SW7061111_CURRENT PERMIT_20061215

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
HOC TYPE
� CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
�IIZeGo�l S
YYYYMMDD

�OF WATs9 Michael F. Easley, Governor
�()A William G. Ross Jr., Secretary
r North Carolina Department of Environment and Natural Resources
p Alan W. Klimek, P.E. Director
p w.
Division of Water Quality
SC"
December 15, 2006
Mr. Charles J. Hayes, Jr., Attorney -In -Fact
5�711 �► �g p��+'"
Boddie-Noell Enterprises, Inc. S � P1q {cil VL011 a''`K
PO Box 229 5 ,j
Kitty Hawk, NC 27949 °���► *�{ JOL. nk }a
Subject: Stormwater Permit No. SW7061111 �.
The Currituck Club PUD, Phase 8A
High Density Subdivision Project
Currituck County
Dear Mr. Hayes:
The Washington Regional Office received a complete Stormwater Management Permit
Application for The Currituck Club PUD, Phase 8A on December 13, 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. SW7061111, dated December 15, 2006, for the construction of
the project.
This permit shall be effective from the date of issuance until December 15, 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].
Sincerely,
4A-
Al Hodge
Regional Supervisor
Surface Water Protection Section
AHlsav: C:ISTORMWATIPERMIT1SW7061111
cc: Andy Deel, PE
Currituck County Building Inspections
vWashington Regional Office
Central Files N,r'taro
Ivaturat
North Carolina Division of Water Quality Washington Regional Office Phone [phone] FAX [phone] Customer Service
Internet: www.ncwateraualitKorg 943 Washington Square Mall, Washington, NC 27889 1-877-623-6748
An Equal OpportunilylAfflrmative Action Employer — 50% Recycled110% Post Consumer Paper

State Stormwater Management Systems
Permit No. SW7061111
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
Boddie-Noell Enterprises, Inc.
The Currituck Club PUD, Phase 8A
Curry"tuck County
FOR THE
construction, operation and maintenance of an infiltration basin 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 December 15, 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 1.5 on page 3 of this permit. The subdivision is
permitted for 16 lots, each allowed (see Table 1) square feet of built -upon area.
3. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
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.
Page 2 of 8

State Stormwater Management Systems
Permit No. SW7061111
5. The following design elements have been permitted for this infiltration basin
stormwater facility, and must be provided in the system at all times.
a.
Drainage Area, acres:
10.11
b.
Total Impervious Surfaces, ac:
3.34
Lots, ft2:
106,730
Roads, ft2:
28,807
Off -Site, ftz:
9,900
C.
Basin Depth, feet:
2.50
d.
Design Storm, in:
1.0
e.
Bottom Elevation, FMSL:
7.50
f
Permitted Surface Area @Bottom, ftz:
15,206
g
Permitted Storage Volume, ft3:
15,825
h.
Storage/Bypass Elevation, FMSL:
10.00
i Type of Soil: Newhan fine sand
j. Expected Infiltration Rate, in/hr. 1.00
k. Time to Draw Down, days: 1.25
Receiving Stream / River Basin:
m. Stream Index Number:
n. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
Currituck Sound / Pasquotank
30-1
"SC"
1. No homeowner/lot owner/developer shall fill in, alter, or pipe any drainage feature
(such as swales) shown on the approved plans as part of the stormwater
management system without submitting a revision to the permit and receiving
approval from the Division.
2. The permittee is responsible for verifying that the proposed built -upon area for
the entire lot, including driveways and sidewalks, does not exceed the allowable
built -upon area. Once the lot transfer is complete, the built -upon area may not
be revised without approval from the Division of Water Quality, and responsibility
for meeting the built -upon area limit is transferred to the individual property
owner.
3. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
Page 3 of 8

