SW8090509_CURRENT PERMIT_20220202

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 O q 050
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2022 0202
YYYYMMDD

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRIAN WRENN
Director
February 2, 2022
Coastal Landmark Properties, LLC
Attn: Erik Kenyon, Managing Member
621 Wedgewood Road
Whiteville, NC 28472
NORTH CAROLINA
Environmental Quaary
Subject: Permit Renewal
Post -Construction Stormwater Management Permit No. SW8 090509
Coastal Carolina ENT, PA
Brunswick County
Dear Mr. Kenyon:
Effective August 1, 2013 the Post -Construction Stormwater Management Program has been transferred from the
Division of Water Quality ("DWQ") to the Division of Energy, Mineral and Land Resources ("DEMLR"). All
previous references to DWQ will remain in older permits issued prior to August 1, 2013 until they are modified.
Please note that this permit will now reference DEMLR as the Division responsible for enforcement of the permit.
On August 5, 2009, the Governor signed Session Law 2009-406. This law impacted any development approval
issued by the former Division of Water Quality under Article 21 of Chapter 143 of the General Statutes, which
was current and valid at any point between January 1, 2008, and December 31, 2010. The law extended the
effective period of any permit that was set to expire during this time frame to three (3) years from its current
expiration date. On August 2, 2010, the Governor signed Session Law 2010-177, which granted an extra year for
a total of four (4) years extension.
The Division of Energy, Mineral and Land Resources received a complete 8-year Permit Renewal Application for
the subject permit on January 31, 2022. The Division is hereby notifying you that permit S W8090509 has been
renewed, updated, and re -issued on February 2, 2022, as attached. As requested, a copy of the current operation
and maintenance agreement is also enclosed. Please be aware that the renewal and re -issuance of this stormwater
permit does not imply that the site is currently in compliance.
This permit shall be effective until December 30, 2029, which includes all available extensions, and does not
supersede any other agency permit that may be required. The project shall be subject to the conditions and
limitations as specified therein. Tbis permit does not impose new or increased stormwater control requirements; it
clarifies the rules and requirements of this program to provide you with a better understanding of your obligations
under this permit. Failure to comply with these requirements will result in future compliance problems. Please
note that this permit is not transferable except after notice to and approval by the Division.
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 and 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.
If you have any questions concerning this permit, please contact Ashley Smith in the Wilmington Regional
Office, at [phone] or [e-mail].
Sincerely,
''��qq�
,97. Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
- I D ffln North Carolina Department of Environmental Quality I Dhasion of Energy, ATineral and land Resources
�/ Wilmington Regional Office 1127CardmalDnve Extension I wihmngton. North Carolina 28405

State Stormwater Permit No SW8 090509
Page 2 of 2
Enclosures: Attachment C — Permitting History
Renewal Application Documents
Copy of the current operation and maintenance agreement
DES/ams: \\\Stormwater\Permns & Projects\2009 090509\ HD\2022 02 permit 090509
cc Wilmington Regional Office Stormwater File
D E Q North Carolina Department of Environmental Quality I Division of Energy, lrrmerai and land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Wllmmgton. North Carolina 28405
�� 9107%7215

Post -Construction Stormwater Management
Permit No SW8 090509
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST -CONSTRUCTION STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Coastal Landmark Properties, LLC
Coastal Carolina ENT, P.A.
2298 Ocean Hwy, Shallotte, Brunswick County
FOR THE
construction, operation and maintenance of one wet detention pond in compliance with the provisions
of 15A NCAC 2H 1000 and Session Law 2008-211 (hereafter collectively referred to as the
"stormwater rules') and as outlined in the application, approved stormwater management plans,
supplement, calculations, operation and maintenance agreement, recorded documents,
specifications, and other supporting data (the "approved plans and specifications") as attached and/or
on file with and approved by the Division of Energy, Mineral and Land Resources (the "Division" or
"DEMLR") The project shall be constructed, operated and maintained in accordance with these
approved plans and specifications The approved plans and specifications are incorporated by
reference and are enforceable part of this permit
This permit shall be effective from the date of issuance until December 30, 2029 and shall be subject
to the following specified conditions and limitations The permit issued shall continue in force and
effect until the permittee files a request with the Division for a permit modification, transfer, renewal, or
rescission, however, these actions do not stay any condition The issuance of this permit does not
prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or
terminating the permit for cause as allowed by the laws, rules, and regulations contained in Title 15A
NCAC 2H 1000 and NCGS 143-215 1 et al
I. DESIGN STANDARDS
1 This permit is effective only with respect to the nature and volume of stormwater described in
the application and other supporting data
2 This stormwater system has been approved for the management of stormwater runoff as
described in Section 1 7 on page 2 of this permit The stormwater control has been designed to
handle the runoff from 35,700 square feet of impervious area
3 A 50' wide vegetative buffer must be provided adjacent impounded structures, streams, rivers
and tidal waters
4 The tract will be limited to the amount of built -upon area indicated on page 2 of this permit, and
per approved plans
Page 1 of 5

Post -Construction Stormwater Management
Permit No SWB 090509
5 All stormwater collection and treatment systems must be located in either dedicated common
areas or recorded easements The final plats for the project will be recorded showing all such
required easements, in accordance with the approved plans
6 The runoff from all built -upon area within the permitted drainage area(s) of this project must be
directed into the permitted stormwater control system
7 The following design criteria have been provided in the wet detention pond and must be
maintained at design condition
a Drainage Area, acres
Onsite, ftZ
Offsite, ft2
b Total Impervious Surfaces, ft'
Buildings, ft2
Parking, ftz
Sidewalks, ft2
c Design Storm, inches
d Average Pond Design Depth, feet
e TSS removal efficiency
f Permanent Pool Elevation, FMSL
g Permanent Pool Surface Area, ft2
h Permitted Storage Volume, ft3
i Temporary Storage Elevation, FMSL
I Pre-dev 1 yr-24 hr discharge rate, cis
k Controlling Orifice
I Orifice flowrate, cfs
m Permitted Forebay Volume, ft3
n Fountain Horsepower
o Receiving Stream/River Basin
p Stream Index Number
q Classification of Water Body
II. SCHEDULE OF COMPLIANCE
15
65,421
0
35,700
9,315
24.968
1,489
15
35
90%
400
3,910
4,414 at temporary pool elev
4092
1 56
VO pipe
0 014
1,454
N/A
UT Williams Branch / Lumber
15-25-2-9-3
"C, Sw, HQW"
1 The stormwater management system shall be constructed in its entirety, vegetated and
operational for its intended use prior to the construction of any built -upon surface
2 - During construction, erosion shall be kept to a minimum and any eroded areas of the system
will be repaired immediately
3 The permittee shall at all time provide the operation and maintenance necessary to assure the
permitted stormwater system functions at the design condition The approved Operation and
Maintenance Plan must be followed in its entirety and maintenance must occur at the
scheduled intervals including, but not limited to
a Semiannual scheduled inspections (every 6 months)
b Sediment removal
c Mowing and re -vegetation of slopes
d Immediate repair of eroded areas
e Maintenance of all slopes in accordance with approved plans and specifications
f Debris removal and unclogging of outlet structure, orifice device, flow spreader, catch
basins and piping
q Access to the outlet structure must be available at all times
4 Records of maintenance activities must be kept and made available upon request to
authorized personnel of DEMLR The records will indicate the date, activity, name of person
performing the work and what actions were taken
Page 2 of 5

Post -Construction Stormwater Management
Permit No SW8 090509
The facilities shall be constructed, operated and maintained in accordance with the provisions
of this permit, the approved plans and specifications, and the supporting documents attached
to this permit and on file with the Division
6 Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to
operation of this permitted facility, a certification must be received from an appropriate
designer for the system installed certifying that the permitted facility has been installed in
accordance with this permit, the approved plans and specifications, and other supporting
documentation Any deviations from the approved plans and specifications must be noted on
the Certification A modification may be required for those deviations
If the stormwater system was used as an Erosion Control device, it must be restored to design
condition prior to operation as a stormwater treatment device, and prior to occupancy of the
facility
Access to the stormwater facilities for inspection and maintenance shall be maintained via
appropriate recorded easements at all times
9 The Director may notify the permittee when the permitted site does not meet one or more of
the minimum requirements of the permit Within the time frame specified in the notice, the
permittee shall submit a written time schedule to the Director for modifying the site to meet
minimum requirements The permittee shall provide copies of revised plans and certification in
writing to the Director that the changes have been made
10 No person or entity, including the permittee, shall alter any component shown in the approved
plans and specifications Prior to the construction of any modification to the approved plans,
the permittee shall submit to the Director, and shall have received approval for modified plans,
specifications, and calculations including, but not limited to, those listed below For changes to
the protect or SCM that impact the certifications, a new or updated certification(s), as
applicable, will be required and a copy must be submitted to the appropriate DEQ regional
office upon completion of the modification
a Any modification to the approved plans and specifications, regardless of size including
the SCM(s), BUA, details, etc
b Redesign or addition to the approved amount of BUA or to the drainage area.
c Further development, subdivision, acquisition, lease or sale of any, all or part of the
protect and/or property area as reported in the approved plans and specifications
d Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), the stormwater collection system and/or
vegetative conveyance shown on the approved plan
e The construction of any allocated future BUA
f The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material to be considered a permeable surface that were not included in
the approved plans and specifications
g Other modifications as determined by the Director
III. GENERAL CONDITIONS
CORRECTIVE ACTIONS REQUIRED If the facilities fail to perform satisfactorily, the
permittee shall take immediate corrective actions This includes actions required by this
Division and the stormwater rules such as the construction of additional or replacement on -site
stormwater systems These additional or replacement measures shall receive a permit from
the Division prior to construction
PERMIT RENEWAL A permit renewal request must be submitted at least 180 days prior to
the expiration date of this permit The renewal request must include the appropriate
application, documentation and the processing fee as outlined in Title 15A NCAC
02H 1045(3)
CHANGES TO THE PROJECT NAME, PERMITTEE NAME OR CONTACT INFORMATION
The permittee shall submit a completed Permit Information Update Application Form to the
Division within 30 days to making any one of these changes
Page 3 of 5

Post -Construction Stormwater Management
Permit No SW8 090509
4 TRANSFER This permit is not transferable to any person or entity except after notice to and
approval by the Director Neither the sale of the project and/or property, in whole or in part, nor
the conveyance of common area to a third party constitutes an approved transfer of the permit
a TRANSFER REQUEST The transfer request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H 1045(2) This
request must be submitted within 90 days of the permit holder meeting one or more of
the following
i A natural person who is deceased,
n A partnership, limited liability corporation, corporation, or any other business
association that has been dissolved,
ui A person or entity who has been lawfully and finally divested of title to the
property on which the permitted activity is occurring or will occur through
foreclosure, bankruptcy, or other legal proceeding
IV A person or entity who has sold the property, in whole or in part, on which the
permitted activity is occurring or will occur
b TRANSFER INSPECTION Prior to transfer of the permit, a file review and site
inspection will be conducted by Division personnel to ensure the permit conditions
have been met and that the project and the on -site stormwater system complies with
the permit conditions Records of maintenance activities performed to date may be
requested Projects not in compliance with the permit will not be transferred until all
permit and/or general statute conditions are met
5 COMPLIANCE The permittee is responsible for compliance with the terms and conditions of
this permit until the Division approves the transfer request
a APPROVED PLANS AND SPECIFICATIONS A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable
recorded documents, and specifications shall be maintained on file by the permittee at
all times
b DIVISION ACCESS The permittee grants Division Staff permission to enter the
property during normal business hours to inspect all components of the permitted
project
c ENFORCEMENT Any individual or entity found to be in noncompliance with the
provisions of a stormwater management permit or the requirements of the stormwater
rules is subject to enforcement procedures as set forth in NCGS 143 Article 21
d ANNUAL CERTIFICATION The permittee shall electronically submit to the Division an
annual certification completed by either the permittee or their designee confirming the
protects conformance with permit conditions
e OBTAINING COMPLIANCE The Director may notify the permittee when the permitted
site does not meet one or more of the minimum requirements of the permit Within the
time frame specified in the notice, the permittee shall submit a written time schedule to
the Director for modifying the site to meet minimum requirements The permittee shall
provide copies of modified plans and certification in writing to the Director that the
changes have been made
f OTHER PERMITS The issuance of this permit does not preclude the permittee from
complying with and obtaining any other permits or approvals that are required for this
development to take place, as required by any statutes, rules, regulations, or
ordinances, which may be imposed by any other Local, State or Federal government
agency having jurisdiction Any activities undertaken at this site that cause a water
quality violation or undertaken prior to receipt of the necessary permits or approvals to
do so are considered violations of NCGS 143-215 1, and subject to enforcement
procedures pursuant to NCGS 143-215 6
Page 4 of 5

Post -Construction Stormwater Management
Permit No SW8 090509
Permit renewed, updated and reissued this the 2ndd day of February 2022
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
U'W.lY . I !`f cJU
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 5of5

Attachment C - Permitting History
Coastal Carolina ENT, PA
Permit No SW8 090509
Approval
Date
Permit
Action
BIMS
Version
Description of the Changes
7/27/2009
Original
Approval
10
2/2/2022
Renewal
20
Expires December 30, 2029

RECEavZ-13
MAY 0 7 p yt Detention
Permit Number. 5wg 0�10-�Og
(to be provided by DWQ)
Drainage Area Number.
Basin Operation and Maintenance Agreement
BY: U� M I
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.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided
This system check one):
❑ does [does not incorporate a vegetated filter at the outlet.
N
Th'6'/system (check one):
[does ❑ does not incorporate pretreatment other than a forebay.
rz
Q
Important maintenance procedures: y
— Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
— No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
— Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
— If the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency dram should be minimized to the
maximum extent practical.
— Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month 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 should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How 1 will remediate theproblem:
The entire BMP
Trash/debris is present
Remove the trash/debris
The perimeter of the wet
Areas of bare sod and/or
Regrade the soil if necessary to
detention 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
Vegetation is too short or too
Maintain vegetation at a height of
long
approximately six inches
Form SW40I-Wet Detention Basin O&M -Rev 4 Page 1 of 4

Permit Number. s' s 090S63
(to be provided by DWQ)
Drainage Area Number
BMP element:
Potentialproblem:
How I will remediate theproblem:
The inlet device: pipe or
The pipe is clogged.
Unclog the pipe Dispose of the
Swale
sediment off -site
The pipe is cracked or
Replace the pipe
otherwise damaged
Erosion is occurring in the
Regrade the swale if necessary to
swale
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design depth for
possible. Remove the sediment and
sediment storage
dispose of it in a location where it
will not cause impacts to streams or
the BMP
Erosion has occurred
Provide additional erosion
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 pesticide is used, wipe it on
the plants rather than spraying
The vegetated shelf
Best professional practices
Prune according to best professional
show that pruning is needed
practices
to maintain optimal plant
health
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 to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present.
Remove the weeds, preferably by
hand If pesticide is used, wipe it on
the plants rather than spraying
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible Remove the sediment and
storage depth
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area
and control the algal growth
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface
Form SW401-Wet Detention Basin O&M -Rev 4 Page 2 of 4

Permit Numhei 5W!s 090509
(to be pt orttle(l /7Y D1 F0)
Dimnugc Aica Numbci /
BMP element:
Potential problem:
Ilovv I will remedtale theproblem:
'rheembankment
Silt ubshave titaitedtogiow
Itenluveshiobsimmeclmlely
on tile. embankment
Evidence of nuiskrat of
Use tiaps to tenlove nnisktats and
beavei activity is present
consult a piutessional to tenlove
beavers
A Lice has star Icd to grow nn
Consult a dam safety specialist to
the embankment
remove the tree.
An annual inspection by an
Make all needed iepaus
appiopnate professional
shows that the embankment
needs iepan (if applicable)
The outlet device
Clogging has occur red
Clean out the outlet device. Dlspose
of the sediment off -site
The outlet device is damn aed
Repau or re glace the outlet device
The receiving water
Eiosion of other signs of
damage have occurred at the
outlet
Contact the local NC Division of
Water Quality Regional Office, or
the 401 Ovetsight Unit at 919-733-
1756
The measuring device used to determine the sediment elevation shall be such
that it will give in accurate depth reading and not readily penetrate into
accunnilated sediments
When the permanent pool depth reads
sediment shall be removed.
When the permanent pool depth leads
shall be removed
S feet In the main pond, the
3 feet in the forebay, the sediment
13ASIN DIAGRAM
(fill in the blemk.)
sedunent Removall: 30 -----��- ------ P11111"It"I'le
il
3ottum Llevauoi
Sediment
Stomec
FOREBAY
Permanent Poul 1, evanon
I'uul J
Sediment Removal Elevation Volume
\------------ Ruuom Elevation
3Y,0 I 1-n n it
Sediment
storage
MAIN POND
Fz qCmA % mn
JUL 2 1 2009
Conn SW401-Wet Detention Page 3 ol'rl

Permit Number Sw& 10509
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Dr. Erik Kenyon Coastal Carolina ENT, P.A.
BMP drainage area number
Print name. C
l
Title: V p (e A t'J'e P"_
Address:850 Sunset Blvd N
LA
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president
I, �f)/1rA. : a Notary Public for the State of
n(—Cl l�iC1`1C13County of1'LaY�51 t� LCIL , do hereby certify that
knk ion personally appeared before me thisa4
day of)�ZrL,h , and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements Witness my hand and official
seal,
=`
- a
f^l
s�
S&f L"'
My commission expires��/
Form SW40I-Wet Detention Basin O&M -Rev 4 Page 4 of 4

DEMLR USE ONLY
R ceived
Fee Paid
Permit Number
ane
'al -lATH
1,2 IA Ec
n (tit C' U OJ
NC DEQ Division of Energy, Mineral and Land Resources
In accordance with , the current permit holder shall renew their high density permit 180 days
poor to its expiration Renewed permits are valid for a period of 8 years per Session Law 2011-398 (S8, 781)
Section 60 (c) This application form is for permit renewals only
1. State Stormwater Permit Nuntper. �> W On U D U`
2. Project name: li- VO C r, n k k VX-
c—
NT
3. Project street address. 1 Q ( ��r �J L{ ,
City: 0 �� i County/^JnjJ tCCZIP:J�Z� l ��
4. What, if any, changes have been made to the project as permitted? No r-'z-
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at.
If changes to the permittee or project name have been made, please complete either the Permit Update form
or the Permit Transfer form available at • I , ,
automatically transfer with the sale of the property State Stormwater Permits do not
1 1. Current Permit Holder's Company Name/Organization: /Organization: cooC, slo I � fao t F1/ P( - o fir ilk S
2. Signing Official's Name � KY- I e r�\. I 0
3. Signing Official's Title- a 6- K
4. Mailing Address. j�t)p 4 A c)Lir� Qcr.
City: W, , , t ev, `'i CI State- N_ ZIP :)n
5 Street Address: S C`Yh2 C—s C,- wC
City: State. ZIP.
( I 6 Phone. ) �3 —� Z) � Email- C rr1 K- eny� � uci . Cc,
Stonnwwater Permit Renewal Foini Paoe 1 of 3
LL L
.4
,,;, . .
CEOVE
DEC 2 g ?r='- i
WL
JAN 3 1 2022
Mav 11 2018

Submit the application package to the appropriate (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORW). Only applications packages that
include all required items listed below will be accepted and reviewed.
Initial each item below to Indicate that the required information is provided In the application package:
1 1 L 1. A permit application processing fee of $505.00 payable to NCDEQ.
2. One original signed hard copy and one electronic copy of this completed form The signing official
named on this application to represent the current permittee must meet one of the following*
a. Corporation — a principle executive officer of at least the level of vice-president
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act;'
c. Public Entity — a principal executive officer, ranking official, or other duty authorized employee,
d. Partnership or limited partnership — the general partner,
e Sole proprietor; or
f Letter of authorization signed by one of the signatories noted in a — e above authorizing the
signature of another entity.
3. One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including: deed restrictions, protective covenants,
condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
4 O&M Agreements, Please select one
❑ 1 have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit; or
I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit
5 Designer Certifications, Please select one:
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built
6 [IF APPLICABLE) If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b)
ECEQVE
YI_ _
Stormwater Permd Renewal Application Form Page 2 of 3 Mav 11. 2018

O� PERNOTTEE�'SS CER—IF1 'ATION
I !IV t fie hyd� the person legally responsible for the permit, certify that I have
a copy c the Permit and 09M Agreement on site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs
or built -upon area and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SCMs, or owner All formation provided on this permit renewal application is, to the b st of my
knowledge, correct rfd co p t
Signature Date �( a
NOTARIZATION n '�
I, 64eri ne E . l [�5 a Notary Public for the State of
/Jo✓ol Nyol ioa County of Baden do hereby certify
that t✓ on personally appeared before me
this day of -,DeCem her , 20 a-1 , and acknowledge the due
1.4*i tfon of6j rgoing instrument. Witness my hand and official seal,
eNotarY Public "FN
"eA
(Notes dpeSQ
MY Comm 1:xp _
,Z� 12-16-2022 �Q'\
My commission expires la-/w-�a�oZ
DEC 2 8 2021
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

Permit No Sws' "105,05
(to be provided by DWO)
�ya� OQuid
Y W A TEG
RA
NCDENR '"
STORMWATER MANAGEMENT PERMIT APPLICATION FORM Y
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
Project name
Ur Kenyon s Doctor Umce
Contact person
Tim Clinkscales, PE
Phone number
910-791-6707
Date
4115/2009
Drainage area number
1
II. DESIGN INFORMATION
Site Characteristics
Drainage area
65,421'It2
Impervious area, post -development
35,7001 f1
% impervious
5457 %
Design rainfall depth
15 in
Storage Volume, Non -SA Waters
Minimum volume required
4,414 to
Insufficient required volume
Volume provided
4,4141 fts
OK, volume provided is equal to or in excess of volume required
Storage Volume. SA Waters
1 5' runoff volume
NIA Its
Pre -development 1-yr, 24-hr runoff
;to
Post -development 1-yr, 24-hr runoff
, ft'
Minimum volume required
NIA fl'
Volume provided
'tts
Peak Flow Calculations
Is the pre/post control of the 1yr 24hr storm peak flow roqulredo
- - IN -' '(Y or N)
1-yr, 24-hr rainfall depth
3 T in
Rational C, pmdevelopment
69 00 (umttess)
Rational C, post -development
80 00 (unifless)
Rainfall intensity 1-yr, 24-hrstorm
652; infhr OK
Pre -development 1-yr, 24-hr peak flow
156 fl'Isec
Post -development 1-yr, 24-hr peak flow
304 ft'Isec
Pre/Post 1-yr, 24-hr peak flow control
148 kslsec
Elevations
Temporary pool elevation
4092 fmsl
Permanent pool elevation
T�i -'ra�am �� 1r-�
4000 fmsl RE ibV+ 1)
SHWT elevation (approx at the pen pool elevation)
3950 fmsl
Top of loft vegetated shelf elevation
4050 fmsl JUL 2 1 2009
Bottom of 10tt vegetated shelf elevation
3950 tmsl
Sediment cleanout, top elevation (bottom of pond)
�,0 348&dmsl S(s P
Sediment cleanout, bottom elevation
3y,0.13ee finial BY;
Sediment storage provided
1.00 It
Is there additional volume stored above the state -required temp pool?
Y (Y or N)
Elevation of the lop of the additional volume
409 fmsl OK
Fonn SW401-Wet Detention Basin -Rev 6-2120/09 Parts I a 11 Design Summary, Page 1 of 2

Permt Noswe 0900 r7
((o be pmvMed by DWQ)
II DESIGN INFORMATION
Surface Areas
Area, temporary pool
5,392 112
Area REQUIRED, permanent pool
3,559 ft'
SAIDA ratio
544 limitless)
Area PROVIDED, permanent pool, A._,,
3,910 ft` OK
Area, bottom of 1 Oft vegetated shelf, Aw um
1,888 ft`
Area, sediment cleanout, top elevation (bottom of pond), A,,,,, 270 ft`
Volumes
Volume, temporary pool
4,414 ft3
OK
Volume, permanent pool, Vp, .
7,867 ft3
Volume, forebay (sum of forebays if more than one forebay)
1,454 ft'
Forebay %of permanent pool volume
18 5 % %
OK
SAIDA Table Data
Design TSS removal
90, %
Coastal SAIDA Table Used?
Y
'(Y or N)
MountairdPiedmont SAIDA Table Used?
N
: (Y or N)
SAIDA ratio
544 (umtless)
Average depth (used in SAIDA table)
Calculation option 1 used? (See Figure 10-21h)
N
- (Y or N)
Volume, permanent pool, Vp,,,_
ft'
Area provided, permanent pool, Ap,,,yoy
it,
Average depth calculated
;ft
Average depth used in SAIDA, d,,, (Round to nearest 0 5ft)
;ft
Calculation opbon 2 used? (See Figure 10-21b)
Y
(Y or N)
Area provided, permanent pool, Ap,,,,_,d
-
3,910;fl
OK
Area, bottom of 10ft vegetated shelf, Aya �,,
1,888i ft`
OK
Area, sediment cleanout, lop elevation (bottom of pond), Awy ,
270;fh
OK
'Depth' (distance b/w bottom of 1Oft shelf and top of sediment)
5 Wft
OK
Average depth calculated
3 51'ft
OK
Average depth used in SAIDA, d,,, (Round to nearest 0 5ft)
-
3 51 ft
OK
Drawdown Calculations
Omwdown through onfice?
_
Y
_ _
I(Y or N)
Diameter of onfice (if circular)
100 in
Area of onfice (if-non-cncular)
_ !in'
Coefficient of discharge (CD)
0 60 (umtless)
Driving head(H.)
(
031'ft
Dawdown through weir?
N
'(Y or N)
Weir type
- limitless)
Coefficient of discharge (C,)
(unitless)
Length of weir (L)
ft
Driving head (H),ft
Pre -development 1-yr, 24-hr peak flow
1 56,ft31sec
Insufficient pre -development peak flow
Post -development l-yr, 24-hr peak flow
3041 fts/sec
OK
Storage volume discharge rate (through discharge onfice or weir)
046'ft3/sec
Storage volume drawdown time
352 days
OK, draws down in 2-5 days
OK, drawdown time is coned
Additional Information
Vegetated side slopes
3 1
OK
Vegetated shelf slope
10 1
OK
Vegetated shelf width
100ft
OK
Length of towpath to width ratio
-6.- 1
OK S(rt P
Length to width ratio
j -Pi 1
OK
Trash rack for overflow & onfice?
Y
(Y or N)
OK
Freeboard provided
10 It
OK
Vegetated filter provided?
N
I (Y or N)
OK
Recorded drainage easement provided?
Y
(Y or N)
OK
Capums all runoff at ultimate build -out?
Y
(Y or N)
OK
Dram mechanism for maintenance or emergencies
_
Far maintenance efforts, water stored below the permanent pool, shall be pumped
Form SW401-Wet Detention Basin -Rev 6-220M Parts I & 11 Design Summary, Page 2 of 2

State Stormwater Management Systems
Permit No SW8 090509
Dr Erik Kenyon Coastal Carolina ENT, P A.
Stormwater Permit No SW8 090509
Brunswick County
Designer's Certification
Ci'r�ksf as a duly registered in the
State of North Carolina, having been authouzed to observe periodical / weekly/ full
time) the construction of the project,
(Project) f
for D. t z, k «+ — (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 specifications.
Signature
Registration Number
Date Szu/o
A)6 O09, O�f7
=OQ�NESS �0�''
L
�'S'y �Y�rNEEp:SGQ�s
G. C L INS.,,..
Pan,- R of 7

State Stonnwater Management aystems
Permit No SW8 090509
Certification Requirements.
/
1 The drainage area to the system contains approximately the permitted
acreage
✓2 The drainage area to the system contains no more than the permitted
amount of built -upon area
_/_3 All the built -upon area associated with the project is graded such that the
/ runoff drains to the system
✓/4 All roof drains are located such that the runoff is directed into the system
5 The outlet structure elevations are per the approved plan
The outlet structure is located per the approved plans.
Trash rack is provided on the outlet structure
�/ 8 All slopes are grassed with permanent vegetation
✓ 9. Vegetated slopes are no steeper than 3 1
✓10 The inlets are located per the approved plans and do not cause short-
circuiting of the system
11 The permitted amounts of surface area and/or volume have been
provided.
12 Required drawdown devices are correctly sized and located per the
approved plans
�13 All required design depths are provided
✓14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
The required system dimensions are provided per the approved plans
16. All components of the stormwater BMP are located in either recorded
cornmon areas, or recorded easements
cc NCDENR-DWO Regional Office
Brunswick County Building Inspections
Paqe 7 of 7