SW6100203_CURRENT PERMIT_20100219

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

1�y
NCDE R
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Village of Whispering Pines
Attn: Steve DeBolt, Village Manager
10 Pine Ridge Drive
Whispering Pines, NC 28327
Division of Water Quality
Coleen H. Sullins
Director
February 19, 2010
SUBJECT: Stormwater Management Permit SW6100203
New Maintenance Building for the Village of Whispering Pines
High Density Project
Moore County
Dear Mr. DeBolt:
Dee Freeman
Seer
�u�„�el<..ry
The Fayetteville Regional Office of the Division of Water Quality received a complete Stormwater
Management Permit Application for the New Maintenance Building for the Village of Whispering
Pines project on February 1, 2010. Staff review of the plans and specifications, along with additional
information received on February 8, 2010, has determined that the project, as proposed, will comply
with the Stortmwater Regulations set forth in Title 15A NCAC 211 .1000. Therefore, we are forwarding
herewith Stormwater Management Permit SW6100203 dated February 19, 2010, for the construction,
operation, and maintenance of stormwater treatment facilities associated with the subject project.
This permit shall be effective from the date of issuance until February 18, 2020 and shall be subject to
the conditions and limitations as specified therein. Please pay special attention to the Operation and
Maintenance requirements in this permit. Failure to establish an adequate system for operation and
maintenance of the stormwater management system will result in future compliance problems.
I f 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) calendar days following receipt
of this permit. This request must be in the form of a written petition conforming to Chapter 15013 of the
North Carolina General Statutes and filed with the Office of Administrative Hearings, PO Drawer
27447, Raleigh, NC 2761 1-7447. Unless such demands are made this permit shall be final and binding.
If you have any questions, or need additional information, please contact Mike Lawyer or myself at
[phone].
Sincerely,
Belinda S. Henson
Regional Supervisor
Surface Water Protection Section
BSH: ML/ml
cc: ✓ len Bradley-GBD/B (via e-mail)
✓Lou Sadler, RLA-The Hayter Firm (via e-mail)
FRO -Surface Water Protection
DWQ Central Files
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORNIVVATER 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
PERNUSS10N IS HERI BY GRANTED TO
Steve DeBolt & Village of Whispering Pines
New Maintenance Building for the Village of Whispering Pines
Aloore County
FOR THE
construction, operation, and maintenance of an infiltration basin in compliance with the provisions of
15A NCAC 214 .1000 (hereafter referred to as the "slormwater rules") and the approved stormwater
management plans and specifications and other supporting data as attached and on file with and
approved by the Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until February IS, 2020 and shall be subject to
the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater described in
the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff as
described in Section 1.6 of this permit. The stormwater control has been designed to handle the
runoff from 28,950 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section 1.6 of this permit
and per approved plans.
4. All stormwater collection and treatment systems must be located in either dedicated common
areas or recorded easements. The final plats for the project will be recorded showing all such
required easements in accordance with the approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this project must be
directed into the permitted stormwater control system.
6. The built -upon area associated with this project shall be located at least 30 feet landward of all
perennial and intermittent surface waters.

7. The following design criteria has been provided in the infiltration basin and must be maintained
at design condition:
a.
Drainage Area, acres:
Onsite, ft2:
Offs
'it ftz:
b.
Total Impervious Surfaces ft2:
C.
Design Storm, inches:
d.
Storage Elevation, FMSL:
C.
Bottom Elevation, FMSL:
f.
Bottom Surface Area, ftz:
g.
Basin Depth, feet:
h.
Bypass/Weir Elevation, FMSL:
i.
I errnitted Storage Volume, fta:
j.
Type of Soil:
k.
Expected Infiltration Rate, in/hr.
I.
Seasonal High Water Table, FMSL:
In.
Time to Drawdown, hours:
❑.
.Receiving Stream/River Basin:
o.
Stream Index Number:
p.
Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
1.65
71,874
0
28,950
1.5
358.00
356.50
2,040
1.5
360.00
4,661
Candor Sand
2.00
349.40
48
Little River(Thagards Lake)/Cape Fear
18-23-(5)
" WS-111,B;1-1QW"
1. The stormwater management system shall be constructed in its entirety, vegetated and
operational for its intended use prior to the construction of any built -upon surface.
2. During comstruction, erosion shall be kept to a minimum and any eroded areas of the system will
be repaired immediately.
3. The permittee shall at all times provide the operation and maintenance necessary to assure the
permitted stormwater system functions at optimum efficiency. The approved Operation and
Maintenance Plan must be followed in its entirety and maintenance must occur at the scheduled
intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
C. Maintenance ofall slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of bypass structure, infiltration media, flow spreader,
catch basins, piping and vegetated filter.
g. A clear access path to the bypass structure must be available at all times.
4. 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.
5. 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.
6. 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.

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.
Access to the stormwater facilities shall be maintained via appropriate easements at all times
The pennittee 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, lease or sale of all or part of the project area. The project
area is defined as all property owned by the permittee, for which Sedimentation and
Erosion Control Plan approval or a CAMA Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan.
10. The permittee shall submit final site layout and grading plans for any permitted future areas
shown on the approved plans prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by the Permittee for
a minimum of ten years fi-om the date of the completion of construction.
12. The Director may notify the permittee when the permitted site does not meet one or more of the
minimum requirements of the permit. Within the time frame specified in the notice, the permittee
shall submit a written time schedule to the Director for modifying the site to meet minimum
requirements. The permittee shall provide copies of revised plans and certification in writing to
the Director that the changes have been made.
Ill. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director. In the event of
a change of ownership, or a name change, the pennittee must submit a formal permit transfer
request to the Division of Water Quality accompanied by a completed name/ownership change
form, 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.
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) having 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.
The permittee grants DWQ 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,
Unless specified elsewhere, permanent seeding requirements for the stormwater control must
follow the guidelines established in the North Carolina 1?rosion and Sediment Control Planning
and Design Manual.
S. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.
The permittee shall notify the Division of any name, ownership, or mailing address changes
within 30 calendar days.
Permit issued this the nineteenth day of February 2010.
NORTH CAROLINA ENVIRONMENTAL MANAGEN4ENT COMMISSION
oleen Fi. Sul�Directo �
Division of Water Quality
By Authority of the Environmental Management Commission
Stornmwater Management. Permit SW6100203

New Maintenance Building for the Village of Whispering Pines Page I oft'
Stormwater Management Permit SW6100203
Moore County
Designer's Certification
I, as a duly registered in the State of North
Carolina, having been authorized to observe (periodically/ weekly/ full time) the construction of the
project,
(Project)
for (Project Owner) hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the project construction such that the
construction was observed to be built within substantial compliance and intent of the approved plans and
specifications.
The checklist of items on page 2 of this form is a part of this Certification.
Noted deviations from approved plans and specification:
SEAL
Signature
Registration Number
Date

Certification Requirements:
Paee 2 of 2
I. 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.
S. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-circuiting orthe
system.
11. The permitted amounts of surface area and/or volume have been provided.
12. All required design depths are provided.
13. All required parts of the system are provided.
14. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office

7,' -J :",`,j..
�
.';DWQ,USEONL
..
Date Received
Fee Paid
Permit Number
7i i
/o
S
5G,/6 O07�3
Applicable Rules:
❑ Coastal SW -1995
❑ Coastal SW - 2008
❑ Ph II -Post Construction
(select all that apply)
❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwa a la4auslgameent Plan
❑ Other WQ M mt Plan:
G!t
State of North Carolina FEB Q' 2W
Department of Environment and Natural Resourc s
Division of Water Quality DENR-FAYEIT LLERECIONALOFRCE
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
[. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
New ANkJT6td0>NCF� PxJLD(A1& -paw phe JUA66 JP VAi15PM9& f l A Z
2. Location of Project (street address):
!:Afzvm 1.
City:tl'tYSFEWKY( PW55 County: e00FIF- Zip: ZbW
3. Directions to project (from nearest major intersection):
1 t WESY4Ne INTERSe(_JJW op sC��KA�� 1�02 wtd 4{ARO� LhNB
4. Latitude: 35 ° 1'5 ' 32 " N Longitude: _I9 ° 22- ' 8 " W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): QNew ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) and the status of
construction: ❑Not Started ❑Partially Completed* Completed* `provide a designer's certification
2. y the type of project (check one):
Spec**
Density ❑High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, dl(h and the previous name of the project, if different than currently
proposed, 6wka/
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major [Sedimentation/Erosion Control: '1.0 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
Form SWU-101 Version 07July2009
Page I of 6

jAg 6 O P.Ty

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 nroiect):
b.Contact information for person listed in item In above:
Street A dress:
City:
Mailing Address (if
City:_
State:_ Zip: ag3dO
State:
Phone: ( ) Fax:
c. Please check the appropriate box. The applicant listed above is:
[2� 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
Signing Official &
b.Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if
City:
Phone: ( )
1
State:
Fax:
3. a. (Optional) Print the name and title of another contact such as the projects construction supervisor or other
person who can answer questions about the project:
Other Contact Person/
Signing Official &
b.Contact information for person listed in item 3a above:
Mailing Address:
City: State:
Form SWU-101 Version 07July2009 Page 2 of 7

Phone:
Fax:
4. Local jurisdiction for building permits:
Point of Contact:
IV. PROJECT INFORMATION
Phone #:
In the space provided below, briefly summarize how the stormwater runoff will be treated.
�1(�ISC6 Ggfcu_lt�Goy cSt�66T PL6u1 C-�f21c�s' C,�/�169 Sy�t�(.Es, �. tN�tt-�Trut-Tcanl
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.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 eh$C V—f f River basin.
4. Total Property Area: 8.O acres
5. Total Coastal Wetlands Area: o acres
6. Total Surface Water Area: v acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area': S•O acres
Total project area shall be calculated to exclude the follozoiug: the normal pool of impounded structures, the area
between the bunks of streams and rivers, the area below the Normal High Water (NM line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (B UA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
B. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = tf0 %
9. How many drainage areas does the project have? I (For high density, count 1 for each proposed
engineered stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Form SWU-101 Version 07July2009 Page 3 of 7

�Basin'Ihformation :.
Draina ,e Area'_
Draina e Area _
Draina e Area _
Drainage Area_
_;
Receiving Stream Name
4i ;
Stream Class *
W
Stream Index Number *
- LA -(rl
Total Drainage Area (so
1( `614 T
On -site Drainage Area (so
l I
Off site Drainage Area (so
- o -
Pro osed Im ervious Area** (so
2V grvo bP
Impervious Area** total
AO o
'" Surface Area '
Draina eArea_.
Draina eArea_
Draina eArea _'
Drainage Area",'
ildings/Lots (soeets
(so
king (so
M
ewalks (so
Wb
ite (so
Future (so
N
Off -site (sf)
A
Existing BUA*** (so
2 qSo
Total (sf):
26 450
Streattt Class and htdex Number cart be determined ak lt�//Jt2o ear state nc us/bums/reports/reportsvvts.nntu
" Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Report only that amount of existing BUA that will renunin after developtnent. Do not report any existing BUA that
is to be removed and which will be replaced by stew BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. N�0
Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that ntay be subject to more .stringent siorntwater requirements as per NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http7//­h2o.enr.state.iic.us/su/bmp forms.htm.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from http://h2o.enr.state.nc.us/su/­biiip forms.htm. The complete application
package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating
project on the interactive online map at http / /h2o.enr.state.nc.us/su/msi maps.htm.)
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://h2o.ei)r.state.ilc.us/su/bmp forms.htm.
mhals
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part Vll below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP. p
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to U
httl2:/ /wwwenvhelp or¢/paces/onestol2express html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
Form SWU-101 Version 07July2009 Page 4 of 7

5 A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1h
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
I. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior
to submittal, [phone].)
A copy of the most current property deed. Deed book: O 15 (b5 Page No: 000'.Jb
For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
hU:/ /www.secretary.state.nc.us/Corporations/CSearch.aVx
..',
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
httD://h2o.enr.state.nc.us/su/bmD forms.htm#deed restrictions. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot.
Form SWU-101 Version 07July2009 Page 5 of 7

VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer: 1-.00 �bl.6R
Consulting Firm: ItC— M-('[Y—?-
Mailing Address: t'O ?,Ck 5bOb3
city: YLNE0dJ 4ST State: NC- zip: 2a3'14
Phone:
Email: �64clke't i� knead. iv m . cow)
Fax:
�g 5 -'By-210
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type narme of person
listed in Contact Information, item la) with (print or type none of organization listed in
Contact Information, itent lb) 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.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
I, a Notary Public for the State of County of
do hereby certify that
before me this _ day of
personally appeared
and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
Form SWU-101 Version 071uly2009 Page 6 of 7

X. APPLICANT'S CERTIFICATION �' Tn
I, (print or hype mmte of person listed in Contact Infornmtion, item 2) 14y ven
certify that the information included on this permit application form is, to t� f 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 stormwalpr rules under 15A NCAC H .1000, SL 2006-246 (Ph. II - Post Construction) or SL 2005-211.
Signature: Date: 1'�2111 0
I, �USa ri ��111 � V a Notary Public for the State
QQof�� L arcv1 County of
�� R do hereby certify that �jrtQ VP jO k LY1 / ( personally appeared
before me this day of a� , U Aot U. and a nowledge tl e execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
V
My commission expires 10 a��� / S ' •:•�'
Form SWU-101 Version 07July2009 Page 7 of 7

Permit NumberSy6/0D Zo3
(to be provided by DWQ)
Drainage Area Number:_
Infiltration Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
- The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
- Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
- No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
- The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter and within
24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
Swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the Swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
F(`FIMM
FEE; C 12010
Form SW401-Infiltration Basin O&M-Rev.3
1 DENA-FAY ETIEMLLERECIONALOERGE I Page 1 of 3

BMP element:
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
spraying.
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than
Replace the top few inches of filter
5 days after a storm event.
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW401-infiltration Basin O&M-Rev.3 Page 2 of 3

Permit Number: :544 ` o2e3
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: NnW A4,4► Ta`McF txJIWIN(T d� }6tG JU l�Cst aF W�{{St ltll(rRll19�
BMP drainage area number:
Print name: Sieve- ov-& R
Date: j.M (. ,41 ag o1D 10
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
1, US ul- a Notary Public for the State of
1r1C, , County of f_k, , do hereby certify that
eyerl personally appeared before me this Oq
i
_04-
day of uo O10 , and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
�rx `
r
0
rr
r
nIca
C.
SEAL (�
My commission expires b )26 13
Form SW40I-Infiltration Basin O&M-Rev.3 Page 3 of 3

L
Permit No., W 4(to be provided by DWQ)
0f WnrEqORMWATE MANAGEMENT PERMIT APPLICATION FORM o�C €
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
Project Name
Contact Person
Phone Number
Date
Drainage Area Number
1-910-949-3141
1/27/2010
II. DESIGN INFORMATION
Site Characteristics
Drainage area
71,874.00 ft'
Impervious area
28,950.00 ff'
Percent impervious
0.40 %
Design rainfall depth
1.50 in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
3.10
in
1-yr, 24-hr intensity
5.32
inlhr
Pre -development 1-yr, 24-hrdischarge
2.19
h'Isec
Post -development 1-yr, 24-hr discharge
4.57
ft'Isec
PrelPost 1-yr, 24-hr peak Flow control
2.38
Wisec
Storage Volume: Non -SA Waters
Minimum design volume required
3,684.00
ft3
Design volume provided
4,661.00
ft3 OK for non -SA waters
Storage Volume: SA Waters
1.5" runoff volume
ft3
Pre -development 1-yr, 24-hr runoff volume
ft3
Post -development 1-yr, 24-hr runoff volume
rya
Minimum required volume
ff3
Volume provided
ft3
Soils Report Summary
Soil type
Candor sand
Infiltration rate
2.00
inmr
SHWT elevation
349.40
fmsl
Basin Design Parameters
Drawdown time
2.00
days OK
Basin side slopes
4.00
:1 OK
Basin bottom elevation
356.50
fmsl OK
Storage elevation
358.00
fmsl
Storage Surface Area
3,827.00
ft2
Top elevation
360.00
fmsl
Basin Bottom Dimensions
Basin length
85.00
ft
Basin width
24.00
It
Bottom Surface Area
2,040.00
fit"
Form SW401-Infiltration Basin -Rev 4 Parts I. a 11. Design Summary, Page 1 of 2

f'
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'"'3
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{.Y1J.
het/
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Permit No. ✓mil-/4 /0G 63
(to be provided by DWQ)
Additional Information
Maximum runoff to each inlet to the basin?
1.66
ac-in
OK
Length of vegetative filter for overflow
NA
It
OK
Distance to structure
45.00
ft
OK
Distance from surface waters
650.00
It
OK
Distance from water supply well(s)
NA
ft
OK
Separation from impervious soil layer
7.00
ft
OK
Naturally occuring soil above shwt
7.00
ft
OK
Bottom covered with 4-in of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
NA
(Y or N)
OK
Capures all runoff at ultimate build -out?
Y
(Y or N)
OK
Bypass provided for larger storms?
Y
(Y or N)
OK
Pretreatment device provided
Grass swales
Form SW401-Infiltration Basin-Rev.4 Parts I. & II. Design Summary, Page 2 of 2

Permit No .�W6 020 3
(to be provided by D WQ)
III. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Pagel Plan
Initials
Sheet No.
L— I
1. Plans (r - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Basin dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement.
Cu 1. S
L- f°
2. Partial plan (1" = 30' or larger) and details for the infiltration basin showing:
- Bypass structure,
- Maintenance access,
- Basin bottom dimensions,
- Basin cross-section with benchmark for sediment cleanout,
- Flow distribution detail for inflow,
- Vegetated filter, and
- Pretreatment device.
t0
3. Section view of the infiltration basin (1" = 20' or larger) showing:
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
(0
4. A table of elevations, areas, incremental volumes & accumulated volumes to verity the volume provided.
4"6 Y o2 bcLter) 5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
6. A construction sequence that shows how the infillration basin will be protected from sediment until the
L to t entire drainage area is stabilized.
-Jul A'L7bc.WCD 7. The supporting calculations.
4-InbrA 60 8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
-4 6 - 9. A copy of the deed restrictions (if required).
RECEIVED
FER A 9 2"
DENR - FAYr' UIILLt REGIONAL OFFICE
Form SW401-Infiltration Basin-Rev.4 Page 1 of 1 Part III. Required Items Checklist, Page 1 of 1