SWA000052_Application_20190412

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
b`f -Z - ?
5CC5 de- 1b0
05�W G2
SW Program(s): ❑ Coastal SA-HQW ❑ Coastal SA-ORW ❑ Coastal FW-ORW ❑ Coastal Other
❑ Non -coastal HQW ❑ Non -coastal ORW ❑ Urbanizing Areas ❑ USMP
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER FAST TRACK PROCESS:
"AUTHORIZATION TO CONSTRUCT" (ATC) PERMIT APPLICATION FORM
Link to Application Instructions R F-C E N
A. ELIGIBILITY FOR FAST -TRACK PERMITTING APR 12 2019
To be considered for a Fast Track ATC Permit, all of the items below must be the D M � fiNGnot
be checked, then the project must apply under the Standard Permitting Process.
The project and all SCMs (including existing SCMs associated with the project) will meet all applicable
rogUiremonts of 15A NOAC' 02H 1000 .1062, inoluding the Minimum 1)osign Criteria (MI)0), upon projeot
completion.
® The project is not proposing an alternative design.
® The project is not claiming an exemption from the MDC based on vested rights, a waiver or a Director's
Certification.
M The project is not out of compliance with an existing stormwater permit or any other environmental permit.
® The project is not applying for an offsite permit, an exemption, or a minor modification (as defined in 15A
NCAC 02H .1002(25)) to an existing state stormwater permit.
® The project application bears the signature and seal of a professional licensed pursuant to either Chapter 89A
or 89C of the NC General Statutes.
® I understand that at project completion, an application with the as -built stormwater plans (as described in 15A
NCAC 02H .1044 must be submitted, and DEQ will review the as -built stormwater plans to confirm compliance
with the MDC. Approval of the as -built stormwater plans will be required before the Erosion and
Sedimentation Control Plan for the project may be closed out.
® 1 understand that the Fast Track ATC Permit will expire five years after the date of issuance.
B. GENERAL INFORMATION
1 Project Name: ATF Infrastructure
2. Previous Project Name (if applicable):
3. Location of Project (street address): Fort Bragg Military Reservation
City: County:Hoke Zip:
4. Directions to project (from nearest major intersection):
From HWY 211 and Plank Rd.:
Head NE on Plank Road: Slight left onto King Rd.; Head North on King Rd. for 5.1 miles, then turn left.
Check in at Guard Shak.
5. Latitude:350 6" 56.487" N Longitude:-790 21' 47.095" W
C. PERMIT INFORMATION
1. Specify whether project is (check one):
® New, no previous application
of the main entrance to the project.
❑ New, repIddi,ig a prevluus Fast Track ATC Permit -- pruvlde prevluus permit iiumber. SWA
By choosing this option, you are also requesting that DEQ rescind the previous Fast Track ATC Permit
upon issuance of the new Fast Track ATC Permit.
Stormwater Fast Track ATC Application Form Page 1 of 9 Feb. 10. 2018

