20070295 Ver 7_Riparian Buffer Authorization_20020707

Buffer Authorization Application Form
15A NCAC 02B .0233 (8)(b), .0243 (8)(b), .0250 (11)(b), .0259 (8)(b), .0267 (11)(c), .0607 (e)(2) Buffer Authorization Online Form -
Update 10/23/2018
A. Owner/Applicant Information
For instructions on how to fill out this form, seethe Buffer Authorization Application Help Document posted on DWR's 401 & Buffer page.
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
A. Owner/Applicant Information
General Information
Primary Contact Email:*
Is this project a public transportation project?*
Who is submitting the application?*
1. Property Owner Information:
1a. Name on Recorded Deed:
1b. Responsible Party:
1c. Mailing Address:*
1d. Telephone:* 919-300-4914
3. Agent Information:
3a. Name:*
3b. Company Affiliation:
3c. Mailing Address:*
[e-mail]
Please list the contact person's email for questions or payment on this project if needed.
Yes
• No
Owner
Applicant other than Owner
Agent
Check all that apply
Tri Pointe Homes Holdings, Inc.
Kristi Dillard
(for Corporations)
Street Address
1330 Sunday Dr, Ste 101
Address Line 2
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27607
us
Street Address
Address Line 2
City
Postal / Zip Code
le. Email Address: * Kristi.Dillard@tripointehomes.c
om
State / Province / Region
Country

3d. Telephone: * 3e. Email Address:*
3f. Attach a signed and dated copy of the agent authorization form. *
Click the upload button or drag and drop files here to attach document
PDF Only
If the applicant is not the property owner, in addition to providing the Agent's information, select Applicant other than Owner' above, enter the applicant's
information, and attach an authorization granting the applicant owner approval.

B. Project Information and Prior Project History
B. Project Information and Prior Project History
1. Project Information
1a. Name of Project:* Holding Village - Phase 10 - HV NC98 MEWS
(Subdivision, facility, or establishment name)
If your project has a formal name please use this. If your project does not have a formal name, please identify your project by the owner name and
proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any other names that have been used to identify the
project in the past.
1b. Is this a publicly -funded transportation project?*
Yes
No
1d. Subdivision Name: Holding Village at North Lake
le. Nearest Municipality: Wake Forest
1f. Property Size: 21.00
acres
1g. County (or Counties) where the project is located:
Wake
1h. Property ID# Date of Purchase
1840369255 1 / 14/2022
Tax PIN or Parcel id
1 i. Deed Information
Type of Book Book#11 Page#
Deed F88
83 00354
-1
Map F
951
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 document
PDF only
1k. How would you like to provide the Latitude and Longitude information?*
Address Lookup
F Manually
Latitude* 35.962914 Longitude*-78.512462
11. Is the project located in any of North Carolina's twenty coastal counties?*
Yes
No
Coastal Management information can be found at:
• About Coastal Management
o Staff Listing

o Coastal County Lookup
2. Surface Waters
2a. Name of the nearest body of water to proposed project:
Smith Creek
Link to Soil Surveys for North Carolina Counties. (Please see instructions in the Help Document to determine the most recent published version.)
2b. Water Quality Classification of nearest receiving water:*
C; NSW
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
546
(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 overall property contains approximately 47 acres of agricultural crop fields; the
remaining area consists primarily of mature mixed pine -hardwood forest. There are
several existing structures on the property, including four abandoned buildings and
three silos. This last phase of the project was previously an agricultural field.
Successional vegetation is now present across most of this area. The subject
property vicinity contains forested land and residential, commercial, and office
developments. Please refer to the attached USGS Location Map (Figure 1) and Wake
County Soil Survey Map (Figure 2) for more information on the project setting of this
phase.
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 document
21034-Holding-Fig 1 USGS V2.pdf 823.32KB
PDF only
Link to TOPO Map lookup: https://viewer.nationalmap.gov/basic/
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 document
21034-Holding-Fig 2 Buffer Subj SS V2.pdf 2.51 MB
PDF only
Link to Soil Surveys for North Carolina Counties. (Please see instructions in the Help Document to determine the most recent published version.)
4. Proposed Activity
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used: *
Holding Village North Lake is a mixed -use development situated between Holding
Lake and NC Highway 98. This phase is within the second half of the Holding Village
overall development and consists of multi -family residential development. The
proposed development plan includes two road connections to the existing
development and a stormwater control measure. One road connection crosses a
stream channel. It will be constructed with an arch culvert to avoid impacting the
stream. The attached Construction Drawings depict the overall project plan view and
locations of insets that show details of the proposed impact areas.
Heavy equipment typical for road construction, utility installation and grading will be
used to construct the proposed project such as track hoes, bulldozers, dump trucks
and graders.

Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
_TPH21002 Combined Impact Maps.pdf 3.15MB
PDF only
** Below is a link with instructions on what you will need to show on your site plan.
http://edoes.deq.ne.gov/WaterResources/O/doc/402224/Pagel.aspx
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?*
Yes
No
5b. Who did the determination on the jurisdictional areas?
Who did the determination?
List name if known
Date
Attach
Corps
April Norton
10/27/2022
(Name if known)
Wake, PJD,
368....
North Lake HV
Drained Pond
PJD EM 2021-
10-27.pdf
pdf only
State
Alys Hannum
11/15/2021
2021
(Name if known)
Holding_Villa...
pdf only
*** Please include the date of the determination and upload a copy of the determination.
Comments:
6. Project History
Ga. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
Yes
No
6b. List any permits/approvals that have been requested or obtained for this project in the past.
Application Date11 Date Issued Permit Type
12/17/2019 !1 5/8/2020 F WP 29
12/17/2019 !1 4/14/2020 401

6c. Please explain and detail according to "help file" instructions.*
The overall Holding Village development's permit history began in February 2007 with
a request for an express review from DWR (#07-0295 V1), which was abandoned. In
September of that same year, DWR issued a buffer authorization (#07-0295 V2
attached) to impact the riparian buffer with one road span, a pedestrian bridge and
sanitary sewer alignments. Due to the economic recession, the project was
abandoned, and impacts were not completed. This permit application includes the
same road crossing (#2) location and a portion of the sanitary sewer alignment
previously approved. Because a Conditional Use Permit based on the Master Plan
for this project was approved in 2007 and construction on the South Lake phase of
the project has commenced, the Town of Wake Forest has determined the Master
Plan is vested in the 50-foot buffer and Phase I Stormwater rules that were in place at
the time of approval.
In 2012, a Nationwide Permit (NWP) 3 was utilized and written approval (#07-0295
V3) was obtained by DWR for the rehabilitation of Holding Lake's dam. This work
permanently impacted 73 If of stream (emergency spillway listed as
intermittent/perennial depending on flows from the lake) and 0.02 ac of wetlands and
temporarily impacted 0.08 ac of wetlands. As part of the rehabilitation, the spillway
was designed for the 100-year storm and will dissipate most every storm event that
occurs within the drainage basin of Holding Lake before it reaches downstream
waters.
In 2014, DWR issued a buffer authorization (#07-0295 V4) for riparian buffer impacts
from level spreader bypass outlets and a greenway around Holding Lake as part of
the South Lake at Holding Village residential development that generally occupies the
southern half of the property. This authorization was replaced in early 2015 to slightly
revise the greenway alignment and accommodate three access piers on the lake
(#07-0295 V5).
The attached NWP 29 was issued for the second half of the Holding Village overall
development on May 8, 2020 to authorize 779 linear feet of stream channel impacts,
0.12 acre of temporary wetland impacts, and 0.07 acre of permanent open water
impacts. DWR issued the corresponding 401 approval on April 14, 2020 (#07-0295
V6).
7. Future Project Plans
7a. Is this project a phased project?* Yes
No
7b. If yes, explain*
Aside from a few upland pockets of future development, this is the last phase of the
project.

