SW8210311_Current Permit_20230301

t
ROY COOPER i h n
Governor '
ELIZABETH S.RISER. :. o •A666`_-
Secretary _-
DOUGLAS R.ANSEL NORTH CAROLINA
Interim Director EinvironmenfatQuality
March 1,2023
Dry Pond Partners,LLC
Attn:Mr.Bruce Cameron,IV,Manager
PO Box 3649
Wilmington,NC 28406
Subject: Permit Correction
Stormwater Permit No. SW8 210311
Barclay Place Phase 2-Lot 1
New Hanover County
Dear Mr.Cameron:
The Wilmington Regional Office issued the subject permit on November 5,2021 and recently discovered it
contained an error. This permit correction is necessary to incorporate the requirements of Section 4(a)of Session
Law 2021-158,which became effective on September 16,2021 and is now included in G.S. 143-214.7(b4).
Please replace the previously issued permit with the enclosed correct permit. This corrected permit does not
impose new or different design standards;it merely restates some of the previous terms to provide you with a
better understanding of your obligations under the permit.
This project is subject to the conditions and limitations as specified in the corrected permit. Please pay special
attention to the conditions listed in this permit regarding the Operation and Maintenance of the BMP(s),
recordation of deed restrictions, certification of the project,procedures for changes of ownership,transferring the
permit,and renewing the permit. Failure to establish an adequate system for operation and maintenance of the
stormwater management system,to record deed restrictions,to transfer the permit,or to renew the permit,will
result in future compliance problems.
If any parts,requirements,or limitations contained in this permit are unacceptable,you have the right to request
an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings(OAH). The
written petition must conform to Chapter 150B of the North Carolina General Statutes,and must be filed with the
OAH within thirty(30)days of receipt of this permit. You should contact the OAH with all questions regarding
the fling 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,need additional copies of the permit or approved plans,please contact Aisia Freeman
with DEMI.R in the Wilmington Regional Office at(910)796-7215 or [e-mail].
Sincerely,CA.10:1 „.. %II
. Douglas R. Ansel,Interim Director
Division of Energy,Mineral and Land Resources
Enclosures: Attachment C—Permitting History
DES/af: 1\\Stormwater\Permits&Projects\2021\210311 PAD\2023 03 permit correction 210311
cc: Wilmington Regional Office Stormwater File
,erPfrDati E Q.."--. , North Carolina:D.epartmento€Environmental Quality I Division ofEriergy,Mineral and Land Resources
Wilmington Regionaloffice I127 Cardinal,Drive Extension I Wilmington,North Carolina 2M05
NORTH CAROLINA
Deu taeeNRR .ewor\Ie`ei 910196.7215

Post Construction Stormwater Management
Permit NO. SW8210311
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST-CONSTRUCTION STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
SERVED BY AN OFF-SITE STORMWATER SYSTEM
In compliance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended,
and other applicable Laws, Rules, and Regulations promulgated and adopted by the North Carolina
Environmental Management Commission, including 15A NCAC 02H.1000 amended on January 1, 2017 (2017
Rules) (the "stormwater rules"),
PERMISSION IS HEREBY GRANTED TO
Dry Pond Partners, LLC
Barclay Place, Phase 2—Lot 1
2545 Croquet Drive, Wilmington, New Hanover County
FOR THE
construction, management, operation, and maintenance of built-upon area (BUA) draining to a permitted off-
site stormwater system 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 an enforceable part of this permit.
This permit shall be effective from the date of issuance until rescinded 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, 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.
1. MASTER PERMIT. Stormwater runoff from this site, Lot 1, has been approved to be discharged into and
treated by the wet detention pond (the "off-site stormwater system", "off-site stormwater control measure",
or"SCM") operated and maintained by IG Wilmington, LLC (the "Master Permittee") under the terms and
conditions set forth in the latest version of Stormwater Management Permit No. SW8 960820 (the "Master
Permit") and as subsequently modified, transferred, and renewed.
2. BUA REQUIREMENTS. The maximum amount of BUA approved for this project is 109,770 square feet.
The runoff from all BUA within the permitted drainage area of this project must be directed into the
permitted SCM.
a. OFF-SITE SCM BUA LIMITS. The maximum amount of BUA allocated to this development by the
Master Permit is 109,770 square feet. This permit covers the construction of a total of 109,770 square
feet of BUA, which includes 0 square feet of future BUA allocation.
Page 1 of 4

