SW8080952_Current Permit_20200303

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRIAN WRENN
Acting Director
March 3, 2020
NORTH CAROLINA
ERv&wunenhd QuaW
Crystal Holdings, LLC
Attn: James H.P. Bailey Jr., Managing Member
P.O. Box 7
Atlantic Beach, NC, 28512
Subject: State Stormwater Management Permit No. SW8 080952
Oceanside Yacht Club
High Density Project
Carteret County
Dear Mr. Bailey:
The Wilmington Regional Office received a complete, modified State Stormwater Management Permit
Application for the subject project on January 13, 2020. 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 02H.1000 as amended by Session Law (SL) 2008-211. We are hereby forwarding modified
Permit No. SW8 080952 dated March 3, 2020, for the construction of the built -upon areas (BUA) and
stormwater control measures (SCMs) associated with the subject project. Please note that the modified,
updated, and re -issued permit does not impose new or different terms; it merely restates and clarifies
some of the previous terms to provide you with a better understanding of your obligations under the
permit.
This permit shall be effective from the date of issuance until April 27, 2024 and the project shall be
subject to the conditions and limitations as specified therein and does not supersede any other agency
permit that may be required. Failure to comply with these requirements will result in future compliance
problems. Please note that this permit is not transferable except after notice to and approval by the
Division.
Please refer to Attachment C for a detailed description of the current proposed major modification and a
list of all the past modifications approved during the effective period of the permit.
This cover letter, attachments, and all documents on file with DEMLR shall be considered part of this
permit and is herein incorporated by reference. Please add the attached plans to the previously approved
plan set. Please replace the previous application (SWU-101) and supplement with the attached modified
versions.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings
(OAH). The written petition must conform to Chapter 150B of the North Carolina General Statutes and
must be filed with the OAH within thirty (30) days of receipt of this permit. You should contact the OAH
with all questions regarding the filing fee (if a filing fee is required) and/or the details of the filing process
at 6714 Mail Service Center, Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit their
website at www.NCOAH.com. Unless such demands are made this permit shall be final and binding.
If you have any questions concerning this permit, please contact Ted Triantis in the Wilmington Regional
Office, at [phone] or [e-mail].
Sincerely,
7 K Brian WrenA, A i`ng Director
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality I Division of Energy. Mineral and Land Resources
E Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington. North Carolina 28405
NOHf'-1 CAROUNA
°sp"h entaf6rio °"'r0 910.796.7215

State Stormwater Permit No. SW8 080952
Page 2 of 2
Enclosures: Attachment C — Permitting History
Application Documents
DES/tjt: \\\Stormwater\Permits & Projects\2008\080952 HD\2020 03 permit 080952
cc: Ginger Y. Turner, PE The Cullipher Group, PA
Town of Beaufort Building Inspections
Division of Coastal Management
Wilmington Regional Office Stormwater File

State Stormwater Management Systems
Permit No. SW8 080952
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
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
Crystal Holdings, LLC
Oceanside Yacht Club
100 Old Towne Yacht Club Road, Morehead City, Carteret County
FOR THE
construction, operation and maintenance of four (4) areas of permeable pavement that are
designed to infiltrate runoff on a site that discharges to Class SA waters, in compliance with
the provisions of 15A NCAC 2H .1000 and Session Law 2008-211 (hereafter referred to as
the "stonnwater 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
Energy, Mineral and Land Resources (hereafter referred to as the Division or DEMLR) and
considered an enforceable part of this permit.
This permit shall be effective from the date of issuance until April 27, 2024, 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 1.6 and 1.9 of this permit. The runoff from all built -upon area
within the permitted drainage areas of this project must be directed into the permitted
stormwater control measures. The stormwater controls labeled Drainage Areas 1, 2, 3,
and 4 have been designed to handle the runoff from 95,169, 15,597, 905, and 1,010
square feet of built -upon area, respectively, which includes the available permeable
pavement credits.
3. Per Session Law 2015-149: The project is proposing 8,200 square feet of #57 stone
laid at least four inches thick over a geotextile fabric as a pervious surface for
providing access to the storage units. The underlying soil must not be mechanically
compacted prior to installation. If, in the future, this pervious surface is found to no
longer meet SL 2015-149, a plan revision or modification will be required. Any future
areas of #57 stone proposed within this development will need prior approval from the
Division in order to demonstrate that the improvements are still considered pervious
under the latest definition of built -upon area.
4. The maximum built -upon area allowed for the entire project is 112,681 square feet.
Page 1 of 8

