20140578 Ver 1_Riparian Buffer Authorization_20140605

Hugh J. Gilleece, III
& Associates, P.A.
875 Walnut Street, Suite 360
Cary, North Carolina 27511
(919) 469 -1101
Fax [phone]
TO NC DWR, 401 & Buffer Permitting Unit
512 North Salisbury Street
Raleigh, NC 27604
DATE JOB NO
6/5/2014 890010
ATTENTION
Buffer Permitting Unit
Bailey Park Subdivision Aerial Sewer Crossing
WE ARE SENDING YOU ® Attached ❑Under separate cover via Hand Deliver the following items
❑ Shop drawings ❑ Prints ® Plans ❑ Samples ❑ Specifications
® Copy of letter ❑ Change order ❑
COPIES
DATE
NO
DESCRIPTION
3
3
6/5/14
5/8/14
1
1
Buffer Authorization Application
full size set of drawings for sanitary sewer aerial crossing, BMP for subdivision
THESE ARE TRANSMITTED as checked below
• For approval ❑ Approved as submitted
• For your use [-]Approved as noted
❑ As requested ❑ Returned for corrections
❑ For review and comment ❑
❑ FOR BIDS DUE
REMARKS
❑ Resubmit _ copies for approval
❑Submit _ copies for distribution
❑ Return _ corrected prints
❑ Prints returned after loan to us
Attached is the buffer authorization application for a sanitary sewer aerial crossing that will be built by a private
developer and maintained by the Town of Cary when completed
COPY TO SIGNED: Don Sever
If enclosures are not as noted, kindly notify us at once.
L)

`-& 4144 (00 ' 91
State of North Carolina
,r�; Y � ' _. 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
Riparian Buffer Authorization Form
A.
Applicant Information
1.
Project Information
1 a
Name of project
Bailey Park Lane Subdivision Aerial Crossing
1 b
County
Wake
1 c
Nearest municipality
Town of Cary
1 d
Subdivision name
Bailey Park Lane
1e
Is the project located in any of North Carolina's
twenty coastal counties If yes, answer 1f below
El 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
Herbert Bailey
2b
Deed Book and Page No
9600/0048
2c Map Book and Page No
(include a copy of the recorded
map that indicates when the lot
was created)
BM2002 / 1496
2d
Responsible Party
(for Corporations)
Ul
2e
Street address
116 Evans Estates Dr
2f
City, state, zip
Cary, NC 27513 IN 0 5
2014—
2g
Telephone no
919 969 -4566
2h
Fax no
21
Email address
hbailey2009 @gmail com
Bnu�A
3.
Applicant Information (if different from owner)
3a
Applicant is
❑ Agent ® Other, specify Consultant
3b
Name
Donald A Sever, P E
3c
Business name
(if applicable)
Hugh J Gilleece and Associates,
3d
Street address
875 Walnut Street Suite 360
3e
City, state, zip
Cary, NC 27511
3f
Telephone no
919 469 -1101 re
3g
Fax no
3h
Email address
donald sever @att net
4.
Agent/Consultant Information (if applicable) U;'4
I J
4a
Name
Donald A Sever, P E —
4b
Business name,;,W�
(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 41

I , lv. 1 1

B.
Project Information and Prior Project History
1.
Property Identification
1a
Property identification no (tax PIN or parcel ID)
0764195632 35.$01496 - }8:-4q25g3
lb
Site coordinates (in decimal degrees)
Latitude 35 48'36"
Longitude 78 47'35"
1c
Property size
1 56 acres
2.
Surface Waters
2a
Name of nearest body of water to proposed protect
Lake Crabtree glac.VCreek-
2b
Water Quality Classification of nearest receiving water
C, NSW
2c
River basin
Neuse
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
Existing wooded area with exception of utility clearing
3b
Attach an 8'/2 x 11 excerpt from the most recent version of the USGS topographic map indicating the location of
the site
3c
Attach an 8'/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
180' intermittent
3e
Explain the purpose of the proposed project
Aerial crossing needed to provide sanitary sewer to south side of creek
3f
Describe the overall project in detail, including the type of equipment to be used
Aerial crossing of 8" sanitary sewer line will be constructed with backhoe equipment
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?
❑ Yes ® No ❑ Unknown
Comments
4b
If yes, who delineated the jurisdictional areas?
Name (if known)
Agency/ Consultant Company
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 this
project (including all prior phases) in the past?
❑ Yes ® No ❑ Unknown
5b
If yes, explain and detail according to "help file" instructions
6
Future Project Plans
6a
Is this a phased project?
❑ Yes ® No
6b
If yes, explain
FORM BA 10 -2013 Page 2 of �

C. Proposed Impacts Inventory
Impact Justification and Mitigation
1.
1. Buffer Impacts
la
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Aerial sewer crossing with piers is least impact possible, other alternative would be build embankment to bury
sanitary sewer and provide pipe culvert for creek
la Project is in which protected basin?
® Neuse ❑ Tar - Pamlico ❑ Catawba
❑ 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
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 )
B1 ® P ❑ T
Sanitary sewer
aerial crossing
Allowable
Unnamed trib to
Lake Crabtree
❑ Yes ® No
1200
400
B2 ❑ P ❑ T
3 (2 for Catawba)
Zone 2
❑ Yes ❑ No
1 5
B3 ❑ P ❑ T
Total buffer mitigation
❑ Yes ❑ No
2c
B4 ❑ P ❑ T
F1 Yes F1 No
2d
If yes, attach the acceptance letter from the mitigation bank or NC EEP
❑ Yes ❑ No
If no, then discuss what type of mitigation is proposed
2f
B5 ❑ P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
1c Comments maintenance corridor will be less than 10' in width
D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
la
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Aerial sewer crossing with piers is least impact possible, other alternative would be build embankment to bury
sanitary sewer and provide pipe culvert for creek
1 b
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Silt fence will be provided on both sides of creeks will piers are built, bridge matting placed to span T wide
channel
2.
Buffer Mitigation
2a
Will the project result in an impact within a protected riparian buffer that requires buffer
mitigation?
❑ Yes ® 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
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
F1 Yes F1 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 41

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
la
If due to site constraints, a BMP other than a level spreader Is proposed, please provide a
❑ 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
la
Does the project involve an expenditure of public (federal /state /local) funds or the use of
❑ 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 ❑ No
OR Karen Higgins
environmental document pursuant to the requirements of the National or State (North
NCDWR — 401 & Buffer Permitting Unit
1650 Mall 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 ® 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 ® No
2c
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
t. V , Z
Applicant/Agent's Printed Name Applicant/Agent's Signature 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 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 Mall 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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