SW7120906_HISTORICAL FILE_20200417

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW 71�
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
1pISTORICAL FILE
DOC DATE��lZ
_
YYYYM M D D

walt°
ROY COOPER
Governor
MICHAEL S. REGAIN
Secretary
BRIAN WRENN
Acting Du ecror
NORTH CAROLINA
Environmental Quality
April 17, 2020
Chowan University
Attention: Danny R. Davis, VP for Business Affairs
One University Place
Murfreesboro, NC 27855
Subject: Stormwater Permit No. SW7120906 Renewal
Chowan University Athletic Facilities — Phase I
High Density Stormwater Project
Hertford County
Dear Mr. Davis:
A Division of Energy, Mineral, and Land Resources file review has determined that
Stormwater Permit SW7120906 for a stormwater treatment system consisting of a wet
detention pond to serve Chowan University Athletic Facilities — Phase I located on
Union Street in Murfreesboro, NC expires on October 26, 2020. This is a reminder that
permit renewal applications are due 180 days prior to expiration. We do not have a
record of receiving a renewal application.
To keep this permit active please submit a completed permit renewal application along
with a $505.00 fee for permit renewal. Permit application forms for renewal can be found
on our website at:
tiups:/deq..nc.gov/about idivis.ions lenergy-mineral-I a nd-resources /energy-mineral-land-
ruds/stormwater-nrograrn/post-co-astruction. North Carolina General Statutes and the
Coastal Stormwater rules require that this property be covered under a stormwater
permit.
If you have questions, please feel free to contact me at [phone]. 1 will be glad to
discuss this by phone or meet with you. If you would like, I can e-mail you a copy of the
application forms. You can request a copy by e-mailing me at roger.thorpe@ncdenr.6o.
Sincerely,
Roger K. Thorpe
Environmental Engineer
North C:a3 oGna Department ol'Environwental Quality I DiOsiorl of Energy. Mineral and Land Resources
Washington Regionai Office i 943'Washingron Square Maii j Washington, North Carolina 27889
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
October 26, 2012
Mr. M. Christopher White, President
Chowan University
One University Place
Murfreesboro, NC 27855
Subject: Stormwater Permit No. SW7120906
Chowan University Athletic Facilities — Phase 1
High Density Commercial Wet Pond Project
Hertford County
Dear Mr. White:
The Washington Regional Office received a complete Stormwater Management Permit
Application for Chowan University Athletic Facilities — Phase 1 project on September 21, 2012.
Staff review of the plans and specifications has determined that the project, as proposed, will
comply with the Stormwater Regulations -set forth in Session Law 2008-211 and Title 15A
NCAC 2H.1000. We are forwarding Permit No. SW7120906 dated October 26, 2012, for the
construction of the subject project.
This permit shall be effective from the date of issuance until October 26, 2020, and shall be
subject to the conditions and limitations as specified therein. Please pay special attention to
the Operation and Maintenance requirements in this permit. Failure to establish an adequate
system for operation and maintenance of the stormwater management system will result in
future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have
the right to request an adjudicatory hearing upon written request within thirty (30) days
following receipt of this permit. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. 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 Samir Dumpor at [phone].
Sincerely,
0,t4� aCl�
.Charles Wakild, P.E., Director
Division of Water Quality
AA/ sd: K:1WQSISTORMWATERISD1SW7120906
cc: David Gastel, PE, LandDesign, Inc. (19 W. Hargett Street, Raleigh, NC 27601)
Oertford County Building Inspections
,/Washington Regional Office
North Carolina Division of Water Quality Intemet www-ncwaterg uality o g
943 Washington Square Mall Phone: [phone] One
Washington, NC 27899 FAX [phone] NOI ChCarofina
An Equal OppMunitylAHirmative Action Employer - 50% Recycled110% Post Consumer Paper Natm,"WI&

