SW7091214_HISTORICAL FILE_20210510

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SWlmg z�
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
L PHI STORICAL FILE
((❑
COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretary
BRIAN WRENN
Director
Axelson Properties, LLC
Attention: Thomas J. Axelson
901 Newman Road
New Bern, NC 28562
NORTH CAROLINA
Environmental Quality
May 10, 2021
Subject: Stormwater Permit Renewal
Stormwater Management Permit SW7091214
Axelson Chiropractic
Craven County
Dear Thomas Axelson:
A Division of Energy, Mineral, and Land Resources file review has determined that
Stormwater Permit SW7091214 for a stormwater treatment system consisting of a sand
filter serving Axelson Chiropractic located at 901 Newnan Road in New Bern, NC
expires on December 30, 2021. This is a reminder that permit renewal applications are
due 180 days prior to expiration. We do not have a record of receiving a renewal
application.
Please submit a completed permit renewal application along with a $505.00 fee for
permit renewal. Application forms for renewal can be found on our website at:
https•//deo nc gov/about/division energy-mineral-land-resources/energy-mineral-land-
rules/stormwater-program/post-construction. North Carolina General Statutes and the
Coastal Stormwater rules require that this property be covered under a stormwater
permit. Failure to maintain a permit subjects the owner to assessment of civil penalties.
If you have questions, please feel free to contact me at [phone]. 1 will be glad to
discuss this by phone or meet with you. If you would like, I can e-mail you a copy of the
application form. You can request a copy by e-mailing me at roaer.thorpena.ncdenr.gov.
Sincerely,
Roger K. Thorpe
Environmental Engineer
®NW O%M North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Washington Regional Office 1 943 Washington Square Mall I Washington, North Carolina 27889
ramnuwauvn
252,946.6481

North Carolina
Beverly Eaves Perdue
Governor
Mr. Thomas J. Axelson
Axelson Properties, LLC
3334 Wellons Boulevard
New Bern, NC 28560
Dear Mr. Axelson:
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�
NCDENR
Department of Environment and
Division of Water Quality
Coleen H. Sullins
Director
uary
Natural Resources
Dee Freeman
Subject: Stormwater Permit No. SW7091214
Axelson Properties, LLC
High Density Project
Craven County
wa_--M
The Washington Regional Office received a complete Stormwater Management Permit
Application for Axelson Properties, LLC on December 18, 2009. 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. SW7091214 dated January 26, 2010, for the construction of the subject
project.
/2I3
This permit shall be effective from the date of issuance until January 26, 2020, 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 150E 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 Samir Dumpor, or me at [phone].
Aincer ly CC
`- oACa
Al Hodg
Regional Supervisor
Surface Water Protection Section
AH/sd: S:\WQS\STORMWATER\PERMIT\SW7091214
cc: Susan Sayger, PE, KSMJ Engineering
Craven County Building Inspections
t/17Vashington Regional Office
Central Files
North Carolina Division of Water Quality Internet: www.ncwatcrquality ore
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone]
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NorthCa.rojtna.
An Equal OpportunitylA(firmative Action Employer— 50% Recycled110% Post Consumer Paper
Natural&

State Stormwater Management Systems
Permit No. SW7091214
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
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
Axelson Properties, LLC
901 Newman Road, New Bern, North Carolina
FOR THE
construction, operation and maintenance of one closed sand filter 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
Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until January 26, 2020, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.8 on page 3 of this permit. The stormwater control
has been designed to handle the runoff from 25,372 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section 1.8 of
this permit, and as shown on the 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 lest 50 feet
landward of all surface waters.
7. The following design criteria have been permitted for the sand filter and must be
provided and maintained at design conditions:
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7091214
a. Drainage Area, ft2:
b. Total Impervious Surfaces, ft2:
C. Design Storm, inches:
d. Design Volume, ft
e. Adjusted Water Quality Volume, ft3:
f. Provided Storage Volume, ft :
g. Sediment Chamber Surface Area, ftz:
h. Sand Chamber Surface Area, ftZ:
i. Predevelopment 1 year 24 hour:
j. Post -development 1 year 24 hour:
k. Top / Bypass Weir Elevation, FMSL:
I. Bottom of Sand Filter Elevation, FMSL:
m. Seasonal High Water Table, FMSL:
n. Receiving Stream/River Basin: Trent
o. Stream Index Number:
p. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
35,268
25,372
1.50
3,075
2,306
3,071
567 (L' x W')
1,080 (L' x W')
1.35 ft /s
0.50 ft3/s
23.5
23.5
18.5
River/ Neuse River Basin
27-101-(39)
"SB, 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.
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
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. Mowin.9 and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of bypass structure, infiltration media, flow
spreader, catch basins, piping and vegetated filter.
g. A clear access path to the bypass structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
reports will indicate the date, activity, name of person performing the work and what
actions were taken.
The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance and inspection records for each BMP. The report shall
summarize the inspection dates, results of the inspections, and the maintenance
work performed at each inspection.
6. The facilities shall be constructed as shown on the approved plans. This permit shall
become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
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 3 of 7

