SW6091002_HISTORICAL FILE_20091009

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW ,,QyZQ
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
al�G'lO
YYYYM M DD

JOHNNY W. NOBLES & ASSOCIATES
AOIINNY W. NOBLES
PROFESSIONAL LAND SURVEYOR
416 CHESTNUT STREET
POST OFFICE BOY J117
LUMBERTON, NC 28358
i61B/o9
TEI.. NO. 910-738-6875
FA.0 NO. 91U-738-8652
EMAIL: nubiesassuciatesi nexr.cum
cJ.D ('43
®+emu R-FRO
D W(

Supporting Calculations
(prepared by LL&J, PLLC)
Pinecrest Subdivision
9/3/2009
Lumberton, NC
(Robeson County)
Peak Flow:
Q = CIA
Area =
8.29 acres
=
361,113.84 to It
I =
0.13 in/hr
C (Pre Developed) =
0.35 (Unimproved Area)
Pre Developed Runoff=
0.36 cfs (lyr/24 hr Storrs)
Surface Runoff
Area (act)
Description Coef.
Pavement 3.15 x 0.95 = 3.00
Single Family
Housing
5_14 x 0.40 = 2.05
Sum = 8.29 Sum = 5.05
C(Post Developed) =
Average Runoff Coef = 0.61
Post Developed Runoff =
0.63 efs (lyr/24 hr Storm)
Storage Volume:
(Non -SA Waters)
(minimum)
Rv =
0.05 + 0.9*la Ia= 0.66
=
0.64
RD =
1.00 in
V =
3630 * RD * Rv * A
=
19,380 cu R
WET BASIN
PARAMETERS:
Basin length =
525 It
Width (R) Elevation (ft)
Temporary Pool Top =
47.00 137.50
Temp. Pool Bottom =
34.00 136.50
Permanent Pool Top =
34.00 13650
Bottom Veg.. Shelf =
24.00 136.00
Top Sedim.. Cleanout =
7.50 130.50
Bottom Sedim.. Clear out =
4.50 129.50
Storage Volume =
21,263 cu It
Permanent Pool Vol. =
60,703 cu It
Average Depth (d..) _
[0.25 * (I + A*„ e.u/A,0]+[(As ,, u fAs ,,.a/2) *(Depth/As.� a.u)]
(Option 2)
Ae , .s.v=
12,600 sq It
A,, =
17,850 sq ft
Ay, =
3,150 sq 0
Depth =
5.50 ft
d.. =
3.86 R

Permit No.
fromrev:�e ey DwoJ
A.
AM
wnrEq
o�
NCDENR
T
STORMWATER
MANAGEMENT PERMIT APPLICAI ION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be Idled artpanted andsubmirtet
the Required Items Checkist (Part Ill) most be primed filled art and submitted a" with all of the requirediNamaricn
I.. PROJECT INFORMATION
Project name
Pinecre5 Subdivision
Contact pawn
Johnny Noble
Phone number
910-738SB75
Date
913rM
Drainage area number
One (Entre Project)
11. DESIGN INFORMATION.
Site Characteristics
Dunnage area
361,114 ft'
Impervious area, post -development
238,335 ft3
%impervious
66.00 %
Design rainfall depth
1.0 in
Storage Volume: Non -SA Waters
Minimumvolume required
19,380 ft3 OK
Volume provided
21,263 ft3
OK, volume provided is equal to or in excess of volume required.
Storage Volume: SA Waters
1.5" runoff volume
ft3
Pre -development 1-yr, 24-hr runoff
ft3
Post -development 1-yr, 24-hr mnofi
ft3
Minimum volume required
o ft3
Volume provided
ft3
Peak Flow Calculations
Is the preypost control of the ly 241r storm peak flow required? Y (Y a N)
1-yr, 24-hr rainfall depth
3.0 in
Rational C, pre -development
0.35 (unitless)
Rational C. post -development
0.61 (unitloss)
Rairdatl intensity 1-yr.24-N star
0.13 inlr OK
Pre -development 1-yr, 24-hr peak flow
0.37 ft3/sec
Post -development 1-yr, 24-tu peak Flow
0.63 ft3/sec
Pre/Posl l-yr, 24-hr peak flow control
0.26 ft3/sec
Elevations
Temporary pool elevation
131.50 fast
Permanent pool elevation
136.50 fmsf
SHWT elevation (app4ox. at the perm. pool elevation)
136.50 fmsl
Top of 10ff vegetated shelf elevation
137.00 fmsl
Bottom of 10ft vegetated shelf elevation
136.00 fmsl
Sediment dearout, top elevation (bottom of pond)
130.50 trust
Sediment deanom, bottom elevation
129.50 fmsl
Sediment storage pr wided
1.00 ft
Is there additional volume stored above the state -required temp. pool? N (Y a N)
Elevation of the top of the additional volume
137.5 fmsl OK
Form BW401-Wet Detm ton Basin-Rev.6-220/09 Parts I. S 11. Design Summary, Pagel at

Permit No.
rd Ee mvde0 ey DV,q
II. DESIGN INFORMATION
Surface Areas
Area, temporary pool 24.615 ft2
Area REQUIRED, permanent pool 17.767 ft2
SAM ratio 4.92 (unitless)
Area PROVIDED, permanent pool, A,_,,
Area, bottom of 10ft vegetated shelf, 7 a,u
Area, sediment cleanouL top elevation (bottom of pond), Aw, ,,,,
Volumes
Volume, temporary pool
Volume, permanent pool. Vr,,,,_y.
Volume. forebay (sum of forebays if more than one forehay)
Faebay % of permanent pool volume
17,850 ft2 OK
12,600112
3,1S0 ft2
21.263 ft3 OK
60,703 ft'
12,141 ft'
20.0% % OK
SAIDA Table Data
Design TSS removal
85 %
Coa9 SAIDA Table U&e Used?
Y 1 (Y a N)
Moununn/Pedrnom SAIDA Table Used?
N/ (Y a N)
SNDA ratio
4.92 (untless)
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 102b)
N (Y a N)
Volume, permanent pool. VW.-e 1
ft3
Area provided, permanent pool, Ar„mym
h2
Average depth calculated
It
Average depth used in SAIDA, d„, (Round to nearest 0.5ft)
ft
Calculation option 2 used? (See Figure 10-2b)
Y (Y a N)
Area provided, permanent pool, Av,.,, a
17,850 ft,
OK
Area, bottom of 1011 vegetated shelf. Am s
12,600 ft'
OK
Area, sediment clearauL top elevation (bottom of pond), !b„_a,,,
3,150 ft2
OK
'Depth' (distance hAw bottom of 1Oh shelf and top of sediment)
5.50 If
OK
Average depth calculated
3.86 ft
OK
Average depth used in SAIDA, d„, (Round to nearest 0.5fi)
4.0 It
OK
Drawdown Calculations
Drawdown though orifice?
Y
(Y a N)
Diameter of orifice (if circular)
2.50 in
Area of orifice (1-non-circular)
in'
Coefficient of discharge (Cu)
0.60 (unitless)
Driving head (H)
0.33 ft
Orawdown though weir?
N
(Y a N)
Weir type
(unidess)
Coefficient of discharge (C.)
(unless)
Length of weir (L)
It
Driving head (H)
ft
Pre-developrlem 1-yr, 24-tt peak flow
0.37 fts/s
OK
Post -development 1-yr, 24-h peak flow,
0.63 ft3/sec
OK
Storage volume discharge rate (though discharge orifice or weir)
0.08 ft3/sec
Storage volume drawdowa time
2.50 days
OK, draws down m 2.5 days.
OK, drawdown gm is cared
Additional Information
Vegetated side slopes
3 :1
OK
Vegetated shot slope
10 :1
OK
Vegetated shelf width
10.0ft
OK
Length of Ifowpath to width ratio
3 :1
OK
Length to width ratio
15.0 :1
OK
Trash rack for overflow & a ce?
Y
(Y or N)
OK
Freeboard provided
1.0 It
OK
Vegetated fiber provided?
Y
(Y a N)
OK
Recorded drainage easement provided?
Y
(Ya N)
OK
Capures all runoff m ultimate build -out?
Y
(Ya N)
OK
Drain mechanism for maintenance a emergencies
PUMP OUT
Form SW401-Wet Detention BasinRev.6 22
Parts I. It 11. Design Summary, Page 2 of 2

Project Name: Pinecrest Subdivision Date: 9/3/09
Project Phase: Section One
Prepared By: LL&J, PLLC
Exhibit A: Iliuh Density Values,
Loth
Arc.
I
Density
Factor D
Max BOA per 1,ot
e
acres
/o
s
scree
1
11,893
0.27
59.53
7,080
0.163
2
11,930
0.27
59.53
7,102
0.163
3
11,938
0.27
59.53
7,107
0.163
4
11,848
0.27
59.53
7,0
0.162
5
13,465
031
59.53
8,016
0.184
6
11,3M
0.26
59.53
6,749
0.155
7
11,290
0.26
59.53
6 721
0.154
8
11,382
0.26
59.53
6,776
0.156
9
11,358
0.26
59.53
6,762
0.155
10
17,470
0.40
59.53
10,400
0.239
11
12,100
0.28
59.53
7,203
0.165
12
18407
0.42
59.53
10,958
0.252
14
17,950
0.41
59.53
10,686
0.245
15
13,660
0.31
59.53
8,132
0.187
16
27,939
0.64
59.53
16,633
0382
17
19,483
0.45
59.53
D,599
0.266
18
16,460
038
59.53
9,799
0225
19
11,734
0.27
59.53
6,986
0.160
20
13,273
0.30
59.53
7,902
O.181
21
13,979
0.32
59.53
8,262
0.190
22
11,827
0.27
59.53
7,041
0.162
23
17,294
0.40
59.33
10,2%
02M
24
16,234
037
59.53
9,664
0.222
25
M673
029
59.53
7,545
0.173
26
12,782
0.29
59.53
7,609
0.175
27
11,217
026
59.53
6,678
0.153
28
12,535
029
59.53
7,474
0.172
29
21,580
0.50
59.53
12,847
0.295
30
15,793
036
59.53
9,402
0.216
31
169918
039
59.53
10,072
0.231
32
15 143
035
59.53
9,015
0.207
33
12,631
029
59.53
7,520
0.173
34
14,183
033
59.53
8,443
0.194
35
17,047
039
59.53
10,148
0.233
36
20,410
0.47
59.53
12,151
0.279
37
20,288
0.47
59.53
12,078
0.277
38
14,038
032
59.53
8,357
0.192
39
14,680
034
59.53
8,739
0.201
40
21 820
0.50
59.53
12 990
0.298
41
20,648
0.47
59.53
12,292
0.2,82
42
14,666
034
59.531
8,731
0.200
43
15,247
035
59.53
9,077
0208
44
t2,382
028
59.53
7,371
0.169
45
11 47
0.26
59.53
6,753
0.155
46
1P09
026
59.53
6,733
0.155
47
139023
030
59.53
7,753
0.178
48
11541
026
59.53
6,871
0.158
49
11,199
0.26
59.53
6,667
0.133
50
12,783
029
59.53
7,611
0.175
Rout A
58,316
1_339
100.0
429,M6
9.97
Road B
17,117
0393
100.0
100.0
100.0
100.0
Road C
36 740
0.943
Road D
12,311
0.283
Road E
12,870
0.295
Total Site Area A
859,409
19.729
Check
Max BOA = 66% of SA = 13.021 acre.
Road BUA = 3.153 u:re.
Max Lot BUA = 9.87.

Project Name, Pinecrest Subdivisi an
Project Phase, Sretion One
Prepared BY: LL&J, PLLC
Ezhihit A: Hiih Density Values
Dam: 12/9/09
Lots
ArcflO.2670.39,
slnv
FactorDP
Afas RUA10.182
1
11,8937039
8,372
2
11,93070.39
8,398
3
11,93870.39
8,403
4
11,84870.39
8,340
5
13,46570.39
9,478
6
11,33670.39
7,980
7
11,29070.3'1
7,947
8
11,382
0.26
70.39
8,012
0.184
9
11,358
0.26
70.39
7,995
0.184
10
17,470
0.40
70.39
12,298
0.282
11
12,100
0.28
70.39
8,517
0.196
12
18,407
O.42
70.39
12,957
0.297
14
17,950
0.41
70.39
12,635
0.290
15
13,660
0.31
70.39
9,616
0.221
16
27,939
0.64
70.39
19,667
0.451
17
19,483
0.45
70.39
13,715
0.315
I8
16,460
0.38
70.391
11,587
0.266
19
11,734
0.27
70.39
8,260
0.190
20
13,273
0.30
70.39
9,343
0.214
21
13,879
0.32
70.39
9,770
0.224
22
11,827
0.27
70.39
8,325
0.191
23
17,294
0.40
70.39
12,174
0279
24
16,234
0.37
70.39
11,428
0.262
25
12,673
0.29
70.39
8,921
0.205
26
12,782
0.29
70.39
8,998
0.207
27
11,217
0.26
70.39
7,896
0.181
28
12,555
0.29
70.39
8,838
0.203
29
21,580
0.50
70.39
15,191
0349
30
15,793
030
70.39
11,117
0.255
31
16,918
0.39
70.39
11,909
0.273
32
15,143
0.35
70.39
10,660
0.245
33
12,631
0.29
70.39
8,891
0.204
34
14,183
0.33
70.39
9,984
0.229
35
17,047
039
70.39
12,000
0.275
36
20,410
0.47
70.39
14,367
0.330
37
20,288
0.47
70.39
14,281
0.328
38
14,038
0.321
70.391
9,882
0.227
39
1 14,680
0.34
70.39
10,334
0.237
40
21,820
0.50
70.39
15,360
0.353
41
20,648
0.47
70.39
14,535
0.334
42
14,666
0.34
70.39
10,324
0.237
43
15,247
0.35
70.39
10,733
0.246
44
12,382
0.28
70.39
8,716
0.200
45
11,347
0.26
70.39
7,987
0.183
46
11,309
0.26
70.39
7,961
0,183
47
13,023
0.30
70.39
9,167
0.210
48
11,541
0,M
70.39
81124
0.187
49
11,199
0.2G
70,39
7,883
0.181
50
1 7851
0.291
70.391
9,000
0.207
Sum =
722,055 16.58
1 508,272
11.668
s acres
Toad Site Area = 1 955,2711 21.93
Road Amu,
Road1D
In,,erviuus Area
Rcmainin¢Arca
Road A
58,476
1.342W47,S7')I.O')999Road
11
17,277
039714Road
C
36,900
0,84736,Road
D
12,441
0.286111Road
E
U,031
0.29923Sum=
138,125
3.171183
Chcu
(acre,
Dramage Area Nia. RUA =
392,261
9.005
Road RUA =
138,125
3,171
254,136
5.834 -Note This value can be double since ruughlr only one-hall'of,acb lot
unaribuma to the sim runoff.
D1ax Lot RUA =
508,272
1 IL668

