SW6170804 - ABC Storage

TO
GEORGE M. ROSE, P.E.
P.O. Box 53441
Fayetteville, NC 28305
[phone]
Fax [phone]
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THESE ARE TRANSMITTED as checked below:
❑ FOR APPROVAL ❑ APPROVED AS SUBMITTED
❑ FOR YOUR USE ❑ APPROVED AS NOTED AUG
p EQUESTED p RETURNED FOR CORRECTIONS
FOR REVIEW AND COMMENT ❑ ';*,1 WD t UUA „I`CY
STOR 1WATER pERIAITTINC
REMARKS
COPY TO
SIGNED: L�.

DEMLR USE ONLY
Date Received
, F e Paid
Permit Number
21i 7
,
Applicable Ruleg: ❑ Coastal SW —1995 ❑ Coastal SW — 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may 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.):
2. Location of Project (street address):
Io .me "I WRIT me
City:Eastover
County:Cumberland Zip:28312
3. Directions to project (from nearest major intersection):
Dunn Road north from U.S. 301 to intersection with Middle Road. Site is on east side of Dunn Road at the
Middle Road intersection.
4. Latitude:35° 05' 48" N Longitude: -78'47'00" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ❑New ❑Modification ❑ Renewal w/ Modificationt
tRenewals with modifications also requires STAU--102 - Renewal Application Form
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
Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from
DEMLR requesting a state stormwater management permit application, list the stormwater project number,
if assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control: 1.80 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 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:
5. Is the project located within 5 miles of a public airport? ®No ❑Yes
If yes, see S.L. 2012-200, Part VI- http://12ortal.ncdenr.org/web/lr/rules-and-regulations
Form SWU-101 Version Oct. 31, 2013 Page 1 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:ABC Storage LLC
Signing Official & Title:Biju George
b. Contact information for person listed in item 1a above:
Street Address:5604 Shady Pine Court
City:Hope Mills
Mailing Address (if applicable):
City:
Phone: (910 ) 574-0278
Email:[e-mail]
State:NC Zip:28348
State:
Fax:
Zip:
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 &
b. Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City:
Phone: ( )
State:
State:
Fax:
Zip:
Zip:
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:George M. Rose
Signing Official & Title:Engineer, Agent for Owner
b. Contact information for person listed in item 3a above:
Mailing Address:P.O. Box 53441
City:Fayetteville
Phone: (910 ) 977-5822
Email:[e-mail]
4. Local jurisdiction for building permits:
State:NC
Zip:28305
Fax: (910 ) 485-5823
Point of Contact:Connie Spell Phone #: (910 ) 229-3716
Form SWU-101 Version Oct. 31, 2013 Page 2 of 7

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Approximately 56% of the site will not be developd at this time. Approximately 80% of the remaining 44% of
the project site drains to a proposed infiltration basin on the western property line. Approximately 20% of the
remaining developed portion drains towards Dunn Road. Routnzg calculations will show that overall post -
development flows are less than pre -development flows.
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. If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW —1995 ❑ Ph II — Post Construction
3. Stormwater runoff from this project drains to the Cape Fear River basin.
4. Total Property Area: 4.18 acres 5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
Total Property Area (4) — Total Coastal Wetlands Area (5) — Total Surface Water Area (6) = Total Project Area':
4.18 acres
+ Total project area shall be calculated to exclude the following: the normal pool of impounded 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 landward 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 = 35.2
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.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 7

Basin-Informatiori
_ Drains e Area _ Drainage Area Drainage Area _ Drains ge,Area
Receiving Stream Name
Reece Creek
Stream Class *
C
Stream Index Number *
18-28-2
Total Drainage Area (sf)
181,899
On-site Drainage Area (sf)
181,899
Off-site Drainage Area (sf)
0
Proposed Impervious Area**
(sf) 64,338
% Impervious Area** (total)
35.4 '
Im ,ervious** Surface Area - `
Drainage Area`_ Drainage Area Drainage Area(- Drainage_Area _
On-site Buildings/Lots (sf)
15,000
On-site Streets (sf)
0
On-site Parking (sf)
47,759
On-site Sidewalks (sf)
1,579
Other on-site (sf)
0
Future (sf)
0
Off-site (sf)
0
Existing BUA*** (sf)
0
Total (sf):
64,338
* Stream Class and Index Number can be determined at: http://portal.ncdenr.org/web/wq[ps/csu/classifications
** Impervious 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.
11. How was the off-site impervious area listed above determined? Provide documentation. N/A
Projects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that maybe subject to more stringent stormwater requirements as per 15A 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://portal.ncdenr.org/web/wq/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at http://portal.ncdenr.org/web/wq/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.org/web/wq/ws/su/statesw/forms docs.
Ini 'al
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
ham://www.envhel�.org/pages/onesto�ex�ress.html//www.envhel�.org/pages/onesto�ex�ress.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.)
Form SWU-101 Version Oct. 31, 2013 Page 4 of 7

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.
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 Y2 mile of the site boundary, include the Y2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded _
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off-site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
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 DEMLR to verify the SHWT prior
to submittal, [phone].) „ n 102 ^ _,,
A copy of the most current property deed. Deed book: " W � I 1 Page No:
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 la, 2a, and/or 3a per 15A 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.
bi!p://www.secretaU.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 http://portal.ncdenr.org/web/lr/state-stormwater-
forms docs. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
.protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any lot.
Form SWU-101 Version Oct. 31, 2013 Page 5 of 7

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:George M. Rose
Consulting Firm: George M. Rose, P.E.
Mailing Address:P.O. Box 53441
City:Fayetteville
State:NC
Zip:28305
Phone: (910 ) 977-5822 Fax: (910 ) 485-5823
Email:[e-mail]
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) _ f7 l J W 00 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 1a) IE31JU with (print or type name of organization listed in
Contact Information, item 1a)- A&� 00 4L'Ci 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.
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: Date: P-// 721
I, a Notary Public for the State of ���©�� County of
Cu ml3tvlan�l do hereby certify that Kul u Ge -orae personally appeared
before me this 1701day of A LARus+ RO0 , and acknowledge the due execution of the application for a
stormwater permit. Witness my hand and official seal,
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Form SWU-101 Version 06Aug2012 Page 6 of 7

X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a,'LC `��'{ �>
certify that the information included on this permit application form is, to the oest 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 stormwater rules under 15A NCAC 2H.1000 and any other applicable state stormwater requirements.
Signature: �' ���"— ��� Date: I
`P6'a Notary Public for the State of � Q C O� �" 0- County of
cram 6,-r IAJJ do hereby certify that personally appeared
before me this l-1`hday of AY4iw4 , and acknowledge the due execution of the application for a
stormwater permit. Witness my hand and official seal,
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Form SW -101 Version 06Aug2012 Page 7 of 7

SUPPLEMENT -EZ FORM COVER PAGE
Please indicate the types, quantities and locations of SCMs that will be used on this project:
Quantity Location(s)
Infiltration System 1 3768 Dunn Road, Eastover, NC 28312
Bioretention Cell
Wet Pond
Stormwater Wetland
Permeable Pavement
Sand Filter
Rainwater Harvesting
Green Roof
Level Spreader -Filter Strip
Disconnected Impervious Surface
Treatment Swale
Dry Pond
Designer information for this project:
Name and Title
George M Rose, P E
Organization -
Biu Geor e
Street address
P O. Box 53441
City, State, Zip
Fayetteville, NC 28305
Phone number(s):
910-977-5822
Email:
[e-mail]
Designer
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Applicant:
Refresh Sheet (Click Button Below)
Project Name:
ABC Storage
Address
3768 Dunn Road
City / Town
Eastover, NC 28312
fnoironnim
Q�alrry
Company:
ABC Storage, LLC
Contact:
Biu Geor e
Mailing Address:
5604 Shady Pine Court
City, State, Zip-
Hope Mills, NC 28348
Phone number(s). 910-574-0278
Email:
I [e-mail]
Certification Statement
I certify, under penalty of law that this Supplement -EZ form and all supporting
information were prepared under my direction or supervision;
- that the information provided in the form is, to the best of my knowledge
and belief, true, accurate, and complete; and
- that the engineering plans, specifications, operation and maintenance
agreements and other supporting information are consistent with
the information provided here.
I am aware that there are significant penalties for submitting false
information including the possibility of fines and imprisonment for knowing
violations as well as a report being made to my professional board.
Cover Page 1 129 PM 8/18/2017

