SW8050519_CURRENT PERMIT_20050608

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW M�24,571
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

�0F WAS-�Rp Michael F. Easley, Governor
r O G William G. Ross, Jr-, Secretary
co(& r North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P,E. Director
Division of Water Quality
June 8, 2005
Mr. John F. (Ricky) Parker, Jr., Member/Manager
Little Shallotte River, LLC
2011 Elk Road SW, Suite 1
Supply, NC 28462
Subject: Stormwater Permit No. SW8 050519
Live Oaks Subdivision
High Density Subdivision Project
Brunswick County
Dear Mr. Parker. -
The Wilmington Regional Office received a complete Stormwater Management Permit
Application for Live Oaks Subdivision on June 3, 2005. 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 050519,
dated June 8, 2005, for the construction of the subject project.
This permit shall be effective from the date of issuance until June 8, 2015, 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 Linda Lewis, or me at [phone].
Sincer iy,
Edward Beck
Regional Supervisor
Surface Water Protection Section
ENB/arl: S:IWQSISTORMWATIPERMIT1050519.jun05
cc: J. Phillip Norris, P.E., Norris Kuske & Tunstall
Brunswick County Building Inspections
Linda Lewis
Wilmington Regional Office
Central Files
North Carolina Division of Water Quality 127 Cardinal Drive Extension Phone [phone] Customer Service 1 -877-623-6748
Wilmington Regional Office Wilmington, NC 28405-3845 FAX [phone] Internet: h2o,enr.state.nc.us One
NotrthCarollina
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper Alaturally

State Stormwater Management Systems
Permit No. SW8 050519
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
John F. (Ricky) Parker, Jr. & Little Shallotte River, LLC
Live Oaks Subdivision
Old Ferry Road, Holden Beach, Brunswick County
FOR THE
construction, operation and maintenance of an infiltration basin 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 June 8, 2015 and shall be
subject to the following specified conditions and limitations:
1. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. The infiltration basins, #1 and #2, have been approved for the management of
stormwater runoff as described in Section 1.6 on page 3 of this permit. The
subdivision is permitted for 44 lots, each allowed 2,250 square feet of built -upon
area.
3. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
4. Each basin must be operated with a 50" vegetated filter.
5. 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 8

State Stormwater Management Systems
Permit No. SW8 050519
6. The following design elements have been permitted for each infiltration basin
stormwater
facility, and must be provided in the system at
all times.
Basin #
1
2
a.
Drainage Area, acres:
7.15
5.2
Onsite, ft2:
311,360
226,685
Offsite, ft2:
0
0
b.
Total Impervious Surfaces, ft2:
58,012
75.836
Lots at 2,250 ft2:
42,750
56,250
Roads/Parking, ft2:
15,262
18.586
Other, ft2:
0
1,000
Offsite, W.
0
0
C.
Basin Depth, feet:
5.0
4
d.
Design Storm:
1.5"
1.5"
e.
Bottom Elevation, FMSL:
15.0
13.0
f
Permitted Surface Area @Bottom, ft2:
1,200
2,133
g
Permitted Storage Volume, ft3:
15,022
16,612
h.
Storage/Bypass Elevation, FMSL:
20.0
17.0
i.
Type of Soil:
Sand
Sand
j.
Expected Infiltration Rate, in/hr:
34
34
k.
Time to Draw Down, hours:
<1
<1
1. Seasonal High Water Table Elev., FMSL: 13 11
m. Receiving Stream / River Basin: ICWW / Lumber
n. Stream Index Number: LBR59 15-25
o. Classification of Water Body:
!I. SCHEDULE OF COMPLIANCE
1
E
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.
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 8

State Stormwater Management Systems
Permit No. SW8 050519
3. 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.
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 or
drainage 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 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.
7. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately. Infiltration systems should not be used
as erosion control devices, due to the potential clogging. 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. 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.
9. 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 revegetation 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.
Page 4 of 8

State Stormwater Management Systems
Permit No. SW8 050519
10. 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.
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.
12. 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.
13. 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 050519, 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 2,250 square feet. This allotted
amount includes any built -upon area constructed within the lot property
boundaries, and that portion of the right-of-way between the front lot line
and the edge of the pavement. Built upon area includes, but is not limited
to, structures, asphalt, concrete, gravel, brick, stone, slate, coquina and
parking areas, but does not include raised, open wood decking, or the
water surface of swimming pools.
g. All runoff on the lot must drain into the permitted system. This may be
accomplished 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.
h. Built -upon area in excess of the permitted amount will require a permit
modification.
14. 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.
15. 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.
Page 5 of 8

State Stormwater Management Systems
Permit No. SW8 050519
16. 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.
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 reissuance 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 8th day of June 2005.
NOR -CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
o-,X-0 6-e�k
Alan VV. KhmeK, r.L., uirector
Division of Water Quality
By Authority of the Environmental Management Commission
Page 6 of 8

State Stormwater Management Systems
Permit No. SW8 050519
Live Oaks Subdivision Page 1 of 2
Stormwater Permit No. SW8 050519
Brunswick County
Designer's Certification
I, , as a duly registered in
the State of North Carolina, having been authorized to observe (period icallylweeklylfuli
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
SEAL
Page 7 of 8

State Stormwater Management Systems
Permit No. SW8 050519
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 / bypass 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 bypass is 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 flow spreader
mechanism, bypass structure, and the vegetated filter.
15. The required dimensions of the system are provided, per the approved
plan.
cc: NCDENR-DWQ Regional Office
Brunswick County Building Inspections
Page 8 of 8

N KT #05044
Date Received Fee Paid PermitNnmher
�SVV 1�
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Little Shallotte River. LLC
2. Print Owner/Signing Official's name and title (person legally responsible for facilityandcompliance):
Ricky Parker, Member / Managing Member C -Jc7n f snbr Jr--, )
3. Mailing Address for person listed in item 2 above:
2011 Elk Road SW, Suite 1, Live Oak Center S 4, r� Ozwda pkn en
City: Supply
Telephone Number:
[phone] --J�
State: NC Zip: 28462
4. Project Name (subdivision, facility, or establishment name — should be consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
Live Oaks
5. Location of Project (street address):
Old Ferry Road
City: Holden Beach County: Brunswick
6. Directions to project (from nearest major intersection):
From the intersection of US 17 & NC 211, take NC 211 towards Southport. Turn right onto Stone
Chimney Rd. (SR 1115). Stay on SR 1115 for . Site is on right. _
7. Latitude: 330 55' 18"
Longitude: 78° 15' 41"
of project
8: Contact person who can answer questions about the project:
Name: J. Phillip Norris, P.E. Telephone Number: [phone]
II. PERMIT INFORMATION
1. Specify whether project is (check one):
X New
Form SWU-101 Version 3.99 Page 1 of 4
Renewal Modification

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
Existing permit number NIA And its issue date (if known) NIA
3. Specify the type of project (check one):
Low Density X High Density Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
CAMA Major X Sedimentation/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.
Ill, PROJECT INFORMATION
I 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.
Infiltration Basins.
2. Stormwater runoff from this project drains to the 'Earpe Fear LL1M bZy- River Basin.
3. Total Project Area: 9.49 AC 4. Project Built Upon Area: 32.35 %
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.
Basin Informatyom
_. ... __ .g -� t .m=9 �'� �.__.
_._ Diaina e%Area lt. -
........' - - _ �r �-`N�.:,
SAAAADrairna e.Area 2.A
Receiving Stream Name
UT Intracoastal Waterwa
UT Intracoastal Waterway
Receiving Stream Class
SA
SA
Drainage Area
311,360 SF 17.15 AC
226,685 SF / 5.20 AC
Existing Impervious * Area
0
0
Proposed Impervious* Area
58,012 SF / 1.33 AC
75,836 SF 1 1.74 AC
% Impervious* Area (total)
18.6%
33.46%
1Im erviousMr 1Surfacer reap!
DrainsgefArea 1, f
MAXDrains e=A M „.
On -site Buildings
42,750 SF 10.98 AC
56,250 SF 1 1.29 AC
On -site Streets
15,262 SF 10.35 AC
18,586 SF 10.427 AC
On -site Parking
0
0
On -site Sidewalks
0
0
Other on -site (Future)
0
1,000 SF 10.023 AC
Off -site
0
0
Total: 58,012 SF 1 1.33 AC
Total: 75,836 SF 1 1.74 AC
* 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

How was the off -site impervious area listed above derived? NIA
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.
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.
No more than 2,250 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_
All permitted runofffrom 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
Form SWU-103
Form SWU-104
Form SWU-105
Form SWU-106
Form SWU-107
Form SWU-108
Form SWU-109
Wet Detention Basin Supplement
Infiltration Basin Supplement
Low Density Supplement
Curb Outlet System Supplement
Off -Site System Supplement
Underground Infiltration Trench Supplement
Neuse River Basin Supplement
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.
I. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
• 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$4.0- payable to NCDENR)I$
• 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
- 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)
VH. 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.
J. Phillip Norris, P.E.
Designated agent (individual or firm): Norris, Kuske & Tunstall Consulting Engineers, Inc.
Mailing Address: 902 Market Street
City: Wilmington State: NC Zip: 28401
Phone: [phone]
VIII. APPLICANT'S CERTIFICATION
Fax: [phone]
1, (print or type name ofperson listed in General Information, item 2) Rirjcv. BX-Jl ar_ Mali= Z 4ng�r
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
2H.1000. n
Signature:
Form SWU-101 Version 3.99 Page 4 of 4
Date: 3!Zy

• 4
1.. . 1 `r.•ri'r. I. r' .k: ,i: ,. •i .1,. . [ .. f;.
. I' r '
-e• ,�. .. 'IJ . .w�J.-.J•,i• ' F14L (1. t ,+ J.. ,l
, :!i J' _ .�.5 . . 1 ,
1, ,' :� fI. ':11. .� :11,,• tJ ,. ..!` '7,� .i J'• 4.
• ., j,T. :tJI• � J �-
, 1.1 . . i4'•t: i ,., - .. `„ •/ i .'i. 1'. ���f.rf{7`•✓1.5ni.•t�A �aaJG'��y2<'�:
{ f15.:-:t-�. ='�si+i{.rs•%y • iac-�t fi_JL::t K3?s;s:. � asux;•�x :.ice-.�:: :.. -, � r!;�'ti'% ;:",%�� - .,'r.� - _.
• .4.: atl ,.. :�- ,'1 a.<'1: t i' ., if:.:l �. I,_'4; fi.,4Y,
�<_.4 ,.f�' 1' ^.- _
L.
' ;' .J: .ir „i i:rr 1+i;.t' r '1•.. J !-' :J, -,
S
1''. :r . .: "� ,
�-le:rS:!ss: .j i -•s:, - [ .k'3;�• b�d� \1 . t.,l `7d{
i!i 'r' .Ir •�-g' �S' ,' 't-;• .s 1? �s .Flow- 1.'Li_., t•J• '+-
:��:;...t: �t1 ie.a,
.._.;. .. �i'
;ai -r: .v.!t '.S:'�`.. 't-.'S.- y :f c. ij .. .f .a: .-�' .� i1,
�' t.:r n,,,..'. `ji... ,- �iS`•::sr [..
• r

NKT #05044
Permit No. I
State of North Carolina (to be provided by DWQ)
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWO Stormwater Mana ement Plan Review:
A complete stormwater management plan submittal includes a stormwater application form, an
infiltration basin supplement for each system, design calculations, soils report and plans and
specifications showing all stormwater conveyances and system details.
I. PROJECT INFORMATION
Project Name
Live Oaks
Contact Person: Phil Norris, P.E. Phone Number: [phone]
This worksheet applies to: Basin No. 1 in Drainage Area 1
(as identified on plan) (from Form SWU-101)
H. DESIGN INFORMATION — Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable
source of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
Soil Type
Infiltration Rate
SHWT Elevation
Basin Design Parameters
Design Storm
Design Volume
Drawdown Time
Basin Dimensions
Basin Size
Basin Volume Provided
Basin Elevations
Bottom Elevation
Storage Elevation
Top Elevation
Sand
34.1 In/hr or cf/hr/sf (circle appropriate units)
13.0 fmsl (Seasonal High Water Table elevation)
1.5 inch
13,585 c.f.
0.07 Days
Irregular -
See Plans ft. x
15,022 c.f.
15.0 finsl
20.0 fmsl
20.5 fmsl
(L S inch event for SA waters, I inch event for others)
Form SWU-103 Version 3.99 Page 1 of 3
ft. = 1 2W sq. ft (bottom dimensions)

� 1
f

III. 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, February 1999) and Administrative Code
Section: 15 A 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 justification.
Applicants Initials
a. System is located 50 feet from class SA waters and 30 feet from other surface waters.
b. System is located at least 100 feet from water supply wells.
c. Bottom of system is at least 2 feet above the seasonal high water table.
d. Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
System is not sited on or in fill material DWQ approval has been obtained.
System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access casements to the nearest public right-of-way.
Drainage area for the device is less than 5 acres.
Soils have a minimum hydraulic conductivity of 0.52 inches per hour and soils report is
attached.
System captures and infiltrates the runoff from the first 1.0 inch of rainfall (1.5 inch event
for areas draining to SA waters). Design volume and infiltration calculations attached.
System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached.
All side slopes stabilized with vegetated cover are no steeper than 3:1 (H:V).
A pretreatment device such as a catch basin, grease trap, filter strip, grassed Swale or
sediment trap is provided.
Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches.
or dense vegetative cover is provided
n. Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
length is 50 feet for SA waters, 30 feet for other waters
Flow distribution mechanism within the basin is provided.
A benchmark is provided to determine the sediment accumulation in the pretreatment
device.
q. Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
nsure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabi I ized.
Form SWU-103 Version 3.99 Page 2 of 3

f ,
'+ ,
�• � �
r . ! � t'
_ . f,
' � � ..
[ � � .�
:Y � - _ •

TV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six -inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved
design specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when
depth in the pretreatment unit is reduced to 75% of the original design depth. The system shall be
restored to the original design depth without over -excavating. Over -excavation may cause the required
water table separation to be reduced and may compromise the ability of the system to perform as
designed. Removed sediment shall be disposed of in an appropriate manner and shall not be handled in a
manner that will adversely impact water quality (i.e. stockpiling near a stormwater treatment device or
stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
When the design depth reads . 7.45 feet in the pretreatment unit, the sediment shall be
removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
I acknowledge and agree by my signature below that I am responsible for the performance of the five
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.
Print Name and Title: acky . mmi= / P,�� lamer
Address: 2011 Elk Road SW, Suite 1, Live Oak Center Supply, NC 28462
Phone: [phone] Date:
Signature:
Note. The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold
and a resident of the subdivision has been named the president.
[, A, MIANor,r.1 - � , a Notary Public for the State of Na4k �a f b} jB(A County of
If At) K dtt OA F , do hereby certify that r personally appeared before me this
g u►in
day of „ � Q D �, and ac cnowled a the due execution of the ation
basin maintenance requirements. Witness my hand and official seal. Q�`�•'�s
TA
SEAL My ission expires �j��p-4� ";No_
Signature I Abn- V
PUBOC
Form SWU-103 Asion 3.99 Page 3 of 3%y�•••.._..M-''GO

k •!,r
t•�
•1+•
T
r• �
.� '
r 1
:rffillll-'ltl '
-fr 111,e
r • 1. r '- ' !
, 1 � • s .
,I rf'11, 'A•,Ir 1. - r �=
_ -1
• .. r� !:
'i'
i r r r
..
- ! .. .r .'
�
-
. '1 F:r �• 1,• �
, '/ /; , - is !
r � -r,
i � r ,
�' r r rri r -1 • f•
•i;. .: c �r.
•,i •I �. .. = !:.
r
� . . r r
. .i. .r( i -.'{ ;f it
�t:G] •ri ?S: a-t', .'r:
q{'.. .is, � •i,t',
,.
I''y .r. �i= 7FSr11. �:
,�• - `f„
ri :fit' .. ?%.. ..
.. i :t�, ;�: . jT;..
• , Nor
i, .. �. t. r
.r.t. .k'.
� • --.�.
i
• •sr �r rF -Ir .
, ,r f. � ` r 'r.
,. .r�l
�.
i• .
• ; � c i .. . `. \ Y .. �, F t .� 3 i
' j ' r Y '. �' � ♦
. , L r • Lr .. _ a A
.4 � . - � { . .

NKT #05044
Permit No.SW2 M2Dr,11i
State of North Carolina (to be provided by DWQ)
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWQ Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater application form, an
infiltration basin supplement for each system, design calculations, soils report and plans and
specifications showing all stormwater conveyances and system details.
1. PROJECT INFORMATION
Project Name: Live Oaks
Contact Person: Phil Norris, P.E. Phone Number: [phone]
This worksheet applies to: Basin No. 2 in Drainage Area 2
(as ideniifred on plan) (from Form SWU-101)
II. DESIGN INFORMATION — Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable
source of soils information. All elevations shall be in Feet mean sea level (fmsl).
Soils Report Summary
Soil Type Sand
Infiltration Rate 47.3 In/hr or cflhr/sf (circle appropriate units)
SHWT Elevation 11.00 fins] (Seasonal High Water Tahle elevation)
Basin Design Parameters
Design Storm 1.5 inch (1.5 inch event for SA waters, 1 inch event for others)
Design Volume 13,151 c.f.
Drawdown Time 0.04 Days
Basin Dimensions
Irregular - 2
Basin Size See Plans ft. x ft. sq. ft (bottom dimensions)
Basin Volume Provided 16,612 c.f.
Basin Elevations
Bottom Elevation 13.00 fmsl
Storage Elevation 17.00 fmsl
Top Elevation 18.00 fmsl
Form SWU-103 Version 3.99 Page 1 of 3