Supporting Calculations
(Prepared by LL&J, PLLC)
Pinecrest Subdivision 12/9/2009
Lumberton, NC (Robeson County)
Peak Flow: Q = CIA
Ama = 13.64 arcs
= 594,160.78 cu ft
1 = 0.13 in/hr
C (Pre Developed) = 0.35 (Unimproved Area)
Pre Developed Runoff = 0.60 cfs (Ivr/24 hr Storm)
Surface
Runoff
Area (acres)
Description
Cocf.
Pavcmcat 3.17
s 0.95 = 3.01
Single Fan ily
Housing
In.47
OAO = 9.19
Sum = 13.64
Sum = 7.20
C(Post Dcvclopcd) =
Average Runoff Cocf =
0.53
Post Dcvclopcd Runoff=
0.90 cfs
(lyr/24 hrStonn)
Storage VOIm➢C (Non -SA Waters)
(minimum)
Rv=
0.05+0911A
l" 0.66
=
0.64
HD =
1.00in
V =
3630 ' RD ' Rv ` A
=
31,887 cu It
WET BASIN
PARAMETERS:
Basin Length =
Tcmporap, Pool Top =
'hemp. Pool Bottom =
Pemmnent Pooi Top =
Bottom Veg.. Shelf =
Top Scdim.. Clcmout =
Bottom Scdim_ Clcanour =
Storage Volume =
Perm:ment Pool Vol. _
Accnage Depth (,I,,) _
(Option 7)
Depth =
550 It
50.00
138.00
34.00
136.50
34.00
136.50
24.00
136.00
7.50
130.50
450
129.50
34,650 cu ft
63,594 cu It
1025' (1 +dn�w.i,di✓A)�"f ((tA s.w.ndr+As..e/2) �(Duprh/Aa,,,!,&)]
13,200 sy ft
18,700 sy ft
3,300 sy ft
5.50 ft
3.86 ft

r
Permit
®in
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part Ill) must be printed, Filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Project name Pinecrest Subdivision
Contact person Johnny Noble
Phone number 910-738-6875
Date 1212J2009 (Revised)
Drainage area number One (Entire Project)
to be pmvldbd by DINO)
� VWV�-
II. DESIGN INFORMATION
Site Characteristics
Drainage area
594,161 flr
Impervious area, post -development
392,146 fl°
impervious
66.00
Design rainfall depth
1.0 in
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
1,5' mnod volume
Pre -development l-yr, 24-hr runoff
Post -development 1-yr, 24-hr mnoH
Minimum volume required
Volume provided
Peak Flow Calculations
Is the pre/post control of the 1yr 24hr storm peak flow required?
1-yr, 24-hr rainfall depth
Rational C, pre -development
Rational C, post -development
Rainfall intensity: 1-yr, 24-hr storm
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24hr peak flow
Pre leost 1-yr, 24hr peak flow control
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx. at the perm. pool elevation)
Tap of 10ft vegetated shelf elevation
Bottom of 1Oft vegetated shelf elevation
Sediment cleanout, top elevation (bottom of pond)
Sediment cleanout, bottom elevation
Sediment storage provided
Is there additional volume stored above the state -required temp. pool?
Elevation of the top of the additional volume
Form SW401-Wet Detention Basin -Rev .6-W0109
31,887 h3 OK
34,650 ryt
OK, volume provided is equal to or in excess of volume required.
Y (Y or N)
3,0 in
0.35 (unitless)
0.53 (unitless)
0.13 in/hr OK
0.60 ft'lsec
0.90 13lsec
0.30 fi'lsec
138.00 fmsl
136.50 fmsl
136.50 final
137.00 fmsl
136.00 fmsl
130.50 fmsl
129.50 fmsl
1.00 It
N (Y or N)
138.0 first OK
Pads I. 8 II, Design Summary, Page 1 of 2

.X
Permit No.
(to be provided by DWO)
II. DESIGN INFORMATION
Surface Areas
Area, temporary pool
26,500 h'
Area REQUIRED, permanent pool
18,419 h'
SA/DA ratio
3.10 (unitless)
Area PROVIDED, permanent pool, A,,,,,,
18,700 h' OK
Area, bottom of 10ff vegetated shelf, An, .heft
13,200 h2
Area, sediment cleanout, top elevation (bottom of pond), A a a
3,300 h'
Volumes
Volume, temporary pool
34.650 ft'
OK
Volume, permanent pool, Vce,m-Po„
63,594 h'
Volume, forebay (sum of forebays if more than one forebay)
12,719 h'
Forebay %of permanent pool volume
20.0% %
OK
SAIDA Table Data
Design TSS removal
90 %
Coastal SAIDA Table Used?
N (Y or N)
MountainlPiedmont SAIDA Table Used?
Y (Y or N)
SA/DA ratio
3.10 (unitless)
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
N (Y or N)
Volume, permanent pool, Vp,,,,,,
ft3
Area provided, permanent pool, A,,,,,,.
2
Average depth calculated
it
Average depth used in SAIDA, da„ (Round to nearest 0.511)
it
Calculation option 2 used? (See Figure 10-2b)
Y (Y or N)
Area provided, permanent pool, Ap,,,,,�I
18.700 it
OK
Area, bottom of I Oft vegetated shelf, A,,, -.,If
13,200 h2
OK
Area, sediment cleanout, top elevation (bottom of pond), Amt.,
3,300 h2
OK
'Depth' (distance b/w bottom of 1 Oft shelf and top of sediment)
5.50 it
OK
Average depth calculated
3,86 it
OK ,
Average depth used in SAIDA, d,,., (Round to nearest 0.511
4.0 it
OK
Drawdown Calculations
Drawdown through orifice?
Y (Y or N)
Diameter of orifice (if circular)
2.50 in
Area of orifice (if-non-cireular)
in
Coefficient of discharge (Ca)
0.60 (unidess)
Driving head (H,)
0.50 it
Drawdown through weir?
N (Y or N)
Weir type
(unitless)
Coefficient of discharge (C..)
(undoes)
Length of weir (L)
it
Driving head (H)
h
Pre -development 1-yr, 24-hr peak flow
0.60 ft'/sec
OK
Post -development t-yr, 24-hr peak flow
0,90 hslsec
OK
Storage volume discharge rate (through discharge orifice or weir)
0,07 1
Storage volume drawdown time
275 days
OK, draws down in 2-5 days.
OK, drawdown time is correct.
Additional Information
Vegetated side slopes
3 :1
OK
Vegetated shelf slope
10 :1
OK
Vegetated shelf width
10.0 it
OK
Length of flowpath to width ratio
3 :1
OK
Length to width ratio
15.0 :1
OK
Trash rack for overflow 8 orifice?
Y (Y or N)
OK
Freeboard provided
1.0 ft
OK
Vegetated filter provided?
Y (Y or N)
OK
Recorded drainage easement provided?
Y (Y or N)
OK
Captures all much at ultimate build -out?
Y (Y or N)
OK
Drain mechanism for maintenance or emergencies
PUMP OUT
Form SW401-Wet Detention Basin -Rev 6-2/20109
Parts I. & IL Design Summary, Page.. 2 of 2

