HomeMy WebLinkAboutSW8970310_Current Permit_20090430��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
April 30, 2009
Mr. Gregory F. Schimizzi, MD
Primrose Medial Park Association, Inc.
1710 South 17t Street
Wilmington, NC 28401
Subject: State Stormwater Management Permit No. SW8 970310 Renewal
Primrose Office Park
High Density Commercial Infiltration Basin Project
New Hanover County
Dear Mr. Schimizzi:
Dee Freeman
Secretary
The Wilmington Regional Office received a complete renewal Stormwater Management
Permit Application for Primrose Office Park on April 14, 2009. Staff review of the plans
and specifications has determined that the completed project complies with the
Stormwater Regulations set forth in Title 15A NCAC 2H.1000 effective September 1,
1995. Therefore permit SW8 970310 has been renewed on April 30, 2009 and shall be
effective until April 17, 2017.
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.
This project was inspected on April 29, 2009 and determined to be in compliance with
the terms of this state stormwater permit. The plans previously approved on April 11,
1997 remain in full force and effect.
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 Angela Hammers, or me at (910) 796-7215.
Sincerely,
Georgette Scott
Stormwater Supervisor
Division of Water Quality
GDS/akh: S:IWQSISTORMWATERIPERMIT1970310ren.apr09
cc: WiRO, Angela Hammers, Central Files
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 One
Phone: 910-796-72151 FAX: 910-350-20041 Customer Service:1-877-623-6748 NOrthCarOlina
Internet: w;�rv.ncwaterquality.org �a
An Equal Opportunity l Affirmative Action Employer L `
State Stormwater Management Systems
Permit No. SW8 970310'Renewal
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
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
Mr. Gregory R. Schimizzi & Primrose Medical Park. Association, Inc.
Primrose Office Park
1710 South 97t" St., Wilmington, New Hanover County
FOR THE
construction, operation and maintenance of 5 infiltration basin(s) in compliance with the
provisions of 15A NCAC 2H .1000 effective September 1, 1995 (hereafter referred to as
the "stormwater rules I 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 17, 2017, 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 1.6 on page 3 of this permit. The stormwater
control has been designed to handle the runoff from 55,840 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 approved plans. The built -upon area for the future
development is limited to 0 square feet.
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.
Page 2of5
State Stormwater Management Systems
Permit No. SW8 970310 Renewal
If
The following design criteria have been permitted for the infiltration basin and
must be provided and maintained at design condition:
a
b.
C.
DrainaArea, 9.cres:
gnsite, ft :
Offsite, ft2:
Total Impervious Surfaces, ft2:
Design Storm, inches:
Basin #
Basin Depth, feet:
Bottom Elevation, FMSL:
Bypass Weir Elevation, FMSL:
Permitted Storage Volume, ft
Type of Soil:
Expected Infiltration Rate, in/hr:
Seasonal High Water Table, FMSL:
Time to Draw Down, hours:
Receiving Stream/River Basin:
Stream Index Number:
Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
1.76
76,665.6
0
55,840
1
1 2
3
5
6
2.3 1.6
1.8
1.5
1.8
17 17
21
24
22
19.3 18.6
22.8
25.5
23.8
1118 730
669
576
1936
sand
6
15
4 3.5
3.8
3.5
4.1
UT Greenfield
creek
/ Cape Fear
03-06-17
"C Sw"
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 bypass structure, infiltration media, flow
spreader, catch basins, piping and vegetated filter.
g. A clear access path to the bypass 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. 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.
6. 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.
Page 3 of 5
State Stormwater Management Systems
Permit No. SW8 970310 Renewal
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.
8. Access to the stormwater facilities shall be maintained via appropriate recorded
easements at all times.
9. 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 development, subdivision, acquisition, lease or sale of any, 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.
10. Prior to the construction of any permitted future areas shown on the approved
plans, the permittee shall submit final site layout and grading plans to the
Division for approval.
11. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times. At the time the permit is transferred to a new owner,
the permittee shall forward the approved plans to the new owner.
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.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and
approval by the Director. In the event of a change of ownership, or a name
change, the permittee must submit a completed Name/Ownership Change form
to the Division of Water Quality, signed by both parties, and accompanied by the
supporting. documentation as listed on page 2 of the form. 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. Neither the sale of the project
nor the transfer of common area to a third party constitutes an approved transfer
of the stormwater permit.
Page 4 of 5
State Stormwater Management Systems
Permit No. SW8 970310 Renewal
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit remains in force and effect until modified, revoked, terminated, or
renewed. The permit may be modified, revoked and reissued or terminated for
cause. The filing of a request for a permit modification, revocation and
reissuance, renewal or termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
11. The permittee shall submit a permit renewal application at least 180 days prior to
the expiration date of this permit. The renewal request must include the
appropriate documentation and the processing fee.
Permit issued this the 30t" day of April 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
C�tao-
Tor Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 5 of 5
r
Permit Number: SLJ rc''I O3 1 v
(to be provided b DWQ)
Drainage Area Number:
Infiltration Basin Operation and Maintenance Agreement
Wcf -W
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.
Important maintenance procedures:
The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
— Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter 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 will be kept in a known set location
and will 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
infiltration basin
Areas of bare soil and/or
erosive gullies have formed.
Regrade the soil if necessary to
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe or
swale
The pipe is clogged (if
applicable).
Unclog the pipe. Dispose of the
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Form SW401-Infiltration Basin O&M-Rev.3 Page 1 of 3
BMP element:
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
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 pesticides are used, wipe
them on the plants rather than
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than
Replace the top few inches of filter
5 days after a storm event.
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make ail needed repairs.
appropriate professional
shows that the embankment
needs repair.
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 NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW40 1 -Infiltration Basin O&M-Rev.3 Page 2 of 3
Permit Number: 5W O -763%d
(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. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Primrose Office Park
BMP drainage area number:
Print name:Crregory F. Schimizzi, MD
Title:Vice President / Treasurer
Address: 1710 South 17a' Street Wilmington, NC 28401
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.
f
a Notary Public for the State of
County of _ W , do hereby certify that
ay r-Seh1;y/.--,-Z / personally appeared before me this -P9-
day of %�-Dd , and acknowledge the due execution of the
forgoing in ltration basin maintenance requirements. Witness my hand and official seal,
SEAL
M commission expires
Y P
Form SW401-Infiltration Basin O&M-Rev.3 Page 3 of 3
Permit Number:.St d 9-70,3%a
(to be provided by DWQ)
Drainage Area Number: �—
Infiltration Basin Operation and Maintenance Agreement �f
NY-1 -W �. I
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.
Important maintenance procedures:
- The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
- Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
- No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
- The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter 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 will be kept in a known set location
and will 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
infiltration basin
Areas of bare soil and/or
erosive gullies have formed.
Regrade the soil if necessary to
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe or
swale
The pipe is clogged (if
applicable).
Unclog the pipe. Dispose of the
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Form SW401-Infiltration Basin O&M-Rev.3 Page 1 of 3
BMP element:
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75
sediment and remedy the problem if
of the or; design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
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 pesticides are used, wipe
them on the plants rather than
spraying.
'
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than
Replace the top few inches of filter
5 days after a storm event.
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
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 NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3
Permit Number: J tA) V9 / Q .3 /O
(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. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible parry.
Project name:Primrose Office Park
BMP drainage area number:
Print name:Gregory F. Schimizzi, MD
Title:Vice President / Treasurer
Address:1710 South 17a` Street Wilmington, NC 28401
I9; roM•jto] WI ►.
w- --�
d4e&-z— . OWK,
Date:
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, " . u(�, a Notary Public for the State of
,County of , do hereby certify that
2�=D%e t/ /— 'Se /,V /yZ/ / personally appeared before me this oZ
jA:IY day of, -Pdd , and acknowledge the due execution of the
forgoing 'mAration basin maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires���J`
Form SW401-Infiltration Basin O&M-Rev.3 Page 3 of 3
Permit Number: SJA Al 7Q.3%0
(to be provided by WQ)
Drainage Area Number:
Infiltration Basin Operation and Maintenance Agreement
KYJ _ VO
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.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
--- Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter 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 will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potential roblem:
How I will remediate the roblem:
The entire BMP
Trash/ debris is present.
