20200383 Ver 1_Approved SW8 190905 dtd 10-25-19_20200317

ROY COOPER
Goveriwr
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
October 25, 2019
Develoner
Dominion Land Corporation
Attn: Candice Alexander, Vice President
PO Box 3167
Wilmington, NC 28406
E-mail: [e-mail]
Current Property Owners
NORTH CAROLINA
En Bran mtal Quality
Shiloh Holdings, LLC /Meek Earth Holdings, LLC
Attn: Judia B. Sanders, Manager
Same as above
Subject: State Stormwater Management Permit No. SWS 190905
Boiling Springs Lakes Commercial Tract
Low Density Project
Brunswick County
Dear Ms. Alexander & Ms. Sanders:
The Wilmington Regional Office received a complete State Stormwater Management Permit Application
for the subject project on September 9, 2019 with additional infortnation received on October 2, 2019.
Staff review of the plans and specifications has determined that the project, as proposed, complies with
the Stormwater Regulations set forth in Title 15A NCAC 2H.1000 amended on January 1, 2017 (2017
Rules). We are hereby forwarding Permit No. SW8 190905 dated October 25, 2019, for the construction
of the stormwater control measures (SCMs) and built -upon areas (BUA) associated with the subject
project.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
conditions and limitations as specified therein and does not supersede any other agency permit that may
be required. Please pay special attention to the permit conditions regarding the limitation of built -upon area,
modification of the project, the operation and maintenance of the vegetated conveyance system, and the
procedures for changing ownership of and/or transferring the permit.
Failure to comply with these requirements will result in fixture compliance problems. Please note that this
permit is not transferable except after notice to and approval by the Division. As the identified developer
of the project, Dominion Land Corporation ("Developer") shall be the designated permit holder and
responsible for meeting the conditions and limitations specified therein.
This cover letter, attachments, and all documents on file with DEMLR shall be considered part of this
permit and is herein incorporated by reference. Please be aware that it is the responsibility of the permit
holders, the Developer and Shiloh Holdings, LLC and Meek Earth Holdings, LLC ("Property Owners") to
notify the Division of any changes in ownership and request an ownership/name change for the
stormwater permit. However, if the development agreement between the Developer and the Property
Owner is dissolved, cancelled or defaults, and the Division is not notified by the Developer to transfer the
permit, then the responsibility for permit compliance reverts back to the Property Owner,
D_EQ�� North Carolina Department of Environmental Quality I Division of Energy, Potineral and Land Resources
` ✓ Wilmington Regional Office In Cardinal Drive Extension Wilmington, North Carolina 2a405
°eoe°°""o1fii�^^^^W \ 910,796,7215

State StormwaterPermit No, SW8 190905
Page 2 of 2
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 final and binding.
If you have any questions, or need additional information concerning this matter, please contact Steve Pusey in
the Wilmington Regional Office, at [phone],
SinceFely, ��
� 1
r S. Daniel Smith, Director
Division of Energy, Mineral and Land Resources
Enclosures: AttachmentA—Certification Forms
Application Documents
GDS/sgp: \\\Stormwater\Permits 01Projects\2019\190905 LD\2019 10 permit 190905
cc: Phil Norris, PE —Norris & Tunstall Consulting Engineers, PC
Brunswick County Engineering
NCDOT District Engineer
Wilmington Regional Office Stormwater File

State Stormwater Management
Permit No. SW8 190905
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY. MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
LOW DENSITY DEVELOPMENT WITH A CURB OUTLET SWALE SYSTEM
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
Dominion Land Corporation and Shiloh Holdings, LLC /Meek Earth Holdings, LLC
Boiling Springs Lakes Commercial Tract
NC Hwy 87, Brunswick County
FOR THE
construction, operation and maintenance of a 24%low density project with a curb outlet Swale system
discharging to Class B-Sw waters in compliance with the provisions of Title 15A NCAC 2H .1000
effective January 1, 2017 (the "Stormwater rules") and the approved Stormwater management plans,
application, supplement(s), specifications, and other supporting data (the "approved plans and
specifications') as attached and/or on file with and approved by the Division of Energy, Mineral and
Land Resources (the "Division" or "DEMLR") and considered an enforceable part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the management of Stormwater described in the
approved plans and specifications. The overall percent of built -upon area (BUA) permitted for
the project must not exceed 24% per the requirements of the Stormwater rules. This permit
covers the construction of a total of 134,383 square feet of BUA, which includes 50,705 square
feet of proposed BUA and 84,178 square feet of future BUA allocation. The current design
provides a total of 15%impervious area for the project.
2. Each commercial lot whose ownership is not retained by the permittee shall submit a separate
low density Stormwater permit application to the Division and receive approval prior to
construction. Prior to construction, the permittee shall ensure that the owner of the commercial
lot has obtained the separate low density Stormwater management permit.
3. A 50-foot wide vegetative setback must be provided and maintained adjacent to all surface
waters, measured horizontally from the normal pool elevation of impounded structures, from the
top of bank of each side of streams or rivers, and from the mean high waterline of tidal waters,
perpendicular to the shoreline in accordance with the Stormwater rules and the approved plans
and specifications. All Stormwater runoff, including roof drains, shall be released as dispersed
flow no closer than at the edge of the vegetated setback. At no time shall Stormwater runoff be
piped into or through the setback. BUA may not be added to the vegetated setback except as
shown on the approved plans or in the following instances where the BUA has been minimized
and channelizing runoff from the BUA is avoided:
a. Water dependent structures; and
b. Minimal footprint uses such as poles, signs,. utility appurtenances, and security lights that
cannot practically be located elsewhere.
Page 1 of 5

