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HomeMy WebLinkAboutSW7050938_HISTORICAL FILE_20051207STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW y95 3� DOC TYPE El CURRENT PERMIT ❑ APPROVED PLANS HISTORICAL FILE DOC DATE YYYYMMDD Albemarle Plantation Drainage Basin - High Density Stormwater Calculations 121512005 ): f r a yx Sq u a r-< Stormwater Management Calculations Design Storm Event 1.0 in. rainfall event Storm water Management 15A NCAC 211,1005 3 (b) Soils Report Data Soil Type* Roanoke Silt Loam Infiltration Rate* (IR) 10.5 inlhr. =r Seasonal High Water Table Elev. ** 4.50 ft. below existing grade RECEIVE L) *Taken from the Soil Survey Manual, U.S. Dept. of Agriculture **Data taken from On -Site Survey Data Collection DEC 0 7 G 0U3 Drainage Basin Area Data 1 On -site Drainage Area 27.39 ac. ®��-q A VYp��� Off -Site Drainage Area 0 ac. Total Drainage Area 27.39 ac. ' Subarea �` 4 -' ,eu ,ems:+ ..:e escri lion " «Area FT a € IFaetor' - 'h:'i'_`�i pi aAd �Im erviousR` .4RV req(FT�) i.. 3 �I Ad rii ervtorrs t °t { MR, open space 538,173 0.00 0 0.00 buildings 84,749 1.00 84,749 1.95 walks 88,212 1.00 88,212 2.03 parking & drives 481,861 1.00 481,861 11.06 Total Drainage Area (ft`) 1,192,995 27.39 Calculated Impervious Coverage 654,822 15.03 Percent Impervious(I) 54.89 % Rv = .05+ .009(I) 0.54 Required Pond Volume (ft3) (PV) _ (I "112")xR xDA I 53,685 ft 3 Proposed Pond Depth 4.0 SAIDA (Use SAIDA Table far 90% TSS Removal, 4.0' depth) 4.80% Pond Area Required (SA) = DA x SAIDA 57,264 ft 2 Surface Area Provided @ Permanent Pool Elevation (SA pp) 58,816 ft 2 Surface Area Provided > Surface Area Req'd YES Existing Ground Elevation (approx.) 9.0 ft. msl (average) Permanent Pool Elevation (approx.) 5.00 ft, msl Depth of Temporary Pool Storage (PV/Sa pp) 1.00 A Proposed Temp. Pool Elevation (TPe, ,) 6.00 ft. msl Proposed Temporary Pool Surface Area (SA,p) 61,982 ft 2 Proposed Basin Outlet Elevation (0,1e1,) 7.00 ft. msl Total Storage Volume Provided (SV) 60,399 ft 3 Storage Volume Provided>Storage Volume Req'd YES Forebay Calculations Volume Provided @ Temp. Pool Elev. 193,339 ft 2 Forebay Volume Required = (20% of Total) = 38,668 ft 2 Forebay Volume Provided = (@ 3.0' Depth) 38,916 ft 2 Drawdown Calculations Qdna d,, = (SV/Period of Time) Total Storage Volume Provided 60,399 ft 3 451,816 gal. Q = 11.79 d 2 h"' (h = 112 of the static head, measured from the temp. pool elevation to the cl of the orifice) Q 2iay = 0.350 cfs 156.94 gpm Q May = 0.140 cfs 62.78 gpm 112 h. (112 static head from temporary pool to permanent pool for storm event) 0.50 Choose a circular outlet orifice 3 in Calculate a 3" diameter orifice Q= 75.03 gpm Is'the drawdown period between 2-5 days YES Drawdown Period 6021.72 min. Drawdown Period 4.18 days Drawdown Period is < 5 days O.K. �� i � i �; �,,71� RECEIVED OCT - 4 2005 11. Stormwater Management Narrative: The following developmental activities require a stomnwater management permit under Rule. 1003 of the NCDENR Division of Water Quality Administrative Code for Stonnwatcr Management, 15A NCAC 2H.1000. Developmental activities will result in the project being permitted pursuant with Rule .1005 (2) (d), High Density Projects, with proposed built -upon area of 30% or greater, with best management practices being employed via vegetative buffers, grassed swales and a wet detention pond. The intent of this application, to the maximum extent possible, is to employ best managerent practices to manage runoff from surfaces associated with proposed developmental activities. The project will consist of the construction of multiple buildings, utilities, parking, drives, a right of way, and drainage infrastructure improvements to service the Albemarle Plantation Village Square commercial development. The site is located to the east of the roadway intersection of Albemarle Boulevard and Holiday Lane (NCSR 1429), North of Holiday Island, in the Bethel Township of Perquimans County, North Carolina. The proposed developmental activities are as follows; a) Construction of 1.95 acres of proposed buildings. b) Construction of 11.06 acres of proposed asphalt parking and drives, including the extension of Albemarle Boulevard. c) Construction of 2.03 acres of proposed concrete walks. An on -site visit was conducted by Mr. David Meyer, L.S.S. of Protocol Sampling Service, Inc, on September 20, 2005, to investigate existing groundwater profiles through soil borings to determine the soils suitability for proposed stormwater management infrastructure. Based on the investigation of the soil profiles, taken in the general vicinity of the proposed storrnwater pond and denoted as soil boring B1 and B2 on the site plan, it was discovered that the static water level greatly ranges from approximately 65" below the existing ground surface during the growing season, to at or near the grounds surface in the winter months. It was also determined that soils above a point 54" below the ground surface are primarily composed of clay, silt, and loam and soils located below 54" are more composed of sand. The soil investigation provided the useful information necessary in detennining the size, type, and location of stonnwater drainage improvements for the associative developmental activities. The following is a summary of the predominant soils found within the areas of investigation; The soils encountered on the site reasonably match the soils mapped by the Soil Conservation Service in the 1986 Soil Survey of Chowan and Perquimans County, North Carolina. The primary soil mapped in and around the project area was (Ro) Roanoke Silt Loam, which is described as being nearly level and poorly drained, found greatly through out Perquimans County. The permeability of this soil is described as slow to very slow, with rates ranging from 0.06 to 0.2 inlhr near the surface. Based on a previous ground water study performed by Protocol Sampling Service, Inc., in