20190801 Ver 1_Riparian Buffer Authorization_20190612

2 0 1 90 8 0 1
CA R O L I N A 3040 NC Hwy 42 West;Clayton,NC 27520
ECOSYSTEMS P:919-359-1102—F:919-585-5570
June 10,22019
Karen Higgins og© V
NCDWR—401 &Buffer Permitting Branch
1617 Mail Service Center JUN 1 2 2019
Raleigh,NC 27699 - 1617
1- S
RE: NCDWR Request for Buffer Authorization : F - '
Carlow Court Site
Raleigh, Wake County, North Carolina
Dear Ms. Higgins:
Carolina Ecosystems, Inc., on behalf of Mr. Frank Jackson, has prepared the attached a Buffer
Authorization Request Form. The site is located at 3613 Carlow Court in Raleigh. An unnamed
perennial tributary of House Creek, a Class C, Nutrient Sensitive Water, occurs inside the
southwestern boundary of the site. Portions of this stream's Zones I and II buffers overlap and
occupy most of the site.
The project would construct a single-family home. Unavoidable buffer encroachment associated
with the home and its construction would be limited to Zone II, with no permanent or temporary
impact to Zone I. The attached form provides information for your use in review of impacts to
riparian buffers. No other phases are planned. Houses on either side of the site were constructed
within the buffer prior to adoption of the rules.
The original 70-acre property purchased by Mr. Jackson's grandfather was subdivided into its
current configuration and recorded in 1995 (Attached). Mr. Jackson's family has lived on the
original property continuously since 1938. His mother, Huldah Ruth Turner Jackson, now 85,
first moved here at the age of four. She currently lives in the home adjacent to the east of the site.
However, it is too large for her to manage and its numerous stairs pose a significant safety risk.
Ms. Jackson was diagnosed with dementia two years ago, and familiarity is extremely important
to her entire family.
The residence has been planned as far from the top of bank as possible and has been designed to
minimize encroachment into the buffer. Including temporary construction access, the structure
would be entirely within the Zone II buffer (outside the 30-foot wide Zone I buffer). The site
would be served by municipal water and wastewater systems.
Construction of the home would permanently impact 1000 square feet of Zone II riparian buffer.
The footprint of the proposed construction was adjusted to minimize disturbance within the Zone
II and avoid Zone I by concentrating construction upslope. Stormwater will be directed onto
splash pads at downspouts to ensure diffuse flow through Zone I.
Temporary impacts associated with the construction of the home would disturb 325 square feet
of Zone II riparian buffer. All temporarily disturbed areas would be revegetated. An existing

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Carlow Court Site Buffer Authorization
June 10, 2019
driveway north of the site would be extended by 200 square feet and be located outside the
riparian buffers. Stormwater would flow off this area in a diffuse manner, and adjacent lawn
maintained to ensure no channelization results.
Avoidance and Minimization
The project as proposed would not impact jurisdictional stream or wetland areas, and only
overlap Zone II riparian buffers on the site. Construction plans were designed specifically to
avoid impacting Zone I riparian buffers. During construction, signs will be placed at the edge of
Zone I riparian buffer to provide a visual barrier and limit access. This design is necessary due to
the configuration of the lot, as well as development requirements of the local HOA. Along
portions of the development that border the riparian buffers areas would be revegetated to aid in
sediment and erosion control.
Sediment and erosion control measures would be installed prior to land disturbance and
maintained throughout construction. Upon completion, splash pads would be used to diffuse
stormwater flow through Zone I.
Riparian buffers adjacent to construction areas would be clearly marked with orange protection
fencing or other similar method to provide a visual barrier and avoid encroachment into Zone I.
Copies of permits/authorizations would be provided to the prime contractor and all
subcontractors.
If you have any questions or need additional information, please contact me at your earliest
convenience at(919)274-5979 or [e-mail].
Sincerely,
Carolina Ecosystems,Inc.
jr\--'
Chris Hopper
Senior Environmental Scientist
Attachments:
- NCDWR Riparian Buffer Authorization Form
- Survey and Proposed Layout
- Deed and Original Plat
- Figures
o Project Vicinity Map
o USGS Map
o Aquatic Features Map
o NRCS Map

State of North Carolina
DINR 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
la. Name of project: 3613 Carlow Court
1 b. County: Wake
1c. Nearest municipality: Raleigh
1d. Subdivision name: Triple Gate Subdivision
le. Is the project located in any of North Carolina's twenty coastal counties? ❑Yes ® No
If yes,answer 1f below.
1f. Is the project located within a NC Division of Coastal Management Area of ❑Yes ® No
Environmental Concern (AEC)?
2. Owner Information
2a. Name on Recorded Deed: Ruth Donna Jackson
2b. Deed Book and Page No. 013433: 00743
2c.Map Book and Page No. 0795: 10
(include a copy of the
recorded map that indicates
when the lot was created):
2d. Responsible Party
(for Corporations):
2e. Street address: 1620 Village Glen Drive
2f. City, state,zip: Raleigh, NC 27612
2g. Telephone no.:
2h. Fax no.:
2i. Email address:
3. Applicant Information(if different from owner)
3a. Applicant is: ®Agent ❑ Other,specify:
3b. Name: Mr. Frank Jackson
3c. Business name
(if applicable):
3d. Street address: 3608 Eden Croft Drive
3e. City,state,zip: Raleigh, NC 27612
3f. Telephone no.: 919.775.1975
3g. Fax no.:
3h. Email address: [e-mail]
4. Agent/Consultant Information(if applicable)
4a.Name: Chris Hopper
4b. Business name Carolina Ecosystems, Inc.
(if applicable):
4c.Street address: 3040 NC 42 W
4d.City,state,zip: Clayton, NC,27520
4e.Telephone no.: 919-359-1102
4f. Fax no.:
4g.Email address: [e-mail]
FORM: BA 10-2013 Page 1 of 5

B. Project Information and Prior Project History
1. Property Identification
la. Property identification no. (tax PIN or parcel ID): 0795362424
lb. Site coordinates(in decimal degrees): Latitude: 35.828108 Longitude:-78.685502
1 c. Property size: 0.31 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: House 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:
The property is an undeveloped parcel within a residential subdivision.The surrounding area is largely
suburban with many single-family homes,shopping areas and small parks.
3b. Attach an 81/x 11 excerpt from the most recent version of the USGS topographic map indicating the location
of the site
3c. Attach an 8%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:
104
3e. Explain the purpose of the proposed project:
Residential Home—see cover letter.
3f. Describe the overall project in detail, including the type of equipment to be used:The project involves the
clearing and development of a house on lot in the Triple Gate Subdivision. No grading is proposed.
Equipment would be limited to typical home construction vehicles and materials delivery along paved
roads.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by ❑Yes ® No ❑ Unknown
the Corps or State been requested or obtained for this 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 obtained ❑Yes ® No ❑ Unknown
for this project(including all prior phases)in the past?
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.
FORM: BA 10-2013 Page 2 of 5

C. Proposed Impacts Inventory
1. Buffer Impacts
1 a. Project is in which protected basin? ® Neuse ❑Tar-Pamlico ❑Catawba
❑ 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,allowable, mitigation impact impact
Permanent(P) allowable w/ required? (sq ft) (sq ft)
or Temporary mitigation)
(T)
B1 ® P ❑T Footprint of Allowable UT of House ❑Yes ® No 0 1000
house Creek
B2 ❑ P ®T Construction Allowable UT of House ❑Yes ® No 0 325 .
disturbance Creek
B3 ❑ P ❑T ❑Yes ❑ No
B4 OP ❑T ❑Yes No
B5 LIP ❑T ❑Yes ❑ No
B6 [' PDT ❑Yes ❑ No
Total buffer impacts 0 1325
1 c. 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 project.
The building footprint as well as limits of estimated construction disturbance were designed to be entirely
outside of the Zone I riparian buffer.Additional discussion is provided in the cover letter.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques.
Erosion and sediment control measures will be installed prior to ground disturbance and maintained throughout
construction and ground stabilization.
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that ❑Yes ® No
requires buffer mitigation?
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 NC DMS.
2e. If no,then discuss what type of mitigation is proposed.
2f. Comments:
FORM: BA 10-2013 Page 3 of 5

