SW3170605 - Marvin Town Hall

Marvin, NC UNION County
Tristan M McMannis, RLA, ESP Associates, P.A.
Marvin Town Hall Ate;
Marvin , NC UNION County Ai
Tristan M. McMannis, RLA, ESP Associates, P.A. NCDENR
Application i
Type of application: New Permit
Only complete application packages will be accepted and reviewed. A complete package includes all of the items in the checklist
below. Add any comments, and indicate the page or plan sheet number where the following information can be found. Please
indicate that you have provided the following required information by initialing in the space provided next to each item.
Part I: Submittal Checklist
Item
Notes / Comments Initials
1 Original and one copy of this application form (all worksheets) and the permit
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application fee. For applications submitted to the DEMLR regular permitting
program, the fee is $505 payable to NCDENR. For Express Review, click on the
link below for information and fee schedule. Contact the appropriate regional
office Express Review Coordinator to schedule the required pre -application
meetinq
Click here for Express Permitting info
2 A USGS map identifying the site location If the receiving stream is reported as
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class SA or the receiving stream drains to and is within 1/2 mile of SA waters,
then include the 1/2 mile radius on the map.
3 A copy of the most current property deed.
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4 Two copies of additional calculations (as needed) Sealed, signed and dated
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5 Two sets of sealed, signed, & dated full-sized plans of the entire site at a
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readable scale, including•
a Project name, engineer and firm, revision number and dates.
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b Location map with street names and SR numbers, legend, north arrow,
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scale.
c. Dimensioned property/project boundary with bearings & distances.
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d The boundaries of all surface waters, regulatory flood zones, and protected
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riparian buffers or a note on the plans that none exist
Q) a The boundaries of all vegetated or protected riparian buffers
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f. Site layout showing all built -upon areas, drainage features, stormwater
4q --a collection systems (inlets, outlets, swales, pipe elevations, slopes and
SCMs build
[;7 diameters), and at ultimate -out.
Cp �C3 trcTj
1 g. Existing contours, proposed contours, spot elevations, and finished floor
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elevations.
h Existing drainage (including off-site), drainage easements, pipe sizes,
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runoff calculations.
i Drainage area boundaries (included in the main set of plans, not as a
F!��
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separate document)
1. Existing and proposed maintenance access routes, utility easements,
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drainage easements, public rights-of-way etc.
k A construction sequence that shows how the SCMs will be protected from
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sediment until the entire drainage area is stabilized.
6 Two sets of sealed, signed, & dated full-sized plan details of each SCM (or
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typical if appropriate) in both plan view and cross-section at a scale of 1" = 30'
or larger, including
a Dimensions, side slopes, length to width ratios and elevations with a
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benchmark for clean-out if appropriate
b All applicable conveyance devices, including bypass structure,
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pretreatment area, flow distribution device, underdrams, outlet device, outlet
dissipater and level spreader.
c A table of elevations, incremental volumes and accumulated volumes (if
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applicable).
d Specifications for applicable materials, such as planting media, aggregate,
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sod, underdrains, outlet devices, etc.
STORM -EZ
Version 1.4
Application
6/23/2017
Page 1 of 4

Marvin, NC UNION County
Tristan M. McMannis, RLA, ESP Associates, P A
7 Two sealed, signed, & dated planting plans for each SCM (or typical) at a scale
of 1" = 20' or larger, as applicable, including:
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a. The locations of each species and a planting detail
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b. A table summarizing the size, spacing and total quantity of each plant
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species that should be used
c The source nursery for the plants.
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d. A one-time fertilizer specification to establish plants if necessary
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8 A soils report based on field evaluation indicating the SHWT elevations within
the footprints of the proposed SCM(s) Provide a map of the boring locations
Soil tests are currently being
performed
with the existing elevations and boring logs For infiltration SCMs, the report
shall include the soil type, infiltration rate and method for determining the
infiltration rate Soils information shall be signed and sealed by a licensed sod
9 A copy of the signed and notarized operation and maintenance (O & M)
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agreement.
10 A copy of the proposed deed restrictions protecting the SCMs and limiting the
built -upon area so that it does not exceed the capacity of the SCM(s) or the high
density threshold (as applicable).
NCDENR Deed Restriction Forms
11 For corporations and limited liability corporations (LLC). Documentation from
the NC Secretary of State or other official documentation, which supports the
N/A
titles and positions held by the persons listed in the Contact Information section.
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.
NC Dept. of the Secretary of State
12 A copy of the lease agreement or pending sales agreement if applicable
WA
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STORM -EZ 6/23/2017
Version 14 Application Page 2 of 4

