SW6110807_CURRENT PERMIT_20120215

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
DOC TYPE
KZ9CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE����
YYYYMMDD

North Carolina
Beverly Eaves Perdue
���
NCDENR
Department of Environment and
Division of Water Quality
Charles Waki!d, P.E.
Governor Director
February 15, 2012
Mr. David A. Heins
Fort Bragg Directorate of Public Works
2175 Reilly Road Stop A
Fort Bragg, NC 28310-5000
Subject: Stormwater Permit No. SW6110807 Modification
Fort Bragg 150 Youth Center
High Density Infiltration Basin Project
Harnett County
Dear Mr. Heins:
MAR 16 412
Natural Resources ®WQ
Dee Freeman
Secretary
The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for a
modification of Fort Bragg 150 Youth Center on January 30, 2012. 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 and Session Law 2006-246. We are forwarding
modified Permit No. SW6110807, dated February 15, 2012, for the construction, operation and
maintenance of the subject project and the stormwater BMPs. This modification includes the revisions
to the infiltration basin geometry and outlet elevations to accommodate a utility conflict, and the,
relocation of the covered patio.
This permit shall be effective from the date of issuance until October 3, 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 inspection 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, P.O. Drawer 27447,
Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and binding.
This project will be kept on file at the Fayetteville Regional Office. If you have any questions, or need
additional information concerning this matter, please contact Robert Patterson at [phone]; or
[e-mail].
Sinc�er�elyy,,�q
for Charles Wakild, P.E. cc: SW6110807 File/
ec: Rob Gourley, PE - Burgess & Niple, Inc.
Mike Lawyer- Fayetteville Regional Office
Wetlands and Slounwaler Branch 1�rOne 1., 1 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 1 v OTtI l Ca.T011lla
Location: 512 -8 7 Salisbury St. Raleigh, North Carolina 27604 �RtuCQ���
Phone: [phone]FAX: [phone] K
Internet: www.ncwaterquality.org
An Equal Oppommity 1 Affirmafive Acfion Employer

State Stormwater Permit
Permit No. SW6110807
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
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
Fort Bragg Directorate of Public Works
Fort Bragg 150 Youth Center
NW corner of Rockefeller Blvd. 6 Percy Blvd., Fort Bragg, Harnett County
FOR THE
construction, operation and maintenance of an infiltration basin in compliance with
the provisions of Session Law 2006-246 and 15A NCAC 2H .1000 (hereafter referred
to as the "storm water 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 October 3, 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 1.8 of this permit. The stormwater
control has been designed to handle the runoff from 66,127 square feet of
impervious area.
The infiltration system is designed, and must be maintained, to infiltrate the
10-yr, 24-hr storm event in lieu of providing a vegetated filter strip and
bypass.
4. The tract will be limited to the amount of built -upon area indicated in Section
1.8 of this permit, and as shown on the approved plans.
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.
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.
Page 1 of 6

State Stormwater Permit
Permit No. SW6110807
7
91
The built -upon areas associated with this project shall be located at least 30
feet landward of all perennial and intermittent surface waters.
The following design criteria have been permitted for the infiltration basin and
must be provided and maintained at design condition:
a. Drainage Area, acres:
Onsite, ftZ:
Offsite, ftZ:
b. Total Impervious Surfaces, ftZ:
Onsite, ftZ:
Offsite, ftZ:
C. Design Storm, inches:
d. Bottom Elevation, FMSL:
e. Bottom Surface Area, ftZ:
f. Bypass Weir Elevation, FMSL:
g. Permitted Storage Volume, ft3:
h. Type of Soil:
i. Expected Infiltration Rate, in/hr:
j. Seasonal High Water Table, FMSL:
k. Time to Draw Down, hours:
I. Receiving Stream/River Basin:
M. Stream Index Number:
n. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
3.2
139,392
0
66,127
66,127
0
1.0
337.00
2,557
340.50
16,064
Lakeland - A
5.0
331.00
8
Muddy Creek / Cape Fear
18-23-26
1,C„
The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use immediately upon stabilization
of the drainage area.
During construction, erosion shall be kept to a minimum and any eroded
areas of the system will be repaired immediately. The infiltration device shall
be protected from compaction and sedimentation to prevent clogging.
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.
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 permittee shall have available for inspection by the Division of Water
Quality an annual summary report of the maintenance and inspection records
for each BMP. The report shall summarize the inspection dates, results of the
inspections, and the maintenance work performed at each inspection.
Page 2 of 6

