SW8090121_HISTORICAL FILE_20090127

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 0 `t U t 21
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
® HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
200 of a l 2-n
YYYYMMDD

AT&T Project 821)60991 N - 213-453
Subject: AT&T Project 82D60991N - 213-453
From: 'Brian Jenschke"<[e-mail]>
Date: Fri, 23 Jan 2009 16:06:12 -0600
To: <[e-mail]>
CC: "Mary McKay" <[e-mail]>
Linda,
Per our conversation, the NO[ for the referenced project was in error. The project is entirely cable placement and
there will be no built -upon area.
Please issue an exemption for this project. We understand that the Erosion Control requirements will still
apply.
Thank you for your assistance in this matter.
Brian Jenschke
TITAN Engineering, Inc.
11940 Jollyville Road, Suite 220-S
Austin, Texas 78759
Ph. 512-250-2600 X 303
Fax [phone]
Cell 5 12-750-7106
CONFIDENTIALITY NOTICE
This Email is covered by the Electronic Communications Privacy Act, 18 O.S.C.
§§2510-2521 and is legally privileged. The information contained in this Email
is intended only for use of the individual or entity named above. If the
reader of this message is not the intended recipient, or the employee or agent
responsible to deliver it to the intended recipient, you are hereby notified
that any dissemination, distribution or copying of this communication is
strictly prohibited. If you have received this communication in error, please
immediately notify us by telephone [phone]), and destroy the original
message.
I of 1 1/23/2009 5:19 PM

Project Name: NY7 9 % tiL //f�// )pa>'h I Reviewer: � L L _eocla5 I
Proiect Received Date: / —i 5 —D Date Completeness Review Assigned
Location:
' ✓'= Yes/OK ' x'=
Rule(s) Subject (check all that apo):
❑ 1995 Coastal VJ' 2008 Coastal ❑ Phase II ❑ Universa
Paperwork:
Check for $505 (must be no older than 6 months) $ ¢2U° Subrn/feC1/ pp �7,tn
` Application form with correct/original signatures (original plus 1 copy). If Corporation or LLAC : �
o Print the info from the NCSOS
�i o Either, 1.) The applicant is listed on the NCSOS with his/her correct title or, 2.) A notarized letter of
authorization has been provided:
Supplements (1 original per BMP). BMP type(s):
O&M with correct/original signatures (1 original per BMP, except level spreaders/filter strips and swales)
Deed restrictions (if outparcel or subdividing) (original plus 1 copy)
o Deed restriction template (signed and notarized) or
o Proposed Declaration of Covenants and Restrictions (signed and notarized)
Soils report identifying the SHWT
upporting calculations, signed & sealed (if necessary)
❑ Receiving stream classification: 140W , If SA or ORW also:
o SA: USGS topo map with the site, the receiving waters and the Y: mile radius shown to scale.
o ORW: 575 ft of MHWL for Area of Environmental Concern and max BUA per rule.
Development Type (check all that apply):
❑ Residential or ❑ Commercial
❑ Subdivision or ❑ Single Lot
❑ High Density or ❑ Low Density
❑ Offsite project ❑ Redevelopment
❑ Deed restrictions match?
❑ Deed restrictions match?
❑ Deed restrictions match?
❑ Modification ❑ Exempt /
Densit Uh i I � � ,B(/?7 c?
�UA calculations include common areas, clubhouse, sidewalks, etc. v C019PP/CZ e,
UBUA %: , Matches high/low density requirement for rule and receiving stream class.
o obvious math errors
If High Density: Design storm correct for rule and receiving stream class.
P ans, signed and sealed (2 sets):
a Two sets received @"�Layout (with proposed BUA dimensions)
Grading ,,ErDrainage area map (all HD systems & curb outlet swales)
Vicinity map Fkr Project Boundaries ®'Legend
Wetlands:
o Delineated on plans o "No wetlands onsite" on plans
Jd Details:
o Roads o Cul-de-sacs o Curbing o Sidewalk
o BMPs/ Level spreaders/ Filter strips/ Curb outlet swales o Buildings (Apts or Condos)
Offsite Projects:
1 ❑ Designer's Certification has been submitted for the Offsite BMP receiving the runoff from the project.
1\� ❑ Deed restrictions have been recorded and a copy submitted for the Offsite BMP permit.
F� ❑ Lot size has not changed from what was approved under the Master Plan.
❑ Correct lot number is referenced on the supplement form.
❑ Offsite system is in compliance with its permit, if known.
(rffiltration Projects:
❑ Soils report: SHWT, soil type, and expected infiltration rate are provided.
❑ DWQ has conducted a site visit? Date:
(l t Ponds: Permanent Pool Meets One of the Following:
❑ Is located no lower than 6" below the estimated SHWT.
N ❑ Incoming groundwater is quantified and evaluated, AND Storage volume verified, AND Outlet evaluated for
free drainage to the receiving waters under SHWT conditions.
Decision (check one): L f
.'Complete: Return file to admin (Jo Casmer) to log in. L x�MP� bbl �, / re ,� ¢ZU
❑ Slightly incomplete: E-mail consultant, request information to be returned within one business day (24 hours
after request. Info requests on Friday, allow a return on the following business day). If info not returned, issue
an application return letter and give everything to admin.
❑ Substantially incomplete: Issue an application return letter and give everything to admin.

