SW6061101_CURRENT PERMIT_20071208

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT.
NO.
SW1QO(U
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOG DATE
YYYYMMDD

'Ar\FMichael It Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
-� Coleen H. Sullins, Director
Division of Water Quality
December 28, 2007
Department of the Anny, Fort Bragg
Attn: Gregory G. Bean, Directorate of Public Works
Bldg. 3-1631 Butner Road
Fort Bragg, NC 28310
Subject: Stormwater Management Permit SW6061 101 (Modification)
M3-00014-6P, Construct POV Parking Lot
High Density Project
Camp MacKall-Fort Bragg, Richmond County
Dear Mr. Bean
The Fayetteville Regional Office of the Division of Water Quality received a complete
Stormwater Management Permit Application for the M3-00014-6P, Construct POV Parking Lot
project on December 18, 2007, which is a modification to Stormwater Permit No. SW6061 101 issued on
November 17, 2006 for the M3-00001-6P, Construct Vehicle Maintenance Facility project. Staff review
of the plans and specifications has determined that the project, as proposed, will comply with the
Storrl3water Regulations set forth in Title 15A NCAC 2H .1000. Therefore, we are forwarding herewith
Stonnwater Management Permit SW6061 101 (Modification) dated December 28, 2007, for the
construction of the subject project.
This pennit replaces Stormwater Permit No. SW6061 101 issued on November 17, 2006 and
shall be effective from the date of issuance until December 27, 2017 and shall be subject to the
conditions and limitations as specified therein. Please pay special attention to the Inspection and
Maintenance requirements in this permit. Failure to establish an adequate system for inspection and
maintenance of the stormwater management system 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 upon written request within thirty (30) calendar 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
Mike Lawyer, or myself at [phone].
Sincerely,
Belinda S. Henson
Regional Supervisor
Surface Water Protection Section
BSH: ML/ml
cc: Fort Bragg, Water Management Branch
(FRO -Surface -Water Protection
Water Quality Central Files
NoYhCarolina
,Naturally
North Carolina Division of Water Quality 225 Green Street -Suite 714 Fayetteville, NC 28301 Phone [phone]
Internet: www newatemualitv.orst Fax [phone]
An Equal Opportunity/Affirmative Action Employer — 500% Recyclerlll0 % Post Consumer Paper
Customer Service
1-877-623-6748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY 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
Department of the Army, Fort Bragg
M3-00014-6P, Construct PO Parking Lot
Camp MacKall-Fort Bragg, Riclunond County
FOR THE
construction, operation and maintenance of five (5) bioretention cells and the continued operation and
maintenance of three (3) bioretention cells, two with modifications and one without modification, in
compliance with the provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules')
and the approved stonnwater 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 pennit.
This permit replaces Stormwater Permit No. SW6061 101 issued on November 17, 2006 and shall be
effective from the date of issuance until December 27, 2017 and shall be subject to the following
specified conditions and limitations:
1. DESIGN STANDARDS
1. This pennit is effective only with respect to the nature and volume of stormwater described in
the application and other supporting data.
2. The stonnwater system has been approved for the management of stormwater runoff as
described in Section I.5 of this permit. The existing Bioretention Cell A, which is located in
drainage area 2, shall remain as previously designed with no modifications. Per the approved
stormwater management plan submitted with the application, the individual storage volume of
existing Bioretention Cell B is not sufficient to handle the first flush runoff from drainage area 1,
therefore, it is to be hydraulically connected to existing Bioretention Cell C allowing for
sufficient storage volume for the combined runoff of each drainage area. The stonnwater
controls have been designed to handle the runoff from 5.18 acres with approximately 159,223.86
square feet, or 70.63%, of built -upon area.
3. The tract will be limited to the amount of built -upon area as indicated in Section I.5 of this
pennit and per approved plans.
4. The runoff from all built -upon areas within the permitted drainage areas of this project must be
directed into the permitted stormwater control system.

