SW8060147_CURRENT PERMIT_20100614

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 bCpo t 4%
DOC TYPE
® CURRENT PERMIT,
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

DWQ USE ONLY
Date Received
Pee Paid
Permit Number
zZ - W
0 ,°P
G� >�
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph 11- 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 I-'e1J;C E1V1—
Department of Environment and Natural Resources JUN 14 2010
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATIO
I7tis form may be photocopied far use as an original
L 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.):
Midway Park Child DcvelgMment Center
2. Location of Project (street address):
Building LCH4002. 4th ,Street _
City:Midway Park County:Onslow Zip:28544
3. Directions to project (from nearest major intersection):
Heading Soijth/ Ast on North Carolina Stale Road Z_4_ turn left on Butler Drive N. The project is at the corners of 3rd
and 4th Street on Butler,
4. Latitude:3V 43' 39" N Longitude:77° 20' 19".W of the main entrance to the
project.
II. PERMIT INFORMATION:
1, a. Specify whether project is (check one): DNeW DModification
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: ENot Started QPartially Completed* ❑ Completed" *provide a designer's
certification
2. Specify the type of project (check one):
OLow Density OHigh 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 stormwa ter project number, if
assigned, N/A and the previous name of the project, if different than currently proposed, NIA
4.
a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center a t 1-877-623-6748):
OCAMA Major ❑sedimentation/Erosion Control: 5.09 ac of Disturbed Area
❑NPDES Industrial Stormwater 11404/401 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: —
Dorm SW-101 Version 14May2010 Page 1 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 project):
Applicant/Organi7alion:Commanding Officer, USMCB Camp Lejeune
Signing Official & Tide:Baker—D-muty Public WolU Officer
b. Contact information for person listed in item 1a above:
Street Address: B1de 1005 Michael Rd.
Cily:Cai pLejeune ___ Stale: Zip:
Mailing Address (if applicable):Bld2 0Q5 Michael Rd„ _
City:Camn LcieuneState:NC Zip:28542
Phone: f9[0 ) 45t-2213 _ Fax: (910 ) _451-2927
EmaiL•carl.h.baker(Rusme.mil
c. Please check the appropriate box. The applicant listed above is:
El The properly 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 beIow)
❑ 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: Same as above
Signing Official & Title:
b. Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City:
Phone: L_
Email:
State: Zip:
State: Zip. --
Fax: L-
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/ Organ i7ation: Phil Gambrell/Luckca & Farley _ T
Signing Official & Title:
b.Contact information for person listed in item 3a above:
Mailing Address:737 SQUIh Third Street
City:Louisville _ State:KY Zip:40202
Phone: (502 ) 585-4181 _ Fax: (502_ ) 587-0488
Email:12gambreil(@Iuckctt-faricy.com
Form SWU-101 Version 14May2010 Page 2 of 8
RECEIVED
JUN 14 2010
BY:

4. Local jurisdiction for building permits:
Point of Contact:
IV. PROJECT INFORMATION
Phone #: L _ �^
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Two (2) wet detention basin BMPs will treat stormwaterrunoff from_theChild Development Center Buildings, and
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. Identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph 11 - Post Construction
3. Stormwater runoff from this project drains to the White Oak River basin.
4. Total Property Area: 5.09 acres 5. Total Coastal Wetlands Area:
acres
6. Total Surface Water Area: acres
7. Total Properly Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project Area':
5.09 acres
Total project area shall be calculated to exclude the following the normal pool of impounded structures, the area
h
between the banks of streams and rivers, the area below the Normal High Water (N line or Mean High Water
(MHW) line, and coastal wetlands landward frorn the NHW (or MHM line. The resultant project area is used to
calculate overall percent built upon area (BLIA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
S. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 40.4 %
9. How many drainage areas does the project have?2 (For high density, count 1 for each proposed engineered
stormwaler 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.
RECEIVED
JUN 14 2010
-BY.-
Form SWU-101 Version MMayM 10 Page 3 of 8

4. Local jurisdiction for building permits:
Point of Contact: Phone #:
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize low the stormwater runoff will be treated.
(2) Wet detention pond BMPs will treat all runoff from the Child Development Center Buildings, nd
associated parking lots.
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:
ElValid Building Permit Issued Date:
❑ Other: Date:
b.Identify the regulations) the ro]'ect has been designed in accordance with:
® Coastal SW —1995 � Ph it — Post Construction
3. Stormwater runoff from this project drains to the White Oak River basin,
4. Total Property Area: 5.09 acres 5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) — Total Coastal Wetlands Area (5) — Total Surface Water Area (6) = Total Project Area`:
5.09 acres
Total project area shall be calculated to exclude the follozoing the normal pool of impounded structures, the area
between the banks of streams and rivers, the area belozo the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward front the NHW for MHW) line. The resultant project area is used to
calculate overall percent built upon area (BI..IA). 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 =
51.1
o�
0
9. How many drainage areas does the project gave?2 (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 1
Drainage Area 2
Drainage Area _
Drainage Area
Receiving Stream Name
MOTT CREEK
MOTT CREEK
Stream Class *
QNSW
QNSW
Stream Index Number *
19-16-3
19-16-3
Total Drainage Area (sf)
117,091
63,198
On -site Drainage Area (sf)
117,091
63,198
O -site Drainage Area (s)
-
-
Proposed Impervious Area** (sf)
69,235
12,148
% Impervious Area" (total)
59.13
62.39
Im ervious" Surface Area
Drainage Area _
Drainage Area
Drainage Area _
Drainage Area
On -site Buildings/Lots (sf)
19,517
12,148
On -site Streets (sf)
-
-
On -site Parking (sf)
42,802
-
On -site Sidewalks (sf)
6,916
'
Other on -site (s)
-
-
Future (s)
-
Off -site (sf)
-
-
Existing BUA*** (sf)
-
27,279
To sf}:
69,235
39,427
* Stream Class and Index Number can be determined at., lrttlJ/��rtrtl.rncier�r.ot;q/zuch[zurl/ps/cri_(zssificrttiofnsForm SWU-101 Version 14May2010 Page 3 of 6 JUL 4 9 2010
�- --

