Loading...
HomeMy WebLinkAboutSW6091006_Application_201001084jctI I ....,'-`:..,!DWQ'USEONLY.,.. Datg Received qe Paid Permit Number 11 S S bD q State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM This form may be photocopied for use as an original I. GENERAL INFORMATION 1. Applicants name (specify the name of the corporation, individual, etc. who owns the project): Directorate of Public Works 2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance): Mr. Craig Lantz, Water Management Branch Chief 3. Mailing Address for person listed in item 2 above: 2175 Reilly Road Stop A City:Fort Bragg State:NC Zip:28310 Phone: (910 ) 396.2301 Fax: (910 ) 432.6908 Email:.jennings.c.1a.ntz@us.army.mil 4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans, specifications, letters, operation and maintenance agreements, etc.): Fort Bragg Indoor Firing Range 5. Location of Project (street address): Stabo Loop Rd City:Fort Bragg County:NC Zip:28310 6. Directions to project (from nearest major intersection): From All American Expressway, go South on Reily St. for approximately 2 mi., turn right onto Yadkin Rd at approximately .5 miles, turn left onto Stabo Loop, project is on the left at a distance of 1000'. 7. Latitude:35° 06' 29.66" N Longitude:79' 00' 28.57" W of project 8. Contact person who can answer questions about the project: Name:Bryan M. Dick Telephone Number: (919 ) 854-6252 Email:bryan.dick@aecom.com II. PERMIT INFORMATION: I. Specify whether project is (check one): 4 ❑Renewal ❑Modification Form SWU-101 Version 09.25.08 Page] of4 2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the existing permit numberNA and its issue date (if known)NA 3. Specify the type of project (check one): ❑Low Density ®High Density ❑Redevelop ❑General Permit ❑Universal SMP ❑Other 4. 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 ®Sedimentation/Erosion Control ❑404/401 Permit ❑NPDES Industrial Stormwater III. 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. Stormwater will be collected and treated via an infiltration basin. The basin is sized to 2.5X the required treatment volume and 1 /2 the Ksat value from the soils report in order to eliminate the need for bypass and level spreader devices. 2. Stormwater runoff from this project drains to the Cape Fear River basin. 3. Total Property Area: 2.99 acres 4. Total Coastal Wetlands Area: 0 acres 5. Total Property Area (3) — Total Coastal Wetlands Area (4) = Total Project Area**: 2.99 acres 6. (Total Impervious Area / Total Project Area) X 100 = Project Built Upon Area (BUA): 34 % 7. How many drainage areas does the project have? 1 8. Complete the following information for each drainage area. If there are more than two drainage areas in the project, attach an additional sheet with the information for each area provided in the same format as below. For high density projects, complete the table with one drainage area for each engineered stormwater device. Receiving Stream Name Persimmon Creek Stream Class & Index No. Class C (18-31-24-5-3) Total Drainage Area (sf) 70825 On -site Drainage Area (sf) 70825 Off -site Drainage Area (sf) 0 Existing Impervious* Area (sf) 2425 Proposed Impervious*Area (sf) 37428 % Impervious* Area (total) 56% Im erviqus Surface Area 'Dramage Area 1 9 `Drama e Area 2 p _ ...,.�_.< . ,..._, ..k .. k..,_. g., , E.... On -site Buildings (sf) 25342 On -site Streets (sf) 0 On -site Parking (sf) 6205 On -site Sidewalks (sf) 7092 Other on -site (sf) 1214 Off -site (sf) 0 Total (sf): 39853 * Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas, sidewalks, gravel areas, etc. Form SWU-101 Version 09.25.08 Page 2 of **Total project area shall be calculated to exclude Coastal Wetlands from use when calculating the built upon area percentage calculation. This is the area used to calculate overall percent project built upon area (BUA). 9. How was the off -site impervious area listed above derived? NA Projects in Union County: Contact the DWQ Central Office staff to check to see if you project is located within a Threatened & Endangered Species watershed that may be subject to more stringent stormwater requirements. IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS One of the following property 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. Forms can be downloaded from http://h2o.enr.state.nc.us/su/bml2 forms.htm - deed restrictions. Form DRPC-1 High Density Commercial Subdivisions Form DRPC-2 High Density Developments with Outparcels Form DRPC-3 High Density Residential Subdivisions Form DRPC-4 Low Density Commercial Subdivisions Form DRPC-5 Low Density Residential Subdivisions Form DRPC-6 Low Density Residential Subdivisions with Curb Outlets By your signature below, you certify that the recorded property restrictions and protective covenants for this project shall include all the applicable items required in the above form, that the covenants will be binding on all parties and persons claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot. 