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HomeMy WebLinkAboutSW6120703_HISTORICAL FILE_20120823STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW �I_A e�l zff) DOC TYPE ❑ CURRENT PERMIT ❑ APPROVED PLANS HISTORICAL FILE DOC DATE L2 _9 S?�i',� YYYYMMDD DEAR -FRO, A" ��— NECDENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Mr. John Birath Harnett County Schools 1500 South Main Street Lillington, NC 27546 Division of Water Quality Charles Wakild, PE Director August 20, 2012 Subject: Stormwater Permit No. SW6120703 Highland Middle School Overall Low Density Residential Subdivision with Infiltration Basins Harnett County Dear Mr. Birath: AUU z 1 2012 r)W0 Dee Freeman Secretary The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for Highland Middle School on August 18, 2012 after requesting additional information on July 25, 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. SW6120703, dated August 20, 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 August 19, 2020 and shall be subject to the conditions and limitations as specified therein, and does not supersede any other agency permit that may be required. Please pay special attention to the conditions listed in this permit regarding the Operation and Maintenance of the BMP(s), recordation of deed restrictions, procedures for changes of ownership, transferring the permit, and renewing the permit. Failure to establish an adequate system for operation and maintenance of the stormwater management system, to record deed restrictions, to follow the procedures for transfer of the permit, or to renew the permit, 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 150E 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. If you have any questions, or need additional information concerning this matter, please contact Brian Lowther at (919) 807-6368, or brian.lowther@ncdenr.gov. Sincerely, ZAI�01 for Charles Wakild, PE cc: Fayetteville Regional Office SW6120703 File ec: David Arnold — Timmons Group Wetlands and Stormwater Branch 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 919-807-63001 FAX: 919-807-64941 Customer Service: 1-877-623-6748 Internet: www.ncwaterquality.org An Equal Opportunity l Aff rmalive Action Employer Nne orthCarolina Naturallay State Stormwater Permit Permit No. SW6120703 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY STATE STORMWATER MANAGEMENT PERMIT OVERALL LOW DENSITY SUBDIVISION DEVELOPMENT WITH POCKETS OF HIGH DENSITY 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 Harnett County Schools Highland Middle School SE of intersection of Buffalo Lake Road and Roberts Road, Sanford Harnett County FOR THE construction, operation.and maintenance of three (3) Infiltration basins(s) 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 August 16, 2020 and shall be subject to the following specified conditions and limitations: I. DESIGN STANDARDS This permit is effective only with respect to the nature and volume of stormwater described in the application and other supporting data. 2. The overall tract built -upon area percentage for the project must be maintained at 24% per the requirements of Session Law 2006-246 of the stormwater rules. This project is permitted for a maximum of 444,816 square feet of BUA. 3. The stormwater systems proposed to treat the runoff generated by the designated high density areas have been approved for the management of stormwater runoff as described in Section 1.6 of this permit. 4. The low density portions of this project will maintain a minimum 30 foot wide vegetated buffer between all impervious areas and surface waters. 5. Within the low density portions of the permitted project, the only runoff conveyance systems allowed will be vegetated conveyances such as swales with minimum side slopes of 3:1 (H:V) as defined in the stormwater rules and as shown on the approved plan. Page 1 of 7 State Stormwater Permit Permit No. SW6120703 6. The following design elements have been permitted for this infiltration basin stormwater facility, and must be provided in the system at all times. a. Drainage Area, acres: Onsite, ft . Offsite, ft2: b. Total Impervious Surfaces, ft2: Lot BUA, ft Roads/Parking, ft2: Other, ft2: Offsite, ft2: c. Design Storm, inches: d. TSS removal efficiency: e. Basin Design Depth: f. Bottom Elevation, FMSL: g. Surface Area, ft2: h. Bypass Weir Elevation, fmsl: i.. Permitted Storage Volume, ft3: j. Type of Soil: k. Expected Infiltration Rate, inlhr I. Seasonal High Water Table, fmsl m. Time to Draw Down, hrs: n. Receiving Stream 1 River Basin: o. Stream Index Number: p. Classification of Water Body: II. SCHEDULE OF COMPLIANCE 6.8 1.8 6.0 296,076 79,330 262,220 0 0 0 134,802 51,338 155,177 106,828 0 40,853 15,080 49,005 90,319 12,894 2,333 24,005 0 0 0 1 (designed for 2.5 inches) 85% 5' 4' 2.5' 418' 419' 414' 21,241 7,844 416.5' no bypass 74,426 15,334 42,956 La B 24 416' 415' 411' 24 124 24 McLeod 1 Cape Fear 18-23-29-1 „C„ No homeowner/lot owner/developer shall fill in, alter, or pipe any drainage feature (such as swales) shown on the approved plans as part of the stormwater management system without submitting a revision to the permit and receiving approval from the Division. 