SW7060312_HISTORICAL FILE_20191030

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STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
DOC DATE
2W
YYYYMMDD

Thorpe, Roger
From: Will Norrell <[e-mail]>
Sent: Wednesday, October 30, 2019 9:24 AM
To: Thorpe, Roger
Subject: RE: [External] Fwd: [External]FW: Stormwater Permits
P2119M External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
€C ?(, wt o ir_.ficV
Roger,
have reached out to our client and the project and facility is still known as "Academi". The facility you mention below
has not been built, and per our client "the permit Roger references was never built and will likely never be built, so the
certification is not necessary". Thanks again for your help!
Will Norrell
Attorney at Law
Hornthal, Riley, Ellis & Maland, LLP
Telephone: [phone], ext 305
Direct Dial: 252-338-4166
Fax: [phone]
Elizabeth City Office: 301 East Main Street, Elizabeth City, NC 27909
Nags Head Office: 2502 S Croatan Hwy, Nags Head, NC 27959
Email: [e-mail]
Website: www.hrem.com
Important Notice: This email is sent by a law firm and may contain information that is intended to be privileged from disclosure or confidential. If
you received this email in error, please delete this email and all attachments, and contact the sender so we may update our records, Dissemination,
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viruses or other defects in this e-mail or any attached document. Thank you.
From: Thorpe, Roger[mailto:[e-mail]]
Sent: Tuesday, October 29, 2019 4:26 PM
To: Will Norrell
Subject: RE: [External] Fwd: [External]FW: Stormwater Permits
—Warning) The source of this email is from outside of the firm.<<
Will
have come up with a couple of questions.
The entire complex was originally called Blackwater then it was called ACADEMI. What is it called now? Does the whole
site have a project name. Would it be called Stonebriar?
Next question: We did not receive a designer's certification for SW7070907 — CQD Facility. Has it been constructed yet, if
not a certification is not needed.
Thanks
Roger

