SW4210702_Application_20210712

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
o� t
50 5 -4-4"7 o
S W 4 2 u -7 o
Appli able Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina R E C E i VE D
Department of Environment and Natural Resources t� l� �!
Division of Energy, Mineral and Land Resources JUL 12 2021
STORMWATER MANAGEMENT PERMIT APPLICATION FORM_ `A -LAND QUALITY
This form may be photocopied for use as an original STORMWATER PERMITTING
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans
specifications, letters, operation and maintenance agreements, etc.):
Southern Alamance High School Additions and Renovations
2. Location of Project (street address):
631 Southern High School Road
City:Graham County:Alamance
Zip:27253
3. Directions to project (from nearest major intersection):
From I-40 in Graham (Exit 147) proceed south on S. Main Street (NC 87). Continue south on S. Main Street
approximately 0.8 miles to Rogers Road. Turn right onto Rogers Road. Continue on Roger Road
approximately 3.2 miles to Southern High School Road. Turn left onto Southern Hieh School Road.
4. Latitude:36° 00' 07" N Longitude:-790 24' 24" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenewals with modifications also requires SWU-102 - Renewal Application Form
b. If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density []Drains to an Offsite Stormwater System ❑Other
If this application is being submitted as the result of a previously returned application or a letter from
DEMLR requesting a state stormwater management permit application, list the stormwater project number,
if assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control:14.38 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b. If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:E&SC - Southern Alamance High School Additions & Renovations
ALAMA-2021-057
5. Is the project located within 5 miles of a public airport? []No ®Yes
If yes, see S.L. 2012-200, Part VI: http://portal.ncdenr.org/web/lr/rules-and-regulations
Form SWU-101 Version Oct. 31, 2013 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/ Organization: Alamance-Burlington School System
Signing Official & Title:limmy Russell/Facilities Project Manager
b. Contact information for person listed in item la above:
Street Address:1712 Vaughn Road
City:Burlington State:NC Zip:27217
Mailing Address (if applicable):1712 Vaughn Road
City:Burlington State:NC Zip:27217
Phone: (336 ) 570-6060 Fax: (336 ) 570-6218
Email:[e-mail]
Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official & Title:
b. Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City:_
Phone:
State:
Zip:
State: Zip:
Fax: ( 1
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official & Title:
b. Contact information for person listed in item 3a above:
Mailing Address:
City: State: Zip:
Phone: { ) Fax: ( 1
4. Local jurisdiction for building permits: Alamance County
Point of Contact:Tonya Caddle Phone #: (336 ) 5704060
Form SVIU-101 Version Oct. 31, 2013 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
A portion of the new built -upon area and a portion of the existing built -upon area will be directed to the
proposed wet detention pond by a series of existing and proposed storm drains The pond will be designed
per the current NCDEQ Stormwater Manual.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b. If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Cape Fear River basin.
4. Total Property Area: 89.50 acres 5. Total Coastal Wetlands Area: 0.00 acres
6. Total Surface Water Area: 0.00 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:89.50 acres
' Total project area shall be calculated to exclude the following the normal pool of im pounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NH1M line or Mean High Water
(MHM line, and coastal wetlands landward from 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.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 26.74 %
9. How many drainage areas does the project have?1 (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 _
Drains e Area _
Drainage Area _
Receiving Stream Name
Big Alamance
Creek
Stream Class
C, NSW
Stream Index Number *
16-19-(4.5)
Total Drainage Area (so
273992
On -site Drainage Area (so
273992
Off -site Drainage Area (sf)
0
Proposed Impervious Area**(so
169884
% Impervious Area** total
62.00
Impervious— Surface Area
Drainage Area
Dramage Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (so
27398
On -site Streets (sf)
0
On -site Parking (so
85661
On -site Sidewalks (so
18907
Other on -site (so
0
Future (sf)
0
Off -site (so
0
Existing BUA*** (so
37918
Total (so:
169884
* Stream Class and Index Number can be determined at: http.aortal.ncdenr.org web/wq&s/csu/classifccations
* Imyervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6

'Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. N/A
Projects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 1 SA NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://Portal.ncdenr.orit/web/wo/ws/su/bmv-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http://portal.ncdenr.org/web/wq[ws/su/statesw/"forms_docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at htV:11portal.ncdenr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms does.
Ini.tials
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants it/ /1-
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhelp.org/pages/onestopexpress.html 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
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 Y2 mile of the site boundary, include the
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW 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).
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6
for �—

p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated S11wr 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"xll" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DEMLR to verify the SHWT prior
to submittal, [phone].) a
10. A copy of the most current property deed. Deed book: 272 Page No: 544
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 2H.1003(e).
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http:/ /www.secretAU.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be
provided as an attachment to the completed and notarized deed restriction form. The appropriate deed
restrictions and protective covenants forms can be downloaded from http://portal.ncdenr.org/webAr/state-
stormwater-forms dots. 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 DEMLR, and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:L. Allan Hill, PE
Consulting Firm: Triad Design Group, PC
Mailing Address:4807-C Koger Boulevard
City:Greensboro State:NC Zip:27407
Phone: (336 ) 218-8282 Fax: (336 ) 218-8010
Email:[e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
1, (print or type name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item la) with (print or type name of organization listed in
Contact Information, item la) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Form SAT-101 Version Oct. 31, 2013 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater
treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility
without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action including the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: Date:
a Notary Public for the State of . County of
do hereby certify that
before me this day of
personally appeared
and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item la) limmu Russell
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCA,� 2H .1000 and any other applicable state stormwater requirements.
Signa
Date: (a—.,2—a
I, a Notary Public for the State of AJQ /T h (Q r 1;Aa _ County of
do hereby certify that p, It' M M U1 C,« I t personally appeared
before me this o2 day of �L ) LAflf AAD I and ac owledge the due execution of the application for
a stormwater
Witness my hand and official seal,
�pto7,
JD Jblto G
ItI111
SEAL
My commission expires
Form SWU-101 Version Oct. 31, 2013 Page 6 of 6

SUPPLEMENT-EZ COVER PAGE
ORMSI.OADLD
PROJECT INFORMATION
1
Project Name Southern Alamance High School Additions and Renovations
Project Area ac 89.5
Coastal Wetland Area (ac)_ 0
Surface Water Area ac 0
2
3
4
5
Is this project High or Low Density? High
6
Does this project use an off -site SCM? No
COMPLIANCE WITH 02H .1003(4)
7
Width of vegetated setbacks provided feet
N/A
8
Will the vegetated setback remain vegetated?
N/A
9
If BUA is proposed in the setback, does it meet NCAC 02H.1003 4 c-d ?
N/A
10
Is streambank stabilization proposed on this project?
No
NUMBER AND TYPE OF SCMs:
11
Infiltration System
Bioretention Cell
Wet Pond
12
13
_
_
1
14
__
Stormwater Wetland
15
Permeable Pavement
16
Sand Filter
17
Rainwater Harvesting RWH
lGreen Roof
Level Sp reader -Filter StripLS-FS
Disconnected Impervious Surface DIS
Treatment Swale
D Pond
StormFilter
Silva Cell
Bayfilter
1 Filters - ---
18
20
21
F2319
22
24
25
26
FORMS LOADED
DESIGNER CERTIFICATION
27 Name and Title:
29 IStreet address:
30 City, State
31 Phone nur
32 Email:
L. Allan Hill, PE/Principal
_ Triad Design Group PC
4807-C Koger Boulevard _
Greensboro, NC 27407
336-218-8282
Certification Statement
-
I certify, under penalty of law that this Supplement-EZ form and all supporting information were prepared under my direction or supervision; that the
information provided in the form is, to the best of my knowledge and belief, true, accurate, and complete, and that the engineering plans,
specifications, operation and maintenance agreements and other supporting information are consistent with the information provided here.
♦7
SEAL
LLAN
10 44i411M1♦1\\\N\
Signature of Designer
7/Q /?-a 2-
Date

DRAINAGE AREAS
1
Is this a high density project?
Yes
2
_ _
If so, number of drainage areas/SCMs
1
3
Does this project have low density areas?
No
4
If so, number of low density drainage areas
0
5
Is all/part of this project subject to previous rule
versions?
No
FORMS LOADED
DRAINAGE AREA INFORMATION
Entire Site
1
4
Type of SCM
Wet Pond
Wet Pond
5
Total drainage area (sq ft
3898620
273992
6
Onsite drainage area (sq ft
3898620
273992
7
Offsite drainage area (sq ft
0
0
8
Total BUA in project (sq ft
1042609 sf
169884 sf
9
New BUA on subdivided lots (subject to permitting)
(sq ft
;
122055 sf
131966 sf
10
New BUA not on subdivided lots (subject to
ermittin s
sf
f-, .-
sf
11
Offsite BUA (sq ft
sf
12
Breakdown of new BUA not on subdivided lots:
Parking (sq ft
sf
sf
- Sidewalk (sq ft
_
Sf
_
sf
sf
- Roofs ft
_
Sf
Sf _ _
sf
sf
sf:,,._
Roadway s ft
sf
Future (sq ft
sf
Other, please specify in the comment box
below (sq ft
sf
13
New infiltrating permeable pavement on
Isubdivided lots (sq ft
sf
14
New infiltrating permeable pavement not on
subdivided lots (sq ft
sf
15permitting)
Existing BUA that will remain (not subject to
s ft
_
37918 sf
37918 sf
16
Existing BUA that is already permitted (sq ft
sf
sf
17
Existing BUA that will be removed (sq ft
205298 sf
82534 sf
18
Percent BUA
27%
62%
19
1 Design storm inches
0 in
1.0 in
20
Design volume of SCM cu ft
cf
13883 cf
21
ICalculation method for design volume
cf
SA/DA
ADDITIONAL INFORMATION
22
Please use this space to provide any additional information about the
1drainage area(s):

