SW8190511_CURRENT PERMIT_20200609

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8
DOC TYPE
�,I CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
� l
YYYYMMDD

ROY COOPER
Governor
MICHAEL S. UGAN
Secretary
BRIAN WRENN
Acting Director
June 9, 2020
Hoosier Daddy, LLC
Attn: Lisa Beaman, Manager
8620 River Road
Wilmington, NC 28412
NORTH CAROLINA
Environmental Quality
Subject: State Stormwater Management Permit No. SW8 190511
West Eleventh Street Single Family
High Density Subdivision Project
Brunswick County
Dear Ms. Beaman:
The Wilmington Regional Office received a complete, modified State Stormwater Management Permit
Application for the subject project on June 9, 2020. Staff review of the plans and specifications has
determined that the project, as proposed, complies with the Stormwater Regulations set forth in Title 15A
NCAC 02H.1000 amended on January 1, 2017 (2017 Rules). We are hereby forwarding modified Permit
No. SW8 190511 dated June 9, 2020, for the construction of the built -upon areas (BUA) and stormwater
control measures (SCMs) associated with the subject project.
This permit shall be effective from the date of issuance until May 31, 2027 and the project shall be subject
to the conditions and limitations as specified therein and does not supersede any other agency permit that
may be required. Failure to comply with these requirements will result in future compliance problems.
Please note that this permit is not transferable except after notice to and approval by the Division.
Please refer to Attachment C for a detailed description of the current proposed major modification.
This cover letter, attachments, and all documents on file with DEMLR shall be considered part of this
permit and is herein incorporated by reference_ Please replace the previously approved plan sheets with
the attached modified and approved versions. Please replace the previous application (SWU-I01),
proposed deed restrictions and protective covenants, supplement, operation and maintenance agreement
with the attached modified versions.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings
(OAH). The written petition must conform to Chapter 150B of the North Carolina General Statutes and
must be filed with the OAH within thirty (30) days of receipt of this permit. You should contact the OAH
with all questions regarding the filing fee (if a filing fee is required) and/or the details of the filing process
at 6714 Mail Service Center, Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit their
website at www.NCOAf4.com_ Unless such demands are made this permit shall be final and binding.
If you have any questions concerning this permit, please contact Christine Hall in the Wilmington
Regional Office, at [phone] or [e-mail].
Sincerely,
Brian Wrenn, Acting Director
Division of Energy, Mineral and Land Resources
Enclosures: Attachment A — Designer's Certification Form
Attachment C — Permitting History
Application Documents
DES/canh: I11StormwaterlPermits car Projects1201911905 l 1 HD12020 06 permit 190511
E North Carolina Department of Environmental Quality I Division of Energy. Mineral and Land Resources
Wilmington Reglonai Office 1 127 Cardinal Drive Extension I Wilmington. North Carolina 28405
N0F7H CAFOUNA O
910.796.7215

State Stormwater Permit No. SW8 190511
Page 2 of 2
cc: Michael House, PE; Cape Fear Engineering, Inc.
City of Southport Building Inspections
Brunswick Counry Engineering
Wilmington Regional Office Stormwater File

I
J
State Stormwater Management
Permit No. SW8 190511
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY SUBDIVISION DEVELOPMENT
In compliance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations promulgated and adopted by the North
Carolina Environmental Management Commission, including 15A NCAC 02H.1000 amended on
January 1, 2017 (2017 Rules) (the "stormwater rules"),
PERMISSION IS HEREBY GRANTED TO
Hoosier Daddy, LLC
West Eleventh Street Single Family
West 11 th Street, Southport, Brunswick County
FOR THE
construction, management, operation and maintenance of built -upon area (BUA) draining to one (1)
wet pond ("stormwater control measures" or "SCMs") as outlined in the application, approved
stormwater management plans, supplement, calculations, operation and maintenance agreement,
recorded documents, specifications, and other supporting data (the "approved plans and
specifications") as attached and/or on file with and approved by the Division of Energy, Mineral and
Land Resources (the "Division" or "DEMLR"). The project shall be constructed, operated and
maintained in accordance with these approved plans and specifications. The approved plans and
specifications are incorporated by reference and are enforceable part of this permit.
This permit shall be effective from the date of issuance until May 31, 2027 and shall be subject to the
following specified conditions and limitations. The permit issued shall continue in force and effect until
the permittee files a request with the Division for a permit modification, transfer, renewal, or
rescission; however, these actions do not stay any condition. The issuance of this permit does not
prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or
terminating the permit for cause as allowed by the laws, rules, and regulations contained in Title 15A
NCAC 2H.1000 and NCGS 143-215.1 et.al.
BUA REQUIREMENTS. The maximum amount of BUA allowed for the entire project is 313,390
square feet. The runoff from all BUA within the permitted drainage area of this project must be
directed into the permitted SCM. The BUA requirements and allocations for this project are as
follows..
a. SCM BUA LIMITS. The SCM has been designed using the runoff treatment method to
handle the runoff from 313.390 square feet of BUA within the delineated drainage area. The
BUA for the future development is limited to 20,000 square feet.
b. BUA FOR INDIVIDUAL LOTS. Each of the 49 lots are limited to a maximum of 4,500 square
feet of BUA, as indicated in the approved plans and specifications. The maximum BUA
assigned to each lot via this permit and the recorded deed restrictions and protective
covenants may not be increased or decreased by either the individual lot owner or the
permittee unless and until the permittee notifies the Division and obtains written
approval from the Division.
Page 1 of 6

