SW8100212_Current Permit_20100405

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
April 5, 2010
Campbell Brothers Investments, LLC
Wesley Campbell, Manager
PO Box 637
Elizabethtown, NC 28337
Subject: Stormwater Management Permit No. SW8100212
Minuteman Food Mart Store #31
High Density Commercial Constructed Wetlands Project
Brunswick County
Dear Mr. Campbell:
Dee Freeman
Secretary
The Wilmington Regional Office received a complete Stormwater Management Permit Application for
Minuteman Food Mart Store #31 on April 5, 2010. 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. SW8 100212,
dated April 5, 2010, for the construction of the subject project.
This permit shall be effective from the date of issuance until April 5, 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 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer 27447,
Raleigh, NC 27611-7447. 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 Linda
Lewis, or me at [phone].
Sinc rely,
eorgette cott
Stormwater Supervisor
Division of Water Quality
GDS/art: S:IWQSISTORMWATERIPERMIT1100212.apr10
cc: Branch Smith, P.E., GS Engineering Services
Brunswick County Inspections
Jeff Phillips, Brunswick County Engineering
Wilmington Regional Office Stormwater File
Central Files
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405
Phone: [phone] FAX: 9MM-20041 Customer Service:1-877-623-6748
Internet www.ncwaterqualfty.org
An Equal Opportunity 1 Aflfnnative Action Fmployer
NorthCarolina
Natural[k

State Stormwater Management Systems
Permit No. SW8100212
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
Campbell Brothers Investments, LLC
Minuteman Food Mart Stone #31
106 Southport -Supply Road, Supply, Brunswick County
FOR THE
construction, operation and maintenance of one (1) constructed wetlands in compliance
with Session Law 2008-211 and the provisions of 15A NCAC 2H .1000 (hereafter
collectively 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 April 5, 2020 and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 of this permit.
3. The application form, supplement forms, approved plans and specifications for
this project are incorporated by reference and are enforceable parts of the
permit.
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 project shall maintain a 50' wide vegetated buffer adjacent all surface
waters, measured horizontally from the normal pool of impounded structures, the
bank of each side of rivers and streams and the mean high water line of tidal
waters.
6. All runoff being directed into wetlands shall flow into and through those wetlands
at a non -erosive velocity of 2 fps or less.
Page 2 of 8

State Stormwater Management Systems
Permit No. SW8100212
7. The following design elements have been approved for this constructed wetlands
stormwater facility, and must be provided in the system at all times:
DA 1
a. Drainage Area, acres:
Onsite, ft2:
Offsite, ft2:
1.39
50,188
3,181
b. Total Impervious Surfaces, ft2-
Building:
Roads/Parking:
Canopy:
Sidewalk:
Other:
Offsite:
39,602
4,050
25,267
3,500
900
2,704
3,181
c. Planting Depth, inches:
12
d. TSS removal eff., %:
85%
e. Design Storm, inches:
1.5
f. Permanent Pool Elevation, FMSL:
23.0
g. Permitted Wetland Surface Area, ft2:
5,597
h. Shallow Land Area, ft2:
2,082
i. Shallow Water Area, ft2:
2,187
j. Deep Pool Area, ft2:
1,328
k. Permitted Temporary Storage Volume, W:
6,426
I. Temporary Storage Elevation, FMSL:
24.0
m. Controlling Orifice 0":
1.25
n. Trees
--
o. Herbaceous Plants
--
p. Shrubs
88
q. Receiving Stream / River Basin:
LIT Lockwood Folly / LBR59
r. Stream Index Number:
15-25-1-(11)
s. Classification of Water Body:
SC HQW
II. SCHEDULE OF COMPLIANCE
No person or other legal entity shall alter the approved stormwater management
system, or fill in, alter, or pipe any drainage feature, including swales, shown on
the approved plans as part of the stormwater management system, unless and
until the permittee submits a modification to the permit and receives approval
from the Division.
2. The permittee is responsible for verifying that the proposed built -upon area for
the entire project does not exceed the allowable built -upon area.
3. 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.
Page 3 of 8

