SW8010405_CURRENT PERMIT_20231002

STORMWATER DIVISION CODING SHEET
POST-CONSTRUCTION PERMITS
PERMIT NO. SW8 alb q 09
DOC TYPE LIB' CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE dW3 (y 0 ;L
YYYYMMDD

�yb MNa�
ROY COOPER 2q~
Governor " * •� ' ,.
ELIZABETH S.BISER `�
Secretory u"^`�•
WILLIAM E.TOBY VINSON,JR NORTH CAROLINA
interim Director Environmental Quality
October 2md,2023
Coastal Community Baptist Church
Attn: Greg Hales, Pastor
PO Box 12270
Wilmington,NC 28405
Subject: Permit Renewal
Post-Construction Stormwater Management Permit No. SW8010405
Coastal Community Baptist Church
New Hanover County
Dear Mr. Hales:
On August 5, 2009, the Governor signed Session Law 2009406. This law impacted any development approval
issued by the former Division of Water Quality under Article 21 of Chapter 143 of the General Statutes, which
was current and valid at any point between January 1, 2008, and December 31, 2010. The law extended the
effective period of any permit that was set to expire during this time frame to three(3)years from its current
expiration date. On August 2, 2010,the Governor signed Session Law 2010-177,which granted an extra year for
a total of four(4)years extension.
The Division of Energy, Mineral and Land Resources received a complete 8-year Permit Renewal Application for
the subject permit on September 28', 2023. The Division is hereby notifying you that permit SW8010405 has
been renewed, updated, and re-issued on October 2nd, 2023,as attached. Please be aware that the renewal and re-
issuance of this stormwater permit does not imply that the site is currently in compliance.
This permit shall be effective until June 1",2031, and does not supersede any other agency permit that may be
required. The project shall be subject to the conditions and limitations as specified therein. This permit does not
impose new or increased stormwater control requirements; it clarifies the rules and requirements of this program
to provide you with a better understanding of your obligations under this permit. Failure to comply with these
requirements will result in future compliance problems. Please note that this permit is not transferable except
after notice to and approval by the Division.
If any parts, requirements,or limitations contained in this permit are unacceptable,you have the right to request
an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings(OAH). The
written petition must conform to Chapter 150B of the North Carolina General Statutes and must be filed with the
OAH within thirty(30)days of receipt of this permit. You should contact the OAH with all questions regarding
the filing fee(if a filing fee is required) and/or die details of the filing process at 6714 Mail Service Center,
Raleigh,NC 27699-6714,or via telephone at 919-431-3000,or visit their website at www.NCOAH.com. Unless
such demands are made this permit shall be final and binding.
If you have any questions concerning this permit, please contact Logan Inman in the Wilmington Regional Office,
at(910) 796-7215 or [e-mail].
Sincerely, (�(�
cgu `/yA
William E. Toby Vinson,Jr., PE,CPM, Interim Director
Division of Energy, Mineral and Land Resources
r. ®Nn North Carolina Department of Environmental Quality l Division of.Energy,Mineral and Land Resources
rnm
'�',/1g Wilmington Regional Office 1127Cardinal Drive Extension I Wilmington,North Carollna2a405
910.796.723

State Stormwater Permit No. SW8 010405
Page 2 of 2
Enclosures: Attachment C—Permitting History
copy of the Renewal Application Documents
DES/lwi: \\\Stormwater\Permits&Projects\2001\010405 HD\2023 10 permit 010405
cc: Phillip G.Tripp,PE;Tripp Engineering
Wilmington Regional Office Stormwater File
®VR O%M North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
Wilmington Regional office 1 127 Cardinal Drive Extension I Wilmington,North Carolina 28405
910.796.7215

State Stormwater Management
Permit No. SW8 010405
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST-CONSTRUCTION STORMWATER MANAGEMENT PERMIT
DEVELOPMENT WITH AREAS OF BOTH HIGH AND LOW DENSITY
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 (1995 Rules) as amended on January 1, 2017 (2017 Rules) (collectively, the
"stormwater rules"),
PERMISSION IS HEREBY GRANTED TO
Coastal Community Baptist Church
Coastal Community Baptist Church
7721 Alexander Road, Wilmington, New Hanover County
FOR THE
construction, management, operation and maintenance of built-upon area (BUA), one (1) area
of 24% low density (the "low density area") as well as two (2) wet detention ponds ("stormwater
control measures" or "SCMs") discharging to Class SA-HQW greater than one-half mile as
outlined in the application, approved stormwater management plans, supplement(s),
calculations, operation and maintenance agreement, recorded documents, specifications, and
other supporting data (the "approved plans and specifications") as attached and/or on file with
and approved by the Division of Energy, Mineral and Land Resources (the "Division" or
"DEMLR"). The project shall be constructed, operated, and maintained in accordance with these
approved plans and specifications. The approved plans and specifications are incorporated by
reference and are enforceable part of this permit.
This permit shall be effective from the date of issuance until June 1, 2023, and shall be subject
to the following specified conditions and limitations. The permit issued shall continue in force
and effect until the permittee files a request with the Division for a permit modification, transfer,
renewal, or rescission; however, these actions do not stay any condition. The issuance of this
permit does not prohibit the Director from reopening and modifying the permit, revoking and
reissuing the permit, or terminating the permit for cause as allowed by the laws, rules, and
regulations contained in 15A NCAC 02H.1000 and NCGS 143-215.1 et.al.
1. BUA REQUIREMENTS. The maximum amount of BUA allowed for the entire project is
150.654 square feet. The runoff from all BUA within the permitted drainage areas of this
project must continue to be directed into the permitted SCMs. The following specific
requirements pertain to the BUA on this project:
Page 1 of 6

