20221707 Ver 1_Riparian Buffer Authorization Request_20221201

Buffer Authorization Application Form
15A NCAC 02B .0233 (8)(b), .0243 (8)(b), .0250 (11)(b), .0259 (8)(b), .0267 (11)(c), .0607 (e)(2) Buffer Authorization Online Form -
Update 10/23/2018
Water Reources
ENVIRONMENTAL QUALITY
Original Submittal 12/1/2022
A. Owner/Applicant Information
General Information
Primary Contact Email:*
Who is submitting the application?*
1. Property Owner Information:
la. Name on Recorded Deed: *
1b. Responsible Party:
lc. Mailing Address:*
Id. Telephone:*
9199655661
3. Agent Information:
3a. Name:
3b. Company Affiliation:
3c. Mailing Address:
3d. Telephone:
3f. Attach a signed and dated copy of the agent
authorization form.
[e-mail]
Please list the contact person's email for questions or payment on this project if needed.
Owner
Applicant other than Owner
Agent
Eastfield Associates, Inc.
Kevin Dougherty
(for Corporations)
Street Address
101 South Raiford Street
Address Line 2
City State / Province / Region
Selma NC
Postal / Zip Code Country
27576-3154 US
Street Address
Address Line 2
City
Postal / Zip Code
1 e. Email Address: * [e-mail]
3e. Email Address:
State / Province / Region
Country
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PDF Only
B. Project Information and Prior Project History
1. Project Information

la. Name of Project: * Eastfield Retail Block A
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
Id. Subdivision Name:
le. Nearest Municipality: Selma
If. Property Size: 19.00
acres
1g. County (or Counties) where the project is located:*
Johnston
1h. Property ID#
261410-45-2835
Tax PIN or Parcel id
1 i. Deed Information
Date of Purchase
11/27/2018
Type of Book
Book#
Page#
Deed
05254
0942
Map
1 j. Attach a copy of the recorded map that indicates when the lot was last platted.
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PDF only
1k. How would you like to provide the Latitude and Longitude information?*
Address Lookup
• Manually
Latitude* 35.52353
Longitude* -78.27835
11. Is the project located in any of North Carolina's twenty coastal counties?*
Yes
O No
2. Surface Waters
2a. Name of the nearest body of water to proposed project:*
Bawdy Swamp
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:
1,400
(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 site is adjacent to the southeast side of Interstate 95 and currently consists of a
forested community and a relic borrow pit. The project vicinity consists of
undeveloped forested land, agricultural fields, and residential/commercial
developments on the south side of the Town of Selma.
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.
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Eastfield Crossing_Topo.pdf 552.41 KB
PDF only
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.
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Soils.pdf
PDF only
4. Proposed Activity
485.66KB
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used: *
The proposed activity is the installation of a level spreader associated with the
stormwater collection pond on the east side of the parcel in Zone 2 of the riparian
buffer only.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
Eastfield Retail Block A Buffer Impacts.pdf 701.04KB
PDF 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?*
5b. Who did the determination on the jurisdictional areas?
Who did the determination?
List name if known
Date
Attach
Corps
Sam Dailey
(Name if known)
05/04/2017
Crocker Ttact
combined.pdf
996....
pdf only
*** Please include the date of the determination and upload a copy of the determination.
Comments:
JD document includes parcels not included in this application.
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past? *
Yes
• No
7. Future Project Plans
7a. Is this project a phased project?*
O Yes
O No

C. Proposed Impacts Inventory
....................................................................................................................................
Buffer Impacts
Project is in which protected Basin?*
Neuse River Basin (15A NCAC 02B.0233)
Catawba River Basin (15A NCAC 02B.0243)
Randleman Lake Watershed (15A NCAC 02B.0250)
Tar -Pamlico River Basin (15A NCAC 02B.0259)
Jordan Lake Watershed (15A NCAC 02B.0267)
Goose Creek Watershed (15A NCAC 02B.0606 & 15A NCAC 026.0607)
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
Buffer Impact*
Impact Type I
Zone 1
Zone 2
1
Map label (e.g. Road
Crossing 1)
Bawdy
Swamp
Permanent
(P)
Perm or Temp
Allowable
0.00
Square
Feet
300.00
Square
Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 300.00
Total Buffer Impacts: 300.00
Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.
The proposed retail building and stormwater pond were designed to avoid the
riparian buffer completely. The proposed level spreader stormwater pond outlet will
be constructed in Zone 2 only. The proposed building and associated parking lot on
the site are designed in order to adequately meet the market demand for retail space.
The stormwater pond was designed to adequately provide treatment for that design
and does not allow space for a level spreader without impacting Zone 2. The
stormwater design for the site meets standards in the NC Stormwater Design Manual.
No wetland or stream impacts are proposed.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
No construction activities are proposed within Zone 1 of the riparian buffer on the site.
All stormwater BMPs will be installed and maintained throughout construction.
E. Diffuse Flow Plan
la. What type of SCM are you providing?*
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Proposed project will not create concentrated stormwater flow through the buffer
Other SCM that removed minimum of 30% nitrogen
lc. Diffuse Flow Documentation
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Eastfield Retail Block A Buffer Impacts.pdf 701.04KB
PDF only

F. Supplementary Information
Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
Yes
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
No
2b. Is this an after -the -fact buffer authorization application?
Yes
• No
G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments:
Additional Comments:
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PDF only
An Individual 404/401 Permit application for the Eastfield Development is currently
under review; however, no additional impacts are proposed for the Eastfield Retail
Block A and this buffer impact is not included in that application.
H. Sign and Submit
By digitally signing below, I certify that:
es
o I have given true, accurate, and complete information on this form;
o 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")
• 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");
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
o I intend to electronically sign and submit the application form."
Print Name: * Robert Turnbull
Signature
Submission Date: (Auto populated field)

Initial Review
Is this accepted into the review process?* • Yes No
Is this project a public transportation project?*
Yes
• No
ID#* 20221707
Version:* 1
Select Reviewer: * Zachary Thomas:eads\ztthomas
Select Reviewing Office* Raleigh Regional Office - [phone]
Has payment been received?* • No Payment Needed
Fee Received
Need Fee - send electronic notification