20191163 Ver 1_Riparian Buffer Authorization_20190829

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: Cooper Residence
1 b. County: Wake
1c. Nearest municipality: Raleigh
1d. Subdivision name: Meredith Woods
1e. 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:
Scott Cooper
2b. Deed Book and Page No.
014811 page 02406
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created):
1964 page 169
2d. Responsible Party
(for Corporations):
2e. Street address:
3411 Noel Ct
2f. City, state, zip:
Raleigh NC 27607
2g. Telephone no.:
919-810-3433
2h. Fax no.:
2i. Email address:
[e-mail]
3.
Applicant Information (if different from owner)
3a. Applicant is: ❑ Agent ❑ Other, specify:
3b. Name:
3c. Business name
(if applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
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. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
0784997833
1 b. Site coordinates (in decimal degrees):
Latitude: 35.810110 Longitude: -78.697204
1c. Property size:
0.37 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: House Creek
2b. Water Quality Classification of nearest receiving water: QNSW
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:
Existing single family house
3b. Attach an 8'h 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 the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
75 LF
3e. Explain the purpose of the proposed project:
Home addition
3f. Describe the overall project in detail, including the type of equipment to be used:
The existing home will be extended by 12'. The addition will impact Zone 2 of the buffer by approximately 50
SF.
4. Jurisdictional Determinations
4a. 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 ❑ Unknown
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. Have permits or certifications been requested or obtained
for this project(including all priorphases) in thepast?
❑ Yes ❑ No ® Unknown
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 4

C. Proposed Impacts Inventory
1. Buffer Impacts
1a. 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
number —
Permanent (P)
or Temporary
T
Reason for
impact
Type of impact
(exempt, allowable,
allowable w/
mitigation)
Stream name
Buffer
mitigation
required?
Zone 1
impact
(sq ft)
Zone 2
impact
(sq ft)
B1 ® P ❑ T
House Addition
Allowable
UT to House
Creek
❑ Yes ® No
0
44 SF
B2 ❑ P ❑ T
❑ Yes ❑ No
B3 ❑ P ❑ T
❑ Yes ❑ No
B4 ❑ P ❑ T
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
44 SF
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.
Design of addition was minimized while still allowing for access
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. No vegetation will be cleared out in order to build; no material will be stored within Zone 1 or 2
during construciton
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 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 4

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
❑ Other BMP
maintained. If a Level Spreader is proposed, attach a Level Spreader Supplement Form.
1 b. If you answered "yes" to the above, does the project require preparation of an
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
environmental document pursuant to the requirements of the National or State (North
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
Carolina) Environmental Policy Act NEPA/SEPA ?
Manual and attach a BMP Supplement Form.
1 c. If you answered "yes" to the above, has the document been finalized by the State
F. Supplementary Information
1. Environmental Documentation
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public federal/state land?
1 b. 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 ?
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
❑ Yes ® No
Wetland 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?