State Stormwater Management Systems
Permit No. SW7091214
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.
Access to the stormwater facilities shall be maintained via appropriate easements at
all times.
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 permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
12. A copy of the approved plans and specifications shall be maintained on file by the
Permittee at all times.
13. 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.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity 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 Water Quality, signed by both parties, and accompanied by the
appropriate documentation as listed on page 2 of the form. The approval of this
request will be considered on its merits and may or may not be approved.
The permittee is responsible for compliance with all permit conditions until such time
as the Division approves any 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 Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7091214
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 reissuance or termination does
not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
controls 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 in writing 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 January 26, 2020.
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 26th day of January, 2010.
RTH GAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7091214
Page 5 of 7

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
a
o_
Applicable'Rules:' ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
State of North Carolina
S Department of Environment and Natural Resources "'rr , z:
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FO*K 18 201A
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance.agreements, etc.):
2. Location of Project (street address):
901 Newman Road
City:New Bern County:Craven Zip:28562
3. Directions to project (from nearest major intersection):
From Highway 70, turn south on South Glen Burnie,left unto McCarthy Blvd and left on Newman Blvd and
proceed approximately 0.25 miles to 901 Newman Road, New Bern, Craven County, NC.
4. Latitude:35° 06' 32" N Longitude:77° 05' 43" W of the main entrance to the project.
IL PERMIT INFORMATION:
1.a. Specify whether.projectis.(checkone): ®New .❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
[]LAMA Major ❑Sedimentation/Erosion Control: 0.8 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
,5-9 766
N

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 oroject):
Applicant/Organization:Axelson Properties, LLC
Signing Official & Title:Thomas T. Axelson, Registered Agent
b.Contact information for person listed in item la above:
Street Address:3334 Wellons Blvd.
City:New Bern State:NC Zip:28560
Mailing Address (if applicable):S-A-A
Phone: (252 ) 633-3334 Fax:
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owners name and title below, if you are the lessee, purchaser or developer. ffhis is the
person who owns the property that the project is located on):
Property Owner/Organization:Axelson Properties, LLC
Signing Official & Title:Thomas T. Axelson, Registered Ag
b. Contact information for person listed in item 2a above:
Street Address:3334 Welton Blvd
City:New Bern State:NC Zip:28562
Mailing Address (if applicable):S-A-A
City: State:
Phone: (252 ) -633-3334 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:Susan Sayger,PE, KSMJ Engineering
Signing Official & Title:Susan Sayger, Project Engineer
b.Contact information for person listed in item 3a above:
Mailing Address:388 McCotter Blvd
City:IIavelock State:NC Zip:28532
Phone: (252 ) 444-5765,349-5803 Fax: (252 ) 444-5765
Email: ksmj.enginceringggmail.com
4. Local jurisdiction for building permits: City of New Bern
Point of Contact:Danny Meadows Phone #: (252 ) 639-2943
t

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Of the 0.81 acre site. 72% will include impervious surfaces The site is design such that the all parking
surfaces sheet flow across the parking along curb and gutter and into catch basins The catch basins and roof
drains drain into the sedimentation chamber and weir flow into the sand filter. The sand filter filters the
1.5"event draining into the underdrain discharging into the existing ditch the along the rear property line
Events greater than the reouired event bypass the sand filter through vertical riser and into the existing ditch
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.Identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph 11- Post Construction
3. Stormwater runoff from this project drains to the Neuse River basin.
4. Total Property Area: 0.81 acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0.81 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area': 0.81. acres
Total project area shall be calculated to exclude the followin : the normal yool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal Higgh Water (NM line or Mean High Water
(MHW) line, and coastal wetlands landward fr(rom the NHW (or MHIN) line. The resultant project area is used to
calculate overall percent built upon area (Bl (A). 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 = 72 %
9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
7

Basin Information
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area _
Receiving Stream Name
Trent River ✓
Stream Class *
SB,Sw, NSW
Stream Index Number *
27-101-(39)
Total Drainage Area (so
35,268
On -site Drainage Area (sf)
35,268
Off -site Drainage Area (sf)
0
Proposed Impervious Area** (so
25,372
% Impervious Area** total
72
Impervious" Surface Area
Drainage Area _
Drainage Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (so
4213
On -site Streets (so
0
On -site Parking (so
20,019
On -site Sidewalks (so
1140
Other on -site (so
Future (so
Off -site (sf)
Existing BUA*** (so
Total (so:
25,372
* Stream Class and Index Number can be determined at: http://h2o.enr.state.ne.us/bims/reports/reportsWB.html
* Impervious 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.
11. How was the off -site impervious area listed above determined? Provide documentation.
Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered .Species watershed that 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
fromhtty://h2o.enr.state.nc.us/su/bmD forms.htm.
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 ht!p://h2o.enr.state.nc.us/su/bmp forms.htm. 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 h2p://h2o.enr.state.nc.us/su/msi maps.htm.)
Please indicate that the following required information have been provided by initialing in the space provided for
each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions for
each submitted application package from http://h2o.enr.state.nc.us/su/bmp_ forms.htm.
Initials
1. Origin
l and one Ropy 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 NCDENR. (For an Express review, refer to
h!W://www.envhely.org/12aM/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
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5. A detailed narrative (one to tw6pages) describing the stormwater treatment/managementfor 175—
the project. This is required in addition to the brief summary provided in the Project
-� Information, item 1.
6. A USGS map4irentifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations._
8. Twryryeseets of'ans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. bevelopment/Projectn�—
b. Engineer and firm.
c. Location map with named streets -and NCSR numbers.
d. Legcp�.
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 MLIW or NHW fines.
• 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/projectboundary with bearings & distances.
j. Site Layout with all BUA-identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features; collection systems, and stormwater control measures.
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.
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 will report with the associated SHWT elevations (Please identify _
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verifij the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 2 tf 2 7 Page No: 2541
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 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.
htW://www.secretary.state.nc.us/Corporations/CSearch.asl2x
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://h2o.enr.state.nc.us/su/bml2 forms.htmltdeed restrictions. 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:Susan Sayger,PE
Consulting Firm: KSMI Engineering_ Pile
Mailing Address:388 McCotter Blvd
City:Havelock State:NC Zip:28532
Phone: (252 ) 444-5765
Email:[e-mail]
Fax: (252 ) 444-5765
IX. PROPERTY OWNER AUTHORIZATION (if Contact Inforniation, item 2 has been filled out, complete this
section)
I, (print or hjpe name of person listed in Contact Information, item 2a) Thomas Axelson , certify that I
own the property identified in this permit application, and thus give permission to (print or hjpe name of person
listed in Contact Information, item la) Susan Sayger,PE with (print or type name of organization listed in
Contact Information, item 1b) KsMj Engineeringpllc 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.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Date: /'t - F -Oct
yi- I, Gk a re �d 1%j C G r nn . a Notary Public for the State of F j+ (�tro I I ha, County of
�-
ct a tJ 2 11 do hereby certify that--TJ�jpM&s ,n Yr-/Sa h personally appeared
before me this SK day of Deea w. e r ..2" 9" and a owlcd// the due exe-cu(tition of tl pplication for
a stormwater permit. Witness my hand and official seal, e�� - e� -- _!
SEAL
My commission expires o2 — /7-

x�ls C. ki T
STORMWATER SUBMITTAL REQUIREMENTS
­WET-DET-ENFtON-POND--
121- vftx,)
Objective-FI LT(E-lZ
A. Collect all runoff from all BUA (proposed and/or existing and/or offsite) as the case may be,
by any means including piping or swales, and direct it to the pond.
B. Check the proposed pond design to make sure it meets or exceeds the minimum design
criteria for surface area, volume and drawdown.
11. What makes up a complete wet detention pond application package?
A. Two sets of sealed, signed & dated layout & grading plans with appropriate details.
(Additional sets of plans may be requested for projects in certain counties)
B. Completed application with supplement(s), SWU-101, SW401-Wet Pond, and inspection and
maintenance agreements.
C. Deed restriction document, if applicable (for subdivisions & projects with out parcels)
D. Sealed, signed & dated calculations.
E. Estimated seasonal high water table elevation at all pond locations.
F. Chlorides test results must be provided if the project is within''/2 mile of SR waters (Phase 11).
(This is only required to test out of SR water treatment requirements)
III. BIMS entry (for DWQ use only)
Enter & track application acknowledged date, review date, add info requested/received dates, permit
issue dates, and drainage area info. Best done after the add info letter is written and before sending
permit up for signature.
IV. Shell documents (for DWQ use only)
Permit shells: s:\wqs\stormwater\shells\highcompond
s:\wqs\stormwater\shells\high su bpond
s:\wqs\stormwater\shells\HDhybrid
Spreadsheet: s:\wqs\stormwater\excel spreadsheets\pond
VI. Review Procedure
A. APPLJCATION
t//�
1. /An original signature is required. Photocopied signatures cannot be accepted.
2. A completed wet detention pond supplement and a signed, dated and notarized wet
detention pond Inspection and Maintenance Agreement with an original signature.
3. The numbers on the supplement match up to the numbers used in the calculations and
shown on the plan details.
4. ✓Built -upon areas are reported in square feet in Section 111.6.
5. VReceiving stream name and classification. This is important because in the non -Phase
I I counties, a wet pond cannot be used on a project that is within''/2 mile of and draining
6. ✓to SA waters. For Phase II, a wet pond is allowed within '% mile of SA waters.
Section 111.6 is filled in -cannot be left blank. One column must be filled in for each
/proposed wet pond.
7. If the applicant is a corporation, partnership or LLC, look it up on the Secretary of State
Corporations Database. Make sure corporation is spelled correctly (capitalization and
punctuation matter) and that the person signing the application is at least a vice-
president in the corporation, a General Partner in the partnership, a member in a
member -managed LLC, or the manager of a manager -managed LLC. Need
documentation to support if the Articles of Incorporation do not list the members or
managers of the LLC. If an agent signs, then a letter of authorization is needed from the
8. t/president, vice president, general partner, member or manager.
For subdivided projects, a signed and notarized deed restriction statement must be
provided.

Wet Detention -Pond, cont.
B. CALCULATIONS
1. The orifice is sized based on drawing down the calculated minimum volume in 2-5
days. The average head'to use in the orifice equation is approximately one-third of
the distance between the permanent pool elevation (PPE) and the elevation of the
next available outlet above the permanent pool. The elevation of the next available
outlet must be either the elevation where the minimum volume is provided, or it can
be higher. The temporary pool elevation (TPE) to report on the supplement will be
the elevation of the next available outlet above the PPE. The temporary pool volume
(TPV) to report on the supplement is the volume between the specified PPE and the
TPE.
2. For Phase II projects that are within '/z mile of and draining to SR waters, the
difference in runoff from the predevelopment and post -development conditions for
the 1 year 24 hour storm must be controlled and treated.
3. For Phase II projects, the discharge rate leaving the pond can be no more than the
pre -development discharge rate for the 1 year 24 hour storm.
4. For Phase II projects draining to SA water, no discharge to surface waters may occur
from wet ponds. The discharge leaving the orifice must be effectively infiltrated prior to
reaching surface waters.
5. The average pond depth is the permanent pool volume divided by the permanent pool
surface area. The result must be between 3 ft. and 7.5 ft. Parts of the pond can be
deeper than 7.5 ft., but in no case can any part of the pond be less than 3 ft deep.
6. If the 85% TSS chart is used a 30' vegetated filter must be provided at the outlet of the
pond. If the 90% TSS chart is used, no filter is required.
7. Use the correct SA/DA TSS chart from the BMP Manual noting that there are different
charts for different areas of the State.
8. Required surface area at permanent pool.
9. Provided surface area at permanent pool (Based on pond dimensions)
10. Required volume calculation based on 1.5" storm for Phase II projects` and V storm for
all others projects. "unless the project is Phase II and within '/z mile of and draining to
SR waters then the volume calculation must be based on difference between the pre
and post development conditions for the 1-yr 24-hr storm.
11. Table of elevations, areas, incremental volumes and accumulated volumes for overall
pond and for forebay, to verify volumes provided.
12. Forebay designed to hold 20% of the permanent pool volume. (Range of 18%-22%
OK.)
13. Non -erosive flow for 10 yr. storm in the vegetated filter, if using 85% TSS.
14. The seasonal high water table must be at or below the proposed permanent pool
elevation to assure that the necessary volume will be available above the permanent
pool.
15. Rounding numbers off during the calculation process can result in deficiencies. Do not
round the numbers until you get to the final result.
16. An additional one foot must be excavated below the bottom elevation of the,pond. The 1
foot sediment accumulation depth is not included in the average depth calculation.

