20090544 Ver 1_More Info Received_20090618

Oct -Dssq
B,ARTLETT
ENGINEERING a suRVErn+c, rc
1906 Nash Street North Wilson, NC 27893-1726
June 16, 2009 Phone: [phone] Fax: [phone] OkOLSOIUR OP
NC DWQ 401 /Wetlands Unit JUN 1 2009
1650 Mail Service Center.
Suite 250 OENR - WATER QUALITY
Raleigh, NC 27699-1650 WETLANDS AND STOW&TFR BRANCH
REFERENCE: OLDE MILL STREAM, ROCKY MOUNT, NC -NASH CO.
To Whom It May Concern:
Please find herewith, 5 copies of revised plans and supporting documentation for the above referenced project.
The revised PCN has also been included with revised total wetland and buffer impacts. The Corps of
Engineers asked us to show all of the wetland impacts for the site including the outfall for the sewer line that is
being permitted by the City of Rocky Mount under NWP12.
Request for more information was addressed as follows:
1. Additional plan sheets were added to show impacts at a scale of no smaller than 1:50.
2. All wetlands, streams, and buffers are more distinctly shown on plan sheets. There are no isolated
wetlands on site.
3. Zone 1 and 2 of the riparian buffers are shown on site plan.
4. The future development on lots 214 and 215 located along Halifax Rd. as well as the other
planned phases of the subdivision will have to meet peak flow reduction, nutrient loading and
diffuse flow requirements. Currently, there are no plans for lots 214 and 215. Future phases of
the subdivision will require the use of stormwater BMP's to achieve peak flow and nutrient
reduction and have been incorporated into the overall plan; however, design has not been
finalized at this point. (See attached letter from City of Rocky Mount)
5. Diffuse flow plan has been included in the site plan and supporting documentation attached
If you have any questions or need additional information, please contact our office. Thank you.
Sincerely,
J athan Lee Meade
nvironmental Specialist
Enclosure
oWArF9OG
1 1 >
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit E] Section 10 Permit
1b. Specify Nationwide Permit (NW P) number: 29 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
1 d. Type(s) of approval sought from the DWO (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ® Riparian Buffer Authorization
1e. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

