20181289 Ver 1_Riparian Buffer Authorization_20180919

DWR 2 0 1 8 1 2 8 9 State of North Carolina
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.
1.
Applicant Information
Project Information
1 a. Name of project: 1100 Edgevale Road Durham (Bernstein)
1 b. County: DURHAM
1 c. Nearest municipality: DURHAM
1d. Subdivision name: GLENDALE ADDITION
1e. Is the project located in any of North Carolina's twenty coastal counties?
If es, answer 1f below.
❑ YesNo
1f. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?
❑ Yes
Xg No
2.
Owner Information
2a. Name on Recorded Deed:
Glenn A. Bernstein & Andrea M Dubocq Bernstein
2b. Deed Book and Page No.
Book 8384 - Page 276
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created):
Book 3, Page 173
2d. Responsible Party
(for Corporations):
2e. Street address:
1608 Ward St
2f. City, state, zip:
Durham, NC 27707
2g. Telephone no.:
305-321-0576
2h. Fax no.:
2i. Email address:
glennb funix.com
3.
Applicant Information (if different from owner)
3a. Applicant is: ❑ Agent ❑ Other, specify:
3b. Name:
3c. Business name
if applicable): IIAMO
3d. Street address:
3e. City, state, zip.-
3f. Telephone no.:
4.
3g. Fax no.:
3h. Email address:
Agent/Consultant Information (if applicable)
ES
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): 105641
1 b.
Site coordinates (in decimal degrees): Latitude: 36.0127774 Longitude: -78.8972086
1c.
Property size: 0.338 acres
2.
Surface
Waters
2a.
Name of nearest body of water to proposed project: UT to Ellerbe Creek
2b.
Water Quality Classification of nearest receiving water: WS-1V:NSW
2c.
River basin: Nuese
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 residential lot
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'h 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:
152 feet - adjacent
3e.
Explain the purpose of the proposed project:
Build single family home and mother -in-laws suite
3f.
Describe the overall project in detail, including the type of equipment to be used:
Prepare, install foundation and build single family home. Excavator, bull dozer, construction site equipment.
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?
X Yes El No El Unknown
Comments:
4b.
If yes, who delineated the jurisdictional areas?
Name (if known): Vanessa Manuel
Agency/ Consultant Company: NC DWR
Other:
4c.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach
documentation.
August 10, 2018
5.
Project History
5a.
Have permits or certifications been requested or obtained
for this project (including all prior phases) in the past?
Yes No El Unknown
5b.
If yes, explain and detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project? ❑ Yes No
6b.
If yes, explain.
FORM: BA 10-2013 Page 2 of 4

C. Proposed Impacts Inventory
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
1. Buffer Impacts —
- -
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
1a. Project is in which protected
basin? XJ4 Neuse
❑ Tar -Pamlico
❑ Catawba
❑ Yes Er No
❑ 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.
Reason for impact Total impact Multiplier
Required mitigation
Buffer impact
Reason for
Type of impact
Stream name
Buffer
Zone 1
Zone 2
number —
impact
(exempt, allowable,
mitigation
impact
impact
Permanent (P)
2d. If yes, attach the acceptance letter from the mitigation bank or NC DMS.
allowable w/
2f. Comments:
required?
(sq ft)
(sq ft)
or Temporary
mitigation)
T
B1 W P [:IT
Foundation of
Allowable
UT to Ellerbe
❑ Yes N� No
0
1400
buildings
Creek
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
1400
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.
Wherever possible pilings in place of grading will be utilized to minimize impact. New vegetation will be
introduced in close proximity to buildings and in any open areas.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. Using silt fencing. Dumpsters onsite are immediately use for all waste. Use of water bom low
VoC products. Green building materials. Use of temporary ravel driveway.
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that
❑ Yes Er No
requires buffer mitigation?
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 ❑ 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.
1c. If you answered "yes" to the above, has the document been finalized by the State
F. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/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 ?
1c. 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):
(�,ch✓,,� %�E�i �si�".,,� % - yam' 9 � �� �'
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 For government transportation projects sent by
First Class Mail via the US Postal Service: delivery service (UPS, FedEx, etc.):
NC DWR, Transportation Permitting Unit OR NC DWR, Transportation Permitting Unit
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699 - 1617 Raleigh, NC 27604
For all other projects sent by First Class Mail via For all other projects sent by delivery service
the US Postal 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

