SW8051128_HISTORICAL FILE_20140520 (2)

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 05112E
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
X❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
Z.Olyp15 20
YYYYMMDD

PIMA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
May 20, 2014
Robert Masters, Vice President
St. James Development Co., LLC.
Post Office Box 10879
Southport, NC 28461
Subject: Stormwater Permit No. SW8 051128
St. James Plantation - Bancroft Forest
High Density Subdivision Project
Brunswick County
Dear Mr. Masters
John E. Skvarla, III
Secretary
The Wilmington Regional Office received a complete Stormwater Management Permit Application for St. James
Plantation - Bancroft Forest on August 30, 2013. Staff review of the plans and specifications has determined that
the project, as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000. We are
forwarding Permit No. SW8 051128, dated May 20, 2014, for the construction of the subject project.
This permit shall be effective from the date of issuance until September 6, 2021, and shall be subject to the
conditions and limitations as specified therein. Please pay special attention to the conditions listed in this permit
regarding the Operation and Maintenance of the BMP(s), recordation of deed restrictions, and certification of the
BMP's, procedures for changes of ownership, transferring the permit, and renewing the permit. Failure to establish
an adequate system for operation and maintenance of the stormwater management system, to record deed
restrictions, to certify the BMP's, 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 right to request an
adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH). The written petition
must conform to Chapter 150B of the North Carolina General Statutes, and must be filed with the OAH within thirty
(30) days of receipt of this permit. You should contact the OAH with all questions regarding the filing fee (if a filing
fee is required) and/or the details of the filing process at 6714 Mail Service Center, Raleigh, NC 27699-6714, or via
telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless such demands are made this permit
shall be final and binding.
If you have any questions, or need additional information concerning this matter, please contact Chris Baker at
[phone].
Sincerely, C e
,A
?02 Tracy Da s, P. E., Director
Division of Energy, Mineral and Land Resources
GDS/csb: S:MQSIStormwater\Permits & Projects120051051128 HD12014 05 permit 051128
cc: Christopher Millis, P. E., Paramounte Engineering, Inc.
Brusnwick County Inspections
Brunswick County Engineering
Wilmington Regional Office Stormwater File
Division of Energy, Mineral, and Land Resources
Land Quality Section - Wilmington Regional Office
127 Cardinal Drive Extension. Wilminoton, North Carolina 28405. [phone] / Fax: [phone]

State Stormwater Management Systems
Permit No. SW8 051128
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY SUBDIVISION DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
St. James Development Co., LLC.
St. James Plantation — Bancroft Forest
Wyndmere Drive, St. James, Brunswick County
FOR THE
construction, operation and maintenance of two (2) wet detention ponds 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 and considered a part of this permit.
This permit shall be effective from the date of issuance until September 6, 2021 and
shall be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.5 of this permit. The subdivision is permitted for
59 lots, each allowed a maximum of 6,000 square feet of built -upon area.
3. The runoff from all built -upon area within the permitted drainage area(s) of this
project must be directed into the permitted stormwater control system.
4. The tract will be limited to a maximum of 439,422 square feet of built -upon area.
The wet pond designated as Pond #1 and the infiltration basin have been
designed to treat the runoff from 277,814 and 161,608 square feet of Built -Upon
Area, respectively.
Page 2 of 9

State Stormwater Management Systems
Permit No. SW8 051128
5. The following design elements have been permitted for this stormwater treatment
system which utilizes a wet detention pond stormwater and an infiltration basin,
and must be provided in the system at all times.
Wet Detention Pond
Pond #1
a.
Drainage Area, acres:
Onsite, ftZ:
Offsite, ftZ
18.36
799,762
N/A
b.
Total Impervious Surfaces, ft :
Onsite, ftZ:
Offsite ftZ
277,814
277,814
N/A
C.
I Desi n Storm inches:
1.5
d.
Average Pond Design Depth, feet:
7.5
e.
TSS removal efficiency:
90%
f.
Permanent Pool Elevation FMSL:
28
9.
Permanent Pool Surface Area ft:
76,730
h.
Permitted Storage Volume ft:
40,382
i.
Tem ora Storage Elevation FMSL:
27.49
j.
Pre-dev. 1 r-24 hr. discharge rate, cfs:
N/A
k.
Controlling Orifice, in:
3
I.
Orifice flowrate cfs:
0.1
M.
Permitted Foreba Volume ft :
108,775
n.
Fountain Horsepower
3
o.
ReceivingStream/River Basin:
Beaverdam Creek / Cape Fear
P.
Stream Index Number:
18-88-9-1- 0.5
q.
Classification of Water Body:
SC;SW HQW
Infiltration Basin
Infiltration Basin #1
a.
Drainage Area, acres:
Onsite, ftZ:
Offsite, ftZ
10.07
438,649
0
b.
Total Impervious Surfaces, ft:
Onsite, ftZ:
Offsite ftZ
161,608
161,608
0
c.
Design Storm inches:
1.5
d.
I Basin Depth, feet:
5
e.
Bottom Elevation FMSL:
24
f.
Permitted Surface Area aBottom, ft :
20,323
Permitted Storage Volume, ft :
76,359
h.
Storage/Bypass Elevation FMSL:
24.98
i.
Wando Fine Sando
j.
nEx ectediltration Rate in/hr:
6.9
K.
Time to Draw Down hours:
5.8
I.
Receivin Stream/River Basin:
Beaverdam Creek / Cape Fear
m.
Stream Index Number:
18-88-9-1- 0.5
n.
Classification of Water Body:
SC;SW;HQW
Page 3 of 9

State Stormwater Management Systems
Permit No. SW8 051128
It. SCHEDULE OF COMPLIANCE
1. No homeowner/lot owner/developer shall fill in, alter, or pipe any drainage feature
(such as swales) shown on the approved plans as part of the stormwater
management system without submitting a revision to the permit and receiving
approval from the Division.
2. The permittee is responsible for verifying that the proposed built -upon area for
the entire lot does not exceed the maximum allowed by this permit. Once the lot
transfer is complete, the built -upon area may not be revised without approval
from the Division of Energy, Mineral and Land Resources, and responsibility for
meeting the built -upon area limit is transferred to the individual property owner.
3. If an Architectural Review Board or Committee is required to review plans for
compliance with the BUA limit, the plans reviewed must include all proposed
built -upon area. Any approvals given by the Board do not relieve the homeowner
of the responsibility to maintain compliance with the permitted BUA limit.
4. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
5. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
6. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to the approved plans, regardless of size.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further development, subdivision, acquisition, or sale of any, all or part of
the project area. The project area is defined as all property owned by the
permittee, for which Sedimentation and Erosion Control Plan approval or a
CAMA Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
7. The Director may determine that other revisions to the project should require a
modification to the permit.
8. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
9. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
10. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
Page 4 of 9

State Stormwater Management Systems
Permit No. SW8 051128
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification.
11. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
12. Permanent seeding requirements for the stormwater control must follow the
guidelines established in the North Carolina Erosion and Sediment Control
Planning and Design Manual.
13. The permittee shall at all times provide the operation and maintenance
necessary to assure that all components of the permitted stormwater system
function at optimum efficiency. The approved Operation and Maintenance Plan
must be followed in its entirety and maintenance must occur at the scheduled
intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved 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.
14. 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 051128, as issued
by the Division of Energy, Mineral and Land Resources under NCAC
2H.1000.
b. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
C. These covenants are to run with the land and be binding on all persons
and parties claiming under them.
d. The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State of North Carolina, Division
of Energy, Mineral and Land Resources.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the Division of Energy, Mineral and Land
Resources.
f. The maximum built -upon area per lot is 6,000 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.
Page 5 of 9

State Stormwater Management Systems
Permit No. SW8 051128
15. 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.
16. This permit shall become void unless the facilities are constructed in accordance
with the conditions of this permit, the approved plans and specifications, and
other supporting data.
17. A copy of the recorded deed restrictions must be submitted to the Division within
30 days of the date of recording the plat, and prior to selling lots. The recorded
copy must contain all of the statements above, the signature of the Permittee, the
deed book number and page, and the stamp/signature of the Register of Deeds.
18. Decorative spray fountains will be allowed in the stormwater treatment pond
subject to the following criteria:
a. The fountain must draw its water from less than 2' below the permanent
pool surface.
b. Separated units, where the nozzle, pump and intake are connected by
tubing, may be used only if they draw water from the surface in the deepest
part of the pond.
C. The falling water from the fountain must be centered in the pond, away from
the shoreline.
d. The maximum horsepower for the fountain's pump is based on the
permanent pool volume. The maximum pump power for a fountain in pond
#1 is 3 hp.
19. Prior to transfer of the permit, the stormwater facilities will be inspected by
DEMLR personnel. The facility must be in compliance with all permit conditions.
Any items not incompliance must be repaired or replaced to design condition
prior to the transfer. Records of maintenance activities performed to date will be
required.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and
approval by the Director. In the event there is either a desire for the facilities to
change ownership, or there is a name change of the Permittee, a completed
"Name/Ownership Change Form" must be submitted to the Division of Energy,
Mineral and Land Resources, signed by the parties involved, along with the
appropriate documentation as listed on page 2 of the form. The project must be
in good standing with DEMLR. The approval of this request will be considered on
its merits and may or may not be approved.
2. The permittee is responsible for compliance with all of the terms and conditions
of this permit until such time as the Director approves the transfer request.
Neither the sale of the project nor the transfer of common area to a third party
constitutes legal transfer of the stormwater permit.
3. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
4. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Energy, Mineral
and Land Resources, in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
5. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal), which have jurisdiction.
Page 6 of 9