-1. Permit application processing fee of $505 payabte to NCDENR. (For an Express review, refer to
hlto:/ /www.envhelp.org f napes/onestol2exi2ress.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/management for
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'/s mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations.
4. 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. Seale.
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.
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.
1. 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).
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"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: Scl►edule a site visit for DWQ to verify the SHW1' prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: N/A Page No: NIA
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of Slate 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 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of Stale, otherwise the application will be returned.
hlt www.%c-creta .Etate.nc.us Cor rations C-Search.as x
RECEIVED
JUN 14 2010
BY:
Form SWU-101 Version 14May2010 Page 5 of 8

-VIL 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
httl2://ILortal.ncdenr.orglweb/wq/ws/su/statesw /forms does. 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 Iot.
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:fhil Gambrell
Consulting Firm: Luckett & Farley
Mailing Address:737 South Third Street _
City: Louisville Sta te: KY Zip:40202
Phone: [phone] Fax: [phone]
Email:pgambrellQluckett-farlc .cam
IX. PROPERTY OWNER AUTHORIZATION (if Contact Infor►nation, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) _..__ _ certify that 1
own the property identified in this permit application, and thus give permission to (print or type name of person
Iisted in Contact Information, item 1a) _ with (print or type name of organization listed in
Contact Information, item Ia) to develop the project as currently proposed. A copy of
the lease agreement or pending properly sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
FJU
IVED
4 2�10:
Form SWU-101 Version 14May2010 Page 6 of 8

-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 1 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: 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
RECEIVED
JUN 14 2010
BY:
Form SWU-101 Version 14May2010 Page 7 of 8

X. APPLICANT'S CERTIFICATION
I, (print or type narne of person listed in Contact Information, item 1a) Carl Baker, Deau& Public Works Officer
certify that the information included on this perm it 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 stormrWter rulesVnder 15A NCAC 21-1.1000, SL 2006-246 (Ph. lI - Post Construction) or SL 2008-211.
Signatu
Date: 6 - / 40
1, - & /✓�/J/ _ , a Notzz�"144'-
Public for the State of /"Cii// e/% XX ' � . County of
do hereby certify that ^ personally appeared
before me this day of ,i� �� . and aaccknnowlee ge the duce execution of the application for a
61
stormwater permit. Witness my hand and official seal, Gam'
ALICE A BONNETTE
Notary Public
OnS1OW County
Stole Of North Carolina
My COmrnleelon Expires Oct 23. 2010
SEAL
My commission expires
RECEIVED
JUN 14 2010
BY:
Form SWU-101 Version 14May2010 Page 8 of 8

WA coLLiwInjou ExhlteI ()c4 57, 30l J
210lo vl "atlU Catol,ua F`
1' UZICrn C,O,-SUTA
�104VIA bnpllr
V!lCF, V 8QY4KHE

Permit No. a.a(A) ?O&v
(Io be provided by DWQ)
�
v. �
��O�OF W AT �9QG
.� � r
NCDENR a
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Project name Midway Park - Child Development Center
Contact person Phil Gambrell
Phone number 502-585-4181
Date 717/2010
Drainage area number 2 (West Pond)
IL DESIGN INFORMATION
Site Characteristics
Drainage area 63,198 fe
Impervious area, post -development 39,427 ff
% impervious 62.39 %
Design rainfall depth 1.5 in
Storage Volume: Non -SA Waters
Minimum volume required 4.831 ft3
Volume provided 5,132 ft3
Storage Volume: SA Waters
1.5" runoff volume ft3
Pre -development 1-yr, 24-hr runoff ft3
Post -development 1-yr, 24-hr runoff ft3
Minimum volume required ft3
Volume provided ft3
Peak Flow Calculations
Is the pre/post control of the 1yr 24hr storm peak flow requin y (Y or N)
OK
OK, volume provided is equal to or in excess of volume requin
1-yr, 24-hr rainfall depth
3.6 in
Rational C, pre -development
0.15 (unitless)
Rational C, post -development
0.65 (unitless)
Rainfall intensity: 1-yr, 24-hr storm
0,15 inlhr OK
Pre -development 1-yr, 24-hr peak flow
0,03 ft3isec
Post -development 1-yr, 24-hr peak flow
0.15 ft3/sec
Pre/Post 1-yr. 24-hr peak flow control
0.11 ft3lsec
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx. at the perm, pool elevation)
Top of 1 Oft vegetated shelf elevation
Bottom of 10ft vegetated shelf elevation
Sediment cleanout, top elevation (bottom of pond)
Sediment cleanout, bottom elevation
Sediment storage provided
Is there additional volume stored above the state -required
temp. pool?
Elevation of the top of the additional volume
Farm SW401-Wet Detention Basin-Rev.6-9117/09
28,30 fmsl
27.50 fmsl
27.75 fmsl
28.00 fmsl
27.00 fmsl
22.00 fmsl
21,00 fmsl
1.00 ft
n (Y or N)
fmsl
JUL 0 9 2410
i � •.
Parts I. & II. Design Summary. Page 1 of 2

