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HomeMy WebLinkAboutSW8040107_CURRENT PERMIT_20040412STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW %�g DOC TYPE � CURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE WYYMMDD a OF WA-FFq Michael F. Easley, Governor Q William G. Ross Jr., Secretary �O G North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E.,Director C3 Division of Water Quality Coleen H. Sullins, De uty Director Division of �ater Quality April 12, 2004 Ms. Michele Zapple, Managing Member Bishop & Zapple, LLC 2831 Carolina Beach Road Wilmington, NC 28412 Subject: Stormwater Permit No. SW8 040107 Carolina Gymnastics Academy High Density Project New Hanover County Dear Ms. Zapple: The Wilmington Regional Office received a complete Stormwater Management Permit Application for Carolina Gymnastics Academy on April 8, 2004. Staff review of the plans and specifications has determined that the project, as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No. SW8 040107 dated April 12, 2004, for the construction of the subject project. This permit shall be effective from the date of issuance until April 12, 2014, 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, P.O. Drawer 27447, Raleigh, NC 27611- 7447. Unless such demands are made this permit shall be final and binding. If you have any questions, or need additional information concerning this matter, please contact Linda Lewis, or me at (910) 395-3900. Sincerely, Rick Shiver Water Quality Regional Supervisor RSSlarl: S:IWQSISTORMWATIPERMIT1040107.apr04 CC" Phil Tripp, P.E. Tony Roberts, New Hanover County Building Inspections Beth E. Wetherill, New Hanover County Engineering Division of Coastal Management Linda Lewis Wilmington Regional Office Central Files N. C. Division of Water Quality 127 Cardinal Drive Extension (910) 395-3900 Customer Service A;11 Wilmington Regional Office Wilmington, NC 28405 (910) 350-2004 Fax 1 800 623-7748 NCDE R State Stormwater Management Systems Permit No. SW8 040107 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 Michele Zapple, Bishop & Zapple, LLC Carolina Gymnastics Adademy New Hanover County FOR THE construction, operation and maintenance of a wet detention pond in compliance with the provisions of 15A NCAC 2H A 000 {hereafter referred to as the "stormwater rules'l 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 April 12, 2014, and shall be subject to the following specified conditions and limitations: I. DESIGN STANDARDS 1. This permit is effective only with respect to the nature and volume of stormwater described in the application and other supporting data. 2. This stormwater system has been approved for the management of stormwater runoff as described on page 3 of this permit, the Project Data Sheet. The stormwater control has been designed to handle the runoff from 33,781 square feet of impervious area. 3. The tract will be limited to the amount of built -upon area indicated on page 3 of this permit, and per the approved plans. 4. All stormwater collection and treatment systems must be located in either dedicated common areas or recorded easements. The final plats for the project will be recorded showing all such required easements, in accordance with the approved plans. 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. A permit modification must be submitted and approved prior to the construction of additional built -upon area from outside of the approved drainage area. Page 2 of 8 State Stormwater Management Systems Permit No. SW8 040107 DIVISION OF WATER QUALITY PROJECT DESIGN DATA SHEET Project Name: Permit Number: Location: Applicant: Mailing Address: Application Date: Receiving Stream/River Basin: Stream Index Number: Classification of Water Body: Drainage Area, acres: Onsite, ft : Offsite, ft2: Total Impervious Surfaces, ft2: Pond Depth, feet: TSS removal efficiency: Permanent Pool Elevation, FMSL: Permitted Surface Area, ft2: Permitted Storage Volume, ft3: Temporary Storage Elevation, FMSL: Controlling Orifice: Permitted Forebay Volume, ft3: Carolina Gymnastics Academy SW8 040107 New Hanover County Michele Zapple, Managing Member Bishop & Zapple, LLC 2831 Carolina Beach Road Wilmington, NC 28412 April 8, 2004 Barnards Creek 1 Cape Fear CPF17 18-80 "C Sw" 1.99 1.99 0 33,781 6.0 90% (no filter is required) 36.50 2,652@Permanent Pool 17,775 40.25 0.5"0 pipe (drawdown in 2-5 days) 1,275 Page 3 of 8 State Stormwater Management Systems Permit No. SW8 040107 Ill. SCHEDULE OF COMPLIANCE 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 times 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 revegetation of slopes and the vegetated filter. 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, flow spreader, catch basins and piping. g. Access to the outlet structure must be available at all times. 4. Records of maintenance activities must be Kept and made available upon request to authorized personnel of DWQ. The records will indicate the date, activity, name, of person performing the work and what actions were taken. 5. Decorative spray fountains will be allowed in the stormwater treatment system, 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 in this pond is 118 HP. 6. The facilities shall be constructed as shown on the approved plans. This permit shall become voidable unless the facilities are constructed in accordance with the conditions of this permit, the approved plans and specifications, and other supporting data. 7. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to operation of this permitted facility, a certification must be received from an appropriate designer for the system installed certifying that the permitted facility has been installed in accordance with this permit, the approved plans and specifications, and other supporting documentation. Any deviations from the approved plans and specifications must be noted on the Certification. A modification may be required for those deviations. Page 4 of 8 State Stormwater Management Systems Permit No. SW8 040107 8. if the stormwater system was used as an Erosion Control device, it must be restored to design condition prior to operation as a stormwater treatment device, and prior to occupancy of the facility. 9. At least 30 days prior to the sale or lease of any portion of the property, the permittee shall notify DWQ and provide the name, mailing address and phone number of the purchaser or leasee. An access/maintenance easement to the stormwater facilities shall be granted in favor of the permittee if access to the stormwater facilities will be restricted by the sale or lease of any portion of the property. 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, 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 permittee shall submit final site layout and grading plans for any permitted future areas shown on the approved plans, prior to construction. If the proposed BUA exceeds the amount permitted under this permit, a modification to the permit must be submitted and approved prior to construction. 12. A copy of the approved plans and specifications shall be maintained on file by the Permittee for a minimum of ten years from the date of the completion of construction. 13. The permittee must maintain compliance with the proposed built -upon area and r ensure that the runoff from all the built -upon is directed into the permitted system. 14.. 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. 15. The permittee must maintain the current permitted drainage area. No additional runoff from outside of the permitted drainage area boundary may enter the permitted stormwater facilities without first applying for and receiving a permit modification. Page 5 of 8 State Stormwater Management Systems Permit No. SW8 040107 Ili. 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 formal permit transfer request to the Division,of Water Quality, accompanied by a completed name/ownership change form, documentation from the parties involved, and other supporting materials as may be appropriate. The approval of this request will be considered on its merits and may or may not be approved. The permittee is responsible for compliance with all permit conditions until such time as the Division approves the transfer request. 2. 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. 3. _ The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules, regulations, or ordinances which may be imposed by other government agencies (local, state, and federal) which have jurisdiction. 4. 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. 5. 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. 6. The permit may be modified, revoked and reissued or terminated for cause. The filing of a request for a permit modification, revocation and reissuance or termination does not stay any permit condition. 7. 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. 8. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit. 9. The permittee shall notify the Division any name, ownership or mailing address changes within 30 days. Permit issued this the 12th day of April, 2004, NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION -'r — Jk Alan W. Klimek, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission Page 6 of 8 State Stormwater Management Systems Permit No. SW8 040107 Carolina Gymnastics Academy Stormwater Permit No. SW8 040107 New Hanover Count 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 7 of 8 State Stormwater Management Systems Permit No. SW8 040107 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 Regional Office Tony Roberts, New Hanover County Building Inspections Page 8 of 8 OFFICE USE ONLY Date Received Fee Paid Permit Number — z—� = loo a. W3 a State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM This form may be photocopied far use as an original I. GENERAL INFORMATION 1. Applicants name (specify the name of the corporation, individual, etc. who owns the project): .Bishop & Zapple, LLC 2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance): Michele Zavple, Managing Member 3. Mailing Address for person listed in item 2 above: 2831 Carolina Beach Road City:, _ WilmingtonState:_ NC Zip: 28412 Telephone Number: 910-796-1896 4. Project Name (subdivision, facility, or establishment name — should be consistent with project name on plans, specifications, letters, operation and maintenance agreements, etc.): Carolina Gymnastics Academy 5. Location of Project (street address): 3529 Carolina Beach Road City: Wilmin on County: New Hanover 6. Directions to project (from nearest major intersection): Approximately_2, miles south from the intersection of NC 74 and US 421. Project is on the east side of Hwy 421 I'L 7. Latitude: N 340 09' 00" Longitude: W 770 00' 00" of project 8. Contact person who can answer questions about the project: Name: Phillip TrippTelephone Number: 910-763-5100 II. PERMIT INFORMATION: 1. Specify whether project is (check one): X New Renewal Modification Form SWU-101 Version 3.99 Page 1 of 4 2. If this application is being submitted as the result of a renewal or modification to an existing permit, list The existing permit number and its issue date (if known) 3. Specify the type of project (check one): Low Density X High Density Redevelop General Permit Other 4. Additional Project Requirements (check applicable blanks): CAMA Major X Sedimentation/Erosion Control 404//401 Permit NPDES Stormwater Information on required state permits can be obtained by contacting the Customer Service Center at 1-877-623-6748, in. PROJECT INFORMATION 1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative (one to two pages) describing stormwater management for the project. wet detention basin 2. Stormwater runoff from this project drains to the Cape Fear River basin. 3. Total Project Area: 1.99 acres 4. Project Built Upon Area: 40 %. 5. How many drainage basins does the project have? 1 6. Complete the following information for each drainage area. If there are more than two drainage areas in the project, attach an additional sheet with the information for each area provided in the same format as below. Basin information DrainageBasin l Drainage Basing Receiving Stream Name Barnards Creek Receiving Stream Class C-SW Drainage Basin Area 1.99 ac Existing Impervious * Area - Proposed Impervious * Area 33,781 sf % Impervious* Area (total) 40% Impervious * Surface Area Drainage Basin 1 e Drainage Basin:2 On -site Buildings 15,000 sf On -site Streets - On -site Parking 18,166 sf On -site Sidewalks 615 sf Other on -site 0 ff-site - Total: E= 33,781 sf E_ * Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas sidewalks, gravel areas, etc. Form SWU-101 Version 3.99 Page 2 of 7. How was the off -site impervious area listed above derived? IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS The following italicized deed restrictions and protective covenants are required to be recorded for all subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment. I. The following covenants are intended to ensure ongoing compliance with state stormwater managementpermit number as issued by the Division of Water Quality. These covenants may not be changed or deleted without the consent ofthe State. 2. No more than square feet of any lot shall be covered by structures of impervious materials. Impervious materials include asphalt, gravel, concrete, brick, stone, slate or similar material but do not include wood decking or the water surface of swimming pools. 3. Swales shall not be filled in, piped or altered except as necessary to provide driveway crossings. 4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to construction. 5. All permitted runoff from outparcels or future development shall be directed into the permitted stormwater control system. These connections to the stormwater control system shall beperformed in a manner that maintains the integrity and performance of the system as permitted. By your signature below, you certify that the recorded deed restrictions and protective covenants for this project shall include all the applicable items required above, 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 State, and that they will be recorded prior to the sale of any Iot. V. SUPPLEMENT FORMS The applicable state stormwater management permit supplement form(s) listed below must be submitted for each BMP specified for this project. Contact the Stormwater and General Permits Unit at (910) 733-5083 for the status and availability of these forms. Form SWU-102 Form SWU-103 Form SWU-104 Form SWU-105 Form SWU-106 Form SWU-107 Form SWU-108 Form SWU-109 Wet Detention Basin Supplement Infiltration Basin Supplement Low Density Supplement Curb Outlet System Supplement Off -Site System Supplement Underground Infiltration Trench Supplement Neuse River Basin Supplement Innovative Best Management Practice Supplement Form SWU-101 Version 3.99 Page 3 of V1. SUBMITTAL REQUIREMENTS Only complete application packages will be accepted and reviewed by the Division of Water Quality (DNVQ). A complete package includes all of the items listed below. The complete application package should be submitted to the appropriate DWQ Regional Off"tec. 1. Please indicate that you have provided the following required information by initialing in the space provided next to each item. Applicant's Initials • Original and one copy of the Storrnwater Management Permit Application Form • One copy of the applicable Supplement Form(s) for each BMP • Permit application processing fee of $420 (payable to NCDENR) • Detailed narrative description of stormwater treat men t/manage men t • Two copies of plans and specifications, including: /Lt ljQ� - Development/Project name - Engineer and firm - Legend - North arrow - Scale - Revision number and date - Mean high water line - Dimensioned property/project boundary - Location map with named streets or NCSR numbers - Original contours; proposed contours, spot elevations, finished floor elevations - Details of roads, drainage features, collection systems. and stormwater control measures - Wetlands delineated, or a note on plans that none exist - Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations - Drainage areas delineated - Vegetated buffers (where required) VII. AGENT AUTHORIZATION If you wish to designate authority to another individual or firm so that they may provide information on your behalf, please complete this section. Designated agent (individual or firm): Tripp Ln<4ineering�P.C. Mailing Address: 419 Chestnut Street City: 1Vilmin ton State: NC Zip: _28401 Phone: �(910)_763-5100 _ _ Fat: _ (910i ) 763-5631� _ Vill. APPLICANT'S CERTIFICATION I, {print or type name of person lislecl in General Information, item ?) Michele Za le certify that the information included on this permit application form is; to the best of my knowledge, correct and that the project will be constructed in conformance with the approved plans, that the required deed restrictions and protective covenants will be recorded, and that the proposed project complies with the requirements of l 5A NCAC 214 .1000. Signature: 1111,44A14a Date: w Forth SWU-101 Version 3.99 Page 4 of Permit No. '(,U &T4 4-U (G (to be provided by D1Y0 State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM WET DETENTION BASIN SUPPLEMENT This form may be photocopied for use as an original DWO Stormwater Management Plan Review: A complete stormwater management plan submittal includes a wet detention basin supplement for each basin; design calculations. plans and specifications showing all basin and outlet structure details; and a signed and notarized operation and maintenance agreement. I. PROJECT INFORMATION (please complete the following information): Project Name: Carolina Gymnastics Academy Contact Person: Phillip TrippPhone Number: ( 910 )_763-5100 For projects with multiple basins, specify which basin this worksheet applies to: 1 elevations Basin Bottom Elevation 31.5 ft. Permanent Pool Elevation 36.5 ft. Temporary Pool Elevation i40.25 ft. (floor of the basin) (elevation of the orifice) (elevation of the discharge structure over floiv) areas Permanent Pool Surface Area 2,652 sg.ft. (water surface area at the orifice elevation) Drainage Area Impervious Area volumes Permanent Pool Volume Temporary Pool Volume Forebay Volume Other parameters SA/DA k Diameter of Orifice Design Rainfall Design TSS Removalz 1.99 ac. (on -site and off -site drainage to the basin) 0.78 ac. (on -site and off -site drainage to the basin) i6.755_ cu.ft. (combined volume of main basin and forebay) 17.775 cu.ft. (volume detained above the permanent pool) 1 583 cu.ft. (approximately 20% of total volume) 3.04 (surface area to drainage area ratio from DWQ table) 0.5 in. (2 to 5 day temporary pool draw -down required) 1 in. 90 % (minimum 85% required) Form SWU-102 Rev 3.99 Page 1 of 4 Footnotes: 1. When using the Division SA/DA tables, the correct SA/DA ratio for permanent pool sizing should be computed based upon the actual impervious % and permanent pool depth. Linear interpolation should be employed to determine the correct value for non. standard table entries. 2. In the 20 coastal counties, the requirement for a vegetative filter may be waived if the wet detention basin is designed to provide 90% TSS removal. The NCDENR BMP manual provides design tables for both 85% TSS removal and 90% TSS removal. H. REQUIRED ITEMS CHECKLIST The following checklist outlines design requirements per the Stormwater Best Management Practices Manual (N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code Section: 15 A NCAC 2H .1008. Initial in the space provided to indicate the following design requirements have been met and supporting documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit Application Form, the agent may initial below. If a requirement has not been met, attach justification. Applicants Initials /1 _6y a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet). AMA- b. The forebay volume is approximately equal to 20% of the total basin volume. /YIS tf - c. The temporary pool controls runoff from the design storm event. d. The temporary pool draws down in 2 to 5 days. e. If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow calculations). M,�# __ f. The basin length to width ratio is greater than 3: 1. /hM g. The basin side slopes above the permanent pool are no steeper than 3: 1. 46 // h. A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail). i. Vegetative cover above the permanent pool elevation is specified. j. A trash rack or similar device is provided for both the overflow and orifice. %L) k. A recorded drainage easement is provided for each basin including access to nearest right- of-way. 1. If the basin is used for sediment and erosion control during construction, clean out of the basin is specified to be performed prior to use as a wet detention basin m. A mechanism is specified which will drain the basin for maintenance or an emergency. III. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the vegetated filter if one is provided. This system (check one) ❑ does X does not incorporate a vegetated filter at the outlet. This system (check one) ❑ does X does not incorporate pretreatment other than a forebay. Maintenance activities shall be performed as follows: 1. After every significant runoffproducing rainfall event and at least monthly: a. Inspect the wet detention system for sediment accumulation, erosion, trash accumulation, vegetated cover, and general condition. b. Check and clear the orifice of any obstructions such that drawdown of the temporary pool occurs within 2 to 5 days as designed. 2. Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative cover to maintain a maximum height of six inches, and remove trash as needed. 3. Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap, etc.) quarterly to maintain proper functioning. 4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is reduced to 75% of the original design depth (see diagram below). Removed sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will adversely impact water quality (i.e. stockpiling near a wet detention basin or stream, etc.). The measuring device used to determine the sediment elevation shall be such that it will give an accurate depth reading and not readily penetrate into accumulated sediments. When the permanent pool depth reads _ 4.5 feet in the main pond, the sediment shall be removed. When the permanent pool depth reads 2.25 feet in the forebay, the sediment shall be removed. BASIN DIAGRAM (fill in the blanks) Permanent Pool Elevation 36.5 Sediment moval El. 34.25 75 0 -------------- - Sediment Removal Elevation 32.0 75% Bottom evation 33.5 %-------------------------------------------- ----- FOREBAY Bottom Elevation MAIN POND 5. Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface. These plants shall be encouraged to grow along the vegetated shelf and forebay berm. 6. If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through the emergency drain shall be minimized to the maximum extent possible. t• .7. All components of the wet detention basin system shall be maintained in good working order. acknowledge and agree by my signature below that I am responsible for the performance of the seven maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any changes to the system or responsible party. Print name: Bishop & Zapple. LLC Michele Zapole Title: Manaus; Member Address: 28)I Carolina Beach Road. Wilmin�,ton. NC 28412 Phone: 910-796-1896 Note: The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and a resident of the subdivision has been named the president. I. Della C. Baird a Notary Public for the State of North Carolina . County of Pender , do hereby certify that Michele Zapple personally appeared before me this -62 day of 2004 , and acknowledge the due execution of the forgoing vet detention basin maintenance recluirem ts. Witness my hand and official seal. --o',e� c . cam' SEAL My commission expires _October 15, 2006 Form SWU-102 Rev 3,99 Page 4 of 4 z-bwo oSE'ONtiY' Date Received Fee Paid Permit Number Applicable Rules: ❑ Coastal SW - 1995 ❑ CoastaI SW - 2008 ❑ Ph Il - Post Construction (select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan ❑ Other WQ M mt Plan: State of North Carolina Department of Environment and Natural Resources „ „� Division of Water Quality /V�..J STORMWATER MANAGEMENT PERMIT APPLICATION FORM This form may be photocopied for use as an original 1. GENERAL INFORMATION 1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans, specifications, letters, operation and maintenance agreements, etc.): Carolina Gymnastics Academy Expansion 2. Location of Project (street address): 3529 Carolina Beach Road City:Wilmington County:New Hanover Zip:28412 3. Directions to project (from nearest major intersection): Approximately 2 miles south from the intersection of NC 74 and US 421. Project is on the east side of US 421. 4. Latitude:34° 10' 55" N Longitude:77* 55' 43" W of the main entrance to the project. H. PERMIT INFORMATION: 1. a. Specify whether project is (check one): []New ®Modification ❑ Renewal w/ Modifications tRenewals with modifications also requires SVM-102 — RenewaI Application Form b.If this application is being submitted as the result of a modification to an existing permit, list the existing permit numberSW8 010407 , its issue date (if known) , and the status of construction: ❑Not Started ❑Partially Completed* ® Completed* "provide a designer's certification 2. Specify the type of project (check one): ❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other 3. If this application is being submitted as the result of a previously returned application or a letter from DWQ requesting a state stormwater management permit application, list the Stormwater project number, if assigned, and the previous name of the project, if different than currently proposed, 4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be obtained by contacting the Customer Service Center at 1-877-623-6748): ❑LAMA Major ®Sedimentation/Erosion Control: 0.13 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 issue date and the type of each permit:Erosion Control Permit GP 1-04 Db 5. Is the project located within 5 miles of a public airport? ❑No [EVes If yes, see S.L. 2012-200, Part VI: httl2:Hj2ortal.ncdenr.org/weblw�aw Form SWU-101 Version 06Aug2012 Page I of III. CONTACT INFORMATION 1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee, designated government official, individual, etc. who owns the project): Applicant/Organization:Biship & Zapple, LLC Signing Official & Title:Michele Zapple, Member Manager b. Contact information for person listed in item I above: Street Address:3529 Carolina Beach Road City:Wilmington StateNC Zip:28412 Mailing Address (if applicable): CIty: State: Phone: ( ) Fax: Email: Zip: c. Please check the appropriate box. The applicant listed above is: ® The property owner (Skip to Contact Information, item 3a) ❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below) ❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and 2b below) ❑ Developer* (Complete Contact Information, item 2a and 2b below.) 2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the person who owns the property that the project is located on): Property Owner/Organization: Signing Official & Title: b. Contact information for person listed in item 2a above: Street Address: City: Mailing Address (if applicable) - City: Phone: l 1 State: Zip: State: Zip: Fax: { ) 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: Phone: Email: 4. Local jurisdiction for building permits: Point of Contact: State: Fax: ( } Phone #: Zip: Form SWU-101 Version 06Aug2012 Page 2 of 1V. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. existing wet detention fond 2. a. if claiming vested rights, identify the supporting documents provided and the date they were approved: ❑ Approval of a Site Specific Development Plan or PUD Approval Date: ❑ Valid Building Permit Issued Date: ❑ Other: Date: b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with: ❑ Coastal SW -1995 ❑ Ph II - Post Construction 3. Stormwater runoff from this project drains to the Cape Fear _ River basin. 4. Total Property Area: 1.987 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*:1.987 acres + Total project area shall be calculated to exclude the following the normal pool of impounded strictures, the area between the banks of streams and rivers, the area below the Nornial Hfgglr Water (NH} line or Mean High Water W) (MHline, and coastal wetlands landward front the NHW (or MHW) line. The resultant project area is used to calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (orMHM line may be included in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 43 % 9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered stonnwater BMP. For low density and other projects, use 1 for the whole property area) 10, Complete the following information for each drainage area identified in Project Information item 9. If there are more than four drainage areas in the project, attach an additional sheet with the information for each area provided in the same format as below. Basin,Infotmahori= Drama e,,Arearl`$: _ ?I7raii►a `e" Area - Drairta e Area,• - _w , „I7rauia -eiAreati Receiving Stream Name Barnards Creek Stream Class * C-Sw Stream Index Number * CPF 1718-80 Total Drainage Area (so 86,554 On -site Drainage Area (sf) 86,554 Off -site Drainage Area (sf) - Proposed Impervious Area`* s 36,304 To Im ervious Area** total 42% Im ervious; ,Siiiface Area Drainage Areal ; ,Drama e Area _ -Drama "e Area . Di au►a e'Azea'- On -site Buildings/Lots (so 2,523 On -site Streets (so - On -site Parking (so - On -site Sidewalks (so - Other on -site (so - Future (so - Off -site (so - Existing BUA*** (so 33,781 Total (so: 36,304 * Stream Class and Index Nitntber can be detennined at: http://Portal.ncdenr.org[webAt?q&slcsulclassijications *` Irnper i.ous area is defined as the built upon area including, but not litnited to, buildings, roads, parking areas, sidewalks, gravel areas, etc. ** Report only that amount of existing BUA that will rernain after development. Do not report any existing BUA that is to be removed and which will be replaced by new B UA, Form SWU-101 Version 06Aug2012 Page 3 of 6 11, How was the off -site impervious area listed above determined? Provide documentation. N/A Proiects in Union County: Contact DWQ Central Ojflce 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 15A 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 htty://oortal.ncdenr.ore/web/wo/ws/su/bmn-manual. VI. SUBMITTAL REQUIREMENTS Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ). A complete package includes all of the items listed below. A detailed application instruction sheet and BMP checklists are available from http://portal.ncdeiir.org/web/wq/wsLsulstateswZforms docs. 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:/ / portaLncdennorgIweb/wq/ws/su/maps.) Please indicate that the following required information have been provided by initialin in the space provided for each item. All original documents MUST be signed and initialed in blue ink. Download the Iatest versions for each submitted application package from htt ortal.ncdenr.or web w ws/su/statesw/ forms dots. 1. Original and one copy of the stormwater Management Permit Application Form. (V is 2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants Form, (if required as per Part VII below) 3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M _ agreement(s) for each BMP. 4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to http://www.envhelp.org/pages/onestopexpress.htmi for information on the Express program and the associated fees. Contact the appropriate regional office Express Permit Coordinator for additional information and to schedule the required application meeting.) 5. A detailed narrative (one to two pages) describing the stormwater treatment/ managementfor the project. This is required in addition to the brief summary provided in the Project Information, item 1. 6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2 mile radius on the map. 7. Sealed, signed and dated calculations (one copy). 8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: a. Development/Project name. b. Engineer and firm. c. Location map with named streets and NCSR numbers. d. Legend. e. North arrow. f. Scale. g. Revision number and dates. h. Identify all surface waters on the plans by delineating the normal pool elevation of impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal waters, and any coastal wetlands landward of the MHW or NHW Iines, • Delineate the vegetated buffer landward from the normal pool elevation of impounded structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters. i. Dimensioned property/project boundary with bearings & distances. j. Site Layout with all BUA identified and dimensioned. k. Existing contours, proposed contours, spot elevations, finished floor elevations_ 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. o. Drainage areas delineated (included in the main set of plans, not as a separate document). p. Vegetated buffers (where required). Form S WU-101 Version 06Au92012 Page 4 of 6 9. Copy of any applicable soils report with the associated SHWT elevations (Please identify uA__� elevations in addition to depths) as well as a map of the boring locations with the existing elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the project area clearly delineated. For projects with infiltration BMPs, the report should also include the soil type, expected infiltration rate, and the method of determining the infiltration rate. (Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWI" prior to submittal, (910) 796-7378.) 10. A copy of the most current property deed. Deed book: 4082 Page No: 0395 11. For corporations and limited liability corporations (LLC): Provide documentation from the NC Secretary of State or other official documentation, which supports the titles and positions held by the persons listed in Contact Information, item 1a, 2a, and/or 3a per 15A NCAC 2H.1003(e). The corporation or LLC must be listed as an active corporation in good standing with the NC Secretary of State, otherwise the application will be returned. ht!p://www.secretary.state.nc.us/Corporations/CSearch.aspx 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 http:ZZportaI.ncdenr.or /web wq/ws/su/statesw/fornisdocs. 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:Phillip G. Tripp, P.E. Consulting Firm: TrippEn ineerin Mailing Address:419 Chestnut Street City:Wilmington _ „ _ State:NC Zip:28401 Phone: (910 ). 763-5100 - Email:trippenggec.rr.com Fax: (910 ) 763-5631 IX. PROPERTY OWNER AUTHORIZATION (if Contact Inforrmation, itern 2 has been filled oilt, complete this section) I, (print or hfpe 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 hjpe name of person listed in Contact Information, item Ia) with (print or type name of organization listed in Contact Information, item Za) 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 06Aug2012 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: I, Date: a Notary Public for the State of County of do hereby certify that personally appeared before me this _ day of and acknowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, SEAL My commission expires X. APPLICANT'S CERTIFICATION I, (print or hype name of person listed in Contact Information, item 1 a) Michele Zappte certify that the information included on this permit application form is, to the best of my knowledge, correct and that the project will be constructed in conformance with the approved plans, that the required deed restrictions and protective covenants will be recorded, and that the proposed project complies with the requirements of the applicable stormwater rules under 15A NCAC 2J4.1000 and any other applicable state stormwater requirements. Signature: Date: [o 3 v v � I, a Notary Public for the State of lb'hQ-, County of Ro &,- , do hereby certify that LA (ch e,(.e za-o je personally appeared before me this -(�- day of Mwd-' 20) � , and acknowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, .u% .' i7 . +0T'W)., SEAL My commission expires�('� Form SWU-101 Version 06Aug2012 Page 6 of 6 H � -- F_� - fib' _ 1. ! _ - 1. 'f w_ • � �,.a�1•y�.-i J, t 7 � �� f t�.� �'` - .�` � l � 'x'V�' lip' � � fl ,� �,� - y'•� h_�� i � .. Y V'� \ •� �'�. � _ ,••' Lam. � S, \emu \,. )n, _ •� r iri WA ix XV 11Y PAW in w, - �• . 4 r � � ti ter � • ,/� ' �-,4�r •� #., � y .y tk �WORT4 .Aq, s, Well