State Stormwater Management Systems
Permit No. SW8 100212
4. 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.
5. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately. Infiltration systems should not be used
as erosion control devices, due to the potential clogging. 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.
6. 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 the approved plans, regardless of size.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further subdivision, acquisition, 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.
7. The Director may determine that other revisions to the project should require a
modification to the permit.
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.
9. The permittee shall at all times provide the operation and maintenance
necessary to assure that all components of the permitted stormwater system
function at optimum efficiency. The approved Operation and Maintenance Plan
must be followed in its entirety and maintenance must occur at the scheduled
intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of side slopes.
d. Maintenance of the wetlands plants and replacement of dead plants.
e. Immediate repair of eroded areas.
f. Maintenance of side slopes in accordance with approved plans and
specifications.
g. Trash and debris removal and unclogging of the wetlands, outlet structure,
orifice, catch basins and piping.
h. Access to all components of the system must be available at all times.
10. Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ. The records will indicate the date,
activity, name of person performing the work and what actions were taken.
Page 4 of 8

State Stormwater Management Systems
Permit No. SW8 100212
11. Permanent seeding requirements for the stormwater control must follow the
guidelines established in the North Carolina Erosion and Sediment Control
Planning and Design Manual.
12. Prior to transfer of the permit, the stormwater facilities will be inspected by DWQ
personnel. The facility must be in compliance with all permit conditions. Any
items not in compliance must be repaired or replaced to design condition prior to
the transfer. Records of maintenance activities performed to date will be
required.
13. This permit shall become voidable unless the facilities are constructed in
accordance with the conditions of this permit, the application, approved plans
and specifications, and other supporting data.
14. Built upon area includes, but is not limited to, structures, asphalt, concrete,
gravel, brick, stone, slate, coquina and parking areas, but does not include
raised, open wood decking, or the water surface of swimming pools.
15. Prior to the dissolution of this permitted legal entity Campbell Brothers
Investments, LLC, the permittee shall comply with the conditions outlined in
Section 111.1 of this permit.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and
approval by the Director. At least 30 days prior to a change of ownership (which
includes dissolution of the LLC), or a name change of the Permittee or of the
project, or a mailing address change, the permittee shall submit a completed and
signed "Name/Ownership Change Form" to the Division of Water Quality,
accompanied by the appropriate documentation as listed on the form. The project
must be in good standing with DWQ. The approval of this request will be
considered on its merits and may or may not be approved.
2. The permittee is responsible for compliance with all of the terms and conditions
of this permit until such time as the Director approves the transfer request.
Neither the dissolution of the corporate entity, the sale of the project area in
whole or in part, nor the conveyance of common area to a third party, constitutes
an approved permit transfer.
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) which have 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 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.
7. Permittee grants permission to staff of the DWQ to access the property for the
purposes of inspecting the stormwater facilities during normal business hours.
Page 5 of 8

State Stormwater Management Systems
Permit No. SW8 100212
8. The permittee shall submit a permit renewal application and processing fee at
least 180 days prior to the expiration date of this permit.
9. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
Permit issued this the 5th day of April 2010.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Division of Water Quality
By Authority of the Environmental Management Commission
Page 6 of 8

State Stormwater Management Systems
Permit No. SW8 100212
Minuteman Food Mart Store #31
Stormwater Permit No. SW8 100121
Brunswick County
Designer's Certification
Page 1 of 2
i, , as a duly registered in
the State of North Carolina, having been authorized to observe (period icallylweeklylfull
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 are a part of this Certification.
Noted deviations from approved plans and specifications:
Signature
Registration Number
Date
SEAL
Page 7 of 8

State Stormwater Management Systems
Permit No. SW8 100212
Certification Requirements: Page 2 of 2
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 wetland zone elevations are per the approved plan.
6. The wetland is located per the approved plans.
7. A trash rack is provided on the outlet 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 wetland zone surface area and volume have
been provided.
.12. Required drawdown devices are correctly sized and located per the
approved plans.
_13. All required design depths are provided.
_14. All required parts of the system are provided.
_ 15. The required number of wetlands plantings have been provided.
cc: NCDENR-DWQ Regional Office
Brunswick County Building Inspections
Page 8 of 8

Permit Number: _`L1015r/411 �
(to be provided by DWQ)
Drainage Area Number:_ 4 — /
Stormwater Wetland Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
- Immediately after the stormwater wetland is established, the wetland plants will
be watered twice weekly if needed until the plants become established
(commonly six weeks).
- No portion of the stormwater wetland will be fertilized after the first initial
fertilization that is required to establish the wetland plants.
Stable groundcover will be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
- Once a year, a dam safety expert will inspect the embankment.
After the wet detention pond is established, I will inspect it 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 will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potential problem.
How I will remediate theproblem:
The entire BMP
Trash/ debris is present
Remove the trash/ debris.
The perimeter of the
wetland
Areas of bare soil and/or
erosive gullies have formed.
Regrade the soil if necessary to
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 .
six inches.
The inlet device: pipe or
The pipe is clogged (if
-approximately
Unclog the pipe. Dispose of the
Swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
i
future problems with erosion.
R ...,_..""TVED
FEB ,)12Vilq
Form SW401-Wetland O&M-Rev.3 Page 1 of 4

