SW7060212_CURRENT PERMIT_20100820

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW 7(%(O
DOC TYPE
� CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
YYYYMMDD

Affl-
jr
NCB NR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
August 20, 2010
Mr. Thomas A. Vann, President & CEO
First South Bank
PO Box 2047
Washington, NC 27889
Natural Resources
Subject: Stormwater Permit No
Cypress Commons
High Density Project
Beaufort County
Dear Mr. Vann:
wl�
SW7060212
Dee Freeman
Secretary
The Washington Regional Office received a complete Stormwater Management Permit Application for
the ownership transfer of Cypress Commons development on August 12, 2010 from Cypress
Commons, LLC to First South Bank. 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. We are forwarding Permit No. SW7060212 dated August 20, 2010, for the continued
operation and maintenance of the subject project.
This permit shall be effective from the date of issuance until December 6, 2016, and shall be subject
to the conditions and limitations as specified therein. Please pay special attention to the Operation
and Maintenance requirements in this permit. Failure to establish an adequate system for operation
and maintenance of the stormwater management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right
to request an adjudicatory hearing upon written request within thirty (30) days following receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer
27447, Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and
binding.
If you have any questions, or need additional information concerning this matter, please contact Scott
Vinson, or me at [phone].
icerl
Al Hodg
Regional Supervisor
Surface Water Protection Section
AHlsav- C:ISTORMWATIPERMITISW7060212Transfer
cc: Stephen C. Atkins, Sr.,Manager-Cypress Commons, LLC
Scott Anderson, PE — Rivers & Associates
Beaufort County Building Inspections
ashington Regional Office
Central Files
North Carolina Division of Water Quailty Internet: www.ncwaterquality.org 0I1C
943 Washington Square Mall Phone [phone] FAX: [phone] North Carolina
Washinglon, NC 27889 FAX: [phone] p /
An Equal Opportunity1AffrmaliveActionEmployer Natu a`li

State Stormwater Management Systems
Permit No. SW7060212
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
First South Bank
Cypress Commons
Beaufort County
FOR THE
construction, operation and maintenance of grassed swales in conjunction with two
extended dry detention basins to be in compliance with the provisions of 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 December 6, 2016, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.6 on page 3 of this permit. The stormwater controls
have been designed to handle the runoff from 53,274 square feet of impervious
area.
3. The tract will be limited to the amount of built -upon area indicated on page 3 of this
permit, and per approved plans.
4. 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.
5. The runoff from all built -upon area within the permitted drainage area of this project
must be directed into the permitted stormwater control systems.
Page 2 of 5

State Stormwater Management Systems
Permit No. SVV7060212
0
The following design criteria have been provided in the two extended dry detention
basins and must be maintained at design conditions:
a.
Site Area, acres:
1.71
Basin 1
Basin 2/3
b.
Drainage Area to Basin, ac:
0.623
1.094
C.
Total Impervious Surfaces, ft2:
18,525
34,753
d.
Design Storm, inches:
1.00
1.00
e.
Basin Depth, feet:
0.80
1.05
f.
Bottom Elevation, FMSL:
30.50
29.50
g.
Bottom Surface Area, ft2:
1,159
1,175
h.
Bypass Overflow Elevation, FMSL:
31.30
30.55
i.
Permitted Storage Volume, ft3:
1,311
2,223
j.
Receiving Stream/River Basin:
Sidney Creek 1 Tar -Pamlico
k.
Stream Index Number:
29 - 6 - 4
I.
Classification of Water Body:
"SC; NSW'
II. SCHEDULE OF COMPLIANCE
1. 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.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all times provide the operation and maintenance necessary
to assure the permitted stormwater system 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 revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of bypass structure, infiltration media, flow
spreader, catch basins, piping and vegetated filter.
9. A clear access path to the bypass structure must be available at all times.
4. Records of maintenance activities must be kept and made available upon request
to authorized personnel of DWQ. The records will indicate the date, activity, name
of person performing the work and what actions were taken.
Page 3 of 5

State Stormwater Management Systems
Permit No. SW7060212
5. The facilities shall be constructed as shown on the approved plans. This permit
shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and 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 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. 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. Access to the stormwater facilities shall be maintained via appropriate easements
at all times.
9. 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 or a CAMA Major
permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
10. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by the
Permittee at all times.
12. The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in
the notice, the permittee shall submit a written time schedule to the Director for
modifying the site to meet minimum requirements. The permittee shall provide
copies of revised plans and certification in writing to the Director that the changes
have been made.
13. This permit shall be effective from the date of issuance until December 6, 2016.
Application for permit renewal shall be submitted 180 days prior to the expiration
date of this permit and must be accompanied by the processing fee.
Page 4of5

State stormwater management Systems
Permit No. SV 7060212
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director. In
the event of a change of ownership, or a name change, the permittee must submit
a formal permit transfer request to the Division of Water Quality, accompanied by a
completed name/ownership change form, documentation from the parties involved,
and other supporting materials as may be appropriate. The approval of this request
will be considered on its merits and may or may not be approved, The permittee is
responsible for compliance with all permit conditions until such time as the Division
approves the transfer request.
2. 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.
3. 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.
4. 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.
5. 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.
6. The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and reissuance or
termination does not stay any permit condition.
7. 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.
8. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
9. The permittee shall notify the Division of any name, ownership or mailing address
changes within 30 days.
Permit issued this the 20"' day of August, 2010.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
L
for
Cgleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7060212
Page 5 of 5

y Rec
NCDENR s �°1°
North Carolina Department of Environment and Natural Rftaurges i'we
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freema
Governor Director Secretary
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION
1. Stormwater Management Permit Number: `�W %4 (,O Z l2
2. Project Name: CY?RS-55 Clmyy oO�js _
3. Current Permit Holder's Company Name/Organization: C�?PRC'55 GMMo&J5 { LLC,
4. Signing Official's Name: 7;�!hfAA C•Afl-ty15 ,5C Title: N1t;Eu►eet-lA4NAdXA-
(person legally responsible for permit)
5. Mailing Address: 1�10 [hRa�I0A Avg& _
City: State: I'JG Zip: '2788 }
6. Phone: (25 Z) 9'1,�- 0 T77 Fax: ?S - d 777
II. PROPOSED PERMITTEE 1 OWNER 1 PROJECT 1 ADDRESS INFORMATION
This request is for: (please check all that apply)
❑ Name change of the owner (Please complete Items 1, 2 and 3 below)
❑ Name change of project (Please complete Item 5 below)
Change in ownership of the property/company (Please complete Items 1, 2,
❑ Mailing address 1 phone number change. (Please complete Item 4 below)
❑ Other (please explain):
1. Proposed permittee's company name/organization: tr1%QST uTi-t 24N1�
2. Proposed permittee's signing official's name: V ANO
3. Proposed permittee's Title: Ptae-s%S> e N-r 4,, Ce O
4. Mailing Address: r.C� , laox ?—D+ 7
City: RAJA}-S N t M(3,'ro f--� State: N C, Zip:
Phone: Zt } �N& -- 41'lk Fax: file, -3
5. New Project Name to be placed on permit:
3, and 4 below}
Please check the appropriate box. The proposed permittee listed above is:
❑ HOA or POA (Attach a copy of the deed transferring ownership of all common areas. Print Name
of HOA or POA in #1 above and provide name of HOA(POA) president in #2 above).
E,The property owner.
❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on
page 4)
❑ Purchaser (Attach a copy of the pending sales agreement and complete Property Owner
Information on page 4)
❑ Developer (Complete Property Owner Information on page 4)
SSW N/D Change Rev16Nov2009 Page 1 of 4