Lawyer, Mike
From: Lawyer, Mike
Sent: Thursday, October 22, 2009,11:38 AM
To: noblesadmin'; '[e-mail]'
Cc: Henson, Belinda
Subject: Pinecrest Subdivision -additional information request
Gentlemen,
After reviewing the application package for the Pinecrest Subdivision project, there are a few items to be addressed
before 1 can move forward with the review process. Please see list below and if anything is unclear, let me know so that I
may clarify.
-the project percent of impervious area (item IV.B. of the application form) appears to have been calculated using the
total drainage area instead of the total project area, this will need to be changed on the supplement form as well
-there is no breakdown of impervious surface areas on the drainage area table (item IV.10.), i.e. buildings, street,
parking, etc.
-the submitted deed restrictions/protective covenants is not signed and notarized, you may want to consider using one
of the sample Deed Restrictions & Protective Covenants Form on our website (the submittal requirements listed on the
application form actually requires that you use our form)
-on the supplement form it says that the Coastal SA/DA table was used, the coastal table is specifically for projects
located in the twenty coastal counties of INC, the remaining 80 non -coastal counties would use the Mountain/Piedmont
SA/DA table, this change will undoubtedly reduce the size of the pond and will likely change some of the other
information on the supplement form
-the 0&M agreement is marked that the system 'does not' incorporate a vegetated filter at the outlet, this is only
allowed if the pond is designed to remove 90%TSS, based on the supplement form the pond is designed to remove 85%
TSS therefore the system must have a 30' vegetated filter at the outlet
-the spreadsheet that accompanies the supplement form shows a total site area of 19.729ac/859,409sf but the
application shows a total project area of 21.93ac/955,271sf, the site area/project area/property area should match
unless removing the surface area of a water body, when designing BMPs you must account for the runoff from the
entire project area plus any off -site runoff that may come onto the project, if there are multiple drainage areas then you
must design and install a BMP for each
Please consider this as an additional information request with a time frame of 30 days to respond. if this additional
information is not received within this time frame, the application package will be returned and resubmittal will be
required including the appropriate fee. If you need more than 30 days to respond, please request this in writing and
include an expected date of submittal. Again, if anything is unclear or you have further questions/concerns, please
contact me.
Thanks,
Mike
Michael Lawyer
Environmental Specialist
NCDENR-Division of Water Quality
Surface Water Protection Section
Fayetteville Regional Office
Direct: [phone]
Main: [phone]
Fax: [phone]
e-mail: [e-mail] (please note that my e-mail address has changed)

North Carolina
Robeson County
Prepared by: Katherine H. Davis, Atty
Return to:
THIS DECLARATION OF RESTRICTIVE AND PROTECTIVE COVENANTS, made and
entered into this day of, 2009 by PINECREST DEVELOPERS, a North
Carolina Limited Liability Company, hereinafter referred to as "Declarant;
WITNESSETH:
THAT WHEREAS, Declarant is the owner of that certain tract or parcel of land known
as PINECREST VILLAGE and more particularly described in the attached SCHEDULE A and
as shown on map and survey prepared by Johnny W. Nobles and Associates of record in the
Robeson County Registry;
AND WHEREAS, the Declarant intends to convey lots contained in the attached
Schedule A and more particularly described on the aforementioned map by various instruments
to various persons, firms, and/or corporations, subject to certain restrictive and protective
covenants and conditions for the mutual benefit of all homeowners, present and
future, in said PINECREST VILLAGE, and that the restrictive covenants and conditions herein
set out shall inure to the benefit of each person, firm, or corporation which may acquire title to
any portion of the property described in the attached Schedule A and shall be binding on any
such person, firm or corporation hereinafter acquiring title through Declarant by any instrument.
NOW, THEREFORE, in consideration of the premises, Declarant does hereby declare,
covenant and agree that all of the property described in the attached Schedule A shall be held,
sold, encumbered, and conveyed subject to the following easements, restrictions, covenants, and
conditions, which are for the purpose of protecting the value and desirability of, and which shall
run with, the real property and be binding on all parties having any right, title or interest in the
described properties, or any part thereof, their heirs, successors and assigns, for the term of these
covenants as set forth below, and shall insure to the benefit of each holder thereof. These
restrictions and protective covenants shall become a part of each instrument conveying any
portion of the attached Schedule A, shall run with the land, and shall be binding on all parties

having or acquiring any right, title or interest in and to the Property and the Lots or any part or
parts thereof subject to this Declaration. The owners of any portion of the attached Schedule A
agree, as a condition of any sale or conveyance, to abide by and conform with said restrictions
and covenants.
ARTICLE I: Definitions.
As used herein,
A. "Association" means the Homeowners Association of Pinecrest Village.
B. "Architectural Control Committee" means that group comprised of the following
initial members and their successors and/or assigns: Kenneth J. Stephenson, Donald
R. James, Jeffrey S. Wishart, and Eleanor P. Hepler.
C. "Landscaping" means and includes decorative planting and ornamental planting of
trees, shrubs, flowers and plants of all kinds; modifying altering and ornamenting
plant cover; arranging, modifying, irrigating and improving the natural scenery;
designing and redesigning, arranging and rearranging, developing and redeveloping,
modifying, extending and improving all such planting from time to time. This shall
also include the erection, establishment and maintenance of such entrance signs and
residential street sign and directional and information signs that may be of use to the
community.
D. "Declarant' means Pinecrest Developers, LLC, its successors and or assigns or any
legal entity acquiring ownership of portions of the property described in the attached
Schedule A.
E. "Declaration" shall mean this instrument as from time to time amended.
F. "Lot' means a separately numbered tract of land lying within the subdivision or other
dedicated portion of the property described in the attached Schedule A, which may
be conveyed by the Declarant in fee by instrument to the grantee therein for uses
consistent with these restrictions and covenants.
G. "Lot Owner" means the owner of record, whether one or more persons or entities, of
the fee simple title to any lot which is a portion of the property described in the
attached Schedule A.
H. "Pinecrest Village" means the real property described in the attached Schedule A.
1. The use of the masculine pronoun shall include the neuter and feminine, and the use
of the singular shall include the plural where the context so requires.

ARTICLE II: ARCHITECTURAL, MAINTENANCE AND USAGE RESTRICTIONS
LAND USE AND BUILDING TYPE. All lots located within Pinecrest Village shall be
used for single family residential purposes, and in no event shall be used for business,
manufacturing or commercial purposes, except that nothing shall preclude the use of any lot for
a utility purpose for the benefit of this subdivision or access by the Declarant or its successors in
interest. No building shall be erected, altered, placed or permitted to remain on any lot other
than one (1) detached single-family dwelling not to exceed two and one-half (2 %z ) stories in
height, and a private garage for not more than three (3) cars and no more that 1000 square feet
(with the approval of the Architectural Control Committee), and an accessory building or
structure for storage or other appropriate use, not in excess of five hundred (500) square feet in
area. No lot shall be subdivided in any manner except that part of a lot may be sold to the owner
of the adjoining lot, with the written prior approval of Declarant, in the which event, the part
sold shall thereafter be considered a part of such adjoining lot.
ARTICLE III: ARCHITECTURAL CONTROL
No building, fence, wall, road, driveway, parking area, tennis court, swimming pool, or
other structure, or other improvement shall be added to, modified, maintained, or reconstructed
on any lot until the plans therefore, and for the proposed location thereof upon the lot, shall be
approved in writing by the Architectural Control Committee (membership of said committee
shall be as designated by the Declarant or in such standing rules as the Homeowner's
Association may promulgate from time to time). "Improvement" shall mean and include any
change or modification of the appearance of a lot from state existing on the date of the
conveyance of such lot from such Declarant to a Lot Owner, to specifically include removal of
existing trees and landscaping. Before taking action requiring approval under the paragraph, a
Lot Owner shall submit to the Architectural Control Committee construction plans and
specifications for the improvement including dwelling, showing site plan, exterior materials,
colors and finishes. No changes or deviations in or from such plans and specifications as
relating to external design of a dwelling or as to relating to any improvement shall be made
without the prior written approval of the Architectural Control Committee. The Architectural
Control Committee shall not be responsible or liable in any way for any defects or in any
specifications approved by the Architectural Control Committee, nor for any structural defects
in any work done according to such plans and specifications. The Architectural Control
Committee may refuse approval of plans, siting, or specifications upon any ground, including
purely aesthetic considerations which in its sole discretion it shall deem sufficient. The
Architectural Control Committee shall act with all reasonable promptness upon receipt of plans
and specifications submitted in accordance with the Section to approve or disapprove such plans
and specifications and shall state with reasonable clarity its objections, if any it has, the Lot
Owner's plans and specification, and shall advise Lot Owner what steps or modifications are
necessary to gain approval. The Architectural Control Committee may not disapprove a
dwelling proposal solely on the size of a dwelling provided it meets the requirements relating to

size as stated herein below. If the Architectural Control Committee shall fail to approve or
disapprove such plans and specifications within thirty (30) days after written demand for the
approval of such plans and specifications has been received by the Architectural Control
Committee at its business address along with the above required information, then the
Architectural Control Committee shall be deemed to have approved such plans and
specifications, provided however that all other conditions and restriction within this Declaration
shall be in full force and effect and such shall not constitute a waiver to any other Lot Owners
for the enforcement of this section.
ARTICLE IV
DWELLING SIZE AND DRIVEWAYS. No one-story residential structure which has
an area of less than one thousand eight (1,800) finished, heated square feet, exclusive of
porches, breezeways, steps and garages, shall be erected or placed or permitted to remain on any
lot. No one (1) and one-half (1/2) story residential structure which has an area of less that two
thousand three hundred (2,300) finished, heated square feet, exclusive of porches, breezeways,
steps and garages, shall be erected or placed or permitted to remain on any lot. No two-story
residential structure which has an area of less that two thousand five hundred (2,500) finished,
heated square feet exclusive of porches, breezeways, steps and garages, shall be erected or
placed or permitted to remain on any lot. All driveways shall be concrete from street to each
house, including parking area. Driveway piping shall be at least twenty-four (24) feet in width,
with a minimum diameter of fifteen (15) inches, unless the Declarant or its successors in interest
specifies otherwise. Driveway piping and temporary gravel driveways must be installed before
any type of construction is commenced on any lot. All structures shall be site built by a duly
licensed contractor. No mobile homes, modular homes or manufactured homes of any
description are allowed. With prior written approval of the Architectural Control Committee,
one story patio homes or condominiums may be erected with an area of not less than 1400
finished, heated square feet, exclusive of porches, breezeways, steps and garages.
ARTICLE V
BUILDING LOCATION. No building shall be located on any lot nearer to the front line
than thirty (30) feet, or nearer to the rear line than twenty (20) feet,, or nearer to ten (10) to an
interior line, or nearer to the side street than twenty (20) feet in the case of a comer lot. No
building or garage shall be located nearer than ten (10) feet to an interior lot line, nor nearer than
ten (10) feet from the rear lot line, nor nearer than fifty (50) feet from the front setback line. For
purpose of this covenant, eaves, steps, chimneys and stoops shall not be considered part of a
building. For purposes of this covenant, decks shall be considered part of a building; however,
decks may be located five (5) feet beyond the rear setback line as provided herein. No portion of
any building shall be permitted to encroach upon another lot. The intent is to have the house and
permitted buildings to be as centrally located as possible on each lot. Declarant and the
Architectural Control Committee shall have the right to waive in writing any minor violation of

this Article, and for the purpose hereof, any violation which does not exceed ten percent (10%)
shall be considered a minor violation.
ARTICLE VI
EASEMENTS. Easements for installation and maintenance of utilities and drainage
facilities are reserved as shown on the recorded plat and over the front ten (10) feet of each lot,
the rear ten (10) feet of each lot, and ten (10) feet on each sideline of lots shown on plot, unless
shown in excess of such distances on any recorded plat, in which case the plat shall control
within these easements, or interfere with the installation and maintenance of utilities and
drainage facilities, or which may change the direction of flow of drainage channels in the
easements, or which may obstruct or retire the flow of water through drainage channels in the
easements. The easement area of each lot and all improvements in it shall be maintained
continuously by the owner of the lot, except for those improvements for which a public
authority or utility company is responsible. Street lighting is installed and each lot shall be
assessed a monthly surcharge by the utility company.
ARTICLE VII
NUISANCES. No noxious or offensive trade or activity shall be carried on upon any lot,
nor shall anything be done thereon which may be or become an annoyance or nuisance to the
neighborhood. No signs or billboards shall be stored or regularly parked on the premises, and no
commercial trucks or tractors may be parked regularly upon the premises. No business activity
or trade of any kind whatsoever, which shall include but not be limited to, the use of any
residence, as a doctor's office, professional office of any kind, fraternity house, rooming or
boarding house, beauty shop, antique or gift shop or any other business activity, shall be carried
on upon any lot.
ARTICLE VIII
TEMPORARY STRUCTURES. Except as hereinbefore set forth, no trailer, tent, shack,
barn or other out building, except a private garage for not more than three (3) cars, shall be
erected or placed on any lot covered by these covenants. Except with the prior consent of the
Architectural Control Committee, no detached garage shall at any time be used for human
habitation, either temporarily or permanently.

ARTICLE IX
FENCES. No fence, wall, hedge or mass planting shall be permitted beyond the line
extending from the front of the house to either side lot line, except upon approval by the
Architectural Control Committee. No fence or fencing -type barrier of any kind shall be placed,
erected, allowed or maintained upon any portion of the community, including any lot, without
the prior written consent of the Architectural Control Committee. The committee may issue
guidelines detailing acceptable fence styles or specifications, but in no event shall hog wire or
chain link fence be approved. Lots bordering the golf course may not have any fencing except,
upon prior approval of the Architectural Control Committee, may have a wrought iron or
aluminum wrought iron replica fence with same restrictions as above as to location.
ARTICLE X
ACCESSORY BUILDINGS. No accessory building of any nature whatsoever
(including, but not limited to, detached garages, storage buildings, and greenhouses) shall be
placed on any lot without the prior written approval of the Architectural Control Committee,
with said committee to have the sole discretion relating to the location and type of accessory
building which shall be permitted on any lot. Under no circumstances shall metal storage
buildings be permitted. All accessory buildings must conform to the same architectural style as
the residence located on the same lot. Carports and garages that open to the front must be
approved by the Architectural Control Committee.
ARTICLE XI
GOLF COURSE. Each Lot Owner acknowledges that owning property adjacent or in close
proximity to a golf course involves certain risks which may have an effect on the utilization or
enjoyment of such lot. Lot Owner acknowledges that such risks may include (as examples and
not as a limitation on the generality of such risks) golf balls being hit into a lot, with the
potential of causing bodily injury or physical damage to property, and further including golfers
coming onto a lot to look for errant golf balls. Lot Owner hereby expressly assumes such risk
and agrees that neither Declarant nor any other entity owning or managing the golf course shall
be liable to any Lot Owner or anyone claiming any loss or damage, including, without
limitation, indirect, special or consequential loss or damage arising from personal injury,
destruction of property, trespass or any other alleged wrong or entitlement to remedy based
upon, due to, arising from or otherwise relating to the proximity of any lot to the golf course,
including, without limitation, any claim arising in whole or in part from the negligence of
Declarant or any other entity owning or managing the golf course. Each Lot Owner hereby
agrees to indemnify and hold harmless Declarant or any other entity owning or managing the

golf course against any and all claims by said Lot Owner and his guests, invitees or licensees
with respect to the above. Nothing in the paragraph shall restrict or limit any power of
Declarant or any other entity owning or managing the golf course to change the design of the
golf course, and such changes, if any, shall not nullify, restrict or impair the covenants and
duties of the owner of any lot contained herein.
Every lot and development site is burdened with an easement permitting golf balls
unintentionally to come upon the lot or site and for golfers at reasonable times and in a
reasonable manner to come upon the exterior portions of the lot or site to retrieve errant golf
balls; provided, however, if any lot is fenced as approved by the Architectural Control
Committee, the golfer shall seek the owner's or occupant's permission before entry. Declarant
shall use its best efforts to have the entity owning, managing or operating the golf course
conspicuously to denote all property on any lot or building site as out of bounds. Every owner
of every lot or living unit, by acceptance of delivery of a deed, assumes all risks associated with
errant golf balls, and each such owner agrees and covenants not to make any claim or institute
any action whatsoever against Declarant, any entity owning or managing the golf course, the
golf course designer or operator or any other party relating to the design and utilization of the
golf course relating to any errant golf ball, any damages cause thereby, or for negligent design
of the golf course or siting of the lot or living unit.
ARTICLE XII
REQUIRED MAINTENANCE AND APPEARANCE. Each owner shall keep his
building site free from tall grass, undergrowth, dead trees, trash, and rubbish, and properly
maintained so as to present a pleasing appearance within the subdivision. In the event an owner
does not properly maintain his building site as above -provided, in the opinion of the Declarant
and/or Architectural Control Committee, then Declarant (or its successors in interest), at its
option, may have the site cleared to its or the Architectural Control Committee's satisfaction,
and the costs thus incurred shall be the responsibility of the lot owner. The costs of clean-up, if
expended by the Declarant or its successors in interest, shall be a continuing lien upon the
property until the sums due and payable are paid in full.
All fireplace chimneys shall be masonry construction, Location of satellite television receivers
must be approved in writing by the Architectural Control Committee, but in no event shall any
receiver be visible from any road within the subdivision. No clothesline shall be permitted if
visible from any road within the subdivision. Trashcans must be located as to not be visible from
any road within the subdivision. Screening for satellite television receivers, clotheslines and
trashcans are subject to approval by the Architectural Control Committee. Communication
towers are expressly prohibited. All primary fuel storage tanks must be placed underground.
Home curtain foundation walls are expressly prohibited unless approval for same is first
obtained, in writing, from the Architectural Control Committee. Brick mailboxes are expressly
prohibited. No inoperable motor vehicles may be parked on any lot.

ARTICLE XIII
ANIMALS. No animals, livestock or poultry of any kind, other than ordinary household
pets, shall be kept or maintained on any part of said property. The said pets shall not be kept or
maintained outside any permitted structure on the lot. When the said pets are outside of any
permitted structure the pets shall be under the direct supervision of the owner or a member of
the household. No pets shall be allowed to stray or roam within the subdivision.
ARTICLE XIV
PARKING. Adequate off-street parking shall be provided by the owner of each lot for
the parking of automobiles owned by such owner, and owners of lots shall not be permitted to
park their automobiles on the streets in the subdivision. Owners of lots shall not be permitted to
park boats, trailers, campers, commercial vehicles and all other similar property on the streets in
the development, and such property shall not be permitted to be parked where it is visible from
any streets within the subdivision.
ARTICLE XV
UNDERGROUND UTILITIES AND STREET LIGHTING. Declarant reserves the
right to subject the real property described hereinabove to a contract with any utility or
municipality or its successors in interest for the installation of underground electric cables and
the installation of street lighting, either or both of which may require a continuous monthly
charge to the owner of each lot.
ARTICLE XVI
WATER AND SEWER. All lot owners shall be subject to monthly charges as approved
by the proper public authorities for water for domestic usage. Individual wells are allowed for
but only after approval is granted for same by the Declarant of the Architectural Control
Committee.
ARTICLE XVII
SIGNS. No sign of any kind shall be displayed to the public view on any lot except one
professional sign of not more than one square foot, one sign of not more than five square feet
advertising the property for sale or rent, or signs used by a builder to advertise the property
during the construction and sales period.

