SW8100315_CURRENT PERMIT_20220111

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 10 0 3 1 5
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
Zo22 O\ kk
YYYYMMDD

ROY COOPER
Covonor
ELiZABETH S. BISER
BRUIN WRENN
DGettar . - `
January 11, 2022
NORTH CAROLINA
Emuvtiunwital Quaftry
Pender EMS and Fire, Inc.
Attu: James Everett Baysden, Jr., Chief
805 Ridgewood Avenue
Buigaw, NC,28426
Subject: Permit Renewal
Post -Construction Stormwater Management Permit No. SW8 100315
Pender EMS Burgaw
Pender County
Dear Mr. Baysden
Effective August 1, 2013 the Post -Construction Stormwater Management Program has been transferred from"the
Division of -Water Quality (`-DWQ") to the Division of Energy, Mineral and Land Resources (`-`DEMLR"). 'All
previous rgferences to DWQ will remain in older permits issued prior to August 1, 2013 until they are nodified.
Please note that this permit will now reference DEMLR as the Division responsible for enforcement of the permit.
On August 5, 2009, the Governor signed Session Law 2009-406. This law impacted any development approval
issued by the former Division of Water Quality under Article 21 of Chapter 143 of the General Statutes, which
was current and valid at any point between January 1, 2008, and December 31, 2010. The law extended the
effective period of any permit that was set to expire during this time frame to three (3) years from its' current
expiration date: On August 2, 2010, the Governor signed Session Law 2010-177, which granted an extra year for
a total of four (4) years extension.
The Division of Energy, Mineral and Land Resources received a complete 8-year Permit Renewal Application for
the subject permit on January 11, 2022. The Division is hereby notifying -you that permit SW8100315 has been
renewed, updated, and re -issued on`January:ll, 2022, as attached. As requested, a copy of the current operation
and maiirtenance agreement is also enclosed.. Please be aware that the renewal and re -issuance of this stormwater
permit does notimply that the site is currently in compliance.
This permit shall be effective until December 31, 2029, which includes all available extensions, and does not
supersede any other -agency permit that may be required. The project shall be subject to the conditions and
limitations as'specified therein. This permit does not impose new_or increased stormwater control requirements; it
clarifies the rules and requirements of this program to provide you with a better understandingof yore obligations
under this permit Failure to comply with these requirements will`result in future compliance problems. Please
note that this permit is not transferable except after notice to and approval by the Division.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request
'in adjudicatory hearing by filing a written petition with the Office, of Administrative Hearings (OAH). ,The, _
written petition must conform'to Chapter 150B of the North Carolina General Statutes and 'nrust be filed with the
OAH within thirty (36) days of receipt of this permit. You should contact the OAH with all questions regarding
the -filing fee (if a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center,"
Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless
such demands are made this permit shall be final and binding.
If you have any questions concerning this permit, please contact Ashley Smith in the Wilmington Regional
Office, at [phone] or [e-mail].
Sincerely,
CA40&a wip
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
North Carolina Department of Envuonmemai Quality I Division of Energy, Ww"I and Land Resources
D NK Qom,,
Wilmington Regional Office 1 127 cardinal Drive Extension I wihrangtom North Carolina 28405
Exam �/�'�jp'

State Stormwater Permit No. SW8 100315
Page 2 of 2
Enclosures Attachment C - Permitting FIistory
Renewal Application Documents
-Copy of the current operation and maintenance agreement
DES/arcs: \\\Stormwater\Permits & Proj"\2010\100315 FID\2022 01 permit 100315
cc: Wilmington Regional Office Stoitnwater File
DEQ
\ ��
names - O
ue.wrs .�i..dio.iv
North Carolina Department of Environmental Quafttj I Division of Energy, Mineral and Land Resources
WRmington Regional Office 1127 Cardinal Drive Extension I Wdmmgtom North Carolina 25405
9101%.726