` + Permit No.
(to be provided by DWQ)
II. DESIGN INFORMATION
Surface Areas
Area, temporary pool 7,421 ft2
Area REQUIRED, permanent pool 5119 ft2
SAIDA ratio 8.10 (unitless)
Area PROVIDED, permanent pool, P0,,,,_p1
5,408 ft2
OK
Area, bottom of 1 Oft vegetated shelf, P6nt shelf
3,991 ft2
Area, sediment cleanout, top elevation (bottom of pond),
313 ft'
Volumes
Volume, temporary pool
5,132 ft3
OK
Volume, permanent pool, VpefmyOO,
10,820 ft'
Volume, forebay (sum of forebays if more than one forebay)
2,049 ft3
Forebay % of permanent pool volume
18.9% %
OK
SAIDA Table Data
Design TSS removal
90 %
Coastal SAIDA Table Used? y (Y or N)
Mountain/Piedmont SAIDA Table Used?
(Y or N)
SAIDA ratio
8.10 (unitless)
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
n (Y or N)
Volume, permanent pool, Voefm-pool 10,820 ft3
Area provided, permanent pool, P%efm-pnn,
t2Average
depth calculated
ft
N(Y
OK
Average depth used in SAIDA, dd,,, (Round to nearest 0
ft
OKCalculation
option 2 used? (See Figure 10-2b) or N)
Area provided, permanent pool, Pp,.-P.,
5,408 ft'
Area, bottom of 10ft vegetated shelf, PWt she„
3,991 ft2
Area, sediment cleanout, top elevation (bottom of
313 ft2
pond), Ahot_ond
"Depth" (distance b/w bottom of 10ft shelf and top of se
5,00 ft
Average depth calculated
3.13 ft
OK
Average depth used in SAIDA, dd , (Round to nearest 0
3.0 ft
OK
r
Drawdown Calcutations
Drawdown through orifice?
Diameter of orifice (if circular)
Area of orifice (if -non -circular)
Coefficient of discharge (CD)
Driving head (Hn)
Drawdown through weir?
Weir type
Coefficient of discharge (C.)
Length of weir (L)
Driving head (H)
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Storage volume discharge rate (through discharge orifice or
weir)
Storage volume drawdown time
Additional Information
Vegetated side slopes
Vegetated shelf slope
Vegetated shelf width
Length of flowpath to width ratio
Length to width ratio
Trash rack for overflow & orifice?
Freeboard provided
Vegetated filter provided?
Recorded drainage easement provided?
Capures all runoff at ultimate build -out?
Drain mechanism for maintenance or emergencies is:
Form SW401-Wet Detention Basin-Rev.8-9117109
y (Y or N)
1.25 in
in
0.59 }unitless
0.27 ft
n (Y or N)
(unitless)
(unitless)
ft
ft
0.03 ft3/sec
0.15 ft3Isec
0.02 ft /sec
2.85 days OK, draws down in 2-5 days.
3 :1 OK
10 :1 OK
10.0 ft OK
3 :1 OK
3.0 :1 OK
n (Y or N) Trash rack or similar device recommended.
1.0 ft OK
n (Y or N) OK
n (Y or N) Insufficient. Recorded drainage easement required.
n (Y or N) Required to capture all runoff from the ultimate build -out
nla
M-IL 0 a 2010
Parts I. & II. Design Summary, Page 2 of 2
BY:

Permit No- sw lD(2� " ` 4-�-
(to be provided by D WQ)
APA Oa OG
NCDENR Y
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Project name
Midway Park - Child Development Center
Contact person
Phll Gambrell
Phone number
502-585-4181
Date
7/812010
Drainage area number
1 (East Pond)
II. DESIGN INFORMATION
Site Characteristics
Drainage area
117.091 ft
Impervious area, post -development
69,235 fe
% impervious
59.13 %
Design rainfall depth
1.5 in
Storage Volume: Non -SA Waters
Minimum volume required
8,521 fta OK
Volume provided
9,303 fta
OK, volume provided is equal to or in excess of volume requin
Storage Volume: SA Waters
1.5" runoff volume
fta
Pre -development 1-yr, 24-hr runoff
ffa
Post -development 1-yr, 24-hr runoff
fta
Minimum volume required
fta
Volume provided fta
Peak Flow Calculations
Is the prelpost control of the 1yr 24hr storm peak Flow requin
y (Y or N)
1-yr, 24-hr rainfall depth
3.6 in
Rational C, pre -development
0.15 (unitless)
Rational C, post -development
0.66 (unitless)
Rainfall intensity: 1-yr, 24-hr storm
0.15 inlhr OK
Pre -development 1-yr, 24-hr peak flow
0.06 ftaisec
Post -development 1-yr, 24-hr peak flow
0.27 ftaisec
PrelPost 1-yr, 24-hr peak flow control
0,21 ftaisec
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx. at the perm. pool elevation)
Top of 1 Oft vegetated shelf elevation
Bottom of 10ft vegetated shelf elevation
Sediment cleanout, top elevation (bottom of pond)
Sediment cleanout, bottom elevation
Sediment storage provided
Is there additional volume stored above the state -required
temp. pool?
Elevation of the top of the additional volume
Form SW401-Wet Detention Basin•Rev.8-9117109
30.90 fmsl
30.00 fmsl
30.16 fmsl
30.50 tmsl
29.50 fmsl
24.00 fmsl
23.00 fmsl
1.00 ft
n (Y or N)
fmsl
+;ry
JUL
Parts 1. 8 II. Design Summary. Page 1 of 2

Permit No.
(to be provided by DWQ)
II. DESIGN INFORMATION
Surface Areas
Area, temporary pool 11,785 fe
Area REQUIRED, permanent pool
8.196 ft,
SAIDA ratio
7.00 (unitless)
Area PROVIDED, permanent pool, Apem,001
8,890 1? OK
Area, bottom of 16ft vegetated shelf, A., sneer
7,041 fe
Area, sediment cleanout, top elevation (bottom of pond),
402 ft'
Volumes
Volume, temporary pool
9,303 ft3 OK
Volume, permanent pool, Vp�rm_poci
18,503 ft3
Volume, forebay (sum of forebays if more than one forebay)
3,904 ft3
Forebay % of permanent pool volume
21.1% % OK
SAIDA Table Data
Design TSS removal
90 %
Coastal SAIDA Table Used?
y (Y or N)
Mountain/Piedmont SAIDA Table Used?
(Y or N)
SAIDA ratio
7,00 (unitless)
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
n (Y or N)
Volume, permanent pool, V n,,_poo,
N, 18 50 ft3
Area provided, permanent pool, Pyerm-pool
90 fe
Average depth calculated
43.
Average depth used in SAIDA, day, (Round to nearest 0 3. f
Calculation option 2 used? (See Figure 10-2b)
�_(Y or N)
Area provided, permanent pool, Ppe,,,,_poo,
8,890 fe
Area, bottom of 1 Oft vegetated shelf, Pbnt swf
7,041 W
Area, sediment cleanout, top elevation (bottom of
402 fe
pond), Ab„_,e
"Depth" (distance b/w bottom of 1 Oft shelf and top of
se- 5.50 ft
Average depth calculated
3.35 ft
Average depth used in SAIDA, d,,,, (Round to nearest 0 .3 ft
Drawdown Calculations
Drawdown through orifice?
Diameter of orifice (if circular)
Area of orifice (if -non -circular)
Coefficient of discharge (Co)
Driving head (He)
Drawdown through weir?
Weir type
Coefficient of discharge (C„,)
Length of weir (L)
Driving head (H)
Pre -development i-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Storage volume discharge rate (through discharge orifice or
weir)
Storage volume drawdown time
Additional Information
Vegetated side slopes
Vegetated shelf slope
Vegetated shelf width
Length of flowpath to width ratio
Length to width ratio
Trash rack for overflow & orifice?
Freeboard provided
Vegetated filter provided?
Recorded drainage easement provided?
Capures ail runoff at ultimate build -out?
Drain mechanism for maintenance or emergencies is:
Form SW4C1-Wet Detention Basin-Rev,8-91171Q9
y (Y or N)
1.75 in
in'
0.59 }unitless
0.27 ft
n (Y or N)
(unitless)
(unitless)
ft
ft
0.06 ft/sec
0.27 ft/sec
0.04 ft/sec
2.19 days
3 :1
10 :1
10.0 ft
3 :1
3.3 :1
n (Y or N)
1.0 ft
n (Y or N)
n (Y or N)
n (Y or N)
n1a
V
OK
OK 3 S ems' h
CK OK,3� 1
1�
OK, draws down in 2-5 days.
OK
OK
OK
OK
OK
Trash rack or similar device recommended.
OK
OK
Insufficient, Recorded drainage easement required.
Required to capture all runoff from the ultimate build -out
F11��.1f� V✓�J
JUL 0 9 2010
Parts I. & II. Design Summery, Page 2 of 2

