SW8160916_Current Permit_20161117

PAT McCRORY
Governor
DONALD R. VAN DER VAART
go. Secretary
Energy,Mineral& TRACY DAVIS
Land Resources Director
ENVIRONMENTAL QUALITY
November 17,2016
Chris Vernon,Lead Pastor
NC East District of the Wesleyan Church and Crosswinds Church
485 Olde Waterford Way
Belville,NC 28451
Subject: State Stormwater Management Permit No. SW8160916
Crosswinds Church
High Density Wet Detention Pond Project
Brunswick County
Dear Mr. Vernon:
The Wilmington Regional Office received a complete Stormwater Management Permit Application for
Crosswinds Church on September 26,2016. Staff review of the plans and specifications has determined
that the project,as proposed,will comply with the Stormwater Regulations set forth in Title 15A NCAC
2H.1000 and Session Law 2008-211. We are forwarding Permit No. SW8 160916 dated November 17,
2016 for the construction, operation and maintenance of the BMP's and built-upon areas associated with
the subject project.
This permit shall be effective from the date of issuance until November 17,2024, and shall be subject to
the conditions and limitations as specified therein. Please pay special attention to the conditions listed in
this permit regarding the Operation and Maintenance of the BMP(s),recordation of deed restrictions,
certification of the BMP's,procedures for changing ownership,transferring the permit, and renewing the
permit. Failure to establish an adequate system for operation and maintenance of the stormwater
management system,to record deed restrictions,to certify the BMP's,to transfer the permit, or to renew
the permit,will result in future compliance problems.
If any parts,requirements,or limitations contained in this permit are unacceptable,you have the right to
request an adjudicatory hearing by filing a written petition 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 27699-6714, or via telephone at 919-43 1-3 000, or visit their
website at www.NCOAH.com.Unless such demands are made this permit shall be final and binding.
If you have any questions,or need additional information, please contact Steve Pusey in the Wilmington
Regional Office, at(910) 796-7215.
Sincerely,
&S
`
Tracy Davos,P.E.,Director
Division of Energy,Mineral and Land Resources
GDS/sgp: \\\Stormwater\Permits&Projects\2016\160916 HD\2016 11 permit 160916
cc: Branch Smith,PE—Paramounte Engineering,Inc.
Brunswick County Building Inspections
Brunswick County Engineering
Wilmington Regional Office Stormwater File
State of North Carolina I Environmental Quality I Energy.Mineral and Land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Mimington,NC 28405
910 796 7215

State Stormwater Management Systems
Permit No. SW8 160916
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
NC East District of the Wesleyan Church and Crosswinds Church
Crosswinds Church
445 Lanvale Rd., Leland, Brunswick County
FOR THE
construction, operation and maintenance of one (1) wet detention pond in compliance with
the provisions of 15A NCAC 2H .1000 and Session Law 2008-211 (hereafter referred to as
the "stormwater rules') the approved stormwater management plans and specifications and
other supporting data as attached and on file with and approved by the Division of Energy,
Mineral and Land Resources (hereafter referred to as the Division or DEMLR) and
considered a part of this permit.
This permit shall be effective from the date of issuance until November 17, 2024, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff
as described in Section 1.7 of this permit. The runoff from all built-upon area within the
permitted drainage area(s) of this project must be directed into the permitted
stormwater control measure(s). The stormwater control measure has been designed to
handle the runoff from 90,100 square feet of impervious area.
3. The maximum built-upon area allowed for the entire project is 90,100 square feet.
4. The drainage area(s) will be limited to the amount(s) of built-upon area indicated in
Sections 1.2 and 1.7 of this permit, and per approved plans. The built-upon area for the
future development is limited to 15,000 square feet and is included in the maximum
built-upon area of 90,100 square feet.
5. A 50' wide vegetative buffer must be provided and maintained adjacent surface
waters, measured horizontally from and perpendicular to the normal pool of
impounded structures, the top of bank of both sides of streams and rivers and the
mean high water line of tidal waters.
6. All runoff being directed into wetlands shall flow into and through those wetlands at a
non-erosive velocity.
Page 1 of 7

