20201673 Ver 1_Riparian Buffer Authorization Request_20201105

Action History (UTC-05:00) Eastern Time(US&Canada)
Submit by Anonymous User 11/5/2020 8:54:20 AM(Start)
Approve by Carpenter,Kristi 11/5/2020 11:13:44 AM(DOT- Initial Review)
• The task was assigned to Carpenter,Kristi 11/5/2020 8:56 AM

Buffer Authorization Application Form ICENVIRONMENTAL Wate�aesou��es QUALITY
15ANCAC 02B.0233(8)(b),.0243(8)(b),.0250(11)(b),.0259(8)(b),.0267(11)(c),.0607(e)(2)Buffer Authorization Online Fo
Update 10/23/2018
Original Submittal 11/5/2020
A. Owner/Applicant Information
General Information A
Primary Contact Email:* [e-mail]
Rease list the contact person's email for questions or payrrent on this project if needed.
Who is submitting the application?* r- Owner
rJ Applicant other than Owner
r- Agent
Is there an agent working on this application r Yes
but not submitting it? C No
1. Property Owner Information:
1a. Name on Recorded Deed:* N/A
lb.Responsible Party: (for Corporations)
1c. Mailing Address:* Street Address
N/A
Address Line 2
aty State/Rovince/Region
N/A N/A
Fbstal/Zip Code Country
N/A N/A
Id.Telephone:* N/A le. Email Address:* N/[e-mail]
2.Applicant's Information (if different from owner):
2a. Name: Michael S.Burns,Jr., PE
2b.Company Affiliation: Stewart
2c. Mailing Address: Street Address
223 South West Street
Address One 2
City State/Rovince/Region
Raleigh NC
R�stal/Zip Code Country
27603-1835 US
2d.Telephone: [phone]
2e.Email Address: [e-mail]

B. Project Information and Prior Project History
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
1. Project Information
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
1a. Name of Project:* City of Raleigh Group C Sidewalks
(Subdivision,facility,or establishrrent nano)
lb.Is this a publicly-funded transportation project?*
Yes
✓ No
1c.TIP#
Id.Subdivision Name:
le.Nearest Raleigh
Municipality:
If.Property Size: acres
1g.County(or Counties)where the project is located:*
Wake
lh.Property ID# Date of Purchase
Tax RN or Parcel id
1 i.Deed Information
Type of Book Book# Page#
Deed
Map J
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 docurrent
FtF only
1k.How would you like to provide the Latitude and Longitude information?*
✓ Address Lookup
C' Manually
Latitude* 35°45'39.4"N Longitude* 78°39'39.0"W
I I.Is the project located in any of North Carolina's twenty coastal counties?*
✓ Yes
C' No
2. Surface Waters
2a. Name of the nearest body of water to proposed project:*
Walnut Creek
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:*

50
(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:
A new culvert was just recently installed under Lake Wheeler Road at Centennial
Parkway in Southwest Raleigh.The construction of the culvert provided a berm for a
future sidewalk.
3b.Attach an 8 Y:x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site.
aick the upload button or drag and drop files here to attach docurrent
Raleigh Sidewalks USGS-Maywood Ave.pdf 1.57MB
FDF only
3c.Attach an 8 1/2 x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map depicting the
project site.
aick the upload button or drag and drop files here to attach docurrent
Lake Wheeler-map58.pdf 899.48KB
FCF only
4. Proposed Activity
..................
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:*
The proposed construction would install the proposed sidewalk with a minor
extension of the berm within the existing ROW.As a result of the extension of the
berm,the proposed grading limits extend just outside of the existing toe of slope
that was built when the culvert was replaced under Lake Wheeler Road.
Attach a site plan as applicable to the project:
aick the upload button or drag and drop files here to attach docurrent
GroupC_NCDENR_Permit_Drawings_Submittal.pdf 3.11MB
FUF only
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?*
f Yes
C' No
6. Project History
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
6a.Have permits or certifications been requested or obtained for this project(including all prior phases)in the past?*
r Yes
o No
7. Future Project Plans ^.
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
7a.Is this project a phased project?* r Yes
o No
C. Proposed Impacts Inventory
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Buffer Impacts
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)
C 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)
Individually list all buffer impacts below. If any impacts require mitigation,then you MUST fill out Section D of this form.
Site#-Reason Stream Name Buffer Impact* Impact Type* Zone 1 Zone 2
Culvert 1 Permanent Allowable 285.00 155.00
Map label(e.g.Fdoad (P) Square Square
Crossing 1) FbrmorTerrp Feet Feet
Total Zone 1 Impacts: 285.00
Total Zone 2 Impacts: 155.00
Total Buffer Impacts: 440.00
Comments:
All within the existing ROW
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.*
Slopes were steepened to 2:1 and sidewalk was moved to back of curb to reduce
footprint of project as much as possible.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
N/A
E. Diffuse Flow Plan
1a.What type of SCM are you providing?*
I— Level Spreader
I— Vegetated Conveyance(lower SHWT)
I— Wetland Swale(higher SHWT)
rJ Proposed project will not create concentrated stormwater flow through the
buffer
I— Other SCM that removed minimum of 30%nitrogen
1 c.Diffuse Flow Documentation* ❑ick the upload button or drag and drop files here to attach docurrent
GroupC_NCDENR_Permit_Drawings_Submittal.pdf 3.11MB
FtF only
F. Supplementary Information
Environmental Documentation
1a.Does the project involve an expenditure of public(federal/state/local)funds or the use of public(federal/state)land?
f Yes
fr 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)?
r Yes
C' No
2b.Is this an after-the-fact buffer authorization application?
r Yes
F No
G.Additional Information
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments: Dick the upload button or drag and drop files here to attach docunent
FDF only
Additional Comments:
H. Sign and Submit
By digitally signing below,I certify that:
o I have given true,accurate,and complete information on this form;
o 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")
o 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");
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature;AND
o I intend to electronically sign and submit the application form."
Print Name:* Michael S.Burns,Jr.
Signature
s bfrzee'u ' ra t ask.42A.
Submission Date: 11/05/2020
(Auto populated field)

Initial Review
Is this accepted into the review process?* CJ Yes C No
Is this project a public transportation C Yes
project?* C No
ID#* 20201673
Version:* 1
Select Reviewer: Rob Ridings:eads\rgridings
Select Reviewing Office* Central Office-[phone]
Has payment been received?* f: No Payment Needed
r Fee Received
r Need Fee-send electronic notification