i
• t
t

I.
III. REQUIRED ITEMS
This application package will not be accepted by the Division of Water Quality unless all of the
applicable required items listed below are included with the submittal.
1. This completed and signed form.
2. Legal documentation of the transfer of ownership. (For Permit Transfers Complete Current Permittee
and Proposed Permittee Sections)
3. A copy of the recorded deed restrictions, if required by the permit.
4. The designer's certification, if required by the permit and if not already submitted to DWQ.
5. If the Proposed Permittee is a corporation, LLC or General Partnership, provide documentation from
the Secretary of State office, which supports the named president, vice president, member, manager
or General Partner.
6. The $40.00 processing fee. If this is an initial transfer from the original permittee to the property owner
or other responsible party such as an NOA, the processing fee is not required. Subsequent ownership
transfers will require the $40.00 processing fee.
IV. CURRENT PERMITTEE'S CERTIFICATION
Please check one of the following statements:
❑ Check here if the Current Owner is onlychanging the owner name, company name or project
name, or the mailing address, and will retain ownership of the permit.
I, , the current owner, hereby notify the Division of
Water Quality that I am changing my name or company name and/or I am changing my mailing
address and/or I am changing the name of the permitted project. I further attest that this application
for a name/ownership change is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed and that if all required supporting
information and attachments as outlined above are not included, this application package will be
returned as incomplete.
N Check here if Current Owner is transferring (selling) the property to a new owner and will not
retain ownership of the permit.
I, !SkUhM C >k1YLi _Sr. , the current owner, am submitting this application for a transfer of
ownershiD for permit # -5w D+aDzi22 . 1 hereby notify DWQ of the sale or other legal transfer
of the stormwater system associated with this permit. I further acknowledge and attest that I have
transmitted a copy of the most recent permit, a copy of the Designers Certification, a copy of the
DWQ approved plans and/or approved as -built plans, a copy of the approved Operation and
Maintenance agreement and copies of past maintenance records to the Proposed Permittee named
in Sections II and V of this form at the mailing address listed in Section 11 of this form. I further attest
that I assign all rights and obligations as permittee to the Proposed Permittee named in Section V of
this form. I understand that this transfer of ownership cannot be approved by the Division of Water
Quality unless and until the facility is in compliance with the permit and the Proposed Permittee signs
this form. I understand that in the event the facility is not in compliance or the Proposed Permittee
does not sign this form, the responsibility to bring the facility into compliance and to comply with the
terms and conditions of the permit remains with me until such time as the Proposed Permittee signs
this form and the Division approves i
4A-QNZhP�-
Signature: :�AAA ,1� �° Date: p _ l0
1, ,--x 0 - (Q ��our, , a Notary Public for the State of
0C- , County of r �c� r , do hereby certify that
5 ��h�x �IfKJR s - �^ personally appeared before me this the
1111u1u+u,
3 day of (.r; , 20 �� , and acknowLed ,p ecution of the
forgoing instrument. Witness my hand and official seal, �3(Notary 3pal)
Notary Signature pVs%'" Q
E`�
SSW N/O Change Rev16Nov2009 Page 2 of 4 ''•'�ORT 004'��,``��
41t11414141

V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Permittee for all transfers of ownership)
I, /1- P/�V-✓ , hereby notify the Division of Water Quality that I have
acquired through sale, lease or legal transfer, the responsibility for constructing and/or operating and
maintaining, the permitted stormwater management system. I have examined the permit and
inspected the permitted facility, and agree to assume the rights and liabilities contained in the permit
and to comply with the terms and conditions of the permit.
attest that I have reviewed this application for an ownership change and it is accurate and complete
to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information and attachments are not included, this
application package will be returned as incomplete.
I further acknowledge and attest that in the event the required facility inspection reveals that the
project is not in compliance with the permit, I understand this transfer of ownership will not be
approved until the project is brought into compliance. I acknowledge and attest that i have received a
copy of the most recent permit, a copy of the Designer's Certification, a copy of the DWQ approved
plans and/or approved as -built plans, a copy of the approved Operation and Maintenance agreement
and copies of past maintenance records from the previous permittee. I further acknowledge and
agree that I will construct and/or operate and maintain the system per the requirements listed in the
permit and in the Operation and Maintenance agreement.
Signature: _:� : ----- u�ee�. Cy - Date: Jf .21—I4
a Notary Public for the State of
6UDrL� (,4/b/,irk, County ofQuP_Ty , do hereby certify that
1� as A 1&hn personally appeared before me this the
day of "/ ► l.U] 20�, and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
(Notary Sea!
Nota rVISignature
Additional copies of the original permit and the approved Operation and Maintenance plan can be
obtained from the appropriate Regional Office of the Division of Water Quality.
This completed form, including all supporting documents and processing fee, should be sent to the
appropriate Regional Office of the North Carolina Department of Environment and Natural
Resources, Division of Water Quality, as shown on the attached map.
Please note that if the Proposed Permittee listed above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee / developer and the property
owner will appear on the permit as permittees.
SSW N/0 Change Rev16Nov2009 Page 3 of 4

VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections 11 and V of this form is not the Property Owner, the
Property Owner must provide his/her Contact Information below and sign this form. -
Printed Name:
Organization:
Title within the Organization:
Street Address:
City:
Mailing Address:
City
State:
(if different from street address)
State:
Phone: Fax:
Email:
Zip:
Zip:
certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections II and V to develop, lease or purchase the property. A
copy of the lease agreement or pending property sales contract has been provided with the
submittal, which indicates the party responsible for the construction and/or operation and
maintenance of the stormwater system.
As the legal property owner I acknowledge, understand, and agree by my signature below, that I will
appear as a permittee along with the lessee/developer and that if the designated Proposed
Permittee dissolves their company and/or cancels or defaults on their lease agreement or pending
sales contract, 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 by submitting a
completed Name/Ownership Change Form within 30 days of procuring a developer, lessee or
purchaser for the property. I understand that failure to operate and maintain the Stormwater
treatment facility'in accordance with the 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 of thelproperty owner Date:
a Notary Public for the State of
, County of , do hereby certify that
personally appeared before me this the
day of , 20
forgoing instrument. Witness my hand and official seal,
Notary Signature
, and acknowledge the due execution of the
(Notary Seal)
SSW N10 Change Rev16Nov2009 Page 4 of 4

