HomeMy WebLinkAboutSW7090815_CURRENT PERMIT_20091009STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO. I SW(��1�
DOC TYPE CURRENT PERMIT
(❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE I W%%o °
YYYYMM DD
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Division of Water Quality
Coleen H. Sullins
Dee Freeman
Governor Director Secretary
October 9, 2009
Mr. George Kittrell, Jr.
Sunbury Volunteer Fire Department, Inc.
380 Parkers Fork Road
Corapeake, NC 27926
Subject:, Stormwater Permit No. SW7090815
Sunbury Volunteer Fire Department
High Density Project
Gates County
Dear Mr. Kittrell:
The Washington Regional Office received a complete Stormwater Management Permit
Application for Sunbury Volunteer Fire Department project on August 24, 2009. Staff review of
the plans and specifications has determined that the project, as proposed, will comply with the
Stormwater Regulations set forth in Session Law 2008-211 and Title 15A NCAC 2H.1000. We
are forwarding Permit No. SW7090815 dated October 9, 2009, for the construction of the
subject project.
This permit shall be effective from the date of issuance until October 9, 2019, 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 operation 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, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such
demands are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please
contact Samir Dumpor, or me at (252) 948-3848.
Si cerely,
All Hodge
Regional Supervisor
Surface Water Protection Section
AH/sd: S:\WQS\STORMWATER\PERMIT\SW7090815
cc: Kim Hamby, Hyman & Robey
Gates County Building Inspections
;/dashington Regional Office
Central Files
North Carolina Division of Water Quality Intema www.nco aterqualiry mg
943 Washington Square Mall Phone. 252-946-6481
Washington, NC 27889 FAX 252-946-9215
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State Stormwater Management Systems
Permit No. SW7090815
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
Sunbury Volunteer Fire Department, Inc.
Sunbury Volunteer Fire Department
Gates County
FOR THE
construction, operation and maintenance of an infiltration basin in compliance with the
provisions of Session Law 2008-211 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 October 9, 2019, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. 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 on page 3 of this permit. The stormwater control
has been designed to handle the runoff from total of 48,124 square feet of
impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section 1.7 on
page 3 of this permit, and as shown on the approved plans.
4. 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.
5. The runoff from all built -upon area within the permitted drainage area of this project
must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at lest 50 feet
landward of all surface waters.
Page 2 of 7
State Stormwater Management Systems
Permit No. SW7090815
7. The following design criteria have been permitted for the infiltration basin and must
be provided and maintained at design condition:
BASIN #1
a.
Drainage Area, ft2:
69,789
b.
Total Impervious Surfaces, ft2:
30,318
C.
Design Storm, inches:
1.5
d.
Basin Depth, feet:
2.0
e.
Bottom Elevation, FMSl :
21.5
f.
Bottom Surface Area, ft :
2,903
g.
Bypass Weir Elevation, FMSy
23.55
h.
Permitted Storage Volume, ft :
7,152
i.
Type of Soil:
Goldsboro (GoA)
j.
Expected Infiltration Rate, in/hr:
0.60
k.
Seasonal High Water Table, FMSL:
19.5
I.
Time to Draw Down, hours:
40
M.
Receiving Stream/River Basin: Raynor
Swamp/Chowan River basin
n.
Stream Index Number:
25-17-2
o.
Classification of Water Body:
"C; NSW"
II. SCHEDULE OF COMPLIANCE
The stormwater management system shall be constructed in its entirety, vegetated
and operational for its intended use prior to the construction of any built -upon
surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
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. 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, flow
spreader, catch basins, piping and vegetated filter.
g. A clear access path to the bypass structure must be available at all times.
4. 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.
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 inspection dates, results of the inspections, and the maintenance
work performed at each inspection.
6. 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.
7. If the stormwater system was used as an Erosion Control device, it must be
Page 3 of 7
State Stormwater Management Systems
Permit No. SW7090815
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
8. 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 at all times.
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.
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.
The permittee is responsible for compliance with all permit conditions until such time
as the Division approves the transfer request.
Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
Page 4 of 7
State Stormwater Management Systems
Permit No. SW7090815
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 reissuance 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 2008-211, Title
15A NCAC 2H.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. This permit shall be effective from the date of issuance until October 9, 2019.
Application for permit renewal shall be submitted 180 days prior to the expiration
date of this permit and must be accompanied by the processing fee.
Permit issued this the 9th day of October, 2009.
H CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
f L - IO�c-4T; for
o-T en H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7090815
Page 5 of 7
State Stormwater Management Systems
Permit No. SW7090815
Sunbury Volunteer Fire Department
Stormwater Permit No. SW7090815
Gates 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
Registration Number
Date
SEAL
Page 6 of 7
State Stormwater Management Systems
Permit No. SW7090815
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.
cc: NCDENR-DWQ Regional Office
Gates County Building Inspections
Page 7 of 7
DWQ USE ONLY
Date Received
Fee Paid
Permit Number
— —
ti
I s1 )H0969S .PT_
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
�A. `") � State of North Carolina S Vt% 4C `d /p, 7/0
Department of Environment and Natural Resources
AUG 2 4 20G9 Division of Water Quality
'sr, t� , tpd 1l j STORMWATER MANAGEMENT PERMIT APPLICATION FORM
J'YThis 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.):
Sunbury Volunteer Fire Department
2. Location of Project (street address):
056 NC Hwy 32 South
City: Sunbury County: Gates Zip: 27979
3. Directions to project (from nearest major intersection):
1500 feet south of intersection of US Hwy 158 on NC Hwy 32 South from Sunbury. Site is on east side of Hwy
4. Latitude:36° 26' 15" N Longitude:76° 36' 33" 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 , its issue date (if known) , 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
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: 31 ac of Disturbed Area
❑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:
Form SWU-101 Version 07Ju1y2009
Pagel of 6
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater is collected by swales and directed to the proposed infiltration basin behind the building. The
basinholds sufficient volume to treat 1.5" rainfall depth and has a drawdown period of about 1.7 days.
Overflow or excess stormwater is routed through a bypass ditch and released from site via a level spreader
weir at the basin's south end. Released flow from the weir passes over a 30' long vegetated filter and off the
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.Identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph I1- Post Construction
3. Stormwater runoff from this project drains to the Chowan River basin.
4. Total Property Area: 2.50 acres
5. Total Coastal Wetlands Area: 0.01 acres
6. Total Surface Water Area: 0.00 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:2.49 acres
' Total project area shall be calculated to exclude the following the normal pool of imppounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NM line or Mean High Water
(MHM line, and coastal wetlands landward from the NHW (or MH v) line. The 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 = 27.95 %
9. How many drainage areas does the project have? 2 (For high density, count 1 for each proposed
engineered stormwater BMP. For low density and other projects, use 1 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 2
Drainage Area _
Drainage Area _
Receiving Stream Name
Raynor Swamp
Raynor Swamp
Stream Class *
QNSW
QNSW
Stream Index Number *
25-17-2
25-17-2
Total Drainage Area (so
69,789 ✓
92,341
On -site Drainage Area (so
57,230
51,675
Off -site Drainage Area (so
12,559
40,666
Proposed Impervious Area* (so
30,318
8,414
% Impervious Area** total
43.44%
9.11%
Impervious" Surface Area
Draina a Area 1.
Draina e Area 2
Draina e Area _
Draina e Area _
On -site Buildings/Lots (so
6,800 n1
0
On -site Streets (so
0 i
0
On -site Parking (so
13,579
0
On -site Sidewalks (so
1,439
0
Other on -site (so
8,500 %
0
Future (so
_ _
0
Off -site (so
9,392_, -
8,414
Existing BUA*** (so
0
0
Total (so:
'IV 39,709
8,414
* Stream Class and Index Number can be determined at: http.Vll12o.enr.state.nc.uslbints/reportslreportsVVB.htrnl
Form SWU-101 Version 07Ju1y2009
Page 3 of 6
" Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
'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 BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. by design and
Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that maybe subject to more stringent stormwater requirements as per NCAC 02B .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://h2o.enr.state.nc.us/su/bmp forms.htm.
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://h2o.enr.state.nc.us/su/bmp_forms.htm. 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 http://h2o.enr.state.nc.us/su/msi_maps.htm.)
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://h2o.enr.state.nc.us/su/bmp forms.htm.
nitI
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants N/Pr
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhelp.org/pages/onestopexpress.html 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
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 j) 4A
receiving stream drains to class SA waters within 1/1 mile of the site boundary, include the 1/z
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
I. 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.
Form SWU-101 Version 071uly2009 Page 4 of 6
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 project):
Applicant/Organization:Sunbury Volunteer Fire Department Inc.
Signing Official & Title:George Parker Kittrell, Jr. - Chairman, Board of Directors
b.Contact information for person listed in item la above:
Street Address:380 Parkers Fork Road
City: Corapeake State: NC Zip: 27926
Mailing Address (if applicable):380 Parkers Fork Road
City: Corapeake State: NC Zip: 27926
Phone: (252 ) 465-8198 Fax: (N/A )
Email:N/A
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/,
Signing Official &
b.Contact information for person listed in item 2a above:
Street Address:
Mailing Address (if
City:
Phone: ( )
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 Person/Organization: Hyman & Robey
Signing Official & Title:Kim Hamby - Sr. Project Manager or Doug Abbott, PE - Project Engineer
b.Contact information for person listed in item 3a above:
Mailing Address:P.O. Box 339
City:Camden State:NC Zip:27921
Phone: (252 ) 335-1888 Fax: (252 ) 338-5552
Email:kim®hymanrobey.com or doug@hymanrobey.com --
4. Local jurisdiction for building permits:
Point of Contact:Valerie Tripp Phone #: (252 ) 357-2411
Form SWU-101 Version 07July2009 Page 2 of 6
m. 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.
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 N
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"x1l" 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 SHWF prior
to submittal, (910) 796-7378.)
10. A copy of the most current property deed. Deed book: 279 Page No: 168
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://www.secretaKy.state.nc.us/Corporations/CSearch.aspx
VII. 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://h2o.enr.state.nc.us/su/bmp forms.htm#deed restrictions. 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: Kim Hamby or Doug Abbott, PE
Consulting Firm: Hyman & Robey
Mailing Address:P.O. Box 339
City:Camden State:NC Zip:27921
Phone: (252 1 335-1888 Fax: (252 1 338-5552
Email:kim@hymanrobey.com or doug@hymanrobey.com
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
1, (print or type name of person listed in Contact Information, item 2a) certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item la) with (print or type name of organization listed in
Contact Information, item lb) 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 07Ju1y2009 Page 5 of 6
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 th" operation of a stormwater treatment facility without a valid
permit is a violation of NC General Sta 43-21 . and may result in appropriate enforcement action including
the assessment of civ*eennalties o $25, per day, pursuant to NCGS 143-215.6.
Signature ,/6`✓' Date:
I, l_ Y e_p e!C ('VA —a Notary Public for the State of Ou,Eh < a a I;N�� County of
( aU<b . do hereby certify that P. b Nee it 5.. personally appeared
before me this 1 1 day of r,a04- o c and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal, 1"' a fu
•� Y'F
O -iL:��
q�s
X. APPLICANT'S CERTIFICATION
SEAL
My commission expires l 9 - / - a of o
CAREA'NEC I i MILLS
NOTARY PUBLIC
GATES COU" 1
STATE OF NORTH CAROLINA
My COMMISSION EXPIRES DEC 1, 2010
1, (print or type name of person listed in Contact Information, item 2)
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 stormwater rules under 15A NCAC 2H .1000, SL 2006-246 (Ph. II — Post Construction) or SL 2005-211.
a Notary Public for the State of
County of
do hereby certify that personally appeared
before me this _ day of and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
Form SWU-101 Version 07July2009 Page 6 of 6
August 18, 2009
Mr. Roger Thorpe
Dept. of Environment and Natural Resources
Water Quality Section
943 Washington Square Mall
Washington, NC 27889 :
Subject: Stormwater Management Permit
Sunbury Volunteer Fire Department AUG 2009
Proj. # 090193
Dear Mr. Thorpe:
Enclosed for your review and approval, please find the following items:
1. Two (2) copies of the above referenced plans.
2. The original and one (1) copy of the Stormwater Permit Application, Infiltration Basin
Supplement, and Infiltration Basin Operation and Maintenance Agreement.
3. Two (2) copies of the project description and calculations.
4. A portion of the USGS quad map showing project location.
5. A portion of the NCSS/NRCS soils maps showing project location. (5 pages)
6. One (1) copy of the deed for the property. (4 pages)
7. One (1) copy of wetlands survey map prepared by Paul Toti Land Surveying as
delineated by Atlantic Environmental Consultants, LLC.
8. Affidavit that Mr. George Kittrell has authority to represent and sign for the Fire Dept.
9. Check in the amount of $505.00 for the required fee.
If you have any questions, please do not hesitate to call this office at (252) 338-2913.
Sincerely,
Dou as A. Abbott, PE
Project Engineer
cc: file
Tom Morgan, Sunbury VFD
P. O. Box 339 Camden, North Carolina 27921
(252) 338-2913 License C-0598
v .hymanrobey com
Permit
(to be provided by DWD)
®*%ii//�� 020EWATEgOG
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 III) must be printed, filled out and submitted along with all of the required information.
I.':,P,ROJECT:INFORMATION,.-
Project Name Sunbury Volunteer Fire Department
Contact Person Tom Morgan or George Kittrell
Phone Number 252-333-2689 or 252A65-8198
Date
Drainage Area Number 1
II. 'DESIGN INFORMATION-
1 - � -
I '
Site Characteristics
Drainage area
69,789.00
fe
Impervious area
30,318.00
it' 'L,
Percent impervious
0.43
%,�,
f," [{e)','F I-.
l� �, �. N
Design rainfall depth
1.50
in
Peak Flow Calculations
AUG 2 4 2009
1-yr, 24-hr rainfall depth
NIA
in
1-yr, 24-hr intensity
in(hr
Pre -development l-yr, 24-hr discharge
ft3/sec
`A hlv E;,.11turfi j
Post -development 1-yr, 24-hr discharge
ft3/sec
Pre/Post 1-yr, 24-hr peak flow control
ft3/sec
Storage Volume: Non -SA Waters
Minimum design volume required
5,525.60
ft3
Design volume provided
7,152.00
113 OK for non -SA waters
Storage Volume: SA Waters
1.5'runoff volume
N/A
ft3
Pre -development 1-yr, 24-hr runoff volume
rya
Post -development 1-yr, 24-hr runoff volume
rya
Minimum required volume
rya
Volume provided
ft3
Soils Report Summary
Soil type
Goldsboro (GoA)
Infiltration rate
0.60
inmr
SHWT elevation
1950.
fmsl ✓
Basin Design Parameters
Drawdown time
170
days OK
Basin side slopes
300
:1 ✓ OK
Basin bottom elevation
21.50
fmsl ✓ OK
Storage elevation
23.50
fmsl
Storage Surface Area
4,284.00
ft2 y
Top elevation
23.55
first
Basin Bottom Dimensions
Basin length
65.00
It
Basin width
45.00
it
Bottom Surface Area
2,903.00
flz
C A RO //
O�'F�:SS/O•��/
_ O r
_ a ' S E t�{y,y1`'y' 9
7 W}' 'r I
%fcINEti� °•�:
Forth SW401-InOttration Basin-Re,,A Parts I. a 11 Design Summary, Page 1 of 2
Permit
(to be provided by DWD)
Additional Information
Maximum runoff to each inlet to the basin?
Length of vegetative filter for overflow
Distance to structure
Distance from surface waters
Distance from water supply well(s)
Separation from impervious soil layer
Naturally occudng soil above shwt
Bottom covered with 4-in of clean sand?
Proposed drainage easement provided?
Capures all runoff at ultimate build -out?
Bypass provided for larger storms?
Pretreatment device provided
1.97
ac-in
OK
30.00
ft
OK
If
500.00
It
OK
N/A
ft
OK
NIA
ft
OK
2.00
ft
OK
Y
(Y or N)
OK
N
(Y or N)
OK
Y
(Y or N)
OK
'1 Y
(YorN)
OK
Swales
Form SW401-Infiltration Basin-Re,At Parts 1. & II. Design Summary, Page 2 of 2
Permit No.
(to be provided by DWQ)
III. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Page/ Plan
\ Initial Sheet No.
1
�>k 3
J���1 Attached
J/X Attached
bAk 2
Attached
D""' Attached
N/A
Plans (1" - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Basin dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement.
2. Partial plan (1" = 30' or larger) and details for the infiltration basin showing:
- Bypass structure,
- Maintenance access,
- Basin bottom dimensions,
- Basin cross-section with benchmark for sediment cleanoul,
- Flow distribution detail for inflow,
- Vegetated filter, and
- Pretreatment device.
3. Section view of the infiltration basin (1" = 20' or larger) showing:
Pretreatment and treatment areas, and
Inlet and outlet structures.
AUG 2 4 2009
4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
Investigation request form. County soil maps are not an acceptable source of soils information.
6. A construction sequence that shows how the inftlration basin will be protected from sediment until the
entire drainage area is stabilized.
7. The supporting calculations.
8. A copy of the signed and notarized operation and maintenance (0&M) agreement. �� l H I IC
9. A copy of the deed restrictions (if required).
Form SW401-Infiltration Basin-Rev.4 Page 1 of 1 Part III. Required Items Checklist, Page 1 of 1
Permit Number:
(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 immediate) These deficiencies can affect the inte i " �r;b` R VIF F
P P Y• � tyF=,_
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
AUG 2 4 2009
— The drainage area will be carefully managed to reduce the sediment load to they
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
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 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.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the Swale if necessary to
Swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
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
The main treatment area
.-spraying.
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.
spray).
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:
(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: Sunbury Volunteer Fire Department
BMP drainage area number:
Print name: George Parker Kittrell
Title: Chairman - Board of Directors
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, C Ar< ., , _ k �S , a Notary Public for the State of
V's rkr , car "N wn , County of do hereby certify that
C-Care e Pta+kei K; A4y ell personally appeared before me this �'
day of u chi s {— Soo , and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires /a - o
CARENNE M MILLS
NOTARY PUBLIC
GATES COUNTY
STATE OF NORTH CAROLINA
MY COMMISSION EXPIRES DEC 1. 2010
Form SW401-Infiltration Basin O&M-Rev.3
Page 3 of 3