Post -Construction Stormwater Management
Permit No SW8 100315
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST -CONSTRUCTION STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL 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
Pender EMS and Fire, Inc
Pender EMS Burgaw
805 Ridgewood Avenue, Burgaw, Pender County
FOR THE
construction, operation and maintenance of one (1) wet detention pond in compliance with the
provisions of 15A NCAC 2H 1000 and Session Law 2008-211 (hereafter collectively referred to as the
"stormwater rules') and as outlined in the application, approved stormwater management plans,
supplement, calculations, operation and maintenance agreement, recorded documents,
specifications, and other supporting data (the "approved plans and specifications") as attached and/or
on file with and approved by the Division of Energy, Mineral and Land Resources (the "Division" or
"DEMLR") The project shall be constructed, operated and maintained in accordance with these
approved plans and specifications The approved plans and specifications are incorporated by
reference and are enforceable part of this permit
This permit shall be effective from the date of issuance until December 31, 2029 and shall be subject
to the following specified conditions and limitations The permit issued shall continue in force and
effect until the permittee files a request with the Division for a permit modification, transfer, renewal, or
rescission, however, these actions do not stay any condition 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 for cause as allowed by the laws, rules, and regulations contained in Title 15A
NCAC 2H 1000 and NCGS 143-215 1 et al
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 17 on page 2 of this permit The stormwater control has been designed to
handle the runoff from 44,001 square feet of impervious area
3 A 50' wide vegetative buffer must be provided adjacent impounded structures, streams, rivers
and tidal waters
4 The tract will be limited to the amount of built -upon area indicated on page 2 of this permit, and
per approved plans
Page 1 of 5

Post -Construction Stormwater Management
Permit No SWB 100315
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
The runoff from all built -upon area within the permitted drainage area(s) of this protect must be
directed into the permitted stormwater control system
The following design criteria have been provided in the wet detention pond and must be
maintained at design condition
a Drainage Area, acres
Onsite, ft'
Offsite, ft'
b Total Impervious Surfaces, ft'
Onsde, ft'
Offsite, ft'
c Design Storm, inches
d Average Pond Design Depth, feet
e TSS removal efficiency
f Permanent Pool Elevation, FMSL
g Permanent Pool Surface Area, ft'
h Permitted Storage Volume, ft'
i Temporary Storage Elevation, FMSL
t Pre-dev 1 yr-24 hr discharge rate, cfs
k Controlling Orifice
I Orifice flowrate, cfs
m Permitted Forebay Volume, ft'
n Fountain Horsepower
o Receiving Stream/River Basin
p Stream Index Number
q Classification of Water Body
II. SCHEDULE OF COMPLIANCE
223
97,241
0
44,001
44,001
0
15
3
90%
40
6,005
7,236 at temporary pool elev
41
01
5 x'/z"0 holes
002
2,485
N/A
NE Cape Fear / Cape Fear
18-74-(29 5)
" C, Sw"
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 the design condition The approved Operation and
Maintenance Plan must be followed in its entirety and maintenance must occur at the
scheduled intervals including, but not limited to
a Semiannual scheduled inspections (every 6 months)
b Sediment removal
c Mowing and re -vegetation of slopes and the vegetated filter
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, flow spreader, catch
basins and piping
q Access to the outlet structure must be available at all times
Records of maintenance activities must be kept and made available upon request to
authorized personnel of DEMLR The records will indicate the date, activity, name of person
performing the work and what actions were taken
The facilities shall be constructed, operated and maintained in accordance with the provisions
of this permit, the approved plans and specifications, and the supporting documents attached
to this permit and on file with the Division
Page 2 of 5

Post -Construction Stormwater Management
Permit No SW8 100315
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
7 If the stormwater system was used as an Erosion Control device, it must be restored to design
condition prior to operation as a stormwater treatment device, and prior to occupancy of the
facility
8 Access to the stormwater facilities for inspection and maintenance shall be maintained via
appropriate recorded easements at all times
9 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
10 Decorative spray fountains will be allowed in the stormwater treatment system if calculations
are provided documenting the permeant pool volume is greater than 30,000 cubic feet
11 No person or entity, including the permittee, shall alter any component shown in the approved
plans and specifications Prior to the construction of any modification to the approved plans,
the permittee shall submit to the Director, and shall have received approval for modified plans,
specifications, and calculations including, but not limited to, those listed below For changes to
the protect or SCM that impact the certifications, a new or updated certification(s), as
applicable, will be required and a copy must be submitted to the appropriate DEQ regional
office upon completion of the modification
a Any modification to the approved plans and specifications, regardless of size including
the SCM(s), BUA, details, etc
b Redesign or addition to the approved amount of BUA or to the drainage area
c Further development, subdivision, acquisition, lease or sale of any, all or part of the
project and/or property area as reported in the approved plans and specifications
d Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), the stormwater collection system and/or
vegetative conveyance shown on the approved plan
e The construction of any allocated future BUA
f The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material to be considered a permeable surface that were not included in
the approved plans and specifications
g Other modifications as determined by the Director
III. GENERAL CONDITIONS
1 CORRECTIVE ACTIONS REQUIRED If the facilities fail to perform satisfactorily, the
permittee shall take immediate corrective actions This includes actions required by this
Division and the stormwater rules such as the construction of additional or replacement on -site
stormwater systems These additional or replacement measures shall receive a permit from
the Division prior to construction
2 PERMIT RENEWAL A permit renewal request must be submitted at least 180 days prior to
the expiration date of this permit The renewal request must include the appropriate
application, documentation and the processing fee as outlined in Title 15A NCAC
02H 1045(3)
3 CHANGES TO THE PROJECT NAME, PERMITTEE NAME OR CONTACT INFORMATION
The permittee shall submit a completed Permit Information Update Application Form to the
Division within 30 days to making any one of these changes
Page 3 of 5

