SW6100804_Application Form_20220611 (3)

a%(subdivisi
spec'f'catiOns, letters oni facility, is
"Operonc L)WQ
rna-� t�c - sad ,0 istent with ProjeconarnQ
Lm_pervious** Surface Area Drainage Area 1
Drains Area
Drainage A,r a �
Drainage, Area
On -site Buildings/Lots 42,360
(fin -site Streets s '471
On -site Parkin s 162,479
_
On -site Sidewalks s
Otheron-site s
Futures566,978
Off -site
isn B ***s
Total so: 779,288_
Stream Class and Index Number can be determined at:,r+tr,cr.?►, ions
Impervious area is defined as tire built upon area including, ut not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Report only that amount of existing B UA that will r tram after developnient. Do not report any existing BUA that
is to be removed and which will be replaced by new B i. A—
How was the cuff -site impervious area listed above determined? Provide documentation, I' .-
Proiec�Unior o ntad D WQ Central Office staff to check if the project is o ale with -in, a Threatened r
Endangered Species watershed th(it f V be subject to more stringent stormwater requirements as per NC,"AC 02B .0600.
SUPPLEMENT AND O&M FORMS
The applicable le state stoat water management permit supplement and operation and maintenance (C)&m)forms
must be submitted for each BMp specified for this project. The Latest versions of the forms can I>e downloaded
from fit -ortalmcdenr.org/ web/ s sul b manual.
SUBMITTAL REQUIREMENTS
only complete application packager, will be accepted and reviewed by the Division of 'water Quality W
A complete packa e lncludes all of the items listed below. A
r detailed application instruction sheet and h4p
checklists are available from ttp.1 Zporta1.ncdenr.or Z� b �� c tateS f�s qo s. T e corgi let,
pp p (The appropriate ofif i �
application package should be s�x�rr�rt�ted to the a ro rYate ' Office.`c rear
be
found by locating project on the interactive online map at ham./ or l,ncdenr iDr Z web/ wcl
`lease indicate that the tollowing required lntormation nave Peen 12
for each item, All original documents MU5r be signed and initialed in
for each submitted application package from h.ttp./ / Porta1.ncd nr.oj
�V .k4U" Vy ininairrng in the space provided
blue ink. ovrrnlcad the latest
versions
Original and one copy of the Stormwater Management pest Application Form.
Original inal and one copy of the signed and notarized Deed Restrictions & Protective oVenants
'Form, (if required as per Part Vil below)
Original of the applicable Supplement Forms (sealed, signed
ar�d dated a� , �
agreement(s) for each �'.
Permit application processing fee of $505 Payableto NCDENR. TOr are Express review,
I XV NI• NET. env e .or a e ones to ress.htrnl for orma#ion r e
., refer to
Exog
and the associated fees. Contact the :appropriate regional office E Tess p press.p`r`'a�
additional information and to schedule the required application meeting.) emit Coordinator- for