SW6120804_CURRENT PERMIT_20121024

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

� DENR- FRO
AARJ•�
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. E. Frank Weaver, III
Diversified Holdings, LLC
350 Wagoner Drive
Fayetteville, NC 28303
Division of Water Quality
Charles Wakild, PE
Director
September 21, 2012
Subject: Stormwater Permit No. SW6120804
The Summit, Section Four
High Density Subdivision Infiltration Basin Project
Harnett County
Dear Mr. Weaver:
ou 14 202
Dee Freeman
Secretary
The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for The
Summit, Section Four on September 11, 2012. 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 21-1.1000 and
Session Law 2006-246, We are forwarding Permit No. SW6120804, dated September 21, 2012, for the
construction, operation and maintenance of the subject project and the Stormwater BMPs.
This permit shall be effective from the date of issuance until September 21, 2020 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.
f any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within thirty (30) days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter ISO of the North Carolina
General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer 27447, Raleigh, NC 27611-
7447. Unless such demands are made this permit shall he final and binding.
This project will be kept on file at the Fayetteville Regional Office. If you have any questions, or need additional
information concerning this matter, please contact Robert Patterson at [phone]; or
[e-mail].
Sincerely,
for Charles Wakild, PE
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: www.rimaterquaVity.org
An Fqual Oppartunily 4 Affirmative Action Employer
cc: SW6120804 File
cc: James M. Kizer, Jr., PE - Moorman, Kizer & Reitzel
Ronald S. Williams - Moorman, Kizer & Reitzel
Mike Lawyer - Fayetteville Regional Office
onr NthCaroli na
Naturally

State Stormwater Permit
Permit No. SW6120804
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY SUBDIVISION DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Diversified Holdings, LLC
The Summit, Section Four
Next to 76 Copper Loop, Sanford, Harnett County
FOR THE
construction, operation and maintenance of two (2) infiltration basins 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 September 21, 2020 and
shall be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.6 of this permit. The subdivision is permitted for
30 lots, each allowed a maximum of 6,000 square feet of built -upon area.
3. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
4. The infiltration basins are designed, and must be maintained, to capture and
infiltrate 2.5x the minimum treatment volume in lieu of providing a vegetated filter
strip and bypass.
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 8

State Stormwater Permit
Permit No. SW6120804
6. The following design elements have been permitted for this infiltration basin
stormwater facility, and must be provided in the system at
all times.
Basin A
Basin B
a.
Drainage Area, acres:
18.0
1.32
Offsite, W.
674,000
57,500
Offsite, ft2:
110,000
0
b.
Total Impervious Surfaces, ft2:
238,750
19,400
Lot BUA, ft2:
168,000
12,000
Roads/Parking, ft2:
54,250
7,400
Other, ft2:
0
0
Offsite, ft2:
16,500
0
C.
Design Storm, inches:
1.0
1.0
d.
TSS removal efficiency:
85%
85%
e.
Basin Design Depth, feet:
5.5
1.0
f.
Bottom Elevation, FMSL:
402.0
404.5
g.
Bottom Surface Area, ft2:
8,272
3,800
h.
Bypass Weir Elevation, fmsl:
407.5
405.5
i.
Permitted Storage Volume, ft3:
66,973
4,837
j.
Predevelopment 1 year 24 hour:
4.16 cfs
0.30 cfs
k.
Post development 1 year 24 hour:
0.0 cfs
0.0 cfs
I.
Type of Soil:
LaB (loamy sand)
LaB (loamy sand)
m.
Expected Infiltration Rate, in/hr :
2.0
2.0
n.
Seasonal High Water Table, fmsl:
<397.0
<397
o.
Time to Draw Down, days:
3.4
0.56
p.
Receiving Stream / River Basin:
Kiln Branch 1 Cape Fear
q.
Stream Index Number:
18-20-13-4
r.
Classification of Water Body:
.
"C"
IL SCHEDULE OF COMPLIANCE
No homeowner/lot owner/developer shall fill in, alter, or pipe any drainage feature
(such as swales) shown on the approved plans as part of the stormwater
management system without submitting a revision to the permit and receiving
approval from the Division.
2. The permittee is responsible for -verifying that the proposed built -upon area for
the entire lot does not exceed the maximum allowed by this permit. Once the lot
transfer is complete, the built -upon area may not be revised without approval
from the Division of Water Quality, and responsibility for meeting the built -upon
area limit is transferred to the individual property owner.
3. If an Architectural Review Board or -Committee is set up by the permittee to
review plans for compliance with the BUA limit, the plans reviewed must include
all proposed built -upon area. Any approvals given by the Board do not relieve the
homeowner of the responsibility to maintain compliance with the permitted BUA
limit.
4. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
5. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
Page 2 of 8

State Stormwater Permit
Permit No. SW6120804
6. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to the approved plans, regardless of size.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further subdivision, acquisition, or sale of all or part of the project area.
The project area is defined as all property owned by the permittee, for
which Sedimentation and Erosion Control Plan approval was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
7. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of completion of
construction.
8. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
9. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
10. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications. must be. noted on the Certification.
11. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
12. Permanent seeding requirements for the stormwater control must follow the
guidelines established in the North Carolina Erosion and Sediment Control
Planning and Design Manual.
13. The permittee shall at all times provide the operation and maintenance
necessary to assure that all components of the permitted .stormwater system
function at optimum efficiency. The approved Operation and Maintenance Plan
must be followed in its entirety and maintenance must occur at the scheduled
intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans.
f. Debris removal and unclogging of overflow weirs, catch basins, piping,
infiltration media, rip rap aprons, and swales.
g. Access to all components of the system must be available at all times.
14. Records of maintenance activities must be kept for each permitted BMP. The
records will indicate the date, activity, name of person performing the work and
what actions were taken.
Page 3 of 8

State Stormwater Permit
Permit No. SW6120804
15. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance and inspection records for each BMP. The report shall
summarize the inspection dates, results of the inspections, and the maintenance
work performed at each inspection.
16. The stormwater treatment system shall be constructed in accordance with the
approved plans and specifications., the conditions of this permit, and with other
supporting data.
17. The permittee shall submit for approval, final site layout and grading plans for
any designated future development area shown on the approved plans, prior to
construction.
18. Prior to the sale of any lot, the following deed restrictions must be recorded:
a. The following covenants are intended to ensure ongoing compliance with
State Stormwater Management Permit Number SW6120804, as issued by
the Division of Water Quality under the stormwater rules.
b. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit'.
C. These covenants are to run with the land and be binding on all persons
and parties claiming under them.
d. The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State of North Carolina, Division
of Water Quality.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the Division of Water Quality.
f. The maximum built -upon area per lot is 6,000 square feet. This allotted
amount includes any built -upon area constructed within the lot property
boundaries, and that portion of the right-of-way between the front lot line
and the edge of the pavement. Built upon area includes, but is not limited
to, structures, asphalt, concrete, gravel, brick, stone, slate, coquina and
parking areas, but does not include raised, open wood decking, or the
water surface of swimming pools.
g. All runoff on the lot must drain into the permitted system. This may be
accomplished via roof drain gutters, which drain to the street, grading the
lot to drain toward the street, or grading perimeter swales and directing
them into the pond or street. Lots that will naturally drain into the system
are not required to provide these additional measures.
h. Built -upon area in excess of the permitted amount will require a permit
modification.
19. A copy of the recorded deed restrictions must be submitted to the Division within
30 days of the date of recording the plat, and prior to selling lots. The recorded
copy must contain all of the statements above, the signature of the Permittee, the
deed book number and page, and the stamp/signature of the Register of Deeds.
20. Prior to transfer of the permit, the stormwater facilities will be inspected by DWQ
personnel. The facility must be in compliance with all permit conditions. Any
items not in compliance must be repaired or replaced to design condition prior to
the transfer. Records of maintenance activities performed to date will be
required.
Page 4 of 8

State Stormwater Permit
Permit No. SW6120804
21. If permeable pavement credit is desired, the permittee must submit a request to
modify the permit to incorporate such language as required by the Division of
Water Quality. The request to modify must include a soils report identifying the
type of soil, the Seasonal High Water Table elevation and the infiltration rate.
Upon the successful completion of a permit modification, the individual lot owners
that request to utilize permeable pavements must submit the necessary forms
and documentation to the permittee and receive approval prior to construction of
the permeable pavement.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and
approval by the Director. In the event there is either a desire for the facilities to
change ownership, or there is a name change of the Permittee, a completed
Name/Ownership Change Form must be submitted to the Division of Water
Quality, signed by the parties involved, accompanied by supporting
documentation as listed on page 2 of the form. The project must be in good
standing with DWQ. 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. of the terms and conditions
of this permit until such time as the Director approves the transfer request.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of 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), which have 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. Permittee grants permission to staff of the DWQ to access the property for the
purposes of inspecting the stormwater facilities during normal business hours.
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
controls must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director,from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2006-
246, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
Page 5 of 8

