SW8070202_Current Permit_20181120

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ROY COOPER Ft. - '1- '.)A
Governor y e e ..,: V,.10 i�7
MICHAEL S.REGAN �� ,„; '�
f„Ey
Secretary ' QVAMV
WILLIAM E.(TOBY)VINSON,JR. NORTH CAROLINA
Interim Director Environmental Quality
November 20, 2018
Costa Alexiou, Manager
DSSII Holding Co., LLC, Manager
Stars &Stripes 21, LLC
1123 Zonolite Road, Suite 30
Atlanta, GA 30306
Subject: Permit Modification
State Stormwater Management Permit No. SW8 070202
San Rio Master Plan and Phase 1
Brunswick County
Dear Mr. Alexiou:
The Wilmington Regional Office received a complete, modified State Stormwater Management Permit
Application for the subject project on October 17, 2018. 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 and SL 2006-246. We are forwarding modified Permit No.SW8 070202 dated
November 20, 2018, for the construction, operation and maintenance of the stormwater control
measures (SCMs), built-upon areas, and the stormwater collection system and/or vegetated conveyance
system associated with the subject project. Please replace the previously approved Master Plan sheet
with the attached modified and approved version and please replace the previous application (SWU-101)
with the attached modified version.
This permit shall be effective from the date of issuance until October 18, 2021. The permittee is subject
to the conditions and limitations as specified in the permit, which does not supersede any other agency
permit that may be required.- Please pay special attention to the permit conditions regarding the
operation and maintenance of the SCMs,stormwater collection system, and/or vegetated conveyances;
the recordation of restrictive covenants;the limitation of built-upon area; modification of the project; and
the procedures for changing ownership of and/or transferring the permit; and the need to renew the
permit. Failure to comply with these requirements will result in future compliance problems.
The following modifications are included and covered by this permit:
1. The 224 acre project area associated with'the previous development located on the east side of
Gray Bridge Road has been removed.This area has been permitted under SW8 170113 and is no
longer a part of the San Rio development. The project area for San Rio is now 478.25 acres.
2. Phase 4, which lies south of Tar Landing Road, has an adjusted project area of 107.64 acres,
which is within 1/2 mile of SA waters, and is limited to a maximum overall density of 25%.
3. Phases 1-3, which lie north of Tar Landing Road, have an adjusted project area of 355.63 acres,
which is limited to a maximum overall density of 30%.
4. SW8 070202 will become the Master Permit for Pond 1, Phase 1,the overall density,and the
individual allocations for all future phases. Future phases can either submit as modifications to
the Master Permit or obtain separate permits.
5. The approved plan set is comprised of the previously approved subdivision plans for Phase 1 and
Pond 1,and the new updated Master Plan and Phase map.
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.
' North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
,�
Wilmington Regional Office 1127 Cardinal Drive Extension I Wilmington.North Carolina 28405
NORTH CAROLINA
Department al Environmental O gt /" i 910.796.7215

State Stormwater Permit No. SW8 070202
Page 2 of 2
If you have any questions, or need additional information concerning this matter, please contact Linda
Lewis in the Wilmington Regional Office, at [phone].
Sincerely,
a;
7cmz William E. (Toby)Vinson,Jr., PE, CPESC, CPM, Interim Director
Division of Energy, Mineral and Land Resources
Enclosures: Attachment A - Certification Forms
Attachment B - Built-Upon Area Allocation
GDS/arl: G:\\\Stormwater\Permits & Projects\2007\070202 HD\2018 11 permit 070202
cc: Richard Moore, PE, McKim &Creed
Brunswick County Engineering
Wi'•mington Regional Office Stormwater File

State Stormwater Management Systems
Permit No. SW8 070202
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
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
Stars & Stripes 21, LLC
San Rio Master Stormwater Plan, and Phase I
Gray Bridge Road, Shallotte, Brunswick County
FOR THE
construction, operation and maintenance of an overall low density subdivision with a
curb outlet swale system and one (1) wet detention pond for the area of higher density
associated with Phase 1C, 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 (DEMLR or
Division) and considered a part of this permit.
This permit shall be effective from the date of issuance until February 15, 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. The overall project shall maintain a built-upon area of no more than 5,819,135
square feet, which is based on a project area of 107.64 acres draining to SA
waters, limited to a maximum density of 25%, and a project area of 355.63 acres
draining to SC waters, limited to a maximum density of 30%. Built-upon area will
be allocated by Phase as shown on Attachment B to this permit.
3. The approved Phase I stormwater system is within the 30% project area and
utilizes overall low density with curb outlet swales in the residential subdivision,
and.a wet detention pond (#1) to treat the runoff from the higher density Amenity
Area (Phase 1C), as described in Design Standard Condition 1.7 of this permit.
4. The built-upon area in Phase 1 is limited to a maximum of 877,263 sf. Phase 1 is
permitted for 151 lots, each allowed a maximum amount of built-upon area as
described in Schedule of Compliance Condition 11.14 (f) of this permit.
Page 1 of 9

State Stormwater Management Systems
Permit No. SW8 070202
5. Each of the permitted curb outlet swales shown on the approved plan must be
maintained at a minimum of 100' long, maintain side slopes that are 5:1 (H:V)
flatter, have a longitudinal slope no steeper than 5%, carry the flow from a 10
year storm in a non-erosive manner, and maintain a dense vegetated cover.
6. Previously approved plans and specifications for Phase 1 and for Pond #1 dated
June 18, 2007 for this project and reapproved November 20, 2018, are
incorporated by reference and are enforceable parts of the permit.
7. The following design elements have been permitted for Wet Detention Pond #1
(the Amenity Area pond in Phase 1 C) and must be provided in the system at all
times.
a. Drainage Area, acres: 4.02
Onsite, ft2: 175,111
Offsite, ft2: None
b. Total Impervious Surfaces, ft2: 77,730
Buildings, ft2: 12,195
Roads/Parking, ft2: 46,087
Sidewalks, ft2: 8,558
Other, ft2: 10,890
c. Pond Depth, feet: 6.5
d. TSS removal efficiency: 90%
e. Design Storm, inches: 1.0
f. Permanent Pool Elevation, FMSL: 22.5
g. Permitted Surface Area @PP, ft2: 50,599
h. Permitted Storage Volume, ft3: 6.560
i. Storage Elevation, FMSL: 22.63
j. Controlling Orifice: 2"0 pipe
k. Permanent Pool Volume, ft3 : 191,038
I. Forebay Volume, ft3: 31,836
m. Maximum Fountain Horsepower: 3/4
n. Receiving Stream / River Basin: Shallotte River/ LBR59
o. Stream Index Number: 15-25-2-(7.5)
p. Classification of Water Body: "SC;HQW"
II. SCHEDULE OF COMPLIANCE
1. The stormwater collection system of pipes, swales, ditches and inlets shown on
the approved plans shall not be filled in, altered, piped, removed, relocated,
redesigned, regraded or resized, unless the permittee shall have submitted a
request to revise the plans and/or to modify the permit and received approval
from the Division prior to making any such changes.
2. The permittee is responsible for monitoring the project on a routine basis to verify
that the built-upon area for the project as a whole and for each lot maintains
compliance with the maximum built-upon area allowed by this permit.
3. The permittee shall review all new lot construction plans and all subsequent
modifications and additions to the lot, for compliance with the maximum assigned
BUA limit for that lot. The plans reviewed must include all proposed built-upon
area, drainage (driveway piping & swales) and lot grading.
4. All runoff within the Phase 1 low density subdivision area shall be directed to the
permitted curb outlet swale system. The runoff within the higher density Phase
1 C amenity area shall direct runoff into the permitted wet detention Pond #1.
Page 2 of 9

