SW4130401_CURRENT PERMIT_20130419

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
L� CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
YYYYMMDD

47iiew
rA
MCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E.
Governor Director
April 19, 2013
Mr. Tom Honeycutt
P.O. Box 504
Troy, North Carolina 27371
Subject: Stormwater Permit No. SW4130401
Jackson Square Apartments
Davidson County
Dear Mr. Honeycutt:
John E. Skvarla, III
Secretary
The Stormwater Permitting Unit received a Stormwater Management Permit Application for the subject project on
April 5, 2013. Staff review of the plans and specifications has determined that the project, as proposed, will comply
with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000 and Session Law 2006-246. We are
forwarding Permit No. SW4130401, dated April 19, 2013, for the construction, operation and maintenance of the
subject project and the stormwater BMPs.
DWQ requires a soils report that includes a determination of the season high water table (SHWT) for all wet pond
designs. It is recognized as good engineering practice that the proposed permanent pool elevation will be at
approximately the same elevation as the SHWT, i.e., six inches above or below the SHWT. This range ensures that
the wet detention pond does not adversely affect wetlands, surface waters, buffers, and holds water as designed.
If site conditions do not allow the permanent pool elevation to be designed within the preferred range for the SHWT
elevation, then it is the responsibility of the designer to ensure the proposed design will not adversely affect wetlands,
surface waters, buffers and that the water level is maintained at the design permanent pool elevation. DWQ 141
recognizes that groundwater flow can be approximated through various equations and methods. Determining;'
infiltration rates and SHWT is not an exact science. DWQ looks to the design professional to apply the appropriate
method for their specific site. While specific information regarding the SHWT was not included in the application,
discussions with Mr. Clinkscales assured the Division that the design considered both the infiltration rates and SHWT
to ensure the water level is maintained at the design permanent pool elevation. Where infiltration rates and the SHWT
do not maintain the design permanent pool elevation, clay liners have been effective. Where clay liners were cost
prohibitive and the design engineer can demonstrate that an infiltration device would effective meet the mandate to
protect water quality, the Division has also allowed field changes - converting wet detention ponds to infiltration
systems
This permit shall be effective from the date of issuance until April 18, 2021 and shall be subject to the conditions and
limitations as specified therein, and does not supersede any other agency permit that may be required. Please pay
special attention to the conditions listed in this permit regarding the Operation and Maintenance of the BMP(s),
recordation of deed restrictions, procedures for changes of 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 follow the procedures for transfer of the permit, or to renew the permit, will result in
future compliance problems.
W-i lands and Slormwa;or Branch
i917 Mall Service Canter, Raleigh, North Caro'ina 27699-1617
Localion: 512 N Salisbury St. Raleigh, Nlnrth Caiolina 27 ,4
Phune:919 80,-63001 F'JY d,9-807 6•:94
,�n ::qual •-': urr,:,,: _ ', - . •. �trr• ' ct,,,n L' r,.io;,..
One
NorthCarolina

Mr. Tom Honeycutt
Starmwat.r Permit No. SW4130401
April 19, 2013
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. Per NCGS 143-215(e) the petition
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 919-431-3000, or visit their website at
www.NCOAH.com. Unless such demands are made this permit shall be final and binding.
This project will be kept on file at the Winston-Salem Regional Office. If you have any questions, or need additional
information concerning this matter, please contact Mike Randall at [phone]; or [e-mail].
Sincerely,
>)'?�
for Charles Wakild, P.E., Director
cc: SW4130401 File
Timothy Clinkscales -- Paramounte Engineering
Winston-Salem Regional Office
Page 2 of 2

m
State Stormwater Permit
Permit No. SW4130401
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
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
Southern Properties and Development LLC
Jackson Square Apartments
300 Forest Hills Road, Lexington North Carolina,
Davidson County
FOR THE
construction, operation and maintenance of one wet detention basin in compliance with
the provisions of Session Law 2006-246 and 15A NCAC 2H .1000 (hereafter referred to
as the "stormwater rules') and the approved stormwater management plans and
specifications and other supporting data as attached and on file with and approved by
the Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until April 18, 2021, 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. The wet detention basin is approved for the management of stormwater runoff as
described in the application documents and as shown on the approved plans.
3. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
4. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
5. The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent surface waters.
Page 1 of 4

State Stormwater Permit
Permit No. SW4130401
II. SCHEDULE OF COMPLIANCE
During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
2. The permittee shall at all time provide the operation and maintenance necessary
to assure the permitted wet detention basin functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.
f. Debris removal and unclogging of all drainage structures, level spreader,
filter media, planting media, underdrains, catch basins and piping.
g. Access to the cell and outlet structure must be available at all times.
3. Records of maintenance activities must be kept for each permitted BMP. The
reports will indicate the date, activity, name of person performing the work and
what actions were taken.
4. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance and inspection records for the permitted wet detention
basin. The report shall summarize the inspection dates, results of the
inspections, and the maintenance work performed at each inspection.
5. The wet detention basin shall be constructed in accordance with the approved
plans and specifications, the conditions of this permit, and with other supporting
data.
6. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the wet detention basin 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.
7. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
8. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
Page 2 of 4