2. The permittee is responsible for verifying that the proposed built -upon area for the entire lot does not exceed the maximum allowed by this permit. Once the lot transfer is complete, the built -upon area may not be revised without approval from the Division of Water Quality, and responsibility for meeting the built -upon area limit is transferred to the individual property owner. 3. If an Architectural Review Board or Committee is required to review plans for compliance with the BUA limit, the plans reviewed must include all proposed built -upon area. Any approvals given by the Board do not relieve the homeowner of the responsibility to maintain compliance with the permitted BUA limit. 4. 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-requ irerrments.The-permittee shall provide copies of revised plans and certification in writing to the Director that the changes have been made. 5. 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. 6. The runoff from all built -upon area within the drainage area of the pocket of high density permitted stormwater system must be directed into the permitted stormwater control system. Page 2of7 State Stormwater Permit Permit No. SW61 20703 7. Within the low density portions of the permitted project, all roof drains shall terminate at least 30 feet from the mean high water mark of surface waters. 8. 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 the approved plans, regardless of size. b. Project name change. C. Transfer of ownership. d. Redesign or addition to the approved amount of built -upon area. e. Further subdivision, acquisition, 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 or a CAMA Major permit was sought. f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan. 9. The Director may determine that other revisions to the project should require a modification to the permit. 10. 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 completion of construction. 11. All stormwater collection and treatment systems must be located in either dedicated common areas or recorded easements. The final plats for the project must be recorded showing all such required easements, in accordance with the approved plans. 12. During construction, erosion shall be kept to a minimum and any eroded areas of the system will be repaired immediately. 13. 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. 14. 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. 15. Permanent seeding requirements for the stormwater control must follow the guidelines established in the North Carolina Erosion and Sediment Control Planning and Design Manual. 16. 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. 17. The permittee shall at all times provide the operation and maintenance necessary to assure that all components of the permitted stormwater system function 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). Page 3 of 7 State Stormwater Permit Permit No. SW6120703 b. Sediment removal. c. - Mowing and re -vegetation of side slopes. d. Immediate repair of eroded areas. e. Maintenance of side slopes in accordance with approved plans and specifications. f. Debris removal and unclogging of structures, orifice, catch basins and piping. g. Access to all components of the system must be available at all times. 18. Records of maintenance activities must be kept 'by the permittee. The records will indicate the date, activity, name of person performing the work and what actions were taken. 19. 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. 20. Prior to transfer of the permit, the stormwater facilities will be inspected by DWQ personnel. The facility must be in compliance with all permit conditions. Any items not in compliance must be repaired or replaced to design condition prior to the transfer. Records of maintenance activities performed to date will be required. III. GENERAL CONDITIONS This permit is not transferable to any person or entity except after notice to and approval by the Director. In the event there is either a desire for the facilities to change ownership, or there is a name change of the Permittee, a completed "Name/Ownership Change Form" must be submitted to the Division of Water Quality, signed by the parties involved, along with the applicable documents as listed on page 2 of the form. The project must be in good standing with DWQ. The approval of this request will be considered on its merits and may or may not be approved. 2. The permittee is responsible for compliance with all of the terms and conditions of this permit until such time as the Director approves the transfer request. 3. 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. 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), which have jurisdiction. 5 In the event that the facilities fail to perform satisfactorily, including the creation of nuisance-conditions,_the-P-ermittee-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 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. 