Spreadsheet: 625f7d78-b92e-40c2-8c76-348c0d70c995
Sheet: Sheet1

Red triangles at the upper right hand corner indicate design comments | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Yes | Unnamed: 9 | 0.5%, 3in | Unnamed: 11 | 1.5
Please complete the yellow shaded items. |  |  |  |  |  |  |  | No |  | 0.5%, 4in |  | Pre-Post Control
 |  |  |  |  |  |  |  |  |  | 0.5%, 5in
 |  |  |  |  |  |  |  |  |  | 0.5%, 6in
 |  |  |  |  |  |  |  | Vegetated Area |  | 1%, 3in
 |  |  |  |  |  |  |  | Natural Area |  | 1%, 4in
STORMWATER MANAGEMENT PERMIT APPLICATION FORM |  |  |  |  |  |  |  | Properly Designed BMP |  | 1%, 5in
401 CERTIFICATION APPLICATION FORM |  |  |  |  |  |  |  | None of the above |  | 1%, 6in
RAINWATER HARVESTING SUPPLEMENT
This form must be filled out, printed and submitted. |  |  |  |  |  |  |  | Asheville |  | 2
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information. |  |  |  |  |  |  |  | Boone |  | 3
 |  |  |  |  |  |  |  | Charlotte |  | 4
I.  PROJECT INFORMATION |  |  |  |  |  |  |  | Elizabeth City |  | 0.5
Project name |  |  |  |  |  |  |  | Fayetteville |  | 1
Contact person |  |  |  |  |  |  |  | Franklin |  | 2
Phone number |  |  |  |  |  |  |  | Greenville |  | 2.5
Date |  |  |  |  |  |  |  | Raleigh |  | 3
Drainage area number |  |  |  |  |  |  |  | Rocky Mount |  | 4
 |  |  |  |  |  |  |  | [NAME] |  | 0.5
II.  DESIGN INFORMATION |  |  |  |  |  |  |  | Winston-Salem |  | 1
Site Characteristics
Captured Horizontal Surface Area of Roof |  | ft2
Are you in Coastal County SA waters or ORW Areas?
Storage Volume:  Non-SA Waters / Other
Design rainfall |  | in
Rain Harvesting Volume Provided (Must include a factor of safety at least 1.2x design rainfall) |  | ft3
Rv | 0.9500000000000001 | unitless
Design rainfall volume  - HIDE | 0 | ft3
Minimum Rainwater Harvesting Volume Required (ft3) - HIDE | 0 | ft3
Rain Harvesting Volume Provided | 0 | gal
Storage Volume:  SA Waters & Saltwater ORW Areas
Runoff Volume generated from 1.5" |  | ft3 | ft4
1-yr, 24-hr rainfall depth at your site |  | in
Pre-Development 1-yr, 24-hr Runoff |  | ft3
Post-Development 1-yr, 24-hr Runoff |  | ft3
1-yr, 24-hr Runoff Volume Post-Pre | 0 | ft3 | ft4
1.5" Runoff Volume CHECK | 0 | ft
Use 1.5" or Pre/Post?
Use 1.5" or Pre/Post CHECK | Pre-Post Control | ft3 |  | [NAME] of Runoff Between 1.5 and Pre/Post
Runoff Volume of whichever is greater CHECK | 0 | ft3
Required volume of whichever is greater CHECK | 0 | ft3
Minimum Rainwater Harvesting Volume on Site |  | ft3
Volume of Rainwater Harvesting System Provided
Rain Harvesting Volume Provided at Site |  | ft3
Factor of Safety
Minimum Rainwater Volume Required at Site | 0 | ft3
Rain Harvesting Volume Provided | 0 | gal
% Runoff
% Runoff Used On-Site |  | %
Primary Method Used On-Site
% Runoff Treated On-Site |  | %
Primary Method of Treatment
% Runoff Infiltrated On-Site |  | %
Total Runoff Accounted For | 0 | % |  | Amount must equal 100% used on-site
Water Balance Calculations Attached?
Cistern Overflow, Gutter, & Gutter Downspout Sizing
Closest City | 0
Captured Roof Area | 0 | ft2
Overflow Pipe [NAME] (in Dec. Inches) |  | in
Maximum Captured Area for above Overflow Pipe |  | ft2
Overflow Pipe [NAME] (in Dec. Inches) |  | in
HIDE THIS ROW
Maximum Captured Area for above Overflow Pipe |  | ft2
Guttering
Number of Gutters Total |  | gutters
Amount of Roof Area Going to Gutter 1 |  | ft2
[NAME] |  | %
Gutter Diameter |  | in
[NAME] and [NAME] (%, [NAME]) CHOOSE HERE |  | %, in.
HIDE THIS ROW
Maximum Captured Area for Gutter1 |  | ft2
[NAME] Diameter |  | in
Maximum Captured Area for Downspout Sizing |  | ft2
[NAME] and [NAME] (%, [NAME]) |  | %, in.
HIDE THIS ROW
Maximum Captured Area for Gutter 4 |  | ft2
Amount of Roof Area Going to Gutter 2 |  | ft2
[NAME] |  | %
Gutter Diameter |  | in
[NAME] and [NAME] (%, [NAME]) |  | %, in.
HIDE THIS ROW
Maximum Captured Area for Gutter 2 |  | ft2
[NAME] Diameter |  | in
Maximum Captured Area for Downspout Sizing |  | ft2
[NAME] and [NAME] (%, [NAME]) |  | %, in.
HIDE THIS ROW
Maximum Captured Area for Gutter 4 |  | ft2
Amount of Roof Area Going to Gutter 3 |  | ft2
[NAME] |  | %
Gutter Diameter |  | in
[NAME] and [NAME] (%, [NAME]) |  | %, in.
HIDE THIS ROW
Maximum Captured Area for Gutter 3 |  | ft2
[NAME] Diameter |  | in
Maximum Captured Area for Downspout Sizing |  | ft2
[NAME] and [NAME] (%, [NAME]) |  | %, in.
HIDE THIS ROW
Maximum Captured Area for Gutter 4 |  | ft2
Amount of Roof Area Going to Gutter 4 |  | ft2
[NAME] |  | %
Gutter Diameter |  | in
[NAME] and [NAME] (%, [NAME]) |  | %, in.
HIDE THIS ROW
Maximum Captured Area for Gutter 4 |  | ft2
Total Area Captured by [NAME] |  | ft2
[NAME] Diameter |  | in
Maximum Captured Area for Downspout Sizing |  | ft2
HIDE THIS ROW
Maximum Captured Area for Downspout Sizing |  | ft2
Total Area [NAME] by Gutters 1-4 | 0 | ft2 |  | OK
Do you have a plan details showing numbered gutters?
Do you have a detailed table showing slopes of all gutters?
Do you have a detailed table showing diameters of all gutters?
Do you have a detailed table showing downspout diameterof all gutters?
Do you have a detailed table showing maximum captured area for all gutters?
Additional Design Elements
Have you modeled this system using a water harvesting model?
Days to Draw Down Rainwater Harvester |  | days |  | Overflow needs to be less than or equal to 14% OR [NAME] between less than 5 Days
Overflow discharged to:
Does the overflow discharge directly to impervious surfaces?
What is the overflow velocity for the 10-year storm? |  | ft/s
Is the overflow velocity non-erosive
Is a First Flush Diverter Used?
If First Flush Diverter used, where is bypassed water discharged to?
Actual City
Closest City
Average Annual [NAME] at your Site |  | in
Percent of Rainfall that will Overflow Cistern |  | %
CHECK % Rainfall that will overflow cistern from MODEL | input here
Additional Design Elements
Which Model?
Does this cistern have a dedicated year-round use?
Screen Sizing at Entrance to [NAME] |  | [NAME]
Do you have a secondary water supply to the rainwater harvester?
Plans for the footing included in submittal?
Is the cistern buried?
Pump provided?  What is the pressure? |  | [NAME]
What are the designated uses of the pump?
Are Pump Sizing Calculations Attached?
Is Cistern Metal?
If [NAME] Waterproof Bladder Provided?
If the only use is irrigation - are plans provided?
Labeled as non-potable water?
Are Local & State pumbing codes followed?
Does this roof area deduct BUA from calculations of another BMP?
If so, what BMP?
Volume that can be deducted from Other BMPs onsite | 0
Notes: