HomeMy WebLinkAboutSW8041210_CURRENT PERMIT_20070202STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SWkolD
DOC TYPE
� CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v U&
DOC TYPE
❑ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
YYYYMMDD
Aw)tW APEMichdel F Easley, Governor
iWilliam G Ross Jr, Secretary
North Carolina Department of Emironmentand Natural Resources
Q-� Alan W Klimek, P E Director
Division of Water Quality
February 2, 2007
John Norment, President
Shoreline at Seagate HOA, Inc
C/o Atlantic Rental Management
818 Lorraine Avenue
Wilmington, NC 28412
Subject Transfer of Stormwater Permit No SW8 041210
Shoreline at Seagate
High Density Project
New Hanover County
Dear Mr Norment
The Wilmington Regional Office received a complete request to transfer the Stormwater Management
Permit for Shoreline at Seagate (formerly 313 Greenville Avenue) on January 24, 2007 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 We are forwarding Permit No SW8
041210 dated June 29, 2005, for the construction, operation and maintenance of the subject project
This permit shall be effective from the date of issuance until June 29, 2015, and shall be subject to the
conditions and limitations as specified therein Please pay special attention to the Operation and
Maintenance requirements in this permit Failure to establish an adequate system for operation and
maintenance of the stormwater management system will result in future compliance problems
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 sixty (60) 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
Please obtain a copy of the approved plan from Mr Penton If you have any questions, or need
additional information concerning this matter, please contact Linda Lewis, or me at (910) 796-7215
Sincer
�e�L
Edward Beck
Regional Supervisor
Surface Water Protection Section
ENBlarl S IWQSISTORMWATERIPERMIT1041210 feb07
cc Howard Penton, 313 Greenville, LLC
Howard Resnik, P E , Coastal Site Design
Tony Roberts, New Hanover County Building Inspections
City of Wilmington Development Services
Beth E Wetherill, New Hanover County Engineering
Linda Lewis
Wilmington Regional Office
Central Files
NnthCarolma
aturally
North Carolina Division of Water Quality 127 Cardinal Drive Extension Wilmington, NC 28405 Phone (910) 796 7215 Customer Service
Wilmington Regional Office Internet www newaterqualMv org fax (910) 350 2004 1-877 623 6748
An Equal Opportunity/Affirmative Action Employer — 50% Recycledll0% Posl Consumer Paper
State Stormwater Management Systems
Permit No SW8 041210
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
Shoreline at Seagate Homeowner's Association, Inc
Shoreline at Seagate
313 Greenville Avenue, Wilmington, New Hanover County
FOR THE
construction, operation and maintenance of an infiltration basin in compliance with the
provisions of 15A NCAC 2H 1000 (hereafter referred to as the "stormwater rules') and
the approved stormwater management plans and specifications and other supporting
data as attached and on file with and approved by the Division of Water Quality and
considered a part of this permit
This permit shall be effective from the date of issuance until June 29, 2015, 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 16 on page 3 of this permit The stormwater
control has been designed to handle the runoff from 20,025 square feet of
impervious area This basin must be operated with a 30' vegetated filter
3 The tract will be limited to the amount of built -upon area indicated on page 3 of
this permit, and per approved plans The built -upon area for the future
development is limited to 1,000 square feet
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
Page 2 of 5
State Stormwater Management Systems
Permit No SW8 041210
6 The following design criteria have been provided in the infiltration basin and must
be maintained at design condition
a Drainage Area, 9cres
Onsite, ft
Offsite, ftz
b Total Impervious Surfaces, ft�
c Design Storm, inches
d Basin Depth, feet
e Bottom Elevation, FMSI
f Bottom Surface Area, ft
g Bypass Weir Elevation, FMS�
h Permitted Storage Volume, ft
i Type of Soil
l Expected Infiltration Rate, inlhr
k Seasonal High Water Table, FMSL
I Time to Draw Down, hours
m Receiving Stream/River Basin
n Stream Index Number
o Classification of Water Body
II SCHEDULE OF COMPLIANCE
1 21
52,853
0
20,025
08
170
1,601
178
1,789
Baymeade Fine Sand
12
140
<2
Bradley Creek 1 Cape Fear
CPF24 18-87-24-4-(1)
"SC HQW #"
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 times 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 revegetation of slopes and the vegetated filter
d Immediate repair of eroded areas