State Stormwater Management Systems
Permit No. SW8 160916
7. The following design criteria have been permitted for the wet detention pond and it
must be provided and maintained at the design condition:
Wet Pond 1
a. Drainage Area, acres: 3.57
Onsite, ft2: 155,509
Offsite, ft2: 0
b. Total Impervious Surfaces, ft2: 90,100
Onsite, ft2: 75,100
Future, ft2: 15,000
Offsite, ft2: 0
c. Average Pond Design Depth, feet: 3.5
d. TSS Removal Efficiency: 90
e. Design Storm, inches: 1.5
f. Permanent Pool PP Elevation, FMSL: 38.5
g. Permitted PP Surface Area, ft2: 12,685
h. Temporary Storage Elevation, FMSL: 39.3
i. Permitted Storage Volume, ft3: 11,325
j. Predevelopment 1 r-24 hr. discharge rate, cfs: 5.5
k. Controlling V-notch: 40 de
I. Orifice Flow Rate, cfs: 0.03
m. PP Volume, ft3: 34,956
n. Forebay Volume, ft3: 6,951
o. Maximum Fountain Horsepower: 1/8
p. Receiving Stream/River Basin: Jacke s Creek/Cape Fear
q. Stream Index Number: 18-77-3
r. Classification of Water Body: Q SW
II. SCHEDULE OF COMPLIANCE
1. No person or entity, including the permittee, shall alter any component of the approved
stormwater system shown on the approved plans unless and until the Division has
approved of the revised plan.
2. The stormwater management system shall be constructed in its entirety, vegetated
and operational for its intended use prior to the construction of any built-upon surface.
3. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately. If the stormwater system is used as an Erosion
Control device, it must be restored to design condition prior to operation as a
stormwater treatment device, and prior to occupancy of the facility.
4. The permittee shall at all times provide the operation and maintenance necessary to
assure that all components of the permitted stormwater system function at design
condition. The approved Operation and Maintenance Agreement is incorporated by
reference into this permit and must be followed in its entirety and maintenance must
occur at the scheduled intervals.
5. 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.
Page 2 of 7

