SW6111003_CURRENT PERMIT_20111130

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO. I SW_ �%crt�(/% 3
DOC TYPE CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE I a&IZZ ��
YYYYMMDD

�r
NC®ENR
North Carolina Department of Environment and
Beverly Eaves Perdue
Governor
Mr. Jeff Wright
Pittman Grove Development Group, LLC
771 Bostic Rd.
Raeford, NC 28376
Division of Water Quality
Coleen H. Sullins
Director
November 30. 2011
DEC 3 0 2011
Natural Resources ®VVQ
Subject: Stormwater Permit No. SW6111003
Shadow Creek
High Density Subdivision Infiltration Basin & Wet Pond Project
Hoke County
Dear Mr. Wright:
Dee Freeman
Secretary
The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for
Shadow Creek on November 15, 2011. 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
and Session Law 2006-246. We are forwarding Permit No. SW6111003, dated November 30, 2011, for
the construction, operation and maintenance of the subject project and the stormwater BMPs.
This permit shall be effective from the date of issuance until November 29, 2021, 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 BMP(s), recordation of deed restrictions, procedures for changes of ownership,
transferring the permit, and renewing the permit. Failure to establish an adequate system for operation and
maintenance of the stormwater management system, to record deed restrictions, to follow the procedures
for transfer of the permit, or to renew the permit, will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an 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 150E 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.
This project will be kept on file at the Fayetteville Regional Office. If you have any questions, or need
additional information concerning this matter, please contact Robert Patterson at [phone]; or
[e-mail].
Sincceeerrelly,
for Coleen H. Sullins
Wetlands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 OOne Carolina
Location: 512 -8 7 Salisbury : Raleigh, North Carolina 2S604 1�nl�'/N��1��
Phone: 919-807E3001FAX:[phone]Customer Service: 1-877-623-6748 {d u
Internet: www.ncwaterquality.ort3
An Equal Opportunity 1 Affrmabve Action Employer

Mr. Jeff Wright
SW61 1 1003 — Shadow Creek
November 30, 2011
cc: SW6111003 File
ec: John E. Prevette, III, PLS — Gooden & Associates, Inc.
Mike Lawyer — Fayetteville Regional Office
Page 2 of 2

State Stormwater Permit
Permit No. SW6111003
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY SUBDIVISION 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
Pittman Grove Development Group, LLC
Shadow Creek
Pittman Grove Church Rd. (-0.9 mi. west of Rockfish Rd.), Raeford, Hoke County
FOR THE
construction, operation and maintenance of two infiltration basins and a wet detention
pond in compliance with the provisions of Session Law 2006-246 and 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 November 29, 2021 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.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Sections 1.7 and 1.8. The subdivision is permitted for 41
lots, each allowed a maximum of 3,000 square feet of built -upon area.
3. The runoff from all built -upon area within the permitted drainage areas of this
project must be directed into the permitted stormwater control system.
4. The wet pond must be operated with a 30' vegetated filter.
5. The infiltration basins are approved, and must be maintained, to provide 2.5
times the minimum required treatment volume (based on the 1.0" design storm)
in order to waive the requirement of providing a bypass and 30' vegetated filter
strip.
6. The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent surface waters.
Page 1 of 8

State Stormwater Permit
Permit No. SW6111003
7
The following design elements have been permitted for the wet detention pond
stormwater facility, and must be provided in the system at all times.
F1
an
C.
d.
e.
f.
h.
k.
1.
R
Drainage Area, acres:
Onsite, ftZ:
Offsite, ftZ:
Total Impervious Surfaces, ftZ:
Onsite, ftZ:
Offsite, ftZ:
Average Pond Design Depth, feet
TSS removal efficiency:
Design Storm, inches:
Permanent Pool Elevation, FMSL:
Permitted Surface Area @PP ftZ:
Permitted Storage Volume, ft':
Storage Elevation, FMSL:
Controlling Orifice:
Permanent Pool Volume, ft3:
Forebay Volume, ft3:
Receiving Stream / River Basin:
Stream Index Number:
Classification of Water Body:
9.57
416;800
0
96,100
96,100
0
3.5
85%
1.0
132.00
5947
8,980 at temporary pool
133.20
1.50" 0 pipe
16,707
3,315
Rockfish Creek / Cape Fear
18-31-(18)
"B"
The following design elements have been permitted for the infiltration basin
stormwater facilities, and must be provided in the system at all times.
03
C.
d.
e.
f.
9.
h.
i.
M.
n.
o.
P.
Inf. Basin 1
Inf. Basin 2
Drainage Area, acres:
6.32
3.18
Onsite, ft .2.
275,200
138,600
Offsite, ft 2.
0
0
Total Impervious Surfaces, ftZ:
80,800
33,900
Onsite, ftZ:
80,800
33,900
Offsite, ftZ:
0
0
Design Storm, inches:
1.0
1.0
TSS removal efficiency:
90%
90%
Basin Design Depth, ft:
5.1
4.5
Bottom Elevation, FMSL:
177.10
146.00
Bottom Surface Area, ftZ:
1,980
810
Bypass Weir Elevation, fmsl:
182.20
150.50
Permitted Storage Volume, ft3:
18,450
8,330
Type of Soil:
Sand
Sand
Expected Infiltration Rate, in/hr :
13.4
14.4
Seasonal High Water Table, fmsl:
175.03
144.00
Time to Draw Down, hrs:
9.2
7.5
Receiving Stream / River Basin:
Rockfish Creek
/ Cape Fear
Stream Index Number:
18-31-(18)
Classification of Water Body:
"B"
II. SCHEDULE OF COMPLIANCE
No homeowner/lot owner/developer shall fill in, alter, or pipe any drainage feature
(such as swales) shown on the approved plans as part of the stormwater
management system without submitting a revision to the permit and receiving
approval from the Division.
Page 2 of 8

State Stormwater Permit
Permit No. SW6111003
The permittee is responsible for verifying that the proposed built -upon area for
the entire lot does not exceed the maximum allowed by this permit. Once the lot
transfer is complete, the built -upon area may not be revised without approval
from the Division of Water Quality, and responsibility for meeting the built -upon
area limit is transferred to the individual property owner.
3. If an Architectural Review Board or Committee is set up by the permittee to
review plans for compliance with the BUA limit, the plans reviewed must include
all proposed built -upon area. Any approvals given by the Board do not relieve the
homeowner of the responsibility to maintain compliance with the permitted BUA
limit.
4. 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.
5. 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.
6. 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. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further subdivision, acquisition, 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 was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
7. The permittee shall submit for approval, final site layout and grading plans for
any permitted future development areas shown on the approved plans, prior to
construction.
8. 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.
9. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
10. 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.
11. 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.
Page 3 of 8

