SW6080801_CURRENT PERMIT_20080806

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW oO�U�D�
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

State Stormwater Permit
Permit No. SW6080801
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
Trustees of Solid Rock United Methodist Church
Solid Rock United Methodist Church
NC Highway 24, Cameron, North Carolina, Harnett County
FOR THE
construction, operation and maintenance of 6 bioretention 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 August 5, 2018, 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 1.7 of this permit.
3. The tract will be limited to the amount of built -upon area as indicated in Section
1.7 of this permit, and per the application documents and as shown on the
approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent surface waters.
Page 1 of 6

State Stormwater Permit
Permit No. SW6080801
The following design criteria have been provided in the bioretention basin and
must be maintained at design condition:
Cell Cell Cell Cell Cell Cell
a. Drainage Area, acres:
0.525
0.146
0.112
2.089
0.308
0.321
Onsite, ft2:
22,855
6,340
4,892
91,017
13,419180,949
Offsite, ft2:
0
0
0
0
0
0
b. Total Impervious Surfaces, ft2:
15,067
4,204
3,895
68,877
8,593
11,590
Onsite, ft2:
15,067
4,204
3,895
68,877
8,593
11,590
Offsite, ft2:
0
0
0
0
0
0
c. Design Storm, inches:
1.0
1.0
1.0
1.0
1.0
1.0
d. Max. Ponded Depth, feet:
0.75
0.75
0.75
0.83
0.75
0.75
e. Seasonal High Water Table, fmsl:
357.0
357.0
357.0
357.0
357.0
357.0
f. Planting Media Depth, feet:
3
3
3
3
3
3
g. Basin Dimensions (approximate), feet:
55x33
21x26
25x20
41x200
41x26
46x30
h. Bottom Elevation, fmsl:
372.0
370:7
370.15
370.0
371.69
372
i. Surface Area, ft2:
1,828
559
513
7,187
1,081
1,404
j. Permitted Storage Volume, ft3:
1,225
343
311
5,544
700
927
I. Predevelopment 1 year 24 hour W/sec:
0.15
0.00
0.00
0.05
0.01
0.01
M. Post development 1 year 24 hour ft3lsec:
0.62
0.01
0.01
0.19
0.03
0.03
n. Drawdown Time, hours:
12
12
12
12
12
12
o. Underdrain Diameter, inches:
4
4
4
4
4
4
p. Receiving Stream/River Basin:
Muddy Creek/Cape Fear
q. Stream Index Number:
18-23-26
r. Classification of Water Body:
Class C
II. SCHEDULE OF COMPLIANCE
The permittee shall at all time 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.
G. Mowing and re -vegetation of slopes and the filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.
f. Debris removal and unclogging of all drainage structures, level spreader,
filter media, planting media, underdrains, catch basins and piping.
g. Access to the basin and outlet structure must be available at all times.
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.
3. The permittee shall maintain on site 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.
4. The facilities shall be constructed as shown on the approved plans. This permit
shall become void unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
Page 2 of 6

State Stormwater Permit
Permit No. SW6080801
5. 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.
6. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
7. Access to the stormwater facilities shall be maintained via appropriate recorded
easements at all times.
8. 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.
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.
III. GENERAL CONDITIONS
This permit is not transferable 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 signed by both parties, to the
Division of Water Quality, 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 a request to transfer the permit.
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.
Page 3 of 6

State Stormwater Permit
Permit No. SW6080801 .
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 re -issuance 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 prior to making such changes.
Permit issued this the 6th day of August, 2008.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Jor ween H. Sullins, uirector
Division of Water Quality
By Authority of the Environmental Management Commission
7
Page 4 of 6

USEONLY0'ai
!
Date Received
Fee Paid
Permit Number
ice---�
State of North Carolina
Department of Environment and Natural Resources $EP 4 2008
Division of Water Quality I OENB-FtTE LLEREGIONALOFRCE
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This farm may be photocopied for use as an original
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Trustees of Solid Rock United Methodist Church
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Gilliam P. Wise, Lead Pastor
3. Mailing Address for person listed in item 2 above:
2297 Hwv. 24
City: Cameron State: NC Zip: 28326
Phone: (919 ) 498-2139 Fax:
Email:
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Solid Rock United Methodist Church Capital Campaign Church/Community Campus, Phase 1
5. Location of Project (street address):
NC Highway 24
City: Cameron County: Harnett - Zip:28326
6. Directions to project (from nearest major intersection):
From NC 87 - NC 24 interchange, 6.7 miles north of Cumberland County line, west on NC 24 for 2000 feet
r
7. Latitude:35° 16' 04" N
Longitude:79° 04' 01" W
8. Contact person who can answer questions about the project:
of project
Name: C. Tyrus Clayton, Jr., PE Telephone Number: (910 ) 897-7070
Email: [e-mail]
II. PERMIT INFORMATION:
Form SWU-101 Version03.27.08 Pagelof4

1. Specify whether project is (check one): ®New Renewal Modification
2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number and its issue date (if known)
3. Specify the type of project (check one):
[]Low Density ®High Density DRedevelop OGeneral Permit []Universal SMP Other
4. 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 []404/401 Permit []NPDES Stormwater
III. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
Most of the stormwater will be directed into six bioretention cells, which will treat the first inch of runoff. Runoff
in excess of that amount will be conveyed by a system of pipes to a distribution box and then to 3 level spreaders
with grassed filter strips. A small quantity of stormwater will leave the site as sheet flow to the north and south.
2. Stormwater runoff from this project drains to the Cape Fear River basin.
3. Total Property Area:16.16 acres 4. Total Wetlands Area: 0 acres
5. 100' Wide Strip of Wetland Area: N/A acres (not applicable if no wetlands exist on site)
6. Total Project Area': 6.655 acres 7. Project Built Upon Area: 38.4
8. How many drainage areas does the project have? 7
9. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
For high density projects, complete the table with one drainage area for each engineered stormwater device.
Basm1Inf6rmation
�3tx.. is}LOLVA'.IDL!.x!vt5 y
aa..� "
rvw�t.��.
Vrainage}Area=1
`X e.i4a:: fNa..'1M§
p
vmage «ai -
Dramage3Area=2
��A�.Wv aibti NGF6 �S.W x.
Receiving Stream Name
Muddy Creek
Muddy Creek
Stream Class & Index No.
C;18-23-26
C;18-23-26
Total Drainage Area (sf)
22,855
6,340
On -site Drainage Area (sf)
22,855
6,340
Off -site Drainage Area (so
0
0
Existing Impervious" Area (sf)
0
0
Proposed Impervious"Area (sf)
15,067
4,204
Impervious" Area (total)
65.9
66.3
*� '
ImperyrousSurfaceArea ,;
" Dra�n'a e"Area l
y g a u
F�Drama e",Area 2
$
On -site Buildings (so
12,363
0
On -site Streets (so
0
0
On -site Parking (sf)
2,704
4,204
On -site Sidewalks (so
0
0
Other on -site (sf)
0
0
Off -site (sf)
0
0
Total (so:
15,067
4,204
Form SWU-101 Version 03.27.08 Page 2 of

Solid Rock United Methodist Church Capital Campaign Church/Community Campus, Phase 1
Stormwater Management Permit
Drainage Areas 3-6
Basin Information
Drainage Area
Drainage
Drainage Area
Drainage Area
Drainage Area
3
Area 4
5
6
7
Receiving Stream
Muddy Creek
Muddy Creek
Muddy Creek
Muddy Creek
Muddy Creek
Name
Stream Class & Index
C;18-23-26
C;18-23-26
C;18-23-26
C;18-23-26
C;18-23-26
No.
Total Drainage Area
4,892
91,017
13,419
13,987
180,949
s
On -site Drainage Area
4,892
91,017
13,419
13,987
180,949
s
Off -site Drainage Area
0
0
0
0
0
s
Existing Impervious
0
0
0
0
0
Area (sf)
Proposed Impervious
3,895
68,877
8,593
11,590
15,770
Area so
% Impervious Area
79.6
75.7
64.0
82.9
8.7
(total)
Impervious Surface
Area
Drainage Area
3
Drainage
Area 4
Drainage Area
5
Drainage Area
6
Drainage Area
7
On -site Buildings (so
0
2,918
0
11,590
0
On -site Streets (so
0
0
0
0
0
On -site Parking (so
3,895
62,589
8,593
0
13,905
On -site Sidewalks (so
0
3,370
0
0
1,865
Other on -site (so
0
0
0
0
0
Off -site (so
0
0
0
0
0
Total (so
3,895
68,877
8,593
11,590
15,770

"Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
"Total project area shall be calculated based on the current policy regarding inclusion of wetlands in the built upon area
percentage calculation. This is the area used to calculate percent project built upon area (BUA).
10. How was the off -site impervious area listed above derived?
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
One of the following deed restrictions and protective covenants are required to be recorded for all subdivisions,
outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table listing each lot
number, size and the allowable built -upon area for each lot must be provided as an attachment. Forms can be
downloaded from http://h2o.enr.state.nc.us/su/bmp forms.htm - deed restrictions.
Form DRPC-1
High Density Commercial Subdivisions
Form DRPC-2
High Density Developments with Outparcels
Form DRPC-3
High Density Residential Subdivisions
Form DRPC-4
Low Density Commercial Subdivisions
Form DRPC-5
Low Density Residential Subdivisions
Form DRPC-6 Low Density Residential Subdivisions with Curb Outlets
By your signature below, you certify that the recorded deed restrictions and protective covenants for this
project shall include all the applicable items required in the above form, 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 State, and that they will be recorded prior to the
sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be subn-tted for each
BMP specified for this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms. Forms can be downloaded from htro://h2o.enr.state.nc.us/su/bmp forms.htm.
Form SW401-Low Density
Form SW401-Curb Outlet System
Form SW401-Off-Site System
Form SW401-Wet Detention Basin
Form SW401-Infiltration Basin
Form SW401-Infiltration Trench
Form SW401-Bioretention Cell
Form SW401-Level Spreader
Form SW401-Wetland
Form SW401-Grassed Swale
Form SW401-Sand Filter
Form SW401-Permeable Pavement
Low Density Supplement
Curb Outlet System Supplement
Off -Site System Supplement
Wet Detention Basin Supplement
Infiltration Basin Supplement
Underground Infiltration Trench Supplement
Bioretention Cell Supplement
Level Spreader/Filter Strip/Restored Riparian Buffer Supplement
Constructed Wetland Supplement
Grassed Swale Supplement
Sand Filter Supplement
Permeable Pavement Supplement
Form SWU-101 Version 03.27.08 Page 3 of 4

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. The complete application package should be
submitted to the appropriate DWQ Office. (Appropriate office may be found by locating project on the
interactive online map at http://h2o.enr.state.nc.us/su/msi_mans.htm)
1. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
Initials
• Original and one copy of the Stormwater Management Permit Application Form
0_1e
• Original and one copy of the Deed Restrictions & Protective Covenants Form (if
AIIA
required as per Part IV above)
• Original of the applicable Supplement Form(s) and O&M agreement(s) for each BMP
V
• Permit application processing fee of $505 (Express: $4,000 for HD, $2,000 for LD)
payable to NCDENR
C -It^
• Calculations & detailed narrative description of stormwater treatment/management
Ll'l
• Copy of any applicable soils report
L�
• Two copies of plans and specifications (sealed, signed & dated), including:
Cle
- Development/Project name
- Engineer and firm
-Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may.provide information on your
behalf, please complete this section. (ex. designing engineer or firm)
Designated agent (individual or firm): C.
Mailing Address: PO Box 578
City: Coats
Phone: (910 ) 897-7070
Email:
VIII. APPLICANT'S CERTIFICATION
P.E.
State: NC
Zip:27521
Fax: (910 ) 897-6767
I, (print or hype name of person listed in General Information, item 2) Gl I I ,a n P. (0150-,
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
Form SWU-101 Version 03.27.08 Page 5 of 4

and protective cove is will be recorded, and that the proposed project complies with the requirements of 15A
NCAC 2171 .1000. 'J
Signature: Date: / �s
Form SWU-101 Version 03.27.08 Page 6 of

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Bioretention 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 operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
— Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will betaken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month 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:
Potentialproblems:
How I 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
bioretention cell
erosive gullies have formed.
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,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or 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.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
applicable).
Form SW401-Bioretention O&M-Rev.3 Page 1 of 5

BMP element:
The pretreatment area
The bioretention cell:
vegetation
The bioretention cell:
soils and mulch
Potential problems:
Flow is bypassing
pretreatment area and/or
gullies have formed.
Sediment has accumulated to
a depth greater than three
inches.
Erosion has occurred.
Weeds are present.
Best professional practices
show that pruning is needed
to maintain optimal plant
health.
Plants are dead, diseased or
dying.
Tree stakes/wires are present
six months after planting.
Mulch is breaking down or
has floated away.
Soils and/or mulch are
clogged with sediment.
An annual soil test shows tith
pH has dropped or heavy
metals have accumulated in
the soil media.
will remediate the
Regrade if necessary to route all
flow to the pretreatment area.
Restabilize the area after grading.
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
restabilize the pretreatment area.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand.
Prune according to best professional
practices.
Determine the source of the
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Remove tree stake/wires (which
can kill the tree if not removed).
Spot mulch if there are only random
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Determine the extent of the clogging
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
Dolomitic lime shall be applied as
recommended per the soil test and
toxic soils shall be removed,
disposed of properly and replaced
with new planting media.
Form SW40 1 -Bioretention O&M-Rev.3 Page 2 of 5

BMP element:
Potentialproblems:
How I will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
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-Bioretention O&M-Rev.3 Page 3 of 5

Permit Number:
(to be 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.
Project name: Solid Rock United Methodist Church Capital Campaign
Church/Community Campus, Phase 1
BMP drainage area number: Bioretention #1 (DAl), Bioretention #2 (DA2), Bioreten-
tion 43 (DA3), Bioretention #4 (DA4), Bioretention #5 (DA5), Bioretention 46 (DA6)
Print name: Gilliam P. Wise
Title: Lead Pastor
Address: 2297 Hwy. 24, Cameron, NC 28326
Date:
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.
I, 00_ a.o,_. F a , a Notary Public for the State of
(�N C , County of lapxne�A do hereby certify that
CT W1 S e personally appeared before me this 1 rJ
day of 5k.1 i 2oo b , and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
ecoPF, ]ONNSD.�i
S+Q �p'CARy
ci !
s y Puev =i
�`•y�T COS �•�
w'rse.I Mpa
SEAL
My commission expires Ok i 3k i aDj3
Form SW401-Bioretention I&M-Rev. 2 Page 4 of 5