Remove the trash/ debris.
The perimeter of the
infiltration basin
Areas of bare soil and/or
erosive gullies have formed.
Regrade the soil if necessary to
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe or
swale
The pipe is clogged (if
applicable).
Unclog the pipe. Dispose of the
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Swale (if applicable).
Regrade the swale if necessary to
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future roblems with erosion.
Form SW40 1 -Infiltration Basin O&M-Rev.3 Page 1 of 3
BMP element:
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
artd reduced the depth to 75 %
sediment and remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
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 pesticides are used, wipe
them on the plants rather than
spraying.
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than
Replace the top few inches of filter
5 days after a storm event.
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
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 NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3
Permit Number: S 6O 99 7,0J/ d
(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. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible parry.
Project name:Primrose Office Park
BMP drainage area
Print name:Gregory F. Schimizzi, MD
Title:Vice President / Treasurer
Address:1710 South 17t' Street Wilmington, NC 28401
Phone
Signa
Date:
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.
a Notary Public for the State of
County of do hereby certify that
(; - ,S PN' / za / , 0 personally appeared before me this
day of 40 �l , and acknowledge the due execution of the
forgoing infiltAtion basin maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires f�>2
Form SW401-Infiltration Basin O&M-Rev.3 Page 3 of 3
Permit Number: J JAJ 17970,51 d
(to be provided by DWQ)
Drainage Area Number:_ 5
Infiltration Basin Operation and Maintenance Agreement
I j l�l�
I will keep a maintenance record on this BUT. 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.
Important maintenance procedures:
- The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
- Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
- No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
- The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter 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 will be kept in a known set location
and will 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
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration 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.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Form SW401-Infiltration Basin O&M-Rev.3 Page 1 of 3
BMP element:
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth ir, 75%
sediment and remedy the problem ir'
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BUT.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
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 pesticides are used, wipe
them on the plants rather than
s raying.
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
Water is standing more than
-immediately.
Replace the top few inches of filter
5 days after a storm event.
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
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 NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3
Permit Number: sr) D 9 / a -5/a
(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. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Primrose Office Park
BMP drainage area number:5
Print name:Gregory F. Schimizzi. MD
Title:Vice President / Treasurer
Address:1710 South 17t' Street Wilmington, NC 28401
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, a Notary Public for the State of
County of o hereby certify that
G'p T Se,!/ ,AI /y y/ A Z7 personally appeared before me this oZ
day of J,,4Aj , �, and acknowledge the due execution of the
forgoing i ltration basin maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires
Form SW401-Infiltration Basin O&M-Rev.3 Page 3 of 3
Permit Number: 5(AJ 7976
(to be provide by DWQ)
Drainage Area Number: t ' I
Infiltration Basin Operation and Maintenance Agreement .W-f 4bVt
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 BUT.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
— Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter 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 will be kept in a known set location
and will 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
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration 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.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
swale
applicable)-
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Form SW401-Infiltration Basin O&M-Rev.3 Page 1 of 3
BMP element:
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
and ;reduced ilte depth to 75%
sediment wid remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
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 pesticides are used, wipe
them on the plants rather than
spraying.
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than
Replace the top few inches of filter
5 days after a storm event.
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
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 NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3
Permit Number: So P -7,03/0
(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. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Primrose Office Park
BMP drainage area number:6
Print name:Gregory F. Schimizzi, MD
Title:Vice President / Treasurer
Address:1710 South 17a' Street Wilmington, NC 28401
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.
a Notary Public for the State of
County of � , do hereby certify that
/ZZ / /l personally appeared before me this
day of ddGl and acknowledge the due execution of the
forgoing infl ation basin maintenance requirements. Witness my hand and official seal,
MAIN
My commission expires
Form SW40 1 -Infiltration Basin O&M-Rev-.3 Page 3 of 3
I.
