SW8061114_Current Permit_20070226

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
February 26, 2007
Martin Debrovner, Vice Chairman
Weingarten Nostat, Inc.
9420 Forum Drive, Suite 101
Raleigh, NC 27615
Subject: Stormwater Permit No. SW8 061114
Waterford Commercial Development
Project served by an Offsite System
Brunswick County
Dear Mr. Debrovner:
The Wilmington Regional Office received a complete Stormwater Management Permit Application
for Waterford Commercial Development on February 23, 2007. Staff review of the plans and
specifications has determined that the project, as proposed, will comply with the Stormwater
Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No. SW8 061114,
dated February 26, 2007, for the construction of 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This permit shall be effective from the date of issuance until rescinded and shall be subject to the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.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following receipt
of this permit. This request must be in the form of a written petition, conforming to Chapter 150B of
the North Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O.
Drawer 27447, Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final
and binding.
If you have any questions, or need additional information concerning this matter, please contact
either Rhonda Hall or me at [phone].
Sinc y,
Ed Beck
Regional Supervisor
Surface Water Protection Section
ENB/rbh: S:\WQS\STORMWAT\PERMIT\061114.feb07.
cc: Richard M. Collier, PE, McKim & Creed PA
Brunswick County Building Inspections
Bert Exum, WDV, LLC
Rhonda Hall
Wilmington Regional Office
Central Files No-tthCarolina
NaturallY
North Carolina Division of Water Quality 127 Cardinal Drive Extension Wilmington, NC 28405 Phone [phone] Customer Service
Wilmington Regional Office Internet: www.ncwaterguality.org Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycledl10% Post Consumer Paper

f/ State Stormwater Management Systems
Permit Number SW8 061114
5 STATE OF NORTH CAROLINA
�� ZU PF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
i
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
SERVED BY AN OFF -SITE STORMWATER CONTROL
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
Martin Debrovner, Weingarten Nostat, Inc.
Waterford Commercial Development
Brunswick County
FOR THE
construction or' impervious areas with runoff to be treated in an offsite permitted stormwater
facility, in compliance with the provisions of 15A NCAC 2H .1000 (hereafter referred to as
the "stormwater rules') and the approved stormwater management plans and specifications
and other supporting data as attached and on file with and approved by the Division of
Water Quality and considered a part of this permit. The stormwater runoff from the site will
be routed to non -discharging series of wet detention ponds operated and maintained by
Bert Exum, WDV, LLC under the terms and conditions set forth in Permit No. SW8 020510.
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
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. The runoff associated with this project has been approved to be discharged into a
stormwater management system permitted under SW8 020510. as described in
Section 1.10 on pages 4 thru 7 of this permit.
3. The built -upon area allotted to this development by Stormwater Management Permit
No. SW8 020510, is 1,075,751 square feet. This project proposes 1,075,751 square
feet. The maximum built -upon area allotted to each outparcel associated with this
development is as follows:
Description of Area
Outparcel 1
Outparcel 2
Outparcel 3
Outparcel 4
Outparcel 5
Outparcel 6
BUA ft2
55,539 ft2
54,799
55,169
56,650
55,539
370,845
CAAQoccel5 l- S-
r
�0.�c�5 ZEE1�
07 St
Page 2 of 10

State Stormwater Management Systems
Permit Number SW8 061114
4. Approved plans and specifications for this project are incorporated by reference and
are enforceable parts of the permit.
5. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. T he final plats for the project will be recorded
showing all such required easements, in accordance with the approved plans.
6. The runoff from the permitted built -upon area must be directed into the permitted
stormwater system.
7. Each outparcel within the development whose ownership is not retained by the
permittee, must submit a separate Offsite Stormwater Management Permit application
package to the Division of Water Quality and receive a permit prior to any construction
on the lot
8. Prior to the sale of any lot, the following deed restrictions must be recorded:
a. The following covenants are intended to ensure ongoing compliance with State
Stormwater Management Permit Number SW8 020510, as issued by the Division of
Water Quality under NCAC 2H.1000.
b. The State of North Carolina is made a beneficiary of these covenants to the extent
necessary to maintain compliance with the Stormwater Management Permit.
C. These covenants are to run with the land and be binding on all persons and parties
claiming under them.
d. The covenants pertaining to stormwater may not be altered or rescinded without the
express written consent of the State of North Carolina, Division of Water Quality.
e. Alteration of the drainage as shown on the approved plans may not take place
without the concurrence of the Division of Water Quality.
f. The maximum built -upon area for the outparcel(s) or future development area
shown of the approved plans is as follows:
Description of Area B U A (ft2)
Outparcel 1
55,539 ft2
Outparcel 2
54,799
Outparcel 3
55,169
Outparcel 4
56,650
Outparcel 5
55,539
Outparcel 6
370,845
This allotted amount includes any built -upon area constructed within the lot property
boundaries, and that portion of the right-of-way between the front lot line and the
edge of the pavement. Built upon area includes, but is not limited to, structures,
Page 3 of 10