Post Construction Stormwater Management
Permit NO. SW8210311
3. PERVIOUS AREA IMPROVEMENTS. At this time, none of the pervious area improvements listed in G.S.
143-214.7(b2) or the Stormwater Design Manual have been proposed for this project. Pervious area
improvements will be allowed in this project if documentation is provided demonstrating those
improvements meet the requirements of the stormwater rule.
4. OFF-SITE SCM REQUIREMENTS. This permit is issued contingent on the permitted off-site SCM(s)
being constructed, operated, certified, and maintained in compliance with the latest version of the Master
Permit, and as it may be subsequently modified, transferred, or renewed.
5. VEGETATED BUFFERS. A 50-foot wide vegetative buffer must be provided and maintained in grass or
other vegetation adjacent to all surface waters as shown on the approved plans. The buffer is measured
horizontally from the normal pool elevation of impounded structures, from the top of bank of each side of
streams or rivers, and from the mean high waterline of tidal waters, perpendicular to the shoreline.
6. RECORDED DOCUMENT REQUIREMENTS. The stormwater rules require the following documents to
be recorded with the Office of the Register of Deeds:
a. EASEMENTS. All SCMs, stormwater collection systems, vegetated conveyances, and maintenance
access located on property owned by other persons or entities must be located in permanent
recorded easements or drainage easements as shown on the approved plans.
b. MASTER PERMIT DEED RESTRICTIONS AND PROTECTIVE COVENANTS. This permit is issued
contingent on the recordation of the restrictions and protective covenants, which are required under
the Master Permit, prior to the sale of this lot and must be maintained in perpetuity.
7. CONSTRUCTION. During construction, erosion shall be kept to a minimum and any eroded areas of the
project will be repaired immediately.
a. PROTECTION OF OFF-SITE SCM. During construction, all operation and maintenance for the
project shall follow the Erosion Control Plan requirements to protect the downstream off-site SCM
from sedimentation.
b. SCM RESTORATION. If one or more of the SCMs are used as an Erosion Control device and/or
removed or destroyed during construction, it must be restored to the approved state stormwater
design condition, as approved in the Master Permit, prior to close-out of the erosion control plan
and/or project completion and/or transfer of the state stormwater permit. Upon restoration, a new or
updated certification will be required for the SCM(s) and a copy must be submitted to the appropriate
DEQ regional office.
8. MODIFICATIONS. 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), 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.
Page 2 of 4

Post Construction Stormwater Management
Permit NO. SW8210311
9. DESIGNER'S CERTIFICATION. Upon completion of the project, the permittee shall determine if the
project is in compliance with the approved plans and take the necessary following actions:
a. If the permittee determines that the project is in compliance with the approved plans, then within 45
days of completion, the permittee shall submit to the Division one hard copy and one electronic copy
of the following:
i. The completed and signed Designer's Certification provided in Attachment A noting any
deviations from the approved plans and specifications. Deviations may require approval
from the Division;
ii. A copy of the recorded operation and maintenance agreement;
iii. Unless already provided, a copy of the recorded deed restrictions and protective
covenants; and
iv. A copy of the recorded plat delineating the public rights-of-way, dedicated common
areas and/or permanent recorded easements, when applicable.
b. If the permittee determines that the project is not in compliance with the approved plans, the
permittee shall submit an application to modify the permit within 30 days of completion of the project
or provide a plan of action, with a timeline, to bring the site into compliance.
10. OPERATION AND MAINTENANCE. The permittee shall provide and perform the operation and
maintenance necessary, as listed in the signed Operation and Maintenance Agreement titled Stormwater
Collection System Maintenance Requirements, a part of the Off-site Supplement, to assure that all
components of the permitted on-site stormwater system are maintained at the approved design condition.
The approved operation and maintenance agreement must be followed in its entirety and maintenance
must occur at the scheduled intervals.
a. 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.
b. MAINTENANCE RECORDS. The permittee shall keep records of maintenance activities and make
them 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.
11 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.
12. 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.
a. 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; except in the case of an individual residential lot sale that is
made subject to the recorded deed restrictions and protective covenants;
v. The assignment of declarant rights to another individual or entity;
vi. The sale or conveyance of the common areas to a Homeowner's or Property Owner's
Association, subject to the requirements of NCGS 143-214.7(c2);
Page 3 of 4

Post Construction Stormwater Management
Permit NO. SW8210311
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.
13. COMPLIANCE. The permittee is responsible for complying with the terms and conditions of this permit
and the approved plans and specifications until the Division approves of a formal request to transfer the
permit.
a. REVIEWING AND MONITORING FOR COMPLIANCE. The permittee is responsible for verifying that
the proposed BUA within each drainage area and for the entire project does not exceed the maximum
amount allowed by this permit. The permittee shall review and routinely monitor the project to ensure
continued compliance with the conditions of the permit, the approved plans and specifications.
b. 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.
c. MAINTENANCE ACCESS. SCMs, stormwater collection systems, and vegetated conveyances must
be accessible for inspection, operation, maintenance and repair as shown on the approved plans.
d. DIVISION ACCESS. The permittee grants Division Staff permission to enter the property during
normal business hours to inspect all components of the permitted project.
e. 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.
a. 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
f. 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.
g. OTHER PERMITS. The issuance of this permit does not preclude the permittee from obtaining and
complying with any and all other permits or approvals that are required for this development to take
place, as required by any statutes, rules, regulations, or ordinances, which are 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 corrected, updated and reissued this the 1 day of March 2023.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Douglas . Anse , Interim Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 4 of 4

Attachment C- Permitting History
Dry Pond Partners, LLC
Permit No.SW8210311
Approval Permit BIMS
Date Action Version Description of the Changes
construction, management, operation, and maintenance
of built-upon area (BUA) draining to a permitted off-site
stormwater system as outlined in the application,
approved stormwater management plans, supplement,
calculations, operation and maintenance agreement,
recorded documents, specifications, and other supporting
Original data (the "approved plans and specifications") as attached
11/5/2021 1.0 and/or on file with and approved by the Division of Energy,
Approval 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 an enforceable part of
this permit.
This permit correction is necessary to incorporate the
3/1/2023 Correction 1.0 requirements of Section 4(a) of Session Law 2021-158,
which became effective on September 16, 2021 and is
now included in G.S. 143-214.7(b4).