State Stormwater Management Systems
Permit No. SW7061111
4. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to the approved plans, regardless of size.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further_. subdivision,. acquisition, 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.
5. The Director may determine that other revisions to the project should require a
modification to the permit.
6. 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.
7. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately. Infiltration systems should not be used
as erosion control devices, due to the potential clogging. If the stormwater
system was used as an Erosion Control device, it must be restored to design
- - --con dition-prior -to -operation- as- a-stormwater-treatment device; -and -prior -to- - -
occupancy of the facility.
8. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification.
9. The permittee shall at all times provide the operation and maintenance
necessary to assure that all components of the permitted stormwater system
function 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.
G. Mowing and revegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans and
specifications.
f. Debris -removal and unclogging of structures, orifice, catch basins and
piping.
g. Access to all components of the system must be available at all times.
10. 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.
11. Permanent seeding requirements for the stormwater control must follow the
guidelines established.in the North Carolina Erosion and Sediment Control
Planning and Design Manual.
Page 4of8

State Stormwater Management Systems
Permit No, SW7061111
12. Prior to transfer of the permit, the stormwater facilities will be inspected by DWQ
personnel. The facility must be in compliance with all permit conditions. Any
items not in compliance must be repaired or replaced to design condition prior to
the transfer. Records of maintenance activities performed to date will be
required.
13. Prior to the sale of any lot, the following deed restrictions must be
recorded:
a. The following covenants are intended to ensure ongoing compliance with
State Stormwater Management Permit Number SW7061111, as issued by
the Division of Water Quality under NCAC 2H.1000.
b. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
C. These covenants are to run with the land and be binding on all persons
and parties claiming under them.
d. The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State of North Carolina, Division
of Water Quality.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the Division of Water Quality.
The maximum built -upon area per lot is (see Table 1) square feet. This
allotted amount includes any built -upon area constructed within the lot
property boundaries, and that portion of the right-of-way between the front
lot line and the edge of the pavement. Built upon area includes, but is not
limited to, structures, asphalt, concrete, gravel, brick, stone, slate, coquina
and parking areas, but does not include raised, open wood decking, or the
water surface of swimming pools.
g. Lots within CAMA's Area of Environmental Concern may be subject to a
reduction in their allowable built -upon area due to CAMA regulations.
h. All runoff on the lot must drain into the permitted system. This may be
accomplished through providing roof drain gutters, which drain to the
street, grading the lot to drain toward the street, or grading perimeter
swales and directing them into the pond or street. Lots that will naturally
drain into the system are not required to provide these measures.
Built -upon area in excess of the permitted amount will require a permit
modification.
14. A copy of the recorded deed restrictions must be submitted to the Division
within 30 days of the date of recording the plat, and prior to selling lots.
The recorded copy must contain all of the statements above, the signature
of the Permittee, the deed book number and page, and the stamp/signature
of thG d suicr of 0caus.
15. 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.
Page 5 of 8

State Stormwater Management Systems
Permit No. SW7061111
16. Built upon area includes, but is not limited to, structures, asphalt, concrete,
gravel, brick, stone, slate, coquina and parking areas, but does not include
raised, open wood decking, or the water surface of swimming pools.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and
approval by the Director. In the event there is either a desire for the facilities to
change ownership, or there is a name change of:the Permittee, a
"Name/Ownership Change Form" must be submitted to the Division of Water
Quality accompanied by appropriate documentation from the parties involved.
This may include, but is not limited to, a deed of trust, recorded deed restrictions,
Designer's Certification and a signed Operation and Maintenance plan. The
project must be in good standing with DWQ. The approval of this request will be
considered on its merits and may or may not be approved.
2. The permittee is responsible for compliance with all of the terms and conditions
of this permit until such time as the Director approves the transfer request.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal) which have jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The 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. Permittee grants permission to staff of the DWQ to access the property for the
purposes of inspecting the stormwater facilities during normal business hours.
8. The permittee shall notify the Division of any name, ownership or mailing address
changes within 30 days.
9. 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.
Permit issued this the 151h day of December, 2006.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for
Division of Water Quality
By Authority of the Environmental Management Commission
Page 6 of 8