the same general area, in the same soil type, the penmeability rate of the sandy soils located 55" below the ground surface was determined to be approximately 10.5 in/hr. (Please rL'.ferenc e affLlG'{1ed soils re-I)ort provlLjL'( bly Duvld Mc yer, L &S, for more iqf )ri1 al on) Soil Boring 131- In Area of the Proposed Wet Detention Basin Soil Series: Roanoke Vegetation: Small pines Existing Grade: +1- 9.0 feet from mean sea level Apparent Water Table: 66" below existing grade (9-05) Slope: 0-1 % Depth Description 0"-7" dark grayish brown silt loam 7"-12" gray silty clay loam 12"-40" gray clay 40"-50" light brownish gray silty clay loam with pockets of sand 50"-72" gray strata ranging from sand to clay Soil Boring 132- In Area of the Proposed Wet Detention Basin Soil Series: Roanoke Vegetation: Small pines Existing Grade: +1- 10.0 feet from mean sea level Apparent Water Table: 65" below existing grade (7-05) Slope: 0-1 % Depth Description 0"-7" dark grayish brown silt loam 7"-12" gray silty clay loam 12"-40" gray clay 40"-50" light brownish gray silty clay loam with pockets of sand 50"-72" gray strata ranging from sand to clay (Please reference Attachment C, soils report provided by David Meyer, G.S.S., for more information) (Please reference Village Square Stormivater plan .sheet Sl for boring locations) The site can currently be described as being nearly level with slopes ranging between 0 and 2 percent. The entire tract of land slopes eastward towards adjacent lowlands that drain to Minzies Creek. The surface waters of Minzies Creek have been classified "SC". The majority of the land is wooded with the exception of an existing dirt road, towards the center of the project, which runs somewhat parallel to adjacent Holiday Lane. There are no "404" or "ACOE" jurisdictional wetlands located within the limits of this project. All developmental activities are to be designed in conformity with the requirements for appl [cation and issuance of permits for stormwater management systems in pursuant with rules. 1003 and .1005 in accordance with G.S. 143-215.1 and 15A NCAC 2H .0200 asset forth. These requirements are designed to control pollutants associated with stormwater runoff applicable to development of land for residential, commercial, industrial, or institutional uses. The developmental activities described herein were designed in compliance with the requirements as set forth for stompwater management within coastal counties Rule .1005, section 3, subparagraph B: (i) Control systems must be infiltration systems, wet retention ponds, or alternative stormwater management control systems designed in accordance with Rule .1008; (ii) Control systems must be designed to control runoff over the entire drainage area generated by one inch of rainfall. Design of the active stornwater management measures are based on the design criteria indicated in .1008(e) Wet Detention Pond Requirements, under the NCDENR Division of Water Quality Administrative Code for Stormwater Management, ISA NCAC 2H.1000. Our design is based on the removal of 85% of TSS and the need to contain 1 inch of stormwater runoff. To accomplish this, we have utilized a single 3-foot deep wet detention pond with grass swales at both the inlet and outlet. The project will consist of the construction activities previously listed in the "Proposed Development Activities" section above. Based upon the nature of the tract of land, the site design will contain only (1) drainage basin. Stormwater runoff from the proposed impervious surfaces will receive treatment from the wet detention basin, the sodded inlet and overflow swales, as well as the drop inlets and pipe conveyance network. Stormwater runoff from all proposed impervious surfaces will primarily sheet flow overland and be collected and directed by curb and gutter to local drop inlets that are connected to a pipe conveyance system. All drop inlets and culverts within the conveyance system have been sized accordingly. (Please reference Attachment B, calculations showing drop inlet drainage areas and design pipe flows and velocities for each block of the conveyance system.) Outfall from the conveyance system will empty to a 50 lineal foot inlet swale, located at the projects eastern boundary, that empties to the proposed wet detention pond located to the east of the proposed project. Rip -Rap protection will be placed at the invert of all 36" primary conveyance pipe outlets, as well as at the invert of the 8" overflow pipe outlet for the purpose of velocity dissipation an to aid in further infiltration and sediment removal. The wet detention basin will collect sediment within its foerbay prior to transitioning into the main pond section. The detention basin has been designed to accommodate approximately 1.12" prior to flowing into a drawdown device located on the eastern end of the pond. A vegetated emergency overflow swale is provided which will empty into low lands that flow to adjacent Minzies Creek. This overflow swale is approximately 400 lineal feet in length with a longitudinal slope of 0.6%, closing matching existing grade. Again, this detention pond is sized to attain 85% TSS removal when utilized with the accompanying 50 fbot grassed inlet swale. Vegetative buffers are described as passive best management practices that provide a small degree of filtration and pollutant removal from stormwater runoff. The proposed inlet and overflow swales will consist mainly as a broad, shallow, vegetative filters constructed with approximately 3:1 side slopes. Longitudinal slopes are kept relatively flat, to provide for low velocity flow, thereby aiding infiltration and sediment removal. Enhanced removal efficiency from stormwater conveyed by this method is achieved through a minimum filtration length of over 30 linear feet. This practice is described as passive in accordance with best management practices. Rip -rap outlet protection is to