State Stormwater Management Systems
Permit No. SW8 160916
6. If the permanent pool volume is greater than 30,000 cubic feet, a decorative spray
fountain will be allowed in the stormwater treatment system, subject to the following
criteria:
a. The fountain must draw its water from less than 2' below the permanent pool
surface.
b. Separated units, where the nozzle, pump and intake are connected by tubing,
may be used only if they draw water from the surface in the deepest part of the
pond.
C. The falling water from the fountain must be centered in the pond, away from the
shoreline.
d. The maximum horsepower for a fountain in this pond is 1/8 horsepower.
7. The facilities shall be constructed in accordance with the conditions of this permit, the
approved plans and specifications, and other supporting data.
8. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and
prior to operation of this permitted facility, the permittee shall cause a certification from
an appropriate designer for the system installed to be submitted, certifying that the
permitted facility has been installed in accordance with this permit, the approved plans
and specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A modification
may be required for those deviations.
9. All stormwater collection and treatment systems must be located in either public rights-
of-way, dedicated common areas or recorded easements. The final plats for the
project will be recorded showing all such rights-of-way, common areas and
easements, in accordance with the approved plans. Access to the stormwater facilities
for inspection and maintenance shall be maintained via appropriate recorded
easements at all times.
10. The permittee shall submit to the Director and shall have received approval for revised
plans, specifications, and calculations prior to construction, for any modification to the
approved plans, including, but not limited to, those listed below:
a. Any revision to any item shown on the approved plans, including the stormwater
management measures, built-upon area, details, etc.
b. Redesign or addition to the approved amount of built-upon area or to the
drainage area.
C. Further development, subdivision, acquisition, lease or sale of any, all or part of
the project area. The project area is defined as all property owned by the
permittee, for which Sedimentation and Erosion Control Plan approval or a
CAMA Major permit was sought.
d. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
e. The construction of any future BUA listed on the application.
11. Prior to transfer of the permit, the stormwater facilities will be inspected by Division
personnel. The project and the stormwater facility must be in substantial compliance
with all permit conditions. Any items not in substantial compliance must be repaired,
replaced or restored to design condition prior to the transfer. Records of maintenance
activities performed to date will be required.
12. The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in the
notice, the permittee shall submit a written time schedule to the Director for modifying
the site to meet minimum requirements. The permittee shall provide copies of revised
plans and certification in writing to the Director that the changes have been made.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW8 160916
III. GENERAL CONDITIONS
1. Any individual or entity found to be in noncompliance with the provisions of a
stormwater management permit or the Stormwater rules is subject to enforcement
procedures as set forth in NCGS 143 Article 21.
2. The issuance of this permit does not preclude the Permittee from complying with any
and all statutes, rules, regulations, or ordinances, which may be imposed by other
government agencies (local, state, and federal) having jurisdiction.
3. In the event that the facilities fail to perform satisfactorily the Permittee shall take
immediate corrective action, including those as may be required by this Division, such
as the construction of additional or replacement stormwater management systems.
Additional or replacement stormwater management systems shall receive a permit
from the Division prior to construction.
4. This permit is not transferable to any person or entity except after notice to and
approval by the Director. The permittee shall submit a completed and signed
Name/Ownership Change Form, accompanied by the supporting documentation as
listed on the form, to the Division of Energy, Mineral and Land Resources at least 60
days prior to any one or more of the following events:
a. An ownership change including the sale or conveyance of the project area in
whole or in part, except in the case of an individual lot sale that is made subject to
the recorded deed restrictions;
b. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association, subject to the requirements of Session Law 2011-256;
c. Bankruptcy;
d. Foreclosure, subject to the requirements of Session Law 2013-121;
e. Dissolution of the partnership or corporate entity, subject to NCGS 57D-2-01(e)
and NCGS 57D-6-07;
f. A name change of the current permittee;
g. A name change of the project;
h. A mailing address change of the permittee;
5. The permittee is responsible for compliance with all permit conditions until such time
as the Division approves the transfer request. Neither the sale of the project, in whole
or in part, nor the conveyance of common area to a third party constitutes an approved
transfer of the stormwater permit.
6. The permittee grants DEMLR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until modified, revoked, terminated
or renewed. The permit may be modified, revoked and reissued or terminated for
cause. The filing of a request for a permit modification, revocation and re-issuance or
termination does not stay any permit condition.
8. Approved plans, calculations, supplement forms, operation and maintenance
agreements and specifications for this project are incorporated by reference and are
enforceable parts of the permit. A copy of the approved plans and specifications shall
be maintained on file by the Permittee at all times.
9. Unless specified elsewhere, permanent seeding requirements for the stormwater
control measure must follow the guidelines established in the North Carolina Erosion
and Sediment Control Planning and Design Manual.
Page 4of7

State Stormwater Management Systems
Permit No. SW8 160916
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit as
allowed by the laws, rules and regulations contained in Session Law 2006-246, Title
15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall submit a permit renewal application request 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.
Permit issued this the 17th day of November, 2016.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
racy Daags, P.E., Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 160916
Page 5 of 7

State Stormwater Management Systems
Permit No. SW8 160916
Crosswinds Church
Stormwater Permit No. SW8 160916
Brunswick County
Designer's Certification
I, , as a duly registered in the State
of North Carolina, having been authorized to observe (periodically/weekly/full time) the
construction of the project,
(Project)
for (Project Owner) hereby state that, to the best
of my abilities, due care and diligence was used in the observation of the project construction
such that the construction was observed to be built within substantial compliance and intent
of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specifications:
SEAL
Signature
Registration Number
Date
Page 6 of 7

