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HomeMy WebLinkAboutSW3121102_CURRENT PERMIT_20140322STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. I SW 5X DOC TYPE CURRENT PERMIT/"%�104� ❑ APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATElf% YYYYMMDD +��,� NCDENR North Carolina Department of Environment and Natural Resources Division of Energy, Mineral, and Land Resources Tracy E. Davis, PE, CPM Pat McCrory, Governor ��•� uu`ei r � n'r9 .rj Director John E. Slivarla III, Secretary.SOURCES �wJ U ALITY SE.CTION March 22, 2014 - ^-1. Mr. Keith Wayne APR 112014 Coddle Creek, LLC DrFAn ,,, "+vinui,h�IEN-' 195 Ervin Woods Dr. Kannapolis, NC 28081 AND NATURAL RESOURCES Subject: Stormwater Permit No. SW3121 102 as revised March 22, 2014 Wayne Brothers Corporate Headquarters Warehouse Project High Density Commercial Sand Filter Cabarrus County Dear Mr. Wayne: The Stormwater Permitting Unit received an application for a Stormwater Management Permit modification for the subject project on March 19, 2014. Staff review of the plans and specifications has determined that the project, as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000 and Session Law 2006-246. We are forwarding Permit No. SW3121 102 Revision 03222014, dated March 22, 2014, for the construction, operation and maintenance of the subject project and the stormwater BMPs. This permit shall be effective from the date of issuance until March 21, 2014, and shall be subject to the conditions and limitations as specified therein, and does not supersede any other agency permit that may be required. Please pay special attention to the conditions listed in this permit regarding the Operation and Maintenance of the BMP(s), recordation of deed restrictions, procedures for changes of ownership, transferring the permit, and renewing the permit. Failure to establish an adequate system for operation and maintenance of the stormwater management system, to record deed restrictions, to follow the procedures for transfer of the permit, or to renew the permit, will result in future compliance problems. If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing 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. Per NCGS 143-215(e) the petition 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 filing 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. This project will be kept on file at the Mooresville Regional Office. If you have any questions, or need additional information concerning this matter, please contact Mike Randall at (919) 807-6374; or mike.randall@ncdenr.gov. Sincerely, fora E. Davis, PE, CPM, Director cc: SW3121102 File, Mooresville Regional Office cc: Christopher N. Isaacs, PE - The Isaacs Group, PC Geological Survey Section • Land Quality Section 1612 Mail Service Center, Raleigh, North Carolina 27699-1612 •919-707-92001 FAX: 919-715-8801 512 North Salisbury Street, Raleigh, North Carolina 27604 • In4met: http://portal.ncdenr.org/web/Ir/ An Equal Opportunity 1 Affirmative Action Employer- 50% Recycled 110% Post Consumer Paper State Stormwater Permit Permit No. SW3121102 Revision 03222014 STATE OF NORTH CAROLINA DIVISION OF LAND RESOURCES DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES AND QUALITY SECTION APR 11 2014 STATE STORMWATER MANAGEMENT PERMIT ,„„*,,, 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 Coddle Creek, LLC Wayne Brothers Corporate Headquarters Warehouse Project 10998 Sudbury Rd., Kannapolis, Cabarrus County FOR THE construction, operation and maintenance of a sand filter in compliance with the provisions of Session Law 2006-246 and 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 State and considered a part of this permit. This permit revision shall be effective from the date of issuance until March 21. 2022, and shall be subject to the following specified conditions and limitations: I. DESIGN STANDARDS This permit is effective only with respect to the nature and volume of stormwater described in the application and other supporting data. 2. The sand filter is approved for the management of stormwater runoff as described in the application documents and as shown on the approved plans. 3. 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. 4. The runoff from all built -upon area within the permitted drainage area of this project must be directed into the permitted stormwater control system. The built -upon areas associated with this project shall be located at least 30 feet landward of all perennial and intermittent surface waters. Page 1 of 4 State Stormwater Permit Permit No. SW3121102 Revision 03222014 II. SCHEDULE OF COMPLIANCE During construction, erosion shall be kept to a minimum and any eroded areas of the system will be repaired immediately. The permittee shall at all time provide the operation and maintenance necessary to assure the permitted sand filter functions at optimum efficiency. The approved Operation and Maintenance Plan must be followed in its entirety and maintenance must occur at the scheduled intervals including, but not limited to: a. Semiannual scheduled inspections (every 6 months). b. Sediment removal. C. Mowing and re -vegetation of slopes and the filter strip. d. Immediate repair of eroded areas. e. Maintenance of all slopes in accordance with approved plans. f. Debris removal and unclogging of all drainage structures, level spreader, filter media, planting media, underdrains, catch basins and piping. g. Access to the cell and outlet structure must be available at all times. 