State Stormwater Management Systems
Permit No. SW8 080952
5. The drainage areas will be limited to the amounts of built -upon area indicated in
Sections 1.2 and 1.9 of this permit, and per approved plans. This permit does not
provide any allocation of built -upon area for future development.
6. Per Section .1008(h) of the stormwater rules, this alternative design provides equal or
better protection because the permeable pavement has been designed to handle and
infiltrate both the 1-year; 24-hour storm and 10-year, 24-hour storm event without
discharging using an infiltration rate of one-half of the expected infiltration rate
provided in the soils report.
7. A 50' wide vegetative buffer must be provided and maintained adjacent surface
waters, measured horizontally from and perpendicular to the normal pool of
impounded structures, the top of bank of both sides of streams and rivers and the
mean high water line of tidal waters.
8. Vegetated buffers are not required for the following activities:
a. urban waterfronts that meet the requirements of 15A NCAC 07H.0209(g)
b. new urban waterfronts that meet the requirements of Session Law 2004-117
C. activities listed in 15A NCAC 07H .0209(d)(10)(A) through 15A NCAC 07H
.0209(d)(10)(H)
d. upland marinas that have received or will be required to secure a CAMA Major
Development Permit.
9. The following design criteria have been permitted for the permeable pavement and it
must be provided and maintained at the design condition:
Area 1
Area 2
Area 3
Area 4
a.
Type of Permeable Pavement (PP):
PICP
PICP
PTRG
PTRG
b.
PP design type:
Infiltration
c.
Hydrologic soil group of subgrade:
A
A
A
A
d.
BUA Credit:
75%
75%
75%
75%
e.
Drainage Area, ft2:
174,558
25,535
10,310
4,040
f.
Total Impervious Area Before PP Credit, ft2:
Total PP Surface Area, ft2:
Treated as Pervious (759/o), ft2:
Treated as Impervious (259Q, ft2:
Adjacent Impervious Area directed to PP, ft2:
174,558
105,853
79,389
26,464
68,705
25,535
13,251
9,938
3,313
12,284
3,620
3,620
2,715
905
0
4,040
4,040
3,030
1,010
0
g.
Total Impervious Area After PP Credit, ft2:
95,169
15,597
905
1,010
h.
Design Storm, inches:
3.66
3.66
3.66
3.66
i.
Top of aggregate base layer elevation, FMSL:
7.55
8.00
7.33
7.08
j.
Bypass/ Overflow elevation, FMSL:
No desi nated overflow provided
k.
Bottom elevation at the Subgrade, FMSL:
6.55
7.00
6.83
6.58
I.
Provided aggregate depth, inches:
12.0
12.0
6.0
6.0
m.
SHWT elevation, FMSL:
4.0
4.0
4.0
4.0
n.
Underdrain Diameter, inches:
n/a
n/a
n/a
n/a
o.
Expected Infiltration Rate, in/hr:
3.0
3.0
3.0
3.0
p.
Time to Drawdown, days:
0.4
0.5
0.3
0.3
q.
Receiving Stream / River Basin:
UT to Newport River / White Oak
r.
Stream Index Number:
21-(17)
s.
Classification of Water Body:
SA, HQW
Page 2 of 8

State Stormwater Management Systems
Permit No. SW8 080952
II. SCHEDULE OF COMPLIANCE
1. The permeable pavement must be installed by a qualified individual, certified in the
specific construction techniques required for permeable pavements.
2. During the installation of the permeable pavement, special care must be taken to avoid
compaction of the underlying subgrade soils.. A direct measurement of the soil's
infiltration rate must be taken immediately after excavation and before the aggregate is
placed. Infiltration rate testing shall be conducted by an appropriately -qualified
professional. The results of the testing shall be given to the designer of record for
review. If the soil test shows that infiltration rate(s) that are lower than the rate(s) used
in the final design, then the designer shall check the calculations and may need to
adjust the design.
3. The permeable pavement must be protected during site construction such that no
sediment -laden runoff is directed across the permeable pavement surface. Areas
upslope of the permeable pavement must be stabilized with a substantial stand of
permanent grass cover prior to construction of the permeable pavement.
4. The proposed stormwater runoff conveyance and collection system and the built -upon
areas must be constructed and maintained at the dimensions, elevations and grades
as shown on the approved plans.
5. For each section or terrace of permeable pavement, at least one observation well shall
be provided.
6. Permeable Pavement signage must be clearly and permanently posted to prevent use
by inappropriate vehicles as well as the deposition and storage of particulate matter.
7. Trees overhanging the permeable pavement should be avoided.
8. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately. If the stormwater system is 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.
9. The permittee shall at all times provide the operation and maintenance necessary to
assure that all components of the permitted stormwater system function at design
condition. The approved Operation and Maintenance Agreement is incorporated by
reference into this permit and must be followed in its entirety and maintenance must
occur at the scheduled intervals.
10. 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. The facilities shall be constructed, operated and maintained in accordance with the
provisions of this permit, the approved plans and specifications, and the supporting
documents attached to this permit and on file with the Division.
12. 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.
Page 3 of 8

State Stormwater Management Systems
Permit No. SW8 080952
13. No person or entity, including the permittee, shall alter any component shown in the
approved plans and specifications. Prior to the construction of any modification to the
approved plans, the permittee shall submit to the Director, and shall have received
approval for modified plans, specifications, and calculations including, but not limited
to, those listed below. For changes to the project or SCM that impact the
certifications, a new or updated certification(s), as applicable, will be required and a
copy must be submitted to the appropriate DEQ regional office upon completion of the
modification.
b. Any modification to the approved plans and specifications, regardless of size
including the SCM(s), BUA, details, etc.
C. Redesign or addition to the approved amount of BUA or to the drainage area.
d. 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.
e. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of
any component of the approved SCM(s), the stormwater collection system
and/or vegetative conveyance shown on the approved plan.
f. The construction of any allocated future BUA.
g. The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material to be considered a permeable surface that were not
included in the approved plans and specifications.
h. Other modifications as determined by the Director.
14. All stormwater collection and treatment systems must be located in either public rights -
of -way, dedicated common areas or recorded easements. The final plats for the
project will be recorded showing all such rights -of -way, common areas and
easements, in accordance with the approved plans. Access to the stormwater facilities
for inspection and maintenance shall be maintained via appropriate recorded
easements at all times.
15. Prior to transfer of the permit, the stormwater facilities will be inspected by Division
personnel. The project and the stormwater facility must be in substantial compliance
with all permit conditions. Any items not in substantial compliance must be repaired,
replaced or restored to design condition prior to the transfer. Records of maintenance
activities performed to date will be required.
16. 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.
III. GENERAL CONDITIONS
Any individual or entity found to be in noncompliance with the provisions of a
stormwater management permit or the stormwater rules, is subject to enforcement
action as set forth in NCGS 143, Article 21.
2. 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.
3. In the event that the facilities fail to perform satisfactorily 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.
Additional or replacement stormwater management systems shall receive a permit
from the Division prior to construction.
Page 4 of 8

