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HomeMy WebLinkAboutSW7120901_HISTORICAL FILE_20200129STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW��Q�i' I DOC TYPE El CURRENT PERMIT ❑ APPROVED PLANS HISTORICAL FILE DOC DATE e?Oo1C)O°� YYYYMMDD i ROY COOPER Governor MICHAEL S. REGAN Secretary S. DANIEL SMITH Director NORTH CAROLINA Envlrorunental Quality January29, 2020 Mr. Charles E. Schulz, Deputy Facilities Officer MCAS Cherry Point PSC Box 8006 Cherry Point, NC 28533 Subject: Stormwater Permit Renewal Stormwater Management Permit SW7120901 MCAS Cherry Point P -136 BEQ Craven County Dear Mr. Schulz: A Division of Energy, Mineral, and Land Resources file review has determined that Stormwater Permit SW7120901 for a stormwater treatment system consisting of an infiltration trench serving P — 136 BEQ located on 4 th Street expires on September 17, 2020. This is a reminder that permit renewal applications are due 180 days prior to expiration. We do not have a record of receiving a renewal application. Please submit a completed permit renewal application along with a $505.00 fee for permit renewal. Application forms for renewal can be found on our website at: e -I c r-uleslstorm-water:!iatoeram/D-ost-construction. North Carolina General Statutes and the Coastal Stormwater rules require that this property be covered under a stormwater permit. Failure to maintain a permit subjects the owner to assessment of civil penalties. If you have questions, please feel free to contact me at (252) 948-3923. 1 will be glad to discuss this by phone or meet with you. If you would like, I can e-mail you a copy of the application form. You can request a copy by e-mailing me at roger.thorpe@ncdenr.gov. Sincerely, ~- /ef Roger K. Thorpe Environmental Engineer LME �� North Carolina Department of Environmental Quality I division of Energy, Mineral and Land Resources Washington Regional Office 1943 Washington Square Mail I Washington, North Carolina 27889 wMr\ 252.946.6481 LT r WOW) NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman Governor Director Secretary September 17, 2012 Mr. George Radford, EA Officer MCAS Cherry Point,. EAD PSC Box 8006 Cherry Point, NC 28533 Subject: Stormwater Permit No. SW7120901 P136 BEQ High Density Project Craven County Dear Mr. Radford: The Washington Regional Office received a complete Stormwater Management Permit Application for P136 BEQ project on September 5, 2012. Staff review of the plans and specifications has determined that the project, as proposed, will comply with the Stormwater Regulations set forth in Session Law 2008-211 and Title 15A NCAC 2H.1000. We are forwarding Permit No. SW7120901 dated September 17, 2012, for the construction of the subject project. This permit shall be effective from the date of issuance until September 17, 2020, and shall be subject to the conditions and limitations as specified therein. Please pay special attention to the Operation and Maintenance requirements in this permit. Failure to establish an adequate system for operation and maintenance of the stormwater management system 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, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made this permit shall be final and binding. If you have any questions, or need additional information concerning this matter, please contact Samir Dumpor, or me at (252) 946-6481. Sincerely, Roger Thorpe Interim Regional Supervisor Surface Water Protection Section RKT/sd: K:ISDIPermits - Infiltration\SW7120901 cc: Howard Resnik, PE,_ Coastal Site Design, PC (PO Box 4041, Wilmington, NC 28406) Craven County Building Inspections /Washington Regional Office North Carolina Division of Water Quality Intemetl wwW.ncwatcr(l!!iL} org 943 Washington Square Mail Phone: 252-946-6481 One Washington, NC27889 FAX 252-946-9215 NorthCarolina An Equal OpportunifylAffirmative Action Employer — 50% Recycled/1 0% Post Consumer Paper ;Vatitr4if State Stormwater Management Systems Permit No, SW7120901 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 MCAS Cherry Point P136 BEQ Craven County FOR THE construction, operation and maintenance of one infiltration trench located, in compliance with the provisions of Session Law 2008-211 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 September 17, 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 Section 1.7 on page 3 of this permit. The stormwater control has been designed to handle the runoff from total of 217,591 square feet of impervious area. 3. The tract will be limited to the amount of built -upon area indicated in Section 1.7 on page 3 of this permit, and as shown on the approved plans. 