SW8990847_CURRENT PERMIT_20210913

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO
SW8 380 $�1
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2U2\ nC113
YYYYMMDD

ROY COOPER
Gb m
ELi METH S. BISER
Seawary
BRIAN WRENN
Dinxtur
September 13, 2021
JSS Wilmington, LLC
Aim G S Chhabra, Manager
5640 Dillard Drive, Suite 300
Cary, NC 27518
NORTH CAROUNA
Envlronmann( Quaf ty
Subject: Permit Correction and Renewal
State Stormwater Management Permit No SW8 990847
Townplace Suites & Inn
New Hanover County
Dear Mr Chhabra
Effective August 1, 2013 the State Stormwater 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 stormwater 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 issuance of the permit
Permit Correction:
The Wilmington Regional Office issued the subject project a permit on August 31, 2006, and recently discovered it
contained an error This permit correction is to correct the permit to reflect the original permittee This corrected
permit does not impose new or different terms, it merely restates some of the previous terms to provide you with a
better understanding of your obligations under the permit Please replace the previously issued permit with the
enclosed corrected permit
Permit Renewal
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 Stables, which was current
and valid at any point between January 1, 2008, and December 31, 2010 The law extended the effective period of any
stormwater 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 Wilmington Regional Office received a complete 8 year Stormwater Management Permit Renewal Application for
the subject project on August 6, 2021 The Division is hereby notifying you that permit SW8 990847 has been renewed
on September 13, 2021, and shall be effective until August 31, 2028, which includes all available extensions For your
records, please find enclosed a renewed, updated, and re -issued permit and a copy of the renewal application Please
keep this permit on file at all times Please note that the renewed, updated, and re -issued permit does not impose new
or different terms, it merely restates some of the previous terms to provide you with a better understanding of your
obligations under the permit
The renewal and reissuance of this stormwater permit does not imply that the site is currently in compliance with the
terms and conditions of this state stormwater permit The plans originally approved on February 25, 2000 and most
recently modified on August 31, 2006, will remain in full force and effect in accordance with the regulations set forth
in Title 15A NCAC 2H 1000
This permit is 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, transfemng 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
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the tight to request an
adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH) The written
D_ra Q North Carolina Department of Environmental Quality i Drvision of Energy Mineral and land Resources
512 North Salisbury Street 1 1612 Mad Service Center I Raleigh, North Carolma 27699-1612
e,on,w c+vaavn
o.e.mr+rsv.�ere� 9197079200

State Stormwater Permit No S W 8 990847
Page 2 of 2
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 corn Unless such demands are made this permit
shall be final and binding
If you have any questions, need additional copies of the permit or approved plans, please contact Ashley Smith in the
Wilmington Regional Office, at [phone] or ashleym smith@nedenr gov
Sincerely,
�— n A o
C YU-+ -I �t,J�
-;;; Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
Enclosures Attachment C — Permitting History
Renewal Application Documents
DES/ams \\\Stonnwater\Permits & Projects\1999\990847 HD\2021 09 permit 990947
cc NCDEQ-DEMLR Wilmington Regional Office
D_E Q North Carolina Department of Etmronmental Quality I Division of Energv Mineral and Land Resources
512 North Salisbury Street 1 1612 Mail Service Cemer I Raleigh. North Carolina 276994612
9197079200

