SW8180705_Current Permit_20181025

R.OY COOPER. NORTH CAROLINA
Governor Environmental Quality
MICHAEL S. REGAN
Secretary
WILLIAM E. (TOBY) VINSON, JR October 25, 2018
!):?,rim Director
A "N' A Builders, Inc.
Attn: Mohamad Afify, Secretary
13480 NC Hwy 50
Surf City, NC 28445
Email: [e-mail]
Subject: State Stormwater Management Permit No. SW8 180705
Lot 45-A, JH Batts Division
High Density Project
Pender County
Dear Mr. Afify:
The Wilmington Regional Office received a complete State Stormwater Management Pen -nit Application for the
subject project on July 5, 2018 with final additional information received on October 2, 2018. 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 effective January 1, 2017. We are forwarding Permit No. SW8
180705 dated October 25, 2018, for the construction, operation and maintenance of the stormwater control
measures (SCMs), built -upon areas, as well as the stonmwater collection system and/or vegetated conveyance
system associated with the subject project.
This permit shall be effective from the date of issuance until October 25, 2026 and shall be subject to the
conditions and limitations as specified therein and does not supersede any other agency permit that may be .
required. Please pay special attention to the permit conditions regarding the operation and maintenance of the
SCMs, stormwater collection system, and/or vegetated conveyances; the limitation of built -upon area;
modification of the project; the procedures for changing ownership of and/or transferring the permit; and the need
to renew the pen -nit. Please also pay attention to the pen -nit conditions that requires the recordation of deed
restrictions and protective covenants, easements, and the maintenance agreement, which must all be provided
along with certification upon completion of the project. Failure to comply with these requirements 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 written petition with the Office of Administrative Hearings (OAH). The written
petition must conform to Chapter 150B of the North Carolina General Statutes and must be filed with the OAH
within thirty (30) days of receipt of this permit. You should contact the OAH with all questions regarding the
filing fee (if a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center, Raleigh,
NC 27699-6714, or via telephone at 919-431-3000, or visit their website at www_NCOAH.com. Unless such
demands are made this permit shall be final and binding. If you have any questions, or need additional
information concerning this matter, please contact Steve Pusey in Wilmington at [phone].
Sinc ely,
William �(Toby) Vinson, Jr., PE, CPESC, CPM, Interim Director
Division of Energy, Mineral and Land Resources
Enclosures: Attachment A — Certification Forms
GDS/sgp: \\\Stormwater\Permits & Projects\2018\180705 HD\2018 10 permit 180705
cc: Luke Menius, PE — Stroud Engineering, PA
New Hanover County Building Safety Dept.
New Hanover County Engineering
DOT District Engineer Or�
WiRO Stormwater Filem�t
North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
910.796.7215

State Stormwater Management
Permit No. SW8 180705
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
A `N' A Builders, Inc.
Lot 45-A, JH Batts Division
NC Hwy 50, Sun` City, Pender County
FOR TH
construction, operation and maintenance of one (1) wet detention pond ("stormwater control
measures" or "SCMs") discharging to Class SA-HQW waters in compliance with the provisions of Title
1 SA N( AC 2H .1000 effective Januany 1, 2017 (the "stormwater rules'), and the approved stor n;waler
management plans, application, supplement(s), specifications, and other supporting data (the
"approved plans and specifications") as attached and/or on file with and approved by the Division of
Energy, Mineral and Land Resources (the "Division" or "DEMLR") and considered an enforceable part
of this permit.
This permit shall be effective from the date of issuance until October 25, 2026 and shall be subject to
the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the management and volume of stormwater
described in the approved plans and specifications. The maximum amount of built -upon area
(BLIA) allowed for the entire project is 48,136 square feet.
2. The drainage area(s) for the on -site stormwater system(s) will be limited to the amount(s) of
built -upon area indicated in this permit and the approved plans and specifications. The runoff
from all built -upon area within the permitted drainage area(s) of this project must be directed into
the permitted stormwater control measure(s). The stormwater control measure has been
designed using the runoff treatment method to handle the runoff from a total of 48,136 square
feet of impervious area. The built -upon area for the future development is limited to 4,750
square feet and is included in the total amount.
3. A 50-foot wide vegetative setback must be provided and maintained adjacent to all surface
waters, measured horizontally from the normal pool elevation of impounded structures, from the
top of bank of each side of streams or rivers, and from the mean high waterline of tidal waters,
perpendicular to the shoreline in accordance with the stormwater rules and the approved plans
and specifications.
4. The stormwater control measure(s) is(are) permitted based on the design criteria presented in
the sealed, signed and dated supplement(s) and as shown in the approved plans and
specifications. This (These) stormwater control measure(s) must be provided and maintained at
the design condition. The approved supplement(s) is(are) incorporated by reference into this
permit.
Page 1 of 4

