SW7070412_CURRENT PERMIT_20070503

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW 7o74i`
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
rJ
Alan W. Klimek, P.E. Director
Division of Water Quality
May 3, 2007
Mr. Don G. Faulkner, Member
Swan Quarter Landing, LLC
PO Box 1322
Henderson, NC 27537
Subject: Stormwater Permit No. SW7070412
Swan Quarter Landing
Redevelopment Stormwater Permit
Hyde County
Dear Mr. Faulkner:
The Washington Regional Office received a complete Stormwater Management Permit
Application for Swan Quarter Landing on May 3, 2007. 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. SW7070412 dated May 3, 2007, for the construction of the subject project.
This permit shall be effective from the date of issuance until May 3, 2017, 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 sixty (60)
days following receipt of this permit. This request must be in the form of a written
petition, conforming to Chapter 150E 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 Scott Vinson, or me at [phone].
incerq lyA,
L II _
AI odg�
Regional Supervisor
Surface Water Protection Section
AH/sav: C:\STORMWATER\PERMIT\SW7070412
cc: Sam Jarvis, PE
Hyde County Building Inspections
✓Washington Regional Office
Central Files
N""On�h Caro oNatural
North Carolina Division of Water Quality Washington Regional Office Phone [phone] FAX [phone]
Internet: www. ncwaternualitv.ore 943 Washington Square Mall, Washington, NC 27889
An Equal OpportuMylAff ❑native Action Employer — 50% Recycledl10% Post Consumer Paper
Customer Service
1-877-623-6748

State Stormwater Management Systems
Permit No. SW7070412
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
REDEVELOPMENT
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
Swan Quarter Landing, LLC
Swan Quarter Landing
Hyde County
FOR THE
construction, operation and maintenance of seven sand filter stormwater treatment systems in
compliance with the provisions of 15A NCAC 2H .1000 (hereafter referred to as the 'stormwater
rules') and the approved stormwater 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 May 3, 2017, 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 stormwater described in
the application and other supporting data. The following criteria are approved as meeting the
stormwater rules for this project:
a. The total area for this project is 4.0 acres.
b. Total allowable new impervious area for this project site is 1.09 acres.
C. The five buildings and associated drives and parking will use seven modified sand
filters to treat stormwater runoff prior to discharging to level spreaders that provide
diffuse flow across the 50 foot Tar -Pamlico riparian buffer.
2. This stormwater system has been approved for the management of stormwater runoff as
described in Section 1.6 on page 3 of this permit. The stormwater controls have been designed
to handle the runoff from 47,604 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in the application, and per
approved plans.
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.
Page 2 of 7

State Stormwater Management Systems
Permit No. SV 7070412
5. The runoff from all built -upon area within the permitted
drainage areas of this project must be
directed into the permitted stormwater
control systems.
6. The followin0 design criteria have been provided in the
sand filters and must be maintained
at
design condition:
SF#1 SF#2
SF#3 SF#4 SF#5 SF#6
SF#7
a. Drainage Area, ft2:
4,392 9,876
10,955 12,089 14,037 9,986
5,922
b. Total Impervious Surfaces, ft2:
2,852 6,700
8,304 8,614 9,178 7,000
4,956
C. Design Storm, inches:
1.5 1.5
1.5 1.5 1.5 1.5
1.5
d. Sediment Chamber Area, ft2:
400 780
840 1,050 1,540 1,200
480
e. Sand Chamber Area, ft2:
144 144
144 144 144 144
144
f. Sediment Chamber Volume, ft3:
200 390
420 525 770 600
240
g. Sand Chamber Volume, ft3:
344 534
564 669 914 744
384
h. Top/Bypass Elevations, FMSL:
6.60 6.60
6.60 6.60 6.60 6.60
6.60
i. Invert Out Elevations, FMSL:
2.50 2.50
2.50 2.50 2.50 2.50
2.50
j. Receiving Stream/River Basin:
Swanquarter Bay / Tar -Pamlico
k. Stream Index Number:
29-49
I. Classification of Water Body:
"SA; ORW°
II. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its 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 permittee shall at all times provide the operation and maintenance necessary to assure
the permitted stormwater system functions at optimum efficiency. The 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 (at least every 6 months).
b. Sediment removal.
C. MowinO 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, 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.
Page 3 of 7

