SW6130303_HISTORICAL FILE_20130318

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

4P 51TE
50LUTIONS, INC.
6 N c'I N L L P I N4 March 14, 2013
LAN9
5UPVFYws NCDENR Land Quality Section
CON -�TRU CT ION Attn: Robert Patterson, PE
LAYOUT 225 Green Street, Suite 714
4P5 bCRVlcCb Fayetteville, NC 28301
LAND
v6v6LOPMLNT RE: Storm Water Plan Submittal, Spout Springs Church Addition, Harnett County, North Carolina
Robert;
We are submitting the Phase II Storm Water permitting package for the Spout Springs Church
Addition. Please find enclosed 2 copies of the construction drawings, application and supplement
form, O&M agreement, calculations, storm water narrative, soils report and a check for $505.00.
1 look forward to working with you on this project. If you have any questions or concerns, please
feel free to contact us.
Sincerely,
4D Site Solutions Inc.
\�A
�
Scott Brown, PE
sbrown(a�4dsitesol utions.com
Enclosure
dog Cu1CA"o
DRIVC
SUITC lit ��++,,,t'
NC 2856VILLC 1I�Li�1 1
NC 28306
PooN6
910 126.6777 16��� 6of
FAx
910 d26-57771 __p.,µ{j-�YJhTE.HGU�N

'50LUTION,5, INC.
C NGIN CCRINS Spout Springs Church Addition Storm Water Narrative
LAND
JURVEYINC, The Spout Springs Church Addition is a project that includes the construction of a multipurpose
CON6T RU CTION gymnasium, modifying the existing parking lot, providing an overflow parking lot and the
LAYOUT associated utilities.. It is located at the end of HM Cagle Drive in Harnett County.
G P.S .S CRVICGS
All of the runoff from the disturbed area within the development will not be treated. The location of
LAND
OLVL the new building is within an existing ravel parking lot. The parking lot has a stone base but was
OCVELOPMENT g� g g P g P g
never paved. The parking lot was installed and the existing church constructed prior to the Phase 11
storm water rules effective date for the Cape Fear River Basin. Therefore, all existing parking lots
and drives are exempt from the Phase II storm water rules.
The storm water generated from the overflow parking lot will be treated through the use of an
infiltration basin located on the south east side development. The infiltration basin is designed in
accordance with the latest NCDENR BMP manual. The storm water is transported from across the
site through an underground storm drainage system and surface drainage. The storm water is
released into the forebay of the basin. The storm water generated from the site will infiltrate into the
ground within the time required in order to control the one year and ten year storms. The infiltration
basin provides 2.5 times the volume for the regulated storm and infiltrates the volume within the 5
days using an infiltration rate that is half of the measurtrifiltration rate. Therefore, the requirement
for the offline bypass and -vegetated filter strip are not required. The basin reduces the peak flow
from the development to less than the predevelopment flows for each of the storm events.
409 CNICn40
DRIVE
SUITE 112
FQYCTTEVILLE
NC 28306
P00NE
910 426-6777
fAX
910 426.5777

North Carolina Secretary of State
Page 1 of I
Account Login Register
North, rarnlira
Elaine F Marshall DEPARTMENT OF THE
Secretary SECRETARYot= STATE
PO 8(m.29622 Ralei:ylr NC'2762z-6'?2
Date: 3/14/2013
Click here to:
View Document Filings
PC, PLLC, LP and Non -Profit entities are not required to file annual reports
Corporation Names
Name
Name Type
INC SPOUT SPRINGS
CHURCH, INC.
LEGAL
Non -Profit Corporation Information
SOSID:
0864766
Status:
Current -Active
Effective Date:
9/5/2006
Annual Report Due Date:
Citizenship:
DOMESTIC
State of Inc.:
NC
Duration:
PERPETUAL
Registered Agent
Agent Name:
DAVIS, STEPHEN C.
Office Address:
1195 NC HWY 24/87
CAMERON NC 28326
Mailing Address:
1195 NC HWY 24/87
CAMERON NC 28326
Principal Office
Office Address:
1195 NC HWY 24/87
CAMERON NC 28326
Mailing Address:
1195 NC HWY 24/87
CAMERON NC 28326
Officers
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
4282
https://www.secretary.state.nc.us/corporations/Corp.aspx?Pitemld=8025317 3/14/2013

I I t �: ;000'

Southeastern Soil & Environmental Associates, Inc.
P.U. B= 9M
i=awuavale, Nc 28a11
PbMWFM [phone]
End fRl eosoudmastuaw0$COn
January 30, 20) 3
Mr. Scott Brown, PE
4D Site Solutions, Inc.
409 Chicago Drive, Suite 112
Favetteville_ NC 28306
Re: Hydraulic conductivity (permeability) analysis & seasonal water table determination
(SH WT) for proposed stormwater retention area. Spout Springs Church, 348 WN1 Cagle
Drive, Harnett County, North Carolina
Dear Mr. Brown.
An evaluation of soil properties and hydraulic conductivity (Ksat) has been conducted at
your request on the aforememioned property. The purpose of the investigation was to
determine soil water fable depths (SHWT) based on soil profiles. In addition, Ksat was to
beprovided at varying depths for use with stormwater retention basin design.
Saturated hydraulic conductivity of the unsalumted zone was measured in a similar
method as described in the Soil Science Society of America Journal., Vol. 53, no 5, SepL -
Oct. 1989, "A Constant Permeameter for Measuring Saturated Hydraulic Conductivity of
the Vadose Zone" and Comparison of the Glover Solution with the Simultaneous
Equations Approach for Measuring Hydraulic. Conductivity.' This consists of advancing,
a small diameter borehole to a predetermined depth_ At this depth, a constant head
(pressure) was established and maintained. Flow measurements were made at timed
intervals after flow stabilized.
Soils at the proposed basin site are most similar to the Lakeland soil series (see attached
boring logs). Six borings were advanced to varying depths between 60 to 11.67 feet
below the ground surface. Seasonal High Water Table (SHW T) as determined by
evidence of colors of chroma 2 or less (andlor concentrations of high redox mottles) was
encountered at depths of 51 to 124 inches below the ground surface. Observed water
levels were noted in borings at varying depths (see attached).
SORJSnE EVALnATMH -S01 PHYSC-r ANALYSIS- MMO USE/SUBM"UM PLA"'*46 • WEiLiVtDS
GROMUMATER sunFAr.ErAjBSUFiFAOE WASTE TFIFMADr7 SYSTEiWS. EVALUATION & OESIra l

Three compact constant brad penrnarneter (CCHP) tests were conducted at varying
depths below the, ground surface (see attached). The. measured Ksat rate averaged 39-565
cm1hr (equivalent to 15.577 inches/hour).
The attached map shoves locations of thesample points as well as Ksat location.
It should be noted that the reported SHWT does not necessarily reflect the elevation of
static groundwater (due to variations in groundwater recharge rates, annual rainfall,
drought conditions, etc.). Reported static water levels are simply a mcasurement on the.
day of analysis.
The data presented in this report are limited by a number of considerations_ The primary -
consideration is that soil formations can be highly variable_ The soils found on this site.
canbe subject to inclusions of oilier soil types. perched water, artesian conditions and'or
layers of undulating low permeability clay seams. These and other soil conditions can
have an affect on the steady state of groundwater flow% To the extent possible, we have
identified the soil types that wiii impact the flow -of groundwater, and have. provided a
professional opinion as to the depth of SHHu E
I trust this is the information you require at this time.
Sincerely;
Mike Eaker
NI C licensed Soil Scientist 91030

Southeastern Soil & Environmental Associates, Inc.
P.O.'8m 9X-M
Fageae'M% NC 28M I
Ptmaf ax MO) 822�
�ft„�.con
Measured Ksat Rates, Spout Springs Church, Hm Cagle Drive, Harnett
County, NC
Boring
Ksat
Ksat
Location
Depth (in)
cmlhr
in/hr
1
58
40.665
16.010
5
62
38342
15.095
7
46
39.686
15.624
SOR. SDTS E-VALUATKW - 504L PAYS➢ .0 AWLYSAS - L%%D US� PLAWI S - YiERA DS
G9 OUXDWATFR DK4 aE 4f' XG-SLMFACEb?-gMSUHFAC£ iVASfE TPEATMENTSYSTiEMS. DMOAF"48 OESIGN

Southeastern Soil & Environmental Associates, Inc.
P_0. SM9w,
F",M28-H„
PhwWFsx [phone]
Ema
SHWT depths, Spout Springs Church, HM Cagle Drive, Harnett
County, NC
BORING SHWTDEPTH (inches) Observed Water (inches)
1 82 None
5 86 Nome
6 124 138
7 70 89
8 54 67
9 51 63
SOWSITE EVALUAMON - SQA PMSCAL ANALYSIS -LAND LZE SU:?UIVIS ON it AN . Ml • YBEYiA;d)S
GMUi MATER DRAMAGEABOUNDM . SLWAC:3'QB 3URFAZ;z'+NASTE T,'REATUENT SYMEMS EVAPUATM n RESLCN

Southeastern Soil & Environmental Associates, Inc.
p.D. apt M
FayeCewTe, NC 2aa11
PhF= (910) a22-469a
Email re4ke0
Typical Soil Boring Log (1, 5,6 & 7) SPoat Springs Church, }rill Cagle Drive, Hamel,
County, NC
This map unit consists of excxssively drained soils that farmed in sandy deposits on uplands.
Slope ranged from 4 to 7 percent.
A - 0 to 16 inches; dark yellowish brow ()0YR 4!4) sand., singe grained; loose; many finn.
roots_ clear smooth boundary.
Cl - 16 to 37 inches. yellowish brown (10YR 5/6) loamy sand; about 10 percent .uncoated sand
grains, weak granular structure; very friable, gradual wavy boi edam
C2 - 37 to 52 inches; light yellowish brown (10YR 614) sandabout 20 percent umcoaled sand
grains; single grained; loose; clear smooth boundary.
01 - 52 to 60 inches; lightyellowish brown (10YR W4) sand- many prominent strong brown
(7.5YR 4/6) mottles_ single grained; loose; clear smooth boundary.
CS - 60 to 71 inches; yellowish brown (I OYR 518) loamy sand; single grained; loose; very
friable; clear smooth boundary.
C6 - 71 to 82 inches; strong brown (7.5YR 516) sandy loam; weak granular snucture; very
friable; clear smooth boundary.
C6 - 82 to 118 inches; light gray (I OYR 7/1) clean sand; loose.; single grained;, very friable; clear
smooth boundary.
2Cl - 118 to 124 inches; Yellowish brown (I OYR 5!6) sandy clay loam; massive suuctme: firm:
clew smooth boundary.
2C2 - 124 to 140 inches; mixed yellowish brown (1 OYR 5!6) and light, gray (10YR 7!1) satiny
clay loam; massive Structure, firm.
S"W'Y at 82 inches in boring 1 (10YR_4/))
SHWT at 86 inches in boring 5 ('l0YR.4f2)
SWFat at 124 inches in boring 6 (1 OYR 4/1)
SHN'T at 70 inches in boring 7 (I0YR.4l1)
SDMJSrrE EVALLIA70U- SCrsi P1tys=AL ANALYSIS -LAND US.'S BDFVt,, f'I.A+yNA`lf •IME"i LAUD6
GROU MATF5t iM ADIJACERNMINDM - SLUVACEiS 7 OURF %!4S E- 7PLUAMMT SYST—PW. EVALUA.T1e7M 8 DES1.n

Southeastern Soil & Environmental Associates, Inc.
P.Q Box 9M
Fay8ttevU% rC MI I
PDmna/F= M10) M2A540
Email admOsoutheastsmsoIxom
Typical Soil Baring Log (8 A 9), Sport Springs Church, HM Cagle Drive, Harnett Comity,
NC
This map emit consists of excessively dram d soils that farmed in sandy deposits on uplands.
Stope ranged from 2 to 4 percent.
A - 0 to 10 inches: dark grayish brown (1 OYR 4P-) sand; singles fined loosx; many fine routs;
clear smooth boundary.
Cl - 10 to 30 inches; yellowish brown (1OYR 516) loamy sand; about 10 percent uncoated sand
grains. weak ganular structure; very friable; gadual wavy boundary.
C2 - 30 to 51 inches; light yellowish brown (I OYR 614) sand; single grained: loose; clear smooth
boundary.
C4 - 51 to 66 inches; light gay (I OYR 7/1) sand; many prominent yellowish brown (l0Y R 5./6)
mottles; single grained; loose; clear smooth boundary.
C5 - 66 to 72 inches; gray (I OYR 511) sand; single grained; hose- very friable.
SHWT at 54 inches in boring 8 (IOYR 711)
SHWT at 51 inches in boring 9 (IOYR 7/1)
SDRJSrFE EVALUAWN ' SM FHYStiAL AXALYSiS+LAND U,LDSUB3MSM PLAMtiMS • WERAMS
GAOiR:DY)ATE.R DRURAGEWUN lt4G • SURFAGE'5318aWACE WASTE TtEATMEU SYSTEM EVAtit4Tm n' &ESW-,N

P_O_ Btu 9321
SOtUMT-EVALUATK3M •SOP FWSAC.AL ANALYUS. LAND PLF8f21'M-WEIMIDS
Cz+RDUXD 7ATERDRAMAGEAMUNDM -SUWACF:LS ESP -IF FACE WASTE TREA4UOrs SYSTEMS EVAw UATM & DESCM

it111'11't1'
FOR RE I TRRTiDr+ REGISTER of DEws
K YNF
- ---- 2089 C 3101:3i:16 Ph
-- - - BK:2703 PG: NOW FEE:S28.BB
6 Ing i 2"ism
Prepared by
EXCISE TAX: $ 1
Parcel 1D No. Out
THIS DEED, made t s
CAGLE, Widow, 3035 NC 8
SPOUT SPRINGS CHURCH
Cameron, NC 28326, hereinafter
GENERAL WARRANTY DEED
H. Jones, JONES AND JONES, P.LLC. PO Box 397,
NC 28335
�0
The designation Grantor and l rantee as
successors, and assigns, and shall include singe
context. i'
That the Grantor, for a valuable considerai
hereby acknowledged, has and by these presents d
Grantee in fee simple, all that certain lot or parcel
Harnett County, North Carolina and more particul
, 2009, by and between, CARLETTA R.
t326, hereinafter called GRANTOR and
Non -Profit Corporation, 1195 Hwy 24/87,
include said parties, their heirs,
line or feminine as required by
Grantee, the receipt of which is
am, sell and convey unto the
d.ikBarbecue Township,
as follows:
LYING in Barbecue Township, Harnett County, N h of V . unded on the
West by property conveyed to Spout Springs Church, e e and
recorded in Deed Book 2367, Page 200, Harnett County egi un ed on the
North by property of Carletta Cagle, of which this is a p , a scri
recorded in Deed Book 764, Page 747 and Plat Cabinet 'de tt
County Registry; bounded on the Northeast by property of ove
Development, Inc. as described and recorded in Deed Book 2 , P 4,
Harnett County Registry; bounded on the Southeast by lots 27- , P
at Northridge Plantation, as described and recorded in Plat Cabin #F I
619B, Harnett County Registry, and lots 177-180, Richmond Parka ri
Plantation as described and recorded in Plat Cabinet #F, slide 758B,
County Registry.
COMMMENCING from an existing NC grid monument "Mobile" (coordl at
N=550,094.253, E=1,985,511.256) North 59 degrees 28 minutes 04 seconds

