SW5120101_Admin Review_20120101

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Application Completeness Review
Y"First Submittal ❑ Re -submittal Date Received
Development/Project Name: C4,vfou r1 osa
Receiving stream name of o . 7
fiver Basin: A e&c, '
5 Date Reviewed: 9 /q / By Bill Diuguid
10, ICA+14-jus
Classification: WS-TL_, k(a\d , NSW
For post -construction requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-I, WS-II, WS-III, WS-IV, HQW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
Management Strategy.
High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds): WA
Latitude and Longitude:_76 .20 39- 8 A( --78 47 !f-7. G V Jurisdiction $w&ur,& �f(tRxrv',/1! C+I
Project Address: • C o R e 7- S /
Engineer name and firm: E!lti c T-i tT�_N P. E Pu-C
Phone: 2 (Q is 8 w o z2! m _Eail: e4 wry d N cl+g - e.-i c o rr%
Is the project confirmed to be in the State MSI Stormwater Permit jurisdiction? ❑ Yes or I—lo *LL-S L4)_-E
Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets ❑ High Density ❑ Other
Mll , ' 401/404 impacts to surface waters, wetlands, and buffers (add language to cover letter and/or add info letter) I�/ZoffoT
fiiiK BUA 6)- 0.5 %,
X' Check for $505.00 included
& Original signature (not photocopy) on application
FAVILegal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-memberlmanager, Agent).
Check spelling, capitalization, punctuation: http://www.secretary.state.nc.us/corporations/thepage.aspx
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
includes the name, title, mailing address and phone number of the person signing the letter.
❑ For subdivided projects, a signed and notarized deed restriction statement
❑ ealed, signed & dated calculations
Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each)
e"' Bioretention
❑
Dry Detention Basin
Filter Strip
❑
Grass Swale
❑
Infiltration Basin
❑
Infiltration Trench
❑
Level Spreader
❑
Permeable Pavement
❑
Restored Riparian Buffer
❑ Rooftop Runoff Management
❑ Sand Filter
❑ Stormwater Wetland
❑ Wet Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
r.7/ wo sets of sealed, signed & dated layout & finish grading plans with appropriate details
U, arrative Description of storm ater management provided
No ❑ �etlarndps
eort provided aTpyc'CD rLC 14N; tR � Co/c.x A4.+-r 1rJC-LU DE4
a mea or a note on the plans or in the accompanying documents that none exist on site and/or
adjacent property
rsa"'�Details for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
Dimensions & slopes provided �
rainage areas delineated 2 ervious and impervious reported for each ❑ Areas of high density
BMP operation and maintenance a3reements provided
❑ Application complete Q'Application Incomplete Returned: AO I (Date)
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Comments Akraz o r'r_1 AAE Ohl �': w%_ r? Cc a, A, s_f_� 4-0 % bat 2. z� Ufa r�l Ph r, 'Ani_.
Rio r"c TP_n.-rioA1 35 5�
May s, 2P1 Revis;on, 8#1 Diugui(! AWE Q)S Th- :5UBM r i D,+`Tk OAJ TN rf- P FA a rK -7-6" 4 A' - FA41-e-s'
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