SW8011025_CURRENT PERMIT_20030110

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

`0
0
OF
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
January 10, 2003
Mr. Mark Saunders, President
Rivers Edge Golf Club and Plantation
2000 Arnold Palmer Drive
Shallotte, NC 28459
Alan W. Klimek, P.E., Director
Division of Water Quality
Wilmington Regional Office
Subject: Permit No. SW8 011025 Modification
Rivers Edge POA Facility
High Density Stormwater Project
Brunswick County
Dear Mr.Saunders:
The Wilmington Regional Office received a complete modified Stormwater Management Permit
application for Rivers Edge POA Facility on October 22, 2002. Staff review of the plans and
specifications has determined that the project, as proposed, will comply with the Stormwater
Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No, SW8 011025
Modification dated January 10, 2003, for the construction of Rivers Edge POA Facility.
This permit shall be effective from the date of issuance until January 10, 2013, and shall be
subject to the conditions and limitations as specified therein. Please pay special attention to the
Operation and Maintenance requirements in this permit. Failure to establish an adequate system
for operation and maintenance of the stormwater management system will result in future
compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following
receipt of this permit. This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands are made this
permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please contact
Linda Lewis, or me at [phone].
Sincerely,
Rick Shiver
Water Quality Regional Supervisor
RSS/arl: S:1WQSISTORMWATIPERMIT1011025.JAN03
cc: David A. Hollis
Town of Shallotte Building Inspections
Division of Coastal Management
Linda Lewis
Wilmington Regional Office
Central Files
?Vl DEN]
N.C. Division of Water Quality 127 Cardinal Drive Extension Wilmington, N.C. 28405 [phone] Fax [phone] Customer Service
1 800-623-7748

State Stormwater Management Systems
Permit No. SW8 011025 Modification
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Rivers Edge Golf Club and Plantation
Rivers Edge POA Facility
Brunswick County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the
provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and the
approved stormwater management plans and specifications and other supporting data as attached
and on file with and approved by the Division of Water Quality and considered a part of this
permit.
This permit shall be effective from the date of issuance until January 10, 2013, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
This stormwater system has been approved for the management of stormwater runoff as
described on page 3 of this permit, the Project Data Sheet. The stormwater control has
been designed to handle the runoff from 100,238 square feet of impervious area. This
pond must be operated with a vegetated filter.
The tract will be limited to the amount of built -upon area indicated on page 3 of this
permit, and per approved plans. The built -upon area for the future development is limited
to n/a.
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.
The runoff from all built -upon area within the permitted drainage area of this project must
be directed into the permitted stormwater control system. A permit modification must be
submitted. and approved prior to the construction of additional built -upon area from
outside of the approved drainage area.
r�

State Stormwater Management Systems
Permit No. SW8 011025 Modification
DIVISION OF WATER QUALITY
PROJECT DESIGN DATA SHEET
Project Name:
Permit Number:
Location:
Applicant:
Mailing Address:
Application Dater
Receiving Stream/River Basin:
Index Number.
Classification of Water Body:
Drainage Area, acres:
Onsite, ft':
Offsite, ft':
Total Impervious Surfaces, ftz:
Pond Depth, feet:
TSS removal efficiency:
Permanent Pool Elevation, FMSL:
Permitted Surface Area, ftz;
Permitted Storage Volume, ft':
Temporary Storage Elevation, FMSL:
Controlling Orifice:
Permitted Forebay Volume, ft3;
Rivers Edge POA Facility
SW8 011025 Modification
Brunswick County
Mr. Mark Saunders, President
Rivers Edge Golf Club and Plantation
2000 Arnold Palmer Drive
Shallotte, NC 28459
October 22, 2002
Lumber / Shallotte River
LBR59 15-25-2-(1)
"C Sw HQW"
3.16
3.16
0
100,238
90% (no filter is required)
31.77
6,865 @Permanent Pool
8,122
32.86
1.5" y pipe (drawdown in 2-5 days)
2,516
3

State Stormwater Management Systems
Permit No. SW8 011025 Modification
II. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in it's 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.
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.
C. Maintenance of all slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow spreader,
catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept and made available upon request to
authorized personnel of DWQ. The records will indicate the date, activity, name of
person performing the work and what actions were taken.
Decorative spray fountains will not be allowed in the stormwater treatment system.
6. 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.
7. 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.
8. 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.
9. The penmittee 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 subdivision, acquisition, or sale 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.
2

State Stormwater Management Systems
Permit No. SW$ 011025 Modification
10. The permittee shall submit final site layout and grading plans for any permitted future
areas shown on the approved plans, prior to construction. If the proposed BUA exceeds
the amount permitted under this permit, a modification to the permit must be submitted
and approved prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by the
Pennittee for a minimum of ten years from the date of the completion of construction.
12. Prior to the sale or lease of any portion of the property, the permittee shall notify DWQ
and provide the name, mailing address and phone number of the purchaser or Ieasee. An
access/maintenance easement to the stormwater facilities shall be granted in favor of the
permittee if access to the stormwater facilities will be restricted by the sale or lease of any
portion of the property.
13. The permittee must maintain compliance with the proposed built -upon area and ensure
that the runoff from all the built -upon is directed into the permitted system.
14. 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.
15. The permittee must maintain the current permitted drainage area. No additional runoff
from outside of the permitted drainage area boundary may enter the permitted stormwater
facilities without first applying for and receiving a permit modification.
Ill. GENERAL CONDITIONS
1. This permit is not transferable. In the event there is a desire for the facilities to change
ownership, or there is a name change of the Penmittee, a formal permit transfer request
must be submitted to the Division of Water Quality accompanied by an application fee,
documentation from the parties involved, and other supporting materials as may be
appropriate. The approval of this request will be considered on its merits and may or may
not be approved. The permittee is responsible for compliance with all permit conditions
until such time as the Division approves the transfer request.
2. 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.
3. The issuance of this permit does not preclude the Permittee from complying with any and
all statutes, rules, regulations, or ordinances which may be imposed by other government
agencies (local, state, and federal) which have jurisdiction.
4. 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.
5. 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.
6. The permit may be modified, revoked and reissued or terminated for cause. The filing of
a request for a permit modification, revocation and reissuance or termination does not
stay any permit condition.
5

State Stormwater Management Systems
Permit No. SW8 011025 Modification
7. 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.
Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.
9. The permittee shall notify the Division any name, ownership or mailing address changes
within 30 days.
Permit issued this the 10th day of January, 2003.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
y Alan W. Klimek, P.E.,'Director 4
Division of Water Quality
By Authority of the Environmental Management Commission
31

State Stormwater Management Systems
Permit No. SW8 011025 Modification
Rivers Edge POA Facility
Stormwater Permit No. SW8 011025 Modification
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
ect 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
7

State Stormwater Management Systems
Permit No. SW$ 011025 Modification
Certification Requirements:
l . 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. The outlet/bypass structure elevations are per the approved plan.
5. The outlet structure is located per the approved plans.
6. Trash rack is provided on the outlet/bypass structure.
7. All slopes are grassed with permanent vegetation.
8. Vegetated slopes are no steeper than 3:1.
9. The inlets are located per the approved plans and do not cause short-circuiting of
the system.
10. The permitted amounts of surface area and/or volume have been provided.
11. Required drawdown devices are correctly sized per the approved plans.
12. All required design depths are provided.
13. All required parts of the system are provided, such as a vegetated shelf, and a
forebay.
14. The overall dimensions of the system, as shown on the approved plans, are
provided.
cc: NCDENR-DWQ Regional Office
Town of Shallotte Building Inspections

:' OFFICE:_U5E ONLY..' .... :.
Date Received
Fee Paid
Permit Number
�—ca. = 3 0
Ca d
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
Applicants name (specify the name of the corporation, individual, etc. who owns the project):
111 F_.QS E L�C g- * L�F CI- u Q N� ��-�4r!`1T+4ET J O ki
2, Print Ownnner/Signing Official's name and title (person legally responsible for facility and compliance):
Mailing Address for person listed in item 2 above:
2000 Ap-moLfl -PArL►Vl e.,R.._ b21 vc. - -- - _
City: LLO State: NC zip. �9'4 6cl
Telephone Number: ( (11 0 ) _ 54 - 2 224
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
- P-1 V*-2.s
Location of Project (street address):
City:-`Sf-f' 4-0 7nc County: J-3a" ^1--5601C-k
6. Directions to project (from nearest major intersection): '
��vM rt, s+,i-rrr�ls�rxo f.i a NC 130 1 NC 17q :50 9,1 NC 1- 7v W. IAC-Yrr-r-�e.1,
1,fFr oN yc.a.A! k DA Zr. aN C.OPAS. JJZD. �. ���� M�.Es T; .SW9
Latitude: _ 8 Z2 s-4 Longitude: 3� S� '¢� of project
8. Contact person who can answer questions about the project:
`t Name: AVt!� A. 1QLLtS _ Telephone Number: -1lo
H. PERMIT INFORMATION:
1. Specify whether project is (check one): New Renewal v Modification
ORIGINAL
Farm SWU-101 Version 3.99 Page 1 of

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number 5 () I 10 2 5 and its issue date (if known) Og L 200] z
3. Specify the typV e of project (check one):
Low Density High Density Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
CANIA (Major ✓Sedimentation/Erosion Control 404/401 Permit _NFDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III, PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
W4.T � f,.}
2. Stormwater runoff from this project drains to the L--UMSE� River basin.
3. Total Project Area: 3 • $ acres 4. Project Built Upon Area: s� • 2� _ %
5. How many drainage areas does the project have? I
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
Basin:Informauon ..
Drainage.Area 1
Draihage:Area 2
Receiving..
Stream Name
5{ ILL0 r 1/£12
Receiving Stream Class
C
Drainage Area
J 3� 5, 4Z SF
Existing impervious' Area
O 5 F
Proposed Impervious#Area
!`�� 25I'
% Impervious' Area (total)
3 07a
Impervious.*Surface'Area
,Drainage Area 1 Drainage' Area 2
On -site Buildings I O O 6, 0
On -site Streets
On -site Parking Z9 6 =3 4 . 38 �F
On -site Sidewalks ZD S O F-
Other on -site 7E Ls CtHt+�Y 2 558 Y SF
Off -site Q 5F
Total: 0 Z91 89 S' Total:
T Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
A coil
Form SWU-101 Version 3.99 Page 2 of 4

7. How was the off -site impervious area listed above derived? _ Nhl
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparceis and future development prior to the sale of any lot. If lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area for each Iot must be provided as an attachment.
1. The following covenants are intended to ensure ongoing compliance with state stormwater management permit number
as issued by the Division of Water Quality. These covenants may not be
changed or deleted without the consent of the State.
2. No more than square feet of any lot shall be covered by structures or impervious materials.
Impervious materials include asphalt, gravel, concrete, brick, stone, slate or similarmaterial but do not include wood
decking or the water surface of swimming pools.
3. Swales shall not be filled in, piped, or altered except as necessary to provide driveway crossings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction.
5. All permitted runoff from outparcels or future development shall be directed into the permitted stormwater control
system. These connections to the stormwater control system shall be performed in a manner that maintains the integrity
and performance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include ail the applicable items required above, that the covenants will be binding on all parties and persons
claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the State, and that they will be recorded prior to the sale of any lot.
V, SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms.
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-105
Curb Outlet System Supplement
Form SWU-106
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Form SWU-101 Version 3.99 Page 3 of 4

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. The complete application package should be
submitted to the appropriate DWQ Regional Office.
Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
Initials
• Original and one copy of the Stormwater Management Permit Application Form Z�u
• One copy of the applicable Supplement Form(s) for each BMP 4A4
• Permit application processing fee of $420 (payable to NCDENR)
• Detailed narrative description of stormwater treatment/managementf
• Two copies of plans and specifications, including:
- Development/Project name
- Engineer and firm
-Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished tloor elevations
- Details of roads, drainage features, collection systems, and Stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VIL AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
Designated agent (individual or firm):_DA
Mailing Address: Tt6rr QFFcC�}>c Z41v9
City:_ -�SA-AL-L0=7F- T State: pw- Zip: Z84SY
Phone: ( M) } -'� � —4- — S O�a _ Fax: ( q l 0 ) q�S4 —.90 41
VIII. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in General Information, item Z) _ IV14+e-4
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorde , that the proposed project compljgg �V+f the requirements of 15A
NCAC 2H .1000. �-,0�� i �a►' �F CLU8
Signature:
w
GOOR i .--t. sE11a�-�/U Z
1998
Form SWU-101 Version 3.99 Page 4 of 4

Permit No. '7!�'-3 ` 0 %/0
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form may be photocopied for use as an original
D_WO S_tormwater Management Plan Review:
A complete storniwater management plan submittal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details.
Y. PROJECT INFORMATION
Project Name:'- -j21Vge-s Ew F POA 4�iL.,TY
Contact Person: 'ArV [� LLl S Phone Number: ql [� ¢ _ $02q
For projects with multiple basins, specify which basin this woricsheet applies to: IsA5 t r4 i
elevations
Basin Bottom Elevation
2-S. 77
ft.
(floor of the basin)
Permanent Pool Elevation
31. 71
ft.
(elevation of the orifice)
Temporary Pool Elevation
3 2. 8(p
ft.
(elevation of the discharge structure overflow)
areas
Permanent Pool Surface Area
(p 8Cy5.
sq. ft.
(water surface area at the orifice elevation)
Drainage Area
ac.
(on -site and off -site drainage to the basin)
Impervious Area
2. 3O
ac.
(on -site and off -site drainage to the basin)
volumes
Permanent Pool Volume
1 Z 446P
cu. ft.
(combined volume of main basin and forebav)
Temporary Pool Volume
_$) 15 i
cu. ft.
(volume detained above the pernianent pool)
Forebay Volume
2 + -T i &
cu. ft.
(approxiruatelr 20% of total volume)
Other parameters
SA/DA1 0. D 41 l (surface area to drainage area ratio from DWQ table)
Diameter of Orifice 50 in. (2 to 5 day temporary pool draw -down required
Design Rainfall b O in.
Design TSS Removal'- % (minimum 85% required^
Form SWli-L02 Rev 3.99 Page 1 of 4 ORIGINAI

Footnotes:
' When using the Division SA/DA tables, the correct SAIDA ratio for permanent pool sizing should be computed based upon the
actual impervious % and permanent pool depth. Linear interpolation should be employed to determine the correct value for non-
standard table entries,
2 In the 20 coastal counties, the requirement for a vegetative Filter may be waived if the wet detention basin is designed to provide
90% TSS removal. The NCDENI R BLIP manual provides design tables for both 35% TSS removal and 90% TSS removal.
II. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is at#ached. If the applicant has designated an agent in the Stornrtwater Management Permit
Application Fomz, the agent may initial below. If a requirement has not been met, attach justification.
Applicants Initials
a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
TAt b.- The forebay volume is approximately equal to 20% of the basin volume.
'bA� c. The temporary pool controls runoff from the design storm event.
} d. The temporary pool draws down in 2 to 5 days.
bA{ e. If required, a 30-foot vegetative filter is provided ai�the.outlet'(include non -erosive flow
calculations)
`hale f. The basin Length to width ratio is greater than 3:1. ,
IAi g. The basin side slopes above the permanent pool are no steeper than 3:1.
T)AA h. A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
i. Vegetative cover above the permanent pool elevation is specified.
TA-k j. A trash rack or similar device is provided for both the overflow and orifice.
TAk k. A recorded drainage easement is provided for each basin including access to nearest right-
of-way.
"Ilpr} 1. If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin. ..
m. A mechanism is specified which will drain the basin for maintenance or an emergency.
III. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the
vegetated filter if one is provided.
This system (check one) 0 does 9/does not incorporate a vegetated filter at the outlet.
This system (check one) 0 does "oes not incorporate pretreatment other than a forebay.
Form SWU-102 Rev 3.99
Page 2 of 4

Maintenance activities shall be performed as follows:
1. After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated cover, and general condition.
b. Check and clear the'orifice of any y obstructions such that drawdown of the temporary pool occurs within
2 to 5 days as designed.
2. Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash as needed.
3, Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap, etc.) quarterly to maintain
proper functioning.
4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth (see diagram below). Removed sediment shall be disposed of
in an appropriate manner and shall be handled in a manner that will not adversely impact water quality (i.e.
stockpiling near a wet detention basin or stream, etc.).
The measuring device used to determine the sediment elevation shall be such that it will give an accurate
depth reading and not readily penetrate into accumulated sediments.
When the permanent pool depth reads *-5 feet in the main pond, the sediment shall be removed.
When the permanent pool depth'reads 2.25 feet in the forebay, the sediment shall be removed.
Sediment Re oval El, 2� 5 Z 175
Bottom Ele ation 2 $.-� -�
FOREBAY
BASIN DIAGRAM
{fill in the bl(inks)
Pei7nanentPool Elevation 31-7-
I"
Sediment Removal Elevation 2� � 75%
Bottom Elevation 2 5. � � 25%
MAIN POND
5. Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface. These
plants shall be encouraged to grow along the vegetated shelf and forebay berm.
6. If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through
the emergency drain shall be minimized to the maximum extent practical.
Form SWU-102 Rev 3.99 Page 3 of 4

7. All components of the wet detention basin system shall be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
maintenance procedures listed above. I agree to notify D WQ of any problems with the system or prior to any
changes to the system or responsible party.
Print name: MAOLk- S�Kti�s
Title: ;Rllyees -e 6.— I -or 6LuB Atin, 8.A—^j7,4-r.nA/
Address: Z000 49-r3oiCi� ' AL-4& iz �2.,dE_.'��•"+ a+ o-r-rE. , i�L 2g45q
Phone: J•111
Si -nature: 42F m't
Date: Z ' � 1998
S
Note: The legally responsible party shordd not be a homeowners association%%W"'%an 50% of the lots have been sold and a
resident of the subdivision has been named the president.
I, Nancy E. Forrest , allotary Public for the State of North CaroLi na ,
County of Brunswick , do hereby certify that Mark A. Saunders
personally appeared before me this 22nd day of October 2002 , and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness nay hand and official seal,
1 eq4 f-� � • r Lt � }ar
t'3
SEAL.. .
My commission expires 5-3-2003
N
y E. Forrest
Form SWU-102 Rev 3.99 Page 4 of 4

�pF W AT �q
>_
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
January 10, 2003
Mr. Mark Saunders, President
Rivers Edge Golf Club and Plantation
2000 Arnold Palmer Drive
Shallotte, NC 28459
Alan W. Klimek, P.E., Director
Division of Water Quality
Wilmington Regional Office
Subject: Permit No. SW8 011025 Modification
Rivers Edge POA Facility
High Density Stormwater Project
Brunswick County
Dear Mr.Saunders:
The Wilmington Regional Office received a complete modified Stormwater Management Permit
application for Rivers Edge POA Facility on October 22, 2002. Staff review of the plans and
specifications has determined that the project, as proposed, will comply with the Stormwater
Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No. SW8 011025
Modification dated January 10, 2003, for the construction of Rivers Edge POA Facility.
This permit shall be effective from the date of issuance until January 10, 2013, and shall be
subject to the conditions and limitations as specified therein. Please pay special attention to the
Operation and Maintenance requirements in this permit. Failure to establish an adequate system
for operation and.maintenance of the stormwater management system will result in future
compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following
receipt of this pennit. This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands are made this
pennit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please contact
Linda Lewis, or me at [phone].
Sincerely,
Rick Shiver
Water Quality Regional Supervisor
RSS/arl: S:1WQSISTORMWATIPERM1T1011025.JAN03
cc: David A. Hollis
Town of Shallotte Building Inspections
Division of Coastal Management
Linda Lewis
Wilmington Regional Office
Central Files
NCDENR
N,C. Division of Water Quality 127 Cardinal Drive Extension Wilmington, N.C. 28405 [phone] Fax [phone] Customer Service
800-623-7748

State Stormwater Management Systems
Permit No. SW8 011025 Modification
DIVISION OF WATER QUALITY
PROJECT DESIGN DATA SHEET
Project Name:
Permit Number:
Location:
Applicant:
Mailing Address:
Application Dater
Receiving Stream/River Basin:
Index Number:
Classification of Water Body:
Drainage Area, acres:
Onsite, f12:
Offsite, ft2:
Total Impervious Surfaces, ft2:
Pond Depth, feet:
TSS removal efficiency:
Permanent Pool Elevation, FMSL:
Permitted Surface Area, ft2:
Permitted Storage Volume, ft':
Temporary Storage Elevation, FMSL:
Controlling Orifice:
Permitted Forebay Volume, ft3:
Rivers Edge POA Facility
SW8 011025 Modification
Brunswick County
Mr. Mark Saunders, President
Rivers Edge Golf Club and Plantation
2000 Arnold Palmer Drive
Shallotte, NC 28459
October 22, 2002
Lumber / Shallotte River
LBR59 15-25-2-(1)
"C SW HQW"
3.16
3.16
0
100,238
6'
90% (no filter is required)
31.77
6,865 @Permanent Pool
8,122
32.86
1.5"y pipe (drawdown in 2-5 days)
2,516
3

7.
State Stormwater Management Systems
Permit No. SW8 011025 Modification
II. SCHEDULE OF COMPLIANCE
The stonmwater management system shall be constructed in it's 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.
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.
£ Debris removal and unclogging of outlet structure, orifice device, flow spreader,
catch basins and piping.
g. Access to the outlet structure must be available at all times.
.4. Records of maintenance activities must be kept and made available upon request to
authorized personnel of DWQ. The records will indicate the date, activity, name of
person performing the work and what actions were taken.
Decorative spray fountains will not be allowed in the stormwater treatment system.
6. 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.
7. 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.
S. 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.
9. 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 subdivision, acquisition, or sale of the project area. The project area is
defined as all property owned by the penmittee, 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.
Q

t
OFFICE.USE ONLY
Date Received Fee Paid Permit Number
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. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
1vF.2S F— .�-o4rp ? tokJ
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
DEL 2" 1 fl E Al
3. Mailing Address for person listed in item 2-above:
2000 . A p-moL.fl AL.,v, a- izt va
City: _ St4ALLo-r7"E State: NC- Zip: 2 S4 61
Telephone Number: { �%1 Q )Jr� - 2224
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
5. Location of Project (street address):
City. —,->H LLo Ta county:
6. Directions to project (from nearest major intersection):
�¢oN+ TtIE ,i-�ir�+,sE oil of NC 130 NC 1711 1- 5GJ mr4 NG }:M -ro V)L I [ e •a
l,f-VY oN_YLLA43)a.ZT, aN_ CoPA!& F:L>• f -O`� muss r9 ,
33 °T.Sr �` 6 �r project
Latitude: �8_ 22 S4 Longitude:' 4of ro'ect
8. Contact person who can answer questions about the project:
Name: �A.V o A. `''� IoLLt s Telephone Number:. Rl0 -�T 8a2q
II. PERMIT INFORMATION:
1. Specify whether project is (check one): New
Renewal v Modification
Form SWU-I01 Version 3.99 Page I of
ORIGINAL

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number-5 W 9 C) 1102 5- and its issue date (if known) 01 -3t4LY 200Z
3. Specify the type of project (check one)
Low Density _ZHigh Density Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
CAMA Major V"S edimentation /Erosion Control 404/401 Permit —NFDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
Ill. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project
2. Stormwater runoff from this project drains to the L (Am River basin.
3. Total Project Area: acres 4. Project Built Upon 'Area: 24? %
5. How many drainage areas does the project have?
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
D. tainaRe. -Area�2:
Receiving Stream Name
Receiving Stream Class
Drainage Area
:SF `
Existing Impervious* AreA
0 :SF
Proposed Impervious*Area
2-3:T. 89 5F
_% Impervious* Area (total)
VS07,2.
pervious -. Surface Area
drainage Area
Ni Are
On -site Buildings
On -site Streets
On -site Parking
3R 634.38
0 n-site S id ewa i ks
0 qg2,. q0
Other on -site Cjpits &K-ttry
2q 5 S' -7 -7 -'s F
Off -site
0 :5F
Total: •SCI :5F
Total:
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravelareas, etc.
Form SWU-101 Version 3.99 Page 2 of 4

7. How was the off -site impervious area listed above derived? N/A
- I
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment.
1. The following covenants are intended to ensure ongoing compliance with state stormwater management permit number
as issued by the Division of Water Quality. These covenants may not be
changed or deleted without the consent of the State.
2. No more than square feet of any lot shall be covered by structures or impervious materials.
Impervious materials include asphalt, gravel, concrete, brick, stone, slate or similar material but do not include wood
decking or the water surface of swimming pools.
3. Swales shall not be filled in, piped, or altered except as necessary to provide driveway crossings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction.
5. All permitted runoff from outparcels or future development shall be directed into the permitted storm water control
system. These connections to the storm water control system shall be performed in a manner that maintains the integrity
and performance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, that the covenants will be binding on all parties and persons
claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state'stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms.
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement '
Form SWU-105
Curb Outlet System Supplement
Form SWU-106
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Form S WU-101 Version 3.99 Page 3 of 4

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 Iisted below. The complete application package should be
submitted to the appropriate DWQ Regional Office.
Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
Initials.
• Original and one copy of the Stormwater Management Permit Application Form 7:1/4
• One copy of the applicable Supplement Form(s) for each BMP Sty_
• Permit application processing fee of $420 (payable to NCDENR) TA4
• Detailed narrative description of stormwater treatment/management
• Two copies of plans and specifications, including: >CYf
- Development/Project name
- Engineer and firm
-Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
Designated agent (individual or firm)- &1ST
Mailing Address: RbsT _Q[C-9_ 31D >c Z 4&q T __
City: _ fSA-A -LOT-Ve State: KG Zip: Z8� SR
Phone: '?!D -7 `4- Fax: { q10 } q�S¢
VIII. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in General Information, item 2) 14A X - _<__vA w NA F_P_
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorde that the proposed project compjjG&ygth the requirements of 15A
NCAC 2H .1000. �•0O,f CLUB
a.,....... >:4
cn
e .• 1998
Form SWU-101 Version 3.99 Page 4 of

Permit No. �'qO 1/a3,i�/sLa�
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWO_Stormwater Management Plan Review:
A complete storn-iwater management plan submittal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details.
I. PROJECT INFORMATION
Project Name:— Pb A ��i t. TY
Contact Person: 1VAvit�, A • d_4.S Phone Number: (q10)
For projects with multiple basins, specify which basin this worksheet applies to: _ 3h.5 r r4
elevations
Basin Bottom Elevation
2-5• :77
ft.
(floor of the basin) -
Permanent Pool Elevation
31 • 41
ft.
(elevation of the orifice)
Temporary Pool Elevation
3 Z . $Cp
ft.
(elevation of the discharge structure overflow) ,
areas
Permanent Pool Surface Area
Co $CoS
sq. ft.
(water surface area at the orifice elevation)
Drainage Area
3 l CQ _
ac.
(on -site and off -site drainage to the basin)
Impervious Area
2. 3a
ac.
(on -site and off -site drainage to the basin)
volumes
Permanent Pool Volume
!2 44
cu. ft.
(combined volume of main basin and forebay)
Temporary Pool Volume
8 r 15 i
cu. ft.
(volume detained above the permanent pool)
Forebay Volume
_ _2 + 1 �p
cu, ft.
(approximately 20% of'total volume) .
Other parameters
SAIDA1 0. D 41 i (surface area to drainage area ratio from DWQ table)
Diameter of Orifice 1.150 in. (2 to 5 day temporary pool draw -down required)
Design Rainfall in.
Design TSS Removal'- go % (minimum 85% required4_____
Form S`'VU-102 Rev 3.99 Page 1 of 4 ORIGINAI

Footnotes:
,, .
' When using the Division SA/DA tables, the correct SA/DA ratio for permanent pool sizing should be computed based upon the
actual impervious % and permanent pool depth. Linear interpolation should be employed to determine the correct value for non-
standard table entries.
2 In the 20 coastal counties, the requirement for a vegetative filter may be waived if the wet detention basin is designed to provide
90% TSS removal. The NCDENR BMP manual provides design tables for both 85% TSS removal and 90% TSS removal.
I1. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. If a requirement has not been met, attach justification.
Applicants Initials ;
IL -TIT a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
TAt •b. The, forebay volume is approximately equal to 20% of the basin volume.
TA
A c. The temporary pool controls runoff from the design storm event.
'bm d. The temporary pool draws down in 2 to 5 days.
bm e. If required, a 30-foot vegetative filter is provided at+the.outlet (include non -erosive flow
calculations)
f. The basin length to width ratio is greater than 3:1. .
_Zpa g. The basin side slopes above the permanent pool are no steeper than 3:1.
h. A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
L'AA i. Vegetative cover above the permanent pool elevation is specified.
A trash rack or similar device is provided for both the overflow and orifice.
t k. A recorded drainage easement is provided for each basin including access to nearest right-
o f-way.
Vie+ 1. If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin % ;
tk m. A mechanism is specified which will drain the basin for maintenance or an emergency.
IIL WET DETENTION BASIN OPERATION AN1D MAINTENANCE AGREEMENT
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the
vegetated filter if one is provided,
This system (check one) 0 does @ does not incorporate a vegetated flfter at the outlet.
This system (check one) 0 does 0'd-oes not incorporate pretreatment other than a forebay.
Form SWU-102 Rev 99)
Page 2 of 4

Maintenance activities shall be performed as follows:
1. After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention basin system for sediment accumulation, erosion trash accumulation,
vegetated cover, and general condition.
b. Check and-. clear the,orifice of any obstructions such that drawdown of the temporary pool occurs within
2 to 5 days as designed:
f
2. Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow -vegetative
cover to maintain a maximum height of six inches, and remove trash as needed.
3. Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap, etc.) quarterly to maintain
proper functioning.
4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth (see diagram below). Removed sediment shall be disposed of
in an appropriate manner and shall be handled in a manner that will not adversely impact water quality (i.e.
stockpiling near a wet detention basin or stream, etc.).
The measuring device used to determine the sediment elevation shall be such that it will give an accurate
depth reading and not readily penetrate into accumulated sediments.
When the permanent pool depth reads '�"� 5 feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads z• 25 feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
(fill in the blanks)
Permanent Pool Elevation 31. 7 -7
Sediment Re oval El. 2? 52 75 Z 2-70
------------ Sediment Removal Elevation � 75%
Bottom Ele anon 2$• �� %---------------------------------------------125%
------
Bottom Elevation 29,77 /
F'OREBAY
MAIN POND
5. Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface. These
plants shall be encouraged to grow along the vegetated shelf and forebay berm.
6. If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through
the emergency drain shall be minimized to the maximum extent practical.
Form SWU-102 Rev 3.99 Page 3 of

7. All components of the wet detention basin system shalt be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print name:
Title: s i U e rS-r Kt VC -le S Gf- 4 4"B AtJA Pc APJ r4T., zA J
Address: ZOOS Azooi—ct,- 7AL 1�2►dE..,a+ �,,�,p�—�~� , I�G 2$45Gj
Phone: q1 D -S¢ Z2—� -srC�`:;.......
of 6 r.
Signature: to I.
Zvi
Date: �Z z ',. 1998
Note: The legally responsible party shoLdd not be a homeowners associati
resident of -the subdivision has been named the president.
50% of the lots have been sold and a
1, Nancy E. Forrest , allotary Public for the State of _North C;arnl i spa ,
County of Brunswick , do hereby certify that Mark A. Saunders
personally appeared before me this 22nd day of October 2002 , and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
`+�+,%Stood##/f
I I
? �Q"TAgI. �''
x
_ ebb .O
%� e
v:
,�''fsWICK CO }
SEAL.. _
NaOy E'. "Forrest
S � --
My commission expires 5-3-2003
Form SWU-102 Rev 3.99 Page 4 of 4