State Stormwater Management Systems
Permit No. SW8 051128
6. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
7. 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.
8. The Permittee grants permission to staff of the DEMLR to access the property for
the purposes of inspecting the stormwater facilities during normal business
hours.
9. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
10. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
11. The permittee shall submit a permit renewal application request at least 180 days
prior to the expiration date of this permit. The renewal request must include the
appropriate documentation and the processing fee.
Permit issued this the 20th day of September, 2014.
CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Division of nergy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 7 of 9

State Stormwater Management Systems
Permit No. SW8 051128
St. James Plantation — Bancroft Forest
Stormwater Permit No. SW8 051128
Brunswick County
Designer's Certification
I, , as a duly registered in
the State of North Carolina, having been authorized to observe (periodically/weekly/full
time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is a part of this Certification.
Noted deviations from approved plans and specifications:
Signature
Registration Number
Date
SEAL
Page 8 of 9

State Stormwater Management Systems
Permit No. SW8 051128
Certification Requirements:
Page 2 of 2
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf, a
forebay, and the vegetated filter.
15. The required dimensions of the system are provided, per the approved
plan.
cc: NCDENR-DEMLR Regional Office
Brunswick County Building Inspections
Page 9 of 9

DEMLR
Received
ONLY
r,ypucaoie 1<uies: U Coastal SW - 1995
(select all that aPP J) In ❑ Non -Coastal SW- HQW/ORW Walter`s O Universa❑l Storm wa ter Man gem ent Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be Photocopied for use as an original
I• GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
2. Location of Project (street address):
City:N/A County:Brunswick
Zip:28461
3. Directions to project (from nearest major intersection):
4. Latitude:33056' 36" N Longitude:78° 05' 43" W
of the main entrance to the project.
If. PERMIT INFORMATION:
1, a. Specify whether project is (check one): []New
®Modification Renewal w/ Modificationt
tRenewals with modifications also requires SbVU-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 numberSW8051128 its issue date (if known)9/6/13
construction: Not Started ®Partially Completed* and the status of
❑ Completed* *Provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Oftsite Stormwater System QOther
3. If this application is being submitted as the result of a previously returned application or a letter from
DF,MLR 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):
EICAMA Major QSedimentation/Erosion Control:
❑NPDES Industrial Stormwater ac of Disturbed Area
0404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permitSed. / Erosion Control: Bancroft Forest Bruns 2006 142 12/05/05
5. Is the project located within 5 miles of a public airport?
If yes, see S.L. 2012-200, Part Vl: httm Unnrrat ..,ao.._ ___
Form SWU-101 Version Oct. 31, 2013
A�-ee
ulati
if MAY 0 5 2014 0.1

Ill. CONTACT INFORMATION
La. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the uroiect):
Signing Official &
b.Contact information for person listed in item I above:
Street Address:K) Rnv InR7o
City:Southoort
Mailing Address (if applicable):
Phone:
State:NC�_ Zip:29461
State:
Fax:
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑❑ Lessee` (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
Purchaser (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer" (Complete Contact Information, item 2a and 2b below.)
2, a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Omanization-
Signing Official &
b.Contact information for person listed in item 2a above:
Street Address:
Mailing Address (if
Phone:
State:_ Zip:
State:
Fax: ( 1
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/(7roanc»r .nt1A
Signing Official &
b.Contact information for person listed in item 3a above:
Mailing Address:
City:
Phone:
4. Local jurisdiction for build ng permits:
Point of Contact:
Fort SWU-101 . Version Oct. 31, 2013
State:_
Fax:
Phone #: ( 1
Paget2: of 6 t