State Stormwater Permit
Permit No. SW6111003
12. The permittee shall at all times provide the operation and maintenance
necessary to assure that all components of the permitted stormwater system
function 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 re -vegetation of side slopes:
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans.
f. Debris removal and unclogging of structures, orifice, catch basins and
piping.
g. Access to all components of the system must be available at all times.
13, Records of maintenance activities must be kept by the permittee. The records will
indicate the date, activity, name of person performing the work and what actions
were taken.
14. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance and inspection records for each BMP. The report shall
summarize the inspection dates, results of the inspections, and the maintenance
work performed at each inspection.
15. This permit shall become void unless the facilities are constructed in accordance
with the conditions of this permit, the approved plans and specifications, and
other supporting data.
16. Prior to the sale of any lot, the following deed restrictions must be recorded:
a. The following covenants are intended to ensure ongoing compliance with
State Stormwater Management Permit Number SW6111003, as issued by
the Division of Water Quality under the stormwater rules.
b. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
C. These covenants are to run with the land and be binding on all persons
and parties claiming under them.
d. The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State of North Carolina, Division
of Water Quality.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the Division of Water Quality.
f. The maximum built -upon area per lot is 3,000 square feet. This allotted
amount includes any built -upon area constructed within the lot property
boundaries, and that portion of the right-of-way between the front lot line
and the edge of the pavement. Built upon area includes, but is not limited
to, structures, asphalt, concrete, gravel, brick, stone, slate, coquina and
parking areas, but does not include raised, open wood decking, or the
water surface of swimming pools.
g. All runoff on the lot must drain into the permitted system. This may be
accomplished through providing roof drain gutters, which drain to the
street, grading the lot to drain toward the street, or grading perimeter
swales and directing them into the pond or infiltration basins or street. Lots
that will naturally drain into the system are not required to provide these
measures.
h. Built -upon area in excess of the permitted amount will require a permit
modification.
Page 4 of 8

State Stormwater Permit
Permit No. SW6111003
17. A copy of the recorded deed restrictions must be submitted to the Division within
30 days of the date of recording the plat, and prior to selling lots. The recorded
copy must contain all of the statements above, the signature of the Permittee, the
deed book number and page, and the stamp/signature of the Register of Deeds.
18. Prior to transfer of the permit, the stormwater facilities will be inspected by DWQ
personnel. The facility must be in compliance with all permit conditions. Any
items not in compliance must be repaired or replaced to design condition prior to
the transfer. Records of maintenance activities performed to date will be
required.
19.If permeable pavement credit is desired, the permittee must submit a request to
modify the permit to incorporate such language as required by the Division of
Water Quality. The request to modify must include a soils report identifying the
type of soil, the Seasonal High Water Table elevation and the infiltration rate.
Upon the successful completion of a permit modification, the individual lot owners
that request to utilize permeable pavements must submit the necessary forms
and documentation to the permittee and receive approval prior to construction of
the permeable pavement.
III. 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 permittee must
submit a completed Name/Ownership Change form signed by both parties, to the
Division of Water Quality, accompanied by the supporting documentation as
listed on page 2 of the form. The approval of this request will be considered on its
merits and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves a request to transfer the permit.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
Page 5 of 8

State Stormwater Permit
Permit No. SW6111003
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2006-
246, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
12. The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit.
Permit issued this the 30t" day of November, 2011.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 6 of 8

State Stormwater Permit
Permit No. SW6111003
Shadow Creek Page 1 of 2
Stormwater Permit No. SW6111003
Hoke 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 specifications:
Signature
Registration Number
Date
SEAL
Page 7 of 8

State Stormwater Permit
Permit No. SW6111003
Certification Requirements:
Page 2 of 2
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf, a
forebay, and the vegetated filter.
15. The required dimensions of the system are provided, per the approved
plan.
Please submit this Designer's Certification to: Fayetteville Regional Office
Surface Water Protection
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
cc: Hoke County Building Inspections
Page 8 of 8

DWQ USE ONLY
ate Received
Fee Paid
Permit Number
IQ /I
141505 #a::b901
1 %SW Le t l 1 Oo3
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 9 Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
1. 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.):
2. Location of Project (street address):
Pittman Grove Church Rd.
City:Raeford County:Hoke Zip:28
3. Directions to project (from nearest major intersection):
Proceed west 0.9 miles along Pittman Grove Ch Rd from its intersection with Rockfish Rd 401and Rim Rd.
4. Latitude:34* 57' 17" N Longitude:79° 04' 07" W of the main entrance to the project.
Il. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New []Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number
construction:
❑Not Started
its issue date (If kn(
❑Partially Completed*
n) , and the status of
❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control: _ ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:Erosion and Sedimentation Control Plan: CUM BE-2009-104
OCTMIN
1 4 2011
KW9QENR-WgTERQUALITY
M0STQt ft5 H

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 proiect):
Applicant/ Organiza tion:Pittman Grove Development Group LLC
Signing Official & TitleJeff Wright, Managing Member
b.Contact information for person listed in item la above:
Street Address:771 Bostic Rd
City:Raeford State:NC Zip:28376
Mailing Address (if applicable):Same
City:
Phone: (910- ) 308-1534
Email:so utheas temcons t@gmail. corn
State:
Fax: (910 ) 875-2485
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 &
b.Contact information for person listed in item 2a above:
Street Address:
Mailing Address (if
City:
Phone: ( )
State:
Fax: ( )
Zip:
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/Organization: John E. Prevette, III P.L.S.
Signing Official & Title:Design Professional
b.Contact information for person listed in item 3a above:
Mailing Address:1745 Cypress Lakes Rd
City:Hope Mills State:NC Zip:28348
Phone: (910 ) 223-7766 Fax: (910 ) 223-7788
Email:[e-mail]
4. Local jurisdiction for building permits: County of Hoke
Point of Contact: Phone #: (910 ) 433-1705

