SW6200501_2020-10-08 NCDEQ Medlin Submittal Pkg_20201008

Curr
ENGINEERINGL
TRANSMITTAL FORM
TO: Mr. Jim Farkas
Environmental Engineer
NC Department of Environmental Quality
512 N Salisbury Street
Raleigh, NC 27699
919-707-3646
jim.farkas(ancdenr.gov
SUBJECT: Medlin Self -Storage
CURRY PROJECT NO: 2020-010
We are sending you the following items:
DATE: October 8, 2020
SENT BY: Don Curry
COPIES
ITEM
DESCRIPTION
2 Plans
Full Sized Plans - REV - C-00, C-06
1
Letter
Original Comment Letter
1
Letter
Comment Response Letter
1
Thumb Drive
Signed REV Plans - PDF
1
Forms
Supplemental EZ Form (all sheets)
1
Thumb Drive
Supplemental EZ Form (submittal package PDF)
1
Application 1
SWU 101 Application (hard copy)
1
Application SWU 101 Application (PDF)
These are transmitted as checked below:
For Information
As Requested
x For Review and Comments
For Revision
x For Approval
Approved
I:»u/e1:1:�111
Approved as Noted - Revise and Resubmit
Not Approved - Revise and Resubmit
For Record and File
Submittal
For Recording
For Signature, then return to.,
T [phone] 205 S. Fuquay Avenue
F (9191 552-2043 Fuquay-Varina, NC 27526
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Don urry
From:
Farkas, Jim J <[e-mail]>
Sent:
Thursday, August 13, 2020 3:40 PM
To:
Don Curry
Cc:
Andy Petty
Subject:
SW6200501 - Medlin Self -Storage
Don,
I was looking over the additional information you provided on July 21, 2020. Everything looks good except for a few
small issues:
Please correct the following:
- Original Comment 7, Wetland Delineation —The provided wetland determination is acceptable, however we
require that a note be placed in the main set of plans (Typically on the tile sheet, a note sheet, or existing site
conditions sheet). The note should read something like the following:
o "No wetlands were observed on the property. Environmental investigation was conducted by Scott
Mitchell, PE, LSS of Mitchell Environmental, PA on August 5, 2020" or something to that extent. Feel free
to re-word/modify as needed.
- Original Comment 15, Forebav entrance/exit depth — The "Entrance" of the forebay is the distance from the
permanent pool surface elevation to the bottom of the forebay near the inlet pipe and the "Exit" is the distance
from the permanent pool surface elevation to the bottom of the forebay near the weir into the main pool. The
contours clearly show that the entrance is deeper than the exit, however it is not as clear on the cross -sectional
view since only one forebay bottom elevation is shown. Please label the forebay entrance depth and the forebay
exit depth on the pond cross-section. NOTE: The minimum six-inch sediment storage depth must be maintained
over both the forebay entrance and exit. Based on the forebay sediment storage top elevation of 305 ft, the
forebay exit elevation must be at or below 304.5 ft and the forebay entrance elevation must be below the
forebay exit elevation (Based on the contours, the forebay entrance appears to be at elevation 304 and the exit
appears to be at elevation 304.5).
- Original Comment 17-b-ii-3, Line 19 of Drainage Area Column 1— Based on the provided calculations, it appears
as though the Simple Method was used to determine the design volume of the proposed Wet Pond. If this is
correct, please change this item to "Simple".
- Original Comment 17-c-v, Line 31— Since Equation 3 was used to determine the average depth of the proposed
Wet Pond, please include the width of the submerged portion of the vegetated shelf (Based on the
calculations/plans, this value appears to be 3 ft).
- Original Comment 17-c-viii, Line 44—The depth of the forebay at the exit is the distance from the permanent
pool (Elevation 308) to the forebay exit elevation (Appears to be at elevation 304.5 per the contours), expressed
in inches.
- New Comments:
o General —The on -site drainage areas that bypass the proposed Wet Pond do not need to be
included/accounted for in Section IV, 9, Section IV, 10, or the Drainage Areas Sheet of the Supplement-
EZ Form (It was appreciated though as it clarified the on -site BUA allocation). With your permission,
will cross-out/correct these items in red pen on the pages I already have. If this is not satisfactory,
please provide revised Application pages and Supplement-EZ pages.
o Supplement-EZ Form, Wet Pond Page, Line 34 —The cleanout depth of the forebay is the distance from
the permanent pool elevation (308 ft) to the top of the forebay sediment storage (305 ft), expressed in
inches.

