SW8950211_HISTORICAL FILE_19950613

I
STORMWATER DIVISION CODING SHEET I
POST-CONSTRUCTION PERMITS
PERMIT NO. SW8
DOC TYPE ❑ CURRENT PERMIT
❑ APPROVED PLANS
2' HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE ICU
YYYYMMDD

State of North Carolina
Department of Environment, Health, and Natural Resources
Wilmington Regional Office
James B. Hunt, Jr., Governor DIVISION OF ENVIRONMENTAL MANAGEMENT Bob Jamieson
Jonathan B. Howes, Secretary WATER QUALITY SECTION Regional Manager
June 13, 1995
Mr. Lawrence S. Spell
SPS Associates
8810 Emerald Drive
Emerald Isle, North Carolina 28594
Subject: CERTIFICATION OF COMPLIANCE
with Stormwater Regulations
Stormwater Project No. SW8 950211
Daisywood Subdivision
Carteret County
Dear Mr. Spell:
The Wilmington Regional Office received the Stormwater Submittal for Daisywood Subdivision on
February 20, 1995, with final information on June 6, 1995. Staff review of the plans and specifications,
including the statement of intent to deed restrict the allowable built-upon area to 4,283 square feet for lots
#1 - #6 and 2,591 square feet for lots #7 - #26 as shown on the approved plan, has determined that the
project as proposed will comply with the Stormwater Regulations set forth in Title 15A NCAC
2H.1003(a)(2).
Any modification of the plans submitted to and approved by this Office or further development of
this site regardless of the fact that the modification may be less than 1 acre, will require an additional
Stormwater Submittal/Modification and approval prior to initiation of construction. Modifications include
but are not limited to; project name changes, transfer of ownership, redesign of built-upon surfaces,
addition of built-upon surfaces, redesign or further subdivision of the project area as shown on the
approved plans.
This Certification shall be effective from the date of issuance until rescinded. The project shall be
constructed and maintained in accordance with the plans and specifications approved by the Wilmington
Regional Office. This Certification does not supersede any other permit or approval. The developer is
responsible for obtaining any and all permits and approvals necessary for the development of this project.
This could include the Division of Coastal Management under CAMA requirements, the Division of
Environmental Management under Wetland 401 Water Quality Certification and/or a Dredge and Fill
Permit and/or a Sewer Extension/Collection Permit, U.S. Army Corps of Engineers 404 Wetland Permit,
NPDES stormwater permit if disturbing five acres or more, local County or Town Agency permits under
their local ordinances, or others that may be required.
127 Cardinal Drive Extension, Wilmington, N.C.28405-3845 •Telephone [phone] • Fax [phone]
l An Equal Opportunity Affirmative Action Employer
�J

Mr. Spell
June 13, 1995
Stormwater Project No. SW8 950211
-----------------------------------------------
Deed restrictions, including the allowable built-upon area per lot, must be recorded with the Office
of the Register of Deeds. A copy of the recorded deed restrictions, including deed book number and page,
must be forwarded to this Office within 30 days of the date of the recording. Failure to record and/or
submit the deed restrictions to this Office is considered a violation of this Certification.
An Engineer/Designer/Owner Certification (copy attached) must be received at the time the
recorded Deed Restrictions are submitted. The Certification will verify to this Office that the stormwater
controls, general layout of the project and the amount of impervious area are in substantial compliance with
the approved Stormwater Plan.
If you have any questions concerning this matter, please contact Mr. Greg Stutts or me at (910)
395-3900.
Sincerely,
Dave Adkins
Water Quality Supervisor
DA/ges: S:\WQS\STORMWAT\CERTIMC\950211.JU?4
cc: Mr. John P. McLean, P.E., John P. McLean Engineering Associates
Mr. Garry Yeomans, Carteret County Inspections
Bradley Bennett
Greg Stuffs
;Wilmington Regional e
Central Files
E�

Daisywood Subdivision
Carteret County
Stormwater Project No. SW8 950211
Engineer/Designer/Owner Certification
1 having been authorized to observe
(periodically/weekly/full time) the construction of the project,
(Project)
hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction of the stormwater control system for this project such that the construction was observed to
be built within substantial compliance and intent of the plans and specifications approved by the NCDEM
Water Quality Section. The layout of the impervious surfaces and the road details, as constructed,
conform with the layout and road details shown on the approved plans. (Note: if a copy of the recorded
deed restrictions has not been forwarded, you must provide a copy along with this form.)
Signature
Date

DIVISION UP LNVIRUNMLNTAL MANATIIR r = .
III:fJSII"Y "� �NUIN1?L•.ItUU
111W TT DA•rA
Project Name O'A%S`rWQCD : SU 6D IV! S 101.(
Location(Comely,township/MunicipaIlly, Address,Slnle Rund) �MSV,&LD 1SLlF_
1I1
Uwner'sName SFS ASSOGIAMS ;° LAtU+f+4Ince5 -Spell /w? eyY
Mail1ngAddres3 8910 Emr=;z&Ln� Dymig-
�'Mp_x&1� 15 LE ,.1r- 7- 5 s9 ¢
Phone Number ' J!)-354 - 3Z 1Z Subtrilltnl bale 5--31--9s
Ihlef Description (Dtclude map and approptId(edrawings) II-'3Z Ares en .AAlan-kc Glean
_-�o be SUbdIVIIAed lydQ ZG LOTS -
Name of Water Uody Ittcelvhig Stormwaler Itunufr tin-natmeA Canal - goo FT Act
T'tZt urraxy -M S06 tis So U ACo
ClnWricatlon of Wnlet Ilvdy SC- Ir SA writers, engineered system, and distmnce is <U.5
miles, altadt tepott of ciilurlde sampling results mg/I
Stale/federal Permils/Approvnls Required (Check opproprinte blanks)
LAMA Major SeJimcnlnllon/Erosion ConUul 6 S
40 I'ermll_ DEM/DIIS Sewage Disposnl�
tither (Specify) NIA
CALCULATION Ulr BUILT UMN ARM
Iluilt upon area means (lint portion of a development (lint is covered by Impervious or pnrlinily pervious co�-cr
hicludhng bulldings, pavement, recreation facilities, gravel, etc., but not hicluding wood decking. If the projccl
Includes arias drahthtg to different water clnssiflentitins, please note diem sepnralely below.
Subwalershed $"tlbwnlershed GJEE
Clnssincnuon LOm I --&
Huin upon area ' T(QCI}-cE�
Tula( Project ArenM
9 Iluill upon Area
Allowable Il/U Area G'A LG$ 5PEE-T
h the i'rojecl U/U Area 5 the Allowable tl/U Aren7 Y65 (If nu, nn engineered system is re(p,ired.)
% Iluill upon area _ (built upon area / (ulal project area) * IUU n 7ag�
Bull( upon area Ihnhs for projects to meet density: SA waters --- 259k, Other ---1U% �f oIJ �ddcY111 R
S'1UI1M1NATLiI CULL�C1'lUN 9YS'i'LM (�
nE �
hescrlbe how the runoff will be h C E I V E
treated lU;{J
JUN 0 61995 D
PRor OALeO21

IIUhRrlt ARM
Is lire built upon area at Ieastlu feel from menu high wriler of all surface wnlers7 Ye6 If uo, please
provide a descrlpUull
(Note: Only boat ramps, public roads, public bridges, and wnikways to water related facilities are allowed
within M feel of the mean high water line If the project is Ioteuded to meet stormwaler couliol
requlremerds through density Ilnd(s•) Loj�s j_ (C ' = aff.; 193 51.
g -R
I11SIill I(I,SI'i(IC'1•IONS AND PROTECTIVE COVLNAN'1'S �•.pTS 7-Z (d, = 2,59 j 5Ig1 • r'-•
Ily my,signalure below, I certify Ural(he recorded deed rlcllons mid protective covennnls for Ibis proiccl
shall Ihnit (lie allowable built-upon Oren per lot to square feel Inclusive of right-of-way•
structures, pavemenl, walkways or patios of brick, alone, or stale, uol including wood decking, stale thal
lire covenants will be bhiding oil nil parties Ond persons clniming under them, flint they will run with the
land, mid that benefils may be enforced by the Slate of North Carolina, therefore, [lie covenant cannot be
chapped or deleted wl(boul consent of (Ire Slate.
CIiR I II'ICA7 IVN
I, Lawrer�ee. certify (lint [he iuformnliou included on this
submiltal form Is correct, (fiat lire prof l will be constructed In conformance with this informalioii. nod
Ural to Ibe ben( of my knowledge, (be proposed project complies with the requirements of 15 NCAC'
211. IU03 (b). I nutliorlm the Below named person or firm to submit sloruiwnter plmis on my behalf, mid
agree to ablde by the deed rest ic(loit statement above.
Owner's Signature I me
Provide authoiired person tit firm dame and nddrens below:
Job" P. Mc L-ears F r--.
I6(o Mana+zie !�4reek
CcLpl e/� CaCr- zfe-+ , t�1 G
1, b 14&lr, J t 'QeaC nNoinry PubII%1 p4p_$bileof
Couoly or Y\,S i,J _, do here y cerllfy� S4N'7 / / v j personnll�
appeared before ine Ibis Jay of Q • �:' _, 19 ' •, and ocknoivl 1ges the due exccolion
of tile roregohig hiorumeul. W I(uess my limid an eNOTARY
PUBLIC
My commission expires l/l l • ^b i (�'ll (� •'r�. VCO
DIVISION OF ►iNVli(ONMLN'1'AL MANAGLMEN'I' SIGN-0If1-
Itegiunal Office
- 13 - 95
Date hidlvidu vnlualing For nis/Plnus
I r��
t U. • Regional Water Quality Supervisor
cc: Applicaul/WIRUtHindley UetmelllCentral riles

IIUfl�l;il AIt1;A ,
Is the bull( upon area at least M feel rrunr menu bigh writer or nil surrnce wnter.0 If no. 111casc- .
provide a descripliuo
tNole: Only boat ramps, public roads, public (midges, and walkways to water related racililies tire nllowEll
willrin 3U feel of Ilse menu high water Ihoe If lire project is Intended to meet slornrwater control
requlremeols Wrough density Ilndls•) LV5 I_ (0 ' = +; 7-83 5�.�+•
1)1r,Iil1 ItISSI'IUC"i"IpNB Am 1'l u,mrCi-IVir COVISNAN'1'S L-r5 7-Z (, = 2r59 1 5a ,-�•
lly my sigorilure below, I certify that the recorded deedSt
rictlmos moll protective covennnls far this projcci
shall Ihnit the allowable bullt-upon area per lot to pqunre feel Inclusive of right-of-war.
structures, pnvenrenl, walkwnys or patios of brick, stone, or Male, nol iucludjng wood decking, slate Ihrit
tire covennnls will be binding on nil parlles and persons ciniming under 1hem, that they will run with the
land, slid Ilia( benefils may be enforced by (lie Slate of North Criroiion, therefore, (lie covenant cannot be
changed or deleted without consent of the Slate.
Cult FICA 1 tUN `
I, LaWveT-..ce_ � • S t ` certify [lint lice juforundiou included on Ibis
submittal form Is correct, thrit lire pro) t will be eunsirucled lit conformance with this infmmal4m. and
Boat to lire best of Illy knowledge, the proposed project complies with the requirements of 15 NUAC
211. IU(13 Qr). 1 nulliorix.e the below named person or firm to submil stotnnvater pines on my behalf, ,uul
agree to ablde by the deed test Ictlurl statement above.
'5-130 9s
pwucr's Signntirrc I me
Provide nuihvr17.cd persun or firm name and nddress below:
John P. MCL-ears Pr--.
lam Mamatze s4v-ee-�
Cct-Fe Car zt-e- ' , to C, z g s$4
I, &4 x" '5, 10eac nNoldryl'ubl,�S�Nllta$�rlcof 00(4h CQ(Ohi1Q
y Y °°��'"` . • ) r e;l persooailr County or ( y�5i�rr> Jo line cerllr
appeared before me this �� Jay of J CL ��• , 19 : nod ncknmvl dges the due exccuiion
of lite Foregolltig Ins(rumenL Whoess illy hand n�rkI�TARY
`tJ2LtZl t/r x_ 9Ut�( . �. PUBLIC
My conrmissiort expires � • -2jo, (C4ctu • R Co •
VIVIS1UN UP ENVIRUNMLN'1'AL MANAGEMENT SIGN-Orly
Regional Ufflce
Date hrdlvidu •vaiuntlog For nrs/I'lans
I ��S
=Dale Regional Water Quality Supervisor
M. ApplicanlIWIROMradley Ueimel(Teolral piles

