SW6130304_CURRENT PERMIT_20140430

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
�26 0z/2D
YYYYMMDD

I*DG
ENGINEERING EXCELLENCE
April 30, 2014
Mr. Mike Lawyer
North Carolina DENR DWQ
Fayetteville Regional Office
225 Green Street
Systel Building, Suite 714
Fayetteville, NC 28301-5043
Re: Club Pond Apartments -Phase I & II
Stormwater Management
Engineer's Certification
Project No. SW6130304
Club Pond Road, Hoke County
Mr. Lawyer,
Attached please find attached, an Engineer's Certification for the stormwater systems in the
Club Pond Green Apartments project in Hoke County.
Hopefully we have provided alt of the necessary information for you to finalize this project. If not
please give me a call at 828-645-7088. Thank you for your attention to this matter.
r., PE
cup, PC
MAY 5 2014
MERCER DESIGN GRoup, PC
P.D.B. 1 51 6, WEAVERVILLE, NC 28787
P. 828-645-70BB F. a2B-545-7714

State Stormwater Permit
Permit No. SW6130304
Club Pond Green Apartments, east of Raeford, North Carolina
Stormwater Permit No. SW6130304
Hoke County
Designer's Certification
I, .)i V5 H. t4acC'RF , as a duly registered F344iNe c� in the
State of North Carolina, having been authorized to observe eriodicall weekly/ full
time) the construction of the project,
Club Pond Green Apartments east of Raeford, Hoke County
(Project)
for L.I M$i-ry e,GM3WT4uIP�'�� f (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: t4eNE
Signature
Registration NuPnber 034-445-
Date Agmr L 30 2-o(-
SEAL,,,
Page 5 of 6

Ct11wr-l"WAY <r-Irr/ H I A

State Siormwater Permit
Permit No. SW6130304
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.
�LNN14. 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.
j7. • A Trash Rack• is'prodided 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 Fayetteville Regional Office
225 Green Street
Systel Building, Suite 714
Fayetteville, NC 28301-5043
Hoke County Building Inspections
Page 6 of 6

1
.. _..DWQUSE ONLY ,. . ....
Date Received
Fee Paid
Permit Number
So s.06
1 ad 4w 3o
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 Ph II - Post Construction
(select all that apply) ❑ Non-CoastaljSW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
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.):
CLUB POND GREEN APARTMENTS - Phases I & II
2. Location of Project (street address)
CLUB POND ROAD (NO ADDRESS) y�
City:(EASTERLY OF) RAEFORD County:HOKE Zip3T(,9
3. Directions to project (from nearest 'major intersection):
4. Latitude:350 00' 00" N Longitude:79° 17' 00" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tReneumis with modifications also requires SWU-102 - Renewal Application Fonn
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
0 permit number , its issue date (if known) , and the status of
n construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2., Spe if the type of ro' t (check one):
�7 ow Density High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
J requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑LAMA Major ®Sedimentation/Erosion Control: 4.52 ac of Disturbed Area
❑NPDES Industrial Stormwater 0404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
5. Is the project located within 5 miles of a public airport?
If yes, see S.L. 2012-200, Part VI: htt :
MAR 202013
Fonn SWU-101 Version 06Aug2012
Page 1 of 6

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization: CLUB POND GREEN ASSOCIATES LIMITED PARTNERSHIP
Signing Official & Title:JAMES B. SMITH, President, United Developers, Inc. (General Partner)
b. Contact information for person listed in item 1a above:
Street Address:2939 BREEZEWOOD AVENUE, SUITE 201
City:FAYETTEVILLE State:NC Zip:28303
Mailing Address (if applicable):
Phone:
Fax:
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official & Title:
b.Contact information for person listed in item 2a above:
Street Address:
City: State: Zip:
Mailing Address (if applicable):
City: State: Zip:
Phone: ( ) Fax: ( 1
3. a. (Optional) Print the name and title of another contact such as the projects construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official & Title:
b. Contact information for person listed in item 3a above:
Mailing Address:
City:_
Phone:
4. Local jurisdiction for building permits:
Fax:
Point of Contact: Phone #:
Form S WU-101 Version 06Aug2012 Page 2 of 6
Zip:

