20200044 Ver 1_More Info Received_20200127

D\ryR State of North Carolina
Department of Environmental qualitv
Division of Water ResourcesDlvlslon of Water Rcsourccs
15A NCAC 028 .0233 (8Xbl, .0243 (8Xbl, .02s0 (111(bl, .02s9 (8xbl, .0257 (111(cl, .0607 (el(z) - Buffer Authorization
FORM: BA 10-2013
Riparian Buffer Authorization Form
A. Applicant Information
1. Project Information
'I a. Name of project:Holly Street Park
1b. County:Edgecombe
1c. Nearestmunicipality:Rocky Mount
1d. Subdivision name:N/A
1e.ls the project located in any of North Carolina's
lf yes, answer 1f below.
twenty coastal counties?! Yes E t'lo
1f. ls the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?! Yes XNo
2. Owner lnformation
2a. Name on Recorded Deed:City of Rocky Mount
2b. Deed Book and Paoe No.Does not exist
2c. Map Book and Page No.
(include a copy of the
rccorded map that indicates
when the lot was crcated\:
1001 East Holly Street
Parcel No. (PlN) 386000580100
2d. Responsible Party
(for CorDorations):
Scott Miles
2e. Street address:331 S Franklin St
2f. City, state, zip:Rocky Mount, NC
29. Telephone no.:252-972-1340
2h. Fax no.:
2i. Email address:Scott. miles@rockymountnc. gov
3. Applicant Information (if different from owner)
3a. Applicant is:X Agent LJ Other, specity:
3b. Name:Same as owner
3c. Business name
(if applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
39. Fax no.:
3h. Email address:
4. AgenUConsultant Information (if applicable)
4a. Name:Same as owner
4b. Business name
(ifaDolicable):
4c. Streel address:
4d. City, state, zip:
4e. Telephone no.:
4f. Fax no.:
49. Email addressi
FORM: BA 10-2013 Page L of 4
B. Project Information and Prior Project History
1. Propertyldentification
1a. Property identification no. (tax PIN or parcel lD):3860005801
1b- Site coordinates (in decimal degrees):Latitude:
77"46',57 .418"W
Longitude:
35"56'37.261"N
1c. Property size:4 acres
2. Surface Watens
2a. Name of nearest body of water to proposed project:Tar River
2b. Waler Quality Classification of nearest receiving water:WS-lV:NSW
2c. River basin:Tar River Basin
3. Project Description
Describe the existing condiiions on the site and the general land use in the vicinity of the proiect at the time of
this application:
Existing park renovated to include greenway path with observation deck.
3a.
3b. Attach an 8y2x11 excetplftom the most recent version ofthe USGS topographic map indicating the location
of the site
3c. Attach an I % x 1 1 excerpt from the most recent version of the published County NRCS Soil Survey Map
depicting the proiect site
3d. List the total estimaled linear feet of all existing streams (intermittent and perennial) on the property
660
3e. Explain the purpose of the proposed project:
Conslruct Observation deck overlookino stream
3f. Describe the overall project in detail, including the type of equipment to be used:
Construct deck using conventional materials and tools
4. JurisdlctionalDeterminations
4a. Have jurisdictional wetland or stream determinations by
the Corps or State been requested or obtained for this
property/ project (includinq all prior phases) in the oast?
Ll Yes X No Ll Unknown
Comments:
4b. lf yes, who delineated the jurisdictional areas?
Name (if known):
Agency/ Consultant Company:
Other:
4c. lf 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 protect (includinq all prior phases) in ihe oast?
Ll Yes X No ! Unknown
5b. lf yes, explain and detail according to "help file" instructions.
6. Future Proiect Plans
6a. ls this a phased project?Ll Yes X No
6b. lf yes, explain.
FORM: BA 10-2013 Page 2 of 4
C. Proposed lmpacts Inventory
l. Buffel lmpacts
1a. Protect is in which protected basin?E Neuse X Tar-Pamlico ! Catawba
tr Randleman ! Jordan ! Goose Creek
1b. Individually list all buffer impacts below. lf any impacts require mitigation, then you MUST fill out Section D of
this form.
Buffer impact
number -
Permanent (P)
or Temporary
rn
Reason for
impact
Type of impact
(exempt, allowable,
allowable w/
mitigation)
Stream name Buffer
mitigation
required?
Zone 1
impact
(sq fr)
Zone 2
impact
(sc ff)
81 XP LIT Deck Allowable Cowlick Branch LJ Yes X No 0 220
82 8P UT Greenway Allowable Cowlick Branch Ll Yes X No 0 65
83 LIP LIT D Yes Ll No
84 LIP LIT LJ Yes Ll No
85 LIP LIT U Yes Ll No
86 UP UT Ll Yes Ll No
Total buffer impacts
1c. Comments: Greenway and observation deck to run parallel to stream.
D. lmpact Justitication and Mitigation
l. Avoidance and Minimlzatlon
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designinS projed.
Minimal grading around deck. Deck will be slated so as to not create imDervious surface
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. Hand constructed to minimize imDact
2. Buffer Uitigatlon
2a. Wll the proiec{ result in an impact within a protected riparian buffer that
requires buffer mitigation?
Ll Yes X No
2b. lf yes, then identiry the square feet of impac{ to each zone of the riparian buffer that requires mitigation and
calculate the amount of mitigation required in the table below.
Zone Reason for imoact Total impact
(square feet)
Multiplier Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
Total buffer mitigation requlred:
2c. lf buffer mitigation is required, is payment to a mitigation bank or NC DMS
proposed?
IJ Yes ! No
2d. lf yes, attach the acceptance letter from the mitigation bank or NC DMS.
2e. lf 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 I Kx Diffuse flow
stormwaler treatment. Include a plan that fully documents how diffuse flow will be | ! Other BMp
maintained. lfa Level Spreader is proposed, aftach a Level Spreader Supplement Form. I
lf due to site constraints, a BMP other than a level spreader is proposed, please provide a
plan for stormwater treatment as outlined in Chapter I of the NC Slormu/ater BMP
and attach a BMP Suoolement Form.
F. Supplementarylnformation
'1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the
use of public (federal/state) land?
X Yes L_.1 No
1b. lf you answered 'yes' to the above, does the prolect require preparation of an
environmental document pursuant to the requirements of the National or State (North
Carolina) Environmental Policy Act (NEPA/SEPA)?
Ll Yes X No
lf you answered 'yes' to the above, has the document been linalized by the State
Clearing House? (lf so, attach a copy of the NEPA or SEPA final approval letter.)
Comments:
1c.Ll Yes ! No
2. Violations
2a. ls the site in violation of DVVR Wetland Rules (15A NCAC 02H .0500), lsolated
Wetland Rules (15A NCAC 02H .1300), DVVR Surface Water or Wetland Standards,
or RiDarian Buffer Rules (15A NCAC 028 .0200)?
LJ Yes El No
2b. ls this an after-the-fact permit application?Ll Yes X No
2c. lf you answered "yes' to one or both of the above questions, provide an explanation of the violation(s):
is valid onlv if an authorizalion letterfrcm the
Send 3 complete sets of this form and accompanying documents to the following:
For government trdnsportotion projects sent by
First Cldss Moil vio the US Postal Service:
NC DWR, Transportation Permitting Unit OR
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For govemment tronspoftation prcjects sent by
delivery seruice (UPS, FedEx, etc.):
NC DWR, Transportation Permifting Unit
512 N. Salisbury Street
Raleigh, NC 27604
For dl other prcjects sent by delivery seNice
(UPS, FedEx, etc-):
Karen Higgins
NCD\ /R - 401 & Buffer Permittino Branch
512 N. Salisbury Sheet
Raleigh, NC 27604
For dlt other prcjects sent by First Closs Moil vio
the US Postol Service
Karen Higgins
NCD\ /R - 401 & Buffer Permitting Branch
1617 Mail Service Center
Rafeigh, NC 27699 - 1617
FORM: BA 10-2013 Page 4 of 4