SW7131016_CURRENT PERMIT_20131106

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW_���JIDIG�
DOC TYPE
CURRENT PERMIT
APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

AM
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM Pat McCrory, Governor
Director John E. Skvada, III, Secretary
November 6, 2013
Wal-Mart Stores East, LP
Mr. Michael Thomas, Director of Project Design & Management
2001 SE 10th Street
Bentonville, AR 72716
Subject: Stormwater Permit No. SW7131016
Wal-Mart Store # 7218-00, New Bern
High Density Commercial Wet Pond Project
Craven County
Dear Mr. Thomas:
The Washington Regional Office received a complete Stormwater Management Permit
Application for the Wal-Mart Store # 7218-00 in New Bern on October 23, 2013 and additional
information on October 28, 2013. Staff review of the plans and specifications has determined
that the project, as proposed, will comply with the Stormwater Regulations set forth in Session
Law 2008-211 and Title 15A NCAC 2H.1000. We are forwarding Permit No. SW7131016 dated
November 6, 2013, for the construction of the subject project.
This permit shall be effective from the date of issuance until November 6, 2021, and shall be
subject to the conditions and limitations as specified therein. Please pay special attention to the
Operation and Maintenance requirements in this permit. Failure to establish an adequate
system for operation and maintenance of the stormwater management system will result in
future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following
receipt of this permit. This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made
this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please contact
me at [phone].
Sind
Scott 4� Vinson
Environmental Engineer
G:\LR\SWP\SAV\G-Stormwater\PERMIT\SW7131016
cc: Chris Capellini, PE — Bohler Engineering
New Bern Planning / Building Inspections
v4vashington Regional Office
Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889 • Phone: [phone] / FAX: [phone]
Internet: http://www.portal.ncdenr,org/web/lr/land-quality
An Equal Opportunity I Affirmative Action Employer - 50%Recyc1ed110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Wal-Mart Stores East, LP
Wal-Mart Store # 7218-00, New Bern
Craven County
FOR THE
construction, operation and maintenance of one wet detention pond in compliance with
the provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter referred to
as the "stormwater rules') and the approved stormwater management plans and
specifications and other supporting data as attached and on file with and approved by
the Division of Energy, Mineral, and Land Resources and considered a part of this
permit.
This permit shall be effective from the date of issuance until November 6, 2021, and
shall be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 of this permit. The stormwater control has been
designed to handle the runoff from 176,854 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in this permit,
and per approved plans.
4. 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.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 50 feet
landward of all perennial and intermittent surface waters.
Page 2 of 7

7. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a. Drainage Area, ft2:
b. Total Impervious Surfaces, ft2:
C. Design Storm, inches:
d. Pond Depth - average, feet:
e. TSS removal efficiency:
f. Permanent Pool Elevation, FMSL:
g. Permanent Pool Surface Area required, ft2
h. Permanent Pool Surfacs Area, ft
i. Min. Volume required, ft :
j. Permitted Storage Volume, ft':
k. Temporary Storage Elevation, FMSL:
I. Controlling Orifice:
M. Permitted Forebay Volume, ft3:
n. Receiving Stream/River Basin:
o. Stream Index Number:
P. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
12
267,458
176,854
1.5
3.0
90%
15.00
21,664
29,409
22,738
35,827
16.00
2.50" 0 pipe
18,539
LIT to Neuse River / Neuse
27 — (96)
"SC; Sw, NSW"
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.
During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
The permittee shall at all time provide the operation and maintenance necessary
to assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the vegetated filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, level
spreader, filter strip, catch basins and piping.
q. Access to the outlet structure must be available at all times.
Records of maintenance activities must be kept for each permitted BMP. The
records will indicate the date, activity, name of person performing the work and
what actions were taken.
The permittee shall submit to the Division of Energy, Mineral, and Land
Resources an annual summary report of the maintenance inspection records for
each BMP. The report shall summarize the inspection dates, results of the
inspections, and the maintenance work performed at each inspection.
Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
Page 3 of 7

7. 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.
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.
9. 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.
10. 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. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
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. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
13. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form, to the Division of Energy,
Mineral, and Land Resources, signed by both parties; and accompanied by
supporting documentation as listed on page 2 of the form. The project must be in
good standing with the Division. The approval of this request will be considered
on its merits and may or may not be approved.
Page 4 of 7

2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Energy, Mineral,
and Land Resources, in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. 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 facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2008-
211, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until October 18, 2021.
Application for permit renewal shall be submitted 180 days prior to the expiration
date of this permit and must be accompanied by the processing fee.
Permit issued this the 6th day of November, 2013.
NOR7�AR EMENT COMMISSION
L 1
for
-OTracy . D vis, P CPIM
Division of Energy, Mineral, and Land Resources
By Authority of the Environmental Management Commission
Stormwater Permit No. SW7131016
Page 5 of 7

Wal-Mart Store# 7218-00, New Bern
Stormwater Permit No. SW7131016
Craven County
Designer's Certification
I, as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full
time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DEMLR Washington Regional Office
New Bern Planning / Building Inspections
Page 7 of 7

Wal-Mart Store# 7218-00, New Bern
Stormwater Permit No. SW7131016
Craven County
Designer's Certification
RECEIVE[
J U L 3 1 2014
I, `(�� C fie as a duly registered �HS PK'< < in the
State of North Carolina, having been authorized to observe ttiodicall weekly/ full
time) the construction of the project,
W. I -Kc4 54&,,*- # 7Ll $ -00 , Poi.-)
(Project)
for WC I— I ce+ S+UMS BcSi 0 • (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature �SEAL
Registration Number Dag I I z , ��
Date -ZS— I Ll �r`�C) 6f ESS RO �•
SEAL a
039112
S�'.��lti.GINEE,,.
Page 6 of 7

ill li li jmalli lf!
f Jy i
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Certification Requirements:
�L 1. The drainage area to the system contains approximately the permitted
acreage.
K L 2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
K L 4. All roof drains are located such that the runoff is directed into the system.
i C. 5. The outlet/bypass structure elevations are per the approved plan.
K'L 6. The outlet structure is located per the approved plans.
KC 7. Trash rack is provided on the outlet/bypass structure.
1< 8. All slopes are grassed with permanent vegetation.
XC. 9. Vegetated slopes are no steeper than 3:1.
K C 10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
�C 11. The permitted amounts of surface area and/or volume have been
provided.
)�C 12. Required drawdown devices are correctly sized per the approved plans.
KC 13. All required design depths are provided.
CC 14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
KC 15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DEMLR Washington Regional Office
New Bern Planning / Building Inspections
Page 7 of 7

BOHLER ENGINEERING NC, PLLC
Professional Engineering Services
VIA: FedEX
TO: NCDENR
943 Washington Square Mall
Washington, NC 27889
[phone]
ATTN: Scott Vinson
800 West Hill Street, Charlotte, NC 28208
'relephone:[phone] Fax:[phone]
LETTER OF TRANSMITTAL
RE: Proposed Wal-Mart New Bern, NC
RECEIVED
DATE: July 30, 2014 JUL 3 1 2014
JOB NO: NCC138112
©WQ-WARO
WE ARE SFNDINO YOU ❑ Shup drawings ❑ Copy of letter ®Attached ❑ Prints ❑ Change order
COPIES JOB#
DATE REVISION
REVISION SHEET
DESCRIPTION
DATE NO.
l NCC138112.
07/30/14 N/A
N/A N/A
Designer's Certification
l NCC138112
07/30/14 N/A
N/A N/A
Certification Requirements
These Are Transmitted:
® For approval
[-]For your use
❑As requested
❑ For review and comment
❑Approved as submitted
❑Approved as noted
❑ Returned for corrections
REMARKS:
If you have any questions or require additional information, please do not hesitate to contact Kyle Crowe at this
office at [phone].
COPY TO: SIGNED:
Andrew Moriarty, P.E.
File: 1-1:\2012\NCC 1381 12\Administrative\'I'ransmittals

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BOHLER
ENGINEERING NC, PLLC
NCDENR
943 Washington Square Mall
Washington, NC 27889
[phone]
Attn: Mr. Scott Vinson
800 West Hill Street, Suite 101
Charlotte, NC 28208
PHONE [phone]
FAX [phone]
July 30,2014 RECEIVE®
Via: FedEx
J U L 3 1 2014
D V Q-WARO
Re: Proposed Walmart Neighborhood Market - #7218-00
Stormwater Designer's Certification
New Bem„ NC
Craven County
BE #NCC138112
With regard to the above -referenced project, we are submitting the designer's certification for the proposed Walmart
Neighborhood Market stormwater system.
Attached for your use are:
• One (1) original Designer's Certification
• One (1) original Certification Requirements
Please confirm that you do not need any additional information for review. Should you have any questions or require
additional information, please contact me at [phone].
Sincerely,
BOHLER ENGINEERING, INC.
' `z U
Kyle J. Crowe, P.E.
enc.
cc: H:\2013\NCC138112\Pe fitting\Submittal Packages\NCDENR-Stomtwater Permit Certification
CIVIL AND CONSULTING ENGINEERS • PROJECT MANAGERS • ENVIRONMENTAL CONSULTANTS • LANDSCAPE ARCHITECTS
www.gohterEngineering.com

BOHLER
E N G I N E E R I N G
November 25, 2013
Via: Fed Ex
NCDENR-Express Permitting
943 Washington Square Mall
Washington, NC 27889
Attn: Mr. Scott Vinson
Re: ['reposed Commercial Development
Express Permitting for Stormwater Permit and Land
Disturbance Permit
Oriental, Grantsboro ew Bern
BE #NCC 138117. 13 1-14, 138113
Dear Mr, Vinson:
With regard to the above -referenced projects, we are providing signed applications as requested for your records. Please let
me know if you have any questions. Thanks.
Please confirm that you do not need any additional information for review. Should you have any questions or require
additional information, please contact me at [phone].
Sincerely,
enc.
cc: File
KlGund
BOIILER ENGINEERING, INC.
K le J. Crowe, P.E.
NOV 2 7 2013
P,
CIVIL AND CONSULTING ENGINEERS • PROJECT MANAGERS • SURVEYORS • ENVIRONMENTAL CONSULTANTS • LANDSCAPE ARCHITECTS

e
' DWQ USE ONLY
Date Received
Fee Paid
Permit Number
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Storm water Management Plan
❑ Other WQ M mt Plan:
Department Division Environment ter d Quality
aural Resources t �
State o North Carolina
of
t
Q ty �.;
STORMWATER MANAGEMENT PERMIT APPLICATION FORM NOV 2 7 2013
This form nay be photocopied for use as an original D/hL! C
I. GENERAL INFORMATION - ` F"`t;^'•
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Proposed Wal-Mart Store #7218-00
2. Location of Project (street address):
City:New Bern County:Craven Zip:28560
3. Directions to project (from nearest major intersection):
420 West of the Neuse Blvd and Glenburnie Road Intersection
4. Latitude:35' 7' 32" N Longitude:77' 00' 19" W of the main entrance to the project.
11. PERMIT INFORMATION:
a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenezeals with modifications also requires SWU-102 - Renronal Application Forta
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 ®I-Iigh Density ❑Drains to an Offsite Storm water System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control: 10 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
5. Is the project located within 5 miles of a public airport? �No UYes
If yes, see S.L. 2012-200, Part Vl: littp://120rtal.iicdenr.org/web/wq/ws/su/statesw/rules laws
Form SWU-101 Version 06Aug2012 Page] of6

III. CONTACT INFORMATION
I. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization:Wal-Mart Stores East, LP
Signing Official & Title:Michael "Thomas, Director of Project Design and Management
b.Contact information for person listed in item la above:
Street Address:2001 SE 101" Street
City:13entonville State:AR Lip:72716
Mailing Address (if applicable):
City:
Phone: (479 ) 204-2186
Email:Michael.'1'homasl a Wal-Mart.com
State: Zip:
Fax: (479 ) 273-8380
Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (Phis is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official & Title:
b.Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City:
Phone:
Email:
State Zip:
State: Zip:
Fax: ( )
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization-
Signing Official & Title:
b.Contact information for person listed in item 3a above:
Mailing Address:
City:_
Phone:
Email:
4. Local jurisdiction for building permits:
Fax: ( )
Point of Contact:GreI McCoy Phone #: (252 ) 639-7585
Form SWU-101 Version 06Aug2012 Page 2 of

.. IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater runoff will be treated through a wet detention basin. The basin has been designed to provide for
90% TSS removal and will meet the requirements of the NCDENR Stormwater BMP Manual
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 13uilding Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW - 1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the
4. Total Property Area: 7.36 acres
River basin.
5. Total Coastal Wetlands Area: 0 acres
6. TOtalSurfaceWater Area: 0 acres
7. Total Property Area (4) -Total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project
Area°:7.36 acres
Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (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 (BUA). Non -coastal wetlands Inrndzvard of the NHW (or MHW) line limy
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 65 %
9. How many drainage areas does the project have?l (For high density, count 1 for each proposed engineered
stornnvater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1
Drainage Area
Drainage Area _
Drainage Area _
Receiving Stream Name
Stream Class *
Stream Index Number
Total Drainage Area (sf)
435,600
On -site Drainage Area (so
320,602
Off -site Drainage Area (so
114,998
Proposed Impervious Area*' (so
185,130
% Impervious Area** total
65.0
Impervious** Surface Area
Drainage Area 1
Drainage Area
Drainage Area
Drainage Area _
On -site Buildings/Lots (so
41,117
On -site Streets (so
0
On -site Parking (so
144,013
On -site Sidewalks (so
0
Other on -site (so
0
Future (so
0
Off -site (sf)
0
Existing BUA*** (so
0
Total (so:
185,130
Strewn Class and Index Number can be determined at: lnttp://portal.rncdeur.org/oebf uq/ps/csu/clnssi6'cntimns
impervious area is defined as the built upon area including, but not limited to, buildings, rands, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version 06Aug2012 Page 3 of

Report only that amount Of existing BLIA that will remain offer development. Do not report any existing BUA that
is to be removed and Which will be replaced by neto BUA.
11. I -low was the off -site impervious area listed above determined? Provide documentation. Roadway Plans
Projects in Union County: Contact DIVA Central Office staff to check ifthe project is located within a Threatener/&
Endangered Species watershed that may be subject to more .stringent stormwater requirements as per 15A NC'AC 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 httki://Liortal.ncdetir.org/web/wq/ws/su/bap-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://portil.ncdenr.org/web/wq/ws/su/statesw/forms does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http://portaimcdenr.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 MUS'r 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 does.
Initials
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 VII 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 NCDENIZ. (For an Express review, refer to
http://www.envhelp.org/pages/onestopexLiress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within'/z mile of the site boundary, include the'/z
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
I. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the 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.
in. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
Form SWU-101 Version 06Aug2012 Page 4 of 6

o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify _
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"xll" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHW7'prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: Page No:
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 2H.1003(c).
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.
littp://www.secretary.state.iic.Lis/Corporations/­CSearcli.aspx
VIL DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot sire, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. "Pile appropriate deed restrictions and
Protective covenants forms can be downloaded from
ham://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:Christopher Capellini, PE
Consulting Firm:
Mailing Address:800 West Flit Street, Suite 101
City:Charlotte State:NC Zip:28208
Phone: (980 ) 272-3400
Email:ccapellini a bohlereng.com
Fax: (704 ) 973-0301
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, Complete this
section)
1, (print or hype rmrue 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 brformation, item 'to) with (print or type rmrne of organization listed in
Contact Information, iteru la) 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 06Aug2012 Page 5 of6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item "1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signatu
a Notary Public for the State of , Comity of
do hereby certify that personally appeared
before me this _ day of
and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item In) Michael Thomas
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 21-1 .1000 and any other applicable state stormwater requirements.
Signature: 64::T �— Date: 3
1, ,i;PbW 4 . -,a Notary Public for the State of'AYkoYiCm , County of
8V Dn J , do,hlerebartiifythat ti�;�ho z lf ho mas personally appeared
before me this L day of ND \ft fflb, , 12 13an0 acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
ASHLEY ZEBLEY
MY COMMISSION# 12392230
c t + F
EXPIRES: February25, 2023
`'ZzHsn'
Benton Cunty
SEAL
My commission expires F2I IQQ-3
Form SWU-101 Version 06Aug2012 Page 6 of

�I � r A VY ti � �GS1 f AJ�i?'i 'i
�' l eA: 6 ' �i

Permit Number:
(lo be provided by DOVQ)
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 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): NOV 2 7 2013
❑ does ® does not incorporate a vegetated filter at the outlet.
This system (check one): / ' ` V
® 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 I 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 a pplication..`'_
Vegetation is too short or too
Maintain vegetation at a height of
Ion .
approximately six inches.
r r 2 7 2M
Form SW401-Wet Detention Basin O&M-Rev.4
Page 1 0l'4

Permit Number:
(to be provided by DIYQ)
Drainage Area Number:
BMP 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 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 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.
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-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% of
with pesticide (do not spray).
the basin surface.
Form SW401-Wet Detention Basin O&M-Rev.4
Page 2 of 4

Permit Number:
Oo be provided by DIWQ)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate theproblem:
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 applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC 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 10.00 feet in the main pond, the
sediment shall be removed.
When the permanent pool depth reads 11.00 feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom
BASIN DIAGRAM
(fill in the blanks)
17 Permanent Pool Elevation 15.00
12.00 Pe manen Pool
--------------- Volume Sediment Removal Elevation 11.00
i I I00 -ft Min.
--------------------------------------------
Sediment Bottom Elevation 10.00
Storage
FORE13AY
MAIN POND
1-ft
Storage
Form SW401-Wet Detention Basin O&M-Rev.4
Page 3 of 4

Pennit 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. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Proposed Wal-Mart Store # 7218
BA4P drainage area number:
Print name:Michael Thomas
Title: Director of Project Design and Management
Address:2001 SE 10°i Street, Bentonville, AR 72716
Signature:t_�.�_
Date: I I(J� 1 11 3
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, , a Notary Public tar the State of
yA"n�5�S ou ty Of�� � , do hereby certify that
P't1 c•I V•ht� Q personally appeared before me this 94-
day of P�oVGYYI �, 0013, and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal,
11 V^ii;:p::•.:
ASHLEY ZEBLEY
MY COMMISSION# 12392230
'+%fiXHCRr'
EXPIRES: February 25, 2023
Benton Coon
SEAL
My commission expires
Form SW40I-Wet Detention Basin O&M-Rev.4
page 4 of 4