IV. PROJECT INFORMATION
1.: In the space provided below, briefly summarize how the stormwater runoff will be treated.
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
❑ Other: Issued Date:
b.If claiming vested rights, identify the reguladon(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 Cape Fear
4. Total Property Area: 31.96 acres River basin.
5. Total Coastal Wetlands Area: N/A acres
6. Total Surface Water Area: N/A acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area*:31.96 acres
Total project area shall be calculated to exclude the folloloiitgg the nwrnal pool of in , o aided structures, the area
between the banks of streannrs and rivers, the area below the Nonual Hi h Water (Nl line or Memn High Water
(MHW) line, and coastal wetlands lannlward from the NHW (or MHI lane. The resultant pproject area is used to
be included
percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line nnny
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 35.50
9. How many drainage areas does the project have?3 (For high density, count 1 for each proposed engineered %
store¢water BMP. For low densihj 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 Infnrmnh�
Receiving Stream Name
...inu1a a area i
Beaverdann Cr
Uraina a Area 2
Draina a Area 3 Draina a Area
Stream Class *
Beaverdam Cr
Stream Index Number *
SC; SW, HQW
SC; SW, HQW
Total Drainage Area (SO
18-88-9-1-(0.5)
On -site Draina e Area
g (s�
799,762
438,649
Off -site Draina a Area (sh
799,762
0
438,649
Proposed Impervious Area** t,n
I 277,814
0
161,608
0
L.70 Im ervious Area** total
34. 55
36.84
Inn ervious" Surface Area
On -site Buildings/Lots (so
Draina a Areal
Draina a Area 2
Draina a Area 3 Draina a Area
-
On -site Streets s
(�
222,000
132
On -site Parking (so
57,400
29,138138
Ou-site Sidewalks (so
0
0
0
Other on -site (so
0
4,414
470
Future (so0
0
0
Off -site (sf)
0
0
Existing BUA*** (so
0
0 1n
0
0
rota! (st): 277,814 161,608
Strean Class and Index Number call be determined at: lttty://aorta/ ncdenr orvkoebhwa/vs/csu/clnssifi'cationc
`* hnppenvious area is defined as Nee built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Report only that aunount of existing BUA that will ren±ain after development. Do not report ally existing BUA that
is to be removed and which will be replaced by nneeo BUA:
Form SWU-IOI Version Oct. 31, 2013

11. How was the off -site impervious area listed above determined? Provide documentation. N/A
Projects in Union Count,, Contact DEMLR Central Office stnjfto check if the project is located irithin a Threatened &
Endangered Species watershed that aml be subject to more stringenl stornnvater regniretnnents as per I SA NCAC 0211.0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from htt /portal ncdenr org/web/ivgZ s/su/bmp 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
hR ortal.ncdenr or / eb/wa/� s su/statesw /forms does. 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 htto: / / portal ncdenr org / web/ wq bi s/ su / mats.)
Please indicate that the followin required information have been rovided b initialing in the space provided
for each item. All original documents MUST be signe
for each submitted application package from d and initialed in blue ink. Download the latest versions
ht to//portalncdenror /web/wo/wsu/statesH/forms does.
I. Original and one copy of the Stormwater Management Permit Application Form. Initials
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 dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
ham://www envhelped fee . / P / stopexoress html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
B. Two sets of plans folded t_ o g_ 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.
I. Scale.
g. Revision number and dates.
It. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal Haters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as wseparate document).
Fonn SWU-101 Version Oct. 31:2013
..rBage'4of6;

P. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"xll" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DEMLR to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 2301 Page 854
11. For corporations and limited liability corporations (LLC): Provide documentation a.tio from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 2H.1003(e).
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
I'ttR://w%vw.secretarV.state.nc.us/Corl)oratimElCSearch.as x
VIL DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from httn://north ncdenr or hveb/Ir/sate
forms does. Download the latest versions for each Snbmn ttal. stormwater
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any lot.
Vill. 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:Tim Clinkscales
Consulting Firm: Paramounte Engineering
Mailing Address:5911 Oleander Drivp_ Snit. om
Ci ty: W i lm ington
State:NC Zip:28403
Phone: (910 ) 791-6707
Fax: (910 ) 791-6760
Einail:[e-mail]
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)
thaown the property identified in this permit application, and thus give permission to (print or h e nnrme o f erson I
listed in Contact Information, item la) (p Jg f p
with (print or type mm�e of listed in
Contact Grfo'nmtion, item In)
proposed. coof
the lease agreement or pending property sales contract has been provided to develop the w thtthe sub nittta , which ndctas the
party responsible for the operation and maintenance of the stormwater system.
.Form SWU-]01 ! Version Oct. 3 l.,2013. r,Pa9e5.of6.

