SW8110706_HISTORICAL FILE_20110722 (2)

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 .11 07 06
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2011 07 22
YYYYMMDD

Ina=
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
July 22, 2011
Mark Maynard, Manager
The Sneads Ferry inn, LLC
Post Office Box 1229
Wilmington, NC 28402
Subject: State Stormwater Management Permit No. SW8110706
The Sneads Ferry Inn
High Density Commercial Wet Detention Pond Project
Onslow County
Dear Mr. Maynard:
Dee Freeman
Secretary
The Wilmington Regional Office received a complete Stormwater Management Permit Application for The Sneads Ferry Inn on July 22,
2011. 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 and Session Law 2008-211. We are forwarding Permit No. SW8110706 dated July
22, 2011, for the construction, operation and maintenance of the BMP's and built -upon areas associated with the subject project.
This permit shall be effective from the date of issuance until July 22, 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 by filing a petition with the Office of Administrative Hearings (OAH). The petition must conform to Chapter 150B of the North
Carolina General Statutes, and must be filed with the OAH within thirty (30) days of receipt of this permit. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The OAH accepts filings Monday through Friday
between the hours of 8:00 a.m. and 5:00 p.m., except for official state holidays. The petition may be filed by facsimile (fax) or
electronic mail by an attached file (with restrictions) - provided the signed original, one (1) copy and a filing fee (if a filing fee is required
by NCGS §150B-23.2) is received in the OAH within seven (7) business days following the faxed or electronic transmission. Unless
such demands are made this permit shall be final and binding. You should contact the OAH with all questions regarding the filing fee
and/or the details of the filing process. The mailing address, telephone and fax numbers for the Office of Administrative Hearings are:
6714 Mail Service Center, Raleigh, NC 27699-6714. Telephone [phone]. FAX [phone].
If you have any questions, or need additional information concerning this matter, please contact Chris Baker, at [phone].
sin rely,
For Coleen Sullins, Director
Division of Water Quality
GDS/ csb: S:1WQS1StormwateAPermits & Projects12011\110706 HD12011 07 permit 110706
cc: David L. Menius, P. E., Stroud Engineering, P. A.
Onslow County Building Inspections
Wilmington Regional Office Stormwater File
Wilmington Regional Office One
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 NorthCarolina
Phone: [phone] FAX: [phone] Customer service: 1.877-623-6748 �n�/,Nn���
Internal:
.ncwaterquatty.org [s a LL

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State Stormwater Management Systems
Permit No. SW8 110706
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL 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
The Sneads Ferry Inri, LLC
The Sneads Ferry Inn
1325 NC Highway 210, Sneads Ferry, Onslow County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the
provisions of 15A NCAC 2H .1000 and Session Law 2008-211 (hereafter collectively referred
to as the "stormwater rules') 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 July 22, 2021, 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 1.7 on page 3 of this permit. The stormwater control has been
designed to handle the runoff from 27,050 square feet of impervious area.
3. A 50' wide vegetative buffer must be provided adjacent surface waters, measured
horizontally from and perpendicular to the normal pool of impounded structures, the
top of bank of both sides of streams and rivers and the mean high water line of tidal
waters.
4. The tract will be limited to the amount of built -upon area indicated on page 3 of this
permit, and per approved plans. The built -upon area for the future development is
limited to 1,450 square feet.
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.
6. The runoff from all built -upon area within the permitted drainage area(s) of this project
must be directed into the permitted stormwater control system.
Page 2 of 7

State Stormwater Management Systems
Permit No. SW8 110706
7
The following design criteria have been provided in the wet detention pond and must
be maintained at design condition:
a. Drainage Area, acres:
Onsite, ft :
Offsite, ft2:
b. Total Impervioul Surfaces, ft2:
Onsite, ft :
Offsite, ft2:
C. Design Storm, inches:
d. Average Pond Design Depth, feet:
e. TSS removal efficiency:
f. Permanent Pool Elevation, FMSI�:
gg Permanent Pool Surface Arei, ft
h. Permitted Storage Volume, ft :
i. Temporary Storage Elevation, FMSL:
j. Pre-dev. 1 yr-24 hr. discharge rate, cfs
k. Controlling Orifice:
I. Orifice flowrate, cfs:
M. Permitted Forebay Volume, ft3:
n. Fountain Horsepower
o. Receiving Stream/River Basin:
P. Stream Index Number:
q. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
0.96
41,624
N/A
27,050
27,050
N/A
1.5
3
90
29.5
3,336
3,303
30
1.3
1 "0 pipe
0.1
896
N/A
UT to Mill Creek / White Oak
19-39-3-1
"SA;HQW"
1. The stormwater management system shall be constructed in its entirety, vegetated
and operational for its intended use prior to the construction of any built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately.
3. The permittee shall, at all times, provide the operation and maintenance necessary to
assure the permitted stormwater system functions at optimum efficiency. The signed
and approved Operation and Maintenance Agreement 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 slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. 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. The facilities shall be constructed as shown on the approved plans. 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.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW8 110706
6. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and
prior to operation of this permitted facility, a certification must be received from an
appropriate designer for the system installed certifying that the permitted facility has
been installed in accordance with this permit, the approved plans and specifications,
and other supporting documentation. Any deviations from the approved plans and
specifications must be noted on the Certification. A modification may be required for
those deviations.
7. If the stormwater system was used as an Erosion Control device, it must be restored
to design condition prior to operation as a stormwater treatment device, and prior to
occupancy of the facility.
8. Access to the stormwater facilities for inspection and maintenance shall be maintained
via appropriate recorded easements at all times.
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. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
C. Further development, subdivision, acquisition, lease or sale of any, 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.
d. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
10. Prior to the construction of any permitted future areas shown on the approved plans,
the permittee shall submit final site layout and grading plans to the Division for
approval.
11. 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.
12. Approved plans and specifications for this project are incorporated by reference and
are enforceable parts of the permit. A copy of the approved plans and specifications
shall be maintained on file by the Permittee at all times.
III. GENERAL CONDITIONS
1. This permit is not transferable to any person or entity except after notice to and
approval by the Director. At least 30 days prior to a change of ownership, or a name
change of the permittee or of the project, or a mailing address change, the permittee
must submit a completed and signed Name/Ownership Change Form to the Division
of Water Quality, accompanied by the supporting documentation as listed on the form.
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 permit conditions until such time
as the Division approves the transfer request. Neither the sale of the project in whole
or in part, nor the conveyance of common area to a third party constitutes an
approved transfer of the stormwater permit.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW8 110706
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) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, the Permittee shall take
immediate corrective action, including those as may be required by this Division, such
as the construction of additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours fof the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit remains in force and effect until modified, revoked, terminated or renewed.
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
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. The permittee shall submit a permit renewal request at least 180 days prior to the
expiration date of this permit. The renewal request must include the appropriate
documentation and the processing fee.
Permit issued this the 22 day of July, 2011.
NURTH CAROLINkENVIRONMENTAL MANAGEMENT COMMISSION
Division of Water Quality
By Authority of the Environmental Management Commission
Page 5 of 7

State Stormwater Management Systems
Permit No. SW8 110706
The Sneads Ferry Inn
Stormwater Permit No. SW8 110706
Onslow County
Designer's Certification
I, , as a duly registered in the State
of North Carolina, having been authorized to observe (periodically/ weekly/ full time) the
construction of the project,
(Project)
for (Project Owner) hereby state that, to the best
of my abilities, due care and diligence was used in the observation of the project construction
such that the construction was observed to be built within substantial compliance and intent
of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specifications:
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW8 110706
Certification Requirements:
1. The drainage area to the system contains approximately the permitted acreage.
2. The drainage area to the system contains no more than the permitted amount
of built -upon area.
3. All the built -upon area associated with the project is graded such that the runoff
drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet 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 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 and located 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, and a
forebay.
15. The required system dimensions are provided per the approved plans.
16. All components of the stormwater BMP are located in either recorded common
areas, or recorded easements.
cc: NCDENR-DWQ Regional Office
Onslow County Building Inspections
Page 7 of 7

WET DETENTION POND ANALYSIS -ALL RULES
FILE NAME:
S:1WQSIIST0RMWATERIEXCELSPREADSHEETSIP0NDI110706
PROJECT #: SWB
[110706 _
REVIEWER:
c. baker
Initial Run Date
27-Jul-11
PROJECT NAME:
The Sneads Ferry Inn
_
_ _ ] Last modified
22-Jul-11
Receiving Stream: UT to Mill Creek Class: SA;HQW
Drainage Basin: 1White Oak ] Within 1/2 mile SA?
Index No. 119-39-3-1 1
Site Area NO acres
TDrainage Area 41624.00 square feet DA Area 0.96 acres
Rules-"2008"or "Ph2" 2008
Buildings 6208.00 square feet 1
Street 16619.00 square feet 0.98
SW 2773.00 square feet 0.95 _
Future 1450.00 square feel 0.95
Offsile square feet 0.95
Other square feet 0.95
BUA at diff. DSQ _ __ _ square feet 0.95 _.
TOTAL 27050.00 square feet
SURFACE AREA CALCULATION (with added DA and BUA at different design storm)
Overall % Impervious 64.99%
Average Design Depth 3 feet
TSS, 85 or 90: 90 %
VOLUME
Drainage Aream
BUA
Post development Rv=
Old BUA Design Storm
Old BUA Design Volume
1.5" New BUA Design Storm Volume
1 yr. 24 hour precipitation depth (inches)
Predevelopment Rv value
1 yr. 24 hr. Pre -development volume
1 yr. 24 hr, Post -development volume
SA/DA Ratio 7.55%
Req. SA 3142 sf
Prov. SA 3336 sf
Old BUA
0,00
from NOAA chart
D5 Use 005 Hno existing BUA
0 cubic feet
0 cubic feet
2008 Design Volume
3305
cubic feet
Phase 2 Design Volume
3305
1 cubic feet
Required Volume
3305
cf
Area, sf h
Top of Sediment
23.50
msl .........
66.00
Bottom of Shelf
28.50
msl..........
11.00
Permanent Pool
29.00
must.........
36.00
Top of Shelf
29.50
msl..........
28.00
j46
Temporary Pool
30.00
m ll.........
16.00
Volume met at elev
30.30
msl
FOREBAY
Vol. Prov. at TP
4577.00
cf
Perm. Pool Volume=
Req. Forebay Volume=
Provided Volume=
ORIFICE CALCULATION
Average Head
Flow Q2, cfs
Flow Q5, cfs
No. of Orifices
Diameter, inches
Drawdown =
1 yr 24 hr intensity, In/hr
Runoff Coefficient
1 yr 24 hr peak
Orifice flow<ty24hr?
feet Q2 Area = 1.01
cfs Q5 Area = 0.40
cfs Orifice Area = 0.79
Avg. Flow Q=1 0.015
or weir H x W in x
days '# of end contractions, N =
NOAA chart ®t discharge coefficient, C =
unitless Effective weir length, L
cfs
sq. inches
sq. inches
sq. inches
cfs
0.32
0.019
0.008
1
1.00
2.6
3.31
0.72
0.00
NO

7
STROUD ENGINEERING, P.A.
102-D Cinema Drive
WILMINGTON, NC 28403
[phone]
TO 67^
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via
❑ Shop drawings ❑ Prints ❑ Plans
❑ Copy of letter ❑ Change order ❑
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❑ Samples
the following items:
❑ Specifications
COPIES
DALE
NO.
DESCRIPTION
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THESE ARE TRANSMITTED as checked below:
❑
For approval
❑
For your use
❑
As requested
❑
For review and comment
❑
FORBIDS DUE
REMARKS
'.,l V ld
JUL 1 9 2011
❑ Approved as submitted
❑ Approved as noted
❑ Returned for corrections
❑ Resubmit copies for approval
❑ Submit copies for distribution
❑ Return corrected prints
❑ PRINTS RETURNED AFTER LOAN TO US
COPY
If enclosures are not as noted, kindly notify us of once.

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DWQ USE ONLY
Date Received
Fee Paid
Permit Number
sw llo �o
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
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
Thisform may be photocopied fi?r use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
The Sneads Ferry Inn
2. Location of Project (street address):
1325 NC Highway 210
City: Sneads Ferry County: Onslow Zip: 28460
3. Directions to project (from nearest major intersection):
From the intersection of NC 210 and Old Folkstone Road (NCSR 1518), take NC 210 south for 500'. Project is
4. Latitude: 34° 31' 28" N Longitude: 77 26' 05" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b.If 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 ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System []Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control:1.1 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑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:
JUL 1 9 2011
Form SWU-101 Version07Jun2010 Page I of

y
III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the proiect):
Applicant/Organization: The Sneads Ferry Inn LLC
Signing Official & Title: Mark Maynard Manager
b.Contact information for person listed in item 1a above:
Street Address: 1510-A South Third Street
City: Wilmington State: NC Zip: 28401
Mailing Address (if applicable): PO Box 1229
City: Wilmington State: NC Zip: 28402
Phone: ( 910 ) 612-3633 Fax:
Email: [e-mail]
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/i
Signing Official &
b.Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if
City:_
Phone:
State:
Fax:
3. a. (Optional) Print the name and title of another contact such as the projects construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official & Title:
b.Contact information for person listed in item 3a above:
Mailing Address:
City:_
Phone:
Email:
State:
Fax:
4. Local jurisdiction for building permits: Onslow County
_ Point of Contact: Planning and Development Phone 4: ( 910 ) 455-3661 _
JUL 1 9 2011
Form S WU-101 Version 07Jun2010 Page 2 of 6 I ,

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Runoff from impervious surfaces will be collected in the narking lot and conveyed to a wet detention basin
which is sized to provide 90% TSS removal for a 1 5" storm
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 II - Post Construction
3. Stormwater runoff from this project drains to the White Oak River basin.
4. Total Property Area: 0.96 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':0.96 acres
Total project area shall be calculated to exclude the following the normal pool of imyounded structures, the area
between the banks ofstreanis and rivers, the area below the Normal High Water (NM line or Mean High Water
(MHW) line, and coastal wetlands landward front the NHW (or MHI� line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line nmy
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 65.0 %
9. How many drainage areas does the project have? 1 (For high density, count 1 for each proposed engineered
storntwater BMP. For low density and other projects, use 1 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 _
Drainage Area
Drainage Area _
Drainage Area
Receiving Stream Name
UT to Mill Creek
Stream Class *
SA; HQW
Stream Index Number *
19-39-3-1
Total Drainage Area (so
41,624
On -site Drainage Area (so
41,624
Off -site Drainage Area (so
0
Proposed Impervious Area** (so
1 27,050
% Impervious Area** total
65.0
Impervious** Surface Area
Draina e Area _
Draina a Area _
Draina e Area _
Draina e Area _
On -site Buildings/Lots (so
6,208
On -site Streets (so
0
On -site Parking (so
16,619
On -site Sidewalks (so
2,773
Other on -site (so
0
Future (so
1,450
Off -site (sf)
0
Existing BUA*** (so
0
Total (so:
27,050
* Stream Class and Index Number can be detennined at: ht!p.aortal.ncdetir.org/toebhuq/pslcsu/classifications
*" hn ervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
***Report only that amount of existing BUA that will rentain after development. Do not report any existing BUA that
is to be renwved and which will be replaced by new BUA. JUL 1
Form SWU-101 Version 07Jun2010 Page 3 of
2011

11. Flow was the off -site impervious area listed above determined? Provide documentation.
Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that maybe subject 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 http1/portal.ncdenr.org/web/wq/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from http://portal.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 hW2://portal.ticdenr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wg/ws/su/statesw/forms does.
Igitials
1. Original and one copy of the Stormwater Management Permit Application Form. t+
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants N�
Form. (if required as per Part VII below) I
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M M
agreement(s) for each BMP. I
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to l•�
httQ//www.envhelp.org/pages/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.) 1
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor tti
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MFIW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
I. Details of roads, drainage features, collection systems, and stormwater control measures.
in. 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. F-- - — --
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations. I —
o. Drainage areas delineated (included in the main set of plans, not as a separate document). JUL 1 9 2011
p. Vegetated buffers (where required).
Form SWU-101 Version 07Jun2010 Page 4 of 6

a
III]
11.
Copy of any applicable soils report with the associated S14WT elevations (Please identify
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"x11" 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].) f
A copy of the most current property deed. Deed book: 3555 Page No: 63 w
For corporations and limited liability corporations (LLC): Provide documentation from the NC —�
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per NCAC 21-1.1003(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.nc.us/Corl2orations/`CSearch.aVx
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
ht_pt ://portil.ncdenr.org/web/wq/ws/su/statesw/forms does. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer: David L. Menius, P.E.
Consulting Firm: Stroud Engineering, P.A.
Mailing Address: 102-D Cinema Drive
City: Wilmington State: NC Zip: 28403
Phone: ( 910 ) 815-0775
Email: [e-mail]
Fax: ( 910 ) 815-0593
IX. PROPERTY OWNER AUTHORIZATION (if Contact Infornmtion, itern 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) certify that I
own the property identified in this permit application, and thus give permission to (print or h/pe name of person
listed in Contact Information, item la) with (print or hype name of organization listed in
Contact Information, item 1n) 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.
JUL 1 9 2011
Form S W U-101 Version 07Jun2010 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the 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.
Date:
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
I, (print or hjpe name of person listed in Contact Information, item 1a) Mark Maunard
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 under 15A NCAC 21-I .1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211.
SignAure✓�1 //� ���_ Date: 7�9 j mot/
1,
a Notary Public for the State of k1binYl o Ilnot., Countyof
,gtW do hereby certify that IU VIL
before me this f �* day of 711 t� �)L and
a stormwater permit. Witness my hand and official seal,_
`,`,Ntilt�Uryri
`�� P\E A ✓D9 ii��
�P�orgq� %y%
' S ..........
i�JJ OVER
SEAL
personally appeared
My commission expires ��uVll 9a gUlS
JUL 1 9 2011
Form SWU-101 Version 07Jun2010 Page 6 of 6