SW8050416_Current Permit_20050906

�QF W ATF�Q Michael F. Easley, Governor
�O G William G. Ross, Jr., Secretary
,? (uWG)Lr North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
September 6, 2005
Mr. Perry Ragsdale, Sr. Vice President
Chick-fil-A, Inc.
5200 Buffington Road
Atlanta, GA 30349-2998
Subject: Approved Plan Revision
Chick-fil-A @ Mayfaire
Stormwater Project No. SW8 050416
New Hanover County
Dear Mr. Ragsdale:
On August 25, 2005, the Wilmington Regional Office received a plan revision for Stormwater
Management Permit Number SW8 050416. The revisions include adding 749 sq ft of
impervious area for an accessible route to the public sidewalk. This revision results in 32,982
sq ft of impervious area in Drainage Area #1 and a total built -upon area (BUA) of 40,896 sq ft
for the site. The allowable BUA is 52,725 sq ft (80%) in accordance with Permit No. 030701 for
the offsite stormwater facility. It has been determined that a formal permit modification is not
required for the proposed changes. We are forwarding you an approved copy of the revised
plans for your files. Please replace the old approved plan sheet(s) with the new one(s).
Please be aware that all terms and conditions of the permit issued on April 21, 2005,
remain in full force and effect. Please also understand that the approval of this revision to
the approved plans for the subject State Stormwater Permit is done on a case -by -case
basis. Any other changes to this project must be approved through this Office prior to
construction. The issuance of this plan revision does not preclude the permittee from
complying with all other applicable statutes, rules, regulations or ordinances which may
have jurisdiction over the proposed activity, and obtaining a permit or approval prior to
construction.
If you have any questions concerning this matter, please do not hesitate to call me at (910)
796-7301.
Sinc rely 7
Paul T. Bartlett, P.E.
Environmental Engineer
ENB1ptb: S:IWQSISTORMWATERIREVISION1050416.sept05
cc: Michael White, P.E., G. Robert George & Associates, Inc.
Tony Roberts, New Hanover County Building Inspections
Paul T. Bartlett, P.E.
Wilmington Regional Office
Central Files
North Carolina Division of Water Quality 127 Cardinal Drive Extension Phone [phone] Customer Service 1 -877-623-6748
Wilmington Regional Office Wilmington, NC 28405-3845 FAX [phone] Internet h2o.enr.state.nc.us One
NofthCaro/l/ina
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper Naturally

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State of North Carolina
PermitNo.,5W 8' !�BD4�[ la
(to be provided by DWQ)
Department of Environment and Natural Resources
Nvisivii bf Wf�'ater Qualify
STORMWATER MANAGFMENT PERMIT APPLICATION FORM
OFF -SITE SYSTEM SUPPLEMENT
FOR DvELopmENr DRAnc4G To PERwQ'im o"-sm TREATAar-rr sysTmAs
This form may be photocopied far use as 40 o Vnal
DM[Q Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a skun water management permit application, an
off -site system supplement for each off -site stormwater treatment system, appropriate supplement forms for any
on -site stormwater treatment systems, and plans and specifications showing all stormwater conveyances and
drainage details for the project.
L PROJECT INFORMATION
Project Name : _ ChickAl-A Restaurant Site, Tract 3, Phase 11, At Marfaire Community Corder
Contact Person: _ Michaels, m1w, P.E. Phone Number: (r )i34� 4
Is all drainage ftom the project directed to the off --site system? (circle one): Yes No
II. OFF -SITE SYSTEM INFORMATION (please complete the following information for the off -site system
that will treat runoff from your project):
Permit No. sw 8030701
Project Name:_ Mayrlbire Comrm ffnr Carder, ►Mlminpon, NC
Type of System (wet pond, infiltration basin, etc.), —Wet Pond *7 and Infiltration Area 08
Lot No. (if part of a subdivision):- Yrurt1, phase It
How much built upon area draining to the permitted treafinent system has been allocated to this project?_
80% of parcel area 65,9W agft = 52,7Z so
III. REQUIRED ITEMS CHECKLIST
Prior to issuing an off -site permit, verification of the following information must be provided. Initial in the
space provided to indicate that the following requirements have been met and supporting documentation is
attached. If the applicant has designated an agent in the Stormwater Management Permit Application Form, the
agent may initial below. If a requirement has not been met, attach justification,
W,--- n§V"T in' e.. � M n-- 1 -C 4

