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STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER - VEGETATED FILTER STRIP (LS-VFS) SUPPLEMENT
This form must be completely filled out, printed, initialed, and submitted.
Project name
Project Walter
Contact name
David Starkel
Phone number
704.909.3513
Date
10.19.2020
Drainage area number
II. DESIGN INFORMATION
The purpose of the LS-VFS
Buffer Rule: Diffuse Flow
Stormwater enters LS-VFS from
The drainage area
Type of VFS
Engineered filter strip (graded & sodded, slope < 8%)
Explanation of any "Other" responses above
If Stormwater Enters the LS-VFS from the Drainage Area
Drainage area
Impervious surface area
Percent impervious
Rational C coefficient
Peak flow from the 1 in/hr storm
Time of concentration
Rainfall intensity, 10-yr storm
Peak flow from the 10-yr storm
Design storm
Maximum amount of flow directed to the LS-VFS
Is a flow bypass system going to be used?
Explanation of any "Other" responses above
If Stormwater Enters the LS-VFS from a BMP
Type of BMP
Peak discharge from the BMP during the design storm
Peak discharge from the BMP during the 10-year storm
Maximum capacity of a 100-foot long LS-VFS
Peak flow directed to the LS-VFS
Is a flow bypass system going to be used?
Explanation of any "Other" responses above
1,007,422 ft2
409,699 ft2
40.67 %
n 5fi
13.05 cfs
5.00 min
7.22 in/hr
94.23 cfs
Other: Explained below
9.79 cfs
Y (Y or N)
0.75 in/hr intensity per 15A NCAC 02H .1059
Do not complete this section of the form.
Pick one:
cfs
cfs Do not complete this section of the form.
10 cfs
cfs Do not complete this section of the form.
(Y or N)
Form SW401 - LS-VFS - 29June2012 - Rev.10 page 1 of 3
LS-VFS Design
Forebay surface area
820
sq It Forebay is adequately sized.
Depth of forebay at stormwater entry point
36
in
Depth of forebay at stormwater exit point
12
in Depth is appropriate.
Feet of level lip needed per cfs
10
ft/cfs
Computed minimum length of the level lip needed
98
ft
Length of level lip provided
100
ft
Width ofVFS
50
ft
Elevation at downslope base of level lip
210.50
fmsl
Elevation at the end of the VFS that is farthest from the LS
209.50
fmsl
Slope (from level lip to the end of the VFS)
2.00
%
Are any draws present in the VFS?
N
(Y or N) OK
Is there a collector swale at the end of the VFS?
N
(Y or N)
Bypass System Design (if applicable)
Is a bypass system provided?
Y
(Y or N)
Is there an engineered flow splitting device?
Y
(Y or N) Please provide plan details of flow splitter & supporting calcs.
Dimensions of the channel (see diagram below):
M
ft
B
ft
W
ft
y (flow depth for 10-year storm)
ft
freeboard (during the 10-year storm)
ft
Peak velocity in the channel during the 10-yr storm
ft/sec
Channel lining material
Other: Explained below
Does the bypass discharge through a wetland?
N
(Y or N)
Does the channel enter the stream at an angle?
Y
(Y or N)
Explanation of any "Other" responses above
Bypass outfalls through
42" pipe.
W
i B 1
Form SW401 - LS-VFS - 29June2012 - Rev.10 page 2 of 3
III. REQUIRED ITEMS CHECKLIST
EDIT Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will result
in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to indicate the
following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a requirement has not been met,
attach justification.
Requried Item:
1. Plans (1"- 50' or larger) of the entire site showing:
- Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Forebay (if applicable),
High flow bypass system,
Maintenance access,
Proposed drainage easement and public right of way (ROW), and
Boundaries of drainage easement.
2. Plan details (1" = 30' or larger) for the level spreader showing:
- Forebay (if applicable),
High flow bypass system,
One foot topo lines between the level lip and top of stream bank,
Proposed drainage easement, and
Design at ultimate build -out.
3. Section view of the level spreader (1" = 20' or larger) showing:
- Underdrain system (if applicable),
Level lip,
Upslope channel, and
Downslope filter fabric.
4. Plan details of the flow splitting device and supporting calculations (if applicable).
5. A construction sequence that shows how the level spreader will be protected from
sediment until the entire drainage area is stabilized.
6. If a non -engineered VFS is being used, then provide a photograph of the VFS showing
that no draws are present.
7. The supporting calculations.
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
Initials Page or plan sheet number and any notes:
Form SW401 - LS-VFS - 29June2012 - Rev.10 page 3 of 3