JOHN P. MCLEAN ENGINEERING ASSOCIATES
106 Manatee Street
Cape Carteret, N.C. 28584
May 31, 1995 Tel: [phone]
Fax: [phone]
DAISYWOOD SUBDIVISION, EMERALD ISLE
SAMPLE CALCULATIONS
Tract Size = 11.32 acres
Density Factor = 0.25
Product = 2.83 acres
Road Area (see attached map) 1.05 acres
Difference 1.78 acres to be divided among 26 lots
That can break down into:
Lots 1 - 6 having an impervious area of 4,283 square feet (6)(4,283) = 0.59 acres
Lots 7 - 26 having an impervious area of 2,591 square feet (20)(2,592) = 1.19 acres
Total = 1.78 acres
Final comparison : Built upon 1.78 ac (lots) + 1.05 ac (road) = 2.83 acres
Total project area = 11.32 acres
Percentage built upon 2.83/11.32 = 25% allowable = 25% OK !
,,�Nt•�eryr��
5631
D E C E I V E
1, P.
JUN 061995
PROJ 0 SO21

JUN 0 5 1995
JOHN P. MCLEAN ENGINEERING ASSOCIATES
106 Manatee Street
Cape Carteret, N.C. 28584
Tel: [phone]
May 31, 1995 Fax: [phone]
Mr. Greg Stutts
Water Quality Section
Dept. of E. H. & Natural Resources
127 Cardinal Drive Extension
Wilmington, N.C. 28403-3845
RE: Revised Stormwater Plan for Daisywood Subdivision (Density)
Emerald Isle, N.C.
Dear Mr. Stutts,
Included herein you will find a modified application which allows larger impervious areas for
the ocean front lots at Daisywood Subdivision. The lots are quite a bit larger on the oceanfront
and I have shifted some of the size to Lots 1 - 6. The overall impervious .area for the
Daisywood Subdivision is equal to 25%.
Thank you for your attention to this matter. Please call if there are matters to discuss.
Sincerely,
ohn P. McLean, P.E.
cc: Larry Spell
enclosures: application
sample calculations
JUNpp 0 6 1995
PROJ t'..SIA 0 I
File:Da isywood.Storm

f • q..STArEo '
State of North Carolina
Department of Environment, Health, and Natural Resources
Wilmington Regional Office
James B. Hunt, Jr., Governor DIVISION OF ENVIRONMENTAL MANAGEMENT Bob Jamieson
Jonathan B. Howes, Secretary Regional Manager
April 24, 1995
Mr. John P. McLean, P.E.
John P. McLean Engineering Associates
106 Manatee Street
Cape Carteret, North Carolina 28584
Subject: ADDITIONAL INFORMATION
Stormwater Project No. SW8 950211
Daisywood Subdivision
Carteret County
Dear Mr. McLean:
The Wilmington Regional Office received a Stormwater Submittal for the Daisywood Subdivision
on March 28, 1995. A preliminary review of that information has determined that the submittal for the
subject project is not complete. The following information is needed to continue the sormwater review:
1. Roadway and cul-de-sac cross sections
2. Notarized submittal authorization - The "CERTIFICATION" Section on the reverse side
of the submittal form should list "John P. McLean Engineering Associates" as the
authorized firm/person to submit these plans on behalf of Lawrence S. Spell/SPS
Associates.
3. Please show the 575'AEC line on the plans as measured from the mean high water line
on Bogue Sound
4. The built-upon area declaration of 3,900 square feet per lot on the reverse side of the
submittal form is too large - The calculation is based on the formula below:
((site area x density factor) - (road area)]
N of lots
The original submittal form is enclosed for your convenience.
127 Cardinal Drive Extension, Wilmington, N.C.28405-3845 •Telephone [phone]• Fax [phone]
An Equal opportunity Affirmative Action Employer