State Stormwater Permit
Permit No. SW6110807
6. 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.
7. if the stormwater systeir was used as an Erosion Control device, it roust be
restored to design condition prior to operation as a stormwater treatment
device, and prior to occupancy of the facility.
8. 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.
9. Access to the stormwater facilities shall be maintained via appropriate
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. 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.
f. Filling in, altering, or piping of any vegetative conveyance shown on
the approved plan.
11. The permittee shall submit final site layout and grading plans for any
permitted future areas shown on the approved plans, prior to construction.
12. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
13. 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 Water Quality, signed by both parties, and
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.
Page 3 of 6

State Stormwater Permit
Permit No. SW6110807
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 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, 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
2006-246, 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. The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit.
Permit issued this the 151" day of February, 2012.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
forCharles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 4 of 6

State Stormwater Permit
Permit No. SW6110807
Fort Bragg 150 Youth Center
Stormwater Permit No. SW6110807
Harnett 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 5 of 6

State Stormwater Permit
Permit No. SW6110807
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 elevationis 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.
Submit completed certification to: NCDENR-DWQ Fayetteville Regional Office
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
Page 6 of 6

. -.
.. , .. ��.:.. DWQ USE'ONLY
ate Received
Fee Paid
Permit Number
Applicable Rules:
(select all that apply)
❑ Coastal SW —1995 ❑Coastal SW — 2008 Ph II -Post Construction
El Non -Coastal SW- HQW/ORW Waters ❑Universal Stormwater Management Plan
❑ Other WQ Mgmt 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.):
Fort Bragg 150 Youth Center
2. Location of Project (street address):
County:Hamett Zip:28326
3. Directions to project (from nearest major intersection):
North to northwest comer of the intersection of Rockefeller Boulevard and Percy Boulevard
4. Latitude:35° 15' 1.45" N Longitude:79' 02' 54.37" W of the main
II. PERMIT INFORMATION:
Vfl, =4
to the project.
M302012
DENR-WATER QUALITY
1, a. Specify whether project is (check one): ❑New ®Modification 4tWiiANDSTOR14WATERBRAh'CH
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit numberSW6110807 , its issue date (if known)10/4/2011 and the status of
construction: ZNot 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, N/A and the previous name of the project, if different than currently
proposed, N/A
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
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: 3.52 ac of Disturbed Area
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: NCDENR Sanitary Permit: Child Development Center 0-5 Medium
Permit W000035469; NCDENR Water Permit: Fort Bragg "150" Youth Center Serial No. 11-00696;
NCDENR E&S Permit FB-Fort Bragg 150 Youth Center Project ID HARNE-2012-011
Form SWU-101 Version 07July2009 Page 1 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: Directorate of Public Works (DPW)
Signing Official & Title:Mr. Craig Lantz, Water Management Branch (WMB)
b.Contact information for person listed in item la above:
Street Address:2175 Reilly Road Stop A
City:Fort Bragg State:NC Zip:28310-5000
Mailing Address (if applicable):2175 Reilly Road Stop A
City:Fort Bragg State: NC Zip:28310-5000
Phone: ( 910 ) 396-2301 Fax: ( 910 ) 907-2420
Email:jennings.c.lantz o us.army.mil
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:Directorate of Public Works (,DPW)
Signing Official & Title:Mr. Craig Lantz, Water Management Branch (WMB)
b.Contact information for person listed in item 2a above:
Street Address:2175 Reilly Road Stop A
City:Fort Bragg State:NC Zip:28310-5000
Mailing Address (if applicable):2175 Reilly Road Stop A
City:Fort Bragg State: NC Zip:28310-5000
Phone: ( 910 ) 396-2301
Email:[e-mail]
Fax: ( 910 ) 907-2420
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: Mr. Lee Ward
Signing Official & Title:DPW/Water Management Branch
b.Contact information for person listed in item 3a above:
Mailing Address:Bldg 0-9125, McKellars Road
City:Fort Bragg State: NC Zip:28310
Phone: ( 910 ) 396-2301 Fax: (910 ) 907-2420
Email: [e-mail]
us.army.mil
4. Local jurisdiction for building permits: N/A
Point of Contact: Phone #: ( )
Form SWU-101 Version 07July2009 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
An infiltration basin is proposed
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 PUDApproval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.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 Cape Fear River basin.
4. Total Property Area: 3.52 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':
Total project area shall be calculated to exclude the following: the normal rool of impounded structures, the area
between the banks of streams and rivers, the area below the ) lornal High Cer (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHO) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Norrcoastal wetlands landward of tine NHW (or MHW) line maybe
included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 =
9. How many drainage areas does the project have?l (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 hlformation
Draina e Area 1
Drainage Area _
Drainage Area _
Drainage Area _
Receiving Stream Name
Muddy Creek
Stream Class *
C
Stream Index Number *
18-23-26
Total Drainage Area (sf)
139,392
On -site -Drainage Area (sf)
139,392
Off -site Drainage Area (sf)
0
Proposed Impervious Area** (sf)
66,127
% Impervious Area** (total)
47%
Impervious*' Surface Area
Draina e Area 1
Draina e Area _
Draina e Area _
Draina e Area _
On -site Buildings/Lots (sf)
19,999
On -site Streets (sf)
NA
On -site Parking (sf)
30,911
On -site Sidewalks (sf)
8,637
Other on -site (sf)
6,580
Future (sf)
0
Off -site (sf)
0
Existing BUA*** (sf)
0
Total (sf):
66,127
Stream Class and Index Number can be determined at: htty://h2o.enr.state.rrc.us/bims/reports/reportsWB.html
** Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
** Report only that amount of existing BUA that roil( remain after development. Do not report any existing BUA that is
to be removed and which will be replaced by new BUA.
Form SWU-101 Version O7July2009 Page 3 of 6

