SW7050101_CURRENT PERMIT_20050106

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW Z&?5OID�
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
SvI 6'P
YYYYMMDD

MAR.29.2005 10:24AH NCDENR bIIRO N0.808 P.7
State of lvOrtn c,=Li<na
ram, • T-,�;, ;- partment of Environment and Natural Resources ORIGIML
Division of Water Quality tl
4461WWATER MANAGEMENT PERMIT APPLICATION�FORM
This form may he photoeopled for use as an original
GENERAL INFORMATION ..',',�; 6 � SUS
1, Applicants name (specify the name of the corporation, individual. etc. who owns LhMj ). �
2. Print Owner/Signing Official's name,and title (person legally responsible for facility and compliance)'
3. Mailing Adt e," p,�,•son listed in item 2 above:
_ pca IS-06g
City: :�J z"Li R e e State: N C- zip:_ a 874�- 6
Telephone Number: f ZC,'7 17 l - 6 -
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
,5pecciif}l-caatiions, lett
ers, operation and maintenance agreements, etc.):
5. Locatian of Project (street address):
City: County: r-�
G. Directions to project (from nearest/major intersection):
� `ke. 0 f— !`� ..�7� f 'erg �� aV` ^1 /�V�
Ir 10. k I a P.J Ted
�Sa6 S &iu.
7. Latitude: ° 4 r�� Longitude: � ��G f � � �� of project
B. Contact person who can answe estions about the Oroject:
Name:. rS }/. _ r!_ Telephone Number: (-2S-Z
IL PERMIT INTORMATION:
1. Specify whether project is (check Brie): +./" New Renewal _„_Modification
Farm SWU-141 Version 3.99 Page 1 of 4

MAR.29.2005 18:24Ari NCDENR kIRO
NO.908 P.9
2, If this applications is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number and its issue date (if known) _
3. Specify the type of project (chec
k a ):
Low Density hDensity Redevelop �e>zeral Permit tither
4. Additional Project Requu•erna is (check applicable blanks):
„_CAMA Major �✓5edimentation/Erosion Control ,404/401 Permit _NPDES Stormwater
Information on required state permits can he obtained by contacting the Customer Service Center at
1-877.623.6748.
IIY, PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater managem nt for the. project
ice, a_` '' l�Q4 �r�,zt IndI I % UeC0 L1I�I
2. Stormwater runoff from this project drains to the /Y,-� River basin,
3, Total Project Area: I, ' l t 0 acres 4. Project Built Upon Area: 6 �v %
5, How many drainage area$ does the project have? r
6, Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
Basin Information
Drainage Area I
Drainage Area 2
Receiving Stream Name
Receiving Stream Class
Drainage Area
�- Ito < c-,
Usting Impervious* Area
d
Proposed ImperviousArea
/ 25V 0S4 On,--0
% Inn ervious' Area (total)
- 1
Impervious" Surface Area
r Drainage Area 1
Drainage Area 2 _.
On -site Buildings
?-p
On -site Streets
On -site Parking
On -site Sidewalks
Other on-siteOff-site
- o
Total:
Total:
Impervious area is defined as the bulb upon ared including, but nor 11mited to, buildings, roads, parking areas.
sidewalks, grawJ areas, etc,
Form SWU-101 Version 3.99 Pagc 2 of 4

MAP-29.2005 10:24AN HrF)Ef'lR WIRI-)
MO.80e F.'9
7. How was the off -site impervious area listed above derived?
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective eovenanrs are required to be recorded for all
subdivisions, outpatei is and future development prior to the sale of any lot. If lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment.
1. The follm►6ag covenants are intended to ensure ongoing compliance with state srarmwater management permit number
as Issued by the Division of Water Quality. These covenants may not be
changed or deleted without the consent of the State.
2. No more than _ _ square feet of any lot shall be covered by structures or Impervious materials,
Impervious materials include asphalt, gravel. concrete, brick, stone, slate or similar material but do not include wood
decking or the water surfece of swimming pools.
3. 5wales shall not be filled in, piped, or altered except as necessary to provide driveway crossings,
4. Built -upon arcs in excess of the permitted amount requires a states rormwater management permit modification prior to
construction.
5. All permitted runoff" from outparcels or future development shall be 41rected into the permitted srormwater control
system. These connitrions to the stormwater control system shall be performed in a manner that maintains the integrity
and performance of the sysrem as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants fbt this project
shall include all the applicable Items required above, that the covenants will be binding ofi all parties and persons
claiming under them, that they will run with 1 he land, that the required Covenants cannot be changed or deleted
without concurrence from the State, and that they will be recorded prior to the sale or any lat.
V. SUPPLEMENT FORMS
The applicable state srarmwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Strirmwater and General Permits Unit at [phone] for the status
and availability of these forms.
Form SVVV-10Z
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-105
Curb Outlet System Supplement
Farm SWU-lob
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Foam SWU-101 Version 3.99 Page 3 of 4

