SW8050709_CURRENT PERMIT_20051229

STORMWATER DIVISION CODING SHEET
POST —CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
s� CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

�P,IA7-gip Michael F. Easley, Governor
O G William G. Ross, Jr., Secretary
7 North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
December 29, 2005
Ernest Deans Hackney
Holly Tree Investments, LLC
Post Office Box 3442
Wilmington, NC 28406
Subject: Stormwater Permit No. SW8 050709
Madison Park
High Density Subdivision Project
New Hanover County
Dear Mr. Hackney:
The Wilmington Regional Office received a complete Stormwater Management Permit
Application for Madison Park on December 22, 2005. Staff review of the plans and
specifications has determined that the project, as proposed, will comply with the Stormwater
Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No. SW8 050709,
dated December 29, 2005, for the construction of the project, Madison Park.
This permit shall be effective from the date of issuance until December 29, 2015, 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 Rhonda Hall, or me at [phone].
Sincerely
0 .1
Ed Beck
Regional Supervisor
Surface Water Protection Section
ENB/rbh.- S:1WQSISTORMWATIPERMIT1050709.dec05
cc: Charles D. Cazier, E.I., Tripp Engineering, P.C.
New Hanover County Inspections
City of Wilmington Stormwater Services
Beth E. Wetherill, New Hanover County Engineering
Rhonda Hall
Wilmington Regional Office
Central Files
North Carolina Division of Water Quality 127 Cardinal Drive Extension Phone [phone] Customer Service 1 -877-623-6748 One
Wilmington Regional Office Wilmington, NC 28405-3845 FAX [phone] Internet; h2o.enr.state.nc.us NorthCarolina
An Equal Opportunity/Affirmative Action Employer — 50% Recycled110% Post Consumer Paper Yaturally

State Stormwater Managerrient Systems
Permit No. SW8 050709
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
Ernest Deans Hackney, Holly Tree Investments, LLC
Madison Park
New Hanover County
FOR THE
construction, operation and maintenance of two 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 December 29, 2015 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 subdivision is
permitted for 67 lots, each allowed 3,750 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 9

State Stormwater Management Systems
Permit No. SW8 050709
5. The following design elements have been permitted for this wet detention pond
stormwater facility, and must be provided in the system at all times.
Pond 1
Pond 2
a. Drainage Area, acres:
10.72
9.79
Onsite, ft2:
466,869
426,247
Offsite, ft2:
None
None
b. Total Impervious Surfaces, ft2:
144,349
170,971
Lots 6-8, 35-39, & 45-66 at 3,750 ft2:
112,500
NIA
Lots 1-5, 9-34, 40-44 & 67 at 3,750 ft2:
NIA
138,750
Roads/Parking, ft2:
31,849
32,221
c. Pond Depth, feet:
6
7
d. TSS removal efficiency:
90
90
e. Design Storm, inches:
1
1
f. Permanent Pool Elevation, FMSL:
10.0
7.0
g. Permitted Surface Area @ PP, ft2:
17,101
14,000
h. Permitted Storage.Volume, ft3:
33,350
35,481
i. Storage'Elevation, FMSL:
11.8
9.0
j. Controlling Orifice:
1.5" 0 pipe
1.75" m pipe
k. Permanent Pool Volume, ft3:
63,390
52,812
I. Forebay Volume, ft3:
12,791
9,609
m. Maximum Fountain Horsepower:
114
116
n. Receiving Stream
Smith Creek
Smith Creek
o. River Basin
Cape Fear
Cape Fear
p. Stream Index Number:
18-74-63
18-74-63
q. Classification of Water Body:
C; Sw
C; Sw
Pond 1 — Lots 6-8, 35-39, & 45-66
Pond 2 — Lots 1-5, 9-34, 40-44, & 67
II. SCHEDULE OF COMPLIANCE
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 root be
Page 3 of 9

State Stormwater Management Systems
Permit No. SW8 050709
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. If an Architectural Review Board or Committee is required to review plans for
compliance with the BUA limit, the plans reviewed must include all proposed
built -upon area. Any approvals given by the Board do not relieve the homeowner
of the responsibility to maintain compliance with the permitted BUA limit.
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 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.
7. 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.
8. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
9. 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.
10. 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.
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 4of9

State Stormwater Management Systems
Permit No. SW8 050709
12. Prior to the sale of any lot, the following deed restrictions must be recorded:
a. The following covenants are intended to ensure ongoing compliance with
State Stormwater Management Permit Number SW8 050709, as issued
by the Division of Water Quality under NCAC 2H.1000.
b. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
C. These covenants are to run with the land and be binding on all persons
and parties claiming under them.
d. The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State of North Carolina, Division
of Water Quality.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the Division of Water Quality.
f. The maximum built -upon area per lot is 3,750 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.
i. Built -upon area in excess of the permitted amount will require a permit
modification.
13. A copy of the recorded deed restrictions must be submitted to the Division within
30 days of the date of recording the plat, and prior to selling lots. The recorded
copy must contain all of the statements above, the signature of the Permittee, the
deed book number and page, and the stamp/signature of the Register of Deeds.
14. 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 the fountain's pump is based on the
permanent pool volume. The maximum pump power for a fountain in Wet
Detention Pond 1 is 1/4 horsepower. The maximum pump power for a
fountain in Wet Detention Pond 2 is 1/6 horsepower.
Page 5 of 9

State Stormwater Management Systems
Permit No. SW8 050709
15. 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.
16. 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.
C. Mowing and revegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of structures, orifice, catch basins and
piping.
g. Access to all components of the system must be available at all times.
17. 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.
18. 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.
19. 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.
Page 6 of 9

State Stormwater Management Systems
Permit No. SW8 050709
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 29th day of December, 2005.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
✓Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW8 050709
Page 7 of 9

State Stormwater Management Systems
Permit No, SW8 050709
Madison Park Page 1 of 2
Stormwater Permit No. SW8 050709
New Hanover County
Designer's Certification
I, , as a duly registered in
the State of North Carolina, having been authorized to observe (periodicallylweekly/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 are a part of this Certification.
Noted deviations from approved plans and specifications:
Signature
Registration Number
Date
SEAL
Page 8 of 9

State Stormwater Management Systems
Permit No. SW8 050709
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
New Hanover County Building Inspections
Page 9 of 9

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STATE STORMWATER PERMIT TRANSFER REQUEST FORM
(Pursuant to N.C.G.S. 143-214.7(c2)/Session Law 2011-256)
This request form is for a transfer of the stormwater permit from a current permittee who is the
declarant of a condominium or declarant of a planned community (as defined in Chapter 47C or
Chapter 47F of the General Statutes, respectively) to a unit owners association, owners association,
or other management entity identified in the condominium or planned community's declaration
pursuant to N.C.G.S. 143-214.7(c2)/ Session Law 2011-256.
I. REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all
of the applicable required items listed below are included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer request.
Please notify DWQ prior to the submittal of this transfer form to request an inspection of the
stormwater system.
1. This completed and signed form.
2. Legal documentation showing that common areas related to the operation and maintenance of the
stormwater management system have been conveyed to the proposed permittee in accordance
with the condominium or planned community declaration.
—� 3. Legal documentation showing that the declarant has conveyed at least fifty percent (50%) of the
units or lots to owners other than a declarant.
4. A copy of any recorded deed restrictions, covenants, condominium/planned community
declaration or easements, if required by the permit. '
5. The designer's certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
6. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate entity, provide documentation showing the proposed permittee is a
legal entity and the named representative has the authority to act on behalf of the proposed
permittee.
7. The $40.00 processing fee. If this is an 'initial transfer from the original permittee the processing
fee is not required. Subsequent ownership transfers will require the $40.00 processing fee.
°= CEIVE
APR 0 2
BY.0
—
SSW HOA N/O Change Rev24Sept2012 Page 1 of 3

11. CURRENT PERMIT INFORMATION
1. Stormwater Management Permit Number: SW8 050709
2. Project Name: stone I s Edge
3. Current Permitee's Company Name/Organization: Holly Tree_ Investments, LLC
4. Signing Official's Name: Ernest Deans Hackney Title: Member/Manager
5. Mailing Address:
PO Box 3442
City: Wilmington State: NC Zip:
6. Phone: ( 910 )
392-3379
Fax: ()
28406
III. PROPOSED PERMITTEE / OWNER / PROJECT / ADDRESS INFORMATION
The proposed permittee identified in the condominium or planned community's declaration is the
following (check one):
❑ Unit Owners Association
El Owners Association
❑ Other Management Entity
Proposed Permittee's:
Company Name/Organization: stone' s Edge Property Owner' s Association, Inc.
2. Contact Name & Title (Please provide name of company/organization's authorized representative or agent
and her/his official title such as President):
William Passmore, President
3. Mailing Address: c/o CEPCO, 2502 S. 17th Street
City: Wilmington
State: NC
4. Phone: 910 ) 313-2311 Fax:
Zip: 28401
CEIVE
IV. CURRENT PERMITTEE'S CERTIFICATION APR D 2 20%
1, Ernest Deans Hackney , the current permittee, art submitting this repest for
a transfer of stormwater permit # sw8 050709 . I hereby attest thfitra-have-met_the.
requirements of N.C.G.S. 143-214.7(c2)/ Session Law 2011-256, and propose to transfer the permit
to a unit owners association, owners association, or other management entity identified in the
condominium or planned community's declaration. The common areas related to the operation and
maintenance of the stormwater management system have been conveyed to the unit owners
association or owners association in accordance with the declaration. I have provided a copy** of the
most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the DWQ stormwater
inspection report evidencing compliance to the proposed permittee named in Section III of this form.
I further attest that this request for a permit transfer is accurate and complete to the best of my
knowledge. I understand that if all required parts of this request are not completed or if all required
supporting information and attachments listed above are not included, this request package will be
SSW HOA N/O Change Rev24Sept2012 Page 2 of 3

returned as incomplete. I assign all rights and obligations as permittee to the proposed permittee
named in Section II of this form. I understand that this permit transfer cannot be approved by the
DWQ unless and until the facility is in compliance with the permit.
Signature: Date: /
Della C. Baird , a Notary Public for the State of
North Carolina
County of Pender
do hereby certify that
Ernest Deans Hackney personally appeared before me this the
` t' day of � , •) , 20 14 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal, p►ti1tn��i�a Notary Seal)
/ %�'4
Notary Signature a �•�pTA�y'�
A(►B00
** It is recommended that all documents that are required for the transfer of this permit be
sent by a traceable delivery method to the proposed permittee.
Additional copies of the original permit and the approved Operation and Maintenance agreement can
be obtained from the appropriate Regional Office of the Division of Water Ouality.
This completed form, including all supporting documents and the processing fee (if required), should be sent to the
appropriate Regional Office of the North Carolina Department of Environment and Natural Resources, Division of Water
Quality, as shown on the attached map.
al h "
oor sv tic
DWQ Regional Off lee Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
ngton
.EGEIVE
APR 0 2 20%
BY:
SSW HOA NIO Change Rev24Sept2012 Page 3 of 3

State of North Carolina 4�
Department of Environment and Natural Resources `a
Division of Water Quality
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
1. Stormwater Management Permit Number: SW8 050709
2. Project Name: Madison Park
3. Current Permit Holder's Company Name/Organization: Holly Tree Investments, LLC
4. Signing official's name: Ernest Deans Hackney Title:Member/Manager
5. Mailing address: PO Box 3442
City: Wilmington n State: NC Zip: 28406
6. Phone: [phone] Fax: (
II. PROPOSED PERMITTEE 1 OWNER I PROJECT 1 ADDRESS INFORMATION
This request is for: (please check all that apply)
❑ Name change of the owner (Please complete Items 1, 2, and 3 below)
® Name change of the project (Please complete Item 5 below)
❑ Change in ownership of the property/company (Please complete Items 1,
❑ Mailing address 1 phone number change (Please complete Item 4 below)
❑ Other (please explain):
1. Proposed permittee's company name/organization:
2. Proposed permittee's signing official's name:
3. Proposed permittee's title:
4. Mailing Address:
City:
State:
Phone:( ) Fax:
5. New Project Name to be placed on permit:�Stone's Edge
Zip:
2, 3 and 4 below)
Please check the appropriate box. The proposed permittee listed above is:
❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain stormwater system features. Print Name of HOA
or POA in #9 above and provide name of HOA/POA's authorized representative in #2 above)
❑ The property owner
❑ Lessee (Attach a copy of the lease agreement and complete Property Owner information on
page 4)
❑ Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will
be granted upon receipt of a copy of the recorded deed)
❑ Developer (Complete Property Owner Information on page 4) EC E IV E
ri APR 0 2 2�5
SSW N10 Change Rev24Sept2012 Page 1 of 4 BY:

