20040766 Ver 2_401 Application_20070110

Neal C. Floyd & Associates, Inc.
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7908 AUDUBON DR / RALEIGH, NORTH CAROLINA 27615 / 919-422-6745

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3°
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September 9, 2006
To: US Army Corps of Engineers
Division of Water Quality - 401 Wetlands Certification Unit
2321 Crabtree Blvd.
Raleigh, North Carolina 27604-2260
Sub: Authorization of Agent
Timberlake Subdivision
Johnston County, N.C.
To whom it may concern:
Dalton Engineering and Associates, P.A. and Neal Floyd have been authorized to act as
Agents for James M. Gilbert, for the purpose of submitting and processing information
concerning Wetlands / 401 Certification, for subject project, located adjacent to Loop
Road in Johnston County.
Thank You
James M. Gilbert, Managing Partner

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The areas shown as conservation area on the recoKded~-~~~~erl~Vre. ,and
recorded in PB, Pg shall be maintained :in pezpetuity in t2ieir natural or -
rrritigated condidon. IVo person or entity shall ~ecfor-n~-any~f~e €el}e~ng activities on
sl~ch conservation area:
a, Fitt, grade, excavate or perform any-other land distttrbingactivities
b: ~; mow, burn, trnrove orh~rnt any vegetation
~. -Construct or place any roads, trails, walkways, buildings, mobile~horr~es, signs,-
utility Fotes or towers or any petrnanent. or te[nporary sttucGues.
d, ~rdin or otherwise disrupt .car alter the~hydmlogy aY drain~e ways of the
conservation area
e. Dump or store soil,:trash, ~r otter-waste
~~ ~ water anur-ats, or use for any agricultural or hortict~lttual p~pase
Tt~is~v~tartt is -interrded-to~rsure caminued compliance withtlse rrtixigation-condition
of a ~leau water Act authori~stion issued b3' the U Mates of America, t7S Army
~rps of Engireers, WilrningtonDis~trict, and Action 1D-antl therefore -rosy. bt eri#'orctd
by tl~ l1 S o€ r~merica. This covenant is to rtui with the land, artd shall b~ binding oa .the
owner and all parties clairnir~g under it.
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Office Use Only: Form Version Apri12001
USACE Action ID No. DWQ No. V 2~. ©~ - p 1 to to
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
I. Processing
#~,~
JaN 1 ~? 2007
Check all of the approval(s) requested for this project:
(~ Section 404 Permit '~~~~ ~'°~' ~K c~u ~~~~
"rt ~ ~!?D.; ?V~!D STOR?~,v!,T..R 13RANCl~
Section 10 Permit ~~'~ ~~C,h~~.r~
401 Water Quality Certification RECEIVED
^ Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: I~ ~~
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ^
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII -Mitigation), check here: ^
II. Applicant Information
1. Owner/Applicant Information
Name: ~"a--~2s M . C~i 1~.t'-`.~-" - L~ 'RC~ ~e,V ,
Mailing Address: 27 - ~. t,r~,
Gl a,u kin , C.. ~ ~~ ~ 21~
Telephone Number: X22 - ©~i- ?~ Fax Number:
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signato autho ity for the owner/applicant.)
Name: P.,,~~ ~~
Company Affiliation: 1.~ ~
Mailing Address: 20 ~ uJ . M.o.;,~ 5-h!'
Telephone Number:_ ~ " t -b~}27
E-mail Address:
Fax Number: 35~ -- ca~!°~3
Page 3 of 12

III. Project Information
Attach a vicinity map, clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of prof ect: T i 1ek ~-~¢~
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): t "7'lU - '4~'- 77~~
4 Location l
County: ~c~n~5" Nearest Town:
Subdivision name (include phase/lot number): h..G~S.~t-
Directions to site (include road numbers, landmarks, etc.): _ _ .
5. Site coordinates, if available (UTM or Lat/Long):
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition o~the site at the time of this application:
~~~ I -~ ~j >~ off, ~~~
7. Property size (acres): (q+¢O~G~f t~-
t
8. Nearest body of water (stream/river/sound/ocean/lake): ~1i 4~"G-n C.~"1
9. River Basin: ~ ~Q~,~.~
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
Page 4 of 12

10. Describe the purpose of the proposed work:
1 1. List the type of equipment to be used to construct the project:_ "~~ • r'oca. ~~-~;
12. D scribe the land use in the vicinity of this project: ~~, ~' ~ ~, ~ ~~, ~~
sue.. -~r'-r~w.~~a
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.LP. project, along with
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, d rovide justification for the exclusion of this work from the current
application: ~ 55t ~1 ~ `~
h d fY`G:.i~ f'nrit~- r~r'n5~'~J~A - ~~(1,-ham n ~n
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) .responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12

1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***
,~ Loom ~ i n
o~a~.