State Stormwater Management
Permit No. SW8 190905
4. This project has maximized dispersed flow of stormwater runoff through vegetated areas and
minimized the channelization of flow. Stormwater runoff that could not be released as dispersed
flow may be transported by vegetated conveyances with minimum side slopes of 3:1 (H:V)
designed to not erode during the peak flow from the 10-year storm event as defined in the
stormwater rules and approved by the Division.
5. This project proposes a curb outlet system. Each designated curb outlet must convey
stormwater runoff to a vegetated conveyance or vegetated area as shown on the approved
plans and specifications. The conveyance must be maintained with a dense vegetated cover at
a minimum of 100' long, side slopes at 3:1 (H:� or flatter, a minimum bottom width of 2 feet,
and a longitudinal slope no steeper than 5% in order to carry the peak flow from the 10-year
storm at anon -erosive velocity
6. No piping shall be allowed except those minimum amounts necessary to direct stormwater
runoff beneath a BUA such as a road or driveway when it cannot be avoided.
7. The peak flow from the 10-year storm event shall not cause erosion downslope of the
stormwater outlet discharge point.
II. SCHEDULE OF COMPLIANCE
The project shall be constructed, operated and maintained in accordance with the conditions of
this permit and the approved. plans and specifications.
2. Curb outlet swales, vegetated areas and vegetated conveyances shall be entirely constructed,
vegetated, and operational prior to the construction of any development, per the approved plans
and specifications.
3. During construction, erosion shall be kept to a minimum and any eroded areas of the on -site
stormwater system will be repaired immediately.
4. All vegetated conveyance systems, stormwater collection systems, and/or maintenance
accesses must be located in public rights -of -way, dedicated common areas that extend to the
nearest public right-of-way, and/or permanent recorded easements that extend to the nearest
public right-of-way for the purpose of inspection, operation, maintenance, and repair.
5. The permittee shall provide and perform the operation and maintenance necessary, as listed in
the signed Operation and Maintenance Agreement titled Swale System Maintenance
Requirements to assure that the permitted curb outlet swales and vegetated conveyance system
functions at the approved 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.
6. The operation and maintenance agreement must be recorded with the Office of the Register of
Deeds.
7. 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.
8. The final plats for the proiect must be recorded with the Office of the Register of Deeds. The
recorded plat must reference the Operation and Maintenance Agreement and must also show all
public rights -of -way, dedicated common areas, and/or permanent drainage easements, in
accordance with the approved plans.
9. The permittee shall record deed restrictions and protective covenants prior to the issuance of a
certificate of occupancy to ensure the permit conditions and the approved plans and
specifications are maintained in perpetuity.
10. The permittee is responsible for verifying that the proposed built -upon area for the entire project
does not exceed the maximum allowed by this permit.
Page 2 of 5

State Stormwater Management
Permit No. SW8 190905
11. Upon completion of the project, the permittee shall determine whether or not the project is in
compliance with the permitted plans and take the necessary following actions:
a. If the permittee determines that the project is in compliance with the permitted plans, then
within 45 days of completion, the permittee shall submit to the Division one hard copy and
one electronic copy of the following:
i. The completed and signed Designer's Certification provided in Attachment A
noting any deviations from the approved plans and specifications. Deviations
may require approval from the Division;
ii. A copy of the recorded maintenance agreement;
iii. Unless already provided, a copy of the recorded deed restrictions and protective
covenants; and
iv. A copy of the recorded plat delineating the public rights -of -way, dedicated
common areas and/or permanent recorded easements, when applicable.
b. If the permittee determines that the project is not in compliance with the permitted plans,
the permittee shall submit an application to modify the permit within 30 days of completion
of the project or provide a plan of action, with a timeline, to bring the site info compliance.
12. No person or entity, including the permittee, shall alter any component shown in the approved
plans and specifications. Prior to the construction of any modification to the approved plans, the
permittee shall submit to the Director, and shall have received approval for modified plans,
specifications, and calculations including, but not limited to, those listed below. For changes to
the projector SCM that impact the certifications, anew orupdated certification(s), as applicable,
will be required and a copy must be submitted to the appropriate DEQ regional office upon
completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size including the
stormwater control 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 as reported in the approved plans and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading or resizing of any
component of the approved Stormwater control measure, stormwater collection system
and/or vegetative conveyance system shown on the approved plan.
e. The construction of any allocated future BUA.
f. The construction of any permeable pavement, #57 stone area, public trails, or landscaping
material to be considered a permeable surface that were not included in the approved
plans and specifications.
g. Other modifications as determined by the Director.
13. 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 modified plans and certification in writing to
the Director that the changes have been made.
14. Prior to transfer of the permit, a file review and site inspection will be conducted by Division
personnel to ensure the permit conditions have been met and that the project and the on -site
stormwater system complies with the permit conditions. Any items not in compliance must be
repaired, replaced restored, or resolved prior to the transfer. Records of maintenance activities
performed to date may be requested.
III. GENERAL CONDITIONS
1. Any individual or entity found to be in noncompliance with the provisions of a stormwater
management permit or the requirements of the stormwater rules is subject to enforcement
procedures as set forth in NCGS 143 Article 21.
The issuance of this permit does not preclude the permittee from complying with and obtaining
any other permits or approvals that are required for this development to take place, as required
by any statutes, rules, regulations, or ordinances, which may be imposed by any other Local,
State or Federal government agency having jurisdiction. Any activities undertaken at this site
that cause a water quality violation or undertaken prior to receipt of the necessary permits or
approvals to do so are considered violations of NCGS 143-215.1, and subject to enforcement
procedures pursuant to NCGS 143-215.6.
Page 3 of 5

