SW6120303_CURRENT PERMIT_20120723

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW6z��JO')
DOC TYPE
CURRENT PERMIT
L7 APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
YYYYMMDD

u"IENR-FRO
mAi`A
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Division of Water Quality
Vharles Y4aki, d, PE
Director
June 20, 2012
Mr. David Heins, Environmental Division Works (DPW)
Directorate of Public Works
2175 Reilly Road Stop A
Fort Bragg, NC 28310
Subject. Stormwater Permit No. SlN.6120303
3rd Brigade Combat Team Complex, Brigade Headquarters
High Density Commercial Bio-Retention Project
Cumberland County
Dear Mr. Heins:
JUL 2 3 209
Dee Freeman
Secretary
The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for 3"
Brigade Combat Team Complex, Brigade Headquarters on June 18, 2012 after additional information
requested on March 23, May 4, and May 24. Staff review of the plans and specifications has determined
that the project, as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC
2H.1000 and Session Law 2006-246. We are forwarding Permit No. SW6120303, dated June 19, 2012,
for the construction, operation and maintenance of the subject project and the stormwater BMPs.
This permit shall be effective from the date of issuance until June 19, 2020 and shall be subject to the
conditions and limitations as specified therein, and does not supersede any other agency permit that may
be required. Please pay special attention to the conditions listed in this permit regarding the Operation and
Maintenance of the BMP(s), recordation of deed restrictions, procedures for changes of ownership,
transferring the permit, and renewing the permit. Failure to establish an adequate system for operation and
maintenance of the stormwater management system, to record deed restrictions, to follow the procedures
for transfer of the permit, or to renew the permit, will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within thirty (30) days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter 150E of the North Carolina
General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer 27447, Raleigh, NC
27611-7447. Unless such demands are made this permit shall be final and binding.
This project will be kept on file at the Fayetteville Regional Office. If you have any questions, or need
additional information concerning this matter, please contact Brian Lowther at [phone]; or
[e-mail].
Sincerely,
�
for Charles Wakild, P.E.
cc: Fayetteville Regional Office
SW6120303
ec: Yeznik S . Yeretzian, PE — [e-mail]
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX [phone]
Internet: www.nmalerquality org
An Equal CPportunily l Affirmative Action Employer
One
NorthCarolina
Aatumlly

State Stormwater Permit
Permit No. SW6120303
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Directorate of Public Works (DPW)
PBrigade Combat Team Complex, Brigade Headquarters
Fort Bragg and Cumberland County
FOR THE
construction, operation and maintenance of two (2) bioretention cell(s) in compliance
with the provisions of Session Law 2006-246 and 15A NCAC 2H .1000 (hereafter
referred to as the "stormwater rules') and the approved stormwater management plans
and specifications and other supporting data as attached and on file with and approved
by the Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until June 19, 2020, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in the attached supplement forms. The stormwater control
has been designed to handle the runoff from 31,876 square feet of impervious
area.
3. The tract will be limited to the amount of built -upon area per the application
documents and as shown on the approved plans. The built -upon area for the
future development is limited to 0 square feet.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent surface waters.
Page 1 of 6

State Stormwater Permit
Permit No. SVV6 i 20303
7. The design criteria for each bioretention cell has been attached to this permit
and must be maintained at design condition.
IL SCHEDULE OF COMPLIANCE
1 _ The stormwater management system shall be constructed in its entirety;
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all time provide the operation and maintenance necessary
to assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.
f. Debris removal and unclogging of all drainage structures, level spreader,
filter media, planting media, underdrains, catch basins and piping.
g. Access to the cell and outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
reports will indicate the date, activity, name of person performing the work and
what actions were taken.
5. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance and inspection records for each BMP. The report
shall summarize the inspection dates, results of the inspections, and the
maintenance work performed at each inspection.
6. The stormwater treatment system shall be constructed in accordance with the
approved plans and specifications, the conditions of this permit, and with other
supporting data.
7. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
8. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
9. Access to the stormwater facilities shall be maintained via appropriate recorded
easements at all times.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
Page 2of6

State Stormwater Permit
Permit No. SW61203G3
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
12. A copy of the approved plans and specifications shall be maintained or. file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
13. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to -the Director
that the changes have been made.
III. GENERAL CONDITIONS
1. This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form signed by both parties, to the
Division of Water Quality, accompanied by the supporting documentation as
listed on page 2 of the form. The approval of this request will be considered on
its merits and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves a request to transfer the permit.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
Page 3 of 6

State Stormwater Permit
Permit No. Sl,^V6120 303
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10, The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2006-
246, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
12. The permittee shal! submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit.
Permit issued this the 20th day of June 2012.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Charles Wakild, PE, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 4 of 6

State Stormwater Permit
Permit No. SW6120303
3`d Brigrade Combat Team Complex, In/Out Processing Facility
Stormwater Permit No. SW6120302
Cumberland County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project Name)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 5 of 6

State Stormwater Permit
Permit No. SW612.0303
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
$. All slopes are grassed with permanent vegetation, per the vegetation plan.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Cumberland County Building Inspections
Page 6 of 6