or a distace of 1,88.1.97 feet to a set rebar in the eastern right of way margin of H.
H. Cagle Drive;
-E as the eastern right of way margin of H. M. Cagle Drive, North 29
51 minutes 18 seconds East for a distance of 430.00' to a '/2" rebar, set
th the ground;
degrees 51 minutes 18 seconds East for a distance of 160.00'
ish with the ground; said rebar being the TRUE POINT AND
line, North 29 degrees 51 minutes 18 seconds East for
/2" rebar, set flush with the ground;
North 30 degrees 13 minutes 27 seconds East for a
;bar, set flush with the ground;
i0 degrees 08 minutes 42 seconds East for a
set in the edge of a creek and in the western
d Sunset Cove Development, Inc. property;
THENCE and cont'q
Inc. property and the
Plantation as describ
calls:
South 17 degrees 08 *injaCs 23
116.41 feet to a point; outh 35
West for a distance of 180.24 fe
minutes 12 seconds West fo t
South 38 degrees 43 minute 34
113.40 feet to a point; South
East for a distance of 167.29 fe
minutes 52 seconds East for a di
set flush with the ground in the
aforementioned Spout Springs (
of said Sunset Cove Development,
id Richmond Park at Northridge
'and PC#F, Slide 619B the following
THENCE, and with the eastern boundary line of si
property, North 60 degrees 08 minutes 42 seconds
to a'/2" rebar, set flush with the ground; said point
AND PLACE OF BEGINNING,
for a distance of
inutes 50 seconds
uth 70 degrees 23
134 feet to a point;
t for a distance of
inutes 18 seconds
o h 43 degrees 14
f4et to a'/2" rebar,
ryf the
Together with and subject to all covenants, restrictions
Said property contains 15.38 acres (669,766 square feet).
This conveyance is subject to a 30 feet wide nonexclusive easedler
Carletta R. Cagle, her heirs and assigns, for utility purposes, extern
easterly direction from H. M. Cagle Drive along the entire western
above described property.
This conveyance is also subject to a 100 feet wide nonexclusive easement
of Carletta R. Cagle, her heirs and assigns, for utility purposes, extending

westerly direction from and along the entire eastern line of the above described
description was prepared by Larry King and Associates, R.L.S., P.A., under
ir�ct supervision of W. Larry King, P.L.S., L-1339, on December 22, 2009.
f subject to the following conditions, limitations
with the property herein conveyed and shall be
successors and assigns:
itfgs Church, Inc. is officially constituted by the Executive
the Little River Baptist Association.
The herein set A
enforced by prop
heirs, or any adj
or attempting to
These conditions, restrictions
remain in full force and efflqc
through, or under them. \
shall be used only for Little River Baptist
purposes on which to situate the church sanctuary,
anal facilities and uses related thereto.
include the words "Spout Springs".
as a cemetery or as burial grounds.
36tions, and restrictions may and shall be
equity brought by the Grantor, or any of her
agar any person, persons or entity violating
I coriditidus. limitations or restrictions.
TO HAVE AND TO HOLD the aforesati&
appurtenances thereto belonging to the Grantee in
And the Grantor covenants with the Grantee%
simple, has the right to convey the same in fee simpl
of all encumbrances, and that Grantor will warrant ai
of all persons whomsoever except for the exceptions
Title to the property herein above described is
to run with the land and shall
o and all persons claiming by,
land and all privileges and
General utility easements for phone and power ptt
Roadways and rights -of -way of record and those vis
premises.
Such facts as an environmental study on the subject pr
engineer would reveal.
Those conditions, limitations and restrictions set forth
of the premises in fee
lie and free and clear
nst the lawful claims

IN WITNESS WHEREOF, the Grantor has hereunto set her hand and seal the day and
az t above written.
.PC�1C� (SEAL)
CARLETTA R. CAG
STATE ARO NA
EARN O
I, ON4 a Notary Public of aforesaid County and State, do
hereby certif th A R. CAGLE personally appeared before me this day and
acknowledged a ecutio of the foregoing instrument for the purposes therein expressed.
Witness my an and o ill ea this the 30r,* day of December, 20009,E
otaN ryPub is
t-;
'Z
My Commission Expires:

�rINcc h
Filed For Registration:
Book:
Document No.:
7777;
RE 2V3,,
2009019757
DEED 5 PI
ANGELA J
State of North Carolina, County of Hamett
KIMBERLY S. HARGROVE , REGISTER OF DEEDS
2009019757
Y S. HARGROVE
F DEEDS, HARNETT
;LIUS HARNETT BLVD
UITE 200
27546
4�!
DO NOT DISCARD

Application Completeness Review
First Submittal ❑ Re -submittal Date Received: 3 S Date
Development/Project Name: S - S , ` s
Receiving stream name 2e a®v s �,,A—Mt2
River Basin: eA .c '
For post-constru tion requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-1, WS-II, WS-III, WS-IV, HOW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
Management Strategy.
High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds): NIA-
Latitudeand Longitude: 35 /5 .SZ W —'71 02 3o.�w Jurisdiction r' ra.� J amnlew
Project Address: 3�n—fMCA a /Q D,e iila Q+r"ee0A Z 97-Z6 T
name
Is the project confirmed to be in the State MSI Stormwater Permi
❑ Low Density (no curb and gutter) ❑ Low Density wit cur
❑ 4011 04 impacts to surface waters, wetlands, and buffers (ac
rr�BUA 3. 7 ig °7�
2" Check for $505.00 included
ue' Original signature (not photocopy) on application
5r'� Legal signature (Corporation-VP/higher, Partnership -General
z
;lion? C3'Yes or 0 No IZ $30l
utter outlet igh Density ❑ Other
age to covgr letter and/or add info letter)
F,r- s con/t/w4wc e s
Partner/higher,
7uR
I Check spellinq, capitalization, punctuation: htti)://www.secretarv.state,nc.us/corporations/thevaee.asi)x I
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
includes the name, title, mailing address and phone number of the person signing the letter.
❑ or subdivided projects, a signed and notarized deed restriction statement
Y Sealed, signed & dated calculations
ca' Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each)
❑ Bioretention
❑ Dry Detention Basin
❑ Filter Strip
❑ Grass Swale
uY Infiltration Basin
❑ Infiltration Trench
❑ Level Spreader
❑ Permeable Pavement
❑ Restored Riparian Buffer
❑ Rooftop Runoff Management
❑ Sand Filter
❑ Stormwater Wetland
❑ Wet Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
31 Two sets of sealed, signed & dated layout & finish grading plans with appropriate details
7 Narrative Description of stormwater management provided
Soils report, geotech information provided
w/Wetlands delineated or a note on the plans or in the accompanying documents that none exist on site and/or
adjacent property
Details for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
dK Dimensions & slopes provided
rainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
BMP operation and maintenance agreements provided
Z Application complete ❑ Application Incomplete Returned: (Date)
Comments
Oct 29 2012 Revision, Bill Diuguid

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
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.
Form SW401-Infiltration Basin O&M-Rev.3
Page 1 of 3

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
prevent 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.
733-1756.
Form SW401-Infiltration Basin O&M-Rev.3
Page 2 of 3

Permit
(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: Spout Springs Church Addition
BMP drainage area number:
Print name: Steve Davis
Title: Pastor
Address: 346 HM Cagle Drive, Cameron, NC 28326
Phone: [phone]
Signature: L,-
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.
11 0, 5:�-4a 13.-,W ✓ , a Notary Public for the State of
Noah , County of �omo 5oh , do hereby certify that
56vt 64J s personally appeared before me this It
day of hoick 7-613 , and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
00 ZT BRO{y4.
OtARtr s
2 i
Pug`.\G ?
s
9,�PSON CO
SEAL
My commission expires Ockker 6, 201 S
Form SW401-Infiltration Basin O&M-Rev.3
Page 3 of 3

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