SW8160812_Current Permit_20160818

PAT McCRORY
IC
Governor
DONALD R. VAN DER VAART
Secretary
Energy,Mineral& TRACY DAVIS
Land Resources Director
ENVIRONMENTAL QUALITY
August 18, 2016
Mr.Donald P.Bassell, CFO
c,'o William Barlow,Project Manager
GPM Southeast, LLC
1410 Commonwealth Dr, Suite 202
Wilmington,NC 28403
Subject: State Stormwater Management Permit No.SW8 160612
Maple Hill Scotchman
High Density Wet Detention Pond Project
Pender County
Dear Mr. Bassell:
The Wilmington Regional Office received a complete, Stormwater Management Permit Application for
Maple Hill Scotchman on August 16, 2016. Staff review of the plans and specifications has determined
that the project, as proposed,will comply with the Stormwater Regulations set forth in Title 15A NCAC
2H.1000 and Session Law 2008-211. We are forwarding Permit No. SW8 160612 dated August 18,
2016,for the construction,operation and maintenance of the BMP's and built-upon areas associated with
the subject project.
This permit shall be effective from the date of issuance until August 1.8,2024,and shall be subject to the
conditions and limitations as specified therein. Please pay special attention to the conditions listed in this
permit regarding the Operation and Maintenance of the BMP(s), recordation of deed restrictions,
certification of the BMP's,procedures for changing ownership,transferring the permit,and renewing the
permit. Failure to establish an adequate system for operation and maintenance of the stormwater
management system,to record deed restrictions,to certify the BMP's,to transfer the permit, or to renew
the permit,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 by filing a written petition with the Office of Administrative Hearings
(OAH). The written petition must conform to Chapter 150B of the North Carolina General Statutes, and
must be filed with the OAH within thirty(30)days of receipt of this permit. You should contact the OAH
with all questions regarding the filing fee(if a filing fee is required)and/or the details of the filing process
at 6714 Mail Service Center,Raleigh,NC 27699-6714, or via telephone at 919-431-3000, or visit their
website at www.NCOAH.com.Unless such demands are made this permit shall be fmal and binding.
If you have any questions,or need additional information concerning this matter,please contact Kelly
Johnson in the Wilmington Regional Office, at(910)796-7215.
Sincrely, !�^
Tracy Davis, P.E.,Director
Division of Energy,Mineral and Land Resources
GDS/kpj: \\\Stormwater\Permits&Projects\2016\160612 HD\2016 08 permit 160612
cc: Branch Smith,Paramounte Engineering
Inspector,Pender County Building Inspections
Pender County Engineering
Division of Coastal Management
Wilmington Regional Office Stormwater File
State of North Carolina I Environmental Quality I Energy;Mineral and Land Resources
Wilmington Regional Office 1127 Cardinal Drive Extension:] Willningtoti,NC 28405
910 796 7215

State Stormwater Management Systems
Permit No. SW8 160612
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
GPM Southeast, LLC
Maple Hill Scotchman
15515 Highway 53 East, Maple Hill, Pender County
FOR THE
construction, operation and maintenance of one (1) wet detention pond(s) in compliance with
the provisions of 15A NCAC 2H .1000 and Session Law 2008-211 (hereafter referred to as
the "stonnwater rules') the approved stormwater management plans and specifications and
other supporting data as attached and on file with and approved by the Division of Energy,
Mineral and Land Resources (hereafter referred to as the Division or DEMLR) and
considered a part of this permit.
This permit shall be effective from the date of issuance until August 18, 2024, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff
as described in Section 1.7 of this permit. The runoff from all built-upon area within the
permitted drainage area of this project must be directed into the permitted stormwater
control measure. The stormwater control measure has been designed to handle the
runoff from 21,780 square feet of impervious area.
3. The maximum built-upon area allowed for the entire project is 21,780 square feet.
4. The drainage area will be limited to the amount of built-upon area indicated in Sections
1.2 and 1.7 of this permit, and per approved plans. The built-upon area for the future
development is limited to 176, which is included in the 21,780 square feet total.
5. A 50' wide vegetative buffer must be provided and maintained adjacent surface
waters, measured horizontally from and perpendicular to the normal pool of
impounded structures, the top of bank of both sides of streams and rivers and the
mean high water line of tidal waters.
6. Ail runoff being directed into wetlands shall flow into and through those wetlands at a
non-erosive velocity.
Page 1 of 7

