SW8120318_CURRENT PERMIT_20120501

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW lolAOV
DOC TYPE
/&P CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2ElIaO5(---)
YYYYMMDD

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P E
Governor Director
May 1, 2012
Daniel D'Alessandro, Owner
230 Bradley Drive
Wilmington, NC 28409
Subject State Stormwater Management Permit No SW8120318
7976 Market Street
High tensity Commercial infiltration Basin Project
New Hanover County
Dear Mr D'Alessadro
Dee Freeman
Secretary
The Wilmington Regional Office received a complete State Stormwater Management Permit Application for 120318
on April 30, 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 SW8120318 dated May 1, 2012, for the construction, operation and maintenance of the
BMP's and built -upon area associated with the subject project
This permit shall be effective from the date of issuance until May 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), recordation of deed restrictions, certification of the BMP's, procedures for
changes of ownership, transferring the permit, and renewing the permit Failure to establish an adequate system for
operation and maintenance of the stormwater management system, to record deed restrictions, 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
adludicatory 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 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 [phone] or visit their website at www ncoah corn
If you have any questions, or need additional information concerning this matter, please contact Chris Baker, at (910)
796-7215
Sincerely,
For Charles Wakild, P E , Director
Division of Water Quality
GDSlcsb S 1WQ&StormwaterlPermits & Prolects120121120318 HD 12012 05 permit 120318
cc Charlie Cazier, P E , Intracoastal Engineering PLLC
New Hanover County Building Inspections
New Hanover County Engineering
Wilmington Regioriai Office Stormwater File
Wilmington Regional Office
127 Cardinal Drive Extension Wilmington, North Carolina 28405 One
Phone [phone] FAX [phone] Customer Service 1 877-623.6748 NorthCaroh na
Internet ovurw ncwaterqua6ly org '�']��`i"N� �
An Equal Opportunity 4 Affirmative Action Employer �/ j/ ` "

State Stormwater Management Systems
Permit No SW8 120318
4
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
Daniel D'Alessandro
7976 Market Street
7976 Market Street, Wilmington, New Hanover County
FOR THE
construction, operation and maintenance of 2 infiltration basins in compliance with the
provisions of Session Law 2008-211 and 15A NCAC 2H 1000 (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 permit shall be effective from the date of issuance until May 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 26,515 square feet of
impervious area
3 The tract will be limited to the amount of built -upon area indicated in Section 17
on page 3 of this permit, and as shown on the approved plans The built -upon
area for the future development is limited to 2,500 square feet
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 runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system
Page 2 of 7

State Stormwater Management Systems
Permit No SW8 120318
6 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
7 The following design criteria have been permitted for the infiltration basin and
must be provided and maintained at design condition
Drainage Area #1
Drainage Area #2
a
Drainage Area, acres
Onsite, ft2
Offsite ft2
058
25,152
NIA
058
25,086
NIA
b
Total Impervious Surfaces, ft
Onsite, ft2
Offsite ft2
13,615
13,615
NIA
12,900
12,900
NIA
c
Desi n Storm inches
15
15
d
Basin Depth, feet
16
25
e
Bottom Elevation FMSL
275
250
f
Bottom Surface Area ftz
1,193
1,038
Storage Elevation FMLS
291
275
h
Permitted Storage Volume ft
4,374
4,024
1
Type of Sod
White Fine Sand
White Fine Sand
Expected Infiltration rate
54
105
k
Seasonal High Water Table FMSL
2483
230
I
Time to Draw Down hours
22
096
m
Receiving Stream/River Basin
Pages Creek/Cape
Fear
n
Stream Index Number
18-87-22
o
Classification of Water Body
SA HQW
II. SCHEDULE OF COMPLIANCE
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
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
Page 3 of 7

State Stormwater Management Systems
Permit No SW8 120318
5 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 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 Project name change
c Transfer of ownership
d Redesign or addition to the approved amount of built -upon area or to the
drainage area
e Further development, subdivision, acquisition, lease or sale of any, all or
part of the project area The project area is defined as all property owned
y the permittee, for which Sedimentation and Erosion Control Plan
approval or a CAMA Major permit was sought
f Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan
11 The permittee shall submit final site layout and grading plans for any permuted
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
1 Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit
2 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
Page 4 of 7

State Stormwater Management Systems
Permit No SW8 120318
3 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 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
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 May, 2012
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
By Authority of the Environmental Management Commission
Page 5 of 7

State Stormwater Management Systems
Permit No SW8 120318
7976 Market Street
Stormwater Permit No SW8 120318
New Hanover County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full
time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications
The checklist of items on page 2 of this form is included in the Certification
Noted deviations from approved plans and specification
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No SW8 120318
4 Certification Requirements
,1 The drainage area to the system contains approximately the permitted
acreage
2 The drainage area to the system contains no more than the permitted
amount of built -upon area
3 All the built -upon area associated with the project is graded such that the
runoff drains to the system
4 All roof drains are located such that the runoff is directed into the system
5 The bypass structure weir elevation is per the approved plan
fi 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
New Hanover County Building Inspections
Page 7of7

DWQ USE ONLY
Date Received
Fee Paid
PermitNumber
Applicable Rules ❑ Coastal SW —1995 ❑ Coastal SW — 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt 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 }
7976 Market Street-
2 Location of Project (street address)
7976 Market Street
City Wilmington County New Hanover Zip 28411
3 Directions to project (from nearest major intersection)
Travel approx 4 83 miles Northeast along Hwy 17 from the intersection of Hwy 74 (Eastwood Road) and
Hwy 17 (Market St,) to Marsh Oaks Drive (S R 2734) From Marsh Oaks Drive travel approx, 3301 f,
Northeast along HhW 17 Market Street ite will be on the Right
4 Latitude 34' 17' 28" N ^_ Longitude 77" 47' 58" W of the main entrance to the project
II PERMIT INFORMATION
1 a Specify whether project is (check one) NNew ❑Modification
b If this application is being submitted as the result of a modification to an existing permit, list the existing
permit numberN/A , 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 NHigh 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, N/A 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 0Sedimentation/ 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
issue date and the type of each permit N A
IVF
JAN215 2012
Form S WU-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 the project)
Applicant/Organization Daniel D'Alessandro
Signing Official & Title Daniel D'Alessandro / Property Owner
b Contact information for person listed in item 1a above
Street Address 230 Bradley Drive
City Wilmington _ State 1C Zip 28409
Mailing Address (if applicable) 230 Bradley Drive
City Wilmington State NC Zip 28409
Phone (910 ) 616-7335
Email danodebo®gmail com
Fax ( 1
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 NIA
Signing Official & Title
b Contact information for person listed in item 2a above
Street Address
City
Mailing Address (if applicable)
City
Phone
Email
State
State
Fax
Zip
BY.
v
3 a (Optional) Print the name and title of another contact such as the project's construction supervisor or
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
Phone L }
Email
State
Fax ( }
Zip
JAN 15 2012
4 Local jurisdiction for building permits New Hanover Counix
Point of Contact Linda Painter - Phone # (910 } _ 798 - 7068
Form SWU-101 Version 07Jun2010 Page 2 of 6

,IV PROJECT INFORMATION
1 In the space provided below, bnefly summarize how the stonnwater runoff will be treated
Stormwater runoff will be directed to 2 -Infiltration Basins by means-Uf 3_1 grassed swales & sheet flow`
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 PUDApproval Date
❑ Valid Building Permit Issued Date
❑ Other N/A _ 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 Cape Fear River basin
4 Total Property Area 1 654 _acres 5 Total Coastal Wetlands Area _0 _ acres
6 Total Surface Water Area _0—_ _ _ acres
7 Total Property Area (4) — Total Coastal Wetlands Area (5) — Total Surface Water Area (6) = Total Project Area'
1654 __, acres
` Total project area shall be calculated to exclude thejbllowing the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High 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 maybe
included in the total project area
8 Project percent of impervious area (Total Impervious Area / Total Project Area) X 100 = 33 33 %
9 How many drainage areas does the project have72 (For high density, count T for each proposed engineered
stormwater BMP For low density and other projects, use 1 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 2
Drainage Area _
Draina.E Area _
Receiving Stream Name
Pages Creek
Pages Creek
Stream Class *
SA,HQW
SA,HQW
Stream Index Number *
18-87-22
18-87-22
Total Drainage Area (sf)
25,152
25,086
On -site Drainage Area (sf)
25,152
25,086
Off -site Drainage Area (sf)
N/A
N/A
Proposed Impervious Area** (so
13,615
12,900
% Impervious Area** (total)
M 13%
5142%
Impervious" Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area 2
Drainage Area
On -site Buildings/Lots (sf)
531
812
to
On -site Streets (so
0
0
On -site Parking (sf)
8,000
9,588
A
��
On -site Sidewalks (sf)
1,260
0
Other on -site (so
800
0
Y.-
Future (sf)
0
2,500
Off -site (so
0
0
Existing BUA*** (sf)
3,024
0
Total (sf) 1
13,615
12,900
* Stream Class and Index Number can be determined at ht42 &ortal.ncdenr org/web/wq[psksu/classr cations
** 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 BUA that is
to be removed and which will be replaced by new BUA
Form SWU-101 Version 07jun2010 Page 3 of 6