wo
List eacn impact separately ano iaent~ty temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.eov.
*** List a wetland type that best describes wetland to be impacted (e.g,, freshwater/saltwater marsh, forested wetland, beaver land,
Carolina Bay, bog, etc.)
~#~! pit.,
List the total acreage (estimated) of existing wetlands on the property: ~'~,' S 0~ -=
Total area of wetland impact proposed: G 1~' a~ '~ Oil u.r2~anr~1S ~/~ ypa~n Spp.C.,tL
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
(linear feet
Stream Name** Average Width
of Stream
Before Im act Perennial or
Intermittent?
(leases eci
~ C.f Q I 1 O ~ ~ e~-- ~'f l b. 31 ~r~,rt~/i»~
aF B~~

t,ist each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both stnucture and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.uses.aov. Several Internet sites also allow direct download and printing of USGS maps (e.g., www.tooozone.com,
www.mapquest.com, etc.).
1
Cumulative impacts (linear distance in feet) to all streams on site: 110
Page 6 of 12

3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact

Site Number
indicate on ma
*
Type of Impact Area of

Impact
acres
Name of Waterbody
(if applicable) Type of Waterbody

(lake, pond, estuary, sound,
ba ,ocean, etc.

- r,~s~ cacn rrnpau separe~ery ana iaennry Temporary impacts. rmpacts mciuae, nut are not limited to: tilt, excavation, dredgng,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.

Page 7 of 12
''~V1 d~~i~ r~2.51Y`t~~v1S

VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
httn://h2 0. enr.state.nc. us/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
Page 8 of 12

2. Mitigation may also be made by payment into the North Cazolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401JWetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount ofNon-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ^ No
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPAISEPA)?
Note: If you are not sure whether a NEPAISEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
-Yes ^ No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ^ No
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Suppl Buffer Requirements), ar other (please identify )?
Yes ~ No ^ If you answered "yes", provide the following information:
Page 9 of 12

Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
s uare feet Multiplier Required
Miti ation
1
, 3
2 ~
~ Z. 1.5
Total aG~
- gone i extenas out su reet perpendicu-ar from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration /Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
XI. Stormwater (DWQ Only)
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewati r generated from the ~roposed project, or available capacity of the subject facility.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No ~]
Isthis anafter-the-fact permit application?
Yes ^ No ~]
Page 10 of 12
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the nrnnertv

XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
~~ ~ ~ ~ if s
W
Applicant/Agent's Signati~e Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Rowan
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret* Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] I Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Pitt
Tynell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
Page 11 of 12

C~ QG WAlfam a. Ross Jr., Secraf~y
O ~ 9 North Carding Departmerrt of Environment and Natural Aesour~
r~- Alan W. Klimek, P. E Director
~ ~ Division of Water QualrtY
D ~ Golsen H. Sullins, Deputy Director
Division of Water Quality
May 20, 2004
DWQ # 04-0766
Johnston County
Page 1 of 2
Loop Road Development
Attn: Marty Gilbert
273-C Blue Pond Road
Clayton, NC 27520
Subject Property: Timberlake, Phase I & II
UT to Neuse River
On-Site Determination for Applicability to the Neuse River Riparian Area Protection Rules (15A
NCAC 2B .0233)-EXPRESS REVIEW PROGRAM
Dear Mr. Gilbert:
On May 19, 2004, at your request I conducted an on-site determination to review 2 features located
on the subject property for applicability to the Neuse Buffer Rules (15A NCAC 2B .0233). The
features are labeled as "A and B" on the attached maps initialed by me on May 19, 2004.
The Division of Water Quality (DWQ) has determined that the fea#ure labeled as "A" on the
attached maps is subject to the Neuse Buffer Rule, this features origin has been delineated
and flagged in the field as #01 (S&EC #307). Feature B is not subiect above the pond. All
other features onsite were not contested and therefore remain subject to the Neuse Buffer
Rule. This feature and its associated buffers should be identified on any future plans for this
property. The owner (or future owners) should notify the DWQ (and other relevant agencies) of this
decision in any future correspondences concerning this property. This on-site determination shall
expire five (5) years from the date of this letter.
