SW7120305_HISTORICAL FILE_20120313

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
El CURRENT PERMIT
❑ APPROVED PLANS
F�i,ISTORICAL FILE
DOC DATE
YYYYMMDD

r - +`
DWQ USE ONLY
otea e Recciveu
Fee PaidCR_#4_7_,;
Permit Number
hAAR 1 3 7017
Applicable Rules: ❑ Coastal SW -1995
Coasta -SW - 2008 ❑ Ph It - Post Construction
(select all thrf lt� n-Coastal
O
}
5W- I-IQW/ORW Waters ❑ Universal Stormwater Management Plan
er WQ M
mt Plan: i
State of North Carolina e�
Department of Environment and Natural Resources
Division of Water Quality cvy
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
'Phis form may be photocopied for use as an original
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.):
New Bertie Coun High School
2. Location of Project (street address):
NC Hwy 13
City:Windsor County:Bertie Zip:27983
3. Directions to project (from nearest major intersection):
1-lead north from Windsor on Hwy 13 the site is across the street from the existing high school and adjacent
and north of the existing middle school
4. Latitude:36° 2' 56" N Longitude:-76° 58' 7.8" W of the main entrance to the project.
IL 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/rrosion Control: 33.00 ac of Disturbed Area
❑NPDES Industrial Stormwater Z404/401 Permit: Proposed Impacts 0.0829 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:
Form SWU-101 Version 07Jun2010 Page I of6 eels///
R,p

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/Organ ization:Bertie County
Signing Official & Title:Morris Rascoe, County Manager
b.Contact information for person listed in item la above:
Street Address:106 Dundee Street
City:Windsor State:NC Zip:27983
Mailing Address (if applicable)YO Box 530
City:Windsor State:NC Zip:27983
Phone: (252 ) 794-5300
Eniail:[e-mail]
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 213 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:13ertie County
Signing Official & Title -.Morris Rascoe, County Manager
b.Contact information for person listed in item 2a above:
Street AddressA06 Dundee Street
City:Windsor
State:NC
Mailing Address (if applicable)YO Box 530
City:Windsor State:
Phone: (252 ) 794-5300 Fax:
Email:[e-mail]
Zip:27983
Zip:27983
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/ Organ ization: 1. Stephen Janowski, PE
Signing Official & Title:J. S. Janowski Fngineering, PA
b.Contact information for person listed in item 3a above:
Mailing Address:PO Box 2792
City:Winterville State:NC Zip:28590
Phone: (252 ) 714-3002
Email:[e-mail]
4. Local jurisdiction for building permits: Bertie Coun
Point of Contact:Traci White
Fax:
Phone #: (252 ) 794-5336
Form SWU-101 Version 07Jun2010 Page 2 of

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The storm water will be collected and transported via closed storm „drainage piping system
The storm water will be treated in a Wet Detention 12ond design for 90 % TSS removal
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. Stormwater runoff from this project drains to the Roanoke
4. Total Property Area: 46.5 acres
River basin.
5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) --Total Coastal Wetlands Area (5) -Total Surface Water Area (6) =Total Project
Area+:46.5 acres
* Total project area shall be calculated to exclude the followin the nornml pool of impounded structures, the area
between the batiks of streams and rivers, tlue area below file Normal High Water (NHW) line or Mears High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHM line. Tile resultant project area is used to
calculate overall percent built upon area (BUA). Nott-coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 23.81 %
9. How many drainage areas does the project have?2 (For high density, count 1 for each proposed engineered
storrtttvater BMP. For low densihj and other projects, use 1 for the whole properhj 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 7
Drainage Area 2
Drainage Area _
Drainage Area _
Receiving Stream Name
Cashie River
Cashie Rive
Stream Class *
C;Sw
C;Sw
Stream Index Number *
24-2-1
24-2-1
Total Drainage Area (so
784080 r Max1277528
On -site Drainage Area (so
704452
1277528
Off -site Drainage Area (so
79628
0
Pro osed Impervious Area** (so
482340
0
% Impervious Area** total
61.52
0
Impervious— Surface Area
Draina e Area _
Drainage Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (so
131684
0
On -site Streets (so
0
0
On -site Parking (so
270580
0
On -site Sidewalks (so
36684
0
Other on -site (so
0
0
Future (so
34512
0
Off -site (sf)
8880
0
Existing BUA*** (so
0
0
Total (so:
482340 II,61
0
Strearn Class and Index Number cart be determined at: littp.&ortal.rtcdertr.or vebAtWI)s/csu/classif'catiotrs
liftpervious area is defined as the built upon area including, but not lintited to, buildings, roads, parking areas,
9 eetvalks, gravel areas, etc.
* * Report only that amount of existing BUA that will reruain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
Form SWU-101 Version 07Jun2010 Page 3 of6

11. How was the off -site impervious area listed above determined? Provide documentation. Survey and
Computer calcuaations
Projects in Union County: Contact U41 Q Contra! OJJice slcrfJ'to check if the project is located within a Threatened �e
Endangered Species watershed that may be 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 httL)://t)ortal.ncdenr.ore/web/wo/ws/su/bmo-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 docs. 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://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.ncdenr.org/web/wq/ws/su/statesw/forms dots,
1. Original and one copy of the Stormwater Management Permit Application Form.
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
j
http://www.envhelp.org/pat-es/onestopexpress.htmi for information on the Express progT
and the associated fees. Contact the appropriate regional office Express Permit Coordinator
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management(
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 Iocation. If the receiving stream is reported as class SA o 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. L
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: C
a. Development/i'roject 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 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 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.
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).
Form SWU-101 Version 07Jun2010 Page 4 of 6

M
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"xl"I" copy of the NRCS County Soils map with the
proiect area clearly delineated. For projects with infiltration BMI's, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Scludule a site visit for DWQ to verify the SHWT prior
to submittal, [phone].)
A copy of the most current property deed. Deed book: 820 Page No: 388 CZ292:7�2
For corporations and limited liability corporations (LLC): Provide documentation from the N
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 21-1.1003(e).'Fhe
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.
littp://www.s(--cretary.state.nc.us/CorporationsZCSearch.aspx
VI1. 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
13UA 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/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.
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:J, Stephen Janowski, PE
Consulting Firm:_j_S._lanowski Engineerin% PA
Mailing Address:PO Box 2792
City:Winterviile
Phone: (252 ) _ 714-3002_
1? iria i I:istephenia [e-mail]
Statc:NC Zip:28590
Fax: (
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has beef filled out, complete this
section)
1, (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 Ia) with (print or type name of organization listed in
Co12taet 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.
Form SWU-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,�ivil penalties 9� up to $Z5,000 per day, pursuant to NCGS 143-215.6.
Signature: / Date:
]`l
a Notary Public for the State of 1 "Uvt� Cgzd t pA-, County of
do hereby certify that_,12122{k L:R =� ,( L� personally appeared
before me this day of — %� Z and owledge the te exe=Utn
ofication for
a stormwater permit. Witness my hard and official seal,
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
1, (print or hype naive of person fisted in Contact I 1formation, iteur 1a) Morris Rascoe
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 unde�,15A KAC 21-1.1000, SL 2006-246 (Ph. 1I - Post Construction) or SL 2008-211,
Signatu
Date:
� C l
I, 716115 J Lh-(-k--� __, a Notary Public for the State ofAdvAr-J VNA--, County of
do hereby certify that RJZ s personally appeared
before me this day of - QUA�2ZL11Z: and a ledge the due xecuti I the pplication ior
a stormwater permit. Witness my han and official seal, e'uL
SEAL
My commission expires 0-f (, — Zy r
Form SWU-i01 Version 07Jun2010 Page 6 of 6

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i'iAit U $ 2012
Permit Number: J ►J -71 2X 3t,S
WF
(to be provided by DWQ)
EXPRESSDrainage Area Number: I
MAR 13 WyVet Detention Basin Operation and Maintenance Agreement
NC ®�Nwill keep a maintenance 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.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided.
This system (check one):
❑ does ® does not incorporate a vegetated filter at the outlet.
This system (check one):
❑ does ❑ does not incorporate pretreatment other than a forebay.
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:
Potentialproblem-
How l will remediate theproblem:
The entire BMP
Trash debris is present.
Remove the trash debris.
The perimeter of the wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention basin
erosive gullies have formed.
remove the gully, and then plant a
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
long.
approximatel six inches.
Form SW401-Wet Detention Basin O&M-Rev.4 Page -I of 4

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Permit Number:
(to be provided by DWQ)
Drainage Area Number:
HMP element:
Potentialproblem:
How I will remediate theproblem:
The inlet device: pipe or
The pipe is clogged.
Unclog the pipe. Dispose of the
Swale
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the Swale if necessary to
Swale.
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future 12roblems with erosion.
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design depth for
possible. Remove the sediment and
sediment storage.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
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
show that pruning is needed
practices
to maintain optimal plant
health.
PIants are dead, diseased or
Determine the source of the
dying.
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.
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible. Remove the sediment and
storage depth.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area.
and control the algal growth.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50`Yo of
with pesticide (do not spray).
the basin surface.
Form SW401-Wet Detention Basin O&M-Rev.4
Page 2 of 4

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Pc nlil Nun►ber:
(to be provided by DWC))
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate the roblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
sho%vs that the embankment
needs repair. (ifapplicable)
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 Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
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.
When the permanent pool depth reads 4 feet in the main pond, the sediment
shall be removed. v
When the permanent pool depth reads 4 feet in the forebay, the sediment shall
be removed.
SCLliment Removal h . 2U.S
--------------
Bottoni Elevatio 1J.5 fi-
FOREIBAY
BASIN DIAGRAM
(Jill in the blanks)
cimaileA Pool
volume
Il Min.
Sediment
Storage
Pernrtncnt Pool Elevation 24.5
-----Sedimetnl Renwv_tl I levatimi 20.5--- Volume
--------- ------
Bottom Elevation
MAIN POND
I -ft Iv n.
Sediment
Storave
Form SW401-Wel Detention Basin O&M-Rev.4 Pa,,e 3 of 4

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. 1 agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Bertie_ County High School _
BMP drainage area number: l
Print name:Morris Rascoe
Title: Interim County Manager
Address:PO Box 530 Windsor NC 27983
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
I, ►sueDer-, , a Notary Public for the State of
County of nor--c:r-.,�� , do hereby certify that
c-�
Y1(Z r �� 12c�5C'c� personally appeared before me this a i
day of -� and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal,
SEAL
My commission expires,
a -3 - Z012-
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4

(.:)-Yo�r,3
Hite associates
ARCHITECTURE / ENG NEEROli6 / TECHNOLOGY
Letter of Transmittal
March 12, 2012
Lyn Hardison
EyPRESS
NCDENR MAR 1 3 2012
943 Washington Square Mall
Washington, NC 27889 NC ®ENR
RE: Bertie County High School
Bertie County
Please find the attached site plan for the referenced project for Expresss Review for
Sedimentation and Erosion Control Compliance, Storm Water Management and 401 Wetland
Impacts.
• 5 sets Site Plans and Details
• Permit Fees
+ 2 FRO Express Permitting Option Application (1 Original, 1 Copy)
• 2 Erosion Control Narratives and Calculations
2 Storm Water Applications (1 Original, 1 Copy)
• 2 Operation and Maintenance Agreements (1 Original, 1 Copy)
• 2 Storm water Calculations
2 Topo Quad Map
• 6 PCN applications, Narratives and Mapping (1 Original, 5 copies)
• 2 Property Deed Erosion and Sedimentation Control Narrative
Yours ver
Todd Smith
Hite Associates
Dist: File regulatory
2600 Meridian Drive / Greenville, NC 278341 tel[phone] fax [phone] e-mail: dtsmit®hiteassoc.com

For DUNR Use ONLY
Reviewer: V.0
� 0 North Carolina Department of Environment and
subrna
Natural Resources
NCDENNC EN R Request for Express Permit Review Time 5 e_tTr
Confirm:
FILL-IN all the information below and CHECK the Permit(s) you are requesting for express review. Call and Email the completed form to the
Permit Coordinator along with a completed DETAILED narrative, site plan (PDF file) and vicinity map (same items expected in the application
ap ckaQe of the project location. Please include this form in the application package.
• Asheville Region -Alison Davidson 828-296-4698;alison.davidson(a),ncdenr.gov
• Fayetteville or Raleigh Region -David Lee 919-7914203; david.Iee(@ncdenr.gov
• Mooresville & Winston Salem Region -Patrick Grogan 704-235-2107 or patrick.grogan(cDncdenr.gov
• Washington Region -Lyn Hardison 252-948-3842 or lyn.hardison@ncdenngov
• Wilmington Region -Janet Russell 910-796-7302 orlanet.russell(cDncdenr.gov
• Wilmington Region -Cameron Weaver 910-796-7303 or [e-mail]
NOTE. Project application received after 12 noon will be stamped in the following work day,EXPRESS
Enter Related SW
Permits of Re nest
SW
SW
SW
SW
SW
Project Name: NEW BERTIE COUNTY HS County: BERTIE MAR Z12
Applicant: MORRIS RASCOECompany: BERTIE COUNTY
Address: PO BOX 530 City: WINDSOR, State: NC Zip: 27983 _ ���
Phone: [phone], Fax: 252-� W, Email: [e-mail] NC
Physical Location:NORTH ON HWY 13, THE SITE IS ACROSS THE STREET FROM THE EXISTING HIGH SCHOOL AND ADJACENT AND NORTH
OF THE EXISTING MIDDLE SCHOOL
Project Drains into CASHIE RIVER waters - Water classification C, SW (for classification see-http:l/h2o,enr,state.nc,us/bims/reports/FeportsWB.hImi)
Project Located in ROANOKE River Basin. Is project draining to class ORW waters? YIN, within '/2 mile and draining to class SA waters N or within 1 mile
and draining to class HOW waters? N
Engineer/Consultant: STEVE JANOWSKI Company: JS JANOWSKI ENGINEERING, PA
Address: PO BOX 2792 City: WINTERVILLE, State: NC Zip: 28590-_
Phone: [phone], Fax: - _ y Email: [e-mail] S 1 -)-0305
SECTION ONE: REQUESTING A SCOPING MEETING ONLY
❑ Scoping Meeting ONLY ❑ DWQ, ❑ DCM, ❑ DLR, ❑ OTHER:
SECTION TWO: CHECK ONLY THE PROGRAM (S) YOU ARE REQUESTING FOR EXPRESS PERMITTING
® 401 Unit ❑ Stream Origin Determination: _ # of stream calls - Please attach TOPO map marking the areas in questions
❑ Intermittent/Perennial Determination: _ # of stream calls — Please attach TOPO map marking the areas in questions
® 401 Water Quality Certification ❑ Isolated Wetland ( linear ft o r acres)
❑ Riparian Buffer Authorization ❑ Minor Variance 0 Major General Variance
® State Stormwater ❑ General ❑ SFR, ❑ SFR < 1 ac. ❑ Bkhd & Bt Rmp, ❑ Clear & Grub, ❑ Utility ❑ Other
❑ Low Density ❑ Low Density -Curb & Gutter — # Curb Outlet Swales ❑ Off -site [SW (Provide permit #)]
® High Density -Detention Pond 1 # Treatment Systems ❑ High Density -Infiltration —#Treatment Systems
❑ High Density -Bio-Retention _ # Treatment Systems El High Density -SW Wetlands _ # Treatment Systems
❑ High Density -Other — # Treatment Systems / ❑ MOD:[] Major ❑ Minor ❑ Plan Revision ❑ Redev. Exclusion SW (Provide permit#)
❑ Coastal Management ❑ Excavation & Fill ❑ Bridges & Culverts ❑ Structures Information
❑ Upland Development ❑ Marina Development ❑ Urban Waterfront
® Land Quality ® Erosion and Sedimentation Control Plan with 33 acres to be disturbed.(CK # 245y,3 (for DENR use)) $ 2.145
SECTION THREE - PLEASE CHECK ALL THAT IS APPLICABLE TO YOUR PROJECT (for both scoping and express meeting request)
Wetlands on Site ❑ Yes ❑ No Buffer Impacts: ❑ No ❑ YES: ac re(s)
Wetlands Delineation has been completed: ❑ Yes ❑ No Isolated wetland on Property ❑ Yes ❑ No
US ACOE Approval of Delineation completed: ❑ Yes ❑ No 404 Application in Process wl US ACOE: ❑ Yes ❑ No Permit
Received from US ACOE ❑ Yes ❑ No
For DENR use mily
Fee Split for multiple permits: (Check # '2— 36 1 Total Fee Amount $ fit]
SUBMITTAL DATES
SUBMITTAL OATES
Fee
CAMA
Variance (❑ Maj; ❑ Min)
$
SW (® HD, ❑ LD, ❑ Gen)
UFee
401:
$ ICX)O
LQS
Stream Deter,
$
NCDENR EXPRESS June 2011

.4
March 8; 2012
Bertie County Schools
c/o Hite Associates
3600 Meridan Drive
Greenville, North Carolina 27834
EXPRESS
.Mho 1 3 2012
NC ®ENR
Attn: Mr. James G. Hite, AIA
Irerracon
Re: Report of Additional Geotechnical Engineering Services
Proposed Stormwater Management Structure
Proposed Bertie High School
US Highway 13
Windsor, North Carolina
Terracon Project No. 72125002
Dear Mr. Hite:
Terracon Consultants, Inc. (Terracon) is pleased to present this report of Additional
Geotechnical Engineering Services for the proposed Bertie High School in Windsor, North
Carolina. Our services were provided in accordance with Terracon's Supplement to Agreement
for Services dated March 5, 2012.
Project Information
The project information is based on our initial work at the site and our review of drawings
received from Mr. Steve Janowski in an electronic mail correspondence dated March 2, 2012.
We understand a stormwater management structure is planned for the Bertie High School. We
were provided drawings that indicated the proposed location of the pond and the proposed
location of three test borings.
We were requested to drill to a depth of 15 feet at each boring location in order to provide soil
information in the footprint of the proposed pond. We were also requested to perform hand
auger borings in these three locations to determine the seasonal high water table. In addition,
we obtained an undisturbed sample of the upper clay and performed laboratory permeability
testing on this clay sample.
Field Exploration
The boring locations were staked by a representative of Terracon using a measuring wheel and
the existing site features as reference points. Elevation information was interpolated from a
drawing provided by Hite Associates. The locations and elevations of the borings should be
considered accurate only to the degree implied by the means and methods used to define them.
Terracon Consultants, Inc. 314 Beacon Drive, Wintervilfe, NC 28590
P [252] 353-1600 F [252] 353-0002 terracon,corn

Report of Additional Geotechnical Engineering Services 1rerracon
Proposed Bertie High School oWindsor, NC
March 8, 2012 o Terracon Project 72125002
Hand auger borings were advanced adjacent to the three requested boring locations. The
findings of our hand auger borings is summarized below:
P-1
0-4 inches — Topsoil and rootmat
4-12 inches — Clayey sand — 10YR-6-6 Brownish Yellow
12-24 inches — Silty Clay — 10YR-6-2, Light Brownish Gray with 10YR-5-8 Yellowish Brown
Mottles
24-36 inches — Silty Clay — 1 OYR-6-1 Gray with 1 OYR-5-8 Yellowish Brown mottles
P-2
0-4 inches — Topsoil and rootmat
4-14 inches — Clayey sand — 10YR-6-4 Light Yellowish Brown
14-22 inches - Silty Clay — 10YR-6-2, Light Brownish Gray with 10YR-5-8 Yellowish Brown
Mottles
22-36 inches — Silty Clay — 10YR-6-1 Gray with 1 OYR-5-8 Yellowish Brown mottles
P-3
0-4 inches — Topsoil and rootmat
4-12 inches — Clayey sand — 10YR-6-6 Brownish Yellow
12-24 inches — Silty Clay — 10YR-6-2, Light Brownish Gray with 10YR-5-8 Yellowish Brown
Mottles
24-36 inches — Silty Clay — 1 OYR-6-1 Gray with 1 OYR-5-8 Yellowish Brown mottles
Based on our hand auger borings, it is our opinion that the Seasonal High Water Table is at
approximately 14 to 15 inches below the existing ground surface.
Terracon subcontracted Carolina Drilling to drill the three soil test borings to a depth of
approximately 15 feet below the existing grade. The approximate locations of the borings are
shown on the attached site plan. The soil test borings were performed by a trailer -mounted
power drilling rig utilizing mud rotary drilling procedures. Standard Penetration Tests were
performed using a safety hammer operated by a cathead and rope assembly. Terracon
personnel visually classified the split -spoon soil samples in general accordance with the Unified
Soil Classification System.
An undisturbed sample was obtained in boring P-2 from a depth of 3 to 5 feet. Laboratory
permeability testing was performed on this sample in general accordance with ASTM D5084.
Responsive o Resourceful a Reliable

KI
Report of Additional Geotechnical Engineering Services Irerracon
Proposed Bertie High School oWindsor, NC
March 8, 2012 o Terracon Project 72125002
The results of this testing found the permeability of the soil tested to be 8.56 x 10­6 cm/sec or
less than 0.01 inches per hour. The Permeability Test Report is attached with this report.
Our Boring Logs, site plans provided to us, General Notes and a description of the Unified Soil
Classification System are also included with this report.
Limitations
The boring logs represent our interpretation of the subsurface conditions based on the field logs,
and visual examination of samples by an engineer or geologist. Conditions encountered at each
boring location are indicated on the individual boring logs. Stratification boundaries on the boring
logs represent the approximate location of changes in soil types; in -situ, the transition between
materials may be gradual. Terracon is not responsible for interpretation of the boring logs by
others. Subsurface conditions away from or between the boring locations likely vary. Laboratory
testing may reveal other soil types. Water levels were taken at the time of drilling. Water levels
can fluctuate seasonally and with changes in precipitation, runoff or other factors. Water levels
at other times may be higher or lower than observed at the time of drilling.
The assessment of site environmental conditions or the presence of contaminants in the soil,
rock, surface water or groundwater of the site was beyond the scope of this geotechnical study.
We appreciate the opportunity to be of service to you on this project. If you have any questions
concerning this report, or if we may be of further service, please contact us.
Sincerely,
CAR
Terracon Consultants, InrU "*""9S1n'.N�i
'q .r s>' 9
4 � y
SEAL
4 p
16252%
Carl F. Bonner, PE �,F`kGI�� �;` Robert H. Neel, Jr.
Principal 1 Office Manager d�9'f'( "�'' �� `yv- Principal 1 CMT Department Manager
f BO 0
Registered, NC 16252 n '�.01�,.r
Attachments: Boring Logs Gene)*Motes
Site Plans Unified Soil Classification System
Responsive o Resourceful a Reliable

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LOG OF BORING NO. P-1
Page 1 of 1
CLIENT
Bertie County Schools c/o Hite Associates, PA
SITE US Hwy 13
PROJECT
Windsor, NC
Bertie County High School Additional Borings
SAMPLES
TESTS
DESCRIPTION
m
y
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CL
w
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a
a
muj
w
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Z
LU
i-
C~7
Oz
a
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CL
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¢O
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Surface Elev.: 31 ft
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n a
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33 GrasslTopsoil/Rootmat
FAT CLAY
CH
1
SS
9
Light Gray and Tan Orange, Medium Stiff
to Stiff, Moist to Wet
CH
2
SS
7
5.0
s 25
CLAYEY SAND
SC
3
SS
8
Light Gray and Tan Brown, Loose to
Medium Dense, Wet
SC
4
SS
11
i 0.0
13 18
EINE TO MEDIUM SAND
Light Gray, Medium Dense, Wet
SP
5
SS
12
15 15
15.0
BORING TERMINATED
The stratification lines represent the approximate boundary lines
between soil and rock types: in -situ, the transition may be gradual.
WATER LEVEL OBSERVATIONS, ft
BORING STARTED 3-5-12
WL
2 WD
'T
BORING COMPLETED 3-5-12
WL
�,
VIrerracon
RIG 45-08
FOREMAN GE
WL
CFB
JOB # 72125002

LOG OF BORING NO. P-2 Page 1 of 1
CLIENT
Bertie County Schools c/o Hite Associates, PA
SITE US Hwy 13
PROJECT
Windsor, NC
Bertie County High School Additional Borings
SAMPLES
TESTS
C�
V
z
I
¢
lr
+�
c�
DESCRIPTION
Surface Elev.: 32 ft
z
4
W
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JO
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W
z
d
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>
00
W
ar
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n a
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zoz
UIX
Z H
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0.33 GrassrropsoillRootmat
FAT CLAY
CH
1
SS
7
Light Gray and Orange, Medium Stiff,
Moist to Wet Q
CH
2
SS
8
5.0
6 26
CLAYEY SAND
SC
3
SS
6
Light Gray and Orange, Loose to Medium
Dense, Wet
SC
4
SS
10
10.0
13 19
STY SAND
Gray, Medium Dense, Wet
SM
5
SS
15
15 BORING TERMINATED 17
15.0
The stratification lines represent the approximate boundary fines
between soil and rock types: in -situ, the transition may be gradual.
WATER LEVEL OBSERVATIONS, ft
Irerra �
ca
BORING STARTED 3-5-12
a 2 WD
c
BORING COMPLETED 3-5-12
LWL
WL
I-�'
RIG 45-08
FOREMAN GE
WL
CFB
JOB # 72125002

LOG OF BORING NO. P-3
Page 1 of 1
CLIENT
Bertie County Schools do Hite Associates, PA
SITE US Hwy 13
PROJECT
Windsor, NC
rtie County High School Additional Borings
SAMPLES
TESTS
DESCRIPTION
O
�
o
❑ n
Z :
U
T
ct�
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}
U)
CC
w
w
>
zrn
Z
Cfw
C7
ZZ
CL
a
U
LU
a
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I-0
�z
bW
(D
Surface Elegy.: 32 ft
o
z
W_
cn m
o
0 CL
'` ' '`
GrasslTopsoillRookmat
/
LEAN CLAY
CL
1
SS
4
Light Gray, Brown and Tan Orange, Soft,
/
Moist to Wet Q
3 29
FAT CLAY
Light Gray and Orange, Soft to Medium
CH
2
SS
7
Stiff, Wet
z 13
SILTY SAND
Dark Gray, Loose, Wet
o .15
BORING TERMINATED
5.0
0.0
17 15.0
CW 3 1SS1 1 4
CHI 4 ISSfi 1 4
SMI 5 ISSI 1 8
The stratification fines represent the approximate boundary lines
a between soil and rock types: in -situ, the transition may be gradual.
WATER LEVEL OBSERVATIONS, ft BORING STARTED 3-5-12
r WL a 2 WL) BORING COMPLETED 3-5-12
u
WL � V erracon,RIG 45-08 FOREMAN GE
n
WL CFB JOB # 72125002

PERMEABTETI-Y TEST REPORT
TEST
DATA:
SAMPLE DATA:
Specimen
Height (cm): 11.15
Sample Identification: P-2
Specimen
Diameter (cm): 7.29
Dry
Unit Weight (pcf): 85.8
Visual Description: Gray & Orange Silly
Moisture
Before Test (i): 33.6
Clay
Moisture
After Test 0.0
Remarks: ASTM D5084
Run
Number: 1 * 2 a
Cell
Pressure (psi): 47.0
Maximum Dry Density (pcf):
Test
Pressure(psi): 4-2.0
Optimum Moisture Content (%):
Back
Pressure(psi): 39.9
Diff.
Head (psi): 2.1
Percent Compaction:
Flow
Rate (cc/sEc):5.14x10-5
Permeameter type: Flexible Wall
Perm.
(cm/sec): 8.66x 10--8
Sample type: Undisturbed
TIME - t (sec)
0 10000
20000 30000 40000
0
Q
U
1 —
I
2
I�
_1
0
3 —
0
4
— —
s
r.
5
U
N
1 x 10^-7
0
—
8 x 10^-5
—
E
U
fi x 10^-8
—
S
4 x 10 -8 —
}
h-i
J
m
2 x 10-8
—
Q
W
!Y
w
X 10 -a
0 5
10 15 20
AVERAGE HYDRAULIC
GRADIENT - dH/L (cm/cm)
Project: Bertie County High School
Project No.: 72125002
Location:
Windsor, NC
File No.. -
Date:
3/6/2012
Lab No.:
Tested by: LW
PERMEABT TTY TEST REPORT
Checked by: CFB
TERRACON CONSULTANTS,
INC-
Test: CH - Constant heod

GENERAL NOTES
DRILLING & SAMPLING SYMBOLS:
SS:
Split Spoon - 1 '!s" l.D., 2" O.D., unless otherwise noted
HS:
Hollow Stem Auger
ST:
Thin -Walled Tube— 2" O.D., 3" O.D., unless otherwise noted
PA:
Power Auger (Solid Stem)
RS:
Ring Sampler - 2,42" l.D., 3" O.D., unless otherwise noted
HA:
Hand Auger
DB:
Diamond Bit Coring - 4", N, B
RB:
Rock Bit
BS:
Bulk Sample or Auger Sample
WB
Wash Boring or Mud Rotary
The number of blows required to advance a standard 2-inch O.D. split -spoon sampler (SS) the last 12 inches of the total 18-inch
penetration with a 140-pound hammer falling 30 inches is considered the "Standard Penetration" or "N-value".
WATER LEVEL MEASUREMENT SYMBOLS:
WL: Water Level WS: While Sampling BCR: Before Casing Removal
WCL Wet Cave in WD: While Drilling ACR: After Casing Removal
DCI: Dry Cave in AB: After Boring NIE: Not Encountered
Water levels indicated on the boring logs are the levels measured in the borings at the times indicated. Groundwater levels at other
times and other locations across the site could vary. In pervious soils, the indicated levels may reflect the location of groundwater. In
low permeability soils, the accurate determination of groundwater levels may not be possible with only short-term observations.
DESCRIPTIVE SOIL CLASSIFICATION: Soil classification is based on the unified Soil Classification System, Coarse Grained Soils
have more than 50% of their dry weight retained on a #200 sieve; their principal descriptors are: boulders, cobbles, gravel or sand.
Fine Grained Soils have less than 50% of their dry weight retained on a 4200 sieve; they are principally described as clays if they are
plastic, and silts if they are slightly plastic or non -plastic. Major constituents may be added as modifiers and minor constituents may
be added according to the relative proportions based on grain size. In addition to gradation, coarse -grained soils are defined on the
basis of their in -place relative density and fine-grained soils on the basis of their consistency.
CONSISTENCY OF FINE-GRAINED SOILS
Unconfined Standard Penetration
Compressive or N-value (SS)
Consistency
Strength, Qu, psf BlowslFt,
< 500 0-1
Very Soft
500 --1, 000 2-4
Soft
1,000 — 2,000 4-8
Medium Stiff
2,000 — 4,000 8 —15
Stiff
4,000 — 8,000 15 — 30
Very Stiff
8,000+ 30+
Hard
RELATIVE PROPORTIONS OF SAND AND GRAVEL
Descriptive Term(s)
Percent of
of other constituents
Dry Weight
Trace
<15
With
15 — 29
Modifier
>29
RELATIVE PROPORTIONS OF FINES
Descriptive Term(s) Percent of
of other constituents Dry Weight
Trace <5 -
RELATIVE DENSITY OF COARSE -GRAINED SOILS
Standard Penetration
or N-value (SS) Relative Density
Bl owslFt.
0-3 Very Loose
4-9 Loose
10-29
Medium Dense
30 — 49 Dense
50+ Very Dense
GRAIN SIZE TERMINOLOGY
Major Component
of Stele Particle Size
Boulders Over 12 in. (300mm)
Cobbles
12 in. to 3 in. (300mm to 75mm)
Gravel
3 in. to #4 sieve (75mm to 4.75mm)
Sand
#4 to #200 sieve (4.75 to 0.075mm)
Silt or Clay
Passing #200 Sieve (0.075mm)
PLASTICITY DESCRIPTION
Term Plasticity
Index
Non -plastic 0
With 5-12 Low 1 —10
Modifier >12 Medium 11 — 30
High >30
Irerracon
Figure B-1

UNIFIED SOIL CLASSIFICATION SYSTEM
Criteria for Assigning Group Symbols and Group Names Using Laboratory Tests"
Soil Classification
Group
Symbol
Group Names
Coarse Grained Soils Gravels Clean Gravels
Cu z 4 and 1 s Cc s 3E GW
Well -graded gravel`
More than 50% retained More than 50% of coarse Less than 5% fines`
Cu <4 and/or 1 > Cc> 3E GP
Poorly graded gravel'
fraction retained on
on No. 200 sieve No. 4 sieve Gravels with Fines More Fines classify as ML or MH GM
Silty gravel`s "
than 12% fines`
Fines classify as CL or CH GC
Clayey gravelF°"
Sands Clean Sands
Cu z 6 and 1 s Cc s 3E SW
Wetl-graded sand'
50% or more of coarse Less than 5% fines'
Cu < 6 and/or 1 > Cc > 3' SP
Poorly graded sand`
fraction passes
No. 4 sieve Sands with Fines
Fines classify as MIL or MH SM
Silty sand°H1
More than 12% fines°
Fines Classify as CL or CH SC
Clayey sand"'
Fine -Grained Soils Silts and Clays inorganic
PI > 7 and plots on or above °A" line' CL
Lean clay"'-"
50% or more passes the Liquid limit less than 50
PI < 4 or plots below 'A' line' ML
Silt" "
No. 200 sieve �
organic
Liquid limit - oven dried
-
Organic clay"-""
< 0.75 OL
Liquid limit - not dried
OrganicSiltK•4MO
Silts and Clays inorganic
PI plots on or above "A" line CH
Fat Gay"`"
Liquid limit 50 or more
PI plots betow'A" line MH
Elastic Silt" 4"
organic
Liquid limit - oven dried
Organic clay','"'
< 0.75 OH
Liquid limit - not dried
Organic Silt' " °
Highly organic soils Primarily organic matter, dark in color, and organic odor PT
Peat
A
Based on the material passing the 3-in. (75-mm) sieve
"If fines are organic, add 'with organic fines"
to group name,
a If field sample contained cobbles or boulders, or both, add 'Wth cobbles
' If soil contains -a 150/6 gravel, add 'with gravel" to group name,
or boulders, or both" to group name.
J If Atterberg limits plot in shaded area, soil
is a CL-ML, silty clay.
°Gravels with 5 to 12% fines require dual symbols: GW-GM well -graded
If soil contains 15 to 29% plus No. 200, add
"with sand" or "with
gravel with silt. GW-GC well -graded gravel with clay, GP -GM poorly
gravel," whichever is predominant.
graded gravel with silt, GP -GC poorly graded gravel with day.
If soil contains 2� 30 o � plus No. 200 predominantly sand, add
°Sands with 5 to 12% fines require dual symbols: SW-SM well -graded
"sandy" to group name.
sand with silt, SW -SC well -graded sand with day, SPSM poorly graded
M
sand with silt, SP-SC poorly graded sand with clay
If soil contains a o plus No. 200, predominantly
gravel, add
"gravelly" to group naa me.
p
z
e Cu = Dw/D,o Cc - —(D,.� -
"PI Z 4 and plots on or above "A" line.
D,o x No
OPI < 4 or plots below "A" line.
F If soil contains z 15% sand, add "with sand" to group name.
P PI plots on or above "A" line.
elf fines classify as CL-ML, use dual symbol GC -GM, or SC-SM.
OR plots below "A" line.
eo — — — For classification of fine-grained
soils and fine-grained fraction
50 , of coarse -grained soils Epp,' i ,'°e
Equation of "A" - line .J P
Horizontal at PI=4 to LL=25.5.
O� —I
40 then PI 0.73 (LL-20) _—I_._-_-- _ -- `
p Equation of "U" -line �o
Z VertiCa} at LL=16 to PI=7, G
30 , then PI=0.9 (LL-8) i
20
MH or C
i l
7
4 _ - - ML or OL
0
0 10 16 20 00 40 50 60 70 e0 90 too 110
LIQUID LIMIT (LL)
Irerracon.
Figure B-2