SW8020608_CURRENT PERMIT_20030205

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO. � 'SW
DOC TYPE � CURRENT PERMIT
APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE !2pUr_2i PJ Z
YYYYMMDD

Michael F. Easley -,"Governor
�0F 1N A T6C19
Mr. Scott Cook, Partner
The Forest at Belvedere
60 Pelican Drive
Wrightsville Beach, NC 28480
Dear Mr, Cook:
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
Wilmington Regional Office
February 5, 2003
Subject: Permit No. SW8 020608
The Forest @Belvedere Phase 6
High Density Storrnwater Project
Pender County
The Wilmington Regional Office received a complete Stormwater Management Permit
Application for The Forest @Belvedere Phase 6 on February 3, 2003. Staff review of the plans
and specifications has determined that the project, as proposed, will comply with the Stormwater
Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No. SW8 020608
dated February 5, 2003, for the construction of The Forest @Belvedere Phase 6. .
This permit shall be effective from the date of issuance until February 5, 2013, and shall be
subject to the conditions and limitations as specified therein. Please pay special attention to the
Operation and Maintenance requirements in this permit. Failure to establish an adequate system
for operation and maintenance of the stormwater management system will result in future
compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following
receipt of this permit. This request must be in the form of;a written petition, conforming to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands are made this
permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please contact
Linda Lewis, or me at [phone].
Sincerely,
Rick Shiver
Water Quality Regional Supervisor
RSS/arl: S:1WQSISTORMWATIPERMIT1020608.FEB03
cc: James Fentress, P.E.
Pender County Building Inspections
Linda Lewis
Wilmington Regional Office
Central Files
N.C. Division of Water Quality 127 Cardinal Drive Extension Wilmington, N.C. 28405 [phone] Fax [phone]
A
NCDENR
Customer Service
800-623-7748

State StorniNvater Manauenient Svstenis I,
Permit No. S\V8 020608 `
STATE OF NORTH CAROLINA
DEPAR'rNIENT OF ENVIROMMENT AND NATURAL RESOURCES
Ao YaS1z►5e-
1-bAWAVfww
C4/& ',
DIVISION OF WATER QUALITY
STATE STORNIWATER MANAGEMENT PERA'IIT
r
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Mr. Scott Cook
The Forest rLr7BeNedere Phase b
Pender- County
FOR THE
construction, operation and maintenance of 8 infiltration basins in compliance with the
provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and the
approved stonnwater management plans and specifications and other supporting data as attached
and on file with and approved by the Division of Water Quality and considered a part of this
Permit.
This permit shall be effective from the date of issuance until February 5, 2013, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of storm -water
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff as
described on page 3 of this permit, the Project Data Sheet. The stormwater control has
been designed to handle the runoff from 37,026 ft2, 47,612 ft2, 61,868 ft2, 66,700 ft",
103,900 ft2 54,700 ft2, 89,370 ft2, and 72,873 ft2, respectively, of impervious area. Each
basin must overflow through a 50' vegetated filter.
3. Each drainage area will be limited to the amount of built -upon area indicated on pages 3
and 4 of this permit, and per approved plans. A permit modification must be submitted
and approved prior to the construction of additional built -upon area from outside of the
approved drainage area.
4. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be recorded
showing all such required easements, in accordance with the approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this project must
be directed into the appropriate permitted stormwater control system.
2

State Storinwater Managenment Systems
Permit No. SWS 020608
DIVISION OF WATER QUALITI'
PROJECT DESIGN DATA SHEET
Project Name:
The Forest @Belvedere Phase 6
Permit Nummber:
SW8 020608, '
Location:
Pender County
Applicant:
Mr. Scott Cook, Partner
Mailing Address:
The Forest at Belvedere
60 Pelican Drive
Wrightsville Beach, NC 28480
Application Date:
February 3, 2003
Receiving Stream/River Basin/Index #:
Cape Fear / UT ICWW / CPF24 18-87-(5.5)
Classification of Water Body:
"SA"
Basin Number:
Drainage Area, acres:
Onsite, ft2.
Offsite, ftZ:
Total Impervious Surfaces, ft2:
Basin'Depth, feet:
TSS removal efficiency:
Bottom Elevation, FMSL:
Permitted Storage Volume, ft3:
Temporary Storage Elevation, FMSL:
Controlling Orifice:
Type of Soil:
Seasonal High Water Table Elevation:
Expected Infiltration Rate, in/hr:
Time to Draw Down, hours:
1
2
3
4A
2.59
3.24
3.21
3.80
2.59
3.24
3.21
3.80
0
0
0
0
37,026
47,612
61,868
66,700
2
1.88
1.3
4.5
85% (a 50'
vegetated filter is required for all basins }
35.7
36
36.7
27.5
4,871
6,251
8,039
9,140
37.71
37.88
37.97
31.98
bypass to 50' vegetated filter at storage elevation
Leon, Mandarin, Foreston,
Munille, Woodington
25.5
25.5
28
27.5
2
2
4
4
17.2
15.3
7.8
46.4
T
DIVISION OF WATER QUALITY
3

State Stonn\vater N4anagement Systems. '
Pemiit No. SWS 020608
PROJECT DESIGN DATA SHEET
Project Name:
The Forest @Belvedere Phase 6
Pen -nit Number:
SW8 020608
Location:
Pender County
Applicant:
Mr. Scott Cook, Partner
Mailing Address:
T
The Forest at Belvedere
60 Pelican Drive
Wrightsville Beach, NC 28480
Application Date:
February 3, 2003
Receiving Streani/River Basin/Index #:
Cape Fear / UT ICWW / CPF24 18-87•-(5.5)
Classification of Water Body:
"SA"
Basin Number:
413 4C 5 6
Drainage Area, acres:
4.60 3.65 4.90 3.42
Onsite, ft':
4.60 3.65 4.90 3.42
Offsite, ft2:
0 0 0 0
Total Impervious Surfaces, ftl:
103,900 54,700 89,370 72,873
Basin Depth, feet:
4.12 3.43 1.88 1
TSS removal efficiency:
85% (a 50' vegetated filter is required for all basins)
Bottom Elevation, FMSL:
35.7 36 36.7 27.5
Permitted Storage Volume, ft':
13,898 7,737 11,388 12,672
Temporary Storage Elevation, FMSL:
31.82 30.93 31.88 30.40
Controlling Orifice:
bypass to 50' vegetated filter at storage elevation
Type of Soil:
Leon, Mandarin, Foreston, Murville, Woodington
Seasonal High Water Table Elevation:
25.5 25.5 28 27.5
Expected Infiltration Rate, irAr:
4 4 4 4
Time to Draw Down, hours:
42 17 4.8 2.8
4

State Stormwater 1\4anagement Systems
Permit No. SWS 020608
11. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be'constructed in it's entirety, vegetated and
operational for its intended use prior to the construction of any built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately.
3. The pennittee shall at all times provide the operation and maintenance necessary to assure
the pcnnitted stormwater system functions at optimum efficiency. Tile approved
Operation and Maintenance Plan must be followed in its entirety and maintenance must
occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of slopes and the vegetated filter.
d. immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow spreader,
catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept and made available upon request to
authorized personnel of DWQ. The records will indicate the date, activity, name of
person performing the work and what actions were taken.
5. Decorative spray fountains will not be allowed in the stormwater treatment system.
6. The facilities shall be constructed as shown on the approved plans. This permit shall
become voidable unless the facilities are constructed in accordance with the conditions of
this permit, the approved plans and specifications, and other supporting data.
7. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and
prior to operation of this permitted facility, a certification must be received from an
appropriate designer for the system installed certifying that the permitted facility has been
installed in accordance with this permit, the approved plans and specifications, and other
supporting documentation. Any deviations from the approved plans and specifications
must be noted on the Certification. A modification may be required for those deviations.
S. If the stormwater system was used as an Erosion Control device, it must be restored to
design condition prior to operation as a stormwater treatment device, and prior to
occupancy of the facility.
9. The permittee shall submit to the Director and shall have received approval for revised
plans, specifications, and calculations prior to construction, for any modification to the
approved plans, including, but not limited to, those listed below;
a. Any revision to any item shown on the approved plans, including the stonmwater
management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the drainage
area.
e. Further subdivision, acquisition, or sale of the project area. The project area is
defined as all property owned by the permittee, for which Sedimentation and
Erosion Control Plan approval or a CAMA Major permit was sought.
f Filling in, altering, or piping of any vegetative conveyance shown on the approved
plan.
5

State Stormwater Management Systems'
Permit No. SW8 020608
10. The pennittee shall submit final site layout and grading plans for any permitted future
areas shown on the approved plans, prior to construction. If the proposed BUA exceeds
the amount permitted under this pernut, a modification to the permit must be submitted
and approved prior to construction.
11. A copy of the approved plans and specifications shall be maintained oil file by the
Pennittee for a minimum of ten years from the date of the completion of construction.
12. Prior to the sale or lease of any portion of the property, the pennittee shall notify DWQ
and provide the name, mailing address and phone number of the purchaser or leasee. An
access/maintenance easement to the storrnwater facilities shall be granted in favor of the
pennittee if access to the stormwater facilities will be restricted by the sale or lease of any_
portion of the property.
13. The permittee must maintain compliance with the proposed built -upon area and ensure
that the runoff from all the built -upon is directed into the permitted system.
I4. 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 revised plans and
certification in writing to the Director that the changes have been made.
15. The permittee must maintain the current permitted drainage area. No additional runoff
from outside of the permitted drainage area boundary may enter the permitted stormwater
facilities without first applying for and receiving a permit modification.
16. The infiltration systems must draw down the I.5" design volume within 5 days (120
hours).
17. The permitted volumes, depths and elevations for the respective infiltration systems must
be maintained.
III. GENERAL CONDITIONS
This permit is not transferable. In the event there is a desire for the facilities to change
ownership, or there is a name change of the Permittee, a formal permit transfer request
must be submitted to the Division of Water Quality accompanied by an application fee,
documentation from the parties involved, and other supporting materials as may be
appropriate. The approval of this request will be considered on its merits and may or may
not be approved. The permittee is responsible for compliance with all permit conditions
until such time as the Division approves the transfer.
2. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to enforcement action by the Division of Water Quality, in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C.
3. The issuance of this permit does not preclude the Permittee from complying with any and
all statutes, rules, regulations, or ordinances which may be imposed by other government
agencies (local, state, and federal) which have jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those
as may be required by this Division, such as the construction of additional or replacement
stormwater management systems.
5. The permittee grants DENR Staff permission to enter the property during normal business
hours for the purpose of inspecting all components of the permitted stormwater
management facility.
31

State Stormwater Management Systems
Permit No. SWS 020608
6. The permit may be modified; revoked and reissued or terminated for cause. The filing of
a request for a permit modification, revocation and reissuance or tennination does not
stay any penult condition.
Unless specified elsewhere, permanent seeding requirements for the stormwater control
must follow the guidelines established in the North Carolina Erosion and Sediment
Control Planning and Design Manual.
Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit. r
9. The permittee shall notify the Division any name, ownership or mailing address changes
within 30 days.
Permit issued this the 5th day of February, 2003.
NORT AROLINA ENVVI�IRONMENTAL MANAGEMENT COMMISSION
Al n W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
7

State Stormwater Management Systems' '
Permit No. SW8 020608
The Forest @ Belvedere Phase G
Storniwater Permit No. SW8 020608
Pender County
Designer's Certification
I, - , as a duly registered
in the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the project,
(Project)
for (Project Owner) hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the project construction such
that the construction was observed to be built within substantial compliance and intent of the
approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
SEAL
Signature
Registration Number
Date
r

State Stormwater Management Systems
Permit No. SWS 020605
Certification Requirements:
1. The drainage area to the system contains approximately the permitted acreage.
2. The drainage area to the system contains no more than the permitted amount of
built -upon area.
3. All the built -upon area associated with the project is graded such that the runoff �.
drains to the system.
4. The outlet/bypass structure elevations are per the approved plan.
.5. The outlet structure is located per the approved plans.
6. Trash rack is provided on the outlet/bypass structure.
7. All slopes are grassed with permanent vegetation.
S. Vegetated slopes are no steeper than 3:1.
9. The inlets are located per the approved plans and do not cause short-circuiting of
file system.
10. The permitted amounts of surface area and/or volume have been provided.
11. Required drawdown devices are correctly sized per the approved plans.
12. All required design depths are provided.
13: All required parts of the system are provided, such as a vegetated shelf, and a
forebay.
14. The overall dimensions of the system, as shown on the approved plans, are
provided.
cc: NCDENTR-DWQ Regional Office
Pender County Building Inspections
9

f
OFFICE USE ONLY
ate Received
Fee Paid
Permit Number
S 0`L
Zv. = //66
1 80ac-,
lState of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for ase as an original
1. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc, who owns the project):
THE FOREST AT BELVEDERE
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
SCOTT_COOK, PARTNER
3. Mailing Address for person listed in item 2 above:
60 PELICAN DRIVE
City: WRIGHTSVILLE. BEACH State:—NCZip: 28480
Telephone Number: ( 910 } 256-0837
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
THE FOREST AT BELEVDERE PHASE 6
5. Location of Project (street address):
AZALEA_DRLVE
CitY:_HAMPSTEAD County: PENDER
6. Directions to project (from nearest major intersection):
US 17 TO COUNTY CLUB ROAD 6SR 1565), EAST ON:COUNTRY CLUB TO AZALEA DRIVE,
NQRTH ON AZALEA, TO ROADS END.
7. Latitude:_N-34' 24' L4" Longitude: W_77' 39' 16" of project
8. Contact person who can answer questions about the project:
Name: JAMES H. FENTRESS. JR. P.E. Telephone Number. ( 910
II. PERMIT INFORMATION:
1. Specify whether project is (check one): X New Renewal
Form SWU-101 Version 3.99 Page l of4
815-0775
Modification

7. How was the off -site impervious area listed above derived
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area for each lot must he provided as an attachment.
1. The following covenants are Intended to ensure ongoing compliance with state stormwater management permit number
as Issued by the Division of Water Quality. These covenants may not be
changed or deleted without the consent of the State.
2. No more than 3500 square feet of any lot shall be covered by structures or impervious materials.
ltrtpervious materials include asphalt, gravel, concrete, brick, stone, slate or similar material but do not include wood
decking or the water surface of swimming pools.
3. Swales shall not be filled in, piped, or altered except as necessaty to provide driveway crossings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction.
5. All permitted runoff from outparcels or future development shall be directed into the permit teal stormwater control
system. These connections to the stormwater control system shall be performed in a manner that fnaintains the integrity
and performance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall 'include all the applicable items required above, 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 State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater and Ceneral Permits Unit at [phone] for the status
and availability of these forms.
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low [Density Supplement
Form SWU-105
Curb Outlet System Supplement
Form SWU-106
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Form SWU-101 Vcrsion 3.99 Pagc 3 of 4

2. 11 this appIic:itiol1 is bchi , SL1h111iIIVC] as Ill(' 1'L'SLllt Of EI renew:ll OI' IIloclif icatioII Io an existing per:nit, list the
existing pursuit numhcr and its issue; date (il'known)-
3. Specify talc type of project (check one):
�_—Low Density X_1-[igh Density Redevelop General Perillit Other
4. Additional Project Requiremcnts (check applicable ]flanks):
__._CANNA Major Seclinlen[tuion/[?rosion Control __404/401 Permit __Nl'DFS Stornlwater
[nfornliuion on required state permits call be obtained by Mltildillg the CUSI0111C1' Service Center at
1-87740-67,18.
Ill. 11120]17C'J' INFORMA"TION
1. Ill the span, provided helOSV, Su11111Mrize how stornlwater will bu irealed. Also .imich a detailed narrative
(one to two pages) describing; slornlwater nrinafenu:nl lbr the project .
STORMWATER WILL BE COLLECTED IN ROADSIDE DITCHES AND WILL BE CONVEYED TO
ONE OF (7) INFILTRATION BASINS AND RELEASED AT A DRAWDOWN RATE OF 2 TO 5 DAYS.
2. Storniw:iter runoff front this project drains to [he
3. Total Projecl Arcli; _ 29.,.-26.__
Ls, How many drainage aretis doles the project lave? 7
CAPE PEAR
4. Project Built Upon Are;i
River basin.
41.3
G, Col 1plcte Ilse; following; iIIforimition for each clrninage area. If there are Illore than two dra'Inago areas in the
prnjccl, :illa(.h an zicklitional sheet with the information for each area provided in the same 1,01'111,It as below.
Basin lnlbrlimtion
1]rriinage Areti 1
Dr•ainaB(s Area 2
Rcceivhig Stremn Milne
UT ICWW
UT LCWW
Receiving; Strc:um Class
SA
SA
1)rainag;eAre'i
2.59 a.c.
3.24 a.c.
11Xlsting lillperviOUs' Arca
0
0
Proposed llnp(?]MOLls'Area
37,026 SF = 0.85 AC
_ 47,612 SF=1 . 09 AC
`Yo Impervious Area (torsi)
33%
34%
Impervious* Surface Area
Drainage Area 1
Drainage Area 2
On -site Building's
21,000 SF
38,500 SF
On -site Streets
16,026 SF
9 112 SF
On -site parking
on -site Sidewalks
Other on -site
Off -site
Total: 37,026 SF = 0.85 AC
Total: 47,612 SF = 1.09 AC
' Impervious Area is deliined as tlr(! built upon area including. but rrot h1frited to, birildiligs, roads, parking areas.
sideivalks, ,,rrrvcl areas, tic.
Dorm SWU-101 Vcrsimi 3.94) l'abc/of4
ZA

t .
2. If this application is hcing submitted as the result of a renewal or modification to an existing permit, list the
existing permit number'_ ... .... ..__ .... and its issue elate (if
3. Specify the type of project (check one):
Low Density k [if;b Density —Redevelop General Permit Other
4. AddirionnI Project 12egcrircmetlts (check applicable hl u11cs):
__.—CAMA Major—Srditnentation/r.r'osion Control _404/401 Permit _NPDF.S Storpiwater
InFormat ion on required stale permits cnn he obtained by contacting llle CustorluA- Service Center at
1-877-623-G748.
Ill. f RojrCl' INFORMATION
1. In the space provided bCAOW, surrrinarize how stctrmwater will he treated. Also attach a detailed narrative
{one to two pales) clescrihing stormwater management i'or the project .
2. Storulwata r runctfl' frnm lklis l}roject drairl5 to the Riucsr hasin.
3. Total Project Area:29.26 acres 4. Project Built Upon Area: 41.3 _ 1
5. How many drainage are;ls clots the pmject have'?_7
G. Complete the following; inforrnatioil for each drainage area. 11'there are more than two drainage areas in the
project, attach all additional sheer with the information for each area provided in the same format as below.
Basin Information
Drainage Area. 3
Drainage Area 4A
Receiving Slrcain Name
UT ICWW
UT ICWW
Receiving; Stream Class
SA
SA
Drainage Areai
3.21 AC
3.8 AC
lixisting, lulpervious* Area
0
0
Propusccl Irnper-vicius.Arear
613868 SF = 1.42 AC
66,700 SF = 1.53 AC
'%o Impervious* Area (total)
44Z
48. 2%
1111per'ViOLI5* Surface Area
Drah iage Area 3
Drainage Are V 4a
011-site &Iildini;ti
52,500 SF
56,000 SF
On -site Streets
368 SF
10 700 SF
On -site Parking;
On -site Sidewalks
Other on -site
Off -site
't'otai: 61,868 SF = 1. 42 AC
Total: 66,700 SF 1.53 AC
* Ill 1pervious;near is dolim!cl as the built upon area includifrg, but not limited to, buildings, marls, parking :eras,
.eidelvaclks, gra vet areas, rrc.
Form S%VU-101 Version 3.99 PageXoN
Z3

2. If this application is being strbrnitted as the result of a renewal or modification to an existing pernlit, list the
existing perrrtit raurlrbcr and its issue date
3. Specily the type of project (check one):
—Low Density High Density 12eclevelop General Permit Other
4. Additional Project Require:nerlts {check applicable blanks):
__—CANIA Major Sedimentation/laosioa Control ,104/401 Permit _NPDFS Stornlwater
information on required state permits can be obtained by roritacting the Customer Service Center nt
1-877-623-G748.
Ill. PROj1-CT INFORMATION
1. In the space provided below, sunlrnarize how Stornlwater will be treated. Also attach a detailed narrative
(one_ to two pal("s) describing stornlwater management for the project .
2, Stornlwater runoff Drool this project drains to the Diver basin.
I Total Project Are;t:_29.26 acres 4. Project Built Upon Area: 41.3
5. How many drainage, areas does the pro)ect have?-_-_7 _-�---
G. Complete the following information for each drainage area. 11'there are More than Iwo drainage areas in the
project, alt'<rch an additional sheet with the infornhrtion for each areit provided in the sarlle format as below.
Basin Infot'rnation
Drainage Area 4B
Drainage Area 4C
Receiving Stream Name
UT ICWW
UT ICWW
Receiving Stream Ck•rss
SA
SA
Draimigo Area
4. 6 AC
3. 65 AC
L'xiSting ]nlper'Vious# Area
0
0
Proposed Imporvious�Ar'ea
103,900 SF = 2.38 AC
54,700 SF = 1.26 AC
` . 1Mperviaus. Area (totsrl)
52 %
47.7
Inlper-viotrs' Surface Area
Drainage Area L&
Drainage Area/ 4C.,
On -site liuildingS
84,000 SF
45,500 SF
On -site Streets
19,900 SF
_ 9,200 SF
On -site Parking
-
On -site Sidewalks
Other orl-Si1c
011-site
Total: 103, 900 SF = 2.38 AC
Total; 54,700 SF = 1.26 AC
* 1111pervious area is delurrd as the btrill upoll area including. hilt irol limited la, buildinns, roads, parking areas,
sidim,alks, ,ravel areas, Cie.
Dorm SWU-101 Version 3.99 11age,2rof"4
zc

2. If this application] is being submitted as the result of a renmlal or modification to an existing permit, list the
existing permit Number and its issue date (if mow n)_.----.--:. - •------..._ .
3. Specify Lhe type of project (Check one):
_—Low Density High Density Redemlop Ceneral Permit Other
4. .additional Project Requirements (check applicable L]anks):
____CAMA Major _Sedimentahon/Emshn Control _40.1/401 Permit _,10DCS Storrs Ater
Information on required state permits can he MAW by contacting the Cumomcr Service Center m
1-577-623.67-1S.
III. PROJECT INFORMATION
1- In the space provided bclom summarize hog; ornw,;acr ,;iil be treated. ANo lunch a detailed narrative
One to t•yo pages) describing mo m, mer management for the project .
2. Srornmvater runoff from this project drains to t}:c
3. "1' ud Pro}m ,?STY_ 29_26 ---- t cres •_. Project Built Upon
5. How m:wiy cimMage :irlos (foes the Imlect h;% !___7._...._.
River basin.
I Complete the follow kg inforrmHAn for mh dAnnge area, ji'there crre more than tu•o drainage areas in the
project, aimch an addhirnal sheet Mtll the Wh5nnation for each ar-Ca provided in the same format as Wow.
Basin InKniation I
Dralimge Ai -ea
Ehminage Area 6
Receiving Strcani IN -nine
UT ICI,nd
UT ICi,'I,r
Receiving Stream Class
SA
SA
Drainage .area
4.9 ".0
3.42 AC
Wring Impervious' Arta
0
0
Proposed Jmperviotts'.arc-.I
68,102 SF = 1.56 AC
72,873 SF = 1.67 AC
% Impet•vious' Area (tome
} 32 %
49 7
Impervious' Surface area I
Drainage Area/
DiAnage Alep . �O
(Whe BuildMgs
. 66, 270 SF
46,873 SF
On -site Streets '
9, 800 SF
6, 800 SF
On-siteP�,rking
^ 13,300 SF
19 200 SF
On -she Swe\ti',tlks
Other on site
011she
Iotal: 89,.370 SF = 2.05 AC
jTotal: 72,873 SF = 1.67 AC
Imperviovs ,u-cii is deDned as A built upon area indudhig, but not limited to, builAygy r-nads, parking arras,
sidetr'alks, ,rtrtel arras. rrr.
Form SWU-101 Vcrsion 3.99 Page;/'Of 4
17

VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. The complete application package should be
submitted to the appropriate DWQ Regional Office.
Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
• Original and one copy of the Stormwater Management Permit Application Form
• One copy of the applicable Supplement Form(s) for each BMP
• Permit application processing fee of $420 (payable to NCDENR)
• Detailed narrative description of stormwater treatment/management
• Two copies of plans and specifications, including:
Development/Project. name
Engineer and firm
Legend
North arrow
Scale
Revision number & date
Mean high water line
Dimensioned property/project boundary
Location map with named streets or NCSR numbers
Original contours, proposed contours, spot elevations, finished floor elevations
Details of roads, drainage features, collection systems, and stormwater control measures
Wetlands delineated, or a note on plans that none exist
Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
Drainage areas delineated
Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
Designated agent (individual or firm): STROUD ENGINEERING, P.A.
Mailing Address: 102D CINEMA DRIVE
City: WILMINGTON State: NC Zip: 28411
Phone: ( 910 ) 815-0775 Fax: ( 910 815-0593
VIII. APPLICANT'S CERTIFICATION
1, (print or type name of person listed in General Information, glen? 2) SCOTT COOK
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will he constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be record and that the proposed project complies with the requirements of 15A
NCAC 2H .1000.
Signature: Date: 11,2 S 4
Form SWU-101 Version 3.99 Pagc 4 of

i
Permit No. SW8020608
(to he pro vitfeel by DIVA)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form may be photocopied for Else. ns tin original
DWQ Stormwatcr Manngemcilt Plan Review:
A complete stormwater inanagement plan submittal includes a Stormwatcr rlranagemcnt Permit application, an
infiltration basin supplement for cacti system, design calculations, soils report and Plans and Specifications
showing all stormwatcr conveyances and system details.
1. - PROJECIANFORMATION
Project Name : THE FOREST _AT BELVFT)r.RF,, _ PJJASE 6
Contact Person: James H . Fentress, ' Tr . P _ F _ . Phone Number: 910 815-07 75
This workslicet applies to: Basin No.
1
(my idenlr'lied on jjhw)
in Drainage, Area 1
(!i mn Porm MY(J• I D 1)
11. DESIGN 1N1{ORMATION - Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County Soil maps are iiot an acceptable Source
of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
Soil Type
Infiltration Rnte
SHW`l' hlcvation
Basin Design Parameters
Design Storm
Design Volumc
Drawdown Time
Basin Dimensions
Basin Size
DaSin Volume Provided
Basill Elevations
Bottom Elevation
Storage Elevation
Top Elevation
Farrn SWU-103 12t:v 3.99
Murville
2 in/hr in/llr or c1711r/sf (circle approprirrlr: units)
33.7 fmsl (.Swi.w al High FVurer Table elevation)
1.5 , inch (1.5 inch event fi)r Sfi water.+, !inch event fbr nrberr)
4,871 c.1'.
0.50 days
40 ft. x 50 ft. = .2000 ^sq. ft, (bollom dimensions) 3(o
G.1'.
P 4,5CI I
35.7 G1isl C Tree r�{rPr f�
37.71 fmsl
38.0 finsl
Ptioe t of 3
Permit No. SW8020608
(to he pro vitfeel by DIVA)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form may be photocopied for Else. ns tin original
DWQ Stormwatcr Manngemcilt Plan Review:
A complete stormwater inanagement plan submittal includes a Stormwatcr rlranagemcnt Permit application, an
infiltration basin supplement for cacti system, design calculations, soils report and Plans and Specifications
showing all stormwatcr conveyances and system details.
1. - PROJECIANFORMATION
Project Name : THE FOREST _AT BELVFT)r.RF,, _ PJJASE 6
Contact Person: James H . Fentress, ' Tr . P _ F _ . Phone Number: 910 815-07 75
This workslicet applies to: Basin No.
1
(my idenlr'lied on jjhw)
in Drainage, Area 1
(!i mn Porm MY(J• I D 1)
11. DESIGN 1N1{ORMATION - Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County Soil maps are iiot an acceptable Source
of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
Soil Type
Infiltration Rnte
SHW`l' hlcvation
Basin Design Parameters
Design Storm
Design Volumc
Drawdown Time
Basin Dimensions
Basin Size
DaSin Volume Provided
Basill Elevations
Bottom Elevation
Storage Elevation
Top Elevation
Farrn SWU-103 12t:v 3.99
Murville
2 in/hr in/llr or c1711r/sf (circle approprirrlr: units)
33.7 fmsl (.Swi.w al High FVurer Table elevation)
1.5 , inch (1.5 inch event fi)r Sfi water.+, !inch event fbr nrberr)
4,871 c.1'.
0.50 days
40 ft. x 50 ft. = .2000 ^sq. ft, (bollom dimensions) 3(o
G.1'.
P 4,5CI I
35.7 G1isl C Tree r�{rPr f�
37.71 fmsl
38.0 finsl
Ptioe t of 3

i
III. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate that the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. Attach justification if a requirement has not been met.
Applica Initials
a. System is located 50 feet from class SA waters and 30 feet from other surface waters.
(e57 b. System is located at least 100 feet from water supply wells,
c. Bottom of system is at least 2 feet above the seasonal high water table.
<� d. Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
e. System is not sited on or in fill material or DWQ approval has been obtained.
f. System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
g.
Drainage area for the device is less than 5 acres.
h.
Soils have a minimum hydraulic conductivity of 0.52 inches per hour and soils report is
attached.
i.
System captures and infiltrates the runoff from the first 1.0 inch of rainfall ( 1.5 inch event for
areas draining to SA waters ). Design volume and infiltration calculations attached.
r�
Cr j.
System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached.
�L k.
All side slopes stabilized with vegetated cover are no steeper than 3:1 (I -IN).
1.
A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale or
sediment trap is provided.
m.
Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches or
dense vegetative cover is provided.
n.
Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
length is 50 feet for SA waters, 30 feet for other waters).
o.
Flow distribution mechanism within the basin is provided.
P.
A benchmark is provided to determine the sediment accumulation in the pretreatment device.
q.
Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
r.
System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and ail
pertinent draw -down calculations are attached.
s.
Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
1{onn SWU-103 Rev 3.99
Page 2 of 3

IV, INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
I . After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stormwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
When the design depth reads _ 1.39 feet in the pretreatment unit, the sediment shall he
removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. Ifthe system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 21­1 .1000 must be designed, approved and constructed.
I acknowledge and agree by my signature below that I am responsible for the performance of the five
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: SCOTT COOK, PARTNER
Address: 60 PELICAN DRIVE, WRIGHTVILLE BEACH, NC 28480
Phone
Signature:
910-256-08
Date: S - Z 6 -o y
Note': The lega 1 , esponsible party shoulcl not be a hum % of the lots have becei sold and a
resident t f'thc subdi14sion has been named the president.
I, _T9M iMAi-4 6 . MA(a I LJ_ a Notary Public for the State of Ixi DRUM unty of
� W I _NOYs?-l2. , do hereby certify that 6 GOT T <10015l personally appeared before me thiszL5lW
clay of ZJC707, and acknowledge the due execution of the forgoing infiltration basin maintenance requirements.
Wirt14?sc s I doft;►'ial seal,
OTA�k �I
My commission expires i I- 12Q -O(.
Page 3 of 3

'~ Permit 1\1o. SW8020608
(to he provided by D1VQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water, Quality
STORMWATER MANAGEMENT PERMIT APPLICATION DORM
INFILTRATION BASIN SUPPLEMENT
This form may bephororopied far rise is ;in orioina!
DWQ Stormwmer n4111,1 2cnlcnt flan RCN'ic\v:
A complete stormwater mann ;anent plan stlbinillal !Includes a storillwalci' ]nailagclllcill pci'nlil applicalloil, "In
infiltration basin supplement for each systclll, cicsilgn ccictllntiolls, soils report and plans and specifications
showing all stornlwatcr com1cynnces and system daiils.
I. PROJECT INFORMATION
Project Naine : —The Forest @ Belvederes. Phacw h
contactl'crsoil: James IT. Fentress, Jr. P.E. PhoncNinnbcr: (910 ) 815-0775 �
This workshcct applies to: Basin ,�a.
2
in ❑rainagc At-ca .2
II. I)I'sSIGN INhOIZMA`I'ION - Attach supporting calculations/docuincrltation. The soils i-port must be
based tlpoll an actunl field nlvestigation and soil borings. County soil maps arc not an accept,lble source
of soils information. All clevntions shall be in feet mean sca level (linsl).
Soils Report Sunlrnary
Soil -Type T.eon _
Infiltration Raic 2 zn/hr in/ht' of Cllhrlsf (rircle rrpJunpriu(c units)
SHWT I-icvation 34.0 flail {,Srrr.ro„o11lii;lr h"Wer7'ul,le clevolion)
Basin Design Parameters
Design Storm 1.5 inch {1.5 ir:ch ever,! Ji7r S'f1 wnlGrs, 1 i,:r:Jr cti erg! fur nllrr'rs}
Design Volumc c.1'. C5C.Aude")
Drawdown Timc 0.42 days
Basin Dimensions
Basin Size
Basin Volumc Pravldcd
Basin Elevations
Bottoin Elevation
Stornge Elevation
Top E.lcvalion
157 It, x 17 ft. = 2669 -. -- sq.,ft. (hortom rlirnens'inn.sJ e3Cp, �'
��_n {illsi �7re�c�1 lrlVP4)
s fnlsl
38.00 fnlsl
t'arm SWU-103 Rev 3.99 1'a«c 1 o1 ­3

111. REQUIRED ITEMS CHECKLIST
The following checklist OLltllnC:S design requirements per the Stol-mwater Best Management Practices Manual
(N.C. Deparinlent of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 21-1 .1005.
initial in the space provided to indicate that the follwx1rig design requirements have been nlet and supporting
documentation is attached. if the applicant has designated tin agent in the Storrllwater Management Permit
Application Dorm, the agent may initial below. Attach justification if a requirement has not been met.
Apj)hC-.i , Initials
a.
System is located 50 feet from class SA waters and 30 feet from other surface waters.
Oog�57 b.
System is located at Icast 100 feet from water supply wells.
c.
Bottom of system is at least 2 feet above the seasonal high water table.
/
cf.
Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
e.
System is not sited on or in fill material or DWQ approval has been obtained.
f.
System is located in a recorded drainage easernent for the purposes of operation and
maintenance anti has recorded access easements to the nearest public right-of-way.
g.
Drainage area for the device is less than 5 acres.
5 h.
Solis have a mimnium hydraulic conductivity of 0.52 inches per hour and soils report is
attached.
1.
SyStClll CilptLlrCS arld Illliltrates the runoff 5-0111 the first 1.0 inch of rainfall (1.5 hell event for
areas draining to SA waters ). Design volume and infiltration calculations attached.
r�
Cl j.
System is sired to take into account the ninoff at the Ultimate built -out potential from all
surlaCes draining to the system, Including, any off -site drainage. CalCUlatlons attached.
k.
All side slopes stabilized with vegettlted cover are no steeper than 3:1 (1-I:V).
1.
A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale or
sediment trap is provided.
m.
Bottorll ol'the device is covered with a layer of'clean sand to an average depth of4 inches or
dense vegetative cover is Provided.
11.
Vegetated {llter 1S provided for overflow and detail is Shown on plans (Required Imnillltlill
length is 50 feet for SA waters, 30 feet for other waters).
o.
blow distribution mechanism within the basin is provided.
_ p.
A benchmark is provided to determine the sediment accumulation in the pretreatment device.
q.
Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
�l r.
System is designed to draw down the design storage volume to the proposed bottom
elevation [hider seasonal high water conditions within five days. A soils report and all
I)CrtillCllt drtlw-dO%Vl CalClllatlOnS are attached.
S.
PlaI1S e11SUM that the installed System will meet design specifications (coils tructed or
I-CStOrCd) UpOn Initial operation once the project is Complete and the entire drainage area is
stabilizer!.
Form SwU-103 Rcv 3.99 Page 2 of 3

IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
1. After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosiotl,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded area,; immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash Lts needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accurl Ulated sediment from the pretreatment system and infiltration basin .annualty or when depth
in the pretreatment Unit is reduced to 75`%r of the original design depth. The system shall be restored to the
original design depth without aver -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability ol'the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stornlwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment Unit. The benchmark will document the 01-T1n;ll
design depth so that accurate setlinlent accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that It will give an accurate depth reading and not
readily penetrate into accumulated sediments.
When the design depth reads .375 _ feel in the pretreatment unit, the sediment shall he
removed from hotly the pretreatment unit and the infiltration basin.
5. 1 f the Division determines that the system is failing t11e system will immediately be repaired to original
design specifications. I f the system cannot be repaired to perform its design function, other stormwater
control devices as ahowed by NCAC 21-1 .1000 must be designed, approved and constructed.
1 ncknowledge and agree by illy signature below that 1 am responsible for the performance of the five
maintenance procedures listed above. 1 agree to llotily DWQ of any problems with the system or prior to ally
changes to the system or responsible party.
Print Name and Title: SCOTT COOK, PARTNER
Address: 60 PELICAN DRIVE, WRIGHTVILLE BEACH, NC 28480
Phone: [phone]
Signature:
Dntc:_ 5-Z$_-oZ
Note: The I-,tirr!!r reslrn+tsihlc ptrrri- slrurrlcl rant he cr kruneorrnefY rrssncitrlivtr rualerss more tltcrn 50% nJ!!te Ives Iretaa heerr sold and u
resielent v/ Ilse .'rrbclivisinrr Iras beers uumed Ilse president.
I,T2L{rwi'<�-( �_� li.l.��� a Nut.Wy I'uhlic for the State of NOI2TN C,4 24JUwA, County of
du hereby certify th;it �GOff �QIG personally alapcarcd before me this Z$TM day of Y 2002-, ;and acknoti ICdgc the clue excctF601) of the fol-gOing infiltration basin milSnminnec requirements.
With`.. 00a41ARk"� official seal,
r v� �, My commission expires O -ZO -Me
: z
AU8L1G
a rU-103 _;.L t';tge 3 of 3
0,4
�/III I I (11M�i'

I

Permit No. SW8020608
(to he provided by DiYQ)
State of North Carolina
D,epartlnent of 1?nvironment and Natural Resources
Division of Water Quality
STQ1:MWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This farm may be phnincopic-d for- use as m original
DWQ Stormwater Management Plan Review:
A complete stormwatcr management plall SUbmittal includes a stormwatcr managemcnt permit npplicat'1011, an
infiltration basin supplement for cacti system, design calculations, soils report and plans Intl specifications
showing all stormwatcr conveyances and system details.
1. 11RO.IECTINhORMATION
Project Name : The Forest @ Belvedere, Phase 6
James H. Fentress, E._ Phone Nurnbcr: .(�__ 815-0775
Contact f crson: Jr.,Jr . ,_ P.E. _ _ .
This wollksliect nllplic,s to: Basin No. 3 in Drainage Area 3
(as i4h,w fled au!Mums) (f wn) !]11-nr SIViI• /01)
II. DESIGN INFORMATION - Attach sllpportII)g calcl111tEon5ldOCt1111C11tUtlon. The soils report must be
based upon an actual I ield investigation and soil boringS. County soil maps are not an acceptable source
of'soils inrormation. All elevations shall be in feet mean sea level (f insl).
Soils Report Summary
Soil Type Mandarin
Infiltration Rate 4 in/hr in/hr or ef7hr/sf (r.ircle apprnprirrle rn,irs}
SHW`1' Elevation 34.7 fnlsl (Srawmal High Wafer Terbleelevrrlimi)
Basin Design 11tirameters
Design Storm 1.5 incll (1.5 iru:h c>>>rrrlfur,ti'ft waters, 1 i)i h evewfiarothers)
Design Volume 7,833 c.l.
Drawdown Time 0.16. days
Basin Dimensions
Basin Size
11W611 Volume PrOVlded
Basin Elevations
Bottom Elevation
Storage Elevation
Top Elevation
268 ft. x 23' ft. = 6164 sq. ft,°' (bottom dimeavioin) 3 l , 0
�; B3�✓$v3� c.J:
r
36.7 finsl (Tfe.)Gil 111110-0
37.97 fills]
38.0 l'nlsl
Form SwU-103 Rev 3.49 11:wc t or-3

l ll. ,REQUIIZI+ D I'T'I:IMS CI-IECKLIS'I'
The following checklist outlines design regUirements per the Stormwater Best Management Practices lNlanual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 21-1 .1009.
Initial in the space provided to indicate that the following design requirements have been met and supporting
documentation is attached. if the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. Attach ,justification if a requirement has not been met.
Applica Initials
a. System is located 50 feet from class SA waters and 30 feet from other surface waters.
(�S b. System is located at least 100 feet from water supply wells.
c. Bottom of system is at least 2 feet above the seasonal high water table.
d. Bottom of the system is 3 feet above any bedrock or impervIOLls soil horizon.
C. System is not sited on or in fill material or DWQ approval has been obtained.
�� f. System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
g.
Drainage arcti for the device is less than 5 acres.
e
J h.
Soils have a nlln111-lu n hydraUllC miductivity o[0.52 Niches per holtr and solls report Is
/f
attached.
I.
System c.lptures and infiltrates the I-L1110ff from the fil-St 1.0 inch of rainfall (1.5 Inch event for
aCCas draining to SA waters ). Design VOILimC and infiltration calculations attached.
j•
System Is sized to take into account the runoff at the ultimate built-011t potential from Llll
surfaces draining to the System, 1nCllldinb any off -Site drainage. Calculations attached.
k.
All side slopes stabilized with vegetated cover are no steeper than 3:1 (FIN).
1.
A pretreatment LICVICC SLIch as a catch basin, grease trap, filter strip, !gassed swale or
sediment trap Is provided.
Ill.
Bottom of the device is covered with a flyer of clean sand to an average depth of 4 Incises or
dense vegetative cover is provided.
�l I].
Vegetated filter is provided for overflow and detail Is shown on plans (Required I ininlulll
length is 50 feet for SA waters, 30 feet for other waters).
-- o.
Flow distribution mechanism within the basin is provided.
p.
A benchmark is provided to determine the sediment accumulation in the pretrcatrnent device.
�f q.
EZunoff in excess of the design volume bypasses off-line systems (bypass detail provided).
1'.
System is designed to draw down the design storage Volume to the proposed bottom
CICVatiOn Linder seasonal high Water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
_ S.
Plans ensure that the installed system will meet design specifications (cons(ructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Form SWU-1 t13 Rev 3.99 Page 2 of 3

IV.` INFILTRATION BASIN -OPERATION AND MAINTENANCE AGREEMENT
1. After every runoff producing rainfail event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a storrnwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
When the design depth reads 1.25 feet in the pretreatment unit, the sediment shall he
removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stortnwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
1 acknowledge and agree by my signature below that 1 am responsible for the performance of the five
maintenance procedures listed above. 1 agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: SCOTT _COOK, PARTNF,R
Address: _ 60 PELICAN DRIVE% WRIGHTV, LLEBEACH, NC -28480
Phone: [phone]=4�:L ,� Date: S - ZS-DZ
Signature:
Noll; The leral v responsihle party should not be a homeowners association unless more than .50% of the lots have been sofa` and a
resident of the subdivision has been named the pres`dent.
1,—raLA WA,,-4 b f'�4{,►LI_ ;Ur , a Notary Public for the State of WOW -TO CAi20l.lr-;County of
N64n! E- rN Al tom. , do hereby certify that 6CD CQD G personally appeared before me this ZbV
clay of "2007- , and acknowledge the due execution of the forgoing infiltration basin maintenance requirerricnts.
Witness jjUjjMYQd official seal,
• ZO -O`
IOTA &rw"i iVly commission expires .
r�
AU6L►G ,,�
Page 3 of 3
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`! Permit No. SW8020608.
(10 be provided hvDJYQ)
State oPNorth Carolina
Department of Environment and Natural Resources
Division of Waiter Quality
STORMWATER MANAGEMENT 'PERMIT APPLICATION FORM
XNFILTRATION BASIN SUPPLEMENT
Tl,i.s rornl may bc photorrlpit-d-for nsr. rrs in 07,1111nal
DWQ Stormwater Mana +cnlcnt Plan Review:
A complete stormwater rslanag cerncnt plan submittal includes aE mormwatcr malllagemcnt permit application, an
infiltration basin supplement for catch system, design calculations, soils report and plans and specifications
showing; al stormwater conveyances an(I system details.
1. PRO.1ECT-1NVORMA'11ON
Project Name :
Contact Person:
The Forest @ Belvedere, Phase 6
James H. Fentress, Jr. , P. E. Phonc Number: 910 81 —
This workslicet applies to: Basin No. 4-A
(a T irkvrIifled un plums)
in Orainag;e Area 4-A
{from hierara S)VU-101)
It. I)1?SIGN INPORMA`1'ION - Attach supporting; calculations/documentation. The soils report must be
base(l upon all actual Ilcld investigation and soil borings. County soil mapsare not an acceptable source
of soils information. All elevations sliall be in feet mean sea level (finsl).
Soils Report Summary
Soil Type
infiltration hate
sl-wr Elevation
Misill Design Parameters
Design Storm
Design Volume
Draw(lown `rime
Basin Dilncnsiorls
13asin Size
Bassin Volume Provi(lctl
Basin 1?,levations
Bottom Elevation
Storage Elevation
Top Elevation
Fol-111S W U-1(13 1Rw 1.99
M.,—A
4 in/hr ir)/hr or cf7hr/Sr (eircic approprialr mails)
25.5 Ii11Sl (Seiumurl1-U h R'werTobleuleve on)
1.5 inCh (1.5 inrlr e veal Jbr SA waters, I inch evenl Ji)r ollaerr)
8,532 c.l•.
0.56 days
36 ft. X _.. 33 ft. _ _ 1188 J SC). `I, (bollom dime,r.siutr.,j @ 28. O
-8517U c. f
27.5 fmsl CTre�rC�j I�VI?r�
31; 98 fins]
32.0 fmsl
Pafw l ol" 3

III. RLQUIIZED I'['I:1VIS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, ]-Health and NalUral Resources, February 1999) and Administrative Code
Section: 15 A NCAC 21-1 .1008.
Initial in the space provided to indicate that the following design requirements have been met and supporting
dOCUrnentation is attached. 11' the applicant has designated in agent in the Stormwater Management Permit
Application Form, the agent may initial below. Attach ju%tification if a requirement has not been met.
Applica .• Initials
a.
System is located 50 feet from class SA waters and 30 feet from other surface waters.
(PS 1).
System is located at least 100 feet from water supply wells.
c.
Bottom of system is at least 2 feet above the seasonal high water table.
d.
Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
e.
System is not Sited on or in fill material or ❑WQ approval has been obtained.
%i
F.
System is located in a recorded drainage casement for the 111.11-pOSCS Of Operat1011 and
maintenance and has recorded access casements to the nearest public right -of -Way.
Drainage area for the device is less than 5 acres.
Clr� h.
Soils have a minimum hydraulic conductivity of 0.52 inches per hour and soils report is
attached.
i.
System captures and infiltrates the rLlilOff fr011l the first 1.0 inch of rainfall (1.5 inch event for
areas draining to SA waters ). Design volurric and Infiltration calculations attached.
CF / J.
System is sized to take into account the runoff at the Ultimate built-011t pOWntlal frOM all
SLIFfLICeS draillillg to the SyStem, 11lCILlding any off -site drainage. CaICLIhItiOnS attached.
k.
All side slopes stabilized with vegetated Cofer are no steeper than 3:1 (Fl:V).
1.
A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale oi-
sediment trap is provided.
CAS m.
Bottom Of the device is covered with a layer of clean sand to an average depth of 4 inches or
dense vegetative cover is provided.
n.
Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
length is 50 feet for SA Waters, 30 fect for Other waters).
o.
Y'low distribution mechanism within the basin is provided.
p.
A benchmark is provided to determine the sediment accumulation in the pretreatment device.
g.
Runof 1 In excess Of the design VOILlnle bypasses off-line systems (bypass detail provided).
r.
Systeni is designed to draw down the design storage volume to the proposed bottom
1.7
elevation under seasonal high water"conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
S.
Plans MAIM that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Dorm SWU- t 03 Rcv 3.99 Pagc 2 o1. 3

IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
. After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stonnwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
When the design depth reads 1.13 feet in the pretreatment unit, the sediment shall be
removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other storrnwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
1 acknowledge and agree by my signature below that I am responsible for the performance of the five
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: SCOTT COOK, PARTNER
Address: 60 PELICAN DRIVE, WRIGHTVILLE BEACH, NC 28480
Phone: [phone]
Signature:
Date: S • Z.g-vz_
)Vote: The legally responsible party should not be a honwowne s associution unless mote thun 50% (?f the lids hove been sold and u
resident of the subdivision has been named the president.
1, Tg2 k►^ ,N?-I I). �Lodtitu_ _= a)Votary Public for the Statc of J r A County of
Nt�w %4�-tUJI�YL , do hereby certify that Lzrm LOP le— personally appeared before me this 220'"
day of XZ-, and acknowledge the due execution of the forgoing infiltration basin maintenance requirements.
Witness my hand and official seal,
TT-
My commission expires j 1-20 - OCo
Page 3 of 3

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Permit No. SW8020608
(to be provided br DJVQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATE-R MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This fnrta nmy be plrornropigl-for use..ns rrn origin,0
DWQ Stormwatcr• Management flan Review:
A complete stormwatcr management plan submittal irrclucles a stormwatcr mnrragement permit application, an
infiltration basin supplement for cacti systcm, (Iesigll calculations, soils report and plans and specifications
showing all stormwatcr conveyances and systcm details.
1. PROJECT -INFORMATION
Project Name : The Forest @ Belvedere, Phase 6
Contact Person: Dames H. Fentress Jr., P.E.
This worksheet ,ipplies to: Basin No. 4—B
(er,c idvilf livd ors 1,l1111s)
Phone Number: (910 } 815-0775
in Drainage Area 4—B
{li-nnr !•iir•m.5'lYf!-l01J
11. DESIGNINFORMATION - Attach supporting calculations/clocurrtentation. The soils report must be
based Upon an actual field investigation and soil boring; . County soil maps are not an acceptable source
of soils information. All elevations sliall be in fect mean sea level (find).
Soils Report Srrn►niary
Soil Type
Infiltration Rate
SH WT hlcv,rticu7
Basin Design P:rranieters
Design Storm
Design Volume
Drawdown Time
Basin Dirncnsioris
Basin Size
Basin VOlirnle Provided
Basin Elevations
Bottom Elevation
Storage l�lcvation
Top Elevation
Vornr SWU-103 Rev 3.99
Mandarin
4 i.n/hr w/hr or cf7llr/sf (circle (ippropririfrr turily)
25.5 fn151 (.Seu.vvrurl High Water Table elevation)
1.5 inch (l•S inch event fi r Sit waters, 1 inrlr event fur Others)
12,916 c.f'.
0.54 - clays
42' 11. x 50 ft. -_ 2100 Sq.~It. (bntlnardimensions) z8
14-,-7-&0 c. f••
13898
27.5 find Y2n�h n ve4)
31.82 fmd
32.0 1'rust
t'at;c 1 of"3

' M. l21?QUIRLI) I'I'LNIS CI-ICCKI.,1S'1'
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of lsnvironment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 21-1 .1008.
Initial in the space provided to indicate that the following design requirements have been met and supporting;
doCLIIl1CIltLlti011 IS attached. If the applicant has designated in Tent in the Stormwater Management permit
Application Form, the agent may initial below. Attach justification if a requirement has not been met.
Applicia;r�� ItLitials
;I. System is located 50 feet front class SA writers and 30 feet from other surface waters,
r%PS b. System is located at lerlst 100 feet from water supply wells.
c. Bottom of system is at least 2 feet above the seasonal high water table.
d. Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
C. System is not sited oil or in fill material or DWQ approval has been obtained,
t' if. System is located in a recorded drainage easement for the purposes of operation and
mainteriance and has recorded access casements to the nearest public right -off -way.
g. Drainage arena for the device is less than 5 acres.
h. Soils have Ea minimum hydl'aL111C CQIICILICtiVlty of 0.52 Inclics per hour and Soils report Is
attached.
L System captures and infiltrates the runoff ffl'orll the first 1.0 inch 01�rain1a]I (1.5 inch event for
areas draining to SA waters ). Design volume and infiltration calculations attached.
j. System is sired to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off' -site drainage. Calculations attached.
k. All side slopes stabilized witli vegetated cover are no steeper than 3:1 (FIN).
I. A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale or
sediment trap is provided.
CAS in. Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches or
dense vegetative cover is provided.
n. Vegetated filter is provided For overflow and detail is shown on plans (Recltaired minillltrnl
length is 50 feet for SA waters, 30 feet for other waters).
o. l,low dlstrlblitlOn mechanism within the basin is provided.
p. A benchmark is provided to determine the sediment accumulation in the pretreatment device.
q. Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
r. System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and al]
pertinent draw -down CaICLIkitIOnS are attached.
s. flans ensure that the installed system will meet design specifications (constructe(l or
restored) Lipon initial operation once the project is complete and the entire drainage area is
stabilized.
Form SWU-103 Rev 3,99 Page 2 of 3

IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
1. After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stormwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
detennine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
When the design depth reads 0.67 feet in the pretreatment unit, the sediment shall he
removed from hoth the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
1 acknowledge and agree by my signature below that I am responsible for the performance of the five
maintenance procedures listed above. 1 agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: SCOTT COOK, PARTNER
Address: 60 PELICAN DRTVE, WRIGHTVTLLE BEACH, NC 28480 _
Phone:
Signature:
Date: S -Zx• ov
!Vote: The le y responsible parrs, should not he a homeowners association unless more than 501% of the lots have been sold and a
resident of the subdivision has been named the president.
1, -Tau 1u.Ar.1 F) - I" I,ALy tu_ _ 'DEC' , a Notary Public for.the State of NOi1•T1 i CAA] 1-1t /A County of
— -7
NtW OA&L , do hereby certify that �7 C-45T-f Loo IZ personally appeared before me this n-}
day of -I&J��, and acknowledge the due execution of the forgoing infiltration basin maintenance requirements.
Witness my hand and official seal,
400
'tyO Tq,yy
��e<< .19
9
._A
My commission expires. E I - ZO-O(,
Page 3 of 3
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t A
Permit No. SW8020608
(to he provider! by DPVQ)
State of North Carolina
Depart>inent of Environment and Natural Resources
Division of Waiter Quality
S'1'ORMWATER MANACEMENT PERMIT APPLICATION DORM
INFILTRATION BASIN SUPPLEMENT
Tllis form stay be pfrotor:opierl for use as in originml
DWO Stormwater Management Ilan Review.
A complete stormwater management plan submittal includes a stolnlwater management permit application, an
infiltration basin supplement for tacit system, design calculations, soils report and plans and specifications
showing all storinwater conveyances and system details.
1. 1110JEC ANI+ORMATION
Project Name : ��— The Forest @ Belvedere, Phase 6
Contact Person: James H. Fentress, Jr., P.E. Phone Number: (910 } 815-0775
This worksliect applies to: Basin No. 4-0 . in brainagc Area -
(ru irlrrrri(ierl nn plans) (from 1•0n•1n .S1Vl!• I 01)
11. DESIGN I NFORMATION - Attacll supporting calctilatinnsldocumcntatioll. The soils report must be
based upon an actual field investigation and soil borings. County soil snaps are not an acceptable source
of soils information. All elevations shall be in feet mean sca level (frnsl).
Soils Report Summary
Soi I Type Mandarin
Inf iltl'Iltloll Rate 4 in jhr in/lir or cf7hr/sf (circle appropriate turns)
25.5
SI-IWT Elevation flrtsl (Seaeuml High 4eaerTuhle elevation)
Basin Design Parameters
Design Storm
Design Volume
Drawdown Time
Basin Dimensions
Basin Sire
Basin Volume i'1'ovlded
Basin Elevation%
Bottom Elevation
Storage ]Elevation
Top Elevation
1.5 inch (!.S irr�h cverri fits Sft }vutcr.+, ! inrlr evcrr! fir nllrr:rs)
7,168 c.f.
0.43 days
100 It, X 14 ft. = 1400 sq. ft. (botrorrr dimensions) ea c)
Aa' , 1-7-3-7
27.5 [i1isl
30.93 fmsl
31.0 fins]
Forth 5wu-10'1 Rev 3.99 P;s c 1 ol, 3

Ill: REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 21-1 .1008.
Initial in the space provided to indicate that the following design requirements have been met and supporting
documentation is attached. It' the applicant has designated an agent in the Stormwater Management Permit
Application Form, tite agent may initial below. Attach justification if a requirement has not been met.
Applicants Initials
I
J
System is located 50 feet from class SA waters and 30 feet from other surface waters.
System is located at least 100 feet from water supply wells.
Bottom ot'system is at least 2 feet above the seasonal high water table.
Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
System is not sited on or in till material or DWQ approval has been obtained.
System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
Drainage area for the device is less than 5 acres.
Solis have a rninirnum hydraulic conductivity of 0.52 Inches per hour and soil-, report is
attached.
System captures and infiltrates the Runoff from the first 1.0 inch of rainfall (1.5 inch event for
areas draining to SA waters ). Design volume and infiltration calculations attached.
System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached.
All side slopes stabilized with vegetated cover arc no steeper than 3:1 (l-l:V).
1. A pretreatment device such as a catch basin, grease trap, filter strip, grasscd swale or
sediment trap is provided.
m. Bottom of the device is covered with -a layer of clean sand to an average depth of A inches or
dense vegetative cover is provided.
I}. Vegetated filter is provided for overflow ,in(] detail is shown on plans (Required minimum
length is 50 feet for SA waters, 30 feet for other waters).
o. blow distribution mechanism within the basin is provide([.
p. A benchmark is provided to determine the sediment accumulation in the pretreatment device.
q. Runoff in cxccss ofthc design volume bypasses off-line systems (bypass detail provided).
r. System is designed to draw clown the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
s. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Form SWU-103 Rev 3.99 Pa�(,c 2 of 3

IV.- lN1�ILTRATION BASIN 013EIZATION AND MAINTENANCE ACIMEMCNT
l . After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, snow
vegetate([ cover to maintain a maximum height of six in and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, _inflow and overflow
structures for blockage and deterioration. Remove any,,blockage and repair the structure to approve([ design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without aver -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stormwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
When the design depth reads ?• feet in the pretreatment unit, the sediment shall be
removed from both the pretreatment unit and th6 infiltration basin.
5. Ifthe Division determines that the system is flailing, the system will immediately be repaired to original
design specifications. ll'the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 21-1 A000 must be designed, approved and constructed.
acknowledge and agree by my signature below that 1 am responsible for the performance of the five
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Namc and Title: Scott Cook, Partner
Address: 60 Pelican Drive, Wrightsville Beach, NC 28480
Phone: [phone] Date: --0, - so - (S-z-
Signature:
Note: The legallt, responsible puy s nhouhl not be a homeownery ume ![ter asociation unless more 50%„ nf'the loll Dave been sold and a
revieletu a/•th�.cubelivrsiun ha.v been ranter! 11rr president. .
pr�e5 a.
{, �e�e-L � • , a Notary t'uUlic for the Suite of 1y �'� �h � V1, County of
do hereby certify that personally appeared before'nc dlis3o
clay of ZO , and �sekitowledbe the due execution oCthe forgoing infiltration basin rnaintcnancc rcquirc'ncnts.
witness 111ph 1! I[M cJ -ly INZ1l,
N
SEALz `j�TA��S Myconinissionexpires
'tp� C.1 g>> 0 av,
Form sw wim ;,•� I'agc 3 of 3

` Permit 1\10, SW8020608
` (10 he provided Inv DIWQ)
State of North Carolina
D.epartinent of Environment and Natural Resources
Division of Water, Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
Tliis form m;ry be pliotoropiul for arse ;is an or4,in;al
QYQ Storillwatcr Mana'lcmcnl 1'In11 Review:
A complete stornnvater management plan submittal incfuhs ,i stormwater nunagement permit application, an
infiltration basin supplement for each system, dcsi(,,'n calculations, soils report and plans and specifications
showing nll stormwmcr conveyances and system details.
1• I'ROJEC -INFO11NIATION
Project Nanic : The Forest @ Belvedere, Phase 6
Contact Person: James H. Fentress, Jr., P.E. Phone Number: (910 ) 815--0775
This woricshccl applies iw Bain 190, 5
Q r hQ1ir'd on 1Jr.rts'J
in Drainage Area • 5
{Jirrrn 1•'ur•nr.5'll'(1•lUIJ
M DESICN INFORilrlAT1014 - Attach supporting cMm0ndon0documenta1ion, `I'hc soils report must be
based upon nn newl. field Snv s6gation and soil boringv County soil maps are not an acceptable source
of soils information. All elevations shall be in feet Knn sea level (fnlsU.
Soils Report Stinlniary
Soil Type
Infiltration Rate .
SH WT Elevation
Bnsin Design 1';lrarnCfers
Design Storm
Design Volumc
Drawdown Time
Basin Dimensions
13nsin She
Basin Voltlnlc Provided
Basin Elevations
110110111 Elevation
Storage Elcv;ttion
Top Elevation
Foreston
4 in/h1 in/ilr of Cf%hr/sf (rircl� apprnprialc unite)
28. 0 fold (Sensonol High Water Trrhlc elevorion)
1.5 inch (1.5 inch et•cnl fi)r S,1 walers, I inch evenl fi)r odlers)
11, 38B_ c.F
0.24 days
62 [t• x 125 f't. = �2750 SC(:-fi• (hollom e in;ensiom) J'
0��ll , 98 1-
—_10 - Q fold
31 * 88 fsnsi
32.0 fold
Form S11rl.1-103 Rev 3.99 Page i or 3

F ill. REQUIRED ITEMS CHECKLIST
-]'he 1-ollowina checklist outlines design regttirernents per the Stormwatcr Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 21.1 .1008.
Initial in the Sp,1CC proVlded to Indicate that the following design requirements have been islet and SUIpI)Orting
dOCUmCntatlOr. is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the anent may initicil below. Attach justification if a requirement has not been met.
Applica .- Initials
a. System is located 50 feet from class SA waters and 30 Peet from other surface waters.
(PS b. System is located at least 100 feet from water supply wells.
c. Bottom of system is at least 2 feet above the seasonal high water table.
[� d. Bottom of the system is 3 feet above any bedrock or impervious soif horizon.
C. System is not sited on or in fill material or DWQ approval has been obtained.
F. System is located in a recorded drainage easement fOr the purposes of operation and
maintenance and has recorded access casenicnts to the nearest public right-of=way.
C-- 1�5
g. Drainage area for the device is Icss than 5 acres.
k
Soils have a minlmum hydraulic conductivity of 0.52 inches per horn- and soils report is
attached,
System captUll-es and infiiltrateS the runoff from the first I.0 inch of rain# -all ( 1.5 inch event for
areas draining to SA waters ). Design volume and infiltration calculations attached.
System is sized to take into account the 1-unoff at the ultimate built -out potential from all
surf lCes draining to the system, including any off -site drainage. Calculations attached.
All side slopes stabilized with vegetated cover are no steeper than 3:1 (I -IN).
A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale or
sediment trap is provided.
m. Bottom of the device is covered kvith a layer of clean sand to an average depth of.d inches or
dense vegetative cover is provided.
11. Vegetated filter is provided for overflow and detail is shOW11 on plans (IZcquircd minimum
length is 50 feet 1br SA waters, 30 fbet for other waters).
o. Flow distribution mechanism within the basin is provided.
P. A benchmark is provided to determine the sediment accumulation in the pretreatment device.
q. Runoff in c;ccess of the design volume bypasses off-line systems (bypass detail provided).
1'. System is designed to draw clown the design storage volume to the proposed bottom
elevation Under seasonal high water conditions within five drys. A soils report and all
pertinent draw -down calculations are attached.
s. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Norm SWU-103 Rev 3.99 Pa�-,c 2 of 3

• IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
1. After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stortnwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
When the design depth reads 2.25 feet in the pretreatment unit, the sediment shall be
removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 21-1 .1000 must be designed, approved and constructed.
acknowledge and agree by my signature below that I am responsible for the performance of the five
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: SCOTT COOK, PARTNER
Address: 60 PELICAN DRIVE', WRIGHTVILEE BEACH, NC 28480
Phone: 910-256-Il837 Z2 Date: S-ZfI-OL
Signature:
Note: The lega7h' +'csl)onsible parry shorn(! nor be a ho771eo5 iie1-.5 association rurles.s nr(rrre tlran SO% of the loos have beery sold grad a
resident of the subdivision has been named the president.
i T04m,.4r 1 1" tt,L a Notary Public for the State of t�A County of
Nr-- J 4ArXOyat,. , do hereby certify that �co-rr Gna4L= personally appeared before nie this2jH
day of l ' M 7, and acknowledge the due execution of the forgoing infiltration basin maintenance requirements,
witness my hand and official seal,
�jj r lam.
My commission expires V_ ZO - bC.
%40 TA y
Page 3 of 3
Cj0 ��i

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Z
Permit No. SW8Q20609
(to be provided by DWQ)
State of North Carolina
D,epartmcnt of Environment and Natural Resources
Division of Water Quality
SrORMWATE,R MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form nmy be phornrnpirrd for Ilse Is ran origin"11
DW Stormwater Management Plan Review:
A Complete stormwater managcmCIA plilll Salbl111ttal MCIUC1CS n stormwater management permit nppIicat10n, ,111
infiltration basin silpplCment for each system, design calculations, soils report and plans and specifications
showing all stormwntcr convcyanccs and system dctnils.
I. I"IZO,II-C'I'.1NII' ORMA'I'ION
Project Name : The Forest @ Belvedere, Phase 6
Contact Person: James H. Fentress, Jr . , P . E , Phone Number; ( 10_) 815-0-775 _
This workshect ;applies to: Basin No. 6 in Drainage Area 6
(mv iflvwi ird on plans) (lronn Form .SI V21• 101)
11. DESIGN INI?0RIVIA` ION - Attach supporting calculationsldocurracntation. TIlC soils report must be
based upon an actual field investigation and soil borings. County soil drips are not an accelatable source
of soils information. All elevations shall be in feet mean sca level (fmsl).
Soils Report S1111araa.lt'y
Soil Type Woodington
Infiltration Rate 4 in/hr inlhr or cPhr/sl' (circle crppropri(riv richly)
SI-wr l,-lcvatloll 27.5 f msl (,Serusomd High Jllfacr Table elevolion)
Basin Design V a1-,iIn'tcI's
Design Storm 1.5 inell (1.5 inch eventfnrSA wate", 1 iw.h eveol fur olhr:ne)
Design Volume 9,115 c.f.
Drawdown Time 0.11 dnys
Basin Dirilensiolis
Basin Size
Bas111 Volume Provided
Basin Elevations
Bottom Elevation
Storage Elevation
Top Elevation
— 271 Et. ,� 56. [t. = 1-5176 sq, ft. ' (bollom dimensimm) LO Z9.75
7 e. f'.
-� 12(n �72
29.5
Ims]
30-.40
fnlsl
30.50
1,111sl
Leo ch i� ver-0
Form SWt_J-103 I.cv 199 P,1ge 1 c)F3 .

111. REQUIRED ITEMS CIdF CKIAs-r
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, hebrLlary 1999) and Administrative Code
Section: 15 A NCAC 21-1 .1008.
Initial in the space provided to indicate that the following design rcyLsirements have been Islet and supporting
documentation is attached. If' the applicant has designated an agent in the Stormwater Management Permit
Application horns, the agent may initial below. Attach justification if a requirement has not been met.
Applic.105,1111ifials
< a. System is located 50 feet from class SA waters and 30 feel from other suiTace waters.
(!PS b. System is located at least 100 feet from water supply wells.
c. Bottom of'system is at least 2 f'cct above the seasonal high water table.
d. Bottom ol'the system is 3 feet above any bedrock or irllpervioLls soil horizon.
C. System is not sited on oi- in fill material or DWQ approval has been obtained.
f'. System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access CUSelllelltS to the nearest pLlhhC right-of-way.
g. Drainage area for the device is less than 5 acres.
5 h. Soils have a Illlnllllll111 hydraLlliC condUCtIVItV of 0.52 inches per hour and soils report is
attached.
C,�5
l
k
SystCm CL1ptL11'CS and Infiltrates the rLlnOff frOl11 the firSt 1.0 inch of rainfall (1.5 Inch event foi-
nrcas draining to SA waters ). Design vo1L1111C and Infiltration CaICLllat1011S Attached.
System is sized to take into account the runoff at the ultimate built -out potential from ail
surfaces draining to the system, including any off -site drainage. CalCLllat1OnS attached.
All side slopes stabilized with vegetated cover arc no steeper than 3: l (1-[:V).
A pretreatment device such as a catch basin, grease trap, filter strip, grassed Swale or
sediment trap is provided.
nl. Bottom of the device is covered with a layer of clean sand to ,in average depth of 4 inches or
dense vegetative cover is provided.
n. Vegetated filter is provided for overflow and detail is shown on plans (Required mininuim
length is 50 feet for SA waters, 30 feet [or other waters).
o. Flow distribution mechanism within the basin is provided.
p. A benchmark is provided to determine the sediment accL1nu11MI011 in the pretrCatlllerlt device.
q. Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
r. System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water Conditions within flvc days. A soils report and all
pertinent draw -down calculations are attached.
S. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabillzed.
Form SWU-1D3 Rcv 3,99 Page 2 of 3

IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stortnwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
When the design depth reads 2.18 feet in the pretreatment unit, the sediment shall be
removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
acknowledge and agree by my signature below that I am responsible for the performance of the five
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: SCOTT COOK, PARTNER_
Address: 60 PELICAN DRIVE, WRIGHTVILLE BEACH, NC 28480
Phone: gi n-756 :9ELZI.Date: S—Z`D -OZ
Signature:
Note: The legally responsible partly should not be a homeowners association unless more than 50% of the lots have been sold and a
resident of the subdivision has been named the president.
1, lywmAt4 5 • !_1p! iLILTIT a Notary Public for the State o A County of
T /
u i r1- do hereby certify that `?(,0_rT_ C.0614 personally appeared before me this ZSTH
day of 2xz, and acknowledge the due execution of the forgoing infiltration basin maintenance requirements.
Witness my hand and official seal,
My commission expires l- D- 0(a
111 aOTA Ry f�
1j%�t�3�Qite 19
1, Page 3 of 3

L7

DWQ USE ONLY
Date Received
F e Paid
Permit Numb r
J
CJ1 Q
Applicable Rules: Coastal SW -1995 ❑ CoastaI SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
Tliis form may be pliotocopied for use as an original
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.):
The Forest at Belvedere Phase 6
2. Location of Project (street address):
Azalea Drive
City: Hampstead County: Pender Zip: 28443
3. Directions to project (from nearest major intersection):
US 17 to CountClub Road SR 1565),east on CounM Club to Azalea Drive north on Azalea.
4. Latitude: 34' 24' 14" N Longitude: 77' 39' 16" W of Lite rnaifi-oncrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ❑New ®Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number SW8 020608 , its issue date (if known) 2/5/ 03 , 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 DWQ
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
❑NPDES Industrial Stormwater 0404/401 Permit: Proposed Impacts
ac of Disturbed Area
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:
Form SWU-101 Version 07July2009
DEC 0 12009
BY:
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: The Forest at Belvedere LL.0
Signing Official & Title: Mr. Scott Cook, Partner _
r
b. Contact information for person listed in item 1a above:
Street Address: 106-A Cinema Drive
City: Wilmington State: NC Zip: 28403
Mailing Address (if applicable):
City:
Phone: [phone]
Email:
State: Zip:
Fax: ( )
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: The Forest at Belvedere L�C
Signing Official & Title: Mr. Scott Cook, Partner
",',''- b. Contact information for person listed in item 2a above:
Street Address: 106-A Cinema Drive
City: Wilmington State: NC .Zip: 28403
Mailing Address (if applicable):
City: State: Zip:
Phone: ( 910 ) 343-9202 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: Pender County
Point of Contact: Planning Department Phone #: ( 910 ) 259-1202
Form SWU-101 Version 077uly2009 Page 2 of

I': PROJECT INFORMATION
1. In the space provided below, br_ iefly summarize how the stormwater runoff will be treated.
Stormwater will be collected in roadside ditches and will be conve ed to one of eight infiltration basins and
infiltrated within five days.
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: /C3I^ /�x�L= UIJ�0' �L c�� Date: 2 -S - 2003
b.Identify the regulation(s) the project has been designed in accordance with: clvtl cr lrx U
® Coastal SW -1995 ❑ Ph Il - Post Construction SL, Z� d�--Z (,4�GQ,r'
�. Stormwater runoff from this project drains to the Cape Fear _ River basin.
4. Total Property Area: 29.40 acres
5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+: 29.40 acres
+ Total project area shall be calculated to exclude the following the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal Higgh Water (NHM line or Mean High Water
W) (MHline, and coastal wetlands landward from the NHW (or M;X 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 = 41.7 %
9. How many drainage areas does the project have? 8 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
emplete the following information for each drainage area identified in Project Information item 9. If -here ,
are more than four drainage areas in the project, attach an additional sheet with the information for eac area
provided in the same format as below.
Basin Information
Drainage Area 1
Drainage Area 2
Drainage Area 3
Drainage Area 4a
Receiving Stream Name
UT to ICWW
UT to ICWW
UT to ICWW
UT to ICWW
Stream Class *
SA; HQW
SA; HQW
SA; HQW
SA; HQW
Stream Index Number *
18-87-(5.5)
18-87-(5.5)
18-87-(5.5)
18-87-(5.5)
Total Drainage Area (so
112800
141100
139800
165500
On -site Drainage Area (sf)
112800
141100
139800
165500
Off -site Drainage Area (sf)
0
0
0
0
Proposed Impervious Area* (so
37026
47612
61868
66700
Impervious Area** total
33
34
44
40
Im ervious" Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area 3
Drainage Area 4a
On -site Buildings/Lots (sf)
21000
38500
52500
56000
On -site Streets (sf)
16026
911.2
9368
10700
On -site Parkin (so
0
0
0
0
On -site Sidewalks (so
0
0
0
0
Other on -site (so
0
0
0
0
Future (sf)
0
0
0
0
Off -site (so
0
0
0
0
Existing BUA*** (so
0
1 0
0
0
Total (so:
1 37026
1 47612
61868
66700
* Stream Class and Index Number can be determined at: ht . i2o.etir.state.nc.us ims re orts re ortsWB.htntl
*� Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidpewalks, gravel areas, etc.
** Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
Form SWU-101 Version 07July2009 Page I of 6
3a

I-;-

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
DRAINAGE AREA ADDENDUM
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.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
4. Total Property Area: acres
River basin.
5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area': acres
Total project area shall be calculated to exclude the following the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal Hi h Water (NW Iine or Mean High Water
(MHVIq line, and coastal wetlands landward from the N1 W (or M;X line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (orMHVV) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 =
o�
a
9. How many drainage areas does the project have?_ (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the foIIowing information for.cach drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project -aftch an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 4b
Drainage Area 4c
Draina e Area 5
Drainage Area 6
W
Receiving Stream Name
UT to ICWW
UT to ICWW
UT to ICWW
UT to ICWW
Stream Class *
SA; HQW
SA; HQW
SA; HQW
SA; HQW
Stream Index Number *
18-87-(5.5)
18-87-(5.5)
18-87-(5.5)
18-87-(5.5)
Total Drainage Area (so
200300
159000
213400
148975
On -site Drainage Area (sf)
200300
159000
213400
148975
Off -site Drainage Area (sf)
0
0
0
0
Proposed Impervious. Area** s
103900
54700
89370
72873
Impervious Area** total
52
34
42
49
Impervious" Surface Area
Drainage Area 4b
Drainage Area 4c
Drainage Area 5
Drainage Area 6
On -site Buildings/ Lots (so
84000
45500
52500
46873
On -site Streets (so
19900
9200
9800
6800
On -site Parking_(so
0
0
0
19200
On -site Sidewalks (so
0
0
0
0
Other on -site (so
0
0
0
0
Future (so
0
0
27070
0
Off -site (so
0
0
0
0
Existing BUA*** (so
0
Q
1 0
1 0
Total (so:
103900
54700
1 89370
1 72873
* Stream Class and Index Number can be determined at: htW.VA2o.enr.state.tic.us/bims/reports/reportsVVB.html
*� Itttpervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
Form SWU-101 Version 07July2009 Page 3 of 6
3b

11. How was the off -site impervious area listed above determined? Provide documentation.
Protects in Union County: Contact DWQ Central Ojjice staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 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
fromhtti)://h2o.enr.state.nc.us/su/bmn forms.htm.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from http_;//h2o.enr.state.nc.us/su/bmp_forms.htm. The complete application
package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating
project on the interactive online map athtW://h2o.enr.state.nc.us/sulmsi maps.htm.)
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 htW://h2o.enr.state.nc.us/su/bmp_forms.htm.
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 VII 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
httpJ/www.envhel12.orgLpages/onestol2express.html for information on the Express program
and.tbe associated fees. Contact the appropriate regional office Express Permit Coordinator for
addition dfinforrnation 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.
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.
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).
Form SWU-101 Version 07July2009 Page 4 of 6

0.
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 DWQ to verify the SHWT prior
to submittal, [phone].)
A copy of the most current property deed. Deed book: Page No: _
For corporations and limited liability corporations (LL.C): 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 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.
htt�//www.secretary.state,nc.us/Corporationsf CSearch.asi2x
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
htt 2o.enr.state.nc,us su m forms.htm#deed restrictions. 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 DWQ and that they will be recorded prior to the sale of any lot.
. ,IT: : T.
VIII. CONSULTANTINFORM,ATION 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: Tames H. Fentress, Tr., P.E., P.L.S.
Consulting Firm: Stroud Engineering, P.A. _
Mailing Address: 102-D Cinema Drive
City: Wilmington State: NC Zip: 28403
Phone: [phone]
Email: ifentress®stroudengineer.com
Fax: ( 910 ) 815-0593
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact It'rination, 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 1a) with (print or type name of organization listed in
Contact Information, item 1b) 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 07July2009 Page 5 of 6

A§ 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 DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ 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 civilpeenaltiesAup to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: �%`' Date: 122122,001
I, 04 V-H , , � � a Notary Public for the State of nlafrf &YU►na) , County of
t�le�l) ra'MOY dtLeMI)LL
reby certify that ritT 0-01)IL personally appeared
before me this day ofand c nowledge the ue e n of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires_ rum
X. APPLICANT'S CERTIFICjg)gNr :Yv,
I, (print or type name of person listed in Contact Information, item 2) Scott Cook Partner The Forest at Belvedere
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 stornw;�,Ries`un 5A NCAC 21-1.1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211,
hereby certify that
before me this n day of
Public for the State of t�6 Yy _'a yb [I rIP , County of
Witness my hand and official seal,
My commission
personally appeared
n of the application for
Form SWU-101 Version 071uly2009 Page 6 of 6

State Stoi. ' ater Management Systems
Pennit No, SW8 020608•
The Forest rz Belvedere Phase 6
Stonmvater Permit No. SWS 020608
Pender County
Designer's Certification
I, ��.M �_5_ • , as a duly registered���ss��a�.r���5q r
in the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the project,
(Project)
for ale `� 1a4'Ll-ZLU-- (Project Owner) hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the project construction such
that the construction was observed to be built within substantial compliance and intent of the
approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification
Noted deviations from approved plans and specification:
Signature
Registra 'on Nun er�pL 43
Date 2c0-qEs
`%%p1toollseg"0
`GpFtOUAI ••..
g510�y .•
2
�.�.' c
SEAL c��c11.L
RECEIVED
SEP 0 9 2008
DWQ
PROJ #.

r State Storr. ^,er Management Systems
�. Permit No. SWS 020608
'Certification Requirements:
5 1. The drainage area to the system contains approximately the permitted acreage.
2. The drainage area to the system contains no more than the permitted amount of
built -upon area.
,3.
All the built -upon area associated with the project is graded such that the runoff
drains to the system.
4.
The outlet/bypass structure elevations are per the approved plan.
5.
The outlet structure is located per the approved plans.
1J�N 6.
Trash rack is provided on the outleVbypass structure.
7.
All slopes are grassed with permanent vegetation.
S.
Vegetated slopes are no steeper than 3:1.
_4E9.
The inlets are located per the approved plans and do not cause short-circuiting of
the system.
10.
The permitted amounts of surface area and/or volume have been provided.
I I .
Required drawdown devices are correctly sized per the approved plans.
i2.
All required design depths are provided.
All required parts of the system are provided, such as a vegetated shelf,, and a
forebay.
� 14. The overall dimensions of the system, as shown on the approved plans, are
provided.
cc: NCDENR-DV'Q Regional Office
Pender County Building Inspections
9