SW6120106_CURRENT PERMIT_20120302

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW���
DOC TYPE
CURRENT PERMIT
C
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
YYYYMMDD

ATiZA.
NCDENR
North Carolina Department of Environment and
Beverly Eaves Perdue
Governor
Division of Water Quality
Charles Wakild, P. E.
Director
February 2, 2012
Mr. David Heins, Environmental Division Chief
Directorate of Public Works
2175 Reilly Road Stop A
Fort Bragg, NC 28310
Subject: Stormwater Permit No. SW6120106
Towle Stadium
High Density Commercial Sand Filter Project
Cumberland County
Dear Mr. Heins:
DEN R-- FR®
14AR 0 Z 2012
Natural ResourcwQ
Dee Freeman
Secretary
The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for
Towle Stadium on January 20, 2012. Staff review of the plans and specifications has determined that the
project, as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000
and Session Law 2006-246. We are forwarding Permit No. SW6120106, dated February 2, 2012, for the
construction, operation and maintenance of the subject project and the stormwater BMPs.
This permit shall be effective from the date of issuance until February 1, 2020, and shall be subject to the
conditions and limitations as specified therein. Please pay special attention to the Operation and
Maintenance requirements in this permit. Failure to establish an adequate system for inspection and
maintenance of the stormwater management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within thirty (30) days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer 27447, Raleigh, NC
27611-7447. Unless such demands are made this permit shall be final and binding.
This project will be kept on file at the Fayetteville Regional Office. If you have any questions, or need
additional information concerning this matter, please contact Brian Lowther at [phone]; or
[e-mail].
Sincerely,
for Charles Wakild, P.E.
cc: Fayetteville Regional Office
SW6120106 File
ec: Kate Underwood, PE, LEED AP —Zapata Engineering
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N Salisbury St Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: www nmaterqua4y.org
An Equal opportunity 1Affirmative Action Employer
One
NorthCarolina
Naturally

i

State Stormwater Permit
Permit No. SW6120106
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Directorate of Public Works (DPW)
Towle Stadium
Corner of Ardennes Road and Bastogne Drive, Fort Bragg, Cumberland County
FOR THE
construction, operation and maintenance of one (1) sand filter in compliance with the
provisions of Session Law 2006-246 and 15A NCAC 2H .1000 (hereafter referred to as the
"stormwater rules") and the approved stormwater management plans and specifications and
other supporting data as attached and on file with and approved by the Division of Water
Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until February 1, 2020, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff
as described in Section 1.7 of this permit. The stormwater control has been designed to
handle the runoff from 164,095 square feet of impervious area.
The tract will be limited to the amount of new built -upon area as indicated in Section
1.7 of this permit, and per the application documents and as shown on the approved
plans.
4. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be recorded
showing all such required easements, in accordance with the approved plans.
The runoff from all built -upon area within the permitted drainage area of this project
must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 30 feet
Landward of all perennial and intermittent surface waters.
Page 1 of 6

State Stormwater Permit
Permit No. SW6120106
7. The following design criteria have been provided in the sand filter and must be
maintained at design condition:
a. Drainage Area, acres:
Onsite, ft2:
Offsite, ft2:
b. Total Impervious Surfaces, ft2:
Onsite, ft2:
Offsite, ft2:
C. Design Storm, inches:
d. Sediment Chamber Bottom Elev.,
d. Top of Sand Elevation, fmsl:
e. Seasonal High Water Table, fmsl:
f. Sand Depth; feet:
h. Bottom of Sand Elevation fmsl:
i. Sediment Chamber SA, ft�:
i. Sand Chamber SA, ft2:
j. Permitted Storage Volume, ft3:
k. Bypass / Storage Elevation, fmsl:
n. Drawdown Time, hours:
o. Underdrain Diameter, inches:
q. Receiving Stream/River Basin:
r. Stream Index Number:
S. Classification of Water Body:
!I. SCHEDULE OF COMPLIANCE
fmsl:
9.6
212,945
0
164,095
164,095
0
1.0
302.0
304.0
290.0
2.0
302.0
2,262.0
1,872.0
33,237.75
308.5
37.48
4"
Tank Creek / Cape Fear
18-23-27
,.C„
1. The stormwater management system shall be constructed in its entirety, vegetated
and operational for its intended use prior to the construction of any built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately.
3. The permittee shall at all time provide the operation and maintenance necessary to
assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.
f. Debris removal and unclogging of all drainage structures, level spreader, filter
media, planting media, underdrains, catch basins and piping.
g. Access to the cell and outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The reports
will indicate the date, activity, name of person performing the work and what actions
were taken.
5. The permittee shall submit to the Division of Water Quality an annual summary report
of the maintenance and inspection records for each BMP. The report shall summarize
the inspection dates, results of the inspections, and the maintenance work performed
at each inspection.
6. The stormwater treatment system shall be constructed in accordance with the
approved plans and specifications, the conditions of this permit, and with other
supporting data.
Page 2 of 6

