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HomeMy WebLinkAboutSW8120204_CURRENT PERMIT_20120313STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW bL�� DOC TYPE rCURRENT PERMIT APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE YYYYMMDD A�� NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman Governor Director Secretary March 13, 2012 Halls Creek North Section 1 HOA, Inc. C/o Mike McCarty, President 106 Cormorant Dr. Swansboro, NC 28584 Subject: Name Change / Ownership Change Halls Creek North Section 1 Stormwater Permit No, SW8 040239 Onslow County Dear Mr. McCarty: On February 27, 2012, the Wilmington Regional Office received a request for the transfer of ownership of the Stormwater Management Permit for the subject project. Staff of the Division of Water Quality have inspected the project, determined that the documentation is in order, and the project is in compliance with the Stormwater permit requirements. As indicated on the Name/Ownership Change form, you have acknowledged receipt of a copy of the permit, which includes the application and supplement forms, a copy of the approved plans and a copy of the required Operation and Maintenance agreement from the previous permittee. By acknowledging receipt of the permit, and by signing the Name/Ownership Transfer form, you have accepted the responsibility for complying with the terms and conditions outlined in this permit. If you need additional copies of the permit, or copies of the approved plans, please contact the Division of Water Quality in the Wilmington Regional Office at the phone number below. For your records, please find enclosed a copy of the updated page 2 of the permit, a copy of the Modified permit issued on February 16, 2012, and a copy of the Name/Ownership Change form submitted on August 9, 2010. Please be aware that the project's built -upon area and stormwater controls must be built and maintained in compliance with the permit documents and the approved plans. Maintenance of the approved system shall be performed in accordance with the signed operation and Maintenance agreement. Any modifications to this project must be submitted to the Division of Water Quality and approved prior to construction. The issuance of this approval does not preclude you from complying with all other applicable statutes, rules, regulations or ordinances, which may have jurisdiction over the proposed activity, and obtaining a permit or approval prior to construction. If you have any questions concerning the requirements of the permit, please do not hesitate to call David Cox or me at (910) 796-7215. Sin c rely, For Charles Wakild, P.E., Director Division of Water Quality CWIGDSI dwc; S:MSIStormwaterlPermits & Projects120041040239LD12012 03 permit 040239 cc: Doyle Evans Onslow County Building Inspections Wilmington Regional Office Stormwater File, SW8 040239 Wilmington Regional Office Stormwater File, SW8 120204 Wilmington Regional office 127 Cardinal Drive Extension, Wilmington, North Carolina 28405 Phone: 910-796-72151 FAX: 910-350-2004 Internet: www.ncwaterquality.org An Equal opportunity 1 Affirmative Action Employer NorthCarolina Naturally State Stormwater Management Systems Permit No.SW8 040239 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY STATE STORMWATER MANAGEMENT PERMIT LOW 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 Halls Creek North Section 9 HOA, Inc. Halls Creek North Section 1 Hammocks Beach Rd, Swansboro, Onslow County FOR THE construction, operation and maintenance of a low density subdivision in compliance with the provisions of Session Law 2008-211 and 15A NCAC 2H .1000, effective September 1, 1995 (hereafter collectively and separately 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 project was previously issued on August 12, 2005 as a 25% low density subdivision. This modification is being issued to correct a non -compliant situation. Lot 28 overbuilt, and is now covered by SW8 120204, a high density permit covering Lot 28 only. SW8 040239 could not have been overall low density if Lot 28 was left in the project area. SW8 040239 also could not have been overall low density if Lot 28 was removed from its project area. SW8 040239 is 6,298sf above its maximum 25% impervious area after Lot 28 is removed from its project area and covered by SW8 120204. A summary of impervious area is provided in Table 1 of this permit. There is no available future impervious area available for this protect. If, in the future, this proiiect is found to have built more than the amount of impervious area shown in Table 'I this project will become a high density permit and all of the impervious area will have to be collected and treated from the entire project area. The Permit shall be effective from the date of issuance until rescinded and shall be subject to the following specific conditions and limitations: I. DESIGN STANDARDS Each of the 43 lots is limited to a maximum of 4,752 square feet of built -upon area (BUA), as indicated in the application and shown on the approved plans. Lot 28 is now covered by SW8 120204, a high density permit covering Lot 28 only. Lot 28 is not included in the project . area for SW8 040239. 2. The overall tract built -upon area percentage for the project is limited to the impervious area specified in Table 1 which specifies a total of 298,168sf of impervious area per the requirements of the stormwater rules. 3. Approved plans and specifications for projects covered by this permit are incorporated by reference and are enforceable parts of the permit. 4. This project proposes a curb outlet system. Each designated curb outlet swale or 100' vegetated area shown on the approved plan must be maintained at a minimum of 100' long, maintain 5.1 (H:V) side slopes or flatter, have a longitudinal slope no steeper than 5%, carry the flow from a 10 year storm in a non -erosive manner, maintain a dense vegetated cover, and be located in either a dedicated common area or a recorded drainage easement. Page 2 of 6 State Stormwater Management Systems Permit No.SW8 040239 5. Projects covered by this permit will maintain a minimum 30-foot-wide vegetated buffer adjacent surface waters, measured horizontally from and perpendicular to the normal pool of impounded structures, the top of bank of each side of streams and rivers, and the mean high water line of tidal waters. 6. All runoff directed into and through the vegetative buffer must flow through the buffer in a diffuse manner. All runoff directed into wetlands shall flow into and through the wetlands at a non -erosive velocity of 2 feet per second or less. 7. The only runoff conveyance systems allowed will be vegetated conveyances such as swales with minimum side slopes of 3:1 (H:V) as defined in the stormwater rules and approved by the Division. 8. Table 1 summarizes the permitted impervious area. Table 1: Permitted Impervious Area SW8 040239 Before 2/16/12 Modification (44 lots) SW8 040239 All Lots Except 28 (43 Lots) 5W8 120204 Lot 28 (1 Lot) Project Area (ac) 29.62 28.602 1.018 Wetland Area (ac) 1.8 1.8 0.0 Project Area, Wetland Corrected (ac) 27.82 26.802 1.018 Project Area, Wetland Corrected (sf) 1,211,839 1,167,482 44,357 Max % (per 15A NCAC 2H. 1005, eff. 911195) Max BUA (sf): Actual % BUA . 25.0% 302,960 25.0% 25.0% 291,870 25.5% 43.4% Allocated BUA(sf): 302,920 298,168 19,229 Onsite 302,920 298,168 12,931 Buildings (4,752sf/lot) 209,088 204,336 4,752 Existing Overbuilt 4,481 Additional Impervious Proposed 73,854 3,698 Streets 73,854 0 Sidewalks 19,978 19,978 0 "Extra" Future Potential (sf): 0 0 0 Offsite 0 0 6,298 Amount "over" 25% Low Density (sf): 1 6,298 II. SCHEDULE OF COMPLIANCE Swales and other vegetated conveyances shall be constructed in their entirety, vegetated, and be operational for their 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 swales or other vegetated conveyances will be repaired immediately. 3. The permittee shall at all times provide and perform the necessary operation and maintenance as specified in the signed Operation and Maintenance Agreement, such that the permitted stormwater management system functions as designed and permitted. Page,3 of 6 State Stormwater Management Systems Permit No.SWB 040239 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 any of the items shown on the approved plans, including the stormwater management system, design concept, built -upon area, details, etc. b. Redesign or addition to the approved amount of built -upon area or to the drainage area. C. Further subdivision, acquisition, or selling of the project area. d. Filling in, altering or piping any vegetative conveyance shown on the approved plan. e. Construction of any future development area on the plan with a BUA allocation. 5. The permittee shall submit all information requested by the Director or his representative within the time frame specified in the written information request. 6. No piping shall be allowed except that minimum amount necessary to direct runoff beneath an impervious surface such as a road and that minimum amount needed under driveways to provide access to lots. 7. The permittee is responsible for verifying that the proposed built -upon area does not exceed the allowable built -upon area. Once the lot transfer is complete, the maximum allocated built - upon area for the lot may not be revised without approval from the Division of Water Quality. If the allocated maximum built -upon area on the lot is exceeded without approval of the permittee and the Division, the lot owner is subject to enforcement action by the Division of Water Quality. 8. Within 30 days of completion of the project, the permittee must certify in writing that the project's stormwater controls, and impervious surfaces have been constructed within substantial intent of the approved plans and specifications. Any deviation from the approved plans must be noted on the Certification. 9. If the permittee sets up an Architectural Review Committee or Board to review new lot plans and subsequent modifications for compliance with the restrictions, the plans reviewed must include all built -upon area (BUA) and piping. Any approvals given by the Committee or Board on behalf of the permittee do not relieve the lot owner or the permittee of the responsibility to maintain compliance with the permitted lot BUA limit. 10. Deed restrictions are incorporated into this permit by reference and must be recorded with the Office of the Register of Deeds prior to the sale of any lot. Recorded deed restrictions must include, as a minimum, the following statements related to stormwater management: a. Before any structure or improvement whatsoever (including, but not limited to, residential dwellings, patios, storage building, outbuildings, garages, carports, or gazebos) 'may be erected upon any lot, the plans and specifications for such a structure or improvement; the proposed location and orientation in relation to streets or other lots; and the construction materials, the covering material, style and slope of the roofs shall have been approved in writing by the Committee. b. The following covenants are intended to ensure ongoing compliance with State Stormwater Management Permit Number 040239.Mod, as issued by the Division of Water Quality under NCAC 2H.1000, c. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to maintain compliance with the Stormwater Management Permit. d. These covenants are to run with the land and be binding on all persons and parties claiming under them. e. 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. f. Alteration of the drainage as shown on the approved plans may not take place without the concurrence of the Division of Water Quality. Page 4 of 6 State Stormwater Management Systems Permit No.SW8 040239 g. The maximum built upon area per lot is 4,752 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, driveways, and parking areas, but does not include raised, open wood decking, or the water surface of swimming pools. h. Filling in, piping or altering any 3:1 vegetated conveyances (ditches, swales, etc_) associated with the development except for average driveway crossings, is prohibited by any persons. i. Lots within CAMA's Area of Environmental Concern may have the permitted built- upon area reduced due to CAMA jurisdiction within the AEC. j. ' Filling in, piping or altering any designated 5:1 curb outlet swale or vegetated area associated with the development is prohibited by any persons. k. A 30' vegetated buffer must be maintained between all built -upon area and the Mean High Water line of surface waters. 1. All roof drains shall terminate at least 30' from the Mean High Water mark. m. This project proposes a curb outlet system. Each designated curb outlet swale or 100' vegetated area shown on the approved plan must be maintained at a minimum of 100' long, maintain 5:1 (H:V) side slopes or flatter, have a longitudinal slope no steeper than 5%, carry the flow from a 10 year storm in a non -erosive manner, maintain a dense vegetated cover, and be located in either a dedicated common area or a recorded drainage easement. 11. The permittee shall submit a copy of the recorded deed restrictions, which contain all of the above statements, within 30 days of the date of recording. 12. The Director may notify the permittee when the permitted site does not meet one or more of the minimum requirements of the permit. Within the time frame specified in the notice, the permittee shall submit a written time schedule to the Director for modifying the site to meet minimum requirements. The permittee shall provide copies of revised plans and certification in writing to the Director that the changes have been made. 13. All stormwater conveyances will be located in either a dedicated right-of-way (public or private), recorded common areas or recorded drainage easements. The final plats for the project will be recorded showing all such required rights -of -way, common areas and easements, in accordance with the approved plans. Ill. GENERAL CONDITIONS 1. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to an enforcement action by the Division of Water Quality, in accordance with North Carolina General Statutes 143-215.6A to 143-215.6C. 2. The permit issued shall continue in force and effect until modified, revoked or terminated. 3. The permit may be modified, revoked and reissued or terminated for cause. The filing of a request for a permit modification, revocation and re -issuance, or termination does not stay any permit condition. 4. 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 Title 15A of the North Carolina Administrative Code, Subchapter 2H.1000; and North Carolina General Statute 143-215.1 et. al. Page 5 of 6 State Stormwater Management Systems Permit No.SW8 040239 5. The permit is not transferable to any person or entity except after notice to and approval by the Director. The Director may require modification or revocation and re -issuance of the permit to change the name and incorporate such other requirements as may be necessary. At least 30 days prior to a change of ownership, or a name change of the permittee or of the project, 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 supporting documentation as listed on the form. The approval of this request will be considered on its merits, and may or may not be approved. 6. The permittee is responsible for compliance with all permit conditions until such time as the Division approves the permit transfer request. Neither the sale of the project nor the conveyance of common area to a third party constitutes an approved transfer of the stormwater permit. 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. If any of those permits result in revisions to the plans, a permit modification must be submitted. 8. The permittee grants permission to DENR Staff to enter the property during business hours for the purposes of inspecting the stormwater management system and its components. 9. Unless specified elsewhere, permanent seeding requirements for the swales must follow the guidelines established in the North Carolina Erosion and Sediment Control Planning and Design Manual. Permit modified and reissued this the 160' day of February 2012. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION s =-�--------------- �� Charle - VWakild, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission Page 6 of 6 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Governor Director Secretary STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM I. CURRENT PERMIT INFORMATION 1. Stormwater Management Permit Number: SW8 040239MOD 2. Project Name- Halls Creek North Section I 3. Current Permit Holder's Company Name/Organization- 4. Signing Official's Name: Doyle Evans (person legally responsible for permit) 5. Mailing Address: Po Box 2287 City: Jacksonville 6. Phone: (91 O�j 353-1444 Swans Realty, Inc. Title: President State: NC Zip: 28540 11 zS Fax: (910 ) 353-1490 II. PROPOSED PERMITTEE 1 OWNER I PROJECT 1 ADDRESS INFORMATION This request is for: (please check all that apply) ❑X Name change of the owner (Please complete Items 1, 2 and 3 below) G� ❑ Name change of project (Please complete Item 5 below) ❑ Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below) a ❑ Mailing address / phone number change. (Please complete Item 4 below) ❑ Other (please explain): 1. Proposed permittee's company name/organization: Halls Creek North Section I HOA, Inc. 2. Proposed permittee's signing official's name- _ Mike McCarty-- 3. Proposed permittee's Title: President c a � 4. Mailing Address: 106 cormorant Drive V City: Swansboro State: NC Zip: 28584 Phone: 910 325-7228 Fax:( ) b 5. New Project Name to be placed on permit: 1 Please check the appropriate box. The proposed permittee listed above is: ❑X HOA or POA (Attach a copy of the deed transferring ownership of all common areas. Print Name of HOA or POA in #1 above and provide name of HOA (POA) president in #2 above). e ❑ The property owner. a S ❑ Lessee (Attach a copy of the lease agreement and complete Property Owner InfrOwng? n or � page 4) m s � ❑ Purchaser (Attach a copy of the pending sales agreement and complete Propert(Information on page 4)Developer (Complete Property Owner Information on page 4),, SSW N/0 Change Rev16Nov2009 Page 1 of 4 C �1 N ry� y M ill v III. REQUIRED ITEMS This application package will not be accepted by the Division of Water Quality unless all. of the applicable required items listed below are included with the submittal. 1. This completed and signed form. 2. Legal documentation of the transfer of ownership. (For Permit Transfers Complete Current Permittee and Proposed Permittee Sections) 3. A copy of the recorded deed restrictions, if required by the permit. 4. The designer's certification, if required by the permit and if not already submitted to DWQ. 5. If the Proposed Permittee is a corporation, LLC or General Partnership, provide documentation from the Secretary of State office, which supports the named president, vice president, member, manager or General Partner. 6. The $40.00 processing fee. If this is an initial transfer from the original permittee to the property owner or other responsible party such as an HOA, 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: ❑ Check here if the Current Owner is only changing the owner name, company name or project name, or the mailing address, and will retain ownership of the permit. I, , the current owner, hereby notify the Division of Water Quality that I am changing my name or company 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 as outlined above are not included, this application package will be returned as incomplete. X❑ Check here if Current Owner is transferring (selling) the property to a new owner and will not retain ownership of the permit. I Doyle Evans for Swans Realty, Inc. , the current owner, am submitting this application for a transfer of ownership for permit # SW8040239MOD . I hereby notify DWQ of the sale or other legal transfer of the stormwater system associated with this permit. I further acknowledge and attest that I have transmitted a copy of the most recent permit, a copy of the Designers Certification, a copy of the DWQ approved plans and/or approved as -built plans, a copy of the approved Operation and Maintenance agreement and copies of past maintenance records to the Proposed Permittee named in Sections II and V of this form at the mailing address listed in Section II of this form. I further attest that I assign all rights and obligations as permittee to the Proposed Permittee named in Section V of this form. I understand that this transfer of ownership cannot be approved by the Division of Water Quality unless and until the facility is in compliance with the permit and the Proposed Permittee signs this form. I understand that in the event the facility is not in compliance or the Proposed Permittee does not sign this form, the responsibility to bring the facility into compliance and to comply with the terms and conditions of the permit remains with me until such time as the Proposed Permittee signs this form and the Division approves it. Signature: ,�v!_�— n Date: fl-i�.%w 1 �.�l�J,L 2�/lam , a Notary Public for the State of _,County County of �M_:?/_//_J , dohereby certify that personally appeared before me this the 7 � y , day of 20 and acknowledge the due execution of the forgoing instrument. Witness�my hang, i nd official seal, LINDA . HQ N NOTARY PUBLIC Onslow Co�mty, IVorfi CarnRn$ Notary Signature ' My Commission Expires 44/9=13 SSW N/O Change Rev16Nov2009 Page 2 of 4 V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the Proposer! Permittee for all transfers of ownership) I ; ,, _72 c I,�i� � , hereby notify the Division of Water Quality that i have acquired through sale, lease or legal transfer, the responsibility for constructing and/or operating and maintaining, the permitted stormwater management system. I have examined the permit and inspected the permitted facility, and agree to assume the rights and liabilities contained in the permit and to comply with the terms and conditions of the permit. I attest that I have reviewed this application for an ownership change and it is accurate and complete to the best of my knowledge. I understand that if all required parks of this application are not completed and that if all required supporting information and attachments are not included, this application package will be returned as incomplete. further acknowledge and attest that in the event the required facility inspection reveals that the project is not in compliance with the permit, I understand this transfer of ownership will not be approved until the project is brought into compliance. I acknowledge and attest that I have received a copy of the most recent permit, a copy of the Designer's Certification, a copy of the DWQ approved plans and/or approved as -built plans, a copy of the approved Operation and Maintenance agreement and copies of past maintenance records from the previous permittee. I further acknowledge and agree that I will construct and/or operate and maintain the system per the requirements listed in the permit and in the Operation and Mainte�ance agreement. Signatu day of County of Date:/,2 �rJ/s/ / O 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 i s ument. Witness m'-,hand And official seal, Notary Signature N D low County, North Cardbm[M:: OMMIsslon Expires 49=13 Additional copies of the original permit and the approved Operation and Maintenance plan can be obtained from the appropriate Regional Office of the Division of Water Quality. This completed form, including all supporting documents and processing fee, 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/0 Change Rev16Nov2009 Page 3 of 4 VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION If the Proposed Permittee listed in Sections // 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: State: Zip: Mailing Address: (if different from street address) City: State: Zip: Phone: Fax: Email 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, lease or purchase the property. A copy of the lease agreement or pending property sales contract has been provided with the submittal, which indicates the party responsible for the construction and/or operation and maintenance of the stormwater system. 