S
5. The
following design criteria have been provided in the
bioretention cells and must be
maintained
at design condition:
Bioretention
Cell B (existing)
a.
Drainage Area, ft2:
56,408.31
b.
Total Impervious Surfaces, ft2:
44,970.73
C.
TSS removal efficiency:
85%
d.
Ponding Depth, inches:
12"
C.
Temporary Pool Elevation, FMSL:
335'
Bioretention Bottom Elevation, FMSL:
330.05'
f.
Bioretention Surface Area, ft2:
3,113.5
g.
Permitted Storage Volume, ft3:
3,523 (refer to Section 1.2
Minimum Required Volume, ft3:
3,608 and approved plans)
h.
Receiving Stream/River Basin:
Drowning Creek/Lumber
i.
Stream Index Number:
14-2-(10.5)
j.
Classification of Water Body:
"C;Sw,HQW"
Bioretention
Cell C (existing)
a.
Drainage Area, ft':
56,962.78
b.
Total Impervious Surfaces, ft2:
40,1 15.16
c.
TSS removal efficiency:
85%
d.
Ponding Depth, inches:
12"
e.
Temporary Pool Elevation, FMSL:
335'
Bioretention Bottom Elevation, FMSL:
330.05'
f.
Bioretention Surface Area, ft2:
3,225.2
g.
Penmitted Storage Volume, ft3:
3,644
Minimum Required Volume, ft3:
3,246
h.
Receiving Stream/River Basin:
Drowning Creek/Lumber
i.
Stream Index Number:
14-2-(10.5)
j.
Classification of Water Body:
"C;Sw,HQW"
Bioretention
Cell D
a.
Drainage Area, ftz:
10,877.15
b.
Total Impervious Surfaces, ftz:
6,255.87
C.
TSS removal efficiency:
85%

d. Ponding Depth, inches:
9"
e. Temporary Pool Elevation, FMSL:
332"
Bioretention Bottom Elevation, FMSL:
328.33'
f. Bioretention Surface Area, ft2:
967.9
g. Permitted Storage Volume, ft3:
514.5
Minimum Required Volume, ft3;
514.5
h. Receiving Stream/River Basin:
Drowning Creek/Lumber
i. Stream Index Number:
14-2-(10.5)
j. Classification of Water Body:
"C;Sw,HQW"
Bioretention Cell E
a. Drainage Area, ft2:
42,794.98
b. Total Impervious Surfaces, ft2:
35,982.30
C. TSS removal efficiency:
85%
d. Ponding Depth, inches:
12"
e. Temporary Pool Elevation, FMSL:
332'
Bioretention Bottom Elevation, FMSL:
328.11
f. Bioretention Surface Area, ft2:
3,377.9
g. Permitted Storage Volume, ft3:
2,877
Minimum Required Volume, ft3:
2,877
h. Receiving Stream/River Basin:
Drowning Creek/Lumber
i. Stream Index Number:
14-2-(10.5)
j. Classification of Water Body:
"C;Sw,HQW"
Bioretention Cell F
a. Drainage Area, ft2:
21,528.72
b. Total Impervious Surfaces, ft2:
11,026.52
C. TSS removal efficiency:
85%
d. Ponding Depth, inches:
9"
e. Temporary Pool Elevation, FMSL:
332'
Bioretention Bottom Elevation, FMSL:
328.39'
f. Bioretention Surface Area, ft2:
1,486.3
g. Permitted Storage Volume, ft3:
916.7
Minimum Required Volume, ft3:
916.7
h. Receiving Stream/River Basin:
Drowning Creek/Lumber