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Filter Strip, Restored Riparian Buffer and Level Spreader
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:
— Immediately after the filter strip is established, any newly planted vegetation
will be watered twice weekly if needed until the plants become established
(commonly six weeks).
— Once a year, the filter strip will be reseeded to maintain a dense growth of
vegetation
— Stable groundcover will be maintained in the drainage area to reduce the
sediment load to the vegetation.
— Two to three times a year, grass filter strips will be mowed and the clippings
harvested to promote the growth of thick vegetation with optimum pollutant
removal efficiency. Turf grass should not be cut shorter than 3 to 5'inches and
may be allowed to grow as tall as 12 inches depending on aesthetic requirements
(NIPC,1993). Forested filter strips do not require this type of maintenance.
— Once a year, the soil will be aerated if necessary.
— Once a year, soil pH will be tested and lime will be added if necessary.
After the filter strip is established, it will be inspected quarterly and within 24 hours
after every storm event greater than 1.0 inch (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 I will remediate theproblem:
The entire filter strip
Trash/debris is present.
Remove the trash/debris.
system
The flow splitter device
The flow splitter device is
Unclog the conveyance and dispose
(if applicable)
clogged.
of any sediment off -site.
The flow splitter device is
Make any necessary repairs or
damaged.
replace if damage is too large for
repair.
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 1 of 4

BMP element:
Potentialproblem:
How I will remediate theproblem:
The swale and the level
The swale is clogged with
Remove the sediment and dispose
lip
sediment.
of it off -site.
The level lip is cracked,
Repair or replace lip.
settled, undercut, eroded or
otherwise damaged.
There is erosion around the
Regrade the soil to create a berm
end of the level spreader that
that is higher than the level lip, and
shows stormwater has
then plant a ground cover and
bypassed it.
water until it is established. Provide
lime and a one-time fertilizer
application.
Trees or shrubs have begun
Remove them.
to grow on the swale or just
downslo e of the level lip.
The bypass channel
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then
reestablish proper erosion control.
Turf reinforcement is
Study the site to see if a larger
damaged or ripap is rolling
bypass channel is needed (enlarge if
downhill.
necessary). After this, reestablish
the erosion control material.
The filter strip
Grass is too short or too long
Maintain grass at a height of
f a licable .
approximately three to six inches.
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Sediment is building up on
Remove the sediment and
the filter strip.
restabilize the soil with vegetation if
necessary. Provide lime and a one-
time fertilizer application.
Plants are desiccated.
Provide additional irrigation and
fertilizer as needed.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application.
Nuisance, vegetation is
Remove vegetation by hand if
choking out desirable species.
possible. If pesticide is used, do not
allow it to get into the receiving
water.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality local Regional Office, or the
outlet.
401 Oversight Unit at 919-733-1786.
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 2 of 4

Permit Number:
(to be 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.
Project name: Solid Rock United Methodist Church Capital Campaign
Church/Community Campus, Phase 1
BMP drainage area number: Level Spreader 41, Level Spreader 42, Level Spreader 43
Print name: Gilliam P. Wise
Address: 2297 Hwy. 24, Cameron, NC 28326
r,O,:
Signat
Date: �% n
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.
I, WO MD o— F , a Notary Public for the State of
MC_ ounty of �rne N- , do hereby certify that
W. Se- personally appeared before me this 16''-'
day of emu.\ q 00 8 and acknowledge the due execution of the
forgoing filter strip, riparian buffer, and/or level spreader maintenance requirements
Witness my hand and official seal,
NM.........F.
e�p�oPp. ]OyNsy�+
D
ea3� p'TARy i
d
SEAL
My commission expires CD\1 "3 � 1
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 3 of 4

Permit Number:
(to be provided by DWQ)
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 4 of 4

fiAtitA36
NCDENR
Permit Number:
(to be provided by DWQ)
O�O� WATF,q
y C
> y
O T
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
Project name
Contact name
Phone number
Date
Drainage area number
Site Characteristics
Drainage area
Impervious area
Percent impervious
Design rainfall depth
Peak Flow Calculations
1-yr, 24-hr runoff depth
1-yr, 24-hr intensity
Pre -development 1-yr. 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak control
Storage Volume: Non -SR Waters
Design volume
Storage Volume: SR Waters
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Cell Dimensions
Ponding depth of water
Ponding depth of water
Surface area of the top of the bioretention cell
Length:
Width:
-or- Radius
Soils Report Summary
Drawdown time, ponded volume
Drawdown time, to 24 inches below surface
Drawdown time, total:
In-sdu soil:
Soil permeability
Planting media soil:
Soil permeability
Soil composition
% Sand (by weight)
% Fines (by weight)
% Organic (by weight)
,Solid Rock United Methodist Church Capital Campaign Church/Community Campus, Phase 1 ; w;
.C.,,Tyrus.Clayton, Jr., P E
910 897-7070
`June 6 2008 �x=;k'x2 .,� , ! ° o . t ;'�cs-..,
22,855.00 It,
15,038.00 ftZ
65.8% %
1.00 inch
l ; ..• ;3.06 in
0.12 in/hr
.0.15 ft3/sec
> 0.62 ft3/sec
0.46 ft3/sec
1,223.00 ft3
ft3
" ft3
0.00 ft3
ft3
" ;9.00inches
OK
0.75 ft
1825.00 ft2
OK
55.30 ft
OK
33.00 It
OK
ft
12-.0'0 hr OK
12.00 hr OK
24.00 hr
0.60 in/hr OK
1.50 in/hr OK
86% OK
10% OK
4% OK
Total: 100%
Fn.m FIAIde1-Rinrolunlinn_Pu„ A Padc I and II nation S,mmary Pana 1 n/ 9

Permit Number:
(to be provided by DW )
Phosphorus Index (P-Index)
20 (unitless)
OK
Basin Elevations
Temporary pool elevation
375.75 fmsl
Planting elevation (top of the mulch)
375.00 fmsl
OK
Bottom of the cell
372.00 fmsl
Planting depth
3.00 ft
Depth of mulch
3.00 inches
OK
SHWi elevation
357,00 fmsl
OK
Are underdrains being installed?
Y '4• (Y or N)
How many clean out pipes are being installed?
", 7
OK
What factor of safety is used for sizing the underdrains? (See
6.00
OK
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
1 ft
the bottom of the cell to account for underdrains
Bottom of the cell required
371.00 fmsl
Distance from bottom to SHWT
14.00 ft
OK
Type of bioretention cell (answer "Y" to only one of the two
following questions):
Is this a grassed cell?
' , (Y or N)
Is this a cell with trees/shrubs?
-, Y #s'( (Y or N)
OK media depth
Planting Plan
Number of tree species
3
OK
Number of shrub species
i,+x ; r3'r>ss°:-3
OK
Number of herbaceous groundcover species
jt t w *rr 3
OK
Additional Information
Does volume in excess of the design volume bypass the
k hw
a'
bioretention cell?
Y or N )
OK
Does volume in excess of the design volume flow evenly distributed
KkY
N)
OK
through a vegetated filter?
(Y or
What is the length of the vegetated filter?
,:„:V: x -: *: 30 ft
Does the design use a level spreader to evenly distribute flow? z' 'W q.0,I(Y or N) Submit a level spreader supplement.
Is the BMP located at least 30 feet from surface waters (50 feel If
r' „ Y A (Y or N)
OK
SA waters)?
s
Is the BMP localed at least 100 feet from water supply wells?
Y <y ^ I (Y or N)
OK
Are the vegetated side slopes equal to or less than 3:17
as Y A; - (Y or N)
OK
Is the BMP located in a recorded drainage easement with a
NIA (Y or N)
Insufficient ROW location,
recorded access easement to a public Right of Way (ROW)?rr�
,
Inlet velocity (from treatment system)
i+ 100 ft/sec
OK
Is the area surrounding the cell likely to undergo development in
N N
OK
the future?
or
(Y )
Are the slopes draining to the bioretention cell greater than 20%? z N r,'! r (Y or N) OK
Is the drainage area permanently stabilized? �Y."'-: (Y or N) OK
Pretreatment Used
(Indicate Type Used with an "X" in the shaded cell)
Gravel and grass s
Y
(flinches gravel followed by 3-5 ft of grass)
Grassed swale
Forebay
R,rm AVVAM-Rlnretentinn-Ray.3 Parts I and 11. Desion Summary. Paoe 2 of 2