State Stormwater Management Systems
Permit No. SW7061111
The Currituck Club PUD', Phase 8A
Stormwater Permit No. SW7061111
Currituck County
Designer's Certification
Page 1 of 2
I, . , as a duly registered _ in
the State of North Carolina, having been authorized to observe (period icallylweeklylfull
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 are a part of this Certification.
Noted deviations from approved plans and specifications:
Signature
Registration Number
Date
SEAL
Page 7 of 8

State Stormwater Management Systems
Permit No. SW7061111
Certification Requirements:
Page 2 of 2
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, a
forebay, and the vegetated filter.
15. The required dimensions of the system are provided, per the approved
plan.
cc: NCDENR-DWQ Regional Office
Currituck County Building Inspections
Page 8 of 8

Table 1- Allowable Built Upon Area for Lots in Phase SA, Single Family Lots
RE<�.^^ k`^'ej�`1LY`a'
�'
41Y.Y SC.�yw . �r
�430
18,645
7,458
a' r 4:3IYu w
ilee,14,710 5,884
;'432
I4 712
5,885
.43�'3
15,758
6,303
fC dti
�!: {4RG54e.e_.vp:51R• ��'- -yT4;..;Y'"`vi�I
20,407
8,163
;435
26,548
10,619
16 965
6,786
13,749
5,500
14,275
5,710
=k>43r
+.'ire,'",a:'lfE7i,�a.,n�i.'.�•:It�a:::
16,826
6 730
7
440'Y
16,0-94;=
6,434
21
6,408
1-,,,,M„942�
T3,F796
5,51$
14,8$5
5,954
tiSj 4 T
4444�4`
751904
--7
6,362
41 ` 445�x
17,539
7,016
'��r,k
=266,824
106,730 71

' OFFICEUSE ONLY - p
Date Received
Fee Paid
Permit Number
3
tam
1 .
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
fCe V'i 14,
4.0. -A;/): r
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may he photocopied for use as an original
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, eMono;j
wns the 1pr�oject):
(-orriltsLL ASs.�claiF�S � �F_h1r�Qti7r�i� l��rt�-wars in I'v - /l told
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
i ,, f-lx A .T Pn,,,-i Tr,- . A T k:�f "24 • -TV, - --ke4
3. Mailing Address for person listed in item 2 above:
E 0-8a2.19
City: kI HT Hawk- State: _ �iL Zip:- 71?,�'?
Telephone Number: 2i )
4. Project Name (subdivision, facility, or establishment name - should be consistent with pr,,'-- j x'�g is,
specifications, letters, operation and maintenance agreements, etc.):
Ike ch,4, Ptif), Pl,o,,g BA � '�-
5. Location of Project (street address):
City: %Pad Carona _ _ _ County:
6. Directions to project (from nearest major intersection):
=\�
r
r+S e5J �C.
r • r .�• r. .°r11MIX ".1vtT
I .NINE
7. Latitude: 36" r 8' 16, 9 f " N Longitude:_ r5 ° 48 ' 3l , 0 3 ", .j/1(. of project
8. Contact person who can answer questions about the project:
Name: k.Telephone Number: (g5;1, ) .262- �300
II. PERMIT INFORMATION:
1. Specify whether project is (check one): -_New Renewal
DEC 13 2006
Form SWU-101 Version 3.99 Pagel of4 llWQ
PROJ #

