20200185 Ver 1_Riparian Buffer Authorization_20200130

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
la. Name of project:
2228 Effingham Circle Sanitary Sewer Repair
1 b. County:
Wake
1c. Nearest municipality:
Raleigh
1d. Subdivision name:
N/A
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:
City of Raleigh
2b. Deed Book and Page No.
N/A
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created):
1985, pg 325
2d. Responsible Party
(for Corporations):
City of Raleigh Public Utilities Department
2e. Street address:
One Exchange Plaza
2f. City, state, zip:
Raleigh, NC 27601
2g. Telephone no.:
919-996-4540
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:
Mary Brice
4b. Business name
if applicable):
AECOM Technical Services of North Carolina, Inc.
4c. Street address:
1600 Perimeter Park Drive, Suite 400
4d. City, state, zip:
Morrisville, NC 27560
4e. Telephone no.:
919-461-1358
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
1a.
Property identification no. (tax PIN or parcel ID):
N/A
1b.
Site coordinates (in decimal degrees):
Latitude: 35.8943 Longitude:-78.6004
1c.
Property size:
acres
2.
Surface
Waters
2a.
Name of nearest body of water to proposed project:
Perry Creek
2b.
Water Quality Classification of nearest receiving water:
B-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:
Existing sanitary sewer easement, residential, NCDOT right-of-way
3b.
Attach an 8'/2 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:
N/A
3e.
Explain the purpose of the proposed project:
See attachment.
3f.
Describe the overall project in detail, including the type of equipment to be used:
See attachment.
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 5

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
Reason for impact
Type of impact
Stream name
Buffer
Zone 1
Zone 2
number —
(exempt,
mitigation
impact
impact
Permanent (P)
allowable,
required?
(sq ft)
(sq ft)
or Temporary
allowable w/
T
mitigation)
Access to sanitary
B1 ❑ P ® T
sewer easement,
Allowable
UT of Perry
❑ Yes ® No
1,125
300
sewer repair, bank
Creek
stabilization
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
1,125
300
1 c. Comments: See attachment for impact locations. Impact amounts are determined by assuming a 15-foot wide
access route would be needed
and a 15-foot wide by 60-foot long area would be needed to replace the PVC
pipe with ductile iron, remove the existing manhole, and stabilize the bank. No stream crossing will be
necessary.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Disturbance to the buffer will be minimally necessary to access the repair site. Once work is complete,
disturbed area will be seeded and mulched back to original conditions.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. Silt fence and appropriate erosion control measures will be established prior to beginning work.
FORM: BA 10-2013 Page 3 of 5

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
(square feet
Multiplier
Required mitigation
(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
proposed?
❑ Yes ❑ No
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:
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.
If due to site constraints, a BMP other than a level spreader is 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.
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):
Mary T. Brice
Applicant/Agent's Printed Name
1/28/2020
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
FORM: BA 10-2013 Page 4 of 5

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
Karen Higgins
NCDWR — 401 & Buffer Permitting Branch OR
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For all other projects sent 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 5 of 5

Raleigh Water Sewer Maintenance staff discovered an exposed sewer pipe along the eroded bank of an
unnamed tributary of the Neuse River behind 2228 Effingham Circle (Lat. 35.8943, Long.-78.6004). The
sewer maintenance staff plan to stabilize 35 linear feet of stream bank to further protect the sewer
infrastructure. The repair site is in a maintained 30-foot wide sanitary sewer easement; however,
maintenance staff will access the site in the right-of-way of Litchford Road.
The following activities are proposed at this location:
• Erosion control measures and a dry work area will be established prior to work beginning.
• One manhole (SMH123806) will be removed and approximately 35 linear feet of existing 8" pipe
will be replaced with ductile iron pipe.
• The eroded area around the pipe will be filled with appropriate backfill material.
• The stream bank will be stabilized with rock/geotextile.
• All disturbed areas will be seeded and mulched upon completion of work.
Approximately 1,425 square feet of riparian buffer will be disturbed to access the site outside the
existing sewer easement. To determine if any endangered or threatened species were near the project
site, the NC Natural Heritage Program element occurrences data was analyzed. There are no element
occurrences within a one -mile radius of the project area. Approximately 4 river miles downstream of the
repair site, Perry Creek discharges to the Neuse River. In that area the following species element
occurrences are found, dated January 2020:
Triangle floater, Threatened (EO ID 29256)
Eastern Lampmussel, Threatened (EO ID 33429)
• Neuse River Waterdog, Potentially Threatened/Special Concern (EO ID 446)
Based on the distance from the known historic population of these species, a preliminary determination
concludes that this project "May Affect, Not Likely to Adversely Affect" these species.
2228 Effingham Circle (Lat. 35.8943, Long.-78.6004)