7. Permittee grants permission to staff of the DWQ to access the property for the purposes of inspecting the stormwater facilities during normal business hours. Page 4 of 7 State Stormwater Permit Permit No. SW6120703 8. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit. 9. The permittee shall notify the Division in writing of any name, ownership or mailing address changes within 30 days. 10. 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. 11. 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 20th day of August 2012. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION o A� for Charles Wakild, PE, Director Division of Water Quality By Authority of the Environmental Management Commission Page 5 of 7 State Stormwater Permit Permit No. SW6120703 ' Highland Middle School Stormwater Permit No. SW6120703 Harnett County Designer's Certification Page 1 of 2 as a duly registered in the State of North Carolina, having been authorized to observe (periodically/weekly/full time) the construction of the project, (Project) 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 a part of this Certification. Noted deviations from approved plans and specifications: Signature Registration Number Date SEAL Page 6of7 State Stormwater Permit Permit No. SW6120703 Certification Requirements: Page 2 of 2 _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. Trash rack is provided on the outlet/bypass structure. 8. All slopes are grassed with permanent vegetation. 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/or 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 vegetated shelf, a forebay, and the vegetated filter. 15. The required dimensions of the system are provided, per the approved plan. Please submit this Designer's Certification to: Fayetteville Regional Office Surface Water Protection 225 Green Street --- ----Systel-Building_Suite-7-14 Fayetteville, NC 28301 Page 7 of 7 NCDENR North Carolina Department of Environment and Division of Water Quality Beverly Eaves Perdue Charles Wakild, RE, Governor Director July 25, 2012 Mr. David Arnold, PE Timmons Group 5410 Trinity Road, Suite 112 Raleigh, NC 27607 Natural Resources Subject: Request for Additional Information Stormwater Project No. SW6120703 Highland Middle School Harnett County Dear Mr. Arnold: DE4 R—FRO JUL 3 0 2012 Dee Freeman Secretary The Division of Water Quality Central Office received a request to modify the Stormwater Management Permit for the subject project on July 23, 2012. A preliminary review of that information has determined that the application is not complete. The following information is needed to continue the stormwater review: 1. While the project built upon area is less than 24%, vegetated conveyances must be used to the maximum extent practicable. in areas where the stormwater does not flow to a 8MP (85% TSS removal), vegetative conveyances or sheet flow must be used. The only piping allowed in these areas is for under a road or at a curb outtet to a curb outlet Swale. Please revise the plans to either include another BMP or limit the amount of piping in these areas. 2. Please include the Ili. Required Items Checklist for each Supplement form. It can be found as one of the tabs in the excel file. 3. Please provide a Low Density Supplement form. 4. Please provide Swale details on the plans. 5. Please include a plansheet of the overall project area and make sure to include any wetlands or surface waters. If no wetlands are on the site please include a note saying none exist on site and/or adjacent property. 6. The plans for shows curbs around the parking lots but there are no curb cuts or drop inlets. Please provide more information on how stormwater will get to the infiltration basins. 7. Please show proposed drainage easements and public right of way on the plans. The requested information should be received by this Office prior to August 10, 2012, or the application will be returned as incomplete. The return of a project. will necessitate resubmittal of all required items, including the application fee. If you need additional time to submit the information, please send your request, including date by which you expect to submit the required information, to my attention. The Division is allowed 90 days from the receipt of a completed application to issue the permit. Please reference the State assigned project number on all correspondence. New original documents must be provided and copies are not acceptable. If you have any questions concerning this matter feel free to contact me at (919) 807-6368 or brian,(owther@ncdenr.gov. Sincerely, Brian Lowther En-rronmental Er5inccr cc: &ayettevilte,RegionaL-Office Stormwater Permitting Unit Files ec: John Birath, Director of Facilities, Planning, and Construction lhlet'ands and S1orm:sater Branch .one 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 NorthCarolina Locaron: 612 N. Salisbury St, Rale.ich, North Carol;na 27bD4 Phone: 919�07-63001 FAX: 919-807-6494 Aqturally Internet: www.ncwaterguality.orq �nja NC®ENR North Carolina Department of Environment and Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Mr. David Arnold, PE Timmons Group 5410 Trinity Road, Suite 112 Raleigh, NC 27607 Dear Mr. Arnold: Director July 25, 2012 Natural Resources