20211197 Ver 1_New Garden Road Buffer Authorization - 8-26-2021_002_20210831 (2)

DW fr-
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
A. Applicant Riparian Buffer Authorization Form Information
1. Project Information
la. Name of project: ' New Garden Road Existing Sidewalk Connection
1 b. County: Guilford County
lc. Nearest municipality: Greensboro
1 d. Subdivision name: N/A
le. Is the project located in any of North Carolina's ❑ Yes ® No
twenty coastal counties. If yes, answer 1f below.
lf. Is the project located within a NC Division of Coastal ❑ Yes ® No
Management Area of Environmental Concern (AEC)?
2. Owner Information
2a. Name on Recorded Deed: /N A
2b. Deed Book and Page No. N/A
2c. Map Book and Page No. N/A
(include a copy of the recorded
map that indicates when the lot
was created):
2d. Responsible Party City of Greensboro
(for Corporations):
2e. Street address: 300 W. Washington Street
2f. City, state, zip: Greensboro, NC 27401
2g. Telephone no.: [phone]
2h. Fax no.: [phone]
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:
4b. Business name
(if applicable):
4c. Street address:
4d. City, state, zip:
4e. Telephone no.:
4f. Fax no.:
4g. Email address:
FORM: BA 10-2013 Page 1 of 5

B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID): None
1 b. Site coordinates(in decimal degrees): Latitude: 36.1289 N Longitude: -79.8577 W
1 c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Horse Pen Creek
2b. Water Quality Classification of nearest receiving
water:
2c. River basin: Horse Pen Creek
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:
- Presently,there is an existing vegetated buffer on both sides of the creek. The site condition and the
general land use is business/condominium on both sides and retail across the street.
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
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
3d. List the total estimated linear feet of all existing streams(intermittent and perennial)on the property:
P= 550
3e. Explain the purpose of the proposed project:
- To construct 270 feet of sidewalk to connect both ends of an existing sidewalk along New Garden Road.
3f. Describe the overall project in detail, including the type of equipment to be used:
- To excavate exact width to construct concrete sidewalk with an excavator, install retaining wall around the
sewer manhole and pour concrete. No tree removal and no stream impact. Not to disturb slope or existing
buffer.
4. Jurisdictional Determinations T
4a. Have jurisdictional wetland or stream determinations by the I El Yes ® No ❑ Unknown
Corps or State been requested or obtained for this property/ Comments: By visual observation, the
project(including all prior phases) in the past? stream is perennial and proposed sidewalk
is impacting the buffer only.
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 for ❑ Yes X No ❑ Unknown
this project(including all prior phases) in the past?
5b. If yes, explain and detail according to"help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes X No
6b. If yes, explain.
FORM: BA 10-2013 Page 2 of 5

C. Proposed Impacts Inventory
1. Buffer Impacts
la. Project is in which protected ❑ Neuse ❑Tar-Pamlico ❑ Catawba
basin?
❑ Randleman ® Jordan ❑ Goose Creek
1 b. 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 Zone 1 Zone 2
number— impact (exempt,allowable, mitigation impact impact
Permanent(P) allowable w/ required? (sq ft) (sq ft)
or Temporary mitigation)
(T)
B1 ® P ❑T Sidewalk Transportation Unknown ❑ Yes ® No 0 0
construction facility
B2 ❑ P ❑T ❑ Yes ❑ No _
B3 ❑ P ❑T ❑ Yes No
B4 ❑ P ❑T ❑ Yes ❑ No
B5 ❑ P ❑ T ❑ yes El No
B6 ❑ P ❑T ❑ Yes ❑ No
Total buffer impacts
1 c. Comments: There is an existing transportation use at this location.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The proposed sidewalk grass strip and construction is minimized to reduce impact of the stream buffer.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. Construction impact will be practically minimum disturbance and construction entrance will be by
closure of a lane during construction.
FORM: BA 10-2013 Page 3 of 5

C. Impact Justification and Mitigation, continued
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that requires buffer [' Yes ® No
mitigation?
1
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 ❑ Yes ❑ No
mitigation bank or NC EEP proposed?
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.
None
2f. Comments:According to Neuse Buffer Riles 15A NCAC 02B.0233(3)(b)—the buffer protection rules do not
apply when there are existing uses that are present and ongoing.
FORM: SSGP3080 8-13 Page 4 of 5

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.
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
LManual and attach a BMP Supplement Form.
I -F. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public(federal/state/local)funds or the use ® Yes ❑ No
of public(federal/state) land?
l
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
i
Carolina) Environmental Policy Act(NEPA/SEPA)?
lc. If you answered"yes"to the above, has the document been finalized by the State 0 Yes El 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? 0 Yes ® No
2c. If you answered"yes"to one or both of the above questions, provide an explanation of the violation(s)
Ade Idowu 8/26/2021
Applicant/Agent's Printed Name Applicant/Agent's r nature 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
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 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 Higgins OR Karen Higgins
NCDWR—401 & Buffer Permitting Branch NCDWR—401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699 - 1617 Raleigh, NC 27604
FORM: BA 10-2013 Page 5 of 5