SW8061006_CURRENT PERMIT_20220315

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8
DOC TYPE
® CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2 0220 3� 5
YYYYMMDD

ROY COOPER
Governor
ELIZABETH S. BISER
secre=y
BRM WRENN
Director
March 15, 2022
All Saints Church
Attn: David B. Linka, Senior Rector
292 McCabe Road
Newport, NC 28570
NORTH CAROLINA
Environmental QuaUty
Subject: Permit Renewal
Post -Construction Stormwater Management Permit No. SWS 061006
All Saints Church Amia Inc.
Carteret County
Dear Mr. Linka:
Effective August 1, 2013 the Post -Construction Stormwater Management Program has been transferred from the
Division of Water Quality ("DWQ") to the Division of Energy, Mineral and Land Resources ("DEMLR"). All
previous references to DWQ will remain in older permits issued prior to August 1, 2013 until they are modified.
Please note that this permit will now reference DEMLR as the Division responsible for enforcement of the permit.
On August 5, 2009, the Governor signed Session Law 2009406. This law impacted any development approval
issued by the former Division of Water Quality under Article 21 of Chapter 143 of the General Statutes, which
was current and valid at any point between January 1, 2008, and December 31, 2010. The law extended the
effective period of any permit that was set to expire during this time frame to three (3) years from its current
expiration date. On August 2, 2010, the Governor signed Session Law 2010-177, which granted an extra year for
a total of four (4) years extension.
The Division of Energy, Mineral and Land Resources received a complete 8-year Permit Renewal Application for
the subject permit on March 14, 2022. The Division is hereby notifying you that permit S W 8061006 has been
renewed, updated, and re -issued on March 15, 2022, as attached. As requested, a copy of the current operation and
maintenance agreement is also enclosed. Please be aware that the renewal and re -issuance of this stormwater
permit does not imply that the site is currently in compliance.
This permit shall be effective until January 11, 2029, which includes all available extensions, and does not
supersede any other agency permit that may be required. The project shall be subject to the conditions and
limitations as specified therein. This permit does not impose new or increased stormwater control requirements; it
clarifies the rules and requirements of this program to provide you with a better understanding of your obligations
under this permit. Failure to comply with these requirements will result in future compliance problems. Please
note that this permit is not transferable except after notice to and approval by the Division.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request
an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH). The
written petition must conform to Chapter 150B of the North Carolina General Statutes and must be filed with the
OAH within thirty (30) days of receipt of this permit. You should contact the OAH with all questions regarding
the filing fee (if a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center,
Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless
such demands are made this permit shall be final and binding.
If you have any questions concerning this permit, please contact Ashley Smith in the Wilmington Regional
Office, at [phone] or [e-mail].
Sincerely,
C/ rU�p l- wo
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
'D rs Aft North Carolina Department of Environmental Quality I Division of Energy, Mineral and land Resources
Wilmington l lonal Office 1127 Cardinal Drive Extension I wdmingtom North Carolina 28405
910.796.7215

State Stormwater Permit No. SW8 061006
Page 2 of 2
Enclosures: Attachment A — Designer's Certification Form
Attachment C — Permitting History
Renewal Application Documents
Copy of the current operation and maintenance agreement
DES/ams: \\\Stormwater\Permits & Prcjects\2006\061006 HD\2022 03 permit 061006
cc: Wilmington Regional Office Stormwater File
D � North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Witmingtom North Carolina 29405
`�� / 910.796.7215

