SW8100807_HISTORICAL FILE_20121207

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 10 0 SO"1
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
201212 01
YYYYMMDD

PAC®
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
December 7, 2012
Mr. Jamie Malpass, President
South Side Developers, Inc.
846 Livingston Chapel Road
Delco, NC 28436
Division of Water Quality
Charles Wakild, P. E.
Director
Subject: Stormwater Permit No. SW8 100807 MOD
Bristol Bay Subdivision
High Density Subdivision Project
Columbus County
Dear Mr. Malpass:
Dee Freeman
Secretary
The Wilmington Regional Office received a complete, modified State Stormwater
Management Permit Application for Bristol Bay on November 1, 2012. 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 21-1.1000, effective
September 1, 1995. We are forwarding Permit No. SW8 100807 MOD dated December
7, 2012, for the construction, operation and maintenance of the BMP's and built -upon
area associated with the subject project.
On August 5, 2009, the Governor signed Session Law 2009-406. This law impacts any
development approval issued by the Division of Water Quality under Article 21 of
Chapter 143 of the General Statutes, which is current and valid at any point between
January 1, 2008, and December 31, 2010. The law extends the effective period of any
stormwater permit that is 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 grants an extra year fon a total of four (4) years extension. Please note that
the expiration date of this permit has been adjusted to reflect this four year extension.
This permit shall be effective from the date of issuance until December 31, 2021, and
shall be subject to the conditions and limitations as specified therein. 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 transfer the permit, or to renew the permit, will
result in future compliance problems.
The modifications included in this permit are as follows:
1. Removal of two (2) lots due south of the pond.
2. Increasing the size of Pond #1 to cover the area of the removed lots.
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405
Phone: [phone] FAX: [phone] DENR Assistance: 1-877-623-6748
Internet: www.ncwaterquality.org

Jamie Malpass
State Stormwater Permit No. SW8 100807 MOD
December 7, 2012
If any parts, requirements, or limitations contained in this permit are unacceptable, you
have the righttto request an adjudicatory hearing by filing a written petition with the
Office of Administrative Hearings (OAH). Per NCGS 143-215(e), 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 feeds 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, or need additional information concerning this matter, please
contact Steve Pusey, at [phone].
;Since ely,
Charles Wakild, P.E., Director
Division of Water Quality
GDS/sgp: S:IWQS1StormwaterlPermits & Projects120101100807 HD1201212 permit 100807
cc: Jeff Malpass, PE, Malpass Engineering
Kyle Duncan, Town of Lake Waccamaw Inspections
Wilmington Regional Office
Pane') of 7

State Stormwater Management Systems
Permit No. SW8 100807 MOD
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY SUBDIVISION 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
South Side Developers, Inc.
Bristol BaySubdivision
McRae Lane, Lake Waccamaw, Columbus County
FOR THE
construction, operation and maintenance of two wet detention ponds incompliance with
the provisions of 15A NCAC 2H .1000, effective September 1, 1995 (hereafter referred
to as the "stormwater rules') and the approved stormwater management plans and
specifications and other supporting data as attached and on file with and approved by
the Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until December 31, 2021, and
shall be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.5 of this permit. The subdivision is permitted for
22 lots, each allowed a maximum of 5,500 square feet of built -upon area.
3. 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.
4. The overall tract will be limited to a maximum of 162,114 square feet of built -
upon area. Each of"the wet ponds is limited to that specific drainage area and
built -upon area amount as per Section 'l.5 of this permit. The wet ponds
designated as Pond 1 and Pond 2, have been designed to treat the runoff from
122,101 square feet and 40,013 square feet of Built -Upon Area, respectively.
Page 3 of 10

State Stormwater Management Systems
Permit No. SW8100807 MOD
5.
The following design elements have been permitted for each wet detention pond
stormwater facility, and must be provided in.the system at all times.
a.
l3
C.
d.
e.
f.
h.
i.
k.
1•
I.
m
n.
0.
P.
Drainage Ar a, acres:
Onsite, ftr:
Offsite, ftZ:
Total Impervious Surfaces, ftz:
OO Number of LoQts
Lots at 5,500 ft`:
Roads/Parking, ft2:
Other, ft2:
Offsite, ft2:
Average Pond Depth, feet:
TSS removal efficiency:
Design Storm:
Permanent Pool Elevation, FMSJ_:
Permitted Surface Area @PP fr
Permitted Storage Volume, ftJ:
Temporary Storage Elevation, FMSL:
Controlling Orifice, inches:
Permanent Pool Volume, ft3:
Forebay Volume, ft3:
Maximum Fountain Horsepower:
Receiving Stream / River Basin:
Stream Index Number:
Classification of Water Body:
Pond 1
Pond 2
8.75
2.1
381,099
91,433
0
0
122,101
40,013
17
5
93,500
27,500
28,569
12,481
32
32
0
0
3.5
3.0
90%
90%
1.0
1.0
92.75
92.50
35,490
6,329
40,087
6,353
93.75
93.30
2"0 pipe
1.0"0 pipe
122,497
14,542
26,048
3,049
1/3
n/a
UT at
Wananish / LBR56
15-2-2
11C. SW + 110
O Lots 1-17 drain to Pond #1; Lots 18-22 drain to Pond #2.
®This project ultimately drains to Lake Waccamaw, class ORW. The
designation in the classification requires the design of the BMP to meet the ORW
criteria.
II. SCHEDULE OF COMPLIANCE
No homeowner/lot owner/developer shall fill in, alter, or pipe any drainage feature
(such as swales) shown on the approved plans as part of the stormwater
management system without submitting a revision to the permit and receiving
approval from the Division.
2. The permittee is responsible for verifying that the proposed built -upon area for
the entire lot does not exceed the maximum allowed by this permit. Once the lot
transfer is complete, the built -upon area may not be revised without approval
from the Division of Water Quality, and responsibility for meeting the built -upon
area limit is transferred to the individual property owner.
3. If an Architectural Review Board or Committee is required to review plans for
compliance with the BUA limit, the plans reviewed must include all proposed
built -upon area. Any approvals given by the Board do not relieve the homeowner
of the responsibility to maintain compliance with the permitted BUA limit.
4. 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.
Page 4 of 10

State Stormwater Management Systems
Permit No. SW8 100807 MOD
5. 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.
6. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to the approved plans, regardless of size.
b. Redesign or addition to the approved amount of built -upon area.
C. Further development, subdivision, acquisition, or sale of any, all or part of
the project area. The project area is defined as all property owned by the
permittee, for which Sedimentation and Erosion Control Plan approval or
CAMA Major permit was sought.
d. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
7. The Director may determine that other revisions to the project should require a
modification to the permit.
8. 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.
9. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
10. 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.
11. 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.
12. Permanent seeding requirements for the stormwater control must follow the
guidelines established in the North Carolina Erosion and Sediment Control
Planning and Design Manual.
13. The permittee shall at all times provide the operation and maintenance
necessary to assure that all components of the permitted stormwater system
function at optimum efficiency. The approved Operation and Maintenance Plan
must be followed in its entirety and maintenance must occur at the scheduled
intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
c. Mowing and re -vegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved rplans and
specifications.
f. Debris removal and unclogging of structures, orifice, catch basins and
piping..
g. Access to all components of the system must be available at all times.
Page 5 of 10

State Stormwater Management Systems
Permit No. SW8100807 MOD
14. Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ. The records will indicate the date,
activity, name of person performing the work and what actions were taken.
15. The facilities shall be constructed in accordance with the terms, conditions,
requirements and limitations of this permit, the approved plans and
specifications, and other supporting data.
16. Prior to the sale of any lot, the following deed restrictions must be recorded:
a. The following covenants are intended to ensure ongoing compliance with
State Stormwater Management Permit Number SW8 100807, as issued
by the Division of Water Quality under NCAC 2H.1000.
b. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
C. These covenants are to run with the land and be binding on all persons
and parties claiming under them.
d. The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State of North Carolina, Division
of Water Quality.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the Division of Water Quality.
f. The maximum built -upon area per lot is 5,500 square feet. This allotted
amount includes any built -upon area constructed within the lot property
boundaries, and that portion of the right-of-way between the front lot line
and the edge of the pavement. Built upon area includes, but is not limited
to, structures, asphalt, concrete, gravel, brick, stone, slate, coquina and
parking areas, but does not include raised, open wood decking, or the
water surface of swimming pools.
g. All runoff on the lot must drain into the permitted system. This may be
accomplished through providing roof drain gutters, which drain to the
street, grading the lot to drain toward the street, or grading perimeter
swales and directing them into the pond or street. Lots that will naturally
drain into the system are not required to provide these measures.
h. Built -upon area in excess of the permitted amount will require a permit
modification.
17. A copy of the recorded deed restrictions must be submitted to the Division within
30 days of the date of recording the plat, and prior to selling lots. The recorded
copy must contain all of the statements above, the signature of the Permittee, the
deed book number and page, and the stamp/signature of the Register of Deeds.
18. Prior to transfer of the permit, the stormwater facilities will be inspected by DWQ
personnel. The facility must be in compliance with all permit conditions. Any
items not in compliance must be repaired or replaced to design condition prior to
the transfer. Records of maintenance activities performed to date will be
required.
19. Decorative spray fountains will be allowed in the stormwater treatment system,
subject to the following criteria:
a. The fountain must draw its water from less than 2' below the permanent
pool surface.
b. Separated units, where the nozzle, pump and intake are connected by
tubing, may be used only if they draw water from the surface in the deepest
part of the pond.
c. The falling water from the fountain must be centered in the pond, away from
the shoreline.
Page 6 of 10

State Stormwater Management Systems
Permit No. SW8100807 MOD
d. The maximum horsepower for the fountain's pump is based on the
permanent pool volume. The maximum pump horsepower for a fountain in
Pond #1 is 1/3. The permanent pool volume in Pond #2 is less than 30,000
cubic feet, therefore it is not large enough to have a fountain.
III. GENERAL CONDITIONS
1. This permit is not transferable to any person or entity except after notice to and
approval by the Director. The permittee shall submit a completed and signed
Name/Ownership Change Form, accompanied by the supporting documentation
as listed on the form, to the Division of Water Quality at least 60 days prior to any
one or more of the following events:
a. An ownership change including the sale or conveyance of the project area in
whole or in part, except in the case of an individual lot sale that is made
subject to the recorded deed restrictions;
b. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association. A permit transfer to an HOA or POA can only be
approved under the following conditions:
i. The Association is legally formed and financially able to carry out the
maintenance requirements of the permit;
ii. A minimum of 50% of the lots have been sold to individual owners;
iii. The project is in compliance with the permit, as determined by a DWQ file
review and inspection.
c. Bankruptcy;
d. Foreclosure;
e. Dissolution of the partnership or corporate entity;
f. A name change of the current permittee;
g. A name change of the project;
h. A mailing address change of the permittee;
2. The project must be in good standing with DWQ. The approval of this request will
be considered on its merits and may or may not be approved.
3. The permittee is responsible for compliance with. all of the terms and conditions
of this permit until such time as the Director approves the transfer request.
Neither the sale of the project nor the transfer of common area to a third party
constitutes legal transfer of the stormwater permit.
4. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
6. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal), which have jurisdiction.
7. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
8. The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
Page 7 of 10

State Stormwater Management Systems
Permit No. SW8 100807 MOD
9. The Permittee grants permission to staff of the DWQ to access the property for
the purposes of inspecting the stormwater facilities during normal business
hours.
10. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
11. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum often years from the date of the completion of
construction.
12. The permittee shall submit a permit renewal application request at least 180 days
prior to the expiration date of this permit. The renewal request must include the
appropriate documentation and the processing fee.
Permit issued this the 7t" day of December, 2012.
CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW8 100807
Page 8 of 10

