20190125 Ver 1_ Riparian Buffer Authorization_20190128

Original Submittal 1/28/2019
A. Owner/Applicant Information
General Information
Primary Contact Email: * [e-mail]
Reese list the contact person's errail for questions or payrrent on this project if needed.
Who is submitting the application?* r- Owner
W Applicant other than Owner
❑ Agent
Is there an agent working on this application C3 Yes
but not submitting it?* M No
1. Property Owner Information:
.............................................................................................
1a. Name on Recorded Deed:*
1b. Responsible Party:
1c. Mailing Address:*
Jon and Brenda Hall
(for Corporations)
Street Address
1871 Jennifer Lane Unit 204
Address Line 2
City
State / Province / Fbgion
Fayetteville
NC
Rbstal / Zip Code
Country
28314
Us
1d. Telephone:* 2526333875 1e. Email Address:* [e-mail]
..........................................................................................................
2. Applicant's Information (if different from owner):
2a. Name:* John Cutler Builder LLC
2b. Company Affiliation:
2c. Mailing Address:*
2d. Telephone:*
Street Address
921 Madam Moores Lane
Address Line 2
City
New Bern
Fbstal / Zip Code
28562-6447
2526333875
2e. Email Address:* [e-mail]
State/ Province/ Region
NC
Country
Us
ErvvWater Resources
iION II,nLouwLi,r
A

2f. Attach a signed and dated copy of the authorization granting the applicant owner approval. An agent authorization form is
acceptable.
Click the upload button or drag and drop files here to attach docurrent
Hall Authorized Form Signature.pdf 269.85KB
FDF only
B. Project Information and Prior Project History
1. Project Information
1a. Name of Project:* Hall Job / 105 Knotline Road / Riverbend Subdivision
(Subdivision, facility, or establishment narre)
1b. Is this a publicly -funded transportation project?*
r Yes
r No
1d. Subdivision Name: Riverbend
1e. Nearest Riverbend
Municipality:
1f. Property Size: 0.27
acres
1g. County (or Counties) where the project is located:*
Craven
1h. Property ID# Date of Purchase
8-073-D-177 6/22/2017
Tax RN or Parcel id
1 i. Deed Information
Type of Book Book# Page# I
--]Deed 3505-0680 6
DDD
1j. Attach a copy of the recorded map that indicates when the lot was last platted.
Click the upload button or drag and drop files here to attach document
Hall Platt from Register of Deeds.pdf 812.11 KB
FDF only
1k. How would you like to provide the Latitude and Longitude information?*
r Address Lookup
r Manually

Address Lookup
Street Address
105 Knottline Road
Address Line 2
Gty
New Bern
Postal / Zip Code
28562
Longitude
Latitude * 35.075778
11. Is the project located in any of North Carolina's twenty coastal counties?*
r Yes
r No
State / Province / Region
NC
Country
us
77.13860499999998
1m. Is the project located within a NC Division of Coastal Management Area of Environmental Concern (AEC)?
F Yes
r No
2. Surface Waters
2a. Name of the nearest body of water to proposed project:*
Channel Run
2b. Water Quality Classification of nearest receiving water:*
Riter Field Pond
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:*
127
(linear feet only)
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:
3b. Attach an 8 % x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site.
nick the upload button or drag and drop files here to attach docunent
Hall Topo Map Application.pdf 29.27MB
FDF only
3c. Attach an 8 % x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map depicting the
project site.
nick the upload button or drag and drop files here to attach docurrent
Hall Soil Survey.pdf 2.34MB
FDF only
4. Proposed Activity
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:*
We will be building a new house on 105 Knotline Road. The rear of the home will be
slightly in the Zone 2 buffer. We expect that when the bulkhead is complete it will
add an additional 2 to 3' to our shoreline thus possibly we might not be in the buffer
zone at all. We would like to get approval just in case. The lot will be cleared for
building and a bulkhead and dock will be installed at the property.
Attach a site plan as applicable to the project:

Click the upload button or drag and drop files here to attach docurrent
Hall Final Building Plans.pdf 988.99KB
Hall Permit Survey.pdf 98.54KB
FDF only
5. Jurisdictional Determinations
5a. Have jurisdictional wetlands or stream determinations by the Corps or State been requested or obtained for this
property/project (including all prior phases) in the past?*
r Yes
r No
6. Project History
...................................
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
r Yes
r No
7. Future Project Plans
7a. Is this project a phased project?* r Yes
r No
C. Proposed Impacts Inventory
Buffer Impacts
Project is in which protected Basin?*
r Neuse River Basin (15A NCAC 02B.0233)
r Catawba River Basin (15A NCAC 028.0243)
r Randleman Lake Watershed (15A NCAC 028.0250)
r Tar -Pamlico River Basin (15A NCAC 02B.0259)
r Jordan Lake Watershed (15A NCAC 02B.0267)
f Goose Creek Watershed (15A NCAC 028.0606 & 15A NCAC 028.0607)
Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form.
Site# - Reason Stream Name Buffer Impact* Impact Type * Zone 1 Zone 2
Nhp label (e.g. Fbad Permanent Allowable 0.00 46.00
Crossing 1) (P) Square Square
Perm orTerrp Feet Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 46.00
Total Buffer Impacts: 46.00
Comments:
Once the bulkhead is installed I do not believe we will be in the buffer zone 2 at all.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.*

