SW8111117_CURRENT PERMIT_20121001

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW �/(C(��
DOC TYPE
CURRENT PERMIT
ff
APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
mO/
YYYYMMDD

a NCDETIR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P E
Governor Director
October 1, 2012
Kay Brody
209 Lindaman's Drive
Cary, NC 27519
Subject Stormwater Management Permit No SW8111117
966 Ocean Boulevard West
High Density Commercial infiltration Basin Project
Brunswick County
Dear Ms Brody
Dee Freeman
Secretary
The Wilmington Regional Office received a complete State Stormwater Management Permit
Application for 966 Ocean Boulevard West on August 29, 2012 Staff review of the plans and
specifications has determined that the project, as proposed, will comply with the Stormwater
Regulations set forth in Session Law 2008-211 and Title 15A NCAC 2H 1000 We are
forwarding Permit No SW8 111117 dated October 1, 2012, for the construction, operation and
maintenance of the BMP's and built -upon area associated with the subject protect
This permit shall be effective from the date of issuance until October 1, 2020, and shall be
subject to the conditions and limitations as specified therein Please pay special attention to the
conditions listed in this permit regarding the Operation and Maintenance of the BMP(s),
certification of the BMP's, procedures for changing ownership, transferring the permit, and
renewing the permit Failure to establish an adequate system for operation and maintenance of
the stormwater management system, to certify the BMP's, to transfer the permit, or to renew the
permit, 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 by filing a written petition with the Office of
Administrative Hearings (OAH) The written petition must conform to Chapter 150B of the North
Carolina General Statutes, and must be filed with the OAH within thirty (30) days of receipt of
this permit You should contact the OAH with all questions regarding the filing fee (if a filing fee
is required) and/or the details of the filing process at 6714 Mail Service Center, Raleigh, NC
27699-6714, or via telephone at 919-431-3000, or visit their website at www NCOAH com
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, at [phone]
Sinc rely,
57,n Charles rakild, P E , Director
Division of Water Quality
GDS/arl S IWQSIStormwaterlPermits & Proaects120111111117 HD12012 10 permit 111117
cc Don Covil, P E , Compass Pointe Engineering
Tim Evans, Town of Holden Beach Building Inspections
Brunswick County Engineering
Holley Snider, DCM
Wilmington Regional Office Stormwater File
Wilmington Regional Office
127 Cardinal Drive Extension Wilmington North Carolina 28405 One
Phone [phone] FAX [phone] DENR Assistance 1-877-623-6748 N Carohna
Internet NrvvHr ncwaterquahty org ���y�a//�'J/
An EqualOpportundylAtfirmativeAction Employer ` ll

State Stormwater Management Systems
Permit No SW8 111117
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL 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
Kay Brody
966 Ocean Boulevard West
966 Ocean Boulevard West, Holden Beach, Brunswick County
FOR THE
construction, operation and maintenance of one (1) infiltration basin(s) in compliance
with the provisions of Session Law 2008-211 and 15A NCAC 2H 1000 (hereafter
referred to as the "stormwater rules') for projects within '/Z mile of and draining to SA
classified waters, 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 October 1, 2020, and shall
be subject to the following specified conditions and limitations
I. DESIGN STANDARDS
1 This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data
2 This stormwater system has been approved for the management of stormwater
runoff as described in Section 18 on page 3 of this permit The stormwater
control has been designed to handle the runoff from 2,558 square feet of
impervious area
3 This basin has been designed to handle the volume of the 10-year 24-hour storm
without overtopping, therefore, the offline bypass and vegetated filter are waived
4 The tract will be limited to the amount of built -upon area indicated in Section 18
of this permit, and as shown on the approved plans There is no allocation of
future built -upon area in this permit
5 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 7

