SW6200904_Application_20210122

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. 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.):
Timberland Ranch
2. Location of Project (street address):
Calloway Road
City:Quewiffle County:Hoke Zip:28376
3. Directions to project (from nearest major intersection):
The project is located 2,360 ft. from the intersection of Calloway Road and NC Highwaygoing west
towards Sumner Lane.
4. Latitude:35° 00' 42" N Longitude:790 19' 03" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenezvals with modifications also requires SWU-102 - Renewal Application Form
b. If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
®Low Density ❑High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: 13.18 ac of Disturbed Area
0404/401 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:
5. Is the project located within 5 miles of a public airport? NNo UYes
If yes, see S.L. 2012-200, Part VI: http://12ortal.ncdenr.org/web/wq/ws/su/statesw/rules laws
Form SWU-101 Version 06Aug2012 Page 1 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater runoff from the developed areas of the site will be captured and treated in a stormwater
vegetative swales to infiltration trenches.
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 Lumber & Cape Fear River basin.
4. Total Property Area: 524.7 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':524.7 acres
+ Total project area shall be calculated to exclude the following the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHIline. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 4.43 %
9. How many drainage areas does the project have?8 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 5
Drainage Area 6
Drainage Area 7
Drainage Area 8
Receiving Stream Name
Buffalo Creek
Mill Creek
Buffalo Creek
Buffalo Creek
Stream Class *
C
C
C
C
Stream Index Number *
14-2.5
18-31-11
14-2.5
14-2.5
Total Drainage Area (sf)
96,006
58,006
182,260
201,552
On -site Drainage Area (sf)
96,006
58,006
182,260
201,552
Off -site Drainage Area (so
Proposed Impervious Area** (so
81,698
24,000
134,033
167,080
% Impervious Area** total
85.1
41.4
1 73.5
82.9
Impervious— Surface Area
Drainage Area 5
Drainage Area 6
Drainage Area 7
Drainage Area 8
On -site Buildings/Lots (so
72,000
24,000
120,000
150,000
On -site Streets (so
9,698
14,033
17,080
On -site Parking (so
On -site Sidewalks (so
Other on -site (so
Future (so
Off -site (so
Existing BUA*** (so
Total (so:
81,698
24,000
134,033
167,080
* Stream Class and Index Number can be determined at: littp://portal.ncdenr.org web/wq/ps/csu/classifications
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
***Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
Form SWU-101 Version 06Aug2012 Page 3 of 6