Landowners or affected parties that dispute a determination made by the DWQ or Delegated Local
Authority that a surface water exists and that it is subject to the buffer rote may request a
determination by the Director. A request for a determination by the Director shall be referred to the
Director in writing c/o John Dorney, DWQ Wetlands/401 Unit, 2321 Crabtree Blvd., Raleigh, NC
27604-2260. Individuals that dispute a determination by the DWQ or Delegated Local Authority that
"exempts" a surface water from the buffer rule may ask for an adjudicatory hearing. You must act
within 60 days of the date that you receive this letter. Applicants are hereby notified that the 60-day
statutory appeal time does not start until the affected party (including downstream and adjacent
landowners) is notified of this decision. DWQ:recommends that the applicant conduct this notification
in order to be certain that third party appeals are made in a timely manner. To ask for a hearing,
send a written petition, which conforms to Chapter 1506 of the North Carolina General Statutes to the
Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This
determination is final and binding unless you ask for a hearing within 60 days.
~~L::a v?.i J~lud .~iiYlSi'i31dGf Y~~iitdi ~.iu&iily~ 4V•1 :~~!'tia~i'.j,'•, v1i'ru~`walvr~ t~iul, ~-
1650 Ma!! Service Cenisr, Rs!?lgh, "!C 27699~~1 £50 ;A•1siling Address'
~, ~, ~
s.3,_. r;r:.bir~e Slued , RaiPinh, NL` ?7504-??.f30 ~I.nc~+ion~ -
919-733-1786 (phone), 919-733-6893 (fax), httpJ/h?.c.en?.state.nc.u^J!~cwetlands/

Loop,Road Development
• Rage 2 of 2
5/2x/04
This letter only addresses the applicability to the buffer rules and does not approve any activity within
the buffers. Nor does this letter approve any activity within Waters of the United States or Waters of
the State. If you have any additional questions or require additional information please call Debbie
Edwards at [phone].
Sincerely,
Alan W. Klimek, P.E.,
- NC_ DWQ, Director
Attachments: Johnston County Soil Survey map
USGS Clayton Quad map
cc: Steve Mitchell, DWQ Raleigh Regional Office
File Copy
Central Files
Neal Floyd
DWQ # 04-0766

DWQ Project No. -
fJfVISION OF WATER QUALITY -LEVEL SPREADER WORKSHEET
PROJECT INI=ORMATION (please complete the following irdormation)`
Project Name : TMaEUa~ Sueo~ws-oel
Contact Person: JoNa~niaN BAaN~s Phone Number. (9i9) 55a - 4740
Level Spreader ID:. ~v~ s~aor~ ~ t
Level Spreader Lengtir /3.o ft
Drainage Area o. f t ac.
Impervious Area o. 03 ac.
Maximum Filter Strip/Buffer Slope 9.0 %
~~ ,
Max. Discharge from a 10 Year Storm o. 4 cfs
Max Discharge to Level Spreader o. ¢ cfs
Fitter S1ripJButfer Vegetation naiac sirnwdD cavBiz
(perpendicular to flow)
(on-site and off-site drainage to the level spreader)
(on-site and off-site drainage to the level spreader)
(6% for forested, leaf littler cover, 8% for thick ground cover)'
(thick ground cover or grass, carapied forest with leaf litter
groundcover) '
Pre-treatment or Bypass Method
REQUIRED ffEMS CHECKLIST
Initial in the space provided to indicate the following design requrcemems have been met and supporting documentation is attached. /f a
regrixement has not Been met; attach an explanation of why. At a minimum, a complete stormwater management plan submittal includes
a worksheet far each BMP, design cakula6orrs, plans and speaficatiore; showing a® BMPs and outlet structure detaAs, a detailed
drainage plan and a fully executed operation and maintenance agreementt. An incomplete submittal padrage wN result in a request for
addttional information and will substantially delay final review and approval of the project
AppNcants Initials
~~a Level spreader is at least 13 ft per cfs for thick ground cover or grass or 100 ft per cis in canopied forest witii IeaF
litter.
N A Pre-Form Scour Holes are on flat slopes only-.Sw„a irons aa~ Nor unuzm wnt~ cauv~nowL ~Er~
~w No s>rudures are located in protected buffers' eaREeoEe o~~4N.
If bypass method speafied in the Draft Level Spreader Design Option Document:
N A Bypass method is speafied (if applicable) and plan details and cakmlations are provided
N /~ Discharge to level spreader and subsequent f~ter strip is trydrauficaMy and spatiaNy separate from the bypass
discharge.
~wB ! No structures are located in protected buffers.
N /a Plan details for the bypass and outlets are provided.
~ a The operation and maintenance agreement indudes annual erosion and vegetation repak.
~wB The operat~n and maintenance agreement signed and notarized by the responsible party is provided.