State Stormwater Management
Permit No. SVVB 190905
3. In the event that the project fails to meet the requirements of a low density project, the permittee
shall take immediate corrective actions. This includes actions required by this Division and the
Stormwater rules such as the construction of an additional or replacement vegetafed
conveyance system and/or Stormwater control measures. These additional or replacement
measures shall receive a permit from the Division prior to construction.
4. Permit Transfer: This permit is not transferable to any person or entity except after notice to and
approval by the Director. The permittee shall submit a comple{ed and signed "Permit Transfer
Application Form" (available on the Division website) accompanied by the required fee and
supporting documentation as listed on the form, to the Division at least 60 days prior to any one
or more of the following events:
a. 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 and protective
covenants;
b. Dissolution of the partnership, corporate, or LLC entity, subject to NCGS 55-14-05 or
NCGS 57D-6-07 and 08;
c. Bankruptcy;
d. Foreclosure, subject to the requirements of Session Law 2013-121;
5. Developer Agreement: It is the responsibility of the permit holders, Dominion Land
Corporation ("Developer') and Shiloh Holdings, LLC and Meek Earth Holdings, LLC ("Property
Owners"), to notify the Division of any changes in ownership and request an ownership/name
change for the Stormwater permit. However, if the development agreement between the
Developer and Property Owner is dissolved, cancelled or defaults, and the Division is not
notified by the Developer to transfer the permit, then the responsibility for permit compliance
reverts back to the Property Owner. A complete transfer request must be submitted to the
Division within 30 days as described below otherwise the Developer and Property Owner will
be operating a stormwater treatment facility without a valid permit which is a violation of NC
General Statue 143-215.1. Failure to transfer the permit may result in appropriate
enforcement action in accordance with North Carolina General Statute §143-215.6A through
§143-215.6C being taken against the Property Owner.
6. Current Permittee Name or Address Changes: The permittee shall submit a completed "Permit
Information Update Application Form" (available on the Division website) to the Division within
30 days to making any one or more of the following changes:
a. A name change of the current permittee;
b. A name change of the project;
c. A mailing address change of the permittee;
7. The permittee is responsible for compliance with all terms and conditions of this permit until 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 permit.
8. The permittee grants Division Staff permission to enter the property during normal business
hours to inspect all components of the permitted project.
9. The permit issued shall continue in force and effect until the permittee files a request with the
Division for a permit modification, transfer, or rescission; however, these actions do not stay any
permit conditions.
10. Approved plans, application documents, supplements, calculations, operation and maintenance
agreement, and specifications for this project are incorporated by reference and are enforceable
parts of the permit. A copy of this permit, application, supplements, operation and maintenance
agreement, and approved plans and specifications shall be maintained on file by the permittee.
11. Unless specified elsewhere,. permanent seeding requirements for the on -site stormwater system
must follow the guidelines established in the North Carolina Erosion and Sediment Control
Planning and Design Manual.
12. The issuance of this permit does not prohibit the Director from reopening and modifying the
permit, revoking and reissuing the permit, or terminating the permif for cause as allowed by the
laws, rules, and regulations contained in Title 15A NCAC 2H.1000 and NCGS 143-215.1 et.al.
Page 4 of 5

State Stormwater Management
Permit No. SW8 190905
Permit issued this the 25th day of October 2019.
NOR �H CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
.Daniel mith, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 190905
Page 5 of 5

State Stormwater Management
Permit No. SW8 t90905
Attachment A
Certification Forms
The following blank Designer Certification forms are included and specific for this project:
• As -Built Permittee Certification
• As -Built Designer's Certification General MDC
• As -Built Designer's Certification for Low Density Projects
A separate certification is required for each SCM. These blank certification forms may 6e copied and
used, as needed, for each SCM and/or as a partial certification to address a section or phase of the
project.
Page 1 of 1

State Stormwater Management
Permit No. SW8 190905
AS-BUII.T PERNIITTEE CERTIFICATION
I hereby state that I am the current pennittee for the project named above, and I certify by my signature below,
that the project meets the below listed Final Submittal Requirements found in NCAC 02H.1042(4) and the
terms, conditions and provisions listed in the. permit documents, plans and specifications on file with or provided
to the Division.
here
if this
is
a partial
certification.
Section phase/SCM #?
BCheck
Check
here
if this
is
part of a
Fast Track As
-built Package Submittal.
Printed Name
I,
County of
personally appeazed before me this
Signature
a Notary Public in the State of
do hereby certify that
day of
and acknowledge the due execution of this as -built certification.
Witness. my hand and official seal
My commission expires
(SEAL)
20
� '�::`
ee'sCer6iiicativtrtplCAC
Completed /
-
NIA
- .1€t42{4)
-
�- -
Provided
�.���
A.
DEEID RESTRICTIONS
/ BUA': RECORIBS
l . The deed restrictions and protective covenants have been recorded and
Y
or
N
contain the necessary language to ensure that the project is maintained
consistent with the stormwater re ulations and with the ermit conditions.
2. A copy of the recorded deed restrictions and protective covenants has been
Y
or
N
rovided to the Division.
3. Records which track the BUA on each lot are being kept. (See Note 1)
Y
or
N
B.
'IVfAiI�ITFI�TANCE
ACCESS
1. The SCMs are accessible for inspection, maintenance and repair.
Y
or
N
2. The access is a minimum of 10 feet wide.
Y
or
N
3. The
access extends to the nearest public right -of --way.
Y
or
N
C.
EASEiVffiVTS
I. The SCMs and the components of the runoff collection /conveyance system
y
N
are located in recorded draina e easements.
or
2. A copy of the recorded plats) is provided.
Y
or
N
ID.
SIlVGLE F?.Ibffi.Y
RESIDENTIAL I.OT5 - Ptats for residential lots that
Y
N
have an SCIVI include
the followia
or
1. The specific location of the SCM on the lot.
Y
or
N
2. Atypical detail for the SCM.
Y
or
N
3. A note that the SCM is required to meet stormwater regulations and that the
lot owner is subject to enforcement action as set forth in NCGS 143 Article
Y
or
N
21 if the SCM is removed, relocated or altered without rior a royal.
E.
OPERATION
AND MAIl�TEIVANCE AGIi�H 1ViFN7`
Y
or
N
1. The O&M Agreement is referenced on the final recorded plat.
Y
or
N
2. The O&M Agreement is recorded with the Register of Deeds and appears in
y
N
the chain of title.
or
F.
OPERATION AND MABVTENANCE PI.AI�I —maintenance records are'
Y
N
bein ke t in a known set location for each SCM and are available far review.
or
G.
DESIGNER'S CERTIFICATION FORM —has been provided to the
Y
N
DIVI510n_
m;
Note 1-Acceptable records include ARC approvals, as -built surveys, and county tax records.
Page 1 of 7

State Stormwater Management
Permit No. SWS 190905
Provide an explanation for every requirement that was not met, and for every "N/A" below. Attach additional
sheets as needed.
Page 2 of 7

State Stormwater Management
Permit No. SW8 190905
AS -BUILT DESIGNER'S CERTIFICATION GENERAL MDC
I hereby state that I am a licensed professional and I certify by my signature and seal below, that I have observed
the construction of the project named above to the best of my abilities with all due care and diligence, and that
the project meets the below listed General MDC found in NCAC 02H.1050 in accordance with the permit
documents, plans and specifications on file with or provided to the Division, except as noted on the "AS -
BUILT" drawings, such that the intent of the Stormwater rules and statutes has been preserved.
Check here if this is a partial certification. Section/phase/SCM #?
Check here if this is a part of a Fast -Track As -Built Package Submittal per .1044(3).
Check here if the designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed
NC Registration
SEAL:
Signature_
Consultant's Mailing Address:
City/State/ZIP
Phone Number
Consultant's Email address:
O Circle N if the as -built value
differs from
the Plan. If N is circled,
provide an
explanation
on
Page 2.
OO N/E =not evaluated (provide
explanation
on page 2) OO N/A =not
applicable
to this SCM
or
project.
Cou§tiliant's Ge�iificatiop NCAC .I003{(3k &General MDC .I050: '
� '
OAs-built
ONIE
OO N/A
A. 'TREAT`I43)GNT RE UIREIt3ENT5
1.
The SCM achieves runoff treatment.
Y
or
N
_
2.
The SCM achieves runoff volume match.
Y
or
N
3.
Runoff from offsite aeeas and/or existing BUA is bypassed.
Y
or
N
4.
Runoff from offsite areas and/or existing BUA is directed into
Y
or
N
the permitted SCM and is accounted for at the full build -out
otential.
5.
The project controls runoffthrough an offsite permitted SCM
Y
or
N
that meets the re uirements of the MDC.
6.
The net area of new BUA increase for an existing project has
Y
or
N
been accounted for at the a ro riate deli storm level.
7.
The SCM(s) meets all the specific minimum design criteria.
Y
or
N
B. VEGETATED SETBACgS
I BUA
1.
The width of the vegetated setback has been measured from
Y
or
N
the normal pool of impounded waters, the MHW line of tidal
waters, or the to of bank of each side of rivers or streams.
2.
The vegetated setback is maintained in grass or other
Y
or
N
ve etation.
3.
BUA that meets the requirements of NCGS 143-214.7 (62)(2)
Y
or
N
is located in the setback.
4.
BUA that does not meet the requirements of NCGS 143-214.7
Y
or
N
(b2)(2) is located within the setback and is limited to:
a. Publicly funded linear projects (road, greenway sidewalk)
b. Water -dependent structures
c. Minimal footprint uses (utility poles, signs, security
li htin and a urtenances
Page 3 of 7

State Stormwater Management
Permit No. SW8 190905
5. Stormwater that is not treated in an SCM is released at the
Y
or
N
edge of the setback and allowed to flow through the setback as
dis erred flow.
OAs-buih
C�7N/E
'(� -
G
STOIZMWA�El2 OUTLETS -the outlet handles the peak flow
fizim the i(1 ear storm with no dasvnslo erosion.
Y
or
N
A
YARIAT�UNS
1. A variation (alternative) from the Stormwater rule provisions
y
N
has been im lemented.
or
2. The vaziation provides equal or better Stormwater control and
y
N
e ual or better rotection of surface waters.
or
E.
CE WITH OTHER IBEGOLATOIBY
Plii�€`i2A1►lC has beenmet.
Y
or
N
h`.
57�IlYG -Yhe volume cif the SGM takes the runoff from' ail
sogfaces into accourlt and is sufiiciarrt to handle the required storm
Y
or
N
de
O.
GOI+1'fAhHllTA1'ED �OILs - infiltrating. SGM's are not located
Y'
or
N
iftar on areas with eontarninated soils:
H.
s>mE �.Q
1. Vegetated side slopes are no steeper than 3H:1 V.
Y
or
N
2. Side slopes include retaining walls, gabion walls, or other
Y
or
N
surfaces that are stee er than 3H:1V.
3. Vegetated side slopes are steeper than 3H:1 V (provide
Y
or
N
su ortin documents for soils and ve etation .
I.
ERO5FO�f1�Ri3'1�C'Ft[iN,
1. The inlets do not cause erosion in Che SCM.
Y
or
N
2. The outlet does not cause erosion downslope of the discharge
Y
or
N
I
oint durin the eak flow from the 10 eaz storm.
I
d
�YCESS 1�'LOW�.-A�l4VerflOW/ftypass haS been pl'OVlded•
Y
OP
N
)K.
IUEWATEH1I�lG - A method to drawdowa standing: water has
Y
or
N
been ovided to facilitate maintenance and -ins lion:
L.
CLEA14rOiJT GONSTRUCTIOI�:- the SCM has b€eri
Y
or
N
.cleaned out -and converted to its a ved deli state::
18�.
lt/#AIIVTZ'I�TArICE
�LGQES�
1. The SCM is accessible for maintenance and repair.
Y
or
N
_
2. The access does not include lateral or incline slopes>3:1.
Y
or
N
N:
IDESIGPIER QUALIFICA�OI�T� �7r:�ffi7!'�'d'Z'<A�CJi� ]P)Ed8147I'�'} -
Ths designer is licensed under Chapters g9A, 89C, &9E, or S9F of
Y
or
N
:the Genera[,Statutes.
Provide an explanation for every MDC that was not met, and for every item mazked "N/A" or "N/E",below.
Attach additional pages as needed:
Page 4 of 7

