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HomeMy WebLinkAboutSW8021117_HISTORICAL FILE_20030324STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW�J�I�I l DOC TYPE El CURRENT PERMIT ❑ APPROVED PLANS HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE YYYYMMDD ,f State Stormwater Management Systems Permit No. SW8 021117 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 Gregory A. Hvson Dove Meadows Housing 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 March 24, 2013, and shall be subject to the following specified conditions and limitations: 1. DESIGN STANDARDS This permit is effective only with respect to the nature and volume of stormwater described in the application and other supporting data. This stormwater system has been approved for the management of stormwater runoff as described on page 3 of this permit, the Project Data Sheet. The stormwater control has been designed to handle the runoff from 52,880 square feet of impervious area. The stormwater control 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 pen -nit, and per approved plans. The built -upon area for the future development is limited to 2,030 ftl. 4. All stormwater collection and treatment systems must be located in either dedicated common areas or recorded casements. 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. A permit modification must be submitted and approved prior to the construction of additional built -upon area from outside of the approved drainage area. State Stormwater Management Systems Permit No. SW8 021117 DIVISION OF WATER QUALITY PROJECT DESIGN DATA SHEET Project blame: Dove Meadows Housing Permit Number: SW8 021117 Location: New Hanover County Applicant: Mr. Gregory Hyson, Member/Manager Mailing Address: New Dawson Ltd. Partnership 1101 30th Street NW, 4th Floor Washington, DC 20007 Application Date: March 19, 2003 River Basin 1 Receiving Stream: Cape Fear / UT Greenfield Lake Index #: CPF17 18-76-1 Classification of Water Body: "C Sw" Drainage Area, acres: 2.24 Onsite, ft2: 2.24 Offsite, ft2: 0 Total Impervious Surfaces, ft2: 52,880 Basin Depth, feet: 2.3 TSS removal efficiency: 85% (a 30' vegetated filter is required) Bottom Elevation, FMSL: 24 Bottom Surface Area, fie: 1,160 @24 Permitted Storage Volume, ft3: 4,940 Temporary Storage Elevation, FMSL: 26.3 Controlling Orifice: bypass to 30' vegetated filter Type of Soil: Kureb Expected Infiltration Rate: 25 inches per hour Seasonal High Water Table: 22 FMSL Draw down time: 2 hours 3 State Stormwater Management Systems Permit No. SW8 021117 IL SCHEDULE OF COMPLIANCE The stormwater management system shall be constructed in it's 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 G 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, filter media, flow spreader, catch basins and piping. g. Access to the infiltration basin and 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. Decorative spray fountains will not be allowed in the stormwater treatment system. 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. 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. 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. 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. C. Further subdivision, acquisition, or sale 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. 0 State Stormwater Management Systems Permit No. SWS 021117 10. The permittee shall submit final site layout and grading plans for any permitted future areas shown on the approved plans, prior to construction. If the proposed BUA exceeds the amount permitted under this permit, a modification to the permit must be submitted and approved 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. Prior to the sale or lease of any portion of the property, the permittee shall notify DWQ and provide the name, mailing address and phone number of the purchaser or leasee. An access/maintenance easement to the stormwater facilities shall be granted in favor of the permittee if access to the stormwater facilities will be restricted by the sale or lease of any portion of the property. 13. The permittee must maintain compliance with the proposed built -upon area and ensure that the runoff from all the built -upon is directed into the permitted system. 14. 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. 