III. 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, February 1999) and Administrative Code
Section: 15 A 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 justification.
Applicants Initials
ms3
a. System is located 50 feet from class SA waters and 30 feet from other surface waters.
b. System is located at least 100 feet from water supply wells.
c. Bottom of system is at least 2 feet above the seasonal high water table.
d. Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
e. System is not sited on or in fill material DWQ approval has been obtained.
f System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
g. Drainage area for the device is less than 5 acres.
h. Soils have a minimum hydraulic conductivity of0.52 inches per hour and soils report is
attached.
i. System captures and infiltrates the runoff from the first 1.0 inch of rainfall (1.5 inch event
for areas draining to SA waters). Design volume and infiltration calculations attached.
j. System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached.
k. All side slopes stabilized with vegetated cover are no steeper than 3:1 (H:V).
1. A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale or
sediment trap is provided.
m. Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches.
or dense vegetative cover is provided
n. Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
length is 50 feet for SA waters, 30 feet for other waters
o. Flow distribution mechanism within the basin is provided.
p. A benchmark is provided to determine the sediment accumulation in the pretreatment
device.
q. Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
r. System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
s. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Form SWU-103 Version 3.99 Page 2 of 3

' �1.. _ -I t f!'. .I. .1. t, .. {:.. 1•f•lr ..'� ?:1. ,+.'.i: rl-.._ . � �� li' 1, ..,
,.r , ;,1. 1� r �l;if I .f.. •1, ,'t ti '�' 1 _� „ ,t, .. r ...:r,r, I 1
,.,aye f�, f • _. ..•fr „'
.r ..e ... .t. •� '�'c I'If. . , ..� ",�� .. .,s, l' ;\=Ji i .. .. �t. 1 , '#' r �%f
,'si•.:I3� 1i ..'i:.f. .�ti:., �!',.,ei '•l; .,.,. .!; +; i,tt' ..: 1 ✓ ,rl I •!i .. 't1'... ,1 +: ,,.. ..
.. i11:..�1•..j
,:�t 'r J. ry 1• �, ;J:.t „t i<i' ,- r. ,a.. � _
. .. !f i � ��-r 1. .♦ yi
� •1 1, •t r"' ,�.Y • {, '�. .5 I a ♦ ' r • ♦ .. .'%
' i. . 1 't1t F,'{�. ' •la
lf.♦ ,. ... I• li !7 ill, , , , �4�i. II.. a'1; .:at ,I. ' t _ 1.
. ..
I _t .• , Ir.. I - .. ..
� 1 ,. _ •.. I. .L n - I'. 't i' T a• y.�♦+ ,r;
!�'. .r ,i t -• -� ., •1�, it ,
��.}'._ _ �. .. .. !l J 1' 1 , + .. � , , rl •• l •
... 1i, ',.+, i;.f I!�'_ :�, I � ,.
r . I s:i: ,✓ ;r• :l',_ ,,, r „+, ,.Itr� „ - � ,it
.. , ,.. �; .nil•. ?r..r. - ... � `+f ., .. F}' � .. r a.+ii _. ..
1• -?: .'t'., ..., s!
., f+ ! 'i .•�'. � -• ,.'il, Ill• , ' (� _ r

Iv. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six -inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved
design specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when
depth in the pretreatment unit is reduced to 75% of the original design depth. The system shall be
restored to the original design depth without over -excavating. aver -excavation may cause the required
water table separation to be reduced and may compromise the ability of the system to perform as
designed. Removed sediment shall be disposed of in an appropriate mariner and shall not be handled in a
manner that will adversely impact water quality (i.e. stockpiling near a stormwater treatment device or
stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
When the design depth reads , Q feet in the pretreatment unit, the sediment shall be
removed from both the pretreatment unit and the infiltration basin.
If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
I acknowledge and agree by my signature below that I am responsible for the performance of the five
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.
Print Name and Title: 1Ricku Parker
Address: 2011 Elk Road SW, Suite 1, Live Oak Center Supply, NC 28462�
Phone: [phone] Date:
Signature: _ _ T
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.
M
day of
, do hereby certify that
basin maintenance requirements.
SEAL
Signature
a Notary Public for the State ofLn�j�rkcountyof
personally appeared before me this
and acknowledge the due execution of the foregoing infiltration
``n+u�
Witness my hand and official seal. �0 ,1 S • No •,��
commission expires V } —� 1p — ; T a y
Form SWU-103 Version 3.99 Page 3 of 3
PL1BL1C' /'z.
N.