State Stormwater Management Systems
Permit No. SW8 070202
5 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. The construction of built-upon area and/or development within future
Phases 1 B, 1 D, 2, 2B, 3, 3B, 4A and 4B.
b. Any revision to the approved plans, regardless of size.
c. Redesign or addition to the approved amount of built-upon area within the
project as a whole.
d. Any increases or decreases to the allocated BUA amount per lot.
e. Further subdivision, acquisition, or sale of all or part of the project area
f. Filling in, altering, piping, regrading, relocating, rerouting, removing or
resizing any of the approved stormwater control measures (SCM's) or the
stormwater collection and conveyance system of pipes, swales and inlets
shown on the approved plan.
g. The construction of permeable pavement, #57 stone or certain landscape
materials for BUA credit.
h. Any other revisions, as determined by the Director.
6. The stormwater runoff collection and conveyance system of pipes and swales
must be located in a drainage easement, a dedicated common area or a public
right-of-way. The stormwater SCM itself must be located within a dedicated
common area or on a separate lot. The final plats for the project will be recorded
showing all such required easements, common areas and rights-of-way, in the
locations as shown on the approved plans.
7. 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.
8. The approved stormwater control measures shall be entirely constructed,
vegetated and operational for its permitted use prior to the construction of any
built-upon surface.
9. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
10. 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.
11. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification.
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.
Page 3 of 9

State Stormwater Management Systems
Permit No. SW8 070202
13. The permitted facilities shall be constructed, operated and maintained in
accordance with the conditions of this permit, the approved plans and
specifications, and other supporting data.
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 070202, 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.
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 in Phase 1 is as follows:
Lot# Maximum built-
Upon Area (sf)
1-21, 28-48 2900
22-27, 49-80, 90-100, 3900
106-125, 134-150
81-89, 101-105, 126-133 j 4900
151 I 8000
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 is defined in
NCGS 143-214.7.
g. Built-upon area in excess of the permitted amount will require a permit
modification.
h. Filling in, piping or altering any designated 5:1 curb outlet swale or 100'
vegetated area associated with the development is prohibited by any
persons.
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.
k. Each designated curb outlet swale or 100' vegetated area shown on the
approved plan must be maintained at a minimum of 100' long, maintain
5:1 (H:V) side slopes or flatter, have a longitudinal slope no steeper than
5%, carry the flow from a 10 year storm in a non-erosive manner, maintain
a dense vegetated cover, and be located in either a dedicated common
area or a recorded drainage easement.
I. Lot owners desiring to use permeable pavement to obtain BUA credit must
submit an application to the Division for approval prior to construction.
15. 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.
Page 4 of 9

State Stormwater Management Systems
Permit No. SW8 070202
16. The permittee shall at all times provide and perform the operation and
maintenance necessary to assure that all components of the permitted
stormwater system function at design condition. The approved Operation and
Maintenance Plan must be followed in its entirety and maintenance must occur at
the scheduled intervals.
17. Records of maintenance activities must be kept and made available upon
request to authorized personnel of the Division. The records will indicate the
date, activity, name of person performing the work and what actions were
taken.Prior to transfer of the permit, the project and the SCM's will be inspected
by DEMLR personnel. The facility must be in compliance with all permit
conditions. Any items not in compliance must be repaired or replaced to design
condition prior to the transfer. Records of maintenance activities performed to
date will be required.
18. Decorative spray fountains will be allowed in the wet detention 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. No pump shall be installed if the permanent pool volume is less than 30,000
cubic feet.
e. The maximum horsepower for the fountain's pump is based on the
permanent pool volume. The maximum pump power for a fountain in this
pond is 3/.
19. Built upon area is defined in NCGS 143-214.7 and includes, but is not limited to.
structures, asphalt, concrete, gravel, brick, stone, slate, coquina and parking
areas, but does not include raised, uncovered, open slat decking, the water
surface of swimming pools, a surface of#57 stone laid at least 4 inches thick
over a geotextile fabric, the uncompacted portions of certain landscaping
materials, or a public trail as defined in NCGS 113A-85.
III. GENERAL CONDITIONS
1. This permit is not transferable to any person or entity except after notice to and
approval by the Director. The permittee shall submit a completed and signed
Name/Ownership Change Form, accompanied by the supporting documentation
as listed on the form, to the Division of Energy, Mineral and Land Resources at
least 60 days prior to any one or more of the following events:
a. An ownership change including the sale or conveyance of the project area in
whole or in part, except in the case of an individual lot sale that is made
subject to the recorded deed restrictions;
b. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association, subject to the requirements of Session Law 2011-256;
c. Bankruptcy;
d. Foreclosure, subject to the requirements of Session Law 2013-121;
e. Dissolution of the partnership or corporate entity, subject to NCGS 57D-2-
01(e) and NCGS 57D-6-07;
Page 5of9

State Stormwater Management Systems
Permit No. SW8 070202
2. The permittee shall submit a completed Permit Information Update Form to the
Division at least 30 days prior to any one or more of the following events:
a. A name change of the current permittee;
b. A name change of the project;
c. A mailing address change of the permittee;
3. The permittee is responsible for compliance with all of the terms and conditions
of this permit until such time as the Director approves the transfer request.
4. 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.
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.
6. In the event that the facilities fail to perform satisfactorily 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 reissuance 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 control measures and the project's
built-upon areas during normal business hours.
9. The permittee shall maintain a copy of the approved plans and specifications on
file for future reference.
10. The permittee shall submit a permit renewal application, fee and supporting
documentation at least 180 days prior to the expiration date of this permit.
Permit updated, modified, and reissued this the 20th day of November 2018.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
-1 Sl_e9d9
or William E. Toby) Vinson, Jr., P.E., DPESC, CPM,'Interim Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 070202
Page 6 of 9

