20131104 Ver 1_More Info Received_20131025

252-261-1260
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Permit No.
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
LOW DENSITY SUPPLEMENT
Thus form may he photocopied for use as an original
Project Name: P) < v Iv,
ContactPerson: Takn (amnt,- Phone Number:
Number • Lots: Allowable Built Upon Area (BUA) Per Lot*: — 1110 Sulm PYVAQ
Number of Dwelling Units Per Acre**:
Low Density Development (check one): R without curb & gutter F1 with curb & gutter, outlets to (check onei
[] Swales [:] Vegetated Area
*If lot sizes are not uniform, attach a table indicating the number of lots, lot sizes and allowable built upon area for each lot.
The attachment must include the project name, phase, page numbers and provide area subtotals and totals. BUA shall be
shown in units of square feet.
"(Phase 11 Post-Construction (non-SA) only)
restrictions for all subdivided projects. (http://h2o.enr.state.ne.us/su/bmpiorms.htTn)
Complete the following calculation in the space provided below where:
® SA Site Area - the total project area above Mean High Water.
DF Density Factor - the appropriate percent built upon area divided by 100.
RA Road Area - the total impervious surface occupied by roadways.
OA Other Area - the total area of impervious surfaces such as clubhouses, tennis courts, sidewalks, etc.
No. of Lots - the total number of lots in the subdivision.
• BUA per Lot - the computed allowable built upon area for each lot including driveways and impervious
surfaces located between the front lot line and the edge of pavemenL
• Total allowable lot BUA - the computed allowable built upon area for all lots combined.
• Total BUA from lot listing - the sum of built upon area allocated for each lot on the list of non-uniform lots.
Form SW40 I -Low Density-Rev.3-2/10/09 Page 1 of 4

252-261-1260
CalculaLon:
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III i; 1� �111
Form SW401 -Low Density-Rev.3-2110109 Page 2 of 4

252-261-1260
I-AMMI
IDIRIBIM V
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19
Swale detail and permanent vegetation is specified on the plans.
1. Swale detail provided on plans; includes grass typc(s) for permanent vegetative cover.
m. Swales are located in recorded drainage easements,
ft Only complete these items for projects Nvith curb outlets.
Form SW40 I -Low Density-Rev.3-2/10/09 Page 3 of 4

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wld��
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Note: The legally responsible party should not be a hon'ileowners association unless more than 50% of the lots have been sold and a
resident of the subdivision has been named the president.
allotary Public for the State of N Q, — County of
_, do hereby certifythat personally appeared before me this
day of L c t , �O 13 , and acknowledge the due execution of the forgoing swale maintenance requirements.
Witness my hand and official seal,
Notary .41nat4lr
OFFICIAL SEAL
Pubac - North Carolina
'
DARE COUNTY
14
uODY L. MIDGETT
rviy' Con ianission Expires I01 - A3'- I %
- - - - - - ---M'y`c%Me1S9i8h—rkpircs kC - �VY-
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Form SW401 -Low 12ensity-Rev.3-2110/09 Page 4 of 4