Loading...
HomeMy WebLinkAboutSW6100401_CURRENT PERMIT_20100604STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. DOC TYPE rCURRENTPERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE YYYYMMDD A - r + North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Mr. Gavin Melia Division of Water Quality Coleen H. Sullins Director April 12, 2010 Baseline, Construction, Inc. 155 West New York Ave. Southern Pines, NC 28387 Subject: Stormwater Permit No. SW6100401 FedEx Ground Expansion High Density Commercial Infiltration Basin Project Hoke County Dear Mr. Melia: Dee Freeman Secretary ®ENR—FRO JUN 0 4 2010 =0 The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for the FedEx Ground Expansion on April 1, 2010. Staff review of the plans and specifications has determined that the proJ-ect, as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000 and Session Law 2006-246. We are forwarding Permit No. SW6100401, dated April 12, 2010, for the construction, operation and maintenance of the subject project and the stormwater BMPs. This permit shall be effective from the date of issuance until April 12, 2020, and shall be subject to the conditions and limitations as specified therein. Please pay special attention to the Operation 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) 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. This project will be kept on file at the Fayetteville Regional Office. If you have any questions, or need additional information concerning this matter, please contact Robert Patterson at (919) 807-6375; or robert.patterson@ncdenr.gov.. Sincerely, fo� H. Sullins �JUL - 7 2010 Wetlands and Stormwater Branch 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 91 M07-63001 FAX: 91M07-64941 Customer Service: 1-877-623-6748 Internet:w .ncwaterquality.org An Equal Opponunity 1 Affirmative ktion Employer Caro Mr. Gavin Melia SW6100401 — Fed EX Ground Expansion April 12, 2010 cc: Fayetteville Regional Office — Mike Lawyer Central Files SW6100401 File Ec: Mr. Gavin Melia — Baseline Construction, Inc. Mr. Bob Cook - Fedsubo, LLC Mr. Lou Sadler — The Hayter Firm Page 2 of 2 State Stormwater Permit Permit No. SW6100401 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 Baseline Construction, Inc. FedEx Ground Expansion 104 Midway Dr, Raeford, Hoke County FOR THE construction, operation ana maintenance of one infiltration basin in compliance with the provisions of Session Law 2006-246 and 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') 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 12, 2020, and shall be subject to the following specified conditions and limitations: I. DESIGN STANDARDS. 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 1.8 of this permit. The stormwater control has been designed to handle the runoff from 37,115 square feet of impervious area. 3. This basin must be operated with a 30' vegetated filter. 4. The drainage area will. be limited to the amount of built -upon area indicated in Section 1.8 of this permit, and as shown on the approved plans. 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. 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 1 of 6 State Stormwater Permit Permit No. SW6100401 N The built -upon areas associated with this project shall be locted at lest 30 feet landward of all perennial and intermittent surface waters. The following design criteria have been permitted for the infiltration basin and must be provided and maintained at design condition: a. Drainage Area, acres: Onsite, ft : Offsite, ft2: b. Total Impervious Surfaces, ft2: Buildings, ft2: Streets, ft Existing, ft2: C. Design Storm, inches: d. Ponding Depth, feet: e. Bottom Elevation, FMS1 : f. Bottom Surface Area, ft : g. Bypass Weir Elevation, FMSI�: h. Permitted Storage Volume, ft : i. Predevelopment 1 year 24 hour: j. Storage Volume Discharge: k. Type of Soil: I. Expected Infiltration Rate, in/hr: m. Seasonal High Water Table, FMSL: n. Time to Draw Down, hours: o. Receiving Stream/River Basin: p. Stream Index Number: q. Classification of Water Body: II. SCHEDULE OF COMPLIANCE 1.66 72,400 0 37,115 16,171 5,924 15,020 1.0 2. 0' 501.2..5 1,025 503.25 3,274 2.52 cfs 0 cfs (infiltrating) Candor 6.0 496.5 12 Pulpy Creek / Cape Fear 18-31-19 "C'. The stormwater management system shall be constructed in its entirety, vegetated and operational for its intended use prior.tr 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 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, level spreader, catch basins, piping and vegetated filter. g. A clear access path to the bypass structure must be available at all times. Records of maintenance activities must be kept for each permitted BMP. The reports will indicate the date, activity, name of person performing the'work and what actions were taken. Page 2 of 6 State Stormwater Permit Permit No. SW6100401 5. The permittee shall submit to the Division of Water Quality an annual summary report of the maintenance, and. inspection records for each BMP. The report shall summarize the insp"ection'dates, results of the inspections, and the maintenance work performed at each inspection. 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. 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. 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. 9. Access to the stormwater facilities shall be maintained via appropriate easements at all times. 10, 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 subdivision, acquisition, lease or sale of 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. 11. The,permittee shall submit final site layout and grading plans for any permitted future areas shown on the approved plans, prior to construction. ; 12. A copy of the approved plans and specifications shall be maintained on file by the Permittee for a minimum of ten years from the date of the completion of construction. 13. The Director may notify the permittee when the permitted site does not meet one or more of the minimum requirements of the permit. Within the time frame specified in the notice, the permittee shall submit a written time schedule to the Director for modifying the site to meet minimum requirements. The permittee shall provide copies of revised plans and certification in writing to the Director that the changes have been made. Page 3 of 6 State Stormwater Permit Permit No. SW6100401 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 appropriate 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. 2. The permittee is responsible for compliance with all permit conditions until such time as the Division approves the transfer request. 3. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to enforcement action by the Division of Wati�r 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 issued shall continue in force and effect until.revoked.or terminated. The permit may be modified, revoked and reissued or terminated for cause. The filing of a request for a permit modification, revocation and reissi;ance or termination does not stay any permit condition. 8. Unless specified elsewhere, permanent seeding requirements for the stormwater controls 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 issuance of this permit does not prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules and regulations contained in Session Law 2006- 246, Title 15A NCAC 21-1.1000, and NCGS 143-215.1 et. al. 11. 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. 12. The permittee shall submit a renewal request with all required forms and documentation at least 180 days prior to the expiration date of this permit. Permit issued this the 121h day of April, 2010. UQRTH CAROLINA ENWRONMENTAL MANAGEMENT COMMISSION en H. Suums, uirector of Water Quality, By Authority of the Environmental Management Commission Page 4 of 6 State Stormwater Permit Permit No. SW6100401 FedEx Ground Expansion Stormwater Permit No. SW6100401 Hoke County Designer's Certification I, , as a duly registered in the State of North Carolina, having been authorized to observe (periodically/ weekly/ full time) the construction of the project, (Project) for (Project Owner) hereby state that, to the best of my abilities, due care and diligence was used in the observation of the project construction such that the construction was observed to be built within substantial compliance and intent of the approved plans and specifications. The.checklist of items on page 2 of this form, is included in the Certification. Noted deviations from approved plans and specification: Signature SEAL Registration Number Date -17 Page 5 of 6 State Stormwater Permit Permit No. SW6100401 V Certification Requirements: 1. The drainage area to the system contains approximately the permitted acreage. 2. The drainage area to the system contains no more than the permitted amount of built -upon area. 3. All the built -upon area associated with the project is graded such that the runoff drains to the system. 4. All roof drains are located such that the runoff is directed into the system. 5. The bypass structure weir elevation is per the approved plan. 6. The bypass structure is located per the approved plans. 7. A Trash Rack is provided on the bypass structure. 8. All slopes are grassed with permanent vegetation. 9. Vegetated slopes are no steeper than 3:1. 10. The inlets are located per the approved plans and do not cause short- circuiting of the system. 11. The permitted amounts of surface area and/or volume have been provided. 12. All required design depths are provided. 13. All required parts of the system are provided. __14. The required system dimensions are provided per the approved plans. Please submit this Designer's Certification to: DWQ Fayetteville Regional Office Surface Water Protection 225 Green Street Systel Bldg. Suite 714 Fayetteville, NC 28301-5043 and: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Page 6 of 6 DWQ USE ONLY Date Received Fee Paid Permit Number 26 to _ $W6Loo`/C)/ Applicable ules: ❑ Coastal SW -1995 ❑ Coastal S - 2008 IRTh II - Post Construction (select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan ❑ Other WQ M mt Plan: State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM This form may be photocopied for use as an original 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.): Fed -Ex Ground Expansion - Hoke Countv 2. Location of Project (street address): 104 Midway Drive City:raeford County:Hoke Zip:28376 3. Directions to project (from nearest major