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HomeMy WebLinkAboutSW7971029_CURRENT PERMIT_20210916 ROY COOPER Governor ELIZABETH S.BISER Secretary BRIAN WRENN NORTH CAROLINA Director Environmental Quality CTR Partnership, L.P. September 16, 2021 C/o National Registered Agents, Inc., Registered Agent 160 Mine Lake Ct., STE 200 Raleigh, NC 27615-6417 Subject: Stormwater Permit Renewal/Ownership Change Stormwater Management Permit SW7971029 Croatan Village Craven County Dear Sir: A Division of Energy, Mineral, and Land Resources file review has determined that Stormwater Permit SV 7971029 for a stormwater treatment system consisting of a wet detention pond serving Croatan Village located at 4522 Old Cherry point Road, New Bern, NC expires on April 1, 2022. Renewal applications were due 180 days prior to expiration. A review of the Craven County tax records shows that the property is currently owned by CTR Partnership, L.P. The Coastal stormwater rules and the NC General Statutes require a stormwater permit for this project. Stormwater permits are not automatically transferred when property is sold. The stormwater permit was originally issued to Bateman Investment Group, LLC. Please submit a completed permit renewal application and a stormwater ownership transfer application along with a $505.00 processing fee. Permit application forms for renewal and ownership transfer can be found on our website at: North Carolina General Statutes and the Coastal Stormwater rules require that this property be covered under a stormwater permit. Failure to maintain a permit subjects the permittee and landowner to assessment of civil penalties. If you have questions, please feel free to contact me at (252) 948-3923. 1 will be glad to discuss this by phone or meet with you. If you would like, I can e-mail you a copy of the application forms. You can request a copy by e-mailing me at Sincerely, Roger K. Thorpe Environmental Engineer �� �e n a f'v 'h v r t °, cnen-:�i ali i.icioi v.Mir a ra and 2Psocr<s 1,E Pia a c be qic a �rf ')1 asp gtcr o Slail Y'sf 3ro"♦cr h.ai olina �QF W A r4S Q Michael F.Easley,Governor 9 William G.Ross Jr.,secretary r North Carolina Department of Environment and Natural Resources �i O C Alan W.Klimek,P.E.Director Division of Water Quality April 1, 2008 Bateman Investment Group,LLC Attn.: Mr. Michael C. Bateman 3505 Primrose Ave. Greensboro, NC 27408 Subject: Permit No. SW7971029 MOD Renewal Croatan Village High Density Stormwater Project Craven County Dear Mr. Bateman: The Washington Regional Office received a completed Stormwater Renewal Application for the subject project on January 8, 2008. Staff review of the files and an on site inspection has determined that the project will comply with the Stormwater Regulations set forth in Title 15A NCAC 21-1.1000. We are forwarding Permit No. SW7971029 dated April 1,2008 to Bateman Investment Group,LLC for a wet detention pond located at 4522 Old Cherry Point Road, New Bern, NC 28560. / 1120 2i— This permit shall be effective from the date of issuance until April 1, 2018 and shall be subject to the conditions and limitations as specified therein. Please pay special attention to the Operation and Maintenance requirements in this permit. Failure to establish an adequate system for operation and maintenance of the stormwater management system will result in future compliance problems. The issuance of this permit does not resolve any previous violations of the stormwater rules for construction without a permit. If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing upon written request within thirty (30) days following receipt of this permit. This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. 