State Stormwater Management
Permit No. SW8 190511
PERVIOUS AREA IMPROVEMENTS. At this time, none of the pervious area improvements
listed in G.S. 143-214.7(b2) or the Stormwater Design Manual have been proposed for this
project. Pervious area improvements will be allowed in this project if documentation is provided
demonstrating those improvements meet the requirements of the stormwater rule.
3. SCM REQUIREMENTS. The SCM requirements for this project are as follows:
a. SCM DESIGN. The SCM is permitted based on the design criteria presented in the sealed,
signed and dated supplement and as shown in the approved plans and specifications. This
SCM must be provided and maintained at the design condition.
b. PLANTING PLAN. The SCM landscape planting plan shown in the approved plans shall be
followed in its entirety during construction. After the plants are established, the operation
and maintenance agreement must be followed.
c. FOUNTAINS. At this time, a decorative spray fountain has not been proposed within the wet
pond. Decorative spray fountains will be allowed in the wet pond if documentation is
provided demonstrating that the proposed fountain will not cause resuspension of sediment
within the pond or cause erosion of the pond side slopes.
d. IRRIGATION. If the wet pond is to be used for irrigation, it is recommended that some water
be maintained in the permanent pool, the vegetated shelf is planted with appropriate species
that can handle fluctuating conditions, and human health issues are addressed.
4. STORMWATER OUTLETS. The peak flow from the 10-year storm event shall not cause
erosion downslope of the discharge point.
5. VEGETATED SETBACKS. A 50-foot wide vegetative setback must be provided and maintained
in grass or other vegetation adjacent to all surface waters as shown on the approved plans. The
setback is measured horizontally from the normal pool elevation of impounded structures, from
the top of bank of each side of streams or rivers, and from the mean high waterline of tidal
waters, perpendicular to the shoreline.
a. BUA IN THE VEGETATED SETBACK. BUA may not be added to the vegetated setback
except as shown on the approved plans or in the following instances where the BUA has
been minimized and channelizing runoff from the BUA is avoided:
i. Water dependent structures; and
ii. Minimal footprint uses such as poles, signs, utility appurtenances, and security
lights that cannot practically be located elsewhere.
b. RELEASE OF STORMWATER NOT TREATED IN AN SCM. Stormwater that is not treated
in an SCM must be released at the edge of the vegetated setback and allowed to flow
through the setback as dispersed flow.
6. RECORDED DOCUMENT REQUIREMENTS. The stormwater rules require the following
documents to be recorded with the Office of the Register of Deeds prior to the sale of individual
lots or groups of lots:
a. ACCESS AND/OR EASEMENTS. The entire stormwater conveyance system, including any
SCMs, and maintenance accesses must be located in public rights -of -way, dedicated
common areas that extend to the nearest public right-of-way, and/or permanent recorded
easements that extend to the nearest public right-of-way for the purpose of inspection,
operation, maintenance, and repair.
b. OPERATION AND MAINTENANCE AGREEMENT. The operation and maintenance
agreement must be recorded with the Office of the Register of Deeds.
c. FINAL PLATS. The final recorded plats_must reference the operation and maintenance
agreement and must also show all public rights -of -way, dedicated common areas, and/or
permanent drainage easements, in accordance with the approved plans.
Page 2 of 6

State Stormwater Management
Permit No. SW8 190511
d. DEED RESTRICTIONS AND PROTECTIVE COVENANTS. Recorded deed restrictions and
protective covenants must include, at a minimum, the following statements related to
stormwater management:
i. The following covenants are intended to ensure ongoing compliance with State
Stormwater Management Permit Number SW8 190511, as issued by the Division of
Energy, Mineral and Land Resources (the "Division") under 15A NCAC 02H.1000,
effective January 1, 2017.
ii. The State of North Carolina is made a beneficiary of these covenants to the extent
necessary to maintain compliance with the Stormwater Management Permit.
iii. These covenants are to run with the land and be binding on all persons and parties
claiming under them.
iv. The covenants pertaining to stormwater may not be altered or rescinded without
the express written consent of the Division.
v, Alteration of the drainage as shown on the approved plans may not take place
without the concurrence of the Division.
vi. The maximum built -upon area (BUA) per lot is 4,500 square feet. This allotted
amount includes any BUA constructed within the lot property boundaries, and that
portion of the right-of-way between the front lot line and the edge of the pavement
not shown on the approved plans. BUA has the same meaning as G.S. 143-214.7,
as amended.
vii. The maximum allowable BUA shall not be exceeded on any lot until the permit is
modified to ensure compliance with the stormwater rules, permit, and the approved
plans and specifications.
viii. All runoff from the BUA on the lot must drain into the permitted system. This may
be accomplished via grading, a stormwater collection system and/or a vegetated
conveyance.
ix. A 50-foot wide vegetative setback must be provided and maintained adjacent to all
surface waters in accordance with 15A NCAC 02H.1003(4) and the approved
plans.
X. Any individual or entity found to be in noncompliance with the provisions of a
stormwater management permit or the requirements of the Stormwater rules is
subject to enforcement procedures as set forth in NCGS 143, Article 21.
e. DEEDS FOR INDIVIDUAL LOTS. The permittee shall record deed restrictions and
protective covenants prior to the issuance of a certificate of occupancy to ensure the permit
conditions and the approved plans and specifications are maintained in perpetuity.
7. CONSTRUCTION. During construction, erosion shall be kept to a minimum and any eroded
areas of the on -site stormwater system will be repaired immediately.
a. PROJECT CONSTRUCTION, OPERATION AND MAINTENANCE. During construction, all
operation and maintenance for the project shall follow the Erosion Control Plan requirements
until the Sediment -Erosion Control devices are converted to SCMs or no longer needed.
Once the device is converted to a SCM, the permittee shall provide and perform the
operation and maintenance as outlined in the applicable section below.
b. SCM RESTORATION. If one or more of the SCMs are used as an Erosion Control device
and/or removed or destroyed during construction, it must be restored to the approved state
stormwater design condition prior to close-out of the erosion control plan and/or project
completion and/or transfer of the state stormwater permit. Upon restoration, a new or
updated certification will be required for the SCM(s) and a copy must be submitted to the
appropriate DEQ regional office.
Page 3 of 6

State Stormwater Management
Permit No. SW8 190511
8. MODIFICATIONS. No person or entity, including the permittee, shall alter any component
shown in the approved plans and specifications. Prior to the construction of any modification to
the approved plans, the permittee shall submit to the Director, and shall have received approval
for modified plans, specifications, and calculations including, but not limited to, those listed
below. For changes to the project or SCM that impact the certifications, a new or updated
certification(s), as applicable, will be required and a copy must be submitted to the appropriate
DEQ regional office upon completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size including the
SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
c. Further development, subdivision, acquisition, lease or sale of any, all or part of the project
and/or property area as reported in the approved plans and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), stormwater collection system and/or vegetative
conveyance shown on the approved plan.
e. The construction of any allocated future BUA.
f. Adding the option to use permeable pavement or #57 stone within the lots as a permeable
surface. The request may require a proposed amendment to the deed restrictions and
protective covenants for the subdivision to be submitted and recorded.
g. The construction of any permeable pavement, #57 stone area, public trails, or landscaping
material within the common areas to be considered a permeable surface that were not
included in the approved plans and specifications.
h. Other modifications as determined by the Director.-
9. DESIGNER'S CERTIFICATION. Upon completion of the project, the permittee shall determine if
the project is in compliance with the approved plans and take the necessary following actions:
a. If the permittee determines that the project is in compliance with the approved plans, then
within 45 days of completion, the permittee shall submit to the Division one hard copy and
one electronic copy of the following:
i. The completed and signed Designer's Certification provided in Attachment A
noting any deviations from the approved plans and specifications. Deviations
may require approval from the Division;
ii. A copy of the recorded operation and maintenance agreement;
iii. Unless already provided, a copy of the recorded deed restrictions and
protective covenants, and
iv. A copy of the recorded plat delineating the public rights -of -way, dedicated
common areas and/or permanent recorded easements, when applicable. '
b. If the permittee determines that the project is not in compliance with the approved plans, the
permittee shall submit an application to modify the permit within 30 days of completion of the
project or provide a plan of action, with a timeline, to bring the site into compliance.
10. OPERATION AND MAINTENANCE. The permittee shall provide and perform the operation and
maintenance necessary, as listed in the signed operation and maintenance agreement, to
assure that all components of the permitted on -site stormwater system are maintained at the
approved design condition. The approved operation and maintenance agreement must be
followed in its entirety and maintenance must occur at the scheduled intervals.
a. CORRECTIVE ACTIONS REQUIRED. If the facilities fail to perform satisfactorily, the
permittee shall take immediate corrective actions. This includes actions required by the
Division and the stormwater rules such as the construction of additional or replacement on -
site stormwater systems. These additional or replacement measures shall receive a permit
from the Division prior to construction.
b. MAINTENANCE RECORDS. Records of maintenance activities must be kept and made
available upon request to authorized personnel of the Division. The records will indicate the
date, activity, name of person performing the work and what actions were taken.
11. PERMIT RENEWAL. A permit renewal request must be submitted at least 180 days prior to the
expiration date of this permit. The renewal request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H.1045(3).
Page 4 of 6

State Stormwater Management
Permit No. SW8 190511
12. CURRENT PERMITTEE NAME OR ADDRESS CHANGES. The permittee shall submit a
completed Permit Information Update Application Form to the Division within 30 days to making
any one or more of the following changes:
a. A name change of the current permittee;
b. A name change of the project;
c. A mailing address change of the permittee.
13. TRANSFER. This permit is not transferable to any person or entity except after notice to and
approval by the Director. Neither the sale of the project and/or property, in whole or in part, nor
the conveyance of common area to a third party constitutes an approved transfer of the permit.
a. TRANSFER REQUEST. The transfer request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H.1045(2) and must be
submitted upon occurrence of any one or more of the following events:
i. The sale or conveyance of the project and/or property area in whole or in part,
except in the case of an individual residential lot sale that is made subject to the
recorded deed restrictions and protective covenants;
ii. The assignment of declarant rights to another individual or entity;
iii. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association, subject to the requirements of NCGS 143-214.7(c2);
iv. Dissolution of the partnership, corporate, or LLC entity, subject to NCGS 55-14-05
or NCGS 57D-6-07 and 08;
V. Bankruptcy;
vi. Foreclosure, subject to the requirements of Session Law 2013-121;
b. TRANSFER INSPECTION. Prior to transfer of the permit, a file review and site inspection
will be conducted by Division personnel to ensure the permit conditions have been met and
that the project and the on -site stormwater system complies with the permit conditions.
Records of maintenance activities performed to date may be requested. Projects not in
compliance with the permit will not be transferred until all permit and/or general statute
conditions are met.
14. COMPLIANCE. The permittee is responsible for complying with the terms and conditions of this
permit and the approved plans and specifications until the Division approves the transfer
request.
a. REVIEWING AND MONITORING EACH LOT FOR COMPLIANCE. The permittee is
responsible for verifying that the proposed BUA on each individual lot, within each drainage
area and for the entire project does not exceed the maximum amount allowed by this permit.
The permittee shall review all individual lot plans for new construction and all subsequent
modifications and additions for compliance. The plans reviewed must include all proposed
BUA, grading, and driveway pipe placement. The permittee shall not approve any lot plans
where the maximum allowed BUA limit has been exceeded or where modifications are
proposed to the grading and/or to the stormwater collection system and/or to the vegetated
conveyance unless and until a permit modification has been approved by the Division. The
permittee shall review and routinely monitor the project and -each lot to ensure continued
compliance with the conditions of the permit, the approved plans and specifications, and the
recorded deed restrictions and protective covenants. The permittee shall notify any lot
owner that is found to be in noncompliance with the conditions of this permit in writing and
shall require timely resolution.
b. ARCHITECTURAL REVIEW BOARD (ARB) OR COMMITTEE (ARC). The permittee may
establish an ARB or ARC to conduct individual lot reviews. However, any approval given by
the ARB or ARC on behalf of the permittee does not relieve the permittee of the
responsibility to maintain compliance with the conditions of the permit and the approved
plans and specifications.
c. APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable recorded
documents, and specifications shall be maintained on file by the permittee at all times.
d. DIVISION ACCESS. The permittee grants Division Staff permission to enter the property
during normal business hours to inspect all components of the permitted project.
Page 5 of 6

State Stormwater Management
Permit No. SW8 190511
e. ENFORCEMENT. Any individual or entity found to be in noncompliance with the provisions
of a stormwater management permit or the requirements of the stormwater rules is subject to
enforcement procedures as set forth in NCGS 143 Article 21.
f. OBTAINING COMPLIANCE. The Director may notify the permittee when the permitted site
does not meet one or more of the minimum requirements of the permit. Within the time
frame specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee shall provide
copies of modified plans and certification in writing to the Director that the changes have
been made.
g. OTHER PERMITS. The issuance of this permit does not preclude the permittee from
obtaining and complying with any and all other permits or approvals that are required for this
development to take place, as required by any statutes, rules, regulations, or ordinances,
which are imposed by any other Local, State or Federal government agency having
jurisdiction. Any activities undertaken at this site that cause a water quality violation or
undertaken prior to receipt of the necessary permits or approvals to do so are considered
violations of NCGS 143-215.1, and subject to enforcement procedures pursuant to NCGS
143-215.6.
Permit modified and reissued this the 91' day of June 2020.
NORTH CAROLINA ENVIRONMEN AL MANAGEMENT COMMISSION
Brian Wrenn, Acti irecto
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 190511
Page 6 of 6

State Stormwater Management
Permit No. SW8 190511
Attachment A
Certification Forms
The following blank Designer Certification forms are included and specific for this project:
• As -Built Permittee Certification
• As -Built Designer's Certification General MDC
• As -Built Designer's Certification for Wet Detention Pond Project
A separate certification is required for each SCM. These blank certification forms may be copied and
used, as needed, for each SCM and/or as a partial certification to address a section or phase of the
project.
Page 1 of 1

State Stormwater Management
Permit No. SW8 190511
AS -BUILT PERMITTEE CERTIFICATION
hereby state that I am the current permittee for the project named above, and I certify by my
signature below, that the project meets the below listed Final Submittal Requirements found in NCAC
02H.1042(4) and the terms, conditions and provisions listed in the permit documents, plans and
specifications on file with or provided to the Division.
eCheck here if this is a partial certification. Section/phase/SCIM #?
Check here if this is part of a Fast Track As -built Package Submittal.
Printed Name
County of
personally appeared before me this
Signature
a Notary Public in the State of
do hereby certify that
day of
and acknowledge the due execution of this as -built certification. (SEAL)
Witness my hand and official seal
My commission expires
, 20
Permittee's Certification NCAC .1042(4)
Completed /
Provided
NIA
A. DEED RESTRICTIONS / BUA RECORDS
1. The deed restrictions and protective covenants have been recorded
Y or N
and contain the necessary language to ensure that the project is
maintained consistent with the stormwater regulations and with the
permit conditions.
2. A copy of the recorded deed restrictions and protective covenants
Y or N
has been provided to the Division.
3. Records which track the BUA on each lot are being kept. (See Note
Y or N
1
B. MAINTENANCE ACCESS
1. The SCMs are accessible for inspection, maintenance and repair.
Y or N
2. The access is a minimum of 10 feet wide.
Y or N
3. The access extends to the nearest public right-of-way.
Y or N
C. EASEMENTS
1. The SCMs and the components of the runoff collection 1 conveyance
Y N
system are located in recorded drainage easements.
or
2. A copy of the recorded plat(s) is provided.
Y or N
D. SINGLE FAMILY RESIDENTIAL LOTS - Plats for residential lots that
Y N
have an SCM include the following:
or
1. The specific location of the SCM on the lot.
Y or N
2. A typical detail for the SCM.
Y or N
3. A note that the SCM is required to meet stormwater regulations and
that the lot owner is subject to enforcement action as set forth in
Y N
NCGS 143 Article 21 if the SCM is removed, relocated or altered
or
without prior approval.
E. OPERATION AND MAINTENANCE AGREEMENT
Y or N
1. The O&M Agreement is referenced on the final recorded plat.
Y or N
2. The O&M Agreement is recorded with the Register of Deeds and
Y N
appears in the chain of title.
or
F. OPERATION AND MAINTENANCE PLAN — maintenance records are
being kept in a known set location for each SCM and are available for
Y or N
review.
G. DESIGNER'S CERTIFICATION FORM — has been provided to the
Y N
Division.
or
Page 1 of 6