Ill. REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all of the
applicable required items listed below are included with the submittal. Failure to provide the listed items
may result in processing delays or denial of the transfer.
1. This completed and signed form. This certification must be completed and signed by both the
'current permit holder and the new applicant if this is a change of ownership)
2. Legal documentation of the transfer to a new owner. J
3. A copy of the recorded deed restrictions, covenants, or easements, if required by the permit.
4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
5. If the Proposed Permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate entity, provide documentation showing the authority of the named
representative to act on behalf of the proposed permittee.
6. The $40.00 processing fee. If this is an initial transfer from the original permittee the processing
fee is not required. Subsequent ownership transfers will require the $40.00 processing fee.
IV. CURRENT PERMITTEE'S CERTIFICATION
Please check one of the following statements and fill out the certification below that statement::
® Check here if the current permittee is only changing his/her/its name, the project name, or mailing
address, but will retain the permit. I, Ernest Deans Hackney , the current permittee,
hereby notify the DWQ that I am changing my name and/or I am changing my mailing address and/or
I am changing the name of the permitted project. I further attest that this application for a
name/ownership change is accurate and complete to the best of my knowledge. I understand that if
all required parts of this application are not completed and that if all required supporting information
and attachments listed above are not included, this application package will be returned as
incomplete.
❑ Check here if current permittee is transferring the property to a new owner and will not retain
ownership of the permit.
I, , the current permittee, am submitting this application for
a transfer of ownership for permit # . I hereby notify DWQ of the sale or other
legal transfer of the stormwater system associated with this permit. I have provided a copy of the
most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
stormwater inspection report to the proposed permittee named in Sections II and V of this form. I
further attest that this application for a name/ownership change is accurate and complete to the best
of my knowledge. I understand that if all required parts of this application are not completed or if all
required supporting information and attachments listed above are not included, this applicatioin
package will be returned as incomplete. I assign all rights and obligations as permittee to the
proposed permittee named in Sections ll and V of this form. I understand that this transfer of
ownership cannot be approved by the D unless and until the facility is in compliance with the
permit. _
Signatur Date: l ��
I,& �a Notary Public for the State of
County of lmder do hereby certify
that
rsonally appeared before me this the
i day of April 201r , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal, (Notary Seai) `o�,A,;�'+.q,L
V'r' .N
Notary Signature APR 0 2 20%
SSW N/0 Change Rev24Sept2012 Pa�'� O�e•......��(!

C.67I?b}:�r'
�v �.•.rrr.,ry��°
�ry ps
r
4` 66 9
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V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Permittee for all transfers of ownership)
I, , hereby notify the DWQ that i have acquired
through sale, lease or legal transfer, the responsibility for operating and maintaining the permitted
stormwater management system, and, if applicable, constructing the permitted system. I
acknowledge and attest that I have received a copy of: (check all that apply to this permit)
❑ the most recent permit
❑ the designer's certification for each BMP
❑ any recorded deed restrictions, covenants, or easements
❑ the DWQ approved plans and/or approved as -built plans
❑ the approved operation and maintenance agreement
❑ past maintenance records from the previous permittee (where required)
❑DWQ stormwater inspection report showing compliance within 90 days prior to this transfer
I have reviewed the permit, approved plans and other documents listed above, and I will comply with
the terms and conditions of the permit and approved plans. I acknowledge and agree that I will
operate and maintain the system pursuant to the requirements listed in the permit and in the
operation and maintenance agreement. I further attest that this application for a name/ownership
change is accurate and complete to the best of my knowledge. I understand that if all required parts
of this application are not completed or if all required supporting information and attachments listed
above are not included, this application package will be returned as incomplete.
Signature:
Date:
, a Notary Public for the State of
County of , do hereby certify
that personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature
Additional copies of the original permit and the approved Operation and Maintenance agreement can
be obtained from the appropriate Regional Office of the Division of Water Quality.
This completed form, including all supporting documents and processing fee (if required), should be
sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural
Resources, Division of Water Quality, as shown on the attached map.
Please note that if the Proposed Permittee listed above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee / developer and the property owner
will appear on the permit as permittees.
SSW N/O Change Rev24Sept2012
E IVE
APR 0 2 2M
Page 3 of 4 gY'

VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections 11 and V of this form is not the Property Owner, the
Property Owner must provide his/her Contact Information below and sign this form:
Printed Name -
Organization:.
Title within the Organization:
Street Address. -
City:
Mailing Address:
City:
Phone:
Email:
(if different from street address)
State:
State:
Fax:
Zip:
Zip:
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections II and V to develop and/or lease the property. A copy of
the lease agreement or other contract, which indicates the party responsible for the construction
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal property owner I acknowledge, understand, and agree by my signature below, that I will
appear as a permittee along with the lessee/developer and I will therefore share responsibility for
compliance with the DWQ Stormwater permit. As the property owner, it is my responsibility to notify
DWQ by submitting a completed Name/Ownership Change Form within 30 days of procuring a
developer, lessee or purchaser for the property. I understand that failure to operate and maintain the
stormwater treatment facility in accordance with the permit is a violation of NC General Statue
(NCGS) 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 of the property owner
County of
day of
Date:
a Notary Public for the State of
do hereby certify that
personally appeared before me this the
20 - , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
Notary Signature
SSW N/O Change Rev24Sept2012 Page 4 of 4
(Notary Seal)
C-CEIVE
APR 0 2 2014
BY:

Job No.04118
To
Attention:
Date: 04/01/14
TRIPP ENGINEERING, P.C.
419 Chestnut Street, Wilmington, NC 28401
Phone: [phone] • FAX: [phone] �,/E
Email: [e-mail] APR 0 2 2014
LETTER OF TRANSMITTAL BY:
NCDENR
Christine Nelson
Subject: . Madison -Park (Stone's Edge)-SW8 050709
FAX TRANSMITTAL: NUMBER OF PAGES INCLUDES COVER
I am sending you: ( X ) ATTACHED ( ) UNDER SEPARATE COVER
( ) Prints ( ) Tracings ( ) Copy of letter ( ) Specifications ( X ) Other
Cries Item No. Description
1 _ _State Stormwater Permit Name/Ownership Change Form
1 _ State Stormwater Permit Transfer Request -Form
These are transmitted as checked below:
( X ) For Approval ( ) For Your Use ( ) Sign & Return ( X ) Review
Remarks: We are requesting a project name change to Stone's Edge and then a transfer of
ownership to the POA. All other necessary documentation has previously been submitted.
Please review for approval and contact us with uestions comments or if you need an
additional_ information._ Thank you.
cc:
Signed: __ Phil Tripp

North Carolina Secretary of State
Page I of 1
Account Login Register
North Carolina
Elaine F. Marshall DEPARTMENT OF THE
Secretary SECRETARY OF STATE
PO Box 29M Raleigh, NC 27626-0622 [phone]
Date: 11 /21 /2013
Click here to:
View Document Filings I File an Annual Report
®yJ. Print a Pre -populated Annual Report Fillable PDF Form I Amend A Previous Annual Report �
Corporation Names
Name
Name Type
NC�HbLLY TREE INVESTMENTS, LLC
LEGAL
Limited Liability Company Information
S OS I D:
0559179
Status: (Admin. Dissolved ;1
Effective Date:
8/1/2000
Citizenship:
DOMESTIC
State of Inc.:
NC
Duration:
8/1 /2050
Registered Agent
Agent Name:
HACKNEY, ERNEST DEANS, JR.
Office Address:
1605 COUNTRY CLUB ROAD
WILMINGTON NC 28403
Mailing Address:
PO BOX 3442
WILMINGTON NC 28406
Principal Office
Office Address:
3802 PARK AVENUE
WILMINGTON NC 28403
Mailing Address:
PO BOX 3442
WILMINGTON NC 28406
Officers
Title:
MEMBER
Name:
ERNEST D HACKNEY JR
Business Address:
1605 COUNTRY CLUB ROAD
WILMINGTON NC 28403
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
2005
http://www.secretary.state.nc.us/corporations/Corp.aspx?Pitemld=5279666 11 /21 /2013

NOTICE TO REGISTERED AGENT:
Under N.C.G.S. Section 55D-30(b), it is the duty of the registered agent to forward this certificate to the business entity at the last known
address.
Holly Tree Investments, LLC (0559179)
1605 COUNTRY CLUB ROAD
Wilmington, NC 28403
State of North Carolina
Department of the Secretary of State
CERTIFICATE OF ADMINISTRATIVE DISSOLUTION
I, Elaine F. Marshall, Secretary of State, as mandated by law, do hereby certify that
Holly Tree Investments, LLC
has been administratively dissolved pursuant to the procedure set forth in N.C.G.S. Section 57C-6-03
for failure to file an annual report effective as of the date set forth hereunder.
A Limited Liability Company administratively dissolved under N.C_G_S_ Section 57C-6-03 may apply
to the Secretary of State for reinstatement by complying with the procedure set forth in the N.C.G.S.
Section 57C-6-03.
This the 4th day of April, 2012
Elaine F. Marshall
Secretary of State
Document Id: C201209502053

