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HomeMy WebLinkAboutSW8030813_CURRENT PERMIT_20060216STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW ��� DOC TYPECURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE- YYYYMMDD OF 1 ATFR Michael F. Easley, Governor �pC� 0G William G. Ross, Jr., Secretary North Carolina Department of Environment and Natural Resources 5 < Alan W. Klimek, P.E. Director Division of Water Quality February 16, 2006 Mr. Erik Hoffacker, President Upper Reach Extension HOA 909 Upper Reach Drive Wilmington, NC 28409 Subject: Permit No. SW8 030813 Upper Reach Extension High Density Subdivision Stormwater Project New Hanover County Dear Mr. Hoffacker: The Wilmington Regional Office received a complete request to transfer the Stormwater Management Permit for Upper Reach Extension to you on February 13, 2006. 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 21-1.1000. We are forwarding Permit No. SW8 030813, dated February 16m, 2006, for the construction of the project, Upper Reach Extension. This permit shall be effective from the date of issuance until October 3, 2013, the original expiration date, 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 sixty (60) 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 Linda Lewis, or me at (910) 796-7215. Since ely, Edward Beck Regional Supervisor Surface Water Protection Section ENBlarl: S:1WQSISTORMWATERIPERMIT1030813.feb06 cc: Jeffrey Malpass, P.E. John Galarde, Galarde & Company, Inc. New Hanover County Building Inspections Beth E. Wetherill, New Hanover County Engineering Linda Lewis Wilmington Regional Office Central Files North Carolina Division of Water Duality 127 Cardinal Drive Extension Phone (910) 796-7215 Customer 5ervicel-877-623-6748 Wilmington Regional Office Wilmington, NC 28405.3845 FAX (910) 350-2004 Internet: h2o.enr slate.nc.us One NorthCaroll/i1n'a An Equal Opportunity/Affirmative Action Employer — 50% Recycled110% Post Consumer Paper 2Vatl(t'll rl State Stormwater Management Systems Permit No. SW8 030819 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 Upper Reach Extension HOA Upper Reach Extension New Hanover County FOR THE construction, operation and maintenance of an infiltration basin in compliance with the provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and the approved stormwater management plans and specifications and other supporting data as attached and on file with and approved by the Division of Water Quality and considered a part of this permit. This permit shall be effective from the date of issuance until October 3, 2013 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 on page 3 of this permit. The subdivision is permitted for 6 lots, each allowed a maximum of 4,000 square feet of built -upon area. 3. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit. 4. This pond is not operated with a vegetative filter. The pond is designed to hold the 1.5" storm event and infiltrate the 25-year, 24-hour storm event. 5. 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. Page 2 of 6 State Stormwater Management Systems Permit No. SW8 030813 R1 The following design criteria have been permitted for the infiltration basin and must be maintained at design condition: a. Drainage Area, acres: Onsite, sq. ft.: Offsite, sq. ft.: b. Design Storm, inches: C. Total Impervious Surfaces, sq. ft.: 6 lots @ 4,000, sq. ft: Streets, sq. ft: Sidewalks, sq. ft: d. Basin, Depth, feet: e. Bottom Elevation, FMSL: f. Required Storage Volume, ft3: g. Provided Storage Volume, W.- h. Temporary Storage Elevation, FMSL is Soil Type: j. Seasonal High Water Table. k. Expected Infiltration Rate: 1. Time to Draw Down, hours: m. Receiving Stream/River Basin: n. Stream Index Number: o. Classification of Water Body: III. SCHEDULE OF COMPLIANCE 2.66 115,870 none 1.5" 34,452 24,000 9,400 1,052 1.5 22.0 4,600 8,346 23.25 Sand 20.0 111" per hour 0.2 Hewletts Creek 1 Cape Fear CPF24 18-87-26 "SA HOW" 1. No homeowner/lot owner/developer shall fill in, alter, or pipe any drainage feature (such as swales) shown on the approved plans as part of the stormwater management system without submitting a revision to the permit and receiving approval from the Division. 2. The permittee is responsible for verifying that the proposed built -upon area for the entire lot, including driveways and sidewalks, does not exceed the allowable built -upon area. Once the lot transfer is complete, the built -upon area may not be revised without approval from the Division of Water Quality, and responsibility for meeting the built -upon area limit is transferred to the individual property owner. 3. If an Architectural Review Committee (ARC) is required to review plans for compliance with the BUA limit, the plans reviewed must include all proposed built -upon area. Any approvals given by the ARC do not relieve the homeowner of the responsibility to maintain compliance with the permitted BUA limit. 4. During construction, erosion shall be kept to a minimum and any eroded areas of the system will be repaired immediately. Page 3 of 6 State Stormwater Management Systems Permit No. SW8 030813 5. 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 the approved plans, regardless of size. b. Project name change. C. Transfer of ownership. d. Redesign or addition to the approved amount of built -upon 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 was sought, f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan. 6. The Director may determine that other revisions to the project should require a modification to the permit. 7. 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. 8. 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. 9. 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. 10. If the stormwater system was used as an Erosion Control device, it must be restored to design condition prior to operation as a stormwater treatment device, and prior to occupancy of the facility. 11. The permittee shall at all times provide the operation and maintenance necessary to assure that all components of the permitted stormwater system function 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 side slopes. d. Immediate repair of eroded areas. e. Maintenance of side slopes in accordance with approved plans and specifications. f. Debris removal and unclogging of structures, orifice, catch basins and piping. g. Access to all components of the system must be available at all times. 12. 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. Page 4 of 6 State Stormwater Management Systems Permit No. SW8 030813 13. Prior to the sale of any lot, deed restrictions must be recorded which limit tl�e built -upon area per lot to the amount as shown on the Project Data Sheet, per Section 1, Part 2. The recorded statements must follow the form: a. The following covenants are intended to ensure ongoing compliance with State Stormwater Management Permit Number SW8 030813, as issued by the Division of Water Quality under NCAC 2H.1000. b. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to maintain compliance with the Stormwater Management Permit. C. These covenants are to run with the land and be binding on all persons and parties claiming under them. d. The covenants pertaining to stormwater may not be altered or rescinded without the express written consent of the State of North Carolina, Division of Water Quality. e. Alteration of the drainage as shown on the approved plans may not take place without the concurrence of the Division of Water Quality. f. The maximum built -upon area per lot is 4,000 square feet. This allotted amount includes any built -upon area constructed within the lot property boundaries, and that portion of the right-of-way between the front lot line and the edge of the pavement. Built upon area includes, but is not limited to, structures, asphalt, concrete, gravel, brick, stone, slate, coquina and parking areas, but does not include raised, open wood decking, or the water surface of swimming pools. g. Lots within CAMA's Area of Environmental Concern may be subject to a reduction in their allowable built -upon area due to CAMA regulations. h. All runoff on the lot must drain into the permitted system. This may be accomplished through providing roof drain gutters which drain to the street, grading the lot to drain toward the street, or grading perimeter swales and directing them into the pond or street. Lots that naturally drain into the system are not required to provide these measures. 14. A copy of the recorded deed restrictions must be submitted to the Division within 30 days of the date of recording the plat, and prior to selling lots. The recorded copy must bear the signature of the Permittee, the deed book number and page, and stamp/signature of the Register of Deeds. 15. Prior to transfer of the permit, the stormwater facilities must be inspected by DWQ personnel, and determined to be in compliance with all permit conditions. Any items not in compliance must be repaired or replaced to design condition prior to the transfer. Records of maintenance activities performed to date will be required. 16. 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. 17. Built upon area includes, but is not limited to, structures, asphalt, concrete, gravel, brick, stone, slate, coquina and parking areas, but does not include raised, open wood decking, or the water surface of swimming pools. Page 5 of 6 State Stormwater Management Systems Permit No. SW8 030813 III. GENERAL CONDITIONS This permit is not transferable except after notice to and approval by the Director. In the event there is a desire for the facilities to change ownership, or there is a name change of the Permittee, a "Name/Ownership Change Form" must be submitted to the Division of Water Quality accompanied by appropriate documentation from the parties involved, including as may be required, but not limited to, a deed of trust, recorded deed restrictions, Designer's Certification and a signed Operation and Maintenance plan. The project must be in good standing with DWQ. The approval of this request will be considered on its merits and may or may not be approved. 2. The permittee is responsible for compliance with the terms and conditions of this permit until such time as the Director approves the transfer request. 3. 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. 4. 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. 5. 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. 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. 7. Permanent seeding requirements .for the stormwater control must follow the guidelines established in the North Carolina Erosion and Sediment Control Planning and Design Manual. 8. Permittee grants permission to staff of the DWQ to access the property for the purposes of inspecting the stormwater facilities during normal business hours. 9. The permittee shall notify the Division of any name, ownership or mailing address changes within 30 days. 10. 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. Permit issued this the 16th day of February 2006 NORT GAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION Tor Alan W. Klimek, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission Permit Number SW8 030813 Page 6 of 6 OF WAr Michael F. Easley, Governor William G. Ross Jr., Secretary p, North Carolina Department of Environment and Natural Resources r? r -� Alan W. Klimek, P.E. Director p �c Division of Water Quality Coleen H. Sullins, Deputy Director Division of Water Quality WATER QUALITY SECTION COASTAL STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM I. CURRENT PERMIT INFORMATION: I . Stormwater Management Permit Number: 2. Permit Holder's name: �� - vc .cJc� is 3. Signing official's name: �~ �f c �� Title: _f_; r, cZ , (person legally responsible for permit) 4. Mailing address1 Stater ZipCode: Z- YC1a Phone, z,56- - 2,7cv FAX:` 1t, (Area Code and Number) (Area Code and Number) II. NEW OWNER I PROJECT / ADDRESS INFORMATION This request is for: (please check all that apply) i✓ a. Change in ownership of the property/company (Please complete Items #2, #3, and #4 below) b. Name change of project (Please complete Item #5 below) C. Mailing address change. (Please complete Item #4 below) d. Other (please explain): 2. New owner's name to be put on permit: 3. New owner's signing official's name and title: cJo q u,Q`G r We4 c-4 (Title) 4. New Mailing Address: r — CitY:1 �//,�.�; Stater ZipCode:— Phone:4�FAX: (Area Code and Number) (Area Code and Number) 5. New Project Name to be placed on permit: Page I of 2 0UL -7 -1 S' N. C. Division of Water Quality 127 Cardinal Drive Extension (910) Customer Service Wilmington Regional Office Wilmington, NC 28405 (910) 350-2004 Fax 1 800 623-7748 N( PERMIT NAME/OWNERSHIP CHANGE FORM THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER QUALITY UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL. REQUIRED ITEMS: 1. This completed form. 2.f Legal documentation of the transfer of ownership. 3� A copy of the recorded deed restrictions, if required by the permit. -4-4r cQ (7� 4.v The engineer's certification, if required by the permit. 5.1/ A signed Operation and Maintenance plan, if a system that requires maintenance will change ownership. 6.� Maintenance records. CERTIFICATION MUST BE COMPLETED AND SIGNED BY BOTH THE CURRENT PERMIT HOLDER AND THE NEW APPLICANT IN THE CASE -OF A CHANGE OF OWNERSHIP. 11 FOR NAME CHANGES, COMPLETE AND SIGN ONLY THE CURRENT PERMITTEE'S CERTIFICATION. Current Permittee's Certification: attest that this application for a name ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package w' returned as incomplete. Signature: a�-�� Date: New Applicant's Certi 'ca inn (Must be completed for all transfers of ownership) I z : , attest that this application for an ownership change h ee 'reviewed an is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be turned as incomplete. Signature: Date: , y THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE . SENT TO THE FOLLOWING ADDRESS: North Carolina Department of Environment and Natural Resources Division of Water Quality 127 Cardinal Drive Extension RECEIVED Wilmington, NC 28405 ATTN: Linda Lewis Page 2 of 2 FEB 13 2006 DWQ PROD 4 5�o oo -:?)D i 3 OF WArFR Michael F. Easley, Governor William G. Ross Jr., Secretary 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 WATER QUALITY SECTION COASTAL STORMWATER PERMIT NAMEIOWNERSHIP CHANGE FORM I. CURRENT PERMIT INFORMATION: 1. • Stormwater Management Permit Number: • '14/8 030&3 2. Permit Holder's name: 6- V- 3. Signing official's name: d Title: (person legally responsible for permit) 4. Mailing address: 66LV �,' S/,` City: � wQ Or State:N G ZipCode: Z fir, ?Phone. 7s"6, - z7cao FAX: ` 1,0 ` z 56 -1 l/ (Area Code and Number) (Area Code and Number) II. NEW OWNER 1 PROJECT I ADDRESS INFORMATION This request is for: (please check all that apply) a. Change in ownership of the property/company (Please complete Items #2, #3, and #4 below) b. Name change of project (Please complete Item #5 below) C. Mailing address change. (Please complete Item #4 below) d. Other (please explain): 2. New owner's name to be put on permit: 3. New owner's signing official's name and title: cjaq uPlCr We,?r- (Title) 4. New Mailing Address: 40 � State:,V.�- ZipCode: Phone: �sQ' - /aoo_FAX: __ (Area Code and Number) (Area Code and Number) 5. 'New Project Name to be placed on permit: 1.�Z_ �cl Page 1 of 2 I N. C. Division of Water Quality 127 Cardinal Drive Extension (910) Customer Service Wilmington Regional Office Wilmington, NC 28405 (910) 350-2004 Fax 1 800 623-7748 NC"DENMt PERMIT NAME/OWNERSHIP CHANGE FORM THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER QUALITY UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL. REQUIRED ITEMS: 1.l This completed form. 2.Legal documentation of the transfer of ownership. 3y A copy of the recorded deed restrictions, if required by the permit. 4.v The engineer's certification, if required by the permit. Sues e i 41 5. ✓ A signed Operation and Maintenance plan, if a system that requires maintenance will change ownership. 6.-/ Maintenance records. CERTIFICATION MUST BE COMPLETED AND SIGNED BY BOTH THE CURRENT PERMIT HOLDER AND THE NEW APPLICANT IN THE CAS-E—UF A CHANGE OF, OWNERSHIP. FOR NAME CHANGES, COMPLETE PERMITTEE'S CERTIFICATION. Current Permittee's Certification: AND SIGN ONLY THE CURRENT I, XU 0,0`4 attest that this application for a name ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package returned as incomplete: Signature: �w� -c� Date: New Applicant's Certi 'ca ' : (Must be completed for all transfers of ownership) attest that this application for an ownership cha—n-g-e'---h--A bieOTYreviewea and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information and .attach ments,.are� not included, this application package will be turned as incomplete. .4 Signature:DI Date: THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS: North Carolina Department of Environment and Natural Resources Division of Water Quality 127 Cardinal Drive Extension RECEIVED Wilmington, NC 28405 ATTN: Linda Lewis Page 2 of 2 FEB 13 2006 DWQ PROD # 5c, So ayS13 N i . PCfInit ti'o.%_3.. (to be provided by DIV& State of North Carolina Department of Environment and Natural Resources Division of Water Quality STOP.MWATER MANAGEMENT PERMIT APPLICATION FORM INFILTRATION BASIN SUPPLEMENT + This form may be photocopied far use as an original DW-O Stormwater Management Plan Review: A complete stormwater management plan submittal includes a stormwater management permit application, an infiltration basin supplement for each system, design calculations, soils report and plans and specifications showing all stormwater conveyances and system details. I. PROJECT INFORMATION Project Name : U poe-r Contact Person: Se r 5, Phone Number: (� °) 3 y 3 " 6 3 This worksheet applies to: Basin No. '4 Q 1 pp -o ^ �'' e ds� �` in Drainage Area (as identified or.plars) (from Farm SWU-101) II. DESIGN INFORMMATION - Attach supporting calculations/documentation. The soils report must be based upon an actual field investigation and soil borings. County soil maps are not an acceptable source of soils information. All elevations shall be in feet mean sea level (fmsl). Soils Report Summary Soil Type Infiltration Rate SHWT Elevation Basin Design Parameter Design Storm S.RND f l tt or cf/llr/sf (circle appropriate units) '10fm51 (Seasonal High. Water Table elevation) 4P4(oK. A s U1c1 /Jn-;f�jf >�'c2 - ZS `� r/20 hr s-Fcrn-� 42 v e-+-) L (1.5 inch event for SA waters, I inch event for others) 0:J nj LA-j 0,11 f•w�'-- ey-'cegds 4-t- h r v o I L'4-1- n e- Basin Size ft. x ft. = �'-) sq. ft Basin Volume Provided " r� r Basin Elevations Bottom Elevation aa. fmsl Storage Elevation fmsl Top Elevation a3 5 fmsl Form SWU-103 Rev 3.99 r Page I of 3 (bottom dirnensions) TV.-- I: NTII✓TfzaTloN BASIN OPERATION°%A��n tiLklilTE-N ANCE AGREE_m1EiNTf 1. After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,. trash accumulation, vegetative 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. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow structures for blockage and deterioration. Remove any blockage and repair the structure to approved design specifications. 4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth in the pretreatment 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 pretreatment unit. 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. �a.31 When the design depth reads feet in the pretreatment unit, the sediment shall be removed from both the pretreatment unit and the infiltration basin. 5. If the Division determines that the system is failing, the system will immediately be repaired 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. I acknowledge and agree by my signature below that I am responsible for the,performance of the five maintenance procedures listed above. I agree to notify DWQ of any problems with the system orprior to any changes to the system or responsible party. f Piint Name and Tide: 11M_ a c(I- Address: Cog'm L-0rY!3�bt LL 01/f Phone: y) G - ZS(n - Z-10b sianature: Date: S (�° 03 Note: The legally responsible pam, 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, , a N iiy Public for the State of my of /}C-�)i ,tO�# , o hereby certify that /� r' personally appeared before me. this day of _, and acknowle �e the due execution of the fort o V infiltration basin maintenance requirements. rimess my hand and official seal. pFFiCIAL SEALSEAL Notary Pue7lic, North Carolina New Hanover A-_ County of KIM TAYLORForm SV�mmi$ i n Expires B-29-06 NIv commission expires 9kgIn Page 3 of 3 State of -North Carolina Department of Environment & Natural Resources Division of Water Quality INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT ADDENDUM TO FORM SWU-103 I, Erik Hoffacker, president of Upper Reach Extension Home Owners Association, have received the following documents: * State Stormwater Permit No. SW8 030813 • Infiltration Basin Supplement with the Basin Operation & Maintenance Agreement for Permit No. SW8 030813 I acknowledge and agree by nny signature below that the Upper Reach Extension Home Owners Association is responsible for the performance of the five maintenance procedures listed on Page 3 of 3 of the Infiltration Basin Operation and Maintenance Agreement. I agree to notify DWQ of any problems with the system or prior to any changes to the system or responsible party. Gl,opCt /Q�GG li �X�tyf.�ti� IT061 Print Name & Title: Er�r� rr,��r� . -�•' ��-104 Address: T` 409 k"o-oc-4, Phone: S1 guipure: I, T , a Notary Public in the State of North Carolina, Cvtarty a eulctrrover, do hereby certify that — i (, )CP_ t- personally appeared before rate this 3 rd' day of Ct`vt c,�cc 2005, arrrl acknowledge the Clue eveculron of the jbrgolllg infiltration basin maintenance requireinents. Witness ray hared and official seal, SEAL My Corrrruission Expires 111 30) 90 1 C7 = YAMS PERKM No" Public WW HanoM Courtly ftft ce Nam CpX*Q ConrrNpbr► NoVr a 1t010 r.' O e Upper Reach Extension Stozinv,,ater Pem-it No. S'WS 030813 New Hanover County Designee's Certification State Stormwater. Management Systems „ Pe=t No: -SWR 030813 1. of? I, rr "r�'I , as a duly registered ,��t_,;_ in the State of North Carolina, having been authorized to observe (periodical ylweeklylCull time) the construction of the project, II for 'I (Project Owner) hereby state that, to the best of my abilities, due care and diligence was used in the observation of the pro'ect construction such that Lhr cLisLruativu -was obseived to be built within substantial compliano� Rnd intent of the approved plans and specifications. i The checklist of items on page 2 of this form is a part of this Certification.11 Noted. deviations from approved plansfi and specications: pw+�l�t� I . SigzzatWe � � � Rx f _ Registration Number a b v?, Date l / —0 _r LB 39VJ 9NIJ33NI9N3 SStldIVW 8 I ti r4 yv' ��f ytl I •'�JJ'lul i�•I�y I � 1 I 17ZZ0Ebe0161 86:0Z 5003/TZI3I State Stormwater Management Systems Permit No. Sit 8 030813 Upper Reach Extension Stormwater Permit No. SW8 030813 New Hanover County Desibner's Certification Page I of 2 I, � s , as a duly registered n �Z 4e Qr� in the State of North Carolina, having been authorized to observe (periodicallyh�lreeklti,lfull time) the construction of the project, (Prof ect) . for a 1acA 2� (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 a part of this Certification Noted deviations from approved plans and specifications: I wu. s + �2 �,1 �h� i rti �,.� 6pr`'t S i anature$VJ -'- I� �l < Registration 'Number 3, b mate SEAT. L9"'J N0� 4 D