SW6120401_Admin Review_20120412

Application Completeness Review
First Submittal ❑ Re -submittal Date Received
Development/Project Name: _Gu-B#et-4N4 r
Receiving stream name Elm
z- Date Reviewed: y I a .r2 By
classification:
For post -construction requirements, a program will be deemed compliant for the areas.where it is
implementing any of the following programs: WS-I, WS-Il, WS-III, WS-IV, HOW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
Management Strategy.
High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.
T&B Species (Goose Creek, Waxhaw Creek or Six Mile Creek YVater Sheds): �,+'
Latitude and Longitude: `�'1' 3f 10ti ?9�I `��'! Jurisdiction
Project Address: + Al. -4" t 4' sT •� X4 J9,*o4b --A* As � �*V2
Engineer name and firm: su-rT Wow V,A9 _ yA 51TW- so Litr/w
.� ❑ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets L" High Density ❑ Other
401/404 impacts to surface waters, wetlandsand buffers (add I nguage to cover letter and/or addinfo letter)
d BUA 3C . 2 1 _ ✓o-r �
�[ Check for $505.00 included
L-r Original signature (not photocopy) on application'
t' Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent).
Check spelling, capitalization, punctuation http://www.secretary.state.nc,us/corporations/thepage,aspx
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
includes the name, title, mailing address and phone number of the person signing the letter.
I'For subdivided projects, a signed and notarized deed restriction statement
ar� Sealed, signed & dated calculations
e' Correct supplement and O&M provided fo each BM on site (check all that were provided & number of each)
❑ Bioretention
o Dry Detention Basin
❑ Filter Strip
❑ Grass Swale
Infiltration Basin
❑ Infiltration Trench
❑ Level Spreader
❑ Permeable Pavement
❑ Restored Riparian Buffer
❑ Rooftop Runoff Management
❑ Sand Filter
❑ Stormwater Wetland
❑ Wet Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
13' Two sets of sealed, signed & dated layout & finish grading plans with appropriate details
Cf Narrative Description of stormwater management provided
e<_-Soils report provided.
Wetlands delineated or a note on the plans that none exist on site and/or adjacent property
e� Details for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
-a-- Dimensions & slopes provided
Drainage areas delineated 1915'ervious and impervious reported for each ❑ Areas of high density
'A 6�"' Inspection and maintenance agree�peents provided
❑ Application complete OVApplication Incomplete Returned: (Date)
Comment IM`- rd. YE. 24f-1K Ul4t✓4 (3YP4;04' VFS
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February 9, 2009 Revision