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 50 feet landward of all surface waters. 7. The following design criteria have been provided in the infiltration trench and must be maintained at design condition: Page 2 of 7 State Stormwater Management Systems Permit No. SW7120901 INFILTRATION_ TB NCH Drainage Area, Total Impervious Surfaces, ftz: Design Storm,. inches: Trench Length ft: Trench Width, ft: Trench Height, ft: Bottom Elevation, FMSL: Bypass Weir Elevation, FMSy Permitted Storage Volume, ft : Type of Soil: Expected InfiItratio n'Rate, inlhr: Seasonal High Water Table, FMSL Time to Draw Down, days: Receiving Stream/River Basin: Stream Index Number: Classification of Water Body: II. SCHEDULE OF COMPLIANCE 293,196 217,591 1..5" 252' 67' 2.30' 19.50' 21.30' 26,408 GuA — loamy fine sand - urban 7.00 17.50' 0.06 Slocum Creek I Neuse River Basin 27-112 "SC, Sw, NSW" 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 ail times 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. Mowin.9 and revegetation of slopes and the vegetated filter. d. Immediate repair of eroded areas. e. Maintenance of all slopes in accordance with approved plans and specifications. f. Debris removal and unclogging of bypass structure, infiltration media, flow spreader, catch basins, piping and vegetated filter. g. A clear access path to the bypass 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 facilities shall be constructed as shown on the approved plans. This permit shall become voidable unless the facilities are constructed in accordance with the conditions of this permit, the approved plans and specifications, and other supporting data. 6. 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. 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 . Page 3 of 7 Skate Stormwater. Management Systems Permit No. SW7120901 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. Access to the stormwater facilities shall be maintained via appropriate easements at all times. 9. 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 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. 10. The permittee shall submit final site layout and grading plans for any permitted future areas shown on the approved plans, prior to construction. 11. A copy of the approved plans and specifications shall be maintained on file by the Permittee at all times. 12. 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 to any person or entity 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 to the Division of Water Quality, signed by both parties, and accompanied by the appropriate 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 the transfer request. 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 Page 4 of 7 State Stormwater Management Systems Permit No. SVV7120901 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 reissuance or termination does not stay any permit condition. 8. Unless specified elsewhere, permanent seeding requirements for the stormwater controls 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 2008-211, 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. This permit shall be effective from the date of issuance until September 17, 2020. Application for permit renewal shall be submitted 180 days prior to the expiration date of this permit and must be accompanied by the processing fee. Permit issued this the 17th day of September, 2012. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION /C- for Charles Wakild, PE,x irector Division of Water Quality By Authority of the Environmental Management Commission Permit No. SW7120901 Page 5 of 7 N State Stormwater Management Systems Permit No. SW7120901 P136'.BEQ Stormwater Permit No. SVV7120901 Craven County Designer's Certification 1, , 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) 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 6 of 7 State Stormwater Management Systems Permit No. SW7120901 s, 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 bypass structure weir elevation is per the approved plan. 6. The bypass structure is located per the approved plans. 7. A Trash Rack is provided on the bypass structure. 8. All slopes are grassed with permanent vegetation. 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. All required design depths are provided. 13. All required parts of the system are provided. 14. The required system dimensions are provided per the approved plans. cc: NCDENR-DWQ Regional Office Craven County Building Inspections Page 7 of 7 taWQ USE ONLY Date Received Fee Paid Ck-44,- 3 Permit dumber -r . U 0 Z611 CCO 6-1-$ I's q-C1ry , W —1 l 2 O9 O Applicable Rules: W stal SW —1995 ❑ Coastal SW — 2008 ❑ Ph 11- Post Construction select all t'iuli-Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan ❑ Other WQ M mt Plan: State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM This form nuif 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.): P136 HEO (corner of 4th and E St) 2. Location of Project (street address): 4th-St City:Cherry Point County:Craven Zip:28533-006 3. Directions to project (from nearest major intersection): From-intersecton of US 20 and NC 1Q1,Travel a t on LIC lQlappEQximately 0.21miles. Turn left t Roosevelt Drive. Travel on Roosevelt approximately 1.2 miles and turn Right onto E St. Travel approximately 0.50 miles to intersection of 4th and E St. Turn right onto 4th St. Site is located immediately on your left. 4. Latitude:34° 54' 15" N Longitude:76° 53' 52" W of the main entrance to the project. Il. PERMIT INFORMATION: 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 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 DWQ 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 ®Sedimentation/Erosion Control: 9.76 ac of Disturbed Area ❑NPDES Industrial Stormwater 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: Form SWU-l01 Version 07July2009 Page I of 6 III. 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:MARINE_CCt_RPS._DALE, Chorry_Point Signing Official & Title:George Radford, Environmental Affairs Officer b.Contact information for person listed in item la above: Street Address:PSC Box 8006 City:Cherry Point State:NC Zip:28533-OQ06,,,, ,,_ ,....._.. Mailing Address (if applicable): City: State: Zip: Phone: (252 _466-4599..,.._ Fax: f252 466-2000 Email:george.radford@usmc. mil 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: State: Zip: Mailing Address (if applicable):. City: Phone: --- Email: State: Zip: Fax: ( ) 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: Signing Official & Title: b.Contact information for person listed in item 3a above: Mailing Address: City: State: Zip: Phone: Email: Fax: f ) 4. Local jurisdiction for building permits: MCAS Cherry Point _ Point of Contact: Phone #: j ---)- Form SWU-lot Version 07July2009 Page 2 of 6 IV. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. Runoff will be directed to an underground infiltration „trenCb via stormwater conduit 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 PUDApproval Date: ❑ Valid Building Permit Issued Date: ❑ Other: Date: b.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 IUggse River basin. 4. Total Property Area: 6,71 acres 5. Total Coastal Wetlands Area: n/a _acres 6. Total Surface Water Area: n/a acres 7. Total Property Area (4) —Total Coastal Wetlands Area (5) —Total Surface Water Area (6) = Total Project Area': 6.71 acres Total project area shall be calculated to exclude the following: the normal ool of imppounded structures, the area between the banks of streams and rivers, the area below the Normal High Water (NHW) line or,Mean High Water (MHW) line, and coastal wetlands landiard from the NHW (or MHW) line. The resultant project area is used to calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW or MHW) line may be included in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 74.2 9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered stormwater BMP. For low density and other projects, use 1 for the whole property 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 A Drainage Area Drainage Area . Drains a Area Receiving Stream Name Slocum Creek Stream Class * SC,Sw,NSW Stream Index [Number * 27-112 , Total Drainage Area (so 293,196 sf (6.73a) On -site Drainage Area (so 293,196 sf (6.73a) Off -site Drainage Area (sf) n/a , Proposed Impervious Area** (sf) 217,591 sf (5.00a) 1/ / % Im ervious Area** total 74.2 Im rviou9- Surface Area. Drainage Area• Drainage Area DrainaS2 Area Drainage Area On -site Buildings/mots (sf) 44.057 sf (1.01a) On -site Streets (sf) 35,954 sf (0.84a) On -site Parking (so 115,213 sf (2.64a) On -site Sidewalks (so 14,973 sf (0 Ma) Other on -site (sf) 7,394 sf (0.17a) Future (so Off -site (sf) Existing BUA*** (so Total (so: 1 217,591 sf (5.0a) * Stream Class and Index Number can be determined at: httyJ/h2o.enr.state,nc.us/bims/reports/reportsWB.html 1m ervious 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 BUA that will remain after development. Do not report any existing BUA that is to be removed and which will be replaced by new BUA. Form SWU-101 Version 07]uky2009 Page 3 of 6 2 fv(g 2 V 11. How was the off -site impervious area listed above determined? Provide documentation. Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened & Endangered Species watershed that may 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 BMP specified for this project. The latest versions of the forms can be downloaded from hU;//h2o.enr.state.nc.us/su/bmp forms.htm. 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 ;Uh2o.enr.state.nc,usZsuLhmpforms.htm. 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 athttl2://h2o.enr,State.nc.us/su/msi maps.htm.) 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./ h2o.enr.state.nc.us/suLbmp_fvrms.htm. --� Initials �I. Ornd one copy of the Stormwater Management Permit Application Form. 2. Origttut1 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 g rr�. hUp://www.envheli2.org/pages/onestopexpress.html 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/management for the project. This is required in addition to the brief summary provided in the Project Information, item 1. V6. V/ V 8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: Za. Development/Project name. b. Engineer and firm. I/ C. Location map with named streets and NCSR numbers. ✓� d. Legend. V/ 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 1/ 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. V 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. 1/ 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). V p. Vegetated buffers (where required). 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 1h mile of the site boundary, include the r1z mile radius on the map. Sealed, signed and dated calculations. .14rP. Form S WU-101 Version 07July2009 Page 4 of 6 II 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 8.5"x11" 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, (910) 796-7378.) 10, A copy of the most current property deed. Deed book: Page No: *• 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 1a, 2a, and/or 3a per NCAC 2H.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. ht/www.secret-,iry.at--._tte.nc.us/CoMorafions/Csearch.asl22S 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://h2o.enr.state.nc.us/sulbml2 forms.htmgdeed restrictions. 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. VII1. 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:Howard Resnik PE Consulting Firm: Coastal Site Design. PC Mailing Address:Po B X 4941 City:Wilmington Phone: {910 ) 791-4441 Email:howard©coa talsitede�i.gn.coM State:NC Zip:2840-6 Fax: (910 ) 791-1501 IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this section) 1, (print or type name of person listed in Contact Information, item 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 Ia) with (print or type name of organization listed in Contact Information, item 1b) 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 07July2009 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. Date: I, 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 �p I, (print or type name of person listed in Contact Information, item 2) �' ' Y +� 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 c enants w",3id that the proposed project complies with the requirements of the applicabl r er C 2H .1000, SL 2006-246 (Ph. II - post Construction) or SL 2008-211. .RADFORD Signature. onmental Affairs OfficeIr Date: 40 '; Q