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HomeMy WebLinkAboutSW6191101_Application_20191120III. CONTACT INFORMATION 1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee, designated government official, individual, etc. who owns the project): Applicant/Organization:Mr. David Heins Signing Official & Title:Mr. David Heins.Chief Environmental Division Directorate of Public Works b. Contact information for person listed in item la above: Street Address:2715 Reilly Road Stop A City:Fort Bragg State:North Carolina Zip:28310-5000 Mailing Address (if applicable): City: State: Phone: (910 ) 396-8207 Fax: ( 1 Email:david.a.heins@_us.arMy.mil Zip: c. Please check the appropriate box. The applicant listed above is: ® The property owner (Skip to Contact Information, item 3a) ❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below) ❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and 2b below) ❑ Developer* (Complete Contact Information, item 2a and 2b below.) 2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the person who owns the property that the project is located on): Property Owner/Organization: Signing Official & Title: b. Contact information for person listed in item 2a above: Street Address: City: State: Mailing Address (if applicable): City: State: Phone: ( ) Fax: ( ) 3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other person who can answer questions about the project: Other Contact Person/Organization: Signing Official & Title:Lee Ward - Chief of Water Management Branch, Fort Bragg b. Contact information for person listed in item 3a above: Mailing Address:2715 Reilly Road Stop A City:Fort Braggy State:North Carolina Zip:28310-5000 Phone: (910 ) 908-5286 Fax: ( ) Email:lee.p.ward.civna,mail.mil 4. Local jurisdiction for building permits: N/A Point of Contact: Phone #: Form SWU-101 Version Oct. 31, 2013 Page 2 of 6 W. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. Stormwater will be treated in one (1) infiltration basin. A majority of the new impervious areas will be treated in the infiltration basin along with some existing impervious areas. The amount of new impervious areas that bypass the infiltration basin will be compensated for by treating at least an equal amout of existing impervious areas. 2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved: ❑ Approval of a Site Specific Development Plan or PUD Approval Date: ❑ Valid Building Permit Issued Date: ❑ Other: Date: b. If claiming vested rights, identify the regulation(s) the project has been designed in accordance with: ❑ Coastal SW —1995 ❑ Ph II — Post Construction 3. Stormwater runoff from this project drains to the Cape Fear River basin. 4. Total Property Area: 2.95 acres 5. Total Coastal Wetlands Area: 0 acres 6. Total Surface Water Area: 0 acres 7. Total Property Area (4) —Total Coastal Wetlands Area (5) —Total Surface Water Area (6) = Total Project Area': 2.95acres + Total project area shall be calculated to exclude the following. the normal pool of impounded structures, the area between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water (MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line maybe included in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 9. How many drainage areas does the project have? 1 (For high density, count 1 for each proposed engineered stormwater BMP. For low density and other projects, use I for the whole property area) 10. Complete the following information for each drainage area identified in Project Information item 9. If there are more than four drainage areas in the project, attach an additional sheet with the information for each area provided in the same format as below. Basin Information Drainage Area 1 Drainage Area _ Drainage Area _ Drainage Area _ Receiving Stream Name Beaver Creek Stream Class * C Stream Index Number * 18-31-24-5 Total Drainage Area (sf) 41,820 On -site Drainage Area (so 41,820 Off -site Drainage Area (sf) Proposed Impervious Area** s 27,990 %Impervious Area** total 66.9 Impervious" Surface Area Drainage Area I Drainage Area _ Drainage Area _ Drainage Area On -site Buildings/Lots (sf) 19460 On -site Streets (sf) 3700 On -site Parking (sf) On -site Sidewalks (sf) 720 Other on -site (sf) 610 Future (sf) Off -site (sf) Existing BUA*** (s]) 1 3500 Total (sf): 1 27,990 * Stream Class and Index Number can be determined at: http://portal ncdenr. org/web/wg/ps/csu/classifacations * * Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas, sidewalks, gravel areas, etc. Form SWU-101 Version Oct. 31, 2013 Page 3 of 6