20220996 Ver 1_Riparian Buffer Authorization_20220713

DWR State of North Carolina
Department of Environmental Quality
Division of Water Resources Division of Water Resources
15A NCAC 02B.0233(8)(b),.0243(8)(b),.0250(11)(b), .0259(8)(b),.0287(11)(c),.0607(e)(2)-Buffer Authorization
FORM: BA 10-2013
Riparian Buffer Authorization Form
A. Applicant Information
1. Project Information
la. Name of project: Battle Avenue Storm Water
lb. County: Warren
1 c. Nearest municipality: Warrenton
Id. Subdivision name:
le. Is the project located in any of North Carolina's twenty coastal counties? ❑Yes ® No
If yes, answer if below.
1f. Is the project located within a NC Division of Coastal Management Area of ❑Yes ® No
Environmental Concern (AEC)?
2. Owner Information
2a. Name on Recorded Deed: Michael R and Erika ID Layne
2b. Deed Book and Page No. Deed Book 904 Page 347 and Deed Book 705 Page 21
2c, Map Book and Page No.
(include a copy of the �e�
recorded map that indicates *�)
when the lot was created): C.
2d. Responsible Party iik
n�
(for Corporations): 0'
2e. Street address: 442 S. Main Street 1 3
2f. City, state,zip: Warrenton, NC 27589 �e
2g. Telephone no.: 919-616-8427
2h. Fax no.: Q�
2i. Email address: layne�legacyworks.com r r00
3. Applicant Information(if different from owner) AO\
3a. Applicant is: ❑Agent E Other, specify: Municipality
3b. Name: Robert Davie
3c. Business name Town of Warrenton
(if applicable):
3d. Street address: 113 S. Bragg Street, PO Box 281
3e. City,state, zip: Warrenton, NC 27589
3f. Telephone no.: 252-257-1122
3g. Fax no.: 252-257-9219
3h. Email address: townadministratortwarrenton.nc.gov
4. Agent/Consultant Information (if applicable)
4a.Name: Michael McAllister
4b, Business name Municipal Engineering, Inc.
(if applicable):
4c. Street address: 68 Shipwash Drive
4d.City,state,zip: Garner. NC 27529
4e.Telephone no.: [phone]
4f. Fax no.: [phone]
4g.Email address: [e-mail]
FORM: BA 10-2013 Page 1 of 4

B. Project Information and Prior Project History
1. Property Identification
la. Property identification no. (tax PIN or parcel ID): E6B607 and E6B602
1 b. Site coordinates (in decimal degrees): Latitude: 36.39120 Longitude: 78.15833
1 c. Property size: Less than 1 acre
2. Surface Waters
2a. Name of nearest body of water to proposed project: Fishing Creek
2b. Water Quality Classification of nearest receiving water: C-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:
Land is in its natural state. There is grove of large bamboo among other non-native and native plant species.
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 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:
720 LF
3e. Explain the purpose of the proposed project:
Remove obstacles from flow of storm water without disturbing the root mat
3f. Describe the overall project in detail, including the type of equipment to be used: Bulldozer,Excavator,Dumptruck
Project includes removing non-native bamboo from natural swale area and reshaping existing swale to 10 ft wide x 3 ft deep with
4. Jurisdictional Determinations approved erosion control methods.
4a. Have jurisdictional wetland or stream determinations by ❑Yes ® No ❑ Unknown
the Corps or State been requested or obtained for this Comments:
property/project(including all prior phases) in the past?
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 ❑ Yes El No ❑ Unknown
for 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? I ❑Yes ® No
6b. If yes, explain.
FORM: BA 10-2013 Page 2 of 4

C. Proposed Impacts Inventory
1. Buffer Impacts
1 a. Project is in which protected basin? ❑ Neuse ►1 Tar-Pamlico 0 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 Reason for Type of impact Stream name Buffer Zone 1 Zone 2
number— impact (exempt,allowable, mitigation impact impact
Permanent(P) allowable wr required? (sq ft) (sq ft)
or Temporary mitigation)
(T)
Clear
B1 ❑P ►i+ T Obstructions exempt Unnamed ❑Yes ElNo
B2 ❑ P [T 0 Yes ❑ No
B3 [IP ❑T L]Yes ❑No
B4 CjP ❑T ❑Yes ❑Na
B5 ❑P ❑T ❑Yes No
El Yes El No
Total buffer impacts
1c, Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Clean obstructive vegetation without disturbing the root matt
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. Cleaning of the existing ditch will not involve land disturbance.
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that ❑Yes ®No
requires buffer mitigation?
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 mitigation bank or NC DMS ❑Yes ® No
proposed?
2d. If yes, attach the acceptance letter from the mitigation bank or NC DMS.
2e. If no, then discuss what type of mitigation is proposed.
Project will only remove obstructive vegetation with no soil disturbance.
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 L,J Diffuse flow
stormwater treatment. Include a plan that fully documents how diffuse flow will be 0 Other BMP
maintained. If a Level Spreader Is proposed. attach a Level Spreader Supplement Farm
if due to site constraints, a BMP other than a level spreader is proposed,please provide a None i
plan for stormwater treatment as outlined to Chapter 8 of the NC Stormwater BMP 1
Manual and attach a BMP Supplement Forrrt _._---
!. F. Supplementary information
F 1. Environmental Documentation __
la. Does the project involve an expenditure at public(federal/state/local)funds or the -1 aYes ~No
use of public(federal/state)land? i
lb. if you answered`yea"to the above,does the project require preparation of an Yes No I
environmental document pursuant to the requirements of the National or Slate(!`lord
Carolina)Environmental Policy_Act NEPANSEPA)? _ -
1
1c. If you answered"yes'to the above,has the document been finalized by the State Yes CINo
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(1fA NCAC 02H 0500). Isolated Yes Ei No
Wetland Rules(15A NCAC 02H .1300), DWR Surface Water or Wetland Standards,
or Riparian Buffer Rules 05A NCAC 02B .0200p --r
2b. is this an after-me-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):
1 i f
A Z., / a /,''e__ , , -____ 6/20/2a z_
Applicant/Agent's Printed Name Applicant/'Agent's Signature
i Date
(Agents signarare is vatin(rtty if eh sumo(!.atiee ictter tree the epei yes es lammed)
Send 3 complete sets of this form and accompanying documents to the following
For government transportation projects sent by For government transportation projects sent by
First Class Mall 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
Far ail other projects sent by Fast Class Mail via For oil other projects sent by delivery service
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 4 of 4

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Soil Map —Warren County, North Carolina
(Warrenton Battle Ave. Glitch Improvements)
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Map prof akin: Web Macat5r Corner coordinates: W(S84 Edge tics: UM Zane 17N WGS84
Map Scale: 1:1,040 if printed on A portrait (8.5' x 11") sheet.
36° 23' 30' N
7545E0
36923'73'N
Natural Resources Web Soil Survey
Conservation Service National Cooperative Soil Survey
5/27/2022
Page 1 of

MAP INFORMATION
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Soil Map —Warren County, North Carolina
Warrenton Battle Ave. Ditch
Improvements
Map Unit Legend
Map Unit Symbol
CaB
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Totals for Area of Interest
Map Unit Name
Cecil sandy loam. 2 to 6
percent slopes
Pacolet-Urban land complex, 2
to 10 percent slopes
Acres In AOI
0.7
0,1
0.9
Percent of AOI
85.4%
14,6%
100.0%
us Natural Resources Web Soli Survey 5/27/2022
Conservation Service National Cooperative Soil Survey Page 3 of 3

Town of Warrenton
P. 0. Box 281
Warrenton, NC 27589
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NCDWR _ 401 & Buffer Permitting Branch
Karen Higgins
1617 Mail Service Center
Raleigh NC 27699-1617
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SENDER: COMPLETE THIS SECTION
is Complete items 1, 2, and 3.
si Print your name and address on the reverse
so that we can return the card to you,
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
NCLWR - 401 & Buffer Permitting
Karen Higgins
1617 Mail Service Center
Raleigh NC 27699-1617
IIIIIIIIINIINIIIIIII IIIII 1 lllll llllllll
9590 9402 2862 7069 4048 66
COMPLETE THIS SECTION ON DELIVERY
A. Signature
X
B. Received by (Printed Name)
CI Agent
❑ Addressee
C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ® No
2. Article Number (Transfer from service label}
7018 0680 0000 6263 7099
PS Form 3811, July 2015 PSN 7530-02-000-9053
3. Service Type
❑ Adult Signature
❑ Adult Signature Restricted Delivery
❑ Certified Mall®
Certified Mali Restricted Delivery
R Collect on Delivery
0 Collect on Delivery Restricted Delivery
Insured Mali
❑ Insured Mali Restricted Delivery
(over $S00)
❑ Priority Mail Express®
0 Registered MeV.,
❑ Registered Mail Restricted
Delivery
❑ Return Receipt for
Merchandise
0 SignatureConfirmation7M
O Signature Confirmation
Restricted Delivery
Domestic Return Receipt