State Stormwater Management Systems
Permit Number SW8 061114
asphalt, concrete, gravel, brick, stone, slate, coquina and parking areas, but does
not include raised, open wood decking, or the water surface of swimming pools.
g. Lots within CAMA's Area of Environmental Concern may be subject to a reduction
in their allowable built -upon area due to CAMA regulations.
h. The runoff from all built -upon area within the outparcel or future development area
must be directed into the permitted stormwater control system.
i. Built -upon area in excess of the permitted amount will require a permit modification.
j. The connection from the outparcel's collection system into the stormwater control
shall be made such that short-circuiting of the system does not occur.
k. For those outparcels or future development areas whose ownership is not retained
by the permittee, the new owner shall submit a separate Offsite Stormwater
Management Permit application package to the Division of Water Quality and
receive a permit prior to any construction on the lot.
9. A copy of the recorded deed restrictions must be submitted to the Division within 30 days
of the date of recording the plat, and prior to selling lots. The recorded copy must contain
all of the statements above, the signature. of the Permittee, the deed book number and
page, and the stamp/signature of the Register of Deeds.
10. The following design elements have been permitted for this non -discharging series of wet
detention ponds stormwater facility, and must be provided in the system at all times.
a. Drainage Area, acres: 578.90
Onsite, ft2: 25,216,877
Offsite, ft2: None
b. Total Impervious Surfaces, ft2: 9,874,356
Tract A
Roads, ft2: 233,430
Sidewalk/Parking, ft2: 10,459
Total, ft2: 243,889
Tract B
163 Lots, ft2: 815,000
Roads, ft2: 244,322
Sidewalk/Parking, ft2: 24,394
Total, ft2: 1,083,716
Tract C
96 Lots, ft2: 345,430
Roads, ft2: 117,612
Sidewalk/Parking, ft2: 3,049
Total, ft2: 466,091
Page 4 of 10

State Stormwater Management Systems
Permit Number SW8 061114
Tract D
Buildings, ft2: 6,970
Sidewalk/Parking, ft2: 78,408
Other, ft2: 61,420
Total, ft2: 146,798
Tract E
Future, ft2: 653,400
Tract F
Future Lot 1, ft2: 64,613
Future Lot 2, ft2: 27,019
Future Lot 3, ft2: 29,029
Total, ft2: 120,661
Tract G
138 Lots, ft2: 595,030
Roads, ft2: 207,346
Total, ft2: 802,376
Tract H
52 Lots, W. 311,890
Roads, ft2: 77,101
Sidewalk/Parking, ft2: 1,307
Total, ft2: 390,298
Tract I
41 Lots, ft2: 328,000
Roads, ft2: 103,673
Sidewalk/Parking, ft2: 1,307
Total, ft2: 432;980
Tract J
177 Lots, ft2:
921,730
Roads, ft2:
311,839
Sidewalk/Parking, ft2:
3,485
Total, ft2:
1,237,054
Tract K
Future Lot K1, ft2: 1,075,751
Future Lot K2, ft2: 180,950
Total, ft2: 1,256,701
Tract L
177 Lots, ft2:
969,550
43 Townhomes, ft2:
143,748
Roads, ft2:
385,070
Sidewalk/Parking, ft2:
61,855
Total, Tt2:
1,560,223
Page 5 of 10