❑ Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
J
_Scott Cooper 8/28/19
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's 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
First Class Mail via the US Postal Service:
NC DWR, Transportation Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For all other projects sent by First Class Mail via
the 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.):
Karen 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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A
MFsq COMMUNITY # PANEL SUFFIX PROFESSIONAL LAND SURVEYOR
WADE AVE MERIDITH WOODS, SECTION THREE "B'� J
BOM 1965, PG 067
SITE LOT 25— —154'
VICINITY MAP 30' DRAINAGE \
(N. T. S.) EASEMENT I
THIS LOT MAY BE SUBJECT TO A — — _ 4 \ 35 N
NEUSE RIVER RIPARIAN BUFFER. % — — _
LOT MAY BE SUBJECT TO A CENTERLINE OF CREEK
FLOOD HAZARD PERMIT FROM356
LOCATED IN FIELD
COUNTY ZONING ADMINISTRATION 100 �� \
x5x.x FIELD LOCATED ELEVATIONS LOT 24 11016 � SLOT 16— 358
qR Existing Water Meter N SECTION TWO, �oX
co Existing Sewer Clean Out / 11J PROPOSED° 1ST _ I _ o
BLOCK 360 STORY ADDITQN'
MEREDITH WOODS WITHARPORT &
/ %16/406—SQ.� STg1�GE BELOW
- ,0.38 ACRESREP - - / � t � •�
P� \
P—D gEQ Q j 91b
UFFER
PROPOSED ELEVATIONS r ¢ J /y1 ss.2 \ W
TO MATCH EXISTING oo i
ELEVATIONS ' W
co
bb
LEGEND
C) EXISTING IRON PIPE
1 65.3
NEW IRON PIPE / - �� Y 5(��O �� / / N � W
a ��OoL 525 , / 20.0' j
X COMPUTED CORNER (? \ r
2`'_ "QPM i �w
THIS PROPERTY DOES NOT LIE WITHIN WOOD E ROEC E -GRAVEL s O
A
2000' OF A N.C.G.S. MONUMENT. FENCE-7o—
THIS
ENCE—o — � o
THIS SURVEY IS OF AN EXISTING PARCEL �
OR PARCELS OF LAND. \ —S OP
UTILITIES SHOWN ARE FOR REPRESENTATION0UTILI
.8' RETAINING TY �y
ONLY AND NOT TO BE USED FOR / POLE
PROPERTY LINE LOCATION WALL ENCROACHMENT i OVERHEAD —� y&
ALL CREEKS, EASEMENTS, BUFFERS, LOT 17 i UTILITY—�
FLOOD LIMITS & SETBACKS TAKEN P
FROM BOM 1964 , PG 169 PRo osFD CONTOURS �� �1� l
TO MA7CH EXISTING -
CONTOURS SCAIEo 374N 34'48'02" E 50.00'
SCALE FROM GIS O� — -TIE TO THE CENTER OF
30 0 15 30 so 376 THE CUL-DE-SAC
-MANHOLE (TYP) QS
R=50.00' - \NOEL COURT
( IN FEET ) Cl L=93.43' 378
1 inch = 30 ft. � (50' RAW)
Delta=10703'27"
l
I, Jeffrey H. Davis, PLS certify this map was drawn under my supervision from on actual survey made under my supervision;
and that the error of closure as calculated by latitudes and departures is 1/ 10,000+ that the boundaries not surveyed
are shown as broken lines plotted from information found in Book — Page — that this map was prepared in
accordance with G.S. 47-30 amended. COR UDO 9.2.2.A.4.o
IMPERVIOUS AREA
E—HSE/STP 1,605 SQ.FT.
Witness my original signature, registration number and seal this E—GRAVEL 110 SQ.FT.
16TH day of MAY 2012, E—DR/WALK 1,105 SQ.FT.
Preliminary Plat P -DECK 290 SQ.FT.
.y P -DRIVE 630 SQ.FT.
PRELIMINARY PLAT, NOT FOR Signed Not for recordation, P—PATIO 120 SQ. FT.
RECORDATION, CONVEYANCES, OR SALES P—ADDITION 715 SQ.FT
THIS PLAN MUST BE APPROVED BY ALL conveyances, or sales TOTAL 4,475 SQ.FT.
STATE AND LOCAL REVIEWING AUTHORITIES 27.97 IMPERVIOUS
FOR AND CODEV OF ORDINANCES NCE WITH SITE NTNG Seal SITE PLAN CREATED
SITE PLAN 07-11-2019
SCOTT COOPER TURNING POINT
m m z COLBY COOPER
LOT 16, SECTION 2, BLOCK "D" SURVEYING PLLC
o MEREDITH WOODS
3411 NOEL COURT 4113 JOHN S. RABOTEAU WYND
O RALEIGH NORTH CAROLINA RALEIGH, NORTH CAROLINA 27612
�7 DATE: 05-16-2012 DWG. N0 FAX [phone] PH [phone]
SCALE. 1 " = 30' A-14880SITE License No: P-0121
ALL CONSTRUCTION SHALL BE IN
FLOOD CERTIFICATION ACCORDANCE WITH ALL CITY OF RALEIGH
AND NCDOT STANDARDS AND SPECIFICATIONS
LAKE BW�-
THIS WILL CERTIFY THAT THE SUBJECT PROPERTY
HARD(
) IS or ( X ) IS NOT located in a SPECIAL FLOOD HAZARD AREA
as determined by the Department of Housing and Urban
Development, or as shown on the FLOOD INSURANCE RATE MAP.