State Stormwater Management Systems
Permit No. SW7120906
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
'PERMISSION IS HEREBY GRANTED TO
Chowan University
Chowan University Athletic Facilities — Phase 1
Hertford County
FOR THE
construction, operation and maintenance of one wet detention pond in compliance with
the provisions of Session Law 2008-211 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 October 26,-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. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 of this permit. The stormwater control has been
designed to handle the runoff from a total of 281,816 square feet of impervious
area.
3. The tract will be limited to the amount of built -upon area indicated in Section I. of
this permit, and per approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 50 feet
landward of all perennial and intermittent surface waters.
7. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7120906
a
b
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d.
e.
f.
h.
i.
1.
k.
1.
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P.
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Drainage Area, ft2:
Total Impervious Surfaces, ft2
Design Storm, inches:
Pond Depth - average, feet:
TSS removal efficiency:
Permanent Pool Elevation, FMSL
Perm. Pool Surface Area required
Permanent Pool Surface Area, ft
Min. Volume required, ft
Permitted Storage Volume, ft3:
Temporary Storage Elevation, FM
Controlling Orifice:
Permitted Forebay Volume, ft3:
Maximum Fountain Horsepower:
Receiving Stream/River Basin:
Stream Index Number:
Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
352,270
281,816
(143558 ft —current proposal)
(138:258 ft2 —future expansion)
1.5
4.5
85%
56.50
ft2: 16,557
18,331
33,906
50,023
SL: 58.75
2.50" O pipe
16,733
113 HP
Hares Branch/Chowan River Basin
25-4-6
"C; NSW'
1. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all time provide the operation and maintenance necessary
to assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the vegetated filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, level
spreader, filter strip, catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
records will indicate the date, activity, name of person performing the work and
what actions were taken.
5. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance inspection records for each BMP. The report shall
summarize the inspection dates, results of the inspections, and the maintenance
work performed at each inspection.
6. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
7. The facilities shall be constructed as shown on the approved plans. This permit
shall become void unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW7120906
8. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
9. 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.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director ,
that the changes have been made.
12. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
13. Decorative spray fountains will be allowed in the stormwater treatment systems,
subject to the following criteria:
a. The fountain must draw its water from less than 2' below the permanent
pool surface.
b. Separated units, where the nozzle, pump and intake are connected by
tubing, may be used only if they draw water from the surface in the deepest
part of the pond.
C. The falling water from the fountain must be centered in the pond, away from
the shoreline.
d. The maximum horsepower for the fountain's pump is based on the
permanent pool volume. The maximum pump power for a fountain is 113HP.
14. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
Ill. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form, to the Division of Water
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7120906
Quality, signed by both parties, and accompanied by supporting documentation
as listed on page 2 of the form. The project must be in good standing with the
Division. 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 permit conditions until such
time as the Division 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) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2008-
211, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until October 26, 2020.
Application for permit renewal shall be submitted 180 days prior to the expiration
date of this permit and must be accompanied by the processing fee.
Permit issued this the 26th day of October, 2012.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for
Division of Water Quality
By Authority of the Environmental Management Commission
Stormwater Permit No. SW7120906
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7120906
Chowan University Athletic Facilities — Phase 1
Stormwater Permit No. SW7120906
Hertford _County
Designer's Certification
I, , 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 included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7120906
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built-upon.area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. 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,
and a forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Washington Regional Office
Hertford County Building Inspections
Page 7 of 7

10/18/2011 16:14
3587910 REGISTER OF DEEDS PAGE 02
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itinutes West 477.4 feet to a concrete marktnr.
nor for this at line of C. k: Revelle, Sr.; thence
h the said Revelle line South 28 dogeee.s 10
�1tes East Z80 feet to a stake; thence still with
d Rcyelle line South 36 degrees 30 minutes Wese
feet to a stake. South 60 degrees 10'minutes
t 695 feet to stake, corner; thence North 63
revs 10 min. West 235 feet to a stake, corner;
Tice still with line of C, L. Ravelle, Sr.
th 36 degrees 40 minutes West 1344 keet to an
n stake. corner for this at the Powell land;
nce with the'poweil lands South 8S degrees lU
utes East 323,5 feat to a concrete post at the
ker landi thence with the said Parker land the
lowing courses and distances, South 87 degrees
minutes East 666 feet to a gulp, North 85 degrees
minutes East 73 feet South 86 degrees 30 minutes
t 104 feet to a gum South 72 degreez 30 minutes
t 73 feet to a sycamore South 73 degrees 30
ures Beast 86.S feet to a bay, South 66 degreo9
t S7 fact to an elm. South 0 degrees East. 100
t to a hay, South 73 degrees 45 minutes
t 62 fa at to a b. Qum, North 85 dogmas l5
vitas East 64 fact to a b, gum, South 71 dagrwes
minutes East III feet to a b. gum South 75
Tees 30 minutos East 129 feet to a b. gum,
th 84 degrees 15 minutes East 100 feet to a b. gum.
th 84 degrees 1S 6inutes Easst. 109 feet to a b. gum,
th 84 degrees 30 minutes East 121 feet to..an s. gum,
th 8g degrees 30.minutes East 172 feet to a b. gum,
th 74 degrees East 45 feet to corner at line of
1.. Parker. thence with said Parker line North Z
roes 15 minutes West Z37.S feet to an iron stake;
s►ca North 75 degrees 15 minutes East 200 feat'
an iron pipe at the Western edge of the
freesboro-Union public road, which iron pipe
located-30 feet from the canter lino of
d road; thence across said road in a•Southcastcrly
ectiorc to an iron stake at the Esytarn edge of
aforesaid road corner for the lands herein conveyed
other lands of Jossie S, Bryant st the Eastern
e of the aforesaid road (said irop stake being
ated 30 fret from the center line of said rowel}
running thence a new line South 85 degrees
minutes East 424 feet Co an iron stake, corner;
nce still a new line South 04 degrees 15 minutes
t 358 feat to an iron stakes corner for other
ds of Jessie S. Sryant and the Underwood lands
a line of the Inds herein Gornvoyad, thence South
degrees East 371 feet to the Mill fond run
-nor for this and, the Underwood lino; thence
h the Mill Fond run as a dividing line between
s and the Underwood land the courses and distances
-on as a more general direction us follows:
,th L67 degrcas East 75 feet North 61 degrees East
i fe.et. South 84 degroas East 183feet North 82
;Twos East 173 feet. North 6Z dagr=es East 100