We had steps on the rear of the house and we moved them to the side in order to
get out of the buffer zone 2.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
The house will be on pilings which means we will be disturbing the land less then
footings.
E. Diffuse Flow Plan
1a. What type of SCM are you providing?*
F- Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
17 Proposed project will not create concentrated stormwater flowthrough the
buffer
r Other SCM that removed minimum of 30% nitrogen
1c. Diffuse Flow Documentation* Clickthe upload button ordrag and drop files here toattach docunent
Hall Permit Survey.pdf 98.54KB
FDF only
F. Supplementary Information
Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
r•
Violations
2a. Is the site in violation of DWR Wetland Rules (15A NCAC 02H .0500), Isolated Wetland Rules (15A NCAC 02H .1300), DWR
Surface Water or Wetland Standards, or Riparian Buffer Rules (15A NCAC 02B.0200)?
C'
2b. Is this an after -the -fact buffer authorization application?
C'
C No
G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments: aick the upload button or drag and drop files here to attach docunent
FDF only
Additional Comments:
H. Sign and Submit.
_....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................._.......
By digitally signing below, I certifythat:
• I have given true, accurate, and complete information on this form;
o I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions Act)
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions Act');
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND

I intend to electronically sign and submit the application form."
Print Name:* Patricia Cutler Paul of John Cutler Builder
LLC
Signature *
�CxY.•7rr�r7 { 11C�e°1. �lZrrt
Submission Date: (Auto populated field)

Initial Review
Is this accepted into the review process?*
Is this project a public transportation
project?
ID#*
Version:*
Select Reviewer:
Select Reviewing Office *
Has payment been received?*
b Yes b No
r Yes
r No
20190125
Anthony Scarbraugh:eads\adscrabraugh1
Washington Regional Office - [phone]
f• No Payment Needed
r Fee Received
r Need Fee - send electronic notification

PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID: $ n`43- D L J
STREETA..• cls 'i ` ML.
Please print: I ,
Property Owner: Jj7(1 l'iC-\
Property Owner: �bres)&l Ba_]. -1 --
The undersigned, registered property owners of the above noted propety, do hereby authorize
ohn Cuff 1 e i+
ricin C�,�t} er Paul of � hfl Cu:�1 er 13u i l a Er 14L
(Contractor / Agent) (Name of consulting fi m)
to act on my behalf and take all actions necessary for the processing, i! suance and acceptance of
this permit or certification and any and all standard and special conditic ns attached.
Property Owner's Address (if different than property above):
.ltx _ (anemu _ l + an�.. FaLvdje NC a83r�
Telephone: S H �P
We hereby certify the above information submitted in this application iE true and accurate to the
best of our knowledge,
Authorized Signature
Date: rf `
Authorized Signature q
Date: __ 1 f c� 1 !

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' �,:':'- ,. the minimum building 'iinez,:antl deQitate sll streets, elleys, Naik.6v parks and - ... -
FF land sh¢rm on'this Plat ra 15 within A B7. 52' 12" 25.00' . K �� ''705. 33' 4fi° 25.011' , 1 .y -44•`16"4D'•:�" 46T:58' .; iNSTALLAT10t1. ;�I �,.0 �,.� � �,y>+ ,,,L a�('�^ 'Ga,\� .,.m
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JfIN E. HAL L
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0 BRENDA L. HALL
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science for a changing world
77°15'
35°07'
38890(
5'
460
F
35°00'
77°15'
Produced by the United States Geological Survey
North American Datum of 1983 (NAD83)
World Geodetic System of 1984 (WGS84). Projection and
1 000 -meter grid: Universal Transverse Mercator, Zone 18S
10 000 -foot ticks: North Carolina Coordinate System of 1983
U.S. DEPARTMENT OF THE INTERIOR
U. S. GEOLOGICAL SURVEY
TD UD
The National Map
USTopo
S
_ 12'30" 10'
POLLOCKSVILLE QUADRANGLE
NORTH CAROLINA
7.5 -MINUTE SERIES
77°07'30"
35°07'30"
Imagery .......................................................NAIP, July 2009
Roads..............................................©2006-2010 Tele Atlas
Roads within US Forest Service Lands.............FSTopo Data
with limited Forest Service updates, 2009
Names...............................................................GNIS, 2009
Hydrography .................National Hydrography Dataset, 2009
Contours............................National Elevation Dataset, 2008
M . .
9° 46"
174 MILS G
1° 15"
22 MILS
UTM GRID AND 2011 MAGNETIC NORTH
DECLINATION AT CENTER OF SHEET
U.S. National Grid
100,000-m Square ID
00
TD I UD
Grid Zone Designation
18S
12'30"TD UD 10'
SCALE 1:24 000
1 0.5 0 KILOMETERS 1 2
1000 500 0 METERS 1000 2000
1 0.5 0 1
MILES
1000 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000
FEET
CONTOUR INTERVAL 5 FEET
NORTH AMERICAN VERTICAL DATUM OF 1988
This map was produced to conform with version 0.5.10 of the
draft USGS Standards for 7.5 -Minute Quadrangle Maps.
A metadata file associated with this product is draft version 0. 5.13
RTH CAROLINA
(]I IAnRANCT F 1 OCATIr)N
Cove
Jasper
Askin
City
I
Trenton
Pollocksvill
New Bern
Jacksonville
Catfish
NE
Maysville
Lake
ADJOINING 7.5' QUADRANGLES
88
)0 000
EET
87
86
85
ki
84
83
'82
'81
80
2'30"
179
178
177
176000"N
35°00'
Vv 77°07'30"
ROAD CLASSIFICATION
Interstate Route State Route
US Route Local Road
Ramp 4WD
• Interstate Route 0 US Route O State Route
EJ FS Primary Route 0 FS Passenger FS High Clearance
Route Route
Check with local Forest Service unit
for current travel conditions and restrictions.
POLLOCKSVILLE, NC
2011