20160561 Ver 1_Buffer Determination_20160609

Homewood, Sue
From: Brad Luckey <[e-mail]>
Sent: Thursday, June 09, 2016 11:09 AM
To: Homewood, Sue
Cc: Michael Brame
Subject: FW: Gumwood Estates Buffer Authorization Request
Attachments: Stream Buffer Use Form.pdf
Buffer authorization attached.
Sincerely,
336.708.4997 (c)
336.310.4527 (o) PE I
www.��ilor (iwiirr.com
blucke F�ilrrPr i wii r,� PILOT ENVIRONMENTAL.com INC
From: Bill Bruce [mailto:[e-mail]]
Sent:Thursday,June 9, 2016 11:12 AM
To: Brad Luckey<[e-mail]>
Subject: RE: Gumwood Estates Buffer Authorization Request
No problem. Please see attached approved Stream Buffer Use Request Form.
Thanks,
Bill
From: Brad Luckey [rna.i_Ito_b.Iu_c.key_@pi_lotenviro_rom]
Sent:Thursday,June 09, 2016 6:20 AM
To: Bill Bruce <bbruce@oa_kridgenc__rorn>
......................................
Subject: RE: Gumwood Estates Buffer Authorization Request
My apologies about that. First time doing one of these for Oak Ridge, so I was not sure if I needed to sign that or if it was
for the Town to sign as part of the authorization. Nonetheless, a revised and signed copy is attached. Thank you for your
assistance and timely attention to this Bill. Please let me know if you need anything else.
Sincerely,
336.708.4997 (c)
336.310.4527 (o) PE I
www.��ilor (iwiirr.com
blucke F�ilrrPr i wii r,� PILOT ENVIRONMENTAL.com INC
1

TOWN OF OAK RIDGE
STREAM BUFFER USE REQUEST FORM
Approved by: Permit# - -O X Date: 6 6
General Information:
Project Name(subdivision,facility,or establishment name):Gumwood Estates
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Location of Project(address):Gumwood Road,Oak Ridge,Guilford County,North Carolina R t/
Parcel#(s):7818516224 Zoning:
Buffer Impact Information: g
Buffer Impact ID Activity or Use Linear Impact Zone 1 Impact Zone 2 Impact Mitigation
(From Section (feet) (square feet) (square feet) Required?
30-1222(6)b.)
1-Permanent Road Crossing 58 3,400 4,485 No
1-Temporary Road Crossing 58 1,244 658 No
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Certification:
I certify that this project meets all the following criteria for a determination of no practical alternatives:
A. The basic project purpose cannot be practically accomplished in a manner that would better minimize
disturbance,preserve aquatic life and habitat,and protect water quality;
B. The use or activity cannot practically be reduced in size or density,reconfigured,modified or redesign to better
minimize disturbance,preserve aquatic life and habitat,and protect water quality;and
C. Best management practices shall be used as necessary to minimize disturbance,preserve aquatic life and
habitat,and protect water quality - I
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Further,I certify that,to the best of my knowledge and belief,all information supplied with this application is true and
accurate.
Signature: - -� !/ Date: June 7,2016
Print Name: Bradley S.Luckey
Submittal Requirements -
1. Written narrative describing the proposal-must include:
a. Explanation of why this plan for the use or activity cannot be practically accomplished,reduced or
reconfigured to better minimize disturbance to the riparian buffer,preserve aquatic life and habitat
and protect water quality;
b. Description of measures taken to avoid or minimize the proposed impacts in designing the project;

c. Description of measures taken to avoid or minimize the proposed impacts through construction
techniques.
2. Jurisdictional wetland determination-if applicable -
3. Copy of 404 permit/401 certification-if applicable
4. 4. Site Plan including all information relevant to the request.
Page 1 of 2
Owners Information&Signatures
I hereby agree to conform to all applicable laws of the Town of Oak Ridge and the State of North Carolina and certify that the information provided is
complete and accurate to the best ofmy knowledge. I acknowledge that byfiling this application,representativesfrom the Town of Oak Ridge may enter
the subject property for the purpose of investigation and analysis of this request.
See Attached Agent Authorization Form
Owners Signature Applicant/Engineer/Surveyor Signature
LD Gumwood,LLC Mr.Christopher Lyons Pilot Environmental Inc. Mr.Bradley Luckey j
Name Applicant/Engineer/Surveyor Name €4
3625 Elm Street,Suite 110-B PC Box 128
Mailing Address Mailing Address
Greensboro,NC 27455 Kernersville,NC 27285
City,.State,and ZIP Code City,State,and ZIP Code
336.708.4997
Phone Number Phone Number t
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buddy(@ldquity.com bluckey0 pilotenviro.com j
Email Address Email Address o
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