State Stormwater Permit
.Permit No. SW6120804
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 21" day of September, 2012.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Charles Wakild, PE, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 6of8

State Stormwater Permit
Permit No. SW6120804
The Summit, Section Four
Stormwater Permit No. SW6120804
Harnett County
Designer's Certification
Page 1 of 2
I, , as a duly registered in
the State of North Carolina, having been authorized to observe (period icallylweeklylfull
time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is a part of this Certification.
Noted deviations from approved plans and specifications:
Signature
Registration Number
Date
SEAL
Page 7 of 8

State Stormwater Permit
Permit No. SW6120804
Certification Requirements:
Page 2 of 2
.1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and volume have been provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as overflow weirs,
energy dissipaters, and the pipes and inlets.
15. The required dimensions of the system are provided, per the approved
plan.
Please submit this Designer's Certification to: Fayetteville Regional Office
Surface Water Protection
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
Cc: Barry Blevins — Harnett County
Central Permitting
Page 8 of 8

DWQ USE ONLY
DateReceived
Fee Paid
Permit Number
2.51 kl--
13 5 ri
ca k a,[) o
Applicabl Rules: ❑ CoastaI SW -1995 ❑ Coastal SW - 200$ Ph lI - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
The Summit Section Four
2. Location of Project (street address):
Next to 76 Copper Loop _ T
City:Sanford County:Harnett Zip:27332
3. Directions to project (from nearest major intersection):
From intersection of Buffalo Lake Road S.R.1115 and All2ine Drive S.R. 1141 0 0.18 miles on Alpine Drive
to Timberline Drive on left, take Timberline Drive for 0.40 miles to intersection with Copper Loop, tum left
on Copper Loop, take to dead end where Phase Four will_begin.
4. Latitude:35° 19' W' N Longitude:790 02' 10" W of the main entrance to the project.
H. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b. If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) _ , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a Ietter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major
®Sedimentation/Erosion Control: 5.2 ac of Disturbed Area
❑NPDES industrial Stormwater ❑404/401 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:
AUG 9 3 2OF?
DENR , A

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 theproject).
Applicant/Organization:E. Frank Weaver, III {Diversified Holdings LLC)
Signing Official & Title:
b.Contact information for person listed in item 1a above:
Street Address:3.50 Wagoner Drive
City TayetteviHe State:N.C. Zip:28303
Mailing Address (if applicable):
City:
Phone: [phone], Ext. 208
Email:[e-mail]
State: Zip:
Fax: (910 ] 485-6700 - --
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ T essee* (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 projects construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:Ronald S. Williams (Moorman , Kizer & Reitzel. Inc.)
Signing Official & Title:
b.Contact information for person listed in item 3a above:
Mailing Address:PO Box 53774
City:Fayetteville _ _ State:N.C. Zip:28305
Phone: (910 ) 484-5191 Fax: (910----- -)_ 484-0388
Email:[e-mail]
4. Local jurisdiction for building permits: Harnett County Central Permitting
Point of ContactBarry Blevins __ _ Phone #: (910 ) 893-7525 _ _ _

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater runoff will dischab,,7e into infiltration basins where the runoff will infiltrate into theexistin
sandy, deep soil which is typical -for this site. The basins are sized to handle 2.5 times the treatment
volume at 1 2 the soil infiltration rate.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Cape Fear. �T River basin.
4. Total Property Area: 17.86 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area*:17.86 acres
Total project area shall be calculated to exclude the following: the normal pool of im ounded structures, the area
between the banks of streams and rivers, the area below the Normal Higgh Water (NM line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHi line. The resultant project area is used to
calculate overall percent built upon area (BLIA). Non -coastal wetlands landward of the NHW (or MH1M line may
be included in the total project area.
8. Project percent of impervious area: (Total impervious Area / Total Project Area) X 100 =31.1 %
9. How many drainage areas does the project have?2 (For high density, count I for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area A_
Drainage Area B
Draina a Area _
Drainage Area
Receiving Stream Name
Kiln Branch
Kiln Branch
Stream Class *
C
C
Stream Index Number *
18-20-134
18-20-13-4
Total Drainage Area (sf)
784,000
57,500
On -site Drainage Area (sf)
674,000
57,500
Off -site Drainage Area (so
110,000
0
Proposed Impervious Area**(so
238,750
19,400
% Impervious Area** total
30.5
33.8
05V 4o-ry 2 ,o-05
-Impervious— Surface Area
Drainage Area A
Drainage Area B
Drainage Area
Drainage Area _
On -site Buildings/Lots (so
168,000
12,000
On -site Streets (sf)
54,250
7,400
On -site Parkin (sf)
0
0
On -site Sidewalks (sf)
0
0
Other on -site (sf)
0
0
Future (sf)
0
0
Off -site (so
0
0
Existing BUA' (so
16,500
0
Total (so:
238,750
19,400
2 5 :k ) 5-10 ,ro r
1.
* ,Stream CIass and Index Number can be determined at: lit t ) )(Yrti71.ncd err.orS,/uv��It%zvrl/t7s/csulclassiflcations
" Impe ous 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 8UA 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. Area determined
from existing house plans and street plans of previous section Three of The Summit adjacent to Phase Four
Proieets in Union County. Contact DWQ Central Office staff to check ifthe project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per NCAC 02B , 0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http:/Zportal.ricdenr.org/webZwq.Zws/sulbnip-iiianual.
VL SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http://portal.nc(lenr.org/web/wq/ 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/we:b/wq/ws/su/statesw//forms_docs.
i 'a
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.enyh�lp.org/pages%onestopexRress.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
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 112. mile of the site boundary, include the 1h
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
+ Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).

9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"xll" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to ve� the SHWF prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 2248 Page No: 850
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 1a, 2a, and/or 3a per 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.
h!W://www.secretaiy.state.nc.us/Corporations/CSearch.qWx
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
htt : portahicdennor web wq/ws/su statesw forms does. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any Iot.
Vlll. 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:)ames M. Kizer, Jr. PE
Consulting Firm: Moorman Kizer & Reitzel Inc.
Mailing Address:PO Box 53774
CityTayetteville State:N.C. Zip:28305
-5191 ) 48"388
Phone: (9,10 484 Fax: (910 ._._. ....),..—_ ..,.,,_. ..._
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
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.

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: Date:
T, 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. APPLICANTS CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a) E. Frank Weaver, III
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 21-1.1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211.
Date. 7 -2 g t —
I, N P60 a Notary Public for the State of N C - County of
V M c +N do h reby certify that E . W�� personally appeared
before me this �5 day of01 IZ, and a wl ge a ue ec o of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires i 14

High DensBy Residential Subdivisions
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 2H.1000 and S.L. 2006-246, the Stormwater Management Regulations,
deed restrictions and protective covenants are required for High Density Residential Subdivisions where
lots will be subdivided and sold and runoff will be treated in an engineered stormwater control facility. Deed
restrictions and protective covenants are necessary to ensure that the development maintains a "built -upon"
area consistent with the design criteria used to size the stormwater control facility.
I, E. Frank Weaver, Ill , acknowledge, affirm and agree by my signature below, that I will
cause the following deed restrictions and covenants to be recorded prior to the sale of any lot:
1. The following covenants are intended to ensure ongoing compliance with State Stormwater
Management Permit Number Sk/6 t Zo ?o , as issued by the Division of Water Quality under the
Stormwater Management Regulations.
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming under
them.
4. The covenants pertaining to stormwater may not be altered or rescinded without the express written
consent of the State of North Carolina, Division of Water Quality.
5. Alteration of the drainage as shown on the approved plan may not take place without the concurrence
of the Division of Water Quality.
6. The maximum allowable built -upon area per lot is 6,000 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.
OR, if the proposed built -upon areas per lot will vary, please REPLACE #6 above with the following:
6. The maximum built -upon area per lot, in square feet, is as listed below:
Lot # BUA Lot # BUA Lot # BUA Lot # BUA
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.
i. Each lot will maintain a 30** foot wide vegetated buffer between all impervious areas and surface
waters.
**50 foot for projects located in the 20 coastal counties.
8. All runoff from the built -upon areas on the lot must drain into the permitted system. This may be
accomplished through a variety of means including roof drain gutters which drain to the street, grading
the lot to drain toward the street, or grading perimeter swales to collect the lot runoff and directing them
into a component of the stormwater collection system. Lots that will naturally drain into the system are
not required to provide these additional measures.
Form DRPC-3 Rev.2 05Nov2009 Page i of 2

High Density Residential Subdivisions
Deed Restrictions & Protective Covenances
Signature: n r.4 044L Date: l�
Y
I, r et � � , a Not ry Public in the
State of IN • C. , Coun of CVm (RX
ty
do hereby certify that E. Frank Weaver III personally appeared
before me this the 26 day of Z`JI% , 20 1.2—, and acknowledge
the due cation of the,f r oin ins rument. Witness my hand and official seal,
SEAL ` E
Signature
My Commission expires
Form DRPC-3 Rev.2 05Nov2009 Page 2 of 2

Permit Number: 29'W6 /Z D?D1f
(to be provided by DWQ)
Drainage Area Number:
Infiltration Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
- Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
- No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
- The vegetation in and around the basin will be maintained at a height of
approximately six itches.
After the infiltration basin is established, it will be inspected once a quarter and within
24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element.
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide time and a
one-time fertilizer application.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
Swale
applicable .
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable .
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Form SW401-Infiltration Basin O&M-Rev3
Page 1 of 3

BMP element:
Potentialproblem:
How I will remediate theproblem-,
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
spraying.
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than
Replace the top few inches of filter
5 days after a storm event,
media and see if this corrects the
standing water problem. if so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray) -
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet
733-1786.
Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3

Permit Number: SkI612 0 P 0 f'
(to be provided by DWQ)
A
` ! r
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:The Summit Section Four
BMP drainage area number:A
Print name:E. Frank Weaver, 11LCDiversified Holdings LLC
Title:President
Address:350 Wagoner Drive
Date:
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
I, I v oL �. e ���% a NPublic for the State of
. C_ 'County of CUmrorv�wrdo hereby certify that
E,. RmaV \k) aVlt 7— _ personally appeared before me this 269
day of and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official
F 0 `" '
-� f^j�. •.�iir• rid
SEAL
My commission expires 19�
Form SW401-Infiltration Basin O&M-Rev.3
Page 3 of 3

Permit Number: SW6 JZo$O`f
(to be provided by DWQ)
Drainage Area Number: ?>
Infiltration Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
— Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter and within
24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate the roblem:
The entire BMP
Trashl debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
swale
a licable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the Swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Form SW401-infiltration Basin O&M-Rev.3 Page 1 of 3

BMP element:
Potential roblern:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
protection such as reinforced turf
matting or riprap if needed to
Prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
s ra yin .
The main treatment area
A visible Iayer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than
Replace the top few itches of filter
5 days after a storm event.
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray) -
The embankment
Shrubs or trees have started
Remove shrubs or trees
to ow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the NC Division of Wafter
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Pone SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3

Permit Number: Sidi 2- 0 $O 1
(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:The Summit Section Four
BMP drainage area number:B
Print name:E. Frank Weaver III Diversified Holdings LLC
TitleTresident
Address:350 Wagoner Drive
Phone:[phone], Ext. 208
Signature:
Date:----- 7=:245L—i2„ - -
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.
a Ntotary Public for the State of
t V . C. ' + , County of CU1r11IOIAA)d , do hereby certify that
wew-a- personally appeared before me this
day of LJ 012i, and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and offic' al,
� 5f,•',
r�
I•t.� A
�
46
�✓�C",p
EYE
ell
My commission expires 7 41),�
Form SW401-infiltration Basin O&M-Rev.3 Page 3 of 3

• •� -
,,
R
- � �i
] -� � s . .
� '
. r .r- . . T
� -- .,. �'
�� �`
..�,
.
.
�i T
4
•�
C�
�
��

0 , ti
Permit No. 7 W d «SW
fro be provided by DWQ)
FWA
3eo1s
STORMWATER MANAGEMENT PERMIT APPLICATION FORM >-
NCDENR 401 CERTIFICATION APPLICATION FORM G
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
E 'JE!+' € s� '�;tu�r� r :nY
• PROCTS INFORMATION
r r .�sf.- ,` ,.� s t• i.+ 3.
Project Name The Summit, Section Four
Contact Person James M. Kizer, Jr. PE
Phone Number [phone]
Dale September, 2012
Drainage Area Number A -
H DESIGN' INFORMATION"'L
S.K. Y •s"R��r�.,.+, Y,N' ':h. ;. cif ,..t� ;:+t
Site Characteristics
Drainage area 784,000.00 ft2
Impervious area 251,000.00 ft2
Percent impervious 0.32 %
Design rainfall depth in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
1-yr, 24-hr intensify
Pre -development 1-yr, 24-hr discharge
Post -development 1-yr, 24-hr discharge
Pre/Post 1-yr, 24-hr peak flow control
Storage Volume: Non -SA Waters
Minimum design volume required
Design volume provided
Storage Volume: SA Waters
1.5" runoff volume
Pre -development 1-yr, 24-hr runoff volume
Post -development 1-yr, 24-hr runoff volume
Minimum required volume
Volume provided
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage Surface Area
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom Surface Area
3.06 in
0.13 inmr
4,16 ftWlsec
13.88 ft'lsec
9.72 ftlisec
26,789,00 It'
66,973.00 ft'
ft3
ft3
ft3
µ3
ft'
(LaB)
2.00 inlhr
<397 fmsl
3.39 days
3.00
:1
402.00
fmsl
406.83
fmsl
13,687.80
ft2
408.00
fmsl
140.00 ft
60.00 ft
8,272.00 ft2
OK for non -SA waters
OK
OK
#VALUE!
Form SW401-Infiltration Basin-Rev.4 Parts I. & Ir. Design Summary, Page 1 of 2

Permit
(to be provided by DWQ)
Additional Information
Maximum runoff to each inlet to the basin?
6.17
ac-in
Maximum of 2 acre -inches allowed
Length of vegetative filter for overflow
300.00
ft
OK
Distance to structure
:.15.00
ft
OK
Distance from surface waters
1,000+
ft
OK
Distance from water supply well(s)
1,000+
ft
OK
Separation from impervious soil layer
>10
ft
OK
Naturally occuring soil above shwt
>10
ft
OK
Bottom covered with 4-in of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
Y
(Y or N)
OK
Capures all runoff at ultimate build -out?
Y
(Y or N)
OK
Bypass provided for larger storms?
N
(Y or N)
Must provide bypass for larger flows
Pretreatment device provided
N
Form SW401-Infiltration Basin-Rev.4 Parts I, & II, Design Summary, Page 2 of 2

Permit No.
(to be provided by DWQ)
L7"
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) most be printed, filled out and submitted along with all of the required information.
I:�'PRWECT,INF0RMAT ION
Project Name The Summit, Section four
Contact Person James M. Kizer, Jr. PE
Phone Number [phone]
Date September, 2012
Drainage Area Number B
II' DES IGNItINFORMATION,,o- .hi,� • '=4 , 'Nu u� ` ;` '. } •r".: = a` ��" a,_ rr t.y'z" ,�+�: s'r.:: _hit s !:: E �s�:+ ?7"
Site Characteristics
Drainage area 57,500.00 ftz
Impervious area 19,400.00 ft2
Percent impervious 0.34 %
Design rainfall depth in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr discharge
Post -development 1-yr, 24-hr discharge
PrelPost 1-yr, 24-hr peak flow control
Storage Volume: Non -SA Waters
Minimum design volume required
Design volume provided
Storage Volume: SA Waters
1.5' runoff volume
Pre -development 1-yr, 24-hr runoff volume
Post -development 1-yr, 24-hr runoff volume
Minimum required volume
Volume provided
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage Surface Area
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom Surface Area
3.06 in
0.13 inlhr
0.30 ft3lsec
1.02 ft3lsec
0.72 ft3lsec
1,934.00 ft3
4.837.00 ft3
ft3
0
ft3
ft3
ft3
2.00 inlhr
<397 fmsl
0,56 days
3.00
:1
404.50
fmsl
405.51
fmsl
4,835.40
ftZ
406.00
fmsl
120.00 It
35.00 It
3.800,00 ftz
OK for non -SA waters
OK
OK
#VALUE!
Form SW401-Infiltration Basin-Rev.4 Parts I, & II. Design Summary, Page 1 of 2

Permit No
(to be provided by DWQ)
Additional Information
Maximum runoff to each inlet to the basin?
Length of vegetative filter for overflow
Distance 10 structure
Distance from surface waters
Distance from water supply well(s)
Separation from impervious soil layer
Naturally occuring soil above shwt
Bottom covered with 4-in of clean sand?
Proposed drainage easement provided?
Capures all runoff at ultimate build -out?
Bypass provided for larger storms?
Pretreatment device provided
0.47
ac-in
30.00
ft
15.00` `
ft
1,000+
ft
1,000+
ft
> 10
ft
>10'
ft
Y
(Y or N)
lY
(Y or N)
Y _
(Y or N)
N °
(Y or N)
N
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
Must provide bypass for larger flows
Form SW401-Infiltration Basin-Rev,4 Parts I. & II. Design Summary, Page 2 of 2