be placed at the outlet of the 36" conveyance pipes into the inlet swale as well as at the intersection of the overflow swale and S" drawdown pipe primarily for the purpose of velocity dissipation. Also, a temporary check damn is to be placed within the overflow swalc just before the pipe outlet during the construction of the wet detention basin and until the swale has been lined with stable vegetation. The intent of the design is to provide adequate pollutant filtration measures from stormwater runoff resulting from the proposed high -density development. Measures were designed, to the maximum extent possible, to treat runoff from the associated development in accordance with best management practices. The area of all proposed impervious surfaces were utilized to compute the required storage volume from the associated 1.0 inch rainfall storm event, (Please reference Attachment A, High Density Stormwater Calculations). It is expected, that these measures will enhance the pollutant removal efficiency and provide sufficient protection to the adjoining surface waters. Vegetative filters have been designed in accordance with the "vegetative filter" definition defined in Rule.] 002 of Subchapter 21-1 Procedures for 1 emlits: Approvals, Stormwater Management Rules, September 1, 1995. Stormwater runoff from all impervious surfaces will receive a form of pollutant and sediment removal as described in best management practices. The following information is in conformance with the regulations as specified for high -density development: ) Proposed impervious coverage of 54.59% over the total development area 2) Provision of drop inlets and culvert conveyances through out the asphalt parking, drives, and Albemarle Blvd. to collect and transport stormwater runoff from all impervious surfaces. 3) Provision of wet detention basin for temporary stormwater storage for the design storm event in conjunction with 85% pollutant removal. 4) Provision of a vegetative inlet and emergency overflow swales to provide further pollutant filtration before emptying into adjacent waters. 5) Provision of a temporary rock check damn to be placed within the overflow swale during construction and stabilization to further dissipate flow velocities before entering adjacent water. An access easement has been set for the stormwater management basin for the purpose of operation and maintenance. 1) A 10' wide access easement has been provided to, and around the perimeter of, the wet detention basin. 2) Accumulated sediment within the basin shall be removed semi-annually or when depth is reduced to 75% of the original design depth. (See individual ever detention basin supplenientsforproper levels) ®®war . TNe "O',golfyPer-W Hand Delivered ❑ Over-Nite Mail Fx_I Faxed ❑ Mailed To: Mr. Roger Thorpe Date: December 05, 2005 NCDENR 943 Washington Square Mall Washington, NC 27889 Project: Albemarle Plantation Village Square Fitness Center We Transmit: Herewith: ❑x FOR YOUR: x approval review & comments use other Copies Description Project No.: 3471 2 Village Square -Revised set of plans/ calculations 2 Fitness Center- Revised set of plans/calculations ,�`E#Era, DEC 0 7 2005 °°qr -VVA O Date 12-5-05 12-5-05 Comments: Roger, On behalf of HPB enterprises and per your comment, BPG has revised the proposed stormwater management plans for the Albemarle Plantation Village Square and Fitness Center sites. Revisions include the removal of the previously provided vegetative filters and in return, the deepening of the wet detention basins to achieve 90% TSS removal. These revisions can be found on both the plan and detail sheets for each site. I am also sending the appropriate revisions to the stormwater calculations. Again, thanks for giving me a can regarding these issues and if you have any more questions or concerns please don't hesitate to contact me. Regards, Bissell Professional Group David M. Klebitz P.O. Box 1068 o 3512 N. Croatan Hwy. m Kitty Hawk, NC 27949 252-261-326613 Fax; 252-261-1760 in E-mail: bpg@bissellprofessionalgroup.com Tye Goastali`W'erts Hand Delivered ❑ Over-Nite Mail ❑ Faxed ❑ Mailed To: Mr. Roger Thorpe NCDENR 943 Washington Square Mall Washington, NC 27889 Project: Albemarle Plantation Village Square We Transmit: Herewith: F] FOR YOUR: x approval review & comments use other Copies Date: November 11, 2005 Proicet No.: 3471 NOV 16 2005 Description Date 2 Revised set of stormwater management plans 1141-5 Comments: Roger, On behalf of HPB enterprises and per your comment, BPG has revised the proposed stormwater management plan for the Albemarle Plantation Village Square site. Revisions include the addition of a vegetative filter with level spreader locates on the outlet side of the proposed wet detention basin. These revisions can be found on both the plan sheet and detail sheet. I am only sending you the two sheets that reflect the changes stated above. If you would like to get another set of the entire site plan or if you have any more questions or concerns please don't hesitate to contact me. Regards, Bissell Professional Group David M. Klebitz P.O. Box 1068 ■ 3512 N. Croatan Hwy. ■ Kitty Hawk, NC 27949 252-261-3266■ Fax:252-261-1760 ■ E-mail:bpg@bisselIprofessionalgroup.com Michael F. Easley, Governor O�OF W A TFIT, Mr. Elwood H. Perry, Jr. H.P.B. Enterprises 201 Ocean Hwy S. Hertford, NC 27944 Dear Mr. Pent': William G. Ross Jr., Secretary North Carolina DLpartrnent of Environment and Natural Resources November8, 2005 Subject: Stormwater Review SW7050938 Albemarle Plantation —Village Square Perquimans County Alan W. Klimek, P.E. Director Division of Water Quality This office received a Coastal Stormwater permit application and plans for the subject project on October 4, 2005. A preliminary review of your project indicates that before a State Stormwater permit can be issued the following additional information is needed. If a wet pond is designed to remove 85% Total Suspended