State Stormwater Management Systems
Permit No. SV 7070412
5. 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.
6. 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.
7. 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.
8. Access to the stormwater facilities shall be maintained via appropriate easements at all times.
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 stormwater
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, lease or sale of all or part 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.
10. A copy of the approved plans and specifications shall be maintained on file by the Permittee
for a minimum often years from the date of the completion of construction.
11. 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.
12. This permit shall be effective from the date of issuance until May 3, 2017. Application for
permit renewal shall be submitted 180 days prior to the expiration date of this permit and must
be accompanied by the processing fee.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director. In the event
of a change of ownership, or a name change, the permittee must submit a formal permit
transfer request to the Division of Water Quality, accompanied by a completed
name/ownership change form, 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 request.
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.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7070412
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) having 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.
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 termination does not stay any
permit condition.
7. 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.
8. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.
9. The permittee shall.notify the Division any name, ownership or mailing address changes within
30 days.
Permit issued this the 3`d day of May, 2007.
NORTH 1CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for
Alan W. Kli e , P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7070412
Page 5 of 7

State Stormwater Management Systems
Permit No. SV 7070412
Swan Quarter Landing
Stormwater Permit No. SVV7070412
Hyde 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:
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7070412
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. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-circuiting of the
system.
11. The permitted amounts of surface area and/or volume have been provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf, and a forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Hyde County Building Inspections
Page 7 of 7

Z
,., ,. ..,.. .. ..,.. ;OFFICEUSE,ONLY�
Date Received
Fee Paid
Permit Number
za �7
'Yow
Gd r7 oO 77 o,f l
State of North Carolina r j��
Department of Environment and Natural Resources
Division of Water Quality C/ 4y)
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
APR 2 0 2007
L GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project)`
Swan Quarter Landing, LLC
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Don G. Faulkner, Member
3. Mailin Address for person listed in item 2 above:
P Box 1322
City: Henderson State: NC Zip: 27537
Telephone Number: ( 252 ) 438-0$82
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Swan Quarter Landing
5. Location of Project (street address):
Landing Road
City: Swan Quarter County: Hyde
6. Directions to project (from nearest major intersection):
Approaching Swan Quarter from the west:on NC 45, turn right on SR 1136;
1/4 mile on right
7. Latitude: 350 24' 25" Longitude: 760 20' 08" of project
8. Contact person who can answer questions about the project:
Name: Ralph S. Jarvis Telephone Number: ( 252 ) 974 7794
It. PERMIT INFORMATION:
1. Specify whether project is (check one): x New Renewal Modification
FormSWU-101 Version3.99 Page Iof4

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number N/A and its issue date (if known)
3. Specify the type of project (check one):
Low Density High Density X Redevelop _General Permit _Other
4. Additional Project Requirements (check applicable blanks):
X CAMA Major ?XSedimentation/Erosion Control X404/401 Permit _NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
Ili. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project .
The most restrictive SHWT is at 1.2' MSL typically with less than 0.52 in/hr
permeability; therefore the site will be filled with sand, dry -infiltration,
stone storage and sand filters and surface buffer diffuse flow.
2. Stormwater runoff from this project drains to the Tar -Pamlico River basin.
3. Total Project Area: 4.0 acres 4. Project Built Upon Area: 48
5. How many drainage areas does the project have? 7
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
BasuifInformat onp� w'I rrp7
i {g?fDraln$ge Area 1 i1
"iw yi at' Drainage Area 2} yea ' 'm
Receiving Stream Name
Fodrey Creek
Fodrey Creek
Receiving Stream Class
S/a 5,4 0(Ct+l
S/A
Drainage Area
0.1 01 ac 3y j
0.227 ac
Existing Impervious* Area
0.04 ac
.098 ac
Proposed Impervious*Area
0.066 ac
0.154 ac
% Impervious* Area (total)
65%
68%
. , a .., a
'Im ernous�Sui•face Area"q,l„„„
r °IO Drama e`Area 1v ,: vU
. - , g �, {r
r c
t w� - Dramage;Area 2 a, y UT,, A
On -site Buildings
0.066
0.120
On -site Streets
-
-On-site Parking
- -
On -site Sidewalks
Other on -site
_0-
-0-
Off-site
-0-
Total: 0.066 ac
Total: 0.154 ac
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
FormSWU-101 Version3.99
F0,-`vreA 54
Page 2 of 4 �J
Alt- � 11
-}f G9k SG •+• .�+y�l� / �� Ct; IC�%(lG�`14^5
4r