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 that if the designated Proposed Permittee dissolves their company and/or cancels or defaults on their lease agreement or pending sales contract, 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 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 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 Date: a Notary Public for the State of do hereby certify that personally appeared before me this the day of 120 , and acknowledge the due execution of the forgoing instrument. Witness my hand and official seal, (Notary Seal) Notary Signature SSW N/0 Change Rev16Nov2009 Page 4 of 4 ULNICDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman Governor Director Secretary February 16, 2012 Mr. Mario Canepa, Owner Lot 28 212 Pigeon Lane Swansboro, NC 28584. Subject: Stormwater Management Permit No. SW8 120204 Canepa Residence, Lot 28 High Density Residential Sand Filter Project Onslow County Dear Mr. Canepa: The Wilmington Regional Office received a complete Stormwater Management Permit Application for Canepa Residence, Lot 28 on February 8, 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 120204, dated February 16, 2012, for the construction, operation and maintenance of the BMP's and built -upon area associated with the subject project. This lot was originally included in permit SW8 040239, issued on August 12, 2005 as a 25% low density subdivision. However, because the BUA has been exceeded for lot 28, this individual lot permit is being issued to correct this non -compliant situation. This lot (Canepa Residence) is now covered by SW8 120204, a high density permit covering Lot 28 only. In order to allow SW8 040239 to remain a Low Density permit, the BMP designed for permit SW8 120204 is required to treat all BUA on lot 28, and as much runoff from SW8 040239's BUA as feasibly possible. A summary of impervious area is provided in Section 1(7) of this permit. There is no available future impervious area available for this project beyond the amount specified in Section 1(7). This permit shall be effective from the date of issuance until February 16, 2020, and shall be subject to the conditions and limitations as specified therein. Please pay special attention to the Operation and Maintenance requirements in this permit. Failure to establish an adequate system for operation and maintenance of the stormwater management system will result in future compliance problems. If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH). The written petition must conform to Chapter 150E 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. You should contact the OAH with all questions regarding the filing fee and/or the details of the filing process. The mailing address, telephone and fax numbers for the Office of Administrative Hearings are: 6714 Mail Service Center, Raleigh, NC 27699-6714. Telephone 919-733-2698. FAX 919-733-3378. If you have any questions, or need additional information concerning this matter, please contact Kelly Johnson, at (910) 796-7215. Sincere y, rCharles Wakild, P.E., Director Division of Water Quality GDS/kpj: S:IWQS1Stormwater\Permits & Projects120121120204 HD12012 02 permit 120204 cc: John Freshwater, PE Doyle Evans, SW8 040239 Permittee Inspector, Onslow County Inspections Division of Coastal Management Wilmington Regional Office Stormwater File Wilmington Regional Office 127 Cardinal Drive Extension, Wilmington, North Carolina 28405 One Phone: 910-796-72151 FAX: 910-350-20041 DENR Assistance: 1-877-623-6748 NOfrtl ICarofina Internet: www.ntwaterquality.org ;VQ'tllralll�/ An Equal Opportunity1 Affirmative Action Employer State Stormwater Management Systems Permit No. SW8 120204 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 Mario Canepa Canepa Residence Lot 28 Halls Creek North Section 1, 212 Pigeon Lane, Swansboro, Onslow County FOR THE construction, operation and maintenance of one (1) sand filter(s) in compliance with Session Law 2008-211 and the provisions of 15A NCAC 2H .1000, effective September 1, 1995 (hereafter collectively 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 February 16, 2020 and shall be subject to the following specified conditions and limitations: I. DESIGN STANDARDS 1. This permit is effective only with respect to the nature and volume of stormwater described in the application and other supporting data. 2. This stormwater system has been approved for the management of stormwater runoff as described in Section 1.7 of this permit. 3. The application form, supplement forms, 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. 5. The project shall maintain a 50' wide vegetated buffer adjacent surface waters, measured horizontally from and perpendicular to the normal pool of impounded structures, the top of banks of each side of rivers and streams and the mean high water line of tidal waters. 6. All runoff being directed into wetlands shall flow into and through those wetlands at a non -erosive velocity of 2 fps or less. Page 2 of 8 State Stormwater Management Systems Permit No. SW8 120204 7. This project is within a half mile of and draining to an SA classified stream. It will comply with SL2008-211 by providing a level spreader with filter strip to provide effective infiltration. 8. The following design elements have been approved for this sand filter stormwater facility, and must be provided in the system at all times. a. Drainage Area, acres: 1.018 Onsite, ft2: 44,357 Offsite, ft2: 0 b. Total Impervious Surfaces, ftz: 19,229 Onsite, ft: 12,931 Offsite, ft2: 6,298 C. Design Storm, Impervious per Storm (W): 1.5, in: 12,931 1yr24hr, in: 6,298 d. Sediment Chamber Depth, ft: 4.67 e. Sand Chamber Depth, ft: 2.2 f. Sediment Chamber Bottom Elevation, fmsl: 31.33 g. Sand Chamber Bottom Elevation, fmsl: 31.33 h. Sediment Chamber Surface Area, ftz: 248 i. Sand Chamber Surface Area, ft2: 277 j. Center Weir Elevation, fmsl: 36.00 k. Maximum Head on Filter, ft: 2.2 I. Post -development 1 yr 24 hr peak flow, cfs: (orifice flowrate) .03 m. Design Storm Volume, ft3: 3,754 n. Adjusted Design Storm Volume, ft3: (treatment volume) 2,815 o. Controlling Orifice 0 Pipe, in: 6" p. Time to Draw Down Adj. Des. Storm, hr: 39.8hr q. Receiving Stream/River Basin: UT to Queens Creek r. Stream Index Number: 19-41-16 S. Classification of Water Body: SA; HQW II. SCHEDULE OF COMPLIANCE No person or other legal entity shall alter the approved stormwater management system, or fill in, alter, or pipe any drainage feature, including swales, shown on the approved plans as part of the stormwater management system, unless and until the permittee submits a modification to the permit and receives approval from the Division. 2. The permittee is responsible for verifying that the proposed built -upon area for the entire project does not exceed the allowable built -upon area. Page 3 of 8 State Stormwater Management Systems Permit No. SW8 120204 1 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. 4. 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. 5. During construction, erosion shall be kept to a minimum and any eroded areas of the system will be repaired immediately. Infiltration systems should not be used as erosion control devices, due to the potential clogging. If the stormwater system was used as an Erosion Control device, it must be restored to design condition prior to operation as a stormwater treatment device, and prior to occupancy of the facility. 6. 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. Redesign or addition to the approved amount of built -upon area. C. 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. d. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan. 7. The Director may determine that other revisions to the project should require a modification to the permit. 8. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to operation of this permitted facility, a certification must be received from an appropriate designer for the system installed certifying that the permitted facility has been installed in accordance with this permit, the approved plans and specifications, and other supporting documentation. Any deviations from the approved plans and specifications must be noted on the Certification. 9. The permittee shall at all times provide the operation and maintenance necessary to assure that all components of the permitted stormwater system function at.optimurn 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 filter media, bypass structures, orifice, catch basins and piping. g. Access to all components of the system must be available at all times. 10. Records of maintenance activities must be kept and made available upon request to authorized personnel of DWQ. The records will indicate the date, activity, name of person performing the work and what actions were taken. Page 4 of 8 State Stormwater Management Systems Permit No. SW8 120204 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. 12. Prior to transfer of the permit, the stormwater facilities will be -inspected by DWQ personnel. The facility must be in compliance with all permit conditions. Any items not in compliance must be repaired or replaced to design condition prior to the transfer. Records of maintenance activities performed to date will be required. 13. This permit shall become voidable unless the facilities are constructed in accordance with the conditions of this permit, the application, approved plans and specifications, and other supporting data. 14. 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. Ill. GENERAL CONDITIONS This permit is not transferable to any person or entity except after notice to and approval by the Director. At least 30 days prior to a change of ownership, or a name change of the Permittee or of the project, 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 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. Neither the sale of the project area in whole or in part, nor the conveyance of common area to a third party, constitutes an approved permit transfer. 3. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to enforcement action by the Division of Water Quality, in accordance with North Carolina General Statute 143-215.6A to 143-215.6C. 4. The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules, regulations, or ordinances which may be imposed by other government agencies (local, state, and federal) which have jurisdiction. 5. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Permittee shall take immediate corrective action, including those as may be required by this Division, such as the construction of additional or replacement stormwater management systems. 6. The permit may be modified, revoked and reissued or terminated for cause. The filing of a request for a permit modification, revocation and reissuance or termination does not stay any permit condition. 7. Permittee grants permission to staff of the DWQ to access the property for the purposes of inspecting the stormwater facilities during normal business hours. 9. The permittee shall submit a permit renewal application and processing fee at least 180 days prior to the expiration date of this permit_ 10. A copy of the approved plans and specifications shall be maintained on file by the Permittee at all times. Page 5 of 8 State Stormwater Management Systems Permit No. SW8 120204 Permit issued this the 16t' day of February 2012. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION -a CY� . Charles Wakild, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission Page 6 of 8 State Stormwater Management Systems Permit No. SW8 120204 Canepa Residence Stormwater Permit No. SW8 120204 Onslow County Designer's Certification Page 1 of 2 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 are a part of this Certification. Noted deviations from approved plans and specifications: Signature Registration Number Date SEAL_ Page 7 of 8 State Stormwater Management Systems Permit No. SW8 120204 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 sand filter elevations are per the approved plan. 6. The sand filter is located per the approved plans. 7. A trash rack is provided on the outlet/bypass structure. 8. For open sand filters, 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 and located 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 Inspector, Onslow County Building Inspections Page 8 of 8 DWQ USE ONLY Date Received Fee Paid Permit Number • OV Q - l ag- Applicable Rules: ElCoastal SW —1995 ❑ Coastal SW — 2008 ❑ Ph II - Post Construe on (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 This form 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.): Canepa Residence Lot 28 Halls Creek North Section I 2. Location of Project (street address): 212 Pieeon Lane City: Swansboro County: Onslow Zip: 28584 3. Directions to project (from nearest major intersection): US 17 and Hwy 24, take Hwy 24 East out of Jacksonville. Upon Entering Swansboro, turn right on _ Hammocks Beach Rd. Take second right onto Cormorant Dr. Turn right onto Pigeon Lane. Site will be on the right. 4. Latitude:34° 41' 41.18" N Longitude:77° 09' 04.88" 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 ❑Partially Completed* ❑ Completed* *provide a designer's certification 2. Specify the type of project (check one): ❑Low Density ®High Density ❑Drains to an Offsite Stormwater System []Other 3. If this application is being submitted as the result of a previously returned application or a letter from DWQ requesting a state stormwater management permit application, list the stormwater project number, if assigned, and the previous name of the project, if different than currently proposed, 4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be obtained by contacting the Customer Service Center at 1-877-623-6748): ❑CAMA Major ❑Sedimentation/Erosion Control: ac of Disturbed Area ❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number, issue date and the type of each permit: RECEIVED FEB 0 8 2012 BY: Form SWU-101 Version 07Jun2010 Page 1 of 6 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 theproject): Applicant/Organization: Mario Canepa Signing Official & Title: Mario Canepa, owner b.Contact information for person listed in item 1a above: Street Address: 212 Pigeon Lane _ City: Swansboro State: NC Zip: 28584 Mailing Address (if applicable):same City: State: Zip: Phone: (910 ) 340-1141 Fax: Email:mrmario1961@yahoo.com � c. Please check the appropriate box. The applicant listed above is: ® The property owner (Skip to Contact Information, item 3a) ❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below) ❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and 2b below) ❑ Developer* (Complete Contact Information, item 2a and 2b below.) 2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the person who owns the property that the project is located on): Property Owner/Organization: Signing Official & Title: b. Contact information for person listed in item 2a above: Street Address: City: State: Zip: Mailing Address (if applicable): City: State: Zip: Phone: ( ) Fax: ( } Email: 3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other person who can answer questions about the project: Other Contact Person/Organization: Signing Official & Title: b.Contact information for person listed in item 3a above: Mailing Address: City: State: Zip: Phone: ( ) Fax: ( ) Email: 4. Local jurisdiction for building permits: Town of Swainsboro Point of Contact: Jennifer. Holland, Town Planner Phone #: 910 326-4428 RECIEEIvF,n FEB 0 8 202 BY: Form SWU-101 Version 07Jun2010 Page 2 of 6 IV: PROJECT INFORMATION 1. ' In the space provided below, briefly summarize how the stormwater runoff will be treated. High densi stormwater project with sand filter & level spreader 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.1f claiming vested rights, identify the regulation(s) the project has been designed in accordance with: ❑ Coastal SW —1995 El Ph II — Post Construction 3. Stormwater runoff from this project drains to the White Oak River basin. 4. Total Property Area: 1.02 (Lot 28) acres 5. Total Coastal Wetlands Area: 0.0 acres 6. Total Surface Water Area: 0.0 acres 7. Total Property Area (4) — Total Coastal Wetlands Area (5) — Total Surface Water Area (6) = Total Project Area`: 1.02 + 0.145 (offsite) =1.17 acres + Total project area shall be calculated to exclude the followin the normal pool of impounded structures, the area between the banks of streams and rivers, the area below the Lrmal High Water (NHW) line or Mean HiXh Water (MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may be included in the total project area. S. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 38.0 % 9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered stormwater BMP. For low density and other projects, use 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 In -formation Drainage Area 1 _ Drainage Area Drainage Area _ Drainage Area Receiving Stream Name U I Queens r Stream Class Stream Index Number - -16 Total Drainage Area s -site Drainage Area s Off -site Drainage Area s Proposed Impervious Area (so 19,229 % Impervious Area (total) 38.0 Impervious*' Surface Area Drainage Area _ Drainage Arear ramage Area _ Drainage Area -site buildingsLots s -site Streets s -site Parking s n -site Sidewalks (sf) Other on -site s Future s Off -site s j Existing s9,233 ota s Stream Class and Index Number can be determined at: http://portal.ncdenr.org/webhvVVs/csu/dassi lcatians ** Im ervious area is defined as the built upon area including, but not Iimited 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 BUA that is to be removed and which will be replaced by new BUA. 11. How was the off -site impervious area listed above determined? Provide documentation, "overage" (amount of BUA > 25%) from SW8 040239 Mod (removing Lot 28 from permit) Form SWU-101 Version 07Jun2010 Page 3 of 6 Prookts in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened & Endangered Species watershed that may be subject to more stringent stormwater requirements as per NCAC 02B . 0600. V. SUPPLEMENT AND O&M FORMS The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded from htt2://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 hM2://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs. 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 htW-.//portal.ncdenr.org/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/for-ms_docs. tn.. s 1. OriginaI and one copy of the Stormwater Management Permit Application Form. 2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants 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 to http://www.envhelp.org/pages/onestopexpress.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/managementfor the project. This is required in addition to the brief summary provided in the Project Information, item 1. b. 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 1h mile of the site boundary, include the 1h mile radius on the map. 7. Sealed, signed and dated calculations. 8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: a. Development/Project name. b. Engineer and firm. c. Location map with named streets and NCSR numbers. d. Legend. e. North arrow. f. Scale. g. Revision number and dates. h. Identify all surface waters on the plans by delineating the normal pool elevation of impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal waters, and any coastal wetlands landward of the MHW or NHW lines. • Delineate the vegetated buffer landward from the normal pool elevation of impounded structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters. i. Dimensioned property/project boundary with bearings & distances. j. Site Layout with all BUA identified and dimensioned. k. Existing contours, proposed contours, spot, elevations, finished floor elevations. 1. Details of roads, drainage features, collection systems, and stormwater control measures. 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 docuDae p. Vegetated buffers (where required).��(�+ FEB Q % Jp�l Font SWU-101 Version 07Jun2010 Page 4 of 6 9. � 4opy of any applicable soils report with the associated SHWT elevations (Please identifyk- elevations in addition to depths) as well as a map of the bormg locations with the existing elevations and boring logs, include an 8.5"xll" copy of the NRCS County Soils map with the project area clearly delineated. For projects with infiltration BMPs, the report should also include the soil type, expected infiltration rate, and the method of determining the infiltration rate. (Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior to submittal, (910) 796-7378.) 10. A copy of the most current property deed. Deed book: 2804 Page No: 144-145 11. For corporations and limited liability corporations (LLC): Provide documentation from the NC Secretary of State or other official documentation, which supports the titles and positions held by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 2H.1003(e). The corporation or LLC must be listed as an active corporation in good standing with the NC Secretary of State, otherwise the application will be returned. hqp://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, lot size, and the allowable built -upon area must be provided as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and protective covenants forms can be downloaded from ht!p//portal.ncdenr.org/web/wq/ws/su/statesw/forms dots. 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 individual and/or firm (such as a consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as addressing requests for additional information). Consulting Engineer: John R. Freshwater III, PE Consulting Firm: Clystal Coast Engineering, PA Mailing Address: 3817-3 Freedom Way _ City: Hubert Phone: (910 ) 325-0006 Email: johnfh2o©ec.rr.com State: NC Fax: (910 ) 325-0060 IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this section) I, (print or type name of person listed in Contact Information, item 2a) certify that 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. VE0 0 $ ZM 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 143-215.1 and may result in appropriate enforcement action including the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6. Signature: Date: I -------------------------------------- , 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 X. APPLICANT'S CERTIFICATION I, (print or type name of person listed in Contact Information, item 1a) Mario Canepa certify that the information included on this permit application form is, to the best of my knowledge, correct and that the project will be constructed in conformance with the approved plans, that the required deed restrictions and protective covenants will be recorded, and that the proposed project complies with the requirements of the applicable stormwater rules under 15A NCAC 2H .1000, SL 2006-246 (Ph. If - Post Construction) or SL 2008-211. Signature: & , ��DJJa��te: I, «✓ i l Q �Lt YL kt rli __, a N ary Public for the State of � Akaj aI t FA County of _ �} Y1,� 0 i�/ _ dohereby certify that _____6f ri o _ `-Q !'ic 44�C , ........ _personally appeared before me this -T day of s� R t lg �+-- c� i and ackn le t 7 xec lion oft e ap >c tion for a stormwater permit. Witness my hand and official seal, _ e CELW J. CLINKINBEARD Notary Public Onsiow County North Corolino Q My Commission Expiresrl it SEAL My commission expires t V D V' r a, FEB 0 8 ZUIZ Form SWU-101 Version 07Jun2010 Page 6 of 6 -L �--%. " 'no '3 IXLIA N%i Permit Numbe / e(l- (to be provided by DWO) / ARA NC©ENR STORMWATER MANAGEMENT PERMIT APPLICATION FORM 401 CERTIFICATION APPLICATION FORM SAND FILTER SUPPLEMENT This form must be filled out on line, printed and submitted with all of the required information. Make sure to also fill out and submit the Required Items Checklist (Section tit) and the I&M Agreement (Section IV) I. PROJECT INFORMATION Project name Canepa Residence, Lot 28 Halls Creek North, Section Contact name John R. Freshwater, III, PE Phone number Date Drainage area number II. DESIGN INFORMATION Site Characteristics Drainage area (AD) Impervious area % Impervious (IA) Design rainfall depth (Rp) Peak Flow Calculations 1-yr, 24-hr runoff depth 1-yr, 24-hr intensity Pre -development 1-yr, 24-hr runoff Post -development 1-yr, 24-hr runoff Pre/Post 1-yr, 24-hr peak control Storage Volume Design volume (WQV) Adjusted water quality volume (WQVpdi) 5 k pra v C-k" 4r` Volume contained in the Top of sand fi€terlg(ale elevation Weir elevation (between chambers) Maximum head on the sedimentation basin and sand filter (hm.FWter) Average head on the sedimentation basin and sand filter (hA) Runoff Coefficient (Rv) Type of Sand Filter Open sand filter? SHWT elevation Bottom of the sand filter elevation Clearance (dsHm) Closedipre-cast sand filter? SHWT elevation Bottom of the sand filter elevation Clearance (dsHwT) If this is a closed, underground closed sand filter: The clearance between the surface of the sand filter and the bottom of the roof of the underground structure (ds,.) 910 325 0006 .December 19, 2011 1 and only 50,655.00 ft' OK 19,229.00 ft2 38.0% % Sze S 1.50, in .r 3 , LQ it, 1 1, a�5 r1�1 1 ca c�.+rl NIA in S, ' e Ske, A - NIA inlhr ' j NIA ftWlsec NIA ft3isec #VALUE! ft'/sec 3,754.00 ft' 2,815.50 ft3 OK 2,834.00 ft' 37 ft amsl 38 It amsl 4-.6 f1 NIA' OK �% S-ce- sk-e -` 4-50-T/VIA- OK ! �CLi .&38-(unitless) N Y or N ft amsl ft amsl Y Y or N (— NIA ft amsl ,,—. tAu5+ 6e 31,33 ft amsl NIA NIA ft FEB 0 8 2012 Form SW401-Sand Filter-Rev.5 2009Sept17 Parts I and II. Project Design Summary, Page 1 of 2 z Permit Number: (to be provided by DWQ) Sedimentation Basin SurAe area of sedimentation basin (As) Sedimentation basin/chamber depth Sand Filter Surface area of sand filter (AF) Top of sand media filter bed elevation Bottom of sand media filter bedldrain elevation Depth of the sand media filter bed (dF) Coefficient of permeability for the sand filter (k) Outlet diameter Outlet dischargelflowrate Time to drain the sand filter (t) Time to drain the sand filter (t) Additional Information Does volume in excess of the design volume bypass the sand filter? Is an off-line flow -splitting device used? If draining to SA waters: Does volume in excess of the design volume flow evenly distributed through a vegetated filter? What is the length of the vegetated filter? Does the design use a level spreader to evenly distribute flow? Is the BMP located at least 30ft from surface waters (50ft if SA waters)? If not a closed bottom, is BMP located at least 100fl from water supply wells? Are the vegetated side slopes equal to or less than 3:1 Is the BMP located in a recorded drainage easement with a recorded access easement to a public Right of Way (ROW)? What is the width of the sedimentation chamberlforebay (WSIX What is the depth of sand over the outlet pipe (dpipe)? 248.00 ft2 OK. Meets minimum, but may need to be increased to 5.67 ft -' 277.00 ft2 Increase surface area.This will also increase the 33.50 ft amsl 31.33 ft amsl 2.17 ft 3.50 (ft/day) 6.00 in 0.03 ftl/sec 40.00. hours OK. Submit drainage calculations. 1.67 days Y YorN OK Y Y or N OK Y Y or N OK 50.00 ft Y Y or N OK Y Y or N OK NIA Y or N Enter Data Y Y or N Y N OK 4c) U:_ re Gwd-4 lam! Y or 24.80 ft OK — OK &A 1.50 ft OK RECEIVED FEB 0 8 201Z BY: Form 5W401-Sand Filter-Rev.5 2009Sept17 Paris I and II. Project Design Summary, Page 2 of 2 Permit No. (to be provided by DWQ) "Jill. REQUIRED ITEMS CHECKLIST 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. Initials Page/ Plan Sheet No. 1' 1. Plans (1" - 50' or larger) of the entire site with labeled drainage area boundaries - System dimensions (length, width, and depth) for both the sedimentation chamber and the filter chamber, - Maintenance access, - Flow splitting device, - Proposed drainage easement and public right of way (ROW), - Design at ultimate build -out, - Off -site drainage (if applicable), and +- L - Boundaries of drainage easement. --� �r+ir, /�6+-� ���� -9—Q, eA 2. Plan details (1" = 30' or larger) for the sand filter showing: �iMr,s twVet for V - System dimensions (length, width, and depth) for both the sedimentation chamber and the filter chamber, - Maintenance access, - Flow splitting device, - Vegetative filter strip dimensions and slope (if SA waters), - Proposed drainage easement and public right of way (ROW), - Design at ultimate build -out, - Off -site drainage (if applicable), and + ` - Boundaries of drainage easement. "-'5" 't t'v'q C L\a r\'ke t1� 3. Section view of the sand filter (merger) showing:[ `N' Ts� - Depth(s) of the sedimentation chamber and sand filter chamber, Depth of sand filter media, - Connection between the sedimentation chamber and the sand filter chamber and weir elevation, SHWT elevation, Outlet pipe, and - Clearance from the surface of the sand filter to the bottom of the roof of the underground structure (if applicable). 4. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The results of the soils report must be verified in the field by DWQ, by completing & submitting the soils �{ investigation request form. County soil maps are not an acceptable source of soils information. 5. Supporting calculations (including drainage calculations) 6. Signed and notarized operation and maintenance (0&M) agreement C a 7. A copy of the deed restrictions (if required). RECEIVED FEB 0 8 2012 BY: Form SW401-Sand Filter-Rev.S 2009Sept17 Part III, Page 1 of 1 Permit (to be provided by DIVQ) 1 Drainage Area Number: Sand Filter Operation and Maintenance Agreement I will keep a maintenance record on this BMP. This maintenance record will be kept in a log in a known set location. Any deficient BMP elements noted in the inspection will be corrected, repaired or replaced immediately. These deficiencies can affect the integrity of structures, safety of the public, and the removal efficiency of the BMP. Important maintenance procedures: — The drainage area will be carefully managed to reduce the sediment Ioad to the sand filter. -- The sedimentation chamber or forebay will be cleaned out whenever sediment depth exceeds six inches. — Once a year, sand media will be skimmed. -- The sand filter media will be replaced whenever it fails to function properly after maintenance. The sand filter will be inspected quarterly and within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance 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 elements ' PbtenHal ' i oblerri: ': Ho ' I:will rem' theproblem: Entire BMP Trash/debris is present. Remove the trash/debris. Adjacent pavement (if Sediment is present on the Sweep or vacuum the sediment as soon as applicable) pavement surface. ossible. Perimeter of sand filter Areas of bare soil and/or erosive Regrade the soil if necessary to remove the gullies have formed. gully, and then plant a ground cover and water until it is established. Provide lime and a one-time fertilizer application. Vegetation is too short or too long. Maintain vegetation at an appropriate height. Flow diversion structure The structure is clogged. Unclog the conveyance and dispose of any sediment offsite. The structure is damaged. Make any necessary repairs or replace if damage is too large for repair. Forebay or pretreatment area Sediment has accumulated to a Search for the source of the sediment and depth of greater than six inches. remedy the problem if possible. Remove the sediment and stabilize or dispose of it in a location where it will not cause im acts to streams or the BMP. Erosion has occurred. Provide additional erosion protection such as reinforced turf matting or riprap if needed to prevent future erosion roblems. Weeds are present. Remove the weeds, preferably by hand. If a pesticide is used, wipe it on the plants rather than spraying. RECEIVED FEB 0 8 2012 Form SW401-Sand Filter O&M-Rev.4 2009Septi7 Page 1 of 3 BMP Oemeht: Potential roblem: How I will remediate the problemi Filter bed and underdrain Water is ponding on the surface for Check to see if the collector system is collection system more than 24 hours after a storm. clogged and flush if necessary. If water still ponds, remove the top few inches of filter bed media and replace. If water still ponds, then consult an expert. Outlet device Clogging has occurred. Clean out the outlet device. Dispose of the sediment offsite. The outlet device is damaged Re air or re lace the outlet device. Receiving water Erosion or other signs of damage Contact the NC Division of Water Quality have occurred at the outlet. 401 Oversight Unit at 919-733-1786. Form SW401-Sand Filter O&M-Rev.4 2009Sept17 RIE;CEIVED FEB 4 8 201Z 13Y: Page 2 of 3 Permit Number: (to be provided by DWQ) 1 acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any changes to the system or responsible party. Project name: Canepa Residence, Lot 28 Halls Creek North, Section I BMP drainage area number: Print name: Mario Canepa _ Title: Owner Address: 212 Pigeon Lane, Swansboro, NC 28584 Phone. 910-340-1141 Signature: Date: y ►4 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, Ce- 1, cZ,- 0I r , a Notary Public for the State of IV nt�Th ea!- t y� a , County of 0n ,-�-Jp V/ , do hereby certify that Q r-I 0 Ca n e 0 Q personally appeared before me this —�T day of slams a r,,:J .20) , , and acknowledge the due execution of thefor sand filter maintenance requirements. Witness my hand and official seal,�rOC IN dh-E=CatollnQ anoE� INes SEAL My commission expires Udv" I ?I dU JL1 7FEBCE' vn 0 8 2012 Form SW401-Sand Filter O&M-Rev.4,2009Sept17 Page 3 of 3 w���«f � , 7 \� k\ 44=o=k§ (/§54 � §§�(§ �22oj// /}jj<23 }§5�\m\ <� E' �� §\ � |\ ƒ&�s�t»� <xvg z cr wnrFq OG ATA NPP.ENR 9 Y STORMWATER MANAGEMENT PERMIT APPLICATION FORM 401 CERTIFICATION APPLICATION FORM LEVEL SPREADER - VEGETATED FILTER STRIP (LS-VFS) SUPPLEMENT This form must be completely filled oui, printed, initialed, and submitted. I. PROJECT INFORMATION Project name Canepa Residence, Lot 28 Halls Creek North, Section I Contact name John R. Freshwater III, PE Phone number 910-325-0006 Date February 7, 2012 Drainage area number 1 and only lI. DESIGN INFORMATION The purpose of the LS-VFS Other. Explained below Stormwater enters LS-VFS from A BMP Type of VFS Engineered filer strip (graded & sodded, slope <8%) Explanation of any 'Other' responses above To provide diffuse flow from Sand Fitter outlet (& from BMP bypass 10yr flow); within 112 mi SA waters If Stormwater Enters the LS-VFS from the Drainage Area Drainage area Impervious surface area Percent impervious Rational C coefficient Peak flow from the 1 iNhr storm Time of concentration Rainfall intensity,1 O-yr storm Peak flow from the 10-yr storm Design storm Maximum amount of flow directed to the LS-VFS Is a flow bypass system going to be used? Explanation of any 'Other' responses above If Stormwater Enters the LS-VFS from a BMP Type of BMP Peak discharge from the BMP during the design storm Peak discharge from the BMP during the 10-year storm Maximum capacity of a 1 DO -foot long LS-VFS Peak flow directed to the LS-VFS Is a flow bypass system going to be used? Explanation of any 'Other' responses above LS-VFS Design Forebay surface area Depth of fonebay at stommater entry point Depth of forebay at stormwater exit point Feet of level lip needed per ds Computed minimum length of the level lip needed Length of level lip provided Width of VFS Elevation at downslope base of level lip Elevation at the end of the VFS that is farthest from the LS ftz Do not complete this section of the form. ft' Do not complete this section of the form. % Do not complete this section of the form, Do not complete this section of the form. cis Do not complete this section of the form. min Do not complete this section of the form. inlhr Do not complete this section of the form, cfs Do not complete this section of the form. cis Do not complete this section of the form. (Y or N) Do not complete this section of the form. Other. Explained below 0.026 CIS 0.026 cfs 10 CIS 3.98 cfs N fY or Nl Type of BMP: Sand Filter sq It in in R"ECE1 V ED1v TT� T T� 40 It FEB o 8 2012 50 It 50 It BY: 30.75 fmsl 30.50 fmsl Form SW4o1 - LS-VFS - 27Ju12011 - Rev.9 page 1 of 3 Slope (from level lip to the end of the VFS) Are any draws present in the VFS? Is there a collector swale at the end of the VFS? it Bypass System Design (if applicable) fs a bypass system provided? Is there an engineered flow splitting device? Dimensions of the channel (see diagram below): M W y (flow depth for 10-year storm) freeboard (during the 10-year storm) Peak velocity in the channel during the 10-yr stone Channel lining material Does the bypass discharge through a wetland? Does the channel enter the stream at an angle? Explanation of any "Other" responses above III. REQUIRED:ITEMS CHECKLIST.: . 0,50 % N (Y or N) OK N (Y or N) N (Y or N) N (Y or N) ft ftJsec Pick one: W (Y or N) (Y or N) EDIT 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. Requded Item: 1. Plans (1" - 50' or larger) of the entiresite showing: - Design at ultimate build -out, Off -site drainage (if applicable), Delineated drainage basins (include Rational C coefficient per basin), Forebay (if applicable), High flow bypass system, Maintenance access, Proposed drainage easement and public right of way (ROW), and Boundaries of drainage easement. 2. Plan details (1" = 30' or larger) for the level spreader showing: - Forebay (if applicable), High now bypass system, One foot tope fines between the level lip and top of stream bank, Proposed drainage easement, and Design at ultimate build -out. Page or plan sheet number and any notes: f z)f2 Z"�X 2 RECE:1 V D FEB 0 8 2012 By: Form SW401 - LS-VFS - 27Jul2011 - Rev.9 page 2 of 3 3. Section view of the level spreader (1' = 20' or larger) showing: -�4 // - Underdrain system (if applicable), Level lip, • • Ups}rpe channel, and Downslope filter fabric. 4. Plan details of the flow splitting device and supporting calculations (if applicable). Gzl-e 5. A construction sequence that shows how the level spreader will be protected from L—O!Ll- sediment until the entire drainage area is stabilized. 8. If a non -engineered VFS is being used, then provide a photograph of the VFS showing I V lA— that no draws are present. 7. The supporting calculations. NIM 8. A copy of the signed and notarized operation and maintenance (O&M) agreement. `G) 2 o-C-z CIV617� -;Clrt-O Z 2-5 PS 5 C' /C� �r Id A/0- .fir✓er �cEIVED FEB o 8 2a�2 gY: Form SW401 - LS-VFS - 27Ju12011 - Rev.9 page 3 of 3 Permit Number: (to be provided by DWo Drainage Area Number: Filter Strip, Restored Riparian Buffer and Level Spreader Operation and Maintenance Agreement I will keep a maintenance record on this BMP. This maintenance record will be kept in a log in a known set location. Any deficient BMP elements noted in the inspection will be corrected, repaired or replaced immediately. These deficiencies can affect the integrity of structures, safety of the public, and the removal efficiency of the BMP. Important maintenance procedures: - Immediately after the filter strip is established, any newly planted vegetation will be watered twice weekly if needed until the plants become established (commonly six weeks). - Once a year, the filter strip will be reseeded to maintain a dense growth of vegetation - Stable groundcover will be maintained in the drainage area to reduce the sediment load to the vegetation. Two to three times a year, grass filter strips will be mowed and the clippings harvested to promote the growth of thick vegetation with optimum pollutant removal efficiency. Turf grass should not be cut shorter than 3 to 5 inches and may be allowed to grow as tall as 12 inches depending on aesthetic requirements (N1PC,1993). Forested filter strips do not require this type of maintenance. - Once a year, the soil will be aerated if necessary. Once a year, soil pH will be tested and lime will be added if necessary. After the filter strip is established, it will be inspected quarterly and within 24 hours after every storm event greater than 1.0 inch (or 1.5 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: Potentialproblem: How I will remediate theproblem: The entire filter strip Trash/debris is present. Remove the trash/debris. system The flow splitter device The flow sputter device is Unclog the conveyance and dispose (if applicable) clogged. of anV sediment off -site. The flow splitter device is Make any necessary repairs or damaged. replace if damage is too large for repair. 7CEIVED FFB.O 8 20 2 BY: Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page I of 3 BMP element: Potentialproblem: How I will remediate theproblem: The swale and the level The swale is clogged with Remove the sediment and dispose lip sediment. of it off -site. The level lip is cracked, Repair or replace lip.. settled, undercut, eroded or otherwise damaged. There is erosion around the Regrade the soil to create a berm end of the level spreader that that is higher than the Ievel lip, and shows stormwater has then plant a ground cover and bypassed it. water until it is established. Provide lime and a one-time fertilizer application. Trees or shrubs have begun Remove them. to grow on the Swale or just downslo e of the level lip. The bypass channel Areas of bare soil and/or Regrade the soil if necessary to erosive gullies have formed. remove the gully, and then reestablish proper erosion control. Turf reinforcement is Study the site to see if a larger damaged or ripap is rolling bypass channel is needed (enlarge if downhill. necessary). After this, reestablish the erosion control material. The filter strip Grass is too short or too long Maintain grass at a height of if applicable). approximately three to six inches. Areas of bare soil and/or Regrade the soil if necessary to erosive gullies have formed. remove the gully, and then plant a ground cover and water until it is established. Provide time and a one-time fertilizer application. Sediment is building up on Remove the sediment and the filter strip. restabilize the soil with vegetation if necessary. Provide lime and a one- time fertilizer application. Plants are desiccated. Provide additional irrigation and fertilizer as needed. Plants are dead, diseased or Determine the source of the dying. problem: soils, hydrology, disease, etc. Remedy the problem and replace plants. Provide a one-time fertilizer application. Nuisance vegetation is Remove vegetation by hand if choking out desirable species. possible. If pesticide is used, do not allow it to get into the receiving water. The receiving water Erosion or other signs of Contact the NC Division of Water damage have occurred at the Quality local Regional Office, or the outlet. 401 Oversight Unit at 919-733-1786. RECEIVED FEB 0 S 2012 Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffe e 2 of 3 Permit Number: (to be provided by DWQ) I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any changes to the system or responsible party. Project name:Cane a Residence Lot 28 Halls Creek North Section I BMP drainage area number: I Print name:Mario Canepa Title:Ov,ner Address:212 Pi eon Lane Swansboro NC 28584 Phone: 910-340-1141 Signature: Date: `/ NQ l0-- 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. 1, a Notary Public for the State of lrl Oa r-O I t r , County of 0 n6h v✓ , do hereby certify that n/1 personally a ' r � t9 �� Y1 � � a p Y appeared before me this day of iQY}i.ia tz , 201 �i__, and acknowledge the due execution of the forgoing filter strip, riparian buffer, and/or level reader maintenance require Witness my hand and official seal, CELIA J. CLINKINBEARD Notary Public Onslow County Norih Carotins i i in My Commission Expires 1 SEAL My commission expires _A�y • J [G RECEIV�.D , � D FEB 0 8 2012 BY: Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3' Page 3 of 3