State Stormwater Management
Permit No. SW8 190905
AS -BUILT DESIGNER'S CERTIFICATION FOR LOW DENSITY PROJECTS
I hereby state that I am a licensed professional and I certify by my signature and seal below, that I have
observed the construction of the project named above to the best of my abilities with all due care and diligence,
and that the project meets all of the MDC found in 15A NCAC 02H.1003, in accordance with the permit
documents, plans and specifications on file with or provided to khe Division, except as noted on the "AS -BUILT"
drawings, such that the intent of the stormwater rules and the general statutes has been preserved.
❑
Check
here
if this is a partial certification. Section or phase
❑
Check
here
if this is part of a Fast -Track As -Built Package Submittal per 15A NCAC 02H .1044(3).
❑
Check
here
if the Designer did not observe the construction but is certifying the project.
Check
here
if pictures of the project are provided.
❑
Printed Name
NC Registration Number
SEAL:
Consultant's Mailing Address:
City:
Phone:
Consultant's Email address:
i0
Circle
N if
the as -built value differs from the
Plan/permit. If N is
circled, provide
an explanation on page 3.
z0
N/E =Not
Evaluated (provide explanation on
page 2). OO N/A =Not
Applicable
to this project/plan.
Con�i:ettant's Cer$Ifipation (MUD 15A iUCA� 02H .1003)
�urea��dt �a•da�l%r �ns1 ��t&t-tD�ora Arsa
OAs-built'
OO N/E
©Pt/A
1. The project has areas of high density based on natural drainage
area boundaries, variations in land use or construction phasing.
Y or N
2. The project's built -upon area does not exceed the maximum limit
specified in the permit.
Y or N
Dispersed Flout.OAs-built
©N/E
OO N/A
1. The project maximizes dispersed flow through vegetated areas
and minimizes channelized flow.
Y or N
Page 5 of 7

State Stormwater Management
Permit No. SW8 190905
Vegetated ComreyancesOAs-built
©NtE
ON/A
1.
Stormwater that is not released as dispersed flow is transported
Y
N
by vegetated conveyances.
or
2.
The project has a minimal amount of non -vegetated conveyances
Y
N
to reduce erosion.
or
3.
Other than minimal piping under driveways and roads, no piping
Y
N
has been added beyond what is shown on the approved plans.
or
4.
Side slopes are no steeper than 3H:1 V.
Y
or
N
5.
The conveyance does not erode in response to the peak flow from
Y
N
the 10-year storm.
or
Cart oatletsystems (if appldcahle)
mkt
OO N/E
©NlA
1.
The swale or vegetated area can carry the peak flow from the
y
N
10-year storm at anon -erosive velocity.
or
2.
The longitudinal slope of the swafe or vegetated areas does not
Y
N
exceed 5%.
or
3.
The swale has a trapezoidal cross-section and a minimum bottom
y
N
width of two feet.
or
4.
The minimum length of the Swale or vegetated area is 100 feet.
Y
or
N
5.
Side slopes are no steeper than 3H 1 V.
Y
or
N
6.
The project utilizes treatment swales designed per Section .1061
y
N
in lieu of the curb outlet system requirements.
or
Setbacks (i# applicablle)
QAs-built:
mN1E
'�N/A
1.
The width of the. vegetated setback is at least 50'.
Y
or
N
2.
The width of the vegetated setback has been measured from the
normal pool of impounded waters, the MHW line of tidal waters,
Y
or
N
or the to of bank of each side of rivers or streams.
3.
The vegetated setback is maintained in grass or other vegetation.
Y
or
N
4.
BUA that meets the requirements of NCGS 143-214.7(b2)(2) is
Y
N
located in the setback.
or
5.
BUA that does NOT meet the requirements of NCGS 143-
214.7(b2)(2) is located within the setback and is limited to:
a. Publicly -funded linear projects (road, greenway, or sidewalk)
Y
or
N
b. Water dependent structures
c. Minimal footprint uses such as poles, signs, utility
a urtenances, and securi li hts.
6.
The amount of BUA within the setback is minimized, and
Y
N
channeling of the runoff from the BUA has been avoided.
or
7.
Stormwater is not discharged (via Swale or pipe) through a
vegetated setback. Stormwater is released at the edge of the
Y
or
N
setback and allowed to flow through the setback as dispersed flow.
Page 6 of 7

State Stormwater Management
Permit No. SW8 190905
Oatteis
OAs-built
�NtE
6NlA
1. Stormwater outlets do not cause erosion downslope of the
discharge point during the peak flow from the 10-year storm.
Y or N
Yaria#ions
Cr?As-6ua'� -
' ®NIE '
�NfA
1. The project has variations from the MDC that were not previously
approved. (Modification may be required.)
Y or N
Deed resteictiorts (fi ap�cabie}
OAs-buili
@NtE
t�3NIR
1 Deed restrictions are recorded and ensure that the project and
the BUA will be maintained in perpetuity consistent with the
permit, approved plans, and specifications.
Y or N
Far S�6d`esrisfons Only (Residenfiaf or Commercial}
OAs-twit
@N!E
�NlA
1. The number of platted lots is consistent with the approved plans.
Y or N
2. The project area is consistent with the approved plans.
Y or N
3. The layout of the lots and streets is consistent with the approved
plan.
Y or N
4. The width /radius of streets, paved accesses, cul-de-sacs and
sidewalks is consistent with the approved plan.
y or N
5. No piping, other than those minimum amounts needed under a
driveway or under a road, has been added.
Y or N
6. The lot grading, road grading, vegetated conveyances, piping,
inverts, and elevations are consistent with the approved plans.
Y or N
Provide an explanation below for every MDC that was not met, and for every item marked "N/A" or
"N/E." Attach additional pages as needed.
Page 7 of 7

