SW6100701_Application Completness Review Checklist_20120726

Application Completeness Review'
❑ First Submittal Iff Re -submittal DateReceived: i�Date Reviewed: 73e 7— By Bill Diuguid�
Development/Project Name: T,6&}�In oc)g 1//1LLf6F_ -5Wo=7o! I — PER.w�e-r
Receiving stream name 1-1 -r-v c i s H c K g, et Classification:
river Basin: C Yf P r
For post -construction requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-I, WS-11, WS-111, WS-IV, HQW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
Management Strategy.
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):
Latitude and Longitude: 3 58 .5 —2 Da 34 W Jurisdictio s
Project Address: 1,A f- w'!eo Doe„rc Rom f_oet
Engineer name and firm: Z T ;-. E_ OAI04.E iV���&�z ,
- �� M c
Phone: Email:
Is the project confirmed to be in the State MSI Stormwater Permit jurisdictio . 2, Yes or ❑ No
❑ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets EkHigh Density ❑ Other
❑ 401/404 impacts to surface waters, wetlands, and buffers (add language to cover letter and/or add info letter)
ar BUA 5 .2
w- Check for $505.00 included
Original signature (not photocopy) on application
[a' Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent).
6&JK" TA cklF_, AAi ex
Check spelling, capitalization, punctuation: http://www.secretary.state.nc.us/corporations/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.
ZFor subdivided projects, a signed and notarized deed restriction statement
Y" Sealed, signed & dated calculations
V"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
dgLO tormwater Wetland
l�VefDetention Basin
❑ Curb Outlet
❑. Off -Site
❑ NCDOT Linear Road
Two sets of sealed, signed & dated layout & finish grading plans with appropriate details
❑ Narrative Description of stormwater management provided �}�,,r,rz
Soils report provided ( 5e" o A� qq ,,, r/ pp / }
X r� Wetlands delineated or a note onZ plans of IP tlSe accompanying documents that none exist on site and/or
/ adjacent property
q Details for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
t/ Dimensions & slopes provided
r,, A rainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
:V/BMP operation and maintenance agreements provided
, Application complete ❑ Application Incomplete Returned: (Date)
Comments
May 5, 2011 Revision, Bill Diuguid