SW8230504_Current Permit_20230612

ROY COOPER a �, `
Governor ,t
ELIZABETH S.BEER ;;;
Seautaty
DOUGLAS R.ANSEL NORTH CAROLINA
raster alZifeetor EavireamentalQuality
June 12t,2023
South State Development,LLC,Applicant and Owner
Attn. Elijah T.Morton,Member
121 Garnet Lane
Jacksonville,NC 28546
Subject: Post-Construction Stormwater Management Permit No.SW8 230504
Sandy Hollow
Low Density Subdivision Project
Onslow County
Dear Mr.Morton:
The Division of Energy,Mineral and Land Resources received a complete Post-Construction Stormwater
Management Permit Application for the subject project on June 12th,2023. Staff review of the plans and
specifications has determined that the project,as proposed,complies with the Stormwater Regulations set forth in
Title 15A NCAC 2H.1000 amended on January 1,2017(2017 Rules). We are hereby forwarding Permit No.
SW8 230504 dated June 12th,2023,for the construction,operation and maintenance of the built-upon areas
(BUA)and vegetated conveyances or areas associated with the subject project.
This permit hall be effective from the date of issuance until rescinded and does not supersede any other agency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.
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 150E of the North Carolina General Statutes and must.be filed with the
OAH within thirty(30)days of receipt of this permit. You should contact the OAH with all questions regarding
the filing fee(if a filing fee is required)and/or the details of the filing process at 6714 Mail Service Center,
Raleigh,NC 27699-6714,or via telephone at 919-431-3000,or visit their website at www.NCOAH.com.Unless
such demands are made this permit shall be final and binding.
If you have any questions concerning this permit,please contact Kellie Beth Norris in the Wilmington Regional
Office,at(910)796-7215 or [e-mail].
deq.nc_gov.
Sincerely, J Q CPW/3- _,L
r74.C,1'
Douglas R.Ansel,Interim Director
Division of Energy,Mineral and Land Resources
Enclosures: Attachment A—Designer's Certification Form
Application Documents
DES/kbn: \V\Stotniwater\Permits&Projects120231230504 LDl2023 06 permit 230504
cc: Timothy M.Stewart,PE.,Tidewater Associates,Inc.
Jennifer Morton Ward,Member,South State Development,LLC
Richard Davis,Wilmington Regional Office Express Coordinator
Onslow County Building Inspections
Onslow County Planning&Development
Wilmington Regional Office Stormwater File
DE -
'''''''
North Carolina Department o€Environmental Quality I Division of Energy,ileral and.and Resources
Wilmington Regional Office I l27 Cardinal Drive Extension I Wilmington,North Carolina 28405
NOlitbi kARDIJNA 01
uxemnatto�enM.aeru�wt t 910.796.:2E5

Post-Construction Stormwater Management
Permit No. SW8 230504
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST-CONSTRUCTION STORMWATER MANAGEMENT PERMIT
LOW DENSITY SUBDIVISION DEVELOPMENT
In compliance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations promulgated and adopted by the North
Carolina Environmental Management Commission, including 15A NCAC 02H.1000 amended on
January 1, 2017 (2017 Rules) (the "stormwater rules"),
PERMISSION IS HEREBY GRANTED TO
South State Development, LLC
Sandy Hollow
US Hwy 258/NC Hwy 24, Jacksonville, Onslow County
FOR THE
construction, management, operation and maintenance of built-upon area (BUA) for a low density
subdivision area (the "low density area") as outlined in the application, approved stormwater
management plans, supplements, 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 parts of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations. The permit issued shall continue in force and effect until
the permittee files a request with the Division for a permit modification, transfer, or rescission;
however, these actions do not stay any condition. The issuance of this permit does not prohibit the
Director from reopening and modifying the permit, revoking and reissuing the permit, or terminating
the permit for cause as allowed by the laws, rules, and regulations contained in 15A NCAC 2H.1000
and NCGS 143-215.1 et.al.
1. BUA REQUIREMENTS. The maximum amount of BUA allowed for the entire project is 734,128
square feet. The BUA requirements and allocations for this project are as follows:
a. LOW DENSITY AREA BUA LIMITS. The low density area in the approved plans and
specifications, must not exceed 24% per the requirements of the stormwater rules. Within
this low density area, this permit approves a percent BUA of 24% and the construction of a
total of 734,128 square feet of BUA, which includes 503,605 square feet of future BUA.
b. BUA FOR INDIVIDUAL LOTS. Each of the 48 lots are limited to a maximum of 3,500 square
feet of BUA, as indicated in the approved plans and specifications. The maximum BUA
assigned to each lot via this permit and the recorded deed restrictions and protective
covenants may not be increased or decreased by either the individual lot owner or the
permittee unless and until the permittee notifies the Division and obtains written
approval from the Division.
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Post-Construction Stormwater Management
Permit No. SW8 230504
c. CAMA AECs. Where a project or lot is located within CAMA's Area of Environmental
Concern (AEC), the Division of Coastal Management (DCM) may calculate a different
maximum BUA based on CAMA regulations. The more restrictive BUA limit will apply to the
project.
2. PERVIOUS AREA IMPROVEMENTS. At this time, none of the pervious area improvements
listed in G.S. 143-214.7(b2) or the Stormwater Design Manual have been proposed for this
project. Pervious area improvements will be allowed in this project if documentation is provided
demonstrating those improvements meet the requirements of the stormwater rule.
3. LOW DENSITY AREA REQUIREMENTS. The low density area requirements for this project are
as follows:
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.
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. STORMWATER OUTLETS. The peak flow from the 10-year storm event shall not cause erosion
downslope of the discharge point.
5. 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 or in the following instances where the BUA has
been minimized and channelizing runoff from the BUA is avoided:
i. Water dependent structures; and
ii. Minimal footprint uses such as poles, signs, utility appurtenances, and security
lights that cannot practically be located elsewhere.
b. RELEASE OF STORM WATER NOT TREATED IN A STORMWATER CONTROL
MEASURE (SCM). Stormwater that is not treated in an SCM, such as in this low density
project (including roof drains), must be released at the edge of the vegetated setback and
allowed to flow through the setback as dispersed flow.
6. RECORDED DOCUMENT REQUIREMENTS. The stormwater rules require the following
documents to be recorded with the Office of the Register of Deeds prior to the sale of individual
lots or groups of lots:
a. EASEMENTS. All 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.
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Post-Construction Stormwater Management
Permit No. SW8 230504
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. DEED RESTRICTIONS AND PROTECTIVE COVENANTS. 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. Recorded deed restrictions and protective covenants must include, at a minimum,
the following statements related to stormwater management:
i. The following covenants are intended to ensure ongoing compliance with
Stormwater Management Permit Number SW8 230504, as issued by the Division of
Energy, Mineral and Land Resources (the "Division") under 15A NCAC 02H.1000,
effective January 1, 2017.
ii. The State of North Carolina is made a beneficiary of these covenants to the extent
necessary to maintain compliance with the Stormwater Management Permit.
iii. These covenants are to run with the land and be binding on all persons and parties
claiming under them.
iv. The covenants pertaining to stormwater may not be altered or rescinded without
the express written consent of the Division.
v. Alteration of the drainage as shown on the approved plans may not take place
without the concurrence of the Division.
vi. The maximum built-upon area (BUA) per lot is 3,500 square feet. This allotted
amount includes any BUA constructed within the lot property boundaries, and that
portion of the right-of-way between the front lot line and the edge of the pavement
not shown on the approved plans. BUA has the same meaning as G.S. 143-214.7,
as amended.
vii. For those lots within the CAMA Area of Environmental Concern, where DCM
calculates a different maximum lot BUA, the governing maximum lot BUA shall be
the more restrictive of the two amounts.
viii. The maximum allowable BUA shall not be exceeded on any lot until the permit is
modified to ensure compliance with the stormwater rules, permit, and the approved
plans and specifications.
ix. Filling in, piping or altering any vegetated conveyances (ditches, swales, etc.)
associated with the development, except for average driveway crossings, is
prohibited by any persons.
x. A 50-foot wide vegetative setback must be provided and maintained adjacent to all
surface waters in accordance with 15A NCAC 02H.1003(4) and the approved
plans.
xi. All roof drains shall be released no closer than at the edge of the 50-foot wide
vegetated setback and allowed to flow through the setback as dispersed flow. At
no time shall stormwater runoff be piped into or through the setback.
xii. 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.
7 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. PROJECT CONSTRUCTION, OPERATION AND MAINTENANCE. During construction, all
operation and maintenance for the project and stormwater system shall follow the Erosion
Control Plan requirements until the Sediment-Erosion Control devices are no longer needed.
b. FINAL GRADING. The vegetated areas and vegetated conveyances shall be entirely
constructed and vegetated. Once the final grading is completed and the site is stabilized, the
permittee shall provide and perform the operation and maintenance as outlined in the
applicable section below.
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Post-Construction Stormwater Management
Permit No. SW8 230504
8. MODIFICATIONS. No person or entity, including the permittee, shall alter any component
shown in the approved plans and specifications, except for minimum driveway crossings. 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 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
BUA, details, etc.
b. Redesign or addition to the approved amount of BUA.
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 stormwater collection system and/or vegetative conveyance
shown on the approved plan, except for minimum driveway crossings.
e. The construction of any allocated future BUA.
f. Adding the option to use infiltrating permeable pavement or#57 stone within the lots as a
pervious surface. The request may require a proposed amendment to the deed restrictions
and protective covenants for the subdivision to be submitted and recorded.
g. The construction of any infiltrating permeable pavement, #57 stone area, public trails, or
landscaping material within the common areas to be considered a pervious surface that
were not included in the approved plans and specifications.
h. Other modifications as determined by the Director.
9. DESIGNER'S CERTIFICATION. Upon completion of the project, the permittee shall determine if
the project is in compliance with the approved plans and take the necessary following actions:
a. If the permittee determines that the project is in compliance with the approved plans, then
within 45 days of completion, the permittee shall submit to the Division one hard copy and
one electronic copy of the following:
i. The completed and signed Designer's Certification provided in Attachment A
noting any deviations from the approved plans and specifications. Deviations
may require approval from the Division;
ii. A copy of the recorded operation and maintenance agreement;
iii. Unless already provided, a copy of the recorded deed restrictions and
protective covenants; and
iv. A copy of the recorded plat delineating the public rights-of-way, dedicated
common areas and/or permanent recorded easements, when applicable.
b. If the permittee determines that the project is not in compliance with the approved plans, the
permittee shall submit an application to modify the permit within 30 days of completion of the
project or provide a plan of action, with a timeline, to bring the site into compliance.
10. OPERATION AND MAINTENANCE. The permittee shall provide and perform the operation and
maintenance necessary, as listed in the signed operation and maintenance agreement, 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. 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.
11. CHANGES TO THE PROJECT NAME, PERMITTEE NAME OR CONTACT INFORMATION.
The permittee shall submit a completed Permit Information Update Application Form to the
Division within 30 days to making any one of these changes.
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Post-Construction Stormwater Management
Permit No. SW8 230504
12. TRANSFER. This permit is not transferable to any person or entity except after notice to and
approval by the Director. Neither the sale of the project and/or property, in whole or in part, nor
the conveyance of common area to a third party constitutes an approved transfer of the permit.
a. TRANSFER REQUEST. The transfer request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H.1045(2). This request
must be submitted within 90 days of the permit holder meeting one or more of the following:
i. A natural person who is deceased;
ii. A partnership, limited liability corporation, corporation, or any other business
association that has been dissolved;
iii. A person or entity who has been lawfully and finally divested of title to the property
on which the permitted activity is occurring or will occur through foreclosure,
bankruptcy, or other legal proceeding.
iv. A person or entity who has sold the property, in whole or in part, on which the
permitted activity is occurring or will occur, except in the case of an individual
residential lot sale that is made subject to the recorded deed restrictions and
protective covenants;
v. The assignment of declarant rights to another individual or entity;
vi. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association, subject to the requirements of NCGS 143-214.7(c2);
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.
11 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.
a. REVIEWING AND MONITORING EACH LOT FOR COMPLIANCE. The permittee is
responsible for verifying that the proposed BUA on each individual lot, within each drainage
area and for the entire project does not exceed the maximum amount allowed by this permit.
The permittee shall review all individual lot plans for new construction and all subsequent
modifications and additions for compliance. The plans reviewed must include all proposed
BUA, grading, and driveway pipe placement. The permittee shall not approve any lot plans
where the maximum allowed BUA limit has been exceeded or where modifications are
proposed to the grading and/or to the stormwater collection system and/or to the vegetated
conveyance unless and until a permit modification has been approved by the Division. The
permittee shall review and routinely monitor the project and each lot to ensure continued
compliance with the conditions of the permit, the approved plans and specifications, and the
recorded deed restrictions and protective covenants. The permittee shall notify any lot
owner that is found to be in noncompliance with the conditions of this permit in writing and
shall require timely resolution.
b. ARCHITECTURAL REVIEW BOARD (ARB) OR COMMITTEE (ARC). The permittee may
establish an ARB or ARC or other group to conduct individual lot reviews on the permittee's
behalf. However, any approval given on behalf of the permittee does not relieve the
permittee of the responsibility to maintain compliance with the conditions of the permit and
the approved plans and specifications.
c. 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.
d. MAINTENANCE ACCESS. SCMs, stormwater collection systems, and vegetated
conveyances must be accessible for inspection, operation, maintenance and repair as
shown on the approved plans.
e. DIVISION ACCESS. The permittee grants Division Staff permission to enter the property
during normal business hours to inspect all components of the permitted project.
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Post-Construction Stormwater Management
Permit No. SW8 230504
f. 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.
g. ANNUAL CERTIFICATION. The permittee shall electronically submit to the Division an
annual certification completed by either the pemiittee or their designee confirming the
projects conformance with permit conditions.
h. 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.
i. 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 issued this the 12th day of June 2023.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Q#1
Douglas R. Ansel, Interim Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 230504
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Post-Construction Stormwater Management
Permit No. SW8 230504
Attachment A
Certification Forms
The following blank Designer Certification forms are included and specific for this project:
• As-Built Permittee Certification
• As-Built Designer's Certification General MDC
• As-Built Designer's Certification for Low Density Projects
A separate certification is required for each SCM. These blank certification forms may be copied and
used, as needed, for each SCM and/or as a partial certification to address a section or phase of the
project.
Page 1 of 1