o Su lement-EZ Form Wet Pond Page, Line 42— Berms and baffles do not appear to be included in the
design.
Please provide the following:
2x hard copies of the revised plan sheet that includes the wetland determination note.
2x hard copies of revised plan sheet C-06 (With forebay entrance/exit clarification).
- 1x full electronic copy of the revised plan set, uploaded to Laserfiche.
- 1x hard copy of the revised Drainage Areas page of the Supplement-EZ Form.
1x hard copy of the revised Wet Pond page of the Supplement-EZ Form.
- 1x full electronic copy of the revised Supplement-EZ Form, uploaded to Laserfiche (NOTE: The Supplement-EZ
Form does not require a new signature, but you are free to provide one).
- Optional —1x hard copy of revised page 3 of the Application.
Optional —1x full electronic copy of the Application, uploaded to Laserfiche.
Since these are really minor things, once I get the hard copies, anything else that may have changed from addressing
these issues, and the documents are uploaded to Laserfiche (Provided everything is still in order), we can issue the
permit without doing another formal 30-45 day review.
Laserfiche upload link: https.//edocs.deg.nc.pov/FormslSW- Project _Submittal
Let me know if you have any questions.
Jim Farkas
Environmental Engineer
North Carolina Department of Environmental Quality
Division of Energy, Mineral, & Land Resources — Stormwater Program
512 N. Salisbury Street
1612 Mail Service Center
Raleigh, NC 27699-1612
[phone]
Jim. Farkas,w, ncdenr. g,ov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time.

Curr
ENGINEERING
October 8..2020
Mr. Jim Farkas
Environmental Engineer
NC Department of Environmental Quality
512 North Salisbury Street
Raleigh, NC 27699-1612
RE: Dennis & Sheri Medlin
Open Shelf Storage Facility — 2ND Submittal
Dear Jim:
The purpose of this letter, is to respond to your review comments dated August 13, 2020, for the above
referenced project. Your comments and corresponding responses are summarized below:
Division of Energy, Mineral and Land Resources
1. Original Comment 7, Wetland Delineation — The provided wetland determination is
acceptable, however we require that a note be placed in the main set of plans (Typically on
the tile sheet, a note sheet, or existing site conditions sheet]. The note should read
something like the following:
o "No wetlands were observed on the property. Environmental investigation was
conducted by Scott Mitchell, PE, LSS of Mitchell Environmental, PA on August 5,
2020" or something to that extent. Feel free to re-word/modify as needed.
This note has been amended to add the name and date of the investigation. See C-00,
note #17.
2, Original Comment 15. Forebay entrance/exit depth —The "Entrance" of the forebay is the
distance from the permanent pool surface elevation to the bottom of the forebay near the
inlet pipe and the "Exit" is the distance from the permanent pool surface elevation to the
bottom of the forebay near the weir into the main pool. The contours clearly show that the
entrance is deeper than the exit, however it is not as clear on the cross -sectional view since
only one forebay bottom elevation is shown. Please label the forebay entrance depth and the
forebay exit depth on the pond cross-section. NOTE: The minimum six-inch sediment
storage depth must be maintained over both the forebay entrance and exit. Based on the
forebay sediment storage top elevation of 305 ft, the forebay exit elevation must be at or
below 304.5 ft and the forebay entrance elevation must be below the forebay exit elevation
(Based on the contours, the forebay entrance appears to be at elevation 304 and the exit
appears to be at elevation 304.5).
The section has been revised to show both the entrance and exit elevations. Notes have
been added to aid in understanding the difference between the entrance and exit
Portions of the forebay.
T 1919)552-0849 205 S.Fuquay Avenue
F (9191 552-2043 Fuquay-Varina, NC 27526
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3. Original Comment 17-b-ii-3 Line 19 of Drainage Area Column 1 - Based on the provided
calculations, it appears as though the Simple Method was used to determine the design
volume of the proposed Wet Pond, If this is correct, please change this item to "Simple",
This has been changed to simple.
4. Original Comment 17-c-v, Line 31 - Since Equation 3 was used to determine the average
depth of the proposed Wet Pond, please include the width of the submerged portion of the
vegetated shelf (Based on the calculations/plans, this value appears to be 3 ft).
This has been changed to 3'.
5. Original Comment 17-c-viii, Line 44 - The depth of the forebay at the exit is the distance
from the permanent pool (Elevation 3081 to the forebay exit elevation (Appears to be at
elevation 304.5 per the contours), expressed in inches.
This has been changed to 42".
New Comments:
6. General - The on -site drainage areas that bypass the proposed Wet Pond do not need to be
included/accounted for in Section IV, 9, Section IV, 10, or the Drainage Areas Sheet of the
Supplement-EZ Form (It was appreciated though as it clarified the on -site BUA allocation).
With your permission, I will cross-out/correct these items in red pen on the pages I already
have. If this is not satisfactory, please provide revised Application pages and Supplement-EZ
pages.
Yes, please do that. Thanks.
7_ Supplement-EZ Form, Wet Pond Page, Line 34 - The cleanout depth of the forebay is the
distance from the permanent pool elevation (308 ft) to the top of the forebay sediment
storage (305 ft), expressed in inches.
This has been changed to 36".
Supplement-EZ Form, Wet Pond Page, Line 42 - Berms and baffles do not appear to be
included in the design.
Correct. This has been revised on the form.
Please provide the following:
0 2x hard copies of the revised plan sheet that includes the wetland determination
note.
0 2x hard copies of revised plan sheet C-06 (With forebay entrance/exit clarification).
0 Ix full electronic copy of the revised plan set, uploaded to Laserfiche.
0 1 x hard copy of the revised Drainage Areas page of the Supplement-EZ Form.
0 1 x hard copy of the revised Wet Pond page of the Supplement-EZ Form.
0 1 x full electronic copy of the revised Supplement-EZ Form, uploaded to Laserfiche
(NOTE: The Supplement-EZ Form does not require a new signature, but you are
free to provide one).
0 Optional - 1x hard copy of revised page 3 of the Application.
0 Optional - 1 x full electronic copy of the Application, uploaded to Laserfiche.
Hard copies are being included in the hard copy submittal to your office. All electronic
copies have been uploaded to the referenced site.

