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HomeMy WebLinkAboutSW8120404_CURRENT PERMIT_20120802STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW�l�_ DOC TYPE � CURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE p YYYYMMDD Ai*A- WDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P. E. Governor Director August 2, 2012 Joseph L. Hudson, Member Castle Plaza Development, LLC . P.O. Box 397 Castle Hayne, NC 28429 Subject: State Stormwater Management Permit No. SW8 120404 Parker Ventures High Density Commercial Infiltration Trench 1 Chamber Project New Hanover County Dear Mr. Hudson: Dee Freeman Secretary The Wilmington Regional Office received a complete State Stormwater Management Permit Application for Parker Ventures on July 30, 2012. Staff review of the plans and specifications has determined that the project, as proposed, will comply with the Stormwater Regulations set forth in Session Law 2008-211 and Title 15A NCAC 2H.1000. We are forwarding Permit No. SW8 120404 dated August 2, 2012, for the construction, operation, and maintenance of the BMP's and built -upon area associated with the subject project. This permit shall be effective from the date of issuance until August 2, 2020, 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 by filing a written petition with the Office of Administrative Hearings (OAH). The written petition must conform to Chapter 150B of the North Carolina General Statutes, and must be filed with the OAH within thirty (30) days of receipt of this permit. You should contact the OAH with all questions regarding the fling fee (if a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center, Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless such demands are made this permit shall be final and binding. If you have any questions, or need additional information concerning this matter, please contact Steve Pusey, at (910) 796-7215. Sin rely, 9a"% Charles Wakild, P.E., Director Division of Water Quality GDSlsgp: S:1WQS1 Stormwaterl Permits & Projects\ 20121 120404 HD12012 07 permit 120404 CC' Phil Tripp, PE --Tripp Engineering, P.C. New Hanover County Building Inspections Beth E. Wetherill, New Hanover County Engineering Wilmington Regional Office Stormwater File Wilmington Regional Office 127 Cardinal Drive Extension, Wilmington, North Carolina 28405 Phone: 910-796-72151 FAX: 910-350.2004 4 DENR Assistance: 1-877-623-6748 Internet: wwwmwaterquality,org An Equal Opportunity 1 Affirmative Action Employer State Stormwater Management Systems Permit No. SW8 120404 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY STATE STORMWATER MANAGEMENT PERMIT HIGH DENSITY COMMERCIAL 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 Castle Plaza Development, LLC Parker Ventures 5411 Castle Hayne Road, Castle Hayne, New Hanover County FOR THE construction, operation and maintenance of one (1) infiltration trench system using EcoRain tank units in compliance with the provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter collectively and separately 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 August 2, 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 75,639 square feet of impervious area. 3. The tract will be limited to the amount of built -upon area indicated in Section 1.7 on page 3 of this permit, 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. Page 2 of 7 State Stormwater Management Systems Permit No. SW8 120404 6. The project shall provide a 50' wide vegetated buffer adjacent surface waters, measured horizontally from and perpendicular to the normal pool of impounded structures, the top of bank of streams and rivers, and the mean high water line of tidal waters. 7. The following design criteria have been permitted for the infiltration trench system and must be provided and maintained at design condition: a. Drainage Area, ycres: 2.24 Onsite, ft : 97,835 Offsite, ft 2: 0 b. Total Impervious Surfaces, acres: 1.74 Onsite, ft : 75,639 Offsite, ft2: 0 C. Design Storm, inches: 1.5" (also see item 8) d. Trench Length, feet: 141.75 e. Trench Width, feet: 115.25 f. Trench Depth, feet: 2.9 9. Bottom Elevation, FMSL : 16.2 h. Bottom Surface Area, ft : 16,330 i. Bypass Weir Elevation, FMSL: 18.9 1. EcoRain tank model ER-500, ? of units: 5,418 k. EcoRain tank volume 1 unit, N : 8.25 I. Permitted Storage Volume, ft : 44,699 M. Type of Soil, USCS Soils Group: Sands, "SP, & "SP-SC" n. Expected Infiltration Rate, inlhr: 1.23 o. Seasonal High Water Table, FMSL: 14.2 P. Time to Draw Down, hours: 55.6 q. Receiving Stream/River Basin: Prince George 1 Cape Fear r. Stream Index Number: 18-74-53 S. Classification of Water Body: "C; Sw" 8. The infiltration trench/chamber system is designed in accordance with Option 4 of Section 16.3.9 of the BMP manual, to infiltrate a 10-year, 24-hour storm without discharging the system using an infiltration rate of one-half of the infiltration rate reported in the soils report. Therefore, no bypass, no vegetated filter strip, and no additional storage volume are required. 