20131098 Ver 2_Riparian Buffer Authorization_20131010

1 ® State of North Carolina
2013 Department of Environment and Natural Resources
WfT OFNR dt� Division of Water Resources
Division of Water Resources �ANpSANO OR OuAt,rr
S, Ug'ATERR
15A NCAC 02B.0233 (8)(b),.0243 (8)(b),.0250 (l 259 (8)(b), .0267 (11)(c), .0607 (e)(2) - Buffer Authorization
FORM: BA 10 -2013
Riparian Buffer Authorization Form
A. Applicant Information
1. Project Information
1a. Name of project:
Stewart Parkway Swing Project
1 b. County:
Beaufort
1c. Nearest municipality:
City of Washington
1d. Subdivision name:
1e. Is the project located in any of North Carolina's
twenty coastal counties. If yes, answer 1f below.
X Yes ❑ 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:
City of Washington
2b. Deed Book and Page No.
2c. Map Book and Page No.
(include a copy of the recorded
map that indicates when the lot
was created):
2d. Responsible Party
(for Corporations):
2e. Street address:
310 West Main Street
2f. City, state, zip:
Washington, NC 27889
2g. Telephone no.:
252- 975 -9367 x 224
2h. Fax no.:
252 - 946 -8433
2i. Email address:
gqv
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 4

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
105010372
1 b.
Site coordinates (in decimal degrees):
Latitude: 35.54251
Longitude: 77.05891
1 c.
Property size:
acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Pamlico River
2b. Water Quality Classification of nearest receiving water:
SC; NSW
2c.
River basin:
Tar - Pamlico
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 site is a grassy area. It is used as a small open space along the waterfront.
3b.
Attach an 8'/ x 11 excerpt from the most recent version of the USGS topographic map indicating the location of
the site
3c.
Attach an 8'/ 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:
—1,925 Linear of perennial water frontage on Pamlico River
3e.
Explain the purpose of the proposed project:
Additional swings on the waterfront.
3f.
Describe the overall project in detail, including the type of equipment to be used:
Install matching swings on the waterfront along Stewart Parkway. We will not exceed 6 swings over the next 6
years. The swings will be located parallel to the Pamlico River and placed along the grass on Stewart Parkway.
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property/
project (including all prior phases) in the past?
X Yes ❑ No ❑ Unknown
Comments:
4b.
If yes, who delineated the jurisdictional areas?
Name (if known): Roberto Scheller
Agency/ Consultant Company:
Other: DWQ
4c.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
2011
5.
Project History
5a.
Have permits or certifications been requested or obtained for this
project (including all prior phases) in the past?
X Yes ❑ No ❑ Unknown
5b.
If yes, explain and detail according to "help file" instructions.
Phase 2 of Festival Park required encroachment into Tar - Pamlico Riparian Buffer for playground.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes X No
6b.
If yes, explain.
FORM: BA 10 -2013 Page 2 of 4

C. Proposed Impacts Inventory
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The footprint of the swing is the minimal region needed to safely support the swing structure.
1. Buffer Impacts
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that requires buffer
mitigation?
1 a. Project is in which protected basin?
❑ Neuse X Tar - Pamlico ❑ Catawba
❑ Randleman ❑ Jordan ❑ Goose Creek
1 b. Individually list all buffer impacts below. If any impacts require mitigation, then you MIUST fill out Section D of this
form.
Buffer impact
number —
Permanent (P)
or Temporary T
Reason for
impact
Type of impact
(exempt, allowable,
allowable w/ mitigation)
Stream name
Buffer
mitigation
required?
Zone 1
impact
(sq ft)
Zone 2
impact
(sq ft)
131 ❑ P ❑ T
Playground
Allowable
Pamlico River
❑ Yes X No
48 sq ft
B2 ❑ P ❑ T
Total buffer mitigation
required:
❑ Yes ❑ No
❑ Yes ❑ No
2d. If yes, attach the acceptance letter from the mitigation bank or NC EEP.
63 ❑ P ❑ T
2f. Comments:
❑ Yes ❑ No
134 ❑ P ❑ T
❑ Yes __❑ No
135 ❑ P ❑ T
❑ Yes [:]No
66 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
1c. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The footprint of the swing is the minimal region needed to safely support the swing structure.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The swing will be constructed in a manner that will have the minimal footprint needed to safely support the swing
structure.
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that requires buffer
mitigation?
❑ Yes X No
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
(square feet
Multiplier
Required mitigation
(square feet
Zone 1
swing
48
3 (2 for Catawba)
Zone 2
1.5
Total buffer mitigation
required:
2c. If buffer mitigation is required, is payment to a
mitigation bank or NC EEP proposed?
❑ Yes ❑ No
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.
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
X 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.
1 a.
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
X Yes ❑ No
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
public (federal /state) land?
Manual and attach a BMP Supplement Form.
1 b.
F.
Supplementary Information
by First Class Mail via the US Postal Service:
1.
Environmental Documentation
OR NC DWR, Transportation Permitting Unit
1 a.
Does the project involve an expenditure of public (federal /state /local) funds or the use of
X Yes ❑ No
Raleigh, NC 27604
public (federal /state) land?
For all other projects sent by delivery service
1 b.
If you answered "yes" to the above, does the project require preparation of an
❑ Yes X No
OR Karen Higgins
environmental document pursuant to the requirements of the National or State (North
NCDWR — 401 & Buffer Permitting Unit
1650 Mail Service Center
Carolina) Environmental Policy Act (NEPA/SEPA)?
Raleigh, NC 27699 - 1650
1 c.
If you answered "yes" to the above, has the document been finalized by the State
❑ Yes ❑ 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 X 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?
❑ Yes X No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
Ian I � 1n
Applicant/Agent's Printed Name A plicant/Agent's Signature D
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Send this completed form and accompanying documents to the following:
For government transportation projects sent
For government transportation projects sent
by First Class Mail via the US Postal Service:
by delivery service (UPS, FedEx, etc.):
NC DWR, Transportation Permitting Unit
OR NC DWR, Transportation Permitting Unit
1650 Mail Service Center
512 N. Salisbury Street
Raleigh, NC 27699 - 1650
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 Unit
NCDWR — 401 & Buffer Permitting Unit
1650 Mail Service Center
512 N. Salisbury Street
Raleigh, NC 27699 - 1650
Raleigh, NC 27604
FORM: BA 10 -2013 Page 4 of 4

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