State Stormwater Management Systems
Permit No. SW8 080952
4. The permittee grants DEMLR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
5. Permit Transfer: This permit is not transferable to any person or entity except after
notice to and approval by the Director. The permittee shall submit a completed and
signed "Permit Transfer Application Form" (available on the Division website)
accompanied by the required fee and supporting documentation as listed on'the form,
to the Division at least 60 days prior to any one or more of the following events:
a. The sale or conveyance of the project area in whole or in part, except in the
case of an individual lot sale that is made subject to the recorded deed
restrictions and protective covenants,
b. Dissolution of the partnership, corporate, or LLC entity, subject to NCGS 55-14-
05 or NCGS 57D-6-07 and 08;
c. Bankruptcy,
d. Foreclosure, subject to the requirements of Session Law 2013-121,
6. Current Permittee Name or Address Changes: The permittee shall submit a
completed "Permit Information Update Application Form" (available on the Division
website) to the Division within 30 days to making any one or more of the following
changes:
a. A name change of the current permittee;
b. A name change of the project;
c. A mailing address change of the permittee,
7. The permittee is responsible for compliance with all permit conditions until such time
as the Division approves the transfer request. Neither the sale of the project, in whole
or in part, nor the conveyance of common area to a third party constitutes an approved
transfer of the stormwater permit.
8. The permit issued shall continue in force and effect until the permittee files a request
with the Division for a permit modification, transfer, renewal, or rescission; however,
these actions do not stay any permit conditions.
9. Approved plans, calculations, supplement forms, operation and maintenance
agreements and specifications for this project are incorporated by reference and are
enforceable parts of the permit. A copy of the approved plans and specifications shall
be maintained on file by the Permittee at all times.
10. Unless specified elsewhere, permanent seeding requirements for the stormwater
controls must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
11 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 as
allowed by the laws, rules and regulations contained in Session Law 2008-211, Title
15A NCAC 21-1.1000, and NCGS 143-215.1 et. al.
12. A permit renewal request must be submitted at least 180 days prior to the expiration
date of this permit. The renewal request must include the appropriate application,
documentation and the processing fee as outlined in Title 15A NCAC 02H.1045(3).
Page 5 of 8

State Stormwater Management Systems
Permit No. SW8 080952
Permit modified, updated, and re -issued this the 31 day of March, 2020.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 080952
Page 6 of 8

State Stormwater Management Systems
Permit No. SW8 080952
Oceanside Yacht Club
Stormwater Permit No. SW8 080952
Carteret County
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 7 of 8

State Stormwater Management Systems
Permit No. SW8 080952
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 project is graded such that the runoff
drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The bypass structure weir elevation is per the approved plan.
6. The bypass structure is located per the approved plans.
7. A Trash Rack is provided on the 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: NCDEQ-DEMLR Wilmington Regional Office
Town of Morehead City Building Inspections
Page 8 of 8

Attachment C-Permitting History
Oceanside Yacht Club
Permit No. SW8080952
Approval
Date
I Permit Action
RIMS
Version
Description of the Changes
Construction of 3 infiltration basins and 3 underground infiltration
3/27/2009
Original (HD)
1.0
chambers under 15A NCAC 2H .1000 rules (1995). (DA-1, 2, 3, 4, 5
and 6)
10/23/2015
Transfer
1.1
Transfer of permit owner and name change.
Construction of 4 areas of permeable pavement to handle runoff in
4/27/2016
Modification
1.2
compliance with the provisions of 15A NCAC 211 .1000 and Session
Law 2008-211 rules (2008). (DA-1, 2, 3 and 4)
*DA 1 - decreasing both the BUA and size of the permeable
3/3/2020
Major
13
pavement
Modification
*DA 4 - increasing both the BUA and size of the permeable
pavement

DEMLR USE ONLY
Da Re eived
Fee Paid
Permit Number
i lu lcqox
I -- D `=
SLA)& D Z ' a
Applicable Rules: ❑ Coastal SW -1995 . ❑ Coastal SW - 2008 ❑ Ph H - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources ECEIVE.
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Oceanside Yacht Club
2. Location of Project (street address):
100 Olde Towne Yacht Club Road
City: Beaufort County: Carteret Zip:28516
3. Directions to project (from nearest major intersection):
From the intersection of Hwy 70 and Hwy 58 take Hwv 70 towards Beaufo*+ apr•roximat�ly 3 miles to Radio
Island Road, take right on Radio Island Road follow to Marine Road on left and travel approxima"I 1000
feet to Olde Town Yacht Club Drive,
4. Latitude:34° 42' 60" N Longitude:-76° 40' 49" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ❑New NModification ❑ Renewal w/ Modificationt
tRenewals with modifications also requires SWU-102 - Renewal Application Form
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number SW8 080952 , its issue date (if known) 4/27/16 and the status of
construction: NNot Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density NHigh 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):
NCAMA Major
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: 11.2 ac of Disturbed Area
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: Maior CAMA 21-16, Erosion Control CARTE-2016-004
5. Is the project located within 5 miles of a public airport? [-]No NYes
If yes, see S.L. 2012-200, Part VI: http:/Iportal.ncdenr.org/web/lr/rules-and-regulations
Form SWU-101 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: Crustal Holdings, LLC
Signing Official & Title: -Tames H. P. Bailey, Tr., Managing Member
b. Contact information for person listed in item 1a above:
Street Address: 517 E. Fort Macon Road
City:Atlantic Beach State: NC Zip: 28512
Mailing Address (if applicable): P.O. Box 7
City:Atlantic Beach State: NC Zip: 28512
Phone: (252 ) 241-1200 Fax:
Email:_ jimbailey1946®gmail.com
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/Organza
Signing Official & Title:_
b. Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City:_
Phone:
Email:
State: Zip:
State: Zip:
Fax: ( 1
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official &
b. Contact information for person listed in item 3a above:
Mailing Address:
City:
Phone:
Email:
State: Zip:
Fax: ( )
4. Local jurisdiction for building permits: Town of Morehead Ci
Point of Contact: Phone #: 252 ) 726-6.
JAN 14 2.020
Form SW-101 Version Oct. 31, 2013 Page 2 of 6 BY -

