SW7131102_CURRENT PERMIT_20131206

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW n10
DOC TYPE
/� CURRENT PERMIT
l
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE��Q
YYYYMMDD

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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
December 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. SW7131102
Wal-Mart Store # 7238, Grantsboro
High Density Commercial Wet Pond Project
Dear Mr. Thomas: Pamlico County
The Washington Regional Office received a complete Stormwater Management Permit
Application for the Wal-Mart Store # 7238 in Grantsboro on November 5, 2013 and
additional information on November 27, 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. SW7131102 dated December 6, 2013, for the
construction of the subject project.
This permit shall be effective from the date of issuance until December 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 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 me at [phone],
Si cerel ,
oott Vinson
Environmental Engineer
G:\LR\SWP\SAV\G-Stormwater\PERMIT\SW7131102
cc: Kyle Crowe, PE — Bohler Engineering
Pamlico County Planning / Building Inspections
vvashington Regional Office
Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889 • Phone: [phone] / FAX: [phone]
Internet: http://www.portal.ncdenr.org/web/Ir/land-quality
An Equal Opportunity / Affirmative Action Employer - 50%Recycled/10% Post Consumer Paper

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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 # 7238, Grantsboro
Pamlico 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 December 6, 2021, 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.
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 247,421 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

I
7. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a.
Drainage Area, ftz:
322,344
b.
Total Impervious Surfaces, ft2:
247,421
c.
d.
Design Storm, inches:
Pond
1.50
Depth - average, feet:
3.5
e.
TSS removal efficiency:
g0%
f.
Permanent Pool Elevation, FMSL:
14.00
g.
Permanent Pool Surface Area required, f2:
25,265
h.
Permanent Pool Surface Area provide, ft :
26,635
i.
Min. Volume required, ft :
31,015
j.
Permitted Storage Volume, ft3:
41,735
k.
Temporary Storage Elevation, FMSL:
15.35
I.
Controlling Orifice:
3.00" 0 pipe
M.
Permitted Forebay Volume, ft3:
23,188
n.
Receiving Stream/River Basin:
South Prong Bay River / Neuse
o.
Stream Index Number:
27 — 150 — 3
P.
Classification of Water Body:
"SC; Sw, NSW"
II. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all 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. Mowin.9 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.
g. Access to the outlet structure must be available at all times.
4. 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.
5. 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.
6. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
Page 3 of 7

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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.
8. 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 December 6, 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 6tt-day of December, 2013.
NORTH CARO/LINAA ENVIRONMEN�ANAGEMENT COMMISSION
for
Trac E.- "avis, PE, CPM
Division of Energy, Mineral, and Land Resources
By Authority of the Environmental Management Commission
Stormwater Permit No. SW7131102
Page 5 of 7

Wal-Mart Store# 7238, Grantsboro
Stormwater Permit No. SW7131102
Pamlico Countv
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
Pamlico Planning / Building Inspections
Page 7 of 7

Permit Number: 507 u'.12-
(it) be provided by DWQ)
Drainage Area Number:
Wet Detention Basin Operation and Maintenance Agreement
1 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.
u
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided. NOV 2 7 2013
This system (check one): DEMI_1Z
❑ does ® does not incorporate a vegetated filter at the outlet.
This system (check one):
❑ does ® does not incorporate pretreatment other than a forebay.
Important maintenance procedures:
- Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
- No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
- Stable groundcoyer should be maintained in the drainage area to reduce the
sediment load to,tlde 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 application.
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximately six inches.
t-/—* f--)
Form SW401-Wet Detention Basin O&M-Rev.4 Page 1 of 4

Permit Number:
(to be provided hr DWQ)
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 SW4OI-Wet Detention Basin O&M-Rev.4 Page 2 of 4

Permit Number:
(to be provided b1v DIVA)
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 9.00 feet in the main pond, the
sediment shall be removed.
When the permanent pool depth reads 9.00 feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom El
10_00
---------------
BASIN DIAGRAM
(fill in the blanks)
ft Min.
Sediment
Storage
Permanent Pool Elevation 14.00
Pool
Sediment Removal Elevation 1000 volume
------------ -- ------------- ------
Bottom Elevation 9.00 1 1-ft
Storage
FORF,BAV
MAIN POND
Form SW401-Wet Detention Basin O&M-Rev.4 Page 3) of 4

Permit Number:
(to be provided by DIVQ)
1 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 # 7238
BMP drainage area number: I
Print name:Michael Thomas
Title:Directon of Project Design and Management
Address:2001 SE I Oth Street, Bentonville, AR 72716
Signature: FMR w+al l(ti-rr� —•
Date: I gf)1)13
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 for the State of
C , Co my of EfT' pn , do hereby certify that
?,--i,tC,h 0 Ihornnc personally appeared before me this
day of Qr) P(e Mb—, 0013, and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal,
ASHLEY ZEBLEY
6!SY OOMMISSION 0 12392250
.,,.,� rv�;eFS:februa 25, 2023
SEAL
My commission expires 00 42o--l-3
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4

-�I iI'71?.�.y,.
'.i"•s�..ili
�i

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
_- 3 d' 10 n
M
I tfXNO
I AP7 1111 2,
Applicable Rules:
(select all that apply)
❑ Coastal SW -1995 Q'Coastal SW - 2008 ❑ Ph II - Post Construction
❑ Non-CoastalSW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
State of North Carolina a
Department of Environment and Natural Resources ,,�,.', : ¢ - _',;_J
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM NOV 2 7 2013
This form may be photocopied for use as an original py'm
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.): WteD �-t
Proposed Wal-Mart Store #7238-00 (a 6
2. Location of Project (street address): (/
City:G ran tsboro County: Pam I ico Zi p:28529
3. Directions to project (from nearest major intersection):
2,175 feet East of the NC 306/NC 55 Intersection.
4. Latitude:35° 8' 33" N Longitude:76° 50' 7" W of the main entrance to the project.
❑. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New []Modification ❑ Renewal w/ Modification}
t Rencznals with modifications also requires SWU-102 — Renezaal Application Form
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: []Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®hligh Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state Stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: 15 ac of Disturbed Area
❑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:USCOE NWP 39
5. Is the project located within 5 miles of a public airport? ®No ❑Yes
If yes, see S.L. 2012-200, Part Vl: httl2://portal.ncdenr.org/web/wq/"ws/su/statesw/rLiles laws
FonnSWU-101 Version06Aug2012 Page I of

Ill. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization:Wal-Mart Stores East, LP
Signing Official & Title:Michael Thomas, Director of Project Design and Management
b.Contact information for person listed in item 1a above:
Street Address:2001 SE 1001 Street
City:Bentonville State:AR Zip:72716
Mailing Address (if applicable):
City:
Phone: (479 ) 204-2186
Eniail:Michael.'I'honias]@Wal-Mart.com
Fax: (479 ) 273-8380
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/1
Signing Official &
b.Contact information for person listed in item 2a above:
Street Address:
Mailing Address (if
Phone:
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:
Fax:
4. Local jurisdiction for building permits: Town of Grantsboro
Point of Contact:Pat Prescott Phone #: (252 ) 745-6511
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 I3MP 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 Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW - 1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Neuse River basin.
4. Total Property Area: 22 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:22 acres
Total project area shall be calculated to exclude the follomin the normal pool of impounded structures, the area
betveerr the banks of streanns and rivers, tire area beloup fire Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landeoard fron the NHW (or MHW) line. Tire resultant project area is used to
calculate overall percent built upon area (BUA). Nou-coastal znetlands lanndupard of tine NHW (or MHW) lime rung
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 77.75 %
9. How many drainage areas does the project have?1 (For high density, count 1 for ench proposed engineered
storrrnvater BMP. For toed density and other projects, rise 1 for the whole proper(i/ 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
Drains e Area 1
Drains e Area
Drains e Area
Drains e Area
Receiving Stream Name
South Prong
Stream Class *
SC;SW, NSW
Stream Index Number *
27-150-3
Total Drainage Area (so
317,117
On -site Drainage Area (so
317,117
Off -site Drainage Area (so
0
Proposed Impervious Area** (so
246,550
% Impervious Area** total
77.75
Impervious" Surface Area
Drains e Area 1
Drains e Area
Drains e Area _
Drains e Area _
On -site Buildings/Lots (so
74,675
On -site Streets (so
112,895
On -site Parking (so
49,914
On -site Sidewalks (so
1,755
Other on -site (so
9,924
Future (so
0
Off -site (so
0
Existing BUA*** (so
0
Total (so:
1 _216-,550 7
tj7
Stream Class and Index Nuruber can be determined at: http://portal.nedenr.org/zueb/zt,07s/esu/classifications
" Irn pervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sideivalks, gravel areas, etc.
Fonn SWU-101 Version 06Aug2012 Page 3 of

'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 nem BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. Roadway Plans
Projects in Union County: Contact DWQ Central Office su jfto check if the project is located within a Threatened 8
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 15A NCAC 028.0600.
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 httD://Dortal.ncdenr.ore/web/wa/ws/su/bmD-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms 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://portal.ncciennorg/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.orF/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 Vll below)
3. Original of the applicable Supplement Fonn(s) (scaled, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhelp.org/pages/onestopexpress.htmi for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the lh
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.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with hearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
I. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
Forn1SWU-101 Version06Aug2012 . Page 4of6

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 SH WT 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"xl1" 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 SHWI' prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 586 Page No: 624-631 _
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 21-1.1003(e).
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http://www.secretary.state.nc.us/Corporatioiis/CSearcli.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
http://portal.ncdenr.org/web/wLi/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:Kyle 1. Crowe, PE
Consulting Firm: Bohler Engineering
Mailing Address:800 West Hil Street, Suite 101
City:Charlotte State:NC Zip:28208
Phone: (980 ) 272-3400 Fax: (704 ) 973-0301
Eiiiail:[e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) certify that I
own the property identified in this permit application, and thus give permission to (print or hype name of person
listed in Contact information, item 1a) with (print or hype mmne of organization listed in
Contact Information, item In) 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 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
I, , a Notary Public for the State of , County of
do hereby certify that personally appeared
before me this _ day of , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a) 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 2H .1000 and any other applicable state stormwater requirements.
Signature: �l�t( ems— Date:
I, A a Notary Public for the State of r k Q SSA County of
AQnto j7 o ereby certify that N iGi C e 5) 0 m Ps personally appeared
before me thisV-1 day of jJDVPahL , 90133 and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
yH6.g:'•,•
ASHLEY ZEBLEY
MY COMMISSION # 12392230
•'•'f++x5s�,�
EXPIRES: February 25, 2023
Benton County
SEAL
My commission expires O�
Form SWU-101 Version 06Aug2012 Page 6 of 6

a._'L�i'1. (.: 4':4: [^.' Alt
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Permit No.
po be {+ovMeJ by D W0)
AMA
WAr
O G.,
a All
i
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Pad III) must be printed, filled out and submitted along with a# of the required Information.
Contact person
Plane number
Dale
Drainage area number
;.,..,: v;_�... ,''`T `T'C';, ty„.,, a' : :.:f'sS. _l. %","'"tCasy. :?k,.:,:i
IIiIDESIGN!INF,ORMATION .,t�.,.
Site Characteristics
Drainage area :`322:344. 0°
Impervious area, post-development--:247,421: g°
°%impervious 76.76 %
Design rainfall depth 13Hn
Storage Volume: Non•SAWaters
Minimum volume required--'31,015. Its
Volume provided '41,735; it,
Storage Volume: SA Waters
1.5" rung volume fls
Pre -development l-yr, 24-hr runoff fls
Post -development 1-yr, 24-hr runoff Its
Minimum volume required it
Volume provided to
Peak Flow Calculations
Is the prelpost control of the 1yr 24hr storm peak flow required?
1-yr, 24-hr rainfall depth
Rational C, pre -development
Rational C, post -development
Rainfall intensity: 1-yr, 24-hr stone
Pre-developmenl 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
PrelPost 1-yr, 24-hr peak flow control
Elevations
Temporary pool elevation
Permanent pod elevation
SHWT elevation (approx, at the perm, pool elevation)
Top of 1011 vegetated shelf elevation
Bottom of 10ft vegetated shelf elevation
Sediment deanout, lop elevation (bottom of pond)
Sediment cleanoul, bottom elevation
Segment storage provided
15.35 fmsl
'100l1msl
first
14:50,fmsl
13.50 fmsl
to.0olimsl
4001(msl
1.00 it
OK, volume provided Is equal to or in excess of volume required.
OK
Data not needed for calculation option #1, but OK if provided,
Data not needed for calculation option #1, but OK It provided.
Is there additional volume stored above the stale -required temp, pool? N (Y or N)
Elevation of the top of the additional volume 15A fmsl OK
Form SW401-Wei Detention BaSlmRoe.9AM802
Paris I. B II. Design Summary. Page 1 or 2