ROY COOPER Governor
ELIZABETH S.BISER
Secretary *kw Ic "
BRIAN WRENN NORTH CAROLINA.
Director Envlronneentaf.Qualtty
November 5,2021
Dry Pond Partners,LLC
Attn:Mr.Bruce Cameron,IV,Manager
PO Box 3649
Wilmington,NC 28406
Subject: State Stormwater Permit No. SW8 210311
Barclay Place Phase 2—Lot 1
High Density Project served by an Off-site SCM
New Hanover County
Dear Mr.Cameron:
The Wilmington Regional Office received a complete State Stormwater Management Permit Application for the
subject project on October 26,2021. Staff review of the plans and specifications has determined that the project,
as proposed, complies with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000 amended on
January 1, 2017(2017 Rules). We are hereby forwarding Permit No. SW8 210311 dated November 5,2021,for
the construction, operation,and maintenance of the built-upon areas(BUA)associated with the subject project.
This permit shall be effective from the date of issuance until rescinded and the project shall be subject to the
conditions and limitations as specified therein and does not supersede any other agency permit that may be
required. 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.
This cover letter,attachments,and all documents on file with DEMLR shall be considered part of this permit and
are herein incorporated by reference.
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 fmal and binding.
' 'A North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
W
-„ �) Wilmington Regional Office 1127 Cardinal Drive Extension I Wilmington,North Carolina 28405
rxxpn{owouwc
illeparbreatota"k^^^wa" !/' 910.796.7215

State Stormwater Permit No. SW8 210311
Page 2 of 2
If you have any questions concerning this permit,please contact Kelly Johnson in the Wilmington Regional
Office, at(910)796-7215 or kelly.p.johnson@,ncdenr.gov.
Sincerely,
Brian Wrenn,Director
Division of Energy,Mineral and Land Resources
Enclosures: Attachment A—Designer's Certification Forms
Application Documents
Attachment B for SW8 960820—Built-Upon Area Allocation
DES/kpj: \\\Stormwater\Permits&Projects\2021\210211 Offsite\2021 11 permit 210211
cc: Mr.Jason Clark,PE,Norris&Tunstall
2602 Iron Gate Drive,Suite 102,Wilmington,NC 28412
Mr.Bruce B.Cameron Trustee,Master Permittee
P.O.Box 3649,Wilmington,NC 28406
New Hanover County Building Safety Department
New Hanover County Engineering
NCDOT District Engineer
Wilmington Regional Office Stormwater File
err �,fin ; -irA North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
�7 Mrc Wilmington Regional Office 1127 Cardinal Drive Extension I Wilmington,North Carolina.28405
� �, 9i 9t
rogra eAsouh[n ,y/
IMpumMnWEnWaMMITOO stld 910.796.7215.

State Stormwater Management
Permit No. SW8 210311
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
SERVED BY AN OFF-SITE STORMWATER SYSTEM
In compliance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations promulgated and adopted by the North
Carolina Environmental Management Commission, including 15A NCAC 02H.1000 amended on
January 1, 2017 (2017 Rules) (the "stormwater rules"),
PERMISSION IS HEREBY GRANTED TO
Dry Pond Partners, LLC
Barclay Place, Phase 2—Lot 1
2545 Croquet Drive, Wilmington, New Hanover County
FOR THE
construction, management, operation, and maintenance of built-upon area (BUA) draining to a
permitted off-site stormwater system 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 an enforceable part of this permit.
This permit shall be effective from the date of issuance until rescinded 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, 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.
1. MASTER PERMIT. Stormwater runoff from this site, Lot 1, has been approved to be discharged
into and treated by the wet detention pond (the "off-site stormwater system", "off-site stormwater
control measure", or"SCM") operated and maintained by IG Wilmington, LLC (the "Master
Permittee") under the terms and conditions set forth in the latest version of Stormwater
Management Permit No. SW8 960820 (the "Master Permit") and as subsequently modified,
transferred, and renewed.
2. BUA REQUIREMENTS. The maximum amount of BUA approved for this project is 109,770
square feet. The runoff from all BUA within the permitted drainage area of this project must be
directed into the permitted SCM.
a. OFF-SITE SCM BUA LIMITS. The maximum amount of BUA allocated to this development
by the Master Permit is 109,770 square feet. This permit covers the construction of a total of
109,770 square feet of BUA, which includes 0 square feet of future BUA allocation.
Page 1 of 5

State Stormwater Management
Permit No. SW8 210311
3. PERVIOUS AREA IMPROVEMENTS. At this time, none of the pervious area improvements
listed in G.S. 143-214.7(b2) or the Stormwater Design Manual have been proposed for this
project. Pervious area improvements will be allowed in this project if documentation is provided
demonstrating those improvements meet the requirements of the stormwater rule.
4. OFF-SITE SCM REQUIREMENTS. This permit is issued contingent on the permitted off-site
SCM(s) being constructed, operated, certified, and maintained in compliance with the latest
version of the Master Permit, and as it may be subsequently modified, transferred, or renewed.
5. VEGETATED BUFFERS. A 50-foot wide vegetative buffer must be provided and maintained in
grass or other vegetation adjacent to all surface waters as shown on the approved plans. The
buffer is measured horizontally from the normal pool elevation of impounded structures, from the
top of bank of each side of streams or rivers, and from the mean high waterline of tidal waters,
perpendicular to the shoreline.
6. RECORDED DOCUMENT REQUIREMENTS. The stormwater rules require the following
documents to be recorded with the Office of the Register of Deeds:
a. ACCESS AND/OR EASEMENTS. The entire stormwater collection and conveyance system
on the lot, and any maintenance accesses, must be located in public rights-of-way,
dedicated common areas that extend to the nearest public right-of-way, and/or permanent
recorded easements that extend to the nearest public right-of-way for the purpose of
inspection, operation, maintenance, and repair.
b. MASTER PERMIT DEED RESTRICTIONS AND PROTECTIVE COVENANTS. This permit is
issued contingent on the recordation of the restrictions and protective covenants, which are
required under the Master Permit, prior to the sale of this lot and must be maintained in
perpetuity.
7. CONSTRUCTION. During construction, erosion shall be kept to a minimum and any eroded
areas of the project will be repaired immediately.
a. PROTECTION OF OFF-SITE SCM. During construction, all operation and maintenance for
the project shall follow the Erosion Control Plan requirements to protect the downstream off-
site SCM from sedimentation.
b. SCM RESTORATION. If one or more of the SCMs are used as an Erosion Control device
and/or removed or destroyed during construction, it must be restored to the approved state
stormwater design condition, as approved in the Master Permit, prior to close-out of the
erosion control plan and/or project completion and/or transfer of the state stormwater permit.
Upon restoration, a new or updated certification will be required for the SCM(s) and a copy
must be submitted to the appropriate DEQ regional office.
Page 2 of 5

State Stormwater Management
Permit No. SW8 210311
8. MODIFICATIONS. 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), 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.
9. DESIGNER'S CERTIFICATION. Upon completion of the project, the permittee shall determine if
the project is in compliance with the approved plans and take the necessary following actions:
a. If the permittee determines that the project is in compliance with the approved plans, then
within 45 days of completion, the permittee shall submit to the Division one hard copy and
one electronic copy of the following:
i. The completed and signed Designer's Certification provided in Attachment A
noting any deviations from the approved plans and specifications. Deviations
may require approval from the Division;
ii. A copy of the recorded operation and maintenance agreement;
iii. Unless already provided, a copy of the recorded deed restrictions and
protective covenants; and
iv. A copy of the recorded plat delineating the public rights-of-way, dedicated
common areas and/or permanent recorded easements, when applicable.
b. If the permittee determines that the project is not in compliance with the approved plans, the
permittee shall submit an application to modify the permit within 30 days of completion of the
project or provide a plan of action, with a timeline, to bring the site into compliance.
10. OPERATION AND MAINTENANCE. The permittee shall provide and perform the operation and
maintenance necessary, as listed in the signed Operation and Maintenance Agreement titled
Stormwater Collection System Maintenance Requirements, a part of the Off-site Supplement, to
assure that all components of the permitted on-site stomiwater system are maintained at the
approved design condition. The approved operation and maintenance agreement must be
followed in its entirety and maintenance must occur at the scheduled intervals.
a. 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.
b. MAINTENANCE RECORDS. The permittee shall keep records of maintenance activities
and make them 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.
11. CURRENT PERMITTEE NAME OR ADDRESS CHANGES. The permittee shall submit a
completed Permit Information Update Application Form to the Division within 30 days to making
any one or more of the following changes:
a. A name change of the current permittee;
b. A name change of the project;
c. A mailing address change of the permittee.
Page 3 of 5