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The parking and drives will be constructed of permeable pavement and will infiltrate runoff from all
proposed BUA
2. a. If claiming vested rights, identify the supporting documents provided and the date they were annrovPd:
0 Approval of a Site Specific Development Planor 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: 12.02 acres 5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: 2.79 (upland basinlacres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+: 9.23 acres
+ Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHK9 line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHM 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
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 27.92 %
9. How many drainage areas does the project have?4 (For high density, count I for each proposed engineered
Stormwater BMP. For low density and other projects; use I for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1
Drama a Area 2
Drainage Area 3
Drainage Area 4
Receiving Stream Name
Newport River
Newport River
Newport River
Newport River
Stream Class *
SA;HQW
SA;HQW
SA;HQW
SA;HQW
Stream Index Number *
21-(17)
21-(17)
21-(17)
21-(17)
Total Drainage Area (so
174,558
25,535
10,310
4,040
On -site Drainage Area (sf)
174,558
25,535
10,310
4,040
Off -site Drainage Area (sf)
0
0
0
0
Proposed Impervious Area** s
95,169
15,597
905
1,010
% Impervious Area* (total)
54.52%
61.08%
25%
25%
Impervious' Surface Area
Drainage Area 1
Drainage Area 2
Dramage Area 3'
Drainage Area 4 .
On -site Buildings/Lots (sf)
65,200
On -site Streets (sf)
On -site Parking (sf)
26,464
3,313
On -site Sidewalks (sf)
3,505
Other on -site (sf)
905
1,010
Future (sf)
Off -site (sf)
Existing BUA*** (sf)
12,284
Total (sf):
95,169
15,597
905
1,010
Stream Class and Index Number can be determined at: http,/Zportal.ncdenr.or /`wq ebAvq&s/csu/classifications
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc. % �
'Report only that amount of existing BUA that will remain after development. Do not r Z9. I
is to be removed and which will be replaced by new BUA. JAN 1 4 2020 '
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6
BY

11. How was the off -site impervious area listed above determined? Provide documentation. n/a
Projects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 15A NCAC 02B .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://12ortal.ncdenr.org/web/wg/ws/su/bmp-manua..
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://12ortal.ncdenr.org/web/34/ws/su/statesw/forms does. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at ht!p://portal.ncdenr.org/web/wq/ws/­su/maps.)
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 http://portal.ncdenr.org/web/wq/ws/su/statesw/forms does.
'tiaas
1. Original and one copy of the Stormwater Management Permit Application Form. T
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants WA
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.enyhelp.org/pages/onestopeMress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
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
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned. J�' Q;
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures. QY•Q ;`
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).
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6

p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify hvT
elevations in addition to depths) as well as a map of the boring locations with the existing 6t b P"'OA
elevations and boring logs. Include an 8.5"xll" copy of the NRCS County Soils map with the u f' JtJ
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].) a
10. A copy of the most current property deed. Deed book: 1431 Page No: 296
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held -t
by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 2H.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.
ht!p://www.secrgt!IU.state.nc.us/Corporations/CSearch.Mpx
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.org/web/lr/state-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: Ginger Y. Turner, PE
Consulting Firm: The Cullipher Group, PA
Mailing Address: 151-A Hwy 24
City: Morehead City
Phone:( 252 ) 773-0090
Email: ginger®tcgpa.com
State: NC Zip: 28557
Fax: ( 1
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) with (print or type name of organization listed in
Contact Information, item 1a) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater syste EEIV_ '`.
JA 0h20 '3' '
�YGU •
BY
Form SWU-101 Version Oct. 31, 2013 Page 5 of 6

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:
a Notary Public for the State of
do hereby certify that
before me this _ day of
County of
personally appeared
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) Tames H. P. Bailey, Tr. Managing Member
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rujqs under 15 CAC 21-1.1000 and any other applicable state stormwater requirements.
Signature:Ql� Date: s� 2r /N 0
I, (aL 1 Veal R . RnNp- ' )( - / , a Notary Public for the State of N 0— County of
i � ere I do hereby certify that �nn-yn N personally appeared
before me this ti day of i " ' 2V and ac owiedge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
w
p�TAR y ®+
PUBL%C
,'use Ohl a`.
�/11!
SEAL
My commission expires � 1 120J WIN
C P 1 X
S
JAN 14 2020
BY
Form SWU-101 Version Oct. 31, 2013 Page 6 of 6