State Stormwater Management
Permit No. SW8 190511
Note 1- Acceptable records include ARC approvals, as -built surveys, and county tax records.
Provide an explanation for every requirement that was not met, and for every "NIA" below. Attach
additional sheets as needed.
Page 2 of 6

State Stormwater Management
Permit No. SW8 190511
AS -BUILT DESIGNER'S CERTIFICATION GENERAL MDC
I hereby state that I am a licensed professional and I certify by my signature and seal below, that I
have observed the construction of the project named above to the best of my abilities with all due care
and diligence, and that the project meets the below listed General MDC found in NCAC 02H.1050 in
accordance with the permit documents, plans and specifications on file with or provided to the
Division, except as noted on the "AS -BUILT" drawings, such that the intent of the stormwater rules
and statutes has been preserved.
Check here if this is a partial certification. Section/phase/SCM #?
Check here if this is a part of a Fast -Track As -Built Package Submittal per .1044(3).
Check here if the designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed
Name
NC Registration
Number Date
SEAL:
Signature
Consultant's Mailing Address:
City/State/ZIP
Phone Number
Consultant's Email address:
OO Circle N if the as -built value differs from the Plan. If N is circled, provide an explanation on Page 2.
ON/E = not evaluated (provide explanation on page 2) ON/A = not applicable to this SCM or project.
Consultant's Certification NCAC .1003((3) & General MDC
OAs-built
ON/E
ONIA
.1050
A. TREATMENT REQUIREMENTS
1. The SCM achieves runoff treatment.
Y or N
2. The SCM achieves runoff volume match.
Y or N
3. Runoff from offsite areas and/or existing BUA is
Y or N
bypassed.
4. Runoff from offsite areas and/or existing BUA is directed
Y or N
into the permitted SCM and is accounted for at the full
build -out potential.
5. The project controls runoff through an offsite permitted
Y or N
SCM that meets the requirements of the MDC.
6. The net area of new BUA increase for an existing project
Y or N
has been accounted for at the appropriate design storm
level.
7. The SCM(s) meets all the specific minimum design
Y or N
criteria.
B. VEGETATED SETBACKS 1 BUA
1. The width of the vegetated setback has been measured
Y or N
from the normal pool of impounded waters, the MHW
line of tidal waters, or the top of bank of each side of
rivers or streams.
2. The vegetated setback is maintained in grass or other
Y or N
vegetation.
3. BUA that meets the requirements of NCGS 143-214.7
Y or N
b2 2 is located in the setback.
Page 3 of 6

State Stormwater Management
Permit No. SW8 190511
4. BUA that does not meet the requirements of NCGS 143-
Y or N
214.7 (b2)(2) is located within the setback and is limited
to:
a. Publicly funded linear projects (road, greenway
sidewalk)
b. Water -dependent structures
c. Minimal footprint uses (utility poles, signs, security
lighting and appurtenances)
5. Stormwater that is not treated in an SCM is released at
Y or N
the edge of the setback and allowed to flow through the
setback as dispersed flow.
(DAs-built
©N/E
©NIA
C. STORMWATER OUTLETS — the outlet handles the peak
Y N
flow from the 10 year storm with no downslo a erosion.
or
D. VARIATIONS
1. A variation (alternative) from the stormwater rule
Y N
provisions has been implemented.
or
2. The variation provides equal or better stormwater control
Y N
and equal or better protection of surface waters.
or
E. COMPLIANCE WITH OTHER REGULATORY PROGRAMS
Y N
has been met.
or
F. SIZING -the volume of the SCM takes the runoff from all
surfaces into account and is sufficient to handle the required
Y or N
storm depth.
G. CONTAMINATED SOILS — infiltrating SCM's are not
Y or N
located in or on areas with contaminated soils.
H. SIDE SLOPES
1. Vegetated side slopes are no steeper than 3H:IV.
Y or N
2. Side slopes include retaining walls, gabion walls, or
Y or N
other surfaces that are steeper than 3H:1 V.
3. Vegetated side slopes are steeper than 3H:1 V (provide
Y or N
supporting documents for soils and vegetation).
I. EROSION: PROTECTION
1. The inlets do not cause.erosion in the SCM.
Y or N
2. The outlet does not cause erosion downslope of the
Y or N
discharge point during the peak flow from the 10 year
storm.
J. EXCESS FLOWS — An overflow 1 bypass has been
Y N
provided.
or
K. DEWATERING—A method to drawdown standing water has
Y or N
been provided to facilitate maintenance and inspection.
L. CLEANOUT AFTER CONSTRUCTION — the SCM has been
Y or N
cleaned out and converted to its approved design state.
M. MAINTENANCE ACCESS
1. The SCM is accessible for maintenance and repair.
Y or N
2. The access does not include lateral or incline slopes
Y or N
>3:1.
N. DESIGNER QUALIFICATIONS (FAST -TRACK PERMIT) —
The designer is licensed under Chapters 89A, 89C, 89E, or
Y or N
89F of the General Statutes.
Provide an explanation for every MDC that was not met, and for every item marked "NIA" or "WE",
below. Attach additional pages as needed:
Page 4 of 6

