SW8120215_HISTORICAL FILE_20120222

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 126 215
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2U12.o222
YYYYMMDD

TRII'P ENGINEERING, P.C.
419 Chestnut Street
Wilmington, North Carolina 28401
Phone: [phone] • FAX: [phone]
February 9, 2012
NCDENR
Division of Water Quality
127 Cardinal Drive
Wilmington, NC 28405-3845
Attn: Ms. Linda Lewis
Re: Boiling Spring Lakes Sewer Transmission Force Main
Brunswick County, NC
TE 11023
Dear Linda:
RECD F E B 14 2012
We are submitting two sets of plans for review and an application for general
permit to construct a linear utility line along Hwy 133/87 in Brunswick County. We are
requesting confirmation that this project will be exempt from stormwater management
permit regulations.
Please contact us if you have any questions, comments or if you need additional
information. Thank you.
Sincerely,
Tripp Engineering, P.C.
Lee Ga evay
ALG:dcb
Enc.
ECEIVE
FEB 14 2012
BY:

ECERVE.j
FEB 14 2012

;i�
N.C. DIVISION OF WATER QUALITY
SURFACE WATER PROTECTION SECTION
STATE STORMWATER NOTICE OF INTENT (NOI)
SWG040000 - GENERAL PERMIT TO CONSTRUCT A LINEAR UTILITY LINE
AND ASSOCIATED INCIDENTAL BUILT -UPON AREA
State Stormwater Management Application Notice of Intent for coverage under the General Stormwater Management
Permit to construct a utility line and incidental built -upon area associated with linear utility project including water,
sewer, gas, telephone, and electric. ��
For the construction, operation and maintenance of incidental impervious areas associated with the construction of a
linear utility line. Incidental built -upon area associated with the utility project includes small, single pump stations,
access roads which minimize their built -upon area, concrete pads, manhole covers, etc.
(Please print or type)
1. Mailing address of owner/developer: (The address to which all permit correspondence will be mailed.)
Owner/Developer Name Brunswick county utilities
Street Address P.O. Box 279
City Bolivia State NC ZIP Code 28422
Telephone No. (910) 253-250o Fax [phone]
2. Proposed Project Information:
Project Name Boiling Spring Lakes Sewer Transmission Force Main
Street Address
of the Project Hwy 87 & Hwy 133
City Boiling Spring Lakes State NC ZIP Code
County Brunswick
Contact Person John Nichols
Mailing Address P.O. Box 249
City Bolivia State NC ZIP Code
Telephone No. [phone] Fax [phone]
3. Physical Location Information:
Please provide the street address of the project and describe how to get to the project, using street names,
state road numbers, and the distance and direction from the nearest major intersection:
Hwy 87, Hwy 133/87, Glennfield circle
4. What is the name of the receiving stream? Orton Creek / Dutchman Creek
5. River Basin Cape Fear Receiving Stream Classification C; Sw / SC; Sw, HQw
6. This Certificate of Coverage is being submitted as a result of:
© New or proposed project ❑ Modification to an existing project
Existing COC or Permit Number:
Date project is scheduled to begin construction 5/14/12
7. What is the total project area above mean high water?
8. What is the total amount of built -upon area proposed at this site?
(Please include all manhole covers, pump stations, concrete pads, and gravel access roads)
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SWU-116-17FEB2010 Page 1 of 3

9. What type of utility project will be constructed?
❑ Water ® Sewer ❑ Gas ❑ Telephone ❑ Electric ❑ Other
10. Has the built -upon area been minimized to the extent practicable?
FX] YES ❑ NO
11. Is the runoff from the built -upon area outside the vegetative buffer directed away from surface waters, to the
extent practicable?
© YES ❑ NO
12. Is the project within 575' of the Mean High Water line of class ORW waters?
❑ YES (Please show the 575' AEC line on plans) M NO
(ll yes, total built -upon area must be less than or equal to 25% of the total project area within the AEC above mean high wafer.)
13. Are there any wetlands on the site? ® YES (please delineate on the plans) ❑ NO
Name and affiliation of person making this determination: Paul Masten / s&Ms, Inc.
14. Please list all Best Management Practices employed at this site:
Silt fence, excellsior grass matting, seeding
15. Certification:
North Carolina General Statute 143-215.6B (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan,
or other document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly
makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies,
tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or
maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2 misdemeanor
which may include a fine not to exceed $10,000. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than
$10,000 or imprisonment of not more than 5 years, or both, for a similar offense.)
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will
constitute the permit requirement for the project and is enforceable in the same manner as an individual permit.
I certify that I am familiar with the information contained in the application and that to the best of my knowledge and
belief such information is true, complete, and accurate.
Printed name of person signing: Marty Lawing
Title: County Manager
of
Z-Ca-
(Date signed)
A check or money order must accompany this Notice of Intent for $505.00, made payable to: NCDENR.
Your application will be returned unprocessed unless all of the following items are submitted:
❑ This completed form ®tom
❑ Two sets of site and grading plans ENE Q yv t
❑ A check for $505.00
❑ A USGS map with the project clearly located on it. FEB 14 2012
Mail the entire package to: NCDENR Division of Water Quality
Surface Water Protection Section — Stormwaterat the Appropriate Contact Address (see the following page)
Note: The submission of this document does not guarantee the issuance of a Certificate of Coverage under the
General Permit.
SWU-116-17FEB2010 Page 2 of 3