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 Permitting Unit at (919) 807-6300 for the status and availability of these forms. Forms can be downloaded from http://h2o.enr.state.nc.us/su/bml2 forms.htm. Form SW401-Low Density Form SW401-Curb Outlet System Form SW401-Off-Site System Form SW401-Wet Detention Basin Form SW401-Infiltration Basin Form SW401-Infiltration Trench Form SW401-Bioretention Cell Form SW401-Level Spreader Form SW401-Wetland Form SW401-Grassed Swale Form SW401-Sand Filter Form SW401-Permeable Pavement Form SW401-Cistern Low Density Supplement Curb Outlet System Supplement Off -Site System Supplement Wet Detention Basin Supplement Infiltration Basin Supplement Underground Infiltration Trench Supplement Bioretention Cell Supplement Level Spreader/Filter Strip/Restored Riparian Buffer Supplement Constructed Wetland Supplement Grassed Swale Supplement Sand Filter Supplement Permeable Pavement Supplement Cistern Supplement Form SWU-101 Version 09.25.08 Page 3 of 4 VI. SUBMITTAL REQUI UB4ENTS 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 Office. (Appropriate office may be found by locating project on the interactive online map at http://h2o.enr.state.nc.us/su/msi maps.htm) 1. Please indicate that you have provided the following required information by initialing in the space provided next to each item. Initials • Original and one copy of the Stormwater Management Permit Application Form S� • Original and one copy of the Deed Restrictions & Protective Covenants Form (if N,1A required as per Part IV above) • Original of the applicable Supplement Form(s) and O&M agreement(s) for each BMP -5 e; _ • Permit application processing fee of $505 (Express: $4,000 for HD, $2,000 for LD) payable to NCDENR -5 • Calculations & detailed narrative description of stormwater treatment/management • Copy of any applicable soils report • Two copies of plans and specifications (sealed, signed & dated), including: - Development/Project name - Engineer and firm -Legend - North arrow - Scale - Revision number & date - 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) VIL AGENT AUTHORIZATION If you wish to designate authority to another individual or firm so that they may provide information on your behalf (such as additional information requests), please complete this section. (ex. designing engineer or firm) Designated agent (individual or firm): Bryan Dick- AECOM Mailing Address:701 Corporate Center Dr. City: Raeleigh State: NC Zip: 27670 Phone: ( 919 ) 854-6252 Fax: (919 ) 854-6259 Email:bryan.dick@aecom.com VIIL APPLICANTS CERTIFICATION I, (print or type name ofperson listed in General lnformabon, item 2) Mr. Craig Lantz 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 15A NCAC 2H .1000.„ Date: Form SV U-101 Version 09.25.08 Page 5 of 4 DWQ USE ONLY Date Received Fee Paid Permit Number State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM This form may be photocopied for use as an original I. . GENERAL INFORMATION 1. Applicants name (specify the name of the corporation, individual, etc. who owns the project): Directorate of Public Works 2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance): Mr. Craig Lantz Water Management Branch Chief 3. Mailing Address for person listed in item 2 above: .2175 Reilly Road Stop A City:Fort Bragg State:NC Zip:28310 Phone: (910 ) 396.2301 Fax: (910 ) 432.6908 Email:iennin;j;,s.c.lantz@us.army.mil 4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans, specifications, letters, operation and maintenance agreements, etc.): Fort Bragg Indoor Firing Range 5. Location of Project (street address): Stabo Loop Rd City:Fort BrajYg County:NC Zip:28310 6. Directions to project (from nearest major intersection): From All American Expressway, o South on Reily St. for approximately 2 mi., turn right onto Yadkin Rd at aapproximately .5 miles turn left onto Stabo Loop project is on the left at a distance of 1000' 7. Latitude:351 06' 29.66" N Longitude:79° 00' 28.57" W of project ro'ect 8. Contact person who can answer questions about the project: Name:Bryan M. Dick PH Telephone Number:: (919 ) 854-6252 Email:baan.dick@aecom.com H. PERMIT INFORMATION: Form SWU-101 Version 09.25.08 Page 1 of 1. Specify whether project is (check one): ®New ❑Renewal ❑Modification 2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the existing permit numberNA and its issue date (if known)NA 3. Specify the type of project (check one): ❑Low Density ®High Density ❑Redevelop ❑General Permit ❑Universal SMP ❑Other 4. 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 ®Sedimentation/Erosion Control ❑404/401 Permit ❑NPDES Industrial Stormwater III. 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. Stormwater will be collected and treated via an infiltration basin. The basin is sized to 2 5X the required treatment volume and 1/2 the Ksat value from the soils report in order to eliminate the need for bypass and level spreader devices. 2. 3. 5. 6. 7. 8. Stormwater runoff from this project drains to the Cape Fear River basin. Total Property Area: 2.99acres 4. Total Coastal Wetlands Area: 0 acres Total Property Area (3) - Total Coastal Wetlands Area (4) = Total Project Area**: 2.99 acres (Total Impervious Area / Total Project Area) X 100 = Project Built Upon Area (BUA): 34% How many drainage areas does the project have? 1 Complete the following information for each drainage area. If there are more than two drainage areas in the project, attach an additional sheet with the information for each area provided in the same format as below. For high density projects, com lete the table with one drainage area for each en ineered stormwater device. Basin Information Drainage Area 1 Drainage Area 2. Receiving Stream Name Persimmon Creek Stream Class & Index No. Class C (18-31-24-5-3) Total Drainage Area (so 70825 On -site Drainage Area (so 70825 Off -site Drainage Area (so 0 Existing Impervious* Area (so 2425 Proposed Impervious*Area (so 37428 % Impervious* Area (total) 56% Impervious* Surface Area Drainage Area 1 Drainage Area 2 On -site Buildings (so 25342 On -site Streets (so 0 On -site Parking (so 6205 On -site Sidewalks (so 7092 Other on -site (so 1214 Off -site (so 0 Total (so: 39853 Form SWU-101 Version 09.25.08 Page 2 of 4 Total (sf): * Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas, sidewalks, gravel areas, etc. **Total project area shall be calculated to exclude Coastal Wetlands from use when calculating the built upon area percentage calculation. This is the area used to calculate overall percent project built upon area (BUA). 9. How was the off -site impervious area listed above derived? NA Projects in Union County: Contact the DWQ Central Office staff to check to see ifyou project is located within a Threatened & Endangered Species watershed that may be subject to more stringent stormwater requirements. IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS One of the following property 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. Forms can be downloaded from htty://h2o.enr.state.nc us/su/bmp forms htm - deed restrictions. Form DRPC-1 High Density Commercial Subdivisions Form DRPC-2 High Density Developments with Outparcels Form DRPC-3 High Density Residential Subdivisions Form DRPC-4 Low Density Commercial Subdivisions Form DRPC-5 Low Density Residential Subdivisions Form DRPC-6" Low Density Residential Subdivisions with Curb Outlets By your signature below, you certify that the recorded property restrictions and protective covenants for this project shall include all the applicable items required in the above form, 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 p 1= cannot be changed or deleted without concurrence from the NC DWQ 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 Permitting Unit at (919) 807-6300 for the status and availability of these forms. Forms can be downloaded from 1-ittu:/Ji2o.enr.state.nc.us/­su/bml2 forms htm: Form SW401-Low Density Form SW401-Curb Outlet System Form SW401-Off-Site System Form SW401-Wet Detention Basin Form SW401-Infiltration Basin Form SW401-Infiltration Trench Form SW401-Bioretention Cell Form SW401-Level Spreader Form SW401-Wetland Form SW401-Grassed Swale Form SW401-8and Filter Form SW401-Permeable Pavement Low Density Supplement Curb Outlet System Supplement Off -Site System Supplement Wet Detention Basin Supplement Infiltration Basin Supplement Underground Infiltration Trench Supplement Bioretention Cell Supplement Level Spreader/Filter Strip/Restored Riparian Buffer Supplement Constructed Wetland Supplement Grassed Swale Supplement Sand Filter Supplement Permeable Pavement Supplement Form SWU-101 Version 09.25.08 Page 3 of 4 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 Office. (Appropriate office maybe found by locating project on the interactive online map at http:/ih2o.em•.slzte.nc.usisu!nnsi maps.htm) 1. Please indicate that you have provided the following required information by initialing in the space provided next to each item. Inn 'als • Original and one copy of the Stormwater Management Permit Application Form • Original and one copy of the Deed Restrictions & Protective Covenants Form (if — Q required as per Part IV above) • Original of the applicable Supplement Form(s) and O&M agreement(s) for each BMP • Permit application processing fee of $505 (Express: $4,000 for HD, $2,000 for LD) payable to NCDENR _ 1511,40, • Calculations & detailed narrative description of stormwater treatment/management • Copy of any applicable soils report • Two copies of plans and specifications (sealed, signed & dated), including: - Development/Project name - Engineer and firm -Legend - North arrow - Scale Revision number & date - 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 (such as additional information requests), please complete this section. (ex. designing engineer or firm) Designated agent (individual or firm): Bryan Dick- AECOM Mailing Address:701 Corporate Center Dr. City: Raeleigh State: NC Zip: 27670 Phone: ( 919 ) 854-6252 Fax: j919 ) 854-6259 Email:bryan.dick@aecom.com VIII. APPLICANT'S CERTIFICATION I, (print or type name of person listed in General Inforniation, item 2) Mr. Craig Lantz 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 15A NCAC 2H ANk Signature: Form SWU-1,61 Version 09.25.08 / Page 5 of 4 Date: _