Permit Number:
(to be provided by DWO)
��of wAiF,gOG
®� j
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
Project name
Solid Rock United Methodist Church Capital Campaign Church/Community Campus, Phase 1
Contact name
.C. Tyrus,Clayton, Jr., RE.
Phone number
[phone]
Date
June 6,2008Drainage
area area number
2
"A
Site Characteristics
Drainage area
'',"6,339.00 ft
Impervious area
4,221.00 ftZ
Percent impervious
66.6% %
Design rainfall depth
ds^_ a 1.00 inch
Peak Flow Calculations
1-yr, 24-hr runoff depth
- �, 3.06 in
1-yr, 24-hr intensity
".412 Whir
Pre -development 1-yr, 24-hr peak flow
w;,0.00 ft3lsec
Post -development 1-yr, 24-hr peak flow
' '' "'?0.01 ft3/sec
Pre/Post 1-yr, 24-hr peak control
0.01 ft3/sec
Storage Volume: Non -SR Waters
Design volume
343.00 ft3
Storage Volume: SR Waters
Pre -development 1-yr, 24-hr runoff
r'- `ft3
Post -development 1-yr, 24-hr runoff
"'<-; ft3
Minimum volume required
0.00 ft3
Volume provided
, `'Ii`ft3
Cell Dimensions
Ponding depth of water
(9.00 inches
OK
Ponding depth of water
0.75 ft
Surface area of the top of the bioretention cell
W " "559.00 ft'
OK
Length:-:+=""..
; .21.00ft
OK
Width:
" 26.60 ft
OK
-or- Radius
"a 8
Soils Report Summary
Drawdown time, ponded volume
):r 5=i. r_...12.00 hr
OK
Drawdown time, to 24 inches below surface
12.00 hr
OK
Drawdown time, total:
24.00 hr
In -situ soil:
Soil permeability
0.60 in/hr
OK
Planting media soil:
Soil permeability
1.50 inthr
OK
Soil composition
% Sand (by weight)
86%
OK
% Fines (by weight)
10%
OK
% Organic (by weight)
4%
OK
Total: 100%
Fnrm AWe01-Rinrntentinn-Ray.3
Parts I and II. Design Summary. Paoe 1 of 2

Permit Number:
(to be provided by DWQ)
Phosphorus Index (P-Index)
Basin Elevations
Temporary pool elevation
Planting elevation (top of the mulch)
Bottom of the cell
Planting depth
Depth of mulch
SHWT elevation
Are underdrains being installed?
How many clean out pipes are being installed?
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
the bottom of the cell to account for underdrains
Bottom of the cell required
Distance from bottom to SHWT
Type of bioretention cell (answer "Y" to only one of the two
following questions):
Is this a grassed cell?
Is this a cell with trees/shrubs?
Planting Plan
Number of tree species
Number of shrub species
Number of herbaceous groundcover species
Additional Information
Does volume in excess of the design volume bypass the
bioretention cell?
Does volume in excess of the design volume flow evenly distributed
through a vegetated filter?
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flan?
Is the BMP located at least 30 feet from surface waters (50 feet if
SA waters)?
Is the BMP located at least 100 feet from water supply wells?
Are the vegetated side slopes equal to or less than 3:1?
Is the BMP located in a recorded drainage easement with a
recorded access easement to a public Right of Way (ROW)?
Inlet velocity (from treatment system)
20 (unitless) OK
374.45 fmsl
fmsl
OK
33730
7fmsl
3.00 It
3.00 inches
OK '
357.00 fmsl
OK
Y (Y or N)
2
OK
6.00
OK
1ft
369.70 fmsl
12.70 ft
OK
(YorN)
Y (Y or N) OK media depth
C- r3 OK
ilk: °;t;r3 OK
(Y or N) OK
(YorN) OK
It
(Y or N) Submit a level spreader supplement.
(Y or N) OK
(Y or N) OK
(Y or N) OK
or N) Insufficient ROW location.
OK
Is the area surrounding the cell likely to undergo development In
r+r a OK
the future?
,Nr` ,u(YorN)
Are the slopes draining to the bioretention cell greater than 20%7'
N a (Y or N) OK
Is the drainage area permanently stabilized?
''"Y • : (Y or N) OK
'Pretreatment Used
(Indicate Type Used with an "X" in the shaded cell)
Gravel and grass
(8 inches gravel followed by 3-5 It of grass)
Grassed swale
Forebay
Y
Form SW401-Bioretention-Rev.3 Parts I and II. Desiqn Summary. Page 2 of 2

Permit
A'A
NCDENR
(to be provided by DWQ)
o2Dp W A7- qO
y �
� r
o -mac
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part Ill) must be printed, filled out and submitted along with all of the required information.
Project name :Solid Rock United Methodist Church Capital Campaign Cl
Contact name C Tyrus Clayton, Jr., P.E.
`
Phone number [phone]
Date June.6, 2008
Drainage area number 3m-
Site Characteristics
Drainage area
'1 4 89L�00 ft2
Impervious area
Y :' 3,791 `OO ftZ
Percent impervious
77.5% %
Design rainfall depth
3:,", `."1.00 inch
Peak Flow Calculations
1-yr, 24-hr runoff depth
s ea'nU3.06 in
1-yr, 24-hr intensity
'' 0"12 in/hr
Pre -development 1-yr, 24-hr peak flow
_ ' ` {0,00 ft3/sec
Post -development 1-yr, 24-hr peak Flow
`- 0.01 ft3/sec
Pre/Post 1-yr, 24-hr peak control
0.01 ft3/sec
Storage Volume: Non -SR Waters
Design volume
g-s 305.00 ft3
Storage Volume: SR Waters
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff;
a,:ft3
Minimum volume required
0.00 ft3
Volume provided
:%. +. ' ft3
Cell Dimensions
Ponding depth of water
f C 9.00 inches
OK
Ponding depth of water
0.75 ft
Surface area of the top of the bioretention cell
k s503.00 ft'
OK
Length:
P:25.15 ft
OK
Width:
.'„`: - ' 20.00 ft
OK
or -Radius
>. ' ft
Soils Report Summary
Drawdown time, ponded volume
F 12.00 hr
OK
Drawdown time, to 24 inches below surface
;vr `° 12.00 hr
OK
Drawdown time, total:
24.00 hr
In-s8u soil.
Soil permeability
0.60 in/hr
OK
Planting media soil. -
Soil permeability
1.50 in/hr
OK
Soil composition
% Sand (by weight)
86%
OK
• Fines (by weight)
10%
OK
% Organic (by weight)
4%
OK
Total: 100%
Form SW401-Bioretention-Rev.3
Parts I and II. Desion Summary, Pane 1 of 2

Permit
(to be provided by D WQ)
Phosphorus Index (P-Index)
Basin Elevations
Temporary pool elevation
Planting elevation (top of the mulch)
Bottom of the cell
Planting depth
Depth of mulch
SHWT elevation
Are underdrains being installed?
How many clean out pipes are being installed?
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
the bottom of the cell to account for underdrains
Bottom of the cell required
Distance from bottom to SHWT
Type of bioretention cell (answer "Y" to only one of the two
following questions):
Is this a grassed cell?
Is this a cell with trees/shrubs?
Planting Plan
Number of tree species
Number of shrub species
Number of herbaceous groundcover species
Additional Information
Does volume in excess of the design volume bypass the
bioretention cell?
Does volume in excess of the design volume flow evenly distributed
through a vegetated filter?
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at least 30 feet from surface waters (50 feet if
SA waters)?
Is the BMP located at least 100 feet from water supply wells?
Are the vegetated side slopes equal to or less than 3:1?
Is the BMP located in a recorded drainage easement with a
recorded access easement to a public Right of Way (ROW)?
Inlet velocity (from treatment system)
Is the area surrounding the cell likely to undergo development in
the future?
Are the slopes draining to the bioretention cell greater than 20%?
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an "X" in the shaded cell)
Gravel and grass
(8'inches gravel followed by 3-5 ft of grass)
Grassed swale
Forebay
20 (unilless)
OK
373.90 fmsl
373.15 fmsl
OK
370.15 fmsl
3.00 ft
3.00 inches
OK
357.00 fmsl
OK
Y _ (YorN)
2 OK
N
6.00 OK
r
ift
369.15 fmsl
12.15It OK
(Y or N)
(Y or N) OK media depth
WO 3 OK
(Y or N) OK
b11
or N) OK
or N) Submit a level spreader supplement.
(Y or N) OK
_'(YorN) OK
(Y or N) OK
(Y or N) Insufficient ROW location
ft sec Insufficient inlet velocity unless energy dissipating devices are
1 being used.
�(YorN) OK
Y,OK
`.'Ys`*'"(YorN) OK
Form SW401-Bioretention-Rev.3 Parts I and II. Design Summarv. Noe 2 of 2

Permit Number:
(to be provided by DW )
®®_ �oP WAiF9\
ww�
o ~
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
Project name
Contact name
Phone number
Date
Drainage area number
Solid Rock United Methodist Church Capital Campaign Church/Community Campus,,Phase 1 - ? .>3
C. Tyrus Clayton, Jr., P.E.
[phone]-
June 6,2008 �d,,�
4 ..�•. �.v aL R� .,: „
I1:'3DESIGWNFORMATION..:'
Site Characteristics
Drainage area j;91 017.00 ft'
Impervious area "75,562.00 ft'
Percent impervious 83.0% %
Design rainfall depth 1,00 inch
Peak Flow Calculations
1-yr, 24-hr runoff depth
,"C"_et _,'�,3.06 in
1-yr, 24-hrintensity
" ;°0.72 in/hr
Pre -development 1-yr, 24-hr peak flow
0.05 ft3/sec
Post -development 1-yr, 24-hr peak Flow
° 0.19 ft3/sec
Pre/Post 1-yr, 24-hr peak control
0.14 ft3/sec
Storage Volume: Non -SR Waters
Design volume
! , `�-6,046.00 ft3
Storage Volume: SR Waters
Pre -development 1-yr, 24-hr runoff
Y.ft3
Post -development 1-yr, 24-hr runoff
ft3
Minimum volume required
0.00 ft'
Volume provided
g , ,: ft'
Cell Dimensions
Ponding depth of water
10.00 inches
OK
Fondling depth of water
0.83 ft
Surface area of the top of the bioretention cell
7800.00 ft'
OK
Length:
'r`w174.50 ft
OK
Width:
44:70 ft
OK
-or- Radius
ft
Soils Report Summary
Drawdown time, ponded volume
12.00 hr
OK
Drawdown time, to 24 inches below surface
12.00 hr
OK
Drawdown time, total:
24.00 hr
In -situ soil.,
Soil permeability
0.60 Whir
OK
Planting media soil.
Soil permeability
1.50 in/hr
OK
Soil composition
% Sand (by weight)
86%
OK
Fines (by weight)
10%
OK
% Organic (by weight)
4%
OK
Total: 100%
Form SW401-Bioretenlion-Rev.3
Parts I and H. Design Summary, Page 1 of 2

Phosphorus Index (P-Index)
Permit
20 (unitless) OK
(to be provided by DWQ)
Basin Elevations
Temporary pool elevation
Planting elevation (lop of the mulch)
Bottom of the cell
Planting depth
Depth of mulch
SHWT elevation
Are underdrains being installed?
How many clean out pipes are being installed?
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
the bottom of the cell to account for underdrains
Bottom of the cell required
Distance from bottom to SHWT
Type of bioretention cell (answer "Y" to only one of the two
following questions):
Is this a grassed cell?
Is this a cell with trees/shrubs?
Planting Plan
Number of tree species
Number of shrub species
Number of herbaceous groundcover species
Additional Information
373.83 fmsl
373.00 fmsl
Insufficient temporary pool elevation.
370.00 fmsl
3.00 it
3.00 inches
OK
357.00 fmsl
OK
Y(YorN)
8
OK
; 6.00
OK
1ft
369.00 fmsl
12.00 it
OK
(Y or N)
Y i..F.:. (Y or N) OK media depth
7 3 OK
„•,, . "*3 OK
x3. OK
Does volume in excess of the design volume bypass the
Ir
n
(Y or N)
bloretention cell?b(Y
Does volume in excess of the design volume flow evenly distributed . + Y
;
(Y or N)
through a vegetated filter?
What is the length of the vegetated filter?
�30 fit
Does the design use a level spreader to evenly distribute flow.?
kr Y h (Y or N)
Is the BMP located at least 30 feet from surface waters (50 feet if
SA waters)?
Is the BMP located at least 100 feet from water supply wells?
Are the vegetated side slopes equal to or less than 3:1?
Is the BMP located in a recorded drainage easement with a
recorded access easement to a public Right of Way (ROW)?
Inlet velocity (from treatment system)
Is the area surrounding the cell likely to undergo development in
the future?
Are the slopes draining to the bioretenlion cell greater than 20%? :, .N
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an X' in the shaded cell)
Gravel and grass
(flinches gravel followed by 3-5 it of grass)
Grassed swale
Forebay
14121
[6][1
Submit a level spreader supplement.
(Y or N) OK
(Y or N) OK
(Y or N) OK
(Y or N) Insufficient ROW location.
Insufficient inlet velocity unless energy dissipating devices are
being used.
(Y or N) OK
(Y or N) OK
.+Y ., ;`(Y or N) OK
See detail
Fnrm SWAn1-Rinratanllnn-Revl Parts I and if Desian Summarv. Paae 2 of 2

� �, ja
NCDENR
Permit Number:
(to be provided by DWQ)
0�04 W A iF•90
� r
o �
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
_F .r :A
u _
-INIPROJECT,INFORMATION
Project name
.Solid Rock United Methodist Church Capital Campaign Church/Community Campus
Phase 1
Contact name
C. Tyrus Clayton, Jr.,,P.E.134
Phone number
[phone]
Date
'June6,2008
Drainage area number
5 0.r, � ,
�: .•' "' : �,'�;:^' `�� ; � `><sR �
-'-�'��
�,a� �''
11.1DESIGNiINFORMATION.''rw-..-.,
4f, 4*_. -
Site Characteristics
Drainage area
J S,419.00 ft2
Impervious area
:8,837.00 ft2
Percent impervious
65.9% %
Design rainfall depth
1.00 inch
Peak Flow Calculations
1 -yr, 24-hr runoff depth
<4p-.-3,06in
1-yr, 24-hr intensity
'i',0.12 in/hr
Pre -development 1-yr, 24-hr peak flow
1 "I' , , 0.01 ft3/sec
Post -development 1-yr, 24-hr peak flow
+.0.03 ft3/sec
Pre/Post 1-yr, 24-hr peak control
0.02 ft3/sec
Storage Volume: Non -SR Waters
Design volume
a�719.00 ft3
Storage Volume: SR Waters
Pre -development 1-yr, 24-hr runoff
ft3
Post -development 1-yr, 24-hr runoff
;,. :;::ft3
Minimum volume required
0.00 ft3
Volume provided
r+ ft3
Cell Dimensions
Ponding depth of water
9.00 inches
OK
Ponding depth of water
0.75 It
Surface area of the top of the bioretention cell
'1108.00112
OK
Length:
43.08 it
OK
Width:
s`25.7211:
OK
-or- Radius
ft
Soils Report Summary
Drawdown time, ponded volume
": 12.00 hr
OK
Drawdown time, to 24 inches below surface
-12.00 hr
OK
Drawdown time, total:
24.00 hr
In -situ soil:
Soil permeability
0.60 inthr
OK
Planting media soil:
Soil permeability
1.50 in/hr
OK
Soil composition
% Sand (by weight)
86%
OK
% Fines (by weight)
10%
OK
% Organic (by weight)
4%
OK
Total: 100%
rn.,n C1AIdo1_Rinmlonlinn-Rmr a
Parts I and II. Desian Summary. Peas 1 of 2

Permit
(to be provided by DWQ)
Phosphorus Index (P-Index)
Basin Elevations
Temporary pool elevation
Planting elevation (top of the mulch)
Bottom of the cell
Planting depth
Depth of mulch
SHWT elevation
Are underdrains being installed?
20 (unitless) OK
375.44 first
374.69 first
371.69 fmsl
3.00 ft
3.00 inches
357.00 fmsl
Y (Y or N)
How many clean out pipes are being installed?
;::, . , 2
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
>6ti0
Additional distance between the bottom of the planting media and
1 ft
the bottom of the cell to account for underdrains
Bottom of the cell required
370.69 fmsl
Distance from bottom to SHWT
13.69 ft
Type of bioretention cell (answer "Y" to only one of the two
following questions):
Is this a grassed cell?
_
4 , c . '• (Y or N)
Is this a cell with trees/shrubs?
Y : (Y or N)
Planting Plan
Number of tree species
Number of shrub species
.:3
Number of herbaceous groundcover species
:_ :;; . ,' 3
Additional Information
.�L
OK
OK
OK
OK
Y1
OK media depth
OK
OK
OK
Does volume in excess of the design volume bypass the ` Y ` "(Y or N) OK
bioretention cell?
Does volume in excess of the design volume flow evenly distributed.,"Y 4' (Y or N) OK
through a vegetated filter? ,..u.-
What is the length of the vegetated filter? rt, . =<30 ft
Does the design use a level spreader to evenly distribute flows , ' Y urpr
n ":a (Y or N) Submit a level spreader supplement.
Is the BMP located at least 30 feet from surface waters (50 feet if
Y "r'Y '(Y or N)
SA waters)?
KI
Is the BMP located at least 100 feet from water supply wells?
^` %.,Y, -' ' . (Y or N)
Are the vegetated side slopes equal to or less than 3:1?
:> zY (Y or N)
Is the BMP located in a recorded drainage easement with a
:i`t;1; (Y or N)
recorded access easement to a public Right of Way (ROW)?
Inlet velocity (from treatment system)
3.5 (dissipation ft sec
.,1 a
k 1provided)
Is the area surrounding the cell likely to undergo development in
the future?
Are the slopes draining to the bioretention cell greater than 20%?
N(kv# "'j
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an X' in the shaded cell)
Gravel and grass
See detail
(8 inches gravel followed by 3-5 ft of grass)
Grassed swale
Forebay
KI
OK
OK
Insufficient ROW location.
Insufficient inlet velocity unless energy dissipating devices are
being used.
or N) OK
or N) OK
or N) OK
cn.,., n Parts I and ii, nasinn Summary. PNOe 2 of 2

Permit
*L&
NCDENR
(to be provided by DWQ)
0�0� W ATicgOG
y f
> y
O Y
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part Ill) must be printed, filled out and submitted along with all of the required information.
Project name
Contact name
Phone number
Date
Drainage area number
Site Characteristics
Drainage area
Impervious area
Percent impervious
Design rainfall depth
Peak Flow Calculations
1-yr, 24-hr runoff depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak control
Storage Volume: Non -SR Waters
Design volume
Storage Volume: SR Waters
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Cell Dimensions
Ponding depth of water
Ponding depth of water
Surface area of the top of the bioretention cell
Length:
Width:
-or- Radius
Soils Report Summary
Drawdown time, ponded volume
Drawdown time, to 24 inches below surface
Drawdown time, total:
In -situ soil:
Soil permeability
Planting media soil:
Soil permeability
Soil composition
% Sand (by weight)
% Fines (by weight)
% Organic (by weight)
Solid Rock United Methodist Church Capital
C. Tyrus.Clayton, Jr., RE
[phone] 5
June 6, 2008
3,987.00 ft2
' 11,586.00 ft2
82.8% %
.1,00inch
'`gyp >',t3.06 in
0.12 in/hr
0.01 ft/sec
=0.03 ft3/sec
0.02 ft'/sec
927.00 ft3
ft3
;ft3
0.00 ft'
ft3
9A0 inches OK
0.75 ft
� 1404.00 ft2 OK
°46.80 ft OK
30.00 ft OK
ft
.12.00 hr
OK
.<- 12.00 hr
OK
24.00 hr
0.66 in/hr
OK
1.50 in/hr
OK
86% OK
10% OK
4% OK
Total: 100%
Phase L :S;;;,.
Form SW401-Bioretention-Rev.3 Parts I and II. Design Summary. Paqe 1 of 2

Permit Number:
(to be provided by DWQ)
Phosphorus Index(P-Index)
Basin Elevations
Temporary pool elevation
Planting elevation (top of the mulch)
Bottom of the cell
Planting depth
Depth of mulch
SHWT elevation
Are underdrains being installed?
How many clean out pipes are being installed?
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
the bottom of the cell to account for underdrains
Bottom of the cell required
Distance from bottom to SHWT
Type of bioretention cell (answer Y' to only one of the two
following questions):
Is this a grassed cell?
Is this a cell with trees/shrubs?
Planting Plan
Number of tree species
Number of shrub species
Number of herbaceous groundcover species
Additional Information
20 (unitless) OK
375.75 fmsl
375.00 fmsl
OK
372.00 fmsl
3.00 It
3.00 inches
OK
357.00 first
OK
Y (YorN)
2
OK
6.00
OK
1ft
371.00 fmsl
14.00 ft
OK
(Y or N)
Y . (Y or N) OK media depth
OK
3 OK
Does volume in excess of the design volume bypass the t
bioretention cell? , °; ,Y a „ (Y or N)
Does volume in excess of the design volume flow evenly distributed Y 9" -<!r (Y or N)
through a vegetated filter? - k?-'-
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at least 30 feet from surface waters (50 feet if
SA waters)?
Is the BMP localed at least 100 feet from water supply wells?
Are the vegetated side slopes equal to or less than 3:1?
Is the BMP located in a recorded drainage easement with a
recorded access easement to a public Right of Way (ROW)?
Inlet velocity (from treatment system)
Is the area surrounding the cell likely to undergo development in
the future?
Are the slopes draining to the bioretention cell greater than 20%?
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an "X" in the shaded cell)
Gravel and grass
(8 inches gravel followed by 3-5 ft of grass)
Grassed Swale
Forebay
92
OK
or N) Submit a level spreader supplement.
or N) OK
or N) OK
or N) OK
n � eN/A ` Ae� (Y or N)
1 00 fl/sec
N (Y or N)
�Y
xr; N �(YorN)
„rY,r'' (Y or N)
X
Insufficient ROW location.
OK
OK
OK
OK
Nil
Form SW401-Bioretention-Rev.3 Parts I and II. Design Summary, Page 2 of 2

Permit No:
(to be assigned by DWQ)
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.
Pagel Plan
Initials
Sheet No.
CI
Sh vei 3
1. Plans (1' - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Cell dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Clean out pipe locations,
- Overflow device, and
- Boundaries of drainage easement.
74
5%1 aP} g
2. Plan details (1" = 30' or larger) for the bioretenlion cell showing:
Sh pe I I 0
Cell dimensions
Pretreatment system,
- High flow bypass system,
- Maintenance access,
Recorded drainage easement and public right of way (ROW),
Design at ultimate build -out,
Off -site drainage V applicable),
- Clean out pipe locations,
- Overflow device, and
- Boundaries of drainage easement.
/n�
l
I I
Sly eA 10
3. Section view of the bioretenlion cell (1' = 20' or larger) showing:
- Side slopes, 3:1 or lower
- Underdrain system (if applicable), and
- Bioretention cell layers [ground level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone if applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure]
C
n
61at l �'FY
4. 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. All
elevations shall be in feet mean sea level (fmsl). Results of soils tests of both the planting soil and the in
situ soil must include:
- Soil permeability,
- Soil composition (% sand, % fines, % organic), and
Adindex.
5. A detailed planting plan (1" = 20' or larger) prepared by a qualified individual showing:
- A variety of suitable species,
- Sizes, spacing and locations of plantings,
- Total quantity of each type of plant specified,
- A planting detail,
- The source nursery for the plants, and
- Fertilizer and watering requirements to establish vegetation.
6. A construction sequence that shows how the bioretention cell will be protected from sediment until the
entire drainage area is stabilized.
p
rd; O
7. The supporting calculations (including underdrain calculations, ff applicable).
C �C
dl f ii�
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
9. A copy of the deed restrictions (if required).
P.0111 Pan. 1 of 1

®w�
NCD\ENR
'F Vl AVIAT\E\g\,\O
1 ✓�r�v� 4
ONii�I
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER, FILTER STRIP AND RESTORED RIPARIAN BUFFER SUPPLEMENT
This form must be completely filled out, printed and submitted.
DO NOT FORGET TO ATTACH THE REQUIRED ITEMS CHECKLIST AND ALL REQUIRED ITEMS (NEXT WORKSHEET)I
Project name
Solid Rock United Methodist Church Capital Campaign Church/Community Campus, Phase 1
Contact name
C. Tyms Clayton, Jr., P.E. ; •
-�- - :,
Phone number
[phone]
Date
June 6,2008
Drainage area number
.Level Spreader 1�'
y.p- 1' J
}"9 s Jzr
4i w?M t y-,y,bM TP. :: i Y •Qfe,
y'i
3 gS 1 .Yy",{aY+ kV^`
II:tDESIGNINFORMATION;a ,
For Level Spreaders Receiving Flow From a BMP
Type Of BMP
Drawdown flow from the BMP
cfs
For Level Spreaders Receiving Flow from the Drainage Area
Drainage area
50,836.67..1,
ft'
Impervious surface area
r':aktl-, 37,408.67.:
^.If
Percent impervious
73.59
%
Rational C coefficient
" r0.83,
Peg! flow from the 1 inthr storm
0.97
cfs
Time of concentration
-llr 5.00A ,
,4min
Rainfall intensity, 10-yr storm
' • i.e2 inthr
Peak flow from the 10-yr storm
7.57
cis
Where Does the Level Spreader Discharge?
To a grassed blorelenlion cell? y ::iIJ "" (Y or N)
To a mulched bioretention cell? (Y or N)
To a wetland? N ;C c (Y or N)
TO a feller Strip or riparian buffer? -s'=Y • x .' (Y or N) Please complete filler strip characterization below,
Other (specify)
Filter Strip or Riparian Buffer Characterization (If applicable)
Width.ofgrass
w r30.00
;:_= It
Width of dense ground cover
' �:': 0.00.
>•'' fl
Width of wooded vegetation
; n0.00 '.
If
Total width
#30.00.
It
Elevation at downslope base of level lip
,,;�359.70: �Ai, fmsl
Elevation at lop of bank of the receiving water
f^aa- 357.30',
r'' fmsl
Slope (from level lip to to top of bank)
8.00
%
Are any draws present?
^'N
(Y or N) OK
Level Spreader Design
Forebay surface area
190.00
sq It OK
Feet of level lip needed per cfs
13
h/cfs
Answer "Y" to one of the following:
Length based on the 1 infhr storm?
"- N
(Y or N)
Length based on the 10-yr storm?
Y
(Y or N)
Length based on the BMP discharge rate?
N
(Y or N)
Design flow
8.00
cfs
Is a bypass device provided?
N
(Y or N) A bypass device Is not needed.
Forrn SW401-1-evel Spreader, Filter Strip, Restored Riparian Buffer -Revs Parts I. and II. Design Summary, page 1 of 2

Length of the level lip
Are level spreaders in series?
Bypass Channel Design (If applicable)
Does the bypass discharge through a wetland?
Does the channel enter the stream at an angle?
Dimensions of the channel (see diagram below):
M
B
IN
y
Peak velocity in the channel during the 10-yr storm
Channel lining material
M
B
104.00 ft Level spreader length OK.
N (Y or N)
(Y or N) Do not complete this section of the worksheet.
(Y or N) Do not complete this section of the worksheet.
Do not complete this section of the worksheet.
ft Do not complete this section of the worksheet.
ft Do not complete this section of 0e worksheet.
ft Do not complete this section of the worksheet.
ft Do not complete this section of the worksheet.
afs Do not complete this section of the worksheet.
Do not complete this section of the worksheet
s,
.
d--------------
l
M
Fonn SW401-Level Spreader, Filler Strip, Restored Riparian BuHer-Rev.5 Pans I. and II. Design Summary, page 2 of 2