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number NZA _ and its issue date (if known) /I!%}
3. Specify the type of project (check one):
Low Density _.__X—High Density Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
CAMA Major Sedimentation/Erosion Control 404/401 Permit �NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748,
Ill. 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.
_5101NILIJcL._�
l
2. Stormwater runoff from this project drains to the River basin.
3. Total Project Area:, j & acres (Ori-jj}e-c+ 4. project Built Upon Area:4.3, 3 %
5. How many drainage areas does the project have?�J_
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.
�3-h*�+"�i� Y, e,OA.
Basin Information . ,
..�:,...rK.... : �.t.c....:.�..,..... �i�...a.:�-....,.��.ia...�.,.,.,�
' Q 4r"S '"':'�;' t �j +,,. -- a".,av
Ip Drainage Area 1 x
c.r•..yes..c�,aa.ur�a..ti'�.s,.�..�yi�
K-as, +� fey Z."
; Drainage"Area 2
:�..-'�.�....q t�r.�.�...• _.,�.:. w.,�„ ..x.�a4 .'x t.=H_"t'
Receiving Stream Name
Receiving Stream Class
Drainage Area
0
Existing Impervious* Area
0,r
Proposed Impervious*Area
% Impervious* Area (total)
y V"�ic"e#9 C57u.n' ...L., kyk' ;JJ
Iinpervto is Surface 4rea M �g
{ r r s r. .ry.�,cS"i �R
x j Drairiage�Area:l` . 4s +
��11L,3iC•�nx �:�S.µi3...
r ?�'r i,�.'4;,Draina e`Area 2"`"`ar y'5'
g ,
-.l.�i',..w.Y•w"^.�'n4.�'. ..�'].-.l'. �tr �..}2."i:-.., xl' •
On -site Buildings
On -site Streets
On -site Parking
tr
On -site Sidewalks
Other on -site
ZA
Off -site
L
Total:
Total:
* Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
V)
Form SWU-101 Version 3.99 Page 2 of 4

7. How was the off -site impervious area listed above derived? a 4O CI D kea f yuh n,
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.
1. 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 not be
changed or deleted without the consent of the State.
2. No more than a 8 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 perTormed 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-10 l Version 3.99 Page 3 of 4

VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. The complete application package should be
submitted to the appropriate DWQ Regional Office.
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 Application Form
• One copy of the applicable Supplement Form(s) for each BMP
• Permit application processing fee of $420 (payable to NCDENR)
• Detailed narrative description of stormwater treatment/management
• Two copies of plans and specifications, including:
- Development/Project name
- Engineer and firm
-Legend
- North arrow
- Scale
- Revision number & date
Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
Designated agent (individual or firm):,E G. T
Mailing Address: p 0_ &gw,&r gT2,
City: kdlv PaLLI_ _ _ State: G Zip: .2 7941 _
Phone: 261— 3 300 _ Fax: ( 2-6 Z ) 261-- 1.2 60
VIII. APPLICANT'S CERTIFICATION
1, (print or type name of person listed in General Information, item 2)
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 .10001 /% I-z _. -
Signature
Date: / y - /I. O G.
Form SWU-101 Version 3.99 Page 4 of 4

Table 1 - Allowable Built Upon Area for Lots in Phase 8A, Single Family Lots
ILumbei�
Lot Area(ft)
, : ,. Lw .
*40% L o v�eg�et)
Ate=
s x4303 r
18,645
7,458
14,710
5,884
;`4325:`
14,712
5,885
15,758
6,303
Me434 yr
20,407 1�
8,163
az{'3Sp saj
26,5481F 10,619
werr
rar43;6',
16,965
6,786
13,749
5,500
438
14,275
5,710
439E
16,826
6,730
{L'ti "440�
F�J?P t1���3�li�i1
16 D84
7
6,434
16,021
6,408
442r
13,796
5,518
14,885
5,954
YY
�AD,17,539
P, WIN "
7,016
ilo-al
266,824
106,73 1

