SW7111005_CURRENT PERMIT_20111219

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

on
MCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Amit Gupta, Managing Member
Pine Island Reserve, LLC
P.O. Box 90
Kill Devil Hills, NC 27948
Dear Mr. Gupta:
Division of Water Quality
Coleen H. Sullins
Director
December 19, 2011
Dee Freeman
Secretary
Subject: Stormwater Permit No. SW7111005
Pine Island Reserve — Tract B
High Density Subdivision infiltration Basin Project
Currituck County
The Washington Regional Office received a complete Stormwater Management Permit Application for
the Pine Island Reserve — Tract B on October 14, 2011. Staff review of the plans and specifications
has determined that the project, as proposed, will comply with the Stormwater Regulations set forth in
Session Law 2008-211 and Title 15A NCAC 2H.1000. We are forwarding Permit No. SW7111005,
dated December 19, 2011, for the construction of the project.
This permit shall be effective from the date of issuance until December 19, 2021, 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 150E of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. 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 Roger
Thorpe or me at [phone].
Sincerely,
Ji Al Hodge, Supervisor
Surface Water Protection Section
Washington Regional Office
cc: Quible & Associates, PC
Currituck County Inspections

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STORMWATER MANAGEMENT PERMIT
HIGH DENSITY SUBDIVISION 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
Pine Island Reserve, LLC
Pine Island Reserve — Tract B ,
Ocean Trail, Corolla, NC
Currituck County
FOR THE
construction, operation and maintenance of an Infiltration basin in compliance with the provisions of
Session Law 2006-246 and 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 December 19, 2021and shall be subject
to the following specified conditions and limitations:
I. DESIGN STANDARDS
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 1.5 of this permit. The subdivision is permitted for 9 residential lots, each
limited to a maximum amount of built -upon area as indicated in Section 11.17 (f) of this permit.
The runoff from all built -upon area within the permitted drainage area of this project must be
directed into the permitted stormwater control system.
4. The built -upon areas associated with this project shall be located at least 50 feet landward of
all perennial and intermittent surface waters.

5. The following design elements have been permitted for this infiltration basin stormwater facility,
and must be provided in the system at all times.
a. Drainage Area, acres:
b. Onsite, ft2:
Offsite, ft2:
b. Total Impervious Surfaces, ft2:
Lot BUA, ft2:
Roads/Parking, ft2:
C. Design Storm, inches:
d. Basin Design Depth: ft
e. Bottom Elevation, FMSL:
f. Bottom Surface Area, ft2:
g. Permitted Storage Volume, ft3:
h. Type of Soil:
i. Expected Infiltration Rate, in/hr
j. Seasonal High Water Table, fmsl:
k. Time to Draw Down, hrs:
I. Receiving Stream / River Basin:
m Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
5.92
239,520
18,315
164,691
147,118
17,573
1.5
1.0
4.5
5,556
24,949 at temporary pool
Newhan Fine Sand
17.5
2.5
1.44
Currituck Sound/Pasquotank
"SC"
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.
The permittee is responsible for verifying that the proposed built -upon area for the entire lot
does not exceed the maximum allowed by this permit. 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.
If an Architectural Review Board or Committee is set up by the permittee to review plans for
compliance with the BUA limit, the plans reviewed must include all proposed built -upon area.
Any approvals given by the Board do not relieve the homeowner of the responsibility to
maintain compliance with the permitted BUA limit.
4. 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.
5. 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.
6. 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 or a CAMA Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan.
7. A copy of the approved plans and specifications shall be maintained on file by the Permittee at
all times.
8. 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.
9. During construction, erosion shall be kept to a minimum and any eroded areas of the system
will be repaired immediately.
10. 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.
11. 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.
12. Permanent seeding requirements for the stormwater control most follow the guidelines
established in the North Carolina Erosion and Sediment Control Planning and Design Manual.
13. 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 re -vegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans.
f. Debris removal and unclogging of bypass structure, catch basins, piping, infiltration
media, level spreader and filter strip.
g. Access to all components of the system must be available at all times.
14. Records of maintenance activities must be kept for each permitted BMP. The records will
indicate the date, activity, name of person performing the work and what actions were taken.
15 This permit shall become void unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.

