20161063 Ver 2_Riparian Buffer Authorization_20170222

DWRState of North Carolina
u Department of Environmental Quality
Division of Water 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
la. Name of project:'S` " ,0C I IC0 n1�E wb rJG,
1 b. County:�j,�j c j ati
1c. Nearest municipality:5EIC LJ
1 d. Subdivision name: t LG( Q ) P I
1 e. Is the project located in any of North Carolina's twenty coastal counties?
If yes, answer 1f below.
❑ Yes No
1f. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?
❑ Yes ,� No
2.
Owner Information
2a. Name on Recorded Deed:
UL i
2b. Deed Book and Page No.
' r 7 NO -
2c. Map Book and Page No.
(include a copy of the
recorded map that indicateswhen the lot was created):
no a UZ
2d. Responsible Party
for Corporations):
2e. Street address:
r
2f. City, state, zip:
2g. Telephone no.:
UEQ'WA7ER R
2h. Fax no.:
P RMt7-IIN
2i. Email address:
3.
Applicant Information (if different from owner)
3a. Applicant is: ❑ Agent Other, specify: 0 W f
3b. Name: %�%t✓
3c. Business name ,[
if applicable):
3d. Street address: G w R -5)47S j5wV
3e. City, state, zip: 'VG 'L CSE
3f. Telephone no.: -
3g. Fax no.:
3h. Email address: C
4.
Agent/Consultant Information (if applicable)
4a. Name: P API,
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

B.
Project Information and Prior Project History
1.
Property Identification
1 a. Property identification no. (tax PIN or parcel ID): L `7 7 " G
1b. Site coordinates (in decimal degrees): Latitude:' 1111 1, t4 Longitude:'
1c. Property size: It,15 acres
2.
Surface Waters
2a. Name of nearest body of water to proposed project: 'uj I j
2b. Water Quality Classification of nearest receiving water:
2c. River basin:
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: 12,E510j,� 071 i�L_ �Adjj-%E tTE &Nh. -E d L/P
1%Q8
3b. Attach an 8'/ x 11 excerpt from the most recent version of the USGS topographic map indicating the location
of the site
3c. Attach an 8 '/Z x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map
depicting the project site ✓
3d. List the total estimated lin%arfa� feet of existing
streamJ(inermittent and perennial) on the property:
3e. Explain the purpose of the proposed project: . ti
P0n0QPG VPIW� , ;�-5 NQ,J� tJATu fit✓ U��>l�ip�lc�j
3f. Describe the overall project in detail, including the type of equipment to be used: IN<M A- ftCN 1 rJ I✓
4.
Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by
the Corps or State been requested or obtained for this
property/ project(including all priorphases) in thepast?
❑ Yes 3&No ❑ Unknown
Comments:
4b. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/ Consultant Company:
Other:
4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach
documentation.
5.
Project History
5a. Have permits or certifications been requested or obtained
for this project(including all priorphases) in thepast?
Yes No ❑ Unknown
5b. -If yes, explain and detail according to "help file" instructions.
b2CGltav 10,11G*J
6.
Future Project Plans
6a. Is this a phased project? ❑ Yes XNo
6b. If yes, explain.
FORM: BA 10-2013 Page 2 of 4
L/

C. Proposed Impacts Inventory
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Ivey MkvI.vcsR`( i3 P. iIxaiS viICL 139 1-90 ri a )PIQG ( So TREFS
1. Buffer Impacts
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that
requires buffer mitigation?
1a. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico
❑ Randleman ❑ Jordan
ACatawba
❑ 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 Reason for Type of impact Stream name
number — impact (exempt, allowable,
Permanent (P) allowable w/
or Temporary mitigation)
T
Buffer
mitigation
required?
Zone 1
impact
(sq ft)
Zone 2
impact
(sq ft)
B1 P ❑T ,po,lTILA &jp6 LIS �Vjp0,6
El Yes No
j,OL�
��D
B2 El P T
❑ Yes ❑ No
2c. If buffer mitigation is required, is payment to a mitigation bank or NC DMS
proposed?
❑ Yes ❑ No
B3 El P T
❑ Yes No
2f. Comments:
B4 P T
❑ Yes ❑ No
B5 El P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total
buffer impacts
1c. Comments: —tV-1/ L P�waoi,
Oct C
1, PikLi
wpt,fCTS ('(,1Fri S 10(14> a'UGCit�V,
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Ivey MkvI.vcsR`( i3 P. iIxaiS viICL 139 1-90 ri a )PIQG ( So TREFS
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. t�>2 t , )✓E QFCa.rr6� +G �iiCilsk'.ICL`, fir' �;�cl>i I� iU' BLFti+
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that
requires buffer mitigation?
❑ Yes No
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 Multiplier
(square feet
Required mitigation
s uare 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 DMS
proposed?
❑ Yes ❑ No
2d. If yes, attach the acceptance letter from the mitigation bank or NC DMS.
2e. If no, then discuss what type of mitigation is proposed.
2f. Comments:
FORM: BA 10-2013 Page 3 of 4
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E. Diffuse Flow Plan
All buffer impacts and high ground impacts require diffuse flow or other form of
❑ Diffuse flow
stormwater treatment. Include a plan that fully documents how diffuse flow will be
❑ Other BMP
maintained. If a Level Spreader is proposed, attach a Level Spreader Supplement Form.
1 b. If you answered "yes" to the above, does the project require preparation of an
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
environmental document pursuant to the requirements of the National or State (North
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
Manual
4 I
and attach a BMP Supplement Form.
1 c. If you answered "yes" to the above, has the document been finalized by the State
F. Supplementary Information
1. Environmental Documentation
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes No
use of public federal/state land?
1 b. If you answered "yes" to the above, does the project require preparation of an
❑ Yes El No
environmental document pursuant to the requirements of the National or State (North
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
❑ Yes No
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 permit application?
❑ Yes No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
MZo loa
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Send 3 complete sets of this form and accompanying documents to the following:
For government transportation projects sent by
First Class Mail via the US Postal Service:
NC DWR, Transportation Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For all other projects sent by First Class Mail via
the US Postal Service
For government transportation projects sent by
delivery service (UPS, FedEx, etc.):
OR NC DWR, Transportation Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
For all other projects sent by delivery service
(UPS, FedEx, etc.):
Karen Higgins Karen Higgins
NCDWR — 401 & Buffer Permitting Branch OR NCDWR — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699 - 1617 Raleigh, NC 27604
FORM: BA 10-2013 Page 4 of 4

