20190242 Ver 1_Riparian Buffer Authorization_20190220

State of North Carolina
Department of Environmental Quality
Division of Water Resources Division of Water Resources
15A NCAC 02B.07-33 (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:
1b. County.
1c. Nearest municipality: c
Id, Subdivision name:
1 e. Is the project located in any of North Carolina's twenty coastal counties?
If yes, answer 1f below.
❑ Yes
® 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:
y�
2b. Deed Book and Page No.
t fj
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created):
i
'CI�5 � 413
2d. Responsible Party
(for Corporations):
2e. Street address:
(� ,
2f. City, state, zip:
2CI-Ldl
-f
2g. Telephone no.:
4 --NC
q - cl
2h. Fax no.:
3.
21. Emai( address O
Applicant Information (if different from owner)
?0�
3a. Applicant is: Agent ❑ Other, specify:
3b. Name: SZOhn
,C
3c. Business name
if applicable):S0\*V-y-N o5wre SLA n✓-©oyY1S
3d_ Street address: 3 Anmk lv-
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address: 30h
4.
Agent/Consultant Information (if applicable)
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.
Properly Identification
la. Property identification no. (tax PIN orparoel 113):
1b. Site coordinates (in decimal degrees): Latitude: 3�c5 Longitude:
1c. Property size: acres ,
2.
Surface Waters
2a. Name of nearest body of water to proposed project: Hare Snipe Creek
2b. Water Quality Classification of nearest receiving water C, 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:
Single family home with infrastructure and stream in ba and
3b. Attach an 8 % x 11 excerpt from the most recent version of the USGS topographic map Indicating the location
of the site From NC DWR buffer determination letfer
3c. Attach an 8 Y, x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map
depleting the project site From NC DWR buffer determination letter
3d. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3e. Explain the purpose of the proposed project:
Sunroom on existing impervious deck
3f. Describe the overall project in detail, including the type of equipment to be used:
Sunroom on existIng Impervious deck no heayg a ui ment to be used
4.
Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by
the Corps or State been requested or obtained for this
properW project(including all priorphases) in thepast?
1@ Yes 0 No El Unknown
Comments:
4b. if yes, who delineated the jurisdictional areas?
Name (if known): Cheng Zhang
Agency/ Consultant Company: NC DWR
Other.
4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach
documentation.
February 7 2099
S.
Project History
5a. Have permits or certifications been requested or obtained
for this project(including all prior phasesl in thepast?
I El Yes 0 No 0 Unknown
5b. If yes, explain and detail according to 'help fife" instructions.
6.
Future Project Pians
6a. Is this a phased project? El Yes ® No
6b. If yes, explain.
FORM: BA 10-2013 Page 2 of 4

C. Proposed Impacts inventory
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed Impacts in designing project.
No heavy equipment fo be used
1 b. Specifically describe measures taken to avoid or minimize the proposed Impacts through construction
techniques. No heavy equipment in buffer
1. Buffer Impacts
2a. Will the project result in an Impact within a protected riparian. buffer that
requires buffer mitigation?
L7 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.
1a. Project is in which protected basin?
N Neuse
❑ Randleman
Tar -Pamlico
❑ Jordan
Catawba
❑ 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
number— impact
Permanent (P)
or Temporary
Type of impact
(exempt, allowable,
allowable wl
mitigation)
Stream name
Buffer
mitigation
required?
Zone 1 Zone 2
Impact impact
(Sq R) (sq R)
B7 OP T Sunroom
Allowable
Hare Snipe
Yes ® No
0 12
B2=P T
El Yes No
B3 ❑ P ❑ T
TFY—e—S-0 No
B4 OP OT
❑ Yes No
85 P T
D Yes 0 No
B6 UP ❑ T
0 Yes 0 No
Total buffer impacts
0 12
1c. Comments:
D. impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed Impacts in designing project.
No heavy equipment fo be used
1 b. Specifically describe measures taken to avoid or minimize the proposed Impacts through construction
techniques. No heavy equipment in buffer
2. Buffer Mitigation
2a. Will the project result in an Impact within a protected riparian. buffer that
requires buffer mitigation?
L7 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 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 NO 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
ED 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.
Native vegetation
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
btw sunroom and
plan for stormwater treatment as outlined in Chapter 8 of the KC Stormwater BMP
Carolina) Environmental Policy Act NEPA/SEPA ?
a and attach a BMP Supplement Form.
creek
F. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the
Yes No
use of public federaUstate 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 El No
Clearing House? {If so, attach a copy of the NEPA or $EPA final approval letter.)
Comments:
2. Violations
2a. is the site in violation of DWR Wetland Rules (15A NCAC 02H .0500), Isolated
El Yes 0 No
Weiland 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?
El Yes No
2c. If you answered "yes' to one or both of the above questions, provide an explanation of the violation(s):
Applicant/Agent's Printed NameI \ Applicant/Agent's Signature
(Agent's slgn is valid onlyltan authorization lettet from the
Send 3 complete sets of this form and accompanying documents to the following:
Alt, I ( i
Date
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
the US Postal Service
Karen Higgins OR
NCDWR-401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699 -1617
For all other projectssent by delivery service
(UPS, FedEx, etc.):
Karen Higgins
NCDWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
FORM: BA 10-2013 Page 4 of 4

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
Geoffrey Bolton
2400 Wertherson Lane
Raleigh, NC 27613
NORTH CAROLINA
Environmental Quality
February 7, 2019
Subject: Surface Nater Determination Letter
N BRROP 19-032
Wake County
Determination Type:
Buffer Call
Isolated or EIP Call
® Neuse (15A NCAC 2B .0233)
Start@
❑ Tar -Pamlico (15A NCAC 2B .0259)
❑ Ephemeral/Intermittent/Perennial Determination
USGS
To o
F1 isolated Wetland Determination
❑ Jordan (15A NCAC 2B .0267)
Project Name: 2400 Wertherson Lane
Location/Directions: The projected area is at 2400 Wertherson Lane in Raleigh, Wake County
Subject Stream: UT to Hare Snipe Creek
Determination Date: 2/7/2019 Staff: Cheng Zhang
Stream
E/1/P*
Not Subject to
Buffers
Subject to
Buffers
Start@
Stop@
Soil
Survey
USGS
To o
A
1
\
X
*E/11P = Ephemeral/Intermittent/Perennia!
Explanation: The feature(s) listed above has or have been located on the Soil Survey of Wake County, North
Carolina or the most recent copy of the USGS Topographic map at a 1:24,000 scale. Each feature that is checked
"Not Subject" has been determined not to be a stream or is not present on the property. Features that are checked
"Subject" have been located on the property and possess characteristics that qualify it to be a stream. There may be
other streams located on your property that do not show up on the maps referenced above but, still may be
North Carolina Department of Environmental Quality I Division of Water Resources
D E ��� Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
919.791.4200

considered jurisdictional according to the US Army Corps of Engineers and/or to the Division of Water Resources
(DWR).
This on-site determination shall expire rive (5) years from the date of this letter. Landowners or affected
parties that dispute a determination made by the DWR or Delegated Local Authority may request a
determination by the Director. An appeal request must be made within sixty (60) days of date of this letter or
from the date the affected party (including downstream and/or adjacent owners) is notified 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 DWR — 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC
27699-1617. If sending via delivery service (UPS, FedE.v, etc.) Karen Higgins DWR — 401 & Buffer Permitting
Unit, 512 N. Salishury Street Raleigh, NC 27604
This determination is final and binding unless, as detailed above, you ask for a hearing or appeal within sixty
(60) days.
The owner/future owners should notify the Division of Water Resources (including any other Local, State,
and Federal Agencies) of this decision concerning any future correspondences regarding the subject property
(stated above). This project may require a Section 404/401 Permit for the proposed activity. Any inquiries
should be directed to the Division of Water Resources (Central Office) at (919)-807-6300, and the US Army
Corp of Engineers (Raleigh Regulatory Field Office) at (919)-554-4884.
If you have questions regarding this determination, please feel free to contact Cheng Zhang at [phone]
Sincerely,
i
00i-
Rick Bolich, L.G.
Assistant Supervisor, Water Quality Regional Operations Center
cc: RRO DWR File Copy

19-32: 2400 Wertherson Lane
I -Approximate Site boundary
�, 5TA1jQ Map provided by NCDEQ
Division of Water Resources
locations are approximate
i
and are provided for
M; J/ reference only ::
4,r,,

19-32: 2400 Wertherson Lane
J,n,
;A
ur
Map provided by NCDEQ
Legend; Division of Water Resources
-Approximate Site boundary: Locations are approximate
and are provided for
reference only :: A