SW8001020_CURRENT PERMIT_20050104

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW NVINRV
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
'4�104
YYYYMMDD

�QF WATFR Michael F Easley, Governor
�o 0 William G Ross, Jr, Secretary
6 North Carolina Department of Environment and Natural Resources
0 Alan W Klimek, P E Director
Division of Water Quality
January 4, 2005
Charles R King, Trustee
Charles C King Trust
4208 Oak Park Road
Raleigh, NC 27612
Subject: Stormwater Permit No SW8 001020
Charles C. King Trust Townhomes
High Density Project
Carteret County
Dear Mr King
The Wilmington Regional Office received a complete Stormwater Management Permit
Application for Charles C King Trust Townhomes on October 18, 2004 Staff review of the
plans and specifications has determined that the project, as proposed, will comply with the
Stormwater Regulations set forth in Title 15A NCAC 2H 1000 We are forwarding Permit No
SW8 001020 dated January 4, 2005, for the construction of the subject project
This permit thall be effective from the date of issuance until January 4, 2015, and shall be
subject to the conditions and limitations as specified therein Please pay special attention to
the Operation and Maintenance requirements in this permit Failure to establish an adequate
system for operation and maintenance of the stormwater management system will result in
future compliance problems
If any parts, requirements, or limitations contained in this permit are unacceptable, you have
the right toreque t n adjudicatory hearing upon written request within thirty (30) days
following receipt o his permit This request must be in the form of a written petition,
conforming to Chapter 150E of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings, P O Drawer 27447, Raleigh, NC 27611-7447 Unless such demands
are made this permit shall be final and binding
If you have any questions, or need additional information concerning this matter, please
contact Rhonda Hall, or me at [phone]
Sincerely,
Rick Shiver
Regional Supervisor
Surface Water Protection Section
RSSIrbh S IWQSISTORMWATIPERMIT1001020 jan05
cc Carteret County Building Inspections
Rhonda Hall
Wilmington_Regional-Office
Central Files
North Carolina Division of Water Quality 127 Cardinal Drive Extension Phone [phone] Customer Servicel-877.623-6748 One
Wilmington Regional pffloe Wlmngton, NC 28405-3845 FAX [phone] Internet h2o enr state nc us NorthCaro/l/ma
An Equal QpportunitylAffirmative Action Employer— 50°% Recycled110°% Post Consumer Paper Naturally

State Stormwater Management Systems
Permit No SW8 001020
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Charles R King, Charles C King Trust
Charles C King Trust Townhomes
Carteret County
FOR THE
construction, operation and maintenance of three underground infiltration trenches incompliance with the provisions of 15A NCAC 2H 1000 hereafter referred to as the
"stormwater rules') and the approved stormwater management plans and specifications
and other supporting data as attached and on file with and approved by the Division of
Water Quality and considered a part of this permit
This permit shall be effective from the date of issuance until January 4, 2015, and shall
be subject to the following specified conditions and limitations
I DESIGN STANDARDS
1 This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data
2 This stormwater system has been approved for the management of stormwater
runoff as described in Section 16 on page 3 of this permit The stormwater
control has been designed to handle the runoff from 10,827 square feet of
impervious area This trench must be operated with a 50' vegetated filter
3 The tract will be limited to the amount of built -upon area indicated on page 3 of
this permit, and per approved plans
4 All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans
5 The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system
Page 2of7

State Stormwater Management Systems
Permit No SW8 001020
6 The following design criteria have been provided in the three infiltration trenches
and must be maintained at design condition
1 2 3
a Drainage Area, acres 006 009 010
Onsite, ft2 2405 4061 4361
Offsite, ft2 None None None
b Total Impervious Surfaces, ft2 2405 4061 4361
c Design Storm, inches 1 5 1 5 1 5
d Trench Dimensions, LxWxH, ft 25x8x2 25 55x4x2 25 45x8x2 25
e Perforated Pipe Diameter, in 15 15 15
f Perforated Pipe Length, ft 25 55 45
g Bottom Elevation, FMSL 425 425 425
h Bypass Weir Elevation, FMSL 725 725 725
i Permitted Storage Volume, ft3 301 508 545
i Type of Soil loamy sand loamy sand loamy sand
k Expected Infiltration Rate, mlhr 060 060 0 60
I Seasonal High Water Table, FMSL 225 225 225
m Time to Draw Down, hours 30 456 30
n Receiving Stream/River Basin Newport River/White Oak
o Stream Index Number 21-(17)
p Classification of Water Body "SA,HQW"
II. SCHEDULE OF COMPLIANCE
1 The stormwater management system shall be constructed in Its entirety,
vegetated and operational for its Intended use prior to the construction of any
built -upon surface
2 During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired Immediately
3 The permittee shall at all times provide the operation and maintenance
necessary to assure the permitted stormwater system functions at optimum
efficiency The approved Operation and Maintenance Plan must be followed in
its entirety and maintenance must occur at the scheduled intervals including, but
not limited to
a Semiannual scheduled inspections (every 6 months)
b Sediment removal
c Mowing and revegetation of slopes and the vegetated filter
d Immediate repair of eroded areas
e Maintenance of all slopes in accordance with approved plans and
specifications
Page 3 of 7

State Stormwater Management Systems
Permit No SW8 001020
f Debris removal and unclogging of bypass structure, filter media, flow
spreader, catch basins, piping and vegetated filter
g A clear access path to the bypass structure must be available at all times
4 Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ The records will indicate the date,
activity, name of person performing the work and what actions were taken
5 The facilities shall be constructed as shown on the approved plans This permit
shall become voidable unless the facilities are constructed in accordance with
the conditions of this permit, the approved plans and specifications, and other
supporting data
6 Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation Any deviations from the
approved plans and specifications must be noted on the Certification A
modification may be required for those deviations
7 If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility
8 Access to the stormwater facilities shall be maintained via appropriate
easements at all times
9 The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below
a Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc
b Project name change
c Transfer of ownership
d Redesign or addition to the approved amount of built -upon area or to the
drainage area
e Further subdivision, acquisition, lease or sale of all or part of the project
area The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Ma)or permit was sought
f Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan
10 The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction
11 A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction
12 The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made
Page 4 of 7

State Stormwater Management Systems
Permit No SW8 001020
III GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director
In the event of a change of ownership, or a name change, the permittee must
submit a formal permit transfer request to the Division of Water Quality,
accompanied by a completed name/ownership change form, documentation
from the parties involved, and other supporting materials as may be appropriate
The approval of this request will be considered on its merits and may or may not
be approved The permittee is responsible for compliance with all permit
conditions until such time as the Division approves the transfer request
2 Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215 6A to 143-215 6C
3 The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction
4 In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems
5 The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility
6 The permit may be modified, revoked and reissued or terminated for cause The
filing of a request for a permit modification, revocation and relssuance or
termination does not stay any permit condition
7 Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual
8 Approved plans and specifications for this protect are incorporated by reference
and are enforceable parts of the permit
9 The permittee shall notify the Division any name, ownership or mailing address
changes within 30 days
Permit issued this the 4t' day of January, 2005
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Alan Klimek, director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 5 of 7

State Stormwater Management Systems
Permit No SW8 001020
Charles C King Trust Townhomes
Stormwater Permit No SW8 001020
Carteret Count
Designer's Certification
I, , as a duly registered
in the State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications
The checklist of items on page 2 of this form is included in the Certification
Noted deviations from approved plans and specification
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No SW8 001020
Certification Requirements
1 The drainage area to the system contains approximately the permitted
acreage
2 The drainage area to the system contains no more than the permitted
amount of built -upon area
3 All the built -upon area associated with the protect is graded such that the
runoff drains to the system
4 All roof drams are located such that the runoff is directed into the system
5 The bypass structure elevations are per the approved plan
6 The bypass structure is located per the approved plans
7 A Trash Rack is provided on the outlet/bypass structure
8 All slopes are grassed with permanent vegetation
9 Vegetated slopes are no steeper than 3 1
10 The inlets are located per the approved plans and do not cause short-
circuiting of the system
11 The permitted amounts of surface area and/or volume have been
provided
12 All required design depths are provided
13 All required parts of the system are provided
14 The required system dimensions are provided per the approved plans
cc NCDENR-DWQ Regional Office
Carteret County Building Inspections
Page 7 of 7

I
E "i i '{ I ,itr (f (" ' i E i�! < � i € E ( ie � � °{'l l l lyE Er sa `� 1 OFFICE'USE ON1 Y , l € € E 31I I I `I' 11 ' 3' i 1 � 1 > 11 € E 10 ( 91, ' h
3 Sb i� € 7 11 I� fl ii9
Date Received
Fee Paid
Permit Number
0- a - o
f '520 0
6 d 10
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
GENERAL INFORMATION
1 Applicants name (specify the name of the corporation individual, etc who owns the project)
Ck1g12t&-s c. K,"J4 Tp-usr
2 Print Owner/Signing Officials name and title (person legally responsible for facility and compliance)
C4 A veLL s tz. KiM t, (TI-9J')T�j
3 Mailing Address for person listed in item 2 above
g Z o g ©A 14 Pio 2 v- f-n
City RIOLfikU State NC Zip 2,76t?-
TelephoneNumber ( �I1 ) 664'
4 Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans
specifications, letters, operation and maintenance agreements etc)
C-I l A¢tIRs C, K-11'JG Tf-u5T T wCJ44aMe .S
5 Location of Project (street address)
I o ? 5 iron S Te,2 Ei
City P7,6AdFoZT- County ^ CA zTC-p.t T
6 Directions to project (from nearest major intersection)
FiLo^ 05 -10 F 66 '50J714 04 MOOaZ-5T , 'VatJ We5T 013 g(Zopo ST
PUJE�(-T IS Ar etio OF Pic-ociroa J or-nl 02IGu7) SIUe or
7 Latitude �5 i : W3 . { 1o. to 4 Longitude '76 % 40 10 2.'1 W of project
8 Contact person who can answer questions about the project
Name __ RAIJ 0�1 rra Telephone Number ( III ) 86 q - I Z 61 X 2 7g
II PERMIT INFORMATION
1 Specify whether project is (check one)
Form SWU-101 Version 3 99
X New
Page I of 4
Renewal Modification

I
2 If this application is being submitted as the result of a renewal or modification to an existing permit list the
existing permit number and its issue date (if known)
3 Specify the type of project (check one)
Low Density High Density X Redevelop General Permit Other
4 Additional Project Requirements (check applicable blanks)
k CAMA Major Sedimentation/Erosion Control _404/401 Permit �NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748
III PROJECT INFORMATION
1 In the space provided below, summarize how Stormwater will be treated Also attach a detailed narrative
(one to two pages) describing stormwater management for the project
PfzOSrC,--r W10- geouce -r- AmouN-r OF EYJST S0f.FAGFS, OIL&- ES7461_11:71 210i
ele- SS (30FFace Ai-omcl Ep&c aF ljie4i- tJareA IF F1NO W1CA- /A+STaLL 3 06 1NFlo�r2aporJ 5yfre�ns
TD TiLEAT FfU,- Pike, WFC-Ayiao5 Sffl IS Cveat-lvTa-�j 4Ca I. ime w/ N6 Taacgmetvr
2 Stormwater runoff from this project drains to the _W I-11tF GAS _ _ River basin
3 Total Project Area 4. 05 acres 4 Project Built Upon Area 46 ,SCXisT
5 How many drainage areas does the project have?
6 Complete the following information for each drainage area If there are more than two drainage areas in the
project attach an additional sheet with the information for each area provided in the same format as below
4e F ATnocfdto
Basin Information €, E ��
; r ;i,� Drainage Area 1
W
Drainage Area 2----------------------
Receiving Stream Name
Receiving Stream Class
Drainage Area
Existing Impervious* Area
Proposed Impervious*Area
% Impervious* Area (total)
4
{ WY I ,III l I i 1 * i W � � f E E
i
Im}}'��eirvousa33dSurfaceztilrea'
j'� i
i ii 1i
SAE 9 i d, t
On -site Buildings
On -site Streets
lie
On -site Parking
On -site Sidewalks
s
Other on -site
Off -site
Total
Total
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas etc
Form SWU-101 Version 3 99 Page 2 of

7 How was the off -site impervious area listed above derived? "
IV DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot If lot sizes vary significantly a table
listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment
I The following covenants are intended to ensure ongoing compliance with state stormwater management permit number
as issued by the Division of Water Quality These covenants may not be
changed or deleted without the consent of the State
2 No more than 77 �o b square feet of any lot shall be covered by structures or impervious materials
Impervious materials include asphalt gravel concrete brick stone slate or similar material but do not include wood
decking or the water surface of swimming pools
3 Swales shall not be filled In piped or altered except as necessary to provide driveway crossings
4 Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction
5 All permitted runoff from outparcels or future development shall be directed into the permitted stormwater control
system These connections to the stormwater control system shall be performed in a manner that maintains the integrity
and performance of the system as permitted
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above 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 State, and that they will be recorded prior to the sale of any lot
V SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-105
Curb Outlet System Supplement
�n 1c1C - 6
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Form SWU-101 Version 3 99
Page 3 of 4

VI SUBMITTAL. REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ)
A complete package includes all of the items listed below The complete application package should be
submitted to the appropriate DWQ Regional Office
1 Please indicate that you have provided the following required information by initialing in the space provided
next to each item
Innitials
• Original and one copy of the Stormwater Management Permit Application Form
• One copy of the applicable Supplement Form(s) for each BMP
• Permit application processing fee of $420 (payable to NCDENR) 121r
• Detailed narrative description of stormwater treatment/management
• Two copies of plans and specifications, including
- Development/Project name
- Engineer and firm
-Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Original contours proposed contours spot elevations, finished floor elevations
- Details of roads drainage features collection systems and Stormwater control measures
- Wetlands delineated or a note on plans that none exist
- Existing drainage (including off -site) drainage easements pipe sizes runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VII AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf please complete this section
Designated agent (individual or firm)
Mailing Address
City
Phone
VIII APPLICANT'S CERTIFICATION
State
Fax ( )
Zip
I (print or type name of person listed in General Information item 2) G NA 2UIS F- K IN 4 CT IZUSTCe)
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 covens s will be recorded and that the proposed project complies with the requirements of 15A
NCAC 2H "'Y� // /
Signature
Form SWU-101 Version 3 99
Page 4 of 4
Date lozo f/o 7

Charles King Trust
107 Broad Street
Beaufort NC
Basin Info
Drainage Area 1
North
Drainage Area 2
Middle
Drainage Area 3
South
Drainage Area 4
Other(Non-Imp )
Total
Receiving Stream
Gallants Ch Manna
Gallants Ch Marina
Gallants Ch Marina
Gallants Ch Marina
Receiving Strm Class
SIA (W/l 112 Mile)
SIA (WIl 1/2 Mile)
SIA (W/l 112 Mile)
SIA (W/l 112 Mile)
Drainage Area (S F)
2405
4061
4361
17487
28314
Exist Impery Area
1635
2473
3294
5773
13175
Proposed Impery Area
2405
4061
4361
0
10827
%Imp Area (Total)
100
100
100
0
382
Impervious Surf Area
5n-Site Bldg
1709
3420
1709
0
6838
On -Site Streets
498
0
1832
0
2330
On -Site Parking
174
0
724
0
898
On -Site Sidewalks
24
641
96
0
761
Other On -Site
0
0
0
0
0
Off -Site
0
0
0
0
0
Total
24051
4061
4361
0 10827

F1
Permit No '5,�i b UO I 0 d-..o
(to be provided by DW0
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
UNDERGROUND INFILTRATION TRENCH SUPPLEMENT
This form may be photocopied for use as an original
DWO Stormwater Management Plan Review
A complete stormwater management plan submittal includes a stormwater management permit application, an
underground infiltration trench supplement for each system, design calculations, and plans and specifications
showing all stormwater conveyances and system details
I. PROJECT INFORMATION
Project Name _ C1dA4(,e5 C _fGi�Jti T"sr rov'-gGme
Contact Person go f4 yH Ki N k Phone Number 1 5 -1 ZS Z X 278
For projects with multiple infiltration systems, a supplement form must be completed for each system This
worksheet applies to Trench I in Drainage Area I
(from plans) (from Form SWU-101)
lI DESIGN INFORMATION (attach supporting calculations/documentation)
Soils Report Summary (based upon an actual field investigation and soil borings)
Soil Type
VAR1.46W (66t- Soil-& Pepaitr)
Infiltration Rate
O. to mlhr r cf/hr/sf (circle appropriate units)
SHWT Elevation
2` - �` fmsl (Seasonal High Water Table elevation)
Trench Design Parameters
Design Volume
c f
Design Storm
1 " 5 inch event (1 S inch event for SA waters, 1 inch event for others)
Drawdown Time
I • Z days
Perforated Pipe Size
15 inch diameter
Perforated Pipe Length
q 'F '1d ft
No Observation Wells
/A may be required on a case -by -case basis)
Stone Type (if used)PTr�
5r6r3s
Stone Void Ratioo��
Trench Elevations (in feet mean sea level)
Bottom Elevation �{ 75 fmsl
Storage/Overflow Elevation , . VS fmsl
Form SWU-107 Rev 3 99 Page 1 of 4

Trench Dimensions
Height 2. `Zzi ft Length Ito ZS ft
Width 0 ft Volume Provided 1501 cu ft
III. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices manual (N C
Department of Environment, Health and Natural Resources, November 1995) and Administrative Code Section 15
A NCAC 2H 1008
Initial in the space provided to indicate that the following design requirements have been met and supporting
documentation is attached If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below Attach justification if a requirement has not been met
Applicants Initials
C44-' a System is located 50 feet from class SA waters and 30 feet from other surface waters
- b System is located at least 100 feet from water supply wells
c Bottom of system is at least 2 feet above the seasonal high water table
��- d Bottom of the system is 3 feet above any bedrock or impervious soil horizon
e Off-line system, runoff in excess of the design volume bypasses the system (bypass detail
provided)
f System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days based upon infiltration
through the bottom only (a hydrogeologic evaluation may be required)
g Soils have a minimum hydraulic conductivity of 0 52 inches per hour
Y_- h System is not sited on or to fi 1 material or DWQ approval has been obtained
f" i Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized
J System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off site drainage
k System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way
( Tb-bc- Devi cvMo pruoe_ 1-6 apE2.AT, oN)
I System captures and infiltrates the runoff from the first 10 inch of rainfall C5tn:ch>ent
for areas draining to SA waters )
gy- m Drainage area for the device is less than 5 acres
V_�_ n A pretreatment device ( filter strip, grassed swale, sediment trap, etc ) is provided
l24- o Trench bottom is
10F, liZ.�+vC14 �ow54S-rS aF 6Ruvrk-.
�-�- p Sides of the infiltration trench are lined with*geotextile fabric
14— q Rock used is free of fines (washed stone) and has a large void ratio
/
T�Y21 — r 'id& te�et a}3� aF�a-r$t�ca-is-lEs `v- an T i- T j�ef, G u 15 Z 7 ` 0tr P X
Form SWU-107 Rev 3 99 Page 2 of 4

s Observation well(s) are provided (case -by -case basis) (m/A)
�K t Vegetated filter is provided for overflow (50 feet for SA waters, 30 feet for other waters)
and detail is shown on plans 'r
iz r u A benchmark for checking sediment accumulation is provided
IV. UNDERGROUND INFILTRATION TRENCH OPERATION AND MAINTENANCE AGREEMENT
1 After every runoff producing rainfall event and at least monthly inspect the bypass/overflow structure for
blockage and deterioration and the infiltration system for erosion, trash accumulation, grass cover, and general
condition
2 Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash and blockages as needed to maintain
system performance
3 Remove accumulated sediment annually or when depth is reduced to 75% of the original design depth Restore
depth to original design depth without over -excavating Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed
4 The water level in any monitoring wells will be recorded after a 1 inch rainfall event and at least once a month
Chronic high water table elevations (within 1 foot of the bottom of the system for a period of three months)
shall be reported to DWQ immediately
5 If DWQ determines that the system is failing, the system will immediately be repaired or replaced to original
design specifications If the system cannot be repaired to perform its design function, other stormwater control
devices as allowed by NCAC 2H 1000 must be designed, approved and constructed
6 Remove accumulated sediment from the infiltration system annually or when depth in the unit is reduced to
75% of the original design depth The system shall be restored to the original design depth without over -
excavating Over -excavating may cause the required water table separation to be reduced and may
compromise the ability of the system to perform as designed Removed sediment shall be disposed of in an
appropriate manner and shall not be handled in a manner that will adversely impact water quality (i e
stockpiling near a stormwater treatment device or stream, etc )
A benchmark shall be established in the infiltration system The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments
When the depth reads , the accumulated sediment shall be removed
from the system
Form SW U-107 Rev 3 99 Page 3 of 4

•r
I acknowledge and agree by my signature below that I am responsible for maintaining the stormwater
collection system in accordance with the six maintenance procedures listed above I agree to notify DWQ
of any problems with the system or prior to any changes to the system or responsible party
Print Name and Title CNAOQLt✓5 A V—rlvy (Y-"7t:�F)
Address 4Z O S ©A �- pp &Z, �t7 . X a L.rl & H IJ L
Phone Ilel__�5`�_- f22Date !at°SLo`f
Signature
Note The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and a
resident of the subdivision has been named the president
I, /4Q p 131"oa hR " a , a flNotary Public for the State of gr-g & 0 IY1a I County of
J.Al2ke- , do hereby certify that (�A ow ie-5 R. Kla�j personally appeared before me this .6-
day of 0efibp�ro n and acknowledge the due execution of the forgoing infiltration basin maintenance
requirements Witness my hand and official seal,
My commission expires 9 f 3 — b .5-
Form SWU-107 Rev 3 99 Page 4 of 4

Permit No S6V 9-6 1)) 4 )'ib
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
UNDERGROUND INFILTRATION TRENCH SUPPLEMENT
This form may be photocopied for use as an original
D W O Stormwater Management Plan Review
A complete stormwater management plan submittal includes a stormwater management permit application, an
underground infiltration trench supplement for each system, design calculations, and plans and specifications
showing all stormwater conveyances and system details
I PROJECT INFORMATION
Project Name
C+IA2c�s G Kom4 T"-s-r I6 WNLIomos
Contact Person to et Phone Number (`I iI ) 65 y -1 ZSZ 7�
For projects with multiple infiltration systems, a supplement form must be completed for each system This
worksheet applies to Trench _ 2 in Drainage Area z
(from plans) (from Form SWU-101)
II DESIGN INFORMATION (attach supporting calculations/documentation)
Soils Report Summary (based upon an actual field investigation and soil borings)
Soil Type
VAiz1a3t,C- (5eE5d1'6 V4�9027)
Infiltration Rate
4 D
lii/lir r cf/hr/sf (circle appropriate units)
SHWT Elevation
2' - 3 {
fmsl (Seasonal High Water Table elevation)
Trench Design Parameters
Design Volume
c f
Design Storm
i • 5
inch event (1 S inch event for SA waters, I inch event for others)
Drawdown Time
{ Q
days
Perforated Pipe Size
i 5
inch diameter
Perforated Pipe Length
20 55
ft
No Observation Wells
N 1A
(may be required on a case -by -case basis)
Stone Type (if used)
Tic-5To1►e
Stone Void Ratio
O.44)
Trench Elevations (in feet mean sea level)
Bottom Elevation _ 1-5, fmsl
Storage/Overflow Elevation -7, ZS fmsl
Form SWU-107 Rev 3 99 Page i of 4

Trench Dimensions
Height L j5 ft Length Gr7 ft
Width It ft Volume Provided 50 cu ft
III REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices manual (N C
Department of Environment, Health and Natural Resources, November 1995) and Administrative Code Section 15
A NCAC 2H 1008
Initial in the space provided to indicate that the following design requirements have been met and supporting
documentation is attached If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below Attach justification if a requirement has not been met
Applicants Initials
a System is located 50 feet from class SA waters and 30 feet from other surface waters
12+�- b System is located at least 100 feet from water supply wells
��— c Bottom of system is at least 2 feet above the seasonal high water table
z�- d Bottom of the system is 3 feet above any bedrock or impervious soil horizon
e Off -]me system, runoff in excess of the design volume bypasses the system (bypass detail
provided)
�K— f System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days based upon infiltration
through the bottom only (a hydrogeologic evaluation may be required)
g Soils have a minimum hydraulic conductivity of 0 52 inches per hour
IZK— h System is not sited on or in ill material or DWQ approval has been obtained
(5� Sau-s �fo/iT)
i Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized
j System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage
k System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements the nearest public right-of-way
(To (�e Ck-DrG,ore.0 P1L1 a9- 't`6 0,pee'oTt Q0T
1 System captures and infil{rates the runoff from the first 1 0 inch of rainfall (1 5 inch event
for areas draining to SA waters )
124— in Drainage area for the device is less than 5 acres
24L n A pretreatment device ( filter strip, grassed Swale, sediment trap, etc ) is provided
aK., o Trench bottom is his
1N� TR�cc{ L'�►+SiSrS cF �izpv�i. ,
TLK p Sides of the infiltration trench are lined with geotextile fabric
K q Rock used is free of fines (washed stone) and has a large void ratio
..__. �NG�{ IS Z"7'' ni�X�48" WtVc
Form SWU-107 Rev 3 99 Page 2 of 4