direction of the Commaj idil-gi a Notary Public for the State of , County of do hereby certify that G�o,e zg, f enrol _ personalIy appeared before me this IV day of and ac owledge the execution of the application for a stormwatez er tt Witness my hand and official seal, tj SEAL My commission expires, �-'F+ /S' Form SWU-101 Version 07July2009 Page 6 of 6 For DENR Use ONLY Reviewer: - rr . � North Carolina Department of Environment andAld Submit: Natural Resources RCDENR Request for Express Permit Review Time: Confirm: FILL-IN all the information below and CHECK the Permit(s) you are requesting for express review. Call and Email the completed form to the Permit Coordinator along with a completed DETAILED narrative, site plan (PDF file) -and vicinity map same items expected in the application package of the project location. Please include this form in the application package. • Asheville Region -Alison Davidson 828-296-4698;alison.davidson ncdenr. ov • Fayetteville or Raleigh Region -David Lee 919-791-4203; david.lee ncdenr. ov • Mooresville & Winston Salem Region - Patrick Grogan 704-235-2107 or patrick,.grogan dr;cdenr.gov • Washington Region -Lyn Hardison 252-948-3842 or lyn.hardison@ncdenr.gov - • Wilmington Region -Janet Russell 910-796-7302 or ianet.russell(a.ncdenr.gov • Wilmington Region -Cameron Weaver 910-796-7303 or cameron.weaver@ncdenr.gov NOTE: Project application received alter 12 noon will be stamped in the following work day. Enter Related SW Permits of Request SW SW SW SW SW Project Name: P-136 (Bachelor Enlisted_ Quarter County: CRAVEN Applicant: ENVIRONMENTAL AFFAIRS DEPT Company: MARINE CORPS AIR STATION Address: City: CHERRY POINT, State: NC Zip: 28533 Phone; 252-466-3117, Fax: _ _- Email: RUAN.STEWART@USMC.MIL Physical Location: vi Project Drains into NEUSE waters - Water classification SC (for classification see-http:llh2o.enr.state.nc.uslbimslreportslreportsWB.html) Project Located in NEUSE River Basin. Is project draining to class ORW waters? YIN, within % mile and draining to class SA waters Y� or within 1 mile and draining to class HOW waters? N EngineerlConsultant: HPWARD RESNIK Company: COASTAL'SITE DESIGN, PC ����+ Address: PO BOX 4041 City: WILMINGTON, State: NC Zip: 28406 Phone: 910-791-4441, Fax: ; Email; @ SEP 0 � 2012 SECTION ONE: REQUESTING A SCOPING MEETING ONLY ❑ Scoping Meeting ONLY ® DWQ, ❑ DCM, ® DLR, ❑ OTHER: OqC DENR SECTION TWO: CHECK ONLY THE PROGRAM (S) YOU ARE REQUESTING FOR EXPRESS PERMITTING ❑ 401 Unit ❑ Stream Origin Determination: _ # of stream calls - Please attach TOPO map marking the areas in questions ❑ lntermittentlPerennial Determination: # of stream calls - Please attach TOPO map marking the areas in questions ❑ 401 Water Quality Certification ❑ isolated Wetland (_linear ft or _acres) ❑ Riparian Buffer Authorization ❑ Minor Variance ❑ Major General Variance ❑ State Stormwater ❑ General ❑ SFR, ❑ SFR < 1 ac. ❑ Bkhd & St Rmp, ❑ Clear & Grub, ❑ Utility ❑ Other ❑ Low Density ❑ Low Density -Curb & Gutter _ # Curb Outlet Swales ❑ Off -site [SW (Provide permit #)) ® High Density -Detention Pond # Treatment Systems ❑ High Density -Infiltration — #Treatment Systems ❑ High Density -Bio-Retention _ # Treatment Systems ❑ High Density -SW Wetlands _ # Treatment Systems ❑ High Density -Other — # Treatment Systems / ❑ MOD:❑ Major ❑ Minor ❑ Plan Revision ❑ Redev. Exclusion SW (Provide permit #) ❑ Coastal Management ❑ Excavation & Fill ❑ Bridges & Culverts ❑ Structures Information ❑ Upland Development ❑ Marina Development ❑ Urban Waterfront ❑ Land Quality ® Erosion and Sedimentation Control Plan with 5 acres to be disturbed.(CK # (for DENR use)) SECTION THREE - PLEASE CHECK ALL THAT IS APPLICABLE TO YOUR PROJECT (for both scopinq and express meeting request) Wetlands on Site ❑ Yes ❑ No Buffer Impacts: ❑ No ❑ YES: —acre(s) Wetlands Delineation has been completed: ❑ Yes ❑ No Isolated wetland on Property ❑ Yes ❑ No US ALOE Approval of Delineation completed: ❑ Yes ❑ No 404 Application in Process wl US ACOE: ❑ Yes ❑ No Permit Received from US ACOE ❑ Yes ❑ No DENT, use oniv Fee Split for multiple permits: (Check # ;;� LV- 1 Total Fee Amount $ SUBMITTAL DATES Fee SUBMITTAL DATES Fee CAMA $ Variance (❑ Maj; ❑ Min) $ SW ( D, ❑ LD, ❑ Gen) $0 401: $ LQS $ Stream Deter,_ $ NCDENR EXPRESS June 2011