<rz
370243 0784 J
A
MFsq COMMUNITY # PANEL SUFFIX PROFESSIONAL LAND SURVEYOR
WADE AVE MERIDITH WOODS, SECTION THREE "B'� J
BOM 1965, PG 067
SITE LOT 25— —154'
VICINITY MAP 30' DRAINAGE \
(N. T. S.) EASEMENT I
THIS LOT MAY BE SUBJECT TO A — — _ 4 \ 35 N
NEUSE RIVER RIPARIAN BUFFER. % — — _
LOT MAY BE SUBJECT TO A CENTERLINE OF CREEK
FLOOD HAZARD PERMIT FROM356
LOCATED IN FIELD
COUNTY ZONING ADMINISTRATION 100 �� \
x5x.x FIELD LOCATED ELEVATIONS LOT 24 11016 � SLOT 16— 358
qR Existing Water Meter N SECTION TWO, �oX
co Existing Sewer Clean Out / 11J PROPOSED° 1ST _ I _ o
BLOCK 360 STORY ADDITQN'
MEREDITH WOODS WITHARPORT &
/ %16/406—SQ.� STg1�GE BELOW
- ,0.38 ACRESREP - - / � t � •�
P� \
P—D gEQ Q j 91b
UFFER
PROPOSED ELEVATIONS r ¢ J /y1 ss.2 \ W
TO MATCH EXISTING oo i
ELEVATIONS ' W
co
bb
LEGEND
C) EXISTING IRON PIPE
1 65.3
NEW IRON PIPE / - �� Y 5(��O �� / / N � W
a ��OoL 525 , / 20.0' j
X COMPUTED CORNER (? \ r
2`'_ "QPM i �w
THIS PROPERTY DOES NOT LIE WITHIN WOOD E ROEC E -GRAVEL s O
A
2000' OF A N.C.G.S. MONUMENT. FENCE-7o—
THIS
ENCE—o — � o
THIS SURVEY IS OF AN EXISTING PARCEL �
OR PARCELS OF LAND. \ —S OP
UTILITIES SHOWN ARE FOR REPRESENTATION0UTILI
.8' RETAINING TY �y
ONLY AND NOT TO BE USED FOR / POLE
PROPERTY LINE LOCATION WALL ENCROACHMENT i OVERHEAD —� y&
ALL CREEKS, EASEMENTS, BUFFERS, LOT 17 i UTILITY—�
FLOOD LIMITS & SETBACKS TAKEN P
FROM BOM 1964 , PG 169 PRo osFD CONTOURS �� �1� l
TO MA7CH EXISTING -
CONTOURS SCAIEo 374N 34'48'02" E 50.00'
SCALE FROM GIS O� — -TIE TO THE CENTER OF
30 0 15 30 so 376 THE CUL-DE-SAC
-MANHOLE (TYP) QS
R=50.00' - \NOEL COURT
( IN FEET ) Cl L=93.43' 378
1 inch = 30 ft. � (50' RAW)
Delta=10703'27"
l
I, Jeffrey H. Davis, PLS certify this map was drawn under my supervision from on actual survey made under my supervision;
and that the error of closure as calculated by latitudes and departures is 1/ 10,000+ that the boundaries not surveyed
are shown as broken lines plotted from information found in Book — Page — that this map was prepared in
accordance with G.S. 47-30 amended. COR UDO 9.2.2.A.4.o
IMPERVIOUS AREA
E—HSE/STP 1,605 SQ.FT.
Witness my original signature, registration number and seal this E—GRAVEL 110 SQ.FT.
16TH day of MAY 2012, E—DR/WALK 1,105 SQ.FT.
Preliminary Plat P -DECK 290 SQ.FT.
.y P -DRIVE 630 SQ.FT.
PRELIMINARY PLAT, NOT FOR Signed Not for recordation, P—PATIO 120 SQ. FT.
RECORDATION, CONVEYANCES, OR SALES P—ADDITION 715 SQ.FT
THIS PLAN MUST BE APPROVED BY ALL conveyances, or sales TOTAL 4,475 SQ.FT.
STATE AND LOCAL REVIEWING AUTHORITIES 27.97 IMPERVIOUS
FOR AND CODEV OF ORDINANCES NCE WITH SITE NTNG Seal SITE PLAN CREATED
SITE PLAN 07-11-2019
SCOTT COOPER TURNING POINT
m m z COLBY COOPER
LOT 16, SECTION 2, BLOCK "D" SURVEYING PLLC
o MEREDITH WOODS
3411 NOEL COURT 4113 JOHN S. RABOTEAU WYND
O RALEIGH NORTH CAROLINA RALEIGH, NORTH CAROLINA 27612
�7 DATE: 05-16-2012 DWG. N0 FAX [phone] PH [phone]
SCALE. 1 " = 30' A-14880SITE License No: P-0121