❑ Major Modification, replacing an existing stormwater permit — provide existing permit number: SW
Status of construction? ❑ Not Started ❑ Partially Completed ❑ Completed
Major modifications must be submitted by the original permittee and are allowed only if the SW permit is
not expired. Minor modifications must use Standard Permitting Process. By choosing this option, you
are also requesting that DEQ rescind the previous SW Permit upon issuance of the new Fast
Track ATC Permit.
❑ Transfer of existing Fast Track ATC Permit— provide existing ATC permit number: SWA
Applicable state stormwater program(s) (check all that apply):
❑ Coastal SA-HQW ❑ Urbanizing Areas (Phase 2)
❑ Coastal SA-ORW ❑ Non -Coastal HQW
Is any portion of the project within 575 feet
of SA-ORW waters? ❑ Yes ❑ No ❑ Non -Coastal ORW
❑ Coastal Freshwater ORW ❑ USMP
❑ Coastal — Other
,i Other Permits (as applicable; write "NA" for those permit types that are not applicable.) -
Project Name
Permit/Appl
Issue Date
Other Information
No.
CAMA Major
NA
Erosion &
FB-PN 80037 ATF Infrastructure
MOORE-
01/08/2019
Disturbed Area 8.8
Sedimentation Control
acre
2019-034
NPDES Industrial
NA
Stormwater
404/401 Permlt
Proposed Impacts
If/ac
4. Local jurisdiction for building permits: N/A
Point of Contact: Phone #:
D. CONTACT INFORMATION
Applicant/Financially Responsible Party (may be an Organ ization):ASUS, Inc
Signing Official Name & Title:James C. Cotton, III, Senior Vice President
Street Address:904 Princess Anne St. Ste 204.
City: Fredericksburg State:VA Zip:22401
Mailing Address (if different):
City: State: Zip:
Phone- (540) 64.5-7070 Fax- ( )
Email: Jim.Cotton(a-)asusinc.com
2. If the Applicant is a Corporation or LLC (Address must match address on file with NC Dept of the Secretary of
State):
Name of Registered Agent:National Registered Agents, Inc.
Mailing Address:160 Mine Lake Ct Ste 200
City:Raleigh State:NC Zip:27615
Phone: ( ) Fax: ( )
Email:
Stormwater Fast Track ATC Application Form Page 2 of 9 Feb. 10, 2018

The Applicant is the (check all that apply):
❑ Property Owner
❑ Lessee (Attach a copy of the lease agreement & complete Item 4.)
❑ Purchaser (Attach a copy of the pending sales agreement & complete Item 4.)
❑ Developer (Attach a copy of the development agreement & complete Item 4.)
4. If the Applicant is NOT the Property Owner (skip to Item 5 if the Applicant IS the Property Owner):
Property Owner Name/Organization: U.S. Army/Directorate of Public Works
Signing Official & Title:Mr. David Heins, Environmental Division Chief (DPW)
Street Address: Building 3-1222, Butner Road
City: Fort Bragg State:NC Zip:28310-5000
Mailing Address (if applicable):4-2175 Reilly Road, Stop A
City:Fort Bragg Stato:NC Zip:28310-5000
nioiiw m10) 306 8?07 Fax: [phone]
Email:david.a.heins.civ(d)mail. mil
5. The licensed Design Professional that will be retained for the duration of the project, who may provide
information on the Applicant's behalf, and who will prepare and certify the as -built package:
Consulting Engineer/Landscape Architect: Patrick Jennings
Consulting Firm: ASUS, Inc.
Mailing Address:903 Armistead St.
City: Fort Bragg State:NC Zip:28307
Phone: (910 ) 495-1311 Fax: { )
Email: Patrick.Jennings(a-)asusinc.com
[OPTIONAL] If you would like to designate another person to answer questions about the project
Name & Title:Shav Coombs. Proiect Enaineerino Tech II
Organization: ASUS, Inc.
Mailing Address:903 Armistead St.
City:Fort Bragg State:NC Zip:28307
Phone: 910 ) 495-1311 Fax: )
Email:shay.coombs(o)asusinc.com
E. PROJECT INFORMATION
1. Specify the type of project (check one): ® Low Density ❑ High Density
2. Briefly summarize how the stormwater runoff will be treated/conveyed:
Low density with grass roadside swale and storm water detention ponds.
3. Stormwater runoff from this project drains to the Cape Fear River basin(s).
4. Receivina water information (if more than 3 receivino waters, provide additional information on an attached sheehl
Receiving
Water 1
Receiving
Water 2
Receiving
Water 3
Receiving Stream Name
Wolf Pit Creek
Stream Classification
C
Stream Index Number
18-31-3
Stormwater Fast Track ATC Application Form Page 3 of 9 Feb. 10, 2018