Post -Construction Stormwater Management
Permit No SW8 100315
4 TRANSFER This permit is not transferable to any person or entity except after notice to and
approval by the Director Neither the sale of the protect and/or property, in whole or in part, nor
the conveyance of common area to a third party constitutes an approved transfer of the permit
TRANSFER REQUEST The transfer request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H 1045(2) This
request must be submitted within 90 days of the permit holder meeting one or more of
the following
i A natural person who is deceased,
u A partnership, limited liability corporation, corporation, or any other business
association that has been dissolved,
ui A person or entity who has been lawfully and finally divested of title to the
property on which the permitted activity is occurring or will occur through
foreclosure, bankruptcy, or other legal proceeding
IV A person or entity who has sold the property, in whole or in part, on which the
permitted activity is occurring or will occur
TRANSFER INSPECTION Prior to transfer of the permit, a file review and site
inspection will be conducted by Division personnel to ensure the permit conditions
have been met and that the protect and the on -site stormwater system complies with
the permit conditions Records of maintenance activities performed to date may be
requested Protects not in compliance with the permit will not be transferred until all
permit and/or general statute conditions are met
COMPLIANCE The permittee is responsible for compliance with the terms and conditions of
this permit until the Division approves the transfer request
APPROVED PLANS AND SPECIFICATIONS A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable
recorded documents, and specifications shall be maintained on file by the permittee at
all times
DIVISION ACCESS The permittee grants Division Staff permission to enter the
property during normal business hours to inspect all components of the permitted
protect
c ENFORCEMENT Any individual or entity found to be in noncompliance with the
provisions of a stormwater management permit or the requirements of the stormwater
rules is subject to enforcement procedures as set forth in NCGS 143 Article 21
d ANNUAL CERTIFICATION The permittee shall electronically submit to the Division an
annual certification completed by either the permittee or their designee confirming the
protects conformance with permit conditions
e OBTAINING COMPLIANCE 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 modified plans and certification in writing to the Director that the
changes have been made
f OTHER PERMITS The issuance of this permit does not preclude the permittee from
complying with and obtaining any other permits or approvals that are required for this
development to take place, as required by any statutes, rules, regulations, or
ordinances, which may be imposed by any other Local, State or Federal government
agency having jurisdiction Any activities undertaken at this site that cause a water
quality violation or undertaken prior to receipt of the necessary permits or approvals to
do so are considered violations of NCGS 143-215 1, and subject to enforcement
procedures pursuant to NCGS 143-215 6
Page 4 of 5

Post -Construction Stormwater Management
Permit No SW8 100315
Permit renewed, updated and reissued this the 11th day of January 2022
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
-W,.13nanWrenrl-, Uirecto
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 5 of 5

Attachment C - Permitting History
Pender EMS Burgaw
Permit No SWS 100315
Approval
Date
Permit
Action
BIMS
Version
Description of the Changes
6/10/2010
Original
Approval
10
1/11/2022
Renewal
20
Expires December 31, 2029

PermitNumber. SW g (0031 S
(to be provided by DWQ)
Drainage Area Number
Wet Detention Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided.
This system (check one):
® 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 groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin
— if the basin must be drained for an emergency or to perform maintenance, the
Flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
— Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and
within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a
Coastal County). Records of operation and maintenance should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention basin
erosive puthes have formed.
remove the pay, and then plant a
ground cover and water until it is
established. Provide time and a
one-time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximately six inches.
F_
Form SW401-Wet Detention Basin O&M -Rev 4
Page I of 4