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 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. Page 3 of 7 State Stormwater Management Systems Permit No. SW8 120404 4. 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. 5. 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. 6. 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. 7. 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. 8. 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. 9. Access to the stormwater facilities shall be maintained via appropriate easements at all times. 16. 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. Redesign or addition to the approved amount of built -upon area or to the drainage area. C. Further development, subdivision, acquisition, lease or sale of any, 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. d. 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 areas noted as future development on the approved plans, prior to 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 Approved plans, application, supplement forms, Operation and Maintenance agreements, design calculations and specifications for this project are incorporated by reference and are enforceable parts of the permit. Page 4 of 7 State Stormwater Management Systems Permit No. SW8 120404 2. This permit is not transferable to any person or entity except after notice to and approval by the Director. At least 30 days prior to a change of ownership, or a name change of the permittee or project, or a mailing address change, the permittee must submit a completed and signed Name/Ownership Change form to the Division of Water Quality, accompanied by the appropriate documentation as listed on the form. The approval of this request will be considered on its merits and may or may not be approved. 3. The permittee is responsible for compliance with all permit conditions until such time as the Division approves the transfer request. Neither the sale of the project area in whole or in part, nor the conveyance of common area to a third party constitutes an approved transfer request. 4. 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. 5. 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. 6. 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. 7. 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. 8. 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 reissuance or termination does not stay any permit condition. 9. Unless specified elsewhere, permanent seeding requirements for the stormwater controls must follow the guidelines established in the North Carolina Erosion and Sediment Control Planning and Design Manual. 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 2008- 211, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et. al. 11. The permittee shall submit a permit renewal application at least 180 days prior to the expiration date of this permit. The renewal request must include the appropriate documentation and the processing fee. Permit issued this the 2"d day of August, 2012. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION Cifarles Wakild, P�Director ivision of Water Quality By Authority of the Environmental Management Commission Page 5 of 7 „: 'ts 4 ' - .. „t• r„ s , t ,” ` DWQ`USEANLYL.... '. „•. k, Date Received Fee Paid Permit Number Applicable Rules: ❑ Coastal SW - 1995 ❑ Coastal SW - 2008 ❑ Ph II - Post onstruc an (select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management PIan ❑ Other WQ M mt Plan: State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM This forin may be pleotocopied for use as aye original I. GENERAL INFORMATION 1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans, specifications, letters, operation and maintenance agreements, etc.): Parker Ventures 2. Location of Project (street address): 5411 Castle Hayne Road City:Castle Hayne County:New Hanover Zip:28429 3. Directions to project (from nearest major intersection): Approximately 0.15 mile south from the intersection of US Hwy 117 (Castle Hayne Road) and SR 1002 (Holly Shelter Road 4. Latitude:34° 21' 09" N Longitude:77° 54' 05" W of the main entrance to the project. 11. 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: ❑Nat Started ❑Partially Completed* ❑ Completed* *provide a designer's certification 2. Specify the type of project (check one): ❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other 3. If this application is being submitted as the result of a previously returned application or a letter from 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 ®Sedimentation/Erosion Control: 2.0 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: MAR 2 8 2012 BY:_ Form SWU-101 Version 14May2010 Page I of 6 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 roject): Applicant/Organization-.Castle Plaza Development, LLC Signing Official & TitIejoseph L. Hudson b. Contact information for person Iisted in item 1a above: Street Address:1009 Waterview Place City:Carolina Beach State. -NC Zip:28428 Mailing Address (if applicable): P.O. Box 397 City:Castle Hayne State:NC Zip:28429 Phone: (910 ) 520-8678 _ _ _ _ Fax: ( ) Email:hud99son©bellsouth.net 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 Iessee, 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: State: Zip: Mailing Address (if applicable): City: Phone: { } Email: State: Fax: { Zip: 3. a. (Optional) Print the name and title of another contact such as the projects 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: l Email: 4. Local jurisdiction for building permits: Point of Contact: State: Fax: Zip: tir: Form SWU-101 Version 14May2010 Page 2 of 6 ,IV. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. Infiltration basin 02a.f 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.Identify the regulation(s) the ject as been designed in accordance with: ❑ Coastal SW -1995 ®Ph II Post Construction 2 3. Stormwater runoff from this project drains to the Cape Fear _ River basin. 4. Total Property Area: 8.14 acres 5. Total Coastal Wetlands Area: 0 acres 6. Total Surface Water Area: 0 acres 7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project Area*:8.14 acres Total project area shall be calculated to exclude the followin the normal pool of impounded structures, the area between the banks of streams and rivers, the area below the Normal High Water (NHVO line or Mean High Water W) (MHline, and coastal wetlands landward front the NHW (or MHW) line. Tire resultant project area is used to calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (orMHW) line may be included in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 21.3 % 9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered stormwater BMP. For low density and other projects, use 1 for 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. $asin Information ; , _ •; '? K ."'_ tDraina e Ared7i Deaina e Area Drama e Area Drama e`.Area".. . Receiving Stream Name Prince George Creek Stream Class * C; Sw Stream Index Number * 18-74-53 Total Drainage Area (sf) 97,385 On -site Drainage Area (so 97,385 Off -site Drainage Area (so 0 Proposed Impervious Area** (so 75,639 % Impervious Area** total 77.7 ..... c.: Im ,ervious, „Surface,A tea .,; , ti .. ',Drama e,Area l 5, ,Drama e Area ... . . - - Drama e Area �r Dom..... , , x - ,., , r ma e;Area`� , On -site Buildings/Lots (so 9,600 On -site Streets (so 0 On -site Parking (so 54,039 M On -site Sidewalks (so 2,400 Other on -site (so 0 MAP 9 A ? 1i Future (so 9,600 Off -site (so 0 Existing BUA*** (so 0 Total (so: 75,639 Stream Class and Index Number can be determined at: Irttp://portal.ricdeur.org/webhr7q&s/csu/classi rcations *� Impervious area is defined as time built upon area including, but not linrited to, buildings, roads, parking areas, sidewalks, gravel areas, etc. Form SWU-101 Version 14May2010 Page 3 of 11. How was the off -site impervious area listed above determined? Provide documentation. Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened & Endangered Species watershed that maybe subject to more stringent stormwater 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 http:/_/portal.ncdenr.org/web/wq/ws/su/bnip-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.ncdenr.org[web/wq/ws/su(st�tesw/forms_docs. 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 http://portal.iicdenr.org/web/wqLwsZsu/map .) 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 htt_p:/ / portalancdenr.org web/wq/ws/su/statesw/forms does. Initials 1. Original and one copy of the Stormwater Management Permit Application Form. — crl , 2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants Form. (if required as per Part VII belozo) 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.orz/paages/onestol2express.html 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 Q 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 Iocation. 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 I/2 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:G 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 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 measur _ 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 made the determination on the plans. MAR 2 8 2012 n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculat s. o. Drainage areas delineated (included in the main set of plans, not as a separate docu t). p. Vegetated buffers (where required). Form SWU-101 Version 14May2010 Page 4 of 6 9. Copy of any applicable soils report with the associated SHWT elevations (Please identify elevations in addition to depths) as well as a map of the boring Iocations with the existing elevations and boring logs. Include an 8.5"01" 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 verifij the SHVv7 prior to submittal, (910) 796-7378.) 10. A copy of the most current property deed. Deed book: 5267 Page No: 121 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 la, 2a, and/or 3a per 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. http://www.secretary.State.nc.us/Corl2orations/CSearch.aslRx VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective covenants are required to be recorded prior to the sale of any lot. if lot sizes vary significantly or the proposed BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and protective covenants forms can be downloaded from htt ortal,ncdenr.or web w ws su statesw forms does. 