16 The permittee shall submit for approval, final site layout and grading plans for any designated
future development area shown on the approved plans, prior to construction.
17 Prior to the sale of any lot, the following deed restrictions must be recorded:
a. The following covenants are intended to ensure ongoing compliance with State
Stormwater Management Permit Number SW7111005, 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 (BUA) per lot is as follows:
Lot # BUA (ftz)
5
16,640
6
15,600
7
16,640
8
15,600
9
16,640
10
15,600
11
16,640
12
15,809
13
17,949
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.
For those lots within CAMA's Area of Environmental Concern, where DCM calculates a
different maximum lot built -upon area, the governing lot BUA shall be the most
restrictive of the two numbers.
All runoff on the lot must drain into the permitted system. This may be accomplished via
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 will
naturally drain into the system are not required to provide these additional measures.
Built -upon area in excess of the permitted amount will require a permit modification.
If permeable pavement credit is desired, the property owner must submit a request, with
supporting documentation, to the permittee and receive approval prior to construction of
the permeable pavement.
18. 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 contain all of
the statements above, the signature of the Permittee, the deed book number and page, and
the stamp/signature of the Register of Deeds.

19 Prior to transfer of the permit, the stormwater facilities will be inspected by DWQ personnel.
The facility must 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.
20 If permeable pavement credit is desired, the permittee must submit a request to modify the
permit to incorporate such language as required by the Division of Water Quality. The request
to modify must include a soils report identifying the type of soil, the Seasonal High Water Table
elevation and the infiltration rate. Upon the successful completion of a permit modification, the
individual lot owners that request to utilize permeable pavements must submit the necessary
forms and documentation to the permittee and receive approval prior to construction of the
permeable pavement.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and approval by the
Director. In the event there is either a desire for the facilities to change ownership, or there is
a name change of the Permittee, a completed Name/Ownership Change Form must be
submitted to the Division of Water Quality, signed by the parties involved, accompanied by
supporting documentation as listed on page 2 of the form. 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 all of the terms and conditions of this permit
until such time as the Director approves the transfer request.
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. Permittee grants permission to staff of the DWQ to access the property for the purposes of
inspecting the stormwater facilities during normal business hours.
7. The permit issued shall continue in force and effect until revoked or terminated. The permit
may be modified, revoked and reissued or terminated for cause. The filing of a request for a
permit modification, revocation and re -issuance or termination does not stay any permit
condition.
8. 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.
9. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.

10. 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 2006-246, Title 15A NCAC 2H.1000, and
NCGS 143-215.1 et.al.
11. The permittee shall notify the Division in writing of any name, ownership or mailing address
changes at least 30 days prior to making such changes.
Permit issued this the 19 th day of December 2011.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
)or uoieen m. Sumns, uirector
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW7111005

Pine Island Reserve — Tract B
Stormwater Permit No. SW7111005
Currituck County
Designer's Certification
Page 1 of 2
I, 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 a part of this Certification.
Noted deviations from approved plans and specifications:
SEAL
Signature
Registration Number
Date

Certification Requirements:
Page 2 of 2
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 outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-circuiting of the
system.
11. The permitted amounts of surface area and/or volume have been provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf, a forebay, and
the vegetated filter.
15. The required dimensions of the system are provided, per the approved plan.

Quible
Quible & Associates, P.C.
ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SUWEVING
SINCE 1959
May 17, 2012
RECEIVED
Samir Dumpor MAY 2 1 2012
NCDENR
Division of Water Quality DWQ— A//� R0
943 Washington Square Mall �/ �//�
Washington, North Carolina 27889
Re: Stormwater Management Plan Designer Certification
Pine Island Reserve - Tract B (S W71 1 1005)
Poplar Branch Township, Currituck County
Samir,
P.O. Drawer 870
Khv HaWx. NC 27949
Phone: 252-26"300
Fox: 252-261-1260
Web', qulble.co,
Please find attached the Designer Certification for Pine Island Reserve — Tract B in Popular Branch
Township, Currituck County.
If you have any questions, or require any additional information, please do not hesitate to contact me at
[phone].
Sincerely,
Quible & Associates, P.C.
Derek A. Dail, P.E.
encl: as staled
cc: Amit Gupta, Pine Island Reserve, LLC

51,FAYv- CDIAJI G

Pine Island Reserve, Tract B Page 11 of 2
mw Storater• Permit No: SW7111005
Currituck County
Designer's Certification
I, �ER EK A. as a duly registered Who-0591'o'Itil t�y;�Ee[ in the State of
North Carolina, having been authorized to observe (periodically/weekly/full tirrie) the construction of
the project,
P.V%e 3SI4K Reser.\e— Tr c-t3
(Project)
for r e S sI c. R e s-e r v e c c (Project Owner hereb state that, toahe best of m
( 1_._) Y _y.
abilities, due care and diligence was used in the observation of the project construction'such that•the
constructio%n was observed o' be built within substantial, compliance and intent `of the approved,plaris
and•specifications.
The checklist of items on page 2 ofthis 'form is a part of.this Certification
r
Noted deviations from approved plans and specifications:
9
Signature.
Registration Number 033751
Date oiZ
SEAL
C
FESS CO�/,y�i�
4 SEAL
033759 =
FK A W,��\\

a� � y

v ` 1
Certification Requirements: Page 2 of 2
✓1, The drainage area to the system contains approximately the permitted acreage.
2. The drainage area to the system contains n
upon area. o more than the permitted amount of built-
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 outlet/bypass structure elevations are per the approved plan.
V 6. The ,outlet structure is located per the approved plans.
✓ 7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
✓ 9. Vegetated slopes are no steeper than 3:1.
✓10. The inlets are located per the approved plans and do not cause short-circuiting of the
system.
✓ 11. The permitted amounts of surface area and/or volume have been provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
✓ 14. All required parts of the system are provided, such as a vegetated shelf, a forebay, and
the vegetated filter.
✓ 15. The required dimensions of the system are provided, per the approved plan.

' DWQ USE ONLY
Date Received
Fee Paid
Permit Number
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
State of North Carolina
'erf
Department of Environment and Natural Resources RECEIVED
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORI$CT 14 2011
This forni may be photocopied for use as an original
1. GENERAL INFORMATION DWQ_WARO
1. Project Name (subdivision, facility, or establishment name - shnuld he consistent with rirniart name nn
2.
a
H
II.
1. a.
plans, specifications, letters, operation and maintenance agreements, etc.):
Pine Island Reserve - Tract B
Location of Project (street address):
Ocean Trail (NC 12)
Ci ty: Co ro l la Cou n ty:Cu rrituc k Lip:27927
Directions to project (from nearest major intersection):
Project is located on the east side of Highway NC 12 immediately north of the Pine Island
beach Club and
Hampton Inn properties, approximately 450 feet north of the intersection of Audubon drive
1
and NC 12
Latitude:36° 15' 47" N Longitude:75° 47' 13.33" W of the main entrance
to the project.
PERMIT INFORMATION:
Specify whether project is (check one): ®New ❑Modification
i
b.lf this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) and the status of
construction: ❑Not Started El Partially Completed* ❑ Completed* *provide a designer's
certification
2. Specify the type of project (check one):
R
❑Low Density ®I-Iigh Density ❑Drains to an Offsite Stonnwater System [--]Other
3. If this application is being submitted as the result of a previously returned application I r a letter from
DWQ requesting a state stormwater management permit application, list the stornwater 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):
❑CAMA Major ®Sedimentation/Erosion Control: 3.92 ac of Disturbed Area
❑NPDES Industrial Stornnvater ❑404/401 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:
Form SWU-101 Version 07,lun2010 Page I of 6

