SW1190801_Scanned Originals - Permit Agreements_12/13/2019

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DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph lI - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M8111t Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This farm may be photocopiers for use as an original
L GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Leicester Volunteer Fire Devartment
2. Location of Project (street address):
1563 Alexander Road
City:Leicester County:Buncombe Zip:37660
3. Directions to project (from nearest major intersection):
Patton Ave. to New Leicester Highway, Right on Alexander Rd.
4. Latitude:35' 39' 29.6" N Longitude:820 41' 35.9" W of the main entrance to the project.
H. PERMIT INFORMATION:
1. a. Specify whether project is (check one); ®New ❑Modification ❑ Renewal w/ Modificationt
tRenetoals with mod*ations also requires 9W 102 - Renewal Application Form
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Conpleted* ❑ Completed` *provide a designer's cei tification
2. Specify the type of project (check one):
❑Law Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If finis application is being subnnitted as the result of a previously returned application or a letter from
DEMLR requesting a state stormwater management permit application, list the stormwater project ntunber,
if assigned, and the previous name of the project, if different than currently
proposed,
4. a. 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: 4,68 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
5. Is the project located within 5 miles of a public airport? ®No ❑Yes
If yes, see S.L. 2012-200, Part V1: hqp://portal.ncdenr.org/web/lr/rules-and-regulations
Form SWU-101 Version Oct. 31, 2013 Page I of
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III. 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: Leicester Volunteer Fire Department n !
Signing Official & Title: Ted Godleskh, -Dla rieL- lie - (�n 4rj-
b.Contact information for person listed in item 1a above:
Street Address:2852 New Leicester Hiehwa
City: Leicester State: NC Zip:28748
Mailing Address (if applicable):PO BOX 100
City: Leicester State: NC Zip:28748
Phone: (828 ) 683-3433 Ext, 17 Phone: (828 ) 552-1094
Fax: ( ) -
Eutail: tgodleski®leicestetfire.com
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.)
aser or
person who owns the property that the project is located on):
2. a. Print Property Owner's name and title below, if you are the lesse:;�F
Property Owner/Organization: Le',r- et V. u� 11-
Signing Official & Title:0i ail"a0 c. &
b.Contact information for person listed ;initem 2a e.
Street Address: Je t'
oper. (Thus is the
city: Le-i g34r state: N , e—
Zip: 28 7
Mailing Address (if ayph e : Q m O >L 10 C.)
City: State:C, _.
Zip:
Phone: Y> Co •e3 33 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: Michael Esposito, ADW Architects
Signing Official & Title:Principal
b. Contact information for person listed in item 3a above:
Mailing Address:2815 Coliseum Centre Drive
City:Charlotte State:NC
Zip:28217
Phone: (704 ) 379-1919 Fax: { )
Email:tttesposito@A DW Arcltitects.cont
4. Local jurisdiction for building permits: Buncombe County
Point of ContactJoshua Freeman Phone It: (828 ) 250-4850
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IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater runoff will be treated by a two separate bioretention basins.
2. a. I€ 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
4. Total Property Area: 10.68 acres
River basin.
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-,:10.68 acres
* Total project area shall be calculated to exclude the following: the normal pool of intppounded structures, the area
we beten the banks of streamm s and rivers, the area below [lie Normal High Water (NM line or Mean High Water
(MHW) line, and coastal wetlands landward front the NHW (or MHM line. The resultant project area is used to
calculate overall percent built upon area (BLIA). Non -coastal wetlands landward of the NHW (or MHW) line niay
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 =14.68 %
9. How many drainage areas does the project have?2 (For highdensity, count I for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole properhj 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
1B
Drainage, Area ::
2A
Drainage Area
Drainage Area
Receiving Stream Name
Sluder Branch
Newfound
Creek
Stream Class *
C
C
Stream Index Number *
6-84-5
6-84
Total Drainage Area (so
61149.5
116740.8
On -site Drainage Area (so
61149.5
71988.9
Off -site Drainage Area (so
00
1 44741.9
Proposed Impervious Area (so
42253.2
47044.8
Impervious Area** (total)
69 J
40
Impervious*"Surface, Area
Drainage Area
113
Drainage Area
2A
Drainage Area
Drainage Area! `
On -site Buildings/Lots (sf)
21183.5
3455.5
On -site Streets (sf)
8031.7
16586.3
On -site Parking (so
6156
10240
On -site Sidewalks (so
0
1663
Other on -site (so
6882
0
Future (so
0
0
Off -site (sf)
0
15100.3
Existing BUA*** (sf)
0
0
Total (so:
42253.2
47044.8
Form SWU-101 Version Oct. 31, 2013 Page 3 of 7

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Basin Information
Drainage Area
3
Drainage Area
4
Drainage Area
DrAmage Area _
Receiving %ream Name
Newfound
Creek
Newfound
Creek
Stream Class *
C
C
Stream Index Number *
6-84
6-84
Totat Drainage Area (sf)
27878.4
117176.
On -site Drainage Area (so
27878.4
114 .8
Off -site Drainage Area (sf)
0
436,6
Proposed Impervious Area" (sf)
0
0
% Impervious Area�* (total)
0
0
Ii
Impervious— Surface Area
Drains Area _
Drainage Area
Drainage Area _
Drainage Area _
On -site Buildings/ Lots (sf)
0
0
On -Site Streets (sf)
0
0
On -site Parkin (sf)
0
0
Ort-site Sidewalks (sf)
0
0
Other oil -site (sf) 001
0
0
Future (sf)
0
0
Off -site (s
0
0
Existizt A* (st)
0
0
I otal (so:
0
0
* 5trearn Class and Index Nionber earl be determined at: Irtt2,4ortal.rrcderrr,org4oebAtW&s/csrr/clnssi -cations
Impperviorts area is defined as the built rnpon area inclndi ng, but not limited to, baiwinngs, roads, Parking areas,
sirtenvalks, gravel areas, etc,
* *.Report only that anlonnt of existing BUA that will rernain after- development, Do not report any existing RUA that
is to be removed and mtricln will be replaced by rrety RUA.
11. How was the off -site impervious area listed above deterntitted7 Provide documentation. The off -site
impervious area was determined by lookings at axial photography calculating the area of intperivotrs
surfaces. See attached storm water report for details.
Projects in Union County: ContactDE141I.R Cenhal Office stgff to check (J'ilreproject is located irithtn a Threatened &
Endangered Species watershed that nrm, be stnbject to more str•irrgernt star-rrrrrater• ),egnin•enrents as per 1 SA NCAC 02B ,0600.
V. SUPPLEMENT AND O&M FORMS
Tice applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMW specified for this project. The latest versions of the forms can be downloaded
front http:/ / portal.ncdenr.org/web/wq/ws/su/bmp-nialival.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http://]Rortal.ncdenr.org/web/wq/ws/su/stateswlfornts_docs. The complete application package should be
submitted to the appropriate DEMLR Office. (the appropriate office may be found by locating project on the
interactive online slap at h ortal.ncdenr.or web w ws su ma s.)
Please indicate that the following required information have been provided by initialing in the space provided
for each itent. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from hqp://PorW.nedenr.org/web/wq./ws/su/stateswZfomis docs.
Initials
1. Original and one copy of the Stornztwater Nlanagetitent Permit Application Fornt.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if regnired as per Part V1I below)
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3. Driginal of the applicable Supplement Fornn(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR, (For an Express review, refer to _
littp://www.enviielp.org/pages/ouestopLxliress.litnii for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to scliedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the storrnwater treatment/ananagement for
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within'/2 mile of the site boundary, include the
mile radius on the neap.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location neap with nailed streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
In. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded strtic tines, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward front the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
L Dimensioned property/ project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of toads, drainage features, collection systems, and stornnwaler control measures.
in. Wetlands delineated, or a note on the plans that stone exist. (Must be delineated by a
qualified person. Provide doLtunentation of qualifications and identify tine person wllo
made the determination on the platts.
tt. Existing drainage (Including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate doctunent).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify _
elevations in addition to depths) as well as a map of the boring locations witli the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS Comity Soils asap with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected Infiltration rate, and the method of deternnitting the Infiltration rate.
(Infiltration Devices submitted to Wilt©: Schedule a site visit For DEMLR to verifij the SHIN T yr-iar
to sidmiittal, [phone].)
10. A copy of the most current property deed. Deed book: 4848 Page No:1277
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
bV the persons listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 2H.1003(e).
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.
IiIW://www.secretatT.state.nc.tis/CorLioratio►ns/CSearcli.as lax
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VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be
provided as an attachment to the completed and notarized deed restriction form. The appropriate deed
restrictions and protective covenants forms can be downloaded from http;//portal.ned".org/webllr/­state-
stormwater-forms dots. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, 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 NC DEMLR, and that they will be recorded prior to the sale of any lot.
Vill. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer: acob Grieb PE
Consulting Firm: Mattern & Craijz
Mailing Address:403 E Market Street
City:lohnson City State:TN Zip:37601
Phone: (423 ) 979-2220 Fax: )
Email:jdgrieb®rnatternanderaig.corn
IX. PROPERTY OWNER AUTHORIZATION (iI'Contact Inforntation, itent 2 has beers filled out, contplete this
section)
I, (print mr hjpe donne of person listed in Contact I110imation, item 2a) _ , certify that I
own the property identified in this permit application, and thus give permission to (print 01' type name of person
listed in Contact h!l6m)ation, itein la) with (print or type mmie of organization lister[ in
Cmttact Information, item 1a) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Norm 'W(J-101 Version Oct. 31, 2013 Page 6 of 7
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As the legal property owner I acknowledge, understand, and agree by my signature below, that ' y designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels o efaults on their
lease agreement, or pending sale, responsibility for compliance with the DEIV1LR Storniia, r permit reverts back
to me, the property owner. As the property owner, it is lily responsibility to notify D R inunediately and
subnut a completed Name/Ownership Cliange Forni within 30 days; otherwise I be operating a storniwater
treatment facility without a valid pernut, I understand that the operation of a nnwater treatment facility
without a valid pernut is a violation of NC General Statue 143-215.1 and n result in appropriate enforcement
action including the assessment of civil pena ties of up to $25,000 per d , pursuant to NCGS 143-2115.6.
Signature: Dater i 0 r 0 &�to i `?
i'&, v CALI-OU �
I, r 71 r�SLFr� �e- , a Notary P c for the State of i) U r'-t h Cotuity of
J e
rnr �U1 t t CA- , do hereby certify that EU � [� personally appeared
before nie this . day of
a storniwater permit. Witness my hand
X. APPLICANT'S CERTIFICATION
and acknowledge the due execution of the application for
nd official �0 &Q0W _!La
KAREN 30HNSON P fARD
Notary Public - North Carolina
My
SEAL Mc Dowell County
Commission Expires Apr 4, 2022
My connussion expires
mil-/14/,-!
I, (print or hipe Plante of pe?son listed ill cc)thlet Illforrrtatiorr, heir 1n)
certify that the infoniiation 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
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable storniwater riles uuider 15A NCAC 2H .1000 and any other applicable state storniwater requirements.
Signature: J Date: ! 0/ a 1 Ed I
ILCt-4-[4-, �hrts. ��c�t C+ - CGu'�C�`�rc
I, arotary Public for the State of C� Dv t 1rl= County o
_ J (a-
MC �ULE2f� Z do hereby certify that r-NU&�L L C 5i�lersonallyappeared
before me this 1:9 day of 0 CJ Li j'. V,,P1 , -201G1 , and acki the due execution of the application for
a stormwater permit. Witness my hand and official seal,
KAREN JOHNSON PERIARD
SEAL Notary Public - Nodh Carolina
McDowell County
My Commission Expires Apr 4, 2022
Ivly conintission expires 4,j -4-1 ZU2 2
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10-2-19
Michael A. Esposito, AIA
Principal
ADW Architects, p.a.
adwarchitects
environmentsforlife
architecture planning interiors
suite Soo
2815 coliseum centre drive
charlotte, north caroling 28zt7
t] 709-379-r9l9
t] 704-379.1920
www.adwarchItects.com
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�,�IC1rSrF,�
a ►
1
FIRE
�` FtESGIF ,
LEICESTER VOLUNTEER FIRE DEPARTMENT, INC.
PO BOX 100
LEICESTER, NC 28748
Christopher Brown
Fire Chid
Chief
Leicester Volunteer Fire Department
Leicester, NC 28748
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SUPPLEMENT-EZ COVER PAGE
FORMSLOADED
P OJECT INFORMATION
1 1 Project Name Leicester Volunteer Fire Department
2
Project Area ac
10.68
3
Coastal Welland Area ac
0
4
Surface Water Area ac
0
5
Is this project High or Low Density?
High
6
Does this project use an off -site SCM?
No
COMPLIANCE WITH 02H .1003{4)
7
Width of vegetated setbacks provided feet
NIA
8
Will the vegetated setback remain vegetated?
No
9
Is BUA other that as listed in .1 0034 c-d) out of the setback?
No
10
Is streambank stabilization proposed on this project?
No
NUMBER AND TYPE OF SCMs:
11
Infiltration System
0
12
Bioretention Cell
2
13
Wet Pond
0
14
Stormwater Wetland
0
15
Permeable Pavement
0
16
Sand Filter
0
17
Rainwater Harvesting RWH
0
18
Green Roof
0
19
Level Spreader -Filter Strip LS-FS
0
20
Disconnected Impervious Surface (DIS)
0
21
Treatment Swale
0
22
Dry Pond
0
23
IStormFilter
0
24
Silva Cell
0
25
Bayfilter
0
26
Filterra
0
FORMS LOADEO
DESIGNER CERTIFICATION
27
Name and Title:
Jacob D. Grieb
28
Organization:
Mattern & Craig
29
Street address:
403 E. Market Street
30
City, State, Zip:
Johnson City, TN, 37601
31
Phone numbers :
423-979-2220
32
Email:
[e-mail]
I certify, under penalty of law that this Supplement-EZ form and all supporting information were prepared under my direction or
supervision; that the information provided in the form is, to the best of my knowledge and belief, true, accurate, and complete; and
that the engineering plans, specifications, operation and maintenance agreements and other supporting information are consistent
with the information provided here.
Q
�n SEAL:
035097- -..
jftSfa1.11t�— Date.

DRAINAGE AREAS
i
Is this a high density project?
Yes
2
If so, number of drainage areaslSCMs
2
3
Is all/part of this project subject to previous rule
versions?
No
FORMS LOADED
DRAINAGE AREA INFORMATION
Entire site
1
4
T e of SCM
Bioretention Cell
Bloretention Cell
5
Total BUA in prolect (sq ft
sf
sf
6
New BUA on subdivided lots (subject to permitting)
(sq ft
sf
sf
7permitting)
New BUA outside of subdivided lots (subject to
s
sf
sf
8
Mite - total area (sq ft
sf
15100 sf
9
Offsite BUA (sq ft
sf
sf
10
Breakdown of new BUA outside subdivided lots:
Parking (sq ft
6156 sf
10240 sf k
Sidewalk (sq ft
sf
1663 sf
Roof (sq ft
21184 sf
3456 sf
Roadway s ft
8032 sf
16586 sf
Future (sq ft
sf
sf J
Other, please specify in the comment box
below s ft
6882 sf
sf
11
New infiltrating permeable pavement on
subdivided lots (sq ft
sf
sf
12
New infiltrating permeable pavement outside of
subdivided lots (sq ft
sf
sf
13permitting)
Exisitng BUA that wiil remain (not subject to
s ft
_
sf
sf
14
Existing BUA that is already permitted (sq ft
sf
sf
15
Existing BUA that will be removed (sq ft
sf
sf
16
Percent BUA
0%
0%
17
Design storm inches
1 in
1 in
18
Design volume of SCM cu ft
3405 cf
3989 cf
19
Calculation method for design volume
Simple Method
Simple Method
ADDITIONAL, INFORMATION
20
Please use this space to provide any additional information about the
drainage area(s):

BIORETENTION CELL
i
1Drainage area number
1
2
2
IDesign volume of SCM (GU ft)
3405 of
3989 cf
GENERAL MOC FROM 02H .1050
3
Is the SCM sized to treat the SW from all surfaces at build -out?
Yes
Yes
4
Is the SCM located away from contaminated soils?
Yes
Yes
5
What are the side slopes of the SCM (H:V)?
3:1
3:1
6
Does the SCM have retaining walls, gabion walls or other engineered side
slopes?
No
No
7
Are the inlets, cutlets, and receiving stream protected from erosion (10-year
storm)?
Yes
Yes
8
Is there an overflow or bypass for inflow volume in excess of the design
volume?
Yes
Yes
9
What is the method for dewatering the SCM for maintenance?
Drawdown Orifice
Drawdown
Orifice
10
If applicable, will the SCM be cleaned out after construction?
Yes
Yes
11
Does the maintenance access comply with General MDC (8)?
Yes
Yes
12
Does the drainage easement comply with General MDC (9)?
Yes
Yes
13
If the SCM is on a single family lot, does (will?) the plat comply with General
MDC (10)?
14
Is there an O&M Agreement that complies with General MDC (11)?
Yes
Yes
15
Is there an O&M Plan that complies with General MDC (12)?
Yes
Yes
16
Does the SCM follow the device specific MDC?
Yes
Yes
17 lWas
the SCM designed by an NC licensed professional?
Yes
Yes
BIORETENTION
CELL MDC FROM 02H .1052 y
18
SHOT elevation (fmsl)
NIA
NIA
19
Bottom of the bloretentlon cell (fmsl)
2164.00
2162.00
20
Ponding depth of the design storm (inches)
12 in
12 in
21
Surface area of the bioretention cell (square feet)
3757 sf
4045 sf
22
Design volume of the bioretention cell (cubic feet)
3405 cf
3989 of
23
Is the bioretention cell used for peak attenuation?
Yes
Yes
24
Depth of peak attenuation over planting surface (in)
24 in
24 in
25
Height of peak attenuation outlet above the planting surface (in)
18 in
18 in
26
Infiltration rate of the in situ soil (inchlhour)
2 inlhr
2 inlhr
27
Diameter of the underdrain pipes (if applicable)
4"
4"
28
Does the design include Internal Water Storage (IWS)?
Yes
Yes
29
if so, elevation of the top of the IWS (fmsl)
2165.5
2153.5
30
Elevation of the planting surface (fmsl)
2167
2155
31
What type of vegetation will be planted? (grass, trees/shrubs, other)?
Other
Other
32
Media depth (inches)
30 in
30 in
33
Percentage of medium to coarse washed sand by volume
75-80%
75-80%
34
Percentage of fines (slit and clay) by volume
8-10%
8-10%n
35
Percentage of organic matter by volume
5-10%
5-10%
36
Type of organic material
ie: pine bark
ie: pine
bark
37
Phosphorus Index (P-Index) of media (unitless)
<50
<50
38
Will compaction be avoided during construction?
Yes
Yes
39 lWill
cell be maintained to a one inchlhour standard?
Yes
Yes
40
Depth of mulch, if applicable (inches)
NIA
NIA
41
Type of mulch, if applicable
NIA
NIA
42
Haw many clean out pipes are being installed?
2
2
43
Type of pretreatment-thatirrill-be-used:
f
ADDITIONAL INFORMATION
Please use this space to provide any additional information about the
44 bioretention cell(s):
31. Sod
Bioretention
10:22 AM 12/13/2019