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a Soil Map—Gaston County, North Carolina 3
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497350 497380 497370 49M 49739D 497407 497410 4974M 4974M 497440 497450 4974fi0
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497350 49M 497370 49M 497390 407400 497410 497420 497430 497440 497450 497480
3 3
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mMcOE is
AN 0 10 20 40 60
.1 0 35 70 140 2100
Map projection: Wpb Merotor Caner coordinates: WGS84 Edge Ors: UiM Zone 17N WGS84
Natural Resources Web Soil Survey 2/20/2017
Conservation Service National Cooperative Soil Survey Page 1 of 3

MAP LEGEND
Area of Interest (AOI)
Q Area of Interest (AOI)
Solis
j Soil Map Unit Polygons
. r Soil Map Unit Lines
0
Soil Map Unit Points
Special
Point Features
U0
Blowout
,=
Borrow Pit
Clay Spot
Cj
Closed Depression
�f
Gravel Pit
Wet Spot
Gravelly Spot
�i
Landfill
to
Lava Flow
misunderstanding of the detail of mapping and accuracy of soil
Marsh or swamp
c
Mine or Quarry
®
Miscellaneous Water
0
Perennial Water
C_^
Rock Outcrop
+
Saline Spot
a a
Sandy Spot
,=
Severely Eroded Spot
Sinkhole
Very Stony Spot
Slide or Slip
�f
Sodic Spot
Soil Map—Gaston County, North Carolina
MAP INFORMATION
1A
Spoil Area
The soil surveys that comprise your AOI were mapped at
1:24,000.
Stony Spot
Very Stony Spot
Warning: Soil Map may not be valid at this scale.
�!
Wet Spot
Enlargement of maps beyond the scale of mapping can cause
misunderstanding of the detail of mapping and accuracy of soil
Other
line placement. The maps do not show the small areas of
,.
Special Line Features
contrasting soils that could have been shown at a more detailed
scale.
Water Features
Streams and Canals
Please rely on the bar scale on each map sheet for map
measurements.
Transportation
i -F+
Rails
Source of Map: Natural Resources Conservation Service
Web Soil Survey URL:
Interstate Highways
Coordinate System: Web Mercator (EPSG:3857)
US Routes
Maps from the Web Soil Survey are based on the Web Mercator
Major Roads
projection, which preserves direction and shape but distorts
distance and area. A projection that preserves area, such as the
Local Roads
Albers equal-area conic projection, should be used if more
accurate calculations of distance or area are required.
Background
®
Aerial Photography
This product is generated from the USDA-NRCS certified data as
of the version date(s) listed below.
Soil Survey Area: Gaston County, North Carolina
Survey Area Data: Version 16, Sep 19, 2016
Soil map units are labeled (as space allows) for map scales
1:50,000 or larger.
Date(s) aerial images were photographed: Feb 11, 2011—Feb
13, 2011
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
shifting of map unit boundaries may be evident.
USDA Natural Resources Web Soil Survey 2/20/2017
Conservation Service National Cooperative Soil Survey Page 2 of 3

Soil Map—Gaston County, North Carolina
Map Unit Legend
Natural Resources Web Soil Survey 2/20/2017
Conservation Service National Cooperative Soil Survey Page 3 of 3
Gaston County, North Carolina (NC071)
Map Unit Symbol
Map Unit Name Acres in AOI
Percent of AOI
LcE
LdB2
Lloyd loam, 15 to 25 percent
slopes
Lloyd andy clay loam, 2 to 8
percent slopes, moderately
eroded
0.4
0.5
42.9%
56.8%
W
Water
0.0
0.3%
Totals for Area of Interest
0.91
100.0•/.
Natural Resources Web Soil Survey 2/20/2017
Conservation Service National Cooperative Soil Survey Page 3 of 3

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LOCATION MAP
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CONTOUR INTERVAL V
DATUM NGVD29 per Duke Energy Loke Level
BELMONT 7.5' OLMORANGLE
MAP OF TOPOGRAPHIC SURVEY FOR S
stnvLroe t
JOE H. BARnecll RD, P.L.S. PAUL DANIEL & VIRGINIA RUSS HARTLEY r L-
3219 BAIRD ROAD TOWN OF BELMONT
CLOVER. SC 29710
803/831-2ss1 GASTON COUNTY NORTH CAROLINA
1 APRIL 2011
Jae N. Bard, PLS L-2966 Cbwr, SC
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