20091085 Ver 2_More Info Received_20100125

OR- loss
OFFICE USE ONLY
Date Received Fee Paid Permit Number(s)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality 401/Wetlands Unit
EXPRESS REVIEW PROGRAM STORMWATER MANAGEMENT APPLICATION FORM
This form may be photocopied for use as an original
1. GENERAL INFORMATION
1. APPLICANT'S NAME (specify the name of the corporation, individual, etc. who owns the project):
North Point Resources, LLC
2. OWNER/SIGNING OFFICIAL'S NAME AND TITLE (person legally responsible for facility and
compliance): Brian Fletcher
3. OWNER MAILING ADDRESS (for person listed in item 2 above): It @? I;=
124 Iron Gate Circle V
Mooresville, NC 28117
JAN ? ; 2C;G'
DENR - wATEF QUALITY
.?
4. OWNER ADDITIONAL CONTACT INFORMATION:
Phone: [phone] Fax: [phone] Email: [e-mail]
5. PROJECT NAME (subdivision, facility, or establishment name - should be consistent with project name
on plans, specifications, letters, inspection and maintenance agreements, etc.):
Troutman Towne Center
6. PROJECT LOCATION:
Street Address: Intersection of I-77 and US-21 (exit 42)
City: Troutman, NC County: Iredell State: NC Zip Code:
Latitude: 35.666 Longitude: 80.856
7. DIRECTIONS TO PROJECT SITE (from nearest major intersection):
N on I-77 from Charlotte. Exit 42. Right on US-21. Site on right, bordering I-77 and US-21.
8. CONTACT PERSON (who can answer stormwater-related questions about the project):
Name: Matthew Edwards, PE Company: Kimley-Horn and Associates, Inc.
Phone: [phone] Fax: [phone] Email: [e-mail]
1/2009 Version 1.1 Page 1 of 5
IL PERMIT INFORMATION
1. THE PROJECT IS (check one): ?X NEW ? A RENEWAL ? A MODIFICATION
2. OTHER JURISDICTIONS:
Which local government(s) has jurisdiction over the project (e.g. Town of Cary or Johnston County)?:
Town of Troutman, Iredell County
3. STORMWATER MANAGEMENT PROGRAM
Check all of the state-approved stormwater management programs (implemented by either the State or
local government) that apply to your project:
? Phase II Post Construction ? Water Supply Watershed ? Neuse or Tar-Pamlico NSW
? Randleman WSWS ? USMP ? Coastal Counties ? HQW ? ORW
4. PERMIT HISTORY (renewal or modification requests must complete this item):
Existing DWQ Permit Number: Date Issued:
5. PROJECT TYPE (check one): ? Low Density* ?X High Density*
* Low Density projects shall be under 24% Impervious with only vegetated stormwater conveyances. A
curb and gutter or pipe system for stormwater conveyance shall result in reclassification of project as
High Density even if below 24%, except when pipes are used for road or driveway crossing purposes.
6. ADDITIONAL PROJECT REQUIREMENTS (check all that apply):
? CAMA Major ? Sedimentation/Erosion Control ? NPDES Stormwater
? 404/401 Permit ? Non-404 Jurisdictional Permit ?X Other: Received401Cert.-Stormwater only
Note: Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748
III. PROJECT INFORMATION
1. STORMWATER TREATMENT METHODS (Describe briefly how stormwater will be treated):
Phase 1 development will be treated by two proposed wet detention ponds.
Phase 2 and 3 development will be treated by future wet detention ponds.
Important Note: attach a detailed narrative (one to two pages) describing stormwater management for the
project.
2. RIVER BASIN/STREAM INFORMATION
a. Stormwater runoff from this project drains to which River Basin?: Yadkin
b. Nearest named stream: UT to Kerr Branch 12-101-21-3-1-1
c. Water quality classification of nearest named stream: C
1/2009 Version 1.1 Page 2 of 5
TOTAL PROJECT AREA: 1 60 (acres)
4. PROJECT BUILT UPON AREA: 1 69%
5. DRAINAGE AREAS (How many drainage areas does the project have?): 2
Complete the following information for each drainage area. If there are more than two 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 2
Receiving Stream Name UT to Kerr Branch UT to Kerr Branch
Receiving Stream Class C C
Drainage Area 14.84 36.47
Existing Impervious* Area 0 6.5
Proposed Impervious*Area 12.62 23.92
% Impervious* Area (total) 85% 65.6%
Impervious* Surface Area Determination (Breakdown)
Impervious* Surface Area Drainage Area 1 Drainage Area 2
On-site Buildings 3.44 0.75
On-site Streets 0.30 2.40
On-site Parking 8.73 2.18
On-site Sidewalks 0.15 0.50
Other on-site 11.64
Off-site 6.45
Total: 12.62 Total: 23.92
* Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking
areas, sidewalks, gravel areas, etc.
6. EXPLAIN HOW THE OFF-SITE IMPERVIOUS AREA WAS DERIVED:
Parking lot from Wilco gas station.
topo and existing features were used to derive area.
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
Deed restrictions and protective covenants are required to be recorded for all subdivisions, outparcels and
future development draining to the proposed stormwater management devices prior to the sale of any lot. If
applicable, please complete and submit a copy of the deed restrictions and protective covenants along with
your application.
1/2009 Version 1.1 Page 3 of 5
V. SUPPLEMENT FORMS
1. The applicable stormwater management supplement form(s) listed below must be submitted for each
BMP specified for this project. The most current form(s) located on the 401/wetlands unit website at
http://h2o.enr.state.nc.us/su/bmp forms.htm must be used. Please include both the Design Summary and
the Required Items Checklist along with all required items and supporting design calculations.
(Check the supplement forms that will be required for your project):
? Bioretention Supplement ?X Level Spreader/Filter Strip/Restored Buffer
? Dry Detention Supplement Supplement
? Grassed Swale Supplement
? Infiltration Basin Supplement
? Infiltration Trench Supplement
? Sand Filter Supplement
? Stormwater Wetland Supplement
?X Wet Detention Supplement
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. The complete application package should be
submitted to the DWQ Central Office.
1. Please indicate that you have provided the following required information by initialing in the space
provided next to each item.
Initials
• Original and two copies of the Express Review Stormwater Management Application BRR
• Signed and Notarized Inspection and Maintenance Agreement BRR
• Three copies of the applicable Supplement Form(s) for each BMP BRR
• Application processing fee (payable to DWQ) BRR
• Detailed narrative description of stormwater treatment/management BRR
• Three copies of plans and specifications, including: BRR
?X Development/Project name
X? Engineer and firm
?X Legend
?X North arrow
?X Scale
? Revision number & date
?X Mean high water line
X? Dimensioned property/project boundary
?X Location map with named streets or NCSR numbers
X? Original contours, proposed contours, spot elevations, finished floor elevations
?X Details of roads, drainage features, collection systems, and stormwater control measures
X? Wetlands and streams delineated, or a note on plans that none exist
?X Existing drainage (including off-site), drainage easements, pipe sizes, runoff calculations
?X Drainage areas delineated
X? Vegetated buffers (where required)
1/2009 Version 1.1 Page 4 of 5
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
1. DESIGNATED AGENT (individual or firm): Matthew Edwards, PE- Kimley-Horn and Associates, Inc.
2. MAILING ADDRESS:
1919 South Blvd
Suite 100
Charlotte, NC 28203
Phone: [phone] Fax: [phone]
VIII. APPLICANT'S CERTIFICATION
I, (print or type name ofperson listed in General Information, item 2)
certify that the information included on this 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 (if applicable) will be recorded, and that the
proposed project complies with the requirements of 15A NCAC 2H .1000.
Signature:i Date: 6
1/2009 Version 1.1 Page 5 of 5
DWQ 401/Express Permit Stormwater Applications (Version 1)
DEED RESTRICTIONS AND PROTECTIVE COVENANTS
Deed restrictions and protective covenants are necessary to ensure that the development maintains an "impervious"
area consistent with the design criteria used to size the stormwater control structure. The following italicized deed
restrictions and protective covenants are required to be recorded prior to the sale of any lot for all subdivisions,
outparcels and future development, where lots will be subdivided.
1. The following covenants are intended to ensure ongoing compliance with state Riparian Buffer Authorization
and/or Water Quality General Certification number(s) DWQ#09-1085 as issued by the Division of Water
Quality (DWQ) for the project known as TROUTMAN TOWNE CENTER
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to maintain
compliance with the Riparian Buffer Authorization and/or Water Quality General Certification. These covenants,
therefore, may not be altered, rescinded or deleted without the written consent of the State of North Carolina,
Division of Water Quality.
3. (a) The maximum allowable impervious area per lot is Attached square feet. OR
(b) If the proposed impervious amount per lot varies significantly, please provide the following: lot number, lot
size (square feet), and the maximum allowable impervious area (square feet) for each lot as an attachment.
Impervious materials include asphalt, gravel, concrete, brick, stone, slate or similar material but do not include
wood decking or the water surface of swimming pools.
4. Swales shall not be filled in, piped, or altered except as necessary to provide driveway crossing.
5. Impervious area in excess of the permitted amount requires a modified water quality certification prior to
construction.
6. All permitted runoff from outparcels or future development shall be directed into the permitted stormwater control
system. These connections to the stormwater control system shall be performed in a manner that maintains the
integrity and performance of the system as permitted.
7. The approved stormwater treatment facilities, stormwater easements and drainage patterns must be maintained in
perpetuity. Alteration of the drainage system as depicted on the approved plan(s) may not take place without the
concurrence of the Division of Water Quality.
8. These covenants are to run with the land and be binding on all parties claiming under them.
By your signature below, you certify that, prior to the sale of any lot, the deed restrictions and protective covenants for
this project shall be recorded, and will include all the applicable required items above.
Signature: ?-
Date: r-ZZQ
I, ,l amar'aa a Notary Public in the State of Nortk car0 lin a, ,
County of .13?Je I I , do hereby certify that -tan D. -51ei Ch er(' appeared
before me this the Z2rd day of Gt(\u 4r, , 20 10 , and acknowledge the due execution of the
f regoing instr ent, Witness my hand and official eal,
gnature TA7COMY
NIrMy commission expires NoMy Commissit 23, 2012
Page 1 of 1
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