SW6110502_CURRENT PERMIT_20110615

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW1"�52_9
DOC TYPE
CURRENT PERMIT
APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

1
1 M 'AMY,
��q q,�ny
NCDE R
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Harrold Kidd
K & G Developers, LLC
6885 Cliffdale Rd
Fayetteville, NC 28314
Division of Water Quality
Coleen H. Sullins
Director
s `J"ne.15, 2011
Subject: Revised Stormwater Permit No. SW6110502
Lake Rim North
High Density Subdivision Wet Pond Project
Cumberland County
Dee Freeman
Secretary
Dear Mr. Kidd:
The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for Lake
Rim North on June 6, 2011 after multiply additional information requests. Staff review of the plans and
specifications has determined that the project, as proposed, will comply with the Stormwater Regulations
set forth in Title 15A NCAC 2H.1000 and Session Law 2006-246. We are forwarding a revised Permit No.
SW6110502, dated June 15, 2011, for the construction, operation and maintenance of the subject project
and the stormwater BMPs. The revised permit corrects the number of lots and amount of built upon
area allowed per lot.
This permit shall be effective from the date'of issuance until June 6, 2021, and shall be subject to the
conditions and limitations as specified therl Please pay special attention to the Operation and
Maintenance requirements in this permit. Failure to establish an adequate system for inspection 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 150E of the North Carolina
General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer 27447, Raleigh, NC
27611-7447. Unless such demands are made this permit shall be final and binding.
This project will be kept on file at the Fayetteville Regional Office. If you have any questions, or need
additional information concerning this matter, pleaseicontact Brian Lowther at [phone]; or
[e-mail].
Sincerely,
forColeen H. Sullins DE VR—FRO
cc: Fayetteville Regional Office JUL 1 L 2011
SW6110502 File
ec: John E. Prevette, III, PLS ,[e-mail] ®t N H
fl fQ
Wetlands and Stormwater Branch
1617 Mau One
Service Center, Raleigh, North Carolina 27699-1617 One tCc1t 0flriil
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 ^� rol i
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748 . / �/atura [ f/
Internet: www.ncwaterquality.org Y �/
An Equal Opportunity r Affirmative Action Employer

State Stormwater Permit
Permit No. SW6110502
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF..WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY SUBDIVISION DEVELOPMENT
In accordance with the provisions of;Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and, dttier' pplicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
K & G Developers, LLC
Lake Rim North
Approx. 1401 Rim Road, Fayetteville and Cumberland County
FOR THE
construction, operation and maintenance :of;a wet detention pond(s) in compliance with
the provisions of Session Law 2006-246!aiid;1,5A NCAC 2H .1000 (hereafter referred to
as the "stormwater rules') and the`approJed st'ormwater 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 June 6, 2011 and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only,iiJith1re9'pect 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 1.6 of this permit. The subdivision is permitted for
164 lots; each allowed a maximum of 2900 square feet of built -upon area.
3. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
4. This pond must be operated with a 30' vegetated filter.
5. The built upon areas associatecl.1h:this project shall be located at least 30 feet
>, C,
landward of all perennial and H,i16rni.ittbnt surface waters.
6. The following design elements have been permitted for this wet detention pond
stormwater facility, and must be provided in the system at all times.
a. Drainage Area, acres: 43.17
Onsite, ftz: 1,880,600
Offsite, ftz: 0
JJ; Page 1 of 8

State Stormwater Permit
Permit No. SW6110502
b.
Total Impervious Surfaces, ft2: ` `.
804,300
Lot BUA, ft2:,4�5,`,•
00
Roads/Parking, ft2:
' `292;800
Other, ft2:
35,900
Offsite, ft2:
0
c.
Average Pond Design Depth, feet:
8.5
d.
TSS removal efficiency:
85%
e.
Design Storm:
1"
f.
Permanent Pool Elevation, FMSL:
159.5 ;.
g.
Permitted Surface Area @PP ft2:
1,5;797
h.
Permitted Storage Volume, ft.;
70; 000 at temporary pool
i.
Storage Elevation, FMSL:."1''62'8
j.
Controlling Orifice:
3'`O pipe
k.
Permanent Pool Volume, ft3:
91,752
1.
Forebay Volume, ft3:
18,664
m.
Maximum Fountain Horsepower:
'/< HP
n.
Receiving Stream / River Basin:
Bones Creek / Cape Fear
o.
Stream Index Number:
18-31-24-2
p.
Classification of Water Body:
"C"
II. SCHEDULE OF COMPLIANCE
No homeowner/lot owner/developer shall fill in, alter, or pipe any drainage feature
(such as swales) shown on the approved'.,plais as part of the stormwater
management system without submitting ai'revision to the permit and receiving
approval from the Division.
2. The permittee is responsible for verifying that the proposed built -upon area for
the entire lot does not exceed the maximum allowed by this permit. Once the lot
transfer is complete, the built -upon area may not be revised without approval
from the Division of Water Quality, and responsibility for meeting the built -upon
area limit is transferred to the individual property owner.
i.
3. If an Architectural Review Board orComirittee is set up by the permittee to
review plans for compliance with the BUA'limit, the plans reviewed must include
all proposed built -upon area. Any approvals given by the Board do not relieve the
homeowner of the responsibility to maintain compliance with the permitted BUA
limit.
4. 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.
5. 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.
6. 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 the approved plans, regardless of size.
b. Project name change.
C. Transfer of ownership. R«::
d. Redesign or addition to the approved amount of built -upon area.
Page 2 of 8

State Stormwater Permit
Permit No. SW6110502
e. Further subdivision, acquisition;^'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.
7. The permittee shall submit for approval, final site layout and grading plans for
any permitted future develop,,ment areas shown on the approved plans, prior to
construction.
8. 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.
9. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
10. 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;kh'e`: system installed certifying that the permitted
facility has been installed ih.acoo'rdance 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.
11. 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.
12. The permittee shall at all times,provide the operation and maintenance
necessary to assure that all' components of the permitted stormwater system
function 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 re -vegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans.
f. Debris removal and unclogging of structures, orifice, catch basins and
piping.
g. Access to all components nof;the system must be available at all times.
13. Records of maintenance activities�mus�t`be kept by the permittee. The records will
indicate the date, activity, name of person performing the work and what actions
were taken.
14. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance and inspection records for each BMP. The report shall
summarize the inspection dates, results of the inspections, and the maintenance
work performed at each inspection.
15. This permit shall become void unless the facilities are constructed in accordance
with the conditions of this pe( mit;'2'.the approved plans and specifications, and
other supporting data.
16. Prior to the sale of any lot, the following deed restrictions must be recorded:
Page 3 of 8

State Stormwater Permit
Permit No. SW6110502
a. The following covenants are intended to ensure ongoing compliance with
State Stormwater Management Permit Number SW6110502, as issued by
the Division of Water Quality under the stormwater rules.
b. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
C. These covenants are to run with the land and be binding on all persons
and parties claiming under them.. , ., t,,..:.
d. The covenants pertaining to stormweter may not be altered or rescinded
without the express written consentof the State of North Carolina, Division
of Water Quality.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the Division of Water Quality.
f. The maximum built -upon area per lot is 2700 square feet. This allotted
amount includes any built -upon area constructed within the lot property
boundaries, and that portion of the right-of-way between the front lot line
and the edge of the pavement. Built.upon area includes, but is not limited
to, structures, asphalt, concrete,Jravel; brick, stone, slate, coquina and
parking areas, but does not include raised, open wood decking, or the
water surface of swimming pools:
g. All runoff on the lot must drain into the permitted system. This may be
accomplished through providing roof drain gutters, which drain to the
street, grading the lot to drain toward the street, or grading perimeter
swales and directing them into the pond or street. Lots that will naturally
drain into the system are not required to provide these measures.
h. Built -upon area in excess of the permitted amount will require a permit
modification.
i. If permeable pavement credit is requested, the property owner must
submit a request, with supporting documentation, to the permittee and
receive approval prior to construction of BUA.
I c`ti+t
17. A copy of the recorded deed restrictions nr usf be submitted to the Division within
30 days of the date of recording the plat, and prior to selling lots. The recorded
copy must contain all of the statements above, the signature of the Permittee, the
deed book number and page, and the stamp/signature of the Register of Deeds.
18. Prior to transfer of the permit, the stormwater facilities will be inspected by DWQ
personnel. The facility must be in compliance with all permit conditions. Any
items not in compliance must be repaired or replaced to design condition prior to
the transfer. Records of maintenance activities performed to date will be
required.
19. Decorative spray fountains will be allowed in the stormwater treatment system,
subject to the following criteria:
a. The fountain must draw its water from less than 2' below the permanent
pool surface.
b. Separated units, where the nozzle, pump and intake are connected by
tubing, may be used only if they draw water from the surface in the deepest
part of the pond.
c. The falling water from the fountain must be centered in the pond, away from
the shoreline.
d. The maximum horsepower for the fountain's pump is based on the
permanent pool volume. The maximum pump power for a fountain in this
pond is'/4 HP.
20. If permeable pavement credit is desired, the permittee must submit a request to
modify the permit to incorporate such language as required by the Division of
Water Quality. The request to modify must include a soils report identifying the
type of soil, the Seasonal High Water Table elevation and the infiltration rate.
Page 4 of 8

State Stormwater Permit
Permit No. SW6110502
Upon the successful completiO'of,a permit modification, the individual lot owners
that request to utilize permeable pavements must submit the necessary forms
and documentation to the permittee and receive approval prior to construction of
the permeable pavement.
III. GENERAL CONDITIONS
1. This permit is not transferable except after notice to and approval bythe Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form signed by both parties, to the
Division of Water Quality, accompanied by the supporting 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 f&:6o�mplliance with all permit conditions until such
time as the Division approves wrequest to transfer the permit.
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 peiform 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 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 re -issuance or
termination does not stay any perimit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts ofthe permit.
10. The issuance of this permit;dbes, 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 2006-
246, 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. The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit.
Page 5 of 8

State Stormwater Permit
Permit No. SW6110502
Permit issued this the 15 th day of June 2011.
A
NORTH CAROLINA ENVIRONMENTAL: ANAGEMENT COMMISSION
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 6 of 8:,

State Stormwater Permit
Permit No. SW6110502
Lake Rim North
Stormwater Permit No. SW6110502
Cumberland County
Designer's Certification
Page 1 of 2
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 ° ` i `" >:(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 a part of this Certification.
Noted deviations from approved plans and specifications:
Signature
SEAL
Registration Number
s.rt
Date a
Page 7 of 8

State Stormwater Permit
Permit No. SW6110502
Certification Requirements: Page 2 of 2
1. The drainage area to the system contains approximately the permitted
acreage. 1.
x,
2. The drainage area to the system contains no more than the permitted
amount of built -upon area. °
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf, a
forebay, and the vegetated filter.
15. The required dimensions of the system are provided, per the approved
plan.
cc: NCDENR-DWQ Fayetteville Regional Office
Cumberland County Building Inspections
Page 8 of 8

State Stormwater Permit
Permit No. SW6110502
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY SUBDIVISION 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
K & G Developers, LLC
Lake Rim North
Approx. 1401 Rim Road, Fayetteville and Cumberland County
FOR THE
construction, operation and maintenance of a wet detention pond(s) in compliance with
the provisions of Session Law 2006-246 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 Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until June 6, 2011 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 1.6 of this permit. The subdivision is permitted for
162 lots; each allowed a maximum of 2700 square feet of built -upon area.
The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
4. This pond must be operated with a 30' vegetated filter.
The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent surface waters.
The following design elements have been permitted for this wet detention pond
stormwater facility, and must be provided in the system at all times.
a. Drainage Area, acres: 43.17
OnsiteW. 1,880,600
Offsite,, ft2: 0
Page 1 of 8

State Stormwater Permit
Permit No. SW6110502
b. Total Impervious Surfaces, ft2:
Lot BUA, ft2:
Roads/Parking, ft2:
Other, ft2:
Offsite, ft2:
c. Average Pond Design Depth, feet
d. TSS removal efficiency:
e. Design Storm:
f. Permanent Pool Elevation, FMSL:
g. Permitted Surface Area @PP ft2:
h. Permitted Storage Volume, ftl:
i. Storage Elevation, FMSL:
j. Controlling Orifice:
k. Permanent Pool Volume, ft3:
I. Forebay Volume, ft3:
m. Maximum Fountain Horsepower:
n. Receiving Stream / River Basin:
o. Stream Index Number:
p. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
804,300
475,600
292,800
35,900
0
8.5
85%
1"
159.5
15,797
70,000 at temporary pool
162.8
3" O pipe
91,752
18,664
'/< H P
Bones Creek / Cape Fear
18-31-24-2
„C"
No homeowner/lot owner/developer shall fill in, alter, or pipe any drainage feature
(such as swales) shown on the approved plans as part of the stormwater
management system without submitting a revision to the permit and receiving
approval from the Division.
The permittee is responsible for verifying that the proposed built -upon area for
the entire lot does not exceed the maximum allowed by this permit. Once the lot
transfer is complete, the built -upon area may not be revised without approval
from the Division of Water Quality, and responsibility for meeting the built -upon
area limit is transferred to the individual property owner.
If an Architectural Review Board or Committee is set up by the permittee to
review plans for compliance with the BUA limit, the plans reviewed must include
all proposed built -upon area. Any approvals given by the Board do not relieve the
homeowner of the responsibility to maintain compliance with the permitted BUA
limit.
4. 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.
5. 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.
6. 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 the approved plans, regardless of size.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
Page 2 of 8

,r
State Stormwater Permit
Permit No. SW6110502
e. Further subdivision, acquisition, 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.
7. The permittee shall submit for approval, final site layout and grading plans for
any permitted future development areas shown on the approved plans, prior to
construction.
8. 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.
9. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
10. 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.
11. 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.
12. The permittee shall at all times provide the operation and maintenance
necessary to assure that all components of the permitted stormwater system
function 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 re -vegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans.
f. Debris removal and unclogging of structures, orifice, catch basins and
piping.
g. Access to all components of the system must be available at all times.
13. Records of maintenance activities must be kept by the permittee. The records will
indicate the date, activity, name of person performing the work and what actions
were taken.
14. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance and inspection records for each BMP. The report shall
summarize the inspection dates, results of the inspections, and the maintenance
work performed at each inspection.
15. This permit shall become void unless the facilities are constructed in accordance
with the conditions of this permit, the approved plans and specifications, and
other supporting data.
16. Prior to the sale of any lot, the following deed restrictions must be recorded:
Page 3 of 8

State Stormwater Permit
Permit No. SW6110502
a. The following covenants are intended to ensure ongoing compliance with
State Stormwater Management Permit Number SW6110502, as issued by
the Division of Water Quality under the stormwater rules.
b. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
C. These covenants are to run with the land and be binding on all persons
and parties claiming under them.
d. The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State of North Carolina, Division
of Water Quality.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the Division of Water Quality.
f. The maximum built -upon area per lot is 2700 square feet. This allotted .
amount includes any built -upon area constructed within the lot property
boundaries, and that portion of the right-of-way between the front lot line
and the edge of the pavement. Built upon area includes, but is not limited
to, structures, asphalt, concrete, gravel, brick, stone, slate, coquina and
parking areas, but does not include raised, open wood decking, or the
water surface of swimming pools.
g. All runoff on the lot must drain into the permitted system. This may be
accomplished through providing roof drain gutters, which drain to the
street, grading the lot to drain toward the street, or grading perimeter
swales and directing them into the pond or street. Lots that will naturally
drain into the system are not required to provide these measures.
h. Built -upon area in excess of the permitted amount will require a permit
modification.
i. If permeable pavement credit is requested, the property owner must
submit a request, with supporting documentation, to the permittee and
receive approval prior to construction of BLIA.
17. A copy of the recorded deed restrictions must be submitted to the Division within
30 days of the date of recording the plat, and prior to selling lots. The recorded
copy must contain all of the statements above, the signature of the Permittee, the
deed book number and page, and the stamp/signature of the Register of Deeds.
18. Prior to transfer of the permit, the stormwater facilities will be inspected by DWQ
personnel. The facility must be in compliance with all permit conditions. Any
items not in compliance must be repaired or replaced to design condition prior to
the transfer. Records of maintenance activities performed to date will be
required.
19. Decorative spray fountains will be allowed in the stormwater treatment system,
subject to the following criteria:
a. The fountain must draw its water from less than 2' below the permanent
pool surface.
b. Separated units, where the nozzle, pump and intake are connected by
tubing, may be used only if they draw water from the surface in the deepest
part of the pond.
c. The falling water from the fountain must be centered in the pond, away from
the shoreline.
d. The maximum horsepower for the fountain's pump is based on the
permanent pool volume. The maximum pump power for a fountain in this
pond is'/4 HP.
20. If permeable pavement credit is desired, the permittee must submit a request to
modify the permit to incorporate such language as required by the Division of
Water Quality. The request to modify must include a soils report identifying the
type of soil, the Seasonal High Water Table elevation and the infiltration rate.
Page 4 of 8

State Stormwater Permit
Permit No. SW6110502
Upon the successful completion of a permit modification, the individual lot owners
that request to utilize permeable pavements must submit the necessary forms
and documentation to the permittee and receive approval prior to construction of
the permeable pavement.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form signed by both parties, to the
Division of Water Quality, accompanied by the supporting 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 a request to transfer the permit.
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.
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.
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 re -issuance or
termination does not stay any permit condition.
Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
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 2006-
246, 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. The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit.
Permit issued this the 7`" day of June 01011
Page 5 of 8

State Stormwater Permit
Permit No. SW6110502
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Division of Water Quality
By Authority of the Environmental Management Commission
Page 6 of 8

State Stormwater Permit
Permit No. SW6110502
Lake Rim North Page 1 of 2
Stormwater Permit No. SW6110502
Cumberland 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 a part of this Certification.
Noted deviations from approved plans and specifications:
Signature
Registration Number
Date
SEAL
Page 7 of 8

State Stormwater Permit
Permit No. SW6110502
.. ti
Certification Requirements:
Page 2 of 2
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf, a
forebay, and the vegetated filter.
15. The required dimensions of the system are provided, per the approved
plan.
cc: NCDENR-DWQ Fayetteville Regional Office
Cumberland County Building Inspections
Page 8 of 8

_High Density Residential Subdivisions
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 21-1.1000 and S.L. 2006-246, the Stormwater Management Regulations,
deed restrictions and protective covenants are required for High Density Residential Subdivisions where
lots will be subdivided and sold and runoff will be treated in an engineered stormwater control facility. Deed
restrictions and protective covenants are necessary to ensure that the development maintains a "built -upon"
area consistent with the design criteria used to size the stormwater control facility.
I, Harold Kidd , acknowledge, affirm and agree by my signature below, that I will cause the
following deed restrictions and covenants to be recorded prior to the sale of any lot:
1. The following covenants are intended to ensure ongoing compliance with State Stormwater
Management Permit Number as issued by the Division of Water Quality under the
Stormwater Management Regulations.
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming under
them.
4. The covenants pertaining to stormwater may not be altered or rescinded without the express written
consent of the State of North Carolina, Division of Water Quality.
5. Alteration of the drainage as shown on the approved plan may not take place without the concurrence
of the Division of Water Quality.
6. The maximum allowable built -upon area per lot is 2900 square feet. This allotted amount includes
any built -upon area constructed within the lot property boundaries, and that portion of the right-of-way
between the front lot line and the edge of the pavement. Built upon area includes, but is not limited to,
structures, asphalt, concrete, gravel, brick, stone, slate, coquina and parking areas, but does not
include raised, open wood decking, or the water surface of swimming pools.
7. Each lot will maintain a 30 foot wide vegetated buffer between all impervious areas and surface waters.
8. All runoff from the built -upon areas on the lot must drain into the permitted system. This may be
accomplished through a variety of means including roof drain gutters which drain to the street, grading
the lot to drain toward the street, or grading perimeter swales to collect the lot runoff and directing them
into a component of the stormwater collection system. Lots that will naturally drain into the system are
not required to provide these additional measures.
Signature: L f Date: (o-^ ( S1 Z-w O L
1, � 1/A 0v i r 1` 0 . C-Y- O o L/ e V- , a Notary Public in the
State of n yr 1-1, ('Gir-O /r n o County of t • u&% 6 e.-1 ohJ
do hereby certify that Ha r,61 d 0— personally appeared
before me this the day of v ✓t e 20 11 and acknowledge
the due execution of the foregoing instrument. Witness my hand and official seal,
�/ -
SEAL\ .``1M.
Signature
Sim i RA. VeV- a'OGG
My Commission expires
O '!o_ IRES
Form DRPC-3 Rev.2 05Nov2009 Page I of I "..... •''�Q `�c�
'��mnnnnao

1745 Cypress Lakes Rd
Gooden & Associates, Inc Hope Mills, NC28348
t-� Surveying, Planning, Mapping Phone: [phone]
FAX [phone]
_ jprevettenRoodensurvc ing.com
Mr. Brian Lowther
NC DENR - Division of Water Quality
Stormwater Permitting Unit
Post -Construction Application
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: LAKE RIM NORTH
PROJECT No.SW6110502
Brian,
Attached is the original Deed Restrictions form you requested.
Regards,
John E. Prevette, 111, P.L.S.
attachments
June 13, 2011

High Density Residential Subdivisions
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 2H.1000 and S.L. 2006-246, the Stormwater Management Regulations,
deed restrictions and protective covenants are required for High Density Residential Subdivisions where
lots will be subdivided and sold and runoff will be treated in an engineered stormwater control facility. Deed
restrictions and protective covenants are necessary to ensure that the development maintains a "built -upon"
area consistent with the design criteria used to size the stormwater control facility.
I, H6-CAri V-) i A acknowledge, affirm and agree by my signature below, that I will
cause the following deed restrictions and covenants to be recorded prior to the sale of any lot:
1. The following covenants are intended to ensure ongoing compliance with State Stormwater
Management Permit Number , as issued by the Division of Water Quality under the
Stormwater Management Regulations.
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming under
them.
4. The covenants pertaining to stormwater may not be altered or rescinded without the express written
consent of the State of North Carolina, Division of Water Quality.
5. Alteration of the drainage as shown on the approved plan may not take place without the concurrence
of the Division of Water Quality.
6. The maximum allowable built -upon area per lot is 2900 square feet. This allotted amount includes
any built -upon area constructed within the lot property boundaries, and that portion of the right-of-way
between the front lot line and the edge of the pavement. Built upon area includes, but is not limited to,
structures, asphalt, concrete, gravel, brick, stone, slate, coquina and packing areas, but does not
include raised, open wood decking, or the water surface of swimming pools.
7. Each lot will maintain a 30 foot wide vegetated buffer between all impervious areas and surface waters.
8. All runoff from the built -upon areas on the lot must drain into the permitted system. This may be
accomplished through a variety of means including roof drain gutters which drain to the street, grading
the lot to drain toward the street, or grading perimeter swales to collect the lot runoff and directing them
into a component of the stormwater collection system. Lots that will naturally drain into the system are
not required to provide these additional measures.
I, Sh ex U- k j, a Notary Public in the
State of nor - An �c> ral �w,G County of _0 6v1Y\ C(_(CkV1 ej
do hereby certify that c-A rl J cl personally appeared
before me this the a (.i day of AD r k 20 i l , and acknowledge
the due execution of the foregoing instrument. Witness my hand and official seal,
My Commission expires L e� Lc : -2 -9 CI �(
r
Form DRPC-3 Rev.2 05Nov2009 Page t of t
SEAL
��ciianry' � GG
cAR� p

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
$GJG10"Z
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt 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.):
2. Location of Project (street address):
Approx. 1401 Rim Road
City:Fayetteville County:Cumberland Zip:28314
3. Directions to project (from nearest major intersection):
Go north 1.8 miles from the intersection of US 401and Rim Rd.
4. Latitude:35° 03' 09" N Longitude:79° 02' 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 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):
❑LAMA Major
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: _ 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:Erosion and Sedimentation Control Plan: CUMBE-2009-104

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:K & G Developers, LLC
Signing Official & Title: Harrold Kidd
b.Contact information for person listed in item la above:
Street Address:6885 Cliffdale Rd
City:Fayetteville State:NC Zip:28314
Mailing Address (if applicable):Same
City: State: Zip:
Phone: (910- ) 864-9727
Email: [e-mail]
Fax: (910 ) 868-6796
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/1
Signing Official &
b.Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if.
City:
Phone: ( )
State:
State:
Fax: ( )
3. a. (Optional) Print the name and title of another contact such as the projects construction supervisor or other
person who can answer questions about the project:
Other Contact Person/ Organization: lohn E. Prevette, III P.L.S.
Signing Official & Title:Desien Professional
b.Contact information for person listed in item 3a above:
Mailing Address:1745 Cypress Lakes Rd
City:Hope Mills State:NC Zip:28348
Phone: (910 ) 223-7766
Email:[e-mail]
Fax: (910 ) 223-7788
4. Local jurisdiction for building permits: City of Fayetteville
Point of Contact:David Steinmetz Phone #: (910 ) 433-1705

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Runoff from the streets and impervious areas will be diverted into curb inlet catch basins. Water will be
carried by into a Wet Detention Basin.
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 Cape Fear River basin.
4. Total Property Area: 57.4 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+:57.4 acres
Total project area shall be calculated to exclude the followingg the normal yool of imyyounded structures, the area
between the banks of streams and rivers, the area below the Nornml 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 = 20.0 %
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
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area _
Receiving Stream Name
Bones Creek
Stream Class *
C
Stream Index Number *
18-31-24-2
Total Drainage Area (so
1,880,600
On -site Drainage Area (so
1,880,600
Off -site Drainage Area (so
0
Proposed Impervious Area** (so
804,300
% Impervious Area** total
42.%
Impervious— Surface Area
Draina a Area 1
Draina a Area _
Draina a Area _
Draina e Area _
On -site Buildings/Lots (so
475,600
On -site Streets (so
292,800
On -site Parking (so
0
On -site Sidewalks (so
35,900
Other on -site (so
0
Future (so
0
Off -site (so
0
Existing BUA*** (so
0
Total (so:
804,300
* Stream Class and Index Number can be determined at: ltttp:1/portal. ncdettr.orzfweb/wq&s/csu/classi cations
" 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.
Protects in Union County: Contact DWQ Central Office stajfto check ifthe 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 h!W://Rortal.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 from http://portal.ncdenr.org/web/wg/ws/su/statesw/forms docs. 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/maw.)
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 h!W://13ortal.ncdenr.org/web/­`VA/ws/suZstatesw/­forms docs.
1. Original and one copy of the Stormwater Management Permit Application Form. Initials
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to .
http:/ /www.CnvheiR.org/paM,IonestolzgxRress.hbxd for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within ih mile of the site boundary, include the ih
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5' x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.

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n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify _
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"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 venfij the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 6956.6956; 7068
173.176; 868 Page No:
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC _
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item Is, 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.
htto://www.secretary state nc us/Corporations/CSearch 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
htW://portal.ncdenr.org/webLlYgZwsZsu/statesw/forms docs. 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 signatures) 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: ohn E. Prevette, IN, P.L.S.
Consulting Firm: Gooden & Associates Inc.
Mailing Address:1745 Cypress Lakes Rd
City:Hope Mills State:NC Zip:28348
Phone: (910 ) 223-7766 Fax: [phone]
Email:[e-mail]
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 own the property identified in this Permit application, and thus give permission to (print or type name off persons I
P PeriY� Pe PP
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.

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 Iisted in Contact Information, item la)
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 sto 7water rules under 15AA NCA1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211.
Signature: II` " YY Date: Ll 1
I, \mil %-V J "t-Gcu e/- , a Notary Public for the State of lrio('t h Ocxr6i ins- Countyof
do hereby certify that Rc, r-o l -A (, i cA cl personally appeared
before me this & day of.A n,-..{ ( b i t and acknowledge the due execution of the application for
a stormwater.permit. Witness my hand and official seal, - .ham �n (//a
u-% s.s
'5V%c'1r : 4V1. G r vc,:; e
SEAL
My commission expires_ O (++Cb2 r `7 U ll

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Wet Detention 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.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided.
This system (check one):
❑ does ® does not incorporate a vegetated filter at the outlet.
This system (check one):
❑ does ® does not incorporate pretreatment other than a forebay.
Important maintenance procedures:
— Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
— No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
— Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
— If the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
— Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and
within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a
Coastal County). Records of operation and maintenance should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the wet
detention basin
Areas of bare soil and/or
erosive gullies have formed.
Regrade the soil if necessary to
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of
Ion
a roximatel six inches.
Form SW401-Wet Detention Basin O&M-Rev.4
Page 1 of 4

Permit
(to be provided by DWQ)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate theproblem:
The inlet device: pipe or
The pipe is clogged.
Unclog the pipe. Dispose of the
swale
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the swale if necessary to
swale.
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design depth for
possible. Remove the sediment and
sediment storage.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional
show that pruning is needed
practices
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible. Remove the sediment and
storage depth.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area.
and control the algal growth.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface.
Form SW401-Wet Detention Basin O&M-Rev.4
Page 2 of 4

Permit Number:
(to be provided by-DIVQ)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate theproblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged I
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 16.0 feet in the main pond, the
sediment shall be removed.
When the permanent pool depth reads 7.0 feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom
BASIN DIAGRAM
(fill in the blanks)
Permanent Pool Elevation 159.5
159.0 + Pe manen Pool
--------------- Volume Sediment Removal Elevation 143.5 Volume
15 �8.0158.0 -R Min.
Sediment Bottom Elevation 142.5 1-ft ar
Storage Sedimei
Storage
FOREBAY MAIN POND
Form SW401-\Vet Detention Basin O&M-Rev.4 Page 3 of 4

Permit Number:
(to be provided by DWQ)
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:Lake Rim North
BMP drainage area number:I
Print
Address:
Date: �� 7r 2lv a O 11
J
M
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, CjY)( �, `1 G Cc>o v e r a Notary Public for the State of
N e r-4 ti Caroif'na, County of _,do hereby certify that
cr o\ d \�-1 cl d personally appeared before me this 26
day of 0 I 1 , and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal,
G R O O""
......
`y�;�edpnd coo tip%
Z �� 01AR y <`•.�
PUBLIC c
FXM14
SEAL
Shot,' r)-J4
jV\a,% M
My commission expires O C- bet- %t 9L014
Gr OoUe Jr —
Form SW401-Wet Detention Basin O&M-Rev.4
Page 4 of 4

0 't, T">, - -

Permit No.
trot,apm,"a day0wo)
NCDENR
Project name
Contact person
Phone number
Dale
Drainage area number
O Of W A r�qq
O C
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, Printed and submitted.
The Required Items Checklist (Part ill) must be printed, filled out and submitted along with all of the required m malion.
Site Characteristics
Drainage area
Impervious area, post -development
%impervious
Design rental depth
Storage Volume: Non-SAWatem
Minimum volume required
Volume provided
Storage Volume: SA Waters
1.5' mnog volume
Pm -development 1-yr, 24hr runoff
Post-devekpment 1-yr, 24-fir runoff
Mininum volume required
Volume provided
Peak Flow Calculations
Is the prelpost control of the lyr 24hr stoon peak flow required?
1-yr, 24-hr rainfall depth
Rational C, pre -development
Rational C, post -development
Rainfall intensity: l-yr, 24-hr storm
Pre development 1-yr, 24-hr peak flow
Posl-development 1-yr, 24hr peak lbw
Pre/Post 1-yr. 24hr peak flow, control
Elevations
Temporary, pod devatom
Permanent pod elevation
SHWT elevadam (appmx. at the pen. pool elevation)
Top of 10ft vegetated shelf elevation
Bottom of 1ftfl vegetated shelf elevation
Sediment deanoul, top elevation (bottom of pod)
Sediment dean t, bottom elevation
Sediment storage provided
Is them additional volume stored above the state -required temp pool?
Elevation of the top of the additional voume
Form SW401-Wet Derenlion Basin.Rev.6A117M;
John E. Premb, P.LS,
910.223-7766
17-May-11
1
\Q
1,880,600 t�
804,272 fl2
42.77 %
1.0m
_� . Q-
= '4 SEAL
= L-4905
682M flx
70,000 rya
it
ft
O3
ft3
Os
Y (Y or N)
3.0 in
OK
OK, volume provided is equal to or in excess of volume required.
0.30 (unitiess)
0.50 (uni0ess)
0.13 in1hr OK
1.70 O'/sec
2.80 O3/sec
1.10 fe/sec
162.80 fmsl
159.50 hnsl
159.50 fnsl
160.00 fmsl
159.O01mst
143.50 fnsl
142.50 Mel
1.00 it
N (Y orN)
hnsl
Parts I. a 11. Design Summary. Page 1 of 2

;:.
.. - � ', � d

Permit
no be provided by DWQ)
II. DESIGN INFORMATION-
SurfaceAreas
Area, temporary pool
25,539 ft'
Area REQUIRED, permanent pool
15,797 ft
SAIDA ratio
0.84 (uni less)
Area PROVIDED, permanent pool, Ap,,,, pw
15,825 ft'
OK
Area, bottom of IN vegetated shelf, A,,.,
13,419 ft
Area, sediment deanout, top elevation (bottom of pond), Ab,
854 ft'
Volumes
Volume, temporary pod
70,000 ft3
OK
Volume, permanent pool, Vp,,,i,
91,752 ft'
Volume, forebay (sum of forebays if more than one furebay)
18,664 ft3
Forebay %of permanent pool volume
20.3% %
OK
SAIDA Table Data
Design TSS removal
85 %
Coastal SAIDA Table Used?
N (Y or N)
MountaindPiedmont SAIDA Table Used?
Y (Y or NO
SAIDA ratio
0.84 (unitiess)
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
N (Y or N)
Volume, permanent pool, V,,,,1
91,752 ft3
Area provided, permanent pod, A.
15,825 if
Average depth calculated
7.90 If
OK
Average depth used in SAIDA, dw, (Round to nearest 0.5ft)
7.9 If
OK
Calculation option 2 used? (See Figure 10-2b)
Y (Y or N)
Area provided, permanent pod, Ap _,,
15,825 ftz
Area, bottom of I Oft vegetated shelf, Ab. ,
13,419 N'
Area, sediment cieanout, top elevation (bottom of pond), A. oma
MA ft3
'Depth' (distance h/w bottom of 10ft sheN and lop of sediment)
15.50 It
Average depth calculated
8.50 it
OK
Average depth used in SAIDA, dw, (Rand to nearest 0.511)
8.5 it
OK
Drawdown Calculations
Drawdown through orifice?
Diameter of orifice (if circular)
Area of orifice (if -non -circular)
Coefficient of discharge (CD)
Driving head (Hj
Drawdown through weir?
Weir type
Coefficient of discharge (C,)
Length of weir (L)
Driving head (H)
Pre -development l-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Storage volume discharge rate (through discharge orifice or weir)
Storage volume drawdown time
Additional Information
Vegetated side slopes
Vegetated shelf slope
Vegetated shelf width
Length of flowpath to width ratio
Length to width ratio
Trash rack for overfiow 8 entice?
Freeboard provided
Vegetated filter provided?
Recorded drainage easement provided?
Capures all runoff at ultimate build -out?
Drain mechanism for maintenance or emergencies is:
Form SW401-Wet Detention Basin-Re,8-9117N9
3.00 in
in'
0.61 (unifless)
1.10 It
N (Ya N)
(unitless)
(umdess)
it
If
1.70 ftl/sec
2.80 ft3lsec
0.25 ft3lsec
3.10 days
OK, draws down in 2-5 days.
OK
OK
OK
OK
OK
OK
OK
Y (Y or N) OK
Y (Y orN) OK
Y (YaN) OK
Pump
3 :1
10 :1
10.0 N
3 :1
3.0 :1
Y (YorN)
1.0 N
Parts I. a II. Design Summary, Page 2 or 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.
Pagel Plan
Ini�
Sheet No.
� �
Sheet CO3
1. Plans (1" - 50' or larger) of the entire site showing:
Drainage
- Design at ultimate build -out,
Plan
- 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 (ROM,
- Overflow device, and
- Boundaries of drainage easement.
Sheet C26
2. Partial plan (1" = 30' or larger) and details for the wet detention basin shoving:
Pond Detail
- Outlet structure with trash rack or similar,
- Maintenance access,
- Permanent pool dimensions,
- Forebay and main pond with hardened emergency spillway,
- Basin crass -section,
- Vegetation specification for planting shelf, and
Sheet C26
- Filter strip.
3. Section view of the wet detention basin (1" = 20' or larger) showing:
Pond Detail
- Side slopes, 3:1 or lower,
- Pretreatment and treatment areas, and
-Inlet and outlet structures,
Sheet C26
4. If the basin is used for sediment and erosion control during construction, clean out of the basin is specified
`
/
Pond Detail
on the plans prior to use as a wet detention basin.
Calculations
5. A table of elevations, areas, incremental volumes & accumulated volumes for overall pond and for Forebay,
to verify volume provided.
Sheet C26
6. A construction sequence that shows how the wet detention basin will be protected from sediment until the
Pond Detail
entire drainage area is stabilized.
7. The supporting calculations.
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
9. A copy of the deed restrictions (if required).
10. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. County
soil maps are not an acceptable source of soils information.
Form SW401-Wet Detention Basin-Rev.9-9/17/09 Part III. Required Items Checklist, Page 1 of 1

,tr'
Red triangles at the upper right hand comer indicate design comments
Please complete the yellow shaded items. -
YM
AM
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATI,
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER - VEGETATED FILTER STRIP (LS
This form must be completely filled out, printed, initialed,
Project name
Contact name
Phone number
Date
Drainage area number
The purpose of the LS-VFS
Stormwater enters LS-VFS from
Type of VFS
Explanation of any "Other" responses above
If Stormwater Enters the LS-VFS from the Drainage Area
Drainage area
Impervious surface area
Percent impervious
Rational C coefficient
Peak now from the 1 inmr storm
Time of concentration
Rainfall intensity, 10-yr stone
Peak flow from the 10-yr storm
Design stone
Maximum amount of flow directed to the LS-VFS
Is a flow bypass system going to be used?
Explanation of any "Other" responses above
If Stormwater Enters the LS-VFS from a BMP
Type of BMP
Peak discharge from the BMP during the design done
Peak discharge from the BMP during the 10-year storm
Maximum capacity of a 100-foot long LS-VFS
Peak flow directed to the LS-VFS
Is a now bypass system going to be used?
Explanation of any "Other' responses above
Lake Rim North
John Prevette
910-223-7766
June 2, 2011
From Wet Detention Basin -------------- -
SW Rule: 10-year drawdown from Wet Pond
A BMP
Wooded slormwater setback (slope < 5%)
ft2
Do not complete this section of the form.
h2
Do not complete this section of the form.
%
Do not complete this section of the form.
Do not complete this section of the forth.
cfs
Do not complete this section of the form.
min
Do not complete this section of the form.
inlhr
Do not complete this section of the form.
CIS
Do not complete this section of the form.
Pick one:
crs Do not complete this section of the form.
(Y or N) Do not complete this section of the form.
Wet detention pond
0.5 cfs
72 cfs
2 cfs
1.9 cfs
Y (Y or N)
Forth SW401 - LS-VFS - 29Nov2010 - Rev.8 page 1 of 3

LS-VFS Design
Forebay surface area
Depth of forebay at stonmwater entry point
Depth of forebay at stormwater exit point
Feet of level lip needed per cfs
Computed minimum length of the level lip needed
Length of level lip provided
Width of VFS
Elevation at downslope base of level lip
Elevation at the end of the VFS that is farthest from the LS
Slope (from level lip to the end of the VFS)
Are any draws present in the VFS?
Is there a collector swale at the end of the VFS?
Bypass System Design (if applicable)
Is a bypass system provided?
Is there an engineered Flow splitting device?
Dimensions of the channel (see diagram below):
M
B
W
y (Flow depth for 10-year storm)
freeboard (during the 10-year stone)
Peak velocity in the channel during the 10-yr storm
Channel lining material
Does the bypass discharge through a wetland?
Does the channel enter the stream at an angle?
Explanation of any 'Other' responses above
NIA
sq ft
No forebay is required.
NIA
in
Too deep.
NIA
in
Too deep.
50
fVcfs
95
ft
100
ft
70
It
159.80
fmsl
157.50
fmsl
3.29
%
N
(Y or N)
OK
N
(Y or N)
Y - Pond Riser (Y or N)
(Y or N)
ft
ft
ft
tt
tt
ft/sec
Pick one:
(Y or N)
\\'
j R y
Forth S W401 - LS-VFS - 29Nov2010 - Rev.8 page 2 of 3

III. REQUIRED ITEMS CHECKLIST
EDIT 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.
Requried hem:
1. Plans (1' - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable), l
- Delineated drainage basins (include Rational C coefficient per basin),
- Forebay (if applicable),
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW), and
- Boundaries of drainage easement.
2. Plan details (1' = 30' or larger) for the level spreader showing:
- Forebay (if applicable),
- High flow bypass system,
- One foot topo lines between the level lip and top of stream bank,
- Proposed drainage easement, and
- Design at ultimate build -out.
3. Section view of the level spreader (1' = 20' or larger) showing:
- Underdrain system (if applicable), /
- Level lip,
- Upslope channel, and
- Downslope filter fabric.
4. Plan details of the flow splitting device and supporting calculations (if applicable).
5. A construction sequence that shows how the level spreader will be protected from
sediment until the entire drainage area is stabilized. /
6. If a non -engineered VFS is being used, then provide a photograph of the VFS showing
that no draws are present.
7. The supporting calculations.
8. A copy of the signed and notarized operation and maintenance (08M) agreement.
0
In"V Page or plan sheet number and any notes:
�c>
Sheet CO3 (Drainage Plan)
�G!
Sheet C25 (Pond Detail)
Sheet C25 (Pond Detail)
Sheet C25 (Pond Detail)
Sheet C25 (Pond Detail)
No calculations were needed other than this form
Form SW401 - LS-VFS - 29Nov2010 - Rev.8
page 3 of 3

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Filter Strip, Restored Riparian Buffer and Level Spreader
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:
— Immediately after the filter strip is established, any newly planted vegetation
will be watered twice weekly if needed until the plants become established
(commonly six weeks).
— Once a year, the filter strip will be reseeded to maintain a dense growth of
vegetation
— Stable groundcover will be maintained in the drainage area to reduce the
sediment load to the vegetation.
— Two to three times a year, grass filter strips will be mowed and the clippings
harvested to promote the growth of thick vegetation with optimum pollutant
removal efficiency. Turf grass should not be cut shorter than 3 to 5 inches and
may be allowed to grow as tall as 12 inches depending on aesthetic requirements
(NIPC, 1993). Forested filter strips do not require this type of maintenance.
— Once a year, the soil will be aerated if necessary.
— Once a year, soil pH will be tested and lime will be added if necessary.
After the filter strip is established, it will be inspected quarterly and within 24 hours
after every storm event greater than 1.0 inch (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 filter strip
Trash/debris is present.
Remove the trash/debris.
system
The flow splitter device
(if applicable)
The Flow splitter device is
clogged.
Unclog the conveyance and dispose
of any sediment off -site.
The Flow splitter device is
Make any necessary repairs or
damaged.
replace if damage is too large for
repair.
Form SW U401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page I of 3

BMP element:
Potentialproblem:
How 1 will remediate theproblem:
The swale and the level
The swale is clogged with
Remove the sediment and dispose
lip
sediment.
of it off -site.
The level lip is cracked,
Repair or replace lip.
settled, undercut, eroded or
otherwise damaged.
There is erosion around the
Regrade the soil to create a berm
end of the level spreader that
that is higher than the level lip, and
shows stormwater has
then plant a ground cover and
bypassed it.
water until it is established. Provide
lime and a one-time fertilizer
application.
Trees or shrubs have begun
Remove them.
to grow on the swale or just
downslo e of the level lip.
The bypass channel
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then
reestablish proper erosion control.
Turf reinforcement is
Study the site to see if a larger
damaged or ripap is rolling
bypass channel is needed (enlarge if
downhill.
necessary). After this, reestablish
the erosion control material.
The filter strip
Grass is too short or too long
Maintain grass at a height of
f applicable).
approximately three to six inches.
Areas of bare soil and/or
Regrade the soil if necessary to
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.
Sediment is building up on
Remove the sediment and
the filter strip.
restabilize the soil with vegetation if
necessary. Provide lime and a one-
time fertilizer application.
Plants are desiccated.
Provide additional irrigation and
fertilizer as needed.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application.
Nuisance vegetation is
Remove vegetation by hand if
choking out desirable species.
possible. If pesticide is used, do not
allow it to get into the receiving
water.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality local Regional Office, or the
outlet. 1
401 Oversight Unit at 919-733-1786.
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 2 of 3

Permit Number:
(to be provided by DWQ)
1 acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. 1 agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Lake Rim North
BMA drainage area number:From Wet Detention Basin
Print name:Harold Kidd
Title:Mana ingMember: K&G Developers, LLC
Address:6885 Cliffdale Rd. Fayetteville, NC 28348
Date: S -3 �_ 2'nl t l
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, E�1C\y' t *W . &(DD `1 e r a Notary Public for the State of
Geer-Vln l aif ;vw., County of do hereby certify that
"o-,re�A V-,, A personally appeared before me this 311
day of Mc,\j o L , and acknowledge the due execution of the
forgoing filter strip, riparian buffer, and/or level spreader maintenance requirements.
Witness my hand and official seal,
T H
SEAL
My commission expires L 044er `ZOtq
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 3 of 3