SW7110410_CURRENT PERMIT_20110502

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW JZ�0
DOC TYPE
CURRENT PERMIT
APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE�CdS�Da,
YYYYMMDD

North Carolina
Beverly Eaves Perdue
Governor
Mr. R.C. Willis, Vice President
Outer Banks Ventures, Inc.
PO Box 68535
Virginia Beach, VA 23471
Dear Mr. Willis:
NCDENR
Department of Environment and
Division of Water Quality
Coleen H. Sullins
Director
Natural Resources
Dee Freeman
Subject: Stormwater Permit No. SW7110410
Corolla Light — Phase 10
High Density Project
Currituck County
The Washington Regional Office received a complete Stormwater Management Permit
Application for Corolla Light — Phase 10 project on April 21, 2011. Staff review of the plans
and specifications has determined that the project, as proposed, will comply with the
Stormwater Regulations set forth in Session Law 2008-211 and Title 15A NCAC 2H.1000. We
are forwarding Permit No. SW7110410 dated May 2, 2011, for the construction of the subject
project.
This permit shall be effective from the date of issuance until May 2, 2021, 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, 6714 Mail Service Center, Raleigh, NC 27699-6714. 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 Samir Dumpor, or me at [phone].
Aincer -ly,
AAI HodgO
Regional Supervisor
Surface Water Protection Section
AH/sd: K:\SD\Permits - Infiltration\SW7110410
cc: Mitch Halloran, Coastal Engineering & Surveying, Inc. (PO Box 1129, Kitty Hawk,
NC 27949)
Currituck County Building Inspections
t✓✓t'Nashington Regional Office
North Carolina Division of Water Quality Intemet: www.ncwateroualit
943 Washington Square Mall Phone: [phone] One
Washington, NC 27889 FAX [phone] North Carrofiina
An Equal Opportunity/Affirmative Action Employer —50%Recycled110% Post Consumer Paper Natupµl&

State Stormwater Management Systems
Permit No. SW7110410
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES.
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
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
Outer Banks Ventures, Inc.
Corolla Light — Phase 10
Currituck County
FOR THE
construction, operation and maintenance of an infiltration basins, in compliance with the
provisions of Session Law 2008-211 and 15A NCAC2H .1000 (hereafter referred to as the
"stormwaterrules') 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 2, 2021, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.8 on page 3 of this permit. The stormwater control
has been designed to handle the runoff from total of 128,510 square feet of
impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section 1.7 on
page 3 of this permit, and as shown on the 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.
The runoff from all built -upon area within the permitted drainage area of this project
must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 50 feet
landward of all surface waters.
7. The following design criteria have been permitted for the infiltration basin and must
be provided and maintained at design condition:
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7110410
INFILTRATION BASIN
a.
Drainage Area, ft`:
299,693
b.
Total Impervious Surfaces, ft2:
128,510
C.
Design Storm, inches:
1.51,
d.
Basin Depth, feet:
3.0
e.
Bottom Elevation, FMSI :
9.50
f.
Bottom Surface Area, ft :
8,993
g.
Bypass Weir Elevation, FMSy
12.50
h.
Permitted Storage Volume, ft :
36,570
i.
Type of Soil:
Newhan-Corolla fine sand
j.
Expected Infiltration Rate, in/hr:
20.0
k.
Seasonal High Water Table, FMSL:
7.20
I.
Time to Draw Down, days:
1.0
M.
Receiving Stream/River Basin: Pasquotank River Basin/Currituck Sound
n.
Stream Index Number:
30-1
o.
Classification of Water Body:
"SC"
II. SCHEDULE OF COMPLIANCE
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 (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 bypass structure, infiltration media, flow
spreader, catch basins, piping and vegetated filter.
g. A clear access path to the bypass structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
reports will indicate the date, activity, name of person performing the work and what
actions were taken.
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. 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.
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
Page 3 of 7

State Stormwater Management Systems
Permit No. SW7110410
approved plans and specifications must be noted on the Certification. A modification
may be required for those deviations.
Access to the stormwater facilities shall be maintained via appropriate easements at
all times.
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. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by the
Permittee at all times.
12. 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.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity 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 completed Name/Ownership Change form to the
Division of Water Quality, signed by both parties, and accompanied by the
appropriate documentation as listed on page 2 of the form. The approval of this
request will be considered on its merits and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such time
as the Division approves the transfer request.
3. 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.
4. 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.
5. 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.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7110410
6. 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.
7. The permit issued shall continue in force and effect until revoked or terminated. 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.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
controls must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference and
are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit as
allowed by the laws, rules and regulations contained in Session Law 2008-211, Title
15A NCAC 2H.1000, and NCGS 143-215.1 et. al.
11. The permittee shall notify the Division in writing of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until May 2, 2021.
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.
Permit issued this the 11th day of April, 2011.
NORTH QAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
-@�-.t--Ic�aY.vPZ.
oleen u tins, Director for
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7110410
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7110410
Corolla Light — Phase 10
Stormwater Permit No. SW7110410
Currituck 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. SW7110410
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 bypass structure weir elevation is per the approved plan.
6. The bypass structure is located per the approved plans.
7. A Trash Rack is provided on the 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. All required design depths are provided.
13. All required parts of the system are provided.
14. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Currituck County Building Inspections
Page 7 of 7

EXPRESS
Permit No.
(to be provided by DWO)
APR 21 2011 ?0FW*eq
®A ORMWATER MANAGEMENT PERMIT APPLICATION FORM o
HIC ENR NC' ®ENA 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part ell) must be printed, filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Project Name COROLLA LIGHT - PHASE 10
Contact Person Rr: Wit I I.S
Phone Number
Date
Drainage Area Number
11 DESIGN INFORMATION
Site Characteristics
Drainage area
Impervious area
Percent impervious
Design rainfall depth
Peak Flow Calculations
1-yr, 24-hr rainfall depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr discharge
Post -development 1-yr, 24-hr discharge
Pre/Post 1-yr, 24-hr peak flow control
Storage Volume: Non -SA Waters
Minimum design volume required
Design volume provided
Storage Volume: SA Waters
1.5" runoff volume
Pre -development 1-yr, 24-hr runoff volume
Post -development 1-yr, 244ir runoff volume
Minimum required volume
Volume provided
Soils Report Summary
Soil type
Irddtrabon rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage Surface Area
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom Surface Area
757 286 5859
299,693.00 V
128,510.00 ✓
42.11 % ✓
1.50 in Y
3.31
in
0.14
inlhr
5.11
R31sec
0.00
ft3lsec
-5.11
R'IseC
16,303.00 fts
36,570.00 fl' ✓ OK for non -SA waters
R3
ft3
to
ft3
R'
sandyloam
20.00
iNhr
7.20
fmsl
1.00
days ✓ OK
3.00
:1 ✓ OK
9.50
fmsl ✓ OK
✓
12.50
fmsl
15,545.00
ftz
13.50
fmsl ✓
290.00
it ✓
✓
30.00
ft
8,993.00
ftz
Form SW401-Infinration Basin-Rev.5 11Ap2011 Parts I. & II. Design Summary, Page 1 of 2

Permit No.
(to be provided by DN47)
Additional Information
Maximum runoff to each inlet to the basin?
1.90
ac-in
OK
Length of vegetative fitter for overflow
30.00
R
OK
Distance to structure
15.00
R
OK
Distance from surface waters
1000+
R
OK
Distance from water supplywell(s)
rda
R
OK
Separation from impervious soil layer
2.50
R
OK
Naturally ocauing soil above shwt
3.20
R
OK
Bottom covered with 4-in of clean sand?
y
(Y or N)
OK
Proposed drainage easement provided?
y
(Y or N)
OK
Caplaes all runoff at ultimate build -out?
y
(Y or N)
OK
Bypass provided for larger storms?
da
(Y or N)
OK
Pretreatment device provided
y
catch basins & sedimentation basins
FOnn SW401-Infiltration Basin -Rev 5 11 Apr2011 Pans I. a 11. Design Summary, Page 2 of 2

Date Received Fee Paid ci'4*- i -1 (4- Permit Number
APR 2 1 ZU11 2-25D " 11 `$`Fcon _ Sw'1l1 04-I (�
Applicable Rules: L1 CoastalW —1995 ❑ Coastal SW — 2008 ❑ Ph II - Post Construction
(select nllINCp®tRion-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
This form may be photocopied 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.):
COROLLA LIGHT - PHASE 10
2. Location of Project (street address):
1102 COROLLA VILLAGE DRIVE
City:COROLLA County:CURRITUCK Zip:27927
3. Directions to project (from nearest major intersection):
SITE SITUATED ON THE EAST SIDE OF NC12 AT THE INTERSECTION OF COROLLA VILLAGE
ROAD, ON THE SOUTH SIDE OF THE RIGHT OF WAY.
4. Latitude:36° 22' 33" N Longitude:75° 49' 40" W of the main entrance 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 existng permit, list the existing
permit number , its issue date (if known) 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):
❑CAMA Major
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: 7_0 ac of Disturbed Area
❑404/401 Permit: Proposed Impacts
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:

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:OUTER BANKS VENTURES, INC.
Signing Official & Tltle:R.C. WILLIS - VICE PRESIDENT - OWNER
b.Contact information for person listed in item I above:
Street Address:PO BOX 68535
City:VIRGIMA BEACH State:VA Zip:23471
Mailing Address (if
Phone: (757 ) 2865859 Fax: (866 ) 7288444
Email:[e-mail]
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
Signing Official &
b.Contact information for person listed in item 2a above:
Street Address:
Mailing Address (if
Phone:
State:
State:
Fax: ( )
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person /Organization:MITC H HALLORAN C/0 - COASTAL ENGINEERING & SURVEYING INC
Signing Official & Tltle:PROIECT MANAGER
b.Contact information for person listed in item 3a above:
Mailing Address:PO BOX 1129
City:KITTY HAWK State:NC Zip:27949
Phone: (252 ) 2614151
Fax: (252 ) 2611333
Ema i I: MITCH@COASTA LES.COM

4. Local jurisdiction for building permits: CURRITUCK COUNTY
Point of Contact:DONNA VOLIVA Phone #: [phone]
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
DRAINAGE FROM IMPERVIOUS ON -SITE IMPROVEMENTS WILL BE COLLECTED OR CONVEYED
VIA SHEET FLOW OVER GRASS INTO A BMP INFILTRATION BASIN AND/OR TRANSFERRED FROM
A SECONDARY INFILTRATION BASIN (NOT A BMP)
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.If claiming vested rights, 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 PASOUOTANK River basin.
4. Total Property Area: 6.88 acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) — Total Coastal Wetlands Area (5) —Total Surface Water Area (6) = Total Project
Area':6.88 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 High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 42.9 %
9. How many drainage areas does the project have?1 (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 following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each
area provided in the same format as below.

Basin Information
'.Draina a Area 1
Draina a Area _
Draina e Area i
Draina a Area _
Receiving Stream Name
CURRITUCK
SOUND
Stream Class *
SC
Stream Index Number *
30-
Total Drainage Area (so
299,693
On -site Drainage Area (so
299,693
Off -site Drainage Area (sf)
0
Proposed Impervious Area**
(so
101,384
'Y. Impervious Area** (total)
42.9
Im"rvious7.Surface Area
21)rama a Area 1
Draina a Area _
Drainage Area -
Draina a Area
On -site Buildings/Lots (sf)
4,530
On -site Streets (sf)
0
On -site Parking (sf)
63,183
On -site Sidewalks (sf)
12,860
Other on -site (sf)
18,411
Future (sf)
2,400
Off -site (so
0
Existing BUA*** (sf)
27,126
Total (sf):
128,510
* Stream Class and Index Number can be determined at: http•//portal ncdenr org/web/wg/ps/esu/classifications
Impervious 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.
11. How was the off -site impervious area listed above determined? Provide documentation. N/A
Projects 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
from http://Portal.ncdenr.ore/weblwq/ws/su/bmv-manual.
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://pQrtal.ncdenr.org/web/wq/ws/suZstatesw/forms does. 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 at
hA_tv_Jlmortal.ncdenr=Lw—e?LwgLs su maps.)
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
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. M N
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants N j p
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M �A
agreement(s) for each BMP.

EI94-51> Fvem
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to Ji 4WO'Dt7
http://www.envhelp.ort/ aaes/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for M li
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the ♦�IQ
receiving stream drains to class SA waters within 1'z mile of the site boundary, include the 1i
mile radius on the map.
7. Sealed, signed and dated calculations. M N
8. Two sets of plans folded to 8.5" x 14" (scaled, signed, & dated), including: (d 4a
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).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify M
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"xll" 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].)
10. A copy of the most current property deed. Deed book: 277 Page No: 180 N� N
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 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.
http://www.,;ecretary.state.nc.us/CorpL)rafions/CScarch-aspx

VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be
provided as an attachment to the completed and notarized deed restriction form. The appropriate deed
restrictions and protective covenants forms can be downloaded from
http://pL)rtal.ncdenr.org/web/wq/ws/su/statesw/forms does. Download the latest versions for each
submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer.CARLOS F. GOMEZ, PE. PLS
Consulting Firm: COATAL ENGINEERING & SURVEYING INC
Mailing Address:PO BOX 1129
City:KITTY HAWK State:NC Zip:27949
Phone: (252 ) 2614151
Emai I:CGOMEZ®COASTALES.COM
Fax: (252 ) 2614151
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
1, (print or type name of person listed in Contact Information, item 2a) certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item to) with (print or type name of organization listed in
Contact Information, item la) 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.

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my
designated agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or
defaults on their lease agreement, or pending sale, responsibility for compliance with the 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 civil penalties of up to $25,000 per day,
pursuant to NCGS 143-215.6.
a Notary Public for the State of
do hereby certify that
before me this _ day of
County of
personally appeared
. and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item to) R.C. WILLIS
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 stormwater rules under 15 CA 2H .1000, SL 2006-246 (Ph. II — Post Construe 'on) or SL 2008-211.
Signature: l I Date:: ZO l
I. 2 a Notary Public for the State of N 644 l Cl�a�� h� . County of
(j do hereby certify that _ _11 C - y) I I I I S personally appeared
before me this bay of Wil I lbI . and acknowledge the clu execution of the application for
a stormwater permit. Witness my hand and official seal,
0opeW1S M
tAOTARY
AUBI-IG
SEAL
My commission expires

EXPRE��ao Permit Number:
SS (to be provided by DWQ)
pp RR� Drainage Area Number:
Infil4al-9 � Min Operation and Maintenance Agreement
NC ®ENR
1 will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
— Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter and within
24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Form SW401-Infiltration Basin O&M-Rev.3 Page 1 of 3

BMP element:
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
spraying.
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than
Replace the top few inches of filter
5 days after a storm event.
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3

Permit Number:
(to be provided by DIVQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the 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.
Project name:COROLLA LIGHT -PHASE 10
BMP drainage area number: I
Print
Title:VICE PRESIDENT - OWNER
Address:PO BOX 68535 - VIRGIMA BEACH VA 23471
Phone:
Date:
Note: The legally responsible party 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 V VU a Notary Public for the State of
Ot/ r nrti , County of Q ra- do hereby certify that
W I S personally appeared before me this
day of and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
NOTAR y
9 AVBLIC
%9
°'n„C,2UN-T
00
SEAL
My commission expires
Form SW40I-Infiltration Basin O&M-Rcv.3 Page 3 of 3