SW7091003_CURRENT PERMIT_20110221

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

�&PtA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 21, 2011
Mr. Israel Golasa, Manager
G. Holdings, LLC
PO Box 120
Kitty Hawk, NC 27949
Subject: Stormwater Permit No. SW7091003 Modification
Monteray Greens
High Density Project
Currituck County
Dear Mr. Golasa:
The Washington Regional Office received a complete Stormwater Management Permit
Modification Application for Monteray Greens (formerly Corolla Fun Park) on February 7, 2011.
Staff review of the plans and specifications has determined that the project, as proposed, will
comply with the Stormwater Regulations set forth in Session Law 2008-211 and Title 15A
NCAC 2H.1000. We are forwarding Permit No. SW7091003 Modification dated February 21,
2011, for the construction of the subject project. i
This permit shall be effective from the date of issuance until February 21, 2021, shall void
Permit No. SW7091003, dated October 22, 2009 and shall be subject to the conditions and
limitations as specified therein. Please pay special attention to the Operation and
Maintenance requirements in this permit. Failure to establish an adequate system for operation
and maintenance of the stormwater management system will result in future compliance
problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have
the right to request an adjudicatory hearing upon written request within thirty .(30) days
following receipt of this permit. This request must be in the form of a written petition,
conforming to Chapter 150E 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 Samir Dumpor, or me at [phone].
iAi hoage r— \L& ,
Regional Supervisor
Surface Water Protection Section
AH/sd: K:\SD\Permits - Infiltration\SW7091003
cc: Michael Morway, PE, Albemarle & Associates, Ltd.
Currituck County Building Inspections
LAashington Regional Office
North Carolina Division of Water Quality Internet'. www. ncwalcraualityorg
943 Washington Square Mall Phone: [phone] One
Washington, NC 27889 FAX [phone] NorthCarofiina
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper ;VQtural&

State Stormwater Management Systems
Permit No. SW7091003 Modification
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
G. Holdings, LLC
Monteray Greens
Currituck County
FOR THE
construction, operation and maintenance of 3 infiltration basins, in compliance with the
provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter referred to as the
"stormwater rules') and the approved stormwater management plans and specifications
and other supporting data as attached and on file with and approved by the Division of
Water Quality and considered a part of this permit. This modification is to reduce the size
of the project from 3 parcels as originally permitted to 2 parcels. One parcel with a 27-hole
miniature golf course and the other with a "spin zone" facility are proposed in this
Modification.
This permit shall be effective from the date of issuance until February 21, 2021, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 on page 3 of this permit. The stormwater control
has been designed to handle the runoff from total of 45,810 square feet of
impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section 1.7 on
page 3 of this permit, and as shown on the approved plans.
4. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be
recorded showing all such required easements, in accordance with the approved
plans.
5. The runoff from all built -upon area within the permitted drainage area of this project
must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 50 feet
landward of all surface waters.
7. The following design criteria have been permitted for the infiltration basin and must
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7091003 Modification
be provided and maintained at design condition:
INFILTRATION BASIN$
BASIN #1
BASIN #2
a.
Drainage Area,
39,543
11
1,1
b.
Total Impervious Surfaces, ft2:
23,956
7,651
C.
Design Storm, inches:
1.5
1.5
d.
Basin Depth, feet:
2.50
2.50
e.
Bottom Elevation, FMSI2:
6.50
6.50
f.
Bottom Surface Area, ft :
1,329
173
g.
Bypass Weir Elevation, FMSy
9.00
9.00
h.
Permitted Storage Volume, ft :
5,508
1,624
i.
Type of Soil: Corolla Fine Sand
Newhan-Corolla
j.
Expected Infiltration Rate, in/hr:
20.00
20.0
k.
Seasonal High Water Table, FMSL:
4.50
4.50
I.
Time to Draw Down, days:
1.0
1.0
M.
Receiving Stream/River Basin:
Currituck Sound
/ Pasquotank
n.
Stream Index Number:
30-1
o.
Classification of Water Body:
"SC"
a. urainage Area, r<:
b. Total Impervious Surfaces, ft2:
C. Design Storm, inches:
d. Basin Depth, feet:
e. Bottom Elevation, FMS�:
f. Bottom Surface Area, ft :
g. Bypass Weir Elevation, FMSL:
h. Permitted Storage Volume, ft
i. Type of Soil:
j. Expected Infiltration Rate, in/hr:
k. Seasonal High Water Table, FMSL:
I. Time to Draw Down, days:
M. Receiving Stream/River Basin:
n. Stream Index Number:
o. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
14,203
1.5
1.00
4.50
1,300
5.50
2,110
Osier Fine Sand
20.00
1.50
1.0
Currituck Sound / Pasquotank
30-1
"SC"
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.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW7091003 Modification
4. Records of maintenance activities must be kept for each permitted BMP. The
reports 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. 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.
7. 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.
8. Access to the stormwater facilities shall be maintained via appropriate easements at
all times.
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 at all times.
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 to any person or entity except after notice to and
approval by the Director. In the event of a change of ownership, or a name change,
the permittee must submit a completed Name/Ownership Change form to the
Division of Water Quality, signed by both parties, and accompanied by the
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7091003 Modification
appropriate documentation as listed on page 2 of the form. The approval of this
request will be considered on its merits and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such time
as the Division approves the transfer request.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or
replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated. The
permit may be modified, revoked and reissued or terminated for cause. The filing of
a request for a permit modification, revocation and reissuance or termination does
not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
controls must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference and
are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit as
allowed by the laws, rules and regulations contained in Session Law 2008-211, Title
15A NCAC 2H.1000, and NCGS 143-215.1 et. al.
11. The permittee shall notify the Division in writing of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until February 21, 2021.
Application for permit renewal shall be submitted 180 days prior to the expiration
date of this permit and must be accompanied by the processing fee.
Permit issued this the 21th day of February, 2011.
1\10)�RTH C2OLINA ENVIRONMENTAL MANAGEMENT COMMISSION
II\'
for
C' leen H. Su tins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7091003
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7091003 Modification
Monteray Greens
Stormwater Permit No. SW7091003 Modification
Currituck County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full time)
the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

atate atormwater management Systems
Permit No. SW7091003 Modification
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The bypass structure weir elevation is per the approved plan.
6. The bypass structure is located per the approved plans.
7. A Trash Rack is provided on the bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been provided.
12. All required design depths are provided.
13. All required parts of the system are provided.
14. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Currituck County Building Inspections
Page 7 of 7

I m rl be a e
& ASSOCIATES, LTD.
June 12, 2012
NCDENR - Division of Water Quality
943 Washington Square Mall
Washington, NC, 27889
ATTN: Ms. Samir Dumpor
RE: Stormwater Permit SW7091003 Modification
Monteray Greens, Currituck County, North Carolina
FINAL CERTIFICATION
Dear Samir:'
RECEIVED
J U N 2 6 2012
DWQ-WAR®
Find attached the final certification for the above. The site stormwater management
system is properly installed and I witnessed its functioning during the recent heavy
rainfall events. If I can provide any additional information, please do not hesitate to
contact me.
cc:'" '-File 7819E (350)
G Holdings, LLC
Land Planning - Engineering - Surveying - Environmental - Construction Management
P.O. Box 3989, 115 W. Saint Clair St., Kill Devil Hills, North Carolina 27948
Phone: [phone] www.AlbemarleAssociates.com Fax: [phone]

sios U 6lw

State Stormwater Management Systems
Permit No. SW7091003 Modification
Monteray Greens RECEIVE®
Stormwater Permit No. SW7091003 Modification
Currituck County
JUN 2 6 2012
Designer's Certification
-�- _ ®WQ-WARO
I, .A9i(KJ tl l )P�jCA , as a duly registered in the
State of North Carolina, having been authorized to observe eriodicall / weekly/ full time)
the construction of the project,
?d 9
(Project)
for a� /t7 LD1006,�> LOL �— (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:
/ �•'�qH `AR
Signature •Q SEAL
16759
Registratio umberGIN
/(0 7 p ;•
Date ��/O/ Z- 'ti '••'
Page 6 of 7

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State Stormwater Management Systems
Permit No. SW7091003 Modification
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
x 2. The drainage area to the system contains no mare tt�aR e t ejrmitted
amount of brult-upon area. A-ME7 1601 SirA7Dir e - Doi K
>C 3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
7,'—' 5. The bypass structure weir elevation is per the approved plan.
2�- 6. The bypass structure is located per the approved plans.
7. A Trash Rack is provided on the bypass structure.
JC 8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
>C 10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
_ ZL 11. The permitted amounts of surface area and/or volume have been provided.
pC 12. All required design depths are provided.
x 13. All required parts of the system are provided.
14. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Currituck County Building Inspections RECEIVED
J U N 2 6 2012
®WQ-WARO
Page 7 of 7

DWQ USE ONLY
Fee Paid Ctu 8 L
Permit Number witi Md':t
`.il 32SG _ 4t no
Sw -1 Oct too 3
Applical u(e Z I� Coastal SW -1995 ❑Coastal SW - 2008 ❑ Ph II- Post Construction
(select alljjjj a y) UU��fjj Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
Other WQ M mt Plan:
State of North Carolina wa-
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Monteray Greens
2. Location of Project (street address):
810 Ocean Trail
City:Corolla County:Currituck Zip:27927
3. Directions to project (from nearest major intersection):
From the intersection of NC-12 and US-158, proceed north along NC-12 to Corolla. From the signalized
intersection with Albecore Street, continue north 600 feet and turn left onto Malia Drive. The site is
immediately on the left
4. T.atitude:36° 19' 42" N Longitude:75* 4W 06" W of the main entrance to the project.
11. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a 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 Ietter from DWQ
requesting a state stormwater management permit application, list the stormwater proiec-i uant—r, if
assigned, and the previous name of the project, if diffPre _t i-h _ crrrr�nt;y
proposed,
" obtained by contacting, the Customer Service Center at 1-877 623-67 48): _ —. _ ,
❑LAMA ".Tajo. ®Sedimentation/Erosion Control: _
❑NPDES Industrial Stormwater 0404/401 Permit: Proposed Impacts
ac of Disturbed Area
h.Tf any of these permits have already been acquired please provide the Project Name, Project/Permit Nnmher,
issue date and the type of each permit

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 theyroiect):
Applicant/Organization:G Holdings . LA—C
Signing Official & Title:lsrael Golasa 4 A6oj�,�c
1 '
b. Contact information for person listed in item la above:
Street Address:2229 S. Croatan Highway
City:Nags Head State:NC Zip:27959
Mailing Address (if applicable):PO Box 120
City:Kitty Hawk State:NC Zip:27949
Phone: (252 ) 480-0009 Fax: (252 ) 480-0889
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
Signing Official &
b. Contact information for person listed in item 2a above:
Street Address:
Mailing Address
City:
Phone:
State:
State:
Fax: ( )
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official & Title:
b. Contact information for person listed in item 3a above:
Mailing Address:
City: State:
Phone: ( ) Fax: ( )

4. Local jurisdiction for building permits:
Point of Contact: Phone #:
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Runoff from will sheet flow across pervious and impervious surfaces and be directed to infiltration basins
located along the perimeter of the site
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.Identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Pasquotank River basin.
4. Total Property Area: 2.06 acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 2.06 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:2.06 acres
Total project area shall be calculated to exclude thefollowing. the normal pool of imppounded strictures, the area
between the banks of streams and rivers, the area below the Normal High Water (N;q line or Mean High Water
W) (MHline, and coastal wetlands landward from the NHW (or MIX line. The resultant project area is used to
calculate overall percent built upon area (B UA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 51 %
9. How many drainage areas does the project have?7 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.

Basin Information
Drainage Area 1
Drainage Area 2
Drainage Area 3
Drainage Area _
Receiving Stream Name
Currituck Sound
Currituck Sound
Currituck Sound
Stream Class *
SC
SC
SC
Stream Index Number *
30-1
30-1
30-1
Total Drainage Area (so
39,543
11,113
39,027
On -site Drainage Area (so
39,543
11,113
39,027
Off -site Drainage Area (s0
0
0
0
Pro osed Im ervious Area*' s
23,956 V
7,651 V
14,203 V
% Impervious Area total)
(Of �/
(�;, °c- �/'
'
Impervious" Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area 3
Drainage Area 4
On -site Buildings/Lots (so
4,830
2,123
234
On -site Streets (so
On -site Parking (so
16,136
5,458
On -site Sidewalks (so
2,990
70
3,695
Other on -site (so
10,274
Future (so
Off -site (so
Existing BUA*** (so
Total (so:
1 23,956 J
7,651 V
14,203 V
* Stream Class and Index Number can be determined at: htty://h2o.enr.state.tic.us/bimsheports/reportsWB.htmI
" Imyervious 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 B UA.
11. How was the off -site impervious area listed above determined? Provide documentation. AutoCAD
Projects in Union County: Contact DWQ Central Ojjice staff to check ifthe project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per NCAC 01B .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 hqp://h2o.enr.state.nc.us/su/bmp forms.htm.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from hqp://h2o.enr.state.nc.us/su/bmp forms.htm. The complete application
package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating
project on the interactive online map at htto://h2o.enr.state.nc.us/su/msi maps.htm.)
Please indicate that the following required information have been provided by initialing in the space provided for
each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions for
each submitted application package from ham://h2o.enr.state.nc.us/su/bmp forms.htm.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. F6 M
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants N(A
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M Mh
agreement(s) for each BMP. ,
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to ��A
http://www.envhelp.org/pages/onestoWxpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)

5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
I. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify �S
elevations in addition to depths) as wet] 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 verify the SHWF prior
to submittal, [phone].) 1% Z o ` 4I> 10. A copy of the most current property deed. Deed book: 1 t 0 "5' Page No: O 16 c'1 r � �.r� ) r
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC V
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
h!W://www.secretaly.state.nc.us/Corl2orations/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
httD://h2o.enr.state.nc.us/su/bmD forms.htmadeed restrictions. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot.

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.Michael T. Morway, PE
Consulting Firm: Albemarle & Associates. Ltd.
Mailing Address:PO Box 3989
City:Kill Devil Hills State:NC Zip:27948
Phone: (252 ) 4�1-2113 Fax: (252 ) 441-0965
Email:[e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
1, (print or type name of person listed in Contact Information, item 2a) certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item la) with (print or type name of organization listed in
Contact Information, item Ib) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
a Notary Public for the State of . County of
do hereby certify that
personally appeared
before me this _ day of , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission

X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 2) = S Z A,E L G oLfA SP\
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 stormwatear rr'u11lees�s under 15A NCAC 2H .1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211.
LpJ Signature: vlz/ Date: Z • 2 • I I
I, -ai e%Un. fyl—t;VZ211 a Notary Public for the State of A!o 4k (IA,, j w , County of
_1i, rt do hereby certify that � s rcc.a' (' n�_I In <._. personally appeared
before me this ����
day of _\ _')o I ( . an owledge the due executio of the application for
a stormwater permit. Witness my hand and official seal,
[ATRICIA M. ORAY
NOTARY PUBLIC
DARE COUNTY, NC
SEAL
My commission expiresjolt

EXPRESS Permit No.S W-70cl 003 OAC4
FEB 07 2011 (to be provided by DWQ)
A p����++ �jC���� doe wargyL
NV Wt.MY A ER MANAGEMENT PERMIT APPLICATION FORM h o�
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
Contact Person
Phone Number
Date
Drainage Area Number
Drainage area
Impervious area
Percent impervious
Design rainfall depth
Peak Flow Calculations
1-yr, 24-hr rainfall depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr discharge
Post -development 1-yr, 24-hr discharge
Pre/Post 1-yr, 24-hr peak flow control
Storage Volume: Non -SA Waters
Minimum design volume required
Design volume provided
Storage Volume: SA Waters
1.5' runoff volume
Pre -development 1-yr, 24-hr runoff volume
Post -development 1-yr, 24-hr runoff volume
Minimum required volume
Volume provided
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage Surface Area
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom Surface Area
Monteray Greens
Michael J. Morway, PE
252-441-2113
39,543.00 ftz ✓
23,956.00 fl? 1✓
0.61 % ✓
1.50 in
3.17
in
0.13
in/hr
0.02
ft3/sec
0.08
ff3/sec
0.06
folsec
2,942.00 ff3
5,508.00 it' ✓ OK for non -SA waters
n/a ft3
ff3
ft3
ft3
ff3
CoB
20.00 in/hr
4.50 fmsl
1.00
days J OK
3.00
:1 OK
6.50
fmsl OK
9.00
fmsl
3,077.00
ftz
9.00
fmsl
varies ft
varies It
1,329.00 ft" J
Form SW401-Innaration Basin-Rev.4 Parts I. a 11. Design Summary, Page 1 of 2

Permit No.
(to be provided by DWQ)
Additional Information
Maximum runoff to each inlet to the basin?
1.50
actin
OK
Length of vegetative filter for overflow
30.00
ft
OK
Distance to structure
>50'
ft
OK
Distance from surface waters
>50'
ft
OK
Distance from water supplywell(s)
>50'
It
OK
Separation from impervious soil layer
>24"
It
OK
Naturally occudng soil above shwt
24'
ft
OK
Bottom covered with 4-in of clean sand?
y
(Y or N)
OK
Proposed drainage easement provided?
nla
(Y or N)
OK
Capures all runoff at ultimate build -out?
y
(Y or N)
OK
Bypass provided for larger storms?
y
(Y or N)
OK
Pretreatment device provided
:urb inlet with sump
Form SW401-Infiltration Basin-Rev.4 Pans 1. & u. Design Summary, Page 2 of 2

Permit No.
(to be provided by DWQ)
III. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Pagel Plan
Initials Sheet No.
MSV\' czc> 1 1. Plans (1" - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Basin dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement.
L C3c0� 2. Partial plan (1" = 30' or larger) and details for the infiltration basin showing:
- Bypass structure,
- Maintenance access,
- Basin bottom dimensions,
- Basin cross-section with benchmark for sediment cleanout,
- Flow distribution detail for inflow,
Vegetated filter, and
Pretreatment device.
VISN C9_00� 3. Section view of the infiltration basin (1" = 20' or larger) showing:
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
M
� Sr� C` 4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
"'
1N WW—NrJ� 5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
Ii C \O k 6. A construction sequence that shows how the infiltration basin will be protected from sediment unfit the
entire drainage area is stabilized.
-� 7. The supporting calculations.
1� 8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
tli _Nk 9. A copy of the deed restrictions (if required).
Form SW401-Infiltration Basin-Rev.4 Page 1 of 1 Pan III. Required Items Checklist, Page 11 of 1

Volumetric Runoff Calculations
Simple Method
Project Name: Monteray Greens
Project Area Description - DRAINAGE AREA #1
Basin Information
existing
0
0
0
0
0
0
0
0
existing (to
remain)
0
0
0
0
0
0
0
0
proposed
(additional)
4,830
0
16,136
2,990
0
0
0
23,956
Receiving Stream Name
Receiving Stream Class & Index Number
SC
Drainage Area
39,543 SF
Existing Impervious Area
0 SF
Proposed Impervious Area
23,956 SF
% Impervious Area (total)
60.6%
Impervious Surface Area
On -site Buildings or Lot BUA
4,830 SF
On -site Streets
0 SF
On -site Parking
16,136 SF
On -site Sidewalks
2,990 SF
Other on -site
0 SF
Future
0 SF
Off -site
0 SF
Total:
23,956 SF
Runoff Calculations (Simple Method)
NCDENR
Design Runoff (in)
1.5
V
0
6
Total Area (sf)
39,543
39,543
39,543
Coverage
60.6%
0.0%
60.6%
R(v)
0.595
/
0.050
0.595
Rainfall Volume
2,942
c/
0
11,769
NCDENR 1.5 : 2,942

STORMWATER MANAGEMENT CALCULATIONS - INFILTRATION BASIN DESIGN
Project
Drainage Area
Infiltration Basin
Infiltration Basin Information
Monteray Greens By: mjm
1 Date : 02/02/11
elevation
area
(msl)
A
Storage Elevation:
9.0
3,077
Bottom of basin:
6.5
1,329
ESHWT Elev.:
4.5
(msl)
Permeability:
20.0
(in/hr)
Available Storage Volume:
5,508
(cf)
Required NCDENR Volume:
2,942
(cf)
NCDENR Drawdown Calculations
Average Hydraulic Gradient:
1.6
(ft/ft)
Drawdown Rate:
1.657
(cfs)
NCDENR Drawdown Time:
0.04
Days
10 yr, 2 hr management capabilities
10 yr, 2 hr rainfall:
3.11
(inches)
Runoff Volume:
6,100
(Cf)
Basin Volume:
5,508
(cf)
2-hr Infiltration Volume:
11,933
(CD
Additional Storage:
(Cf)
Total Volume Managed:
17,440
(cf)
1
OY
Prepared by Albemarle and Associates, Ltd.

Peak Runoff Calculations
Project Name:
Greens
#1
Drainage Area = 0.91 (ac)
Impervious Area
On -site Buildings or Lot BUA
On -site Streets
On -site Parking
On -site Sidewalks/Concrete
Other on -site
Pervious Area
Remaining
Runoff Rate (excluding storage c
Area "C"
(ac)
0.11
1.00
0.00
0.95
0.37
0.95
0.07
0.95
0.00
0.95
0.36 0.20
Total: 0.91
Design Event :
Weighted Runoff Coefficient:
Average Intensity:
stdevelooed Peak Discharge:
Impervious Area
On -site Buildings or Lot BUA
On -site Streets
On -site Parking
On -site Sidewalks/Concrete
Other on -site
Pervious Area
Remaining
year
hour
1
24
0.66
0.132
(in/hr)
0.079
(cfs - into BMP)
(excluding storage devices)
Area
"C"
(ac)
C*A
0.11
0.00
0.35
0.07
0.00
HN
MM
depth
3.17
C*A
0.00
1.00
0.00
0.00
0.95
0.00
0.00
0.95
0.00
0.00
0.95
0.00
0.00
0.95
0.00
0.91
0.20
0.18
Total: 0.91
0.18
Design Event,
year
1
Weighted Runoff Coefficient:
0.20
Average Intensity:
0.132
levelooed Peak Discharge :
0.024
hour depth
24 3.17
(in/hr)
Postdeveloped Peak Discharge: 0.112 (cfs - see calculations from BMP)

PermitNumber:�
(to be provided by DWQ)
Drainage Area Number: l
Infiltration Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
— Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter and within
storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
kc cords of opera'Cin and maintenance will be kept in a known set location
and will be avalia Die upon request,
i BMl' element:
I Potential problem: I
How 1 will remediate the problem: i
_
•`
infiitration basin
i erosive guiiies have formed.
remove the gully, and then plant a
I one-iiwe iertiiizer appiicaiiou.
^
i I Ue FlFu u ciacaeii 01
i i�epidie'uie pipe.
i
I •_ __..,icahlcl,.
I I
Erosion is occurring in the
Regrade the swale if necessary to
i
control devices such as reinforced
turf matting or riprap to avoid
c__— n_.. o n--- 1 ,.477

BMP element:
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
spraying.
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than
Replace the top few inches of filter
5 days after a storm event.
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs re air.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
c,.-... 01WAI1 o....:., n VAI o.... o n. -- I -f 4

Permit
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Monteray Greens
BMP drainage area
Print name:Israel Golasa
Title:President
Address:PO Box 120, Kitty Hawk, NC, 27949
Phone:[phone]
Signature:
Date: Z ' 2 ' 1
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.
a`,yy� , r�Q.,J4 a Notary Public for the State of
r+k L�, , County of I do hereby certify that
.ax—L3lrn.e.1 Id -so— personally appeared before me this 6� 't-t
day of r, bt,,a., l I , and acknowledge the due execution of the
forgoing infiltration basin maintenance irements. Witness my h d and official seal,
t'69 .
IPATRICIA M.
NOTARY
DARE COUNUTYNC
SEAL
My commission expires

Permit No.sW r" I IUO3 M(A
no be provided by DWQ)
_ FEB 04 LV11 OF WA7Fg, G
��� (#Bf+ �E�181f�RMWATER MANAGEMENT PERMIT APPLICATION FORM o�C
WDENR YwV �`If1 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Project Name Monterey Greens
Contact Person Michael J. Morway, PE
Phone Number 252 441-2113
Date
Drainage Area Number
II. DESIGN INFORMATION
Site Chararteristlrs
Drainage area
Impervious area
Percent impervious
Design rainfall depth
Peak Flow Calculations
1-yr. 24-hr rainfall depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr discharge
Post -development 1-yr, 24-hr discharge
Pre/Post 1-yr, 24-hr peak flow control
Storage Volume: Non -SA Waters
Minimum design volume required
Design volume provided
Storage Volume: SA Waters
1,5' runoff volume
Pre -development 1-yr, 24-hr runoff volume
Post -development 1-yr, 24-hr runoff volume
Minimum required volume
Volume provided
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage Surface Area
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom Surface Area
11,113600
f?
7,651.00
fe
0.69
%
1.50
in ✓
3.17
in
0.13
in/hr
0.01
ff'/sec
0.02
ft'/sec
0.01
ft'/sec
930.00 ft'
1,624.00 ft'
n/a ft'
ft'
ft'
ft'
ft'
NhC
20.00 infhr
4.50 fmsl
1.00
days
3.00
:1
6b0
fmsl V
9.00
fmsl '✓
1,329.00
ftz ✓
9.00
fmsl
varies it
varies it
173.00 f? .✓
OK for non -SA waters
OK
OK
OK
Iy
Fonn SW401-IMttration Basin-Rev.4 Pans I. a II. Design Summary, Page 1 of 2