State Stormwater Management Systems
Permit No. SW8 160612
7. The following design criteria have been permitted for the wet detention pond and it
must be provided and maintained at the design condition:
Pond 1
a. Drainage Area, acres: 0.69
Onsite, ft2: 30,141
Offsite, ft2: 0
b. Total Impervious Surfaces, ft2: 21,780
Onsite, ft2: 21,780
Offsite, ft2: 0
c. Average Pond Design Depth, feet: 3.5
d. TSS Removal Efficiency: 90%
e. Design Storm, inches: 1.5
f. Permanent Pool (PP) Elevation, FMSL: 29.0
g. Permitted PP Surface Area, ft2: 2,254
h. Temporary Storage Elevation, FMSL: 30.25
i. Permitted Storage Volume, ft3: 3,295
j. Predevelopment 1 yr-24 hr. discharge rate, cfs: 1.04
k. Controlling Orifice, inch 0 pipe: 1.0
I. Orifice Flow Rate, cfs: 0.02 _
m. PP Volume, ft3: 3,826
n. Forebay Volume, ft3: 720
o. Maximum Fountain Horsepower: N/A
p. Receiving Stream/River Basin: Holly Shelter/Cape Fear
q. Stream Index Number: 18-74-33
r. Classification of Water Body: C; SW
II. SCHEDULE OF COMPLIANCE
1. No person or entity, including the permittee, shall alter any component of the approved
stormwater system shown on the approved plans unless and until the Division has
approved of the revised plan.
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. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately. If the stormwater system is 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.
4. The permittee shall at all times provide the operation and maintenance necessary to
assure that all components of the permitted stormwater system function at design
condition. The approved Operation and Maintenance Agreement is incorporated by
reference into this permit and must be followed in its entirety and maintenance must
occur at the scheduled intervals.
5. Records of maintenance activities must be kept and made available upon request to
authorized personnel of the Division. The records will indicate the date, activity, name
of person performing the work and what actions were taken.
6. A fountain is not allowed in the pond because the permanent pool is smaller than if the
30,000 cubic feet.
Page 2 of 7

State Stormwater Management Systems
Permit No. SW8 160612
7. The facilities shall be constructed in accordance with the conditions of this permit, the
approved plans and specifications, and other supporting data.
8. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and
prior to operation of this permitted facility, the permittee shall cause a certification from
an appropriate designer for the system installed to be submitted, 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. All stormwater collection and treatment systems must be located in either public rights-
of-way, dedicated common areas or recorded easements. The final plats for the
project will be recorded showing all such rights-of-way, common areas and
easements, in accordance with the approved plans. Access to the stormwater facilities
for inspection and maintenance shall be maintained via appropriate recorded
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. Redesign or addition to the approved amount of built-upon area or to the
drainage area.
c. 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.
d. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
e. The construction of any future BUA listed on the application.
11. Prior to transfer of the permit, the stormwater facilities will be inspected by Division
personnel. The project and the stormwater facility must be in substantial compliance
with all permit conditions. Any items not in substantial compliance must be repaired,
replaced or restored to design condition prior to the transfer. Records of maintenance
activities performed to date will be required.
12. The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in the
notice, the permittee shall submit a written time schedule to the Director for modifying
the site to meet minimum requirements. The permittee shall provide copies of revised
plans and certification in writing to the Director that the changes have been made.
III. GENERAL CONDITIONS
1. Any individual or entity found to be in noncompliance with the provisions of a
stormwater management permit or the Stormwater rules is subject to enforcement
procedures as set forth in NCGS 143 Article 21.
2. 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.
3. In the event that the facilities fail to perform satisfactorily 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.
Additional or replacement stormwater management systems shall receive a permit
from the Division prior to construction.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW8 160612
4 This permit is not transferable to any person or entity except after notice to and
approval by the Director. The permittee shall submit a completed and signed
Name/Ownership Change Form, accompanied by the supporting documentation as
listed on the form, to the Division of Energy, Mineral and Land Resources at least 60
days prior to any one or more of the following events:
a. An ownership change including the sale or conveyance of the project area in
whole or in part, except in the case of an individual lot sale that is made subject to
the recorded deed restrictions;
b. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association, subject to the requirements of Session Law 2011-256;
c. Bankruptcy;
d. Foreclosure, subject to the requirements of Session Law 2013-121;
e. Dissolution of the partnership or corporate entity, subject to NCGS 57D-2-01(e)
and NCGS 57D-6-07;
f. A name change of the current permittee;
g. A name change of the project;
h. A mailing address change of the permittee;
5. 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 project, in whole
or in part, nor the conveyance of common area to a third party constitutes an approved
transfer of the stormwater permit.
6. The permittee grants DEMLR 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 modified, revoked, terminated
or renewed. The permit may be modified, revoked and reissued or terminated for
cause. The filing of a request for a permit modification, revocation and re-issuance or
termination does not stay any permit condition.
8. Approved plans, calculations, supplement forms, operation and maintenance
agreements 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 at all times.
9. Unless specified elsewhere, permanent seeding requirements for the stormwater
control measure must follow the guidelines established in the North Carolina Erosion
and Sediment Control Planning and Design Manual.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit as
allowed by the laws, rules and regulations contained in Session Law 2006-246, Title
15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall submit a permit renewal application request at least 180 days prior
to the expiration date of this permit. The renewal request must include the appropriate
application, documentation and the processing fee.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW8 160612
Permit issued this the 18th day of August 2016
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Tracy Da is, P.E., Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 160612
Page 5 of 7