State Stormwater Permit
Permit No. SW6120106
7. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and
prior to operation of this permitted facility, a certification must be received from an
appropriate designer for the system installed certifying that the permitted facility has
been installed in accordance with this permit, the approved plans and specifications,
and other supporting documentation. Any deviations from the approved plans and
specifications must be noted on the Certification. A modification may be required for
those deviations.
8. If the stormwater system was used as an Erosion Control device, it must be restored to
design condition prior to operation as a stormwater treatment device, and prior to
occupancy of the facility.
9. Access to the stormwater facilities shall be maintained via appropriate recorded
easements at all times.
10. The permittee shall submit to the Director and shall have received approval for revised
plans, specifications, and calculations prior to construction, for any modification to the
approved plans, including, but not limited to, those listed below:
a. Any revision.to any item shown on the approved plans, including the stormwater
management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project area.
The project area is defined as all property owned by the permittee, for which
Sedimentation and Erosion Control Plan approval was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. The permittee shall submit final site layout and grading plans for any permitted future
areas shown on the approved plans, prior to construction.
12. A copy of the approved plans and specifications shall be maintained on file by the
Permittee for a minimum of ten years from the date of the completion of construction.
13. The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in
the notice, the permittee shall submit a written time schedule to the Director for
modifying the site to meet minimum requirements. The permittee shall provide copies
of revised plans and certification in writing to the Director that the changes have been
made.
III. GENERAL CONDITIONS
1. This permit is not transferable except after notice to and approval by the Director. In
the event of a change of ownership, or a name change, the permittee must submit a
completed Name/Ownership Change form signed by both parties, to the Division of
Water Quality, accompanied by the supporting documentation as listed on page 2 of
the form. The approval of this request will be considered on its merits and may or may
not be approved.
The permittee is responsible for compliance with all permit conditions until such time
as the Division approves a request to transfer the permit.
Failure to abide by the conditions and limitations contained in this permit may subject
the Permittee to enforcement action by the Division of Water Quality, in accordance
with North Carolina General Statute 143-215.6A to 143-215.6C.
Page 3 of 6

State Stormwater Permit
Permit No. SW6120106 l
4. The issuance of this permit does not preclude the Permittee from complying with any
and all statutes, rules, regulations, or ordinances, which may be imposed by other
government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action; including
those as may be required by this Division, such as the construction of additional or
replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility. .
7. The permit issued shall continue in force and effect until revoked or terminated. The
permit may be modified, revoked and reissued or terminated for cause. The filing of a
request for a permit modification, revocation and re -issuance or termination does not
stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual,
9. Approved plans and specifications for this project are incorporated by reference and
are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit as'
allowed by the laws, rules and regulations contained in Session Law 2006-246, Title 15A
NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division in writing of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit.
Permit issued this the 2"d day of February, 2012.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 4 of 6

State Stormwater Permit
Permit No. SW6120106
Towle Stadium
Stormwater Permit No. SW6120106
Cumberland County
Designer's Certification
I, , as a duly registered in the State of
North Carolina, having been authorized to observe (❑periodically I❑ weekly I
❑full time) the construction of the project,
(Project Nome)
for (Project Owner) hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the project construction
such that the construction was observed to be built within substantial compliance and intent
of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 5 of 6

State Stormwater Permit
Permit No. SW6120106
Certification Requirements:
1. The drainage area to the system contains approximately the permitted acreage.
2. The drainage area to the system contains no more than the permitted amount
of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Under drains are located per the approved plans.
8. All slopes are grassed with permanent vegetation, per the vegetation plan.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-circuiting
of the system.
11. The permitted amounts of surface area and volume have been provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a sediment chambers,
sand chambers, under drains, and outlets.
15. The required system dimensions are provided per the approved plans.
Please submit this Designer's Certification to: Fayetteville Regional Office
Surface Water Protection
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301
Page 6 of 6

Permit Number:
(io be provided by DWQ)
Drainage Area Number:
Sand Filter Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a log in a
known set location. Any deficient BMP elements noted in the inspection will be corrected, repaired or
replaced immediately. These deficiencies can affect the integrity of structures, safety of the public, and
the removal efficiency of the BMP.
Important maintenance procedures.
— The drainage area will be carefully managed to reduce the sediment load to the sand filter.
— The sedimentation chamber or forebay will be cleaned out whenever sediment depth exceeds
six inches.
— Once a year, sand media will be skimmed.
— The sand filter media will be replaced whenever it fails to function properly after maintenance.
The sand filter will be inspected quarterly and within 24 hours after every storm event greater than
1.0 inches for 1.5 inches if in a Coastal County). Records of operation and maintenance will be kept in
a known set location and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired
immediately.
�' m,�a„�`i {4�, �. �,.k. i�.�i. x
rBMP;element;�t,�,I,�,,t�;`„,�:",�dC,,1��Potenhal
-: y �: w+•, i' '^-r x�'i{"'.u*'u,�� � �:_ Y-Yf�E �''"
roblem �__,,,��_,� �, ��HowI�wrllrezn;ediatethe;
.f - �,2. _. y assr.w .ti. y.r x%-, .n: rei •r::A ,,
roblem��;n�
Entire BMP
Trash/debris is present,
Remove the trash/debris.
Adjacent pavement (if
Sediment is present on the
Sweep or vacuum the sediment as soon as
applicable)
pavement surface.
possible.
Perimeter of sand filter
Areas of bare soil and/or erosive
Regrade the soil if necessary to remove the
gullies have formed.
gully, and then plant a ground cover and
water until it is established. Provide lime
and a one-time fertilizer application.
Vegetation is too short or too long.
Maintain vegetation at an appropriate
height,
Flow diversion structure
The structure is clogged.
Unclog the conveyance and dispose of any
sediment offsite.
The structure is damaged.
Make any necessary repairs or replace if
damage is too large for repair.
Forebay or pretreatment area
Sediment has accumulated to a
Search for the source of the sediment and
depth of greater than six inches.
remedy the problem if possible. Remove
the sediment and stabilize or dispose of it
in a location where it will not cause
impacts to streams or the BMP.
Erosion has occurred.
Provide additional erosion protection such
as reinforced turf matting or riprap if
needed to prevent future erosion
problems.
Weeds are present.
Remove the weeds, preferably by hand. If
a pesticide is used, wipe it on the plants
rather than spraying.
Form SW401-Sand Filter O&M-Rev.4 2009Sept 17 Page 1 of 3

aT
rre�
Filter bed and underdrain
Water is ponding on the surface for
Check to see if the collector system is
collection system
more than 24 hours after a storm.
clogged and flush if necessary. If water
still ponds, remove the top few inches of
filter bed media and replace. If water still
ponds, then consult an exRert.
Outlet device
Clogging has occurred.
Clean out the outlet device. Dispose of the
sediment offsite.
The outlet device is damaged
Repair or replace the outlet device.
Receiving water
Erosion or other'sips of damage
Contact the NC Division of Water Quality
have occurred at the outlet.
401 Oversight Unit at 919-733-1786.
Form SW401 -Sand Filter O&M-Rev.4 2009Septl 7 Page 2 of 3

