SW8100215_HISTORICAL FILE_20190205

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Interim Director
February 5, 2019
NORTH CAROUNA
Environmental Quality
Scotts Hill Baptist Church of Wilmington, North Carolina, Inc.
Attn: Dana Terrell, Chairman of the Board of Directors
185 Scotts ]-Till Loop Road
Will'nington, NC 29411
Subject: Notice or Permit Extension and Renewal Request
State Stormwater Management Perrot No. SW8 100215
Scotts Hill Baptist Church Administrative Offices
Pender County
Dear Ms, Terrell:
Effective August 1, 2013 the State Stormwater program has been transferred from the Division of Water
Q�ialil:y (DWQ) to the Division of I.nergy, Mineral and Land Resources (D11MLR). All previous references to
DWQ will remain in older storinwater permits issued prior to August 1, 2013 until they are modified, .
transferred, or renewed. Please Mote that this letter references DI'.MLR as the Division responsible for issuance
of the permit.
On August 5, 2009, the Governor signed Session Law 2009-406. This law impacted any development approval
issued by the former Division of Water Quality under Article 21 of Chapter 143 of the General Statutes, which
was current and valid at any point between January 1, 2008, and December 31, 2010. The law extended the
effective period of any storinwater permit that was set to expire during this time frame to three (3) years from
its current expiration date. On August 2, 2010, the Governor signed Session Law 2010-177, which granted an
extra year for a total of four (4) years extension. Accordingly, this permit, which was set to expire on October
14, 2015, shall now be effective from the date of issuance until June 16, 2017, which includes all available
extensions.
State Stormwater Management. Permit #SWS 100215 for the subject project was last issued on April 29, 2010
to Scotts Hill Baptist Church of Wilmington, North Carolina, Inc. and expired on June 16, 2017 as noted
above: Per 15A NCAC 21q.1045(3) (the storinwater rules), applications for permit renewals shall be. submitted
ISO days prior to the expiration of a pennit and must be accompanied by a processing fee, which is currently
set at $505.00. if this is still an active project, please complete and submit a renewal application prior to
March 8, 2019. The renewal application can be found at the following website under the Applications Forms
section: https://deq.nc.gov/about/divisions/energy-mineral-land -resourceslenergy-mineral -land -
rules/stormwater-program/post-construction. Please note that if they have not already been submitted to the
Division, the permit renewal request must be accompanied by the required Designer's Certification and the
recorded documents.(if applicable). If this project has not been constructed and a permit is no longer needed,
please submit a request to have the permit rescinded.
Additionally, a review of the North Carolina Secretary of State corporation's database revealed that this
corporation has a new address. Please submit a completed Permit Information Update Form to correct your
contact information which is available on our website at: htips://deq.nc.gov/about/divisions/energy-inineral-
lancf-resources/energy-mineral-land-rules/storinwater-prograin/post-construction.
Please be advised that you are required to comply with the terms, conditions and limitations of the Stormwater
Management Permit under `title 15A North Carolina Administrative Code 2H .1003 and North Carolina
General Statute 143-214.7 until you submit the required Permit Transfer Application Form to the Division and
receive approval from the Division to transfer the permit or, if the site has not been built, submit a request to
rescind the permit and receive approval. This includes providing the necessary operation and maintenance of
the perfnitted Stormwater system. The Permit Transfer Application Form is available on our website at:
https:Udeq. nc.gov/about/divisions/energy-minera] -1and -resoil rceslenergy-mineral-land -rules/stormwater-
program/post-construction.
E
'y� North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
ef��—D•/� Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
n cnnouw
910.796.7215

State StOrrnwater Permit No, SWS 100215
Page 2 of 2
The operation of the stormwater treatment system without a valid and active permit, and/or failure to provide
the Designers Certification uid/or failure to operate and maintain the stormwater treatment system, are
violations ofX-CGS 143 article 21 and may result in appropriate enforcement action. If you have any questions
regarding this matter, please contact Garrett Zorda at [phone] or [e-mail].
Sincerely,
�a Danny Smith, Interim Director
Division of Energy, Mineral and land Resources
CI S/gdz: 111S1ormwaterTermi1s S, Projects120101100215 14D12019 02 req_ren M215
CC! Wilmington Regional Office File.

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
April 29, 2010
Dana Ferrell, Chairman of the Board of Directors
Scotts Hill Baptist Church of Wilmington, North Carolina, Inc.
185 Scotts Hill Loop Road
Wilmington, NC 28411
Subject: State Stormwater Management Permit No. SW8 100215
Scotts Hill Baptist Church Administrative Offices
High Density Commercial infiltration Basin Project
Pender County
Dear Mrs. Ferrell:
Dee Freeman
Secretary
The Wilmington Regional Office received a complete State Stormwater Management Permit
Application for Scotts Hill Baptist Church Administrative Offices on April 19, 2010. Staff review of the
plans and specifications has determined that the project, as proposed, will comply with the
Stormwater Regulations set forth in Session Law 2008-211 and Title 15A NCAC 2H.1000. We are
forwarding Permit No. SW8 100215 dated April 20, 2010, for the construction of the subject project.
This permit shall be effective from the date of issuance until October-14, 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 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 Chris
Baker, or me at [phone].
Sincerely,
Georg ett S� cott
Stormwater Supervisor
Division of Water Quality
GDS/csb: S:1WQSISTORMWATERIPERMIT1100215.apr10
cc: Phil Tripp, P. E., Tripp Engineering
Pender County Planning Department
Wilmington Regional Office Stormwater File
DWQ Central Files
Wilmington Regional Office One L
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 Nortl1Carol1
1 na
Phone: [phone] FAX: [phone] l Customer Service: 1-877-623-6748 �7 /
Internet: wwwmcwaterqualit ,org ALl'tlCra`I
k

State Stormwater Management Systems
Permit No. SW8 100215
STATE OF NORTH,CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL 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
Scotts Hill Baptist Church of Wilmington, North Carolina, Inc.
Scotts Hill Baptist Church Administrative Offices
11209 US Highway 17 North, Scotts Hill, Pender County
FOR THE
construction, operation and maintenance of one (1) infiltration basin and two (2)
infiltration trenches in compliance with the provisions of Session Law 2008-211 and 15A
NCAC 2H .1000 (hereafter collectively and separately 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 October 14, 2015, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.8 on page 3 of this permit. The stormwater
control has been designed to handle the runoff from 30,683 square feet of
impervious area. The trenches and basin are interconnected and function
together as one system.
3. The infiltration system must be operated with a 50' vegetated filter, designed to
pass the peak flow from the 10 year storm in a diffuse and non -erosive man ner.
4. The tract will be limited to the amount of built -upon area indicated in Section 1.8
on page 3 of this permit, and as shown on the approved plans.
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.
Pant- 2 of 7

State Stormwater Management Systems
Permit No, SW8100?15
6. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
7. The project shall provide a 50' wide vegetated buffer adjacent surface waters,
measured perpendicular to and horizontally from the normal pool of impounded
structures, the top of bank of streams and rivers, and the mean high water line of
tidal waters.
8. The following design criteria have been permitted for the infiltration basin and
infiltration trenches and must be provided and maintained at design condition:
Infiltration
Basin
Infiltration
Trench #1
Infiltration
Trench #2
a.
Drainage Area, acres:
Onsite, ft2:
Offsite, ft2
1.2
52,000
None
b.
Total Impervious Surfaces, ft:
Onsite, ft2:
Offsite, ft2
30,683
30,683
None
c.
Design Storm inches:
3
d.
Basin Depth, feet:
4
NIA
NIA
e.
Trench Dimensions, L x W x H, ft
NIA
64 x 22 x 3
90 x 30 x 3
f.
Perforated Pipe Dia. / Length, inlft
NIA
12164
8 & 12 / 227 .
q.
Bottom Elevation:
94.0
95.0 ,
95.0
h.
Bottom Surface Area ft :
88
NIA
NIA
I.
Bvpass Weir Elevation:
98.0
98.0
98.0
j.
Permitted Stora e Volume, ft:
2,522
1,720
3,359
k.
Type of Soil:
Light
Yellow Medium Sand
I.
Expected Infiltration Rate, in/hr:
6
m.
Seasonal High Water Table:
92
92
92
n.
Time to Draw Down, hours:
7.9
7.9
7.9
o.
Receiving Stream/River Basin:
Futch Creek 1 Cape
Fear
p.
Stream Index Number:
18-87-19
Classification of Water Body:.SA;ORW
Note: all elevations are assumed relative elevations. See the plans for the bench
mark location.
II. SCHEDULE OF COMPLIANCE
During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
2. The 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.
3. 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.
4. 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.
' Paae 3 of 7

State Stormwater Management Systems
Permit No. SW8 100215
5. 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.
g. A clear access path to the bypass structure must be available at all times.
6. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit. A copy of the approved plans and
specifications shall be maintained on file by the Permittee for the life of the
permit.
7. Records of maintenance activities must be Kept for each permitted BMP. The
records will indicate the date, activity, name of person performing the work and
what actions were taken.
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. A
modification may be required for those deviations.
9. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
10. 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.
G. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further development, subdivision, acquisition, lease or sale of any, 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.
11. 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.
Paae 4 of 7

State Stormwater Management Systems
Permit No. SW8 100215
12. The permittee shall submit final site layout and grading plans for any permNed
future areas shown on the approved plans, prior to construction.
III. GENERAL CONDITIONS
1. This permit is not transferable to any person or entity except after notice to and
approval by the Director. At least 30 days prior to a charge of ownership, or a
name change of the permittee or of the project, or a mailing address change, the
permittee must submit a completed and signed Name/Ownership Change form to
-the Division of Water Quality accomppanied by the appropriate documentation as
listed on the form. The approval of this request will be considered on its merits
and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request. Neither the sale of the pro ect
area in whole or in part nor the conveyance of common area to a third party shall
be considered an approved permit 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) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater. management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the pur ose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and reissuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
controls must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking 'and reissuing the permit, or terminating the permit
as allowed byy the laws, rules and regulations contained in Session Law 2008-
211, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et. al.
10. The permittee shall submit a permit renewal application at least 180 days prior to
the expiration date of this permit. The renewal request must include the
appropriate documentation and the processing fee.
Permit issued this the 29th day of April, 2010.
NO TH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
C��IJ, \
1• o een, u ins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Paae 5 of 7

State Stormwater Management Systems
Permit No. SW8 100215
Scotts Hill Baptist Church Administrative Offices
Stormwater Permit No. SW8 100215
Pender County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full
time) the construction of the project,
(Project)
for I(Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Paae 6 of 7

State Stormwater Management Systems
Permit No. SW810N15
Certification Requirements:
_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 bypass structure weir elevation is per the approved plan. "
6. The bypass structure is located per the approved plans.
7. A Trash Rack is provided on the bypass structure.
$. 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. All required design depths are provided.
13. All required parts of the system are provided.
14. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Pender County Planning Department
Paae 7 of 7

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
' - 1V- QUO
.SO.s•ao
003s
��/i>
Applicable Rules: ❑ Coastal SW -1995
(select all that apply) ❑ Non -Coastal SW- HQ
❑ Other WQ M mt Plan:
EKCoastal SW - 2008 ❑ Ph II - Post Construction
/ORW Waters ❑ Universal Stormwater Management Plan
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This forttt may be photocopied for rise as aft original
I. GENERAL INFORMATION
1. Project Nartie (subdivision, facility, or establishment name - should be consistent witli project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Scotts Hill Baptist Church Administrative Offices
2. Location of Project (street address):
11209 US Hwy 17N
City: Wiltnington County:Pender
3, Directions to project (from nearest major intersection):
Zip:28411
From the intersection of US Hwy 17 and SR 1572, travel north on l-fWwy 17 approx. 1 mile. Site is on left.
4. Latitude:34° 20' " N Longitude:77° 45' 15" W of the main entrance to the project.
11. PERMIT' INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if knov,,n) , and the status of
construction: ❑Not Started ❑Partially Completed* ® Completed* *provide a designer's certificatiat
Specify the type of project (check one):
❑Law Density ®I-ligh Density ❑Drains to an Offsite Stormwater System ❑Other
If this application is being submitted as the result of a previously returned application or a letter From DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑LAMA Major ®Sedimentation/Eros ion Control: 1.3 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b. if any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
FEB 2 2 Zola
BY:
Morin SWLI-101 Version 07JUly2009 Page 1 of

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization:Scotts Hill Baptist Church of Wilmington, Forth Carolina, Inc;
Signing Official & Title:Dana Ferrell, Chairman of the Board of Directors
b.Contact information for person listed in item 1a above:
Street Address:185 Scotts Hill Loon Road
City: Wilmington State:NC Zip:28411
Mailing Address (if applicable): sa me
City: State: Zip:
Phone: (910 ____)_ 686-9885Fax: ( )
Email:
Please check the appropriate box. The applicant Iisted above is:
®The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official &'Title:
b. Contact information for person listed in item 2a above:
Street Address:
City: State: Zip:
Mailing Address (if applicable):
City:_
Phone:
Email:
S to te:
Fax:
Zip:
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official &'Title:
b.Contact information for person listed in item 3a above:
Mailing Address:
City: State: Zip:
Form SWU-101 Version 07July2009 Page 2 of 7

Phone: ( } _ Fax:
Email:
4. Local jurisdiction for building permits:
Point of Contact: Phone #:
I V. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
two underground infiltration systems (chambers) and one infiltration pond
2. a. if claiming vested rights, identify the supporting docrunents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.Identify the regulation(s) the Fwith:P
ject has been designed in accordance
❑ Coastal SW - 1995 h 11- Post Construction
Stormwater runoff from this project drains to the Cape Fear River basin.
4. Total Property Area:1,20 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
Total Property Area (4) - Total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project
Area*:1.20 acres
* Total project area shall be calculated to exclude tyre follmoingg the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal Nigh Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landivard from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built uponi area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line lane
be uicluded iii the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 58.7
9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
'10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Form SWU-101 Version 07Ju1y2009 Page 3 of 7

Basin Information
Drainage Area I
Drainage Area _
Drainage Area _
Drainage Area _
Receiving Stream Naive
Futch Creek
/Ca e Fear
Stream Class *
SA ORW
Stream Index Number *
CPF2418-87-19
Total Drainage Area (so
52,200
On -site Drainage Area (so
52,200
Off -site Drainage Area (sf)
-
Proposed Impervious Area* (so
30,683
Impervious Area** total
58.7
h11 ervious"" Surface Area
Draina e Area _
Drainage Area _
Drainage Area _
Draina ge Area _
On -site Buildings/Lots-(SO
7,685
On -site Streets (so
-
On -site Parking (so
20,916
On -site Sidewalks (so
2,082
Other on -site (sf)
-
E u tan•e (sf)
-
Off -site (so
-
Existing BUA*** (so
-
Total (so:
30,683
* Stream Class and Index Number can be determined at: Ittt a2o.ennstate.ntc,ras itt)s re orts re ortsWB.Itt)ril
** lrta )ervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidletoalks, gravel areas, etc.
*** Report only that amount of existing BUA that Will remain rafter development. Do not report ant/ existing BLIA that
is to be reproved and which will be replaced by wqo BUA.
11. How was the off -site impervious area listed above determined? Provide ctocurnentation. NA
Projects in Union County: Contact DIYQCeWalOfficestaffto check iflheproject is located tivithip a Threater7ed &
1.'pc1017gered Speci0S rvcrtershed that may be subject to more stringent storutwater requirements as per NCAC 0213 .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://h2o.enr';state.atc.us/su/bmtp_forms.htmt.
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. A detailed application instruction sheet and BMP
checklists are available from http:f /h2o.enr.state.nc.us/su/bmtp_fornis.htnt. The complete application
package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating
project on the interactive online map at http://h2o.enr.state_nc.us/su/msi_maps.litni.)
Please indicate that the following required information have been provided by initialing in the space provided for
each item. All original documents MUST' be signed and initialed in blue ink. Download the latest versions for
each submitted application package from http://112o.etir.st,-ite.iic.us/suZbnip_fornis.htiii.
Initials
1. Original and one copy of the Stormwater Management Permit Application Dorm. (2K
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part V11 below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR, (For an Express review, refer to
littp://www.envhelp.org/pal7,esZonestopexpress.litnll for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
Form SWU-101 Version 071uly2009 Page 4 of 7

5. A detailed narrative (one to two pages) describing the stormwater treatment/manngementfor _(
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6, A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within'/2 mile of the site boundary, include the
mile radius on the map.
Sealed, signed and dated calculations.
S. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
cf. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of tlhe MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MI-IW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
in. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
M_
elevations
and boring logs. Include an 8.5"x11" copy of the NRCS County Soils trap with the project area
clearly delineated. For projects with infiltration BMPs, the report should also include the soil
type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to veriftj the SHWT prior to
subtttittal, [phone].)
'10. A copy of tile most current property deed. Deed book: 3728 Page No: 133 0r -
11, For corporations and limited liability corporations (LI_C): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
,by the persons listed in Contact Information, item 1a, 2a, and/or 3a per NCAC 21-1.1003(e). Tlhe
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
htt www.secretar .state.tic,us Cor orations CSearch,is x
Vll. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
13UA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be doNvnloaded from
lhttp://li2o.enr.state.tic.us/su/bmp forms.htnh#deco{ restrictions. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed on
the forms available on the website, that the covenants will be binding on all parties and persons claiming
under thetas, that they will run with the land, that the required covenants cannot be changed or deleted without
concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot.
form SWU-101 Version 07Ju1y2009 Page 5 of 7

VIII. CONSULTANTINFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting EngineerThillip G. Tripp, P.1:.
Consulting Firm: Tripp Engineering
Mailing Address:419 Chestnuts Street
Cite:Wilmington
Phone: (910 ) 763-5100
13mail: trippeng©ec, rr.cony
State:NC Zip:28401
Fax: [phone]
IX. PROPERTY OWNER AUTHORIZATION (if Conn tact Information, item 2 has been filled out, complete this
section)
1, (print or type mane of person listed inn Cann tact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of persaa
listed in Conntact lnforunation, item 1a) with (print or type nmmne of organization listed in
Contact lnfornintion, item 1b) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: Date:
a Notary Public for the State of ,County of
do hereby certify that
before me this _ day of
personally appeared
, and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
Porny SWU-101 Version 07Ju1y2009 Page 6 of

X. APPLICANT'S CERTIFICATION
I, (print or type nalne of person listed in Contact Information, iteru 2) Dana Ferrell
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 covenant will be recorded, and that the proposed project coniplies with the requirements of the
m applicable storw�t r rules under 15A NCAC 2H .1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211.
Signature:._ X.
Date: c7C 9—%6
(' . , a Notary Public for the State of -NOyth YD iVl - , County of
-Pend er do hereby certify that 06zna E. F(f irre i! personally appeared
before me thisZI day of ,Qti n , and acknowledge the due execUti011 of the application for a
stormwater permit. Witness my hand and official seal,
I
NOTA'y •.a
COUN�,.`�'.
'''y,11011rn"��
SEAL
My commission expires lo —
Form SWU-101 Version 07July2009 Page 7 of 7

i y Permit No. �IdD 2-I 6
A"t'A STORMWATER MANAGEMENT PERMIT APPLICATION FORM a
N"ENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION TRENCH SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist {Part 1l1) must be printed, filled out and submitted along with all of the required information.
1. PROJECT INFORMATION
Project name
Scott's Hill Baptist Church Administrative Offices
Contact person
Phillip G. Tripp, P.E.
Phone number
[phone]
Date
04/19/10
Drainage area number
1 Trench #1
II. DESIGN INFORMATION
Site Characteristics
Drainage area
15,000,00 41
Impervious area
6,800,00 fill
Percent impervious
45.3% %
Design rainfall depth
3.00 in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
1-yr, 24-hr intensity
Pre -development 1-yr. 24-hr discharge
Post -development 1-yr, 24-hr discharge
Pre[Post 1-yr, 24-hr peak flow control
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
runoff volume 3 rt
Pre -development 1-yr, 24-hr runoff volume
Post -development 1-yr, 24-hr runoff volume
Minimum volume required
Volume provided
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Trench Design Parameters
Drawdown time
Perforated pipe diameter
Perforated pipe length
Number of laterals
Stone type (if used)
Stone void ratio
Stone is free of Fines?
3.80
in
5.63
inlhr
1.69
fN/sec
4.53
Wlsec
2.84
ft3/sec
ft3
ft3
1718,00
ft3
1.69
ft3
4.53
ft3
1718.00
ft'
1,720.00
ft3 OK
Light Yellow Medium Sand
6.00
inlhr
92.00
fmsl
0.33
days OK
12.00
in
64'
ft
0
#57
40.00%
Y
(Y or N) OK
APR Z92010
Form SW401-Infiltration Trench-ftev.4 Parts I__ 11_ Design Summary, Page 1 of 2

h
Trench Elevations
Bottom elevation
95.00
fmsl
OK
Storage/overflow elevation
98.00
6nsl
Top elevation
100.00
furs!
Trench Dimensions
Length (long dimension)
64'
ft
Width (shop dimens"son)
22'
ft
Height (depth)
3.00
ft
OK
Additional Information
Maximum volume to each inlet into the trench?
0.47
ac-in
OK
Length of vegetative filter for overflow
NA
ft
OK
Number of observation wells
2
OK
Distance to structure
6.6'
ft
OK
Distance from surface waters
1,400.00
It
OK
Distance from water supply well(s)
15,000.00
ft
OK
Separation from impervious soil layer
> 9
ft
OK
Depth of naturally occuring soil above SHWT
3.00
ft
OK
Bottom covered with 4-in of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
Y
(Y or N)
OK
Capures all runoff at ultimate buil"ut?
Y
(Y or N)
OK
Bypass provided for larger storms?
Y
(Y or N)
OK
Trench wrapped with geotextile fabric?
Y
(Y or N)
OK
Pretreatment device provided
N
Permit No_
Form SW401-Infiltration Trench-Rev.4 Parts I__ 11_ Design Summary, Page 2 of 2

Permit No. �` 4az/,<-"
tr o y WATE9
AN"Av
1%ENR STORMWATER MANAGEMENT PERMIT APPLICATION FORM E
401 CERTIFICATION APPLICATION FORM
INFILTRATION TRENCH SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part ill) must be printed, filled out and submitted along with all of the required information.
p. PROJECT INFORMATION �
Project name Scotrs Hill Baptist Church Administrative Offices
Contact person Phillip G. Tripp, P.E.
Phone number [phone]
Date 04/19110
Drainage area number 1 Trench #2
II. DESIGN INFORMATION
Site Characteristics
Drainage area
24,700.00 ftz
Impervious area
13.398.00 ft;
Percent impervious
54,2% %
Design rainfall depth
3.00 in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
3.80
in
1-yr, 24-hr intensity
5.63
inlhr
Pre -development 1-yr, 24-hr discharge
1.69
ft'/sec
Post -development 1-yr, 24-hr discharge
4.53
ft'/sec
Pre/Post 1-yr, 24-hr peak Bow control
2.84
ft'/sec
Storage Volume: Non -SA Waters
Minimum volume required
ft'
Volume provided
ft'�
Storage Volume., SA Waters
X runoff volume 3 rt
3323.00
ft'
APR
Pre -development 1-yr, 24-hr runoff volume
1.69
ft'
9 2010
Post -development 1-yr. 24-hr runoff volume
4.53
ft'
Bi';
Minimum volume required
3323.00
ft'
Volume provided
3,359.00
f' OK
Soils Report Summary
Soil type
Light Yellow Medium Sand
Infiltration rate
6.00
inlhr
SHWT elevation
92.00
fmsl
Trench Design Parameters
Drawdown time
0.33
days OK
Perforated pipe diameter
8 & 12
in
Perforated pipe length
227.00
ft
Number of laterals
8
Stone type (if used)
#57
Stone void ratio
40.00%
Stone is free of fines?
Y
(Y or N) OK
Form SW401-Infiltration Trench-Rev.4 Parts I__ rl_ Design Summary, Page 1 of 2

Permit No.
IL
Trench Elevations
Bottom elevation
95.00
frnsl
OK
Storageloverflow elevation
98.00
fmsl
Top elevation
100.00
fmsl
Trench Dimensions
Length (long dimension)
90,00
ft
Width (short dimension)
30.00
ft
Height (depth)
3,00
ft
OK
Additional Information
Maximum volume to each inlet into the trench?
0.92
ac-in
OK
Length of vegetative filter for overflow
NA
ft
OK
Number of observation wells
2
OK
Distance to structure
103.75
ft
OK
Distance from surface waters
1,400.00
ft
OK
Distance from water supply well(s)
15,000A0
ft
OK
Separation from impervious soil layer
> 9
It
OK
Depth of naturally occuring soil above SHWT
3.00
ft
OK
Bottom covered with 44n of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
Y
(Y or N)
OK
Capures all runoff at ultimate build -out?
Y
(Y or N)
OK
Bypass provided for larger storms?
Y
(Y or N)
OK
Trench wrapped with geotextile fabric?
Y
(Y or N)
OK
Pretreatment device provided
N
Form SW401-Infittiation Trench-Rev.4 Parts 1__ I]_ Design Summary, Page 2 of 2