p_ s Observation well(s) are provided (case -by -case basis) (N/c-,�
I[Z�
t Vegetated filter is provided for overflow (50 feet for SA waters, 30 feet for other waters)
and detail is shown on plans
u A benchmark for checking sediment accumulation is provided
IV. UNDERGROUND INFILTRATION TRENCH OPERATION AND MAINTENANCE AGREEMENT
1 After every runoff producing rainfall event and at least monthly inspect the bypass/overflow structure for
blockage and deterioration and the infiltration system for erosion, trash accumulation, grass cover, and general
condition
2 Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash and blockages as needed to maintain
system performance
3 Remove accumulated sediment annually or when depth is reduced to 75% of the original design depth Restore
depth to original design depth without over -excavating Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed
4 The water level in any monitoring wells will be recorded after a 1 inch rainfall event and at least once a month
Chronic high water table elevations (within 1 foot of the bottom of the system for a period of three months)
shall be reported to DWQ immediately
5 If DWQ determines that the system is failing, the system will immediately be repaired or replaced to original
design specifications If the system cannot be repaired to perform its design function, other stormwater control
devices as allowed by NCAC 2H 1000 must be designed, approved and constructed
6 Remove accumulated sediment from the infiltration system annually or when depth in the unit is reduced to
75% of the original design depth The system shall be restored to the original design depth without over -
excavating Over -excavating may cause the required water table separation to be reduced and may
compromise the ability of the system to perform as designed Removed sediment shall be disposed of in an
appropriate manner and shall not be handled in a manner that will adversely impact water quality (i e
stockpiling near a stormwater treatment device or stream, etc )
A benchmark shall be established in the infiltration system The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments
IN Tot- pirasta {
When the depth reads , the accumulated sediment shall be removed
from the system.
Form SWU-107 Rev 3 99 Page 3 of 4

. N
I acknowledge and agree by my signature below that I am responsible for maintaining the stormwater
collection system in accordance with the six maintenance procedures listed above I agree to notify DWQ
of any problems with the system or prior to any changes to the system or responsible party
Print Name and Title (70 A OL1?, tZ V i Kf ( TOOT OL)
Address 47,06 op V-- putt ` P, Piat tn4ll NG
Phone 1111 jt, y — 12 b-L X "27 8
Signature
Date I o /05 f `�
r—
Note The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and a
resident of the subdivision has been named the president
I, /Oa ry p_1�Q i�C' ii�lf a Notary Public for the State of4dr-K ( ar61iq ct- , County of
do hereby certify that Olar le-5 �, it Y7R personally appeared before me this
day of, her_ _ , _ ntoo and acknowledge the due execution of the forgoing infiltration basin maintenance
requirements Witness my hand and official seal,
SEAL'
My commission expires
Form SWU-107 Rev 3 99
Page 4 of 4

r 0
Permit No ��
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
UNDERGROUND INFILTRATION TRENCH SUPPLEMENT
This form may be photocopied for use as an original
DWO Stormwater Management Plan Review
A complete stormwater management plan submittal includes a stormwater management permit application, an
underground infiltration trench supplement for each system, design calculations, and plans and specifications
showing all stormwater conveyances and system details
1. PROJECT INFORMATION
Project Name CqA 12'L'eS G K qj ei -r" 51 ro'-' l OML'S
Contact Person (20N P t (e� i ni ct Phone Number (R 0) ? 5'y - 4 Z b L
For projects with multiple infiltration systems, a supplement form must be completed for each system This
worksheet applies to Trench 15 in Drainage Area __ :?7
(from plans) (from Form SWU-101)
II. DESIGN INFORMATION (attach supporting calculations/documentation)
Soils Report Summary (based, u�on an actual f eld investigation nd soil borings)
Soil Type
YA�zf n rst (Se"I' Snips �ott_T
Infiltration Rate
c] n n/hr)r cflhr/sf (circle appropriate units)
SHWT Elevation
Z —3 fmsl (Seasonal High Water Table elevation)
Trench Design Parameters
Design Volume
'54 5 c f
Design Storm
1 5 inch event (1 5 inch event for SA waters, 1 inch event for others)
Drawdown Time
It 157 days
Perforated Pipe Size
�i
14 @ I inch diameter
Perforated Pipe Length `�
`� 5- ft
No Observation Wells
N/a (may be required on a case -by -case basis)
Stone Type (if used)
rnT I t-
Stone Void Ratio
O , 4 ii
Trench Elevations (in feet mean sea level)
Bottom Elevation � 2'S fmsl
Storage/Overflow Elevation -1- Zs fmsl
Form SWU-107 Rev 3 99 Page 1 of 4

Trench Dimensions
Height
Width
Z,Z51 ft
�� ft
III REQUIRED ITEMS CHECKLIST
Length 45 fl
Volume Provided 5`-i5 cu ft
The following checklist outlines design requirements per the Stormwater Best Management Practices manual (N C
Department of Environment, Health and Natural Resources, November 1995) and Administrative Code Section 15
A NCAC 2H 1008
Initial in the space provided to indicate that the following design requirements have been met and supporting
documentation is attached If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below Attach justification if a requirement has not been met
Applicants Initials
�- a
System is located 50 feet from class SA waters and 30 feet from other surface waters
fig-- b
System is located at least 100 feet from water supply wells
I_V_ c
Bottom of system is at least 2 feet above the seasonal high water table
P_ir d
Bottom of the system is 3 feet above any bedrock or impervious soil horizon
�— e
Off-line system, runoff in excess of the design volume bypasses the system (bypass detail
provided)
f
System is designed to draw down the design storage volume'to the proposed bottom
elevation under seasonal high water conditions within five days based upon infiltration
through the bottom only (a hydrogeologic evaluation may be required)
, g
Soils have a minimum hydraulic conductivity of 0 52 inches per hour
h
System is not sited on or in `fill material or DWQ approval has been obtained
�S�cGJrh�S �Q2-T�
i
Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized
1�- J System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage
V_ k System is located in a recorded drainage easement for the purposes of operation and
ma ntenance and has recorded access easements t the nearest public right-of-way
�To Pam P(KOA To aP&AOr'ON)
l System captures and infiltrates the runoff from the first 10 inch of rainfall (1 5 inch event
for areas draining to SA waters )
R_ V_ m Drainage area for the device is less than 5 acres
12- 4- n A pretreatment device ( filter strip, grassed swale, sediment trap, etc ) is provided
lZ1L o Trench bottom is s
1�►F r�NLt( GcvisisTiN�t orr Citove�
12 tL, _ p Sides of the infiltration trench are lined with geotextile fabric
12+� q Rock used is free of fines (washed stone) and has a large void ratio
1L
r a ra io is ess
-]izew d (,, 27"D&-P rc `1(o`rcarc�� ar�r�Nrr�o,
Form SW U-107 Rev 3 99 Page 2 of 4

1Z K--
s Observation well(s) are provided (case -by -case basis) NIA)
t Vegetated filter is provided for overflow (50 feet for SA waters, 30 feet for other waters)
and detail is shown on plans
r_- u A benchmark for checking sediment accumulation is provided
IV UNDERGROUND INFILTRATION TRENCH OPERATION AND MAINTENANCE AGREEMENT
1 After every runoff producing rainfall event and at least monthly inspect the bypass/overflow structure for
blockage and deterioration and the infiltration system for erosion, trash accumulation, grass cover, and general
condition
2 Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash and blockages as needed to maintain
system performance
3 Remove accumulated sediment annually or when depth is reduced to 75% of the original design depth Restore
depth to original design depth without over -excavating Over-excavattng may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed
4 The water level in any monitoring wells will be recorded after a 1 inch rainfall event and at least once a month
Chronic high water table elevations (within 1 foot of the bottom of the system for a period of three months)
shall be reported to DWQ immediately
5 If DWQ determines that the system is failing, the system will immediately be repaired or replaced to original
design specifications If the system cannot be repaired to perform its design function, other stormwater control
devices as allowed by NCAC 2H 1000 must be designed, approved and constructed
Remove accumulated sediment from the infiltration system annually or when depth in the unit is reduced to
75% of the original design depth The system shall be restored to the original design depth without over -
excavating Over -excavating may cause the required water table separation to be reduced and may
compromise the ability of the system to perform as designed Removed sediment shall be disposed of in an
appropriate manner and shall not be handled in a manner that will adversely impact water quality (i e
stockpiling near a stormwater treatment device or stream, etc )
A benchmark shall be established in the infiltration system The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments
tN r4 v� p-:.Q51A ►�
When the depth reads , the accumulated sediment shall be removed
from the system.
Form SWU-107 Rev 3 99 Page 3 of 4

I acknowledge and agree by my signature below that I am responsible for maintaining the stormwater
collection system in accordance with the six maintenance procedures listed above I agree to notify DWQ
of any problems with the system or pnor to any changes to the system or responsible party
Print Name and Title 6409Les IL IGi rJt, CTfzo -rc
Address 420b 0,04 EA&U ¢P , P-aete tt N (� T
Phone `� 9 5 1- 125 x 21 5 Date t c:) 1. .5 L.
Signature i�---
Note The legally responsible party should not be a homeowners association unless more than SO% of the lots have been sold and a
resident of the subdivision has been named the president
I,Mar y , a Notary Public for the State of Alo r& �uo l i rlr�. , County of
IA/aLCe--_ , do hereby certify that - -a n r les &I n g personally appeared before me this Zt
day of s he- r , 4-06 , and acknowledge the due execution of the forgoing infiltration basin maintenance
requirements Witness my hand and official seat,
SEAL ' My commission expires 9-/3 `D�
0
Form SWU-107 Rev 3 99 Page 4 of 4