SW7070335_HISTORICAL FILE_20070530

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW %D7�33S
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
ISTORICAL FILE
COMPLIANCE EVALUATION INSPECTION
DOC DATEJjJ
YYYYMMDD

W
W AT FRO
Michael F. Easley, Governor
�CF
O
William G.' Ross Jr., Secretary
\�
cor
North Carolina Department o(Environment and Natural Resources
>_ 1
Alan W. Klimek, P.E. Director
Division of Water Quality
May 30, 2007
Second Baptist Church
Attn: Mr. William H. Braddy
PO Box 114
Washington, NC 27889
Subject: Stormwater Permit SV 7070335
Second Baptist Church
Beaufort County
Dear Mr. Braddy:
This office received your stormwater application for the subject project on March 29, 2007. A
preliminary review of the plans and specifications has been completed. In order to complete your
application and before a stomrwater permit can be issued, the following items must be addressed:
1) Delineate drainage basins on site plan & describe stormwater controls for each basins.
2) Provide written detailed vegetation plan, prepared by a qualified individual, that indicates a
variety of suitable species, location, spacing, soil preparation, fertilizer requirements,
installation procedures, construction schedule, etc. Cattails are a dominant type species and
should not be included in the vegetation plan.
3) Dimensions for orifice/riser details do not match; riser detail not adequately shown.
4) Site plan shows an existing collection system; explain how this runoff is routed to the pond.
5) Is ditch along NE property line "blue line" stream; do buffer rules apply.
6) Site plan shows vegetated fiker/level spreader device & 4-inch pvc.pipe discharge placed
Within the 50-ft Tar -Pamlico Buffer area; explaini)ustify.
7) Revise stormwater narrative, application, plans & details to reflect all changes.
The above requested information must be received in this office prior to June 30, 2007, or your
application will be returned as incomplete. The return of this project will necessitate resubmittal of all
required items including the application fee. If you need additional time to submit the required information,
please mail or fax your request for time extension to this office at the Letterhead address.
If you have questions, please feel free to contact me at [phone].
Sin \
William J. Mo
Environmental Engineer
Washington Regional Office
cc: Hood Richardson
aufort County Planning/inspections
ashington Regional Office
NrCarr
✓vatura
North Carolina Division of Water Quality Washington Regional Office Phone [phone] FAX [phone] Customer Service
ln*met h2o.ervsmbsnic.us 943 Washington Square Mall, Washington, NC 27889 1-877.623-6748

[phone]
HOOD RICHARDSON, PA
Engineers - Surveyors - Geologists
1 to West Second Street
Washington, North Carolina 27869
June 04, 2007
Mr. William J. Moore
Environmental Engineer
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Re: Stormwater Permit SW 7070335
Second Baptist Church
Beaufort County
Letter dated May 30, 2007
Dear Mr. Moore:
Responding to the above -described letter:
BRIECEIVED
JUN 06 2007
DWQ-WARD
1. Two copies of a map delineating the drainage basins are enclosed. Stormwater from Catchment 1, 4A
and 4B is routed to the stormwater treatment pond. Catchments 2 and 3 have no disturbance other than
the berms shown on the plans. Disturbed areas will be seeded to grass.
2. The vegetation for the wetland shelf consists of sprigging on a 12-inch pattern common rush (Juncos
Effuses) and soft stem bull rush (Scirpus Validus), when the pond is filled with water. Native plants
will be obtained locally. Fertilizer will not be used.
3. Orifice details have been changed and are shown on the enclosed maps.
4. Routing arrows are shown on the enclosed maps. The pond shown on the plans is proposed. There is
not a pond on this site at this time.
5. The pond is set back from the ditch on the north boundary line sufficiently to comply with the buffer
rules. A request was made over one month ago for a determination to be made by DWQ.
6. The level spreader is the over flow for the treatment pond. The orifice discharges into a stone reveted
portion of a drainage ditch There is no other place to discharge.
Since, q,
Hood L. Richardson, PE

[phone]
HOOD RICHARDSON, PA
Engineers - Surveyors - Geologists 8�
110 West Second Street RECEOVED
Washington, North Carolina 27889
March 28, 2007 MAR 2 9 2007
NARRATIVE AND SOILS REPORT DWQ-WARD
SECOND BAPTIST CHURCH
STORMWATER PERMIT
This six -acre site was first built upon in about 1994. At that time less t11an 30 percent was impervious.
The proposed improvements consist of a new building with additional parking, which makes 411percent of
We site impervious.
This site is topographically flat at an elevation of about 13 feet Soils near surface are fine sands
becoming more clayey with depth.
The regulations provide for the treatment of the first inch of rainfall. In this case two inches will be
stored in the pond for treatment. The cleaner water that falls late during the event will by-pass the pond.
This allows the first inch of water during every rainfall event within a 24 hours period to be treated.
The stormwater treatment system selected is a wet pond and swales.
The stormwater treatment strategy is to direct all flow to the pond, which will hold about two inches of
rainfall in temporary storage. The remaining storm events will by-pass the pond. 7 !
Soils are mapped as Seabrook and Tomotley. Soils are nether entirely Seabrook or Tomotley, according j
the published descriptions. In general, soils are a cross between the sandy nature of Seabrook and the
clayey Tomotley. The seasonal water table, based on mottling, is at about the 15-inch depth. The permitted
pool elevation is set at about 18 inches of depth.
The Tar -Pamlico rules strategy is to use the swales and treatment pond and to buy out the fractional
amounts of nitrogen and phosphorus that cannot be eliminated by the p�oppsed�Mp�
Hood L.
c;

[phone]
HOOD RICHARDSON, PA
Engineers - Surveyors - Geologists
110 West Second Street
Washington, North Carolina 27689
SOILS REPORT
Second Baptist Church
US 264 West
Iieauforl County
(12/50/07
u' - 8"
Topsoil
8" - 15"
Fine, buff, evenly graded, loamy sand
15" - 2' 10"
Buff to light orange, clayey loon, with sand pockets and mottles
2' 10" - 3'2"
Light brownish orange clayey sand
3'2" - 4'2"
Medium buff sand with rust streaks
4'2" - 8' 1"
Mediwn light buff sand
Boring stopped in
medium light buff sand.

County, North Carolina
ile north on Secondary Road 1742, about 800 feet
wtheast on a farm lane, 300 feet south of the road, in
cultivated field (State plane coordinates 645,000 feet
., 2,657,000 feet E.):
—0 to 6 inches; grayish brown (10YR 5/2) fine sandy
loam; weak fine granular structure; very friable;
many fine and medium roots; strongly acid; clear
smooth boundary.
1-6 to 14 inches; gray (1 OYR 5/1) clay; few fine
distinct brownish yellow (1 OYR 6/6) and few fine
prominent reddish brown (5YR 5/4) mottles;
moderate fine angular and subangular blocky
structure; friable, slightly sticky and slightly plastic;
common distinct clay films on faces of peds; many
fine roots; very strongly acid; clear smooth
boundary.
2-14 to 29 inches; gray (10YR 5/1) clay; few fine
distinct yellowish brown (10YR 5/8) mottles;
moderate medium and coarse angular blocky
structure; firm, sticky and plastic; common distinct
clay films on faces of peds; many fine pores; few
fine flakes of mica; very strongly acid; clear smooth
boundary.
3-29 to 36 inches; mottled dark gray (10YR 4/1),
light gray (10YR 6/1), brownish yellow (1 OYR 6/8),
and strong brown (7.5YR 5/8) clay loam; many
pockets of sandy clay loam; weak medium
subangular blocky structure; firm, sticky and plastic;
common distinct clay films on faces of peds; many
fine roots; few fine pores; few fine flakes of mica;
very strongly acid; gradual smooth boundary.
g-36 to 56 inches; light gray (10YR 6/1) sandy clay
loam; pockets of clay; common medium distinct
brownish yellow (10YR 6/8) and strong brown
(7.5YR 5/8) mottles; weak fine and medium
subangular blocky structure; friable, slightly sticky
and slightly plastic; few fine roots; few fine flakes of
mica; very strongly acid; gradual smooth boundary.
—56 to 65 inches; mottled light gray (10YR 711) and
brownish yellow (10YR 6/8) sandy loam; lenses of
sandy clay loam; massive; friable; few fine flakes of
mica; very strongly acid.
The thickness of the solum ranges from 44 to 56
:hes. Reaction ranges.from extremely acid to slightly
.id throughout the profile, except where the surface
yer has been limed.
,The A horizon has hue of 10YR or 2.5Y, value of 3 to
,and chroma of 1 or 2.
,The Btg horizon has hue of 1 OYR, value of 4 to 6,
id chroma of 1 or 2. It is clay, silty clay, or clay loam.
The BCg horizon has hue of 10YR to 5Y or is neutral
hue. It has value of 4 to 7 and chroma of 0 to 2. It is
75
clay loam, silty clay loam, sandy clay loam, or clay.
The Cg horizon varies in color and texture. In some
pecans it is stratified.
Seabrook Series
The Seabrook series consists of moderately well
drained soils that formed in sandy marine and fluvial
sediments. Slopes range from 0 to 2 percent.
Typical pedon of Seabrook loamy sand; 3 miles west
of Washington on U.S. Highway 264, about 75 feet east
of the road, in a cultivated field (State plane coordinates
675,000 feet N., 2,565,000 feet E.):
Ap-0 to 8 inches; grayish brown (1 OYR 5/2) loamy
sand; weak fine granular structure; very friable;
many fine roots; slightly acid; clear wavy boundary.
C1-8 to 28 inches; light olive brown (2.5Y 5/4) loamy
sand; few fine distinct olive yellow (2.5Y 6/6) and
light gray (2.5Y 7/2) mottles; weak fine granular
structure; very friable; strongly acid; gradual smooth
boundary.
C2-28 to 37 inches; pale yellow (2.5Y 7/4) loamy
sand; few fine distinct yellowish brown (10YR 5/6)
and common fine distinct light gray (2.5Y 7/2)
mottles; massive; very friable and loose; strongly
acid; gradual wavy boundary.
Cg-37 to 80 inches; light gray (5Y 7/1) sand; single
grain; loose; few strong brown concretions'/4 inch in
diameter; strongly acid.
The combined thickness of the sandy horizons is
more than 60 inches. Reaction ranges from very
strongly acid to slightly acid throughout the profile,
except where the surface layer has been limed.
The Ap horizon has hue of 10YR, value of 3 to 5,
and chroma of 2 or 3.
The C horizon has hue of 10YR or 2.5Y, value of 4
to 7, and chroma of 3 to 6. Its is loamy sand, loamy fine
sand, or sand.
The Cg horizon has hue of 2.5Y or 5Y, value of 5 to
7, and chroma of 1 or 2. It has textures similar to those
of the C horizon.
State Series
The State series consists of well drained soils that
formed in loamy marine and fluvial sediments. Slopes
range from 0 to 3 percent.
Typical pedon of State sandy loam, 0 to 3 percent
slopes; 2.9 miles east of Godley's store on Secondary
Road 1912, about 0.8 mile north on Secondary Road
1910, about 100 feet west of the road, in a cultivated
field (State plane coordinates 583,000 feet N.,
2,690,000 feet E.):

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\NATF9
Michael F. Easley
Governor
ro—
DIVISION OF WATER QUALITY
April 20, 2001
Second Baptist Church
Attn: Mr. James Humphrey
2516 West 5 th Street
Washington, NC 27889
Dear: Mr. Humphrey:
William G. Ross Jr., Secretary
Department of Environment and Natural Resources
Kert T. Stevens, Director
Division of Water Quality
R-ep l �- 3c✓ 7 a7033r
Subject: Stormwater Permit No. SW7010217
Second Baptist Church
Low Density Stormwater Project
Beaufort County
The Washington Regional `Office received the completed
Stormwater Application for the subject project on March 6, 2001.
Staff review of the plans and specifications has determined that
the project, as proposed, will comply with the Stormwater
Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding
Permit No- SW7010217 dated April 20, 2001 to Second Baptist Church.
This permit shall be effective from the date of issuance until
rescinded and shall be subject to the conditions and limitations as
specified therein:
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.
943 Washington Square Mall Washington, NC 27889 252-946-6481 (Telephone) 252-946-9215 (Fax)

Second Baptist Church
April 20, 2001
Page Two
If you have any questions, or need additional information
concerning this matter, please contact Bill Moore at (252) 946-
6481, extension 264.
Sincerely,
k 111 .
}✓Jim Mulligan
Water Quality Regional Supervisor
Washington Regional Office
cc: Beaufort County Inspections
ashington Regional Office
Central Files

State Stormwater Management Systems
Permit No. SW7010217
STATE OF NORTH CAROLINA
OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
LOW 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
Second Baptist Church
Beaufort County
FOR THE
construction, operation and maintenance of stormwater management
systems in compliance with the provisions of 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 for
grass swales to serve Second Baptist Church located near
Washington, NC.
This Permit shall be effective from the date of issuance until
rescinded and shall be subject to the following specific conditions
and limitations:
I. DESIGN STANDARDS
1. The following criteria are approved as meeting the stormwater
rules for this project:
a. The total project area is 6 acres.
b. Total impervious area proposed is
C. Total number of lots is one.
d. Allowable built -upon area must
proposed restrictions submitted in
permittee.
3
1.8 acres.
be consistent with
the application by the

2. The overall tract built -upon area percentage or lot sizes for
the project must be maintained at levels at least as
stringent as the low density levels specified in the
stormwater rules.
3. The development must demonstrate that no areas within the
project site are of such high density that stormwater runoff
threatens water quality.
4. Approved plans and specifications for projects covered by this
permit are incorporated by reference and are enforceable parts
of the permit.
5. The only runoff conveyance systems allowed will be vegetated
conveyances such as swales with minimum side slopes of 3:1
(H:V) or curb outlet systems as defined in the stormwater
rules and approved by the Division.
6. No piping shall be allowed except:
a. That minimum amount necessary to direct runoff beneath an
impervious surface such as a road
b. That minimum amount needed under driveways to provide
access to lots.
7. Projects covered by this permit will maintain a minimum 30
foot wide vegetative buffer between all impervious areas and
surface waters. In addition, projects in the Neuse River
Basin must comply with the Neuse Riparian Buffer Rules.
8. No homeowner/lot owner/developer shall be allowed to fill in,
alter, or pipe any vegetative practices (such as swales) shown
on the approved plans as part of the stormwater management
system without submitting a revision to the permit and
receiving approval from the Division.
9. Deed restrictions are incorporated into this permit by
reference and must be recorded with the Office of Register of
Deeds. A copy of the recorded restrictions must be received
by this Office within 30 days of the date of recording.
Recorded deed restrictions must include, as a minimum, the
following statements related to stormwater management:
a. A statement of the allowable built -upon area per lot in
the following form:
"The allowable built -upon area shall not exceed 1.8
acres, inclusive of that portion of the right-of-way
between the front lot line and the edge of the pavement,
structures, pavement, walkways of brick, stone, slate,
not including wood decking."
4

b. Items related to stormwater management must remain in the
deed restriction, and this is to be indicated by
including the following: "The covenants pertaining to
stormwater regulations may not be changed or deleted
without concurrence of the State."
C. To assure that vegetated conveyances are not piped (in
accordance with item 5) deed restrictions must indicate
that: "Filling in or piping of any vegetative
conveyances (ditches, swales, etc.) associated with the
development except for average driveway crossings, is
strictly prohibited by any persons."
10. The Engineer /Owner/Developer/ Permittee must certify in writing
that the project's stormwater controls, and impervious
surfaces have been constructed within substantial intent of
the approved plans and specifications.
11. The following items will require a modification to the permit:
a. Any revision to the approved plans, regardless of size
b. Project name change
C. Change of ownership
d. Redesign or addition to the approved amount of built -upon
area
e. Further subdivision of the project area.
In addition, the Director may determine that other
revisions to the project should require a modification to
the permit.
12. The Director may notify the permittee when the permitted site
does not meet one or more of the minimum requirements of the
permit. Within the time frame specified in the notice, the
permittee shall submit a written time schedule to the Director
for modifying the site to meet minimum requirements. The
permittee shall provide copies of revised plans and
certification in writing to the Director that the changes have
been made.
II. SCHEDULE OF COMPLIANCE
1. The permittee shall comply with the following schedule for
construction and maintenance of the Low Density Option
stormwater systems:
E

a. Swales and other vegetated conveyances shall be
constructed in their entirety, vegetated, and be
operational for their intended use prior to the
construction of any built -upon surface except roads.
b. During construction, erosion shall be kept to a minimum
and any eroded areas of the swales or other vegetated
conveyances will be repaired immediately.
2. The permittee shall at all times provide the operation and
maintenance necessary to operate the permitted stormwater
management systems at optimum efficiency to include:
a. Inspections
b. Sediment removal
C. Mowing, and revegetating of
d. Immediate repair of eroded
e. Maintenance of side slopes
plans and specifications.
the side slopes
areas
in accordance with approved
3. The permittee shall submit recorded deed restrictions limiting
built -upon area per lot in accordance with Part I, item 9,
within 30 days of the date of recording.
4. The Permittee shall submit the Engineer/Owner/Designer/
Permittee Certification in accordance with Part I, item 12,
within 30 days of completion of the project.
5. The permittee shall submit all information requested by the
Director or his representative within the time frame specified
in the written information request.
III. GENERAL CONDITIONS
1. Failure to abide by the conditions and limitations contained
in this permit may subject the Permittee to an enforcement
action by the Division of Water Quality, in accordance with
North Carolina General Statutes 143-215.6A to 143-215.6C.
2. The permit issued shall continue in force and effect until
revoked or terminated.
3. 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.
9

4. 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 Title 15A of the
North Carolina Administrative Code, Subchapter 2H.1000; and
North Carolina General Statute 143-215.1 et.al.
5. The permittee shall submit to the Director and shall have
received approval for revised plans, specifications, and
calculations prior to construction, for those revisions under
any of the following conditions:
a. Any additions, deletions or redesign of the previously
permitted amount of built -upon area proposed regardless
of the size of the modification.
b. Further subdivision of the project area.
6. The permit is not transferable to any person except after
notice to and approval by the Director. The Director may
require. modification or revocation and reissuance of the
permit to change the name and incorporate such other
requirements as may be necessary. A formal permit request
must be submitted to the Division of Water Quality accompanied
by the appropriate fee, documentation from both 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.
7. 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) which have jurisdiction.
Permit issued this the 20 th day of April, 2001.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
},,Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW7010217
7

To �ti // 14G-" - & .- ; G -�'
a " ''
�:, . _.., ;.OFFICE'USE ONLY .'
Date Recei red
Fee Paid
Permit Number
0
20,06�
1 1507010
State of North Carolina
w, yl del kec 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. Applic name (specify the narile of the corporation, in vidual, e who owns the project):
2. Print Owner/Signing Official's name and title (person legally respf'Bible for facili and compliance):
�Q./I�ES i�iL 1 jZvSTCr�
3. Mailing Address for person listed in item 2 above:
i v / City: State: Gi • Zip: 2Q8 JQ
'Telephone Number:
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on
plans, sp�p#ications, letters, operation and maintenaryge agreemAents, etc.):
5. Location of Project (street address): .
City: .C� Coui
6. Directions to project (from nearest ma
njor intersection):
�. .� �y
7. Latitude: Longitude: of project
8. Contact pers n who can answer s about the project:
Name: Telephone Number:
II. PERMIT INFORMATION:
1. Specify whether project is (check one): /_ New Renewal Modification
Form SWU-101 Version 3.99 Page 1 of 4

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number and its issue date (if known) r
nL
the type of project (check one):
)ow Density _High Density _Redevelop _General Permit �ther
4. Additional Project Requirements (check applicable blanks): /
_LAMA Major _Sedimentation/Erosion Control _404/401 Permit /NPDES Stormwater
Information on requited'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 .
2. Stormwater runoff from this project drains to the ����a_ge�er basin.
3. Total Project Area: 6 acres 4. Project Built Upon Area: 6VZ A _
5. How many drainage areas does the project have? C
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.
Receiving Stream Name
Receiving Stream Class
Drainage Area (�
Existing Impervious* Area
Pr000sed Impervious*Area /. ,S3 a.c . AA 7D 9S
% Imoervious' Area
On -site Buildings
On -site Streets
On -site Parking
on -site
` Imperuious 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

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.
The following covenants are intended to ensure ongoing compliance with state stormwater management permit
number as issued by the Division of Water Quality. These covenants may
not be changed or deleted without the consent of the State.
No more than 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 prim to
.construction.
l5. 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 State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
l
The applicable state stormwater management permit supplement form(s) listed below must be submitted for
each BMP specified for this project. Contact the Stormwater anciteneral 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 Pave 3 of 4

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 0 &—
• One copy of the applicable Supplement Form(s) for each BMP _a A,
;_� • Permit application processing fee of�D(payable to NCDENR)r�
• Detailed narrative description of stormwater treatment/management
• Two copies of plans and specifications, including:
- 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.
� P
Designated agent (individual or firm):
Mailing Address:
City: �1 State: , '� Zip:
Phone: - %. 7u' 4, /` Fax: (,g::&29��—
VIII. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in General Information, item 2)
certify that the information included on this permit application form is, to�th b st of my knoWledge, corftsct 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 15A
NCAC 2H .1000.
Form SWU-101 Version 3.99 Page 4 of 4