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 Iisted 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. 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:Phillip G. Tripp, P.E. Consulting Firm: Tripp Engineering _ Mailing Address:419 Chestnut Street City:WilminOon _ State:NC Zip:28401 Phone: (910 _ ) 763-5100 EmaiI:trippen&Rec.rr.com Fax: (910 ) 763-5631� IX. PROPERTY OWNER AUTHORIZATION (if Cori tact Information, item 2 has been filled out, complete this section) 1, (print or type name of person listen in Contact Information, item 2a) , certify that I own the property identified in this permit application, and thus give permission to (print or hjpe name of person listed in Contact Information, itent 1 a) with (print or type name of organization listed in Contact Information, 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. SECEiiiE- MAR 18 1012 BY: Form SWU-101 Version 14May2010 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 subunit 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, SEAL My commission expires X. APPLICANT'S CERTIFICATION I, (print or type nanie of person listed in Contact Information, item 1a) Joseph L. Hudson 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 u Yer 15A NCAC 214,1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211. Signature: 44 14elQ4—) _ �A Date: I --/0 ` �2. a Notary Public for the State of L�M6Czr6li�ait , Countyof 'and ei do hereby certify that L Sol.. ll Uri Ste] 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, C_lseLi NOTARY PUBLIC SEAL My commission expires CEJVL' MAR 2 8 2012 BY: Form SWU-101 Version 14May2010 Page 6 of 6 k b,, QO USE.ONLY, Date Received Fee Paid Permit Number Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction (select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management PIan ❑ Other WQ M mt Plan: 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 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.): Parker Ventures 2. Location of Project (street address): 5411 Castle Hayne Road City:Castle Hayne County:New Hanover Zip:28429 3. Directions to project (from nearest major intersection): Approximately_0.15 mile south from the intersection of US Hwy 117 (Castle Hayne Road) and -SR 1002 (Holly_ Shelter Roadl 4. Latitude:34° 21' 09" N Longitude:77° 54' 05" W of the main entrance to the project. if. 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 certification 2. Specify the type of project (check one): ❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other 3. If this application is being submitted as the result of a previously returned application or a letter from 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): ❑LAMA Major ®Sedimentation/Erosion Control: 2.0 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: ECEIVEs PEAR 2 8 2012 BY: Form SWU-101 Version 14May2010 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: Castle Plaza Development, LLC Signing Official & Titlejoseph_L. Hudson b.Contact information for person listed in item 1a above: Street Address:1009 Waterview Place City:Carolina Beach State:NC Zip:28428 Mailing Address (if applicable): P.O. Box 397 City:Castle Ha ne State -.NC Zip:28429 Phone: (910 ) 520-8678 Fax: ( ) Email:hud99son@bellsouth.net 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: State: Zip: Mailing Address (if applicable): City: State: Zip: Phone: { } Fax: Email: 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: State: Zip: Phone: ( ) Fax: Email: 4. Local jurisdiction for building permits: Point of Contact: BY: Form SWU-101 Version 14May2010 Page 2 of 6 IV. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. Infiltration basin 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.Identify the regulation(s) the project has been designed in accordance with: ❑ Coastal SW -1995 ® Ph 1I - Post Construction 3. Stormwater runoff from this project drains to the Cape Fear River basin. 4. Total Property Area: 8.14 acres 5. Total Coastal Wetlands Area: 0 acres 6. Total Surface Water Area: 0 acres 7. Total Property Area (4) -Total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project Area*:8.14 acres * Total project area shall be calculated to exclude thefollowing: the nortnat pool of int ounded structures, the area between the banks of strearns and rivers, the area below the Normal High Water (NHM line or Mean High Water (MHW) line, and coastal wetlands landward from the NHW (or MHM line. The resultant project area is used to calculate overall percent built upon area (BLIA). Non -coastal wetlands landward of the NHW (or MHW) litre tnay be included in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 21.3 9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered stormwater BMP. For low density and other projects, use 1 for 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;Iriforrriatron _ i. Drains e Area 1 ' Draiiia` e Aiea n,� 'DTama »'e!. reap`. � ;Drains e Area ". ' Receiving Stream Name Prince George Creek Stream Class * C; SW Stream Index Number * 18-74-53 Total Drainage Area (so 97,385 On -site Drainage Area (sf) 97,385 Off -site Drainage Area (so 0 Proposed Impervious Area** (sq 75,639 % Impervious Area** total 77.7 ...a.. A ,,t:: Im' :ervious`, Surface' Are S Dratna e Aiea 1, D , .., ,: ; tarns e:Area ` Draina`e Area�':� .,Drains eEArea_T4t On -site Buildings/Lots (so 9,600 On -site Streets (so 0 On -site Parking (so 54,039 On -site Sidewalks (so 2,400 Other on -site (so 0 Future (so 9,600 � � .