intersection): From Fayetteville- Take US Hwy 401 West to Midway Drive From Raeford- Take US Hwy 401 East to Midway Drive 4. Latitude:35° V 55" N Longitude:-79* 7' 23" W of the main entrance to the project. II. PERMIT INFORMATION: 1. a. Specify whether project is (check one): ❑New ❑Modification b.If this application is being submitted as the result of a modification to an existing permit, list the existing permit number SW6100401 , its issue date (if known) April 12,2010 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 3. If this application is being submitted as the result of a previously returned application or a letter from DWQ requesting a state stormwater management permit application, list the 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: 1.75 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: Fonn SWU-101 Version 07Jun2010 Paget of6 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 nroiect): Applicant/Organization: Baseline Construction Inc. Signing Official & Title: Gavin Melia b.Contact information for person listed in item la above: Street Address:155 West New York Ave. City:Southern Pines State:NC Zip:28387 Mailing Address (if applicable): City State: Phone: (910 ) 695-3694 Fax: ( ) Email:gavin@baselinedevelopment.com c. 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: FEDSU60 LLC Signing Official & b.Contact information for person listed in item 2a above: Street Address:910 Autumn Ridge Court City:Mt. Airy Mailing Address (if applicable): City: Phone: (910 ) 693-1121 Email:hunterscreek@embarqmail.com State:MD Zip:21771 Fax: 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 Signing Official & b.Contact information for person listed in item 3a above: Mailing Address: Phone: ( 1 Fax: 4. Local jurisdiction for building permits: Hoke County ,, Point of Contact William Cox Phone #: (9.(0 ) 5 T5 IL v1 Form SWU-101 Version 07Jun2010 Page 2 of 6 IV. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. An infiltration basin, with a level spreader and filter strip will be constructed to detain storm water runoff of impervious surface equal to ( or above) the amount of new impervious surface 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: 8.77 acres 5. Total Coastal Wetlands Area: acres 6. Total Surface Water Area: acres 7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project Area+:8.77 acres Total project area shall be calculated to exclude the followin the normal pool of ins ounded structures, the area between the banks of streams and rivers, the area belozo the Normal High Water (NSW, line or Mean High Water (MHW) line, and coastal wetlands landward front the NHW (or MHM line. Tire resultant project area is used to calculate overall percent built upon area (BUA). 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 = 60 ° 9. How many drainage areas does the project have?1 (For high density, count I for each proposed engineered stormwater BMP. For loco density and other projects, use I 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 _ Drainage Area _ Drainage Area Receiving Stream Name Puppy Creek _ Stream Class * C Stream Index Number * 18-31-19 Total Drainage Area (so 72,400 On -site Drainage Area (so 72,400 Off -site Drainage Area (sf) Pro osed Ira ervious Area** (so 37,115 Ira ervious Area** total 51 Impervious- Surface Area Drainage Area _ Drainage Area _ Drainage Area _ Drainage Area On -site Buildings/Lots (so 16,171 _ On -site Streets (so 5,924 On -site Parking (so On -site Sidewalks (so Other on -site (so Future(so Off -site (so Existing BUA*** (so 15,020 Total (so: 37,115 Streams Class and Index Number can be determined at: http://portal.nederur.org oeb/zvglps/csu/clnssificatiouus 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 07Jun2010 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 BLIA. 11. How was the off -site impervious area listed above determined? Provide documentation. measured from survey and Site Plan Projects in Union County: Contact DWQ 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 NCAC 028.0600. 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:Z/portal.ncdenr.org/­web/wq/ws/su/bmp-iiiaiiiial. 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. A detailed application instruction sheet and BMP checklists are available from http://portaI.ncdenr.org/web/wq/ws/su/statesw/forms does. The complete application package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating project on the interactive online map at httL,://12ortal.ncdent.orgZweb/wq/ws/su/inaps.) 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://poda1.ncdennorg/web/wq/ws/su/statesw/forrms jdoes. I ]. Original and one copy of the stormwater Management Permit Application Form. is 2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants L n Form. (if required as per Part VII below) 3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M LoL.> agreement(s) for each BMP. 4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to hUp //www.envhelp.org/ pages/ onestopexpresshtni 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/managementfor tz/GS the project. This is required in addition to the brief summary provided in the Project Information, item 1. 