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.
a Notary Public for the State of
do hereby certify that
before me this _ day of
County of
personally appeared
. and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
X. APPLICANT'S CERTIFICATION
I, (print or hjpe tame of person listed in Contact Information, item[ la) Robert Masters IVice-President)
certify that the information included on this permit application form ts, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 21-1.1000 and any other applicable state stormwater requirements.
Signature:
/1 Date:
I" l L i-Ct•R^ L >` a Notary Public for the State of. ✓}tom ���t•
Y Countyof
Dore m t do hereby certify that _� ✓a. N Q 1 �rJ
before me this da of personally appeared
-� y -- At-�-- & 14 and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal, f QL— "k 11
`OW �p`1SN
C�7 NOTARY X
m PUBLIC =
s'PG O'c
�.. *
SEAL
My commission expires hA4L'1�t U tN
Form SWU-101 Version Oct. 31; 2013
. Bage6of. 6•

MEMORY TRANSMISSION REPORT
TIME :05-20-2014 15:28
FAX NO.1
NAME
FILE NO. 205
DATE 05.20 15:25
TO n 97916760
DOCUMENT PAGES 10
START TIME 05.20 15:25
END TIME 05.20 15:28
PAGES SENT 10
STATUS OK
'SUCCESSFUL TX NOTICE'
Beaae of Nor<L Cnrollna
Deparamea< ar any\rvvmev<.va Ha<ur.\ nsvvr«•
wnmtvay.v Realay.\ omee
A/ MaGYory, Governor ' / FAX COVER BIIEET Jehn 6SMeHa //lCJ9e<rea.ry
T... J/�J•m From: ,L¢S.m
Phc o: (9101)" 6-7"6 .
-'✓y ef7 �j/ ✓ Fv:c: {91U)350_x004
lie: _ �� T ✓ Fi ES f� 4-A A �•.J ��IJ �J .�T �r.S�s T�
.27(tiM:nnl..—RxMnM on.W\\minQton. N,.,-(9\O)796-12\I-M B.{ OppoM nlb AfY\rmntive A.—RmP),

Pat McCrory, Governor
State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
FAX COVER SHEET John ESkvarla III, Secretary
Date: 7 No. Pages (excl. cover):
To: ' / / m GL i n From: Jo Casmer
Co: /W /l7Dy/r > E �/7gi /I EE/ % Aj Phone: [phone]
Fax: Cam% /—,5 �%�� ✓ Fax: ((9Q910) 350-2004
Re: ST /71�5 %'Li/1C/O/7—
SGv 6�ii z 3'
16/ In / L /fi Q Cl i / i G.lii /O -0 /'.SSy,' �/ — // n �— d
127 Cardinal Drive Extension, Wilmington, NC 28405 • [phone] • An Equal Opportunity Affirmative Action Employer

P A RAMOUNTE
JL -L5 9 t 1 1 E O L E o N 1) E R D t IJ It l V E, S U IIT E 2 0
W I L M I N G T O N, N C 2 8 4 0 3
9 1 0- 7 9 1- G 7 0 7( O) 9 1 0- 7 9 1- G 7 G 0 ( F)
Y tJ'g' cult'
L E T T E R O F T R A N S M I T T A L
To:
NCDENR-Land Quality Section
Date
5/5/14
127 Cardinal Drive Extension
Wilmington, NC 28405
Re:
Bancroft Forest
Express Review Submittal
Cameron Weaver/Chris Baker
Project No.
I 10121.PE
e are sendin
® Originals
®
Prints
❑
Shop Draxvings
❑ Calculations
Correspondence
®
Plans
❑
Specifications
® Other as listed below
Phe following items:j
Quantity
Date
Dwg. No.
Description
2
5/5/14
Plans (Final Design — Not Released For Construction)
1
Stormwater Narrative
I
Check (54000.00)
2
Stormwater Permit Application Form
l
Wet Detention Pond Supplement
I
Wet Detention O&M
1
Infiltration Basin Supplement
I
Infiltration Basin O&i\I
1
Soils Report
Issue Status: ® For Approval ❑ As Requested ❑ Construction ❑ Bid
❑ For Your Use ❑ For Review and Comment ❑ approved as Noted ❑ See Remarks
ction'I'aken: ❑ No Exceptions Taken ❑ Make Corrections Noted ❑ Amend & Resubmit
❑ Rejected - See Remarks ❑ Approved as Submitted ❑ Other
Remarks: