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HomeMy WebLinkAboutSW6100904_CURRENT PERMIT_20101013STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW &/m�Q`i DOC TYPE CURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION.INSPECTION DOC DATE YYYYMMDD M * NCDENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Mr Craig Lantz . Chief Water Management Branch 2175 Reilly Road Stop A Fort Bragg, North Carolina 28310 Division of Water Quality Coleen H. Sullins Director October 13, 2010 Subject: StormwaterPennit No. SW6100904 24'h Special Tactical Squadron — SOF Operations Support Facility Dear Mr. Lantz: Dee Freeman Secretary The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for 24th Special Tactical Squadron — SOF Operations Support Facility on September 21, 2010. Staff review of the plans and specifications has determined that the project, as proposed, will comply with the Stonmwater Regulations set forth in Title 15A NCAC 2H.1000 and Session Law 2006-246. We are forwarding Permit No. SW6100904, dated October 13, 2010, for the construction, operation and maintenance of the subject project and the stormwater BMPs. This pennit shall be effective from the date of issuance until October 12, 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 inspection 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 Flearings, 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 Mike Randall at (919) 807-6374: or iiiike.raiidall@ncdenr.gov. Sin for Coleen H. Sullins cc: CFayetteville_RegionalOffice ` Central Files SPU Files Wetlands and Stormwaler Branch 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 - Phone. 919-607-63001 FAX: 919-807-64941 Customer Service: 1-877-623-6748 Internet: mm.nmaterquality.org An Equal Opportunity 1 Affirmative Action Employer OCT 15 2610 DWQ NorthCarolina Nahma!!y State Stormwater Permit Permit No. SW6100904 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 Fort Bragg 241h Special Tactical Squadron — SOF Operations Support Facility Fort Bragg, Hoke County FOR THE construction, operation and maintenance of an infiltration basin(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 October 12, 2020, and shall be subject to the following specified conditions and limitations: 1. nF$IrN RTANnAPnC 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 1.8 on page 3 of this permit. The stormwater control has been designed to handle the runoff from 178,596 square feet of impervious area. 3. The tract will be limited to the amount of built -upon area indicated in 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. The runoff from all built -upon area within the permitted drainage area of this project must be directed into the permitted stormwater control system. — 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 4 State Stormwater Permit Permit No. SM100904 7. The following design criteria have been permitted for the infiltration basin and must be provided and maintained at design condition: a. Drainage Area, acres: 984,456 Onsite, ft : 425,581 Offsite, ft2: 558,875 b. Total Impervious Surfaces, ft2: 190,661 Onsite, ft : 120,961 Offsite, ft2: 69,700 c: Design Storm, inches: 1.0 inch d. Basin Depth, feet: 3.80 e. Bottom Elevation, FMSl2: 433.00 f. Bottom Surface Area, ft : 14,320 g. Top Elevation, FMSL: 435.00 h. Permitted Storage Volume, ft3: 67,430 i. Predevelopment 1 year 24 hour: 2.65 j. Post -development 1 year 24 hour: 8.39 k. Type of Soil: Sand to Cley Sand I. Expected Infiltration Rate, in/hr: 1.22 rn. Seasonal High Water Table, FMSL: 424.00 n. Time to Draw Down, hours: 48 o. Receiving Stream/River Basin: Wolf Pit Creek / Cape Fear p. Stream Index Number: 18--31-3 q. Classification of Water Body: "C" It. 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 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. Mowing 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 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. Page 2 of 4 i State Stormwater Permit Permit No. SW6100904 i 6. 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. 7. 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. 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. 9. Access to the stormwater facilities shall be maintained via appropriate 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 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 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. Page 3 of 4 State Stormwater Permit Permit No. SW6100904 The permittee is responsible for compliance with all permit conditions until such time as the Division approves the transfer request. 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. 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. 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 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 13th day of October, 2010. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION �22) /U/ Vu1GG11 I I. JUIIIIIJ, ✓"16 tu1 Division of Water ✓ Quality By Authority of the Environmental Management Commission Page 4 of 4 State Stormwater Permit Permit No. SW6100904 Fort Bragg 24th Special Tactical Squadron — SOF Operations Support Facility Hoke Countv 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, Fort Bragg - 24`h Special Tactical Squadron — SOF Operations Support Facilitv 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 1 of 2 State Stormwater Permit Permit No. SW6106904 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 Systel Building Suite 714 225 Green Street Fayetteville, NC 28301-5043 Page 2 of 2 2 Lct.:k-.;•x4,Z:f',:.nt<.: z`."_,.:.:DWQ �k USE'ONLY*s :'.'�'�..t.hi'x Date Received Fee Paid Permit Number Applicable Rules: (select all that apply) ❑ Coastal SW -1995 ❑ Coastal SW - ❑ Non -Coastal SW- HQW/ORW Waters ❑ Other WQ Mgmt Plan: 2008 ❑ Ph II - Post Construction ❑ Universal Stormwater Management Plan State of North Carolina Department of Environment and Natural Resources Division of Water Quality p R STORMWATER MANAGEMENT PERMIT APPLICATION FORM This form niay be photocopied for use as an original OCT 15 1010 1. GENERAL INFORMATION DW —a 1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans, lans, specifications, letters, operation and maintenance agreements, etc.): 24L^ Special Tactical Squadron - SOF Operations Support Facility -Fort Bragg North Carolina 2. Location of Project (street address): City:Ft. Bragg County:Hoke Zip:28310 3. Directions to project (from nearest major intersection): From Lamont Rd and Manchester Rd. continue west along Manchester approximately 20 miles. Cross over Connecticut Ave and continue west approximately 5 miles to the Aberdeen Training Facility Road (No sigmage) Continue north approximately 2 miles to site and turn west at project location. 4. Latitude:35° 07' 09" N Longitude:79° 21' 52" W of the main entrance to the project. II. 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, 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): ❑LAMA Major ®Sedimentation/Erosion Control: 9.77 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-101 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: Directorate of Public Works (DPW) Sighting Official & Title:Mr. Craig Lantz Water Management Branch (WMB) b.Contact information for person listed in item la above: Street Address:2175 Reillv Road Stop A City:Fort Bragg State:NC Zip:28310-5000 Mailing Address (if applicable):2175 Reilly Road Stop A City:Fort Bragg State:NC Zip:28310-5000 Phone: (910 ) 396-2301 Fax: (910 ) 907-2420 Email:iennings.c.lantz@us-army.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/Organza Lion: Directorate of Public Works (DPW) Signing Official & Title:Mr. Craig Lantz Water Management Branch (WMB) b.Contact information for person listed in item 2a above: Street Address:2175 Reilly Road Stop A City:Fort Bragg State:NC Zip:28310-5000 Mailing Address (if applicable):2175 Reilly Road Stop A City:Fort Bragg Phone: (910 ) 396-2301 Email:iecmings.c.lantz@us.army. mil State:NC Zip:28310-5000 Fax: (91.0 ) 907-2420 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/ Organiza tion:M r. 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 State:NC Zip:28310 Phone: (910 ) 396-2301 Email:lee.p.ward@us.army.mil 4. Local jurisdiction for building permits: Point of Fax: (910 ) 907-2420 Phone #: Form S AqJ-101 Version 07July2009 Page 2 of 6 IV. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. Infiltration Basin will provide the water quality volume and peak flow attenuation. Pretreatment will be provided in the forebay of the infiltration basin. 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.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: 9.77 acres 5. Total Coastal Wetlands Area: 0.00 acres 6. Total Surface Water Area: 0.50 acres 7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project Area':9.27 acres Total project area shall be calculated to exclude the following the normal pool of impounded structures, the area between the batiks of streams and rivers, the area below the Normal High Water (NH[M line or Mean High Water W) (MHline, and coastal wetlands landward from the NHW (or MHIline. The resultant project area is used to calculate overall percent built upon area (BLIA). Noit-coastal wetlwids lwidward of the NHW (or MHW) line niay be included in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 30 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. .i " +ik ` "„ ;Basm,Informationx„, ,� aA _ i-Drama "e° 1 ea�_b, `.Di'airia e$Aiea a.0 Draina &ATeat'. _ 'Drama e AreMT,; Receiving Stream Name Wolf Pit Creek Stream Class * C Stream Index Number * 18-31-3 Total Drainage Area (sf) 984,456 On -site Drainage Area (sf) 425,581 Off -site Drainage Area (so 558,875 Proposed Impervious Area** (so 120,961 % Impervious Area** total 30% Im ervtous ;;�5urface Aiea ram D_ a mAr Draa e e— Draiha e -AreA—a Draim Area s:al — On -site Buildings/Lots (so 25,500 On -site Streets (so 68,620 On -site Parking (so 12,960 On -site Sidewalks (so 13,881 Other on -site (so 0 Future (so 0 Off -site (so 69,700 Existing BUA*** (so 0 Total (so: 190,661 * Stream Class and Index Nuniber can be determined at: httpy412o.etir.state.izc.usl'bints/reportslreportsVIB.htinl Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas, sidewalks, gravel areas, etc. Form SWU-101 Version 07July2009 Page 3 of 6 '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. 