WaterResources
ENVIRONMENTAL QUALITY
August 10, 2018
Glenn Bernstein
1608 Ward Street
Durham, NC 27707
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary,
LINDA CULPEPPER
Interim Director
Subject: Buffer Determination Letter
NBRRO # 18-208
Durham County
Determination Type:
Buffer
Intermittent/Perennial
® Neuse (15A NCAC 213 .0233)
Start@
❑ Tar -Pamlico (15A NCAC 2B
® Intermittent/Perennial Determination (where local buffer
.0259)
ordinances apply)
❑ Jordan (15A NCAC 213.0267)
(governmental and/or interjurisdictional
projects)
✓
Project Name:
Address/Location:
Stream(s):
1100 Edgevale Road
1100 Edgevale Road, Durham, NC
UT to Ellerbe Creek
Determination Date: August 7, 2018 Staff: Vanessa Manuel
Stream
E/I/P*
Not Subject
Subject
Start@
Stop @.
Soil
Survey
USGS
To o
Stream A
I
✓
✓
*E/1/P = Ephemeralilntermittent/Perennial
Explanation: The stream(s) listed above has been located on the most recent published NRCS Soil Survey of
Durham County, North. Carolina and/or the most recent copy of the USGS Topographic map at a 1:24,000 scale.
Each stream that is checked "Not Subject" has been determined to not be at least intermittent or is not present.
Streams that are checked "Subject" have been located on the property and possess characteristics that qualify it to be
at least an intermittent stream. There may be other streams located on the property that do not show up on the maps
referenced above but may be considered jurisdictional according to the US Army Corps of Engineers.
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 may request a determination by the Director. An
appeal request must be made within sixty (60) days of date of this letter. A request for a determination by the
Director shall be referred to the Director in writing. If sending via US Postal Service: c/o Karen Higgins;
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]

18-208: 1100 Edgeva I e Road

I
18-208: 100 EdgevaleRi.•
x a
Legend:
W 1 g
-Approximate Site boundary:
Map provided by NCDEQ
Division of Water Resources
Locations are approximate
and are provided for
reference only ::

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REGISTER OF DEEDS f
OUIVIAN COUNTY,N.O,
Nxetio Tax Recording Time. Book and Page
Tax Lot No, ................ Parcel IdontI ler No.....
Verified by ,.•„. ............. „• County on the ,,..,......,,,., day of
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NORTH CAROLINA GENERAL WARRANTY DEED
1
THIS DZ8D made this ,,.25A. day of ........ ,Ax,,,,„ 1D0.0.,...,,, by and between f
GRANTOR GRANTEE
I
Lillie P. Lloyd Boyce and Ralph C. Potent and
husband, H. Spurgeon Boyce wife, Rebecca C. Poteat
i.
Enter In Appropriate black for each partyt name, kddreo, and, it appropriate, character of entity, 0.4. corporation or paranerAl
The designation Grantor and Grantee as used herein shall Include said parties, their heirs, suceasgors, and ass gns,:and
shall Include singular, plural, masculine, feminine or neuter as required by context,
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the recelpC, of which Is ;hereby
acknowledged, has and by these presents does grant, bargain, soil and convey unto the Grantee ln,tof Omple all that
certain lot or parcel of land situated in the City of aurhAm ..........
Aurh.am................. County, North Carolina and mora partloularly deacribod no, follows:
✓DEGINNING at a stake on the east side of Edgevale Road (formerly
I` Eblen Street) South 3” 12' West 150 feet from the point where the
'east side of Edgevale. Road intersects the south side of Markham
li Avenue, said point of beginning Also beixig the southwest corner 1
of Lot No. 17 of plat hereinafter referred to, and running thence +
along and with the east side of Edgevale Road South 3° 121 west', (�
154.9 feet to a stakei thence North 840 East 151.6 feet to a stake
:?Y on the west side of an•alleyi thence North 30 121 East 133.9 feet
to a stake, the southeast corner. of Lot No. 171 thence running ,',
along and with the southern line'of Lot No. 17.North 870 451 West
150 feet to a stake, the place and "point of BEGINNING, and being
yti Lots 12,13, 14, 15 and 16 of Block A of the GLENDALE ADDITION
j: For further information, reference is hereby made to .Plat Book 3,
f, page 173, Durham County Registry.
N,e. "fit Al.ee, teal No, 3.0 1170, ROOM 1117• ` •� I`
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The property hereinabove described was acquired by Grantor by Instrument recorded In ,,,,,•;•,..,,,.,,,,;,,,,,;.
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A map showing the above described property is recorded in Plat Hook ,,,,,,,,,,,,,, 3,.,..,.............page ,1 3
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TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to
the Grantee In fee simple,
And the Grantor covenants with the Grantee, that Grantor is seized of the promisee In he simple, has the right td convey
the same in fee simple, that title IN marketable and free and clear of all encumbrancoa, and that Grantor will warrant and
defend the title against the lawful claims of all person whomsoever except for the exceptionshereinafter stated.
Title to the property hereinabove described IN subject to the following exceptions,
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Not FUr Recording Or Convey -
Property Of:
LARRY TSEWj
#1100 & #1104 Edgevale Road
Durham, North Carolina
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PROFESSIONAL LAA1D SUR EYO
3016 OUINCEMOOR R
DURHAM, NORTH CAROLINA 2711
1 919,-36 6938 J i
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LOT NO.: P''6Z _ #/' BLOCK:
.PHASE:.. ....... SECTION:
PLA'�T��OOK . -:3... PAGE..
%/Cl/2/lAe COUNTY REGISTRY

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