State Stormwater Management Systems
Permit No. SW8 070202
San Rio Master Stormwater Plan and Phase 1 Permit Page 1 of 2
Stormwater Permit No. SW8 070202
Brunswick County
Designer's Certification
, 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:
SEAL
Signature
Registration Number
Date
Page 7 of 9

State Stormwater Management Systems
Permit No. SW8 070202
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: NCDEQ-DEMLR Regional Office
Brunswick County Building Inspections
Page 8 of 9

State Stormwater Management Systems
Permit No. SW8 070202
ATTACHMENT B
BUA ALLOCATION BY PHASE AND LOT
Phase LD/HD Allocated BUA Permitted BUA I Approval Date
1 LD 877,263 877,263 11/20/2018
1 B Tbd I 527,819
1C HD (Pond #1) 77,730 77,730 11/20/2018
1D Tbd i 43,621
2 j Tbd 809,230
2B Tbd 146,726
3 Tbd 1,471,626
3B Tbd 662,112
4A I Tbd 1,135,000
4B j tbd 37,026
Total 5,788,153
Phase 1 151 lots Maximum Built-
Lot# Upon Area (sf)
1-21, 28-48 2900
22-27, 49-80, 90-100, 3900
106-125, 134-150
81-89, 101-105, 126-133 4900
151 8000
Page 9of9

State of North Carolina flCEIVIij
Department of Environment and Natural Resources f> AUG 16 2016
Division of Water Quality jf I
BY:
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FTOR
I. CURRENT PERMIT INFORMATION AA�
1. Stormwater Management Permit Number: <SE)-1 OaDa 4 •,(0-6b-ic)13
2. Project Name: 1 RIQ-r-Phase_1 t P 4 13 - G ( Lj -66r`C��P ci
3. Current Permit Holder's Company Name/Organization: X \er- ck\- S\ \c 4Sre i L1L
4. Signing Official's Name: Titl '0CW-) E ,5L. .
5. Mailing Address: LIIrc: , y
City: State: Zip:
6. Phone: ( ) Fax: ( )
II. PROPOSED PERMITTEE /OWNER/ PROJECT/ADDRESS INFORMATION
This request is for: (please check all that apply)
❑ Name change of the owner (Please complete Items 1, 2 and 3 below)
❑ Name change of project (Please complete Item 5 below)
.Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
J Mailing address/phone number change. (Please complete Item 4 below)
El Other (please explain): 4
1. Proposed permittee's company name/organization. I, ir Ac'\a'n Cot c
2. Proposed permittee's signin official's name:�xY r7sy - o �P_lt't_. L.1,1✓
3. Proposed p : �ermittee s title
4. Mailing Address: t1%13 20noV r-ta (� I ,�-re. ?j('j
City: \-\C l State: Gi A Zip: -p3Ob
Phone: (`alb'-\ ) 1-‘<a)- '-1 clop Fax: ( )
5. New Project Name to be placed on permit: OC) �(lo►�J
Please check the appropriate box. The proposed permittee listed above is:
❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain stormwater system features. Print name of HOA or
POA in#1 above and provide name of HOA/POA's authorized representative in#2 above)
1J The property owner
❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on
page 4)
❑ Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be
granted upon receipt of a copy of the recorded deed)
❑ Developer (Complete Property Owner Information on page 4)
,gads'/c4eS
CE C. 1 D
SSW N/O Change Rev24Sept2012 Page 1 of OCT 0 6 2016 bl AUG 2 6 2016
BY:

III. REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality(DWQ) unless el
of the applicable required items listed below are Included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer.
I. This completed and signed form.This certification must be completed and signed by both the
Current permit holder and the new applicant if this is a change of ownership.
2. Legal documentation of the property transfer to a new owner.
3.. A copy of any recorded deed restrictions,covenants,or easements, if required by the permit;
4.. The designers certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
5. If the proposed permittee is a firm,partnership, association, institution,corporatio:t gmited liability
company, or other corporate entity, provide documentation showing the authority o`trio named
representative to act on behalf of the proposed permittee.
6. The$40.00 processing tee. if this is an initial transfer from the original permittee the processing
tee is not required. Subsequent ownership transfers will require the$40.02 processing fee.
IV. CURRENT PERMITTEE'S CERTIFICATION - ' { .
Please check one of the following statements and till out the certification below that statement.
0 Check none 4 the !nee is only charging hrs��her its name. the project name. or rnail'ng
address. but will r t rrnit. I, ,the current
permittee,her a DWO that I am Mangling my name meter I am changing my mailing
address ands anging the name cf the permitted project. I further attest that this application
for a na l ship change is accurate and complete to the best of my knowledge. I understand
that if a i ' ed parts of this application are not completed or if all required supporting information
and a ents fisted above are not included, this lication package will be returned as
'mom e,%AI�c �+ G�{-ri 2E .LLC, N WAvh-N Cif vi Stsf U-C 150LUA!Le OL4 of"
Check here if current perm ttec Is transferring the property to a new owner and will not retain '
ownership of the permit
I. S L. 2013— 12( ,the current permittee, am submitting this application
for a transfer of ownership for permit* . I hereby notify DWQ of the sale or
other legal transfer of the stormwater system : ociated with this permit. I have provided a copy at
the most recent permit,the de ', s is ce ' on for each BMP,any recorded deed restrictions,
covenants.or easements,the •f, • appr plans and/or approved as-built plans, the approved
operation and maint- • =a ear-emen maintenance records, and the most recent DWG
stormwater inspection r- to the rid permittee named in Sections II and V of this form. I
turthor attest that th' icatio r a name'ownership change is accurate and complete to the best
of my knowledge t iine ere tar3. tat if all required parts of this ap-plication are not completed or if a'i
rwured suppogigg'infarraation and attachments listed above are not included,this applicaton
package will be ret:rrng- as inownplete. l assign ail rights and nb igatieris as permittee to the
proposed per nittee,arned . Sections t and V of this form. I understand that this transfer cf
ownership caringt�be ap Jed by the DI NO unless and until the facility is in compliance with the
permit.
Signature: Date: 6 ` 2)• l a
l.....- 1 1r1()(' a!Notary Public for the State of
b Ent l�Q County of Rftvdo hereby certify that
U257 Dr& ___..._. personally appeared lam me the the
?A day of Ma ' 20 I (' , and prim. r,% she due execution of
forgoing i .Witness i"i'y�hand and official seal. ��Ac„.... ( cy Seal)
_ �trO
Notar Sig =o: ':4_ 0ti
SSW 'r Change I e 24Sept2012 i'3K+�2 of ? '%f N C.•••``�:`���

Syr
V. PROPOSED PERMITFEE CERTIFICATION: 'ah+s sec.cn roust be completed by the
Proposed Pen-rave for at.transfers of oane;shroa
. itoleby notify the OW()that I:have acquired
through sale, Tease or legal transfer, the responsibility fort cperatrng and maintaining the permitted
stormwater management system, and. If applicable,constructing the permitted system. I
acknowledge and attest that I have received a copy ef: (neck all that apiy to this permit.?
•�the moiil recent permit
the designer's a rtification for each MAP
any recorded dct`i restrictions,covenants. or easomen s 1{0A o,C.l.C11Vtetk T
the ©WC approved plans anchor approved as-built pions tk‘=1 *0 R ttit CMS rpvu4
1-7 Mc approved operation and maintenance agrerrnc:it
t from past marital ) KKu�To..(
�...., t�ttaiFa tame records fromathe�:�e:'Is�:i�permittee (where ��
DWG storrnwater inspection.report show.ng compliance pliance within 90 days prior to this transfer
I have reviewed the permit.approved plans and other documents listed above,and I will comply with
the terms and conditions of the permit and approves plans. I acknowledge and agree that I will
operate and maintain the system pursuant to the requirements listed in the permit and in the
operation and maintenance agreement. I further attest that this application for a name ownership
change is accurate and complete to the best of my knowledge. I understand that if all required parts
of this application are n eted or it all required supporting information and attachments listed
above are not inclu , is application package wia be returned as incomplete.
St nature: __ Dater: • 26. 110
1. Dr KO-
� - a Notary Public to= tore State of
County ofTab)lti. . do hereby certify that
C 7 — I G t' _ _personalty appeared before me this the.
---day of ._ •_ ,_ , 20 1 ,and idio~ow a ge the due execution of tl*,
\ttruuiu,,
forgoing nstru t. Witness my hand and officia` s: -
M ,
et•. ••• p( •
�►:• 11� r ;Q Not:rs Sear
Notarycgna r `"`"�e. '•�=•
• • O=
itoo
A or copies of the original permit and the auproveo dd'tperati n and lvtayttenance agreement ent can
be obtained from the appropriate Regional Office of the Division of Water Quality.
This completed form, including ail supporting documents and processing fee fit required), should be
sent to the apptvpr►ate Regional Office of the North Caro;!rna Department of Environment and Natural
Resources. Division of Water Quality. as shown on the attached m.•au
Please note that it the Proposed Permitfee listed above is not the property owner. the property owner
roust complete and sign page 4 of this document. Both the lessee,developer and the property
owner vvill appear on the permit as permittees
ECEIVE
ti JUN U 1 2016
SSW WO Change Rev74Scpt2O12 .P 4:3 ;:f 4

•
VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Perrnittee listed in Sections II and V of this form is not the Property Omer. the
Property Owner must provide hisMer Contact Information below and sign this font?:
Printed Name: /b(A-
Organization: OC I 1O Atre � tAIt
'title within the Organization:.`' /C)f-e. 3ev'J- '.�_ .
Street 1 1ddress:�0- `''7-x�9'G
Cray C?i✓lE 1. . .Y�-� state• S C __... Zip:zcSt
Marling Address: �•
(r oilercrt from s ic`a1 a3.d.ri;.^cc
City: State: Zip: -
Phone: _r : _
I certify that I own th„►property Ertcntilied in this permit transfer document and have giva t perra ssion
to the Proposed Pennitte°listed in Sections II and V to develop andror,lease the property. A copy
of the lease agreement or other contract,which indicates the party responsible for the construction
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal property owner I acknowledge, understand,and agree by my signature below, that I will
appear as a pormittee along with the lessee/developer and I will therefore share responsibility for
compliance with the DWO Starmwater permit. As the property owner. it is my responsibility to notify
DWO by submitting a completed Name)Ownership Change Form within 30 days of procuring a
developer, lessee or purchaser for the pro . I understand that failure to operate and maintain the
stormwater treatment facility in accordance " permit is a violation of NC General Statute
(NCGS) 143-P1b.1, and may result in appr r' to enforcement action including the assessment of
civil penalties of up to$25,000 per d , p t to NCGS 143-215-6.
Signature of the ado e~?'y owner Date'
_. a Notary Pubitc,for the State o
e-vEb[c (_.� , County of L tkOIti-. . ._._, (lc,Hereby certify that
( S �10/ (_ a personally appeared before me this the
2 day of >1 , 20 U- , and acknowied:e the due execution of the
forgoing instru it.Witness my hand and official:cal.
uuuusiriik (Notary Seal)
nazi a�mature •J •' •••
t
�'$- EVE
" � : ECE
ikigyp 1 tintO
SSWNA) p v2 S t2 1 2 .rr' A
Change i:4}'Mi.��t7'sr.u'�LV.r v'��� Q

DEMLR USE ONLY
Date Received Fee Paid Permit Number
3—Z.— 2.01D 4S05"1 #ie1F39&vf7 54v807020Z
Applicable Rules: 0 Coastal SW-1995 0 Coastal SW-2008 0 Ph II-Post Construction
(select all that apply) ❑Non-Coastal SW-HQW/ORW Waters 0 Universal Stormwater Management Plan
0 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.):
San Rio Master Plan and Phase 1
2. Location of Project(street address):
Gray Bridge Road
City:Shallotte County:Brunswick Zip:28470
3. Directions to project(from nearest major intersection):
Traveling south from Wilmington,turn South on to Main Street(Business Hwy 17)from Hwy 17. Turn left
from Main Street to Hwy 130,Old Holden Beach Road SW. Turn Right on to Gray Bridge Road. Site is 0.8
miles and will be on the right.
4. Latitude:33°58'03"N Longitude:78°21'26"W of the main entrance to the project.
II. PERMIT INFORMATION:
1.a.Specify whether project is (check one): ['New ®Modification El Renewal w/Modificationt
sus€ 6?02o2 f Renewals with modifications also requires SWU-102-Renewal Application Form
"A b.If this application' being submitted as the result of a modification to an existing permit,list the existing
j
00 permit numberSW8 OF9202 ,its issue date(if known)10/26/2016 ,and the status of
construction: ENot Started ®Partially Completed* fl Completed* *provide a designer's certification
2. Specify the type of project(check one):
®Low Density ['High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from
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):
❑CAMA Major ❑Sedimentation/Erosion Control: ac of Disturbed Area
❑NPDES Industrial Stormwater 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 permit
5. Is the project located within 5 miles of a public airport? ❑N° ❑Yes
If yes,see S.L.2012-200,Part VI:http://portal.ncdenr.org/web/lr/rules-and-regulations
Form SWU-101 Version Oct.31,2013 Page 1 of 6

