SW8890414_Current Permit_20150304

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
March 4, 2015
Ms. Pamela Nicosia, President
Kingsbridge II HOA, Inc.
PO Box 399
Hubert, NC 28539
Subject: State Stormwater Management Permit No. SW8 890414
Kingsbridge II (Sections 1 through 4 and a Future Section)
Low Density Subdivision Project
Onslow County
Dear Ms. Nicosia:
Donald van der Vaart
Secretary
The Wilmington Regional Office received a complete, modified Stormwater Management Permit
Application for Kingsbridge II (Sections 1 through 4 and a Future Section) on December 5, 2014. Staff
review of the plans and specifications has determined that the project, as proposed, will comply with the
Stormwater Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No. SW8
890414, dated March 4, 2015, for the construction of the built -upon area associated with the subject
project.
This permit shall be effective from the date of issuance until rescinded -and shall be subject to the
conditions and limitations as specified therein, and does not supersede any other agency permit that
may be required. Please pay special attention to the conditions listed in this permit regarding the
Operation and Maintenance of the BMP(s), recordation of deed restrictions, certification of the project,
procedures for changing ownership, and transferring the permit. Failure to establish an adequate
system for operation and maintenance of the stormwater management system, to record deed
restrictions, to certify the project or to transfer the permit in a timely manner, will result in future
compliance problems.
The following modifications are included and covered by this permit:
1. To re -allocate the built -upon area assigned to the individual lots from 2,500 sf to the amounts
listed in Attachment A.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings
(OAH). The written petition must conform to Chapter 150B of the North Carolina General Statutes. Per
NCGS 143-215(e) the petition must be filed with the OAH within thirty (30) days of receipt of this permit.
You should contact the OAH with all questions regarding the filing fee (if a filing fee is required) and/or
the details of the filing process at 6714 Mail Service Center, Raleigh, NC 27699-6714, or via telephone
at 919-431-3000, or visit their website at www.NCOAH.com. Unless such demands are made this
permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please contact
Christine Hall at [phone].
Sinc-rely,
racy Dav , P.E., Director
Division of Energy, Mineral and Land Resources
CDS/canh: \\Shared\Stormwate (Permits & Projects\ 1989\890414 LD\2015 03 permit 890414
cc: Nicholas Shepard, Stillwater Engineering
Wilmington Regional Office Stormwater File
Division of Energy, Mineral, and Land Resources
Land Quality Section — Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 - [phone] / Fax: [phone]

State Stormwater Management Systems
Permit No. SW8 890414
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
LOW 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
Kingsbridge 11 Homeowners Association, Inc.
Kingsbridge 1I (Sections 9 through 4 and a Future Section)
East Ivybridge Dr., Hubert, Onslow County
FOR THE
construction, operation and maintenance of a 25% low density subdivision project in compliance
with the provisions of Title 15A NCAC 2H .1000 (hereafter collectively and separately referred to as
the "stormwaterrules') and the approved stormwater management plans and specifications, and
other supporting data as attached and on file with and approved by the Division and, considered a
part of this permit.
The Permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specific conditions and limitations:
I. DESIGN STANDARDS
1. The overall tract built -upon area percentage for the project must be maintained at 25% per
the requirements of the stormwater rules. This permit covers the construction of a total of
662,547 square feet of built -upon area (BUA), which includes 565,100 square feet of
proposed BUA and 20,047 square feet of future BUA allocation.
2. Each of the 92 lots is limited to a maximum amount of built -upon area as indicated in
Attachment A of this permit. CAMA regulations may reduce the allowable built -upon area for
those lots within the AEC.
3. The only runoff conveyance systems allowed will be vegetated conveyances such as swales
with minimum side slopes of 3:1 (H:V) as defined in the stormwater rules and approved by
the Division.
4. Projects covered by this permit will maintain a minimum 30 feet wide vegetative buffer
between all impervious areas and surface waters.
5. All roof drains must terminate at least 30 feet from the mean high water mark.
6. No piping shall be allowed except those minimum amounts necessary to direct runoff
beneath an impervious surface such as a road or under driveways to provide access.
7. Stormwater runoff that is directed to flow through any wetlands shall flow into and through
these wetlands at a non -erosive velocity.
Page 2 of 7

State Stormwater Management Systems
Permit No. SW8 890414
II. SCHEDULE OF COMPLIANCE
1. No person shall alter the approved stormwater management system or fill in, alter, or pipe
any drainage feature (such as swales) shown on the approved plans as part of the
stormwater management system, except for minimum driveway crossings, unless and until
the permittee submits a modification to the permit and receives approval from the Division.
2. The maximum built -upon area assigned to each lot via this permit and the recorded deed
restrictions may not be increased or decreased by either the individual lot owner or the
permittee unless and until the permittee notifies the Division and obtains written approval
from the Division.
3. The permittee shall review and keep records of all proposed and approved development on
each lot. The plans reviewed must include all proposed built -upon area. The permittee may
establish an Architectural Review Board (ARB) or Committee (ARC) to review new and
modified lot development plans for compliance with the Covenants and Restrictions,
including the BUA limit. However, any approval given by the ARB or ARC on behalf of the
permittee does not relieve the permittee of the responsibility to maintain compliance with the
overall permitted built -upon area for the project.
4. The permittee is responsible for verifying that the proposed built -upon area on each
individual lot, and for the entire project, does not exceed the maximum allowed by this
permit. The permittee shall monitor all construction on each lot and where a lot is
determined to have exceeded the permitted maximum BUA, the permittee shall notify the lot
owner of such in writing and require remediation within a reasonable time frame to bring the
lot into compliance.
5. Swales, vegetated areas and other vegetated conveyances shall be constructed in their
entirety, vegetated, and operational for their intended use prior to the construction of any
built -upon surface, per the approved plans.
6. During construction, erosion shall be kept to a minimum and any eroded areas of the swales
or other vegetated conveyances will be repaired immediately.
7. The permittee shall at all times provide and perform the operation and maintenance
necessary as listed in the signed Operation and Maintenance Agreement, such that the
permitted stormwater management system functions at its optimum efficiency.
8. Deed restrictions are incorporated into this permit by reference and must be recorded with
the Office of the Register of Deeds prior to the sale of any lot. Recorded deed restrictions
must include, at a minimum, the following statements related to stormwater management:
a. The following covenants are intended to ensure ongoing compliance with State
Stormwater Management Permit Number 890414, 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.
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 per lot as indicated in the Attachement. 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, driveways, and parking areas, but does
not include raised, open wood decking, or the water surface of swimming pools.
g. Filling in, piping or altering any 3:1 vegetated conveyances (ditches, swales; etc.)
associated with the development except for average driveway crossings, is
prohibited by any persons.
Page 3of7

State Stormwater Management Systems
Permit No. SW8 890414
h. For those lots within the CAMA Area of Environmental Concern, where DCM
calculates a different maximum lot built -upon area, the governing maximum lot BUA
shall be the more restrictive of the two amounts.
i. A 30-foot wide buffer must be provided adjacent to surface waters, measured
horizontally from and perpendicular to the normal pool of impounded structures, the
top of bank of both sides of streams and rivers, and the mean high waterline of tidal
waters.
j. All roof drains shall terminate at least 30' from the normal pool of impounded
structures, the banks of rivers and streams and the Mean High Waterline of tidal
waters.
The permittee must submit a copy of the recorded deed restrictions within 30 days of the
date of recording.
10. 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 subdivision, acquisition or sale of the project area in whole or in part. The
project area is defined as all property owned by the permittee, for which Sedimentation
and Erosion Control Plan approval or a CAMA Major permit was sought.
d. Filling in, piping, or altering any vegetative conveyance shown on the approved plan,
except the minimum driveway crossings.
e. The development of any future area or additional phase(s) noted on the approved
plans.
11. All stormwater conveyances will be located in either a dedicated right-of-way (public or
private), recorded common areas or recorded drainage easements. The final plats for the
project will be recorded showing all such required rights -of -way, common areas and
easements, in accordance with the approved plans.
12. The permittee must certify in writing that the project's stormwater controls, and impervious
surfaces have been constructed within substantial intent of the approved plans and
specifications. Any deviation from the approved plans must be noted on the Certification.
The permittee shall submit the Certification to the Division within 30 days of completion of
the project.
13. The permittee shall submit all information requested by the Director or his representative
within the time frame specified in the written information request.
14. 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 7

State Stormwater Management Systems
Permit No. SW8 880414
III. GENERAL CONDITIONS
1. This permit is not transferable to any person or entity except after notice to and approval by
the Director. A request to transfer the permit will be considered on its merits and may or may
not be approved. The permittee shall complete, sign and submit one of the two
Name/Ownership Change Forms available online. The Name/Ownership Change Form must
"e accompanied by the supporting documentation as listed on the form and must be
submitted to the appropriate Regional Office of the Division at least 60 days prior to any one
or more of the following events:
a. The sale or conveyance of the project area in whole or in part, except for individual lot
sales which are made subject to the recorded covenants and restrictions of record;
b. The sale or conveyance of the common areas to the HOA or POA where the
requirements of Session Law 2011-256 have been met;
c. The dissolution of the corporate entity, LLC, or General Partnership;
d. Bankruptcy and/or foreclosure proceedings;
e. A name change of the permittee;
f. A name change of the project;
g. A mailing address change of the permittee.
2. The Permittee is responsible for compliance with all the terms and conditions of this permit
until such time as the Division approves the permit transfer in writing. Neither the sale of the
project area, in whole or in part, nor the conveyance of common area to a third party
constitutes an approved transfer of the stormwater permit.
3. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to enforcement procedures by the Division, in accordance with North Carolina
General Statutes 143-215.6A to 143-215.6C.
4. The permit issued shall continue in force and effect until revoked or terminated.
5. 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.
6. 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 of the North Carolina Administrative
Code, Subchapter 2H.1000; and North Carolina General Statute 143-215.1 et. al.
7. The issuance of this permit does not preclude the Permittee from complying with and
obtaining any and all other permits or approvals that are required in order 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.
8. Any person or entity found to be in noncompliance with the provisions of this stormwater
permit or the requirements of the stormwater rules under 15A NCAC 021-1.1000 is subject to
enforcement procedures as set forth in N.C.G.S. 143, Article 21.
8. Approved plans, application, supplements, operation & maintenance agreements and
specifications for projects covered by this permit are incorporated by reference and are
enforceable parts of the permit. A copy of this permit, application, supplements, the
operation and maintenance agreements, and the approved plans and specifications shall be
maintained on file by the Permittee at all times.
10. The Permittee grants permission to DENR Staff to enter the. property during norms! business
hours for the purposes of inspecting the stormwater control system and its components.
Page 5 of 7

State Stormwater Management Systems
Permit No. SW8 890414
11. Unless specified elsewhere, permanent seeding requirements for the swales must follow the
guidelines established in the North Carolina Erosion and Sediment Control Planning and
Design Manual.
Permit modified and reissued this the 4"' day of March 2015.
;NOR H CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
-------------------- -- E-=---------
Tracy Da , P.E., Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 6 of 7

State Stormwater Management Systems
Permit No. SW8 890414
Attachment A
Page 7 of 7

Kingsbridge II Section 1(14 Lots)
Lot 8
Allowable BUA (SF)
Lot Site (Acres)
a
6,500
0.5373
9
61000
0.6245
10
10,S00
0.6761
11
10,000
0.7558
12
61000
0.8403
13
16,500
0.9302
14
S,000
1.2557
20
71000
0.79
21
7,000
0.77
28
SAM
0.3444
29
51000
0.3444
30
S,000
0.3444
31
SIM
0.3444
32
SAM
0,5548
Total BUA Section i
99;500
Kingsbridge II Section 2 (19 Lots)
Lot M
Allowable BUA (SF)
Lot Size (Acres)
1
61000
0.35
2
6,000
0.35
3
4500
0.3S
4
6A00
0.35
5 & 6
12,000
014
7
6,001
0.46
15
13,000
0.93
16
7,000
0.61
17
7,000
0.76
18
5,000
0.89
19
5;000
0.80
22
5,000
0.39
23
51000
0.34
24
S,000
0.34
25
5,000
0.34
26
51000
0.34
27
5,000
0.34
33
51000
0.38
34
5,000
0.34
Total BUA Section 2
219,500
Page 1 of 4

Kingsbridge II - Section 3 (12 Lots)
Lot #
8UA (SF)
Lot Size (Acres)
RBA
5,500
Q 26
36
S,000
OAS
37
51000
0.40
38
5,000
0.52
39
51000
O.S1
40
4000
OA3
42
S,S00
0.3S
42
S,000
0,34
43
5,000
Q3S
44
5,000
0.34
4S
5,000
0.42
Total 8UA Section 3
65,000
r, •i
NI
..
i ..
Page 2 of 4

Kingsbridge II - Section 4 (42 Lots)
Lot A
SUA (SF)
Lot Size (Acres)
1
2
7,000
0.90
3
7,000
0.80
4
51000
0.81
5
spa
0.80
6
%000
0.80
7
51000
0.67
6
7,000
0.89
9
5.000
0.97
10
51000
0,69
11
5,0D0
0.85
12
5,000
0.94
13
Sim � _
f 0.84
14
51000
0.92
15
$,ODD
0.87
16
71000
1.00
17
SAN
1.24
i8
51000
1.33
19
SAM
1.08
20
51000
0.39
21
$,000
1,34
22
5,00D
0.39
23
51000
0.35
24
51000
0.34
2S
s,000
0.34
26
51000
0.34
27
51000
0.34
28
SAM
0.40
29
5.000
0.35
30
SAM
0.35
31
s,000
0.43
32
51000
0:36
33
S1000
0.34
34
51000
0.35
3S
S,000
0.34
36
5 000
0.34
37
51000
0.34
38
51000
0.34
39
5,000
0.34
40
5,0D0
0.34
41
4,500
0.34
42
S1000.
0.34
Total SUA Section 4
219,500
Page 3 of 4

Kingsbridge II - Future (5 Lots)
Lot f
eUA (SF) Lot Size (Acres)
6,000 C:7S
2
600 1.65
3
71000 2.74
4
71000 1.67
6
7,000 0.61
Total 9UA Future
33,000
Total 8UA for Individual Lots (92 Total) = 536,500 SF
Page 4 of 4

DEMLR USE ONLY
aie v ree F aid Fermit Number
Applicable Rules: ❑ Coastat SW -1995 �❑ Coastal SW - 2008 EI'15h Il - Post CQ&truction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WO Mgmt Plan:
State of Nortli Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM, ;IE
This form may be photocopied for use as an original MAY
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.):
Kingsbridge H Sections 1 through 4 and Future Section
2. Location of Project (street address):
East Ivybridge Drive
City:Hubert County:Onslow Zip:28539
3. Directions to project (from nearest major intersection):
From intersection of Queens Creek Rd. & Oueens Haven Rd travel north approx. 1 mile on
Queens Haven Rd. then left onto Kingsbrid a Rid approx. 0.25 mile then right on East Ivybridge Dr.
Project begins on East Ivybridge Dr. at Sussex Lane and continues to cul-de-sacs
4. Latitude:34° 42' 07" N Longitude:-77* 11' 40" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ❑New ®Modification ❑ Renewal w/ Modificationt
. tRenewals with modifications also requires SWU-102 - Renewal Application Form
b. If this application is being submitted as the result of a modification to an existing permit, list the existing
permit numberSW8 890414 , its issue date (if known)Tune 19,1989 , and the status of
construction: ❑Not Started ®Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
NLow 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
DEMLR requesting a state stormwater management permit application, list the stormwater project number,
if assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
[:]LAMA Major ❑Sedimentation/Erosion Control: _
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
ac of Disturbed Area
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:various erosion control permits have been obtained by different
5. Is the project located within 5 miles of a public airport? NNo ❑Yes
If yes, see S.L. 2012-200, Part VI: hU://portal.ncdenr.org/web/lr/rules-and-regulations
Form SWU-101 Version Oct. 31, 2013 Page 1 of 6

III. L CONTACT INFORMATION
1. k. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the projectl:
Applicant/Organization:Kinesbridee II Homeowners Association Inc
Signing Official & Title:Pamela Nicosia, President
b. Contact information for person listed in item 1a above:
Street Address:211 East Ivybridee Dr.
City:Hubert State:NC Zip:28539
Mailing Address (if applicable):P.O. Box 399
City:Hubert
State:NC Zip:28539
Phone: (910 ) 381-5679 Fax: ( ) N/A
Email:[e-mail]
c. Please check the appropriate box. The applicant listed above is:
❑ The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official & Title:
b. Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City:_
Phone:
Email:
State: Zip:
State:
Fax:
Zip:
3. a. (Optional) Print the name and title of another contact such as the project's cons chef
person who can answer questions about the project: ^ " _
Other Contact Person/Organization:Bill Treweek 1 2014
Signing Official & Title: 1 1
b. Contact information for person listed in item 3a above:
Mailing Address:737 Chadwick Shores Drive
City:Sneads Ferry
Phone: (910 ) 265-8350
Email:btreweek58®gmail.com
State:NC Zip:28460
Fax: [phone]
4. Local jurisdiction for building permits: Onslow County
Point of Contact:George Lacey Phone #: (910 ) 989-3072
Form SW-101 Version Oct. 31, 2013 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
This modification is for the reallocation of BUA for Residential lots only.
Stormwater Management Controls are beyond the scope of this modification
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
® Other: SW8 890414 Date: June 19,1989
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 White Oak River basin.
4. Total Property Area: 60.84 acres 5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:60.84 acres
+ Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal Hi h Water (NHM line or Mean High Water
(MHM line, and coastal wetlands landward from the NHW (or MHIline. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHM line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 25 %
9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1
Drainage Area _
Drainage Area _
Dramage Area
Receiving Stream Name
Queens Creek
_
Stream Class *
SA;HQW
Stream Index Number *
19-41-16
Total Drainage Area (sf)
2,650,190
On -site Drainage Area (sf)
2,650,190
Off -site Drainage Area (sf)
None
Proposed Impervious Area** s
662,547
% Impervious Area** total
25
Im ervioue* Surface Area
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area
On -site Buildings/Lots (sf)
536,500
_
On -site Streets (sf)
86,000
On -site Parking (sf)
N/A
;
On -site Sidewalks (sf)
N/A
Other on -site (so
20,000
Future (sf)
20,047
Off -site (sf)
N/A
BY.
Existing BUA*** (sf)
N/A
Total (sf):
662,547
T Stream Class and index Number can be determined at: http.aortal.ncdenr or /wit ebAvg s/csu/classifccations
*" Im ermous area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6