i.
Stream Index Number:
14-2-(10.5)
j.
Classification of Water Body:
"C;Sw,HQW"
Bioretention Cell G
a.
Drainage Area, ft2:
15,852.99
b:
Total hmpervious Surfaces, ft2:
8,428.12
C.
TSS removal efficiency:
85%
d.
Pending Depth, inches:
9"
e.
Temporary Pool Elevation, FMSL:.
331'
Bioretention Bottom Elevation, FMSL:
327.46'
f.
Bioretention Surface Area, ft2:
1,186.3
g.
Permitted Storage Volume, ft3:
698.2
Minimum Required Volume, ft3:
698.2
h.
Receiving Stream/River Basin:
Drowning Creek/Lumber
i.
Stream Index Number:
14-2-(10.5)
j.
Classification of Water Body:
"C;Sw,HQW"
Bioretention
Cell H
a.
Drainage Area, ft2:
15,437.42
b.
Total Impervious Surfaces, ft2:
9,529.54
C.
TSS removal efficiency:
85%
d.
Ponding Depth, inches:
12"
C.
Temporary Pool Elevation, FMSL:
331'
Bioretention Bottom Elevation, FMSL:
327.18'
f.
Bioretention Surface Area, ft2:
786.3
g.
Permitted Storage Volume, ft3:
779.0
Minimum Required Volume, ft3:
779.0
h.
Receiving Stream/River Basin:
Drowning Creek/Lumber
i.
Stream Index Number:
14-2-(10.5)
j.
Classification of Water Body:
"C;Sw,HQW"
11. SCHEDULE OF COMPLIANCE
l . 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 inspection and maintenance necessary to assure the
permitted stornrwater system functions at optimum efficiency. The Inspection and Maintenance
Plan submitted with the application package, which is approved and considered a part of this
permit, must be followed in its entirety and maintenance must occur at the scheduled intervals.
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. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to
operation of this pennitted 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.
If the stonnwater system was used as an Erosion Control device, it must be restored to design
conditions prior to operation as a stonmvater treatment device, and prior to occupancy of the
facility.
S. Access to the stonnwater facilities shall be maintained via appropriate easements at all times.
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:
a. Any revision to any item shown on the approved plans, including the stonnwater
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 subdivision, acquisition, lease or sale of all or part of the project area. The project
area is defined as all property owned by the pennittee, for which Erosion and
Sedimentation 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. The permittee shall submit final site layout and grading plans for any permitted future areas
shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by the Pennittee for
a minimum of ten years from the date of the completion of construction.
12. The Director may notify the permittee when the pennitted 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 pemrittee shall provide copies of revised plans and certification in writing to
the Director that the changes have been made.
13. This permit shall be effective from the date of issuance until December 27, 2017. Application for
permit renewal shall be submitted at least 180 calendar days prior to the expiration date of this
permit and must be accompanied by the processing fee.

III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director. In the event of
a change of ownership, or a name change, the permince must submit a formal pennit transfer
request to the Division of Water Quality, accompanied by a completed name/ownership change
form, documentation from the parties involved, and other supporting materials as may be
appropriate. 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.
2. 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.
3. 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.
4. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Pennittee shall take immediate corrective action, including those as may be
required by this Division, such as the construction of additional or replacement stonnwater
management systems.
5. The pennittee grants DENR Staff permission to enter the property during normal business hours
for the purpose of inspecting all components of the permitted stonnwater management facility.
6. The permit may be modified, revoked and reissued, or terminated for cause. The filing of a
request for a permit modification, revocation and reissuance, or termination does not stay any
permit condition.
7. Unless specified elsewhere, permanent seeding requirements for the stonnwater control must
follow the guidelines established in the North Carolina Erosion and Sediment Control Planning
and Design Manual.
S. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.
9. The pennittee shall notify the Division of any name, ownership, or mailing address changes
within thirty (30) calendar days.
Permit issued this the twenty-eighth day of December 2007.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
It '1 "o ,,ft1
)�k Z i r'i1�yr
111"} olecn H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Stormwater Management Permit SW6061101 (Modification)

M3-OOO14-6P, Construct POV Parking Lot Page I of 2
Stormwater Management Permit SW6061101 (Modification)
Camp MacKall-Fort Bragg, Richmond County
Designer's Certification
1, , 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 bebuiltwithin substantial compliance and intent of the approved plans and
specifications.
The checklist of items on page 2 of this form is a part of this Certification.
Noted deviations from approved plans and specification:
SEAL
Signature
Registration Number
Date

