SW6210601_Application Form_20211123

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
Applicable Rules: El Coastal SW - 1995 11 Coastal SW - 2008 11 Ph 11 - Post Construction
(select all that apply) El Non -Coastal SW- HQW/ORW Waters OUniversal Stormwater Management Plan
El Other WQ Mgmt Plan: 11
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopiedfor use as an original
1. 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.):
Graceland Subdivision
2. Location of Project (street address):
TC Tones Road
City:Raeford County:Hoke Zip:28376
3. Directions to project (from nearest major intersection):
Pr9ject entrance is approximately 0.4 miles northwest of the intersection of TC Jones Road and Pittman
Grove Church Road, on the southwest side of TC Jones Road.
4. Latitude:34'57'45.5Z'N Longitude:79' 04' 48.33" W of the main entrance to the project.
11. PERMIT INFORMATION:
1. a. Specify whether project is (check one): F;JNew F-]Modification E] Renewal w/ Modificationt
tRenewals with modifications also requires SVM-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: E]Not Started E]Partially Completed* E] Completed* *provide a designer's certification
2. Specify the type of project (check one):
F�Low Density E]High Density F]Drains to an Offsite Stormwater System ElOther
3. If this application is being submitted as the result of a previously returned application or a letter from
DEMLR 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):
F-ICAMA Major F�Sedimentation/ Erosion Control: 14.4 ac of Disturbed Area
F_1NPDES 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? ZNo F-]Yes
If yes, see S.L. 2012-200, Part VI: http:l�portal.ncdenr.org/web/lr/rules-and-regLilations
FormSWU-101 Version Oct. 31,2013 Page I 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 12rQjec ):
Applicant/ Organization:Graceland Development, Inc.
Signing Official & Title:Christol2her Parker
b. Contact information for person listed in item la above:
Street Address:1000 Hope Mills Road
City:Fayetteville
State:NC
Zip:28304
Mailing Address (if applicable):PO Box 40641
City:Fayetteville State:NC Zip:28309
Phone: [phone] Fax: (
Email:[e-mail]
Please check the appropriate box. The applicant listed above is:
Z The property owner (Skip to Contact Information, item 3a)
F-1 Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
F-1 Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
F-1 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:
Signing Official &
b. Contact information for person listed in item 2a above:
Street Address:
city: State: Zip:
Mailing Address (if applicable):
city: State: Zip:
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:
Signing Official & Title:
b. Contact information for person listed in item 3a above.:
Mailing Address:
city: State: Zip:
Phone: Fax:
Email:
4. Local jurisdiction for building permits: Hoke Qoun!)�
Point of Contact:Robert Farrell Phone#: [phone]
Form SWU-101 Version Oct. 31, 2013 Page 2 of 6

'Report only that amount of existing BLLA that will remain after development. Do not report any existing BLLA that
is to be removed and which will be replaced by new B LLA.
11. How was the off -site impervious area listed above determined? Provide documentation.
Proiects in Union Coun :Contact DEAff.R Central Office staff to check if the 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 http://Vortal.ncdenr.org/web/wq/ws/su/bMp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). 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 docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at htII2://12ortal.ncdenr.org/web/wq/ws/su/mal2s.)
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.ncdenr.org/web/wq/ws/su/statesw/forms docs.
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
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 MFIW or NFIW line of tidal
waters, and any coastal wetlands landward of the MFIW or NFIW lines.
Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MI-IW (or NHV*I) 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.
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).
FormSWU-101 Version Oct. 31, 2013 Page 4 of 6

p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SFfWT 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 visitfor DEMLR to verify the SHVVT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 1327 Page No: 939
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.
http://www.secretaly.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be
provided as an attachment to the completed and notarized deed restriction form. The appropriate deed
restrictions and protective covenants forms can be downloaded from htW:Z�2ortal.ncdenr.org/web/Ir/state-
stormwater-forms docs. 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 f orms 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 DEMLR, 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:C. Scott Brown, PE
Consulting Firm: 4D Site Solutions, Inc.
Mailing Address:409 Cbicago Drive - Suite 112
City:Fayetteville State:NC - Zip:28306
Phone: [phone] Fax: [phone]
Email:[e-mail]
IX PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has beenfilled out, complete this
section)
1, (print or type name ofperson listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name ofperson
listed in Contact Information, item 1a) 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.
Form SWU-101 Version Oct. 31, 2013 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 DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR 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: — Date:
1, , a Notary Public for the State of County of
do hereby certify that
before me this day of
personally appeared
. and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
X. APPLICANT'S CERMICATION
1, (print or type name ofperson listed in Contact Information, item 1a) Christopher Parker
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 21-1.1000 and any other applicable state stormwater requirements.
Signature: — Date:
1, , a Notary Public for the State of County of
do hereby certify that
personally appeared
before me this — day of , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
Form SWU-101 Version Oct. 31, 2013 Page 6 of 6