22_Post Construction Stormwater Admin Manual_Ordinance_Revised 20110909

Phase II Post-Construction Stormwater
Administrative Manual
City of Burlington, NC

Post-Construction Ordinance Adopted by the City Council
June 19, 2007
Ordinance effective July 1, 2007

City of Burlington Water Resources Department – Stormwater Division
P.O. Box 1358 Burlington, NC 27216
1103 S. Mebane St., Burlington, NC 27215
Phone [phone] Fax [phone]
Email [e-mail]
www.BurlingtonNC.gov/stormwater

Table of Contents

Introduction

The National Pollutant Discharge Elimination System (NPDES) Phase II Stormwater Program is
an effort to preserve, protect and improve the nation’s water resources from polluted runoff. The
program requires Burlington and other municipalities to obtain a federal stormwater permit.
The City of Burlington’s permit was issued July 1, 2005.

A requirement of the Burlington permit was the adoption of a post construction stormwater
ordinance. The ordinance follows the N.C. Division of Water Quality’s Stormwater Model
Ordinance and the Best Management Practices (BMP) Design Manual, and was adopted by the
Burlington City Council June 19, 2007.

In August 2009, the NC General Assembly approved the Jordan Lake Nutrient Management
Strategy. These rules are designed to address excessive chlorophyll a levels in the lake and are
applicable to all of the Jordan Lake watershed, including the City of Burlington and its ETJ. The
City of Burlington Stormwater Ordinance was revised on August 10, 2012 to incorporate the
new development requirements as outlined in the rules.

These may be viewed at:

City of Burlington Stormwater Ordinance

NCDENR BMP Design Manual

The ordinance was effective August 10, 2012, and affects all new development and
redevelopment of one acre or more for residential and one-half acre or more for other zonings.

Additional information can be obtained by contacting the City’s stormwater manager at 336-222-
5140 or visiting the City’s Stormwater website at http://www.BurlingtonNC.gov/stormwater.
Overview of the Stormwater Permitting Process at the City of Burlington

The Stormwater permitting process can be separated into three phases – 1) Planning, Preliminary
Design and Technical Review, 2) Final Design, Construction Drawing Review, and Permitting,
and 3) Construction and Inspection. Highlights of each of these phases are presented on three
flow charts that are part of this Administrative Manual. Please review the City of Burlington
Stormwater Ordinance for more details.

Stormwater Management System Concept Plan Technical Review Committee (TRC)
Submittal
The Planning, Preliminary Design, and Technical Review phase is outlined on Stormwater Flow
Chart page 1 of 3 titled “Stormwater Management System Concept Plan Technical Review
Committee (TRC) Submittal.” At this stage, drawings relating to stormwater facilities will most
likely be shown in plan view, but should be of sufficient detail that reviewers may determine
with reasonable confidence that the Stormwater Management System Concept Plan will meet the
intent of the Stormwater Ordinance. The Stormwater System Concept Plan shall be submitted to
the Technical Review Committee (TRC), and shall be reviewed by TRC based on the schedule
published on the Planning Department’s website. Applications, application fee information and
a TRC submittal and meeting schedule may be found at the Technical Review Committee
website: http://burlingtonnc.gov/index.asp?NID=495 or by selecting the following links:

❑ TRC MEETING SCHEDULE AND PLAN SUBMISSION DATES

❑ TECHNICAL REVIEW COMMITTEE APPLICATION

❑ TRC PLAN SUBMISSION STANDARDS

The design consultant must also submit a completed “Environmental Review Certification” form
as a supplement to the TRC application. The Environmental Review Certification form is
located in this Administrative manual following the Stormwater Flow Charts or at the following
link. A completed Operation and Maintenance Agreement and a draft copy of the Operation and
Maintenance Manual shall also be submitted at this time.

The Stormwater Management System Concept Plan is only a portion of the TRC submittal. The
Technical Review Committee must approve the proposed plan with respect to City ordinances
and policies relating to all components of the development plan (e.g., zoning, subdivision, utility,
landscape, etc) in addition to the Stormwater Management System Concept Plan before the
developer may submit an application for the Stormwater Permit.

Stormwater Management System Permit Process
The Final Design, Construction Drawing Review, and Permitting phase is shown on Stormwater
Flow Chart page 2 of 3, titled “Stormwater Management Permit Process.” At this stage, a
completed Permit Application (found in this manual or at the following link), permit review fee
(see this link), full construction drawings and any other information required on the “Submittal
Checklist” (found in this manual, or at the following link) or deemed necessary by the designer
shall be submitted to the Stormwater Manager. The person listed as financially responsible for
the project shall be the same person denoted financially responsible when applying to the
Engineering Department for a Land Disturbing Activity Permit (Sedimentation and Erosion
Control).

The completed Operation and Maintenance Agreement that was submitted as part of the TRC
submittal must be executed prior to the issuance of the Stormwater Permit. An escrow account
for maintenance of the structural BMPs shall also be established prior to the issuance of the
Stormwater Permit. The design professional shall submit an estimate of construction costs and
anticipated maintenance costs for review by the Stormwater Administrator. The funding of the
escrow account by the developer shall be a minimum of 40% of the estimated construction costs
of the Structural BMPs. (The owner/developer may elect to fund more than the minimum.)

Per the Stormwater Ordinance the Stormwater Administrator has 60 calendar days in which to
conduct the review once the application is considered complete. It is anticipated that the review
process will take considerably less than the allowed time, but the review time may vary
depending on workload, staffing, etc. The Stormwater Administrator will notify the designer in
a timely manner (generally within one week of receipt of the application) of any missing
information. The 60-day review period will not begin until missing information is received.
Once all required information is received, the Stormwater Manager or a designee will review the
submittal. The reviewer may request additional information or plan revision, issue a Notification
of Disapproval, or approve the plans (with or without conditions) and issue a Stormwater Permit.

If a Notification of Disapproval is issued, the applicant may resubmit a revised plan within 30
calendar days of disapproval without paying an additional permit review fee. An additional
review fee shall accompany any re-submittal after the first re-submittal. Within 30 calendar days
re-submitted plans will be either approved (with or without conditions) or disapproved.

Requirements for a Performance Security Bond , 125% of estimated construction costs, will be
addressed in the approval letter accompanying the Stormwater Permit.

Stormwater Management Construction and Final Review Process
The Construction and Inspection Phase is outlined on Stormwater Flow Chart page 3 of 3, titled
“ Stormwater Management Construction and Final Review Process.” Once the Stormwater
Permit is issued, construction may begin, provided all other environmental permits have been
obtained, or are in the process of being obtained, and all requirements of the City of Burlington
Engineering Department have been satisfied. Contact the Engineering Department at 336-222-
5050 regarding the status of other permits.

During construction, the financially responsible party is responsible for inspection of sediment
and erosion control measures weekly and after every rain event of at least one-half inch per the
Division of Water Quality’s General Stormwater Permit No. NCG010000 issued as part of the
City’s Land Disturbing Activity Permit. City staff may conduct periodic inspections of
Stormwater BMPs, however the designer is ultimately responsible to certify that any structural
BMPs meet the requirements of the ordinance and Stormwater Permit.

All structural BMPs should be substantially complete and the designer should submit
certification and as-built drawings prior to recording of plats and prior to the time a Certificate of
Occupancy is needed. At the discretion of the Stormwater Manager, a performance security for
the completion of structural BMPs or issuance of As-Built drawings will allow a plat to be
recorded or enable Building Inspections to issue a Certificate of Occupancy. Forms for BMP
certification and As-Built submittals are included in this Administrative Manual.

The Stormwater Administrator or his designee will perform a final inspection of each stormwater
BMP. Prior to the closeout of the Stormwater permit and release of any performance securities
related to BMP installation or As-Built drawings, the Stormwater Administrator must receive
and approve the As-Built drawings, the site must be in compliance with the City’s Sedimentation
and Erosion Control Ordinance, and the project must pass the final stormwater inspection.