State Stormwater Management Systems
Permit No SW8 990847
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
JSS Wilmington, LLC
Towne Place Suites & Inn
305 Eastwood Road, Wilmington, New Hanover County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the provisions of
15A NCAC 2H 1000 (hereafter referred to as the "stormwater rules') and the approved stormwater
management plans and specifications and other supporting data as attached and on file with and
approved by the Division of Energy, Mineral and Land Resources (the "Division" or "DEMLR") and
considered an enforceable part of this permit
This permit shall be effective from the date of issuance until August 31, 2028, 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 16 on page 2 of this permit The subdivision is permitted for 2 lots, each
allowed a maximum amount of built -upon area, in square feet, as follows Lot 1 @28,663 and
Lot 2 @60,114
3 Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit
4 Lot One (1) is currently not owned by the permittee, but as part of the contract between the
permittee and the owner of Lot 1, Lot 2 must provide the stormwater system for the runoff from
Lot 1 Based on setbacks, zoning and landscaping requirements, the built -upon area for Lot 1
has been accounted for in this pond at 70% of it's area, or 28,663 square feet
5 The permittee shall inform the owner of Lot 1 that a separate Offsite Stormwater Management
Permit application must be submitted to the Division and an offsite permit issued to the owner
of Lot 1 prior to any construction on Lot 1
Page 1 of 6

State Stormwater Management Systems
Permit No SW8 990847
6 The following design elements have been permitted for this wet detention pond stormwater
facility,
and must be provided in the system at all times
a
Drainage Area, acres
316
Onsite, ft2
96,268
Offsite, ft2
41,382 (Lot 1)
b
Total Impervious Surfaces, ft2
88,777
Lot 2 Building ft2
11,326
Lot 2 Roads & Parking, ft2
39,640
Lot 2 Sidewalk, ft2
9,148
Lot 1 (Offsite), ft2
28,663
c
Pond Depth, feet
40
d
TSS removal efficiency
90%
e
Design Storm, inches
1
f
Permanent Pool Elevation, FMSL
360
g
Permitted Surface Area @PP, ft2
9,689
h
Permitted Storage Volume, ft3
10,357
1
Storage Elevation, FMSL
370
t
Controlling Orifice
2 each @1 0"0 pipe
k
Permanent Pool Volume, ft3
32,407
1
Forebay Volume, ft3
10,155
m
Maximum Fountain Horsepower
1/6
n
Receiving Stream / River Basin
Smith Creek / CPF17
o
Stream Index Number
18-74-63
p
Classification of Water Body
"C Sw"
II SCHEDULE OF COMPLIANCE
1 The permittee is responsible for verifying that the proposed built -upon area for the entire lot,
including driveways and sidewalks, does not exceed the allowable built -upon area Once the
lot transfer is complete, the built -upon area may not be revised without approval from the
Division, and responsibility for meeting the built -upon area limit is transferred to the individual
property owner
2 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
3 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
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
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 During construction, erosion shall be kept to a minimum and any eroded areas of the system
will be repaired immediately
Page 2 of 6

State Stormwater Management Systems
Permit No SW8 990847
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
The permittee shall at all times provide the operation and maintenance necessary to assure
that all components of the permitted stormwater system function 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 revegetation of side slopes
d Immediate repair of eroded areas
e Maintenance of side slopes in accordance with approved plans 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
10 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
11 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
12 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
13 Decorative spray fountains are allowed in the pond, subject to the following criteria
a The minimum permanent pool volume is 30,000 cubic feet
b The fountain must draw its water from less than 2' below the permanent pool surface
c 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
d The fountain may not be placed into the forebay
e The falling water from the fountain must be centered in the main pond, away from the
shoreline
f The maximum horsepower for a fountain in this pond is 1/6 horsepower
14 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 protect and the on -site
stormwater system complies with the permit conditions Any items not in compliance must be
repaired, replaced restored, or resolved prior to the transfer Records of maintenance activities
performed to date may be requested
Page 3 of 6

State Stormwater Management Systems
Permit No SW8 990847
15 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 990847, as issued by the Division
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, DELMR
e Alteration of the drainage as shown on the approved plans may not take place without
the concurrence of the Division
f The maximum built -upon area is as follows Lot 1 @28,663 square feet, and Lot 2
@60,114 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
i Each lot within the subdivision whose ownership is not retained by the permittee, must
submit a separate Offsite Stormwater Management Permit application package to the
Division and receive a permit prior to any construction on the lot
16 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
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
Page 4 of 6