3. 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. 4. The permittee shall submit an annual summary report of the maintenance and inspection records for the sand filter. The report shall summarize the inspection dates, results of the inspections, and the maintenance work performed at each inspection. 5. The sand filter shall be constructed in accordance with the approved plans and specifications, the conditions of this permit, and with other supporting data. 6. 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 sand filter 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. 7. 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. 8. 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 was sought. f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan. Page 2 of 4 State Stormwater Permit Permit No. SW3121102 Revision 03222014 9. A copy of the approved plans and specifications shall be maintained on file by the Permittee for a minimum of eight years from the date of the completion of construction. 10. 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 1. This permit is not transferable except after notice to and approval by the Director. In the event of a change of ownership, or a name change, the permittee must submit a completed Name/Ownership Change form signed by both parties, to the State, accompanied by the supporting documentation. The approval of this request will be considered on its merits and may or may not be approved. 2. The permittee is responsible for compliance with all permit conditions until such time as the Division approves a request to transfer the permit. 3. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to enforcement action by the State, in accordance with North Carolina General Statute 143-215.6A to 143-215.6C. 4. The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules, regulations, or ordinances, which may be imposed by other local, state, and federal agencies having jurisdiction. 5. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Permittee shall take immediate corrective action, including those as may be required by this Division, such as the construction of additional or replacement stormwater management systems. 6. The permittee grants DENR Staff permission to enter the property during normal business hours for the purpose of inspecting all components of the permitted stormwater management facility. 7. The permit issued shall continue in force and effect until revoked or terminated. The permit may be modified, revoked and reissued or terminated for cause. The filing of a request for a permit modification, revocation and re -issuance or termination does not stay any permit condition. 8. Unless specified elsewhere, permanent seeding requirements for the stormwater control must follow the guidelines established in the North Carolina Erosion and Sediment Control Planning and Design Manual. 9. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit. Page 3 of 4 State Stormwater Permit Permit No. SW3121102 Revision 03222014 10. The issuance of this permit does not prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules and regulations contained in Session Law 2006- 246, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al. 11. The permittee shall notify the Division in writing of any name, ownership or mailing address changes at least 30 days prior to making such changes. 12. The permittee shall submit a renewal request with all required forms and documentation at least 180 days prior to the expiration date of this permit. Permit issued this the 22 day of March, 2014. for Tracy E. Davis, P.E., CPM Director Division of Energy, Mineral, and Land Resources Page 4 of 4 State Stormwater Permit Permit No. SW3121102 Revision 03222014 Wayne Brothers Corporate Headquarters Warehouse Project 10998 Sudbury Rd., Kannapolis, Cabarrus County Designer's Certification I, , as a duly registered in the State of North Carolina, having been authorized to observe (periodically/ weekly/ full time) the construction of the project, (Project Name) for (Project Owner) hereby state that, to the best of my abilities, due care and diligence was used in the observation of the project construction such that the construction was observed to be built within substantial compliance and intent of the approved plans and specifications. Noted deviations from approved plans