Solids (TSS) a vegetated filter is also required. The submitted design is for an 85% pond with a piped discharge. The pond should either be redesigned to remove 90% TSS or a vegetated filter can be provided. If a vegetated filter is proposed a distribution device should be used so the flow through the filter will be in a diffuse manner so that runoff does not become channelized. The above requested information must be received in this office prior to December 8, 2005 or your applications will be returned as incomplete. The return of these projects will necessitate resubmittal of all required items, including the application fees. If you need additional time to submit the required information, please mail or fax your request for time extension to this office at the Letterhead address. You should also be aware that the Stormwater Rules require that the permit be issued prior to any development activity. Construction without a permit is a violation of 15A NCAC 2H.1000 and North Carolina General Statute 143-215.1 and may result in civil penalties of up to $10,000 per day. If you have questions, please feel free to contact me at (252) 948-3923. Sincerely, Roge K. Thorpe Environmental Engineer Washington Regional Office cc: Bissel Professional Group Washington Regional Office Nc° nh Caroli Natural North Carolina Division of Water Quality Washington Regional Office Phone (252) 946-6481 FAX (252) 046-9215 Customer Service Internet h2o.enr.state.nc.us 943 Washington Square Mali, Washington, NC 27889 1-877-623-6748 An Equal OpportunitylAffirmative Action Employer— 50% Recydedl10% Post Consumer Paper "0 10! 1 a � Tye Coastal fVCrts Hand Delivered11 Over-Nite Mail D Faxed Mailed To: Mr. William Moore Date: September 29, 2005 Water Quality Section NCDENR RECEIVED 943 Washington Sq. Mall Washington, NC 27889 OCT - 4 2005 Project: Albemarle Plantation Village Square We Transmit: Herewith: F] FOR YOUR: x Approval review & comments Use Other Project No.: 3471 D Q-WARD Copies Description Date 2 Site Development Plans 9-29-05 l Stornrnater Management Application w/ supplements 9-29-05 $420 Application Fee Comments: Bill, On behalf of H.P.B Enterprises, BPG requests your review of the proposed stormwater management plans for the Albemarle Plantation Village Square site located in the Bethel Township, Perquimans County, NC. If you have any comments or questions pertaining to this information, please do not hesitate to contact me. Sincerely, Bissell Professional Group David M. Klebitz t/l�il U P.O. Box 1068 ■ 3512 N. Croatan Hwy. ■ Kitty Hawk, NC 27949 252-261-3266■ Fax:252-261-1760 0 E-mail:bpg@bissellprofessionalgroup.com 4r d e#M3Y' hF. P.O. Box 31133, Raleigh, NC 27622 • (919) 210-6547 / Fax (919) 510-5901 September 27, 2005 Mr. David Ryan, P,E. Fri I 4 Bissell Professional Group, Inc. Post Office Box 1068 Kitty Hawk, North Carolina 27949 Re: Soil Investigation Storm Water Retention Pond — Village Square Shopping Center Albemarle Plantation Hertford, Perquimans County, North Carolina Protocol Project 905-39 Bear Mr. Ryan: The following Soil Investigation is submitted to assist in a site assessment for a proposed storm water pond at the Village Square Shopping Center located within the Albemarle Plantation development south of Hertford, Perquimans County, North Carolina. SITE HISTORY AND PHYSICAL CHARACTERISTICS The area is currently developed as the Albemarle Plantation, a world class golf and boating community adjacent to the Albemarle Sound. Protocol Sampling Service, Inc. of Raleigh, North Carolina was hired to perfonm a cursory investigation to identify the depth to seasonal high water table and if any restrictive layers are present in the proposed location of the storm water basin for the Fitness Center and to determine if a permeable subsurtace underlies the proposed storm water pond at the Village Square Shopping Center. SOIL INVESTIGATION The field survey was conducted on September 20, 2005. Two (2) soil borings were advanced to between 48 inches and 72 inches below the land surface (bls) with a hand auger at the revised location of the storm water pond. Soil color was determined with a Mansell Soil Color Chart. The presence of fill or other disturbances, the depth to the seasonal high water table, soil structure and consistence were noted. All boring locations were marked in the Feld using the Site Plan with your predetermined boring locations as a guide. The borings were also checked for reduced colors. an anaerobic smell or obvious soil wetness. FINDINGS • The soil was found to have a depth to seasonal high water table of less than 12 inches. Obvious signs of prolonged saturation, reduced soil colors and redoximorphic features (mottling) were observed in both borings. • Hie static water table was measured in each borehole I hour after advancement. The water table was found at a depth of 66.0 inches bis in soil boring # 1 and 65.0 inches bls in soil boring #2. it is common to have a static water table surface below the surface in these soils in the growing season due to high rates of evapotranspiration by surrounding plants and due to the sand layer that underlies these soils. Crayfish holes and standing water wcrc evident throughout the site which indicates a relatively high water table in this area. DIRECT PUSH TECHNOLOGY (EARTHPROBE 200) • MONITOR WELL INSTALLATION • SO1L MAPPING WETLAND DELINEATION • NC LICENSED WELL CONTRACTOR • NC LICENSED SOIL SCIENTIST • NGWA CERTIFIED WELL DRILLER Conclusions • The proposed storm water pond should be excavated to a depth of at least 54 inches bls. At this depth the underlying permeable sand layer should be reached which will readily transmit the storm water from the pond into the subsurface and eventually to the nearest line sink. • In previous ground water studies performed on this project, the subsurface transmissivity values were determined to range between 419.2 ftz/day and 445.8 ftz/day in an aquifer assumed to be 20 feet thick. Specific yield for a water table aquifer in this geologic setting ranges between 0.10 to 0.30 (Groundwater and Wells, Driscoll, 1986). This range is estimated from the site Iithologic descriptions. Ground water seepage velocity (v) is calculated from the formula V = k (1)/n where k refers to the hydraulic conductivity l refers to the hydraulic gradient and n equals the effective porosity of the aquifer. Because these parameters call vary within the aquifer, the resultant velocities can also change. Using an average K value of 21 ft/day, an assumed horizontal gradient of 0.002 ft. /ft. (based on measurements from the original spray field), and an effective porosity of .25, a reasonable estimate of average seepage velocity would be 0.168 ft/day or 60 fl/year through the proposed storm water pond. 