State Stormwater Management Systems
Permit No SW8 990847
2 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
3 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
4 Permit Transfer 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 "Permit
Transfer Application Form" (available on the Division website) accompanied by the required
fee and supporting documentation as listed on the form, to the Division at least 60 days prior
to any one or more of the following events
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 and protective
covenants,
Dissolution of the partnership, corporate, or LLC entity, subject to NCGS 55-14-05 or
NCGS 57D-6-07 and 08,
Bankruptcy,
Foreclosure, subject to the requirements of Session Law 2013-121,
Current Permittee Name or Address Changes The permittee shall submit a completed
"Permit Information Update Application Form" (available on the Division website) to the
Division within 30 days to making any one or more of the following changes
A name change of the current permittee,
A name change of the project,
A mailing address change of the permittee,
6 The permittee is responsible for compliance with all terms and conditions of this permit until
the Division approves the transfer request Neither the sale of the project, in whole or in part,
nor the conveyance of common area to a third party constitutes an approved transfer of the
permit
7 The permittee grants Division Staff permission to enter the property during normal business
hours to inspect all components of the permitted project
8 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 permit conditions
9 Approved plans, application documents, supplements, calculations, operation and
maintenance agreement, and specifications for this project are incorporated by reference and
are enforceable parts of the permit A copy of this permit, application, supplements, operation
and maintenance agreement, and approved plans and specifications shall be maintained on
file by the permittee
10 Unless specified elsewhere, permanent seeding requirements for the on -site stormwater
system must follow the guidelines established in the North Carolina Erosion and Sediment
Control Planning and Design Manual
11 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
12 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)
Page 5 of 6

State Stormwater Management Systems
Permit No SW8 990847
Permit renewed, updated and reissued this the 13th day of September 2021
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
CR .o RU
BrianW Wrenn, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 6 of 6

Attachment C - Permitting History
Townplace Suites & Inn
Permit No SW8 990847
Approval
Date
Permit Action
BIMS
Version
Description of the Changes
2/25/2000
Original
Approval
10
8/31/2006
Modification
I I
change building layout and
reduce impervious area for lot
2
9/13/2021
Renewal
20
and Correction back to
original permittee

STATE STORMWATER
PERMIT INFORMATION UPDATE APPLICATION FORM
There is NO FEE for updating project name or permtttee Information
This form is to only to be used by the current permrttee to notify the Division of
1) changes to the Point of Contact (signing official) for the current permrttee (LLC, Corporation, HOA or PGA),
2) changes to the mailing address, phone number or email address of the current permrftee,
3) changes to the name of the project, and
4) changes to the legal corporate name as documented by a Name Change or Merger riled with the NCSOS
A. NEW PERMIT INFORMATION � jj O C2
State Stormwater Permit Number S W 1\
Are you updating
(check all that apply)
If so, please provide the updated information
Project name
C s -1411
❑ Corporation Name'
❑ Permit Contact Namez 3
❑ Permit Contact Title
❑ Mailing Address3
❑ Phone number
❑ Email address
Provide documentation such as a Name Change / Merger filed with the NCSOS
Provide supporting documentation such as NCSOS riling The permit contact's position must be in accordance
with 15A NCAC 02H 10400)
If more than one point of contact or marling address is being changed please attach a separate sheet
B CERTIFICATION OF PERMITTEE
I, 14�C_� }�f ILA= , the current pennittee hereby notify DEMLR that I am making the changes as listed
in Section A above I further attest that this application for an update to the permit information currently on file is accurate
and complete to the best of my knowledge
Signature
a Notary Public for the State of I��CLSXC?�\�tn
County of do hereby certify that G .1b.
personalty appeared before me this the I CY► day of 20 c- , and acknowledge the due
execution of the forgoing instrument WrIness my hand and official seal,
(Notary Seal) I MICHELLE L MCGREGOR
NOTARY PUBLIC
IOHNSTON COUNTY, NC
Stormwater Permit information Update Form Page 1 of 1 May 11 2017