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the performance of the
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior
to any changes to the system or responsible party.
Project name:Towle Stadium
BMP drainage area number: Drainage Area 1 Basin 2 + Basin 3
Print name -.Mr. David Heins
Title:Directorate of Public Works/Chief-Environmental Division
Address:2175 Reilly Road Stop A, Fort Bragg, NC 28310-5000 _
Phone:[phone]W , . 1
Signature:_ P�.--
Date: -Jaw-
Note: The legally responsible party should not be a homeowners association unless more than 50% of the lots have been
sold and a resident of the subdivision has been named the president.
1, , a Notary Public for the State of
County of , do hereby certify that
personally appeared before me this day of
, and acknowledge the due execution of the forgoing sand filter
maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires L.
Form SW401-Sand Filter O&M-Rev.4 2009Sept 17 Page 3 of 3

Rr-u ;zk/ + 9rz1hij Ld w44,a_
Application Completeness Review
First Submittal ❑ Re -submittal Date Received: / Z Z Date Reviewed: �
Development/Project Name:
Receiving stream name R Yc _.Q-L j4 Classification:
fiver Basin: CA- o-9—
IzBy Bill Diuguid
r
For post -construction requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-I, WS-II, WS-III, WS-IV, HQW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
Management Strategy.
High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds): 6 Latitude and Longitude:35 S3 9 N — 79 / 36 'k/ Jurisdi tion P-ox+ a,e,k�
Project Address: de
Engineer name and firm: C d_. .off C
Phone:909--3 $ -8z5v R-- Email: L. ii &o 00 a ca rn
Is the project confirmed to be in the State MSI Stormwater Permit jurisdic ion? WYes or ❑ No
❑ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets M-ffigh Density ❑ Other
►�I) �} -t - 401/404 impacts to surface waters, wetlands, and buffers (add language to cover letter and/or add info letter)
V� BLIA 77t.,
ui heck for $505.00 included
rf,/Original signature (not photocopy) on application
Y Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent).
Check spelling, capitalization, punctuation: http://www.seeretary.state.nc,us/corporations/thepage.aspx
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
includes the name, title, mailing address and phone number of the person signing the letter.
❑ For subdivided projects, a signed and notarized deed restriction statement
healed, signed & dated calculations
Q/ Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each)
❑ Bioretention
❑ Dry Detention Basin
❑ Filter Strip
❑ Grass Swale
❑ Infiltration Basin
❑ Infiltration Trench
Level Spreader
❑ Permeable Pavement
❑ Restored Riparian Buffer
❑ Rooftop Runoff Management
RSand Filter
❑ Stormwater Wetland
❑ Wet Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
�� Two sets of sealed, signed & dated layout & finish grading plans with appropriate details
/�arrative Description of stormwater management provided
ar Soils report provided V-7�jr-'c TCC-' V),C *-(
WOAlf- ❑ Wetlands delineated or a note on the plans or in the accompanying documents that none exist on site and/or
Aj.py�A- adjacent property
Details for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
5d Dimensions & slopes provided
Drainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
wl**' BMP operation and maintenance agreements provided
application complete ❑ Application Incomplete Returned: (Date)
Comments
May 5, 2011 Revision, Bill Oiuguid

St- 2006-246 Section 9 Post Construction Requirements for Non -Coastal Counties
Low -density projects
❑ No more than two dwelling units per acre or 24% built -upon area;
❑ Vegetated conveyances to the maximum extent practicable;-
❑ Built -upon areas at least 30 feet landward of perennial and intermittent surface waters;
G Deed restrictions, protective covenants, and/or other restrictive language/measures.
High density. projects
❑ Control and treat runoff from the first one -inch of rain.
❑ Runoff volume drawdown time must be a minimum of 48 hours, but not more than 120 hours;
❑ Discharge the storage volume at a rate equal to or less than the predevelopment discharge rate for the
one-year, 24-hour storm.
❑ Achieve 85% average annual removal of total suspended solids.
❑ For BMPs that require a separation from the seasonal high-water table (SHWT), the separation shall include
at least 12 inches of naturally occurring soil above the SHWT.
❑ Stormwater management measures must comply with the General Engineering Design Criteria For All
Projects requirements listed in 15A NCAC 2H .1008(c);
❑ All built -upon areas are at least 30 feet landward of perennial and intermittent surface waters;
❑ Deed restrictions, protective covenants, and/or other restrictive language/measures _ ..
❑ Provide a mechanism to require long-term operation and maintenance of Best Management Practices
Goose Creek, Six Mile Creek and Waxhaw Creek Watersheds
Buffer Requirements
❑ Undisturbed riparian buffers within 200 feet of water bodies within the 100-Year Floodplain and within 100 feet
of water bodies that are not within the 100-Year Floodplain. Exceptions to the undisturbed buffer
requirements are set forth in 15A NCAC 02B .0607
Stormwater Controls as required by 15A NCAC 02B .0602
❑ Control and treat the difference between the pre -development and post -development conditions for the one-
year, 24-hour storm with structural controls.
❑ Development and redevelopment shall implement stormwater management measures that promote infiltration
of flows and ground water recharge for the purpose of maintaining stream base flow.
❑ 85% average annual removal of total suspended solids.
❑ Draw down the treatment volume no faster than 48 hours, but no slower than 120 hours, for detention ponds.
❑ Discharge the storage volume at a rate equal or less than the pre -development discharge rate for the one-
year, 24-hour storm.
❑ Meet design or stormwater management measures set forth in 15A NCAC 2H .1008.
High Density Projects that require a 401/404 within an NSW
❑ 85% TSS
❑ 30% TN
❑ 30% TP
May 5, 2011 Revision, Bill Diuguid

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
4505 -A- 1 L4
l 1 O LP
Applicable Rules: ❑ Coastal SW —1995 ❑ Coastal SW — 2008 ❑ Ph I1- Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M rnt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION IWOOW0. n
This form may be photocopied for use as an original �}
I. GENERAL INFORMATION
JAN 2 U 2012
1. Project Name (subdivision, facility, or establishment name - should be consistent with project g WgyAMwY
specifications, letters, operation and maintenance agreements, etc.): WEl,A MANDSTORMWATERBRN "
Towle Stadium
2. Location of Project (street address):
Corner of Ardennes Road and Bastogne Drive h
City:Fort Bragg County:I3ok-e-- Zip:28310
3. Directions to project (from nearest major intersection):
From the Longstreet Gate, proceed cast on Longstreet Road. Turn right onto Ardennes. Turn left on
Campobell , and then take the first right. The stadium is at the end of the road on the right. _
4. Latitude:35° 8' 9.02" N Longitude:79° 1' 36.33" W of the main entrance to the project.
Il. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
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 Completed* ❑ Completed* *provide a designer's certification
Specify the type of project (check one):
❑Low Density ❑High Density ®Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, 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: 3.767 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:
Form SWU-l01 Version 07Jun2010 Page 1 of 6

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:Directorate of Public Works (DPW)
Signing Official & Title:Mr. David Heins, Environmental Division Chief (DPW)
b.Contact information for person listed in item la above:
Street Address:2175 Reilly Road Stop A
City:Fort Bragg State:NC Zip:28310-5000
Mailing Address (if applicable):2175 Reilly Road Stop A
City:Fort Bragg State: NC Zip:28310-5000
Phone: (910 ) 396-8207 Fax: ( 910 ) 907-2420
Email:david.,[e-mail]
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: Zip:
Mailing Address (if applicable):
City:
Phone: ( )
Email:
State:
Fax: ( )
Zip:
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:DPW/Water Management Branch
b.Contact information for person listed in item 3a above:
Mailing Address:Bldg_0-9125, McKellars Road
City:Fort Bragg _ State:NC Zip:28310
Form SWU-101 Version 07Jun2010 Page 2 of

Phone: (910 ) 396-2301
Fax: [phone]
Em-,iil:lee.p.w-,[e-mail]
4. Local jurisdiction for building permits:
Point of Contact:
IV. PROJECT INFORMATION
Phone #: (_ }
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Drainage Basins 2+3 are proposed to be treated via a Sand Filter w/ Forebay. All other drainage basins
considered are undisturbed and are bypassing all construction activities along the pre -development draina
paths.__
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 PUDApproval 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: 9.601 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`:
9.601 acres
Total project area shall be calculated to exclude the follozving: 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 NNW (or MHW) 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 nray be
included in the total project. area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 77
V/V
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.
Form SWU-101 Version 07Jun2010 Page 3 of7

Basin Information
Drainage Area 1
Drainage Area _
Draina e Area
Draina Te Area _
Receiving Stream Name
Rockfish Creek
Stream Class *
- Z 2 i
Stream Index Number
Total Drainage Area (sf)
212,945
On -site Drainage Area (sf)
212,945
Off -site Drainage Area (sf)
0
Proposed Impervious Area"* (sf)
164,095
% Impervious Area** (total)
77
Impervious*' Surface Area
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (sf)
15,053
On -site Streets (sf)
On -site Parking (sf)
16,526
On -site Sidewalks (sf)
Other on -site (sf)
131,296
Future (so
1,220
Off -site (sf)
0
Existing BUA*** (sf)
Total (sf):
164,095
Stream Class and Index Number can be determined at: http.iMortal ncdenr.orQ/tveb/wcl/ps/esu/ckrti5ifications
** Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
*** Report only that amount of existing BLIA that will retrain after development. Do not report any existing BUA that is
to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation.
Projects in Union County: Contact DIVQ Central Ofjice staff to check if the project is located within a Threatened &
Endangered Species watershed that may he subject to more stringent stormwater requirements as per NC11 C 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from littp://12ortal.nccienr.org/web/wq/ws/su/bmp-martial.
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. A detailed application instruction sheet and BMP
checklists are available from http://i2ortiI.ncdenr.org/web/wq/ws/su/statesw/forms does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http://portal.ncdenr.org/web/wq/ws/su/mais.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://12ortaI.ncdenr.org/web/wq/ws/su/statesw/forms does.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) anti O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.enviielp.org/pates/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
Dorm SWU-101 Version 07Jun2010 Page 4 of 7

5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
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 1h mile of the site boundary, include the'iz
mile radius on the map.
7. Sealed, signed and dated calculations.
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 map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f_ Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, 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 from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
h 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 roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. 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 document).
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 with the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map 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 determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: Page No:
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
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per 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.
http://www.secret,-try.state.iic.us/Cori2orations/CSearch.asl2x
V1I. 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://portalalcdenr.orf;/web/wq/ws/su/statesw/forms does. 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 DWQ, and that they will be recorded prior to the sale of any lot.
Fomi SWU-101 Version 07Jun2010 Page 5 of 7

VIII. 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:Kate Underwood, PE, LEED AP
Consulting Firm: Zapata Engineering
Mailing Address:6302 Fairview Road
City:Charlotte State:NC Zip:28210
Phone: (704 ) 358-8240
Emaii:kttiiderwood@zap-,itainc.com
Fax: (704 ) 358-8324
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1 a) with (print or type name of organization listed in
Contact 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.
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 DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ 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 penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signatu
a Notary Public for the State of
do hereby certify that
Date:
County of
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 expires
Dorm SWU-101 Version 07Jun2010 Page 6 of 7

X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item la) Mr. David Heins
certify that the information 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 stormwate ul nder 15A NCAC 2H .1000, SL 2006-246 (Ph. 1I — Post Construction) or SL 2008-211.
Signature:: Date:
I, 1 a Notary Public for the State of . County of
do hereby certify that
before me this day of
stormwater permit. Witness my hand and official seal,
SEAL
personally appeared
and acknowledge the due execution of the application for a
My commission expires
Form SWU-101 Version 07Jun2010 Page 7 of 7