PermitNumber SW g l Do3 t,5-
(to be provided by 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 nprap 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
onginal 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 nprap 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
Prime 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 lest 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
ongmal 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, phraymites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface.
FUE,CEIVED
MAY 11 2010
Form SW401-Wet Detention Basin O&M-Rev-4 1}t Page 2 of 4

Permit Number SW $ (003(.S
(to be provided by DWQ)
Drainage Area Number
BMP element:
Potential roblem:
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 mspecbon 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 4 feet in the main pond, the sediment
shall be removed.
When the permanent pool depth reads 4 feet in the forebay, the sediment shall
be removed.
Sediment Removal
Bottom
3600
BASIN DIAGRAM
(fill in the blanks)
Lft Min
Sediment
Storage
Pool
Permanent Pool Elevation 40 00
Sediment Removal Elevation 36_00 Volume
----------------------------------- ------
Bottom Elevation 35 00 j 1-ft
Storage
FOREBAY
NY11` v
1?010
MAIN POND
Form SW401-Wet Detention Basra O&M -Rev 4 --7zz/ Page 3 of 4

Permit Number
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party
Project name
BMP drainage area number:
Print name Woodrow W Sullivan ILL
Address P O. Box 650 Rocky Point, NC 28457
Phone
Signat
Date u —iv - laid
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
�1 I I 1 County of f Qf�(y!.(� do hereby certify that
�n�00c� 1(0 �UI I� VW 11- personally appeared before me this
day of�_(� and acknowledge the due execution of the
forgoing wet d ention basin maintenance requirements Witness my hand and official
seal,
• �rpunprrr
�•.•`• EE HER *''•.
0.
i pV 61.�G
i Ate'. ?• V S
044
SEAL 16-30 410 o
My commission expires IOR
Form SW401-Wet Detention Basin O&M-Rcv 4 Page 4 of 4

r

Permit Number SUf T 1 063 I S
(to be provided by DWQ)
Drainage Area Number
Filter Strip, Restored Riparian Buffer and Level Spreader
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 filter strip is established, any newly planted vegetation
will be watered twice weekly if needed until the plants become established
(commonly six weeks).
— Once a year, the filter strip will be reseeded to maintain a dense growth of
vegetation
— Stable groundcover will be maintained in the drainage area to reduce the
sediment load to the vegetation.
— Two to three tunes a year, grass filter strips will be mowed and the clippings
harvested to promote the growth of thick vegetation with optimum pollutant
removal efficiency. Turf grass should not be cut shorter than 3 to 5 inches and
may be allowed to grow as tall as 12 inches depending on aesthetic requirements
(NIPC, 1993). Forested filter strips do not require this type of maintenance.
— Once a year, the soil will be aerated if necessary
— Once a year, soil pH will be tested and lime will be added if necessary.
After the filter strip is established, it will be inspected quarterly and within 24 hours
after every storm event greater than 1.0 inch (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
Potentialproblem:
How I will remediate theproblem:
The entire filter strip
Trash/debss is present.
Remove the trash/debris.
system
The flow splitter device
The flow splitter device is
Unclog the conveyance and dispose
(if applicable)
clogged
of any sediment off -site.
The flow splitter device is
Make any necessary repairs or
damaged.
replace if damage is too large for
ro air.
RECEIVED
MAY 11 2010
BY:
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buller O&M -Rev 3 Page 1 of 3