Post -Construction Stormwater Management
Permit No. SW8 061006
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST -CONSTRUCTION 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
All Saints Church AMIA, Inc.
All Saints Church AMIA, Inc
292 McCabe Road, Newport, Carteret County
FOR THE
construction, operation and maintenance of 1 sand filter and an overall 30% low density development
in compliance with the provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater
rules') and as outlined in the application, approved stormwater management plans, supplement,
calculations, operation and maintenance agreement, recorded documents, specifications, and other
supporting data (the "approved plans and specifications") as attached and/or on file with and
approved by the Division of Energy, Mineral and Land Resources (the "Division" or "DEMLR"). The
project shall be constructed, operated and maintained in accordance with these approved plans and
specifications. The approved plans and specifications are incorporated by reference and are
enforceable part of this permit.
This permit shall be effective from the date of issuance until January 11, 2029 and shall be subject to
the following specified conditions and limitations. The permit issued shall continue in force and effect
until the permittee files a request with the Division for a permit modification, transfer, renewal, or
rescission; however, these actions do not stay any condition. The issuance of this permit does not
prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or
terminating the permit for cause as allowed by the laws, rules, and regulations contained in Title 15A
NCAC 2H.1000 and NCGS 143-215.1 et.al.
I. DESIGN STANDARDS
This project is overall low density with a designated pocket of high density. The low density
areas are permitted for stormwater runoff treatment by sheet flow, and the runoff from the high
density area is treated in a sand filter.
2. The stormwater system to treat the runoff generated by the designated high density area has
been approved for the management of stormwater runoff as described in Section 1.10 on page
2 of this permit. The system designated as Sand Filter 1 has been approved to treat a
maximum of 47,916 square feet of built -upon area in Drainage Area 2.
3. The overall tract built -upon area percentage for the project must be maintained at 30% or less
per the requirements of Section .1005 of the stormwater rules. The current permitted
maximum amount of built -upon area for the entire project is 60,984 square feet (Drainage
Areas 1 plus 2). This permit makes no allocation for any future built -upon area.
4. The low density areas of this project propose runoff treatment by sheet flow. Runoff
conveyances, such as perimeter swales, must be vegetated with side slopes no steeper than
3:1 (H:V).
Page 1 of 7

Post -Construction Stormwater Management
Permit No. SW8 061006
5. No piping shall be allowed in low density areas of this project except those minimum amounts
necessary to direct runoff beneath an impervious surface such as a road or driveway to
provide access.
Projects covered by this permit in low density areas will maintain a minimum 30-foot wide
vegetative buffer between all impervious areas and surface waters.
All roof drains for this project must terminate in the stormwater conveyance piping system to
the permitted stormwater control system.
8. The runoff from all built -upon area within the designated high density area (approved Drainage
Area 2 per Sheet #3) shall be directed to the permitted stormwater control system.
9. The sand filter must be operated with a 30' vegetated filter.
10. The following design elements have been permitted for sand filter system and must be
provided in the system at all times.
Units
Sand Fitter 1
a. Drainage Area
Onsite
Offsite
ft2
68,389
68,389
0
b. Total Impervious Surfaces
OS Buildings
OS Streets
OS Parking
Sidewalks
Offsite
ft2
47,916
10,890
9,583
22,216
5,227
0
c. Design Storm
inches
1.0
d. Sand Filter Depth
feet
1.5
e. TSS Efficiency
%
85
f. Filter Bottom Elevation
FMSL
16.2
g. Filter Area @Bottom
ft2
65.2
h. Sediment Area @Bottom
ft2
65.2
i. Storage Volume
ft3
3,844
j. Top of Sand
FMSL
17.7
k. Filter Area @ Top of Sand
ft2
905
I. Storage/Bypass Elevation
FMSL
18.2
m. Controlling Orifice Diameter
inches
6
n. Number of Orifices
number
1
o. Receiving Stream
Hull Creek
p. River Basin
White Oak
q. Stream Index Number
21-15
r. Classification of Water Body
"C"
II. SCHEDULE OF COMPLIANCE
The stormwater management system, swales and other vegetated conveyances shall be
constructed, vegetated and operational for their intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the swales
or other vegetated conveyances will be repaired immediately.
Page 2 of 7

Post -Construction Stormwater Management
Permit No. SW8 061006
3. 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.
4. 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
5. 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.
6. 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 project 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
project 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.
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 each 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.
6. The permittee shall submit all information requested by the Director or his representative
within the time frame specified in the written information request.
9. Access to the stormwater facilities shall be maintained via appropriate easements at all times.
Stormwater conveyances will be located in either 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 easements, in accordance with the approved plans.
Page 3 of 7

Post -Construction Stormwater Management
Permit No. SW8 061006
10. 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.
III. GENERAL CONDITIONS
1. CORRECTIVE ACTIONS REQUIRED. If the facilities fail to perform satisfactorily, the
permittee shall take immediate corrective actions. This includes actions required by this
Division and the stormwater rules such as the construction of additional or replacement on -site
stormwater systems. These additional or replacement measures shall receive a permit from
the Division prior to construction.
2. PERMIT RENEWAL. A permit renewal request must be submitted at least 180 days prior to
the expiration date of this permit. The renewal request must include the appropriate
application, documentation and the processing fee as outlined in Title 15A NCAC
02H.1045(3).
3. CHANGES TO THE PROJECT NAME, PERMITTEE NAME OR CONTACT INFORMATION.
The permittee shall submit a completed Permit Information Update Application Form to the
Division within 30 days to making any one of these changes.
4. TRANSFER. This permit is not transferable to any person or entity except after notice to and
approval by the Director. Neither the sale of the project and/or property, in whole or in part, nor
the conveyance of common area to a third party constitutes an approved transfer of the permit.
TRANSFER REQUEST. The transfer request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H.1045(2). This
request must be submitted within 90 days of the permit holder meeting one or more of
the following:
i. A natural person who is deceased;
ii. A partnership, limited liability corporation, corporation, or any other business
association that has been dissolved;
iii. A person or entity who has been lawfully and finally divested of title to the
property on which the permitted activity is occurring or will occur through
foreclosure, bankruptcy, or other legal proceeding.
iv. A person or entity who has sold the property, in whole or in part, on which the
permitted activity is occurring or will occur.
b. TRANSFER INSPECTION. Prior to transfer of the permit, a file review and site
inspection will be conducted by Division personnel to ensure the permit conditions
have been met and that the project and the on -site stormwater system complies with
the permit conditions. Records of maintenance activities performed to date may be
requested. Projects not in compliance with the permit will not be transferred until all
permit and/or general statute conditions are met.
5. COMPLIANCE. The permittee is responsible for compliance with the terms and conditions of
this permit until the Division approves the transfer request.
APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable
recorded documents, and specifications shall be maintained on file by the permittee at
all times.
b. DIVISION ACCESS. The permittee grants Division Staff permission to enter the
property during normal business hours to inspect all components of the permitted
project.
C. ENFORCEMENT. Any individual or entity found to be in noncompliance with the
provisions of a stormwater management permit or the requirements of the stormwater
rules is subject to enforcement procedures as set forth in NCGS 143 Article 21.

Post -Construction Stormwater Management
Permit No. SW8 061006
d. ANNUAL CERTIFICATION. The permittee shall electronically submit to the Division an
annual certification completed by either the permittee or their designee confirming the
projects conformance with permit conditions
e. OBTAINING COMPLIANCE. The Director may notify the permittee when the permitted
site does not meet one or more of the minimum requirements of the permit. Within the
time frame specified in the notice, the permittee shall submit a written time schedule to
the Director for modifying the site to meet minimum requirements. The permittee shall
provide copies of modified plans and certification in writing to the Director that the
changes have been made.
OTHER PERMITS. The issuance of this permit does not preclude the permittee from
complying with and obtaining any other permits or approvals that are required for this
development to take place, as required by any statutes, rules, regulations, or
ordinances, which may be imposed by any other Local, State or Federal government
agency having jurisdiction. Any activities undertaken at this site that cause a water
quality violation or undertaken prior to receipt of the necessary permits or approvals to
do so are considered violations of NCGS 143-215.1, and subject to enforcement
procedures pursuant to NCGS 143-215.6.
Permit renewed, updated and reissued this the 15th day of March 2022.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
_ rl / l C C.f
:Rr ria�nn, Uirector
Division of Energy. Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 061006
Page 5 of 7

Post -Construction Stormwater Management
Permit No. SW8 061006
All Saints Episcopal Church
Stormwater Permit No. SW8 061006
Carteret County
Attachment A
Designer's Certification
Page 1 of 2
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 are a part of this Certification.
Noted deviations from approved plans and specifications:
Signature
Registration Number
Date
SEAL
Page 6 of 7

Post -Construction Stormwater Management
Permit No. SW8 061006
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 bypass structure elevations are per the approved plan.
6. The bypass structure is located per the approved plans.
7. All slopes are grassed with permanent vegetation.
8. Vegetated slopes are no steeper than 3:1.
9. The inlets are located per the approved plans and do not cause short-circuiting of the
system.
10. The permitted amounts of surface area and/or volume have been provided.
11. All required design depths are provided.
12. All required parts of the system are provided.
13. The required system dimensions are provided per the approved plans.
cc. NCDEQ-DEMLR Wilmington Regional Office
Carteret County Inspections
Page 7 of 7

Attachment C - Permitting History
All Saints Church Amia, Inc.
Permit No. SW8 061006
Approval
Date
permit
Action
BIMS
Version
Description of the Changes
1/11/2007
Original
Approval
1.0
3/15/2022
Renewal
2.0
Expires January 11, 2029

DEMLR USE ONLY
Dale Received
Fee Paid
Permit Number
31
?- 0 2a
5 O�
ISw o�'otoo
STATE STORMVNATER:
PERMIT INFORMATION UPDATE APPLICATION FORM
There is NO FEE for updating project name or permittee information.
This form is to only to be used by the current permittee to notify the Division of:
1) changes to the Point of Contact (signing official) for the current permittee (LLC, Corporation, HOA or POA);
2) changes to the mailing address, phone number or email address of the current permittee;
3) changes to the name of the project; and
4) changes to the legal corporate name as documented by a Name Change or Merger filed with the NCSOS.
A. NEW PERMIT INFORMATION Q // ,,�-�^^//
State Stormwater Permit Number: �� U Ob I Duo
Are you updating
(chec all that apply):
If so, please provide the updated information:
Project name
L SA i n
5
,ziz-
i Q =Kjc-
❑ Corporation Name'
Hkll�ermit Contact Name2 ,3
g gV AVl p Li N KOa
ermit Contact Title
en oQ
�
2C r
❑ Mailing Address"
❑ Ph ne number
_
mail address
tad (a) all
�mi r
t ve
Provide documentation such as a Name Chan�e / Merger riled with the NCSOS.
Provide supporting documentation such as NCSOS filing. The permit contact's position must be in accordance
with 15A NCAC 02H .10400 ).
If more than one point of contact or mailing address is being changed, please attach a separate sheet.
B./CEERTIFICATIOnN OF PERMITTEE
I, � LJA\)tD p. b/� IAa, the current permittee, 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 be knowled
Signature: Date:
I, S0.mny)0)n -luxel l V , a Notary Public for the State of t or-h Car Unu ,
County of CarFere�- , do hereby certify that Lbyt(l '?) Lanyn
personally appeared before me this the Rih day of M ay-& 20_ac-L, and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
EPublic,
USSELL
th Carolina
unty
Notary Signature n Expires
024
My commission expires A" 08, Wag
Stormwater Permit Information Update Form Page 1 of 1 May 11, 2017

rjA C%xutui ;.IUU ! X�IVJ2
QUBIOM t)OnL;A
..10.3 k E 'IN;; ' L4CU11 Cmopus
�u • 9 v vl:Hv bnea_rr

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
ig►z012,
M t2505 L505sasz
SwiS 0Ulo0t0 II
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM
In accordance with 15A NCAC 2H.1045(3), the current permit holder shall renew their high density permit 180 days
prior to its expiration. Renewed permits are valid for a period 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 umber:
2. Project name: Ro tr\ C I C
3. Project street address: 1 t tLCf1�2
PA
city: lfeWl�R_j NC County: CA RTP eT ZIP:
4. What, if any, changes have been made to the project as permitted? ; I
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at: https:/Ideg.nc.gov/about/divisions/ener
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://deg.nc.gov/about/divisions/energy-mineral-land-
resources/energy-mineral-land-rules/stormwater-program/oost-construction. State Stormwater Permits do not
automatically transfer with the sale of the property. , , r r n
1. Current Permit Holder's Company NafNe/Organization: h l\ JA n1S �1�1t« M
2. Signing Official's Name: -� v ev • �Av 1 D f o R 0.
3. Signing Official's Title: 3en rio0. kac-fok
4. MailingAddress: a q A McCabe
City: MPLOPOR 1 State: A) ZIP:
5. Street Address: Q -2 R29 R,1550 0
City: State: ZIP:
6. Phone: ( rig) cQ4q- tog01 Email AVO ► S1 i r } t?
oR t�endr�a�ail�'in S.Ilve UrrvinISTRAT60
MAR 1 a 2022
BY:
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:
RQJ' IY"/ 1. A permit application processing fee of $505.00 payable to NCDEQ.
V✓ 2. One original signed hard copy and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a. Corporation — a principle executive officer of at least the level of vice-president;
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act;"
c. Public Entity — a principal executive officer, ranking official, or other duly authorized employee;
d. Partnership or limited partnership — the general partner;
e. Sole proprietor; or
f. Letter of authorization signed by one of the signatories noted in a — e above authorizing the
signature of another entity.
V
3. One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including: deed restrictions, protective covenants,
condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
4.
O&M Agreements, Please select one:
❑ 1 have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
/ keep this on file with the permit; or
[� I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
NDes' er Certifications, Please select one:
A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built.
6. [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
hftps://www.sosnc.gov/online services/search/by title/ Business Registration
Stormwater Permit Renewal Application Form Page 2 of 3 May 11. 2018

D. PERMITTEE'S CERTIFICATION
I, rl Ay 1 D E, Lt n )-',q , 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 owner hip. All informal' n provided on this permit renewal application is, to the best of my
knowledge, correct an late. /I(
Signature: Date: _ ! iJ (/��—
NOTARIZATION
I, �amcrn�k a�F us�2\1 , a Notary Public for the State of
N11r1h Cnrn\ir\U County of OnAeY- 4 do hereby certify
that _U:�vlrt R t i nt<n personally appeared before me
this the R'w' day of M(weh 201aa , and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal) SAMANTHA RUSSELL
Notary Public, North Carolina
Onslow County
My Commission Expires
Notary Signature: May 08, 2024
My commission expires AA(ig cm Lq0,3,4
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

1 ; -'JFi AHTKrr, 9 A2
r mops F"CII ,' i rIL19 y7610L�,
\9"JOD t9hl?.ry0
� aztiq, noi���rxto�yM

Permit No. SI,J$uD(W('3
(to be provided by DWv
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater management permit application, an
infiltration basin supplement for each system, design calculations, soils report and plans and specifications
showing all stormwater conveyances and system details.
1. PROJECT INFORMATION
Project Name: At.1. sA,JTs c-rtwec1+
Contact Person: r.� u<^,A rr. 5 �YL. Ely P6-Phone Number: ( 263t) 'j 9D - 5M 1
PM
This worksheet applies to: Basin No. ( in Drainage Area 2- /o/ta106
(as identified on plans) (from Form SWU-101)
II. DESIGN INFORMATION - Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable source
of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
Soil Type A 7�
Infiltration Rate d• 5L'in/h or cf/hr/sf (circle appropriate units)
/G. S
SHWT Elevation fmsl (Seasonal High Water Table elevation)
Basin Design ,Parameters
Design Storm Y ��It(O / /' d inch (1.5 inch event jar SA waters, 1 inch event for others)
Design Volume 1, Q>44- c.f.cw /s.z E(av-.
Drawdown Time %. 1 days („ov at,%)
Basin Dimensions
Basin Size -f+n ft. x !Eris ft. = 34cV sq. ft. (bottom dimensions)
Basin Volume Provided 't990 -946 Z-c.f.
Basin Elevations 7
Bottom Elevation Pro I 111 14 - Z finsl
Sy�q"Ptorage Elevation /9.2 1 !pr frnsl
I Top Elevation Zv - 0 fmsl
Form SWU-103 Rev 3.99 Page 1 of 3

III. 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 that 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. Attach justification if a requirement has not been met.
Applicants Initials
%% a. System is located 50 feet from class SA waters and 30 feet from other surface waters.
b. System is located at least 100 feet from water supply wells.
c. Bottom of system is at least 2 feet above the seasonal high water table.
d. Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
e. System is not sited on or in fill material or DWQ approval has been obtained.
97 f. System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
g. Drainage area for the device is less than 5 acres.
12 h. Soils have a minimum hydraulic conductivity of 0.52 inches per hour and soils report is
attached.
�Z— i. System captures and infiltrates the runoff from the first 1.0 inch of rainfall (1.5 inch event for
areas draining to SA waters ). Design volume and infiltration calculations attached.
�J9 j. System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached.
:P2 k. All side slopes stabilized with vegetated cover are no steeper than 3:1 (H: V).
�2 I. A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale or
sediment trap is provided.
17 in.
Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches or
dense vegetative cover is provided.
n.
Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
length is 50 feet for SA waters, 30 feet for other waters).
o.
Flow distribution mechanism within the basin is provided.
22 p.
A benchmark is provided to determine the sediment accumulation in the pretreatment device.
7h q.
Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
9107 r.
System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
_ s.
Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Form SWU-103 Rev 3.99 Page 2 of 3

IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
1. After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stormwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
When the design depth reads 17.5 feet in the pretreatment unit, the sediment shall be
removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H A 000 must be designed, approved and constructed.
facknowledge and agree by my signature below that I am responsible for the performance of the five
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 and Title: PCCTblz - Vi 14. C,. M 1%.LE W -
Address: 5058 70 w•-) M0(Z rHrvA.0 , IJC. r 2Q 55¢
Date: n - Z o - Of.
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. ,,II
1, ,D�_VO . S �QV , a Notary Publicforfor the State olk , County of /'
do hereby certify that. r7 (Q. P - `Mj fler � personally appeared before me this t r�t� P\
day of gP D hEr , M0%p, and acknowledge the due execution of the forgoing infiltration basin maintenance requirements.
Witness my hand and official seal,
SEAL
My commission expires 7ZYI)(Io, I O I Q'O I
Form SWU-I(EE ltev NOTaRY Page 3 of 3
.� C U;

Permit No. WR0(tto0lG
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER 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 214 .1002(18). Low density requirements and density factors can be
found in 15A NCAC 2I1 .1005 through .1007.
1. PROJECT INFORMATION
Project Name: ALL SAtwrs
EPtsCUP.DL CHvRGF4
Contact Person: 5us,%4 a, Saveaa, r'E . Phone Number: (aSI) 349 - 9b03
Number of Lots: I Allowable Built Upon Area Per Lot*: 107, 593
*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.
❑. BUILT UPON AREA
See the Stormwater Management Permit Application for specific language that must be recorded in the deed
restrictions for all subdivisions.
For uniform lot sizes, complete the following calculation in the space provided below where:
• SA Site Area - the total project area above Mean High Water. Wetlands may be excluded when the
development results in high density pockets.
• DF Density Factor - the appropriate percent built upon area divided by 100.
• 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. Lots - the total number of lots in the subdivision.
• BUA/Lot - the computed allowable built upon area for each lot including driveways and impervious
surfaces located between the front lot line and the edge of pavement.
Form SWU-104 Rev 3.99 Page I of 2

I
Calculation:
(SA x DF) - RA - OA = BUA
No. Lots Lot
�WE5) 36yx .3) - 94D5 3 - 37,96 3
III. REQUIRED ITEMS CHECKLIST
= to7,509�`l'7916
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.
Applicants Initials
�1d)_ a. A 30 foot vegetative buffer is provided adjacent to surface waters. Projects in the Neuse
River basin may require additional buffers.
b. 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 sale of any lots.
c. Built upon area calculations are provided for the overall project and all lots.
d. Project conforms to low density requirements within the ORW AEC (if applicable).
[I 5A NCAC 2H .1007(2)(b)]
FovnSWU-104 Rev3.99
Page 2'of 2