20191090 Ver 1_Riparian Buffer Authorization Request_20190813

Original Submittal 8/13/2019
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?* r1 Owner
r- Applicant other than Owner
F- Agent
Is there an agent working on this application r Yes
but not submitting it? r No
1. Property Owner Information:
......................................................................................................................................
1a. Name on Recorded Deed:*
1b. Responsible Party:
1c. Mailing Address:*
1d. Telephone:* 2527173753
John D. Lawrence, Jr
(for Corporations)
Street Address
1360 Worthington Road
Address Line 2
City State / Province / Region
Winterville NC
Pbstal / Zip Code Country
28590-7836 us
1e. Email Address:* [e-mail]
ErvvWaiaonmter Resources
Ex,n� ouw�i,r
n
B. Project Information and Prior Project History
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
1. Project Information
1a. Name of Project:* John and Barbara Lawrence Property - 169 Robert Cox Road
(Subdivision, facility, or establishrrent narre)
1b. Is this a publicly -funded transportation project?*
r Yes
r No
1d. Subdivision Name: N/A
1e. Nearest Bath
Municipality:
1f. Property Size: 0.49
acres

1g. County (or Counties) where the project is located:*
Beaufort
1h. Property ID# Date of Purchase
6681-28-6631 8/16/2018
Tax AN or Parcel id
1 i. Deed Information
Type of Book Book#11 Page#
Deed F
938
Map B 277
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 docurrent
Plat.pdf 136.3KB
FDF only
1k. How would you like to provide the Latitude and Longitude information?*
r Address Lookup
f Manually
Address Lookup
Street Address
169 Robert Cox Road
Address Line 2
city
Bath
Fbstal / Zip Code
27808
Longitude
Latitude * 35.428129
11. Is the project located in any of North Carolina's twenty coastal counties?*
t: Yes
r No
State / Province / legion
NC
Country
us
76.70703650000001
1m. Is the project located within a NC Division of Coastal Management Area of Environmental Concern (AEC)?
r Yes
r No
2. Surface Waters
2a. Name of the nearest body of water to proposed project:*
Pamlico River
2b. Water Quality Classification of nearest receiving water:*
SB; NSW
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:*
89
(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:
The subject property is a vacant residential lot surrounded by single family
residences.
3b. Attach an 8 % x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site.
Click the upload button or drag and drop files here to attach docurrent
Topo Map.pdf 184.06KB
RDF 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.
Click the upload button or drag and drop files here to attach docurrent
Soil Survey Map.pdf 1.73MB
RDF only
4. Proposed ActivityA
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................. _.......
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:
The house will be elevated structure with an elevated porch constructed on slat
wood that is non -covered. The home has been setback to the maximum extent
practicable off of the existing onsite septic tank. The original septic tank will be
abandoned and moved to allow further minimization of impacts. The equipment used
to construction the residential structure will be consistent with normal construction
such as hammers, saws and other carpentry tools.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach docurrent
Lawrence CAMA added.PDF 1.03MB
RDF 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?*
C Yes
o 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?*
C Neuse River Basin (15A NCAC 02B.0233)
C Catawba River Basin (15A NCAC 02B.0243)
C Randleman Lake Watershed (15A NCAC 02B.0250)
C Tar -Pamlico River Basin (15A NCAC 026.0259)
f Jordan Lake Watershed (15A NCAC 02B.0267)
r Goose Creek Watershed (15A NCAC 026.0606 & 15A NCAC 02B.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
Total Zone 1 Impacts: 75.00
Total Zone 2 Impacts: 904.00
Total Buffer Impacts: 979.00
Comments:
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.*
The e)asting onsite septic system was abandoned and moved to allow for further
avoidance within the Tar -Pamlico Riparian Buffer. The porch and associated steps
that encroached into the buffer would comply with Buffer Clarification/interpretation
Memo 2007-002.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
Appropriate sediment and erosion control measures will be employed during the
home construction. The existing maintained lawn that is lost during construction
activities will be reestablished.
E. Diffuse Flow Plan
1a. What type of SCM are you providing?*
r Level Spreader
I— Vegetated Conveyance (lower SHWT)
F', Wetland Swale (higher SH1/Vf)
r7 Proposed project will not create concentrated stormwater flowthrough the
buffer
PF Other SCM that removed minimum of 30% nitrogen
1b. Describe how diffuse flow will be maintained:*
Any stormwater generated from the new impervious associated with the home
construction will be collected in and treated through the ebsting riparian buffer. The
porch and deck will be constructed to comply with Buffer Clarification/interpretation
Memo 2007-002.
1 c. Diffuse Flow Documentation * Click the upload button or drag and drop files here to attach document
Lawrence CAMA added.PDF 1.03MB
FDF only
F. Supplementary Information
B1 -House
Pamlico
Permanent
Allowable
0.00
320.00
Nbp label (e.g. Fbad
River
(P)
Square
Square
Crossing 1)
Perm orTerrp
Feet
Feet
Total Zone 1 Impacts: 75.00