-.. DEIv1LR USEDNLY -
_ _
Date ec 'ved
Fee Paid
Permit Number
�
�
oa�b , �5=
Sw 8 ( b b5
Applicable Rule : ❑Coastal SW -1995 ❑ Coastal SW - 2008 ❑
(select all fhat apply) ❑Non -Coastal SW- HQW/ORW Waters ❑Universal
❑ Other WQ Mgmt Plan:
Ph II -Post Construction
Stormwater Management Plan
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
-- • �
STORMWATER MANAGEMENT PERMIT APPLICATIO � �,
This form may be photocopied for use as an original '� `�
I. GENERAL INFORMATION �i;-,�' �� ��i8�
1. Project Name (subdivision, facility, or establishment name -should be consistent wi xoject name on pl ,
specifications, letters, operation and maintenance agreements, etc.): BY:�-
Boiling�ring Lakes Commercial Tract
2. Location of Project (street address):
City:$oiling�ring Lakes County:Brunswick
3. Directions to project (from nearest major intersection):
From NC 87 & NC 133 take NC 87 towazd Boiling Spxing Lakes.
Site is at intersection of NC 87 and Fifty Lakes Drive
4. Latitude:34° Ol' 05" N Longitude:78° 03' 25" W of the main entrance to the project.
II. PERMIT INFORMATION:
1, a. Specify whether project is (check one): ®New ❑Modification ❑Renewal w/ Modifications
tRenewals with modificafions also requires SWU-102 —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 ❑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. ff 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)C
❑CAMA Major
❑NPDES Industrial Stormwater
❑Sedimentation/Erosion Control:1.77 ac of Disturbed Area
❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/PexmitNumber,
issue date and the type of each permit:
5. Is the project located within 5 miles of a public airport? �No ❑Yes
If yes, see S.L. 2012-200, Part VI: http://portal ncdenr org/web/h/rules-and-regulations
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:Dominion Land Cororauon
Signing Official & Title:Candice Alexander, Vice President
b. Contact information for person listed in item la above:
Street Address:110 Hinton Avenue
City:Wilmington State:NC Zip:28403
Mailing Address (if applicable):P.O. Box 3167
City:Wilmington State:NC Zip:28406
Phone: (910 ) 791-1196 Fax: [phone]
Email:[e-mail] ECEI
�..
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 InformaI'. item 2a and 2b be ow)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact orma�nf lion, 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:Shiloh Holdings LLC / Meek Earth Holdings LLC
Signing Official & Title:judia B. Sanders Manager /ludia B. Sanders, Manager
b. Contact information for person listed in item 2a above:
Street Address:110 Hinton Avenue /Same
City:Wihnington / Same State:NC Zip:28403
Mailing Address (if applicable):P.O. Box 3167/ Same
City:Wihnington State:NC Zip:28406
Phone: (910 ) 791-1196 /Same
Fax: [phone] /Same
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 &Title:
b. Contactinformation for person listed in item 3a above:
Mailing
Phone:
Fax:
4. Local jurisdiction forbuilding permits: Brunswick County
Point of Contact:Michael Slate Phone #: (910 ) 253-2047
Form SWU-101 Version Oct. 31, 2013 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below,. briefly summarizehow the stormwater runoff will b�'
2. a. If claiming vested rights, identify the supporting documents 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.If claiming vested rights, identify the regulations) 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: 20.57 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*:
20.57 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 (NHV� line or Mean High Water
(MIiW) line, and coastal wetlands landward from the NHW (or MHI� line. The resultant project area is used to
calculate overall percent built upon area. (B LIA). Non -coastal wetlands landward of the NFIW (or MHI� line map
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area /Total Project Area) X 100 = 24.00
9. How many drainage areas does the project have? 1 (For high density, count 1 for each proposed engineered
starmwater BMP. For low densihj 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 informaflon for each area
provided in the same format as below.
:Basin Information
Draina e Area 1
Draiha e Aiea
Draina e Area
Dxaina e Area _
Receiving Stream Name
Allen Creek
Stream Class *
B, SW
Stream Index Number *
18-85-1-(1)
Total Drainage Axea (sf)
895;888
On -site Drainage Area (sf)
895,888
Off -site Drainage Area (sf)
0
Pro osed Im ervious Area** (sf)
134,383
Im ervious Area** total
15
Irn ervious"Surface Area
Drainage Area 1
Drainer e Area
Drainage Area —
Drainer e Axea
On -site Buildings/Lots(sf)
6,646
On -site Sfreets (sf)
42,710
On -site Parking (sf)
-
On -site Sidewalks (sf)
849
Other on -site (sf)
D
Future (sf)
84,178
Off -site (sf)
0
Existing BUA*** (sf)
0
Total (sf):
134,383
Stream Class and Index Number can be determined at: htiy://portaLncdertr.or eaeb/zud/ps/csu/classi(zrntions
"� Impervious area is defined as the built upon area inchzding, but not limited to, buildings, roads, pnrking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6

"**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 nezu BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. N A
Protects in Union County: ContactDEMLR Central Office staffto check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per I SA NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and main
must be submitted for each BMP specified for this project. The latest versions of the forms e o oa e
fromhttp://poxtal.ncdenr.org/web/wq/ws/su/bmv-manual. �;� � �; ���
�m
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:/ /portal.ncdenr.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 applicaflon package fromhttu://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs.
1. Original and one copz,/ of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions &Protective Covenants 14
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Forms) (sealed, signed and dated) and O&M
agreements) for each BMP.
4. Permit application processing fee of $505 payable fo NCDENR. (For an Express review, refer to
http://www.envhelp.org/pages/onestopexpress.himl 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 freatment/management
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 1/z mile of the site boundary, include the I/z
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, &dated), including:
a. Development/Pxojectname.
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 MFiW 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. 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).
fox
AI
Form SWU-10] Version Oct. 31, 2013 Page 4 of 6

p. Vegetated buffers (where required). A
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify N !�
elevations in addition to depths) as well as a map of the boring locafions with the existing
elevations and boring logs. Include an 8.5"xll" 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 visif for DEMLR to verify the SI3W'P prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 4225/4225 Page No:1180/1183
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/ar 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: / /wwwsecretarystate.nc.us /Corporaflons/ CSearch.aspx
VII. DEED
AND PROTECTIVE COVENANTS
For all subdivisions, outpazcels, and future development, the appropriate property restrictions and protective
covenants aze 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 httn�//oortaLncdenr.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 signatures) below, the permit holders) 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 alI 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:T. Phillip Norris P E.
Consulting Firm: Norris & Tunstall Consulting Engineers P.C.
Mailing Address:1429 Ash -Little River Road
State:NC Zip:28420
Phone: (910 ) 287-5900 Fax: (910 ) 287-5902
Email;pnoxxisQntengineers com
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled aut, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) Tudia B. Sanders ,certify that I
own the property identified in this permit application, and thus give permission to (print or h,/pe name of person
listed in Contact Information, item la) Candice Alexander with (print or type name of organization listed in
Contact Information, item 1a) Dominion Land Corporation. 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.
Form SWU-101 Version Oct. 31, 2013 Page 5 of 6