State Stormwater Management
Permit No. SW8 010405
a. LOW DENSITY BUA LIMITS. The low-density area, also referred to as Drainage Area
3 in the approved plans and specifications, must not exceed 24% per the requirements
of the stormwater rules. Within this low-density area, this permit covers the
construction of a total of 3,296 square feet of BUA, which includes 3,296 square feet of
proposed BUA. This permit does not provide any allocation of built-upon area for future
development within this low-density area.
b. SCM BUA LIMITS. The SCMs labeled Detention Pond 1 and Detention Pond 2 have
been designed using the runoff treatment method to handle the runoff from 123,807
square feet and 23,551 square feet of BUA, respectively, within the delineated
drainage areas. This permit does not provide any allocation of BUA for future
development within the delineated drainage area(s).
c. #57 STONE. SCM drainage area 1 is proposing 5,429 square feet of#57 stone laid at
least four inches thick over a geotextile fabric as a pervious surface for the access
road to the back portion of the lot. The underlying soil should not be mechanically
compacted prior to installation. If, in the future, this pervious surface is found to no
longer meet these requirements, a permit modification will be required.
2. SCM REQUIREMENTS. The following requirements pertain to the SCMs on this project:
a. SCM DESIGN. The SCMs are permitted based on the design criteria presented in the
sealed, signed and dated supplements and as shown in the approved plans and
specifications. These SCMs must be provided and maintained at the design condition.
b. PLANTING PLAN. The SCM landscape planting plan shown in the approved plans
shall be followed in its entirety during construction. After the plants are established, the
operation and maintenance agreement must be followed.
c. FOUNTAINS. At this time, a decorative spray fountain has not been proposed within
the wet pond. Decorative spray fountains will be allowed in the wet pond if
documentation is provided demonstrating that the proposed fountain will not cause
resuspension of sediment within the pond or cause erosion of the pond side slopes
d. IRRIGATION. If the wet pond is to be used for irrigation, it is recommended that some
water be maintained in the permanent pool, the vegetated shelf is planted with
appropriate species that can handle fluctuating conditions, and human health issues
are addressed.
3. LOW DENSITY AREA REQUIREMENTS. The following requirements pertain to the low-
density area of this project:
a. LOW DENSITY AND CONVEYANCE DESIGN. The low-density area is permitted
based on the design criteria presented in the sealed, signed and dated supplement
and as shown in the approved plans and specifications. This low-density area and
conveyances must be provided and maintained at the design condition.
b. PIPING. Other than the piping shown on the approved plans, only minimal amounts of
piping under driveways and roads is allowed within the low-density area when it cannot
be avoided. No additional piping is allowed.
c. DISPERSED FLOW. The low-density area has maximized dispersed flow of
stormwater runoff through vegetated areas and minimized the channelization of flow.
Page 2 of 6

State Stormwater Management
Permit No. SW8 010405
d. VEGETATED CONVEYANCES. Stormwater runoff that could not be released as
dispersed flow may be transported by vegetated conveyances with minimum side
slopes of 3:1 (H:V) designed to not erode during the peak flow from the 10-year storm
event as defined in the stormwater rules and approved by the Division.
4. NON-ENFORCEABLE SCMS. The existing pond shown on the plans in Drainage Area 3
is not required by the Division and has not been demonstrated to meet the State
Stormwater Minimum Design Criteria and therefore is not considered a part of the
approved state stormwater treatment system. This additional measure is incorporated only
by reference and is not enforceable parts of the permit.
5. STORMWATER OUTLETS. The peak flow from the 10-year storm event shall not cause
erosion downslope of the discharge point.
6. VEGETATED SETBACKS. A 50-foot wide vegetative setback must be provided and
maintained in grass or other vegetation adjacent to all surface waters as shown on the
approved plans. The setback 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.
a. BUA IN THE VEGETATED SETBACK. BUA may not be added to the vegetated
setback except as shown on the approved plans.
b. RELEASE OF STORMWATER NOT TREATED IN AN SCM. Stormwater that is not
treated in an SCM, such as in the low density area including roof drains, must be
released at the edge of the vegetated setback and allowed to flow through the setback
as dispersed flow.
7. 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. OPERATION AND MAINTENANCE AGREEMENT. The operation and maintenance
agreement must be recorded with the Office of the Register of Deeds.
c. FINAL PLATS. If a final plat is recorded, it must reference the operation and
maintenance agreement and must also show all public rights-of-way, dedicated
common areas, and/or permanent drainage easements, in accordance with the
approved plans.
d. DEEDS. The permittee shall record deed restrictions and protective covenants prior to
the issuance of a certificate of occupancy to ensure the permit conditions and the
approved plans and specifications are maintained in perpetuity.
8. CONSTRUCTION. During construction, erosion shall be kept to a minimum and any
eroded areas of the on-site stormwater system will be repaired immediately.
a. UNDERGROUND SCMs. It is recommended that during the installation of the
underground SCM, photos be taken documenting the construction and demonstrating
that the constructed SCM meets the approved design. It is further recommended that
these photos be submitted with the required Designer's Certification.
Page 3 of 6

State Stormwater Management
Permit No. SW8 010405
b. SCM OPERATIONAL PRIOR TO DEVELOPMENT. During construction, all operation
and maintenance for the project shall follow the Erosion Control Plan requirements
until the Sediment-Erosion Control devices are converted to SCMs. Once the device is
converted to a SCM, the permittee shall provide and perform the operation and
maintenance as outlined in the applicable section below.
c. 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 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.
9. 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.
10. 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.
Page 4 of 6

State Stormwater Management
Permit No. SW8 010405
11. OPERATION AND MAINTENANCE. The permittee shall provide and perform the
operation and maintenance necessary, as listed in the signed operation and maintenance
agreement, 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 or in
the event that the low density area fails to meet the requirements of low density, the
permittee shall take immediate corrective actions. This includes actions required by the
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. 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.
12. PERMIT RENEWAL. A permit renewal request must be submitted at least 180 days prior
to the expiration date of this permit. The renewal request must include the appropriate
application, documentation and the processing fee as outlined in 15A NCAC 02H.1045(3).
13. 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.
14. 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
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);
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.
15. 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 the
transfer request.
Page 5 of 6

State Stormwater Management
Permit No. SW8 010405
a. REVIEWING AND MONITORING FOR COMPLIANCE. The permittee is responsible
for verifying that the proposed BUA 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, supplements, 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.
f. ANNUAL CERTIFICATION. The permittee shall electronically submit to the Division
an annual certification completed by either the permittee or their designee confirming
the project's conformance with permit conditions.
g. 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.
h. 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 renewed, updated and reissued this the 2nd day of October 2023.
NORTH
/C�ARO� (
LINA ENVIRONMENTAL MANAGEMENT COMMISSION
✓r;William E. Toby Vinson, Jr., PE, CPM, Interim Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 6 of 6

