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HomeMy WebLinkAboutSW4170502 - Holt Retail SubstationDEMLR USE ONLY Date Received Fee Paider P Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph H - Pos ons uction (select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan ElOther WQ Mgmt Plan: State of North Carolina Department of Environment and Natural Resources S� Division of Energy, Mineral and Land Resources STORMWATER MANAGEMENT PERMIT APPLICATION FPRM phis form may be photocopied for use as an original ` 9t! I. GENERAL INFORMATION v Ift 1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans, specifications, letters, operation and maintenance agreements, etc.). Holt Retail Substation 2. Location of Project (street address): 3463 Bellemont - Mt Hermon, Rd. City: ar—uceao,'► County: Alamance Zip:27215 3. Directions to project (from nearest major intersection): Approximately 1200 ft north of the intersection of Bellmont - Mt. Hermon Rd.and Southern High School Rd. G l V' 4. Latitude:36° 00' 57" N 0 Longitude:79° 25' 55.5" W ` of the main entrance to the project. II. PERMIT INFORMATION: 1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt tRenewals with modifications also requires SWU-102 - Renewal Application Forn: 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 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: 5.0 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: 5. Is the project located within 5 miles of a public airport? ❑No ®Yes If yes, see S.L. 2012-200, Part VI: http://portal.ncdenr.org/web/lr/rules-and-regulations Foran SWU-101 Version Oct. 31, 2013 Page 1 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 project): Applicant/ Organization: Duke Energy Carolinas, LLC Signing Official & Title:Mayur Patel, P.E., Engineering Manager b. Contact information for person listed in item la above: Street Address:526 S. Church St City:Charlotte State:NC Zip:28202 Mailing Address (if applicable): City: State: Zip: Phone: (704 ) 382-2381 Fax: ( 1 Email:Mayur.Patel@duke-energy.com 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/ 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: Alamance County Point of Contact: Robert Key Phone #: (336 1 570-4060 Form SWU-101 Version Oct. 31, 2013 Pale 2 of 6 1V. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. high density_ project drained through vegetative filter strip - dry/wet detention will not be used due to proximity to Burlington NC Municipal Airport 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 II - Post Construction 3. Stormwater runoff from this project drains to the Tordan Lake River basin. 4. Total Property Area: 2.6 acres 5. Total Coastal Wetlands Area: 0 acres 6. Total Surface Water Area: 0.0 acres 7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project Area+: 2.6 acres + Total project area shall be calculated to exclude thefollowing. the normal pool of impounded structures, the area between the banks of streams and rivers, the area below the Normal High Water (NEM) line or Mean High Water (MHM line, and coastal wetlands landward from the NHW (or MHVO line. The resultant project area is used to calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHM line may be included in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 84 % 9. How many drainage areas does the project have?1 (For high density, count I for each proposed engineered stormwater BMP. For low density and other projects, use I 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 Information Drainage Area 1 Drainage Area _ Drainage r a . Drainage Area _ Receiving Stream Name Stinlci e �p� Creek - f Stream Class WS-V:NSW On-site Parking (so Stream Index Number * 16-19-8 Total Drainage Area (sf)114041 Other on-site (sf) On-site Drainage Area (so 114041 Off-site Drainage Area (so 0 Proposed Impervious Area** s 96271 % Impervious Area** total 84 Impervious— Surface Area Drainage Area 1 Drainage Area _ Drainage Area _ Drainage Area _ On-site Buildings/Lots (so 0 On-site Streets (sf) 16170 On-site Parking (so 80101 On-site Sidewalks (so 0 Other on-site (sf) 0 Future (so 0 Off-site (so 0 Existing BUA*** (so 2710 Total (so: 96271 * Stream Class and Index Number can be determined at: http://portal.ncdenr.org web/wq[ps/csu/classifications Form SWU-101 Version Oct. 31, 2013 Page 3 of 6 ** brtyyervioius area is defined as the built upon area including, but not limited to, buildings, roads, parking areas, sidewalks, gravel areas, etc. *** Report only that aniount of existing BUA that will remain after developinent. Do not report any existing BUA that is to be removed and which will be replaced by new BUA. 11. How was the off-site impervious area listed above determined? Provide documentation. Protects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened & Endangered Species watershed that may be subject to snore stringent stornnvater regiarenients as per I5A 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://12ortal.ncdenr.orc,/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/su/statesw/forms docs. 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://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 htt}):/[portal.ncdenr.org/web/wn/ws/su/statesw/forms docs. itials 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 OR- 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/onestgpexpress.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/management for 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 Vz mile of the site boundary, include the 1/a 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 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 measures. Form SWU-101 Version Oct. 31, 2013 Page 4 of 6 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). 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"x11" 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 verioj the SHWT prior to sllbrnittal, (910) 796-7378.) 10. A copy of the most current property deed. Deed book: 2502 Page No: 137 11. For corporations and limited liability corporations (LLC): Provide documentation from the NC 011 lk 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 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.asl2x 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 http://portal.ncdenr.org/web/lr/state-stormwater- forms docs. 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: Toe Ervin Consulting Firm:_ UC Synergetic, LLC Mailing Address: 123 N. White St. City: Ft. Mill Phone: (803 ) 8356154 Email: Jervin@ucseng.com State: SC Zip: 29715 Fax- ( ) IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, lteln 2 has been filled out, conlplete this section) I, (print or type nan►e of person listed in Contact hnforncation, item 2a) . certify that I own the property identified in this permit application, and thus give permission to (print or type mate of person listed in Contact Information, item 1n) with (print or type name of organization listed in Contact Information, iters: 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 stormwater system. Form SWU-101 Version Oct. 3l, 2013 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 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: a Notary Public for the State of Date: 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 X. APPLICANT'S CERTIFICATION I, (pant or type name of person listed in Contact Information, item 1a) Mayur Patel 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. CZfi�-1 1 Signature: _ Date: 01A:: I,VWOCJ a Notary Public for the State of Nar7 / 1 carol I �t'ty of )AeCklehbUq do he eby ce1rtify that -MQ.- � i��� personally appeared before me thiscl� day of rt 1 � anq acknowledgeAe due execAon of the application for a stormwater permit. KENYA HOWARD Notary Public, North Carolina Mecklenburg County My Commission Expires Au ust 05. 2020 SEAL My commission expires ao OQD Form SWU-101 Version Oct. 31, 2013 Page 6 of 6 `` IIII IIIIIIIIIInn��NN ��IIIIIIIIIIIIII IImmII IIp'IIII ppppb� IIl!lI IILpIIII RECE N D �II�������I�II�111t11��IWl�l�lllll�lllilll��l���111��11�1�11111��� DocID: Oo4676290004 Type: CRP MAY 2 6 2017 Recorded: 12/06/2006 at 11:19:00 AM Fee Amt: $459.00 Page 1 of 4 Excise Tax: $430.00 Alamance, NO DAVID J.P. BARBER REGISTER OF DEEDS LAND QUALITY �p,e�J8�5. ITY SECTION BK2502 Pa137-140 Lo V GENERAL WARRANTY DEED Revenue Stamps: $ 430 00 Parcel ID No. 8872240980 and 8872241891 TM # 2-15-63 and 2-15-42 Prepared By: Jill Starling Britt P.O. Box 1988, Burlington, NC/ 27216-1998 Return To Grantee: 60S�e� �illc. 1G NORTH CAROLINA ALAMANCE COUNTY THIS DEED made this 51' day of December, 2006, by and between Kenneth Coble Hinshaw and wife, Joy M. Hinshaw,Grantor and Duke Energy Carolinas, LLC a North Carolina Limited Liability Company, Grantee. The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. W ITN ESS ET H: That the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all of that certain tract or parcel of land more particularly described as follows: See Exhibit --A,, which is attached hereto and made a part hereof The property hereinabove described was acquired by Grantor by instrument recorded in Deed Book 559, at Page 267of the Alamance County Registry. TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated. This conveyance is subject to easements, rights of way, and restrictive covenants, if any, appearing of record in the Alamance County Registry and further subject to ad valorem taxes for the current year, the same having been pro -rated at closing with the Grantee herein assuming and agreeing to pay same when due. IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed in its corporate name by its duly authorized officers and its seal to be hereunto affixed by authority of its Board of Directors, the day and year first above written. Kenneth Coble Hinshaw (w � � � (SEAL) Jo . Hinshaw NORTH CAROLINA ALAMANCE COUNTY 1, _, 1 0 Wt r "As '044- , a Notary Public of said County, do hereby certify that Kenneth oble Hinshaw and wife, Joy M. Hinshaw, personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and official seal, this the 5� day of 1: ro_rn 2006. Notary 1 i My Commission Expires: 1 OI;' -It `q Carc,r EXHIBIT "A" Tract One: A certain tract or parcel of land located in Coble Township, Alamance County, North Carolina, adjoining the 60 foot public right of way of Belmont -Mt. Hermon Road (SR 1136); property of Joseph Hinshaw (Deed Book 1600, Page 