11. How was the off -site impervious area listed above determined? Provide documentation.
Projects in Union County: Contact DWQ Central O(jice staff to check ifthe project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 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 httn://li2o.enr.state.nc.us/su/bmo forms.htm.
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 httl2://h2o.enr.state.nc.us/su/bmp forms htm. 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://h2o.enr.state.nc.us/su/nisi maps.htm.)
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 httl2://h2o.enr.statc.nc.us/su/bmp forms htm.
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.envheIenvhelp.org/12ages/onestol2exl2ress.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
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 'A mile of the site boundary, include the'k
mile radius on the map.
7. Sealed, signed and dated calculations.
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.
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).
p. Vegetated buffers (where required).
Initials
MN
MIA
Form SWU-101 Version 07July2009 Page 4 of 6

9. Copy of any applicable soils report with the associated SHWT elevations (Please identify B\A
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 for DWQ to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: NA Page No:
11. For corporations and limited liability corporations (LLC): Provide documentation from the NCB
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 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/CoQ2orations/CSearch.aspx
VIL 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
ham://l12o.enr.state.nc.us/su/bmp forms.htmtldeed restrictions. 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:Robert A. Gourley, In
Consulting Firm: Burgess & Niple, Inc
Mailing Address:Suite 300 295 Bend ix Road
City:Virginia Beach State:Virginia Zip:23452
Phone: (757 ) 490-3566 Ext 2813 Fax: [phone]
Email:[e-mail]
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) 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 2a) with (print or type name of organization listed in
Contact Information, item IN 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 07.Iuly2009 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.
Signatu
a Notary Public for the State of
do hereby certify that
before me this _ day of
County of
personally appeared
and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
6Jtf&'U
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type natue of person listed in Contact Informmtion, item Ia) Mr. David Heins
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 ey le uner 15A NCAC 2I-I .1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211.
` AIL/// � y -yam
Signature: / olio: /(�iln Date:
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
Form SWU-101 Version 07Jun2010 Page 6 of

®FWW
Permit No. _5V 49 1(00 O =
(to be provided by DWQ)
O?pF WATFgOG
_ STORMWATER MANAGEMENT PERMIT APPLICATION FORM `C
'NC ENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and subm"Red.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
Project Name
Contact Person
Phone Number
Date
Drainage Area Number
IL'DESIGN INFORMATION
Site Characteristics
Drainage area
139,392.00
ft'
Impervious area
66,127.00
ftz
Percent impervious
47.44
%
Design rainfall depth
1.00
in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
in
1-yr, 24-hr intensity
infhr
Pre -development 1-yr, 24-hr discharge
ft'/sec
Post -development 1-yr, 24-hrdischarge
ft'/sec
Pre/Post 1-yr, 24-hr peak Flow control
ft'/sec
Storage Volume: Non -SA Waters
D °f p1 f r} L G S_ � 3 4tf: 5 O
Minimum design volume required
5,576.00
ft' 1 G r i of
Design volume provided
46:, 4,06--{['�
OK for non -SA waters _nlp
Storage Volume: SA Waters
1.5" runoff volume ft3
Pre -development 1-yr, 24-hr runoff volume ft3
Post -development 1-yr, 24-hr runoff volume ft3
Minimum required volume ft3
Volume provided ft3
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
A
10.00 infhr
331.00 fmsl
0.33 days OK
3.00 :1 OK
337.00 fmsl OK
--a37:78—;.msFi 340.50 0 F^�trZ/LG' . SP/Ui — )07A
3,334.00 tt'
341.00 fmsl
137.00 it
12.00 ft
2,557.00 ft2
Form SW401-Infiltration Basin.Rev.5 11Apr2011 Parts I. S II. Design Summary, Page 1 of 2