Attachment C- Permitting History
Coastal Community Baptist Church
Permit No. SW8 010405
Approval Permit Action BIMS Description of the Changes
Date Version
Approved two wet detention ponds with 123,807 square
6/1/2001 I.0
Original feet and 23,551 square feet of BUA draining to
Approval Detention Pond No. 1 and Detention Pond No. 2,
respectively
5/20/2019 Transfer 1.1 Transferred under the provision of Session Law 2013-
121.
5/31/2019 Renewal 2.0 Renewed the expired permit
The building layout for DA I was modified, with
building BUA increasing by 5,498 sf and sidewalk BUA
increasing by 2,877 sf. Asphalt/parking BUA decreased
Major by 8,375 sf in DA 1. Also included in DA I was 5,429 sf
8/21/2019 Modification 2.1 of#57 stone (4" thick over geotextile fabric). The total
BUA for DA 1 and DA2, however, remained the same.
DA3 was added with the purchase of an adjacent plot.
DA3 was approved as Low Density with 3,296 sf of
BUA approved.
10/2/2023 Renewal 3.0 Expires 6-1-2031
Page 1 of 1

Operation & Maintenance Agreement
Project Name: Coastal Community Baptist Church
Project Location: 7721 Alexander Road
Cover Page
Maintenance records shall be kept on the following BMP(s). This maintenance record shall be kept in a log in a known set location.
Any deficient BMP elements noted in the inspection will be corrected, repaired,or replaced immediately. These deficiencies can
affect the integrity of structures,safety of the public,and the pollutant removal efficiency of the BMP(s).
The BMP(s)on this project include(check all that apply&comes onding O&M tables will be added automatically):
Bioretention Cell Quantity: Location(s):
Dry Detention Basin Quantity: Location(s):
Grassed Swale Quantity: Location(s):
Green Roof Quantity: Location(s):
Infiltration Basin Quantity: Location(s):
Infiltration Trench Quantity: Location(s):
Level SpreaderNFS Quantity: Location(s):
Permeable Pavement Quantity: Location(s):
Proprietary System Quantity: Location(s):
Rainwater Harvesting Quantity: Location(s):
Sand Filter Quantity: Location(s):
Stormwater Wetland Quantity: Location(s):
Wet Detention Basin Quantity: 2 Location(s): front and rear of property
Disconnected Impervious Area Present: No Location(s):
User Defined BMP Present: No Location(s):
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each BMP above, and attached O&M tables. I agree to notify NCDENR of any problems with the system or prior to any changes to
the system or responsible party.
`Responsible Party: Greg Hales
Title&Organization: Pastor, Coastal Community Baptist Church
Street address: 7721 alexander Road
City,state,zip: Wilmington, NC 28411
Phone number(s): 910-686-7775
Email: [e-mail]
Signature:xjjJ/Jy Date: /�
I, A c ,a Notary Public for the State of J-X `G /"IJ
County of I me yJ do hearby certify that �' les
personally appeared before me this q day of r' .20!e _ and
acknowledge the due execution of the Ope12111 sand Maintenance
Agreement.
Witness my hand and official seal, alcc.'44
ECEI aD�+/'� ®®
i.`. E
JUL 292019
Seal My commission expires
STORM-EZ 4/2/2019
Version 1.4 O&M Manual Page 1 of 4

Wet Detention Pond Maintenance Requirements I
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the vegetated filter if one
is provided.
Important maintenance procedures:
_ Immediately after the wet detention basin is established,the plants on the vegetated shelf and perimeter of the
basin should be watered twice weekly if needed, until the plants become established (commonly six weeks).
No portion of the wet detention pond should be fertilized after the first initial fertilization that is required to
establish the plants on the vegetated shelf.
Stable groundcover should be maintained in the drainage area to reduce the sediment load to the wet detention
basin.
_ If the basin must be drained for an emergency or to perform maintenance,the flushing of sediment through the
emergency drain should be minimized to the maximum extent practical.
Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and within 24 hours after every storm event
greater than 1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance should be kept in a known
set location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
BMP element: Potential problem: How I will remediate the problem:
The entire BMP Trash/debris is present. Remove the trash/debris.
The perimeter of the BMP Areas of bare soil and/or Regrade the soil if necessary to remove the gully, and then plant a
erosive gullies have formed. ground cover and water until it is established. Provide lime and a one-
time fertilizer application.
Vegetation is too short or too Maintain vegetation at a height of approximately six inches.
long.
The inlet device The pipe is clogged. Unclog the pipe. Dispose of the sediment off-site.
The pipe is cracked or Replace the pipe.
otherwise damaged.
Erosion is occurring in the Regrade the Swale if necessary to smooth it over and provide erosion
swale. control devices such as reinforced turf matting or riprap to avoid future
problems with erosion.
Stone verge is clogged or Remove sediment and replace with clean stone.
covered in sediment(if
applicable).
The forebay Sediment has accumulated to Search for the source of the sediment and remedy the problem if
a depth greater than the possible. Remove the sediment and dispose of it in a location where it
original design depth for will not cause impacts to streams or the BMP.
sediment storage.
Erosion has occurred. Provide additional erosion protection such as reinforced turf matting or
riprap if needed to prevent future erosion problems.
Weeds are present. Remove the weeds, preferably by hand. If pesticide is used,wipe it on
the plants rather than spraying.
The vegetated shelf Best professional practices Prune according to best professional practices
show that pruning is needed
to maintain optimal plant
health.
Plants are dead,diseased or Determine the source of the problem: soils, hydrology, disease, etc.
dying. Remedy the problem and replace plants. Provide a one-time fertilizer
application to establish the ground cover if a soil test indicates it is
necessary.
Weeds are present. Remove the weeds, preferably by hand. If pesticide is used, wipe it on
the plants rather than spraying.
JUL 2 9 2019
STORM-EZ BY: 4/2/2019
version 1.4 O&M Manual Page 2 of 4

I Wet Detention Pond Maintenance Requirements (Continued) I
The main treatment area Sediment has accumulated to Search for the source of the sediment and remedy the problem if
a depth greater than the possible. Remove the sediment and dispose of it in a location where it
original design sediment will not cause impacts to streams or the BMP.
storage depth.
Algal growth covers over 50% Consult a professional to remove and control the algal growth.
of the area.
Cattails, phragmites or other Remove the plants by wiping them with pesticide(do not spray).
invasive plants cover 50%of
the basin surface.
The embankment Shrubs have started to grow Remove shrubs immediately.
on the embankment.
Evidence of muskrat or beaver Use traps to remove muskrats and consult a professional to remove
activity is present. beavers.
A tree has started to grow on Consult a dam safety specialist to remove the tree.
the embankment.
An annual inspection by an Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. (if applicable)
The outlet device Clogging has occurred. Clean out the outlet device. Dispose of the sediment off-site.
The outlet device is damaged Repair or replace the outlet device.
The receiving water Erosion or other signs of Contact the local NC Department of Environment and Natural
damage have occurred at the Resources Regional Office.
outlet.
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.
EOEIVE
JUL 292019
BY:
STORM-EZ
a of
Version 1.4 08M Manual Pagee 3 3 of 4 4

I Wet Detention Pond Design Summary I
Wet Pond Diagram
WET POND ID FOREBAY MAIN POND
Permanent Pool El. 33 Permanent Pool El. 33
Temporary Pool El: 34.65 Temporary Pool El: 34.65
Pretreatment other No Clean Out Depth: 2.25 Clean Out Depth: 4.875
than forebay? Sediment Removal El: 30.75 Sediment Removal El: 28.125
Has Vag.Filter:+ Yes Bottom Elevation: 30 Bottom Elevation: 28
WET POND ID FOREBAY MAIN POND
Permanent Pool El. 38 Permanent Pool El. 38
Temporary Pool El: 39 Temporary Pool El: 39
Pretreatment other No Clean Out Depth: 2.25 Clean Out Depth: 3.75
than forebay? Sediment Removal El: 35.75 Sediment Removal El: 34.25
Has Vag.Fitter? Yes Bottom Elevation: 35 Bottom Elevation: 33
EGEBVE[I
JUL 292019
BY:
STORM-EZ Version 1.4 4/2/2079
O&M Manual Page 4 of 4

SOSID: 1156779
Date Filed: 5/4/2018 1:52:00 PM
Elaine F. Marshall
North Carolina Secretary of State
STATE OF NORTH CAROLINA C2018 115 03518
DEPARTMENT OF THE SECRETARY OF STATE
STATEMENT OF CHANGE OF REGISTERED
OFFICE AND/OR REGISTERED AGENT
Pursuant to §55D-31 of the General Statutes of Notch Carolina, the undersigned entity submits the following for the purpose of
changing its registered office and/or registered agent in the State of North Carolina.
INFORMATION CURRENTLY ON FILE
The name of the entity is: Coastal Community Baptist Church
The street address and county of the entity's registered office currently on file is:
Number and Street: 1612 Setter Lane / ?7 a/
City: Wilmington State: NC zip Code: 28411 County: New Hanover
The mailing address if different from the street address of the registered office currently on file is:
Number and Street: PO BOX 12270
City: Wilmington State: NC zip code: 28405 County: New Hanover
The name of the current registered agent is: Greg Hales
NEW INFORMATION A8
1. The street address and county of the new registered office of the entity is:
(complete this item only if the address of the registered office is being changed) EZUZ g Z d3S
Number and Street: 7721 Alexander Rd.
City: Wilmington State: NC zip code: 28411 County. New Hanover
2. The mailing address if different from the street address of the new registered office is:
(complete this item only if the address of the registered office is being changed)
Number and Street: PO BOX 12270
City: Wilmington State: NC zip Cade: 28405 County: New Hanover
3. The name of the new registered agent and the new agent's consent to appointment appears below:
(complete this item only if the name of the registered agent is being changed)
Type or Print Name of New Agent 'Signature&Title
4. The address of the entity's registered office and the address of the business office of its registered agent,as changed,
will be identical.
5. This statement will be effective upon filing,unless a date and/or time is specified:
This is the 18 dayofApril 2018 Coastal Community Baptist Church_
ryN
Signature
Greg Hales,Past (Registered Agent)
Notes: Filing fee is$5.00. This document must be filed with the Secretary of State. Type or Print Name and Title
•-Instead of signing here,the new registered agent may sign a separate written consent to the appointment,which must be attached to this statement
BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH,NC 27626-0622
Revised July 2017 Form BE-06

.4•, I _ _ `-' - DEMLR USE ONLY
Date Rec ived Fee Paid I I Permit Number
PE 385 505 Fro 0 oS
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER: SEPL d
PERMIT RENEWAL APPLICATION FORM
In accordance with 15A NCAC 21-1.1045(3), the current permit holder shall renew their high density permit 180 days
prior to its expiration. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB 781)
Section 60.(c). This application form is for permit renewals only.
A. PROJECT INFORMATION
1. State Stormwater Permit Number: SW8 010405
2. Project name: Coastal Community Baptist Church
3. Project street address: 7721 Alexander Road
City: Wilmington County: NC ZIP :
28411
4. What, if any, changes have been made to the project as permitted? N/A
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at: https://deg.nc.gov/abouUdivisions/energy-
mineral-la nd-resources/energy-mineral-la nd-rules/stormwater-program/post-construction.
B. PERMITTEE INFORMATION
If changes to the permittee or project name have been made, please complete either the Permit Update form
or the Permit Transfer form available at: https:Hdeg.ne.gov/abouUdivisions/energy-mineral-land-
resources/energy-mineral-land-rules/stormwater-program/post-construction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Company Name/Organization: Coastal Community Baptist Church
2. Signing Official's Name: Gress Hales
3. Signing Official's Title: Pastor
4. Mailing Address: PO Box 12270
City: Wilmington State: NC ZIP
28405
5. Street Address: 7721 Alexander Road
City: Wilmington State: NC ZIP
28411
6. Phone: (910) 686 Email: 7775
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018

C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non-Coastal HQW/ORW). Only applications packages that
include all required'items listed below will be accepted and reviewed.
Initial each item below to indicate that the required information is provided in the application package:
1. A permit application processing fee of$505.00 payable to NCDEQ.
2. One original signed hard copy and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a. Corporation —a principle executive officer of at least the level of vice-president;
to. Limited Liability Company (LLC)—a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act;"
c. Public Entity—a principal executive officer, ranking official, or other duly authorized employee;
d. Partnership or limited partnership —the general partner;
e. Sole proprietor; or
f. Letter of authorization signed by one of the signatories noted in a —e above authorizing the
signature of another entity.
3. One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including: deed restrictions, protective covenants,
condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
4. O&M Agreements, Please select one:
® I have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit; or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
5. Designer Certifications, Please select one:
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
® A copy of the certification(s)confirming that the project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built.
6. [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosne.gov/online services/search/by title/ Business Registration
Stormwater Permit Renewal Application Form Page 2 of 3 May 11,2018