Certification Requirements: Page 2 of 2
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/bypass 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/bypass structure.
S. 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 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.
cc: NCDENR-DWQ Regional Office

i
M3-00014-6P, Construct POV Parking Lot d Page 1 of
Stormwater Management Permit SW6061 101 (Modifica"tion)_FH®
Camp MacKall-Fort Bragg, Richmond County u 0 c
Designer's Certification
%l
nUiilQ
nV��Q
1, jZDV3ERT K. T L-r['LE , as a duly registered Llc. Gz5 84 c.- ZS 6 in the State of
North Carolina, having been authorized to observe (pe ediet }y weekl PA14ime) the construction of
the project,
M3 -oo©L4 - 6P t Co&IS-MaC.T Pdy PAIZ14,1kJC3 L07
(Project)
for b o A 'r r-CDIZ4T BRA C-16 (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 a part of this Certification.
Noted deviations from approved plans and specification: VJc>WF-
L SEAL
Signature off/ 7�/
Registration Number 61C, GS r6ctG-25(-6)
Date SF-P-r. Z'k Zop9
-
T�AIS 'FtZoJEC.T t.J45 LERTI V*IE 1� Ll�-1 t7E12 taC, Ca5 8'j C.-2.S(6)
W�tIcH STATES
PRA L It -I cE g`( MEM f3 E r, S OF -Ti4E ARMED ve.3gC-E 5
6V, EMPI,0oo-:ES of -TNE C-�0VERNMEfAT, oIF —rV4E-
LIM I Tr,-p S-Fb-'1-E S WuILE t NG ACt Et> l" -T61E Plea, C_T1 C.E
of E14CGI"EE121ki& mR L.ALAV 5uI2\.eEY1tlG-1 SoLEL
i tr'op_,
THE �tovEPntt.�tE0T cell GoVERWKAENT- OW"Ep WoitV!5
Aa1t7 PrzoJ��Ts� ...

i�
�
i

I
Certification Requirements: Page 2 of 2
VZV--(I. The drainage area to the system contains approximately the penmitted acreage.
kV-
2. The drainage area to the system contains no more than the permitted amount of built -
upon area.
�k 3. All the built -upon area associated with the project is graded such that the runoff drains to
the system.
tU/po-4. All roof drains are located such that the runoff is directed into the system
4! 5. The outletibypass structure elevations are per the approved plan.
9-kq-6. The outlet structure is located per the approved plans.
QVLW(7. Trash rack is provided on the outlet/bypass structure.
94-8. All slopes are grassed with permanent vegetation.
f44 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 per the approved plans.
12 13. All required design depths are provided.
Q_q14. All required parts of the system are provided, such as a vegetated shelf, and a forebay.
SZAt 15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office

,. OFFICE.USE ONLY •:. ,�":'•'..; - . .. �. ,,,` ,...
Dat Received
Fee Paid
Permit Number
l a
4/ (o
`o
G / G
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICA
This form may he photocopied for use as an original NOV U 6 2a
I. GENERAL INFORMATION pENR-FAYETIFALLER
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
D ^PAST ME tJZ oV-- 7-4F- pgM ( r-0t0T gVZaCr<v
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
C�1ZEE, P��At.l � D12Ec�j'oRAT'I� o� Pui3�lc, �..IoIZI�S
3. Mailing Address for person listed in item 2 above:
g3-1631 6t11'tlElZ RoAP
City:State: tJ G Zip: Z 83l (7
Telephone Number: ( q I0 ) 39 6 -g mq
4. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
M3-00001 —6Pi C,0055 RUCT VEt-►Kc L-F— MA1rlT��lArLc.(�
5. Location of Project (street address):
j,JE,51- OF Si�'f=GID,L 4l 0OZLES WA`( b40WE- TZAt4Wi �DLlL_iTC()
City: C,A(\AP MNC V_ALL County: klC_I-1M0t4l7
6. Directions to project (from nearest major intersection):
�1ZOM Tdc. ROU-rE I (�F1v.lY I T'ut2i.1 S0U141 OIJT� SF .C,1�1.- e1ZC.t�
ltil��( Ta CAiAP MAt (GALL 'S QOW TAl n) I3JG� �A�I �t r�
7. Latitude: 3S, 04040 Longitude: — -I Cl . L49 01+ ) of project
8. Contact person who can answer questions about the project:
Name: 12-06E9T TUT 1-1= Telephone Number: ( 9 10 ) E�cl 6 - Li Z-Sy
IL PERMIT INFORMATION:
1. Specify whether project is (check one): 7X_New Renewal Modification
Form SWU-101 Version 3.99 Page I of

I`Otic

2. I£ this application is being submitted � asthe result of a renewal or modification to an existing permit, list the
�
existing permit number ./J ,_ and its issue date (if known)/ A
3. Specify the type of project (check one):
Low Density High Density Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
CAMA Major Sedimentation/Erosion Control _404/401 Permit _NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project .
Ca 2 ASS l.t t4 E0 1=t_ S P �.-LQ Il OIZI✓TEr1T1 uo
2. Stormwater runoff from this project drains to the L._u M L2�E12 River basin. /J
66.S
3. Total Project Area: Z , l l acres 4. Project Built Upon Area: %
5. How many drainage areas does the project have? Z
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
;Bali Information-!,,
; , Drainage Area 1 jsi
; ,ti r, Drainage Acea 2=!,t 'tlt ea.
Receiving Stream Name
ptL t G C.IZLV.y—
Vp t G Gam' E
Receiving Stream Class
S1 l n W
L: _SW W
Drainage Area
O 3 4 S-6 SI=
H -7 l. 3
Existing Impervious* Area
25 3 1 , 3 S
Z� g70, m0 rjl`
Proposed Impervious*Area
3,C3 Zoq, SO si='
O0Q,60 SF
% Impervious{ Area (total)
Go °a
- -7 Lt. Lf %
Impervious'* Surface`Area,' tz
p
Drat age'Area 1} ' ' s v E,I r�
o ,r. v.r _ r ,.<<r,lr,
'�, t }�);Drainage
�...1" 14 ,+ I t
On -site Buildings
3S0 SI`
1 3 S O S F
On -site Streets
On -site Parking
_Z
(DOD
On -site Sidewalks
Other on -site
(:
Sl-
Off-site
Total: 3p Z S SF
Total:
Impervious 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 3.99 Page 2 of 4

7. How was the off -site impervious area listed above derived?
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment.
1. The following covenants are intended to ensure ongoing compliance with state stormwater management permit number
t 4 /A as issued by the Division of Water Quality. These covenants may not be
changed or deleted without the consent of the State.
2. No more than V,1 /N square feet of any lot shall be covered by structures or impervious materials.
Impervious materials include asphalt, gravel, concrete, brick, stone, slate or similar material but do not include wood
decking or the water surface of swimming pools.
3. Swales shall not be filled in, piped, or altered except as necessary to provide driveway crossings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction.
5. All permitted runoff from outparcels or future development shall be directed into the permitted stormwater control
system. These connections to the stormwater control system shall be performed in a manner that maintains the integrity
and performance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, 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 Stale, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms.
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-105
Curb Outlet System Supplement
Form SWU-106
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Form SWU-101 Version 3.99 Page 3 of

VI. 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 Regional Office.
1. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
Initials
• Original and one copy of the Stormwater Management Permit Application Form IZILT
• One copy of the applicable Supplement Form(s) for each BMP
• Permit application processing fee of $420 (payable to NCDENR) 1
• Detailed narrative description of stormwater treatment/management 4ZILT
• Two copies of plans and specifications, including: Q,I<T
- Development/Project name
- Engineer and firm
-Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
Designated agent (individual or firm):^ t7T 1—T�L
Mailing Address: J?v.STr t (L �Oi117
City: State: t1(C Zip:
Phone: (2— Fax: ( 9tC
VIII. APPLICANT'S CERTIFICATION
I, (print or type name of person liste ItPGeneral Information, item 2) CaR E E A
certify that the information ' lu d on this permit application form is, to the best of my knowledge, correct and
that the project will be str ed in ccbrformance with the approved plans, that the required deed restrictions
and protective cove nts ill be recorded, and that the proposed project complies with the requirements of 15A
NCAC 2H .1000 /
Date: z2A'56, at�OG
Form SWU-101 Version 3.99 Page 4 of 4