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HomeMy WebLinkAboutSW8160405_Current Permit_20160711PAT McCRORY Governor DONALD R. VAN DER VAART Secretary Energy, Mineral & TRACY DAVIS Land.Resources Director ENVIRONMENTAL QUALITY July 11, 2016 Mr. Lee Barnes, President M. M. Fowler, Inc. 4220 Neal Road Durham, NC 27705 Subject: State Stormwater Management Permit No. SWS 160405 Family Fare Golden Rd High Density Wet Detention Pond Project New Hanover County Dear Mr. Barnes: The Wilmington Regional Office received a complete, Stormwater Management Permit Application for Family Fare Golden Rd on July 7, 2016. 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 2008-211. We are forwarding Permit No. SW8 160405 dated July 11, 2016, for the construction, operation and maintenance of the BMP's and built -upon areas associated with the subject project. This permit shall be effective from the date of issuance until July 11, 2024, and shall be subject to the conditions and limitations as specified therein. Please pay special attention to the conditions listed in this permit regarding the Operation and Maintenance of the BMP, recordation of deed restrictions, certification of the BMP's, procedures for changing ownership, transferring the permit, and renewing the permit. Failure to establish an adequate system for operation and maintenance of the stormwater management system, to record deed restrictions, to certify the BUT, to transfer the permit, or to renew the permit, 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 by filing a written petition with the Office of Administrative Hearings (OAH). The written petition must conform to Chapter 150B of the North Carolina General Statutes, and must be filed with the OAH within thirty (30) days of receipt of this permit. You should contact the OAH with all questions regarding the filing fee (if a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center, Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless such demands are made this permit shall be final and binding. If you have any questions, or need additional information concerning this matter, please contact Kelly Johnson in the Wilmington Regional Office, at (910) 796-7215. Sinperely, Tracy Davis, P.E., Director Division of Energy, Mineral and Land Resources GDS/ kpj: \\\Stormwater\Permits & Projects\2016\16045 HD\2016 07 permit 160105 cc: Charlie Cazier, PE, Intracoastal Engineering Inspector, New Hanover County Building Inspections New Hanover County Engineering Division of Coastal Management Wilmington Regional Office Stormwater File State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington, NC 28405 910 796 7215 State Stormwater Management Systems Permit No. SW8 160405 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL AND LAND RESOURCES 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 M. M Fowler, Inc. Family Fare Golden Rd 6347 Carolina Beach Rd, Wilmington, New Hanover County FOR THE construction, operation and maintenance of one (1) wet detention pond in compliance with the provisions of 15A NCAC 2H .1000 and Session Law 2008-211 (hereafter referred to as the "stormwater rules') the approved stormwater management plans and specifications and other supporting data as attached and on file with and approved by the Division of Energy, Mineral and Land Resources (hereafter referred to as the Division or DEMLR) and considered a part of this permit. This permit shall be effective from the date of issuance until July 11, 2024, 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. 2. This stormwater system has been approved for the management of stormwater runoff as described in Section 1.7 of this permit. The runoff from all built -upon area within the permitted drainage area of this project must be directed into the permitted stormwater control measure. The stormwater control measure has been designed to handle the runoff from 34,871 square feet of impervious area. 3. The maximum built -upon area allowed for the entire project is 34,871 square feet. 4. The drainage area will be limited to the amount of built -upon area indicated in Sections 1.2 and 1.7 of this permit, and per approved plans. The built -upon area for the future development is limited to 0 square feet. 5. A 50' wide vegetative buffer must be provided and maintained adjacent surface waters, measured horizontally from and perpendicular to the normal pool of impounded structures, the top of bank of both sides of streams and rivers and the mean high water line of tidal waters. 6. All runoff being directed into wetlands shall flow into and through those wetlands at a non -erosive velocity. Page 1 of 7 State Stormwater Management Systems Permit No. SW8 160405 7. The following design criteria have been permitted for the wet detention pond and it must be provided and maintained at the design condition: a. Drainage Area, acres: Onsite, ft2: Offsite, ft2: 1.45 62,969 0 b. Total Impervious Surfaces, ft2: 34,871 Onsite, ft2: 34,871 Offsite, ft2: 0 c. Average Pond Design Depth, feet: 3.00 d. TSS Removal Efficiency: 90 e. Design Storm, inches": 1.50 f. Permanent Pool (PP) Elevation, FMSL: 34.70 g. Permitted PP Surface Area, ft2: 5,045 h. Temporary Storage Elevation, FMSL: 36.00 i. Permitted Storage Volume, ft3: 7,983 j. Predevelopment 1 yr-24 hr. discharge rate, cfs: 0.06 k. Controlling Orifice, inch 0 pipe: 1.00 I. Orifice Flow Rate, cfs: 0.02 m. PP Volume, ft3: 11,713 n. Forebay Volume, ft3: 2,084 o. Maximum Fountain Horsepower: N/A p. Receiving Stream/River Basin: Everett Creek q. Stream Index Number: 18-87-29 r. Classification of Water Body": SA; HQW *This project is not subject to SA requirements because it is over a half mile to the stream. II. SCHEDULE OF COMPLIANCE No person or entity, including the permittee, shall alter any component of the approved stormwater system shown on the approved plans unless and until the Division has approved of the revised plan. 2. The stormwater management system shall be constructed in its entirety, vegetated and operational for its intended use prior to the construction of any built -upon surface. 3. During construction, erosion shall be kept to a minimum and any eroded areas of the system will be repaired immediately. If the stormwater system is used as an Erosion Control device, it must be restored to design condition prior to operation as a stormwater treatment device, and prior to occupancy of the facility. 4. The permittee shall at all times provide the operation and maintenance necessary to assure that all components of the permitted stormwater system function at design condition. The approved Operation and Maintenance Agreement is incorporated by reference into this permit and must be followed in its entirety and maintenance must occur at the scheduled intervals. 5. Records of maintenance activities must be kept and made available upon request to authorized personnel of the nivision. The records will indicate the date, activity, name of person performing the work and what actions were taken. Page 2 of 7 State Stormwater Management Systems Permit No. SW8 160405 6. A fountain will not be permitted in the pond because the permanent pool volume is less than 30,000 cubic feet. 7. The facilities shall be constructed in accordance with the conditions of this permit, the approved plans and specifications, and other supporting data. 8. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to operation of this permitted facility, the permittee shall cause a certification from an appropriate designer for the system installed to be submitted, 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. All stormwater collection and treatment systems must be located in either public rights - of -way, dedicated common areas or recorded easements. The final plats for the project will be recorded showing all such rights -of -way, common areas and easements, in accordance with the approved plans. Access to the stormwater facilities for inspection and maintenance shall be maintained via appropriate recorded 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. Redesign or addition to the approved amount of built -upon area or to the drainage area. C. Further development, subdivision, acquisition, lease or sale of any, 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 or a CAMA Major permit was sought. d. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan. e. The construction of any future BUA listed on the application. 11. Prior to transfer of the permit, the stormwater facilities will be inspected by Division personnel. The project and the stormwater facility must be in substantial compliance with all permit conditions. Any items not in substantial compliance must be repaired, replaced or restored to design condition prior to the transfer. Records of maintenance activities performed to date will be required. 12. 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 Any individual or entity found to be in noncompliance with the provisions of a stormwater management permit or the Stormwater rules is subject to enforcement procedures as set forth in NCGS 143 Article 21. 2. 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. Page 3 of 7 State Stormwater Management Systems Permit No. SW8 160405 3. In the event that the facilities fail to perform satisfactorily 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. Additional or replacement stormwater management systems shall receive a permit from the Division prior to construction. 4. This permit is not transferable to any person or entity except after notice to and approval by the Director. The permittee shall submit a completed and signed Name/Ownership Change Form, accompanied by the supporting documentation as listed on the form, to the Division of Energy, Mineral and Land Resources at least 60 days prior to any one or more of the following events: a. An ownership change including the sale or conveyance of the project area in whole or in part, except in the case of an individual lot sale that is made subject to the recorded deed restrictions; b. The sale or conveyance of the common areas to a Homeowner's or Property Owner's Association, subject to the requirements of Session Law 2011-256; c. Bankruptcy; d. Foreclosure, subject to the requirements of Session Law 2013-121; e. Dissolution of the partnership or corporate entity, subject to NCGS 57D-2-01(e) and NCGS 57D-6-07; f. A name change of the current permittee; g. A name change of the project; h. A mailing address change of the permittee; 5. The permittee is responsible for compliance with all permit conditions until such time as the Division approves the transfer request. Neither the sale of the project, in whole or in part, nor the conveyance of common area to a third party constitutes an approved transfer of the stormwater permit. 6. The permittee grants DEMLR 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 modified, revoked, terminated or renewed. The permit may be modified, revoked and reissued or terminated for cause. The filing of a request for a permit modification, revocation and re -issuance or termination does not stay any permit condition. 8. Approved plans, calculations, supplement forms, operation and maintenance agreements and specifications for this project are incorporated by reference and are enforceable parts of the permit. A copy of the approved plans and specifications shall be maintained on file by the Permittee at all times. 9. Unless specified elsewhere, permanent seeding requirements for the stormwater control measure must follow the guidelines established in the North Carolina Erosion and Sediment Control Planning and Design Manual. 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 submit a permit renewal application request at least 180 days prior to the expiration date of this permit. The renewal request must include the appropriate application, documentation and the processing fee. Page 4 of 7 State Stormwater Management Systems Permit No. SW8 160405 Permit issued this the 11th day of July 2016. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION Division of Energy, Mineral and Land Resources By Authority of the Environmental Management Commission Permit Number SW8 160405 Page 5 of 7 State Stormwater Management Systems Permit No. SW8 160405 Family Fare Golden Rd Stormwater Permit No. SW8 16045 New Hanover 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 specifications: Signature Registration Number Date SEAL Page 6 of 7 State Stormwater Management Systems Permit No. SW8 160405 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 outlet structure elevations are per the approved plan. 6. The outlet structure is located per the approved plans. 7. Trash rack is provided on the outlet 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. Required drawdown devices are correctly sized and located per the approved plans. 13. All required design depths are provided. 14. All required parts of the system are provided, such as a vegetated shelf, and a forebay. 15. The required system dimensions are provided per the approved plans. 16. All components of the stormwater BMP are located in either recorded common areas, or recorded easements. cc: NCDEQ-DEMLR Wilmington Regional Office Inspector, New Hanover County Building Inspections Page 7 of 7 t DEMLR USE ONLY ate RgtqiWd Fee Paid Permit Number Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph 11- Post Construction (select all that apply) ❑ 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 Energy, Mineral and Land Resources 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.): FAMILY FARE GOLDEN RD 2. Location of Project (street address): 6347 CAROLINA BEACH RD. City:WILMINGTON County:NEW HANOVER Zip:28409 3. Directions to project (from nearest major intersection): APPROX..2 MILE NORTH OF THE INTERSECTION OF CAROLINA BEACH RD. AND HALYBURTON MEMORIAL PARKWAY 4. Latitude:340 6' 24.9" N Longitude:770 53' 56.34" W of the main entrance to the project. II. PERMIT INFORMATION: 1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt tRenewals with modifications also requires SKU--102 - Renewal Application Form b.If this application is being submitted as the result of a modification to an existing permit, list the existing permit number , its issue date (if known) , and the status of construction: ❑Not Started ❑Partially Completed* ElCompleted* *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 DEMLR requesting a state stormwater management permit application, list the stormwater project number, if assigned, and the previous name of the project, if different than currently proposed, 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: 2.0 ac of Disturbed Area ❑404/401 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:N/A „& 5. Is the project located within 5 miles of a public airport? ®No ❑Yes If yes, see S.L. 2012-200, Part VI: http://portal.ncdenr.org/web/lr/rules-and-resulations� Form SW-101 Version Oct. 31, 2013 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:M. M. FOWLER, INC. Signing Official & Title:LEE_BARNES RESICJCArI x, b. Contact information for person listed in item 1a above: Street Address:4220 NEAL ROAD City:DURHAM State:NC Zip:27705 Mailing Address (if applicable): City: State: Zip: Phone: (919 ) 309-2925 EXT. 215 Fax: ( ) Email:lbarnes®familyfarecstores.com se check the appropriate box. The applicant listed above is: e property owner (Skip to Contact Information, item 3a) ¢\VPj se (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below) U( o;) rchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and 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: Signing Official & Title: b. Contact information for person listed in item 2a above: Street Address: City: State: Zip: Mailing Address (if applicable): City: State: Zip: Phone: ( ) Fax: ( ) Email: 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: Signing Official & Title: b. Contact information for person listed in item 3a above: Mailing Address: City: State: Phone: ( ) Fax: ( ) Email: 4. Local jurisdiction for building permits: New Hanover County Point of ContactUnda Painter Phone #: 910 ) 798-7068 Form SWU-101 Version Oct. 31, 201E Page 2 of 6 IV. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. Stormwater runoff will be treated by means of one Wet Detention Basin to meet the 1.5" storage requirement and the 25yr 24hr Pre -Post Peak development rate. 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 PUD Approval Date: ❑ Valid Building Permit Issued Date: ❑ Other: Date: b. If claiming vested rights, 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: 1.76 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+:1.76 acres + Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area between the banks of streams and rivers, the area below the Normal Hi h Water (NHKq line or Mean High Water (MHM line, and coastal wetlands landward from the NHW (or ZA line. The resultant project area is used to calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may be included in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 45.5 % 9. How many drainage areas does the project have?1 (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 Information Drainage Area 1 Drama a Area _ Drainage Area _ Drama a Area _ Receiving Stream Name Everett Creek Stream Class * SA;HQW Stream Index Number * 18-87-29 Total Drainage Area (sf) 62,969 On -site Drainage Area (so 62,969 Off -site Drainage Area (so 0 Proposed Impervious Area** s 34,871 % Impervious Area** total 55.4% hn envious"" Surface Area Drama a Area _ Draina a Area _ Drainage Area _ Drama a Area _ On -site Buildings/Lots (sf) 3,200 On -site Streets (sf) On -site Parking (sf) 30,497 On -site Sidewalks (sf) 1,174 Other on -site (sf) Future (sf) 0 Off -site (sf) Existing BUA*** (sf) Total (sf): 34,871 * Stream Class and Index Number can be determined at: http. portal.ncdenr.org/web/wq&s/csu/classi 'cations Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas, sidewalks, gravel areas, etc. �An 5 Form SWU-101 Version Oct. 31, 2013 Page 3 of 6 'Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that is to be removed and which will be replaced by new BUA. 11. How was the off -site impervious area listed above determined? Provide documentation. N/A Proiects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened & Endangered Species watershed that may be subject to more stringent stormwater requirements as per 15A 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 http: / /12ortal.ncdenr.org/web/wq./ws/su/bmp-manual. VI. SUBMITTAL REQUIREMENTS Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application instruction sheet and BMP checklists are available from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms does. The complete application package should be submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the interactive online map at http:/ /portal.ncdenr.org/web/wq/ws/su/maps.) Please indicate that the following required information have been provided by initialine 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 http:/ /12ortal.ncdenr.org/web/wq/ws/su/statesw/forms does. 1. Original and one copy of the Stormwater Management Permit Application Form. 2. OriginaI 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.G� 4. Permit fee application processing of $505 payable to NCDENR. (For an Express review, refer to htt�://www.envhelp.org/pages/onestojexRress.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 �� 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 1h mile of the site boundary, include the 1/z mile radius on the map. �� 7. Sealed, signed and dated calculations (one copy). 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. s 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. M�� �'�� 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 asures. m. Wetlands delineated, or a note on the plans that none exist. (Must be delineate a qualified person. Provide documentation of qualifications and identify the perscRWho 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). Form SWLT-101 Version Oct. 31, 2013 Page 4 of p. Vegetated buffers (where required). Copy of any applicable soils report with the associated SHWT elevations (Please identify 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"x11" 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 DEMLR to verify the SHWT prior to submittal, (910) 795-7378.) 10. A copy of the most current property deed. Deed book: 5239 Page No: 234 11. For corporations and limited liability corporations (LLC): Provide documentation from the NC Secretary of State or other official documentation, which supports the titles and positions held by the persons listed in Contact Information, item 1a, 2a, and/or 3a per 15A NCAC 2H.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. hU://www.secretaiy.state.nc.us/Corporations/CSearch.aspx VII. 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 http://portal.ncdenr.org/web/Ir/state- stormwater-forms does. 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 holders) 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 DEMLR, 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:Charles D. Cazier Consulting Firm: Intracoastal Engineering Mailing Address:5725 Oleander Dr. Unit E-7 City: Wilmington Phone: (910 ) 859-8983 Email:Charlie®intracoastalengineering.com State:NC Zip:28403 Fax: ( ) 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 1a) with (print or type name of organization listed in Contact Information, item 1a) 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. in I IV G ° R 01 BUR' BY: Form SWU-101 Version Oct. 31, 2013 Pagc 5 of 6 As the legal property owner 1 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 DEMLR Stormwater permit reverts back to me, the property owner. As the property owner, it is my responsibility to notify DEMLR 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. Signature: 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 application for a stormwater permit. Witness my hand and official seal, SEAL My commission expires X. APPLICANT'S CERTIFICATION I, (print or type name of person listed in Contact Information, item 1a) LEE BARNES 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 ru u> r �A�R.Mepd any other applicable state stormwater requirements. Date: Z'! 4 — ,A% QQASkA1Q-, County of i do hereby certify that AN) 4 . -CVQ4 \.4 — personally appeared before me this -& day of and ac nowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, C SEAL My commission expires act Form SWD-101 Version Oct. 31, 2013 Page 6 of 6 APR 01 2010 BY: Permit No. L XAjB 1(00 (_-1 V, (to be provided by DWQj o2�F W ATtcRQG ,�.[w� �Q y r e 1 DEER > s2) ~ STORMWATER MANAGEMENT PERMIT APPLICATION FORM p -c 401 CERTIFICATION APPLICATION FORM WET DETENTION BASIN SUPPLEMENT This form must be filled out printed and submitted. The Required Items Checklist (Part UQ must be printed, filled out and submitted along with all of the required information. Project name Family Fare Golden Rd. Contact person Charles Cazier Phone number 910-859-8983 Date 3131/2016 Drainage area number 1 Site Characteristics Drainage area 62,969 fe Impervious area, post -development 34,871 fe % impervious 55.38 % Design rainfall depth 1.5 in Storage Volume: Non -SA Waters Minimum vdume.required Volume 'l 4,317 to Qp� j � �'` �� l) �!)'(� 5 provided q$3 .*.�3 OK, volume provided is equal to or in excess of volume required. Storage Volume: SA Waters 1.5" runoff volume fe Pre -development 1-yr, 24-hr runoff fe Post -development 1-yr, 24-hr runoff fe Minimum volume required ft3 Volume provided fe Peak Flow Calculations Is the prelpost control of the lyr 24hr storm peak flow required? N (Y or N) 1-yr, 24-hr rainfall depth in Rational C, pre -development (unitiess) Rational C, post -development (unitiess) Rairrfall intensity: 1 -yr, 24-hr storm in/hr Pre -development 1-yr, 24-hr peak flow fe/sec Post -development 1-yr, 24-hr peak flow ft/sec PrelPost 1-yr, 24-hr peak flow control fts/sec Elevations Temporary pool elevation 36.00 fmsl Permanent pool elevation 34.70 fmsl SHWT elevation (approx. at the perm. pool elevation) 35.20 fmsl Top of 1Oft vegetated shelf elevation 35.20 fmsl Bottom of 1 Oft vegetated shelf elevation 34.20 fmsl Sediment cleanout, top elevation (bottom of pond) 29.70 fmsl Sediment cleanout, bottom elevation 28.70 fmsl Sediment storage provided 1.00 ft Is there additional volume stored above the state -required temp. pool? Y (Y or N) E V E I M E Elevation of the top of the additional volume 36.0 fmsl OK JUN 2 2 2016 ` BY: Form SW401-Wet Detention Basin-Rev.94/18/12 Parts 1. & II. Design Summary, Page 1 of 2 Permit No. w l (oqq V (to be provided by O WQ) Surface Areas Area, temporary pool 7,237 i Area REQUIRED, permanent pool 4,055 i SAIDA ratio 6 44 (unitless) Area PROVIDED, permanent pool, AP—yw Area, bottom of 1 Oft vegetated shelf, ki_a,ar Area, sediment cleanout, top elevation (bottom of pond), Abm_Pd Volumes Volume, temporary pool Volume, permanent pool, V,. ,,,d Volume, forebay (sum of forebays if more than one forebay) Forebay % of permanent pool volume SAIDA Table Data Design TSS removal Coastal SAIDA Table Used? Mountain/Piedmont SAIDA Table Used? SAIDA ratio Average depth (used in SAIDA table): Calculation option 1 used? (See Figure 10-2b) Volume, permanent pool, Vp.