SW7110105_HISTORICAL FILE_20200914 (2)

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE0�4��%��/
YYYYMMDD

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRIAN WRENN
Direcmr
NORTH CAROLINA
Environmental Quality
September 14, 2020
Croatan Church of Christ
Attention: Mr. Craig Hearne, Trustee
4115 Old Cherry Point Road
New Bern, NC 28562
Subject: Stormwater Permit Renewal
Stormwater Management Permit SW7110105
Croatan Church of Christ
Craven County
Dear Mr. Hearne:
A Division of Energy, Mineral, and Land Resources file review has determined that
Stormwater Permit SV 7110105 for a stormwater treatment system consisting of a wet
detention pond serving Croatan Church of Christ located at 4115 Old Cherry Point
Road, New Bern, NC expires on February 21, 2021. This is a reminder that permit
renewal applications are due 180 days prior to expiration. We do not have a record of
receiving a renewal application.
Please submit a completed permit renewal application along with a $505.00 fee for
permit renewal. Also, it was noted in the file review that a designer's certification that the
project was constructed in accordance with the approved plans as required by the
permit has not been submitted. Please include this with your application. Permit
application forms for renewal can be found on our website at:
https://deq.iic.gov/about/divisions/energv-niineral-land-resources/energy-mineral-land-
rules/stormwater-program/post-construction. North Carolina General Statutes and the
Coastal Stormwater rules require that this property be covered under a stormwater
permit. Failure to maintain a permit subjects the owner to assessment of civil penalties.
If you have questions, please feel free to contact me at [phone]. 1 will be glad to
discuss this by phone or meet with you. If you would like, I can e-mail you a copy of the
application form. You can request a copy by e-mailing me at roger. thorpe(a-) ncden r. gov.
Sincerely,
ogdf K. Th r6 pe ~`
Environmental Engineer
®� ��� North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Washington Regional Office .. 043 Washington Square Mall i Washington. North Carolina'1788q
mn..,�.
252g46.6461

_--- � ►,moo
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 21, 2011
Mr. Craig Hearne, Trustee
Croatan Church of Christ
3445 Old Airport Road
New Bern, NC 28562
Subject: Stormwater Permit No. SW7110105
Croatan Church of Christ
High Density Commercial Wet Pond Project
Craven County
Dear Mr. Hearne:
The Washington Regional Office received a complete Stormwater Management Permit
Application for Croatan Church of Christ on January 14, 2011. Staff review of the plans and
specifications has determined that the project, as proposed, will comply with the Stormwater
Regulations set forth in Session Law 2008-211 and Title 15A NCAC 2H.1000. We are
forwarding Permit No. SW7110105 dated February 21, 2011, for the construction of the subject
project.
This permit shall be effective from the date of issuance until February 21, 2021, and shall be
subject to the conditions and limitations as specified therein. Please pay special attention to
the Operation and Maintenance requirements in this permit. Failure to establish an adequate
system for operation and maintenance of the stormwater management system will result in
future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have
the right to request an adjudicatory hearing upon written request within thirty (30) days
following receipt of this permit. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands
are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please
contact Samir Dumpor, or me at [phone].
AI HoJgeW
Regional Su
Surface Wal
AH/ sd: K:\WQS\STORMWATER\SD\SW7110105
cc: Bobby Billingsley, PE, Thomas Engineering, PA
Craven County Building Inspections
u,4ashington Regional Office
North Carolina Division of Water Quality Internet. www.ncH'ntcrqualilL�re
943 Washington Square Mall Phone. [phone]
Washington, NC 27889 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110 % Post Consumer Paper
rvisor
Protection Section
One
Noi-thCarolina
Natural&

