20240171 Ver 1_Riparian Buffer Authorization Request_20240124

Original Submittal 1/24/2024
A. Owner/Applicant Information
General Information Q
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Primary Contact Email: * [e-mail]
Please list the contact person's email for questions or payment on this project if needed.
Who is submitting the application?* ❑ Owner
❑ Applicant other than Owner
p Agent
1. Property Owner Information:
1a. Name on Recorded Deed:*
1b. Responsible Party:
1c. Mailing Address:*
1 d. Telephone:* 252-258-4070
3. Agent Information:
................................ .
3a. Name:
3b. Company Affiliation:
3c. Mailing Address:
Forbes Mill, LLC
(for Corporations)
Street Address
500 Red Banks Road
Address Line 2
Suite C
City
Greenville
Postal / Zip Code
27858-5759
State / Province / Region
NC
Country
us
1e. Email Address:* malcolm@greenvilleappliance.c
om
Street Address
Address Line 2
City State / Province / Region
Postal / Zip Code Country
3d. Telephone: 3e. Email Address:
3f. Attach a signed and dated copy of the agent Click the upload button or drag and drop files here to attach document
authorization form. PDF only
B. Project Information and Prior Project History

1. Project Information Q
.................................................................................................................................................................
1a. Name of Project:* Greenville Country Club, Forbes Mill, LLC
(Subdivision, facility, or establishment name)
1b. Is this a publicly -funded transportation project?*
Yes
No
1d. Subdivision Name: Greenville Golf and Country Club
le. Nearest Municipality: City of Greenville
1f. Property Size: 103.65
acres
1 g. County (or Counties) where the project is located:*
Pitt
1 h. Property ID# Date of Purchase
09058 3/1 /2015
Tax PIN or Parcel id
11. Deed Information
Type of Book Book# Page#
Deed 3301 773
Map 40 167
1 j. Attach a copy of the recorded map that indicates when the lot was last platted.
Click the upload button or drag and drop files here to attach document
MB-66-PG-134.pdf 302.39KB
MB-40-PG-167.pdf 207.9KB
PDF only
1k. How would you like to provide the Latitude and Longitude information?
Address Lookup
Manually
Latitude* 35.583073 Longitude*-77.399572
11. Is the project located in any of North Carolina's twenty coastal counties?* Yes # No
2. Surface Waters .........U
_ _. .._._...... _._..._....._._..._._ _......_....._._.... ......._... .................. ......... ......._..... ......... ._.....
2a. Name of the nearest body of water to proposed project: * Greens Mill Run
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:
9,440
(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 a golf course surrounded by residential
3b. Attach an 8'/2 x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site.
Click the upload button or drag and drop files here to attach document
NC_Greenville_SW_20220823_TM_geo.pdf 40.89MB
PDF only
3c. Attach an 81/2 x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map depicting the project site.
Click the upload button or drag and drop files here to attach document
20240123_08310008163_23_Soil_Report.pdf 409.94KB
PDF only
4. Proposed Activity
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:
Bulkhead portion of a badly eroded ditch. Excavator to clean ditch and attach vibrator for pilings.
Attach a site plan as applicable to the project:
Click the upload button or drag and drop files here to attach document
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?*
Yes
No
5b. Who did the determination on the jurisdictional areas?
Who did the determination?
List name if known
Date
IF
Attach
Corps
JL-
Billy W. Standridge
(Name if known)
11/13/2023
Email - Fwd Greenville
—
Country Club.pdf
73.02KB
pdf only
*** Please include the date of the determination and upload a copy of the determination.
Comments:
USACOE claims no jurisdiction
6. Project History Q
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?
Yes
Q No
7. Future Project Plans ^
7a. Is this project a phased project?* a Yes a 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 026.0243)
Randleman Lake Watershed (15A NCAC 0213.0250)
Tar -Pamlico River Basin (15A NCAC 02B.0259)
Jordan Lake Watershed (15A NCAC 02B.0267)
Goose Creek Watershed (15A NCAC 02B.0606 & 15A NCAC 02B.0607)
Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form.
-11
-]
Site# - Reason Stream Name Buffer Impact* Impact Type Zone 1 Zone 2
Map label (e.g. Road Crossing 1) Temporary (T) Exempt 0.00 0.00
Perm or Temp Square Feet Square Feet
Total Zone 1 Impacts: 0.00
Total Zone 2 Impacts: 0.00
Total Buffer Impacts: 0.00
Comments:
No buffer impacts. Ditch and bank stabilization only.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... .........
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.
The impact is to stabilize an eroding ditch and reduce loss of golf cart path and a pond adjacent to the ditch.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The bulkhead will be on one side only to repair the eroded bank.
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
1 c. Diffuse Flow Documentation Click the upload button or drag and drop files here to attach document
No Diffuse.pdf 26.38KB
PDF only
F. Supplementary Information
Environmental Documentation
1a. 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)?
2b. Is this an after -the -fact buffer authorization application?
Yes
No
G. Additional Information L
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments: Click the upload button or drag and drop files here to attach document
PDF only
Additional Comments:
H. Sign and Submit 0
..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
By digitally signing below, I certify that:
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)
o 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:' Sam Jarvis
Signature
latfr
Submission Date: 1/24/24
(Auto populated field)

Initial Review
Is this accepted into the review process?*
Is this project a public transportation project?*
ID#*
Version:
Select Reviewer:
Select Reviewing Office*
Has payment been received?*
Yes No
Yes No
20240171
1
Robert Tankard:robert.tankard
Washington Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification