SW8160512_CURRENT PERMIT_20161006

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

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
October 6, 2016
PAT McCRORY
Governor
DONALD R. VAN DER VAART
Secretary,
TRACY DAVIS
Director
Mr. Peter P. Gushanas, Chief Operation Officer
Figure right Island Yacht Club, Inc.
15 Bridge Road
Wilmington, NC 28411
Subject: State Storinwater Management perlmit No. S«'S 164712
Figure Eight — Bridge Road Re -Alignment and 1'ennis Courts
Low Density Project with Collected Areas Treated by Infiltration Basins, SA Waters
New Hanover County
Dear Mr. Gushanas
The Wilmington Regional Office received a complete Stormwater Management Permit Application for
1 igure right — Bridge Road Ile-Aligmrlcnt and ']'emits Courts on Septerrlber 26, 2016. Staff review of the
plans and specifications has detennined that the project, as proposed, will comply with the Stonilwater
Regulations set forth in Session Law 2008-2 11 and Title 15A NCAC 21-1,1000, We are forwarding Permit
,N1o. SWS 160512, dated October 6, 2016, for the construction of the built -upon area associated with the
subject project.
This permit shall be effective from the date of issuance until October 6, 2024 and shall be subject to the
conditions and limitations as specified therein, and does not supersede any other agency permit that may
be required. Please pay special attention to the conditions listed in this permit regarding the Operation
and Maintenance of the 131MPs, recordation of (iced restrictions, certification of the project, procedures for
changing ownership, and transferring the permit. Failure to establish an adequate system for operation
and maintenance of the stormwater management system, to record deed restrictions, to certify the project
or to transfer the permit: in a timely manner, will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings
(OA1-1). "I'lie written petition must conform to Chapter 150B of the North Carolina General Statutes. Per
NCGS 143-215(e) the petition trust be filed with the OAI-1 within thirty (30) days of receipt of this
permit. You should contact the OAH with all questions regarding the filing fee (if a filing fee is required)
and/or the details of the filing process at 6714 Mail Service Center, Raleigh, NC 27699-6714, or via
telephone at 919-431-3000, or visit their website at www.NCOAII.cbm. 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 Kelly Johnson at [phone],
Sincerely,.
Tracy 1; visa , P.E—,,�Director
Division of Energy, Mineral and Land Resources
GDSlkpj: %StormwaterTermits & Projects120161160512 LD120.16 10 permit 160512
cc: Robert I3alland, PI:, Paramounic Engineering
Inspector, New Hanover County Inspections
NCDOT District Engineer
New Hanover County Engineering
Division of Coastal Management
Wilmington Regional Office Stormwater File
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
ltilmingtonRegionalOffice 1 127 Cardinal Drive Extension J Wilmington, NC 28405
910 796 7215

State Stormwater Management Systems
Permit No. SW8 160512
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
LOW DENSITY DEVELOPMENT WITH INFILTRATION BASINS TO TREAT COLLECTION
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
Figure Eight Island Yacht Club, Inc.
Figure Eight — Bridge Road Re -Alignment and Tennis Courts
Bridge Road, Wilmington, New Hanover County
FOR THE
construction, operation and maintenance of a 12% low density project with two (2) infiltration basins to
treat collected areas in compliance with the provisions of Session Law 2008-211 and Title 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 Energy, Mineral and Land Resources (hereafter referred to as the Division or DEMLR) and
considered a part of this permit.
The Permit shall be effective from the date of issuance until October 6, 2024 and shall be subject to
the following specific conditions and limitations:
I. DESIGN STANDARDS
1. The overall tract built -upon area percentage for the project must be maintained at 12% per the
requirements of the stormwater rules. This permit covers the construction of a total of 9,104
square feet of built -upon area (BUA) in Drainage Area 1, which includes 0 square feet of future
BUA allocation. This permit covers the construction of a total of 38,873 square feet of built -
upon area (BUA) in Drainage Area A, which includes 0 square feet of future BUA allocation.
2. Where a project or lot is located within CAMA's Area of Environmental Concern (AEC), the
Division of Coastal Management may require that the roof overhangs be counted as BUA and
may calculate a different maximum built -upon area based on CAMA regulations. Whichever
BUA limit (DCM or DEMLR) is the more restrictive will govern.
3. The only runoff conveyance systems allowed will be vegetated conveyances such as swales
with minimum side slopes of 3:1 (H:V) as defined in the stormwater rules and approved by the
Division.
4. No piping shall be allowed except those minimum amounts necessary to direct runoff beneath
an impervious surface such as a road or under driveways to provide access.
A 50' wide vegetative buffer must be provided and maintained 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.
6. Stormwater runoff that is directed to flow through any wetlands shall flow into and through
these wetlands at a non -erosive velocity.
Page 1 of 6

State Stormwater Management Systems
Permit No. SW8 160512
Within '/2 mile of SA waters, direct points of stormwater discharges to SA waters are
prohibited. Infiltration of the design storm runoff or diffuse flow of stormwater at a non -erosive
velocity to a vegetated buffer or other natural area, that is capable of providing effective
infiltration of the runoff from the design storm, shall not be considered a direct point of
stormwater discharge.
8. The infiltration system is permitted per the Alternative Design Criteria under Section .1008 (h).
The proposed system provides equal or better control, equal or better protection of surface
waters and results in no increased potential for nuisance conditions. The infiltration system
has been designed to handle the 10 year 24-hour design storm without discharging therefore
neither an LSNFS nor an offline bypass are required.
9. The following design criteria have been permitted for the infiltration basins and it must be
provided and maintained at the design condition:
DA1 DA2
a. Drainage Area, acres:
Onsite, ft2:
Offsite, ft2:
0.51
22,215
0
1.57
68,376
0
b. Total Impervious Surfaces, ft2:
Onsite, ft2:
Offsite, ft2:
9,104
9,104
0
38,873
38,873
0
c. Design Storm, inches (10yr24hr):
7.00
7.00
d. Basin Depth, feet:
1.05
1.31
e. Bottom Elevation, FMSL:
4.00
4.75
f. Bottom Surface Area, ft2:
1,363
4,247
g. Permitted Storage Volume, ft3:
1,951
8,089
h, Predevelopment 1 yr-24 hr. discharge rate, cfs:
0.10
0.10
i. Type of Soil:
Sand
j. Expected Infiltration Rate, in/hr:
12.00
k. Seasonal High Water Table, FMSL:
1.75
12.75
I. Time to Draw Down, days:
0.10
0.12
m. Receiving Stream/River Basin:
ICWICape Fear
n. Stream Index Number:
18-87-11.5
o. Classification of Water Body:
SA; ORW
11. SCHEDULE OF COMPLIANCE
No person shall alter the approved stormwater management system or fill in, alter, or pipe any
drainage feature (such as swales) shown on the approved plans as part of the stormwater
management system, except for minimum driveway crossings, unless and until the permittee
submits a modification to the permit and receives approval from the Division.
2. The permittee is responsible for verifying that the proposed built -upon area for the entire
project does not exceed the maximum allowed by this permit.
3. Swales, vegetated areas and other vegetated conveyances shall be constructed in their
entirety, vegetated, and operational for their intended use prior to the construction of any built -
upon surface, per the approved plans.
4. During construction, erosion shall be kept to a minimum and any eroded areas of the swales
or other vegetated conveyances will be repaired immediately.
Page 2 of 6

State Stormwater Management Systems
Permit No. SW8 160512
5. The permittee shall at all times provide and perform the operation and maintenance necessary
as listed in the signed Operation and Maintenance Agreement, such that the permitted
stormwater management system functions at its optimum efficiency.
6. Built upon area includes, but is not limited to, structures, asphalt; concrete, gravel, brick,
stone, slate, coquina, driveways, and parking areas, but does not include raised, open slatted
decking, or the water surface of swimming pools.
The permittee shall submit to the Director and shall have received approval for revised plans,
specifications, and calculations prior to construction; for any modification to the approved
plans, including, but not limited to, those listed below:
a. Any revision to the approved plans, regardless of size.
b. Redesign or addition to the approved amount of built -upon area or to the drainage area.
c. Further subdivision, acquisition or sale of the project area in whole or in part. The project
area is defined as all property owned by the permittee, for which Sedimentation and
Erosion Control Plan approval or a CAMA Major permit was sought.
d. Filling in, piping, or altering any vegetative conveyance shown on the approved plan,
except the minimum driveway crossings.
e. The development of any future area or additional phase(s) noted on the approved plans.
8. The permittee must certify in writing that the project's stormwater controls, and impervious
surfaces have been constructed within substantial intent of the approved plans and
specifications. Any deviation from the approved plans must be noted on the Certification. The
permittee shall submit the Certification to the Division within 30 days of completion of the
project.
9. The permittee shall submit all information requested by the Director or his representative
within the time frame specified in the written information request.
10. 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.
r
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and approval by
the Director. The permittee shall submit a completed and signed Name/Ownership Change
Form, accompanied by the supporting documentation as listed on the form, to the Division of
Energy, Mineral and Land Resources at least 60 days prior to any one or more of the following
events:
a. An ownership change including the sale or conveyance of the project area in whole or
in part, except in the case of an individual lot sale that is made subject to the recorded
deed restrictions;
b. Bankruptcy;
c. Foreclosure, subject to the requirements of Session Law 2013-121;
d. Dissolution of the partnership or corporate entity, subject to NCGS 57D-2-01(e) and
NCGS 57D-6-07;
e. A name change of the current permittee;
f. A name change of the project;
g. A mailing address change of the permittee;
2. The Permittee is responsible for compliance with all the terms and conditions of this permit
until such time as the Division approves the permit transfer in writing. Neither the sale of the
project area, in whole or in part, nor the conveyance of common area to a third party
constitutes an approved transfer of the stormwater permit.
3. The permit issued shall continue in force and effect until revoked or terminated.
Page 3 of 6

State Stormwater Management Systems
Permit No. SW8 160512
4. , 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.
5. The' issuance of this permit does not prohibit the Director from reopening and modifying the
permit, revoking and reissuing the permit, or terminating the permit for cause as allowed by the
laws, rules, and regulations contained in Title 15A of the North Carolina Administrative Code,
Subchapter 2H,1000; and North Carolina General Statute 143-215.1 et. al.
6. The issuance of this permit does not preclude the Permittee from complying with and obtaining
any and all other permits or approvals that are required in order for this development to take
place, as required by any statutes, rules, regulations, or ordinances, which may be imposed by
any other Local, State or Federal government agency having jurisdiction. Any activities
undertaken at this site that cause a water quality violation or undertaken prior to receipt of the
necessary permits or approvals to do so are considered violations of NCGS 143-215.1, and
subject to enforcement procedures pursuant to NCGS 143-215.6.
7. Any person 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 N.C.G.S. 143, Article 21.
8. Approved plans, application, supplements, operation & maintenance agreements and
specifications for projects covered by this permit are incorporated by reference and are
enforceable parts of the permit. A copy of this permit, application, supplements, the operation
and maintenance agreements, and the approved plans and specifications shall be maintained
on file by the Permittee at all times.
9. The Permittee grants permission to DEMLR Staff to enter the property during normal business
hours for the purposes of inspecting the stormwater control system and its components.
10. Unless specified elsewhere, permanent seeding requirements for the swales must follow the
guidelines established in the North Carolina Erosion and Sediment Control Planning and
Design Manual.
11. The permittee shall submit a permit renewal application request at least 180 days prior to the
expiration date of this permit. The renewal request must include the appropriate application,
documentation and the processing fee.
Permit issued this the 61h day of October 2016.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
-- - --- --4---------------------
Tracy Davis, P.E., Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 4 of 6

State Stormwater Management Systems
Permit No. SW8 160512
Figure Eight — Bridge Re -Alignment and Tennis Courts
Stormwater Permit No, SW8 160512
New Hanover Count
Designer's Certification
I, , as a duly registered in the State of North
Carolina, having been authorized to observe (periodically/ weekly/ full time) the construction of the
project,
(Project)
for
(Project Owner) hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the project construction such that the
construction was observed to be built within substantial compliance and intent of the approved plans
and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 5 of 6

State Stormwater Management Systems
Permit No. SW8 160512
Certification Requirements-,
1. The drainage area to the system contains approximately the permitted acreage
2. The drainage area to the system contains no more than the permitted amount of built -
upon area.
3. All the built -upon area associated with the project is graded such that the runoff drains
to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The bypass structure weir elevation is per the approved plan.
6. The bypass structure is located. per the approved plans.
7. A Trash Rack is provided on the bypass structure.
$. All slopes are grassed with permanent vegetation,
9. Vegetated slopes are no steeper than 11.
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: NCDEQ-DEMLR Wilmington Regional Office
Inspector, New Hanover County Building Inspections
Page 6 of 6

DEMLR USE ONLY
Date Re eived
Fee P�d
Permjt Number
OD
7
Applica le Rul s: ❑ Coastal SW -1995 ❑ Coastal SW -,21108 ❑ Ph 11 - Post Construe ion
(select all that appl y) ❑ Non-Coasta] 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 Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This foam may be photocopied for rise 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.):
Eight - Bridge Road Re -Alignment and 'Tennis Courts
2. Location of Project (street address):
Bridge Road
City: Wilmington County:New Hanover
3. Directions to project (from nearest major intersection):
Zip:28411
Project site is located 0.3 miles beyond Figure Eight Island Bridge and is located on Bridge Road.
:CE1VE
4. I_atitude:34° 16' 22.00" N Longitude:7745' 16.86" W of the iin igar1c6tJU1
11. PERMIT INFORMATION: I I -"
1. a. Specify whether project is (check one): ®New ❑Modification ❑ A va w o i icationt
tRenezixrls with nrodifications also requires SIAU-102 - Renewal Application Form
b.lf 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
Specify the type of project (check one):
®Low Density ❑High Density []Drains to an Offsite Stormwater System []Other
If this application is being submitted as the result of a previously returned application or a letter from
DEMLR requesting a state stormwater management permit application, list the Stormwater project number,
if assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
®CAMA Major
❑NPDES Industrial Stormwater
®Sedimentation/Erosion -Control: 3.0 ac of Disturbed Area
❑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:
Is the project located within 5 miles of a public airport? ®No [—]Yes
If yes, see S.L. 2012-200, Part Vl: http://portal.ncdeiir.org/webl]rZruies-and-regulations
Form SWU-]01 Version Oct. 31, 2013 Page I of

�41

III.` CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project}:
Applicant/Organization: Figure Eight Island Yacht Club, Inc.
Signing Official & Title: Christopher C. Loutit, President �S ,Qr� �up,t C-S p S� LI[1�(�
S0 �Ma+ t% r�r-.G�st��.��s
b.Contact information for person listed in item la above: C_,- , ,, :— . NCSaS
Street Address: 15 Bridge Road
City: Wilmington_ _ _ _ _ _ State: NC Zip: 28411
Mailing Address (if applicable):15 Bridge Road
City: Wilmington State: NC Zip: 28411
Phone: (910 ) 524-9176 Fax: ( }
Email: [e-mail]
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 Add
City:
Mailing Address (if applicable):
City:_
Phone:
Email:
State:
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:
Phone:
Email:
4. Local jurisdiction for building permits:
State: Zip:
Fax:
Point of Contact: Phone #:
Form SWU-101 Version Oct. 31, 2013 Page 2 of 6

IV.' PROJECT INFORMATION
1. In the space provided below, hEj fly summarize how the stormwater runoff will be treated.
'File }lroposed impervious area from the relocated road and new tennis courts will be directed_ to two (2)
infiltration basins that will infiltrate the entire 10yr, 24hr storm event using 1 /2 the measured infiltration rate.
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 Cape Fear River basin.
4. Total Property Area: 24.74 acres
5. 'Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
Total Property Area (4) - Total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project
Area': 24.74 acres
Total project area shall be calculated to exclude the follozoin the normal pool of impounded structures, the area
between the banks of streams and rivers, the area belozo the �orrnal High Water (NHW) line or Meatt Higlt Water
(MHW) litre, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area ' used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of lie NH (or MHW) line stray
be included in tyre total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 4
9. I -low many drainage areas does the project have? 2 (For high density, count I for each proposed engineered
stornavater BMP. For lozu density and other projects, rise 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1
Drainage Area 2
Drainage Area _
Drainage Area _
Receiving Stream Name
Intracoastal
Waterway
Intracoastal
Waterway
Stream Class *
SA; ORW
SA; ORW
Stream Index Number *
18-87-11.5
18-87-11.5
Total Drainage Area (sf)
22,215
68,376
WE
On -site Drainage Area (sf)
22,215
68,376
Off -site Drainage Area (so
0
0
Proposed Impervious Area (so
9,104
38,873
% Im ervious Area** total
41
57
Impervious— Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area _
Drainage Area _
On -site Buildings/Lots (so
0
0
On -site Streets (so
5,809
10,162
On -site Parking (so
2,825
2,864
On -site Sidewalks (so
470
4,647
Other on -site (so
0
21,200
Future (sf)
0
0
Off -site (sf)
0
0
Existing BUA*** (so
0
0
Total (so:
9,104
38,873
* Stream Class and Index Number can be determined at: ltftl).A7ortal.)zcdettr:org oeb/zi;07s/csu/classi tcatiotts
Impervious area is defined as the built upon area including, brit not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6

***Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and Which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. n/a
Projects in Union Countv: Contact DEMLR Central Office staff to check;f the project is located mithin a Threatened &
Endangered Species +i,aters'hed that may be subject to more stringent stormwater requirements as per 15A NC4C 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http:/Zportal.iic.denr.org/Nveb/wgLwjZsuLtiip-maiival.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http Z/portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at http://portal.ncdc!tir,org/web/wq/ws/­su/niak)s.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr,org/web/wq/was/su/statesw/forms. dots.
i a!
1. Original and one copy of the Stormwater Management Permit Application Form. 4�f
2. Original and are copy of the signed and notarized Deed Restrictions & Protective Covenants --11.4
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www,envhelp,org/pages/otiestopexpress.htnil 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'h mile of the site boundary, include the t/z
mile radius on the map.
em
7. Sealed, signed and dated calculations (one copy). P�
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: JZ10%3
a. Development/Project name.
b. Engineer and firm. E C E IVE
c. Location map with named streets and NCSR numbers.
Legend. e. MAY 16 2016
e. North arrow.
f. Scale.
g. Revision number and dates. BY:
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the Ml-IW or NI-IW line of tidal
waters, and any coastal wetlands landward of the MHW or NI-IW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
Fomi SWU-101 Version Oct. 31, 2013 Page 4 of 6

' n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o, Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify R P0^3
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DEMLR to verifij the SHWT prior
to submittal, [phone].) �Pw�
10. A copy of the most current property deed. Deed book: 1231 Page No: lips
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per 15A NCAC 21-1.1003(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:f /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 littpllporta1.ncdenr.org/web/lr/state-stormwater-
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 DEMLR, and that they will be recorded prior to the sale of any lot.
Vlll. CONSULTANT INFORMATION AND AUTHORIZATION f� ,VE
Applicant: Complete this section if you wish to designate authority to another individual r fir(such as a
consultingengineer and/or firm so that the may provide information on our behalf forff is g9rc abas
addressing requests for additional information). y p y fork is
�( Lt}10
Consulting Engineer: Robert P. Balland, P.E. gy.
Consulting Firm:_ Paramounte_Engineering, Inc.
Mailing Address: 5911 Oleander Drive, Suite 201
City: Wil
State: NC Zip: 28403
Phone: (910 ) 791-6707 Fax: [phone]
Email: [e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has beers filled out, complete this
section)
1, (print or type manse of person listed in Contact Information, iteru 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listen ill Contact Information, item 1a) with (print or type name of organization listed in
Contact Information, item 1a) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Fonn SWU-101 Version Oct. 31, 2013 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property Owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Dorm within 30 days; otherwise I will be operating a stormwater
treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility
without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action including the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: Date:
1, a Notary Public for the State of , County of
do hereby certify that personally appeared
before me this _ day of and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
ECEIVE
My commission expires U AV i c m16
r
BY:
X. APPLICANT'S CERTIFICATION
1, (print or type mane of person listed in Contact Information, item 1n) Christopher C. Loxtit, President
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwate rules under 75A NCAC 2H .7000 and any other applicable state stormwater requirements.
C� �
Signature: C� �n C` Date: 0A rS
1, + r-k++z� —'5a J 04¢,, a Notary Public for the State of OUc�ounty of
GteQ P-0 do hereby certify that C hf 50��r C eu-`i personally appeared
before me this.1S day of 1�eh C Ito, and ac nowledge the due execytion of the application for
a stormwater permit. Witness my hand and official seal, t !
SEAL
My commission expires
M0 •
Fonn SWU-101 Version Oct. 31, 2013 Page 6 of 6

t"�
rya i_ w•,
'
i
•- S . _� i R ?
� �
.. „ t
� �
�,
li
f
p
f� ��
.� �

Permit No. _;�t � kvo51
(to he provided b), UEMLR)
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
LOW DENSITY SUPPLEMENT
This forin may be photocopied for use as an original
A low density project is one that meets the appropriate criteria for built upon area and transports stormwater
runoff primarily through vegetated conveyances. Low density projects should not have a discrete stormwater
collection system as defined by 15A NCAC 2H .1002(18). Low density requirements and density factors can be
found in Session Law 2008-21 1, 15A NCAC 2H .1000, Session Law 2006-246 and the State of North Carolina
Stormwater Best Management Practice Manual. Curb and gutter systems are allowed provided they meet the
requirements in 15A NCAC 2H .1008(g),
I. PROJECT INFORMATION
Project Name : Figure Eight - Bridge Road Re -Alignment and Tennis Courts
Contact Person: Peter Gushanas Phone Number: (910 „}52.,.- 6 d 6 3
3164 e.pg i yc,cOV41
� _..._
Number of Lots:n/aAllowable Built Upon Area (BUA) Per Lot*:n/a
Number of Dwelling Units Per Acre**:n/a
Low Density Development (check one): ® without curb & gutter ❑ with curb & gutter, outlets to (check one):
® Swales ❑ Vegetated Area
*If lot sizes are not uniform, attach a table indicating the number of lots, lot sizes and allowable built upon area for each lot.
The attachment must include the project name, phase, page numbers and provide area subtotals and totals. BUA shall be
shown in units of square feet.
" Phase II Post -Construction [non -SA I only)
II. BUILT UPON AREA
Refer to DEMLR's forms and applications website for specific language that must be recorded in the deed
restrictions for all subdivided projects. (http://portal.ncdenr.org/web/ir/state-sto;WBM�t�> �
Complete the following calculation in the space provided below where:
AUG 3 1 -2016
• SA Site Area - the total project area above Mean High Water.
• DF
Density Factor - the appropriate percent built upon area divided by 1003y:
• RA Road Area - the total impervious surface occupied by roadways.
• OA Other Area -the total area of impervious surfaces such as clubhouses, tennis courts, sidewalks, etc.
• No. of Lots - the total number of lots in the subdivision.
• BUA per Lot - the computed allowable built upon area for each lot including driveways and impervious
surfaces located between the front lot line and the edge of pavement.
• Total allowable lot BUA - the computed allowable built upon area for all lots combined.
• Total BUA from lot listing - the sum of built upon area allocated for each lot on the list of non -uniform lots.
Form SW401-Low Density-Rev.3-2110109 Page 1 of 4

Calculation:
For uniform lot sizes:
(SA:_ _ _ft- x DF: } -_(RA: ft-) - (OA: ft-) = BUA per Lot = ft-
(No of Lots: )
For non -uniform lot sizes:
a. (SA: ft' x DF: ) - (RA: ft'-) - (OA: ft) = Total allowable lot BUA =
b. Total BUA from lot listing: sf. b must be :5 a
III. DESIGN INFORMATION
ft-
Complete the following table. If additional space is needed the information should be provided in the same
format as Table 1 and attached to this form. Rainfall intensity data can be found in Appendix 8.03 of the State
of North Carolina Erosion and Sediment Control Planning and Design Manual or at
http://hdsc.nws.noaa.gov/hdsc/pfds/
Table 1. Swale design information based on the 10-vear storm.
Swale No.
Drainage
Area (ac)
Impervious
Area (ac)
Grassed
Area (ac)
C
Q
(efs)
Slope
M
Vallow
(fps)
Vactua]
(fps)
Flow
Dept (ft)
I
o. 3q
D.
0.08
0• 11
2-
d. o
2
3
D.$9
0.70
O•19
0,79
.6
4.5'0/o
.2. 5
1.9
I • to
4
O./O
D,Dlv3
0,03
0.6q-
0,*0
0,5a°/o
x••ir-
0.%2�
0-!S'
5
0.196
D.o23
0.03-F
0•Y4
0
I.VZO
o7.6,
2.74
0.9s
6
7
8
9
10
11
12
13
14
15
16
AUG 3 1
2016
17
lye
18
19
Za
Form SW401-1-ow Density-Rev„3-2/10/09 Page 2 of 4

0
t

IV. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the North Carolina Administrative Code Section 15A
NCAC 2H .1000, NCDENR BM Manual (2007), Session Law 2006-246, and Session Law 2008-21 I.
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An
incomplete submittal package will result in a request for additional information. This will delay final
review and approval of the project. Initial in the space provided to indicate that the following requirements
have been met and supporting documentation is provided as necessary. If the applicant has designated an agent(
on the Stormwater Management Permit Application Form, the agent may initial below. If any item is not met,
then justification must be attached. Only complete items n through p for projects with curb outlets.
Page/Plan
Initials Sheet No.
0 a. t
k
For projects in the 20 coastal counties: Per NCAC 2H.1005, a 50 foot wide vegetative buffet -
is provided adjacent to surface waters. For Redevelopment projects, a 30' wide vegetative
buffer adjacent surface waters is provided. 51D'µh(j 5e7$"ic,, C� ,r?,q Rje-0
For HQW or ORW projects outside the 20 coastal counties: A 30 foot wide vegetative buffer
is provided adjacent to surface waters.
For Phase 11 Post -Construction projects: All built upon area is located at least 30 feet
landward of all perennial and intermittent surface waters.
Deed restriction language as required on form SWU-101 shall be recorded as a restrictive
covenant. A copy of the recorded document shall be provided to DWQ within 30 days of
platting and prior to the sale of any lots.
Built upon area calculations are provided for the overall project and all lots.
Project conforms to low density requirements within the ORW AEC. (if applicable per
15A NCAC 2H .1007)
Side slopes of swales are no steeper than 3:1; or no .steeper than 5:1, for curb outlet swales.
Longitudinal slope of swales is no greater than 5%; for non -curb outlet projects, calculations
for shear stress and velocity are provided if slope is greater than 5%.
At a minimum, swales are designed to carry the 10 year storm velocity at a non -erosive rate.
Swales discharging to wetlands are designed to flow into and through the wetlands at a non -
erosive velocity (for this flow requirement into wetlands, non -erosive is velocity < 2 ft/s).
Swale detail and permanent vegetation is specified on the plans,
1. Swale detail provided on plans; includes grass typc(s) for permanent ve etative cover.
in. Swales are located in recorded drainage easements. ECEIVE'
n.tl Length of swale or vegetated area is at least 100 feet for each rbl'a�� 4 12016
o tt The system takes into account the run-off at ultimate built-ou otential from all st ceS
draining to the system (delineate drainage area for each Swale). Y:
If P74 p.tt Curb outlets direct flow to a swale or vegetated area.
Projects in the Neuse, Tar -Pamlico, Catawba River basins, and Randleman Lake may require additional buffers.
tt Only complete these items for projects with curb outlets.
Form SW401-1-ow Density-Rcv.3-2/10/09 Page 3 of' 4

` V. SWALE SYSTEM MAINTENANCE REQUIREMENTS
1. Mowing will be accomplished as needed according to the season. Grass height will not exceed six inches at
any time; and grass will not be mowed too close to the ground or "scalped".
2. Swales will be inspected monthly or after every runoff producing rainfall event for sediment build-up,
erosion, and trash accumulation.
Accumulated sediment and trash will be removed as necessary. Swales will be reseeded or sodded
following sediment removal.
4. Eroded areas of the swales will be repaired and reseeded. Swales will be revegetated as needed and in a
timely manner based on the monthly inspections. Side slopes must be maintained at the permitted slope.
5. Catch basins, curb cuts, velocity reduction devices, and piping will be inspected monthly or after every
significant runoff producing rainfall event. Trash and debris will be cleared away from grates, curb cuts,
velocity reduction devices and piping.
6. Swales will not be altered, piped, or filled in without approval from NCDENR Division of Energy, Mineral
and Land Resources.
I acknowledge and agree by my signature below that I am responsible for the performance of the six
maintenance procedures listed above. I agree to notify DEMLR of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: Peter Gushanas, Registered Agent
Address: 15 Brid2e RoJilmin2ton. NC 28411
Phone:
Signature:
Date: I f S h L
Nole: The leA, 1h responsible parry should not be a lromeowners association unless more than 50% of the lots !rave been sold and a
resider of the subdivision has been named the president.
I, V + K . �f a Notary Public for the Staie of' �p Yak w CaXO1 +nwCounty cif
�� aA�. do hereby certily that ��� (aEA Sri personally appeared before me this _
day of b and acknowledge the due execution of the forgoing Swale mainienance requirements.
Witness my hand find official seal.
V � -
Notary signature
�,���gaulrrrrrr
K. 8q V't'•y,
�9
• Alh. i •
�WS 1
r�6i4L1G =
F
Form SW401-1-ow Density-Rev.3-2110/09
ECEI V E
AUG 3 1 201 3
BY:
My commission expires 0
Page 4 of 4