operation & maintenance A reement
Project Name: Crosswinds Church
Project Location: Lanvale Rd, Town Creek Township, Brunswick Co.
Cover page
Maintenance records shall be kept on the following BMP(s). This maintenance record shall be kept in a log in a known set location. Any
deficient BMP elements noted in the inspection will be corrected, repaired, or replaced immeaiawiy These deficiencies can affect the integrity
of structures, safety of the public, and the pollutant removal efficiency of the BMP(s).
The BMP(s)on this project include(check all that apply&corres; riding O&M tables will be added automatically):
Bioretention Cell Quantity: Location(s):
Dry Detention Basin Quantity: Location(s):
Grassed Swale Quantity: Location(s):
Green Roof Quantity: Location(s):
Infiltration Basin Quantity: Location(s):
Infiltration Trench Quantity: Location(s):
Level SpreaderNFS Quantity: Location(s):
Permeable Pavement Quantity: Location(s):
Proprietary System Quantity: Location(s):
Rainwater Harvesting Quantity: Location(s):
Sand Filter Quantity: Location(s):
Stormwater Wetland Quantity: Location(s):
Wet Detention Basin Quantity: 1 Location(s): SW Corner of Site
Disconnected Impervious Area Present: No Location(s):
User Defined BMP Present: No Location(s):
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for each BMP
above, and attached O&M tables. I agree to notify NCDENR of any problems with the system or prior to any changes to the system or
responsible party.
*Responsible Party: G IW§
Title&Organization:
Street address:
City,state,zip: •
Phone number(s): „
Email:
Signature: Date:
I. h Rini y ► G tlhon ,a Notary Public for the State of
0 C
County of (�C un-sW' Lk ,do hearby certify that
personally appeared before me this day of (A -3' ,I Ul (® and
acknowledge the due execution of the Operations and Maintenarice Agreement.
Witness my hand and official seal,
? NOT �.
o' SEP Z 1 201
ABY-
Sea/ ,,#811r►y%Vou • My commission expires - G-J'A
STORM-EZ „ ,„

Wet Dag_nillon Pond raintenance Rctluirements
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the vegetated filter if one is
provided.
Important maintenance procedures:
Immediately after the wet detention basin is established,the plants on the vegetated shelf and perimeter of the basin
should be watered twice weekly if needed, until the plants become established(commonly six weeks).
_ No portion of the wet detention pond should be fertilized after the first initial fertilization that is required to establish the
plants on the vegetated shelf.
- Stable groundcover should be maintained in the drainage area to reduce the sediment load to the wet detention basin.
If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through the emergency
drain should be minimized to the maximum extent practical.
- Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and within 24 hours after every storm event greater than
1.0 inches(or 1.5 inches if in a Coastal County). Records of operation and maintenance should be kept in a known set location and must
be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
BMP element: Potential problem: How I will remediate the problem:
The entire BMP Trash/debris is present. Remove the trash/debris.
The perimeter of the BMP Areas of bare soil and/or erosive Regrade the soil if necessary to remove the gully, and then plant a ground
gullies have formed. cover and water until it is established. Provide lime and a one-time fertilizer
application.
Vegetation is too short or too Maintain vegetation at a height of approximately sic inches.
long.
The inlet device The pipe is clogged. Unclog the pipe. Dispose of the sediment off-site.
The pipe is cracked or otherwise Replace the pipe.
damaged.
Erosion is occurring in the swale. Regrade the swale if necessary to smooth it over and provide erosion control
devices such as reinforced turf matting or riprap to avoid future problems
with erosion.
Stone verge is clogged or Remove sediment and replace with clean stone.
covered in sediment(if
applicable).
The forebay Sediment has accumulated to a Search for the source of the sediment and remedy the problem if possible.
depth greater than the original Remove the sediment and dispose of it in a location where it will not cause
design depth for sediment impacts to streams or the BMP.
storage.
Erosion has occurred. Provide additional erosion protection such as reinforced turf matting or riprap
if needed to prevent future erosion problems.
Weeds are present. Remove the weeds, preferably by hand. If pesticide is used,wipe it on the
plants rather than spraying.
The vegetated shelf Best professional practices show Prune according to best professional practices
that pruning is needed to
maintain optimal plant health.
Plants are dead, diseased or Determine the source of the problem: soils, hydrology,disease, etc.
dying. Remedy the problem and replace plants. Provide a one-time fertilizer
application to establish the ground cover if a soil test indicates it is
necessary.
Weeds are present. Remove the weeds, preferably b Vf wipe it on the
plants rather than spraying.
BY:
STORM-EZ

