20181739 Ver 1_Riparian Buffer Authorization Application_20181228 (2)

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/28/2018 9:24:21 AM (Start)
Approve by Montalvo, Sheri A 12/28/2018 11:14:23 AM (NON DOT - Initial Review)
• The task was assigned to Montalvo, Sheri A 12/28/2018 9:25 AM

Original Submittal 12/28/2018
A. Owner/Applicant Information
General Information
Primary Contact Email: * [e-mail]
Reese list the contact person's errail for questions or payrrent on this project if needed.
Who is submitting the application?* r- Owner
W Applicant other than Owner
❑ Agent
Is there an agent working on this application C3 Yes
but not submitting it?* M No
1. Property Owner Information:
.............................................................................................
1a. Name on Recorded Deed:*
1b. Responsible Party:
1c. Mailing Address:*
1d. Telephone:* 2523555805
Bill Clark Fomes of Greenville LLC
Lance Clark
(for Corporations)
Street Address
200 East Arlington Boulevard
Address Line 2
Suite A
City
State / Province / Region
Greenville
NC
Rbstal / Zip Code
Country
27858
us
2. Applicant's Information (if different from owner):
.........................................................................................................................................................................................................
2a. Name:* Ken Malpass
2b. Company Affiliation:
2c. Mailing Address:*
1e. Email Address:* [e-mail]
Malpass & Associates
Street Address
1645 East Arlington Boulevard
Address Line 2
Suite D
qty
Greenville
Fbstal / Zip Code
27858
2d. Telephone:* 2527561780
State / Province / Region
NC
Country
us
ErvvWater Resources
iION m111ALQU-11
A

2e. Email Address:*
[e-mail]
2f. Attach a signed and dated copy of the authorization granting the applicant owner approval. An agent authorization form is
acceptable.
Click the upload button or drag and drop files here to attach docurrent
DWRBUFF ERAL THORIZATIONSIGENDBYLANCECL...
230.95KB
12.21.2018. pdf
PDF only
B. Project Information and Prior Project History
1. Project Information
1a. Name of Project:* Paramore Farms Phases 4 and 5
(Subdivision, facility, or establishrrent narre)
1b. Is this a publicly -funded transportation project?*
r Yes
r No
1d. Subdivision Name: Paramore Farms
1e. Nearest
Municipality:
1f. Property Size
City of Greenville NC
19.28
acres
1g. County (or Counties) where the project is located:*
Pitt
1h. Property ID# Date of Purchase
PN 70417 6/13/2005
Tax RN or Parcel id
1 i. Deed Information
-11
Type of Book Book#11 Page#
Deed F
141-143
Map 64 138 144
1j. 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 docurrent
MB64Pagel38-144.pdf 1006.14KB
DB1926PAGE141.pdf 115.71 KB
RDF only
1k. How would you like to provide the Latitude and Longitude information?*
r Address Lookup
r Manually
Latitude * 35.557884 Longitude
-77.381018

11. Is the project located in any of North Carolina's twenty coastal counties?*
f Yes
r No
2. Surface Waters
2a. Name of the nearest body of water to proposed project:*
Fork Swamp Canal
2b. Water Quality Classification of nearest receiving water:*
C, Sw, NSW
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:*
2,600
(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:
Vacant field and wooded area
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 docurrent
p603con-northern-cluster_USGS-7-5 MINUT E -Q UAD-
352.93KB
GREENVILLE-NC-2016. pdf
FDF only
3c. Attach an 8 % 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 docurrent
p603con-northern-cluster_SOILS- MAP. pdf 3.65MB
FDF only
4. Proposed Activity
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:*
Excavator to remove existing trees and brush and excavator to construct proposed
swale.
Attach a site plan as applicable to the project:
aick the upload button or drag and drop files here to attach docunent
p603con-northern-cl u ste r-
TOTALSETFORBUFF ERAUTHORIZATIONSUBMITT... 17AMB
12.27.2018.pdf
p603con-northern-cluster- BUFF ER- IMPACT- MAP. pdf 118.13KB
FDF 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?*
r Yes
f No
5b. Who did the determination on the jurisdictional areas?
Who did the determination? List name if known 11 Date Attach

Corps Traci Wheeler 08/23/2009
(Naas if known)
pdf only
*** Please include the date of the determination and upload a copy of the determination.
Comments:
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
r Yes
r No
7. Future Project Plans
7a. Is this project a phased project?* r Yes
r No
7b. If yes, explain*
Paramore Farms Phases 1-3 have been completed and phases 4 and 5 as
attached will be the final phases for the project.
C. Proposed Impacts Inventory
Buffer Impacts
Project is in which protected Basin?*
C Neuse River Basin (15A NCAC 02B.0233)
C Catawba River Basin (15A NCAC 02B.0243)
C Randleman Lake Watershed (15A NCAC 0213.0250)
C Tar -Pamlico River Basin (15A NCAC 0213.0259)
r Jordan Lake Watershed (15A NCAC 0213.0267)
r 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.
Site# - Reason
Stream Name
Buffer Impact*
Impact Type *
Zone 1
Zone 2
Buffer Impact#1
Fork
Permanent
Allowable
2,693.
1,830.
Nbp label (e.g. RDad
Swamp
(P)
00
00
Crossing 1)
Canal
F2rmorTerrp
Square
Square
Feet
Feet
Total Zone 1 Impacts: 2,693.00
Total Zone 2 Impacts: 1,830.00
Total Buffer Impacts: 4,523.00
Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization

Ia. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.*
Construction of wet detention pond.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
Swale will be stabalized within 14 days of construction. Faircloth skimmer will be
used to minimize any offsite sediment from the site during construction.
E. Diffuse Flow Plan
1a. What type of SCM are you providing?*
r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
17 Proposed project will not create concentrated stormwater flow through the
buffer
r Other SCM that removed minimum of 30% nitrogen
1c. Diffuse Flow Documentation* Clickthe upload button ordrag and drop files here toattach docurrent
P60 3 F L O W RAT E S F O RO UT L ET PO ND VAR I O USST ... 3 38.72 K B
FDF 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?
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)?
C'
2b. Is this an after -the -fact buffer authorization application?
C Yes
r No
G. Additional Information
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 docurrent
FDF only
Additional Comments:
H. Sign and Submit
By digitally signing below, I certify that:
• 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:* William K. Malpass
Signature *
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Submission Date: (Auto populated field)

Initial Review
Is this accepted into the review process?
Is this a public -funded transportation
project?*
ID#*
Version:
Select Reviewer:
Select Reviewing Office*
Has payment been received?*
O Yes b No
a Yes
r No
20181739
1
David May:eads\dlmay
Washington Regional Office - [phone]
F No Payment Needed
r Fee Received
r Need Fee - send electronic notification