J Wet Detention Pond, cont.
C. PLANS- Due to storage space constraints, plan sheets should be kept to a minimum. For
small commercial single wet pond projects, the plan set could consist of only 2 or 3 sheets,
layout, grading and details. For larger projects, show as much information as possible on as
few sheets as possible, without cluttering them up.
1.V Development/Project Name
2. ✓✓ Engineer name and firm.
3. /Legend
4.V North Arrow
5.✓Location Map with nearest intersection of two major roads shown. Major road is any 1,
I or 3 digit NC, US or interstate highway.
6.✓ Scale- standard engineering scale, no off-the-wall stuff.
7.1/ Date
8. ✓Revision number and date, if applicable.
9. ✓Original contours, proposed contours, spot elevations, finishEt�-floor elevations, pipe
/inverts, swale inverts, etc.
10.V Existing drainage (piping, swales, ditches, ponds, etc.), including off -site. Include a map
!delineating the offsite drainage areas.
11. roperty/Project boundary lines, bearing & distances.
12j� 1 can High Water Line or Normal High Water Line, if applicable.
13. The permanent pool elevation must be above the SHWT and above the lowest
elevation of adjacent wetlands. Evaluate the need for a liner and/or berm/slurry wall to
prevent dewatering the wetland.
14. Drainage easement widths, pipe sizes and swale inverts are provided.
15.VWetlands delineated, or a note on the plans that none exist. Get a copy of the wetlands
delineation map signed by the Corps of Engineers, or have the applicant include a copy
of the unsigned delineation map submitted to the Corps. Wet ponds may not be located
in wetlands unless a permit to fill those wetlands has been obtained.
16. Details for the roads, parking, cul-de-sacs, including sidewalk width, radii, dimensions &
slopes.
17(Apartment / Condo development- Provide a typical building footprint with dimensions
j and note all concrete and wood deck areas.
18. The drainage area for each wet pond is clearly delineated and numbered to match up to
the calculations and supplement. Drainage area delineation is best done as a separate
plan sheet.
19. A pond section detail to include the forebay, a 10 foot wide vegetated shelf, pertinent
elevations for the bottom, permanent pool, temporary pool, and SHWT, 3:1 slopes
above the permanent pool, and the weir elevation between the main pond and the
forebay.
20. The 10 vegetated shelf extends 6" below and 6" above the permanent pool elevation.
21. An outlet structure detail showing a trash rack with <_6" square openings, the necessary
orifice invert elevation (i.e., the permanent pool), orifice size and temporary pool
elevation.
22. Dimensions for each line and arc formed by the permanent pool contour.
23. Where the 85% TSS chart was used, a 30 ft. vegetated filter strip is required to be
shown on the plans & detailed (elevations, inverts, slopes, and flow spreader
mechanism). Please note that the filter strip is not a ditch.
24. A forebay is provided for each inlet and located so as to prevent short-circuiting.
25. The pond must have a minimum 1.5:1 length to width ratio and a minimum 3:1 flow path
length. Artificial "baffles" of timber, vinyl, or earth can be used to create a longer flow
path. The top elevation of the baffle should be set at the temporary pool elevation or
26. A Vegetation plan is specified for the pond, including slopes. Wetlands species are
listed for planting on the 10:1 shelf. Weeping Love Grass is not suitable as a permanent
/vegetated cover for pond slopes.
27Y All roof drainage must be directed to the pond. Show the roof drain collection lines on
the plan. This is necessary for projects where the buildings back up the property lines
where roof drainage may leave the site prior to going through the pond.

NORTH CAROLINA
WARRANTY DEED
CRAVEN COUNTY
Parcel #:
Stamps: 3
THIS DEED, made and entered into this the 36_ day of o'%� J ,
2006, by and between C.G.W., INC., a North Carolina Corporation, hereinafter referred to as Grantor
and AXELSON PROPERTIES, LLC, a North Carolina limited liability company, with an address
of 3534 W'QMQA5 duel., I)ku) -&Jn UQ-
hereinafter referred to as Grantee;
WITNESSETH:
That the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee,
its successors and/or assigns, in fee simple, all that certain lot or parcel of land situated in Number
Eight (8) Township, Craven County, North Carolina and more particularly described as follows:
See attached legal description.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
Preparel6y:
HENDERSON, BAXTER, TAYLOR & GATCHEL, P.A.
PO DRAWER U, NEW BERN, NC 28563
PREPARED W iTHOUT BENEFIT OF TITLE EXAMINATION

Jam_
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee
simple, has the right to convey the same in fee simple, that title is marketable and free and clear of all
encumbrances, except all encumbrances or restrictions mentioned above, and that Grantor will
warrant and defend the title against the lawful claims of all persons whatsoever.
The designation Grantor and Grantee as used herein shall include all parties, their heirs,
successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required
by context.
IN WITNESS WHEREOF, the Grantor has caused this instrument to be signed in its
corporate name by its duly authorized officer by authority of its Board of Directors, this the day and
year first above written.
C.G.W., INC.
By: , _. 7 ) J-o C�� l ,;.�
GAS. E WELLONS MASFWURN, President
NORTH CAROLINA
CARTERET COUNTY
I 1 AjA j. bXIL.10 , a Notary Public, do hereby certify that
GAYE WELLONS MASHBURN, personally came before me this day and acknowledged that she
is President of C.G.W., INC., a North Carolina corporation, and that by authority duly given and as
the act of the corporation, the foregoing instrument was signed in its name by her as its President.
Witness my hand and notarial seal, this the 130#t, day of Ojj") , 2006.
4uu�' d-IL
Notary Public
My Commission Expires: n.io.io

EXHIBIT "A"
BEING all of Lot 2 containing
more or less, as depicted on
LOTS 2&3 AND 4&3 MCCARTHY
prepared by Robert M. Chiles,
in Plat Cabinet H, Slide 79-C,
is incorporated herein by
description.
sht #1
096317-00001
35,628 square feet, or 0.81 acres,
that map entitled "COMBINATION OF
SQUARE, PHASE X FOR CGW, INC.",
P.E., dated 10/16/06, and recorded
Craven County Registry. Said map
reference for a more particular

CK4
p�an.ning,.,�esi,gn-,anc�„permitting
December 16, 2009
Mr. Al Hodge
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Re: Stormwater Review
Project: Axelson Properties LLC
Location: 901 Newman Road, New Bern, Craven County, NC
Mr. Hodges:
Enclosed is the stormwater permit package for Axelson Properties LLC located on 901
Newman Road, New Bern, Craven County Craven County. As explained in the attached
the total disturbed area for the project is 0.74- acre, including 25.327 sq feet of total built
upon area and is being submitted as high density.
Included are the stormwater narrative, stormwater application, sandfilter supplement,
vicinity map, O&M agreement, High density deed restriction, narrative, DWQ stream
classification, deed, two plan sets, and check. If you need any additional info, please call.
With alllnour rega<rrds,
Susan Sayger, PE
dXQ* 1pm#'�
388 MC COTTER BLVO, HAVELOCK NC 28532
2 5 2 - 4 4 4 - 5 7 6 5 , 2 5 2 - 3 4 9 - 5 8 0 3
KSMIENOINEERINB@BMAIL.00M

North Carolina Secretary of State
http: //www. secretary. state. nc.us/corporations/Corp. aspx? P i temld=8...
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Corporation Names
Name Name Type
NC Axelson Properties, LLC Legal
Limited Liability Company Information
SOSID:
0873674
Status:
Current -Active
Date Formed:
10/24/2006
Citizenship:
Domestic
State of Inc.:
NC
Duration:
Perpetual
Registered Agent
Agent Name:
Registered Office Address:
Registered Mailing Address:
Principal Office Address:
Principal Mailing Address
Y
Axelson, Thomas
3334 Wellons Blvd.
New Bern NC 28560
3334 Wellons Blvd.
New Bern NC 28560
3334 Wellons Blvd.
New Bern NC 28560
3334 Wellons Blvd.
New Bern NC 28560
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