11v
TITAN Engineering, Inc.
F.nuironreentaf.Cansuttingand,1lanaffement.
LETTER OF TRANSMITTAL
TO: NCDENR Division of Water Quality
Surface Water Protection Section
127 Cardinal Drive Extension
Wilmington, NC 28405
[phone]
ATTENTION: Storm Water NOI
Address
11940 Jollyville Road Suite 220-S
Austin, Texas 78759
Phone: [phone], --
Fax: [phone]
JAN 15 2009
DATE: January 14, 2009
BY:.__-
SUBJECT: Burgaw, North Carolina SWPPP
AT&T Project No: 82D6099IN
AT&T Work order No. TE112408495
Job No.: 213: 453
WE ARE SENDING YOU VIA Courier next-dav
THE FOLLOWING:
NO. OF COPIES
DESCRIPTION
1
Notice of Intent — Burgaw, North Carolina AT&T #82D60991N
Check # 14760
THESE ARE FOR your use and files.
To Whom It May Concern:
Attached please find one copy of the Notice of Intent for discharges of storm water from the
referenced construction project.
If you have any questions, comments, or additional information needs, please contact me at (512)
250-2600
COPIES TO:
CC:
John Hanner - AT&T Design Engineer
Bob Vasquez - AT&T, Inc. Environmental Mgmt.
TITAN ENGINEERING
BY:
i�
Mary McKay
Project Manager

State Stormwater Management Systems
COC No. SW S D! IO 21 Z
DIVISION OF WATER QUALITY / SURFACE WATER PROTECTION SECTION
STATE STORMWATER NOTICE OF INTENT
SWG040000 - GENERAL PERMIT TO CONSTRUCT A LINEAR UTILITY LINE
AND ASSOCIATED INCIDENTAL BUILT -UPON AREA
State Stormwater Management Application Notice of Intent for coverage under the General
Stormwater Management Permit No. SWG040000 to construct a utility line and incidental built -
upon area associated with a linear utility project including water, sewer, gas, telephone, and
electric.
Incidental built -upon area associated with the utility project includes small, single pump stations,
access roads which minimize their built -upon area, concrete pads, manhole covers, etc.
(Please print or type)
1. Mailing address of owner/developer: (The address to which all permit correspondence will be mailed.)
Owner/Developer Name BellSouth Telecommunications, Inc. dba AT&T North Carolina c/o Titan Engineering
Street Address 11940 Jollyville Road, Suite 220-S
City _Austin State _TX_ ZIP_78759
Telephone No. 512-250-2600 FAX _ 512-250-2940
2. Project Name
3. Contact Person
Street Address
City
County
Telephone No.
Communication Line Instal - Project 82D60991 N
Brian Jenschke
11940 Jollyville Road, Suite 220-S
_Austin State _ TX _ ZIP_ 78759
512-250-2600 FAX (�_ 512-250-2940
4. Physical Location Information:
Please provide the street address of the project and describe how to get to the project, using street
names, state road numbers, and the distance and direction from the nearest major intersection:
Whitestocking Road (SR 1512) and Pearlie Watkins Road (SR 1513)
5. What is the name of the receiving stream? Unnamed tributary of North East Cape Fear River
6. River Basin_ North East Cape Fear River Receiving Stream Classification:
7. This Certificate of Coverage is being submitted as a result of: o
71 New or proposed project ❑ Modification to an existing project �t LM
Existina COC or Permit Number:
Date project is scheduled to begin construction: _ ASAP
8. What is the total project area above mean high water? _ 69,248 ftZ ( �
9. What type of utility project will be constructed?
❑ Water Line ❑ Sewer Line ❑ Gas Line 17-1 Telephone ❑ Electric ❑Other
10. How much built -upon area is proposed? 0 square feet (Please include all
manhole covers, pump stations, concrete pads, and gravel accessslroads).
Page 1 of 2 j 'Al
V'r I!Y