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 DEMLIZ Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR 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.
/ /A, �
Signature: + r " •!"" Date:\j'
I, 1 4 + t l' � a Notary Public for the State of � County of
e
} �e� y yy do hereby certify that ter+_ RD personally appeared
before me thig): )!%day of \�, 32.n an acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
tooloO rA F o
HF<e
to
P,to
It F
It 0
to
NOTARY a,
=w : Nit
a
to
to
:2ft
a • _ ?' .to
X. APPLICANT'S CERTIFICATION
SEAL
My commission expires i
I, (print or type name of person listed in Contnct Inforntntion, item 1n) Cmidice Atetnnder
d
certify that the information included on this permit application form is, to the Uest of my knowledge, correct an
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rulers under 15AA NCAC�2HH ..�1000 and any other applicable state stormwater requirements,
Sionahrre: ti./ LJt &� 4 LI Date: •SkC) I �J
a /Notary Public for the State of K) ((' , County of
do hereby certify that t cr o, rwr 0 A personally appeared
before me thief day of l
and acknowledge the due execution of the application for
I
a stormwater permit. Witness my hand and official seal,�� �
SEAL
KO
My commission expires ��." L �'�'
Form SWU-l01 Version Oct. 31, 2013 Page 6 of 6.

As the legal property owner I acknowfedge, understand, and agree by my signature below, that if my designated
agent (entity fisted in Contact Information, item 1) dissolves their company and/or cancels or defau Its on their
lease agreement, or pending sale, responsibility for compliance with the DEMI.R Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMI.R 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 $25,000 per day, pursuant to NCGS 143-215.0.
Signature: > d Dater Vie'`"�
10 �� i a a Notary Public for the State ofCounty of
%1rr yg do hereby certify that 4Personally appeared
before me thi$t day of k� -, anal acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seat,
.•`�y W Hmoo FF� .
P N O TA *foe .
• °UL I of
.v
rff I
ir.'•.. me**1?fe
X. APPLICANT'S CERTIFICATION
SF,AT_,
My commission expires_1 Cat`_
I, (print or type xmne of person listed in Co+ttnct tetfarnrntinn, item ln) Caedice A(esander
certify that the krformauon iru a ed ou this permit ippl cation form is, to the Uest of my knowledge, cotteet and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 2H .1000 and any other applicable state stormwater requirements.
Date: -
1 �� � .`� ry� t` •� , a IVotarq Public for the State of !\,I (( County of
J= do hereby certify thatr
n r c i� n n�personally appeared
before me this--- day of and acknowledge the clue execution of the application for
a stormwater permit. Witness my hand and official seat, _ � y I
,y�HEEC$,Q
of Np C ARY s
PUgL�Goft
of
eo
Aft
cIft
",Aft
+a Sfok
w1CK GoJ e
ttts#4Nate``
SEAL
Niy cnmmissfon exph es, �'l�r� �• I � --� %� `�'
Form S6VU-1 O I Version Oct. 31, 2013 Page 6 of

SUPPLEMENT�EZ COVER PAGE
LOAD uT LcMEN Cogg's
PROJECT INFORMATION
13
Project Name
" Boiling Spring Lakes G_ommercial Tract
2
Project Area (ac)
20.57 -
3
Coastal Wetland Area (aQ)
- 0 -
4
Surface Water Area ac
... 0-
5
Is this project High or Low Density?
Low
6
Does this project use an off -site SCM?
.' No
7
Width of vegetated setbacks provided feet
N/A- `
8
Will the vegetated setback remain vegetated?
- N/A--
9
Is BUA other that as listed in .1003 4 c-cf0U1 of the setback?
N/A
10
is streambanksiebilization proposed on this project?
N/A. --
NUMBER ANO.TKPE OF SCMsi
Infiltration System
11
12
Bioretention Cell
0.
13
Wet Pond
- 0
14
Stormwater Welland
- - 0
15
Permeable Pavement
- -0
16
Sand Filter
- 0_ '
17
Rainwater Harvesting RWH
0-
18
Green Roof
- 19
Level S reader -Filter Strip LS-FS
- -0- - _-
20
_
Disconnected Impervious Surface DIS
0
21
Treatment Swale
_
- 0 --
22
Dry Pond
- 0
23
StormFilter
0_
24
Silva Cell
0
25
Bay8lter
-0. -
26
Filters
- -0 -
LOAD SUPPLEMENT FORMS
DESIGNER CERTIFICATION
27
Name and Title:
J. Philli -Norris, P:E.
28
Organization:
Norris & Tunstall Consulbn 'En gineers, P.E.
29
Street address:
1429 Ash -Little -River Road -
30
City, State, Zip:
Ash, NC 28420 -
31
Phone number(s):
910=287 5900 - -
32
Email; TT
pnonis@nlen9ineers,conn
Cert ficalion Statement.
I certify, under penalty oPlaw inat this Supplement EZ formand all supponing information were prepared under my direction or
supervision; that the information provided in the farm is, to the best ofmy knowledge and belief, true, accurate; and complete; and
that the engineering plans, specifications, operation and maintenance agreements and other supporting information are consistent
with the information provided here.
8 EDXL
Date k � {