State Stormwater Management
Permit No. SW8 180705
5. The stormwater control measure(s) provide(s) runoff treatment without discharging in excess of
the pre -development conditions during the one-year, 24-hour storm event. The excess runoff is
released at a non -erosive velocity at the edge of the vegetated setback or to an existing
.stormwater drainage system.
6. The peak flow from the 10-year storm event shall not cause erosion downsiope of the
stormwater outlet discharge point.
7. Decorative spray fountains will be allowed in the stormwater treatment system if documentation
is provided demonstrating that the proposed fountain will not cause resuspension of sediment
within the pond or cause erosion of the pond side slopes.
8. When using a wet pond for irrigation, it is recommended that some water be maintained in the
permanent pool, the vegetated shelf is planted with appropriate species that can handle
fluctuating conditions, and human health issues are addressed.
9. The SCM landscape planting plan shown in the approved plans shall be followed in its entirety
during construction. After the plants are established, the operation and maintenance agreement
must be followed.
10. Pretreatment devices have been provided to prevent clogging. This project uses a forebay for
pretreatment.
II. SCHEDULE OF COMPLIANCE
1. The project and SCM(s) shall be constructed, operated and maintained in accordance with the
conditions of this permit and the approved plans and specifications.
2. The on -site stormwater system shall be entirely constructed, vegetated; and operational prior to
the construction of any lot development within the drainage area; per the approved plans and
specifications.
3. During construction, erosion shall be kept to a minimum and any eroded areas of the on -site
stormwater system will be repaired immediately. If the stormwater system is used as an Erosion
Control device, it must be restored to design condition prior to operation as a stormwater
treatment device, and prior to occupancy of the facility.
4. All stormwater control measures, stormwater collection systems; vegetated conveyance
systems, and/or maintenance accesses must be located in public rights -of -way, dedicated
common areas that extend to the nearest public right-of-way, and/or permanent recorded
easements that extend to the nearest public right-of-way for the purpose of inspection,
operation, maintenance, and repair.
5. The permittee shall provide and perform the operation and maintenance necessary, as listed in
the signed Operation and Maintenance Agreement, to assure that all components of the
permitted on -site stormwater system functions at the approved design condition. The approved
Operation and Maintenance Agreement is incorporated by reference into this permit and must
be followed in its entirety and maintenance must occur at the scheduled intervals.
6. The operation and maintenance agreement must be recorded with the Office of the Register of
Deeds.
7. Records of maintenance activities must be kept and made available upon request to authorized
personnel of the Division. The records will indicate the date, activity, name of person performing
the work and what actions were taken.
8. The final plats for the project must be recorded with the Office of the Register of Deeds. The
recorded plat must reference the Operation and Maintenance Agreement and must also show all
public rights -of -way, dedicated common areas, and/or permanent drainage easements, in
accordance with the approved plans.
Page 2 of 4