Date R ceiv
Fee Paid
Permit Number
a
g
0010 _
w8 OS
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM
r
CEIVE
UL 2 9 2521
BY
In accordance with 15A NCAC 2H 1045(3), the current permit holder shall renew theirhigh density permit 180 days
poor to its expiration Renewed permits are valid for a penod of 8 years per Session Law 2011-398 (SB 781)
Section 60 (c) This application form is for permit renewals only
A PROJECT INFORMATION
1 State Stormwater Permit Number SW8 990847
2 Project name Townplace Suites & Inn
3 Project street address 305 Eastwood Rd
City Wilmin
ZIP 28403
4 What, if any, changes have been made to the project as permitted? N/A
County New Hanover
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modificatlon or Minor Modification Application form available at https Hdeq nc gov/about/divisions/energy-
mineral-land-resources/energy-min era I-land-ru les/stormwater-program/post-construction
B PERMITTEE INFORMATION
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 https Hdeq nc gov/about/divisions/energy-mineral-land-
resources/energy-mineral-land-rules/stormwater-program/post-construction State Stormwater Permits do not
automatically transfer with the sale of the property
1 Current Permit Holder's Company Name/Organization JSS Wilmington, LLC
2 Signing Official's Name G S Chhabra
3 Signing Official's Title Manager
4 Mailing Address 5640 Dillard Drive, Suite 300
City Cary
5 Street Address 5640 Dillard Drive, Suite 300
INC ZIP 27518
City Cary State NC ZIP 27518
6 Phone [phone] Email gchhabra(d10 cmchotels corn
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018

C SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (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 A permit application processing fee of $505 00 payable to NCDEQ
7� 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 permlttee 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 duly authorized employee,
d Partnership or limited partnership — the general partner,
e Sole proprietor, or
if 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
6! & 4 O&M Agreements, Please select one
❑ I 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
IN 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 ueen bunt, one original hard copy and one electroric 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 permlttee 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)
https //www sosnc gov/online services/search/by title/ Business Registration
JUL 2 9 2021�
By_
Stormwater Permit Renewal Application Form Page 2 of 3 May 11 2018

D PERMITTEE'S CERTIFICATION
6f.1ahA(5711r1A1 S Cllllfie,49-� , the person legally responsible for the permit, certify that I have
a copy of the Permit and O&M 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 ownership All information provided on this permit renewal application is, to the best of my
knowledge, correct and complete
Signature �'1 \ V u Date -7 -z z Z
NOTARIZATION
I, L__i 6i9%, , a Notary Public for the State of
YADC-4tr,COXO'\NX-n , County of WiNtyp_ , do hereby certify
that Cmug An-'ar S Cwy�"% personally appeared before me
this the a;J'A day of !t .1 20 44 and acknowledge the due
execution of the forgoing instrument Witness my hand and official seal,
MICHELLE L MCGREGOR
NOTARY PUBLIC
(Nota 3 TON COUNTY, NC
Notary Signature ff\k AI. A 11/1 U i l/ L V) V
My commission expires C�A'01 " a08-9
JUL 2 9 2021
BY
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

17
Permit No
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWO Stormwater Management Plan Review
A complete stormwater management plan submittal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details
L PROJECT INFORMATION
Project Name
j . A_r
Contact Person �rG�l 6A,111r,61176 Phone Number (9/0)
For projects with multiple basins, specify which basin this worksheet applies to
elevations
Basin Bottom Elevation 3� ft (floor of the basin)
Permanent Pool Elevation .it;, b ft (elevation of the orifice)
Temporary Pool Elevation 3K- ➢6 ft (elevation of the discharge structure overflow)
areas
Permanent Pool Surface Area sq ft (water surface area at the orifice elevation)
Drainage Area 3• /6 ac (on -site and off -site drainage to the basin)
Impervious Area O 1/ ac (on -site and off -site drainage to the basin)
volumes
Permanent Pool Volume Y^2, yO % cu ft (combined volume of main basin and forebay)
Temporary Pool Volume /0�3 s 7S 7 cu ft (volume detained above the permanent pool)
Forebay Volume /01�/ 5 5S 5 cu ft (approximately 20% of total volume)
Other parameters
SA/DA1
Diameter of Orifice
Design Rainfall
Design TSS Removal 2
V. '- S
in
/ in
%O %
(surface area to drainage area ratto from DWQ table)
(2 to 5 day temporary pool draw -down required)
(minimum 85% required)
Forth SWU-102 Rev 3 99 Page 1 of 4

Footnotes
i When using the Division SAIDA tables, the correct SAIDA ratio for permanent pool sizing should be computed based upon the
actual impervious % and permanent pool depth Linear interpolation should be employed to determine the correct value for non-
standard table entries
2 In the 20 coastal counties, the requirement for a vegetative filter may be waived if the wet detention basin is designed to provide
90% TSS removal The NCDENR BMP manual provides design tables for both 85% TSS removal and 90% TSS removal
II. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N C Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section 15 A NCAC 2H 1008
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below If a requirement has not been met, attach justification
Applicants Initials
7h
a
The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet)
b
The forebay volume is approximately equal to 20% of the basin volume
c
The temporary pool controls runoff from the design storm event
�h
d
The temporary pool draws down in 2 to 5 days
e
If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow
v�
calculations)
f
The basin length to width ratio is greater than 3 1
g
The basin side slopes above the permanent pool are no steeper than 3 1
It
A submerged and vegetated perimeter shelf with a slope of 6 1 or less (show detail)
i
Vegetative cover above the permanent pool elevation is specified
w
L? j A trash rack or similar device is provided for both the overflow and onfice
�i"V k A recorded drainage easement is provided for each basin including access to nearest right-
of-way
w l If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin
in A mechanism is specified which will drain the basin for maintenance or an emergency
III WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
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) 0 does rdoes not incorporate a vegetated filter at the outlet
This system (check one) 0 does edoes not incorporate pretreatment other than a forebay
Form SWU-102 Rev 3 99 Page 2 of 4

Maintenance activities shall be performed as follows
After every significant runoff producing rainfall event and at least monthly
a Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated cover, and general condition
Check and clear the onfice of any obstructions such that drawdown of the temporary pool occurs within
2 to 5 days as designed
2 Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash as needed
3 Inspect and repair the collection system (i a catch basins, piping, swales, nprap, etc ) quarterly to maintain
proper functioning
Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth (see diagram below) Removed sediment shall be disposed of
in an appropriate manner and shall be handled in a manner that will not adversely impact water quality (i e
stockpiling near a wet detention basin or stream, etc )
The measuring device used to determine the sediment elevation shall be such that it will give an accurate
depth reading and not readily penetrate into accumulated sediments
When the permanent pool depth reads - D feet in the main pond, the sediment shall be removed
When the permanent pool depth reads 3 O feet in the forebay, the sediment shall be removed
BASIN DIAGRAM
(fill in the blanks)
Permanent Pool Elevation 36 D
Sediment Re oval Et§ 75 0-Sediment Removal Elevation 3 0 75%
Bottom Ele atio % ------------- 9
Bottom Elevation F D 1 25%
FOREBAY MAIN POND
5 Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface These
plants shall be encouraged to grow along the vegetated shelf and forebay berm
6 If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through
the emergency dram shall be minimized to the maximum extent practical
Form SWU-102 Rev 3 99 Page 3 of

7 All components of the wet detention basin system shall be maintained in good working order
I acknowledge and agree by my signature below that f am responsible for the performance of the seven
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
Print name G, s c N f t A--rJ 62A
Title An 1n� N i\ U :�
Address
Phone
Signati
Date t012I 11942
e�
Note The legally responsible party should not be a homeo" ners association unless more than 50% of the lots have been sold and a
wds t of the subdivision has been named the president
a Notary Public for the State of ncofA\ QO-f t rid,
County of \ 2 do hereby certify that (4py CAANa-6-C*'
personally appeared before me this _ ) N day of \u.-\Q , and acknowledge the due
execution of the torgoing wet detention basin maintenance requirements Witness my hand and official sea],
SEAL
My commission expires \ CA C-A \
Form SWU-102 Rev 3 99 Page 4 of 4

Perrin No
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWQ Stormwater Manapement Plan Review
A complete stormwater management plan submittal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details
I PROJECT INFORMATION
Project Name lo''e_ P%ce_ j ' rs
Contact Person PE Phone Number (711) PY'
For projects with multiple basins, specify which basin this worksheet applies to -v/,0
elevations
Basin Bottom Elevation
Permanent Pool Elevation
Temporary Pool Elevation
ft Z
r/6 ft?%'
ft
areas
Permanent Pool Surface Area s''9 }� sq ft
Drainage Area /G ac
Impervious Area
volumes
nn Permanent Pool Volume
v Temporary Pool Vole
horebay Volume
Other parameters
SA/DA I
Diameter of Orifice
Design Rainfall
Design TSS Removal 2
o `/ ac
(floor of the basin)
(elevation of the orifice)
(elevation of the discharge structure overflow)
(water surface area at the orifice elevation)
(on -site and off -site drainage to the basin)
(on -site and of -site drainage to the basin)
cu ft (combined volume of main basin and forebay)
cu ft (volume detained above the permanent pool)
o - s_ cu ft (approximately 20% of total volume)
2' 6 (surface area to drainage area ratio from DWQ table)
/ in (2 to 5 day temporary pool draw -down required)
in
s % (minimum 85% required)
Form, SWU-102 ReN 3 99 Page I of 4

Footnotes
When using the Division SA/DA tables, the correct SA/DA ratio for permanent pool sizing should be computed based upon the
auual impervious % and permanent pool depth Linear interpolation should be employed to determine the correct value for non-
standard table entries
2 In the 20 coastal counties, the requirement for a vegetative filter may be waived if the wet detention basin is designed to provide
90%TSS removal The NCDENR 13MP manual provides design tables for both 85%TSS removal and 90%TSS removal
11 REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N C Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section 15 A NCAC 2H 1008
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below If a requirement has not been met, attach justification
Applicants Initials
J? - a The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet)
/? b The forebay volume is approximately equal to 20% of the basin volume
i3 ^ c The temporary pool controls runoff from the design storm event
1Y _ d The temporary pool draws down in 2 to 5 days
B _ e If required, a 30-foot vegetative filter is provided at the outlet (include nan-erosive flow
calculations)
3 The basin length to width ratio is greater than 3 1
g
The basin side slopes above the permanent pool are no steeper than 3 1
h
A submerged and vegetated perimeter shelf with a slope of 6 1 or less (show detail)
y3
i
Vegetative cover above the permanent pool elevation is specified
j
A trash rack or similar device is provided for both the overflow and orifice
k
A recorded drainage easement is provided for each basin including access to nearest right-
of-way
`
I
If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin
,13
m
A mechanism is specified which will dram the basin for maintenance or an emergency
III WET DETENI ION BASIN OPERATION AND MAINTENANCE AGREEMENT
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) 0 does 0 does not incorporate a vegetated filter at the outlet
7 his system (check one) 0 does 0 does not incorporate pretreatment other than a forebay
Form SWU-102 Rey 3 99 Page 2 of 4

Maintenance activities shall be performed as follows
After every significant runoff producing rainfall event and at least monthly
a Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated cover, and general condition
Check and clear the orifice of any obstructions such that drawdown of the temporary pool occurs within
2 to 5 days as designed
2 Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash as needed
3 Inspect and repair the collection system (i e catch basins, piping, swales, riprap, etc ) quarterly to maintain
proper functioning
4 Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth (see diagram below) Removed sediment shall be disposed of
in an appropriate manner and shall be handled in a manner that will not adversely impact water quality (i e
stockpiling near a wet detention basin or stream, etc )
The measunng device used to determine the sediment elevation shall be such that it will give an accurate
depth reading and not readily penetrate into accumulated sediments
3a
When the permanent pool depth reads 'S °' feet in the main pond, the sediment shall be removed
When the permanent pool depth reads S- 6 feet in the forebay, the sediment shall be removed
BASIN DIAGRAM
Ulf in the blanks)
Permanent Pool Elevation 5L
Sediment Re oval EI J� � 75 0
-
-------- ------ - Sediment Removal Elevation (0 75%
-
Bottom Ele anon. % -----------"""-""-""---"------- - r^ --------- -25% Bottom Elevation
FOREBAY MAIN POND
Remove cattails and other indigenous wetland plants when they cover 50% otthe basin surface These
plants shall be encouraged to grow along the vegetated shelf and forebay berm
6 if the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through
the emergency dram shall be minimized to the maximum extent practical
l'omi SWU-102 Rev 3 99 Page 3 of 4

Y-
All components of the wet detention basin system shall be maintained in good working order
I acknowledge and agree by my signature below that 1 am responsible for the performance of the seven
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
Print name
c//" s,
Title Litt frrr. �e.,�
Address /y
Phone (9/4) rid z 390
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, lac wk-, E&w a Notary Public for the State of NDM &Ayyl
County of (,Jall t, do hereby certify that 5h&Ar CA -bra—
personally appeared before me this day of Wo-_ , 2006 , and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements Witness my hand and official seal,
`\\sxxxs4V I L I N tFO��i
7PC' i
2�
,cP
*] WAKECOUNTY j
NORTHCAROLINA: *_
gRYI PUBS
SEAL
qAcfAj-)
My commission expires d ,5- i
Form SWU-102 Re\ 3 99 Page 4 of 4

Pernut No '7q0 4 T
(to oe proi ided bN DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
Thts form may be photocopied for use as an onginal
DWO Stormwater Management Plan Review
A complete stormwater management plan subrruttal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details
I. PROJECT INFORMATION
Project Name C_ o u N i R V
Nn) 5U i-rES AorEL
Contact Person 5 T E v e R i c E Phone Number (519 ) 4 (o Z- 8 4 7 4
For projects with multiple basins, specify which basin this worksheet applies to _ N /A
elevations
Basin Bottom Elevation so ft
Permanent Pool Elevation 3 Co ft
Temporary Pool Elevation 3 -7• 9 5 ft
areas
Permanent Pool Surface Area 5, (.9 2 sq ft
Drainage Area 3 , i 5 ac
Impervious Area Z Zo ac
volumes
Permanent Pool Volume
Temporary Pool Volume
Forebay Volume
Other parameters
SA/DAI
Diameter of Orifice
Design Rainfall
Design TSS Removal 2
(floor of the basin)
(elevation of the onfice)
(elevation of the discharge structure overflow)
(water surface area at the onfice elevation)
(on -site and off -site drainage to the basin)
(on -site and off -site drainage to the basin)
i3 F59 (0 cu ft (combined volume of main basin and forebay)
13 5W cu ft (volume detained above the permanent pool)
2 r-)o I cu ft (approximately 20% of total volume)
3 5 1 (surface area to drainage area ratio from DWQ table)
in (2 to 5 day temporary pool draw -down required)
I in
90 % (minimum 85% required)
Form SWU-102 Rev 3 99 Page I of 4