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 Ernest Odei- Larbi or me at(252) 946-6481. incerely, � AI Hodge, Regional Supervisor Surface Water Protection Section Washington Regional Office cc: v/Washington Regional Office Central Files North Carolina Division of Water Quality Internet: www.ncwaterqualitv.org One 943 Washington Square Mall Phone(252)946.6481 NQrthCarolina Washington,NC 27889 Fax (252)946-9215 {«/// YYY"/f atityray An Equal OpportunitylAffirmativeAction Employer—50%Recycledll0%Post Consumer Paper ` L L[ State Stormwater Management Systems . Permit No. SW7971029 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY 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 Mr.Michael C. Bateman Bateman Investment Group,LLC Craven County FOR THE continued, operation and maintenance of stormwater management systems in compliance with the provisions of 15A NCAC 21-1.1000 (hereafter referred to as the "stormwater rules') and the approved stormwater management plans and specifications and other supporting data as attached and on file with and approved by the Division of Water Quality and considered a part of this permit for a wet detention pond to serve Croatan Village located at 4522 Old Cherry Point Road, New Bern, NC 28560. This permit shall be effective from the date of issuance until April 1, 2018 and shall be subject to the following specified conditions and limitations: I. DESIGN STANDARDS 1. 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 on page 2 of this permit, the Project Data Sheet. 3. A maximum of 96.475 square feet of built upon area is allowed. 4. All stormwater collection and treatment systems must be located in either dedicated common areas or recorded easements. The final plats for the project will be recorded showing all such required easements, in accordance with approved plans. 5. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit. 6. No homeowner/lot owner/developer shall be allowed to fill in, alter, or pipe any vegetative practices (such as swales) shown on the approved plans as part of the stormwater management system without submitting a revision to the permit and receiving approval from the Division. 2 State Stormwater Management Systems Permit No. SW7971029 DIVISION OF WATER QUALITY PROJECT DATA Project Name: Croatan Village Permit Number: SW7971029 Location: Craven County Applicant: Bateman Investment Group,LLC Mailing Address: 3505 Primrose Ave. Greensboro, NC 27408 Application Date: 1/10/2008 Receiving Stream: UT-Neuse River Classification of Water Body: SC Total Site Area: 6.21 ac Drainage area: 6.21 ac Total Impervious allowed: 2.21 ac Wet Pond Depth: 6.0 ft Permanent Pool Elevation 11.50 ft MSL Temporary Storage Elevation 14.50 ft MSL Required Storage Volume: 11,005 cf(based on 1 inch) Provided Storage Volume: 16,112 cf Required Surface Area: 5214 sf Provided Surface Area: 6160 sf Controlling Orifice: 1.9 inch orifice 3 State Stormwater Management Systems, , Permit No. SW7971029 7. The following items will require a modification to the permit: a. Any revision to the approved plans, regardless of size b. Project name change C. Transfer of ownership d. Redesign or addition to the approved amount of built-upon area e. Further subdivision of the project area. In addition, the Director may determine that other revisions to the project should require a modification to the permit. 8. 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. It. SCHEDULE OF COMPLIANCE 1. The permittee will comply with the following schedule for construction and maintenance of the stormwater management system. a. 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 surfaces except roads. b. During construction, erosion shall be kept to a minimum and any eroded areas of the system will be repaired immediately. 2. The facilities must be properly maintained and operated at all times. The approved Operation and Maintenance Plan must be followed in its entirety and maintenance must occur at the scheduled intervals. 