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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 0 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 spreaderis 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.
All stormwater will be diffused with the use of splash pads and/or rain.chains to ensure
diffuse flow through zone 1.
F. 'Supplementary Information
1. Environmental.Documentation •
la. Does the project involve an.expenditure of public(federal/state/local)funds or the 0 Yes ®No
use of public(federal/state)land?
10. If you answered°yes°to the above,does the project require preparation of an ,0 Yes• 0 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 0 Yes 0 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 0 Yes ®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 permitapplication? , O Yes ®No
2c. If you answered"yes"to one or both of the above questions,provide an explanation of the violation(s):
l` ,r..s ��,��- cat _ ,_--- - to 04 t9
Applicant/Agentls Printed Name Applicant/Agents Signature Date
(Agenrs signature is valid only if an authorization letter from the applicant is provided.)
Send.3 complete sets of this form and accompanying documents to the following:
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 OR For all other projects sent by delivery service
the US Postal Service (UPS,FedEx,etc.):
FORM: BA 10-2013 Page 4 of 5

•
Karen Higgins 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 5 of 5

BK013433PG,00143.;
WAKE COUNTY, NC 373
LAURA N RIDDICK
REGISTER OF DEEDS
PRESENTED & RECORDED OH
03/13/2009 AT 15:25:04
BOOK:013433 PAGE:00743 — 00745
NORTH CAROLINA NON-WARRANTY DEED
Excise Tax:$0 Tax ID No.:244981
Mail/Return to: Grantee
Prepared by: Nicholls&Crampton,PA(without title examination/opinion)
Brief description: Lot N-i I,Triple Gate,BM 1997-1602,WCR
THIS DEED,made the f3,4day of March,2009,by DON F.JACKSON FAMILY L.L.C.
(hereinafter"Grantor")to
DONNA RUTH JACKSON(hereinafter"Grantee")
1620 Village Glenn Drive
Raleigh,NC 27612
(The designation of"Grantor"and"Grantee"shall include the parties and their heirs,successors and assigns,
and shall include the singular,plural,masculine,feminine or neuter,as required by the context.)
WITNESSETH:
WITNESSETH,that Grantor,for good and valuable consideration,the receipt and sufficiency
of which is hereby acknowledged,has and by these presents does hereby grant,bargain,and convey
to Grantee all of Grantor's right,title and interest in that certain parcel of real property(the"Real
Property") located in Raleigh,Wake County,North Carolina,and more particularly described as
follows:
BEING all of Lot N-11,Triple Gate Subdivision(formerly Turner Subdivision),as the same is
shown on that plat recorded in Book of Maps 1997,Page 1602,Wake County Registry,to which plat
reference is to be made for a more complete and accurate description of same.See also Book of
Maps 1985,Page 1343,Book of Maps 1989,Page 210,Book of Maps 1996,Page 716,and Book of
Maps 1996,Page 1307,Wake County Registry.
TO HAVE AND TO HOLD the Real Property, and all privileges and appurtenances
thereunto belonging,to Grantee in fee simple.

BK013433PG00744
Grantor makes no warranties,expressed or implied as to the title to the Property.
Grantor's acquired the Real Property by deed recorded in Book 11181,Pages 1988,Wake
County Registry.
By acceptance of this conveyance, Grantee assumes and agrees to pay any indebtedness
secured by a deed of trust or other encumbrance against the Real Property,and to indemnify and hold
harmless Grantor on account of any such deed of trust, lien, claim or other encumbrance now
existing,or hereafter arising,against the Real Property.
IN WITNESS WHEREOF,Grantor has caused this instrument to be signed in its name by
its duly authorized manager,the day and year first above written.
DON F.JACKSON FAMILY L.L.C.
By:_ ,"r ��• v�
Pamela F.Jackson,Mi ager
NORTH CAROLINA-WAKE COUNTY
I, a Notary Public of the County and State aforesaid, certify that the following person
personally appeared before me this day and acknowledged to me that he voluntarily signed the
foregoing document for the purpose stated therein and in the capacity indicated:Pamela F.Jackson,
Manager.
Date: 3-13-0`1 (CP U Lt4 �-o
,Notary Public
(Official Seal) ,,,,,u,,,,u -�
,,,,, y commission expires: 6 17-Zaj'
ice,,
; c '
NOTM) u,
E.
***
*, PUBLIC Va