Pc rmit Number: 41- 7
(to he provided by D VQ)
Drainage Area Number: — 2
Wet Detention Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
The wet detention basin system is defined as the wet detention basin, O�
pretreatment including forebays and the vegetated filter if one is provided.
This system (check one): f�j� �Df1V
❑ does 91 does not incorporate a vegetated filter at the outlet.
This system (check one):
❑ does 0 does not incorporate pretreatment other than a forebay,
Important maintenance procedures:
- Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
- No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
-- Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
- If the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
- Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and
within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a
Coastal County). Records of operation and maintenance should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element.
Potentialproblem:
How I will remediate the problem -
The entire BMP
Trash debris is present.
Remove the trash/debris.
The perimeter of the wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Vegetation is too short or too
Maintain vegetation at it height of
long.
a pproximaiel six inches.
Form SW401-Wet Detention Basin O&M-Rev.4 Page I of`5

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element:
Potential roblem
How I will remediate theproblem:
The inlet device: pipe or
The pipe is clogged.
Unclog the pipe. Dispose of the
Swale
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the swale if necessary to
swale.
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design depth for
possible. Remove the sediment and
sediment storage.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional
show that pruning; is needed
practices
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The maim treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible. Remove the sediment and
storage depth,
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area.
and control the algal growth.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface.
RECEIVED
Fonn JuN 14 2010 SW401-Wet Detention Basin O&M-Rm,.4 Page 2 of 5
BY:

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element:
Potential proble=
How I will remediate theproblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. (if a licable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1796.
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 _1__ feet in the main pond, the sediment
shall be removed.
When the permanent pool depth reads 4•0 feet in the forebay, the sediment
shall be removed.
BASIN DIAGRAM
(fill in the blanks)
Sediment Removal 26.00 �P anen
------- Volume
Bottom Elevation -ft Min.
Sediment
Storage
Sediment
Form SW401-Wet Detention Basin O&M-Rev.4
Permanent Pool Elevation 30.00
Pool
Sediment Removal Elevation 24.00
----ou—me --------------------
---
Bottom Elevation 23.00
I -ft Min.
RECEIVED
JUN 14 2010
BY: Page 3 of 5

Permit Number:
(to be provided byDWQ)
Drainage Area Number:
Storage
FORF.BAY
MAIN POND
JUN 14 2010
Fonn SW401-Wet Detention Basin O&M-Rev.4 Page 4 Of 5

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. 1 agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party:
Project name:MCB-Camp Leieunc - Child Care Development Center - Midway Park
BMP drainage area number:#1_- East Pond
Print name:Carl Baker
Title:Deputy Public Works Officer
Address: Building 1005 Michael Road, MCB Camp Lejeune, NC 28547
Ong
Note: The legally responsible party should nut 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.
a Notary Public for the State of
114a 41J" County of Q�✓ t , do hereby certify that
'Us personally appeared before me this
day of /0 and acknowledge the due
execution of the forgoing et detention basin maintenance requirements. Witness my
hand and official sea],
eo 4�w—
AUCE A BONNETTE
Notary Public
Onslow County
State of North Carolina
My Commisalon Explres Oct 23. 20 0
DECEIVED
JUN 14 MG
SEAT.
BY:
My commission expires
Form 5W401-Wet Detention Basin O&M-Rev4 Page 5 of 5

Wh Gouttupaajou Exbl;oi oci SJ'So.
G
Z:014 ai 4Jo+lij catolluo
�.
Oc► om ConujA
f)
yolctA hnptic
,VrICE b 00iVE11£
;
"Sarf'0'r.�
•'.'�
i.
♦ �r
..1.
_ O— 1 .

Pemit Ntimhcr: co
(to be y�rovi ed by D H"Q )
Drainage Area Number: Z � RSA
Wet Detention Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
lot; in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
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 10 does not incorporate a vegetated filter at the outlet.
This system (check one):
❑ does �] does not incorporate pretreatment other than a forebay.
Important maintenance procedures:
— Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
— No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
— Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
— If the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
— Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and
within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a
Coastal County). Records of operation and maintenance should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element.
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash debris is Present.
Remove the trash debris.
The perimeter of the wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention basin
erosive gullies have formed.
remove the gully; and then plant a
x
ground cover and water until it is
established. Provide time and a
one-time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of
lon
approximately six inches.
Form SW401-Wet Detention Basin O&M-Rev.4
RECEIVED
JUN 14 2010
BY:
Page 1 of 5

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element:
Potential roblem:
How I will remediate theproblem:
The inlet device: pipe of
The pipe is clogged.
Unclog the pipe. Dispose of the
swale
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the swale if necessary to
swale.
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design depth for
possible. Remove the sediment and
sediment storage.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion Rroblems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than s ra in .
The vegetated shelf
Best professional practices
Prune according to best professional
show that pruning is needed
practices
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present.
Remove the weeds, preferably by
hand. 1f pesticide is used, wipe it on
the plants rather than spraying.
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible. Remove the sediment and
storage depth.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area.
and control the algal growth.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface:.
RECEIVED
Form SW401-Wet Detention Basin O&M-Rev.4 ,SUN 14 2010 Prue 2 of 5
�Y:

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element-
Potentialproblem:
How I will remediate theproblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. (if a licable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
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 5.5 feet in the main pond, the sediment
shall be removed.
When the permanent pool depth reads 3.5 feet in the forebay, the sediment
shall be removed.
Sediment Removal k2L_?_Q
_ — _ _ ;_l.
Bottom Elevation
BASIN DIAGRAM
Ull in the blanks)
-ft Min.
Sediment
Storage
Sediment
Donn SW401-Wet Detention Basin O&M-RevA
Permanent Pool Elevation 27.50
Pool
Sediment Removal Elevation 22.00
_Volume
1-ft Min,
RECEIVED
JUN 14 2010
Page 3 of 5
BY:

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Storage
FOREBAY MAIN POND
RECEIVED
JUN 14 2010
BY:
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 Of 5

Permit Number:
(to be provided byDWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the 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.
Project name:MCB-Camp Lejeune - Child Care Development_ Center - Midway
BMP drainage area number:#2 - West Pond
Print name:Carl Bakgr
Title:DepuM Public Works Officer
Address: Building 1005 Michael Road, MCB CampLLejeune. NC 28547
Phone:[phone]
Date: �P ` 7 /�
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, _/`/!_ ��o/J,� __ _____ , a Notary Public for the State of
_ -Z� _ _ day of
County of 5%/nzl W , do hereby certify that
personally appeared before me this
and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements
hand and official seal '
ALICE A BONNETTE
Notary PubIIC
Onslow County
State of North Carolina
My Commiulon Expires Oct.23, 2010
SEAL.
My commission expires. Q` f a��1°
Witness my
:JUN
CEIVED
14 2D10
Form SW401-Wet Detention Basin O&M-Rev.4 Page 5 of 5

iPw10aY9111� '
I Wk. CuwMOIJOU E1011GO ()CI 57' 3010 ,
?1010 ok motip colotI4'O
pu:lorn COMUJA
HOICO, yr.Pi1G
VrICE V EiUVIVE[!!5
si' � � 'i1' . '; r;[3 ;1.. ., � ! i;.;t 'r: �°1.Irr:. {'.r ?:11 '.i. s:! '•:� ;k. :Jic d.` -'! =!,ii �tia s.r,�;4,),�?t'}�* ti,r �,
Fps} „t�er+i1'_'�a L•! {il . Lr}„ rjjc.J'_! r !- ..}r'1� �.;f;! t;,; !1•;�(r d' 1'.>l " "r � r r r � alki
' '.. Jfl ''.f �'"'' [!_f" J' t.! !l !r,!r, a 1• h_c'�i � �Si.'.' !-f. ��Jr[�.� ;�1�' !' ! ';.',

WET DETENTION POND ANALYSIS -ALL RULES
FILE NAME:
S:1WQSISTORMWATERIEXCELSPREADSHEETSIPOND1060147
PROJECT #: SW8
1060147 1
REVIEWER:
Initial Run Date
PROJECT NAME:
Midway Park Child Development Center
Last modified
Pond #1 (east pond)
Receiving Stream:
Mott Creek
Class:
Drainage Basin:
jWhij, Oak
Within 112 mile SA?
index No.
51te Area I 5.u5 iacres
ODrainage Area 117091.00 square feet
Rules- "2008" or "Ph2" 2008
IMPERVIOUS AREAS - BUA
Buildings
19517,00
square feet
Parking
42802.00
square feet
SW
3914.00
square feet
Future
square feet
Offsite
square feet
Other
3002.00
square feet
BIJA at diff. DSO
square feet
TOTAL
69235.00
square feet
C. Baker
40361.00
12-Jul-10
19-16-3
DA Area I acres
Runoff C
1
0.98
0.95
0.95
0.95
SURFACE AREA CALCULATION (with added DA and BUA at different design storm)
Overall % Impervious
Average Design Depth
59.13%
3.5
feet <_
SAIDA Ratio 5.91 %
Req. SA 6924 sf
TSS, 85 or 90:
90
%
Prov. SA 8890 sf
TEMPORARY POOL AND FOREBAY VOLUME CALCULATIONS
Drainage Area®
117091.00
isf
BUA
69235.00
0.00 sf
Post development Rv=
0.582
#DIV10! unilless
Old BUA Design Storm
inches
Old BUA Design Volume
0
1.5" New BUA Design Storm Volume
8521
1 yr. 24 hour Precipitation depth (inches)
3.63
from NOAA chart
Predevelopment Rv value
0.05
Use 0, 05 if no existing BUA
1 yr. 24 hr. Pre -development volume
1771
cubic feet
1 yr, 24 hr. Post -development volume
20620
cubic feet
2008 Design Volume 1 8521 Icubic
feet
Phase 2 Design Volume 1
8521 Icubic
feet
Required Volume
8521
cf
Area, sf Inc. volume
Acc. volume
Top of Sediment
24,00
msl .........
402.00 0.00
0.00
Bottom of Shelf
29.50
msl..........
7041.00 20468.25
20468,25
Permanent Pool
30.00
msl.........
8890.00 3982.75
24451.00
Top of Shelf
30.50
msl..........
10910.00 4950.00
29401.00
Temporary Pool
30.90
msl.... .....
11785.00 4539.00
33940.00
Volume met at etev
31.69
msl
FOREBAY
Vol. Prov, at TP 9489.04
cf
Perm. Pool Volume=
24451
Req. Forebay Volume=
4890
Provided Volume=
Percent=
0.0%
Calculated Average Depth, feet
13.36
Max Pump HP
NIA
ORIFICE CALCULATION
Average Head
Flow 02, cfs
Flow 05, cfs
No. of Orifices
Diameter, inches
Drawdown =
1 yr 24 hr intensity, in/hr
Runoff Coefficient
1 yr 24 hr peak Q
Orifice flow<1 yr24hr ?
feet
cfs
cfs
or weir H x W
days
NOAA chart @t
unitless
cfs
02 Area = 2.81
05 Area = 1.12
Orifice Area = 2.41
Avg. Flow Q= 0.042
in x
# of end contractions, N =
discharge Coefficient, C
Effective weir length, L
sq. inches
sq. inches
sq. inches
cfs
0.28
0.049
0.020
1
1.75
2.3
0.15
0.68
0.28
YES -OK