Permit Number:
(to be provided by DW01
o��F W A Tf RQG
Aftip h Y
r
WDENR Y
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
!. PROJECT INFORMATION
Project name 3rd Brigade Combat Team Complex, Brigade Headquarters
Contact name Yeznik (Nick) S. Yeretzian
Phone number [phone]
Date June 6 2012
Drainage area number CA2
II. DESIGN INFORMATION
Site Characteristics
Drainage area
29,336 f12
Impervious area
17,784 ft2
Percent impervious
60.6% %
Design rainfall depth
1.0 inch
Peak Flow Calculations
Is pre/post control of the 1-yr, 24-hr peak flow required?
N (Y or N)
1-yr, 24-hr runoff depth
NIA in
1-yr, 24-hr intensity
NIA in/hr
Pre -development 1-yr, 24-hr peak flow
NIA ft3lsec
Post -development 1-yr, 24-hr peak flow
ft3lsec
Pre/Post 1-yr, 24-hr peak control
ft3lsec
Storage Volume: Non -SA Waters
Minimum volume required
1,456.0 ft3
Volume provided
1,567.0 ft3
OK
Storage Volume: SA Waters
1.5" runoff volume
NIA ft3
Pre -development 1-yr, 24-hr runoff
ft3
Post -development 1-yr, 24-hr runoff
ft3
Minimum volume required
NIA ft3
Volume provided
NIA ft3
OK
Cell Dimensions
Ponding depth of water
12 inches
OK
Ponding depth of water
1.00 ft
Surface area of the top of the bioretention cell
1,567.0 ft2
OK
Length:
89 ft
OK
Width:
13 ft
OK
-or- Radius
ft
Media and Soils Summary
Drawdown time, ponded volume
6 hr
OK
Drawdown time, to 24 inches below surface
12 hr
OK
Drawdown time, total,
18 hr
In -situ soil:
Soil permeability
5.00 in/hr
OK
Planting media soil
Soil permeability
2.00 inlhr
OK
Soil composition
% Sand (by volume)
88%
OK
% Fines (by volume)
8%
OK
% Organic (by volume)
4%
OK
Total:
100%
Phosphorus Index (P-Index) of media
15 (unitless)
OK
Form SW401-Biorelention-Rev.8
,....., — I— Pa if I —H 11 nucinn Cnmmnn. Anna � of 9

Permit Number:
(to be provided by D WQ)
Basin Etevations
Temporary pool elevation
Type of bioretention cell (answer "Y" to only one of the two
following questions):
Is this a grassed cell?
Is this a cell with lreeslshrubs?
Planting elevation (top of the mulch or grass sod layer)
Depth of mulch
Bottom of the planting media soil
Planting media depth
Depth of washed sand below planting media soil
Are underdrains being installed?
How many clean out pipes are being installed?
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
the bottom of the cell to account for underdrains
Bottom of the cell required
SHWT elevation
Distance from bottom to SHWT
Internal Water Storage Zone (IWS)
Does the design include IWS
Elevation of the top of the upturned elbow
Separation of 1WS and Surface
Planting Plan
Number of tree species
Number of shrub species
Number of herbaceous groundcover species
Additional Information
Does volume in excess of the design volume bypass the
bioretention cell?
Does volume in excess of the design volume flow evenly distributed
through a vegetated filter?
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at least 30 feet from surface waters (50 feet if
SA waters)?
Is the BMP located at least 100 feet from water supply wells?
Are the vegetated side slopes equal to or less than 3:1?
Is the BMP located in a proposed drainage easement with access
to a public Right of Way (ROW)?
Inlet velocity (from treatment system)
Is the area surrounding the cell likely to undergo development in
the future?
Are the slopes draining to the bioretention cell greater than 20%?
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an 'X" in the shaded cell)
Gravel and grass
(8 inches gravel Vlowed by 3-5 ft of grass)
Grassed swale
Forebay
Other
270.00 fmsl
Y (Y or N) OK
N (Y or N)
269 fmsl
4 inches OK
266 fmst
3 ft
n TA ff
N (Y or N)
NIA OK
0 ft
265.67 fmsl
260 fmsl
5.67 ft OK
N (Y or N)
fmsl
269 ft
0
3
3 OK
Y (Y or N) OK
Y (Y or N) OK
V Il
N (Y or N) Show how flow is evenly distributed.
Y (Y or N) OK
Y (Y or N) OK
Y (Y or N) OK
Y (Y or N) OK
1 ft/sec OK
N (Y or N) OK
N (Y or N) OK
Y (Y or N) OK
X
OK
Form SW441-Bioretention-Rev.e
I��.,.. 1. nn,n C2.—.., , o...... I . f a

Permit No:
(to be assigned by DWD)
11f. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. 'An incomplete submittal package
will result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided
to indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Pagel Plan
Initials Sheet No.
1. Plans (V - 50' or larger) of the entire site showing:
Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Cell dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement.
2. Plan details (V = 30' or larger) for the bioretention celf showing:
Cell dimensions
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Design at ultimate build -out,
Off -site drainage (if applicable),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement.
Indicate the P-Index between 10 and 30
YS �Q�
3. Section view of the bioretention cell (1" = 20' or larger) showing:
Side slopes, 3:1 or lower
Underdrain system (if applicable), and
Bioretention cell layers [ground level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone if applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure]
Ys Y _CQU__&jft Cl4. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information. All
elevations shall be in feet mean sea level (fmsl). Results of soils tests of both the planting soil and the in
situ soil must include:
Soil permeability,
Soil composition (% sand, % fines, % organic), and
P-index.
YS Y — b
-5. A detailed planting plan (V = 20' or larger) prepared by a qualified individual showing:
L — 56 2
A variety of suitable species,
Sizes, spacing and locations of plantings,
Total quantity of each type of plant specified,
-A planting detail,
The source nursery for the plants, and
Fertilizer and watering requirements to establish vegetation.
6. A construction sequence that shows how the bioretention cell will be protected from sediment until the
entire drainage area is stabilized.
YsX �culij Z The supporting calculations (including underdrain calculations, if applicable).
ED CAtLC 5
YS Y
8. A copy of the signed and notarized inspection and maintenance (19M) agreement.
x.5_Y1�_.
9. A copy of the deed restriction.
Y SuAA17TE_75 EAteLkEk_ .
Form SW401 -Biorete ntion-Rev.7
Part III. Pane 1 of 1

