SW6141201_HISTORICAL FILE_20141218

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

I
770-447-8999
770-447-9070 Fax
www.wolvertoii-assoc.com
LETTER OF TRANSMITTAL
Associates
6745 Sugarloaf Parkway • Suitc'100
Duluth, Georgia 30097
DATE: December 18, 2014 W&APROJECTNO.: 13-149i298F
TO: NCDENR — Stormwater Permitting Phone [phone]
Attn: Bill Diuguid
512 N. Salisbury Street, 9th Floor
Raleigh, NC 276-4
RECEIVED
RE: Stormwater Application n� 22
2614
Spout Springs Shops �-
DENR-LAND QUALITY
STORMWATER PERMITTING
COPIES
DATED
I DESCRIPTION
1
Overall Site Plan, Sheet C-1
1
Site Plan, Sheet C-IA
1
1'E
Grading Plan, Sheet C-2A
1
Utility Plan, Sheet C-3A
1
Executed Wet Detention Basin O & M Agreement
1
Executed Stormwater Permit Application Form
TRANSMITTED:
MESSAGE: Bill,
MAIL
COURIER
DELIVERED
FED EX 12 / 18 / 14s
PICKED LIP
OTHER
Please find attached the above referenced document to assist in your approval of the Stormwater Application.
The site drawings have been revised to include a 10' access easement around the pond and extending up to the
right-of-way. Should you have any questions, please feel free to contact me.
COPY:
File
SIGNED
LIB=• ��
J. Ed Buchli, P.E.1pr

i W's o r'
LSSU-0-r-.4.
First Submittal ❑ ttal-Bate
Development/Project Name: 5 o S
Receiving stream name C'
River Basin: CA--aa G� A,P
Review .5 6lLf-f7-
M/Date
Reviewed: 12 S r By Bill Diuguid G J
„s
For post -construction requirements, a program will be deemed c6mpliant for the areas where it is
implementing any of the following programs: WS-I, WS-II, WS-III, WS-IV, HOW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds): N
Latitude and Longitude:35 ! 3Z -7I of ZS.SrW Jurisd
Project Address: we H 1e/ V Z!V4 A b
Engineer name and firm: J: Fd a , /j . LWuIVrtR tii ,F r4 s--S ec:e�
Phone: ?7n_ ��7—it�9 Email: �ecP. buc! /; �cio/yae fsd _ as *C- C"'
Is the project confirmed to be in the State MSI Stormwater Permit jurisdiction? es or No
❑ ow Density (no curb and gutter) ❑ Low Density with curb and gutter outlets 21igh Density ❑ Other
01/404 impacts to surface waters, wetlands, and buffers (add language to cover letter and/or add info letter)
uK B U A % D %—
Lr"'Check for $505.00 included Si( 1l , oe-
Original signature (not photocopy) on application �J��LrC/f� o / o-F ,fe,Th-n_ -C
Legal Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent).
Check spelling, capitalization, punctuation: http://www.secretary.state.nc.us/corporations/thepage.aspx
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
ir,,qludes the name, title, mailing address and phone number of the person signing the letter.
iK Copy of property deed showing ownership or control
-a - or subdivided projects, a signed and notarized deed restriction statement
a' Sealed, signed & dated calculations
Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each)
0
❑ Bioretention
❑ Dry Detention Basin
❑ Filter Strip
❑ Grass Swale
❑ Infiltration Basin
❑ Infiltration Trench
❑ Level Spreader
❑ Permeable Pavement
❑ Restored Riparian Buffer
❑ Rooftop Runoff Management --
❑ Sand Filter
r�
i
MAY 1 1 2015
I
wo sets of sealed, signed & dated layout & finish grading plans with appropriate details
a� Narrative Description of stormwater management provided
p/ oils report, geotech information provided
Wetlands delineated or a note on the plans or in the accompanying documents that none exist on site and/or
/adjacent property
o' Details for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
VBMP
ensions & slopes provided
inage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
operation and maintenance agreements provided /Yo-T Si b�' En /Na-7,v,e;2i
❑ Application complete 2"A-pplicationIncomplete Returned:.PiMAr/-se(� (Date)
CommP.ntS ltt.1 Cv A,Y �, a, 4 4r_ '�<e
❑ *rmwater Wetland
et Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
4!3ACX Ta T/tE PK.gA_ic
April 26, 2013 Revision, Bill Diuguid