-,., Area provided, permanent pool, Ap,,,,yw Average depth calculated Average depth used in SAIDA, da,,, (Round to nearest 0.5ft) Calculation option 2 used? (See Figure 10-2b) Area provided, permanent pool, Ate,,, j,,d Area, bottom of 1 Oft vegetated shelf, AboLsh, Area, sediment cleanout, top elevation (bottom of pond), Atoll d 5.045 If OK 3,981 ft` 222 W 7,983 fP 9,747 fO 2,084 fP 21.4% % 90 % Y (Y or N) N (YorN) 6.44 (unitless) N (Y or N) 9,747 if 5,045 ff 3.00 it 3.0 it Y (Y or N) 5,045 if 3,981 if 222 fe "Depth' (distance blw bottom of 1Oft shelf and top of sediment) 4.50 ft Average depth calculated 3.00 ft Average depth used in SAIDA, d. (Round to down to nearest 0.5fl) 3.0 ft Drawdown Calculations Drawdown through orifice? Diameter of orifice (If circular) Area of orifice (if -non -circular) Coefficient of discharge (Co) Driving head (H.) Drawdown through weir? Weir type Coefficient of discharge (C.) Length of weir (L) Driving head (H) Pre -development 1-yr, 24-hr peak flow Post -development 1-yr, 24-hr peak flow Storage volume discharge rate (through discharge orifice or weir) Storage volume drawdown time Additional Information Vegetated side slopes Vegetated shelf slope Vegetated shelf width Length of flowpath to width ratio Length to width ratio Trash rack for overflow & orifice? Freeboard provided Vegetated filter provided? Recorded drainage easement provided? Capures all runoff at ultimate build -out? Drain mechanism for maintenance or emergencies is: Y (Y or N) 1.00 in ir? 0.60 (unitless) 0.43 ft N (Y or N) (unitless) (unitless) It it tt /sec felsec 0.02 elsec 2.81 days Insufficient. Volume does not agree with data previously entered. OK OK OK OK OK Storage volume discharge rate greater than pre-dev. lyr24hr. OK, draws down in 2-5 days. 3 :1 OK 0,%, 6 :1 Insufficient shelf slope. � . 6.0 ft Insufficient shelf length. +fin JUH 2 2 ?.0 s 3 :1 OK 3.0 :1 OK L y (Y or N) OK yft OK n (Y or N) OK y (Y or N) OK y (Y or N) OK Pump to be provided for emergency Form SW401-Wet Detention Basin-Rev.9-4/18/12 Parts I. & II. Design Summary, Page 2 of 2 Permit (fo be provided by DWQ) Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a requirement has not been met, attach justification. Pagel Plan Initials ftcet No. 1. Plans (1" - 50' or larger) of the entire site showing: - Design at ultimate build -out, - Off -site drainage (if applicable), - Delineated drainage basins (include Rational C coefficient per basin), - Basin dimensions, - Pretreatment system, - High flow bypass system, - Maintenance access, Proposed drainage easement and public right of way (ROW), Overflow device, and ' Boundaries of drainage easement. Partial plan (1" = 30' or larger) and details for the wet detention basin showing: - Outlet structure with trash rack or similar, - Maintenance access, Permanent pool dimensions, Forebay and main pond with hardened emergency spillway, Basin cross-section, Vegetation specification for planting shelf, and A ( 1 Filter strip. 3. Section view of the wet detention basin (1" 20' or larger) showing: - Side slopes, 3:1 or lower, - Pretreatment and treatment areas, and - Inlet and outlet structures. 4. If the basin is used for sediment and erosion control during construction, clean out of the basin is specified on the plans prior to use as a wet detention basin. AGL=/ 5. A table of elevations, areas, incremental volumes & accumulated volumes for overall pond and for forebay, eir 2 to verify volume provided. 6. A v construction sequence that shows how the wet detention basin will be protected from sediment until the /► N entire drainage area is stabilized. t.�+ SAGS 7. The supporting calculations. 19ff F-0-1 8. A copy of the signed and notarized operation and maintenance (O&M) agreement. 9. A copy of the deed restrictions (if required). 14 y 10. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. County soil maps are not an acceptable source of soils information. Form SW401-Wet Detention Basin-Rev.94/18/12 iL 0-0-EI E ; APR 01 2011 RV• Part III. Required Items Checklist, Page 1 of 1 Permit Number: D 4�5 (to be provided by DWQ) Drainage Area Number: Wet Detention 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. The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the vegetated filter if one is provided. This system (check one): ❑ does ® does not incorporate a vegetated filter at th CC E I V E This system (check one): 4PR 14 2016 ❑ does ® does not incorporate pretreatment other th forebay. BY: Important maintenance procedures: - Immediately after the wet detention basin is established, the plants on the vegetated shelf and perimeter of the basin should be watered twice weekly if needed, until the plants become established (commonly six weeks). - No portion of the wet detention pond should be fertilized after the first initial fertilization that is required to establish the plants on the vegetated shelf. - Stable groundcover should be maintained in the drainage area to reduce the sediment load to the wet detention basin. - If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through the emergency drain should be minimized to the