C200807800300
p00k
LIMITED LIABILITY COMPANY
pP ANNUAL REPORT
NAME OF LIMITED LIABILITY COMPANY: Holly Tree Inveslrnents, LLC
SECRETARY OF STATE L.L.C. ID NUMBER: 0559179
NATURE OF BUSINESS: Residential Consi action
REGISTERED AGENT: Hackney, Ernest Deans Jr.
P,EGISTF,U-,D OFFICE MAILING ADDRESS: PO Box 3442
Wilmington, NC 28406
SOSID: 0559179
Date Filed: 3/18/2008 12:48:00 PM
Elaine F. Marshall
North Carolina Secretary of State
C200807800300
SPATE OF INCORPORA FK)N: NC
REGISTERED OFFICE STREET ADDRESS: 1605 COUNT'RI' CLUB ROAD
Wilmington, NC 28403 New Hanover County
PRINCIPAL OFFICE 'TELEPHONE NUMBER: [phone]
PRINCIPAL OFFICE MAILING ADDRESS: PO Box 3442
Wilmington, NC 28406
PRINCIPAL OFFICE STREET ADDRESS: 3802 Park Avenue
Wihnington, NC 28403
MANAGERS/MEMBERS/ORGANIZERS:
Naive: ERNEST D Hackney Jr
Title: Member
Address:
1605 COUNTRY CLUB ROAD
)Yilmin lon, NC 28403
CERTIFICATION OF ANNUAL REPORT MUST BE COMPLETED BY ALL LIMITED LIABILITY COMPANIES
ERNEST Haclii
20080310
FORM MUST BE SIGNED BY A MAN AGER/MAT R DATE
EIZNESI' Hackney
Member
TYPE OR PRINT NAME TYPE OR PRINT'ITYLE
ANNIJAL REPORT FEI;. E-Paid Secretary of Staw • Corporations Division • Past Office Box 29525 • Raleigh, NC 27626.0525

OFFICE USE ONLY
Date R//e��ceived
Fee Paid
Permit Number
2-6 'VS
.DO
05-6 701
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopiedfor use as an original
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Holly Tree Investments LLC
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Ernest Deans Hackney,Member Manager
3. Mailing Address for person listed in item 2 above:
P.O. Box 3442
City: Wilmington State: NC Zip: 28406
Telephone Number: 910-392-3379
4. Project Name (subdivision, facility, or establishment name — should be consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
Madison Park
5. Location of Project (street address):
Northbrook Drive near the intersection with Brier Crest Road
City: Wilmin on County: New Hanover
6. Directions to project (from nearest major intersection):
Approximately 1000 ft south from the intersection of Gordon Road and Northbrook Drive. Site is
on the left.
7. Latitude : N 34016' 30" Longitude: W 770 52" 00" of project
8. Contact person who can answer questions about the project:
Name: Phillip TrippTelephone Number: 910-763-5100
II. PERMIT INFORMATION:
1. Specify whether project is (check one): X New Renewal Modification
Form S W U-101 Version 3.99 Pagel of 4

I. If this application is being submitted as the result of a renewal or modification to an existing permit, list
The existing permit number and its issue date (if known)
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 X Sedimentation/Erosion Control 404//401 Permit NPDES Storinwater
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.
(2) wet detention pond
2. Stormwater runoff from this project drains to the Cape Fear River basin.
ti
3. Total Project Area: 27.08 acres 4. Project Built Upon Area: 26.73%.
5. I -low many drainage basins does the project have? 2
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
Basin Information
Overall
Drainage.Basin 1
Drainage Basin 2,
ReceivingStream Name
Smith Creek
Smith Creek
Smith Creek
Receiving Stream Class
C-SW
C-SW
C-SW
Drainage Basin Area
27.08 ac
10.72 ac
9.79 ac
Existing Impervious * Area
-
-
-
Proposed Impervious * Area
7.24 ac
3.31 ac
3.92 ac
% Impervious* Area (total)
26.73%
30.9%
40.1%
Impervious * Surface Area
Overall '
Drainage Basin ,l..
Drainage Basin 2
On -site Buildings
251,250 sf
112,500 sf
138,750 sf
On -site Streets
64,070 sf
31,849 sf
32,221 sf
On -site Parking
-
-
On -site Sidewalks
-
-
Other on -site
-
-
Off -site
-
-
-
Total:
E= 315,320 sf
E= 144,349 sf
E= 170,971 sf
* 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

is How was the off -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 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
not be changed or deleted without the consent of the State.
2. No more than 3,750 square feet of arty lot shall be covered by structures of impervious materials.
Impervious materials include asphalt, gravel, concrete, briar 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 modr icalion prior
to construction.
.i. All permitted runoff from outparcels or future development shall be directed into the permitted stormwater control
systent. 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