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Dry Extended 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 dry extended detention basin system is defined as the dry detention basin, outlet
structure, pretreatment including forebays and the vegetated filter if one is provided.
This system (check one): n y
❑ does ❑ does not incorporate a vegetated filter at the outlet. AUG 1 2 2010
This system check one): • r
❑ dos ❑ does not incorporate pretreatment other than a forebaAwr`ENVAR `!
Important maintenance procedures:
The drainage area will be managed to reduce the sediment load to the dry
extended detention basin.
Immediately after the dry extended detention basin is established, the vegetation
will be watered twice weekly if needed until the plants become established
(commonly six weeks).
— No portion of the dry extended detention pond will be fertilized after the first
initial fertilization that is required to establish the vegetation.
— I will maintain the vegetation in and around the basin at a height of
approximately six inches.
— Once a year, a dam safety expert will inspect the embankment.
After the dry extended detention 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 dry
Areas of bare soil and/or
Regrade the soil if necessary to
extended detention
erosive gullies have formed.
remove the gully, and then plant a
basin
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Form SW401-Dry Detention O&M-Rev.3 Page I of 4

BMP element:
Potential problem,.
How I will remediate the.problem-.
The inlet device: pipe or
The pipe is dogged (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
swaIe (if applicable).
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
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
(see diagram below).
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
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
(see diagram below).
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Revegetate disturbed
areas immediately with sod
(preferred) or seed protected with
se rely staked erosion mat.
Water is standing more than
Check outlet structure for clogging.
5 days after a storm event,
if it is a design issue, consult an
appropriate rofessional.
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).
Form SW401-Dry Detention O&M-Rev.3
Page 2 of 4

BMP element:
Potentialproblem:
How I will remediate theproblem:
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
Grass cover is unhealthy or
Restore the health of the grass cover
eroding.
- consult a professional if necessary.
Signs of seepage on the
Consult a professional.
downstream face.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
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.
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 basin depth reads feet in the main pond, the sediment shall be removed.
When the basin depth reads feet in the forebay, the sediment shall be removed.
Sediment Removal
Bottom El
BASIN DIAGRAM
ill in the blanks)
t e porar
----------------- olume
25%
Sediment
Storage
FOREBAV
Pool
Temporary Pool Elevation
Sediment Removal Elevation
Bottom Elevation
MAIN POND
emporary
Volume
, 25%4 9'eC
invent
Form SW401-Dry Detention O&M-Rev.3 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. 1 agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: CY iES S
BMP drainage area number:
Print name: � ' ~� / L-,—/ "1lG� �
Title: ES­2i'Zr.�AC-4 v ✓iC S i �L % if/
Address: /;3// Ay-ewL�,_E- �VAS� -27 7'?
Phone:��
Signature:T�
Date: --''_
'Vi7?
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, 01�weoi­\ 4. , a Notary Public for the State of
1? L _ , County of (Ie rt , do hereby certify that
s f Pye_ personally appeared before me this /2.
day of , Old , and acknowledge the due execution of the
forgoing dry lention basin maintenance requirements. Witness my hand and official
seal,
SEAL
My commission expires
Form SW40I-Dry Detention O&M-Rev.3 Page 4 of 4

Permit Name:
(to be provided by DWQ)
Drainage Area Number:
Grassed Swale 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 of the grassed swale will be carefully managed to reduce the
sediment load to the grassed swale.
- After the first-time fertilization to establish the grass in the swale, fertilizer will"y�
,.� �'
not be applied to the grassed swale. E� !F=µ,��4e
The grassed Swale will be inspected once a quarter. Records of operation and AUG 1 2 2010
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:
Potential roblem:
How I will remediate theproblem:
The entire length of the
Trash/debris is present.
Remove the trash/debris.
swale
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed,
remove the gully, and then re -sad
(or plant with other appropriate
species) and water until established.
Provide Iime and a one-time
fertilizer application.
Sediment covers the grass at
Remove sediment and dispose in an
the bottom of the swale.
area that will not impact streams or
BMPs. Re -sod if necessary.
Vegetation is too short or too
Maintain vegetation at a height of
long.
apEroximately six inches. -
The receiving water
Erosion or other signs of
Contact the NC Division of,Water
damage have occurred at the
Quality 401 Oversight Uriit.at 919-
outlet.
733-1786.
Form SW401-Grassed Swale O&M-Rev.3 Page 1 of 2

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: C� ti H O'I
BMP drainage area number:
Print name: Yc G2 UAII A-/
Title: V C16' 771Z.E� ..�Eu: fi�+/c.�/ �' ✓. c.z f 2s'r��.�
Address: Asti, -:?Pb='
Phone: ( c'7;
Signature:
Date:
yi
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.
ht • (2 I%ot( t? , a Notary Public for the State of
N L' , County of (;Qo'C44� t f , do hereby certify that
,b Ue G be personally appeared before me this
day of &o UJIJ , and acknowledge the due execution of the
forgoing grassed swale maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires
Form SW401-Grassed Swale 0&M-Rev.3 Page 2 of 2

+wa-Rd
Beverly Eaves Perdue, Governor
A TFRpG
Dee Freeman, Secretary
North Carolina Department of Environment and Natural Resources
Colcen H. Sullins, Director
Division of Water Quality
Gwen Calhoun
c/o First South Bank
P.O. Box 2047
Washington, NC 27889
May 07, 2010
SUBJECT: April 12, 2010 Compliance Evaluation Inspection
Cypress Commons
Permit No: SW7060212
Beaufort County
Dear Mrs. Calhoun:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted
on April 12, 2010. Jeffery A Manning of the Washington Regional Office conducted the Compliance
Evaluation Inspection. The facility was found to be in Compliance with permit SW7060212. However, to
avoid further actions by this office you must submit a signed Engineer's Certification (a copy is enclosed)
as well as a completed name/ownership change form (a copy is enclosed) within thirty (30) days of receipt
of this report.
A copy of your permit and your signed Storinwater Management Permit Application Form is enclosed for
reference. Please refer to the enclosed inspection report for additional observations and comments. If you
or your staff have any questions, please call me at 252-948-3966.
Sincerely,
/JeOfer�yAl. Manning
Environmental Specialist
Attachments
cc: ,Central Files
WaRo Files
R
943 Washington Square Mall Washington, NC 27889 [phone] Customer Service 1 800 623-7748

State Stormwater Inspection Report
General
Project Name: Cypress Commons
Permit No: SW7060212
Expiration Date:
Contact Person: Gwen Calhoun
Phone Number: [phone]
Inspection Type: Compliance
Evaluation
Inspection Date: 04/12/2010
Time In: 0 1: 1 Opm
Time Out: 02:25pm
Current Weather: Overcast
Recent Rain (Date)? t
Rain — in
Location
Facility Address / Location: Old Blounts Creek rd.
City: Chocowinity FZ:,
County: NC Lat: 0"N Long: - "W
Permit Information
Rule Subject to (circle one): 1988 Coastal Rule 1995 Coastal Rule 2008 Coastal Rule Session Law 2006-246
Goose Creek High Quality Waters Outstanding Resource Waters
Density (circle one): Nigh (HD) Low (LD)
Stortnwater Best Management Practices (BMPs) (insert number of each):
Wet Ponds Infiltration Basins Infiltration Trenches
X Dry Ponds Bioretention Permeable Pavement
Cistern Level Spreader/Filter Strip Other (specify):
File Review
LD Swales Stormwater Wetlands
Sand filters (circle one) Open Closed
Yes No NIA NIE
1. is the permit active?
X
2. Signed Engineer's Certification on file?
X
3. Signed Operation and Maintenance agreement on tile?
X
4, Recorded Deed Restrictions on file?
X
Site Visit: Built Unon Area (BUA) Yes No NIA NIE
5. BUA is constructed and consistent with the permit requirements?
X
6. BUA (aspermitted) is graded such that the runoff drains to the system? (high density only)
X
7. Drainage area is consistent withpermit? (i.e. no un ermitted drainage to the SW BMPs)
X
8. Drainage area is stabilized? (to reduce risk of sedimentation to the SW BMPs)
X
Site Visit: Stormwater BMPs Yes No NIA NIE
9. Stormwater BMPs are located per the approvedplans?
X
10. Stormwater BMPs have dimensions (e : leti gth, width, area) matching the approvedplans?
X
11. Stormwater BMPs are constructed per the approvedplans?
X
Site Visit: Oneration and Maintenance Yes No NIA NIE
12. Access points to the site are clear and well maintained?
X
13. Trash has been removed as needed?
X
14. Excessive landscape debris (rass_clippings, leaves, etc) is controlled?
X
15. Stormwater BMPs being operated and maintained as per the permit requirements?
X
16. Inspection and Maintenance records are available for inspection? (high density only, 1995 — present only)
X
Site Visit: Other Permit Conditions Yes No NIA NIE
17. Is the site compliant with other conditions of thepermit? X
Site Visit: Other Water Quality Issues Yes No NIA NIE
18. Is the site compliant with other water quality issues as noted during the inspection? X
State Stormwater Inspection Keport, Version 3.0_3-09 Page 1 of

State Stormwater Inspection Report
The facility was found to be in Compliance with pert -nit SW7060212. However, to avoid further actions by this office you
must submit a signed Engineer's Certification (a copy is enclosed) as well as a completed name/ownership change forth
within ninety (90) days of receipt of this report.
otne of the pictures taken during the site
See Inserts
Compliance Status X Compliant Non -Compliant
Letter Sent (circle one): Yes No Letter type: CEI NOV NOVRE Other
Date Sent: May_1.1, 2010 _ _ . Reference Number:
Inspector Name and Signature: - Date: May 07 2010
State Stormwater Inspection Report, Version 3.0_3-09 Page 2 of 2

DRY EXTENDED DETENTION BASIN O & M Inspection Report
1. Inlet device (swale or pipe) is free of damage, clogs or erosion:
2. Forebay is free of excessive sediment and weeds:
NB ❑ ❑ ❑
Q ❑ ❑ ❑
3. Forebay is free of erosion or displaced rip -rap (if applicable): R ❑ ❑ ❑
�-..x .�„�-f�rw �.:.[�,•4 �• .nrlti,/�„„,r....a y��.',i�•{; 1%�P.''!1� �{'�;'Cli WVC�:�`y-+��nY i. .S••. Y ti���y •C�. M1"}y' y.-�• 1 a WIYI�:����.Y� Y�,�._��T�_ _. J-iPYt.. A �R�Z -y� i���F. .�Y� Z•,Yyj.y���41•
PERIMETER1 SS q ; v NOhF�^, �y S k��,11,r ; ,A" f, ,j ;jNt$ti�lriMikwt��il p'wY�1.+eL+. L�.....elk>m.,,�.fCr�-G,•.�.n.ta�c':FI...�T.�w
T.l.�'FY'•f�.�1:4..��
4.
Perimeter is free of bare soil or erosive gullies:
®
❑
❑
❑
5.
Side slopes are 3:1 or less:
❑
❑
❑
❑
6.
Free of muskrat or beaver activity:
®
❑
❑
❑
7.
Slopes and berms are free of woody vegetation:
N
❑
❑
❑
8. , Minimum of one foot of freeboard between the temp pool and top of berm:
Z
❑ `_
❑
❑
9. Depth of the basin is < or = to 10 ft. and built in accordance with the plans:
Z
❑
❑
❑
10. Drain is provided and correctly installed:
>'
❑
❑
❑
11. Basin is drained and it has been more than 5 days since last rain:
1Z
❑
❑
❑
12. Stormwater flow through the basin is free of short circuiting:
Z
❑
❑
❑
13: Main bay is free of excessive sediment:
N
❑
❑
❑
" i,� .;; n+[ . e5 - .ti,.fi .T ;.-g
VEGETATION';`;t`F5'���,�;��rtra�+ra.� a y .x�
ar..-.
r... ?h +� CC t• .� a J -.< .Y Y, .l`.TC wf _S�•ew .r w r...
f .
7E'_ _
+it.,.'i�•
F.
14. the vegetation in / around the basin is maintained at -6 inches:
❑
❑
❑
15. Grass cover is in good condition (not eroded)
®
❑
❑
❑
16. Free of weeds or noxious vegetation:
®
❑
❑
❑
"'`�Ot� - si'k� T r rS "t-'F"•°'• r a�x 1 e `trr.•,y7'rsy r c• �` ,
UTLETS'�s,�:y���'��t��:���?�'���!.�-��.`�a�3�.'.:�?r':ti:•�::�-::��kr}���'���,���'���.�''�_ �'r
r�'�5��"�:
r�ii`��.r�:��':�
17. Outlet device is free of damage or clogs:
❑
❑
❑
18. Outlet is free of erosion or other signs of damage::
Z
❑
❑
❑
19. Orifice size matches approved plans:
®
❑
❑
❑
20. Relative elevations match approved plans:
H
❑
❑
❑
V3.0 3-09

i's

S�eP rPev. z/z�/oG ;ss SAP 4�/3�06
• ... h Y iIG SUI don- 3 �Z• /0 (a
. }, OFFICE USE'ONU
Date Received
Fee.Paid
Permit Nuniber
2-006
o t�fl[7 r ,5 "
t
. SW oc d % % i—
V C,l'-
Sfate of North C1arolinap
Department of'Environment and Natural Resources
Division of Water Quality Q�
STORMWATER.MANAGEMENT PERMIT;APPLICATION FORM
This,maybe photocopied for Use as an orlglnal
I. GENERAL INFORMATION
1. Applicants name (specify the. name of the corporation, individual, etc. who owns the project),'
Cypress'Commons, LLC
2, Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Stephen.C. Atkins, Sr. M�,w
3. Mailing Address for person listedan;item.2 above:
1910 CarolinaAve.
City: Washington ;State: NC zip, 27889
Telephone Number 252 9750777
4. Project Narrie (subdivision, facility,. or establishment name - should be consistent with project "nameon plans,,
specifications, letters,. operation and maintenance. agreements, etc.):
Cypress Commons
5, Location of Project (street address)
Old Biounts Creek Road
City: Chocowinity County Beaufort
6. Di' ections to project (frdm'neare'st.rhdjor inteIsectibri):
From intersection of Old Blounts Creek Road "(SR` 1123) and NC HVVY 33,.turn eastbound onto Old Blounts Creek Road. Site
is approximately 1 mile on left.
7. Latitude: 35.48703 Longitude: -77.05927 of project
&: Contact person who can answer questions about the project:
Name: Scott T. Anderson, PE TelephoneNumber: (252` ] ,752-4135
II. PERMIT INFORMATION:
1. Specifywhether project is (check one):
New 0 Renewal
E_Modification
Form SWU-101 Version 3.99 Page 1 of 4

2. If this application is being submitted as the result of a renewal or modification to an existing permit list the
existing permit number and its issue date (if known)
3. Specify the type of project (check one):
❑ Low Density 0 High Density ❑ Redevelop ❑ General Permit. ❑ Other
4. Additional Project Requirements (check applicable blanks): -
❑CAMA Major OSedimentation/Erosion Control ❑404/401 Permit ❑NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project .
Stor_ a ater_will_be_eonaceyed_via c.urb_and_gutter_toAmes.,discharge_dinto_swale.s_and_th.en—
to proposed dry detention basins where it will be held for two days before being discharged
into roadside swales
2
Stormwater runoff from this project drains to the Tar -Pamlico
3. Total Project Area: 1.72
River basin.
acres 4. Project Built Upon Area: 71.2 %
5. How many drainage areas does the project have? 1
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below. '1
n t' -b / I' 04-� z. 'Q-3 (C-°'" '
Basin Information
Draina e Area L ; g
Drainage
Nre6 2•
Receiving Stream Name
Sidney Creek
Receiving Stream Class
SC, NSW
13 S
Drainage Area
1.72
'0"
Existing Impervious* Area
0
Proposed Impervious*Area
1,223
% Impervious* Area (total)
r7 112 fo
Impervious* Surface Area :.
Drainage Area 1 ` '
Drainag Area 2
On -site Buildings
.299
(p �'/3 O
g
6!1
On -site Streets
.490
,0p ' 0 7 9 ? 04 i17
On -site Parking
.380
11100 r -o't �
Z 3 ? f
On -site Sidewalks
.054
2 3 0 1
Other on -site
0
Off -site
0
,, 'T4.
Total:1.223
Total: �'�� 0
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version 3.99 Page 2 of 4

t
7. How was the off -site impervious area listed above derived? Aerial Photography
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment.
I. The following covenants are intended to ensure ongoing compliance with state stormwater management permit number
as issued by the Division of Water Quality. These covenants may not be
changed or deleted without the consent of the State.
2. No more than square feet of any lot shall be covered by structures or impervious materials.
Impervious materials include asphalt, gravel, concrete, brick, stone, slate or similar material but do not include wood
decking or the water surface of swimming pools.
3. Swales shall not be filled in piped, or altered except as necessary to provide driveway crossings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction.
5. All permitted runoff from outparcels or future development shall be directed into the permitted stormwater control
system. These connections to the stormwater control system shall be performed in a manner that maintains the integrity
and performance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, 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 State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms.
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-105
,:r': Curh.Outlet System Supplement
Form SWU-106
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Form SWU-10I Version 3.99 Page 3 of 4

i
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. The complete application package should be
submitted to the appropriate DWQ Regional Office.
Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
Initi s
• Original and one copy of the Stormwater Management Permit Application Form
• One copy of the applicable Supplement Form(s) for each EMP 5'
• Permit application processing fee of $420 (payable to NCDENR)
• Detailed narrative description of stormwater treatment/management 5
• Two copies of plans and specifications, including: i
- Development/Project name
- Engineer and firm
-Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VII.. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
Designated agent (individual or firm)
Mailing Address: PO BOX 929
City: Greenville
Rivers and Associates
State: NC
Zip: 27858
Phone: (252 ) 752.4135 Fax: ( 252 ) 752.3974
VIII. APPLICANT'S CERTIFICATION
1, (print or type name of person listed in General Information, Item 2) C.
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 15A
Nir..Ar. ?H Tnnn ­--nL .` - . ,
Date: 2 1
Form SWU-101 Version 3.99 Page of

RECT MAY 0 5 2006
Permit No. SW7060212
(To be provided by DWO
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM JUL 2 0 2006
EXTENDED DRY DETENTION BASIN SUPPLEMENT
This form miry be photocopied for use as an original.
DW Stormwater Mana ement Plan Review: DWQ-��I° °® /'�
T��LJr
A complete stormwater management plan submittal includes a dry detention basin supplement for each basin, design calculations,
plans and specification showing, all basin and outlet structure details and a fully executed operation and maintenance agreement.
I. PROJECT INFORMATION (Please complete the following information):
Project Name: Qgpress Cnmrnnm
Contact Person: Phone Number. {252) 752-4135_
For projects with multiple basins, specify which basin this worksheet applies to: Pond 1 (Site East)
Design Storm: l" (Please choose either the I yr, 24 yr storm, or the I" storm)
Required Volume: 1264 cubic feet
Basin Dimensions:
Bottom Elevation: 30.5 feet, MSL (IRREGULAR) Area: ft long x ft wide = 1159 ft
Perm. Pool Elevation: 30.5 feet, MSL (IRREGULAR) Area: 6 ft long x 3 ft wide= 18 ft
Storage Elevation: 31.30 feet MSL (IRREGULAR) Area: ft long x ft wide= 2151 ff
Detention Volume Provided: 1311 cubic feet
Sediment Storage Provided: 262 cubic feet (Equivalent to 201116 of the detention volume)
Drawdown Orifice: 1.0" PVC (Please indicate size and type of orifice)
Additional BMP to achieve 85%TSS (circle one) Grassed swale Vegetated Filter Other
II. REQUIRED ITEMS CHECIKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual (N.C. Department of
Environment. Health and Natural Resources, November,1995) and Administrative Section 15A NCAC 2H. 1008. Initial in the space
provided to indicate the following, design requirements have been met and supporting documentation is attached. If the applicant has
designated an agent in the Stormwater Management Permit Application Form, the agent may initial below. If a requirement has not
been met, attach written justification.
Applicants initials
�A• a. The basin captures the runoff from the 1 year, 24 hour storm and releases it over a period of 48 hours, OR the basin
captures the runoff from the I inch storm and allows it to draw down over a period of 2-5 days.
b. The minimum flow length ratio is 3:1. L: W.
c. Basin side slopes are no steeper than 3:1.
d. A small permanent pool has been provided at the outlet to reduce clogging
e. Cleanout access has been provided.
f A drain has been provided which will completely empty the basin for cleanout.
_ g. Sufficient volume has been provided for any local Government peak- flow requirements.
h. If the basin was used during a construction as a sediment basin or trap, it must be cleaned out to design
specifications prior to operation as a dry detention basin.
i. A vegetation plan has been prepared by a N.C. licensed professional Consideration must be given to the grasses
specified clue to the frequent inundations.
j. The basin must be stabilized within 14 days of construction.
k. The design provides for the sediment storage in addition to the detention volume that is equal to 20% of the
detention volume.
1. Inlet and outlet channels have been protected from scour during high flows from large storms.
m. In areas of easily erodible soils, an additional plunge pool at the inlet has been provided, or riprap is used as an
energy dissipater.
Page 1 of 2
Form SWU-1 09 Rev 4.99