Permit Nosu 1p 0 g oQ gz-
(to be provided by DWQ)
�2QF O4AiFAOG
>`
���A STORMWATER MANAGEMENT PERMIT APPLICATION FORM p
WDENR 401 CERTIFICATION APPLICATION FORM
PERMEABLE PAVEMENT SUPPLEMENT
This form must be completely filled out, printed and submitted.
The required items Checklist (Part 1/1) must be printed, filled out and submitted along w►th all of the required information.
!, PROJECT WFORMATION -
Project Name J Crystal Holdings, LLC
Contact Person James H. P. Bailey, Jr.
Phone Number 252-241-1200
Date 8/25/2015 Revised 1/25/2016, 3/21/2016,1/2/2020
Drainage Area 1-POROUS CONCRETE
It. DESIGN INFORMATION
Soils Report Summary
Hydrologic soil group (HSG) of subgrade A
Infiltration rate 3.00 in/hr
Pavement Design Summary BUA Credit for Permeable Pavement Footprint
Permeable Pavement (PP) design type Infiltration - HSG A/B 75% BUA Credit
SA of PP being proposed (AP) 105,853 ftz
Resulting BUA counted as impervious for main application form 26,463 ft, 45 bZ (0 *0q pQP " �i
Adjacent BUA directed to PP (Ac) 68,705 ft2 OK 1�fZ Epp
Ratio of Ac to AP 0.65 (unitless) 3Na®AQ
Flow from pervious surfaces is directed away from PP?
Yes
OK
Design rainfall depth
1yr,24hr post -pre
in
Permeable pavement surface course type
PC
Layer 1- Washed aggregate size (ex. No. 57)
No. 57
Layer 1- Aggregate porosity (n)
0.40
(unitless)
Layer 2 - Washed aggregate size (ex. No. 57)
Layer 2 - Aggregate porosity (n)
(unitless)
Minimum total aggregate depth for design rainfall (Dwq)
15.1
in
Drawdown/infiltration time for Dwq
0.4
days
How is 10-yr, 24-hr storm handled?
infiltrated
Aggregate depth to infiltrate 10-yr, 24-hr storm (Dlo)
-3.1
in
Drawdown/infiltration time of 10-yr, 24-hr storm
0.80
days
Actual provided total aggregate depth
12.0
in
Too shallow, must be at least the Dwq
Top of aggregate base layer elevation
Storage elevation of design rainfall depth
7.50
6.50
fmsl
fmsl
Overflow elevation
Does not overflow
fmsl
Bottom elevation at subgrade
6.50
fmsl
#REF!
SHWT elevation
4.00
fmsl
Underdrain diameter
N/A
in
BAN 14 2020
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 1 of 3

Permit No.
(to be provided by DWQ)
Detention Systems (skip for infiltration systems)
Diameter of orifice
in
Coefficient of discharge (CD)
(unitless)
Driving head (Ho)
ft
Storage volume discharge rate (through discharge orifice)
ft3/sec
Storage volume drawdown time
days
Pre -development 1-yr, 24-hr peak flow
ft3/sec
Post -development 1-yr, 24-hr peak flow
ft3/sec
Additional Information
Slope of soil subgrade at bottom of permeable pavement
0.50
%
OK
Slope of the permeable pavement surface
5.00
%
OK
Construction sequence minimizes compaction to soils?
Yes
OK
Subsoil preparation specified (must select one)
scarified
Meets industry standards for structural requirements?
Yes
OK
Washed stone is specified for the aggregate?
Yes
OK
Required signage specified on plans?
Yes
OK
Number of observation wells provided
1
OK
Distance to structure
0.00
ft
Distance to surface waters
36.00
ft
OK for non -SA waters
Distance to water supply well(s)
N/A
ft
OK
I
AN 14 2020 I
BY:
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 2 of 3

Permit No.
(to be provided by DWQ)
M. REOURED ITEMS CHECKLIST .
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will result in a request
for additional information. This will delay final review and approval of the project. Initial in the space provided to indicate the following design requirements
have been met. If the applicant has designated an agent, the agent may initial below. If a requirement has not been met, attach justification.
1. Plans W' = 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per
basin),
- Location of permeable pavement,
- Roof and other surface flow directed away from permeable
pavement,
- Location of the permeable pavement sign(s).
2. Section view of the permeable pavement (1" = 20' or larger)
showing:
- All layers (including details about the surface course), and
-SHWT
3. A detail of what the permeable pavement sign.
4. A site specific soils report that is based upon an actual field
investigation, soil borings, and infiltration tests within the
footprint of the proposed permeable pavement. The soils
investigation shall state the infiltation rate, SHWT elevation, and
information about any confining layers. County soil maps are not
an acceptable source of soils information.
(Projects in the WiRO - The results of the soils report must be
verified in the field by DWO, by completing & submitting the soils
invactiaatinn raniaactfnrm 1
5. A construction sequence that shows how the permeable
pavement will be protected from sediment until the entire
drainage area is stabilized.
6. The supporting calculations.
7. A copy of the signed and notarized operation and maintenance
(O&M) agreement.
8. A copy of the deed restrictions (if required).
nitial
Sheets 1, 4 & 5
Sheet 9
Sheet 9
Pagel Plan Sheet No.
Attached as previously submitted
/j Sheet 5
Attached
N/A Previously submitted
N/A
le
JAN 14 202D
er:�_
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 3 of 3