(M r f TOO

III. CONTACT INFORMATION
I. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the pro iect):
Applicant/Organ)
Signing Official &
b.Contact information for person listed in item I above:
Street Add
City:Kill Devil Hills State:NC zi
Mailing Address (if
City:Kill Devil Hills State: NC
Phone: (252 ) 441-9003 Fax: (252 ) 491
Email: aguptaOOicrsaga.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. (Phis is the
person who owns the property that the project is located on):
Property Owner/Organiza
Signing Official & Title: Ai
b.Contact information for person listed in item 2a above:
Street A
City: New York
Mailing Address (if
City: New York
Phone: (212 ) 979-3000
Email:
State: NY
State: NY
Pax: ( 1
3. a. (Optional) Print the name and title of another contact such as the project's
person who can answer questions about the project:
Other Contact Person/Organization:Ouible & Associates, PC
Signing Official &
b.Contact information for person listed in item 3a above:
Mailing Add
City:Kitty Flawk
Phone: (252 ) 261-3300
Ernail:[e-mail]
4. Local jurisdiction for building permits:
State:NC
Fax: [phone]:
Point of Contact: Ben Woody, Planning Director Phone #:
Form SWU-101 Version 07Jun2010 Page 2 of
supervisor or other

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Runoff from developed areas is collected via a roadside swale swale system and undoing storm sewer
and conveyed to a dry infiltration basin for storage treatment and disposal
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW - 1995 ❑ Ph 11 - Post Construction
3. Stonnwater runoff from this project drains to the Pasquotank River basin.
4. Total Property Area: 8.49 acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project
Area+:8.49 acres
Total project area shall be calculated to exclude the folloupirt the nornat pool of impounded structures, the area
between the brinks of streants and rivers, the area below thin orural High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward frog the NHW (or MHW) title. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line rimy
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 63.8
9. How many drainage areas does the project have?] (For high density, count 1 for each proposed engineered
storrrnoater BMP. For 10717 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
Drainage Area
Drainage Area _
Drainage Area _
Receiving Stream Name
Currituck Sound
Stream Class *
SC
Stream Index Number *
30-01
Total Drainage Area (so
258,033
On -site Drainage Area (so
239,520
Off -site Drainage Area (so
18,315
Proposed Impervious Area**
(so
164,691
Impervious Area*` total
63.8%
Impervious- Surface Area
Draina e Area 1
-
Draina e Area —
Draina e Area —
Draina e Area —
On -site Buildings/Lots (so
147,118
On -site Streets (so
17,573
On -site Parking (so
On -site Sidewalks (so
Other on -site (so
Future (so
Off -site (so
Existing 13UA*** (so
Total (so:
258,033
Streaa Class and Index Nunnber can be determined at: htf �: rorfnl.ncdenr.or�/neb/u f/ps/csu/clnssificatinns
lai pervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel wens, etc.
Form SWU-101 Version 07Jun2010 Page 3 of6

'Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and Which will be replaced by ne7o BUA.
11. How was the off -site impervious area listed above determined? Provide documentation.
AutoCAD Area Routine
Projects in Union County: Contact DiVQ Central Office stiff to check if the project is located within a Threatened &
Endangered Species watershed that ma), be subiect to more stringent stormwater requirements as per 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://portal.ncdenr org/web/�aq/ws/su/bap-manual.
V1. 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. A detailed application instruction sheet
and BMP checklists are available from http:/fportal.ncdenr.org/web/wq/ws/su/statesw/forms does. The
complete application package should be submitted to the appropriate DWQ Office. (The appropriate office
may be found by locating project on the interactive online map at
http:/ / porta I.ncdcnr.org/ web/ wq/ ws/su/ maRS.)
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.nc(ienr.org/web/wq/ws/su/statesw/forms does.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. DAD
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants 6A !)
Form. (if required as per Part V11 beloro)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M bP_
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhclp.org/pages/ones topexpress. htmI 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/management for
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the DA_N
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius ou the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: 1J A1)
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
I. 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 MI-IW or NFIW 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 MI-IW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
I. Details of roads, drainage features, collection systems, and stormwater control measures.
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.
Form SWU-101 Version 071un2010 Page 4 of6

