SW6190202_Application_20190225

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
02-(9-Z01
DP5 0
SW Lq 0202
Applicable Rules: 0 Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph H - Post Construction
(select all that apply) 0 Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
0 Other WQ Mgmt 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
1. 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.): R Ft F 1VF
Full Gospel Tabernacle Church FEB 1
2. Location of Project (street address):
Corner of NC 55 E and Ashe Avenue (ST 1725) MNR-LAND Q-UALiTIt
fEEl' h°
City:Coats County:Harnett Zip:28334
3. Directions to project (from nearest major intersection):
Travel north of intersection of N 13th Street and W Tackson Boulevard in Erwin, North Carolina. N 131h street
becomes NC 55 E. Travel North along NC 55 E until you reach the intersection of NC 55 E and Ashe Avenue.
The project is situated on the southern section of the intersection of NC 55 E and Ashe Avenue.
4. Latitude:35* 21' 42.16" N Longitude:78* 39' 47.38" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New QModification ❑ Renewal w/ Modificationt
tRenezoals zvith modifications also requires SY t 102 - Renewal Application Form
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 RPartially Completed* ❑ Completed* *provide a designer's certification
Specify the type of project (check one):
❑Low Density NHigh Density DDrains 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, list 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: 6.10 ac of Disturbed Area
❑NPDES Industrial Stormwater 0404/401 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. -Full Gospel Tabernacle, HARNE-2019-035, Tanuary 15 2019, Erosion
and sediment control plan approval.
5. Is the project located within 5 miles of a public airport? [:]No NYes
F-r-W
Form SWU-101 Version Oct. 31, 2013 Page 1 of 6

5. Is the project located within 5 miles of a public airport? ❑No ®Yes
If yes, see S.L. 2012-200, Part VI: http://portal.ncdenr.org/web/Ir/rules-and-regulations
III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/OrganizationTull Gospel Tabernacle of Life, Inc.
Signing Official & Titl . dead be Tbitfrlds 62AAls-ee, DaIWZ
b. Contact information for person listed in item 1a above:
Street Address:4306 N. Walnut St.
City:Lumberton State:NC Zip:28358
Mailing Address (if applicable):4306 N. Walnut St.
City:Lumberton State:NC Zip:28358
Phone: (910 ) 740-2676 Fax: ( )
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/,
Signing Official &
b. Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City:
Phone: ( )
Email:
State: Zip:
State:NC
Fax:
Zip:
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official & Title:
b. Contact information for person listed in item 3a above:
Mailing Address:
City:_
Phone:
Email:
State: Zip:
Fax: ( 1
4. Local jurisdiction for building permits: Harnett County, Planning and Zoning Department
Point of Contact:lay Sikes Phone #: (910 ) 893-7525
Form SWU-101 Version Oct. 31, 2013 Page 2 of 7

Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
** Report only that amottnt of existing B UA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. CAD design files.
Protects in Union Couniv:Contact DEMLR Central Ofjlce staff to check if the project is located within a Threatened &
Endangered Species watershed that maybe subject to more stringent stormwater reglrirements asper 15A NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
fromft://12ortal.ncdenr.org/web/`M/```ws/­­­su/­­bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
hgpl/portal.ncdenr.org/web/wg/ws/su/statesw/forms docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map athttp://portaI.ncdenr.org/web/wg/ws/su/maps.)
Please indicate that the following reguired information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://Rortal.ncdenr.org/web/wg/ws/sulstatesw/forms_docs.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants C
Form. (if required as per Part V11 below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http:/ /www.envhelp.org/pa es/onestopexpress.htnil for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW limes.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
L"7e�-
� 7C
Form SW- 101 Version Oct. 31, 2013 Page 4 of 6