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Applicants Initials
msw _ a. Deed restrictions limiting the built -upon area on the site have been recorded.
rrisw b. Engineers certification for the existing off -site system has been submitted to DWQ.
msw c. There are no outstanding Notices of Violation for the off -site system.
Maw � d. Off -site system is in compliance with the issued permit.
IV. S''!' ORMWATER +COLL2CTYON SYSTEM MAINTENANCE REQUIRIEMIEN-FS
1. Mowing will be accomplished as needed according to the season. Grass height will not exceed six inches
at any time.
2. Accumulated sediment and trash will be removed from the collection system as necessary. Swales and
ditches will be reseeded or sodded following sediment removal.
3. Eroded areas of swales and ditches will be repaired and reseeded. Swales and ditches will be revegetated as
needed based on monthly inspections.
4. The collection system, including catch basins, curb cuts, velocity reduction devices, and piping, will be
inspected monthly or after every significant runoff producing rainfall event. Trash and debris will be
cleared away from grates, curb cuts, velocity reduction devices, and piping.
S. The collection system may not be altered in any way without prior approval from NCDENR Division of
Water Quality.
I acknowledge and agree by my signature below that I am responsible for maintaining the stormwater collection
system in accordance with the five maintenance procedures listed above. I agree to notify DWQ of any
proble►ns with the system or prior to any changes to the system or responsible party.
Print Name and
IVOIe: 771e legally responsible parry should not be a homemvners association rmless more than SO% of the lots have been sold and a
resident of lire subdiviaiorr has been named the president.
I, !r L._ _ J• l� a lr _Wl l_fr _, a Notary Public for the State of _._
�6L4 t^ i /� , County of
—RA 4.0,44— _, do hereby certify that !/r personally appeared before me this
day of _1"' ' �and acknowledge the due execution
of the forgoing infiltration basin maintenance
requirements. Witness my hand and official seal,
E%IF EXPIRES =_
°0a GEORG
SEAL = R7 fHiy commission expires
'.� NOV.19, 20M
BLIG
Form SWU-(Ob Rev 3.99 '.. (�'j�/,.,..�...,..' JC�.�� Page 2 of 2

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
L GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Chick fil-A, Inc., 5200 Buffington Road, Atlanta, GA 30349-2998
2. Print Owner/Signing Official's name and title (person legally responsible for facility and co:
Chick-fil A ', Inc., Ke Manager f6N�2� Z�Q. &- V'r e_ rpresr'
3. Mailing Address for person listed to item 2 above.
Chick fil-A, Inc., 5200 Buffington Road, Atlanta, GA 30349-2998
City:_ , Atlanta State:_ GA Zip:_ 30349_2998
Telephone Number: 1_404 _ 765-WW
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
5. Location of Project (street address):
_ Tract 3, Phase II, Mayfaire Commun'dy Center, Located on Military Cutoff Road
City:_ Wilmin&n _ County:_ Now Hanover _
6. Directions to project (from nearest major intersection):
_ Site is located 3300 ft North of the intersection of Eastwood Rd (Hyu 74) and Military Cutoff Road, located on _
the west side of Military Cutoff Road in ftftire
7. Latitude:_ N 34-14-12 Longitude:_ W 77-49-42 _ of project
8. Contact person who can answer questions about the project:
Name:_ Michael S. White, P.E. _ Telephone Number: C 843 ) 556-4261 _
II. PERMIT INFORMATION:
1. Specify whether project is (check one): x _New Renewal Modification
RECEIVED
Form SWU-101 Version 3.99 Page 1 of 4 A A R 2 b 2005
BY: --

8 12_5-�o )' P-1-6 r kkx �- 2
S�M8 05-04 /� Onto lQauir(AH
2. If this application is being submitted as the result of a renewal or modification to an existing permit, lint the
existing permit number _ and its issue date (if known) NIA
3. Specify the type of project (check one):
Low Density X _High Density Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
_CAMA Major X Sedimentation/Erosion Control _404/401 Permit NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
IM PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project .
Erosion Control Sift Fencing, Inlet Protection at all Drainage Structures, Gravel Constriction Entrance
and other applicable best management practices.
2. Stormwater runoff from this project drains t ..
3. Total Project Area: 1.513
River basin.
aon Area 9 Gil
%
5. How marry drainage areas does the project 1 W rA $
6. Complete the following information for earl ��� 4 or\p W�A_ han two drainage areas in the
project, attach an additional sheet with the t in the same format as below.
Pond 97
.,r.it'1{-Yukio., 8
Basin Information
Drainage Area 1
Bradley Creek
Drainage Area 2
Receiving Stream Name
Howe Creek
SA ORW
Receiving Stream Class
SC HQVW _
42,927 sgft
Drainage Area
22,978 eqft
Existing Impervious* Area
None zero
None (zero)
Proposed Impervious*Area
SWIL32,9i32
7,914 sgft-
% Impervious* Area (total)
34.4 96
impervious"` Surface Area
Drainage Area 1
Drainage Area 2
On -site Buildings
0
4,W7 scft
On -site Streets
_
0
0 _
0
On -site Parking
On -site Sidewalks
8 356
3,077 sgft
Other on -site
o `
0
Off -site
0 _
I'otal: 3 sqR 32,982 egft.
- 0 -
`Total: 7,914 soft
* hnpervimrs arm is defined as the bruit upon area in2& of limited to, buildings, roads, paddng arem.
sidewaft gravel areas, etc.
Form SWU 101 Version 3.99 Page 2 of 4

7. How was the off -site impervious area listed above derived? Autocad
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment.
1. The follow ng rnpenAr,rr an —in-!ended to ensure ongoing compliance with state stormwater managementpennit number
SW8030701 as issued by the Division of Water Quality. These covenants may not be
changed or delete . thout the mWent of the State.
80% of 65,9W sgft
2. No more than 52.725 sgft square feet of any lot shall be covered by structures or impervious materials.
Impervious materials include asphait, gravel, concrete, brick, stone, slate or similar material but do not include wood
decking or the water surface of swimming pools.
3. Swales shall not be filled in, piped, or altered except as necessary to provide driveway crossings
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction.
5. All permitted runoff from outparcels or future development shall be directed into the permitted stormwater control
system. These connections to the stormwater control system shall be performed in a manner that maintains the integrity
andperformance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, 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 State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for
this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms.
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-105
Curb Outlet System Supplement
Form SWU-106
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Form SWU-101 Version 3.99 Page 3 of 4

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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. The complete application package should be
submitted to the appropriate DWQ Regional Office.
Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
• Original and one copy of the Stormwater Management Permit Application Form
• One copy of the applicable Supplement Forms) for each BMP
• Permit application processing fee of $4Z0 (payable to NCDENR)
• Detailed narrative description of stormwater treatment/management
• Two copies of plans and specifications, including:
- Development/Project name
- Engineer and firm
- Legend
North arrow
- Scale
- Revision number & date
Initials
rnsw
rnsw
- Mean high water line
_ Dimensioned property/project boundary
Location map with named streets or NCSR numbers
Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements. pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
Designated agent (individual or firm):- , G. Robert George & Associates, Inc.
Mailing Address:_ p_o_ gnx 321 rg
City:w.Qharigston _State: SC Zip,- 29417
Phone: { ) 84ai .55fi .1 - Fax: (____ ....----)-84aZZ1-02]6 - -- --- -
VIII. APPLICANT'S CERTIFICATION
1. (print or type name of person listed in General ,information. item 2) —1- �_. _. _ Q � Sr. ve,
---
certifythat the information included on this �� co
permit application form 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 cove} is wi red. and that the proposed project complies with the requirements of 15A
NCAC 211.1000.
Date: ( l 05 ---- ---
Form SVM-101 Version 3.99 Page 4 of 4