41
• Permit No.
A&A o�p� wATeRac
STORMWATER MANAGEMENT PERMIT APPLICATION FORM y r
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be tilted out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
k. PROJECT INFORMATION
Project Name Scott's hill Baptist Church Administrative Offires
Contact Person Phillip G. Tripp, P.E.
Phone Number 010) 763,5100
Date 04/19110
Drainage Area Number 1
I. DESIGN INFORMATION
.7771
Site Characteristics
Drainage area
12,500.00 ft2
Impervious area
10,485.00 ft'
Percent impervious
0.84 %
Design rainfall depth
3.00 in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr discharge
Post -development 1-yr, 24-hr discharge
PrelPost 1-yr, 24-hr peak flow control
Storage Volume: Non -SA Waters
Minimum design volume required
Design volume provided
Storage Volume: SA Waters
A- runoff volume 3r1
Pre -development 1-yr, 24-hr runoff volume
Post -development 1-yr, 24-hr runoff volume
Minimum required volume
Volume provided
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage Surface Area
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom Surface Area
.s.ou
Fn
5.63
inthr
1.69
f1'Isec
4.53
ft'/sec
2.84
ft'lsec
ft3
ft;
2515.00
ft'
1.69
ft3
4.53
ft3
2515.00
ft3
2,522.00
ft3 OK
Light Yellow Medium Sand
6.00
intbr
92.00
fmsl
0.33 days
3.00
:1
94.00
fmsl
98.00
fmsl
1,173.00
ft'
100.00
fmsl
62.68 ft
23.00 ft
88.00 ftz
OK 4.1 V JJ
OK
APR 9 zoro
OK /8
Form SW401-Infiltration BasirwRev.4 Parts I_ — II_ Design Summary Page 1 of 2

Permit No.
Additional Information
Maximum runoff to each inlet to the basin?
0.69
ac-in
OK
Length of vegetative fi ter for overflow
NA
ft
OK
Distance to structure
72.00
ft
OK
Distance from surface waters
1,400.00
ft
OK
Distance from water supply well(s)
15,000.00
ft
OK
Separation from impervious soil layer
> 9
ft
OK
Naturally occuring soil above shwt
2.00
ft
OK
Bottom covered with 44 of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
Y
(Y or N)
OK
Capures all runoff at ultimate build -out?
Y
(Y or N)
OK
Bypass provided for larger storms?
Y
(Y or N)
OK
Pretreatment device provided
N
Form SW401-Infiltration Basin-Rev,4 Parts I_ _ II_ Design SummaN Page 2 of 2

Permit Number:
{to he provided by DJVQ}
Drainage Area Number:
Infiltration Trench 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 infiltration trench will be carefully managed to reduce
the sediment load to the sand filter.
— The water level in the monitoring wells will be recorded once a month and after
every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal County).
The infiltration trench 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 grass filter strip or
Areas of bare soil and/or
Regrade the soil if necessary to
other pretreatment area
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer apPILLation.
Sediment has accumulated to
Search for the source of the
a depth of greater than six
sediment and remedy the problem if -
inches.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
The flow diversion
The structure is clogged.
Unclog; the conveyance and dispose
structure (if applicable)
of any sediment off -site.
The structure is damaged.
Make any necessary repairs or
replace if damage is too large for
re air.
APR z s zoto
Fonn SW401-Infiltration Trench O&M-Rev.3 Page I of 3

BMW element:
Potential roblem:
How I will remediate theproblem:
The trench
Water is ponding on the
Remove the accumulated sediment
surface for more than 24
from the infiltration system and
hours after a storm_
dispose in a location that will not
impact a stream or the BMP.
The depth in the trench is
Remove the accumulated sediment
reduced to 75% of the original
from the infiltration system and
design depth.
dispose in a location that will not
impact a stream or the BMP.
Grass or other plants are
Remove the plants, preferably by
growing, on the surface of the
hand. if pesticide: is used, wipe it on
trench.
theplant,; rather than s ra in g.
The observation well(s)
The water table is within one
Contact the DWQ Stormwaler Unit
foot of the bottom of the
immediately at 919-733-5083.
system for a period of three
consecutive months.
The outflow pipe is clogged.
Provide additional erosion
protection such as reinforced turf
matting; or riprap if needed to
prevent future erosion problems.
The outflow pipe is damaged.
Repair or replace the pipe.
The emergency overflow
Erosion or other signs of
The emergency overflow berm will
berm
damage have occurred at the
be repaired or replaced if beyond
outlet.
repair.
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-
au tlet.
733-1786.
Form SW40f-infiltration Trench O&M-Rcv.3 Page 2 of 3

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:Scotts Hill Baptist Church Administrative Offices
BMP clraitiage area number: I Trench # i
Print name: Dana Ferrell
Title:Chairman of the Board of Directors
Address:185 Scotts dill Lo R ad WiImin gion, NC 28411
Phone:[phone]M85
Signature:
Date: 4/—
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
1, C_ , a Notary Public for the State of
J)Q�h ((jro b &)6', , County of do hereby certify that
4k, — personally appeared before me this JZ
day of 4nd ODID , and acknowledge the due execution of the
forgoing infiltration trench maintenance requirements. Witness my hand and official
seal,
O: 1010TAly'
F` PUBL%G :a
/�!�!lfflf o111411\\\\
SEAL
My commission expires A)
Form SW40I-Infiltration Trench O&M-Rev.3 Page 3 of 3

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Infiltration Trench Operation and Maintenance Agreement
1 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 infiltration trench will be carefully managed to reduce
the sediment load to the sand filter.
— The water level in the monitoring wells will be recorded once a month and after
every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal County).
The infiltration trench 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 grass filter strip or
Areas of bare soil and/or
Regrade the soil if necessary to
other pretreatment area
erosive gullies have formed.
remove the gully, and then plant a
around cover and water until it is
established. Provide lime and a
one-time fertilizer aep.licaLion.
Sediment has accumulated to
Search for the source of the
a depth of greater than six
sediment and remedy the problem if
inches.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
The flow diversion
structure (if applicable)
The structure is clogged.
Unclog; the conveyance and dispose
of any sediment off -site.
The structure is damaged.
Make any necessary repairs or
replace if damage is too large for
repair.
APR z9Z010
Form SW40 I -Infiltration Trench O&M-Rev.3 Page 1 of 3

BMP element:
Potential problerw
How I will remediate theproblem:
The trench
Water is ponding on the
Remove the accumulated sediment
surface for more than 24
from the infiltration system and
hours after a storm.
dispose in a location that will not
impact a stream or the BMP.
The depth in the trench is
Remove the accumulated sediment
reduced to 75% of the original
from the infiltration system and
design depth.
dispose. in a location that will not
impact a stream or the BMP.
Crass or other plants are
Remove the plants, preferably by
growing on the surface of the
hand. If pesticide is used, wipe it on
trench.
the plants rather than spraying.
The observation well(s)
The water table is within one
Contact the DWQ Stormwater Unit
foot of the bottom of the
immediately at 919-733-5083.
system for a period of three
consecutive months.
The outflow pipe is clogged.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problerns.
The outflow pipe is dams ed.
Repair or replace the pipe,
The emergency overflow
Erosion or other signs of
The emergency overflow berm will
berm
damage have occurred at the
be repaired or replaced if beyond
outlet.
repair.
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-
ou tlet.
733-1786.
Form S W40I -Infiltration Trcnch O&M-Rcv.3 Page 2 of 3

Permit Number:
(to be provided by DWQ)
1 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 -.Scotts Hill Baptist Church Administrative Offices
BMP drainage area number:I Trench #2
Print name
Title:Chairman of the Board of Directors
Address:195 Scotts Hill Loop Road, Wilmington, NC 28411
Date:
Note: The legally responsible party should not be a homeowners association unless more than 50% or
the lots have been sold and a resident of the subdivision has been named the president.
ZIaL G a Notary Public for the State of
ff<RA t7iala- , County of Pee7r_1rr , do hereby certify that
'2k/'la C- ram/% personally appeared before me this !z.
day of 1010 , and acknowledge the due execution of the
forgoing infiltration trench maintenance requirements. Witness my hand and official
seal,
SEAL
`\���41fVC.
11111lJJ/J/�/
NOTgRy. 0
COU
My commission expires - -
Form SW40 I -Infiltration Trench O&M-Rev.3 Page 3 of 3

Permit Number:-
(to he provided by DWQ)
Drainage Area Number:
Infiltration Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter and within
24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potential roblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration basin
erosive gullies have fornred,
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer aEplication.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
Swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe,
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the sNvale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problenis with erosion.
7FEB
CErVED
2 2 2010
Form SW401-Infiltration Basin O&M-Rev.3 Page I of 3

0
BMP element:
The forebay
The main treatment area
The embankrent
The outlet device
The receiving water
Potential problem:
Sediment has accumulated
and reduced the depth to 75%
of the original design depth.
Erosion has occurred or
riprap is displaced.
Weeds are present.
A visible layer of sediment
has accumulated,
Water is standing more than
5 days after a storm event.
Weeds and noxious plants are
growing in the main
treatment area.
Shrubs or trees have started
to grow on the embankment.
An annual inspection by an
appropriate professional
shows that the embankment
needs repair.
Clogging has occurred
The outlet device is damaged
Erosion or other signs of
damage have occurred at the
Outlet.
How 1 will remediate the problem:
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
s�ra�ing.
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Replace the top few inches of filter
media and see if this corrects the
standing water problem. If so,
revegetate immediately, If not,
consult an appropriate professional
for a more extensive repair.
Remove the plants by hand or by
wiping them with pesticide (do not
spray).
Remove shrubs or trees
immediately.
Make all needed repairs.
Clean out the outlet device. Dispose
of the sediment off -site.
Repair or replace the outlet device.
Contact the NC Division of Water
Quality 401 Oversight Unit at 919-
733-1786.
Form SW401-lirfiltration Basin O&M-IZev.3
Page 2 of

Permit Number:
(to be provided by DIVQ)
I acknowledge and agree by my signature below that 1 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.
Projecl nome:Scotts Hill Baptist Church Administrative Offices
13MP drainage arect number:
Print name:Dana Ferrell
Title:Chairman of the Board of Directors
Address:185 Scotts Hill Loop Road, Wilmington, NC 28411
Phone
Signat
Date: _ / U
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
1, _ , Zax'af a Notary Public for the State of
�c1Y1 (°�an)J,,nC,_ , County of rI)en d ee— , do hereby certify that
he -OP, [. 'Fe rr-Q i l personally appeared before me this 2-9
day of ,►n ,and acknowledge the due execution of tllc
forgoing infiltration basin maintenance requirements. Witness my hand and ofltcial seal,
SEAL
My commission expires { Q--15 -11
Form SW401-Infiltration Basin O&M-Rev.3 Page 3 of")

State Stormwater Management Systems
Permit No. SW8 100215
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL 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
Scotts Hill Baptist Church of Wilmington, North Carolina, Inc.
Scotts Hill Baptist Church Administrative Offices
11209 US Highway 17 North, Scotts Hill, Pender County
FOR THE
construction, operation and maintenance of one (1) infiltration basin and two (2)
infiltration trenches in compliance with the provisions of Session Law 2008-211 and 15A
NCAC 2H .1000 (hereafter collectively and separately 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 October 14, 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. This stormwater system_ has been approved for the management of stormwater
runoff as described in Section 1.8 on page 3 of this permit. The stormwater
control has been designed to handle the runoff from 30,683 square feet of
impervious area. The trenches and basin are interconnected and function
together as one system.
3. The infiltration system must be operated with a 50' vegetated filter, designed to
pass the peak flow from the 10 year storm in a diffuse and non -erosive manner.
4. The tract will be limited to the amount of built -upon area indicated in Section 1.8
on page 3 of this permit, and as shown on the approved plans.
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 7

State Stormwater Management Systems
Permit No. SW8 100215
6. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
7. The project shall provide a 50' wide vegetated buffer adjacent surface waters,
measured perpendicular to and horizontally from the normal pool of impounded
structures, the top of bank of streams and rivers, and the mean high water line of
tidal waters.
8. The following design criteria have been permitted for the infiltration basin and
infiltration trenches and must be provided and maintained at design condition:
Infiltration
Basin
Infiltration
Trench #1 1
Infiltration
Trench #2
a.
Drainage Area, acres:
Onsite, ft2:
Offsite, ft2
1.2
52,000
None
b.
Total Impervious Surfaces, ft :
Onsite, ft2:
Offsite, ft2
30,683
30,683
None
C.
Design Storm, inches:
3
d.
Basin Depth, feet:
4
NIA
NIA
e.
Trench Dimensions, L x W x H, ft
NIA
64 x 22 x 3
90 x 30 x,3
f.
Perforated Pipe Dia. / Length, in/ft
NIA
12164
8 & 121227
Bottom Elevation:
94.0
95.0
95.0
h.
Bottom Surface Area, ft :
88
NIA
NIA
i.
Bypass Weir Elevation:
98.0
98.0
98.0
J.
Permitted Storage Volume, ft :
2,522
1,720
3,359
k.
Type of Soil:
Light Yellow Medium Sand
I.
__Expected Infiltration Rate, inlhr:
6
m.
Seasonal High Water Table:
92
92
92
n.
Time to Draw Down, hours:
7.9
7.9
7.9
o.
Receiving Stream/River Basin:
Futch Creek I Cape Fear
p.
Stream Index Number:
18-87-19
q.
Classification of Water Body:
SA;ORW
Note: all elevations are assumed relative elevations. See the plans for the bench
mark location.
II. SCHEDULE OF COMPLIANCE
1. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
2. 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.
3. 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.
4. 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.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW8 100215
5. 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.
g. A clear access path to the bypass structure must be available at all times.
6. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit. A copy of the approved plans and
specifications shall be maintained on file by the Permittee for the life of the
permit.
7. Records of maintenance activities must be kept for each permitted BMP. The
records will indicate the date, activity, name of person performing the work and
what actions were taken.
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. A
modification may be required for those deviations.
9. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
10. 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 development, subdivision, acquisition, lease or sale of any, 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.
11. 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.
Page 4of7

State Stormwater Management Systems
Permit No. SW8 100215
12. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and
approval by the Director. At least 30 days prior to a change of ownership, or a
name change of the permittee or of the protect, or a mailing address change, the
permittee must submit a completed and signed Name/Ownership Change form to
the Division of Water Quality accompanied by the appropriate documentation as
listed on the form. The approval of this request will be considered on its merits
and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request. Neither the sale of the protect
area in whole or in part nor the conveyance of common area to a third party shall
be considered an approved permit transfer request.
3. Failure to abide byy the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Qualityy, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and reissuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
controls must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. The issuance of this permit does not prohibit the Director from reopeningg and
modifying the permit, revoking and reissuing the permit, or terminating tf�e permit
as allowed by the laws, rules and regulations contained in Session Law 2008-
211, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et. al.
10. The permittee shall submit a permit renewal application at least 180 days prior to
the expiration date of this permit. The renewal request must include the
appropriate documentation and the processing fee.
Permit issued this the 29th day of April, 2010.
NO TH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
yr ColeeA H. Sullins, Director'
Division of Water Quality
By Authority of the Environmental Management Commission
Page 5 of 7

State Stormwater Management Systems
Permit No. SW8 100215
Scotts Hill Baptist Church Administrative Offices
Stormwater Permit No. SW8 100215
Pender County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full
time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW8 100215
Certification Requirements:
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 bypass structure weir elevation is per the approved plan.
6. The bypass structure is located per the approved plans.
7. A Trash Rack is provided on the 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. All required design depths are provided.
13. All required parts of the system are provided.
.14. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Pender County Planning Department
Page 7 of 7

North Carolina Secretary of State
Page 1 of I
North Carolina
;�7_ti" '" r Elaine F. Marshall DEPARTMENT OFTFIE
YJ h�
Secretary SECRETARY OF STATE
,. PO Box 29622 Raleigh, NC 27626-0622 [819)807-2000
CoRPOR ^-S
Date: 4/28/2010
;orporations Home
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Perpetual
Batts, Carol B
185 Scotts Hill Loop Rd
Wilmington NC 28411
185 Scotts Hill Loop Rd
Wilmington NC 28411
No Address
165 Scotts Wit Loop Rd
(pender County)
Wilmington NC 28411
http://www.secrelary.state.ne.us/corporations/Corp.aspx?Pitemld=49247 14
4/28/2010

7s � -o
FILED
ARTICLES OF INCORPORATION ,� .� G
98 b5032 SCOTTS HILL BAPTIST CHURCH t IYy1)
OF WILMINGTON, NORTH CAROLINA EFFECTIVE
ELAINE F ALt
A NONPROFIT CORPORATION SECRETARY OF STATE
NORTH CARQLINA
We the undersigned natural persons of the age of twenty-one years or
more, acting as incorporators for the purpose of creating a nonprofit corporation
under the laws of the State of North Carolina, as contained in Chapter 55A of the
General Statutes of North Carolina, entitled "Nonprofit Corporation Act," and the
several amendments thereto, do hereby set forth.
I. NAME
The name of the corporation is SCOTTS HILL BAPTIST CHURCH OF
WILMINGTON, NORTH CAROLINA.
II. DURATION
The period of duration of the corporation shall be perpetual.
III.. PURPOSE
Scotts Hill Baptist Church of Wilmington, North Carolina, is organized
to bring people to Jesus and membership in His family, develop them to Christlike
maturity, and equip them for their ministry in the Church and life mission in the
world, in order to magnify God's name; to be a dynamic spiritual organism
empowered by the Holy Spirit to share Christ with as many people as possible in
our church, community and throughout the world. These embody the purpose of
the Church.
IV, MEMBERS
The membership of Scotts Hill Baptist Church of Wilmington, North
Carolina, shall be composed of persons whose names appear on the rolls of the
Church at any given time. Admission and termination of membership shall be
determined by the congregation as set forth in the by-laws of the Church. All
present members of Scotts Hill Baptist Church shall automatically become members
of the nonprofit corporation, Scotts Hill Baptist Church of Wilmington, North
Carolina.

•
V. DIRECTORS
Directors of Scotts Hill Baptist Church of Wilmington, North Carolina,
shall be elected by a majority vote at any regular or called business meeting in
accordance with the by-laws of the corporation. ,
VI. REGISTERED OFFICE, REGISTERED AGENT
AND
PRINCIPAL. OFFICE
The address of the initial registered office of Scotts Hill Baptist Church
of Wilmington, North Carolina is 185 Scotts Hill loop Road, Wilmington, Pender
County, North Carolina 28411,
The number of the initial registered agent of Scotts Hill Baptist Church
of Wilmington, North Carolina is Carol B. Batts, at the address of the registered
office.
The street address and mailing address of the principal office of the
corporation are 185 Scotts Hill loop Road, Wilmington, North Carolina 28411. J>ee)deez E caN+1
VII. INITIAL BOARD OF DIRECTORS
The number of directors constituting the initial board of directors shall
be twenty seven (27), and the names and addresses of the persons who are .to
serve as directors until the first meeting of the corporation or until their successors,
are elected and qualified are:
Joel D. Bailey
617 Aquarius Drive
Wilmington, NC 28411
William A. Berger
997 Kings Landing Road
Hampstead, NC 28443
Edwin L. Britt, Jr.
335 La Fayette Street
Wilmington, NC 28411
Mark D. Furman
374 Peanut Road
Hampstead, NC 28443
D. Scott Hagan
458 Hollins Road
Wilmington, NC 28412
KA
Thomas W. Baker, Chairman.
136 LaSalle Street °
Wilmington, NC 28411
H. Christopher Blake, III
10565 US Highway 17
Wilmington, NC 28411
L. Dwayne Fleming
408 Wendover Lane
Wilmington, NC 28411
Steve Garner
104 Bellowing Doc Road
Hampstead, NC 28443
J. Randall Johnson
126 Coopers Trail
Wilmington, NC 28411

Richard T. Johnston R. Matthew Jordan
114 Topsail Lake Drive 4414 Bridgeport Drive
Hampstead, NC 28443 Wilmington, NC 28409
Maury W. Koonce, Jr. Curtis D. Lee
617 Windemere Road 110 Brockway Road
Wilmington, NC 28405 Wilmington, NC 28411
S. Glenn McIntosh David R. Moore
530 Rose Avenue 507 Doral Drive
Wilmington, NC 28403 Hampstead, NC 28443
Mikie L. Padrick James L. Ruddell
931 Balcombe Road 212 Cypress Street
Rocky Point, NC 28457 Burgaw, NC 28425
Michael W. Sandlin G. William Springle
131 Tim Moore Drive 212 Oakridge Lane
Hampstead, NC 28443 Wilmington, NC 28411
Paul W. Tartt, Jr.' John W. Tyer
175 East Brandywine Circle 7512 US Hwy 117N
Wilmington, NC 28411 Watha, NC 28471
Kevin W. Williams Terry D. Wright .
250 Pages Creek Drive 304 Windsong Road
Wilmington, NC 28411 Wilmington, NC 28411
Admah Lanier, Jr. Tylon Roberts
3925 Scotts Hill Loop Road 241 Inlet Drive
Wilmington, NC 28411 Wilmington, NC 28405
Jimmie Suggs, Sr.
465 Scotts Hill Loop Road
Wilmington, NC 28411
VIII. INCORPORATORS
The names and addresses of all the incorporators are:
Admah Lanier, Jr.
3925 Scotts Hill Loop Road
Wilmington, NC 28411
3
Thomas W. Baker
136 LaSalle Street
Wilmington, NC 28411

Admah Lanier, Jr. is presently serving as the Chairman of the Board of
Trustees, and Thomas W. Baker is presently serving as the Chairman of the Board
of Deacons of Scotts Hill Baptist Church of Wilmington, North Carolina; and both
individuals perform this action of incorporating pursuant to the resolution adopted
by the congregation of Scotts Hill Baptist Church of Wilmington, North Carolina,
acting as an unincorporated association, at a regular business meeting held on
October 14, 1998.
IX. ADDITIONAL POWERS
In addition to the powers granted to corporations under the laws of the
State of North Carolina, Scotts Hill Baptist Church of Wilmington, North Carolina,
may engage in any lawful activities which are incidental to and in furtherance of the
exempt purposes of the corporation, including full power and authority to accept,
administer, and disburse donations, contributions, and gifts of all kinds; to make
donations for the public welfare or for religious, charitable, scientific, or educational
purposes; to own and operate motor vehicles in furtherance of its purpose; to give
and lend moneys consistent with its charitable purposes to its members or
employees other than the directors; and to operate facilities and support and
sponsor programs for the recreation and education of its members, their guests,
and the youth of the community.
X. NONPROFIT STATUS
No part of the net earnings of Scotts Hill Baptist Church of Wilmington,
North Carolina, shall inure to the benefit of, or be distributable to its members,
trustees, officers, or other private persons, except to pay reasonable compensation
for services rendered. and to make payments and distributions in furtherance of the
purposes as set forth in these Articles. Upon dissolution, the assets shall, after all
of its liabilities and obligations have been discharged or adequate provision made
therefor, be distributed to any corporations, organizations or associations organized
for the purposes or engaged in activities substantially similar to those set forth
herein, all as may be more particularly provided in the by-laws of the corporation.
XI. GOVERNMENT
The government of Scotts Hill Baptist Church of Wilmington, North
Carolina, shall be that of an independent, local, autonomous church; shall be
congregational in nature; and the final authority for the operation and management
of the affairs of this church, spiritual and temporal, shall be exercised in the matter
set forth in the by-laws. Members alone shall have the authority to adopt and
amend by-laws, approve budgets, receive members, and govern and conduct the
affairs of Scotts Hill Baptist Church of Wilmington, North Carolina.
4

IN TESTIMONY WHEREOF, we have hereunto set our hands, this the
_y�-'74 day of November, 1998.
r
rn
IncorpTator
Thomas W. Baker, Incorporator
5

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
March 18, 2010
Dana Ferrell, Chairman of the Board of Directors
Scotts Hill Baptist Church of Wilmington, North Carolina, Inc.
185 Scotts Hill Loop Road
Wilmington, NC 28411
Subject: Request for Additional Information
Stormwater Project No. SW8 100215
Scotts Hill Baptist Church Administrative Offices
Pender County
Dear Mrs. Ferrell:
Dee Freeman
Secretary
The Wilmington Regional Office received a State Stormwater Management Permit Application for Scotts Hill Baptist
Church Administrative Offices on February 22, 2010. A preliminary review of that information has determined that
the application is not complete. The following information is needed to continue the stormwater review:
The treatment system for this project consists of two infiltration trenches and an infiltration basin per the
plans. Only an infiltration basin supplemental form and maintenance agreement was submitted the permit
application. Please submit the two required infiltration trench supplemental forms and maintenance
agreements. Be sure to correct the infiltration basin supplemental form to reflect the changes.
2. . Provide plan and section view details of the infiltration trenches.
Please note that this request for additional information is in response to a preliminary review. The requested
information should be received in this Office prior to Ap"ril-18; 2010; or the application will be returned as incomplete.
The return of a project will necessitate resubmittal of all required items, including the application fee.
If you need additional time to submit the information, please mail, email or fax your request for a time extension to
the Division at the address and fax number at the bottom of this letter. The request must indicate the date by which
you expect to submit the required information. The Division is allowed 90 days from the receipt of a completed
application to issue the permit.
The construction of any impervious surfaces, other than a construction entrance under an approved Sedimentation
Erosion Control Plan, is a violation of NCGS 143-215.1 and is subject to enforcement action pursuant to NCGS 143-
215.6A.
Please reference the State assigned project number on all correspondence. Any original documents that need to be
revised have been sent to the engineer or agent. All original documents must be returned or new originals must be
provided. Copies are not acceptable. If you have any questions concerning this matter please feel free to call me at
[phone] or email me at [e-mail].
Sincerely,
Chris Baker
Environmental Engineer II
GDSlcsb: S:IWQSISTORMWATERIADDINF0120101100215.mar10
CC: Phil Tripp, P. E., Tripp Engineering
Wilmington Regional Office One
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 NorthCarolina
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 ������ rr�
Intemet: www.ncwaterquality.org

TRIPP ENGINEERING P. C�'D APR 19 2010
419 Chestnut Street
Wilmington, North Carolina 28401
Phone: [phone] • FAX: [phone]
April 19, 2010
NCDENR
Division of Water Quality
127 Cardinal Drive
Wilmington, NC 28405-3845
Attn: Mr. Chris Baker
Re: Scott's Hill Baptist Church
Administrative Offices
Permit No. SW8 100215
TE 09049
Dear Chris:
In response to your comments dated March 18, 2010, we offer the following:
1. Two infiltration basin supplements and maintenance agreements are enclosed.
2. Plan and section view detains of the infiltration trenches are provided.
Please review for approval and contact us with any questions, comments or if you
need additional information. "Thank you.
Sincerely,
Tripp gineering, P.C.
K:dcb--_ v
APR 19 2010

04119110 Scott's Hill Baptist Church Administrative Offices
PGT Stormwater Infiltration Trench #1 09049
10`year Storm
WATERSHED DATA
Total Drainage Area
sq.ft.
acres
15,000
0.34
Impervious Area
Land Use
sq. ft.
acres
asphalticoncrete
6,800
016
otal
6,8W
0.16
INFILTRATION SYSTEM:
Rv= 0.46 in in
Design Rainfall= 3
Volume of first three inches of runoff = (Design rainfalf)(Rv)(Drainage Area)
V= 1.718 cu-ft
% impervious = 0.453
= 45.3%
say 45.3%
CPRE = 0.25
CPOST = (% imp.)(.95)+(1-% imp.)(.25)
0.57
I1 = 5.63 in/hr
110 = 6.30 inlhr
126 = 7.13 inlhr
Underground Basin Volume provided. (0. 40) (((Bottom Area + Food Area))2) x (Flood Elevation - Bottom Elevation)) -Pipe Vol)
Area (so Elevation(R)
VukA = 1,720 ou-ft Bottom: 1,408 95.0
Flood: 1,408 98.00
f2- Pipe Vot: 50.24cu-ft
``,��ti1111fff
CA
SEAL
.• -o 17374 '
.2. t
OR 18 20
1p

0419110 Scott's Hill baptist Church Administrative Offices
PGT Slormwater Infiltration Trench #2 09049
10-year Storm
WATERSHED DATA
Total Drainage Area
sq.ft. I acres
24,700 1 0.57
Impervious Area
Land Use
sq. ft.
acres
as haNconcrete
13,398
0.31
[Total
13,398
0.31
INFILTRATION SYSTEM:
Rv= 0.54 inlin
Design Rainfall= 3
Volume of first three inches of runoff = (Design rainfall)(Rv)(Drainage Area)
V= 3,323 cu-ft
% impervious = 0.542
= 54.2%
say 54.2%
CPRE = 0.25
CPOST = (% irnp.)(.95)+(1-% imp.)(.25)
- 0.63
11 = 5.63 in/hr
110 = 6.30 inlhr
125 = 7.13 in/hr
Vnderground Basin Volume provided: (0.40)(((Bottom Area + FJvod Area)/2) x (Flood EJeva6on - Bottom Elevatfon))-Pipe Vol)
Area (st) Elevadon(R)
Vubt = 3,359 cu-ft Bottom: 2,700 95.0
Flood: 2,700 98.00
12- Pipe Vol: 127.96 cu-ft 8-.Pine vol.' 69.78 cu-ft

04/19/10 Scott's Hill Baptist Church Administrative Offices
PGT Stormvrater Infiltration Basin 09049
10-year Storm
WATERSHED DATA
Total Drainage Area
sq. ft. acres
12,500 0.29
I Area
Land Use
sq, ft,
acres
buildings
7,685
0.18
parkin !as halt
2,800
0.06
Total
10,485
0.24
INFILTRATION SYSTEM
Rv= 0.80 inTn
Design Rainfall= 3
Volume of first three inches of runoff = (Design rainfall) (Rv)(Drainage Area)
V= 2,515 cu-It
9G impervious = 0.839
= 83.9%
say 83.9%
CPRE = 0.25
CPOST = (% imp.)(.95)+(1-% imp.)(.25)
0.84
11 = 5.63 inthr
Ito = 6.30 inhtr
I25 = 7.13 in/hr
i oral open basin volume provraea: ((bottom Area + rrooa Area)ft) x (tiow tlevanon + bonom wevatron)
Area (st) E1eva8on(ft)
Vobt = 2,522 cu-ft Bottom: 88 94.0
Flood: 1,173 98.00
DRAWDOWN RATE:
RATE OF INFILTRATION: 6IN/HR
DEPTH OF BASIN: 48IN
DRAW DOWN RATE: [IRS

T
04119/10 Scott's Hill Baptist Church Administrative Offices
PGT Stormwater Infiltration Trench #1 09049
10-year Storm
WATERSHED] DATA
Total Drainage Area
sq.ft. acres
15,000 0.34
Impervious Area
Land Use
sq. ft.
acres
asphalticoncrefe
6,800
0.16
Total
6,800
0.16
INFILTRATION SYSTEM:
Rv= 0.46 infin
Design Rainfall= 3 ::1
Volume of first three inches of runoff = (Design rainfall)(Rv)(Drainage Area)
V= 1.718 cu-ft
% impervious = 0,453
= 45.3%
say 45.3%
CPRE = 0.25
CPOST = (% imp.)(.95)+(1-% imp.)(.25)
- 0.57
11 = 5.63 inlhr
lio = 6.30 initx
125 = 7,13 inlhr
Jnderground Basin Volume provided. (0.40)(((Bottom Area + Food Area)12) x (Flood Elevation - Bottom Eleva6bn))-Pipe Vol)
Area (so EJevation(ft)
Vubi = 1,720 cu-ft Bottom: 1,408 95.0
Flood. 1,408 98.00
12, Pile Vol. 50.24 ou-P

V
04/19/10 Scott's Hill Baptist Church Administrative Offices
PGT Stormwater Infiltration Trench #2 09049
10-year Storm
WATERSHED DATA
Total Drainage Area
sq.ft. acres
24,7oo 0.57
Im rvious Area
Land Use
sq. ft. I
acres
asphaWconcrete
13,398
0,31
otal
13,398
0,31
INFILTRATION SYSTEM:
Rv= 0.54 infiin
Design Rainfall= 3
Volume of first three inches of runoff = (Design rainfall)(Rd)(Drainage Area)
V= 3,323 cu-ft
% impefvious = 0.542
= 54.2%
say 54.2%
CPRE = 0.25
CPOST = (% imp.)(.95)+(1-% imp)(25)
= 0.63
11 = 5.63 in/hr
110= 6.30inlhr
125 = 7.13 in/hr
Underground Basin Volume provided. (0.40)(((Bottom Area + Flood Area)12) x (Flood Elevation - Bottom Elevatoon))-Pipe Vol)
Area (so Elevabon(It)
Vuht = 3,359 cu-ft Bottom: 2,700 95.0
Fbod: 2,700 98.00
12' Pipe Vol. 127.96 cu-ft 8- Poe Vol. 69.78 cu-ft

04/19/10 Scott's Hill Baptist Church Administrative Offices
PG.T Stormwater Infiltration Basin 09049
10-year Storm
WATERSHED DATA
Total Drainage Area
sq. ft.
acres
12,5W
0.29
Impervious Area
Land Use
sq. ft.
acres
buildin s
7,685
0.18
parkinglasphalt
2,8W
0.06
[Total
10,485
0.24
INFILTRATION SYSTEM:
Rv= 0.80 infin
Desi n Rainfall= 3
Volume of first three inches of runoff = (Design rainfall)(Rv)(Drainage Area)
V= 2,515 cu-ft
% impervious = 0.839
= 83.9%
say 83.9%
CPRE = 0.25
CPOST = (% imp.)(.95)+(1-% imp.)(.25)
= 0.84
11 = 5.63 inthr
110 = 6,30 inlhr
125 = 7.13 inlhr
Total Open Basin Volume provided: ((Bottom Area + Flood Area)/2) x (Flood Elevation + Bottom Elevation)
Area (so Elevation(ft)
Vobt = 2,522 cu-It Bottom: 88 94.0
Flood. 1.173 98.00
DRAWDOWN RATE:
RATE OF INFILTRATION: 61NiHR
DEPTH OF BASIN_ 481N
DRAW DOWN RATE: RS

Project Narne:5co-n,5 APTI`57 b r: u
Pr ject Received Date: as o1 c> _ cce to IReje ed,
Project Location: LN A In o required ( e
S mbols for completing form: '✓"= Y
Rule(s) Subject (check all that apply):
❑ 1995 Coastal ❑ 2008 Coastal ® Phase II
Paperwork:
Date: Flo I
circle one
s a , Date received:
es/OK-.'x'= fro/Deficient: 'nla' or T or Y
❑ Universal
❑ Check for $505 (must be no older than 6 months)
❑ Application form with correctloriginal signatures or' nJ plus 1 copy). If Corpor also:
o Print the info from the NCSOS G
o Either, 1.) The cant is list---' r tOS with hislh le or, 2.) A not n letter of
authorization h b r v� p �}
UV i
❑ Supplements (1 o naI r BMP type(s):
❑ 0&M with cor mainall l natures on i 10ylexcept le fslter strips nd?81
❑ Deed re tricti (utparcel or s i i nal plus 1 copy
ed restriction to plate (si nd notarize C
Voy roposed D r i of C nants and R05 r�signed and no Frizf
❑ Soils rep Y identif i t Sl}IWT
❑ Suppo lati , signed & se esary) 4
❑ Recei classificatio � Iso: Fro
o USGS topo IF(
site,the i ers and th ' 2 e radius shown i�crneeded,
OR 575 Mr Area of Envir I Concer ar UA per rule.❑ Modifica s: 1. ; F!J�)Wrn
If a iall built Cert. 3. If not b ill: N )�p Y � �)
Development T ' d$kj hat a® Residenti IJJor erciai ❑ Deed � tch?
❑ Subdivision ❑ mgle L t ed s a bons match?
❑ High Densijdn� Lity o �� d restrictions match?
Density
Offsite projE
NCG02 (bul
BUA calculaticT
BUA %:
No obvious math
❑ if High Density: 'e
Plans, signed and seal eta
❑ Two sets received
❑ Grading I
❑ Vicinity map �1
❑ Wetlands: o
o Delineated on pla
❑ Details: (;
tion 03C)43�? Ll Exemp
n�AW'yGing stream class.
(Wd BUA dimensions)
p (all HD systems & curb outlet swales)
s ❑ Legend
nds onsite" on plans
>o
a.
o Roads o WF-de U" o Curbing o Sidewalk
o BMPsI Level spre d fsl Fi sl Curb outlet swales o Buildings (Apts or Condos)
Ofn`ske Projects:
® Designer's Certification a en submitted for the Offsite BMP receiving the runoff from the project. -
® Deed restrictions have been recorded and a copy submitted for the Offsite BMP permit.
❑ Lot size has not changed from what was approved under the Master Plan.
❑ Correct lot nunriber is x-elerenceci on the supplement form.
❑ Offsite system is in compliance with its permit, if known.
infiltration Projects:
❑ Soils report: SHWT, soil type, and expected infiltration rate are provided.
❑ DWQ has conducted a site visit? Date:
Wet Ponds: Permanent Pool Meets One of the Following:
❑ Is located no lower than 6" below the estimated SHWT.
❑ Incoming groundwater is quantified and evaluated, AND Storage volume verified, AND Outlet evaluated for free
drainage to the receiving waters under SHWT conditions.
Decision (check one):
❑ Complete: Return file to admin (Jo Casmer) to log in. (Stamped in received date = BIMS date)
® Slightly incomplete: E-mail consultant, request information to be returned within one business day (24 hours after
request. Info requests on Friday, aflow a return on the following business day). If info not returned, issue an
application return letter and give everything to admin. (Add info received date = BIMS date)
❑ Substantially incomplete: Issue an application return letter and give everything to admin.

+IJ2lnu-
1
uRu�
54 t!peo Q9.m9
_.
,7
y
w Wre
y+
�r

i
SW8 030232 - Permitted 2006
Exact number
Converted acr,
Calculated
Plans
Phase I / DA1
Phase II / DA2
Phase III / DA3
Overall
acres sf
acres
sf
acres
sf
acres
sf
DA
2.481
108,029
1.04
45,302
3.52
153,331
Impervious
0.491 21,444
0.741
32,173
0.70
30,683
1.94
84,300
Application
Phase I / DA1
Phase II / DA2
Phase III / DA3
Overall
Overall
acres
sf
acres
sf
acres
sf
acres
s
DA
0.94
40,946
1.54
67,082
1.20
52,272
3.68
160,301
3.52
153,331
Impervious
0.98
21,444
1.74
37,913
0.70
30,683
3.42
9 ,
2.06
90,040
Permit Text
Phase I / DA1
Phase it / DA2
Phase III / DA3
Overall
acres
sf
acres
sf
acres
sf
acres
sf
DA
1.54
67,083
1.20
52,200
2.74
119,283
Impervious1
1 0.871
37,913
0.70
30,683
1.57
68,596
Proposal
Retail
+ Church
Proposed
Retail Retail
Phase I / DA1 Phase II / DA2
New Permit
(Church)
Retail
Overall
acres
sf acres
sf
acres
sf
acres
sf
acres
s
DA
0.94
40,946 1.54
67,083
1.20
52,200
2.48
108,029
3.68
160,22
Impervious
0.49
21,444 0.87
37,913
0.70
30,683
1.36
59,357
2.07
90,04
n file
!s/sf
jcis, �r, (D0:5 1�(7-7? 0 (
-Z ' i5?L)-77tNC Vn cYF

TRIPP ENGINEERING, P.C.
419 Chestnut Street
Wilmington, North Carolina 28401
Phone. [phone] • FAX: [phone]
February 22, 2010
NCDENR
Division of Water Quality
127 Cardinal Drive
Wilmington, NC 28405-3845
Attn: Ms. Linda Lewis
Re: Scott's Hill Baptist Church
Administrative Offices
TE 09049
Dear Linda:
(EMFARa2.2010
BY:
FEB 2 2 2010
The above referenced project was formerly a portion of the Scott's Hill Retail
Center (SW8 030232) which has been purchased by the church. No changes have been
made to the site. The purpose of this submittal is to obtain a permit separate from the
remaining section for the new owners. Enclosed please find the following documents:
• Two (2) sets of plans
• Original and one copy of the Stormwater Permit Application form
• Infiltration Basin Supplement and O & M
• Infiltration "Trench Supplement and O & M
• $505 check
• Narrative
• Calculations
• USGS topo map
• Copy of the deed
• Soils Report
A separate submittal is being provided for the other portion of the site. Please
review for approval and contact us with any questions, comments or if you need
additional information. "Thank you.
Sincerely,
Tripp Engineering, P.C.
Lari�v'Knocrl
LDK:dcb
Eric.

February 01, 2010
TE 09049
Stormwater Narrative
Scott's Hill Baptist Church FEB 2 2 2010
Administrative Offices IBY:
Pender County, NC
The Scott's Hill Baptist Church Administrative Offices is a 1.20 acre tract on U.S.
Highway 17 in Pender County, NC and is currently being used as office space. State
Stormwater Management Permit # SW8 030232 MOD for this site (Phase III) and an
adjacent site (Phase II) was issued on 07/13/06. Since the issuance of this permit,
Scott's Hill Baptist Church has obtained this property from Scott's Hill Retail Center.
The purpose of this submittal is to obtain a new State Stormwater Management Permit
for.this site_ State Stormwater Permit # SW8 030232 MOD will be modified to remove
this site from the permit.
This drainage basin for this site (Phase IlI) is 52,200 sf and contains 20,916 sf of
pavement, 2,082 sf of concrete and 7,685 sf of building fora total impervious area of
30,683 sf. The total percent impervious is 58.8%. These values are the same as were
originally applied for and permitted in SW8 030232.
The project was designed as high density and the stormwater treatment is handled by a
combination of undergr6und infiltration and open infiltration basins. Design volumes
are generated from the 3.0" storm due to no vegetated filter design. . The drainage
basin eventually drains into an unnamed tributary of Futch Creek, classification SA-
HQW, Index # CPF24 18-87-19.

0211912010
PGT
WATERSHED DATA
Total Drainage Area
s . ft. Iacres
52,200 1 1.20
Scoft's Hill Baptist Church Administrative Offices
Stormwater Infiltration Basin
1D-year Storm
impervious Area
Land Use
sq, ft.
acres
buildings
7,6W
0.18
parking/asphalt
20,916
0.48
concrete
2,082
0.05
[Total
30,683
0.70
INFILTRATION SYSTEM:
Rv= 0.58 inrn
Design Rainfall= 3
Volume of first three inches of runoff = (Design rainfall)(Rv)(Drainage Area)
V= 7,556 cu-ft
% impervious = 0:588
= 58.8%
say 58.8%
CPRE = 0.25
CPOST = (% imp.)(.95)+(1-% imp.)(.25)
0.67
11 = 5.63 inlhr
Ito = 6.301nlhr
125 = 7.13 inlhr
Total Open Basin Volume provided. ((Bottom Area + Flood Area)/2) x (Flood Elevation + Bottom Elevation)
Area (so
Elevabon(ft)
Vobt = 2,522 cu-ft Bottom. 88
94.0
Flood: 1,173
98.00
Total Underground Basin Volume provided. (0. 40) (((Bottom Area + Flood Area)/2) x (Flood Elevation - Bottom Elevation)) -Pipe Vol)
Area (so
Elevation(ft)
Vubt = 5,078 cu-ft Bottom: 4,108
95.0
Flood. 4,108
98.00
Vtotai= 7600 cu-ft 12- Pipe Vol. 178.2cu-ft
8'Pipe Vol. 69.78cu-ft
DRAWDOWN RATE:
RATE OF INFILTRATION: 61NIHR
DEPTH OF BASIN: 48 IN
DRAW DOWN RATE: IRS
``C
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Z.•'t,OF�S3fp'
;a�
EG Oo,��`�
��rrrrrtaite�
09049

02/19/2010 Scott's Hill Baptist Church Administrative Offices
PGT Stormwater Infiltration Basin 09049
10-year Storm
WATERSHED DATA
Total Drainage Area
sq. ft. I acres
52,200 j 1.20
Impervious Area
Land Use
sq, 0,
acres
buildings
7,685
0.18
parking/asphalt
20,916
0.48
concrete
2,082
0.05
otal
30,683
0.70
INFILTRATION SYSTEM:
Rv= 0.58 inlin
Design Rainfall= 3 :J
Volume of first three inches of runoff = (Design rainfall) (Rv) (Drainage Area)
V= 7,556 cu-ft
% impervious = 0.588
= 58.8°%
say 58.8%
CPRE = 0.25
CPOST = (% imp.)(.95)+(1-% imp.)(.25)
0.67
I1 = 5,63 inlhr
Ila = 6.301nfhr
125 = 7.13 inlhr
Total Open Basin Volume provided: ((Bottom Area + Flood Area)/2) x (Flood Elevation + Bottom Elevation)
Area (so
Elevation(ft)
Vobt = 2,522 cu-ft Bottom: 88
94,0
Flood, 1,173
98.00
Total Underground Basin Volume provided: (0, 40)(((Bottom Area + Flood Area)/2) x (Flood Elevation
- Bottom Elevation)) -Pipe Vol)
Area (so
Flevation(ft)
Vubt = 5,078 cu-ft Bottom: 4,108
95.0
Flood. 4,108
98,00
Vtotal= 7.600 cu-ft 12-Pipe vol.- 178.2cu-ft
a-PipeVol. 69.78cu-ft
DRAWDOWN RATE:
RATE OF INFILTRATION: 61N1HR
DEPTH OF BASIN: 48 IN
DRAW DOWN RATE: r, *RS
Z Z/. io

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© 2004 Microsoft Corporation, Terms of Use Privacy Statement�Nry

May 27, 2005
Tripp Engineering, PC
419 Chestnut Street
Wilmington, North Carolina 28401
Attention: Mr. Phil Tripp, P.E.
Reference: Double -Ring Infiltrometer Testing
Scotts Hill Retail Center III
Scotts Hill, North Carolina
S&ME Job Number 1061-05-196
Dear Mr. Tripp:
In accordance with S&ME Proposal 697-05 dated April 7, 2005, S&ME personnel have recently
conducted one double -ring ilifiltrometer test of the surficial soils at the subject site at the
approximate location shown in Figure 1. Specifically, our representatives performed the following
work items on May 5, 2005:
Advanced one hand-augered boring near the infiltrometer test location in order
to visually classify the in -place soils. A Munsell Soil Color Chart was used to
define the hue and chroma of the recovered soil samples.
2. Conducted one double -ring infiiltrometer test at a depth of 60 inches below the
existing ground surface. This testing was conducted in general accordance with
American Society for Testing and Materials (ASTM) procedure D-3385
entitled, "Infiltration Rate of Soils in Field Using Double -Ring Infiltrometer".
Based on our field classifications of the excavated soils at the hand -angered boring location, the in -
place soils consist of slightly silty sands which extended to the completed boring depth of 156
inches below the existing ground surface. Water was not encountered in the borehole. The site
water level will fluctuate with climatic and seasonal conditions, however, and may be higher or
lower at other times of the year. It is our opinion that the depth to the seasonal high water table is at
least 6 feet below the existing ground surface.
S&ME, Inc. [phone]
6409 Amsterdam Way, Building B-3 [phone] fax
Wilmington, North Carolina 28405 www.srneinc.corn

"j
Tripp Engineering, PC
S&ME Job Number 1061-05-196
May 27, 2005
Page Two
The average infiltration rate at the test location was approximately 26 inches per hour. A sunu-nary
of the field test results is presented in Table 1.
S&ME appreciates the opportunity to provide our services during this phase of the project. Should
you have any questions after reviewing this letter, or if we can be of additional assistance, please do
not hesitate to contact us at your convenience.
Sincerely,
S&ME, INC.
C. Richard Connell, Il
Senior Engineering Technician
Michael W. Behen, P.E.
Senior Geotechnical Engineer
CRCNWB/jns
Attachments

.v
TABLE 1
Double -Ring Infiltrometer Testing
Scotts Hill Retail Center III
Scotts Hill, North Carolina
Job No. 1063-05-196
Date of Test: May 5, 2005
Depth of Test Below Site Grade: 60 inches
Depth of Water in Rings: 3 inches
Inner Diameter of Inner Ring: 11F/4 inches
Inner Diameter of Outer Ring: 22%z inches
Depth to Water: Groundwater not encountered
Average Infiltration Rate: 25.7 inches per hour
Depth
Inches
Hue
Value/Chroma
0-30
2.5Y
7/4
30-54
2.5Y
7/2
54-74
2.5Y
7/3
74-90
2.5 Y
4/3
90-96
2.5Y
3/2
SOIL PROFILE
Soil Description
Pale Yellow Fine to Medium SAND - Trace of Silt
Light Gray Fine to Medium SAND - Trace of Silt
Pale Yellow Fine to Medium SAND - Trace of Silt
Olive Brown Fine to Medium SAND - Trace of Silt
Very Dark Grayish Brown Fine to Medium SAND - Trace of Silt

,
Approximate
Test location
INFILTRATION
TRENCH
(24'x1 10'x3') s�
DI No.2 18" FES INV. 95.8 - �" / I'%G too
Ioo RIM 99.4 All
n W 10"x10px1$"E'.D.�INV 96.0 1
. w '� •r ww^..� �. r .� I Zwrws rI I I
a INFI TION BASIN <,i
r
N- OUTLET STRUCT I
� (140z (SEE . DETAIL)
10 APPROX. LOCATION OF
y .� I EXISTING CEMETERY'wNQJ
I
---------------
1 lg, s il'E. I
�.�
4 003H W 74.99'
(175)
(310) 5 0• r
BENCHMl RK ASSUMED
-- DI No. p RIM 99.0 AT 100.00'
•��.
i' INV 9 6. 0
MATCH EXIST.
ASPHALT GRADE
98.3t
r E)Mii
TEMP CONST. �w. ,c,.,a
LEGEND
Approximate Note: Site plan drawing provided to S&ME
Test Location byTripp Engineering, PC personnel.
SCALE: NOT TO SCALE DOUBLE -RING INFILTROMETER TESTING FIGURE
eo SCOTTS HILL RETAIL CENTER III NUMBER
CHECKED BY: MWB SCOTTS HILL, NORTH CAROLINA
DRAWN BY: JNS
ENGINEERING • TESTING
DATE: 5-26-05 ENVIRONMENTAL SERVICES JOB NUMBER: 1063-05-296

State of North Carolina
Department of the Secretary of State
ARTICLES OF AMENDMENT
NONPROFIT CORPORATION
SOSID: 0475940
Date Filed: 2/241200912:45:00 PM
Elaine F. Marshall
North Carolina Secretary of State
C200902700143
Pursuant to §55A-10-05 of the General Statutes of North Carolina, the undersigned corporation hereby submits the following Articles of Amendment
for the purpose of amending its Articles of Incorporation.
t. The name of the corporation is: Scotts Hill Baptist Church of Wilmington, North Carolina
2. The text of each amendment adopted is as follows (stare below or atlac:h):
Article 111 is deleted in its entirety and will be replaced with Article III (a). Article III (a) will read as follows.,
Article Hll (a).
Scotts Hill Baptist Church of Wilmington, North Carolina, is organized exclusively for charitable, religious, and educational purposes
under section 501(c) (3) of the Internal Revenue Code, or corresponding section of any future federal tax code. Scotts Hill Baptist Church desires to
bring people to Jesus and membership in His Family, develop them to Christ -like maturity, and equip them for their ministry in the Church and life
mission in the world, in order to magnify God's name; to be a dynamic spiritual organism empowered by the Holy Spirit to share Christ with as many
people as possible in our church, community and throughout the world. These embody the purpose of the church.
Article X is deleted in its entirety and will be replaced with Article X (a). Article X (a) will read as follows:
Article X (a).
No part of the net earnings of Scotts Hill Baptist Church of Wilmington, North Carolina, shall inure to the benefit of, or be distributable to
its members, trustees, officers, or other private persons, except to pay reasonable compensation for services rendered and to make payments and
distributions in furtherance of the purposes as set forth in these Articles. Upon dissolution, the assets shall, after all liabilities and obligations have
been discharged or adequate provision made therefore, be distributed to an organization(s) whose purposes meet the criterion within the meaning and
guidelines set forth in section 501(c) (3) of the Internal Revenue Code, or corresponding section of any future federal tax code whose purposes or
activities substantially similar to those set forth herein, all as may be more particularly provided in the by-laws of the corporation.
3. The date of adoption of each amendment was as follows:
Article III (a) and Article X (a) were approved on Wednesday, February 19, 2009.
4. (Check a, b, and/or c, as applicable)
a. The amendment(s) was (were) approved by a sufficient vote of the board of directors or incorporators, and member approval was not
required because the amendment(s) was (were) necessary to meet compliance with statutory requirements.
b._ _The amendment(s) was (were) approved by the members as required by Chapter 55A.
c. Approval of the amendment(s) by some person or persons other than the members, the board, or the incorporators was required
Pursuant to N.C.G.S. §55A-10-30, and such approval was obtained.
5. These articles will be effective upon filing, unless a date and/or time is specified:
This the 18`h day of February, 2009.
Scotts Hill Baptist 0wrch of Wilmington, North Carolina
ame of Corpo Lion
Signature
FEB 2 2 ZOia
Rana Ferrell, Moderator and Chairman of the Board of Directors
Type or Print Name and Title _
Revised January 2000 Form N-02
CORPORATIONS DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622

V
Faye Teaehey Prevatte Realater of Deeds
01-08-2010 10:05:40,000 Pender County, NC
NC REVENUE STAMP: $2000.00 (et7374)
11Illill li1111«j11�f11f1111111 Fn eRleP e t e
ender ounty. eplater of Deeds page r of 3
�e WIN Il:3.21j .,51
D:l flw 1NT j
(Excise T fx)$ 3, npQ 1 Recording time, Book and Page
Tax Parcel Nb—'3271-54-3190-0000 and Part of 3271-63-2937-0000
Prepared By and James A. MacDonald, Attomey Seller's Address:
Return To: Allen, MacDonald & Davis, PLLC Kenneth G. Lloyd
1508 Military Cutoff Road, Suite 102 Post Office Box 10720
Wilmington, North Carolina 28403 Wilmington, NC 28404-0720
After recording mail to: Scotts Hill Baptist Church of Wilmington, North Carolina
185 Scotts Hill Loop Road
Wilmington, North Carolina 28411
This Property is conveyed herein is not the Grantors' primary residence
STATE OF NORTH CAROLINA O
WARRANTY DEED
COUNTY OF PENDER
THIS DEED, made this 3 lday of December, 2009, by and between KENNETH G. LLOYD
and wife, PRISCILLA 1. LLOYD, hereinafter called the Grantors, and SCOTTS HILL BAPTIST
CHURCH OF WILMINGTON, NORTH CAROLINA, a North Carolina non-profit eorporation,
hereinafter called the Grantee. The designation Grantors and Grantee as used herein shall include said
parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter
as required by context.
WITNESSETH:
THAT the Grantors, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, have granted, bargained, sold and conveyed and by these presents does hereby grant, bargain,
sell and convey unto the said Grantee, its heirs and assigns, in fec simple, all that certain lot or parcel of land
situated in the County of Pender, and State of North Carolina, and more particularly described as follows:
SEE EXHIBIT "A" ATTACHED HERETO AND INCORPORATED AND AS
IF FULLY SET FORTH HEREIN.
Together with all and singular the tenements, heroditaments and appurtenances thereunto
belonging, or in anywise appertaining.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances
thereto belonging to the Grantee in fee simple.
And the Grantors covenant with the Grantee, that Grantors are seized of the premises in fee simple,
and have the right to convey the same in fee simple, that title is marketable and free and clear of 0
encumbrances, except 2009 ad valorem taxes, and ordinances and municipal building code restrictions, if QO
any, and that Grantor will WARRANT and DEFEND the title against the lawful claims of all persons
rytiwhomsoever except for exceptions herein stated.
• R Qtt,r
(�f+��n SfrtNrl 1 /

I� lfllliff� lilt IIIIII �f Ilfll I ff flf a P0i� P a'GW
Outer County, NC epister of Deeds page 2 of a
IN WITNESS WHEREOF, Grantors have caused this instrument to be signed the day and
year first above written.
{ i
/I. i1 J r_ Lr/i.�
1 1 �
AUSCILLA I. LLOYD
STATE OF 1"K13
COUNTY OF B(m
I,_ �P� i d r� �• ��►'1 i' , a Notary Public in and for the State and County
aforesaid, do hereby certify that KENNETH G. LLOYD and wife, PRISCILLA I. LLOYD,
personally appeared before me this date. and aclmowledged the due execution of the foregoing
instrument.
WITNESS my hand and official seal this 30 day of December, 2009. 71
BRENDA K. SMITH No
NOTARY PUBLIC //
STATE OF IDAHO My Commission Expires: �o (30I2 I Z

I � [I Jill 11!11111111111 PA e�i�P ans f 3t1.�
EXHIBIT "A"
BEING all of Tract B consisting of 1.33 acres as shown on a map of recombination of the
Kenneth G. Lloyd lands as shown on a survey performed by Danford & Associates Land
Surveying P.C. dated November 25, 2009, and recorded in Map Book 49, at Page 146 of the
Pender County Registry reference to which is made for a more particular description.
Less and except that portion of the said Tract B conveyed to the Department of
Transportation by Deed recorded in Book 1228, at Page 58 of the Pender County Registry,
reference to which Deed is hereby made for a more particular description of said exception.

JffJJJJJJJJJJ�JflPJJJ[JJ11JJJ,. NO ��1�� prevatte@01
STATE OENORTH CAROLINA
COUNTY OF FENDER
PARCEL NO.: 3271-63-2937-0000
0
PRIVATE ACCESS EASEMENT AND AGREEMENT
This PRIVATE ACCESS EASEMENT AND AGREEMENT (hereinafter the "Agreement")
is made this the 36 day of December, 2009 by and between KENNETH G. LLOYD and wife,
PRISCILLA I. LLOYD (hereinafter the "Lloyd") and SCOTTS HILL BAPTIST CHURCH of
WILMINGTON, NORTH CAROLINA, a North Carolina non profit corporation (hereinafter
"SHBC"
WITNESSETH
WHEREAS, Lloyd owns adjacent properties located in Scotts Hill, North Carolina which
have been recombined into two lots as shown on that plat recorded in Map Book 49 at Page 146 of
the Pender County Registry ("hereinafter "the Lloyd Map"); and
WHEREAS, SHBC has simultaneously with the execution of this Agreement purchased
Tract B as shown on the Lloyd Map; and
WHEREAS, access to Tract B is provided by an existing controlled paved driveway access
across a portion of the area designated as Access Easement on Tract A of the Lloyd Map as shown
on the aforementioned map of the Lloyd Map; and,
WHEREAS, Lloyd and SHBC desire to enter into this Agreement to set forth the terms
relating to the obligations and use of the paved driveway across the aforesaid Access Easement.
NOW THEREFORE, for the terms and conditions set forth herein and other good and
valuable consideration, the parties hereto hereby agree as follows:

!I�lff�l11#l�lfllflflf�il�f k�7
08 2010
�� 131 14r05-49.001
ty, kC egleter of ds Teachay Prevatte
page 2 of S
1. Grant of Easement.
A. Access Easement. For good and valuable consideration hereby acknowledged by
the parties, including the mutual promises set forth herein, Lloyd grants to SHBC and its successors
and assigns, for the benefit of Tract B, a non-exclusive access easement which will run with the land
(hereinafter the "Access Easement") which will be shared with the owner of Tract A for ingress,
egress, and regress over and across that existing paved driveway and joint access way on the map
for Lloyd Map, said driveway and access way labeled "Access Easement" on Tract A to be used for
ingress, regress and egress by the parties, their successors and assignees..
B. The Access Easement shall be hereinafter collectively referred to as the
"Easement."
2. Lloyd or his assigns, heirs and successors shall have the right to make reasonable rules and
regulations regarding traffic flow over and across the Access Easement including establishing speed
limits or other safetyrules and the right to use areas within the Access Easement for parking so long
as an access width of 20' feet from access and egress is maintained.
3. Maintenance. Both parties shall share equally the cost to maintain, repair, reconstruct, and
replace the existing controlled paved driveway access and the Access Easement Area as shown on
the Lloyd Map as needed to maintain the areas in a reasonable state of repair to accommodate
vehicular traffic.
4. Inurement. The benefits and burdens of this Agreement shall inure to the benefit of and
be binding upon the parties and their respective legal representatives, successors, and assigns. The
rights and obligations set forth in this Agreement are intended to run with the land.
S. Attorneys' Fees. in the event of any litigation or other proceeding brought to enforce or
interpret this Agreement, the prevailing party shall receive an award of its reasonable attorneys fees
and costs.
b. Paragraph Headings. Paragraph headings are included for reference purposes only and
do not constitute part of this Agreement.
7. Governing Law. This Agreement shall be governed and construed under the laws of the
State of North Carolina without regard to conflicts of law provisions.
8. Severability. Whenever possible, each provision of this Agreement will be interpreted in
such a manner as to be effective and valid under applicable law, but if any provision of this
Agreement is held to be prohibited by or invalid under applicable law, such provision will be
ineffective only to the extent of such prohibition or invalidity, without invalidating the remainder
of this Agreement.
4. Notice to SHBC. All notices, demands, or other communications to SHBC or any

R13Y 016:05:49 001
Teachey Prevatto
ender Countv, NC eolster of Oeeds page 3 of 5
subsequent owner of Tract B the Lloyd Map under this Agreement shall be in writing (including
facsimile transmission); shall be sent by first-class mail, by a nationally recognized courier service,
or by personal delivery to the address reflected on the then current Pender County tax records for the
owner of Tract B as shown on the Lloyd Map or upon the grantee's address shown on the deed into
the current owner if the new ownership information has not been updated on the Pender County tax
records. Notice shall be deemed received upon the earlier occurrence of actual delivery or two days
after being deposited in first-class mail.
10. Notice to Lloyd. All notices, demands, or other communications to Lloyd under this
Agreement shall be in writing (including facsimile transmission); shall be sent by first-class mail,
by a nationally recognized courier service, or by personal delivery to the address of the registered
agent of the Lloyd as reflected in the records of the Fender County Tax Office for the owner of Tract
A as shown on the Lloyd Map. Notice shall be deemed received upon the earlier occurrence of actual
delivery or two days after being deposited in first-class mail.
11. Waiver. Waiver by either party of any one default shall not be deemed to be a waiver of
any other default under this agreement. Any remedy or election under this Agreement will not be
deemed exclusive, but instead, whenever legally permissible, will be cumulative with all other
remedies at law or in equity.
12. Construction. The strict rule of construction does not apply to this Agreement. This
Agreement shall be given a reasonable construction so that the intention of the parties may be carried
out.
13. Plat Dedication. The labeling of the" Access Easement"on the recorded plat of Lloyd
Map was for the sole purpose of identifying the same for this Agreement. The rights and obligations
of the " Access Easement" are specifically limited and governed by this Agreement and confer no
other benefits by dedication or otherwise, to the general public or SHBC except as expressly set forth
herein.
(SIGNATURES TO APPEAR ON THE NEXT PAGE)

07 0a 2010
11111111111 PL728 eP01391revattg001
ender ounty. NC Register of Deeds page 4 of S
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and
year first above written.
LLOYD:
PRISCILLA I. LLOYD
SCOTTS HILL BAPTIST CHURCH
of WILMINGTON, NORTH CAROLINA :
F.
By.
Name: �� 1 !4i k' ril 1t e.z -- Cc1� S'
Title:

01 06 2010
11111 IE2kePO140P5eeG:4eGa,
achey
Pender County. NC eulster of Deeds page 5 of 5
-ZA lio
STATE OF
COUNTY OF IOW YER �rm
I, fm A ��- %�a a Notary Public in and for said County and State, do
hereby certify that KENNETH G. LLOYD and wife, PRISCILLA 1. LLOYD, personally came
before me this day and acknowledged that they executed the foregoing instrument.
ri
Witness my hand and official seal, this the 30 day of December, 2009.
of Pub 'c
My Commission Expires: 0
BRENDA K. SMITH
NOTARY PUBLIC
STATE OF IDAHO
STATE OF NORTH CAROLINA
COUNTY OF C?�S1UW
I, L UC.�T , a Notary Public in and for said County and State, do
hereby certify that I oc4 4 ! I personally came before me this day and
acknowledged that he/she is theCV4irmaa aF Deo,O SCOTTS HILL BAPTIST CHURCH of
WILMINGTON, NORTH CAROLINA, a North Carolina non profit corporation, which is the
company described in and which executed the foregoing instrument; [CHECK ONE] ❑ (i) I have
personal knowledge of the identity of the principal; or R) I have seen satisfactory evidence of
the principal's identity by a current state or federal identification, with the principal's photograph,
in the form of a
_ -- rfucr7 got0
Witness my hand and official seal this,d�e g&'- day of Q@QwWger,4e69.
Notn�j{V
ti My Commission Expires:"t0.j� IFS
N0T
PUBOG

BK 1729PG202
EXHIBIT A
Lying and being in Topsail Township, Pender County, North Carolina, and more
particularly described as follows:
Beginning at a new iron pipe in the new northwestern right of way line of U.S. 17 at
its intersection with the centerline of Pandy Ann Lane, said point being located
along said centerline of Pandy Ann Lane North 47 degrees 30 minutes 25 seconds
West 82.89 feet from it's intersection with the old northwestern right of way line of
U.S. 17 as shown on a map entitled Revision 1 of a Map of Survey for Howard L.
Whiteted, Sr. as recorded in Map Book 29 at page 61 of the Pender County
Registry; running thence from said beginning point with the above -mentioned new
northwestern right of way line of U.S. 17, North 62 degrees 03 minutes 17 seconds
East 144.58 feet to an existing N.C.D.O.T. right of way disc; running thence again
with the new northwestern right of way tine of U.S. 17, North 67 degrees 39
minutes 17 seconds East 194.36 feet to a new iron pipe in the northeastern line of
Tract 8 as shown on the above -mentioned map, said new iron pipe being located
along said line North 47 degrees 06 minutes 03 seconds West 71.29 feet from it's
intersection with the old northwestern right of way line of U. S. 17, said new iron
pipe in said new northwestern right of way line of U.S. 17, also being located South
67 degrees 39 minutes 17 seconds West 35.67 feet as measured along said new
northwestern right of way line from art existing N.C.D.O.T. right of way disc;
running thence with the northeastern line of Tract 8, North 47 degrees 06 minutes
03 seconds West 74.99 feet to an existing concrete monument; running thence
again with said northeastern line of Tract 8, North 47 degrees 06 minutes 03
seconds West 339.90 feet to an existing iron pipe, the most northern corner or
Tract 8; running thence with the dividing line between Tracts 7 and 8, South 42
degrees 29 minutes 35 seconds West 315.09 feet to an existing iron pipe, common
corner of Tracts 2, 7, 8 and 9 in the centerline of Pandy Ann Lane; running thence
with the centerline of Pandy Ann Lane South 47 degrees 30 minutes 25 seconds
East 283.84 feet to the beginning point and containing a gross area of 2.4860 acres
and a net area of 2.4808 acres after the exclusion of the King Family Cemetery as
shown within Tract 8 on the above -mentioned map.
The alcove described parcel is together with and subject to the use of Pandy Ann
Lane as shown on the above -mentioned map.
The above described parcel is subject to an A.T. & T. Easernent of record.
The above described parcel is a portion of the above -mentioned Tract 8 as
resurveyed by ]ohnie C. Garrason, Professional Land Surveyor No. L-1347 on

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
State of North Carolina ,
Department of Environment and Natural Resources
Division of Water Quality y
0�
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This forum may be photocopied for zise as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name oil plans,
specifications, letters, operation and maintenance agreements, etc.):
Scotts Hill Baptist Church Administrative Offices
2, Location of Project (street address):
'11209 US HwY17N
City:Wilmington County:Pender Zip:28411
3. Directions to project (from nearest major intersection):
From the intersection of US Hwy 17 and SR 1572, travel north on HWwy 17 approx, 1 mile. Site is on left.
4. Latitude:34' 20' " N Longitude:77° 45' 15" W of the main entrance to the project.
11. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b. if this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ® Completed* "provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control: 1.3 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
Form SWU-101 Versiozu 07Ju1y2009 Page 1 of

III. CONTACT INFORMATION
I. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, Iessee,
designated government official, individual, etc. who owns the project):
Applicant/ 0rganization: Scotts Hill Baptist Church of Wilmington, North Carolina Inc.
Signing Official & Title:Dana Ferrell, Chairman of the Board of Directors „
b.Contact information for person listed in item 1a above:
Street Address: l85 Scotts Hill Loop Road
City: Wilmington State -NC Zip:28411
Mailing Address (if applicable):same
City:
State: Zip:
Phone: [phone] Fax:
Email:
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official & Title:
b. Contact information for person listed in item 2a above:
Street Address:
City:
State: Zip:
Mailing Address (if applicable):
City: State: Zip:
Phone: ( ) Fax:
Email:
3. a. (Optional) Print the name and title of another contact such as the projects construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official & Ti
b.Contact information for person listed in item 3a above:
Mailing Address:
City:
State: Zip:
Form SWU-101 Version 07Ju1y2009 Paget of

Phone: ( _ } Fax:
Email:
4. Focal jurisdiction for building permits:
Point of Contact:
IV. PROJECT INFORMATION
Phone #: L __ )
I. In the space provided below, briefly summarize how the stormwater runoff will be treated.
two underground infiltration systems (chambers) and one infiltration pond
2. a. If claitning vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development PIan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: - Date:
b. Identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW - 1995 ® Ph II - Post Construction
3. Stormwater runoff from this project drains to the Cape Fear River basin.
4. Total Property Area:1.20 acres
5. Total Coastal Wetlands Area: 0 acres
6. 'Total Surface Water Area: 0 acres
7. Total Property Area (4) -Total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project
Area*:1.20 acres
Total project area shall be calculated to exclude thefollowing. the nonnal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mearz High Water
(MHW) litre, and coastal wetlands landward front the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (B U& Non -coastal wetlands Irnrdward of the NNW (or MHVV) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 58.7 %
9. How many drainage areas does the project have?7 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use I for the whole property area)
i 0. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Dorm SWU-101 Version 07July2009 Page 3 of

Basin Information
Draina e Area I
Draina e Area _
Draina e Area _
Draina e Area _
Receiving Stream Name
Futch Creek
/Ca e Fear
Stream Class *
SA ORW
Stream Index Number *
CPF24 18-87-19
Total Drainage Area (so
52,200
On -site Drainage Area (so
52,200
Off -site Drainage Area (so
-
Proposed impervious Area s
30,683
Impervious Area** total
58.7
Impervious** Surface Area
Drainage Area _
Draina e Area _
Draina e Area
Draina e Area _
On -site Buildings/Lots (so
7,685
On -site Streets (so
-
On -site Parking (so
20,916
On -site Sidewalks (so
2,082
Other on -site (so
-
Future (so
-
Off -site (so
-
Existing BUA*** (so
-
Total (so:
30,683
* Streant Class and Index Number can be determined at: ltttp://h2o.enr.state.)ic.us/birrrs/reports/reportsWB.htitt[
�* byervious area is defined as the built upon area inchtding, but not hinited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
*** Report only that aniount of existing BUA that will remain after development. Do not report any existing BUA that
is to be rernoved and which will be replaced by neza BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. NA
Promects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened R
Lndangered Species watershed that niay be subject to more stringent stornrwater requirements as per NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stornrwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
fromhttp://h2o.enr,stite.nc.us/str/burp forms.htm.
V1. SUBMI`ITAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from litti):/Z]-L2o.enr.state.iic.us/­sLi/`bnip—fornis.htii-i. The complete application
package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating
project on the interactive online map at http://ii2o.enr state.nc.us/stu msi maps.htin.)
Please indicate that the following required information have been provided by initialing in the space provide(] for
each item. Ali original documents MUST be signed and initialed in blue ink. Download the latest versions for
each submitted application package from htt2:Z/112o.eiir.stite.nc.us/su/­bnil) forms.tntm.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. UK— -
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants i
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M a�_.,
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
I)ttp:/Zwww.criviielp.org/pages/­onestopexpress,fittiiI for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
Form SWU-101 Version 07Ju1y2009 Page 4 of

5. A detailed narrative (one to two pages) describing the stornwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within'/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 85' x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, anti any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existuig drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
UK --
elevations
and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the project area
clearly delineated. For projects with infiltration BMPs, the report should also include the soil
type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to venfij the SHWT prior to
subinittal, [phone].)
10. A copy of the most current property deed. Deed book: 3728 Page No: 133 Lpr-�
11. For corporations and limited liability corporations (LLC): Provide documentation froth the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per NCAC 214.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
htt www.secretar ,state.nc.us Cor orations CSearcli.as x
V1I. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area moist be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
littp://h2o.enr.st,ite.nC.1-Is/sulbmp forms.htm#deed restrictions. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed on
the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted without
concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot.
Form SWU-101 Version 07Ju1y2009 Page 5 of 7

VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting EngineerThillip G. Tripp, P.E.
Consulting Firm: "Tripp Engineering
Mailing Add ress:419Chestnuts Street
City:Wilmington _ _ State:NC Zip:28401
Phone: (9"10 ) 763-5.100 Fax; f 910 763-5631
Email:trippeng©ec.rr.com
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled ont, complete this
section)
1, (print or type name of person listed in Contact Information, item 217) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 7a) with (print or type narne of organization listen in
Contact Infonnation, item Ib) to develop the project as currently proposed. A copy of
the lease agreement or pendutg property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result u1 appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature:
a Notary Public for the State of
do hereby certify that
Date:
County of
personally appeared
before me this _ day of , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
Dorm SWU-101 Version 07Iuly2009 Page 6 of 7

X. APPLICANT'S CERTIFICATION
11 (print or type nattte of person listed in Contact hiformation, iteitz 2) Dann Ferrell
certify that the information included on this permit application forni 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 covenant will be recorded, and that the proposed project complies with the requirements of the
rmw te applicable stor rules under 15A NCAC 21-1.1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211.
Signature: '6/ae'--f&
Date:_ /
a Notary Public for the State oft�l'�] _('� tL1?� t110�. County of
Lade-r do hereby certify that E, ���PI J personally appeared
before me thisZ! day of ?-.OiD and acknowledge the clue execution of the application for a
stormwater permit. Witness my hand and official seal, :Z)/ t
SEAL
My commission expires / o
Form SWU-101 Version 07N]y2009 Pate 7 of 7

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