:9!i_n. A forebay to capture sediment is recommended to make cleanout easier.
o. The basin is located in uncompacted natural soils.
p. The seasonal high water table is located at least I foot below the bottom of the extended dry detention basin.
q. An additional BMP (such as a swale or vegetated filter) has been designed to operate in conjunction with this dry
detention basin to meet the required minimum 85% TSS removal.
III. EXTENDED DRY DETENTION OPERATION AND MAEQTENANCE AGMEEMNT
The extended dry detention system is defined as the dry detention basin, forebay, and the required additional EMP.
This system (check one) does ® does not incorporate a vegetated filter.
This system (check- one) ® does ❑ does not incorporate non-integrated pretreatment.
Maintenance activities shall be performed as follows:
1. All grassed areas of the basin shall be mowed at least twice annually.
2. Debris must be removed whenever it accumulates, or at least twice annually.
3. Inspect the basin annually after a rain event to ensure it is functioning properly. The following items must be inspected:
a. The outlet structure and orifice.
b. Erosion of the side slopes and around the inlets and outlet.
c. Sediment accumulation shall be measured, and removed if it has reduced the available volume to 75% of the original
depth.
d. The condition of the emergency spillway.
e. Keep woody vegetation off of the banks.
4. Any areas of the system found to be deficient shall be repaired or replaced to design standards.
5. Written records of the inspections and maintenance activities shall be kept.
I acknowledge by my signature below that I am responsible for the performance of the above maintenance procedures.
I agree to notify DWQ of any problems with the system or changes in the name of the project, responsible party, or address.
Print name: Stephen Atkins, Sr. Title: �A,,,uthorized A¢ent
Address: 1910 Carolina Avenue, Washin on, NC 27889
r1 Cad 6, I C a Notary Public for the State of North Carolina, County of 1
do hereby certify that��� J �``�l personally appeared before me this day of
and acknowledge the due execution of the forgoing maintenance requirements.
Witness my hand and official seal, � J III J8gJy�
A,:,,..., ,•�'Y ice.
:mom
Pmmission expires:
Page 2 of 2
Form SWO-1 09 Rev 4.99

Permit No. SW7060212
(To be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources LKCOWED
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM JUL 2 0 2006
EXTENDED DRY DETENTION BASIN SUPPLEMENT �i�_t�I��
This form may be photornpied for use as an original. ��J t� !/
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a dry detention basin supplement for each basin, design calculations,
plans and specification showing, all basin and outlet structure details and a fully executed operation and maintenance agreement.
I. PROJECT INFORMATION (Please complete the following information):
Project Name: Omreec Cnmmnnt
Contact Person: Phone Number: 252 752-4135
For projects with multiple basins, specify which basin this worksheet applies to: Pond 2 and 3 (Site Middle and West)
Design Stone: I" (Please choose either the 1 yr, 24 yr storm, or the 1" storm)
Required Volume: 2,213 cubic feet
Basin Dimensions:
Bottom Elevation: 29.5 feet, MSL (IRREGULAR) Area: R long x ft wide = 1175 ft
Perm. Pool Elevation: 29.5 feet, MSL (IRREGULAR) Area: 6 ft long x 3 R wide= 18 ft
Storage Elevation: 30.55 feet MSL (IRREGULAR) Area: R long x ft wide= 2310 ft
Detention Volume Provided: 2 2D cubic feet
Sediment Storage Provided: 368 cubic feet (Equivalent to 20% of the detention volume)
Drawdown Orifice: 1.51, PVC (Please indicate size and type of orifice)
Additional BMP to achieve 85% TSS (circle one) Grassed Swale Vegetated Filter Other
II. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual (N.C. Department of
Environment. Health and Natural Resources, November, 1995) and Administrative Section 15A NCAC 2H. 1008. Initial in the space
provided to indicate the following, design requirements have been met and supporting documentation is attached. If the applicant has
designated an agent in the Stormwater Management Permit Application Form, the agent may initial below. If a requirement has not
been met, attach written justification.
Ap lieants Initials
T— a. The basin captures the runoff from the 1 year, 24 hour storm and releases it over a period of 48 hours, OR the basin
captures the runoff from the I inch storm and allows it to draw down over a period of 2-5 days.
b. The minimum flow length ratio is 3:I. L: W.
c. Basin side slopes are no steeper than 3:1.
d. A small permanent pool has been provided at the outlet to reduce clogging
e. Cleanout access has been provided.
f. A drain has been provided which will completely empty the basin for cleariout.
g. Sufficient volume has been provided for any local Government peak- flow requirements.
h. If the basin was used during a construction as a sediment basin or trap, it must be cleaned out to design
specifications prior to operation as a dry detention basin.
i. A vegetation plan has been prepared by a N.C. licensed professional Consideration must be given to the grasses
specified clue to the frequent inundations.
j. The basin must be stabilized within 14 days of construction.
9�A k. The design provides for the sediment storage in addition to the detention volume that is equal to 20% of the
detention volume.
1. Inlet and outlet channels have been protected from scour during high flows from large storms.
m. In areas of easily erodible soils, an additional plunge pool at the inlet has been provided, or riprap is used as an
energy dissipater.
Page 1 of 2
Form SWU-1 09 Rev 4.99