Stormwater Flow Chart page 1 of 3
STORMWATER MANAGEMENT SYSTEM CONCEPT PLAN TECHNICAL REVIEW COMMITTEE (TRC) SUBMITTAL
Stormwater Management System Concept Plan TRC submittal includes
(for complete description see Stormwater Ordinance Section 2-203):
Existing conditions and proposed site layout sketch plans
existing and proposed topography (2-ft contours, 100-feet beyond property lines, etc.)
perennial and intermittent streams
boundaries of existing vegetated areas
proposed limits of clearing and grading
location of existing and proposed roads, buildings, parking lots and other impervious area
Natural Resources Inventory
Soil types & conditions, forest cover, geologic features, topography
wetlands and stream impacts (including 401/404 permitting)
buffers, conservation easements, etc.
Completed Environmental Review Certification Form (based on Natural Resources Inventory)
Stormwater Management System Concept Plan
preliminary selection and location of proposed structural stormwater controls
low impact design elements
location of existing and proposed conveyance systems (channels, swales, storm drains, etc.)
floodplain/floodway limits
relation of site to upstream and downstream properties and drainage
proposed channel modifications and crossings
Completed O&M Agreement (must be executed prior to issuance of Stormwater Permit)
Draft Operation and Maintenance Manual
multiple iterations may be necessary
Optional Consultation Meeting prior to
submittal of Stormwater Management
System Concept Plan.
Submittal of Stormwater Management
System Concept Plan to TRC for review
(prior to or concurrent with TRC
development plan submittal).
Deadlines for submittal are the same as
published TRC schedule (see Planning
Dept. Website.
Review of Stormwater Management
System Concept Plan.
Stormwater Management System
Concept Plan approval by TRC.
Comments issued to designer based on
TRC review of Stormwater Management
System Concept Plan.
Proceed with Stormwater Management
Permit Application (see page2 of
flowchart).
Note:
Reference to "Concept Plan" pertains only
to the Stormwater Management System
Concept plan. Approval of the Stormwater
Management System Concept Plan does
not infer or imply approval of the remainder
of the TRC development submittal. All
other TRC requirements must be met in
order to proceed with the Stormwater
Management Permit Application.
Stormwater Flow Chart page 2 of 3
STORMWATER MANAGEMENT PERMIT APPLICATION PROCESS
Stormwater Management Permit Application Submittal includes (see Stormwater Ordinance Section 2-203):
Completed Stormwater Permit Application form
Enclose Review and Permit fees
Stormwater Construction Drawings prepared by a qualified design professional
Completed Design Certification Form (design per Ordinance and Design Manual)
Operation and Maintenance Manual
Other items as required per Submittal Checklist
O&M Agreement Executed and O&M Escrow Account Established.
* submittal may be concurrent with or prior to construction drawing submittal to
Engineering Department for roads, utilities, Land Disturbing Activity Permit etc.
Land Disturbing Activity Permit must be obtained prior to engaging in any land disturbing activity.
with minor modifications
APPROVAL
without modifications
DISAPPROVAL
Obtain TRC approval of Stormwater
Management System Concept Plan
(see page 1 of flow chart).
*Submit Stormwater BMP Construction
Drawings and final O&M Manual for
review by Stormwater Administrator or
designee.
Review of Stormwater BMP Construction
Drawings, O&M Manual and other items
in Application Submittal.
Ordinance allows up to 60 days after
complete submittal for initial review and 30
days to review after re-submittal submittal.
Stormwater BMP Construction Drawing
approval. Final O&M manual approval.
**O&M Agreement Executed and O& M
Escrow Account Established.
Designer adequately addresses comments
issued to designer based on review of
submittal.
Receipt, review and approval of
Performance Security Bond (if required).
Notification of Disapproval.
Owner/Developer may
choose to appeal to
City Council if
dissapproved.
Redesign and resubmit within
30 calendar days of
notification of disapproval.
If not resubmitted within 30
calendar days project must
be submitted as a new project
with new fee and application.
Stormwater Permit issued.
Construction may proceed. (see page 3 of
flow chart.
** The excecution of the O&M
Agreement and the
establishment of the O&M
Escrow Account may occur
earlier in the application process.
A Stormwater Permit will not be
issued until these 2 milestones
are complete.
Stormwater Flow Chart page 3 of 3STORMWATER MANAGEMENT CONSTRUCTION AND FINAL APPROVAL PROCESS
Construction Process
Obtain Stormwater Permit and Land Disturbing Activity Permit.
Construct project per approved plans.
Submit revised plans for review prior to constructing field changes.
Inspect and maintain BMPs and E&SC measures during construction.
As-Built drawings
Other items as required per As-built Checklist
yes
no
yes
Note: Designer must either submit As-Built Drawings or provide Performance Security in order for
final plat to be recorded. It is preferred that As-Builts may be submitted at time of certification.
Obtain Stormwater Permit
(see pages 1 and 2 of flow chart).
Begin Construction after Land
Disturbing Activity Permit is issued by
Engineering Department.
Construction Phase
Owner and/or contractor responsible for
inspection and maintenance of E&SC
measures and BMPs on a weekly basis
and after any rainfall of at least 1/2 inch.
Periodic inspection performed by City of
Burlington staff.
Semi-Final Inspection by Stormwater
Administrator
Final Plat may be recorded
(depending on other City approvals).
Certificate of Occupancy may be issued
(depending on other City approvals).
Receipt, review and
approval of Installation
Security.
Structural Stormwater
Management BMPs
substantially complete.
Design Professional submits
certification that constructed
project is in accordance with
approved plan and ordinance.
Design Professional submits As-Built
Drawings and other required information
per As-Built submittal checklist
Upon approval of Stormwater
Administrator, Installation Performance
Security may be posted prior to structural
BMP substantial completion in order to
record final plat.
Revised Stormwater
O&M manual review &
approval (if necessary
due to field change).
As-Built drawing submittal review & approval.
Final Inspection by Stormwater Administrator.
Release of Performance Security if project is
in compliance with E&SC ordinance.
City of Burlington
Environmental Review Certification

Any Plan submitted to the City for review by the Technical Review Committee, Engineering Department, or Stormwater
Division shall be deemed incomplete until the determination of any required environmental permits is submitted by the design
professional. The City shall promptly notify the person submitting the Plan that the time limit for review of the Plan (30 d ays
for Land Disturbing Activity Permit and 60 days for Stormwater Permit) will not begin until the City Engineer receives this
Certification. Once this Certification is supplied, the review may continue under the provision that all required notificati ons
and applications shall be executed and made available for review by the City.

The design professional shall provide needs determination with respect to the following federal, state, and municipal permits :

Needed for Project? If Yes, indicate status
Stream Impacts – 404 General or
Individual Permit & 401 WQ
Certification (submit to
USACE/NCDENR) No Yes
PCN not
submitted
PCN
Submitted
Permit / Certification issued by
USACE / NCDENR
Jurisdictional Wetland Impacts – 404
General or Individual Permit & 401
WQ Certification (submit to
USACE/NCDENR) No Yes
PCN not
submitted
PCN
Submitted
Permit / Certification issued by
USACE / NCDENR
Isolated Wetland Impacts – 401 WQ
Certification (submit to NCDENR) No Yes
PCN not
submitted
PCN
Submitted
Permit / Certification issued by
USACE / NCDENR
FEMA Flood Map Letter of Map
Change, e.g. CLOMR, LOMR, etc.
(submit to FEMA) No Yes
Not
submitted Submitted
Flood Study / determination of base
flood elevations in non-FEMA
mapped areas (submit to City) No Yes
Not
submitted Submitted
Sedimentation and Erosion Control
Plan (Submit to City) No Yes
Not
submitted Submitted
Stormwater permit (Submit to City) No Yes
Not
submitted Submitted
Water extension permit (Submit to
NCDENR) No Yes
Not
submitted Submitted
Sanitary Sewer Extension permit
(Submit to NCDENR) No

Yes
Not
submitted Submitted

A response of No means that the site has been evaluated by the design professional in relation to the requirements of a
particular permit and that the design professional certifies that site does not meet conditions required by that permit.

The design professional shall provide a copy of the Preconstruction Notification (PCN) and proof of 404 permit / 401
certification where applicable.

All applicable permits must be submitted and approved prior to construction or the site runs the risk of having all local permits
suspended.

Professional Engineer or Registered Land Surveyor

Firm Name

Address

Telephone / Facsimile

Email Address Seal, Signature, & Date
STORMWATER OPERATION AND
MAINTENANCE AGREEMENT

For
Structural Stormwater Management Facilities

City of Burlington

Structural Stormwater BMP Maintenance Agreement

Form SWMA-1 1 of 6 August 10, 2012
THIS AGREEMENT, made this ____ day of ________, 20____, by and between
_________________________________________, hereinafter referred to as the “OWNER(S)”
and the City of Burlington, North Carolina, hereinafter referred to as the “CITY”,
WITNESSETH, that
WHEREAS, the OWNER is the owner of certain real property described as
______________________________________________ as recorded by deed in the land records
of _______________ County, Deed Book __________ Page ___________, and/or Plat Book
__________ Page, Parcel Identification Number(s) __________________________________
hereinafter called the "Property".

WHEREAS, the OWNER is proceeding to build on and develop the property; and
WHEREAS, the Site Plan/Subdivision Plan known as _____________________________,
(Name of Plan/Development)
hereinafter called the "Plan", which is expressly made a part hereof, as approved or to be
approved by the CITY, provides for treatment of stormwater within the confines of the
property; and
WHEREAS, the CITY and the OWNER, its successors and assigns, including any
homeowners association, agree that the health, safety, and welfare of the residents of
Burlington, North Carolina, require that on-site structural stormwater BMP facilities be
constructed and maintained on the Property; and
WHEREAS, the CITY requires that on-site structural stormwater Management facilities as
shown on the Plan be constructed and adequately maintained by the OWNER, its successors
and assigns, including any homeowners association.
NOW, THEREFORE, in consideration of the foregoing premises, the mutual covenants
contained herein, and the following terms and conditions, the parties hereto agree as follows:
(1) Acknowledgment that the OWNER or association shall continuously
operate and maintain the stormwater control and management facilities.

(2) The OWNER, its successors and assigns, including any homeowners
association, shall adequately maintain the structural stormwater BMP facilities in
accordance with the approved Operation and Maintenance Plan or Manual(s).
This includes all pipes and channels built to convey stormwater to the facility, as
well as all structures, improvements, and vegetation provided to control the
quantity and quality of the stormwater. Adequate maintenance is herein defined
as good working condition so that these facilities are performing their design
functions.

Structural Stormwater BMP Maintenance Agreement

Form SWMA-1 2 of 6 August 10, 2012
(3) The OWNER, its successors and assigns, shall ensure the structural
stormwater BMP facility is inspected by a qualified professional and shall submit
an annual inspection report to the City of Burlington. The inspection report shall
be due annually 30 days from the date of the final structural stormwater
Management facilities construction inspection. The purpose of the inspection is
to assure safe and proper functioning of the facilities. The inspection shall cover
the entire facilities, berms, outlet structure, pond areas, access roads, etc.
Deficiencies shall be noted in the inspection report.

(4) The OWNER, its successors and assigns, hereby grant permission to the
City of Burlington, its authorized agents and employees, to enter upon the
Property and to inspect the structural stormwater Management facilities whenever
the City of Burlington deems necessary. The purpose of inspection is to follow-
up on reported deficiencies and/or to respond to citizen complaints. The City of
Burlington shall provide the OWNER, its successors and assigns, copies of the
inspection findings and a directive to commence with the repairs if necessary.

(5) Before the City of Burlington shall approve the completed facility and
issue final certificates of occupancy, the Owner and/or maintaining entity shall
furnish the City of Burlington with a financial guarantee insuring future
maintenance, operation, and repair of the facility. The financial guarantee shall be
in the form of cash or an irrevocable letter of credit and made payable to the City
of Burlington. The amount of guarantee shall be 40% of the total cost of
constructing the facility based on actual contract prices for said facility.

(6) In the event the OWNER, its successors and assigns, fails to maintain the
structural stormwater Management facilities in good working condition
acceptable to the City of Burlington or that maintenance and repairs are not being
made as required or that any action is not being done in accordance with this
agreement, the City of Burlington shall notify the responsible entity who shall be
given a reasonable time to correct such deficiencies. Should the responsible entity
fail to act in a timely manner, or otherwise fail to correct the deficiencies, the City
of Burlington will institute appropriate action to obtain compliance including
criminal or civil penalties, or both. In addition, the City of Burlington may declare
the responsible entity in default of this agreement and financial guarantee and use
part or all of such guarantee funds to correct the deficiencies and may assume
actual operation and maintenance. Default of this agreement does not release the
responsible entity from liability/responsibility for the deficiencies, nor release the
entity from this agreement. Likewise, default of this agreement does not prevent
the City of Burlington from taking action against the responsible entity to recover
the cost of such actions to correct the deficiencies.

(7) For all structural stormwater Management facilities which are to be or are
owned and maintained by a property owner’s association or similar entity, the
OWNER also agrees to the following provisions:

a) Acknowledgment that the association shall continuously operate and
maintain the structural stormwater Management facilities.
Structural Stormwater BMP Maintenance Agreement

Form SWMA-1 3 of 6 August 10, 2012
b) Establish adequate owner/property association dues which are to be spent
solely for sediment removal, structural, biological or vegetative
replacement, major repair, or reconstruction of the stormwater control
measures and devices of the particular site plan or subdivision.
c) Granting to the City of Burlington a right of entry to inspect, monitor,
maintain, repair, and reconstruct structural stormwater Management
facilities.
d) Allow the City of Burlington to recover from the association and its
members any and all costs the City of Burlington may expend to maintain
or repair the stormwater control and management facility or to correct any
operational deficiencies as a result of default by the
Owner/association/responsible entity. Failure to pay to the City of
Burlington all of its expended costs, after thirty (30) days written notice,
shall constitute a breach of the agreement. The City of Burlington shall
thereafter be entitled to bring an action against the association and its
members to pay, or foreclose upon the lien herein authorized by the
agreement against the property, or both in the case of a deficiency.
Interest, collection costs, and attorney fees shall be added to the recovery.
(8) The OWNER, its successors and assigns, will perform the work necessary
to keep these facilities in good working order as appropriate. In the event a
maintenance schedule for the structural stormwater Management facilities
(including sediment removal) is outlined on the approved plans, the schedule will
be followed.

(9) In the event the City of Burlington, pursuant to this Agreement, performs
work of any nature, or expends any funds in performance of said work for labor,
use of equipment, supplies, materials, and the like, the OWNER, its successors
and assigns, shall reimburse the City of Burlington upon demand, within thirty
(30) days of receipt thereof for all actual costs incurred by the City of Burlington
hereunder.

(10) This Agreement imposes no liability of any kind whatsoever on the City of
Burlington and the OWNER agrees to hold the City of Burlington harmless from
any liability in the event the structural stormwater Management facilities fail to
operate properly.
(11) This Agreement shall be recorded among the land records of __________
County, North Carolina, and shall constitute a covenant running with the land,
and shall be binding on the OWNER, its administrators, executors, assigns, heirs
and any other successors in interests, including any homeowners association.
Structural Stormwater BMP Maintenance Agreement

Form SWMA-1 4 of 6 August 10, 2012

IN WITNESS WHEREOF, the parties have executed this agreement on the day and year first above
written:

_____________________________________________
Name of Company/Corporation/Partnership/Individuals (Seal if corporation)

By:

(Type Name)

(Type Title)

STATE OF NORTH CAROLINA

CITY OF

The foregoing Agreement was acknowledged before me this day of ,
20 , by

NOTARY PUBLIC

My Commission Expires:

Structural Stormwater BMP Maintenance Agreement

Form SWMA-1 5 of 6 August 10, 2012
CITY OF BURLINGTON, NORTH CAROLINA

City of Burlington (Seal)

By:

(Type Name)

(Type Title)

STATE OF NORTH CAROLINA

CITY OF

The foregoing Agreement was acknowledged before me this day of ,
20 , by .

NOTARY PUBLIC

My Commission Expires:

Approved as to Form:

City Attorney Date

Stormwater Permit Application
City of Burlington

Page 1 of 8

City of Burlington Water Resources Department – Stormwater Division
P.O. Box 1358 Burlington, NC 27216
1103 S. Mebane St. Burlington, NC 27215
Phone [phone] Fax [phone]
Email [e-mail]
www.BurlingtonNC.gov/stormwater

Use this form only
if TRC has
approved a
Stormwater
Management System
Concept Plan for
this project.
SECTION A PROJECT SUMMARY INFORMATION
Development or
Project Name
Location
County
Parcel Identification Number
(PIN)
Total Acres
Average Lot
Size
Total Dwelling
Units
Built-upon Area
(Acres)
Pre-development Post-development
% Built Upon
Pre-development Post-development

Low Density (no more than two dwelling units per acre or 24 -percent built-upon area)
High Density (exceeds the low density thresholds for dwelling units per acre or built -upon area)

SECTION B APPLICANT INFORMATION
CLIENT Owner or Developer who is financially responsible for project
Name(s)
Address
Email
Phone Fax
CONSULTANT Person to contact regarding questions or revisions to plan
Contact Name(s)
Firm
Street Address
City, State Zip
Email
Phone Fax
Use this form only
if TRC has
approved a
Stormwater
Management System
Concept Plan for
this project.
Stormwater Permit Application
City of Burlington

Page 2 of 8

City of Burlington Water Resources Department – Stormwater Division
P.O. Box 1358 Burlington, NC 27216
1103 S. Mebane St. Burlington, NC 27215
Phone [phone] Fax [phone]
Email [e-mail]
www.BurlingtonNC.gov/stormwater

Use this form only
if TRC has
approved a
Stormwater
Management System
Concept Plan for
this project.
Landowner(s) of
Record Attach pages as necessary to list additional owners
Name(s)
Street Address
City, State Zip
Email
Phone Fax
Recorded in
Deed Book &
Page
Plat Book &
Page

The above information is true and correct to the best of my knowledge and belief and was provided by me
while under oath.
(This form must be signed by the financially responsible person if an individual, and by an officer,
director, partner, attorney-in-fact, or other person with authority to execute instruments for the financially
responsible party if not an individual.)
Type or print
name:
Title or
Authority
Signature Date

I, , a Notary Public in the County of
State of North Carolina, hereby certify that personally appeared before me
this day and under oath acknowledged that the above form was executed by him.
Witness my hand and notarial seal, this the day of 2007
Notary
My commission expires (Seal)
Stormwater Permit Application
City of Burlington

Page 3 of 8

City of Burlington Water Resources Department – Stormwater Division
P.O. Box 1358 Burlington, NC 27216
1103 S. Mebane St. Burlington, NC 27215
Phone [phone] Fax [phone]
Email [e-mail]
www.BurlingtonNC.gov/stormwater

Use this form only
if TRC has
approved a
Stormwater
Management System
Concept Plan for
this project.

SECTION C SUBMITTAL CHECKLIST

The following checklist outlines submittal requirements. Initial in the space provided to indicate
the following submittal requirements have been met and supporting documentation is attached.

General Requirements:
Applicant’s initials

____________1. Sheets shall be no larger than 36” x 24” plan and profile paper.
____________2. Minimum text size shall be 1/8"
____________3. Scale on plan view shall be no smaller than 1” = 50’; scale on profile view
shall be no smaller than 1” = 50’ horizontally and 1” = 5’ vertically using
a grid showing 1’ intervals.
____________4. All drawings to be in North Carolina State Plane coordinate system.
____________5. Cover sheet shall have a vicinity map at a scale no smaller than 1” = 200’.
____________6. Provide a legend indicating existing and proposed lines, features and
symbols.
____________7. Cover sheet shall include all general notes, owner’s name, telephone
number, and mailing address.
____________8. All elevations shall be given in relation to mean sea level; elevations in
profile view shall be labeled in 10’ intervals on the heavy lines (Ex. 350,
360).
____________9. Benchmark elevations and locations shall be shown on plan view.
____________10. Plan views shall have a north arrow on each drawing.
Stormwater Permit Application
City of Burlington

Page 4 of 8

City of Burlington Water Resources Department – Stormwater Division
P.O. Box 1358 Burlington, NC 27216
1103 S. Mebane St. Burlington, NC 27215
Phone [phone] Fax [phone]
Email [e-mail]
www.BurlingtonNC.gov/stormwater

Use this form only
if TRC has
approved a
Stormwater
Management System
Concept Plan for
this project.
____________11. Each drawing shall have the following information in the title block:
Street or project title, limits, horizontal and vertical scales, original date,
revisions date, drawing number, checked by and drawn by. Recommended
placement is lower right-hand corner.
____________12. All drawings sealed, signed and dated by a NC Professional Engineer or
Landscape Architect.
____________13. A signed and sealed statement on the plans (if a high density project)
certifying that the design of all stormwater management facilities and
practices will control and treat the runoff from the from the first one inch
of rain over the total drainage area, that the designs and plans are
sufficient to comply with applicable standards and policies found in the
NCDENR Stormwater BMP Design Manual and any City of Burlington
supplements to the BMP Design Manual, and that the designs and plans
ensure compliance with the City’s Phase II Stormwater Ordinance.
____________14. Plan view shall show all actual street names (existing and proposed). State
road numbers shall be shown if applicable. Plan view should also indicate
whether street is asphalt, concrete, gravel or dirt. Proposed street & Right-
of-way widths will be dimensioned back-to-back and labeled in plan view.
____________15. Plan view shall show proposed and existing curb and gutter, pavement,
storm sewers, drainage structures, driveway pipes, drainage features
(ditches, swales, etc.), water mains, sanitary sewer mains, etc. Direction
of flow shall be shown on plan view for all sanitary sewers and storm
drains. Materials and pipe sizes shall be labeled.
____________16. Existing utility lines shall be shown and labeled on plan view and
indicated in the legend.
____________17. Construction Drawings shall show final proposed locations and
dimensions of all water, storm drain, and sanitary sewer lines, devices to
be installed on the system, catch basins, culverts, BMPs, ditches, including
grades, pipes sizes, elevations, assumptions, calculations, invert elevations
for all inlets and manholes and profiles of sanitary sewer lines. All
available elevations shall be shown on the profile view (Permitting).
Stormwater Permit Application
City of Burlington

Page 5 of 8

City of Burlington Water Resources Department – Stormwater Division
P.O. Box 1358 Burlington, NC 27216
1103 S. Mebane St. Burlington, NC 27215
Phone [phone] Fax [phone]
Email [e-mail]
www.BurlingtonNC.gov/stormwater

Use this form only
if TRC has
approved a
Stormwater
Management System
Concept Plan for
this project.
____________18. All existing and proposed water, storm drainage and sanitary sewer
easements shall be shown on all applicable sheets.
____________19. Number of dwelling units, lots, built-upon area (predevelopment and post-
development).
____________20. Existing and proposed topographic lines on tract and minimum 100-feet
beyond property lines (minimum 2-foot intervals).
____________21. City limits, county lines, and other jurisdiction lines, if any.
____________22. Streams, ponds, wetlands, etc. on the project site and within 50 feet of the
property lines.
____________23. Location of floodplain and floodway (if applicable).
____________24. Location of drainage ways and easements.
Site Drainage Features:

____________25. Existing and planned drainage patterns (include off-site areas that drain
through project).
____________26. Any existing stormwater control systems.
____________27. Sub-watershed delineation showing drainage areas (Permitting).
____________28. Show extent and number of disturbed acres.
____________29. Proposed impervious areas.
____________30. Soil information: type, special characteristics.
____________31. Name and classification of receiving watercourse.
Stormwater Permit Application
City of Burlington

Page 6 of 8

City of Burlington Water Resources Department – Stormwater Division
P.O. Box 1358 Burlington, NC 27216
1103 S. Mebane St. Burlington, NC 27215
Phone [phone] Fax [phone]
Email [e-mail]
www.BurlingtonNC.gov/stormwater

Use this form only
if TRC has
approved a
Stormwater
Management System
Concept Plan for
this project.
Permanent Stormwater Control Measures (High Density only):

____________32. Type of BMP (wet pond, rain-garden, etc.)
____________33. Designer’s certification.
____________34. Narrative description of proposed stormwater system (where runoff
originates (e.g. roofs, roads, parking lots etc.), its conveyance within the
project, its treatment, and its conveyance from the project to the receiving
water body).
____________35. Profile along the centerline of the principal spillway/outfall pipe extending
below the protected outfall or to the downstream structure (Permitting).
____________36. Elevations of the “water quality” surface, temporary storage water surface,
and the 10-year and 100-year storms (Permitting).
____________37. Stage-storage table for each BMP (Permitting).
____________38. If BMP is to be used to treat construction site runoff, provide steps
necessary to restore BMP to original design condition (Permitting).
____________39. All necessary construction specifications (Permitting).
____________40. Sequence of construction (Permitting).
____________41. Individual drainage areas for each stormwater BMP (Permitting).
____________42. Construction drawings and details for permanent measures (Permitting).
____________43. Size and location of culverts.
____________44. Size and location of subsurface drainage conveyances.
____________45. Disclosure of party ultimately responsible for operation and maintenance
of the stormwater system.
Stormwater Permit Application
City of Burlington

Page 7 of 8

City of Burlington Water Resources Department – Stormwater Division
P.O. Box 1358 Burlington, NC 27216
1103 S. Mebane St. Burlington, NC 27215
Phone [phone] Fax [phone]
Email [e-mail]
www.BurlingtonNC.gov/stormwater

Use this form only
if TRC has
approved a
Stormwater
Management System
Concept Plan for
this project.
Stormwater Calculations:

____________46. Narrative description of calculations (methods, variables, assumptions,
etc.) and results (Permitting).
____________47. Stormwater BMPs designed in accordance with North Carolina
Department of the Environment and Natural Resources-Division of Water
Quality’s Manual of Stormwater Best Management Practices, and any
supplements to the BMP Design Manual issued by the City of Burlington
(Permitting).
____________48. Time of concentration for pre/post development conditions (Permitting).
____________49. Pre-construction and post-construction runoff calculations for each outlet
from the site (at peak discharge points) (Permitting).
____________50. Pre-construction and post-construction design calculations and
hydrographs (Permitting).
____________51. Design calculations of culverts and storm sewers (Permitting).

Note:
Items denoted “Permitting” refer to items that generally don’t need to be included in the
Stormwater Management System Concept Plan submittal to the Technical Review Committee,
but need to be included with the Permit Application / Construction Drawing submittal.

If items are not denoted “Permitting” they are generally expected to be addressed in both the
Concept plan /TRC submittal and Permit Application / Construction Drawing submittal.

Stormwater Permit Application
City of Burlington

Page 8 of 8

City of Burlington Water Resources Department – Stormwater Division
P.O. Box 1358 Burlington, NC 27216
1103 S. Mebane St. Burlington, NC 27215
Phone [phone] Fax [phone]
Email [e-mail]
www.BurlingtonNC.gov/stormwater

Use this form only
if TRC has
approved a
Stormwater
Management System
Concept Plan for
this project.

Stormwater Permit Fee:

A stormwater permit fee of $420 was established by City Council on August 7, 2007. This fee
includes review of the initial Stormwater Management System Permit Application and associated
construction drawings and stormwater calculations, and one resubmitted (revised) application
and/or revised construction drawings and stormwater calculations.

At the February 5, 2008 City Council Meeting this fee was increased to $505.00, effective March
1, 2008.

Permit No. SW 98765 CERTIFICATE OF STORMWATER MANAGEMENT PLAN APPROVAL AND GTONN0
STORMWATER PERMIT
n
w
BURLINGTON, NORTH CAROLINA _
.14 18
Project Name: Project Name
Location: Location PExMiT FEE $505.00
nD 111
Tax Map -Block -Lot: x-yz-abcM
A �fll
Project Acreage: >1_0 Acres permitted RECEIPT No. 123456
I U H H
This certificate verifies that a Stormwater management plan has been approved for this project by the City of Burlington in accordance with the Federal
Phase II stormwater requirements, NC General Statute 143-214.7, Session Law 2006-246 (Senate Bill 1566), and the City of Burlington, North Carolina
Code of Ordinances, Appendix D — Stormwater Ordinance.
A copy of this permit and the approved Stormwater Management Plan must be kept on the project site.
Per City Ordinance Appendix D, Section 5-503 notice is hereby given that agents, officials, or other qualified persons authorized by the City will
periodically inspect any land, building, structure or premises to ensure compliance with the ordinances, or rules or orders adopted or issued pursuant to the
ordinance, and to determine whether the measures required in the Plan are effective in controlling stormwater runoff resulting from development or
redevelopment.
Financially Responsible Party:
Permission to install Best Management Practices is herby granted by this instrument at
Name, Title
the above location in accordance with the approved Stormwater Management Plan and
Company
the City of Burlington's Stormwater Ordinance.
Street Address
City, NC, Zip-
Reviewer: Reviewer
Phone [phone]
Date
Registered Agent:
This plan was approved with "modifications" ❑Yes ❑No
and 1 or "performance reservations" ❑Yes ❑No
Cite of Burlington Public Works Department — Stormwater Division, 234 E. Summit Avenue, Burlington, NC 27215
Phone [phone] Fax [phone] Email: stormwater(d)ci.burlington.ne.us
www.BuriiiiigtonNC.gov/stormwater

Blank page

City of Burlington
Stormwater As-built Submission Form
FOR OFFICE USE ONLY
Permit No.:
Rec’d By:
Date Rec’d:

City of Burlington Water Resources Department –
Stormwater Division
Telephone: [phone]
Fax: [phone]
1103 S. Mebane St.
Burlington, NC 27215
City web site:
www.BurlingtonNC.gov/stormwater
Email:
[e-mail]

Prior to obtaining a Certificate of Occupancy, the following items must be provided to the
Burlington Stormwater Administrator for approval. These will be compared to the approved
stormwater permit application for any irregularities or non-conformance with the approved plans.

 As-built Drawings (1 paper copies, 1 Mylar copy)

 Electronic As-built Drawings (.dwg, .jpg, .tif, or pdf format.)

 Designer’s Stormwater BMP Certification

The as-built drawings shall reflect the “as-constructed” condition of the development, and shall
include sufficient information to demonstrate conformance with the approved stormwater permit
application. Significant deviations from the approved plan shall be considered violations of the
Burlington Stormwater Ordinance and are grounds for the invocation of the injunctions and
penalties defined therein, and/or withholding the release of any bond pending the completion of
corrective action(s), and/or requiring a submittal of a revised stormwater permit application.
In the event that the Stormwater Administrator requires submittal of a revised plan, the revision
shall include a description of the discrepancies between the site conditions and the prior
approved stormwater permit application, along with design calculations that demonstrate that the
as-built conditions comply with the Burlington Stormwater Ordinance. Should the as-built
conditions be shown to have a negative impact with regards to flooding, maintenance, erosion or
water quality, the Stormwater Administrator has the authority to require other mitigation
measures and proposed design plans to mitigate any potential impacts from the development.
Submitted By: ____________________________ Date: ___________________
(Signature Required)
_____________________________________
(Print Name)

City of Burlington
WET DETENTION POND
Engineer’s Statement of Certification
FOR OFFICE USE ONLY
Permit No.:
Date Rec’d.:
Rec’d By:

City of Burlington Water Resources Department –
Stormwater Division
Telephone: [phone]
Fax: [phone]
1103 S. Mebane St.
Burlington, NC 27215
City web site:
www.BurlingtonNC.gov/stormwater
Email:
[e-mail]
Pond Description and Location:
___________________________________________________________________________
Feature Design As-built
Slope of embankments (3:1)
Elevations on the following:
Bottom of pond
Bottom of riser
Top of riser
Water quality hole
Invert of inflow and outflow pipes

Top of dam: Elevation and width
Width of maintenance benches
Anti-seep collars - size
Size and material of riser/barrel
Verification of volume:
Permanent Sediment Storage (CF)
Permanent Water Quality (SF)
Temporary Water Quality (CF)
Baffle location and top elevation
Emergency Spillway - Width
Emergency Spillway - Elevation

I state to the best of my knowledge and belief that the permanent structural stormwater Best
Management Practice(s) for _________________ will control and treat the runoff from the
(name of plat)
first one inch of rain over the total drainage area, is duly recorded in the Office of the
_____________ County Register of Deeds, and has been completed in conformance with the
approved plans and specifications dated _____________
(approval date)
SIGNATURE ______________________________
DATE ____________________________________
(Seal)

City of Burlington
BIORETENTION CELL
Engineer’s Statement of Certification
FOR OFFICE USE ONLY
Permit No.:
Date Rec’d.:
Rec’d By:

City of Burlington Water Resources Department –
Stormwater Division
Telephone: [phone]
Fax: [phone]
1103 S. Mebane St.
Burlington, NC 27215
City web site:
www.BurlingtonNC.gov/stormwater
Email:
[e-mail]
BMP Description and Location:
___________________________________________________________________________
Feature Design As-built
Slope of embankments (3:1)
Elevations on the following:
Bottom of pond
Bottom of riser
Top of riser
Water quality hole
Invert of inflow and outflow pipes

Top of dam: Elevation and width
Width of maintenance benches
Anti-seep collars - size
Size and material of riser/barrel
Verification of volume:
Permanent Sediment Storage (CF)
Permanent Water Quality (SF)
Temporary Water Quality (CF)
Baffle location and top elevation
Emergency Spillway - Width
Emergency Spillway - Elevation

I state to the best of my knowledge and belief that the permanent structural stormwater Best
Management Practice(s) for _________________ will control and treat the runoff from the
(name of plat)
first one inch of rain over the total drainage area, is duly recorded in the Office of the
_____________ County Register of Deeds, and has been completed in conformance with the
approved plans and specifications dated _____________
(approval date)
SIGNATURE ______________________________
DATE ____________________________________
(Seal)