State Stormwater Management Systems
Permit No. SW7110105
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Croatan Church of Christ
Craven County
FOR THE
construction, operation and maintenance of one wet detention pond in compliance with
the provisions of Session Law 2008-211 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 February 21. 2021, and
shall be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 of this permit. The stormwater control has been
designed to handle the runoff from 42,000 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section I. of
this permit, and per approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 50 feet
landward of all perennial and intermittent surface waters.
7. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7110105
a. Drainage Area, ftz:
b. Total Impervious Surfaces, ftz:
C. Design Storm, inches:
d. Pohd Depth - average, feet:
e. TSS removal efficiency:
f. Permanent Pool Elevation, FMSL:
g. Permanent Pool Surface Area required, ftz:
h. Permanent Pool Surface�Area, ft
i. Min. Volume required, ft :
j. Permitted Storage Volume, ft3:
k. Temporary Storage Elevation, FMSL:
I. Controlling Orifice:
m. Permitted Forebay Volume, ft3:
n. Receiving Stream/River Basin:
o. Stream Index Number:
P. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
12
75,326
42,000
1.5
3.5
90%
24.50
4,218
4,234
5,179
5,567
25.50
1.25" 0 pipe
1,962
UT to Neuse River
27-(104)
"SB;Sw;NSW"
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.
During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
The permittee shall at all time provide the operation and maintenance necessary
to assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the vegetated filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, level
spreader, filter strip, catch basins and piping.
q. Access to the outlet structure must be available at all times.
Records of maintenance activities must be kept for each permitted BMP. The
records will indicate the date, activity, name of person performing the work and
what actions were taken.
The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance inspection records for each BMP. The report shall
summarize the inspection dates, results of the inspections, and the maintenance
work performed at each inspection.
Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
The facilities shall be constructed as shown on the approved plans. This permit
shall become void unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
Upon completion of construction, prior to issuance of a Certificate of Occupancy,
Page 3 of 7

State Stormwater Management Systems
Permit No. SW7110105
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
9. 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.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. 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.
12. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
13. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
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, to the Division of Water
Quality, signed by both parties, and accompanied by supporting documentation
as listed on page 2 of the form. The project must be in good standing with the
Division. The approval of this request will be considered on its merits and may or
may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request.
Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7110105
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.
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 2008-
211, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until February 21, 2021.
Application for permit renewal shall be submitted 180 days prior to the expiration
date of this permit and must be accompanied by the processing fee.
Permit issued this the 21 st day of February, 2011.
NQhTIJ �AROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for
Division of Water Quality
By Authority of the Environmental Management Commission
Stormwater Permit No. SW7110105
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7110105
Croatan Church of Christ
Stormwater Permit No. SW7110105
Craven 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 included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7110105
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The 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,
and a forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Washington Regional Office
Craven County Building Inspections
Page 7 of 7

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
ApplicableRules': ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select till that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Play
❑ Other WQ M mt Plan:
State of North Carolina WC, j
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM:, JAN � 4 l � j j
This form may be photocopied for use as an original
L 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.):
Croatan Church of Christ
;2. Location of Project (street address):
4115 Old Cherry Point Road
City:New Bern - County:Craven Zip:28562
3. Directions to project (from nearest major intersection):
From the intersection of Old Cherry Point Road (SR 1113) and Thurman Road (SR 1116), travel south on
Old Cherry Point Road 0.5 mi. Project site is on the right.
4. Latitude:35' 02' 05" N Longitude:760 59' 56" 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 , its issue date (if known) and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designers certification
2. Specify the type of project (check one):
❑Low Density ®1-high Deensity ❑Drains to an Offsite Storm water System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
[]LAMA Major ®Sedimentation/Erosion Control: 2 ac of Disturbed Area
❑NPDFS Industrial Stormwi ter ❑404/401 Permit: Proposed Impacts
I
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 permiLN/e

Ill. CONTACT INFORMATION
La. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the proiectl:
Applicant/Organization:Croatan Church of Christ
Signing Official & Title:Craig Hearne -Trustee
b.Contact information for person listed in item la above:
Street Address:3445 Old Airport Road
City:New Bern State:NC Zip:28562
Mailing Address (if applicahle):3445Old Airport Road
City:New Bern State:NC Zip:28562
Phone: (252 ) 229.8860: Fax: ( ) n/a
EmaiI:craighearne@embarumai I.com
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/1
Signing Official &
b.Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if
City:
Phone: ( )
State:
Fax: 1 1
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/ Orga n ization:Thomas Engineering, PA
Signing Official &'I'itle:Bobbv Billingsley, PI: - Project Engineer
b.Contact information for person listed in item 3a above:
Mailing Address PO Box 1309
City:New Bern State:NC Zip:28563
Phone: (252 ) 637.2727 Fax: (252 ) 636.2448
Emai I: BobbvBillinysley@Thomas En gineerin gPA.com
4. Local jurisdiction for building )permits:
Point of Contact:Shelton Toler Phone #: (252 ) 636.4987
FormSWIJ-101 Version 14May2010 Page 2of6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Paved parking to sheet flow to perimeter swales. Some paved parking drains by inverted crown section to
one area drain and piped to pond forebay. All stormwater to enter pond forebay. Overflow weir used for
stormwater at or above design storage. Small diameter PVC used for establishment of permanent pool. 90 %
table used for sizing permanent pool.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.Identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 '❑ Ph 11 - Post Construction
3. Stormwater runoff from this project drains to the Neuse River basin.
4. Total Property Area:'1.73 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) -Total Coastal Wetlands Area (5) -"Total Surface Water Area (6) = Total Project
Area*:1.73 acres
Total project area shall be calculated to exclude the folloroin the normal pool of iarppounded structures, the area
between the banks of streams and ravers, the area below the Normal H;gIt Water (NFIW) line or Mean High Water
(MHW) line, and Coastal rvC'tlards lanuluard frorn the NI 1W (or MH9 line. The resultant project area is used to
calculate arnverall percent built upon area (BUA). Non-coastal7netimrds landeoard of the NHW (or MHW) line nwy
be included in the total project area.
8. Project percent of impervious area: ('Total Impervious Area / Total Project Area) X 100 = 55.8 %
9. How many drainage areas does the project have?7 (For high density, count 1 for each proposed engineered
stormwater 13M P. 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
Draina e Area 1
Drainage Area _
Drainage Area _
Drainage Area _
Receiving Stream Name
Neuse River
Stream Class *
SB;Sw;NSW
Stream Index Number *
27-(104)
Total Drainage Area (so
75,326
On -site Drainage Area (so
75,326
Off -site Drainage Area (so �,
0
Proposed Impervious Area'I (so
42,000
% Impervious Area** total !
55.8%
Impervious** Surface Area
Draina e Area 1
Draina e Area _
Draina e Area _
Draina a Area _
On -site Buildings/Lots (so
5,025
On -site Streets (so
Included below
On -site Parking (so
21,254
On -site Sidewalks (so
861
Other on -site (so
0
Future (so
14,860
Off -site (sf)
0
Existing BUA*** (so
0
Total (so:
1 42,000
Stream Class and Index Number can be determined at: Irttp.Aortal.uctfenr.or hny eb/wq/ps/esu/classilications
.. Iappervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidc�rvalks, gravel areas, etc.
FormSWU-101 Versionl4May2010 Page 3of6

***Report only that amount of existing BUA Bat roil! retrain after deoelopnienI. Do not report any existing BUA that
is to be ren/orred aril athich'atill be replaced by new BUA.
11. I -low was the off -site impervious area listed above determined? Provide documentation. N/a
Projects in Union County: Contact DWQ Cen/ al Office staJi to check if the project is located within a Threatened d
Endangered Species watershed that /ray be subject to more stringent stormwater requirements as per NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwaterimanagement 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 httli://portal.nc(ienr.org/web/wq/ws/su/bmp-manual.
VI. SUBMI'ITALREQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from http://portal.ncdenr.org/web/wg/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 htty://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. All original documents MUST be signed and initialed in blue ink. Download the latest versions for
each submitted application package from http://portal.ncdennorg/web/wg/ws/su/statesw/forms does.
1. Original and one copy of the Stormwater Management Permit Application Form.
RLIS
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
.y/A
Form. (if required as per Part 1/11 beloto)
3. Original of the applicable Supplement Fonn(s) (sealed, signed and dated) and O&M
XGa
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
Re d
littp://www.envhelp.org/pages/oiiestopexpress.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/management
for /zLov
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
R e6
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.
.e�Q
i
8. 'two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
t2 o
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 NH W line of tidal
waters, and any coastal wetlands landward of the MHW or NFIW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NI-IW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all 13UA identified and dimensioned.
k. Existing contours, proposed contours, spotelevations, 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).
FormSWU-101 Version l4May2010 Page4of6

9. Copy of any applicable soils report with the associated SHWT elevations (Please identify R6-"
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"xll" 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 verifij the SHWT prior
to submittal, [phone].) I
10. A copy of the most current property deed. Deed book: 2967 Page No: 107 ieG41
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC t' /a
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per NCAC 21-1.1003(e).'I'he
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.
h ttp: / / www.secretary.state.nc. us/ Corpora tions/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
13UA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be
provided as an attachment to thelcompleted and notarized deed restriction form. The appropriate deed
restrictions and protective covenants forms can be downloaded from
http://portal.nedenr.org/web/wo/ws/su/statesw/forms does. Download the latest versions for each
submittal
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) sc that they may provide information on your behalf for this project (such as
addressing requests for additional, information).
Consulting Engi
Consulting Firm
Mailing Address:PO Box 1309
City:New Bern State:NC Zip:28563
Phone: [phone] Fax: [phone]
Email: Iohnl'homasmm'FhomasEn in eringPA.com
i
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 l us been filled out, complete, this
section)
1, (print or hype name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item la) with (print or type name oforganization 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 sand maintenance of the stormwater system.
I
FormSWIJ-101 Version 14May2010 Page 5of6

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 properly owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise 1 will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties'of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature:
a Notary Public for the State of , County of
do hereby certify that
personally appeared
before me this _ day of , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expi
X. APPLICANT'S CERTIFICATION
1, (print or type name of person listed in Contact Information, item la) Craig Hearne
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater ru/l/es_und'er 15A NCAC 21i .1000, SI_ 2006-246 (Ph. II -Post Construction) or SI_ 008-21'I.
Signature:_ `^� /�`�"� Date: S ��
I
I, ��-�� (1. 1'l`�Ly V4 , a Notary Public for the State of 1� Lr CPA rC li v». County of
L� nn , \,�
Q 4W RV\ , do hereby, certify that l..`(Y' 1��1pAV' 1'y� personally appeared
before me this L�lay of vv rx, C I) , and ��acknowledge the due execution of the application for
a stormwater permit. Witness my, hand and official seal, L Lt(
SEAL
My commission expires -l_l y\ Q
FormSWU-101 Versionl4May20111 Page 6of6

1
,�
...i
�

TH
crvi
ENGINEERING, PA
US MAIL i
To: NCDENR
Division of Water Quality
943 Washington Square mall
Washington, NC 27889
Attn: Al Hodge I
Re: Croatan Church, of Christ
New Bern, Craven County, NC
2010-026 1
Dear Al,
DEVELOPMENT•PROJECT MANAGEMENT
January 12, 2011
JAN 14 2011
Please find enclosed the State Stormwater Management Permit Application for site
improvements for the above referenced project. Enclosed items include one (1) original
and one (1) copy of the 'Stormwater Management Permit Application, two (2) copies of
the wet detention supplement and checklist, two (2) copies of the wet detention operation
and maintenance agreements, one (1) copy of the stormwater management report, two (2)
copies of the SHWT report, two (2) copies of the plans, two (2) copies of the property
deeds, two (2) copies of the plants, and one (1) check for $505.00 (Check No. 9717) for
the standard application�processing fee. This project is a proposed high density
commercial (church) facility on a 1.73 acre lot with onsite wet detention basin for
stormwater treatment.
Please review and let m ie know if you need anything further. If you have any questions or
concerns, please advise.)
I
Thank you,
Bobby Billingsley, PE
[e-mail]
Enclosures
401 Howell Road.P.O. Box 1309.New Bern, NC 28563
Phone: [phone].Fox: [phone].N'ebsfte: Thomas F.ngineeringPA.com

(Pago 1 of 3)
m
Forded[ [2�/ %20tOpt[[O I. ::14 pry
Fee 1N1.00 Pa St t of ]
V*Iatvan,:a Tt,; g20A0
Craven, m 00000]p025-fN)DI
Craven, NL
rd
BK296Shtnrr(t�BC. al P a1O� tNro trd,,\tom//////,�J
7P0 0
o
o If checked, the property includes the primary residence ol'at least one of the parties
l depicted as parry of the firsi pan. INC Gen. Sto1.§ 105-317.02) �\ }
Prepared By Emanuel d Dunn. PL ILC \V\ V
NOR'I'I I CAROLINA .
CRAVEN COUNTY AVARRANTY DEED
I
yt qJ�o.-• ,jar 1J1.N41,7-035-02J {porrionl. �7.033-02 i
-I111S DEED, made 'and entered into this -7"-Cv of December, 2010. by and
between DAVID'1'. CItA11'FORD and wife, 6ARBARA S. C'RAWFORD, parties ol'the first
I S I
part, ul' Pirya ➢r... .alr;�]yfl`:2 an)PETERPOVICH.GERALDTAYI.OR,and
TIMOTHY CRAIG HHAR\E TRUSTEES OF THE' CROATAN CHURCH Op CHRIST.
whose address is; h'r, parries of the second pan;
Y
U' I TN 1: S SEi'1' I I:
That the pang of the first pan in consideration of the sum of Ten Dollars (S I OM)
and other good and valuable considea lions to said party paid by the parties of the second pan.
the receipt 01' which is hereby acknos l•ledged, has bargained and sold and by these presents does
bargain, sell, and conccy unto the panics of ifrc second part, said parties' successors and assigns.
that property described as follows:
C1`
JAN 1 4 2011
Dook 290. Pane 107. Fale Nu=Dcr

(Pago 2 of 3)
All that eenain tractor parcel of land lying and being sitwte in Number Seem (7)
Township, Cmven County, North Carolina, being ntnre panicularly described as
fulloNw
BEGINNING at a poi' 'Iocatcd the following courses and distances from the
centerlminutes 1 intersection son of NCSR I I feet.
and NCSK 1 I re North nu dcgrcc;?3"d
minutes IQ seconds East 1,181.14 leer, North 87 degrees 27 mimes SG seconds
West 3QU2 feet, a curve lathe left with degree 52 minutes 30 scconJS.
L-74.95 feet, R=2290.19 feel, CB=S 00 degrees 23 minutes 09 scco`nds East with
chord distance of 74'95 feet to the point or place of beginning\FROMI SAID
POINTOR PLACE: OF BBGINrNING RUNNING'1.111: H Nonh 85'dcgrI 49
minutes 58 seconds West 257.52 Iccl to u point, thence Nonh Od degrees 48
minutes 23 seconds West 2GLGU feet to an csisting.iion pipe in the line ofih:u
Property described by Deed in Book 2149. Page 47& baven Co_unq Registry,
said point being also'the following course andddistanc6fmot NC GRID NAD 83
N=473.958.22 feel E=2,598.792.03 feet. South 17 de'grce`s31 min'utcs 34 seconds
Fast 95.88 feel, thence North 79 degrees'57�minutes 40 seco d^`s East 252.12 feet
to a point in the lwestem right-of-way'oONCSRJ 113,,•lfience along and with the
western right-of-w='Iinc of NCSR•19d3au'�mri ihenci n curve to the right
L-725.05 feel CA=08 dcgrces.07�minu`ia 56 seconds R-2290.19 feet. CB=S 05
degrees 23 minutes 22 seeonds•Easyw•ith chord distance of 324.78 feet to the
point or place of beginning tieing designated as Lot (2) on that "Final Map of the
Dayid'I'. Crau'fonl Recombic'ation Division" dated December 13,2010. by
Ruben 11. Davis. PL0_,.of:rg�iord in Plat Cabinet 11. at Slide 182B (Book 2964.
Page 900), in thciOBiccof the,Registe�of Deeds ^(Craven County, which said
map is specifically incorpomted1hercin by reference fora more perfect description
of wid Tract onnaicJaf landf. V
said properly and all privileges and appuncnances
lhercunto belonging\-thparties of the second part, said parties' successors and assigns lurcycr.
ANU'lhc'.Jpanics of the first part do covenant that said parties arc seized of said
premihe right to Ionvey the same in I've simple: that the same is free from
encumbrances creept any encumbrances or restrictions mentioned above and that said panics
will warm. tit and defend the tide to the same against the lawful claims of all persons
whomsoever. 11IM11I9 99GHOMMIRII
1Mce to: 00000-10903ee2rcfel CAP
v2967P408
Hook 2967. Pace 107. Pale h bar

(Pago 3 of 3)
IN "I-ESTIMONY WI IERL'OF, the panics of the First part have hereunto set said
panics' hands and adopted as said I arties' seals the typewrincn word "SFAI " appearing beside
said parties names, this the day and year first above written.
:AI•) "
i DA1'ID"I". CRAR"FORD
R ti41CL S�� wet t l tsdLiL)
BARBARA S. CRAWFORD
SLATE OF NORTII CAROLINA o
COUNTY OF CRAVEN
I. �ir i' �'!'�• �• u� , a Notary Ppubl and for said County and
State, do hereby certify that DAVID T. CRNVI'OIiD and 13 12RARA�S. RAWFORD
personally appeared before me this day and voluntvrilynckncovlalgcjAe due execution of the
lurcgoing instrument, ,,
WITNESS my hand and notannhishh J2'�duy of December. 2010.
, OjgRL ' N ary'Public Signature
A 1G U Z1, <Notan• Public Printed Name
Vly Cigdjyissii>i�:.�CpuSs?_. L.Y> =�! 4_/
Iftan. t : 0000016003 5 Tvv.: cm
imps I0: OOOOOrBDWB3 Typa: CBP
PIp* ] of ]
w2967 ,409
Book 2761. Pape 107. File npsbee

TIC
CIVIL:
January 4, 2011
MAS ENGINEERING, PA
DEVELOPMENT•PROJECT MANAGEMENT
Re: Soil Evaluation Ifor Stormwater Facility Design
Croatan Church) of Christ
Craven County,INC
On December 20, 2010; a hand augured soil boring was made by me to a depth of 60
inches below ground level (26.5 ft) in natural soils in close proximity to the proposed
stormwater wet detention pond for the referenced project for the purpose of determining
the seasonal high water table. This information is needed for the design of the permanent
pool level elevation of the proposed stormwater wet detention pond for this project. The
soil type encountered was Torhunta fine sandy loam (To), which is nearly level and very
poorly drained. This soil type also coincides with the mapped soil for this area as shown
in the "Soil Survey of Graven County, North Carolina" as prepared by the US
Department of Agriculture -Soil Conservation Service. The bore hole was left open and
day to day monitoring indicates the current water table to be at a depth of approximately
3 feet (Elev. 23.5') below the existing ground surface. Therefore for the purpose of this
application, we find that the seasonal high water table is at approximate elevation of
23.50 feet.
This report prepared by John G. Thomas, p
SEAL 4kA
_ \
401 Howell Road.P.O. Box 7309.New Bern, NC 28563
Phone. (252)6 I7-2727.Fax: [phone].Websne: ThomasEngineeringPA.com

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JAN 1 8 2011
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
i-i RO
No person may initiate any land -disturbing activity on one or more acres as covered by the Act before this
form and an acceptable erosion and sedimentation control plan have been completed and approved by the
Land Quality Section, N.C. Department of Environment and Natural Resources. (Please type or print and, if
/ the question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.)
Part A.
1. Project
2. Location of land -disturbing activity: County Craven City or Township Township 7
Highway/Street Old Cherry Point Road (SR 1113) Latitude 35-02-05 N Longitude 76-59-56 W
3. Approximate date land -di i turbing activity will commence: February 2010
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Commercial 1Church1
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 1.73
6. Amount of fee enclosed: '$ 130.00 The application fee of $65.00 per acre (rounded
up to the next acre) is asi essed without a ceiling amount (Example: a 9-acre application fee is $450).
7. Has an erosion and sediment control plan been fled? Yes No Enclosed x
I
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Bobby Billingsley, PE_ E-mail Address BobbvBillingsley(&ThomasEngineeringPA.com
Telephone [phone] Cell# 252.671.2408 Fax # [phone]
I
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Croatan Church of Christ 252.229.8860 N/A
Name Telephone Fax Number
3445 Old Airport Road Same
Current Mailing Address Current Street Address
New Bern NC 28562 Same
City State Zip City State Zip
10. Deed Book No. 2967 Page No.107 Provide a copy of the most current deed.
Part B.
1. Person(s) or firm(s) whorl are financially responsible for the land -disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet):
I
Croatan Church of Christ crai hearne embar mail.com
Name' E-mail Address
3445 Old Airoort Road
Current Mailing Address
New Bern NCI 28562
City State Zip
I
Telephone [phone]
Same
Current Street Address
i Vr.LJ
JAN 1 4 2011
Same I ,, 7
City State ,,$c T, � "J
kVACHI iGTG rtEt,.'0_NaLOFFiCE
Fax Number N/A

2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
Name
Current Mailing Address I
City State Zip
E-mail Address
Current Street Address
City State Zip
Fax N
(b) If the Financially Responsible Party is a Partnership or other person engaging in business under an
assumed name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible
Party is a Corporation, give) name and street address of the Registered Agent:
Name of Registered Agent'
Current Mailing Address
E-mail Address
Current Street Address
City
State Zip
City
State Zip
Telephone
Fax Number
The above information is true and correct to the best of my knowledge and belief and was provided
by me under oath (This form lmust be signed by the Financially Responsible Person if an individual
or his attorney -in -fact, or if not an individual, by an officer, director, partner, or registered agent with
the authority to execute instruments for the Financially Responsible Person). I agree to provide
corrected information should there by any change in the information provided herein
Craig Hearne
Type or print name
Signature /
Trustee — Croatan Church of Christ
Title or Authority
Date
I, l� -k oy' i oA� ni I a Notary Public of the County of l . R PA) (? in
State of North Carolina, hereby certify that C'f i i40A t" r\ 2 appeared
personally before me this day and being duly sworn acknowledged that the above form was
executed by him. i
Witness my hand and notarial seal, this 5LL, day of Jen Yi L,& oA v , 20—LL_
Notary
Seal '
My commission expires �qv)e