e Maintenance of all slopes in accordance with approved plans and
specifications
f Debris removal and unclogging of bypass structure, infiltration media, flow
spreader, catch basins, piping and vegetated filter
g A clear access path to the bypass structure must be available at all times
4 Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ The records will indicate the date,
activity, name of person performing the work and what actions were taken
5 The facilities shall be constructed as shown on the approved plans This permit
shall become voidable unless the facilities are constructed in accordance with
the conditions of this permit, the approved plans and specifications, and other
supporting data
6 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
Page 3 of 5
State Stormwater Management Systems
Permit No SW8 041210
7 Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation Any deviations from the
approved plans and specifications must be noted on the Certification A
modification may be required for those deviations
8 Access to the stormwater facilities shall be maintained via appropriate
easements at all times
9 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
10 The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction
11 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
12 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
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 formal permit transfer request to the Division of Water Quality,
accompanied by a completed name/ownership change form, documentation
from the parties involved, and other supporting materials as may be appropriate
The approval of this request will be considered on its merits and may or may not
be approved The permittee is responsible for compliance with all permit
conditions until such'time as the Division approves the transfer request
2 Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215 6A to 143-215 6C
3 The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction
Page 4 of 5
State Stormwater Management Systems
Permit No SW8 041210
4 In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems
5 The 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
6 The permit may be modified, revoked and reissued or terminated for cause The
filing of a request for a permit modification, revocation and reissuance or
termination does not stay any permit condition
7 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
8 Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit
9 The permittee shall notify the Division any name, ownership or mailing address
changes within 30 days
Permit issued thishe 2"d day of February 2007
NO ROLI 1RONMENTAL MANAGEMENT COMMISSION
Alan W Klimek,,PDirector
Division of Water Quality
By Authority of the Environmental Management Commission
Page 5 of 5
r Permit No SW8 (X/Z-' O
Ito be provided bN DW&
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWQ Stormwater Mana ement Plan Review
A complete stormwater management plan submittal includes a stormwater management permit application, an
infiltration basin supplement for each system, design calculations, soils report and plans and specifications
Showing all stoririwater conveyances and system details
I PROJECT INFORMATION
Project Name :31 U i L�r} ✓ fir TMI``lc" �+f c�
Contact Person Ze 5,, t , P:� Phone Number -2x ) -7---,)1 -4- !� r
This worksheet applies to Basin No I
(as identified on plans)
in Drainage Area !
(from Form SWU 101)
il. DESIGN INFORMATION - Attach supporting calculations/documentation The soils report must be
based upon an actual field investigation and soil borings County soil maps are not an acceptable
source of sods information All elevations shall be in feet mean sea level (fmsl)
Soils Report Summary
Soil Type
Infiltration Rate
SHWT Elevation
Basin Design Parameters
Design Storm
Design Volume
Drawdown Time
Basin Dimensions
Basin Size
Basin Volume Provided
Basin Elevations
Bottom Elevation
,forage Elevation
Top Elevation
! i ✓ _ r cf/hr/sf (circle appropriate units)
, fmSI (Seasonal High Water Table elevation)
l inch U S inch event for SA waters, 1 inch event for others)
c f
G, o. days
-- ft x — ft = i, - f sq ft (bottom dimensions)
c f
n
V
!/ fmsl
► 7 fmsl
fmsl
I=or n SWU 103 Rev 3 99 Page ] of 3
III. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N C Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section 15 A NCAC 2H 1008
Initial in the space provided to indicate that the following design requirements have been met and supporting
documentation is attached If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below Attach justification if a requirement has not been met.
Applicants Initials
a System is located 50 feet from class SA waters and 30 feet from other surface waters
b System is Iocated at least 100 feet from water supply wells
c Bottom of system is at least 2 feet above the seasonal high water table
d Bottom of the system is 3 feet above any bedrock or impervious soil horizon
e System is not sited on or in fill material or DWQ approval has been obtained
f System is located in a recorded drainage easement for the purposes of operation and
(7oLr �6ll�i maintenance and has recorded access easements to the nearest public nght-of-way
g Drainage area for the device is less than 5 acres
-Ale h Soils have a rrummum hydraulic conductivity of 0 52 inches per hour and soils report is
attached
.� i System captures and infiltrates the runoff from the first 1 0 inch of rainfall (1 5 inch event
for areas draining to SA waters ) Design volume and infiltration calculations attached
+ J System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces drairung to the system, including any off -site drainage Calculations attached
k All side slopes stabilized with vegetated cover are no steeper than 3 1 (H V)
1 A pretreatment device such as a catch basin, grease trap, filter step, grassed swale or
sediment trap is provided
m Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches
or dense vegetative cover is provided
n Vegetated filter is provided for overflow and detail is shown on plans (Required nummum
length is 50 feet for SA waters, 30 feet for other waters)
Z-4A. o Flow distribution mechanism within the basin is provided
p A benchmark is provided to determine the sediment accumulation in the pretreatment
device
q Runoff in excess of the design volume bypasses off-line systems (bypass detail provided)
r r System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days A soils report and all
pertinent draw -down calculations are attached
�/` • s Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized
Form SWU-103 Rev 3 99 Page 2 of 3
IV INFILTRATION BASIN OPERA'I ION AND MAINTENANCE AGREEMENT
1 After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation vegetative cover, and general condition
2 Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mo",
vegetated cover to maintain a maximum height of six inches, and remove trash as needed
3 After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflo.t
structures for blockage and deterioration Remove any blockage and repair the structure to approved
design specifications
4 Remove accumulated sediment from the pretreatment system and infiltration basin annually or when
depth in the pretreatment unit is reduced to 75% of the onginal design depth The system shall be restored
to the original design depth without over -excavating Over -excavating may cause the required water
table separation to be reduced and may compromise the ability of the system to perform as designed
Removed sediment shall be disposed of in an appropriate manner and shall not be handled in a manner
that will adversely impact water quality (t a stockpiling near a stormwater treatment device or stream,
etc )
A benchmark shall be established in the pretreatment unit The benchmark will document the onginal
design depth so that accurate sediment accumulation readings can be taken The measuring device used
to deterrrune the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments
When the design depth reads feet in the pretreatment unit, the sediment shall be
removed from both the pretreatment unit and the infiltration basin
5 if the Division determines that the system is failing, the system will immediately be repaired to onginal
design specifications If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H 1000 must be designed, approved and constructed
I acknowledge and agree by my signature below that I am responsible for the performance of the five
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
Print Name and Title
Udress
Phone C
Signature
NO V
Date
r 7
cr
Note The legally resonsible�rarry should nor be a homeowners association urilese more than 50% of the lots have been sold and
resident of the subdivision has been named the president
,cam
a No�ublic for the State of / +r • (_ County of
do Hereby certify that ��n� h ir► personally appeared before me this _
day of _ �^ �s_ G % and acknowledge the due execution of the foraoina infiltration basin maintenance
requiremenr�, Witness my hand and official fieal
SEAL My commission expires O -2 ! ,lJ,_,..�„Y,�
For-m S WU-1 U3 Rev 3 99 Pa-e 3 of 3
OFk10E USE ONLY
Date Received
Fee Paid
Permit Number
11-!/� v
,c- U D
�5 L� 0 I L2/ G
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
GENERAL INFORMATION
I Applicants name (specify the name of the corporation individual etc who owns the project)
Ap,,) 313 �L_(,C.
2 Print Owner//Si/g�ning; OOfficial s name and title (person legally responsible for facility and compliance)
(1E
I�i1 tcJ[ tt r( /`T1—I s1 ! 4 1" L," Lc..1 a IJ
—
3 Mailing Address for person listed in item 2 above
City �,'l.�+ln , tom., State N6, Zip 27-0-�0-3
Telephone Number d
4 Project Name (subdivision facility or establishment name should be consistent with project name on plans
specifications letters operation
and maintenance agreements etc
/)
313 6-rce,y `le- Ar"�tile-
5 Location of Project (street address)
�nc�'E� n ✓r
City County
6 Directions to project (from nearest major intersection)
r,., f'1"TYL'Ci`/,��CL1 r7T a�,
PrcJez4-!.s a,., 'le-4- apprK� ..� fecr tic( 4s G✓`5ShGvillc /I,.e- ,
7 Latitude 3�" 1 L o Longitude 77`',,SZ 30 ' of project
8 Contact person who can answer questions about the pt oject
Name 64/ctr-c J , %'- 'I elephone Number (J10
II PERMIT INFORMATION
1 Specify whether project is (check one) \' New Renewal Modification
Fonn SWU-101 Version 3 99 Page 1 of
If this application is being submitted as the result of a renewal or modification to an existing pernut, list the
existing permit number NZA and its issue date (if known)
3 Specify the type of project (check one)
Low Density �C, High Density Redevelop General Perrrut
4 Additional Project Requirements (check applicable blanks)
Other
_CAMA Major XSedimentation/Erosion Contrgl _404/401 Permit _NPDES Stormwater
Information on required state perruts can be obtained by contacting the Customer Service Center at
1-877-623-6748
III PROJECT INFORMATION
In the space provided below, summarize how stormwater will be treated Also attach a detailed narrative
(one to two pages) describing stormwater management for the project
2 Stormwater runoff from this project drains to the _ LC? nc. F"cz f` River basin
3 Total Project Area w I' Z I acres 4 Project Built Upon Area 37.3 %
5 How many drainage areas does the project have? I
6 Complete the following information for each drainage area If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below
InforinatsDnf sr$ �' k
� 4� kDr"auiage"Arearal;« ° x s M=
z iDr`auiage Area 2 <
Receiving Stream Name
a F cc
Receiving Stream Class
Drainage Area
s 3 st C1,Z1
Existing Impervious* Area
j s� O, D
Proposed. Im ervious*Area
7 p o L 5- a 46 ac
% Ir ervious" Area (total)
3 7, 9
ervrous Stufare Area
Drama a Area 1 <Tz 4
�,� g
' Dr"asiiage Aiea 2 °
f
On -site Buildings
E 39 ,¢ O, 16
On -site Streets
.-..�
On -site Parking
s D, Z
On -site Sidewalks
1 3
Other on -site (4, ` rcc are.
n
O0 0
Off -site
Total Zc, oZ: s O 46- a
Total
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc
Form SWU-101 Version 3 99 Page 2 of 4
7 How was the off -site impervious area listed above derived
IV DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot If lot sixes vary significantly, a
table listing each lot number, size and the allowable built -upon area for each lot must be provided as an
attachment
I The following covenants are intended to ensure ongoing compliance with state stormwater management permit
number as issued by the Division of Water Quality These covenants may
not be changed or deleted without the consent of the State
2 No more than ZQ, OZ `- square feet of 5 let -shall be covered by structures or impervious materials
Impervious materials include asphalt, gravel, concrete, brick, stone, slate or similar material but do not include wood
decking or the water surface of swimming pools
3 Swales shall not be filled in, piped, or altered except as necessary to provide driveway crossings
4 Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction
5 All permitted runoff from outparcels or future development shall be directed into the permitted stormwater control
system These connections to the stormwater control system shall be performed in a manner that maintains the
integrity and performance of the system as permitted
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, that the covenants will be binding on all parties and
persons claimmg under them, that they will run with the land, that the required covenants cannot be changed or
deleted without concurrence from the State, and that they will be recorded prior to the sale of any lot
V SUPPLEMENT, FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for
each BMP specified for this project Contact the Stormwater and General Pernuts Urut at (919) 733-5083 for the
status and availability of these forms
Form SWU-102
Wet Detention Basm Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-105
Curb Outlet System Supplement
Form SWU-106
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Form SWU-101 Version 3 99 Page 3 of 4
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 lasted below The complete application package should be
submitted to the appropriate DWQ Regional Office
Please indicate that you have provided the following required information by initialing in the space
provided next to each item
• Original and one copy of the Stormwater Management Perrrut Apphcatjon Form
• One copy of the applicable Supplement Form(s) for each BMP
• Permit application processing fee of $420 (payable to NCDENR)
• Detailed narrative description of stormwater treatment/management
• Two copies of plans and specifications, including
- Development/Project name
- Engineer and firm
-Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Ongmal contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VII AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section r !
Designated agent (individual or firm) _RoW ai-ct �5�n,1.0 �,G Coo, lci i � s 1 to ut__
Mailing Address P, '_ 30X_ 4-c -4-— -
City _......._....... Of/Ait? 4 d,I State NG Zip Z�6?4(06
Phone ( 010 ) 791 444- 1 Fax ( 910 ) 79l — 4441
VIII APPLICANT'S CERTIFICATION
I, (print or type name of person listed in General Information, item 2) ayi. a rc( /7 , . a�
certify that the info on lu d on this permit application form is, to the best of my knowledge, correct and
that the project wail a 4ge
in conformance with the approved plans, that the required deed restrictions
and protective cov n corded, and that the proposed project complies with the requirements of 15A
NCAC 2H MOO
Signature
Date 0
40
•
Form SWU-101 Version 3 99 Page 4 of 4
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C OAML T WATER QUALIA SECTION F
CURRENT PEWIT INFORMATION:
Stomweler Management Permit Number_ as `� .Qq I Zl0
Perm. Halder"s name _ SI S &ZE",16U�C 1. L. L -
Signing official's name, -.� Tape , hAa.ltJ.A.
Mailing address ordbM wr odtrwp
Cee_o ��
Stats tf k-ZipCode Phone FAX ?
(AMa Coda rind 14 ;Area Coca end MvmW
III. NEW OWNER I PROJECT I 140MESS INFORMATION
Th7ra
UeSt is for. (please check all that apply)
Chan a in ownershipof theproperty/companyPlease coin lete Items #2,
*3, and #4 below) { P
Name change of project (Pfease complete Item #5 below)
MaillN address change (Please complete Item 04 below)
—d Otl'w (please explain)
2 New owner`s name to be put on permit &
3 New owner's signing offrceal's name and title, o
4 New Mailing Address 1$ Lo UAw E Gty � -
State bat_, Z1pCode T�b�2 — Phonk.V_Lo)AX ,hl,4,
(AMM Cade ar+d NWW Vv" Coda &W NUMW l
New Project Name to be plaoed on permd,'S1 b t.�.-S Arf` SlF 'lf�
Page 1 of 2� Z��6
Xux
born Gsolutia �r1=iorr of irk h 127 Ca&I' Dim E,tttttsim Wdnv0M NC zW Cwwmu So* -C
w Im,n�nonRt�oa�14a1dC laltrntl Far (910)3SN211+ I
,.
s�� d ,SS6 2Sb 016 01 woad CO bT 9002-2T-nnr
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER
QUALITY UNLEU ALL OF THE APPLICABLE ITEM8 LsTED BELOW An INCLUDED
WITH THE SUBMITTAL.
REQUIRED ITEMS,
1 This completed form.
2 Legal documentation of the transfer of ownership
3 A copy of the recoiled d*d restrttlans, if required by the permit
a The designer's oertfication, if requmad l y the permit
5 A signed Operation and Maintenance plan, It a system that requires maintenance will
change aMrw"ip
6 Maintenance records
CERTIFICATION MW BE COMPLETED AND SIGNED BY THE CURRENT PERMIT
HOLDER AND APPLICANT IN THE CASE OF A �E OF OWNERSHIP
FOR NAME CHANGES, COMPLETE AND SIGN ONLY THE CURRENT PERMITTEE'S
CERTIFICATION,
Current Permfte'"adfication.
1, 41.. ittte8t that this appliceitlon for a namelownership
change has been n4Wv n s saturate and cornplete to the best of my knowledge I
understand that If ma r �d of this applkaa�n are not compMW and that if all required
supporting inform i and chments are not included, this application package will be
retumed as in t
Signature OWL 7 D*e 10
,.�
New Applicant'A t'tlfiCatian; R Aua tw oar+ip m far s� transrose ar own�+a+tp)
1, o amfr� ,—, attest that this application for an ownership
change as been revre ra�nd�is accurate snd complete m the best of~my knowledge I
understand that required oarts of this application are not completed and that tf all required
supporting i and chments are not rnduded, this appllcatien package will be
rptumed as n
Sgneture Dater 2
THE COMPU11D APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION A14D MATERIALS, SHOULD SE SENT TO THE FOLLOWING ADDRESS,
North Carolina Departmerl of Envinxtmerd and Natural Resources
Division of Wei Quality
127 Cardinal Drive EAenslon
WilmingWn, NC 28406
ATTN, Linda Lew $
Page 2 of 2
S,£ d 2SS6 2Sb Si6 01 W082 20 bZ 9002-2T-Nnr
Permit No SW8 041210
New Hanover County
Designer's Certification
Air i, , as a duly registered E - in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full
time) the construction of the protect,
(Project)
for -1i1 -S GFre-ztte, 1.-LC—. (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
rye. 2P-44 11
Date ez -
Certification Requirements
R"JEJ C FEIVE D
DEC 14 2006
DWQ
Page 6 of 7
SEAL
'56c-13t740
Jtate z)tormwater WWI Idyel I IUI It Oybwf i I,
Permit No SW8 041210
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 protect is graded such that the
runoff drams to the system
4 All roof drains are located such that the runoff is directed into the system
5 The bypass structure wear elevation is per the approved plan
6 The bypass structure is located per the approved plans
7 A Trash Rack is provided on the bypass structure
8 All slopes are grassed with permanent vegetation
9 Vegetated slopes are no steeper than 3 1
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/or volume have been
provided
12 All required design depths are provided
13 All required parts of the system are provided
14 The required system dimensions are provided per the approved plans
cc NCDENR-DWQ Regional Office
Tony Roberts, New Hanover County Building Inspections
Page 7 of 7