SW6120604_CURRENT PERMIT_20120801

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
PQ) CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
�DI�I%8UL
YYYYMMDD

DENR-FRO
NCDENit
North Carolina Department of Environment and Natural Resources
Severly Lades Perdue
Division of /Water Quality
Charles' V�ak"llUi P.E.
Governor Director
June 26, 2012
Mr. Lee Ward
Fort Bragg Directorate of Public Works-WMB
Bldg. 0-9125, McKellars Road
Fort Bragg, NC 28310-5000
Subject: Stormwater Permit No. SW6120604
Airmen's Campus B309 Parking Lot
High Density Bio-Retention Project
Cumberland County
Dear Mr. Ward:
AUG 0 1 2012
Dec Freeman
Secretary
The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for
Airmen's Campus B309 Parking Lot on June 20, 2012. Staff review of the plans and specifications has
determined that the project, as proposed, will comply with the Stormwater Regulations set forth in Title 15A
NCAC 2H.1000 and Session Law 2006-246. We are forwarding Permit No. SW6120604, dated June 26, 2012, for
the construction, operation and maintenance of the subject project and the stormwater BMPs.
This permit shall be effective from the date of issuance until June 26, 2020 and shall be subject to the
conditions and limitations as specified therein, and does not supersede any other agency permit that may be
required. Please pay special attention to the conditions listed in this permit regarding the Operation and
Maintenance of the BMP(s), recordation of deed restrictions, procedures for changes of ownership,
transferring the permit, and renewing the permit. Failure to establish an adequate system for operation and
maintenance of the stormwater management system, to record deed restrictions, to follow the procedures for
transfer of the permit, or to renew the permit, will result in future compliance problems.
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, P.O. Drawer 27447, Raleigh, NC 27611-
7447. Unless such demands are made this permit shall be final and binding.
This project will be kept on file at the Fayetteville Regional Office. If you have any questions, or need additional
information concerning this matter, please contact Robert Patterson at (919) 807-637S; or
[e-mail].
Sincerely,
7 --; I �Ip- 4 r i (--- -
for Charles Wakild, P.E.
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location; 512 IN, Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
CC: ; SW6120604 File)
ec: Mike Lawyer - Fayetteville Regional Office
C. Heath Wadsworth, PE - Call Sign Engineers, PA
One
NorthCarolina
Naturallb

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State Stormwater Permit
Permit No. SW6120604
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
Fort Bragg Directorate of Public Works
Airmen's Campus B309 Parking Lot
West side of Maynard St. (near Ethridge St.), Fort Bragg, Cumberland County
FOR THE
construction, operation and maintenance of two (2) bioretention cells in compliance with
the provisions of Session Law 2006-246 and 15A NCAC 2H A000 (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.
This permit shall be effective from the date of issuance until June 26, 2020, 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 in Section 1.7 of this permit. The stormwater control has been
designed to handle the runoff from 37,026 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area as indicated in Section
1.7 of this permit, and per the application documents and as shown on the
approved plans.
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 the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent surface waters.
Page 1 of 6

State Stormwater Permit
Permit No. SW6120604
7. The following design criteria have been
provided in the bioretention
cell and must
be
maintained at design condition:
Cell 1
Cell 2
a.
Drainage Area, aces:
0.44
0.83
Onsite; ft :
19,166
36,155
Offsite, ft2:
0
0
b.
Total Impervious Surfaces, ft2:
13,504
23,522
Onsite, ft2:
13,504
2J J22
Offsite, ft2:
0
0
c.
Design Storm, inches:
1.0
1.0
d.
Max. Ponded Depth, feet:
0.95
1.0
e.
Seasonal High Water Table, fmsl:
212.3
208.0
f.
Planting Media Depth, feet:
2.0
2.0
g.
Cell Dimensions, feet:
18005
50x45
h.
Planting Elevation, fmsl-
217.5
213.0
i.
Bottom Surface Area, ft2:
2,335
2,737
j.
Permitted Storage Volume, ft3:
1,433
2,454
k.
Bypass 1 Storage Elevation, fmsl:
218.45
214.0
I.
Drawdown Time, hours:
48
48
m.
Underdrain Diameter, inches:
8.0
6.0
n.
Total number of plants provided:
grass sod
grass sod
o.
Receiving Stream/River Basin:
Tank Creek 1 Cape Fear
p.
Stream Index Number:
18-23-27
q.
Classification of Water Body:
"C"
II. SCHEDULE OF COMPLIANCE
1. 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 surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all time provide the operation and maintenance necessary
to assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.
f. Debris removal and unclogging of all drainage structures, level spreader,
filter media, planting media, underdrains, catch basins and piping.
g. Access to the cell and outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
reports will indicate the date, activity, name of person performing the work and
what actions were taken.
5. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance and inspection records for each BMP. The report
shall summarize the inspection dates, results of the inspections, and the
maintenance work performed at each inspection.
Page 2 of-6

State Stormwater Permit
Permit No. SW6120604
6. The stormwater treatment system shall be constructed in accordance with the
approved plans and specifications, the conditions of this permit, and with other
supporting data.
7. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification MU -St 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 pans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
8. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
9. Access to the stormwater facilities shall be maintained via appropriate recorded
easements at all times.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
12. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
13. 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. • ` " ' I .
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form signed by both parties, to the
Division of Water Quality, accompanied by the supporting documentation as
listed on page 2 of the form. The approval of this request will be considered on
its merits and may or may not be approved.
Page 3 of 6

State Stormwater Permit
Permit No. SW6120604
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves a request to transfer the permit.
3. 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 143-215.6A to 143-215.6C.
4. 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) having jurisdiction.
5. 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.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2006-
246, Title 15A NCAC 21-1.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
12. The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit.
Permit issued this the 26th day of June, 2012.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
tor unanes vvarcna, r.t:, uirector
Division of Water Quality
By Authority of the Environmental Management Commission
Page 4 of 6

State Stormwater Permit
Permit No. t'-�"W6120604
Airmen's Campus B309 Parking Lot
Stormwater Permit No. SW6120604
Cumberland Count
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project Name)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 5 of 6

State Stormwater Permit
Permit No. SVV6120604
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The o�!tlei�b;�pass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation, per the vegetation plan.
9. Vegetated slopes are no steeper than 11.
10. The inlets are located per the approved plans and do.not cause short-
circuiting of the system.
11. The permitted amounts of surface area and volume have been provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a media,
underdrains and pretreatment.
15. The required system dimensions are provided per the approved plans.
Please submit this Designer's Certification to: Fayetteville Regional Office
Surface Water Protection
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
Page 6 of 6

State Stormwater Permit
Permit No. SW6120604
Airmen's Campus B309; Parking Lot
Stormwater Permit No. SW6120604
Cumberland Countv .
Designer's Certification
I, C. Heath Wadsworth , as a duly registered Professional Engineer in the
State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
Airmen's Campus B309 Parking Lot
(Project Name)
for Fort Bragg - DPW (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
* The side slope on the northern edge of the bio-retention basin located in the northwest corner of the site
are steeper than 3:1. However, the side slopes are stable and covered with established grass sod.
Signature
Registratic
Date
13
SEAL
Page 5 of 6

®ENR-FRCS
JUL 092013
r1wo

1 �r
State Stormwater Permit
Permit No. SW6120604
Certification Requirements:
X 1. The drainage area to the system contains approximately the permitted
acreage.
X 2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
X 3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
NIA 4. All roof drains are located such that the runoff is directed into the system.
X 5. The outleVbypass structure elevations are per the approved plan.
___.x_6. The outlet structure is located per the approved plans.
X 7. Trash rack is provided on the outlet/bypass structure.
X 8. All slopes are grassed with permanent vegetation, per the vegetation plan.
X* 9. Vegetated slopes are no steeper than 3:1.
X 10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
X 11. The permitted amounts of surface area and volume have been provided.
X 12. Required drawdown devices are correctly sized per the approved plans.
x13. All required design depths are provided.
X 14. All required parts of the system are provided, such as a media,
underdrains and pretreatment.
X 15. The required system dimensions are provided per the approved plans.
Please submit this Designer's Certification to: Fayetteville Regional Office
Surface Water Protection
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
Page 6 of 6

DWQ USE ONLY
Daty Received
Fee I'aid
Permit Number
6 Z o t Z
.5CLB ` A# a.S 1$
&x-5 LP t a-O L
Applica le Rules: ❑ Coastal SW - 1995 ❑ Coastal SW - 2008 Ph It - Post Construction
(select all that apply) ❑ Non -Coastal SW- I-tQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
Thus forth ►Tray be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name oil plans,
specifications, letters, operation and maintenance agreements, etc.):
Airmen's Campus 13309-Parking Lot
2. Location of Project (street address):
Airmen's Campus, adjacent to Maynard Street
City:Pope AAF County:Cumberland Zip:28310
3. Directions to project (from nearest major intersection):
On Dort Bragg, take Reilly Road north into Pope AAF, then take a right onto Ethridge street,
followed by a left onto Maynard Street; the project site is on the left off Maynard.
4. L.atitude:35' 10' 18.1" N Longitude:79' 0' 14" W of the main entrance to the project.
It. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
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 certificatim
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 DWQ
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):
❑CAMA Major ®Sedimen tation/Eros ion Control: 1.5 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:N A
JUN 2 0 2012
Form SWU-101 Version 07Jun2010 Page 1 of 6

Ill. 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/Organization:Directorate of Public Works (DPW) Water Management Branch
Signing Official &'I'itle:Mr. Lee Ward, Water Management Branch (DPW)
b.Contact information for person listed in item la above:
Street Address:Bldg 0-9125, McKellars Road
City:l,ort Bragg State:NC Zip:28310-5000
Mailing Address (if a pI4icahle):Bldg 0-9125, McKellars Road
City:Fort Bragg_ State: NC Zip:283"10-5000
Phone: (910 ) 396-2301 Fax: ( 910 907-2420 _
Lmai1:lee. p.ward.civ n1ail.miI
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/Organization:
Signing Official & Title:
b.Contact information for person listed in item 2a above:
Street Address
City:
Mailing Address (if applicable):
City:
Phone:
Lmai1:
State: Zip:
Sta
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/OrganizatiowMr. David Heins, Environmental Division Chief (DPW)
Signing Official & Title:Directorate.of_Public Works (DPW)
b.Contact information for person listed in item 3a above:
Mailing Address:2175 Reilly Road Stop A
City: For t_B rag& State: NC Zip:2831 t1-5000
Phone: (910 } 396-8207 Fax: (910 ) 907-2420
l:mail:david.a.heins.civ niail.imit
4. Local jurisdiction for building permits: N/A
Point of Contact: Phone #: ( )
Form SWU-101 Version 07Jun2010 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, hriefly summarize how the stormwater runoff will be treated.
The project site is currently a grass field. A proposed parking lot will be constructed.
The stormwater runoff will be treated with two different bioretention_hasinstthe basins have underdrains.
13M1' T is located in the parking let island; 13MP 2 is located outside the northwest corner of the propsoed lot.
2. a. If claiming vested rights, identify the supl)orting 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 11 - Post Construction
3. Stormwater runoff from this project drains to the Cape Fear _ River basin.
4. Total Property Area: 1.27 acres 5. Total Coastal Wetlands Area: 0 acres
6. Tonal Surface Water Area: 0 acres
7. 'Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area`:1.27 acres
Total project area shall be calculated to exclude the follmoing the nornral drool of impounded structures, the area
between the hanks of streams and rivers, the area helozn fhe Normal High Water (NHW) line or Mean High Witter
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line.'I'lre resultant project area is used to
calculate overall percent built abort area (BL1A): Non -coastal wetlands landward of fire NNW (or MHW) line rnry
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 67 %
9. I -low many drainage areas does the project have?2 (For high density, count 1 for each proposed engineered
stormwater BMP. For lozu density and other projects, rise I f)r the whole property 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
y
Drainage Area _
Drainage Area _
Receiving Stream Name
'Tank Creek
Tank Creek
Stream Class
C
C
Stream Index Number *
18-23-27
18-23-27
Total Drainage Area (so
19166
36155
On -site Drainage Area (so
'19166
36155
Off -site Drainage Area (so
0
0
Proposed Impervious Area** (so
13504
23522
% Impervious Area** total
70%
65%
Im ervious" Surface'Area
Drainage Area 1
Drainage Area 2
Draina a Area ._
Drainage Area '
On -site Buildings/Lots (so
0
0
On -site Streets (so
0
0
On -site Parking (so
1-1686
18582
On -site Sidewalks (so
1818
4940
Other on -site (SO
0
0
Future (SO
0
0
Off -site (sf)
0
0
Existing 13UA*** (so
0
0
Total (so:
13504
23522
* Stream Class and Index Number can he deterinined at: lit llr://ynrtal.ucderrr.nrg(z{leh�zrrrl�lrs/csrr/classrficatioxs
* 1111 )ervious area is defined as the built upon area including, but not linriterd to, buildings,'roads, parking areas,
sirtlezoalks, gravel areas, etc.
**Report only drat amount of existing BL1A that will reinairn after development. Do not report any existing BUA that
is to he removed and zohidr will be replaced by neuo BL1A.
Dorm SWU-101 Version 07.Iun2010 Page 3 of 6