BW element:
Potentialproblem:
How I will remediate the problenr
The forebay
Sediment has accumulated in
Search for the source of the
the forebay to a depth that
sediment and remedy the problem if
inhibits the forebay from
I possible. Remove the sediment and
functioning well.
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 a pesticide is used, wipe it
on the plants rather than spraying.
The deep pool, shallow
Algal growth covers over
Consult a professional to remove
water and shallow land
50% of the deep pool and
and control the algal growth.
areas
shallow water areas.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray) -
the deep pool and shallow
consult a professional.
water areas.
Shallow land remains flooded
Unclog the outlet device
more than 5 days after a
immediately.
storm event.
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.
Best professional practices
Prune according to best professional
show that pruning is needed
practices.
to maintain optimal plant
health.
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth
possible. Remove the sediment and
of the deep pools.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Form SW401-Wetland O&M-Rev.3 Page 2 of 4

BW element:
Potentialproblem:
How I will remediate theproblem:
The embankment
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.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present
consult a professional to remove
beavers.
The micropool
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Plants are growing in the
Remove the plants, preferably by
micropool.
hand. If a pesticide is used, wipe it
on the plants rather than spraying -
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
or replace the outlet device.
The receiving water
Erosion or other signs of
_Repair
Contact the NC Division of Water
damage have occurred at the
1
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW401-Wetland O&M-Rev.3 Page 3 of 4

Permit Number: so S / z (Z
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures fasted above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible parry.
Project name: MINUTEMAN FOOD MART STORE #31
BMP drainage area number: DA-1
Print name:
Title:
Address: P.O. Box 637 1 418 Peanut Plant Road
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, _ReJ,,ee C . t -Q (-{Qn , a Notary Public for the State of
NOV-) &n bnO�, , County of -BiOJeX--i , do hereby certify that
Ip6eA 1 personally appeared before me this
day of � &' Lgx r V , '701 ®, and acknowledge the due execution of the
forgoing stormwater wetland maintenance requirements. Witness my hand and official
seal,
ooeoaaec a+e _e H cc mac. ea
V HO� 0e�oag
O � RP a
� �UBI.%C# c�
' ��®es
® ® cc
%uy��t7¢3idp
_„y° 5 0000
ve caeaml U u9oa�yp60����
61
My commission expires I I —((a —(:5)\Q I +
Form SW401-Wetland O&M-Rev.3 Page 4 of 4

-7-/i fl.... I e'r - - n - re- f• --�of— tf.
/V I C J� ✓/ �7 / (/
od DWQ USE ONLY
Date Received
Fee Paid
Permit Number
�y
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 Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
'Phis 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.):
MINUTEMAN FOOD MART STORE #31
2. Location of Project (street address):
106 Southport-Suvnly Rd
City: Supply County: Brunswick Zip: 28462
3. Directions to project (from nearest major intersection):
Travel Hwy 211 S from US 17 S & Hwy 211 stoplight. Site is 2000 ft on left.
4. Latitude: 34 ° 0' 20" N Longitude: -780 Sr 38.951, W of the main entrance to the project.
IL PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) and the status of
construction: ❑Not Started ❑Partially Completed' ❑ Completed* *provide a designers certification
2. Specify the type of project (check one):
[]Low Density ®High Density ❑Drains to an Offsite Stormwater System Mother
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
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: 2.33 ac of Disturbed Area
❑404/401 Permit Proposed Impacts
b.If any of these perrrdts have aheady been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit: 'r; Ia. n_
DECEIVED
FEB 012089
�X:

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 Pro-Ject):
Signing Official &
b. Contact information for person listed in item 1a above: "Y"W" (2a V- K%W-n a is bo goxt1kVW L`
Street Address: 418 Peanut Plant Road
City: Elizabethtown State: NC Zip: 28337
Mailing Address (if applicable): PO Box 637
City: Elizabethtown State: NC Zip: 28337
Phone: ( 910 ) 862-8423 Fax:
Email:
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:_ POI}
Signing Official & Title: A)h
b. Contact information for person listed in item 2a above:
Street Address:
City: State: Zip:
Mailing Address (if applicable):
City:_
Phone:
Email:-
State: Zip:
Fax: ( )
3. a. (Optional) Print the name and title of another contact such as the projects construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization: N14
Signing Official & Title: t11A
b. Contact information for person listed in item 3a above:
Mailing Address:_ �✓�g
City: State: Zip:
Phone: ( ) Fax: ( )
Email:
4. Local jurisdiction for building permits: Brunswick County
Point of Contact Chris Givens Phone #: ( 910 ) 253-2025

M PROJECT INFORMATION ¢,_ s' ZU/ U
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater will be collected from the C-store roof area gas island canopy, parkinjz lot, store sidewalks, a
portion of the public roadways and surrounding landscape/grass areas by yard inlets within the parking
islands and curb inlets along theparking lot curbing.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved: ,v�A
❑ 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: A j14-
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Lumber River basin.
4. Total Property Area: 1.39 acres
Total Coastal Wetlands Area: 0 acres
Total Surface Water Area: 0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area*: 1.39 acres
+ Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Wainer (N M line or Mean HzXh Water
(MHM line, and coastal wetlands landward from the NHW (or MHM line. The resultant project area is used to
calculate overall percent built upon area (B ). 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 = 65.40 %
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.
Basin Information
Drainage Area 1
Drama a Area _
Drainage Area
DrainaLre Area ._
Receiving Stream Name
UT Lockwood
Foil
_
Stream Class *
x EI w
Stream Index Number *
15-25-1-11
Total Drainage Area (sf)
53,369
On -site Drainage Area (sf)
50,188
Off -site Drainage Area (sf)
3,181
Proposed Impervious Area" s
39,602
Impervious Area** total
74%
Impervious" Surface Area
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area
On -site Buildings/Lots (sf)
4,050
_
Qrk"ibeg
3,500
On -site Parking (sf)
25,267
i
On -site Sidewalks (sf)
900
Other on -site (sf)
2,704
Ann
Future (sf)
0
Off -site (sf)
3,181
D
EAs ' BUA*** (sf)
0
aU Z/2
Total (sf):
39,602
T btream LLass ana index Number can be determined at: httph*2o.eitr.state.nc.ug&Lng&WodsLeportsWB.htmI
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. jJ A
Projects in Union County: Contact DWQ Central Office staff to check if theproject is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per NCAC 02B . 0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from hqR:/ /h2o.enr.statenc.us/su/hMp forms lita-t.
VL 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://h2o.enr.staie.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 athft://h2o.enr.state.nc.us/su/msi ma s� 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 hft://h2o.enr.state.nc.us/su/bmp forms htrn.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants �—
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M a—
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to aM5
h=:/ /www.gm helR.M/Rages/2pg tom ress.html for information on the Express program —�"—
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1h mile of the site boundary, include the lh
mile radius on the map.
7. Sealed, signed and dated calculations. Ak S
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 bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
L Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.

o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BNFs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 2167 Page No: 298
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 1a, 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.
hU:/ /www.secEtiga.state.nc.us/Cor.Rorations/­CSearch.MRx
VIL DEED RESTRICTIONS AND PROTECTIVE COVENANTS N/a,
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
htlp://h2o.enr.state.nc.us/su&mp forms.htm#deed 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.
VUL 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: T. Branch Smith. PE
Consulting Firm: GSE I GS Engineering Services PLLC
Mailing Address: PO Box 2019
City: Elizabethtown
Phone: ( 910 ) 862-MOO
Email: [e-mail]
State: NC Zip: 28337
Fax: ( )
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) N/A certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) N/A with (print or type name of organization listed in
Contact Information, item 1b) N/A 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

t
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.
Signature: Date:
L a Notary Public for the State of
do hereby certify that
before me this _ day of
County of
personally appeared
and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires,
X. APPLICANT'S CERTIFICATION //
I, (print or type name of person listed in Contact Information, item 2) t/��/ 11;6ll
certify that the information included on this permit application form is, to the4xfst 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, pd9hat the proposed project complies with the requirements of the
applicable stormwater er 2H .1000, SL 2006-246 (Ph. II - Post Construction) or SL P
08-211.
Signature: Date: %A8 �d
L Kex-wo-, -- C - P6 (4c-) r--) a Notary Public for the State of -No County of
. do hereby certify that We-S P bct ( personally appeared
before me this 2S day of J C aol U, and owledge the due execution of the application for
a stormwater permit. Witness my hand and official seal, C 45
•
%%%-:' of to Po iy#
°f�G.
•�� ;la+
/4pUBL%Q
�h°►ttt ttafr�t9oa�
SEAL
My commission expires

Sw3/�2�2
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t
WW.NR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WETLAND SUPPLEMENT
This form must be filed out, printed and submitted.
The Required Items Checkfist (Part 111) must be printed, filled out and submitted along wifh all the required information.
Project name Minuteman Food Mart Store #31
Contact name J Branch Smith PE
Phone number
Date
Drainage area number
Ill. DESIGN IINFORMATION
Site Characteristics
910-862-3400
March 22, 2010
DA-1
Drainage area
53,369.00 f?
Impervious area
39,602.00 fe
Percent impervious
74.2% %
Design rainfall depth
1.50 inch
Peak Flow Calculations
1-yr, 24-hr rainfall depth
3.70 in
1-yr, 24-hr intensity
6.30 in/hr
Pre -development 1-yr, 24-hr runoff
2.93 ft3/sec
Post -development 1-yr, 24-hr runoff
5.87 fe/sec
Pre/Post 1-yr, 24-hr peak control
2.94 Owe
Storage Volume: Non -SA Waters
Minimum required volume
4,787.00 ft
Volume provided (temporary pool volume)
6,426.00 ft3 OK
Storage Volume: SA Waters Parameters
1.5" runoff volume
ft3
Pre -development 1-yr. 24-hr runoff volume
fe
Post -development 1-yr, 24-hr runoff volume
fe
Minimum volume required
fe
Volume provided
fe
Outlet Design
Depth of temporary poollponding depth (Dpl ntj
12.00 in OK
Drawdown time
3.10 days OK
Diameter of orifice
1.25 in OK
Coefficient of discharge (CD) used in orifice diameter
calculation
0.60 (unitless)
Driving head (Ho) used in the orifice diameter calculation
0.33 it OK
Form SW401-Wetland-Rev.6-11/16/09 Parts I and II. Project Design Summary, Page 1 of 3

Surface Areas of Wetland Zones
Surface Area of Entire Wetland
Shallow Land
The shallow land percentage is. -
Shallow Water
The shallow water percentage is:
Deep Pool
Forebay portion of deep pool (pretreatment)
The forebay surface area percentage is:
Non-forebay portion of deep pool
The non-forebay deep pool surface area percentage is:
Total of wetland zone areas
Add or subtract the following area from the zones
Topographic Zone Elevations
Temporary Pool Elevation (TPE)
Shallow Land (top)
Permanent Pool Elevation (PPE)
Shallow Water/Deep Pool (top)
Shallow Water bottom
Most shallow point of deep poors bottom
Deepest point of deep poors bottom
Design must meet one of the following two options:
This design meets Option #1,
Top of PPE is within 6' of SHWT, If yes:
SHWT (Seasonally High Water Table)
This design meets Option #2,
Wetland has liner with permeability < 0.01 inthr, If yes:
Depth of topsoil above impermeable liner
Topographic Zone Depths
Temporary Pool
Shallow Land
Permanent Pool
Shallow Water
Deep Pool (shallowest)
Deep Pool (deepest)
Planting Plan
Are cattails included in the planting plan?
Number of Plants recommended in Shallow Water Area:
Herbaceous (4'cubic-inch container)
Number of Plants recommended in Shallow Land Area:
Herbaceous (4'cubic-inch container), OR
Shrubs (1 gallon or larger), OR
Trees (3 gallon or larger) and Herbaceous (4+cubie4nch)
Number of Plants provided in Shallow Water Area:
Herbaceous (4'cubic-inch container)
Number of Plants provided in Shallow Land Area:
Herbaceous (4'cubic4nch container)
Shrubs (1 gallon or larger)
Trees (3 gallon or larger) and
Grass -like Herbaceous (4+cubic-inch)
5,597.00 fe Insufficient wetland surface area.
2,082.00 fe OK
37% %
2,187.00 ft OK
39% %
766.00 f? OK
14% %
562.00 f? OK
10% %
5,597.00 f? OK
0.00 fe
24.00 ft amsl
23.00 ft amsl
22.60 ft amsl
21.00 ft amsl
20.00 ft amsl
Y (Y or N)
23.50 ft amsl OK
(Y or N)
in
12.00 in OK
4.80 in OK
24.00 in OK
36.00 in OK
N (Y or N) OK
550
550
88
11
and
440
550
OK
88 OK
Forth SW401-Wetland-Rev.6-11116109 Parts I and 11. Project Design Summary, Page 2 of 3

Additional Information
Can the design volume be contained?
Does project drain to SA waters? If yes,
What is the length of the vegetated filter?
Are calculations for supporting the design volume provided in the
application?
Is BMP sized to handle all runoff from ultimate build -out?
Is the BMP located in a recorded drainage easement with a
recorded access easement to a public Right of Way (ROW)?
The length to width ratio is:
Approximate wetland length
Approximate wetland width
Approximate surface area using length and width provided
Will the wetland be stabilized within 14 days of construction?
Y
(Y or N)
OK
N
(Y or N)
Excess volume must pass through filter.
ft
Y
(Y or N)
OK
Y
(Y or N)
OK
Y
(Y or N)
OK
9.20 :1
OK
230.00 ft
25.00 ft
5,750.00
fe
This approx. surface area is within this number of square feet
of the entire wetland surface area reported above:
Y
(Y or N)
OK
Form SW401-Wetland-Rev.6-11/16/09 Parts I and H. Project Design Summary, Page 3 of 3

Permit No.
(to be provided by DWQ)
III. REQUIRED GEMS 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.
Initials Page/ Plan
Sheet No.
_ eef:�P_ 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),
- Wetland dimensions (and length to width ratio),
Pretreatment system,
- Maintenance access,
Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement.
,9't 4-5 Z 2. Plan details (1" = 50' or larger) for the wetland showing:
- Wetland dimensions (and length to width ratio)
Pretreatment system,
Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Overflow device, and
- Boundaries of drainage easement.
►S G-51- 3. Section view of the wetland (1" = 20' or larger) showing:
Side slopes, 3:1 or lower
- Wetland layers
All wetlands: Shallow land depth, shallow water depth, deep pool depth
Option 1, no clay liner: SLWT depth
Option 2, clay liner: Depth of topsoil on top of liner, liner specifications
G S_ L 4. A detailed planting plan (1" = 20' or larger) prepared by a qualified individual showing:
- A variety of several suitable species (not including cattails),
Sizes, spacing and locations of plantings,
Total quantity of each type of plant specified,
- A planting detail,
- The source nursery for the plants, and
- Fertilizer and watering requirements to establish vegetation.
5. A construction sequence that shows how the wetland will be protected from sediment until the entire
drainage area is stabilized.
6. The supporting calculations (including drawdown calculations).
r 7. A copy of the signed and notarized operation and maintenance (O&M) agreement.
�✓ 8. A copy of the deed restrictions (if required).
9. A soils report that is based upon an actual field investigation and soil borings. County soil maps are not
an acceptable source of soils information.
SW401-Wetland-Rev.G-11M6/09 Part III, page 1 of 1

Minuteman Food Mart Store #31
Stormwater Permit No. SW8 100121
Brunswick Countv
Designer's Certification
St to Stormwater Management Systems
Permit No. SW8 100212
Page 1 of 2
�T)
1, -J• 844,FJ40 SsAW t , as a duly registered *rr"6Kn
the State of North Carolina, having been authorized to observe (periodically/weekly/full
time) the construction of the project,
641Wl4" F+mpo
(Project)
for WOOZY pow. /64,ntimu— 011-- (Project Owner) hereby state that, to the
best of my abilities, due c re 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 are a part of this Certification.
Noted deviations from approved plans and specifications:
Signature
r AA
Registration Number &aV35'y
Date q1_1$ — / /
FZECEIVED
APR 18 2011
BY:
SEAL
GA R 0E
AL r
0343

•:.�r
State Stormwater Management Systems
Permit No. SW8 100212
Certification Requirements: Page 2 of 2
1. The drainage area to the system contains approximately the permitted
acreage.
,!#35 2.
The drainaae area to the system contains no more than the permitted
amount of built -upon area.
,.&4 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.
Ile's 5.
The wetland zone elevations are per the approved plan.
. tal5 6.
The wetland is located per the approved plans.
c1K 7.
A trash rack is provided on the outlet structure.
Ol°a-> 8. All slopes are grassed with permanent vegetation. IPW rNsratoD A-00
lf4ulD.
9. Vegetated slopes are no steeper than 3:1.
dPS 10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
V-il�p 11. The permitted amounts of wetland zone surface area and volume have
been provided.
�vbs 12. Required drawdown devices are correctly sized and located per the
approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided.
<0h 15. The required number of wetlands plantings have been provided. To g9,
cc: NCDENR-DWQ Regional Office I W_f?rUXP to A A4L_ V/1CAlt-y 14"
Brunswick County Building Inspections
RECEIVED
APR 19 2011
BY: