Sheetz Shade Tree - Stormwater Permit Application
STORMWATER PERMIT APPLICATION Date Received:
Application No.:
Name of Proposed Development: Sheetz - Shade Tree Lane
Location: 4915 Carolina Beach Road
Tax ID Number: R07100-003-024-000
Acres Disturbed:
Type of Development: Residential/Subdivision Commercial Development
Owner/Developer: Indivdual Partnership Corporation LLC Other
Name: Sheetz Inc.
Address: 5700 Sixth Avenue, Altoona PA 16602
Contact Person: Brian Downs
*E-Mail Address: bdowns@sheetz.com
Phone Number: 919-264-8593 Fax Number:
Stormwater Design Professional:
Company: Timmons Group
Address: 5410 Trinity Road, Suite 102, Raleigh, NC 27607
Engineer/Contact Person: Patrick Barbeau, PE
*E-Mail Address: patrick.barbeau@timmons.com
Phone Number: 919-866-4512 Fax Number:
Attachments:
One set of Site Plans dated, signed, and sealed
Narrative Report
Certifications dated, signed, and sealed
One set of Design Data and Calculations, signed and sealed
Copies of all other permits (CAMA, 401/404, Erosion/Sediment Control, NCDEMLR, etc.)
Stormwater Operations & Maintenance Plan and Agreement
Stormwater Permit Application Fee in the Amount of: $ 250
*Correspondence will be sent electronically to email addresses that are provided.