Post-Construction Stormwater Management
•
Permit No. SW8 230504
AS-BUILT PERMITTEE CERTIFICATION
I hereby state that I am the current permittee for the project named above, and I certify by my signature below,
that the project meets the below listed Final Submittal Requirements found in NCAC 02H.1042(4) and the terms,
conditions and provisions listed in the permit documents, plans and specifications on file with or provided to the
Division.
❑ Check here if this is a partial certification. Section/phase/SCM#?
❑ Check here if this is part of a Fast Track As-built Package Submittal.
Printed Name Signature
I, , a Notary Public in the State of
County of , do hereby certify that
personally appeared before me this day of , 20
and acknowledge the due execution of this as-built certification. (SEAL)
Witness my hand and official seal
My commission expires
Perm tte'es Certification NCAC -1042(4) Completed/ N/A
Provided
A. DEED RESTRICTIONS l BUA RECORDS i t I
1. The deed restrictions and protective covenants have been recorded Y or N
and contain the necessary language to ensure that the project is
maintained consistent with the stormwater regulations and with the
permit conditions.
2. A copy of the recorded deed restrictions and protective covenants Y or N
has been provided to the Division.
3. Records which track the BUA on each lot are being kept. (See Note Y or N
1)
B. MAINTENANCE ACCESS I _______i
1. The SCMs are accessible for inspection, maintenance and repair. _ J Y or N
2. The access is a minimum of 10 feet wide. Y or N
3. The access extends to the nearest public right-of-way. Y or N
C. EASEMENTS _ — i _
1. The SCMs and the components of the runoff collection /conveyance Y or N —
system are located in recorded drainage easements.
2. A copy of the recorded plat(s) is provided. Y or N
D. SINGLE FAMILY RESIDENTIAL LOTS - Plats for residential lots that I Y � r Nhave an SCM include the following: _ _ I I
1. The specific location of the SCM on the lot. Y or N
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 Y or N
NCGS 143 Article 21 if the SCM is removed, relocated or altered
without prior approval.
E. OPERATION AND MAINTENANCE AGREEMENT Ycr N -�-J
1 The O&M Agreement is referenced on the final recorded plat. Y or N
2. The O&M Agreement is recorded with the Register of Deeds and Y or N
appears in the chain of title.
F. OPERATION AND MAINTENANCE PLAN -maintenance records are
being kept in a known set location for each SCM and are available Y or N
��review.
G. DESIGNER'S CERTIFICATION FORM -has been provided to the Y or N
1 Division.
Page 1 of 6

•
Post-Construction Stormwater Management
Permit No. SW8 230504
Note 1-Acceptable records include ARC approvals, as-built surveys, and county tax records.
Provide an explanation for every requirement that was not met, and for every "N/A" below. Attach
additional sheets as needed.
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Post-Construction Stormwater Management
Permit No. SW8 230504
AS-BUILT DESIGNER'S CERTIFICATION GENERAL MDC
I hereby state that I am a licensed professional and I certify by my signature and seal below, that
have observed the construction of the project named above to the best of my abilities with all due care
and diligence, and that the project meets the below listed General MDC found in NCAC 02H.1050 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#?
Check here if this is a part of a Fast-Track As-Built Package Submittal per .1044(3).
Check here if the designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed Name Signature
NC Registration Number Date
Consultant's Mailing Address:
SEAL:
City/State/ZIP
Phone Number
Consultant's Email address:
0 Circle N if the as-built value differs from the Plan. If N is circled, provide an explanation on Page 2.
zON/E = not evaluated (provide explanation on page 2) ON/A= not applicable to this SCM or project.
Consultant's Certification NCAC .1003((3) & General MDC j I I
105�0 OAs-built ! ONE1 CAN/A
A. TREATMENT REQUIREMENTS !
1. The SCM achieves runoff treatment. Y or N
2. The SCM achieves runoff volume match. Y or N
3. Runoff from offsite areas and/or existing BUA is Y or N
bypassed.
4. Runoff from offsite areas and/or existing BUA is directed Y or N
into the permitted SCM and is accounted for at the full
build-out potential.
5. The project controls runoff through an offsite permitted Y or N
SCM that meets the requirements of the MDC.
6. The net area of new BUA increase for an existing project Y or N
has been accounted for at the appropriate design storm
level.
7. The SCM(s) meets all the specific minimum design Y or N
criteria.
B. I EG TATED SETBACKS 1 BUA 1 T_
1. The width of the vegetated setback has been measured Y or N
from the normal pool of impounded waters, the MHW
line of tidal waters, or the top of bank of each side of
rivers or streams.
2. The vegetated setback is maintained in grass or other Y or N
vegetation. ___
3. BUA that meets the requirements of NCGS 143-214.7 Y or N
(b2)(2) is located in the setback.
4. BI.JA that does not meet the requirements of NCGS 143- Y or N
214.7 (b2)(2) is located within the setback and is limited
to:
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Post-Construction Stormwater Management
Permit No. SW8 230504
a. Publicly funded linear projects (road, greenway
sidewalk)
b. Water-dependent structures
c. Minimal footprint uses (utility poles, signs, security
lighting and appurtenances)
5. Stormwater that is not treated in an SCM is released at Y or N
the edge of the setback and allowed to flow through the
setback as dispersed flow.
.
OAs-built ON/E ON/A
C. STORMWATER OUTLETS—the outlet handles the peak Y or N
flow from the 10 year storm with no downslope erosion.
D. VARIATIONS
1. A variation (alternative) from the stormwater rule Y or N
provisions has been implemented.
2. The variation provides equal or better stormwater control Y or N
and equal or better protection of surface waters.
E MPLIANCE WITH OTHER REGULATORY PROGRAMS Y or fvl has been met.
E. SIZING -the volume of the SCM takes the runoff from all
surfaces into account and is sufficient to handle the required Y or N
storm depth.
G. CONTAMINATED SOILS—infiltrating SCM's are not Y or N
located in dr on areas with contaminated soils.
H. SIDE SLOPES
1. Vegetated side slopes are no steeper than 3H:1 V. u Y or N
2. Side slopes include retaining walls, gabion walls, or Y or N
other surfaces that are steeper than 3H:1 V.
3. Vegetated side slopes are steeper than 3H:1 V(provide Y or N
supporting documents for soils and vegetation).
I. EIOStON PROTECTION
1. The inlets do not cause erosion in the SCM. Y or N
2. The outlet does not cause erosion downslope of the Y or N
discharge point during the peak flow from the 10 year
storm.
J. EXCESS FLOWS--- An overflow/bypass has been provided_ Y or N
K. DEWATERNG —A method to drawdown standing water has Y or N
been provided to facilitate maintenance and inspection.
L. CLEANOUT AFTER CONSTRUCTION —the SCM has been Y or N
cleaned out and converted to its approved design state.
M. MAINTENANCE ACCESS I j
1. The SCM is accessible for maintenance and repair. Y or N
2. The access does not include lateral or incline slopes Y or N
>3:1. _
DESIGNER QUALIFICATIONS (I-Agr`rw K PERMIII)— T The designer is licensed under Chapters 89A, 89C, 89E, or '.' or N
89F of the General Statutes.
Provide an explanation for every MDC that was not met, and for every item marked "N/A" or"N/E",
below. Attach additional pages as needed:
Page 4 of 6