State Stormwater Management
Permit No. SW8 210311
12. 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.
a. TRANSFER REQUEST. The transfer request must include the appropriate application,
documentation and the processing fee as outlined in Title 15A NCAC 02H.1045(2) and must
be submitted upon occurrence of any one or more of the following events:
i. The sale or conveyance of the project and/or property area in whole or in part,
ii. Dissolution of the partnership, corporate, or LLC entity, subject to NCGS 55-14-05
or NCGS 57D-6-07 and (8);
iii. Bankruptcy;
iv. Foreclosure, subject to the requirements of Session Law 2013-121;
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.
13. COMPLIANCE. The permittee is responsible for complying with the terms and conditions of this
permit and the approved plans and specifications until the Division approves of a formal request
to transfer the permit.
a. REVIEWING AND MONITORING FOR COMPLIANCE. The permittee is responsible for
verifying that the proposed BUA within each drainage area and for the entire project does
not exceed the maximum amount allowed by this permit. The permittee shall review and
routinely monitor the project to ensure continued compliance with the conditions of the
permit, the approved plans and specifications.
b. 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.
c. DIVISION ACCESS. The permittee grants Division Staff permission to enter the property
during normal business hours to inspect all components of the permitted project.
d. 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.
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.
f. OTHER PERMITS. The issuance of this permit does not preclude the permittee from
obtaining and complying with any and all other permits or approvals that are required for this
development to take place, as required by any statutes, rules, regulations, or ordinances,
which are 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.
Page 4 of 5

•
State Stormwater Management
Permit No. SW8 210311
Permit issued this the 5th day of November 2021.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Civuak-az ?a,17
Brian Wrenn, Director,
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 210311
Page 5 of 5

State Stormwater Management
Permit No. SW8 210311
Attachment A
Certification Forms
The following blank Designer Certification forms are included and specific for this project:
• As-Built Permittee Certification
• As-Built Designer's Certification General MDC/Off-site
A separate certification is required for each SCM. These blank certification forms may be copied and
used, as needed, for each SCM and/or as a partial certification to address a section or phase of the
project.
Page 1 of 1

State Stormwater Management
Permit No. SW8 210311
AS-BUILT PERMITTEE CERTIFICATION
I hereby state that I am the current permittee for the project named above, and I certify by my
signature below, that the project meets the below listed Final Submittal Requirements found in NCAC
02H.1042(4) and the terms, conditions and provisions listed in the permit documents, plans and
specifications on file with or provided to the Division.
❑ Check here if this is a partial certification. Section/phase/SCM
#?
❑ Check here if this is part of a Fast Track As-built Package Submittal.
Printed
Name Signature
1, , a Notary Public in the State of
County of , do hereby certify that
personally appeared before me this day of , 20
and acknowledge the due execution of this as-built certification. (SEAL)
Witness my hand and official seal
My commission expires
Permittee's Certification NCAC .1042(4) convie N/A
Provided ,
DEE
D ED RESTRICTIONS 1 BUA RECORDS
1. The deed restrictions and protective covenants have been recorded Y or N
and contain the necessary language to ensure that the project is
maintained consistent with the stormwater regulations and with the
permit conditions.
2. A copy of the recorded deed restrictions and protective covenants Y or N
has been provided to the Division.
3. The built-upon area does not exceed the maximum permitted
amount.
IB. EASEMENTS _ -__ [_ -~---_ __ _ _ .
1. The components of the runoff collection I conveyance'system are Y or N
located in recorded drainage easements.
2. A copy of the recorded plat(s) is provided. Y or N
1 G. OPERATION AND MAINTENANCE AGREEMENT —1
1- The O&M Agreement is referenced on the final recorded plat. Y or N
2- The O&M Agreement is recorded with the Register of Deeds and Y or N
appears in the chain of title-
D. OPERATION AND MAINTENANCE -maintenance records are y or N —
being kept in a known set location and are available for review.
E. DESIGNER'S CERTIFICATION FORM —has been provided to the Y or N
Division.
Provide an explanation for every requirement that was not met, and for every "N/A". Attach additional
sheets as needed.
Page 1 of 3

State Stormwater Management
Permit No. SW8 210311
AS-BUILT DESIGNER'S CERTIFICATION GENERAL MDC/OFF-SITE
I hereby state that I am a licensed professional and I certify by my signature and seal below, that I
have observed the construction of the project named above to the best of my abilities with all due care
and diligence, and that the project meets the below listed General MDC found in NCAC 02H.1050 and
the Off-site MDC as defined in NCAC 02H.1002(29) and the requirements of NCAC 02H.1003(3)(c) in
accordance with the permit documents, plans and specifications on file with or provided to the
Division, except as noted on the "AS-BUILT' drawings, such that the intent of the stormwater rules
and statutes has been preserved.
_ Check here if this is a partial certification. Section/phase/#?
_ Check here if this is a part of a Fast-Track As-Built Package Submittal per .1044(3).
_ Check here if the designer did not observe the construction, but is certifying the project.
Check here if pictures of the Off-site SCM are provided.
Printed
Name Signature
NC Registration
Number Date
Consultant's Mailing Address:
SEAL:
City/State/ZIP
Phone Number
Consultant's Email address:
0, Circle N if the as-built value differs from the Plan. If N is circled, provide an explanation on Page 2.
©N/E = not evaluated (provide explanation on page 2) OO N/A= not applicable to this SCM or project.
Consultant's Certification NCAC .1003((3) & General MU[, I
1050 0As-built ©WE ©N/A
A. THE OFF-SITE SCM _
1. The project controls runoff through an off-site permitted Y or N
SCM that meets the requirements of the MDC.
2. The Off-site SCM has been certified by an appropriately Y or N
licensed design professional as meeting the General
MDC found in NCAC 02H.1050.
3. The Off-site SCM has been certified by an appropriately Y or N
licensed design professional as meeting the specific
MDC for the type of SCM that treats the runoff from this
project.
4. The off-site SCM is currently permitted under permit No. Y or N
SW
B. VEGETATED SETBACKS 1 BUA �
I 1. The width of the vegetated setback for this project is 50' Y or N
and has been measured from the normal pool of
impounded waters, the MHW line of tidal waters, or the
top of bank of each side of rivers or streams.
2. The vegetated setback is maintained in grass or other Y or N
vegetation.
3. BUA that meets the requirements of NCGS 143-214.7 Y or N
(b2)(2) is located in the setback.
Page 2 of 3