Total Zone 2 Impacts: 904.00
Total Buffer Impacts: 979.00
Comments:
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.*
The e)asting onsite septic system was abandoned and moved to allow for further
avoidance within the Tar -Pamlico Riparian Buffer. The porch and associated steps
that encroached into the buffer would comply with Buffer Clarification/interpretation
Memo 2007-002.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
Appropriate sediment and erosion control measures will be employed during the
home construction. The existing maintained lawn that is lost during construction
activities will be reestablished.
E. Diffuse Flow Plan
1a. What type of SCM are you providing?*
r Level Spreader
I— Vegetated Conveyance (lower SHWT)
F', Wetland Swale (higher SH1/Vf)
r7 Proposed project will not create concentrated stormwater flowthrough the
buffer
PF Other SCM that removed minimum of 30% nitrogen
1b. Describe how diffuse flow will be maintained:*
Any stormwater generated from the new impervious associated with the home
construction will be collected in and treated through the ebsting riparian buffer. The
porch and deck will be constructed to comply with Buffer Clarification/interpretation
Memo 2007-002.
1 c. Diffuse Flow Documentation * Click the upload button or drag and drop files here to attach document
Lawrence CAMA added.PDF 1.03MB
FDF only
F. Supplementary Information
B2 -Deck
Pamlico
Permanent
Allowable
75.00
500.00
rvbp label (e.g. Fbad
River
(P)
Square
Square
Crossing 1)
FbrmorTeap
Feet
Feet
Total Zone 1 Impacts: 75.00
Total Zone 2 Impacts: 904.00
Total Buffer Impacts: 979.00
Comments:
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.*
The e)asting onsite septic system was abandoned and moved to allow for further
avoidance within the Tar -Pamlico Riparian Buffer. The porch and associated steps
that encroached into the buffer would comply with Buffer Clarification/interpretation
Memo 2007-002.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
Appropriate sediment and erosion control measures will be employed during the
home construction. The existing maintained lawn that is lost during construction
activities will be reestablished.
E. Diffuse Flow Plan
1a. What type of SCM are you providing?*
r Level Spreader
I— Vegetated Conveyance (lower SHWT)
F', Wetland Swale (higher SH1/Vf)
r7 Proposed project will not create concentrated stormwater flowthrough the
buffer
PF Other SCM that removed minimum of 30% nitrogen
1b. Describe how diffuse flow will be maintained:*
Any stormwater generated from the new impervious associated with the home
construction will be collected in and treated through the ebsting riparian buffer. The
porch and deck will be constructed to comply with Buffer Clarification/interpretation
Memo 2007-002.
1 c. Diffuse Flow Documentation * Click the upload button or drag and drop files here to attach document
Lawrence CAMA added.PDF 1.03MB
FDF only
F. Supplementary Information
B3 -Stairs
Pamlico
Permanent
Allowable
0.00
84.00
Nbp label (e.g. Fbad
River
(P)
Square
Square
Crossing 1)
Perm orTerrp
Feet
Feet
Total Zone 1 Impacts: 75.00
Total Zone 2 Impacts: 904.00
Total Buffer Impacts: 979.00
Comments:
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.*
The e)asting onsite septic system was abandoned and moved to allow for further
avoidance within the Tar -Pamlico Riparian Buffer. The porch and associated steps
that encroached into the buffer would comply with Buffer Clarification/interpretation
Memo 2007-002.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
Appropriate sediment and erosion control measures will be employed during the
home construction. The existing maintained lawn that is lost during construction
activities will be reestablished.
E. Diffuse Flow Plan
1a. What type of SCM are you providing?*
r Level Spreader
I— Vegetated Conveyance (lower SHWT)
F', Wetland Swale (higher SH1/Vf)
r7 Proposed project will not create concentrated stormwater flowthrough the
buffer
PF Other SCM that removed minimum of 30% nitrogen
1b. Describe how diffuse flow will be maintained:*
Any stormwater generated from the new impervious associated with the home
construction will be collected in and treated through the ebsting riparian buffer. The
porch and deck will be constructed to comply with Buffer Clarification/interpretation
Memo 2007-002.
1 c. Diffuse Flow Documentation * Click the upload button or drag and drop files here to attach document
Lawrence CAMA added.PDF 1.03MB
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 Yes
r No
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)?
r Yes
r No
2b. Is this an after -the -fact buffer authorization application?
r Yes
r No
G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments: Click the upload button or drag and drop files here to attach docurrent
FDF only
Additional Comments:
H. Sign and Submit ^
By digitally signing below, I certify that:
o I have given true, accurate, and complete information on this form;
• 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');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
o I intend to electronically sign and submit the application form."
Print Name:* John D. Lawrence
Signature *
a,�� Fre0 CA.
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
20191090
Robert Tankard: eads\rbtan kard
Washington Regional Office - [phone]
f• No Payment Needed
r Fee Received
r Need Fee - send electronic notification

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