State Stormwater Management
Permit No. SW8 190511
AS -BUILT DESIGNER'S CERTIFICATION FOR WET DETENTION POND PROJECT
hereby state that I am a licensed professional and I certify by my signature and seal below, that I
have observed the construction of the project named above to the best of my abilities with all due care
and diligence, and that the project meets all of the MDC found in NCAC 02H.1053, in accordance with
the permit documents, plans and specifications on file with or provided to the Division, except as
noted on the "AS -BUILT" drawings, such that the intent of the stormwater rules and the general
statutes has been preserved.
Check here if this is a partial certification. Section/phase/SCM #?
Check here if this is part of a Fast -Track As -Built Package Submittal per .1044(3).
Check here if the Designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed
Name
NC Registration Number
SEAL:
Signature
Date
Consultant's Mailing Address:
City/State/ZIP
Phone Number
Consultant's Email address:
O Circle N if the as -built value differs from the Plan/permit. If N is circled, provide an explanation on
page 2
OO NIE = not evaluated (provide explanation on page 2) ONIA = not applicable to this project or SCM.
This Certification must be completed in conjunction with the General MDC certification under NCAC
02H.1050
Consultant's Certification (MDC .1053)
OAs-built
©NIE
ONIA
A. Forebay! Depths 1 Fountain
1. The available Sediment storage is consistent with the
Y N
approved plan and is a minimum of 6 in.
or
2. Water flow over the forebay berm into the main pond
Y N
occurs at a non -erosive velocity.
or
3. The provided Forebay Volume is 15%-20% of the main
Y N
pool volume.
or
4. The Forebay entrance elevation is deeper than the exit
Y N
elevation into the pond.
or
5. The Average Design Depth of the main pond below the
permanent pool elevation is consistent with the permitted
Y or N
value?
6. Fountain documentation is provided.
Y or N
B. Side slopes 1 Banks 1 Vegetated Shelf
1. The width of the Vegetated Shelf is consistent with the
Y N
approved plans and is a minimum of 6 feet.
or
2. The slope of the Vegetated Shelf is consistent with the
approved plans and is no steeper than 6:1.
Y or N
C. As -built Main Pool 1 Areas I Volumes 1 Elevations
1. The permanent pool surface area provided is consistent
Y N
with the permitted value.
or
2. The Temporary Pool Volume provided is consistent with
Y N
the permitted value.
or
Page 5 of 6

State Stormwater Management
Permit No. SW8 190511
3.
The permanent pool elevation is consistent with the
Y
N
permitted value.
or
4.
The temporary pool elevation is consistent with the
Y
N
ermitted value.
or
OAs-built
®NIE
OO NIA
D. Inlets 1 Outlet I Drawdown
1.
The design volume draws down in 2-5 days.
Y
or
N
2.
The size of the Orifice is consistent with the permitted
Y
N
value.
or
3.
A trash rack is provided on the outlet structure.
Y
or
N
4.
Hydrologic impacts to the receiving channel are minimized
Y
N
from the 1 yr 24 hr storm discharge?
or
5.
The inlets and the outlet location are situated per the
Y
N
approved plan and avoid short-circuiting,
or
E. Vegetation
1.
The vegetated shelf has been planted with a minimum of 3
Y
N
diverse species.
or
2.
The vegetated shelf plant density is consistent with the
approved plans and is no less than 50 plants per 200 sf or
Y
or
N
no less than 24 inches on center.
Provide an explanation for every MDC that was not met, and for every item marked "NIA" or "NIE"
below. Attach additional pages as needed:
Page 6 of 6

Attachment C - Permitting History
West Eleventh Street Single Family
Permit No. SW8 190511
Approval
Date
permit Action
RIMS
Version
I Description of the Changes
Modified Plan Sheets
5/31/2019
Original
Approval
1.0
l wet pond and 44 lots. Site subject to the 2017 Rules.
6/9/2020
Major
Modification
1 1
Expanding the project boundary, increasing the total
drainage area (DA) and built -upon area (BUA) treated by
Pond 1. The number of lots is increase to 49. No
changes to the pond.
complete plan set
Page 1 of 1

DEMI-R USE ONLY
Date Zeceived
Fee Paid
Permit Number
3 1 a ao
-07 1 505 f
5r J& ! 05 r
Applicable Rule : ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph 11 - Post Construction
(select all that appl y) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management flan
❑ Other WQ M mt Plan:
State of North Carolina
Department of Environment and Natural Resources EC IEIVE
Division of Energy, Mineral and Land Resources E
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form hnay be photocopied for use as an original b 't
BY: .-
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
West Eleventh Street
2. Location of Project (street address):
Along the southern side of West 111h St. approximately 1,000 feet W. from the intersection of N. Caswell Ave.
City:Southport County:Brunswick
3. Directions to project (from nearest major intersection):
Zip:28461
Approx. 1,000 feet West on West Eleventh Street from the intersection of W.11 th St. and N. Caswell Ave.
4. Latitude:33° 55' 43.18" N Longitude:780 1' 46.38" W of the main entrance to the project.
IL PERMIT INFORMATION:
1. a. Specify whether project is (check one): ❑New ®Modification ❑ Renewal w/ Modificationt
tRenewals with hnMificatiorhs also requires SWU-102 - Renewal Application Forhu
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number SW8190511 , its issue date (if known) May 31, 2019 , and the status of
construction: ❑Not Started ®Partially Completed* ❑ Completed* *provide a designer's certification
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):
❑LAMA Major ®Sedimentation/Erosion Control: 14.44 ac of Disturbed Area
❑NPDES Industrial Stormwater H404/401 Permit: Proposed Impacts 0.3 ac
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: W. Eleventh St. Single Family/BRUNS-2019-066/March 19,
2019/Erosion Control,_ Permitting of Environemental Impacts by others
5. Is the project located within 5 miles of a public airport? ®No []Yes
if yes, see S.L. 2012-200, Part Vl: http://I?ortal.ncdenr.org/web/Ir/rules-and-regulations
Form SWU-101 Version Oct. 31, 2013 Page l 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: Hoosier Daddy, LLC _
Signing Official & Title: Lisa Beaman,.Manager, Hoosier Daddy LLC
b. Contact information for person listed in item 1a above:
Street Address:8620 River Road
City: Wilmington State:NC Zip:28412
Mailing Address (if applicable):Same as above
City:n/ a State:n/ a Zip:n/ a
Phone: (252 ) 916-5030
Email:[e-mail]
Fax: (910 ) 769-3053
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:
Mailing Address (if applicable):
City:
Phone: ( )
Email:
State:
State:
Zip:
Zip:
Fax: ( } _
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:
Phone: ( Fax: ( }
Email:
4. Local jurisdiction for building permits: City of Southport
Zip:
Point of Contact:Wayne Strickland Phone #; (910 ) 457-7925 _ reFFIVE
JUN 0 � 2020
Form SWU-101 Version Oct. 31, 2013 Page 2 of 6

L1

F
IV, PROJECT INFORMATION
1. In the space provided below, br.- iefly summarize how the stormwater runoff will be treated.
Stormwater will be treated with wet detention basins via piped collection systems utilizingimproved
mproved
roadwav sections with curb, Lutter. and catch
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.lf claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph I1 - Post Construction
3. Stormwater runoff from this project drains to the Cape Fear River basin.
4. Total Property Area: 15.00 acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0.49 acres
7. Total Property Area (4) -Total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project
Area+:14.51 acres
+ Total project area shall be calculated to exclude the follozvin the normal pool of impounded structures, the area
between the banks of streams and rivers, the area beI07V the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NNW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Nori-coastal wetlands lartdzvard of the NI-IW (or' MHW) lute may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 48
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 Area _
Drainage Area _
Receiving Stream Name
Cottage Creek
Stream Class *
SC;Sw
Stream Index Number *
18-88-94
Total Drainage Area (so
661,722
On -site Drainage Area (so
646,022
Off -site Drainage Area (so
15,700
Proposed Im ervious Area** sf
313,390
Impervious Area** total
470/.
Impervious- Surface Area
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area
On -site Buildings/Lots (sf)
220,500
On -site Streets (sf)
51,360
On -site Parking (so
0
On -site Sidewalks (so
8,330
Other on -site (so
31780 (ABC)
Future (so
20,000 (Reserve)
Off -site (sf)
9,420
Existing BUA*** (so
0
`tonal (sf):
313,390
Strearn Class and Index Number can be detennined at:
W " Impervious area is defined as the built upon area including, but not limited to, buildings,
sidewalks, gravel areas, efc.
***Report only that amount of existing BUA that will remain after development. Do not reT
is to be removed and which will be replaced by nrzo BUA.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6
rar ODE f-r,-�
,,,, E
t.
axisting BU.t� that
1'gAK 1 [U1U l ��
K.

F
11. How was the off -site impervious area listed above determined? Provide documentation. Building corners
were surveyed and aerial was used for com]2acted drive locations. Actual impervious coverage is well below
the 60% coverage assigned to the off -site area, 60% was chosen as a conservative means of ensuring SCM
design was adequate. If re-develo ed the off -site properties will not exceed 60% impervious coverage as long
as all setback requirements within the current Southport UDO are complied with.
Projects in Union Countv: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that ma>> he subject to more stringent stornntater requirements as per 15A 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://portal.ncdenr.org/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 does. 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://12ortal.1'lcdenr.org/web/wq/ws/su/naps.)
Please indicate that the following -required information have been provided by initialin 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 http//portal.ncdenr.org/webZwq/ws/su/statesw/forms does.
Initials
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 V11 below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www,envhelp.or4Zpages`onestopexpress.htmi 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/managementfor
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 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
& 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.
L Dimensioned property/project boundary with bearings & distances. p� .
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
Q� 1 j
1. Details of roads, drainage features, collection systems, and stormwater control measur s. 2020 '
8Y.• � ;
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6

J
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).
9. 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 verif j the SHWT prior
to submittal, (9I0) 796-7378.)
10. A copy of the most current property deed. Deed book: Page No:
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 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.
ht!p://www.secretar):,state.nc.us/Corporations/CSearch.as]2x
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:/Zportal.ncdenr.org/web/Ir/state-stormwater-
forms does. 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:Michael House P.E.
Consulting Firm:. Cape Fear Engineering, Inc.
Mailing Address:151 Poole Rd. Suite 100
City:Belville
Phone: (910 } 383-1044
Email:michael.house©capefearenginecring.com _^
State:NC
Zip:28451
Fax: (910 ) 383-1045
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
1, (print or type name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1 a) with (print or type name c f organization listed in
Contact Information, item 1a) 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
,UZparty responsible for the operation and maintenance of the stormwater system.e �}
MAR 10 2020 N j+ I'
Form SWU-101 Version Oct. 31, 2013 Page 5 of 6
Rv.

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 1 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: Date:
I, a Notary Public for the State of , 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 expires
X. APPLICANT'S CERTIFICATION
1, (print or type name of person listed in Contact Information, item Ia) Lisa Beaman
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 stormwamr rule] mnder 15A NCAC 2H .1000 and any other applicable state stormwater requirements.
Sign
Date: �3 — 3 — 0Dc6
42 ,; a Notary Public for the State of dlNa., County of
1 1n< r7sw ►! do hereby certify that ZIYA- �3 I lk a-/? personally appeared
before me this a day of arG�j &ZO . and ack owledge the ue execution of the application for
a stormwater permit. Witness my hand and official s
X\\111111I I IJ1� ///
KEN %
y
oTApy':�
i•'••'••owes.•' nA
SEAL
My commission expires S/Z%/ZDZz
I-orm SWU-101 Version Oct. 31, 2013
Page 6 of 6

SUPPLEMENT-EZ COVER PAGE
FORMSLOAD[D
PROJECT INFORMATION
1
Project Name
YYest Eleventh Street Single Family:
2
Project AreaJac)
15
3
Coastal Wetland Area ac
0
4
Surface Water Area at
0'.
5
Is this promect High or Low Density?
FG h "
6
Does this project use an off -site SCM?
No
COMPLIANCE VMH 02H .100 4)
7
Width of vftgetated setbacks"provided feet
-50" ."
8
Will the v etated setback remain vegetated?
Yes:
9
Is BUA other that as listed in .1 0034 c-d out of the setback?
Yes
10
Is streambank stabilization proposed on this project?
.-.No ".
NUMBER AND TYPE OF SCMsi
11
Infittratlon System
0'
12
BOretentimCell
I" p..
13
Wet Pond
1
14
Stormwater Wetland
0
15
Permeable Pavement
"0
16
Sand Filter
0
17
Ralrtwater Harvestl RWH)
0
18
Green Roaf
0 • "
19
Level Spreader -Fitter Strip LS-FS
0 •"
Disconnected Im nrious Surface Dl5 '
0
Treatment Swale
E22
Pond0StormFiiter
4
Silva Cell
... 01
25
Bayfifter
0 . -
26
Filterra
0
FORMS LOADED
DESIGNER CERTIRCATiON "
27
Name and Title:
Michael Hotiae,' PE •:.
215
anizatlon:
Ca Fear E h1CC7t • Ins;. '
29
Street address:
"151 Poo4e.Rd`Suite'�00.
30
City. State. Zin:
Behrille,: NC 2B451' • "
31
Phone numbers :
910 183-1.0"
32
Email:
'michaeLhouseCDcapefearenghteering.com = "
Designer
i
� 5S •• C
SEAS 9r` -
s
's ; Q46980
aL Rey' 4�e�'��
Seal
Signature of Designer
5J2-1�1z�
Date
ECEIVE
JUN 01 2020
Blf•

DRAINAGE AREAS
1
Is this a high dens' project?
yes:.
2
If so number of drain a areaslSCMs
1
3
Is altlpart of this project subject to•previous rule
versions?
No. .
FORMS LOADED
DRAINAGE AREA INFORMATION
Eritire Site
A.
4
Tvpe of SCM
Wet Pond
5
Total BUA in project ft
313390 sf"'
8
New BUA on subdivided lots (subject to permitting)
(sq ft
7permitting)
New BUA outside of subdivided lots (subject to
s
8
1 Oftsite - total area A ft
15700 if
9
Mite BUA ft -
9420 sf:
10
Breakdown of new BUA outside subdivided lots:
- Parking s ft
- Sidewalk (sq ft
63W sf.
- Roof ft
220500 sf
Roadway s ft
.51360 if
Futures ft
"20000 sf.:
Other, please specify in the comment box
beknwv
.13200 sf"
11
New infiltrating permeable pavement on
subdivided lots ft "
12
New infiltrating permeable pavement outside of
Isubdivided lots ft
13
Exisitng BUA that will remain (not subject to
p2pittinqUft
14
Existi BUA that is alreaq permItted ft
15
Existing BUA that will be removed (sq ft
16
Percent BUA
47%
17
Design storm inches
1.5 in
18
Des' n volume of SCM cu ft
39392.cf '
19 lCatculation
method for design volume
Sim le
ADDITIONAL INFORMATION".;. .
20
Please use this space to provide any additional information about the .
drains a areas :
BUA listed in the other row.alkxates 3,78W for. compacted abc stone ".
marounds and 9,4208f off slie Impervious:
ECEIVE

