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HomeMy WebLinkAboutSW6110406_CURRENT PERMIT_20110520STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW DOC TYPE CURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE IL�Qo YYYYM M DD I NC®ENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director May 20, 2011 Dee Freeman Secretary ®ENR—FRO Mr. Craig Lantz JUN 2 1 N11 Fort Bragg DPW-WMB tltl®� 2175 Reilly Road Stop A tle Fort Bragg, NC 28310-5000 Subject: Stormwater Permit No. SW6110406 Code T Adapt Building for Vehicle Maintenance Shop (FIN 73947) High Density Infiltration Trench Project Cumberland County Dear Mr. Lantz: The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for Code T Adapt Building for Vehicle Maintenance Shop on May 19, 2011. Staff review of the plans and specifications has determined that the project, as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000 and Session Law 2006- 246. We are forwarding Permit No. SW6110406, dated May 20, 2011, for the construction, operation and maintenance of the subject project and the stormwater BMPs. The system is designed and must be maintained to infiltrate the 10-yr, 24-hr storm event in lieu of providing a vegetated filter strip. This permit shall be effective from the date of issuance until May 20, 2021, 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 Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and binding. This project will be kept on file at the Fayetteville Regional Office. If you have any questions, or need additional information concerning this matter, please contact Robert Patterson at (919) 807-6375; or robert.patterson@ncdenr.gov. Sincerely, Wetlands and Stormwater Branch One L. 1 1617 Mail Service Center, Raleigh, North Carolina 27699.1617 1 v T�TOl'tI1Cc�lr011lla Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 919-807-6300 \ FAX, 919-807 5494 \ Customer Service, 1 877-623-6748 Natural[// i/ Internet: www.ncwaterquality.org i/ An Equal Opponunily 1 Affirmative Action Employer Mr. Craig Lantz SW61 10406 — Code "I' Adapt Build for Vehicle Maint. Shop May 20, 201 1 ,�,/ , /tic, for Coleen H. Sullins cc: SW6110406 File K. Joshua Hurst, .PE — Clark Nexsen Architecture & Engineering ec: Fayetteville Regional Office Page 2 of 2 State Stormwater Permit Permit No. SW6110406 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 Directorate of Public Works (DPVV) Code T Adapt Build for Vehicle Maintenance Shop NE corner of Blackjack St. & Tapline Rd., Fort Bragg, Cumberland County FOR THE construction, operation and maintenance of one (1) underground infiltration trench 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 May 20, 2021, and shall be subject to the following specified conditions and limitations: I. DESIGN STANDARDS This permit is effective only with respect to the nature and volume of stormwater described in the application and other supporting data. This stormwater system has been approved for the management of stormwater runoff as described in Section 1.8 of this permit. The stormwater control has been designed to handle the runoff from 224,579 square feet of impervious area. The system is designed and must be maintained to infiltrate the 10-yr, 24-hr storm event in lieu of providing a vegetated filter strip. The tract will be limited to the amount of built -upon area indicated in Section 1.8 of this permit, and per approved plans. 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. Page 1 of 6 State Stormwater Permit Permit No. SW6110406 7. The built -upon areas associated with this project shall be located at least 30 feet landward of all perennial and intermittent streams. 8. The following design criteria have been provided in the infiltration trench and must be maintained at design condition: a. Drainage Area, acres: 5.34 Onsite, ft : 218,078 Offsite, ftz: 14,408 b. Total Impervious Surfaces, ftz: 224,579 Onsite, ft : 210,171 Offsite, ftz: 14,408 C. Design Storm, inches: 1.0 d. Trench Length ft: 173 e. Trench Width, ft: 44 f. Trench Height, ft: 4.5 g. Perforated Pipe Diameter / Length: 36 inch / 165 ft h. Bottom Elevation, FMSL: 315.0 i. Bypass Weir Elevation, FMS!: 319.5 j. Permitted Storage Volume, ft : 18,541 k. Predevelopment 1 year 24 hour: 13.27 I. Post development 1 year 4 hour: 0.0 M. Type of Soil: silty sand (SM) n. Expected Infiltration Rate, in/hr: 5.0 o. Seasonal High Water Table, FMSL: 312.0 P. Time to Draw Down, hours: 6.0 q. Receiving Stream/River Basin: Cross Creek / Cape Fear r. Stream Index Number: 18-27-1 S. Classification of Water Body: "WS-IV" II. SCHEDULE OF COMPLIANCE The stormwater management system shall be constructed in its entirety, vegetated and operational for its intended use immediately after the drainage area is stabilized. 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. d. Immediate repair of eroded areas. e. Maintenance of all slopes in accordance with approved plans and specifications. f. Debris removal and unclogging of overflow structure, trench media and piping, catch basins, and piping. g. A clear access path to the overflow structure must be available at all times. 4. Records of maintenance activities must be kept for each permitted BMP. The records will indicate the date, activity, name of person performing the work and what actions were taken. Page 2 of 6 State Stormwater Permit Permit No. SW6110406 5. The permittee shall submit to the local Regional Office of the Division of Water Quality an annual summary report of the maintenance and inspection records for each BMP. The report shall summarize the inspection dates, results of the inspections, and the maintenance work performed at each inspection. 6. The 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. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to operation of this permitted facility, a certification must be received from an appropriate designer for the system installed certifying that the permitted facility has been installed in accordance with this permit, the approved plans and specifications, and other supporting documentation. Any deviations from the approved plans and specifications must be noted on the Certification. A modification may be required for those deviations. 8. If the stormwater system was used as an Erosion Control device, it must be restored to design condition prior to operation as a stormwater treatment device, and prior to occupancy of the facility. 9. Access to the stormwater facilities shall be maintained via appropriate 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 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 for a minimum of ten years from the date of the completion of construction. 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. Page 3 of 6 State Stormwater Permit Permit No. SW6110406 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 supporting documentation as listed on page 2 of the form. The approval of this request will be considered on its merits and may or may not be approved. 2. The permittee is responsible for compliance with all permit conditions until such time as the Division approves 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 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 control must follow the guidelines established in the North Carolina Erosion and Sediment Control Planning and Design Manual. 9. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit. 10. The issuance of this permit does not prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules and regulations contained in Session Law 2006- 246, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al. 11. The permittee shall notify the Division in writing of any name, ownership or mailing address changes at least 30 days. 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 20`h day of May, 2011. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION /l A for Coleen H. Sullins, Director Division of Water Quality Page 4 of 6 State Stormwater Permit Permit No. SW6110406 By Authority of the Environmental Management Commission Code T Adapt Building for Vehicle Maintenance Shop Stormwater Permit No. SW6110406 Cumberland County Designer's Certification I, , as a duly registered in the State of North Carolina, having been authorized to observe (periodically/ weekly/ full time) the construction of the project, (Project) 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 69W_\N Page 5 of 6 State Stormwater Permit Permit No. SW6110406 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 overflow structure elevations are per the approved plan. 6. The overflow structure is located per the approved plans. 7. The system is functioning as designed and per the approved plans. 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. Please submit this Designer's Certification to: Fayetteville Regional Office Surface Water Protection 225 Green Street Systel Building Suite 714 Fayetteville: NC 28301-5043 Page 6 of 6 It, DWQ USE ONLY Date •ceived Fee Paid Permit Number tit y 6 J1 O t,/s 1101to 6 Applicalfle Rules: ❑ Coastal SW - 1995 ❑ Coastal SIN - 2008 5-Ph 11 - Post Construction (select all that apply) ❑ Non -Coastal SW-HQW/ORW Wateis ❑ Universal Stornnvater Management Plan ❑ Other WQ M rut Plan: State of North Carolina �§@Pfi V/ 9 U DENR—FRE"rtment of Environment and Natural Re rces JUN 2 1 2011 Division of Water Quality APR 2 6 2011 ST/O�,RMWATER MANAGEMENT PERMIT APPLICATIC �TYB�" HH Q This /ivin may be photocopied for- use as mr original S� 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.): CODE T ADAPT BUILD FOR VEHICLE MAINTENANCE SHOP 2. Location of Project (street address): Northeast corner of Blackjack Street and Tapline Road intersection City:Fort Bragg County:Cumberland %ip:28310 3. Directions to project (from nearest major intersection): From Randolph Street main gate, head west on Randolph Street. 'Turn left onto Knox Street. Turn left onto I-loneycutt Road. Cross over Bragg Boulevard. Turn left onto Blackjack Street. Project Site is on the right after the Blackjack Street / 7'ap1ine Road intersection. 4. Latitude:35° 08' 55" N Longitude:78° 5744" W of the main entrance to the project. 11. 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 ®I-ligh 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): ❑CAMA Major ®Sedimentation/Erosion Control:6.11 ac of Disturbed Area ❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts b.If any of these permits have ahead\ been acquired please provide the Project Name, Project/Permit Number, issue date and the type of each permit: Form SWU-101 Version 07.Iun2010 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 oroiect): Applicant/Organization:Directorate of Public Works (DPW) Signing Official & Title:Mr. Craig Lantz, Water Management Branch (WM13) b.Contact information for person listed in item la 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 State: NC Zip:28310-5000 Phone: (910 ) 396-2301 Fax: ( 916 ) 907-2420 Email:jennings.c]an tz©us.army.miI c. Please check the appropriate box. The applicant listed above is: ® The property owner (Skip to Contact Information, item 3a) ❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below) ❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and 2b below) ❑ Developer* (Complete Contact Information, item 2a and 2b below.) 2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the person who owns the property that the project is located on): Property Owner/Organization: Signing Official & Title: b.Contact information for person listed in item 2a above: Street Address: City: State: Zip: Mailing Address (if applicable): City: State: Zip: Phone: ( ) Fax: ( I Email: 3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other person who can answer questions about the project: Other Contact Person/Organization: Mr. Lee Ward Signing Official & Title:DPW/Water Management Branch b. Contact information for person listed in item 3a above: Mailing Address:Bldg 0-9125, McKellars Road City:PortBragg State:NC Zip:28310 Phone: (910 ) 396-2301 Fax: (910 1 907-2420 Email:lee.p.ward@us.army.mil 4. Local jurisdiction for building permits: N/A Point of Contact: Phone #: Form SWU-101 Version 07Jun2010 Page 2 of IV. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. The stormwater runoff will be treated by one (1) underground infiltration basin, located underneath the proposed concrete hardstand. 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.lf claiming vested rights, identify the regulation(s) the project has been designed in accordance with: ❑ Coastal SW - "1995 ❑ Ph 11 - Post Construction 3. StormNvater runoff from this project drains to the Cape Fear River basin. 4. Total Property Area: 7.53 acres 5. Total Coastal Wetlands Area: 0 awes 6. Total Surface Water Area:0 acres 7. Total Property Area (4) -Total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project AreW:7.53 acres Total project area shall be calculated to occlude the fi4lozoing the normal {pool of irrr rounded structures, the area betzoecr the banks of streams and rivers, the area below the Normal High Water (NHM line or Mean High Water (MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant nvject area is used to caladate overall percent built upon area (BUA). Non -coastal uretlamts landward a_f the NH�N (orMHW) line nay be inchuled in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 96.4 % 9. How many drainage areas does the project have?2 (For high density, count 1 for each proposed engineered sto)'rueoater BMP. For login density and other projects, use 1 fn' 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 "I Drainage Area 2 Drainage Area _ Drainage Area _ Receiving Stream Name Cross Creek (Big Cross Creek) Cross Creek (Big Coss Creek Stream Class WS-IV;C.AvPA WS-IV.;Ett A Stream Index Number * 18-27-(2.5) 18-27-(2.5) "Total Drainage Area (so 232,486 41,535 On -site Drainage Area (so 218,078 41,535 Off -site Drainage Area (so 14,408 0 Proposed Im ervious Area** (so 224,579 1,209 % hn ervious Area** total 96.6 2.9 Impervious— Surface Area Drainage Area 1 Drainage Area 2 Drainage Area Drainage Area On -site Buildings/Lots (so 23,544 0 On -site Streets (so 8,462 0 On -site Parkin (so 131,727 0 On -site Sidewalks (so 957 0 Other on -site (so 45,481 1,209 Future (sf) 1 0 0 Off -site (so 14,408 0 C: Existing BUA*** (so 0 0 a) Total (so: 224,579 1,209 C 1 Stream Class and lnde"r Nit uber can be deterrrrined at: Intl)://nortal.rredenr.or rueb/eoy/jps/csu/classifrcatiorrs Impervious area is defined as the built upon area including, but not liruited to, buildings, roads, parking areas, sidewalks, gravel areas, etc. la Form SWU-101 Version 07.Iun2010 Page of6 Report only that amount t f existing BL1A that will remain niter development. Do not report any existing BUA that is to be removed and which will be replaced by ram BUA. 11. How was the off -site impervious area listed above determined? Provide documentation. Detailed drainage area calculations were completed in AutoCAD. Proiects in Union Counh': Contact D1NQ Central Office staff to check if the project is located within n Threatened cC Enrtange'ed Species o,atenrhed that maY be subject to more Stringent storminnter 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 http://12ot-til.ncdetir.org/web/wt)Lws/su/bap-manual. VI. SUBMITTAL REQUIREMENTS Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ). A complete package includes all of the items listed below. A detailed application instruction sheet and BMP checklists are available from http://portal.ncdenr.org/web/tvq/vas/su/statesw/forms does. The complete application package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating project on the interactive online map at httLi://Liortal.nc(ienr.org/web/tvq/ws/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 http://portal.ncdenr.oi-g/web/wq/ws/su/statesw/forms does. Ir , i Is 1. Original and one copy of the Stormwater Management Permit Application Form. 2. Original arnd orte copy of the signed and notarized Deed Restrictions & Protective Covenants m Form. (ifWquired as per Part V11 17el0717) 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://tvww.enviielp.org/12ages/onestopexi2ress.litml 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 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 Ih 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 NI-IW line of tidal waters, and any coastal wetlands landward of the MI-IW or NI-IW 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 13UA identified and dimensioned. k. Existing contours, proposed CorltoUrs, spot elevations, finished floor elevations. I. Details of roads, drainage feahues, collection systems, and stornrtvater 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). p. Vegetated buffers (where required). FOm1SWU-101 Version 07.1un2010 Page 4of6 9. Copy of any applicable soils report with the associated SH WT 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"x"11" copy of the NRCS County Soils map with the project area clearly delineated. For projects with infiltration BMPs, the report shouldalso 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 DINQ to verify the SHINT prior to suhaittal, (910) 796-7378.) 10. A copy of the most current property deed. Deed book: N/A Page No: N/A N I I. For corporations and limited liability corporations (LLC): Provide documentation from the NC N /4 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. httLi:/ /www.secretary.state.nc.us/Corporations/CSearcli.aspx VIL 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 13UA 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 htty://Liortal.ncdenr.oi'v/web/wcl/ws/su/statesw/forms does. Download the latest versions for each submittal. In the instances where the applicant is different than the property owner, it is the responsibility of the property owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring that the deed restrictions are recorded. By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and protective covenants for this project, if required, shall include all the items required in the permit and listed on the forms available on the website, that the covenants will be binding on all parties and persons claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot. VIII. CONSULTANT INFORMATION AND AUTHORIZATION Applicant: Complete this section if you wish to designate authority to another individual and/or 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:K. loshua Hurst, PE Consulting Firm: Clark Nexsen Architecture & Engineering Mailing Address:4000 Westchase Boulevard, Suite 280 City:Raleigh Phone: (919 ) 576-2120 Email:ihu rstOclarknexsen.com State:NC Zip:27607 