State Stormwater Management Systems
Permit Number SW8 061114
C.
d.
e.
f.
9•
h.
Tract M
Future, ft2:
Tract N
Future, ft2:
Pond Depth, feet: 6
TSS removal efficiency: 90%
Design Storm: 4", non -discharging pond
Permanent Pool Elevation, FMSL:
1,061,122
419,04
Pond 1, FMSL:
21.0
Pond 2-5, FMSL:
20.0
Pond 3, FMSL:
2 1. 5
Pond 4, FMSL:
23.0
Pond 5, FMSL:
20.0
Pond 8, FMSL:
19.0
Pond 9, FMSL:
21.0
Pond 10, FMSL:
22.0
Pond 11, FMSL:
22.0
Pond 12, FMSL:
22.0
Pond 13, FMSL:
22.0
Pond 14, FMSL:
20.0
Permitted Surface Area @PP, ft2:
3,123.260
Permitted Storage Volume, ft3:
3,636,768
Storage Elevation, FMSL:
Pond 1, FMSL:
23.0
Pond 2-5, FMSL:
22.0
Pond 3, FMSL:
23.5
Pond 4, FMSL:
23.0
Pond 5, FMSL:
22.0
Pond 8, FMSL:
20.0
Pond 9, FMSL:
22.0
Pond 10, FMSL:
23.0
Pond 11, FMSL:
23.0
Pond 12, FMSL:
23.0
Pond 13, FMSL:
23.0
Pond 14, FMSL:
22.0
Page 6 of 10

State Stormwater Management Systems
Permit Number SW8 061114
j. Controlling Orifice:
k. Permanent Pool Volume, ft3 :
1. Forebay Volume, ft3:
m. Maximum Fountain Horsepower:
n. Receiving Stream / River Basin:
o. Stream Index Number:
p. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
n/a, non -discharging pond
n/a
n/a
Jackeys Creek/Cape Fear
18-77-3
"C• Sw"
The offsite 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 associated with this project.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately.
3. The permittee is responsible for keeping. the stormwater collection system on the lot
clear of debris, and keeping the site stabilized in accordance with the requirements of
the NC Erosion and Sediment Control Design Manual.
4. Bert Exum, WDV, LLC, shall, at all times, provide the operation and maintenance
necessary to assure the permitted stormwater management system functions at
optimum efficiency. The approved Operation and Maintenance Plan must be followed
in its entirety and maintenance must occur at the scheduled intervals including, but not
limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
c. Mowing and revegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device and catch basins
and piping.
g. Access to the outlet structure must be available at all times.
5. The permittee shall submit to the Director and shall have received approval for revised
plans, specifications, and calculations prior to construction, for any modification to the
approved plans, including, but not limited to, those listed below:
a. Any revision to the approved plans, regardless of size.
b. Project name change.
Page 7 of 10

State Stormwater Management Systems
Permit Number SW8 061114
c. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further subdivision, acquisition or selling 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 LAMA Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
6. The Director may determine that other revisions to the project should require a
modification to the permit.
7. Bert Exum, WDV, LLC, must keep records of maintenance activities and make them
available upon request to authorized personnel of DWQ. The records will indicate the
date, activity, name of person performing the work and what actions were taken.
8. This permit shall become voidable unless the facilities are constructed in accordance
with the conditions of this permit, the approved plans and specifications, and other
supporting data.
9. Bert Exum, WDV, LLC, is responsible for providing, prior to issuance of a Certificate of
Occupancy, and prior to operation of the permitted stormwater management facility, a
certification from an appropriate designer for the system installed, certifying that the
permitted facility has been installed in accordance with Stormwater Permit No. SW8
020510, the approved plans and specifications, and other supporting documentation.
Any deviations from the approved plans and specifications must be noted on the
Certification.
10. A copy of the approved plans and specifications shall be maintained on file by the
Permittee for a minimum of ten years from the date of the completion of construction.
11. This development is limited to the amount of built -upon area indicated in the
supporting calculations and per approved plans. The project must have a built -upon
area less than or equal to the amount permitted under Stormwater Permit No. SW8
020510. Additional built -upon area will require a modification to the overall Permit.
12. Bert Exum, WDV, LLC, must record any deed restrictions as required by their permit,
and they must verify that the proposed built -upon area does not exceed the allowable
built -upon area. Once the lot transfer is complete, the built -upon area may not be
revised without approval from the permittee, and responsibility for meeting the built -
upon area limit is transferred to the individual property owner.
13. The drainage features shown as a part of the stormwater management system on the
approved plan shall not be filled in, altered, or piped by any party without first
submitting a revision to the permit and receiving approval from the Division.
14. 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
Page 8 of 10

State Stormwater Management Systems
Permit Number SW8 061114
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
This permit is not transferable except after notice to and approval by the Director. In
the event there is a desire for the facilities to change ownership, or there is a name
change of the Permittee, a formal permit request must be submitted to the Division of
Water Quality accompanied by an application fee, documentation from the parties
involved, and other supporting materials as may be appropriate. The approval of this
request will be considered on its merits and may or may not be approved. The
permittee is responsible for compliance with all terms and conditions of this permit
until such time as the Director approves the permit transfer.
2. Failure to abide by the conditions and limitations contained in this permit may subject
the Permittee to enforcement action by the Division of Water Quality, in accordance
with North Carolina General Statute 143-215.6A to 143-215.6C.
3. The issuance of this permit does not preclude the Permittee from complying with any
and all statutes, rules, regulations, or ordinances which may be imposed by other
government agencies (local, state, and federal) which have jurisdiction.
4. In the event that the offsite stormwater facilities fail to perform satisfactorily, including
the creation of nuisance conditions, Bert Exum, WDV, LLC is responsible for taking
immediate corrective action, including those as may be required by this Division, such
as the construction of additional or replacement stormwater management systems.
5. The permittee grants permission for DENR Staff to enter the property for the purpose
of inspecting all components of the permitted stormwater management facility.
6. The permit may be modified, revoked and reissued or terminated for cause. The filing
of a request for a permit modification, revocation and reissuance or termination does
not stay any permit condition.
7. The permittee shall notify the Division of any name, ownership or mailing address
changes within 30 days.
Permit issued this the 26th day of February, 2007.
LINA ENVIRONMENTAL MANAGEMENT COMMISSION
for AlanW. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW8 061114
Page 9 of 10

State Stormwater Management Systems
Permit Number SW8 061114
Stormwater Project Number SW8 061114
Waterford Commercial Development
Brunswick 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.
Required Items to be checked for this certification to be considered complete are on page 2
of this form.
Noted deviations from approved plans and specifications:
SEAL
Signature
Registration Number
Date
Certification Requirements:
The project contains no more than the permitted amount of built -upon area.
2. All the built -upon area associated with the project that is required to drain to
the offsite system, is graded such that the runoff drains to the system.
3. The project has been stabilized with permanent vegetation to prevent erosion.
4. Vegetated slopes are no steeper than 3:1.
5. Roof drains are located such that building runoff drains into the system.
6. The inlet from this project into the approved offsite system is located per the
approved plans and does not cause short-circuiting.
cc: NCDENR-DWQ
Brunswick County Building Inspections
Page 10 of 10

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an o1 iginal
1. GENERAL INFORMATION:
1. Applicant's name (specify the name of the corporation, individual, etc, who owns the project):
Weingarten Nostat, Inc.
2. Print Owners/Signing Official's name and title (the person legally responsible for facility and compliance):
Martin Debrovner, Vice Chairman
3. Mailing Address for person listed in item 2 above:
9420 Forum Drive, Suite 101
City: Raleigh State: NC
Telephone Number: [phone]
Zip: _27615
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Waterford Commercial Development
5. Location of Project (street address):
Olde Waterford Way
City: Leland County:
6. Directions to project (fro;n nearest major intersection):
Brunswick
South from US 421 S / NC 133 S Q.18 miles). West on US 421 S / NC 133 S / US 74/76 W (3.02 miles).
South on US 1710.73 boles). Right onto Olde Waterford Way (0.12 miles)
7. Latitude: 34' 13'09"N
Longitude: 78' 01' 10"W
S. Contact person who can answer questions about the project:
Name; Richard M. Collier, PE Telephone Number: [phone]
H. PERMIT INFORMATION:
of project
1. Specify whether project is (check one): X New Renewal Modification
2. If this application is being submitted as the result of a renewal or modification to an existing permit, list
the existing permit number and its issue date (if known)
Form: SWU-101 Version 3.99 Page 1 of

