20191127 Ver 1_Riparian Buffer Authorization_20190822

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IRECEIVEDINCDENR/L)Y 0 1
9 1 1 2 7
State of North Carolina
Department of Environmental Quality
Division of Water Resources WG1R05 Division of Water Resources
a�pppp EggVILLE REGIONAL OFFICE
15A NCAC 02B.0233 (8)(b),.0243 (8)(b), .OZ50�11)(b), .0259 (8)(b), .0267 (11)(c),.0607 (e)(2) - Buffer Authorization
FORM: BA 10-2013
Rinarian Buffer Authorization Form
A.
Applicant Information
k --,k '
1.
Project Information
1 a. Name of project:
1 b. County:
1 c. Nearest municipality:
1 d. Subdivision name:
1e. Is the project located in any of North Carolina's twenty coasta ounties?
If yes, answer 1f below.
1f. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?
Yes ErNo
El Yes
2.
Owner Information
2a. Name on Recorded Deed:
if v
%
2b. Deed Book and Page No.
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created):
/
2d. Responsible Party
for Corporations):
2e. Street address:
L k.vv 4Vl �.ow
2f. City, state, zip:
pAf o
2g. Telephone no.:
L o L, Z% 2--
2h. Fax no.:
2h.
2i. Email address:
S' c`
904- AA !-
3.
Applicant Information (if different from owner)
3a. Applicant is: LJ Agent El Other, specify:
3b. Name:` -V
3c. Business name
if applicable):
3d. Street address:.4 Y >!,'t-
3e. City, state, zip:
3f. Telephone no.: P2, O - Z L
3g. Fax no.: -- L -
3h. Email address: ; ;-�-t (ti fit S G 1►��•
M�• ( - Go'K
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

1
B.
Project Information and Prior Project History
1.
Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1 b. Site coordinates (in decimal degrees): Latitude: Longitude:
1c. Property size: 5 9 acres
2.
Surface Waters
2a. Name of nearest body of water to proposed project: Kc— '
2b. Water Quality Classification of nearest receiving water:
2c. River basin:
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:
3b. Attach an 8'/z 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:
3e. Explain the purpose of the proposed project: 16a
' / Ao-&,— v,,d,
en
3f. Describe the overall project in detail, including the type of equipt to be led*
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?
El Yes zNo 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.
S.
Future Project Plans
6a. Is this a phased project? ❑ Yes o
6b. If yes, explain.
FORM: BA 10-2013
Page 2 of 4

C. Proposed Impacts Inventory
1. Avoidance and Minimization
1a.
1. Buffer Impacts
1 b.
Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques.
1 a. Project is in which protected basin?
❑ 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
number –
Permanent (P)
or Temporary
T
Reason for Type of impact Stream name Buffer
impact (exempt, allowable, mitigation
allowable w/ required?
mitigation)
Zone 1 Zone 2
impact impact
(sq ft) (sq ft)
131 El P T
3 (2 for Catawba)
❑ Yes o
1.5
62 P T
Total buffer mitigation required:
D Yes 2No
If buffer mitigation is required, is payment to a mitigation bank or NC DMS ❑ Yes No
proposed?
B3 DID T
If yes, attach the acceptance letter from the mitigation bank or NC DMS.
❑ Yes o
If no, then discuss what type of mitigation is proposed.
—I34–[JP T
Comments:
❑ Yes 2No
135 P ❑ T
❑ Yes o
B6 P ❑ T
❑ Yes Oo
Total buffer impacts
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.
1 b.
Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques.
2. Buffer Mitigation
2a.
Will the project result in an impact within a protected riparian buffer that
requires buffer mitigation?
Yes CA
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.
environmental document pursuant to the requirements of the National or State (North
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
Carolina) Environmental Policy Act NEPA/SEPA ?
1 c. If you answered "yes" to the above, has the document been finalized by the State
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.)
Manual and attach a BMP Supplement Form.
Comments:
F. Supplementary Information
1. Environmental Documentation
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes o
use of public federal/state land?
1 b. If you answered "yes" to the above, does the project require preparation of an
❑ Yes o
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 o
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 o
Wetland Rules (15A NCAC 02H .1300), DWR Surface Water or Wetland Standards,
or Riparian Buffer Rules 15A NCAC 02B .0200)?
❑ Yes o
2b. Is this an after -the -fact permit application?
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
L, 1-v� if
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 OR 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 4 of 4