NSFER TAX AMOUNT 3 `
TEICOLLECTOR ' -
Ol1CC'Or That iklin�}ticnt Tatltaa
Date By:Crrtaficarion
exp' Jan. 6'h of year follow�ag certification tlale.
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Excise Tax: $46,730.00�,_
Doc No: 143571
Recorded: 06/12/2019 03:32:28 PM
Fee Amt: $26.00 Page 1 of 15
•,Excise Tax: S46,730.00
Currituck Countv North Carolina
Denise A. Hall, Register of Deeds
BK 1486 PG 908 - 922 (16)
CAROLINA SPECIAL WARRANTY DEED
Tax Lot No. rX ___ Parcel Identifier No. #00 17-000-000 1 A-0000,
#0012-000-000-0000,90012-000-0002-0000,40017-000-0002-0000_
Verified by County on' the day of , 20
by
Mail after recording to: Andrew 'I0rr0Esq., Vedder Price P.C., 222 N. LaSalle Street, Suite 2500, Chicago, 11, 60601
'phis instrmnent was prepared by: W. 13ro Mitchell, Esq., Horntbal, Riley, Ellis & Maland, L.L.P., 301 East Main Street,
Eliza h ity, NC 27909;
Andrew re, Esq., Vedder Price P.C., 222 N. LaSalle Street, Suite 2400, Chicago, IL
60601
R_�ICTTWO-A: #00 17-000-0001 A-0000
Brief Description for the Index IKgCT TWO-B: 90012-000-0001-0000
PARC�L TWO: #0012-000-0002-0000
T C: 900 17-000-0002-0000
THIS DEED made this 11 th day of June, 2019, by Abd between
GRANTOR
ACADEMI REAL ESTATE HOLDINGS,
L.L.C., a North Carolina limited liability
company (formerly known as E&J Holdings,
L.L.C.)
850 Puddin Ridge Road
Mo ock NC 27958
GRANTEE
Y �To'NEBRIAR COMMERCIAL FINANCE
LLC, a Delaware limited liability company
5606Sranite Parkway, Suite 1350
Pla0�1'X 75024
Enter in appropriate block for each party: name, address, and, if appropriate, char4��r of entity, e.g. corporation or partnership
The designation Grantor and Grantee as used herein shall include saidXrequired
ies, their heirs, successors, and
assigns, and shall include singular, plural, masculine, feminine or neuter by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the
CHICAGO/#3229321.3
C tt tee, the receipt of which is
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C� reby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee
le, all that certain lot or parcel of land situated in the City and Township of Moyock, Currituck County,
N Carolina and more particularly described as follows:
See Exhibit A attached hereto and incorporated herein.
No ports of the property herein conveyed includes the primary residence of Grantor.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto
belonging to di� Grantee in fee simple.
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AND the Grant ovenants with the Grantee, that Grantor has done nothing to impair such title as Grantor
received, and Gr i will warrant and defend the title against the lawful claims of all persons claiming by,
under or through G or, except for the exceptions hereinafter stated.
Title to the subject pro�rry hereinabove described is subject to the following exceptions:
The lien of ad valorem real property taxes and assessments for the current year and for subsequent years; all
easements, covenants, restrictions, and other conditions of record affecting the property conveyed hereby, all
zoning, land use and buildings, regulations -and ordinances, and those restrictions outlined on Exhibit B
for parcels located in Camden 0 Currituck Counties attached hereto and incorporated herein by reference.
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[S1�qATURE PAGE FOLLOWS.]
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IN WITNESS WHEREOF, the Grantor has executed this instrument by authority duly
given as of the day and year first above written.
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STATE OF �O26INlA
COUNTY OF FAozFA)(
ACADEMI REAL ESTATE HOLDINGS, L.L.C,,
a North Carolina limited liability company
13y:
Name: Gcaroid Moore
"Title: Chief Legal Officer & Secretary
(Place offrl'c�knowiedgment)
I certify that they � owing persons personally appeared before me this day, each
acknowledging to nir"�\ that he or she signed the foregoing document:
GEAR-d!D MOORE �.
Date: ZAri L 2019
(Official ,Seal)
Nota ublic
,•'�°^�t �' "'f • Printed or `Typed Name CAR {Z i E SA IJE Cp Pry S
„;'�s�;�r;�G •�,, Q My cotnrnission expires: 1- 30 — 2x 2-3
v
The foregoing rOCertificate(s) of
is/are certified to be correct. This instrument and t os.
in the Book and Page shown on the first page herc
By:
Special Warranty Deed (Currituck County)
ficate ark�y registered at the date and time and
I " R OF D��S FOR CURRITUCK COUNTY
��.Depuw�Assistant - Register oi' Deeds
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�O Exhibit A
Legal Description
�Oing that certain parcel of land lying and being in the Township of Moyock, Currituck County,
NVh'�h Carolina, and being more particularly described as follows:
[See attached.]
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V-1�1 REAL PROPERTY
LEGAL DESCRIPTION
ALL THO" ERTAIN LOTS OR PARCELS OF LAND SITUATED IN SOUTH MILLS TOWNSHIP, CAMDEN
COUNTY A �OYOCK TOWNSHIP, CURRITUCK COUNTY, NORTH CAROLINA AND MORE PARTICULARLY
DESCRIBED S FOLLOWS:
TRACT ONE (CXI�IDEN COUNTY)
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ONE -A
Y
That certain tract of rcel of land containing 110 acres as the same is shown on that map dated July 9, 1991,
prepared by Henry�ningham, Registered Land Surveyor, and identified by the following legend: "A Portion of
Hale's Lake Farm Surv)ed for Weyerhaeuser Real Estate Company, Camden and Currituck Counties, North
Carolina." This reap is o1('1tc0rd in Plat Cabinet 2, Slide 21-A Camden County Registry and reference is hereby made
to said map for a more complete and accurate description of this property.
ONE-B
That certain tract of parcel of la ontaining 268.9 acres as the same is shown on that map dated June 27, 1991,
prepared by Henry Cunningham, istered Land Surveyor, and identified by the following legend: "Land Surveyed
for Weyerhaeuser Real Estate Co y Located in Camden and Currituck Counties, North Carolina." This map is of
record in Plat Cabinet 2, Slide 21-B den County Registry and reference is hereby made to said map for a more
complete and accurate description ofih ,property.
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TRACT TWO (CURRITUCK COUNTY): V-1~
TWO -A �V"
That certain tract - or parcel of land containing 20 acres as the same is shown on that map dated July 9, 1991,
prepared by Henry Cunningham, Registered Lan �rveyor, and identified by the following legend: "A Portion of
Hale's Lake Farm Surveyed for Weyerhaeuser Rea (Estate Company, Camden and Currituck Counties, North
Carolina." This map is of record in Plat Cabinet D, S Ip;_
51 Cwrituck County Registry and reference is hereby made
to said map for a more complete and accurate deschof this property.
TWO-B ,.�)
That certain tract of parcel of land containing 213.84 acres Z�Ithe' same is shown on that map dated June 27, 1991,
prepared by Henry Cunningham, Registered Land Surveyor, and identified by the following legend. "Land Surveyed
for Weyerhaeuser Real Estate Company Located in Camden and Currituck Counties, North Carolina." This map is of
record in Plat Cabinet D, Slide 352 Currituck County Registry and Terence is hereby made to said map for a more
complete and accurate description of this property.
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PARCEL ONE (CAMDEN COUNTY):
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Yh. y certain tract of land containing 350.86 acres, which is delineated on plat entitled in plat, "Property being conveyed
#oCBckwater Training Center," prepared by Godfrey &� Associates Surveying, Inc., under date of July 5, 2005, and
inc r rated herein by reference. Said plat is recorded in Plat Cabinet 5, Slide 42A, in the Office of the Register of
Deef,Camden County.
PARCEL T�e(CURRITUCK COUNTY):
That certain t(i�t of land containing 60.71 acres, which is identified as "Located in Currituck County" on that certain
plat entitled in E)rt "Property Being Conveyed to Blackwater Training Center," prepared by Godfrey & Associates
Surveying, Inc., Oder date of July 5, 2005, which plat is recorded in Plat Cabinet 1, Slide 203, in the Office of the
Register of Deedi�f Currituck County, North Carolina.
TRACT B (CAMDEN CONY):
Being all of Tract B, containing 49,51 acres (Camden County) and Tract C, containing 90.46 acres (Currituck County),
as described and delineated on that plat entitled in part, "Boundary Survey For Blackwater USA," dated December 6,
2005, prepared by Edward T. Hyman, Jr., professional land surveyor, recorded in Plat Cabinet 5, Slide 58B, in the
Camden County Public Registry�nd which plat is incorporated here by reference, and being more particularly
described as follows: C�
TM Ct B (Camden Cmves R
BEGMONG AT A POn
by calculated point (also know as Control Corner "B"
(N.C, Grid Cocrditmta NM9615 and E 282E8b6.1022� which celaulated it located North
I 34' 03` West. 8.52 feat flo"r6lroad ion and N.C. Moounx t (MAY. nsd WhkA Calculated
paint & so meth the of Tract A as 48=%ed and ddiruMed on the Aboye
, CfM _ _ ocd pba; tbC= f = aid point and FOINT OF BEG0UMG and tvmtit�
Naga 14° 3* 050 West 2.098.41 to a calaulaW pointy t MMM COMOrbIg and terming North
76, 2V 41' East 38021 feat to a ppir>rt its tisa Common lirm OfCamden Snd Currituck
Cowtties; thmoc wMaing and MW cowman fim South 46° 21' 33' East 2,467.19
fix t to a caloubd paint on sn a i-"ing (said point being North 460 21' 33- Writ 7.343.70
from County Lira Mwimr C.C. 3Y, 6;nc�e � and naming along said eaas� road Scuds
75" 36" 53` West 1,679.93 feet to the point and POINT OF BEGINNIrTG.
containing 49M sand.
TRACT C. (CURRITUCK COUNTY):
Being all of Tract B, containing 49,51 acres (Camden County) and Tract C, containing 90.46 acres (Currituck County),
as described and delineated on that plat entitled in part, "Boundary Survey For Blackwater USA," dated December 6,
2005, prepared by Edward T, Hyman, Jr , professional land survey recorded in Plat Cabinet I, Slide 309, in the
Currituck County Public Registry and which plat is incorporated hey reference, and being more particularly
described as follows:
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V'�' Tract C (Curritu& County).
BEGINNING AT A POINT muted by a cal xdued paint our an existing road set on the
�.� line of Camdca and Cwritu& Co>� rdws (said point being North 46° 21' 33' West
�.543.70 am Cry Line Mama C.C. 3), which calculated point aiso marts tba WW"steM
of Tract B as described abort thence &= said calculated point and ,POM T OF
BEGINNIN(; and naming along said comma line North 46° 21' 33' West 2,467.19 fed to a
cal(gked point; tba= conm iag and running North 76° 26' 41' East 7,761.85 fed to a
calcjtad po* *"ge uuuuxing sad running South 03°;11' 29' Fast 2,092.70 fort to a
call pout in an exis mg road (which calculuad poi is located North 61 ° 36 20" Nest
13.89 hoar a railroad iron); thence cornering and nm nmg alai;$ said ci Ling road Saumh 75°
36' 53" 1,048.85 feet to the calculated paint and POINT OF BEGINNING, cootsial s
W46 a
ALSO DESCRIBED AS (SURVEY LEGAL):
TRACT ONE (CAMDEN COUNT4)
ONE -A 0
BEING ALL OF TRACT ONE -A AS D RIBED AND DELINEATED ON THAT PLAT AND ADDITIONAL
INFORMATION ENTITLED IN PART, "*TA/ACSM LAND TITLE SURVEY OF PROPERTY OF E & J HOLDINGS,
L.L.C. (A N.C. LIMITED LIABILITY COMI�A,NY) (BLACKWATER USA)" DATED OCTOBER 19, 2006, PREPARED BY
PAUL DEC. HOLT, JR., PROFESSIONAL\LXND SURVEYOR, WHICH PLAT (AND ADDITIONAL INFORMATION) IS
RECORDED IN PLAT CABINET 5 SLIDESC9BA. 93B.94A 946 95A 95B 96A 968 97A 976� 9BA 986 9A 996
100A, 100E AND PLAT CABINET 6. SLIDE WN THE OFFICE OF THE REGISTER OF DEEDS FOR CAMDEN
COUNTY, NORTH CAROLINA AND PLAT CABINET J. SLIDES 85-101 IN THE OFFICE OF THE REGISTER OF
DEEDS FOR CURRITUCK COUNTY, NORTH G�OLINA AND WHICH PLAT (AND ADDITIONAL INFORMATION) IS
INCORPORATED HEREIN BY REFERENCE. 0
ONE-B:
BEING ALL OF TRACT ONE-B AS DESCRIBED AND INEATED ON THAT PLAT AND ADDITIONAL
INFORMATION ENTITLED IN PART, "ALTAIACSM LAN ITLE SURVEY OF PROPERTY OF E & J HOLDINGS,
L.L.C. (A N.C. LIMITED LABILITY COMPANY) (BLACK R USA)" DATED OCTOBER 19, 2006, PREPARED BY
PAUL DEC. HOLT, JR., PROFESSIONAL LAND SURVEY WHICH PLAT (AND ADDITIONAL INFORMATION) IS
RECORDED IN PLAT CABINET 5,_SLIDES 93A, 93B, 94A, 94B, 95A, 95B, 96A, 96B 97A. 9713. 98A. 98B, 99A. 998.
100A. 1008 AND PLAT CABINET 6. SLIDE 1A IN THE OFFICE OF THE REGISTER OF DEEDS FOR CAMDEN
COUNTY, NORTH CAROLINA AND PLAT CABINET J SLIDES 85-101 IN THE OFFICE OF THE REGISTER OF
DEEDS FOR CURRITUCK COUNTY, NORTH CAROLINA AND V&CH PLAT (AND ADDITIONAL. INFORMATION) IS
INCORPORATED HEREIN BY REFERENCE,
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TRACT TWO (CURRITUCK COUNTY):
TWO -A
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Bfx � ALL OF TRACT TWO -A AS DESCRIBED AND DELINEATED ON THAT PLAT AND ADDITIONAL
INF-0,R,MATION ENTITLED IN PART, "ALTA/ACSM LAND TITLE SURVEY OF PROPERTY OF E & J HOLDINGS,
L.L.G.N.C. LIMITED LIABILITY COMPANY) (BLACKWATER USA)" DATED OCTOBER 19, 2006, PREPARED BY
PAUL D . HOLT, JR., PROFESSIONAL LAND SURVEYOR, WHICH PLAT (AND ADDITIONAL INFORMATION) IS
RECORWED IN PLAT CABINET 5, SLIDES 93A. 93B. 94A, 94B, 95A, 956, 96A, 96B, 97A. 97B, 98A, 98B, 99A 99B,
100A, 1008 AND PLAT CABINET 6, SLIDE 1A IN THE OFFICE OF THE REGISTER OF DEEDS FOR CAMDEN
COUNTY, NORTH CAROLINA AND PLAT CABINET J. SLIDES 85-101 IN THE OFFICE OF THE REGISTER OF
DEEDS FORVJRRITUCK COUNTY, NORTH CAROLINA AND WHICH PLAT (AND ADDITIONAL INFORMATION) IS
INCORPORA-GD HEREIN BY REFERENCE.
TWO-B'
BEING ALL OF TRA TWO-B AS DESCRIBED AND DELINEATED ON THAT PLAT AND ADDITIONAL
INFORMATION ENTITqD IN PART, "ALTA/ACSM LAND TITLE SURVEY OF PROPERTY OF E & J HOLDINGS,
L.L.C. (A N.G. LIMITS k*BILITY COMPANY) (BLACKWATER USA)" DATED OCTOBER 19, 2006, PREPARED BY
PAUL DEC. MOLT, JR., PROFESSIONAL LAND SURVEYOR, WHICH PLAT (AND ADDITIONAL INFORMATION) IS
RECORDED IN PLAT CABINET 5 SLIDES 93A 93B 94A 946 95A 95B 96A 96B 97A 976 98A 98B 99A 996
100A, 100E AND PLAT CABINET 6. SLIDE 1A IN THE OFFICE OF THE REGISTER OF DEEDS FOR CAMDEN
COUNTY, NORTH CAROLINAkND PLAT CABINET J. SLIDES B5-101 IN THE OFFICE OF THE REGISTER OF
DEEDS FOR CURRITUCK C TY, NORTH CAROLINA AND WHICH PLAT (AND ADDITIONAL INFORMATION) IS
INCORPORATED HEREIN BY P,16ERENCE.
PARCEL ONE (CAMDEN COUNTY): �-
BEING ALL OF PARCEL ONE AS DES �f D AND DELINEATED ON THAT PLAT AND ADDITIONAL
INFORMATION ENTITLED IN PART, "AL1�11ACSM LAND TITLE SURVEY OF PROPERTY OF E & J HOLDINGS,
L.L.C. (A N.C. LIMITED LIABILITY COMPM�) (BLACKWATER USA)" DATED OCTOBER 19, 2006, PREPARED BY
PAUL DEC. HOLT, JR., PROFESSIONAL � SURVEYOR, WHICH PLAT (AND ADDITIONAL INFORMATION) IS
RECORDED IN PLAT CABINET 5 SLIDES 93A 3B 94A 94B 95A 956 96A 96B 97A 978 98A 98B 99A 99B
100A, 100E AND PLAT CABINET 6, SLIDE 1A HE OFFICE OF THE REGISTER OF DEEDS FOR CAMDEN
COUNTY, NORTH CAROLINA AND PLAT CABINET J. SLIDES 85-101 IN THE OFFICE OF THE REGISTER OF
DEEDS FOR CURRITUCK COUNTY, NORTH CAFkOtINA AND WHICH PLAT (AND ADDITIONAL INFORMATION)
IS INCORPORATED HEREIN BY REFERENCE, %
PARCEL TWO: (CURRITUCK COUNTY): �X
BEING ALL OF PARCEL TWO AS DESCRIBED AND DELINEATED ON THAT PLAT AND ADDITIONAL
INFORMATION ENTITLED IN PART, "ALTA/ACSM LAND TITLE SURVEY OF PROPERTY OF E & J HOLDINGS,
L.L.C. (A N.C. LIMITED LIABILITY COMPANY) (BLACKWATER USA)" DATED OCTOBER 19, 2006, PREPARED
BY PAUL DEC. HOLT, JR., PROFESSIONAL LAND SURVEYOR ICH PLAT (AND ADDITIONAL
INFORMATION) IS RECORDED IN PLAT CABINET 5. SLIDES 9TbrQ313, 94A 94B 95A 956 �96A 966 97A
97B 98A 9BB 99A 99B 100A 100E AND PLAT CABINET 6 SLI A IN THE OFFICE OF THE REGISTER
OF DEEDS FOR CAMDEN COUNTY, NORTH CAROLINA AND PIA BINET J SLIDES 5-1 1 IN THE
OFFICE OF THE REGISTER OF DEEDS FOR CURRITUCK COUNTY, RTH CAROLINA AND WHICH PLAT
-(AND ADDITIONAL INFORMATION) IS INCORPORATED HEREIN BY .ERENCE.
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TRACT B (CAMDEN COUNTY):
O BEING ALL OF TRACT B AS DESCRIBED AND DELINEATED ON THAT PLAT AND ADDITIONAL
,�-%dFORMATION ENTITLED IN PART, "ALTAIACSM LAND TITLE SURVEY OF PROPERTY OF E & J
ti'?LDINGS, L.L.C. (A N.C. LIMITED LIABILITY COMPANY) (BLACKWATER USA)" DATED OCTOBER
1�>,2006, PREPARED BY PAUL DEC. HOLT, JR., PROFESSIONAL LAND SURVEYOR, WHICH PLAT
(AtOADDITIONAL INFORMATION) IS RECORDED IN PLAT CABINET 5, SLIDES 93A, 93B, 94A, 94B,
95A 96A 96B 97A 971398A 98B 99A 99B 100A 100E AND PLAT CABINET 6 SLIDE 1A IN
THE ICE OF THE REGISTER OF DEEDS FOR CAMDEN COUNTY, NORTH CAROLINA AND PLAT
CABIN SLIDES 85-101 IN THE OFFICE OF THE REGISTER OF DEEDS FOR CURRITUCK
COUN , NORTH CAROLINA AND WHICH PLAT (AND ADDITIONAL INFORMATION) IS
INCORPO�5ED HEREIN BY REFERENCE.
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TRACT C (CURRIVCK COUNTY):
BEING ALL OF T T C AS DESCRIBED AND DELINEATED ON THAT PLAT AND ADDITIONAL
INFORMATION E ED IN PART, "ALTAIACSM LAND TITLE SURVEY OF PROPERTY OF E & J
HOLDINGS, L.L.C. ( LIMITED LIABILITY COMPANY) (BLACKWATER USA)" DATED OCTOBER
19, 2006, PREPARED Y PAUL DEC. HOLT, JR,, PROFESSIONAL LAND SURVEYOR, WHICH PLAT
(AND ADDITIONAL INFORMATION) IS RECORDED IN PLAT CABINET 5, SLIDES 93A, 93B, 94A, 94B_.
95A 95B 96A 96B 97A 97B 98A 98B 99A 99B 100A 100E AND PLAT CABINET 6 SLIDE 1A IN
THE OFFICE OF THE REGISJER OF DEEDS FOR CAMDEN-COUNTY, NORTH CAROLINA AND PLAT
CABINET J. SLIDES 85-101 W.THE OFFICE OF THE REGISTER OF DEEDS FOR CURRITUCK
COUNTY, NORTH CAROLINA-AND WHICH PLAT (AND ADDITIONAL INFORMATION) IS
INCORPORATED HEREIN BY GFERENCE.
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SOUTHERN APPURTENANT EASEMF*T:
TOGETHER WITH that certain non-4x�C sive easement appurtenant to the above described land contained in
instruments recorded in Book 117 Paq*_78, Camden County Registry, and in Book 397, Page 785, Currituck County
Registry.
NORTHERN APPURTENANT EASEMENT:
TOGETHER WITH that certain non-exclusive meat appurtenant to the above described land reserved in Deeds
recorded in Book 1145, Page 884 and Book 11 jja a 889, Currituck County Registry.
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�O EXHIBIT B
(Additional Restrictions)
1. �(Tursuant to Permit No. SW7121201 (ACADEMI -- New Training Facility, Low Density
O} rmwater Project, Camden County}:
a. The following covenants are intended to ensure ongoing compliance with State
~tormwater Management Permit Number SW7121201, as issued by the Division of
ater Quality under NCAC 21-1.1000.
b. 4State of North Carolina is made a beneficiary of these covenants to the extent
nec�ary to maintain compliance with the Stormwater Management Permit.
C. These �enants are to run with the land and be binding on all persons and parties
claimingCunder them.
d. The covenants pertaining to stormwater may not be altered or rescinded without the
express writte&nsent 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�& Division of Water Quality.
f. This project is permi`f1,q for a maximum of 137,362 square feet of built -upon area.
Construction of addition_ built -upon area in excess of this amount will require a permit
modification. `��
g. This project may not be solld r subdivision, in whole or in part, without first receiving
a permit modification from th '( ivision.
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h. Construction of additional imper i us areas such that low -density requirements are no
longer met will require a permit dification prior to construction. An engineered
system will be required to collec nd treat the runoff from all built -upon area
associated with the project, including area permitted under the low density option.
i. Pilling in or piping of any vegetative conveyances (ditches, swales, etc.) associated
with this development, except for average driveway crossings, is strictly prohibited by
any persons.
j. The built -upon areas shall be located a minimu)of 50 feet landward of all perennial
and intermittent surface waters. VV���c�
2. Pursuant to Permit. No. SW7090312 (Runway No. 2, US Tr iing Center, inc., Low Density
Stormwater Project, Camden County):
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c. \ These covenants are to run with the land and be binding on all persons and parties
aiming under them.
covenants pertaining to stormwater may not be altered or rescinded without the
exiOss written consent of the State of North Carolina, Division of Water Quality.
Alterman of the drainage as shown on the approved plans may not take place without
the conl�ence of the Division of Water Quality.
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h.
The following covenants are intended to ensure ongoing compliance with State
Stormwater Management Permit Number SW7090312, as issued by the Division of
Water Quality under NCAC 2H.1000.
The State of North Carolina is made a beneficiary of these covenants to the extent
necessary to maintain compliance with the Stormwater Management Permit.
This project is permitted for a maximum of 967,716 square feet of built -upon area.
Construction of additional built -upon area in excess of this amount will require a permit
modification.
This project may ®t be sold or subdivision, in whole or in part, without first receiving
a permit modifcatirom the Division.
Construction of additibi f 1 impervious areas such that law -density requirements are no
longer met will require�Jaa permit modification prior to construction. An engineered
system will be required` collect and treat the runoff from all built -upon area
associated with the project, �aluding that area permitted under the low density option.
I. Filling in or piping of any vd&ative conveyances (ditches, swales, etc.) associated
with this development, except TOaverage driveway crossings, is strictly prohibited by
any persons. mil`
j. The built -upon areas shall be locate�minimum of 50 feet landward of all perennial
and intermittent surface waters. ,,.
3. Subject to all restrictions and covenants contained in Stormwater Permit No. SW7060312
(Blackwater USA — Bunkhouse, High Density Project, Camden County).
4. Subject to all restrictions and covenants contained tormwater Permit No. SW7070907
(Blackwater Moyock, CQD facility, High Density Proje Camden County).
5. Subject to all restrictions and covenants contained in S��water Permit No. SW7060812
(Blackwater USA —Dining Facility, High Density Project, Caen County).
6. Subject to all restrictions and covenants contained in Storm�#ter Permit NO.SW7060802
(Blackwater USA — Warehouse, High Density PrQect,'Camden C*ty).