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RE',USTER OF DEEDS
e= 337 rAcEZ .6
feat rtii 47 degrees East 13S feet North,40-degrees
East 82 feet Worth 10 dagreea East 176 feet North
42 de Tees West 304 feet North 12 degrees East X80
feet orth 13 degrees East l20 feat'North 42 degrees
Past 90 feet Korth 82 degrees Raftt 101 feet North
65 de reo3 Eaat 22S feet,South 81 degrees East 77 feet
North 87 degrees 30 minutes East 180 feet North
45 de reel bast 142 feet. to the Mhll Pond; thence
with hc- said Mill Pond North 25 degrees West 273 feet
to a occh, corner at line of lands of Chowan College:
Noyth SS degrees 30 minutes went 1950 feet to the
Eastc n edge of the Murfreesboro -Union road,
thenc across said road North85.degrees 30 minutes
West 0 feet to the point o£ beginning-
-YCONTA KING 126.84 acres-, according to Map prepared
May 7 1960. by M. M. Revello, SUrveyor, which Said
map i made from maps of adjoining property bearing
dates of 1944. 19S2, 1949 and 1959.
RESER ING AND EXCEPTING gram this conveyance the
folio ing described lot of land containing 3.01 scrag,
said ands excepted being described by metes and
bound as Follows:
That crtain tract or parcel of land lying and being
in Mu ireesboro Township, Hortf"ord CouT%t$r, North
Carol na, lying an the East side of Union Road from
Muvfr esboro to Ahoskie, and which said tract is
boun d on the North.by.landa of Jessie S. Bryant,
boun d on the East by lands of Jessie S', Bryant,
boun d an the South 6y lands of .Bessie S. Bryant,
and unded on the Nest by the eastern edge of the
afor .aid Union Road from Murfreesboro to Ahoskie.
and ich Said tract or parcel. o6 land is mole
part cularly described as follows:
88GI NING at d concrete post in the eastern edge of
the iforosaid road, which said post is a corner for
this tract and other lands of JeAsio S. Bryant,
and which said post is 40 foot South. of an iron stake,
which said stake is also in the 8asterA edge of the
aforesaid road and is a Corner for property of Jessie
S. 8 yant and Chowan College; running thence with the
Eastern edger of the aforesaid road South 14 degrees
30 m nutea West 66 feet;. -thence still along -the eastern
edge of the aforesaid road South 11 degrees O,minutes
West 76 foot; thence still along the eastern edge of
the forosaid highway South 7 degrees S minutes West
98.5i feet,, thence still along the eastern edge
of the aforesaid road South 05 degrees 1S minutes
West 201.70 feet to a concrete post, Corner for this
trwo. and other lands of Jessie S. Bryant: thence
turA ng and running along the line of other land* of
Joss a S. Bryant South 84 degrees 4S minutes East
300 eat to a concrete post-, eornor for this tract and
othe lands of Jessie-S. Bryant; thence turning and
rune ng along other lands of'Jessie S. Bryant North
OS greos IS minutes East 444.35 feet to a concrete
PA5E a3
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10/18/2011 1S.i4 3587911
REGISTER_ OF DEEDS
PAGE 04
337 fAa2V
pa t, which said post is dO f" et South of the herein
me ktioned chowan Callege property, and is also a corner-
fo this tract and other lards of Jessie S. Bryant;
th nee turningg and running along the Iine of other lands
of Jessie S. ftryant North 85 degrees 30 minutes wc3t'z79.8
fe t to the point and place of beginning - CONTAINING
3.01 ACRES, more or less.
Th above conveyance is made subject to the easements
art right-of-ways granted to the North Carolina
St to Highway Commission for the construction And
ma ntenance of State Road A1179 and the "new Murfreesboro-
Ah ski& htghway'l.which highways cross a portion of said
pr mises.
Po session of the dwelling house (the current residence
of Jessie S. Bryant) together with the yard and out-
bu idings used in connection with the residence are
he Eby retained by %no parties of the first part
un it July 1, 1969. The parties of the first part
he eby reserve the right and privilege to remove from
th above promises eight (8) dwarf fruit trees Located
ad %Cent to the r&sidence of Jessie S. Bryant on or
be ore December 31, 1969.
Th s conveyance includes all crop allotmonts on the
pr mises above deacrlbed and said cro allotments
ar heroby conveyed to the party Of the second part.
Th party of the second part agrees to assume and
pn any and all County property taxes which may be
1e i.ed on said premises for the year 1969.
TO.HAVE AND TO HOLD the aforesaid 'tract or parcel of land,
together vlt al; privileges and appurtenances thereto belonging.
to the said howan College', and its successors and &$Aigns, to its
only use and bahoof forever.
Bryant, for
hereby Coven
and assigns,
a right to c
clear from a
highway righ
defend the s
i the said Jessie S_ Bryant and husband, Richard E.
themselves and their heirs■ executors and administrators.
ant to and with the said Chowan College, and its successor%
that they are seised of said premise9 in fee and have
3,nvcy the same in fee si.mpl'C; that the same are free and
zy and all encumbrances. except utility easements and
t-of-ways, and that they do hereby waALant and will forever
2id title to the same against she lawful Claims of all

10/13/2011 16:10 35R7914
REGISTER OF DEEDS
PAGE 05
persons whomso
iN 1{
Richard H. Bry
and year first
ea;;u 337 ra2�
v'er. .
TNESS WHEREOF, the said Jessie S. Bryant and husband,
nt. havv hereunto set their hands and seals, the day
above written_
(SEAL)
(SEAL)
NORTH CAROLINA
HERTFORD COUNT
I, , a Notary Public, In and
for .the, County and State aforesaid. do hereby certify that Jessie S.
Bryant and hus arid, Richard E. Bryant, personally appeared before me
this day and a knowledged the due execution of the annexed Dood of
Conveyance,
%!'J5.;;'ET�;� Wi tnt ss my hand end Notaxial,Seal, this kb.e day of
r: F r, ` - h r a f- otary 1_tj0Lt.3.c
�i' My, .Cat~l.�a ion xpires
01t_Tll CA OLIVA
H1iRTFORD COUNT
The oregoing certificate of
Notary Public s certified to be correct. This instrumens was
presented For eg3strati.on and recorded in this office at Book
Page.
This any of. 194,1 as c1oGk=M_
T_ 'V, NORTHIC01-f
Register of Deeds
ay og. ter a ae s
S
I '
i

Chowan University Athletic Facilities — Phase 1
State Stormwater Review
Proiect Narrative:
Chowan University has proposed a +/- 8.087 acre site for a maintenance facility and tennis -courts. The
site includes one maintenarc-e building, eight tennis courts, two paring lots, and a proposed driveway.
The project is located in Murfreesboro, NC on the east side of Union Street (SR 1179) and 1000 ft south
of Hassell Drive. The 1.5" storm water runoff volume will be treated to 85% TSS removal via a wet pond
which will also provide detention for the 1-yr 24-hr storm. The storm water will be discharged into the
Hares Branch waterway which is part of the Chowan River Basin. This waterway is classified as a NSW/C
and has no additional requirements for treatment onsite. We are submitting for a State Storm Water
Permit and a Land Quality Erosion and Sediment Control Permit.
The existing site is a grassed with a tree area in the southeast section of the site. The site is slope so that
the Stormwater runoff is to the southeast. Future site discharges into the Hares Branch waterway.
All storm water will be collected through drainage structures and transported via a piping system to the
proposed wet pond. The wet pond is sized for a portion of the master plan build out provide in the
calculations manual. It will be constructed to handle 8.087 acres of land with an impervious area of
80%. The current site to be constructed is only 41% impervious. The remaining 39% of impervious area
will be constructed within the next year for future parking area.
RECEIVED
SEP 2 1 2012
DWQ-WARO

E
• � � 1 � � �r, �...+-. - '� �� ! �r � � %i" � �s` J� F �w � `^tip
i qy ate: -�., �* ��� 4 _ •,� �� i # � � ��� nJ !`f,� `..� /'��
�� �, _
} ', { • �� ss ...,,.:;-�_ �} ��``:,. :.� `:ram
`*� ♦ r � _. 1 �-•.� � ^ +� „"" ,.,.«+r, 4,� � �;li ` +,,,��.r��O J - i f'� sF � `y �� 1
E
f NO
ell
F �
rs61
r f ; � J.6.r% f�,.,..r ��i F f 1 � �� � f• } r•" �.. g fi i f d
r
� � �F r ` : �� .} try �, � � •.�"'� 1 '"� {f � . '•�, ` .. _..�- � .. -. ,
,Jj)i� Jff�ft } r � {�%� ��f! µ `'4,r}_�`,.' - A" `� � frt 1 it r1 - N �-�,� x•"
N}�rUSGSV NED
Excerpt 11" p
SEP-D\N2�1Z
ar ARO

North Carolina Secretary of State
Page I of I
North Carolina
Elaine F Marshall DEPARTMENT QI=-I-I-IE
Secretary SECRETARY OF STATE
Date: 10/19/2011
PO Box 29622 Raleigh, NC 27626-0622 t919►807-2000
Click here to:
View Document Filings i Sign Up for E-Notifications i
PC, PLLC, LP and Non -Profit entities are not required to file annual reports.
Corporation Names
Name Name Type
NC CHOWAN LEGAL
UNIVERSITY
NC CHOWAN COLLEGE PREV LEGAL
NC CHOWAN BAPTIST PREV LEGAL
FEMALE INSTITUTE
Non -Profit Corporation Information
SOSID:
0027709
Status:
Current -Active
Effective Date:
2/28/1905
Dissolution Date:
Annual Report Due
Date:
Citizenship:
DOMESTIC
State of Inc.:
NC
Duration:
PERPETUAL
Registered Agent
Agent Name: WHITE, M. CHRISTOPHER
Office Address: ONE UNIVERSITY PLACE
MURFREESBORO NC 27855
Mailing Address: ONE UNIVERSITY PLACE
MURFREESBORO NC 27855
Principal Office
Office Address: ONE UNIVERSITY PLACE
MURFREESBORO NC 27855
Mailing Address: ONE UNIVERSITY PLACE
MURFREESBORO NC 27855
RECEIVED
S E P 2 1 2012
DWQ-WARD
Officers
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
1282
http://w�N,w.secretary.state.nc.us/corporations/Corp.asps?Pitein I d=4815196 10/ 19/201 1

