HomeMy WebLinkAboutSW8080206_HISTORICAL FILE_20130708STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 0? bl o
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
ZU\3 (O"l 0 $
YYYYMMDD
'MCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Thomas A. Reeder
Governor Acting Director
July 8, 2013
Neal Paul, Deputy Public Works Director
USMCB Camp Lejeune
1005 Michael Road
Camp Lejeune, NC 28547
Subject: State Stormwater Management Permit No. SW8 080206
MCAS New River Exchange, AS4040
High Density Commercial Wet Detention Pond Project
Onslow County
Dear Mr. Paul:
John E. Skvarla, III
Secretary
The Wilmington Regional Office received a complete Stormwater Management Permit
Application for MICAS New River Exchange, A4040 on July 1, 2013. Staff review of the plans
and specifications has determined that the project, as proposed, will comply with the
Stormwater Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No.
SW8 080206 dated July 8, 2013, for the construction, operation and maintenance of the BMP's
and built -upon areas associated with the subject project.
On August 5, 2009, the Governor signed Session Law 2009-406. This law impacts any
development approval issued by the Division of Water Quality under Article 21 of Chapter 143 of
the General Statutes, which is current and valid at any point between January 1, 2008, and
December 31, 2010. The law extends the effective period of any stormwater permit that is set to
expire during this time frame to three (3) years from its current expiration date. On August 2,
2010, the Governor signed Session Law 2010-177, which grants an extra year for a total of four
(4) years extension.
Accordingly, this permit, which was set to expire on March 13, 2018, shall now be effective from
the date of issuance until December 30, 2021, which includes all extensions. This permit shall
be subject to the conditions and limitations as specified therein.
This permit shall be subject to the conditions and limitations as specified therein. Please pay
special attention to the conditions listed in this permit regarding the Operation and Maintenance
of the BMP(s), recordation of deed restrictions, certification of the BMP's, procedures for
changes of ownership, transferring the permit, and renewing the permit. Failure to establish an
adequate system for operation and maintenance of the stormwater management system, to
record deed restrictions, to certify the BMP's, to transfer the permit, or to renew the permit, 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 by filing a written petition with the Office of
Administrative Hearings (OAH). The written petition must conform to Chapter 150E of the North
Carolina General Statutes, and must be filed with the OAH within thirty (30) days of receipt of
this permit. You should contact the OAH with all questions regarding the filing fee (if a filing fee
is required) and/or the details of the filing process at 6714 Mail Service Center, Raleigh, NC
27699-6714, or via telephone at 919-431-3000, or visit their website at www.NCOAH.com.
Unless such demands are made this permit shall be final and binding.
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405
Phone: 910-796-72151 FAX: 910-350-20041 DENR Assistance: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opponunity \ ARrmalive Action Employer
One
;NorthCarolina
It atuma ly
If you have any questions, or need additional information concerning this matter, please contact
Chris Baker, at (910) 796-7215.
Sin erely,
or Thom s A. Reeder
Division of Water Quality
GDS/csb: S:\WQS\Stormwater\Permits & Projects\2008\080206 HD\2013 07 permit 080206
cc: John K. Avolis, Avolis Engineering, P. A.
Wilmington Regional Office Stormwater File
Page 2 of 2
State Stormwater Management Systems
Permit No. SW8 080206
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL 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
USMCB Camp Lejeune
MCAS New River Exchange, A4040
Curtis Road, Camp Lejeune, Onslow County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the
provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and the
approved stormwater management plans and specifications and other supporting data as
attached and on file with and approved by the Division of Water Quality and considered a
part of this permit.
This permit shall be effective from the date of issuance until December 30, 2021, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
This stormwater system has been approved for the management of stormwater runoff
as described in Section I. on page 3 of this permit. The stormwater control has been
designed to handle the runoff from 222,663 square feet of impervious area.
The tract will be limited to the amount of built -upon area indicated on page 3 of this
permit, and per approved plans.
4. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be recorded
showing all such required easements, in accordance with the approved plans.
The runoff from all built -upon area within the permitted drainage area of this project
must be directed into the permitted stormwater control system.
Page 2 of 7
State Stormwater Management Systems
Permit No. SW8 080206
The following design criteria have been provided in the wet detention pond and must
be maintained at design condition:
a. Drainage Area, fcres:
Onsite, ft :
Offsite, ft2:
b. Total Impervious Surfaces, ft2:
C. Design Storm, inches:
d. Average Pond Design Depth, feet:
e. TSS removal efficiency:
f. Permanent Pool Elevation, FMS.�:
g. Permanent Pool Surface Areq, ft
h. Permitted Storage Volume, ft :
i. Temporary Storage Elevation, FMSL
j. Controlling Orifice:
k. Permitted Forebay Volume, ft3:
I. Fountain Horsepower, HP
M. Receiving Stream/River Basin:
n. Stream Index Number:
o. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
7.08
308,499
N/A
222,663
1.5
7
90%
15.5
20,068
73,401
18
3.25"0 pipe
16,085
1/3
Southwest Creek / White Oak
19-17-(6.5)
"C;HQW;NSW"
1. The stormwater management system shall be constructed in its entirety, vegetated
and operational for its intended use prior to the construction of any built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately.
The permittee shall, at all times, provide the operation and maintenance necessary to
assure the permitted stormwater system functions at optimum efficiency. The signed
and approved Operation and Maintenance Agreement 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 re -vegetation 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 outlet structure, orifice device, flow spreader,
catch basins and piping.
a. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept and made available upon request to
authorized personnel of DWQ. The records will indicate the date, activity, name of
person performing the work and what actions were taken.
5. Decorative spray fountains will be allowed in the stormwater treatment system, subject
to the following criteria:
a. The fountain must draw its water from less than 2' below the permanent pool
surface.
b. Separated units, where the nozzle, pump and intake are connected by tubing,
may be used only if they draw water from the surface in the deepest part of the
pond.
c. The falling water from the fountain must be centered in the pond, away from the
shoreline.
d. The maximum horsepower for a fountain in this pond is 1/3 horsepower.
Page 3 of 7
State Stormwater Management Systems
Permit No. SW8 080206
6. The facilities shall be constructed as shown on the approved plans. This permit shall
become void unless the facilities are constructed in accordance with the conditions of
this permit, the approved plans and specifications, and other supporting data.
7. 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. 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.
9. Access to the stormwater facilities for inspection and maintenance shall be maintained
via appropriate recorded easements at all times.
10. The permittee shall submit to the Director and shall have received approval for revised
plans, specifications, and calculations prior to construction, for any modification to the
approved plans, including, but not limited to, those listed below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
C. Further development, subdivision, acquisition, lease or sale of any, 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.
d. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. Prior to the construction of any permitted future areas shown on the approved plans,
the permittee shall submit final site layout and grading plans to the Division for
approval.
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.
13. Approved plans and specifications for this project are incorporated by reference and
are enforceable parts of the permit. A copy of the approved plans and specifications
shall be maintained on file by the Permittee at all times.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and
approval by the Director. At least 30 days prior to a change of ownership, or a name
change of the permittee or of the project, or a mailing address change, the permittee
must submit a completed and signed Name/Ownership Change Form to the Division
of Water Quality, accompanied by the supporting documentation as listed on the form.
The approval of this request will be considered on its merits and may or may not be
approved.
Page 4 of 7
State Stormwater Management Systems
Permit No. SW8 080206
The permittee is responsible for compliance with all permit conditions until such time
as the Division approves the transfer request. Neither the sale of the project in whole
or in part, nor the conveyance of common area to a third party constitutes an
approved transfer of the stormwater permit.
3. Failure to abide by the conditions and limitations contained in this permit may subject
the Permittee to enforcement action by the Division of Water Quality, in accordance
with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with 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, 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 remains in force and effect until modified, revoked, terminated or renewed.
The permit may be modified, revoked and reissued or terminated for cause. The filing
of a request for a permit modification, revocation and re -issuance or termination does
not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. The permittee shall submit a permit renewal request at least 180 days prior to the
expiration date of this permit. The renewal request must include the appropriate
documentation and the processing fee.
Permit issued this the 8th day of 2013, July.
NOKTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Division of Water Quality
By Authority of the Environmental Management Commission
Page 5 of 7
tiF ?., fYrt �.(v.''}rAeJ 54. fi t.R
m: ry S tC ..Crt$
DWQUSE`ONLY_ ;7 >,
D to eceive
Fee Paid
Permit Number
Applicable Rules: Coastal SW -1 95 ❑ Coastal SW -
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters
❑ Other WQ Mgmt Plan:
008 ❑ Ph II - Post Construction
❑ Universal Stormwater Management Plan
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
MCAS New River Exchange, A4040
2. Location of Project (street address):
Curtis Road Bldg AS-4040, Marine Corps Air Station, New River
City:MCAS New River County:Onslow Zip:28574
3. Directions to project (from nearest major intersection):
From US Hwy 17/Curtis Road (Main Gate entrance to MCAS New River) south approximatley 1 mile to the
intersection of Curtis Road and Schmidt Street, project on right.
4. Latitude:34° 43' 27" N Longitude:77° 27' 26" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): []New ®Modification ❑ Renewal w/ Modificationt
t Renewals with modifications also requires SWU-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 SW8 080206 , its issue date (if known) 03-03-08 and the status of
construction: ❑Not Started ❑Partially Completed* ® Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ❑Sedimentation/Erosion Control: 1.3 ac of Disturbed Area
❑NPDES Industrial Stormwater 0404/401 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:
5. Is the project located within 5 miles of a public airport?
If yes, see S.L. 2012-200, Part VI: htt
JUN262013
Form SWU-101 Version 06Aug2012 Pagel 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:Commandina Officer- MCB Camp Leieune, North Carolina
Signing Official & Title:Neal Paul, Deputy Public Works Director
b.Contact information for person listed in item la above:
Street Address:1005 Michael Road
City:Camp Lejeune State:NC Zip:28547
Mailing Address (if applicable):
Phone: (910 ) 450-5803 Fax: (910 ) 451-2927
Email:neal.pau IQusmc.mil
c. Please check the appropriate box. The applicant listed above is:
❑'rhe 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
Signing Official &
b.Contact information for person listed in item 2a above:
Street Address:
Mailing Address (if applicable):
City: State:
Phone: ( ) Fax:
Email:
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: David Towler, El/Public Works
Signing Official & Title:Neal Paul, Deputy Public Works Director
b.Contact information for person listed in item 3a above:
Mailing Address:1005 Michael Road
City:Camp Lejeune State:NC Zip:28547
Phone: (910 ) 450-5803
Email:david.towler@usmc.mil
4. Local jurisdiction for building permits:
Point of Contact:
Fax: (910 ) 451-2927
Phone #:
JUN262013
Form S WU-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 wet detention basin.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the White Oak River basin.
4. Total Property Area: 7.08 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) -,total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project
Area`:7.08 acres
Total project area shall be calculated to exclude thefollowing: the nonual yool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NM line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landeoard of the NHW (or MHW) liuze may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 72.18 %
9. How many drainage areas does the project have?] (For high density, count 1 for each proposed engineered
stornnvater BMP. For low density and other projects, use 1 for the whole properhj area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1
Drainage Area___L
Drainage Area _
Drainage Area
Receiving Stream Name
Southwest Creek
Stream Class *
C; HQW, NSW
Stream Index Number *
19-17-(6.5)
Total Drainage Area (so
308,499
On -site Drainage Area (so
308,499
Off -site Drainage Area (sf)
0
Proposed Impervious Area** (so
222,633
Im ervious Area*` total
72.18%
Impervious** Surface Area
Drainage Area 1
Drainage Area
Drainage Area
Drainage Area`';
On -site Buildings/Lots (so
0
On -site Streets (so
2,530
On -site Parking (so
0
On -site Sidewalks (so
0
Other on -site (so
0
Future (so
0
Off -site (so
1,419
Existing BUA*** (so
218,714
Total (so:
222,663
Stream Class and Index Number can be determined at: htt ): ortal.ruderrr.or veb csu c assi cations
** Impervious area is defined as the built upon area including, but not limited to, buildingsadJWKkJ,4ar
sidewalks, gravel areas, etc.
Form SWU-101 Version 06Aug2012 Page 3 of 6
'Report only that aruount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation.
Field Visit & Topographic Survey
Projects in Union County: Contact DWQ Central Office staff to check ifthe project is located within a Threatened &
Endangered Species watershed that may be subject to more .stringent stormwater 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 httD://Dortal.ncdenr.ore/web/wo/ws/su/bnio-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.ncdenr.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 http://portal.ncdennorg/web/wq/ws/su/statesw/forms does.
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
Po(if required per Part VII below)
3. Original of the applicable
icable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhelp.org/Pages/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
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 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i.. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
in. Wetlands delineated, or a note on the plans that none exist. (Must be delineated b C O_ OVIE
qualified person. Provide documentation of qualifications and identify R " the perso ho
made the determination on the plans. JUN q 6 20pj
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calcu ations. i N
o. Drainage areas delineated (included in the main set of plans, not as a separate do Enent).
p. Vegetated buffers (where required). 8y:
Form SWU-101 Version 06Aug2012 Page 4 of 6
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify NIA
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"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also .
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior
to submittal, (910) 796-7378.)
10. A copy of the most current property deed. Deed book: Military Page No:
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 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 he returned.
hn://www.secreta!y.state.nc.us/Corl2orations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be
provided as an attachment to the completed and notarized deed restriction form. The appropriate deed
restrictions and protective covenants forms can be downloaded from
http://portalmcdennorg/web/wa/ws/su/statesw/forms does. Download the latest versions for each
submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot.