Wet Detention Pond Maintenance Requirements(Continued)
The main treatment area Sediment has accumulated to a Search for the source of the sediment and remedy the problem if possible.
depth greater than the original Remove the sediment and dispose of it in a location where it will not cause
design sediment storage depth. impacts to streams or the BMR
Algal growth covers over 50%of Consult a professional to remove and control the algal growth.
the area.
Cattails, phragmites or other Remove the plants by wiping them with pesticide(do not spray).
invasive plants cover 50%of the
basin surface.
The embankment Shrubs have started to grow on Remove shrubs immediately.
the embankment.
Evidence of muskrat or beaver Use traps to remove muskrats and consult a professional to remove
activity is present. beavers.
Atree has started to grow on the Consult a dam safety specialist to remove the tree.
embankment.
An annual inspection by an Make all needed repairs.
appropriate professional shows
that the embankment needs
repair (if applicable)
The outlet device Clogging has occurred. Clean out the outlet device. Dispose of the sediment off-site.
The outlet device is damaged Repair or replace the outlet device.
The receiving water Erosion or other signs of Contact the local NC Department of Environment and Natural Resources
damage have occurred at the Regional Office.
outlet.
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.
ECEIVG
SEP z 12016
BY:
STORM-EZ

Wet Detention Pond Design Summary
Wet Pond �m
WET POND ID FOREBAY MAIN POND
Pond 1 Permanent Pool El. 38.5 Permanent Pool El. 38.5
Temporary Pool El: 39.3 Temporary Pool El: 39.3
Pretreatment other No Clean Out Depth: 4.5 Clean Out Depth: 4.5
than forebay? Sediment Removal El: 34 Sediment Removal El: 34
Has Veg.Filter? No Bottom Elevation: 33 Bottom Elevation: 33
ECE IVE
BY:
STORM-EZ
9/20/2016
Version 1.4 O&M Manual Page 4 of 4

DEMLRUSE ONLY
Date ved Fee d Permit Number
Applicable R es: Coastal SW-1995 ❑ Coastal SW-2008 ❑Ph 11-Post ns 'on
(:`elect all that apply) ❑Non-Coastal SW-HQW/ORW Waters ❑Universal Stormwater Management Plan
❑Other WQ M mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of 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, �l
a=specifications,letters,operation and maintenance agreements,etc.): H c- F 54 -D;6+r Jr
c_Iti final
Crosswinds Church
2. Location of Project(street address):
445 Lanvale Road
City:Leland County:Brunswick Zip:28451
3. Directions to project(from nearest major intersection):
Travel US 74-76 vast Leland;Take Right on Mercantile Drive at Windsor Industrial Park;Site is on Vacant Lot
on Right Corner
4. Latitude:34*12'48.2"N Longitude:78*3'14.3"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 Ietter 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):
❑LAMA Major [@Sedimentation/Erosion Control:5.0 ac of Disturbed Area
❑NPDES Industrial Stormwater 0404/401 Permit:Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name,Project/Permit Number,
issue date and the type of each permit:
5. Is the project located within 5 miles of a public airport? ®No []Yes
Ifyes,seeS.L.2012-200,PartV1. httn://yortal.ncdenr.org/web/lr/rules-and-regulations , r
f—t
SEP 21 20?
BY:
Form SWU-101 Version Oct.31,2013 Page 1 of 6