WET POND
1
Drainage area number
1
21
Minimum required treatment volume cu ft
13883 d
GENERAL MDC FROM 02H .1050
3
Is the SCM sized to treat the SW from all surfaces at build -out?
No
4
Is the SCM located away from contaminated soils?
Yes
5
What are the side slopes of the SCM H:V)?
:1
6
Does the SCM have retaining walls, gabion walls or other engineered
side slopes?
No
7
Are the inlets, outlets, and receiving stream protected from erosion
10- ear storm)?
Yes
8
Is there an overflow or bypass for inflow volume in excess of the
design volume?
Yes
9
What is the method for dewatering the SCM for maintenance?
Drawdown Orifice
10
If applicable, will the SCM be cleaned out after construction?
Yes
11
Does the maintenance access comply with General MDC 8 ?
Yes
12
Dces the drainage easement comply with General MDC 9 ?
Yes
13
If the SCM is on a single family lot, does (will?) the plat comply with
General MDC 10 ?
N/A
14
Is there an O&M Agreement that complies with General MDC (11)?
Yes
15
Is there an O&M Plan that complies with General MDC 12 ?
Yes
161
Does the SCM follow the device specific MDC?
Yes
17
Was the SCM designed by an NC licensedprofessional?
Yes
WET POND MDC FROM 02H .1053
18 Sizing method used SA/DA
19
Has a stage/storage table been provided in the calculations? Yes
20
Elevation of the excavated main pool depth (bottom of sediment 599.00
removal) (fmsl
21
Elevation of the main pool bottom (top of sediment removal) (fmsl) 600.00
221
Elevation of the bottom of the vegetated shelf fmsl 603.50
23
Elevation of the permanent pool (fmsl) 604.00
24
Elevation of the top of the vegetated shelf (fmsl 604.50
25
_ _
Elevation of the temporary of fmsl 605.50
26
Surface area of the main permanent pool (square feet 8172
27
Volume of the main permanent pool cubic feet 22533 cf
28
Average depth of the main pool feet _ 3.48 ft
Avera a depth euation used Equation 3
29
301
If using equation 3, main pool perimeter feet
31
If usinga uation 3, width of submerged veg. shelf feet
32
33
Volume of the foreba (cubic feet)
Is this 15-20% of the volume in the mainpool?
34
Clean -out depth for foreba inches
35
Design volume of SCM cu ft
36
Is the outlet an orifice or a weir?
371
If orifice, orifice diameter inches m
381
If weir, weir height inches
39
If weir, weir length inches
40
Drawdown time for the temporary pool days
41
Are the inlet(s) and outlet located in a manner that avoids short-
circuiting?
42
Are berms or baffles provided to improve the flowpath?
43
De th of fbrebav at entrance inches
441
Depth of forebay at exit inches
45
Does water flow out of the forebay in a non -erosive manner?
46
Width of the vegetated shelf feet
47
Slope of vegetated shelf H:
48
Does the orifice drawdown from below the top surface of the
permanent I?
49
Does the pond minimize impacts to the receiving channel from the 1-
r, 24-hr storm?
50
Are fountains proposed? (If Y, please provide documentation that
MDC 9 is met.
51 1
Is a trash rack or other device provided to protect the outlet system?
52
Are the dam and embankment planted in non -lumping turf grass?
53
S cies of turf that will be used on the dam and embankment
54
Hasa planting plan been provided for the vegetated shelf?
ADDITIONAL INFORMATION
55 Please use this space to provide any additional information about th
wet pond():
et Pond
8:35 AM 7/2/2021