WET DETENTION POND ANALYSIS - ALL RULES
FILE NAME:
S:IWQSISTORMWATERIEXCELSPREADSHEETSIPOND1120906
PROJECT#: SW7
120906
REVIEWER: Samir
Initial Run Date
PROJECT NAME:
Chowan University Athletic Facilities Ph 1
Last modified 23-Oct-12
Receiving Stream:
Hares Branch
Class:
Drainage Basin:
Chowan
-NSW
Within 112 mile Y or N
SIN
Index No, 15.00
Site Area
ODrainage Area
8.09
acres
square feet
DA Area 8.09 acres
352270.00
Rules- "2008" or "Ph2"
2008
IMPERVIOUS AREAS - BUA
Runoff C
Buildings
281816,00
square feet
i user input rec
Street
square feet
0.98 formula
SW
square feet
0.95
Future
square feet
Offsite
square feet
77.
Other
square feet
)BUA at dill. DSQ
TOTAL
square feet
281816.00 square feet
SURFACE AREA CALCULATION (with added DA and BUA at different design storm)
Overall % Impervious
80.00%
SAIDA Ratio
4.70%
Average Design Depth
4.5
feet
Req. SA
16557 sf
TSS, 85 or 90:
85
%
Prov. SA
18331 sf
TEMPORARY POOL AND FOREBAY VOLUME CALCULATIONS
New BUA
Old BUA
Drainage Area®
352270.00
sf
BUA
281816.00
0.00
sf
Post development Rv=
0.770
#DIV/01
unitless
Old BUA Design Storm
inches
Old BUA Design Volume
0
1.5" New BUA Design Storm Volume
33906
t yr. 24 hour precipitation depth (inches)
2.90
from NOAA chart
Predevelopment Rv value
0.05
Use 0.05 if no existing BUA
1 yr. 24 hr. Pre -development volume
4257
cubic feet
1 yr_ 24 hr. Post -development volume
65552
cubic feet
2008 Design Volume
33906
cubic feet
Phase 2 Design Volume
33906
cubic feet
Required Volume
Top of Sediment
Bottom of Shelf
Permanent Pool
Top of Shelf
Temporary Pool
Volume met at elev
Vol. Prov. at TP
33906
49.00
56.00
56.50
57.00
58.75
58.41
49853.50
ct
msl ........
msl.........
msl...... ...
msl.........
msl.........
msi
cf
Area, sf
Inc. volume
Acc, volume
5812.00
0.00
0.00
15915.00
76044.50
76044.50
18331,00
8561.50
84606.00
21000,00
9832.75
94438.75
24738.00
40020.75
134459.50
FOREBAY
Perm. Pool Volume=
Req. Forebay Volume=
Provided Volume=
Percent--
IMax Pumt, HP
84606
16921
16733.00
19.8%
Calculated Average Depth. feet 15.25
F 113
ORIFICE CALCULATION
Average Head
Flow Q2, cfs
Flow Q5, cfs
No. of Orifices
Diameter, inches
Drawdown =
i yr 24 hr intensity, in/hr
Runoff Coefficient
1 yr 24 hr peak Q
Orifice Bow<1yr24hr ?
feet
cfs
cis
or weir H x W
days
NOAA chart @t
unitless
cfs
Q2 Area = 6.94
Q5 Area 2.78
Orifice Area = 4.91
Av . Flow Q= 0.139
in x
'# of end contractions, N =
discharge coefficient, C =
Effective weir length, L =
sq. inches
sq. inches
sq. inches
cis
in
3.33
0.00
0.72
0.196
0.078
1
2.50
2.8
0.12
0.85
0.82
YES -OK

Page 1 of 2
LandDesign
Transmittal
ID: 00005
Date Sent: 9/20/2012
Project: 7512013 CHOWAN UNIVERSITY MAINTENANCE FACILITY
Number: 7512013
To: Division of Water Quality - Surface Water Protection
943 Washington Square Mall
Washington, NC 27889
From: Steven Keidel
LandDesign
Subject: Chowan University Athletic Facilities - Phase 1 State Stormwater Review
via: Overnight
Purpose: For your review and comment
Remarks: Attached for submittal:
Check
Original & copy of application and all associated forms.
2 sets of plans
2 & set of Engineering Calculations.
Please let me know if you have any questions.
Thanks,
Steven Keidel
LandDesign
CC:
Description of Contents
Quantity
Dated
Description
1
9/18/2012
C-0.0.pdf
1
9/18/2012
C-1.0.pdf
1
9/18/2012
C-1.1.pdf
1
9/18/2012
i
C-10.0,pdf
1
9/18/2012
C-2.0.pdf
1
9/18/2012
C-2.1.pdf
1
9/18/2012
C-2.2.pdf
1
9/18/2012
C-2.3.pdf
1
9/18/2012
C-2.4.pdf
1
9/18/2012
C-3.0.pdf
1
9/18/2012
C-3.1.pdf
1
9/18/2012
C-3.2.pdf
1
9/18/2012
3
C-3.3.pdf
aboutNank 9/20/2012

Page 2 of 2
1
9/18/2012
C-3.4.pdf
1
9/18/2012
C-3.5.pdf
1
9/18/2012
C-4.0.pdf
1
9/18/2012
C-4.1.pdf
1
9/18/2012
C-5.0.pdf
1
9/18/2012
C-5.1.pdf
1
9/18/2012
C-5.2.pdf
1
9/18/2012
C-6.0.pdf
1
9/18/2012
C-6.1.pdf
1
9/18/2012
C-6.2.pdf
1
9/18/2012
C-7.0.pdf
1
9/18/2012
C-7.1.pdf
1
9/18/2012
C-7.2.pdf
1
9/18/2012
C-7.3.pdf
1
9/18/2012
C-7.4.pdf
1
9/18/2012
C-7.5.pdf
1
9/18/2012
C-9.0.pdf
1
9/17/2012
CALL BOOK.pdf
1
9/17/2012
SSW-SWU-101.pdf
about:blank 9/20/2012

G r--lC, 04L
we r<—C)
DWQUSE ONLY
Date Received
Fee Paid
Permit Number
a
s
I—
Applicable Rul s:
(select all that apply)
❑ Coastal SW - 1995 ❑ Coastal SW - 2008 ❑ Ph 11 - Post Construction
❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Managem t Plan
ElOther WQ Mgmt Plan:
SO
State of North Carolina �� � � ��� D
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORIIJPP 2 1 2012
This forty may be photocopied for use as an original
1. GENERAL INFORMATION DWQ—WA RO
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Chowan University Athletic Facilities - Phase 1
2. Location of Project (street address)_
Union Street 1000 ft south of Hassell Drive
City: Murfreesboro County: Hertford Zip:27855
3. Directions to project (from nearest major intersection):
Turn north from US 158 onto Union Street (SR 1179)
Site is approximately .6 miles on the right.
4. Latitude:36° 25' 45.30" N Longitude:-77°_05' 48.79" 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
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):
❑LAMA Major ®Sedimentation/Erosion Control: 7.9$ ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b. If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
Form SWU-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 roiect):
Applicant/Organization:M. Christopher White/Chowan University
Signing Official & Title:President of Chowan University
b.Contact information for person listed in item la above:
Street Address:One University Place
City: Murfreesboro State:NC Zip:27855
Mailing Address (if applicable). -One University Place
City: Murfreesboro State: NC Zi p:27855
Phone: (252 } 398-6250 Fax:
Email:
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/Organizatio
Signing Official & Title:
b.Contact information for person listed in item 2a above!
Street Address:
City:
Mailing Address (if applicable):
Citv:
Phone: ( }
Email:
Sta
State: Zip:
Fax: f 1
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official & Title:
b.Contact information for person listed in item 3a above:
Mailing Address:
City: State:
Phone: ( } Fax: ( }
Email:
4. Local jurisdiction for building permits: Hertford Count
Point of Contact:William Earl Phone #: (252 ): 358-7801
Form SWU-101 Version 07Jun2010 Page 2 of G

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
All stormwater runoff on -site will be gathered via drainage structures and directed into a piping system. The
System will convey the stormwater to the site BMP (wetpond) and be treated before beingdischargedto the
Hares Branch Waterwa .
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.lf claiming vested rights, identifv the regulation(s) the project has been designed in accordance with:
❑ Coastal SW - 1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Chowan River basin.
4, Total Property Area: 8.087 ✓ acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:8.087 acres
* Total project area shall be calculated to exclude the fo11o7Vh1g fire lronnal pool of impounded structures, the area
between. the barks of streams and rivers, the area below the Norrrral High Water (NHVO lice or Mean High Water
(MHW) line, and coastal wellmrds landward from the NHW (or MHA line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal zuetlands landward of the NHW (or MHM fine may
be included in the total project area.
8. Project percent of impervious area: (Total impervious Area / Total Project Area) X 100 = 80 ✓ %
9• How many drainage areas does the project have?7 (For high density, count I for eaclr proposed engineered
stormwater BMP. For low density and other projects, rrse I for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1.
Drainage Area _
Drain age Area
Drama e Area
Receiving Stream Name
HARES
BRANCH
✓
Stream Class
C-NSW V
,
Stream Index Number *
25-4-6
Total Drainage Area (so
352,270 ✓
6,()$ymc
On -site Drainage Area (sf)
352,270
Off -site Drainage Area (so
-
-
-
Proposed Impervious Area s
281,816 ✓
-
-
Impervious Area** total
80
Irn ervious** Surface Area
Drainage Area 1.
Draina e Area
Drainage Area °
Draina e Area _
On -site Buildings/Lots (so
12,263
On -site Streets (sf)
48,254
On -site Parkin (sf)
16,675
On -site Sidewalks (so
2,232
Other on -site (sf)
64,134
Future (sf)
138,258
Off -site (SO
0
Existing BUA*** (so
0
Total (so)
281,816
Stream Class and Index Nuurber can be determined at. http://dot tal.nr:r�ertr�or� r eb/tu �slcsrr/clrrssi i{:rrt inns
Form SWU-101 Version 07Jun2010 Page 3 of 6

* Impervious area is defined as fire built upon area including, bill not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
'Report only that amount of existing BUA that Will remain after developruerrt. Do not report rrtty existing BUA that
is to be removed and Which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation.
Proiects in Union County: Contact DWQ Central Office staff to 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.org/ web/wq/ws/su/bnip-rtiatival.
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://12ortal.ncLieiii,.org[,A,eb/%vq/ws/su/stateswZfoi-i-tis does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http//portal.ncdenr.org/web/w(f/tvs/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 bIue ink. Download the latest
versions
for each submitted application package from liLtLi://12ortil.ncdenr.org/web/ivq/w.s/su/­`statesw/forms
does.
/
Initials
V 1. Original and one copy of the Stormwater Management Permit Application Form.
�dC.
FIA- 2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
(if required as per Part VIl below)
V1Form.
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
�
agreement(s) for each BMP.
'/
V 4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
httR://www.envhelp.org/pa,ges/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
/additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management
for
V"6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
-
receiving stream drains to class SA waters within'/z mile of the site boundary, include the'/z
/ mile radius on the map.
ram'
/7. Sealed, signed and dated calculations.
.`
v 8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
ti/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.
impounded
r/ • Delineate the vegetated buffer landward from the normal pool elevation of
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
i/ j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
I. 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.
Form SWU-101 Version 07]un2010 Pate 4 of 6

Drainage areas delineated (included in the main set of plans, not as a separate document).
Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x1l" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to vernfij the SHWF prior
to submittal, (9I0) 796-7378.)
10. A copy of the most current property deed. Deed book: 337 Page No: 214
V 11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 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.
htt�:/ www,secretar ..state.nc.us/Corporations/CSearch.asl2x
VII. 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
htlp://portal.ncdenr.orgZweb/wg1ws/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 sale 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 Gastel _
Consulting Firm: LandDesign, Inc.
Mailing Address:19 W. Hargett Street _
City:Raleigh State:NC Zip:27601
Phone: (919 ) 838-9331 Fax: i919 L 800-3583
Email:[e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, itenn 2 has been filled out, complete this
sections)
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, itent 1a) with (print or type nnanne of organization listed in
Contact Information, item It?) 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-101 Version 07Jun2010 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature:
a Notary Public for the State of
do hereby certify that
before me this _ day of
Date:
County of
personally appeared
and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seat,
SEAL
My commission expires.
X. APPLICANT'S CERTIFICATION
1, (print or type nante of person listed in Contact Mfonnation, item la) M. Christopher VAite
certify that the information included on this permit appli tion form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with lie approved plans, that the required deed restrictions
and protective covenants will be recorded, and that t oposed project complies with the requirements of the
applicable storm wa t /r�rules un r S NCAC�2H .1 SL 2006-246 {Ph. I I - Post Constr%�ion} or SL 210_Q8-1�1. r
Signature: A I/ f _. �� V l Da 0 11:�t.
a Notary JPiblic ford the
County of
VA 244A do hereby certify that L.AR tA�yV ft—L.TQ-, personally appeared
before m is b may of ticia
andnowledge the due exe on of the application fora stormwater permit. Witness my hand and ol seat
SEAL
My commission expires
J-o 1 5-
Form SWU-101 Version 07Jun2010 Page 6 of 6