11. How was the off -site impervious area listed above determined? Provide documentation. Site visit and review of topography maps 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 requirennents 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 fromhttp://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 http://h2o.enr.state.nc.us/su/bmp forms.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 at http://h2o.eiir.state.nc.us/su/msi maps.litm.) 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 hn://h2o.enr.state.nc.us/su/bmp forms.htm. 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 agreement(s) for each BMP. 4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to http://www.envhel]2.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 1h mile of the site boundary, include the 1/2 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 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. Initials TS5 NAM wT•2Y " 4fr rl O+r -rTs 'f75 TJ5 - No 5A 73S Try Form SWU-101 Version 07July2009 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 -rj--5 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"xll" 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.) NIA. " ""R 'v Tw15t14{TI O'J A copy of the most current property deed. Deed book: Page No: For corporations and limited liability corporations (I -LC): 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 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.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 htW://h2o.enr.state.nc.us/su/bmp forms.htmtideed 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. 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:Timothy T Same P.E. Consulting Firm: Greenhorne & O'Mara Mailing Address:5565 Centerview Drive Ste. 107 Phone: (919 ) 532-2316 Email: tsarne@g-and-o.com State:NC Zip:27606 Fax: (919 ) 851-8393 IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this section) I, (print or type name of person listed in Contact Information, item 2a) Mr. Craig Lantz , 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 la) 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. Signature: 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 X. APPLICANT'S CERTIFICATION I, (print or hype name of person listed in Contact Information, item 2) Mr. Craig Lantz 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 stormw�kr rules under 15A NC AC 2H .1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211. J a Notary Public for the State of do hereby certify that before me this _ day of Date:z/ zZ-,w_ -,wld 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 Form SWU-101 Version 07July2009 Page 6 of 6 - Permit No. (to be provided by DWQ) III iREQUIRED ITEMS.CHIECKLIST'r TM ate" r "_ : ,,. ;AM 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. TJS 6-ac, 1. Plans (1" - 50' or larger) of the entire site showing: CG -lao - Design at ultimate build -out, .` O . tESS/p • 2 C6 .tpq -Off-site drainage (if applicable), - Delineated drainage basins (include Rational C coefficient per basin), _�i. 4 E AL - Basin dimensions, - Pretreatment system, �� • v High flow bypass system, -Maintenance access, $Q•\S\/N/ - Proposed drainage easement and public right of way (ROW), !! I i i I10 - Overflow device, and - Boundaries of drainage easement. TJS CC, !fir 2. Partial plan (1" = 30' or larger) and details for the infiltration basin showing: 05o5 - Bypass structure, - Maintenance access, - Basin bottom dimensions, - Basin cross-section with benchmark for sediment cleanoul, - Flow distribution detail for inflow, - Vegetated filter, and - Pretreatment device. TJS CC, -109 3. Section view of the infiltration basin (1" = 20' or larger) showing: C - Sb 5 - Pretreatment and treatment areas, and - Inlet and outlet structures. TJS 5 DI 4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided. S4 (.qp, r,oNs" POOR- RCK CAS C.N CA T(01)S TJS 9 5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The x" ' r1ANVAT''11 results of the soils report must be verified in the field by DWO, by completing & submitting the soils 1FfZC: h F, r'O ✓r. " pJcn E.a t investigation request form. County soil maps are not an acceptable source of soils information. 9 q ry P P TJS Cf�-to1 6. A construction sequence that shows how the infiltration basin will be protected from sediment until the Cbloz,<.G-Ib�, entire drainage area is stabilized. 00- 04, CC, .05 TJS fr r n nrW =vC 7. The supporting calculations. TJS 3 of 3 8. A copy of the signed and notarized operation and maintenance (0&M) agreement. TJS N/A 9. A copy of the deed restrictions (if required). Form SW401-Infiltration Basin-Rev.4 Page 1 of 1 Part III. Required Items Checklist, Page 1 of 1 Permit (to be provided by D,WQ) Additional Information ' Maximum runoff to each inlet to the basin? 1.10 ac-in Length of vegetative filter for overffow 60,00 it Distance to structure >30 ft Distance from surface waters > 100 it Distance from water supply wells) >100 It Separation from impervious soil layer 4.00 It Naturally occuring soil above shwl 6.00 it Bottom covered with 4-in of clean sand? Y (Y or N) Proposed drainage easement provided? N (Y or N) Capures all runoff at ultimate build -out? Y (Y or N) Bypass provided for larger storms? Y (Y or N) Pretreatment device provided Forebay OK OK OK OK OK OK OK OK Need a recorded drainage easement — No At rT1 RY S WIAI ATioN OK OK O.' ESS �� • \� f 1 J 1P�yI1�I/o Form SW401-Infiltration Basin-Rev.4 Parts I. & II. Design Summary, Page 2 of 2 Permit Number: (ro be provided by DWQ) Drainage Area Number: Infiltration Basin Operation and Maintenance Agreement I will keep a maintenance record on this BMP. This maintenance record will be kept in a log in a known set location. Any deficient BMP elements noted in the inspection will be corrected, repaired or replaced immediately. These deficiencies can affect the integrity of structures, safety of the public, and the removal efficiency of the BMP. Important maintenance procedures: The drainage area will be carefully managed to reduce the sediment load to the infiltration basin. — Immediately after the infiltration basin is established, the vegetation will be watered twice weekly if needed until the plants become established (commonly six weeks). — No portion of the infiltration basin willl be fertilized after the initial fertilization that is required to establish the vegetation. — The vegetation in and around the basin will be maintained at a height of approxiniateiy Six Llu teS. After the infiltration basin is established, it will be inspected once a quarter and within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance will be kept in a known set location and will be available upon request. Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately. BMP element: Potentialproblem: How 1 will remediate theproblem: The entire BMP Trash/debris is present. Remove the trash/debris. The perimeter of the infiltration basin Areas of bare soil and/or erosive gullies have formed. Regrade the soil if necessary to remove the gully, and then plant a ground cover and water until it is established. Provide lime and a one-time fertilizer application. The inlet device: pipe or swale The pipe is clogged (if applicable). Unclog the pipe. Dispose of the sediment off -site. The pipe is cracked or Replace the pipe. otherwise damaged (if applicable). Erosion is occurring in the Regrade the swale if necessary to swale (if applicable). smooth it over and provide erosion control devices such as reinforced turf matting or riprap to avoid future roblems with erosion. Form SW401-Infiltration Basin O&M-Rev.3 Page I of 3 The forebay main treatment area embankment The outlet device receiving water Potential problem: Sediment has accumulated and reduced the depth to 75% of the original design depth. Erosion has occurred or riprap is displaced. Weeds are present. A visible laver of sediment has accumulated. Water is standing more than 5 days after a storm event. Weeds and noxious plants are growing in the main treatment area. Shrubs or trees have started to grow on the embankment. An annual inspection by an appropriate professional shows that the embankment needs repair. Clogging has occurred The outlet device is damages Erosion or other signs of damage have occurred at the outlet. How I will remediate the problem: Search for the source of the sediment and remedy the problem if possible. Remove the sediment and dispose of it in a location where it will not cause impacts to streams or the BMP. Provide additional erosion protection such as reinforced turf matting or riprap if needed to prevent future erosion problems. Remove the weeds, preferably by hand. If pesticides are used, wipe them on the plants rather than Search for the source of the sediment and remedy the problem if possible. Remove the sediment and dispose of it in a location where it will not cause impacts to streams or the BMP. Replace any media that was removed in the process. Revegetate disturbed areas Replace the top few inches of filter media and see if this corrects the standing water problem. If so, revegetate immediately. If not, consult an appropriate professional for a more extensive repair. Remove the plants by hand or by wiping them with pesticide (do not Remove shrubs or trees immediately. Make all needed repairs. Clean out the outlet device. Dispose of the sediment off -site. Repair or replace the outlet device. Contact the NC Division of Water Quality 401 Oversight Unit at 919- 733-1786. Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3 Permit Number: (to be provided by DINQ) I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed above. 1 agree to notify DWQ of any problems with the system or prior to any changes to the system or responsible party. Project name:24°i Special Tactical Squadron - SOF Operations Support Facility -Fort BMP drainage area ntonber: Print name:Mr. Craig Lantz, Chief-DPW/Water Manaeement Branch Title: Directorate of Public Works (DPW) Address:2175 Reilly Road Stop A, Fort Bragg, NC 28310 Note: The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and a resident of the subdivision has been named the president. a Notary Public for the State of , County of , do hereby certify that personally appeared before me this day of , and acknowledge the due execution of the forgoing infiltration basin maintenance requirements. Witness my hand and official seal, SEAL My commission expires Form SW40 I -Infiltration Basin O&M-Rev.3 Page 3 of 3