ARTICLE XIII
OIL AND MINING OPERATIONS. No oil drilling, oil development operations, oil
refining, quarrying or mining operations of any kind shall be permitted upon or in any lot, nor
shall oil wells, tanks tunnels, mineral excavations or shafts be permitted upon any lot. No
derrick or other structure designed for use in boring for oil or natural gas shall be erected,
maintained or permitted upon any lot.
ARTICLE XIX
GARBAGE AND REFUSE DESPOSAL. No lot shall be used or maintained as a
dumping ground for rubbish. Trash, garbage or other waste shall not be kept except in sanitary
containers. All incinerators or other equipment for the storage or disposal of such material shall
be kept in a clean and sanitary condition.
ARTICLE XX
TERM. These covenants are to run with the land and shall be binding on all parties and
all persons claiming under them for a period of thirty-five (35) years from the date these
covenants are recorded with the Robeson County Register of Deeds Office, after which time
said covenants shall be automatically extended for successive periods of ten (10) years, unless
an instrument signed by a majority of the then owners of the lots has been recorded, agreeing to
change said covenants, in whole or in part, within ten days following the expiration of the first
thirty-five (35) year period or following the expiration of any subsequent ten (10) year period.
ARTICLE XXI ,
AMENDMENT. (First sentence removed) The covenants and restrictions of this
Declaration may be amended at any time and from time to time by an agreement signed by at
least two-thirds of the owners of record whose lots are then subject to this Declaration;
provided, however, such amendment by the Lot Owners shall not be effective unless also signed
by the Declarant, if Declarant is the owner of any lot then subject thereto, provided, however,
that no amendment shall be allowed to decrease the dwelling size of any dwelling unit as
specified in Article IV of this declaration. Any such amendment shall not become effective
until the instrument evidencing such change has been recorded. Every purchaser or grantee of
any interest in any property now or hereafter made subject to this Declaration, by accepting a
deed or other conveyance thereof, thereby agrees that the covenants and restrictions of this
Declaration may be amended as provided in this Section.

ARTICLE XXII
ENFORCEMENT. Enforcement of these covenants shall be by proceedings at law or in
equity against any person or persons violating or attempting to violate any covenant, and the
aggrieved party, the Declarant, or lot owner, may request restraint of the violation or damages
resulting from said violation. Should an aggrieved party institute legal proceedings to enforce
any provision of these Covenants and prevail, it shall be entitled to an award of reasonable
attorney fees and court cost.
ARTICLE XXIII
SEVERABILITY. Invalidation of anyone of these covenants or any part thereof by
judgment or court order shall in no wise affect any of the other provisions which shall remain in
full force and effect, and the failure of any person or persons to take action to enforce these
covenants shall not be construed as a waiver of any future enforcement rights.
ARTICLE XXIV
INTERPRETATION. In all cases, the covenants and restrictions set forth and provided
for in this Declaration shall be construed together and given that interpretation or construction
which, in the opinion of the Declarant will best effect the intent of the general plan of
development and maintenance set forth hereinabove. The covenants and restrictions shall be
liberally interpreted, and if necessary, they shall be so extended or enlarged by implication as to
make them fully effective.
IN WITNESS WHEREOF, the undersigned, being the Declarant herein, have hereunto
caused the Declaration of Covenants, Conditions, and restrictions for Pinecrest Village to be
executed on this the day of 2009.
PINECREST DEVELOPERS, LLC
MN
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® `CDE
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
May 11, 2009
CERTIFIED MAIL: 7006 2150 0005 2109 8235
RETURN RECEIPT REQUESTED
Donnie Douglas
5207 McLeod Road
Lumberton, NC 28358
Natural Resources
Dee Freen-an
Secs u,ta: ,
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OENk_ rA*TTNLLEREGIOML0FRCE
SUBJECT: Post -Construction Stwrutwater Notification (HQW/01: w)
Pinecrest Subdivision
Robeson County
Dear Mr. Douglas:
Our office has received a copy of the Financial Responsibility/Ownership Form (FR/O) from the Division
of Land Resources, Land Quality Section for the Pinecrest Subdivision project to be located in Robeson County.
Based on project location information provided on the FR/O, we have detcrinined that the project is subject to a
State Stormwater Management Permit for development activities within one mile of and draining to High Quality
Waters (HQW).
Within 30 calendar days from receipt of this letter, you must submit to this office a complete application
package including the enclosed Stream Classification Form. The State Stormwater Management Permit is in
addition to the NPDES Stormwater General Permit (NCG010000) received for construction activities. For more
information and to obtain the application and applicable supplement form:,, please visit:
hrtp:/hv�vw.ncwatei-gLiality.org/su/state_sw.l)tnt. Please be advised that construction of any built -upon areas
prior to issuance of a State Stormwater Management Permit will be considered a violation of the NC
Administrative Codes and could result in the assessment of civil penalties of up to $25,000 per day, per
violation.
If you have any questions concerning this matter, please contact me at [phone],
Sincerely,
Michael Lawyer
Environmental Specialist
Enclosure
cc: Robeson County Planning Department,
FRO -Surface Water Protection
FRO -Land Quality
;;:ian: 225 Grath Stra at. Suite 714', Fayetteville. North Carolina 20301
hor, g0;0.:3-33001FA:r,M-id607071 Cusiomer Service:1-CT-o23 f7-13 N��ftil
mAv.nmateroualitv.ora '/-". rlv

State of North Carolina
Department of Environment and Natural Resources
Division of Water Qualit:y
STREAM CLASSIFICATION FORM
This fomt may be photocopied for use as an original.
It is required that the same authorized person that submitted or obtained approval for the Erosion and
Sedimentation Control Plan completes this form in its entirety. Once completed, this form should accompany the
application package for the Stormwater Management Permit. For further information and assistance in
determining stream classifications, visit: http://l12o.em'.state:.nc.us/esu/swcfaq.htnil.
PROJECT INFORMATION
1. Project Name: Pinecrest Subdivision _County: Robeson
Douglas
Dou
2. Authorized Contact Person (print) Donnie 9 -
3. Mailing Address: 5207 McLeod Road
4. City: Lumberton
State: NC zipcode: 28358Phone#:[phone]
5. Name of closest downslope surface water: Lumber Riaer
6. Signature of Contact Person: If —&-,, Date: S (? o
(To be signed by the same person or Authorized Agent as on the Approved Erosion &
Sedimentation Control Plan)
7. Is an Erosion & Sedimentation Control Plan required? Yes x No_
8. State Stormwater Management Permit required? Yes x No
I1. REQUIRED ITEMS
An 8.5" x l 1" color copy of the appropriate portion of a USGS quad sheet clearly showing the
project's property boundaries, receiving stream, major roads or State Road numbers and the
— -- nearest town or city.
III. CLASSIFICATION INFORMATION
1. Name of surface water: Lumber Riverr
2. River Basin: Lumber River Stream Index:
3. Classification (as established by the Environmental Management Commission): HOW
4. Proposed Classification (completed by DWQ during application process):
5. Approximate distance in feet from project site if classification is HQW: 1 600+

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r State of North Carolina
Department of Environment and Natural Resources
Division of Water QualitN
sTREANI CLASSIFICATION FORNI
This form may be photocopied for use as an original.
It is required that the same authorized person that submitted or obtained approval for the Erosion and
Sedimentation Control Plan completes this form in its entirety. Once completed, this Corm should accompany the
application package for the Stormwater Management Permit. For further information and assistance in
determining stream classifications, visit: http://li2o.err.state.iic.tis/esu/SN1'efaq.html.
I.
2.
3.
4.
PROJECT INFORMATION
Project Name:
Authorized Contact Person (print):
Mailing Address:
City:
State: zip code:
5. Name of closest downslope surface water:
County:
Phone #!:
6. Signature of Contact Pelson: Date: _
(To be signed by the same person or Authorized Agent as on the Approved Erosion &
Sedimentation Control Plan)
7. Is an Erosion & Sedimentation Control Plan required? Yes No
S. State Stormwater Management Permit required'? Yes_ No
11. REQUIRED ITEMS
An 8.5" x I F color copy of the appropriate portion of a USGS quad sheet clearly showing the
project's property boundaries, receiving stream, major roads or State Road numbers and the
nearest town or city.
Ill. CLASSIFICATION INFORMATION
Name of surface water:
2. River Basin:
Stream Index:
3. Classification (as established by the Environmental Management Commission):
4
Proposed Classification (completed by DWQ during application process):
5. Approximate distance in feet from project site if classification is HQW:

4
MCDE R
North Carolina_ Department of Environment and Natural Resources
Division of Water Quality
.Beverly Eaves Perdue Coleen H. Sullins
Governor Director
May 11, 2009
CERTIFIED MAIL: 7006 2150 0005 2109 8235
RETURN RECEIPT REQUESTED
Donnie Douglas
5207 McLeod Road
Lumberton. NC 28358
SUBJEC'C: Post -Construction Stormwater Notification (IIQNN'/ORy'tD
Pinecrest Subdivision
Robeson County
Dear Mr. Douglas:
Dee Freernan
Secretary
Out- office has received a copy of the Financial Responsibility/Ownership Form (FR/O) from the Division
of Land Resources, Land Quality Section for the Pinecrest Subdivision project to be located in Robeson County.
Based on project location information provided on the FR/O, we have determined that the project is subject to a
State Stormwater Management Permit for development activities within one mile of and draining to High Quality
Waters (HOW).
Within 30 calendar days from receipt of this letter, you must submit to this office a complete application
package including the enclosed Stream Classification Form. The State Stormwater Management Permit is in
addition to the NPDES Stormwater General Permit (NC(3010000) received for construction activities. For more
information and to obtain the application and applicable supplement forms, please visit:
http://www.ncwaterquality.oi-g/su/state_sw.htm. Please be advised that construction of any built -upon areas
prior to issuance of a State Stormwater Management Permit will be considered a violation of the NC
Administrative Codes and could result in the assessment of civil penalties of up to $25,000 per day, per
violation.
If you have any questions concerning this matter, please contact me at [phone]-
Sincerely�G/�
Michael Lawyer
Environmental Specialist
Enclosure
cc: Robeson County Planning Department
FRO -Surface Water Protection'
FRO -Land Quality
_ocaiian: 225 Green Street, Suite 714, Fa etteville. North Carolina 28301 One l'
?hone: 910-d33-33001 FAX [phone] Customer Service: '1-877-623-6748 N UI tll 1.211 n l l ❑ a
Internet: w d nmaterquallty.orq �Utllnlilil df

■ Complete items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.
IN Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
530-i N1e Le�ct kcc �{
LufAcrk1-N,
A.
X
❑ Agent
B. Received by (Printed N e) C. Date of Deliver
D. Is delivery address different from Hem 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mall
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mall ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7006 2150 0005 2109 8235
((ransfer from somke label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-14-1540

UNIrE( 7,34.T,,E?-Pa
• Sender: Please print your name, address, and ZIPPT "in this box
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/jHPF:-0't-L'OIyI T I I E i 1F,: ti
P. 001 0C1
FINANCIAL RESPONSIBILITYIOWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT . _s
No person may Initiate any land -disturbing activity on one or more acres as covered by the Act before this
form and an acceptable erosion and sedimentation control plan have been completed and approve �ur;
Land Quality Section, N.C. Department of Environment and Natural Resources. (Please type r print DI
the question Is not applicable or the,e-mail and/or fax information unavailable, place N/A in the blank.)
I MAY €0 5
Part A.
1. Project Name Pinecrest Subdivision
OENR-FAYEMLLEREGIONALOW
2. Location of land -disturbing activity: CountyRobeson City or Township Lumberton. Raft Swamp
Highway/Street Nigel Road Latitude 34.62866389 Longitude 79.07034167
3. Approximate date land -disturbing activity will commence: May 2009
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Residential
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 6.14 acres
6. Amount of fee enclosed: $ 455.00 . The application fee of $65.00 per acre (rounded
up.to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is $555).
7. Has an erosion and sediment control plan been filed? Yes No . Enclosed X
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Donnie Douglas E-mail
Telephone [phone] Cell # 910-374-9317 Fax # NA
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Pinecrest Developers LLC
Name
5207 McLeod Road
Current Mailing Address
910-739-4522 NA
Telephone Fax Number
4900Independence Dr.
Current Street Address
Lumberton NC 28358 Lumberton NC 28358
City State Zip City State Zip
1689 089
10. Deed Book No. 1703 Page No. 398 Provide a copy of the most current deed.
Part B.
Person(s) or firm(s) who are financially responsible for the land -disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet):
Donnie Douglas N/A
Name E-mail Address
5207 McLeod Road 4900Independence Dr.
Current Mallln9 Address Current Street Address
Lumberton NC 28358 Lumberton NC 28358
City State Zip City State Zip

HPF:- Ori9(TIIE) 16: 3 0 P, iiri i1-1Ci
Telephone [phone] Fax Number N/A
2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
Name E-mail Address
Current Mailing Address Current Street Address
City State Zip• City State Zip
Fax Number
(b) If the Financially Responsible Party is a Partnership or other person engaging in business under an
assumed name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible
Parry is a Corporation, give name and street address of the Registered Agent:
Name of Registered Agent
Current Mailing Address
City State Zip
E-mall Address
Current Street Address
City State Zip
Fax Number
The above information is true and correct to the best of my knowledge and belief and was provided
by me under oath (This form must be signed by the Financially Responsible -Person if an individual
or his attorney -in -fact, or if not an, individual, by an officer, director, partner, or registered agent with
the authority to execute instruments for the Financially Responsible Person). I agree to provide
corrected information should there be any change in the information provided herein.
Donnie Douglas Partner Maio r Owner
Type or print name Title or Authority
I✓ ` 4-23-09
Signature Date
1, ,m ;-kJ -I Li 00T c-cs-S __�12- , a Notary Public of the County of Robeson
State of North Carolina, hereby certify that Donnie Douglas appeared personally
before me this day and being duly sworn acknowledged that the above form was executed by him.
Witness my hand and notarial seal, this 23 day of ril
Nota
My commission expires C7 l `d IT___
ON COUP`