Subject to all restrictions and covenants contained, in Stormwater Permit No. SW7060322
(Blackwater USA — Personal Training Compound, High Density Project, Camden County).
R. �ubj6ct to all restrictions and covenants contained in Stormwater Permit No, SW7060312MOD
�Kcademi — Black Bear inn 2, High Density Project, Camden County).
9. Sul ect to all restrictions and covenants contained in Stormwater Permit No. SW7060101
(Blackyater USA — Private Airstrip, High Density Project, Camden County).
10. Subject all restrictions and covenants contained in Stormwater Permit No. SW7051122
(Blackwa USA — Headquarters Building, High Density Project; Currituck County).
11. Pursuant to (hermit No. -SW7970717 (Blackwater Lodge/Training Center, Low Density
Stormwater P4, t, Camden County):
a. A statement of the allowable built -upon area per lot in the following form: "The
allowable built -upon -area shall not exceed 5.88 acres, inclusive of that portion of the
right-of-way been the front lot line and the edge of the pavement, structures,
pavement, wal ys of brick, stone, slate, not including wood decking.-
0
b. Items related to stoqii�water management must remain in the deed restriction, and this is
to be indicated by WMuding the following: "The covenants pertaining to stormwater
regulations may not b�hanged or deleted without concurrence of the State."
C. To assure that vegetate��nveyances are not piped (in accordance with Item 5) deed
restrictions must indicate : "Filling in or piping of any vegetative conveyances
(ditches, swales, etc.) associated with the development except for average driveway
crossings, is strictly prohibited6'any persons."
0
12. Pursuant to Permit No. SW7060111 (BlZwater USA — Firing Range Additions, Low Density
Stormwater Project, Currituck County):
a. The following covenants are: inten to ensure ongoing compliance with State
Stormwater Management Permit Num i ' SW7060111, as issued by the Division of
Water Quality under NCAC 2H.J 000.
b. The State of North Carolina is' made a benef iary of these covenants to the extent
necessary to maintain compliance with the Sto=ter Management Permit.
C. These covenants are to run with the land and ending on all persons and parties
claiming under them.
d. The covenants pertaining to stormwater may not be red or rescinded without the
express written consent of the State of North Carolina, �rsion of Water Quality.
d
0
c��

6
'1_1O 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. Construction of additional built -upon area in excess of 21.38 acres will require a permit
0 modification.
fa'V Construction of additional impervious areas such that low -density requirements are no
V"' longer met must be submitted to DWQ and a permit modification must be issued prior
construction. An engineered system will be required to collect and treat the runoff
om all built -upon area associated with the project, including that area permitted under
flow density option.
h. H14 in or piping of any vegetative conveyances (ditches, swales, etc.) associated
with Os development, except for average driveway crossings, is strictly prohibited by
any per�Rs.
i. A minimum of 30' wide vegetated buffer area shall be provided between surface waters
and all impervious surfaces.
13. Pursuant to Permit Noo SW717101 1 (Academi K9 Kennels, Low Density Stormwater Project,
Camden County): O
a. The following eov rents are intended to ensure ongoing compliance with State
Stormwater Managen'ee't Permit Number SW7171017 [sic], as issued by the Division
of Energy, Mineral ancN `end Resources under NCAC 21-1.1000.
b. The State of North Carolyn 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 wi® the land and be binding on all persons and parties
claiming under them. (Z!'
d. The covenants pertaining to stormy r may not be altered or rescinded without the
express written consent of the State o � rib Carolina, Division of I-nergy, Mineral and
Land Resources. �C
C. Alteration of the drainage as shown on the approved plans may not take place without
the concurrence of the ])]vision of Energy, Min l and Land Resources.
f. This project is permitted fora maximum of 11
i
,,' of built -upon area. Construction of
additional built -upon area in excess of this amou II require a permit modification.
g. This project may not be sold or subdivision, in wholyr in part, without first receiving
a permit modification from the Division. 0
6
0
�l'

Construction of additional impervious areas such that low -density requirements are no
longer met will require a permit modification prior to construction. An engineered
system will be required to collect and treat the runoff from all built -upon area
associated with the project, including that area permitted under the low density option.
Filling in or piping of any vegetative conveyances (ditches, swales, etc.) associated
with this development, except for average driveway crossings, is strictly prohibited by
any persons.
�.re built -upon areas shall be located a minimum of 50 feet landward of all perennial
al6iintermittent surface waters.
14. Pursuant to rmit No. SW7090302 (U.S. "Training Center, Tactical Driving Track Area, Low
Density StorijV ter Project, Camden & Currituck Counties):
a. The following covenants are intended to ensure ongoing compliance with State
Stormwater Management Permit Number SW7090302, as issued by the Division of
Water Quality under NCAC 2111000,
b. The State of Ne�th Carolina is made a beneficiary of these covenants to the extent
necessary to mainon compliance with the Stormwater Management Permit.
C. These covenants art dun with the land and be binding on all persons and parties
claiming under them.
d. The covenants pertaining, stormwater may not be altered or rescinded without the
express written consent ofState of North Carolina, Division of Water Quality.
C. Alteration of the drainage as SO" on the approved plans may not take place without
the concurrence of the Division ® Water Quality.
f. This project is permitted for a ma um of 1,553,453 square feet of built -upon area.
Construction of additional built -upon a in excess of this amount will require a permit
modification.
g. This project may not be sold or subdivision, in whole or in part, without first receiving
a permit modification from the Division.
h. Construction of additional impervious areas s that low -density requirements are no
longer met will require a permit modification 'or to construction. An engineered
system will be required to collect and treat e Hoff from all built -upon area
associated with the project, including that area perm under the low density option.
i. Filling in or piping of any vegetative conveyances *t"Vhes, swales, etc.) associated
with this development; except for.average driveway croseMgs, is strictly prohibited by
any persons.
d
0

11,10
j. 'Me built -upon areas shall be located a minimum of 50 ieet landward of all perennial
,lc� and intermittent surface waters.
6
0
6
0
6
0
d
0

North Carolina Secretary of State Search Results
Page 1 of 2
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online -
Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
Academi Real Estate Holdings, L.L.C.
Prev Legal Name
E & J HOLDINGS, L.L.C.
Information
Sosld: 0413864
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 1/1/1997
Registered Agent: Corporation Service Company
Addresses
Reg Office
2626 Glenwood Avenue, Suite 550
Raleigh, NC 27608
Principal Office
850 Puddin Ridge Road
Moyock, NC 27958-8679
Company Officials
Reg Mailing
2626 Glenwood Avenue, Suite 550
Raleigh, NC 27608
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Academi LLC
850 Puddin Ridge Road
Moyock NC 27958-8679
Mailing
850 Puddin Ridge Road
Moyock, NC 27958-8679
https://www.sosnc.gov/online_services/search/Business_lZegistration_Rcsults 5/1/2019

�. LIMITED LIABILITY COMPANY ANNUAL REPORT
I MOP
NAME OF LIMITED LIABILITY COMPANY: Academi Real Estate Holdings, L.L.C.
SECRETARY OF STATE ID NUMBER: 0413864 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 2019
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Corporation Service Company
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Reporl
0413864
CA201910101556
4/11/2019 09:36
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
2626 Glenwood Avenue, Suite 550 2626 Glenwood Avenue, Suite 550
Raleigh, NC 27608 Wake County Raleigh, NC 27608
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Real estate hOlding._(and leasing) Company
2. PRINCIPAL OFFICE PHONE NUMBER: 252 435-1868 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS
850 Puddin Ridge Road 850 Puddin Ridge Road
Moyock, NC 27958-8679 Moyock, NC 27958-8679
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: Academi LLC
NAME:
TITLE: Manager TITLE:
ADDRESS
850 Puddin Ridge Road
Moyock, NC 27958-8679
ADDRESS:
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION -OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Academi LLC, by Katherine F McKenzie -Veal Assistant Secretary 4/1 1 /2019
SIGNATURE
Form must be signed by a Company Official listed under Section C of This form.
DATE
Academi LLC, by Katherine F McKenzie -Veal Assistant Secretary Manager
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been fled electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626.0525

I�{ W , V
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, PE Dee Freeman
Governor Director Secretary
June 22, 2012
Mr. Charles W. Thomas, Vice President
ACADEMI Real Estate Holdings, LLC
PO Box 1029
Moyock, NC 27958
Subject: Stormwater Permit No. SW7060312MOD
ACADEMI — Black Bear Inn 2
High Density Project
Camden County
Dear Mr. Thomas:
The Washington Regional Office received a complete Stormwater Management Permit Application for
the modification and transfer of ACADEMI -- Black Bear Inn 2 (previously Blackwater USA —
Bunkhouse) on May 31, 2012. 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. SW7060312MOD dated June 22, 2012, for the continued
construction of the subject project. By issuance of this permit, permit number SW7060312 issued on
July 12, 2006 to E&J Holdings, LLC is hereby rescinded.
This permit shall be effective from the date of issuance until June 22, 2020, and shall be subject to
the conditions and limitations as specified therein. Please pay special attention to the Operation and
Maintenance requirements -in this permit. Failure to establish an adequate system for operation and
maintenance of the stormwater management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right
to request an adjudicatory hearing upon written request within thirty (30) days following receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer
27447, Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and
binding.
If you have any questions, or need additional information concerning this matter, please contact Scott
Vinson, or me at [phone].
AI
.--dg
Lr—
ReSupervisor
Surface Water Protection Section
AHlsav: C:ISTORMWATERIPERMIT1SW7060312MOD
cc: Sean Robey, PE
Camden County Planning / Building Inspections
,Washington Regional Office
North Carolina Division of Water Quality Internal: www.ncwatergualitV.org
943 Washington Square Mail Phone: [phone] One
Washington, NC 27889 FAX [phone] NorthCarofina
An Equal OpportunitylAffirmative Action Employer — 50% Recycled110% Post Consumer Paper Vatulully