and specification: Signature Registration Number Date SEAL cc: NCDENR-DEMLR Regional Office Page 1 of 1 r . DEMLR 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 Plan ❑ Other WQ M mt Plan: State of North Carolina Department of Environment and Natural Resources Division of Energy, Mineral and Land Resources STORMWATER MANAGEMENT PERMIT APPLICATION FORM This form may be photocopied for use as an original I. GENERAL INFORMATION 1. Project Name (subdivision, facility, or establishment name -should be consistent specifications, letters, operation and maintenance agreements, etc.): 2. Location of Project (street address): City:Kannapolis County:Cabarrus 3. Directions to project (from nearest major intersection): on plans, Southwest approximately 18501 f. along Sudbury Road from the Intersection of Odell School Road (S.R. 1601) and Sudbury Road (S R 1607) 4. Latitude:35° 29' 13.92" N Longitude:-80° 45' 48.6" W of the main entrance to the project. IL PERMIT INFORMATION: 1. a. Specify whether project is (check one): ❑New ®Modification ❑ Renewal w/ Modificationt tReneuials with modifications also requires S WU-102 - Renewal Application Form b.If this application is being submitted as the result of a modification to an existing permit, list the existing - permit numberSW3121102 , its issue date (if known)12/31/2012 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 DEMLR requesting a state stormwater management permit application, list the Stormwater project number, if assigned, and the previous name of the project, if different than currently proposed, 4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be obtained by contacting the Customer Service Center at 1-877-623-6748): ❑CAMA Major ®Sedimentation/Erosion Control:10.16 ac of Disturbed Area ❑NPDES Industrial Stormwater M404/401 Permit: Proposed Impacts 149 l f of stream impact 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: 5. Is the project located within 5 miles of a public airport? ®No ❑Yes If yes, see S.L. 2000, Part Vlhttp://12ortal.iicdeiir.org/web/­Ir/rules-and-regulations Form SWU-101 Version Oct. 31, 2013 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 protect): Applicant/Organization:Coddle Creek LLC Signing Official & Title:Keith Wayne President/CEO b.Contact information for person listed in item la above: Street Address:195 Erwin Woods Drive City:Kannapolis State:NC Zip:28081 Mailing Address (if applicable): City: Phone: (704 ) 938-8400 Email:keithw@waynebros.com Zip: Fax: (704 ) 938-8680 c. Please check the appropriate box. The applicant listed above is: ® The property owner (Skip to Contact Information, item 3a) ❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below) ❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and 2b below) ❑ Developer* (Complete Contact Information, item 2a and 2b below.) 2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the person who owns the property that the project is located on): Property Owner/1 Signing Official & b.Contact information for person listed in item 2a above: Street Address: City: Mailing Address (if applicable): Phone: State: State: Fax: ( ) 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:Codle Creek LLC Signing Official & Title:Keith Wayne President/CEO b.Contact information for person listed in item 3a above: Mailing Address:195 Erwin Woods Drive City:Kannapolis State:NC Zip:28081 Phone: (704 ) 938-8400 Email:keithw@waynebros.com Fax: (704 ) 938-8680 4. Local jurisdiction for building permits: Cabarrus County Inspection Dept Point of Contact:N/A Phone #: (704 L920-2128 Form S WU-101 Version Oct. 31, 2013 Page 2 of 6 IV. PROJECT INFORMATION 1. In the space provided below, briefly summarize bow the stormwater runoff will be treated. Runoff from impervious surfaces will be collected in catch basins and piped to an above ground Sand Filter BMP sized to accommodate future development of the contributing on -site watershed. 2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved: ❑ Approval of a Site Specific Development Plan or PUD Approval Date: ❑ Valid Building Permit Issued Date: ❑ Other: Date: b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with: ❑ Coastal SW -1995 ❑ Ph 11- Post Construction 3. Stormwater runoff from this project drains to the Yadkin River basin. 