Footnotes
1 When using the Division SAIDA tables, the correct SAIDA ratio for permanent pool sizing should be computed based upon the
actual impervious % and permanent pool depth Linear interpolation should be employed to determine the correct value for non-
standard table enures
2 In the 20 coastal counties, the requirement for a vegetative filter may be waived if the wet detention basin is designed to provide
90% TSS removal The NCDENR BMW manual provides design tables for both 85% TSS removal and 90% TSS removal
H. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N C Department of Environment, Health and Natural Resources, February 1999) and Adrmmstrative Code
Section 15 A NCAC 2H 1008
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached If the applicant has designated an agent in the Stormwater Management Pernut
Application Form, the agent may initial below If a requirement has not been met, attach justification.
Applicants Initials
T C a The permanent pool depth is between 3 and 6 feet (required rmmmum of 3 feet)
74 b The forebay volume is approximately equal to 20% of the basin volume
c The temporary pool controls runoff from the design storm event
T•G d The temporary pool draws down in 2 to 5 days
Al 1A e If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow
calculations)
TG f The basin length to width ratio is greater than 3 1
-re- g The basin side slopes above the permanent pool are no steeper than 3 1
h A submerged and vegetated perimeter shelf with a slope of 6 1 or less (show detail)
TG, i Vegetative cover above the permanent pool elevation is specified
T� j A trash rack or similar device is provided for both the overflow and onfice
NIA k A recorded drainage easement is provided for each basin including access to nearest right-
of-way
-r C 1 If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin
TG in A mechanism is specified which will drain the basin for maintenance or an emergency
HI. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
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) 0 does@/oes not incorporate a vegetated filter at the outlet.
This system (check one) 0 does lY does not incorporate pretreatment other than a forebay.
Form SWU-102 Rev 3 99 Page 2 of 4

/Mairtenance activities shall be performed as follows
After every significant runoff producing rainfall event and at least monthly
a Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated cover, and general condition
Check and clear the onfice of any obstructions such that drawdown of the temporary pool occurs
within 2 to 5 days as designed
Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash as needed
Inspect and repair the collection system (i a catch basins, piping, swales, nprap, etc ) quarterly to
maintain proper functioning
4 Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth (see diagram below) Removed sediment shall be disposed
of in an appropriate manner and shall be handled in a manner that will not adversely impact water quality
(i a stockpiling near a wet detention basin or stream, etc )
The measuring device used to determine the sediment elevation shall be such that it will give an accurate
depth reading and not readily penetrate into accumulated sediments
When the permanent pool depth reads 4, 5 feet in the main pond, the sediment shall be removed
When the permanent pool depth reads feet in the forebay, the sediment shall be removed
Sediment
Bottom
El Sl 50
------------
on 30.00
FOREBAY
BASIN DIAGRAM
(fill in the blanks)
Permanent Pool Elevation 3(.
Sediment Removal Elevation 'i I, 50
Bottom Elevation
MAIN POND
PAW
25 %
Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface These
plants shall be encouraged to grow along the vegetated shelf and forebay berm
6 If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment
through the emergency dram shall be mimrmzed to the maximum extent practical
Form SWU-102 Rev 3 99 Page 3 of 4

7 All components of the wet detention basin system shall be maintained in good working order
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
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
Pnnt name G. S. CH H A a 2A
Title
A NA
Address 104 13RITT ANY P(_ALE GArcvt AC. 2-7511
Phone 51 Ci -
Signature —
Date
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, a Notary Public for the State of K 02-r+- GAAg O LI
County of V-1 As ICE do hereby certify that / z�' Zak H A sRL+c
personally appeared before me this 'Z&� day of I q a LI and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements Witness my hand and official seal,
,..,•�A hF,yA.,
zQ? NpTAR),
to
.`
�ti PUBLIC •�
y% •,.•�.��:
111 ,COiUN�i,i��`
My commission
Form SWU-102 Rev 3 99
SEAL
MyOommmm Flues 1114-2001
Page 4 of 4