HomeMy WebLinkAbout20170540 Ver 1_Buffer Determination_201705022017-04-27 18 46 30 (GMT) 18888759020 From All Type Construction Management,
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 026 .0233 (8)(h),.0243 (8)(b), .0250 (11)(b),.0259 (13)(b), .0267 (11)(c), .0607 (e)(2) - Buffer Authorization
Riparian Buffer Authorization Form FORM SA 10-20I3
a
RECEIVED/NCDENR/DWR
FORM BA 10-2013 MAY 0 2 2017
Page 1 of 4
Water Quality Regional
Operations Section
Washington Regional Office
1. Project Information
la Name of project
County
S c s p ieeol e3lb
tti % r b P -
1c Nearest municipality,
--
1d Subdivision names
1,q
14V Is the project located in any of North Carolina's twenty coastal counties?
If yes, answer 1f below
❑ Yes 151 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
e -D a����r { QAc-C'�-9 L r
?
2b Deed Book and Page No.�,�
2c Map Book and Page No
(include a copy of the
recorded map that indicates
when the tot was create
2d
2d Responsible Party
for Co orations
I e>-iS+2;a1c-t-107: � 0eS 14 LLC -
,
2e Stree# address
M
a t 2 )i � -
2f City, state, zip
1 t'a, r.
2g Telephone no
-� t,A , 5-r> 6 a -7 r
2h Fax no
1_ 8`x -SyS'- � 02-
21 Em address�-,A
3. Applicant Information (if different from owner)
3a Applicant is
3b Name
Agent Other, specify
3c Business name
-
If applicable)
3d Street address
3e City, state, zip.
3f Telephone no
dyed `
3g Fax no
�
3h email address
w „�
- -
,
4. Agent/Consultant Information (if applicable)
4a Name
4b, Business name
tf a Itcable
4c Street address
—
4d City, slate, zip
4e Telephone no
4f Fax no
4g EmaU address
__
RECEIVED/NCDENR/DWR
FORM BA 10-2013 MAY 0 2 2017
Page 1 of 4
Water Quality Regional
Operations Section
Washington Regional Office
To MR CHRISPULLINGER Page 3 of 7 2017-04-27 18 46 30 (GMT) 18888759020 From All Type Construction Management,
B.
Project Information and Prior Project History
1.
Property Identification
la Property Identification no (tax PIN or parcel ID)
1 b Site coordinates (in decimal degrees) Latitude Longitude
1 c Property size aces
2
Surface Waters
2a Name of nearest body of water to proposed project P-\ cy TO,
2b Water Quality Classification of nearest receiving water
2c River basin - x
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 Attacti an 8 Y2 x 11 excerpt from the most recent version of the USGS topographic map indicating the location
of the site S.- , -'T
3c Attach an 8'/z x 11 excerpt from the most recent version of the published County MRCS Soil Survey Map
depicting the project site
3d List the total estimated linear feet of all existing streams (intermittent and on the
perennial) property
3e Explain the purpose, of the proposed project
3f Descnbe the overall project in detail, including the type of equipm t to be used ,
c
4.
Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by
Yes � No El Unknown
the Corps or State been requested or obtained for this
Comments !�
roe / project(including all pnorphases) in the ast?
4b. If yes, who delineated the jurisdictional areas'?
Agency/ Consultant Company
Name (if known)
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
El Yes No Unknown
for this project(including all priorphases) in thepast?
_
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
To MR CHRISPULLINGER Page 4 of 7 2017-04-27 18 46 30 (GMT) 18888759020 From All Type Construction Management,
E. Diffuse Flow Plan
All buffer impacts and high ground impacts require diffuse flow or other form of
stormwater treatment Include a plan that fully documents how diffuse flow will be
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
❑ Other BMP
F. Supplementary Information
'1. Environmental Documentation
la Does the project involve an expenditure of public (federal/state/local) funds or the
El Yes 39 No
use of public federal/state land?
lb 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 0 Yes 'F] No u
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 El 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?