DRAINAGE AREAS
1
Ils this a high density project?
No
2
If so, number of drainage areas/SCMs
1
3
Is all/part of this project subject to previous rule
versions?
No
FORMS LOADED
DRAINAGE AREA INFORMATION y
Entire Site °
4 IType of SCM T
N/A
5
Total BUA to project (sq ft)
50205 sf
_
New BUA on subdivided lots (subject to permitting)
6
(sq ft)
0 sf
New BUA outside of subdivided lots (subject to
7
permitting) (sf)
50205 sf
8
Offsite - total area (sq ft)
0 sf
9
Offsite BUA (sq ft)
0 sf
10
Breakdown of new BUA outside subdivided lots:
. Parkin sq ft)
- Sidewalk (sq ft)
849sf
. Roof (sq ft)
6646 sf
. Roadway sq ft)
42710 sf
. Future (sq ft
0 sf
. Other, please specify in the comment box
below (sq ft)
0 sf
New infiltrating permeable pavement on subdivided
111
lots (sq ft)
0 sf
New infiltrating permeable pavement outside of
12
subdivided lots (sq ft)
0 sf
Exisitng BUA that will remain (not subject to
P_
13permitting)
s ft)
0 sf
{ 14
Existing BUA that is already permitted (sq ft)
0 sf
15
Existing BUA that will be removed sq ft
0 sf
16 lPercent
BUA
5.6%u
17
IDesign storm (inches)
1.5 in
18
[Design volume of SCM (cu ft)
N/A
19 !Calculation
method for design volume
N/A FI
f ADDITIONAL INFORMATION
® Please use this space to provide any additional information about the
20 ,drainage area(s):
'Drainage Area: 65,909 sf (1.51 ac)
I

LOW DENSITY
DESIGN REQUIREMENTS FOR LOW DENSITY PROJECTS FIROM 02H 1003
1
Is project below density thresholds set forth in the applicable stormwater rule? -
Yes
2
Does project maximize dispersed flow and minimize channelization of flow?
Yes
3
Has the use of piping been minimized per.1003(2)(c)?
Yes
4
Side slopes of the vegetated conveyances (H:V)
4:1
5
Maximum velocity in the vegetated conveyances during the 10-year storm?
3 ft/sec
6
Are curb outlet swales proposed?
Yes
7
Maximum longitudinal slope of curb outlet swale(s) (%)
1.4%
8
Bottom width of curb outlet swale(s) (feet)
2 R
9
Maximum side slope of curb outlet swale(s) (H:V)
3:1
10
Minimum length of curb outlet swale(s) (feet)
100 It
11
Are treatment swales used instead of curb outlet swales?
No
12
Is stormwater released at the edge of the setback as dispersed flow?
N/A
13
1
Have stormwater outlets been designed to prevent downslope erosion?
Yes
14
Are variations to rule A 003 proposed?
No
ADDITIONAL INFORMATION
15-
Please use this space to provide any additional information about this low density project:
i
G
Grass matting used where velocties exceed 2.0 ft/sec
Swale
#
Drainage
Area
ae
BUA
(ac)
Pervious
area
ac
C
i
II Q
I
i (cfs)
i Slope
! (�)
V,ii,„,
(fps)
yam i
(fps)
Flow depth (ft)
1
0.44
0.31
0.13
0.69
2.24
1.4
5.0
2.95
0.27
2
0.30
0.24
0.06
0.76
1.63
1.2
5.0
2.50
0.24
_
3
0.17
0.15
0.02
0.83
3.24
0.8
5.0
2.72
0.38
4
0.60
0.45
0.15
0.73
4.61
0.8
5:0
3.00
0.47
5
6
7
7
6
!
t
(
9
10
11
12
13
14
15
16
_
17
18
19
20
21

Project Name:
Project Location:
cover Page
m
set
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 BMP(s) on this project include (check all that apply & c<
Bioretention Cell Quantity:
Dry Detention Basin Quantity:
Grassed Swale Quantity:
Green Roof Quantity:
Infiltration Basin Quantity:
Infiltration Trench Quantity:
Level SpreaderNFS Quantity:
Permeable Pavement Quantity:
Proprietary System Quantity:
Rainwater Harvesting Quantity:
Sand Filter Quantity:
Stormwater Wetland Quantity:
Net Detention Basin Quantity:
Disconnected Impervious Area Present:
User Defined BMP Present:
O&M tables
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Locatlon(s):
Location(s):
Location(s):
Locabon(s):
Location(s):
Location(s):
Location(s):
I acknowledge and agree by my signature below that I am responsible for {he performance of the maintenance procedures listed for
each BMP above, and attached O&M tables. I agree to notify NCDENR of any problems with the system or prior to any changes to
the system or responsible party.
Corporation
* Responsible Party:
Titie
&Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
Dominion Land
vice President, Candice Alexander
P.O. Box 3167
Wilmington, NC 28406
99 0- 791 =1 196
sancohomes sancohomes.com
Signature: Date: I . —
a
I, \' a Notary Public for the State of ; . < _.,
County of tt,pU.7> �nNr e c— do hearby certify that conc\\C i%
personally appeared before me this (3 day ofand
acknowledge the due execution of the Operations and Maintenance Agreement
Witness mX�gafrdrailcj official seal, c�1�
WH J' ECEVE
,PNOTARY as a
�r 5
Co
,AtiMe PUBLIC 'U 8Y:
s�k mswaa �
ST •���Ir �••�� 8/20/201g
Version 1.4 O&M Manual Page 1 of 3

Seal My commission expires
STORM-EZ 8/16/2019
Version 1.4 O&M Manual Page 2 of 3

Grassed Swale Maintenance Requirements
Important maintenance procedures:
The drainage area of the grassed swale will be carefully managed to reduce the sediment load to the grassed
Swale.
After the
first-time fertilization to establish the grass in the swale,
fertilizer will not be applied to the
grassed
Swale.
The grassed
swale will be inspected once a
quarter. 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 problem:
How to remediat0 the problem:
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 entire length of the
Trash/debris is present.
Remove the trash/debris.
swale
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, and then re -sod (or
erosive gullies have formed.
plant with other appropriate species) and water until established.
Provide lime and a one-time fertilizer application.
Sediment covers the grass at
Remove sediment and dispose in an area that will not impact streams
the bottom of the swale.
or BMPs. Re -sod if necessary.
Vegetation is too short or too
Maintain vegetation at a height of approximately six inches.
long.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Department of Environment and Natural
damage have occurred at the
Resources Regional Office.
outlet.
STORM-EZ 6/16/2019
Version 1.4 O&M Manual Page 3 of 3