5. Proiect area and densitv information:
Total Property Area
78500 sf
Total Surface Water Area
5800 sf
Considered to include:
• the normal pool of impounded structures;
• the area between the banks of streams and rivers; and
• the area below the Normal High Water (NHM line or Mean High Water (MHW) line.
Total Coastal Wetlands Area
0 sf
Considered to include: coastal wetlands landward from the NHW (or MHW) line.
Total Project Area
72700 sf
Excludes the surface water area and coastal wetland area identified above.
May or may not be the same as Property Area.
Built -Upon Area (BUA) associated with Existing Development
3300 sf
"Existing development" means those projects that are built or those projects that have established a
vested right under North Carolina law as of the effective date of the state stormwater program or
applicable local government ordinance to which the project is subject.
Proposed New BUA
33400 sf
Includes proposed new BUA that is not associated with existing development.
`BUA"is defined in N.C.G.S. 143-214.7(b2). It includes, but is not limited to: buildings, roads, parking
weas, siderwalks, and sume; graved awns. The design volume of SCMs must take; hito uc could the;
runoff from build out from all surfaces draining to the SCM in accordance with 15A NCAC 02H .1050(1).
Project Density
w/ Existing Development: Project Density = [New BUA]/(Total Project Area — Existing BUA] x 100 or
48 %
w/o Existing Development: Project Density = (New BUA]/Total Project Area] x 100
6. Anticipated construction start date May 2019
7. Is the project located within 5 miles of a public airport? ® No ❑ Yes
If `Yes,'see S.L. 2012-200, Part VI: http://www.ncleg.net/Sessions/20,1,1/Bills/Senate/PDF/S229v6.pdf and
DEQ Stormwater Design Manual Chapter E-4 Airports.
8 For projects in I Inion County- Contact DFMI R Central Office Stormwater staff at 919-707-9200 to determine if
the project is located within a Threatened & Endangered Species watershed that may be subject to more
stringent stormwater requirements per 15A NCAC 02B .0600.
Stormwater Fast Track ATC Application Form Page 4 of 9 Feb. 10, 2018

F. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORW). Only application packages that include
all required items listed below will be accepted and reviewed.
Initial each item below to indicate that the required information is provided in the application package:
Initials
JC 1. Two original signed hard copies and one electronic copy of this State Stormwater Fast Track
Process "Authorization to Construct" (ATC) Permit Application Form.
JC 2. Permit application processing fee of $505 payable to NCDEQ.
JC 3. Two hard copies and one electronic copy of a USGS map identifying the project location
and GPS coordinates for the project. If the receiving water is Class SA or the receiving water
drains to Class SA waters within 'h mile of the project boundary, include the'/ mile radius
on tho map. If the project is within 575 feet of Class SA ORW waters, include the 575-foot
radius on the map.
JC 4. Two original signed hard copies and one electronic copy of a site plan depicting the boundary
of the project or project phase currently being permitted, including the locations of SCMs,
streams, wetlands, and buffers.
5. Two hard copies and one electronic copy of a construction sequence that discusses how any
future development on the project may be phased.
M A 6. A copy of the most current property deed. Deed book: Page No:
JC 7. [IF APPLICABLE] When the applicant is a corporation or a limited liability corporation (LLC). Provide
two hard copies and one electronic copy of documentation from the NC Secretary of State, or other
official documentation, which supports the titles and positions held by the persons listed
in Section C.2 per 15A NCAC 2H. 1043(3)(b). The corporation or LLC must be listed as an active
corporation in good standing with the NC Department of the Secretary of State; otherwise, the
application will be returned. httl)s://www.sosnc.gov/search/index/corp
NA 8. [IF APPLICABLE] When the applicant is a Partnership or other person engaging in business under
an assumed name, attach a copy of the Certificate of Assumed Name.
JC 9. [IF APPLICABLE] When the applicant is not the property owner: Provide two hard copies and one
electronic copy of lease agreements, affidavits, pending sales agreement, development agreement,
or other documents showing that the applicant has obtained legal rights to submit a stormwater
permit application within the proposed project area.
NA 10. [IF APPLICABLE] If modifying an existing permit for completed or partially completed projects, a copy
of the designer's certification.
Stormwater Fast Track ATC Application Form Page 5 of 9 Feb. 10, 2018