11 How was the off -site impervious area listed above determined? Provide documentation N/A
Proiects 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 star mwater 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 hht //12ortal ncdenr.org/web/`­wQ/ws /su /brnp-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 nedenr.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 h rtal n denr org/web/wq/ws/su/maJ2s)
Please indicate that the following required information_ have been provided by initialing in the space provided
for each item All origmal documents MUST be signed and Initialed in blue ink Download the latest versions
for each submitted application package from hh j2,1/portal ncdenr.orgLweb/.wq/ws/su/stateswJfQrms-docs
Initials
1 Original and one copy of the Stormwater Management Permit Application Form ,r—A S
2 Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants AIA�
Form (irequired as per Part VII below)
3 Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M S
agreement(s) for each BMP
4 Permit application processing fee of S505 payable to NCDENR (For an Express review, refer to
htW / /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/management for Aa-S _
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 A -e7�,—
receiving stream drams to class SA waters within % mile of the site boundary, include the Vz
mile radius on the map
7 Sealed, signed and dated calculations 2� AS_
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 lE � E J �E
e North arrow �C
f Scale MAR 2 2 2012
g Revision number and dates
h Identify all surface waters on the plans by delineating the normal pool ele on of
impounded structures, the banks of streams and rivers, the MHW or NHW of t
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 w CE ED
i Dimensioned property/project boundary with bearings & distances
j Site Layout with all BUA identified and dimensioned 5 201Z
k Existing contours, proposed contours, spot elevations, finished floor elevations J
1 Details of roads, drainage features, collection systems, and stormwater control me sures
m Wetlands delineated, or a note on the plans that none exist (Must be delineated b Y
qualified person Provide documentation of qualifications and identify the person o
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)
Form SWU-101 Version 07Jun2010 Page 4 of 6

Copy of any applicable soils report with the associated SHWT elevations (Please identify 41B
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 verify the SHWT prior
to submittal, [phone] )
10 A copy of the most current property deed Deed book 5530 Page No 2614 SAS
11 For corporations and limited lability corporations (LLC) Provide documentation from the NC 111 �}
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
htW //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 saes 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
htW //portal ncdenr,org/web/wq/ws/su/statesWZforms docs 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 banding 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 pnor 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 Engmeer Charles D CaZier
Consulting Firm Intracoastal Engineering
Mailing Address 91 Pelican Point
City Wilmington _ _ _ _ „ State NC Zip 2809 -
Phone [phone]
Email Charlie@intracoastalengMeenng_com -
Fax ( )_ N/A
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) N/A , 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 la) 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 mmaamtetenance stormwater system
WMAR 2 2 2at2 RE 72W
J
8Y
BY.
Form SWU-101 Version 07Jun2010 Page 5 of 6

t
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
I, , a Notary Public for the State of
. do hereby certify that
County of
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
I, (print or type name of person listed in Contact Information, item 1a) Dantel D'Alessaildto
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 11 be recor ed, and that the proposed project complies with the requirements of the
applicable storm a r der 1 NCAC 2H 1000, SL 2006-246 (Ph II — Post Construchon) or SL 2008-211
Signature Date
V No l�unZi c
1, .J_Qa� �M�:`��1�1P�dQ� , a Notary Public for the State of Countyof
1� em> PannE t &.,! , , do hereby certify that `Q2L 1i I U lA h c6a ram. �CtZpersonally appeared
before me thas:��day of and acknowledge the due execution of Ale application for a
stormwater permit Witness my hand and official seal,
Form SWU-101 Version 07Jun2010
SEAL
My commission expires k k
% 5 TV -
Page 6 of 6
in
C
MAR 22 2012
13Y
�1�

Permit N,_,,-
0o be provided by DWQ)
of wATE9
A STORMWATER MANAGEMENT PERMIT APPLICATION FORM o
WDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, punted and submitted
The Required Items Checklist (Part 111) must be printed, filled out and submitted along wrth all of the required information
I. PROJECT INFORMATION
Project Name
7976 Market Street
Contact Person
Charles Cazier, P E
Phone Number
[phone]
Date
16 Mar12_
Drainage Area Number
1
II. DESIGN INFORMATION
Site Characteristics
Drainage area
25,152 00 ft2
Impervious area
13,615 00 ftz
Percent impervious
5413 %
Design rainfall depth
150 in
Peak Flow Calculations
t yr, 24 hr rainfall depth
1 yr, 24 hr intensity
Pre development 1-yr, 24 hr discharge
Post -development 1 yr, 24-hr discharge
Pro/Post 1-yr, 24 hr peak flow control
Storage Volume Non -SA Waters
Minimum design volume required
Design volume provided
Storage Volume SA Waters
1 5" runoff volume
Pr"evelopment 1 yr, 24 hr runoff volume
Post development 1-yr, 24 hr runoff volume
Minimum required volume
Volume provided
Solis Report Summary
$oil type
Infiltration rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage Surface Area
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom Surface Area
in
inittr
ft3lsec
ft3/w
ft3/sec
1,68900 ft3
4.37400 ff3 OK for non $A waters
Geeo.Al-*� TY &. Z 5 4- vnes M.in, 64ts yin V�Q.
ft3 V
ft
ff3
ft3
ft3
White Fine Sand
540 in/hr V5eA t12— --LA�. ��'�D��iay� )Zo.4,Q.
2483 fmsl
009
days OK
3 00
1 OK
2750
fmsl OK
2910
fmsl
3,41500
f?
E C E p V E
�I
2930
fmsl
4
MAR 2 2 2012
9940
it
1200
ft
BY,
1,193 00
ftz
Forth SW401-Infiltration Basin -Rev 5 11Apr2011 Parts I & 11 Design Summary Pagel of 2

1%
"
Permit No
(to be provided by D WQ)
Additional Irdonnatfon
Maximum runoff to each Inlet to the basin?
047
ac-In
OK
Length of vegetative filter for overflow
NIA
it
OK
Distance to structure
3000
It
OK
Distance from surface waters
Greater than 50 ft
OK
Distance from water supply well(s)
10400
h
OK
Separation from Impervious sod layer
NIA
it
OK
Naturally occuring sod above shwt
267
ft
OK
Bottom covered with 4 in of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
Y
(Y or N)
OK
Capures all runoff at ultimate build -out?
Y
(Y or N)
OK
Bypass provided for larger storms9
Y
(Y or N)
OK
Pretreatment device provided
Gravel Filter Strip
C;E1V
MAR 2 2 W2
Form SW401 Infittratlon Basin -Raw 5 11Apr1011 Parts I & 11 Design Summary Page 2 of 2

or
Permit No��CJ/G��/
(to be provided by AWQ)
of w n rFq
STORMWATER MANAGEMENT PERMIT APPLICATION FORM p T
WDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This fonn must be filled out, printed and submitted
The Required Items Checklist (Part Ill) must be printed, filled out and submitted along with all of the required information
I. PROJECT INFONATION
Protect Name
7976 Market Street
Contact Person
Charles Caner, P E
Phone Number
[phone]
Date
16 Mar 12
Drainage Area Number
2
K DEsit3N INFORMATION
Site Characteristics
Drainage area
Impervious area
Percent impervious
Design rainfall depth
Peak Flow Calculations
1 yr, 24 hr rainfall depth
1 yr, 24 hr intensity
Pre -development 1 yr, 24-hr discharge
Post development 1 yr, 24 hr discharge
Pre/Post 1 yr, 24-hr peak flow control
Storage Volume Non -SA waters
Minimum design volume required
Design volume provided
Storage Volume SA Waters
1 5' runoff volume
Pre -development 1 yr, 24 hr runoff volume
Post development 1 yr, 24-hr runoff volume
Minimum required volume
Volume provided
Solis Report Summary
Sod type
Infiltration rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage Surface Area
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom Surface Area
25,086 00 ft2
12,900 00 ftz
5142 %
150 in
inlhr
i?/sec
f?/sec
n3lsec
1,60800 43
4,02400 fe
OK for non -SA waters ;ti1�2(�
G,c-"-� 'mart 2— �-�v✓►eS OA.A, 51r vi7X.
White Fine Sand r f
1050 in/hr Ulaf�2, 1. n }-. I �To. `� v► (�. fi Q.
2300 fmsl
004
days OK
300
1 OK
2500
fmsl OK
2750
fmsl
2,22900
n2
2770
fmsl
a
E G E V �9' E r
3710
ff
2800
n
MAR 2 2 2012
1,038 00
ftz
BY
Form SW401-Infiltration Basin Rev 5 11Apr2011
Parts 1 & 11 Design Summary Pagel of 2

r
-
Permit No
{to be provided by DWO)
Addltional Information
Maximum runoff to each Inlet to the basin?
044
ac in
OK
Length of vegetative filter for overflow
NIA
ft
OK
Distance to structure
11800
ft
OK
Distance from surface waters
Greater than 50 ft
OK
Distance from water supply well(s)
14000
it
OK
Separation from Impervious soil layer
NIA
It
OK
Naturally occuring sod above Owl
200
ft
OK
Bottom covered with 4-In of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
Y
(Y or N)
OK
Capures all runoff at ultimate build -out?
Y
(Y or N)
OK
Bypass provided for larger storms?
Y
(Y or N)
OK
Pretreatment device provided
Grassed Swale
IvIECEIVE
MAR 2 Z 2012
BY
Forth SW401 Infiltration Basin -Rev 5 11Api2011 Parts I & 11 Design Summary Page 2 of 2

Permit
(to be 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 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 load to the
infiltration basil
— 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/debns
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)
sediment off -site
The pipe is cracked or
Replace the pipe
otherwise damaged (if
applicable)
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
RIEGEEIVEf)
MAR
2 2 2012
BY
Form SW401-Infiltration asin
l of 3

BMP element
Potential problem
How I will remediate the problem
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth
possible Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP
Erosion has occurred or
Provide additional erosion
nprap is displaced
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems
Weeds are present
Remove the weeds, preferably by
hand If pesticides are used, wipe
them on the plants rather than
Brain
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated
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
immediate)
Water is standing more than
Replace the top few inches of filter
5 days after a storm event
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
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide {do not
treatment area
s ra
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment
immediate)
An annual inspection by an
Make all needed repairs
appropriate professional
shows that the embankment
needs re air
The outlet device
Clogging has occurred
Clean out the outlet device Dispose
of the sediment off -site
The outlet device is darna ed
Repair or replace the outlet device
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet 1
733-1786
Form SW401-Infiltration
MAR 2 2 20ti2
Bas & (% I
lad
Page 2 of 3

Permit Number
(so be provided by DFVQ)
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 i7976 Market Street
BMP drainage area number ;1:2
Print name 12dn—O D'Alessandro
Title Propee wner0
Address QO_Oodla Drive Wilmington. NC 28409
Phone �9_16-616-7335
Signature
Date rz_ ,
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, -*A flA A,-' W f ULA OAAZ 0 VI , a Notary Public for the State of
NK'm ((�44 `lVU , County of �)t(,l) 0VeV , do hereby certify that
personally appeared before me this 1
tqA
OTaR Aso•
Z U
2
B LAG �,�
HOVER O
SEAL
My commission expires 31 j c1 j 15
rL
JAN $ 5 2012
Form SW401-infiltration Basin O&M -Rev 3 [ Page 5 of 5
day of a!'li1
ZO �

DWQ USE ONLY
Date Received
Fee Paid
Perm11 Number
Applicable Rules ❑ Coastal SW — 1995 ❑ Coastal SW — 2008 ❑ Ph 11 - 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
Thu form may be photocopted for use as an original
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)
7976 Market Street
2 Location of Project (street address)
7976 Market Street
City Wilmington County New Hanover Zip 28411
3 Directions to project (from nearest major intersection)
Travel approx 4 83 miles Northeast along Hwy_17 from the intersection of Hwy 74 (Eastwood_ Qad) and
Hwy 17 (Market St) to Marsh Oaks Drive (S R 2734) From Marsh Oaks Drive travel approx 3301 f
Northeast along Hwy 17 (Market Street), 5ite will be on the Right
4 Latitude 34' 1728" N Longitude 77° 47' 58" 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 bemg submitted as the result of a modification to an existing permit, list the existing
permit numberN/A , 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
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, N/A and the previous name of the project, if different than currently
proposed,
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)
❑LAMA 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 NIA
� � � 1piti
BAN
Form SWU-101 Version 07Jun2010 Page 1 of 6

lIl 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 project)
Applicant/Organization Daniel D'Alessandro
Signing Official & Title Daniel D'Alessandro / Property Owner
b Contact mformation for person listed in item 1a above
Street Address 230 Bradley Drive
City Wilmington _ State NC Zip 28409
Mailmg Address (if applicable) 230 Bradley Drive T
City Wilmington State NC Zip 28409
Phone (910 ) 616-7335 Fax ( )
Email danodebo®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 NIA
Signing Official & Title
b Contact information for person listed in item 2a above
Street Address
City State Zip
Mailmg Address (if applicable)
City State Zip
Phone ( ) T� 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 N/A
Signing Official & Title
b Contact information for person listed m item 3a above
Mailing Address
City
Phone
Email
State
Fax L )
Zip
4 Local jurisdiction for buildmg permits New Hanover Count -
Point of Contact Linda Painter Phone # (910 ) 798 - 7068
Form SWU-101 Version 07Jun2010 Page 2 of

IV PROJECT INFORMATION
1 In the space provided below, bneflY summarize how the stormwater runoff will be treated
Stormwater runoff will be directed to 2 -Infiltration Banns by means of sheet flow
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 PUDApproval Date
❑ Valid Building Permit Issued Date
❑ Other N/A 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 drams to the Cape Fear River basin
4 Total Property Area 1 65 acres
5 Total Coastal Wetlands Area 0 acres
6 Total Surface Water Area 0 acres
7 Total Property Area (4) —Total Coastal Wetlands Area (5) —Total Surface Water Area (6) = Total Project Area'
165 acres
Total project area shall be calculated to exclude the following the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High 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
8 Project percent of impervious area (Total Impervious Area / Total Project Area) X 100 = 44 21 %
9 How many dramage areas does the project have?2 (For high density, count I for each proposed engineered
Stormwater BMP For low density and other projects, use 1 for the whole property area)
10 Complete the following mformation 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 mformation for each area
provided in the same format as below
Basin Information
Drama a Area I
Drainage Area 2
Dramage Area _
Drainage Area _
Receivmg Stream Name
Pages Creek
Pages Creek
Stream Class *
SA,HQW
SA,HQW
Stream Index Number *
18-87-22
18-87-22
Total Drainage Area (so
25,152
34,900
On -site Dramage Area (so
25,152
34,900
Off -site Drainage Area (sf)
N/A
N/A
Proposed Impervious Area" (so
13,615
18,157
Impervious Area" (total) 1
54 13%
52 03%
Impervious" Surface Area
Drama a Area 1
DramaLe Area 2
Dramage Area
Drainage Area
On -site Buildmgs/Lots (sf)
531
812
On -site Streets (so
0
0
On -site Parkmg (sf)
8,000
17,345
On -site Sidewalks (sf)
1,260
0
Other on -site (so
800
0
Future (sf)
0
0
Off -site (sf)
0
0
Existing BUA*"* (sf)
3,024
0
Total (sf)
13,615
18,157
* Stream Class and Index Number can be determined at http //portal ncdenr or$/webhUg[ps/csulclassifications
** 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 BUA that is
to be removed and which will be replaced by new BUA
Form SWU-101 Version 07Jun2010 Page 3 of 6

11 How was the off -site impervious area listed above determined? Provide documentation N/A
Projects in Union County Contact DJFQ Centn al Office staff to check of the pi oject is located within a Thi eatened &
Endanger ed Species water shed that map be subject to neon a sn ingent stoi mwaten i equn ements as pei 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 httr) //vortal ncdenr ore/web/wa/ws/su/bmn-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 httn //portal ncdenr qre/web/wq/ws/su/statesw/forms dycs 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 hhUp.//portal ncdenr grg/webZwq/ws/su/maps)
Please indicate that the following required information have been provided by initialing in the space provided
for each item All ongmal documents MUST be signed and mitialed in blue ink Download the latest versions
for each submitted application package from http.//portal.ncdenr org/web/wq/ws/su/s_tatesw/forms does
Initials
1 Original and one copy of the Stormwater Management Permit Application Form A_A S
2 Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants AI 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 to
htW,/Zwww envhelI2 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) descnbmg the stormwater treatment/management for
the project This is required in addition to the brief summary provided m 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 1h mile of the site boundary, mclude 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), mcluding
a Development/Project name
b Engmeer 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 bearmgs & 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 document)
p Vegetated buffers (where required)
JEA S
4A_�- -
Form SWU-101 Version 07Jun2010 Page 4 of 6

9 Copy of any applicable soils report with the associated SHWT elevations (Please 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"xl1 " 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 far DWQ to verify the SHWT prior
to submittal, [phone] )
10 A copy of the most current property deed Deed book 5530 Page No 2614 A AS
l l For corporations and limited liability corporations (LLC) Provide documentation from the NC A)
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
http / /www,secretary state nc us/CoMorationsICSearch 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 saes 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
http //portal ncdenr org/web/wq/ws/su/statesw/forms—docs 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 restnctions 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 Charles D Cazier
Consulting Firm Intracoastal -Engineering
Mailing Address 91 Pelican Point
City Wilmington
Phone (910 ) 409-3567
Email CharheG, mtracoastalengmeering corn
State NC Zip 28409
Fax ( ) N/A
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) N/A , 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 Ia) with (print or type name of organization listed in
Contact Information, item ]a) 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 type name of person listed in Contact Information, item 1a) Daniel D'Alessandro
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 11 be recor ed, and that the proposed project complies with the requirements of the
applicable storm a r der 1 NCAC 2H 1000, SL 2006-246 (Ph I1— Post Construction) or SL 2008-211
Signature Date
o �'olwui
1 -6--,P�-y-LcU C , a Notary Public for the State of county of
N eu.) t4n,"c ue r , do hereby certify that DD-r1iPI T2 Ja t, C4(1 inrL ,<-t� personally appeared
before me this}day of t ,
stormwater permit Witness my hand and official seal,
SEAL
My commissi,
if f ,,
r NOV U 7 Zell
-or a
Form SWU-101 Version 07]un2010 Page 6 of 6

's
PN 100-047
= w ► � ra. � : r
7976 Market Street
Stormwater Permit No SW8120318
New Hanover County
Designer's Certification
1, Charles Cazier , as a duly registered Professional Engineer in the State
of North Carolina, having been authorized to observe (periodically) the construction of
the project 7976 Market Street for Mr Dan D'Allesandro 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
Any Deviations are noted on Checklist Page No 2
N '
=�b�1
032555 '
Signature
Registration Number 32555
Date 3f7/2013
R E G E Li D
SEP 0 1 im

Ib
1 The drainage area to the system contains approximately the permitted
n- acreage
2 The drainage area to the system contains no more than the permitted
amount of built -upon area
AT.>_3 All the built -upon area associated with the project is graded such that the
runoff drains to the system
L� All roof drains are located such that the runoff is directed into the system
�L5 The outlet/bypass structure elevations are per the approved plan
OCC., .6 The outlet structure is located per the approved plans
NA- 7 Trash rack is provided on the outlet/bypass structure
�8 all slopes are grassed with permanent vegetation �.--
3�kr
Q 9 Vegetated slopes are no steeper than 3 1 NOT `fET r-'��AISLI _IAW
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
NA'12 Required drawdown devices are correctly sized per the approved plans
CIZ, 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