State Stormwater Management Systems
Permit No. SW8 160612
Maple Hill Scotchman
Stormwater Permit No. SW8 160612
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 specifications:
SEAL
Signature
Registration Number
Date
Page 6 of 7

State Stormwater Management Systems
Permit No. SW8 160612
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 outlet structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-circuiting
of the system.
11. The permitted amounts of surface area and/or volume have been provided.
12. Required drawdown devices are correctly sized and located per the approved
plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf, and a
forebay.
15. The required system dimensions are provided per the approved plans.
16. All components of the stormwater BMP are located in either recorded common
areas, or recorded easements.
cc: NCDEQ-DEMLR Wilmington Regional Office
Inspector, Pender County Building Inspections
Page 7 of 7

Operation & Maintenance Agreement
Project Name: Maple Hill Scotchman ,
Project Location: Hwy 50 and Hwy 53, Maple Hill, Pander County, NC
.._..... ..... ...... ..
Cover Page
Maintenance.records'shall be:.kepLon the following.BMP(s): " his maintenancerecord shalt:be!MAID,a log I.n.a.known set_loeattcn£. .......
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 pollutant removal efficiency of the BMP(s).
The BIM(s)en this project include(Check all that apply&corresponding O&M.tables will be added automaticall I:
BleretentionCel#........ Quantity Location(s):
Dry Detention Satin Quantity Location(s);'
Grassed Swale Quantity Location(s):
Green Roof. Quantity: Location(s):
Infiltration Basin. Quantity Location(s):
Infiltration Trench Quantity: Location(s):
Level SpreaderNF8 Quantity: Location(s):IIIIIIIIIIIIIIIIIIIMMIMIIIIIIIIIIIIII
Permeable Pavement Quantity:. Location(s);
Proprietary>System Quantity: Location(s)
Rainwater Harvesting 'Quantity: Location(s):
Sand Filter Quantity: Location(s):
Stormwater Wetland Quantity: Location(s):MOMMEMMMONINIMM
Wet Detention Basin Quantity: 1 Location(s), Behind and East of Store
Disconnected impervious Area. Present No Location(s):
User Defined BMP Present: No: Location(s):
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each BMP above,and attached O&M tables. I agree to notify NDDENR.of any problems with the system or prior to any changesto
the system or responsible party.
*Responsible Party: 610M ova H►�5T 1--1.e—/WI U.4*Nvl 0041473
Title&Organization: Piny. µlit.
Street address: Wm 443AapAcit4wearers./ 1/2.... StltTE Us-
pity,state;zip: tu(t,mdate b J pa (isqog
Phone number(s): Q to« /2•la?S.
Email: wbwt __ lrAe►velf . ur✓►
Signature: Date: 5-(7--'
1, ei✓e ohttri Lf Mtv'i\ ,a Notary Public forthe State of , 1•Lo•-}1.. Cam-ol...A
County of SYu.n Ma. L..k ,do hearty certify that i,ai ll.aw..-?ja✓l o V.i
personally appeared before me:this I-I- day of MAI Zo I to and
acknowledge the due execution of the Operations and Maintenance Agreement.
Witness my hand and official seal, 6,.j„1-04- , . h...-- .
• Gill
� 1V . ilsEt Fj E�
0 NOTARY X
to PUBLIC co r B`1'*
s � rr
ea!+r',�,�sAbiGtC G ia' .4"y mmission expire~ /S V 10 �1 S '
1
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version"1,4 O&M Manual Page:1 of 4 •

