SW5120201_Admin Review_20120207

Application Completeness Review
21"'First Submittal ❑ Re -submittal
Development/Project Name:>_�
Receiving stream name S
River Basin: "%_/¢,P — ?>Arn,LY
Date Received: Date Reviewed: —z�LZ By Bill Diuguid
ification: r AL
For post -construction requirements, a program will be deemed compliant for the areas where it is I
implementing any of the following programs: WS-I, WS-II, VVS-ill, WS-IV, HQW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
Manaaement Strateay.
High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds): /II /f
Latitude and Long itude:.3.r 5 — 76 p( /Z �L Jurisdictions S-H
Project Address: F. S-57XrF_; / .� sr ,c r✓ o %souk �� z
Engineer name and firm: o R,_ .
Phone: 912—- 1o.570 _Email: ,pg r� - ac, o
Is the project confirmed to be in the State MSI Stormwater Permit jurisdictio Yes or No
❑ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets C�igh Density ❑ Other
tJ)A --F:"- 401/404 impacts to surface waters, wetlands, and buffers (add language to cover letter and/or add info letter)
Z'_ BUA 5 .9%
Check for $505.00 included
riginal signature (not photocopy) on application
r' Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent).
Check spelling, capitalization, punctuation: http://www.secretary.state.nc.us/corporalions/thepage.aspx
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
includes the name, title, mailing address and phone number of the person signing the letter.
a For subdivided projects, a signed and notarized deed restriction statement
V Sealed, signed & dated calculations
:i Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each)
Bioretention
❑ Dry Detention Basin
❑ Filter Strip
❑ Grass Swale
❑ Infiltration Basin
❑ Infiltration Trench
❑ Level Spreader
❑ Permeable Pavement
❑ Restored Riparian Buffer
❑ Rooftop Runoff Management
❑ Sand Filter
❑ Stormwater Wetland
❑ Wet Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
�wo sets of sealed, signed & dated layout & finish grading plans with appropriate details
arrative Description of stormwater management provided
7 Soils report provided
M/p,-u-Wetlands delineated or a note on the plans or in the accompanying documents that none exist on site and/or
,,adjacent property
,,
adjacent
for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
& slopes provided
V Drainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
� MP operation and maintenance agreements provided
Application complete ❑ Application Incomplete Returned: (Date)
Comments
May 5, 2011 Revision, Bill Diuguid