3. The permittee shall at all times provide the operation and maintenance necessary to assure the permitted stormwater system functions at optimum efficiency including, but not limited to: a. Semiannual scheduled inspections (every 6 months) b. Sediment removal C. Mowing and revegetation of side slopes d. Immediate repair of eroded areas e. Maintenance of side slopes in accordance with approved plans and specifications f. Debris removal and unclogging of outlet structure, orifice device and catch basins and piping. 4. Records of maintenance activities must be kept and made available upon request to authorized personnel of DWQ. The records will indicate the date, activity, name of person performing the work and what actions were taken. 5. This permit shall become voidable unless the facilities are constructed in accordance with the conditions of this permit, the approved plans and specifications, and other supporting data. 6. Upon completion of construction and prior to operation of this permitted facility, a certification must be received from an appropriate designer for the system installed certifying that the permitted facility has been installed in accordance with this permit, the approved plans and specifications, and other supporting documentation. Mail the Certification to the Washington Regional Office, 943 Washington Square Mall, Washington, North Carolina, 27889, attention Division of Water Quality, 7. A copy of the approved plans and specifications shall be maintained on file by the Permittee for the life of the project. 4 State Stormwater Management Systems Permit No. SW7971029 III. GENERAL CONDITIONS 1. This permit is not transferable. In the event there is a desire for the facilities to change ownership, or there is a name change of the Permittee, a formal permit request must be submitted to the Division of Water Quality accompanied by an application fee, documentation from the parties involved, and other supporting materials as may be appropriate. The approval of this request will be considered on its merits and may or may not be approved. 2. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to enforcement action by the Division of Water Quality, in accordance with North Carolina General Statute 143- 215.6(a)to 143-215.6(c). 3. 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) which have jurisdiction. 4. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, 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. 5. The permit may be modified, revoked and reissued or terminated for cause. The filing of a request for a permit modification, revocation and reissuance or termination does not stay any permit condition. 6. The Permittee, at least six(6) months prior to the expiration of this permit, shall submit in writing a request for an extension along with appropriate application fee. Permit issued this the 1 st day of April 2008. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION for Coleen H. Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission Permit Number SW7971029 5 t I•�OF WA7 v (� N Michael F.MEasley, ' ov��Org �O G William G. Ross, Jr., Secretary North Carolina Department of Environment and Natural Resources Y Alan W. Klimek, P.E. Director Division of Water Quality G1 SURFACE WATER PROTECTION SECTION COASTAL STORMWATER PERMIT RENEWAL APPLICATION FORM PERMIT INFORMATION: 1. Stormwater Management Permit Number: 6 J-7Lq -] /Q�� 2. Permit Holder's name: 6. 6b rmel. Twu-r4meT.) �rtwn . LLB 3. Property Owners Name: Slim (if different from permit holder) QQ II n — 4. Signing official's name: PIC1109-1I C, I t�rn�� Title: Y/C5id c4,. Ii (person legally responsible for ertnit) 5. Mailing address: �F6k vr'� nf;w if- City: Ue'za!SS,Y o 6. State: N,(, Zip Code: ?—' UC Phone: 33L,-5y.5 3Yt%K / L 7. Project Name: •I ( (Area Code and Number) (_{ZU�-11�ry �t f1� �° 8. Location of Project: (street address) ���s� 1� J�1� ) r rn1�.i erw. - C ( r 1� I) 9. Directions to Project (from nearest major intersection) kf' LUe.6St IC'• TI L t (I�L'r CC,'✓1 ( qq 10. Specify the type of stormwater treatment (wet pond, infiltration,etc.): of I_r1 T V j 1 1. List any changes(from project that was originally approved,attach additional pages if needed) 1�� Applicant's Certification: I, (print) (11CV & 1 C , QjA,'�trygfJ certify that the information included on this permit renewal application, i to the t f my knowledge, correct and complete. Signature: Date: G Submit this completed form along with an application fee of $420.00, a new signed Operation and Maintenance Agreement and a copy of the designer's certification to the address listed below. Ncrth Carolina Division of Yzter Quality 943 tyasnington Square Mall °hone(252)946-6481 Customer Service 1-8 i 23-6748 One Washington Regnnai Clime Washington,P!C 278K =AX '252)946?215 'nteme i n,-. r^:r, rnu N�O9Cti1}C aCOl/IPtt -n :�a.Cnc rnet`im•:a . . cn 2^pr .`5?a I .,,^rsume °=.cer ,, VCjl G/rll�(l� �0F W AT F9 Michael F.Easlev,Governor William G.Ross Jr.,Secretary Ot r North Carolina Department of Environment and Natural Resources > # p Alan W.Klimek,P.E.Director Division of Water Quality SURFACE WATER PROTECTION SECTION COASTAL STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM I. CURRENT PERMIT INFORMATION: 1 . Stormwater Management Permit Number: 5 -70I ]�049 n 2. Permit Holder's name: t erase— Sewim Hxl�&s 3. Signing official's name: 17,WJ , yLK Title: ? (person legally responsible for permit) 4. Mailing address: F City:_ uCw r ar j State: NCZipCode: 2 Q Phone: FAX: ? (Area Code and Number) (Area Code and Number) II. NEW OWNER / PROJECT / ADDRESS INFORMATION 1 . This request is for: (please check all that apply) tea. Change in ownership of the property/company (Please complete Items #2, #3, and #4 below) ✓b. Name change of project (Please complete Item #5 below) ✓C. Mailing address change. (Please complete Item #4 below) d. Other (please explain): 2. New owner's name to be put on permit: E6enerJ . u-e5 t..L� �lituP LL6 11 nn ff 1 3. New owner's signing official's name and title: (glA L t Ct E74iransF� (Title) 4. New Mailing Address:35C tzcy C' City: U State:4L,(', Zipcode:77L/ g Qhone: %--5g53%ZFAX: a5 G3S-`t�3� (Area Code and Number) (Area Code and Number) 5. New Project Name to be placed on permit: C& a 1 _ J Page 1 of 2 North Carolina Division of\kater Quality [ntemet: o olv.ncwotemualiN ore 1�7One7 l+ 1 94b 'A'eshin_Pron Square N9all Phone(262)946-6481 1Voi-th .arofina \\aaunetun NC--S89 ax (2�3)946-9213 /Y`7f7/Ni7/y C� bb DbG LLat;/ DWQ USE ONLY Date Received Fee Paid Permit Number MAR 13 2008 a r�lt�waf DWQ-WARn State of North Carolina `� Lepartment 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): Bateman Investment Group,LLC 2. Print Owner/Signing Official's name and title(person legally responsible for facility and compliance): Michael C. Bateman,Manager 3. Mailing Address for person listed in item 2 above: 3505 Primrose Avenue City:Greensboro State:NC Zip:27408 Phone: (336 ) 617-4799 Fax: (336 ) 617-4799 Email:mbateman®seniormana gementsolutions.c om 4. Project Name(subdivision,facility,or establishment name-should be consistent with project name on plans, specifications,letters,operation and maintenance agreements,etc.): Croatan Village(Formerly Neuse Senior Housing Inc.) 5. Location of Project(street address): 4522 Old Cherry Point Road City:New Bern County:Craven Zip:28560 6. Directions to project(from nearest major intersection): From New Bern take Highway 70 east to Thurman Road. Turn left at Thurman Road and go 0.4 miles to Old Cherry Point Road Go 1.6 miles to the entrance of Croatan Village. Croatan