Subject: Request for Additional Information Stormwater Project No. SW6120703 Highland Middle School Harnett County Dee Freeman Secretary The Division of Water Quality Central Office received a request to modify the Stormwater Management Permit for the subject project on July 23, 2012. A preliminary review of that information has determined that the application is not complete. The following information is needed to continue the stormwater review: 1. While the project built upon area is less than 24%, vegetated conveyances must be used to the maximum extent practicable. In areas where the stormwater does not flow to a BMP (85% TSS removal), vegetative conveyances or sheet flow must be used. The only piping allowed in these areas is for under a road or at a curb outlet to a curb outlet swate. Please revise the plans to either include another BMP or limit the amount of piping in these areas. 2. Please include the III. Required Items Checklist for each Supplement form. It can be found as one of the tabs in the excel file. 3. Please provide a Low Density Supplement form. 4. Please provide-swate details on the plans. 5. Please include a plansheet of the overall project area and make sure to include any wetlands or surface waters. If no wetlands are on the site please include a note saying none exist on site and/or adjacent property. 6. The plans for shows curbs around the parking lots but there are no curb cuts or drop inlets. Please provide more information on how Stormwater will get to the infiltration basins. 7. Please show proposed drainage easements and public right of way on the plans. The requested information should be received by this Office prior to August 10, 2012, or the application will be returned as incomplete. The return of a project will necessitate resubmittal of all required items, including the application fee. If you need additional time to submit the information, please send your request, including date by which you expect to submit the required information, to my attention. The Division is allowed 90 days from the receipt of a completed application to issue the permit. Please reference the State assigned project number on all correspondence. New original documents must be provided and copies are not acceptable. If you have any questions concerning this matter feel free to contact me at (919) 807-6368 or brian.lowtherCancdenr. gov. Sincerely, Brian Lowther Environmental Engineer cc: Fayetteville Regional Office Stormwater Permitting -Unit Files ec: John Birath, Director of Facilities, Planning, and Construction W6 lands and Stcrmwatc: Branch One 1617 Mail Service Center, Ralei h, North Carolina 27699-1617 NorthCaroliina Location: 512 N. Salisbury St. Raieigh, North Carolira'zi604 Ad"11711Y Phone: 91M07.63001 FAX: 919-807-6494 Internet: www.ncwalerqualitY.orq Application Completeness Review Cie/ First Submittal ❑ Re -submittal Date Received: 9 Zs IZ Date Reviewed: Z h By BCL Development/Project Name: M r Receiving stream name M, L.Q classification: C 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) Latitude and Longitude: ss ° I V i 9 " 77' &V z t 1, Project Address: !3 ,.( 4.4 A -Ili Engineer name and firm: 17h,.: PAIA- t . '? Jurisdiction N..,wth T SAC ❑ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets ❑ High Density ❑ Other ❑ 401/404 impacts to surface waters, wetlands, and buffers (add language to'cover letter and/or addinfo letter) er' BUA C 'l. [� Check for $505.00 included r' Original signature (not photocopy) on application ❑ Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent). I Check spelling, capitalization, punctuation: htip://www.secretary.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. Nh ❑ For subdivided projects, a signed and notarized deed restriction statement V Sealed, signed & dated calculations ❑ 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 ct Permeable Pavement ❑ Restored Riparian Buffer ❑ Rooftop Runoff Management ❑ Sand Filter ❑ Stormwater Wetland ❑ Wet Detention Basin ❑ Low Density ❑ Curb Outlet ❑ Off -Site ❑ NCDOT Linear Road tY Two sets of sealed, signed & dated layout & finish grading plans with appropriate details o�Narrative Description of stormwater management provided Soils report provided Wetlands delineated or a note on the plans that none exist on site and/or adjacent property Details for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter; [� Dimensions & slopes provided Drainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density Inspection and maintenance agreements provided C4 Application complete ❑ Application Incomplete Returned: (Date) Comments .r���c.,...� CL.�cIL -.� wet'j 7 February 9, 2009 Revision SL 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; J Vegetated conveyances to the maximum extent practicable; ❑ Built -upon areas at least 30 feet lanaward of perennial and intermittent surface waters; ❑ 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; r., Discharge the storage volurne at a rate equal to or less than the predeve!opment 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. a 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 fl 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 026 .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 D 30% TN ❑ 30% TP February 9, 2009 Revision DVVQ USE ONLY Date Received Fee Paid Permit Number Applicable Rules: ❑ Coastal SW —1995 ❑ Coastal SW — 2008 ❑ Ph II - Post Construction (select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan ❑ Other WQ M mt Plan: State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM This form may be photocopied for use as an original 1. 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.): Hi land Middle School 2. Location of Project (street address): SE of intersection of Buffalo Lake Road and Roberts Road City:Sanford County:Harnett Zip:27332 3. Directions to project (from nearest major intersection): Heading south on Buffalo Lake Road from the US Hwy 27(Buffato Lake Road intersection Highland Elementary School will be approximatley 1.8 miles on the left. Site is approximatley 1,000 feet east of existing Highland Elementary School. 4. Latitude:350 18' 19" N Longitude:790 02' 21" W of the main entrance to the project. H. 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 2. 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: 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: C��SDbCs � �� r JUL % 1.0i:! ? i Form SWU-101 Version 07Jun2010 Page I 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:Harnett County Schools _ Signing Official & Titlejohn Birath - Director of Facilities, Planning, and Construction b.Contact information for person listed in item la above: Street Address:1500 South Main Street City:Lillington State:NC Zip:27546 Mailing Address (if applicable):P.O. Box 1029 City:Lillington State:NC Zip:27546 Phone: (910 w 893-4808 x 25 _ Fax: (910 _) 893-1100 Email:jbirath@harnett.k12,nc.us c. Please check the appropriate box. The applicant listed above is: ® The property owner (Skip to Contact Information, item 3a) ❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below) ❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and 2b below) ❑ Developer* (Complete Contact Information, item 2a and 2b below.) 2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the person who owns the property that the project is located on): Property Owner/Organization:. Signing Official & Ti b.Contact information for person listed in item 2a above: Street Address: City: Mailing Address (if applicable): City: Phone: {_ A. Email: State: Zi State: Fax: ZID: 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:Tirnmons Group Signing Official & Title:David Arnold, PE - Project Engineer _ b.Contact information for person listed in item 3a above: Mailing Address:5410 Trinity Road, Suite 112 City:R leigh State:NC Zip:27607 Phone: (919 _)_ 866-4938 Fax: 919 859-5663 Email:david.arnold@timmons.com 4. Local jurisdiction for building permits: Harnett County - Point of Contact:Amanda Bader Phone #: (910 893-7555 Form SWU-101 Version 07Jun2010 Page 2 of 6 IV. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated, On -site stormwater runoff in locations with new built upon area will be collected into a storm drainage network and routed to three proposed infiltration basins These infiltration basins have been sized to treat 2.5 times the required treatement volume thus eliminating the need for an offline bypass or vegetative filter strip. On -site stormwater runoff in locations with no build upon area will be routed through grassed swales and discharged offsite. 2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved: ❑ Approval of a Site Specific Development Plan.or PUD Approval Date: ❑ Valid Building Permit Issued Date: ❑ Other: Date: b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with: El Coastal SW — 1995 ❑ P II — Post Construction 3. Stormwater runoff from this project drains to the Cape Fear _ _ River basin. 4. Total Property Area: 170.81 acres 5. Total Coastal Wetlands Area:2_acres 6. Total Surface Water Area: acres 7. Total Property Area (4) —Total Coastal Wetlands Area (5) — Total Surface Water Area (6) = Total Project Area': 170.81 acres Total project area shall be calculated to exclude thefollowing: the normal pool of imppoounded structures, the area between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water (MHW) line, and coastal wetlands landward from the NHW (or MHIrJ) line. The resultant project area is used to calculate overall percent built upon area (BUA). Non -coastal wetlands landwardof the NNW (or MHW) line may be included in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 6 9. How many drainage areas does the project have?l (For high density, count I for each proposed engineered stormwater BMP. For low density and other projects, use 1 for the whole property area) 10. Complete the following information for each drainage area identified in Project Information item 9. If there are more than four drainage areas in the project, attach an additional sheet with the information for each area provided in the same format as below. Basin Information Drainage Area 1 Drainage Area 2 Drainage Area 3 Drainage Area 4 Receiving Stream Name McLeod Creek McLeod Creek McLeod Creek McLeod Creek Stream Class C C C C