\Z
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater will be directed over surface to a proposed wet detention basin in the south east corner of the
project parcel. The wet detention basin shall be designed to NCDEQ requirements for quality and quantity
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 Il - Post Construction
3. Stormwater runoff from this project drains to the Cape Fear River basin.
4. Total Property Area:11.71 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0.20 acres
7. Total Property Area (4) -Total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project
Area+:11.51 acres
+ Total project area shall be calculated to exclude tine following: the tzormal pool of impo�u�nded structures, the area
betzoeezz the batiks of streams azzd rivers, the area below the Normal High Water (Nnwl line or Mean High Water
(MHW) line, and coastal wetlands lattdzvard front the NHW (or MHVSj line. The resultant project area is ztsed to
calculate overall percent built upon area (BUA). Non -coastal zoetlaazds latzdzvard of the NHW (or MHW) line may
be hiclztded i)z the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 50.00
9. How many drainage areas does the project have?1 (For high density, cotmt 1 for each proposed ezzgineered
stortttzvater BMP. For lozv density atzd other projects, use 1 for the whole properitj 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 it the same format as below.
Basin Information
Drainage Area _
Drainage Area
Drainage Area _
Drainage Area _
Receiving Stream Name
Stewart Creel<
Stream Class *
C
Stream Index Number *
18-21-1
Total Drainage Area (so
418,176
On -site Drainage Area (so
418,176
Off -site Drainage Area (so
0
Proposed Impervious Area** s
250,965
Impervious Area** (total)
50.00
Impervious** Surface Area
Drainage Area _
Drainage Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (so
32,146
On -site Streets (sf)
145,436
On -site Parking (so
60,483
On -site Sidewalks (sf)
12,900
Other on -site (so
Future (sf)
Off -site (so
0
Existing BUA*** (so
0
Total (sf):
250,965
* Stream Class and bzdex Number catz be determitzed at: 1tttp. poi-tat.ztede)tr.orghvebAvg&s/cstt/classiflcatiotzs
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6

m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHW T elevations (Please identify
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 verify the SHWT prior
to stcbinittal, [phone].)
10. A copy of the most current property deed. Deed book: 394 Page No: 555
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
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 listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned,
hllp://www.secretary.state.nc.us/Corporations/`­CSearch.aspx
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 http:IlRortal.ncdenr.org/webilr/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 lot.
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:C. Tyrus Clayton Jr. P.E.
Consulting Firm: Draper Aden Associates
Mailing Address:930 Main Campus Dr. Suite 151
City:Raleigh State:NC Zip:27606
Phone: (919 } 827-0864 Fax: (919 } 839-8138
Emafl:[e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled otct, complete this
section)
I, (print or type name of person listed in Contact Information, ite
own the property identified in this permit application, and
listed in Contact Information, item 1a)
Contact Information, item 1a) b
the lease agreement or pending property sales contract has
ni 2a) , certify that I
thus give permission to (print or type name of person
with (print or type name of organization listed in
develop the project as currently proposed. A copy of
been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Form SWU-101 Version Oct. 31, 2013 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater
treatment facility without a valid permit. I understand [liat the operation of a stormwater treatment facility
without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action including the assessment of civil pen4ties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Date:_ - / ?- 02 G 111�j
I, �= ��'i1/�s 1� a Notary Public for the State o County of
J�Z.Feu do hereby certify that (9 -e Oh dr personally appeared
before me this,�* day of 2CIIJ and a owledge the ue execution of the ap lication for
a stormwater permit. Witness my hand and official seal,���
SEAL
My commission expires^ ly, 02 """
X. APPLICANT'S CERTIFICATION (�
I, (print or hjpe nante of person listed in Contact Information, itent 1 a) o R�t _ a u 4 I►s
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 2H .1000 and any other applicable state stormwater requirements.
Date: c:2 — /-,F - J, Cl/�
a Notary Public for the State of County of
jam, a K do hereby certify that i 4 personally appeared
before me this Zl^ day of and acknowledge owledge the due execution of th�plication for
a stormwater permit. Witness my hod and official seal,
SEAL
My commission expires &&V41�—
PEB 1. 9 2u19
DENR-LAND QUALITY
STORMWATER PERMITTING
Form SWU-101 Version Oct. 31, 2013 Page 6 of 6