Vf. 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.
Applicant's initials
• 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 S420 (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 and 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): Tripp Engineering P.C.
Mailing Address: 419 Chestnut Street
City: Wilmington _ State:. NC Zip: 28401
Phone: [phone] Fax: [phone]
VIII. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in General Information, item 2) Ernest Deans Hackney ,
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.
Signatur . Date: y0
Form SWU-I01 Version 3.99 Page 4 of 4

. •c•: :•E;..,'r_' .-s, ,u+'•;• `"fr ,"it':i,.r.rt. .,•r•'•'r1;," ir,,t'' i4s:'.. .,., '
•ter• .. - -r .. E ."r ;.i. S'

Permit No. 40 9 00 qo�
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWQ Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a wet detention basin supplement for each basin.
design calculations, plans and specifications showing all basin and outlet structure details, and a signed and
notarized operation and maintenance agreement.
I. PROJECT INFORMATION (please complete the following information):
Project Name: Madison Park
Contact Person: PhilliI2 TrippPhone Number: (910 )763-5100 _
For projects with multiple basins, specify which basin this worksheet applies to: Basin No. 1
elevations
ions
Basin Bottom Elevation
4.0 ft.
Permanent Pool Elevation
10.0 ft.
Temporary Pool Elevation
11.80 ft.
(floor of the basin)
(elevation of the orifice)
(elevation of the discharge structure overflow)
areas
Permanent Pool Surface Area 17,101 sq.ft. (water surface area at the orifice elevation)
Drainage Area 10.72 ac. (on -site and off -site drainage to the basin)
Impervious Area 3.31 ac. (on -site and off-sile drainage to the basin)
volumes
Permanent Pool Volume 63,390� cu.ft. (combined volume of main basin and forebay)
Temporary Pool Volume 33 350 cu.ft. (volume detained above the permanent pool)
Forebay Volume 12 791 cu.ft. (approximately 20% of total volume)
Other parameters
SA1DA1 1.13 (surface area to drainage area ratio from DWQ table)
Diameter of Orifice 1.5 in. (2 to 5 day temporary pool draw -down required)
Design Rainfall 1.0 in.
Design TSS Removal2 90 % (minimum 85% required)
Form S W U-102 Rev 3.99 Page 1 of 4

Footnotes:
1. When using the Division SA/DA tables, the correct SA/DA 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% TSS removal and 90% TSS removal.
II. 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
eye— ^� 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 total basin volume.
c. The temporary pool controls runoff from the design storm event.
d. The temporary pool draws down in 2 to 5 days.
e. If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow
calculations).
Cper £ 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.
C' j. A trash rack or similar device is provided for both the overflow and orifice.
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 to be performed prior to use as a wet detention basin
Iel- . m. A mechanism is specified which will drain the basin for maintenance or an emergency.
*- POPVkiL ft FhNLD OD fipf, MkAjTP 00-
Ill. 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) ❑ does X does not incorporate a vegetated filter at the outlet.
This system (check one) ❑ does X does not incorporate pretreatment other than a forebay.
Form S WU-102 Rev 3.99 Page 2 of 4

Maintenance activities shall be performed as follows:
1. After every significant runoff producing rainfall event and at least monthly:
Inspect the wet detention 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 not be handled in a manner that will 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 4.5 feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads 2.25 feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
(fill in the blanks)
Permanent Pool Elevation 10
Sediment R moval El. 7.75 75 /°
--------------- - Sediment Removal Elevation 5.5 75%
Bottom evation 7.0 %-------------------------------------------- ----
FOREBAY
Bottom Elevation 4 125
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 possible.