'rile findings and recommendations presented herein are based on the site conditions observed during performance of the field survey on September 20, 2005. Please cal I me at (919) 210-6547 if you have any questions or need further assistance. Sincerely, Protocol Sampling Service, Inc. V W David E. Meyer, L.S.S. President 'r 4 rf' ,,,y4M.rti`j r r. 7 _11 1,;. r jj tS�� 1 Official Series Description - ROANOKE Series Page 1 of 4 LOCATION ROANOKE VA+AL GA NC SC TN Established Series JHW-DLJ, Rev. MHC 09/2004 ROANOKE SERIES MLRA(s): 136 MLRA Office Responsible: Raleigh, North Carolina Depth Class: Very Deep Drainage Class: Poorly drained Permeability: Slow to very slow Surface Runoff: Slow too very slow Parent Material: Formed in clayey fluvial sediments Slope: 0 to 2 percent Mean Annual Air Temperature (type location): 58 degrees F. Mean Annual Precipitation (type location): 46 inches TAXONOMIC CLASS: Fine, mixed, semiactive, thermic Typic Endoaquults TYPICAL PEDON: Roanoke silt loam - on a 1 percent slope in a pasture. (Colors are for moist soil.) Ap--O to 7 inches; dark grayish brown (I OYR 4/2) silt loam; weak fine granular structure; friable, slightly sticky, slightly plastic; many fine roots; strongly acid; abrupt smooth boundary. (5 to 9 inches thick) Btg1--7 to 12 inches; gray (1 OYR 5/1) silty clay loam; moderate fine subangular blocky structure; friable, slightly sticky, slightly plastic; many fine and medium roots; few faint clay films on faces of peds; few medium prominent yellowish brown (I OYR 5/8) irregularly shaped masses of iron accumulation; few fine flakes of mica; very strongly acid; clear smooth boundary. Btg2--12 to 20 inches; gray (1 OYR 5/1) clay; moderate medium and coarse angular blocky structure; finn, moderately sticky, moderately plastic; few medium and large roots; few faint clay films on faces of peds; few medium prominent brownish yellow (I OYR 6/8) irregularly shaped masses of iron accumulation; few fine flakes of mica; very strongly acid; gradual smooth boundary. Btg3--20 to 40 inches; gray (N 6/0) clay; moderate coarse prismatic structure parting to weak medium subangular blocky; firm, moderately sticky, moderately plastic; few medium and large roots; common medium prominent yellowish brown (I OYR 5/4) irregularly shaped masses of iron accumulation; common faint clay films on faces of peds; 2 percent quartz gravel; few fine flakes of mica; very strongly acid; gradual smooth boundary. (Combined thickness of the Btg horizon is 25 to 50 inches.) BCg--40 to 50 inches; light brownish gray (2.5Y 6/2) silty clay loam with a few pockets of sand; weak fine subangular and angular blocky structure; firm, slightly sticky, slightly plastic; many medium distinct pale yellow (2.5Y 7/4) and many medium prominent yellowish brown (I OYR 5/6) irregularly shaped masses of iron accumulation; 2 percent quartz gravel; common fine flakes of mica; very strongly acid; gradual smooth boundary. (0 to 20 inches thick) file://C:1Documents and Settingsldavek.BPGINC\Local SettingslTemplOfficial Series Des... 7/25/2005 Official Series Description - ROANOKE Series Page 2 of 4 2Cg--50 to 72 inches; gray (5Y 6/1) strata ranging from sand to clay; massive; many gray and green iron depletions and yellow irregularly shaped masses of iron accumulation; some strata contain up to 40 percent quartz gravel; few fine flakes of mica; very strongly acid. TYPE LOCATION: Halifax County, Virginia; 2 miles north of Clover, 100 yards from the Southern Railroad on east side of highway VA-600. RANGE IN CHARACTERISTICS: Solum Thickness: 40 to 60 inches Depth to Bedrock: Greater than 60 inches Depth to Seasonal High Water Table: 0 to 12, November to May Soil Reaction: Extremely acid to strongly acid in the solum unless limed, and extremely acid to slightly acid in the Cg or 2Cg horizon Other Features: particle -size control section has more than 30 percent silt; flakes of mica range from few to common in most pedons; quartz gravels make up 0 to 10 percent of the solum and 0 to 50 percent of the C horizon A or Ap horizon: Color --hue of I OYR to 5Y, value of 2 to 6, and chroma of 0 to 2; where value is 2 or 3 it is less than 6 inches thick Texture --fine sandy loam, loam, silt loam, clay loam, or silty clay loam Eg horizon (if it occurs): Color --hue of 1 OYR to 5Y or is neutral, value of 4 to 7, and chroma of 0 to 2 Texture --fine sandy loam, loam, silt loam, clay loam, or silty clay loam BA or BE horizon (if it occurs): Color --hue of 1 OYR to 5Y or is neutral, value of 4 to 7, and chroma of 0 to 2 Texture --loam, silt loam, clay loam, or silty clay loam Redoximorphic features (if they occur) --iron masses in shades of brown, yellow, or red and iron depletions in shades of olive or gray Btg horizon: Color --hue of 1 OYR to SY or is neutral, value of 4 to 7, and chroma of 0 to 2 Texture --clay loam, silty clay loam, silty clay, or clay. Redoximorphic features --iron masses in shades of brown, yellow, or red and iron depletions in shades of olive or gray BCg horizon (if it occurs): Color --has hue of 1 OYR to 5Y or is neutral, value of 4 to 7, and chroma of 0 to 2 Texture --clay loam, silty clay loam, sandy clay loam, sandy clay, or clay; some pedons have pockets or strata of coarser textures Redoximorphic features (if they occur) --iron masses in shades of brown, yellow, or red and iron depletions in shades of olive or gray Cg or 2Cg horizon: Color --hue of 1 OYR to 5Y or is neutral, value of 4 to 7, and chroma of 0 to 2 Texture --commonly stratified ranging from sand to clay in the fine -earth fraction COMPETING SERIES: file:/ICADocuments and Settingsldavek.BPGINC\Local SettingsUemplOfficial Series Des... 7/25/2005 Official Series Description - ROANOKE Series Page 3 of in same family; Chickahominy soils-- have a solum thickness of more than 60 inches Gertie soilsoccur on terraces and low lying flats of the Lower/Middle/Upper Coastal Plain Pooler soils-- have a solum thickness of more than 60 inches In the similar active family; Worsham soils -occur on piedmont uplands along drainageways, heads of drains, and depressions GEOGRAPHIC SETTING: Landscape: Piedmont Landform: Terraces of the Piedmont Plateau Elevation: 250 to 750 feet above mean sea level Parent Material: formed in clayey fluvial sediments Mean Annual Air Temperature: 56 to 62 degrees Mean Annual Precipitation: 42 to 48 inches Frost Free Period: 175 to 260 days GEOGRAPHICALLY ASSOCIATED SOILS: Altavista soils --moderately well drained soils (seasonal high water table 18 to 30 inches) in fine -loamy family on higher landscapes Augusta soils --Somewhat poorly drained soils (seasonal high water table 12 to 18 inches) in fine -loamy family on higher landscapes Chewacla soils --somewhat poorly drained soils (seasonal high water table 6 to 24 inches) in fine -loamy family on floodplains Congaree soils --Well to moderately well drained soils (seasonal high water table 30 to 48 inches) that lack argillic horizons and are on floodplains and at the base of slopes Dogue soils --moderately well drained soils (seasonal high water table 18 to 30 inches) on higher landscapes State soils --well drained soils (seasonal high water table 48 to 72 inches) in fine -loamy family on higher landscapes Wehadkee soils --poorly drained soils (seasonal high water table 0 to 12 inches) in fine -loamy family on floodplains DRAINAGE AND PERMEABILITY: Agricultural Drainage Class: Poorly drained Permeability: Slow to very slow USE AND VEGETATION: Major Uses: Mostly in woodland Dominant Vegetation: Where wooded --red maple, sweetgum, black gum, sycamore, willow oak, white oak, river birch, yellow -poplar, bald cypress, water tupelo and scattered loblolly pine. Where cultivated- -corn, soybeans, small grain, and pasture. DISTRIBUTION AND EXTENT: Distribution: Piedmont Plateau in Virginia, Alabama, Georgia, Maryland, North Carolina, and South Carolina Extent: moderate MLRA OFFICE RESPONSIBLE: Raleigh, North Carolina SERIES ESTABLISHED: Halifax County, North Carolina, 1916. file://C:1Documents and Settingsldavek.BPGIN CILocal SettingslTemplOfficial Series Des... - 7/25/2005 Official Series Description - ROANOKE Series Page 4 of 4 REMARKS: The Gertie series has been established by correlation in City of Chesapeake, Virginia to represent these soils on the Coastal Plain. Roanoke soils are restricted to terraces of the Piedmont . Diagnostic horizons and features recognized in this pedon are: a. Ochric epipedon - the zone from 0 to 7 inches (Ap horizon). b. ArgilIic horizon - the zone from 7 to 40 inches (Btg horizon). ADDITIONAL DATA: TABULAR SERIES DATA: SOI-5 Soil Name Slope Airtemp FrFr/Seas Precip Elevation VA0074 ROANOKE 0- 2 57- 65 175-260 38- 54 250- 750 VA0198 ROANOKE 0- 2 57- 65 175-260 38- 54 250- 750 SOI-5 FloodL FloodH Watertable Kind Months Bedrock VA0074 NONE COMMON 0-1.0 APPARENT NOV-MAY 60-60 VA0198 FREQ - APPARENT - 60-60 SOI-5 Depth Texture 3--Inch No-10 Clay% VA0074 0-7 FSL 0-0 80-100 10-18 VA0074 0-7 SIL L 0-0 85-100 10-27 VA0074 0-7 SICL CL 0-0 85-100 27-32 VA0074 7-12 CL SICL 0-0 85-100 20-35 VA0074 12-50 C SIC CL 0-0 85-100 35-60 VA0074 50-72 SR S C 0-5 35-100 5-50 VA0198 0-7 SIL L FSL 0-0 85-100 10-27 VA0198 0-7 SICL 0-0 85-100 27-35 VA0198 7-50 C SIC CL 0-0 85-100 35-60 VA0198 50-72 SR SC C 0-5 35-100 5-50 SOI-5 Depth -pH- O.M. Salinity Permeability VA0074 0-7 3.5-5.5 1.-3_ 0-0 2.0-6.0 VA0074 0-7 3.5-5.5 .5-2. 0-0 0.6-2.0 VA0074 0-7 3.5-5.5 .5-1. 0-0 0.06-0.2 VA0074 7-12 3.5-5.5 0..5 0-0 0.06-0.2 VA0074 12-50 3.5-5.5 0-.5 0-0 0.06-0.2 VA0074 50-72 3.5-5.5 0-.5 0-0 0.06-20 VA0198 0-7 4.5-5.5 .5--3. 0-0 0.6-2.0 VA0198 0-7 4.5-5.5 .5-1. 0-0 0.2-0.6 VA0198 7--50 4.5-5.5 0-.5 0-0 0.06-0.2 VA0198 50-72 4.5-5.5 0-.5 0-0 0.06-20 National Cooperative Soil Survey U.S.A. -CEC- Shrink-Swell LOW LOW MODERATE MODERATE MODERATE MODERATE Low MODERATE MODERATE MODERATE file:HC:\Documents and Settingsldavek.BPGINC\Local Settings\Temp\Official Series Des... 7/25/2005 RECEIVED OCT - 4 2005 DWQ-WARO Albemarle Plantation Pipe and Inlet Sizing 9/29/2005 Culvert and Drop Inlet Sizing 1. Determine minimum slope of pipe runs n = 0.012 , for FIDPE V = 3.0 fps, minimum self scouring velocity s = form of mannings equation Djinj s;min . 