El Yes ISMo
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
(Agent's signature is valid only if an authorization letter from the applicant is
Send $ complete sets of this form and accompanying documents to the following,
,-I 1 �, t
Date
For government transportation projects sent by For government transportation projects sent by
First Class Mail via the US Postal Service, delivery service (UPS, FedEx, etc)
NC DWR, Transportation Permitting Unit OR NC DWR, Transportation Permitting Unit
1617 Mad Service Center $12 N Salisbury Street
Raleigh, NC 27699 - 1617 Raleigh, NC 27604
For all other projects sent by First Class Mail via
the US Postal Service
Karen Higgins
NCDWR —401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For all other projects sent by dehvefy service
(UPS, FedEx, etc )
OR Karen Higgins
NCDWR — 401 & Buffer Permitting Branch
512 N Salisbury Street
Raleigh, NC 27604
FORM BA 10-2013 Page 4 of 4
To MR CHRISPULLINGER Page 5 of 7 2017-04-27 18 46 30 (GMT) 18888759020 From All Type Construction Management,
C. Proposed Impacts inventory
I. Avoidance and Minimization
18
1. Buffer Impacts
lb
Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques
1 a Project is in which protected basin?
El Neuse
❑ Randleman
El Tar -Pamlico
❑ Jordan
CJ Catawba
❑ Goose Creek
lb 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 Type of impact Stream name Buffer
number— impact (exempt, allowable, mitigation
Permanent (P) allowable w/ required?
or Temporary mitigation)
Zone 1
impact
(sq ft)
Zone 2
impact
(sq ft)
B1 ❑ P El T
—B2 -CTP
❑ Yes El No
Zone 2
i 5,- 15
El T
Yes 0 No
2c
2d
If buffer mitigation is required, is payment to a mitigation bank or NC DMS El No
proposed?
If yes, attach the acceptance letter from the mitigation bank or NC DMS
B3 M P T
❑ Yes—TIN--o"—
es NoB4
2f
Comments
B4P El T
❑ Yes No
B5 El P 0 T Yes No
B6 El P T
El Yes ❑ No
Total buffer impacts
1 c Comments
D Impact Justification and Mitigation
I. Avoidance and Minimization
18
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
lb
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 nparian buffer that
requires buffer mitigation?
El Yes No
2b
If yes, then identify the square feet of impact to each zone of the nparian buffer that requires mitigation and
calculate the amount of mitigation required in the table below
Zone
Reason for impact Total impact Multiplier Required mitigation
pare feet (square feet
Zone 1
2 3 (2 for Catawba)
V
Zone 2
i 5,- 15
Total buffer mitigation required:
2c
2d
If buffer mitigation is required, is payment to a mitigation bank or NC DMS El No
proposed?
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
To MR CHRISPULLINGER Page 6 of 7
Super 8 Motel
212 E. New Bern Road
Kinston, NC -28,E04
2017-04-27 18 46 30 (GMT) 18888759020 From All Type Construction Management,
Repairs proposed for Hurricane Matthew related erosion:
Remove damaged pavement. Install silt fence for erosion control.
Restore bank to original condition by backfilling with compacted soil.
The last layer to be backfilled shall be top soil & deep root ground cover
grass.
Install neer sidewalk & concrete pavement.
Install new metal fence, ,
I
To: MR.CHRISPULLINGER Page 7 of 7 2017-04-27 18:46:30 (GMT) 18888759020 From: All Type Construction Management,
n
To MR CHRISPULLINGER Page 1 of 7 2017-04-27 18 46 30 (GMT) 18888759020 From All Type Construction Management,
FAX COVER SHEET
TO MR.CHRISPULLINGER
COMPANY NC DEPARTMENT OF ENVIRONMENTAL
FAXNUMBER 12529753716
FROM All Type Construction Management,inc.
DATE 2017-04-27 18:44:33 GMT
RE SUPER8 KINDTON-APPLICATION
COVER MESSAGE
IT WAS MY PLEASURE MEETING WITH YOU IN YOUR OFFICE. THANKS FOR
YOUR GOOD INFORMATION. —
ENCLOSED IS THE APPLIACATION PLEASE PROCESS AT YOUR EARLIEST TIME
SO I CAN PROCEED. I AM PLANNTING TO COMPLETE IN 2 WORKING DAYS IF
THE WAETHERCLEARAND WORK COUNTINOUS AND DO THE SEEDING
NETTING,CURB ETC SO NO EROSION HAPPEN.
WOULD YOU PLEASE CALL CITY OF KINSTON IF WE CAN GET BEGINNING
CLEANING AND MOBLIZE AND BEGIN REPAIR. I THINK THEY WILL ISSUE
NECESSARY PERM 1TONCEE YOU CALL.
THANKS IN ADVANCE
P.SINGH SANDHU 91) �- 50 (0 - 3`115
THANKA IN ADVANCE
WWW MYFAX CORA