20181577 Ver 1_Riparian Buffer Authorization_20181114

DWR
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
Wake
FORM: BA 10-2013
Riparian Buffer Authorization Form
A.
1.
Applicant Information
Project Information
1a.
Name of project:
Linda Dodd Deck and Screened Porch
1 b.
County:
Wake
1c.
Nearest municipality:
Cary
1d. Subdivision name:
Greenwood Acres
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 No
2.
Owner Information
2a.
Name on Recorded Deed:
Linda M. Dodd
2b.
Deed Book and Page No.
Book 012563 Page 00944
2c. Map Book and Page No.
(include a copy of the recorded map
that indicates when the lot
was created):12
BM1974 Page 415
D n/]
nn
2d. Responsible Party
(for Corporations):
2e. Street address:
928 Vickie Drive
2f. City, state, zip:
Cary, NC, 27511
DEQ- ATITI-! E -R RE URCFq
2g. Telephone no.:
PERMITTING
2h. Fax no.:
2i. Email address:
3.
Applicant Information (if different from owner)
3a.
Applicant is:
C AgentrA Other, specify: Independent Admin and Draftsman for
OBRNC
3b.
Name:
Travis W. Bryant
3c.
Business name
(if applicable):
Odell Building and Remodeling
3d.
Street address:
928 Vickie Drive
3e.
City, state, zip:
Cary, NC, 27511
3f.
Telephone no.:
252-425-1564
3g.
Fax no.:
3h.
Email address:
TRAVIS(d)OBRNC.COM
4.
Agent/Consultant Information (if applicable)
4a.
Name:
4b.
Business name
(if applicable):
4c.
Street address:
4d.
City, state, zip.-
ip:4e.
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
1a. Property identification no. (tax PIN or parcel ID):
0773027965
1 b. Site coordinates (in decimal degrees):
Latitude:
35.763652
Longitude:
-78.761514
1c. Property size:
0.74 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Unnamed Tributary to Lynn Branch
2b. Water Quality Classification of nearest receiving water: WS -III; NSW
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: Residential Plot on Residential Street. Maintained lawn, moderate tree cover and foliage.
3b. Attach an 8'/2 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 linear feet of all existing streams (intermittent and perennial) on the property: 90'
3e. Explain the purpose of the proposed project: To extend and cover and existing deck along the backside of the
house facing the stream.
3f. Describe the overall project in detail, including the type of equipment to be used: To extend and existing deck
that is 14' in depth an additional 16' along the house to be screened and covered with roofing per code. 6-8
footings will be required to support this deck and roof all of which reside in Zone 2 of this buffer.
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 ❑ Unknown
Comments:
4b. If yes, who delineated the jurisdictional areas?
Name (if known): Gary Kreiser
Agency/ Consultant Company:
Other: NC DWR 401 11/14/18
4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach
documentation.
Letter submitted 11/14/18, Documentation will be on file past this date
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.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes No
6b. If yes, explain.
C. Proposed Impacts Inventory
1. Buffer Impacts
FORM: BA 10-2013 Page 2 of 4

1a. Project is in which protected basin?
mr& Neuse ❑ Tar -Pamlico ❑ Catawba
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Engineered footings to support structure on post and beam rather than continuous foundation.
❑ 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
Reason for
Type of impact
Stream name
Buffer
Zone 1
Zone 2
number —
impact
(exempt,
3 (2 for
Catawba)
mitigation
impact
impact
Permanent (P)
1.5
allowable,
required?
(sq ft)
(sq ft)
or Temporary
2d. If yes, attach the acceptance letter from the mitigation bank or NC DMS.
allowable w/
2f. Comments:
T
mitigation)
Construction —
Unnamed
B1 P ❑ T
Concrete
Allowable
Tributary to
❑ Yes Y No
224
Footings
Lynn Branch
B2 ❑ P ❑ T
❑ Yes ❑ No
B3 El E
El Yes El No
B4 ❑ P ❑ T
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
224
1c. Comments: Only impact at ground level to be 6-8 16"x16"x16" concrete footings designed to support a
6"x6" post and the screened porch above.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Engineered footings to support structure on post and beam rather than continuous foundation.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. Concrete will be mixed outside the buffer and zero vegetation on property will be disturbed.
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
(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 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