15. The permittee must maintain the current permitted drainage area. No additional runoff from outside of the permitted drainage area boundary may enter the permitted stormwater facilities without first applying for and receiving a permit modification. III. GENERAL CONDITIONS This permit is not transferable. In the event there is a desire for the facilities to change ownership, or there is a name change of the Permittee, a formal permit transfer request must be submitted to the Division of Water Quality accompanied by an application fee, 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) which have jurisdiction. 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. The permittee grants DFNR 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. 5 State Stormwater Management Systems Permit No. SW8 021117 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 pen -nit. 9. The permittee shall notify the Division any name, ownership or mailing address changes within 30 days. Permit issued this the 24" day of March, 2003. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION . n Alan W. Klimek, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission n ANDREW & KUSKE John R. Andrew, P.E. John S. Tunstall, P.E. J.A. Kuske, P.E. Neal W. Andrew, P.E. CONSULTING ENGINEERS, INC. J. Phillip Norris, P.E. John A. Kuske, III, P.E. James T. Pyrtle, P.E. C. Lawrence Sneeden, Jr., P.E. 902 Market Street • Wilmington, NC 284014733 • Phone (910) 343-9653 • Fax (910) 343-9604 www.andrewandkuske.com • office@andrewandkuske.com LETTER OF TRANSMITTAL To: Linda Lewis Date: March 19, 2003 Job No. 02076 NC DENR - Wilmington subject: Dove Meadows Wilmington, NC DWQ Stormwater No. SW8 021117 WE ARE SENDING YOU VIA HAND DELIVER FAX TRANSMITTAL: NUMBER OF PAGES ❑ ATTACHED ❑ UNDER SEPARATE COVER INCLUDING THIS TRANSMITTAL ❑ SHOP DRAWINGS ® PRINTS ❑ TRACINGS ❑ SPECIFICATIONS ❑ DISKS ❑ COPY OF LETTER Call 910-343-9653 if you have any difficulty ❑ receiving this message. COPIES DATE NO. DESCRIPTION 3 3-18-03 R4 C4 - Details and Notes 11"U�CEIVEDJ 19 2003 LMAR BY. r ® AS REQUESTED ❑ FOR REVIEW AND COMMENT ® FOR APPROVAL ❑ FOR YOUR USE ❑ FOR BIDS DUE ❑ YOUR PRINTS LOANED TO US REMARKS: Revised plans per your comments of March 14, 2003. cc: Mike Gaffney 1 FMK Architects SIGNED C. Lawrence Sneeden, Jr., P. E., 1 asn Greg Hyson 1 New Dawson Eric Allen CONFIDENTIAL AND PRIVILEGED: Information contained in this document is privileged and confidential, intended for the sole use of the addressee. If you are not the addressee or the person responsible for delivering it to the addressee you are hereby notified that any dissemination, distribution or copying of this document is strictly prohibited. If you have received this document in error please immediately notify the sender and return to the address above. TRANSACTION REPORT MAR-14-2003 FRI 01:47 PM �c �c �c �c FOR; NCDENR WIRO 9103502004 SEND(M) DATE START RECEIVER PAGES TIDE NOTE M# MAR-14 01:46 PM 93439604 2 1'06" OK 66 Michael F. Easley, Governor William G. Ross, Jr., Secretary North Carolina Department of Environment and Natural Resources FAX COVER SHEET Date: March 14, 2003 To: Larry Sneeden, P.E. Company: Andrew and Kuske FAX #: 343-9604 DWQ Stormwater Project Number: SWS 021117 Project Name: Dove Meadows MESSAGE: Dear Larry:. Alan W. Klimek, P.E., Director Division of Water Quality Wilmington Regional Office No: of Pages: 2 rf,� From: Linda Lewis 1`� Water Quality Section - Stormwater FAX # 910-350-2004 Phone # 910-395-3900 Please provide a longitudinal section view of the vegetated filter, to include the flow spreader mechanism and the slope, as shown on the attached sheet. Please add a detail of the bypass structure (SDDI #8) to include SDDI #1 and the 12"RCP between them. S:\WQS\STORMWAT\ADDINFO\2003\021117.MAR03 , 72 �.� NCDENR N.C. Division of Water Quality 127 Cardinal Drive Extension Wilmington, N.C. 28405 (910) 395-3900 Fax (910) 350-2004 Customer Service 800-623-7748 a4 5 a1 al au7 u C4 cn. O m o. LO N � o Cc -H ,1 z LL-; a F �+ ,G c O 3 aaii � w s a O W • L) 3 a u 0 sc- A C. CD C4 CO •-1C. Q7 (A ANDREW & KUSKE CONSULTING ENGINEERS, INC. Memorandum To: Linda Lewis, NCDENR Project: Dove Meadows Site From: Larry Sneeden A&K # 02076 REC�I-JIF-4:-D Date: February 20, 2003 UUJ Re: Response to Comments, SW8 021 117 BY: Attached are two sets of revised plans and one set of revised calculations for the project. The revisions are in response to your comments of January 27, 2003 and those of the city. Our responses to the comments are as follows: My memo of January 28`h explained Vincent Lewis's visit and the water table elevations at the infiltration chambers. 