HAR.29.2005 10:24AN NCDEHR WIRO
-VI, SUBMITTAL REQU[RF-MENTS
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, The complete application package should be
submitted to the appropriate DWQ Regional Office.
Please indicate that you have provided the following required information by initial
next to each item
• Original and one copy of the Stormwalef Management Permit Application Form
• One copy of the applicable Supplement Form(s) for each BMP
Permit application processing fee of $420 (payable to NCDENR)
+ Detailed narrative description of stotmwater treatment/management
• Two copies of plans and specifications, including:
- Development/Project name
- Engineer and firm
- Legend
North aXrnw
- Scale
• Revision number & date
Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR pumpers
- Original contours, proposed contours, spot elevations, Finished floor elevations
Details of roads, drainage features, collection systems, and stormwater control measures
Wetlands delineated, or a note on plans that none exist
Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
• Vegetated buffers (where required)
VU. AGENT AUTEIORXZATiON
If you wish to designate authority to another individual or firm so that they may provide Information on your
behalf, please complete this section.
Designated agent (individual or firm):_ "J,3 k ..' (gyp. A0 wA-V, L�_iv�l_►,�, Rea= f M
Mailing Address: 4 X f D .-,--
Cary:_ zip:SG a
Phone: Z
l "-r -Z 0'7 Z- "I Fax:
XLVn R L "a 1 +ti a ",-4 S '? t-� rid a a
VIII. APPLICANT'S CERTIFICATION
I, (priAt or rype name ofpe!'SGn listed in General Information, item 2) M ` N"
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 15A
NCAC 2H A 000. 1 ,
A,
Signature:
Fonn SWU-101 Version 3.00 Page 4 of 4
Date:_(Zlplo

' NAP,.29.2005 le:25AN NCDEI'R WIRO
N(D . 909 P . 11
WET DETF-AITION POND ANALYSIS
PALE NAME: S:IW0A1POND1SW7050101.feb05.WK1
PROJECT * SW7 SW7050101.f005 REVIEWER:
PROJECT NAME; J & H Commercial Site
DATE: 22-Feb-05
Receiving Stream: Neusej Diver Class: unable to locate
Drainage Basin'. h auge _ Index No. ?
Site Area 1.91 acres
Drainage Area ,, 'I;` ! square feet Area in Acres 1.91
IMPERVIOUS AREAS Rational C
Buildings 12800.00 square feet 1.00
Parking 42000.00 square feet 0.90
SW square feet
square feet
square feet
square feet
square feet
TOTAL i ! square feet Rational Cc= 0.68
SURFACE AREA CALCULATION
°/o IMPERVIOUS 05.86%
Des, Depth 4
TSS: 85
SAIDA Ratio 4.21 %
Req. SA 3503 sf
Prov. SA ! �I:' " sf, verified
VOLUME CALCULATION W place a "1" in the box if Rational is used
Rational ?*
1
Des. Stoma
l
I::' ;�i;' i
inches
RV=
0.643
Bottom
42.5 msl
Perm, Pool
1111111111311110 !' ; msl
Design Pool
A9 msl
Storage met @elev 47.62 msl
keq, Volume
nIN`
cf
Vol. Prov. at DP
Icf
TION
FOREBAY
Perm, pool Volume=
8500
Req. Forebay Volume-
1700
Provided Volume=
1500,00
Percent=
I
Elevation Area
Inc. Vol. Ace I.
46.50 3600.00
0.00
48.00 4795.00
6296.25 6296.25
Avg, Head =
0.73 ft
02 Area = 0,95
sq. inches
Flow 02, cfs
0.027 cfs
05 Area = 0.38
sq. inches
Flow 05, cfs
0.011 cfs
Orifice Area 0.79
sq. inches
No, of Orifices
!''I`
it
;k"
I 1
Q= 0.022
cfs
Diameter, inches
weir H x W
°
'.'
in x
p
3 �I;
o
in
Drawdown =
days
Surtace Area {c�DP =
4795 sq. ft.
Failing Head Drawdown =
4,5 days
C 3.342916667
l.= -0,146
COMMENTS
Surface Area, Volume and Orifice are vvithin Design Guidelines