D. PERMITTEE'S C RTIFII�C,/ATION
I, t�/J , the person legally responsible for the permit, certify that I have
a copy of the Permit and O&M Agreement on site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs
or built-upon area and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SCMs, or ownership. All information provided on this permit renewal application is, to the best of my
knowledge, cor vt amend com a e.
Signature: ( "/�'"X Date:
�—
NOTA RATION:
1, Ory /9� 45�✓f a Notary Public for the State of
r (,(/./&ImA , County of New l Y llel- , do hereby certify
that re58� J 1,5 personally appeared before me
this th ffo,"'".....'°" day of�O�(/�i� 20 a-3 g and acknowledge the due
ex gt sjtg instrument. Witness my hand and official seal,
e � e OS ARYFN,
of se G ; Z '
z"Z�� pUgL\ oti`�/�yc
z ti
Notary O
My commission expir s
VE
SEP 18 1023
BY:__�_
Stormwater Permit Renewal Application Form Page 3 of 3 May 11,2018

/� TE 01017
Permit No. aJA o/o //Us:—
(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 photocopied for use as an original
DWO Stormwater Management Plan Review:
A complete Stormwater management plan submittal includes a wet detention basin supplement for each basin,
design calculations, plans and specifications showing all basin and outlet structure details, and a signed and
notarized operation and maintenance agreement.
I. PROJECT INFORMATION (please complete the following information):
Project Name: North Grove Evangelical Presbyterian Church
Contact Person: Phillip Tripp Phone Number: 910 7635100
For projects with multiple basins, specify which basin this worksheet applies to: 1
elevations
Basin Bottom Elevation 26.5 ft. (floor of the basin)
Permanent Pool Elevation 33.0 ft. (elevation of the orifice)
Temporary Pool Elevation 34.65 ft. (elevation of the discharge structure overflow)
areas
Permanent Pool Surface Area 6.328 sq.ft. (water surface area at the orifice elevation)
Drainage Area 5.31 ac. (on-site and off-site drainage to the basin)
Impervious Area 2.84 ac. (on-site and off-site drainage to the basin)
volumes
Permanent Pool Volume _22,410_cu.ft. (combined volume of main basin and forebay)
Temporary Pool Volume _12.467 cu.ft. (volume detained above the permanent pool)
Forebay Volume _4,506 cu.ft. (approximately 20% of total volume)
Other parameters
SA/DA' _2.54 (surface area to drainage area ratio from DWQ table)
Diameter of Orifice 1.5 in. (2 to 5 day temporary pool draw-down required)
Design Rainfall 1 in.
Design TSS Removal2 90 % (minimum 85%required)
Form SWU-102 Rev 3.99 Page 1 of 4

Footnotes:
I. 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 penmanent 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.
Applic nips Initials
r a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
Pb. The forebay volume is approximately equal to 20% of the total basin volume.
c. The temporary pool controls runoff from the design storm event.
d. The temporary pool draws down in 2 to 5 days.
NA e. if required, a 30-foot vegetative filter is provided at the outlet (include non-erosive flow
calculations).
f. The basin length to width ratio is greater than 3:1.
g. The basin side slopes above the permanent pool are no steeper than 3:1.
It. A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
i. Vegetative cover above the permanent pool elevation is specified.
j. A trash rack or similar device is provided for both the overflow and orifice.
k. A recorded drainage easement is provided for each basin including access to nearest right-
of-way.
1._ If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified to be performed prior to use as a wet detention basin
in. A mechanism is specified which will drain the basin for maintenance or an emergency.
IQ. 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) ❑ does X does not incorporate a vegetated filter at the outlet.
This system (check one) ❑ does X 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 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 not be handled in a manner that will 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 4.875 feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads_2.25_feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
ill in the blanks)
Permanent Pool Elevation 33.0
Sediment moval El. 30.75 7 /o
--------------- - Sediment Removal Elevation 28.125 75%
Bottom evation 30.0 5% ---------------------------------------------- -----
Bottom Elevation 26.5 250
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 possible.
Fonn 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 1 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: Haven Hodges, North Grove Evangelical Presbyterian Church_
Title: Project Coordinator
Address: 804 Valley Forge Ct., Wilmington, NC 28411
Phone: 910- 8-0008 4
Signature: ,fir
Date: 0 ) U
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.
1, Monica V. Loughlin a Notary Public for the State of North Carolina
County of New Hanover do hereby certify that Haven Hodges
personally appeared before me this . day of 2001. and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
0\\ \G...........
"A oTA Y
pUBL\G :2\
/i/llllllll IIIIItOU\
SEAL
My commission expires 089/07/01
Form SWU-102 Rev 3.99 Page 4 of 4

TE
Permit No.
�.wp olo4- 5 011117
(to be provided by Dno
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 photocopied for use as an original
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a wet detention basin supplement for each basin,
design calculations, plans and specifications showing all basin and outlet structure details, and a signed and
notarized operation and maintenance agreement.
1. PROJECT INFORMATION (please complete the following information):
Project Name: North Grove Evangelical Presbyterian Church
Contact Person: Phillip Tripp Phone Number: 910 763-5100
For projects with multiple basins, specify which basin this worksheet applies to: 2
elevations
Basin Bottom Elevation 33.0 ft. (floor of the basin)
Permanent Pool Elevation 38.0 ft. (elevation of the orifice)
Temporary Pool Elevation 39.0 ft. (elevation of the discharge structure overflow)
areas
Permanent Pool Surface Area 4031� sq.ft. (water surface area at the orifice elevation)
Drainage Area 0.99 ac. (on-site and off-site drainage to the basin)
Impervious Area _0.54 ac. (on-site and off-site drainage to the basin)
volumes
Permanent Pool Volume 11,265 cu.ft. (combined volume of main basin and foreboy)
Temporary Pool Volume 4.563 cu.ft. (volume detained above the permanent pool)
Forebay Volume 21 00_cu.ft. (approximately 20% of total volume)
Other parameters
SA/DA' 3.90 (surface area to drainage area ratio from DWO table)
Diameter of Orifice 0.75 in. (2 to 5 day temporary pool draw-down required)
Design Rainfall I in.
Design TSS Removalz 90 % (minimum 85%required)
Form SWU-102 Rev 3.99 Page 1 of 4

Y
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°G,TSS removal. The NCDENR BMP manual provides design tables for both 85%TSS removal and 90%TSS removal.
H. 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.
Appli �ts Initials
a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
b. The forebay volume is approximately equal to 20% of the total basin volume.
c. The temporary pool controls runoff from the design storm event.
d. The temporary pool draws down in 2 to 5 days.
NA e. if required, a 30-foot vegetative filter is provided at the outlet (include non-erosive flow
/� calculations).
Pi f The basin length to width ratio is greater than 3:1.
g. The basin side slopes above the permanent pool are no steeper than 3:1.
h. A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
i. Vegetative cover above the permanent pool elevation is specified.
j. A trash rack or similar device is provided for both the overflow and orifice.
k. A recorded drainage easement is provided for each basin including access to nearest right-
of-way.
1. If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified to be performed prior to use as a wet detention basin
�.� 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) ❑ does X does not incorporate a vegetated filter at the outlet.
This system (check one) ❑ does X 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 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 not be handled in a manner that will 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_3.75 feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads 2.25_feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
ill in the blanks)
Permanent Pool Elevation 38.0
Sediment moval El. 35.75 7-/o
--------------- - Sediment Removal Elevation 34.25 75%
Bottom evation 35.0 5% ---------------------------------------------- -----
Bottom Elevation 33.0 250/
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 possible.
Form SWU-102 Rev 399 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: Haven Hodges, North Grove Evangelical Presbyterian Church_
Title: Pro ect Coordinator
Address: 804 Valley Forge Ct., Wilmington, NC 28411
Phone: [phone]
Signature:
Date: 3
Note: The legally responsible parry should not be a homeowners association unless more than 50%of the lots have been sold and
a resident of the subdivision has been named the president.
1, Monica V. Loughlin a Notary Public for the State of North Carolina
County of New Hanover do hereby certify that
� Haven Hodges
personally appeared before me this 2-g Ivg day of �dWCV 2001. and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
....11tll///////j/
pUBLvc
SEAL
My commission expires 089/07/01
Form SWU-102 Rev 3.99 Page 4 of 4

r State Stormwater Management
Permit No. SW8 010405
AS-BUILT PERAUTTEE CERTIFFC,ATI[ON'
I hereby state that I am the current pennittee for the project named above, and f 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.
8 Check here if this is a partial certification. Section/phase/SCM N? _
Check here if this is part of a Past Track As-built Package Submittal.
Printed/Name Gregg Hales Signature ��yy y1/
1, (g�e�or 1�u.25C� a Notary Public in thee State / iyp(1H li14/i17A
County of °Gt�_. CFUl� do hereby certify that (JJs�� lll5
personally appeared before me this 6 D day of ttN�ro�� 1 „ill ,,,,ryg ,20O
and acknowledge the due execution of this as-built certification. ;``OQ��' R
WitmesWn d official seal TA
Los 2
N
N
(iBLtG w �
vty co issian expires
-
i ta
1. The deed restrictions and protective covenants have been recorded and Y or N
contain the necessary language to ensure that the project is maintained X
consistent with the stormwater regulations and with the permit conditions.
2. A copy of the recorded deed restrictions and protective covenants has been Y or N X
provided to the Division.
3. Records which track the BUA on each lot are being kept. (See Note 1) nor N
-The The SCMs are accessible for inspection, maintenance and repair. or N
�. �
_2. The access is a minimum of 10 feet wide. or N
f 3. The access extends to the nearest public right-of-way. or N
1. The SCMs and die components of the runoff collection 1 conveyance system © or N
are located in recorded drainage casements.
2. A coy of the recorded tat(s) is provided. Y or
1. The specific location of the SCM on the lot. Y or N X
2. A typical detail for the SCM. Y or N
3. A note that the SCM is required to meet stormwater regulations and that the
lot owner is subject to enforcement action as set forth in N'CGS 143 Article Y or N X
21 if the SCM is removed, relocated or altered without prior approval.
1. The O&M Agreement is referenced on the final recorded plat. Y or N X
2. The O&M Agreement is recorded with the Register of Deeds and appears in Y or N X
the chain of title.
lsa
MAT
Tf �+ z yYy:
Note 1-Acceptable records include ARC approvals,as-built surveys,and county tax records.
Paqe 1 of 9

State Stormwater Management
Permit No. SW8 010405
Provide an explanation for every requirement that was not met,and for every "N/A"below.Attach additional
sheets as needed.
SEP 2 8 V23
Page 2 of 9

State Stormwater Management
Permit No. SW8 010405
AS-BUILT DESIGNER'S CERTIFICATION GENERAL M DC
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 1vLDC found in NCAC 02H.1050 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/SCM n?
Check here if this is a part of a Fast-Track As-Built Package Submittal per .1044(3).
Check here if the designer did act observe the construction, but is c t ping t project.
Check here if pictures of the SCM are provided. _
Printed Name Phillip G. Tripp-, PE Signature
1N`C Registration Number 17374 Date i!•
\� l Consultant's Mailing Address:
SEAL: ``\��N CA yo '' 419 Chestnut Street
m
1% V.7 m Ciry,'State/ZIP Wiltrit)I NC 29401 _
SEAL N
= v 37374 J a Phone Number 91-763-5100
i�(j ••.�GINE,,.• ���� Consultant's Email address: w
�J*4sA QREG0'1\%' '
office@ pP g g tri en ineerin com
rtiataa�
o) Circle N if the as-built value differs from the Plan. If N is circled, provide an explanation on Page 2.
0NB=not evaluated(provide explanation on page 2.) ONIA.= not applicable to this SCM or project.
� s�3toa N�-AC �OQ�(�(y�)L��Cren�I��MI)f:1x�450 �i;� 4As-htarlt a�•'fi�l/E' '� tA,f#.
..- ✓..r f.tN'.2�LCTmeRY61c4*'.'GR:f
cn n."'I_� ...ti - +Y .. pT 5 �f1 J �*^ilull p,
,en'1i A` bl ... .. _.. "�YS �tJa h74f4y .W'de'7 `.':G.A�J'A.er l..S1 Jt' �Tlr..i}`.S rtr. S...Y...�Q:+ _1Z�r�+AYf k.n.
1. The SCM achieves runoff treatment. Y or N j
2. The SCM achieves runoff volume match. Y or N
3. Runoff from offsite areas and/or existing BUA is bypassed. Y or N
4. Runoff frour offsite areas and/or existing BUA is directed into (D or N
the permitted SCM and is accounted for at the full build-out
potential.
5. The project controls runoff through an offsite permitted SCNI j Y or N
that meets the requirements of the MDC.
6. The net area of new BUA increase for an existing project has or N
4 been accounted for at the appropriate design stout level.
7. The SCM(s) meets all the specific minimum design criteria. Y or N
r: .'7'.-!.a' .. �'-4}.2.c..:t� �usk�i tt'?��} i�f
1. The width of the vegetated setback has been measured from Y or N
the normal pool of impounded waters, the N4FfW line of tidal X
waters oi-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. i X
J. BUA that meets the requirements of NCGS 143-214.7 (b2)(2) Y or N
is located in the setback. X
4. BUA that does not meet the requirements of NCGS 143-214.7 Y or N
(b2)(2) is located within the setback and is limited to:
a. Publicly funded linear projects (road, greenway sidewalk)
1 b. Water-dependent structures X
c. Minimal footprint uses (utility poles, signs, security
lighting and appurtenances)
5. Stormwater that is not treated in an SCM is released at the Y or N
edge of the setback and allowed to flow through the setback as X .
_ _dispersed flow.
Pace 3 of 9