Permit No.
(to be provided by DWO)
Additional Information
Maximum runoff to each inlet to the basin?
Length of vegetative filter for overflow
Distance to structure
Distance from surface waters
Distance from water supply well(s)
Separation from impervious soil layer
Naturally occuring soil above shwl
Bottom covered with 4-in of clean sand?
Proposed drainage easement provided?
Capures all runoff at ultimate build -out?
Bypass provided for larger storms?
Pretreatment device provided
0.45
ac-in
30.00
It
2 -e Ej It
>50'
ft
>50'
ft
>24'
ft
24'
ft
y
(Y or N)
n/a
(Y or N)
y
(YorN)
y
(Y or N)
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
Form SW401-Infihration Basin,Rev.4 Parts I. a I. Design Summary, Page 2 of 2

Permit
(to be provided by DWQ)
.',m.•/;:� .tom :f r /.A Ani' �v S
III'.'REQUIRED;ITEMS'CHECKLIST, I,'"
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Pagel Plan
Initials Sheet No.
C7s> 1 1. Plans (1" - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- OH -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Basin dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement.
2. Partial plan (1' = 30' or larger) and details for the infiltration basin showing:
Bypass structure,
- Maintenance access,
- Basin bottom dimensions,
- Basin cross-section with benchmark for sediment deanout,
- Flow distribution detail for inflow,
- Vegetated filter, and
- Pretreatment device.
3. Section view of the infiltration basin (1' = 20' or larger) showing:
—' - Pretreatment and treatment areas, and
- Inlet and outlet structures.
MSr� C� ( 4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
v4]�t 5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
lc�\ C \o \ 6. A construction sequence that shows how the infiltration basin will be protected from sediment until the
entire drainage area is stabilized.
K� tA-_ 7. The supporting calculations.
Wtk 8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
NSh 9. A copy of the deed restrictions (if required).
Form SW401-Infiltration Basin-Rev.4
Page 1 of 1 Part III. Required Items Checklist, Page 1 of 1

Volumetric Runoff Calculations
Simple Method
Project Name: Monteray Greens
Project Area Description - DRAINAGE AREA #2
Basin Information
existing
0
0
0
0
0
0
0
0
existing (to
remain)
0
0
0
0
0
0
0
0
proposed
(additional)
2,123
0
5,458
70
0
0
0
7,651
Receiving Stream Name
Receiving Stream Class & Index Number
SA, HWO
Drainage Area
11,113 SF
Existing Impervious Area
0 SF
Proposed Impervious Area
7,651 SF
% Impervious Area (total)
68.8%
Impervious Surface Area
On -site Buildings or Lot BUA
2,123 SF
On -site Streets
0 SF
On -site Parking
5,458 SF
On -site Sidewalks
70 SF
Other on -site
0 SF
Future
0 SF
Off -site
0 SF
Total:
7,651 SF
Runoff Calculations (Simple Method)
NCDENR
Design Runoff (in)
1.5
0 6
Total Area (so
11,113
11,113 11,113
Coverage
68.8%
0.0% 68.8%
R(v)
0.670
0.050 0.670
Rainfall Volume
930
0 3,721
NCDENR 1.5: 930
O�

STORMWATER MANAGEMENT CALCULATIONS - INFILTRATION BASIN DESIGN
Project
Drainage Area
Infiltration Basin
Infiltration Basin Information
Monteray Greens By:
2 Date :
elevation
area
(msl)
A
Storage Elevation:
9.0
1,328
Mid level:
8.0
664 996
Bottom of basin:
6.5
173 628
ESHWT Elev.:
4.5
(msl)
Permeability:
20.0
(in/hr)
Available Storage Volume:
1,624
(cf)
Required NCDENR Volume:
930
(cf)
NCDENR Drawdown Calculations
Average Hydraulic Gradient:
1.6
(ft/ft)
Drawdown Rate:
0.565
(cfs)
NCDENR Drawdown Time:
0.03
Days
10 yr, 2 hr management capabilities
10 yr, 2 hr rainfall:
3.11
(inches)
Runoff Volume:
1,929
(cf)
Basin Volume:
1,624
(cf)
2-hr Infiltration Volume:
4,065
(cf)
Additional Storage:
0
(cf)
Total Volume Managed:
5,689
(cf)
Prepared by Albemarle and Associates, Ltd.

Peak Runoff Calculations
Project Name : Monteray Greens
#2
Drainage Area =
0.26
o?
e
(ac)
Postdevelopment Runoff Rate (excluding storage d
Area
"C"
(ac)
Impervious Area
On -site Buildings or Lot BUA
0.05
1.00
On -site Streets
0.00
0.95
On -site Parking
0.13
0.95
On -site Sidewalks/Concrete
0.00
0.95
Other on -site
0.00
0.95
Pervious Area
Remaining
0.08
0.20
Total:
0.26
Design Event, year hour
1 24
Weighted Runoff Coefficient: 0.73
Average Intensity: 0.132 (in/hr)
Postdeveloped Peak Discharge: 0.024 (cfs - into BMP)
Predevelopment Runoff Rate (excluding storage devices)
Area "C"
(ac)
Impervious Area
On -site Buildings or Lot BUA
0.00
1.00
On -site Streets
0.00
0.95
On -site Parking
0.00
0.95
On -site Sidewalks/Concrete
0.00
0.95
Other on -site
0.00
0.95
Pervious Area
Remaining
0.26
0.20 _
Total:
0.26
Design Event :
year
1
Weighted Runoff Coefficient:
0.20
Average Intensity:
0.132
Predeveloped Peak Discharge:
0.007
hour
24
(in/hr)
C*A
0.05
0.00
0.12
0.00
0.00
0.02
0.19
depth
3.17
C*A
0.05
depth
3.17
Postdeveloped Peak Discharge: 0.112 (cfs - see calculations from BMP)

Permit Number: 5"-) 7u' i too M4
(to be provided by DWQ)
Drainage Area Number:_�L
Infiltration Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
— Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter and within
4 ^ urs r er eve y starm event greater than 1.0 inches (or 13 inches if in a Coastal
..._ .I._ , ,. Records of operation and maintenance will be kept in a known set location
ano will oe avauame upon request
a's toll FS&. -AnI_-M1_1C7ns L......rc lountl_ g._,_i.
BMP element: I Potential problem: I How 1 will remediate the problem:
i1c errrire Drm' i.-
Tie _.erin:eter of th.
I .yeas of bare soil an" ! or
Rngrarc t :c soi_ nc_, ssa:y t
infiitration basin
i erosive gullies have formed.
i remove the guiiy, and then plant a
I gro: m CO.'- anc :.arcr ura;
iilu:e an•_i e i
I
one-tuue feriiiizer application.
ICr^tfCC •SCt'tiC: ;!Iv) Vt
:3"1': 11_6 C:V'llI,C:S �.:
�`u LL'ir�_
n
I 11tie pipe is Ciacxeu VI
I Replace ule pipe.
Erosion is occurring in the
Regrade the swale if necessary to
�aL :• «A .. .�
control devices such as reinforced
turf matting or riprap to avoid
A.1,..0 ...nhlemc ...ah e.nc:nn
V__ 0111An, r_f.:.«.:.._ n--:_ L .O l n_..O n--- 1 _F'Z

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

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Monteray Greens
BMP drainage area
Print name:Israel Golasa
Title:President
Address:PO Box 120 Kitty Hawk NC 27949
Phone:[phone]
Signature:
Date: 2 - Z -
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
I, �,I' e�Q M . g r a4 a Notary Public for the State of
Cara 1: vta , County oft do hereby certify that
rn-el 671a laS2 personally appeared before me this
day of t ,201 I , and acknowledge the due execution of the
forgoing infiltration basin maintenanc uirements. Witness my h d and official seal,
50 >
F
ATRICIA M. GRAYNOTARY PUBLICARE COUNTY, NC'
SEAL
My commission expires
C..— OUTAAJ n1 A4 D.... ] D--- i -r l

Permit No. 5 W 709 W, a .
(to be provided by DWQ)
®l EXPRESS
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
NCDENR FEB 0 7 2011 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
NCDENR This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
11. PROJECT INFORMATION
Project Name
Monterey Greens
Contact Person
Michael J. Morway, PE
Phone Number
252-441-2113
Date
2-Feb
Drainage Area Number
3
II. DESIGN INFORMATION
Site Characteristics
Drainage area
39,027.00
ft' v
✓
Impervious area
14,203.00
fe
Percent impervious
0.36
% ✓
Design rainfall depth
1.50
in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
3.17
in
1-yr, 24-hr intensity
0.13
n1hr
Pre -development 1-yr, 24-hr discharge
0.02
fl'/sec
Post -development 1-yr, 24-hr discharge
0.06
ft'Isec
Pre/Post 1-yr, 24-hr peak flow control
0.04
fit'/sec
Storage Volume: Non -SA Waters
Minimum design volume required
1,842.00
ft' ✓
Design volume provided
2,110.00
ft' y
Storage Volume: SA Waters
1.5' runoff volume n/a it,
Pre -development 1-yr, 24-hr runoff volume ft'
Post -development 1-yr, 24-hr runoff volume ft'
Minimum required volume it,
Volume provided to
Soils Report Summary
Soil type
Os
Infiltration rate
20.00
in/hr
SHWT elevation
1.50
fmsl
Basin Design Parameters
Drawdown time
1.00
days
Basin side slopes
3.00
:1
Basin bottom elevation
4.50
fmSI V
Storage elevation
5.50
frnsl V
Storage Surface Area
3,100.00
f 2 v
Top elevation
5.50
fmsl
Basin Bottom Dimensions
Basin length
varies
ft
Basinwidth
varies
It
Bottom Surface Area
1,300.00
e
OK for non -SA waters
OK
OK
OK
F.-I'm
Form SW401-Infiaraton Basm-Rev.4 Parts I. & II. Design Summary, Page 1 of 2

Permit No.
(to be provided by DWQ)
Additional Information
Maximum runoff to each inlet to the basin?
0.58
ac-in
OK
Length of vegetative filter for overflow
30.00
ft
OK
Distance to structure
85.00
fl
OK
Distance from surface waters
15.00
ft
Too close to surface waters
Distance from water supplywell(s)
>50'
ft
OK
Separation from impervious soil layer
>24'
ft
OK
Naturally occuring soil above shwt
24'
ft
OK
Bottom covered with 4-in of clean sand?
y
(Y or N)
OK
Proposed drainage easement provided?
nla
(Y or N)
OK
Capures all runoff at ultimate build -out?
y
(Y or N)
OK
Bypass provided for larger storms?
y
(Y or N)
OK
Pretreatment device provided
noff across pervious surface
Form SW401-Infiftration Basin-Rev.4 Parts I. & 11. Design Summary, Page 2 of 2

Permit No.
(to be provided by DWQ)
IIIAEQUIRE D:ITEMSCHECKLIST ;.. '3 z`
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result In a request for additional information. This will delay final review and approval of the project Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Pagel Plan
Initials Sheet No.
�t� C2s> 1 1. Plans (1" - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Basin dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement.
�\ 2. Partial plan (1" = 30' or larger) and details for the infiltration basin showing:
- Bypass structure,
- Maintenance access,
- Basin bottom dimensions,
- Basin cross-section with benchmark for sediment cieanout,
- Flow distribution detail for inflow,
Vegetated filter, and
- Pretreatment device.
WQ � C la 3. Section view of the infiltration basin (1" = 20' or larger) showing:
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
MSr� C 5-�) 4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
f ' 5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
investigation request tonn. County soil maps are not an acceptable source of soils information.
hP\ C \o \ 6. A construction sequence that shows how the infifiration basin will be protected from sediment until the
entire drainage area is stabilized.
i P—r� 7. The supporting calculations.
tC�M " k 8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
NSr\ —t�L 9. A copy of the deed restrictions (d required).
Form SW401-Infiltration Basin-Rev.4
Page 1 of 1 Part III. Required Items Checklist, Page 1 of 1

Volumetric Runoff Calculations
Simple Method
Project Name: Monteray Greens
Project Area Description - DRAINAGE AREA #3
Basin Information
existing
0
0
0
0
0
0
0
0
existing (to
remain)
0
0
0
0
0
0
0
0
proposed
(additional)
234
0
0
3,695
10,274
0
0
14,203
Receiving Stream Name
Receiving Stream Class & Index Number
SA, HWQ
Drainage Area
39,027 SF
Existing Impervious Area
0 SF
Proposed Impervious Area
14,203 SF
% Impervious Area (total)
36.4%
Impervious Surface Area
On -site Buildings or Lot BUA
234 SF
On -site Streets
0 SF
On -site Parking
0 SF
On -site Sidewalks
3,695 SF
Other on -site
10,274 SF
Future
0 SF
Off -site
0 SF
Total:
14,203 SF
Runoff Calculations (Simple Method)
NCDENR
10yr - 24hour
Design Runoff (in)
1.5
0
3
6
Total Area (so
39,027
39,027
39,027
39,027
Coverage
36.4 %
0.0%
36.4 %
36.4 %
R(v)
0.376
0.050
0.378
0.378
Rainfall Volume
1,842
0
3,684
7,367
0.00 (cfs)
2.56 (cfs)
NCDENR 1.5' : 1,842
NCDENR Pre/Post :

STORMWATER MANAGEMENT CALCULATIONS - INFILTRATION BASIN DESIGN
Project
Drainage Area
Infiltration Basin
Infiltration Basin Information
Monteray Greens By: mjm
#3 Date : 02/02/11
golf course
elevation area
(msl)
(sf)
Storage Elevation:
5.5
3,100
Mid level:
5.1
2,200 1060
Bottom of basin:
4.5
1,300 1050
ESHWT Elev.:
2.5
(msl)
Permeability:
20.0
(in/hr)
Available Storage Volume:
2,110
(cf)
Required NCDENR Volume:
1,842
(cf)
NCDENR Drawdown
Calculations
Average Hydraulic Gradient:
1.1
(ft/ft)
Drawdown Rate:
1.321
(cfs)
NCDENR Drawdown Time:
0.02
Days
10 yr, 2 hr management capabilities
10 yr, 2 hr rainfall:
3.11
(inches)
Runoff Volume:
3,819
(cf)
Basin Volume:
2,110
(cf)
2-hr Infiltration Volume:
9,513
(cf)
Additional Storage:
176
(cf)
Total Volume Managed:
11,799
(cf)
Prepared by Albemarle and Associates, Ltd.

Peak Runoff Calculations
Project Name:
a]
Greens
Drainage Area 0.90 (ac)
Runoff Rate (excluding storage c
Area "C"
(ac)
C*A
Impervious Area
On -site Buildings or Lot BUA
0.01
1.00
0.01
On -site Streets
0.00
0.95
0.00
On -site Parking
0.00
0.95
0.00
On -site Sidewalks/Concrete
0.08
0.95
0.08
Other on -site
0.24
0.95
0.22
Pervious Area
Remaining
0.57
0.20
0.11
Total: 0.90
0.42
Design Event :
year
hour
depth
1
24
3.17
Weighted Runoff Coefficient:
0.47
Average Intensity:
0.132
(in/hr)
stdeveloped Peak Discharge:
0.056
(cfs - into BMP)
Predevelopment Runoff Rate (excluding storage devices)
Area
"C"
C*A
(ac)
Impervious Area
On -site Buildings or Lot BUA
On -site Streets
On -site Parking
On -site Sidewalks/Concrete
Other on -site
Pervious Area
Remaining
lot
0.90
Total: 0.90
Design Event :
year
1
Weighted Runoff Coefficient:
0.20
Average Intensity:
0.132
leveloped Peak Discharge :
0.024
1.00
0.95
0.95
0.95
0.95
0.20
hour
24
(in/hr)
depth
3.17
Postdeveloped Peak Discharge: 0.112 (cfs - see calculations from BMP)

Permit Number: "V1 00 j
(to be provided DWo
Drainage Area Number:
Infiltration Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
- The drainage area will be carefully managed to reduce the sediment load to the
infiltration basil.
- ImmediateIy after the infiltration basin is established, 'UhC vcfictaho;l VVill be
watered twice weekly if needed until the plants become established (commonly
sb ... Cut ks).
:.a IIt,I it iii 0: till Ii Yfa:16l i,iI 1;6.,ii,i. iii iR ., i133 i,.i:.A u .,.. l,li- iiilltli ik iLI I Il�I;QII
that is required to establish the vegetation.
- The vegetation in and around the basi t : i be ;.all: r". :cd a hcigni of
_; tie inrlit a .}n asin is established, it will be inspected once a quarter and within
...........
i U3Y2Z C3C33iYiil: PUiCL^.3G1 tJl i:'u'SClli: IIlJi9 S V:S3 :C:::CUSGIC 3::C �2L JiCf33:
I
.. I-:...�:.� �.. m^.� ua Yr. n;n i:cu. I Icu:u:�c u::: i�_ry,
= _
177.. ....ne_ In .............

BMP element:
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
s ra in .
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than
Replace the top few inches of filter
5 days after a storm event.
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray) -
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
I appropriate professional
shows that the embankment
I
I needs repair.
I I
L IIC u uLlut UCVIIC
I I.,IV`,.',�u(� 3 ab UlUll SMI.
I Lwdll VuIIIICVVIICIUCvlt C. VID�JU,C
of the sediment off -site.
The outlei lievice is damaKeli
Repair ur replace the okluet device.
L lLC 1CLC1Yl13�C, nalCl
liL VJ3Vlt V3 VLLICI J30lll Vf
I LV3ltdl! LLtC 3Y1.. V1Y lJ1V1! Vl IYQLCL
damage have occurred at the
I Quality 401 Oversight Unit at 919-
I mxult_
I l iii 786.

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Monteray Greens
BMP drainage area
Print name:lsrael Golasa
Title:President
Address:PO Box 120 Kitty Hawk NC 27949
Date: 2.2. ' 11
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.
M, ��czAl allotary Public for the State of
Aa ( 'hQ CStn('re) County o L do hereby certify that
(a -SO, personally appeared before me this
day of re-b ra-a-r y and acknowledge the due execution of the
forgoing infiltration basin maintenance re ents. Witness my hand�ial seal,
g,A7RICIA Ilq GOTARY p RAYRECOS UBLIC---__Nn NC
SEAL
My commission expires a,
z
c.._... QIIIAM o....:.. nP'A' o..., a o..-.. 1 . fF l

ror uenn use urvu
Reviewer: _ Y✓�-
�, �A North Carolina Department of Environment and
Submit:
Natural Resources
NCDENR Request for Express Permit Review Time
Confirm,
FILL-IN all the information below and CHECK the Permit(s) you are requesting for express review. FAX or Email the completed form to Express
Coordinator along with a completed DETAILED narrative, site plan (PDF file) and vicinity map (same items expected in the application package
of the project location. Please include this form in the application package.
• Asheville Region -Alison Davidson 828-296-4698;alison.davidson(ancdenr.gov
• Fayetteville or Raleigh Region -David Lee 919-791-4203; david.lee(d)ncdenr.gov
• Mooresville & -Patrick Grogan 704.663.3772 or patrick.groganCa ncdenr.gov
• Washington Region -Lyn Hardison 252.946-9215 or Iyn.hardison anncdenr.,qov
• Wilmington Region -Janet Russell 910-350-2004 or janet.russell(glncdenr.gov
NOTE. Project application received after 12 noon will be stamped in the following work day.
SW
SW
SW
SW
SW
Project Name: MONETRAY GREENS [AKA FUN PARK 1 County: CURRITUCK
Applicant: ISRAEL GOLASA Company: G. HOLDINGS
Address: 2229 S. CROATAN HWY City: NAGS HEAD, Stale: NC Zip: 27959
Phone: [phone], Fax: [phone], Email: _(,
Physical Location: FROM INTERSECTION OF NC-12 AND US-158 PROCEED NORTH ALONG NC-12 TO COROLLA. FROM INTESECTION W/ ALBECORE STREET
CONTINUE 600 FEET, TURN LEFT-MALIA
Project. Drains into CURRITUCK SOUND waters — Water classification SC (for classification see-http://h2o.enr.stale.nc.us/bims/reports/reportsWB,html)
Project Located in PASQUOTANK River Basin. Is project draining to class ORIN waters? N , within % mile and draining to class SA waters N or within 1
mile and draining to class HOW waters? N
Engineer/Consultant: MIKE MORWAY Company: ALBEMARLE ASSOCIATES EXPRESS
Address: PO BOX 3989 City: KILL DEVIL HILL, State: NC Zip: 27948-_
Phone: [phone], Fax: [phone], Email: [e-mail] FEB 07 2011
SECTION ONE: REQUESTING A SCOPING MEETING ONLY
❑ Scoping Meeting ONLY ❑ DWQ, ❑ DCM, ❑ DLR, ❑ OTHER: _
SECTION TWO: CHECK ONLY THE PROGRAM (S) YOU ARE REQUESTING FOR EXPRESS PERMITTING
❑ 401 Unit ❑ Stream Origin Determination: _ # of stream calls — Please attach TOPO map marking the areas in questions
❑ IntermittentiPerennial Determination: _ # of stream calls — Please attach TOPO map marking the areas in questions
❑ 401 Water Quality Certification ❑ Isolated Wetland ( linear fl o r acres)
❑ Riparian Buffer Authorization El Minor Variance ❑ Major General Variance
® State Stormwater ❑ General ❑ SFR, ❑ SFR < 1 ac. ❑Bkhd & Bt Rmp, ❑ Clear & Grub, ❑ Utility ❑ Other
❑ Low Density ❑ Low Density -Curb & Gutter _ # Curb Outlet Swales ❑ Off -site [SW _ (Provide permit #)]
❑ High Density -Detention Pond _ # Treatment Systems ® High Density -Infiltration 3#Treatment Systems
❑ High Density -Bio-Retention _ # Treatment Systems ❑ High Density —SW Wetlands _ # Treatment Systems
❑ High Density -Other _ # Treatment Systems / ® MOD:® Major ❑ Minor ❑ Plan Revision ❑ Redev. Exclusion SW 7091003 (Provide permit#)
❑ Coastal Management ❑ Excavation & Fill ❑ Bridges & Culverts ❑ Structures Information
❑ Upland Development ❑ Marina Development ❑ Urban Waterfront
® Land Quality ® Erosion and Sedimentation Control Plan with 2_3 acres to be dislurbed.(CK # 9'_653r(for DENR use)) `4 195, n a
SECTION THREE — PLEASE CHECK ALL THAT IS APPLICABLE TO YOUR PROJECT (for both scoping and express meeting request)
Wetlands on Site ❑ Yes ❑ No
Wetlands Delineation has been completed: ❑ Yes ❑ No
US ACOE Approval of Delineation completed: ❑ Yes ❑ No
Received from US ACOE ❑ Yes ❑ No
.._-.-. - For DENR use
Fee —Sp ht for multiple permds: (Check# ��? S 29 1
Buffer Impacts: ❑ No ❑ YES: ac re(s)
Isolated wetland on Property ❑ Yes ❑ No
404 Application in Process wf US ACOE: ❑ Yes ❑ No Permit
Tnta1FPndmnnnt S Ilmm�
SUBMITTAL DATES
Fee
SUBMITTAL DATES
Fee
CAMA
$
Variance (❑ Maj; ❑ Min)
$
SW (❑ HD, ❑ LD, ❑ Gen)
$ g�,�L
401:
$
LQS
$ —1j O
Stream Deter—
-
$
NCDENR EXPRESS March 2009

EXPRESS
Number:
IE / PRESS (to be provided byDWQ)
Drainage Area Number.
ifJihM§n Basin Operation and Maintenance Agreement
NC ®ENR
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 iS 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 presenL
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

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

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Corolla Fun Park
BMP drainage area
Print nameAsreal Golasa
Address:PO Box 120, Kitty Hawk, NC, 27948
Phone:[phone]
Signature: ( -&sl
Date: Q - 3 o -D rl
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
I,-h-, c ,a M, �,,x�/ a Notary Public for the State of
Nor County of_do hereby certify that
a_$ZL'4 C" la.-'r, personally appeared before me this A76
day of hQr QOo 4 , and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
IMS
SEAL
My commission expires 9- /`/ - C2O //
Form SW401-infiltration Basin O&M-Rev.3
Page 3 of 3