SW7050701_CURRENT PERMIT_20130731

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

V)3:R0
MCDENR
North Carolina Department of Environment and
Division of Water Quality
Pat McCrory Thomas A. Reeder
Governor- Acting Director
July 31, 2013
Mr, Steve Gruninger
Island Land Centre Condominium Association, Inc.
PO Box 2047
Washington, NC 27989
Natural Resources
John E. Skvarla, III
Secretary
Subject: Stormwater Permit No. SW7050701 Modification & Ownership Change
Island Land Centre
High Density Project
Dare County
Dear Mr. Gruninger:
The Washington Regional Office received a complete Stormwater Management Permit Application for
ownership change and modification of permit SW7050701 for Island Land Centre on June 26, 2013.
Staff review of the plans and specifications has determined that the project, as proposed, will comply
with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No.
SW7050701 dated July 31, 2013, for the construction and operation of the subject project.
This permit shall be effective from the date of issuance until July 31, 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 adfudicatory 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, 6714 Mail
Service Center, Raleigh, NC 27699-6714. 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
Roger Thorpe at [phone].
Sincerely,
Thomas A.
cc: Bissell Professional Group
James G. Geraghty
North Carolina Division of Water Duality
943 Washington Square Mall
Washington, NC 27889
Phone: [phone] FAX: [phone]
Internet www.nmatergualilv.orq
Reeder
Nn rthC..arnlina

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY3
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
Island Land Centre Condominium Association, Inc. .
Island Land Centre
Dare County
FOR THE
construction, operation and maintenance of three infiltration basins in compliance with the provisions
of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and the approved stormwater
management plans and specifications and other supporting data as attached and on file with and
approved by the Division of Water Quality and considered a part of this permit.
This permit replaces all previous issued stormwater permits for this project and shall be effective from
the date of issuance until July 31, 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 1.6 of this permit. The stormwater control has been designed to handle the
runoff from 55,755 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Part I. 6. of this permit,
and per approved plans.
4. All stormwater collection and treatment systems must be located in either dedicated common
areas or recorded, easements. The final plats for the protect will be recorded showing all such
pl required easements, in accordance with the approved ans.
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 following design criteria have been provided in the infiltration basin and must be
maintained
at design condition:
a.
Site Area, acres:
2.05
Basin 1A
Basin 1B
Basin 2
b.
Drainage Area to Basins, acres:
0.68
0.54
0�-
C.
Total Impervious Surfaces, ftz:
23,020
16,033
15,904.
d.
Design Storm, inches:
1
1
1
e.
Basins Depth, feet:
1.00
1.00
1.25
f.
Bottom Elevation, FMSL:
10.0
10.0
10.0
g.
Bottom Surface Area, ftz:
2,430
2,084
1,286
h.
Bypass Overflow Elevation, FMSL:
11.0
11.0
11.25
i.
Permitted Storage Volume, ft3:
3,210
3,090
2,574
j.
Type of Soil:
Newhan fine sand
k.
Expected Infiltration Rate, in/hr:
10
10
10
I.
Seasonal High Water Table, FMSL:
7.5
7.5
7.5
M.
Time to Draw Down, hours:
1.60
1.79
2.41
n.
Receiving Stream/River Basin:
Kitty Hawk Bay / Pasquotank
o.
Stream Index Number:
30-18
P. Classification of Water Body: "SC"
II. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its entirety, vegetated and
operational for its intended use prior to the construction of any built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the system
will be repaired immediately.
3. The permittee shall at all times provide the operation and maintenance necessary to assure
the permitted stormwater system functions at optimum efficiency. The approved Operation and
Maintenance Plan must be followed in its entirety and maintenance.must occur at the
scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowin.9 and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of bypass structure, infiltration media, flow spreader,
catch basins, piping and vegetated filter.
g. A clear access path to the bypass structure must be available at all times.

4. Records of maintenance activities must be kept and made available upon request to
authorized personnel of DWQ. The records will indicate the date, activity, name of person
performing the work and what actions were taken.
5. The facilities shall be constructed as shown on the approved plans. This permit shall become
voidable unless the facilities are constructed in accordance with the conditions of this permit,
the approved plans and specifications, and other supporting data.
6. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to
operation of this permitted facility, a certification must be received from an appropriate
designer for the system installed certifying that the permitted facility has been installed in
accordance with this permit, the approved plans and specifications, and other supporting
documentation. Any deviations from the approved plans and specifications must be noted on
the Certification. A modification may be required for those deviations.
7. 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.
8. Access to the stormwater facilities shall be maintained via appropriate easements at all times.
9. The permittee shall submit to the Director and shall have received approval for revised plans,
specifications, and calculations prior to construction, for any modification to the approved
plans, including, but not limited to, those listed below:
a. Any revision to any item shown on the approved plans, including the stormwater
management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project area. The
project area is defined as all property owned by the permittee, for which Sedimentation
and Erosion Control Plan approval or a CAMA Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan.
10. The permittee shall submit final site layout and grading plans for any permitted future areas
shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by the Permittee
for a minimum of ten years from the date of the completion of construction.
12. The Director may notify the permittee when the permitted site does not meet one or more of
the minimum requirements of the permit. Within the time frame specified in the notice, the
permittee shall submit a written time schedule to the Director for modifying the site to meet
minimum requirements. The permittee shall provide copies of revised plans and certification in
writing to the Director that the changes have been made.
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 formal permit
transfer request to the Division of Water Quality, accompanied by a completed
name/ownership change form, documentation from the parties involved, and other supporting
materials as may be appropriate. The approval of this request will be considered on its merits
and may or may not be approved. The permittee is responsible for compliance with all permit
conditions until such time as the Division approves the transfer request.
2. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to enforcement action by the Division of Water Quality, in accordance with North
Carolina General Statute 143-215.6A to 143-215.6C.