iA
State Stormwater Management Systems
Permit No. SW7060312MOD
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
ACADEMI Real Estate Holdings, LLC
ACADEMI — Black Bear Inn 2
Camden County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the
provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and
the approved stormwater management plans and specifications and other supporting
data as attached and on file with and approved by the Division of Water Quality and
considered a part of this permit.
This permit shall be effective from the date of issuance until June 22, 2020, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.6 on page 3 of this permit and per application and
approved plans. The. stormwater control has been designed to handle the runoff
from 263,937 square feet of impervious area.
3. The overall tract will be limited to the 310,904 square feet of built -upon area
within the total project area of 29 acres as indicated on the application and per
approved plans in order to remain 25.88% low density overall.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area #1 of this
project must be directed into the permitted stormwater control system per
approved plans.
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7060312MOD
ti
v
R
The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a. Drainage Area, acres:
b. Total Impervious Surfaces, ft2
C. Design Storm, inches:
d. Pond Depth, feet:
e. TSS removal efficiency:
f. Permanent Pool Elevation, FMSL:
g. Permanent Pool Surface Area, ft2:
h. Permanent Storage Volume, ft3:
i. Permitted Forebay Volume, ft3:
j. Temporary Storage Elevation, FMSL:
k. Temporary Storage Volume, ft3:
i. Controlling Orifice:
M. Receiving Stream/River Basin:
n. Stream Index Number:
o. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
15.10
263,937
1.0
4.50
90%
10.00
75,932
271,236
46,405
10.63
48,580 (28,742cf required)
3.0" � pipe
Run Swamp Canal 1 Pasquotank
30-2-1-1
"C• Sw"
1. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all times provide the operation and maintenance
necessary to assure the permitted stormwater system functions at optimum
efficiency. The approved Operation and Maintenance Plan must be followed in its
entirety and maintenance must occur at the scheduled intervals including, but not
limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow
spreader, catch basins and piping.
g. Access to the outlet structure must be available at all times.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW7060312MOD
4. Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ. The records will indicate the date,
activity, name of person performing the work and what actions were taken.
5. The facilities shall be constructed as shown on the approved plans. This permit
shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
6. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
7. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
8. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
9. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Ma'or permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
10. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
12. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The pe0nittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
13. This permit shall be effective from the date of issuance until June 22, 2020.
Application for permit renewal shall be submitted 180 days prior to the expiration
date of this permit and must be accompanied by the processing fee.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7060312MOD
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a formal permit transfer request to the Division of Water Quality,
accompanied by a completed name/ownership change form, 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 permit conditions
until such time as the Division approves the transfer request.
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) having jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
5. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
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. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
8. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
9. The permittee shall notify the Division of any name, ownership or mailing
address changes within 30 days.
Permit issued this the 22Id day of .tune, 2012.
NOFRTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
------- for
unucrc uvaKlla, r:t., urrecior
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number: SW7060312 Modification
Page 5 of 7

r
State Stormwater Management Systems
Permit No. SW7060312MOD
ACADEMI — Black Bear Inn 2
Stormwater Permit No. SW7060312 Modification
Camden County
Designer's Certification
I, , as a duly registered
in the State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project)
for
(Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7060312MOD
l
Certification Requirements:
_1. The drainage area to the system.contains approximately the permitted
acreage.
2. The drainage area to the, system contains no more than the permitted
amount of built -upon area.
.3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
.8. All slopes are grassed with permanent vegetation.
.9. Vegetated slopes are no steeper than 3:1.
.10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
.11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13, All required design depths are provided.
.14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
.15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Camden County Planning 1 Building Inspections
Page 7 of 7

Vinson, Scott
From: Kim Hamby [[e-mail]]
Sent: Thursday, May 31, 2012 12:31 PM
To: Vinson, Scott
Cc: [e-mail]
Subject: RE: ACADEMI - Black Bear Inn 2 SW application
Attachments: 12000E - Drainage Narrative - revised 5-31-12.pdf; 120008-SWU-101-Application - revised page 3.pdf
Thank you for your attention to the project, Scott.
I have double checked the plans — the breakdown of coverage is correct but something went wrong with the total.
have attached revised sheet 3 of the application and the revised narrative. Please note that the narrative has been
updated with more information than the correction of the impervious coverage. At Ricky Peed's request, the narrative
goes into more detail about what was originally approved versus what has been constructed to date.
Call me if you have any questions. Have a good afternoon! RECEIVED
Kim
Kimberly D. Hamby
Engineering Project Manager
Hyman & Robey, PC
252.337,8918
From: Vinson, Scott [mailto:scott.vinsonCa ncdenr.gov]
Sent: Wednesday, May 30, 2012 2:38 PM
To: Kim Hamby
Cc: Sean h manrobe .com
Subject: ACADEMI - Black Bear Inn 2 5W application
MAY 3 1 2012
DWQ-WARO
Kim,
I have a quick question about the high density (pond's) drainage area column on page 3 of 6. When I add up all the
proposed impervious areas and the 124,114sf of existing BUA, I get 263,937sf, not 280,114sf as listed. There's about
16,177sf bua missing on this table and within the narrative. Could you revise and email me the changes in pdf format as
soon as you can? Please call if you have any questions.
Thanks,
Scott
SCOTT VINSON
NCDENR - DWQ
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
OFFICE:[phone]
DIRECT:[phone]
40 Before printing this email, please consider your budget and the environment.
\*E-mail correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third
parties unless the content is exempt by statute or other regulation.

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IV. PROJECT INFORMATION Ate' z /
i jr�1
1. In the space provided below, bri_ e summarize how the stormwater runoff will be treated. � ✓ �
Runoff from the high density drainage area shall sheet flow across laved areas to grass lined swales. A
portion of the runoff from the courtyard areas will be collected in an underground drainage system that is
directed to the grass lined swales. The swales route all runoff to a wet detention basin designed for 90% T,S
removal with only limited l iping as necessary under driveways.
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 regulation(s) the project has been designed in accordance with:
® Coastal SW —1995 ❑ Ph II — Post Construction
3. Stormwater runoff from this project drains to the Pasquotank River basin.
4. Total Property Area: +/- 3600 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': _project_area +L- 29 acres
Total project area shall be calculated to exclude the followin . the nonnal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate mw.rall percent built upon area (BL1A). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 25.88 %
9. How many drainage areas does the project have? 2 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below. �,,t»
Basin'Information
Drainage Area 1
Drainage Area 2
Drainage Area _
Draina a Area
Receiving Stream Name
Run Swamp
Canal
Run Swamp
Canal
Stream Class *
C, Sw
C, Sw
Stream Index Number *
30-2-14
30-2-1-1
Total Drainage Area (so
657,675 /s,
605,397
On -site Drainage Area (so
657,675
605,397
Off -site Drainage Area (sf)
0
0
Proposed Impervious Area** s
280,114
46,967
Impervious Area** (total)
42.59`%
7.76%
Impervious" Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area
Drainage Area
On -site Buildings/Lots (sf)
39,530
On -site Streets (so
On -site Parking (so
90,617
2,385
On -site Sidewalks (sf)
8,780
Other on -site (sf)
400
Future (sf)
Off -site (so
Existing BUA*** (sf)
124,610
1 44,582
Total (so:
1 280,114 J
46,967
Stream Class and Index Number can be determined at: http:/(portal.ncdenr.oCgAoeb, /ns/esu/classi{uc_r _a tions
zL 3J3]
Form SWU-101 Version 07Jun2010`0
Page 3 of 6

North Carolina Secretary of State
http://www.secretary.state.nc.us/corporations/Corp.aspx?Pitem Id=4...
North Carolina
Elaine F. Marshall D E PARTVI E NT OI= THE
Secretary SECRETARY OF STATE
�44 �,",�„+ PO Box 29622 Raleigh, NC 27626-0622 [phone]
Date: 5/30/2012
Click here to:
View Document Filings I File an Annual Report
J Print a Pre -populated Annual Report Fillable PDF Form I Amended A Previous Annual Report
rporation Names
Name Name Type
NC ACADEMI LLC LEGAL
NC EP INVESTMENTS, L.L.C. PREY LEGAL
NC XE SERVICES LLC PREY LEGAL
Limited Liability Company Information
SOSID:
0485777
Status:
Current -Active
Effective Date:
2/23/1999
Annual Report Due Date:
12/31/2000
Citizenship:
FOREIGN
State of Inc.:
DE
Duration:
PERPETUAL
Annual Report Status:
CURRENT
Registered Agent
Agent Name: MCKENZIE, KATHERINE F.
Office Address: 850 PUDDIN RIDGE ROAD
MOYOCK NC 27958
Mailing Address: PO BOX 1029
MOYOCK NC 27958-1029
ncipal Office
Office Address: 1001 19TH STREET NORTH
19TH FLOOR
ARLINGTON VA 22209
Mailing Address: 1001 19TH STREET NORTH
19TH FLOOR
ARLINGTON VA 22209
cers
Title: MANAGER
Name: FCA & MCP, LLC
Business Address: CIO FORTE CAPITAL ADVISORS LLC
170 VARICK ST FL 2
NEW YORK NY 10013
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
2864
I of 1 5/30/2012 1:53 PM

North Carolina Secretary of State
http://www.secretary.state,nc.us/corporations/Corp.aspx?Pitem Id=4...
North Carolina
'
Elaine F. Marshall DEPARTMENT OFTHE
Secretary SECRETARY OF STATE
PO Box 29622 Raleigh, NC 2762"622 [phone]
Date: 5/30/2012
Click here to:
View Document Filings I File an Annual Report
TO
Print a Pre -populated Annual Report Fillable PDF Form � Amended A Previous Annual Report i
Corporation Names
Name Name Type
NC ACADEMI REAL ESTATE LEGAL
HOLDINGS, L.L.C.
NC E & J HOLDINGS, L.L.C. PREV LEGAL
Limited Liability Company Information
SOSID:
Status:
Effective Date:
Annual Report Due Date
Citizenship:
State of Inc.:
Duration:
Annual Report Status:
Registered Agent
Agent Name:
Office Address:
Mailing Address
Principal Office
Office Address:
Mailing Address:
Officers
G413864
Current -Active
1/1 /1997
12/31 /2000
DOMESTIC
NC
PERPETUAL
CURRENT
MCKENZIE, KATHERINE F.
850 PUDDING RIDGE ROAD
MOYOCK NC 27958
PO BOX 1029
MOYOCK NC 27958-1029
850 PUDDIN RIDGE ROAD
MOYOCK NC 27958
P.O. SOX 1029
MOYOCK NC 27958-1029
Title: MANAGER
Name: ACADEMI LLC
Business Address: 1001 19TH STREET NORTH; 19TH FLOOR
ARLINGTON VA 22209
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
2864
I1 of 1 5/30/2012 1:54 PM

DWQ USF ONLY
Datr Received
Fee Paid
Permit Number
1
5W 79 3
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph 11 - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW /ORW Waters ❑ Universal Stormwater Management Plan
© Other WQ M mt Plan: 5 WACe It All
State of North Carolina
Department of Environment and Natural Resource
Division of Water Quality
ECEIVED
(76f 1STORMWATER MANAGEMENT PERMIT APPLICATION FOI�11� 6 2012
This form may be photocopied for use as an original Aoki
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name -should be consistent w tt Qm RO
specifications, letters, operation and maintenance agreements, etc.): j
ACADEMI - Black Bear Inn 2 _ [ JV
2. Location of Project (street address): �W fT
8N Puddin-Ridge Road
City:Moyock County:Camden Zip:27958
3. Directions to project (from nearest major intersection):
From the intersection of NC 34 and NC 168 in Sligo, travel north on NC 168 approximately 7.5 miles to SR
1216, Puddin Ridge Road- Travel_ southwest to end of Puddin Ridge Road to gated entrance of ACADEMI.
4. Latitude:3° 28' 8.28" N Longitude:? ° 12' 15 2" W of the main entrance to the project.
11. PERMIT INFORMATION:
1. a.Specify whether project is (check one): ❑New ®Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit numberSW7060312 , its issue date (if known)luly 12. 2006 , and the status of
construction_ ❑Not Started ®Partially Completed* ❑ Completed* `provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state Stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,-
4.a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control: 19 - ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b. if any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit: An Erosion Control Permit was obtained with the original stormwater
rmit• however, a new applicatign i5 being filed with this modification,
Form SWU-101 Version 07Jun2010
Page 1 of 6
rI

