20190248 Ver 1_Riparian Buffer Authorization_20190221

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
FORM: BA 10-2013
Riparian Buffer Authorization Form
A. Applicant Information
1. Project Information
1 a. Name of project- AI -a S
1 b. County: UIA k E
1 c. Nearest municipality: (,E Gf
1 d. Subdivision name: RtIVALIVIr e6TT Ot/r; -F2ar0 THE CROg77W OF Yfi AI CC
1 e. Is the project located in any of North Carolina's twenty coastal counties?
If es, answer 1 f below.
_ Yes Ao
1f. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?
Yes /No
U v'
Owner Information
2a. Name on Recorded Deed:
,Offs/ l441
2b. Deed Book and Page No.
- -# O
2c. Map Book and Page No.
(include a copy of the
recorded map that indicffles
when the lot was created):
2d. Responsible Party
,O�fG�D r�S Cocv.✓E-/�
2e. Street address:
S t E 9/10aK t/ `
2f. City, state, zip:
igLGlaik C
2g. Telephone no.:
2h. Fax no.:
2i. Email address: 0Av1,0, 1( -(AR!' /19A C Cn
3. Applicant Information (if different from owner)
3a. Applicant is: Agent r Other, specify: 06v&Cl?_
3b. Name:
3c. Business name
'if applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3q. Fax no.:
3h. Email address:
4. Agent/Consultant Information (if applicable)
4a. Name:
4b. Business name
f 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): //V d
1 b.
Site coordinates in decimal degrees): Latitude: I Longitude:
1 c.
Property size: 2.3 acres
2.
Surface Waters
2a.
Narre of nearest body of water to proposedproject: Wwm . xd t'
2b.
Water Quality Classification of nearest receiving water:
2c.
River basin: G_.
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:/s� A1C-
st wASCI oF ~uM L, RLC, iL&C"?46 C1►�I?'/lGp�`i4sd�L 111
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 %2 x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map
depicting the project site
3d.
List wie total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3e.
Explain the purpose of the proposed project: ,S'7N6eLK4740 OF AW otAsviv— v/A RC741AR A# CC-
AS H Vt& -rr SrieuC769U L 0410 6-- oCca-Ahv e TNS 6;X1s71NG- 110,010,
31.
Describe the overall project in detail, including the type of equipment to be used:
�7A/v WA44 CG vfT 40 _Xwv, toX �, W+tto C7"VQ 6C6gRA1PVT.
4.
Jurisdictional Determinations
4w.
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 ZUnknown
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.
_'or
'gave permits or certifications been requested or obtained
this project(including all priorphases) in thepast?
❑ Yes ZNO ❑ Unknown
5b.
!f yes, explain and detail according to "help file" instructions.
6.
Future Project Plans
C- a.
is this a phased project? I Yes F_VNO
6b.
: yes, explain.
C. Proposed Impacts Inventory
1. Buffer Impacts
1 a. Project is in which protected basin?
Neuse ❑ Tar -Pamlico
❑ Randleman ❑ Jordan
❑ Catawba
❑ Goose Creek
c. !ndividua!iy list ali buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of
this form.
Buffer impact Reason for
number — impact
Type of impact
(exempt, allowable,
Stream name
I
Buffer
I mitigation
Zone 1
impact
Zone 2
impact
FORM: BA 10-2013 Page 2 of 4

Permanent (P)
or Temporary
T
allowable w/ required?
mitigation)
(sq ft)
(sq ft)
131 P T
Yes [JI No
Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techni ues. GIG1--,we T O ACC�J- ItOA0 &�)4 Ccw7/,tom OF 2xWeY-P&W-ce'wiG
/6 ffOS L
B2 P T
Yes No
Will the project result in an impact within a protected riparian buffer that
requires buffer mitigation?
/O°
B3 ,/P _ T
Yes , J No
Zone
;J1 oaszfT
B4 _ P T
--� Yes ' No
3 (2 for Catawba)
B5 P i__ T
-
Yes No
�'�
B6�i P �I T
Yes iNo
2c.
If buffer mitigation is required, is payment to a mitigation bank or NC DMS
proposed?
Total buffer impacts
2d.
If yes, attach the acceptance letter from the mitigation bank or NC DMS.
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 pro ect.
Gt o Re -x v w U. &wt c r rolPieelf 70 eK/ "S'ekefe
1 b.
Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techni ues. GIG1--,we T O ACC�J- ItOA0 &�)4 Ccw7/,tom OF 2xWeY-P&W-ce'wiG
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 Multiplier
(square feet
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.
'f.
Comments:
E. Diffuse Flow Plan
All buffer impacts and high ground impacts require diffuse flow or other form of
Ll Diffuse flow
stormwater treatment. Include a plan that fully documents how diffuse flow will be
E] 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 8 of the NC Stormwater BMP
Manual and attach a BMP Supplement Form.
F. Supplementary Information
1. Environmental Documentation
FORM: BA 10-2013 Page 3 of 4
rr/4

1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
LJ Yes No
use of public federal/state land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
LYes ❑ 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
I LYes No
Wetland Rules (15A NCAC 02H.1 300), DWR Surface Water or Wetland Standards,
or Riparian Buffer Rules 15A NCAC 02B .0200)?
2b.
Is this an after -the -fact permit application?
Yes PNo
2c.
if ycu answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
.10101V/10 12OFFI-Vo
Applicant/Agen Printed Name Applicant/ASignature Date
(Agent's si nature is valid only if an authorization letter from the applicant isprovided.)
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 Ylail Service Center
Raleigh, NC 27699 - 1617
=:;r all other projects sent by First Class Mail via
rhe 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.):
~Caren 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

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4
DAVID MILLER, PE
6300 Creedmoor Rd, STE 170#363
Raleigh, NC 27612
[phone] (Office); [e-mail]
February 7,2019
Phillips Enterprises
8652 Valleybrook Drive
Raleigh, NC 27613
E-mailed to: david.phillipsl358(&gmai1.com
RE: Engineering - Structural
8652 Valley Brook Drive Raleigh, N.C. 27613
Project No.:19DDM-0207C
To Whom It May Concern/Inspections Dept.:
The undersigned has observed the field conditions previously and the retaining wall information
for the "critical structural protection" at 8652 Valley Brook Drive Raleigh, N.C. 27613 required to
stabilize the earth embankment sloughing (mass wasting along the entire perimeter of the residential
structure and driveway). The required 3:1 (+/-) slope required to stabilize the bank will enter the zone 1
buffer of Hare Snipe Creek.
A retaining wall 3 F from the top of creek bank and to tie back into the right side so that the
"modified sewer easement - colored version of map" is just outside the retaining wall. On the left side (cul
- de- sac side) following the property line to the property line all the way around till it connects back up to
the right of way (see colored map) is require to stabilize the bank.
Sincerely,
Sincerely,
DEM/19DDM-0207C
David Miller, PE
Do uSigned by:
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2/7/2019

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SANITARY SEWER - —
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LOT 140
_ f SPRINGDALE ESTA,
2—STORY 2.o pNE SECTION 2, MAP
DRIVE
BRICK, STONE & F MEL I B.O.M. 1975-146
DWELLING
,a wooD I
FENCE (TYP) I
TOP OF FIRE —\ W
NING
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m B.O.M. 2006-711
VALLEYBROOK DRIVE — — S0
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