WET POND
1 Drainage area number . 1- POND #1
2 Design volume of SCM (cu ft) 39392 of
GENERA! tAvc FR M 02H .11150
31 Is the SCM sized to treat the SW from alf surfaces at build -out? Yes
41
Is the SCM located away from contaminated soils?
Yes ,
5
What are the side slopes of the SCM (KV)?
3:1.
6
Does the SCM have retaining walls, gabion walls or other engineered
side slopes?
No.
7
Are the inlets, outlets, and receiving stream protected from erosion
(10-year storm)?
Yes
S
Is there an overflow or bypass for irflow volume in excess of the
design volume?
Yes
9
What is the method for dewateriog lire SCM for maintenance?
Pump (preferred) .
10
if applicable, will the SCM be cleaned Out after construction?
Yes
11
Does the maintenance access comply with General MDC (8)?
Yes
12
Does the drainage easement comply with General MDC (9)?
'Yes
13
If the SCNI is on a single family lot, does (will?) the plat comply with
General MDC (10)?
�.
14
Is there an O&M Agreement that complies with General MDC (11)?
Yes'
15
Is there an O&M Plan that complies with General MDC (12)?
Yes
113
Does the SCM follow the device specific MDC?
17 Was the SCM designed by an NC licensed professional?
WET POND MDC FROM 021-1-1053 ..'
18 1 Method used
Yes
SNDA
19
Has a stagelstorage table been provided in the calculations?
Yes':..
20
Elevation of the excavated main pool depth (bottom of sediment
removal) (fmsl)
1.00
21
Elevation of the main pool bottom -(top of sediment removal) (fmsl)
200. -'
22
Elevation of the bottom of the vegetated shelf (fmsl)
0,00`_
23
Elevation of the permanent pod (fmsl)
"9.50 .
24
Elevation of the top of the vegetated shelf (frisl)
.10.00
25
Elevation of the temporary pool (fmsl)
13.55 -.
25
Surface area of the mein permanent pool (square feet)
18898 Sf
27
Volume of the main permanent pool (cubic feet)
77434 d .
28
Average depth of the main pod (feet)
5.00 ft
29
Average depth equation used
Equation 3.
30
If using equation 3. main pool perimeter (feet)
578.0 fl' . . • .
31
If using equation 3, width of submerged veg. shelf (feet)
32
Volume of the forebay (cubic feet)
14Z03 d
33
Is this 15-20% of the volume in the main pool?
34
Clean -out depth for forebay (inches)
" 54 in ".:. .
35
Design volume of SCM (cu ft)
110472 d
36
is the oudet an orifice or a weir?
Nfioe .
37
if orifice, Orifice diameter (inches)
2 in
381
If weir, weir height (inches)
39
If weir, weir length (inches)
40
Drawdown time for the temporary pool (days)
3.74 ' '
41
Are the inlet(s) and outlet kxmted in a manner that avoids short-
circuiting?
Yes
42
Are berms or baffles provided to improve the flow path?
No
43
Depth of forebay at entrance (inches)
66 in
441
Depth of forebay at exit (inches)
54 in .
45
Does water flaw out of the forebay in a non -erosive manner?
Yes
46
Width of the vegetated shelf (feet)
6 k
47
Slope of vegetated shelf (H;V)
6; i '
48
Does the orifice drawdown from below the top surface of the
permanent pod?
Yea
49
Does the pond minimize impacts to the receiving channel from the I-
yr, 24-hr storm?
Yes -
50
Are fountains proposed? (If Y, please provide documentation that
MOC(9) is met.)
No ..
51
Is a trash rack or other device provided to protect the outlet system?
Yes
52
Are the dam and embankment planted in non -clumping turf grass?
Yes
53
Species of turf that will be used on the dam and embankment
Bermuda or. .
Centipede
541
Has a planting p an.been provided for the vegetated shelf]
Yes
ADDITIONAL INFORMAnON .
55
Please use this space to provide any additional information about the
wet pond(s):
ECEP9/E�
1uN 01
sit------.�
Wet Pond
12:23 PM 3/28/2020

High Density Residential Subdivisions
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 211.1O00 and S.L. 2006-246, the Stormwater Management
Regulations, deed restrictions and protective covenants are required for High Density Residential
Subdivisions where lots will be subdivided and sold and runoff will be treated in an engineered
stormwater control facility. Deed restrictions and protective covenants are necessary to ensure that
the development maintains a "built -upon" area consistent with the design criteria used to size the
stormwater control facility.
I, Lisa Beaman, acknowledge, affirm and agree by my signature below, that I will cause the following
deed restrictions and covenants to be recorded prior to the sale of any lot:
1. The following covenants are intended to ensure ongoing compliance with State Stormwater
Management Permit Number , as issued by the Division of Water Quality under the
Stormwater Management Regulations.
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary
to maintain compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming
under them.
4. The covenants pertaining to stormwater may not be altered or rescinded without the express
written consent of the State of North Carolina, Division of Water Quality.
5. Alteration of the drainage as shown on the approved plan may not take place without the
concurrence of the Division of Water Quality.
6. The maximum built -upon area per lot, in square feet, is as listed below:
4,500 sf
This allotted amount includes any built -upon area constructed within the lot property
boundaries, and that portion of the right-of-way between the front lot line and the edge of the
pavement. Built upon area includes, but is not limited to, structures, asphalt, concrete, gravel,
brick, stone, slate, coquina and parking areas, but does not include raised, open wood
decking, or the water surface of swimming pools.
7. Each lot will maintain a 30** foot wide vegetated buffer between all impervious areas and
surface waters.
**50 foot for projects located in the 20 coastal counties.
8. All runoff from the built -upon areas on the lot must drain into the permitted system. This may
be accomplished through a variety of means including roof drain gutters which drain to the
street grading the lot to drain toward the street, or grading perimeter swales to collect the lot
runoff and directing them into a component of the stormwater collection system. Lots that will
naturally drain into the system are not required to provide these additional measures.
ECEIV E
Form DRPC-3 Rev2 05Nov2009 Page I of 2 MAY 2 1 2019
BY:

,•
:t�. ,��,
,;
,

i L'.
High Density Residential Subdivisions
Deed Restrictions & Protective Covenances
9. If permeable pavement credit is requested, the property owner must submit request, with
supporting documentation, to the permittee/ARC and receive approval prior to construction of
8 UA
Signature:
Date:
�MMCAQ E , �Ackccm , a Notary Public in the
State of County of T%S A � _
do hereby certify that-LING_QGtY�Gn personally appeared
before me this the 20 day of Mo_ , 20and
acknowledge
the due execution of the foregoing instrument. Witness my hand and official seal,
My Commission expires O 2
SEAL
E. �yyi
� NpTARY GZ±
U�
2
2 pUBOG
ECEpVE�
MAY 21 2019 '
Form DRPC-3 Rev.2 05Nov2009 Page 2 of 2

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1
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Operation & Maintenance Agreement
Project Name:
Project Location:
West Eleventh Street Single Family
Southport, NC
I Cover Page
Maintenance records shall be kept on the following BMP(s). This maintenance record shall be kept in a log in a known set location.
Any deficient BMP elements noted in the inspection will be corrected, repaired, or replaced immediately. These deficiencies can
affect the integrity of structures, safety of the public, and the pollutant removal efficiency of the BMP(s).
The BMP(s) on this project include (check all that apply & cc
Bioretention Cell Quantity:
Dry Detention Basin
Grassed Swale
Green Roof
Infiltration Basin
Infiltration Trench
Level Spreader/VFS
Permeable Pavement
Proprietary System
Rainwater Harvesting
Sand Filter
Stormwater Wetland
Wet Detention Basin
Disconnected Impervious Area
User Defined BMP
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Present:
Present:
ng O&M tables will
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
De added automan
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each BMP above, and attached O&M tables. I agree to notify NCDENR of any problems with the system or prior to any changes to
the system or responsible party.
" Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
Signature:
County of
Lisa Beaman
Manager, Hoosier Daddy, LLC
6025 Tarin Road
Wilmington, NC, 28409
252-916-5030
[e-mail]
L
Date: D'�
a Notary Public for the State of/ Aa/.( C al'ozlna'
do hearby certify that Z1sA- 1�P zna'n
personally appeared before me this day of �j�') �O'ki__ __ and
acknowledge the due execution of the Ope tions and Maintenance Agreement .
Witness my hand and official seal,
KE
;� CdGp •••,,.....••• O� �PI
"�pTAR ': 9
ECEIVE
JUN o 12020
BY•
ST 'T 2/27/2020
Version 1. //I//11MIZIn1ION O&M Manual Page 1 of 5

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Seal My commission expires r�C o�7 ap2Z _
ECE IVE
JUN 01 2020
BY:
STORM-EZ 2/27/2020
Version 1.4 O&M Manual Page 2 of 5

I Wet Detention Pond Maintenance Requirements
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the vegetated filter if
one is provided.
Important maintenance procedures:
Immediately after the wet detention basin is established, the plants on the vegetated shelf and perimeter of the
basin should be watered twice weekly if needed, until the plants become established (commonly six weeks).
No portion of the wet detention pond should be fertilized after the first initial fertilization that is required to
establish the plants on the vegetated shelf.
_ Stable groundcover should be maintained in the drainage area to reduce the sediment load to the wet detention
basin.
If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through the
emergency drain should be minimized to the maximum extent practical.
- Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and within 24 hours after every storm event
greater than 1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance should be kept in a
known set location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
BMP element:
Potential problem:
How I will remediate the problem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the BMP
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, and then plant a
erosive gullies have formed.
ground cover and water until it is established. Provide lime and a one-
time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of approximately six inches.
long.
The inlet device
The pipe is clogged.
Unclog the pipe. Dispose of the sediment off -site.
The pipe is cracked or
Replace the pipe,
otherwise damaged.
Erosion is occurring in the
Regrade the swale if necessary to smooth it over and provide erosion
swale.
control devices such as reinforced turf matting or riprap to avoid future
problems with erosion.
Stone verge is clogged or
Remove sediment and replace with clean stone.
covered in sediment (if
applicable).
The forebay
Sediment has accumulated to
Search for the source of the sediment and remedy the problem if
a depth greater than the
possible. Remove the sediment and dispose of it in a location where it
original design depth for
will not cause impacts to streams or the BMP.
sediment storage.
Erosion has occurred.
Provide additional erosion protection such as reinforced turf matting or
riprap if needed to prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by hand. If pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional practices
show that pruning is needed
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the problem: soils, hydrology, disease, etc.
dying.
Remedy the problem and replace plants. Provide a one-time fertilizer
application to establish the ground cover if a soil test indicates it is
necessary.
Weeds are present.
Remove the weeds, preferably by hand. If pesticide is used, wipe it on
the plants rather than spr
STORM-EZ J U N D 2020 2/27/2020
Version 1.4 O&M Manual B� Page 3 of 5

I Wet Detention Pond Maintenance Requirements (Continued) I
The main treatment area
Sediment has accumulated to
Search for the source of the sediment and remedy the problem if
a depth greater than the
possible. Remove the sediment and dispose of it in a location where it
original design sediment
will not cause impacts to streams or the BMP,
storage depth.
Algal growth covers over 50%
Consult a professional to remove and control the algal growth.
of the area.
Cattails, phragmites or other
Remove the plants by wiping them with pesticide (do not spray).
invasive plants cover 50% of
the basin surface.
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and consult a professional to remove
beaver activity is present.
beavers.
A tree has started to grow on
Consult a dam safety specialist to remove the tree.
the embankment.
An annual inspection by an I
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. (if applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Department of Environment and Natural
damage have occurred at the
Resources Regional Office.
outlet.
The measuring device used to determine the sediment elevation shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
EC-EIvE�
JUN 0 120
STORM-EZ 2/27/2020
Version 1.4 O&M Manual Page 4 of 5

Wet Detention Pond Design Summary
Wet Pond Diagram
WET POND ID FOREBAY MAIN POND
Pond 1 Permanent Pool El. 9.5 Permanent Pool El. 9.5
Temporary Pool EL 13.55 Temporary Pool El: 13.55
Pretreatment other No Clean Out Depth: 4.5 Clean Out Depth: 7.5
than forebay? Sedlment Removal El: 5 Sediment Removal El: 2
Has Veg_ Filter? Yes Bottom Elevation: 4 Bottom Elevation: 1 1
STORM-EZ
Version 1.4
O&M Manual
2127/2020
Page 5 of 5

Permit Number SW8190511
Program Category
State SW
Permit Type
State Stormwater
Primary Reviewer
christine.hall
Coastal SWRule
Coastal Stormwater - 2017
Permitted Flow
Facility
Facility Name
West Eleventh Street Single Family
Location Address
W 11th St
Southport
Owner
Owner Name
Hoosier Daddy LLC
Dates/Events
NC 28461
Central Files: APS _ SWP
6/9/2020
Permit Tracking Slip
Status
Project Type
Active
Major modification
Version
Permit Classification
1.10
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Wilmington
County
Brunswick
Facility Contact Affiliation
Owner Type
Non -Government
Owner Affiliation
Jack Carlisle
109 Willesden Dr
Cary NC 27513
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
5/31/2019 3/10/2020 6/9/2020 6/9/2020 5/31/2027
Regulated Activities Requested /Received Events
State Stormwater - HD - Detention Pond Additional information requested 5122/20
Additional information received 611120
Additional information requested 618l20
Additional information received 619120
Outfall
Waterbody Name Streamindex Number Current Class Subbasin