Feel free to contact me with any questions or concerns regarding this project.
Sincerely,
The Curry Engineering Group, PLLC
Donald Curry, PE
President

SUPPLEMENT-EZ COVER PAGE
FORMS LLIADF.D
PROJECT INFORMATION -_
1 Project Name Medlin Self Storage
2 Project Area (ac). 9.59
3 Coastal Wetland Area{ac); _ _ U
4 Surface Water Ar0.
5 .is this project High or Low'f3ansity? _High__
6 Does this project use an off -site SCM? No
:OMPLIANCE WITH 02H.1003(4). _
7 :Width of vegetated setbacks provided (feet) _ NIA ..-
8 Will the vegetated setback remain vegetated? No
9 Is BUA other that as listed in .1003(4)(c-d) out of the setback? No _
10 Is streambank stabilization proposed on this project? No
(NUMBER AND TYPE OF SCMs:
11 Infiltration System
12 Bioretention Cell
13 -Wet Pond
0
0
1
14 Stormwater Wetland
15 Permeable Pavement
16 Sand Filter
17 1Rainwater Harvesting RWH
0
0
0
0
18
!Green Roof
0
19
!LevelSpreader-Filter Stri(1S-FS)
0
20
Disconnected Im ervious Surface (DIS)
0
21
Treatment -Swale
0
22
Dry Pond
0
23
IStormFilter
0
_
Silva Cell
0
V2624
25
Bavfilter
0
Filterra
0
FORMS LOADED
DESIGNER CERTIFICATION
27
28
'Name and Title:
1 Organization:
Don Curry,PE / President
Curry.Engineering Group, PLLC
29
Street address:
205 S. Fuquay Avenue
30
City, State zip:
Phone numbers :
Email:
_
Fuquay-Varina. NC 27526
919-552-0849
[e-mail]
31
32
Certification Statement:
I certify, under penalty of law that this Supplement-EZ form and all supporting information were prepared under my direction or
supervision; that the information provided in the form is, to the best of my knowledge and belief, true, accurate, and complete; and that
the engineering plans, specifications, operation and maintenance agreements and other supporting information are consistent with the
information provided here.
dim/
Signature of Designer
ia�e n cz7 8, 2aZo
a7
Date

DRAINAGE AREAS
1 Is this a h hjg dansi erect? Yes
2 If se, number of drainage BreaslS W 5
Is all/part of this project subject to previous rule
3:versions? No
FORMS LOADED
DRAINAGE AREA INFORMATION
Entire Site
1
Wet Pond
234110 sf
234110 sf
sf
sf
1 2-
3
4
4 Type of SCM
5 Total BUA in project (sq ft)
_ _ S_umm_ary
241080 sf
241080 sf
Bypass ?
sf
____ By ap ss 3
4356 sf
4356 sf
Bypass 4
2614 sf
2614 sf
_
New BUA on subdivided lots (subject to permitting)
6 (sq ft)
sf
New BUA outside of subdivided lots (subject to
7 permittin s
sf
sf
sf
sf
B Offsite - total area (sq ft)
sf
sf
sf
sf
9 Offsite BUA (sq ft)
sf
sf
sf
sf
sf
10 -Breakdown of new BUA outside subdivided lots:
Parkin sq ft)
124233 sf
124233 sf
Sidewalk (sq ft)
_-
Roof (s_g ft
Roadway s ft)
48711 sf
48711 sf
Future (sq ft)
68136 sf
61166 5f
4356 sf
2614 sf
Other, please specify in the comment box
below (sq ft)
New infiltrating permeable pavement on
11 subdivided lots (sq ft)
sf
New infiltrating permeable pavement outside of
12 subdivided lots (sq.ft)
sf
Exisitng BUA that will remain (not subject to
13 permitting) (sft)
sf
14 Existing BUA that is already permitted (sq ft
sf
15 Existino BUA that will he removed s.q ft
sf
16 Percent BUA
58%
66%
0%
37%
8%
17 Design storm (inches)
N/A
1 in
N/A
N/A
N/A
18 1Design volume of SCM cu ft)
_
N/A
19343 cf
N/A
N/A
NIA
19 'Calculation method for design volume
N/A
imple
N/A
N/A
N/A
ADDITIONAL_ INFORMATION
Please use this space to provide any additional information about the
20 drainage area(s):
Drainage area includes BUA allocation for future development