Stream Index Number * 18-23-29-1 18-23-29-1 18-23-29-1 18-23-19-1 Total Drainage Area (sf) 296,076 79,330 262,220 6,802,858 On -site Drainage Area (s 296,076 79,330 262,220 6,802,858 Off -site Drainage Area (sf) 0 0 0 0 Proposed Impervious Area** (sf) 134,802 51,338 155,177 103,499 `Yo Impervious Area** (total) 46 `Yo 65 % 59 % 1.5 % -Impervious— Surface Area Drainage Area 1 Drainage Area 2 Drainage Area 3 Drainage Area 4 On -site Buildings/Lots (sf) 106,828 0 40,853 0 On -site Streets (sf) 15,080 1,067 75,555 103,499 On -site Parking (sf) 0 47,938 14,764 0 On -site Sidewalks (sf) 12,894 2,333 24,005 0 Other on -site (sf) 0 0 0 0 Future (sf) 0 0 0 0 Off -site (sf) 0 0 0 0- Existing BUA*** (so 0 0 0 0 Total (sf): 134,802 51,338 1 155,177 103,499 * Stream Class and Index Number can be determined at: htt : 12ortal.ncdenr.orgLwebAvqI psksulclassifications ** Im ervious 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 BUA that will remain after development. Do not report any existing BUA that is to be removed and which will be replaced by new BUA. Form SWU-101 Version 07Jun2010 Page 3 of 6 11. How was the off -site impervious area listed above determined? Provide documentation. See Stormwater Compliance Plan Sheet Proiects in Union County. Contact DfVQ Central Office staff check if the project is located within a Threatened & Endangered Species watershed that may be subject to more ,stringent stormwater requirements as per NCAC 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 http://12ortal.ncdenr.orgLweb/wq/ws/su/bmp-manual. 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://portal.ncdennorg/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 htW://12ortal.ncdenr.org/web/wq/ws/su/maps.) 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://portal.ncdenr.org/web/wq/ws/su/statesw/forms does. Initials 1. Original and one copy of the Stormwater Management Permit Application Form. AA 2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants fJJA_ Form. (if required as per Part Vlf below) 3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M Jq agreement(s) for each BMP. 4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to DA httpj/www.envheIp.org/12ages/onestopexpress.htmI 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.) 5. A detailed narrative (one to two pages) describing the stormwater treatment/management for DA 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 0P receiving stream drains to class SA waters within'/z mile of the site boundary, include the V mile radius on the map. 7. Sealed, signed and dated calculations. DP Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: A 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. i. 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). Form S WU-101 Version 07Jun2O 10 Page 4 of 6 Copy of any applicable soils report with the associated SHWT elevations (Please identify DA elevations in addition to depths) as well as a map of the boring locations with the existing C� � elevations and boring logs. Include an 8.5"xll" 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 o site visit for DWQ to verifij the SH WT prior to submittal, (910) 796-7378.) 10. A copy of the most current property deed. Deed book: 2939 Page No: 341 -)A 11. For corporations and limited liability corporations (LLC): Provide documentation from the NC 141,A Secretary of State or other official documentation, which supports the titles and positions held by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 21-1.1003(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.secretary.state.nc.us[Corl2orations/`CSearch.,tspx VI1. 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 htfn:/1portal.ncdenr.org/web/wq/ws/su/statesw forms docs. 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 sate of any lot. 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:David Arnold, PE Consulting Firm: Timmons Group Mailing Address:54'10. Trinity Road, Suite 112_ City:Ra_____1_eifh State:NC Zip:27607 Phone: (919 ) 866-4938 Fax: (919 ) 859-5663 ErnaiI:david.arnold@timmons.com IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this section) 1, (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 1a) . with (print or type name of organization lasted 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. Form SWU-I01 Version 07Jun2010 Page 5 offi 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 Genera[ 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. Signa Date: a Notary Public for the State of do hereby certify that before me this day of . County of personally appeared and acknowledge the due execution of the application for a stormwater permit. Witness my hand and official sea[, X. APPLICANT'S CERTIFICATION SEAL My commission expi 1, (print or type name of person listed in Contact Information, item 1a) John Birath 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 coven nts wil be recorded, and that the proposed protect complies with the requirements of the applicable stormwt rules n 15 H .1000, SL 2006-246 (Ph. II —Post Construct tii7on or S 2008-211. Signature:_ Date: 1 1 2 I, eze'In 1A, a Notary Public for the State of County of ���r�,.L do he eby certify that "S� 1�t�rl f personally appeared before me this day of u "2.ot Zand ac owl ge the due execution of the application for a stormwater permit. Witness my hanq and official seal, MATTHEW BEASLEY Notary puhlk Kuftft Cm* North Carolina My Commission Expires May 18, 2Q13 SEAL My commission expires 14. t t )16 G Form SWU-101 Version 07.1un2010 Page 6 of 6 TIMMONS GROUP .