maximum extent practical. - Once a year, a dam safety expert should inspect the embankment. After the wet detention pond is established, it should be inspected once a month 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 should be kept in a known set location and must 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 wet detention basin Areas of bare soil and/or erosive gullies have formed. Regrade the soil if necessary to remove the gully, and then plant a I ground cover and water until it is established. Provide lime and a one-time fertilizer application. Vegetation is too short or too Maintain vegetation at a height of long. . approximately six inches. Form SW401-Wet Detention Basin O&M-Rev.4 Page 1 of 4 M Permit Number: (to be provided by DWQ) Drainage Area Number: BMP element: Potentialproblem: How I will remediate theproblem: The inlet device: pipe or The pipe is clogged. Unclog the pipe. Dispose of the swale I sediment off -site. I The pipe is cracked or otherwise damaged. Erosion is occurring in the swale. The forebay Sediment has accumulated to a depth greater than the original design depth for sediment storage. The vegetated shelf The main treatment area Erosion has occurred. Weeds are present. Best professional practices show that pruning is needed to maintain optimal plant health. Plants are dead, diseased or dying. Weeds are present. Sediment has accumulated to a depth greater than the original design sediment storage depth. Algal growth covers over 50% of the area. Cattails, phragmites or other invasive plants cover 50% of the basin surface. Form SW401-Wet Detention Basin O&M-Rev.4 Replace the pipe. Regrade the swale if necessary to smooth it over and provide erosion control devices such as reinforced turf matting or riprap to avoid future problems with erosion. Search for the source of the 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. Provide additional erosion protection such as reinforced turf matting or riprap if needed to prevent future erosion problems. Remove the weeds, preferably by hand. If pesticide is used, wipe it on the plants rather than spraying. Prune according to best professional practices Determine the source of the problem: soils, hydrology, disease, etc. Remedy the problem and replace plants. Provide a one-time fertilizer application to establish the ground cover if a soil test indicates it is necessary. Remove the weeds, preferably by hand. If pesticide is used, wipe it on the plants rather than spraying. Search for the source of the 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. Consult a professional to remove and control the algal growth. Remove the plants by wiping them with pesticide (do not spray). ECEIVE APR 14 2016 age 2 of 4 BY: Permit Number: (to be provided by DWQ) Drainage Area Number: BMP element: Potentialproblem: How I will remediate theproblem: The embankment Shrubs have started to grow Remove shrubs immediately. on the embankment. Evidence of muskrat or Use traps to remove muskrats and beaver activity is present. consult a professional to remove beavers. A tree has started to grow on Consult a dam safety specialist to the embankment. remove the tree. An annual inspection by an Make all needed repairs. appropriate professional shows that the embankment needs repair. if applicable) 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 local NC Division of damage have occurred at the Water Quality Regional Office, or outlet. the 401 Oversight Unit at 919-733- 1786. The measuring device used to determine the sediment elevation shall be such that it will give an accurate depth reading and not readily penetrate into accumulated sediments. When the permanent pool depth reads 5.0 feet in the main pond, the sediment shall be removed. When the permanent pool depth reads 2.0 feet in the forebay, the sediment shall be removed. Sediment Removal Bottom BASIN DIAGRAM (fill in the blanks) 32.7anen ----------- Pe -- Volume 31.7 -ft Min. Sediment Storage F OREBAY Form SW401-Wet Detention Basin O&M-Rev.4 Permanent Pool Elevation 34.7 Pool �- - - - - - Sediment Removal Elevation 29.7 Volume Bottom Elevation MAIN POND T JUL p 7 2016 Page 3 of 4 1-ft Storage Permit Number: (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:FAMILY FARE GOLDEN RD BMP drainage area number: I Print name:M. M. FOWLER. INC. (LEE BARNES) Title:MemberAk�ItnMr Address:4220 NEAL ROAD DURHAM, NC 27705 Phone: 919-309-2925 EXT. 215 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, Cc, , a Notary Public for the State of �C County of ���C Y�C3�•(y� , do hereby certify that �CA>f\,Q-,s �s Y-- personally appeared before me this day of �p f- , Q I U , and acknowledge the due execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal, %XOTARC' :AV BLIG ECEIVE •. APR 14 2016 1OOU161% BY: SCAT. My commission expires Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4 Book 5982 Page 619 BK: RB 5982 liiilllll illllll IIIIII�I� illlll�l PG- 619-621 RECORDED: 2016020273 NC FEE $26.00 06-30-2016 NEW HANOVER COUNTY, NC STATE OF NO 02:19;21 PM TAMMY THEUSCH BEASLEY REAL ESTATE BY., ANDREA CRESWELL REGISTEROFDEEDS EXTX$860.00 ASSISTANT NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax:' $ 860.00 Parcel Identifier No.PT R07918-005-008-000 Verified by County on the day of 20 By- Mail/Box to: This instrument was prepared by: Britt Law Firm, 720 N. 