6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the a✓ L.S receiving stream drains to class SA waters within 1h mile of the site boundary, include the 1/2 mile radius on the map. 7. Sealed, signed and dated calculations. w L o, 8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: w� 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. in. 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. Form SWU-101 Version 07hm2010 Page 4 of 6 o. Drainage areas delineated (included in the main set of plans, not as a separate document). P. Vegetated buffers (where required). 9. Copy of any applicable soils report with the associated SHWT elevations (Please identify L .Ls 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 DWQ to verify the SHWT prior to submittal, (910) 796-7378.) 10. A copy of the most current property deed. Deed book: 676 Page No: 752 kJ( 3 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 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:Z/www.secretary.state.iic.tis/Corporations/Csearcii.aspx VIL DEED RESTRICTIONS AND PROTECTIVE COVENANTS For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and protective covenants forms can be downloaded from http://portal.ncclenr.org/web/wq/ws/su/statesw/forms does. Download the latest versions for each submittal. In the instances where the applicant is different than the property owner, it is the responsibility of the property owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring that the deed restrictions are recorded. By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and protective covenants for this project, if required, shall include all the items required in the permit and listed on the forms available on the website, that the covenants will be binding on all parties and persons claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot. VILL 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:Walter L. Sadler, RLA (Landscape Architect) Consulting Finn: The Hayter Firm Mailing Address:P.O. Box 3083 City:Pmehurst Phone: (910 ) 295-2232 Email:lsadler®thehayterfirm.com State:NC Zip:28374 Fax: (910 ) 295-3420 IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this section) I, (print or hype name of person listed in Contact Information, item 2a) We-q Cooke— certify that I own the property identified in this permit application/and thus give permission to (print or type name of person listed in Can tact Information, iittem la) �T� ItJ i�%(G )�) i� with (print or type name of organization listed in Contact Information, item la)?iNwZLI C COh151 . 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 SWU-101 Version 07Jun2010 Page 5 of As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated .agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a completed Name/Ownership Change Form within 30 days; otherwise 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 of civil en(a/Itie�s�of�up to $25,000 per day, pursuant to NCGS 143-215.6. Signature:_( ,. R (L Date. '7-22, l'O Su4 ry4 a Notary Public for the State of NoaiV, Ca-1'r 4 Countyof Sco}\ 0.c do hereby certify that °bt^Z F cc- oo\c- personally appeared before me this dl day of T:� -�-10 , and a stormwater permit. Witness my hand and official seal, �\�ap SUYp9'Li NOTARY PUBLIC10 CO 2 SEAL o • ��� 2J v NOTARY N PUBLIC 2 My ck9msion expires.,' execution of the application for X. APPLICANT'S CERTIFICATION IA n t I I, (print or type name of person listed in Contact Information, item 1a) U n" I� +v`L 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 stormw/er rule under 15 } NCAC 21-1.1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211. Date: 1- Zz - f 0 I, n A J:c t Glam a Notary Public for the State of Nn J, cc. \ A County of Sco-il.^d do hereby certify that 6�' ^ -M-k 0 personally appeared before me this ?t day of Jam.\7 2-GA , and a n wledg the due execution of the application for a stormwater permit. Witness my hand and official seal, ^ �. " tl— d,•�e•��CjO A,S U O NOTgRr s o 'PUBLIC o . °° °5�.NOso Ou N�`•••• SEAL My commission expires -i 3 fn • ,;L--,3 ?5 Form SWU-101 Versiou07Jun2010 Page 6 of 6 0680 0625 SK 00680 PG:0625 Q. Z >z eoke Cau+r oeaazms NORTH CAROLINA nd earn FILED HOKE COUNTY ONNIE DUDLEY REGISTER OF DEEDS FILED Aug 04. 2005 AT 12:53:10 pm BOOK 00680 START PAGE 0525 END PAGE 0627 INSTRUMENT # 19914 aerie Tu $200o This deed prepared by Regina Roberts Sutherland, Attorney Tax ID #:4964-00-01-544 S/0 Excise Tax: $240.00. STATE OF NORTH CAROLINA COUNTY OF HOKE WARRANTY DEED THIS DEED, made and entered into this the 4th day of August 2005, by and between AUTUMN PARK, L.L.C., hereinafter called Grantor, and FEDSUBO, L.L.C., with a mailing address of P.O. Box 370, Southern Pines, North Carolina, 28388 hereinafter called Grantee. WITNESSETH: NOW THEREFORE, Grantor for and in consideration of the sum of TEN DOLLARS ($10.00) and other valuable considerations to them in hand paid by the Grantee, the receipt of which is hereby acknowledged, have and by these presents do grant, bargain, sell and convey unto the Grantee in fee simple, all of that certain tract or parcel of land situated in McLauchlan Township, Hoke County, North Carolina and more particularly described as follows: See attached Schedule A. TO HAVE AND TO HOLD the above described premises, with all the appurtenances thereunto belonging, or in any wise appertaining, unto the Grantee, its hews and assigns, forever. And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that the Grantor will warrant and defend the title against the lawful claims of all persons whomsoever stated, except; 1. Pro Rated Taxes; 2. Utility and state highway easements of record 0688 0626 �� a IN WITNESS WHEREOF, the Grantor has hereunto set its hand and seal, the day and year first above written. 11 �r A jD'� C VL STATE OF NORTH CAROLINA COUNTYOF Halif, AUTUMN PALM L.L.C. By,/ . �-- Title: Title: 1, a Notary Public of the County and state aforesaid, certify that R Cf10I 1 2�'Dma S _ i f m bee of AUTUMN PARK L.L.C., a North Carolina Limited Liability Company, personally appeared before me this day and acknowledged the due execution of the foregoing instrument on behalf of the company. tt, Witness my hand and notarial seal this the Lf day of August, 2005. My commission expires: 12- 52 0 0"1 g - Notary Public �... P G EBH"'.,. i x�OtPgY �. STATE OF NORTH CAROLINA COUNTY OF Hoke k, a Notary Public of the County and state aforesaid, certify that lam) niSO L CnJ.n eSS Me in K of AUTUMN PARK L.L.C., a North Carolina Limited Liability Company, personally appeared before me this day and acknowledged the due execution of the foregoing instrument on behalf of the company. tl- Witness my hand and notarial seal this the - day of August, 2005. My commission expires: 12-5-2 pdq a !/ Notarypublic NORTH CAROLINA - HOKE COUNTY The foregoing certificate(s) of CYNTHIA A GESHARDT Notary Public is (am) cera&.d to be eon oc Duly registerM this date and hoar siswn on the tksi page hereof. ONNIE DUDLEY Register of Deeds By GERH Aly O 2 ? OP ".,�OR1H GNPo`� 8680 0627 rr...: • t= 3 a 6 Schedule LYING and being in McLauchUn Township, Hoke County, North Carolina and being all of that.944 acre as shown on plat entitled "Survey for Autumn Park LLC" drawn by Leland L. Strother, L-2768, and recorded in Plat Cabinet '9,, Slide °. --jo, Map g?j, Hoke County Public Registry. Certificate of Approval for RecordIng 1 hereby certify that this transaction hereon has been found to comply with fhe Subdivision Regulations of the County of Hoke, North Carolina, and that this has been approved for recording in the Office Of a Regizter of Deeds of Noke County, �Qy'a1 fOt Tr+: 1Kl/i7tYif1OQ 0676 0752 I BKO0676 PG:0752 FILED HOKE COUNTY ONNIE DUDLEY REGISTER OF DEEDS FILED Jul 11, 2005 AT 01:29:21 pm BOOK 00676 - START PAGE 0752 END PAGE 0754 INSTRUMENT # 19213 NORTH CAROLINA GENERAL WARRANTY DEED __ ...._ EXCIWTx: $0.00 M tout wes Psepned by.. Cox and Cox L.L.P. Brief despfpdca for the btd. TINS DBBD made thk — day of July 2005 by sad betwma ROBERT E. COOK and wife, NANCY SUE COOK ..:'C:FEDSUBO, LLC f0tm 370 d838P 20 The d-WLa ion Grantor and Ommee u Used hank shaD include aid Partlm, flair behs, akVAV- pk-L t'am"n", f=Wm or ncWe AS requhed by cone# °1C°ef+°ts• and eaalgas, and shell include eadbythmPm=don ,foravdeablellen cmnvc =tDadoo Peidby rathe in the+eceiPt of which is herby aclmowltdged, has the City of 8nm, 6atgak,sell tad wavrytmtthn(iranteakfie simple,&Dtb&tccrtninlotwparcWofl=d-iaykdk Perticukty dmenedafollows T0WIlkp• a°k" COMAY,NomhCemllnaaadmore SEE ATTACHED EXHIBIT A. The peop bmeloabove described w acgnhed by Gnat. by h MUNAMt.1d d In Hook Peio A atop ahowkg do above deam'bed ptoperiy I. rewaded k Plat Book page NC Bet Aasocktioa Form No. 3 O 1976, Revised O 1977, 2002 Iamm Prkted by Agm ment with the NC Bar Anocia4m —1981 'A'11Datns k Co., Inc. wwwJameeWilDama.wm 0676 0753 - BK:0O676 PG:O753 TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Gnamce in fee simple. And the Grantor covenants with the Grantee, that Grantor is seized ofthe premises in fee simple, has the right to convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful claim ofeil persons whomsoever, other than the following exceptions: Except for ad valorem taxes for year 2005 and thdreafter andiexcept for easemetits, restrictions and rights-of:-vay of record. IN WITNESS WHEREOF, the Grantor has duty executed the foregoingWdyear Oust above written. /was (Entity theme) ROBERT E. COOK By 05q) Tie NANCY S E COOK By: Tide: Tide: State of North Carolina - County of 1, the undersigned Notary Public of the Countyand State aforesaid. certiry, that nhh.rr e _ Cnnk and Nanny Sne Cook personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this � day of July .20_0 �0 p70 ` ��y��J/J� r /'� MY E'W��--LS�A-S110t �/ . U V Ii�J /`'�2 .' Notary Public Notary Public of the County and Stan, aforesaid, certify that personally d acknowledged that he is the of corporstionnimited liability company/general parmorship/limhW parr mbip(sb'&c through the ruthoriry duly given and as the act of such entity, _he signed the foregoing instmment in its name on its Witness my hand and Notarial stamp or sea], this _ day of J 20_. My Commission Expires: Notary Public State ofNorth Carolina - County of 1, the undersignedNotary Public of the Comtysnd Stare aforesaid, oa*dmt Witness my hand and Notarial stamp or seal, this day of My Commission Expires Notary Public The foregoingCernfxate(s) of W. Knhhtn5 UnK is/are certified to be correct. This inmunert and this certificate are duly registered at the date and time and in the Book and Page shown on the ptfeseof. /ff�d k Register of Deed+ for �:OY>e County BY: �ry✓I! .. 1- Deputy/Aw4wnt-Register of Deeds NC Bar Association Form No. 3 m 1976, Revised ® 1977, 2002 James Williams & Co., Inc. Printed by Agreement with the NC But Association - 1981 wwwJemesWiiliems.wm 0676 0754 , BKO0676 PG:O754 EXHIBIT A: LEGAL DESCRIPTION BEING all of Lot 1, 5 1 3 and } u axk, a plat entitled, "Survey nt LOA co S a 7, tPlat, l• Park, 2,Slide Property of 1, Ma, Inveanose001d Tote are 'ty, Nora Sp Plat, Ca41ne9 2 Slide 2-61, Map- y, North CYrol,}1y. R" sRy. 001, Hoke Count Nor P i9 • r descrl r as gllowg f;; BXGXI&13t0 at an exlatlnq llton take, the n rneY of Lot 5 and 7 as shown on a map en�lcl.d.VayeldE e''Peck recoYded 'in Slide 262, Hip 3, Hoke _County Rapiatry and. being in the western line of now, or formally, Roy E. Brock as recorded in Deed Book 232, Page 414, (said corner being located S 31-14- 52 W 235.39 feet from an 'existing concrete monument, north east corner of Lot 7, Wayside Park; and north west corner of now, or foremrly, Roy E. Brock, Used Book 232, Page 414), thence as marked line of now, or formally, Roy E. Brock and Lot 5 of Wayside Park S 31-14-52 W 235.39 'feet to an e,iat�ing iron stake, corner with Lot 5 and Lot 3 as shown on Slide 262, -Map 3 and Slide 248, Map 2; chance continuing with a marked line, now, or formally, Roy E. Brock and Lot 3, Wayside Park (Slldo 248, Map 2) 5 31-14-52 W 520.93 feet to an as Sating iron sake with throe marked pines in the now northern right-of-way of U.S. 401t thence as the new northern right-ot-way of U.S. 401, S' 89-29-40 W 394.31 lest to. an existing right of Lay disk �0,1 SntereOctioq of Midway D. v., (NCSRDrive 1345)1 thence a.4 the n 0. right of way Of Midway Orlve N '41-00 29 W ',Il 73 t an Oxletknq rl Of of way, diakr thence bonfinulnq as av oaaceni S. , bf"'way of" Midway Drive 11 03-26-73 E 327 8 faetl to jn p. i.tin�p right of. way disk to the .new •asUrn..rlgnf of vay'df Mldwdy'Dri va: thence con<inuln{7 as the' new aka tarn right of way of Midway Drive N 24-21-42 B 7.14 fee[ to a exlatlnq iron, an original corner of Lot 3, Wayside Park/ thenee as the original eastern right -of -wry of Midway Drive H 22-42-26 E 301.61 feat to an exlatlnq Iron stake, doenaon corner of Lot 3 and 5, Wayside Park; thence continuing as the original eastern right or way Of Midway Drive, N 22-43-27 E 217.75'feet to an existing Iron stake, coasoon coiner of Lot 5 and 7 of Wayside Parkt thence as northern line of Lot 5 and southern line of Lot 7, N 09- 24-46 E 602.10 feet to the place and point of =GnBtIN0. Said tract being all of Lot 5 and the remainder of Lot 3, as shown on a sup entitled Survey. for Hoke Baseline Development, LLC, by Bennett Surveys, Inc., dated November 27, 2000, and Containing 7,673 Worse. Certificate of Approval for Ilelww—' ! her+Dy certify that th;s nans=;i fl 'wcon has bcr,n tocnd to corarFt adid !r 'it.!diai,ion Hq.^Mallon* of the G.Una o.' t-cYc, Ncrin 'at. '.n;:, ;:nd :r:'rt tr.,s hat .rcon ' �pmr:�d M1,r .r•nroinq : ` It, nl!lre the rCh'I!(iY of Iif ds of Hole Cotwrv. 0� loon Rec O4'.n1P* ��T l13►aw'soa W Permit Number: Skl6(00ttof (to be provided by DWQ) Drainage Area Number: / Infiltration Basin Operation and Maintenance Agreement I will keep a maintenance record on this BMP. This maintenance record will be kept in a log in a known set location. Any deficient BMP elements noted in the inspection will be corrected, repaired or replaced immediately. These deficiencies can affect the integrity of structures, safety of the public, and the removal efficiency of the BMP. 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 z and will be available upon request. ® o M G � Inspection activities shall be performed as follows. Any problems that are found shall a Jn be repaired immediately. c M 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. @ `r--� �`1/% jR U L`Z fhe pipe is cracked or Replace the pipe. P otherwise damaged (if a licable). APIs 0 9 2010 Erosion is occurring in the Regrade the swale if necessary to swale (if applicable). smooth it over and provide erosion ENR - WATER QUALITY control devices such as reinforced Hands & Stormwatar Branch 1 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 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. s ra 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: 51,46 1oa1'eo (to be provided by DI'()) I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed above. 1 agree to notify DWQ of any problems with the system or prior to any changes to the system or responsible party. Projec! name: BMP drainage area number: Print name: U ilk/ d to [ t Title: 1,� Address: JSS VJ t>ve4r- Pr4e . 7.oC 5. Phone: Ito S ?, Signature: A.✓LL- 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> . rvSn cSsn v tyt a Notary Public for the State of Nox4\, Cc.r,\.l-4 A County of Sr oV\ n.