Wet Detention Pon Maintenance Requirements
The wet detention basin system is:.defined as the wet detention basin,pretreatment including forebays and the vegetated filter if one 1
is provided.
important maintenance procedures:
Immediately after wet detention basin-is established,the plants on the vegetated shelf and perimeter_of the
"basin should be watered twice weekly if needed,.until the plants become established.(commonly six weeks)..
No portion:°ofthe wet:deteniton pond should be fertilized after the first initial fertilization°thatis required to
establish the plants on the vegetated shelf.
Stable groundcoveer should`be maintained in the drainage area to reduce the sediment load to the wet detention
basin.
if the basin must be drained:for an errrergency ar to.perform.:maintenance the flushing of sediment through the
emergency drain should be minimizedto the maximum extent practical;
..Once a year,a dam safety.-Opera should inspect the embankment,
After the wet detention pond its established,'it should be inspected once a month and within.24 hours after every storm event
greaterthan 1,..0 inches for 14 inches If in a Coastal County), Records Of Operation and Maintenance should be kept In a known
set location and Must be available upon request.
Inspection activities shell be performed as,follows.. Any problems that are found shall be repaired immediately.
BMP element Potential problem: How i will remediate the problem:
The entire BMP Trash/debris is present: Remove the trashldebris.
The perimeter of the BMP Areas of bare soil and/or Regrade the soil if necessary to remove the gully,and then plant;a
erosive gullies have formed. ground cover and water until it is established. Provide lime and a'one-
time fertilizer application.
Vegetation is too short or too Maintain vegetation at a height of approximately six inches.
long.
The Inlet device The pipe is clogged. Unclog the pipe. Dispose of the sediment off-site.
The pipe is cracked or Replace the pipe.
otherwise damaged.
Erosion is occurring in the Regrade the swale if necessary to smooth it over and provide erosion
swale. control devices such as reinforced turf matting or riprap to avoid future
problems with erosion.
Stone verge is clogged or Remove sediment and replace with clean stone
covered in sediment-Of
applicable).
The forebay Sediment has accumulated to Search for the source of the sediment and remedy the problem if
a depth greater than the possible. Remove the sediment and dispose of it;in a location where it
original design depth for will not cause impacts to streams or the BMP,
sedimentstorage
Erosion has occurred. Provide additional erosion protection such as reinforced turf matting or
riprap if needed to prevent future erosion problems.
Weeds:are present. Remove the weeds,preferably by hand, if pesticide is used,wipe it on'.
the plants rather than spraying.
The vegetated shelf Best professional practices Prune according to best professional practices
show that pruning is needed to
maintain;optimal plant health.
Plants are dead,diseased or Determine the source of the problem: soils,hydrology,disease,etc.
dying, .Remedy the problem,and replace.plants. Provide a one-time fertilizer
application to establish the ground cover ita soil test indicates it is
naoesaary:
Weeds are present: Remove the weeds,preferably by hand, If pesticide:is used,wipe it on
the plants rather than spraying.
rI
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..4 O&M manual. BY:— Page:2of4 1.

Wet mention Pond Maintenance Requirements(Continttedi
The main treabeent area. Sediment has accumulated to Search for the source of the sediment and remedy the problem if
a depth greater than the possible. Remove the sediment and dispose of it in a:location:where it
original design sediment will not cause impacts to streams or the RMP.
storage depth.
Algal growth covers over 50% Consult a professional to remove and control the algal growth.
of the area.
Cattails,phragmltes or other Remove the plants by wiping them with.pesticide(do not spray):
invasive plants cover 50%of
the.basin.surface;
The embankment Shrubs have started to grow Remove shrubs immediately.
on the..embankment.
Evidence of muskrat or beaver Use traps to remove Muskrats and consults professional to remove
•activity is,present. beavers..
A tree has started to grow on Consult.a dam safety specialist to remove the tree.
the embankment
An annual inspeion by an. Make all needed repairs
appropriate professional
shows that the embankment
needs repair (if applicable)
The outlet:devics Clogging has occurred. Clean out the outlet device. Dispose of the sediment off-site.
The outlet device is damaged Repair of replace the outlet device:
The receiving water Erosion-or other signs of Contact the local NC Department of Environment and Natural
damage have occurred at the Resources Regional Office.
outlet
The measuring device used:to determine the sediment elevation shall be such that it will give. an accurate depth reading and not
readily penetrate:into accumulated sediments.
ECEIV
'Ui 2 4 20 Ib
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Wet Detention Pond Design Summary
Wet Pond Diagram
WET POND ID FOREBAY MAIN POND
Pond 1 Permanent Pool El. 29 Permanent Pool El. 29
Temporary Pool El: 30.25 Temporary Pool El: 30.25
Pretreatment other Clean Out Depth: 3 Clean Out Depth: 6
than forebay? No
Sediment Removal El: 26 Sediment Removal El: 23
Has Veg.Filter? No Bottom Elevation: 25 Bottom Elevation: 22
r�CE1V
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STORM-EZ 6/24/2016
Version 1.4 O&M Manual Page 4 of 4

DEMLR USE ONLY
Date ived Fee P 'd Permit Numb r
Applicable Rules: Coastal SW-1995 0 Coastal SW-2008 0 Ph II-Post Construction
(select all that apply) 0 Non-Coastal SW-HQW/ORW Waters 0 Universal Stormwater Management Plan
0 Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Energy,Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name(subdivision,facility,or establishment name-should be consistent with project name on plans,
specifications,letters,operation and maintenance agreements,etc.):
Maple Hill Scotchman 3001
2. Location of Project(street address):
15515 Highway 53 East
City:Maple Hill County:Pender Zip:28454
3. Directions to project(from nearest major intersection):
Site is in Southern Corner of Intersection of Hwy 50 and 53
4. Latitude:34°40'21.4"N Longitude:77°42'42.15"W of the main entrance to the project.
II. PERMIT INFORMATION:
1.a.Specify whether project is(check one): l/New OModification D Renewal w/ Modificationt
(Renewals with modifications also requires SWU-IO2-Renewal Application Form
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 OPartially Completed* 0 Completed* *provide a designer's certification
2. Specify the type of project(check one):
DLow 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
DEMLR 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):
OCAMA Major :Sedimentation/Erosion Control: ac of Disturbed Area
ONPDES Industrial Stormwater 0404/401 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:NA
5. Is the project located within 5 miles of a public airport? ®No
If yes,see S.L.2012-2D0,Part VI:http://portal.ncdenr.org/web/1r/xules-and-regulati JUN 2 $ 2016
BY:
Form SWU-101 Version Oct. 31,2013 Page 1 of 6