•"•�•� YOUR VISION ACHIEVED THROUGH OURS. 5410 Trinity Road, Suite 112, Raleigh, NC 27607 To: NCDENR - DWQ Stormwater Permitting Unit Attn: Mr. Brian Lowther 512 N. Salisbury St. (91h Floor) Raleigh, NC 27604 From: David Arnold, PE Project: Highland Middle School Enclosed Please Find: Irq DATE 2 Stormwater Construction Drawings 1 Deed 1 BMP Supplements 1 Calculation Package w/Narrative, Quad Map, Soils Information 2 Applications (1 original and 1 copy) 1 Geotechnical Report 3 O & M agreements Comments: Brian, Please find the attached documents for your review. Please let me know if you need additional information or have any questions. You can reach me at (919) 866-4938 or david.arnold@timmons.com. Thanks, SIGNED: id Arnold, PE 2011018545 FOR REWSTRATIaN REGISTER OF DEEDS KIMBERLY S. FIRRGRGY£ ETT COUNTY TAX ID# HARNETT WUNTY I NC 2011 DEC 21 111:16 m 80939 PG:341-345 FEE-96.00 NC REV STp11P: �4, 614. @0 Parcel Identifier 14I rt of 95 Excise Tax: $4,612.00 Prepared By and Mail To: Brief description for the index: ENERAL WARRANTY DEED -7389.00 w� Cick, Attorney at Law, PO Box 1629, Lillington, NC 27546 Township 4 C> T THIS DEED, made thisrite e ber, 2011, by and between BUFFALO SPRINGS, LLC, a North Carolin iability Company (the "Grantor"), PO Box 2459, Sanford, NC 27331 and THE HAUN B-OA OF EDUCATION (the "Grantee"), PO Box [029, Lillington, NC 27546. � ' The grantors, for a valuable cortsideratzi y the r ntee, the receipt of which is acknowledged, have bargained and sold and by the preg6r.1 d hereby grant, bargain, sell, and convey in fee simple, all that certain lot or parcel o lar( ' uat d in Barbecue Township, Harnett County, North Carolina, and being more particularly escr' s o qws: BEING all of that 170,811 acre tract belonging to u alo Subdivision Map for the Harnett County Board of Educati ,, pre Mapping, PC; dated December 6, 2011; and recorded on Decem5 Book 2011-702, Harnett County Registry, and being more parti which is attached and incorporated by reference. The Grantor retains the right to harvest the timber and to co forth in the Extension & Modification of Option to Purchase that is Pages 617-24, Harnett County Registry. The Option is modified to + harvest the timber to February 29, 2012. LLC as shown on a angular Surveying & 'Pip Map :ri�d by Exhibit A, -r r hts asset tatr2'si 7, at �fight to f y HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and ;yes thereto belonging to the grantee in fee simple. the title Title .k easements, �ig inspection oft itor covenants with the grantee that the grantor is seized of the premises in fee ghantor s the right to convey the same in fee simple, that the }grantor's title is free%fih clear of all encumbrances, and that the grantor will warrant and defend t#s�Tul c ims of all persons whomsoever. The designa executors and ad.0 feminine as required is subject to the following exceptions: Any and all es, etc., whether recorded, known or visible upon an of survey and description. ,e shall include the parties, their heirs, successors, and shall include the singular, plural, masculine or IN WITNESS F, t e` a ors have hereunto set their hands and seals, the day and year first above written.} kVA BUFFALO SPRINGS, LL �1 1 NZ V •-tray Norman Vick Keith, Jr., Member - Seal t )� . Nanc C. iFameron, Member -Manager a Notary Public of the County and State aforesaid certify that Norman r appeared before me this day and acknowledged that he is a Member- PRINGS, LLC, a North Carolina Limited Liability Company, and that be kg authorized to do so, executed the foregoing instrument on behalf n �d notarial seal, this the 21' day of December, 2011, I Signature Notary Public Name of Notary Public My commission expires: STATE OF NORTH CAROLINA 1, Rhonda Parker, a Notary Public of the Co Cameron, personally appeared before me this day Manager of BUFFALO SPRINGS, LLC, a North Ca she, as Member -Manager, being authorized to do so, of the company. Witness my hand and notarial seal, this the 21u day of My commission expires aforesaid certify that Nancy K. that she is a Member - fLi ility Company, and that re oina instrument on behalf Official Signature Notary Public Rhonda Parker C Typed or Printed Name of Notary Public Exhibit A G all of that 170.811 acre tract belonging to Buffalo Springs, LLC as shown on a n p for the Ilarnett County Board of Education, prepared by Angular Surveying & )C�ated ember 6, 2011; and recorded on December 20, 2011 in Map7County Registry, and being more particularly described as follows: EI lit an i n rebar found ("IRF") in the right-of-way of Tingen Road in the northea nerofthe t £�at�d runs thence with Tingen Road South 00 degrees 44 minutes 14 seconds We t9j tq t(nght-of-way monument; thence South 00 degrees 55 