WET DETENTION POND ANALYSIS - ALL RULES
FILE NAME: S:IWQSISTORMWATERIEXCELSPREADSHEETSIPOND1060147
PROJECT #: SW8 060147 REVIEWER:
Initial Run Date
PROJECT NAME: Midway Park Child Development Center Last modified
Pcnd #2 (west pond)
Receiving Stream: Mott Creek Class:
Drainage Basin: tWhite Oak Within 1/2 mile SA?
Index No.
Site Area 5.09 lacres
ODrainage Area 63198.00 square feet DA Area 1.45
Rules- "2008" or "Ph2" 2008
IMPERVIOUS AREAS - BUA Runoff C
Buildings 12148,00 square feet 1
Street square feet 0.98
SW square feet 0.95
Future square feet
Offsite square feet 0.95
Other 27279.00 square feet 0.95
BUA at diff. DSO square feet
TOTAL 39427,00 square feet
SURFACE AREA CALCULATION 1with added DA and BUA at different design storm)
Overall % Impervious 62.39% SA/DA Ratio 7.26%
Average Design Depth 3 feet Req. SA 4590
TSS, 85 or 90: 90 % Prov. SA 5408
TEMPORARY POOL AND FOREBAY VOLUME CALCULATIONS
New BUA I Old BUA
Drainage Areal
63198.00
sf
BUA
39427.00
0.00 sf
Post development Rv=
0.611
#DiV/0! unitless
Old BUA Design Storm
inches
Old BUA Design Volume
0
1.5" Now BUA Design Storm Volume
4831
1 yr. 24 hour precipitation depth (inches)
3.63
from NOAA chart
Predevelopment Rv value
D.DS
Use 0.05 if no existing BUA
1 yr. 24 hr. Pre -development volume
956
cubic feet
1yr. 24hr.Post -development valume
11690
cubicfeet
2008 Design Volume 1 4831
Icubicfeet
Phase 2 Design Volume
4831
cubic feet
Required Volume
4831
cf
Area, sf Inc. volum
Top of Sediment
22,00
msl .........
313.00 0,00
Bottom of Shelf
27.00
msl..........
3991.00 10760.0(
Permanent Pool
27.50
msl.........
5408.00 2349.75
Top of Shelf
28,00
msl..........
7007.00 3103.75
Temporary Pool
28.30
msl.........
7421.00 2164.20
Volume met at elev
29.29
msl
FOREBAY
Vol. Prov, at TP
5267.95
cf
Perm. Pout Volume=
Req. Forebay Volume=
Provided Volume=
Percent=
Calculated Average Depth, feet =
13.13
1 Max Pumv HP
ORIFICE CALCULATION
Average Head
Flow Q2, cfs
Flow Q5, cfs
No. of Orifices
Diameter, inches
Drawdown =
1 yr 24 hr intensity, in/hr
Runoff Coefficient
1 yr 24 hr peak Q
Orifice flow<1y24hr?
feet Q2 Area = 1.67
cfs Q5 Area = 0.67
cfs Orifice Area = 1.23
Avg. Flow Q= 0.020
or weir H x W in x
days '# of end contractions, N =
NOAA chart Qt discharge coefficient, C
unitless Effective weir length, L =
Cfs
0.25
0.028
0.011
1
1,25
2.7
o.15
0.7D
0.15
YE5-OK

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRIAN WRENN
Director
October 2, 2020
MCB Camp Lejeune
Attn: Commanding Officer
c/o Neal Paul, Deputy Public Works Officer
1005 Michael Road
Camp Lejeune, NC 28542
NORTH CAROLINA
Environmental Quality
Subject: Permit Renewal
State Stormwater Management Permit No. SW8 060147
Midway Park Child Development Center
High Density Commercial Wet Detention Pond Project
Onslow County
Dear Mr. Paul:
The Wilmington Regional Office received a complete 8 year Stormwater Management Permit Renewal
Application for the subject project on. The Division is hereby notifying you that permit SW8 060147 has been
renewed on October 2, 2020, and shall be effective until July 13, 2028. For your records, please find enclosed a
renewed, updated, and re -issued permit and a copy of the renewal application. Please keep this permit on file at
all times. Please note that the renewed, updated, and re -issued permit does not impose new or different terms; it
merely restates some of the previous terms to provide you with a better understanding of your obligations under
the permit.
The renewal and reissuance of this stormwater permit does not imply that the site is currently in compliance with
the terms and conditions of this state stormwater permit. The plans originally approved on July 13, 2010, will
remain in full force and effect in accordance with the regulations set forth in Title 15A NCAC 2H.1000.
This permit is subject to the conditions and limitations as specified therein. Please pay special attention to the
conditions listed in this permit regarding the Operation and Maintenance of the BMP(s), recordation of deed
restrictions, procedures for changes of ownership, transferring the permit, and renewing the permit. Failure to
establish an adequate system for operation and maintenance of the stormwater management system, to record
deed restrictions, to transfer the permit, or to renew the permit, 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 by filing a,written petition with the Office of Administrative Hearings (OAH). The
written petition must conform to Chapter 150B of the North Carolina General Statutes, and must be filed with the
OAH within thirty (30) days of receipt of this permit. You should contact the OAH with all questions regarding
the filing fee (if a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center,
Raleigh, NC 27699-6714, or via telephone at 919431-3000, or visit their website at www.NCOAFI.com. Unless
such demands are made this permit shall be final and binding.
If you have any questions, need additional copies of the permit or approved plans, please contact Daniel Sams in
the Wilmington Regional Office, at [phone] or [e-mail].
Sincerely,
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
Enclosures: Attachment C — Permitting History
Renewal Application Documents
DES/dan:hlSlorm�,vaterlPermits & Prom ects12006\060147 FIDt2020 09 permit 0()Q147
cc: Wilmington Regional Office Stormwater File
E North Carolina Department of Environmental Quality I Division of Energy. Mineral and Land Resources
Wilmington Regional office 1127 Cardina[ Drive Extension I Wilmington, North Carolina 28405
N0177Yi C.aaOLINh
°4�16wYms0"� 910.796.7215

State Stormwater Management Systems
Permit No. SW8 060147
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL 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
USMCB Camp Lejeune
Midway Park Child Development Center
01 Street, Camp Lejeune, Onslow County
FOR THE
construction, operation and maintenance of two (2) wet detention ponds in compliance
with the provisions of 15A NCAC 2H .1000 and Session Law 2008-211 (hereafter
collectively referred to as the "stormwater rules') the approved stormwater management
plans and specifications and other supporting data as attached and on file with and
approved by the Division of Energy, Mineral and Land Resources and considered a part
of this permit.
This permit shall be effective from the date of issuance until July 13, 2028, 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 in Section 1.7 of this permit. The East pond has been
designed to handle the runoff from 69,235 square feet of impervious area and the
West pond has been designed to handle the runoff from 39,427 square feet of
impervious area.
3. A 50' wide vegetative buffer must be provided and maintained adjacent surface
waters, measured landward from the normal pool of impounded structures, the
top of bank of both sides of streams and rivers and the mean or normal high
water line of tidal waters.
4. The tract will be limited to the amount of built -upon area indicated on page 3 of
this permit, and per approved plans.
5. 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.
Page 1 of 6