State Stormwater Management Systems
Permit No SW8 111117 .
6 The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system
7 The project shall provide a 50' wide vegetated buffer adjacent surface waters,
measured horizontally from and perpendicular to the normal pool of impounded
structures, the top of bank of both sides of streams and rivers, and the mean
high water line of tidal waters
8 The following design criteria have been permitted for the infiltration basin and
must be provided and maintained at design condition
a Drainage Area, acres
0 104
Onsite, ft2
4537
Offsite, ft
0
b Total Imperviou? Surfaces, ft2
2,558
Onsite, ft
2,558
Offsite, ft2
0
c Design Storm, inches
385
d Basin Depth, feet
20
e Bottom Elevation, FMSI
50
f Bottom Surface Area, ft
510
g Bypass Weir Elevation, FMSI
70
t� Permitted Storage Volume, ft
1,020
1 Predevelopment 1 yr 24 hr peak flow, cfs
0
1 Post -development 1 yr 24 hr peak flow, cfs
0 (All infiltrated)
k Type of Soil
Corolla Sand
I Expected Infiltration Rate, in/hr
150
m Seasonal High Water Table, FMSL
30
n Time to Draw Down, hours
<5 hours
o Receiving Stream/River Basin
Intracoastal Waterway 1 LBR
p Stream Index Number
15-25
q Classification of Water Body
"SA, HQW"
The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface
2 During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately
3 The permittee shall at all times provide the operation and maintenance
necessary to assure the permitted stormwater system functions at optimum
efficiency The approved Operation and Maintenance Plan must be followed in
its entirety and maintenance must occur at the scheduled intervals including, but
not limited to
a Semiannual scheduled inspections (every 6 months)
b Sediment removal
c Mowing and revegetation of slopes and the vegetated filter
d Immediate repair of eroded areas
e Maintenance of all slopes in accordance with approved plans and
specifications
f Debris removal and unclogging of bypass structure, infiltration media, flow
spreader, catch basins, piping and vegetated filter
g A clear access path to the bypass structure must be available at all times
k
Page 3 of 7

State Stormwater Management Systems
4 Permit No SW8 111117
4 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
5 The proposed stormwater system is an infiltration device, therefore, it is not
recommended for use as a temporary Erosion Control device
6 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
7 Records of maintenance activities must be kept for each permitted BMP The
reports will indicate the date, activity, name of person performing the work and
what actions were taken
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 A
modification may be required for those deviations
9 Access to the stormwater facilities shall be maintained via appropriate
easements at all times
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 Redesign or addition to the approved amount of built -upon area or to the
drainage area
c Further development, subdivision, acquisition, lease or sale of any, all or
ppart of the protect area
d 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 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
Approved plans and specifications for this protect are incorporated by reference
and are enforceable parts of the permit
Page 4 of 7

State Stormwater Management Systems
Permit No SW8 111117
r
2 This permit is not transferable to any person or entity except after notice to and i
approval by the Director At least 30 days prior to an ownership change, or a
name change of the project or of the permittee or a mailing address change, the
permittee shall submit a completed and signed Name/Ownership Change form to
the Division of Water Quality, accompanied by the appropriate documentation as
listed on the form The approval of this request will be considered on its merits
and may or may not be approved
3 The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request Neither the sale of the project
in whole or in part, nor the conveyance of common area to a third party shall
constitute an approved transfer request
4 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
5 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
6 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
7 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
8 The permit issued shall continue in force and effect until revoked or terminated
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
9 Unless specified elsewhere, permanent seeding requirements for the stormwater
controls must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual
10 The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2008-
211, Title 15A NCAC 2H 1000, and NCGS 143-215 1 et al
11 The permittee shall submit a permit renewal application at least 180 days prior to
the expiration date of this permit The renewal request must include the
appropriate documentation and the processing fee
Permit issued this the 1 st day of October 2012
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
By Authority of the Environmental Management Commission
Page 5 of 7

State Stormwater Management Systems
Permit No SW8 111117
`I 966 Ocean Boulevard West
Stormwater Permit No SW8 111117
Brunswick Count
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full
time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications
The checklist of items on page 2 of this form is included in the Certification
Noted deviations from approved plans and specification
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No SW8 111117
Certification Requirements
1
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 bypass structure weir elevation is per the approved plan
6 The bypass structure is located per the approved plans
7 A Trash Rack is provided on the 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 All required design depths are provided
13 All required parts of the system are provided
14 The required system dimensions are provided per the approved plans
cc NCDENR-DWQ Regional Office
Tim Evans, Town of Holden Beach Building Inspections
Page 7 of 7

DWQ USE ONLY
Datc Received F Paid
Permit Number
0/ r
Applicable Rules © Coastal SW -1995 C1 Coastal SW - 2008 0 Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters © Universal Stormwater Management Plan
❑ Other WQ M mt Plan
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
77us forni may be photocopied for use as an original
I GENERAL INFORMATION
1 Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc }
966 Ocean Boulevard West Stormwater Plan, Holden Beach, NC
2 Location of Project (street address)
966 Ocean Boulevard West
City Holden Beach County Brunswick Zip 28462
3 Directions to project (from nearest major intersection)
From intersection of NC 130 and Ocean Boulevard on the island of Holden Beach travel west 41 miles
The project is on the right at 966 Ocean Boulevard West
4 Latitude 330 54' 26" N Longitude -78° 20' 21" W of the main entrance to the project
II PERMIT INFORMATION
1 a Specify whether project is (check one) ®New []Modification
b If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction ❑Not Started ❑Parhally Completed" ❑ Completed• "provide a designer's certification
2 Specify the type of project (check one)
❑Low Density ®High Density ❑Drams to an Offsite Stormwater System ❑Other
3 if this application is bemg submitted as the result of a previously returned application or a letter from DWQ
requeshng a state Stormwater management permit application, list the Stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4 a Additional Project Requirements (check applicable blanks, information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748)
®CAMA Major ❑Sedimentation/Erosion Control _
❑NPDES Industrial Stormwater 0404/401 Permit Proposed Impacts
ac of Disturbed Area
b If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit
EGEIVE
MAY 0 3 2012
Farm SWU-101 Version 07Jun2010 Page l of 6 BY

III CONTACT INFORMATION
1 a Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc who owns the Meet)
Applicant/Organization _Kay Brody
Signing Official & Title Kay Brody, Owner
b Contact information for person Iisted in item 1a above
Street Address 209 Llndamans Drive
City Cary State NC Zip 27519
Mailing Address (if applicable) same
City
State Zip
Phone [phone] Fax (
Email kay brody@gmail com
Please check the appropriate box The applicant listed above is
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below)
2 a Print Property Owner's name and title below, if you are the lessee, purchaser or developer (This is the
person who owns the property that the project is located on)
Property Owner/Organization
Signing Official & Title
b Contact information for person listed in item 2a above
Street Address
City
Mailmg Address (if applicable)
City
Phone f-]-- - - - --
Email
State Zip
State
Fax
Zip
3 a (Optional) Print the name and title of another contact such as the projeces construction supervisor or other
person who can answer questions about the protect PECEIVE
Other Contact Person/Orgaruzahon
BY
Signing Official & Title Scott Quamtance, Owner
b Contact information for person listed in item 3a above
Mailing Address 6934-9 Beach Drive SW
City Ocean Isle Beach State NC Zip 28469
Phone ((910 ) 279-4590 Fax
Email blueh2o®atmc net
4 Local jurisdiction for building permits Town of Holden Beach
Point of Contact Tim Evans Phone # (910 ) 842-9315
Form SWU-101 Version 07Jun2010 Page 2 of

IV PROJECT INFORMATION
1 In the space provided below, briefly summarize how the stormwater runoff will be treated
Stormwater runoff from built -upon areas shall be collected and directed to an infiltration basin sited for
the 10-year, 24-hour rainfall event at 112 the infiltration rate presented in the protect soils report
2 a If claiming vested rights, identify the supporting documents provided and the date they were approved
❑ Approval of a Site Specific Development Plan or PUD Approval Date
❑ Valid Building Permit Issued Date
❑ Other Date
b If claiming vested rights, identify the regulation(s) the project has been designed in accordance with
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3 Stormwater runoff from this project drains to the Lumber River basin
4 rotal Property Area 01318 acres 5 Total Coastal Wetlands Area 0 026 acres
6 Total Surface Water Area acres
7 I otal Property Area (4) - Total Coastal Wetlands Area (5) - total Surface Water Area (6) = Total Project
Area' 01058 acres
Total project area shall be calculated to exclude the follottmii tire nornial pool of impounded structures, the area
between the banks of streams and rivers, lire area below the Normal High Water (NHM line or Mean Hr$h Water
(MHW) lure, and coastal wetlands landward from tire NHW (or MHM line The resultant project H is used to
calculate overall percent built upon area (BUA) Noti-coastal roetlarids landward of the NHW W) linemay
be included in lire total project area
8 Project percent of impervious area (Total Impervious Area / Total Project Area) X 100 = 55 5
9 How many drainage areas does the project have? 1 (For high density, count I for each proposed engineered
stormwater BMP For low density and other pro)ects, rise I for the whole property area)
10 Complete the following information for each drainage area identified in Project Information item 9 if there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below
Basin Information
Drainage Area 1
Drainage Area _
Drainage Area
Drainage Area
Receiving Stream Name
Intracoastal
Waterway
Stream Class *
SA, HQW
Stream Index Number *
15-25
Total Drainage Area (so
4537
On -site Drama a Area (so
4537
Off -site Drainage Area (so
0
Pro osed Impervious Area**(so
2558
% Impervious Area"* total
5638
Impervious" Surface Area
Drama g a Area
Draina a Area.
Drainage Area
Drauta a Area
On -site Buildings/Lots (so
1783
On -site Streets (so
On -site Parking (so
775
a WWI
On -site Sidewalks (so
Other on -site (so
Future (so
Off -site (so
Existmg BUA*** (so
To (sf)
2558
" Stream Class and Index Number can be determined at lit!L),/(pgrtal rrcdeirr oizIurebAtng/ns/csu/classifications
Form SWU-101 Version 07Jun2010 Page 3 of 6

Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc
'Report only that amount of existing BUA that will remain after development Do not report any existing B UA that
is to be removed and which will be replaced by new BUA
11 How was the off -site impervious area listed above determined? Provide documentation (n/a)
Projects in Union County Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that maybe subject to more stringent stormwater requirements as per NCAC 02B 0600
V SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project The latest versions of the forms can be downloaded
from http //portal ncdenr org/web/wq/ws/su/bmp-manual
VI SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ)
A complete package includes all of the items listed below A detailed application instruction sheet and BMP
checklists are available from http //portal ncdenr org/web/wq/ws/su/statesw/forms does The complete
application package should be submitted to the appropriate DWQ Office (The appropriate office may be
found by locating project on the interactive online map at http //portal ncdenr or&/web/wq/ws/su/maps }
Please indicate that the following required information have been provided by initialing in the space provided
for each item All original documents MUST be signed and initialed in blue ink Download the latest versions
for each submitted application package from http //portal ncdenr org/web/wq/ws/su/statesw forms does
— mtials
1 Original and one copy of the Stormwater Management Permit Appication Form
2 Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants A
Form (if required as per Part VII below)
3 Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M--
agreement(s) for each BMP
4 Permit application processing fee of $505 payable to NCDENR (For an Express review, refer toL
h www envhel org/pages/onestopexRress html for information on the Express program
and the associated fees Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting)
5 A detailed narrative (one to two pages) describing the stormwater treatment/managementfo
4)2��.
the project This is required in addition to the brief summary provided in the Project
Information, item 1
6 A USGS map identifying the site location If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map
7 Sealed, signed and dated calculations
8 Two sets of plans folded to 8 5" x 14" (sealed, signed, & dated), including
a Development/Project name
b Engineer and firm
c Location map with named streets and NCSR numbers
d Legend
e North arrow
f Scale
g Revision number and dates C�
h Identify all surface waters on the plans by delineating the normal pool elevatio G
impounded structures, the banks of streams and rivers, the MHW or NHW Im f tidal
waters, and any coastal wetlands landward of the MHW or NHW tines MAY Q 3 2012
• Delineate the vegetated buffer landward from the normal pool elevation o pounde3
structures, the banks of streams or rivers, and the MHW (or NHW) of tida ters
i Dimensioned property/project boundary with bearings & distances
j Site Layout with all BUA identified and dimensioned
k Existing contours, proposed contours, spot elevations, finished floor elevations
t Details of roads, drainage features, collection systems, and stormwater control measures
Form SWU-101 Version 071un2010 Page 4 of 6

m Wetlands delineated, or a note on the plans that none exist (Must be delineated by a
qualified person Provide documentation of qualifications and identify the person who
made the determination on the plans
n Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
o Drainage areas delineated (included in the main set of plans, not as a separate document)
p Vegetated buffers (where required)
9 Copy of any applicable soils report with the associated SHWT elevations (PIease identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs Include an 8 5"x11" copy of the NRCS County Soils map with the
project area clearly delineated For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate
(Infiltration Devices submitted to WiRO Schedule a site visit for DWQ to vertfij the SHW7 prior
to submittal, [phone] )
10 A copy of the most current property deed Deed book 16 Page No 41
11 For corporations and limited liability corporations (LLC) Provide documentation from the NC r \
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 2H 1003(e) The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned
hfV / /www secretary state nc us/Corporations/CSearch aspx
VII DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, Iot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form The appropriate deed restrictions and
protective covenants forms can be downloaded from
http / /mortal ncdenr org web/wqf ws/su/stateswZformsdocs Download the latest versions for each submittal
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot
VIII CONSULTANT INFORMATION AND AUTHORIZATION
Applicant Complete this section if you wish to designate authority to another and
consulting engineer and/or firm) so that they may provide information on your bE
addressing requests for additional information)
Consulting Engineer
Consulting Firm Compass Pointe Engineering, PA 8Y'
MAY 0 3 2012
Mailing Address 5041-3 Main Street
City Shallotte State NC Zip 28470
Phone (910 ) 755-5872
Email dcovil cpe®atmc net
Fax (910 ) 755-5875
IX PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete tilts
section)
1, (print or hype name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) with (print or type name of organization listed in
Contact Information, item 1a) to develop the project as currently proposed A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system
Form SWU-101 Version 07Jun2010 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days, otherwise I will be operating a stormwater treatment
facility without a valid permit I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-2151 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215 6
Signature
Date
a Notary Public for the State of . County of
do hereby certify that personally appeared
before me this — day of . , and acknowledge the due execution of the application for
a stormwater permit Witness my hand and official seal,
SEAL
My commission expires
X APPLICANT'S CERTIFICATION
1, (print or hjpe nante of person listed in Contact Inforniation, item 1a) Kay Brody _
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 restrichons
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormw-ifer Wles)rnder 15A NCAC 2I-I 1000, SL 2006-246 (Ph II - Post Construction) or SL 2008-211
Date 25, /:z
I, � 1y I a
do hereb certify that .
before me this —25ay of �j__ _
a stormwater permit Witness my hand and o.
1,.••ELI NE ,� '•••�,
Comm Exp
C- 12-10-2012 U
o
,o C,
Notary Iic for the State of- ce County of
SEAL
My commission expires Y 9 1 /Q 1 / O-
EGEIVE
MAY 0 3 2012
BY
Form SWU-101 Version 07Jun2010 Page 6 of 6

N
•
Permit No .. w r a 1/ I ?-
(to be provided by DINO)
y C1� 1NATL9
, �,I"
10*1 STORMWATER MANAGEMENT PERMIT APPLICATION FORM
a
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be rifled out, pnnted and submitted
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information
11 PROJECT,'INFORMATION F "� "` 11
1 lYssk.r..l r = Exk�.-u sy t4e.�a..c.r de ��. �!1c �' �- r. �s'�a.u6.A♦w!
Project Name 966 Ocean Boulevard West Holden Beach
Contact Person Doanld M Cowl P E a
Phone Number (910) 7556 5872 "V
Date 312612012 +
Drainage Area Number 1
Site Characteristics
Drainage area
4,53700
ftz
Impervious area
2,55800
ft2
Percent impervious
5638
%
bt—M
Design rainfall depth
723
m (I(a Ur S
J
Peak Flow Calculations
1 yr 24 hr rainfall depth
385
in
1 yr 24 hr intensity
052
in/hr
Pre -development 1-yr, 24-hr discharge
000
ft'lsec
Post -development 1-yr 24-hr discharge
000
ft3lsec
Pre/Post 1 yr, 24-hr peak flow control
000
ft'/sec
Storage Volume Non -SA Waters
Minimum design volume required
ft3
Design volume provided
ft"
Storage Volume SA Waters
1 5" runoff volume
2800
ft'
Pre development 1 yr, 24-hr runoff volume
7300
ft3
Post -development 1-yr, 24-hr funoff volume
81300
ft'
Minimum required volume
74000
ft3
Volume provided
1,02000
fe OK
Soils Report Summary
Soil type
fine sand
Infiltration rate
1500
in/hr
SHWT elevation
300
fmsl
Basin Design Parameters
Drawdown time
0 20 days OK
Basin side slopes
retaining walls 1 OK EC E IVE
Basin bottom elevation
500 fmsl OK
Storage elevation
700 fmsl
Storage Surface Area
51000 a AUG 2 9 2012
Tap elevation
700 fmsl
Basin Bottom Dimensions
BY:
Basin length
(varies) ft
Basin width
(vanes) ft
Bottom Surface Area
51000 f?
Form SW401 Infiltration Basin Rev 5 11Apr2011 Parts I & 11 Design Summary Page 1 of 2

s.
Permit No
•
(to be provided by D WQ)
Addltlonal Information
Maximum runoff to each Inlet to the basin?
030 ac In
OK
Length of vegetative filter for overflow
(nla) ft
OK
Distance to structure
(nla) ft
OK
Distance from surface waters
> 100 ft
OK
Distance from water supply well(s)
otable water supp it
OK
Separation from Impervious soil layer
(nla� ft
OK
Naturally occurmg soil above shwl
—
100 ft
OK
Bottom covered with 4 In of clean sand?
X (Y or N)
OK
Proposed drainage easement provided?
(n1a) (Y or N)
OK
Capures ail runoff at ultimate build -out?
X (Y or N)
OK
Bypass provided for larger storms?
(nla) (Y or N)
OK
Pretreatment device provided
(nla)
ECEIVE
AUG 2 9 2012
BY
Form SW401 Infiltration Basin Rev 5 11Apr2011 Paris I a 11 Design Summary Page 2 of 2

Permit No
(to be provided by DWQ)
Y " ' �� i Hi �r �r�s'77 »1 ,'REQUIRED`iTEMSaCH1ACK IST,�;i�ldi�i Y ,74 ��' ,;t`rr r liY�i ,iYir iii� , �4 Va I4WVJw 0isE�lY „WL 04wj� A srii��ii
Please Indicate the page or plan sheet numbers where the supporting documentation can be found An incomplete submittal package will
result in a request for additional information This will delay final review and approval of the project Initial in the space provided to
indicate the following design requirements have been met If the applicant has designated an agent, the agent may Initial below If a
requirement has not been met, attach justification
Fix
Page/ Plan
Sheet No
1 1 Plans (1" - 50' or larger) of the entire site showing
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (Include Rational C coefficient per basin),
- Basin dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Overflow device, and
Boundaries of drainage easement
,42 42 2 Partial plan (1" = 30' or larger) and details for the infiltration basin showing
- Bypass structure,
Maintenance access,
Basin bottom dimensions,
Basin cross-section with benchmark for sediment cleanout,
- Flow distribution detail for inflow,
-Vegetated filter, and
- Pretreatment device
3 Section view of the infiltration basin (1" = 20' or larger) showing
- Pretreatment and treatment areas, and
/'�/j \\ - Inlet and outlet structures
4 A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided
5 A soils report that is based upon an actual field investigation, soil borings, and infiltration tests The
results of the soils report must be venfied in the field by DWQ, by completing & submitting the soils
investigation request form County soil maps are not an acceptable source of soils information
6 A construction sequence that shows how the infitlration basin will be protected from sediment until the
entire drainage area is stabilized
7 The supporting calculations
8 A copy of the signed and notarized operation and maintenance (O&M) agreement
9 A copy of the deed restrictions (if required)
ECEI V E
MAY 0 3 2012
Y.
Form SW401 Infiltration Basin -Rev 4
Page 1 of 1
Parl III Required Items Checklist Page 1 of 1

Permit Number 5�
(to he provided by DWQ)
Drainage Area Number
Infiltration Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP This maintenance record will be kept in a
log in a known set location Any deficient BMP elements noted m the inspection will be
corrected, repaired or replaced immediately These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP
Important maintenance procedures
- The drainage area will be carefully managed to reduce the sediment load to the
infiltration basm
-- immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks)
- No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation
- The vegetation in and around the basin will be maintained at a height of
approximately six inches
After the infiltration basin is established, it will be inspected once a quarter and within
24 hours after every storm event greater than 10 inches (or 15 inches if in a Coastal
County) Records of operation and maintenance will be kept in a known set location
and will be available upon request
Inspection activities shall be performed as follows Any problems that are found shall
be repaired immediately
BMP element
Potential problem
How 1 will remediate the problem
The entire BMP
Trash/debris is present
Remove the trash/debris
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration basin
erosive gullies have formed
remove the gully, and then plant a
ground cover and water until it is
established Provide lime and a
one-time fertilizer application
The inlet device pipe or
The pipe is clogged (if
Unclog the pipe Dispose of the
Swale
applicable)
sedunent off -site
The pipe is cracked or
Replace the pipe
otherwise damaged (if
a Iicable
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable)
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion
ECEI V E
Form SW40 I -Infiltration Basin O&M -Rev 3 MAY 0 3 2012P I of 3
BY

BMP
The main treatment area
The embankment
The outlet device
The receiving water
Sediment has accumulated
and reduced the depth to 75%
of the original design depth
Erosion has occurred or
riprap is displaced
Weeds are present
A visible layer of sediment
has accumulated
Water is standing more than
5 days after a storm event
Weeds and noxious plants are
growing in the main
treatment area
Shrubs or trees have started
to grow_ on the embankment
An annual inspection by an
appropriate professional
shows that the embankment
needs repair
CIogging has occurred
The outlet device is dama ed
Erosion or other signs of
damage have occurred at the
outlet
Form 5W401-Infiltration Basin O&M -Rev 3
How -]will remedtatethe problem
Search for the source of the
sediment and remedy the problem if
possible Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
Rrevent future erosion problems
Remove the weeds, preferably by
hand If pesticides are used, wipe
them on the plants rather than
Search for the source of the
sediment and remedy the problem if
possible Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP Replace any media that
was removed in the process
Revegetate disturbed areas
tmmediately
Replace the top few inches of filter
media and see if this corrects the
standing water problem If so,
revegetate immediately If not,
consult an appropriate professional
for a more extensive repair
Remove the plants by hand or by T
wiping them with pesticide (do not
Remove shrubs or trees
Make all needed repairs
Clean out the outlet device Dispose
of the sediment off -site
Repair or replace the outlet device
Contact the NC Division of Water
Quality 401 Oversight Unit at 919-
733-1786
ECEIVE
MAY 0 3 2012
BY Page 2 of 3

y�f
Permit Number rjW a I f i I I
(!o be provided by DWQ)
I acknowledge dnd agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party
Project name 966 Ocean Boulevard West stormwater Plan Holden Beach NC
BMP drainage area number
Print name Kay Brod
ritle Owner
Address 209 Lind&ns Drive, Cary. NC 27519
Phon
SignE
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
dow —a Notary Public for the State of
N% , County VV , do hereby certify that
Kam 'A rokA, personally appeared before me this
day oand acknowledge the due execution of the
forgoing infiltration basin maintenance requirements Witness my hand and official seal,
"�L••p" tN '•»
PrrGaJ TAR j-/0,,,,4
� Comm Exp O�
12-10-2012 U
.. TO r
SEAL'„ m.........••� t
My commission expires 10 to, I%
ECEIVE
MAY 0 3 202
Form 5W40i-Infiltration Basin O&M -Rev 3 fay

Hich Density Residential Subdivisions
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 2H 1000 and S L 2006-246, the Stormwater Management Regulations,
deed restrictions and protective covenants are required for High Density Residential Subdivisions where
lots will be subdivided and sold and runoff will be treated in an engineered stormwater control facility Deed
restrictions and protective covenants are necessary to ensure that the development maintains a "built -upon"
area consistent with the design criteria used to size the stormwater control facility
I, Kay Brody , acknowledge, affirm and agree by my signature below, that I will cause the following
deed restrictions and covenants to be recorded prior to the sale of any lot
1 The following covenants are intended to ensure ongoing compliance with State Stormwater
Management Permit Number SW6 111117 as issued by the Division of Water Quality under the
Stormwater Management Regulations
2 The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit
3 These covenants are to run with the land and be binding on all persons and parties claiming under
them
4 The covenants pertaining to stormwater may not be altered or rescinded without the express wntten
consent of the State of North Carolina, Division of Water Quality
5 Alteration of the drainage as shown on the approved plan may not take place without the concurrence
of the Division of Water Quality
B The maximum allowable built -upon area per lot is 2�558 square feet This allotted amount includes
any built -upon area constructed within the lot property boundanes, and that portion of the nght-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
7 Each lot will maintain a 30** foot wide vegetated buffer between all imp ervi �
waters rJUL 05 2012
**50 foot for projects located in the 20 coastal counties
BY
8 All runoff from the built -upon areas on the lot must dram into the permitted system This may e
accomplished through a vanety of means including roof drain gutters which drain to the street, grading
the lot to drain toward the street, or grading penmeter swales to collect the lot runoff and directing them
into a component of the stormwater collection system Lots that will naturally drain into the system are
not required to provide these additional measures
Signature
g ymn/f wx
a Notary Public in the
State of �OYAC l�GtdD � 1 YEA , County of Via kg. ,
do hereby certify that &a-rrrAU/, % S �t od�-4 personally appeared u
before me this the Z +6 day of ` \)W _ , 20—L2=, and acknowledge
the due ex cution of the fore of g instrument Witness my hand and official seal,
,�411f111111j�
Signature
�0 a'
My Commission expires 5119 f 20i 57
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