Village sign will be on the left. 7. Latitude:35°01' 13" N Longitude:76°59'37" W of project 8. Contact person who can answer questions about the project: Name:L. Allan Hill,P.E./Triad Design Group,PC Telephone Number: (336 ) 218-8282 Email:ahill@triad-designgroul2.com II. PERMIT INFORMATION: 1. Specify whether project is(check one): ❑New ❑Renewal ®Modification FormSWU-101 Version02.19.08 Page 1 of 2. It this appliealion is being%ubmdted as the result of a renewal or ntnditi I,,tn r%islin}; permit, list the esistm}; permit nwnbcrSl1'797I129-- _-- and it, issue,lah, I it kmmn)�larch 3 Spt\its the type of project (check one): ❑I nc Donsily NI li};h Uonsity ❑R Jevclop ❑C;eneral permit ❑Cnlversal SNIP [ ](Aber 4 :\ddiWrnal I'rolo(I Requitement, (eheck ahl(• I+lank%, minrrn•rhrm nn required slate permits can he oblained be c oil lacling the(*uslomrr pert Itt•l enlor at 1-8�' 1'21, n7 Is) r ]( :\NIA Major (]Sedllnentatinm Lro%imi Control L1d0.I ' 101 Permit ❑NPDFL,�tornrtvater III. VROJh:CI' INFORMATION I lu the%pact• p (Wided hcloty. %u nand nl,• hu iv sturnttvalt'r will N. Iwalod :\Isn at tat It a deli ilorl narrative tnno to ilea pages)dosiribin};%totil—alet management for lilt, projerl - Moron+ator it'noll Irom I I I I pagan dram% In the Neuse River basin — 3. l'otal Properly Area: 6.21 acres 4. 'Total Wetlands Area: 0.00 acres 5. 100' Wide Strip of Wetland Area: acres (Trot applicable if no wetlands west on site) 6 Total Project Area**:G 21 acres 7. Project Built Upon Area:35.43% % 8 How many drainage areas does the project have?t 9. Complete the following inforntannn for each drainage area. If there are more than two drainage areas in the project, atfach an additional shoot with the information for each area pnrvided in the same format as below Poe hi�h density projects,cow ,lute lh(• table with one drainage area for each en ineered storntwater device. itasin Information Drainage Area I Drainage Area 2 Rta eiving Stroam Name UT - Neuse River Slrvant Class h Index No. ti(. 'fatal Drainago Area (sf) 273fK)2 s1 Omsito Drainage Awa (sl) 229,t})7 sf ---- ._-- Off-site Drainage \pea (%1) -- 43,996 sf -- — xlslin}; hnpen wir.• :\rva (sf) 8G,560 sf I'ro posed ltn tit ttinu% A I va ILfL 't.l154 In1.x rvutus' An t Itotap (� I t Intprrvious Surface Area Dt anal t \n a I Drainage Area 2 ti312,%I --- � l ht-site�troris fist) II sl Oil Silt' Parking (sf) .__ 0 st - - - -- t:)n-site Sidewalks (sf) I.I Ill sl --- - Other on-site (sf) 11 sl Off-site (sf) U sf Total (sl): 9,135 st Impervious area is defined as the malt upon area Including, but not limited to, bud:fings. rands, parking arras. sideuwlks,gravel areas, c•tc. I of ill S%CU-I01 VCI'SIon W 19.08 Page 2 of•I !� IL... .,I, Ih,� ,•II +i(r llnlnr. I, n, ,:I, n -b. ll ,ll�:•�., J,•Inrll 1111 -:L .. till,-. Ih- :�I nll. �l II I, _. . IA_ III 11( RI ,! RKAH )NW A NI11'R( lll ( 11% 1 (151 NA,N !', II : ii, tit1. :11 . .1 t: ..liL ;i..II , t , ., I. " - 1l,llll I 11. ! i.. . .q'k ILrl W! ll.,_. .,.r,I lutlu, ill'(: nl I II, In. ,,i1, .,I .nn bd Ir.t I lllntl 'I ,I.,-.Illd III,' .I L,Al II`I, ,Ill! I,! I .I!,'.I ,•I h h till Inu,t !'I I 'I 'I I eI: .:I LI, hill, lit I -,-. it='.I'� I III•h I4�m.11l I :::II�, I. I,li ',u h,ln I+I,nr, . : I nl Pi'i�r IIII•,h II,_�mll� Ill^.,�6�I�ni� rl�. I�: IIh( hll ll.0 l, b. I I.r. I' I I,a I).'u•.11�, I ,�ul•II,-;.Ini �u hJ I�I•,nnr, . I n. lll�'..': ,• I „1114•n•.III Igo-.i.l„Itl,ll �-•.IbJn nlnns l�Ilhl ull�: 'u lirP� Il% (lit ipiature belm% all sett its that the recorded decd le't,I,tinn, and Ilrnl:rl i%e ill'%enarlt, I'll thi. Ivuject shall includo all IhO applicable hum, mquited in the abo%c term, that the coNenants refill be hindin^ un all pattw, and per.on'clainlin:; under them, that they (till Itul rN hh the land that the required cm manta ralnud be changed or del cl ed (i it llu ut (UI