3. The issuance of this permit does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances, which may be imposed by other government
agencies (local, state, and federal) having jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate corrective action, including those as may be
required by this Division, such as the construction of additional or replacement stormwater
management systems.
5. The permittee grants DENR Staff permission to enter the property during normal business
hours for the purpose of inspecting all components of the permitted stormwater management
facility.
6. The permit may be modified, revoked and reissued or terminated for cause. The filing of a
request for a permit modification, revocation and reissuance or termination does not stay any
permit condition.
7. Unless specified elsewhere, permanent seeding requirements for the stormwater control must
follow the guidelines established in the North Carolina Erosion and Sediment Control Planning
and Design Manual.
8. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.
9. The permittee shall notify the Division any name, ownership or mailing address changes within
30 days.
10. This permit shall be effective from the date of issuance until July 31, 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 31 st day of July, 2013.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Division of Wit r Quality
By Authority o the Environmental Management Commission

Island Land Center
Stormwater Permit No. SW7050701
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:
SEAL
Signature
Registration Number
Date

6. The following design criteria have been provided in the infiltration basin and must be
maintained at design condition:
a. Site Area, acres: 2.05
Basin 1A
Basin 1B
Basin 2
b.
Drainage Area to Basins, acres:
0.68
0.54
0.50
C.
Total Impervious Surfaces, ftZ:
23,020
16,033
15,904
d.
Design Storm, inches:
1
1
1
e.
Basins Depth, feet:
1.00
1.00 .
1.25
f.
Bottom Elevation, FMSL:
10.0
10.0
10.0
g.
Bottom Surface Area, ftZ:
2,430
2,084
1,286
h.
Bypass Overflow Elevation, FMSL:
11.0
11.0
11.25
i.
Permitted Storage Volume, ft3:
3,210
3,090
2,574
j.
Type of Soil:
Newhan fine sand
k.
Expected Infiltration Rate, in/hr:
10
10
10
I.
Seasonal High Water Table, FMSL:
7.5
7.5
7.5
M.
Time to Draw Down, hours:
1.60
1.79
2.41
n.
Receiving Stream/River Basin:
Kitty Hawk
Bay / Pasquotank
o.
Stream Index Number:
30-18
p. Classification of Water Body: "SC"
II..SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its entirety, vegetated and
operational for its intended use prior to the construction of any built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the system
will be repaired immediately.
3. - The permittee shall at all times provide the operation and maintenance necessary to assure
the permitted stormwater system functions at optimum efficiency. The approved Operation and
Maintenance Plan must be followed in its entirety and maintenance must occur at the
scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of bypass structure, infiltration media, flow spreader,
catch basins, piping and vegetated filter.
g. A clear access path to the bypass structure must be available at all times.

State Stormwater Management Systems
RECEIVE®
J U N 2 6 2013
Designer's Certification
I, �Wlb VYAo as a duly registered __%F's_r-6l0/.►A L- tEN1,w5iZ
in the State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project)
for �E-A&mAesI u-G (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:
A -FsWAAm.rr V56eTATIVB ICp\lE=m ff A-5. AvoT'
f�599&J ruuy E6rAt5LIt*4r=76 (5A6'^I-5, t1'�-BSVJ
-t bwe,G Leo)
Registratio Number_
Date 9tL-
SEAL
\�\Nt u u llllil
\\\\, k C AR p(
�` Q;• �a sS 6oF@ %y'9,
;a SEAL 9r',
• 030406 -
i IM /i i t\0 P\\\
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7050613
Certification Requirements:
/1. The drainage area to the system contains approximately the permitted
acreage.
Z2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
Z3
v/ 4.
NIA 5.
N A 6.
(SEr NOTE g,
c2fi DFVD4Tio *)
✓ 9.
✓ 10.
All the built -upon area associated with the project is graded such that the
runoff drains to the system.
All roof drains are located such that the runoff is directed into the system.
The bypass structure weir elevation is per the approved plan.
The bypass structure is located per the approved plans.
A Trash Rack is provided on the bypass structure.
All slopes are grassed with permanent vegetation.
Vegetated slopes are no steeper than 3:1.
The inlets are located per the approved plans and do not cause short-
circuiting of the system.
The permitted amounts of surface area and/or volume have been
provided.
All required design depths are provided.
✓ 13. All required parts of the system are provided.
14. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Washington Regional Office
Dare County Building Inspections '
Page 7 of 7

0
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality RECEIVED
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
JUN 2 6 2013
I. CURRENT PERMIT INFORMATION
1. Stormwater Manaqement Permit Number: aW705070 I D V Q-1! ARO
2. Project Name: T5cAND LAND (35VM=
3: Current Permit Holder's Company Name/Organization: SL5A 6POA5iS , LLL
4: Signing Official's Name: 75&mg-5 GL-2yGH71/ Title: NiAIA�,L& 1' V7iv6-?Z
5. Mailing Address: -Po- '3ipx iCpco
City: KrT`ry ,-/AVV< Stater Zip: c97FL/1c
6. Phone: (7.S-2-) a o�;Z - I (per Fax:( )
II. PROPOSED PERMITTEE / OWNER / PROJECT / ADDRESS INFORMATION
This request is for: (please check all that apply)
❑ Name change of the owner (Please complete Items 1, 2 and 3 below)
❑ Name change of project (Please complete Item 5 below)
® Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
❑ Mailing address / phone number change. (Please complete Item 4 below)
❑Other (please explain):
1.'Proposed permittee's company name/organization: ss4 V0L4$-oC+EA-ra Cou�bmnnuM Ad�rr 19MlAt .
2. Proposed permittee's signing official's name: 5'TwG ( VP. V0V- Fi2sTSny77-/&AVk
3. Proposed permittee's title: Mo"Acg,�rZ
4. Mailing Address: 'PC). iZo�c aoy 7
City: WAStdJN/'-�ToAy State: NL Zip: a78001
Phone: (ZS ) qY0 Fax: (Zsa) qy(o-3873
5. New Project Name to be placed on permit:
Please check the appropriate box. The proposed permittee listed above is:
CR HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain stormwater system features. Print name of HOA or
POA in #1 above and provide name of HOA/POA's authorized representative in #2 above)
❑ The property owner
❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on
page 4)
❑ Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be
granted upon receipt of a copy of the recorded deed)
❑ Developer (Complete Property Owner Information on page 4)
SSW N/O Change Rev24Sept2012 Page 1 of 4

x
III. REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all
of the applicable required items listed below are included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer.
1. This completed and signed form. This certification must be completed an`d signed bq both the
current -permit holdei: and the new applicant if this is -a change of ownership.
2. Legal documentation of the property transfer to a new owner.
3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit.
4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from
.each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate entity, provide documentation showing the authority of the named
representative to act on behalf of the proposed permittee.
6. The $40.00 processing fee. If this is an initial transfer from the original permittee the processing
fee is not required. Subsequent ownership transfers will require the $40.00 processing fee.
IV: CURRENT PERMITTEE'S CERTIFICATION
Please check one of the following statements and fill out the certification below that statement:
❑ Check here if the current permittee is only changing his/her/its name, the project name, or mailing
address, but will retain the permit. I, , the current
permittee, hereby notify the DWQ that I am changing my name and/or I am changing my mailing
address and/or I am changing the name of the permitted project. I further attest that this application
for a name/ownership change is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed or if all required supporting information
and attachments listed above are not included, this application package will be returned as
incomplete.
X Check here if current permittee is transferring the property to a new owner and will not retain
ownership of the permit
I, �gw,eS yv�, �,c;4 SC, b the current permittee, am submitting this application
fora transfer of ownership for permit # SW 7v 50 7o / . I hereby notify DWQ of the sale or
other legal transfer of the stormwater system associated with this permit. I have provided a copy of
the most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the most recent DWQ
stormwater inspection report to the proposed permittee named in Sections II and V of this form. I
further attest that this application for a name/ownership change is accurate and complete to the best
of, my knowledge. I understand that if all required parts of this application are not completed or if all
required supporting information and attachments listed above are not included, this application
package will be returned as incomplete. I assign all rights and obligations as permittee to the
proposed permittee named in Sections II and V of this form. I understand that this transfer of
ownership cannot be approved by the DWQ unless and until the facility is in compliance with the
re:
G-
b4-)-k
Notary Public for the State of
�3ot`E'In l G mac` , County of ID oi.2e , do hereby certify that
�O-M45 1A. 62/1ct e ,C� personally appeared before me this the
j day of 20 13 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
MARY E. YORK
Notary Signatu ;NOTARY PUBLIC
' �fta County, North Carolina
SSW N/O Change Rev24Sept2012 Page 2 of 4

V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Permittee for all transfers of ownership)
I, ST6VE 610uni/A/6ar=lZ , hereby notify the DWQ that I have acquired
through sale, lease or legal transfer, the responsibility for operating and maintaining the permitted
stormwater management system, and, if applicable, constructing the permitted system. I
acknowledge and attest that I have received a copy of: (check all that apply to this permit)
[� the most recent permit
the designer's certification for each BMP
['r any recorded deed restrictions, covenants, or easements
[the DWQ approved plans and/or approved as -built plans
[]'the approved operation and maintenance agreement
Bpast maintenance records from the previous permittee (where required)
DWQ stormwater inspection report showing compliance within 90 days prior to this transfer
I have reviewed the permit, approved plans and other documents listed above, and I will comply with
the terms and conditions of the permit and approved plans. I acknowledge and agree that I will
operate and maintain the system pursuant to the requirements listed in the permit and in the
operation and maintenance agreement. I further attest that this application for a name/ownership
change is accurate and complete to the best of my knowledge. I understand that if all required parts
of this application are not completed or if all required supporting information and attachments listed
above are not included, this applicati n package will be returned as incomplete.
Signature: Date: !o'Z6-13
/ ,I1
a Notary Public for the State of
County of do hereby certify that
rjc ✓c-- Gn V /,V 1 ✓ yfr personally appeared before me this the
cL4 day of 20 l3 , and acknowlgdgeAhe_due execution of the
forgoing instrument. Witness my hand and official seal, .•`'`LoA J. pl`Yj�Pj,
0 //1' •
Notary Signature
Ifllp
11100
Additional copies of the original permit and the approved Operation and Mainterfdnmagreement can
be obtained from the appropriate Regional Office of the Division of Water Quality.
This completed form, including all supporting documents and processing fee (if required), should be
sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural
Resources, Division of Water Quality, as shown on the attached map.
Please note that if the Proposed Permittee listed above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee / developer and the property
owner will appear on the permit as permittees.
SSW N/O Change Rev24Sept2012 Page 3 of 4

VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections If and V of this form is not the Property Owner, the
Property Owner must provide his/her Contact Information below and sign this form:
Printed Name:
Organization:
Title within the Organization:
Street Address:
City:
Mailing Address:
City:
Phone:
I rM1 1
State:
(if different from street address)
State:
Fax:
Zip:
a
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections II and V to develop and/or, lease the property. A copy
of the lease agreement or other contract, which indicates the party responsible for the construction
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal property owner I acknowledge, understand, and agree by my signature below, that I will
appear as a permittee along with the lessee/developer and I will therefore share responsibility for
compliance with the DWQ Stormwater permit. As the property owner, it is my responsibility to notify
DWQ by submitting a completed Name/Ownership Change Form within 30 days of procuring a
developer, lessee or purchaser for the property. I understand that failure to operate and maintain the
stormwater treatment facility in accordance with the permit is a violation of NC General Statute
(NCGS) 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 of the property owner
County of
Date:
a Notary Public for the State of
do hereby certify that
personally appeared before me this the
day of , 20, and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature
SSW N/O Change Rev24Sept2012 Page 4 of 4

C
DWQ USE ONLY
Date Received
Fee Paid
Permit Number
s 5
W
Applicable Rules: ❑ Coastal SW -1995 Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan: S
State of North Carolina
Department of Environment and Natural Resources RECEIVED
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORWN 2 6 2013
This form may be photocopied for use as an original
1. GENERAL INFORMATION �/�
1. Project Name (subdivision, facility, or establishment name -should be consistent withl? jecf nam- onplaivs,'R®
specifications, letters, operation and maintenance agreements, etc.):
Island Land Centre
2. Location of Project (street address):
3210 N Croatan Highway
City: Kill Devil Hills County: Dare Zip: 27948
3. Directions to project (from nearest major intersection):
Located in the southwest corner of the intersection of N. Croatan Hwy (US HWY 158) and West Arch Street
4. Latitude:36° 03' 06" N Longitude:75° 41' 05" W of the main entrance to the project.
11. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ❑New ®Modification ❑ Renewal w/ Modificationt
tRenetoals with modifications also requires SWU-702 - Reneu,al Application Fonn
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number SW7050701 , its issue date (if known) 7-26-2005 and the status of
construction: ❑Not Started ®Partially Completed* ❑ 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
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: 2.0 ac of Disturbed Area
❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:Erosion and Sediment Control Plan No. Dare-2005-020, Dated 4-5-2005
5. Is the project located within 5 miles of a public airport? ❑No ®Yes
If yes, see S.L. 2072-200, Part Vl: http://12ortal.ncdenr.org/web/wq/ws/su/­statesw/­rules laws
Form SWU-101 Version 06Aug2012
Page 1 of 6

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization: Island Land Centre Condominium Associaton, Inc
Signing Official & Title: Steve Gruninger, Vice President for First South Bank, Member Manager
b.Contact information for person listed in item I above:
Street Address: 1311 Carolina Ave.
City: Washington State: NC Zip: 27889
Mailing Address (if applicable): P.O. Box 2047
City: Washington State: NC Zip: 27889
Phone: ( 252 ) 940-4926 Fax: (252 ) 946-3873
Email: [e-mail]
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/1
Signing Official &
b.Contact information for person listed in item 2a above:
Street Address:
Mailing Address (if
Phone:( ) Fax:
Email:
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official &
b. Contact information for person listed in item 3a above:
Mailing Address:
City: State: Zip:
Phone: ( ) Fax: ( )
4. Local jurisdiction for building permits: The Town of Kill Devil Hills Planning and Inspections Department
Point of Contact: Matt Lowcher Phone H: ( 252 ) 449-5312
Form SWU-101 Version 06Aug2012 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater runoff from the developmental activities drain to (3) dry infiltration basins located along
the boundary of the development. Treatment is provided within the infiltration basins that are designed
to provide greater than two times the required storage capacity.
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 Pasquotank River basin.
4. Total Property Area: 2.05 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': 2.05 acres
Total project area shall be calculated to exclude thefollowing: the normal pool of imppounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward fron the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Not -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 = 62.3 %
9. How many drainage areas does the project have? 4 (For high densihj, count I for each proposed engineered
stormwater BMP. For low densihij and other projects, use 1 for the whole properhj 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 4
Receiving Stream Name
Kitty Hawk Bay
Kitty Hawk Bay
Kitty Hawk Bay
Kitty Hawk Bay
Stream Class *
SC
SC
SC
SC
Stream Index Number *
30-19
30-19
30-19
30-19
Total Drainage Area (so
52,990
21,650
798
14,049
On -site Drainage Area (sf)
52,990
21,650
798
14,049
Off -site Drainage Area (sf)
1 0
0
1 0
1 0
Proposed Impervious Area** (so
39,053
15,904
798
0
% Impervious Area** total
73.7%
73.5%
100%
0%
Impervious" Surface Area
DrainageAreal
DrainageAreaZ
DrainageAreaa
Drains Area 4
On -site Buildings/Lots (so
6,760
3,812
0
0
On -site Streets (so
0
0
0
0
On -site Parking (so
32,073
9,939
798
0
On -site Sidewalks (so
220
2,153
0
0
Other on -site (so
0
0
0
0
Future (so
0
0
1 0
1 0
Off -site (so
0
0
0
0
Existing BUA*** (so
0
0
0
0
Total (so:
39,053
15,904
798
0
* Stream Class and Index Number can be determined at: littp.aortal.?icdetir.orgLweblwqlpslcsiilclassificatioiis
* Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
Form SWU-101 Version 06Aug2012 Page 3 of 6

11, How was the off -site impervious area listed above determined? Provide documentation.
Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that maybe subject to more stringent stormwater requirements as per 15A 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 http://portal.ncdenr.org/web/wq/ws/su/bmp-manual.
11 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 hn://portal.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 http://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.ncdenr.org/web/wq/ws/su/statesw/forms does.
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 VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhelp.oriz/pages/onestol2express.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
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 (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
I. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished Floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
�DMIL
b�AA yc
'DMfC
Form S WU-101 Version 06Aug2012 Page 4 of 6

9. Copy of any applicable soils report with the associated SHWT elevations (Please identify DM
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].)
10. A copy of the most current property deed. Deed book: 1726 Page No: 476
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 21-1.1003(e).
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http://www.secretary.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
http://portal.ncdenr.org/web/wq/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) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer: Mark S. Bissell, P.E.
Consulting Firm: Bissell Professional Group
Mailing Address: P.O. Box 1068
City: Kitty Hawk State: NC Zip: 27949
Phone: ( 252 ) 261-3266
Email:—[e-mail]
Fax: (252 ) 261-1760
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been fulled 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 narne 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.
Form SWU-101 Version 06Aug2012 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the 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 , County of
do hereby certify that
before me this _ day of
personally appeared
. and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
X. APPLICANT'S CERTIFICATION
1, (print or type nnnie of person listed in Contact Information, item ]a) Steve Gnmin,ger
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 rules under 5A NCAC 21-I .1000 and any other applicable state stormwater requirements.
w--4-k 6'. �Cou of
personally appeared
before me this o-� day of 1 / ✓ r L 0/3 and acknowledge the due execution of the application for
a stormwater petm4rl . p ttt�sss my hand and official seal, 0 '-r.� I/ f A4.
.c .�� kiE�i 1
s+71-V a
�Jaf
SEAL
My commission expires ` '0'
Form SWU-101 Version 06Aug2012 Page 6 of 6

Permit No.
to be provided y
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality RECEIVED
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form may he photocopied for use as an original
JUN 2 6 2013
DWO Stormwater Manasement Plan Review: ®0/,/�` ji��o
A complete stormwater management plan submittal includes a stormwater management permit ap ati n,
infiltration basin supplement for each system, design calculations, soils report and plans and specifications
showing all stormwater conveyances and system details.
L PROJECT INFORMATION
Project Name : Island Land Centre
Contact Person: Michael C. Casey, Condo Assoc. Registered Agent Phone Number: (252) 4414125
This worksheet applies to: Basin No. lA in Drainage Area 1
(as identified on plans) (from Form SWU-101)
II. DESIGN INFORMATION Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable source
of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
Soil Type Newhan fine sand
Infiltration Rate 1011+
SHWT Elevation 7.5'
Basin Design Parameters
Design Storm 1.0
Design Volume
Drawdown Time 1.6
Basin Dimensions
Basin Size
in/hr or cf/hr/sf (circle appropriate units)
f nsl (Seasonal Nigh Water Table elevation)
inch (1.5 inch event far SA waters, I inch event for others)
c.f.
hrs
ft. x
Basin Volume Provided 3,210.0 c.f.
Basin Elevations
Bottom Elevation 10.0 fmsl
Storage Elevation
Top Elevation
Form SWU-103 Rev.3.99
10.58
11.0
fmsl
fmsl
(irregular geometry see attached plan)
sq. ft. (bottom dimensions)
Top of Basin Area: 3,990 s.f.
Bottom of Basin Area: 2,430 s.f.
Page[ of 3

III. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Mani
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Co
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate .that the following design requirements have been met and supportii
documentation is attached. If the applicant has designated an agent in. the Stormwater Management
Pern
Application Form, the agent may initial below. Attach justification if a requirement has not been met.
Applicants Initials
DM IL a.
System is located 50 feet from class SA waters and 30 feet from other surface waters.
b.
System is located at least 100 feet from water supply wells.
c.
Bottom of system is at least 2 feet above the seasonal high water table.
DM IL d.
Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
�M IC e.
System is not sited on or in fill material or DWQ approval has been obtained.
f.
System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
-�� g.
Drainage area for the device is less than 5 acres.Gr o.rov 4,7-" QATitJ v
bM IL h.
Soils have a minimum hydraulic conductivity of 0.52 in ches per hour and soils report is
attached.
i.
System captures and infiltrates the runoff from the fast 1.0'inch of rainfall (1.5 inch evens
for'areas draining to SA waters ). Design volume. and infiltration calculations attached.
DM IL j.
System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached.
i7M V k. All side, slopes stabilized with vegetated cover are no steeper than 3:1 (H:V). `
IL 1. A pretreatment device such as a catch basin, grease trap, filter strip, grassed Swale or
sediment tiap is provided.
<7M in. Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches
RNn o St:eA(9c or dense vegetative cover is provided.
��s.
( f zo n. Vegetated filter is provided for overflow and detail is shown on plans (Required minimun
"9,u 1T5 length is. 50 feet for SA waters, 30 feet for other waters). t
i7M o. Flow distribution mechanism within the basin is provided.
�� lL p. A benchmark is provided to determine the sediment accumulation in the pretreatment
device.
• nu q. Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
r. System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
t AIL s. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Form SWU-103 Rev 3.99 Page 2 of 3

Permit No.
to be provided y
DWT-
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWO Stormwater Manasement Plan Review:
A complete stormwater management plan submittal includes a stormwater management permit application, an
infiltration basin supplement for each system, design calculations, soils report and plans and specifications
showing all stormwater conveyances and system details.
L PROJECT INFORMATION
Project Name : Island Land Centre
Contact Person: Michael C. Casey, Condo Assoc. Registered Agent Phone Number: (252) 4414125
This worksheet applies to: Basin No. 1 B
(as identified on plans)
in Drainage Area 1
(from Form SWU-101)
11. DESIGN INFORMATION Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable source
of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
Soil Type Newhan fine sand
Infiltration Rate 1011+
SHWT Elevation 7.5'
in/hr or cf/hr/sf (circle appropriate units)
fmsl (Seasonal High Water Table elevation)
Basin Design Parameters
Design Storm 1.0 inch (1.5 inch event for SA waters, I inch event for others)
Design Volume 1,300 c.f.
Drawdown Time 1.79 hrs
Basin Dimensions
Basin Size
(irregular geometry see attached plan)
ft. x it. = sq. ft. (bottom dimensions)
Basin Volume Provided 3,090.0 c.f.
Basin Elevations
Bottom Elevation
Storage Elevation
Top Elevation
10.0
fmsl
10.42
fmsl
11.0
frisl
Top of Basin Area: 4,095 s.f.
Bottom of Basin Area: 2,084 s.f.

III. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Mar,. (N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative G
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate that the following design requirements have been met and support
documentation is attached. If the applicant has designated an agent in. the Stormwater Management Per. Application Form, the agent may initial below. Attach justification if a requirement has not been met.
Applicants Initials
DM IC a•
L��11L b.
C.
System is located 50 feet from class SA
System is not sited on or in fill material or DWQ approval has been obtained.
System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
Drainage area for the device is less than 5 acres. awwpv a cA24T
Soils have a minimum hydraulic conductivity of 0.52 inches per hour and soils report is
attached.
System captures and infiltrates the runoff from the fast 1.0'inch of rainfall (I inch ever
foi area§ draining to SA waters ). Design volume. and infiltration calculations attached.
System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached'.
All side, slopes stabilized with vegetated cover are no steeper than 3:1 (H:V).
A pretreatment device such as a catch basin, grease trap, filter strip, grassed Swale or
sediment trap is provided.
c�>�M,,•L M.
N v �tts6=
�S.
,6. n.
c0mQ' &-0 w/8wv JA
bM K o.
waters and 30 feet from other surface waters.
System is located at least 100 feet from water supply wells.
Bottom of system is at least 2 feet above the seasonal high water table.
d. Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
K e.
g•
t>m IL h.
' — t>A r. . i
�M IL j-
1:�M K k.
DM C P.
N/A
Sac I neLLL- q.
Z� IL r.
Bottom of the device is covered with a layer of clean sand to an average depth of 4 inche
or dense vegetative cover is provided.
Vegetated filter is provided for overflow and detail is shown on plans (Required minimur
length is. 50 feet for SA waters, 30 feet for other waters). �
Flow distribution mechanism within the basin is provided.
A benchmark is provided to determine the sediment accumulation in the pretreatment
device.
Runoff in excess of the design volume bypasses off-line systems (bypass detail provided)
System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
iJ/11L s. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area i
stabilized.
Form SWU-103 Rev 3.99 Page 2 of 3