�d , do hereby certify that ).Ag�iPr personally appeared before me this SC day of A 2:l I d.oto , and acknowledge the due execution of the forgoing infiltration basin maintenance requirements. itness my hand and official seal, z G `.S J kANO SEAL My commission expires y-'4 .L-)-0 t o Form SWa01-Infiltration Basin O&M-Rev.3 Page 3 of 3 Permit Number:-5L4/b_10O'YO/ (to be provided by DlVQ) Drainage Area Number: 1 Filter Strip, Restored Riparian Buffer and Level Spreader Operation and Maintenance Agreement I will keep a maintenance record on this BMP. This maintenance record will be kept in a login 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: — Immediately after the filter strip is established, any newly planted vegetation will be watered twice weekly if needed until the plants become established (commonly six weeks). — Once a year, the filter strip will be reseeded to maintain a dense growth of vegetation — Stable groundcover will be maintained in the drainage area to reduce the sediment load to the vegetation. — Two to three times a year, grass filter strips will be mowed and the clippings harvested to promote the growth of thick vegetation with optimum pollutant M removal efficiency. Turf grass should not be cut shorter than 3 to 5 inches and v Z Z may be allowed to grow as tall as 12 inches depending on aesthetic requiremen* o (NIPC, 1993). Forested filter strips do not require this type of maintenance. N ) — Once a year, the soil will be aerated if necessary. C' o M — Once a year, soil pH will be tested and lime will be added if necessary. After the filter strip is established, it will be inspected quarterly and within 24 hours after every storm event greater than 1.0 inch (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 filter strip "rrash/debris is present. Remove the trash debris. system The flow splitter device (if applicable) The flow splitter device is clogged. Unclog the conveyance and dispose of any sediment off -site. 2 The flow splitter device is damaged. Make any necessary repairs or replace if damage is too large for repair. A?R092010 Fonn SWU40I-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page I of 3 BMP element: Potentialproblem: How I will remediate theproblem: The swale and the level The swale is clogged with Remove the sediment and dispose lip sediment. of it off -site. The level lip is cracked, Repair or replace lip. settled, undercut, eroded or otherwise damaged. There is erosion around the Regrade the soil to create a berm end of the level spreader that that is higher than the level lip, and shows stormwater has then plant a ground cover and bypassed it, water until it is established. Provide lime and a one-time fertilizer application. Trees or shrubs have begun Remove them. to grow on the swale or just downslo e of the level lip. The bypass channel Areas of bare soil and/or Rcgrade the soil if necessary to erosive gullies have formed. remove the gully, and then reestablish proper erosion control. Turf reinforcement is Study the site to see if a larger damaged or ripap is rolling bypass channel is needed (enlarge if downhill. necessary). After this, reestablish the erosion control material. The filter strip Grass is too short or too long Maintain grass at a height of f applicable). approximately three to six inches. Areas of bare soil and/or Regrade the soil if necessary to 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. Sediment is building up on Remove the sediment and the filter strip. restabilize the soil with vegetation if necessary. Provide lime and a one- time fertilizer application. Plants are desiccated. Provide additional irrigation and fertilizer as needed. Plants are dead, diseased or Determine the source of the dying. problem: soils, hydrology, disease, etc. Remedy the problem an(] replace plants. Provide a one-time fertilizer application. Nuisance vegetation is Remove vegetation by hand if choking out desirable species. possible. If pesticide is used, do not allow it to get into the receiving water. The receiving water Erosion or other signs of Contact the NC Division of Water damage have occurred at the Quality local Regional Office, or the outlet. 401 Oversight Unit at 919-733-1786. Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 2 of 3 Permit Number: 5 W 6 60 Oki b) (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: BMP drainage area number: Print name: U A-\ i N MOU A 0 '-z 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. V h h ;mod ,Kcurr a a Notary Public for the State of County of _,do hereby certify that personally appeared before me this g day of -Aj2a�:A aoto , and acknowledge the due execution of the forgoing filter strip, riparian buffer, and/Ze., el preader maintenance requirements. Witness my hand and official seat ,,%jHuao0e0" QP SUYD q�°jnrr rr PRY 's rrarrO "i nth Co tl�'m�y7Udr34�pta• SEAL My commission expires y- ac, - \- 0 t . Form SWU40I-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 3 of 3 Permit No. s 0✓610 ��a/ (to be provided by DWQ) o20 p r�o c STORMWATER MANAGEMENT PERMIT APPLICATION FORM NCDENR 401 CERTIFICATION APPLICATION FORM INFILTRATION BASIN SUPPLEMENT This form must be filled out, printed and submitted. The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information. I. PROJECT INFORMATION Project Name Federal Express Expansion, Hoke County Contact Person Phone Number Date 3110/2010 Drainage Area Number 1 II. DESIGN INFORMATION Site Characteristics Drainage area 72,400.00 ft' Impervious area 37,115.00 2 11 Percent impervious 0.51 % Design rainfall depth 1.00 in Peak Flow Calculations 1 -yr, 24-hr rainfall depth 3.04 in 1-yr, 24-hr intensity 5.23 inlhr Pre -development 1-yr, 24-hr discharge 2.52 ft'Isec Post -development 1 -yr, 24-hr discharge 4,43 ft'/sec Pre/Post 1-yr, 24-hr peak flow control 1.91 ft3/sec Storage Volume: Non -SA Waters Minimum design volume required Design volume provided Storage Volume: SAWaters 1.5' runoff volume Pre -development 1-yr, 24-hr runoff volume Post -development 1-yr, 24-hr runoff volume Minimum required volume Volume provided Soils Report Summary Soil type Infiltration rate SHWT elevation Basin Design Parameters Drawdown time Basin side slopes Basin bottom elevation Storage elevation Storage Surface Area Top elevation Basin Bottom Dimensions Basin length Basin width Bottom Surface Area 3,073.00 ft3 3,274.00 rya ft3 ft3 ft3 fl3 it3 Candor 6.00 in/hr 496.50 fmsl OK for non -SA waters .50 days r OK 3/1 .00 .1 OK -se{-5e, Imsl oK sea�e. Imsl so3•aS `��,z�� 1,637.00 Ih —^694-24_ Imsl 55.00 It 33.00 it 1,025.00 ftz JUN 0 4 2010 DWQ ``,.NrµITII+U�q. tH CARO Form SW401-Infiltration Basin-Rev.4 Pans I. & It. Design Summary, Page 1 of 2 Permit No. .5kl oOLOI (to be provided by DWp) Additional Information Maximum runoff to each inlet to the basin? 1.63 ac-in OK Length of vegetative filter for overflow NA It OK Distance to structure 104.00 It OK Distance from surface waters 675.00 h OK Distance from water supply well(s) NA ft OK Separation from impervious soil layer 5.00 it OK Naturally occuring soil above shwl 5.00 If OK Bottom covered with 4-in of clean sand? Y (Y or N) OK Proposed drainage easement provided? Y (Y or N) OK Capures all runoff at ultimate build -out? Y (Y or N) OK Bypass provided for larger storms? Y (Y or N) OK Pretreatment device provided Forebay Form SW401 Infiltration Basin-Rev.4 Parts I. & H. Design Summary, Page 2 of 2 5WO0oq�p/ MP Nil dr we rgA o1 vy m:��y-�� i :l.Jlll�_9l'C STORMWATER MANAGEMENT PERMIT APPLICATION FORM 401 CERTIFICATION APPLICATION FORM LEVEL SPREADER, FILTER STRIP AND RESTORED RIPARIAN BUFFER SUPPLEMENT This form must be completely filled out, printed and submitted. DO NOT FORGET TO ATTACH THE REQUIRED ITEMS 1.01 LIST AND ALL REQUIRED ITEMS (NEXT WORKSHEET)I I. PROJECT: INFORMATION Project name Federal Express Ground Expansion Contact name Mr. Gavin Melia Phone number 910.6953694 Date April 5, 2010 Drainage area number 1 For Level Spreaders Receiving Flow From a BMP Type of BMP Drawdown flow from the BMP For Level Spreaders Receiving Flow from the Drainage Area Drainage area Impervious surface area Percent impervious Rational C coefficient Peak flow from the 1 h/hr storm Time of concentration Rainfall intensity, 10-yr storm Peak flow from the 10-yr storm Where Does the Level Spreader Discharge? To a grassed bioretention cell? To a mulched bioretention cell? To a wetland? To a filter strip or riparian buffer? Other (specify) Filter Strip or Riparian Buffer Characterization (if applicable) Width of grass Width of dense ground cover Width of wooded vegetation Total width Elevation at downslope base of level lip Elevation at top of bank of the receiving water Slope (from level lip to to top of bank) Are any draws present? Level Spreader Design Forebay surface area Feet of level lip needed per cis Answer "Y" to one of the following: Length based on the 1 in/lfr storm? Length based on the 10-yr storm? Length based on the BMP discharge rate? Design flow Is a bypass device provided? Infiltration Basin 8.07 cis h2 h2 cis min nfhr cis N (Y or N) N (Y or N) N (Y or N) Y (Y or N) Do not complete this section of the worksheet Do not complete [his section of the workshee[ Do not complete this section of me worksheet Do not complete this section of the worksheet. Do not complete this section of the worksheet. Do not complete this section of the wodesheel. Do not complete this section of the worksheet. Do not complete this section of the wantsheet. Please complete filter strip characterization below. 30.00 it 0.00 it 0.00 it 30.00 ft 503.25 fmsl 503,00 fmsl -�i.jp c,,�;. tiG - -5Y \ 0.83 --- % OK N (Y or N) OK sg ft ') c' tticfs N (Y or N) Y (Y or N) N (Y or N) 8.07 cis N (Y or N) No forebay is needed. A bypass device is not needed. DENR-FRO JUN 00 4 2010 DWQ pruuufnnn. Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer- Rev. 5 Pans I. and 11. Design Summary, page 1 of 2 Sh/61 oa "to ) Length of the level lip Are level spreaders in series? Bypass Channel Design (if applicable) Does the bypass discharge through a wetland? Does the channel enter the stream at an angle? Dimensions of the channel (see diagram below): M B W y Peak velocity in the channel during the 10-yr storm Channel lining material M 81.00 If N (YorN) 1 ❑ � (Y or N) Do not complete this section of the worksheet. (Y or N) Do not complete this section of the worksheel. Do not complete this section of the worksheel. fl Do not complete this section of the worksheel. it Do not complete this section of the worksheel. ft Do not complete (his section of the worksheet. it Do not complete this section of the worksheel. cis Do not complete this section of the worksheel. Do not complete this section of the worksheel. Form SW401-Level Spreader, Filler Strip, Restored Riparian Butter-Rev.5 Pans I, and II. Design Summary, page 2 of 2