Permit
(to be provided by DWQ)
Additional Information
Maximum runoff to each inlet to the basin?
0.09
ac-in
Length of vegetative filter for overflow
NA
ft
Distance to structure
15.00
ft
Distance from surface waters
30+
ft
Distance from water supply wells)
100+
ft
Separation from impervious soil layer
2+
ft
Naturally occuring soil above shwt
SC-SM
ft
Bottom covered with 4-in of clean sand?
Yes
(Y or N)
Proposed drainage easement provided?
NA
(Y or N)
Capures all runoff at ultimate build -out?
yes
(Y or N)
Bypass provided for larger storms?
No
(Y or N)
Pretreatment device provided
Yes
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
Form SW401-Infiftration Basin-Rev.5 11 Apr2011 Paris I. a II. Design Summary, Page 2 of 2

Permit No. 5 1104- 0 /
(to be provided by DWD)
O� FwA rfgO
® STORMWATER MANAGEMENT PERMIT APPLICATION FORM o `
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be 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
Fort Bragg'150" Youth Center - PN71092
Contact Person
Rob Goudey
Phone Number
'757490-3566
Date
13-Sep-11
Drainage Area Number
1
II: DESIGN INFORMATION
= -, -
Site Characteristics
Drainage area
139,392.00
ft'
Impervious area
66,127.00
ft2
Percent impervious
47.44
%
Design rainfall depth
1.00
in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr discharge
Post -development 1-yr, 24-hr discharge
Pre/Post 1-yr, 24-hr peak Flow control
Storage Volume: Non -SA Waters
Minimum design volume required
Design volume provided
Storage Volume: SAWaters
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
in
5,576.00 ft3
17,900.00 ft3
ft3
ft3
Its
Its
ft3
A
5.00 in/hr
331.00 fmsl
0.33 days
3.00
:1
337.00
fmsl
340.22
fmsl
8,400.00
ft3
341.00
fmsl
205.00 ft
42.00 ft
3,582.00 fe
OK for non -SA waters
OK
OK
OK
Form SW401-Infiltration Basin-Rev.5 11Ap2011 Parts I. & II. Design Summary, Page 1 of 2

Permit
(to be provided by D WO)
Additional Information
Maximum runoff to each inlet to the basin?
0.09
ac-in
OK
Length of vegetative filter for overflow
NA
It
OK
Distance to structure
15.00
ft
OK
Distance from surface waters
30+
ft
OK
Distance from water supply wells)
100+
ft
OK
Separation from impervious soil layer
2+
ft
OK
Naturally occuringsoil above shwt
SC-SM
ft
OK
Bottom covered with 4-in of clean sand?
Yes
(Y or N)
OK
Proposed drainage easement provided?
NA
(Y or N)
OK
Capures all runoff at ultimate build -out?
yes
(Y or N)
OK
Bypass provided for larger storms?
No
(Y or N)
OK
Pretreatment device provided
Yes
Fonn SW401-Infiltration Basin-Rev.5 11Apr2011 Parts I. & II. Design Summary, Page 2 of 2

Permit Number: 5W6 ti o q-ot)
(to be provided by DWQ)
Drainage Area Number: I
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).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter and within
24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
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.
P&Eflygm
AUG 2 6 2011
DENR-WATER QUALITY Page 1 of 3
Form SW401-Infiltration Basin O&M-Rev.3 WET
LANDSAND STORMWATER BRANCH

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
revent 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: SW6'1Or60�
(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. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Fort Bragg "150" Youth Center
BMP drainage area number:
Print
Title: Directorate of Public Works (DPW) /Water Management Branch (WMB)
Address:2175 Reilly Road Stop A, Fort Bragg, NC 28310-5000
Phon
Sign
Date
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.
I, , 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
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
SEAL
My commission
Form SW401-Infiltration Basin O&M-Rev.3 Page 3 of 3