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
STORM WATER ROUTED TO ON -SITE INFILTRATION/DETENTION POND DISCHARGES OFF -SITE AT
CURRENT DISCHARGE LOCATION.
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.lf claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the LUMBER River basin.
4. Total Property Area: 6.56 acres
5. Total Coastal Wetlands Area: -0- acres
6. Total Surface Water Area: -0- acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:6.56 acres
Total project area shall be calculated to exclude thefollowing: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands Iandeva'd 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 = 57.17 %
9. How many drainage areas does the project have?ONE (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 _
Drainage Area _
Drainage Area
Receiving Stream Name
BEAVER CREEK
Stream Class *
C
Stream Index Number *
18-31-19-5
Total Drainage Area (so
233,917
On -site Drainage Area (so
233,917
Off -site Drainage Area (so
0
Proposed Impervious Area*' so
133,729
% Impervious Area** total
57.17
Impervious— Surface Area
Drainage Area 1'
Drainage Area
Drainage Area _
Drainage Area
On -site Buildings/Lots (so
46,600
On -site Streets (so
0
On -site Parking (sf)
69,650
On -site Sidewalks (so
17,479
Other on -site (so
0
Future (so
0
Off -site (sf)
0
Existing BUA*** (so
0
Total (so:
133,729
* Stream Class and Index Number can be determined at: Idtp://portal.nedenr.org web/eoq/ps/csndelassifications
" Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version 06Aug2012 Page 3 of

***Report aptly that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation.
Projects in Union County: Contact DIFQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more strfigent stormwater requirements as per I5A NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from ht4i://portal.ncdetir.org/web/wq/ws/su/bnnp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available fromhttp://portal.ncdenr.org/web/wq/ws/su/statesw/forms does. Thecomplete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http://portal.ncdennorg/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://12ortal.ncdenr.oro/web/wg/ws/su/statesw/forms does.
1. Original and one copy of the Stormwater Management Permit Application Form. � If�
2. Original and one copy of the signed and notarized Deed Restrictions &Protective Covenants
Form. (if required as per Part VIt below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhelp.org/pages/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
treatment/ managementfor
ided in the Project
5. A detailed narrative (one to two pages) describing the stormwater
the project. This is required in addition to the brief summary prov
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 1h mile of the site boundary, include the r/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
It. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
Form SWU-101 Version 06Aug2012 Page 4 of

o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"xll" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verifij the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 1017 Page No: 0069 _
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation; which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 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.
littp://www.secretary.state.nc.us/Corporatioiis/CSearch.aVx
VIL DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
http://portal.ncdenr.org/web/wq/ws/su/statesw/forms does. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot.
V III. 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 Engineerjames H. Mock, PE
Consulting Firm: Mercer Design Group, PC
Mailing Address:P.O.B. 1516
City:Weaverville State:NC Zip:28787
Phone: (828 ) 645-7088 Fax:
Email:[e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, items 2 has been filled out, complete this
section)
I, (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 la) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Form SWU-101 Version 06Aug2012 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signatu
a Notary Public for the State of
do hereby certify that
before me this _ day of
County of
personally appeared
. and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL.
My commission
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item In) JAMES B. SMITH
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 21-1.1000 and any other applicable state stormwater requirements.
Signature: Z. Date: ZI{ 4 /�o 0
a Notary Public for the State of _k&h (A'(m(: u A , County of
e2 L do hereby certify that-1 Arv`�-ski • Sm A-'�� personally appeared
before me this )� day of YVk 44, J-- a0i 3 and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires 4, /da m. l
Form SWU-101 Version 06Aug2012 Page 6 of

d �
NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
May 3, 2013
Mr. James B. Smith. President
Club Pond Green Associates Limited Partnership
2939 Breezewood Avenue, Suite 201
Fayetteville, North Carolina 28303
ryie�y Z.r
U P�1FRO
013
Natural Resources DWQ
Dee Freeman
Secretary
Subject: Stormwater Permit No. SW6130304
Club Pond Green Apartments — near Raeford
High Density Commercial Infiltration Basin w/Level Spreader Project
Hoke County
Dear Mr. Smith:
The Stormwater Permitting Unit received a complete Storr�twater Management Permit
Application for Club Pond Green Apartments on April 26 h, 2013. Staff review of the plans and
specifications has determined that the project, as proposed, will comply with the Stormwater
Regulations set forth in Title 15A NCAC 2H.1000 and Session Law 2006-246. We are forwarding
Permit No. SW6130304, dated May 3, 2013, for the construction, operation and maintenance of
the subject project and the stormwater BMPs.
This permit shall be effective from the date of issuance until May 3, 2021 and shall be subject to
the conditions and limitations as specified therein, and does not supersede any other agency
permit that may be required. Please pay special attention to the conditions listed in this permit
regarding the Operation and Maintenance of the BMP(s), recordation of deed restrictions,
procedures for changes of ownership, transferring the permit, and renewing the permit. Failure to
establish an adequate system for operation and maintenance of the stormwater management
system, to record deed restrictions, to follow the procedures for transfer of the permit, or to
renew the permit, will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing by filing a written petition with the Office of Administrative
Hearings (OAH). The written petition must conform to Chapter 150B of the North Carolina
General Statutes. Per NCGS 143-215(e) the petition must be filed with the OAH within thirty (30)
days of receipt of this permit. You should contact the OAH with all questions regarding the filing
fee (if a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center,
Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit their website at
www.NCOAH.com. Unless such demands are made this permit shall be final and binding.
This project will be kept on file at the Fayetteville Regional Office. If you have any questions, or
need additional information concerning this matter, please contact Bill Diuguid at (919) 807-
6369; or [e-mail].
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: www.ncwaterquality.org
An Equal Opportunity 1Affrmatiive Action Employer
One
NorthCarolina
Naturally

4= Permit No.
(to be provided by DWQ)
O pp W A rFq�G
R STORMWATER MANAGEMENT PERMIT APPLICATION FORM o
MCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information
�1.-PROJECT,INF.ORMATION
Project Name
CLUB POND GREEN APARTMENTS- Phase I & II
Contact Person
JAMES MOCK, PE
Phone Number
828-645-7088
- - -
Date
4/24/2013
- -
Drainage Area Number
1 -
-
II: DESIGN INFORMATION
Site Characteristics
Drainage area
233,917.00
ft2
Impervious area
133,729.00
ft2
Percent impervious
57.17
%
Design rainfall depth
1.00
in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
0.23-- -
in
1-yr, 24-hr intensity
3.02" '
inlhr
Pre -development 1-yr, 24-hr discharge
1.05
ft'Isec
Post -development 1-yr, 24-hr discharge
0.95
ft'Isec
PrelPost 1-yr, 24-hr peak Flow control
-0.10
ff'Isec
Storage Volume: Non -SA Waters
Minimum design volume required
10,846.44 "
fl'
Design volume provided
19,602.00 ''
fit' OK for non -SA waters
Storage Volume: SA Waters
1.5' runoff volume
ry�
Pre -development 1-yr, 24-hr runoff volume
ry'
Post -development 1-yr, 24-hr runoff volume
-
ry'
Minimum required volume
ry�
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
Coastal Plain
0.70
inlhr
228.00
fmsl
1,25
days OK
3.00
:1 OK
242.00
fmsl OK
245.73
fmsl
3,600.00
ft2
248.00
fmsl
49.00 ft
42.00 it
2,058.00 ft2
Form SW401-Infiltration Basin-Rev.5 11Apr2011 Parts I. & II. Design Summary, Pagel of 2

Permit No.
(to be provided by DWQ)
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 wells)
Separation from impervious soil layer
Naturally occuring soil above shwt
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
2,00
ac-in
OK
30.00
ft
OK
15.00
fl
OK
650+
fl
OK
500+
It
OK
8.00''
It
OK
22.00
It
OK
Y
(Y or N)
OK
Y
(YorN)
OK
Y
(Y or N)
OK
Y
(Y or N)
OK
N
Form SW401-Infiltration Basin-RevS 11Apr2011 Parts I. & II. Design Summary, Page 2 of 2

Permit Number.
(ro he provided by DWQ)
Drainage Area Number.
Filter Strip, Restored Riparian Buffer and Level Spreader
Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
— Immediately after the filter strip is established, any newly planted vegetation
will be watered twice weekly if needed until the plants become established
(commonly six weeks).
— Once a year, the filter strip will be reseeded to maintain a dense growth of
vegetation
— Stable groundcover will be maintained in the drainage area to reduce the
sediment load to the vegetation.
— Two to three times a year, grass filter strips will be mowed and the clippings
harvested to promote the growth of thick vegetation with optimum pollutant
removal efficiency. Turf grass should not be cut shorter than 3 to 5 inches and
may be allowed to grow as tall as 12 inches depending on aesthetic requirements
(NIPC, 1993). Forested filter strips do not require this type of maintenance.
— Once a year, the soil will be aerated if necessary.
— Once a year, soil pH will be tested and lime will be added if necessary.
After the filter strip is established, it will be inspected quarterly and within 24 hours
after every storm event greater than 1.0 inch (or 1.5 inches if in a Coastal County).
Records of operation and maintenance will be kept in a known set location and will be
available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
The entire filter strip
Trash/debris is present.
Remove the trash/debris.
system
The flow splitter device
The flow splitter device is
Unclog the conveyance and dispose
(if applicable)
clogged.
of any sediment off -site.
The flow splitter device is
Make any necessary repairs or
damaged.
replace if damage is too large for
repair.
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 1 of 3

l;
BMP element:
Potentialproblem:
How I will remediate theproblem:
The swale and the level
The swale is clogged with
Remove the sediment and dispose
lip
sediment.
of it off -site.
The level lip is cracked,
Repair or replace lip.
settled, undercut, eroded or
otherwise damaged.
There is erosion around the
Regrade the soil to create a berm
end of the level spreader that
that is higher than the level lip, and
shows stormwater has
then plant a ground cover and
bypassed it.
water until it is established. Provide
lime and a one-time fertilizer
application.
Trees or shrubs have begun
Remove them.
to grow on the Swale or just
downslo e of the level lip.
The bypass channel
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed,
remove the gully, and then
reestablish proper erosion control.
Turf reinforcement is
Study the site to see if a larger
damaged or ripap is rolling
bypass channel is needed (enlarge if
downhill.
necessary). After this, reestablish
the erosion control material.
The filter strip
Grass is too short or too long
Maintain grass at a height of
(if applicabIe).
approximately three to six inches.
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Sediment is building up on
Remove the sediment and
the filter strip.
restabilize the soil with vegetation if
necessary. Provide lime and a one-
time fertilizer application.
Plants are desiccated.
Provide additional irrigation and
fertilizer as needed.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application.
Nuisance vegetation is
Remove vegetation by hand if
choking out desirable species.
possible. If pesticide is used, do not
allow it to get into the receiving
water.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality local Regional Office, or the
outlet.
1 401 Oversight Unit at 919-733-1786.
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 2 of 3

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that l 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 narne:CLUB POND GREEN APARTMENTS - PHASE 1 & 11
BMP drainage area number: I
Print name:James B. Smith
Title:President, United Developers, Inc. (General Partner)
Address:2939 Breezewood Avenue, Fayetteville, NC 28303
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.
11 -4 � "" a- + fV , a Notary Public for the State of
atlla� QaP-oU Ain- , County of i'c�n b P� (n. cZ , do hereby certify that
�1tYl aS �. dw„ ✓� personally appeared before me this ,
day of Jd t 3 , and acknowledge the due execution of the
forgoing filter strip, riparian buffer, and/or level spreader maintenance requirements.
.Witness my hand and official sea` Cr
SEAL
My commission expires ' 107s U 4
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 3 of 3

Pennit Number: S W 61 3030 L{
(to be provided by DWQ)
Drainage Area Number: I
Infiltration Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
— Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter and within
24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Form SW401-Infiltration Basin O&M-Rev.3 Page I of 3

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

Permit Number. 1-w61303OLt
(to be provided by D{VQ)
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:CLUB POND GREEN APARTMENTS - PHASE I & II
BMP drainage area number:I
Print name:JAMES B. SMITH
Title: PRESIDENT, United Developers. Inc. (General Partner)
Address:2939 Breezewood Avenue, Fayetteville, NC 28303
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 Notary Public for the State of
�±oAo C44zo(:J a , County of (2t.Vt-6eti( q, ( do hereby certify that
personally appeared before me this L
day of ( f vYLLL (--- do, 3 , and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
7.4
,.
............
;p..J;..��
SEAL
My commission expires -05 /a Ad IL%
Fonn SW401-Infiltration Basin O&M-Rev.3 Page 3 of 3

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NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM.
LEVEL SPREADER - VEGETATED FILTER STRIP (LS-VFS) SUPPLEMENT
This form must be completely filled out, printed, initialed, and submitted.
Project name
CLUB POND GREEN APARTMENTS - Phases I & II -
Contact name
JAMES MOCK, PE _
Phone number
828-645-7088
Date
April24, 2013
Drainage area number
1 -
Ill DESIGN INFORMATION'
,
The purpose of the LS-VFS
Other Explained below
Stormwater enters LS-VFS from
A BMP -
Type of VFS
.Engineered filter strip (graded & sodded, slope < 8 %) -
Explanation of any 'Other" responses above
Difuse discharge from 1-yr Storm detention from Infiltration Pond (Retentionrrreatment of
1 st Inch)
If Stormwater Enters the LS-VFS from the Drainage Area
Drainage area
Impervious surface area
Percent impervious
Rational C coefficient
Peak now from the 1 inlhr storm
Time of concentration
Rainfall intensity, 10-yr storm
Peak flow from the 10-yr storm
Design storm
Maximum amount of flow directed to the LS-VFS
Is a flow bypass system going to be used?
Explanation of any 'Other" responses above
If Stormwater Enters the LS-VFS from a BMP
Type of BMP
Peak discharge from the BMP during the design storm
Peak discharge from the BMP during the 10-year storm
Maximum capacity of a 100-foot long LS-VFS
Peak flow directed to the LS-VFS
Is a Flow bypass system going to be used?
Explanation of any "Other" responses above
112
Do not complete this section of the form.
filz
Do not complete this section of the form.
Do not complete this section of the form.
Do not complete this section of the form.
cis
Do not complete this section of the form.
min
Do not complete this section of the form.
inlhr
Do not complete this section of the form.
cis
Do not complete this section of the form.
Pick one
:-
cis
Do not complete this section of the form.
(Y or N)
Do not complete this section of the form.
Infiltration basin
0.95 cis
23.71 cis
10 cis
0.95 cis
N (Y or N) A bypass system is required for the excess flow.
Form SW401 - LS-VFS - 29June2012 - Rev.10 page 1 of 3

^t5-VFS'Design
Forebay surface area
sq If
Depth of forebay at stormwater entry point
-
in
Depth of forebay at stormwater exit point
in
Feet of level lip needed per cfs
10
fVcfs
Computed minimum length of the level lip needed
10
If Ten feet Is the minimum level spreader length.
Length of level lip provided
15
It
Width of VFS
' 30
It
Elevation at downslope base of level lip
242.83
fmsl
Elevation at the end of the VFS that is farthest from the LS
242.68
fmsl
Slope (from level lip to the end of the VFS)
0.50
%
Are any draws present in the VFS?
N
(Y or N) OK
Is there a collector swale at the end of the VFS?
N.
(Y or N)
Bypass System Design (if applicable)
Is a bypass system provided?
Is there an engineered flow splitting device?
Dimensions of the channel (see diagram below):
A
B
W
y (flow depth for 10-year storm)
freeboard (during the 10-year storm)
Peak velocity in the channel during the 10-yr storm
Channel lining material
Does the bypass discharge through a wetland? .
Does the channel enter the stream at an angle?
Explanation of any "Other" responses above
IN (Y or N)
IN (Y or N)
It
ft
If
It
ft
h/sec
Pick one:
W
♦ B 1
(Y or N)
(Y or N)
Form SW401 - LS-VFS - 29June2012 - Rev.10 - page 2 of 3

jltf REQUIRED'ITEMSCHECKLIST
EDIT Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to indicate the
following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a requirement has not been
met, attach justification.
Requried Item:
1. Plans (1' - 50' or larger) of the entire site showing:
- Design at ultimate build-0ut,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Forebay (if applicable),
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW), and
- Boundaries of drainage easement.
2. Plan details (V = 30' or larger) for the level spreader showing:
- Forebay (if applicable),
- High flow bypass system,
- One foot topo lines between the level lip and top of stream bank,
- Proposed drainage easement, and
- Design at ultimate build -out.
3. Section view of the level spreader (1' = 20' or larger) showing:
- Underdrain system (if applicable),
- Level lip,
- Upslope channel, and
- Downslope filter fabric.
4. Plan details of the flow splitting device and supporting calculations (if applicable).
5. A construction sequence that shows how the level spreader will be protected from
sediment until the entire drainage area is stabilized..
6. If a non -engineered VFS is being used, then provide a photograph of the VFS sho
that no draws are present.
7. The supporting calculations.
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
Page or plan sheet number and any notes:
Form SW401 - LS-VFS - 29June2012 -Rev. 10 page 3 of 3