IC(II'I Once trlrm the titatc, and that the% %�ill he recorded prim to till' .ale Ili an% lot. ,I'll Till,:II. I In_ul,t, I'', ,It I"'I Intl ,Ill,l lll'IIi,'lii L•I Ili„ '. t,'.i 'r, L,l: mull bl I:bnll'J, it i. "I ,i , :n, iq IIII� Iq llr,l I it Ll, I I _....I ,'1 :I n, ( nIP'I:I ': !In:t'• •Lt n ,� `I _ Il:l ,•,l till '.._i, . .I .. it Iit,, . l 11 6,Inl'. I -I Ili, .n l+. J,•:,nl, a,I, II II,�III '.;'I I lit - , .,I lu :l II,II III I,( hlllrl '.,,•.LIn lull� I `ul ,-1 '•r�drnl `�n I�I,I,�nl, r,t : ... I ., P'1 llll ',n,�',(•d,'In IIII ' II,� „tent ',u I�I� , nu iN I �.',A I�'LlA.'I l I,9rnlpnl li.r_lu . ., t ll, I,�utl„n fa•.(II':III,I,. In nI . "I rr ..1'�. !rl LiIIII.II I, a Iia+l r, inllitl ell„n I',,r.ln ',ll hl,l, nll l t !. '.'I L' 't�', t„I uIIIt Lll li,n IR'II, II I.,I•'I,'I.'lII4l !n11I11.I1,'IV !,-r..lv "II;'l�b ;Lr JI .,n,.l -�1`. ;I'I Rll,l, l,�n U,nl t ,�I i',I,.:„Lulr.nl ( ,•I '-all�i�h�lll, !�! I ,I:.i , : icl l ,�I• I ` I+n�,nirl . , ,,. I �I•I•_:,1, I 111IL�I I , .l l;:, :,Ill halt �I �alln,^, - -. IT, tl'. lN:l l,- L.Ie .;, J `,l..Ileul�Idlul, nl illcl 1e1' 1 1111 1 pllh m, nl i.al'I, I'a�, ln, 111 !'. I 1n, di 1,. I'a%onl, nl N'1. 1,UItNII ITA1, 11GQUIItLNIFNTS Only complete application packages will be accepted and Ioyivwrd I,t the Division of 1Vater Quality (DW(J). A complete package includes a I I of the items listed hvlote. The cont1,Ivto application package should be submitted to the appropriate DWQ Office. (Appropri,rtr elute mac 11,- 1'A;III'l he ",atnly pn,j rtl on the nllt'ra:hye online 111,11,at III II,: II_'it ClIt il;lle.11, Al.; .II 111.1_I I I;tp\.lit I l l) . I fleas'. indicate Iha, \'u11 have lit(is I od Ihl• tollotc ny, royuired intn Illation by uutialup� in Ihl•sp&C III,r%idod nv\1 ill rant rtYnl. • � !r;,;uwd,lnJ cvir ro)I11 of lhr"h'nin+.l6•r \lau,t);rnn•nl I'rrnul :\11,ht drum Fenn • I,A.;,:.1:ar:.l "I, At lh'. D' . If NO"Ir1, tltm•. K. Violet lnvv( ovrnanth F ui rn ni t rriti11.1!of Ihr applit able`luppionwill I,ilin(sl and l IK•NI d)�wenwllt(1 l bur ra, 11 MII' • Pet ilt( apphcalion pit.crs.o11•, Ice nt SSn',(Sl 1111(1 for I'vpm.,) !� "Ci It '., • ( a1, ulatuni, h detailed nelralnr d,scI II of stor III\rao I tI CIA Unenl, mana},� Ill nl • l opt of ant' apphrable so11% rrpol I N14- • ftt,I,opivs of plans and spot till dtIO[ s (waled, signed ti lobed 1, till hl.lin); - Ih•yeloplooln2 Ih-inert manly f:ngineor and tote Legend - North arrow -kale - Kevision number & dale Mean hi};h water line Dimensioned propertt, project boundary - Location neap with named strvcts or NC`;K itun4a•rs -Orip,inaI contours, proposed ontours, spot vloyations, Ioushed floor elevations - Details of roads. drainage tvat ur,, i olloction s,vs(enis. and stored\+'titer control moasttrv% - l\'vl L:ntls delinoa led. rlr a rely on plans that none e\isl L\istinl,itraina)• v (i lit lodIng(kIl-site). drouial{e c,avmtnlb. pipv.iv.vs. runoff c,llrn III tions - I)rainal;o arvar.doluivated - - \'e);vlaled hufh,ors I%%here n^gwred) \'It. AGpN'I' ALII'11ORIZATION It you wall In dosip,nair dulhnrrts to ank 111C1 mdly lJnal or In of so that lho\' nlac prrly 1,71h inlormanon nn c,stir brhaIt pleaw tompic o Ilns s1Y non (ry domi"11111p,I.n);Ilwol nr In lit) Dr51) Ilated a};rnl(individual fir li tit)l I :\Ilan I IIll, I' 11 / 111,1,1 11r.ily A(doII Nladutg Address'.I8U _C: Ko1;vi hmil,waid l II\'.(.I A-en,ho r, _ - _ _. "t.11t, Ni III, ?7.10G' I mndvhlllra \'111.APPLICAN PS CIiR'I HR A ION I_ Inu:! I-r h111t ill I crsmi II>le, ui Gnirnil 11:ICtmhzII1'ri 11rni 2) AIt,hart i_iinlnn,m _ an-tit\ that the information included on this permit application IUriil is. I„ the best of Ili\ knmv lvdgo •:, I I,,,t ,:;:.I that the project will be eon.ctruclCd in conlonnance \cith the opPrnyed 1?lens. Ihal till' Wquirod deed restriction. 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