Permit No. afyD f 1 I I
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality V�.�
STORMWATER MANAGEMENT PERMIT APPLICATION FOIE¢ C E I-XTE D
INFILTRATION BASIN SUPPLEMENT DEC 13 2006
This form may be photocopied for use as an original
DWQ
DWO,Stormwater Management Plan Review: PROJ #
A complete stormwater management plan submittal includes a stormwater management permit application, an
infiltration basin supplement for each system, design calculations, soils report and plans and specifications
showing all stormwater conveyances and system details.
1. PROJECT INFORMATION
Project Name: The CyrrJue_LLLo6_PUr),, Pkcoe SA
Contact Person: l v i ct A, Dee i P. 6. _ � Phone Number: a2 6 00
This worksheet applies to: Basin No. _ _ j in Drainage Area I
(as identrfred on plans) - (from Form SWU-101)
Il. DESIGN INFORMATION - Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable source
of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
Soil Type
Infiltration Rate
SHWT Elevation
Basin Design Parameters
Design Storm
Design Volume
Drawdown Time
Basin Dimensions
Basin Size
Basin Volume Provided
Basin Elevations
Bottom Elevation
Storage Elevation
Top Elevation
1 in/h or ef/hr/sf (circle appropriate units) (c0n3erV4 v_°)
S..'S _ _ fmsl (Seasonal High Water Table elevation)
inch (1,5 inch event for SA waters, 1 inch event for others)
c.f.
(, 2 E days
� I e�glk , j,WdAfn
r'651 ft, x Z 7 6 _ ft. = /S.206 —sq. ft. (bottom dimensions)
59 8� 4- c.f.
7� 5" _ fmsl
10.0 W fmsl
[ f . O _ fmsl
Form SW1J-103 Rev 3,99 Page 1 of.3

III. 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 that 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. Attach justification if a requirement has not been met.
Applicants Initials
ELL a. System is located 50 feet from class SA waters and 30 feet from other surface waters.
D&D b. System is located at least 100 feet from water supply wells.
TAD c. Bottom of system is at least 2 feet above the seasonal high water table.
OAn - — d. Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
e. System is not sited on or in fill material or DWQ approval has been obtained.
DA f. System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
'K Orar,a je wtll bB reWdGM tVlll. 5ub4W.4io.. Plal-_
g. Drainage area for the device is less than 5 acres. * Miliqu�e� by Excr. 5 fara�� availQ�l� a•�c(
F?w$ facl 62,c�1` tk$ dEwl'ce iS ucfuotlly tempt! c� o; 49ree lAgiArairo, bays 4W 4,19e&-r.
h. Soils have a minimum hydraulic conductivity of-0.52 inches per hour and soils report is
attached.
CAD i. System captures and infiltrates the runoff from the first 1.0 inch of rainfall (1.5 inch event for
areas draining to SA waters ). Design volume and infiltration calculations attached.
GAD j. System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached.
ri.A li _ k. All side slopes stabilized with vegetated cover are no steeper than 3:1 (H:V).
D A D I. A pretreatment device such as a catch basin, grease trap, filter strip, grassed Swale or
sediment trap is provided.
in. Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches or
dense vegetative cover is provided.
_ NIA n. Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
length is 50 feet for SA waters, 30 feet for other w ter$). No d4os i'ncf ePpoilew cl,61lee -/ exces6i✓e
F a , .s preOl , f o aI L co urse
o. Flow distribution mechanism within �e basifi is providedy
p. A benchmark is provided to determine the sediment accumulation in the pretreatment device.
* q. Runoff in ex ss of the desi n volume b,yypg$ses off-line systems (bypass detail provided).
(Yl i h gqar�C b exce1siv�e 3farale avWlabla.
r. System` s desired to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
s. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Form SWU-103 Rev 3.99 Page 2 of 3

IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
1. After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stormwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
on 46 bencky-atk
When the design depth reads , r feetin4he the sediment shall be
removed from both the pretreatment unit and the infiltrati6n basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
I acknowledge and agree by my signature below that I am responsible for the performance of the five
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: Mr. t ka e jes T . Ravet . T r,
Address: P, D . Rex 12 9 , L i E j,, AI r 2 7 4Q 9'
Phone: ,W - I Date:
Signature: _
Note: The legally responsib e party should not be a homeowners association unless more than 50% of the lots have been sold and a
resident of the subdivision has been named the president.
1, �� w N.l l�-__ VA AS , a Notary Public for the State of LVAN Ca (01 t.KnCounty of
�Gtf 1 do hereby certify that C_W r1es 7. .fir. personally appeared before me this���
day of and ack w edg the due execution of the forgoing infiltration basin maintenan a uirements.
ttr r�
WitneA w tIA nrd.Wcial seal,
LP
SF ZQ?N O TA R I,': o J My commission expires
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a-y.A{JB L �G-G
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Form'$1t$k 3 �R� Page 3 of 3