C. Proposed Impacts Inventory
C. Proposed Impacts Inventory
Buffer Impacts
1a. Project is in which protected Basin?*
Neuse River Basin (15A NCAC 02B.0233)
Catawba River Basin (15A NCAC 02B.0243)
Randleman Lake Watershed (15A NCAC 02B.0250)
Tar -Pamlico River Basin (15A NCAC 02B.0259)
Jordan Lake Watershed (15A NCAC 02B.0267)
Goose Creek Watershed (15A NCAC 02B.0606 & 15A NCAC 02B.0607)
You can find which river basin you live in at the link below.
http://www.eenorthearolina.org/riverbasins-gis-map.asp
1c. Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form.
Please note: if the impact you list below requires mitigation choose "allow w/ mitigation" under impact type.
Site# - Reason
Stream Name
Buffer Impact*
Impact Type*IL
Zone 1
Zone 2
Impact Area 1 -
Hatters
Permanent
Exempt
388.00
331.00
SW Outlet
Branch
(P)
Square
Square
Map label (e.g. Road
Perm or Temp
Feet
Feet
Crossing 1)
Impact Area 2 -
Hatters
Permanent
Allowable
7,861.
4,943.
Road Crossing
Branch
(P)
w/
00
00
Map label (e.g. Road
Perm or Temp
mitigation
Square
Square
Crossing 1)
Feet
Feet
Total Zone 1 Impacts: 8,249.00
Total Zone 2 Impacts: 5,274.00
Total Buffer Impacts: 13,523.00
Comments:
n

D. Impact Justification and Mitigation
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 road crossing is unavoidable because the stream channel bisects this area from
the existing development and a second entrance is required due to the number of
residences in this section of the development. The crossing was aligned to cross the
channel perpendicularily to minimize the impact to the buffer. An arch culvert was
utilized to avoid impacting the stream. A geotechnical report for the arch culvert
design was submitted to April Norton, USACE and Colleen Cohen, DWR on May 24,
2022.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
A Sediment and Erosion Control Plan will be developed and approved by the Town of
Wake Forest, and the project will comply with the supplementary NPDES
Construction Stormwater Permit (NCG010000).
2. Buffer Mitigation
2a. The table below identifies the square footage of impact to each zone of the riparian buffer and the required mitigation.
Zone 1
Total Impact Multiplier 11 Required Mitigation
7,861.00
3
23,583
Square Feet
Square Feet
Zone 2
Total Impact11 Multiplier 11 Required Mitigation
4,943.00
1.50
7,414.50
Square Feet
Square Feet
2b. What is the mitigation plan proposed for this e Payment to private mitigation bank
project? * Payment to Division of Mitigation (DMS)
Permittee responsible mitigation
2e. Attach statement of availability from mitigation provider.*
Click the upload button or drag and drop files here to attach document
North Lake Holding Village - Phase 10 - Buffer SOA
567.75KB
07-06-2022.pdf
PDF only
2g. Comments:

E. Diffuse Flow Plan
E. Diffuse Flow Plan
All buffer impacts & high ground impacts require diffuse flow or other form of stormwater treatment. If the project is subject to a state implemented
riparian buffer program, upload a plan that fully documents how diffuse flow will be maintained. All stormwater control measures (SCMs) must be
designed in accordance with the NC Stormwater Design Manual. Associated supplement forms and other documentation must be provided.
For a list of options to meet the diffuse flow requirements, click here.
1a. What type of SCM are you providing? *
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Proposed project will not create concentrated stormwater flow through the buffer
Other SCM that removed minimum of 30% nitrogen
1 b. Describe how diffuse flow will be maintained:*
A stormwater management plan that includes a wet detention pond will be reviewed
and approved by the Town of Wake Forest.
1c. Diffuse Flow Documentation* Click the upload button or drag and drop files here to attach document
N Lake Ph 10 SCM.pdf 612.45KB
PDF only

F. Supplementary Information
F. Supplementary Information
Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
Yes
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)?
Ye s
2b. Is this an after -the -fact buffer authorization application?
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 document
RAP19000-NWP Issued-2020-05-08-Corrected.pdf 24.04MB
RAP19000-Revised 401 Approval-2020-04-14.pdf 198.48KB
PDF only
Additional Comments:

G. Sign and Submit
G. Sign and Submitt
By digitally signing below, I certify that:
• 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)
• 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
• I intend to electronically sign and submit the application form."
Print Name: * Jennifer Burdette
Signature*
Submission Date: (Auto populated field)