State Stormwater Management
Permit No. SW8 210311
4. BUA that does not meet the requirements of NCGS 143- Y or N
214.7 (b2)(2) is located within the setback and is limited
to:
a. Publicly funded linear projects (road, greenway
sidewalk)
b. Water-dependent structures
c. Minimal footprint uses (utility poles, signs, security
lighting and appurtenances)
5. Runoff from the as-built BUA for the project is collected
and directed into the off-site SCM.
—�---- ------ - i—�------� aAs-built ©NIE DD NIA_
C. COMPLIANCE WITH OTHER REGULATORY PROGRAMS Y or N
has been met.
D. SIDE SLOPES
1- Vegetated side slopes are no steeper than 3H:1V. Y or N 2. Side slopes include retaining walls, gabion walls, or Y or N
other surfaces that are steeper than 3H:1 V.
3. Vegetated side slopes are steeper than 3H:1 V(provide Y or N
supporting documents for sons and vegetation).
E. EROSION PROTECTION ---
- 1. The inlets from the project into the off-site SCM do not Y or N
cause erosion in the SCM.
F. DESIGNER QUALIFICATIONS(FAST-TRACK PERMIT)- .
The designer is licensed under Chapters 89A, 89C, 89E, or Y or N
89F of the General Statutes.
Provide an explanation for every MDC that was not met, and for every item marked "N/A" or"N/E",
below. Attach additional pages as needed:
Page 3 of 3

DEMLR USE ONLY
Date Received Fee Paid Permit Number
346/a 1 (ertyy.cb� ) a•13u4 426aS`r° 4 32 )3 (l
Applicable Rules: U❑Coagfal SW-1995 ❑Coastal SW-2008 ❑Ph II-Post Construction
(select all that apply) 0 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 4-1Dos
Division of Energy,Mineral and Land Resources 64/4
STORMWATER MANAGEMENT PERMIT APPLICATION FORM( i �� to;,\
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.):
Barclay Place Phase 2-Lot 1
2. Location of Project(street address):
2545 Croquet Drive(Lot 1)-Note: Address Has Not Yet Been Assigned
City:Wilmington County:New Hanover Zip:28412
3. Directions to project(from nearest major intersection):
From the intersection of Independence Blvd.&US 117(Shipyard Blvd.),turn East on Shipyard Blvd.
Travel-380 FT,then turn right on Southhall Dr. Project is-720 FT on the left.
4. Latitude:34°11'42.4"N Longitude:-77°54'30.2"W of the main entrance to the project.
II. PERMIT INFORMATION:
1.a.Specify whether project is(check one): New ['Modification ❑Renewal w/Modificationt
tRenewals with modifications also requires SWU-102-Renewal Application Form
b.If this application is being submitted as the result of a modification to an existing permit,list the existing
permit number ,its issue date(if known) ,and the status of
construction: :Not Started ❑Partially Completed* ❑Completed* *provide a designer's certification
2. Specify the type of project(check one):
['Low Density DHigh 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):
EICAMA Major ®Sedimentation/Erosion Control:0(within Lot 1) 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:All required permits are under review.
5. Is the project located within 5 miles of a public airport? ❑No ZYes
If yes,see S.L.2012-200,Part VI:http://portal.ncdenr.org/web/lr/rules-and-regulatio CE'VE
Form SWU-101 Version Oct.31,2013 Page 1 of 6 AUGUzi
�Y:

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:Dry Pond Partners,LLC
Signing Official&Title:Bruce B.Cameron,IV,Managing Member
b.Contact information for person listed in item la above:
Street Address:1201 Glen Meade Road
City:Wilmington State:NC Zip:28401
Mailing Address(if applicable):P.O.Box 3649
City:Wilmington State:NC Zip:28406
Phone: (910 ) 762-2676 Fax: (910 ) 762-2680
Email:[e-mail]
c.Please check the appropriate box.The applicant listed above is:
/1 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: ( ) 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: ( ) Fax: ( )
Email:
4. Local jurisdiction for building permits:New Hanover County Building Safety
Point of Contact:Nicholas Gadzekpo,Director Phone#: (910 798- i _ 1_
4 AUGa291
Form SWU-101 Version Oct. 31,2013 Page 2 of 6 BY:

IV. PROJECT INFORMATION
1. In the space provided below,briefly summarize how the stormwater runoff will be treated.
Treated in SW8 960820
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: Date:
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 Cape Fear River basin.
4. Total Property Area:3.14 acres 5. Total Coastal Wetlands Area:0 acres
6. Total Surface Water Area:0 acres
7. Total Property Area(4)—Total Coastal Wetlands Area(5)—Total Surface Water Area(6)=Total Project Area*:
3.14 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
(MHW)line,and coastal wetlands landward from the NHW(or MHW)line.The resultant project area is used to
calculate overall percent built upon area(BLIA). Non-coastal wetlands landward of the NHW(or MHW)line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area/Total Project Area)X 100 =80.2
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 Hewletts Creek
Stream Class * SA
Stream Index Number* 18-87-26
Total Drainage Area(sf) 136,983
On-site Drainage Area(sf) 136,983
Off-site Drainage Area(sf) 0
Proposed Impervious Area**(sf) 109,770
Impervious Area**(total) 80.2%
Impervious**Surface Area Drainage Area 1 Drainage Area_ Drainage Area_ Drainage Area
On-site Buildings/Lots(sf) 0
On-site Streets (sf) 0 E C EIVE
On-site Parking (sf) 0
On-site Sidewalks (sf) 0 K. 4 U LU I
Other on-site (sf) 0
Future(sf) 102,365 BY:
Off-site (sf) 0
Existing BUA***(sf) 7,405
Total (sf): 109,770
* 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 BLIA 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

11. How was the off-site impervious area listed above determined?Provide documentation.N/A
Projects hi 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 15A NCAC 028.0600
V. SUPPLEMENT AND O&M FORMS
The applicable state stortstwater 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 lii p:L/portal.ncdenr.org/web/wq ws su/brnp-manta[.
V.I. 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:/Jportal.ncdenr.org/webLwgJwe/su/statesw/fori°ris does. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at http:/Jportal.ncdenr.org/we ineVwslsu map.)
Please indicate that the following required information have been provided by initial 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 t �/vortal.nadenr.orglweb/wg/ws/su lstatesw/forms dncs.
Is
1. Original and one copy of the Stormwater Management Permit Application Form.
2. OriginaI and one copy of the signed and notarized Deed Restrictions&Protective Covenants t`L.,
Form.(if required as per Part Vii below)
3. Original of the applicable Supplement Form(s)(sealed,signed and detect)ing O&M
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/management fo 'Jwe,t
6, A USCS map identifying the site location. If the receiving stream is reported as class SA or the .i i 1
receiving stream drains to class SA waters within 1 mile of the site boundary,include the 1
mile radius on the map. r }
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 impounc C E I V E
structures,the banks of streams or rivers,and the MHW(or NHW)of tidal waters.
i_ Dimensioned property/project boundary with bearings&distances. AUG ` e 2021
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours,proposed contours,spot elevations,finished floor elevations. § I
1. Details of roads,drainage features,collection systems,and stormwater control measur :
in.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.
ti. Existing drainage(including off site),drainage easements,pipe sizes,runoff calculations.
o. Drainage areas delineated(included in the math set of plans,not as a separate document).
p. Vegetated buffers(where required).
Form SW 1 Q 1 Version Oct.31,2013 Page 4 of 6 TIN6i E Ii` ` p

9. Copy of any applicable soils report with the associated SHWT elevations(Please identify I] k
elevations in addition to depths)as well as a map of the boring locations with the existing y
elevations and boring logs.Include an 8.5"x11"copy of the NRCS County Soils map with the
project area dearly 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 ven)" the SHWT prior
to submittal,(9W)796-7378.) Ci/L-
10. A copy of the most current property deed.Deed book: Page No:
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 Ia,2a,and/or 3a per 15A NCAC 2H.1003(e).
The corporation or LLC must be listed as art active corporation in good standing with the NC
Secretary of State,otherwise the application will be returned.
http:/iwww.secretary.state.ncais/Corpoietionstagargluagt
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
TIUA 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 J/portal.ncdenr.orghvebllrfstate-
stormwaterforms docs,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 signatures)below,the permit holderis)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 front 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 for firm)so that they may provide information on your behalf for this project(such as
addressing requests for additional information).
Consulting Engineer.T.lason Clark.P.E.
Consulting Firm:Norris&Tunstall Consulting Engineers,P.c.
Mailing Address:2602 Iron Gate Drive.Suite 102
City:Wilmington State:NC Zip:28412
Phone: (9j0 ) 343-9653 Fax: (910 ) 343-9604 �.
Email:jclarlc ntengineers.com & anorris@ntengineers=com
IX. PROPERTY OWNER AUTHORIZATION(if Contact Inforrraation,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 la) with(print or type name of organization listed in
Contact Information,item la) to develop the project as current& • •.--. -, y of
the lease agreement or pending property sales contract has been provided with th "4 ' the
party responsible for the operation and maintenance of the stormwater system.
, i AUG 2 J 2021
BY:
ForinS -ICI Version 2 13 1060\141-1-1
Wt1 ers Oct. l, 0 Page 5 of 6
cOorn