Permit No.
to be provided y DWO
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater management permit application, an
infiltration basin supplement for each system, design calculations, soils report and plans and specifications
showing all stormwater conveyances and system details.
I. PROJECT INFORMATION
Project Name : Island Land Centre
Contact Person: Michael C. Casey, Condo Assoc. Registered Agent Phone Number: [phone]
This worksheet applies to: Basin No. 2 in Drainage Area 2
(as identified on plans) (from Form SWU-101)
11. DESIGN INFORMATION Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable source
of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
Soil Type Newhan fine sand
Infiltration Rate 1011+
SHWT Elevation 7.5'
in/fir or cf/hr/sf (circle appropriate units)
fmsl (Seasonal High Water Table elevation)
Basin Design Parameters
Design Storm 1.0 inch (1.5 inch eventforSA waters, l inch eventforothers)
Design Volume 1,283
c.f.
Drawdown Time 2.41
his
Basin Dimensions
Basin Size
ft. x_
Basin Volume Provided
2,574.0
c.f.
Basin Elevations
Bottom Elevation
10.0
fmsl
Storage Elevation
10.62
fmsl
Top Elevation
11.25
fmsl
(irregular geometry see attached plan)
ft. = sq. R. (bottom dimensions)
Top of Basin Area: 2,833 s.f.
Bottom of Basin Area: 1,286 s.f.

III. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Mar. (N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative C, Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate that the following design requirements have been met and support
documentation is attached. If the applicant has designated an agent in the Stormwater Management Per,
Application Form, the agent may initial below. Attach justification if a requirement has not been met.
Applicants Initials
DM IL a. System is located 50 feet from class SA waters and 30 feet from other surface waters.
b. System is located at least 100 feet from water supply wells.
IC c. Bottom of system is at least 2 feet above the seasonal high water table.
d. Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
�M K e. System is not sited on or in fill material or DWQ approval has been obtained.
f. System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
g. Drainage area for the device is less than 5 acres.'ccM,t-T<d,t/
�M h. Soils have a minimum hydraulic conductivity of
attached. 0.52 inches per hour and soils report is
i. System captures and infiltrates the runoff from the first 1.0'inch of rainfall 0.5 inch ever
forareas draining to SA waters ). Design volume. and infiltration calculations attached.
�M IL
j. System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached'.
_ k. All side slopes stabilized with vegetated cover are no steeper than 3:1 (H:V). `
1. A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale or
sediment trap is provided.
pM m. Bottom of the device is covered with a layer of clean sand to an average depth of 4 inche
N JfnL or dense vegetative cover is provided.
�JiiO �S.
n. Vegetated filter is provided for overflow and detail is shown on plans (Required minimur
length is 50 feet for SA waters, 30 feet for other waters).
bMC o. Flow distribution mechanism within the basin is provided.
DM ►L P.
N//{
Sac te ns3xt- q.
A benchmark is provided to determine the sediment accumulation in the pretreatment
device.
Runoff in excess of the design volume bypasses off-line systems (bypass detail provided)
System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
iJ/ 11L s. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area i
stabilized.
'Form SWU-103 Rev 3.99 Page 2 of 3

RECEIVE®
JUN .2 6 2013 Permit Number:
(to be provided by DWQ)
Drainage Area Number: "
Infiltration Ba'siiin O-jaAfaq A YP&ntenance 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:
The forebay
The main treatment area
The embankment
The outlet device
Potential problem:
Sediment has accumulated
and reduced the depth to 75%
of the original design depth.
Erosion has occurred or
riprap is displaced.
Weeds are present.
A visible layer of sediment
has accumulated.
Water is standing more thi
5 days after a storm event.
Weeds and noxious plants are
growing in the main
treatment area.
Shrubs or trees have started
to grow on the embankment.
An annual inspection by an
appropriate professional
shows that the embankment
needs reoair.
Clogging has occurred
How I will remediate the problem:
Search for the source of the
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.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
Search for the source of the
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
Replace the top few inches of filter
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.
Remove the plants by hand or by
wiping them with pesticide (do not
Remove shrubs or trees
Make all needed repairs.
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)
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: Island Land Centre
BMP drainage area number:
Print name: Steve Gruninger, Vice President for First South Bank
Title: Member Manager
Address: P.O. Box 2047, Washington, NC 27889
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, M aA.,- � , a Notary Public for the State of
&AAA 6kn ltrL County of Bet„ A..L ! , do hereby certify that
✓ e— G A,-�,v personally appeared before me this ::�6
day of tr✓ ,x_ %'�/3, and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
ttot 40000o0I 00
4 q Np j� a••°
lot
SEAL
My commission expires // �✓ �Di �/y
Form SW401-Infiltration Basin O&M-Rev.3 Page 3 of 3

Permit Number:
(to be provided by DWQ)
Drainage Area Number: Q
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:
treatment area
The embankment
The outlet device
The receiving water
Sediment has accumulated
and reduced the depth to 75%
of the original design depth.
Erosion has occurred or
riprap is displaced.
Weeds are present.
A visible layer of
has accumulated.
Water is standing more than
5 days after a storm event.
Weeds and noxious plants are
growing in the main
treatment area.
Shrubs or trees have started
to grow on the embankment.
An annual inspection by an
appropriate professional
shows that the embankment
needs repair.
Clogging has occurred
The outlet device is damaged
Erosion or other signs of
damage have occurred at the
outlet.
How I will remediate the problem:
Search for the source of the
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.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
Search for the source of the
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
Replace the top few inches of filter
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.
Remove the plants by hand or by
wiping them with pesticide (do not
Remove shrubs or trees
Make all needed repairs.
Clean out the outlet device. Dispose
of the sediment off -site.
Repair or replace the outlet device.
Contact the NC Division of Water
Quality 401 Oversight Unit at 919-
733-1786.
Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3

Permit Number:
(to be provided by DWQ)
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: Island Land Centre
BMP drainage area number:
Print name: Steve Gruninger, Vice President for First South Bank
Title: Member Manager
Address: P.O. Box 2047, Washington, NC 27889
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, J a Notary Public for the State of
/✓i, nt �i.. 1 J� County of J6 e4t--J 140- . , do hereby certify that
j9-�o Al I,- f G*_ personally appeared before me this
day of;T,,$.-<— , "/ 3 , and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
•
Ye�e44 nneeee•`ee .
SEAL
My commission expires lk �P✓ 3v, ;ze)l1
Form SW401-Infiltration Basin O&M-Rev.3 Page 3 of 3

