SW8050403_CURRENT PERMIT_20061213

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

WAT,9
r
4 �
December 13, 2006
Mr. Robert Cameron
RHC Construction and Realty Inc.
1111 Edenburgh Keep Drive
Knightdale, NC 27545
Subject: Stormwater Permit No. SW8 050403
Tri-Field Estates Section 2
High Density Subdivision Project
Onslow County
Dear Mr. Cameron:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, 11.1=. Director
Division of Water Quality
The Wilmington Regional Office received a complete Stormwater Management Permit
Application for Tri-Field Estates Section 2 on October 16, 2006. 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. SW8.050403, dated
December 13, 2006, for the construction of the project, Tri-Field Estates Section 2.
This permit shall be effective from the date of issuance until December 13, 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 sixty (60) 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
Mary Jean Naugle, or me at [phone].
Sincerely,/
r�
Edwa4 Beck
Regional Supervisor
Surface Water Protection Section
ENBlmjn: S:IWQSISTORMWATERIPERMIT1050403 dec06
CC' J. Stephen Janowski, P.E., Baldwin and Associates
Mike Morris, Onslow County Inspections
M. J. Naugle for Paul Bartlett
Wilmington Regional Office
Central Files Not`thcarolina
Aalura((y
North Carolina Division of Water Quality 127 Cardinal Drive Extension Wilmington, NC 25405 Phone [phone] Customer Service
Wilmington Regional Office Internet: %ti-%vw.ncwaterduality.org Fax [phone]-623.04E
An Equal OpportunitylAfirmaNe Action Employer — 50% Recycledl10% Post Consumer Paper

State Stormwater Management Systems
Permit No. SW8 050403
5. The following design elements have been permitted for this wet detention pond
stormwater facility, and must be provided in the system at all times.
a.
Drainage Area acres:
111.42
Onsite, ftz:
4,838,645
Offsite, W.
14,810
b.
Total Impervious Surfaces, ftz:
1,230,570
Lots at BUA per Attachment A,
ft2: 853,340
Roads/Parking, ft2:
300,564
Other, ftz:
61,855
Offsite, ft2:
14,810
c.
Pond Depth, feet:
5.0
d.
TSS removal efficiency:
90%
e.
Design Storm:
1.0
f. Permanent Pool Elevation, FMSL: 27.0
g. Permitted Surface Area @PP, ft2: 92,377
h. Permitted Storage Volume, ft3: 112,569
i. Storage Elevation, FMSL: 28.17
j. Controlling Orifice:
4.0"0 pipe
k. Permanent Pool Volume, ft3:
360,218
1. Forebay Volume, ft3:
61,986
m. Maximum Fountain Horsepower:
1
n. Receiving Stream 1 River Basin:
Squires Run 1 White Oak
o. Stream Index Number:
19-3
p. Classification of Water Body: "C; NSW'
II. SCHEDULE OF COMPLIANCE
1. 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, including driveways and sidewalks, does not exceed the allowable
built -upon area. 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.
Page 3 of 9

State Stormwater Management Systems
Permit No. SW8 050403
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
Robert Cameron and RHC Construction and Realty Inc.
SR 1111 (Francktown Road), Richlands
Tri-Field Estates Section 2
Onslow County
FOR THE
construction, operation and maintenance of a wet detention pond 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 13, 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 1.5 on page 3 of this permit. The subdivision is
permitted for 161 lots, each allowed built -upon area per Attachment A in
square feet.
3. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
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.
Page 2 of 9

State Stormwater Management Systems
Permit No. SW8 050403
3. If an Architectural Review Board or Committee is required 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 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 or a CAMA_ Major
permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
5. The Director may determine that other revisions to the project should require a
modification to the permit.
6. 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.
7. 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.
8. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
9. 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.
10. 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.
11. Permanent seeding requirements for the stormwater control must follow the
guidelines established in the North Carolina Erosion and Sediment Control
Planning and Design Manual.
Page 4 of 9

State Stormwater Management Systems
Permit No. SW8 050403
12. 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 SW8 050403, as issued
by the Division of Water Quality under NCAC 2H.1000.
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.
The maximum built -upon area per lot is per Attachment A in 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. Lots within CAMA's Area of Environmental Concern may be subject to a
reduction in their allowable built -upon area due to CAMA regulations.
h. All runoff from built upon area on the lot must drain into the permitted
system. This may be accomplished through providing 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
measures.
Built -upon area in excess of the permitted amount will require a permit
modification.
13. 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.
14. Decorative spray fountains will be allowed in the stormwater treatment system,
subject to the following criteria:
a. The fountain must draw its water from less than 2' below the permanent
pool surface.
b. Separated units, where the nozzle, pump and intake are connected by
tubing, may be used only if they draw water from the surface in the deepest
part of the pond.
c. The falling water from the fountain must be centered in the pond, away from
the shoreline.
d. The maximum horsepower for the fountain's pump is based on the
permanent pool volume. The maximum pump power for a fountain in this
pond is 1 HP.
Page 5 of 9

State Stormwater Management Systems
Permit No. SW8 050403
15. 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.
16. 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. and
specifications.
f. Debris removal and unclogging of structures, orifice, catch basins and
piping.
g. Access to all components of the system must be available at all times.
17. 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.
18. This permit shall become void unless the facilities are constructed in accordance
with the conditions of this permit, the approved plans and specifications, and
other supporting data.
19. 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.
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
"Name/Ownership Change Form" must be submitted to the Division of Water
Quality accompanied by appropriate documentation from the parties involved.
This may include, but is not limited to, a deed of trust, recorded deed restrictions,
Designer's Certification and a signed Operation and Maintenance plan. 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.
Page 6 of 9

State Stormwater Management Systems
Permit No. SW8 050403
5. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The 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.
7. Permittee grants permission to staff of the DWQ to access the property for the
purposes of inspecting the stormwater facilities during normal business hours.
8. The permittee shall notify the Division of any name, ownership or mailing address
changes within 30 days.
9. 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 the completion of
construction.
Permit issued this the thirteenth day of December 2006.
., .
NORTH, CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W. Klimek,-P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW8 050403
Page 7 of 9

State Stormwater Management Systems
Permit No. SW8 050403
Tri-Field Estates Section 2
Stormwater Permit No. SW8 050403
Onslow Countv
Designer's Certification
Page 1 of 2
as a duly registered in
the State of North Carolina, having been authorized to observe (periodicallylweeklylfull
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 are a part of this Certification.
Noted deviations from approved plans and specifications:
Signature
Registration Number
Date
0-MAII
Page 8 of 9

State Stormwater Management Systems
Permit No. SW8 050403
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/or 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 a vegetated shelf, a
forebay, and the vegetated filter.
15. The required dimensions of the system are provided, per the approved
plari.
cc: NCDENR-DWQ Regional Office
Mike Morris, Onslow County Building Inspections
Page 9 of 9

INFORMATION PERTAINING TO DEED RESTRICTIONS
AND PROTECTIVE COVENANTS
1. The following covenants are intended to ensure ongoing compliance with State
Stormwater Management Permit Number SW8 050403 , as issued by the Division of
Water Quality under NCAC 2H.1000.
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 as follows:
Lot #
BUA
(s
Lot #
BUA so
Lot #
BUA (s
86
4,151
140
4.474
194
5,149
87
4,588
141
4,474
195
5,037
88
4,588
142
4,474
196
4,925
89
4,588
143
4,474
197
4,812
90
4,588
144
4,474
198
4,427
91
4,588
145
4,474
199
5,375
92
4,588
146
4,474
200
6,118
93
4,588
147
4,474
201
6;526
94
4,588
148
4,474
202
5,212
95
4,588
149
4,474
203
5,213
96
4,588
150
4,418
204
5,232
97
4,588
151
4,418
205
5,252
98
4,588
152
4,474
206
5,252
99
4.588
153
4,474
-207
5,291
100
4,588
154
4,474
208
5,500
101
4,588
155
4,459
209
5,131
102
4,588
156
4,305
210
5,185
103
4,588
157
4.523
211
5,185

104
4,588
158
4,634
212
5,185
105
4,588
159
4,944
213
5,185
106
4,588
160
6,399
214
5,185
107
4,588
161
4,960
215
5,185
108
4,558
162
4,853
216
8,919
109
4,579
163
4,790
217
8,670
110
7,286
164
4,756
218
12,409
111
6,459
165
4,845
219
8,063
112
7,698
166
4,948
220
12,244
113
4,583
167
5,052
221
4,734
114
4,588
168
5,155
222
5,185
115
4,588
169
5,258
223
5,185
116
4,588
170
5,362
224
5,185
117
4,588
171
5,465
225
5,185
118
4,588
172
5,568
226
5,185
119
4,588
173
5,672
227
5,185
120
4,533
174
5,775
228
5,185
121
4,533
175
5,878
229
5,130
122
4,588
176
5,758
230
5,130
123
4,588
177
4,474
231
5,185
124
4,588
178
4,474
232
5,185
125
4,588
179
4,474
-233
5,185
126
4,588
180
4,474
234
5,185
127
4,588
181
4,339
235
5,185
128
4,588
182
6,520
236
7,076
129
4,588
183
6,497
237
12,474
130
4,588
184
9,350
238
11,657
131
4,588
185
8,525
239
5,756
132
4,588
186
6,295
240
4,996
133
4,588
187
4,982
241
5,414

134
4,588
188
5,400
242
5,185
135
4,772
189
5,907
243
5,185
136
4,498
190
6.165
244
5,185
137
4,474
191
7.161
245
5,185
138
4,474
192
7,534
246
5,130
139
4,474
193
5,262
-
Total Built Upon Area = 853,121 Square Feet = 19.59 Acres
These allotted amounts include 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.
All runoff from the built -upon areas on the lot must drain into the permitted system. This
f 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 system.
Lots that will naturally drain into the system are not required to provide these additional
measures.
I, Robert H. Cameron do hereby agree to include these Built Upon Areas and Deed
Restrictions with the final recording cdocumentation for Tri-Field Estates Phase 11,
Robert H. Cameror�,,��z
1, Dawn L. Bachlotte, a Notary Public of the County of Pitt, State of North Carolina,
hereby certify that Robert Cameron appeared personally before me this day and being
duly sworn acknowledged that the above form was executed by him.
Witness nay hand and notarial seal, this 4""
`�9q`,�tttllfGrr,�r'
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4, oTAR V : M
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day of flc+ , 2005
Notary {
My commission expires 03/29/2009

f S,4(JY%Jf4 m4waii-/_
f
°!,OFFICE USE ONLY
Date Received
Fee Pa i
Permit Number
1Qj���C� - 1`�.(' �a�►^�u. II� 1 State of North Carolina
Depaftment 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. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
RHC Construction and Realty Inc
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Robert Cameron. President
3. Mailing Address for person listed in item 2 above:
1111 Edenburqh Keeq Drive
City:__ Knightdale State: NC Zip: 27545
Telephone Number: ( 919 ) 669-7850
4. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Tri-Field Estates Section 2
5. Location of Project (street address):
SR 1111 tFrancktown Road)
City: Richlands County: Onslow
6. Directions to project (from nearest major intersection):
IV 7 I - i . &MG13iR■Me , O•Tii1%reMMawf1xt71 • �'F1iTa. • a r : • _ •Ri ini
Turn right onto Equire Drive and follow.project
7. Latitude: 34.90154 Longitude:-77.51948 of project
8. Contact person who can answer questions about the project:
Name: J. Stephen Janowski, PE Telephone Number: ( 252 ) 756-1390
H. PERMIT INFORMATION:
1. Specify whether project is (check one): X New Renewal Modification
Form SWU-101 Version 3.99 Page I of

gq1 zglc,� 41,eGrlr 5,• / �?_
,T LOP 0 5-0403
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)
Specify the type of project (cthol)
ne):
i
❑ Low Density �n�ity❑RedevelopGe eral Permit ❑Other
�3/G cn
Additional Project Requirements (check applicable blanks):
OCAMA Major ✓QSedimentation/Erosion Control 0404/401 Permit [:INPDES 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.
Storm water from this development will be routed to a weL.de entionl,fa�y and treated there.
The first inch of storm water runoff will be stored and released over a two to five day period.
2. Stormwater runoff from this project drains to the White Oak River basin.
3. Total Project Area: $2.62 acres 4. Project Built Upon Area: 33.78 %
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.
BasinInformation_ " ,
r g�a`�+
_Dtairia e,Arearli e
w DrainageArea 2
_ �-� _. AM
Receiving Stream Name
Squires Run
Receiving Stream Class
C, NSW
Drainage Area
4,853,455 SF (111.42 acres)
Existing Impervious' Area
14.810 SF (0.34 acre)
Proposed Impervious'Area
1,215,760 SF (27.91 acres)
% Impervious" Area (total)
25.35 %
ImperviousrSurface�Area�
raw-
On -site Buildings
853,340 SF (19.59 acres)
On -site Streets
300,564 SF (6.9 acres)
On -site Parking
0 SF (0.0 acres)
On -site Sidewalks
61,855 SF (1.42 acres)
Other on -site
0 SF (0.0 acre)
Off -site
14.810 SF (0.34 acre)
Total: 1,230,570 SF (28.25 acres)
Total:
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

�Izb�o�v -, r rev � I
7. How was the off -site impervious area listed above derived? Measured using planimeter
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.
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2. No more than feet of any lot shall be covered by structures or impervious materials.
Impervious materials include asphalt, dravel, 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
Curb 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-101 Version 3.99 Page 3 of 4

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,
Initials
• Original and one copy of the Stormwater Management Permit Application Form
• One copy of the applicable Supplement Form(s) for each BMP
• Permit application processing fee of $420 (payable to NCDENR) !Wf'
• Detailed narrative description of stormwater treatment/management
• Two copies of plans and specifications, including:
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): Baldwin and Associates c/o Michael D. Tolson, PE
Mailing Address: 1013 Conference Drive
City: Greenville
Phone: ( 252 ) 756-139❑
VIII. APPLICANT'S CERTIFICATION
State: NC
Zip: 27858
Fax: (252 ) 321-1412
1, (print or type name of person listed in General Information, item 2) Robert Cameron
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
NCAC 21-1.1000.
Sig
Date: March 7, 2005
Form SWU-101 Version 3.99 Page 4 of 4 '