Z'ILO Omni /
Diuguid, Bill
From: Diuguid, Bill
Sent: Friday, December 12, 2014 9:45 AM
To: '[e-mail]'
Subject: FW: Spout Springs Shops NC State Stormwater Application
Fyi.
Bill Diuguid, Division of Energy, Mineral and Land Resources, Land Quality Section.
From: Diuguid, Bill -
Sent: Monday, December 08, 2014 10:57 AM
To: '[e-mail]' MAY 1 1 2015
Subject:. Spout Springs Shops NC State Stormwater Application
Ed Buchli:
I have finished a preliminary review of this state stormwater application for the Spout Springs Shops including a Walmart
Supercenter in Cameron, Harnett County. Everything in the pkg. looks pretty good, with a few exceptions.
First, the application needs to be signed and notarized. I assume that would be Arthur J. Kepes, Member of the LLC.
Secondly, the Wet Detention Basin Operation and Maintenance Agreement needs to be signed and notarized, Kepes'
name is typed in.
The best way to handle these and expedite our review, would be to get them signed and notarized and send me a .pdf of
these documents on email, and then mail the originals to me.
The site plan set and supporting documents are fine, with the exception of, Thirdly, there needs to be an access
easement drawn around the bmp, in general providing a ten foot easement, around the bmp for maintenance and
access, and labelled as such on the plan sheet, and this easement needs to be drawn back to the public r-o-w. You have
a water and sewer easement shown on Sheet C-3, I assume you could piggy -back onto that easement, just so it is drawn
back to the public r-o-w.
Some preferjust to do a blanket easement on a separate full size plan sheet just showing the easement. I will need two
copies of this changed or new sheet. See Chapter 7 of our BMP Design Manual, BMP Maintenance, found here
http://portal.ncdenr.org/web/Ir/bmp-manual.
Again, the package and plan set looks good and once 1 have the above items, we can proceed with the final review and
issuance of this stormwater permit.
If you have any questions, feel free to email or call.
Thanks.
Bill
Bill Diuguid, AICP, Planner
Stormwater Permitting
Land Quality Section
Division of Energy, Mineral and Land Resources I NCDENR
1612 Mail Service Center (Mail)
512 N. Salisbury St, Raleigh, NC 27604 1 9th Floor (Location & Parcels)
Raleigh North Carolina 27699-1612

Diuguid, Bill
From: Diuguid, Bill
Sent: Monday, December 08, 2014 10:57 AM
To: '[e-mail]'
Subject: Spout Springs Shops NC State Stormwater Application S >n/ (py 12 �1
Ed Buchli: I
I have finished a preliminary review of this state stormwater application for the Spout Springs Shops including a Walmart
Supercenter in Cameron, Harnett County. Everything in the pkg. looks pretty good, with a few exceptions.
First, the application needs to be signed and notarized. I assume that would be Arthur J. Kepes, Member of the LLC.
Secondly, the Wet Detention Basin Operation and Maintenance Agreement needs to be signed and notarized, Kepes'
name is typed in.
The best way to handle these and expedite our review, would be to get them signed and notarized and send me a .pdf of
these documents on email, and then mail the originals to me.
The site plan set and supporting documents are fine, with the exception of, Thirdly, there needs to be an access
easement drawn around the bmp, in general providing a ten foot easement, around the bmp for maintenance and
access and labelled as such on the plan sheet, and this easement needs to be drawn back to the public r-o-w. You have
a water and sewer easement shown on Sheet C-3, I assume you could piggy -back onto that easement, just so it is drawn
back to the public r-o-w.
Some prefer just to do a blanket easement on a separate full size plan sheet just showing the easement. I will need two
copies of this changed or new sheet. See Chapter 7 of our BMP Design Manual, BMP Maintenance, found here
http://portal.ncdenr.org/web/Ir/bmp-manual.
Again, the package and plan set looks good and once I have the above items, we can proceed with the final review and
issuance of this stormwater permit.
If you have any questions, feel free to email or call.
Thanks.
Bill
Bill Diuguid, AICP, Planner
Stormwater Permitting
Land Quality Section
Division of Energy, Mineral and Land Resources I NCDENR
1612 Mail Service Center (Mail)
512 N. Salisbury St, Raleigh, NC 27604 1 9th Floor (Location & Parcels)
Raleigh North Carolina 27699-1612
Phone: [phone] Fax: [phone]
Website: http://I)ortal.ncdenr.org/web/wo/ws/su
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties.

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Applicable Rules: ❑ Coastal SW -1995
❑ Coastal SW -
2008 WPh Il - Post Construction
(select all that apply) ❑ Non -Coastal SW- I IQW/ORW Waters
❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Spout Springs Shops
2. Location of Project (street address):
NC Highway 24 / 87
City:Cameron Cou nty:t-1 arnette Zip:28326
3. Directions to project (from nearest major intersection):
From the intersection of NC Hwy 24 & NC Hwy 87 - Travel S-SW on NC 24/87 approximately 2.7 miles. Site
will be on the West side of NC 24 / 87 directly across from Brinkley Hill Lane intersection.
4. Latitude:35° 14' 46.32" N Longitude:-79° 1' 25.58" W of the main entrance to the project.
N to r`K,% la-H-M r CL
It. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tReneroals with modifrcalions also requires SMI-102 - Renewal 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 ®High Density ❑Drains to an Offsite Stormwater System ❑Oilier
3. If this application is being submitted as the result of a previously returned application or a letter from
DEMLR requesting a state Stormwater management permit application, list the stormwater project number,
if assigned, N/A and the previous name of the project, if different than currently
proposed, N/A
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑LAMA Major ®Sedimentation/Erosion Control 37 ac of Disturbed Area
❑NPDES Industrial Stormwater Z404/401 Permit: Proposed hnpacts DWR #14-108
b.lf any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:401 Water Quality Certification - DWR #14-108
Proposed Walmart Store - Spout Springs, NC; Oct. 31, 2014
5. Is the project located within 5 miles of a public airport? ®No ❑Yes
If yes, see S.L. 2012-200, Part Vl: httl2:Hl2ortaLTicdenr.org/web/Ir/rules-and-regulations
FormSWU-101 Version Oct. 31,2013 Page Iof6

III. CONTACT INFORMATION
I. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/ Organ ization:Spout Springs Retail Investments LLC by WRS Inc its Manager
Signing Official & Title:Arthur 1 Kepes Executive Vice President
b. Contact information for person listed in item la above:
Street Address:550 Long Point Road
City:Mt. Pleasant State:SC Zip:29464
Mailing Address (if applicable):Same as Above
Phone: (843 ) 654-7888
Ema il: bmu rev®wrs rea Ity. corn
Zip:
Fax: (843 ) 654-7889
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: Spout Springs Retail Investments LLC by WRS Inc. its Manager
Signing Official & Title:Arthur 1. Kepes, Executive Vice President
b.Contact information for person listed in item 2a above:
Street Address:550 Lone Point Road
City:Mt. Pleasant State:SC Zip:29464
Mailing Address (if
City:
Phone: (843 ) 654-7888
E m a i I: b m u r p I�Qw r s rea I ty. c o m
State:
Pax: (843 ) 654-7889
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: (
4. Local jurisdiction for building permits:
Fax: ( )
Point of Contact:iay Sikes Phone #: (910 ) 893-7525
Fonn SWU-101 Version Oct. 31; 2013 Pale 2 of 7

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
With the completed development storm water will be collected in area inlets and transferred via underground
pipe network to a forebay and wet detention facility. Runoff from the pond will be released using an outlet
control structure (to rates less than the pre -developed run off rates)
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 Cape Fear River basin.
4. Total Property Area: 45.17 acres 5. Total Coastal Wetlands Area: 0.0 acres
6. Total Surface Water Area: 0.0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area*:45.17 acres
Total project area shall be calculated to exclude thefollowing. the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward frorn the NHW (or MHVV) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landzord of the NHW (or MHW) line ntay
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 57.30 %
9. How many drainage areas does the project have?l (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.
}BasmgInformahon 6 { 4iF�
jDrama erAreaU i
tDrama e;Area u
EDrama ejArea�iral
tDrama e Area)_
Receiving Stream Name
Muddy Creek
(Overhills
Lake
Stream Class
C
Stream Index Number *
18-23-26
Total Drainage Area (sf)
1,349,489
On -site Drainage Area (sf)
1,349,489
Off -site Drainage Area (sf)
0.0
Proposed Impervious Area** (so
1,126,396
Impervious Area** total
83.5%
.Iiii erviou ;jtSurface`Areai ,
iDra,ni' e Area ;
-
,
aDjrauia 'e'Area :
;Diana e'A`reaa 5s
rDiaina eiArea's
- ._.
On -site Buildings/ Lots (sf)
233,596
On -site Streets (sf)
N/A
On -site Parking (so
626,523
On -site Sidewalks (so
3,625
Other on -site (so
Future(so
262,652
Off -site (so
0.0
Existing BUA*** (so
0.0
Total (so:
" Streams Class and Index Number can be determined at: httn://portal.ncdenr.or oeb/zaq(ps/csu/classi ucations
Form SWU-101 Version Oct. 31, 2013 Page 3 of 7

Im`teroious area is defined as the !milt upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Report only that amount of existing BLIA that will remain after development. Do not report any existing BLIA that
is to be removed and which ruill be replaced by neto BLIA.
11. I -low was the off -site impervious area listed above determined? Provide documentation. All offsite water
(from NC 24 / 87 & east) is captured in existing storm drain structures and ditches and routed/discharged
off / away from property.
Projects in Union County: Contact DEMLR Central Office staffto check ifthe project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 1 SA NCAC 0213.0600.
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 http://portal.ncdenr.org/web/wq/ws/su/bop-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). 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/fornis_docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map athttp://portil.iicdenr.org/web/­wqZwsZsu/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 ham://portaI.ncdenr.org/web/wq/ws/su/statesw/forms does.
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & P�(otteectiv Covenants
Form. (if required as per Part V11 below)
3. Original of the applicable Supplement Fonn(s) (sealed, signed aInd dated)
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer tom
http://www.etivlielp.org/pages/onestopexpress.litn) 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 1/2
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 MI-IW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MI-IW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished Floor elevations.
Form SWU-101 Version Oct. 31, 2013 Paae 4 of 7

1. 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 SI-I 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"xll" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DE V)( R to vertfij the SHWT prior
to submittal, [phone].) trJ•\� cp � v QII�^Q� oixv� '1 ` ut-�C 16 Y
10. A copy of the most current property deed. Deed box 'age o:
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/ Corporations / CSea rch.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://12ortii.ncdenr.org/web/Ir/state-stormwater-
forms dots. 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 DEMLR, 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:l. Ed Buchli
Consulting Firm: Wolverton & Assoc., Inc.
Mailing Address:6745 Sugarloaf Parkway, Suite 100
City:Dulutli State:GA Zip:30097
Phone: (770 ) 447-8999
Eniail:[e-mail]
wolverton-assoc.com
Fax: (770 ) 447-9070
Form SWU-101 Version Oct. 31, 2013 Page 5 of 7

IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
1, (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 type name of person
listed in Contact Information, item la) with (print or type name of organization listed in
Contact Information, item la) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
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 DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR 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:
a Notary Public for the State of County of
do hereby certify that
before me this _ day of
personally appeared
and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
Form SWU-101 Version Oct. 31, 2013 page 6 of 7

X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Dtfornmtion, item la)
certify that the information included on this permit application form is, to the hest of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 21-I .1000 and any other applicable state stormwater requirements.
Signa
before me this
a Notary Public for the State of
do hereby certify that
day of
Date:
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
Form S WU-101 Version Oct. 31, 2013 Page 7 of 7

770-447-8999 /
770-447-9070 Fax 6745 Sugarloaf Parkway • Suite 100
www.wolverton-assoc.com Duluth, Georgia 30097
Wolverton & Associates
LETTER OF TRANSMITTAL
DATE: December 2, 2014 W&A PROJECT NO.: 13-149129 r
TO: North Carolina DENR rt910-433-3300
Division of Water Resources
Raleigh Regional Office RECEIVED
1612 Mail Service Center DEC 03 2014
Raleigh, NC 27699-1612 DENR-LAND QUALITY
STORMWATER PERMITTING
RE: Stormcvater Management Permit Application
Spout Springs Shops
Cameron, Harnett County, NC
COPIES
DATED
DESCRIPTION
2
Stormwater Management Permit Application Form (1 Original, 1 Copy)
2
Wet Detention Supplement Form
2
Wet Detention O & M Agreement
1
Check for Permit Application Processing Fee $505.00
2
Stormwater Treatment Narrative U AY 1 1 9n,r
2
Copy of CISGS Quad Map, showing the site and receiving waters y
2
Hydrology Study
2
Construction Plans (See Attached Sheet Index for Drawings included with this Submittal)
1
Soils Report, prepared by S&ME, Inc.
1
Purchase Agreement
1
Spout Spring Retail Investment LLC Operating Agreement
TRANSMITTED:
MAIL
COURIER
DELIVERED
FED EX 12/2/14,
PICKED LIP
OTHER
MESSAGE: Please find attached the above -referenced documents for your review. Should you have any questions or
need additional information, please let me know.
COPY:
SIGNED
J. Ed Buchll, P.E./jar

Diuguid, Bill
From: Ed Buchli <[e-mail]>
Sent: Monday, December 1S, 2014 11:12 AM
To: Diuguid, Bill
Cc: Todd Seldomridge
Subject: RE: Spout Springs Shops NC State Stormwater Application
Attachments: SPSP Stormwater Management Permit Application A1K executed.pdf; SPSP Detention
Operation - Maintenance Agreement A1K Executed.pdf
M
Please find attached copies of the signed Permit Application and 0&M agreement for the Spout Springs project. I will
forward you the originals as soon as we receive. Working on revising the plans to show the access easement around the
pond as well and will forward to you when it is ready. Please let me know if there is anything else you need
Thanks
J. Ed Buchli, P.E.
Site Department
-•Hblvsrtwt R ,Assoriates .,
6745 Sugarloaf Parkway
Suite 100
Duluth, GA 30097
770-447-8999 phone
678-775-5817 direct
770-447-9070fax
www.wolverton-assoc.com
ed.buch [e-mail]
From: Diuguid, Bill[mailto:[e-mail]]
Sent: Monday, December 08, 2014 10:57 AM
To: Ed Buchli
Subject: Spout Springs Shops NC State Stormwater Application
�,! AY 1 1 2015
Ed Buchli:
I have finished a preliminary review of this state stormwater application for the Spout Springs Shops including a Walmart
Supercenter in Cameron, Harnett County. Everything in the pkg. looks pretty good, with a few exceptions.
First, the application needs to be signed and notarized. I assume that would be Arthur J. Kepes, Member of the LLC.
Secondly, the Wet Detention Basin Operation and Maintenance Agreement needs to be signed and notarized, Kepes'
name is typed in.
The best way to handle these and expedite our review, would be to get them signed and notarized and send me a .pdf of
these documents on email, and then mail the originals to me.

The site plan set and supporting documents are fine, with the exception of, Thirdly, there needs to be an access
easement drawn around the bmp, in general providing a ten foot easement, around the bmp for maintenance and
access and labelled as such on the plan sheet, and this easement needs to be drawn back to the public r-o-w. You have
a water and sewer easement shown on Sheet C-3, I assume you could piggy -back onto that easement, just so it is drawn
back to the public r-o-w.
Some prefer just to do a blanket easement on a separate full size plan sheet just showing the easement. I will need two
copies of this changed or new sheet. See Chapter 7 of our BMP Design Manual, BMP Maintenance, found here
http://portal.ncdenr.org/web/Ir/bmp-manual.
Again, the package and plan set looks good and once I have the above items, we can proceed with the final review and
issuance of this stormwater permit.
If you have any questions, feel free to email or call.
Thanks.
Bill
Bill Diuguid, AICP, Planner
Stormwater Permitting
Land Quality Section
Division of Energy, Mineral and Land Resources I NCDENR
1612 Mail Service Center (Mail)
512 N. Salisbury St, Raleigh, NC 27604 1 9th Floor (Location & Parcels)
Raleigh North Carolina 27699-1612
Phone: [phone] Fax: [phone]
Website: http://portal.ncdenr.org/web/wq/ws/su
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties.
This email and any files transmitted with it are intended solely for the use of the individual and/or entity to
whom it is addressed. Unless noted otherwise above, any distribution or copying of this email is strictly
prohibited. This email is not a binding agreement on behalf of W&A. If you have received this message in error,
please immediately notify the sender and delete this message from your computer. Wolverton & Associates,
Inc. 6745 Sugarloaf Parkway, Ste 100, Duluth, GA. 30097 www.wolverton-assoc.com

SHEET INDEX
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Stormwater Narrative
Spout Springs Retail Investments, LLC proposes to construct a ±189,543 square foot (SF) Walmart
Supercenter, ±44,053 SF of retail shops and four (4) outlets on ±45.17 acres of land located in Harnett
County, NC. The property is bound to the east by North Carolina Highway 24-87, to the north by
undeveloped woodlands, to the south by undeveloped woodlands and cemetery and to the west by
undeveloped woodlands and wetlands. The proposed design considers that the post -developed stormwater
runoff will be managed and detained using a wet detention basin
Currently runofffrom the site generally flows from the east (NC Highway 24-87) to the west over grass
covered and wooded land areas. The high point of the site is at elevation 326.00 ft. AMDL and the low point
of the site is at elevation 242.00 ft. AMSL. Drainage flows via overland flow from the eastern property
boundary into a shallow open channel that feeds into a wetland area where a former pond and associated dam
(breached) were located. The wetlands were observed to be in an area located in the northern -central portion
of the Walmart building. Limits of the wetlands have been delineated and confirmed by the USACE. The
limits of wetlands and the proposed impacts are shown on site and grading plans. Storm water discharge from
the wetlands area flows west southwest into an unnamed tributary which flows into the Muddy Creek
Tributary 2.
The proposer) development will consist of buildings, parking, driveways, associated utilities, and two above
ground stormwater management ponds (forebay and wet detention pond). The forchav and wet pond have
been designed in accordance with the North Carolina Department of Environment and Natural Resources
(NCDENR) Stormwater Best Management Practices Manual. The NCDENR design guidelines require that a
wet detention pond be sized to provide a temporary pool having the capacity to capture the first 1-inch of
Stormwater and release it over 2 to 5 days. This temporary pool is in addition to the permanent wet pool that
is designed based on a ratio of the pond surface area to the drainage basin area. The wet pool of the wet
detention basin was designed utilizing the 90% TSS removal factors (Table 10-3) in lieu of the State
requirement of' 85% TSS removal. The stormwater management system has been designed such that the
post -developed peak discharge rates are limited to the peak discharge rates for the pre -developed site
conditions for the I -year, 2-year, 5-year, 10-year, 25-year, 50-year, and 100-year 24-hour rainfall events.
Hydraflow Hydrographs 2014 computer program, with a SCS Type 11 distribution, was used for the analysis.

Stormwater Narrative
Spout Springs Retail Investments, LLC proposes to construct a ±189,543 square foot (SF) Walmart
Supercenter, ±44,053 SF of retail shops and four (4) outlots on ±45.17 acres of, land located in Harnett
County, NC. The property is bound to the east by North Carolina Highway 24-87, to the north by
undeveloped woodlands, to the south by undeveloped woodlands and cemetery and to the west by
undeveloped woodlands and wetlands. The proposed design considers that the post -developed Stormwater
runoff will be managed and detained using a wet detention basin
Currently runoff from the site generally flows from the east (NC Highway 24-87) to the west over grass
covered and wooded land areas. The high point of the site is at elevation 326.00 ft. AMDL and the low point
of the site is at elevation 242.00 ft. AMSL. Drainage Rows via overland flow from the eastern property
boundary into a shallow open channel that feeds into a wetland area where a former pond and associated dam
(breached) were located. The wetlands were observed to be in an area located in the northern -central portion
of the Walmart building. Limits of the wetlands have been delineated and confirmed by the USACE. The
limits of wetlands and the proposed impacts are shown. on site and grading plans. Storm water discharge from
the wetlands area flows west southwest into an unnamed tributary which flows into the Muddy Creek
Tributary 2.
The proposed development will consist of buildings, parking, driveways, associated utilities, and two above
ground stormwatcr management ponds (forebay and wet detention pond). The forebay and Bret pond have
been designed in accordance with the North Carolina Department of Environment and Natural Resources
(NCDENR) Stormwater Best Management Practices Manual. The NCDENR design guidelines require that a
wet detention pond be sized to provide a temporary pool having the capacity to capture the first 1-inch of
stormwatcr and release it over 2 to 5 days. This temporary pool is in addition to the permanent wet pool that
is designed based on a ratio of the pond surface area to the drainage basin area. The wet pool of the wet
detention basin was designed utilizing the 90% TSS removal factors (I -able 10-3) in lieu of the State
requirement of 85% TSS removal. The stormwater management system has been designed such that the
post -developed peak discharge rates are limited to the peak discharge rates for the pre -developed site
conditions for the I -year, 2-year, 5-year, 10-year, 25-year, 50-year, and 100-year 24-hour rainfall events.
1-lydraflow Flydrographs 2014 computer program, with a SCS Type II distribution, was used for the analysis.

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13-'49 MAN ED HYDRO #3 - 11-20-2014.OWG

C201411400527 ,
State of North Carolina
Department of the Secretary of State
SOSID: 1376844
Date Filed: 5/1/20146:341:00 Pill
Elaine F. Marshall
North Carolina Secretary of State
C2014 114 00527
APPLICATION FOR CERTIFICATE OF AUTHORITY
FOR LIMITED LIABILITY COMPANY
Pursuant to §57D-7-03 of the General Statutes of North Carolina, the undersigned limited liability company hereby applies for a
Certificate of Authority to transact business in thee State of North Carolina, and for that purpose submits the following:
/
1. The name of the limited liability company is Joe J Tt� 5 e j T ✓ tz
�.
and if the limited liability company name is unavailable for use in the State of North Carolina, the name the limited
n n n , ., I
liability company wishes to use is
2. The state or country under whose laws the limited liability company was formed is
if
3. PrinciVThe
information: (Select either orb.) '--
a.mited liability company has a principall�offiiyy.
The principal office telephone number: ��% `f',J � —' I '— / b Q d M AY 1 2015
The street address and county of the principal office /off the limited liabilit company is:
Number and Stre t: 5 50 L-V 117 QI *
City: � 615 Statek Zip Code: County: _
The mailing address, if different fram the street address, of the principal office of the corporation is:
Number and Street:
City:
State:_ Zip Code: County:
b. ❑ The limited liability company does not have a principal office.
4. The name of the registered agent in the State of North Carolina is: 06 ope rd 4 e4
r
The street address and county of the
registered agent's office in the State of North Carolina is:
Number and Street: r d) ©�'R!/�Z(X,VIIlZ � , `�'tK l`'l
City: A State: NC Zip Code: d�100 ( County: W6LKe—
6. The North Carolina mailing address, if different from the street address, of the registered agent's office in the State of North
Carolina is:
Number and Street:
State: NC Zip Code: County:
CORPORATIONS DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622
(Reviser) January 2014) (Farm L-09)

C201411400n27
APPLICATION FOR CERTIFICATE OF AUTHORITY
Page 2
7. The names, titles, and usual business addresses of the current company officials of the limited liability company are:
(use attachment i(necessary)
Name and Title
I // .=6 11/.
Business Address
8. Attached is a certificate of existence (or document of similar import), duly authenticated by the secretary of state or other official
having custody of limited liability company records in the state or country of formation. The Certificate of Existence must be
less than six months old. A photocopy of the certification cannot be accepted
9. If the limited liability company is required to use a fictitious name in order to transact business in this State, a copy of the resolution
of its managers adopting the fictitious name is attach
Privacy Redaction
10. (Optional): Please provide a business e-mail address:
The Secretary of State's Office will e-mail the business automatically at the address provid above at no cost when a document is
filed. The e-mail provided will not be viewable on the website For more information on why this service is offered, please see
the instructions for this document.
11. This application will be effective upon filing, unless a delayed date and/or time is specified:
This th 4 day of ij 20#
Notes:
I. Filing fee is $250. This document must be filed with the Secretary of State.
CORPORATIONS DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622
(Revised January 2014) (Form L-09)

i ne State of South Carolina
/�k��/� �
/
A
l���, �\ }
Office of Secretary of State Mark Hammond
0
Certificate of Existence
1, Mark Hammond, Secretary of State of South Carolina Hereby certify that:
SPOUT SPRINGS RETAIL INVESTMENT, LLC, A Limited Liability Company
duly organized under the laws of the State of South Carolina on February 28th,
2014, with a duration that is until February 28th, 2114, has as of this date filed all
reports due this office, paid all fees, taxes and penalties owed to the Secretary of
State, that the Secretary of State has not mailed notice to the company that it is
subject to being dissolved by administrative action pursuant to section 33-44-809
of the South Carolina Code. and that the company has not filed articles of
termination as of the date hereof.
Given under my Hand and the Great
Seal of the State of South Carolina this
21 st day of April, 2014.
ad
Mark Hammon , Secretary of State
T£i7VT U) T .......... ....... T )(Y) THT1117 J111 I