch
2b.
River basin:
Neuse
3.
Project Description
Explain the purpose of the proposed project:
Constructing a deck where a sunroom currently exists (attached to the house and in Zone 2)
FORM: BA 10-2015 Page 1 of 2

C. Proposed Impacts
Buffer Impacts
Individually list all buffer impacts below.
Buffer impact number — Permanent (P) or Reason for impact Zone 2 impact
Tem ora T (sq ft
B1 ❑ T Structure in Zone 2 504
B2 CFP [--IT
B3❑P❑T
B4❑P❑T
Total buffer impacts 1
Comments:
D. Impact Justification and Mitigation
Avoidance and M
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Proposed structure will have virtually the same footprint as the current sunroom. Proposed= 18'x28" and
Current= 17" x 28.6'
E. Diffuse Flow
All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. Describe
how diffuse flow will be maintained:
Area around proposed structure will remain undisturbed grass/soil to diffuse flow
F. Violations
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 ❑N)o
Is this an after -the -fact permit application?
❑ Yes X❑ N
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
viXAV'
w, "- C f' it,
Applicant/Agent's rinted Name AppIicant/Age 's ignature Date
(Agents signature is valid only if an authorization letter from the applicant is provided.)
FORM: BA 10-2015 Page 2 of 2

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