A3�

2228 Effingham Circle (Lat. 35.8943, Long.-78.6004)

2228 Effingham Circle (Lat. 35.8943, Long.-78.6004)

f4 ,�Is
` .ice r• + ` �', y'� 5� � Q+� � �'
F Rimy _
I_
R
,.'.yam � ��� �i �� � �-0 .. � • � A
` y
t
s

TEMPORARY
CONSTRUCTION
ENTRANCE
�_•`I:�I
15' WIDE ACCESS ROUTE
FROM •-D ROAD
BUFFER
aZONE 2 TEMPORARY
•• SQ.
EXISTING •
STABILIZATIONSANITARY SEWER
EASEMENT
REPAIR AREA AND
BANK
APPROXIMATELY
OF
BUFFER
ZONE 1 TEMPORARY
•
2228 Effingham Circle N
0 25 50 100 ft
1 inch = 50 feet
Disclaimer
Maps makes every effort to produce and publish
the most current and accurate information possible.
However, the maps are produced for information purposes,
and are NOT surveys. No warranties, expressed or implied
,are provided for the data therein, its use,or its interpretation.

1: ♦♦t ♦t P�PI ♦tl"II1 t\1 RBI♦ ♦1 t\'7 ♦11 tilt1 ♦1 t,IA`I ♦♦♦t1 P, I ♦t♦♦al I♦1\'I ♦1♦t1♦\1 ♦♦t1\`I RI5 PSI\1I\`I ♦1♦♦ R^'1\`I ♦t NI1\'I ill'/t♦1►♦t RBI1 ♦1'I ♦t
1�l111 1111� I��I I�i11 11 N���� 11111�111��111 1.1111.1�1�1 11111.11.111�1111.11.11.11,!j�l 1.11.1111.1111,�j1�1 l��l 11 lll,!11111111�1 111111111111111 1.1111.I LII,1 11��11�11��11�1 111.11.111 1!�1111 Il 11 l,�l llll�l llyl��l 11 111 l��l Il,!�1111.1�i�1 11N 11
1111►;!1►;11111��1 1111�11�1111'.1 1111;'�l Ill�1111115111115111;11�11111�1y�lllllllll ►;i11�1
11III111I11111E►i1E!i�lll I111
11 11 11 11 Il 1111 �I�I�II 11
1:11;!111 1:111151l 1111111111111111110 ; 1t.11.11111:1 1111:111;1111;I1 EII1D11\„ 111 11.11t.11t.111 1',"�1111111111',�11t.11\,1111; 1111 pill lol E�1,111 01;11 I 11 1:1
M�Vlomrir',111111.111111.111
I,i;!I 111.1111.1 Itl 1.1111.11,�,1, 111.1,1111 1.11.1111.1 I.ol 1t.111
1111101111 I.I N,IMII
111111/11����1��12�i�/111 111111 IjV�
11 /11� 11 ljll,'11�1111111111 1111211l 11 Ijt"1� P, 1111 II �I �41 j11111 /111 �'� 11�1�11111�
1:1 1:1 D,l 1t.11t.1111t.11111,;!1 11.1►111.111.11',111111',1 111:11:111 11.11111:1 I l 1;111111 l',11;\„ 1:11:1111 1',t11',ll 1:11:11;111.11;1;4;11t.11',I Nil.; ll11t.1,�11 1►111
I'11111r►.� 1111 E; ►l I II II E11111r►.� I' y1111, ►.�E11 ►1 ►;'1 E'16'111 ►l ►01 Elu l;; Al11Et�11; 1; 111; 111;1; 111111 � 11111111
1111111.111
1111111.1I,y1.11.1
11/111111/1
111,!"101111 1.111y,1�
1.11.1111.IIt11 2vl1.11111
1.11,NO All
1.11„11,11
1111111.1 1111111.1
11 11111.1
►1►1
►� E;111 I� ►l
►.,►�
►l ��� ►1 E�Ij��1111.11.1,��
I� ►l 11111�
/1 1� 11
11 1� 1�11
1.1 ���
11ll/l ��� 1t.1
1,11,
11 I,tl 1.11',�;I;!11.11.11t.1,!1
1t.1 11 Itl ltl 1t.11.1
11 111„ 11„ I,tllt11111.11t.1
11 110,1111.11t.111111111111t.11t.1 111111Il ►ll /1►l ►l ►1 ►l ►1►l111111111111 II 111111Il 11 1111.1111t.21
111.1 1'.11'.111
1 L. I I I I. I , 1 1 1 i r l 1 1 ri ru l u r u r u u 1 r l i u l 1 1 1 1 1
►1111I.I1,, ,1111111111111111111111„111111 „111111 11 11 1111111111,111111.11111111111111111111111111111111 11111111111 11.1111,1111111111111111,1111 11 111111 1111II IIIIIIIIII IIII IIIIIE�►,, 1111 11111111 1111111111 11 111111111111111111 111111,, 11111111,, 111111 1111, 1 1111 11111 1 11 111111111111111
1.11,�11.11.11.11,1�.11.11.11.11.1 1,!Qi11111111�1i111'I�11� �1�11,�1�1\�1�1V11FVr1f1i1Ij1� �1�1�1�11�1�1�1tjj1,'1v1p1,'1"1�1►121P��l�l�l�lIll�l�l�1111�E1�AHEIQ 1�11��11►�.ME��161�1,1P11,o1r1 plil��'I��I� �1�Ij!��1�Ip��1��1�1�Ijr��1►.1�����1��1�1�1�1�1\�1�11�1�1�1� �1�1 �1 �1�1��1�1�1�1�1�1►.1�1
011r,1 II@gP,15lp "IN 1:15l