������� Permit No. S W 0
tl to beprovided by
State of North Carolina
JUL 0 12005 Department of Environment and Natural Resources
((�� 11An1'pppp((�� Division of Water Quality
DWY�S�b,YiNi'bVATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater management permit application, an
infiltration basin supplement for each system, design calculations, soils report and plans and specifications
showing all stormwater conveyances and system details.
I. PROJECT INFORMATION
Project Name : Island Land Center
Contact Person: Jim Geraghty Phone Number: 1252 261-4010
This worksheet applies to: Basin No.
1
(as identified on plans)
in Drainage Area 1
(from Form SWU-101)
II. DESIGN INFORMATION Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable source
of soils information. All elevations shall be in feet mean sea level (first).
Soils Report Summary
Soil Type
Newhan fine sand
Infiltration Rate
1011+
SHWT Elevation
7.5'
Basin Design Parameters
Design Storm
1.0
Design Volume
1051
Drawdown Time
1.4
Basin Dimensions
Basin Size
ft.�
Basin Volume Provided
3,706.5
Basin Elevations
Bottom Elevation
10.0
Storage Elevation
10.28
Top Elevation
11.0
in/hr or cfq r/sf (circle appropriate units)
finsl (Seasonal High Water Table elevation)
inch (1.5 inch event for SA waters, I inch eventfor others)
c.f.
hrs
(irregular geometry see attached plan)
ft. = sq. ft. (bottom dimensions)
c.f. Top of Basin Area: 4,175 s.f.
Bottom of Basin Area: 3,238 s.f.
fmsl
fmsl
fmsl
Form SWU-103 Rev.3.99
Pagel of 3

IIl. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Qoe,
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate -that the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in. the Stormwater Management Permit
Application Form, the agent may initial below. Attach justification if a requirement has not been met.
Applicants Initials
bmrz
a.
System is located 50 feet from class SA waters and 30 feet from other, surface waters.
Drn M
b.
System is located at least 100 feet from water supply wells.
L)M V,
c.
Bottom of system is at least 2 feet above theseasonal high-water table.
bM(Z-
d.
Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
t>M(Z.
e.
System is not sited on or in fill material or DWQ approval has been obtained.
f.
System. is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
�'>MfL
g.
Drainage area for the device is less than 5 acres.'
bM 2
h.
Soils have a minimum hydraulic conductivity of 0.52 inches per hour and soils report is
attached. Y
bMV,
i.
System captures and infiltrates the runoff from the fast 10'inch.of rainfall (1.5 inch event
for areas:diaining to SA waters ). Design volume. and infiltratioh c'alcul'ations attached.
DMR-
j.
System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached.
d�
k.
All side slopes stabilized with vegetated cover are -no -steeper than 3:1 (H:V).
DM1Z
1.
A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale or
sediment trap is provided.
DMfL
in.
Bottom of the device is covered with a layer of clean sand to arkaverage depth of 4 inches
a/'a Pizov,eeA
or dense vegetative cover is provided.
3TORJtlsE IN
Sx a P-
n.
Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
"`"
length is 50.feet for SA waters, 30 feet for other waters). t
bMQ-
o.
Flow distribution mechanism within the basin is provided.
DM2
p.
A benchmark is provided to determine the sediment accumulation in the pretreatment
device.
(56E NOTE N.)
q.
Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
r.
System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
I�M1Z
s.
Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Form SWU-103 Rev 3.99 - Page 2 of 3

IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
1. After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stormwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
/ AuS L
When the design depth reads 10. ZS feet in the pretreatment unit, the sediment shall be
removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
I acknowledge and agree by my signature below that I am responsible for the performance of the five
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and
s,
E
!Vote: The IegaN,vrss'ponsible 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, I�/�LLt4 L� • ��A-f ! t✓(1 , a Notary Public for the State of l 4, County of ^L t
'''' '''' """" ��_� do hereby certify that G personally appeared before me this Sk
day ofZDO>r' , and acknowledge the due execution of the orgoing infiltration basin maintenance requirements.
Witness my hand and official seal,
SEAL
am
IAL SEAL'lic, North Carolinanty of Dere W. Warren� s4/10/2010
My commission expires "'f • ( O • ( t7
Page 3 of 3

1
Permit No. Sw (o-�-07o'
(to e provi e y�
JUL 0 12005 State of North Carolina
Department of Environment and Natural Resources
®lp/Q.1A//t p0 Division of Water Quality
YY tlVf1SIlTORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This farm may be photocopied for use as an original
DWQ Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater management permit application, an
infiltration basin supplement for each system, design calculations, soils report and plans and specifications
showing all stormwater conveyances and system details.
I. PROJECT INFORMATION
Project Name : Island Land Center
Contact Person: Jim Geraghty Phone Number: 1252 261-4010
This worksheet applies to: Basin No. 2 in Drainage Area 2
(as identified on plans) (from Form SWU-101)
II. DESIGN INFORMATION Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable source
of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
Soil Type Newhan fine sand
Infiltration Rate
SHWT Elevation
Basin Design Parameters
Design Storm
Design Volume
Drawdown Time
Basin Dimensions
Basin Size
1011+ in/hr or cf)hr/Sf (circle appropriate units)
7.5'
1.0
1861
1.46
fmsl (Seasonal High Water Table elevation)
inch (1.5 inch event jar SA waters, I inch event for others)
c.f.
hrs
ft.x
Basin Volume Provided 4,120.0 c.f.
Basin Elevations
Bottom Elevation
Storage Elevation
Top Elevation
10.0
fmsl
10.45
fmsl
11.0
fmsl
(irregular geometry see attached plan)
ft. = sq. ft. (bottom dimensions)
Top of Basin Area: 4,846 s.f.
Bottom of Basin Area: 3,393 s.f.

III. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
0
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative c_oe
Section: 15 A NCAC 211.1008.
Initial in the space provided to indicate .that the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in. the Stormwater Management Permit
Application Form, the agent may initial below. Attach justification if a requirement has not been met.
Applicants Initials
DM 2 a. System is located 50 feet from class SA waters and 30 feet from other surface waters.
DM iZ b. System is located at least 100 feet from water supply wells.
MV, c. Bottom of system is at least 2 feet above the seasonal -high water table.
WA12- d. Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
bM fL, e. System is not sited on or in fill material or DWQ approval has been obtained.
�M2 f. System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
AMR g. Drainage area for the device is less than 5 acres.
DM 2 h. Soils have a minimum hydrau}ic conductivity of 0.52 inches per hour and soils report is
attached.
DMt� i. System captures and infiltrates the runoff fioni the first 1.01incli ot}raitifall (1 S imlt event
for areas draining to SA waters ). Design vblume: and infrltratibii calcuiations attached.
DM2 j. System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attaehed:
'6MIZ k. All side slopes stabilized with vegetated cover are no steeper than 3:1 (H:V).
6M2 1.
A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale or
sediment trap is provided.
pMR- in.
Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches
u/.APriovmEA
or dense vegetative cover is provided.
sTORAW W
SK Mr n.
Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
'AA&r;;,
length is 50.feet for SA waters, 30 feet for other waters).
DN►2 o.
Flow distribution mechanism within the basin is provided.
�MR' p.
A benchmark is provided to detemune the sediment accumulation in the pretreatment
device.
(5" NOTE N. q.
Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
r.
System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days.. A soils report and all
pertinent draw -down calculations are attached.
DMiZ s.
Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Form SWU-103 Rev 3.99 Page 2 of 3

IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
1. After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stormwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
M5L
When the design depth reads 10-ZS feet in the pretreatment unit, the sediment shall be
removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
I acknowledge and agree by my signature below that I am responsible for the performance of the five
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.
�i�V-n�S�l:,�S' \MAMCls �(ky� Print Name and Title:_ „ Y�,�tn
0 • �o k 1 � n—r7 k . (�1 �A Arlrirrss- a r r. � 1 i 7 \ TO )L --? 9 ((el
3kr
Note.' The legr Wresponsible 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, l•_.) . LA-')Q r lLn ,,aallotary Public for the State of , lyj�f County of
�0.i�-fl-� do hereby certify that(: �bl�YY1 personally appeared before me this 2119
day of4(.y k ,ZCOS , and acknowledge the due execution of the forgoing infiltration basin maintenance requirements.
Witness my hand and official seal, ,
Notary Public. North Carolina
County of Dare
Nancy W. Warren
My commission expires � • 1 O . I C)
Page 3 of 3

RECEIVED
JUL 0 12005
Permit No. SWg05070(
to ve provided y
1A/
State of North Carolina
®WQ"WARO Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater management permit application, an
infiltration basin supplement for each system, design calculations, soils report and plans and specifications
showing all stormwater conveyances and system details.
I. PROJECT INFORMATION
Project Name : Island Land Center
Contact Person: Jim Geraghty Phone Number: 1252 261-4010
This worksheet applies to: Basin No. 3 in Drainage Area 3
(as identified on plans) (from Form SWU-101)
H. DESIGN INFORMATION Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable source
of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
Soil Type Newhan fine sand
Infiltration Rate 1011+
SHWT Elevation 7.5'
Basin Design Parameters
Design Storm 1.0
Design Volume 1390
Drawdown Time 13.24
Basin Dimensions
Basin Size
in/hr or ef/hr/sf (circle appropriate units)
fmsl (Seasonal High Water Table elevation)
inch (1.5 inch event for SA waters, I inch event for others)
c.f.
hrs
ft. x
(irregular geometry see attached plan)
ft. = sq. ft. (bottom dimensions)
Basin Volume Provided 3,516.3 c.f. Top of Basin Area: 2,493 s.f.
Bottom of Basin Area: 320 s.f.
Basin Elevations
Bottom Elevation 10.0 fmsl
Storage Elevation 10.99 fmsl
Top Elevation 12.5 fmsl

III. REQUIRED ITEMS CHECKLIST
e
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Cod
Section: 15 A NCAC 211.1008.
Initial in the space provided to indicate .that the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in. the Stormwater Management Permit
Application Form, the agent may initial below. Attach justification if a requirement has not been met.
Applicants Initials
flMIZ a. System is located 50 feet from class SA waters and 30 feet from other surface waters.
Dwt fZ b. System is located at least 100 feet from water supply wells.
nAiL c. Bottom of system is at least 2 feet above the seasonal high water table.
DAIIZ d. Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
e. System is not sited on or in fill material or DWQ approval has been obtained.
DMrL f. System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
[�>M(L g.
Drainage area for the device is less than 5 acres.
DM 2 h.
Soils have a minimum hydraulic conductivity of 0.52 inches per hour and soils report is
attached.
�Mf(, i.
System captures and infiltrates the runoff ftom the first l O'inch of rainfall (1S inch event
for areas draining to SA waters ). Design volume. and infiltration calculations attached.
DMIL j_
System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached.
dM� k.
All side slopes stabilized with vegetated cover are no steeper than 3:1 (H:V). `
bmiz 1.
pM2 in. Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches
or dense vegetative cover is provided.
N/,!, Przcv,eea
aToRAir6 uo
SL4 a t" n. Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
.r, &C- length is 50.feet for SA waters, 30 feet for other waters).
A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale or
sediment trap is provided.
pnti2 0.
NAP, P.
�5 _E NOTE N. q.
()6A R- r.
Flow distribution mechanism within the basin is provided.
A benchmark is provided to determine the sediment accumulation in the pretreatment
device.
Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
()MfL s. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Form SWU-103 Rev 3.99 - — Page 2 of 3

IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
1. After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stormwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
When the design depth reads 10• 62.c feet n the pretreatment unit, the sediment shall be
removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
I acknowledge and agree by my signature below that I am responsible for the performance of the five
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 pa
Print Name and Tit Ie� l!I/CC S li �Ct ( GJ mr- K CV- <, I 1 _ �4tlr �jx p
Address: V• U. 'b k U 0 11, v J C a v
Phone: ( 1 l7 Date: a
Signatur
Note: The le Ify sponsible 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. /
LAD• Lah_r,"a� �V , a Notary Public for the State of 'o ounty of
do hereby certify that ^+ M� personally appeared before me this
day of , ?—DQ?and acknowledge the due execution of the rgoing i filtration basin maintenance requirements.
hand and official seat,
Notary Public, North Carolina
County of Dare
Nancy W. Warren
11! Commission Expires 4/10/2010
commission expires .4 • ( C) - t o
Page 3 of 3