State Stormwater Management
Permit No. SW8 180705
9. The permittee is responsible for verifying that the proposed built -upon area for the entire project
does not exceed the maximum allowed by this permit.
10. Upon completion of the project, the permittee shall determine whether or not the project is in
compliance with the permitted plans and take the necessary following actions:
a. If the permittee determines that the project is in compliance with the permitted plans, then
within 45 days of completion, the permittee shall submit to the Division one hard copy and
one electronic copy of the following:
i. The completed and signed Designer's Certification provided in Attachment A
noting any deviations from the approved plans and specifications. Deviations
may require approval from the Division;
ii. A copy of the recorded maintenance agreement; and
iii. A copy of the recorded plat delineating the public rights -of -way, dedicated
common areas and/or permanent recorded easements, when applicable.
b. If the permittee determines that the project is not in compliance with the permitted plans,
the permittee shall submit an application to modify the permit within 30 days of completion
of the project or provide a plan of action, with a timeline, to bring the site into compliance.
11. No person or entity, including the permittee, shall alter any component shown in the approved
plans and specifications. Prior to the construction of any modification to the approved plans, the
permittee shall submit to the Director, and shall have received approval for modified plans,
specifications, and calculations including, but not limited to, those listed below:
a. Any modification to the approved plans and specifications, regardless of size including the
stormwater control 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 as reported in the approved plans and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading or resizing of any
component of the approved stormwater control measure, stormwater collection system
and/or vegetative conveyance system shown on the approved plan.
e. The construction of any allocated future BUA.
f. The construction of any permeable pavement for BUA credit that was not included in the
approved plans and specifications.
g. The construction of any #57 stone area, public trails, or landscaping material to be
considered a permeable surface that were not included in the approved plans and
specifications.
h. Other modifications as determined by the Director.
12. 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 modified plans and certification in writing to
the Director that the changes have been made.
13. Prior to transfer of the permit, a file review and site inspection will be conducted by Division
personnel to ensure the permit conditions have been met and that the project and the on -site
stormwater system complies with the permit conditions. Any items not in compliance must be
repaired, replaced restored, or resolved prior to the transfer. Records of maintenance activities
performed to date may be requested.
III. GENERAL CONDITIONS
1. Any individual or entity found to be in noncompliance with the provisions of a stormwater
management permit or the requirements of the stormwater rules is subject to enforcement
procedures as. set forth in NCGS 143 Article 21.
2. The issuance of this permit does not preclude the permittee from complying with and obtaining
any other permits or approvals that are required for this development to take place, as required
by any statutes, rules, regulations, or ordinances, which may be imposed by any other Local,
State or Federal government agency having jurisdiction. Any activities undertaken at this site
that cause a water quality violation or undertaken prior to receipt of the necessary permits or
approvals to do so are considered violations of NCGS 143-215.1, and subject to enforcement
procedures pursuant to NCGS 143-215.6.
Page 3 of 4

State Stormwater Management
Permit No. SW8 180705
3. If the facilities fail to perform satisfactorily, the permittee shall take immediate corrective actions.
This includes actions required by this Division and the stormwater rules such as the construction
of additional or replacement on -site stormwater systems. These additional or replacement
measures shall receive a permit from the Division prior to construction.
4. This permit is not transferable to any person or entity except after notice to and approval by the
Director. The permittee shall submit a completed and signed State Stormwater Request Form
for Permit Transfer or Permit Information Update, accompanied by the supporting
documentation as listed on the form, to the Division at least 60 days prior to any one or more of
the following events:
a. Any ownership change including:
i. The sale or conveyance of the project area in whole or in part, except in the case of
an individual lot sale that is made subject to the recorded deed restrictions and
protective covenants;
ii. Dissolution of the partnership, corporate, or LLC entity, subject to NCGS 55-14-05 or
NCGS 57D-6-07;
b. Bankruptcy;
c. Foreclosure, subject to the requirements of Session Law 2013-121;
d. A name change of the current permittee;
e. A name change of the project;
f. A mailing address change of the permittee;
5. The permittee is responsible for compliance with all terms and conditions of this permit until 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 permit.
6. The permittee grants Division Staff permission to enter the property during normal business
hours to inspect all components of the permitted project.
7. The permit issued shall continue in force and effect until the permittee files a request with the
Division for a permit modification, transfer, renewal, or rescission; however, these actions do not
stay any permit conditions.
8. Approved plans, application documents, supplements, calculations, operation and maintenance
agreement, and specifications for this project are incorporated by reference and are enforceable
parts of the permit. A copy of this permit, application, supplements, operation and maintenance
agreement, and approved plans and specifications shall be maintained on file by the permittee.
9. Unless specified elsewhere, permanent seeding requirements for the on -site stormwater system
must follow the guidelines established in the North Carolina Erosion and Sediment Control
Planning and Design Manual.
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 for cause as allowed by the
laws, rules, and regulations contained in Title 15A NCAC 2H.1000 and NCGS 143-215.1 et -al.
11. A permit renewal request must be submitted at least 180 days prior to the expiration date of this
permit. The renewal request must include the appropriate application, documentation and the
processing fee as outlined in Title 15A NCAC 02H.1045(3).
Permit issued this the 25th day of October 2018
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
,,,.`,William E. (Toby) Vinson, Jr., PE, CPESC, CPM, Interim Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 180705
Page 4 of 4