1 trust that information is sufficient to address your concerns. "The vegetated filter has been relocated to the north end of the site and labeled and detailed. The new drop inlet will overflow into the filter once the pond storage level reaches elevation 26.3, bypassing the pond. The pond was shortened and widened slightly to preserve a pine tree along the road frontage. The pond areas and volumes were impacted slightly but did not change the function or design water levels in the pond and are reflected in the revised calculations. Please let me know if you have other questions or concerns. CC: Greg Hyson, 'Telesis Mike Gaffiiey, FMK Architects Phil Bevilacqua, City of Wilmington 902 MARKET STREET WILMINGTON, NORTH CAROLINA 28401-4733 9101343-9653 FAX 9101343-9604 �t 4 P. 1 FILE MODE - 14-1 MEMORYTX * * * COMMUNICATION RESULT REPORT ( JAN.27.2003 OPTION ADDRESS (GROUP) ------------------- 9-3439604 4:36PM ) TTI RESULT ----------- OK NCDENR 14IRO PAGE P. -1/1 REASON FOR ERROR ------------------------------------ E-1) HANG UP OR LINE FAIL E-2) BUSY __. E-3) NO ANSWER E-4) NO FACSIMILE CONNECTION fC WATF 0 �QQ Michael F. Easley, Govemor O G William G, Ross, Jr„ Secretary North Carolina Department of Environment and Natural Resources Alai Director Dlvlsioneof WateT } Wilmington Regional Office. FAX COVER SHEET i Date: January 27, 2003 No. of Pages: 1 To: Larry Sneedeq, P.E. From: Linda Lewis Company: Andrew and Kuske Water Quality Section - Stormwater FAX #: 343-9664 FAX 4 910-350-2004 1 Phone # 910-395-3900 DWQ Stormwater Project Number: S'WS 021117 Project Name: ove Meadows MESSAGE- i Dear Larry: { In addition to the soils investigation, please provide the following; 1, I'm havaing trouble Nvith the infiltration chamber system. If the chamber system is proposed, the bottom of the chambers must be at least 2' above the seasonal high water table. The current proposed condition has the bottom of the chambers at or • • ,1 .I _1. ---- a7-- - -. 1 u-'5.. —+— 4a'klA iC not ar-nentahle under the 0� W A 7F9 �O G 4 'C Michael F. Easley, Governor William G. Ross, Jr., Secretary North Carolina Department of Environment and Natural Resources FAX COVER SHEET Date: January 27, 2003 To: Larry Sneeden, P.E. Company: Andrew and Kuske FAX #: 343-9604 DWQ Stormwater Project Number: SW8 021117 Project Name: Dove Meadows MESSAGE: Dear Larry: Alan W. Klimek, P.E., Director Division of Water Quality Wilmington Regional Office No. of Pages: 1 A)p From: Linda Lewis Water Quality Section - Stormwater FAX # 910-350-2004 Phone # 910-395-3900 In addition to the soils investigation, please provide the following: I'm having trouble with the infiltration chamber system. If the chamber system is proposed, the bottom of the chambers must be at least 2' above the seasonal high water table. The current proposed condition has the bottom of the chambers at or slightly above the seasonal high water table, which is not acceptable under the stormwater rules. 2. Please label the location of the required 30' vegetated filter and provide a detail. 3. Please provide an off-line bypass for the runoff. If off-line bypass cannot be achieved, please provide storage for a 2.5" design storm. S:IWQSISTOPM WAT1A DDINF0120031021117.JAN03 NCDENR N.C. Division of Water Quality 127 Cardinal Drive Extension Wilmington, N.C. 28405 (910) 395-3900 Fax (910) 350-2004 Customer Service 800-623-7748 Re: Stormwater. Comments S W8 021 1 17 Subject: Re: Stormwater Comments SW8 021117 Date: Wed, 29-Jan 2003 09:35:10 -0500 From: Linda Lewis <Linda.Lewis@ncmail.net> Organization: NC DENR To: Larry Sneeden / Andrew & Kuske <clsneeden@andrewandkuske.com> Larry: Vincent came by yesterday and told me that he had been to the site. Another meeting is not necessary. No, I'm not looking for exactly 2' of separation. I do occasionally permit projects in the real world. I think you'll find the infiltration chambers to be more expensive that plain old concrete pipe, but as long as there's a reasonable expectation that a separation of about 2' can be maintained, I'll be OK. Regarding the vegetated filter, yes, please revise the label from grassed swale to vegetated filter. After all, a vegetated filter is not a grassed swale. The filter should be a flat; grassed area, 30' long, over which the runoff can sheetflow. It is not simply a grassed connector ditch from basin to receiving waters. Please make this distinction on the plans and show a proper filter detail. Sheet C-4 shows only a swale detail, not a vegetated filter detail. Be sure to show sufficient proposed grading