' I.mrei spreaders in series can be used on sbpes of up to 15% in forested areas with leaf littler cover or on slopes of up to 25% in areas
with flock ground crnrer or grass if designed according to the Draft Level Spreader Design Option Document This potergiaAy requires a
minor variance in protected buffer.areas. In any event the second level spreader cannot be located in Zone 1 of a protected buffer area.

DWQ Project No. V a. O ~c - O 7 (., b
DIVISION OF WATER QUALITY -LEVEL SPREADER WORKSHEET
I. PROJECT INFORMATK)N (please complete the fotlowing irdormation):
Project Name : TMaezcarcE- sueawsrorJ
Contact Person: JoNanlaN BaaN~s Phone Number. (9-9) 550 - 4740
Level Spreader ID:. r~vr~ s~aor~z # 2
Level Spreader Length t 7. o it.
Drainage Area o. s ~ ac.
Impervious Area Q • 03 ac.
Maximum Filter Strip/Buffer Slope 8.0 %
Max. D'~scharge from a 10 Year Storm t . 3 cfs
Max. Discharge to Level Spreader t. 3 cfs
Fiter StripBrrffer Vegetation ,wcrc a~uve cnvaz.
(perpendicular fA flow)
(on-stte andoff-site drainage to the level sixeader)
(on-site and off-site drainage to the level spreader)
(6% for forested, leaf littler cover, 896 for thick ground cover)'
(thick ground cover or grass, canopu~ forest with leaf litter
groundcover) '
Pre-treatment or Bypass Method
II. REQUIRED REMS CHECKLIST
Initiaal in the space provided to ir~cate the foAowing design requirements have been met and supporting documernation is attached. /f a
iequ®r+ern~ent has not been met aaach an exp/anadon of why. At a minimum, a complete stormwater managemern plan submittal includes
a worksheet for each BMP, design calatlaliotrs, plans and specifications showing al BMPs and outlet structure details. a detailed
drainage plan and a fuNy exeaned operatlon and maintenance agreemern. An incomplete submittal package w~ resuR in a rer~rest for
additional information and roil substarmally delay final review and approval of the project.
A_„pdicartls Irritials
Jwa Level spreader is ai least 13 ft per cfs for thick ground cover ar grass ar 100 ft per ds in canopied forest witty leaf-
litter.
N A Pre-Form Scour Holes are on flat slopes oMy--S~,rr ~r~s e~ Nor unarm w~,u cAVV~vnoNat ~/~
Ju! No structures are located in protected buffers' sart~o~e ~m'g".
ft bypass metliod speafied in the Draft Level Spreader Design Option Document:
N A -Bypass method is specified (d applicable) and plan details and calrmlations are provided
Discharge to level spreader and subsequent titer strip is hydrardicaNy and spa6aiy separate from the bypass
discharge.
~,.~~ :~ No structures are located in protected buffers.
N A Plan detais for the bypass and outlets are provided.
J a Tire operation and maintenance agreemern includes annual erosion and vegetatan repair.
Ewa The operation and maintenance agreement signed and notarized by the responsible party is provided.
' Level spreaders in series can be used on slopes of up to 15% in forested areas with leaf littler cover or on slopes of up to 25% in areas
witln thick ground cover or grass iF designed according ro the Draft Level Spreader Design Option Document. This poterrtiapy requires a
minor variance in protected twfler.areas. In any evern the second level spreader cannot be located in Zone 1 of a protected troffer area.

a
DWQ Project No.
DIVISION OF WATER QUALITY -LEVEL SPREADER WORKSHEET
1. PROJECT INFORMATION (please complete the fdbwing information):
Project Name : TMa~i~tu.~ suaavrsionl
Contact Person: Jo~rn~n,,eN Baruvss Phone Number: j 9i9) 550 - 4740
Level Spreader ID:. ~vsc. s~cre # 3
Level Spreader Length 36 . Q tL (perpendicular to flow)
Drainage Area o.b9 ac. (on-site and off-site drainage to the level ~x~eader)
Impervious Area o. 24 ac. (on-site and off-site drainage to the level spreader)
Ma>omum Filter Strip/Buffer Slope 8.0 % (6% for forested, leaf littler cover, 8% for thick ground cover)'
~~ ,
Max. Discharge from a 10 Year Storm 2.7 cfs
Max. Discharge to Level Spreader 2.7 cfs
FAter StripJBufler Vegetation nuGC c~adc cove,z (thick ground cover or grass, canopied forest vvitth leaf litrer
groundcover) ,
Pre-treatment or Bypass Method
11. REQUIRED ITEMS CHECKLIST
Irrtial in the space provided to it~cate the foAowing design requirements have been met and supporting documentation is attached. /f a
r~equ~+ement has not been met, a(tach an e~anadon of why. At a minimum, a complete stormwater management plan submittal includes
a worksheet for each BMP, design cafatiatiorns, plans and specifications showing aY BMPs and outlet strucWre details, a detailed
.drainage plan and a frtify executed operation and maintenance agreemernt. An incomplete submdtal package w~l result in a request for
additional information and will substantially delay final review and approval of the project.