15 0.002775 18 0.0021 661 0.0017718 21 24 0,0014829 27 0.0012674 30 0,0011013 33 0.0009698 36 0.0008636 maximum slope due to grading 2. INLET CONTROLS, lowest flow governs design g = 32.2 ft/sec -2 standing water = 3.0 in mimum cover = 1.0 ft A. inlet control, (grate as orifice) Q = orifice equation Cd = 0.6 , typical discharge coefficient A = 3.1 ft - 2, (30 holes) x (0.125) x (0.823'), NCDOT STD. 840.03 h = 3.0 in Q = 7.4632138 cfs B. pipe tinder inlet control, (entrance as orifice) Q = orifice equation Cd = 0.59 , coefficient for square -edged entrance A = diameter of pipe, ft ^ 2 h = depth from allowable ponding elevation to pipe invert, ft Din`. Aft72f hft Qcfs 15 1.2270508 1.875 7.95533 18 '1.7669531 2 118314 16.5994 21 2.4050195 2.125 24 3.14125 2.25 22.3094 27 3.9756445 2.375 29.0091 30 4.9082031 2.5 36.7441 33 5.9389258 2.625 45.5583 36 7.0678125 2.75 55.494 Albemarle Plantation Pipe and Inlet Sizing 9/29/2005 C pipe flowing just full control Q = form of mannings equation, flowing just full varying constant D in slope:. -Q jcfsj,j sloe �Q; cis 15 0.002775 3.69579 0.002 3.1375488 18 0.0021761 5.32194 0.002 5,1020003 7.6960034 21 0.0017718 7.24375 0.002 24 0.0014829 9.46122 0.002 10.987792 27 0.0012674 11.9744 0.002 :15.042401 30 0.0011013 14.7832 0.002 19.922193 33 0,0009698 17.8876 0.002 25.687251 36 0.0008636 21.2877 0.0015 28.055484 3. Determine maximum drainage area per inlet controlling flow rate Using 18" pipe as a minimum diameter with it slope of 0.002 controlling flow rate, Q = 5.1 cfs, from :18" pipe flowing full calculations above. C = 0.95 , average runoff coefficient for each inlets drainage area rainfall intensity, is = 7.5 in/hr, based on 10 year, 5 minute duration storm in Raleigh A = Q/(C* ia) = 0.71579 acres or 31179.789 sf per inlet maximum drainage area per drop inlet = 0.72 acres Do to very flat site conditions, individual inlet drainage areas will be limited by grading and thus be smaller than the maximum drainage area determined above. Albemarle Plantation Pipe Sizing 9/29/2005 Village Square Northwestern Block Determine pipe sizing for northwestern block n = 0.012 I = 7.5 in/hr Cc = varies s = 0.002 , unless otherwise noted Branch #1 I inlet I pipe I total I I I 11 I Segment from to Areas total area time time time I Cc Q sloe siz'e] V, full Len gth Flow time inlets acre min min min in/hr cfs ft/ft in ft/sec ft min L1 L2 1 0.25 5 0 5 7.5 0.9 1.688 0.002 12 2.18 175 1.34 L2 L3 2 0.59 5 1.34 6.34 7.5 0.74 3.275 0.002: 15 2.57 202 1.31 L3 M1 3 1.00 5 2.65 7.65 7.5 0.77 5.775 0.002 3 ' 19 2.97 176 0.99 Branch #2 from to Areas total area inlet time pipe time total time I Cc Q sloe : isize V, full Length Segment Flow time inlets acre min min min in/hr cfs ft/ft in ft/sec) I (ft min L1 L2 1 0.33 5 0 5 7.5 0.9 2.228 0.002 . 13 2.34 135 0.96 L2 L3 2 0.9 5 0.96 5.96 7.5 0.93 6.278 0.002'' �`19 3.03 117 0.64 L3 MI 3 1.29 5 1.61 6.61 7.5 09 8.708 0.002 '. `-22 3.29 162 0.82 Branch #3 from I to I Areas total area inlet time pipe time total time I Cc Q sloe size" V, full Length Segment Flow time inlets acre min min min in/hr cfs ft/ft in ft/sec) I (ft min Ll L2 1 0.34 5 0 5 7.5 0.5 1.275 0.002. `11. 2.03 233 1.91 L2 L3 2 0.84 5 1.91 6. 1 7.5 0.57 3.591 0.002 ; 16 2.63 .190 1.20 L3 M3 3 1.09 5 3.11 8.11 7.5 0.59 4.823 0.002 18 2.94 108 0.63 Main Line from to Areas total area inlet time I pipe time total time I Cc Q slope . size ] V, full I Length Segment Flow time inlets acre min min min in/hr cfs ft/ft ' in ft/sec ft min M1 M2 7 2.73 5 3.63 8.6339 7.5 0.82 16.79 0.002- 28 3.8736 140 0.60 M2 M3 8 3.15 5 4.24 9.24 7.5 0.81. 19.14 0.002 ,.;,,,30 4.00 118 0.49 ML outlet 11 4.24 0 4.73 4.73 7.5 0.75 23.85 0.0015 ' 34 3.90 560 2.46 Albemarle Plantation Pipe Sizing 9/29/2005 Village Square Northeastern Block Determine pipe size for northeastern block. n = 0.0120 1 = 7.5 in/hr C = 0.95 s = 0.002 , unless otherwise noted Branch #1 from to Areas total area inlet time pipe time totalv. time I Cc Q sloe size. V, full Length Segment Flow time inlets acre min min min in/hr cfs ft/ft in ,, ft/sec ft min L'I L2 1 0.29 5 0 5 7.5 0.95 2.066 0.002 13 2.2943 100 0.73 L2 L3 2 0.55 5 0.726 5.73 7.5 0.95 3.919 0.002: e16 2.6924 105 0.65 L3 L4 3 0.88 5 1.376 6.38 7.5 0.95 6.27 0.002: 19 3.03 125:i 0.69 L4 L5 4 1.01 5 2.064 7.0644 7.5 0.95 7.196 0.002 2�0 3.13 160 0.85 L5 L6 5 0.13 5 2.915 7.92 7.5 0.95 0.926 0.002 9 1.88 55 0.49 L6 L7 6 1.46 5 3.403 8.40 7.5 0.95 10.4 0.002.,;,l.,24 3.44 170 0.82 L7 MH 7 1.63 5 4.228 9.23 7.5 0.95 11.61 0.002 24.50 3.53 40 0.19 Branch #2 from to Areas total area inlet time pipe I time total time [ I Cc Q sloe :size° V, full I Len gth Segment blow time inlets acre min min min in/hr cfs ft/ft in ft/sec ft min L1 L2 1 0.28 5 0 5 7.5 0.95 1.995 0.002 ' 13 2.27 92 0.67 L2 L3 1 0.58 5 0.674 5.6742 7.5 0.95 4.133 0.002 : 17 2.73 100 0.61 1-3 1-4 3 0.88 5 1.285 6.29 7.5 0.95 6.27 0.002 ' 19 3.03 95 0.52 L4 L5 4 1.17 5 1.808 6.8079 7.5 0.95 8.336 0.002 , .i; 22 3.25 172 0.88 L5 L6 5 1.45 5 2.69 7.69 7.5 0.95 10.33 0.002 23 3.43 100 0.49 L6 L7 6 1.71 5 3.175 8.18 7.5 0.95 :1.2.1.8 0.002 .25 3.58 105 0.49 L7 MH 7 2.04 5 3.665 8.66 7.5 0.95 14.54 0.002 27 3.74 120 0.54 Main Line from to Areas total area inlet time pipe time total time I Cc Q slope ,s'i�c�°� V, full Length Segment Flow time inlets acre min min min in/hr cfs ft/ft in ft/sec ft min MH joutlet 1 141 3.67 0 4.42 9.421 7.51 0.95 26.15 0.0015 `.: '%:351 3.88481 560 2.40 Albemarle Plantation Pipe Sizing W29/2005 Village Square Southwestern Block Determine pipe size for southwestern block. n = 0.{}12 I = 7.5 in/hr Cc = varies s = 0.002 , unless otherwise noted Branch #1 from to Areas total area inlet time pipe time total, time I Cc Q sloe :,size. V, full Len nth Segment Flow time inlets acre min min min in/hr) I (cfs ft/ft in) (ft/sec) (ft min Ll L2 1 0.34 5 0 5 7.5 0.5 1.275 0.002 �� .1 '1 2.03 230 1.89 L2 L3 2 0.84 5 1.89 6.89 7.5 0.57 3.591 0.002 , . 