SW8121008_CURRENT PERMIT_20121107

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW%�I��
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE)%1
YYYYMMDD

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MCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E.
Governor Director
November 7, 2012
Mr. Gilbert L. Lepsig
Owner, Harbour Watch Lot 4
408171" St
Sunset Beach, NC 28468
Subject: State Stormwater Management Permit No. SW8121008
Harbour Watch Lot 4
High Density Residential Infiltration Trench Project
Brunswick County
Dear Mr. Lepsig:
Dee Freeman
Secretary
The Wilmington Regional Office received a complete modified Stormwater Management Permit Application for the
subject project on November 6, 2012. Staff review of the plans and specifications has determined that the project, as
proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000, effective September 1,
1995. We are forwarding Permit No. SW8121008, dated November 7, 2012, for the construction, operation, and
maintenance of the subject project. This project will drain partially to the high density infiltration trench project
Ocean Harbour Estates, SW8 931204 (Drainage Area #HC-1) and will be partially treated onsite using an
infiltration trench. Please vav special attention to Section II01 which reouires this entire permit to be
recorded with the county in order to inform future owners of Lot #4 of the State Stormwater re uirements.
This permit shall be effective from the date of issuance until November 7, 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 petition with the Office of Administrative Hearings (OAH). The 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. A petition is considered filed when it is received in the Office of Administrative Hearings during
normal office hours. The OAH accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m,,
except for official state holidays. The petition may be filed by facsimile (fax) or electronic mail by an attached file
(with restrictions) - provided the signed original, one (1) copy and a filing fee (if a filing fee is required by NCGS
§150B-23.2) is received in the OAH within seven (7) business days following the faxed or electronic transmission.
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 [phone].
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405
Phone: [phone] FAX: [phone] DENR Assistance: 1-877-623-6748
Internet: www.ncwatefgtfalit .org
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NorthCarolina
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If you have any questions, or need additional information concerning this matter, please contact Kelly Johnson, at
[phone].
Sincerely,
Georgette Scott
Stormwater Supervisor
Division of Water Quality
GDSlkpj: &\WQS1StormWater\Permits & Projects0121121008 HD12012 11 permit 121008
cc: Phil Tripp, PE, Tripp Engineering (SW8121008 & SW8 931204 engineer)
Inspector, Brunswick County Inspections
Mr. Daniel Johnston, President, Ocean Harbour Estates Association
(masterpermrttee, SW8 931204)
Division of Coastal Management
Wilmington Regional Office Stormwater File
Pnaa 7 of 7

State Stormwater Management Systems
Permit No. SW8121008
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
Gilbert D. Lepsig, Owner
Harbour Watch Lot 4
1324 Harbour Watch Court Calabash, Brunswick County
FOR THE
construction, operation and maintenance of an onsite infiltration trench, and treatment of BUA in
an offsite high density infiltration trench project permitted under SW8 931204 which is located in
drainage area HC-1 (DA#HC-1) under which 5,300 square feet (sf) of impervious area has been
allocated to lot 4. The offsite infiltration trench has been designed in compliance with the
provisions of 15A NCAC 2H .1000, effective September 1, 1995,and the onsite infiltration trench
which treats previously unpermitted impervious area has been designed in compliance with 15A
NCAC 2H .1000, effective October 1, 2008 (hereafter referred to as the "stormwater rules') 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 November 7, 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 1.8 of this permit. The onsite stormwater control has been designed
to handle the runoff from 3,690 sf of impervious area in an onsite infiltration trench. The
offsite stormwater control in SW8 931204 for drainage area HC-1 has been designed to
treat a maximum of 63,401 sf of impervious area of which 5,300 square feet has been
allocated to drain offsite from SW8 121008. Of the 5,300 square feet allowable for Lot 4,
a total of 4,660 sf has been allocated to specific uses, and 640 sf of BUA available for
future development. Reference Section 1.6 of this permit.
3. A 50' wide vegetative buffer must be provided adjacent impounded structures, streams,
rivers and tidal waters.
4. The tracts in drainage areas 1 and 2 will be limited to the amount of built -upon area
indicated in Section 1.6 of this permit, and per approved plans.
Page 3 of 11

State Stormwater Management Systems
Permit No. SW8121008
5. The onsite infiltration trench has been designed to infiltrate the 10year 24hour storm
event without discharging at half the infiltration rate reported in the soils report.
Therefore, the bypass and vegetated filter strip requirements have been waived.
6. The following design criteria have been provided in the onsite infiltration trench and in
the offsite infiltration trench permit and must be maintained at design condition:
a.
b.
C.
d.
e.
f.
9.
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DA Number
Onsite Offsite To SW8 931204*
Drainage Area, acres:
0.12
3.79
Onsite, ftz:
5,075
165,244
Offsite, ft2:
0
0
Total Impervious Surfaces, ftz:
3,690
63,401**
Onsite, ftz:
3,690
63,401**
Offsite, ftz:
0
0
Design Storm (10yr24hr Storm), in:
7.00
See SW8 931204
Trench Length, feet:
155.00
Trench Width, feet:
Varies.
See Plan
Trench Depth, feet:
4.00
Bottom Elevation, fmsl:
20.50
Bottom Surface Area, ftz:
725
Bypass Weir Elevation, fmsl:
24.5
Perforated Pipe Diameter, in.:
8.00
Perforated Pipe Length, ft:
112.00
Permitted Storage Volume, ft3:
1,839
Pre -development 1 yr 24 hr peak flow, cfs:
0.12
Post -development 1 yr 24 hr peak flow, cfs:
0
Type of Soil:
Sand
Expected Infiltration Rate, in/hr:
4.30
Seasonal High Water Table, fmsl:
16.60
Time to Draw Down the Required Storage
Volume at half the reported infiltration rate:
0.24
Receiving Stream/River Basin:
ICWW/Lumber
Stream Index Number:
15-25
Classification of Water Body:
SA
* The information provided in Section 1.6 "Offsite System" is in reference to the allowable
built -upon -area and stormwater treatment system for Ocean Harbour Estates
Association, Inc. development under SW8 931204. Refer to permit SW8 931204 for
standards and compliance requirements as related to the Offsite stormwater system.
** SW8 931204 HC-1 is permitted for a maximum of 63,401 square feet of built -upon area
of which 5,300 square feet from SW8 121008 has been permitted to drain to it.
7. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be recorded
showing all such required easements, in accordance with the approved plans.
Page 4 of 11

State Stormwater Management Systems
Permit No, SW8 121008
8. The runoff from all built -upon area within the permitted drainage areas of this project must
be directed into the appropriate permitted stormwater control system.
II. DESIGN STANDARDS / SCHEDULE OF COMPLIANCE FOR OFFSITE FACILITY SW8
931204
1. The stormwater runoff from the portion of SW8 121008 which drains to SW8 931204 has
been approved, as described in Section 1.8 on page 4 of this permit, to be discharged
into a infiltration trench stormwater management system, operated and maintained by
Ocean Harbour Estates Association, Inc. under the terms and conditions set forth in the
latest version of Permit No. SW8 931204,
4
2. The built -upon area allotted to this development from the portion of SW8 121008
which drains to SW8 931204, is 5,300 square feet. The portion of SW8 121008
which drains to SW8 931204 must have a built -upon area less than or equal to the
amount permitted under Stormwater Permit No. SW8 931204. Therefore, a total
built -upon area in excess of 5,300 square feet for the portion of SW8 121008 which
drains to SW8 931204 will require a modification to the overall Permit.
3. Ocean Harbour Estates Association, Inc. is responsible for providing, prior to issuance of
a Certificate of Occupancy, and prior to operation of the permitted stormwater
management facility, a certification from an appropriate designer for the system installed,
certifying that the permitted facility has been installed in accordance with Stormwater
Permit No. SW8 931204, the approved plans and specifications, and other supporting
documentation. Any deviations from the approved plans and specifications must be
noted on the Certification. A certification was received for the offsite infiltration trench
located in drainage area one (DA#HC-1) on February 26, 2003. If the design is modified
in the future, a revised certification must be submitted.
III. SCHEDULE OF COMPLIANCE FOR SW8 121008
1. - This permit is issued contingent on the construction of the permitted offsite stormwater
treatment facility being complete and in compliance with the conditions of permit number
SW8 931204, issued to Ocean Harbour Estates Association, Inc. most recently on
January 4, 2012, and as subsequently revised, modified, or renewed. Prior to the
construction of any built -upon area associated with this permit, the offsite permittee shall
have constructed, operated, maintained, and certified the offsite stormwater
management system in compliance with SW8 931204.
2. As stated in the previous Section II, the stormwater runoff from the portion of SW8
121008 which drains to SW8 931204 has been approved to be discharged into drainage
area HC-1, an infiltration trench stormwater management system, operated and
maintained by Ocean Harbour Estates Association, Inc. under permit SW8 931204.
However, maintenance of the collection system on the portion of SW8 121008 which
does not drain to SW8 931204 has been assigned to Gilbert D. Lepsig under this permit
SW8 121008.
3. This permit, SW8 121008, must be recorded in its entirety in order to inform future
owners of Lot 4 of the State Stormwater requirements. A copy of the recorded deed
restrictions must be submitted to the Division within 30 days of this permit's issuance.
The recorded copy must contain all of the statements above, the signature of the
Permittee, the deed book number and page, and the stamp/signature of the Register of
Deeds.
4. The State of North Carolina is made a beneficiary of these covenants to the extent
necessary to maintain compliance with the Stormwater Management Permit.
Page 5 of 11

State Stormwater Management Systems
Permit No. SW8121008
5. These covenants are to run with the land and be binding on all persons and parties
claiming under them.
6. 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.
7. Alteration of the, drainage as shown on the approved plans may not take place without
the concurrence of the Division of Water Quality.
8. The maximum built upon area is 5,300sf to SW8 931204 and 3,690sf to the SW8
121008 onsite infiltration trench. This allotted amount includes any built -upon area
constructed within the lot property boundaries, and that portion of the right of way
between the front lot line and the edge of the pavement. Built upon area includes, but is
not limited to, structures, asphalt, concrete, gravel, brick, stone, slate, coquina and
parking areas, but does not include raised, open wood decking, or the water surface of
swimming pools.
9. All affected lots shall provide a 50-foot-wide 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.
10. Area within CAMA's Area of Environmental Concern may be subject to a reduction in
their allowable built -upon area due to CAMA regulations.
11. All runoff on the lot must drain into the permitted system. This may be accomplished
through providing roof drain gutters which drain to the street, grading the lot to drain
toward the street, or grading perimeter swales and directing them into the pond or street.
Lots that will naturally drain into the system are not required to provide these measures.
12. Built -upon area in excess of the permitted amount will require a permit modification.
13. Any individual or entity found to be in noncompliance with the provisions of a stormwater
management permit or the requirements of the Stormwater rules is subject to
enforcement procedures as set forth in G.S. 143 Article 21.
14. Prior transfer of the permit, the stormwater facilities must be inspected by DWQ staff and
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.
15. The permittee shall at all time provide the operation and maintenance necessary to
assure the permitted stormwater system functions at optimum efficiency. The approved
16. 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. Immediate repair of eroded areas.
d. Maintenance of all slopes in accordance with approved plans and specifications.
e. Debris removal and unclogging of infiltration media, catch basins, and piping.
17. The facilities shall be constructed as shown on the approved plans. This permit shall
become void unless the facilities are constructed in accordance with the conditions of
this permit, the approved plans and specifications, and other supporting data.
Page 6 of 11

State Stormwater Management Systems
Permit No. SW8121008
18. 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.
19. 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.
20. Access to the stormwater facilities for inspection and maintenance shall be maintained
via appropriate recorded easements at all times.
21. 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 by the
permittee, for which Sedimentation and Erosion Control Plan approval or a
CAMA Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
22. Prior to the construction of any permitted future areas shown on the approved plans, the
permittee shall submit final site layout and grading plans to the Division for approval.
23. A copy of the approved plans and specifications shall be maintained on file by the
Permittee at all times.
24. 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.
25. The permittee shall not alter any aspect or any component of the approved stormwater
drainage and collection system, or pipe any ditches or swales shown on the approved
plans, except for a minimum driveway pipe, unless and until the permittee shall have
submitted a modification to the permit and received approval from the Division.
Additionally, the permittee shall not allow any homeowner, lot owner, builder or
developer to alter any aspect or any component of the approved stormwater collection
system or to pipe any ditches or swales shown on the approved plans, except for
minimum driveway crossings, unless and until the permittee shall have submitted a
revision to the permit and received approval from the Division.
26. The permittee shall routinely monitor the project to ensure that the proposed built -upon
area for the entire project including lot BUA, streets, recreation facilities and sidewalks,
does not exceed the permitted maximum allowable built -upon area. Where the permittee
finds a noncompliance with the permit on an individual lot, the permittee shall notify the
lot owner in writing, requiring remediation of the noncompliance within a reasonable time
frame, and shall follow-up to ensure that the noncompliance has been resolved.
Page 7 of 11

State Stormwater Management Systems
Permit No. SW8121008
27. The permittee is responsible for approving and monitoring all driveway pipe installation
on individual lots. The permittee shall assure that all piping shall be that minimum
amount and diameter necessary to adequately pass the drainage underneath the
driveway, while maintaining a 3:1 side slope.
28. The permittee shall not approve any lot plan where the permitted maximum BUA limit is
exceeded, or where piping of ditches or swales is proposed, or where excessive
driveway piping is proposed, without first submitting a permit modification and receiving
approval from the Division of Water Quality.
29. 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.
30. The Director may determine that other revisions to the project should require a
modification to the permit.
31. 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.
32. 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.
33. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and
prior to operation of this permitted facility, the permittee shall cause a certification from
an appropriate designer for the system installed, to be submitted, 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.
34. The permittee shall at all times provide the operation and maintenance necessary to
assure that all components of the permitted stormwater system function as designed.
The approved Operation and Maintenance Agreement must be followed in its entirety
and maintenance must occur at the scheduled intervals listed in the O&M Agreement.
IV. GENERAL CONDITIONS
1. This permit is not transferable to any person or entity except after notice to and approval
by the Director., In the event of a change of ownership, or a name change, the permittee
must submit a completed Name/Ownership Change Form signed by both parties, to the
Division of Water Quality, accompanied by the supporting documentation as listed on
page 2 of the form. 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 permit conditions until such time as
the Division approves the transfer request. Neither the sale of the project nor the
transfer of common area to a third party constitutes an approved transfer of the
stormwater permit.
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.
Page 8 of 11

State Stormwater Management Systems
Permit No. SW8121008
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) having 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 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.
7. The permit remains in force and effect until modified, revoked, terminated or renewed.
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.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater control
must follow the guidelines established in the North Carolina Erosion and Sediment
Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.
10. The permittee shall notify the Division of any name, ownership or mailing address
changes at least 30 days prior to making such changes.
11. The permittee shall submit a permit renewal request at feast 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 7th day of November, 2012.
NORTH CAROLINA EN O ENTAL MANAGEMENT COMMISSION
Charles . kild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 9 of 11

State Stormwater Management Systems
Permit No. SW8121008
Harbour Watch, Lot 4 Page 1 of 2
Stormwater Permit No. SW8 121008
Brunswick County
Designer's Certification
I, , as a duly registered in the State
of North Carolina, having been authorized to observe (periodically/weekly/full time) the
construction of the project,
(Project)
for (Project Owner) hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the project construction such
that the construction was observed to be built within substantial compliance and intent of the
approved plans and specifications.
The checklist of items on page 2 of this form are a part of this Certification.
Noted deviations from approved plans and specifications:
Signature
Registration Number
Date
SEAL
Page 10 of 11

0
State Stormwater Management Systems
Permit No. SW8121008
Certification Requirements:
Page 2of2
,1. The drainage area to the system contains approximately the permitted acreage.
2. The drainage area to the system contains no more than the permitted amount of
built -upon area.
3. All the built -upon area associated with the project is graded such that the runoff
drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The bypass structure weir elevation is per the approved plan.
6. The bypass structure is located per the approved plans.
7. A Trash Rack is provided on the bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-circuiting of
the system.
11. The permitted amounts of surface area and/or volume have been provided.
12. All required design depths are provided.
13. All required parts of the system are provided.
14. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Inspector, Brunswick County Building Inspections
Page 11 of 11

DWQ Uk ONLY
i
Dat q Received
Fee Paid
Permit Number
Z'e-7,—
Appli able Aules: ❑ Coastal SW -1995 ❑ Coastal SW 22008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be plrotocopied far 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.):
Harbour Watch Lot4
2, Location of Project (street address):
1324 Harbour Watch Court
City:Calabash Coun.ty:Brunswick Zip:28467
3. Directions to project (from nearest major intersection):
From the intersection of Beach Drive SW (Hwy 179B) and Shoreline Drive W (SR 1288), travel northwest 300 If
and turn left onto Ocean Harbour Golf Club Drive SW. Travel 0.8 mile and turn left onto Harbour Watch Ct.
Travel 0.1 mile south alone Harbour Watch Ct. Site is on the left.
4. Latitude:33* 52' 76" N Longitude:78° 33' 16" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
iRenezoals Wit)] uiodif cations also requires SWU-102 - Rcnemd Application Forrrr
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 ®I-ligh 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):
❑LAMA 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:
5. Is the project located within 5 miles of a public airport? ®No Yes
If yes, see S.L. 2012-200, Part Vl: lit# : ortal.ncdenr.or web w W u s aTFI ! rules�'"layss
OCT 10 2012
Form SWU-101 Version 06Aug2012 Page 1 of Y.

Ill. 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:Gilbert D.
Signing Official & `I'itle:Owner
b.Contact information for person listed in item I above:
Street Address:408 171h Street
City:Sunset Beach State:NC Zip:28468
Mailing Address (if applicable):
City:
Phone: (412 ) 916-4800
Email:
State:
Fax: (
Zi
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:
Mailing Address (if applicable):
City:
Phone:
Email:
State:
Zip:
State: Zip:
Fax:
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:
Point of Contact:
Phone #:
� �9VE
0 C T 10 2012
BY:
Form SWU-101 Version 06Au92012 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be
infiltration
v 0 2 2012
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b. If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Lumber River basin.
4. Total Property Area: 24.94 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+:24.94 acres
Total project area shall be calculated to exclude the followingg the normal pool of impounded structures, the area
between the barks of streams and rulers, the area below the Normal Hi lr Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHM line. The resultant project area is used to
calculate overall percent built upon area (BETA). Non -coastal zvetlatrds landward of the NNW (or MHVo line rrtay
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 =
9. How many drainage areas does the project have?4 (For high density, count 1 for each proposed engineered
stortuwater 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 Information:'-
Drainage Area
HA-1
Drainage Area
HB-1
Drainage Area
HCA
Drainage Area
HDA
Receiving Stream Name
ICWW
ICWW
ICWW
ICWW
Stream CIass *
SA
SA
SA
SA
Stream Index Number *
15-25
15-25
15-25
15-25
Total Drainage Area (so
73,181
161,608
165,244
68,825
On -site Drainage Area (so
73,181
161,608
165,244
68,825
Off -site Drainage Area (so
0
0
0
0
Proposed Impervious Area** (so
21,826
59,928
63,401
25,787
% Impervious Area** total
29.8
37.1
38.4
37.5
Impervious— Surface Area.
r
Drainage Area
HA-1
Drainage Area
HB71
Drainage Area
HC-1"
Drainage Area.
HD-1
On -site Buildings/ Lots(so
11m936
39,788
37,135
15,467
On -site Streets (so
9,890
20,140
26,266
10,320
On -site Parking (so
0
0
0
0
On -site Sidewalks (so
0
0
0
0
Other on -site (so
0
0
0
0
Future (so
0
0
0
0
Off -site (so
0
0
0
0
Existing BUA*** (so
0
0
0
0
Total (so:
21,826
59,928
63,401
25,787
Stream Class and Index Number can be determined at: Irttp11portal.ircdenr_o oehAoc?s/csrr/classrcations
t Note: Basin data copied from master permit SW8 931204 dated 5/831/02. Basin HC-1 drainage area data modified on this application.
Form SWU-101 Version 06Aug2012 Page 3 of 6

11. I -low was the off -site impervious area listed above determined? Provide documentation.
Proiects 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 15A 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 13MP specified for this project. The latest versions of the forms can be downloaded
from http://portal.iicdenr.org/web/wq/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from http://Vortal.iicdeiii-.org/,,web/`­Wq/WS/­SLI/­state-,w/fornis does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http://portal.nccienr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initiating 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 htt : L)ortil.nccienr,or web we ws su statesw forms dots.
W1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants hIR-
Form. (if required as per Part V11 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:/Zwww.envhclp.org/pages/onestopexpress.htinI 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.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
,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 NFiW 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 impoundec
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 4L'Z!su.;esy
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineatedJb
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans. Klulations.
OCT 1
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff
o. Drainage areas delineated (included in the main set of plans, not as a separatelAocument).
p. Vegetated buffers (where required). by:---
.r 9
WE
a 2012
Form SWU-101 Version 06Aug2012 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"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: Scliedule a site visit far DWQ to verifij the SHWT prior
to submittal, [phone])
10. A copy of the most current property deed. Deed book: 3217 Page No: 1031 _
11, For corporations and Iimited 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 1a, 2a, and/or 3a per 15A 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/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
littp://portalaicdenr,or5z/web1wq/ws/su/statesw/forms does. 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 Iot.
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:Phillip G. Tripp, P.E. _
Consulting Firm: TrippEngineering
Mailing Address:419 Chestnut Street
City:Wilmington
Phone: (910 ) 763-5100
Email: trip peng©ec.rr.com
State:NC Zip:28401
Fax: (910 ) 763-5631
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
1, (print or hjpe 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 hjpe name of person
listed in Contact Information, iteni 1a) with (print or hjpe natne 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.
OCT 10 202
t3Y:
Form SWU-101 Version 06Au92012 Page 5 of

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 1 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 ivil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Si nature: Date:
Nota P lic for the State of i County of
9� �11� do here
b certify tha � personally appeared
before me tff� . day of Q a d acknow e the due execution of the application for
a stormwater permit. Witness my hand and official seal_
`�iyt'incai �i«i
's�IFd9dl9al��TS�
X. APPLICANT'S CERTIFICATION
SEAL
My commission expires 9.—{
I, (print or type name of person listed in Contract Information, item 7a) Gilbert D. Lepsig
certify that the information included or) 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 stormier rules under 15A NCAC 2H .1000 and any other applicable state stormwater requirements.
Signature:
7rK2(Y— a otar�
I do hereby certify that
before me tR day of ���. a
a stormwater permit. Witness my hand and official seal,
-
4
SEAL
Date: "l "'.-11 - \ 2t—
for the State of , � I , . . County of
personally appeared
acknowledge- the due execution of the application for
My commission expires
E Eki=M.
OCT 10 202
Form SWU-101 Version 06Aug2012 Pa-e 6 of 6

Ir
Permit
(to be provided by DWQ)
O��¢ W A7�9QG
r
NCDENR STORMWATER MANAGEMENT PERMIT APPLICATION FORM a Y
401 CERTIFICATION APPLICATION FORM
INFILTRATION TRENCH SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
Project name Harbour Watch Stormwater Modification Lot p4
Contact person ;Phil Tripp - Tripp Engineering, P.C.
Phone number 910-763-5100
Date .10131 /2012
Drainage area number "I
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 volume required
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 volume required
Volume provided
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Trench Design Parameters
Drawdown time
Perforated pipe diameter
Perforated pipe length
Number of laterals
Stone type (if used)
Stone void ratio
Stone is free of fines?
5,075.00 f
3,690.00 ft2
72.7% %
1-DU in
3.88
in
4,87
inlhr
0.12
ft3/sec
0.00
ft3lsec
-0.12
ft3lsec
—..._ft3
+ ft3
447.00 ft3
82,00 .,ft3
1,156.00 ft3
1074.00 ft3
1,276.00 ,ft3
Sands
4.30 inlhr
16.60 Imsl
OK
0.24
days OK
8.00
; in
112.00
r 1
ft
Washed Granite
0.44
Y
(Y or N) OK
RECEIVED
NOV 0 2 201Z
Form SW401-Infiltration Trench-Rev.4 Parts I. & II. Design Summary, Page 1 of 2

s
Permit No.
(to be provided by D4VQ)
Trench Elevations
Bottom elevation
20.50
fmsl
OK
Storageloverflow elevation
24,50
fmsl
Top elevation
24.50
--,fmsl
Trench Dimensions
Length (long dimension)
112.06
It
Width (short dimension)
Varies
It
Height (depth)
4.00
ft
OK
Additional Information
Maximum volume to each inlet into the trench?
1.00
ac-in
OK
Length of vegetative filter for overflow
VA
ft
OK
Number of observation wells
1
OK
Distance to structure i
45.00
ft
OK
Distance from surface waters
80.00
ft
OK
Distance from water supply well(s)
NIA
ft
OK
Separation from impervious soil layer
8+
ft
OK
Depth of naturally occuring soil above SHWT
4.90
ft
OK
Bottom covered with 4-in of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
NIA
(Y or N)
OK
Capures all runoff at ultimate build -out? l
Y
'(Y or N)
OK
Bypass provided for larger storms?
Y
(Y or N)
OK
Trench wrapped with geotextile fabric? ?
Y
(Y or N)
OK
Pretreatment device provided
_
ECEIVEI�
NOV 0 2 2012
LY
Form SW401-Infiltration Trench-Rev.4 Parts I. & II. Design Summary, Page 2 of 2

Permit Number: ✓!/vCJ l �/ DD r
(to be provided by DWQ)
Drainage Area Number: Gt\Sr-lF
i
Infiltration Trench 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 of the infiltration trench will be carefully managed to reduce
the sediment load to the sand filter.
— The water level in the monitoring wells will be recorded once a month and after
every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal County).
The infiltration trench will be inspected once a quarter 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 Iocation 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 1 will remediate the 2roblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The grass filter strip or
Areas of bare soil and/or
Regrade the soil if necessary to
other pretreatment area
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. .
Sediment has accumulated to
Search for the source of the
a depth of greater than six
sediment and remedy the problem if
inches.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
The flow diversion
The structure is clogged.
Unclog the conveyance and dispose
structure (if applicable)
of any sediment off -site.
The structure is damaged_
Make any necessary repairs or
replace if damage is too large for
repair.
ECEIVEm
OCT j 0 2012
BY:
Form SW401-Infiltration Trench O&M-Rev.3 Page 1 of 3

BMP element:
Potentialproblem:
How 1 will remediate theproblem:
The trench
Water is ponding on the
Remove the accumulated sediment
surface for more than 24
from the infiltration system and
hours after a storm.
dispose in a location that will not
impact a stream or the BMP.
The depth in the trench is
Remove the accumulated sediment
reduced to 75% of the original
from the infiltration system and
design depth.
dispose in a location that will not
impact a stream or the BMP.
Grass or other plants are
Remove the plants, preferably by
growing on the surface of the
hand. If pesticide is used, wipe it on
trench,
the plants rather than spraying.
The observation well(s)
The water table is within one
Contact the DWQ Stormwater Unit
foot of the bottom of the
inimed iately at 919-733-5083.
system for a period of three
consecutive months.
The outflow pipe is clogged.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
The outflow pipe is damaged.
Repair or replace the pipe.
The emergency overflow
Erosion or other signs of
The emergency overflow berm will
berm
damage have occurred at the
be repaired or replaced if beyond
outlet,
repair.
The receiving water
Erosion or other signs of
Contact the [SIC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
��fEQ9V�
OCT D 2012
BY:
Form SW401-infiltration Trench O&M -Rev._ Page 2 of 3

Permit Number:
(to be provided by D IVQ)
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.
Projecl name:Harbour Watch Lot 4
BMP drainage area number:
Print name:Gilbert D. Lepsig
Title:Owner
Address:408 17"' Street, Sunset l3each, NC 28468
Phone: 412-91�4$00
SignatCtl,e: I L z, 1--)
Date: 1 1 rY
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.
a Notary Public for the State of
County o"9 do hereby certify that
4LSi �I personally appeared before me this
day of . and acknowledge the due execution of the
forgo' inlil ration trench maintenance requirements. Witness my hand and official
g
seal, �4c� C��
SEAL l
OCT 10 2012
My commission expires BY:
Form SW401-infiltration Trench O&M -Rev.') Page 3 of 3

r
Harbour Watch, Lot 4
Stormwater Project No. SW8 121008
Brunswick County
Engineer's Certification
TE 12030
State Stormwater Management Systems
Permit No. SW8 121008
�2
I, Phillip G._Tripp , as a duly registered Professional Engineer in the State of
North Carolina, having been authorized to observe (periodically/wee l,l�..,o) the
construction of the project,
Harbour Watch.., Lot 4
(Project)
for Mr. Gilbert L. Lepsig _ _ (Project Owner) hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the project construction
such that the construction was observed to be built within substantial compliance and intent
of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specifications:
Signature
Registration ivumoer
Date 1Z • I U - U3 — —
ECEIV
DEC 18 2013
BY:
SEAL
``,e` `kA r CAR ��f�'i
SEAL
-o 17374
���', �R�C00`e4`��

State Stormwater Management Systems
Permit No. SW8 121008
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.
N a 5. The bypass structure weir elevation is per the approved plan.
A 6. The bypass structure is located per the approved plans.
7. 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.
912. 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.
IFNE(CEOV
DEC 18 2013
BY:

Job No. 12030
Date: 12/18/13
TRIPP ENGINEERING, P.C.
419 Chestnut Street, Wilmington, NC 28401
Phone: [phone] • FAX: [phone]
Email: [e-mail]
LETTER OF TRANSMITTAL
To: NCDENR
Attention: Kelly Johnson
Subject:. Harbour Watch Lot 4 (permit SW8 121008)
FAX TRANSMITTAL: NUMBER OF PAGES INCLUDES COVER
I am sending you: ( X ) ATTACHED ( ) UNDER SEPARATE COVER
( ) Prints ( ) Tracings ( ) Copy of letter ( ) Specifications ( X ) Other
These are transmitted as checked below:
( ) For Approval ( X ) For Your Use ( } Sign & Return { Review
Remarks:
cc:
Signed: Phillip Tripp _
REC'D DEC 18 2013