State Stormwater Permit
Permit No. SW4130401
9. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of eight years from the date of the completion of
construction.
10. 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.
Ili. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form signed by both parties, to the
Division of Water Quality, accompanied by the supporting documentation. The
approval of this request will be considered on its merits and may or may not be
approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves a request to transfer the permit.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2006-
246, Title 15A NCAC 21-1.1000, and NCGS 143-215.1 et.al.
Page 3 of 4

State Stormwater Permit
Permit No. SW4130401
11. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
12. The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit.
Permit issued this the 19th day of April, 2013.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Division of Water Quality
By Authority of the Environmental Management Commission
Page 4 of 4

State Stormwater Permit
Permit No. SW4130401
Jackson Square Apartments
300 Forest Hills Road, Lexington North Carolina,
Davidson 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,
Jackson Square Apartments
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.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
cc: NCDENR-DWQ Regional Office
Page 1 of 1

t DWQ USE ONLY
r Date Received
Fee Paid
Permit Number
0
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph If - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
4-1 j { Department of Environment and Natural Resources
'`1 Division of Water Quality
STQRMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION A
1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on.plaiis� -
specifications, Ietters, operation and maintenance agreements, etc.):
Jackson ua-re Apartments
2. Location of Project (street address):
300 Forest Hills Road
City: Lexington County:Davidson Zip:27292
3. Directions to project (from nearest major intersection):
400 feet south from the intersection of Mockesville Road and Forest Hills Road
SDP
3 3Z1 /V . 'Z
4. Latitude:"-� Longitude.�--Al�'- 6'-' of the main entrance to the project.
11. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
p construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
4 2.1
.Specify the type of ro'ect (check one):
Low Density High Density ❑Drains to an OftStormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑LAMA Major
❑NPDI S Industrial Stormwater
®Sedimentation/Erosion Control: 4.3 ac of Disturbed Area
❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project
issue date and the type of each permit:
Permit Number,
Form SWU-101 Version 07July2009 Page I of 6

111. 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:Southern Properties and Development LLC
Signing Official & Title:Tom Honeycutt- Member Manager
b, Contact information for person Iisted in item 1a above:
Street Address:PO Sox 504
City:Troy
Mailing Address (if applicable):
City:
State:NC
State:
Zip:27371
Phone: ( ] Fax: ( }_
Email:
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official & Title:
b. Contact information for person listed in item 2a above:
Street Address:
City:
State:
Zip:
Mailing Address (if applicable):
City: State: Zip:
Phone: ( Fax:
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:n a
Signing Official & Title:n/a
b. Contact information for person listed in item 3a above:
Mailing Address:
City: State:
Phone: ( 1 Fax: i
Email:
4. Local jurisdiction for building permits:
Point of Contact: Phone #:
Form SWU-101 Version 07July2009 Page 2 of 6
Zip:

IV. 'PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The stormwater will be treated through the use of a stormdraina e system into -a wet detention and
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.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 Yadkin -Pee Dee River basin.
4. Total Property Area: 4.67 acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area': 1.67 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 (NHM line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHM line. The resultant project area is used to
calculate overall percent built upon area (BETA). 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 =
40.1 %
9. How many drainage areas does the project have? 1 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin,Informatzon.,� �, _ .u. ;�„
sW ..
- ... i
Dramag '67 rea �..�
_ ......: 4 . _ea. �+ '
m ina e Area-�,
.,:- ii1. "
Draina 6, rea.:�-
_
Drama _
Receiving Stream Name
Michael Branch
Stream Class *
C
Stream Index Number *
12-113-3
Total Drainage Area (so
203,425
On -site Drainage Area (so
203,425
Off -site Drainage Area (sf)
0
Proposed Impervious Area** (so
81,450
% Impervious Area** total
40.1 %
_.,.- ..
Im e1 VioiiS ' Surface Area. , �.
ro
Drauta e;Area"_'"�
Dram'
,. a e Ar'ea
•Drama "e Areas",
..__ _—
'Draitia e Aiea
On -site Buildings/Lots (so
36,150
On -site Streets (so
45,300
On -site Parking (sf)
0
On -site Sidewalks (so
0
Other on -site (so
0
Future (sf)
0
Off -site (sf)
0
Existing BUA*** (so
0
Total (so: 1
81,450
Stream Class and Index Number can be determined at: http.M12o.ennstate.nc.us/bims/reports�portsWB.htinl
rt* lm ervious 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.
Form SWU-101 Version 07July2009 rage 3 of 6

11. How was the off -site impervious area listed above determined? Provide documentation. n/a
Proiects in Union County: Contact DWQ 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 NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://h2o.enr.state,nc.us/su/bmp_forms.htm.
Vt. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from hqp://h2o.enr.state.nc.us/su/bmp_forms,h_tm. The complete application
package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating
project on the interactive online map at hap://h2o.enr.state.nc.us/su/msi_maps.htm.)
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 Iatest versions for
each submitted application package from http_//h2o.enr.state.nc.us/su/bmp_forms.htm.
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.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhelp.org//pagesf_onestopex press. htmI for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within'/2 mile of the site boundary, include the lb
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h, Identify aII 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.
I. 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).
Form SWU-101 Version 073uly2009 Page 4 of

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 locati ns 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 WiRO: Schedule a site visit for DWQ to verifij the SHWT prior
to submittal, (9I0) 796-7378.)
10. A copy of the most current property deed. Deed book: Page No:
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC _
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
htW://www.secretary.state.nc.us/Corporations/CSeareh.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
httl2:/No.enr.state.nc.us/sulbmp forms.htm#deed restrictions. 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 DWQZ 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 EngineenTimothy Clinkscales
Consulting Firm: Paramounte Engineering -
Mailing Address:5911 Oleander Drive, Suite 201
City:Wilmington
Phone: (910 „) 791-6707
Email:[e-mail]
State:NC Zip:28403
Fax: (910 ) 791-6760
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
1, (print or hjpe 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 hjpe name of person
listed in Contact Information, item 1 a) with (print or hjpe name of organization listed in
Contact Information, item 1b) 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 SWU-101 Version 07Jo1y2009 Page 5 of

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalWs of up to $25,000 per day, pursuant to NCGS 143-215.6.
Date:
6J + 1
G C2( q (Aa ie S a Notary Public for the State of VJJ(` Cq n�.,n��Countyof
do hereby certify that personally appeared
before me this: —Nay of A orG+--, 201' , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official se
SEAL
My commission expires �c. n. 9, 2 cAL
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 2) Tom_ Honeycutt (Member Manager)
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, SL 2006-246 (Ph.11- Post Construction) or SL 2008-211.
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
Form SWU-101 Version 07Ju1y2009 Page 6 of 6

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

Permit Number: '
(to be provided by DWQ)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate theproblem:
The inlet device: pipe or
The pipe is clogged.
Unclog the pipe. Dispose of the
Swale
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the swale if necessary to
Swale.
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design depth for
possible. Remove the sediment and
sediment storage.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional
show that pruning is needed
practices
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible. Remove the sediment and
storage depth.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area.
and control the algal growth.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface.
Form SW40I-Wet Detention Basin O&M-Rev.4 Page 2 of 4

a
Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate theproblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present,
consult a professional to remove
beavers,
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
The outlet device
CIogging 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 Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 4.5 feet in the main pond, the sediment
shall be removed.
When the permanent pool depth reads 4.5 feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom E
750.50
-----------------
FORERAY
BASIN DIAGRAM
(fill in the blanks)
/Volume
ft Min.
Sediment
Storage
Permanent Pool Elevation 755.00
Pool
1 Sediment Removal Elevation 750.50Volume
-
-------j
Bottom Elevation
MAIN POND
i:Lyn.
Sediment
Storage
Form SW401-Wet Detention Basin O&M-Rev.4 Page 3 of 4

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Jackson Square Apartments
BMP drainage area number: l
Print name:Tom Honeycutt. - Southern Properties and Development LLC
Title:Manager
Address:PO Box 504 Troy, NC 27371
Date: SI (o 1 13
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
1,A(kr, CA C�� , a Notary Public for the State of
�nt k to�;r� c. , County of , do hereby certify that
L personaify appeared before me this
day of _..!c3►►l�h ], and acknowledge the due execution of the
forgo' g wet detention basin maintenance requirements. Witness my hand and official
seal (a� -
SEAL
My commission expires,n.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4

5171.
FIRST BANK
PARAMOUNTE ENGINEERING INC.
5911 OLEANDER DR., SUITE 201 66-4561531
WILMINGTON, NC 2W3 4/3/2013
PAY TO THE
ORDER OF NCDENR
$ x*505.00
Five Hundred Five and 00/100xx*xxx**x+*+x+x****x*xxxxxxxx**+xx***x++xx+*x**xxr+**xxxrxx*x+xr+xx+*xr*xxxx*+r+xr+x++*x+**xDOLLAR$
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PARAMOUNTE ENGINEERING INC
NCDENR
4/3/2013
12229.PE - Jackson Square Stormwater Permit Fee
5171
505.00
First Bank Checking 12229.PE Jackson Square Stormwater Permit F 505.00