III. CONTACT INFORMATIONS
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): is G E,4 �is�r i '� des k y can
esti-.rg �d C SwIN M CAvmc lr1 r
Applicant/Organization: �
Signing Official&Title: C4-t1At5 \(emoo", LGAD
b.Contact information for person listed in item 1a above:
Street Address: 455 OLZS WPe EEOMP Wky'
City: "3Fa►V(L.1S State: Kc Zip: Z91ES 1
Mailing Address(if applicable):
City: State: Zip:
Phone: ((q ED ) 3619—VAI Fax:
Email:
c.Please check the appropriate box.The applicant listed above is:
O'Tlte 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: i
Email:
3.a. (Optional)Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization: I-A ku< Vr--21Ub14
Signing Official&Title:
b.Contact information for person listed in item 3a above:
Mailing Address: 41515 mpg wA,,T-,Q Ivy WA%r
City: 13a-VILLZ State: Zip:
Phone: 10 (q W AX 0 Fax:
Email: RyeeNC L C Z95 W(40s u .Conk
4. Local jurisdiction for building permits:
Point of Contact: Phone#:
Form SWU-101 Version Oct.31,2013 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below,briefly summarize how the stormwater runoff will be treated.
Runoff from parking and buildings will be conveyed through pipe network()to a single wet detention pond
2.a.Tf claiming vested rights,identify the supporting documents provided and the date they were approved:
❑Approval of a Site Specific Development Plan or PUD Approval Date:
❑Valid Building Permit Issued Date:
❑Other: Date:
b.If claiming vested rights,identify the regulation(s)the project has been designed in accordance with:
❑Coastal SW-1995 ❑Ph II-Post Construction
3. Stormwater runoff from this project drains to the CAPE FEAR River basin.
4. Total Property Area:12.43 acres 5. Total Coastal Wetlands Area:0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area(4)-Total Coastal Wetlands Area(5)-Total Surface Water Area(6)=Total Project
Area+: 10.41 acres
+ Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water(NHW) line or Mean High Water
(MHW)line,and coastal wetlands landward from the NHW(or MHiN)line. The resultant project area is used to
calculate overall percent built upon area(BUA). Non-coastal wetlands landward of the NHW(or MHM line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area/ Total Project Area)X 100 =57.9 %
9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormwate;BMP. For low density and other projects,use i for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project,attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information Drainage Area 3 Drainage Area_ Drainage Area_ Drainage Area_
Receiving Stream Name Jackeys Creek
Stream Class * C;Sw
Stream Index Number* 18-77-3
Total Drainage Area(so 155,509
On-site Drainage Area(sf) 155,509
Off-site Drainage Area(sf) 0
Proposed Impervious Area** s 90,100
% Impervious Area** total 57.9%
Impervious"Surface Area Drainage Area 3 Drainage Area_ Drainage Area_ Drainage Area_
On-site Buildings/Lots(sf) 11,300
On-site Streets (sf) 0
On-site Parking (sf) 60,600
On-site Sidewalks (sf) 3,200
Other on-site (sf)
Future(sf) 15,000
Off-site (sf)
Existing BUA***(sf)
Total (sf): 90,100
* Stream Class and Index Number can be determined at: http,*ortal.ncdenr.orgfweb/wq&s/csu/classifications
T a i o +c o FL.a h 1+, 1,i s limited mpermous area defined a "w uiit upon area including,but,not limited to, buildings,roads,parking areas,
sidewalks,gravel areas,etc.
'Report only that amount of existing BLIA that will remain after development. Do not report any existing BLIA that
is to be removed and which will be replaced by new BUA.
Form SWU-101 Version Oct.31,2013 Page 3 of 6

11. How was the off-site impervious area listed above determined?Provide documentation.
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(06'rm)forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://portal.ncdenr.org/web/wq/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of 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
http://portal.ncdenr.org/web/wg/ws/su/statesw/forms dots. 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 ath!Ltp://portal.ncdenr.org/web/wg/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item.All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wg/ws/su/statesw/forms does.
Igitials
1. Original and one copy of the Stormwater Management Permit Application Form. CAW
2. Original and one copy of the signed and notarized Deed Restrictions&Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s)(sealed,signed and dated)and O&M
agreement(s)for each BMP.
4. Permit application processing fee of$505 payable to NCDENR. (For an Express review,refer to
http://www.envhely.org/12ages/onestol2exl2ress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative(one to two pages)describing the stormwater treatment/managementfor M
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 1/2 mile of the site boundary,include the 1/2
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,fi fished 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).
Fonn SWU-101 Version Oct. 31,2013 Page 4 of 6