o?op via7e,q
awn o
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER, FILTER STRIP AND RESTORED RIPARIAN BUFFER SUPPLEMENT
This form must be completely filled out, printed and submitted.
DO NOT FORGET TO ATTACH THE REQUIRED ITEMS CHECKLIST AND ALL REQUIRED ITEMS (NEXT WORKSHEET)I
I?PROBECT;INF.ORMATION.e,%,l'!`<r�a c,., "' ".r,r sx:hn: d t �, +,e« -." '11-44ffiF
Project name Solid Rock United Methodist Church Capital Campaign ChurchlCommunity Campus, Phase 1
Contact name ;C. Tyms Clayton, Jr., P.E.^,-.• `
Phone number f(910) 697-7070
Date -June 6, 200-8 - - i
Drainage area number Level Spreader2
For Level Spreaders Receiving Flow From a BMP
Type ofBMP
:e,,r,
Drawdown flow from the BMP _. cfs
For Level Spreaders Receiving Flow from the Drainage Area
Drainage area
50,836.67' it'
Impervious surface area
37,408.67<�. ftZ
Percent impervious
73.59 %
Rational C coefficient
* °x :0.83 - A�
Peak flow from the 1 in/hr storm
0.97 ds
Time of concentration
.'lt ?,,'�5.00 "xM , Imin
Rainfall intensity, 1 0-yr storm
"^:' 7.62'in/hr
Peak flow from the l0-yrstorm
7.57 cfs
Where Does the Level Spreader Discharge?
To a grassed bioretention cell? ,a' N (Y or N)
To a mulched bioretention cell? vN (Y or N)
To a wetland? ; -IN (Y or N)
To a filler strip or riparian buffer? "Y (Y or N) Please complete filter step charactedzatbn below.
Other (specify) yzr- - , csr �'#
Filter Strip or Riparian Buffer Characterization (if applicable)
Width of grass
Width of dense ground cover
rO00 ,: ,,.,j"ft
Width of wooded vegetation
$�k'x'400 ,;-"_' h
Total width
o"r `"00.00 '„> it
Elevation at downslope base of level lip
",362.90 fmsl
Elevation at top of bank of the receiving water
•;''1360.50 - fmsl
Slope (from level lip to to top of bank)
8.00 %
Are any draws present?
N .'-<.. (Y or N) OK
Level Spreader Design
Forebay surface area
"" . " 190.00
' : sq ft OK
Feet of level lip needed per cis
13
ft/ds
Answer "Y" to one of the following:
Length based on the 1 in/hr storm?
N
-(Y or N)
Length based on the 10-yr storm?
Y
'(Y or N)
Length based on the BMP discharge rate?
N
(Y or N)
Design flow
:-8.00
cfs
Is a bypass device provided?
N
(Y or N) A bypass device is not needed.
Form SW401-Level Spreader, Filter Sldp, Restored Riparian Buffer-Rev.5 Parts I. and IL Design Summary, page 1 of 2

Length of the level lip
Are level spreaders in series?
Bypass Channel Design (if applicable)
Does the bypass discharge through a wetland?
Does the channel enter the stream at an angle?
Dimensions of the channel (see diagram below):
M
B
W
y
Peak velocity in the channel during the 10-yr storm
Channel lining material
104.00 ft Level spreader length OK.
N (Y or N)
(Y or N)
Do not complete this section of the worksheet.
(Y or N)
Do not complete this section of the worksheel.
Do not complete this section of the worksheet.
ft
Do not complete this section of the worksheet.
ft
Do not complete this section of the worksheet.
ft
Do not complete this section of the worksheet.
fl
Do not complete this section of the worksheet.
,:. cfs Do not complete this section of the worksheet
Do not complete this section of the worksheet
4 M
M
i B i
Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer-Rev.5 Parts I. and H. Design Summary, page 2 of 2

o/L�F►ryw��AA7E,gOG
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER, FILTER STRIP AND RESTORED RIPARIAN BUFFER SUPPLEMENT
This form must be completely filled out, printed and submitted.
DO NOT FORGET TO ATTACH THE REQUIRED ITEMS CHECKLIST AND ALL REQUIRED ITEMS (NEXT WORKSHEET)I
I`.PR0JECT4NF,0RMATI0NL
Project name Solid Rock United Methodist Church Capital Campaign ChurchlCommunity.Campus, Phase,1
Contact name C. Tyms Clayton, Jr,, RE
Phone number--[phone]
Date June8,2008 n,' ''�;i✓ce.'ri •a;n .„;s ,7i7
Drainage area number ,Level Spreader �., :� �,<�^`' s
For Level Spreaders Receiving Flow From a BMP _
Type of BMP r ` - ro a=•.
Drawdown flow from the BMP , `r- cis
For Level Spreaders Receiving Flow from the Drainage Area
Drainage area-:''.'
50,8213.67.
ftZ
Impervious surface area
; %37,408.67 r"ftZ
Percent impervious
73.59
%
Rational C coefficient
0.83 -
Peak flow from the 1 in/hr storm
0.97
cfs
Time of concentration
- - 5.00 " 3
min
Rainfall intensity, 10-yr storm
"'.e 7.82 inlhr
Peak flow from the 10-yr storm
7.57
cfs
Where Does the Level Spreader Discharge?
To a grassed bioretention cell?-7=!,,- 3N ' �g;.(Y or N)
To a mulched bioretention cell? N Y, <(Y or N)
To a wetland? -N, <�.;: . (Y or N)
To a filter strip or riparian buffer? ' , r64 Y+': ! (Y or N) Please complete filter strip characterization below.
Other (specify) 'z
Ji
Filter Strip or Riparian Buffer Characterization (if applicable)
Width of grass
Width of dense ground cover 0.00 it
Width of wooded vegetation ' "f � „i..0.00 :il' "'' ft
Total width �n130.00:)'- ft
Elevation at downslope base of level lip r362.90 . 'fmsl
Elevation at top of bank of the receiving water360.50 -, fmsl
Slope (from level lip to to lop of bank) 8.00 %
Are any draws present? N " I r: • (Y or N) OK
Level Spreader Design
Forebay surface area
190.00
scift OK
Feet of level lip needed per cfs
13
fticfs
Answer "Y' to one of the following:
Length based on the 1 inthr storm?
N
(Y or N)
Length based on the 10-yr storm?
Y
(Y or N)
Length based on the BMP discharge rate?
N
(Y or N)
Design flow
8.00
cfs
Is a bypass device provided?
N
(Y or N) A bypass device is not needed.
Form SW401-Level Spreader, Filter Strip, Restored Ripanan Buffer-Rev.5 Pans I. and 0. Design Summary, page 1 of 2

Length of the level lip
Are level spreaders in series?
Bypass Channel Design (if applicable)
Does the bypass discharge through a wetland?
Does the channel enter the stream at an angle?
Dimensions of the channel (see diagram below):
M
B
W
y
Peak velocity in the channel during the 10-yr storm
Channel lining material
104.00 ft Level spreader length OK.
N (Y or N)
(Y or N)
Do not complete this section of the worksheel.
(Y or N)
Do not complete this section of the worksheet
Do not complete this section of the worksheet.
ft
Do not complete this section of the worksheet.
ft
Do not complete this section of the worksheet.
fl
Do not complete this section of the wodcsheel.
ft
Do not complete this section of the mirksheet.
ds Do not complete this section of the worksheet
'Do not complete this section of the worksheet
Form SW401-1-evel Spreader, Filter Strip, Restored Riparian Buffer-Rev.5 Parts I. and Il. Design Summary, page 2 of 2

III ?,�4REQUIRED'ITEMS;CHECKLISTx `` '4 '.,
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.
Pagel Plan
Initials Sheet No.
C P2 Sheet S 1. Plans (1" - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Forebay (if applicable),
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW), and
- Boundaries of drainage easement.
T Shee 5II- )D 2. Plan details (1" = 30' or larger) for the level spreader showing:
- Forebay (if applicable),
- High flow bypass system,
- One foot topo lines between the level lip and top of stream bank,
- Proposed drainage easement, and
- Design at ultimate build -out.
C Sift'f �� 3. Section view of the level spreader (1" = 20' or larger) showing:
Underdrain system (if applicable),
P
4—
S�
- Level lip,
- Upslope channel, and
Downslope filter fabric.
4.)A date -stamped photograph of the filter strip that clearly shows the type of vegetation that is present.
5. A construction sequence that shows how the level spreader will be protected from sediment until the entire
drainage area is stabilized.
6. The supporting calculations.
7. A copy of the signed and notarized operation and maintenance (0&M) agreement.
B. A copy of the deed restrictions (if required).
Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer-Rev.5 Part III, page 1 of 1