3. Specify the type of project (check one):
❑ Low Density ❑ High Density ❑ Redevelop ❑ General Permit ® Other
4. Additional Project Requirements (check applicable blanks):
❑ CAMA Major ® Sediment/Erosion Control ❑ 404/401 Permit ❑ NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center
at 1-877-623-6748.
III. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
Stormwater will be treated thru an existing wet pond system
2. Stormwater runoff from this project drains to the Cape Fear River basin.
3. Total Project Area: 29.05 acres 4. Project Built Upon Area: 85.0 %
5. How many drainage areas does the project have? 1
6. Complete the following information for each drainage area. If there are more than two drainage areas in
the project, attach an additional sheet with the information for each area provided in the same format as
below.
Basin Information
Drainage Area
Drarnage Area
Receiving Stream Name
Jacke 's Creek
SEE ATTACHMENT A
Receiving Stream Class
C; Sw
Drainage Area
29.05 ac (1,265,590 sf)
Existing Impervious* Area
0 ac
Proposed Impervious* Area
24.70 ac (1,075,751 sf)
Impervious* Area total
85.0 %
Impervious* Surface Area
Drainage Area
Drainage Area
On -site Building Lots
2.22 ac (96,671 sf)
SEE ATTACHMENT A
On -site Asphalt Road
2.20 ac (95,919 sf)
On -site Parking
5.10 ac (222,203 sf)
On -site Sidewalks
0.29 ac (12,417 sf)
Other on -site future
14.89 ac (648,541 sf)
Off site
0 sf
Total:
24.70 ac (1,075,751 s
• Impervious area is defined as the built upon area including, but not limited to, buildings, roads,
parking areas, sidewalks, gravel areas, etc.
Form: S`N`J-101 Version 3.99 Page 2 of 4

7. How was the off -site impervious area listed derived?
AutoCAD file
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, out parcels and future development prior to sale of any lot. If lot sizes vary significantly, a table
listing each lot number., size and the allowable built upon area for each lot must be provided as an attachment.
The following covenants are intended to ensure ongoing compliance with state management permit
number as issued by the Division of Water Quality. These
covenants my not be changed or deleted without the consent of the State.
2. No more than see attachment A square feet of any lot shall be covered by structures or impervious
materials. Impervious materials include asphalt, gravel, concrete, brick, stone, slate or similar
material but do not include wood decking or the water surface of swimming pools.
3. Swales shall not be filled in, piped, or altered except as necessary to provide driveway crossings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit
modification prior to construction.
5. All permitted runoff from out parcels or future development shall be directed into the permitted
stormwater control system. These connections to the stormwater control system shall be performed
in a manner that maintains the integrity and performance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable item required above, that the covenants will be binding on all parties and persons
claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form (s) listed below must be submitted for each
BUT specified for this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms.
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-105
Curb Outlet System Supplement
Form SWU-106
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Form: SWU-101 Version 3.99 Page 3 of 4

VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality
(DWQ). A complete package includes all of the items listed below. The complete application package
should be submitted to the appropriate DWQ Regional Office.
1. Please indicate that you have provided the following required information by initialing in the space
provided next to each item.
Initials
• Original and one copy of the Stormwater Management Permit Application Form AW
• One copy of the applicable Supplement Form(s) for each BMP 1
• Permit application processing fee of $420 (payable to NCDENR)
• Detailed narrative description of stormwater treatment/management:
• Two copies of plans and specifications, including:
- Development/Project name
- Engineer and firm
- Legend
- North arrow
Scale
- Revision number & date
- Mean high water line
- Dimensioned property/project boundary
Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section:
Designated agent (individual or firm): Richard M. Collier, PE, McKim & Creed PA
Mailing Address: 243 North Front Street
City: Wilmington State: NC
Phone: [phone] Fax: [phone]
VIII. APPLICANT'S CERTIFICATION
Zip
28401
I, (print or type name of person listed in General Information, item 2) Martin Debrovner
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in co rmance with the approved plans, that the required deed restrictions and
protective coven is will b recorde , an t the proposed project complies with the requirements of 15A NCAC
Legal2H.1000.
Signature: LDate: /- //_ 07
Martin Debrovner
Vice Chairman of Manager
Form: SWU-101 Version 3.99 Page 4 of 4