State Stormwater Management Systems
COC No. SW
11. Is the project within 575' of the Mean High Water line of class ORW waters?
❑ YES (Please show the 575' AEC line on plans) JAI NO
12. Are there any wetlands on the site? ❑ YES lolease delineate on the olansl IXI NO
Name of person making this determination: See attached letter from the Corps of Engineers
13. Please list all Best Management Practices employed at this site:
Filter fence, rock check dam, screen dam
14. Certification:
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application,
record, report, plan, or other document filed or required to be maintained under Article 21 or regulations of
the Environmental Management Commission implementing that Article, or who falsifies, tampers with or
knowingly renders inaccurate any recording or monitoring device or method required to be operated or
maintained under Article 21 or regulations of the Environmental Management Commission implementing that
Article, shall be guilty of a misdemeanor punishable by a fine not the exceed $10,000, or by imprisonment
not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more
than $10,000 or imprisonment of not more than 5 years, or both, for a similar offense.)
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirement for the project and is enforceable in the same manner as an individual
permit.
I certify that I am familiar with the information contained in the application and that to the best of my knowledge
and belief such information is true, complete, and accurate.
Printed name of person signing:
Title:
of Applicant)
/a a y- ;? 00
(Date signed)
A check or money order must accompany this Notice of Intent for $420.00, made payable to NCDENR. DWQ
will not grant coverage under the General Permit in response to an incomplete application. Your application
will be returned unprocessed unless all of the following items are submitted:
❑ This completed form
❑ Two sets of site and grading plans
❑ A check for $420.00
❑ A USGS map with the project clearly located on it.
Mail the entire package to: NCDENR Division of Water Quality
Surface Water Protection Section — Stormwater
(DWQ Regional office street address)
(DWQ Regional office city and zip code)
Note: The submission of this document does not guarantee the issuance of a Certificate of Coverage under the
General Permit.
Page 2 of 2

Legend
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.i� _` FIGURE I
# ..- "'W ... . v : ' p" ' ,t �...---.- '�' y + ;,.. *, ,,�. ,.. y.. ,,� yy,,� ..rr ,,,.. ...♦ SITE MAP
«.
a. 5'y„'� . „.. Whitestockin Rd. (SR 1512) and
+ p fPearlic
µye
1 �
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. .. � • t, y, at
kins 13)
AT&T County, ( SR S urgaw P North Carolina
r
M * . eProlect No. 82D6099IN
It
r pa ,. y . _. r•.. }' December 2008
.r
i,
.. �. "t '• � + t '� x ' M '"., fyrr._ . v M -"""' ...+' y.. y :, a♦i0, wtr.« .w,�,-'`. .�'*. ' +. r nt �SGS P
undrargle Stag g Pa
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11up published 981
Digial Data Courlesv hRS1
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.. NAMI
'SICNI U )l IAR FD 6
y . n I
i T s
ina
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1L U
t • .. ..
� � A ' INurga�+ T S W PPI
'�,,,... ��� y *m' �t... •"�" �' DAIP PROIF:CT NO._ Pf OT SCALE
12/19/08 213-453 ASSI10WN
„..c:... ._,.- 1+ *„". •._> .. "�',+ e WINO NO REVISION: FIGURE'
• i r .. ''' ...,,,...n..'. ab �'.. y I7RA
- ..:.,_ - '♦pt, £ t y •... .. 1-&213453-1 0 1 of 1
_..... y..� _ ... ...

JOB PURPOSE NOTE:
THE PURPOSE OF THIS JOB IS
TO PLACE BURIED COPPER CABLE
ALONG SR 1512 & SR 1513, DUE TO
NC DOT IMPROVEMNETS
Call for locates:
North Carolina One -Call Center
0811 or 1-800-632-4949
JOB CONTACT INFO.:
RAY KNOWLES
M/A SUPERVISOR
[phone]
NC DOT
CABLE PAIR TEST
[ I NO TESTING REOUIREO
[XI CONTINUITY TEST
[ I CONFORMANCE TEST
[ I WIDEBANO TEST -
(SPECIAL SVC ORDERS >56K)
7' MICE DITCH
II* SHOULOER
24' GRAVEL NO
-
--at* - - -- - -- - -- - -- - -R/W IS BACKSLOPE------4ww-
3
C:
SR 1513 PEARLIE WATKINS RO
c�
--4wv------------------------------------4MM-
CONTRACT ENGINEER
JOHN HANMER
RIO-470.2681

F--- 60' RW
Begin Coordinates
34.58907" N
77.852190 W
(Plc 1)
I
I
I
I
I
I
I
cr
V)
I
o:
20.
M
U
i
ALL SIDE DIRT ROL
ARE PRIVATE KATING
CLUB OR TIMER ROL
THIS CLOSM IN FIELD
NOT IN RECORDS
257• --1 2184
OtAVEL
PEARLiE WATKINS RD
P
E A• \y��
pEEP�UNDER
O1T 4•
I
Creek Crossing
Coordinates
34.58591 ° h1
77.853000 W
j' (Pic 2
i
2-1 tALVE PIPE
16• �.�' /' 18- COVER
Coll
.----—RM— --— --— --— - - — - -—
:MGNV
I 11.9
i KF
MP Map legend:
Flow Arrow
--Q—■— Filter Fence
— Rock Check Dam
Screen Dam
xisting BMPs installed by others identified during SWPPP site visit
=ilter Fence is to be located on the down slope side of bore pits and junction boxes
s illustrated on SWPPP map.
kdditional controls may be required to adapt to changing installation or removal
ctivities.
maps not to scale.
PLEASE KSION NEII Cell for locates:
OCaLE North Carolina One -Cell Center
u8ll or 1-800-632-4949
CONTRACT ENGINEER
910•4 70.2681

Coll for locates:
North Carolina One -Coll Center
0811 or 1-800-632-4949
PLACE CLOS IRE
am RIM
BURY CABLE `,
3' BELOM DITCH
MGNV r--------- cj --
4
SR 1513
0 OpVE1- 1/09.�r
/102• v1p,���NS
•
P
.. ......r
i
' (g)CABLE WCA&I
BURY CABLE
3' BELOW DITCH]
PLACE CLOSURE
ON RIM
FUTURE
USE
t
CONTRACT ENGINEER
JOH N MANNER
RIS-479-2661

Coll for locates:
North Carolina One -Call Center
11811 or 1-800-632-4949
--- --.-84CKSLnaE
i
<a, <MD
q0 11
H
P
N
CONTRACT ENGINEER
J" HANWR
4"9-4 76.2681

Creek Crossing
Coordinates
34.577150 N
77.853570 W
-' 271•
a
$R__1 13 GWE,4
PEARLIE WgtK
R p
360 GALVE PIPE
36' COVER
PLACE CABLE OVER -
Cell for locates:
North Carolina One -Call Center
0811 or 1-800-632-4949
Creek Crossing
Coordinates
34.574550 N
77.852910 W
CONTRACT ENGINEER
JOW HANKER
91/-4 70-2UI
TOP OF PIPE. PLACE !'`�,, OpAVEL
U-GUARO OVER CABLE.
M
TO NOT PLOW @CASLE 360GALVE PIPE '•�,,
•THRU PIPE' 30" COVER
PLACE CABLE OVER
TOP OF PIPE, PLACE
U-GUARD OVER CABLE.
TO NOT PLOW'
'THRU PIPE' �

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