HomeMy WebLinkAboutSW8030720_Application (Minor Modification Express Review)_20210830DEMLR USE ONLY
Date Received Fee Paid Permit Number
STORMWATER PERMITTING FORM 7:
MINOR MODIFICATION
Standard Permitting Program - No Fee for Minor Modification
Express Permitting Program - See Express Fee Schedule
Only complete applications packages will be accepted and reviewed. This farm and the required items (with
original signatures) must be sent to the appropriate DEMLR Regional Office, which can be determined by locating
the project on the interactive online wrap at. htt&,lydeg.nc.!uov/contacUregioraal-offices.
This form is to only to be used by the current pennittee to notify the Division of a minor
modification. Pursriant to Rule 15A NCAC 02N .1002. a minor modification is a change to the project that
1) does not Ocrease�the net built -upon area; and/or
2) does not change the size or design of the SCM(s)_
A. GENERAL INFORMATION
1. State Stormwater Permit Number: SW8 030720
2. Current Permit Holders Company Name/Organization
3. Signing Official's Name: Neal Paul
MCB Camp Le eune
4. Signing Official's Title: Deputy Public Works Officer
5. Mailing Address: 1005 Michael Road
City: Camp Lejeune State:
6. Street Address (if different):
City.
7 Phone' 9( 10) 451.3234 ext 3242
Email: talia.barracoausmc.mii
NC ZIP 28547
State ZIP:
8. Describe the minor modifications that you are requesting, including any revised BUA allocations (attach
additional pages or supporting tables similar to Section W.10 of the original application if needed)
Camp Le eune is proposing the following re -allocation of impervious areas associated with SW8 030720.
Remove 67,382 sf of impervious areas within the drainage area of the permit Add _59 707 sf of On -Site
Buildings, 78,572 sf of On -Site Parking, 2.816 for a new bus turnout and 19,055 sf of Sidewalks Total new
impervious for this proLt_is 92,768 sf. Proiect will reduce the future impervious from ,+92-500-jF to 98,194
sf, while staying below the 43.6°1 maximum BUA for the permit Project will not increase the net BUA nor
change the size or design of the SCM. __ ,�q0 91b2.SrF
t�
B. SUBMITTAL REQUIREMENTS
Please mark ,Y to confirm the items are included with this form Please inark W if previously provided If not
applicable or not available please mark N/A.:
Y 1 Two hard copies (with original signatures) and one electronic copy of thEs completed form
Y_ 2 Two hard copies and one electronic copy of the revised plan sheets (must be a revision of the
originally approved plan sheets).
NIA 3 If there is reallocation of lot BUA, a copy of the revised recorded deed restrictions and protective
covenants OR the proposed recorded deed restrictions and protective covenants documenting
the changes and a signed agreement to provide the final recorded document.
Y 4 If applicable, the appropriate Express review fee
Stormwater Permit Form 7 Minor Modification Page 1 of 2 July 14 2017
C. CONTACT INFORMATION
The Design Professional who is authorized to provide information on the Applicant s behalf
Design Professionals Name. M Robin Austin, P_ E.
Consulting Firm Catlin Engineers and Scientists
Mailing Address 220 Old_ Dairy Road
City Wilmington State. NC Zip- 28405
Phone (910) 54.2-5861 Fax 910) 452-7563 _
Email: robin austin(a)catlinusa.com
2 [OPTIONAL] If you would like to designate another person- to w^swer questions about the project:
Name 8 Title Taha Prendergast PWD Civil Engineer,
Organization: MC6 Camp Lefeune
Mailing Address 1005 Michael Road
City Camp_Lejeune T State. NC Zip- 28547
Phone (910) 451-3238 ext 3242 Fax {
Email talia barraco@usmc mil
D. CERTIFICATION OF PERMITTEE
I. P-t the current perm!ttee, certify that I have authorized the minor modifications I sted
in Section A and shown in the attached revised plan sheets I further attest that this information is accurate and
complete to the best of my knowledge
Signature Date 2 p►vw, 2.0w
• , a Notary Public forth Stme-of lW hat
of7 do hereby certify that TRQh
M.Li"
ared before me this the � day of 20. and
.l_QLue execution of the forgoing instrument Witness my hand and official seal
_4• NoTAR), ;
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My commission expires 404
Stormwater Permit Form 7 Minor Modification Page 2 of 2 Oct 6 2017