SW7130806_CURRENT PERMIT_20131001

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW lw-)
DOC TYPE
CURRENT PERMIT
APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
��C'Ile
YYYYMM DD

eA
NCDENR .
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM Pat McCrory, Governor
Director John E. Skvarla, III, Secretary
October 1, 2013
TFP, LLC
Attn.: Douglas A. Twiddy, Manager
PO Box 369
Corolla, NC 27927
Subject: Stormwater Permit No. SW7130806
109 Scarborough Lane Maintenance Facility
High Density Project
Dare County
Dear Mr. Twiddy:
The Washington Regional Office received a complete Stormwater Management Permit
Application for 109 Scarborough Lane Maintenance Facility project on August 19, 2013
and additional information on September 27, 2013. 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. SW7130806 dated October 1, 2013, for the
construction of the subject project.
This permit shall be effective from the date of issuance until October 1, 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 me at [phone].
Sincerely,
Samir Dumpor, P.E.
Environmental Engineer
cc: Michael W. Strader, Jr. PE, Quible & Associates
Dare County Building Inspections
Washington Regional Office
Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889 • Phone: [phone] / FAX: [phone]
Internet: http://www.portal.ncdenr.org/web/Ir/land-quality
An Equal Opportunity / Affirmative Action Employer - 50%Recyc1ed110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
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
TFP, LLC
109 Scarborough Lane Maintenance Facility
Dare County
FOR THE
construction,. operation and maintenance of 3 infiltration basins in compliance with the
provisions of Session Law 2008-211 and 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
Energy, Mineral, and Land Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until October 1, 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.
This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 on page 3 of this permit. The stormwater control
has been designed to handle the runoff from total of 17,723 square feet of
impervious area.
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.
5. 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.
Page 2 of 7

The following design criteria have been permitted for the infiltration basins and must
be provided and maintained at design condition:
INFILTRATION BASINS 11 #2 #3
a.
b:
d.
e.
f.
h.
i.
1•
k.
I.
M.
n.
o.
Drainage Area, ftZ:
Total Impervious Surfaces, ft2:
Design Storm, inches:
Basin Depth, feet:
Bottom Elevation, FMSI�:
Bottom Surface Area, ft :
Bypass Weir Elevation, FMSI�:
Permitted Storage Volume, ft :
Type of Soil:
Expected Infiltration Rate, in/hr:
Seasonal High Water Table, FMSL:
Time to Draw Down, days:
Receiving Stream/River Basin:
Stream Index Number:
Classification of Water Body:
It. SCHEDULE OF COMPLIANCE
1,201
2,205
19,299
1,201
2,205
14,317
1.5"
1.5"
1.5"
1.50
1.50
2.50
8.50
8.00
6.00
0.00
81.50
475
10.00
9.50
8.50
108
299
2,374
FrD
FrD
FrD
0.53
0.53
0.53
3.92
3.92
3.92
1.42
1.42
2.37
Currituck
Sound/Pasquotank
33-1
"SC"
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.
During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
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. Mowin.9 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.
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.
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.
Page 3 of 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.
B. 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. 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 Energy, Mineral, and Land Resources, 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 Energy, Mineral, and
Land Resources, in accordance with North Carolina General Statute 143-215.6A to
143-215.6C.
Page 4 of 7

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.
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 orterminated. 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 October 1, 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 1st day of October, 2013.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for
Tracy E. Davis, P , Director
Division of Energy, Mineral, and Land Resources
Permit No. SW7130806
Page 5 of 7

109 Scarborough Lane Maintenance Facility
Stormwater Permit No. SW7130806
Dare 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

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-DEMLR Regional Office
Dare County Building Inspections
Page 7 of 7

109 Scarborough Lane Maintenance Facility
Stormwater Permit No. SW7130806
Dare County
Designer's Certification
as a. duly registered Pc�R,, \ Gn ,neP in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full time)
the construction of the project,
fork Sr boCr u<a `� Lone M<i tt cnnh' �qc \ �C'
(Project)
for Tr ice, L LC (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 qvW),,
Noted deviations from approved plans and specification: *,,-SEA'
SSip��9�.7.
�g:a 037813 : a=
,ofy
VED
Date riI�-i12oi-F
SEP 18 2014
DWQ-WARO
Page 6 of 7

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.
m.t C9aZyc SiA�M:a�
✓ 5. The'
;;pek s�4rnetare weir elevation is per the approved plan.
L:+ecycncy Sp'.�\wey _,Z_6. The Bypass-stroettFreis located per the approved plans.
uIN 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-DEMLR Regional Office
Dare County Building Inspections RECEIVED
S E P 18 2014
DWQ-WARD
Page 7 of 7

QUIBLE & ASSOCIATES, P.C.
8 Juniper Trail
P.O. Drawer 870
KITTY HAWK, NC 27949
[phone] FAX [phone]
TO MR•SAt^\(Z 'DUMPoR
NcDE1JP� bEn��R �A�tec�ynLtr, sc-cTlou
WASN1N GToU •t2E Cptrxt Al._.bFFlc.�
qy3 wASkUnlGorccV Sc�uARE rxAt-L
`NASN,tN 6'-roM, Nc_ 2-1439
1=912 @7 4 R93WU44GQd
DATE
d 1'Z 201
JOB NO.
PIZO ^ G
ATTENTION
::�d
RE:
b Sc Rt30 KOU
i L - 1^AIN N
VKCt LVVY
SW t-6r_K'r "G
SW'11368 0
WE ARE SENDING YOU NQ Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order V 06St C'kAGZt `S CEIl-'';IF tGAZ10N
COPIES
DATE
NO.
DESCRIPTION
1
- t . IVE�S CE�TtF=I TION
18 2014
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment
❑ FORBIDS DUE
REMARKS
❑ PRINTS RETURNED AFTER LOAN TO US
COPY TO T- (� C
SIGNED: `
It enclosures are not as noted, kindly t/ty us of y tce. pV�CNdEL W. S-t(L(�aE(Z/,✓r ,

Uj it

Michael Strader
From:
Michael Strader
Sent:
Wednesday, September 17, 2014 9:18 AM
To:
Dumpor, Samir ([e-mail])
Cc:
Doug Twiddy
Subject:
109 Scarborough Lane Maintenance Facility - SWPermit SW7130806 - Stormwater
Certification
Attachments:
P12030-SWCertification.pdf, P12030 NCDENR Stormwater Permit.pdf
Samir,
Good morning. Please find the attached pdf containing a copy of the Designer's Certification for 109
Scarorough Lane Maintenance Facility, Town of Duck, Dare County, in accordance with State Stormwater
Management Systems Permit No. SW7130806 (a copy of the permit is attached for reference). A hard copy is
being mailed to your attention.
Please confirm receipt.
Thank you,
Michael W. Strader, Jr., P.E.
Director of Engineering
Quible & Associates, P.C.
8 Juniper Trail
P.O. Drawer 870
Kitty Hawk, NC 27949
t 252.261.3300
f 252.261.1260
m 252.207.6751
www.guible.com
D�
RECEIVED
SEP 18 2014
DWQ-WARO
LEGAL DISCLAIMER
The information transmitted is intended solely for the individual or entity to which it is addressed and may
contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of or
taking action in reliance upon this information by persons or entities other than the intended recipient is
prohibited. If you have received this email in error please contact the sender and delete the material from any
computer.

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
-
SWtl 136
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters
❑ Other WQ Mgmt Plan:
- 2008 ❑ Ph II - Post Construction
❑ Universal Stormwater Management Plan
� C
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
RECEIVED
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original AUG 19 2013
I. GENERAL INFORMATION I Q
1. Project Name (subdivision, facility, or establishment name - should be consistent with prof' 'e bn in VA1AR0
specifications, letters, operation and maintenance agreements, etc.):
109 Scarborough Lane Maintenance Facility
2. Location of Project (street address):
City:Duck County:Dare Zip:27949
3. Directions to project (from nearest major intersection):
The project is located on the south side of Scarborough Lane approximately 640 ft. east of the intersection of
Scarborough Lane and Duck Rd. (NC 12) in Duck, Dare County, NC.
4. Latitude:36° 09' 40.9" N Longitude:75° 45' 01.1" W of the main entrance to the project.
Il. PERMIT INFORMATION
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenewals with modifications also requires SWU-102 — Renewal Application Form
b.If this application is being submitted as the result of a modification to an existing 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: 0.82 ac of Disturbed Area
0404/401 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:
5. Is the project located within 5 miles of a public airport? ®No ❑Yes
If yes, see S.L. 2012-200, Part Vf: http://12ortal.nedenr.org/web/wq/ws/su/statesw/rules laws
Form SWU-101 Version 06Aug2012 Pagel of6
�r✓