Mr. McLean
April 24, 1995
Stormwater Project No. SW8 950211
-----------------------------------------
Please note that this request for additional information is in response to a preliminary review. The
requested information should be received by this Office prior to May 24, 1995, or the submittal will
be returned as incomplete.
If you have any questions concerning this matter please feel free to call me at [phone].
Sincerely, /
Greg Zits
Environmental Technician V
DA/ges: S:\WQS\STORMWAT\ADDINFO\950211.APR
cc: Mr. Lawrence S. Spell
,(2)_Gieg=Stuffs
Central Files
127 Cardinal Drive Extension,Wilmington, N.C.28405-3845 •Telephone [phone] • Fax [phone]
An Equal Opportunity Affirmative Action Employer
2

DIVISION OF ENVIRONMENTAL MANAGCsn9L'N'1'
CNGINI;rRCD--
DIiNSI'I'Y
PROJECT DATA
Project Name flAISYwODp
5�6DIVISIOt�I
Location(County,Townsh�i /.Municipality, Address,Stale Road
) G.ncnN n �SLE CA►�RET Cour1T`r
p IQW P Wl
5 `/o LQuwrenCe S• 5 e l l Pa.r- riw
Owner's Name
MailingAddress $010 EMPrteld
Submittal Dale tJ16t.J e k
I'honeNumber 919 354-3Z12 _
Brief Description (include map and appropriatedrawings)211 JZ Q Cf2
G on TtGlh"f1G
e
Name of Water Body Receiving Slormwater Runoff
Classification or Water Body S! 'O k IF SA waters, engineered system, and distance is <0.S
to /I py�,��
miles, attach report of chloride sampling resttlls__ g �— 1 13 SoUna ., eC�PrdUM
State/Federal Permits/Approvals Required (Check appropriate blanks)
CAMA Major Nam_ Sedmrenlation/Erosion Control_
404 Permit NQ= DEM/DHS Sewage Disposal NO _—
Other (Specify) 1d1
CALCULATION OF BUILT UPON AREA
Built upon area means that portion of a development that is covered by impervious or partially pervious cover
including buildings, pavement, recreation facilities, gravel,
etc note Inot including separately wood
decking. If the projecl
includes areas draining to different water classifications, please
Subwalershed Subwatershed
Classification 6A.
Built upon area 21335 ores ----
Total Project Area 9 3�rZs
% Built upon Area 24.01
Allowable B/U Area 2.3 e;
Is the Project BIU Area S the Allowable 0/U Area?YL 5 (If no, an engineered system is required.)
3o Built upon area = (bull( upon area / total project area) + 100 [28
TM
Built upon area limits for projects to meet density: SA waters 2596, Other -- -
STORM�VATER COLLECTION SYSTEM DD
Describe how the runoff will be treated
t
FrR
I
i

HUFFER AREA -
Is the built upon area at least 30 feet from mean high water of all surface waters? _ If no. please
provide a description
(Note: Only boat ramps, public roads, public bridges, and walkways to water related facilities are allowed
within 30 feet of the mean high water line if the project is intended to meet stormwaler control
requirements through density limits.)
DEED RESTRICTIONS AND PROTECTIVE COVENANTS
fly my signature below, I certify that the recorded deed restrictions and protective covenants for this pr( Icc1
shall limit the allowable built-upon area per lot to 5 900 square feel inclusive of right-of-way.
structures, pavement, walkways or patios of brick,stone, or slate, not including wood decking, state that
the covenants will be binding on all parties and persons claiming under them, that they will run with the
land, and that benefits may be enforced by the State of Nordi Carolina, fherefore, the covenant cannot be
changed or deleted without consent of lie State.
C17RriFICATION Lawrence :5, 51 11)
*YL I, I certify that the information included on this
submittal form is correct, that the project will be constructed In conformance with this information. and
that to the best of my knowledge, the proposed project complies with the requirements of 15 NCAC
211.1003 (b). 1 authorize the below named person or firm to submit stormwaler plans on my behalf. and
agree to abide by the deed res riclion statementtaabove.
Owner's Signature Dmc
Provide authorized person or firm name and address below:
I, A�t°' " Sil'ica2 allotaryPubllcforlhe$lateof NoY-+k ccv(DIiRC�
County of r\5 t)v3 do hereby certify that LAujfen e . S e t ) personally
appeared before me this 21Sr day of PRy-C h s• ••apd acknowledges the due execution
of the
foregoinng� instrument. Witness my hand and official sep��� "' •�F• .
1�1Q.lf��l .t/1'�. �I ,Lcreo� :* fuOT,'a;iY 9�•:
hty commission expires ri Z 6 , (`1 "1 '��J.. PUS`IL l
V'
,U[YISION OF ENVIRONMENTAL MANAGEMENT SIGN-Off
Regional Office
Dale Individual Evaluating forms/Plans
Date Regional Water Quality Supervisor
cc: Applicant/WiRO/Ifradley Bennett/Central files

- iL
R�vIs�D SAMPLE 6! L, L Ubit-IS _
I ►�ts� itt.,00P�uB�o�
I _Et�lE1;Al.D ISt..tl,_hIG _-,-i
_►. `ft�ecr 51z� CI. UDESw ''-zn -�s ► . z t_.J
�.� ) - - -
_Z_. AFZEA_ o P fRt T (J A' 14 ELL Atil
F — . __
--'�-• 25 �o�oF DIFF_f;E~�',t= �. Z5 �9 .34 � _ a _ 2�-3 �c -
c} . 2�.
FRI
- --(��—�
S. —O• QS`i 8 _�e_s >c—(�F 3_,5�o_ _ _ ��'`���Z 5� -
I J r
3 Flo o
- �ST�RMW+HT�A --
E C Ell V E _
T MAR 2 81995
DEM -L-
PfiOJ
i
HHE I

r
' I
I --r
--r
i
I , I -T
II I
� r
I
I
I I
I

JOHN P. MCLEAN ENGINEERING ASSOCIATES MAR 2 7 1995
106 Manatee Street
Cape Carteret, N.C. 28584
Tel: [phone]
March 20, 1995 Fax: [phone]
Mr. Greg Stutts
Water Quality Section
Dept. of E. H. & Natural Resources
127 Cardinal Drive Extension
Wilmington, N.C. 28403-3845
RE: Stormwater Plan for Daisywood Subdivision
Emerald Isle, N.C.
Dear Mr. Stutts,
I have included herein copies of Daisywood Subdivision. The tract contains 11.32 acres
(2.335 acres are street right-of-way). There are 26 lots in this tract.
The application has been signed by the owner, properly notarized. Sample calculations are
included also. Please resume your review of this "density" submittal.
Please call if there are matters to discuss.
Sincerely,
Jo n P. McLean, P.E.
c: Larry Spell
enclosures: application
plan (3 copies)
sample calculations
STORMWATER
nECEIVED
MAR 2 81995 D
O E M
PROD a
File:Daisywo d.&REV

�MOMM01D
JOHN P. MCLEAN ENGINEERING ASSOCIATES FEB 15 1995
106 Manatee Street
Cape Carteret, N.C. 28584
Tel: [phone]
February 13, 1995 Fax: [phone]
Mr. Greg Stutts
Water duality Section
Dept. of E. H. & Natural Resources
127 Cardinal Drive Extension
Wilmington, N.C. 28403-3845
RE: Stormwater Plan for Daisywood Subdivision
Emerald Isle, N.C.
Dear Mr. Stutts,
I have included herein copies of Daisywood Subdivision. The tract contains 11.91 acres (2.46
acres are street right-of-ways). There are 26 lots in this tract.
The application has been signed by the owner, properly notarized. Sample calculations are
included also.
Thank you for your attention to this matter. Please call if there are matters to discuss.
Sincerely,
J n P. McLean, P.E.
c Larry Spell R
enclosures: application
plan (3 copies)
sample calculations
Un1{� FEB 2 0 1995 U
PRoJ DEMSGvB q�.
F ile:Da isywood.S torm

DIVIS.ION OF ENVIRONMENTAL MANAGEMENT
DENSITY t/ ENGINEERED
PROJrCT DATA
Project Name
Location (County,Township/Municipality, Address,Stale Road)
Emerald Isle , Carteret County
white Oak Township
Owner's Name SPS Associates c/o Lawrence S. spell , partner
Mailing Address
8810 Emerald Drive
-
Emerald Isle N;6 28594
Phone Number 919-354-3212 Submittal Dale February 10 1995
Brief Description (include map and appropriate drawings) 11 .91 acre tract on Atlantic Ocean
to be subdivided into 26 lots
Name of Water Body Receiving Slormwater Runoff aogue sound
SA If SA waters, engineered system, and distance is <0.5
Classification of Water Body miles, attach report of chloride sampling results mg/I sogue sound is approximately
.8 miles away
Stale/Federal Permits/Approvals Required (Check appropriate blanks)
LAMA Major No Sedimentation/Erosion Control Yew--
404 Permit NO DEM/DIIS Sewage Disposal
Other (Specify) N A
CALCULATION OF BUILT UPON AREA
Built upon area means that portion of a development that is covered by impervious or partially pervious cover
including buildings, pavement, recreation facilities, gravel, etc., but not including wood decking. if the project
r
includes areas draining to different water classifications, please note them separately below.
Subwaterall Subwalershed
Classification SA
Built upon area 23577 ac
Ir lblal Project Area 9,45 ac
is % Built upon Area .0.,249
Allowable B/U Area 2.36 ac
Is the Project B/U Area 5 the Allowable B/U Area?, Yes (if no, an engineered sysiem is required.)
�o lit, it upon area = (built upon area / total project area) • 100
Built upon area limits for projects to meet density: SA waters -- 25%, Other ---30% rEB
sr �
gS'l'ORMWATER COLLECTION SYSTEMDescribe how lire runoff will be treated995
o211

IIUFFrR AREA
Is the built upon area at least 3U feel from mean high water of all surface walers9 YeS If no, please
provide a description
(Note: Only boat ramps, public roads, public bridges, and walkways to water related facilities are allowed
within M feet of the mean high water line if the project is intended to meet slortnwater control
requirements through density limits.)
I)EIED RESTRICTIONS AND PROTECTIVE COVENANT'S
Ily my signature below, 1 certify that the recorded deed restrictions and protective covenants for this project
shall limit the allowable built-upon area per lot to 3 ,950 pquare feet inclusive of right-of-way,
structures, pavement, walkways or patios of brick, stone, or slate, not including wood decking, state that
the covenants will be binding on all parties and persons claiming under them, that they will run with the
land, and that benefits may be enforced by the Stale of North Carolina, therefore, the covenant cannot be
changed or deleted without consent of the Stale.
CEIR1*1"'-A'ITO I �LAWRErJCE S. SPEI_.r_ )
17 certify that the information included on this
submittal form is correct, ha�theproje�ctbe constructed In conformance with this information. and
that to the best of my knowledge, the proposed project complies with the requirements of 15 NCAC
211. 1003 (b). 1 authorize the below named person or firm to submit slormwaler plans on my behalr, and
agree to abide by the deed restriction statement above. Q
�C '-4- ' X Fee l3 , tq9 s
Owner's Signature bate
Provide authorized person or firm name and address below:
1, ae4-hAnn �S i W&IK ,a Notary Public for the$taleof NU f+�\ Ca r01 i nA
County of Dn6lonl do hereby certify that �ii,,Ace ice S. Sp!?lg personally
appeared before me this t3�'` day of Felnruary r�19 CIS and acknowledges the due execution
of the foregoing instrument. Witness my hand and offn cJn�t 1N S�(00n . t�'�.
�l l (l/l •�� NOTARY
2b ,aa : *:
My commission expires PUBLIC
DIVISION OF ENVIRONMENTN166 MENT SIGN-OFF
Regional Office
Date Individual Evaluating forms/Plans
Date Regional Water Quality Supervisor
cc: Applicant/WiRO/Uradley Bennett/Central files