11. How was the off -site impervious area listed above determined? Provide documentation. N/A
Proiects in Union County: Contact DIFQ Central Office staf to check if the prgiect is located it,ithin a Threatened &
Endangered Species watershed that niay he subject to niore stringent stonnx,ater requirements as per 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
from htti?://portal.nc(ienr.orgf web/wq/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from http://portal.tiedenr.org/webLwtljws/su/statesw/forms does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at htt .: ortal.ncilenr.or > web wt ws su ma s.)
Please indicate that the following required 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://portal.ncdenr.org/web/wq/ws/su/statesw/forms
does.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form.
Lh/
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
?JA -
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
ZA!LA)-
littp:/ /www.eiiviielp.org/ pages/ onestopexpress.litnil 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.
b. 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'/2 mile of the site boundary, include the
mile radius on the map.
7. Sealed, signed and dated calculations.✓
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 lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NI-IW) 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.
I. Details of roads, drainage features, collection systems, and stormwater control measures.
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 sires, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where re(Juired).
Fonn SWU-101 Version 07Jun2010 Page 4 of 6

9. Copy of any applicable soils report with the associated SHWT elevations (Please identify F%
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"x1"1" 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 DWQ to zrerifif the SHWT lrrior
to subtriittal, [phone].)
10. A copy of the most current property deed. Deed book: Page No:
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC t1%
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 21-I.1003(e). The
corporation or L.LC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
httl)://www.secretary.st,ite.nc.us/Corpor,itioils/CSearcii.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outp4rcels, 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
13UA 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
littp:/Zf)ortal.nccleiir.org/webZwqZws/suZstatesw/for[lis 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 DWQ, and that they will be recorded prior to the sale of any lot.
Vlll. 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. Heath Wadsworth, PE
Consulting Firm, Call Sign Engineers, PA
Mailing Address:104 Gillespie Street _
City:Fayetteville
Phone: [phone]
Email:heath. wadsworth aOcallsignengineers.com
State:NC Zip:28301
Fax: (910 _) 486-8900
IX. PROPERTY OWNER AUTHORIZATION (if Contact Innfortnnatiox, item 2 has been filled out, cotrrplete this
section)
I, (print or type name of person listen in Contact Ixforrrretiou, iterrr 2a) , certify that I
own the property identified in this permit application, and thus give permission to (Print or type rname of person
listed in Corn tact Irnforruatiotn, iternr ]a) with (print or type rname of organization listed in
Contact Itnfortnnrrtion, item 1a) 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.
Form SWU-101 Version 07Jun2010 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 DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ 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 that 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 penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: Date:
I, , a Notary Public for the State of _ . County of
do hereby certify that
personally appeared
before me this _ day of , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAI.
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type dame c f person listed in Contact Information, item 1a) Mr. Lee Ward ,
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 pgorded, and that the proposed project complies with the requirements of the
applicable stormwatf rules Mtn 15A NCAC 21-1 .1000, SL 2006-246 (I'll. li - Post Construction) or St. 2008-211.
Signature:
Date: /Z Juru- 2012-
I, a Notary Public for the State of County of
do hereby certify that personally appeared
before me this _ day of and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
S1;AL
My commission expires
Form SWU-101 Version 07Jun2010 Pale 6 of 6

Pennit Number: Sk✓b 1ZD 40tt
(to be provider! by DIVQ)
Drainage Area Number: I
Bioretention Operation and Maintenance Agreement
will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set Iocation. 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 operation and maintenance procedures.
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
— Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
Heavy equipment will NEVER be driven over the bioretention cell.
- Special care will be taken to prevent sediment from entering the bioretention cell.
Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month and within 24
hours after every storm event greater than 1.0 inches (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:
Potentialproblems:
How I will remediate the roblem:
The entire BMP
Trash/debris is present.
Remove the trash debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
bioretention cell
erosive gullies have formed,
remove the gully, and then plant a
ground cover and water until it is
established. Provide time and a
one-time fertilizer application.
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
Swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion,
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
applicable).
Dorm SW401-Bioretention O&M-Rev.3 Page I o1'4

BMP element:
The pretreatment area
The bioretention cell:
vegetation
The bioretention cell:
soils and mulch
Potential problems:
Flow is bypassing
pretreatment area and/or
gullies have formed.
Sediment has accumulated to
a depth greater than three
inches.
Erosion has occurred
Weeds are present.
Best professional practices
show that pruning is needed
to maintain optimal plant
health.
Plants are dead, diseased or
dying.
'free stakes/wires are present
six months after planting.
Mulch is breaking down or
has floated away.
Soils and/or mulch are
clogged with sediment.
An annual soil test shows that
pFI has dropped or heavy
metals have accumulated in
the soil media.
Flow I will remediate theproblem:
Regrade if necessary to route all
flow to the pretreatment area.
Restabilize the area after grading.
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
restabilize the pretreatment area.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand.
Prune according to best -professionaI
practices.
Determine the source of the
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Remove tree stake/wires (which
can kill the tree if not removed).
Spot mulch if there are only random
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches. _
Determine the extent of the clogging
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
Dolomitic lime shall be applied as
recommended per the soil test and
toxic soils shall be removed,
disposed of properly and replaced
with new planting media.
Form SW401-13ioretention O&M-Rev.3 Page 2 of 4

BMP element:
Potentialproblems:
I -low I will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging; has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
o u tlet.
733-1786.
Form SW40I-Bioretention O&M-Rev.3 Page 3 of 4

Pernlit Number: 5" 12-06Oq
(to he provided by L5 6VQ)
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 ncime:Airmen's Cam us B309 Parking Lot
BMP drainage area nttnrher: I
Print name: Mr. Lee Ward
Title: Ft. Bragg Directorate of Public Works (DPW) /Water Mana�.=,entent Branch
Address. Bldg 0-9125, McKellars Road, Fort Bragg, NC 28310-5000
Phone: (910) 39&2301
Signature:
Date: — 12 Jit^e 20f 2
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, , a Notary Public for the State of
County of , do hereby certify that
personally appeared before me this
day of , and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires
Dorm SW401-Bioretention I&M-Rev. 2 Page 4 of 4

Permit Number: -5W6 I Z c!!:k62�t
(to be provided by DWQ)
Drainage Area Nuniber: Z
Bioretention 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 operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
— Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will be taken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month and within 24
hours after every storm event greater than 1.0 inches (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:
Potentialproblems:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
bioretention cell
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.
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe,
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problenis with erosion.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
a licable).
1^on i SW401-Bioretention O&M-Rev.3
Page 1 of 4

BMP element:
The pretreatment area
The bioretention cell:
vegetation
The bioretention cell:
soils and mulch
Potential problems:
Flow is bypassing
pretreatment area and/or
gullies have formed.
Sediment has accumulated to
a depth greater than three
inches.
Erosion has occurred
Weeds are present
Best professional practices
show that pruning is needed
to maintain optimal plant
health.
Plants are dead, diseased or
dying.
Tree stakes/ wires are present
six months after plantin&.
Mulch is breaking down or
has floated away.
Soils and/or mulch are
clogged with sediment.
An annual soil test shows that
pl-I has dropped or heavy
metals have accumulated in
the soil media.
How 1 will remediate the problem:
Regrade if necessary to route all
flow to the pretreatment area.
Restabilize the area after grading.
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
restabilize the pretreatment area.
Provide additional erosion
protection such as reinforced turf
malting or riprap if needed to
Prevent future erosion problems.
Remove the weeds, preferably by
hand.
Prune according to best professional
practices.
Determine the source of the
problem: soils, hydrology, disease,
etc, Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary,
Remove tree stake/wires (which
can kill the tree if not removed).
Spot mulch if there are only random
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Determine the extent of the clogging;
- remove and replace, either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sedimentand remedy the problem if
possible.
Dolomitic lime shall be applied as
recommended per.the soil test and
toxic soils shall be removed,
disposed of properly and replaced
with new planting media.
Form SW401-Bioretention O&M-Rev.3 Page 2 of 4

BMP element:
Potentialproblems-
Flow 1 will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
ou tle t.
733-1786.
Forms SW401-Qioreteiition O&M-Rev.3 Page 3 of 4

PennitNumber: sk%b12.0601
(to be provided by UJVQ)
I acknowledge and agree by my signature below that f 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 narne:Airtnen's Campus B309 Parking Lot
BMP drainage area number
Print name: Mr. Lee Ward
Title: —Ft. Bra", , Directorate of Public Works (DPW) /Water Management Branch
Address: Bid, 0-9125 McKellars Road fort Bragg, NC 28310-5000
Phone: [phone]
Signature:
Date:__yIZ Ine 262/Z
Note: The legally responsibie 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, , a Notary Public for the State of
County of , do hereby certify that
personally appeared before me this
day of , , and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires
Form SW401-Bioretention 1&M-Rev. 2 Page 4 of 4