Operation & Maintenance A reement
Project Name:
Project Location:
LOT45AJH BATTS DIVISION 5�+8 /g"a7bs
NC HWY 50
Maintenance records shall be kept on the following BMP(s). This maintenance record shall be kept in a log in a known set locatioi
Any deficient BMP elements noted in the inspection will be corrected, repaired, or replaced nmeciia-my. These deficiencies can
affect the integrity of structures, safety of the public, and the pollutant removal efficiency of the BMP(s).
The BMP(s) on this project include (check all that apply & correspor
Bioretention Cell
Quantity:
Dry Detention Basin
Quantity:
Grassed Swale
Quantity:
Green Roof
Quantity:
Infiltration Basin
Quantity:
Infiltration Trench
Quantity:
Level SpreaderNFS
Quantity:
Permeable Pavement
Quantity:
Proprietary System
Quantity:
Rainwater Harvesting
Quantity:
Sand Filter
Quantity:
Stormwater Wetland
Quantity:
Wet Detention Basin
Quantity:
1
Disconnected Impervious Area
Present:
No
User Defined BMP
Present:
No
O&M tables will
Location(s)
Location(s)
Location(s)
Location(s)
Locations)
Location(s)
Location(s)
Location(s)
Location(s)
Location(s)
Location(s)
Location(s)
Location(s)
Location(s)
Location(s)
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each BMP above, and attached O&M tables. I agree to notify NCDENR of any problems with the system or prior to any changes to
the system or responsible party.
* Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
Signature:
County of
MOHAMAD AFIFY
SECRETARY, A'N' A BUILDERS, INC
13480 NC HWY 50
SURF CITY, NC 28445
910.329-9800
meafl 2 mall.com
personally appeared before me this La's
Date: 4111Z Aw
a Notary Public for the State o�f,, 1 k('f'&r 'a
do hearby certify that 1 1► I ohamaa a
day of Ja-w- 4 gRi(-)l Is and J
acknowledge the due execution of the Operati and Maintenance Agreement.
Witness my hand and official seal,
/Z 400F
.iULIE A i:iYZGERi
NOTAW PUBLIC
PENOER CCXMT
1rElft"
Sea/ My commission expires o? 43 "RC.Qa
ECEIVE
JUL 0 5 2018
BY:
STORM-FZ
Version 1.4 O&M Manual
6/11/2018
Page 1 of 3

Wet Detention Pond Maintenance Rectuirements
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the vegetated filter if one
is provided.
Important maintenance procedures:
_ Immediately after the wet detention basin is established, the plants on the vegetated shelf and perimeter of the
basin should be watered twice weekly if needed, until the plants become established (commonly six weeks).
No portion of the wet detention pond should be fertilized after the first initial fertilization that is required to establish
the plants on the vegetated shelf.
Stable groundcover should be maintained in the drainage area to reduce the sediment load to the wet detention
basin.
If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through the
emergency drain should be minimized to the maximum extent practical.
- Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month 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 should be kept in a known
set location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
BMP element:
Potential problem:
How I will remediate the problem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the BMP
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, and then plant a
erosive gullies have formed.
ground cover and water until it is established. Provide lime and a one-
time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of approximately six inches.
long.
The inlet device
The pipe is clogged.
Unclog the pipe. Dispose of the sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
swale.
Regrade the swale if necessary to smooth it over and provide erosion
control devices such as reinforced turf matting or riprap to avoid future
problems with erosion.
Stone verge is clogged or
Remove sediment and replace with clean stone.
covered in sediment (if
applicable).
The forebay
Sediment has accumulated to
a depth greater than the
Search for the source of the sediment and remedy the problem if
possible. Remove the sediment and dispose of it in a location where it
original design depth for
will not cause impacts to streams or the BMP.
sediment storage.
Erosion has occurred.
Provide additional erosion 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 pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional practices
show that pruning is needed to
maintain optimal plant health.
Plants are dead, diseased or
dying.
Determine the source of the problem: soils, hydrology, disease, etc.
Remedy the problem and replace plants. Provide a one-time fertilizer
application to establish the ground cover if a soil test indicates it is
necessary.
Weeds are present.
Remove the weeds, preferably by hand. If pesticide is used, wipe it on
the plants rather than spraying.
1jrU=II v ■-
JUL 0 5 2018
sv:
STORM-FZ 6/11/2018
Version 1.4 O&M Manual Page 2 of 3

