SW8030322_CURRENT PERMIT_20030707

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

W A rFR
Michael F. Easley, Governor
O�
pG
William G. Ross Jr., Secretary
C1�
y
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E.,Director
.�
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
July 7, 2003
Mr. Jimmy Pope
Golden Sands Motel, LLC
1211 S. Lake Park Blvd.
Carolina Beach, NC 28428
Subject: Permit No. SW8 030322
Golden Sands / Sandfiddler Motel
High Density Stormwater Project
New Hanover County
Dear Mr. Pope:
The Wilmington Regional Office received a complete Stormwater Management Permit
Application for Golden Sands / Sandfiddler Motel on July 7, 2003. 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 030322
dated July 7, 2003, for the construction of Golden Sands / Sandfiddler Motel.
This permit shall be effective from the date of issuance until July 7, 2013, 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 to request an adjudicatory hearing upon written request within thirty (30) days following
receipt of this permit. This request must be in the form of a written petition, conforming to
Chapter 150B 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
Laurie Munn, or me at [phone].
Sincerely,
✓ Rick Shiver
Water Quality Regional Supervisor
RSS/:lsm S:1WQSISTORMWATIPERMIT1030322.july03
cc: Phil Norris, P.E.
New Hanover County Building Inspections
Beth E. Wetherill, New Hanover County Engineering
Division of Coastal Management
Laurie Munn
Wilmington Regional Office
Central Files -
N. C. Division of Water Quality 127 Cardinal Drive Extension [phone]
Wilmington Regional Office Wilmington, NC 28405 [phone] Fax
Customer Service
1 800 623-7748
AA
NCDENR

State stormwater Management Systems
Permit No. SW8 030322
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
Golden Sands Motel, LLC
Golden Sands / Sandfiddler Motel
New Hanover County
FOR THE
construction, operation and maintenance of 2 infiltration trenches'in compliance with the
provisions of 15A NCAC 211.1000 (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'
p yr�r�i t.
This permit shall be effective from the date of issuance until July 7, 2013, and shall be subject to
the following specified conditions and limitations:
L 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 on page 3 of this permit, the Project Data Sheet. The stormwater control has
been designed to handle the runoff from 61,275 square feet of impervious area. This pond
must be operated with a 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. A permit modification must be
submitted and approved prior to the construction of additional built -upon area from
outside of the approved drainage area.
2

I
State Stormwater Management Systems
Permit No. SW8 030322
DIVISION OF WATER QUALITY
PROJECT DESIGN DATA SHEET
Project Name:
Golden Sands / Sandfiddler Motel
Permit Number:
SW8 030322
Location:
New Hanover County
Applicant:
Mr. Jimmy Pope
Mailing Address:
Golden Sands Motel, LLC
1211 S. Lake Park Blvd.
Carolina Beach, NC 28428
Application Dater
July 7, 2003
Receiving Stream/River Basin:
Cape Fear River / Cape Fear
Stream Index Number:
CPF17 18-(87.5)
Classification of Water Body:
"SA HQW"
Design Storm:
2" (no vegetated filter is required)
Trench No.:
WEST EAST
Drainage Area, acres:
1.37 0.69
Trench Dimensions, LxWxH, feet:
629 x 22.5 x 1.25 138 x 51 x 1.25
Total Impervious Surfaces, f12.:
41,206 20,069
Bottom Elevation, FMSL:
9.3 9.3
Perforated Pipe Diameter / Length:
12" / 629' 12" / 138'
Required Storage Volume, f13:
7,494 3,676
Provided Storage Volume, ft3:
7,513 3,683
Temporary Storage Elevation, FMSL:
11.3 11.3
Type of Soil:
Sand Sand
Expected Infiltration Rate:
65 in/hr 65 in/hr
Seasonal High Water Table:
7.3 7.3
Time to Drawdown:
1.9 hours 0.25 hours
3

State Stormwater Management Systems
Pennit No. SWS 030322
It. SCHEDULE OF COMPLIANCE
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.
C. Maintenance of all slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow spreader,
catch basins and piping.
g. Access to the outlet 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. Decorative spray fountains will not be allowed in the 'stormwater treatment system.
6. 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.
7. 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.
S. If the stormwater system was used as an Erosion Control device, it must bexestored to
design condition prior to operation as a stormwater treatment device, and prior to
occupancy of the facility.
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. Proj ect 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, 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 Major permit was
sought.
f Filling in, altering, or piping of any vegetative conveyance shown on the approved
plan.
4

State Stormwater Management Systems
Permit No. SWS 03032?
10. The permittee shall submit final site layout and grading plans for any permitted future
areas shown on the approved plans, prior to construction. If the proposed BUA exceeds
the amount permitted under this permit, a modification to the permit must be submitted
and approved 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. At least 30 days prior to the sale or lease of any portion of the property, the permittee
shall notify DWQ and provide the name, mailing address and phone number of the
purchaser or leasee. An access/maintenance easement to the stormwater facilities shall be
granted in favor of the permittee if access to the stormwater facilities will be restricted by
the sale or lease of any portion of the property.
13. The permittee must maintain compliance with the proposed built -upon area and ensure
that the runoff from all the built -upon is directed into the permitted system.
14. 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.
15. The permittee must maintain the current permitted drainage area. No additional runoff
from outside of the permitted drainage area boundary may enter the permitted stormwater
facilities without first applying for and receiving a permit modification.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director. In the
event of a change of owership, 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 maybe 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) which have 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 reissuance or termination does not
stay any permit condition.
5

State Stormwater Management Systems .
Pen -nit No. SW8 030322
Unless specified elsewhere, permanent seeding requirements for the storm«vater 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 project 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.
Perinit issued this the 7th day of July, 2003.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
0

State Stormwater Management Systems
Permit No. SW8 030322
Golden Sands / Sandfiddler Motel
Stormwater Permit.No. SW8 030322
New Hanover County
Designer's Certification
1, , 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
7

f
State Stormwater Management Systems '
Permit No. SW8 030322
Certification Requirements:
l . 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. The outlet/bypass structure elevations are per the approved plan..
5. The outlet structure is located per the approved plans.
6. Trash rack is provided on the outlet/bypass structure.
7. All slopes are grassed with permanent vegetation.
8. Vegetated slopes are no steeper than 3: L
9. The inlets are located per the approved plans and do not cause short-circuiting of
the system.
10. The permitted amounts of surface area and/or volume have been provided.
11. Required drawdown devices are correctly sized per the approved plans.
12. All required design depths are provided.
13. All required parts of the system are provided, such as a vegetated shelf, and a
forebay.
14. The overall dimensions of the system, as shown on -the approved plans, are
provided.
cc: NCDENR-DWQ Regional Office
Nn,w I Hanover County Building Inspections

ASK #02291
n17Fir_F_t.rcF_C1VJ v
Date Received Fee Paid Permit Number
7.6 . b
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
1. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Golden Sands Motel, LLC
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Jimmy Pope, Managing Partner
3. Mailing Address for person listed in item 2 above:
1211 S. Lake Park Blvd.
City: Carolina Beach State: NC Zip: 28428
Telephone Number: [phone]
4. Project Name (subdivision, facility, or establishment name — should be consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
Golden Sands / Sandfiddler Motel
5. Location of Project (street address):
1211 S. Lake Park Blvd.
City: Carolina Beach
County: New Hanover
6. Directions to project (from nearest major intersection):
Located on US 421 (S. Lake Park Blvd.) between Tennessee Avenue and Ocean Blvd.
7. Latitude: 340 01' 17" Longitude: 7705315211
8. Contact person who can answer questions about the project:
Name: Phil Norris Telephone Number:
11. PERMIT INFORMATION
l . Specify whether project is (check one):
Form SWU-101 Version 3.99
X New
Page 1 of 4
Renewal
of project
[phone]
Modification