'Report only that amount of existing BUA that will remain after development. Do not report any existing BLIA 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. N/A
Projects in Union County: Contact DEMLR Central Office stafj`'to check if the project is located within a Threatened &
Endangered Species watershed that may he subject to more stringent stormwater requirements as per 15A PICAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&1VI) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from httv://portal.ncdenr.ora/web/wq/ws/su/bmi)-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
h2R://12ortal.ncdenr.orL-/web/wg/ws/su/statesw/forms docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at hgg://12ortal.ncdenr.org/web/wg/ws/su/maps.)
Please indicate that the following required information have been Provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://12ortal.ncdenr.org/web/3yq/ws/su/­­statesw/forms docs.
Initials
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 Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and datedl and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
hiip://www.gnKhelg.org/iDages/ones=exi2ress.htn-d for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
�� ��� J
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the 171 �/
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2 — f--
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
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 '
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal
i. Dimensioned property/project boundary with bearings & distances. f
j. Site Layout with all BUA identified and dimensioned.e���
k. Existing contours, proposed contours, spot elevations, finished floor elevations. J
1. Details of roads, drainage features, collection systems, and stormwater control dasures.;
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated 'af-,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 separate document).
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6

P. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" 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 DEMLR to verify the SHWT prior
to submittal, (910) 796-7,378.) PIP NOT IeJZWDP,. tk?-Ls- AieE $g 6ic So DlF9wt-J `
10. A copy of the most current property deed. Deed book: Page No: PL-#-;Jyse Ay J 1 S e
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC g3 d Y
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 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.
http://www.secretary.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 htW:l/portal.ncdenr.org/web/Ir/state-
stormwater-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 signatare(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will ran with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any lot.
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:Nicholas K. Shevard, PE
Consulting Firm: Stillwater Engineering, Inc.
Mailing Address:P.O. Box 477
City:Hampstead
Phone: [phone]
Email:stillwatergByineerinacharter.net
State:NC Zip:28443
Fax: (910 ) 270-9889
IX PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) with (print or type name of organization listed in
Contact Information, item 1a) 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 systemRE
.
MAY 01 20%
BY:
VeevS
Form SWU-101 Version Oct. 31, 2013 Page 5 0- 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater
treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility
without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action including the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: Date:
a Notary Public for the State of
do hereby certify that
before me this _ day of
County of
personally appeared
and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a) Pamela Nicosia
certify that the info lion ' tided on this permit application form is, to the best of my knowledge, correct and
that the project w- b cons cted in conformance with the approved plans, that the required deed restrictions
and pro veF4L^v
ven is - be r orded, and that the proposed project complies with the requirements of the
applicable sto er rul and 5A NIZAC 2H .1000 and any other applicable state stormwater quirements.
Signature: Date:
a Notary Public for the State of #UrA df rO CtmA-1 . Countyof
do hereby certify that © personally appeared
before me thisr? day of , and acknowledge the due executio of the application for
a stormwater permit. Witness my hand and official seal, W&MA,4, /LC
t18q
NOTARY =
a PUBLIC a
nnnn
SEAL
My commission expires lG — &- a6 41
E.
NSA, 0 2014 �
BY:
Form SWU-101 Version Oct. 31, 2013 Page 6 of 6

Permit No. - � �7
(to be provided by DEMLR)
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
SfORMWATER MANAGEMENT PERMIT APPLICATION FORM
LOW DENSITY SUPPLEMENT
This form may be photocopied for use as an original
A low density project is one that meets the appropriate criteria for built upon area and transports stormwater
runoff primarily through vegetated conveyances. Low density projects should not have a discrete stormwater
collection system as defined by 15A NCAC 2H .1002(18). Low density requirements and density factors can be
found in Session Law 2008-211, 15A NCAC 2H .1000, Session Law 2006-246 and the State of North Carolina
Stormwater Best Management Practice Manual. Curb and gutter systems are allowed provided they meet the
requirements in 15A NCAC 2H .1008(g).
I. PROJECT INFORMATION
Project Name : Kingsbridse II Sections 1 through 4 and Future Section
Contact Person: Bill Treweek Phone Number: ( 910 )265-8350
Number of Lots:92 Allowable Built Upon Area (BUA) Per Lot*: See attachment �7ar� Q.
Number of Dwelling Units Per Acre**:
Low Density Development (check one): ® without curb & gutter ❑ with curb & gutter, outlets to (check one):
❑ Swales ❑ Vegetated Area
*If lot sizes are not uniform, attach a table indicating the number of lots, lot sizes and allowable built upon area for each lot.
The attachment must include the project name, phase, page numbers and provide area subtotals and totals. BUA shall be
shown in units of square feet.
**(Phase II Post -Construction [non-SAl only)
H. BUILT UPON AREA
Refer to DEMLR's forms and applications website for specific language that must be recorded in the deed
restrictions for all subdivided projects. 0=://t)ortal.ncdenr.org/web/lr/state-stormwater-forms docs)
Complete the following calculation in the space provided below where:
• SA Site Area - the total project area above Mean High Water.
• DF Density Factor - the appropriate percent built upon area divided by 1 MAY 01 2014
• RA Road Area -the total impervious surface occupied by roadways. _
• OA Other Area - the total area of impervious surfaces such as clubhouses, tennis courts, sidewalks, etc.
• No. of Lots - the total number of lots in the subdivision.
• BUA per Lot - the computed allowablc built upon area for each iot including driveways and impervious
surfaces located between the front lot line and the edge of pavement.
• Total allowable lot BUA - the computed allowable built upon area for all lots combined.
• Total BUA from lot listing - the sum of built upon area allocated for each lot on the list of non -uniform lots.
Form SW401-Low Density-Rev.3-2/10/09 Page 1 of 4

Calculation:
For uniform lot sizes:
(SA: ft2 x DF: ) — (RA: ft2) (OA• ft2) BUA per Lot = ftz
(No of Lots:
For non -uniform lot sizes:
a. (SA: 2650190 ft2 x DF: .25) — (RA: 86000 ft2) — (OA: 20000 ft) = Total allowable lot BUA 556547 f1
b. Total BUA from lot listing: 536500sf. b must be < a
III. DESIGN INFORMATION
Complete the following table. If additional space is needed the information should be provided in the same
format as Table 1 and attached to this form. Rainfall intensity data can be found in Appendix 8.03 of the State
of North Carolina Erosion and Sediment Control Planning and Design Manual or at
http://hdse.nws.noaa.gov/hdsc/pfds/
Table 1. Swale desien information based on the 10-venr Qtnrm
Swale No.
Drainage
Area (ac)
Impervious
Area ac
Grassed
Area (ac)
C
Q
(cfs)
Slope
%
Valiow
(fps)
V.wai
s
Flow
Depth ft
I
N/A
2
3
4
5
6
7
8
9
10
11
12
13
14
2014l;
15
16
17
18
19
20
Fenn SW401-Low Density-Rev.3-2/10/09 Page 2 of 4

IV. REQUIRED ITEMS CHECKLIST
r
The following checklist outlines design requirements per the North Carolina Administrative Code Section 15A
NCAC 2H .1000, NCDENR BMP Manual (2007), Session Law 2006-246, and Session Law 2008-211.
Please indicate the page or plan sheet numbers where the supporting documentation- can be found. An
incomplete submittal package will result in a request for additional information. This will delay final
review and approval of the project. Initial in the space provided to indicate that the following requirements
have been met and supporting documentation is provided as necessary. If the applicant has designated an agent
on the Stormwater Management Permit Application Form, the agent may initial below. If any item is not met,
then justification must be attached. Only complete items n through p for projects with curb outlets.
Page/Plan
Initials Sheet No.
N/A a. IFor projects in the 20 coastal counties: Per NCAC 2H.1005, a 50 foot wide vegetative buffer is
provided adjacent to surface waters. For Redevelopment projects, a 30' wide vegetative
buffer adjacent surface waters is provided.
N/A b. tFor HQW or ORW projects outside the 20 coastal counties: A 30 foot wide vegetative buffer is
provided adjacent to surface waters.
N/A c. tFor Phase II Post -Construction projects: All built upon area is located at least 30 feet landward
of all perennial and intermittent surface waters.
N/A d. Deed restriction language as required on form SWU-101 shall be recorded as a restrictive
covenant. A copy of the recorded document shall be provided to DWQ within 30 days of
platting and prior to the sale of any lots.
AJV/ e. Built upon area calculations are provided for the overall project and all lots.
f. Project conforms to low density requirements within the ORW AEC. (if applicable per
15A NCAC 2H .1007)
N/A g. Side slopes of swales are no steeper than 3:1; or no steeper than 5:1 for curb outlet swales.
N/A h. Longitudinal slope of swales is no greater than 5%; for non -curb outlet projects, calculations for
shear stress and velocity are provided if slope is greater than 5%.
N/A i. At a minimum, swales are designed to carry the 10 year storm velocity at a non -erosive rate.
N/A j. Swales discharging to wetlands are designed to flow into and through the wetlands at a non -
erosive velocity (for this flow requirement into wetlands, non -erosive is velocity < 2 ft/s).
N/A k. Swale detail and permanent vegetation is specified on the plans.
N/A 1. Swale detail provided on plans; includes grass type(s) for permt
We 01 &—
N/A m.Swales are located in recorded drainage easements. MAY d1 2014
N/A n.tt Length of swale or vegetated area is at least 100 feet for eacurb outlet. '
N/A o.tt The system takes into account the run-off at ultimate built-ogt' affsurfaces
draining to the system (delineate drainage area for each swale).
N/A p.tt Curb outlets direct flow to a swale or vegetated area.
t Projects in the Neuse, Tar -Pamlico, Catawba River basins, and Randleman Lake may require additional buffers.
tt Only complete these items for projects with curb outlets.
Form SW401-Low Density-Rev.3-2/10/09 Page 3 of 4

,•
V. •SWALE SYSTEM MAINTENANCE REQUIREMENTS
1. Mowing will be accomplished as needed according to the season. Grass height will not exceed six inches at
any time; and grass will not be mowed too close to the ground or "scalped".
2. Swales will be inspected monthly or after every runoff producing rainfall event for sediment build-up,
erosion, and trash accumulation.
3. Accumulated sediment and trash will be removed as necessary. Swales will be reseeded or sodded
following sediment removal.
4. Eroded areas of the swales will be repaired and reseeded. Swales will be revegetated as needed and in a
timely manner based on the monthly inspections. Side slopes must be maintained at the permitted slope.
5. Catch basins, curb cuts, velocity reduction devices, and piping will be inspected monthly or after every
significant runoff producing rainfall event. Trash and debris will be cleared away from grates, curb cuts,
velocity reduction devices and piping.
6. Swales will not be altered, piped, or filled in without approval from NCDENR Division of Energy, Mineral
and Land Resources.
I acknowledge and agree by my signature below that I am responsible for the performance of the six
maintenance procedures listed above. I agree to notify DEMLR of any problems with the system or prior to
any changes to the system or responsible parry.
P
A
P
S
Note: The legally responsible parry should not be a homeowners association unless more than 50% of the lots have been sold and
a resident of the subdivision has been named the president.
a No , Public for the State of d 1 6 1- � l,Q(Q��4Wounty of
Ku, do hereby certify that i2�Id f)f C A S4fL-, personally appeared before me this
day of �� W � and acknowledge the due execution of the forgoing swale maintenance requirements.
Witness my hand and official seal, �'TlQ �
— 6m�_ A. bl'buj
Notary signature `w,
`v111►11J rrBii�����
sEALNOTARY
© PUBLIC v
--=&l111111�
Form SW401-Low Density-Rev.3-2/10/09
MAY 01 2014 v
BY. -
My commission expires 1 b (q r -Lo r
Page 4 of 4

Low Density Residential Subdivisions
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 2H.1000 &.6 . 2996 246 the Stormwater Management
Regulations, deed restrictions and protective covenants are required for Low Density Residential
Subdivisions where lots will be subdivided and sold. Deed restrictions and protective covenants are
necessary to ensure that the development maintains a "built -upon" area consistent with the applicable
regulation governing the density level.
I, Pamela Nicosia acknowledge and affirm by my signature below, that I will cause the following deed
restrictions and protective covenants to be recorded for Kingsbridge II prior to the sale of any lot:
1. The following covenants are intended to ensure ongoing compliance with State Stonmwater
Management Permit NumberSW8 890414, as issued by the Division of Water Quality under the
Stormwater Management Regulations.
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming
under them.
4. 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.
5. Alteration of the drainage as shown on the approved plan may not take place without the
concurrence of the Division of Water Quality.
6. The maximum allowable built -upon area per lot is non -uniform (see attached tables). 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, and
coquina, but does not include raised, open wood decking, or the water surface of swimming. pools.
7. In the case of a lot within CAMA's regulated AEC, where the Division •r Man nt
calculates a different maximum allowable built -upon area for that lot tth is shown herein the
goveming maximum built -upon area for that lot shall be the most restrict' a p(Oe�o �014
8. Filling in or piping of any vegetative conveyances (ditches, swa/es, etc ssocrated with the
development except for average driveway crossings is strictly prohibit y any persons.
9. Each lot will maintain a 30* foot wide vegetated buffer between all impe rus areas anff-s—urTa-ce
waters.
10. All roof !drains s 11 termin a at least 30* foot from the mean high water mark of surface waters.
a
Signature: Date:
a Notary Public in the
State of �h f4110a) , County of
do hereby certify that 14` u Q personally appeared
before me this the day of , 20, and acknowledge
the due execution of the foregoing instrument. Witness my hand and official seal,
O�t�1��l//se
m
Pa
Signature U
My Commission expires TA By
® PUBLIC
Form DRPC-5 Rev.2 05Nov2009 Page 1 of 1 �s�®t1,C®v� `�O
�4/rilllEli41O

Kingsbridge II Section 1(14 Lots)
Lot #
Allowable BLIA (SF)
Lot Size (Acres)
8
6,500
0.5373
9
6,000
0.6245
30
10,500
0.6761
11
10,000
0.7558
12
6,000
0.8403
13
16,500
0.9302
14
5,000
1.2557
20
7,000
0.79
21
7,000
0.77
28
5,000
0.3444
29
5,000
0.3444
30
5,000
0.3444
31
5,000
0.3444
32
5,000
0.5548
Total BLIA Section 1
99,500
Kingsbridge II Section 2 (19 Lots)
Lot #
Allowable BLIA (SF)
Lot Size (Acres)
1
6,000
0.35
2
6,000
0.35
3
6,500
0.35
4
6,000
0.35
5 & 6
12,000
0.74
7
6,000
0.46
15
13,000
0.93
16
7,000
0.61
17
7,000
0.76
18
5,000
0.89
19
5,000
0.80
22
51000
0.39
23
5,000
0.34
24
51000
0.34
25
5,000
0.34
26
5,000
0.34
27
5,000
0.34
33
51000
0.38
34
51000
0.34
Total BLIA Section 2
119,500
MAY a i
BY:
Page 1 of 4

Kingsbridge II - Section 3 (12 Lots)
Lot R
BUA (SF)
Lot Size (Acres)
35
8,000
0.47
RBO
5,500
0.26
36
51000
OAS
37
5,000
0.40
38
5,000
0.52
39
5,000
O.S7
40
61000
0.43
41
S,S00
0.35
42
5,000
0.34
43
51000
0.35
44
5,000
0.34
45
5,000
0.42
Total BUA Section 3
65,000
fi
MAY Q 1 2�14
Page 2 of 4

Kingsbridge II - Section 4 (42 Lots)
Lot #
BUA (SF)
Lot Size (Acres)
1
7,000
0.90
2
7,000
0.90
3
7,000
0.80
4
51000
0.81
5
S,000
0.80
6
S,000
0.80
7
5,000
0.67
8
7,000
0.89
9
5,000
0.97
10
5,000
0.89
11
5,000
0.95
12
5,000
0.84
13
5,000
0.84
14
5,000
0.92
15
5,000
0.87
16
7,000
1.00
17
S,000
1.24
18
5,000
1.33
19
5,000
1.08
20
5,000
0.39
21
5,000
1.34
22
5,000
0.39
23
S1000
0.35
24
5,000
0.34
25
5,000
0.34
26
5,000
0.34
27
51000
0.34
28
5,000
0.40
29
51000
0.35
30
5,000
0.3S
31
5,000
0.43
32
51000
0.36
33
5,000
0.34
34
51000
0.35
35
5,000
0.34
36
5,000
0.34
37
5,000
0.34
38
5,000
0.34
39
51000
0.34
40
5,000
0.34
41
4,500
0.34
42
51000
0.34
Total BUA Section 4
219,500
Page 3 of 4

Kingsbridge II - Future (5 Lots)
Lot 4
BUA (SF) Lot Size (Acres)
1
6,000 0.78
2
6,000 1.65
3
7,000 2.74
4
7,000 1.67
5
7,000 0.61
Total BUA Future
33,000
Total BUA for Individual Lots (92 Total) = 536,500 SF
MAY 0Qt�
BY:
Page 4 of 4