W�JqO605- NC UNION Count
Marvm y
Tristan M McMannis, RLA, ESP Associates, P A
1-v a
5I MIi-r- cIeK.
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Part II: General Project and Applicant Information
Project Name: Marvin Town Hall Date: 7 -May -17
Project Street Address Marvin School Road Lat 3499253
City Marvin Zip 28173 Long -808133623
Directions to Project Northeast corner of Marvin School Road and New Town Road in Marvin, NC County UNION
(from nearest intersection) NON -COASTAL
Project Applicant: Village of Marvin - Dr. Robyn Stuber
(identify the corporation, organization, property owner, designated
government official, etc. which owns the protect.)
Owner/ Signing Offical's Name:
Title:
Address
City
State
Zip
Phone
Fax
Email
Village of Marvin - Dr Robyn Stuber
Village Administrator/Planner
10004 New Town Road
Marvin
North Carolina
281-73
704-843=1680
704-8434660
robynstuber(omarvinnc org._
Status of applicant: Owner
River Basin Catawba
Receiving Stream(s) Sixmile Creek
Stream Class(es) C
Surface Water Area (ac) 0 Coastal wetland area (ac) 0
Total property area (ac) 355 Total project area (ac) 355
Goals/charactenstics YES Volume Matching (LID) CN -
Drains to an offsite stormwater system
NO Low Density Within 575' of Saltwater ORW
High Density Within 5 miles of a public airport
Briefly summarize how the stormwater runoff will be treated
There are two separate catchments within the project boundary, and each catchment will have a sediment basin through
which the runoff will be diverted to
Part III: Permit Information
Status of construction I Not Started
Other permits needed YES Sedimentation & erosion control YES 404 Permit / 401 Certification
CAMA Major Permit Isolated Wetlands Permit
Threatened & Endangered Species NPDES Industrial Stormwater Permit
If an application for this project has been previously returned, provide the original project number and previous name of the project
Provide the permit type, number and issue date for any permits that have already been obtained for this
If claiming vested rights, then identify (and attach) the supporting documents and approval dates
Approval of a site-specific development plan or PUD Approval date
Valid building permit Issue date
Other Date
Not Started
Point of Contact
STORM -EZ
Version 1 4 Application
Phone number
6/1/2017
Page 3 of 4

(Optional) Additional
Person / Orgii
Signing Official
Street E
City, St.
Phone nur
Marvin, NC UNION County
Tristan M McMannis, RLA, ESP Associates, P A
Part IV: Additional Contact Information
(Note: Person/Organization noted above maybe contacted for additional project information if applicant
cannot be reached.)
Part V: Consultant Information
Complete this section if you wish to designate authority to another individual or firm so that they may provide information on your
behalf for this project (such as addressing requests for additional information).
Consultant
Firm
Street address
City, State, Zip
Phone number(s)
Email
Tristan M McMannis, RLA
ESP Associates, P A
3475 Lakemont Blvd
Fort Mill, SC 29708
704-583-494cl
tmcmannisOespassociates com
Part VI: Property Owner / Applicant Certification
I, (the Owner & Applicant listed above), 1Dr Robyn Stuber — I, certify that the information included
on this permit a s, to the best of my knowledge, correct and that the project will be constructed in conformance with the approved
plans, th a required deed re ctusion and protective covenants will be recorded, and that the proposed project complies with the
requir—ofnents of the app4p0le stat stormwater rVies-eurlregwrements
Sig ature ii Date l� /'
I, —GL l� Y-� a Notary Public or the State of I�f © a' l 6A0 1, l lAa—
County of ZrtA e It do hearby certify that o
personally appeared before me this day of
and acknowledge the due execution e ap licatio r ,�tof water perml�t
Witness my hand and official seal, 4A �i=���JXulii�JAA�I'�6'
My commission expires Yy\ CV%Ck QAU I U
Seal
STORM -EZ
Version 14
BARBARA R. BLACKWELL
NOTARY PUBLIC
IREDELL COUNTY
NORTH CAROLINA
My COMMIS810H EXPIRED 3IM2918
Application
6/1/2017
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