Fax: (919 1 828-1877 IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, comgalete this section) 1, (print or type name of person listed in Contact Ioformntioo, item 2a) , certify that I own the property identified in this permit application, and thus give permission to (print or type mime of person listed ill Contact Information, item la) with (print or type uarrre of organization listed ill Contact lrrforrrmtiom, iterrr 1a) to develop the project as currently proposed. A copy of the lease agreement or pending property sales contract has been provided with the submittal, which indicates the party responsible for the operation and maintenance of the stormwater system. Fonn SWU-101 Version 07Jun2010 Page 5 of 6 As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to me, the property owner. As the property owner, it is my responsibility to notify DWQ imniediately'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: a Notary Public for the State of , do hereby certify that County of personally appeared before me this _ day of and acknowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, SEAL My commission X. APPLICANT'S CERTIFICATION I, (print or type name of person listed in Contact Information, item 1a) 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.Ater rules under 15A•NCAC 21-I .1000, SL 2006-246 (Ph. lI - Post Construction) or SL 2008-211. Date: / 1%w-, L �3m 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 application for a stormwater permit. Witness my hand and official seal, SEAL. My commission Form SWU-101 Version 07Jun2010 Page 6 of6 Permit No.-SI'VO1 0`t C) (to be provided by D WO) ®�� �a O� W FTFgOG NCDENR STORMWATER MANAGEMENT PERMIT APPLICATION FORM °� 401 CERTIFICATION APPLICATION FORM INFILTRATION TRENCH SUPPLEMENT This form must be filled out printed and submitted. The Required Items Checklist (Part bt) most be printed, filled out and submitted along with all of the required information. I.PROJECTINFORMATION'` Project name CODE T ADAPT BUILD FOR VEHICLE MAINT. SHOP Contact person JOSHUA HURST, PE Phone number (919) 576-2120 Date 5/11/2011 15:26 Drainage area number 1 III', DESIGN; INFORMATION Site Characteristics Drainage area 232,486.00 ft2 Impervious area 224,579.00 ftZ Percent impervious 96.6% % Design rainfall depth 1.00 in DENRI_FRO Y 1 Peak Flow Calculations VV 1-yr, 24-hr rainfall depth 3.06 in JUN 2 1 2011 1-yr, 24-hr intensity 4.16 inlhr Pre -development 1-yi, 24-hi discharge 13.27 1`13/sec DWQ Post -development 1-yr, 24-hr discharge 23.32 ft3/sec Pre/Post 1-yr, 24-hr peak flow control 10.05 ft3/sec Storage Volume: Non -SA Waters Minimum volume required 17,812.00 ft3 Volume provided 18,541.00 ft3 OK for non -SR waters Storage Volume: SA Waters 1.5" runoff volume ft3 Pre -development 1-yr, 24-hr runoff volume ft3 Post -development 1-yr, 24-hr runoff volume ft3 Minimum volume required ft3 Volume provided ft3 Soils Report Summary Soil type SILTY SAND Infiltration rate 5.00 in/hr SHWT elevation 312.00 fmsl Trench Design Parameters Drawdown time 0.22 days OK Perforated pipe diameter 36.00 in Perforated pipe length 165.00 ft Number of laterals 8 Stone type tit used) #57 Stone Stone void ratio 40% Stone is free of fines? Y (Y or N) OK Form SW401-Infiltration Trench-Rev.4 Parts I. & II. Design Summary, Page 1 of 2 i w� Permit No. (to be provided by DWQ) Trench Elevations Bottom elevation Storage/overflow elevation Top elevation Trench Dimensions Length (long dimension) Width (short dimension) Height (depth) Additional Information Maximum volume to each inlet into the trench? Length of vegetative filter for overflow Number of observation wells Distance to structure Distance from surface waters Distance from water supply well(s) Separation from impervious soil layer Depth of naturally occuring soil above SHWT Bottom covered with 4-in of clean sand? Proposed drainage easement provided? Capures all runoff at ultimate build -out? Bypass provided for larger storms? Trench wrapped with geotextile fabric? Pretreatment device provided 315.00 fmsl OK 319.50 first 319.50 fmsl 173.00 ft 44.00 ft 4.50 ft OK 2.00 ac-in NIA ft 2 34.00 ft N/A It NIA ft N/A ft 3.00 It Y (Y or N) N/A (Y or N) Y (YorN) N/A (Y or N) Y (Y or N) CATCH BASIN OK OK OK OK OK OK OK OK OK OK OK OK OK Form SW401-Infiltration Trench-Rev.4 Parts I. & II. Design Summary, Page 2 of 2 Permit (to be provided by DWQ) III. REQUIRED ITEMS CHECKLIST 7771 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 Ini ials Sheet No. CC7/01i 1. Plans (1" - 50' or larger) of the entire site showing: �rainoye - Design at ultimate build -out, MMaa?S, Off -site drainage (if applicable), Ama 7 Delineated drainage basins (include Rational C coefficient per basin), C"So$ Trench dimensions, Pretreatment system, High flow bypass system, Maintenance access, Proposed drainage easement and public right of way (ROW), Overflow device, and Boundaries of drainage easement. hlb/ C-5DG, 2. Partial plan (1" = 30' or larger) and details for the infiltration trench showing: C-501C-508 -Bypassstructure, - Maintenance access, - Basin bottom dimensions, - Basin cross-section with benchmark for sediment cleanout, - Flow distribution detail for inflow, - Vegetated filter, and - Pretreatment device. may/] �t yDi t •SD�C.So$ 3. Section view of the infiltration trench (1" = 20' or larger) showing: �J - Pretreatment and treatment areas, and Cata' - Inlet and outlet structures. 4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided. C4k$. 5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The results of the soils report must be verified in the field by DWQ, by completing & submitting the soils investigation request form. County soil maps are not an acceptable source of soils information. 6. A construction sequence that shows how the infitlration basin will be protected from sediment until the entire drainage area is stabilized. �y(y� _ll 7. The supporting calculations. � 'kfd/ 8. A copy of the signed and notarized operation and maintenance (0&M) agreement. V Ia /A N N 9. A copy of the deed restrictions (if required). Form SW401-Infiltration Trench-Rev.4 Part III. Required Items Checklist, Page 1 of 1 D C- i. h;(0) Permit Number. $v✓%1(O'I 06 (Io be provided by DWQ) Drainage Area Number:_I JUPj L I ifiiltration 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 will 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 approximately six inches. 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 Areas of bare soil and/or Regrade the soil if necessary to infiltration basin erosive gullies have formed. remove the gully, and then plant a ground cover and water until it is established. Provide time and a one-time fertilizer application. The inlet device: pipe or The pipe is clogged (if Unclog the pipe. Dispose of the Swale applicable). 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 problems with erosion. Form SW401-Infiltration Basin O&M-Rev.3 Page 1 of 3 BMP element: Potentialproblem: How I will remediate theproblem: The forebay Sediment has accumulated Search for the source of the and reduced the depth to 75% sediment and remedy the problem if of the original design depth. possible. Remove the sediment and dispose of it in a location where it will not cause impacts to streams or the BMP. Erosion has occurred or Provide additional erosion riprap is displaced. protection such as reinforced turf matting or riprap if needed to prevent future erosion problems. Weeds are. present. Remove the weeds, preferably by hand. If pesticides are used, wipe them on the plants rather than spraying. The main treatment area A visible layer of sediment Search for the source of the has accumulated. 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 immediately. Water is standing more than Replace the top few inches of filter 5 days after a storm event. media and see if this corrects the standing water problem. If so, revegetate immediately. If not, consult an appropriate professional for a more extensive re air. Weeds and noxious plants are Remove the plants by hand or by growing in the main wiping them with pesticide (do not treatment area. spray). The embankment Shrubs or trees have started Remove shrubs or trees to grow on the embankment. immediately. An annual inspection by an Make all needed repairs. appropriate professional shows that the embankment needs repair. The outlet device Clogging has occurred. Clean out the outlet device. Dispose of the sediment off -site. The outlet device is damaged Repair or replace the outlet device. The receiving water Erosion or other signs of Contact the NC Division of Water damage have occurred at the Quality 401 Oversight Unit at 919- outlet. 733-1786. Form SW401-infiltration Basin O&M-Rev.3 Page 2 of 3 Pennit Number: ZS b I'10-1.0{7 (to he provided by DWQ) I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any changes to the system or responsible party. Prqjecl name:Code T Adapt Build for Vehicle Maintenance Shop BMP drainage area number:I Print name:Mr. Craig Lantz Title: Directorate of Public Works (DPW) /Water Manaecment Branch (WMB) Address:2175 Reilly Road Stop A, Fort Bragg, NC 28310-5000 Date: /'7 /SDI/✓e L �(Q/l 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. 1, , 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 Form SW401-Infiltration Basin O&M-Rev.3 Page 3 of 3