Permit No. ll'5 .
°
(to be provided by DWQ)
1=
��oF WArg9O9
r
STORMWATER MANAGEMENT
PERMIT
APPLICATION FORM a
NCDENR 401 CERTIFICATION APPLICATION FORM
PERMEABLE PAVEMENT SUPPLEMENT
This form must be compietely filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
t PROJECT!
Project Name
Crystal Holdings, LLC
Contact Person
James H. P. Bailey, Jr.
Phone Number
252-241-1200
Date
8/25/2015 Revised 1/25/2016, 3/21/2016
Drainage Area
2
,`
Soils Report Summary
Hydrologic soil group (HSG) of subgrade
A
Infiltration rate
3.00
in/hr
Pavement Design Summary
BUA Credit for Permeable Pavement Footprint:
Permeable Pavement (PP) design type
Infiltration - HSG A/B
75% BUA Credit
SA of PP being proposed (AP)
13,251
ftz
Resulting BUA counted as impervious for main application form
3,313
ftZ
Adjacent BUA directed to PP (A)
12,284
ftz OK
Ratio of Ac to AP
0.93
(unitless)
Flow from pervious surfaces is directed away from PP?
Yes
OK
Design rainfall depth
lyr,24hr post -pre
in R 3,16(o v�
Permeable pavement surface course type
PICP
Layer 1- Washed aggregate size (ex. No. 57)
No. 57
Layer 1- Aggregate porosity (n)
0.40
(unitless) OK
Layer 2 - Washed aggregate size (ex. No. 57)
No. 3
Layer 2 - Aggregate porosity (n)
0.40
(unitless) OK
Minimum total aggregate depth for design rainfall (Dwq)
17.7
in
Drawdown/infiltration time for Dwq
0.5
days OK
How is 30-yr, 24-hr storm handled?
infiltrated
Aggregate depth to infiltrate 10-yr, 24-hr storm (Dlo)
-2.9
in
Drawdown/infiltration time of 10-yr, 24-hr storm
0.92
days
Actual provided total aggregate depth
12.0
in Too shallow, must be at least the Dwq
Top of aggregate base layer elevation
8.00
fmsl L�,` CA
Storage elevation of design rainfall depth
7.50
—
fmsl
Overflow elevation
Does not overflow
fmsl
Bottom elevation at subgrade
7.00
fmsl #REF!
SHWT elevation
4.00
fmsl
Underdrain diameter
N/A
in
ECEIVErsPft
APR 0 5 2013
BY:
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 1 of 3

Permit No.
(to be provided by DWQ)
Detention Systems (skip for infiltration systems)
Diameter of orifice
in
Coefficient of discharge (Co)
(unitless)
Driving head (Ho)
ft
Storage volume discharge rate (through discharge orifice)
ft3/sec
Storage volume drawdown time
days
Pre -development 1-yr, 24-hr peak flow
ft'/sec
Post -development 1-yr, 24-hr peak flow
ft3/sec
Additional Information
Slope of soil subgrade at bottom of permeable pavement
0.50
%
OK
Slope of the permeable pavement surface
1.00
%
OK
Construction sequence minimizes compaction to soils?
Yes
OK
Subsoil preparation specified (must select one)
scarified
Meets industry standards for structural requirements?
Yes
OK
Washed stone is specified for the aggregate?
Yes
OK
Required signage specified on plans?
Yes
OK
Number of observation wells provided
1
OK
Distance to structure
21.00
ft
Distance to surface waters
225.00
ft
OK
Distance to water supply well(s)
N/A
ft
OK
FEB 0 5 2016
BY.
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 2 of 3

Permit No.
(to be provided by DWQ)
(k
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will result in a request
for additional information. This will delay final review and approval of the project. Initial in the space provided to indicate the following design requirements
have been met. If the applicant has designated an agent, the agent may initial below. if a requirement has not been met, attach justification.
itials Pagel Plan Sheet No.
1. Plans (1" = 50' or larger) of the entire site showing:
Awl-
- Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per
basin),
Location of permeable pavement,
Roof and other surface flow directed away from permeable
pavement,"
f..
- Location of the permeable pavement sign(s).
2. Section view of the permeable pavement (1" = 20' or larger)
showing:
All layers (including details about the surface course), and
SHWT
3. A detail of what the permeable pavement sign.
4. A site specific soils report that is based upon an actual field
investigation, soil borings, and infiltration tests within the
footprint of the proposed permeable pavement. The soils
investigation shall state the infiltation rate, SHWT elevation, and
information about any confining layers. County soil maps are not
an acceptable source of soils information. n_ �,
(Projects in the WiRO -The results of the soils report must be
1`"S+ z ,e_
verified in the field by DWQ, by completing & submitting the soils
investigation request form.)
S. A construction sequence that shows how the permeable
pavement will be protected from sediment until the entire
drainage area is stabilized.
6. The supporting calculations.
7. A copy of the signed and notarized operation and maintenance
A�4-
(O&M) agreement. Mixt kol
8. A copy of the deed restrictions (if required).
ECEIVEWM
SEP 0 3 215
BY:
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 3 of 3

Permit No. 31vn
(to be provided by DINQ)
y�oF W ATF9Q9
r
STORMWATER
MANAGEMENT PERMIT APPLICATION FORM >_
NCDENR
401 CERTIFICATION APPLICATION FORM
PERMEABLE PAVEMENT SUPPLEMENT
This form must be completely fined our printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
PACT t1 R*kT"
Project Name
Crystal Holdings, LLC
Contact Person
James H. P. Bailey, Jr.
Phone Number
252-241-1200
Date
8/25/2015 Revised 1/25/2016, 3/21/2016
Drainage Area
3
Iff-ORMT110111
Soils Report Summary
Hydrologic soil group (HSG) of subgrade
A
Infiltration rate
3.00 in/hr
Pavement Design Summary
BUA Credit for Permeable Pavement Footprint:
Permeable Pavement (PP) design type
Infiltration - HSG A/B 75% BUA Credit
SA of PP being proposed (AP)
3,620 ftZ
Resulting BUA counted as impervious for main application form 905 ftZ
Adjacent BUA directed to PP (A,)
0 ftz OK
Ratio of A` to AP
0.00 (unitless)
Flow from pervious surfaces is directed away from PP?
No Pervious areas shall be graded away from PP
Design rainfall depth
lyr,24hr post -pre in c 3 , (0 (p iA
Permeable pavement surface course type
PTRG
Layer 1- Washed aggregate size (ex. No. 57)
No. 57
Layer 1- Aggregate porosity (n)
0.40 (unitless) OK
Layer 2 - Washed aggregate size (ex. No. 57)
Layer 2 - Aggregate porosity (n)
(unitless)
Minimum total aggregate depth for design rainfall (D q)
9.2 in
Drawdown/infiltration time for DN,q
0.3 days OK
How is 10-yr, 24-hr storm handled?
infiltrated
Aggregate depth to infiltrate 10-yr, 24-hr storm (1l0)
-18.8 in
Drawdown/infiltration time of 10-yr, 24-hr storm
0.48 days
Actual provided total aggregate depth
6.0 in Too shallow, must be at least the Dwq
Top of aggregate base layer elevation
7.33 fmsl 1
Storage elevation of design rainfall depth
N/A (�,�'3�fmsl 1
Overflow elevation
Does not overflow fmsl 46411.
Bottom elevation at subgrade
6.83 fmsl #REF!
SHWT elevation
4.00 fmsl
Underdrain diameter
N/A in
ECEI V E
APR 0 5 201U
BY:
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 1 of 3