67), Kathy and Terry Dotson (Deed Book 1596, Page 714); Keith and April Doby (Deed Book 1168, Page 735) and being more particularly described as follows: BEGINNING at a Number 4 rebar (f) (controlled corner) located in the western margin of the 60 foot right of way of Belmont -Mt Hermon Road (SR 1136) and the southeast corner of Joseph Hinshaw; thence with the western margin of Belmont -Mt. Hermon Road (SR 1136) the following courses and distances: South 32112' 46" East 19.33 feet to a point; thence, South 272 28' 35" East 111.39 feet to a point; thence, South 222 28' 43" East 117.42 feet to a point; thence, South 172 32' 42" East 121.31 feet to a point; thence, South 12115' 48" East 122.64 feet to a point; thence, South 71127' 33" East 119.11 feet to a %2" pipe (f) located in the western margin of the 60 foot right of way of Belmont -Mt. Hermon Road (SR 1136) and in the northern line of Kenneth Cole Hinshaw (Parcel 8872241891 as shown on Plat Book 71, Page 218); thence with the northern line of Kenneth Cole Hinshaw (Parcel 8872241891), South 812 27' 24" West 162.87 feet to a half inch pipe (f); thence continuing around the perimeter of Parcel 8872241891 (Hinshaw) the following courses and distances: South 02 11' 41" West 260.55 feet to a 3/8ths inch pipe (f); thence, North 811136' 9" East 162.98 feet to a miscellaneous corner; thence with the western margin of the 60 foot right of way of Belmont -Mt. Hermon Road (SR 1136) the following courses and distances: South 31100' 46" West 31.02 feet to a point; thence, South 42 18' 57" West 120.65 feet to a point; thence, South 42 30' 39" West 286.38 feet to a point located in the western margin of the 60 foot right of way of Belmont -Mt. Hermon Road (SR 1136) and the southeast comer of Doby; thence with the northern line of Doby, South 872 41' 2" West 55.02 feet to a point; thence, South 782 25' 43" West 55.97 feet to a point located in the northern line of Doby and the eastern line of Dotson; thence with the eastern line of Dotson the following courses and distances: North 141131' 30" West 49.94 feet to a number 4 rebar (f); thence, North 142 3 P 30" West 202.59 feet to a number 4 rebar (f) (rebar offline West 0.02 feet); thence, North 142 3 P 30" West 138.65 feet to a number 4 rebar (f) (rebar offline West 0.05 feet); thence, North 141131' 30" West 168.76 feet to a pk (f) (60 d nail in (f) offline East 0.01 feet); thence, North 142 31' 30" West 580.44 feet to a number 4 rebar (f) (controlled corner) located in the northeast comer of Dotson and the southeast corner of Joseph Hinshaw (Deed Book 600, Page 67); thence continuing the southern line of Joseph Hinshaw, North 52115 P 10" East 166.20 feet to a number 4 rebar (f) (rebar offline North 0.03 feet); thence continuing with the southern line of Joseph Hinshaw, North 522 51' 10" East 139.56 feet to the point and place of BEGINNING containing 6.464 acres, more or less, and being designated Parcel 8872240980 as shown on a plat for Duke Energy Carolinas, LLC, Final Plat, Property of Kenneth C. Hinshaw as recorded in Plat Book 71, Page 218 of the Alamance County Registry and to which reference is hereby made for a more particular description. The aforesaid is also known as Lot Three (3) as shown on Plat Book 66 at Page 188 of the Alamance County Registry. Tract Two: A certain tract or parcel of land located in Coble Township, Alamance County, North Carolina adjoining the 60 foot right of way of Belmont -Mt Hermon Road (SR. 1136); property of Kenneth Cole Hinshaw (Parcel 8872240980 as shown on Plat Book 71, Page 218) and being more particularly described as follows - BEGINNING at a %2" pipe (f) located in the western margin of the 60 foot right of way of Belmont -Mt. Hermon Road (SR 1136) and an eastern corner of Kenneth Cole Hinshaw (Parcel 8872240980); thence crossing the 60 foot right of way of Belmont -Mt. Hermon Road (SRI 136), North 812 27' 24" East 30.03 feet to a point located in the center of Belmont -Mt. Hermon Road (SR 1136); thence continuing with the centerline of Belmont -Mt. Hermon Road (SR 1136) the following courses and distances: South 4117' 9" East 98.23 feet to a point; thence, South 0° 14' 54" West 63 feet to a point; thence, South 22 37' 54" West 99.98 feet to a point; thence crossing the 60 foot right of way of Belmont -Mt. Hermon Road (SR 1136), South 812 36' 9" West 30.56 feet to a miscellaneous corner located in the western margin of Belmont -Mt. Hermon Road (SR 1136) and the eastern comer of Kenneth Cole Hinshaw (Parcel 8872240980); thence continuing with Kenneth Cole Hinshaw (Parcel 8872240980) the following courses and distances: South 814 36' 9" West 162.98 feet to a 3/8ths inch pipe (f); thence, North O4 11' 41" West 260.55 feet to a half inch pipe (f); thence, North 811127' 24" East 162.87 feet to the point and place of BEGINNING containing 1.168 acres, more or less, as shown on a plat for Duke Energy Carolinas, LLC entitled "Final Plat Property of Kenneth C. Hinshaw," and being designated as Parcel No. 8872241891 as shown on a plat recorded in Plat Book 71 at Page 218, Alamance County Registry to which reference is hereby made for a more particular description. G \BRIMLD\20061DukeEnergyHmshawTractOne doc