1.
2.
3.
4.
N KT #07240
A15"W
A
CCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
S T A T E STORMWATER PERMIT (NAME/OWNERSHIP CHANGE FORM
CURRENT PERMIT INFORMATION:
Stormwater Management Permit Number: SW8 970310
Permit Holder's Name: Southpointe Builders, Inc.
Signing official's Name: Russell Gay
Mailing Address.
681J ails oiNe Meuseoac
City: Raleigh State:
Phone: (919) 848-5600
Title: President
NC Zip: 27615
Fax: ( ) N/A
II. NEW OWNER / PROJECT / ADDRESS INFORMATION:
1. This request is for: (please check all that apply)
X a. Change in ownership of the property/company (Please complete Items #2,
#3, and #4 below)
b. Name change of project (Please complete Item #5 below)
X C. Mailing address change. (Please complete Item #4 below)
d. Other (please explain):
2. New owner's name to be put on permit: Primrose Medical Park Association, Inc.
3. New owner's signing official's name and title: Gregory F. Schimizzi, MD
Title: Vice President / Treasurer
4.
5.
New Mailing Address: 1710 South 17th Street
City: Wilmington State.
Phone: (91o) 202-2022
New Project Name to be placed on permit: N/A
Ownership/Name Change-022309
Page 1 of 3
NC Zip: 28401
Fax: e1 o) 332-1111
PERMIT NAME/OWNERSHIP CHANGE FORM
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER
QUALITY UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED
WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed form.
2. Legal documentation of the transfer of ownership.
3. A copy of the recorded deed restrictions, if required by the permit.
4. The designer's certification, if required by the permit.
5. A signed Operation and Maintenance plan, if a system that requires maintenance will
change ownership.
6. Maintenance records.
CERTIFICATION MUST BE COMPLETED AND SIGNED BY BOTH THE CURRENT PERMIT
HOLDER AND THE NEW APPLICANT IN THE CASE OF A CHANGE OF OWNERSHIP.
FOR NAME CHANGES, COMPLETE AND SIGN ONLY THE CURRENT PERMITTEE'S
CERTIFICATION.
Current Permittee's Certification:
I, Russell Gay, President of Southpointe Builders, Inc. , attest that this application for a name/ownership
change has been reviewed and is accurate and complete to the best of my knowledge. I
understand that if all required parts of this application are not completed and that if all required
supporting information and attachments are not included, this application package will be
returned as inco plete.
Signature: Date: 9
New Applicaht's Certification: (Must be completed for all transfers of ownership)
I, Gregory F. Schimizzi, MD, Vice President / Treasurer attest that this application for an ownership
change has been reviewed and is accurate and complete to the best of my knowledge. i
understand that if all required parts of this application are not completed and that if all required
supporting information a attachments are not included, this application ackage will be
returned as incom
Signature: Date:
Mail the entire package to: NCDENR Division of Water Quality
Surface Water Protection Section — Stormwater
at the Appropriate Contact Address (see the following page)
Ownership/Name Chance-022309 Page 2 of 3
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DWQ USE ONLY
Date Received
Fee Paid
Permit Number
oSQv��
k /60
s�J 97o��a
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT RENEWAL APPLICATION FORM
This form may be photocopied for use as an original N�-T * b ^ � { o
I. GENERAL INFORMATION
1. Stormwater Management Permit Number: SW8 970310
2. Permit Holder's name (specify the name of the corporation, individual, etc.):
Primrose Medical Park Association, Inc.