Post-Construction Stormwater Management
Permit No. SW8 230504
AS-BUILT 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 Name Signature
NC Registration Number Date
Consultant's Mailing Address:
SEAL:
City: State: Zip:
Phone:( )
Consultant's Email address:
O Circle N if the as-built value differs from the Plan/permit. If N is circled, provide an explanation on page 3.
OO N/E= Not Evaluated (provide explanation on page 2). ®N/A= Not Applicable to this project/plan.
Consultants Certification (MDC 15A NCAC 02H .1003)
Project Density and Built-Upon Area —� ®AS-buitt � ®N/E TZN/A
1. The project has areas of high density based on natural drainage Y or N
area boundaries, variations in land use or construction phasing.
2. The project's built-upon area does not exceed the maximum limit Y or N
specified in the permit.
' Dispersed Flow dAs-built ©N/E 4DNIA
1. The prc :ct maximizes dispersed flow through vegetated areas Y or N
_ and miru�nizes channelized flow.
^Vrsietated Conveyances _1_ Ae 11 ui ®N/E I O>'+f1A_
1. Stormwater that is not released as dispersed flow is transported Y or N
by vegetated conveyances.
2. The project has a minimal amount of non-vegetated conveyances Y or N
to reduce erosion.
3. Other than minimal piping under driveways and roads, no piping Y or N
has been added beyond what is shown on the approved plans.
4. Side slopes are no steeper than 3H:1V. Y or N
5. The conveyance does not erode in response to the peak flow from Y or N
the 10-year storm.
Curb outlet systems(if applicable) -1-. ? built ONIE )N/A
1. The swale or vegetated area can carry the peak flow from the Y or N
10-year storm at a non-erosive velocity.
2. The longitudinal slope of the swale or vegetated areas does not Y or N
exceed 5%.
3. The swale has a trapezoidal cross-section and a minimum bottom Y or N
width of two feet.
4. The minimum length of the swale or vegetated area is 100 feet. Y or N
5. Side slopes are no steeper than 3H:1V. Y or N
Page 5 of 6

Post-Construction Stormwater Management
Permit No. SW8 230504
6. The project utilizes treatment swales designed per Section .1061 Y or N
in lieu of the curb outlet system requirements. __ _
_Vegetated Setbacks(if applicable) _ ' WAs-built --I O N/E , ()Ni
i�r
1. The width of the vegetated setback is at least 50'. Y or N 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
or the top of bank of each side of rivers or streams.
3. The vegetated setback is maintained in grass or other vegetation. Y or N
4. BUA that meets the requirements of NCGS 143-214.7(b2)(2) is Y or N
located in the setback.
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
• Water dependent structures
• Minimal footprint uses such as poles, signs, utility
appurtenances, and security lights.
6. The amount of BUA within the setback is minimized, and Y or N
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
setback and allowed to flow through the setback as dispersed flow. _
Outlets I 'DAss-built ' a)N/E c iNiA
1- Stormwater outlets do not cause erosion downslope of the Y or N
discharge point during the peak flow from the 10-year storm.
Variations I (_DAs-built_ ON/E ONIA
1. The project has variations from the MDC that were not previously Y or N
approved. (Modification may be required.)
Deed restrictions if licable) _ 1 C)As-5ui{t (2)N/E ®N/A
1. Deed restrictions are recorded and ensure that the project and
the BUA will be maintained in perpetuity consistent with the Y or N
permit, approved plans, and specifications.
For StibdMsiona Only(Reeidentiai or Comrprclialll} f WAs b c )uilt �)N/E NJA
1. The number of platted lots is consistent with the approved plans. Y or N
2. The project area is consistent with the approved plans. Y or N
3. The layout of the lots and streets is consistent with the approved Y or N
plan.
4. The width/radius of streets, paved accesses, cul-de-sacs and Y or N
sidewalks is consistent with the approved plan.
5. No piping, other than those minimum amounts needed under a Y or N
driveway or under a road, has been added.
6. The lot grading, road grading, vegetated conveyances, piping, Y or N
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 "N/A" or
"N/E."Attach additional pages as needed.
Page 6 of 6

iaiOperaton Maintenance Agreement
Project Name: SANDY HOLLOW .Slt) 305OL/
Project Location: Off USHwy 258/NCHwy 24, West of Jacksonville
Cover P
Maintenance records shall be kept on the following SCM(s). This maintenance record shall be kept in a log in a known set location
Any deficient SCM 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 SCM(s).
The SCM(s)on this project include(check all that apply&corresponding O&M sheets will be added automatically):
Infiltration Basin Quantity: Location(s):
Infiltration Trench Quantity: Location(s):
Bioretention Cell Quantity: Location(s):
Wet Pond Quantity: Location(s):
Stormwater Wetland Quantity: Location(s):
Permeable Pavement Quantity: Location(s):
Sand Filter Quantity: Location(s):
Rainwater Harvesting Quantity: Location(s):
Green Roof Quantity: Location(s):
Level Spreader-Filter Strip Quantity: Location(s):
Proprietary System Quantity: Location(s):
Treatment Swale Quantity: Location(s):
Dry Pond Quantity: Location(s):
Disconnected Impervious Surface Present: No Location(s):
User Defined SCM Present: No Location(s):
Low Density Present: Yes Type:
CLICK TO UPDATE O&M iViANUAL
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each SCM above, and attached O&M tables. I agree to notify NCDEQ of any problems with the system or prior to any changes to
the system or responsible party.
Responsible Party: Elijah Morton
Title&Organization: Member,South State Development, LLC
Street address: 121 Garnet Lane
City, state, zip: Jacksonville, NC 28546
Phone number(s):_ [phone]
I southstatedevelopment.com
Signature: Date: U -au .a3
I, Y' ci_h - )--1 n 0 , a Notary Public for the State of _
County of Dry 61 Ip L C) , do hereby certify that 1 j ah iner 1 Cl
personally appeared before me this day of 0 a 3 and
acknowledge the due execution of th erations and Maintenance Agreement`````
Witness my hand and official seal, � _ rJ .
`�\\\ J H Etq�/0 ■iii —-.....,.,.... _...�r
w o� p.R Y MAY 08 2023
=G �G 0=
Po" A.` BY,•
•�'2 Dy C(..,
Seal //!I I I I t%0 My commission expires 9 -" 1 9 -ca o a S
STORM-EZ 4/25/2023
Version 1.5 O&M Agreement Page 1 of 1

Low Density Maintenance Requirements
Important maintenance procedures:
The drainage area to the vegetated conveyance or vegetated receiving area will be carefully managed-
to reduce the sediment load to the vegetated conveyance or vegetated receiving area.
_ After the initial fertilization to establish the grass in the vegetated conveyance or the vegetated receiving
area,fertilizer will not be applied to the vegetated receiving areas.
The vegetated conveyance or vegetated receiving area will be inspected quarterly. Records of operation.and
maintenance will be kept in a known set location and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
�..;:W.. T. w.ww.w�w_���. .._ .._. r .ww—n. rww w.w._� __... ww eTT rw r_rr>Y�._..,...
SCM element. !Potential problem: Flow to remediate the problem:
Vegetation 'Vegetation is too short or 'Maintain grassed vegetation such that the swale or vegetated 1
ltoo long. !area does not erode during the peak flow from the 10-year storm
Trash/debris is present. 'Remove the trash/debris.
Areas of bare soil and/or IRegrade the soil if necessary to remove the gully, and then re-soda
erosive gullies have `(or plant with other appropriate species) and water until
Vegetated receiving areas formed. established. Provide lime and a one-time fertilizer application. ('
-Trees and/or other woody Remove the trees and woody vegetation from the swale, regrade
vegetation are present in the swale if necessary and re-establish grass as shown on the
the swale. approved plans.
Trash/debris is present. Remove the trash/debris.
Areas of bare soil and/or ''Regrade the soil if necessary to remove the gully, and then re-sod
erosive gullies have (or plant with other appropriate species) and water until
formed. °established. Provide lime and a one-time fertilizer application.
ISedimt covers the grass Remove sediment and dispose in an area that will not impact
let the bottom of the swate. !streams or SCMs. Re-sod if necessary.
Vegetated conveyances I I
wales!roadside ditches _._...,..�..,., � ..._._.__. ..-, ._�,. . .
The side:o ::teethe slopes to the permitted configuration per the(other than curb outlet ; approved plan and reestablish vegetation. If as-built or existing
,wales
conditions do not allow the slopes to be regraded, contact the
configuration.
applicable permitting agency.
Grass is dead, diseased or Determine the source of the problem: soils, hydrology,disease,
Ietc. Remedy the problem and replace plants. Provide a one-time
'dying.
i !fertilizer application to establish the ground cover if necessary.
!Trees and/or other woody 'Remove the trees and woody vegetation from the vegetated
;vegetation are present in 'conveyance, regrade the vegetated conveyance if necessary and
!the vegetated conveyance. 're-establish grass as shown on the approved plans.
MAY 0 8 2023
SY:

, Clogging has occurred. C Clean out the outlet device. Dispose of the sediment off-site.
the outlet device(if i
applicable) 'The outlet device i
1 Is Repair or replace the outlet device.
'damaged
Erosion or other signs of I
damage have occurred at Repair the damage and improve the flow dissipation structure. E
the outlet. I
the receiving water Discharges from the site f
.are causing erosion or I Contact the local NCDEQ Regional Office.
:sedimentation in the
;receiving water. I
f
IL.=A vy ALI)
MAY 0 8 2023
BY

Date Re eiv Fee Paid Permit Number
,5 S a3 .t 003o3 9' Z00 csa ' &3 050 4
Applicable Rules: Coastal SW-1995 ❑Coastal SW-2008 ❑Ph II-Post Construction
(select all that apply) 0 Non-Coastal SW-HQW/ORW Waters 0 Universal Stormwater Management Plan
0 Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Energy,Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This firm may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name(subdivision,facility,or establishment name-should be consistent with project name on plans,
specifications,letters,operation and maintenance agreements,etc.):
SANDY HOLLOW
2. Location of Project(street address):
US Hwy 258/NC Hwy 24(Richlands Hwy.)
City:Jacksonville County:Onslow Zip:28540
3. Directions to project(from nearest major intersection):
From NC 111 and Hwy 24/258 intersection,go Southeast on Hwy 258,0.5 miles,turn right on Weste Ave.,Go East 0.4 miles,
turn right on Jubilance Lane,Project is after end of cul-de-sac.
4. Latitude: 34 0 48 ' 31 " N Longitude: /77 U 31 ' 01 " W of the main entrance to the project.
IL PERMIT INFORMATION:
1.a.Specify whether project is(check one): ®New ❑Modification 0 Renewal w/Modifications
tRene'wals with modifications also requires SWLI-IO2-Renewal Application Form
b.If this application is being submitted as the result of a modification to an existing permit,list the existing
permit number ,its issue date(if known) ,and the status of
construction: ❑Not Started ❑Partially Completed* ❑Completed* *provide a designer's certification
2. Specify the type of project(check one):
®Low Density DHigh Density ['Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from
DEMLR requesting a state stormwater management permit application,list the stormwater project number,
if assigned, and the previous name of the project,if different than currently
proposed,
4.a.Additional Project Requirements(check applicable blanks;information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
OCAMA Major ®Sedimentation/Erosion Control: 15.5 ac of Disturbed Area
ONPDES Industrial Stormwater 0404/401 Permit:Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name,Project/Permit Number,
issue date and the type of each permit:
5. Is the project located within 5 miles of a public airport? nNo ®Y CE ''
If yes,see S.L.2012-200, Part VI:http://portal.ncdenr.orghveb/l /rules-and-regulation
MAY 0 8 2023
BY:
Form SWU-10l Version Oct. 31,2013 Page 1 of 6

III, CONTACT INFORMATION
1.a.Print Applicant/Signing Official's name and title(specifically the developer,property owner,lessee,
designated government official,individual,etc.who owns the project):
Applicant/Organization:South State Development, LLC
Signing Official &Title:Elijah T. Morton, Member
b.Contact information for person listed in item la above:
Street Address: 121 Garnet Lane
City:Jacksonville State:NC zip:28546
Mailing Address(if applicable): 121 Garnet Lane
City:Jacksonville State: NC zip:28546
Phone: 910 ) 346-9068 Fax: .( ) N/A
Email: [e-mail]
c.Please check the appropriate box.The applicant listed above is:
The property owner(Skip to Contact Information,item 3a)
❑Lessee*(Attach a copy of the lease agreement and complete Contact Information,item 2a and 2b below)
❑Purchaser*(Attach a copy of the pending sales agreement and complete Contact information,item 2a and
2b below)
❑Developer*(Complete Contact Information,item 2a and 2b below.)
2.a.Print Property Owner's name and title below,if you are the lessee,purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official&Title:
b.Contact information for person listed in item 2a above:
Street Address:
City: State: Zip:
Mailing Address(if applicable):
City: State: Zip:
Phone: ) Fax: ( )
Email:
3.a. (Optional)Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:Jennifer Morton Ward, South State Development, LLC
Signing Official&Title:Jennifer Morton Ward, Member
b.Contact information for person listed in item 3a above:
Mailing Address: 121 Garnet Lane
City:Jacksonville State:NC Zip:28546
Phone: ( 910 ) 346-9068 Fax: ( ) N/A
Email: [e-mail]
4. Local jurisdiction for building permits:
Point of Contact: Phone#: ( )
EC 1/t
MAY Q 8 2023
Form SWL-101 Version Oct.31,2013 Page 2 of6
8Y:

IV. PROJECT INFORMATION
1. In the space provided below,briefly summarize how the stormwater runoff will be treated.
Runoff will sheet flow to vegetated swales.or sheet flow thru vegetated areas.
2.a.If claiming vested rights,identify the supporting documents provided and the date they were approved:
❑Approval of a Site Specific Development Plan or.PUD Approval Date:
❑Valid Building Permit Issued Date:
❑Other: Date:
b.If claiming vested rights,identify the regulation(s)the project has been designed in accordance with:
❑Coastal SW-1995 ❑Ph II-Post Construction
3. Stormwater runoff from this project drains to the White Oak River basin.
4. Total Property Area:70.22 acres 5. Total Coastal Wetlands Area:0 acres
6. Total Surface Water Area:0 acres
7. Total.Property Area(4)-Total Coastal Wetlands Area (5)-Total Surface Water Area(6)=Total Project
Areai: 70.22 acres
Total project area shall he calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers,the area below the Normal High Water(NFIW)line or Mean High Water
(MHW)line,and coastal wetlands landward from the NHW(or MHW)line. The resultant project area is used to
calculate overall percent built upon area(BUA). Non-coastal wetlands landward of the NHW(or MHW)line may
he included in the total project area.
8. Project percent of impervious area: (Total Impervious Area/Total Project Area)X 100 = 24.0 %
9. How many drainage areas does the project have?1 (For high density,count 1 for each proposed engineered
stormwater BMP. For low density and other projects,use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project.informatio:n item 9. If there
are more than four drainage areas in the project,attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information Drainage Arca_ Draircapp Area_ II) ainaf;e Area_ ' Drainage Area_.
Receiving Stream Name UT to New River
Stream Class * C NSW
Stream Index Number* 19-1
Total Drainage Area(sf) 3,058,868
On-site Drainage Area(sf)
Off-site Drainage Area(sf)
Proposed Impervious Area**(sf) 734,128
%Impervious Area**(total) 24.0
impervious*"Su rface Areil. Drainago A rt..a_1 P ainaEc Arta Draiuua_tp Arca Drainagr Area
On-site Buildings/Lots(sf) 168,000
On-site Streets (sf) 55,284
On-site Parking (sf)
On-site Sidewalks (sf)
Other on-site (Sig Station Drivemp 7,239 •
Future(sf) 503,605
Off-site (sf)
Existing BUA***(sf)
Total (sf): 734,128
* Stream Class and Index Number can be determined at: xttp://porn l.ncdenr.orghveb/wnl i r� ••�
** Impervious area is defined as the built upon area including,but not limited to,buildings, s,par ar
sidewalks,gravel areas,etc. '
MAY A 3 2023
Form SWU-101 Version Oct.31,2013 Page 3 of 6 BY

***Report only that amount of existing BUA that will remain after development.Do not report any existing BUA that
is to be removed and which will he replaced by new BUA.
11. How was the off-site impervious area listed above determined?Provide documentation.
Projects in Union County:Contact.DE11IL.R Central Qice staff to check if the project is located within a Threatened&
Endangered Species watershed that may be subject to more stringent stormwater requirements as per.1 5A NCAC 0.213.0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance(O&M)forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from.http://portal.ncde:nr.org/web/wq/ws/si.z/b:mp-:magmal.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy,Mineral and
Land Resources(DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http://portal.ncdenr.org/web/wo/ws/su/statesw/forms does. The complete application package should be
submitted to the appropriate DE.ML.R Office. (The appropriate office may be found by Locating project on the
interactive online map at http://portal.ncdenr.org/'veb/wa/ws/su/naps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item.All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from hp://portal.n_derr.org/web/wq/ws/su/statesw/forms docs.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. 1.A
2. Original and one copy of the signed and notarized Deed Restrictions&Protective Covenants 'jiA 1
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed,signed and dated)and O&M TPA s
agreement(s)for each BMP.
4. Permit application processing fee of$505 payable to NCDENR. (For an Express review,refer to 'rat S
http://www.envhelp.org/pages/onestopexpress.html for information on the Express program Zoo prtfri
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative(one to two pages)describing the stormwater treatment/managementfor TM S
the project. This is required in addition to the brief summary provided in the Project
Information,item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or. the S
receivi:ng stream drains to class SA waters within 1/2 mile of the site boundary,include the 7
mile radius on the map.
7. Sealed,signed and dated calculations(one copy). TN s
8. Two sets of plans folded to 8.5"x 14" (sealed,signed,&dated),including: 7M s
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures,the banks of streams and rivers,the MHW or:NJ-lW line of tidal
waters,and any coastal wetlands landward of the MHW or NHW lines.
Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures,the banks of streams or rivers,and the MHW (or NH1h7)of tidal waters.
i. Dimensioned property/project boundary with bearings Sr distances.
j. Site Layout with all BUA identified and dimensioned. ^ . ,,w,.,.ok .•T.,
grn
k. Existing contours,proposed contours,spot elevations,finished floor elevations. =La= V IL
I. Details of roads,drainage features,collection systems,and stormwater control sures.
MAY 0 8 2023
•
Form SWU-101 Version Oct.31,2013 Page 4 of 6 BY'

m.Wetlands delineated,or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage(including off-site),drainage easements,pipe sizes,runoff calculations.
o. Drainage areas delineated(included in the main set of plans,not as a separate document).
p. Vegetated buffers(where required).
9. Copy of any applicable soils report with the associated SHWT elevations(Please identify
elevations in addition to depths)as well as a map of the boring locations with the existing
elevations and boring logs.Include an 8.5"x11"copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs,the report should also
include the soil type,expected infiltration rate,and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO:Schedule a site visit for DEMLR to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed.Deed book: 5730 Page No: 26 TM S
1.1. For corporations and limited liability corporations(LLC):Provide documentation from.the NC TM S
Secretary of State or other official documentation,which supports the titles and positions held
by the persons listed in Contact Information,item la,2a,and/or 3a per 15A NCAC 21-1.1003(e).
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State,otherwise the application will be returned.
http://www.secretary.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions,outparcels,and future development,the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary,a table listing each lot number,lot size,and the allowable built-upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from http://portal.ncdenr.orglwebllr/stale-stormwater-
forms does.Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s)below,the permit holder(s)certify that the recorded property restrictions and
protective covenants for this project,if required,shall include all the items required in the permit and listed
on the forms available on the website,that the covenants will be binding on all parties and persons claiming
under them,that they will run with the land,that the required covenants cannot be changed or deleted
without concurrence from the NC DEMLR,and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm(such as a
consulting engineer and/or firm)so that they may provide information on your behalf for this project(such as
addressing requests for additional information).
Consulting Engineer:Timothy M. Stewart, P.E.
Consulting Firm:Tidewater Associates, Inc.
Mailing Address:306 New Bridge Street
City:Jacksonville State: NC Zip:28540
Phone: ( 910 ) 455-2414 Fax: ( ) N/A
Email: [e-mail]
IX. PROPERTY OWNER AUTHORIZATION(if Contact Information,item 2 has been filled out,complete this
section)
1, (print or type name of person listed in Contact information,item 2a) ,certify that 1
own the property identified in this permit application,and thus give permission to(print or type name of person
listed in Contact Information,item 1a) with(print or type name of organization listed in
Contact Information,item 1a) to develop the project as urrreently proposed. A copy of
the lease agreement or pending property sales contract has been provided with th $.. s the
party responsible for the operation and maintenance of the stormwater system.
MAY 0 8 2023
Form SWU-101 Version Oct.31,2013 Page 5 of
BY

As the legal property owner I acknowledge,understand,and agree by my signature below,that if my designated
agent(entity listed in Contact Information,item 1)dissolves their company and/or cancels or defaults on their
lease agreement,or pending sale,responsibility for compliance with the DEMLR Stormwater permit reverts back
to me,the property owner.As the property owner,it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days;otherwise I will be operating a stormwater
treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility
without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action including the assessment of civil penalties of up to$25,000 per day,pursuant to NCGS 143-215.6.
Signature: Date:
I, ,a Notary Public for the State of County of
,do hereby certify that_._ personally appeared
before me this_day of ,and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information,item 1a) ELIJAH T. iVIORTON
certify that the information included on this permit application form is,to the best of my knowledge,correct and
that the project will be constructed in conformance with the approved plans,that the required deed restrictions
and protective covenants will be recorded,and that the proposed project complies with the requirements of the
applicable storm r rules . A NCAC 2H.1000 and an'other applicable state stormwater requirements.
Signature: Date: LI a3
I, bOr O hTlier0: a Notary Public for the State of North Carolina ,County of
Onslow ,do hereby certify that Elijah T. Morton
r personally appeared
before me thi �paay of April 2023 an nowledge the due executio of the application for
a stormwater permit. Witness my hand and official seal, l.2.f 1 -
IIII11/
NH 6,e''%
4R,
ie
e SEAL
NO TA'? -�
PUBOG
®
��'s+ . My commission expires 19 -p�U O ✓
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MAY 0 3 2023
Form SWU-101 Version Oct.31,2013 Page 6 of 6

SUPPLEMENT-EZ COVER PAGE SbJ o5O4
FORMS LOADED
FRO.lEC71NF0RiAA'itd?N
1 Project Name i S HOttew _T�-__
2 Project Area(ac) i 70.22
3 Coastal Wetland Area(ac) 0
4 Surface Water Area(ac) 0
5 Is this his ect u or Loan s SC .__ ._. _ }^� Low x
6 Does this project use an off-site SCM? �i �No
LCOMPLIANCE WITH 02H.1003 4
7 Width of vegetated setbacks provided(feet) — 50
I 8 Will the vegetated setback remain vegetated? Yes
19 If BUA is proposed in the setback,does it meet NCAC 02H.1003(4)(c-d)? I Yes
1_10 Is streambank stabilization proposed on this project? I No
NUMBER AND TYPE OF SCMn:
11 Infiltration System 0
12 Bioretention Cell 0
13 Wet Pond 0
14 Stormwater Wetland I 0
15 Permeable Pavement 0
16 Sand Filter 0
17 Rainwater Harvesting(RWH) ' 0
18 Green Roof 0
19 Level Spreader-Filter Strip(LS-FS) j 0
• 20 Disconnected Impervious Surface(DIS) 0
21 Treatment Swale 0
22 Dry Pond 1_,` 0
23 StormFilter 0
24 Silva Cell 0
25 Bayfilter 0
26 Filterra 0
r FORMS LOADED 1
�f r3 C P6FlClICI1CN -..,... ._,-..... 1...-...4'. _. �_
27 Name and Title: _.__Timothy M.Stewart,P.E.___
28 Organization: r TewaterAssoCiates,Inc,_.—
29 Street address: 306 New Bridge Street
30 City,State,Zip: Jacksonville,NC 28540
31 Phone number(s): [phone]
32 Email: .__ ._�°a,_office _corn__
Certification Statement:
I certify,under penally of law that this S rp rnont-EZ form and et supporting int:emation were prepared under my direction or supervision:that the
information provided irr the form is,to the best of my knowledge end beliA true,accufata,and comv!ete;and that the engineering plans,
specifications,operation era maim:ny:.;ag eemer is and other supporting irdarmnbon are consistent with the information provided here
Designer
,iNfINi oil ii
e+®,.•'&ES31®'r�/jig' w..
SERA ▪ - Signature of Desig er ./ a' U. e ,
14575 ▪ = MAY
- A' 082023 li
Seal I Date

DRAINAGE AREAS
1 Is this a high density project? No
2 If so,number of drainage areas/SCMs 0
3 Does this project have low density areas? Yes
4 If so,number of low density drainage areas 1
Is all/part of this project subject to previous rule
5 versions? No
FORMS LOADED
DRAINAGE.AREA INFORMATION Entire Site LD 1
4 Type of SCM
5 Total drainage area(sq ft) 3,058,868 3,058,868
6 Onsite drainage area(sq ft) _3,058,868 3,058,868
7 Offsite drainage area(sq ft) __
8 Total BUA in project(sq ft) 734128 sf 734128 sf
New BUA on subdivided lots(subject to permitting)
9 (sq ft) 168.000 sf 16.8.000 sf
New BUA not on subdivided lots(subject to
10 permitting)(sf)
11 Offsite BUA(sq ft)
12 Breakdown of new BUA not on subdivided lots:
-Parking(sq ft)
Sidewalk(sq ft)
-Roof(sq ft)
Roadway(sq ft) 55284 sf 55284 sf
-Future(sq_fit 503605 sf 503605 sf
-Other,please specify in the comment box
below(sq ft) 7239 sf 7239 sf
New infiltrating permeable pavement on
13 subdivided lots(sq ft)
New infiltrating permeable pavement not on
14 subdivided lots(sq ft)
Existing BUA that will remain(not subject to
15 permitting)(sq ft)
16 Existing BUA that is already permitted(sq ft)
17 Existing BUA that will be removed(sq ft)
18 Percent BUA 24% 24%
19 Design storm(inches) _
20 Design volume of SCM(cu ft)
21 Calculation method for design volume
ADDITIONAL INFORMATION
Please use this space to provide any additional information about the
22 drainage area(s):
Mailbox Kiosk and Pump Station BUA=7239 sf
flECEIVE
flNAY312o23

LOW DENSITY
IDESIGN RKi T IVS 7-DI^f VW lit •,°ti a'e r y f$ ri7,-t 1003
fir. o-
i 1 Is project below density thresholds set forth in the applicable stormwater rule? • Yes
2 Does project maximize dispersed flow and minimize channelization of flow? Yes
3 Has the use of piping been minimized per.1003(2)(c)? i Yes �.
f 4 Side slopes of the vegetated conveyances(H:V) ; 3:1
5 Maximum velocity in the vegetated conveyances during the 10-year storm? _ 2.9
6 Are curb outlet swales proposed? ; No 1
I- A
7 Maximum longitudinal slope of curb outlet swale(s)(%) NIA
8 Bottom width of curb outlet swale(s)(feet) i _N/A
9 Maximum side siope of curb outlet swale(s)(H:V) i N/A g
10 Minimum length of curb outlet swale(s)(feet) {i. N/A 11
11 Are treatment swales used instead of curb outlet swales? [_-No
12 Is stormwater released at the edge of the setback as dispersed flow? i Yes
13_Have stormwater outlets been designed to prevent downslope erosion? i Yes
14 !Are variations to rule.1003 proposed? - No
ADDITIONAL INFORMATION
15 !Please use this space to provide any additional information about this low density project:
Drainage I i Pervious
Swale Area BUA = area ! C Q • Slope Va.,,, i V.„„., Flow depth
# (ac) { (ac) I [ac) , (cfs) ! (%) j (fps) (fps) (rt)
1 1.00 0.60 0.40 • 0.55 4.70 i 2.90 ` 5.00 2 60 0.80
2 1.10 0.20 E 0.90 0.40 3.20 I 0.60 t 5.00 ! 1.20 0.70
3 2.60 i 0.80 i 1.80 ; 0.49 . 9.30 2.50 I 5.00 I 2.90 1.00
4 0 80 i 0.20 j 0_60 I 0.45 2.60 1.20 ! 5.00 1.40 0.60
5 1.00 0.20 1 0.80 I 0.42 ! 3.00 I 1.80 I 5.00 i 1.70 0.60
6 0.70 0.50 ! 0.20 0.50 ! 2.50 1.30 I 5.00 1.60 0.70
• 7 14.00 i-_._.....--
3.90 10.10 I 0.47 i 47.40 0.40 5.00 2.00 2.20
8 1.40 0.20 ! 1.20 1 0.38 3.70 3.40 5.00 2.30 0.60
9 2.80 _1.00 _J- 1.80 0.51 -f- 10.40 0.90 5.00 1.80 1- 1.10
10 5.00 1.40 1 40 1 3.60 ���0.47 1 16.60 -1.10 5.00 2.50 1.50
11 ,
12
14
1' _
17
13
21
22 i j - fi
1 iier IL.hi)
25
8
I!'
. .__ -_-_-. f __:_ �;.: MAY 08
2023 BY:
2? .4..... Ii.._. _.._�_!

Low Der siW Rasif entiai Subdivisions
s
Deed Restrictions & Protective COVeilailC33
In accordance with Title 15 NCAC 2H.1000 and S.L. 2006-246, the Stormwater Management
Regulations, deed restrictions and protective covenants are required for Low Density Residential
Subdivisions where lots will be subdivided and sold. Deed restrictions and protective covenants are
necessary to ensure that the development maintains a "built-upon" area consistent with the applicable
regulation governing the density level.
I, Elijah T. Morton acknowledge and affirm by my signature below, that I will cause the
following deed restrictions and protective covenants to be recorded for Sandy Hollow
prior to the sale of any lot:
1. The following covenants are into intended to ensue ongoing compliance with State Stormwater
Management Permit NumberSW S Z23Q501I , as issued by the Division of Energy, Mineral and
Land Resources under the Stormwater Management Regulations.
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming
under them.
4. The covenants pertaining to stormwater may not be altered or rescinded without the express
written consent of the State of North Carolina, Division of Energy, Mineral and Land Resources.
5. Alteration of the drainage as shown on the approved plan may not take place without the
concurrence of the Division of Energy, Mineral and Land Resources.
6. The maximum allowable built-upon area per lot is 3,500 square feet. This allotted amount
includes any built-upon area constructed within the lot property boundaries, and that portion of the
right-of-way between the front lot line and the edge of the pavement. Built upon area includes, but
is not limited to, structures, asphalt, concrete, gravel, brick, stone, slate, and coquina, but does
not include raised, open wood decking, or the water surface of swimming pools.
7. in the case of a lot within CAMA's regulated AEC, where the Division of Coastal Management
calculates a different maximum allowable built-upon area for that lot than is shown herein, the
governing maximum built-upon area for that lot shall be the most restrictive of the two.
8. Filling in or piping of any vegetative conveyances (ditches, swales, etc.) associated with the
development except for average driveway crossings is strictly prohibited by any persons.
9. Each lot will maintain a 30*foot wide vegetated buffer between all impervious areas and surface
waters.
10. All roof drains shall terminate at least 30*foot from the mean high water mark of surface waters.
*50 foot for pro' I cal ,in t- 20 coastal counties.
Signature: v Date: 4 - .Q 4 - a3
.,,
I:Ilia lD r Q 7--t�XY�1"D a Notary Publ' ^w.
+~ V
-..„
State of North Carolina , County of Onslow i�q r 2 2
20234-i)
do hereby certify that Elijah T. Morton personally a red
before me this the a L,v day of April , 2023 , and acknowledge
the due execution of the foregoing instrument. Witness my hand and\Ott41s,p%F /ited),��i
ad°kn C2q )4v-sor‘l--D5
Signature —My Commission expires q -aoa5� PUgL�G =�`
Form DRPC-5 Rev.2 05Nov2009 Page 1 of 1 /�``s�0W C0\1*\\\\