I Oaeration & Maintenance Aqreement I
Project Name:
Project Location:
ABC Storage
3768 Dunn Road, Eastover, Cumberland County
Maintenance records shall be kept on the following BMP(s). This maintenance record shall 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 pollutant removal efficiency of the BMP(s).
The BMP(s) on this project include (check all that apply & co
Bioretention Cell
Quantity:
Dry Detention Basin
Quantity:
Grassed Swale
Quantity:
Green Roof
Quantity:
Infiltration Basin
Quantity:
Infiltration Trench
Quantity:
Level SpreaderNFS
Quantity:
Permeable Pavement
Quantity:
Proprietary System
Quantity:
Rainwater Harvesting
Quantity:
Sand Filter
Quantity:
Stormwater Wetland
Quantity:
Wet Detention Basin
Quantity:
Disconnected Impervious Area
Present:
User Defined BMP
Present:
ding O&M tables will
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s).
Location(s).
Location(s):
Location(s).
Location(s):
Location(s):
Location(s).
Location(s).
be added automatically):
3768 Dunn Road, Eastover, NC 28312
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each BMP above, and attached O&M tables I agree to notify NCDENR of any problems with the system or prior to any changes to
the system or responsible party.
* Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
Signature: ls?i
Biju George
Q
'Member/Manager, ABC Storage
5604 Shady Pine Court
AN TT-!�
Hope Mills, NC 28348
910-574-0278
UENR-LAND
[e-mail]
STORMWAFE
ED
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Date- 2 1
I, Ck6s hx RQ mp6n a Notary Public for the State of r �_�p„ir�LLK,E„
County of r f^uytn�Ula,n� do hearby certify that
personally appeared before me this day of "u Zol- and
acknowledge the due execution of the Operations and Maintenance Agreement.
Witness my hand and official seal,
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My commission expires
STORM -EZ 8/18/2017
Version 1.4 O&M Manual Page 1 of 2

i Infiltration System Maintenance Requirements j
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 shall 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 shall be kept in a known set
location and shall be available upon request.
Inspection activities shall be performed as follows Any problems that are found shall be repaired immediately.
BMP element:
Potential problem:
How to remediate the problem:
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 remove the gully, and then plant a
infiltration basin
erosive gullies have formed.
ground cover and water until it is established. Provide lime and a one-
time fertilizer application.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the sediment off-site.
swale
applicable).
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to smooth it over and provide erosion
swale (if applicable).
control devices such as reinforced turf matting or riprap to avoid future
problems with erosion.
The forebay
Sediment has accumulated
Search for the source of the sediment and remedy the problem if
and reduced the depth to 75%
possible. Remove the sediment and dispose of it in a location where it
of the original design depth.
will not cause impacts to streams or the BMP
Erosion has occurred or riprap
Provide additional erosion protection such as reinforced turf matting or
is displaced.
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 has
Search for the source of the sediment and remedy the problem if
accumulated.
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 5
Replace the top few inches of filter media and see if this corrects the
days after a storm event.
standing water problem. If so, revegetate immediately If not, consult
an appropriate professional for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by wiping them with pesticide (do not
growing in the main treatment
spray).
area.
The embankment
Shrubs or trees have started
Remove shrubs or trees immediately.
to grow on the embankment.
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 local NC Department of Environment and Natural
damage have occurred at the
Resources Regional Office.
RM -EZ
outlet.
ST
Version
u(Nrvi iwanuai
8/18/2 17
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