Permit No.
(Io be Wovgo0 by DWO)
V�
Il.'DESIGRINFORMATION,'
Surface Areas - `r
Area, temporary pool 33,945
Area REQUIRED, permanent pool -Nf82'flr aS�bS'S� KnS�"(`S�-4'1
u ks, YO I
SAIDA ratio _ 3.50 (unifless) �I1
r.0 fa>;any
Area PROVIDED, permanent pool, A,, 267635. flr OK
Area, bollom or 10ft vegetated shelf, A. 24,321 ft' l..—
Area, sediment cleanout, top elevation (bottom of pond), Aew, 14,968 e
Volumes
Volume, temporary pool
41,7351ft3
OK
Volume, permanent pool, Vp,,, era
i 198,007,lfl?
Volume, forehay (sum of forebays if more than one forebay)
a 23,188 8s
Forebay %of permanent pool volume
23.7% %
Insufficient forebay volume.
SAIDA Table Data
Design TSS removal
I 90 %
Coastal SAIDA Table Used?
Y - ":(Y or N)
Moontdln)Pledmont SAIDA Table Used?
N (Y or N)
SAIDA ratio
g,pp �8-5R(umless)
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10.2b)
Y (Y or N)
Volume, permanent pool, V..
98.007 it,
Area provided, permanent pool, A,, n-p„ d
26,635 flr
Average depth calculated
l 3.701it
OK
Average depth used In SAIDA, all (Round to nearest 0.5fl)
3.5�8
OK
Calculation option 2 used? (See Figure 10.2b)
-N ..(Y or N)
Area provided, permanent pool, A,
26,635 ftr
Area, bottom of loft vegetated shelf, A..
24,321 111
Area, sediment cleanout, top elevation (bottom of pond). A„p pond
14,968 fta
'Depth' (distance MY botlam of 10H shelf and top of sediment)
3.50If
Average depth calculated
�'Lft
Average depth used in SAIDA, all (Round to doom to nearest (i
,. It
Drawdown Calculations
Drawdown through orifice?
Diameter of orifice (if circular)
Area of orifice II -non -circular)
Coefficent of discharge (Co)
Driving head (Ha)
Drawdown through weir?
Weir type
Coefficient of discharge (C,)
Length of weir (L)
Driving head (H)
Pre development 1-yr, 24-hr peak flow
Post -development 1yr, 24-hr peak flow
Storage volume discharge rate (through discharge orifice or weir)
Storage volume drawdown time
Additional Information
Vegetated side slopes
Vegetated shelf slope
Vegetated shelf width
Length of flowpath to width ratio
Length to width ratio
Trash rack for overflow 8 orifice?
Freeboard provided
Vegetated filler provided?
Recorded drainage easement provided?
Captures all runoff at ultimate build -out?
Drain mechanism for maintenance or emergencies is:
Y. (Y or N)
3.00 in
Ina
.0,60 (uhilldss)
1.23 fl
;N ,(Y or N)
(unldess)
(uni8ess)
it
8
2.78 Olsen
i 2.76 fslsec
0.22 flslsec
3.28 days
OK, draws down in 2.5 days.
3, A
OK
10 :1
OK
10A:8
OK
3:1
OK
4.0 :1
OK
Y
- (Y or N)
OK
1.0 1l
OK
N
(Y or N)
OK
(Y or N)
Y
(Y or N)
OK
Pump Out
Form SW401-Wei Detenlion Basin-Rev.&411e112 Pads 1. 8 II, Design Summary, Page 2 of 2

Permit
(to be provided by DWO)
III' IREQUIRED)ITEMS"CHECKLIST '
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Pagel Plan
Initials Sheet No.
C-3 1. Plans (1" - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Basin dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement.
C-3 & DA 2. Partial plan IT' = 30' or larger) and details for the wet detention basin showing:
- Outlet structure with trash rack or similar,
Maintenance access,
Permanent pool dimensions,
Forebay and main pond with hardened emergency spillway,
Basin cross-section,
- Vegetation specification for planting shelf, and
- Filter strip.
DA 3. Section view of the wet detention basin (1" = 20' or larger) showing:
- Side slopes, 3:1 or lower,
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
SW-8 4. If the basin is used for sediment and erosion control during construction, clean out of the basin is specified
on the plans prior to use as a wet detention basin.
Pg. 48-51 5. A table of elevations, areas, incremental volumes & accumulated volumes for overall pond and for Forebay,
to verify volume provided.
SW-2 6. A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized.
Pg.48-51 7. The supporting calculations.
TBD 8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
N/A 9. A copy of the deed restrictions (if required).
Included 10. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. County
soil maps are not an acceptable source of soils information.
Form SW401-Wet Detention Basin-Rev.9-4/1e/12 Part III. Required Items Checklist, Page 1 of 1

FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
EXPRESS PERMITTING OPTION 08012007
No person may initiate any land -disturbing activity on one or more acres as covered by the Act before this
form and an acceptable erosion and sedimentation control plan have been completed and approved by the
Land Quality Section, N.C. Department of Environment and Natural Resources. (Please type or print and, if
the question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.)
Part A.
1. Project Name Proposed Walmart Store # 7238-00
2. Location of land -disturbing activity: County Palmico
City or Township Town of Grantsboro
Highway/Street NC 55 Highway Latitude 35.1447 N Longitude 76.8354 W
3. Approximate date land -disturbing activity will commence: 10/2013
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Commercial
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 15 acres
6. Amount of fee enclosed: $ 2,975.00 . The Express Permitting application fee is a dual charge.
The normal fee of $65.00 per acre is assessed without a ceiling amount. In addition, the Express
Permitting supplement is $250.00 per acre up to eight acres, after which the Express Permitting
supplemental fee is a fixed $2,000.00 (Example: 9 acres total is $2,585). NOTE: Both fees are
rounded up to the next whole acre and need to be paid by separate checks to NCDENR.
7. Has an erosion and sediment control plan been filed? Yes No Enclosed X
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Kyle J. Crowe E-mail Address_ kcroweno bohlerengSom
Telephone [phone] Cell # 704-641-2689
Fax # [phone]
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Linwood Ireland
Name
Telephone . Fax Number
4201 Old Cherry Point Road 4201 Old Cherry Point Road
Current Mailing Address Current Street Address
New Bern NC 28560 New Bern NC 28560
City State Zip City State Zip,
10. Deed Book No. 138 Page No. 297 Provide a copy of the most current deed.
Part B.
1. Person(s) or firm(s) who are financially responsible_ for the land -disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet):
Mark Goldsmith on behalf of Walmart Stores East, LP [e-mail]
Name E-mail Address
2001 S.E. 10th Street 2001 S.E. 10th Street
Current Mailing Address Current Street Address
Bentonville AR 72716 Bentonville AR 72716
City State Zip City State Zip
Telephone [phone] Fax Number 479-204-0934

W
2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
Troutman Sanders LLP, Amanda Mann [e-mail]
Name E-mail Address
434 Fayetteville Street, Suite 1900
Current Mailing Address
Raleigh NC 27601
City State Zip
Telephone [phone]
434 Fayetteville Street, Suite 1900
Current Street Address
Raleigh NC 27601
City State Zip
Fax Number 919-829-8730
(b) If the Financially Responsible Party is a Partnership or other person engaging in business under an
assumed name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible
Party is a Corporation, give name and street address of the Registered Agent:
Name of Registered Agent
Current Mailing Address
City
Telephone
State
E-mail Address
Current Street Address
City . State Zip
Fax Number
(c) In order to facilitate Express Permitting, it is necessary to be able to contact the Engineer or other
consultant who can assist in providing any necessary information regarding the plan and its preparation:
Bohler Engineering
Engineering Firm or other consultant
Kyle Crowe
Individual contact person (type or print)
[e-mail]
E-mail Address
980-272-3400 980-272-3401
Telephone Fax Number
The above information is true and correct to the best of my knowledge and belief and was provided by me
under oath (This form must be signed by the Financially Responsible Person if an individual or his attorney -in -
fact, or if not an individual, by an officer, director, partner, or registered agent with the authority to execute
instruments for the Financially Responsible Person). I agree to provide corrected information should there be
any change in the information provided herein.
Mark Goldsmith, CPESC
Type or print name
Signature
Sr. Director of Stormwater Compliance
Title or Authority
/a-,6-13
Date
���� �,%� C ( a Notary Public of the County of C'i'Y (Or l
State of Nartia Ca xa,hereby certify that /)'i4:d ,5- <:/ Ao;11 7% appeared personally
before me this day and being duly sworn acknowledged that the above form was executed by him.
Witness my hand and notarial seal, this SIMI day of (iC(Cf)2�" , 20 7
Seal
Notary
My commission expires ( 7} I J
`ti;;p�•.: TERRI D. HALL
Benton County
`t. My Commission Expires
September 28, 2016