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Runoff from the streets and impervious areas will be diverted into catch basins. Runoff will be treated by
infiltration basins and a wet detention pond
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: 25.67 acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Aree:25.67 acres
Total project area shall be calculated to exclude the following the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Nornal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward fronn the NHW (or MHIN) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 =19.0
9. How many drainage areas does the project have? 3 (For high density, count ]for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1
Drainage Area 2
Drainage Area 3
Drainage Area _
Receiving Stream Name
Rockfish Creek
Rockfish Creek
Rockfish Creek
Stream Class *
-C— 't
_C_
Stream Index Number *
18-31- t g
18-31L{t 8
18-31 t g
Total Drainage Area (so
275,200
138,600
416,800
On -site Drainage Area (so
275,200
138,600
416,800
Off -site Drainage Area (sf)
0
0
0
Proposed Impervious Area** s
82,808 Kp
33,900
96,100
% Impervious Area** total
29.4%
24.5%
23.1%
Impervious- Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area 3
Drainage Area _
On -site Buildings/Lots (so
141ots=42,000
7 lots = 21,000
20 lots=60,000
On -site Streets (so
33,500
11,100
31,400
On -site Parking (so
0
0
0
On -site Sidewalks (so
5,300
1,800
4,700
Other on -site (so
0
0
0
Future (so
0
0
0
Off -site (so
0
0
0
Existing BUA*** (so
0 0
0
0
Total (so:
-8�800- !
33,900
96,100
To-rRt,= 210 0
* Stream Class and Index Number can be determined at: htw.11portal.)zcdetnr.orz4mbkoq[ps/esu/classifications
lrn 7ious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
*** Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.

11. How was the off -site impervious area listed above determined? Provide documentation.
Projects in Union County: Contact DWQ Central Ojfice staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 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 httD://r)ortal.ncdenr.ore/web/wo/ws/su/bmo-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from htip://Qortal.ncdenr.org/web/wq/ws/su/statesw/forms does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at hqp://portal.ncdenr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. AB original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from hgp://portal.ncdenr.ore/web/wg/ws/su/statesw/forms does.
Ini a
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 below)
3. Original of the applicable Supplement
lement 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/ages/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations.
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.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with 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].)
10. A copy of the most current property deed. Deed book: 896 Page No: 919
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC E
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http://www.secreta!3:.state.nc.us/Corporations/CSearch.aspx
VIL 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
hgp://portal.ncdenr.org/web/wows/su/statesw/forms_docs. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property 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.
Vill. 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:lohn E. Prevette, III, P.L.S.
Consulting Firm: Gooden & Associates, Inc.
Mailing Address:]745 Cypress Lakes Rd
City:Hope Mills State:NC Zip:28348
Phone: (910 ) 223-7766
Emaii:il2revette@goodensur,veying.com
Fax: (910 ) 223-7788
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or hjpe name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or hjpe name of person
listed in Contact Information, item la) with (print or hjpe name of organization listed in
Contact Information, item la) 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.
a Notary Public for the State of
do hereby certify that
before me this _ day of
County of
personally appeared
and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expi
X. APPLICANT'S CERTIFICATION
I, (print or hype name of person listed in Contact Information, item la) — t �Jr� ewr
certify that the information included on this permit application form is, to the best Jf 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 stormwater rules under 15A NCAC 21-1 .1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211.
Date: / 0 - (.- If
a Notary Public for the State of I)aRTH 6ARoumA . Countyof
Cutl!I LAn D do hereby certify that J EFF WJZ 1 G H T personally appeared
before me this LIV)day of OcT0 S E F= 201 1 . and acknowledge the due e c . n of the application for
a stormwater permit. Witness my hand and official seal,�`�.� _
AII I l a l s sa9+o,.
�'SEAL
My commission expires a APR 1 t_ 2 01 to

High Density Residential Subdivisions
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 21-1.1000 and S.L. 2006-246, the Stormwater Management Regulations,
deed restrictions and protective covenants are required for High Density Residential Subdivisions where
lots will be subdivided and sold and runoff will be treated in an engineered stormwater control facility. Deed
restrictions and protective covenants are necessary to ensure that the development maintains a "built -upon"
area consistent with the design criteria used to size the stormwater control facility.
I, Jeff Wright , acknowledge, affirm and agree by my signature below, that I will cause the following deed
restrictions and covenants to be recorded prior to the sale of any lot:
The following covenants are intended to ensure ongoing compliance with State Stormwater
Management Permit Number S W,6' 111003 as issued by the Division of Water Quality under the
Stormwater Management Regulations.
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming under
them.
4. The covenants pertaining to stormwater may not be altered or rescinded without the express written
consent of the State of North Carolina, Division of Water Quality.
5. Alteration of the drainage as shown on the approved plan may not take place without the concurrence
of the Division of Water Quality.
6. The maximum allowable built -upon area per lot is 3000 square feet. This allotted amount includes
any built -upon area constructed within the lot property boundaries, and that portion of the right-of-way
between the front lot line and the edge of the pavement. Built upon area includes, but is not limited to,
structures, asphalt, concrete, gravel, brick, stone, slate, coquina and parking areas, but does not
include raised, open wood decking, or the water surface of swimming pools.
7. Each lot will maintain a 30 foot wide vegetated buffer between all impervious areas and surface waters.
A
All runoff from the built -upon areas on the lot must drain into the permitted system. This may be
accomplished through a variety of means including roof drain gutters which drain to the street, grading
the lot to drain toward the street, or grading perimeter swales to collect the lot runoff and directing them
into a component of the stormwater collection system. Lots that will naturally drain into the system are
not required to provide thes,_ddition_*neasures.
Signature
I, T)FNNLS k G\'—S£RT , a Notary Public in the
State of 06Rlbl Ci+Qcur,.>>4 , County of C�M88 Rt.A PP
do hereby certify that J EFP W iR\ 6 H T" personally appeared
before me this the 6.Tt4 day of 04=T-492,bP 20-L1 and acknowledge
the due execution of the foregopig instrument. Witness my hand and official seal,
\\\111tE107A///Bs
J°`� A. Ca feess�o
Signatu" re (v� F o�-
My Commission expires mn NOTn, Pff U=
e� PUi-9IC z=
Form DRPC-3 Rev.2 05Nov2009 Page 1 of 1
ND

Permit Number. Sh/6///003
(to be provided by DWQf
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 the roblem:
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.
Form SW401-Infiltration Basin O&M-Rev.3 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.
s ra .
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-
ou tlet.
733-1786.
Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3

Permit N
(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:Shadow Creek
BMP drainage area number:
Print name:Jeff Wright
Title:Managing Member
Address:771 Bostic Rd. Raeford. NC 28376
Phone: [phone]
Date:
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, VeaNtS i% G tt. BE RTl— a Notary Public for the State of.
NO2TN GAP OL tNA , County of CcM ] RuA aD do hereby certify that
JEFF WPtG14T personally appeared before me this TIi
day of Oe_ToBER. o l and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
A.
6
=0 NOTARY
o5 PUBLIC �.
SEAL
My commission expires 8 A PPUL LONG
Form SW401-Infiltration Basin O&M-Rev.3
Page 3 of 3

Permit Number: 56✓611 l oo3
(to be provided by DWQ)
Drainage Area Number: �L
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.
Form SW401-Infiltration Basin O&M-Rev.3 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:
(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:Shadow Creek
BMP drainage area
Print name:Jeff Wright
Title:Mana£ina Member
Address:771 Bostic Rd. Raeford, NC 28376
Note: The legally responsible parry should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
I, P e NN %5 A. G mzew , a Notary Public for the State of
hlekrti CA9,OL11.1A , County of [uMaFLp%,Aop , do hereby certify that
.3E]~F WdLt c'wr personally appeared before me this 6TII-
day of (ace og E Q , Zo I l and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
``�x % A
=0 NO-tf,R'y L =
o� P U D L I C
SEAL "//tery!VD
:.r
My commission expires $ A P RI t_ ZO 16
Form SW40 I -Infiltration Basin O&M-Rev.3 Page 3 of 3

Permit Number.
(to be provided by DWQ)
Drainage Area Number: 3
Wet Detention 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.
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):
® does ❑ does not incorporate a vegetated filter at the outlet.
This system (check one):
❑ does ® does not incorporate pretreatment other than a forebay.
Important maintenance procedures:
— Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
— No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
— Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
— If the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
— Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month 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 should be kept in a known set
location and must 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 wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention 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.
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximately six inches.
Form SW401-Wet Detention Basin O&M-Rev.4
Page I of 4

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate theproblem:
The inlet device: pipe or
The pipe is clogged.
Unclog the pipe. Dispose of the
swale
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the swale if necessary to
swale.
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design depth for
possible. Remove the sediment and
sediment storage.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred.
Provide additional erosion
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 pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional
show that pruning is needed
practices
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible. Remove the sediment and
storage depth.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area.
and control the algal growth.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 2 of 4

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate theproblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
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 local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
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 4 feet in the forebay, the sediment shall
be removed.
Sediment Removal
Bottom
BASIN DIAGRAM
(fill in the blankv)
Permanent Pool Elevation 128.0
124.0 I Pe en anPool
•---------- i-- Volume Sediment Removal Elevation 123.0 Volume
123.0 -ft Min. ---------------------------------------------------
Sediment Bottom Elevation 122.0 1-ft n
Storage Sedimer
Storage
FOREBAY MAIN POND
Form SW401-Wet Detention Basin O&M-Rev.4
Page 3 of 4

Permit Number:
(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: Shadow Creek
BMP drainage area
Print name:Jeff Wright
Title:Managing Member
Address:771 Bostic Rd. Raeford, NC 28376
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, DENN\j A. (%1up E R r , a Notary Public for the State of
NoATN C1{tpt aJA County of Cur^aeAL-AOD , do hereby certify that
)EFF W A16HTr personally appeared before me this 6 TH
day of CkTDBF OL , Zo I 1 , and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand a d official
seal,
A
=n IVY Y `=
m50 PUS'UC
SEAL
My commission expires 8 APR11_ 7-016
Form SW40I-Wet Detention Basin O&M-Rev.4
Page 4 of 4

Permit Number: SW6111003
(to be provided by DWQ
Drainage Area Number: 3
Filter Strip, Restored Riparian Buffer and Level Spreader
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:
— Immediately after the filter strip is established, any newly planted vegetation
will be watered twice weekly if needed until the plants become established
(commonly six weeks).
— Once a year, the filter strip will be reseeded to maintain a dense growth of
vegetation
— Stable groundcover will be maintained in the drainage area to reduce the
sediment load to the vegetation.
— Two to three times a year, grass filter strips will be mowed and the clippings
harvested to promote the growth of thick vegetation with optimum pollutant
removal efficiency. Turf grass should not be cut shorter than 3 to 5 inches and
may be allowed to grow as tall as 12 inches depending on aesthetic requirements
(NIPC,1993). Forested filter strips do not require this type of maintenance.
— Once a year, the soil will be aerated if necessary.
— Once a year, soil pH will be tested and lime will be added if necessary.
After the filter strip is established, it will be inspected quarterly and within 24 hours
after every storm event greater than 1.0 inch (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 filter strip
Trash/debris is present.
Remove the trash/debris.
system
The flow splitter device
The flow splitter device is
Unclog the conveyance and dispose
(if applicable)
clogged.
of any sediment off -site.
The flow splitter device is
Make any necessary repairs or
damaged.
replace if damage is too large for
re air.
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 1 of 3

BMP element:
Potentialproblem:
How I will remediate theproblem:
The swale and the level
The swale is clogged with
Remove the sediment and dispose
lip
sediment.
of it off -site.
The level lip is cracked,
Repair or replace lip.
settled, undercut, eroded or
otherwise damaged.
There is erosion around the
Regrade the soil to create a berm
end of the level spreader that
that is higher than the level lip, and
shows stormwater has
then plant a ground cover and
bypassed it.
water until it is established. Provide
lime and a one-time fertilizer
application.
Trees or shrubs have begun
Remove them.
to grow on the swale or just
downslo e of the level lip.
The bypass channel
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then
reestablish proper erosion control.
Turf reinforcement is
Study the site to see if a larger
damaged or ripap is rolling
bypass channel is needed (enlarge if
downhill.
necessary). After this, reestablish
the erosion control material.
The filter strip
Grass is too short or too long
Maintain grass at a height of
if applicable).
approximately three to six inches.
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Sediment is building up on
Remove the sediment and
the filter strip.
restabilize the soil with vegetation if
necessary. Provide lime and a one-
time fertilizer application.
Plants are desiccated.
Provide additional irrigation and
fertilizer as needed.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application.
Nuisance vegetation is
Remove vegetation by hand if
choking out desirable species.
possible. If pesticide is used, do not
allow it to get into the receiving
water.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality local Regional Office, or the
outlet.
401 Oversight Unit at 919-733-1786.
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 2 of 3

Permit Number:
(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: Shadow Creek
BMP drainage area number:
Print name:Jeff Wright
Title:Managing Member
Address:771 Bostic Rd. Raeford, NC 28376
Phone: [phone]
//- 2-
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
I, tD E No i S A . 6(t L�B E R t , a Notary Public for the State of
J O(urS CA Rout NA , County of Cvr-'Ze lR--A N17 , do hereby certify that
EF` W Rt G HT personally appeared before me this Z -P
day of /Jo Vt 01 g e e- , 201 l , and acknowledge the due execution of the
forgoing filter strip, riparian buffer, and/or level spreader maintenance requirements.
Witness my hand and official seal, 41 s 7- na 9,11 oF� 9Fa 2a i
e� NOTARY
o PUBLIC
m
SEAL -11"Hol6
My commission expires a ArR tL 2016
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 3 of 3

Permit No. SW'6`h)UO3
(to be provided by DWQ)
RASTORMWATER MANAGEMENT PERMIT APPLICATION FORM
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
0*
Or?�WA7i ,q
�v
i 1 LJLL1LJl'
II. PROJECT INFORMATION
gip\ NGARe
Project Name
Shadow Creek
S �;�. _z/4
Contact Person
John E. Prevette, III, P.L.S.
\O�•.�
a
Phone Number
910-223-7766
_= :4:'
Date
7-Oct-11
_
Drainage Area Number
1
z
-t
III. DESIGN INFORMATION
Site CharacteristicsIIII"\\\\\�
Drainage area
275,200.00
fe
Impervious area
80,800.00
fe
Percent impervious
29.36
%
Design rainfall depth
2.50
in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
3.02
in
1-yr, 24-hr intensity
0.13
inmr
Pre -development 1-yr, 24-hr discharge
0.16
ft3/sec
Post -development 1-yr, 24-hr discharge
0.34
ff3/sec
Pre/Post 1-yr, 24-hr peak Flow control
0.18
ft3isec
Storage Volume: Non -SA Waters
Minimum design volume required
18,025.00
ff3
Design volume provided
18,450.00
f13 OK for non -SA waters
Storage Volume: SA Waters
1.5' runoff volume
Pre -development 1-yr, 24-hr runoff volume
Post -development 1-yr, 24-hr runoff volume
Minimum required volume
Volume provided
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage Surface Area
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom Surface Area
N3
ft3
ff3
tt3
tt3
Sand
13.40 in/hr Soil Boring Surface Elev = 183.2 (Field Located)
175.03 first SHWT Depth = 98 inches
0.19 days
3.00
:1
177.10
fmsl
182.20
fmsl
5.500.00
f?
183.20
first
55.00 8
36.00 It
1,980.00 flz
OK
OK
OK
WOV Depth = 5.1 ft
Total Basin Depth = 6.1 it
Form SW401-Innnration Basin-Rev.5 11Apr2011 Parts I. d II. Design Summary, Page 1 of 2

Permit No.
(to be provided by DWQ)
Additional Information
Maximum runoff to each inlet to the basin?
1.18
ac-in
OK
Length of vegetative filter for overflow
NIA
ft
OK
Distance to structure
>15
ft
OK
Distance from surface waters
>50
ft
OK
Distance from water supply well(s)
NIA
Il
OK
Separation from impervious soil layer
>2
It
OK
Naturally occuring soil above shwt
1.75
ft
OK
Bottom covered with 4-in of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
Y
(Y or N)
OK
Capures all runoff at ultimate build -out?
Y
(Y or N)
OK
Bypass provided for larger storms?
Y
(Y or N)
OK
Pretreatment device provided
Catch Basin Sump
Soil Boning
Surf. Elev: 183.2 Top Elev: 183.2
Temp Pool Elev: 182.2
/Bottomv:
to
5
x
w
177.1
1 _ SHWT Elev175.1
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Form SW401-Infiltration Basin-Rev.5 11Ap2011
Parts 1. a 11. Design Summary, Page 2 or 2

Permit
(to be provided by DWQ)
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
Ini ials Sheet No.
C2, C3, C4 1. Plans (1"- 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
f- - - Boundaries of drainage easement.
C10 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.
C10 3. Section view of the infiltration basin (1" = 20' or larger) showing:
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
Calculation 4. A table of elevations, areas, incremental volumes & accumulated volumes to verity the volume provided.
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.
C10 6. A construction sequence that shows how the infiltration basin will be protected from sediment until the
entire drainage area is stabilized.
7. The supporting calculations.
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
9. A copy of the deed restrictions (if required).
Form SW401-Infiltration Basin-Rev.4 Page 1 of 1 Part III. Required Items Checklist, Page 1 of 1

Pemlit No. Sw 6/ o 0 0 3
(to be provided by DWQ1
Spa OF WArEq
STORMWATER MANAGEMENT PERMIT APPLICATION FORM o�C <'
WDENR 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 reggjrgd, information.
Contact Person
Phone Number
Date
Drainage Area Number
111. DESIGN INFORMATION='PR
Site Characteristics
l llIEll\1"
Drainage area
138,600.00
fl3
Impervious area
33,900.00
113
Percent impervious
24.46
%
Design rainfall depth
2.50
in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
3.02
in
1-yr, 24-hr intensity
0.13
in/hr
Pre -development 1-yr, 24-hr discharge
0.08
ft3lsec
Post -development 1-yr, 24-hr discharge
0.15
ft3/sec
Pre/Post 1-yr, 24-hr peak flow control
0.07
Wlsec
Storage Volume: Non -SA Waters
Minimum design volume required
7,800.00
ff3
Design volume provided
8,330.00
ft3 OK for non -SA waters
Storage Volume: SA Waters
1.5' runoff volume ff3
Pre -development 1-yr, 24-hr runoff volume fill
Post -development 1-yr, 24-hr runoff volume it,
Minimum required volume ft3
Volume provided ff3
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage Surface Area
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom Surface Area
Sand
14.42 inthr Soil Boring Surface Elev = 154.0 (Field Located)
144.00 fmsl SHWT Depth =120 inches
0.16 days
3.00
:1
146.00
fmsl
150.50
fmsl
3,084.00
ft3
151.50
fmsl
18.00 It
145.00 it
810.00 ftz
OK
OK
OK
WQV Depth = 4.5 ft
Total Basin Depth = 5.5 It
Form SW401-Infiltration Basin-Rev.5 11Apr2011 Parts L a II. Design Summary, Page 1 of 2

Permit No.
(to be provided by DWQ)
Additional Information
Maximum runoff to each inlet to the basin?
0.62
ac-in
OK
Length of vegetative filter for overflow
N/A
ft
OK
Distance to structure
>15
It
OK
Distance from surface waters
>50
it
OK
Distance from water supplywell(s)
NIA
ft
OK
Separation from impervious soil layer
>2
ft
OK
Naturally occuring soil above shwt
1.75
ft
OK
Bottom covered with 4-in of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
Y
(Y or N)
OK
Captures all runoff at ultimate build -cut?
Y
(Y or N)
OK
Bypass provided for larger storms?
Y
(Y or N)
OK
Pretreatment device provided
Catch Basin Sump
Soil Boring
Surf. Elev: 154.0
N
t
G
y
Top Elev: 151.5
Temp Pool Elev: 150.5
Basin Bottom Elev: 146.0
SHWr Elev: 144.0
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Form SW401-Infiltration Basin-Rev.5 11Apr1011 Parts I. a 11. Design Summary, Page 2 of 2

Permit
(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.
C2, C3, C4 1. Plans (1" - 50' or larger) of the entire site showing:
Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational Q 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.
C10 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.
C10 3. Section view of the infiltration basin (1" = 20' or larger) showing:
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
Calculation 4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
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.
C10 6. A construction sequence that shows how the infitlration basin will be protected from sediment until the
entire drainage area is stabilized.
7. The supporting calculations.
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
9. A copy of the deed restrictions (if required).
Form SW401-Infiltration Basin-Rev.4 Page 1 of 1 Part III. Required Items Checklist, Page 1 of 1

Permit No. 16V6 I IC
(In be provided by DW )
NIT
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Pad 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
Site Characteristics
Drainage area
Impervious area, post -development
% impervious
Design rainfall depth
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
1.5" runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Peak Flow Calculations
Is the pre/post control of the 1yr 24hr storm peak flow required?
1-yr, 24-hr rainfall depth
Rational C, predevelopment
Rational C, post -development
Rainfall intensity: 1-yr, 24-hr stone
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
PrelPost 1-yr, 24-hr peak flow control
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx. at the perm. pool elevation)
Top of 1011 vegetated shelf elevation
Bottom of 10ft vegetated shelf elevation
Sediment deanout, top elevation (bottom of pond)
Sediment cleanout, bottom elevation
Sediment storage provided
Is there additional volume stored above the state -required temp. pool?
Elevation of the top of the additional volume
416,800 ft?
96,100 e
23.06 %
1.0 in
8,960 ftf
8,980 ft3
Its
ft3
ft3
ft3
ft3
Y (Y or N)
3.0 in
0.20 (unitless)
0.36 funidess)
Creek
OK
V4 A,[rrf*10
y
a
OK, volume provided is equal to or in excess of volume required.
0.13 inRlr OK
0.25 t3tsec
0.45 ft3/sec
0.20 ft3/sec
133.20 fmsl
132.00 fmsl
132.50 Infst
132.50 host
131.50 fmsl
127.00 fmsl
126.00 fmsl
1.00 It
N (Y or N)
Ind
Form SW401-Wet Detention Basin-Rev.8-9/17/09 Pans I. & It, Design Summary, Page 1 of 2

Permit No.
(to be rao,ded by DWD)
111. DESIGN. INFORMATION
Surface Areas
Area, temporary pool 8,481 ft?
Area REQUIRED, permanent pool
SAIDA ratio
Area PROVIDED, permanent pool, A,,.,,_,,
Area, bottom of 10ft vegetated shelf, At,_"
Area, sediment cleanout, top elevation (bottom of pond), A,.,
Volumes
Volume, temporary pool
Volume, permanent pool, V,,,..
Volume, forebay (sum of fombays if more than one forebay)
Forebay %of permanent pool volume
SAIDA Table Data
Design TSS removal
Coastal SAIDA Table Used?
Mountain/Piedmont SAIDA Table Used?
SAIDA ratio
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
Volume, permanent pool, V,,,,-,,,,
Area provided, permanent pool, A,,,,.
Average depth calculated
Average depth used in SA/DA, J., (Round to nearest 0.5ft)
Calculation option 2 used? (See Figure 10-2b)
Area provided, permanent pool, A,a„"
Area, bottom of 10ft vegetated shelf, A, �
4,093 It
0.98 (unidess)
5,947 ft OK
4,599 ft
1,635 ft
8,980 ft' OK
16,707 ft'
3,315 ft'
19.8% % OK
85 %
N (Y or N)
Y (Y or N)
0.98 (unifless)
N (Y or N)
16,707 ft'
5,947 ft'
It
If
Y (Y or N)
5,947 fe
4,599 ft`
Need 3 It min.
Area, sediment cleanout, top elevation (bottom of pond), Aw w
1,635 ft'
'Depth' (distance btw bottom of 10ft shelf and top of sediment)
4.50 If
Average depth calculated
3.50 It OK
Average depth used in SAIDA, d., (Round to nearest 0.5ft)
3.5 If OK
Drawdown Calculations
Drawdown through orifice?
Y (Y or N)
Diameter of orifice if circular)
1.50 in
Area of orifice (if-noncimular)
in'
Coefficient of discharge (CD)
0.61 (unifless)
Driving head (H,)
0.40 It
Drawdown through weir?
N (Y or N)
Weir type
(unifless)
Coefficient of discharge IQ
(unitless)
Length of weir (L)
It
Driving head (H)
If
Pre -development 1-yr, 24-hr peak flow
0.25 ft'/sec
Post -development 1-yr, 24-hr peak flow
0.45 ft'Isec
Storage volume discharge rate (through discharge orifice or weir)
0.04 ft'/sec
Storage volume drwdown time
2.70 days
Additional Information
Vegetated side slopes
3 :1
Vegetated shelf slope
10 :1
Vegetated shelf width
10.0 It
Length of flowpath to width ratio
3 :1
Length to width ratio
3.0 :1
Trash rack for overflow & orifice?
Y (Y or N)
Freeboard provided
1.0 It
Vegetated filter provided?
Y (Y or N)
Recorded drainage easement provided?
Y (Y or N)
Capures all runoff at ultimate build -out?
Y (Y or N)
Drain mechanism for maintenance or emergencies is:
Pump
Of, draws down in 2-5 days.
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
Form SW401-Wet Detention Basin-Rev.8-9/17/09 Parts I. E 11. Design Summary, Page 2 of 2