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:TFP. LLC
Signing Official & Title:Doyglas A. Twiddp, Manager
b. Contact information for person listed in item la above:
Street Address:1142 Ocean Trail
City:Corolla State:NC Zip:27927
Mailing Address (if applicable):PO Box 369
City:Corolla State:NC Zip:27927
Phone: (252 ) 457-1100 Fax: (252 ) 457-1777
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/Organization:
Signing Official & Title:
b. Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
Phone:
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/ Organiza tion:Quible & Associates, P.C.
Signing Official & Title:Michael W. Strader, Jr., P.E., Project Engineer
b. Contact information for person listed in item 3a above:
Mailing Address:PO Drawer 870
City:Kitty Hawk State:NC Zip:27949
Phone: (252 ) 261-3300 Fax: [phone]
Email:[e-mail]
4. Local jurisdiction for building permits: Town of Duck
Point of Contact:Andy Garman Phone #: [phone]
Form SWU-101 Version 06Aug2012 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater draining from impervious surfaces will be directed to the infiltration devices where it will be
detained and allowed to infiltrate into the site's in situ pervious soils.
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 11 - Post Construction
3. Stormwater runoff from this project drains to the Pasquotank River basin.
4. Total Property Area: 0.86 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':0.86 acres
Total project area shall be calculated to exclude the following the normal pool of im ounded structures, the area
belween the banks of streams and rivers, the area below the Normal High Water (NSW, line or Mean High Water
(MHW) line, and coastal wetlands landward from Oue 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 = 47.3 %
9. How many drainage areas does the project have?3 (For high density, count 1 for each proposed engineered
stornmater BMP. For 1071) density and other projects, use 1 for the eolwle property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1.
Drainage Area 2
Drainage Area 3
Stream Name
Pasquotank
Pasquotank
Pasquotank
StReceiving
ream Class *
SC
SC
SC
Stream Index Number *
30-1
30-1
30-1
M
Total Drainage Area (so
1,201
2,205
19,299
On -site Drainage Area (so
1,201
2,205
19,299
Off -site Drainage Area (so
-
-
Proposed Impervious Area** (so
1,201
2,205
14,317
% Impervious Area** total
100%
100%
1 74.2%
Impervious- Surface Area
Draina e Area 1
Draina e Area 2
Draina e Area 3
Draina e Area _
On -site Buildings/Lots (so
1,201
2,205
1,375
On -site Streets (so
-
-
_
On -site Parking (so
12,435
On -site Sidewalks (so
-
-
507
Other on -site (so
-
-
-
Future (so
Off -site (so
Existing BUA*** (so
Total (sf):
1,201
2,205
14,317
Stream Class and Index Number can be determined at: http://portal.ncdenr.or Anebhnq/ps/csu/dassi, cations
Lupervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sir(ewalks, gravel areas, etc.
Form S WU-101 Version 06Aug2012 Page 3 of 6

'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.
Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that maybe .subject to more stringent stormwater requirements as per 15A NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://portal.ncdenr.org/web/wq/`ws/"su/"bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available fromhttl2://12ortal.ncdenr.org/web/wq/ws/su/statesw/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 http://portal.ncdenr.org/web/wq/ws/su/mates.)
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 ham://portal.ncdenr.org/web/wq/ws/su/statesw/forms dots.
Initials
/l 1. Original and one copy of the Stormwater Management Permit Application Form. t+US
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants NIA
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M s wS
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to awS
v http://www.envhelp.org/pages/onestol2express.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/managementfor AWS
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 KW 1
receiving stream drains to class SA waters within'/z mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy). M 1S
& Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: Hwy
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.
oil,• stDelineate the vegetated buffer landward from the normal pool elevation of impounded
ructures, 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.
Form S WU-101 Version 06Aug2012 Page 4 of 6

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 �u3
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.
f (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:1912 Page No: 226
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC Mwr
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 15A NCAC 2H.1003(e).
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http://www.secretary.state.nc.us/Corporations/CSearch.aspx
VIL 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://portal.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:Michael W. Strader, Jr., P.E.
Consulting Firm: Quible & Associates, P.C.
Mailing Address:PO Drawer 870
City:Kitty Hawk
Phone: (252 ) 261-3300
Email: mstrader©guible.com
State:NC Zip:27949
Fax: (252 ) 261-1260
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 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 la) 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.
Form S WU-101 Version 06Aug2012 Page 5 of 6

As the legal property owner I acknowledge. itnderst and. and agree by my signature below. that i11ny designated
agent (entity listed in Contact In formal ion, 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 owncr. As the property owner, it is my responsibility to notify DWQ immediatelyand submit a
completed Name/ Ownership Change form within 30 days: otherwise I will be operating a slornnvater treatment
facility without a valid permit. I understand that the operation ofa storm water treatment facility without it valid
permit is a violation of NC General Statue 143-2I5.1 and may result in appropriate en forcemeat action including
the assessment ofciviI penalties of up to S25.000 per day, pursuant to NCC. S 143-215.6.
a Notary Public for the State of . County of
do hereby certify that
personally appeared
before me this _day of . and acknowledge the due esccution ofthe application for a
stormwater permit. Witness my hand and official seal.
SEAL
My commission cxp
S. A PPLICANT'S CGR'PIFICATION
I, (print or ripe name ofperson listed in Contact Information. item lr) Domg/rn 4Tuvid(&Po TPP LLC
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 a o,mnuce with the approved plans. that the required deed restrictions
Lind protective coy t nts will • rccor ed and that the proposed prgjcct complies with the requirements of the
applicable storms at r rules derl CAC211.1000 and any other applicable state sto`rm]water requirements.
Signature: �/ Datc: / - Z - l,�
I. a Notary Public for the State �'of .County of
do hereby ccr 'fy that- /D1 D �yl&k5 Personally appeared
bclitre me thi uV
of �.Y .and ackn Ic gu the due cxecuton ollhe: plicatioh or u
storm sv.aler permit. Witness my hand and official seal. i�Qgd
SLA I,
My commission expires —''\' /,3
Form SP'U-101 Version 06Aug2ol2 Page 6 of 6

1
� - Permit No.
(to be provided by OWO)
RA
oz,F WAr,0
STORMWATER MANAGEMENT PERMIT APPLICATION FORM i
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
I:'aPROJECT:INF,ORMATION .,..3 d "• T "1,4"NI�.- , a",(,
Project Name 109 Scarborough Lane
Contact Person Michael W. Shatter, Jr., P.E. (Ouible & Associates, P.C.)
Phone Number 252.261-3300
Dale 9/27/2013
Drainage Area Number 1
Drainage area
1,201.00
it'
Impervious area
1,201.00
fe
Percent impervious
100.00
Design rainfall depth
1.50
in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
3.33
in
1-yr, 24-hr intensity
0.14
in/hr
Pre -development 1-yr, 24-hr discharge
0.00
ft'/sec
Post -development 1-yr, 24-hr discharge
0.00
ft3/sec
Pre/Post 1-yr, 24-hr peak flow control
0.00
ft3/sec
Storage Volume: Non -SA Waters
Minimum design volume required
143.00
ft 3
Design volume provided
108.00
tt3
Increase volume provided ooccveows l(>
Storage Volume: SA Waters
JJJ i/ 671ZW rI N a ji57N 3
1.5' runoff volume
it
Pre -development 1-yr, 24-hr runoff volume
tt3
Post -development 1-yr, 24-hr runoff volume
P
Minimum required volume
h3
Volume provided
ft 3
R
Soils Report Summary
Soil type
FrD
Infiltration rate
0.53
inmr
SEP 3 0 2013
SHWT elevation
3.92
fmsl
Basin Design Parameters
Drawdown time
1.42
days
OK
p
� �jp/�
�
Basin side slopes
3.00
:1
OK
V Y F ♦"
Basin bottom elevation
8.50
fmsl
OK
Storage elevation
10.00
fmsl
Storage Surface Area
162.30
1
Top elevation
10.00
tmsl
Basin Bottom Dimensions
Basin length
17.00
ft
Basin width
8.00
If
Bottom Surface Area
0.00
h' J C NA n iJe L
Form SW 401-Infiltration Basin-Rev.5 11Apr2011 Parts I. & If. Design Summary, Page 1 of 2

Permit No.
(in be provided by DWO)
Additional Information
Maximum runoff to each inlet to the basin?
Length of vegetative filter for overflow
Distance to structure
Distance from surface waters
Distance from water supply wells)
Separation from impervious soil layer
Naturally occuring soil above shwt
Bottom covered with 4-in of clean sand?
Proposed drainage easement provided?
Capures all runoff at ultimate build -out?
Bypass provided for larger storms?
Pretreatment device provided
0.03
ac-in
0.00
ft
17.00
ft
700.00
h
>100
if
>7
It
4.58
If
Y
(Y or N)
N
(Y or N)
Y
(Y or N)
Y
(Y or N)
N
OK
Filter is too short, must be > 30-ft
OK 1— 1 iS DtST}q QC6 YO Suil IAYPt OX- V 16
OK Ca1ERr0 LCrA Nb I'l i
OK
OK
OK
OK
Need a recorded drainage easement t!lk PRIVATE y✓S`/�rM CN
OK Plx\�A CL YCoril
� ovE�FLo� �o
OK 1pflSih7 3
Form SW401-Infiltration Basin-RavS 11Ap2011
Parts I. & II. Design Summary, Page 2 of 2

Permit
(to be provided by DWQ)
III. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Page/ Plan
Initials Sheet No.
Mw t 5wr
1. Plans (1"- 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Basin dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement.
1,\V) 5 S4T 3Tb
2. Partial plan (1" = 30' or larger) and details for the infiltration basin showing:
- Bypass structure,
- Maintenance access,
- Basin bottom dimensions,
- Basin cross-section with benchmark for sediment cleanoul,
- Flow distribution detail for inflow,
- Vegetated filter, and
- Pretreatment device.
iy'o S
3. Section view of the infiltration basin (1"= 20' or larger) showing:
Pretreatment and treatment areas, and
Inlet and outlet structures.
N� s warz?XnVE 4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
Cr4 LG,
t.�_ / 4KR14'n vi_ 5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
Sops Feroe r results of the soils report must be verified in the field by DWO, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
r" S Stir G 6. A construction sequence that shows how the infitlration basin will be protected from sediment until the
entire drainage area is stabilized.
ww 5 (J41'ZRg110E 7. The supporting calculations.
e^w s Mey,o✓sCI 8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
$�Ur
/JH 9. A copy of the deed restrictions (if required).
Form SW401-Infiltration Basin-Rev.4 Page 1 of 1 Part III. Required Items Checklist, Page 1 of 1

Permit
(to be provitletl by DWD)
OF W A
�OQ&
�.y�AA
AGM STORMWATER MANAGEMENT PERMIT APPLICATION FORM o
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
Project Name
Contact Person
Phone Number
Date
Drainage Area Number
109 Scarborough Lane
Michael W. Strader, Jr., P.E. (Ouible &
252.261.3300
91272013
2
IQDESIGN INFORMATION
Site Characteristics
Drainage area
2,205.00
ft'
Impervious area
2,205.00
ft'
Percent impervious
100.00
Design rainfall depth
1.50
in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
3.33
in
1-yr, 24-hr intensity
0.14
in/hr
Pre -development l-yr, 24-hr discharge
0.00
ft'/sec
Post -development l-yr, 24-hr discharge
0.01
ft'/sec
Pre/Post 1-yr, 24-hr peak flow control
0.01
ft'/sec
Storage Volume: Noll Waters
Minimum design volume required
262.00
it
Design volume provided
299.00
ft3 OK for non -SA waters
Storage Volume: SA Waters
1.5" runoff volume
ft3
Pre -development 1-yr, 24-hr runoff volume
ft3
Post -development 1-yr, 24-hr runoff volume
ft 3
Minimum required volume
Volume provided
f13
it
11; F
'� "" t' `.r�-_�>,
Soils Report Summary
Soil type
FrD
SEp 3 0 2013
I nfiltration rate
0.53
in/m
SHWT elevation
Basin Design Parameters
3.92
fmsl
F_ 17f
Drawdown time
1.42
days OK
�, P,n, V YYV
Basin side slopes
3.00
:1 OK
Basin bottom elevation
8.00
fmsl OK
Storage elevation
9.50
fmsl
Storage Surface Area
332.40
ft'
Top elevation
9.50
fmsl
Basin Bottom Dimensions
Basin length
18.00
ft
Basin width
22.00
ft
Bottom Surface Area
81.50
fe
Form SW401 -Infiltration 3asin-Rev.5 11Apr2011 Parts 1. & If. Design Summary, Page 1 of 2

Permit
(to be provided by OWO)
Additional Information
Maximum runoff to each inlet to the basin?
Length of vegetative filter for overflow
Distance to structure
Distance from surface waters
Distance from water supply wells)
Separation from impervious soil layer
Naturally occuring soil above shwt
Bottom covered with 4-in of clean sand?
Proposed drainage easement provided?
Capures all runoff at ultimate build -out?
Bypass provided for larger storms?
Pretreatment device provided
0.08
ac-in
0.00
It
18.00
it
700.00
ft
>100
It
>7
ft
4.08
it
Y
(Y or N)
N
(Y or N)
Y
(Y or N)
Y
(Y or N)
IN
OK
Filter is too short, must be > 30-ft
OK I8� IS D1STeN43Ce `Iv BJ;LOW&. f4P?Rox.
OK Co,99,OD �OnoiNG WA -
OK
OK
OK
OK
Need a recorded drainage easement
OK
OK-.. ov6[L hco,4 -M 9FM1S+tit .3
Form SW401-Inlillrainm Basin-Rev.5 11Apr2011
Parls I. & II. Design Summary, Page 2 of 2

Permit
(to be provided by Dl
III. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Page/ Plan
Initials Sheet No.
KW S S11 Y 3 1. Plans IV' - 50' or larger) of the entire site showing:
Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Basin dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Proposed drainage easement and public right of way (ROW),
Overflow device, and
Boundaries of drainage easement.
Il 54f 3f S 2. Partial plan (V = 30' or larger) and details for the infiltration basin showing:
Bypass structure,
Maintenance access,
Basin bottom dimensions,
Basin cross-section with benchmark for sediment cleanout,
Flow distribution detail for inflow,
Vegetated filter, and
Pretreatment device.
01W S 51Y% h 3. Section view of the infiltration basin (1" = 20' or larger) showing:
Pretreatment and treatment areas, and
Inlet and outlet structures.
m�� S L /U!= 4. A table of elevations, areas, incremental volumes & accumulated volumes to verity the volume provided.
Cxrl,cc
MW S /JA ,OtJVu2 5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
So 11,5 IZERthi results of the soils report must be verified in the field by DWO, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
010 S 1;147 6 6. A construction sequence that shows how the infitlration basin will be protected from sediment until the
entire drainage area is stabilized.
,nW Jr t2631 KOT/Ur7. The supporting calculations.
Co-41C
"k') s LV u,uv>c l 8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
Ow S lam' lA 9. A copy of the deed restrictions (if required).
Form SW401-Infiltration Basin-Rev.4 Page 1 of 1 Part III. Required Items Checklist, Page 1 of t

Permit
(to be provided by DWO)
A o� FW AT,,C
O
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
®
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
Project Name
Contact Person
Phone Number
Date
Drainage Area Number
109 Scarborough Lane
Michael W. Strader, Jr., P.E. (Ouible 8 Associates, P.C.)
252-261.3300
9/27/2013
3
I1PDESIGN.INFORMATION
Site Characteristics
Drainage area
19,299.00
fe
Impervious area
14,317.00
ft'
Percent impervious
74.19
%
Design rainfall depth
1.50
in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
3.33
in
1-yr, 24-hr intensity
0.14
in/hr
Pre -development 1-yr, 24-hr discharge
0.01
ft'/sec
Post -development 1-yr, 24-hr discharge
0.05
ft'/sec
Pre/Post 1-yr, 24-hr peak flow control
0.04
ft'/sec
Storage Volume: Non -SA Waters
Minimum design volume required
1,732.00
ft'
Design volume provided
2,374.00
ft'
Storage Volume: SA Waters
1.5' runoff volume It'
Pre -development 1-yr, 24-hr runoff volume 11'
Post -development 1-yr, 24-hr runoff volume 113
Minimum required volume It
Volume provided II'
Soils Report Summary
Soil type
Infiltration 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
FrD
0.53 in/hr
3.92 fmsl
OK for non -SA waters
2.37
days OK
3.00
:1 OK
6.00
fu l OK
8.50
fmsl
1,476.70
It'
8.50
fmsl
64.00 it
34.00 ft
475.00 ft,
SEP302013
t,, — V Y r+nos. t T 1
Form SW401-Infiltration Basin-Rev.S 11Ap2011
Parts I. 8 II. Design Summary, Page 1 of 2

Permit No.
(to be provided by ME)
Additional Information
Maximum runoff to each inlet to the basin?
Length of vegetative filter for overflow
Distance to structure
Distance from surface waters
Distance from water supply well(s)
Separation from impervious soil layer
Naturally occuring soil above shwt
Bottom covered with 4-in of clean sand?
Proposed drainage easement provided?
Capures all runoff at ultimate build -out?
Bypass provided for larger storms?
Pretreatment device provided
0.65
ac-in
30.00
It
43.00
ft
700.00
ft
>100
If
>7
It
2.06
it
Y
(Y or N)
N
(Y or N)
Y
(Y or N)
Y
(Y or N)
N
OK
OK
OK
OK
OK
OK
OK
OK
Need a recorded drainage easementl P9 Iv r7-15 6F 7"Fm N
OK
OK* OjFQGLOW tjA-pvtKl—QNSIlJ Mil ''1S1 CF OF 510 44
Form SW 401-Infiltration Basin- Rev. 5 11Ap2011 Parts I. & It. Design Summary, Page 2 of 2

Permit
(to be provided by DWO)
III. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Initials
(ISQ�
Pagel Plan
Sheet No.
'7IAT 3
Mw , r 31
M� s 4tr 8
1. Plans (1" - 50' or larger) of the entire site showing:
Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Basin dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Proposed drainage easement and public right of way (ROW),
Overflow device, and
Boundaries of drainage easement.
2. Partial plan (1" = 30' or larger) and details for the infiltration basin showing:
- Bypass structure,
- Maintenance access,
- Basin bottom dimensions,
- Basin cross-section with benchmark for sediment cleanout,
Flow distribution detail for inflow,
Vegetated filter, and
Pretreatment device.
3. Section view of the infiltration basin (1" = 20' or larger) showing:
Pretreatment and treatment areas, and
Inlet and outlet structures.
Mw s A!t P b/ 4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
C14a[.
Mv=s A) liba 5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
6J)0 6Mr7 results of the soils report must be verified in the field by DWO, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
Mw S� 6. A construction sequence that shows how the infitlration basin will be protected from sediment until the
entire drainage area is stabilized.
tn� Plq )1 U,6 7. The supporting calculations.
c4LC
M^�S r RHu;a r.ti 8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
5,1NY
r> _AYA 9. A copy of the deed restrictions (if required).
Form SW401-Infiltration Basin-Rev.4 Page 1 of 1 Part III, Required Items Checklist, Page 1 of 1

Permit Number:
(to be proi,ided by DIVQ)
Drainage Area Number:
Infiltration Basin Operation and Maintenance Agreement
I 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.
RECEIVED
AUG 1 9 2013
Form SW401-hifiltration Basin O&M -Rev. /_0 Page I of 3
r WARO

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 re air.
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:
(Io he provided by DIVO)
I acknowledge and agree by my signature below that I am responsible for the
performance ofthc 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.
Projecl nome:109 Scarborough Lane Maintenance Facility
BMP drainage area number:
Print namc:Douglas A. Twiddy; TFP LLC
Titic:Mana_,er of TIT. LLC
Address:PO Box 369 Ocean "frail Corolla. NC 27927
pr
Si
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.
i v e&
` . a Notary Public for the State of
County ofdo hereby certify that
personally appeared before me this _7
day of da 3 and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
����uungr
'GNERY� �'•
ANOTA'Qy •. -t
�eC/C -
`AWN/➢ i'.N G- ..
SEAL: My commission expires /�5 c 5?0/6
tl
Form SW401-Infiltration Basin O&M -Rev." page 3 of 3

Permit Number:
(to be provided by DII'O)
Drainage Area Number:
Infiltration Basin Operation and Maintenance Agreement
I 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.
11 E.,.,'EY V ED
AUG 1 9 2013
Form SW401-Infiltration Basin O&M-Rev.3 ppp Page I of 3
e9 9 -W® RO
i P t

i
The forebay
Sediment has accumulated
and reduced the depth to 75%
of the original design depth.
Erosion has occurred or
riprap is displaced.
Weeds are present.
The main treatment area A visible layer of sediment
has accumulated.
The embankment
The outlet device
The receiving water
Water is standing more than
5 days after a storm event.
Weeds and noxious plants are
growing in the main
treatment area.
Shrubs or trees have started
to grow on the embankment.
An annual inspection by an
appropriate professional
shows that the embankment
needs repair.
Clogging has occurred
The outlet device is damaged
Erosion or other signs of
damage have occurred at the
outlet.
Form SW401-Inliluvtion Hasin O&M-Rev.3
How I will remediate the problem:
Search for the source of the
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.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
Search for the source of the
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.
Replace the top few inches of filter
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.
Remove the plants by hand or by
wiping them with pesticide (do not
Remove shrubs or trees
immediately.
Make all needed repairs.
Clean out the outlet device. Dispose
of the sediment off -site.
Repair or replace the outlet device.
Contact the NC Division of Water
Quality 401 Oversight Unit at 919-
733-1786.
Page 2 ol'3

Permit Number:
(m be provided by DflIO)
1 acknowledge and agree by my signature below that I am responsible for the
performance ofthe 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:109 Scarborou::h Lane Maintenance Facility
6MP drainage area
Print name:DOnklas A. Twiddy: TFP LLC
Title:
Date: 6 8 - 1 3
Note: The legally responsible party should not be a homcomiers association unless more than 50°G, of
the lots have been sold and a resident of the subdivision has been named the president.
a Notary Public for the State of
County of � do hereby certify that
personally appeared before me this
day of 0/ -_and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal.
•�.•`'pNERY �''�
O
gtoo
SEAL
My commission expires
Form SW401-Infiltration basin O&M-Rcv.3
Page 3 of 3

,c
Permit Number:
(to be provided by DIfJ
Drainage At Number:
Infiltration Basin Operation and Maintenance Agreement
I 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 time 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.
RE ED
form SW401-Infiltration Basin O&M-Rcv.3 AUG 19 2013 Paee I of3
pVVA R

BMP element:
Potentialproblem:
How 1 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 laver 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-
ou tlet.
733-1786.
Form SW401-Infiltration Basin O&M-Rev.3
Page 2 of 3

Permit Number:
(to he provided by DIVO)
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.
Projec[ name:109 Scarborough Lane Maintenance Facility
BAIP drainage area
Print name:Douelas A. "fwiddy; TFP LLC
Title:Manaser of TFP. LLC
Note: The legally responsible party should not be a homcowncts association unless more than 50"% of
the lots have been sold and a resident ol'thc subdivision has been named the president.
I, a Notary Public for the State of
County of ���� , do hereby certify that
A—L,cl, I 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,
�,,........,,
�VYL C
NOTgRy'.-A
a' PUBLIC
' �'', cGUN7'� N�,.••
''..nn..N`'
SEAL
My commission expires O/':S
Form SU'401-Infiltration Basin O&M-Rcv.3 I'uge 3 of 3