20181284 Ver 1_Riparian Buffer Authorization_20180918

Riparian Buffer Authorization Form
A.
Applicant Information
1.
Project Information
2 01 g 1 2 g
1 a. Name of project: 624 Stratford Drive
1 b. County: Wake
1c. Nearest municipality: zebulon
1 d. Subdivision name: wedgwood
1e. Is the project located in any of North Carolina's twenty coastal counties?
If yes, answer 1f below.
❑ Yes X❑ No
1f. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?
❑ Yes X❑ No
2.
Owner Information
2a. Name on Recorded Deed:
Breakwater Building Company
2b. Deed Book and Page No.
DB8120, Page 1937
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created):
1973 page 324
2d. Responsible Party
(for Corporations):
Breakwater building Company
d
2e. Street address:
302 Middleham Drive
2f. City, state, zip:
Rolesville NC27571
2g. Telephone no.:
919-422-7182
2h. Fax no.:
2i. Email address:
I [e-mail]
3.
Applicant Information (if different from owner)
3a. Applicant is: ❑ Agent ❑ Other, specify: Partner
3b. Name: David A Calverley
3c. Business name Elevate building Company
(if applicable):
3d. Street address: 606 Sunland Drive
3e. City, state, zip: Knightdale NC 27545
3f. Telephone no.: 919-841-2796
3g. Fax no.:
3h. Email address: [e-mail]
4.
Agent/Consultant Information (if applicable)
4a. Name:
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):
1 b. Site coordinates (in decimal degrees): Latitude: 35.825394 Longitude: -78.328398
1c. Property size: 0.35 acres
2.
Surface Waters
2a. Name of nearest body of water to proposed project: Neuse river
2b. Water Quality Classification of nearest receiving water:
2c. River basin: Neuse
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:
Building lot with drainage ditch located on it
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 '/2 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 linear feet of all existing streams (intermittent and perennial) on the property:
212.87
3e. Explain the purpose of the proposed project:
New construction, single family home
3f. Describe the overall project in detail, including the type of equipment to be used:
A mini escavator will clear 10-15 feet around designed building area to build a single family residence
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 ❑ No X❑ 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 X❑ Unknown
5b. If yes, explain and detail according to "help file" instructions.
6.
Future Project Plans
6a. Is this a phased project? ❑ Yes X❑ No
6b. If yes, explain.
FORM: BA 10-2013 Page 2 of 4

C. Proposed Impacts Inventory
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
We will install silt fencing, perform regular inspections and mark non -disturbance areas
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?
X❑ Neuse
❑ Randleman
❑ Tar -Pamlico
❑ Jordan
❑ Catawba
❑ 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 Type of impact Stream name Buffer
impact (exempt, allowable, mitigation
allowable w/ required?
mitigation)
Zone 1 Zone 2
impact impact
(sq ft) (sq ft)
B1 X❑ P ❑ T
Corner of new
home plan
X❑ Yes
❑ No
184
B2 ❑ P ❑ T
❑ Yes ❑ No
B3 ❑ P ❑ T
❑ Yes ❑ No
B4 ❑ P ❑ T
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes [:]No
B6 ❑ P ❑ T
❑ Yes [:]No
Total buffer impacts
184
1c. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
We will install silt fencing, perform regular inspections and mark non -disturbance areas
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. Monitor construction activity and silt fence to maintain a protective buffer
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that
requires buffer mitigation?
❑ Yes X❑ 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 Required mitigation
(square feet 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 DMS ❑ Yes X❑ No
proposed?
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

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
Carolina) Environmental Policy Act NEPA/SEPA ?
Manual 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 (federaVstate/local) funds or the
❑ Yes X❑ No
use of public(federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
❑ Yes ❑ 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 X❑ 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 X❑ No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
David A Calverley
Applicant/Agent's Printed Name
Applicant/Agent's Signature
is valid only if an authorization letter from the applicant is
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
9/17/2018
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
Date
FORM: BA 10-2013 Page 4 of 4

SURVEY FOR
BREAKWATER BUILDING CO.
N
M
C9
LOT 34, WEDGWOOD SUBDIVISION
LENGTH BEARING
L-1241.87'
S 86'03'30" IN
624 STRATFORD DRIVE
15.00' S 86'49'00"
L-3
S 85'51'25" E
1795.12-96-0047
m
D.B. 8120, PG. 1397
0
B.M. 1973, PG. 324
VICINITY MA
o
LITTLE RIVER TOWNSHIP
WAKE COUNTY, NORTH CAROLINA
EIP — EXISTING IRON PIPE
p
EIB — EXISTING IRON BAR
a
JUNE 27, 2018
BEIP SENT IRON PIPE
REVISED JULY 2, 2018
OEM — BENT IRON BAR
CM - CONCRETE MONUMENT
EPK - EXISTING PK NAIL
REVISED SEPTEMBER 4, 2018
SET PK NAIL
NIPK- NEW IRON PPE SET
IMPERVIOUS SURFACE TABLE
ZONING R 13
R/ V — RIGHT OF WAY
HOUSE
COVERED PORCH
CATV - CABLE TV BOX
1.882 S.F. �7 EB — ELECTRIC BOX
101 S.F. 40 20 0 40 80
477 S.F.
TEL -TELEPHONE PEDESTAL
SIDEWDRIVEWAY
35 S.F.
PP - POWER POLE
OHL - OVERHEAD LINE
TOTAL IMPLKS
TOTAL IMPERVIOUS AREA
TOTAL LOT AREA
2,295 S.F.LP
15,069 S.F. SCALE 1 "=40'
LIGHT POLE
WM - WATER METER
PERCENTAGE OF IMPERVIOUS AREA 15.22 X
WV — WATER VALVE
CO -- SEWER CLEAN—OUT
DI — DROP INLET
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SURVEY COMPUES WITH THE N
CAWTHORNE, MOSS CAME. 1ARDS OF PRACTICE FOR S RVEYING,ORTH
& PANCIERA, P.C. (SECTION 1600) FOR CLASS A SURVEYS AND THAT THE
CALCULATED RATIO OF PRECISION BEFORE ADJUSTMENTS
IS 1:10,000+. FURTHERMORE, PROPERTY CORNERS SHOWN
Professional Land Surve ors ARE PRIMAR ONTROL MONUMENTATION FOR THE RE—
Y ESTABLI NT OF PROPERTY CORNERS IN THE ABSENCE
C-1525 OF G D MONOENTS AND OTHER SUBDIVISION PROPERTY
333 S. White Street CO ERS. TH SURVEY IS NOT TO BE RECORDED WITH—
THE AUTHORIZATION OF THE SURVEYOR.
Post Office Box 1253
Wake Forest, N.C. 27588
S [phone] D0l1PGCC1rIAIAI I AAIn C1 iDvcvne I