E. Diffuse Flow Plan
All buffer impacts and high ground impacts require diffuse flow or other form of stormwater
❑ Diffuse flow
treatment. Include a plan that fully documents how diffuse flow will be maintained. If a
❑ Other BMP
Level Spreader is proposed, attach a Level Spreader Supplement Form.
use of public federal/state land?
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
1 b. If you answered "yes" to the above, does the project require preparation of an
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
environmental document pursuant to the requirements of the National or State (North
Manual and attach a BMP Supplement Form.
Carolina) Environmental Policy Act NEPA/SEPA ?
F. Supplementary Information
1. Environmental Documentation
1a. 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 ❑ 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 liq 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 rp No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
Applicant/Agent's Pri ted Name A cant/Agent's Signature _
(Agents signature is va only if an authorization letter from the applicant is provided.) Date
Send 3 complete sets of this form and accompanying documents to the following:
For all other projects sent by First Class Mail via
the US Postal Service
Karen Higgins
NCDWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For all other projects sent by delivery service
(UPS, FedEx, etc.):
Karen Higgins
OR NCDWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
FORM: BA 10-2013 Page 4 of 4

928 Vickie Drive
Wake County, NC-DWR Project # 18-407
„s AA1Ea
Locations are approximate
F and are provided for refer-
: "
� ence only :: �n

928 Vickie Drive
Wake County, NC-DWR Project # 18-407
'41%
Feature A
iin
D
USGS Topographical Map
Cary Quadrangle 2016 ,�iy
Locations are approximate
Legend: and are provided for refer- '
3 � ence only :: ML.I V
-Project boundary

LEGEND
Lines Surveyed B.O.M. G.615
Lines not Surveyed
sire E.I.P. Existing Iron Pipe
I.P.S. Iron Pipe Set
ti990 M.H. Manhole
�o
VICINITY MAP (N.T.S.)
.. M.H.
r
Id Radius Arc Len th Chord Ph Bear CENTERLINE
C1 434.97' ' " CREEK
(PER RECORDED MAP CENTER
Oc LINE OF CREEK IS PROPERTY LINE)
°nj EIP
\ _ NI
EIP
N / Z
C\1 I
l 11
M
r /\ CHAIN LINK
FENCE
CENTERLINE
DRAINAGE DITCH
110
N/F / 0.75 AC.
FRENCH 'END OF
D.B. 2767,PG. 625 PIPE
26.
I/ 1 DECK
^00 //48 1, PATIO DCONC. Ln
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coa/411
FRAME SPLIT v^
30' UTILITY 8 DRAINAGE/1 1 LEVEL
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EASEMENTCo
CA
11 I
o
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�y q ` VICKIE DR.
11
W. u P`Q���� 11 (60' R/W )
LOT 110, GREENWOOD ACRES, P . , S'EGT. -
RECORDED IN B.O.M.1974, PG. 615, WAKE CO.
PROPERTY OF
1, David W. Barrier, certify that this plat LINDA M. DODD
was drawn under my supervision from
an actual survey made under my 928 VICKIE DR. CARY, N.C.
supervision; that the boundaries not
surveyed are clearly indicated and any SCALE:
encroachments are shown. 1 -60
DAVID W. BARRIER
DATE:Licensed Surveyor
—� 5/21/07 421 S. Harrison Ave.
Cary, N.C. 27511
BOOK: M-194-76 [phone] `'

LEGEND
��` " oa ---------- Lines Surveyed —� B -O M"970c 615
Lines not Surveyed
SITE E.I.P. Existing Iron Pipe
I.P.S. Iron Pipe Set
M. H. Manhole
VICINITY MAP (N.T.S.)
� -_ (; M.H.
Id Radius Arc Lenth Chord Bear �CENTERLINE
I C1 434.9 _�57.4T 156.61' S 05°44' /CREEK
(PER RECORDED MAP CENTER
LINE OF CREEK IS PROPERTY LINE)
7J EIP
EIP /
I /
� / Z
CN o
.J?
m
CHAIN
\ FENCELINK
CENTERLINE /
DRAINAGE DITCH CJ
110
N/F
/ 0.75 AC
FRENCH 'END OF /
D.B. 2767,PG. 625 PIPE
26.
DE K
00 /48 1, PATIO DRC
/ O
r a // FRAME SPLIT U
30' UTILITY &DRAINAGELEVEL
Uj W18 SEMENT
EASEMENT ----
x
"CIARG�f�
`��� •••,.•�,•. ��Y Aii �� N 17°1 W EIP
Q o�(F.rJ,31 • EIP 2'50"
• _ 99.79'
• S L • / C1 EIP
• ,
Q y s c� ?4 = //
;�•'•0 :�,w VICKIE DR.
LOT 110, GREENWOOD ACRES, P , SEC-T.W
RECORDED IN B.O.M.1974, PG. 615, WAKE CO.
PROPERTY OF
I, David W. Barrier, certify that this plat LINDA M. DODD
was drawn under my supervision from
an actual survey made under my 928 VICKIE DR. CARY, N.C.
supervision; that the boundaries not
surveyed are clearly indicated and any SCALE:
encroachments are shown. 1 =60
DAVID W. BARRIER
DATE: Licensed Surveyor
—� 5/21/07 421 S. Harrison Ave.
Cary, N.C. 27511
BOOK: M-194-76 [phone] `'