III. CONTACT INFORMATION
I. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the nroiect):
Applicant/Organization: _ ACADEMI Real -Estate Holdings. L.L.C. (owned and managed by ACADEMI LLC1
Signing Official & Title:Charles W. Thomas, Vice President, ACADEMI LLC _
b.Contact information for person listed in item 1 a above:
Street Address: 850 Puddin Ridee Road
City: Moyock _ State: NC „ Zip: 27958
Mailing Address (f applicable): P. p. Box 1024 _
City: Mayock _ State: NC Zip: 27958
Phone: (252 ) 435-1723 _ . _ _ Fax: (252 ) 435-1709__
Email: [e-mail]
c. Please check the appropriate box. The applicant listed above is-
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official & Title:
b.Contact information for person listed in item 2a above:
Street Address:
City: State: Zip:
Mailing Address (if applicable):
City: State: Zip:
Phone: { ) --
Email:
Fax: ( }
3.a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization: Doug Cherrix
Signing Official & Title: Director of Facilities „ . ,..,....,.. _ ,_—
b.Contact information for person listed in item 3a above:
Mailing Address: P. O. Box 10229
City: Mpyocic _ State: NC Zip: 27958
Phone: (252 ) 435-172 Fax: (252 -_) 435-1989
Email: deherrix©academi.com
4. Local jurisdiction for building permits: Camden County
Point of Contact: Dave Park_ _ _ Phone #: (252 ) 338-1919 ext 232
Form SWU-101 Version 07Jun2010 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Runoff from the high density drainage area shall sheet flow across paved areas to grass lined swales. A
portion of the runoff from the courtyard areas will be collected in an underground drainage system that is
directed to the grass lined swales. The swales route all runoff to a wo detention basin designed for 90% TSS
removal with only limited ping as necessary under driveways.
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 regulation(s) the project has been designed in accordance with:
® Coastal SW —1995 ❑ Ph II — Post Construction
3. Stormwater runoff from this project drains to the PasquotankDiver basin.
4. Total Property Area: +/- 3600 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': project area +/- 29 acres
Total project area shall be calculated to exclude thefollowing: the normal pool of imppounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean Hi$h Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BLIA). Non -coastal wetlands landtoard of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 25.88 %
9. How many drainage areas does the project have? 2 (For high density, count 1 for each proposed engineered
storinwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Draina e Area 1
Draina e Area 2
Draina a Area _
Draina e Area _
Receiving Stream Name
Run Swamp
Canal
Run Swamp
Canal
Stream Class *
C, Sw
C, Sw
Stream Index Number *
30-2-1 -i
30-2-1— I
Total Drainage Area (sf)
657,675
605,397
" i t CU
On -site Drainage Area (sf)
657,675
605,397
Off -site Drainage Area (sf)
0
0
Proposed Impervious Area" (so
263,937
46,967
F V WU.V
Vk
% Impervious Area** (total)
40.13%
7.76%
Im ervious»* Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area
Drainage Area _
On -site Buildings/Lots (sf)
39,530
On -site Streets (so
On -site Parking (so
90,617
2,385
On -site Sidewalks (sf)
8,780
Other on -site (sf)
400
Future (so
Off -site (so
Existing BUA*** (sf)
124,610
44,582
Total (so:
263,937
46,967
* Stream Class and Index Number can be determined at: littp://portal.nedenr.org/zu,eb/wq/ps/csu/classifications
ED
SRO
Form SWU-101 Version 07]un2010 Page 3 of 6

'� 1 f ` � � �
�* + r `.
rr C ...� ��,, ti; .. n 1� � i
}; 1 s .\
C-
L l _.� �� ! �. 1!

*" Imppenvious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidervalks, gravel areas, etc.
"4 Report only that amount of existing BUA that will reinain after deoeloprnent. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. N/A
Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened cK
EndanXered Species watershed that may be subject to more stringent stormwater requirements as per NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from hU://pgrtal.ncdenr,org/web/wq/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from hUp://portal.ncdenr.org/,web/wgJws/su/statesw/forms does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http:// op rtal.nc�gnr.org/web/wy/ws/su/maus.)
Please indicate that the following required_information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from ht(p:Z/portal.ncdenr.org/welZ(wg/ws/su/statesw/forms dots.
Init' s
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants NIA -
Form. (if required as per Part V11 below)
3. Original of the applicable Supplement Form(s)(sealed, signed and, d and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
hht p://www.envhelp,org/pages/onestol2exi2ress.htmi for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within ;6 mile of the site boundary, include the'h
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or.NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation 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.
, In
Form SW-101 Version 07Jun2010 Page 4 of 6

91
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).
p. Vegetated buffers (where required).
Copy of any applicable soils report with the associated SHWT elevations (Please identify _
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SNWT prior
to s,cb►nittal, (9l0) 796-7378J +
A copy of the most current property deed. Deed book: 2 Page No: 621
For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact information, item la, 2a, and/or 3a per 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.
httl2:ZZwww secretary.state.nc.us/Corporations[CSe arch. aspx
V1I. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
N/A
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
hUp://12ortaLncdenr.o.rg/wgb/­­wq/ws/r,uZ5tateswZforms clocs. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot.
Vill. 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: Sean C—Robey,_PE
Consulting Firm: Hyman & Robey,
Mailing Address: P Box 339
City: Camden State:_JNLC Zip: 27921
Phone: 2 2 -7 88 Fax: (252 _) 338-5552
Email: sean®hymanrobey.com
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) _. certify that
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact infornnttion, item 1a) with (print or type name of organization listed in
Contact Information, item 1a) 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 07Jun2010 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 DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise 1 will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: Date:
1, , a Notary Public for the State of . County of
do hereby certify that
personally appeared
before me this day of I , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
X. APPLICANTS CERTIFICATION
1, (print or type nwwof person listed in Contact Information, itemm 1a) Charles W._Thomas
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater ruI s under 15A NCAC 2H .1000, SL 2006-246 (Ph. II -- Post Construction) or SL 2008-21.1.. !
Signature: Date: �A J
1, , a Notary Public for the State of 1 j �--
hereby cer,County of
do tify that it ��? S �}� Th C1in'La S personally appeared
before me this ��day of d acknowledge the due execution of the application for
a stormwater permit. Witness my hand and
MY
§P-ALWMMISSION EXPIRES
C7 5110 014
S OC'
My com rtlt�l�pires_
i� � gdl
Form S"-101 Version 07Jun2010 Page 6 of 6

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Wet Detention Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided.
This system (check one):
❑ does ® does not incorporate a vegetated filter at the outlet.
This system (check one):
® does ❑ does not incorporate pretreatment other than a forebay.
Important maintenance procedures:
— Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
— No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
— Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
— if the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
— Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and
within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a
Coastal County). Records of operation and maintenance should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate the roblem:
The entiire BMP
'rash debris is present.
Remove the trash debris.
The perimeter of the wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application,
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximatel six inches.
Form SW401-Wet Detention Basin O&M-Rev.4 Page l of 4

Permit Number;
BMP element:
The inlet device:
swale
The fowbay
(Io be provided by 1)WQ)
Drainage Area Number:
Potentialproblem:
pipe or The pipe is clogged.
The vegetated shelf
The main treatment area
The pipe is cracked or
otherwise damaged.
Erosion is occurring in the
swale.
Sediment has accumulated to
a depth greater than the
original design depth for
sediment storage.
Erosion has occurred.
Weeds are present.
Best professional practices
show that pruning is needed
to maintain optimal plant
health.
Plants are dead, diseased or
dying.
Weeds are present.
Sediment has accumulated to
a depth greater than the
original design sediment
storage depth.
Algal growth covers over
50% of the area.
Cattails, phragmites or other
invasive plants cover 50% of
the basin surface.
How 1 will remediate the mobl
Unclog the pipe. Dispose of the
sediment off -site.
Replace the pipe.
Regrade the swale if necessary to
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying
Prune according to best professional
practices
Determine the source of the
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Remove the weeds, preferably by
hand. if pesticide is used, wipe it on
the plants rather than spraying.
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Consult a professional to remove
and control the algal growth.
Remove the plants by wiping them
with pesticide (do not spray).
Form SW401-Wet Detention Basin O&M-Rev.4 Page 2 of 4

Permit Number:
(to be provided by DWO)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate the roblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. (if applicable)
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 Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 3.5 feet in the main pond, the sediment
shall be removed.
When the permanent pool depth reads 3.5 feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom
BASIN DIAGRAM
(fill in the blanks)
Permanent Pool Elevation 10.00
6.5 Pe anen Pool
-4---------------- Volume Sediment Removal Elevation 6.5 Volume
5`5 ft Min.----�------------------------ —------__ ___ -- - -- -
Sediment Bottom Elevation 5.5
Storage Sedimer
Storage
FOREBAV MAIN POND
Form SW401-Wet Detention Basin O&M-Rev.4 Page 3 of 4

Permit Number:
(to be provided by DWD)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed: above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: ACADEMI - Black Bear Inn I & 2
BMP drainage area number:
Print name: Charles W. Thomas
Title: VicePresident ACADEMI LLC
Address: P. O. Box 1029- Moyock, NC 27958
JIRA
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
I, QU�_j , , a Notary Public for the State of
{0 If� }
N e , County of do hereby certify that f
O klV l-eS �N] -thrlVYlC1S personally appeared before me this)
day of , CDO f a ; and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal_
►\I1141111f IIl1!
t5. LA
COMMISSIMY
ON EXPIRES
G 5/10/2014
99� �U&OC' �,
SEAL
My commission expires 1 401
Form SW401-Wet Detention Basin O&M-ltev.4 Page of 4

Permit
*A
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be rifled out, printed and submitted,
The Required Items Checklist (Part 111) must be printed, GBod out and submitted along with aff of the requrrad inform4on.
(to be pmv4ed by DWQ)
�Oa�p W AT EgQG
1�
I. PROJECT INF.ORMATIONiljtt{i rl`l#s I'll1T' I'lliI0ftil'Sh4'i11dllll .;'i1rIi'" Iit"ittfl,tC.1fi�"k!ria I., I i'I L'I.Ifrl'.r1 ti7i:'fll'
Project name ACADEMI - Black Bear Inn 2
Contact person Kimberly 0. Hamby, Hyman 8 Roney PC
Phone number 252-337al8
Date 4/1712012
Drainage area number 1
Ill., DESIGN INFORMATION '
Site Charactoristics
Drainage area 657,675 its i 31 ):j1 -L—
Impervious area, post development 280114 •� G 3� iq 3`7 Shy 2,f i"
% impervious 42:59-% Lto.1 5 x
Design rainfall depth 1.0 in /3
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
1.5' runoff volume
Pre -development 1-yr, 24•hr runoff
Poswevelopment 1-yr. 24-hr runoff
Minimum votume required
Volume provided
Peak Flow Calculations
Is the prefpostconW of the tyr 24hrstorm peak flow required?
1-yr, 24-hr ralnfa9 depth
Rational C, pre -development
Rational C, post -development
Rainfall Intenslty: 1-yr, 24-firstorm
Pre -development 1-yr, 244v peak flow
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak flow control
Elevations
Temporary pool elevation
Permanent pod elevation
SHWT elevation (approx. at the perm. pool elevation)
Top of 1Oft vegetated shelf elevation
Bottom o11Oft vegetated shelf elevation
Sediment deanout, top elevation (bottom of pond)
Sediment deanout, bottom elevation
Sediment storage provided
Is there additional volume stared above the stale -required temp. pool?
Elevation of the top of the additional volume
28,742 fO
48,580 fe
e
ff'
it,
to
ft3
N tY or N)
in
(unllless)
(unllless)
inthr
ft'lsec
folsec
ft'Isec
10,63 fmsl
10.00 fmsb
10.00 Imsl
WA lmsl
fmsl
6.50 tmsl
5.50 Imst
1.00 ft
OK
OK, volume provided is equal to or in excess of volume required.
Y (Y or N)
10.6 fruid OK
Form SW405•Wet Detention Basin-Rev.E-WI7M Parts I. 8 II. Design Summary, Page 1 of 2

Permit No.
(to be provided by DWQ)
II;`,DESIGN INFORMATION r11'A'it` t`;', ;f� l'u `.,'" '' it t• i`II`„ [_:�; 1;; i r, s,l'o5:i13 G)iC vI' f Rl'�'ilk"' u' hI GI:'ti:; Ar41.^`!rk',i'i. ,' '.i'r�r"; a'. I 'tit,"•diirlis;'!ii1,6 : `;>v'li sts,a :.: t'l:, f
Surface Areas
Area, temporary pool
78,287 ft'
Area REQUIRED, permanent pool
21,%6 ft'
SAIDA rabb
3,34 (unitless)
Area PROVIDED, permanent pool, Ap y;a
75,932 it' OK
Area, bottom of 10ft vegetated shelf, AK w
ft2
Area, sediment deanout, top elevation (bottom of pond), A,,,,w
ftz
Volumes
Volume, temporary pod
48,5ii0 ff= OK
Volume, permanent pool, V,._pd
R1
Volume, forebay (sum of forebays it more than one forabay)
ft3
Forebay % of permanent pool volume
%
SAfDA Table Data
Design TSS removal
90 %
Coastal SAIDA Table Used?
Y (Y or N)
MountalnlPledmont SAIDA Table Used?
(Y or N)
SAIDA ratio
3.34 (unlbess)
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
NIA (Y or N)
Volume; permanent pool, V,, _pw
ft3
Area provided, permanent pod, A,, ,,_pd
75,932
Average depth oaiculated
It
Average depth used in MA, dw, (Round to nearest 0.51t)
ft
Calculation option 2 used? (See Figure 10-2b)
(Y or N)
Area provided, permanent pod, Ay�,r,-y,d
75.932 ft?
Area, bottom of IN vegetated shelf. Aye ran
ft?
Area, sediment cle-anout, lop elevation (bottom of pond), Ab. ,r
to
'Depth' (distance blw bottom of 10ft shelf and top of sediment)
-6.50 ft
Average depth calculated
ft
Average depth used in SA1DA, d_ (Round to nearest 0.511)
ft
Drawdown Calculations
Drawdown through orifice?
Y (Y or N)
Diameter of orifice (if circutar)
3,00 In
Area of orifice (if -non -circulars
in,
Coefficient of d scharge (CD)
0.60 (unitess)
Drfving head (H,)
0.21 ft
Drawdown through weir?
(Y or N)
Weir type
(unitless)
Coefficient of discharge (C.)
(unitless)
Length of weir (L)
ft
Driving head (H)
ft
Pre -development 1-yr, 24-hr peak flow
tolsac
Post-development:I •yr, 24-hr peak flow
(?1sec
Storage volume discharge (ale (through discharge orifice or weir)
0.11 ftrlsec
Storage volume drawdown time
5.1 TL, 3 rqd days
Additional Information
Vegetated side slopes
3 :1
Vegetated shelf slope
6 ;1
Vegetated shelf width
12.0 ft
Length of nowpath to width ratio
'3 :1
Length to width ratio
2.8 A
Trash rack for overflow R orifice?
Y (Y or N)
Freeboard provided
3.0 ft
Vegetated filter provided?
N (Y or N)
Recorded drainage easement provided?
N (Y or N)
Capures all runoff at ultimate build -out?
Y (Y or N)
Drain mechanism for maintenance or emergencies is:
pump
Storage.volume discharge rate greater than pre-dev. 1 yr24br.
Insufficienl drawdowm time. Must be within 2-5 days,
OK
Insufficient shelf slope,
OK
OK
OK
OK
OK
OK
Insufficient. Recorded drainage easement required.
OK
Farm SM01-Wet DoltmOan Sasin•Rev.8-9117log Paris I. & II. Design Summary. Page 2 of 2

Permit No.
(to be provided by DWQ)
Ili." REQUIRED'ITEMS CHECKLIST., i "'1;F a, .�„ .Ix,i,,,
I :i,r ,tl!';n tilt
Please indicate the page or plan sheet numbers where the supporting documentation can.be found. An incomplete submittal package will
result in a request for additional information, This will delay final review and approval of the project, Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Pagel Plan
Initials Sheet No.
C301-303 1. Plans (1" - 50' or larger) of the entire site showing,
Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Basin dimensions,
Pretreatment system,
- High flow bypass system,
Maintenance access,
Proposed drainage easement and public right of way (ROW),
Overflow device, and
Boundaries of drainage easement.
NIA 2. Partial plan (i' = 30' or larger) and details for the wet detention basin showing:
Outlet structure with trash rack or similar,
Maintenance access,
Permanent pool dimensions,
Forebay and main pond with hardened emergency spiilway,
Basin cross-section,
Vegetation specification for planting shelf, and
Filter strip.
NIA 3. Section view of the wet detention basin (1' = 20' ar larger) showing:
Side slopes, 3:1 or lower,
Pretreatment and treatment areas, and
Inlet and outlet structures,
C501 4. if the basin is used for sediment and erosion control during construction, clean out of the basin is specified
on the plans prior to use as a wet detention basin.
NIA 5, A table of elevations, areas, incremental volumes & accumulated volumes for overall pond and for forebay,
to verify volume provided.
C501 G. A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized.
attached 7. The supporting calculations,
attached S. A copy of the signed and notarized operation and maintenance (0&M) agreement.
NIA 9, A copy of the deed restrictions (if required),
NIA 10. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. County
soil maps are not an acceptable source of soils information.
Form SW401-Wet Detentlon Basln-Rev.6-9I17r09 Part Ill. Requlred Items Checklist, Page 1 of 1

April 13, 2012
Mr. Scott Vinson
Dept. of Environment and Natural Resources
Land Quality Section
943 Washington Square Mall
Washington, NC 27889
HYMAN
ROBEY-1
RECEIVED
APR 1 6 2012
Subject: Stormwater Management Permit D V Q—WARO
ACADEMI — Black Bear Inn 2
HR Project. # 120008
Dear Mr. Vinson:
On behalf of ACADEMi LLC, we are requesting a modification to SW Permit No. SW 7060312.
Enclosed for your review and approval, please find the following items:
Two (2) copies of the plans for the above referenced project.
2. The original and one (1) copy of the executed Stormwater Permit Application with and
operation and maintenance agreement.
3. Two (2) copies of the project narrative including: Stormwater and Erosion Control
Calculations, the deed for the property, printouts from the NC Secretary of State website
showing the corporate name changes, a copy of the written consent of the sole manager
appointing officers, and a portion of the USGS quad map showing project location.
4. A check in the amount of amount of $505.00 for the Stormwater Review Fee.
Please note that no soils report or wet detention basin supplement have been provided. The
pond was designed and permitted by Arcadis in 2006. I have included a copy of page one of
our wet detention basin calculations showing required and provided storage volumes.
If you have any questions, please do not hesitate to contact this office at [phone],
Sincerely,
Hyman S Robey, PC
*L'� -D`
4Q/-N�
Kimberly D. Hamby
Engineering Project Manager
cc: file
Doug Cherrix
R O. Box 339 Camden, Norlh Carolina 27921
[phone] License C-0598
www. hymanrobey. com

Vinson, Scott
From: Kim Hamby ([e-mail]]
Sent: Tuesday, April 17, 2012 6:17 PM
To: Vinson, Scott
Subject: ACADEMI
Attachments: 120008 - Wet Detention Basin Supplement.pdf
Scott,
Attached is the wet detention basin supplement with limited information. I did not provide dimensions below
permanent pool or any calculations for the permanent pool volume. I also have not performed the pre/post analysis of
the 1-year storm. Please let me know if this is adequate or if you need any additional information.
Also, we have another ACADEMI project coming up. They are going to construct a training site (similar to a firing range)
that will not exceed low density coverage limits but they may want to cover the area in gravel in the future. We would
like to go ahead and provide them with stormwater treatment so they will be prepared in the future. This site is
adjacent to a pond created from an abandoned borrow pit. We would. like to modify the existing pond to act as the wet
detention basin. If we constructed a planted forebay and a baffle to create the proper flow path, can we use the existing
basin? I know we would have to verify depth, but would we have to provide a vegetated shelf around the existing
portion of the basin or are there some allowances for utilizing the existing pond?
I'd appreciate your input. Please call me for discussion.
Thank you,
Kim
Kimberly D. Hamby
Engineering Project Manager
Hyman & Robey, PC
252.337.8918

1-
O�O� W A r�gpG
_CIO
p `C
Mr. Gary Jackson, President
E & J Holding, LLC
PO Box 1029
Moyock, NC 27958
Dear Mr. Jackson:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolini Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
July 12, 2006 �
r`
Subject: Stormwater Permit No. SW7060312
Blackwater USA -- Bunkhouse
High Density Project
Camden County
The Washington Regional Office received a complete Stormwater Management Permit
Application for Blackwater USA — Bunkhouse on June 29, 2006. 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. SW7060312 dated July 12, 2006, for the construction of the subject project.
This permit shall be effective from the date of issuance until July 12, 2016, and shall be
subject to the conditions and limitations as specified therein. Please pay special
attention to the Operation and Maintenance requirements in this permit. Failure to
establish an adequate system for operation and maintenance of the stormwater
management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you
have the right to request an adjudicatory hearing upon written request within thirty (30)
days following receipt of this permit. This request must be in the form of a written
petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed
with the Office of Administrative Hearings, P.O. Drawer 27447, Raleigh, NC 27611-
7447. Unless such demands are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please
contact Scott Vinson, or me at [phone].
incere y,
� f
A—AH -�
Regi nal Supervisor
Surface Water Protection Section
AHlsav: C:ISTORMWATERIPERMIT1SW7060312
cc: Jonathan Allen, PE - ARCADIS
Camden County Building Inspections
,/dllashington Regional Office
Central Files
North Carolina Division of Water Quality Washington Regional Office Phone [phone] FAX [phone] a Customer Service
Intemet: %vww,n waterquali1y,ore 943 Washington Square Mall, Washington, NC 27889 1-877-623-6749
An Equal Opportunity/Affirmative Action Employer — 50% Recycled110% Post Consumer Paper
O
ow NCaro
Ivatura)

State Stormwater Management Systems
Permit No. SW7060312
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
E & J Holding, LLC
Blackwater USA — Bunkhouse
Camden County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the
provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and
the approved stormwater management plans and specifications and other supporting
data as attached and on file with and approved by the Division of Water Quality and
considered a part of this permit.
This permit shall be effective from the date of issuance until July 12, 2016, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.6 on page 3 of this permit. The stormwater
control has been designed to handle the runoff from 5.45 acres of impervious
area.
3. The overall tract will be limited to the 6.42 acres of built -upon area within the
total project area of 28.71 acres as indicated on the application and per
approved plans in order to remain 22% low density overall.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area #1 of this
project must be directed into the permitted stormwater control system per
approved plans.
Page 2of7

State Stormwater Management Systems
r
Permit No. SW7060312
The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a.
Drainage Area, acres:
12.25
b.
Total Impervious Surfaces, ft2:
237,402
C.
Design Storm, inches:
1.0
d.
Pond Depth, feet:
5450
e.
TSS removal efficiency:
90%
f.
Permanent Pool Elevation, FMSL:
10.00
g.
Permanent Pool Surface Area, ft2:
75,674
h.
Permanent Storage Volume, ft3:
271,236
i.
Permitted Forebay Volume,.ft3:
46,405
i.
Temporary Storage Elevation, FMSL:
10.75
j.
'Temporary Storage Volume, ft3:
57,925
k.
Controlling Orifice:
3.0" � pipe
I.
Receiving Stream/River Basin:
Tull Creek 1 Pasquotank
m.
Stream Index Number:
30-1-2-2-5-1-1
n.
Classification of Water Body:
"B; Sw"
I1. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all times provide the operation and maintenance
necessary to assure the permitted stormwater system functions at optimum
efficiency. The approved Operation and Maintenance Plan must be followed in its
entirety and maintenance must occur at the scheduled intervals including, but not
limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow
spreader, catch basins and piping.
g. Access to the outlet structure must be available at all times.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW7060312
4. Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ. The records will indicate the date,
activity, name of person performing the work and what actions were taken.
5. The facilities shall be constructed as shown on the approved plans. This permit
shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
6. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification, A
modification may be required for those deviations.
7. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
8. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
9. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the.permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought. ,
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
10. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. 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.
12. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
13. This permit shall be effective from the date of issuance until July 12, 2016.
Application for permit renewal shall. be submitted 180 days prior to the expiration
date of this permit and must be accompanied by the processing fee.
Page 4 of 7

State Stormwater Management Systems •.
Permit No. SW7060312
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a formal permit transfer request to the Division of Water Quality,
accompanied by a completed name/ownership change form, 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 permit conditions
until such time as the Division approves the transfer request.
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) having jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
5. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
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. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
8. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
9. The permittee shall notify the Division of any name, ownership or mailing
address changes within 30 days.
Permit issued this the 121" day of July, 2006.
RTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
L Ll�h
for
Haan vv. KifineK, r.t., uirector
Division of Water Quality
By Authority of the Environmental Management Commission
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7060312
Blackwater USA -- Bunkhouse
Stormwater Permit No. SW7060312
Camden County
Designer's Certification
I, , as a duly registered
in the State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL.
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7060312
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided,
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay,
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Camden County Building Inspections
Page 7 of 7

FW: Blackwater - Bunkhouse Resubmittal
Subject: -FW: Blackwater.-.Bunkhouse Resubmittal
From: "Allen, Jonathan" <[e-mail]>
Date: Thu, 29 Jun 2006 14:25:04 -0400
To: "Scott Vinson" <[e-mail]>
Scott, Due to the mix-up in the mailing of the resubmittal check from the client, please allow us a
resubmittal extension for the Bunkhouse Stormwater Package until Wednesday, July 5th. Thank you for
your help with this matter. Have a nice holiday, Jonathan
From: Allen, Jonathan
Sent: Wednesday, June 28, 2006 4:24 PM
To: 'Scott Vinson'
Subject: Blackwater - Bunkhouse Resubmittal
Scott, Blackwater has said they overnighted the check to me last night but I haven't seen it today.
Hopefully, it will show up tomorrow. The submittal package is sitting here waiting to go pending the arrival
of the check. Please grant us an extension for the resubmittal of the Bunkhouse Stormwater package.
Please let me know if you have any questions. Thanks, Jonathan
Jonathan A. Allen, P.E.
ARCADIS
801 Corporate Center Drive, Suite 300
Raleigh, North Carolina 27607-5073
Office: [phone]
Fax: [phone]
email: [e-mail]
1 of 1 6/29/2006 2:44 PM

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JUN 2-9 2006
DWQ
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0 ARCADIS
Infrastructure, environment buildings
TRANSMITTAL LETTER
To:
Scott Vinson
NCDENR — Div. of Water Quality
943 Washington Square Mall
Washington, NC 27889
Phone No.: [phone]
From:
Jonathan Allen
Subject:
Blackwater USA — Bunkhouses
We are sending you:
ARCADIS G&M of
North Carolina, Inc.
801 Corporate Center Drive
Suite 300
Raleigh,
Copies:
North Carolina 27607-5073
Jim Dehart
Tel [phone]
Blackwater
Fax [phone]
850 Puddin Ridge Road
Moyock, NC 27598
[[//����lI
LAND RESOURCES
Date: IREcE:0 V E
28 June 2006
ARCADIS Project No.: JUN 2 9 2006
NC406005.0000.00001
n ran-►n/a are
® Attached ❑ Under Separate Cover Via the Following Items:
❑ Shop Drawings ❑ Plans ❑ Specifications ❑ Change Order
❑ Prints ❑ Samples ❑ Copy of Letter ❑ Reports
❑ Other:
Copies
Date
Drawing No.
Rev.
Description I
Action*
2
C2.02, C2.03
Bunkhouse— Site Drawings
2
Stormwater Management Permit Application Form, Page 2 only
(Original + 1 copy)
1
Wet Detention Basin Supplement, Page 1 and 2 only (Original)
1
41.,000,00JW-Apphcation4" 5cK-r v120crLY TV SLo-rr
I
Stormwater Narrative with supplemental information
Action*
❑ A Approved ❑ CR Correct and Resubmit ❑ Resubmit Copies
❑ AN Approved As Noted ❑ F File ❑ Return Copies
❑ AS As Requested ❑ FA For Approval ❑ Review and Comment
❑ Other:
Mailing Method
❑ U.S. Postal Service 15` Class ❑ Courier/Hand Delivery ® FedEx Priority Overnight ❑ FedEx 2-Day Delivery
❑ Certified/Registered Mail ❑ United Parcel Service (UPS) ❑ FedEx Standard Overnight ❑ FedEx Economy
❑ Other:
Comments: Scott, Please accept this package for resubmittal for the Stormwater Express Permit review for the I3unk_house
Facility at the Blackwater site. Please let me know if you have any questions. Thanks, Jonathan
Page:
avmsoroo6umH��ei�.,aos.ox 111

Oar WAT Michael F. Easley, Governor
`0 �G William G. Ross Jr., Secretary
CONorth Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
June 21, 2006
Mr. Gary Jackson, President
E & J Holding, LLC
PO Box 1029
Moyock, NC 27958
Subject: Stormwater Review SW7060312
Blackwater USA — Bunkhouse
Camden County
Dear Mr. Jackson:
This office received a Coastal Stormwater permit application and plans for the subject project on
June 5, 2006. A preliminary review of the project indicates that before a State Stormwater permit can be
issued the following additional information is needed.
i Please delineate the drainage area to the pond on sheet C2.02
i Please regrade the outer two parking lots so that stormwater runoff is diverted into the wet pond.
In addition, please add this area to the street/parking impervious areas to the SWU-101
application form, page 2, under section III, no. 6 and to any revised calculations. (The elevations
drop from 15.95 to 15.15 & 16.10 to 15.20.) Please don't forget to stamp and sign any revised
plans and calculations.
The 2-5 day drawdown orifice should be sized based on the minimum 1"design storm volume for
the drainage area, not the provided volume. Please also note that the temporary pool calculations
should go from 10.0fmsl to 10.50 not 13.Ofmsl. The temporary pool listed on the Wet Detention
Basin supplement form SWU-102 should also be modified. Please revise the calculations to
reduce the size of the drawdown orifice based on the minimum 22,454 volume required.
i Please show the 12' wide, 6:1 sloped vegetated _shelf on both sides of the wet pond cross sectional
detai 1.
Please provide the 25% additional information fee associated with the Express Stormwater
Review Program of $1000.00 by check made payable to '-NC DEaNR".
The above requested information must be received in this office prior to -June 29, 2006 or your
application will be returned as incomplete. The return of this project will necessitate resubmittal of all
required items including the application fee. If you need additional time to submit the required
information, please mail or fax your request for time extension to this office at the Letterhead
address.
North Carolina Division of Water Quality Washington Regional Office Phone [phone] FAX [phone]
Intemet: h2o.emstate.nc.us 943 Washington Square Mall, Washington, NC 27889
Customer Service
1-877-623-6748
Ow
Nor Caro
,�t=
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper

r¢'
You should also be aware that the,Stormwater Rules require that the permit be issued prior to any
development activity. Construction without a permit is a violation of 15A NCAC 21-1.1000 and North
Carolina General Statute 143-215.1 and may result in civil penalties of up to $10,000 per day.
Please reference the Stormwater Project Number above on all correspondence. If you have
questions, please feel free to contact me at [phone].
cc: athan Allen, PE ARCADIS
Washington Regional Office
Sincerely,
Scott Vinson
Environmental Engineer
Washington Regional Office

A
NCDENR
North Carolina Department of Environment and Natural Resources
943 Washington Square Mail, Washington NC 27889 [phone] FAX [phone]
Request for Express Permit Review
FILL-IN all information below and CHECK required Permit(s).
Please include this with the application package upon submittal, Project application received after 12 noon will be
stamped in the following work day. Thank you! Lyn Hardison lyn,
APPLICANT Name tau-( PAunA
Company E �s
Address P.a aox 10211 —City/State AAg!j�ck , u L Zip V2958._.
Phone (2sz)t+:9--21f88 T Fax Lz6-Z)A3S 1,389 Email rouyvp T&Qs4coh
PROJECT Name 9LAC-x_L,,�<7rEa — gUlLOiu�s -- County
PROJECT LOCATION ADDRESS $sue Pupa u 12t0 0
ENGINEER/CONSULTANT Tom A) A n1 —
Company APcAas
Address_ Rot coreP.c,w� 5���� i� CitylState e GA, Aug Zip 27Go7
Phone (ctta)65'14 Fax 1-1r1] 8S� -s'4v9 _Email
State or National Environmental Policy Act (SEPA, NEPA) — EA or EIS Required ❑Yes ❑ No
❑ STREAM ORIGIN Determination; # of Stream tails; Stream Name
----- ------------ ------ -------- --------- ------- ----------- -----------------------�--- --- - - - - - --------------------------STORMWATER ❑ Low Density High Density -Detention Pond ❑ Nigh Density -Other
❑ Low Density -Curb .& Gutter ❑ High Density -Infiltration ❑ Off Site
PROJECT SYSTEM(S) TRIBUTARY TO Tuts geEe rc STREAM NAME pAs&wut,4,uK RIVER BASIN
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------
❑ COASTAL ❑ Excavation & Fill ❑ Bridges & Culverts ❑ Structures Information
MANAGEMENT ❑ Upland Development ❑ Marina Development ❑ Urban Waterfront
❑ LAND QUALITY ❑ Erosion and Sedimentation Control Plan with acres to be disturbed. CK #
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------
❑ WETLANDS (401) ❑ No Wetlands on Site (letter from COI~) ❑Wetlands Delineated/No JD
❑ Greater than 0.1 AC Wetlands Impacted ❑Jurisdictional Determination has been done
❑ Less than 0.1 AC Wetlands Impacted ❑Greater than 0.5 AC Wetlands Impacted
CIRCLE Y1N: 401 Application ❑Yes ❑ No 404 Application in Process w1USCOE ❑Yes ❑ No
The legislation allows additional fees, not to exceed 50% of the original Express Review permit application
fee, to be charged for subsequent reviews due to the insufficiency of the permit applications.
CHECK # (Gt 5 3
SUBMITTAL DATES:
SW & -S-C
CAMA
LOS
401
For DENR trse only
Fee Split for multiple permits:
$
S
S
S
Total Fee Amount $ 42.0
WIECEIVe m
JUN - 5 2006
DWQ-WARO

OFFICE USE ONLY .. `
Date Received
Fee Paid
Permit Number
i]6
00 a
State of North Carolina SW-K
�� Department of Environment and Natural Resources
Division of Water Quality (�
JUN; - 5 l U
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
DWQ-WARn This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc, who owns the project):
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
I �1WY J-A c-ti rzp j` P WS 10 k'N r
3. Mailing Address for person listed in item 2 above:
P. o. 3ok 1 U VI
City: M0'f0 C4L
Telephone Number: ( ZS-z- ) 43 S - 2to 7
State: iAL Zip: 17q$
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
5. Location of Project (street address):
1 O PU.PPIN !? a6
City:
6. Directions to project (from nearest major intersection):
County: CAKADni
.! a �.:f. � 1 � ► � L�_c� 7 �.0 �
Ic ro 7. Latitude: 3l0° Z(a t��� Longitude:�a° 12 IQ-r1 W. of project
8. Contact person who can answer questions about the project:
Name:^ vztg-og Telephone Number: ( Z$ ^2- ) 435-00-L 1
IL PERMIT INFORMATION:
1, Specify whether project is (check one); ✓ New Renewal Modification
Form SWU-101 Version 3.99 Page 1 of

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number N JA and its issue date (if known)
3. Specify the type of project (check one)'-.
Low Density Hig Density �h Redevelop General Permit� __Ctl
Y
4. Additional Project Requirements (check applicable blanks):
t��N
_CAMA Major I� Sedimentation/Erosion Cont ra!904/401 Perini[ PDES Stormw`ats
C.QP?¢ou A �Or1r D �LR;j
Information on required state permits can be obtained by contacting the Customer Service r at k'Q
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 .
5'CO2MWk1EZ Q1)N--oFr= Ff�o Tub st w�u Bt � hr�n
RY A wt--r j0&7Eru 7toA1 9A4 i"
2. Stormwater runoff from this project drains to the P A 5 Qu e)—, River basin.
3. Total Project Area: Z°v • 7 I acres 4. Project Built Upon Area: 2 Z %
5. How many drainage areas does the project have? f
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,
peo-5Fcz si-re
o-rh� Pao-5e_ _-T APZ A
_ - -• a t �r 4
tBastn Infoi matron {, }
'ti �; �.€ -: _ r --- r. r
't;
.t�L»-
k
P,r N
Receiving Stream Name
t tv. ��k
u LL
Receiving Stream Class
Drainage Area
Existing Impervious` Area
O
D
(. Z
22
Proposed Impervious�Area
3.45
% Impervious' Area (total)
,/ yS 7b
- i [ .a";'i „ i
Impervious Surface Area ^a a ° t
�,,....
-a t
' 'tint ;Drainage Area I a txR y , L`?��Iu
�I," �.,.. ..
""q" n x -- - r
�Dratnagc Aca`2j�°�,�; ,
�, li
On -site Buildings
fV
t Z
W Z.4e-
On-site Streets
4-21&^ .0
a AL
On -site Parking
On -site Sidewalks
(�
D. b Ac
Other on -site C10oc. 4,RPAt
AG ✓
Off -site
p
Total:a
r
Total: 0
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version 3.99 Page 2 of

7. How was the off -site impervious area listed above derived? &Qn c-AS2bFZAWING
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment.
The following covenants are intended to ensure ongoing compliance with state stormwater management permit number
as issued by the Division of Water Quality. These covenants may riot be
changed or deleted without the consent of the State.
2. No more than 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 outparcels or future development shall be directed into the permitted stormwater control
system. These connections to the stormwater control system shall be performed in a manner that maintains the, integrity
and performance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, that the covenants will be binding on all parties and persons
claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact. the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms.
Form SWU-102
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

Vl.'� 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.
• Original and one copy of the Stormwater Management Permit XM)C-INA11)
plication Form
• One copy of the applicable Supplement Form(s) for each BMP
• Permit application processing fee of $ (payable to NCDENR) $ ¢,pop
• 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): �1S ~Ks.tC��Z
Mailing Address:_ tO1 Coot CqimL. L2►vt:,,utrg 300 G�
City: 7_"44{ State: Nc- Zip: J707
Phone: { 419 } 1d1`4- lin � Fax: 4-,5-40
VIII. APPLICANT'S CERTIFICATION
c
1, (print or type name of person listed in General Information, item 2) t✓wZy A c
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of 15A
NCAC 2H .1000.
Signature: ei
Date: 0 3.07.6 6
Form SWU-101 Version 3.99 Page 4 of 4