16 2.63 190 1.20 1-3 M 1 3 1.09 5 3.09 8.09 7.5 0.59 4.823 0.002:`'' 18 2.84 206 1.21 Branch #2 from to Areas total area inlet time pipe time total time I Cc Q slope :'size V, full Length Segment Flow time inlets acre min min min in/hr cfs ft/ft in ft/sec ft in LI L2 1 0.33 5 0 5 7.5 0.9 2.228 0,0021 13 1 2.34 135 0.96 L2 L3 2 0.9 5 0.96 5.96 7.5 0.93 6.278 0.002 19 3.03 117 0.64 L3 M2 3 L29 5 1.61 6.61 7.5 0.9 8.708 0.002 22 3.29 165 0.84 Branch #3 inlet pipe total Segment from to Areas total area time time time 1 Cc Q slope ;'size; V, full Len Lth Flow time inlets acre min min min in/hr) I (cfs ft/ft in ft/sec ft ntin 1_1 L2 1 0.25 5 0 5 7.5 0.9 1.688 0.002 ' "`12 $ 175 1.34 L2 L3 2 0.59 5 1.34 6.34 7.5 0.74 3.275 0.002 `' 15 1 2.572.1 200 1.29 L3 ML 3 1 5 2.63 7.63 7.5 0.77 5.775 0.002 ,+• :1 2.97 75 0.42 Main Line from to Areas total area inlet time pipe time total time I Cc Q sloe size, V, lull Length Segment Flow time inlets acre min min min in/hr cfs ft/ft in ' ft/sec) I (ft min M1 M2 4 1.51 5 4.30 9.2979 7.5 0.64 7.248 0.002 ",:21 3.1399 140 0.74 M2 ML 8 3.24 5 5.04 10.04 7.5 0.75 18.23 0.002 29 3.95 160 0.67 ML outlet 11 4.24 0 5.72 5.72 7.5 0.75 23.85 0.002 i'' ..32 4.23 70 028 Albemarle Plantation Pipe Sizing 9/29/2005 Village Square Southeastern Block Determine pipe size for south eastern block n = 0.0 120 I = 7.5 in/hr C = 0.95 s = 0.002 , unless otherwise noted Branch #11 from to Areas I total area inlet I time pipe time total time I I I Cc Q Slope I `'size J V, full I Len gth Segment Flow time inlets acre min min min in/hr cfs ft/ft in ft/sec ft min Ll L2 1 0.33 5 0 5 7.5 0.95 2.351 0.002 ' 3 13 2.3696 105 0.74 L2 L3 2 0.59 5 0.739 5.74 7.5 0.95 4.204 0.002 17 2.7401 100 0.61 L3 L4 3 0.88 5 1.347 6.35 7.5 0.95 6.27 0.002 1,19 3.03 175 0.96 LA L5 4 1.16 5 2.31 7.31 7.5 0.95 8.265 0.002 1 122 3.24 92 0.47 L5 Lb 5 1.46 5 2.783 7.78 7.5 0.95 10.4 0.002 24 3.44 100 0.48 L6 L7 6 1.76 5 3.267 8.27 7.5 0.95 12.54 0.0021 2S 3.60 95 0.44 L7 M H 7 2.05 5 3.707 8.71 7.5 0.95 14.61 0.002 .27 3.74 55 0.25 Branch #2 from to Areas total area inlet time pipe time total time I Cc Q sloe size. V, full Length Segment Flow time inlets acre min min min in/hr cfs ft/ft in ft/sec ft min Ll L2 1 0.13 5 0 5 7.5 0.95 0.926 0.002 9 1.88 160 1.42 L2 L3 1 0.26 5 1.42 6.4205 7.5 0.95 1.853 0.002 ":12 2.23 55 0.41 L3 L4 3 0.58 5 1.831 6.83 7.5 0.95 4.133 0.002 17 2.73 170 1.04 LA L5 4 0.75 5 2.87 7.8695 7.5 0.95 5.344 0.002 1:?`'18 2.91 120 0.69 L5 L6 5 1.08 5 3.557 8.56 7.5 0.95 7.695 0.002, 21 3.19 105 0.55 L6 L7 b 1.34 5 4.106 9. I l 7.5 0.95 9.548 0.002 , .,! 23 3.36 100 0.50 L7 MH 7 1.62 5 4.601 9.60 7.5 095 11.54 0.002 .24 3.53 165 0.78 Main Line from to Areas total area inlet time pipe time total time I Cc Q sloe -size V, full Length, Segment Flow time inlets acre min min min in/hr cfs ft/ft in `: ft/sec ft min MF-I joutlet 1 141 3.671 01 5.381 10.381 7.51 0.95126.151 0.0021 331 4.32731 501 0.19 ;1 .: -� 16)' VN". FINANCIAL RESPONSIBILITY/OWNERS HIP. FORM SEDIMENTATION POLLUTION CONTROL ACT No person may initiate a land -disturbing activity on one or more acres as covered by the Act before this form and an acceptable erosion and sedimentation control plan have been completed and approved by the Land Quality Section, N.C. Jotebnof Environment, Health, andNatural Resources. (please type or pint and not applicable, place NIA in the blank). PART A. Project Name: Albemarle Plantation - Village Square SEP 2 6 2005 II �•� � LEP 3 Z005 _...- wASH4NGiON RLG10;gkl Gr 2. Location of land -disturbing activity: County Perquimans Cityor Township Bethel , and Highway/Street Holiday Lane (NCSR 1429) 3. Approximate date land -disturbing activity will be commenced: October 2005 4 Purpose of development (residential, commercial, industrial, etc Commercial 5. Total acreage disturbed or uncovered ( including off -site borrow and waste areas): 26.48 acres 6. Amount of fee enclosed $ 1350 7. Has an erosion and sedimentation control plan been filed? Yes No X 8. Person to contact should sediment control issues arise during land -disturbing activity Name: Woody Perry (252) 426-1128 9. Landowner(s) of Record (Use blank page to list additional owners): H.P.B. Enterprises SEE ATTACHED FOR ADDITIONAL Name(s) 201 Ocean Hwy. S. Current Mailing Address Current Street Address Hertford NC 27944 City State Zip City State Zip 10, Recorded in Deed Book No 125 Page No. 146 PART B. 1. Person(s) or firm who are financially responsible for this land -disturbing activity (use a blank page to list additional persons or firms): H.P.B. Enterprises Name of Person(s) or Firm(s) 201 Ocean Hwy S. Mailing Address Street Address Hertford NC 27944 City State Zip (252)426-1128 Telephone City State Zip Telephone PE2 UI��`j 2. (a) If this Financially Responsible Party is not a resident of North Carolina name and address of a North Carolina Agent 2005 " ' a Name LAaN!D ®UALIV'HCI1U'� Mailing Address City State Zip Telephone Street Address City State Zip Telephone (a) If this Financially Responsible Party is a Partnership or other person engaging in business under an assumed name, attach a copy of the certificate of assumed name. If the Financially Responsible Party is a Corporation give name and street address of the Registered Agent H PP-�- En4-r-r 0Ci4r'S Name ` A0 1 5 . Mailing Add ss ��� ^^ Street Address City state zip. City 14au- tad Telephone Telephone The above information is true and correct to the best of my knowledge and belief and was provided by me under oath. (This form must be signed by the financially responsible person if an individual or his attomey-in-fact or if not an individual by an officer, director, partner, or registered agent with authority to execute instruments for the financially responsible person). I agree to provide corrected information should there be any change in the information provided herein. Type or print name Signature Skate Zip Pn(�,,- . . Title or Authority Date I, }�a C CC I i 't N _ , a Notary Public of theCounty of� State of North Carolina, hereby certify that [� j 1,�]bd d 4 . PQ ✓ r appeared personally before me this day and being duly sworn acknowledged that the above form was executed by him Witnesses my hand and notoriai seal, this (-o" day of )20 Q `7 Seal Notary My Commision Expires 00 �p � �02!3 i , - List of Additional Land Owners Within Project Limits Landowner(s) of Record (Use blank page to list additional owners): Congregational Development Foundation, Inc. Name(s) 1307 Glenwood Ave. Current Mailing Address Raleigh NC 27605 City State Zip D.B. .212 Page: 117 Gossman, F. Joseph Bishop of The Roman Catholic Diocese Name(s) 715 Nazareth St. Current Mailing Address Raleigh NC 27605 City State Zip D.B. 212 Page: 122 i FSEP 2 3 2005 I IAND .L1T(SfCifJPd WASNii`4I.;TON REGIONAL OFHCE i