As the legal property owner I acknowledge,understand,and agree by my signature below,that if my designated
agent(entity listed in Contact Information,item 1)dissolves their company and/or cancels or defaults on their
lease agreement,or pending sale,responsibility for compliance with the DEMLR Stormwater permit reverts back
to me,the property owner.As the property owner,it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days;otherwise I will be operating a stormwater
treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility
without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action including the assessment of civil penalties of up to$25,000 per day,pursuant to NCGS 143-215.6.
Signature: Date:
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)Bruce B. Cameron,IV,Managing Member
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 will be recorded,and that the proposed project complies with the requirements of the
applicable stormwater rules der 15A NCAC 2H.1000 and any other applicable state stormwater requirements.
Signature: I'�/14-' 4, Date: ` Ji 2
I,�..—✓l.I. f1'.in �• /�
�7y 7,a Notaryy Public for the State of �,. � i my of
f Q(,, fr-" ,do hereby certify that / , (� �syl�{{b� `personally appeared
before me this d day of2Z) .and aclm wledge the ue execution of plication for
a stormwater permit. Witness hand and official seal, 77?
SEAL
U' NOTARY
PUBLIC
� _
aF✓
My commission expires �-�3� _�od 4-k
? 000N
nnn mineo#
ECEIVE
AUG 2 0 2021
BY:_
Form SWU-101 Version Oct.31,2013 Page 6 of 6

Permit No. W $ a- b l i _
(to be provided by DEMLR)
State of North Carolina
Department of Environment and Natural Resources
Division of Energy,Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
-t D bt SS
OFF-SITE SYSTEM SUPPLEMENT ®�,,
FOR DEVELOPMENT DRAINING TO PERMITTED OFF-SITE TREATMENT SYSTEMS \gift
This form may be photocopied for use as an original (Lbk
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DEMLR Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater management permit application, an
off-site system supplement for each off-site stormwater treatment system, appropriate supplement forms for any
on-site stormwater treatment systems, and plans and specifications showing all stormwater conveyances and
drainage details for the project.
I. PROJECT INFORMATION
Project Name : Barclay Place Phase 2-Lot 1
Contact Person: T. Jason Clark,P.E. Phone Number: [phone]
Is all drainage from the project directed to the off-site system? (check one): ®Yes ❑No
II. OFF-SITE SYSTEM INFORMATION(please complete the following information for the off-site system
that will treat runoff from your project):
Permit No. SW8 960820
Project Name:Barclay Place
Type of System(wet pond, infiltration basin, etc.):Wet Detention Pond
Lot No. (if part of a subdivision):Lot 1
How much built upon area draining to the permitted treatment system has been alloca _ ?c-
project?109,770 '' ' ,
41,1G 2 J 2021 ID
III. REQUIRED ITEMS CHECKLIST
BY:
Prior to issuing an off-site permit, verification of the following information must be provided. Initial in the
space provided to indicate that the following 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.
Form SW401-Off-Site System-Rev.1 Page 1 of 2

Appli ants Initials
A a. Deed restrictions limiting the built-upon area on the site have been recorded.
b. Engineers certification for the existing off-site system has been submitted to DEMLR.
rI_ c. There are no outstanding Notices of Violation for the off-site system.
'VA A - d. Off-site system is in compliance with the issued pe it.
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IV. STORMWATER COLLECTION SYSTEM MAIN ENANCE REQUIRE I D TS
1. Mowing will be accomplished as needed according to the season. Grass height will not exceed six inches at
any time.
2. Accumulated sediment and trash will be removed from the collection system as necessary. Swales and
ditches will be reseeded or sodded following sediment removal.
3. Eroded areas of swales and ditches will be repaired and reseeded. Swales and ditches will be revegetated as
needed based on monthly inspections.
4. The collection system, including 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.
5. The collection system may not be altered in any way without prior approval from NCDENR Division of
Energy, Mineral and Land Resources.
I acknowledge and agree by my signature below that I am responsible for maintaining the stormwater collection
system in accordance with the five maintenance procedures listed above. I agree to notify DEMLR of any
problems with the system or prior to any changes to the system or responsible party.
Print Name and Title:Bruce B. Cameron, IV,Managing Member/Dry Pond Partners,LLC
Address:P.O. Box 3649 Wilmington,NC 28406
Phone:910-762- 76 Date: Pig S f Z l
Signature:
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, _�.� Y� �, � 1 D V ,a Notary Public for the State of6, 1 hgr—rCounty of
,do hereby certify that .. ele y 5,170 02trally appeared before me this a
day of A , ,and acknowledge the due execution of the forgoing document including the stormwater
collection system maintenance requirements. Witness my hand and official seal,
�dia 7
otary Public
N y? 'Y My commission expires 5 3P "
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