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number N/A and its issue date (if known)
3. Specify the type of project (check one):
_Low Density _High Density X Redevelop _General Permit _Other
4. Additional Project Requirements (check applicable blanks):
X CAMA Major XSedimentation/Erosion Control X404/401 Permit _NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project .
The most restrictive SHWT is at 1.2' MSL typically with less than 0.52 in/hr
permeability; therefore the site will be filled with sand, dry -infiltration,
stone storacxe and sand filters and surface buffer diffuse flow.
2. Stormwater runoff from this project drains to the Tar -Pamlico River basin.
3. Total Project Area: 4.0 acres 4. Project Built Upon Area: 48
5. How many drainage areas does the project have? 7
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
BastntInformation -`} ' . F
RDfainag'"eFAi01
I ED. a. agefAreai2'
Receiving Stream Name
Fodrey Creek
Fodrey Creek
Receiving Stream Class
S/A
S/A
Drainage Area
0.252 ac — t
0.278 ac Z 0 Y9
Existing Impervious* Area
0.18 ac
0.217 ac
Proposed Impervious4Area
0.19 ac
0.198 ac
% Impervious Area (total)
75 g
71 %
91Yl6AY4VYh AXIYVY'$M } fi
Imperzvraus _S,urfacetArea
'•• :+w-...- rv�.-cz,rr
k . D`ralnag TArea 1�3 1 ..
,�k
f - ...
"Dramage)Areai2 4
On -site Buildings
0.12 ac
0.12 ac
On -site Streets
0.07 ac
0.078 ac
On -site Parking
-0-
-0-
On-site Sidewalks
-0-
-0-
Other on -site
-0-
-0-
Off-site
-0-
-0-
Total: 0.19 ac g 3 °t/r
Total: 0.19& ac
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form S WV-101 Version 3.99 Page 2 of 4

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number N/A and its issue date (if known)
3. Specify the type of project (check one):
_Low Density _High Density X Redevelop _General Permit Other
4. Additional Project Requirements (check applicable blanks):
X CAMA Major ;Sedimentation/Erosion Control X 404/401 Permit _NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
The most restrictive SHWT is at 1.2' MSL typically with less than 0.52 in/hr
permeability; therefore the site will be filled with sand, dry -infiltration,
stone storage and sand filters and surface buffer diffuse flow.
2. Stormwater runoff from this project drains to the
Tar -Pamlico
River basin.
3. Total Project Area: 4.0 acres 4. Project Built Upon Area: 48
5. How many drainage areas does the project have? 7
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
GB ih%hif rmation ` .
W *�. ,..N I7ra hage�{iA%ea l n
jp gDr m g A 2 t,16W,
Receiving Stream Name
Fodrey Creek
Fodrey Creek
Receiving Stream Class
S A
S/A
Drainage Area
0.322 ac 04
0.229 ac 9 86
Existing Impervious* Area
0.224 ac
0.229 ac
Proposed Impervious°Area
0.211 ac
-.161 ac
% Impervious` Area (total)
65%
70%
Ie
mpervrqusiySurfaceArea,
D ainage Areal 5.
. 4L
SDrartiagerA�eai2 '6 ;
On -site Buildings
0.12 ac
0.120 ac
On -site Streets
0.091 ac
0.041 ac
On -site Parking
-0-
-0-
On-site Sidewalks
-0-
-0-
Other on -site
-0-
-0-
Off-site
_0-
-0- rJ o00SJ�
Total: 0.211 ac G/ /7
Total: 0.$41-+acor
' Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version 3.99 Page 2 of 4

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number N/A and its issue date (if known)
3. Specify the type of project (check one):
_Low Density _High Density X Redevelop _General Permit Other
4. Additional Project Requirements (check applicable blanks):
X CAMA Major XSedimentation/Erosion Control X404/401 Permit _NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
The most restrictive SIIWT is at 1.2' MSL typically with less than 0.52 in/hr
permeability; therefore the site will be filled with sand, dry -infiltration,
stone storage and sand filters and surface buffer diffuse flow.
2. Stormwater runoff from this project drains to the Tar -Pamlico River basin.
3. Total Project Area: 4.0 acres 4. Project Built Upon Area: 48 %
5. How many drainage areas does the project have?.
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
Ba'sintlnfor a[ibn� 4 , :.DraihageAeeatpljd
a ��
s ,DratnagehA�r�ea`2 ," -:
Receiving Stream Name
Fodrey Creek
Receiving Stream Class
S/A
Drainage Area
0.136 ac z,
Existing Impervious* Area
0.136 ac
Proposed Impervious Area
0.114 ac
% Impervious* Area (total)
84%
* `vf °"�"t
Impery�ous Spruce Qrea
'tir 't' Drair agesArea`1' 74
�_ Ana,
V;' " Dramage%4read2"
On -site Buildings
0.078 ac
On -site Streets
0.036 ac
On -site Parking
_0_
On -site Sidewalks
Other on -site
Off -site
_0_
Total: 0.114 ac N, 5-4
Total:
` Impervious area is defined as the built upon area including,/but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version 3.99 Page 2 of 4

How was the off -site impervious area listed above derived? All is on —site and from field
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 be 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.
Z. No more than square feet of any lot shall be covered by structures or impervious materials.
Impervious 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 necessary 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 permitted stormwater control
system. These connections to the stormwater control system shall be performed in a manner that maintains 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 General 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 Version 3.99 Page 3 of

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.
1. 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 copt 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
v - 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): Ralph S. Jarvis
Mailing Address: 223 Respess Street, Washington, North Carolina 27889
Washington
VI L APPLICANT'S CERTIFICATION
State: NC Zip: 27889
Fax: ( 252 ) 974 7795
I, (print or type name of person listed in General Information, item 2) Don G . Faulkner
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 15A
NCAC 21-1.1000.
Signature: �G7j� Date:
Form SWU-101 Version 3.99 Page 4 of 4

Permit No. 5 LJ? D `7 0 `(,/1
(To be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
0 9007
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
SAND FILTER SUPPLEMENT
I. PROJECT INFORMATION
Project Name: Swan Quarter Landing
Contact Person: Sam Jarvis Phone Number: 974-7794
This Worksheet Applies to: Sand Filter No. 1 in Drainage Area 1
(from Fonn S W U-101)
it. DESIGN INFORMATION - Attach supporting calculations/documentation.
Sand Filter Design Parameters
Drainage Area 0.101 Ac. r
Sediment Chamber Area Req'd. 55 sq. ft.G
Sediment Chamber Vol. Req'd. 82 c.f.
Sand Filter Area Required 55 sq. ft.
Sand Filter Volume Required 82 c.f.
Sediment Chamber Dimensions
Surface Area Provided
Depth
Volume Provided
Sand Filter Dimensions
Surface Area Provided
Depth
Volume Provided
40 ft. x 10 ft. = 400 sq. ft.
0.5 ft. average
200 ft.
Primary
40 ft. x 10 ft. = 400 sq. ft.
0.5 ft. average
200 c.f.
Pagel of4
Secondary
12 ft. x 12' = 144 sq. ft.
1.0'
144 c.f.

Permit No.
(To be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
SAND FILTER SUPPLEMENT
C IV
MAY 0 3 200)
I. PROJECT INFORMATION PROJ # DWQ
Project Name: Swan Quarter Landing
Contact Person: Sam Jarvis Phone Number: 974-7794
This Worksheet Applies to: Sand Filter No.-1 in Drainage Area 2
(fiom Foam S WU-101)
II. DESIGN INFORMATION - Attach supporting calculations/documentation.
Sand Filter Design Parameters
Drainage Area 0.227 Ac.
Sediment Chamber Area Req'd. 122 sq. ft.
Sediment Chamber Vol. Req'd. 184 c.f.
Sand Filter Area Required 122 sq. ft.
Sand Filter Volume Required 184 c.f.
Sediment Chamber Dimensions
Surface Area Provided
Depth
Volume Provided
Sand Filter Dimensions
Surface Area Provided
Depth
Volume Provided
65 ft. x 12 ft. = 780 sq. ft.
0.5 ft. average
390 ft.
Primary
65 ft. x 12 ft. = 780 sq. ft.
0.5 ft. average
390 c.£.
Pagel of4
Secondary
12 ft. x 12' = 144 sq. ft.
1.0'
144 c.f.

Permit No.
(To be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORMd ,
SAND FILTER SUPPLEMENT ]RE C IE" 1 •g�%
E D
I. PROJECT INFORMATION
PROD #
MAY 0 3 2007
DWQ
Project Name: Swan Quarter Landing......
Contact Person: Sam Jarvis Phone Number: 974-7794
This Worksheet Applies to: Sand Filter No.-1 in Drainage Area 3
(from Fmm SWU-101)
II. DESIGN INFORMATION - Attach supporting calculations/documentation.
Sand Filter Design Parameters
Drainage Area 0.252 Ac.
Sediment Chamber Area Req'd. 136 sq. ft.
Sediment Chamber Vol. Req'd. 204 c.f.
Sand Filter Area Required 136 sq. ft.
Sand Filter Volume Required 204 c.f.
Sediment Chamber Dimensions
Surface Area Provided
Depth
Volume Provided
Sand Filter Dimensions
Surface Area Provided
Depth
Volume Provided
70 ft. x 12 ft. = 840 sq. ft.
0.5 ft. average
420 ft.
Primary
70 ft. x 12 ft. = 840 sq
0.5 ft. average
420 c.f.
Page 1 of 4
Secondary
ft. 12 ft. x 12' = 144 sq. ft.
1.0'
144 c.f.

Permit No.
(To be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
SAND FILTER SUPPLEMENT ROE CIFEA V E D
MAY 0 3 2007
I. PROJECT INFORMATION DWQ
PROJ #
Project Name: Swan Quarter Landing
Contact Person: Sam Jarvis Phone Number: 974-7794
This Worksheet Applies to: Sand Filter No.-1 in Drainage Area-4—
(from Form SWU-101)
II. DESIGN INFORMATION - Attach supporting calculations/documentation.
Sand Filter Design Parameters
Drainage Area 0.278 Ac.
Sediment Chamber Area Req'd. 150 sq. ft.
Sediment Chamber Vol. Req'd. 225 c.f.
Sand Filter Area Required 150 sq. ft.
Sand Filter Volume Required 225 c.f.
Sediment Chamber Dimensions
Surface Area Provided
Depth
Volume Provided
Sand Filter Dimensions
Surface Area Provided
Depth
Volume Provided
70 ft. x 15 ft. = 1050 sq. ft.
0.5 ft. average
525 ft.
Primary
70 ft. x 15 ft. = 1050 sq. ft.
0.5 ft. average
525 c.f.
Page 1 of 4
Secondary
12 ft. x 12' = 144 sq. ft.
1.0'
144 c.f.

Permit No.
(To be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATIONjiCM E I I D
SAND FILTER SUPPLEMENT
PROJ #
L PROJECT INFORMATION
Project Name: Swan Quarter Landing
Contact Person: Sam Jarvis Phone Number: 974-7794
MAY 0 3 2007
DWQ
This Worksheet Applies to: Sand Filter No.-1 in Drainage Area 5
(from Form SWU-IOQ
Il. DESIGN INFORMATION - Attach supporting calculations/documentation.
Sand Filter Design Parameters
Drainage Area 0.322 Ac.
Sediment Chamber Area Req'd. 174 sq. ft.
Sediment Chamber Vol. Req'd. 261 c.f.
Sand Filter Area Required 174 sq. ft.
Sand Filter Volume Required 261 c.f.
Sediment Chamber Dimensions
Surface Area Provided
Depth
Volume Provided
Sand Filter Dimensions
Surface Area Provided
Depth
Volume Provided
70 ft. x 22 ft. = 1540 sq. ft.
0.5 ft. average
770 ft.
Primary
70 ft. x 22 ft. = 1540 sq. ft.
0.5 ft. average
770 c.f.
Pagel of4
Secondary
12 ft. x 12' = 144 sq. ft.
1.0'
144 c.f.

Permit No.
(To be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATIO Y:d� V 't D
SAND FILTER SUPPLEMENT MAY 0 3 2007
PROJ #
I. PROJECT INFORMATION
Project Name: Swan Quarter Landing
Contact Person: Sam Jarvis Phone Number- 974-7794
DWQ
This Worksheet Applies to: Sand Filter No. 1 in Drainage Area 6
(from Farts SWU-101)
II. DESIGN INFORMATION - Attach supporting calculations/documentation.
Sand Filter Design Parameters
Drainage Area 0.229 Ac.
Sediment Chamber Area Req'd. 124 sq. ft.
Sediment Chamber Vol. Req'd. 186 c.f.
Sand Filter Area Required 124 sq. ft.
Sand Filter Volume Required 186 c.f.
Sediment Chamber Dimensions
Surface Area Provided
Depth
Volume Provided
Sand Filter Dimensions
Surface Area Provided
Depth
Volume Provided
60 ft. x 20 ft. = 1200 sq. ft.
0.5 ft. average
600 ft.
Primary
60 ft. x 20 ft. = 1200 sq. ft.
0.5 ft. average
600 c.f.
Page 1 of 4
Secondary
12 ft. x 12' = 144 sq. ft.
1.0'
144 c.f.

Permit No.
(To be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION RECEIVED
SAND FILTER SUPPLEMENT
PROJ #
I. PROJECT INFORMATION
Project Name: Swan Ouarter Landing
Contact Person: Sam Jarvis Phone Number: 974-7794
MAY 0 3 2007
DWQ
This Worksheet Applies to: Sand Filter No._1 in Drainage Area 7
(from Foos SWU-101)
II. DESIGN INFORMATION - Attach supporting calculations/documentation.
Sand Filter Design Parameters
Drainage Area 0.136 Ac.
Sediment Chamber Area Req'd. 73 sq. ft.
Sediment Chamber Vol. Req'd. 110 c.f.
Sand Filter Area Required 73 sq. ft.
Sand Filter Volume Required 110 c.f.
Sediment Chamber Dimensions
Surface Area Provided
Depth
Volume Provided
Sand Filter Dimensions
Surface Area Provided
Depth
Volume Provided
40 ft. x 12 ft. = 480 sq. ft.
0.5 ft. average
240 ft.
Primary
40 ft. x 12 ft. = 480 sq
0.5 ft. average
240 c.f.
Page 1 of 4
Secondary
ft. 12 ft. x 12' = 144 sq. ft.
1.0'
144 c.f.

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
requirement has not been met.
Ar
Initials
a. Drainage area for the device is less than 5 acres.
�b. System is located 50 feet from class SA waters and 30 feet from other surface
waters.
c. System is located at least 100 feet from water supply wells.
System is sized to take into account the runoff at the ultimate build -out
potential from all surfaces draining to the system, including any off -site
drainage.
e. Vegetated filter is provided for overflow (Required minimum length is 50 feet
for SA waters, 30 feet for other waters).
f. A benchmark is provided to determine the sediment accumulation in the
pretreatment device.
g. Runoff in excess of the design capacity bypasses off-line systems.
h. Sedimentation chamber and sand filter are both at least 18" deep.
i. Sedimentation chamber surface area at least 360 sf/Ac. (1.5) = 540
i
Sedimentation chamber volume at least 540 cf/Ac. (1.5) = 810
k. Sand filter surface area at least 360 sf/Ac. (1.5) = 540 r
/per - 1. Sand filter volume at least 540 cf/Ac. (1.5) = 810
m. 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.
Page 2 of 4

IV. SAND FILTER OPERATION AND MAINTENANCE AGREEMENT
After every runoff producing rainfall event and at least monthly inspect the collection
system and sand filter for trash accumulation, silt accumulation, and general condition.
2. Repair eroded areas within drainage area immediately and re -seed as necessary to
maintain adequate vegetative cover.
3. After every rainfall producing 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 sedimentation chamber when the depth in the
chamber is reduced to 75% of the original design depth. If sand filter sedimentation
chamber is an earthen chamber, the system shall be restored to original design depth
without over -excavating and re -seeded to establish a consistent vegetative cover in the
bottom of the chamber. 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 sedimentation chamber. 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 sedimentation chamber, the sediment
shall be removed from both the pretreatment unit and the infiltration basin.
At least once a year the sand filter must be inspected after a storm to determine if the
filter bed is passing runoff as expected. When storms of approximately one inch are no
longer passing through the filter within 24 hours, the top two to three inches of sand
(discolored sand) must be removed and replaced with clean sand. The sand which is
removed shall be de -watered and subsequently landfilled. Removed sand shall not be
handled in a manner that will adversely impact water quality (i.e. stockpiling near a
stormwater treatment device or stream, etc.).
6. 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.
Page 3 of 4

I acknowledge and agree by my signature below that 1 am responsible for the performance of the
six 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: Don G. Faulkner Member
Address: PO Box 1322 Henderson, NC 27537
Phone: [phone] �_� D*tg: April 18, 2007
Signature:
1, .ScuictV -� , a Notary Public for the State of
tJ L , Counq of A QWjd , do hereby certify that
ao CG Rom IkNea personally appeUred before me this /9 day of
APAU , Qc�c)9 and acknowledge the due execution of the foregoing infiltration
basin maintenance requirements.
Witness my hand and official seal,
My commission expires
Page 4 of
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