9. Copy of any applicable soils report with the associated SHWT elevations(Please identify
elevations in addition to depths)as well as a map of the boring locations with the existing
elevations and boring logs.Include an 8.5"x11"copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs,the report should also
include the soil type,expected infiltration rate,and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRQ 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: 5000 Page No: -711 _
11 For corporations and limited liability corporations 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 21-1.1003(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.
htW://www.secret state.nc.us/CorRorations/CSearch a�gx
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://uortalmcdennorg/web/lr/state-
stormwater-forms docs.Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner,it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized 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 formes 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
.-ithout 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 a
consulting engineer and/or firm)so that they may provide information on your behalf for this project(such as
addressing requests for additional information).
Consulting Engineer:Branch Smith
Consulting Firm:Paramounte Engineering,Inc.
Mailing Address:122 Cinema Drive
City:Wilmington State•NC Zip:28337
Phone: (910 ) 791-6707 Fax: ( )
Email:bsmith ftaramounte-eng.com
IX. PROPERTY OWNER AUTHORIZATION(if Contact Information,item 2 has been filled out,complete this
section)
I,(print or type name of person listed in Contact Information,item 2a) .certify that I
own the property identified in this permit application,and thus give permission to(print or type name of person
listed in Contact Information,item 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.
Farm SWU-101 Version Oct.31,2013 Page 5 of 6

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 asse sment of civ•1 penalties of up to$25,000 per day,pursuant to NCG�SS 143-215.6.
Signature Date: U -c 6
11
pp I, 'Pl��0.r\�c y l�lAlhn ,a Notary Public forthe State of County of
C�f`i nt 2 , C1 ,do hheieby certify that Q-yw t 5 \V Vf\pr) personally appeared
before me this 1 1 day of and acknowledge the due 'on of the application for
a stormwater permit. Witness my hand and official seal, V
EPly
SEAL
C
</(,' �C) My commission expires &-k_C�)�
,OZ/NTY NG
X. APPLICANT'S CERTIFICATION ��,,-- -- ..__•• ''
I,(print or type name of person listed in Contact Information,item Ia) GNk►S
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 stormwat r rules under A NCAC 2H.1000 and any other applicable state stormwater requirements.
Signature: Date: O 1116
G O
I, ( a Notary Public for the State of ��- ,County of
POE f)--s c. ,do hereby certify that CA(11'i S �1 Q ►'\Dfl personally appeared
before.me this \-� day of Ul 6 and acknowled a the ue execution of the application for
a stormwater permit. Witness my hand and official seal,
STEpy��i��,
SEAL
clic v Now �'_
=ZE G 7 G=
Oy; My commission expires -��d�
Farm SWU-101 Version Oct.31,2013 Page 6 of 6

Permit No.
(to be provided by DWO)
Red triangles at the upper right hand comer indicate design comments
Please complete the yellow shaded items.
NCDENR a
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out printed and submitted.
The Required Items Checklist(Part 11/)must be printed,filled out and submitted along with all of the required information.
!. PROJECT INFORMATION
Project name Crosswinds Church
Contact person Branch Smith
Phone number 910-791-6707
Date 9/20/2016
Drainage area number DA 3
il. DESIGN INFORMATION
Site Characteristics
Drainage area 155,509 fe
Impervious area,post-development 90,100 fe
%impervious 57.94%
Design rainfall depth 1.5 in
Storage Volume: Non-SA Waters
Minimum volume required 11,108 fe
Volume provided 11,325 fe OK,volume provided is equal to or in excess of volume required.
Storage Volume: SA Waters
1.5"runoff volume NA ft3
Pre-development 1-yr,24-hr runoff 5 ft3
Post-development 1-yr,24-hr runoff fe
Minimum volume required fe
Volume provided
Peak Flow Calculations
Is the prelpost control of the 1 yr 24hr storm peak flow required? Y (Y or N)
1-yr,24-hr rainfall depth 3.7 in
Rational C,pre-development (unitless)
Rational C,post-development (unitless)
Rainfall intensity:I-yr,24-hr storm in/hr
Pre-development 1-yr,24-hr peak flow 5.50 ft3/sec
Post-development 1-yr,24-hr peak flow 8.00 ft3/sec
Pre/Post 1-yr,24-hr peak flow control 2.50 ft3/sec
Elevations
Temporary pool elevation 39.30 fmsl
Permanent pool elevation 38.50 fmsl
SHWT elevation(approx.at the perm.pool elevation) 38.00 fmsl
Top of 10it vegetated shelf elevation 38.50 fmsl
Bottom of 10ft vegetated shelf elevation 37.50 fmsl `1!g
Sediment cleanout,top elevation(bottom of pond) 34.00 fmsl E C E IVE
Sedimem:cleanout,bottom elevation 33.00 fmsl
Sediment storage provided 1.00 It SEP 2 12016
Is there additional volume stored above the state-required temp.pool? Y (Y or N)
Elevation of the top of the additional volume 39.3 fmsl OK BY:
Surface Areas
Area,temporary pool 14,872 fly
Area REQUIRED,permanent pool 9,331 fe
Form SW401-Wet Detention Basin-Rev.9-4/16/12 Parts I.&II.Design Summary,Page 1 of 2

Permit No.
(to be provided by D WQ)
L DESIGN INFORMATION
SAIDA-ratio : 6.00(unitiess)
Area PROVIDED,permanent pool,Ap."Wl 1205 ftz OK
Area,bottom of 1 Oft vegetated shelf,Abo_A., 9,740 ft2
Area,sediment cleanout,top elevation(bottom of pond),AbLp.rd 4,126 ftz
Volumes
Volume,temporary pool 11,325 ft3 OK
Volume,permanent pool,Vp..,.,i 34,956 ft3
Volume,forebay(sum of forebays if more than one forebay) 6,951 ft3
Forebay%of permanent pool volume 19.9%% OK
SAIDA Table Data
Design TSS removal 90%
Coastal SAIDA Table Used? Y (Y or N)
Mountain/Piedmont SAIDA Table Used? (Y or N)
SAIDA ratio 6.00 (unitless)
Average depth(used in SAIDA table):
Calculation option 1 used?(See Figure 10-2b) N (Y or N)
Volume,permanent pool,VP,,,-Pool 34,956 ft'
Area provided,permanent pool,Aperm�ou� 12,685 ftz
Average depth calculated ft Need 3 ft min.
Average depth used in SAIDA,d.,(Round to nearest 0.5ft) ft
Calculation option 2 used?(See Figure 10-2b) Y (Y or N)
Area provided,permanent pool,Ap m pool 12,685 ft'
Area,bottom of 1Oft vegetated shelf,Ab,, Sher 9,740 ftz
Area,sediment cleanout,top elevation(bottom of pond),Abut-pand 4,126 ftz
"Depth"(distance b/w bottom of 1Oft shelf and top of sediment) 3.50 ft
Average depth calculated 3.40 ft OK
Average depth used in SAIDA,d,,,,(Round to down to nearest 0.5ft) 3.5 ft OK
Drawdown Calculations
Drawdown through orifice? N (Y or N)
Diameter of orifice(if circular) in
Area of orifice(if-non-circular) in
Coefficient of discharge(CD) (unitless)
Driving head(H.) ft
Drawdown through weir? Y (Y or N)Weir type V-notch (unitless) EC C G'VE
Coefficient of discharge(C j 257 (unitiess)
Length of weir(L) 1 ft SEP 2 20'
Driving head(H) 0.27 ft
Pre-development 1-yr,24-hr peak flow 5 50 ft3/sec
BY:
Post-development 1-yr,24-hr peak flow 3 00 ft3/sec
Storage volume discharge rate(through discharge orifice or weir) 0 03 ft3/sec
Storage volume drawdown time 3 74 days OK,draws down in 2-5 days.
Additional Information
Vegetated side slopes 3 :1 OK
Vegetated shelf slope 6 :1 Insufficient off clnno L;
Vegetated shelf width 6.0 ft I:1sufiicielit shelFleR�tR,
Length of flowpath to width ratio 3:1 OK
Length to width ratio 2.0:1 OK
Trash rack for overflow&orifice? Y (Y or N) OK
Freeboard provided 1.0 ft OK
Vegetated filter provided? N (Y or N) OK
Recorded drainage easement provided? N (Y or N) Insufficient. Recorded drainage easement required.
Capures all runoff at ultimate build-out? Y (Y or N) OK
Drain mechanism for maintenance or emergencies Is: Pump Out
Form SW401-Wet Detention Basin-Rev.9-4/18/12 Parts I.&II.Design Summary,Page 2 of 2