III. CONTACT INFORMATION
1.a.Print Applicant/Signing Official's name and title(specifically the developer,property owner,lessee,
designated government official,individual,etc.who owns the project):
Applicant/Organization:DSSII Holding Co,LLC,Manager;Stars&Stripes 2I,LLC
Signing Official&Title:Costa Alexiou,Manager
b.Contact information for person listed in item la above:
Street Address:1123 Zonolite Road,Suite 30
City:Atlanta State:GA Zip:30306
Mailing Address(if applicable):
City: State: Zip:
Phone: .(404 ) 480-4900 Fax: (
Email:
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: State: Zip:
Mailing Address(if applicable):
City: State: Zip:
Phone: ( 1 Fax: (
Email:
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/Organization:
Signing Official&Title:
b.Contact information for person listed in item 3a above:
Mailing Address:
City: State: Zip:
Phone: j 1 Fax: ( )
Email:
4. Local jurisdiction for building permits:Town of Shallotte
Point of Contact:Building Inspections Phone#: (910 ) 253-2050
Form SWU-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.
Runoff will be treated in curb outlet swales and one(1)wet detention pond in Phase 1.Runoff controls for the
remainder of the site will be permitted through future permit modifications.
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 070202 Date: 10/26/2016
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 Shallotte River basin.
4. Total Property Area:478.25 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+:463.27(see calcs-1995 rules) 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 High Water(NHW)line or Mean High Water
(MHVV)line,and coastal wetlands landward from the NHW(or MHVV)line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non-coastal wetlands landward of the NHW(or MHVV)line may
be included in the total project area.
8. Project percent of impervious area:(Total Impervious Area/ Total Project Area)X 100 =30% (SC),25% (SA)%
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_ Drainage Area_
Receiving Stream Name See Attached
Stream Class *
Stream Index Number*
Total Drainage Area(sf)
On-site Drainage Area(sf)
Off-site Drainage Area(sf)
Proposed Impervious Area**(sf)
% Impervious Area**(total)
Impervious**Surface Area Drainage Area_ Drainage Area_ Dra . - - - mus praage Area_
On-site Buildings/Lots(sf) �00 k CAA. in
On-site Streets (sf) _•. �,' • • �T�i��
On-site Parking (sf) „•
On-site Sidewalks (sf) _ Al:
Other on-site (sf)
02.'503� • / ��'
Future(sf) IN Q F
Off-site (sf) "' ilib
Existing BUA***(sf) iii+'11,m)t56\e\
Total (sf):
* Stream Class and Index Number can be determined at: http://portal.ncdenr.org/web/wq/ps/csu/classifications
** Impervious area is defined as the built upon area including,but not limited to,buildings,roads,parking areas,
sidewalks,gravel areas,etc.
***Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
Form SWU-101 Version Oct.31,2013 Page 3 of 6

liECEINTEn
NOV 2 0 2018
Current as of November 20,2018
SW8 070202MOD San Rio Master Permit yy/.S4V Y070 202 11)
Phase 1 1B 1C 1D 2
SCM ID# N/A N/A Pond 1 N/A N/A
Shalotte.River/ Shalotte River/
Receiving Stream Sharron Creek Sharron Creek Shalotte River Shalotte River Shalotte River
Stream Class SC;HOW SC;HQW SC;HOW SC;HQW SC;HQW
15-25-2-(7.5)/15.15-25-2-(7.5)/15-_.-
Stream Index Number 25-2-9-(1) 25-2-9-(1) 15-25-2-(7.5) 15-25-2-(7.5) 15-25-2-(7.5)
Onsite Drainage Area(sf) 3,118,460 2,233,321 175,111 224,334 2,405,383
Offsite Drainage Area(sf) 0 0 0 0 0
Total Drainage Area(sf) 3,118,460 2,233,321 175,111 224,334 2,405,383
SW Project Area(w/wetland rule) 3,102,768 2,215,414 209,088 224,334 2,405,383
V
Proposed Impervious Area(sf) 877,263 527,819 77,730 43,621 809,230
%impervious(total) 28.27% 23.8% 37.18% 19% 34%
Impervious Surface Area(BUA)
On-site Buildings/Lots(sf) 570,000 TBD 12,195 TBD TBD
On-site Streets(sf) 265,279 TBD 35,853 TBD TBD
On-site Parking(sf) 0 TBD 10,234 TBD TBD
On-site Sidewalks(sf) 36,984 TBD 8,558 TBD TBD
Other on-site BUA(sf) 5,000 TBD 10,890 TBD TBD
Future BUA(sf) 0 TBD 0 TBD TBD
Existing BUA(sf) 0 TBD 0 TBD TBD
Total BUA(sf) 877,263 I TBD 77,730 TBD TBD
Phase 2B 1 3 3B 4A 48
SCM ID# N/A N/A N/A N/A N/A
Receiving Stream Shalotte River Shalotte River Shalotte River Shalotte River Shalotte River
Stream Class SC;HOW SC;HQW SC;HOW SA;HOW SA;HQW
Stream Index Number 15-25-2-(7.5) 15-25-2-(7.5) 15-25-2-(7.5) 15-25-2-(7.5) 15-25-2-(7.5)
Onsite Drainage Area(sf) 599,386 4,989,798 1,761,566 5,107,410 80,150
1 Offsite Drainage Area(sf) 0 0 0 0 0
Total Drainage Area(sf) 599,386 4,989,798 1,761,566 5,107,410 80,150
SW Project Area(w/wetland rule) 599,386 4,869,817 1,761,566 4,608,648 80,150
Proposed Impervious Area(sf) 146,726 1,471,626 662,112 1,135,000 37,026
%impervious(total) 24.48% 30.22% I 37.59% 24.63% 46.20%
impervious Surface Area(BUA)
On-site Buildings/Lots(sf) TBD TBD TBD TBD TBD
_
On-site Streets(sf) TBD TBD TBD '' T 1��;, TBD
On-site Parking(sf) TBD TBD TBD ': %, TBD
On-site Sidewalks(sf) TBD TBD TBD v..�ir w1 ' -`; -4.
Other on-site BUA(sf) TBD TBD TBD A" 'f8D _ ' VI-
Futurer�AL �BUA(sf) TBD TBD TBD _ TB1l5- k, ti I
Existing BUA(sf) TBD TBD TBD %; X TBD . .°
., 817
Total BUA(sf). TBD TBD TBD ":-'1. :311*:,.0, .:" • TBD

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11. How was the off-site impervious area listed above determined?Provide documentation.See attached density
calculations.
Projects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened&
Endangered Species watershed that may be subject to more stringent stormwater requirements as per I5A NCAC 02B.0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance(O&M)forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://portal.ncdenr.org/web/wq/ws/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
http://portal.ncdenr.org/web/wq/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 http://portal.ncdenr.org/web/wq/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://portal.ncdenr.org/web/wq/ws/su/statesw/forms docs.
tials
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 4 4.
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed,signed and dated)and O&M 4/k
agreement(s)for each BMP.
4. Permit application processing fee of$505 payable to NCDENR. (For an Express review,refer to
http://www.envhelp.org/pages/onestopexpress.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 ei24-eut
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 t4.4.•
receiving stream drains to class SA waters within 1/2 mile of the site boundary,include the 1h
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 impounded
structures,the banks of streams or rivers,and the MHW(or NHW)of tidal waters.
i. Dimensioned property/project boundary with bearings&distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours,proposed contours,spot elevations,finished floor elevations.
1. Details of roads,drainage features,collection systems,and stormwater control measures.
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 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, [phone].)
10. A copy of the most current property deed.Deed book:2669 Page No:289
11. For corporations and limited liability corporations(LLC):Provide documentation from the NC
Secretary of State or other official documentation,which supports the titles and positions held
by the persons listed in Contact Information,item la,2a,and/or 3a per 15A NCAC 2H.1003(e).
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State,otherwise the application will be returned.
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 http://portal.ncdenr.org/web/lr/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 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.
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:Richard A.Moore,PE
Consulting Firm:McKim and Creed
Mailing Address:243 N.Front Street
City:Wilmington State:NC Zip:28401
Phone: (910 ) 343-1048 Fax: (910 ) 251-8282
Email:[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) ,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 Ia) 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 system.
Form SWU-101 Version Oct.31,2013 Page 5 of 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 DEML-R 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$25,000 per day,pursuant to NCGS 143-215.6.
Signature: Date:
I, ,a Notary Public for the State of ,County of
,do hereby certify that personally appeared
before me this_day of ,and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information,item la)Costa Alexiou
certify that the information included on this permit application form is,to the best of my knowledge,correct and
that the project will be constructed in conformance with the approved plans,that the required deed restrictions
and protective covenants ill be recorded,and that the proposed project complies with the requirements of the
applicable stormwater es under 15A NCAC 2H.1000 and any other applicable state stormwater requirements.
Signature: Date:
., /,i (,7
et, ixrc .(I ,a Notary Public for the State of ate-eV/in, ,County of
,do hereby certify that &
•
�JC/! 1iat., /1i I. personally appeared
before me this J day of , 1 t ,and
_acknowledge the due execution of the application for
•
a stormwater permit. Witness my hand and official seal, 712 .i
INYNIVIA . SEAL
NOThRY PUBLIC
STATE OF GEORGIA 4, 44
MYCCMMl$gOM
My commission expires T_
Form SWU-101 Version Oct.31,2013 Page 6 of 6

Permit No. 6w8o7o202Mo04
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form may be photocopies for use as an original
DWQ Stormwater Management Plan Review:
A complete stormwater management plan submittal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details.
I. PROJECT INFORMATION (please complete the following information):
Project Name: San Rio - Phase 1
Contact Person: Mr. Jim Wiseman/Mr. Jim Green Phone Number (910) 575-4300
For projects with multiple basins, specify which basin this worksheet applies to: Section 1C
elevations
Basin Bottom Elevation 16.00 ft. (floor of the basin)
Permanent Pool Elevation 22.50 _ ft. (elevation of the orifice)
Temporary Pool Elevation 22.63 ft. (elevation of the discharge structure overflow)
areas
Permanent Pool Surface Area 50,599 sq. ft. (water surface area at the orifice elevation)
Drainage Area 4.02 ac. (on-site and off-site drainage to the basin)
Impervious Area 1.78 ac. (on-site and off-site drainage to the basin)
volumes
Permanent Pool Volume 191,038 cu. ft. (combined volume of main basin and forebay)
Temporary Pool Volume 6,560 cu. ft. (volume detained above the permanent pool)
Forebay Volume 31,836 cu. ft. (approximately 20% of total volume)
other parameters
SA/DA1 4.27 (surface area to drainage area ratio from DWQ table)
Diameter of Orifice 2.00 in. (2 to 5 day temporary pool draw-down required)
Design Rainfall 1.00 in.
Design TSS Removal2 90 % (minimum 85%required))
FORM SWU-102 Rev 3.99 PAGE 1 OF 4

Footnotes:
1. When using the Division SA/DA tables,the correct SA/DA ratio for permanent pool sizing should be computed based upon the
actual impervious%and permanent pool depth. Linear interpolation should be employed to determine the correct value for non-
standard table entries.
2. In the 20 coastal counties,the requirement for a vegetative filter may be waived if the wet detention basin is designed to provide
90%TSS removal THE NCDENR BMP manual provides design tables for both 85%TSS removal and 90%TSS removal.
II. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February, 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form,the agent may initial below. If a requirement has not been met, attach justification.
Applicants Initials
SOF a. The permanent pool depth is between 3 and 6 feet(required minimum of 3 feet).
gRF b. The forebay volume is approximately equal to 20% of the basin volume.
62f c. The temporary pool controls runoff from the design storm event.
gap. d. The temporary pool draws down in 2 to 5 days.
e. If required, a 30-foot vegetative filter is provided at the outlet(include non-erosive flow
N A calculations).
8iZf f. The basin length to width ratio is greater than 3:1.
8¢F g. The basin side slopes above the permanent pool are no steeper than 3:1.
g¢F h. A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
g¢F _ i. Vegetative cover above the permanent pool elevation is specified.
see j. A trash rack or similar device is provided for both the overflow and orifice.
sue► oAl cog,srr k. A recorded drainage easement is provided for each basin including access to nearest
Nor vet'0E40~ right-of-way.
1. If the basin is used for sediment and erosion control during construction, clean out of the
BR,F basin is specified prior to use as a wet detention basin.
t,QG m. A mechanism is specified which will drain the basin for maintenance or an emergency.
III. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the
vegetated filter if one is provided.
This system (check one) E does ® does not incorporate a vegetated filter at the outlet.
This system (check one) E does ® does not incorporate pretreatment other than a forebay.
FORM SWU-102 Rev 3.99 PAGE 2 OF 4

Maintenance activities shall be performed as follows:
1. After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated cover, and general condition.
b. Check and clear the orifice of any obstructions such that drawdown of the temporary pool occurs
within 2 to 5 days as designed.
2. Repair eroded areas immediately, re-seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash as needed.
3. Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap, etc.) quarterly to
maintain proper functioning.
4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth (see diagram below). Removed sediment shall be disposed of
in an appropriate manner and shall be handled in a manner that will not adversely impact water quality
(i.e. stockpiling near a wet detention basin or stream, etc.).
The measuring device used to determine the sediment elevation shall be such that it will give an accurate
depth reading and not readily penetrate into accumulated sediments.
When the permanent pool depth reads 4.87 feet in the main pond,the sediment shall be removed.
When the permanent pool depth reads 4.87 feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
ill in the blanks)
V Permanent Pool Elevation 22.50
♦ A
Sediment emoval El. 17.63 75°/
Sediment Removal Elevation 17.63 75%
Bottom evation 16.00 2 /o
♦ Bottom Elevation 16.00 25%
FOREBAY MAIN POND
5. Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface. These
plants shall be encouraged to grow along the vegetated shelf and forebay berm.
6. If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment
through the emergency drain shall be minimized to the maximum extent practical.
FORM SWU-102 Rev 3.99 PAGE 3 OF 4

7. All components of the wet detention basin system shall be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print name: Nathan D. Benson
Title: Manager- Sandler at Shallotte, LLC
Address: 448 Viking Drive- Suite 220 Virginia Beach,VA 23452
Phone: [phone]
Signature
Date: ,/
Note: The legally responsible/ party should not be a homeowners association unless more than 50%of the lots have been sold and a
resident of the subdivision has been named the president.
I, , a Notary Public or the kate ofNertireirolintt-
-County-of- C o ct �� , do hereby certify that k�cip s
personally appeareil before me this `�S day of y )C o 7 ,-2006 and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
\Agjr/-
NJ. to
Lr�l
ptiw•• o
•
•
•
•
SEAL
My commission expires: Q ]- - G
FORM SWU-102 Rev 3.99 PAGE 4 OF 4

Permit No. 5030i07-02./4
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
CURB OUTLET SYSTEM SUPPLEMENT
FOR LOW DENSITY DEVELOPMENT WITH CURB AND GUTTER
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, a
curb outlet system supplement, a low density supplement, design calculations, and plans and specifications
showing all stormwater conveyances and curb outlet details.
I. PROJECT INFORMATION
Project Name: San Rio - Phase 1
Contact Person: Mr. Jim Wiseman/Mr. Jim Green Phone Number [phone]
Curb outlets to (check one): ® Swale ❑ Vegetated Area
II. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the North Carolina Administrative Code Section 15A
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 on the Stormwater Management Permit
Application Form, the agent may initial below. If a requirement has not been met, attach justification.
Applicants Initials
` 1E- a. Curb outlets direct flow to a swale or vegetated area.
r b. Swales or vegetated areas receiving curb outlet flow are designed to carry, at a minimum,the
peak flow from the 10-year storm.
c. Flow velocity is non-erosive for peak flow from the 10-year storm event.
d. Longitudinal slope of the swale or vegetated area does not exceed 5%.
e. Side slopes of the swale or vegetated area are no steeper than 5:1 (horizontal to vertical)
f. Length of swale or vegetated area is= 100 feet.
g. The system takes into account the run-off at ultimate built-out potential from all surfaces
draining to the system(delineate drainage area for each swale).
h. Swales are located in recorded drainage easements.
i. Grass type(s)for permanent vegetative cover specified on detail.
j. Swale detail provided on plans.
FORM SWU-105 Rev 3.99 PAGE 1 OF 3

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IV. CURB OUTLET SYSTEM MAINTENANCE REQUIREMENTS
1. Mowing will be accomplished as needed according to the season. Grass height will not exceed six inches
at any time.
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 swales will be repaired and reseeded. Swales will be revegetated as needed and in a
timely manner based on the monthly inspections.
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 Water Quality.
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 DWQ of any problems with the system or prior to any
changes to the system of responsible party.
Print name and Title: Nathan D. Benson-Manager- Sandler at Shallotte, LLC
Address: 448 Viking Drive- Suite 220 Virginia Beach,VA 23452
Phone: (757)463- 00 Date: " \a\i a S 2v,_)-7
Signature ,-e------
Note: Th gaily responsible party should not be a homeowners association unless more than 50% of the lots have
been sold and a resident of the subdivision has been named the president.
•
I, L , �a , a Notary Public f r the S to of�I t�rn
Co ity of �,�,/ o Uct, _V , do hereby certify that 1 ..) . :-) ..mac,
personally appeared before me this `a$ -1- day of l\a IDJD07,r2666 and acknowledge the due
execut' n of the fo o g in•ltration basin maintenance requirements. Witness my hand and official seal,
go\
SEAL OF ig My commission expires: 0-7-31- 0
.z., 44.4%.1.11401.4. *
anon~
FORM SWU-105 Rev 3.99 PAGE 3 OF 3

Permit No. 516)807O202 puz
(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 photocopies 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 systems as defined by 15A NCAC 2H .1002(18). Low density requirements and density factors can
be found in 15A NCAC 2H .1005 through .1007.
I. PROJECT INFORMATION
Project Name: San Rio
Contact Person: Mr. Jim Wiseman/Mr. Jim Green Phone Number [phone]
Number of Lots: See Attachment A Allowable Built Upon Area Per Lot*: See Attachment A
• 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.
II. 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 computer 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 1 OF 2

(SA x DF)—RA—OA = BUA
No. Lots Lot
Calculation:
SEE ARAGN ME NT (3'
III. REQUIRED ITEMS CHECKLIST
Applicants Initials
a. A 30-foot vegetative buffer is provided adjacent to surface waters. Projects in the Neuse
SgP 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
6QF platting and prior to sale of any lots.
SRZ' 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).
812V [15A NCAC 2H .1007(2)(b)]
FORM SWU-104 Rev 3.99 PAGE 2 OF 2

SAN RIO ATTACHMENT 'B' B.R.FINCH,PE
WDL-07000 6/7/2007
=>Impervious Surface Breakdown
Total Area of Phase Impervious Area Breakdown[sf] Total Impervious
Phase ID Lot Impervious 1 Other On-site impervious 1 Off-site Impervious
[SF] Lot# #of Lots !Impervious Area Per Lot[sf] On-site Buildings[sf]lisite Streets[sf] On-site Parking[sf] On-site Sidewalk[sf] p [sf] [acres]
� ; .. � _ ...-.tea>�,r,.,,--��_..��,�.
- 1 3118460 _1-21,28-48 42 j 2900 I, 121800 -___- ^-_ _ __265,279 ! 0 36984- - j 5000 _ 1-- j 429063�_ 9.85
�22-27,49 80 90-100 106 125,135-150 89 j_ 3900 � 34_7100 --4I -�—_-- --_-1 _- - -- _ �___--_ __ ___ 347100 i 7.97
--- f --------- � F-_-. _._ � - -- +-__. -----—— ---- --I 93100
-- ----- ---
81-89,101-105,126-133 19—r -- 4900 I 93100 - ' - 2.14
�. _�_,�.___.. 151 ,�. 1 _ .. . _ ,..s000 I_. a000 - i - : _- - - _
j Totals 570000 0 265279 0 36984 - NVT 5000 0 877263 20.14
.I I
lB ; 2233321 _ TO BE DETERMINED � f} "y ' S79784 — — �'
---•- �_579784 } 13.31
1C —209088�_ - _._-. .___--.—. ---�___�--! —.—.__.� 1 12195 1 —35853 10234 8558 h -- 10890 _ I _77730 I 1.78 _
ID _224334 1 _ TO BE DETERMINED 47916 - 1 I 47916 __,11.10
2 - 2405383 -- -1- ___-x_.__._— _.-__-- --___ -___- --!`_ TOBEDETERMINED �_- - 888901 ! 888901 20.41
2B I 599386 TO BE DETERMINED ] 161172 I --_--__— i 161172_I 3.70
—3 4989798-__ ------------ __...TOBEDETERMINED _
] 1616512 rt 1616512 I 37.11
3B I 1761566 —.--__._.____.
TO BE DETERMINED 1 662112 I 662112 ; 15.20
_._--.-,_..__—__._.._____.__ -_____..--__. 1191366 _ 1191366 27.35
4 5051218 TO BE DETERMINED I 1 - _6_ i --2--___.
•_ 4B __� 80150 -.L _____Y.-...___�,_-- __ -_. .-- _ _ ._ TO BEDETERMINED __. 1 37026 I 37026 0.85
5 j 8868816 - - TO BE DETERMINED 1 2364872 - I --_--- ; 2364872 I 54.29 _
5B I 75794 TO BE DETERMINED I 39204 39204 0. (-)
r.,.. . -.,r TO BE DETERMINED _ __ _ i 144184 _ 3.31
' 144184
Totals I 29997593 151 __ ._„ 1r.�, . - -- - - --;. . .- _• _ - . ..
-9 I 151 - I 1140 _
_ _,•. _,._*_-�,.__._�_,:._..:-.-� 000 I 12195 �„y566411 Y„s 10234 � —82526 7753939 AO� 9565305 1219.58919I

«B»
In accordance with Title 15 NCAC 2H.1000, the Coastal Stormwater Management
Regulations, deed restrictions and protective covenants are required for Low Density
Residential Subdivisions with curb outlet swales and high-density pockets,where lots
will be subdivided and sold and runoff from the high-density pockets will be treated in an
engineered stormwater control facility. 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, NA-WAN R VOS acknowledge and affirm by my signature below, that I
will cause the following deed restrictions and protective covenants to be recorded for
SA-N) ?to- cNASE prior to the sale of any lot:
1. The following covenants are intended to ensure ongoing compliance with State
Stormwater Management Permit Number sw8 o1b2vz , as issued by the Division
of Water Quality under NCAC 2H.1000.
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 plans may not take place
without the concurrence of the Division of Water Quality.
6. The maximum built-upon area per lot is as follows:
Lot# Maximum Built Upon Area Op
1-21 2900
22-27 3900
28-48 2900
49-80 3900
81-89 4900
90-100 3900
101-105 4900
106-125 3900
126-133 4900
134-150 3900
151 8000
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.
7. In the case of a lot within CAMA.'s regulated AEC, where the Division of Coastal
Management calculates a different maximum allowable built-upon area for that lot

than is shown herein, the governing maximum built-upon area for that lot shall be
the most restrictive of the two
8. This project proposes a curb outlet system. Each designated curb outlet swale
shown on the approved plan must be maintained at a minimum of 100'long with 5:1
(H:V) side slopes or flatter, have a longitudinal slope no steeper than 5%, carry
the low from a 10 year storm in a non-erosive manner, and maintain a dense
vegetated cover.
9. Filling in or piping of any vegetative conveyances (ditches, swales, etc) associated
with the development except for average driveway crossings, is strictly prohibited
by any persons.
10. Each lot will maintain a 30'wide vegetated buffer between all impervious areas and
surface waters.
11. All roof drains shall terminate at least 30'from the mean high water mark of
surface waters.
12. Filling in, piping or altering any designated 5:1 curb outlet swale associated with
the development is prohibited by any persons.
13. All stormwater runoff from the street sections within the low-density areas must
drain into the permitted vegetated swales though the curb-outlet system.
14. All runoff from the high-density areas shall drain into the permitted system. This
may be accomplished through providing roof drain gutters which drain to the
street, grading the areas to drain toward the street, or grading perimeter swales
and directing them into a component of the stormwater collection system. Areas
that will naturally drain into the system are not required to provide these additional
measures.
15. Built-upon area in excess of the permitted amount will require a permit
modification.
Signature: _ �� Date: -------"-A ,tee b ' ,4 O 7
I, �. J.�c7. ,�. , a Notary Public for the State of
v.•V ��r2. , ��1 A Va. r_1n , do hereby certify that
1\nac. .. . ensue personally appeared before me this Stk
day ot� -Z;,.,,,e , `pp , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
c /90,.647,9
Linda J.Todd
.O. Commonwealth of Virginia
r.. Commission No.21051.
My Corm iwion Expires 07A11
SEAL
My commission expires 0 7-3 'C k sti