SW8220604_Current Permit_20220715

ROTC COOPER
Governor
ELIZABETH. S.. BISER
Secretary
BRIAN WRENN
Director
July 15, 2022
NORTH CAROLINA
Enywomn."W Quafity
Saucepan Creek, LLC
Attn- Denver Ralph Huff, III, Manager
c/o Bryant Spencer, Authorized Signatory
2919 Breezewood Ave, Suite 100
Fayetteville, NC 28303
Subject: Post -Construction Stormwater Management Permit No. SW8 220604
Saucepan Bay Estates
High Densriy Subdivision Project
Brunswick County
Dear Mr. Spencer:
The Division of Energy, Mineral and Land Resources received a complete Post -Construction Stormwater
Managgement Permit Application for the subject project on July 12, 2022. Staff review of the plans and
specifications has determmed that the project, as proposed, complies with the Stormwater Regulations set forth in
Title 15A NCAC 2H.1000 amended on January 1, 2017 2017 Rules). We are hereby forwarding Permit No.
SW8 220604 dated July 15, 2022, for the construction, operation and maintenance of the built -upon areas (BUA)
and. stormwater control measures (SCMs) associated with the subject project.
This permit shall be effective from the date of issuance until July 15, 2030 and does not supersede any other
agency permit that may be required. The project shall be subject to the conditions and limitations. as specified
therein. Failure to comply with these requirements will result in future compliance problems. Please note that
this permit is not transferable except after notice to and approval by the Division.
Per G.S. 143-214.7(c3), The Division shall not require the use of stormwater retention ponds, stormwater
detention ponds, or any other stormwater control measure that promotes standing water in order to comply with
the FAA Advisory Circular No. 150/5200-33B at public airports that support commercial air carriers or general
aviation services, and at development protects within 5 miles of those airports. This project is being permitted
consistent with S.L. 2012-200 based on the permittee's and engineer's choice to use a wet detention pond.
If an parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request
an adjudicatory hearing by filing a written ppetition with the Office of Administrative Hearings (OAH). The
written petition must conform to Chapter 150B of the North Carolina General Statutes and must be filed with the
OAH within thirty 30) days of receipt of this permit. You should contact the OAH with all questions regarding
the filing fee (if a filing fee is required and/or the details of the filing process at 6714 Mail Service Center,
Raleigh NC 2, )-6 14 or via telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless
such demands are made this permit shall be final and binding:
If you have an questions concerning this permit, please contact Jessie Edmonds in the Wilmington Regional
Office, at (910� 796-7215 or [e-mail].
Sincerely,
�t
A- Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
Enclosures: Attachment A — Designer's Certification Form
Application Documents
DES/jme: %Stormwater\Permits & Projects\2022\220604 HD\2022 07 permit 220604
cc: Joseph K. Bland, PE; Norris & Tunstall Consulting Engineers, PC
Brunswick County Engineering
NCDOT District Engineer
Wilmington Regional Office Stormwater File
North Carolina Department of Environmental: (luallty I Division of Energy, Mineral and Land Resources
Wilmington Regional Offire I VW Cardinal Drive Enension I Wilmington, North Carolina 28405
910.79&72t5

Post -Construction Stormwater Management
Permit No. SW8 220604
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST -CONSTRUCTION STORMWATER MANAGEMENT PERMIT
HIGH DENSITY SUBDIVISION DEVELOPMENT
In compliance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations promulgated and adopted by the North
Carolina Environmental Management Commission, including 15A NCAC 02H.1000 amended on
January 1, 2017 (2017 Rules) (the "stormwater rules"),
PERMISSION IS HEREBY GRANTED TO
Saucepan Creek, LLC
Saucepan Bay Estates
Intersection of Beach Drive and Bricklanding Road, Shallotte, Brunswick County
FOR THE
construction, management, operation and maintenance of built -upon area (BUA) draining to two (2)
wet detention ponds, two (2) sand filters, and one (1) infiltration system ("stormwater control
measures" or "SCMs") discharging to Class SA-HQW waters as outlined in the application, approved
stormwater management plans, supplement, calculations, operation and maintenance agreement,
recorded documents, specifications, and other supporting data (the "approved plans and
specifications") as attached and/or on file with and approved by the Division of Energy, Mineral and
Land Resources (the "Division" or "DEMLR"). 'The project shall be constructed, operated and
maintained in accordance with these approved plans and specifications. The approved plans and
specifications are incorporated by reference and are enforceable part of this permit.
This permit shall be effective from the date of issuance until July 15, 2022 and shall be subject to the
following specified conditions and limitations. The permit issued shall continue in force and effect until
the permittee files a request with the Division for a permit modification, transfer, renewal, or
rescission; however, these actions do not stay any condition_ 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 for cause as allowed by the laws, rules, and regulations contained in Title 15A
NCAC 2H.1000 and NCGS 143-215.1 et.al.
BUA REQUIREMENTS. The maximum amount of BUA allowed for the entire project is 716,855
square feet. The runoff from all BUA within the permitted high density drainage areas of this
project must be directed into the permitted SCMs. The BUA requirements and allocations for
this project are as follows:
a. SCM BUA LIMITS. The SCMs labeled DA1, DA2, DA3, DA4, and DA5 have been designed
to handle the runoff from 354,026; 71,989; 67,359; 139,712; and 75,969 square feet of BUA,
respectively, within the delineated drainage areas. The BUA for future development within
the drainage areas to the SCMs labeled DA1, DA2, DA3, DA4, and DA5 is limited to 14,200;
1,000; 2,950; 8,100; and 2,300 square feet, respectively. This permit approves 7,800 square
feet of BUA that was not able to be collected and treated in an SCM due to NCDOT grading
to bypass the system_
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Post -Construction Stormwater Management
Permit No. SW8 220604
b. BUA FOR INDIVIDUAL LOTS. Each of the 121 lots are limited to a maximum of 3,800
square feet of BUA, as indicated in the approved plans and specifications. The maximum
BUA assigned to each lot via this permit and the recorded deed restrictions and
protective covenants may not be increased or decreased by either the individual lot
owner or the permittee unless and until the permittee notifies the Division and obtains
written approval from the Division.
c. CAMA AECs. Where a project or lot is located within CAMA's Area of Environmental
Concern (AEC), the Division of Coastal Management (DCM) may calculate a different
maximum BUA based on CAMA regulations. The more restrictive BUA limit will apply to the
project.
2. PERVIOUS AREA IMPROVEMENTS. At this time, none of the pervious area improvements
listed in G.S. 143-214.7(b2) or the Stormwater Design Manual have been proposed for this
project. Pervious area improvements will be allowed in this project if documentation is provided
demonstrating those improvements meet the requirements of the stormwater rule.
3. SCM REQUIREMENTS. The SCM requirements for this project are as follows:
a. SCM DESIGN. The SCMs are permitted based on the design criteria presented in the
sealed, signed and dated supplement and as shown in the approved plans and
specifications. These SCMs must be provided and maintained at the design condition.
b. SCM DESIGN FOR SA WATER. The SCM(s) provide(s) runoff treatment for the difference
between the pre- and post -development runoff volumes for the one-year, 24-hour storm
event and have demonstrated that it is not feasible to meet the minimum design criteria for
an infiltration system. The stormwater is filtered through a minimum of 18 inches of sand
prior to discharge. The discharge is directed to a level spreader — filter strip and the excess
runoff is released at a non -erosive velocity at the edge of the vegetated setback or to an
existing stormwater drainage system.
c. PLANTING PLAN. The SCM landscape planting plan shown in the approved plans shall be
followed in its entirety during construction. After the plants are established, the operation
and maintenance agreement must be followed.
d. FOUNTAINS. At this time, a decorative spray fountain has not been proposed within the wet
pond. Decorative spray fountains will be allowed in the wet pond if documentation is
provided demonstrating that the proposed fountain will not cause resuspension of sediment
within the pond or cause erosion of the pond side slopes_
e. IRRIGATION. If the wet pond is to be used for irrigation, it is recommended that some water
be maintained in the permanent pool, the vegetated shelf is planted with appropriate species
that can handle fluctuating conditions, and human health issues are addressed.
f. PRETREATMENT. The following pretreatment device(s) has (have) been provided to
prevent clogging in the infiltraion SCMs: sump in catch basin.
g. SAND FILTER MEDIA MAINTENANCE: The sand filter shall be maintained in a manner that
results in a drawdown of at least two inches per hour at that sand surface.
4. STORMWATER OUTLETS. The peak flow from the 10-year storm event shall not cause
erosion downslope of the discharge point.
5. VEGETATED SETBACKS. A 50400t wide vegetative setback must be provided and maintained
in grass or other vegetation adjacent to all surface waters as shown on the approved plans. The
setback is measured horizontally from the normal pool elevation of impounded structures, from
the top of bank of each side of streams or rivers, and from the mean high waterline of tidal
waters, perpendicular to the shoreline.
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Post -Construction Stormwater Management
Permit No. SW8 220604
a. BUA IN THE VEGETATED SETBACK. BUA may not be added to the vegetated setback
except as shown on the approved plans or in the following instances where the BUA has
been minimized and channelizing runoff from the BUA is avoided:
i. Water dependent structures; and
ii. Minimal footprint uses such as poles, signs, utility appurtenances, and security
lights that cannot practically be located elsewhere.
b. RELEASE OF STORMWATER NOT TREAT ED IN AN SCM. Stormwater that is not treated
in an SCM must be released at the edge of the vegetated setback and allowed to flow
through the setback as dispersed flow.
6. RECORDED DOCUMENT REQUIREMENTS. The stormwater rules require the following
documents to be recorded with the Office of the Register of Deeds prior to the sale of individual
lots or groups of lots:
a. EASEMENTS. All SCMs, stormwater collection systems, vegetated conveyances, and
maintenance access located on property owned by other persons or entities must be located
in permanent recorded easements or drainage easements as shown on the approved plans.
b. OPERATION AND MAINTENANCE AGREEMENT. The operation and maintenance
agreement must be recorded with the Office of the Register of Deeds.
c. FINAL PLATS. If a final plat is recorded, it must reference the operation and maintenance
agreement and must also show all public rights -of -way, dedicated common areas, and/or
permanent drainage easements, in accordance with the approved plans.
d. DEED RESTRICTIONS AND PROTECTIVE COVENANTS. The permittee shall record deed
restrictions and protective covenants prior to the issuance of a certificate of occupancy to
ensure the permit conditions and the approved plans and specifications are maintained in
perpetuity. Recorded deed restrictions and protective covenants must include, at a minimum,
the following statements related to stormwater management:
i. The following covenants are intended to ensure ongoing compliance with
Stormwater Management Permit Number SW8 220604, as issued by the Division of
Energy, Mineral and Land Resources (the "Division") under 15A NCAC 02H.1000,
effective January 1, 2017.
ii. The State of North Carolina is made a beneficiary of these covenants to the extent
necessary to maintain compliance with the Stormwater Management Permit.
iii. These covenants are to run with the land and be binding on all persons and parties
claiming under them.
iv. The covenants pertaining to stormwater may not be altered or rescinded without
the express written consent of the Division.
V. Alteration of the drainage as shown on the approved plans may not take place
without the concurrence of the Division.
vi. The maximum built -upon area (BUA) per lot is 3,800 square feet. This allotted
amount includes any BUA 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
not shown on the approved plans. BUA has the same meaning as G.S. 143-214.7,
as amended.
vii. For those lots within the CAMA Area of Environmental Concern, where DCM
calculates a different maximum lot BUA, the governing maximum lot BUA shall be
the more restrictive of the two amounts.
viii. The maximum allowable BUA shall not be exceeded on any lot until the permit is
modified to ensure compliance with the stormwater rules, permit, and the approved
plans and specifications.
ix. All runoff from the BUA on the lot must drain into the permitted system. This may
be accomplished via grading, a stormwater collection system and/or a vegetated
conveyance.
X. A 50-foot 50-foot wide vegetative setback must be provided and maintained
adjacent to all surface waters in accordance with 15A NCAC 02H.1003(4) and the
approved plans.
xi. Any individual or entity found to be in noncompliance with the provisions of a
stormwater management permit or the requirements of the stormwater rules is
subject to enforcement procedures as set forth in NCGS 143, Article 21.
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Post -Construction Stormwater Management
Permit No. SW8 220604
7. CONSTRUCTION. During construction, erosion shall be kept to a minimum and any eroded
areas of the on -site stormwater system will be repaired immediately.
a. PROJECT CONSTRUCTION, OPERATION AND MAINTENANCE. During construction, all
operation and maintenance for the project shall follow the Erosion Control Plan requirements
until the Sediment -Erosion Control devices are converted to SCMs or no longer needed.
Once the device is converted to a SCM, the permittee shall provide and perform the
operation and maintenance as outlined in the applicable section below.
b. SCM RESTORATION. If one or more of the SCMs are used as an Erosion Control device
and/or removed or destroyed during construction, it must be restored to the approved design
condition prior to close-out of the erosion control plan and/or project completion and/or
transfer of the permit. Upon restoration, a new or updated certification will be required for the
SCM(s) and a copy must be submitted to the appropriate DEQ regional office.
8. MODIFICATIONS. No person or entity, including the permittee, shall alter any component
shown in the approved plans and specifications. Prior to the construction of any modification to
the approved plans, the permittee shall submit to the Director, and shall have received approval
for modified plans, specifications, and calculations including, but not limited to, those listed
below. For changes to the project or SCM that impact the certifications, a new or updated
certification(s), as applicable, will be required and a copy must be submitted to the appropriate
DEQ regional office upon completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size including the
SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
c. Further development, subdivision, acquisition, lease or sale of any, all or part of the project
and/or property area as reported in the approved plans and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), stormwater collection system and/or vegetative
conveyance shown on the approved plan.
e. The construction of any allocated future BUA.
f. Adding the option to use infiltrating permeable pavement or #57 stone within the lots as a
pervious surface. The request may require a proposed amendment to the deed restrictions
and protective covenants for the subdivision to be submitted and recorded.
g. The construction of any infiltrating permeable pavement, #57 stone area, public trails, or
landscaping material within the common areas to be considered a pervious surface that
were not included in the approved plans and specifications.
h. Other modifications as determined by the Director.
9. DESIGNER'S CERTIFICATION. Upon completion of the project, the permittee shall determine if
the project is in compliance with the approved plans and take the necessary following actions:
a. If the permittee determines that the project is in compliance with the approved plans, then
within 45 days of completion, the permittee shall submit to the Division one hard copy and
one electronic copy of the following:
i. The completed and signed Designer's Certification provided in Attachment A
noting any deviations from the approved plans and specifications. Deviations
may require approval from the Division;
ii. A copy of the recorded operation and maintenance agreement;
iii. Unless already provided, a copy of the recorded deed restrictions and
protective covenants; and
iv. A copy of the recorded plat delineating the public rights -of -way, dedicated
common areas and/or permanent recorded easements, when applicable.
b. If the permittee determines that the project is not in compliance with the approved plans, the
permittee shall submit an application to modify the permit within 30 days of completion of the
project or provide a plan of action, with a timeline, to bring the site into compliance.
10. OPERATION AND MAINTENANCE. The permittee shall provide and perform the operation and
maintenance necessary, as listed in the signed operation and maintenance agreement, to
assure that all components of the permitted on -site stormwater system are maintained at the
approved design condition. The approved operation and maintenance agreement must be
followed in its entirety and maintenance must occur at the scheduled intervals.
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Post -Construction Stormwater Management
Permit No. SW8 220604
a. CORRECTIVE ACTIONS REQUIRED. If the facilities fail to perform satisfactorily, the
permittee shall take immediate corrective actions. This includes actions required by the
Division and the stormwater rules such as the construction of additional or replacement on -
site stormwater systems. These additional or replacement measures shall receive a permit
from the Division prior to construction.
b. MAINTENANCE RECORDS. Records of maintenance activities must be kept and made
available upon request to authorized personnel of the Division. The records will indicate the
date, activity, name of person performing the work and what actions were taken.
11 PERMIT RENEWAL. A permit renewal request must be submitted at least 180 days prior to the
expiration date of this permit. The renewal request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H.1045(3).
12. CHANGES TO THE PROJECT NAME, PERMITTEE NAME OR CONTACT INFORMATION.
The permittee shall submit a completed Permit Information Update Application Form to the
Division within 30 days to making any one of these changes.
13. TRANSFER. This permit is not transferable to any person or entity except after notice to and
approval by the Director. Neither the sale of the project and/or property, in whole or in part, nor
the conveyance of common area to a third party constitutes an approved transfer of the permit.
a. TRANSFER REQUEST. The transfer request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H.1045(2). This request
must be submitted within 90 days of the permit holder meeting one or more of the following:
i. A natural person who is deceased;
ii. A partnership, limited liability corporation, corporation, or any other business
association that has been dissolved;
iii. A person or entity who has been lawfully and finally divested of title to the property
on which the permitted activity is occurring or will occur through foreclosure,
bankruptcy, or other legal proceeding.
iv. A person or entity who has sold the property, in whole or in part, on which the
permitted activity is occurring or will occur, except in the case of an individual
residential lot sale that is made subject to the recorded deed restrictions and
protective covenants;
V. The assignment of declarant rights to another individual or entity;
vi. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association, subject to the requirements of NCGS 143-214.7(c2);
b. TRANSFER INSPECTION. Prior to transfer of the permit, a file review and site inspection
will be conducted by Division personnel to ensure the permit conditions have been met and
that the project and the on -site stormwater system complies with the permit conditions.
Records of maintenance activities performed to date may be requested. Projects not in
compliance with the permit will not be transferred until all permit and/or general statute
conditions are met.
14. COMPLIANCE. The permittee is responsible for complying with the terms and conditions of this
permit and the approved plans and specifications until the Division approves the transfer
request.
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Post -Construction Stormwater Management
Permit No. SW8 220604
a. REVIEWING AND MONITORING EACH LOT FOR COMPLIANCE. The permittee is
responsible for verifying that the proposed BUA on each individual lot, within each drainage
area and for the entire project does not exceed the maximum amount allowed by this permit.
The permittee shall review all individual lot plans for new construction and all subsequent
modifications and additions for compliance. The plans reviewed must include all proposed
BUA, grading, and driveway pipe placement. The permittee shall not approve any lot plans
where the maximum allowed BUA limit has been exceeded or where modifications are
proposed to the grading and/or to the stormwater collection system and/or to the vegetated
conveyance unless and until a permit modification has been approved by the Division. The
permittee shall review and routinely monitor the project and each lot to ensure continued
compliance with the conditions of the permit, the approved plans and specifications, and the
recorded deed restrictions and protective covenants. The permittee shall notify any loft
owner that is found to be in noncompliance with the conditions of this permit in writing and
shall require timely resolution-
b. ARCHITECTURAL REVIEW BOARD (ARB) OR COMMITTEE (ARC). The permittee may
establish an ARB or ARC or other group to conduct individual lot reviews on the permittee's
behalf. However, any approval given on behalf of the permittee does not relieve the
permittee of the responsibility to maintain compliance with the conditions of the permit and
the approved plans and specifications.
c. APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable recorded
documents, and specifications shall be maintained on file by the permittee at all times.
d. MAINTENANCE ACCESS. SCMs, stormwater collection systems, and vegetated
conveyances must be accessible for inspection, operation, maintenance and repair as
shown on the approved plans.
e. DIVISION ACCESS. The permittee grants Division Staff permission to enter the property
during normal business hours to inspect all components of the permitted project.
f. ENFORCEMENT. Any individual or entity found to be in noncompliance with the provisions
of a stormwater management permit or the requirements of the stormwater rules is subject to
enforcement procedures as set forth in NCGS 143 Article 21.
g. ANNUAL CERTIFICATION. The permittee shall electronically submit to the Division an
annual certification completed by either the permittee or their designee confirming the
projects conformance with permit conditions.
h. OBTAINING COMPLIANCE. 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 modified plans and certification in writing to the Director that the changes have
been made.
OTHER PERMITS. The issuance of this permit does not preclude the permittee from
obtaining and complying with any and all other permits or approvals that are required for this
development to take place, as required by any statutes, rules, regulations, or ordinances,
which are imposed by any other Local, State or Federal government agency having
jurisdiction. Any activities undertaken at this site that cause a water quality violation or
undertaken prior to receipt of the necessary permits or approvals to do so are considered
violations of NCGS 143-215.1, and subject to enforcement procedures pursuant to NCGS
143-215.6.
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Post -Construction Stormwater Management
Permit No. SW8 220604
Permit issued this the 15th day of July 2022.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Brian Wrenn, Di'ract6r
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 220604
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Post -Construction Stormwater Management
Permit No. SW8 220604
Attachment A
Certification Forms
The following blank Designer Certification forms are included and specific for this project:
• As -Built Permittee Certification
• As -Built Designer's Certification General MDC
• As -Built Designer's Certification for Infiltration Project
• As -Built Designer's Certification for Wet Detention Pond Project
• As -Built Designer's Certification for Sand Filter Project
• As -Built Designer's Certification for Level Spreader and Vegetated Filter Strip MDC
A separate certification is required for each SCM. These blank certification forms may be copied and
used, as needed, for each SCM and/or as a partial certification to address a section or phase of the
project.
Page 1 of 1

Post -Construction Stormwater Management
Permit No. SW8 220604
AS -BUILT PERMITTEE CERTIFICATION
I hereby state that I am the current permittee for the project named above, and I certify by my
signature below, that the project meets the below listed Final Submittal Requirements found in NCAC
02H.1042(4) and the terms, conditions and provisions listed in the permit documents, plans and
specifications on file with or provided to the Division.
H
Check here if this is a partial certification. Section/phase/SCM #?
Check here if this is part of a Fast Track As -built Package Submittal.
Printed Name
Signature
I, , a Notary Public in the State of
County of
personally appeared before me this
do hereby certify that
day of
and acknowledge the due execution of this as -built certification. (SEAL)
Witness my hand and official seal
My commission expires
20
Permittee's Certification NCAC .1042(4) - -
campreta��N/A
prov,
A. DEED RESTRICTICNS / BUA RECORDS
1. The deed restrictions and protective covenants have been recorded
Y or N
and contain the necessary language to ensure that the project is
maintained consistent with the stormwater regulations and with the
permit conditions.
2. A copy of the recorded deed restrictions and protective covenants
Y or N
has been provided to the Division.
3. Records which track the BUA on each lot are being kept. (See Note
Y or N
1
B. MAINTENANCE ACCESS
_
_
1. The SCMs are accessible for inspection, maintenance and repair.
Y or N
2. The access is a minimum of 10 feet wide.
Y or N
3. The access extends to the nearest public right-of-way.
Y or N
C. EASEMENTS
1. The SCMs and the components of the runoff collection / conveyance
Y N
system are located in recorded drainage easements.
or
2. A copy of the recorded plat(s) is provided.
Y or N
D. SINGLE FAMILY RESIDENTIAL LOTS - flats for residential lots that
Y N
here an SCM mr.ludie the foliowing:
1. The specific location of the SCM on the lot.
_
Y or N
2. A typical detail for the SCM.
Y or N
3. A note that the SCM is required to meet stormwater regulations and
that the lot owner is subject to enforcement action as set forth in
Y N
NCGS 143 Article 21 if the SCM is removed, relocated or altered
or
without prior approval.
E. OPERATION AND MAINTENANCE AGREEMENT
Y or N
_
1. The O&M Agreement is referenced on the final recorded plat. _
Y or N
2. The O&M Agreement is recorded with the Register of Deeds and
Y N
appears in the chain of title.
or
F. ION AN MAINTENA ltr FLAN — m.-�Intenance records are
[
being kept in a known set iocaUci n for each SCM and are available for
I Y or N
review.
1.
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Post -Construction Stormwater Management
Permit No. SW8 220604
N/A
Provided ,
Y or
Note 1- Acceptable records include ARC approvals, as -built surveys, and county tax records.
Provide an explanation for every requirement that was not met, and for every "NIA" below. Attach
additional sheets as needed.
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Post -Construction Stormwater Management
Permit No. SW8 220604
AS -BUILT DESIGNER'S CERTIFICATION GENERAL MDC
I hereby state that I am a licensed professional and I certify by my signature and seal below, that
have observed the construction of the project named above to the best of my abilities with all due care
and diligence, and that the project meets the below listed General MDC found in NCAC 02H.1050 in
accordance with the permit documents, plans and specifications on file with or provided to the
Division, except as noted on the "AS -BUILT' drawings, such that the intent of the stormwater rules
and statutes has been preserved.
Check here if this is a partial certification. Section/phase/SCM #?
Check here if this is a part of a Fast -Track As -Built Package Submittal per. 1044(3).
Check here if the designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed
Name
NC Registration
Number Date
Signature.
Consultant's Mailing Address:
City/State/ZIP
Phone Number
Consultant's Email address:
iD Circle N if the as -built value differs from the Plan. If N is circled, provide an explanation on Page 2.
OWE = not evaluated (provide explanation on page 2) OO N/A = not applicable to this SCM or proiect.
Consultant's Certification NCs4C .1003((3) & General MDC
OAs-built
ON/E
I ONIA
.1050
�
A. TREATMENT REQUIREMENTS
1. The SCM achieves runoff treatment.
Y or N
2. The SCM achieves runoff volume match.
Y or N
3. Runoff from offsite areas and/or existing BUA is
Y or N
bypassed.
Y or N
4. Runoff from offsite areas and/or existing BUA is directed
into the permitted SCM and is accounted for at the full
build -out potential.
5. The project controls runoff through an offsite permitted
Y or N
SCM that meets the requirements of the MDC.
6. The net area of new BUA increase for an existing project
Y or N
has been accounted for at the appropriate design storm
level.
7. The SCM(s) meets all the specific minimum design
Y or N
criteria.
B. VEGETATED SETBACKS 1 BUA
Y or N
1. The width of the vegetated setback has been measured
from the normal pool of impounded waters, the MHW
line of tidal waters, or the top of bank of each side of
rivers or streams.
2. The vegetated setback is maintained in grass or other
Y or N
vegetation.
3. BUA that meets the requirements of NCGS 143-214.7
Y or N
b2 2 is located in the setback.
Page 3of12

Post -Construction Stormwater Management
Permit No. SW8 220604
®AS-t>udtt
i uN►'A
_ __
4 BUA that does not meet the requirements of NCGS 143-
Y or N
_®N/E
214.7 (b2)(2) is located within the setback and is limited
to:
a. Publicly funded linear projects (road, greenway
sidewalk)
b. Water -dependent structures
c. Minimal footprint uses (utility poles, signs, security
lighting and appurtenances)
5. Stormwater that is not treated in an SCM is released at
Y or N
the edge of the setback and allowed to flow through the
setback as dis ersed flow.
C. STORAWATER OUTLETS —the ini iripi hnnd7ie,,S the peak
Y or N
flow from the 10 year storm with no dowr.slo a erosion.
D. VARIATIONS
1. A variation (alternative) from the stormwater rule
Y N
provisions has been implemented.
or
2. The variation provides equal or better stormwater control
Y N
and equal or better erotection of surface waters.
_C0WL1ANCE WITH
or
-
. OTHER REGULATORY PROGRAMSY
has b � i met.
or N
F. SONG -the volume of the SUM takes the ruom a1
surfaces into account aril is sufficient to handle 'the regi.* d
Y or N
storm depth.
G. CONTAMINATED OIL — in ilt g S '�, are, not
_
Y or N
located in or on areas with contaminated soils.
_
H. SIDE SLOPES
1. Vegetated side slopes are no steeper than 3H:1 V.
Y or N
2. Side slopes include retaining walls, gabion walls, or
Y or V
other surfaces that are steeper than 3H:1 V.
3. Vegetated side slopes are steeper than 3H:1V (provide
Y or N
supporting documents for soils and vegetation).
I. EROSION PROTECTION
_
1. The inlets do not cause erosion in the SCM.
Y or N
2. The outlet does not cause erosion downslope of the
Y or N
discharge point during the peak flow from the 10 year
storm.
J. over�ow / bvepass has been
sided, i
Y or N
K DEWA IN —A method to drawdown st@nding water as
Y or N
j
been provided to facilitate maintenance and ins ctEon.
TI — t s SCIVI h2s, t,,een
Y cr N
cleaned Out and converted to its amoved design state.
M. MAINTENANCE ACCESS
1. The SCM is accessible for maintenance and repair.
Y or N
2. The access does not include lateral or incline slopes
Y or N
>3:1.
!�.DIE. SIGNER AL PI i+ON (FAST -TRACK PER. 1,
The designer is licensed under Chapter_ VA, 89C, 89E, or
Y or N
89 of the General StatL#as.
Provide an explanation for every MDC that was not met, and for every item marked "NIA" or "WE",
below. Attach additional pages as needed:
Page 4 of 12

Post -Construction Stormwater Management
Permit No. SW8 220604
AS -BUILT DESIGNER'S CERTIFICATION FOR INFILTRATION PROJECT
I hereby state that I am a licensed professional and I certify by my signature and seal below, that I
have observed the construction of the project named above to the best of my abilities with all due care
and diligence, and that the project meets all of the MDC found in NCAC 02H.1051 in accordance with
the permit documents, plans and specifications on file with or provided to the Division, except as
noted on the "AS -BUILT" drawings, such that the intent of the stormwater rules and the general
statutes has been preserved.
Check here if this is a partial certification. Section/phase/SCM #?
Check here if this is a part of a Fast -Track; ;s-Built Package Submittal per .1044(4).
Check here if the Designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed
Name
Signature,
NC Registration Number Date.
SEAL:
Consultant's Mailing Address:
City/State/ZIP
Phone Number
Consultant's Email address:
i0 Circle N if the as -built value differs from the Plan. If N is circled, provide an explanation on Page 2.
ON/E = not evaluated (provide explanation on page 2) GO N/A = not applicable to this project or SCM
This Certification must be completed in conjunction with the General MDC certification under NC_AC 02H.1050
LConsultant's Certification (MDC .10510 ®As-buOt ON/E j CPN/A
A. Inlets / P / Desion heaths I Elevations
1. Inlets are located per the approved plans.
Y or N
2. Pretreatment measures are provided? (Rooftop runoff
Y N
does not require re -treatment.
or
3. BASIN only — the area and depth of the basin is consistent
with the approved plans
4. TRENCH only- the provided width, length and height of the
trench are consistent with the approved plan.
5. TRENCH only- the provided length and size of the
perforated pipe is consistent with the approved plan.
6. The bottom elevation of the basin / trench is consistent
with the approved plans.
7. The bypass elevation is consistent with the approved plan.
8. The overflow elevation is consistent with the approved
Ian.
B. Solis I 81iV fT / Subgrade
_
1. The hydraulic properties of the insitu soils are in
Y N
accordance with the soils report.
or
2. The lowest point of the infiltration system is a minimum of
Y N
2 feet above the SHWT.
or
3. If separation to the SHWT is less than 1 foot, the water
Y N
table draws down to its re -storm level within 72 hours.
or
4. The slope of the soil subgrade is <= 2%.
Y or N
C. Drawdown TkneI
1. The system dewaters within 72 hours?
Y or N
Page 5of12

Post -Construction Stormwater Management
Permit No. SW8 220604
Q-�As-butt
GDN/E I CAN/A
2. The Insitu soils were removed and replaced with suitable
infiltration media to achieve the 72 hour drawdown.
Y or N
D. Obsmation Part — under nd systems, a minimum of
Y N
ors,ee- iris ctkm- port has been ov ad.
tail
I
Provide an explanation for every IVIDC that was not met, and for every item marked "N/A" or "N/E",
below. Attach additional pages as needed:
Page 6 of 12

Post -Construction Stormwater Management
Permit No. SW8 220604
AS -BUILT DESIGNER'S CERTIFICATION FOR WET DETENTION POND PROJECT
I hereby state that I am a licensed professional and I certify by my signature and seal below, that I
have observed the construction of the project named above to the best of my abilities with all due care
and diligence, and that the project meets all of the MDC found in NCAC 02H.1053, in accordance with
the permit documents, plans and specifications on file with or provided to the Division, except as
noted on the "AS -BUILT" drawings, such that the intent of the stormwater rules and the general
statutes has been preserved.
Check here if this is a partial certification. Section/phase/SCM #?
Check here if this is part of a Fast -Track As -Built Package Submittal per .1044(3).
Check here if the Designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed
Name
NC Registration Number.
SEAL:
Signature.
Consultant's Mailing Address:
City/State/Zl P
Phone Number
Consultant's Email address:
ip Circle N if the as -built value differs from the Plan/permit. If N is circled, provide an explanation on page 2
©N/E = not evaluated (provide explanation on page 2) GO N/A = not applicable to this project or SCM.
This Certification must be completed in conjunction with the General MDC certification under NCAC 02H.1050
Consultant's Certificabion (^Ae:DC .1053)
QUA$ -built
QN/E
ON/A
A. Forvbay / Depft t Fountain
1. The available Sediment storage is consistent with the
Y N
approved plan and is a minimum of 6 in.
or
2. Water flow over the forebay berm into the main pond
Y N
occurs at a non -erosive velocity.
or
3. The provided Forebay Volume is 15%-20% of the main
Y N
pool volume.
or
4. The Forebay entrance elevation is deeper than the exit
Y N
elevation into the pond.
or
5. The Average Design Depth of the main pond below the
permanent pool elevation is consistent with the permitted
Y or N
value,
6. Fountain documentation is provided.
Y or N
B. Side slopes i Banks / V®getaied Shelf
1. The width of the Vegetated Shelf is consistent with the
Y N
approved plans and is a minimum of 6 feet.
or
2. The slope of the Vegetated Shelf is consistent with the
Y N
approved plans and is no steeper than 6:1.
or
C. As-buiiR Main Pool J Areas !Vd, umes ! Elevations
i
l
1. The permanent pool surface area provided is consistent
with the permitted value.
Y or N
2. The Temporary Pool Volume provided is consistent with
Y N
the permitted value.
or
3. The permanent pool elevation is consistent with the
Y N
permitted value.
or
Page 7 of 12

Post -Construction Stormwater Management
Permit No. SW8 220604
i O ,<-built
ME
I ©NIA
4.
The temporary pool elevation is consistent with the
Y
N
permitted value.
or
D. Inkft I Outlet 1 Dravvdkwm
1.
The design volume draws down in 2-5 days.
Y
or
N
2.
The size of the Orifice is consistent with the permitted
Y
value.
or
N
3.
A trash rack is provided on the outlet structure.
Y
or
N
4.
Hydrologic impacts to the receiving channel are minimized
Y
N
from the 1 yr 24 hr storm discharge?
or
5.
The inlets and the outlet location are situated per the
Y
N
approved plan and avoid short-circuiting,
or
E. Veg ion
1.
The vegetated shelf has been planted with a minimum of 3
Y
N
_
diverse species.
or
2.
The vegetated shelf plant density is consistent with the
approved plans and is no less than 50 plants per 200 sf or
Y
or
N
no less than 24 inches on center.
Provide an explanation for every MDC that was not met, and for every item marked "N/A" or "N/E"
below. Attach additional pages as needed:
Page 8 of 12

Post -Construction Stormwater Management
Permit No. SW8 220604
AS -BUILT DESIGNER'S CERTIFICATION FOR SAND FILTER PROJECT
I hereby state that I am a licensed professional and I certify by my signature and seal below, that I
have observed the construction of the project named above to the best of my abilities with all due care
and diligence, and that the project meets all of the MDC found in NCAC 02H.1056, in accordance with
the permit documents, plans and specifications on file with or provided to the Division, except as
noted on the "AS -BUILT" drawings, such that the intent of the stormwater rules and the general
statutes has been preserved.
Check here if this is a partial certification. Section/phase/SCM #?
Check here if this is part of a Fast -Track As -Built Package Submittal per .1044(3).
Check here if the Designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed Na
NC Registration Number
SEAL:
Signature
Date
Consultant's Mailing Address:
City/State/ZIP
Phone Number
Consultant's Email address:
i0 Circle N if the as -built value differs from the Plan/permit. If N is circled, provide an explanation on page 2
OO N/E = not evaluated (provide explanation on page 2) ON/A = not applicable to this project or SCM.
This Certification must be completed in conjunction with the General MDC certification under NCAC 02H.1050
Cor" twt's Certification (MDC .1056) WAs-built
ON/E
I ©N/A
A Two -chambers stem
1. Does the Sand Filter include a Sediment chamber and a
Y N
Sand chamber?
or
2. The storage volume in each chamber is equivalent.
Y or N
3. The incoming stormwater is evenly distributed across the
Y N
surface of the sand.
or
B. Witmu / Elevations
1. The volume of water stored in the sediment chamber and on
top of the sand in the sand chamber is at least 0.75 times the
Y or N
treatment volume.
2. The elevation of the bypass device is set at or above the
Y N
ponding depth associated with the storage volume.
or
3. The ponding depth above the sand surface is six feet or less.
Y or N
C. Sand Media / Crawdown / SHWT
1. Does the sand media meet ASTM C33 or equivalent?
Y or N
2. The depth of the sand media is consistent with the approved
Y N
tans andspecs and is a minimum of 18".
or
3. The depth of the sand media over the underdrain is
consistent with the approved plans and specs and is a
Y or N
minimum of 12 inches.
4. The sand media provides a minimum drawdown of two
Y N
inches per hour at the sand surface.
or
5. Open -bottom design — the minimum separation to the SHWT
at the lowest point of the sand filter is consistent with the
Y or N
approved plans andspecs and is a minimum of 2 feet.
Page 9 of 12

Post -Construction Stormwater Management
Permit No. SW8 220604
®As-btAR
(ZN/E
SN/A
6. Closed -bottom design — The minimum separation to the
SHWT at the lowest point of the sand filter is consistent with
Y or N
the approved plans and is a minimum of 1 foot.
7. At least one capped clean -out pipe has been provided at the
low point of each underdrain.
Y or N
Provide an explanation for every MQC that was not met, or for every deviation from the permitted
condition below -
Page 10 of 12

Post -Construction Stormwater Management
Permit No. SW8 220604
AS -BUILT DESIGNER'S CERTIFICATION LEVEL SPREADER AND
VEGETATED FILTER STRIPS MDC
I hereby state that I am a licensed professional and I certify by my signature and seal below, that I
have observed the construction of the project named above to the best of my abilities with all due care
and diligence, and that the project meets the below listed Level Spreader and Vegetated Filter Strip
MDC found in NCAC 02H.1059 in accordance with the permit documents, plans and specifications on
file with or provided to the Division, except as noted on the "AS -BUILT' drawings, such that the intent
of the stormwater rules and statutes has been preserved.
Check here if this is a partial certification. Section/phase/SCM #?
Check here if this is a part of a Fast -Track As -Built Package Submittal per. 1044(3).
Check here if the designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed
Name
NC Registration
Number
Signature
_Date
Consultant's Mailing Address:
City/State/ZIP _
Phone Number
Consultant's Email address:
O Circle N if the as -built value differs from the Plan. If N is circled, provide an explanation on Page 2.
OO N/E = not evaluated (provide explanation on page 2) OO N/A = not applicable to this SCM or project.
Consultant's Certification NCAC 02H.1059 JAs-built
ON/E
ON/A
A. SIZING
1. The length of the Level Spreader is a minimum of 10 feet
Y or N
per 1 cfs.
2. The Level Spreader receives flow directly from the
Y or N
Drainage Area, and is sized based on the flowrate for a
design storm of 0.75 inches per hour.
3. The Level Spreader receives flow from an SCM and is
Y or N
sized based on the drawdown rate of the design volume.
4. The Level Spreader has a flow bypass system for larger
Y or N
storm events.
5. The Level Spreader is sized to handle the 10 year storm
Y or N
flow and does not provide a flow bypass system.
6. The minimum width of the Vegetated Filter Strip is 30
Y or N
feet measured perpendicular to the level lip.
7. A blind swale or other means of ponding water is
Y or N
provided u slo a of the Level Spreader.
8. The blind swale provides for uniform overtopping into the
Level Spreader.
B. LEVEL SPREADER SPECIFICATIONS
1. The lip of the Level Spreader is at a uniform elevation
Y or N
and has a construction tolerance of ±0.25 inches at any
point along its length.
2. The Level Spreader is constructed of concrete or other
Y or N
stable material.
Page 11 of 12

Post -Construction Stormwater Management
Permit No. SW8 220604
- -
aAs=+uat
(WE
TwA
3. Theshapeof the Level Spreader is straight or convex in
Y or N
Ian view.
4. Downslope of the Level Spreader, there is a 1-3 inch
Y or N
drop followed by a Transition Zone at least 12 inches
wide that is protected from erosion by aggregate or high
performance turf reinforcement matting.
C. FILTER STRIP SPECIFICATIONS
1. The filter strip does not contain any draws or channels.
Y or N
2. The filter strip has been graded with a uniform transvers
Y N
slope of eight percent or less.
or
3. The pH, compaction and other attributes of the first 12"
of soil within the filter strip have been adjusted to
promote plant establishment and growth.
4. The filter strip and side slopes have been planted with
non -clumping deep-rooted grass sod.
5. During construction, the soil was stabilized with
temporary measures until the permanent vegetation took
root, or the runoff was directed elsewhere until the
vegetation established.
Provide an explanation for every MDC that was not met, and for every item marked "N/A" or "N/E",
below. Attach additional pages as needed:
Page 12 of 12

Operation & Maintenance Agreement
Project Name:
Project Location:
Saucepan Bay Estates I 3
Brunswick County 'SW? a0 6 0
colier Page.
Maintenance records shall be kept on the following SCM(s). This maintenance record shall be kept in a log in a known set location.
Any deficient SCM 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 pollutant removal efficiency of the SCM(s).
The SCM(s) on this project include (check all that apply & corresponding O&M sheets will
Infiltration Basin quantity:
Infiltration Trench Quantity:
Bioretention Cell Quantity:
Wet Pond Quantity:
Stormwater Wetland Quantity:
Permeable Pavement Quantity:
Sand Filter Quantity:
Rainwater Harvesting Quantity:
Green Roof Quantity:
Level Spreader - Filter Strip Quantity:
Proprietary System Quantity:
Treatment Swale Quantity:
Dry Pond Quantity:
Disconnected Impervious Surface Present:
User Defined SCM Present:
Low Density Present:
2.
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Type:
14
2
No
No
No
oe aaaea automaticai
See Plans
CLICK TO UPDATE O&M MANUAL
1 acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each SCM above, and attached O&M tables. I agree to notify NCDEQ of any problems with the system or prior to any changes to
the system or responsible party.
Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
Sign
County o
personall
Bryant Spencer (RHH Land Investors, LLC)
Director of Land Development, Saucepan Creek, LLC
2919 Breezewood Ave., Suite 100
Fayetteville, NC 28303
910-486-4864
[e-mail]
Date: -,5-off -
e of rj C
fin, awl- ScaQ 0 er
�, W and
!'
acknowledge the due execution of the Oper ions and Maintenance Agreement.
Witness my hand and official seal,
JUIN 17
TAMMY T WATSOf�
NOTARY PUBLIC
Brunswick County
North Caroline
My Commission Expires Ma) 20, 2023
Seal My commission expires
S.a,v-ava3
STORM-EZ
5/20/2021
Version 1.5 O&M Agreement Page 1 of 1

Infiltration Basin Maintenance Requirements
Important operation and maintenance procedures:
- The drainage area will be carefully managed to reduce the sediment load to the infiltration basin.
No portion of the infiltration basin will be fertilized after the initial fertilization that is required to establish
- the vegetation. Lime may be allowed if vegetation is planted on the surface of the infiltration basin and a
soil test shows that it is needed.
- The vegetation in and around the basin will be maintained at a height of four to six inches.
After the infiltration basin is established, it will be inspected quarterly 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 shall be kept in a
known set location and shall be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
SCM element:
Potential problem:
How to remediate the problem:
The entire infiltration
Trash/debris is present.
Remove the trash/debris.
basin
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, plant ground
erosive gullies have
cover and water until it is established. Provide lime and a one -
The grass filter strip or
formed.
time fertilizer application.
other pretreatment area
Sediment has accumulated
Search for the source of the sediment and remedy the problem if
to a depth of greater than
possible. Remove the sediment and dispose of it in a location
three inches.
where it will not cause impacts to streams or the SCM.
Unclog the conveyance and dispose of any sediment in a location
The structure is clogged.
The flow diversion
where it will not cause impacts to streams or the SCM.
structure (if applicable)
Make any necessary repairs or replace if damage is too much for
The structure is damaged.
repair.
The inlet pipe is clogged (if
Unclog the pipe and dispose of any sediment in a location where
applicable).
it will not cause impacts to streams or the SCM.
The inlet pipe is cracked or
otherwise damaged (if
Repair or replace the pipe.
applicable).
The inlet device
Erosion is occurring in the
Regrade the swale if necessary and provide erosion control
swale (if applicable).
devices such as reinforced turf matting or riprap to avoid future
erosion problems.
Stone verge is clogged or
covered in sediment (if
Remove sediment and clogged stone and replace with clean
applicable).
stone.
More than four inches of
Search for the source of the sediment and remedy the problem if
sediment has accumulated.
possible. Remove the sediment and dispose of it in a location
where it will not cause impacts to streams or the SCM.
The basin
Erosion of the basin
surface has occurred or
Provide additional erosion protection such as reinforced turf
riprap is displaced.
matting or riprap if needed to prevent future erosion problems.
V A-_
Water is standing more
Replace the top few inches of soil to see if this corrects the
than three days after a
standing water problem. If not, consult an appropriate
17 21,'"
storm event.
professional for a more extensive repair.
r
a.
S�':�

Infiltration Basin Maintenance Requirements (continued)
SCM element:
Potential problem:
How to remediate the problem:
Shrubs or trees are
growing on the
Remove shrubs and trees immediately.
embankment.
An annual inspection by an
The embankment
appropriate professional
Make needed repairs immediately.
shows that the
embankment needs repair.
Clogging has occurred.
gg g
Clean out the outlet device and dispose of sediment in a location
where it will not cause impacts to streams or the SCM.
The outlet device
The outlet device is
Repair or replace the outlet device.
damaged
Erosion or other signs of
damage have occurred at
Repair the damage and improve the flow dissipation structure.
the outlet.
The receiving water
Discharges from the
infiltration basin are
causing erosion or
Contact the local NCDEQ Regional Office.
sedimentation in the
receiving water.
licz ��
--
rR AL

Wet PQnd.Maiintenance Requirements
Important operation and 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 pond should be fertilized after the initial fertilization that is required to establish
the plants on the vegetated shelf.
_ Stable groundcover will be maintained in the drainage area to reduce the sediment load to the wet
pond.
If the pond must be drained for an emergency or to perform maintenance, the flushing of sediment
through the emergency drain will be minimized as much as possible.
_ At least once annually, a dam safety expert will inspect the embankment. Any problems that are
found will be repaired immediately.
_ 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.
After the wet pond is established, it will be inspected quarterly and within 24 hours after every storm event greater
than 1.0 inches (or 1.6 inches if in a Coastal County). Records of operation and maintenance shall be kept in a
known set location and shall be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
SCM element:
Potential problem:
How to remed late the problem:
The entire wet pon. d
Trash/debris is present.
Remove the trash/debris.
The perimeter of the wet
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, plant ground
pond
erosive gullies have
cover and water until it is established. Provide lime and a one -
formed.
time fertilizer application.
The inlet pipe is clogged
(if applicable).
Unclog the pipe. Dispose of the sediment off -site.
The inlet pipe is cracked
The inlet device
or otherwise damaged (if
Repair or replace the pipe.
applicable).
Erosion is occurring in the
Regrade the swale if necessary and provide erosion control
swale (if applicable).
devices such as reinforced turf matting or riprap to avoid future
problems with erosion.
Sediment has
accumulated to a depth
Search for the source of the sediment and remedy the problem
greater than the original
if possible. Remove the sediment and dispose of it in a
design depth for sediment
location where it will not cause impacts to streams or the SCM.
storage.
The forebay
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.
s

Wet Pond Maintenance Reau%rements (Continued)
SCM element:
Potential problem:
How to remediate the problem:
Sediment has
accumulated to a depth
Search for the source of the sediment and remedy the problem
greater than the original
if possible. Remove the sediment and dispose of it in a
design sediment storage
location where it will not cause impacts to streams or the SCM.
depth.
Algal growth covers over
Consult a professional to remove and control the algal growth.
The main treatmer:t area
50 /o of the area.
Cattails, phragmites or
other invasive plants cover
Remove the plants by wiping them with pesticide (do not
j
50% of the basin surface.
spray).
Best professional
practices show that
pruning is needed to
Prune according to best professional practices.
maintain optimal plant
health.
Determine the source of the problem: soils, hydrology,
The vegetated shelf
Plants are dead, diseased
disease, etc. Remedy the problem and replace plants.
or dying.
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.
Shrubs have started to
Remove shrubs immediately.
grow on the embankment.
Evidence of muskrat or
Consult a professional to remove muskrats or beavers and
beaver activity is present.
repair any holes or erosion.
A tree has started to grow
on the embankment.
Consult a dam safety specialist to remove the tree.
The embankment
An annual inspection by
an appropriate
professional shows that
Make all needed repairs immediately.
the embankment needs
repair.
Clogging has occurred.
gg g
Clean out the outlet device and dispose of any sediment in a
location where it will not cause impacts to streams or the SCM.
The outlet device
The outlet device is
Repair or replace the outlet device.
damaged.
Weeds or volunteer trees
Remove the weeds or trees.
are growing on the mat.
Floating wetland island
(if applicable)
The anchor cable is
damaged, disconnected or
Restore the anchor cable to its design state.
missing.
RY ..

Wet Pond Maintenance Reauirements (Continued)
SCM element:
Potential problem:
How to remediate the problem:
Erosion or other signs of
damage have occurred at
Repair the damage and improve the flow dissipation structure.
the outlet.
Discharges from the wet
The receiving water
pond are causing erosion
Contact the local NCDEQ Regional Office.
or sedimentation in the
receiving water.

Wet Detention Pond Design Summary
WET POND ID FOREBAY MAIN POND
1 Permanent Pool El. 5.5 Permanent Pool El. 5.5
Temporary Pool El: 7.25 Temporary Pool El: 7,25
Pretreatment other No Clean Out Depth: 3 Clean Out Depth: 4
than forebay? Sediment Removal E 2.5 Sediment Removal E 15
Has Veg. Filter? Bottom Elevation: 1.5 Bottom Elevation: 1
WET POND ID FOREBAY MAIN POND
2 Permanent Pool El. 20 Permanent Pool El. 20
Temporary Pool El: 21,9 Temporary Pool El: 21.9
Pretreatment other Clean Out Depth: 3 Clean Out Depth: 7
than forebay? No Sediment Removal E 17 Sediment Removal E 13
Has Veg. Filter? Yes Bottom Elevation: 16 Bottom Elevation: 12.5

Sand Filter Maintenance R�aquirements
Important operation and maintenance procedures:
- Manage the drainage area to reduce the sediment load to the sand filter.
- Clean out the sedimentation chamber or forebay whenever sediment depth exceeds six inches.
- At least once a year, skim the sand media
- Replace the sand filter media whenever it fails to function properly after maintenance.
After the sand filter is established, it shall be inspected quarterly 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 shall be kept in a known
set location and shall be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
SCM element:
Potential problem:
How to remediate the problem:
Entire sand filter
Trash/debris is present.
Remove the trash/debris.
Adjacent pavement (if
Sediment is present on the
Sweep or vacuum the sediment as soon as possible.
applicable)
pavement surface.
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, plant ground
erosive gullies have
cover and water until it is established. Provide lime and a one -
The perimeter of the sand
formed.
time fertilizer application.
filter
Vegetation is too short or
Maintain vegetation at an appropriate height.
too long.
The structure is clogged.
Unclog the structure and dispose of sediment in a location where
The flow diversion
it will not cause impacts to streams or the SCM.
structure (if applicable)
The structure is damaged.
Make any necessary repairs or replace if the damage is too much
for repair.
The inlet pipe is clogged (if
Unclog the pipe and dispose of sediment in a location where it will
applicable).
not cause impacts to streams or the SCM.
The inlet pipe is cracked or
otherwise damaged (if
Repair or replace the pipe.
applicable).
The inlet device
Erosion is occurring in the
Regrade the swale if necessary and provide erosion control
swale (if applicable).
devices such as reinforced turf matting or riprap to avoid future
problems with erosion.
Stone verge is clogged or
Remove sediment and clogged stone and replace with clean
covered in sediment (if
stone.
applicable).
Sediment has accumulated
Search for the source of the sediment and remedy the problem if
to a depth of greater than
possible. Remove the sediment and dispose of it in a location
six inches.
where it will not cause impacts to streams or the SCM.
Sediment chamber
(forebay)
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 a pesticide is used,
wipe it on the plants rather than spraying.

• Sand Filter Maintenance Requirements (continued)
SCM element:
Potential problem:
How to remediate the problem:
Sand chamber and
Water is ponding on the
Check to see if the collector system is clogged and flush if
underdrain collection
surface for more than 24
necessary. If water still ponds, remove the top few inches of filter
system
hours after a storm.
bed media and replace. If water still ponds, then consult an
appropriate professional.
Clogging has occurred.
gg g
Clean out the outlet device and dispose of sediment in a location
The outlet device
where it will not cause impacts to streams or the SCM.
The outlet device is
Repair or replace the outlet device.
damaged.
Erosion or other signs of
damage have occurred at
Repair the damage and improve the flow dissipation structure.
the outlet.
The receiving water
Discharges from the sand
filter are causing erosion or
Contact the local NCDEQ Regional Office.
sedimentation in the
receiving water.

f Level Spreader -Filter Strip Maintenance RNuirements
Important operation and maintenance procedures: 3
_ 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).
Stable groundcover will be maintained in the drainage area to reduce the sediment load to the level
- spreader -filter strip.
Every two weeks during the growing season, the filter strip will be mowed. Turf grass should not be cut
- shorter than 4-6 inches and may be allowed to grow as tall as 12 inches depending on aesthetic
requirements (NIPC, 1993).
_ Once a year, the soil will be aerated if necessary and the filter strip will be reseeded to maintain a dense
growth of vegetation.
- Once a year, soil pH will be tested and lime will be added if necessary.
For the fist two years after the LS-FS is established, it shall be inspected quarterly and within 24 hours after every
storm event greater than 1.0 inches (or 1.5 inches if in a Coastal County). After two years of successful performance,
it will be inspected quarterly. Records of operation and maintenance shall be kept in a known set location and shall be
available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
SCM element:
Potential problem:
How to remediate the problem:
The entire LS-FS
Trash/debris is present.
Remove the trash/debris.
The flow splitter device (if
The flow splitter device is
clogged.
Unclog the conveyance and dispose of any sediment off -site.
applicable)
The flow splitter device is
Make any necessary repairs or replace if damage is too large for
damaged.
repair.
The swale is clogged with
sediment.
Remove the sediment and dispose of it off -site.
The blind swale
The swale is overgrown
Mow vegetation. Regrade and vegetate if the swale has become
with vegetation.
silted in.
The level lip is cracked,
settled, undercut, eroded or
Repair or replace the lip.
otherwise damaged.
There is erosion around the
end of the level spreader
Regrade the soil to create a berm that is higher than the level lip,
The level spreader
that show stormwater has
plant ground cover and water until it is established. Provide lime
bypassed it.
and a one-time fertilizer application.
Trees or shrubs have
begun to grow on the swale
Remove the shrubs or trees.
or just downslope of the
level lip.
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, plant ground
erosive gullies have
cover and water until it is established. Provide lime and a one -
formed.
time fertilizer application.
The bypass channel
Turf reinforcement is
Study the site to see if a larger bypass channel is needed
damaged or ripap is rolling
(enlarge if necessary). After this, reestablish the erosion control
downhill.
material.
iRtr,

Level Spreader -Vegetated Filter Stria Maintenance Reauirements lcontinuedi
SCM element:
Potential problem:
How to remediate the problem:
Grass is too short or too
long.
Maintain grass at a height of approximately three to six inches.
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, plant ground
erosive gullies have
cover and water until it is established. Provide lime and a one -
formed.
time fertilizer application.
Sediment is building up on
Remove the sediment and restabilize the soil with vegetation if
the filter strip.
necessary. Provide lime and a one-time fertilizer application.
Grass is dead, diseased or
dying
Determine the source of the problem: soils, hydrology, disease,
etc. Remedy the problem and replace plants. Provide a one-time
fertilizer application to establish the ground cover if necessary.
The filter strip
Determine the source of the problem: soils, hydrology, disease,
etc. Remedy the problem and replace plants. Provide a one-time
Plants are dead, diseased
fertilizer application to establish the ground cover if a soil test
or dying.
indicates it is necessary. If sod was used, check to see that it
was not grown on clay or impermeable soils. Replace sod if
necessary.
Nuisance vegetation is
Remove vegetation by hand if possible. If pesticide is used, do
choking out the grass.
not allow it to get into the receiving water.
Erosion or other signs of
damage have occurred at
Repair the damage and improve the flow dissipation structure.
the outlet.
The receiving water
Discharges from the LS-FS
are causing erosion or
sedimentation in the
Contact the local NCDEQ Regional Office.
receiving water.
4

DEMLR USE ONLY
Date Receiveg
Fee Paid
Permit Number
3
8 CVo4 b
Applicable Rules: EA 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 3
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
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.):
Saucepan Bay Estates
2. Location of Project (street address):
Intersection of Beach Drive (NC179) and Bricklanding Road (SR1143)
City:Shallotte County:Brunswick Zip:28470
3. Directions to project (from nearest major intersection):
AVvroximately 4 miles SW from the intersection of Whiteville Road (NC130) and NC179
4. Latitude:33° 55' 9.88" N Longitude:-78* 24' 21.5" W of the main entrance to the project.
II. 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
DEMLR 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 ®Sedimentation/Erosion Control: 61 + - ac of Disturbed Area
❑NPDES Industrial Stormwater Z404/401 Permit: Proposed Impacts 0.26 ac +/-
b.If any of these permits have already been acquired please provide the Project Name, Project/PeW it Number,
issue date and the type of each permit: Swe
5. Is the project located within 5 miles of a public airport? [-]No ®Yes' "
BY
Form SWU-101 Version Oct. 31, 2013 Page 1 of 6

If yes, see S.L. 2012-200, Part VI: hU:bortal.ncdenr.org/web/lr/rules-and-regulations
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:Saucepan Creek, LLC ��""'
Signing Official & Title:Bryant Spencer, Director of Land Development for RHH Land Investors, LLC.,A41 L�n * Sri
b. Contact information for person listed in item la above: 6f Venvcr`t a[Ph i lit ,M44e4CKr 3c7/1/Z2 W
5/1l/21 -0—Vvkcrl
Street Address:2919 Breezewood Ave., Suite 100
City:Fayetteville State:NC Zip:28303
Mailing Address (if applicable):
City: State: Zip:
Phone: (910 ) 723-6516 / 910-486-4864 Fax: ( )
Email:bryantspencer@hufffam. - office.com
c. Plea a check the appropriate box. The applicant listed above is:
Plea
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: State: Zip:
Mailing Address (if applicable):
City: State: Zip:
Phone: ( ) Fax:
a. (Optional) Print the name and title of another contact such as the project's construction
person who can answer questions about the project:
Other Contact
Signing Official &
b. Contact information for person listed in item 3a above:
Mailing
City:_
Phone:
Email:
,ervisor or other
8
nr. i�6
State: Zip:
Fax:
4. Local jurisdiction for building permits: Brunswick Couniy
i
Point of Contact:Michael Slate Phone #: (910 ) 253-2047
Form SWU-101 Version Oct. 31, 2013 Page 2 of 7

RtL�__ avi � 3
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
2 wet ponds. 2 sand filters, & 1 infiltration 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 PiJD 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 n Ph H - Post Construction
3. Stormwater runoff from this project drains to the Lumber River basin.
4. Total Property Area: 75.32 acres
5. Total Coastal Wetlands Area: 3.76 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*:
72-15 71.56 acres
+ Total project area shall be calculated to exclude the fallowing: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 22.75 %
9. How many drainage areas does the project have? 5 (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.
EEC E
JUL 12 2022
BY,
Form SWU-101 Version Oct. 31, 2013 Page 3 of 7

Basin information
Drainage Area 1
Dra'i M Area 2
Drainage Area.3
Drainage Area 4
Receiving Stream Name
Saucepan Creek
Saucepan Creek
Saucepan Creek
Saucepan Creek
Stream Class *
SA; HQW
SA; HQW
SA; HQW
SA; HQW
Stream Index Number *
15-25-246
15-25-2-16
15-25-2-16
15-25-2-16
Total Drainage Area (sf)
560,531
117,585
102,961
226,765
On -site Drainage Area (sf)
5.60,531
117,585
102,961
226,765
Off -site Drainage Area (s
Proposed impervious Area" (sf)
354,026
71,989
67,359
139,712
% Impervious Area- (total)
63.16
61.22
65.42
61.61
hn ervious" Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area 3
Drainage Area 4
On -site Buildings/Lots (So
269,800
60,800
51,300
77,900
On -site Streets (sf)
70,026
10,189
13,109
42,025
On -site Parkin (sf)
Or, site Sidewalks (sf)
1,970
Other on -site s
9,717
Future (sf)
14,200
1,000
2,950
8,100
Off -site (sf)
Existing BUAI** (sf)
Total _(sf):
354,026
71,989
67,359
139,712
Stream class and Index Number can be determined at: htty:l/portal.ncdenr.org/web/wq4ps/csu/classiflcations
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 BLIA that
is to be removed and which will be replaced by new B LIA.
11. How was the off -site impervious area listed above determined? Provide documentation. N/A
Projects in Union County: Contact DEMLR Central Office stafj`'to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 1 SA 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 c
from http//portal ncdenr org web/wq/ws/sulbmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Ener�� Mineral and
Land Resources (DEMLR). 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/w/su/statesw/forms docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at http://12ortaI.ncdenr.org/web/w-Q/wslsu/mal2s.)
Please indicate that the following required information have been vrovided by initialine 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 hiW:Iiportal.ncdenr.org/web/­wqLws/su/­­st@LLesw/forms docs.
Initial
1. Original and one copy of the Stormwater Management Permit Application Form. -W i
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part vrI below)..
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M �r
agreement(s) for each BUT.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
h=:/Iwww envhelp.org(pages/onestopexpress html for information on the Express program
Form SWU-101 Version Oct. 31, 2013 Page 4 of 7

Basin Informafho
Urair:a e Area 5.
Dr trwge Area o
1 Drainage Area _DraufteAres
_.
Receiving Stream Name
Saucepan Creek
Saucepan Creek
Stream Class *
SA; HQW
SA; HQW
Stream Index Number *
15-25-2-16
15-25-2-16
Total Drainage Area (sf)
117,697
7,800
On -site Drainage Area (sf)
117,697
Off -site Drainage Area (sf)
7,800
Proposed Impervious Area** (sf)
75,969
7,800
% Impervious Area** (total)
64.55
100
Im aivious" Surface Area
UxFlnage Area r
I Drra rwa Area E
Dr�:ina: a Area _
Dralma a Area _
On -site Buildings/Lots (so
31,600
On -site Streets (sf)
25,069
7,800
On -site Parkin (sf)
On -site Sidewalks (sf)
j
Other on -site (sf)
17,000
Future (sf)
2,300
92
Off -site (sf)
Existing BUA*** (sf)
Total (sf):
75,969
7,800
* Stream Class and Index Number can be determined at: Itttp:llportal.ncdet2r.org/web/wq42s/csulclassifications
** 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. NCDOT offsite
roadway improvements to drain to NCDTO ditches & cannot be collected due to elevation constraints; to be
permitted by NCDOT
Projects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 1 SA 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 httl2:Z&ortal.ncdenr.org/web/`wq./ws/sufbml2-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
htW:lZportal.ncdenr.orgLweb/wq/ws/su/statesw/forms does. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at httl2:/Iportal.ncdenr.org/web/wq./Ws/su/mal2s.)
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 http://12ortal.nedenr.org web/wq./ws/su/statesw/forms dots.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
Form SWU-101 Version Oct. 31, 2013 Page 4 of 7

and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.) --
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
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 % mile of the site boundary, include the 1h
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify !4
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 DEMLR to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 4642 Page No: 867
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per 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.
hW2://www.secret4a.state.nc.us/Corporations/CSearch,.aspx
Form SWU-101 Version Oct. 31, 2013 Page 5 of 7

VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be
provided as an attachment to the completed and notarized deed restriction form. The appropriate deed
restrictions and protective covenants forms can be downloaded from http://portal.ncdenr.org/web/lr/state-
stormwater-forms dots. 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 DEMLR, 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
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:Joseph K. Bland, P.E..
Consulting Firm: Norris & Tunstall Consulting Engineers, P.C.
Mailing Address:1429 Ash -Little River Road
City: Ash State:NC Zip:28420
Phone: (910 ) 287-5900 Fax: (910 ) 287-5902
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 that I
own the property identified in this permit application, and thus give permission to (print or type name of person
Iisted in Contact Information, item 1a)
with (print or type name of organization listed in
Contact Information, item 1a) 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 SVJU-101 Version Oct. 31, 2013 Page 6 of 7

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 DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR 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.
Signature: Date:,
I, a Notary Public for the State of , County of
do hereby certify that personally appeared
before me this _ day of , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a) Bryant Spencer
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 2H .1000 and any other applicable state stormwater requirements.
5- ao' 2L1
I, `At'cticvwl W Ato \ a Notary Public for the State of County of
t,.)+ CAL , do hereby certify that (I) f AQ C& �, If1e Q- personally appeared
before me this day of ci()� ,and acknow ge the due execution of th application for
a stormwater permit. Witness my hand and official seal,
TAMMY T WATSON
NOTARY PUBUC
Brunswick County
North Carolina
My Commission Expires May 20, 2023
SEAL
My commission expires au a-3
Form SWU-101 Version Oct. 31, 2013
Page 7 of 7 e J
BY•_i'

SUPPLEMENT-EZ COVER PAGE
. Fl FORMSLOADED
jriT.* W/43
PROJECT
INFORMATION
1
Project Name
Saucepan ft Estates
2
Project Area ac
-_- _ -
71.58
3
Coastal Wetland Area ac
-_—_—.- --_-- 376 --.---T.._--
4
Surface Water Area ac
�- 0
5
Is this project High or Low Density?
_
6
1 Does this project use an off -site SCM?
No
COMPLIANCE WITH 03H .1003(4)
7
Width of vegetated setbacks provided feet
so
8
Will the vegetated setback remain vegetated?
_
-
Yes
9
if BUA is proposed in the setback does it meet NCAC 02H.1003 4 cd ?^^
_-
^-
Ye_s
10
Is streambank stabilization proposed on this project?
___._
No-� --
NUMBER AND TYPE OF SCI :
11
Ina tratkill S attemro
1
12
Buorataw166w C0
13
met Pond
------.-...._.-_-_ 2 .-.-.._------
14
Stormr�rater �dr�t�and
------_----- --
15
Permeable Pavement
— - —
18
ISand Fitter
-•----___—. 2
17
Rainwater Harvesting RVVH�
-
18
Green Roof
�-_
19
Level Spreader -Filter Strip LS-FS
__---_-_-_•-----+---_.T__
— -� 4
20
Disconnected Impervious Surface DIS
- ~_�--- - ---T- -^
21
Treatment Swale
22
1 Dry Pond
23
StormFlEter
24
Silva Cell
25
Bayroiter
28
Filterra
FORMS LOADED
insiomER CF..kti kdAtON - - --- --- - _ - - - -
27 Name and Title: Thomas J-82heetz1 P.E.
28
Organization:
Norris & Tunstall Consultin��gn Ineers�P.C. T_
29
Street address:
1429 Ash -Little River Road
30
City,State Zip:
Ash NC 28420 _
31
Phone numbers :
910-287-590D - !-
32
Email:
tschoetzQntengineers,com-_----
I cw*, under penalty of law that this Supplement-EZ form and all supporting information were prepared under my direction or Supervision, that the
information provided in the form is, to the best or my knowledge and boW true, aimurate, and complete, and that the engineering plans,
spoWmations, operation and maintenantx agreements and other supporting inforrnation are consistent with the mformahon provided here.
�CAg .,
SEAI.;7
• 542416
J.S5
,,.
I -he *V, - � - L S a�
Signature of DesigAir IL
ECEIAWFE
O? jl'Z�Z„Z JUL 12 1022
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INFILTRATION SYSTEM
—IlDraingge
area number I_
1
2 Iminimurn required treatment volume cu
G�CRA[._MC1C FHf]_M.OZN-,1[]5[3
3
Is the SCM sized to treat the SW from all surfaces at build -out?
Yes
4
Is the SCM located away from contaminated soils?
Yea
5
What are the aide slopes of the SCM (H:V or enter "Vertical" for
trenches)?
3:1
6
Does the SCM have retaining walls, gabion walls or other engineered
side slopes?
T!
No
7
Are the inlets, outlets, and receiving stream protected from erosion
10 ear storm)?
_
yes_
8
Is there an overflow or bypass for inflow volume in excess of the
desion volume?
Yes
10
If applicable, will the SCM be cleaned out after construction?
Yes___
11
Does the maintenance access comply with General MDC 8 ?
Yes
12
Does the drainage easement comply with General MDC 9 ?
_
Yes
13
If the SCM is on a single family lot, does (will?) the plat comply with
General MDC 10 ?
N/A
14
Is there an O&M Agreement that complies with General MDC (11)?
w -�
Yes
15
Is there an O&M Plan that complies with General MDC (12)?
Yes—�^
16
Does the SCM follow the devicespecific MDC?
Yes
17
Was he SCM designed by an NC licensed professional?
18 Proposed slope of the subgrade surface M
19
Are terraces or baffles provided?
I N4
21
Was the soil investigated i
infiltrations stem?
22
SHWT elevation fmsl
23
Depth to SHWT per soils i
24
Ground elevation at bodn
25
Is a detailed hydrogeologi[
between 1 and 2 feet?
26
Soil infiltration rate in/hr
27
Factor of safety (FS) (2 Is
evadons
the footprint and at the elevation of the
in
the separation is
Yes
N/A
29
Bottom elevation fmsl
9 ft
30
Storage elevation fmsl
11.8 ft
31
Bypass elevation fmsl
11.8 ft
ECEIVE
R' L 12 22G22
BY
12:08 AM 7/7/2022

WEB' POND
11 Drainage area number 1 5
21 Minimu�mrreguired treatment v_oluma icu itL T 10 - .......:....::0.8906.Cf_ ... -• -_ 23328 c�-�. .
3
Is the SCM sized to treat the SW from all surfaces at build -out?
~ Yes
Yes
Yes
Is the SCM located awe from contaminated soils?
Yes
What are the side slo of the SCM H: ?
3:1
3:1
rI
Does the SCM have retaining walls, gabion walls or other engineered
side slopes?
No
No
Are the inlets, outlets, and receiving stream protected from erosion
10- aar storm ?
Yes
_
Yes
` Yes
Pum_ +refers
Yes
e
9
10
is there an overflow or bypass for inflow volume in excess of the
cleat n volume?
What Is the method for dewatering the SCM for maintenanceT
If applicable, will the SCM be cleaned out after construction?
Yes
Pump referred
Yes_
11
Does the maintenance access comply with General MDC 8 ?
_
' "-Yea
Yes
12
Does the drainage easement comply with General MDC 9 ?
_
_
Yes 1
13
14
15
16
If the SCM is on a single family lot, does (will?) the plat comply with
General MDC 10
1 Is there an O&M Agreement that complies with General MDC (11)?
Is there an O&M Plan that cam lies with General MDC (12)?
Does the SCM fallow the device specific MDC?
_Yes
WA
i Yes
Yes
_ _
N1A
Yes
Yes
Yes
17
Was the SCM deslgn�ed by_an NC licensed professional?: _
,Yes
_-... Yes
SAIL3A
Yes
18
Slzing method used
T_ SAlDA
19
Has a stagelatorage table been provided in the calculations?
_
Yes_
20
Elevation of the excavated main pool depth (bottom of sediment
removal) imsl
_�-
12.50 -
21
Elevation of the main pool bottom (top of sediment removal) (fmsp
_
1.60
13.00 Y
22
Elevation of the bottom of the vegetated shelf fmsl)
__ _ 5,60�_ _
_ 6.50
_ 6.50 _
7225
46615 sf
167380 of
_20.00
20.00 A�
21.OD
21.90 W
5862
17787 of
23
24
25
26
27
Elevation of the Permanent I finel
Elevation of the tqp of the vegetated shelf fmsl
Elevation of the temporary I imsl
Surface area of the main permanent pool(square feet
Volums of the main permanent pool cubic feet
28
28
Average depth of the main pool Net
Avers depth equation used
3.70 ft�
—Eauation 2
_
27713 of
_
3.00 ft- -
Equation 2
_ 2743 of
T Yes
30
31
32
If using uatlon 3, main pool perimeter feet
If using equation 3 width of submerged veg. shelf feet
Volume of the foreba cubic feet
33
Is this 16-20% of the volume in the main I?
_ _
Yes
34
Clean -out depth for forebay (Inches)
_ _
y
089138in
Y 19 yf
36 in
23341 of I
35
Design volume of SCM ell ft
38
Is the outlet an orifice or a weir?
Orifice -'
_
P_ Ti
37
If orifice, orifice diameter Inches
5 in
_OfHice
2.6 in
38
If weir, weir height Inches
-
39
If weir, weir length inches
2.61 Y
, ___ _ 2.07 _ _ I
I Yes
40
Drawdown time for the ter Ida
41
Are the Inlel(s) and outlet located In a manner that avoids short-
dreuhf ?
Yes
42
Are berms or baffles provided to improve the flow h?
- _
No
_)
No
43
Depth of fb bay at entrance inches
48 in
48 in
44
Depth of foreba at exit inches
_
_ 42 in
Yes '
__ _42 in
Yea'
45
Does water flow out of the foreba In a non -erosive manner?
46
Width of the ve stated shelf feet
6 ft �7
8 ff
47
Slope of vegetated shelf K14
8:1
6:1r
48
Does the orifice drawdown from below the top surface of the
permanent Pool?
No
No
Yes-
49
Does the pond minimize impacts to the receiving channel from the 1-
r 24-hr storm?
Yes
fi0
Are fountains proposed? (If Y, please provide documentation that
MDC is met.)No
_
No
51
Is a trash rack or other device provided to protect the outlet system?
-
Yes -
Yes-��
52
Are the dam and embankment planted in non -clumping turf grass?
_ -
Yes
Yes
Bermida
53
Sp25Lw of turf that will be used on the dam and embankment
�Bermide
54
Hue a anti an been Provided for the vegetated shelf?_ —
- -
_ Yes
Yes _
ADDRIONAI_
55
INFORMATION
Please use this space to provide any additional information about the
wet pond{s):�
DA06: Shoot pile wall Top = 20-W In
order to add stability to forebay berm
ECEIVE
i U L 12 0�2
BY:
Wet Pond 1 11:rm AM 7/7/2022

SAND FILTER
23
Volume that can be retained in the sediment chamber (cubic feet)
6W7 of
8804 cf
24
Will there be a permanent pool in the sediment chamber?
No
No
25
Bottom of the sediment chamber fmsl
11.00
12.60
26
Area of the sediment chamber(square feet
938 sf
4972 sf
27
Ph Ical depth of the sediment chamber inches
42 in
! 18 in
28
Ponding depth in the sediment chamber, above any permanent pool
inches
45 in^�
27.6 in
291
Elevation of top of weir between chambers fmsl
14.6
_
14
i cnomaer
30
Volume that can be retained in the sand chamber cubic feet
7293 d
8971 cf
31
Bottom of the sand chamber fmsl
11.00_
12.50_
32
Area of the sand chamber (square feet
_
1282 sf
4986 sf
33
Ph sical depth of the sand chamber inches
42 in
18 in
34
Ponding depth in the sand chamber, above the sand surface
inches
45 in
27 6 in
35
Elevation of the bypass device fmsl
14.75
_
14.8
36
Type of bypass device
Rip Rap Spillway
-Rip Ra.0 it
37
Mechanism for distdbuting flow over the sand surface
Pipe System
_Pipe SystF
38
Sand specification for sand chamber
ASTM C-33 Sand
% ASTM C-33 ;
39
Depth above underdrain pipe inches
12 in
12 in
40
Will the media be maintained to drain at least two inches per hour at
the sand surface?
Yes
Yes
41
Is at least one clean -out pipe provided at the low point of each
underdrain line?
Yes
Yes
42 Witl clean -out pipes be ca ed? Yes. Yes
XTIONAL INFORAAATION �
43 Please use this space to provide any additional information about the
_ sand filters : __ _
P2: Sheet pile wall Top=14.50'
ECEIVE
GL12cad
BY:
Sand Filter I
9:38 AM 7/12/2022

LEV L SPREADER - FILTER STRIP (LS-FS)
1
Drains a area number
Is the SCM sized to treat the SW from all surfaces at build -out?
Is the SCM located away from contaminated solls?
1 2 4 5
.,50 Cfs---- J-----06 cfs_ _ _ .23 cfs ---1r-----.:13..cfs._.
-- .23 - : -
Yes Yes _ Yes Yes
Yes Yes Yes 1 Yes
3
4
5
What are the side slopes of the SCM H: ?
NIA — , _^NIA -_ NIA NIA _
6
Does the SCM have retaining walls, gabion walls or other engineered
N/A NIA N/A
NIA
side slopes?
7
Are the inlets, outlets, and receiving stream protected from erosion
— Yes Yes -- Yes
_
Yea
10- ear storm)?
Is there an overflow or bypass for inflow volume in excess of the
8
Yes Yes Yes
Yes
design volume?
9
What is the method for dowatering the SCM for maintenance?
Pump referred) Pump raf®rred Pum .�referrodJ_
10
11
If applicable, will the SCM be cleaned out after construction?
Does the maintenance access comply with General MDC 8 ?
_Pum-p�prefetAD
Yes _ Yes Yes
Yes Yes_ Yes
Yes
Yes
12
Does the drainage easement comply with General MDC 9 ?
Yes Yes Yes_ Yes
13
if the SCM Is on a single family lot, does (will?) the plat comply with
'
N/A , N/A N/A
_ _
N/A
General MDC 10 ?
_
`Yes
14
Is there an O&M Agreement that complies with General MDC (11)?
Yes Yes
Yes
15
Is there an O&M Plan that complies with General MDC (12)?
—. —' —
Yes Yes
Yes
16
Does the SCM follow the devicespecific MDC?
_Yes
Yes Yes Y �
Yes
17
Was the SCM designed by an NC Licensed professional? __ ,:
Yea
rs•r� n�rar.
rnarn aztir .:us=�
18
Length of level spreader feet)
,_loft uJ 10 ft 10 ft-
10'ft
19
20
Does the LS-FS receive flow from the drainage area or another SCM?
Flow rate to LS-FS during design storm cfs
Yes Yes Yes
50 cis Y r06 cfs — `23 cfs
Yes
.13 cfs�
21
Is a bypass deviceprovided?
If yes, what Is the bypass device?
_ _
Yes _Yes �Yes _ _ Yes
Outlet Structure i'_Outlet Structure Outlet Structure-_Ou_tlet Structure
22
23
Is this LS-FS designed to receive flow from the drainage area during
the 107ear storm?
Has a blind swaie beenprovided?
��-
No No No
Yes Yes Yes
No
Yes
24
25
Does the blind swale provide for uniform overtopping of the level
Yes ____ Yes Yes
Yes
s reader?
��L
26
27
What material will be used for the levels reader?
Will the construction tolerance be 1-0.25 inch along the level spreader
len th?
_ _�
ConcretConcrete Concrete
Yes Yes i Yes--�
_
Concrete _
Yes
28
29
Will the level 1preader be straight or convex in plan view?
Height of the drop from the level spreader to the transition zone
Yes —� Yes _�— Yes
2 in 2 in 2 in
_ _Yes _
2 in
inches
30
Width of the transition zone inches
_ �- 24 in 24 in 24 in 24 in
311
Protection for the transition zone
_
— Ag"re _ _.&grs ate A :. ste —`
re ate_
32
Width of the filter strip feet
30 ft 30 ft 30 ft
30 ft
33
34
Is the filter strip free of draws and channels?
Has this been verified in the field?
_ Yes � _ Yes^— _Yes
Yes i Yes Yes
Yes
Yes
35
Sloe of the filter strip %
.Is this slope uniform across the entire filter strip?
_—_ I% i 1% 1% -��
Yes Yes
1%
Yes
36
37
Will the first 12" of soil be adjusted if needed to promote plant
_Ye_s
Yes Yes Yee
Yes
growth?
38
Will the filter strip and side slopes be planted with non -clumping, deep
- 4
Yes Yes Yes
—_
Yes
rooted sod?
391
Species of sod that will be used
—� Bermuda Bermuda Bermuda
_ _
Bermuda
40
Will soil be temporarily stabilized until permanent vegetation is
' —
Yes Yes Yes
—��
Yes
establl�.; hed?
�-
ADDITIONAi,
INFORMATION
Please use this space to provide any additional information about the
-_-._..- - T--
41
_
level spreader -filter stri s ^_
IECEIVE
■ i r
LS-FS 1 11.08 AM 7/7/2022

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.
1, Bryant Spencer , 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:
The following covenants are intended to ensue ongoing compliance with State Stormwater
Management Permit Number Sul a�Ob 4 , as issued by the Division of Energy, Mineral and
Land Resources 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 Energy, Mineral and Land Resources.
5. Alteration of the drainage as shown on the approved plan may not take place without the concurrence
of the Division of Energy, Mineral and Land Resources. m 1 c 1
6. The maximum allowable built -upon area per lot is5f'5 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 50 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 e*�Vstem are
not required to provide these additional measures. -^-,
Signature: Date
If
S-9,0 -au Jl
I, 1 Am W Arson , a Notary Public in the
State of a t' , County of (bcur.svj1CX
do hereby certify that personally appeared
before me this the day of { Y �" ) 20 �� , and acknowledge
the due execution of the foregoing instrument. Witness my hand and official seal,
impel WATSON
Signature NOTARY PUBLIC
My Commission expires-aU'`�� Brunswick County
North Carotins 20' ��
Form DRPC-3 Rev.2 05Nov2009 Page 1 of 1 Commission Expires May

Attachment A
Deed Restrictions & Protective Convenances
Saucepan Bay Estates
NT#20163
Lots BUA (sfl
1-121 3800
172022
BY•