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
-
D
?too
Applicable Rules: El - Coastal SW -1995 ❑ Coastal SW 2008 El Ph II - Post Constructiori
(select all that apply) ❑ Non-Coastal$W- 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.):
2. Location of Project (street address):
City: Lake Waccamaw County: Columbus Zip: 28450
3. , Directions to project (from nearest major intersection):
Travel approx 6.85 miles west on NC-214(Sam Potts Hwy) from the intersection of NC-211(Green Swamp Rd)
& NC-214. Turn left onto Flemington Dr & travel approx 0.03 miles. Turn left onto Church St. & travel
approx 0.48 miles. Turn right onto McRae Ln. & travel approx 0.19 miles. Site is on east side of McRae Ln.
4. Latitude: 34' 19' 07" N Longitude: 78° 30' 48" W of the main entrance to the project.
IL PERMIT INFORMATION
1.a.Specify whether project is (check one): ❑New ®Modification ❑ Renewal w/ Modification[
tReneinals zoith modifications also requires.SWU-102 - Renetaal Application Form
b.If this application is being submitted as the result of a modification to an existing, permit, list the existing
permit number SW8100807 , its issue date (if known) 9-23-2010 and the status of
construction: ®Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control: 14.24 ac of Disturbed Area
❑NPDES Industrial Stormwater Z404/401 Permit: Proposed Impacts <0.01 ac. (permanent)
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 permitBristol Bay, AID # 2007 03065, 5/14/2010, Wetland Impact;
Bristol Bay, COLUM-2011-002, 8.31-2010, Erosion Control
5. Is the project located within 5 miles of a public airport? ®No ❑Yes nq
If yes, see S.L. 2012-200, Part VI: htt ortal.ncdenr.ore web w ws su le 1aF—s
Nov 01 2012
Form SWU-101 Version06Aug2012 Page I of6gY:--

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: South Side Developers, Inc.
Signing Official & Title: Jamie Malpass, President
b.Contact ,information for person listed in item 1a above:
Street Address: 846 Livingston Chapel Road
City: Delco State: NC Zip:28436
Mailing Address (if applicable): 846 Livingston Chapel Road
City: Delco State: NCZip: 29436
Phone: (910 ) 520-7663 Fax: ( )
Email: jamiemalpass®bellsouth.net
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* (Attaches 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
Signing Official & Title:
b. Contact information for person listed in item 2a above:
Street Address:
Mailing Address
Phone:
State: Zip:
State: Zip:
Fax: (
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/
Signing Official &
b. Contact information for person listed in item 3a above:
I
Mailing Address:
City: State:
Form SWU-101 Version 06Aug2012 Page 2 of 7

Phone:
Fax:
4. Local jurisdiction for building permits: Town of Lake Waccamaw
Point of Contact: Kyle Duncan
IV. PROJECT INFORMATION
Phone #: (910 ) 646-3700
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater runoff from all impervious surfaces on site will be treated in wet detention ponds.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of aSite Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Lumber River basin.
4. Total Property Area: 15.52 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': 15.52 acres
Total project area shall be calculated to exclude the following the nonual pool of impounded stnuctures, 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 froin the NHW (or MHIM line. The resultant project area.is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of tlne 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 = 23.99 %
9. How many drainage areas does the project have? 2 (For high density, count I for each proposed engineered
stormwater BMP. For lot densihit and other projects, use I for the whole properhj area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
NOv � +, ZU12
�v
Form SWU-101 Version 06Aug2012 Page 3 of 7

Basin Information
Drainage Area 1
Drainage Area 2
Drainage Area _
Drainage Area _
Receiving Stream Name
UT at Wananish
UT at Wananish
Stream Class *
C; Sw:+
C; Sw:+
Stream Index Number *
15-2-2
15-2-2
Total Drainage Area (so
381,099
91,433
On -site Drainage Area (sf)
381,099
91,433
Off -site Drainage Area (so
0
0
Proposed Impervious Area*` (so
1 122,101
40,013
Impervious Area** total
32.04
43.77
Impervious— Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area _
Drainage Area _
On -site Buildings/Lots (so
93,500
27,500
On -site Streets (so
28,569
12,481
On -site Parking (so
0
0
On -site Sidewalks (so
0
0
Other on -site (so
32
32
Future (so
0
0
Off -site (so
0
0
Existing BUA*** (so
0
0
Total (so:
122,101
40,013
* Stream Class and Index Number can be determined at: http://portal.ncdenr.orgAaebhnq[ps/csn/classlfrcations
** Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
***Report only that amount ofexisting,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 DWQ Central Office staf%to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 15A NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
fromh!lp://portal.ncdenr.org/web/`­wq/ws/su/bni12-nianual.
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.nccienr.org/web/wq/ws/so/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.ncdenr.org/web/wo/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 htt ://portaLncdenr.org/web/wu/ws/su/statesw/forms does.
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505payable to NCDENR. (For p—es�`' �e t 7referi0
t,+
hu:/ /www envhelp org/pages/onestol2exi2ress html'for inform n tfie"E"xpress pr0�g am
and the associated fees. Contact the appropriate regional office Ex ss cr�yj oq({ pato for
additional information and to schedule the required application m in 17 `°'L ��hh��jj
J CB
3Cg
Form SWU-101 Version 06Aug2012 Page 4 of 7

5.
A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
JIB
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6.
A USGS map identifying the site location. If the receiving stream is reported as class SA or the
JCB
receiving stream drains to class SA waterswithinlh mile of the site boundary, include the 1h
mile radius on the map.
7.
Sealed, signed and dated calculations (one copy).
,rp
8.
Two sets of plans folded to 8.5" x 14" (sealed, signed; & dated), including:
J!
a. Development/Project name.
b. 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.
in. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separatedocument).
p. Vegetated buffers (where required).
9.
Copy of any applicable soils report with the associated'SHWT elevations (Please identify
aU
pp
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"xl l" 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 SHWP prior
to submittal, [phone].)
10.
A copy of the most current property deed. Deed book: 819 Page No: 260
�B
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.
h!W://www.secreta!y.state.nc.us/Corporations/­CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary,,a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms,can be downloaded from
ht_tp://portal.ncdenr.org/web/wg/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 pa �, e �,�p+�s c g
under them, that they will run with the land, that the required covenants cannot bpchv=lird3lhtel
without concurrence from the NC DWQ and that they will be recorded prior to the aIeof an NOV 1't2Ui2
Form SWU-101 Version 06Aug2012 Page 5 of 7 t3y:�

VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer: Tustin C. Bishop
Consulting Firm: Malpass Engineering & Surveying, P.C.
Mailing Address:1134 Shipyard Blvd.
City: Wilmington State: NC Zip:-28496 Z
Phone: (910 ) 392-5243 Fax: (910 ) 392-5203
Email: [e-mail]; [e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
1, (print or hjpe name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or h1pe name of person
lister! in Contact Information, iteru 1a) with (print or hjpe narme of organization listed in
Contact information, item In) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
As the legal property owner 1 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 toNCGS 143-215.6.
Date:
a Notary Public for the State of , County of
do hereby certify that
personally appeared
before me this _ day of and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
NOV 01 2012
by:
Form SWU-101 Version 06Aug2012 Page 6 of 7

X. APPLICANT'S CERTIFICATION
.1Q ✓'11 e-
I, (print or hjpe nine of person listed in Contact Information, item la) Malpass
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 storm vater rules under 15A NCAC 2H .1000 and any other applicable state stormwater requirements.
Date: I j- ) - ao 1'L.
U ��
I, �A�L A/ D6NSVAe, a Notary Public for the State of Na2TN Cfjeau&,4 , County of
A154;11,9N0416;R do hereby certify that dHM/& KdRr A1,41-RASS personally appeared
before me this 1�i day of N0094M&-R . _W/&, and ackno ledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
111111111
�1.LEN DF
ysy
�BLIG
0VER; p%����
SEAL
My commission expires O&AS, /Zo/ 7
}", NOV 01 2012 !�J
Form SWU-101 Version 06Aug2012 Page 7 of 7

!�Completeness Review Checklist
Pro ectName: 6f4M Received Date:
Project Location: 64�n1nuc U Accepted Date:
1 rIw 101 1
a
Rule(s) M 2008 Coastal
1995 Coastal ElPhase II (WiRO) El Universal �1988 Coastal
Type of Permit: New or
rmol or Pa
Existing Permit # (Mod or PR): 1OO�j7 �PE
Cert on File?
Density: H or LD
%: (%OK?)
Subdivided?: Su ivisio
Type: -Commercial or Re identi I
Stream Cla . C + SA Map
or Sin le Lot ORW Map
�NCG:
�Offsite
to SW8
Exempt
Paperwork
pplement(s) (1 original per BMP) BM
aM with correct/original signatures (1 original p
on:
BMP except LS/VFS and swales)
---'? U1Jr%f \ek QKDoX\5
on with car . inal signatures
or LLC: Sig. Auth. Pe SoS or letter
Q$515 ithin 6mo)
oils Report with SHWT 51'tt-M
H
d culations (signed/sealed)
�No obvious errors
Density includes common areas, etc
!d Restrictions, if subdivided:
& Notarized
iD OQk{ 0.0' a wucwrr\gW)
„�m\
Cl.o J
Note to Reviewer:
- Immo d 1o+6 i WAWO i�Np #1 �U�i4Ef2
Plans
Sets Details (roads, cul-de-sacs, curbs, sidewalks, BMPs, Buildings, etc)
Grading Wetlands: Delineated or No Wetlands
❑Vicinity Map MLayout (proposed BUA dimensions)
Legend nDA Maps Project Boundaries
Infiltration
Wet Pond
Offslite
Soils Report
Soils Report
MPE Cert for Master Lot M
SHWT:
Deed Rest for Master 13 Lot # Matches Master
Bottom:
�SHWT:
PP:
BUA Permitted (Master): sf
Visited:
BUA Proposed (Offsite): sf
Additional Information:
Permitted Proposed:
Proposed:
Proposed:
BUA (sf)
DA (sf)
PP (el)
SHWT(el)
Depth (ft)
SA (sf)

Malpass Engineering & Surveying, P.C.
1134 Shipyard Blvd.
Wilmington, NC 28412
Phone: [phone]
Fax: [phone]
License No. C-2320
November 1, 2012
To: Kelly Johnson
Environmental Engineer
Re: Bristol Bay (SW8 100807)
tcp*0V®
1
I?Ord
We are modifying the permit to delete two lots and enlarge Pond #1.
The following items are being provided:
-Original and copy of application
-Original and copy of deed restrictions form
-Original supplement form for Pond # 1
-Original 0 & M Agreement for Pond #1
-$505 application fee
-One copy of the revised calculations for Pond #1
-Revised pond drainage area map
-Two sets of the revised plan
Forms, supplements, 0 & M Agreements, calculation pages, etc. which did not change
are not being provided (us items currently on file). Only revised documents and
calculation pages are being provided.
Thanks,
Justin Bishop, P.E.
NOV 01 2012

STORMWATER CALCULATIONS
BRISTOL BAY
FOR:
SOUTH SIDE DEVELOPERS, INC.
433 LENNON ROAD
DELCO, NORTH CAROLINA 28436
NOV 01 2012
OCTOBER 26, 2012 gy.
PREPARED BY:
MALPASS ENGINEERING & SURVEYING, P.C.
1134 SHIPYARD BOULEVARD
WILMINGTON, N.C. 28412
[phone] PHONE
[phone] FAX
LICENSE #: C-2320

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co
n
e
W O
CO
coa)
ZW
W
9
n
Pend # I
d,a, - 323) 3;,0 + 10 (5 500) + 2 (5,500) = 35T) 099 4 -- 8,75ac
17 lets x 5j50O sf = 193/S00 sf
MIS = 2.8,56q sF
2 e0ymce columns x 14 sf = 32- sr
121101 sF
12-Z 101
--�---- x /00% = 3204 7.
�'"'P•' �g1�099
we imp = 3.6'1Sac
4 P rovle ahly
qB(3 419,4 3 5.13?�
CN= 875
8�:145
use 3.5 4 4v9, JJA ) Q0 % T55 Removal 7 5A/PA = 3.3041, (O.Q32oy)
Mfi, He. SA 0,03204':(38IjOQ9)= I;v'o Sl
Provided SA @ iP = 35a4 9'0 4
Nk het, k/1141Y{e
, 05 + , ON (32.04) _ , 33836
VOlume= 12 (.33$3'6}(38.Iilgs) = 10�7`I6 cF
nevi a+ 64 19,796 cF df s+om9e (10746=, 35,490' _ .3,i�� use 1:00'
Size o4ce
QZz: 10j746 = 172,900 = 0, 062` CP
Qs= Ig7.46 = 432)000= 0,0249 c,{s
try i2 or: ice , _ [I.0 — . S� )��3 = 0.'O6 {
Q= a z(32.L)(o:30,6)' = 0.0581 CF
dnaw,own iime = (10O r8'I �(60l6 XZ4� _ ,l days

POND #1
Perm. Pool Volume:
Temp. Pool Volume!
depth:
Abdt shelf:
Apermyool
Abotpond
Permanent Pool
Forebay:
Main Pond:
Temporary Pool
122,497 cu ft
40,087 cu ft
4.25 ft
29,954 s.f.
35,490 s.f.
15,845 s.f.
CONTOUR INCREMENTAL
ACCUM
CONTOUR AREA VOLUME
VOLUME
STAGE
(sq ft) (cu ft)
(cu ft)
(ft)
0
0
0
4.364
4,364
1
4,928
01-1
9,292
2
5,528
14,820
3
6,165
20,985
4
5,063
26,048
4.75
CONTOUR
CONTOUR INCREMENTAL ACCUM
Forebay (%): 21.26 OK
d„= 0,25 x (1+(Abot_shelf I Apeon,_pool)) +
((((Abot_shelf+Abot_pond) 121 x depth) I
Abot_shelq
3:71 ft
AREA VOLUME
VOLUME
STAGE
(sq ft) (cu ft)
(cu ft)
(ft)
0
0
0
16,767
16,767
1
18.557
35,324
2
,l 20,313
55,637
3
r 22.102
77,739
4
n- 5,808
83,547
4.25
12,902
96,449
4.75
CONTOUR
INCREMENTAL
ACCUM
CONTOUR AREA
VOLUME
VOLUME
STAGE
(sq ft)
'(cu ft)
(cu ft)
(ft)
0
0
0
19,135
19,135
0.5
20,952
40,087
0.5

a
C0472(N) Business Corporation Annual
12-&11
Name ofeuslnessCorporadon:SOUTH SIDE DEVELOPERS, INC
secretary of state i0: 786542
State of Formation: NC
Date Filed: 5/9/2012 11:47:00 AM
Elaine F. Marshall
North Carolina Secretary of State
Rawl Year Ending: 12 — 31-11
hereby certify
that an annual
report
eand completed Iseedin he
ent it his been submitted and the Information requested below (required by
NCGS 22) has real
Section A: Registered Arterrfa Information
1. Name of Registered Agent:
2. Signature of the New Registered Agent:
3. Registered Ofgw Street Address A County
Section S: PrinClnal0lRCe Informalion
1. Descdoon of Nadirs of Bushes:
2. Prindpal0ttiee Phorlo Number:
4. Principal Office Street Address A County
433 LENNON ROAD
DELCO NC 28436
Section C:OtllCere (Enter additional Mors in Sedan E.)
"Mm muanrtr maant to UN appolnenme
4. Registered Ofte Magbig Address
3. Pdndpal0fth Emall:
5. Principal Office MaOngAddress
433 LENNON ROAD
DELCO, NC 28436
Name: JAMIE KURT MALPASS Name: JEFFREY BOYD MALPAS Name: JESSICA MALPASS FAU
Tide: PRESIDENT
Address:
433 LENNON RD
DELCO, NC 28436
Tate: VICE PRESIDENT Ttiis: SECRETARY
Address: ADDRESS:
384 BYRDVILLE FREEMAN R 32815 LIVINGSTON CHAPEL
BOLTON, NC 28423 DELCO, NC 28436
Eoatian D: CIPH111atlon of Annual Report .Section D must be ComPleted In Ih entirely by a pereon1baliness entity.
WW�Fwmn,uatbedgrft q awafempa.a04 om
JAMIE KURT MALPASS
PdMw Typo Name W Oft r
ISM11 0141-12
nu

Go/)Sle earth feet m700
meters, 200
y21/pw ll�e
Ij4k ri-�D-lZ_
of 267