n. A forebay to capture sediment is recommended to make cleanout easier.
_ o. The basin is located in uncompacted natural soils.
2!" p. The seasonal high water table is located at least I foot below the bottom of the extended dry detention basin.
�— q. An additional BMP (such as a swale or vegetated filter) has been designed to operate in conjunction with this dry
detention basin to meet the required minimum 85% TSS removal.
III. EXTENDED DRY DETENTION OPERATION AND MAEQTENANCE AGMEEMNT
The extended dry detention system is defined as the dry detention basin, forebay, and the required additional EMP.
This system (check one) ❑ does ® does not incorporate a vegetated filter.
This system (check- one) ® does ❑ does not incorporate non-integrated pretreatment.
Maintenance activities shall be performed as follows:
1. All grassed areas of the basin shall be mowed at least twice annually.
2. Debris must be removed whenever it accumulates, or at least twice annually.
3. inspect the basin annually after a rain event to ensure it is functioning properly. The following items must be inspected:
a. The outlet structure and orifice.
b. Erosion of the side slopes and around the inlets and outlet.
c. Sediment accumulation shall be measured, and removed if it has reduced the available volume to 75% of the original
depth.
d. The condition of the emergency spillway.
e. Keep woody vegetation off of the banks.
4. Any areas of the system found to be deficient shall be repaired or replaced to design standards.
5. Written records of the inspections and maintenance activities shall be kept.
I acknowledge by my signature below that I am responsible for the performance of the above maintenance procedures.
I agree to notify DWQ of any problems with the system or changes in the name of the project, responsible party, or address.
Print name: Stephen Atkins, Sr. Title: Authorized Agent
Address:
Phone:
Signatu
CC �JI C - _ a Notary Public for the State of North Carolina, County of `
do hereby certify that 1 V� e�� personally appeared before me this q � day of
MO—UWLand acknowledge the due execution of the forgoing maintenance requirements.
Witness my hand and official seal,
( 6 , ('� I
ornmission expires: _�JJ­lL�Qu
Page 2 of 2
Form SWU-1 09 Rev 4.99

RECD MAY u 5 2DO6
Permit No. SW7060212
(To be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
EXTENDED DRY DETENTION BASIN SUPPLEMENT
Ms form may be p&focopied for use as an original.
DWO Stormwater Manaieement Plan Review:
A complete stormwater management plan submittal includes a dry detention basin supplement for each basin, design calculations,
plans and specification showing, all basin and outlet structure details and a fully executed operation and maintenance agreement.
1. PROJECT INFORMATION (Please complete the following information):
Project Name: t yprmg Commons - -- - --__ --- -_ -_- --. _-- -
Contact Person: Scott T_ Anderson P-E_ Phone Number. [phone]
For projects with multiple basins, specify which basin this worksheet applies to: Pond i (Site East)--
Design Storm: I" (Please choose either the I yr, 24 yr storm, or the I" storm)
Required Volume: 1264 cubic feet
Basin Dimensions:
Bottom Elevation: 30.5 feet, MSL (IRREGULAR) Area R long x ft wide = 1159 ft
Perm. Pool Elevation: 30.5 feet, MSL (IRREGULAR) Area: 6 ft long x 3 ft wide= 18 ft2
Storage Elevation: 31.30 feet MSL (IRREGULAR) Area: ft long x ft wide= 2151 ft
Detention Volume Provided: 1311 cubic feet
Sediment Storage Provided: 262 cubic feet (Equivalent to 20'0 of the detention volume)
Drawdown Orifice: 1.0" PVC (Please indicate size and type of orifre}
Additional BMP to achieve 85% TSS (circle one) Grassed Swale Vegetated Filter Other
If. REQUIRED ITEMS CHECIKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual (N.C. Department of
Environment. Health and Natural Resources, November, 1995) and Administrative Section 15A NCAC 2H. 1008. initial in the space
provided to indicate the following, design requirements have been met and supporting documentation is attached. If the applicant has
designated an agent in the Stormwater Management Permit Application Form, the agent may initial below, if a requirement has not
been met, attach written justification.
Applicants Initials
a. The basin captures the runoff from the 1 year, 24 hour storm and releases it over a period of 48 hours, OR the basin
captures the runoff from the l inch storm and allows it to draw down over a period of 2-5 days.
b. The minimum flow length ratio is 3:1. L: W.
c. Basin side slopes are no steeper than 3:1.
d. A small permanent pool has been provided at the outlet to reduce clogging
r e. Cleanout access has been provided.
y f. A drain has been provided which will completely empty the basin for ceanout.
g- Sufficient volume has been provided for any local Government peak- flow requirements.
✓ h. If the basin was used during a construction as a sediment basin or trap, it must be cleaned out to design
specifications prior to operation as a dry detention basin.
r i. A vegetation plan has been prepared by a N.C. licensed professional Consideration must be given to the grasses
specified clue to the frequent inundations.
j. The basin must be stabilized within 14 days of construction.
.� k. The design provides for the sediment storage in addition to the detention volume that is equal to 20% of the
detention volume.
1. Inlet and outlet channels have been protected from scour during high flows from large storms.
in. In areas of easily erodible soils, an additional plunge pool at the inlet has been provided, or riprap is used as an
energy dissipater.
Page 1 of 2
Form SWU-1 09 Rev 4.99

n. A forebay to capture sediment is recommended to make cleanout easier.
o. The basin is located in uncompacted natural soils.
gyp. The seasonal high water table is located at least I foot below the bottom of the extended dry detention basin.
-✓ q. An additional BMP (such as a Swale or vegetated filter) has been designed to operate in conjunction with this dry
detention basin to meet the required minimum 85% TSS removal.
III. EXTENDED DRY DETENTION OPERATION AND MAEQTENANCE AGMEEMNT
The extended dry detention system is defined as the dry detention basin, forebay, and the required additional EMP.
This system (check one) does ® does not incorporate a vegetated filter.
This system (check- one) ® does ❑ does not incorporate non-integrated pretreatment.
Maintenance activities shall be performed as follows:
I. All grassed areas of the basin shall be mowed at least twice annually.
2. Debris must be removed whenever it accumulates, or at least twice annually.
3. Inspect the basin annually after a rain event to ensure it is functioning properly. The following items must be inspected:
a. The outlet structure and orifice.
b. Erosion of the side slopes and around the inlets and outlet.
c. Sediment accumulation shall be measured, and removed if it has reduced the available volume to 75% of the original
depth.
d. The condition of the emergency spillway.
e. Keep woody vegetation off of the banks.
4. Any areas of the system found to be deficient shall be repaired or replaced to design standards.
5. Written records of the inspections and maintenance activities shall be kept.
I acknowledge by my signature below that I am responsible for the performance of the above maintenance procedures.
1 agree to notify DWQ of any problems with the system or changes in the name of the project, responsible party, or address.
Print name: Stephen Atkins, Sr. Title: Authorized Agent
Address:. 1910 Carolina Avenue_ Washinaton_ NC 27884
1, l R, C Ua� Q a Notary Public for the State of North Carolina, County of i�L4
do hereby certify that Q"4 ..If l personally appeared before me this day of
and acknowledge the due execution of the forgoing maintenance requirements.
Witness my hand and official seal,
M ommission expires:
Page 2 of 2
Form SWU-1 09 Rev 4.99

Permit No. SW7060212
(To be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
EXTENDED DRY DETENTION BASIN SUPPLEMENT
This form may be phorocopied for use as an original.
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a dry detention basin supplement for each basin, design calculations,
plans and specification showing, all basin and outlet structure details and a fully executed operation and maintenance agreement.
i. PROJECT INFORMATION (Please complete the following information):
Project Name: Cypress ('nmmnnc
Contact Person: Scott T_ Anderson P.F._ Phone Number__(252)_752-4135__
For projects with multiple basins, specify which basin this worksheet applies to: _ _Pond 2 and 3 (Site Middle and West)
Design Storm: I" (Please choose either the 1 yr, 24 yr storm, or the 1" storm)
Required Volume: 2,213 cubic feet
Basin Dimensions:
Bottom Elevation: 29.5 feet, MSL (IRREGULAR) Area: ft long x R wide = 1175 ftZ
Perm. Pool Elevation: 29.5 feet, MSL (IRREGULAR) Area: 6 ft long x 3 ft wide= lift
Storage Elevation: 30.55 feet MSL (IRREGULAR) Area: ft long x ft wide= 2310 ftz
Detention Volume Provided:.2,223 cubic feet
Sediment Storage Provided: 368 cubic feet (Equivalent to 20% of the detention volume)
Drawdown Orifice: 1.5" PVC (Please indicate size and type of orifice)
Additional BMP to achieve 85% TSS (circle one) Grassed Swale Vegetated Filter Other
II. REOUIRED ITEMS CHECIKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual (N.C. Department of
Environment. Health and Natural Resources, November, 1995) and Administrative Section 15A NCAC 2H. 1008. Initial in the space
provided to indicate the following, design requirements have been met and supporting documentation is attached. If the applicant has
designated an agent in the Stormwater Management Permit Application Form, the agent may initial below. If a requirement has not
been met, attach written justification.
Applicants Initials
a. The basin captures the runoff from the I year, 24 hour storm and releases it over a period of 48 hours, OR the basin
captures the runoff from the I inch storm and allows it to draw down over a period of 2-5 days.
b. The minimum flow length ratio is 3: 1. L: W.
c. Basin side slopes are no steeper than 3: 1,
d. A small permanent pool has been provided at the outlet to reduce clogging
e. Cleanout access has been provided.
f. A drain has been provided which will completely empty the basin for cleanout.
g. Sufficient volume has been provided for any local Government peak- flow requirements.
h. If the basin was used during a construction as a sediment basin or trap, it must be cleaned out to design
specifications prior to operation as a dry detention basin.
i. A vegetation plan has been prepared by a N.C. licensed professional Consideration must be given to the grasses
specified clue to the frequent inundations.
j. The basin must be stabilized within 14 days of construction.
k. The design provides for the sediment storage in addition to the detention volume that is equal to 20% of the
detention volume.
1. Inlet and outlet channels have been protected from scour during high flows from large storms.
in. In areas of easily erodible soils, an additional plunge pool at the inlet has been provided, or riprap is used as an
energy dissipater.
Page 1 of 2
Form SWU-1 09 Rev 4.99

n. A forebay to capture sediment is recommended to make cleanout easier.
o. The basin is located in uncompacted natural soils.
p. The seasonal high water table is located at least I foot below the bottom of the extended dry detention basin.
q. An additional BMP (such as a Swale or vegetated filter) has been designed to operate in conjunction with this dry
detention basin to meet the required minimum 85% TSS removal.
III. EXTENDED DRY DETENTION OPERATION AND MAEQTENANCE AGMEEMNT
The extended dry detention system is defined as the dry detention basin, forebay, and the required additional EMP.
This system (check one) [:]does ® does not incorporate a vegetated filter.
This system (check- one) ® does ❑ does not incorporate non-integrated pretreatment.
Maintenance activities shall be performed as follows:
1. All grassed areas of the basin shall be mowed at least twice annually.
2. Debris must be removed whenever it accumulates, or at least twice annually.
3. Inspect the basin annually after a rain event to ensure it is functioning properly. The following items must be inspected:
a. The outlet structure and orifice.
b. Erosion of the side slopes and around the inlets and outlet.
c. Sediment accumulation shall be measured, and removed if it has reduced the available volume to 75% of the original
depth.
d. The condition of the emergency spillway.
e. Keep woody vegetation off of the banks.
4. Any areas of the system found to be deficient shall be repaired or replaced to design standards.
5. Written records of the inspections and maintenance activities shall be kept.
1 acknowledge by my signature below that 1 am responsible for the performance of the above maintenance procedures.
I agree to notify DWQ of any problems with the system or changes in the name of the project, responsible party, or address.
Print name: Stephen Atkins, Sr. Title: Authorized Agent
Address: __ 1910 C'.arolina Ayeaue. )M}l hiU glon_ NC 27889
a Notary Public for the State of North Carolina, County of TA
do hereby certify that 5 personally appeared before me this ~1 `r day of
CN3��and acknowledge the due execution of the forgoing maintenance requirements.
Witness my hand and official seal, ,`�Ntttitliiy,
`% C, B.
My mission expires:
ti "U13 0
•,�,� fCpUN'rl����
Page 2 of 2
Form SWU-1 09 Rev 4.99

"I
' `

® •
n. A forebay to capture sediment is recommended to make cleanout easier.
o. The basin is located in uncompacted natural soils.
p. The seasonal high water table is located at least I foot below the bottom of the extended dry detention basin.
q. An additional BMP (such as a swale or vegetated filter) has been designed to operate in conjunction with this dry
detention basin to meet the required minimum 85% TSS removal.
III. EXTENDED DRY DETENTION OPERATION AND MAEQTENANCE AGMEEMNT
The extended dry detention system is defined as the dry detention basin, forebay, and the required additional EMP.
This system (check one) does ® does not incorporate a vegetated filter.
This system (check- one) ® does ❑ does not incorporate non-integrated pretreatment_
Maintenance activities shall be performed as follows:
1. All grassed areas of the basin shall he mowed at least twice annually.
2. Debris must be removed whenever it accumulates, or at least twice annually.
3. Inspect the basin annually after a rain event to ensure it is functioning properly. The following items must be inspected:
a. The outlet structure and orifice.
b. Erosion of the side slopes and around the inlets and outlet.
c. Sediment accumulation shall be measured, and removed if it has reduced the available volume to 75% of the original
depth.
d. The condition of the emergency spillway.
e. Keep woody vegetation off of the banks.
4. Any areas of the system found to be deficient shall be repaired or replaced to design standards.
5. Written records of the inspections and maintenance activities shall be kept.
1 acknowledge by my signature below that I am responsible for the performance of the above maintenance procedures.
I agree to notify D WQ of any problems with the system or changes in the name of the project, responsible party, or address.
Print name: Stephen Atkins, Sr. Title: Authorized Agent T
Address: 1910 Carolina A eQue,, W_Zhington_ NC 27S&9
Phone:
Signatu
1� n cx _ . Ned �i a Notary Public for the State of North Carolina, County of 1`4
1 its —
do hereby certify that` _ "k �QS personally appeared before me this L4 day of
and acknowledge the due execution of the forgoing maintenance requirements.
Witness my hand and official seal,A.;I�IINIIN��
` r n oIN�N
���iiii/ 1 �
M
mmission expires:
t=
�
Page 2 of 2
Form SWU-1 09 Rev 4.99