State Stormwater Management Systems
Permit No. SW8 060147
6. The runoff from all built -upon area within the permitted drainage area(s) of this
project must be directed into the permitted stormwater control system.
7. The following design criteria have been provided in the wet detention ponds and
must be maintained at design condition:
East Pond
West Pond
a.
Drainage Area, acres:
Onsite, ft2:
Offsjte, ft2
2.69
117,091
None
1.45
63,198
None
b.
Total Impervious Surfaces, ft2:
Onsite, ft2:
Offsite, ft2
69,235
69,235
None
39,427
39,427
None
C.
Design Storm, inches:
1.5
1.5
d.
Average Pond Design Depth, feet:
3.5
3.0
e.
TSS removal efficiency:
90%
90%
f.
Permanent Pool Elevation, FMSL:
30
27.5
Permanent Pool Surface Area, ft2:
8,890
5,408
h.
Permitted Storage Volume, ft3:
9,303
5,132
i.
Tem ora Storage Elevation, FMSL:
30.9
28.3
Pre-dev. 1 r-24 hr. discharge rate, cfs:
0.06
0.03
k.
Controlling Orifice, in:
1.75
1.25
I.
Orifice flowrate, cfs:
0.04
0.02
M.
Permitted Forebay Volume, ft3:
3,904
2,049
n.
Fountain Horsepower
NIA
NIA
o.
Receiving Stream/River Basin:
Mott Creek 1 WOK02
57—Tstream
Index Number:
19-16-3
Classification of Water Body:
QNSW
II. SCHEDULE OF COMPLIANCE
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 the design condition. 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.
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 DEMLR. The records will indicate the date,
activity, name of person performing the work and what actions were taken.
Page 2 of 6

State Stormwater Management Systems
Permit No. SW8 060147
5. The facilities shall be constructed, operated and maintained in accordance with
the provisions of this permit, the approved plans and specifications, and the
supporting documents attached to this permit and on file with the Division.
6. 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.
7. 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.
8. Access to the stormwater facilities for inspection and maintenance shall be
maintained via appropriate recorded easements at all times.
9. No person or entity, including the permittee, shall alter any component shown in
the approved plans and specifications. Prior to the construction of any
modification to the approved plans, the permittee shall submit to the Director, and
shall have received approval for modified plans, specifications, and calculations
including, but not limited to, those listed below. For changes to the project or
SCM that impact the certifications, a new or updated certification(s), as
applicable, will be required and a copy must be submitted to the appropriate DEQ
regional office upon completion of the modification:
a. Any modification to the approved plans and specifications, regardless of
size including the SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage
area.
C. Further development, subdivision, acquisition, lease or sale of any, all or
part of the project and/or property area as reported in the approved plans
and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing
of any component of the approved SCM(s), the stormwater collection
system and/or vegetative conveyance shown on the approved plan.
e. The construction of any allocated future BUA
f. The construction of any permeable pavement, #57 stone area, public
trails, or landscaping material to be considered a permeable surface that
were not included in the approved plans and specifications.
g. Other modifications as determined by the Director.
11. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
12. 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.
Page 3 of 6

State Stormwater Management Systems
Permit No. SW8 060147
III. GENERAL CONDITIONS
1. This permit is not transferable to any person or entity except after notice to and
approval by the Director. The permittee shall submit a completed and signed
"Permit Transfer Application Form" (available on the Division website)
accompanied by the required fee and supporting documentation as listed on the
form, to the Division at least 60 days prior.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request. Neither the sale of the project
nor the conveyance of common area to a third party constitutes an approved
transfer of the stormwater permit.
3. Any individual or entity found to be in noncompliance with the provisions of this
stormwater management permit or the requirements of the Stormwater rules is
subject to enforcement procedures as set forth in NCGS 143 Article 21.
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 remains in force and effect until the permittee files a request with the
Division for a permit modification, transfer, renewal1 or rescission, however, these
actions do not stay any permit conditions.
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. A permit renewal request must be submitted at least 180 days prior to the
expiration date of this permit. The renewal request must include the appropriate
application, documentation and the processing fee as outlined in Title 15A NCAC
02H.1045(3).
Permit reissued this the 2th day of October 2020.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 4 of 6

State Stormwater Management Systems
Permit No. SW8 060147
Midway Park Child Development Center
Stormwater Permit No. SW8 060147
Onslow 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 specifications:
Signature
Registration Number
Date
SEAL
Page 5 of 6

State Stormwater Management Systems
Permit No. SW8 060147
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 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 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 and located 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.
16. Ail components of the stormwater BMP are located in either recorded
common areas, or recorded easements.
cc: NCDENR-DWQ Regional Office
Page 6of6

UEML,H Usk ONLY
Date R cei ed
Fee Paid
Permit Number
s °-I
,<3u)K D a
INC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM
In accordance with 15A NCAC 2H.1045(3), the current permit holder shall renew their high density permit 160 days
prior to its expiration. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB 781)
Section 60.(c). This application form is for permit renewals only.
A. PROJECT INFORMATION
1. State Stormwater Permit Number: SW8 060147
2. Project name: MIDWAY PARK
3. Project street address: XXX
City: MCB Camp Lejeune County: Onslow
ZIP: 28542
4. What, if any, changes have been made to the project as permitted? N/A
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at: https://deg.nc.gov/about/divisions/energy-
mineral-land-resources/ener -mineral-land-rules/stormwater ro raml ost-construction.
B. PERMITTEE INFORMATION
If changes to the permittee or project name have been made, please complete either the Permit Update form
or the Permit Transfer form available at: https://deg.nc.gov/about/divisions/energy-mineral-land-
resources/energy- mine raHand- rules/stormwater-program/post-construction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Company Name/Organization: MCB Camp Lejeune
2. Signing Official's Name: Neal Paul
3. Signing Official's Title: Deputy Public Works Division
4. Mailing Address: MCB Camp Lejeune 1005 Michael Rd.
City: MCB Camp Lejeune _ State: NC
ZIP: 28547-2521
5. Street Address:
City: State: ZIP
6. Phone: [phone] Email: neal.pau I@ usmc.mil
SEP s 20 SEP 2020
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018