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: Ernest Deans_Hacknev
Title: Member Manager
Address: P.O. Box 3442, Wilmington, NC 28406
Phone: [phone]
Signature:
Date:
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, Della C. Baird a Notary Public for the State of North Carolina
County of Pender do hereby certify that Ernest Deans Hackney
personally appeared before me this �_ day of &Lyl 2005 and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
C'
o: I0Tar
�2 PUBLIC ' c'
' i11COlf0���\
MU
My commission expires /(3 —/ 5 -
rD,ff �-- C, kk�-

.. .. �.u1�. ... !. - .. a �° .sir' it: i`.. �. i `1 tl'� i^•:5 .•t . .1
rk
._ .. _e. •7: t 5' .,�t _ � -. 'r,}�- �{'e r"e ..Y. .. .. t/ r7A f � - 1Yin I

Permit No.Skj b gs— 70 /
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a wet detention basin supplement for each basin,
design calculations, plans and specifications showing all basin and outlet structure details, and a signed and
notarized operation and maintenance agreement.
I. PROJECT INFORMATION (please complete the following information):
Project Name: Madison Park
Contact Person: Phillip TrippPhone Number: [phone]
For projects with multiple basins, specify which basin this worksheet applies to: Basin No. 2
elevations
Basin Bottom Elevation 0 ft.
Permanent Pool Elevation 7.0 ft.
Temporary Pool Elevation 9.0 ft.
(door of the basin)
(elevation of the orifice)
(elevation of the discharge structure overflow)
areas
Permanent Pool Surface Area 14,000^� sq.ft. (water surface area at the orifice elevation)
Drainage Area
Impervious Area
volumes
Permanent Pool Volume
Temporary Pool Volume
Forebay Volume
Other parameters
SA/DAI
Diameter of Orifice
Design Rainfall
Design'I'SS Remova12
9.79 ac. (on -site and ofJ=site drainage to the basin)
3.92 ac. (on -site and off -site drainage to the basin)
51,812 cu.ft. (combined volume of main basin and forebay)
35,481 cu.ft. (volume detained above the permanent pool)
9,609 cu.ft. (approximately 20% of total volume)
1.45 (surface area to drainage area ratio from DWQ table)
1.75 in. (2 to 5 day temporary pool draw -down required)
1.0 in.
90 % (minimum 85% required)
Form SWU-102 Rev 3.99 Page 1 of 4

Footnotes:
I. When using the Division SA/DA tables, the correct SA/DA 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% TSS removal and 90% TSS removal.
1I. 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
GAL a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
CDC, b. The forebay volume is approximately equal to 20% of the total basin volume.
c. The temporary pool controls runoff from the design storm event.
C'IlL d. The temporary pool draws down in 2 to 5 days.
- - - 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 g. The basin side slopes above the permanent pool are no steeper than 3:1.
G� 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.
L _ _ j. A trash rack or similar device is provided for both the overflow and orifice.
C 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 to be performed prior to use as a wet detention basin
L 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) ❑ does X does not incorporate a vegetated filter at the outlet.
This system (check one) ❑ does X does not incorporate pretreatment other than a forebay.
Form 5WU-102 Rev 3.99 Page 2 of 4

Maintenance activities shall be performed as follows:
After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention 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 not be handled in a manner that will 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 5.25 feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads 2.25 feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
ill in the blanks)
Permanent Pool Elevation 7.0
Sediment R moval El. 4.75 75 0
--------------- - Sediment Removal Elevation 1.75 75%
Bottom evation 4.0 %-------------------------------------------- ----
Bottom Elevation 0
FOREBAY
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 possible.

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: Ernest Deans Hackne
Title: Member Manager
Address: P.O. Box 3442 WilminglolL NC 28406
Phone: [phone]
Signature:
Date:
Note: The legally responsible party should not be a homeowners association unless more than 5(?% of the lots have been sold and
a resident of the subdivision has been named the president
I, Della C. Baird a Notary Public for the State of North Carolina
County of Pender , do hereby certify that Ernest Deans Hackney
personally appeared before me this day of 2005 , and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
O: �pTAR""
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SEAL
My commission expires IU --/ 5 'oliz

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MR
TE 04118
State Stormwater Management Systems
Permit No. SW8 050709
Madison Park
Stormwater Project No. SW8 050709
New Hanover County
Engineer's Certification
I, Phillip G. Tripp , as a duly registered Professional Engineer in the
State of North Carolina, having been authorized to observe (period icallylweekly/full
time) the construction of the project,
Madison Park
(Project)
for Holly Tree Investments, LLC (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 specifications:
SEAL
Signature
yCARf'''�i
Registration Number F74 ,�`�o?:•;,Fssrn��%�'%
Date sEat • _
-a : 17374
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in
;ECEIVE'��.�.-. GrNEEEir;`4�:
FEB 19 2014
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in
State Stormwater Management Systems
Permit No. SW8 050709
Certification Requirements: Page 2 of 2
DA
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.
014, 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.
B. 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.
A13. 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.
RECEIVE .
FEB 19 2014
iW.