Wet netentioc Pond Maintenance IR �quirements (Continued)
The main treatment area
Sediment has accumulated to
Search for the source of the sediment and remedy the problem if
a depth greater than the
possible. Remove the sediment and dispose of it in a location where it
original design sediment
will not cause impacts to streams or the BMP.
storage depth.
Algal growth covers over 50%
Consult a professional to remove and control the algal growth.
of the area.
Cattails, phragmites or other
Remove the plants by wiping them with pesticide (do not spray).
invasive plants cover 50% of
the basin surface.
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and consult a professional to remove
beaver activity is present.
beavers.
A tree has started to grow on
Consult a dam safety specialist to remove the tree.
the embankment.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. (if applicable)
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 local NC Department of Environment and Natural
damage have occurred at the
Resources Regional Office.
outlet.
The measuring device used to determine the sediment elevation shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
Wet (Detention Pond Design Summary_
Wet Pond Diagram
WET POND ID FOREBAY MAIN POND
1
Permanent Pool El.
3
Permanent Pool El.
3
Temporary Pool El:
5
Temporary Pool El:
5
Pretreatment other No
Clean Out Depth:
2
Clean Out Depth:
4
than forebay?
Sediment Removal El:
1
Sediment Removal El:
-1
Has Vag. Filter? No
Bottom Elevation:
-2
Bottom Elevation:
-2
ECEIV
JUL 0 5 2018
BY:
STORM-EZ 6/14/2018
Version 1.4 O&M Manual Page 3 of 3

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
- -t
:��5., + toq3
1sw9 t1'0-7o
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph H - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
LOT 45-A TH BATTS DIVISION
2. Location of Project (street address):
NC HWY 50
City: SURF CITY County: PENDER Zip: 28445
3. Directions to project (from nearest major intersection):
NC 210 AND NC 50 ON THE MAINLAND OF SURF CITY, TAKE NC 50/2101.0 MILES EAST.
THE PROTECT ENTRANCE IS ON THE RIGHT BEFORE THE SURF CITY BRIDGE.
4. Latitude:34° 26' 13" N Longitude:77° 33' 17" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenewals with modifications also requires SVM 102 - Renewal Application Form
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , 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
DEMLR requesting a state stormwater management permit application, list the stormwater project number,
if assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑LAMA Major ®Sedimentation/Erosion Control: 2.1 ac of Disturbed Area
❑NPDES Industrial Stormwater Z404/401 Permit: Proposed Impacts 0.08 ac
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:
5. Is the project located within 5 miles of a public airport? ®No ❑Yes e u i=— i V 1
If yes, see S.L. 2012-200, Part VI: http://portal.ncdenr.org/web/lr/rules-and-regulations
JUL 0 5, 2018
Form SWU-101 Version Oct. 31, 2013 Page 1 of 6