minutes 58 seconds We eetto fa right-of-way monument; thence South 00 degrees 56 minutes 54 seconds West 6 .79 "et:to-dri1ron pipe set ("IRS"); thence South 00 degrees 56 minutes 54 seconds West 8 et n thence North 89 degrees 03 minutes 06 seconds West 224.28 feet to an IRF; then ti6irth k5 gr minutes 51 seconds West 134.10 feet to an IRF; thence North 38 deg es`419 mii1ta­es`conds West 205.24 feet to an IRF; thence North 58 degrees 08 minutes I 1 n e 8.24 feet to an IRF; thence North 85 degrees 20 minutes 34 seconds West 192.16 f etrt-sh I rice South 87 degrees 15 minutes 46 seconds West 65.38 feet to an IRF; thencz gr s 09 minutes 35 seconds West 159.54 feet; thence South 85 degrees 23 minutes { l W st . feet to an IRF; thence North 42 degrees 41 minutes 27 seconds West 535. eet ; ence North 43 degrees 41 minutes 43 seconds West 525.99 feet to an IRF; the 46 egrees 18 minutes 17 seconds East 474.69 feet to an IRS; thence North 00 degrees 0 ••r es 00 secon st 986.71 feet to an IRS; thence North 28 degrees 08 minutes 28 seconds WCst 40.86 feSP6 an IR • thence with curve, C1, with a radius of 738.00 feet, a length of 487.17 feet, hor, a in of North 47 degrees 03 minutes 08 seconds West, and a chord distance of 47$ fe a a5 1hence North 65 degrees 57 minutes 48 seconds West 399.90 feet to an IRS; theiXe w�cur , C2, with a radius of 1,062.00 feet, a length of 492.33 feet; a chord bearing of No 52 d inutes 57 seconds West, and a chord distance of 487.94 feet to an IRS; thence Nort 9 Fee 24 minutes 06 seconds West 514.49 feet to an IRS; thence with a curve, C3, it a di&of ,962.00 feet, a length of 387.43 feet, a chord bearing of North 45 degrees 03 minute 3 seco , and a chord distance of 3 86.8 0 feet to an IRS; thence North 57 degrees 18 min sets ids West 951.82 feet to an IRS in the right-of-way of Buffalo Lake Road; thence No 3 deg. ee 02 minutes 49 seconds East 100 feet to an IRS in the right-of-way of Buffalo La k R thccuth 57 degrees 18 e minutes 54 seconds East 1,197.17 feet to an IRF; thence No egre 5 minutes 16 seconds East 776.04 feet to an IRF; thence South 46 degrees 46 minutes se nt 40.12 feet to an IRF; thence South 46 degrees 58 minutes 20 seconds East 949.8 fe a ca monument; thence North 86 degrees 25 minutes 07 seconds East 1,904.01 feet t1jo fgirit of ginning. The above -described tract is a portion of 350.54 acre tract sho"4,fi ap etltit{ed "Boundary Map for Buffalo Springs, LLC," dated l October 2007, and rerd m ap ook 2007, at Pages 858-861, Harnett County Registry. RrE6�r �°4�-- 4plo ��' U t:0" R TH c ARd& BERL,Y S. HARGROVE F DEEDS, HARNETT EL.IUS HARNETT BLVD r PUITE 200 ON, O 27546 r f iiiiiiii�Irr lY lrR�keN iiiMMrilli �lli iiiiliiiliii iiiiik iMiFj R/.��1 M. F• �i�ii ............................. ii.............NA.hR►..... kti R�lillii� Filed For Registration: 12121�?014"" . 5:1 M I Book: RE 29 Jdge: 341-34 w Document No.: 2011018W DEED 5 PGS �$26. NC REAL ESTATE EXCISE TAX: $4,612.00 /f Recorder: MARY ANNE WOOII�.�'f State of North Carolina, County of Harnett KIMBERLY S. HARGROVE , REGISTER OF (DEEDS DO NOT DISCARD 2011018545 Application Completeness Review First Submittal ❑ Re -submittal Date Received: 7V IZ 7 t Date Reviewed: 1 2 By 3CL Development/Project Name: L,i.....� r&a� s� .1 Receiving stream name __J11A..J Cyclassification: C 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, HOW, ORW, Neuse River Basin NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient Management Strategy. Nigh 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): Latitude and Longitude: ss ° I S' t 9 ' � V oZ' z i r. Project Address: B l 4w1*_ A .J .( 44,,4-,r ..A Engineer name and firm: p.,.r:4 ArH. IJ . 'PE Jurisdiction Ca 4J:i-- ❑ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets ❑ High Density ❑ Other ❑ 401/404 impacts to surface waters, wetlands, and buffers (add language to cover letter and/or addinfo letter) Y BUA C I Y Check for $505.00 included t/ Original signature (not photocopy) on application ❑ Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent). Check spelling, capitalization, punctuation: http://www.secretary.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. tJh ❑ For subdivided projects, a signed and notarized deed restriction statement t" Sealed, signed & dated calculations ❑ 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 o Infiltration Trench ❑ Level Spreader ❑ Permeable Pavement zi Restored Riparian Sutter ❑ Rooftop Runoff Management ❑ Sand Filter ❑ Stormwater Wetland ❑ Wet Detention Basin ❑ Low Density ❑ Curb Outlet ❑ Off -Site ❑ NCDOT Linear Road ZTwo sets of sealed, signed & dated layout & finish grading plans with appropriate details Narrative Description of stormwater management provided Soils report provided q Wetlands delineated or a note on the plans that none exist on site and/or adjacent property d Dimensions & slopes provided---__— Drainage areas delineated ❑ Pervious and Impervious repoded for each Inspection and maintenance agreements provided Application complete ❑ Application incomplete Returned:. ❑ Areas of high density Comments - .Ct"(-+f rsa•� i,,�k��...1(c. c.rfc ? - (Date) February 9, 200E Revision.