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HomeMy WebLinkAboutSW3171201_Application Form_20180419DEMLR USE ONLY Date Received Fee Paid Permit Number Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction IL(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan ❑ Other WQ M mt 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.): Village at Granite Ouarry - Phase 1 2. Location of Project (street address): 3040 Faith Road City:Salisbur County:Rowan Zip:28146 3. Directions to project (from nearest major intersection): the property is located between exits 71 and 74 off 1-85 on the west side of Faith Road NCDOT S.R.1006 4. Latitude:350 36' 23.8896" N Longitude:80° 2753.6832" W of the main entrance to the project. II. PERMIT INFORMATION: 1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt tRenez gals 2oith modifications also requires SWM -102 — Renewal Application Forni 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* [❑ Completed* *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, Iist 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): ❑LAMA Major ❑Sedimentation/Erosion Control: ac of Disturbed Area ®NPDES Industrial Stormwater ❑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: 5. Is the project located within 5 miles of a public airport? ®No ❑Yes If yes, see S.L. 2012-200, Part VI: http:Zl2ortal.ncdenr.org/web/lr/rules-and-regulations Foirn SWU-101 Version Oct. 31, 2013 Page 1 of N. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. _ .... g— e dry The stormwater runoff is collected into storm,,,,,,, clrian e systems that release into stormwater BMPs. Thre,, detention sand filters and one wet pond. 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 4. Total Property Area: 107.9 acres River basin. 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': 107.9 acres + Total project area shall be calculated to exclude the following: the normal pool of incppounded stncctures, the area betzveen the banks of streams and rivers, the area belozo the Normal Hi h Water (NHW) line or Mean High Water (MHM line, and coastal wetlands landward fronz the NHW (or MHVO line, The resultant project area rs used to calculate overall percent br.tilt upon area (BUA). Norz-coastal zoetlarads landzvard of the NHW (or MHW) li)ze niay be included in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 =16.41 % 9. How many drainage areas does the project have?4 (For high densihj, corcnt 1 for each proposed engineered stornavater BMP. For lozo densihj and other projects, use 1 for the whole properhj 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. _ Drainage Area 2 Drainage Area 3 Drainage Area 4 ReceivingStream Name Crane Creek Crane Creek Crane Creek Crane Creek Stream Class * C C C C Stream Index Number * 12-115-(2) 12-115-(2) 12-115-(2) 12-115-(2) Total Drainage Area (so 217,800 370,260 980,100 174,240 On-site Drainage Area (so 217,800 370,260 980,100 174,240 Off-site Drainage Area (so 0 0 0 0 Proposed Impervious Area** s 96,765 156,337 459,843 58,440 % Impervious Area total 44,43 42.22 46.92 33.54 Impervious" Surface Area Drainage Area 1 Drainage Area 2 Drainage Area 3 Drainage Area 4 On-site Buildings/Lots (sf) 64,885 103,293 205,895 47,208 On-site Streets (sf) 24,180 40,444 92,208 8,382 On-site Parking (sf) 0 0 0 0 On-site Sidewalks (so 7,700 12,660 34,810 2,850 Other on-site (sf) 0 0 50,700 0 Future (so 0 0 76,230 0 Off-site (so 0 0 0 0 Existing BUA*** (sf) 0 0 0 0 Total (so: 96,765 156,337 459,843 1 58,440 Stream Class and Index Number can be determined at: ht : ortal.ncdenr.oiweb zv 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. Form SWU-101 Version Oct. 3 L, 2013 Page 3 of 6 a, p. Vegetated buffers (where required). 9. Copy of any applicable soils report with the associated SHWT elevations (Please identify RI 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 verifuj the SHW prior to submittal, (910) 796-7378.) 10. A copy of the most current property deed. Deed book 1297 Page No: 258 RJ 11. For corporations and limited liability corporations (LLC): Provide documentation from the NC RJ 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 Iisted as an active corporation in good standing with the NC Secretary of State, otherwise the application will be returned. hgp:/lwww.secretarv.state.nc.us/Coyporations/CSearch.asi2x 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 htt ortal.ncdenr.or web lx state- stormwater-forms docs. 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 holder(s) 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 Iot. 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:Uy V. Nguyen, PE Consulting Firm: DPR Associates Mailing Address:420 Hawthorne Lane City:Charlotte Phone: 704 332.1204 Email:hngLtyen@dl2rassociates.net State:NC Zip:28204 Fax: (704 332-1210 UC. PROPERTY OWNER AUTHORIZATION (if Contact Information, iteni 2 has been filled ottt, cotrtplete this section) I, (print or hjpe name of person listed in Contact Inforn ation, item 2a) David Hensler certify that I own the property identified in this permit application, and thus give permission to (print or type pante of person listed in Contact Information, item 1a) David Hensley with (print or hjpe name of organization listed in Contact Information, item Ta) LGI Honies NC, LLC 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. Forms SWU-101 Version Oct. 31, 2013 Page 5 of 6