�- Off-site (so 0 Existing BUA*** (sf) 0 kAA �RS� Total (so: 75,639 ' T * Stream Class and Index Number can be determined at: http.l&ortal.picdeiir.orovebAt)a4LsLcstlssiflcatiotis * 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 14May2010 Page 3 of 11. How was the off -site impervious area listed above determined? Provide documentation. Proiects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened & Endangered Species watershed that may be subject to more stringent stormwater 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 http://poi,tal.iicdenr.org/web/wg/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.nedeiir.org/web/wg/ws/su/statesw/forms dots. The complete application package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by Iocating project on the interactive online map at http://portal.ncdenr.org/web[wq/ws/su/maps.) 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:Z/portal.licdenr,org/web/wq/ws/su/statesw/fornis_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 Form. (if required as per Part V1I 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/pages/onestoRexpress.html 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 mile radius on the map. 7. Sealed, signed and dated calculations. 0,414 8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: CY- 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 impounde structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters. �A� 2 2��2 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. BY: 1. 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 sizes, runoff calculations. o. Drainage areas delineated (included in the main set of plans, not as a separate document). p. Vegetated buffers (where required). Form SWU-101 Version 14May2010 Page 4 of 6 9. Copy of any applicable soils report with the associated SHWT 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"xll" copy of the NRCS County Soils map with the project area clearly delineated. For projects with infiltration SMPs, 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 verifij the SHVVT prior to s ubni ittal, (910) 796-7378.) 10. A copy of the most current property deed. Deed book: 5267 Page No: 121 & 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 la, 2a, and/or 3a per 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. hm / /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 Iot 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://portal.ncdeiir.org/web/wws/su/statesw/­`foriiis does. 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. 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: Phillip G. Tripp, P.E. Consulting Firm: TrippEngineering Mailing Address:419 Chestnut Street City:Wilmington _ State:NC Zip:28401 Phone: 910 763-5100 Email: trippeng@ec.rr.com Fax: (910 _ ) 763-5631 IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this section) I, (print or hfpe name of person listed in Contact Inforniation, item 2a) , certify that I own the property identified in this permit application, and thus give permission to (print or type name of person listed in Contact Information, item 1a) with (print or type name of organization listed in Contact Infortnation, 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. EGEIV- MAR 2 8 2012 BY: ---- Form SWU-10I Version I4May2010 Page 5 of 6 Ass 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: I, - • a Notary Public for the State of , County of do hereby certify that personaIIy appeared before me this — day of , _ and acknowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, SEAL My commission expires X. APPLICANT'S CERTIFICATION 1, (print or hjpe name of person listed in Contact Information, item Ia) Joseph L. Hudson 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 udder 15A NCAC 21-1.1000, SL 2006-246 (Ph. Il - Post Construction) or SL 2008-211. Signature: Date: ; --la- I, j�u I l a C_, la,1.ij a Notary Public for the State of L�OA-h CC rh J iJ i alt Countyof s do hereby certify that I k_S - personally appeared before me this B�- day of ri ol/ 2oR- , and acknowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, �l 1 .� (� C_ -Z7-Z Ci `,��1ltirrirnrrrry,��� Q..Nora 9 Ay:4: �.a ' 0 0 rrMiiuO"��` SEAL My commission expires_ / D -_ ECEIV MAR 2 8 2012 BY: -- Form SWU-101 Version 14May2010 Page 6 of6