State Stormwater Management
Permit No. SW8 010405
'SOU . viand v,
r �-u
€ pe4lui -
�'. :`�e,y.� ..fit. :.Y SR
! Mu
. 1. A variation(alternative) from the stormwater rule provisions Y cor N
has been implemented. _ _ X
2. The variation provides equal or better stormwater control and
equal or better protection of surface waters. Y or N X
e
Y FSb }}pp •_r.
rrret ' Np, F
c 5
OWNi is Gz'S "•� '��" ham. .
1• Vegetated side slopes are no steeper than 3EL 1 V. Y or N
2. Side slopes include retahting walls, gabion walls, or other or N
surfaces that are steeper than 3H 1 V
3. Vegetated side slopes are steeper than 3H 1 V(provide YO or N
G Sup ortitig documents for soils and ve etation)
1. The inlets do not cause erosion in the SUM. W
or N A
2. The outlet does not.cause erosion downslope of the discharge or N —Il
point during the peak flow from the 10 year storm.
l. The SCM is accessible for maintenance and_repair. Y or N
j 2. The access does not include lateral.or incline slopes>3:114.. or N
MAR
Provide an explanation for every MDC that was not met,and for every item marked "N/A" or"NO',below.
Attach additional pages as needed: ` 1
+
E VE
SEP 2 8 2023
Page 4 of 9

State Stormwater Management
Permit No. SW8 010405
AS-BLILT DESIGNER'S CERTIFICATION FOR LOW DENSITY PROJECTS
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 all of the MDC found in 15A NCAC 02H.1003, 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 the general statutes has been preserved.
❑ Check here if this is a partial certification. Section or phase
Check here if this is part of a Fast-Track As-Built Package Submittal per 15A NCAC 02H .1044(3).
❑ Check here if the Designer did not observe the construction but is certifying the project.
❑ Check here if pictures of the project are provided.
Printed Narne Phil io G. Trip , PE Signature
NC Registration Number 17374 Date
�1l�td Consultant's Mailing Address:
SEAL: '
CARO� '�i� 419 C t�istt _treFr
j Z ?Q� v9�;� a City: Wilmington State: NC Zip: 28401
SEAL
a 17374 , a
/ 2 Phone:(Q10) 163-5100"
teee! "Fn......•��s`
P,irA�jl;G(Y,0� Consultant's Email address:
office triaoengincering coin
G Circle N if the as-built value differs from the Plan/permit. If N is circled, provide an explanation on page 3.
* N/E = Not Evaluated (provide explanation on page 2). GiN/A= Not Applicable to this project/plan.
�'+ R t+a&�`✓T'���x v���k8,'�,k n.irY x`�"`.5.��' s*k .q .�'2. t�""t` �`t�}"$'sJk�z'� ��>`��X�j,,e?✓,� s��,y�.5'3+�''`�r +am,,i.,ys.L "r�ar�J� �.
4 POjeC Ll2ns CY anC#$gt#t CIpE?Pt AiC27 i ° y 4� t a' �;t �6 �y EOAS bw12 Y �Nl rA" N14f�:
. z*2"L"E�^).P� j-s., x S',Yr,; �, ? " r "� rk.Pa u a 3 `t �i,sti: :t'x A�'•i. E f R!°
I 1. The project has areas of high density based on natural drainage Y or N
I area boundaries, variations in land use or construction phasing.
2. The project's built-upon area does not exceed the maximum limit Oor N
specified in the permit.
'�""�hkw& §r ''}.,e .�'�`Y,'✓L" 39Sy i,w°vkn- �t t `na xp > r'' ikT3`?t
�fDl&p�N�P`sedr�loW '.,. .xEr-� ��+� �,a�,w y1� 2 ` , ��� a�,.`r � ;OAS�b�tkrr� ��mNl�`�p•`NIA.
1. The project maximizes dispersed flow through vegetated areas Y or N }{
and minimizes channelized flow.
rS
EUVE
EP 2 8 2023
Page 5 of 9

State Stormwater Management
Permit No. SW8 010405
v EN1 "1
,r�,r. « � pxc2y:;. d ....K - ,fi .'
I 1. � Stormwater that is not released as dispersed Flow is transported Y or �� X
j by vegetated conveyances.
2. The project has a minimal amount of non-vegetated conveyances Y or N r }{
to reduce erosion.
,
3. Other than minimal piping under driveways and roads, no piping Y or N X
has been added beyond what is shown on the approved plans. _
L
4. Side slopes are no steeper than 31­1:1 V. Y or N X
5. The conveyance does not erode in response to the peak flow from, Y or N X
the 10 year storm
L a .. �"�•r,"2 -. ^� ;'W��.�x.'%1.,.. � -t '::V... �! .3 a-L1Yi 'i T; F a'�.
i 1. The swale or vegetated area can carry the peak flow from the Y or N 1 X10-year storm at a non-erosive velocity.
l
2. The longitudinal slope of the swele or vegetated areas does not Y or N X
exceed 5%.
3. The swale has a trapezoidal cross-section and a minimum bottom Y or N
width of two feet. _ X
4. The minimum length of the swale or vegetated area is 100 feet. Y or N X
5. Side slopes are no steeper than 3H:1V. Y or N X
6. The project utilizes treatment swales designed per Section .1061 I Y or N X
in lieu of the curb outlet system requirements.
l N bd
1. The width of the vegetated setback is at least 50'. Y or N X mp r
2. The width of the vegetated setback has been measured from the
normal pool of impounded waters, the MHW line of tidal waters, Y or N X c
or the top of bank of each side of rivers or streams. _ cN.>,
3. The vegetated setback is maintained in grass or other vegetation. Y or N X
4. BUA that meets the requirements of NCGS 143-214 7(b2)(2) is Y or N
located in the setback. X
1 -.- -II
5. BUA that does NOT meet the requirements of NCGS 143
214.7(b2)(2) is located within the setback and is limited to:
Publicly-funded linear projects (road, greenway, or sidewalk) Y or N X
e Water dependent structures
Minimal footprint uses such as poles, signs, utility I
appurtenances and security lights.
6. The amount of-BUA within-the setback is minimized, and Y or N X
channeling of the runoff from the BUA has been avoided.
7. Stormwater is not discharged (via Swale or pipe) through a
vegetated setback. Stormwater is released at the edge of the Y or N X
i
setback and allowed to flow through the setback as dispersed flow.
Panes fi of g

State Stormwater Management
Permit No. SW8 010405
1. Stormwater outlets do not cause erosion downslope of the or N
i
discharge point during the peak flow from the 10-year storm. 0
1. The project has variations from the MDC that were not previously Y or N
approved. (Modification may be required.) X
1. Deed restrictions are recorded and ensure that the project and
the BUA will be maintained in perpetuity consistent with the Y or, IN X
permit, approved plans, and specifications.
v' •#LP.Sdetttt��lilC B r `r,. ' ' .c, ��y ►kl t '^
ire
,x
-1. The number of platted lots is consistent with the approved plans. Y or N X
2. The project area is consistent with the approved plans. Y or N X
3�The layout of the lots and streets is consistent with the approved Y or N X
plan.
j 4. The width/radius of streets, paved accesses, cul-de-sacs and Y or N X l
I sidewalks is consistent with the approved plan.
5. No piping, other than those minimum amounts needed under a Y or N X
driveway or under a road, has been added.
----
6. The lot grading, road grading, vegetated conveyances, piping, Y or N X
inverts, and elevations are consistent with the approved plans.
Provide an explanation below for every MDC that was not met, and for every item marked "NIA"or
"N/E." Attach additional pages as needed.
ECERVE
SEP 2 8 2023
BY:
Page 7 of 9

State Stormwater Management
Permit No. SW8 0104d5
AS-BUILT DESICNERIS CERTIFICATION FOR WET(DETENTION POND PROJECT
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 all of the NOC found in NCAC 02H.1053, 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 die intent of the stormwater rules and the general statutes has been preserved.
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 per .1044(3).
Check here if the Designer did not observe the construction, but is certifying d e project.
Check here i f pictures of the SCM are provided.
Printed Name Phillip G. Tripp, PE —Signature
NC Registration Number 17374 Date
_SEAL: ,`N1tlICI�l�//��� Consultant's Mailing Address:
e•`=��. ......
I RO�i'�,� 419 Chestnut Street M A
City/State/ZIP Wiltnin ton 28401
^'
e SEAL S o0
a= 17374 ?a - Phone Number 910-763-5100 _ N
. GINEE. ��y. Consultant's Email address: t
s�'� 7e�a�G��i°`,, y [e-mail]
,D' Circle N if the as-built value differs from the Plan/petmit. If"N'is circled, provide an explanation on page 2
Oz N/E =not evaluated (provide explanation on page 2) OO N/A=not applicable to this project or SCM.
This Certification must be completed in conjunction with the General MDC certification under NCAC 02H.1050
tt�- Y.'PL.+Irs. fir. ,�:-. Y�H, i• � t...��d. 'Lea± x... ,.
1. The available Sediment storage is consistent with the approved or N
iplan and is a minimum of 6 in.
2. Water flow over the forebay berm into the main pond occurs at a
non-erosive velocity. QY or N
i 3. The provided Forebay Volume is 15%-20% of the main pool 0 or N
volume.
4. The Forebay entrance elevation is deeper than the exit elevation Y or N
into the pond.
5. The Average Design Depth of the main pond below the yO or N
permanent pool elevation is consistent with the permitted value?
6. Fountain documentation is provided. Y or N
p... esa seece•+'v--y� tt r�.y^'>n z >�a• ".r r. ,> ' .k 4t^ n:�..., .,S �}�,
Tb"i :
1. The width of the Vegetated Shelf is consistent with the approved O or N
i plans and is a minimum of 6 feet.
2. The slope of the Vegetated Shelf is consistent with the approved O or N
laps and is no stee er than 6:1.
a�•��,�`•'�'1'17Cf•IL+pBI]1" DOI�� PCdS`�4'�0141m �I..1Cdd{1Oi15 Ffi['�a;` �`si'f' �sro..... d�1 ..0 . .._.. ...d...,._ F.�. - 'Y.. .i 7 . Xs, JY .,r . .. .... W0 - j'M
I. The permanent pool surface area provided is consistent with the Q or N
( ermitted'valtie.
2. The Temporary Pool Volume provided is consistent with the 0 or N j
j permitted value.
( 3. The permanent pool elevation is consistent with the permitted O or N
value. _
4. The temporary pool elevation is consistent with the permitted
value. or N
Page 8 of 9

State Stormwater Management
Permit No. SW_B 010405
L The design volume draws down in 2-5 days. Y Y or N
2. The size of the Orifice is consistent with the permitted value. Y or N
3. A trash rack is provided on the outlet structure.
i 4. Hydrologic impacts to the receiving channel are minimized from 0 or N
the I yr 24 hr storm discharge?
5. The inlets and the outlet location are situated per the approved © or N
lan and avoid short-circuitin . G .
I. The vegetated shelf has been planted with a minimum of 3 I O or NI
species_ I
2. The vegetated shelf plant density is consistent with the approved
plans and is no less than 50 plants per 200 sf or no less than 24 © or N
inches on center. _
Provide an explanation for every NfDC that was not met, and for every item marked"N/A"or"WE"below.
Attach additional pages as needed:
Pace 9 of 9