'Third Street, Suite 401. Wilmington, NC• Brief description for the Index: 28401 THIS DEED made this N, M day of yLvt L. , 2016, by and between WATER OF LIFE LUTHERAN CHURCH, INC. A North Carolina Non -Profit Corporation GRANTEE M.M. FOWLER, INC. A North Carolina Corporation 4220 Neal Road Durham, NC 27705 Enter in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g. corporation or partnership. The designation Grantor and Grantee as'used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WTINESSETH, that the Grantor, for a valuable considerationpaidby the Grantee, the receipt ofwhich is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot, parcel of land or condominium unit situated New Hanover County, North Carolina and more particularly described as follows: BEING all of Tract 2A, containing 1.76 acres +/- of land, as shown on that Plat of Survey prepared by Michael Underwood and Associates, P.A., Entitled "Division ofLot 2: Redivision ofAlbert Swann and James H. Hobbs Tracts" recorded in Map Boole 61, Page 236, ofthe New Hanover County Register ofDeeds (the "Plat'), together with anon-exclusiveutility easement, with right of ingress and egress, over the certain "30' Utility Easement" as shown on the Plat running along the northern property line of Tract 2B of Albert Swann and James H. Hobbs Tracts. The property hereinabove described was acquired by Grantor by instrument recorded in Book 5239 page 234. All or a portion of the property herein conveyed includes or xx does not include the primary residence of a Grantor. Page 1 of 3 NC Bar Association Form No. 3 ® Revised 7/2013 Printed by Agreement with the NC Bar Association North Carolina Bar Association — NC Bar Form No. 3 North Carolina Association of Realtors, Inc. — Standard Form 3 ECEIVE; JUL 0 7 2016 Return t® MTG BY: Book 5982 Page 620 A map showing the above described property is recorded in Plat Book 61 page 236 TO HAVE AND TO HOLD the aforesaid lot or parcel of land and allprivileges and appurtenances thereto belonging to the Grantee in fee.simple. And the Grantor covenants with the Grantee, that Grantor is seized of the premise's in fee simple, has the rightto convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant_ and defend the title against the lawful claims of all persons whomsoever, other than the following exceptions: IN WITNESS WAEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. -Water of Life Lutheran Church, Inc., -a rth Carolina Corporation 13y: .ae 4-tryp e Name & Title: t dwaid Parker, president By:.'eg_ � Print/Type Name & Title: Kenneth f krren, Financial Chair (SEAL). Print/Type Name: (SEAL) PrintPljrpe Name: (SEAL) Print/Type Name: By: -- (SEAL) Print/Type Name & Title: Print/ j pe Name: ___-_ I, the undersigned Notary Public of the, County of i . and State aforesaid, certify the EDWARD PARKER. personally came before me this day and acknowledged that he is the President of Water of Life Lutheran Church, Inc., a North Carolina Corporation, and that by authority duly given and as the act of such entity, h • signed the foregoing instrument in its name o its behalf as its act and deed. Witness my hand and Notarial stamp or seal, this day of 2016. Kara R.Tucker My Commission Expires: 1 [ Notary Public �� � c—�� �otarY Public (Affix Seal) Brunswick Coun C No 'S Printed or Typed Name My Commis n Expire I, the undersigned Notary Public of trio Co` d State aforesaid, certify that KENNETH ,7 OF WARREN personally came before me this day and acknowle ged that he is the Financial Chair of Water of Life Lutheran Church, Inc., a North Carolina Corporation, -and tbat by authority drily given and as the act of such entity, he signed the foregoing itistrurReat m its name on its behalf as its act and deed Witness my hand and Notarial s nip or seal; this day of _ , 2016, jel 4L_'C_� My Commission Expires: Kara R. TuCke V otary Public (Affix Seal) NOtaiy P11 lic Notary's P rated or Typed Name Brunswick t Uiinty, f�C My Commission Expires ,QJ/��i � Page 2 of 2 NC Bar Association Form No. 3 ® Revised 7/2013 Printed by Agteement with the NC Bar Association North Carolina Bar Association — NC Bar Form No. 3 North Carolina Association of Realtors, Inc. — Standard Form 3 Book 5982 Page 621 TAMMY TMUSCH BEASLEY New Hanover County o Register of Deeds Register of Deeds Z r �I 320 ClH[ESTNIJT ST SUITE 102 • WILMIN TON, NORTH CAROLINA 28401 Telephone 910-798-4530 s Fax 910-798-7751 19 I+ d s1; I" State of North Carolina, County of NEW HANOVER Filed For Registration: 06/30/2016 02:19:21 PM Book: RB 5982 Pager 619-621 3 PGS $886.00 Real Property $26.00 Excise Tax $860.00 Recorder: ANDREA CRESWELL Document No: 2016020273 DO NOT REMOVE! This certification sheet is a vital part of your recorded document. Please retain with original document and submit when re-recording.