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Home My WebLink About20181635 Ver 1_Riparian Buffer Authorization_20181129�iy - ' C P, \C 6 W -R State of North Carolina Department of Environmental Quality Division of Water Resonrces Division of Water Resources 15A NCAC 0213 .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: Deck 1b. County: Wake 1 6 a 1c. Nearest municipality: City of Raleigh 1d. Subdivision name: Valley Estates ...... .... .......... . . ...... ..... . . . . .. ..... .... ..... .. ........... .. ..... le. Is the project located in any of North Carolina's twenty coastal Yes X -No counties? If yes, answer lf below. ................. .... . .......... - ..- 1f. Is the project located within a NC Division of Coastal Management Area Yes X -No of Environmental Concern (AEC)? . ........... 2. Owner Information 2a. Name on Recorded j Steve & Dawn Barrow Deed: . ................ . . ............ ............. . . ..... ......... 2b. Deed Book and Page BK 004869 PG 00532 No. . ... . .... ... ..... 2c. Map Book and Page No. MB 1978 PG 00041 (include a copy of the recorded map that indicates when the lot was created): . . .......... 2d. Responsible Party (for Corporations): 2e. Street address: 6204 BRAMBLEWOOD DR ............ ..................... 2f. City, state, zip: Raleigh, NC 27612 2g. Telephone no.: (919) 675-4128 . ... .. ....... ......... . 2h. Fax no.: 2i. Email address: sbarrow070Umail.rom 1! 3. Applicant Information (if different from owner) 3a. Applicant is: 3b. Name: . ... . . ............. 3c. Business name (if applicable): . ... ............. 3d. Street address: . . ........ .. . ...... 3e. City, state, zip: 3f. Telephone no.: Agent Other, specify: . .. . .......... ...... . ............ ....... FORM: BA 10-2013 Page 1 of 6 FORM: BA 10-2013 Page 2 of 6 B. Project Information and Prior Project History 1. Property Identification .. .... ............ .. .. ...... 1 a. Property identification no. (tax PIN or parcel 10): 0797501279 . .. . . ............. .... 1 b. Site coordinates (in decimal degrees): Latitude: Longitude: . ......... - .. .... .. .. .. ... ..... .... ....... 1c. Property size: 0.36 acres 2. Surface Waters ...... .... . 2a. Name of nearest body of water to proposed project: Mine Creek Shelly Lake 2b. Water Quality Classification of nearest receiving water: 2c. River basin: Neuse River ... . .. ... ... . . .... ....... ... ....... ... . ... .......... ...... .. ... 13. 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: Single family home with attached deck; grass lawn with woods surrounding . ........... . .... . .. ... ...... .... ... .. . 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 Y2 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: 50 lineal feet 3e. Explain the purpose of the proposed project: Replace existing deck. .... ..... . . . - . .. . ...... 3f. Describe the overall project in detail, including the type of equipment to be used: Demo existing 20'x14' deck and construct a new 24'x14' Deck. Footings to be dug by hand using shovels; framing and finish work by hand tools (no cranes or heavy equipment). ..... . . .. ............. . .. ... 4. Jurisdictional Determinations . ..... .......... .... i 4a. Have jurisdictional wetland or stream determinations by Yes No X -Unknown the Corps or State been requested or obtained for this 1 Comments: property/ project (including all prior phases) in the past? 4b. If yes, who delineated the jurisdictional areas? Agency/ Consultant Company: Name (if known): 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 X -Yes obtained for this project (including all prior phases) in the past? 5b. If yes, explain and detail according to "help file" instructions. Project is within Zone 2 or beyond; Existing Deck is 4' in height. . .. . . ... .... , 6. Future Project Plans FORM: BA 10-2013 Page 3 of 6 FORM: BA 10-2013 Page 4 of 6 No 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. If due to site constraints, a BMP other than a level spreader is proposed, please } provide a plan for stormwater treatment as outlined in Chapter S of the Lja Sim Mw ,-BMEMamtal and attach a BMP Supplement Form. F. Supplementary Information ........ ... _..... __._ ..__ 1. (Environmental Documentation la. Does the project involve an expenditure of public (federal/stateAocal) funds or the ? Yes X -No use of public (federal/state) land? _ . . 1b. 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 factPp ermit application? } Yes X -No p 2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s): Steve Barrow 11/28/2018 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.) _ .... _.i......._._ 1 FORM: BA 10-2013 Page 5 of 6 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 OR Karen Higgins NCDWR — 401 & Buffer Permitting Branch 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 6 of 6 A9 -J 7" 4409 111!1 WaNOO N da -A&M 9409 111x1 12WGbN MOM 9409 um 112901'.19 vM 119tJ'VM d0 AJN 90QYM J►Qd1M "Va MOUMV9 3M31S s13(nne >1330 319NVidi WA AWS Nt-ld 2L5 %Kz -M umm aMMd G'.1OAQ%WtMO inn! 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