SW8120607_CURRENT PERMIT_20120726

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW 04&t'J
DOC TYPECURRENT
PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

J *
NCDEE R
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P E Dee Freeman
Governor Director Secretary
July 26, 2012
Michael Pace, President
Friendly Mart, Inc
141 McKee Oil Company Road
Mount Olive, NC 28365
Subject State Stormwater Management Permit No. SW8120607
Friendly Mart — Hwy 258 at Northridge Subdivision
High Density Commercial Wet Detention Pond Project
Onslow County
Dear Mr Price
The Wilmington Regional Office received a complete Stormwater Management Permit
Application for Friendly Mart on July 9, 2012 Staff review of the plans and specifications has
determined that the protect, 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 SW8
120607 dated July 26, 2012, 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 26, 2020, and shall be subject
to the conditions and limitations as specified therein Please pay special attention to the
conditions listed in this permit regarding the Operation and Maintenance of the BMP(s),
recordation of deed restrictions, procedures for changes of ownership, transferring the permit,
and renewing the permit Failure to establish an adequate system for operation and
maintenance of the stormwater management system, to record deed restrictions, to transfer the
permit, or to renew the permit, 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 heanng 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 fled 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 corn
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 at [phone]
Sincerely,
'�Vm harle Wakild, P E , Director
Division of Water Quality
GDS/ sgp S 1WQS1Stormwater\Permits & Protects120121120607 HD12012 07 permit 120607
cc John Pierce, PLS — John L Pierce & Associates, P A
David Newsom — Crystal Coast Engineering, P A
Onslow County Budding Inspections
Wilmington Regional Office Stormwater File
Wilmington Regional Office
127 Cardinal Drive Extension Wilmington, North Carolina 28405
Phone [phone] FAX [phone] DENR Assistance 1-877-62M748
Internet www rimaterquality org
An Equal Opportunely 1 Aifirmatvs Acton Employer

State Stormwater Management Systems
Permit No SW8 120607
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
Friendly Mart, Inc
Fnendly Mart — Hwy 258 at Northndge Subdivision
4981 Hwy 258, Jacksonville, Onslow County
FOR THE
construction, operation and maintenance of one (1) 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 26, 2020, 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 17 of this permit The stormwater control has been designed
to handle the runoff from 63,972 square feet of impervious area
3 A 50' wide vegetative buffer must be provided and maintained 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 in this permit, and
per approved plans The built -upon area for the future development is limited to 7,200
square feet This future amount is included in the total allowable built -upon area of
63,972 square feet
5 All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements The final plats for the project will be recorded
showing all such required easements, in accordance with the approved plans
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 8

State Stormwater Management Systems
Permit No SW8 120607
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, acres
Onsite, ft
Offsite, ft'
c Design Storm, inches
d Average Pond Design Depth, feet
e TSS removal efficiency
f Permanent Pool Elevation, FMS!2
g Permanent Pool Surface Arei, ft
h Permitted Storage Volume, ft
i Temporary Storage Elevation, FMSL
1 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
1 634
71,185
0
1 469
63,972
0
15
31
90%
465
7,573
7,677 at temporary pool elev
474
004
1 5" diameter
003
4,973
NIA
UT New River 1 New River
19-(1)
11c,SW"
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
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
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
Page 3of8

State Stormwater Management Systems
Permit No SW8 120607
8 Access to the stormwater facilities for inspection and maintenance shall be
maintained via appropriate recorded easements at all times
9 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 protect area The protect 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 protect 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
13 Prior to the sale of any lot, the following deed restrictions must be recorded
a The following covenants are intended to ensure ongoing compliance with State
Stormwater Management Permit Number SW8 120607, as issued by the
Division of Water Quality under NCAC 2H 1000
b The State of North Carolina is made a beneficiary of these covenants to the
extent necessary to maintain compliance with the Stormwater Management
Permit
c These covenants are to run with the land and be binding on all persons and
parties claiming under them
d The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State of North Carolina, Division of
Water Quality
e Alteration of the drainage as shown on the approved plans may not take place
without the concurrence of the Division of Water Quality
f The maximum built -upon area per lot is 63,972 square feet This allotted
amount includes any built -upon area constructed within the lot property
boundaries, and that portion of the right-of-way between the front lot line and
the edge of the pavement Built upon area includes, but is not limited to,
structures, asphalt, concrete, gravel, brick, stone, slate, coquina and parking
areas, but does not include raised, open wood decking, or the water surface of
swimming pools
g All runoff from the built -upon areas on the lot must drain into the permitted
system This may be accomplished through providing roof drain gutters, which
drain to the pond or street, grading the lot to drain toward the street or directly
into the pond, or grading perimeter swales and directing them into the pond or
Page 4 of 8

State Stormwater Management Systems
Permit No SW$ 120607
street
h Built -upon area in excess of the permitted amount will require a permit
modification
i All affected lots shall maintain a 50' wide vegetative buffer adjacent to surface
waters, measured horizontally from and perpendicular to the normal pool of
impounded structures, the top of bank of each side of streams and rivers and
the mean high water line of tidal waters
I 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 G S 143, Article 21
k Each lot within the subdivision whose ownership is not retained by the
permittee, must submit a separate Offsite Stormwater Management Permit
application package to the Division of Water Quality and receive a permit prior
to any construction on the lot
I If permeable pavement BUA credit is requested, the property owner must
submit a request, with supporting documentation, to the permittee and receive
approval prior to construction
14 A copy of the recorded deed restrictions must be submitted to the Division within 30
days of the date of recording the plat, and prior to selling lots The recorded copy
must contain all of the statements above, the signature of the Permittee, the deed
book number and page, and the stamp/signature of the Register of Deeds
III GENERAL CONDITIONS
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 protect, or a mailingg 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 protect in whole
or in part, nor the conveyance of common area to a third party constitutes an
approved transfer of the stormwater permit
3 Any individual or entity found to be in noncompliance with the provisions of this
storrmwater management permit or the requirements of the Stormwater rules is
subject to enforcement procedures as set forth in G S 143 Article 21
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 for the purpose of inspecting all components of the permitted
stormwater management fcility
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
Page 5 of 8

State Stormwater Management Systems
Permit No SW8 120607
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 26th day of July, 2012
TH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
5Wision of Water Qualityr --,-
By Authority of the Environmental Management Commission
Page 6 of 8

=s� Y pWQ USE' ONLY '
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✓ �i..0 �i�3'� "` a�.t�. 4�'k`'^z+` r'a,.r�,Rr .. ,. xa �. er A" �^ �
Date Rgceivfid
Fee Paid
Permit Number
S
Applicable Rules
(select all that apply)
Coastal SW —1995 ❑ Coastal SW — 2008 ❑ Ph II - Post Construction
❑ 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 Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This farm 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)
Friendly Mart Highway 258 at Northridge Subdivision
2 Location of Project (street address)
City Jacksonville Township County 0onslaw _ Zip 28540
3 Directions to project (from nearest major intersection)
From Jacksonville, NCB head east towards Richlands on Hwy 258 (_Richlands Hwy) Property is located on the
left, approx 1800 feet south of NC 111 (Catherine Lake Road)
4 Latitude 34' 48' 39 55" N Longitude 77' 30' 40" 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 5ONot 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 NSedimentation/Erosion Control 2 22 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Pernut 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 T —
Cft
MAY 3 0 '-:'.2
Form SWU-101 Version 07Jun2010 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 protect)
Applicant/Organization Friendly mart, Inc
Signing Official & Title Michael Price, President__
b Contact information for person listed in item la above
Street Address 141 McKee Oil Companv Road
City Mount Olive State NC Zip 28365
Mailing Address (if applicable) P O Box1019
City Mount Olive T State NC Zip 28365
Phone (919 ) 658-2851 Fax ( )
Email
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 ('Plus is the
person who owns the property that the project is located on)
Property Owner/Organization . ._.. ._,.. &o w rrr end
Signing Official & Title Dewey Edwards Ir, President Ue t d e*
b Contact information for person listed in item 2a above
Street Address 405 Iohnson Blvd _
City Jacksonville _ State SIC-__ _ Zip 28540
Mailing Address (if applicable) P O Box 1685 _
City Jacksonville State NC. Zip 28540
Phone (910 ) 346-9800Fax
Email
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/Organization
Signing Official & Title
b Contact information for person listed in item 3a above
Mailmg Address
City State
Phone ( ) _ _ Fax
Email
4 Local jurisdiction for building permits
Point of Contact Vanes Phone #
Form SWU-101 Version 07Jun2010 Page 2 of 6
Zip
161

` IV. PROJECT INFORMATION
I In the space provided below, bnefly summarize how the stormwater runoff will be treated
Detention Pond via network of undeUound storm pipes
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 Perrrut 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 41 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 41 acres
+ TotaI project area shall be calculated to exclude the followin the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line The resultant project area is used to
calculate overall percent built upon area WrAj Non -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 = 61 %
9 How many drainage areas does the protect have?l (For high density, count I for each proposed engineered
stormwater BMP For Iow density and other projects, use I for the whole property area)
10 Complete the following information for each drainage area identified in Project Information item 9 If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below
Baslrir'Informatiori` �� �
, I?raina a Area`l�
D`raina` e Area`
;Draiiia enAreai~1-
,Drama e�rea1�R
Receiving Stream Name
UT of New River
Stream Class *
C,NSW
Stream Index Number *
19-(1)
Total Drainage Area (so
71,185 sf
On -site Drainage Area (sf)
71,185 sf
Off -site Drainage Area (so
-0-
Proposed Impervious Area** (sf)
63,972 sf
% impervious Area** (total)
89 9 °gyp
1Iin�` rvioiis Surface Aie� „�°�
D'raina e'Aiea t
tDraina e Ar a�
$Draina0 a Area �'k
Draina e'W ea
On -site Buildings/Lots (sf)
11,360 sf
On -site Streets (so
-0-
On-site Parking (so
44,757 sf
On -site Sidewalks (sf)
655 sf
Other on -site (sf)
-0-
„ I
Future (sf)
7200 sf
Off -site (sf)
-0-
Existing BUA*** (so
-0-
Total (sf)
63,972 sf
* Stream Class and Index Number can be determined at ht ortal ncdertr or g/web s csu classi ications
** Im ,pervious 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 remain 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 of 6

1 11 How was the off -site impervious area listed above determined? Provide documentation N/A_
Projects in Union County Contact DWQ Central Office staff to check if the project is located within a Threatened &
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 h ortal ncdenr org/webZwqZwsZsuZbmp-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 hffp I Z12ortal ncdenr org/web/wq/ws/su/statesw/fon-ns does The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the mteracbve online map at h ortal ncdenr org/web/wqJwsZsuZma12s }
Please indicate that the following required information have been Rrovided by initialing in the space provided
for each item All original documents MUST be signed and imbaled in blue ink Download the latest versions
for each submitted application package from h ortal ncdenr orgZweb/wq/ws/su/stateswZforms does
1 Original and one copy of the Stormwater Management Permit Application Form
2 Original and one copy of the signed and notarized Deed Restnchons & Protective Covenants
Form (if required as per Part VII below)
3 Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP
4 Pernut application processing fee of $505 payable to NCDENR (For an Express review, refer to
hUp / /www envhelp orgLpagesjonestopexpress 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 rr
receiving stream drams to class SA waters within 1h mile of the site boundary, include the Yz
mile radius on the map ��-
7 Sealed, signed and dated calculations
8 Two sets of plans LQWgd_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 MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lutes
• 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
l Details of roads, drainage features, collection systems, and stormwater control me ur1AAY 3 0 2012
in Wetlands delineated, or a note on the plans that none exist (Must be delineated
qualified person Provide documentation of qualifications and identify the perso ho
made the determination on the plans BY.
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

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 MRCS 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 determinimg the infiltration rate
(Infiltration Devices submitted to WiRO Schedule a site visit for DWQ to verify the SHWT prior
to submittal, [phone] ) f}
10 A copy of the most current property deed Deed book 2813 Page No 105-11Q_ �(
11 For corporations and lunited liability corporations (LLC) Provide documentation from the NC _�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 2H 1003(e) The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned
http //www secretary state nc us/Corporations/CSearch aWx
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/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 K Newsom, PE _
Consulting Firm Crsytal Coast Engineering, PA _
Mailing Address 20 3 Ward Road
City Swansboro State NC____ Zip 28584
Phone (910 ) 325-0006
Email crvstalcoasteng®bizec rr com
Fax (910 ) 326-0060
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, stern 2a) Dewgy Edwards Ir, President , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
Iisted in Contact Information, item 1a) Michael Price with (print or type name of organization listed in
Contact Information, item 1a)_Friendly Mart, Inc _^ _ 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
EC;E0
MAY 3 0 2012
8Y
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 peanut 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 1
Signature Date 51 Z-L (I Z
I, a Notary Public for the State of N _ County of
do hereby certify that J !�4 Uhl S personally appeared
before me this = day of 2-01 2and acknowledge the due execution of the application for
a stormwater permit Wntne my hand and official seal,
0 %.
'Z 20IARI-
Oy ,oUB1.�t' ?
°w coy
X. APPLICANT'S CERTIFICATION
SEAL
My commission expires l0(24 _ U L (f _
I, (print or type name of person Iisted in Contact Information, item 1 a) Michael Price, President
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the protect will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, W that the proposed protect complies with the requirements of the
applicable stormwateryules Wder 154 Nf4t 2H 1000, SL 2006-246 (Ph 11-- Post Construction) or SL 2008-211
Signature
Date fi� az3 zz-15102—
I, a Notary Public for the State of County of
Q ►• � do hereby certify that 4 Y l_ t dA&L L. PC,`LA-- personally appeared
before me this ,�S day of . Y� OU, � ZQ1 Z , and acknowledge the due execution of the application for
a stormwater pernut Witness my hand and official seal,1 '0� 1I La-
4- n
SEAL
My commission expires _ IT- 5 " Act-7
,'JCEUVE
i
MAY 3 0 2012
�r
Form SWU-101 Version 07Jun2010 Page 6 of 6

High Density Commercial Subdivisions
Deed Restrictions & Protective Convenances
In accordance with Title 15 NCAC 2H 1000 and S L 2006-246, the Management Regulations, deed
restrictions and protective covenants are required for High Density Commercial Subdivisions where
lots will be subdivided and sold and runoff will be treated in an engineered stormwater control facility
Deed restrictions and protective covenants are necessary to ensure that the development maintains a
built -upon area consistent with the design criteria used to size the stormwater control facility
I, Michael Price, acknowledge, affirm and agree by my signature below, that I will cause the following
deed restrictions and covenants to be recorded prior to the sale of any lot within the project known as
Friendly Mart — Highway 258 at Northridge Subdivision
9 The following covenants are intended to ensure ngoing compliance with State Stormwater
Management Permit Number �SLy�/��D , as issued by the Division of Water Quality
under the Stormwater Management Regulations
2 The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit
3 These covenants are to run with the land and be binding on all persons and parties claiming
under them
4 The covenants pertaining to stormwater may not be altered or rescinded without the express
wntten consent of the State of North Carolina, Division of Water Quality
5 Alteration of the drainage as shown on the approved plan may not take place without the
concurrence of the Division of Water Quality
6 The maximum allowable built -upon area per lot is 63,972 square feet
*Note- If the BUA per lot varies, please substitute the following statement for the one above and
provide a complete listing of the proposed BUA for each lot:
The maximum built -upon area per lot, in square feet, is as listed below
Lot # BUA Lot # BUA Lot # BUA Lot # BUA
This allotted amount includes any built -upon area constructed within the lot property boundaries,
and that portion of the right-of-way between the front lot line and the edge of the pavement Built
upon area includes, but is not limited to, structures, asphalt, concrete, gravel, buck, stone, slate,
coquina and parking areas, but does not include raised, open wood decking, or the water
surface of swimming pools
7 All runoff from the built -upon areas on the lot must drain into the permitted system This may be
accomplished through a vanety of means including roof drain gutters which drain to the street,
grading the lot to drain toward the street, or grading perimeter swales to collect the lot runoff
and directing them into a component of the stormwater collection system Lots that will naturally
drain into the system are not required to provide these add►tional measures
6 The owner of each lot, whose ownership is not retained by the permittee, is required to submit a
separate stormwater permit application to the Division of Water Quality and receive a permit
prior to construction
9 The project and each lot will maintain a 30** foot wide vegetated buffer between all impervious
areas and surface waters
**50 foot for projects located in the 20 coastal counties.
w _GEUVE
a
MAY 3 0 2012
Form DRPC-1 Rev 2 05Nov2OO9 Page I. of 2

High DealLty Commercial Subdivisions
Si
State of N L , C� County of �L,
(�
do hereby certify that i C ll�,� L �`' Cf� u— personally appeared C before me this the 3 day of �aq , 20 �I , and acknowledge
the due execution of the foregoing instrument Witness my hand and official seal,
SEAL
R Qn I- - .6 �. �
Signature n
My Commission expires
' 3 " n'
C;EIVE
MAY 3 0 2012
Form DRPC-1 Rev 2 05Nov2009 Page 2 of 2

Permit No —
(to be provided by DWQ)
AA o�OF W a r�RpG
h
NCDENR
O �
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted
The Required Items Checklist (Part tit) must be printed, filled out and submitted elorig wdh all of the required information
I PROJECT INFORMATION
Project name Friendly Mart Highway 258 at Northridge Subdivision
Contact person David K Ne%wm PE Crystal Coast Engineering PA
Phone number 910-325 0006
Date 4127/2012
Drainage area number 1
II DESIGN INFORMATION
Site Characteristics
Drainage area
71,185 re
Impervious area, post -development
63,972 ftz
% impervious
8987 %
Design rainfall depth
1 5 in
Storage Volume Non SA Waters
Minimum volume required
Volume provided
Storage Volume SA Waters
1 5' runoff volume
Pre -development 1 yr, 24 hr runoff
Post -development 1 yr, 24 hr runoff
Minimum volume required
Volume provided
Peak Flow Calculations
Is the prelpost control of the 1yr 24hr storm peak flow required?
1 yr, 24 hr rainfall depth
Rational C, pre -development
Rational C, post -development
Rainfall intensity 1 yr, 24 hr storm
Pre -development 1 yr 24 hr peak flow
Post -development 1 yr 24 hr peak flow
PrelPost 1 yr, 24 hr peak flow control
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx at the perm pool elevation)
Top of 1 Oft vegetated shelf elevation
Bottom of 1Oft vegetated shelf elevation
Sediment cleanout, top elevation (bottom of pond)
Sediment deanout bottom elevation
Sediment storage provided
Is there additional volume stored above the stale required temp pool?
Elevation of the top of the additional volume
7,642 fe
7,677 ft3
OK, volume provided is equal to or in excess of volume required
to
ft3
ft3
ft3
ft3
y (Y or N)
37 in
015 (unitless)
082 (umtless)
015 in/hr OK
004 ft3lsec
020 ft3lsec
016 ft3lsec
47 40 fmsl
4650 fmsl
47 00 fmsl
4700 fmsl
4600 fmsl Data not needed for calculation option #1, but OK if provided
39 00 fmsl
3800 fmsl Data not needed for calculation option #1 but OK d provided
100 It
-----------------
(YarN) RECEIVEl7
47 4 fmsi OK
JuN og 2012
BY:
Fond SW401 Wet Detention Basin Rev 9-4/18112 Pads I & 11 Design Summary Page 1 of 2

Permit No SW? 1 Z0&0%
(to be provided by DWQ)
-011
I11DI;SIGNIINFORMATION
Surface Areas
Area temporary pool
9,488 ft
Area REQUIRED, permanent pool
7,387 ft
SAIDA ratio
1038 (unidess)
Area PROVIDED, permanent pool, Ap„r ,w
7,573 fe OK
Area, bottom of 10ft vegetated shelf, A i ,,w
5,554
Area, sediment cleanout, top elevation (bottom of pond), A,,_P,,
352
Volumes
Volume, temporary pool
7 677 ft' OK
Volume permanent pool Vp—_p ,
23,403 ft3
Volume, forebay (sum of forebays if more than one forebay)
4,973 ft'
Forebay % of permanent pool Volume
21 2% % OK
SAIDA Table Data
Design TSS removal
Coastal SAIDA Table Used?
MountainlPiedmont SAIDA Table Used?
SAIDA ratio
Average depth (used in SAIDA table)
Calculation option 1 used? (See Figure 10 2b)
Volume permanent pool, Vpe--DCd
Area provided, permanent pool Ap._p.
Average depth calculated
Average depth used in SAIDA, d. (Round to nearest 0 5ft)
Calculation option 2 used? (See Figure 10 2b)
Area provided, permanent pool, Ap.-p.
Area, bottom of 14ft vegetated shelf, Abuedr
Area sediment deanout, top elevation (bottom of pond) A,a p m
'Depth' (distance b/w bottom of 10ft shelf and top of sediment)
Average depth calculated
Average depth used in SAIDA d. (Round to down to nearest 0 5ft)
Drawdown Calculations
Drawdown through orifice?
Diameter of orifice (if circular)
Area of orifice (if non -circular)
Coefficient of discharge (Cfl)
Driving head (Hr,)
Drawdown through weir?
Weir type
Coefficient of discharge (C )
Length of weir (L)
Onvrng head (H)
Pre -development 1 yr 24 hr peak flow
Post -development 1 yr, 24 hr peak flow
Storage volume discharge rate (through discharge onfice or weir)
Storage volume drawdcwn time
Additional Information
Vegetated side slopes
Vegetated shelf slope
Vegetated shelf width
Length of flowpath to vndth ratio
Length to vndth ratio
Trash rack for overflow & orifice?
Freeboard provided
Vegetated filter provided?
Recorded drainage easement provided?
Capures all runoff at ultimate build -out?
Drain mechanism for maintenance or emergencies is
90 %
Y (YorN)
N (Y or N)
10 38 (unittess)
Y (Y or N)
23,403 5'
7,573 f!'
309 ft
31It
N (Y or N)
7,573
5,554 ft
352 fe
700 ft
309 ft
31ft
Y (Y or N)
150 in
in
060 (unitless)
031 It
N (Y or N)
(unidess)
(unifless)
ft
ft
004 ft'Isec
003 fe/sec
003 fP/sec
270 days
OK
OK
OK
OK
OK, draws down in 2 5 days
3 1
OK
10 1
OK
100 It
OK
3 1
OK
40 1
OK
Y (Y or N)
OK
10 ft
OK
N (Y or N)
OK
Y (Y or N)
OK
Y (Y or N)
OK
Pump
Form SW401 Wet Detention Basin -Raw 9-1119112 Parts i & t1 Design Summary Page 2 of 2

Permit Number
(to be provided by DWQ)
Drainage Area Number
Wet Detention Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP This maintenance record will be kept in a
log in a known set location Any deficient BMW elements noted in the inspection will be
corrected, repaired or replaced immediately These deficiencies can affect the mtegnty
of structures, safety of the public, and the removal efficiency of the BMW
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 EOVE
flushing of sediment through the emergency drain should be ed to the
maximum extent practical MAY 3 0 2012
— Once a year, a dam safety expert should inspect the embankm Y
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 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
approxurtately six inches
Form SW40I-Wet Detention Basin O&M -Rev 4 Page 1 of 4

Permit Number 54 120(00.7
(to be provided by DWQ)
Drainage Area Number
BMP element-
Potential problem
How I will remediate the problem
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 nprap to avoid
future problems 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 nprap if needed to
revent future erosion j2roblems
Weeds are present
Remove the weeds, preferably by
hand If pesticide is used, wipe it on
the pjants 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
Plants are dead, diseased or
Determine the source of the
dying
problem soils, hydrology, disease,
etc Remedy the problem and
replace plants Provide a one -tune
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 121ants 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
onginaI 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, phragnutes or other
Remove the plants by wiping them
invasive plants cover 50% of
with pest3cxde (do not spray)
the basin surface
EC E IVE
MAY 3 Q 2012
Form SW401-Wet Detention Basm O&M -Rev 4 Page 2 of 4
�jY_ _ —_

ft
Permit Number 5W 6 I 2ob67 _
(to be provided by DWQ)
Drainage Area Number
BMP element-
Potential problem
How I will remediate the problem
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
shows that the embankment
needs repair if a hcable
The outlet device
Clogging has occurred
Clean out the outlet device DLspose
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 7 5 feet in the maul pond, the sediment
shall be removed
When the permanent pool depth reads 6 5 feet in the forebay, the sediment
shall be removed
Sediment Removal
Bottom
BASIN DIAGRAM
(fill in the blanks)
4000 To
anen----------- lume
3900 Mtn
Sedument
Storage
FOREBAY
Permanent Pool Elevation 46 50
Pool
,- - - - - -Sediment Removal Elevation 39 00- I Volume
Bottom Elevation
MAIN POND
I-ft
Storage
Form SW401-Wet Detention Basin O&M -Rev 4 Page 3 of 4

Permit Number S W 9 t Z.o (o o 7
(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 I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party
Project name Friendly_ Mart -_Highway 258 at Northridge Subdivision _
BMP drainage area number 1 and only
Print name Michael Price
Title President
Address 141 McKee Oil Company Road _
Phone
Signatt
Datea�--
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, QL)� iIL 'I? "z2 , a Notary Public for the State of
f C, , County of iC , do hereby certify that
personally appeared before me this 2 3
day of M , Z%zi 1 I , and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements Witness my hand and official
SEAL
My commission expires
Form SW401-Wet Detention Basin O&M -Rev 4 Page 4 of 4