C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORW). Only applications packages that
include all required items listed below will be accepted and reviewed.
Initial each item below to indicate that the required information is provided in the application package:
MCT 1. A permit application processing fee of $505.00 payable to NCDEQ.
MCT 2. One original signed hard copy and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a. Corporation — a principle executive officer of at least the level of vice-president;
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act;"
c. Public Entity— a principal executive officer, ranking official, or other duly authorized employee;
d. Partnership or limited partnership — the general partner;
e. Sale proprietor; or
f. Letter of authorization signed by one of the signatories noted in a — e above authorizing the
signature of another entity.
MCT 3. One hard copy and one electronic copy of recorded documents required by the original permit that have
not yet been received by DEMLR, including: deed restrictions, protective covenants,
condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
MCT 4. O&M Agreements, Please select one:
® I have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit; or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
MCT 5. Designer Certifications, Please select one:
® A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built.
MCT 6. [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online services/search/by title/ Business Registration
RECEI!/E
SEP 14 2020
BY:
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

D. PE ITT E'S CERTIFICATION
�-.
,the person legally responsible for the permit, certify that I have
a copy of the Permit and O&M Agreement on site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs
or built -upon a and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SC or ershi All in mation provided on this permit renewal application is, to the best of my
knowledge, Ao r t d complete. Q
Signature: < Date: 8 Zg 2,0
NOTARIZ TIO� � a Notary Public for the State of
\N-NakCZ,,b(z 42S. ! _ County of �Jt� do hereby certify
that �k�jA gJ0 t l�lN)64Q- I personally appeared before me
this the ��`"` r+rr""n day of 20—ILD , and acknowledge the due
a` "V.
execeiotn'of the forgo`risjstrument. Witness my hand and official seal,
kA0TAR�
Sea!)
SUSUG
Notary qux rtCir l 1 L � /
My commission expires _7 G PIM 20 2=D
CR. EIVE
SEP 14 2020
Br:
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

Attachment C - Permitting History
Midway Park Child Development Center
Permit No. SW8 060147
Approval
Date
permit Action
BIMS
Version
Description of the Changes
7/13/2010
Original
Approval
1.0
2 wet detention ponds subject to Session Law 2008-21 1
10/2/2020
Renewal
2.0
New expiration date is 7/13/2028
Page 1 of 1

Central Files: APS SWP
10/5/2020
Permit Number SW8060147
Permit Tracking Slip
Program Category
Status Project Type
State SW
Active Renewal with major mod
Permit Type
Version Permit Classification
State Stormwater
2.00 Individual
Primary Reviewer
Permit Contact Affiliation
dan.sams
Coastal SWRuIe
Coastal Stormwater - 1995
Permitted Flow
Facility
Facility Name
Major/Minor Region
Midway Park Child Development Center
Minor Wilmington
Location Address
County
Building Lch4007 4th St
Onslow
Facility Contact Affiliation
Midway Park NC 28544
Owner
Owner Name
Owner Type
Commanding Officer Marine Corps Base Camp Lejeune
Government - Federal
Owner Affiliation
Robert A. Lowder
Post Ln Building 12 Rm 244
Dates/Events
Camp Lejeune NC 28542
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue Effective Expiration
7/13/2010 9/14/2020
10/2/2020 10/2/2020 7/13/2028
Regulated Activities
Requested /Received Events
State Stormwater - HD - Detention Pond
Outfall
Waterbody Name
Streamindex Number Current Class Subbasin

Burd, Tina J
From: Burd, Tina J
Sent: Wednesday, September 23, 2020 4:26 PM
To: Prendergast CIV Talia M
Subject: SW8 060147 - Midway Park Child Development Center
The Wilmington Regional Office of the Division of Energy, Mineral and Land Resources (5tormwater Section) accepted
the Stormwater Permit Renewal Application and $505.00 fee for the subject project on September 14, 2020. The
project has been assigned to Dan Sams and you will be notified if additional information is needed.
Best Regards,
Tina Burd
Administrative Associate II
Wilmington Regional Office
Division of Environmental Assistance & Customer Service
Phone [phone]
NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
E
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

Application Completeness Review Checklist {Non -Transfers} - Short Version
Project Name:-yV1,,1DwP h �A(z r_ �{ iL J DcJ L� f'r✓t�r� ��Fge_Date Delivered to WIRO:
Project County/Location: t,r.7St__0 MLA BIMSReceived/Accepted Date: c20ou�T3\
Rule(s): F-12017 Coastal �2008 Coastal ®1995 Coastal BfMS Acknowledged Datel:
Phase it Universal F 1988 Coastal
Permit Action: New
Major Mod / Minor M Renewal
Permit Type: (!�P LD / LD Overall / HD &LD Combo
General Permit / Offsite / Exempt / Rescission
New Permit #Z:
Existing Permit #: LQ [:(pD: 7
Expriation Date3: ;3 2-o
site to SWS.
Development Type: Commercial / Residential / Other 1 ' i u ``Yid Lot is in Master Permit?
Subdivided?: Subdivision C _,ng a Lor-- nPE Cert on File?
Permittee Type & Documents Needed;
Property Owner(s) El Purchaser Lessee
Viable? -� �Viabie?Viable,
Deed❑Purchase Agmt Lease
MNotSu divided: Deed
Subdivision: Common Area Deed
Paperwork
FIHOA Developer
Viable? Viable?
Election Minutes
RFepplication
e: F-15505 (within 6mo) Check#(s):
05upplement2 (1 new form or for older forms: 1 original perSCM)
FIO&M2
Soils Report (lnfil or PP)
Calculations (signed/sealed)
Deed Restrictions, if subdividedz
Project Narrative
FTSGS Map (or on file?) Subject to SA?: Y / N Subject to ORW?:
Plans (2 Sets)
F_1PE Certification
F-Tectronic Copies
Easements, Recorded (2017 Rules)
NOTES:
IEnter BIMS Acknowledged Date on this Sheet
2For New Projects -Enter New Permit # on Supplements & Deed Restiction Templates.
3If w/in 6 months and they are requesting a mod, STOP. Needs a renewal first.
EMAILED ENGINEER DATE: Comments:
REVIEWER NAME:�A-3
G:WQ\\\Reference Library\Procedures\Checklists\Completeness Review Checklist_MO 0131
EJNo Fee
Y / N

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