Permit No.
(to be provided by DWQ)
Detention Systems (skip for infiltration systems)
Diameter of orifice
in
Coefficient of discharge (Co)
(unitless)
Driving head (Ho)
ft
Storage volume discharge rate (through discharge orifice)
ft3/sec
Storage volume drawdown time
days
Pre -development 1-yr, 24-hr peak flow
ft3/sec
Post -development 1-yr, 24-hr peak flow
ft3/sec
Additional Information
Slope of soil subgrade at bottom of permeable pavement
0.50
%
OK
Slope of the permeable pavement surface
2.00
%
OK
Construction sequence minimizes compaction to soils?
Yes
OK
Subsoil preparation specified (must select one)
scarified
Meets industry standards for structural requirements?
Yes
OK
Washed stone is specified for the aggregate?
Yes
OK
Required signage specified on plans?
Yes
OK
Number of observation wells provided
1
OK
Distance to structure
80.00
ft
Distance to surface waters
289.00
ft
OK
Distance to water supply well(s)
N/A
ft
OK
r
FEB D 5 2016
Ely:�
Form SW401-Permeable Pavement-Rev.4-October 16, 2012
PP Supplement Form, Page 2 of 3

Permit No
(to be provided by DWQ)
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will result in a request
for additional information. This will delay final review and approval of the project. Initial in the space provided to indicate the following design requirements
have been met. if the applicant has designated an agent, the agent may initial below. If a requirement has not been met, attach justification.
1. Plans W' = 50' or larger) of the entire site showing:
- Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per
basin),
Location of permeable pavement,
Roof and other surface flow directed away from permeable
pavement,
- Location of the permeable pavement sign(s).
2. Section view of the permeable pavement (1" = 20' or larger)
showing:
All layers (including details about the surface course), and
SHWT
3. A detail of what the permeable pavement sign.
4. A site specific soils report that is based upon an actual field
investigation, soil borings, and infiltration tests within the
footprint of the proposed permeable pavement. The soils
investigation shall state the infiltation rate, SHWT elevation, and
information about any confining layers. County soil maps are not
an acceptable source of soils information.
(Projects in the WiRO -The results of the soils report must be
verified in the field by DWQ by completing & submitting the soils
investigation request form.)
5. A construction sequence that shows how the permeable
pavement will be protected from sediment until the entire
drainage area is stabilized.
6. The supporting calculations.
7. A copy of the signed and notarized operation and maintenance
(0&M) agreement.
8. A copy of the deed restrictions (if required).
rtials Pagel Plan Sheet No.
..
L4�L
SN-
*1 S{-1-�
c�
N
ECEIVE
SEP 0 3 2015
BY;
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 3 of 3

Permit No.
(to be provided by DWQ)
(�T1.o� WArFA
AA STORMWATER
MANAGEMENT PERMIT
APPLICATION FORM y
NCDENR
401 CERTIFICATION APPLICATION FORM
PERMEABLE PAVEMENT SUPPLEMENT
This form must be completely filled out, printed and submitted.
The Required Items Checklist (Part ill) must be printed, filled out and
submitted along with all of the required information.
I. PROJECT INFORMATION
Project Name
Crystal Holdings, LLC
Contact Person
James H. P. Bailey, Jr.
Phone Number
252-241-1200
Date
8/25/2015 Revised 1/25/2016, 3/21/2016,1/2/2020
Drainage Area
4
. DESM IWORMATION.
Soils Report Summary
Hydrologic soil group (HSG) of subgrade
A
Infiltration rate
3.00
in/hr
Pavement Design Summary
BUA Credit for Permeable Pavement Footprint:
Permeable Pavement (PP) design type
Infiltration - HSG A/B
75% BUA Credit
SA of PP being proposed (A,)
4,040
ft2
Resulting BUA counted as impervious for main application form 1,010
ft2
Adjacent BUA directed to PP (AJ
0
ft2 OK
Ratio of Ac to AP
0.00
(unitless)
Flow from pervious surfaces is directed away from PP?
No
Pervious areas shall be graded away from PP
Design rainfall depth
1yr,24hr post -pre
in
Permeable pavement surface course type
PTRG
Layer 1- Washed aggregate size (ex. No. 57)
No. 57
Layer 1- Aggregate porosity (n)
0.40
(unitless) OK
Layer 2 - Washed aggregate size (ex. No. 57)
Layer 2 - Aggregate porosity (n)
(unitless)
Minimum total aggregate depth for design rainfall (Dwq)
9.2
in
Drawdown/infiltration time for Dwq
0.3
days OK
How is 10-yr, 24-hr storm handled?
infiltrated
Aggregate depth to infiltrate 10-yr, 24-hr storm (Dlo)
-18.8
in
Drawdown/infiltration time of 10-yr, 24-hr storm
0.48
days
Actual provided total aggregate depth
6.0
in Too shallow, must be at least the Dwq
Top of aggregate base layer elevation
7.08
fmsl
Storage elevation of design rainfall depth
N/A
fmsl tF l v v 4/c
Overflow elevation
Does not overflow
fmsl
Bottom elevation at subgrade
6.58
fmsl #REF!
SHWT elevation
4.00
fmsl
Underdrain diameter
N/A
in
EcEovi:.-
JAN 14 2020
BY
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 1 of 3

Permit No.
(to be provided by DWQ)
Detention Systems (skip for infiltration systems)
Diameter of orifice
Coefficient of discharge (Co)
Driving head (Ho)
Storage volume discharge rate (through discharge orifice)
Storage volume drawdown time
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Additional Information
Slope of soil subgrade at bottom of permeable pavement
Slope of the permeable pavement surface
Construction sequence minimizes compaction to soils?
Subsoil preparation specified (must select one)
Meets industry standards for structural requirements?
Washed stone is specified for the aggregate?
Required signage specified on plans?
Number of observation wells provided
Distance to structure
Distance to surface waters
Distance to water supply well(s)
in
(unitless)
ft
ft'/sec
days
ft3/sec
ft3/sec
0.50
3.00
Yes
scarified
Yes
Yes
Yes
1
0.00 ft
55.00 ft
N/A ft
OK
OK
OK
OK
OK
OK
OK
OK
OK
lk�
JAN 14 2020
BY• -
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 2 of 3

Permit No.
(to be provided by DWQ)
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will result in a request
for additional information. This will delay final review and approval of the project. Initial in the space provided to indicate the following design requirements
have been met. If the applicant has designated an agent, the agent may initial below. If a requirement has not been met; attach justification.
Initials
Pagel Plan Sheet No.
1. Plans (1" = 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per
basin),
Sheets 11 4 & 5
Location of permeable pavement,
Roof and other surface flow directed away from permeable
pavement,
- Location of the permeable pavement sign(s).
2. Section view of the permeable pavement (V = 20' or larger)
bl-r
showing:
All layers (including details about the surface course), and
Sheet 9
- SHWT
3. A detail of what the permeable pavement sign.
Sheet 9
4. A site specific soils report that is based upon an actual field
T�
investigation, soil borings, and infiltration tests within the
footprint of the proposed permeable pavement. The soils
investigation shall state the infiltation rate, SHWT elevation, and
information about any confining layers. County soil maps are not
Attached as previously submitted
an acceptable source of soils information.
(Projects in the WiRO - The results of the soils report must be
verified in the field by DWQ, by completing & submitting the soils
invpctipatinn rpniipct fnrm 1
5. A construction sequence that shows how the permeable
pavement will be protected from sediment until the entire
Sheet 5
drainage area is stabilized.
6. The supporting calculations.
Attached
7. A copy of the signed and notarized operation and maintenance
(O&M) agreement.
N/A Previously submitted
8. A copy of the deed restrictions (if required). � N/A
JAN 14 2020
BY
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 3 of 3

Permit Number:
(to be provided by DWQ)
Drainage Area / Lot Number:
Permeable Pavement Operation and Maintenance Agreement
1 will keep a maintenance record on this BMP. This maintenance record will be kept -- a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
At all times, the pavement shall be kept free of:
— Debris and particulate matter through frequent blowing that removes such
debris, particularly during the fall and spring. ��'''�!
— Piles of soil, sand, mulch, building materials or other materials UPTWV
particulates on the pavement. SEP 0 3 2015
— Piles of snow and ice. 0
— Chemicals of all kinds, including deicers. BY.
The permeable pavement will be inspected once a quarter. 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.
BMP element:
( Potential problem:
How to remediate the problem:
The perimeter of the
permeable pavement
Areas of bare soil and/or
erosive gullies
Regrade the soil if necessary to
remove the gully, then plant ground
cover and water until established.
A vegetated area drains
_
Regrade the area so that it drains
toward the pavement.
away from the pavement, then plant
ground cover and water until
established.
The surface of the
Trash/ debris present
Remove the trash/ debris.
permeable pavement
1
Weeds
Do not pull the weeds (may pull out
media as well). Spray them with a
systemic herbicide such as
glyphosate and then return within
the week to remove them by hand.
(Another option is to pour boiling
water on them or steam them.)_
Sediment
Vacuum sweep the pavement.
Rutting, cracking or slumping
Consult an appropriate professional.
_ v
or damaged structure
Observation well
Water present more than five
days after a storm event
° Clean out clogged underdrain pipes.
Consult an appropriate professional
for clogged soil subgrade.
Educational sign
Missing or is damaged.
Replace the si ..
Form SW40 1 -Permeable Pavement O&M-Rev.4 10/03/2012 Page 1 of 2

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the 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.
Project name: Crystal Holdings, LLC
BMP drainage area or lot number: ; i A, FB 12 it 3
Print name: James H. P. Bailey, Jr.
Title
Addx
Phone:
Signature:
Date: 8/
241-1200
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, La11yen E)O"V P,P O,OX , a Notary Public for the State of
I li_ , County of r (l y I eyfj , do hereby certify that
n� H.P `) ( personally appeared before me this 22'
day of PAIQt 1&t 20165 , and acknowledge the due execution of the
forgoing permeable pavement maintenance requirements. Witness my hand and official
seal, _16 - -- n , /,_ A 1. /? 1 /
Fos ��40
�N �y4P ;51.
��®TAR
J X _
PUBLIC _
Cam`
SEP 0 3 2015
My commission expires i - iu - 20 9 BY:
Form SW401-Permeable Pavement O&M-Rev.4 10/03/2012 Page 2 of 2