App6car>ts Indials
Ewa Level spreader is at least 13 R per cfs for thick ground cover or grass or 100 ft per ds in canopied forest with leaf
litter.
_ N A Pre-Form Scour Holes are on flat slopes only ~rxou¢ Notts a,e& iJor unuzm w~nu cwvr~moN4L t.~/Et
Jw No stnicttres are located in protected buffers' s~~~ a~'4"•
ff bypass method specified in the Draft Level Spreader Design Option Document:
N A Bypass method is speafied ~rf applicable) and plan details and calculations are provided
w /~ Discharge to level spreader and subsequent filter strip is hydraulically and spatially separate from the bypass
discharge. '
..~wa No structures are located in protected buffers.
ni /A Plan details for tfte bypass and outlets are provided.
.Jwa The operation and maintenance agreement includes aruKral erosiarr and vegetation repair.
~w8 The operation and maintenance agreement signed and notarized by the responsible party is provided.
' Level spreaders in series can be used on slopes of up to 15% in forested areas with leaf littler cxn-er or on sbpes of up to 25% in areas
with tlridc ground cxnrer or grass if designed according to the Draft Level Spreader Design Opton Document. This potentially requires a
minor variance in protected bufler.areas. In any event the second level spreader cannot be located in Zone 1 of a protected buffer an:a.

DWQ Project No.
DIVISION OF WATER QUALITY -LEVEL SPREADER WORKSHEET
PROJECT INFORMATION (please complete the fotlowing information):
Project Name : lTMaER1J~ICr/ 5usoryrsrorJ
Contact Person: Jo~la~rNAN B~wv~s Phone Number. (9i9) sso - 4740
Level Spreader ID: _ , ~, s~aor~c # ¢
Level Spreader Length 36. o ft.
Drainage Area o. b9 ac.
Impervious Area o. 24 ac.
Maximum Filter Strip/Buffer Slope e.o %
~~ ,
Max. Discharge from a 10 Year Storm 2.7 ds
Max. Discharge to Level Spreader 2.7 cfs
Filter StripJBtafer Vegetation nr~GC c,~udn cev~
(perpendicular to flow)
(on-site and off-site drainage to the level spreader)
(on-stte and off-site drainage to the level spreader)
(6% far forested, leaf littler cover, 896 for thick ground cover)'
(thick ground cover or grass, canopied forest with leaf fitter
groundcover) ,
Pre-treatment or Bypass Method
II. REQUIRED RE71AS CHECKLIST
Initial in the space provided to indicate the folbwirg design requirements have been met and supporting documentation is attached. /ta
regria-ment has not been met; attach an explanation of why. At a minimum, a complete starmwater management plan submittal includes
a worksheet for each BMP, design calculations, plans and speafications showing aN BMPs and outlet stnxWre details. a detailed
drainage plan and a fuNy executed operation and mairt[ertance agreement. An incomplete submttal package wiN result in a request for
additional ir~ormation and uu~l substantialty delay final review and approval of the project.
APpdcaras Initials
Ju!£3 Level spreader is at least 13 ft per cfs for thick ground cover or grass or 100 ft per ds in canopied forest with leaf-
litter.
N A Pre-Form Scour Holes are on flat sbpes onty ~Stouz ~~s aa~ Nor unuz~ wmr cauvrnmaut~ ~/~
~u No swtxtres are kxated in protected buffers' gpQE"nrc eFSr~i"•
ff bypass method specified in the Draft Level Spreader Design Option Document:
N A Bypass method is speafied ('d applicable) and plan details and cak~lations are provided
d~ ~ Discharge to level spreader and subsequent filter strip is hydraulically and spaUatiy separate from the bypass
discharge:
Jam.: No struchues are located in protected buffers.
N /A Plan`details for the bypass and outlets are provided.
~wts The operation and maintenance agreement indudes annual erosion and vegetation repair.
~wB The operation and maintenance agreement signed and notarized by the responsible party is provided.
' Level spreaders in series can be used on slopes of up to 15% in forested areas with leaf littler cover or on skrpes of up to 25% in areas
with thick ground txnnx or grass ff designed according in the Draft Level Spreader Design Option Documera. This poteraialty requires a
rrunor variance in protected buffer areas. In any event the second level spreader cannot be kx:ated in Zone 1 of a protected buffer area.