20211127 Ver 1_Riparian Buffer Authorization Request_20210719

Action History (UTC-05:00) Eastern Time(US&Canada)
Submit by Anonymous User 7/19/2021 6:29:27 PM(Start)
Approve by Carpenter, Kristi Lynn 7/20/2021 11:04:54 AM(DOT- Initial Review)
• The task was assigned to Carpenter, Kristi Lynn 7/19/2021 6:37 PM

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 7/19/2021
A. Owner/Applicant Information
General Information A
Primary Contact Email:* [e-mail]
Rease list the contact person's eneil for questions or paynent 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:* City of Raleigh
lb.Responsible Party: (for Corporations)
1c. Mailing Address:* Street Address
222 West Hargett Street
Address Line 2
aty State/Rovince/Region
Raleigh NC
Fbstal/Zip Code Country
27601 US
1d.Telephone:* 9199964171 le. Email Address:* [e-mail]
2.Applicant's Information (if different from owner):
2a. Name: Scott Brookhart, PE
2b.Company Affiliation: Arcadis
2c. Mailing Address: Street Address
5420 Wade Park Boulevard
Address Line 2
Suite 350
aty State/Rovince/Region
Raleigh NC
Fbstal/Zip Code Country
27607-4188 US
2d.Telephone: [phone]
2e.Email Address: [e-mail]

B. Project Information and Prior Project History
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
1. Project Information
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
1a.Name of Project:* Sidewalk Improvement Projects,Spring Forest Road, Mil!brook Road,New Hope
Road
(Subdivision,facility,or establishrrent narre)
lb.Is this a publicly-funded transportation project?*
6' Yes
C- No
1c.TIP#
Id.Subdivision Name:
le.Nearest Raleigh
Municipality:
If. Property Size: acres
1g.County(or Counties)where the project is located:*
Wake
1h.Property ID# Date of Purchase
1716847393 5/11/2007
Tax RN or Parcel id
1 i.Deed Information
Type of Book Book# Page#
Deed
Map
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
RtF only
1k.How would you like to provide the Latitude and Longitude information?*
O Address Lookup
C� Manually
Latitude* 35.84801 Longitude* 78.59417
11.Is the project located in any of North Carolina's twenty coastal counties?*
✓ Yes
FNo
2. Surface Waters ^
2a.Name of the nearest body of water to proposed project:*
Marsh 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:*
0
(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 existing condition of the site is roadway with sidewalk in an urban setting.
3b.Attach an 8 1/2 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
COR Sidewalk USGS.pdf 9.75MB
FEF 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.
Click the upload button or drag and drop files here to attach docurrent
COR Sidewalk Soils.pdf 27.12MB
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 project is for sidewalk improvements on Spring Forest Road from
Atlantic Springs Road to Capital Blvd,along Millbrook Road from Atlantic Springs
Road to Capital Blvd.,and along New Hope Road from Capital Blvd.to Wallingford
Drive. Proposed activity will be minor grading
Attach a site plan as applicable to the project:
aick the upload button or drag and drop files here to attach docurrent
Millbrook_Spring Forest_Permit Package
1.87MB
Buffer_20200506.pdf
FCF 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?*
r 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
6' No
7. Future Project Plans �J
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
7a. Is this project a phased project?* 0 Yes
CJNo
C. Proposed Impacts Inventory
Buffer Impacts
Project is in which protected Basin?*

C' Neuse River Basin(15A NCAC 02B.0233)
C Catawba River Basin(15A NCAC 02B.0243)
C Randleman Lake Watershed(15A NCAC 02B.0250)
C Tar-Pamlico River Basin(15A NCAC 02B.0259)
r Jordan Lake Watershed(15A NCAC 02B.0267)
r 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 I I Buffer Impact* I Impact Type* I Zone 1 I Zone 2
Millbrook Road Marsh Permanent Allowable 0.00 14.00
Crossing 1 Creek (P) Square Square
Nbp label(e.g.Fbad Fbrmor Terrp Feet Feet
Crossing 1)
Millbrook Road Marsh Temporary Allowable 76.00 184.00
Crossing 1 Creek (T) Square Square
Map label(e.g.Fbad Fbrmor Terrp Feet Feet
Crossing 1)
Millbrook Road Ut to Marsh Permanent Allowable 38.00 3,573.
Crossing 2 Creek (P) Square 00
Map label(e.g.Fbad Fbrmor Tenp Feet Square
Crossing 1) Feet
Millbrook Road Ut to Marsh Temporary Allowable 733.00 720.00
Crossing 2 Creek (T) Square Square
Nbp label(e.g.Fbad Perm or Tenp Feet Feet
Crossing 1)
Spring Forest Unnamed Permanent Allowable 0.00 7.00
Road Crossing 1 Tributary (P) Square Square
Map label(e.g.Fbad Fbrmor Tenp Feet Feet
Crossing 1)
Spring Forest Unnamed Temporary Allowable 0.00 96.00
Road Crossing 1 Tributary (T) Square Square
Nbp label(e.g.Fbad Fbrmor Tenp Fed Feet
Crossing 1)
Spring Forest Unnamed Permanent Allowable 69.00 104.00
Road Crossing 2 Tributary (P) Square Square
Map label(e.g.Fbad Fermor Tenp Feet Feet
Crossing 1)
Spring Forest Unnamed Temporary Allowable 209.00 233.00
Road Crossing 2 Tributary 2 (T) Square Square
Map label(e.g.Fbad Fermor Tenp Fed Feet
Crossing 1)
Total Zone 1 Impacts: 1,125.00
Total Zone 2 Impacts: 4,931.00
Total Buffer Impacts: 6,056.00
Comments:
D. Impact Justification and Mitigation
1.Avoidance and Minimization A.

1a.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.*
The extents of the sidewalk improvements will minimize impact to the buffered areas.
Efforts have been made to provide maximum the backslope and the design for
impact.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
Standard Erosion Control measure will be implemented in accordance with NCDEQ
and City of Raleigh guidelines.
Use of heavy equipment will be minimized.
Project improvements will be accessed from existing road and shoulder.
E. Diffuse Flow Plan
.................................................................................................
1a.What type of SCM are you providing?*
✓ Level Spreader
✓ Vegetated Conveyance(lower SHWT)
✓ Wetland Swale(higher SHWT)
17 Proposed project will not create concentrated stormwater flow through the
buffer
✓ Other SCM that removed minimum of 30%nitrogen
lc.Diffuse Flow Documentation* aick the upload button or drag and drop files here to attach docurrent
RaleighSidewalks_ECPlans_20200625_DocuSign.p... 16.72MB
FEF 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?
C' Yes
✓ No
lb.If you answered"yes"to the above,does the project require preparation of an environmental document pursuant to the
requirements of the National or State (North Carolina)Environmental Policy Act(NEPA/SEPA)?
f Yes
C 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)?
✓ Yes
r No
2b.Is this an after-the-fact buffer authorization application?
✓ Yes
C' No
G.Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments: aickthe upload button or drag and drop files here to attach docurrent
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;
• 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");
• 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:* Scott Brookhart
Signature
Jut knew/Et
Submission Date: 7/19/2021
(Auto populated field)

Initial Review
Is this accepted into the review process?* CJ Yes O No
Is this project a public transportation CJ Yes
project?* r No
ID#* 20211127
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