for the filter ( level spreader mechanism inverts, slope, etc.) on the plans. Linda Larry Sneeden / Andrew & Kuske wrote: Project: Dove Meadows A& K # 02076 Linda, Attached is a memo with some clarifications and questions on your comments of 1/27/03, Please call if a phone conversation would help resolve these items. Larry Andrew & Kuske Consulting Engineers, Inc. 902 Market Street Wilmington, NC 28401 910-343-9653 (0) 910-343-9604 (F) It is the professional opinion of Andrew & Kuske Consulting Engineers, Inc. that this electronic information provides design information current as of the date of its release. It shall be the responsibility of the party receiving the data to examine it to see that it contains the necessary files and information requested. In transferring the files in electronic media format, Andrew & Kuske makes no representations as to the usability or readability of documents resulting from the use of software application packages, operating systems, or computer hardware differing from those used by Andrew & Kuske in the preparation of such data. I of 1 1/29/2003 10:58 AM ANDREW & KUSKE CONSULTING ENGINEERS, INC. Memorandum To: Linda Lewis, NCDENR Project: Dove Meadows Site From: Larry Sneeden A&K # 02076 Date: January 28, 2003 Re: Response to Comments, SW8 021117 I met with Bill Dunlop of Eastern Soils Limited and Vincent Lewis at the site on September 6"', 2002. The results of that meeting are contained in the letter report from ESL attached to the calculations. Please let me know if you need another meeting to revisit the site. The following are clarifications to assist with your three additional comments: 1. I knew you would have trouble with that system! I requested in the narrative that it not be included as a part of the permitted treatment system, and did not include it in any of the storage and infiltration calculations. We are still pricing this item and may need to pipe the runoff instead. However, it is proposed as a part of the overall system and I. knew it would probably be looked at. The aforementioned ESL report gave depths to SHWT of 72" (6') at boring #1 and 66" (5.5') at boring #2. The approximate ground elevations at the boring 1 ocations a re 28' and 27' respectively, giving a SHWT elevation of 22' to 21.5'. The bottom of the infiltration trench is about 3 3" b elow t he p avement g rade o f 26.9, giving it an elevation of about 24.1. This provides 2' of separation, maybe slightly less if the contractor is not precise in the installation. If you need to guarantee two foot separation, or will permit it as a part of the treatment system and require installation as shown, then respond immediately and we will revise the plans to show pipe instead. 2. The vegetated filter is labeled as a grassed swale on Sheet C-1 and the detail is shown on C-4 with the same label. We will revise the plans if necessary to correct the labels. 3. We can provide an off-line bypass if required. I thought that you may have softened on the off-line requirement based on the permit issued for Renaissance. The water quality would be substantially enhanced and the quantity substantially reduced at the point of discharge with an in -line bypass, but we will yield to your judgement on this issue. We look forward to your response on these items and will revise our submittal upon receipt. CC: Greg Hyson, Telesis Mike Gaffney, FMK Architects Phil Bevilacqua, City of Wilmington 902 MARKET STREET WILMINGTON,"NORTH CAROLINA 28401-4733 9101343-9653 FAX 910I343-9604 * * * COMMUNICATION RESULT REPORT ( JAN.27.2003 FILE MODE . OPTION ---------------- ----- 141 MEMORY TX r ---------------------- --- — ---- REASON FOR ERROR ------ E-1) HANG UP OR LINE FAIL - — E-3) NO _ ANSWER. c WATT 1 -ADDRESS (GROUP) 9-3439604----_-__ P. 1 4:02PM ) TTI NCDENR WIRO RESULT --PAGE- OK-----------P.-1-1 E-2) BUSY E-4) NO FACSIMILE CONNECTION �Q .6Q Michael F. Easley, Governor 6 William G. Ross, Jr. Secretary Cry North Carolina Department of Environment and Natural Resources '--i Alan W. Klimek, P.E., Director D 'C Division of Water Quality Wilmington Regional Office FAX COVER SHEET Date: January 27, 20L No. of Pages: 1 To: Larry Sneedenl, P.E. From: Linda Lewis Company: Andrew and Kuske Water Quality Section - Stormwater FAX #: 343-9694 FAX # 910-350-2004 Phone # 910-395-3900 D'WQ Stormwater Project Number; SW$ 021117 Project Name: ove Meadows MESSAGE: Lary: Please make arrangemients (through me) to meet with Vincent Lewis to investigate the soil conditions at the site, a if you have not already dare so. Email or fax works best for me these days. Thanks. As Michael F. Easley, Governor William G. Ross, Jr., Secretary North Carolina Department of Environment and Natural Resources FAX COVER SHEET Date: January 27, 2003 To: Larry Sneeden, P.E. Company: Andrew and Kuske FAX #: 343-9604 DWQ Stormwater Project Number: SW8 021117 Project Name: Dove Meadows MESSAGE: Larry: Alan W. Klimek, P.E., Director Division of Water Quality Wilmington Regional Office No. of Pages: 1 4�j From: Linda Lewis Water Quality Section - Stormwater FAX # 910-350-2004 Phone # 910-395-3900 Please make arrangements (through me) to meet with Vincent Lewis to investigate the soil conditions at the site, if you have not already done so. Email or fax works best for me these days. Thanks. S:1WQSlSTORMWATIADDINF0120031021117.JAN03 NCDENR N.C. Division of Water Quality 127 Cardinal Drive Extension Wilmington, N.C. 28405 (910) 395-3900 Fax (910) 350-2004 Customer Service 800-623-7748 Andrew & Kuske CONSULTING ENGINEERS, INC. 902 Market Street Wilmington, NC 28401-4733 910/343-9653 910/343-9634 Fax www,andrewor)dkuske.com November 13, 2002 Ms. Linda Lewis, Environmental Engineer NC DENR Division of Water Quality 127 Cardinal Drive Extension Wilmington, NC 28405-3845 Re- State Stormwater Permit Submittal Dove Meadows Elderly Housing Wilmington, NC A & K Project No. 02076 Dear Ms. Lewis: John R. Andrew, P.E. J. Phillip Norris, RE, John S. Tunstall, P.E. Neal W. Andrew, P.E. John A. Kuske, III, P.E. J.A. Kuske, P.E. of Counsel James T. Role, P.E. C. Lawrence SSneeden, Jr., P.E. j N 0 V 2 0 ZOOZ VIV Enclosed are two (2) sets of plans for the subject project, one (1) set of calculations, the original Division of Water Quality Stormwater Management Permit application, the original SWU-103 supplement form, one (1) copy of the stormwater narrative and a $420.00 check for the processing fee. Please review this information for approval and contact us with any questions or comments you may have. Thank you for your assistance on this project. Sincerely, ANDREW & KUSKE CONSULTING ENGINEERS, INC. J'// C. Lawrence Sneeden, Jr., P.E. CLS/asn 02076 11-13-02-s-sw-Itr Enclosures cc: Greg Hyson / New Dawson Mike Gaffney / FMK Architects r/ 1001 302 THU T03712FAX VIOL 34s°HNu wiRo andrew & Uske Engineers i N0,475 p. UU1/UUJ WET Amy chantess INSTRUMONS To dctam:na the cklsstficatima] form, with It= l threw` t Supervisor (sec P39e 2 of 2) pno copy of the pO&M of a 7-5 project You muss idenfify trio ' raqucstiasg the classificrslian) ?n copy of the sail VA-VeY map €qr I nntil. this form is compidw �y 1. Applicnt's nano (name I A&K #U2076 State of North Carolina ofEnviropment and Natural Resources Division of Water Quality CLASSNUCATION ATTAC$MENT le to th;s form will roult ki the application being returned. form may be phorocopted for use as an origfnofj o watctsh*s) lnsAkh tlwe subject project will be ]ocatct3 you arc revirrA to svbroit this nplew4 to ft aorapdte MvWon or water Quality Rcg: nd Offim Water Quality y submittal of*c application for review. At a minimam, you must indude an 8S" by 11" : USGS Topogmp%c Map that shows tloe =f= walcrs im mcdiately downslapc of ft aeon of &a projcA And the closest dowrolopo surface waters (warms for which you an submitted map copy. If tbe; facMty is located in ft N'euse River Basin, also iucludo a prco cct locatium The corresponding soo-discharge application may not be submitted e approp'riste regonal office and included with the submittal. the mmucipahty, corpora dam. individual, etc-): 2. Name and =Vlets a cos of applicaat; — 1101 3e Street NW, Floor City: Washing�,o — Slate: DC Zip: 20M7 Phone number; � ,(202) 333-a07 , r Facile number: _ (202) 338-1565 3. Project name (nnmo qFthe subdivisioti, fadirty or emmzblislt wx4 etc): ri1V ���'.�rt ti1 U ARr Dove Meadows Elde Houslna . 4. CoUnty where project i 5. Name(s) of ciosesa oftrl its waters b. River badn(s) in which �he project is located: 7. Topogcaghic map t• 8. Nor& Carolina Pro i and data: 1993 10972 En&eer's Seal, signaftt`0, and daw. fd/?D Ox TO: REGIONAL OFF WATER QUAUTV SUMRVISOR Please provide me wfth the c ' ems) of the Whim *ters, watm-shcd(s), ate apprWUw river%tt(s) where these actMtias ocaar. as id=dfizd the attached map Ecipuent Nama(a) of surface waters river basin(s); classification(s) (as es£ebli Prespo�ed classi�catiasi(s), River basin burr ttile� if i SiVmn= of regional c led by the Eb4C): applicable: persowlel'.5�Date: FORM: WSCA 10199 1 ptl C 1 om