G. CERTIFICATION OF APPLICANT/ FINANCIALLY RESPONSIBLE PARTY
The Applicant, who is also the Financially Responsible Party, identified in Section D of this form must sign and have
notarized the following guaranty:
I, (print or type name of Applicant/Financially Responsible Party) James C. Cotton, 111
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that:
1. the design has been or will be completed in accordance with the MDC as set forth in Rules 15A NCAC
02H .1050 through .1062, to the best of my knowledge;
2. the completed design meets or will meet the MDC and that the percentage BUA that is the basis for the
design shall not be exceeded, to the best of my knowledge; and
3. As the applicant, I shall maintain a licensed professional of record for the duration of the project
who will prepare and certify the as -built package. If I retain another licensed
professional before the project is complete, then I shall provide an updated
guaranty with the current licensed professional's seal. A licensed professional shall inform
the Division if he is no longer associated with this project.
I he above information is true and correct to the best of my knowledge and belief and was provided by me under oath I
agree to provide corrected information should there he any change in the information provided herein
James C. Cotton, l/l Senior Vice President
Type or i m Title or Authority
� q
Signat Date ,/�4 �6
CO�Mn�o n Wt a I+a• e,{�
I, UMari le te land a Notary Public for the State of 1r 1r % a.. eutrniy,
of rr1` tierICILS% ram, do hereby certify that .)QLVR(S personally
appeared before me this 15-141, day of J Qnuar'%,/ 2U 11, and acknowledge the due execution of
the plication for a stormwater permit. Witness my hand and official seal,
— LYie.c.
SEAL Commonwealth Of Virginia
Susan Marie Cleveland - Notary Public
Commission No. 77972,16
My Commission Expires 9/30/2022
My commission expires
1=("1.F7$\/JF
APR 1.2 2019
DENR-LAND QUALITY
3 T ORMWATER PERMITTING
Stormwater Fast Track ATC Application Form Page 6 of 9 Feb. 10, 2018

H. DESIGN PROFESSIONAL'S CERTIFICATION
To be completed by the Design Professional identified in Section D.5.
I, Patrick Jennings , attest to the following:
1. This application has been reviewed by me and is accurate and complete, to the best of my knowledge;
2. The design has been completed in accordance with the MDC as set forth in Rules 15A NCAC 02H
.1050 through .1062, as applicable;
3. The percentage built -upon area that is the basis for the design will not be exceeded; and
4. 1 have the expertise, education, and experience required to design the SCMs proposed in this
application in accordance with the MDC as set forth in Rules 15A NCAC 02H .1050 through .1062.
5. 1 will provide all documents and certified as -built plans in hard copy and electronic format related to this
permit to a new Applicant/Proporty Owner and to IJEMLK upon transfer of this permit to a new
Applicant/Property Owner.
Note: In accordance with N.C.G.S. 143-215.6A and 143-215.613, any person who knowingly makes any false
blalerrieiit, represerilatluii, or ow1.1fluallori hi airiy applluatluri sliall be guilty of a Class 2 rrilsderriearwr wlilclI may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. In addition, any person
who knowingly makes any false statement, representation, or certification in any application may be reported to
the appropriate NC professional licensing board.
Date:
2019.03.25
Signature: 10:09:39-04'00' Date: 03/25/2019
,C A,R,����i
N n
SEAL
20842
10
11000*0
SEAL
Stormwater Fast Track ATC Application Form Page 7 of 9 Feb. 10, 2018

I. PROPERTY OWNER'S AUTHORIZATION (IF APPLICANT IS NOT THE PROPERTY OWNER)
I, (print or type name of the Property Owner) U.S. Army/Directorate of Public Works
, certify that I own the property identified in this permit application, and thus give permission to (print or type name
of Applicant) James C. Cotton, 111 with (print or type name of Applicant's
organization) American States Utility Services, Inc. to develop the project as
currently proposed. A copy of the lease agreement or pending properly 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 DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR 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 aloes of up to $2b,000 per day, pursuant to NUGS 143-21 b.6.
Signature: � C Date:
I, iiA(u- i. CANIF,RRQ rJ , a Notary Public for the State of 1AUfAAr\ G�..-O�.gNO , County
of do hereby certify that--DANMSJ 101- . AA'�i1J J personally
appeared before me this LAt R day of t\Qp,-X-t... , 20)'gL , and acknowledge the due execution of
th pplic ion for a stormwater permit. Witness my hand and official seal,
C � . C
SEAL
My commission expires 20 J VJ l4 ZflZt
Stormwater Fast Track ATC Application Form Page 8 of 9 Feb. 10, 20'18

J. CERTIFICATION OF CURRENT PERMITTEE (COMPLETE ONLYIF PERMIT TRANSFER IS
REQUESTED)
I, (print or type name of the Current Permittee) am submitting
this request for a transfer of Fast Track ATC permit # SWA With the
submission of this transfer request I am providing a copy of the most recent permit, all related documents and as -
built plans certified by my design professional in hard copy and electronic format to the Proposed
Perm ittee/Appl icant identified in Section G of this application and to DEMLR . I further attest that this request for a
permit transfer is accurate and complete to the best of my knowledge. I assign all rights and obligations as
permittee to the proposed permittee named in Section G of this form.
Signature:
Date:
I, m , a Notary Public for the State of , County
of do hereby certify that m personally
appeared before me this day of and acknowledge the due execution of
the application for a stormwater permit. Witness my hand and official seal,
SEAL
My commission expire
Stormwater Fast 1 rack ATC Application Form Page 9 of 9 Feb. 10, 2018

REl:,zE I !/#'"''
Is:ASUS
LETTER OF TRANSMITTAL
2941 Logistics Street
Building N-6307
P.O. Box 73316
Fort Bragg, NC 28307
Ph. [phone]/1312
Fax [phone]
TO NCDEQ-DEMLR
225 Green Street, Suite 714
Fayetteville, NC 28301
WIi AIdIi S NIIING Y011I
[]Shop Drawings
nCopv of letter
APR 12 2011
DENR-LAND QUALITY
STORMWATER PERMITTING
DATE April 8, 2019 JOB NO. FB-PN 80037
ATTENTION NC DEQ Division of Energy, Mineral
and Land Resources
State Stormwater Fast Track "Authorization to
Construct" (ATC) Permit Application Package
Attdched Ujludei *eladiate Ct�aet aid _ the Collo�a�iti6 itEttus:
❑Prints ®Plans ❑Samples ®Specifications
nChanee Order
COPIES
DATE
SERIAL NO.
DESCRIPTION
2
4/8/2019
Fast Track ATC Permit Application Forms
2
4/8/2019
Storm Water Design Narrative
2
4/8/2019
Half Size Stormwater Plans and Details
2
4/8/2019
IIalf Size USGS Maps
2
4/8/2019
Construction Sequence Documentation
2
4/8/2019
NC Secretary of State Documentation
2
4/8/2019
Project Contract with USACE for PN 80037
1
4/8/2019
Check
1
4/8/2019
Electronic Media w/ all documents
THESE ARE TRANSMITTED as checked below:
®For approval ❑Approved as submitted ❑Resubmit _ copies for approval
❑For your use ❑Approved as noted ❑Submit _ copies for distribution
❑As requested ❑Returned for corrections ❑Return corrected prints
❑For review and comment ❑
REMARKS:
COPY TO:
Shay. Coombs@asusinc. com
903 Armistead Street
Fort Bragg, NC 28307
910-303-7348
SIGNED: Shay Coombs
RECEIVED BY:
G: FORMS/TRANSMIT If enclosures are not as noted, kindly notify us at once.