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:GPM Southeast,LLC
Signing Official&Title:William Barlow,Project Manager
b.Contact information for person listed in item la above:
Street Address:1410 Commonwealth Dr.,Suite 202
City:Wilmington State:NC Zip:28403
Mailing Address(if applicable):
City: State: Zip:
Phone: (910 ) 512-9875 Fax: (910 ) 395-6691
Email:[e-mail]
c.Please check the appropriate box.The applicant listed above is:
❑The property owner(Skip to Contact Information,item 3a)
1. 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)
0 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:Roxann Machac
Signing Official&Title:Property Owner
b.Contact information for person listed in item 2a above:
Street Address:832 Hickory Court
City:Marengo State:IL Zip:60152
Mailing Address(if applicable):
City: State: Zip:
Phone: (630 ) 563-3600 x3628 Fax: (630 ) 563-3850
Email:[e-mail]
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:
Phone: ( ) Fax: ( )
Email:
4. Local jurisdiction for building permits:Pender Coun CEIVE ,
f
Point of Contact:Pat O"Mahony Phone#: 910 259 ..34 aati6 '
BY:
Form SWU-101 Version Oct.31,2013 Page 2 of 6

IV; PROJECT INFORMATION
1. In the space provided below,briefly summarize how the stormwater runoff will be treated.
Runoff from parking and rooftop will be conveyed through pipe network(s)to a single wet detention pond.
2.a.If claiming vested rights,identify the supporting documents provided and the date they were approved:
❑ApprovaI of a Site Specific Development Plan or PUD Approval Date:
❑Valid Building Permit Issued Date:
❑Other: Date:
b.If claiming vested rights,identify the regulation(s)the project has been designed in accordance with:
❑Coastal SW-1995 ❑Ph II-Post Construction
3. Stormwater runoff from this project drains to the CAPE FEAR River basin.
4. Total Property Area:0.92 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*:0.92 acres
* Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water(NHW)line or Mean High Water
(MHW)line,and coastal wetlands landward from the NHW(or MHW)line. The resultant project area is used to
calculate overall percent built upon area(BLIA). Non-coastal wetlands landward of the NHW(orMHW)line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area/Total Project Area)X 100 = 54 %
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.
Basin Information Drainage.Area 1. Drainage Area Drainage Area_ Drainage Area_
Receiving Stream Name Holly Shelter
Stream Class * C;Sw
Stream Index Number* 18-74-33
Total Drainage Area(sf) 30,141
On-site Drainage Area(sf) 30,141
Off-site Drainage Area(sf) 0
Proposed Impervious Area**(sf) 21,780
% Impervious Area**(total) 72%
Impervious"Surface Area Drainage Area 1 Drainage Area Drainage Area Drainage Area
On-site Buildings/Lots(sf) 3,633
On-site Streets (sf) 0
On-site Parking (sf) 17,105 ECEIVE0 On-site Sidewalks (sf) 866
Other on-site (sf) 0 JUN 2016
Future(sf) 176
Off-site (sf) 0 BY:
Existing BUA***(sf) 0
Total (sf): 21,780
* Stream CIass and Index Number can be determined at: http://portal.ncdenr.org/web/wq/ps/csu/classifications
** Impervious area is defined as the built upon area including,but not limited to,buildings,roads,parking areas,
sidewalks,gravel areas,etc.
***Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
Form SWU-101 Version Oct.31,2013 Page 3 of 6

, 11 .How was the off-site impervious area listed above determined?Provide documentation.NA
Projects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened&
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 15A NCAC 02B.0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance(O&M)forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://portal.ncdenr.org/web/wq/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy,Mineral and
Land Resources(DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http://portaLncdenr.org/web/wq/ws/su/statesw/forms docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map athttp://portal.ncdenr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item.All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms docs.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form.
2. OriginaI and one copy of the signed and notarized Deed Restrictions&Protective Covenants 14-57—
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed,signed and dated)and O&M
agreement(s)for each BMP.
4. Permit application processing fee of$505 payable to NCDENR. (For an Express review,refer to getrg
http://www.envhelp.org/pages/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative(one to two pages)describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information,item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the .564
receiving stream drains to class SA waters within 1/a mile of the site boundary,include the%
mile radius on the map.
7. Sealed,signed and dated calculations(one copy). y
8. Two sets of plans folded to 8.5"x 14" (sealed,signed,&dated),including: j�
a. Development/Project name. �jj��''
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures,the banks of streams and rivers,the MHW or NHW line of tidal
waters,and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation o ..ul
structures,the banks of streams or rivers,and the MHW(or NHW)of tid• L. E IVGE
i. Dimensioned property/project boundary with bearings&distances.
j. Site Layout with all BUA identified and dimensioned. JUN 2 8 201C
k. Existing contours,proposed contours,spot elevations,finished floor elevatio
I. Details of roads,drainage features,collection systems,and stormwater control ' :sures.
m.Wetlands delineated,or a note on the plans that none exist. (Must be delineate.'tya
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).
Form SWU-101 Version Oct. 31,2013 Page 4 of 6

p. Vegetated buffers(where required).
, 9. Copy of any applicable soils report with the associated SHWT elevations(Please identify
elevations in addition to depths)as well as a map of the boring locations with the existing
elevations and boring logs.Include an 8.5"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 DEMLR to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed.Deed book:3336 Page No:325
11. For corporations and limited liability corporations(LLC):Provide documentation from the NC
Secretary of State or other official documentation,which supports the titles and positions held
by the persons listed in Contact Information,item la,2a,and/or 3a per 15A NCAC 2H.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.
http://www.secretary.state.nc.u.s/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions,outparcels,and future development,the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary,a table listing each lot number,lot size,and the allowable built-upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from http://portal.ncdenr.org/web/lr/state-stormwater-
forms does.Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner,it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s)below,the permit holder(s)certify that the recorded property restrictions and
protective covenants for this project,if required,shall include all the items required in the permit and listed
on the forms available on the website,that the covenants will be binding on all parties and persons claiming
under them,that they will run with the land,that the required covenants cannot be changed or deleted
without concurrence from the NC DEMLR,and that they will be recorded prior to the sale of any lot.
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 Engineer:Branch Smith
Consulting Firm:Paramounte Engineering,Inc.
Mailing Address:5911 Oleander Drive
City:Wilmington State:NC Zip:28337
Phone: (910 J 791-6707 Fax: ( )
Email:[e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information,item 2 has been felled out,complete this
section)
I,(print or type name of person listed in Contact Information,item 2a)Roxann Machac ,certify that I
own the property identified in this permit application,and thus give permission to (print or type name of person
Iisted in Contact Information, item 1a)William Barlow with(print or type name of organization listed in
Contact Information, item la)GPM Southeast,LLC 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.
ECEIVE
JUG 2 8 M..
nr to
BY:----
Form SWU-101 Version Oct.31,2013 Page 5 of 6

As the legal property owner 1 acknowledge,understand,and agree by my signature below,that if my designated.
agent,(entity hated in Contact Informat on,item 1)dissolves their company and/or cancels or defaults on their
lease agreement,or pending sale,responsibility for compliance with.the DEMLlt Stormwater permit reverts:ba€k
to.me,the pro a owner As the-property owner,it is my responsibility to notify DI•?MLR immediately and..
submit a co 0, ,lee•• Name Ownerslup'Change Form within30 days;.otherwise I will be operating a stormwater
treatment ty ithout a valid permit. I understand that the operation of'a stormwater treatment facil ty
without a v lid , Its:a violation of NC General Statue 1 -215 I.and may result in appropriate enforcement
action roil i• ara4r0
ssessmentofvil
., Yf
;4 ea.of plies$:..S,OOli-per day,pursuant-to NCt"sS 1:4 -21;a.6,
Signatu.:` / I, l _ Date & / /eQ-40/!/
I Mcd L $cL.g -e-c\\e.C:.). a Note,rY Public for the State of LL., n e3
S ,County of
cD g _,.:do hereby certify that. CK e'vC etd\►h 1 L\r`L'\L ... appeared personally
rL. A before;me this aday of 1 a-y✓ a::,I!47,and acknowledge the due execution of the application for
a storitrwater:permit: Witness.my hand and official seal, C f\ Se— ,Daarel,n30L 1,e-
SEAL
f OFFICIAL SEAL r
4 MICHAEL V SCHERENBERG
Notary Public-State of Illinois I
My Commission Expires Sep 24,2017 0
My commission expires 1 ,f4"/ 1 7
X. APPLICANT'S CERTIFICAI`ION
I,(Ora or type name a/person listed in Contact Inftenuttion,item la) ,
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 iin:conformance with the approved plans,that the required deed restrictions
and protective covenants will be recorded,and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 2I-I.1000 and any other applicablestate stormwater requirements.
Signature:; Date:
I, ,a Notary Public for the State of . ,County of
,do hereby certify that: personally appeared
before me this day of. _ ,and:acknowledge the due execution of the application for
a stormwater permit. 'Witness my band and`official seal,
SEAL
My comrnissionexpires
lik
JUN2k
20.11 \li ,
I
r3Y: is
1'.
Form SW1T-I0_l Version Oct 31,..2013 Page 6 of 6

�.., . .
As the legal.px l cider l e. l **d e)-r ►derstatil l;aud,:a e by My signature below,that if my des tamed.
listed m Contact InfOrnation,item 1 dissolves their com an and/or cancels or defaults'on t their }
agerlt.�exH�ty .� .:: . � � A �� y �, i
lease �ti or pending sale,responsibility tare compliance wifh the DEIVILit Stormwater permit reverts:.back: ,.
tao.rne,the pie, ,owner Akthe property owner,itis my responsibility to notify IMMIX immediately and
submit a co;+ . e r•' ;Name/Ownership Change:Pam wtthin 0 days'..otherwise:will be operating:a store water
ft: tm t - : ititout a.Valid permit 1 ulnderstand that Om operation pi a.stprMwate`treatment facility
without a v' td p-Mit.Is a 00.14tum of•NC Gen rat S tue 1 215'1 and may reaUlt in appropriate.enforcemtext
. .action Seth « d <,I itaaoiateritof cawxl p `es-of to$25;00(per aye a suant to NCC 215:61........-----..------...------.._.--...------.
4
Siejtatarez. ar* !C 6 .. Date: /A /I,. //e
ac �cA, e�4e- . ....,allotarPublic:for the State of LL-. n o,�
I, Mt �s- C y- 5. ,:.County of
, :: ;' i;lernl certiE tIitit: cvCdut1 n Iti ".L personally appeared
before:rne this, <day:of:. 1'n-0--' ,.Q0/47,and aCknowledge the dne.execgtion ofthe;appEcati4ri.fa -
a:st 1m ter permit Witness my:l d:and official seal: Cht:Se.- a .r 0L LE__
OFFICIAL SEAL 0
i MICHAEL V SCHERENBERG
NNotary Public-State of Illinois i<
My Commission Expires Sep 24,2017 ) f
alp;• .- _-- ._ ._=, '4 •`Ivlycomnii: ionexpires. 1 , I
X L C 1,N.Tti Ri.OVATIQN / A," y nn,,�
T,fjl int # pe alne YP trste fit ttigt�Infor`maiii n,item:la) 'v LLk-ltt k cA+ i
o�tbat'the:infarmation included ontthis,permit application ft int is,to the best of my knowledge,correct and.
:that the project w dine.conshueteed°nn°confonnauce with the approved plans;that the required deed restrictions
and protective covenants will be:.recarded,and that the proposed project cone lies with the rpcitliretaeriia.of;the
applicable-aortal:. rules :r; 5y4°lJf..:iC 2 .1.000 antsl airy OW applicable state atCati Oter'requirements,
Signature: Date: 6 24-l� .
. 2(l f'aii ..... ... ,.,a rotary Public for the State of Akhrli (,e)1A, -County of
6.
0' T New Noted ,do;l erelty certi€y4 .. WI 1(ice 3.44 10 t-4--;, personally-appeared
•
.bore i ne thy- dayof iii e,_ E PP I(o_,and:ac,�;® ledge': due lion of:. application.`for
.�
n stormwatet pnit:°TNfi .rnytnd:arid ofFaal:s I : _.._. -
ec.
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flECEIVE
JUN282016
BY:
Freon:swf.4,91 'S jon @ f,:31,_2013: , Page 4 of 6

Permit No.5(02 1tocAo
(to be provided by DWQ)
F WAT�c
��• ot>'" 9QG
.fir I,
NCDENR y
� r T
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN 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.
I. PROJECT INFORMATION
Project name Maple Hill Scotchman
Contact person Branch Smith
Phone number 910-791-6707
Date -641W6. €,((p- I(p
Drainage area number 1
II. DESIGN INFORMATION
Site Characteristics
Drainage area 30,141 ft2
Impervious area,post-development 21,780 ftZ
%impervious 72.26%
Design rainfall depth 1.5 in
Storage Volume: Non-SA Waters
Minimum volume required 2,639 ft3
Volume provided 3,295 ft3 OK,volume provided is equal to or in excess of volume required.
Storage Volume: SA Waters
1.5"runoff volume ft3
Pre-development 1-yr,24-hr runoff ft3
Post-development 1-yr,24-hr runoff ft3
Minimum volume required ft3
Volume provided ft3
Peak Flow Calculations
Is the pre/post control of the 1yr 24hr storm peak flow required? Y (Y or N)
1-yr,24-hr rainfall depth 3.6 in
Rational C,pre-development 0.50(unitless)
Rational C,post-development 0.84(unitless)
Rainfall intensity:1-yr,24-hr storm 3.00 in/hr OK
Pre-development 1-yr,24-hr peak flow 1.04 ft3/sec
Post-development 1-yr,24-hr peak flow 1.74 ft3/sec
Pre/Post 1-yr,24-hr peak flow control 0.71 ft3/sec
Elevations
Temporary pool elevation 30.25 fmsl C C C I V C
Permanent pool elevation 29.00 fmsl C C G
SHWT elevation(approx.at the perm.pool elevation) 29.00 fmsl AUGTop of 10ft vegetated shelf elevation 29.00 fmsl G 1 6 201u [)
Bottom of 10ft vegetated shelf elevation 28.00 fmsl
Sediment cleanout,top elevation(bottom of pond) 23.00 fmsl BY:
Sediment cleanout,bottom elevation 22.00 fmsl
Sediment storage provided 1.00 ft
Is there additional volume stored above the state-required temp.pool? Y (Y or N)
Elevation of the top of the additional volume 30.3 fmsl OK
Surface Areas
Area,temporary pool 3,026 ft2
Area REQUIRED,permanent pool 2,170 ft2
Form SW401-Wet Detention Basin-Rev.9-4/18/12 Parts I.&II.Design Summary,Page 1 of 2

