20160564 Ver 1_Riparian Buffer Authorization_20160623

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State of North Carolina
Department of Environment and Natural Resources
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
1a. Name of project:
West South Street Multi -family
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:
Lambert Development South Street LLC
2b. Deed Book and Page No.
DB 016318, PG 01863
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):
Kerry Berman, Vice President
2e. Street address:
5 Hanover Square, Floor 14
2f. City, state, zip:
New York, NY 10004
2g. Telephone no.:
212.785.0090 ext 225
2h. Fax no.:
212.785.7931
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:
David Boyette
4b. Business name
(if applicable):
Stewart
4c. Street address:
421 Fayetteville Street, Suite 400
4d. City, state, zip:
Raleigh, NC 27061
4e. Telephone no.:
919.866.4804
4f. Fax no.:
919.380.8752
4g. Email address:
[e-mail]
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):
1703461141
1b.
Site coordinates (in decimal degrees):
Latitude: -78.6489
Longitude: 35.7718858
1 c.
Property size:
0.24 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Rocky Branch
2b.
Water Quality Classification of nearest receiving water:
c
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:
The site is currently developed with an existing building and asphalt/gravel parking area.
3b.
Attach an 8'/ 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:
0 If (only the buffer for the steam is on our project site)
3e.
Explain the purpose of the proposed project:
Removal of existing impervious area and replacement of existing failing culvert.
3f.
Describe the overall project in detail, including the type of equipment to be used:
Project is to remove existing improvements within the buffer, replace the existing failing culvert and restore the
buffer.
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 prior phases) in the past?
® Yes ❑ No ❑ Unknown
Comments: See attached Stream
Determination.
4b.
If yes, who delineated the jurisdictional areas?
Name (if known): Cheng Zhang
Agency/ Consultant Company: NCDENR
Other:
4c.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
April 1, 2016
5.
Project History
5a.
Have permits or certifications been requested or obtained for this
project (including all prior phases) in the past?
❑ 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.
After the existing improvements are removed and the culvert replaced, the property will be redeveloped with a
multi -family building. The buffer will not be impacted in the future phase of the project.
FORM: BA 10-2013 Page 2 of 4

C. Proposed Impacts Inventory
Impact Justification and Mitigation
1.
Avoidance and Minimization
1. Buffer Impacts
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
1b.
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
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
form.
D of this
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
Culvert
replacement
Allowable
UT to Rocky
Branch
❑ Yes ® No
1815
2872
B2 ❑ P ❑ T
2c.
If buffer mitigation is required, is payment to a
mitigation bank or NC EEP proposed?
❑ Yes ❑ No
❑ Yes ❑ No
If yes, attach the acceptance letter from the mitigation bank or NC EEP.
2e.
B3 ❑ P ❑ T
2f.
Comments:
❑ Yes ❑ No
B4 ❑ P ❑ T
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
1815
2872
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.
1b.
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?
ED] 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 EEP proposed?
❑ Yes ❑ No
2d.
If yes, attach the acceptance letter from the mitigation bank or NC EEP.
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.
1a.
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
❑ Yes ® No
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
public (federal/state) land?
Manual and attach a BMP Supplement Form.
1 b.
F.
Supplementary Information
1.
Environmental Documentation
1a.
Does the project involve an expenditure of public (federal/state/local) funds or the use of
❑ Yes ® No
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 Wetland
❑ Yes ® No
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):
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 For government transportation projects sent
by First Class Mail via the US Postal Service: by delivery service (UPS, FedEx, etc.).-
NC
tc.):NC DWR, Transportation Permitting Unit OR NC DWR, Transportation Permitting Unit
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699 - 1617 Raleigh, NC 27604
For all other projects sent by First Class Mail For all other projects sent by delivery service
via the US Postal Service (UPS, FedEx, etc.).-
Karen
tc.):Karen Higgins OR Karen Higgins
NCDWR — 401 & Buffer Permitting Unit NCDWR — 401 & Buffer Permitting Unit
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699 - 1617 Raleigh, NC 27604
FORM: BA 10-2013 Page 4 of 4