Storm Water Management Application/Permit
Mecklenburg County Land Use and Environmental Services
Application Recvd. Date:
Time:
Complete Submittal:
Yes
No
Form: #PCO5 (revised 2/2013)
Application/Permit Number:
P
Name of Development:
Street Name & Number:
Original Tax Parcel:
Total Area of Project (acres):
Total Disturbed Area (acres):
% Built Upon:
Land Development Fee Paid: $
Amendment to Permit #:
Type of Development:
Commercial
Residential
Mixed Use
Subdivision
Jurisdiction/Town:
Zoning Designation:
Resubmittal:
Yes
No If yes provide notification date that resubmittal was required:
Address Verification Form Attached:
Yes
No
Owner’s Name:
Owner’s Address:
Owner’s Phone Number:
Fax:
Owner’s Email:
Financial Responsible Party (FRP) (must be N.C. Agent):
FRP Address:
FRP Phone Number:
Fax:
FRP Email:
Designer:
Name of Contact Person:
Designer’s Address:
Designer’s Phone Number:
Fax:
Designer’s Email:
Watershed District Where Project is Located:
Project Density based on Drainage Area:
Low Density
High Density
N/A
Pollutant Removal Efficiency Required: None 85% TSS 70% TP
LID (Huntersville)
Buffers Required:
Yes
No (Buffers must be delineated on the attached plan as per the Administrative Manual.)
Acknowledge that Volume Control will be provided for the 1-year, 24-hour storm for postdevelopment:
Yes
No
Huntersville
Peak Control Provided:
10-year, 6-hour
25-year, 6-hour
Huntersville
Other
Open Space Required:
None
25%
17.5%
15%
10%
Huntersville
Sewer:
Charlotte-Mecklenburg Utilities
Private Wastewater System
Septic System
Water: Charlotte-Mecklenburg Utilities
Private Water System
Groundwater Well
Total Phosphorus Mitigation Approved:
Yes
No (If Yes, attach approved and signed copy of #PCO9)
Development/Redevelopment Mitigation Requested:
Yes
No (If Yes, attached approved Form #PCO13)
Open Space Mitigation Approved:
Yes
No (If Yes, attach approved and signed copy of Form #PCO15.)
This permit conveys approval from the permitting entity for the owner or his agent as shown on the approved plan to construct storm water
management devices and implement site designs (including undisturbed open space) in accordance with the applicable Post-Construction Storm
Water Ordinance and related policies. This permit is valid until the project is complete or three (3) years from issuance of permit, whichever
comes first. Maintenance of all storm water management devices installed pursuant to this permit is required into perpetuity. In addition, deed
restrictions and protective covenants are required to ensure that subsequent development activities maintain the development (or redevelopment)
consistent with approved plans. The information listed on the back of this form must be enclosed along with a completed application form and
fee payment in order for a permit application to be considered complete.
Reviewed By: _______________________________________ Date: _____________________
Approved
Approved with Modifications
Approved with Performance Reservation (attached)
Issued By: __________________________________________ Date: _____________________
Please check off the items below that are enclosed with this Storm Water Management Permit Application. All
items must be checked in order for an application to be considered complete.
1.
Six (6) sets of plans with two (2) sets of calculations for all BMPs, including the storm sewer system, to be
installed for compliance with the water quality, volume and peak control requirements of the Post-Construction
Storm Water Ordinance. All designs must be in accordance with the Mecklenburg County Post-Construction
Storm Water Ordinance Design Manual. All plans and calculations must be sealed by a professional designer. All
plans must contain the following:
• BMP Inset Table with specifics on each BMP, including: BMP Type (wet pond, wetland, bioretention, etc.);
BMP location, size and elevation; location and elevation of BMP inlets and outlets; latitudinal / longitudinal
coordinates of BMP; drainage area in acres; BMP surface area in square feet; percent imperviousness of area
draining to BMP; fee credit; BMP name (project or subdivision name – BMP type – number); length of swale
(in flow direction (ft)-Grass Swale); maximum pool depth in feet (for wet ponds and bioretention systems);
mulch depth in inches (for bioretention systems); depth of sand in feet (for bioretention systems); BMP
address; jurisdiction; basin ID; owner name; owner address; owner phone number; and owner email.
• Details showing BMP dimensions, including top and bottom of storage area as well as depth and storage
volume.
• Easements for all BMPs and drainageways.
• Existing and proposed paved roads, buildings, structures and utilities, and septic system components including
tanks, drain fields, and repair areas.
• Basin contours labeled and tied into existing contours.
• Construction sequence.
• North arrow.
• Vicinity map.
• Parcel Tax Number.
• Jurisdiction.
• Legible scale.
• Property boundary and adjoining property boundaries and owners.
• Watershed District.
• Delineation of on-site drainage areas including number of acres.
• Latitudinal / longitudinal coordinates of storm sewer system inlets and outlets.
• BMP calculations illustrating compliance.
2.
Six (6) sets of plans delineating stream and/or lake buffers for compliance with Post-Construction Storm Water
Ordinance requirements. All buffers must be measured horizontally on a line perpendicular to the surface water,
landward from the top of the bank on each side of the stream. All plans must be sealed by a professional designer
and contain the following:
• Buffers clearly marked and labeled on plans as “Water Quality Buffer.” Plans must also label the outside
boundary of the buffer and each of the buffer zones as well as the top of the stream bank from where the
buffer is measured.
• Standard S.W.I.M. Stream Buffer notes must appear on the plans (see S.W.I.M. Implementation Guidelines).
• All storm water outfalls must be clearly indicated on plans and shown ending prior to the buffer.
• Stream crossings and utility installations in the buffer.
3.
Six (6) sets of plans delineating the proposed undisturbed open space area for compliance with Post-Construction
Storm Water Ordinance requirements. All plans must be sealed by a professional designer and contain the
following:
• Existing and proposed paved roads, buildings, structures and utilities.
• North arrow.
• Vicinity map.
• Parcel Tax Number.
• Jurisdiction.
• Legible scale.
• Property boundary and adjoining property boundaries and owners.
• Watershed District.
• Boundaries and description of existing vegetation and proposed limits of clearing and grading (locate all trees
6-inches in diameter or larger for special or conditional uses).
• Area clearly marked and labeled on plans as “UNDISTURBED OPEN SPACE.” The outside boundary
dimensions and total area must be indicated on the plans.
4.
An Operation and Maintenance Agreement and Maintenance Plan must be attached to the Storm Water
Management Permit Application for each BMP included in the project.
Where to Submit:
Applicants shall submit completed Concept Plan Applications along with attachments into the
Electronic Plans Management System (http://epm.mecklenburgcountync.gov/ ) including the
information listed on the blank application form.