SW8030318_CURRENT PERMIT_20040722

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW qo2w
DOC TYPE
[C.V30 CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
"Y�U'rA� 6
YYYYMMDD

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F Easley, Govemor
July 22, 2004
Mr Allen Gibson, Pastor
Shallotte Church of God
PO Box 488
Shallotte, NC 28459
Subject: Stormwater Permit No. SW8 030318
Shallotte Church of God
High DensitProject
Brunswick County
Dear Mr Allen
William G Ross, Jr, Secretary
Alan W Klimek, P E , Director
The Wilmington Regional Office received a complete Stormwater Management Permit
Application for Shallotte Church of God on May 3, 2004 Staff review of the plans and
specifications has determined that the protect, as proposed, will comply with the
Stormwater Regulations set forth in Title 15A NCAC 2H 1000 We are forwarding Permit
No SW8 030318 dated July 22, 2004, for the construction of the subject protect
This permit shall be effective from the date of issuance until July 22, 2014, 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 adtudicatory 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 fled 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 Linda Lewis, or me at [phone]
Sincerely,
Rick Shiver
Water Quality Regional Supervisor
RSS/arl S 1WQSISTORMWATIPERMIT1030318 tu104
cc Jay Houston, P E , Houston & Associates
Delaney Aycock, Brunswick County Building Inspections
Linda Lewis
Wilmington Regional Office
Central Files
Wilmington Regional office One
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 NorthCarol;lna
'hone 910-395-3900 / FAX [phone] / Internet h2o enr state nc us
An Equal opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper Naturally

State Stormwater Management Systems
Permit No SW8 030318
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
Allen Gibson, Shallotte Church of God
Shallotte Church of God
Brunswick 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 22, 2014, 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 16 on page 3 of this permit The wet detention
p9nd and infiltration basin have been designed to handle the runoff from 56,882
ft and 15,257 ft , respectively, of built -upon area
3 The drainage areas will be limited to the amount of built -upon area indicated in
Sections 15 and 16 of this permit, and per approved plans
4 The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system
Page 2 of 8

State Stormwater Management Systems
Permit No SW8 030318
1.1
The following design criteria have been provided in the wet detention pond and
must be maintained at design condition
a Drainage Area, acres
Onsite, ft2
Offsite, ft2
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 Permitted Storage Volume, ft3
1 Temporary Storage Elevation, FMSL
1 Controlling Orifice
k Permitted Forebay Volume, ft3
I Receiving Stream/River Basin
m Stream Index Number
n Classification of Water Body
286
124,405
0
56,882
1"
50
90%
480
4,518
4,997
490
1 0" 0 pipe
1,651
Shallotte River/ Lumber
LBR59 15-25-2-(1)
"C Sw HQW"
The following design criteria have been provided in the infiltration basin and must _
be maintained at design condition
a
Drainage Area, acres
035
Onsite, ft2
15,257
Offsite, ft2
b
Total Impervious Surfaces, ft2
839
c
Design Storm, inches
5" (no bypass, no filter)
d
Basin Depth, feet
1 0
e
Bottom Elevation, FMSL
490
f
Bottom Surface Area, ft2
132
g
Bypass Weir Elevation, FMSL
nla
h
Permitted Storage Volume, ft3
750
1
Type of Soil
Baymeade
t
Expected Infiltration Rate, inlhr
4
k
Seasonal High Water Table, FMSL
470
1
Time to Draw Down, hours
17
m
Receiving Stream/River Basin
Shallotte River 1 Lumber
n
Stream Index Number
LBR59 15-25-2-(1)
o
Classification of Water Body
"C Sw HQW"
II. 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
Page 3 of 8

State Stormwater Management Systems
Permit No SW8 030318
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 D'ebris 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
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 Decorative spray fountains will be allowed in the stormwater treatment system,
subject to the following criteria
a The fountain must draw its water from less than 2' below the permanent
pool surface
b Separated units, where the nozzle, pump and intake are connected by
tubing, may be used only if they draw water from the surface in the
deepest part of the pond
c The falling water from the fountain must be centered in the pond, away
from the shoreline
d The maximum horsepower for a fountain in this pond is 118 horsepower
r
6 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
7 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
8 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
9 Access to the stormwater facilities shall be maintained via appropriate
easements at all times
Page 4 of 8

State Stormwater Management Systems
Permit No SW8 030318
10 The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below
a Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc
b 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
11 The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction
12 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
13 The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director
In the event 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 namelownership 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
Page 5 of 8

State Stormwater Management Systems
Permit No SW8 030318
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 any name, ownership or mailing address
changes within 30 days
Permit issued this the 22nd day of July, 2004
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
_ C � _ ram
Alan —W �KiimePE rk,�t
ecto�' r
Division of Water Quality
By Authority of the Environmental Management Commission
Page 6 of 8

State Stormwater Management Systems
Permit No SW8 030318
Shallotte Church of God
Stormwater Permit No SW8 030318
Brunswick County
Designer's Certification
I, , as a duly registered
in the State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications
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 7 of 8

State Stormwater Management Systems
Permit No SW8 030318
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
$ 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
Delaney Aycock, Brunswick County Building Inspections
Page 8 of 8

,,
Date Reserved Fee raid Permit Number
12-3-'XD3 HoJ S-3-ZCV41 42v 4 © U
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be phntocaped for use as an original
L GENERAL INFORMATION
1 Applicants name (specify the name of the corporation, individual, etc who owns the project)
., Sk&11Q+te ckarak a ail ---
Punt Owner/Signing Official s name and title (person legally responsible for facility and compliance)
3 Mailing Address for person listed in item 2 above
city _s6allet+e Statezip 221M
Telephone Number ( AID
4 Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc)
_ho l l Q++e
5 Location of Project (street address)
Arc I��--
CrtyCQhg%Q4E.�. - County- gcsnawic-
Directions to project (frorn nearest major intersection)
F,-ria. US Hwy M- So"Ni ex14NC 14wy 1'50 - gas+.row 2S inA &
J�4Ccz.SS _Mn'�� S-}c�c� . Shwllol~le y T-Arn rlahf tin♦o aw-i !'79 anorox 2 mde,S ot, rj2hf
��r
Latitude 3o s 0 rJ r
Longitude ! a0 Z4` S of project
Contact person who can answer questions about the project•
Name —Allen G, b,Son Telephone Number
M PERMIT .INFORMATION.
1 Specify whether project is (check one)
V New Renewal
SW 8 0 _*5 031 a
Modlfication
Form SWU-10l Vemon 3 99 Page 1 of

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I If tins amliradm is being submntted as the result d a renewal or=df&cation to an wag pemmt hmTbe A
=hung pern* number NA _ _ and ift issue dam Of ImaumL _.4— -
3. Spee fy the type of prgect (chaC mm)-
Low Density ✓ .D=dty Rede� General Per>ndt 0&.1
4. Addium i Prefect Requrwmm (check mn&caWe ihlanim):
CAMA Major on Cmmd _ 404/4M Perx NPOES Stamwater
infmmstion an required stave p mmzts can be obby the Cusronher Service Canner an
14177-V.3-6748
ib PROJECT DRORMA17CN
1. in the span provided below. st=mmd a haw stmmvvaterwiA be treated. Also attach a detailed nmmdve
(me to tm pages) destrihtnhg snmmwatesr mmmgmmm fir the psaject
b0iNi H.. l" i • il.M •[ •� a 11 •. ..�:n�
3. Total Protect area: 3; 43 acres 4. Pn*ct Built Up=Area: 3 � is %
5. How many drainage areas does the project ha`+e7
6 Complete the IbHowing ininrrnsdou for each drainage area. R there are more d= two drairmSe a ms m the
proJesx, attach an additional sheet with the hiftwn=dm far each area piavided in the same &nnar as below
225 c `1 837 F �--
On-stie Siaeets � -
On-amt� Pa�rag 4! Z4 r s 9 sF
on -Ste Sidewal AL
Odd on -site 0 At. 2 G 2os --
OB�tGe ._.
- -- Taral. 1.3058A, 5e..9ezv= Total. Q nm3 k- 831- SF_ _
hupffm= am z defined as the && upaa am kmduAg butxmt ft b% bwMWLparing ate,
AA%Wb. gravel amm etc
Font SWU-101 Vaffioa 3 99
Page 2 of 4

7 How was the oil' -site impervious area listed above derived?
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 sigmficantly, 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 angofng compliance with state Aomwater management permit number
as Issued by the Division aI Water Quality These covenants may not be
changed or deleted without the consent of the State.
-Me Pmea area
Na more than w 57,E-- square feat aran,*W shay be covered by structures or impervious mabuials
Impervious materials include asphalt, grave, concrete, brick, stone, slate or similar material but do not Include wood
dw"ig or the water surface ofswimmfng pools
3 Swales shall not be it Ued in piped or altered except as nea waty to xmide drf veway crossings
9 Burl t-upon area In excess oldie permitted amount requires a state stormwater management permit modification prior to
construction
5 All permitted runofffrom autparcels or future development shall be directed into the permitted stormwater contra/
system These cormectfans in the stormwater control system shall be perlaimed in a manner that maintains the integrity
and performance of the system aspermitted
By your signature below you certify that the recorded deed restrictions and protective covenants for tins project
shall include all the applicable items required above, that the covenants will be binding on all patties and persons
claiming -under there, that they will nut 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 SUPPLENffiM FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project Contart the Storrtnwater and General Permits Unit at [phone] for the status
and availability of these farms.
Form SWU-102
Wet Detention Basm 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 '
Farm SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Form SWU 101 Vemon 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 stems 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 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/Protect name
- Engineer and firm
-Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property / protect 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) Hnu,94on and As*:6_-loi.#G5 . P A .
Mailing Address _P0. BRX (O~% _
City _ Sbp l kie. _ T State NC Zip.,. 28951
Phone f0 S4 - G3 24 Fax ( _ !110 ) P75-4 - 21 Z 1
VIII APPLICANT'S CERTIFICATION
I, (print or type name of person listed in General Information, item 2) k" �`3 ► V�lsbh�
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the protect will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed protect complies with the requirements of 15A
NCAC 2H 1000— _ /I ,
Form SWU-101 Version 3 99 Page 4 of 4