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IN PAYMENT WAL-MART STORES, INC. CHECK DATE CHECK NUMBER PAGE#
OF INVOICES TO 702 SW 8th Street 09/26/13 9906186 1/1
Bentonville, Arkansas 72716
INVOICE DATE
INVOICE NUMBER
STORE NO.
DOCUMENT
TYPE
GROSS AMOUNT
DISCOUNTS
NET AMOUNT
09/26/13
9267238
05-9000
18250833
975.00
0.00
975.00;
i
/9999999989 Emergency Requests One Time V TOTALS
975.00
0.00
975.00
WA
702
Ben
I'm 9906L8611' 3LOL560:2079900L3685411'

TM
BOHLER
ENGINEERING NC, PLLC
NCDENR
943 Washington Square Mall
Washington, NC 27889
Attn: Mr. Roger Thorpe
Re:
Dear Mr. Thorpe:
4011 WestChase Boulevard, Suite 290
Raleigh, NC 27607
PHONE [phone]
RECEIVED
September 2, 2014
Via: FedEx SEP - 4 2014
DWQ-WARO
Stormwater Management Permit SW7131102
Walmart Store # 7238
Wet Pond Certification
11233 A & B NC Highway 55
Grantsboro, NC
Pamlico County
BEI 4NCC138114
In conjunction with the close-out of the Stormwater Management Permit (SW7131102) for the Walmart
Store # 7238 in Grantsboro, NC, Carolina Engineers, PA provided this office with an as -built CAD file
for our review. Based upon this review, it has been determined that wet pond has been constructed within
substantial compliance and intent of the approved plans and specifications.
Enclosed please find the following close-out documents which are being submitted to your office:
Signed Certification Form (including completed checklist), dated September 2, 2014, and
One (1) Storm Drainage Pond As -Built dated August 19, 2014 prepared by Carolina
Engineers, PA.
Please let me know if you will need any additional information for this project. Thank you for your
assistance with this project.
Sincerely,
30AILER ENG
INEERIN
G NC, PLLC
Pettier . B Il"
Enclosures
CC: Michael Thomas, Walmart (with enclosures)
1 U01]WCCII8114\Permi11in8\DENR Stem ter Ce,titiwtion\7238-NCC138114-Slonowtu Ma eman Certification Tniomitul Lena to DENR-1409U2. doc
CIVIL AND CONSULTING ENGINEERS • PROJECT MANAGERS • SURVEYORS • ENVIRONMENTAL CONSULTANTS • LANDSCAPE
ARCHITECTS

Wal-Mart Store# 7238, Grantsboro
Stormwater Permit No. SW7131102
Pamlico County
Designer's Certification
RECEIVED
SEP - 4 2014
DWQ-WARO
I Peter Bellantoni , as a duly registered Professional Engineer in the
State of North Carolina, having been authorized to observe (periodicallyt vveektyffull
fh" the construction of the project,
Wal-Mart Store # 7238, Grantsboro, NC
(Project)
for Wal-Mart Stores East, LP (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 / C"I'U 06t rd a�
Registration Number 33040
Date September2,2014 =2�
Page 6 of 7
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RECEIVED
S E P - 4 2014
Certification Requirements:
X I. The drainage area to the system contains approximately the permitted
acreage.
X 2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
X
3.
All the built -upon area associated with the project is graded such that the
runoff drains to the system.
x
4.
All roof drains are located such that the runoff is directed into the system.
X
5.
The outlet/bypass structure elevations are per the approved plan.
x
6.
The outlet structure is located per the approved plans.
X
7.
Trash rack is provided on the outlet/bypass structure.
X
8.
All slopes are grassed with permanent vegetation.
X
9.
Vegetated slopes are no steeper than 3:1.
x
10.
The inlets are located per the approved plans and do not cause short-
circuiting of the system.
X
11.
The permitted amounts of surface area and/or volume have been
provided.
x
12.
Required drawdown devices are correctly sized per the approved plans.
X
13.
All required design depths are provided.
X
14.
All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
x
15.
The required system dimensions are provided per the approved plans.
cc:
NCDENR-DEMLR
Washington Regional Office
Pamlico
Planning / Building Inspections
Page 7 of 7