Permit Number:
(to be provided by D WO)
�� OaOf wArFRpG
+�r�P T
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Project name 3rd Brigade Combat Team Complex, Brigade Headquarters
Contact name Yeznik {Nick) S. Yeretzian
Phone number [phone]
Date June 6 2012
Drainage area number CA5
II. DESIGN INFORMATION
Site Characteristics
Drainage area
24,535 ft2
Impervious area
15,906 ft2
Percent impervious
64.8% %
Design rainfall depth
1.0 inch
Peak Flow Calculations
Is pre/post control of the 1-yr, 24-hr peak flow required?
N (Y or N)
1-yr, 24-hr runoff depth
N/A in
1-yr, 24-hr intensity
NIA in/hr
Pre -development 1-yr, 24-hr peak flow
NIA ft'Isec
Post -development 1-yr, 24-hr peak flow
ft'Isec
Pre/Post 1-yr, 24-hr peak control
It3Isec
Storage Volume: Nan -SA Waters
Minimum volume required
1,281.0 fts
Volume provided
1,409.0 ft5
OK
Storage Volume: SA Waters
1.5" runoff volume
NIA fta
Pre -development 1-yr, 24-hr runoff
ff'
Post -development 1-yr, 24-hr runoff
ft'
Minimum volume required
NIA ft3
Volume provided
N/A It'
OK
Cell Dimensions
Ponding depth of water
12 inches
OK
Ponding depth of water
1.00 ft
Surface area of the top of the bioretention cell
1,409.0 ft2
OK
Length:
34 ft
OK
Width:
16 ft
OK
-or- Radius
ft
Media and Soils Summary
Drawdown time, ponded volume
6 hr
OK
Drawdown time, to 24 inches below surface
12 hr
OK
Drawdown time, total:
18 hr
In -situ soil.
Soil permeability
5.00 in/hr
OK
Planting media soil:
Soil permeability
2.00 inlhr
OK
Soil composition
% Sand (by volume)
88%
OK
% Fines (by volume)
8%
OK
% Organic (by volume)
4%
OK
Total:
100%
Phosphorus Index (P-Index) of media
15 (unitless)
OK
Form SW 401-8ioretention-Rev.8
Parts I anr! II npa inn Si immon Panes 1 of 7

Permit Number:
(to be provided by DWQ)
Basin Elevations
Temporary pool elevation
Type of bioretention cell (answer "Y" to only one of the two
following questions):
Is this a grassed cell?
Is this a cell with treeslshrubs?
Planting elevation (top of the mulch or grass sod layer)
Depth of mulch
Bottom of the planting media soil
Planting media depth
Depth of washed sand below planting media soil
Are underdrains being installed?
How many clean out pipes are being installed?
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
the bottom of the cell to account for underdrains
Bottom of the cell required
SHWT elevation
Distance from bottom to SHWT
Internal Water Storage Zone (IWS)
Does the design include IWS
Elevation of the top of the upturned elbow
Separation of IWS and Surface
Planting Plan
Number of tree species
Number of shrub species
Number of herbaceous groundcover species
Additional Information
Does volume in excess of the design volume bypass the
bioretention cell?
Does volume in excess of the design volume flow evenly distributed
through a vegetated filter?
What is the iongth of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at least 30 feet from surface waters (50 feet if
SA waters)?
Is the BMP located at least 100 feet from water supply wells?
Are the vegetated side slopes equal to or less than 3:1?
Is the BMP located in a proposed drainage easement with access
to a public Right of Way (ROW)?
Inlet velocity (from treatment system)
is the area surrounding the cell likely to undergo development in
the future?
Are the slopes draining to the bioretention cell greater than 20%?
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an "X" in the shaded cell)
Gravel and grass
(flinches gravel followed by 3-5 ft of grass)
Grassed swale
Forebay
Other
270.00 fmsl
Y (Y or N) OK
N (Y or N)
269 fmsl
4 inches OK
266 fmsl
3 ft
0.33 ft
N (Y or N)
NIA OK
0 ft
265.67 fmsl
260 fmsl
5.67 f1 OK
N (Y or N)
fmsl
269 ft
0
3
3 OK
Y (Y or N) OK
Y (Y or N) OK
3 ft
N (Y or N) Show how flow is evenly distributed.
Y (Y or N) OK
Y (Y of N) OK
Y (Y or N) OK
Y (Y or N) OK
1 ft/sec OK
N (Y or N) OK
N (Y or N) OK
Y JY or N) OK
X
OK
Form SW401-15i0retention-Rev.8
- 1- 1- ? r o

Permit No:
(to be assigned by DWQ)
Ill. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package
will result in a request for additional information, This will delay final review and approval of the project. Initial in the space provided
to indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Page/ Plan
Initials Sheet No,
r' —1 1 1. Plans (1' - 50' or larger) of the entire site showing:
Design at uftimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Cell dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement.
YS `( 5oq 2. Plan details (V = 30' or larger) for the bioretention cell showing:
Cell dimensions
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Design at ultimate build -out,
OH -site drainage (if applicable),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement.
Indicate the P-Index between 10 and 30
3. Section view of the bioretention cell (1" = 20' cr larger) showing:
Side slopes, 3:1 or lower
Underdrain system (if applicable), and
Bioretention cell layers [ground level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone if applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure]
Ys SOtl _$ 4. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
kEfbr2T results of the soils report must be verified in the field by DWO, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information. All
elevations shall be in feet mean sea level (fmsl). Results of soils tests of both the planting soil and the in
situ soil must include:
Soil permeability,
Soil composition (% sand, % fines, % organic), and
- P-index.
�%`� L -5a 1 5. A detailed planting plan (1' = 20' or larger) prepared by a qualified individual showing:
L -S o 2 A variety of suitable species,
Sizes, spacing and locations of plantings,
Total quantity of each type of plant specified,
A planting detail,
The source nursery for the plants, and
Fertilizer and watering requirements to establish vegetation.
Y,*LY— C —1 i 1 6, A construction sequence that shows how the bioretention cell will be protected from sediment until the
entire drainage area is stabilized.
S �L (UICU cDfDThe supporting calculations (including underdrain calculations, if applicable).
GIAt_C 5 .
8. A copy of the signed and notarized inspection and maintenance (I&M) agreement.
9. A copy of the deed restriction.
4LSU$MtTTEe, z."LlU
Form SW461-Bioretention-Rev.7 Part M. Pans 1 of 1