4. Total Property Area: 75.60 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+:75.60 acres * Total project area shall be calculated to exclude the followin the normal pool of imyyou��nded structures, the area between the banks of strearns and rivers, the area below the Normal Hi h Water (NHW) line or Mean High Water (MHW) line, and coastal wetlands landward front the NHW (or MHM line. The resultant project area is used to calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may be included in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = - % !o 9. How many drainage areas does the project have?l (For high densihj, court 1 for each proposed engineered stormwater BMP. For low densihj and other projects, use I for the whole properhj area) 10. Complete the following information for each drainage area identified in Project Information item 9. If there are more than four drainage areas in the project, attach an additional sheet with the information for each area provided in the same format as below. ;Basin+Information,.';-.' ,, ;'`'iDraimike'Area.lj?Draina e'Arear`J0rainage,Areaw;:Drama e'Srea1_; Receiving Stream Name Rocky River Stream Class * C Stream Index Number * 13-17 Total Drainage Area (so 354,643 On -site Drainage Area (so 354,643 Off -site Drainage Area (so 0 Proposed Impervious Area** (so 1 270,072 % Impervious Area** total 7(o °�o .Impervious"', Surface Area Drain a` e Arca =Draina e Area :" Dr'ama 'e A`rea = 'Drama e'-Area `_' On -site Buildings/Lots (so 24,000 On -site Streets (so 23,086 On -site Parking (so 94,844 On -site Sidewalks (so 2,240 Other on -site (so 77,987 Future (so 47,915 Off -site (sf) 0 Existing BUA*** (so 0 Total (so: 270,072 * Stream Class and Index Number can be determined at: ldto//portal ucdeur org/weMvq/ps/csu/classifirnhorrs ** ]inpervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas, sidewalks, gravel areas, etc. *** Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that is to be removed and which will be replaced by new BUA. Form SWU-101 Version Oct. 31, 2013 Page 3 of 6 11. How was the off -site impervious area listed above determined? Provide documentation. topographic survey_ Projects in Union County: Contact DEMLR 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 15A NCAC 02B .0600. V. SUPPLEMENT AND O&M FORMS The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded from http://portal.ncdenr.org/web/wq/ws/su/bmp-manual. VI. SUBMITTAL REQUIREMENTS Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application instruction sheet and BMP checklists are available from http://portal.ncdenr.org/web/wq/ws/so/statesw/forms does. The complete application package should be submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the interactive online map at http://12ortal.iicdeiir.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 htW://portal.ncdenr.org/web/wq/ws/­su/statesw/forins does. 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 VII 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/onestopexpress.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 1/2 mile radius on the map. 7. Sealed, signed and dated calculations (one copy). 8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: a. Development/Project name. b. Engineer and firm. c. Location map with named streets and NCSR numbers. d. Legend. e. North arrow. f. Scale. g. Revision number and dates. h. Identify all surface waters on the plans by delineating the normal pool elevation of impounded structures, the banks of streams and rivers, the MI-IW or NHW line of tidal waters, and any coastal wetlands landward of the MHW or NI-IW lines. • Delineate the vegetated buffer landward from the normal pool elevation of impounded structures, the banks of streams or rivers, and the MHW (or NI-IW) of tidal waters. i. Dimensioned property/project boundary with bearings & distances. j. Site Layout with all BUA identified and dimensioned. k. Existing contours, proposed contours, spot elevations, finished floor elevations. I. Details of roads, drainage features, collection systems, and stormwater control measures. m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a qualified person. Provide documentation of qualifications and identify the person who made the determination on the plans. n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations. o. Drainage areas delineated (included in the main set of plans, not as a separate document). G✓y � r-1 C cam,} Form SWU-101 Version Oct. 31, 2013 Page 4 of 6 p. Vegetated buffers (where required). 9. Copy of any applicable soils report with the associated SFIWT elevations (Please identify e /' 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 BMPs, the report should also include the soil type, expected infiltration rate, and the method of determining the infiltration rate. (Infiltration Devices submitted to WiRO: Schedule a site visit for DEMLR to verifij the SHWF prior to submittal, (910) 796-7378.) / 6 / 2-7 10. A copy of the most current property deed. Deed book: / 077 / Page No: 09Z CN 11. For corporations and limited liability corporations (LLC): Provide documentation from the NC Gti� 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 15A NCAC 21-1.1003(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. bt!p://www.secretary.state.nc.us/Corporatioiis/-CSearch.aspx VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and protective covenants forms can be downloaded hlfiu *ortal.ncdenr.org/web/Ir/state-stormwater- 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 listed on the forms available on the website, that the covenants will be binding on all parties and persons claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any lot. VIII. CONSULTANT INFORMATION AND AUTHORIZATION Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as addressing requests for additional information). Consulting Engineer.Christopher N. Isaacs PE Consulting Firm: The Isaacs Group PC Mailing Address:8720 Red Oak Blvd Ste 420 City:Charlotte State:NC Zip:28217 Phone: (704 ) 227-9400 Fax: (704-227-9401 ) Email:ci@isaacsgrl2.com IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this section) I, (print or type natne of person listed in Contact Information, item 2a) certify that I own the property identified in this permit application, and thus give permission to (print or type mmne of person listed in Contact Information, item la) with (print or type name of organization listed in Contact Information, itennt 1n) 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 stonmwater system. Form SWU-101 Version Oct. 31, 2013 Page 5 of 6 / A5 the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment facility without a valid permit. I understand 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: p Date: March 13th, 2014 I Lisa K. Webster Cabarrus , do hereby certify that a Notary Public for the State of Keith Wayne North Carolina County of personally appeared before me this 13 day of March 2014 cknowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, �� �-k y 1 IIIt J�a\P J a� J �O % SEAL w ¢ Co to = 3 0 1 n' Q7 My commission expires April 2nd 2017 X. APPLICANT'S CERTIFICATION I, (print or type name of person listed in Contact Information, item la) Keith Wayne certify that the information included on this permit application form is, to the best of my knowledge, correct and that the project will be constructed in conformance with the approved plans, that the required deed restrictions and protective covenants will be recorded, and that the proposed project complies with the requirements of the applicable stormwater rules under 15A NCAC 21-1.1000 and any other applicable state stormwater requirements. Signature:' Date: March 13th, 2014 1, Lisa K. Webster ._ a Notary Public for the State of North Carolina County of Cabarrus do hereby certify that Keith Wayne personally appeared before me this 13 day of March 2014 afd at knowledge the due exec�utionn ofthe application for a stormwater permit Witness my hand and official eat, t C'i m co c ti u � \�\\\ SEAL My commission expires April 2nd 2017 _ Form SWU-101 Version Oct. 31, 2013 Page 6 of 6 State Stormwater Permit Permit No. SW3121102 Wayne Brothers Corporate Headquarters Warehouse Project Stormwater Permit No. SW3121102 Cabarrus County Designer's Certification I, , as a duly registered PE / in the State o N6rtli Carolina, having been authorized to observe ( periodically / ❑ weekly / ❑full time) the construction of the project, (Project for Wgyue. gCok[5 (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: SEAL Signature CAF1 to CA ,NA Registration Number C53(o914 .•��PoF _sss%O Date ID b )111 tQ. SEAL � 036914 Page 5 of 6 State Stormwater Permit Permit No. SW3121102 Certification Requirements: 1. The drainage area to the system contains approximately the permitted __Z2. acreage.O2A;NAG� AzeA Ns svy\4LLe( "t,\ Qe '44e% Aaew (MAP WUW_')uD) The drainage area to the system contains no more than the permitted amount of built -upon area. /3. All the built -upon area associated with the project is graded such that the runoff drains to the system. ✓ 4. All roof drains are located such that the runoff is directed into the system. 15. The outlet/bypass structure elevations are per the approved plan. /6. The outlet structure is located per the approved plans. �7. Under drains are located per the approved plans. ✓ 8. All slopes are grassed with permanent vegetation, per the vegetation plan. ✓ 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 volume have been provided. ✓ 12. Required drawdown devices are correctly sized per the approved plans. 13. All required design depths are provided. V 14. All required parts of the system are provided, such as a sediment chambers, sand chambers, under drains, and outlets. ✓ 15. The required system dimensions are provided per the approved plans. Please submit this Designer's Certification to: Mooresville Regional Office Surface Water Protection 610 East Center Ave., Ste. 301 Mooresville, NC 28115 Cc: Cabarrus County Inspections Page 6 of 6 Permit Number: (to be provided by Dwo Drainage Area Number: Sand Filter Operation and Maintenance Agreement I will keep a maintenance record on this BMP. This maintenance record will be kept in a log in a known set location. Any deficient BMP elements noted in the inspection will be corrected, repaired or replaced immediately. These deficiencies can affect the integrity of structures, safety of the public, and the removal efficiency of the BMP. Important maintenance procedures: — The drainage area will be carefully managed to reduce the sediment load to the sand filter. — The sedimentation chamber or forebay will be cleaned out whenever sediment depth exceeds six inches. — Once a year, sand media will be skimmed. — The sand filter media will be replaced whenever it fails to function properly after maintenance. The sand filter will be inspected quarterly and within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance will be kept in a known set location and will be available upon request. Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately. „_ rll, etncdl e t Entire BMP Trash debris is resent. Remove the trash debris. Adjacent pavement (if applicable) Sediment is present on the pavement surface. Sweep or vacuum the sediment as soon as possible. Perimeter of sand filter Areas of bare soil and/or erosive Regrade the soil if necessary to remove the gullies have formed. gully, and then plant a ground cover and water until it is established. Provide lime and a one-time fertilizer application. Vegetation is too short or too long. Maintain vegetation at an appropriate height. Flow diversion structure The structure is clogged. Unclog the conveyance and dispose of any sediment offsite. The structure is damaged. Make any necessary repairs or replace if damage is too large for re air. Forebay or pretreatment area Sediment has accumulated to a Search for the source of the sediment and depth of greater than six inches. remedy the problem if possible. Remove the sediment and stabilize or dispose of it in a location where it will not cause impacts to streams or the BMP. Erosion has occurred. Provide additional erosion protection such as reinforced turf matting or riprap if needed to prevent future erosion problems. Weeds are present. Remove the weeds, preferably by hand. if a pesticide is used, wipe it on the plants rather than spraying. Form SW40I-Sand Filter O&M-Rev.4 2009Sept 17 Page 1 of 3 `'$l>%11c'elembnt:',n .;4--�`�dt< ii �ra�F.;tT'otbinti5li _ .,.. , 'r0� eriiiw.aixt-�� "`I�t i' Water is pending on the surface for more than 24 hours after a storm. How llsr '1�a;�1 uIfwi �medrafe tliei robleri:;�, Check to see if the collector system is clogged and flush if necessary. If water Filter bed and anderdrain collection system still ponds, remove the top few inches of filter bed media and replace. If water still ends, then consult an expert. Outlet device Clogging has occurred. Clean out the outlet device. Dispose of the sediment offsite. The outlet device is damaged I Repair or replace the outlet device. Receiving water Erosion or other signs of damage Contact the NC Division of Water Quality have occurred at the outlet. 401 Oversight Unit at 919-733-1786. Form SW401-Sand Filter O&M-Rev.4 2009Sept17 Page 2 of 3 Permit Number: (io be proaded by ntv{) I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed above. 1 agree to notify DWQ of any problems with the system or prior to any changes to the system or responsible party. Project name: Wayne Brothers Corporate HQ Warehouse Project BMP drainage area number: Print name:Keith Wayne Title:President/CEO Address:195 Ervin Woods Drive, Kannaoolis, N.C. 28081 Phone: (704)938-8400 Signature: ' Date: 3/13/14 Note: The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and a resident of the subdivision has been named the president. 1 Lisa K. Webster , a Notary Public for the State of North Carolina , County of Cabarrus Keith do hereby certify that personally appeared before me this 13th day of March 2o14 , and acknowledge the due execution of the forgoing sand filter maintenance requirements. Witness my hand and official scal`rt � )O _1 \U\\1111k11Y///i,4 WE a //z SOT Aqy �9 Cl G Z �.7 pUel� �• ` u1s CnOJ?\\\\\�� SEAL My commission expires April 2nd, 2017 Form S W401-Sand Filter O&M-Rev.4 2009Septl7 Page 3 of 3 W Permit Number: (to be provided by DWQ) NU OF WATEq 02 OG h NCDENR STORMWATER MANAGEMENT PERMIT APPLICATION FORM 401 CERTIFICATION APPLICATION FORM SAND FILTER SUPPLEMENT This form must be filled out on line, printed and submitted with all of the required information. Make sure to also fill out and submit the Required Items Checklist (Section III) and the 18M Agreement (Section IV) I. PROJECT INFORMATION Project name Wayne Brothers Corp. HOWarehouse Project Contact name Ronnie Rovillos Phone number Dale Drainage area number IL DESIGN INFORMATION Site Characteristics 17, 2014 Drainage area (A o) 354,640.00 ft2 OK Impervious area 270,072.00 ft2 % Impervious (IA) 76.2% % Design rainfall depth (R n) 1.00 in Peak Flow Calculations 1 -yr, 24-hr runoff depth 3.10 in 1-yr, 24-hr intensity 0.12 Whir Pre -development 1-yr, 24-hr runoff 2.28 ft�/sec Post -development 1-yr, 24-hr runoff 2.16 ft3/sec Pre/Post 1-yr, 24-hr peak control -0.12 ft3/sec Storage Volume Design volume (WQV) 21,732.81 ft3 Adjusted water quality volume (WQV AQi) 16,299.61 ft' Volume contained in the sedimentation basin and on top of the sand