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
Existing permit number NIA And its -issue date (if known) NIA
3. Specify the type of project (check one):
Low Density X High Density Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
CAMA Major X Sedimentation/Erosion Control 404/401 Permit NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
I-877-623-6748.
III. PROJECT INFORMATION
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.
Infiltration Svstem
2. Stormwater runoff from this project drains to the Cape Fear ,: "':.. ;. River Basin.
3, Total Project Area: 2.06 AC 4. Project Built Upon Area: 68 %
5. How many drainage areas does the project have? 2
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.
West Area East Area
Basin Information
Drainage Area I
Drain a a Area 2
Receiving Stream Name
UT Cape Fear River
UT Cape Fear River
Receiving Stream Class
SA HQW
SA HQW
Area
60,000 SF 11.37 AC
. 30,000 SF /0.69 AC
—Drainage
Impervious * Area
0
0
—Existing
Proposed Impervious* Area
41,206 SF 10.94 AC
20,069 SF 10.46 AC
Impervious* Area (total)
68.6%
66.7%
Surface Area
Drainage Area I
Drainage Area 2
—Impervious*
On -site Buildings
4,054 SF /0.093 AC
9,974 SF 10.23 AC
On -site Streets
0
0
On -site Parking
36,720 SF 10.84 AC
7,584 SF 10.17 AC
On -site Sidewalks
432 SF 10.01 AC
2,511 SF 10.058 AC
Other on -site
0
0
Off -site
0
0 . -
Total: 41,206 SF 10.94 AC
TotaL••20,069 SF 10.46 AC
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 4

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:� .. ..
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V

How was the off -site impervious area listed above derived? NIA
1V, 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.
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 61,275 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 permilled runofffrom outparcels or future development shall he 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
Form SWU-lob
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

Vl. 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.
Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
• 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)
• 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
- 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.
J. Phillip Norris, P.E.
Designated agent (individual or firm). Andrew & Kuske Consulting Engineers, Inc.
Mailing Address: 902 Market Street
City: Wilmington State: NC Zip: 28401
Phone: [phone] Fax: [phone]
VIII. APPLICANT'S CERTMCATION
I, (print or type name ofperson listed in General Information, item 2) J�=Y ;Pope, Managing Partner
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,.nroposed project complies with the requirements of I SA NCAC
21-1.1000. /)
Signature:
Form SWU-101 Version 3.99 Page 4 of 4
Date: 03-2 5 -03

A&K #02291
Permit No. ;Sw 9 6 3 0 3
State of North Carolina (to be provided by DWQ)
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
DWQ Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater management permit application, an
underground trench supplement for each system, design calculations, and plans and specifications showing all
stormwater conveyances and system details.
1. PROJECT INFORMATION
Project Name:
Golden Sands / Sandfiddler Motel
Contact Person: Jimmy Pope Phone Number: [phone]
For projects with multiple infiltration systems, a supplement Form must be completed for each system. This
worksheet applies to: Trench #1 in Drainage Area West
(from plans) (from Form SWU-101)
H- DESIGN INFORMATION (attach supporting calculations/documentation):
Soils Report Summary (based upon an actual field investigation and soil borings)
Soil Type Sand
Infiltration Rate 65 0in/hr or ❑cf/hr/sf (check appropriate units)
SHWT Elevation 7.3 fmsl (Seasonal High Water Table elevation)
Trench Design Parameters
Design Volume
Design Storm
Drawdown Time
Perforated Pipe Size
Perforated Pipe Length
No. Observation Wells
Stone Type (if used)
Stone Void Ratio
7,494 c.f.
2.0 inch event (1.5 inch event far SA waters, I inch event for others)
0.08 days
12 inch diameter
629 ft.
0 (may be required on a case —by-case basis)
Washed Stone
0.4
Trench. Elevations (in feet mean seal level)
Bottom Elevation 9.3 fmsl
Storage/Overflow Elevation 11.3 fmsl
Form SWU-107 Version 3.99
Pagel of 4

Trench Dimensions
Height 1.25 ft. Length 629 ft.
Width 22.5 ft. Volume Provided 7,513 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, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. If a requirement has not been met, attach justification.
Initials
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).
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).
Soils have a minimum hydraulic conductivity of 0.52 inches per hour.
System is not sited on or in fill material or DWQ approval has been obtained.
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.
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.
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.
System capture and infiltrates the runoff from the first 1.0 inch of rainfall (1.5 inch event
for areas draining to SA waters).
Drainage area for the device is less than 5 acres.
A pretreatment device (filter strip, grassed swale, sediment trap, etc.) is provided.
Trench bottom is covered with a layer of clean sand to an average depth of 4 inches.
Sides of the infiltration trench are lined with geotextile fabric.
Rock used is free of fines (washed stone) and has a large void ratio.
Side to bottom area ratio is less than 4:1.
Form SWU-107 Version 3.99 Page 2 of

NIA 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.
u. A benchmark for checking sediment accumulation is provided.
611�_
TV. INFILTRATION BASIN 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 vegetated
cover to maintain a maximum height of six -inches, and remove trash as needed.
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 I 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 at the benchmark reads 1.69 1=T* , the accumulated sediment shall be removed
from the system.
*Benchmark is top of inlet #1.
Form SWU-107 Version 3.99 Page 3 of

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: James W. Pope, Managing Partner
Address: 1211 S. Lake Park Blvd. Carolina Beach, NC 28428
Phone: [phone] Date: 03-25-03
Signature:
Note: The legally esponsible party should not be a homeowners association unless more than 50% of the lots have been sold
and .dent of the subdivision has been named the president.
11 :3;�6 Q, LIAI CL-komct N , a Notary Public for the State of I)Ot h _CQ YC j i n« County of
`neup oy e,f , do hereby certify that y" � (,t� , �o o �a personally appeared before me this
day of ryUrn _ h „ ;jb Q.—, and acknowledge the due execution of the foregoing infiltration
'j i�p yance requirements. Witness my hand and official seal.
$W! A .yy, pMy commission expires
§4atur l q�iKiLCCu !J •_L�CJI"n.►,,��*-�
Form SWU-107 Version 3.99 Page 4 of

t A&K #02291
Permit No. Sill � U 3 0 3 3 Y
State of North Carolina (to be provided by DWQ)
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
DWQ'Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater management permit application, an
underground trench supplement for each system, design calculations, and plans and specifications showing all
stormwater conveyances and system details.
I. PROJECT INFORMATION
Project Name: Golden Sands 1 Sandfiddler Motel
Contact Person: Jimmy Pope Phone Number: [phone]
For projects with multiple infiltration systems, a supplement form must be completed for each system. This
worksheet applies to: Trench #2 in Drainage Area East
(from plants) (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 Sand
Infiltration Rate 65 Min/hr or Qef/hr/sf (check appropriate units)
SHWT Elevation 7.3 fmsi (Seasonal High Water Table elevation)
Trench Design Parameters
Design Volume
Design Storm
Drawdown Time
Perforated Pipe Size
Perforated Pipe Length
No. Obscrvation Wells
Stone Type (if used)
Stone Void Ratio
3,676 c.f.
2.0 inch event (1. S inch event for SA waters, 1 inch event for others)
0.01
12
138
n
,. ,
washed Stone
na
Trench Elevations (in feet mean seal level)
Bottom Elevation 9.3
Storage/Overflow Elevation 11.3
Form SWU-107 . Version 3.99
days
inch diameter
ft.
fmsl
fms l
(may be required on a case —by-case basis)
Page] of 4

Trench Dimensions
Height
Width
1.25
ri 1 C1
Ill. REQUIRED ITEMS CHECKLIST
ft. Length
138 ft.
ft. Volume Provided 3,683 cu.ft.
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: IS A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. If a requirement has not been met, attach justification.
Applicants Initials
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.
h. System is not sited on or in fill material or DWQ approval has been obtained.
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.
I. System capture and infiltrates the runoff from the first 1.0 inch of rainfall (1.5 inch event
for areas draining to SA waters).
m. Drainage area for the device is less than 5 acres.
n. A pretreatment device (filter strip, grassed swale, sediment trap, etc.) is provided.
o. Trench bottom is covered with a layer of clean sand to an average depth of 4 inches.
p. Sides of the infiltration trench are lined with geotextile fabric.
q. Rock used is free of fines (washed stone) and has a large void ratio.
r. Side to bottom area ratio is less than 4:1.
Form SWU-107 Version 3.99 Page of

NIA 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.
u. A benchmark for checking sediment accumulation is provided.
'_j�
W. INFILTRATION BASIN 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 vegetated
cover to maintain a maximum height of six -inches, and remove trash as needed.
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.
The water level in any monitoring wells will be recorded after a I inch rainfall event and at least once a
month. Chronic high water table elevations (within I 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.
When the depth at the benchmark reads 1.69FT* , the accumulated sediment shall be removed
from the system.
*Benchmark is top of basin 1 & 2.
Form SWU-107 Version 3.99 Page 3 of

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: James W. Pope, Managing Partner
Address: 1204 S. Lake Park Blvd. Car lina Beach, NC 28428
Phone: [phone] Date: 03-25-03
Siv-natuke: /Al.
'legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold
a resident of the subdivision has been named the president.
I, C'L� m q VI , a Notary Public for the State of prT �_ r' r)/, County of
`f1 Lj & rncy— , do hereby certify that P personally appeared before me this
a 5 day of NVt rr,k -dZp -7> , and acknowledge the due execution of the foregoing infiltration
basin maintenance requirements. Witness my hand and official seal.
SEAT, y commission expires 10-1 b —Q `7
Sivnatu► a.,�. ) `-A P't
►\Q V" yvje,,
*01ARY 9�
*00
pUB0t do
4ktb
Form SWU-107 Version 3.99 Page 4 of 4

State Stormwater Manage t Systems
Permit N SW8 030322
TO: Linda Lewis, Environmental Engineer
NC -DENR/Division of Environmental Management
Water Quality Section
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
RE: Golden Sands / Sandfiddler Motel
New Hanover County, NC
A & K Project No. 02291
Engineer's Certification
I, J. Phillip Norris, P.E. , as a duly registered Professional Engineer in the State of
North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,
Golden Sands / Sandfiddler Motel
(Project)
for Golden Sands Motel, LLC (Project Owner) hereby state that, to the best of my abilities, due
care and diligence were 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.
Required items to be checked for this certification to be considered complete are on page 2 of this form.
Noted deviations from approved plans and specifications:
J PN/asn
0229 t 05-26-04-s-sw-cent.
Signature
Registratio N .
Date
11966
2004
SEAL
11966
cc: Van Paxton / Carolina Beach Inspections Dept.
Jimmy Pope / Golden Sands Motel, LLC
Charlotte Buckley, Stormwater Superintendent
13
--- CONSULTING ENGINEERS, INC.
902 Market Street Wilmington, NC 28401-4733
910-343-9653 Phone [phone] Fax
www.andrewandkuske.com

Certification Requirements:
The drainage area to the system contains approximately the permitted acreage.
1.
t2. The drainage area to the system contains no more than the permitted amount of built -upon area.
All the built -upon area associated with the project is graded such that the runoff drains to the
system.
NIA 4. The outlet/bypass structure elevations are per the approved plan.
NIA 5. The outlet structure is located per the approved plans.
NIA 6. Trash rack is provided on the outlet/bypass structure.
All slopes are grassed with permanent vegetation.
Vegetated slopes are no steeper than 3:1.
The inlets are located per the approved plans and do not cause short-circuiting of the system.
The permitted amounts of surface area and/or volume have been provided.
Required drawdown devices are correctly sized per the approved plans.
All required design depths are provided.
All required parts of the system are provided, such as vegetated shelf, and a forebay.
The overall dimensions of the system, as shown on the approved plans, are provided.
cc: Van Paxton / Carolina Beach Inspections Dept.
Jimmy Pope / Golden Sands Motel, LLC
Charlotte Buckley, Stormwater Superintendent
—_ = Lr"+V1tJ LI�LJ V� 1J1J 4 ��J�LN�
_ CONSULTING ENGINEERS, INC.
902 Market Stroat Wilmington, NC 28401-4733
910-343-9653 Phone [phone] Fax
www.andrewandkuske.com