AA=&J*A'
NC®ENR
North Carolina Department of Environment and
Beverly Eaves Perdue
Governor
Division of Water Quality
'C"harles'uv'akild, Pt
Director
June 20, 2012
Mr. David Heins, Environmental Division Works (DPW)
Directorate of Public Works
2175 Reilly Road Stop A
Fort Bragg, NC 28310
®E1 V R-FRO
JUN222012
Natural Resources0WQ
Subject: Stormwater :permit No. SW6120303
3rd Brigade Combat Team Complex, Brigade Headquarters
High Density Commercial Bio-Retention Project
Cumberland County
Dear Mr. Heins:
Dee Freeman
Secretary
The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for 3rd
Brigade Combat Team Complex, Brigade Headquarters on June 18, 2012 after additional information
requested on March 23, May 4, and May 24. Staff review of the plans and specifications has determined
that the project, as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC
2H.1000 and Session Law 2006-246. We are forwarding Permit No. SW6120303, dated June 19, 2012,
for the construction, operation and maintenance of the subject project and the stormwater Bli
This permit shall be effective from the date of issuance until June 19, 2020 and shall be subject to the
conditions and limitations as specified therein, and does not supersede any other agency permit that may
be required. Please pay special attention to the conditions listed in this permit regarding the Operation and
Maintenance of the BMP(s), recordation of deed restrictions, procedures for changes of ownership,
transferring the permit, and renewing the permit. Failure to establish an adequate system for operation and
maintenance of the stormwater management system, to record deed restrictions, to follow the procedures
for transfer of the permit, or to renew the permit, will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within thirty (30) days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer 27447, Raleigh, NC
27611-7447. Unless such demands are made this permit shall be final and binding.
This project will be kept on file at the Fayetteville Regional Office. If you have any questions, or need
additional information concerning this matter, please contact Brian Lowther at [phone]; or
[e-mail].
Sincerely,
.for Charles Wakild, P.E.
cc: Fayetteville Regional Office
Sl/I6120303
ec: Yeznik S . Yeretzian, PE — [e-mail]
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Locaiion: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
intemel: www.nrwaterquality org
An Equal Opportunity i Affirmative Action Employer
One
NorthCarolina
;Vatumlly

State Stormwater Permit
Permit No. SW6120303
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Directorate of Public Works (DPM
3rd8rigade Combat Team Complex, Brigade Headquarters
Fort Bragg and Cumberland County
FOR THE
construction, operation and maintenance of two (2) bioretention cell(s) in compliance
with the provisions of Session Law 2006-246 and 15A NCAC 2H .1000 (hereafter
referred to as the "stormwater rules') and the approved stormwater management plans
and specifications and other supporting data as attached and on file with and approved
by the Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until June 19, 2020, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in the attached supplement forms. The stormwater control
has been designed to handle the runoff from 31,876 square feet of impervious
area.
3. The tract will be l'imited to the amount, of built -upon area per the application
documents and as shown on the approved plans. The built -upon area for the
future development is limited to 0 square feet.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans_
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent surface waters.
Page 1 of 6

State Stormwater Permit
Permit No. SVJ6 i 20303
7. The design criteria for each bioretention cell has been attached to this permit
and must be maintained at design condition.
Ill. SCHEDULE OF COMPLIANCE
The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all time provide the operation and maintenance necessary
to assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.
f. Debris removal and unclogging of all drainage structures, level spreader,
filter media, planting media, underdrains, catch basins and piping.
g. Access to the cell and outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
reports will indicate the date, activity, name of person performing the work and
what actions were taken.
5. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance and inspection records for each BMP. The report
shall summarize the inspection dates, results of the inspections, and the
maintenance work performed at each inspection.
6. The stormwater treatment system shall be constructed in accordance with the
approved plans and specifications, the conditions of this permit, and with other
supporting data.
7. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
8. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
9. Access to the stormwater facilities shall be maintained via appropriate recorded
easernenis at ali times.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
Page 2 of 6

State Stormwater Permit
Permit No. SW61203G3
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
12. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
13. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
III. GENERAL CONDITIONS
1. This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form signed by both parties, to the
Division of Water Quality, accompanied by the supporting documentation as
listed on page 2 of the form. The approval of this request will be considered on
its merits and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves a request to transfer the permit.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, inciuding the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The }permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
Page 3 of 6

State Stormwater Permit
Permit No. Sk%.'6120303
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit, the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2006-
246, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
12. The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit.
Permit issued this the 20th day of June 2012.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Charles Wakild, PE, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 4 of 6

State Stormwater Permit
Permit No. SW6120303
P Brigrade Combat Team Complex, In/Out Processing Facility
Stormwater Permit No. SW6120302
Cumberland County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project Name)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 5 of 6

State Stormwater Permit
Permit No. SW6120303
Certification Requirements:
_1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
_3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
. The o! �tlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation, per the vegetation plan.
9. Vegetated slopes are no steeper than 3'.1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Cumberland County Building Inspections
Page 6of6

Permit Number:
(to be provided by DWO)
o�o� w.a rFR�G
�� h
r
NCDENR Y
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be tilled out, printed and submitted.
The Required Items Checklist (Part ill) must be printed, filled out and submitted along with all of the required information.
jl. PROJECT INFORMATION
Project name 13rd Brig&d Cbmbat.Tearri Complex, Brigade Headquarteis
Contact name Yeznik (Nick) 5. Yeretziari
Phone number #[phone];.` z.
Date [Jurie'6 2U12' .,
Drainage area number ,CA2
II. DESIGN INFORMATION
Site Characteristics
Drainage area
EV, .: _r ..29;336 ft2
Impervious area
I ; .. ;„ s:..17784 ft2
Percent impervious
60.6% %
Design rainfall depth
1 :.1r.0 inch
Peak Flow Calculations
Is prelpost control of the 1-yr, 24-hr peak flow required?
N:_,:, „,. (Y or N)
1-yr, 24-hr runoff depth
i. _.• .' , ...,, :.NIA in
1-yr, 24-hr intensity
_ ' ' NIA' inthr
Pre -development 1-yr, 24-hr peak flow
(.
Post -development 1-yr, 24-hr peak flow
i " `` ft315ec
Pre/Post 1-yr, 24-hr peak control
ft3lseC
Storage Volume: Non -SA Waters
Minimum volume required
1;456.0 ft3
Volume provided
1,567.0 ft'
OK
Storage Volume: SA Waters
1.5" runoff volume
NIA ff3
Pre -development 1-yr, 24-hr runoff
. 1t'
Post -development 1-yr, 24-hr runoff
i ff3
Minimum volume required
NIA ft3
Volume provided
NIA ft'
OK
Cell Dimensions
Ponding depth of water
12 inches
OK
pondirg depth of water
1.00 ft
Surface area of the top of the bioretention cell
1,567.0 fie
OK
Length:
89 ft
OK
Width:
„;13 tt
OK
or Radius
ft
Media and Soils Summary
Drawdown time, ponded volume
6 hr
OK
Drawdown time, to 24 inches below surface
'.12 hr
OK
Drawdown time, total:
18 hr
In -situ soil:
boil permeability
_ _ _ _ 5_UU inlhr
Oft
Planting media soil:
Soil permeability
2.00 in/hr
OK
Soil composition
% Sand (by volume)
88%
OK
% Fines (by volume)
8%
OK
% Organic (by volume)
_4%
OK
Total: 100%
Phosphorus Index (P-Index) of media 15 (unitless) OK
Form SW40i-13ioretention-Rev.8

Permit Number:
(to be provided by D WQ)
Basin Elevations
Temporary pool elevation
i ` 270100 fmsl
Type of bioretention cell (answer 'Y' to only one of the two
following questions):
is this a grassed cell?
I Y,i ., (Y or N)
OK
Is this a cell with treesishrubs?
"' ` :' N -` '`"' (Y or N)
Planting elevation (top of the mulch or grass sod layer)
fmsl
Depth of mulch
),^ "' „', 344 inches
OK
Bottom of the planting media soil
�;'' " ;' "'~:"266 frost
Planting media depth
3.ft
Depth of washed sand below planting media soil
;' _,::. �, 0'.33 ft
Are underdrains being installed?
=. ' M r; . (Y or N)
How many clean out pipes are being installed?
1 .":' " '� '.;'NIA
OK
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
0 ft
the bottom of the cell to account for underdrains
Bottom of the cell required
265,67 fmsl
SHWT elevation
E 2 0, frost
Distance from bottom to SHWT
5.67 ft
OK
Internal Water Storage Zone (IWS)
Does the design include IWS N (Y or N)
Elevation of the top of the upturned elbow ,-;, frost
Separation of IWS and Surface 269 ft
Planting Plan
Number of tree species 0
Number of shrub species .3
Number of herbaceous groundcover species I =:. - 3 OK
Additional Information
Does volume in excess of the design volume bypass the
y
(Y or N)
bioretention cell?
Does volume in excess of the design volume flow evenly distributedr
Y
(Y or N}
through a vegetated filter?
What is the length of the vegetated filter?
.3 ft
Does the design use a level spreader to evenly distribute flow?
N
(Y or N)
Is the BMP located at least 30 feet from surface waters (50 feet if
Y (Y or N)
SA waters)?
Is the BMP localed at least 100 feet from water supply wells?
Y;-.
' (Y or N)
Are the vegetated side slopes equal to or less than 3:1?
; ...Y :.::.: , .: (Y or N)
Is the BMP located in a proposed drainage easement with access
Y
(Y or N)
to a public Right of Way (ROVv)?
Inlet velocity (from treatment system) t
1, ttlsec
Is the area surrounding the cell likely to undergo development in
t
(Y or N)
the future?
_ I
Are the slopes draining to the bioretention cell greater Than 20%?
N ,- .• { (Y or N)
Is the drainage area permanently stabilized?
Y '(Y or N)
Pretreatment Used
(Indicate Type Used with an "X" in the shaded cell)
Gravel and grass
v
(81inches gravel followed by 3-5 ft of grass)
Grassed swale
Forebay
Other
OK
OK
Show how flow is evenly distributed.
OK
OK
OK
OK
OK
OK
OK
OK
OK
Form SW dG 1-Bioretention-Ruv.3
,..__ nc -- Q�ITC I �n.l Ii nec..n Cimmnnr Donn'] ..! o

Permit Nm
(to be assigned by D WO)
III'`- REQUIRED ITEMB_CHECKLIS
t,r
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An Incomplete submittal package
will result in a request for additional information, This will delay final review and approval of the project. Initial in the space provided
to indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below, If a
requirement has not been met, attach justification.
Pagel Plan
Initials Sheet No.
)CST C = i ', 1. Plans (V - 50' or larger) of the entire site showing:
Design at ultimate build -out,
Off -site drainage (If applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Cell dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement.
tdq 2. Plan details (1" = 30' or larger) for the bioretention cell showing:
Cell dimensions
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Design at ultimate build -out,
Off -site drainage (if applicable),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement.
Indicate the P-Index between 10 and 30
Y�,
3. Section view of the bioretention cell (1' = 20' or larger) showing:
Side slopes, 3:1 or lower
Underdrain system (if applicable), and
Bioretention cell layers [ground level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone if applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure]
Ys�
-0ntt Q jfbC-1-A. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWO, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information. All
elevations shall be in feet mean sea level (fmsl). Results of soils tests of both the planting soil and the in
situ soil must include.
Soil permeability,
Soil composition (% sand, % fines, % organic), and
P-index.
-5, A detailed planting plan (1" = 20' or larger) prepared by a qualified individual showing:
L _ 56 Z
A variety of suitable species,
Sizes, spacing and locations of plantings,
Total quantity of each type of plant specified,
A planting detail,
The source Nursery for the plants, and
Fertilizer and watering requirements to establish vegetation.
12 CA
6. A construction sequence that shows how the bioretention cell will be protected from sediment until the
entire drainage area is stabilized.
YsX
$ tX4LLjb Z The supporting calculations (including underdrain calculations, if applicable).
Eb Chtc 5
Y.S Y
Y=
8. A copy of the signed and notarized inspection and maintenance (I&M) agreement.
Yr
9. A copy of the deed restriction.
Form SVV401.6ioretention-Rev.7
Part III. Paaa 1 of 1

WDENR
Permit Number.
Ito be provided by DWQ)
6p`'pF W A TF9OG
Y
r
O T
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be tilled out, printed and submitted.
The Required Items Checklist {Part 111) must be printed, filled out and submifted along with all of the required information.
I. PROJECT INFORMATION
Project name (3id Bddatle'Coifrtiat Team Complex S idade Headquarters
Contact name FYezriik{Nick).S.,,Yereizian ;;,, ,, .; ,
Phone number "[phone]
Date jJuhe 6 2012' "
Drainage area number (CA5
II. DESIGN INFORMATION
Site Characteristics
Drainage area
i.• ' : 2U35
Impervious area
I •r ::u.: `J5;906 ff2
Percent impervious
64.8% %
Design rainfall depth
? 1.0, inch
Peak Flow Calculations
Is prelpost control of the 1-yr, 24-hr peak flow required?
; ...:_ .:' N_ :, . _ ,. (Y or N)
1-yr, 24-hr runoff depth
NIA- in
1-yr, 24-hr intensity
NIA' inlhr
Pre -development 1-yr, 24-hr peak flow
f ' ° ° _ '_'NIA`ft3lsec
Post -development 1-yr, 24-hr peak flow
! f131sec
Pre/Post 1-yr, 24-hr peak control
ft3lsec
Storage Volume: Non-SAWaters
Minimum volume required
1,281,0 ft3
Volume provided
I' ',1,409:0'ft3
OK
Storage Volume: SA Waters
15' runoff volume
NIA ft'
Pre -development 1-yr, 24-hr runoff
. ft3
Post -development 1-yr, 24-hr runoff
ft3
Minimum volume required
NIA ft3
Volume provided
i NIA ft3
OK
Cell Dimensions
Ponding depth of water
1 12 inches
OK
Ponding depth of water
1.00 ft
Surface area of the top of the bioretention cell
1,409.0 ft2
OK
Length:
34- ft
OK
Width
16 ft
OK
or Radius
i ft
Media and Soils Summary
Drawdown time, ponded volume
j 6. hr
OK
Drawdown time, to 24 inches below surface
12 hr
OK
Drawdown time, total:
18 hr
In -situ soil.,
Sol; perliieabiiity
5.00 inhu
OK
Planting media soil:
Soil permeability
2.00 in/hr
OK
Soil composition
% Sand (by volume)
88%
OK
% Fines (by volume)
8%
OK
% Organic (by volume)
L 4%
OK
Phosphorus Index (P-Index) of media
Foal SW401-5iorclertiar Ray.6
Total: 100%
15 (unitless) OK
Parle I nnri II nocinn Snmmamr Pnno 1 of 9

Permit Number:
(to be provided by DWO)
Basin Elevations
Temporary pool elevation
270.00 fmsl
Type of bioretention cell (answer "Y" to only one of the two
following questions):
Is this a grassed cell?
Y_ (Y or N)
OK
Is this a cell with trees/shrubs? ,.
„' .,N ,„ - ,: , (Y or N)
Planting elevation (top of the mulch or grass sod layer) I
. , , , . 269 fmsl
Depth of mulch I r'
' '= "';.4 inches
OK
Bottom of the planting media soil '
266 fmsl
Planting media depth
3 ft
Depth of washed sand below planting media soil
— A33 f1
Are underdrains being installed?
N (Y or N)
How many clean out pipes are being installed? r . s
"".--'NIA
OK
What factor of safety is used for sizing the underdrains? (See I
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
0 ft
the bottom of the cell to account for underdrains
Bottom of the cell required
265,67 fmsl
SHWT elevation
266 fmsl
Distance from bottom to SHWT
5.67 ft
OK
Internal Water Storage Zone (IWS)
Does the design include IWS
N (Y or N)
Elevation of the top of the upturned elbow
, fmsl
Separation of IWS and Surface
269 ft
Planting Plan
Number of tree species
0
Number of shrub species `
'3
Number of herbaceous groundcover species
-.3
OK
Additional Information
Does volume in excess of the design volume bypass the
y (Y or N)
OK
bioretention cell?
Does volume in excess of the design volume flow evenly distributed!
through a vegetated filter?
Y , , (Y or N)
t.
OK
What is the length of the vegetated filter?
_ 3 ft
Does the design use a level spreader to evenly distribute flow? N,.. (Y or N) Show how flow is evenly distributed.
Is the BMP located at least 30 feet from surface waters (50 feet if
Y' . „
(Y or N)
OK
SA wafers)?
Is the BMP located at least 100 feet from water supply wells? Y
(Y or N)
OK
Are the vegetated side slopes equal to or less than 3:1? Y , .
(Y or N)
OK
Is the BMP located in a proposed drainage easement with access Y
(Y or N)
OK
io a public Right of Way (ROW)?
Inlet velocity (from treatment system) t
1 ft/sec
OK
Is the area surrounding the cell likely to undergo development in N
(Y or N)
OK
the future?
Are the slopes draining to the bioretention cell greater than 20%? N
(Y or N)
OK
Is the drainage area permanently stabilized? Y'
(Y or N)
OK
Pretrantment Used
(Indicate Type Used with an "X" in the shaded cell)
Gravel and grass
X
(811nches gravel followed by 3-5 h of grass)
Grassed swele
OK
Forebay
Other
Form SW401-Bioretent?en-Rev.B
-- P-i. i .-i a n-1

Permit No!
(to be assigned by DWQ)
III;';REQUIRED�ITEMS`CHECKLIST .v
a. 4
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package
will result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided
to indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Pagel Plan
Initials Sheet No.
1. Plans (1" - 50' or larger} of the entire site showing:
Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Cell dimensions,
Pretreatment system,
High Flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement.
YSX _ _ C - 2. Plan details (1" = 30' or larger) for the bioretention cell showing:
Cell dimensions
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Design at ultimate build -out,
Off -site drainage (if applicable),
Clean out pipe Locations,
Overflow device, and
Boundaries of drainage easement.
Indicate the P-Index between 10 and 30
5eA
3. Section view of the bioretention cell (1" = 20' or larger) showing:
Side slopes, 3:1 or lower
Underdrain system (if applicable), and
Bioretention cell layers [ground level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, fitter fabric (or choking stone if applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure]
SOti SS
4. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
Rcfo*-T
results of the soils report must be verified in the field by DWQ, by completing 8 submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information. All
elevations shall be in feet mean sea level (fmsl). Results of soils tests of bath the planting soil and the in
situ soil must include:
Soil permeability,
Soil composition (% sand, % fines, °% organic), and
- P-index.
YS L —Jb i_
S. A detailed planting plan (V = 20' or larger) prepared by a qualified individual showing:
L _J o 2
A variety of suitable species,
Sizes, spacing and locations of plantings,
Total quantity of each type of plant specified,
A planting detail,
The SOUTGe FlU Sery for the plariis, and
Fertilizer and watering requirements 10 establish vegetation.
`(l. _ Y� i'e I'� Ut
6. A rnnstrurtlor sequence that shows how the b'oretertioe cell .-ail! be protected from Gedlmcnt u. ,il the
entire drainage area is stabilized.
LZ_ NCU.CDt-DThe supporting calculations (including underdrain calculations, if applicable).
G81f_C S .
Y', Y �
8. A copy of the signed and notarized inspection and maintenance ([&M) agreement.
`(5Yto/A
9. A ropy of the deed restriction.
-V_SU$MtTT_Ee_ r—A*1LI -k
Form SW401-13ioretention-Rev.7 pan 111 os 1 r, -

DWQ USE ONLY
Date Received
Fee Paid Permit Number
f5_05 0 toZZ S�c�Zo36s
Applicable Rules: ❑ Coastal SW - 1995 ❑ Coastal SW - 2008 ❑ Ph Il - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form nray be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
3Td Brigade Combat Team Complex, Brigade Headquarters
2. Location of Project (street address):
Fort Bragg, North Carolina
City:Fayettville County:Cumberland Zip:28307
3. Directions to project (from nearest major intersection):
From the intersection of All American Expo and Longstreet Road, west on Longstreet Road to north on Bigler
Street, to parking lot of HaII of Heroes, building number A-2356.
4. Latitude:35° 08' 88" N Longitude:-79° 01' 48" W of the main entrance to the project.
3GI E' S+'` -79 f' Z f"
II. PERMIT INFORMATION: V
1. a. Specify whether project is (check one): ®New ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit numberN/A , its issue date (if known)N/A , and the status of
construction: ®Not Started ❑Partially Completed* ❑ Completed* 'l)rouide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, N/A and the previous name of the project, if different than currently
proposed, N/A
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major
®Sedimentation/Erosion Control: 2.66 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.lf any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
N/A
Form SWU-101 Version 07Jun2010 Page 1 of 6

Ill. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization: Directorate of Public Works (DPW)
Signing Official & Title:Mr. David Heins, Environmental Division Chief (DPW)
b.Contact information for person listed in item la above:
Street Address:2175 Reilly Road Stov A
City:Fort Bragg State:NC Zip:28310-5000
Mailing Address (if applicable):2175 Reilly Road Stop A
City:Ft. Bragg State:NC Zip:28310-5000
Phone: (910 ) 396-8207Fax: (910 ) 907-2420
Email:david.a.heins.civ@mail. mil
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official & Title:
b.Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City:_
Phone:
Email:
State: Zip:
State:
Fax: f 1
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization: Mr. Lee Ward
Signing Official & Title: DPW /Water Management Branch
b.Contact information for person listed in item 3a above:
Mailing Address:Bldg 0-9125, McKellars Road _
City:Fort Bragg T State:NC Zip:28310
Phone: (910 ) 396-2301 Fax: (910 ). 907-2420
Email:lee.p.ward.civOmail.rnil
4. Local jurisdiction for building permits: N/A
Point of Contact: Phone #:
Farm SWU-101 Version 071un2010 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Bioretention basins will be used to address stormwater quality and EISA 2007 Section 438 requirements. An
underground detention basin will address the develped site peak discharge rates to bring them down to
predeveloped rates.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the
4. Total Property Area: 2.66 acres
River basin.
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area:-O. acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area': 2:66 2.2, acres
Total project area shall be calculated to exclude thefollowing: the normal pool of impounded structures, the area
between the batiks of streams and rivers, the area below the Normal Hig h Wafer (NHW) line or Meats Nigh Water
(MHIN) line, and coastal wetlands lanidward from the NNW (or MA line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landzoard of the NHW (or MHVO lime nrray
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = (f %
9. How many drainage areas does the project have?2 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole properhj area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below. 0- -6 -T. k Cr Vk l8— Z3. Z 7
Basin Information
Drainage Area 02
Drainage Area 05
Drainage Area _
Drainage Area
Receiving Stream Name
Cape Fear
Cape Fear
Stream Class *
C
C
Stream Index Number *
C
C
Total Drainage Area (so
29,336
24,535
On -site Drainage Area (sf)
29,336
24,535
Off -site Drainage Area (so
0
0
Proposed Impervious Area** (SO
17,784
15,906
% Impervious Area`* total
60.6
64.8
Impervious- Surface Area
Drainage Area 02
Drainage Area 05
Drainage Area _
Drainage Area
On -site Buildings/Lots (so
11,785
9,459
On -site Streets (so
0
0
On -site Parking (so
0
0
On -site Sidewalks (so
3,238
3,742
Other on -site (so
0
Future (so
0
0
Off -site (so
0
0
Existing BUA*** (so
2,761
2,705
Total (sf): 1
17,784
1 15,906
* Stream Class and Index Number can be determined at: lift 7: 7ortal.ricde)ir.or )eb js cstn classi icationns
Form SWU-101 Version 07Jun2010 Page 3 of 6

* lntpervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
*** Report only that amount of existing B UA that will remain after development. Oo not report any existing BZIA that
is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. N/A
Proiects in Union Count Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that ma-v be subject to more stringent stormwater requirements as per NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each 13MP specified for this project. The latest versions of the forms can be downloaded
from http://portal.ncdenr.org/webZwq/ws/`­subm -manual.
VL SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items Iisted below. A detailed application instruction sheet and BMP
checklists are available from http.__////portal.ncdenr.org1web/wqf ws/su/statesw/forms_docs. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http`//portal.ncdennorg/web/w=q/ws/su/mat .)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from htt ortal.ncdennor web wq /ws/su/statesw/ forms does.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part V11 below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
ligp://www.envhelp.org/pages/onestopexpress.htmi for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within % mile of the site boundary, include the'/2
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify aII surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
Form SWU-101 Version 07Jun2010 Page 4 of 6

m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify _
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: N/A Page No: N/A _
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item Ia, 2a, and/or 3a per NCAC 21-1.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
littp://www.secretary.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
http://portal.ncdenr,org/web/wq/ws/su/statesw/forms_docs. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot.
Vill. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:Mr. Yeznik S. Yeretzian, PE
Consulting Firm: Barge Waggoner Sumner & Cannon, Inc._
Mailing Address:8280 Yankee Strett
City:Dayton
Phone: [phone]
Email:nick.yeretzian®bwsc.tiet
State:Ohio
Zip:454S8
Fax: 937 438,0379
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, items 2 has been filled out, complete this
section)
1, (print or type name of person listed in Contact Information, items 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) with (print or type name of organization listed in
Contact Information, items 1a) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Form SWU-101 Version 07Jun2010 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: Date:
a Notary Public for the State of , County of
do hereby certify that
before me this _ day of
personally appeared
_ and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type ?taste of person listed in Contact Information, item In) David Heins ,
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 21-1.1000, SL 2006-246 (Ph. 11 - Post Construction) or SL 2008-211.
Signature: Date:
a Notary Public for the State of
do hereby certify that
County of
personally appeared
before me this _ day of and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
Fonn SWU-101 Version 07Jun2010 Pale 6 of 6

�* huj�eroious area is defined its the built upon area including, but not limited to, buildings, roads, parking areas,
sirii.7oalks, gravel areas, etc.
*** Report only that aniount of existing BUA that will remain after developrrrent. Do not report any existing BLIA that
is to be removed and Which will be replaced ty new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. N/A
Projects in Union County: Contact DiYQ Central Office staff to check if the project is located within a 7hrealened &
Endangered Species ti,atershed that may he subject to more Stringent stornni,ater requirements rrs per NCAC 02B . 0600
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BM specified for this project. The latest versions of the forms can be downloaded
fronilittki:/ / portal.ncdenr.org/ web/ w ws su bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from littp://portal.ncdenr.org/web/wq/ws/su/statesw/forms does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http://L)ortal.nc(lenr.org/web/wcl/ws/su/mar)s.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms does.
Initials
1. Original and one copy of the Storm water Management Permit Application Form. ` -&
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
F ' 'I P t l/!lt °d r.
orm. (rf requrrer an, s per ar ozn)
3. Original of the applicable Supplement Fornt(s) (sealed, signed and dated) and O&M
`i.S Y
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
littp:Z/www.eiiviieiL).orgZpages/onestol2exl2ress.littiiI for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
"(Sir
the project. This is required in addition to the brief summary provided in the Project
Information, item 1. ,
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
YS f
receiving stream drains to class SA Waters within 1/2 mile of the site boundary, include the
mile radius on the map.
7. Sealed, signed and dated calculations.
'10Y
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
C. Location map with named streets and NCSR numbers.
d. Legend,
e. North arrow.
f. Scale.
g. Revision number and dates.
11. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MI-IW or NI-lW line of tidal
waters, and any coastal wetlands landward of the Ml-IW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MI-IW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
horn SWU-101 Version 07Jun2010 Page 4 of 6

m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify YS
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"xlI" copy of the NIZCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verifij the SHWTI7rior
to saahtnittal, [phone].)
10, A copy of the most current property deed. Deed book: N/A Page No: N/A N/ A
11. For corporations and limited liability corporations (LI.C): Provide documentation from the NC
Secretary of Stale or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 21-1.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http: / / www.secretary.state.nc.usCnrpo_r_,itioiis/CSe,ircli.aspx
V11. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
http://portal.ncdennorg/web/ wq/ws/su/statesw/forms does. Download the latest versions for each submittal.
'In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
,that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or first (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:Mr. Yeznik S. Yeretzian PE
Consulting Firm: Barge Waggoner Sumner &Cannon, Inc. _
Mailing Address:8280 Yankee Strett
City:Dayton - State:OhioLip:45458
Phone: (937 ) 428.5249
Email:[e-mail]
Fax: (937 ) 438.0379 _
IX. PROPERTY OWNER AUTHORIZATION (if Contract Inforltintlon, item 2 has been filled oast, coanplete this
section)
1, (print or hjpe name of person listen ill Contact Inforanatiou, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type nra)ne (f person
listed in Contact information, item 1n) with (print or type naaaae (f organization listed in
Contact Iaaforaaaatiox, item 1 a) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
form SWU-101 Version 07.1un2010 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature:
a Notary Public for the State of
do hereby certify that
before me this day of
Date:
County of
personally appeared
and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expi
X. APPLICANT'S CERTIFICATION
1, (print or type name of person listen in Contact Information, item In) David Heins
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicabl stormwater I[ tl�y er 15A NCAC 21-1 .1000, SL 2006-246 (Ph. 11 - Post Construction) or SL 2008-211.
I I // 'J C
Signatu re:
I,
a Notary Public for the State of
do hereby certify that
Date: ZZ-6 /Z-
County of
personally appeared
before me this _ day of , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAT.
My commission expl
Form S W U-101 Version 07Jun2010 Page 6 of 6