n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify IAA\
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x1l" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 268 Page No: 883-856 A�
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC A�
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per 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.
http://www.secretary.state.iic.us/­Corporatioiis/­`CSearch.aspx
Vil. 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
htt portal.ncdenr.or Zweb/w( /ws/su/statesw/fornis dots. 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 DWQ, and that they will be recorded prior to the sale of any lot.
Vill. 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: Derek A. Dail P.E.
Consulting Firm: Quible & Associates, P.C.
Mailing Address: P.O. Drawer 870
City: Kitty Hawk
Phone: (252 ) 261-3300
Email: ddailftible.com
State: NC Zip: 27949
Fax: (252 ) 261-1260
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been fillet) out, complete this
section)
1, (print or type name of person listed inn Con tact Information, item 2a) Y 5ee Mc-c -i (u e low) certify that I
own the property identified in this permit application, and thus give permission to (print or type nnnne of person
listed in Contact Information, item 'In) � Sec Ne+� i (13e1ow) with (print or type name of organization listed in
Contact Inforrnntion, item 1a) Y sr-e No+-c i 63d. w) 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 system.
-A05ee A4ge S e5 S (off e.t,;b:t A.. (T+er Iv) ;,, *tit "Ar4�rcc~-f for' P"rz%eSc a4J SCIe.
0'S Re,%Pr-r1-t+1 . ,� .Jot %4+t,Cs�Zc�iGn ASrce,,t 'Se'- hpr,0e,r+ y clar a,d 5b4 '.
pet. -ks 34f -r- is ,l�jeveldpeat.
Form SWU-101 Version 07.1un2010 Page 5 of 6

As the legal property owner 1 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 DWQ Stormwater
permit reverts back to me, the property owner. As the property owner, it is my responsibility to notify DWQ
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: Sec s-iote z do Ar<v;duS Pe��
n�«o
a Notary Public for the State of , County of
do hereby certify that
before me this _ day of
personally appeared
and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
X. APPLICANT'S CERTIFICATION
1, (print or type tame of person listed in Contact Information, item 1a) Amit Gupta (Pine Islannd Reserve LLQ
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
rules lnd
�u�nder 15A NCAC 21-1 .1000, SL 2006-246 (Ph. II - Post Construction) or St. 2008-211.
Signature: /l/N�l' U' Date: akl=^(u
1, ft R )cO) no A ayk , a NotaryPublic for the State of NI` , County of
N)Q d do hereby certify that -Al)) )--l- G u personally appeared
before me thiQ
I day of & AL44- oi0/) and acknor I lgee the_d�uug execution of the application for
a stormwater permit. Witness my hand and official seal, f��
CHRISTINE A. BOYLE
NOTARY PUBLIC
Dare County
North Carolina
My Commission Expires January 6, 2012
SEAL
My commission
Form SWU-101 Version 07Jun2010 Page 6 of

Permit
(to be provided by DWO)
WATe,9OL STORMWATER MANAGEMENT PERMIT APPLICATION FORM o�C
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Pad ill) must be printed, filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Project Name
Pine Island Reserve - Tract B
Contact Person
Derek A. Dail, P.E.
Phone Number
[phone]
Date
8/15/2011
Drainage Area Number
1
II. DESIGN INFORMATION
Site Characteristics
Drage areaiousar
Impervious area
164,691.00
164,.83
h2
RECEIVED
Percent
Percent impervious
63.83
%
Design rainfall depth
1.50
in
Peak Flow Calculations
OCT 14 2011
1-yr, 24-hr rainfall depth
in
1-yr, 24-hr intensity
Pne-development discharge
/hr
fit3lsec
DWQ_ NgR0
Post -development 1-yr,24-hr discharge
ft3lsec
PrelPost 1-yr, 24-hr peak flow control
ft3lsec
Storage Volume: Non -SA Waters
Minimum design volume required
Design volume provided
Storage Volume: SA Waters
1.5" runoff volume
Pre -development 1-yr, 24-hr runoff volume
Post -development 1-yr, 24-hr runoff volume
Minimum required volume
Volume provided
Soils Report Summary
Soil type .
Infiltration rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage Surface Area
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom Surface Area
20,128.00 rya
24,949.00 h3 OK for non -SA waters
it3
it3
ft 3
..3
3
sands
17.50
in/hr
2.50
fmsl
0.06
days OK
6.00
:1 OK
4.50
best OK
6.50
fmsl
21,502.00
f?
7.00
fmsl
374.00 ft
14.90 fl
5,556.00 p'
Form SW401-Infiltration Basin-Rev.5 l lAp2011
Parts 1.811. Design Summary, Pagel of 2

i(oS A ! TOO

Permit No.
(to be provided by DWO)
Additional Information
Maximum runoff to each inlet to the basin?
1.72 ac-in
OK
Length of vegetative filter for overflow
n/a ft
OK
Distance to structure
n/a It
OK
Distance from surface waters
470.00 It
OK
Distance from water supply wells)
n/a ft
OK
Separation from impervious soil layer
2.00 ft
OK
Naturally occuring soil above shwl
2.00 ft
OK
Bottom covered with 4-in of clean sand?
y (Y or N)
OK
Proposed drainage easement provided?
y (Y or N)
OK
Capures all runoff at ultimate build -out?
y (Y or N)
OK
Bypass provided for larger storms?
nla (Y or N)
OK
Pretreatment device provided
y
grass swales with drop inlets
Form SW401-Infiltration Basin-Rev.511Ap2011 Pads 1. 811. Design Summary, Page 2 of2

Permit
(to be provided by DWO)
III. REQUIRED 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.
Pagel Plan
Initials Sheet No.
DAD 31 7
1. Plans (1" - 50' or larger) of the entire site showing:
A-po.•n d � % c3
Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Basin dimensions,
Pretreatment system,
High Flow bypass system, N/p
Maintenance access,
Proposed drainage easement and public right of way (ROW),
Overflow device, and
Boundaries of drainage easement.
D A '7
2. Partial plan (1" = 30' or larger) and details for the infiltration basin showing:
- Bypass structure,
- Maintenance access,
- Basin bottom dimensions,
- Basin cross-section with benchmark for sediment cleanout,
- Flow distribution detail for inflow,
- Vegetated Alter, and
- Pretreatment device,
D Ra -7
3. Section view of the infiltration basin (1" = 20' or larger) showing:
- Pretreatment and treatment areas, and
rf4rr r Inlet and outlet structures.
AA D e,' d a L 4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
J AD p/a%ra i 5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
AaP '' AI x A results of the soils report must be verified in the field by DWO, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
h'� 5 6. A construction sequence that shows how the infitlration basin will be protected from sediment until the
entire drainage area is stabilized.
OA D Nrr+" 7. The supporting calculations.
o�G
JAJ A, .J eJ 8, A copy of the signed and notarized operation and maintenance (0&M) agreement.
n 9. A copy of the deed restrictions (if required).
Form SW401-Infiltration Basin-Rev.4 Page 1 of 1 Part III. Required Items Checklist, Page 1 of 1

High Density Residential Subdivisions
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 2H.1000 and S.L. 2006-246, the Stormwater Management Regulations,
deed restrictions and protective covenants are required for High Density Residential Subdivisions where
lots will be subdivided and sold and runoff will be treated in an engineered stormwater control facility. Deed
restrictions and protective covenants are necessary to ensure that the development maintains a "built -upon"
area consistent with the design criteria used to size the stormwater control facility.
I, Amit Gupta , acknowledge, affirm and agree by my signature below, that I will cause the
following deed restrictions and covenants to be recorded prior to the sale of any lot:
1. The following covenants are intended to ensure ongoing compliance with State Stormwater
Management Permit Number , as issued by the Division of Water Quality under the
Stormwater Management Regulations.
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming under
them.
4. The covenants pertaining to stormwater may not be altered or rescinded without the express written
consent of the State of North Carolina, Division of Water Quality.
5. Alteration the drainage as shown on the approved plan may not take place witho l�C pce,
of the Division of Water Quality. I ��/
6. The maximum built -upon area per lot, in square feet, is as listed below: KtUV
I
4 2011
WdARC
Mai puritan or me ngnt-or-way oetween 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.
Each lot will maintain a 50 foot wide vegetated buffer between all impervious areas and surface waters.
All runoff from the built -upon areas on the lot must drain into the permitted system. This may be
accomplished through a variety of means including roof drain gutters which drain to the street, grading
the lot to drain toward the street, or grading perimeter swales to collect the lot runoff and directing them
into a component of the stormwater collection system. Lots that will naturally drain into the system are
not required to providglthese additional measures.
Signature: /JYWv
a Notary Public in the
State of N)C , County of L1k) 2 6-
do hereby certify that A m 14 v p-% personally appeared
before me this the t- e94)\ day of 20 /J , and acknowledge
the due executi�plof the foregoing instrument. Witness my hand and official seal,
My Commission expires
SEAL
CHRISTINE A. BOYLE
NOTARY PUBLIC
Dare County
North Carolina
My Commis' cores January 6, 2012
Form DRPC-3 Rev.2 05Nov2009 Page 1 of I

RECEIVED Permit Number:
(to be provided by DWQ)
OCT 14 2011 Drainage Area Number:
Infiltration Basin Operation and Maintenance Agreement
L�WQ-WARD
1 will keep a maul enance record on this BMP. This maintenance record will be kept in 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.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to Hie
infiltration basin.
— Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basil is established, it will be inspected once a quarter and within
24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). 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:
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
infiltration basin
Areas of bare soil and/or
erosive gullies have formed.
Regrade the soil if necessary to
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer ap2lication.
The inlet device: pipe or
swale
The pipe is clogged (if
applicable).
Unclog the pipe. Dispose of the
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future roblems with erosion.
Form SW401-Infiltration Basin O&M-Rev.3
Page 1 of 3

,- .. ..
�,�_ „
„,
ttGS P i T;;
A/r l A �l 'l n /%� i /� l� �1
��'Y lY J v ,� ✓ � '

BMP element:
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
of the original design depth.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
s ra in._
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is stand ing more than
Replace the top few inches of filter
5 days after a storm event.
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
growing in the main
Remove the plants by hand or by
wiping them with pesticide (do not
treatment area,
s ra .
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
outlet.
Quality 401 Oversight Unit at 919-
733-1786.
Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3

Permit Number:
(to be provided by DWQ) .
I acknowledge and agree by my signature below that 1 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:Pine Island Reserve - Tract B
BMP drainage area number: I
Print
Title:_Manaeine Member Pine Island Reserve LLC
Address:_1314 S. Croatan Highway Suite 301 Kill Devil Hills NC 27948
Uate: 1112 -, f u
Note: ' The legally responsible party should not be a homeowners association unless more than 50°/o of
the lots have been sold and a resident of the subdivision has been named the president.
I, 6,11 Q ?Q OW%R a Notary Public for the State of
11-f, , County of E- , do hereby certify that
791-nr� CQU aL4 personally appeared before me this
day of jP=4p>In b�g , • 0)) , and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
CHRISTINE A. BOYLE
NOTARY PUBLIC
Dare County
North Carolina
My Commission Expires January 8, 2012
SEAL
My cormnission
Form SW401-Infiltration Basin O&M-Rev.3 Page 3 of 3