filter 16,300.00 ft' OK Top of sand filter/grate elevation 757.38 fit amsl Weir elevation (between chambers) 761.1 fit amsl Maximum head on the sedimentation basin and sand filter (h M.F;Icer) 3.60 It OK Average head on the sedimentation basin and sand filter (h A) 1.80 ft OK Runoff Coefficient (R v) 0.74 (unitless) Type of Sand Filter Open sand filter? y Y or N SHWT elevation 753.23 If amsl Bottom of the sand filter elevation 755.88 It amsl Clearance (dsHWr) 2.55 Closed/pre-cast sand filter? n Y or N SHWT elevation n/a fit amsl Bottom of the sand filter elevation n/a fit amsl Clearance (dsHW7) n/a If this is a closed, underground closed sand filter: The clearance between the surface of the sand filter and the bottom of the roof of the underground n/a it structure (ds,, ,) Form SW401-Sand Filter-Rev.5 2009Sept17 Parts I and 11. Project Design Summary, Page 1 of 2 Permit Number: (to be provided by DWQ) Sedimentation Basin Surface area of sedimentation basin (A s) Sedimentation basin/chamber depth Sand Filter Surface area of sand filter (A F) Top of sand media filler bed elevation Bottom of sand media filter bed/drain elevation Depth of the sand media filter bed (d F) Coefficient of permeability for the sand filter (k) Outlet diameter Outlet discharge/flowrate Time to drain the sand filter (t) Time to drain the sand filter It) Additional Information Does volume in excess of the design volume bypass the sand filter? Is an off-line Flow -splitting device used? If draining to SA waters: Does volume in excess of the design volume Flow evenly distributed through a vegetated filler? What is the length of the vegetated filter? Does the design use a level spreader to evenly distribute Flow? Is the BMP located at least 30ft from surface waters (5011 if SA waters)? If not a closed bottom, is BMP located at least 100ft from water supply wells? Are the vegetated side slopes equal to or less than 3:1 Is the BMP located in a recorded drainage easement with a recorded access easement to a public Right of Way (ROW)? What is the width of the sedimentation chamber/forebay (W sue)? What is the depth of sand over the outlet pipe (dpipe)? ,1�1,uuu/1q// or ''••� • rHEISAgC '. 9 m :. ENGI OUP p � • p NAND NEERING RVEYING • O e '•�., aFAu1H ,,o�• 4,278.00 ft' 2.00 ft 2,253.00 ft' 757.38 It amsl 755.88 It amsl 1,50 ft 3.50 (ft/day) 24.00 in 0.49 ft�/sec 40.00 hours 1.67 days vn. rviacw nininuuut, um umy uaeu w ue wucaaou ru UR. IVI=Lb tI llmn lu l l 1, uuu l lay nccu tv uc "r-m.wu w --- I-:- .__..:-_J.._,..__:,_-.--..-J_--.----- OK. Submit drainage calculations. y YorN OK y Y or N OK YorN YorN y YorN OK y YorN OK y YorN OK YorN OK 70.00 ft OK 1.50 ft OK T�'°HER to 3/1 Form SW401-Sand Filter-Rev.5 2009Sep117 Parts I and H. Project Design Summary, Page 2 of 2 Permit No. (to be provided by DWQ) III. REQUIRED ITEMS CHECKLIST Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to indicate the fallowing design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a requirement has not been met, attach justification. Initials Pagel Plan Sheet No. G `1. Plans (1" - 50' or larger) of the entire site with labeled drainage area boundaries VJ UtEi, - System dimensions (length, width, and depth) for both the sedimentation chamber and the filter chamber, - Maintenance access, GZ o -Flow splitting device, G 3.0 - Proposed drainage easement and public right of way (ROW), -- G 2. 0 - Design at ultimate build -out, G I• - Off -site drainage (if applicable), and Q19. - Boundaries of drainage easement.G Z. o r 2. Plan details (1" = 30' or larger) for the sand filter showing: - System dimensions (length, width, and depth) for both the sedimentation chamber and the filter chamber, - Maintenance access, C 2.0 - Flow splitting device, G 3, b - Vegetative filter strip dimensions and slope (if SA waters), - Proposed drainage easement and public right of way (ROW), G Z. 0 - Design at ultimate build -out,, - Off -site drainage (if applicable), and - Boundaries of drainage easement. G Z- L L l . '0 3. Section view of the sand filter (1" = 20' or larger) showing G S. ( Depth(s) of the sedimentation chamber and sand filter chamber, Depth of sand filler media, Connection between the sedimentation chamber and the sand filter chamber and weir elevation, SHWT elevation, Outlet pipe, and Clearance from the surface of the sand filter to the bottom of the roof of the underground structure (if applicable). 4. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The TTnas<-Oresults of the soils report must be verified in the field by DWQ, by completing & submitting the soils $ y investigation request form. County soil maps are not an acceptable source of sails information. G^^,n %JTT. 5. Supporting calculations (including drainage calculations) ckr Akr_-r- 6. Signed and notarized operation and maintenance (0&M) agreement _ 7. A copy of the deed restrictions (if required). Form SW401-Sand Filter-Rev.5 2009Sept17 Part III, Page 1 of 1