Vill. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer.loseyh C. Avolis, PE
Consulting Firm: Avolis Engineering, PA
Mailing Address:P.O. Box 15564
City:New Bern State:NC Zip:28561
Phone: (252 ) 633-0068 Fax: (252 ) 633-6507
Email:avolisengineering@embargmail.com
IX. PROPERTY OWNER AUTHORIZATION (if Can tact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) certify that I
own the property identified in this permit application, and thus give permission to (print or hype name of person
listed in Contact Information, item la) with (print or type name of organization listed in
Contact Information, item 1a) 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.
lqECEUVE
i JUN 2 6 ,,
4v.
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 day, pursuant to NCGS 143-215.6.
Signature:
a Notary Public for the State of
do hereby certify that
County of
personally appeared
before me this _ day of . and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
X. APPLICANT'S CERTIFICATION
1, (print or type name of person listed in Contact Information, item la) Neal Paul
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, an that the proposed project complies with the requirements of the
applicable stormwate/r s under iS ICA H .1000 and any other applicable state stormwater requirements.
do
Date:19)011 5
the State of V Q County of
1qr �C 0p n' personally appeared
'
before me this f day of 'J J t 1 acknow e the du execution o the-ap ication for
a stormwater permit. Witness my hand and official seal,
SEAL
VNIIOUVO H11:101Y d0 31V19
A1N600 MOISNO
onend AdVlON
INU30030NVA A311
My commission expires
FOEUVE
JUN 161013
LIV.
Form SWU-101 Version 06Aug2012 Page 6 of 6
MEMORY TRANSMISSION REPORT
TIME :07-08-2013 16:55
FAX NO.1
NAME
FILE NO. 185
DATE 07.08 16:49
TO rt 912526336507
DOCUMENT PAGES 9
START TIME 07.08 16:52
END TIME 07.08 16:55
PAGES SENT 9
STATUS OK
`SUCCESSFUL TX NOTICE["
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Put McCrory, Governor FAX COVER gIIEET John B Shroffp 1/1/). Secre[ary
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l27 c—dinal Drava Ia1[tenelan. Wllmingtnn. NC 29e01 (910)'196-')219 - M Fgea. ARlr 11— Aonan E1,1 er
State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Pal McCrory, Governor FAX COVER SHEET John E Skvarla III, Secretary
Date:
To: /(/ E (�D /; -5
Fax:
No. Pages (excl. cover):
From: Jo Casmer
Phone: (910) 796-7336
Fax: (910)350-2004
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127 Cardinal Drive Extension, Wilmington, NC 28405 • (910) 796-7215 • An Equal Opportunity Affirmative Action Employer
MEMORY TRANSMISSION REPORT
FILE NO.
DATE
TO
DOCUMENT PAGES
START TIME
END TIME
PAGES SENT
STATUS
186
07.08 16:49
a 919104512927
9
07.08 16:55
07.08 16:57
9
OK
TIME
FAX NO.1
NAME
—SUCCESSFUL TX NOTICE'
07-08-2013 16:57
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State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Pat McCrory, Governor FAX COVER SHEET John E Skvarla III, Secretary
Date: �j
To: �//r/G/�L w� i�r/�/Inv
No. Pages (excl. cover): �7
From: Jo Casmer
Phone: (910)796-7336
Fax: �� l % �� 2�2 / Fax: (910) 350-2004
Re: /1?G %�s /i/�/J ✓E e Z X I-`J A Z ij � ��O 17ZID
127 Cardinal Drive Extension, Wilmington, NC 28405 • (910) 796-7215 • An Equal Opportunity Affirmative Action Employer
Baker, Chris
From: Avolis Engineering, P.A. [avolisengineering@embargmail.com]
Sent: Monday, July 01, 2013 9:05 AM
To: Baker, Chris
Subject: Re: MCAS Ner River Exchange
Hey Chris,
Southwest Creek is correct. Tank Creek is across Southwest Creek from the site.
Thanks,
Joseph C. Avolis, PE
avoliseng ineering(a.embaromail.com
Avolis Engineering, PA
252.633.0068
From: Baker Chris
Sent: Friday, June 28, 2013 2:20 PM
To: avolisengineering(alembaramail.com
Subject: MCAS Ner River Exchange
Joe I have one question/comment regarding the referenced project. I've attached the comment letter. Simple
comment, I'll probably not even send out the letter if you respond early next week.
Thanx,
chris