Permit
(to be provided by DWQ)
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.
Page/ Plan
Initials
Sheet No.
>�
C2, C3, C4
1. Plans (1" - 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 (ROM,
- Overflow device, and
- Boundaries of drainage easement.
C11
2. Partial plan (1" = 30' or larger) and details for the wet detention basin shoving:
- Outlet structure with trash rack or similar,
- Maintenance access,
- Permanent pool dimensions,
- Forebay and main pond with hardened emergency spillway,
- Basin cross-section,
- Vegetation specification for planting shelf, and
- Filter strip.
C11
3. Section view of the wet detention basin (1" = 20' or larger) showing:
- Side slopes, 3:1 or lower,
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
C11
4. If the basin is used for sediment and erosion control during construction, clean out of the basin is specified
on the plans prior to use as a wet detention basin.
Calculations
5. A table of elevations, areas, incremental volumes &accumulated volumes for overall pond and for Forebay,
to verily volume provided.
C11
6. A construction sequence that shows how the wet detention basin will be protected from sediment until the
�
entire drainage area is stabilized.
7. The supporting calculations.
/
8. A copy of the signed and notarized operation and maintenance (08M) agreement.
9. A the deed
copy of restrictions (if required).
10. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. County
soil maps are not an acceptable source of soils information.
Form SW401-Wet Detention Basin-Rev.8-9/17/09 Part III. Required Items Checklist, Page 1 of 1

SW6/1f0a3
30F WArE9
1 0�
WDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER • VEGETATED FILTER STRIP (LS-VFS) SUPPLEMENT
This form must be completely filled out, printed, initialed, and submitted. nlllll l plum,,.
Project name
Contact name
Phone number
Dale
Drainage area number
Shadow Greek
John E. Prevette, P.L.S.
g10-223-7766
October 18, 2011
3,
_? -V' - %ji•;'9 G
= rQ
Q-•a Cg
n'•.,!YQ �, ,��mE�,?� ���
II. DESIGN INFORMATION
/////li/JPREll
The purpose of the LS-VFS
SW Rule: 10-year drawdown from Wet Pond
Stormwater enters LS-VFS from
A BMP
Type of VFS _
Wooded stormwater setback (slope < 5%)
Explanation of any "Other' responses above
If Stormwater Enters the LS-VFS from the Drainage Area
Drainage area
fe
Do not complete this section of the form.
Impervious surface area
fe
Do not complete this section of the form.
Percent impervious
%
Do not complete this section of the form.
Rational C coefficient
Do not complete this section of the form.
Peak now from the i inmr storm
cis
Do not complete this section of the form.
Time of concentration
min
Do not complete this section of the form.
Rainfall intensity, 10-yr storm
Whir
Do not complete this section of the forth.
Peak Flow from time 10-yr storm
cis
Do not complete this section of the form.
Design storm
Maximum amount of Flow directed to the LS-VFS
cis
Do not complete this section of the forth.
Is a flow bypass system going to be used?
(Y or N)
Do not complete this section of the forth.
Explanation of any 'Other' responses above
If Stormwater Enters the LS-VFS from a BMP
Type of BMP
Wet detention pond
Peak discharge from the BMP dudng the design storm
0.4 cfs
Peak discharge from the BMP during the 10-year storm
1.6 cis
Maximum capacity of a 100-foot long LS-VFS
2 cfs
Peak Flow directed to the LS-VFS
1.6 cis
Is a flow bypass system going to be used?
N (Y or N)
Explanation of any 'Other responses above
LS-VFS Design
Forebay surface area
sq It
Depth of forebay at stormwater entry point
in
Depth of forebay at stommwater exit point
in
Feet of level lip needed per cis
50
flds
Computed minimum length of the level lip needed
80
It
Length of level lip provided
80
it
Width of VFS
30
it
Elevation at downslope base of level lip
124.50
frnsl
Elevation at the end of the VFS that is farthest from the LS
123.50
first
Forth SW401 - LS-VFS - 27,102011 - Rev.9 page 1 of 3

Slope (from level lip to the end of the VFS)
Are any draws present in the VFS?
Is there a collector swale at the end of the VFS?
Bypass System Design (if applicable)
Is a bypass system provided?
Is there an engineered flow splitting device?
Dimensions of the channel (see diagram below):
y (flow depth for 10-year storm)
freeboard (during the 10-year storm)
Peak velocity in the channel during the 10-yr storm
Channel lining material
Does the bypass discharge through a wetland?
Does the channel enter the stream at an angle?
Explanation of any *Other' responses above
3.33
N (Y or N) OK
N (Y or N)
(Y or N)
(Y or N)
It/sec
Pick one:
(Y or N)
\l'
IIIxjREQUIRED?ITEMSi.CHECKLISTrT .� �
EDIT 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.
Requried Item:
1. Plans (1' - 50' or larger) of the entire site showing:
- Design at ultimate buildout
Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Forebay if applicable),
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW), and
- Boundades of drainage easement.
2. Plan details (1' = 39 or larger) for the level spreader showing:
- Forebay (if applicable),
- High flow bypass system,
- One foot topo lines between the level lip and top of stream bank,
- Proposed drainage easement, and
- Design at ultimate build -out
Initials Page or plan sheet number and any notes:
Form SW401 - LS-VFS - 27Ju12011 - Rev.e page 2 of 3

3. Section view of the level spreader (1' = 20' or larger) showing:
- Underdrain system (if applicable),
- Level lip,
- Upslope channel, and
- Downslope filter fabric.
4. Plan details of the Clow splitting device and supporting calculations (if applicable).
5. A construction sequence that shows how the level spreader will be protected from
sediment until the entire drainage area is stabilized.
6. If a non -engineered VFS is being used, then provide a photograph of the VFS showing
that no draws are present.
7. The supposing calculations.
8. A copy of the signed and notarized operation and maintenance (00) agreement
Form SW401 - LS-VFS - 27M2011 - Rev.9 page 3 of 3

.A.
NW
ilk
+ i '` �{ �►:■' �J i \ �. Pam! '
Wi
1
Ar
• 7rt � i .war .;_ tf_ c � '; a
r`�

0896
COWICOU of Approval far Recordma
1 hereby Certiy, that thh tnnaaCtbn
hereon hat been found to comply with the
Subdivision Regulatlona of the County of
Hoke, North Carolina, and that this has
Egan ap d for recording In theOHka
at; Eta eaw of Hake Cou0'
L1-IG-/O
Excise Tax: E_2,32-,_Q0 * *
BK:00896 PG:0919
FILED
HOKE COUNTY NC
ONNIE B. DUDLEY
FILED Apr 16, 2010
TIME 02:59:47 pm
BOOK 00896
START PAGE 0919
END PAGE
0921
INSTRUMENT#
02100
RECORDING
$257.00
EXCISE TAX
$232.00
xcs
NORTH CAROLINA GENERAL WARRANTY DEED
Parcel Identifier No 494-730-001-023 Verified by County on the _ day of , 20
By:
Mail/Box to: Reaves & Reaves PLLC, p O Box 53187 Fayetteville- NC 28305
Thu instrument was prepared by: L. Holden Rftvcs, Esa [Title Innuance 'b L venters Title. Fayetteville. NCI
Brief description for the Index: 29.70 Acres — State Road No 1413
THIS DEED made this J)L day of April 2010by and between
G & G land Development Inc,
a North Carolina corporation
5011 Cumberland Road
Fayetteville, NC 28306
Pittman Grove Development Group, LLC,
a North Carolina limited liability company
Tax Bill To:
5011 Cumberland Road
Fayetteville, NC 28306
Enter in appropriate block for each parry: name, address, and, if appropriate, character of entity, e.g. corporation or parmership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
W ITNESSETH, that the Granor, for a valuable consideration paid by the Grantee, the receiptofwhich is hereby acknowledged, has and
by these presents does grant, bargain, sell and convey war the Grantee in fee simple, all that certain lot or parcel of land situated in or
near the Town of Raeford. Hoke County, North Carolina and more particularly described as follows:
See Exhibit A attached hereto and incorporated herein by reference. Also, see Exhibit A for statement of explanation regarding this
Correction feed.
All or a portion of the property herein conveyed does no include the prknary, residence of Gramm.
The property hereinabove described was acquired by Grantor by instrument recorded in see Conned" Deed rd
hnmediately prior harem
**It is noted by drafting attorney that the principals of Grantor
have a membership interest in Grantee entity; as such, revenue stamps
have been adjusted accordingly and do not reflect market value of the
property conveyed hereby.
APPROVED FOR RRCORDWit ,
w TAX w.aflsw I
NC Bar Association Form No. 3 O 1976, Revised O 1977, 2002
Printed by Agreement with the NC Bar Association - 1981

0896
0920
BK 00896 PG:O92O
A map showing the above descrbed property is recorded in Isee plat reference in legal description abo el.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in
fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized ofthe premises in fee simple, has the right to convey the same in fee
simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the
lawful claims of all persons whomsoever, other than the following exceptions: (a) County and/ or municipal rnning laws, ordinances
and regulations; (b) Restrictive covenams, permits and rights of ways of record; and (c) All taxes which are not yet due and payable.
IN WITNESS WHEREOF, the Granter has duly executed the foregoing as of the day and year first above written.
G&G Land Development. Inc.
ntity Name)
B
g M. Caulder, President
By:
Title:
State of - Comity of
1, the undersigned Notary Public of the County and State aforesaid, certify that
rwrsmalty appeared before me this day and acknowledged the due execution ofthe foregoing
immunrnt for the purposes therein expressed. Witness my hand and Notarial stamp or seal this day of
.2010.
My Commission Expires:
Notary Public
Sate of North Carolina - County of Cumberland
1, / L..✓ /71. /'r"/ the undersigned Notary Public of the County and State aforesaid, certify thm G,
hLICAWLapersonally came before me this day and acknowledged that he is the President of Cykg Lod Development. Inc ablorth
Carolina corpomtiomlimited liability company/general pertnership/limited partnership (sake through the inapplicable), and that by
authority duly given and 0 the act of such entity, he signed the foregoing instrument in its name on its behalf as its act and deed.
Witness my hand and Notarial stamp or seal, this day of _4y . 20/0 _
My Commission Expires: E,;k. kq j 2r,
ronn usmana- s oumy of
1, the undersigned Notary Public ofthe County and State
Witness my hand and Notarial stump or seal, this _ day of . 20
My Commission Expires:
Notary public
certified to be torrent
first page hereof
in the
for
Guy
:oi G (i7
NC Bar Association Form No. 3 O 1976, Revised O 1977, 2002
Printed by Agreement with the NC Bar Association - 1981

0896
0921
BK:00896 PG:0921
EXHIBIT A
BEGINNING at an old iron, same being located in the center of the right of way of State Road No. 1413 and
in the Western margin of that tract of land described in Hoke Registry Deed Book 92, Page 622, to which
reference is hereby made, and thence S 65-08 E 114 feet to an iron, said iron being located in the center of
the right of way of said State Road No. 1413; thence S 57-18 E 922.50 feet to an old iron, also located in the
center of the right of way of said State Road; thence S 7-25 W 1, 146.68 feet to an iron, said iron being in the
Northern margin of the Channel of Rockfish Creek; thence as and with the said Northern margin of said
Channel of Rockfish Creek in a westerly direction to an iron said iron being also the former Southwest corner
of the lot described in Hoke Deed Book 92, Page 622; thence N 7-16 E 1,584.68 feet to the point of
Beginning, and containing 29.70 acres, more or less.
NC Bar Association Fonn No. 3 O 1976, Revised O 1977, 2002
Printed by Agnsernent with the NC Bar Association -1981