NCNHDE-11156: Raleigh Water Sewer Maintenance - Effingham Cir
Oak
540
Ivanhoe Dr qA
N'
e
C, La rvWtf-5
e
Baybre ^ tNe�6.
�od Ln
,bra
$a,t, rn ff•'o eEas G'J,��
ns Or
Raven
1 1{ar
d( rrsM/ d
'r.� r
E/
?3 erry Creek
�ry
T
N
'4
W�E
P O
N _
S Nonh R,,
January 22, 2020
Project Boundary
Buffered Project Boundary
Managed Area (MAREA)
Pbrth
Health Plex S'
P°
T
Fall: River
- Q
Dor
2S Kohrs
Town center
y:
c
372 R
F.
J
�rG
Lon
Teeter
ggW. Ln SSA
ee
Fir,,k�7 _.
Abbobs
Creek Park
nd
..
O
Sm:k;lare or
Dares `e
Or _-
PP
�
Eagle
osyo�
Deanwaod Dr
J �,,pflre Trl
\O
C
t�fher Ali
n.K,a�e.efi
Diaeerdhitch Tr\
o
JrY Dr
5coot,ng i
Ln 2.6
�D
C}df Havenfe,
°y
py
�o
< h,
O
`�rri
n lialfhrtck'
Boob
(,
'Odn
Thorpshire Dr O
s N4111 Rd
Dry
Harp
Po
N rrh R1dge
C ountry C lub /Q
yd�
' eo�lp sty �
pl a a
�z. Cleresvory__' Go rdy Dr vim/
3
27
� Uv
�aY �
v g
�f' rOh PI ututbr'�O�
c0h
0
m
O $ vJe 11 ilg lon �I
� e
Te
Lake Ra
O�
N°``tom ae
Rena
of
Ove,fooq'lyd. -
i`
1:20,577
0 0.175 0.35 0.7 mi
0 0.275 0.55 1.1 km
Sources: Esri, HERE, Garmin, Intermap, increment P Corp., GEBCO, USGS,
FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey, Esri Japan,
METI, Esri China (Hong Kong), (c) OpenStreetMap contributors, and the GIS
User Community
IIIIIII.V;121F, 151►1:12�

. ,P
\%iGJ ►J I �20
J oho
47.30ry
0 `� 'es 38F a ��
60
l � � ti �N /02
0 (O oru Na O\�- o�
q h / /08 0
ti
o No
\ F
ati rh' on �q ZS 3 �2 -��-sue
(b//lo R-3yk �.�N s '9
19 0 N26o 41 ��� ,3 l e6,- q. % F ✓ia o / lI 1//z.8o 0o 87
//O e. /38 . Z/9 0�c6. '
QG, ti rb o
• �° � � = /�. � � `� .P_ z s 9 S3 0 ,� �.36 1 / � I.0 � Q' ��• N �
N% 0 z el'N O ,ti �¢6 023E I Z� O V �U
�v" 1635,E 50 46^p ae��S�f✓''lo� \9 /27 \ // L %
� G=35.�� �1p� ?5.98�c-� O /�3.2� E � ,Q �i 1� N/ o/ �� v �Z•ZZ � \Yl � (� � /Do. Ov (P1
l y) 1 1 S nl� . 9 28- 1 b 92 > Qj NOz'to
'/7 34"E
/i M �� I __v�
T/0,-/ E �-r'T a
0 � � ///\ \ 3 �'�"0 � 1� 1N 3 ti '��9 az %
6 TA�
/ ~S; \ � ' VtN 1Q o\ 0 '¢¢ 38 E Gyp
sz o�2 Mqv CD Im 1 no �� 0
t�° _ zs 3 � \ F\ � -�•� °• N 0 zo �q 6•a
ro
Is
ZO A�'C�55 E5/rt'T. t9 5�20
s 60 5
DUNCAN-PARNELL, INC., RALEIGH 884
/ciQE 1//0616G Y iPEC0�1JE0
L.oT5
NORTH CAROLINA - WAKE COUNTY
The fomoina certificate -----.,*.of
Notar (y) _ (ies) (are) certified to be drect. This instrument was
presented for resistrati n nd recorded in this office. ,,��
This 4 daY of f l et Z421-1 4ock, !L.At.
nn th Wilk'ns, Re inter Af Deeds
By �w�
. Deputy Register of Deeds
JOHN A. EDWARDS & COMPANY SCALE: DATE:
s Consulting Engineers FLD. BK. & PAGE DRAWN BY:
- 333 Wade Ave., Raleigh, N. C.
FILE NO.: CHECKED BY:
r Phone [phone]
DATE REVISION BY
I
This certifies that the undersigned is (are) the owner(s) of the
property shown on this map having acquired title thereto by deed(s)
recorded in the Office of the Register of Deeds of Wake County,
North Carolina, or otherwise, as shown below and that by submis-
sion of this plot or map for approval I (we) do dedicate to the City
of Raleigh for public use all streets, easements, rights of way and
parks shown thereon for all lawful purposes to which the City may
devote or allow the same to be used and upon acceptance thereof in
accordance with all city policies, ordinances and regulations or
conditions of the City of Raleigh for the benefit of the public, said
dedication shall be irrevocable; provided, any dedication of ease-
ments for storm drainage are not made to the City of Raleigh but
are irrevocably made to the subsequent owners of any and all
properties shown hereon for their use and benefit subject to condi-
tions of subsections (b) (c) (d) and (f) of Section 1 and Section 4
of the "City Storm Drainage Policy" (Resolution 1970-742 as the
same may be from time to time amended).
Book No. Page No. Signatu e(s) of1Property Owners)
"I, 411Qzq,1J Q Z�0A,1AA-_ D.-- U.P , certify
that this map was drawn (by me) (under my supervision) from an
actual (survey by me) (survey made under my supervision). deed
description recorded in Book , Page
etc.: (other); that the error of closure as calculated by latitudes
and departures is 1/ /d 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 as amended.
Witness my hand and seal this Z 2 day of �EQ•
19
Signed:
Seal: - .,' ryf+� "fir
NORTH CAROLINA WAKE COUNTY
Personally appeared before me •
r/o S'i�J A. ClJy�/l�2d5 �2 , who being
duly sworn, says that the certificate shown is true and correct
this day of eE 6 19��
My 'In
'ission expires 9
e• e
U 8 1- 1
C . 'UCL1`�
21,
i; fee,fl co
"I, the undersigned City Clerk and Treasurer of the City of
Raleigh, do hereby certify that �ity of
igh,/gs�prQvided
by i/ y Code, on the day VR�L
I approved this plat or map and accepted the
dedications as shown thereon but on the further condition that
the City assumes no responsibility to open or maintain the same
until in the discretion and opinion of the governing body of the
City le,igh it is in the ublic i teres� a so.
r
Gty Clerk and Treasurer"a.a(o_t(3'
THIS PLAT IS NOT TO BE RECORDED AFTER THEp�.
11-th DAY O C•
ONE MYLAR COPY IS TO BE RETAINED FOR THE
THIS PLAT IS IN THE CITY LIMITS
O i00
,4 po,27/0,AJ OF- SHEET
- 1 .6 liq -83

AGENT AUTHORIZATION FORM
PRE -CONSTRUCTION NOTIFICATION
PROPERTY DESCRIPTION: Utility Maintenance Environmental Permitting and Consulting -
T06
Owner: City of Raleigh Public Utilities Department
The undersigned, owners of the above noted property, do hereby authorize
Mary T. Brice , of AECOM Technical Services of North Carolina, Inc.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance
of the permit or certification and any and all standard and special conditions attached.
Owner's Address (if different that property above):
One Exchange Plaza, Raleigh, NC 27601
Telephone: [phone]
I hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authori Signature
MA-ffHVW P. VE6616 6W15C &4�2AJJPAqAV441Aq6R_
Please print
Fm? .� 6. 2019--
Date