3. Print Owner/Signing Official's name and title (person legally responsible for permit):
Gregory F. Schimizzi, MD, Vice President / Treasurer
4. Mailing Address for person listed in item 2 above:
1710 South 1r Street
City:Wilmington State:NC Zip:28401
Phone: (910 ) 202-2022 Fax: (910 ) 332-1111
Email:gfschimizzi@carolinaarthritis.com
5. Project Name: Primrose Office Park
6. Location of Project (street address):
1710 South 17' Street APR 14 2009.
City:Wilmington County:NC BY:
7. Directions to project (from nearest major intersection):
From intersection of Market St. (US 17) & S. 161' Street turn left on S. le Street for appraximately 17 miles
Turn left at Robinhood Rd, then left onto S.17' Street. Go 0.1 miles and site is on the left
II. PERMIT INFORMATION:
I. Specify the type of stormwater treatment: ❑Constructed Wetland ❑Bioretention ❑Wet Detention Basin
❑Dry Detention Basin ❑Infiltration Basin ❑Infiltration Trench ❑Sand Filter ❑Other:
2. List any changes from project that was originally approved (attach additional pages if needed):
Form SWU-102 (Renewal Form) Version 02.16.09 Page 1 of 3
3. Do you have a copy of the original Operation and Maintenance Agreement? (check one)
DYes (If yes, submit the attached (page 3) Operations and Maintenance verification sheet.)
®No (If no, then submit a new Operations and Maintenance Agreement that can be located on the
Division of Water Quality Home Page under the BMP Manual link:
http://h2o.enr.state.nc.us/su/bmp_forms.htm)
III. 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. The complete application package should be
submitted to the appropriate DWQ Office. (Appropriate office may be found by locating project on the
interactive online map at hqp://h2o.enr.state.nc.us/su/msi maps.htm)
1. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
• Original & I copy of the Stormwater Management Permit Renewal Application Form
• Application fee of $505.00 (made payable to NCDENR)
• Operation & Maintenance Verification or a new O&M Agreement
• SWU-101 Application Form (if requesting a modification to the permit)
Transfer of Ownership/Name Change Form (if requesting transfer of ownership)
VI. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in General Information, item 3) Dr. Grexgory Schimizzi
certify that the information incI de o this permit renewal application is, to the best of my knowledge, correct
and complete. /
Date: 3 !S2
Form SWU-102 (Renewal Form) Version 02.16.09 Page 2 of 3
Operations and Maintenance Verification
I acknowledge and agree by my signature below that I am responsible for the performance of the
maintenance procedures listed in the original Operations and Maintenance Agreement. I agree to notify
DWQ of any problems with the system or prior to any changes to the system or responsible party.
Print name:
Address:
Phone:
Signature:
Date:
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,
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 forgoing stormwater BMP maintenance requirements. Witness my hand and official
seal,
Notary Signature:
�M":11
My commission expires:
Form SWU-102 (Renewal Form) Version 02.16.09 Page 3 of 3
NKT-4� 01�14'�
Saar soaear Manegenm systams
Prig Office Park
Star waw Pamit me. S t 8 97MIC
New Rattm►er county
X ngineer's Cerdfk-mon
L John S. Tunstall, P.E. a�fytts �redFrofasaiaaaal
havbg bEOR authffb ad to abmve Eat kwgr JIA the State of North Carolina,
(pa�dicallylweeklylfA the) the cons;raWdW of the project,
Primrose Office Park
(Project)
for Primrose Medical Park Association, Inc.
Ow=j hereby stare that, to the best of my abilities, due care and
diligence was osed in the observation of dw project c0==tiQn Wch dw the catas umioa was observed to be built witbitz
mbstatt W compliance and l>itent of the approved plazas snd specitications.
NOW deviations frm approved plans and spwiticadon;
See attached e-mail from David Cox of NC DENR dated April 1, 2009 regarding vegetative
cover on side slopes and response e-mail from Amy Norris of Norris, Kuske & Tunstall
Consulting Engineers, Inc. regarding the fact the Primrose Medical Park Association, Inc.
has always been the owner.
�FI:SS/o" 19-
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07240 04-13-09-ssw-cart.
6