® Yes ? No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ® No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: Olde Mill Stream
2b. County: Nash
2c. Nearest municipality / town: Rocky Mount
2d. Subdivision name: Olde Mill Stream r-
2e. NCDOT only, T.I.P. or state
project no: N/A
3. Owner Information u 2,rj, Cg
3a. Name(s) on Recorded Deed: Hodge-Morris, LLC DENR • WATER QUALITy
3b. Deed Book and Page No. 2162, 770 ,fvy'?TERBRANCH
3c. Responsible Party (for LLC if
applicable):
Ralph Hodge
3d. Street address: 1708 Trawick Rd, Suite 209
3e. City, state, zip: Raleigh, NC 27604
3f. Telephone no.: 252-237-3663
3g. Fax no.: 252-206-5789
3h. Email address:
Page 1 of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ® Agent ? Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: Robert S. Bartlett
5b. Business name
(if applicable): Bartlett Engineering and Surveying, PC
5c. Street address: 1906 Nash St NW
5d. City, state, zip: Wilson, NC 27893
5e. Telephone no.: 252-399-0704
5f. Fax no.: 252-399-0804
5g. Email address: [e-mail]
Page 2 of 11
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 3830-18-31-0386 and 3830-18-31-1671
1 b. Site coordinates (in decimal degrees): Latitude: 35.94791 Longitude: - 77.87581
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 93.8 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Maple Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-IV; NSW
2c. River basin: Tar-Pamlico
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application: The 93.8 acre site is partially wooded, mainly cropland farmstead with one stream/wetland feature on the
east side and one stream/wetland feature (Maple Creek) on the south side. Bounded on the east by Halifax Rd. Most of
the surrounding area is agricultural.
3b. List the total estimated acreage of all existing wetlands on the property:
15.75 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
5259 LF
3d. Explain the purpose of the proposed project:
Residential Subdivision
3e. Describe the overall project in detail, including the type of equipment to be used:
Project will consist of clearing and grading with appropriate erosion control measures and installation of roads and utilities
for subdivision. Access to the main portion of the property will require a perpendicular crossing of a stream/wetland
feature. Equipment used will include backhoes, motor graders, dumptrucks, etc.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ®Yes ? No ? Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
f
? Preliminar
®Final
o
determination was made? y
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: ESI
Name (if known): Jamie Shearn/Jeff Harbour(ESI) Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Signed JD 2/22/08 by Jamie Shearn-12/02/05 Buffer Determination by Mike Horan
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
?Yes No ? Unknown
5b. If yes, explain in detail according to "help file" instructions.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
6. Future Project Plans
6a. Is this a phased project? ®Yes ? No
6b. If yes, explain.
The site will be divided into four residential phases. Phase 1 consists of the perpendicular access crossing and utility tie-
in (No other impacts are expected in the remaining phases). The main sewer outfall line installation and associated
wetland impacts and permits will be conducted by the City of Rocky Mount under NWP12 and is also accounted for on
our PCN submittal. The overall plan has been reviewed by the City of Rocky Mount with preliminary approval.
Page 4 of 11
C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ® Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T
W1 ®P ? T Fill/Access ® Yes ® Corps 0
086
Crossing ? No ? DWQ .
W2 ? P ®T Utility Crossing ® Yes
? No ® Corps
? DWQ 0.12
W3 ? P ® T Utility Crossing ® Yes
? No ® Corps
? DWQ 0.07
W4 ? P ® T Utility Crossing ® Yes
? No ® Corps
? DWQ 0.12
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 0.396
2h. Comments: Main sewer line outfall to also be permitted by City of Rocky Mount (under their construction) will have a total
of 0.31 acres of temporary wetland impacts (W2,W3,W4) under NWP12 associated with this property-designed to avoid
wetlands and excessively deep manholes.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent
DWQ -non-404,
width
(linear
Temporary (T) (INT)? other) (feet) feet)
S1 ®P ? T Piped Access
Crossing UT to Maple Crk ? PER
® INT ® Corps
? DWQ 2 90
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 90 LF
3i. Comments:
Page 5 of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individual) list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ® Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for impact Stream name mitigation (square feet) (square feet)
Temporary T required?
61 ®P ? T Access UT to Maple Crk ® Nos 5359 3585
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts 5359 3585
6i. Comments. Main utility line permitting and installation conducted by the City of Rocky Mount under NWP12 (exempt)
Page 6 of 11
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Site was configured to perpendicularly cross wetland and buffer zones at one location to access site. Utility line by City of
Rocky Mount designed to avoid wetlands and Tar-Pamlico buffers and avoid excessively deep manholes.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Limits of disturbance will clearly be marked and silt fence used along wetlands and buffer zones downslope of any
disturbance along with temporary diversions and sediment traps upslope of wetland/buffer areas. For utility line (City of
Rocky Mount) the impacts will only be temporary with mats used along with appropriate erosion control measures to
minimize impacts and restored to original grade.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c.
If yes, which mitigation option will be used for this
project? ? Mitigation bank
? Payment to in-lieu fee program

? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ? Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 8 of 11
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified ® Yes ? No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Diffuse flow will be achieved by using level spreaders at stormwater ® Yes ? No
discharge points prior to entering buffer zone.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 7.0% for Phase 1
2b. Does this project require a Stormwater Management Plan? ® Yes ? No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Phase 1 will diffuse flow through level spreaders and vegetative filters while subsequent phases will require the use of
detention ponds and/or other BMP's to achieve peak flow and nutrient reduction.
® Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? City of Rocky Mount
? Phase II
3b. Which of the following locally-implemented stormwater management programs ® NSW
? USMP
apply (check all that apply): ® Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ® No
attached? Stormwater Plan not required for Phase 1 with overall impervious
approx. 7%. Additional phases will require stormwater BMP's for peak flow and
nutrient reduction. (See attached letter from City of Rocky Mount)
4. DWQ Stormwater Program Review
? Coastal counties

4a.
Which of the following state-implemented stormwater management programs apply ? HQW
? ORW
(check all that apply): ? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the ? Yes ® No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ? No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ? Yes ? No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Wastewater will be discharged to a public sanitary sewer system.
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
bi
h
? Yes No
a
tat?
5b. Have you checked with the USFWS concerning Endangered Species Act
i ? Yes
No
mpacts?
5c. If yes, indicate the USFWS Field Office you have contacted. El Raleigh
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NC stream classification
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
t
t
N
? Yes ®No
s
a
us (e.g.,
ational Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ? No
8b. If yes, explain how project meets FEMA requirements: BUA will not be located in the 100 yr floodplain
8c. What source(s) did you use to make the floodplain determination? FEMA maps
Robert S. Bartlett

Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 11
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
PROJECT NAME: Olde Mill Stream Subdivision PARCEL ID: 3830-31-0386, 3830-18-31-1671
STREET ADDRESS
Please print:
Halifax Road Property
Nash County, NC
Property Owner: Hodge Morris, LLC
Property Owner: Ralph Hodge
The undersigned, registered property owners of the above noted property, do hereby authorize
Robert S. Bartlett of Bartlett Engineering and Surveying PC
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Ralph Hodge
1708 Trawick Rd, Suite 209
Raleigh, NC 27604
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Au orized Signature
Date: 1 '2-7- Oa
Authorize S' nature
Date: L'Z (-j
•I+r OI
ROCKY
MOUNT
* 00"
M ••. O, I M A
sApril 28, 2009

Ms. Cyndi Karoly
401 Oversight/Express Review Permitting Unit
Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699-1650
Re. Maple Creek Interceptor Sanitary Sewer Phase 2
Dear Ms. Karoly;
DEPARTMENT OF
ENGINEERING
The City of Rocky Mount commits to requiring on-site stormwater management measures, such as
riparian buffers, bioretention cells, constructed wetlands, and level spreaders, for any additional
development on parcels adjacent to this sanitary sewer interceptor corridor. All development will be
required to meet stringent water quality requirements in accordance with the City of Rocky Mount's
Land Development Code, the City of Rocky Mount's Stormwater Management Program, the Tar.
Pamlico River Basin Riparian Buffer Protection Rules, and the Tar-Pamlico Nutrient Management
requirements.
If you have further questions or need additional information, please feel free to contact me at
252/972-1340 or Karen. Cal lawavna.rockymountnc gov.
Sincerely,
4a*1A- W Karen G. Callaway, P.E.
Interim Asst. City Engineer/Water Resources
L
331 South Franklin Street -Post Officc Box 1180 - Roc Mount
F
North Carolina 27802.1180
Tclcphonc (2S2) 972-1121 • Fax [phone] • Webolte; www.rockymounthc.gov
Email! englhaercng&ockymountme.gov
o"ECKUST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Pagel Plan
Initials Sheet No.
a
1. Plans (1" - 50' or larger) of the entire site showing:
Design at ultimate build-out,
- Off-site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Forebay (if applicable),
High flow bypass system,
Maintenance access,
- Proposed drainage easement and public right of way (ROW), and
- Boundaries of drainage easement.
L "
'
or larger) for the level spreader showing:
2. Plan details (1
= 30
Forebay (if applicable),
High flow bypass system,
One foot topo lines between the level lip and top of stream bank,
Proposed drainage easement, and
- Design at ultimate build-out.
C
r? 3. Section view of the level spreader (1" = 20' or larger) showing:
Underdrain system (if applicable),
fI JJ Level lip,
Upslope channel, and
Downslope filter fabric.
4. A date-stamped photograph of the filter strip that clearly shows the type of vegetation that is present.
5. A construction sequence that shows how the level spreader will be protected from sediment until the entire
drainage area is stabilized.
6
Th
ti
l
l
ti
.
e suppor
ng ca
cu
ons.
a
A?qcW 7. A copy of the signed and notarized operation and maintenance (0&M) agreement.

8. A copy of the deed restrictions (if required).
Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer-Rev.5 Part III, page 1 of 1
AV
NCDENR
O?Of W ATFq?G
? y
0
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER, FILTER STRIP AND RESTORED RIPARIAN BUFFER SUPPLEMENT
This form must be completely filled out, printed and submitted.
DO NOT FORGET TO ATTACH THE REQUIRED ITEMS CHECKLIST AND ALL REQUIRED ITEMS (NEXT WORKSHEET)!
RAA.IECT WbWTIf3N
Project name OLDE MILL STREAM
Contact name JON MEADE
Phone number 252-399-0704
Date May 26, 2009
Drainage area number LEVEL SPREADER#1
P-L 010 1 T?I+i
For Level Spreaders Receiving Flow From a BMP
Type of BMP
Drawdown flow from the BMP cfs
For Level Spreaders Receiving Flow from the Drainage Area
Drainage area
Impervious surface area
Percent impervious
Rational C coefficient
Peak flow from the 1 in/hr storm
Time of concentration
Rainfall intensity, 10-yr storm
Peak flow from the 10-yr storm
Where Does the Level Spreader Discharge ?
To a grassed bioretention cell?
To a mulched bioretention cell?
To a wetland?
To a filter strip or riparian buffer?
Other (specify)
Fitter Strip or Riparian Buffer Characterization (if applicable)
Width of grass
Width of dense ground cover
Width of wooded vegetation
Total width
Elevation at downslope base of level lip
Elevation at top of bank of the receiving water
Slope (from level lip to to top of bank)
Are any draws present?
Level Spreader Design
Forebay surface area
Feet of level lip needed per cfs
Answer "Y" to one of the following:
Length based on the 1 in/hr storm?
Length based on the 10-yr storm?
Length based on the BMP discharge rate?
Design flow
Is a bypass device provided?
20,515.00 ft14,264.00 ftz

69.53 %
0.90
0.42 cfs
5.00 min
7.5 in/hr
3.18 cfs
N (Y or N)
N (Y or N)
Y (Y or N) Please complete filter strip characterization below.
Y (Y or N) Please complete filter strip characterization below.
ft
83.00 ft
It
83.00 ft
117.63 fmsl
116.70 fmsl
1.12 % OK
N (Y or N) OK
sq ft
13 f /cfs
N (Y or N)
Y (Y or N)
N (Y or N)
3.20 cfs
N (Y or N) A bypass device is not needed.
Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer-Rev.5 Parts I. and II. Design Summary, page 1 of 2
Length of the level lip
Are level spreaders in series?
Bypass Channel Design (if applicable)
Does the bypass discharge through a wetland?
Does the channel enter the stream at an angle?
Dimensions of the channel (see diagram below):
M
B
W
y
Peak velocity in the channel during the 10-yr storm
Channel lining material
42.00 ft Level spreader length OK.
N (Y or N)
(Y or N) Do not complete this section of the worksheet.
(Y or N) Do not complete this section of the worksheet
Do not complete this section of the worksheet.
ft Do not complete this section of the worksheet
ft Do not complete this section of the worksheet
ft Do not complete this section of the worksheet
ft Do not complete this section of the worksheet.
cfs Do not complete this section of the worksheet.
Do not complete this section of the worksheet.

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Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer-Rev.5 Parts I. and II. Design Summary, page 2 of 2
p?pF W aTFROG
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TA A
NCDENR °
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER, FILTER STRIP AND RESTORED RIPARIAN BUFFER SUPPLEMENT
This form must be completely filled out, printed and submitted.
DO NOT FORGET TO ATTACH THE REQUIRED ITEMS CHECKLIST AND ALL REQUIRED ITEMS (NEXT WORKSHEET)I
?1T?1
Project name OLDE MILL STREAM
Contact name JON MEADE
Phone number 252-399-0704
Date
Drainage area number
May 26, 2009
LEVELSPREADER#2
For Level Spreaders Receiving Flow From a BMP
Type of BMP
Drawdown flow from the BMP cis
For Level Spreaders Receiving Flow from the Drainage Area
Drainage area
Impervious surface area
Percent impervious
Rational C coefficient
Peak flow from the 1 in/hr storm
Time of concentration
Rainfall intensity, 10-yr storm
Peak flow from the 10-yr storm
Where Does the Level Spreader Discharge ?
To a grassed bioretention cell?
To a mulched bioretention cell?
To a wetland?
To a filter strip or riparian buffer?
Other (specify)
Filter Strip or Riparian Buffer Characterization (if applicable)
Width of grass
Width of dense ground cover
Width of wooded vegetation
Total width
Elevation at downslope base of level lip
Elevation at top of bank of the receiving water
Slope (from level lip to to top of bank)
Are any draws present?
Level Spreader Design
Forebay surface area
Feet of level lip needed per cfs
Answer "Y" to one of the following:
Length based on the 1 in/hr storm?
Length based on the 10-yr storm?
Length based on the BMP discharge rate?
Design flow
Is a bypass device provided?
20,051.00 ft2
17,166.00 ft2
85.61 %
0.90
0.41 cfs
5.00 min
7.5 in/hr
3.11 cis
N (Y or N)
N (Y or N)
Y (Y or N)
Y (Y or N)
ft
Please complete filter strip characterization below.
Please complete filter strip characterization below.
65.00 ft
ft
65.00 ft
121.33 fmsl
120.49 fmsl
1.29 % OK
N (Y or N) OK
sq ft
13 ft/cfs
N (Y or N)
Y (Y or N)
N (Y or N)
3.10 cfs
N _ (Y or N)
A bypass device is not needed
Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer-Rev.5 Parts I. and II. Design Summary, page 1 of 2
Length of the level lip
Are level spreaders in series?
Bypass Channel Design (if applicable)
Does the bypass discharge through a wetland?
Does the channel enter the stream at an angle?
Dimensions of the channel (see diagram below):
M
B
W
y
Peak velocity in the channel during the 10-yr storm
Channel lining material