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization: A W A BUILDERS, INC
Signing Official & Title: MOHAMAD AFIFY, SECRETARY
b. Contact information for person listed in item 1a above:
Street Address: 13480 NC HWY 50
City: SURF CITY State: NC Zip: 28445
Mailing Address (if applicable):
City:
Phone: (910 ) 329-9800
Email: [e-mail]
State: Zip:
Fax: ( )
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/Organization:
Signing Official & Title:,
b. Contact information for person listed in item 2a above:
Street Address:
City: State:
Zip:
Mailing Address (if applicable):
City: State: Zip:
Phone:
Email:
Fax: ( )
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/
Signing Official &
b. Contact information for person listed in item 3a above:
Mailing Address:
City:
Phone:
Email:
BY.
State: Zip:
Fax.
4. Local jurisdiction for building permits: TOWN OF SURF C=
Point of Contact: PLANNING Phone #: (910 ) 328-3921
Form SWU-101 Version Oct. 31, 2013 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
STORMWATER RUNOFF FROM ALL BUA WILL BE CONVEYED TO A WET POND FOR TREATMENT
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: 2.10 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+: 2.10 acres
+ Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHM line or Mean High Water
(MHM line, and coastal wetlands landward from the NHW (or MHM line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHM line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 52.69 %
9. How many drainage areas does the project have? 1 (For high density, count 1 for each proposed engineered
stormwater 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 Areal
Drainage Area _
Drainage Area _
Drama a Area _
Receiving Stream Name
Topsail Sound
Stream Class *
SA;HQW
Stream Index Number *
18-87-10
Total Drainage Area (sf)
91350
On -site Drainage Area (sf)
91350
Off -site Drainage Area (sf)
0
Proposed Impervious Area**((sf)
48136
% Impervious Area** total
52.69
Impervious*' Surface Area
Drainage Area 1
Drama a Area _
Drainage Area _
Drama e Area _
On -site Buildings/Lots (sf)
9900
On -site Streets (sf)
0
On -site Parking (sf)
30769
EEC
F
I V
On -site Sidewalks (sf)
2717
Ti
Other on -site (sf)
0
Future (sf)
_499HR- 171r®
Off -site (sf)
0
Existing BUA*** (sf)
0
Total (sf):
48136
* Stream Class and Index Number can be determined at: http.Y portal.ncdenr.org/web/wq&s/csu/classif cations
* ImpeY7rious area is delened as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
'Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new B UA.
Form SVvU-101 Version Oct. 31, 2013 Page 3 of 6

11. How was the off -site impervious area listed above determined? Provide documentation.
Projects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may he subject to more stringent storm water requirements as per 15A NCAC 02B
.0600.
V= SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://-portal.ncdenr.orLr/web/wci/ws/su/bmi3-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at http://portal.ncdenr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenx.org/web/wq/ws/su/statesw/forms docs.
Initials
1. OriginaI and one copy of the Stormwater Management Permit Application Form. 11�1
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form_ (if required as per Part V11 below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http:/ /www.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.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers. �E��
d. Legend.
e. North arrow., p 201Q
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation o�Y;
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated "buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. 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.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6

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
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 DEMLR to verify the SHVVT prior
to submittal, [phone].11
10. A copy of the most current property deed. Deed book: 3450 Page No:183
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per 15A NCAC 2H.1003(e).
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
ht!p://www.secret,2ry.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from http://portal.ncdenr.org/web/Ir/state-stormwater-
forms does. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer: DAVID L. MENIUS, P.E.
Consulting Firm: STROUD ENGINEERING, P.A.
Mailing Address: 102-D CINEMA DRIVE
City: WILMINGTON
Phone: (910 ) 815-0775
Email: LMENIUS®STROUDENGINEER.COM
State: NC Zip: 28403
Fax: ( 1
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) _ with (print or hjpe name of organization listed in
Contact Information, item 1a) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
�r
JUL o 6 202
�V-
Form SWU-101 Version Oct. 31, 2013 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater
treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility
without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action including the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: NA Date:
a Notary Public for the State of . County of
do hereby certify that personally appeared
before me this _ day of and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a) MOHAMAD AFIFY
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 rule�,fnder;5,# NCAC 21-1.1000 and any other applicable state stormwater requirements.
Date: '/ hz 1,7+l tr
i v
I, a�Notary
� Public for the State of bktM l t1YCl1h0,, County of
do ereby certify that 1 r 1thai"a1 - JaAk personally appeared
before me this fday ofA3, and acknowle the dye execution of the application for
a stormwater permit. Witness my hand and official seal,
JUL E A FI MERALD
NOTARY PUBLIC
PENDER COUNTY, NC
My Cann kft Expires 2-234M
IV V
SEAL
My commission expires a? - g,? 22
�ECEIVE�
JUL 0 5 2018
Form SWU-101 Version Oct. 31, 2013 Page 6 of 6

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