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Permit No. 6A l0 I I I q
(o be provided by DWQ)
State of North Carolina Department of Environment and Natural Resources Division of
Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
OFF -SITE SYSTEM SUPPLEMENT
FOR DEVELOPMENT DRAINING TO PERMITTED OFF -SITE TREATMENT SYSTEMS
This form may be photocopied for use as an original
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater management permit application, an
off -site system supplement for each off -site stormwater treatment system, appropriate supplement forms for any
on -site stormwater treatment systems, and plans and specifications showing all stormwater conveyances and
drainage details for the project.
I. PROJECT INFORMATION
Project Name: Waterford Commercial Development _
Contact Person: Richard M. Collicr, PE Phone Number: [phone]
Is all drainage from the project directed to the off -site system? ® Yes ❑ No
II. OFF -SITE SYSTEM INFORMATION (please complete the following information for the off -
site system that will treat runoff from your project):
Permit No SW8 020510 Modification
Project Name: Waterford
Type of System (wet pond, infiltration basin, etc.): Wet Pond
Lot No. (if part of a subdivision): NA
How much built upon area draining to the permitted treatment system has been allocated to this project? 24.7VAC
III. REQUIRED ITEMS CHECKLIST
Prior to issuing an off -site permit, verification of the following information must be provided. Initial in the space
provided to indicate that the following requirements have been met and supporting documentation is attached. If
the applicant has designated an agent in the Stormwater Management Permit Application Form, the agent may
initial below. If a requirement has not been met, attach justification.
Form SWU-106 Ver 3.99 Page 1 of 2

Applicants Initials
( a. Deed restrictions limiting the built -upon area on the site have been recorded.
b. Engineers certification for the existing off -site system has been submitted to DWQ.
c. There are no outstanding Notices of Violation for the off -site system.
d. Off -site system is in compliance with the issued permit.
IV. STORMWATER COLLECTION SYSTEM MAINTENANCE REQUIREMENTS
1. Mowing will be accomplished as needed according to the season. Grass height will not exceed six inches
at any time.
2. Accumulated sediment and trash will be removed from the collection system as necessary. Swales and
ditches will be reseeded or sodded following sediment removal.
3. Eroded areas of swales and ditches will be repaired and reseeded. Swales and ditches will be revegetated
as needed based on monthly inspections.
4. The collection system, including catch basins, curb cuts, velocity reduction devices, and piping, will be
inspected monthly or after every significant runoff producing rainfall event. Trash and debris will be
cleared away from grates, curb cuts, velocity reduction devices, and piping.
5. The collection system may not be altered in any way without prior approval from NCDENR Division of
Water Quality.
I acknowledge and agree by my signature below that I am responsible for maintaining the stormwater collection
system in accordance with the five maintenance procedures listed above. I agree to notify DWQ of any problems
with the system or prior to any changes to the system or responsible party.
Print Name and Title: Martin Debrovner. Vice Chairman
Address: 9420 Forum Drive Suite 101 Raleigh NC 27615
Ilegal Phone: [phone] Date: %lip a1 O4
Signature: — 'VI�L'
Note:
1 ne legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and a
resident of the subdivision has been named the president.
I, L)S j f V �/. AAL , a Notary Public for the State of '—rizXt1 !
County of d6gg s , do hereby certify that &M Win/ b 9B491141 .
personally appeared before me this day of / 6I1El ,80— , s�;�, and
acknowledge the due execution of
the f going infiltration basin maintenance requirements. Witness my hand
and official seal, ✓� (.x ^�5ss5--
SUSAN V. JULIAN
kV Ca --batonDPWoeo��ood
SEAL My com
Form SWU-106 Ver 3.99 Page 2 of 2