Permit No. 1,t16.0 --
(to be provided by DWQ)
II. DESIGN INFORMATION
SA/DA ratio 7.20(unitless)
Area PROVIDED,permanent pool,AP „, 2,254 ft2 OK
Area,bottom of 10ft vegetated shelf,Abot-sher 1,085 ft2
Area,sediment cleanout,top elevation(bottom of pond),^bot pond 52 ft2
Volumes
Volume,temporary pee! 3,295 ft3 OK
Volume,permanent pool,Vp„„_poe, 3,826 ft3
Volume,forebay(sum of forebays if more than one forebay) 720 ft3
Forebay%of permanent pool volume 18,8% % OK
SA/DA Table Data
Design TSS removal 90%
Coastal SA/DA Table Used? Y (Y or N)
Mountain/Piedmont SA/DA Table Used? N (Y or N)
SA/DA ratio 7.20(unitless)
Average depth(used in SA/DA table):
Calculation option 1 used?(See Figure 10-2b) N (Y or N)
Volume,permanent pool,Vpermyool 3,826 ft3
Area provided,permanent pool,Aperm pool 2,254 ft2
Average depth calculated ft Need 3 ft min.
Average depth used in SA/DA,d5V,(Round to nearest 0.5ft) ft
Calculation option 2 used?(See Figure 10-2b) Y (Y or N)
Area provided,permanent pool,Ap ,o, 2,254 ft2
Area,bottom of 10ft vegetated shelf,Ab&Sher 1,085 ft2
Area,sediment cleanout,top elevation(bottom of pond),Abot_pond 52 ft2
'Depth"(distance b/w bottom of 10ft shelf and top of sediment) 5.00 ft
Average depth calculated 3.40 ft OK
Average depth used in SA/DA,de, (Round to down to nearest 0.5ft) 3.5 ft OK
Drawdown Calculations
Drawdown through orifice? Y (Y or N)
Diameter of orifice(if circular) 1.00 in
Area of orifice(if-non-circular) in2
Coefficient of discharge(Co) 0.60(unitless)
Driving head(H,) 1.25 ft
Drawdown through weir? N (Y or N)
Weir type (unitless)
Coefficient of discharge(C.) (unitless)
Length of weir(L) ft
Driving head(H) ft
Pre-development 1-yr,24-hr peak flow 1.04 ft3/sec
Post-development 1-yr,24-hr peak flow 0.56 ft3/sec
Storage volume discharge rate(through discharge orifice or weir) 0.02 ft3/sec
Storage volume drawdown time 2.25 days OK,draws down in 2-5 days.
Additional Information
Vegetated side slopes I:1 4eerf,.;.d Dick olupcs. '3:I
Vegetated shelf slope 6:1 Insufficient sh lopt?. B1450 O1N b 444/ELF
Vegetated shelf width 6.0 ft Insufficient she5I Jength. Sd6P G'P? ` 47
Length of flowpath to width ratio 2 :1 Insufficient flow path to width ratio.Must not short-circuit pond.
Length to width ratio 2.0:1 OK
Trash rack for overflow&orifice? Y (Y ur N) OK
Freeboard provided 1.0 ft OK
Vegetated filter provided? N (Y or N) OK E C E I F E
Recorded drainage easement provided? Y (Y or N) OK
Capures all runoff at ultimate build-out? Y (Y or N) OK AUG 1 6 2016
Drain mechanism for maintenance or emergencies is: Pump
BY:
Form SW401-Wet Detention Basin-Rev.9-4/15/12 Parts I.&II.Design Summary,Page 2 of 2

Permit No.
(to be provided by DWQ)
II. DESIGN INFORMATION
Capures all runoff at ultimate build-out? Y (Y or N) OK
Drain mechanism for maintenance or emergencies is: Pump
111 ECEIVE
ri
JUN z 2 'a
ti
BY:
Form SW401-Wet Detention Basin-Rev.9-4/18/12 Parts I.&II.Design Summary,Page 3 of 3