WET POND
�— 1 Drainage area number
# j
2 Design volume of SCM (cu ft)
19343 cf li
6iLr u_ N11c FRGl11:om -i .i -
i
3 Is the SCM sized to treat the SW from all surfaces at build -out?
No
4 Is Ilre SCM located away from rrorrtaminated suds?
Yes
5 oaaf are the side slopes of the 5cfN (H:V)?
3:1
Does the SCM have retaining walls, gapion wails or other engineered
61side slopes?
No
Are the intels, outlets, and receiving stream protected from erosion
7.(10-year storm)?
Yes
is there an overflow or bypass for inflow volume in excess of the
8 design volume?
Yes
9 What is the method for dawatong the SCM for maintenance?
Pump (preferred)
10 If applicable, will the SEM be cleaned out after construction?
Yes
11 Does the mattitenance access comply with General MDC (8)?
Yes
121 Does the drdinage easenlant comply with General MDC (9)?
Yes
If the sCM is on a:sinil e fatuity lot, does (Will?) the plat comply with
13 General MDC (10)?
14 Is there an O&M Agreement that complies with General MDC (11)?
L Yes
15 is were an O&M Plan !halt compiles with General MDC (12)?
Yes
15 Does the SCM lotlow the device specific MDC?
Yea
17 Was the SCM designed by an NC licensed prafe5slonal7
Yes
WET POND MDC FROM 02H ,1053
18 Method used
I SAIDA
19 Has a stage/storage table been provided in the calculations?
Yes
Elevation of the excavated main pool depth (bottom of sediment
20:removal) (fmsl)
302;50
i
21 !Elevation of the main pool bottom -(top of sediment removal) (fmsl)
303.00
22 Elevation of the bottom of the vegetated shelf "ll
307.50 —
23 Eieva`ilnnof the permanent pool (f nSij
308.00
24: Ftevatlon of the top of the vegetated shelf (imsl)
308.50
25; Elevation of the temporary pool (fmsl)
309.25
26' Surface area of the main permanent pool (square feel)
9953:1
27 Volume of the main permanent pool (cubic feat)
32659 cf
28: Average depth of the main pouf (feet')
3.84 ft
29 Average depth equation used
Equation 3
30: If using equation 3, main pool perimeter (feet)
5N.1Y ft
91 ' If using equation 3, width of submerged veg. shelf (feet)
3.0 ft
32. Volume of the forebay (cubic feet)
5854 cf
33 Is this 15-209/. of the volume in the main pool?
Yes
34 Clean -out depth For forebay (inches)
36 in
35 Design volume of SCM (cu ft)
19343 cf
361, Is the outlet an orifice or a weir?
Orifice
37 If orifice, orifice diameter (inches)
2 in
381 If weir, weir height (inches)
N If weir, weir length (inches)
_
401Drawdown time for the temporary pool (days)
3.3
Are the Irdet(s) and outial iocalad he manner that avoids short-
41, circuiting?
Yes
421 Are berms or baffles provided to improve:lhe flow path?
No
43! Depth of forebay at entrance (inches)
48 in
44 Depth of forebay at exit (inches)
42 in
45i Does water flow out of the forebay in a non -erosive manner?
Yes
46 Width of the vegetated shelf (feet)
6 ft
47 Slope of vegetated shelf (H:V)
6:11
Does the orifice drawdown from below the top surface of the
48 permanent pool?
i. Yes
Does the pond minimize impacts to the receiving channel from the 1-
49 yr, 24-hr storm?
Yes
Are fountains proposed? (If Y, please provide documentation that
50 MDC(9) is met.)
No
51 Is a trash rack or other device provided to protect the outlet system?
Yes
52 Are the dam and embankment planted in non -clumping turf grass?
Yes
53 Species of turf that will be used on the dam and embankment
i Fescue or Centipeed
to Has a pia mmg plan oxen prUjOe(l tar ine Vegetate¢ Snell 1 T e5
ADDITIONAL INFORNIAMON.
Please use [his space to provide any additional information about the
55 wet pond(s)
Wet Pond + 5:03 PM 10/7/2020

DEMLR USE ONLY
Date Received Fee Paid Permit Number
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all tlzat 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 Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
Tlris form ntay 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.):
Medlin Self -Storage
2. Location of Project (street address):
City:An
Countv:Harnett Zip:2:501
3. Directions to project (from nearest major intersection):
From intersection of NC-55 and NC-210 head southwest for 1.3 miles.
4. Latitude:35° 29' 46" N Longitude:780 45' 27.5" W
Il. PERMIT INFORMATION:
of the main entrance to the project.
1. a. Specify whether project is (check one): ®New []Modification ❑ Renewal w/ Modificationt
tRenewals with modifications also requires SWU-102 - Renewal Application Fornz
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide 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
DEMLR requesting a state stormwater management permit application, list the stormwater project number,
if assigned, and the previous name of the project, if different than currently
proposed,
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):
❑LAMA Major
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: 6.9 ac of Disturbed Area
0404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:Seciimentntion/Erosion Control through Fayetteville Regional Office
5. Is the project located within 5 miles of a public airport? ®No ❑Yes
If yes, see S.L. 2012-200, PartVL littf+lj2ortal.ncdenr.orlZiweb/IrZrules-and-regulations
Form SWU-I0l Version Oct. 31, 2013 Page I of

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Storm drains a will be collected via ditches and enclosed pipe system to proposed Wet Pond SCM.
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 Cape Fear River basin.
4. Total Property Area: 9.59
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:9.59 acres
Total project arm sltall lie c-alcitlLatcd try rwchlde tilt following fire nornaaai pool of bnponndcd strrrctnres, fire area
behoeeat tlrc hanks of strcaurs aird rivers, the area below the Noranal Hi gln [ Vater (NHI V) line or ricer Nigh f Vater
(hlHl V) line:, anal cnastaal zoetlrnaal5 leandroard frorn tilt' NHi V (air A IHI %1) liar;. The r snitrant project aarear is rased to
calcrtlaate er+ercall percent Indit irpon area (13i /AY Non -coastal zootlands landward of flee NHII {c1r X[HlVj line saran
be inellOcil in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 57.8 %
9. How many drainage areas does the project have?4 (For higli density, count 1 for each proposed engineered
stornavater 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.
Basin Information
Drainage Area 1
Drainage Area 2
Drainage Area 3
_
Drainage Area 4
Receiving Stream Name
Neill's Creek
Neill's Creek
Neill's Creek
Neill's Creek
Stream Class *
WS-IV
WS-IV
WS-IV
WS-IV
Stream Index Number *
18-16-(0.7)
18-16-(0.7)
18-16-(0.7)
18-16-(0.7)
Total Drainage Area (sf)
356,105
16,117
11,761
33,797
On -site Drainage Area (sf)
356,105
16,117
11,761
33,797
Off -site Drainage Area (sf)
0
0
0
0
Proposed Impervious Area** (sf)
234,110
0
4,356
2,614
% Impervious Area** (total)
65.8
0
37.0
7.7
Impervious" Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area 3
Drainage Area 4
On -site Buildings/Lots (so
On -site Streets (sf)
48,711
On -site Parking (sf)
124,233
On -site Sidewalks (so
Other on -site (sf)
Future (so
61,166
4,356
2,614
Off -site (sf)
0
Existing BUA*** (sf)
0
Total (so:
234,110
0
4,356
2,614
* Stream Class and Index Nu»tber can be deteranined at: ;tttL)/1tTor tral.nceft ur.e�r�*fete[�ftt�e ps/cstrAclarssifications
Ini er+ir7ns errea is defined as the built upon area including, but not hinited to, buildings, roads, parking areas,
Sir LI-walks, gravel areas, etc.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6

'Report only that amount of existing BUA that zvill remain after development. Do not report any existing BUA that
is to be removed and which zoill be replaced by new B UA.
11. How was the off -site impervious area listed above determined? Provide documentation. measured in CAD
Projects in Union County: Contact DENILR Central Once staff to check ifthe project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 1 SA 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 BMP specified for this project. The latest versions of the forms can be downloaded
from http:llporta1.ncdenr.om/web/wq/ws/su/bmn-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
ht ortal.ncdennor web! wq/ws./su/statesw/formsdoc The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at http:1 / Rortalmcdennorg/ web/ wq/ M•s; su / maps.)
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 llq-,-.//p(irtaI.ncdenr.org/ webj w(l/ ws/su /statesw / Forms does.
itials
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 VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M G
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to�
hU://www.envhelp.org/paM/onestoR2xl2ress.htrnI for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedute the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
6. A USGS map identifying the site Iocation. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
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 all 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.
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).
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6

p. Vegetated buffers (where required),
9. Copy of anv applicable soils report with the associated SHWT elevations (Please identify
CZ9--C—
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"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration 13NIPs, the report should also
include the soil type, expected infiltration rate, and die method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DEMLP to verity the SHiVT prior
to submittal, (9I0) 7 9v-73iS.) ���
10. A copy of the most current property deed. Deed book: 3789 Page No: 0468
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of state or tither official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, ?a, and/or 3a per 15A 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.
htt ww-w.secretarv.st,ite.nc.tis'Cor orations CSearch_as lx
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 htt1211 porta1.rntdenr.orWivcbllr1state-
stormwater-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 DEMLR, 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 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:Donald L. Cu PE
Consulting Firm: The Curr - Engineering Grou2, PLLC
Mailing Address:205 S. Fuquay Ave.
City.Fuguay-Varina
Phone: ( 919 ) 552-0849
Email:[e-mail]
State:NC Zip:27526
Fax: ( 1
IX. PROPERTY OWNER AUTHORIZATION (if Cori tact Information, item 2 has been filled out, complete this
section)
I, (print or hjpe name of person listed in Contact Information, item 2a) N/A , certify that I
own the property identified in this permit application, and thus give permission to (print or hjpe name of person
listed in Contact Information, item la) with (print or type name of organization listed in
Contact Information, item la) 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 Oct. 31, 2013 Page 5 of