HomeMy WebLinkAboutSW7130802_CURRENT PERMIT_20140519STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT. NO.
SW zjoglD�
DOC TYPE
CURRENT PERMIT
APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mulehide, LLC
Attn.: Mr. Brian McDonald,
PO Box 1415
Nags Head, NC 27959
May 19, 2014
Manager/Member
Subject: Stormwater Permit No. SW7130802 — Ownership Change
Ocean Commerce Park Addition
High Density Project
Dare County
Dear Mr. McDonald:
John E. Skvarla, III
Secretary
The Washington Regional Office received a complete Stormwater Management Permit
Ownership Transfer Form for Ocean Commerce Park Addition project on April 11, 2014
and additional information on May 19, 2014. 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. SW7130802 — Ownership Change dated May 19, 2014, for the construction of
the subject project.
This permit shall be effective from the date of issuance until September 23, 2021, shall
void permit SW7130802 issued on September 23, 2013 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. The originally approved plans (approved on September 23,
2013) are still in effect.
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 150E 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 me at (252) 946-6481.
Sincerely,
Samir Dumpor, P.E.
Environmental Engineer
Division of Energy, Mineral, and Land Resources . Land Quality Section
Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889 - Phone: 252-946-64811 FAX: 252-975-3716
Internet: http:l/polal.ncdenr.org/web/ir/iand-quality
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
PHM/SD G:\SD\Permits - Infiltration\SW7130802
cc: Michael W. Strader, Jr. PE, Quible & Associates
Dare County Building Inspections
Thomas G. Haddon, IV, PO Box 1868, Nags Head, NC 27959
Washington Regional Office
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
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
Mulehide, LLC
Ocean Commerce Park Addition
Dare County
FOR THE
construction, operation and maintenance of two interconnected infiltration basins and
permeable pavement parking stalls 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 Energy, Mineral, and Land
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until September23, 2021, 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 1.7 on page 3 of this permit. The stormwater control
has been designed to handle the runoff from total of 34,053 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. By issuance of this permit a variance from the 2 foot of separation to seasonal high
water table requirement (as per 15A NCAC 2H.1008(d)(3)) has been granted by
reducing the separation to 1 foot. The variance is granted based on the following:
The total above grade storage rainfall equivalent is a 2.64 inch storm;
Y Project is located within 5 miles of public airport and not allowing this
variance would require the use of a stormwater pond (SL2012-200);
C A considerable existing impervious area was not credited for storage
calculations.
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.
Page 2 of 7
6. The runoff from all built -upon area within the permitted drainage area of this project
must be directed into the permitted stormwater control system.
7. The built -upon areas associated with this project shall be located at least 50 feet
landward of all surface waters.
8. The following design criteria have been permitted for the infiltration basin and must
be provided and maintained at design condition:
INFILTRATION BASINS
a.
Drainage Area, ft2:
53,028
b.
Total Impervious Surfaces, ft2:
34,053
C.
Design Storm, inches:
1.5"
d.
Basin Depth, feet:
1.0
e.
Bottom Elevation, FMSI2:
10.00
f.
Bottom Surface Area, ft :
5,904
g.
Bypass Weir Elevation, FMSY
11.50
h.
Permitted Storage Volume, ft :
7,313
i.
Type of Soil:
CoB
j.
Expected Infiltration Rate, in/hr:
1.55
k.
Seasonal High Water Table, FMSL:
9.00
1.
Time to Draw Down, days:
0.32
M.
Receiving Stream/River Basin:
Atlantic Ocean/Pasquotank
n.
Stream Index Number:
99-(7)
o.
Classification of Water Body:
"SB"
PERMEABLE PAVEMENT
Hydrologic Soil Group: A
BUA credit: 75%
Surface Area of Perm. Pavement.: 5,3012
Resulting BUA: 1,328
Adjacent BUA directed to Perm. Pavement: 5,312
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.
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. 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.
Page 3 of 7
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.
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.
8. Access to the stormwater facilities shall be maintained via appropriate easements at
all times.
9. 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.
10. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by the
Permittee at all times.
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.
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 Energy, Mineral, and Land Resources, signed by both parties, and
Page 4 of 7
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 Energy, Mineral, and
Land Resources, 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 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 September 23, 2021.
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 19th day of May, 2014.
NORTF CARfJkINA ENVIRONMF-NTAL MANAGEMENT COMMISSION
of Energy, Mineral, and Land Resources
Permit No. SW7130802
for
Page 5 of 7
Ocean Commerce Park Addition
Stormwater Permit No. SW7130802
Dare 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
ry
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-DEMLR Regional Office
Dare County Building Inspections
Page 7 of 7
walla
NC®ENR
North Carolina Department of Environment and Natural Resources
Tracy E. Davis, PE, CPM
Director
Division of Energy, Mineral, and Land Resources
Land Quality Section
September 23, 2013
Mr. Thomas G. Haddon, IV, Owner
PO Box 1868
Nags Head, NC 27959
Subject: Stormwater Permit No. SW7130802
Ocean Commerce Park Addition
High Density Project
Dare County
Dear Mr. Haddon:
Pat McCrory, Governor
John E. Skvada, III, Secretary
M
r^ 1
The Washington Regional Office received a complete Stormwater Management Permit
Application for Ocean Commerce Park Addition project on August 5, 2013 and
additional information on September 17, 2013. 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
21-1.1000. We are forwarding Permit No. SW7130802 dated September 23, 2013, for
the construction of the subject project.
This permit shall be effective from the date of issuance until September 23, 2021, 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 me at (252) 946-6481.
Sincerely,
Samir Dumpor, P.E.
Environmental Engineer
G:\SD\Permits - Infiltration\SW7130802
Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889 - Phone: 252-946-6481 I FAX: 252.975-3716
Internet: http:l/www,portal.ncdenr.org/weblr/and-quality
An Equal Opportunity I Affirmative Action Employer- 50%Recyded110% Post Consumer Paper
cc: Michael W. Strader, Jr. PE, Quible & Associates
Dare County Building Inspections
Washington Regional Office
Doug Huggett - DCM
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
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
Mr. Thomas G. Haddon, IV, Owner
Ocean Commerce Park Addition
Dare County
FOR THE
construction, operation and maintenance of two interconnected infiltration basins and
permeable pavement parking stalls 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 Energy, Mineral, and Land
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until September 23, 2021, 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 1.7 on page 3 of this permit. The stormwater control
has been designed to handle the runoff from total of 34,053 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. By issuance of this permit a variance from the 2 foot of separation to seasonal high
water table requirement (as per 15A NCAC 2H.1008(d)(3)) has been granted by
reducing the separation to 1 foot. The variance is granted based on the following:
• The total above grade storage rainfall equivalent is a 2.64 inch storm;
• Project is located within 5 miles of public airport and not allowing this
variance would require the use of a stormwater pond (SL2012-200);
A considerable existing impervious area was not credited for storage
calculations.
5. 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.
Page 2 of 7
6. The runoff from all built -upon area within the permitted drainage area of this project
must be directed into the permitted stormwater control system.
7. The built -upon areas associated with this project shall be located at least 50 feet
landward of all surface waters.
8. The following design criteria have been permitted for the infiltration basin and must
be provided and maintained at design condition:
INFILTRATION BASINS
a. Drainage Area, ftz:
53,028
b. Total Impervious Surfaces, ft2:
34,053
C. Design Storm, inches:
1.5"
d. Basin Depth, feet:
1.0
e. Bottom Elevation, FMSI :
10.00
f. Bottom Surface Area, ft :
5,904
g. Bypass Weir Elevation, FMSY
11.50
h. Permitted Storage Volume, ft :
7,313
i. Type of Soil:
CoB
j. Expected Infiltration Rate, in/hr:
1.55
k. Seasonal High Water Table, FMSL:
9.00
I. Time to Draw Down, days:
0.32
M. Receiving Stream/River Basin:
Atlantic Ocean/Pasquotank
n. Stream Index Number:
99-(7)
o. Classification of Water Body:
"SB"
PERMEABLE PAVEMENT
Hydrologic Soil Group:
A
BUA credit:
75%
Surface Area of Perm. Pavement.:
5,3012
Resulting BUA:
1,328
Adjacent BUA directed to Perm. Pavement:
5,312
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.
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. 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.
Page 3 of 7
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 facilities shall be constructed as shown on the approved plans. This permit shall
become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
6. 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.
Access to the stormwater facilities shall be maintained via appropriate easements at
all times.
9. 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.
10. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by the
Permittee at all times.
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.
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 Energy, Mineral, and Land Resources, signed by both parties, and
Page 4 of 7
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 Energy, Mineral, and
Land Resources, 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 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 forthis 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, orterminating the permit as
allowed by the laws, rules and regulations contained in Session Law2008-211, 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 September 23, 2021.
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 23rd day of September, 2013.
NORTH CAROLINA ENVIRONMF—N-T;AL MANAGEMENT COMMISSION
of Energy, Mineral and Land Resources
Permit No. SW7130802
for
Page 5 of 7
Ocean Commerce Park Addition
Stormwater Permit No. SW7130802
Dare 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
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-DEMLR Regional Office
Dare County Building Inspections
Page 7 of 7
Dumpor, Samir
From: Michael Strader <MStrader@quible.com>
Sent: Friday, May 16, 2014 6:58 PM
To: Dumpor, Samir
Subject: request for additional info
Attachments: Ocean Commerce Park - request for add info.pdf
Samir,
Sorry for the late notice but I have just been informed of how the Ocean Commerce Park stormwater permits
will, be addressed. The newer permit, SW7130802, currently in Tom Haddon's name, will be transferred to
Mulehide, LLC. The older permit, SW7980429, currently in the name of Ocean Commerce Park, LLC (Mr. Bill
Higham), will be transferred to Wigwam Caravan, LLC.
This is different from the earlier concept that both the older and newer permits would be combined into a single
new permit. I am now informed that Mulehide, LLC is responsible for the newer improvements covered under
the newer permit and that Wigwam Caravan, LLC will be responsible for the older, existing stormwater
management covered by the older permit. The reason for the separate responsibilities is that a condominium
association has been formed over the property and thus two separate responsibilities.
I understand that this may be confusing so I would be glad to discuss on Monday. If possible, we would like for
the newer permit to be transferred as submitted. As I accumulate the proper signatures, we'll submit a
separate permit transfer request for the older permit, if appropriate.
Thank you for your assistance,
Michael W. Strader, Jr., P.E.
Director of Engineering
Quible & Associates, P.C.
8 Juniper Trail
P.O. Drawer 870
Kitty Hawk, NC 27949
t 252.261.3300
f 252.261.1260
m 252.207.6751
www.guible.com
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From: Robbins, Della[mailto:della.robbins(o)ncdenr.gov]
Sent: Wednesday, May 14, 2014 2:11 PM
l►
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
May 14, 2014
Mulhide, LLC
Attn.: Brian McDonald, Member Manager
PO Box 1415
Nags Head, NC 27959
f CIA'
Subject: Request for Additional Information /e-
Stormwater Permit No. SW7130802 & SW79 0429 ��'.cl� r�r
Ocean Commerce Park re C
Dare County
'F
Dear Mr. McDonald:
The Washington Regional Office received a Ownership Change request for the Ocean
Commerce Park project on April 11, 2014. A preliminary review of that information has
determined that the application is not complete. The following information is needed to
continue the stormwater review:
After conversation with your consultant, it is my understanding that this
ownership change process was intended to combine the existing section of
the project covered under the stormwater Permit SW7980429 and the new
section called Ocean Commerce Park Addition and permitted under
SW7130802, into one permit - SW7130802. At the time when the
combination is approved, the stormwater permit SW7980429 will be
rescinded.
SW7130802 - All necessary documentation for the transfer of ownership of
this permit was provided at submittal:
SW7980429 - this permit was issued to Ocean Commerce Park, LLC (Mr.
Bill Highamas a -Managing partner).
Please provide the ownership change form to show the transfer of the
property in question from Ocean Commerce Park, LLC to Mulhide, LLC.
The requested information should be received in this Office prior to June 16, 2014, or
the application will be returned as incomplete. The return of a project will necessitate
resubmittal of all required items, including the application fee.
Division of Energy, Mineral, and Land Resources . Land Quality Section
Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889 • Phone: 252-946-64811 FAX: 252-975-3716
Internet: http://oortal.ncdenr.org/web/Ir/land-(ivality
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
Please reference the State assigned project number on all correspondence. If you have
any questions concerning this matter please feel free to call me at (252) 948-3959 or
email me at Samir.Dumpor@ncdenr.gov.
Sincerely,
f
Samir Dumpor, PE
Environmental Engineer
CC: Michael Strader, PE, Quible & Associates, PC
L.-Washington Regional Office
i"i V ED
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality APR 1 1 2014
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGEFF,
I. CURRENT PERMIT INFORMATION
1. Stormwater Management Permit Number: SW7130802
2. Project Name: Ocean Commerce Park Addition
3. Current Permit Holder's Company Name/Organization: Thomas G. Haddon, IV
4. Signing Official's Name: Thomas G. Haddon IV Title: Previous Owner
5. Mailing Address: PO Box 1868
City: Nags Head State: NC Zip: 27959
6. Phone: ( 252 ) 267-2287 -Fax:( 252 ) 715-0152
11. PROPOSED PERMITTEE / OWNER / PROJECT / ADDRESS INFORMATION
This request is for: (please check all that apply)
❑ Name change of the owner (Please complete Items 1, 2 and 3 below)
❑ Name change of project (Please complete Item 5 below)
M Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
❑ Mailing address / phone number change. (Please complete Item 4 below)
❑ Other (please explain):
1. Proposed permittee's company name/organization: Mulehide, LLC
2. Proposed permittee's signing official's name:
3. Proposed permittee's title: Member/Manager
4. Mailing Address: PO Box 1415
Brian McDonald
City: Nags Head State: NC Zip: 27959
Phone: 2( 52 ) 441-1740
5. New Project Name to be placed on permit:
Fax: (252) 441-0639
Please check the appropriate box. The proposed permittee listed above is:
❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain stormwater system features. Print name of HOA or
POA in #1 above and provide name of HOA/POA's authorized representative in #2 above)
The property owner
❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on
page 4)
❑ Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be
granted upon receipt of a copy of the recorded deed)
❑ Developer (Complete Property Owner Information on page 4)
SSW N/O Change Rev24Sept2012 Page 1 of 4
III. REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all
of the applicable required items listed below are included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer.
1. This completed and signed form. T:his,certificationmustbe completedand signed by both the
currenti,perrnifhold&:and thenew applicant if this is a change of ownership:
2. Legal documentation of the property transfer to a new owner.
3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit.
4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate enlity, provide documentation showing the authority of the named
representative to act on behalf of the proposed permittee.
6. The $40.00 processing fee. If this is an initial transfer from the original permittee the processing
fee is not required. Subsequent ownership transfers will require the $40.00 processing fee.
IV. CURRENT PERMITTEE'S CERTIFICATION
Please check one of the following statements and fill out the certification below that statement:
❑ Check here if the current permil tee is only changing his/heNits name, the project name, or mailing
address, but will retain the permit. 1, , the current
permittee, hereby notify the DWQ that I am changing my name and/or I am changing my mailing
address and/or I am changing the name of the permitted project. I further attest that this application
for a name/ownership change is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed or if all required supporting information
and attachments listed above are riot included, this application package will be returned as
incomplete.
Check here if current permittee is transferring the property to a new owner and will not retain
ownership of the permit.
I, of
G. Haddon, IV the current permittee, am submitting this application
for a transfer of ownership for permit # SW7130802 . I hereby notify DWQ of the sale or
other legal transfer of the stormwater system associated with this permit. I have provided a copy of
the most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the most recent DWQ
stormwater inspection report to the proposed permittee named in Sections II and V of this form. I
further attest that this application for a name/ownership change is accurate and complete to the best
of my knowledge. I understand that if all required parts of this application are not completed or if all
required supporting information and attachments listed above are not included, this application
package will be returned as incomplete. I assign all rights and obligations as permittee to the
proposed permittee named in Sections II and V of this form. I understand that this transfer of
ownership cannot be approved by the DWQ unless and until the facility is in compliance with the
permit. VW
Signature" % - /i l Date: j
I, Qnc, L) SI -F0 n a Notary Public for the State of
f4orz-m 0 rLA�Ll NiA , County of a A 11, , do hereby certify that
T11Aom4 5 Q • Haddon (V personally appeared before me this the
Of day of nn, 0. 20 I y, and acknowledge the due execution of the
for9QP19 instrument. Witness my hand and official seal, (Notary Seal) , uSj/,
Notary Signature _' NOTARY
j liwo
SSW N/O Change Rev24Sept2012 Page 2 of 4
V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Permittee for all transfers of ownership)
1, Brian McDonald, Mulehide, LLC , hereby notify the DWQ that I have acquired
through sale, lease or legal transfer, the responsibility for operating and maintaining the permitted
stormwater management system, and, if applicable, constructing the permitted system. I
acknowledge and attest that I have received a copy of: (check all that apply to this permit)
N/AMthe most recent permit
the designer's certification for each BMP
N/A❑ any recorded deed restrictions, covenants, or easements
[.� the DWQ approved plans and/or approved as -built plans
0 the approved operation and maintenance agreement
N/A past maintenance records from the previous permittee (where required)
N/AB DWQ stormwater inspection report showing compliance within 90 days prior to this transfer
I have reviewed the permit, approved plans and other documents listed above, and I will comply with
the terms and conditions of the permit and approved plans. I acknowledge and agree that I will
operate and maintain the system pursuant to the requirements listed in the permit and in the
operation and maintenance agreement. I further attest that this application for a name/ownership
change is accurate and complete to the best of my knowledge. I understand that if all required parts
of this application are not completed or if all req .d supporting information and attachments listed
above are not include this pl ,tio ck a will be returned as incompl te.
Signature: /' / Date: ,C/V
I, Da_nC3- K • U 5 I I +Z:)n a Notary Public for the State of
NQ1Z:n4 C6_&Qt_ IAJA , County of 3�1112 Q , do hereby certify that
Z2n.n J , (kC bnna 1 & personally appeared before me this the
9 day of a prLj J, 20 /Li, and
forgoing instrument. Witness my hand and official seal,
/�.
Notary Signature
the due execution of the
K
(N"Y' Sbal)
jOUBUr�
Additional copies of the original permit and the approved Operation ancPltli 7nfenance agreement can
be obtained from the appropriate Regional Office of the Division of Water Quality.
This completed form, including all supporting documents and processing fee (if required), should be
sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural
Resources, Division of Water Quality, as shown on the attached map.
Please note that if the Proposed Permittee listed above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee / developer and the property
owner will appear on the permit as permittees.
SSW N/O Change Rev24Sept2012 Page 3 of 4
VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections II and V of this form is not the Property Owner, the
Property Owner must provide his/her Contact Information below and sign this form:
Printed Name: Same as a
Organization:
Title within the Organization:
Street Address:
City:
Mailing Address:
City:
Phone:
r�iFt[
State:
(if different from street address)
State:
Fax:
Zip:
Zip:
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections II and V to develop and/or, lease the property. A copy
of the lease agreement or other contract, which indicates the party responsible for the construction
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal property owner I acknowledge, understand, and agree by my signature below, that I will
appear as a permittee along with the lessee/developer and I will therefore share responsibility for
compliance with the DWQ Stormwater permit. As the property owner, it is my responsibility to notify
DWQ by submitting a completed Name/Ownership Change Form within 30 days of procuring a
developer, lessee or purchaser for the property. I understand that failure to operate and maintain the
stormwater treatment facility in accordance with the permit is a violation of NC General Statute
(NCGS) 143-215.1, and may result in appropriate enforcement action including the assessment of
civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature of the property owner _ Date:
I, a Notary Public for the State of
County of , do hereby certify that
personally appeared before me this the
day of 20, and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature
SSW N/O Change Rev24Sept2012 Page 4 of 4
EA
B: 1949 P: 330 Doe Id: 6338920
APR 2�14 01/09/2014 09: 28 AM Receipt N 14-0184
Doc Code: DEED NCExcise Tax Rd: E0.00
Van2olla MCMur,an-Smith, Reei Ste, of Deeds Dare CO NC
6338920 B: 1949 P: 3301 Page 1, of 3 1/9/14 9. a iin
�III�!�J „ ri1�,�l�4hIf11,6���G+IIW�fU�J,R+I K�i� lllll
North Carolina
Dare County
Land Transfer Number:
Land Transfer Fee N %): $00.00
Tax Collector upon
fY DEED
and between Brian I
•antor, of P.O. Box 1415,
Liability Company,
e said parties, their heirs,
me or neuter as required by
y the Grantee, the receipt of
tin, sell and convey unto the
e Town of Kill Devil Hills,
lescribed as follows:
. Kramer, Jr. Registered
Atlantic Township, Dare
vhich plat is now duly
Dare County, and by
iption of the above described
lots.
There is also conveyed an easement or right of way for the purpose of ingress and egress to and from
the Atlantic Ocean along a 25 foot parcel of land opposite Lake Drive and between U.S. Highway 158
Business and the Atlantic Ocean. n
Title to the property hereinabove described was acquired by the Grantor by
in Book 795, Page 614, Dare County Registry.
All or a portion of the property herein conveyed does not include the
Grantor.
Byjoining in this conveyance, Third Party Grantor hereby wai
forever all and every right to elect to take a life estate in said real estal
any and all rights arising out of any action for equitable disc °� m
all other common law and statutory rights and interests in jd real est
now has or may hereafter have or acquire arising out of ocruing to
reason of past, current or future marital relationship with he Grantor,
to the warranties set forth herein.
TO HAVE AND TO HOLD the afore:
appurtenances thereto belonging to the Grantee
Grantor covenants to and with Gra
the right to convey the same in fee simple,
encumbrances, and that Grantor wi!:!�Yarra
persons whomsoever, subject to the ex( pi
1. Ad valorem taxes for t e�f
2. Restrictive covenants add the
lot or parcel
of
ith of-tbP Grantor,
50-20, and any and
Third Party Grantor
Third Party Grantor by
Makes no representations as
and all privileges and
of the premises in fee simple, has
Aable and free and clear of all
c title against the lawful claims of all
stated:
subsequent years.
its thereto, if any, of record
in the aforesaipubli Registry.
3. Easement$ olf reed.
4. Any loc oun sta a or federal laws, ordinances, or regulations
relati'_�1/g o �r in , envy or
subdivision, occupancy, use,
constnc�ti or\deye pment of the subject property.
IN WI'�NESS WH
the year first b e �en.
,�
the said Grantor has hereunto set his hand and seal on the day and
6338920 8: 1949 P: 330 Page 2 of 3 1/9/14 9:28 AM
STATE OF NORTH CAROLINA,
COUNTY OF DARE:
I, Lisa A. Dean, a Notary Public, in and for the said jurisdiction, do hereby certify tha Brian J.
McDonald personally appeared before me this day and acknowledged the due execution of thee\
foregoing instrument. l\
Witness my hand and official seal this L; L-h day of January, 2014.
My commission expires
(NOTARY SEAL)
STATE OF NORTH (
COUNTY OF DARE:
12/22/2017
�\SA"Alloy-
-
NOTg9 Y
Lisa A.
�UBLIG
NTH
1, Lisa A. Dean, a Notary Public, in and fort said jurisdiction, do hereby certify that Barbara
M. McDonald personally appeared before me this dawn ,acknowledged the due execution of the
foregoing instrument. \�\I
Witness my hand and official deal this of January, 2014.
My commission expires: 12� �7\
(NOTARY SEAL) 0
J \ \�//\
F L' Lisa A. Dean, Notary Public
L
6338920 6: 1949 P: 330 Page 3 of 3 1/9/14 9:28 An
mill FIN �uil���,r�;���I�wa�r.N ,llrin�l�l��l�l 11111
Account Login Register
North Carolina
Elaine F. Marshal! DEPARTMENT OF THE
Secretary SECRETARY OF STATE
PO Box 29622 Raleigh, NC 27626-0622 (919)607-20DD
Date: 4/10/2014
Click here to:
View Document Filings I File an Annual Report I
JPrint a Pre -populated Annual Report Fillable PDF Form I Amend A Previous Annual Report
Corporation Names
Name Name Type
NC .MULEHIDE, LLC LEGAL
Limited Liability Company Information
SOSID:
Status:
Effective Date:
Citizenship:
State of Inc.:
Duration:
Annual Report Status:
Registered Agent
Agent Name:
Office Address:
Mailing Address:
Principal Office
Office Address:
Mailing Address:
Officers/Company Officials
0543012
Current -Active
3/29/2000
DOMESTIC
NC
12/31 /2030
CURRENT
MCDONALD, BRIAN
132 WEST HOLLY TRAIL
KITTY HAWK NC 27949
132 WEST HOLLY TRAIL
KITTY HAWK NC 27949
132 WEST HOLLY TRAIL
KITTY HAWK NC 27949
132 WEST HOLLY TRAIL
KITTY HAWK NC 27949
Title: MANAGER/MEMBER
Name: BRIAN MCDONALD
Business Address: 132 WEST HOLLY TRAIL
KITTY HAWK NC 27949
�+
ly�B0 Cif
APR 1 1 2014
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
2737
r,
Ocean Commerce Park Addition
Stormwater Permit No. SW7130802
Dare County
Designer's Certification
:.
is uC�v
DEC 302014
I, m�,C, c\w., as a duly registered.R•�,gS<,�4�n\Enq�(%aar- in the
State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the project,
Ocean, Commecu-_. PAr\G
(Project)
for N..\eh e , LLC_ (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
Numb,gf o3-my-2,
Ki2j 23j201�
Page 6 of 7
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.
N/A 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.
�L10.
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-DEMLR Regional Office
Dare County Building Inspections
Page 7 of 7
1_ 1 n- 'F'�n
DWQ USE ONLY
Date Received
Fee Paid
Permit Number
13-_T"
3
Y
S
Applicable Rules:
(select all that apply)
❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II -Post Construction
❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater ManagemenePlan "
❑ Other WQ Mgmt Plan: SACL a&43
State of North Carolina
Department of Environment and Natural Resources RECEIVED
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied far use as an original AUG 5 2013
1. GENERAL INFORMATION
i�A
1. Project Name (subdivision, facility, or establishment name -should be consistent with.p'rglec[R0
specifications, letters, operation and maintenance agreements, etc.):
Ocean Commerce Park Addition
2. Location of Project (street address):
City:Kill Devil Hills County:Dare Zip:27948
3. Directions to project (from nearest major intersection):
The project is located on the west side of Croatan Hwy, approximately 150 feet south of the intersection of
Fresh Pond Drive and S. Croatan Hwy in Kill Devil Hills, Dare County.
4. Latitude:35° 59' 33.3" N Longitude:75° 39' 11.5" W of the main entrance to the project.
_74. replace SLOi9,,04zcl
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenewals with modifications also requires S WU-102 - Renewal Application Form
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):
®LAMA Major
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control:1.52 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:None have been issued prior to submittal of this application
5. Is the project located within 5 miles of a public airport? [_]No ®Yes
If yes, see S.L. 2012-200, Part VI: htW://portal.ncdenr.org/web/wq/ws/su/statesw/rules laws
Form SWU-101 Version06Aug2012 Page l of
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:Thomas G. Haddon, IV
Signing Official & Title:Thomas G. Haddon, IV
b. Contact information for person listed in item 1a above:
Street Address:157 W. Waterside Lane
City:Nags Head State:NC Zip:27959
Mailing Address (if applicable):PO Box 1868
City:Nags Head State:NC Zip:27959
Phone: (252 ) 267-2287
Email:tom@haddon-homes.com
Fax: (252 ) 715-0152
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: Brian McDonald
Signing Official & Title:Brian McDonald
b. Contact information for person listed in item 2a above:
Street Address:306 W. Lake Dr., Suite O
City:Kill Devil Hills State:NC Zip:27948
Mailing Address (if applicable):P.O. Box 632
City:Nags Head
Phone: (252 ) 441-1740
Email:brian@obhc.com
State:NC Zip:27959
Fax: (252 ) 441-0639
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:Ouible & Associates, P.C.
Signing Official & Title:Michael W. Strader, Jr., P.E., Project Engineer
b. Contact information for person listed in item 3a above:
Mailing Address:PO Drawer 870
City:Kitty Hawk State:NC Zip:27949
Phone: (252 ) 261-3300 Fax: (252 ) 261-1260
Email:mstrader@quible.com
4. Local jurisdiction for building permits: Town of Kill Devil Hills
Point of Contact:Matt Lowcher Phone #: (252 ) 449-5312
Form SWU-101 Version 06Aug2012 Page 2 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:Thomas G. Haddon, IV
Signing Official & Title:Thomas G. Haddon, IV
b. Contact information for person listed in item la above:
Street Address:157 W. Waterside Lane
City:Nags Head State:NC Zip:27959
Mailing Address (if applicable):PO Box 1868
City:Nags Head State:NC Zip:27959
Phone: (252 ) 267-2287 Fax: (252 ) 715-0152
Email:tom@haddon-homes.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:Ocean Commerce Park, LLC
Signing Official & Title:William H. Higham, Jr.
b. Contact information for person listed in item 2a above:
Street Address:6214 Higham Dr.
City:Alexandria State:VA Zip:22310
Mailing Address (if
Phone: (703 ) 971-2900
Email:billhigham@aol.com
State: Zip:
Fax: (703 ) 971-2907
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:Ouible & Associates, P.C.
Signing Official & Title:Michael W. Strader, Tr., P.E., Project Engineer
b. Contact information for person listed in item 3a above:
Mailing
City:Kitty Hawk
Phone: (252 1 261-3300
Email:mstrader@quible.com
State:NC Zip:27949
Fax: (252 ) 261-1260
4. Local jurisdiction for building permits: Town of Kill Devil Hills
Point of Contact:Matt Lowcher Phone #: (252 1 449-5312
Form SWU-101 Version 06Aug2012 Page 2 of 6
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater draining from impervious surfaces will be directed to infiltration devices where it will be
detained and allowed to infiltrate into the site's in situ pervious soils.
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 I1- Post Construction
3. Stormwater runoff from this project drains to the Pasquotank River basin.
4. Total Property Area: 4.55 acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Area (4) -Total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project
Are :4.55 acres
To a project area shall be calculated to exclude the following: the normal pool of imppo�u�nded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHIq 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 = 64.1 %
9. How many drainage areas does the project have?1 (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
Draina a Area 1
Drainage Area _
Drainage Area _
Drainage Area _
Receiving Stream Name
Pasquotank
Stream Class *
SB
Stream Index Number *
99-(7)
Total Drainage Area (so
53,028
On -site Drainage Area (sf)
53,028
Off -site Drainage Area (sf)
I -
Proposed Impervious Area** (so
34,053
% Impervious Area** total
64.2
Impervious" Surface Area
Drainage Area 1
Drainage Area
Drainage Area
Drainage Area _
On -site Buildings/Lots (so
14,400
'
On -site Streets (so
-
On -site Parking (so
19,115
On -site Sidewalks (so
538
Other on -site (so
-
Future (so
Off -site (st)
-
Existing BUA*** (so
92,955
Total (so:
127,008
Stream Class and Index Number can be determined at: http.&ortaLncdenr.or eoeb/wq&s/csu/classifications
" 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 06Aug2012 Page 3 of 6
'Report only that amount of existing BUA that Will enr Lain after development. Do not report any existing BUA that is
to be removed and Which will be replaced by new BUA.
V/
J
11. How was the off -site impervious area listed above determined? Provide documentation. N/A
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 stornnvater requirements as per 15A 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:////LiortaLncdenr.org/web/wq/ws/su/bmp-manual.
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://portal.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 http://portal.ncdetir.org/web/wq/ws/su/maps.)
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 ham://portal.ncdenr.org/web/wq/%vs/su/statesw/forms does.
Initials
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
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
htto://www.envhelp.org/_pages/onestol2exl2ress.htmi 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/management for
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
receiving stream drains to class SA waters within'h mile of the site boundary, include the hk
mile radius on the map.
7.
Mw5
7Mafr N/A
KW 5
MW S
KW 5
KW 5
Sealed, signed and dated calculations (one copy). MwS
Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: MN s
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.
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.
Form SWU-101 Version 06Aug2012 Page 4 of 6
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� c
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 far D WQ to ver�y the SHWT prior
to submittal, (910) 796-7378.)
10. A copy of the most current property deed. Deed book: 702 & 795 Page No: 269 & 614 MW s
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC NIA
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 15A 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.secretary.state.ne.us/Corl2orations/CSearch.aspx
Vtl. 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
htto://portal.ncdenr.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.
VIII. 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:Michael W. Strader, Ir., P.E.
Consulting Firm: Ouible & Associates P.C.
Mailing Address:PO Drawer 870
City:Kitty Hawk
Phone: (252 ) 261-3300
Email:mstrader@quible.com
quible.com
State:NC Zip:27949
Fax: (252 ) 261-1260
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) Brian McDonald 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) Thongs G. Haddon. IV with (print or
type name of organization listed in Contact Information, item 1a) Thomas G. Haddon. IV 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 06Aug2012 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 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 civil pe ties of up to $25,V per day, pursuant to NCGS 143-215.6.
Signature: Date-% 20/
1, J7Qri 0 K • HDe) a Notary Public for the Mate of M or4-�' (&" lyt<ounty of
NI4 t do hereby certify that �R LAN J M 2 t,0�1C�( l� personally appeared
before me this day of % -2-0/ and acknowledge the due execution of the application for a
stormwater permit. Witness my hand and official seal, ED&..,4 14 14,1 �l�}
K
NOTARY
jOUBLIG
X. APPLICANT'S CERTIFICATION
SEAL
My commission expires %COAL -- L
I, (print or type name of person listed in Contact Information, item la) Thomas G. Haddon, IV
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 and r 5�AC 1000 and any other applicable state stormwater requirements.
Signature�/r'1-� �� Date:—& AY3
I, :hC�L 6_ k. l.,[ 5U / 4Z)6 a Notary Public for the State of Ajar hKk my of
=1X12k do hereby certify that :771,oje4 Q 5 6k. b INnA V personally appeared
before me this" day of , %-)0/3 , and acknowledge the d/ue/execution of the application for a
stormwater permit. Witness my hand and official seal, � O, LZ i _ - U ,�i 6�&�.
NOTARY
PUBOCI
SEAL
My commission expires 020 / r
Form SWU-101 Version 06Aug2012 Page 6 of 6
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 _
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 far DWQ to verify the SHWT prior
to submittal, (910) 796-7378.)
10. A copy of the most current property deed. Deed book: 702 & 795 Page No: 269 & 614
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 15A NCAC 21-1.1003(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.
httl2://www.secretary.state.nc.us/Corporations/CSearch.asl2x
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://portal ncdenr orp web/wq/ws/su/statesw/forms does. Download the latest versions for each submittal.
In the instances cohere 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:Michael W. Strader, In, P.E.
Consulting Firm: Ouible & Associates. P.C.
Mailing Address:PO Drawer 870
City:Kitty Hawk
Phone: (252 1 261-3300
Email: mstrader@quible.com
State:NC Zip:27949
Fax: (252 ) 261-1260
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) William H. Highmn, fr. 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) Thomas G. Haddon. IV with (print or
type name of organization listed in Contact Information, item la) Thomas G. Haddon IV 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 06Aug2012 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 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 civil penalties of up to $25,/000 per d v, pursuant to NCGS 143-215.6.
Signature: /
�� Date: 3a
a Notary Public for the State of County of
A6; � ' do hereby certify that personally appeared
before me thps,� ay of A/� and acknowledge the due execution of the application for a
stormwater permit. Witness m and and official seal,
0;;;
alra Mwari
ulary Public
nwealth of Vir inia
on Expires
sSM;047033036
X. APPLICANT'S CERTIFICATION
SEAL
My commission expires 4s�7 �,%
I, (print or type name of person listed in Contact Information, item la) Thomas G. Haddon IV
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 1155 NCC(A21-1.1000 and any other applicable state stormwater requirements.
Signature�M � �C/ • l►`�.� Date?-2Y -&%}
I, i' ,��(1 K ( ti o 1 -fU7a Notary Public for the State of ,KLC" �R3 t 9%4unty of
n do her eby certify that f ADMO S 6 . Pta �LM \
Y Y personally appeared
before me this day of � p,� 3 , and acknowledge the due)) execution of th application for a
stormwater permit. Witness my hand and official seal,
�p1ARY
PUB00
61W."
My commission expires -MgA-r-k / 71 %ZLO/S
Form SWU-101 Version 06Aug2012 Page 6 of 6
Permit No.
' fro be provided by DWO)
OrOp WATEAOG
AAA
/�' STORMWATER MANAGEMENT PERMIT APPLICATION FORM o
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be tilled 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
Ocean Commerce Park Addition
Contact Person
Michael W. Strader, Jr., P.E. (Ouible & Associates, P.C.)
Phone Number
252.261.3300
Date
7/30/2013
Drainage Area Number
1
II. DESIGN INFORMATION
Site Characteristics
Drainage area
53,028.00
fe ✓
Impervious area
34,053.00
fe
A\ C E 8 V E
Percent impervious
64.22
0/1
Design rainfall depth
1.50
in
AUG 5 2013
Peak Flow Calculations
1-yr, 24-hr rainfall depth
3.33
in ✓✓
1 intensity
Pre -development 1-yr, 24-hr discharge
0.
0.03
inPor
f3/sec
Dp vV AR
V
Post-development 1-yr, 24-hr discharge
0.11
tt3/sec ✓/
Pre/Post 1-yr, 24-hr peak flow control
0.08
ft3/sec
Storage Volume: Non -SA Waters
Minimum design volume required
Design volume provided
Storage Volume: SA Waters
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
4,161.00 R3
7,313.00 rya OK for non -SA waters
CoB
1.55 in/hr
9.00 msl
0.32 days
3.00 :1
10.00 fmsl
11.00 fmsl
8,715.00 fe
11.50 fmsl
VARIES It
VARIES If
5,904.00 f 2
OK
OK
Raise basin bottom, Must be at least 2-tt above SHWT_C REQVE$17A16
CONTIOUSD DEVIATIOIJ #N AGaORDW/JCE
W%W ?AGV4%2VS P8IRMIT ANi> &tSr/N&
WQDtTtordS IN OKPIll Td (Ino?
IINf+1c-rKATIu&' 145 8M>p
Form SW 401-Infiltration Basin -Revs 11Ap2011
Parts I. & II. Design Summary, Page 1 of 2
Permit No.
J (to be provided by DWO)
Additional Information
Maximum runoff to each inlet to the basin?
0.47
ac-in
Length of vegetative filter for overflow
0.00
It
Distance to structure
43.00
If
Distance from surface waters
230.00
If
Distance from water supply well(s)
+100
It
Separation from impervious soil layer
+5.5
It
Naturally occuring soil above shwt
1.00
It
Bottom covered with 4-in of clean sand?
Y
(Y or N)
Proposed drainage easement provided?
N
(Y or N)
Capures all runoff at ultimate build -out?
Y
(Y or N)
Bypass provided for larger storms?
N
(Y or N)
Pretreatment device provided
N
OK oxJ6f NAWS TO EJc15TriVO
Filter is too short, must be > 30-(t *'
OK V044ffAT4rD RO*f DE S'40a Ele,
OK Alsa, eTgs1,v O4o✓4osj 3roRA6¢'
oK IN exccss of 1w'6WU�R�M6,�TS
OK
OK
OK
Need a recorded drainage easement * P&Wlrby O WN9b 'h
OK MA*0j9v*&—b ff7oZMWi9)rOR
Must provide bypass for larger flows 507E M
Form S W 401-Infiltration Basin-Rev.5 11 Ap2011
Parts I. & If. 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
Initials Sheet No.
Mws 5#r-3
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), N/A- KI VATS SYSTEM ON I'VO4V
- Overflow device, and p';"YEery
- Boundaries of drainage easement.
rsw S 9 r 3?8 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 cleanout,
Flow distribution detail for inflow,
Vegetated filter, and
Pretreatment device.
MW s 5N7*8 3. Section view of the infiltration basin (1" = 20' or larger) showing:
Pretreatment and treatment areas, and
Inlet and outlet structures.
Mw s )VARQAriv,6' 4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
Gg6c.
KW 5 NNRRsfrivF. 5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
SorLS ASPORT results of the soils report must be verified in the field by DWO, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
MW S sHT 6 6. A construction sequence that shows how the infitlration basin will be protected from sediment until the
entire drainage area is stabilized.
r^ ^ 5 NQRRRnvS 7. The supporting calculations.
CAL.C..
MN s QED 8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
M`a.s N/p g. 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 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). 4 r.
zi � b E
4
— No portion of the infiltration basin will be fertilized after the initial fer[ilizatr� o
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of AUG 5 2013
approximately six inches.
"tswuI A. .
After the infiltration basin is established, it will be inspected once a quarter andthtn
24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a�Coast_, ®WARD
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-Rev3 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.
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. l agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Prgject name:Ocean Commerce Park Addition
BMP drainage area number:
Print name:Thomas G. Haddon, IV
Address:PO Box 1868, 157 W. Waterside Ln., Nags Head, NC 27959
Date: 7—,V-4 ^ 02A
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.
1, 0)Qn LL k, U LL. 1 `f 00 a Notary Public for the State of
MOr q-YL eL,,La I Ut4County of � 0 , do hereby certify that
71 Y-vn�q. ACLA Gi' rY1 personally appeared before me this
day of 0 a A QD1 3 , and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
OP`jp K U&
p10TAq),
g� r'UBLIG
COUNT
SEAL
My commission expires Ina fLCK )? I QkO l 5
Form SW401-Infiltration Basin O&M -Rev. _ Page 3 of 3
'
•
Permit No.
(to be provided by DWO)
_A
o?cF wATfd5i
g
STORMWATER
MANAGEMENT PERMIT APPLICATION FORM o
NCDENR
401 CERTIFICATION APPLICATION FORM
PERMEABLE PAVEMENT SUPPLEMENT
This form must be completely 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{ PROJECT INFORMATION '
Project Name
Ocean Commerce Park Addition
Contact Person
Michael W. Strader, Jr., P.E. (Ouible & Associates, P.C.)
Phone Number
252-261-3300
Date
9/16/2013
Drainage Area
1
11;'DESIGN INFORMATION
Soils Report Summary
Hydrologic soil group (H5G) of subgrade
A
Infiltration rate
1.55 in/hr
Pavement Design Summary
BUA Credit for Permeable Pavement Footprint:
Permeable Pavement (PP) design type
Infiltration - H5G A/B 75% BUA Credit
SA of PP being proposed (A,)
5,312 ftz
Resulting BUA counted as impervious for main application form 1,328 ftz
Adjacent BUA directed to PP (AJ
11,688 ft'� � Not allowable; Max of 1:1 ratio for other impervious to PP
Ratio of A, to AP
2.20. ---- unitless)
Flow from pervious surfaces is directed away from PP?
yes ✓ OK
Design rainfall depth
15- in
Permeable pavement surface course type
CGP
Layer 1 - Washed aggregate size (ex. No. 57)
No. 57
Layer 1-Aggregate porosity (n(
0.40 (unitless) OK
Layer 2 - Washed aggregate size (ex. No. 57)
N/A
Layer 2 -Aggregate porosity (n) -
N/A lunitless) Please verify; Must be between 0 & 1
Minimum total aggregate depth for design rainfall (D,,)
N/A in
Drawdown/infiltration time for D,,
N/A days Not allowable; Max drawdown of 5 days allowed
How is 10-yr, 24-hr storm handled?
infiltrated
Aggregate depth to infiltrate 30-yr, 24-hr storm (DI.)
N/A in
Drawdown/infiltration time of 10-yr, 24-hr storm
N/A days
Actual provided total aggregate depth
7.0 in Too shallow, must be at least the Dwq
Top of aggregate base layer elevation
11.8 (Varies) fmsl
Storage elevation of design rainfall depth
N/A fmsl
Overflow elevation
N/A fmsl
Bottom elevation at subgrade
11.1(Varies) frost #REF!
SHWT elevation
9.00 fmsl
Underdrain diameter
N/A in
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 1 of 3
Permit
fro be provided by DWO)
Detention Systems (skip for infiltration systems)
Diameter of orifice
in
Coefficient of discharge (Co)
(unitless)
Driving head (Ho)
ft
Storage volume discharge rate (through discharge orifice)
ft'/sec
Storage volume drawdown time
days
Pre -development 1-yr, 24-hr peak flow
ft'/sec
Post -development 1-yr, 24-hr peak flow
ft'/sec
Additional Information
Slope of soil subgrade at bottom of permeable pavement
0.60
%
Over 0.5%, requires baffles, berms, or terracing
Slope of the permeable pavement surface
0.60
%
OK
Construction sequence minimizes compaction to soils?
yes
OK
Subsoil preparation specified (must select one)
scarified
Meets industry standards for structural requirements?
yes
OK
Washed stone is specified for the aggregate?
yes
OK
Required signage specified on plans?
yes
OK
Number of observation wells provided
0
At least one observation well shall be provided
Distance to structure
20.00
ft
Distance to surface waters
290.00
ft
OK
Distance to water supply wells)
+100
ft
OK
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 2 of 3
Permit
(to be provided by DWO)
III ,RE0UTAEIll TEMSit HECKLIST„may"
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.
1. Plans 0" = 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),
- Location of permeable pavement,
- Roof and other surface flow directed away from permeable
pavement,
- Location of the permeable pavement sign(s).
2. Section view of the permeable pavement (1" = 20' or larger)
showing:
- All layers (including details about the surface course), and
SHWT
3. A detail of what the permeable pavement sign.
4. A site specific soils report that is based upon an actual field
investigation, soil borings, and infiltration tests within the
footprint of the proposed permeable pavement. The soils
investigation shall state the infiltation rate, SHWT elevation, and
information about any confining layers. County soil maps are not
an acceptable source of soils information.
(Projects in the WiRO -The results of the soils report must be
verified in the field by DWO, by completing & submitting the soils
investigation request form.)
S. A construction sequence that shows how the permeable
pavement will be protected from sediment until the entire
drainage area is stabilized.
6. The supporting calculations.
7. A copy of the signed and notarized operation and maintenance
(O&M) agreement.
6. A copy of the deed restrictions (if required).
Initials
AW S
SHEET 1
Pagel Plan Sheet No.
PAWS
SHEET
WA,
N/A
MW c
ATTACHED NARRATIVE - SOILS REPORT
M`aS
SHEET 5
MW�
ATTACHED NARRATIVE -CALCULATIONS
KW S
ATTACHED
NIA
N/A
TO 440'TE" PERhtQ$LE �A4Z,h6N�— l�l-�sr.L• f'.lqL REDu�D Rk)Q',t�
N� 5ToWaG6 vc�uM�
AND covERAGE'? Kc)W&6Z
1 -W l - PAVOw"l-N-f- sEc,TtoW 15 a6tuGe,(iEb(TED.,
Form SW 401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 3 of 3
Permit Number:
(to be provided by DWQ)
Drainage Area / Lot Number:
Permeable Pavement 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.
At all times, the pavement shall be kept free of:
— Debris and particulate matter through frequent blowing that removes such
debris, particularly during the fall and spring.
— Piles of soil, sand, mulch, building materials or other materials that could deposit
particulates on the pavement.
— Piles of snow and ice.
— Chemicals of all kinds, including deicers.
The permeable pavement will be inspected once a quarter. 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:
Potential problem:
How to remediate the problem:
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
permeable pavement
erosive gullies
remove the gully, then plant ground
cover and water until established.
A vegetated area drains
Regrade the area so that it drains
toward the pavement.
away from the pavement, then plant
ground cover and water until
established.
The surface of the
Trash/debris present
Remove the trash/debris.
permeable pavement
Weeds
Do not pull the weeds (may pull out
media as well). Spray them with a
systemic herbicide such as
glyphosate and then return within
the week to remove them by hand.
(Another option is to pour boiling
water on them or steam them.)
Sediment
Vacuum sweep the pavement.
Rutting, cracking or slumping
Consult an appropriate professional.
or damaged structure
Observation well
Water present more than five
Clean out clogged underdrain pipes.
days after a storm event
Consult an appropriate professional
for clogged soil subgrade.
Educational sign
I Missing or is damaged.
I Replace the sign.
Form S W401-Permeable Pavement O&M-Rev.4 10/03/2012 Page I of 2
Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that 1 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:Ocean Commerce Park Addition
BMP drainage area or lot number:I
Print name:Thomas G. Haddon, IV
Address:PO Box 1868, 157 W. Waterside Ln., Nags Head, NC 27959
Phone:252-267-2287
Date:�� /% e4%1 S
Note: The legally responsible party should not be a homeoxvners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
a Notary Public for the State of
County ofLJ1fCE do hereby certify that
D�erJ (f personally appeared before me this %7�
day 14/6 , and acknowledge the due execution of the
requirements. Witness my hand and official
seal,
(� 0��1.t5SION4 Q''i
? DEC. N
26 Z
2017
My commission expires /a ,W/
Form SW40 I -Permeable Pavement O&M-Rev.4 10/03/2012 Page 2 of 2