8/8/2019
Alexander County GIS Website
County Home Page (https://alexandercountync.gov/) I GIS Home (https://alexandercountync.gov/departments/gis/) I Tax Home (ht
X yl`
Alexander County GIS Web Portal Click Here to Start Over
z5earcn Kesuits Layers
Results List
Details
Tax Card (https://maps.alexand
Buffer Adjoiners
Parcel ID
139557
Click to View Tax Recc
parcellD=139557)
Account
9341924
Number
PIN
371523 1756
Owner Name
LITTLE TOMOTHY JA
LITTLE TAMMIE SHO,
Physical
PLAYERS RIDGE RD
Address
Mailing
6422 HUNTINGTON L
Address
CONOVER NC 28613
Deed
0616 / 1083 / 2019
Reference
Click to view Deed Rei
(https://cotthosting.con
bAutoSearch=true&bk
Plat Book and
11 /206
Page
Click to view Plat if aw
(https://cotthosting.con
bAutoSearch=true&bk
Buffer
n
Long: -81.320 Lat: 35.799
Long: 81°19'11" Lat: 35°47'56"
https://maps.alexandercountync.gov/maps/ 1/1

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Certificate of Ownership and Dedication
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Certificate of Ownership and Dedication
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tial property shoe, and E.adb.d hd.on, which i.
I tee the bdivieon jurudic6on of aeeondd county
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Register of Deeds Certificate
North 0-11ro, —der County
cited for r.sixt an at _ o'cbck on the — day of
2005 in Ne IW- of Me Re9ater of
d— end recorded in Pill yak —_ Pdge
p!aro
By
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sit.
Vicinity Map
l.ke IfiC—Y No Scale ,
0 01
Near�- 0A96 we
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Certificate of Subdivision
Billy Dale Watts and
Tlwt eM Pest depend
G.S..7-JD ov omendad.
WiWp my oN9ino1 ei9rwtd. and Ilunee number and sell Ihie
CA /f0/
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If [ nos an ordirwnu
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3rd October 209. A.D.
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Building Setback Lines:
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Front yob eetbacN:------- 40 Feet
sloe yard eelb-------15 Feet
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ACCOUNT NUMBER: 0304323
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Lot 5
PIT REFERENCE NIA
12 BLOCK OD LOT 359
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Lot 4
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Current tax records are used to identify adjoining
property owners.
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The properly shown hereon is subject to all
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agreements that are valid and enforceable
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not shown hereon.
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Thera were no NCGS 2000' of control monuments
2000• of this survey.
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found to exist within
in flood hazard
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Property does(X) does not( ) Be a
area as defined by the F.E.MA. flood map:
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Zone: AE
Panel Number. 3710371500)
Lake
Effective Date: 12-18-07
Hickory
Lake
Total Area: 4.510 Acres
Hickory
(Area computation Dy coordinate method)
Properly does(X) does not( ) lie in a designated
watershed area of Alexander County.
Property is zoned -- R-20.
The new Iota created are for residential use.
Certificate of Survey and Accuracy /
I, T.ddy . Snare, ,din eoln� is mpYateuv.a^'idYwnvn(aMEHa.eyoiPian i•imrled Q
from 0 Ed. -I reed su rya
ADA 374 —) I n aural r M
Owners:
BILLY DALE WATTS
UNDA L. WATTS
7,13 46e AVENUE DRIVE N.E.
MCKORY, Me 26601
PHONE: (Us) 256-9286
in eaok�. Pdse—. elle _�. po9. _ , r °
survey under my supduuw: lMl tM boundaries Hol surrsyad en .hewn a.
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FAMILY SUBDIJISON PLAT FON
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Certificate of Subdivision
Billy Dale Watts and
Tlwt eM Pest depend
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WiWp my oN9ino1 ei9rwtd. and Ilunee number and sell Ihie
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Linda L. Watts
RIDGE ROAD-- l9C1(OR/, NC 2.601
3rd October 209. A.D.
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ADDRESS: PUYERS
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WIr1ENBURG TOWNSHIP ALEXANDER COUNTY NORIROUNA
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FILE: 906283
Mdy Shore N.C..L.S. 2BBO
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SUIS I, -e0' DRAWN BY: TES
DEED REFERENCE: BOOK .2. PALE 374
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ACCOUNT NUMBER: 0304323
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PIT REFERENCE NIA
12 BLOCK OD LOT 359
TAX MAP NUMBE. A-
GRAPHIC SCALE SURVEY er: EW/IW DATE OF SURVEY' U -25 -OB
ORAW IG NUMBER: HM -4197
M w MILLER SURVEYING, INC.
325 FOURNI STREET SW. HICKORY. NC 28602
( IN FEET) PHONE [phone]
I Inch - 60 IL
Book: 11 Page: 206 S
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