BK013433PG00145
BOOK:813433 PAGE:88743 - 80745
Yellow probate sheet is a vital part of your recorded document.
Please retain with original document and submit for rerecording.
NWI Wake County Register of Deeds
WAKE Laura M.Riddick
COUNTY Register of Deeds
MO.TN G.CLIw
This Customer Group This Document
#of Time Stamps Needed New Time Stanp
#of Pages
►' 20oa-vzoro6

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SURVEY FOR
6GUE 9,ID RO�O
o
BUILD RALEIGH
CD
CR° a�1 CARLOWOR
LOT N-11, TRIPLE GATE SUBDIVISION j ccey�aEN SITE bo
3613 CARLOW COURT Pi
PIN# 0795.10-36-2424 .r-
REF: D.B. 13433, PAGE 743
REF: B.M. 1997, PAGE 1602 VICINITY MAP
CITY OF RALEIGH
LEGEND:
oi
en WAKE COUNTY, NORTH CAROLINA EIP — EXISTING IRON PIPE
0° EIB — EXISTING IRON BAR
z FEBRUARY 5, 2019 BEIP — BENT IRON PIPE
o BEIB — BENT IRON BAR
rg ZONED R--4 CM — CONCRETE MONUMENT
EPK — EXISTING PK NAIL
Z NPK — NEW PK NAIL
40 20 0 40 80 NIP — NEW IRON PIPE SET
IMMIMINIIMMII R/W — RIGHT OF WAY
CATV — CABLE TV BOX
SCALE 1"=40' EB — ELECTRIC BOX
TEL — TELEPHONE PEDESTAL
I PP — POWER POLE
/ �` \ RTW — RETAINING WALL
/ 1 t LP — LIGHT POLE
WM — WATER METER
l WV — WATER VALVE
// 11 1 1 N-9 CO — SEWER CLEAN—OUT
i ` NZACHARY do SUSAN SHAPIRO
\ D.B. ,997.17161, PAGE 701 / CARLOW COURT1 �` N# 0795.10-3s 2507 50' PUBLIC R/W
N-10 t l l
WV
N/F >+ l l
do RONDA BAZELWARTE T. OYORE1 SPLASH PADS TO JOINT DRIVEWAY AREA � 7
Q.B. 15597, PAGE 2689 \ 1 BE PROVIDED B.M. 1997, PAGE 1602 WV
G.M. 1997, PAGE 1602 1 1 FOR EACH NPK EIP
PIN# 0795.10-36-1504 DOWNSPOUT , ` 0 \
.11 1 1 NEW DRIVEWAY,200 S bei. f . N st,{ -
r �� ZO'CITY OF RALEIGH t r f f / ••
CAN AT&T G_1�i
SEWER EASEMENT �,/ �� '� VAULT
•
1997, PAGE 16021 L �.. pF IVEWA�.145.9 '../ ,° ,,r1. \ \
— �--IA 1s URBEI ARE NCR �`l. • NPK• ,I- \ \ \
..r D SF \ '�-
r „ E 325 PKl FOOTPRINT +� \ \
�C FENCE g'36 21 1 ' P N t BETWEEN \ \
7 r i ,•® TOTAL I 1 50'AND 30' \ \
NIPs1.---' r '4.'!1�I.•, 1 HOUSE BUFFER: 1000 SF /` \ \
H -•r ,4:•-:;'0.d"�'�'� FOOTPRINT: 1 ' .
.>, r f CONCRETE`". ,'1:44**� ,, 2100 SF \ 20' CITY OF RALEIGH \ ,`
�� -8,,, ' _ ''41 SEWER EASEMENT \
X• B.M. 1997, PAGE 1602 -�
--� \ . 30'BUFFER/� �� 4 �:::::. , 1 \
❖', 1
0 162 ite., sete:04 \kl_
.44::•::::: R N/F
.�S`��.` 50' ' •• `; �,�•�►' ` NULDAH RUTH JACKSON
lY : RIPARIAN � i r D.B. 3948, PAGE 815 /
MEASURED ';,*- 1 B.M. 1997, PAGE 1602
e. FROM TOP _O .. 1 I PIN# 0795.10-36-3425 /
N/F �'FF \
CITY OF RALEIGH t ti \ 20' DRAINAGE EASEMENT /
B.M. 190797, PAGE 0 1602
18 �i \ 1 N 1 B.M. 1996, PAGE 716
PIN# �j \ 1 _�IP,
�•9• ` ' 15"FES
/
LINE TABLE 4 /
LINE BEARING DISTANCE BEIP •, -
L-1 S 58'37'34" E 45.00'
L-2 S 57'15'52" W 55.13' IMPERVIOUS SURFACE TABLE
L-3 S 72'03'10" W 55.32'
L-4 N 57 15'52" E 49.73' CONCRETE DRIVEWAY (HATCH) 1,246 S.F.
CURVE TABLE RETAINING WALL 24 S.F.
CURVE ARC LENGTH RADIUS CHORD LENGTH CHORD BEARING TOTAL IMPERVIOUS AREA 1,270 S.F.
TOTAL LOT AREA 11,425 S.F.
C-1 75.72' 45.00' 67.10' S 79'34 54 W PERCENTAGE OF IMPERVIOUS AREA 11.12X
C-2 15.29' 45.00' 15.21' S 42'28'14" E MAX PERCENTAGE OF IMPERVIOUS ALLOWED 38.00X
I DECLARE THAT THIS SURVEY COMPLIES WITH THE NORTH
cm-
J CAROLINA STANDARDS OF PRACTICE FOR SURVEYING, ��++,"""",,,,,,,(SECTION 1600) FOR CLASS A SURVEYS AND THAT THE •.'``,0CARO4''.,,,''%""'` CALCULATED RA110 OF PRECISION BEFORE ADJUSTMENTS ��.��0� F (4,SSS/ /4i
CAWTHORNE, MOSS IS 1:10,000+. FURTHERMORE, PROPERTY CORNERS SHOWN 2 p 9
ARE PRIMARY CONTROL MONUMENTAT1ON FOR THE RE—& PANCIERA, P.C. ESTABLISHMENT OF PROPERTY CORNERS IN THE ABSENCE SEAL f
Professional Land Surveyors OF GRID MONUMENTS AND OTHER SUBDIVISION PROPERTY
C—i 525 Y CORNERS. THIS SURVEY IS NOT TO BE RECORDED WITH-
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CAROLINA 3040 NC Hwy 42 West; Clayton,NC 27520
ECOSYSTEMS, INC. P:919-359-1102—F:919-585-5570
PROPERTY ACCESS AND AGENT AUTHORIZATION FORM
Property Information
Property Address
and/or Description 3613 Carlow Court
Parcel Identification
Number(s) (PIN) 0795362424
City: Raleigh State: NC County: Wake Property Size (Acres): 0.31
Property Owner Information
Owner: D Authorized Agent*: El
Name: Mr.Frank Jackson
Title:
Street Address: 3608 Eden Croft Circle
City: Raleigh State:NC Zip Code: 27612
*Written proof of authorization from owner required.
Authorization
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do authorize
representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon the property herein
described for the purpose of conducting on-site investigations and issuing a determination associated with Waters of the
U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors
Act of 1899.
Additionally, I hereby grant Carolina Ecosystems, Inc. (CEI) staff, their designated contractors and representatives, as
well as other Federal, State or local authorities access to the above referenced property when necessary for the purposes of
conducting on-site environmental consulting services.I also grant CEI the authority to act as authorized agent on behalf of
the owner of the above listed property for the communication, submission, and/or application to relevant government
entities, including local, state, and federal authorities, for the review, acceptance, concurrence, and/or approval of
environmental information, documents, and/or permit requests concerning the above listed property. These services may
include regulatory determinations of environmental features on my property such as issuing a determination associated
with streams and wetlands.I certify that I am the legal owner or authorized agent of the legal owner of the above property
and have authority to grant such access. I have made CEI aware of, and supplied all available records related to, previous
environmental investigations on the su 'ea p ope of hich I have knowledge.
Owner/Agent(signature) 7 Date 2019-06-10