SW6100701_Application Completeness Review Checklist_20100702

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Application Completeness Review
First Submittal ®Re -submittal Date Received: ��Z�ID Date ReviewedZoo By .9. ,%ik -u D
DevelopmentlProject Name: TX01JE M 0 0 e_ G o
Receiving stream name � f �,t' _ fr-POLIA01,59 exAcic __ classification:
l oL 8
For post -construction requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-I, WS-II, WS-III, WS-IV, HQW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
Management Strategy.
High Density Projects that require a 401 /404 within an NSW require 85% TSS, 30% TN and 30% TP removal,
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds): A41,+
Latitude and Longitude: 3'54- SS t e M —74 f d 34 'W Jurisdiction Hoff- MilL-r
Project Address: LAIefnrao 0 DPe'/✓I'r AN n R o r A Fisk R041> S u fi arRt+a w A Ca uN
Engineer name and firm:. _TpE £ . CzaDwri,u , SP. P F. ENaCk- 4AJ Cr;AIC C 919- 5��5931
euocw crS��.dstrcs � rra�,,r„�.N�-r 1*0 3 uC NWySD _.jFJCAJX6AJ1 IV C, Z 730�
❑ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets 2,fligh Density ❑ Other
❑ 401/404,impacts to surface waters, wetlands, and buffers (add language to cover letter and/or addinfo letter)
F.K BUA _,4'0 2 ( Z. s 3 4C pA izcT #aeA-., 4t S Ac 01'S7744K8¢j�.
wr"" Check for $505.00 included
Original signature (not hotoc on application
❑ Legal signature orporation-VPlhighe Partnership -General Partner/higher, LLC-memberlmanager, Agent).
dW,u.rx^i' AckrG UA.:e
Check spelling, capitalization, punctuation: http://ww-w.secretary.state.nc-us/corporations/thepage.aspx
If an agent signs the application; -a signed letter of authorization from the applicant must be provided which
includes the name, title, mailing address and phone number of the person signing the letter.
NnTsL ❑ For subdivided projects, a signed -and notarized deed restriction statement7/4iS r-Ay Se h/t 4ACss nRr bur Tb
4K Sealed, signed & dated calculations Dt v-ZLo r-o"'T rNkT,0A0G
B�Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each)
❑ Bioretention
❑ Dry Detention Basin
❑ Filter Strip
❑ Grass Swale
❑ Infiltration Basin
❑ Infiltration Trench
❑ Level Spreader
❑ Permeable Pavement
❑ Restored Riparian Buffer
❑ Rooftop Runoff Management
❑ Sand Filter
❑ S�ormwater Wetland
et Detention Basin _
❑ Low Density °
❑ Curb Outlet NUV 16 2010
❑ Off -Site
❑ NCDOT Linear Road ®VVQ
0-11 Two sets of sealed, signed ,& dated & finish grading plans with appropriate details
Narrative Description of stormwater man ageme5nt�provided
Ale7X: Soils report provided V4 ie,CPa&r, TYroo� 5,00t.ry 0A/ j,earraWc0WTC-*'L rf,t,cCr-
No-lr t/ Wetlands delineated or a note on the plans ,:gat none exist on site and/or adjacent property Apr,L. 1jVb,c,#
No~r+x it Details for the roads, parking areo,' cukde-sat% radii, sidewalk widths, curb and gutter; Ar-rit" K Arr.+Tlu r-
Gr" Dimensions & slopes provided
9!( Drainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
rsY Inspection and maintenance agreements provided
Application complete ❑ Application Incomplete Returned: _ (Date,
t Noo fVche�
Comments d/ IIiOw a ,� art � Z 7 S
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February 9, 2009 Revision