Permit No. 51122O_11 Z�
(to be provided by UWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT JUN 2 9 2006
This form may be photocopied for use as an original DWQ_` . ,ARO
DWQ S-tormwater Management Plan Review:
A complete stormwater management plan submittal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details.
1. PROJECT INFORMATION
Project Name: EcAU wh`CE2 — go Nk I.{ow t✓
Contact Person: 10"1Y VEeNox1 Phone Number: (2SZ )43s"
For projects with multiple basins, specify which basin this worksheet applies to:
elevations
Basin Bottom Elevation S 2 ft. (floor of the basin)
Permanent Pool Elevation ft. (elevation of the orifice)
Temporary Pool Elevation Y+' ft. (elevation of the discharge structure overflow)
l0."1 s
areas 75,1,74
Permanent Pool Surface Area - sq. ft. (water surface area at the orifice elevation)
Drainage Area 12. 25 ac. (on -site and off -site drainage to the basin)
Impervious Area .5.-5 `r _ ac. (on -site and off -site drainage to the basin)
volumes 2?1t-236
Permanent Pool Volume cu. ft. (combined volume of main basin and forebay)
2
Temporary Pool Volume57, g5 cu. ft. (volume detained above the permanent pool)
Forebay Volume 4G,40 # cu. ft. (approximately 20% of total volume)
Other parameters
SAIDAI g- 4 (surface area to drainage area ratio from DWQ table)
Diameter of Orifice 3 in. (2 to 5 day temporary pool draw -down required)
Design Rainfall 1 in.
Design TSS Removal 2 % (minimum 85% required)
Form SWU-102 Rev 3.99 Page 1 of 4

Frintni`it�c•
' When using the Division SA/DA tables, the correct SAIDA ratio for permanent pool sizing should be computed based upon the
actual impervious % and permanent pool depth. Linear interpolation should be employed to determine the correct value for non-
standard table entries.
2 In the 20 coastal counties, the requirement for a vegetative filter may be waived if the wet detention basin is designed to provide
90% TSS removal. The NCDENR BMP manual provides design tables for both 85% "I'SS removal and 90% TSS removal.
H. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. If a requirement has not been met, attach justification.
Applicants Initials
a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
b. The forebay volume is approximately equal to 20% of the basin volume.
c. The temporary pool controls runoff from the design storm event.
d. The temporary pool draws down in 2 to 5 days.
NIA e. If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow
calculations)
f. The basin length to width ratio is greater than 3:1.
g. The basin side slopes above the permanent pool are no steeper than 3:1.
h. A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
i. Vegetative cover above the permanent pool elevation is specified.
j. A trash rack or similar device is provided for both the overflow and orifice.
v I R" k. A recorded drainage easement is provided for each basin including access to nearest right-
of-way.
1. If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin.
m. A mechanism is specified which will drain the basin for maintenance or an emergency.
III. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the
vegetated filter if one is provided.
This system (check one) 0 does 'does not incorporate a vegetated filter at the outlet.
This system (check one) 0 does does not incorporate pretreatment other than a forebay.
Form SWU-102 Rev 3.99 Page 2 of 4

Maintenance activities shall be performed as follows:
I. After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated cover, and general condition.
b. Check and clear the orifice of any obstructions such that drawdown of the temporary pool occurs. within
2 to 5 days as designed.
2. Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash as needed.
3. Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap, etc.) quarterly to maintain
proper functioning.
4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth (see diagram below). Removed sediment shall be disposed of
in an appropriate manner and shall be handled in a manner that will not adversely impact water quality (i.e.
stockpiling near a wet detention basin or stream, etc.).
The measuring device used to determine the sediment elevation shall be such that it will give an accurate
depth reading and not readily penetrate into accumulated sediments.
When the permanent pool depth reads 3.39 feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads 3,39 feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
(fill in the blanks)
r
17 Permanent Pool Elevation /b-a
Sediment R\E-Ie
al El. LL.3 75 '
Sediment Removal Elevation ,75%
BottomationS S, % --------------------------------------------- -------
Bottom Elevation 25 /o
FOREBAY MAIN POND
5. Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface. These
plants shall be encouraged to grow along the vegetated shelf and forebay berm.
6. If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through
the emergency drain shall be minimized to the maximum extent practical.
Form SWU-102 Rev 3.99 Page 3 of 4

7 , All components of the wet detention basin system shall be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
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: nkk� C. JAcY,scYN
Title: Frt--smruT--
Address: Sso ?uPPW tiyc,,5 Rm� , Mo* U,_ 17c=
Phone: 12szi 435' - Z49
Signature:
Date- O 3 D d
Note: The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and a
resident of the subdivision has been named the president.
I, �� '� G l , a Notary'Public for the State of A j
County of O.'ke w h✓ —,do hereby certify that
personally appeared before me this 77r9. day of _ µINLL�C �jd� , and acknowledge the due
)asin maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires '�Iu
Form SWU-102 Rev 3.99 Page 4 of 4

;�
,r" `1
-� ..
S � ? �
•.��
'�;^, r'

Qp-� t0q
� a � U �
l 0 AY 1 7 2006
FINANCIAL RESPONSIBILITYIOWNERSHIP FORMS°hn�y
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land -disturbing activity on one or more acres as covered by the Act before this
form and an acceptable erosion and sedimentation control plan have been completed and approved by the
Land Quality Section, N.C. Department of Environment and Natural Resources. (Please type or pant and, if
the question is not applicable or the e-mall and/or fax information unavailable, place NIA in the. -blank.), k-,- _
Part A. �i
1. Project Name Su�tlLWATM- 1AISC, (nC'Ic-ma _MAY 2 5 2006
2. Location of land -disturbing activity: County Ck1UlDCiCity or Township M9 0 % a r n
� 9 Y-NRO
Highway/Street Pk¢bi,� P_�QGg top& Latitude - ` 1,' 38 Longitude 7(v°_iZ' G7 , V
3. Approximate date land -disturbing activity will commence: TuaK- Zeb(o -
4. Purpose of development (residential, commercial, industrial, institutional, etc.):. W6-rr7uj"A'f'
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): J lLVS
5. Amount of fee enclosed: $ 2. 7sQ.00 _ . The application fee of $50.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is S450).
7. Has an erosion and sediment control plan been filed? Yes No Enclosed V
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
v � �-tea.. �m
Name_ Ia�Ik t�b-1ZN6r•1 _ ___ _ E-mail Address Torw B �j�cs w .
Telephone Ufz.) 415- 'L 468 Cell 4 SOIL- OA22 Fax # (25z.) ` 9s- &-ses
9. Landowner(s) of Record (attach accompanied page to list additional owners):
ccb;t`t 4 69sZ-) 435 -Z fiR _ S a
Name Telephone Fax umber
P o. Box
Current Mailing Address Current Street Address
�Ay*-c.k 0C- _ Z-716 �
City State Zip City
10. Deed Book No. 1Z O
Part B.
Page No. 085 Provid
ate ; Zip.
!11
)y of the most c�entfaE
Person(s) or firm(s) who are financially responsible for the la d-disd'ii��' �vida a
comprehensive list of all responsible parties on an attached sheet): WASHINGTON RE-GIO 'At O-FICr
Name E-mail A 'dress
Current Mailing Address Current Street Address
City State Zip City State Zip
Telephone Z-) 436 - Z 4� E5 Fax Number IZs`-2.) 435--
-(v 3

2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
_ d /A
Nam
Current Mailing Address
City
Telephone
E-mail Address
Current Street Address
State Zip City. State Zip
Fax Number
(b) If the Financially Responsible Party is a Partnership or other person engaging in business under an
assumed name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible
Party is a Corporation, give name and street address of the Registered Agent:
Namd of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City
Telephone
State Zip City
Fax Number
&ate Zip
The above information is true and correct to the best of my knowledge and belie,` and was provided
by me under oath (This form must be signed by the Financially Responsible Person if an individual
or his attorney -in -fact, or if not an individual, by an officer, director, partner, or registered agent with
the authority to execute instruments for the Financially Responsible Person). I agree to provide
correct tion should there by any change in the information provided herein.
Title or Authority
Date
I, tom- - - t +v ►.� , a Notary Public of the County of L` z) Ar
State of North Carolina, hereby certify that ^ 4-+x e s t-CTo N -q- (z Qc I--' appeared
personally before me this day and being duly sworn acknowledged that the above form was
executed by hire.
Witness my hand and notarial seal, this �_d
b pFFICIAL SEAL
N01ary PobBC. NOrlh Carolina
..uunly O1 ChOWan
i ' G LANNELLY
�pµ} �:unmis5ipr, SAp�'es June 15, 2004
My commission expires

RECEEVED s 7 as �e
2006 FINANCIAL RESPONSIBILITYIOWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
DNu rson may ayy initiate any land -disturbing activity on one or more acres as covered by the Act before this
form and an acceptable erosion and sedimentation contra] plan have been completed roved b the
Land Quality Section, N.C. Department of Environment and Natural Resources. (Pleas � p t L $ r
the question is not applicable or the e-mail and/or fax information unavailable, place NIA `tank. z
Partk
MAR Y o 20006
1. Project Name B uvr_ u 003 t= i3 LLCM W&f6 Z
2. Location of land -disturbing activity: County CAM DEA) City or Township 1 /"1~UAtITY SECTION
,t rN REGIONAL OrIFICE
Highway/Street PuomAi PtQc,E t chn Latitude ��, -1") 35 N Longitude
rcl L-
3. Approximate date land -disturbing activity will commencer _
4. Purpose of development (residential, commercial, industrial, institutional, etc.): L�qAL ��E�i4Zlo�J /l L
1
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 25- ! ,4cAE.5
6. Amount of fee enclosed: $ /3oa.or, . The application fee of S50.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example-. a 9-acre application fee is S450)_
7. Has an erosion and sediment control plan been filed? Yes No . Enclosed X
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name elU U`rtvu►� E-mail Address loo�V10J7LAr_cwhtF_QViA-MM
Telephone ZSZ- 435-•ZLLS�1 Cell# Fax# Z5Z-g3S-0B9
9. Landowner(s) of Record (attach accompanied page to list additional owners):
-2'Elro
Name Telephone Fax Number
P.O. Gox IoZ`f _ �9D ib Da'J FIt, 'P _
Current Mailing Address Current Street Address -r
�1d(act_ lac' 2795`6 J�CYocl(_ ?)L 2775E
City State Zip City State Zip
10. Deed Book No. 2-0 Page No. 0�65 Provide a copy of the most current deed.
Part B.
Person(s) or firm(s) who are financially responsible for the land -disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet):
S I�o1-D►1.� I ov'Y V(o?.�.4Ciwh-78RuSA-cc M
Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Telephone__'L52 -5�2't Fax Number

2. (a) if the Financially Responsible Party is not a resident of North Carolina
of the designated North Carolina Agent:
.,. ,...
Na e _ E-mail Address
Current Mailing Address
City State
Telephone,
Current Street Address
give name and street address
Zip City State Zip
Fax Number
(b) If the Financially Responsible Party is a Partnership or other person engaging in business under an
assumed name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible
Party is a Corporation, give name and street address of the Registered Agent:
Na a of Registered Agent E-mail Address
Current Mailing Address
City
Telephone
State Zip
Current Street Address
City
Fax Number
State Zip
The above information is true and correct to the best of my Knowledge and belief and was provided
by me under oath (This form must be signed by the Financially Responsible Person if an individual
or his attomey-in-fact, or if not an individual, by an officer, director, partner, or registered agent with
the authority to execute instruments for the Financially Responsible Person). I agree to provide
corrected information should there by any change in the information provided herein.
k
Ty or print Title r Authority
Sigliatuh Date
a Notary Public of the County of
State of North Carolina, hereby certify that �5-t����.�_ _ appeared
personally before me this day and being duly sworn acknowledged that the above form was
executed by him.
Witness my hand and notarial seal, this Z3 day of � , 20 a {P
OFFICIAL SEAL r�
' ` f Notary Public, North Carolina Notary
•: • County of Currituck
SeatAROL L. CONFER
My Commission Expires May 29, 2008 !My commission expires Z i

Type...* Time vs. Volume
Name.... MDRAIN 1 OUT
TIME vs. VOLUME (ac-ft)
Page 2.03
Time I
Output Time
increment =
.5000 hrs
hrs I
Time on left
represents time for first
value in
each row.
- --- --- I---------------------------------------------------------------------
217.5000 1
.036
.035
.035
.035
.035
220.0000 1
.034
.034
.034
.034
.034
222.5000 I
.033
.033
.033
.033
.033
225.0000 1
.032
.032
.032
.032
.031
227.5000 I
.031
.031
.031
.031
.031
230.0000 I
.030
.030
.030
.030
.030
232.5000 I
.029
.029
.029
.029
.029
235.0000 i
0?_8
.028
.028
.028
.028
237.5000 I
.028
.027
.027
.027
.027
240.0000 I
.027
.027
.026
.026
.026
242.5000 I
.026
.026
.026
.025
.025
245.0000 1
.025
.025
.025
.025
.024
247,5000 f
.024
.024
.024
.024
.024
250.0000 I
.024
.023
.023
.023
.023
252.5000 I
.023
.023
.023
.022
.022
255.0000 I
.022
.022
.022
.022
.022
257.5000 1
.021
.021
.021
.021
.021
260,0000 I
.021
.021
.020
.020
.020
262.5000 f
.020
.020
.020
.020
.020
265,0000 1
.019
.019
.019
SIN: ADYXYWJ3JNBA ARCADIS
PondPack (1.0.00.016.00) 9:29 AM 6/28/2006