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42.00 ft Level spreader length OK.
N (Y or N)
(Y or N) Do not complete this section of the worksheet.
(Y or N) Do not complete this section of the worksheet.
Do not complete this section of the worksheet.
ft Do not complete this section of the worksheet.
f< Do not complete this section of the worksheet.
fl Do not complete this section of the worksheet.
ft Do not complete this section of the worksheet
cfs Do not complete this section of the worksheet.
Do not complete this section of the worksheet.

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Form SW401-Level Spreader, Fifler Strip, Restored Riparian Buffer-Rev.5 Parts I. and II. Design Summary, page 2 of 2
O?O0 W AT FRIG
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AMA
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER, FILTER STRIP AND RESTORED RIPARIAN BUFFER SUPPLEMENT
This form must be completely filled out, printed and submitted.
DO NOT FORGET TO ATTACH THE REQUIRED ITEMS CHECKLIST AND ALL REQUIRED ITEMS (NEXT WORKSHEET)!
PROJECT INFORNATION
Project name OLDE MILL STREAM
Contact name JON MEADE
Phone number 252-399-0704
Date May 26, 2009
Drainage area number LEVEL SPREADER#3
DESM
For Level Spreaders Receiving Flow From a BMP
Type of BMP
Drawdown flow from the BMP cfs
For Level Spreaders Receiving Flow from the Drainage Area
Drainage area
Impervious surface area
Percent impervious
Rational C coefficient
Peak flow from the 1 in/hr storm
Time of concentration
Rainfall intensity, 10-yr storm
Peak flow from the 10-yr storm
Where Does the Level Spreader Discharge ?
To a grassed bioretention cell?
To a mulched bioretention cell?
To a wetland?
To a filter strip or riparian buffer?
Other (specify)
Filter Strip or Riparian Buffer Characterization (if applicable)
N (Y or N)
N (Y or N)
Y (Y or N) Please complete filter strip characterization below.
Y (Y or N) Please complete filter strip characterization below
Width of grass ft
Width of dense ground cover 46.00 ft
Width of wooded vegetation 12.00 ft
Total width 58.00 ft
Elevation at downslope base of level lip 128.43 fmsl
Elevation at top of bank of the receiving water 125.34 fmsl
Slope (from level lip to to top of bank) 5.33 % OK
Are any draws present? N (Y or N) OK
Level Spreader Design
Forebay surface area sq ft
Feet of level lip needed per cfs 24 fticfs
Answer "Y" to one of the following:
Length based on the 1 in/hr storm? N (Y or N)
Length based on the 10-yr storm? Y (Y or N)
Length based on the BMP discharge rate? N (Y or N)
Design flow 1.20 cfs
Is a bypass device provided? N (Y or N) A bypass device is not needed
7,794.00 ftz
7,794.00 ftz
100.00 %
0.95
0.17 cis
5.00 min
7.5 in/hr
1.27 cfs
Form SW401-Level Spreader, Fitter Strip, Restored Riparian Buffer-Rev.5 Parts I. and II. Design Summary, page 1 of 2
Length of the level lip
Are level spreaders in series?
Bypass Channel Design (if applicable)
Does the bypass discharge through a wetland?
Does the channel enter the stream at an angle?
Dimensions of the channel (see diagram below):
M
B
W
y
Peak velocity in the channel during the 10-yr storm
Channel lining material
32.00 ft Level spreader length OK.
N (Y or N)
(Y or N) Do not complete this section of the worksheet
(Y or N) Do not complete this section of the worksheet
Do not complete this section of the worksheet.
ft Do not complete this section of the worksheet.
ft Do not complete this section of the worksheet.
ft Do not complete this section of the worksheet.
ft Do not complete this section of the worksheet.
cfs Do not complete this section of the worksheet.
Do not complete this section of the worksheet.
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Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer-Rev.5 Parts I. and ll. Design Summary, page 2 of 2

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Approximate location of Level Spreader# 1
tipproxtmate ?ocation of Level Spreader#1-Looking into woods
Approximate location of Level Spreader#2
Approximate location of Level Spreader#2-Looking up from stream bank
Approximate location of Level Spreader#3
Approximate location of Level Spreader#3-Looking into woods
Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Filter Strip, Restored Riparian Buffer and Level Spreader
Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
- Immediately after the filter strip is established, any newly planted vegetation
will be watered twice weekly if needed until the plants become established
(commonly six weeks).
- Once a year, the filter strip will be reseeded to maintain a dense growth of
vegetation
- Stable groundcover will be maintained in the drainage area to reduce the
sediment load to the vegetation.
- Two to three times a year, grass filter strips will be mowed and the clippings
harvested to promote the growth of thick vegetation with optimum pollutant
removal efficiency. Turf grass should not be cut shorter than 3 to 5 inches and
may be allowed to grow as tall as 12 inches depending on aesthetic requirements
(NIPC, 1993). Forested filter strips do not require this type of maintenance.
- Once a year, the soil will be aerated if necessary.
- Once a year, soil pH will be tested and lime will be added if necessary.
After the filter strip is established, it will be inspected quarterly and within 24 hours
after every storm event greater than 1.0 inch (or 1.5 inches if in a Coastal County).
Records of operation and maintenance will be kept in a known set location and will be
available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element: Potential problem: How I will remediate the problem:
The entire filter strip Trash/debris is present. Remove the trash/debris.
system
The flow splitter device The flow splitter device is Unclog the conveyance and dispose
(if applicable) clogged. of an sediment off-site.
The flow splitter device is Make any necessary repairs or
damaged. replace if damage is too large for
repair.
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 1 of 3
BMP element: Potential problem: How I will remediate the problem:
The swale and the level The swale is clogged with Remove the sediment and dispose
lip sediment. of it off-site.
The level lip is cracked, Repair or replace lip.
settled, undercut, eroded or
otherwise damaged.
There is erosion around the Regrade the soil to create a berm
end of the level spreader that that is higher than the level lip, and
shows stormwater has then plant a ground cover and
bypassed it. water until it is established. Provide
lime and a one-time fertilizer
application.
Trees or shrubs have begun Remove them.
to grow on the Swale or just
downslo a of the level lip.
The bypass channel Areas of bare soil and/or Regrade the soil if necessary to
erosive gullies have formed. remove the gully, and then
reestablish proper erosion control.
Turf reinforcement is Study the site to see if a larger
damaged or ripap is rolling bypass channel is needed (enlarge if
downhill. necessary). After this, reestablish
the erosion control material.
The filter strip Grass is too short or too long Maintain grass at a height of
if applicable). approximately three to six inches.
Areas of bare soil and/or Regrade the soil if necessary to
erosive gullies have formed. remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Sediment is building up on Remove the sediment and
the filter strip. restabilize the soil with vegetation if
necessary. Provide lime and a one-
time fertilizer application.
Plants are desiccated. Provide additional irrigation and
fertilizer as needed.
Plants are dead, diseased or Determine the source of the
dying. problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application.
Nuisance vegetation is Remove vegetation by hand if
choking out desirable species. possible. If pesticide is used, do not
allow it to get into the receiving
water.
The receiving water Erosion or other signs of Contact the NC Division of Water
damage have occurred at the Quality local Regional Office, or the
outlet. 401 Oversight Unit at 919-733-1786.
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 2 of 3
Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Olde Mill Steam
BMP drainage area number:Level Spreader #1, Level Spreader #2, Level Spreader #3
Print name:Ralph Hodge
Title: Hodge-Morns, LLC (Owner)
Address: 1709 Trawick Rd. Suite 209 Raleigh NC 27604
Phone:[phone], / ,

Signature: Date: (D~1'0
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
I, e.,15e Q V P6 , a Notary Public for the State of
?.lorh G;,??1:n? , County of W do hereby certify that
R-A oh "d ue-- personally appeared before me this 1
day of 1+?ne aooq , and acknowledge the due execution of the
forgoing filter strip, riparian buffer, and/or level spreader maintenance requirements.
Witness my hand and official seal,
SEAL
My commission expires
©(o - ao - ao It
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 3 of 3