�. sw g 1oa31S
Me element:
Potentialproblem:
How I will remediate theproblem:
The swale and the level
The swale is clogged with
Remove the sediment and dispose
lip
sediment.
of it off -site.
The level lip is cracked,
Repair or replace lip.
settled, undercut, eroded or
otherwise damaged.
There is erosion around the
Regrade the soil to create a berm
end of the level spreader that
that is higher than the level lip, and
shows stormwater has
then plant a ground cover and
bypassed it.
water until it is established. Provide
hme and a one -lime fertilizer
application.
Trees or shrubs have begun
Remove them.
to grow on the swale or just
downslo e of the level lip.
The bypass channel
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then
reestablish proper erosion control.
Turf reinforcement is
Study the site to see if a larger
damaged or ripap is rolling
bypass channel is needed (enlarge if
downhill.
necessary). After this, reestablish
the erosion control material.
The filter strip,
Grass is too short or too long
Maintain grass at a height of
(if applicable).
approximately three to six inches.
Areas of bare soil and/or
Regrade the sod if necessary to
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one -Lime fertilizer application.
Sediment is building, up on
Remove the sediment and
the filter strip.
restabibze the soil with vegetation if
necessary. Provide lime and a one-
time fertilizer application.
Plants are desiccated.
Provide additional irrigation and
fertilizer as needed.
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.
Nuisance vegetation is
Remove vegetation by hand if
choking out desirable species.
possible. If pesticide is used, do not
allow it to get into the receiving
water.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality local Regional Office, or the
outlet.
1 401 Oversight Unit aL 919-733-1786.
Form S WU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M -Rev 3 Page 2 of 3

Pcrmn Numbcr SwS t oO3' 5-
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party
Project name
BMP drainage area number
Print name Woodrow W Sullivan irr
Title Agent
Addre:
Phone
Signati Date b 1U - zel�
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, 1 , o, LPL Ncrrifn a Notary Public for the State of
N C County of Rnde-ir do hereby certify that
Wood(ow tk). Su )) tyan UL personally appeared before me this 10
day of Q �Q Q , and acknowledge the due execution of the
forgoing filter strip, riparian buffer, and/or level spreader maintenance requirements
Witness my hand and official seal,
SEAL
My commission expires
Form SWU401-Level Spreader, Filter Strip, Restored Ripanan Buffer O&M -Rev 3 Page 3 of 3

Permit Name St a � taa "9 5—
(to be provided by DWQJJ
Drainage Area Number 1
Grassed Swale Operation and Maintenance Agreement
I will keep a maintenance record on this BMP This maintenance record will be kept to 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:
— The drainage area of the grassed swale will be carefully managed to reduce the
sediment load to the grassed swale.
— After the first-time fertilization to establish the grass in the swale, fertilizer will
not be applied to the grassed swale.
The grassed swale will be inspected once a quarter. 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 roblem:
How I will remediate theproblem:
The entire length of the
Trash/debns is present.
Remove the trash/debris.
swale
Areas of bare soil and/or
Regrade the soil of necessary to
erosive gullies have formed.
remove the gully, and then re -sod
(or plant with other appropriate
species) and water until established.
Provide lime and a one-time
fertilizer application.
Sediment covers the grass at
Remove sediment and dispose in an
the bottom of the Swale.
area that will not impact streams or
BMPs. Resod if necessary.
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximately sex inches.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
RECEIVED
MAY 11 2010
BY:
Form SW401-Grassed Swale O&M -Rev 3
Page 1 of 2

1
N Pernut Number Sw 8 I o0 3t S
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party
Project
BMP drainage area number
Print name Woodrow W Sullivan IIT
Address PO Box 650 Rocky Point, NC 28457
Phone
Stgnati
Date S /o - 2 E /
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, aQ0- La_ p f (' I I , a Notary Public for the State of
County of -�1 d e r do hereby certify that
W
Inle�d n�J S 01 L I VCln � yl l�-personally appeared before me this IL
day of a.01 Q , and acknowledge the due execution of the
forgoing grassed swale maintenance requirements Witness my hand and official seal,
psN"apyq�
�'•��.R COUN.••'�
SEAL •--��- � IJ�
My commission expires
Form SW40 I -Grassed Swale O&M -Rev 3
Page 2 of 2

f
II '
I
11
�

Permit Name 5"S t0a3 ( >
(to be provided by DWQ)
Drainage Area Number ?-
Grassed Swale 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:
— The drainage area of the grassed swale will be carefully managed to reduce the
sediment load to the grassed swale.
— After the first-time fertilization to establish the grass in the swale, fertilizer will
not be applied to the grassed swale.
The grassed swale will be inspected once a quarter. 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
Potentialproblem:
How I will remediate theproblem:
The entire length of the
Trash/debns is present.
Remove the trash/debns.
swale
Areas of bare sod and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then re -sod
(or plant with other appropriate
species) and water until established.
Provide lime and a one -lime
fertilizer application.
Sediment covers the grass at
Remove sediment and dispose in an
the bottom of the swale.
area that will not impact streams or
BMPs Resod if necessary.
Vegetation is too short or too
Maintain vegetation at a height of
on .
approximately six inches.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet
733-1786.
RED EIVED
LMAY 112010
-
Form SW401-Grassed Swale O&M -Rev 3
Page 1 of 2

76
Permit Number 5 W 8 (tea 3i
(to he provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party
Project name
BMP drainage area number
Print name Woodrow W Sullivan M
Title A
Addre�
Phone
Signati
Date
u,J
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
a Notary Public for the State of
v
C, , County of� do hereby certify that n
w (ou) , So l I i� TIE personally appeared before me this J v
day of IM a�Q� 0 and acknowledge the due execution of the
forgoing gras ed swale maintenance requirements Witness my hand and official seal,
•J� 9i "
. 9 COU;O
py40141$10041
SEAL
My commission expires Vf/(iLl
VED
MAY :1 2010
FD i
Form SW401-Grassed Swale O&M -Rev 3
Page 2 of 2

Permit Name 5W if f o0 3 t S
.A (to be provided by DWQ)
Drainage Area Number 3
Grassed Swale 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:
— The drainage area of the grassed swale will be carefully managed to reduce the
sediment load to the grassed swale.
— After the first-time fertilization to establish the grass in the swale, fertilizer will
not be applied to the grassed swale.
The grassed swale will be mspected once a quarter. Records of operation and
mamtenance 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:
Potentialproblem:
How I will remediate theproblem:
The entire length of the
Trash/debns is present.
Remove the trash/debns.
swale
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then re -sod
(or plant with other appropriate
species) and water until established.
Provide lime and a one-time
fertilizer application.
Sediment covers the grass at
Remove sediment and dispose in an
the bottom of the swale.
area that will not impact streams or
BMPs. Resod if necessary.
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximately six inches.
The receiving water
Erosion or other shins of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW401-Grassed Swale O&M -Rev 3 Page 1 of 2

PermitNumber S w$ 1 n a 31 S
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party
Project name
BMP drainage area number
Print name.Woodrow W Sullivan M:
Title Agent
Address PO Box 650 Rocky Point, NC 28457
Phone [phone] /
Signature 1,1/0aLid7tJ
Date 40- 'ZO /d
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
County of do hereby certify that
_Wooj(b w W. IsA ky A �� personally appeared before me this
day of ,C82I D , and acknowledge the due execution of the
forgoing grassed swale maintenance requirements Witness my hand and official seal,
,VEE Ht:/t1,,�4�
. .• 9ry'a
A
Ok - .41?)
SEAL•'"uu�+�„� 3,�_aDIU
O-
My commission expires
RECEIVED
MAY 11 2010
BY:
Form SW401-Gmsscd Swale O&M -Rev 3
Page 2 of 2

i
� �i5. 1 • ���e
� I <n.•vr

•a '.k. 1-. ,--�• - __ .i _ - __ __ 2DEMLR'U8E,0N1,-Y6_:. >�<� ",.�:. .,.3�:rf°.�,.,..•nm •' - 1
Date Received
Fee Paid
Permit Number
11
11 2022
SW 8 100315
STATE STORMWATER:
PERMIT INFORMATION UPDATE APPLICATION FORM
There is NO FEE for updating pra%ct name or permittee Information.
This form is to only to be used by the current permittee to notify the Division, of
1) changes to the Point of Contact (signing official) for the current permiltee (LLC, Corporation, HOA or POA);
2) changes to the mailing address, phone number or email address of the current permittee;
3) changes to the name of the projech and
4) changes to the legal corporate name as docu'rnerited by a Name Change or Merger filed with the NCSOS.
A. NEW PERMIT INFORMATION
Slate Stormwater Permit Number:
Are you updating
(check all thatapply):
If so, please provide the updated information:
❑ Project name
® Corporation Name'
S Lt
Permit Contact Namez •3
9, yn Q SwAw., 16"gd.-n l y
[� Permit Contact Title
`
�MailingAddress3
gW juAaook
[ Phone number
Q �V aaq—
0
Email address
Q CCNY\.
Provide documentation such as a Name Change /Merger #led with the NCSOS.
Provide supporting documentation such as NCSOS filing. The permd contact's position must be in accordance
with 15A NCAC 02H .1040(1)1
If more than one'point of contact or mailing'address is,being changed, please attach a separate sheet.
8: CERTIFICATION OF PERMITTEE
I, „ he current permittee, hereby notify DEMLR that I am making the,changes•as listed
In Section A above' 1 urther attest t at_ this app ion for an update to the permit Information currently on file Is accurate
and complete to st of my know ::;g;eE. /
Signature:. Date:
I, a Notary Public for the State of Crit(GyLOV _ _
County of 110AIIfI ItA_� do -hereby certify that,TO.(rIU L(1jAbb &A "rTl-'
before me this the /%'h— day of 202A2Land acknowledge the due
?ing instrument. Witness my hand and official seal,
air NI� ECE1�/E
#oTAR� Q 1AN 1 1 2022
riu
ssion exoid2��`' NO U�I ��n . �lir� �F B i :___ _--- --
Slormwater Permit Information Update Form Page 1 of 1 May41, 2017

' --- _I I_ .' DEMLR USE ONLY `1 _
_ Date Re ive
Fee Pat
Permit Number
as
3 791
100 (.S
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM
In accordance with 15A NCAC 2H 1045(3), the current permit holder shall renew their high density permit 180 days
pnor to Its expiration Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB 781)
Sechon 60 (c) This application form is for permit renewals only
A. PROJECT INFORMATION
1 State Stormwater Permit Number SW8 100315
2 Project name Pender EMS and Fire, Inc.
3 Project street address 805 Ridgewood Ave
City Burgaw County Pender ZIP
28425
4 What, if any, changes have been made to the project as permitted? � M J
If the project has changed from the original approved plans, please complete SWU-101 fora Ma/or
Modification or Minor Modification Application form available at https //deg nc gov/about/divisions/energy-
minera I-land-resources/energy-mineral-land-rules/stormwater-pros ram/post-construction
B. PERMITTEE INFORMATION
If changes to the permittee orpro/ect name have been made, please complete either the Permit Update form
or the Permit Transfer form available at https //deg nc gov/about/divisions/energy-mineral-land-
resources/energy-mineral-land-rules/stormwater-program/post-construction State Stormwater Permits do not
automatically transfer with the sale of the property
1 Current Permit Holder's Company Name/Organ¢ation Pender EMS and Fire, Inc.
2 Signing Official's Name James Everett Baysden, Jr.
3 Signing Official's Title Chief
4 Mailing Address 805 Ridgewood Avenue
City Burgaw
5 Street Address 805 Ridgewood Ave
City.
6 Phone [phone] Email everett baysden(aDpenderems com
NC ZIP 28425
NC ZIP 28425
JAN 0 7 2022
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018

C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORVV9 Only applications packages that
include all required items listed below will be accepted and reviewed
Initial each item below to indicate that the required information is provided in the application package
V� 1 A permit application processing fee of $505 00 payable to NCDEQ
✓ 2 One original signed hard copy and one electronic copy of this completed form The signing official
named on this application to represent the current permittee must meet one of the following
a Corporation — a principle executive officer of at least the level of vice-president,
b Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G S 57D "North Carolina Limited Liability Company Act,"
c Public Entity — a principal executive officer, ranking official, or other duly authorized employee,
d Partnership or limited partnership — the general partner,
e Sole proprietor, or
f Letter of authorization signed by one of the signatories noted in a — e above authorizing the
signature of another entity
3 One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including deed restrictions, protective covenants,
condominium/planned community declaration and easements If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date
4 O&M Agreements, Please select one
❑ I have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit, or
1 do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me I agree to keep this on file with the permit
5 Designer Certifications, Please select one
A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division, or
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed, or
❑ The project has not yet been built
6 [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit
7 [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC)
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C 2 per 15A NCAC 2H 1043(3)(b)
https //www sosnc gov/online services/search/by title/ Business Registration
EC'EiVE
JAN 01 2022
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

D. PERMITTEE'S CERTIFICATION
I, 1n Ii�I�S Y_ yJCI fk 5U�04Jl_the person legally responsible for the permit, certify that I have
a copy of the Permit and O&M Agreetnent oh site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans I agree to notify DEMLR of any problems with the SCMs
or built -upon area and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SCMs, or owne ip All information provided on this permit renewal application is, to the best of my
knowledqe, correct a Xcomplete
Signature
TION
this they (1� day of
execution of the forgoing instrument
J t <<y
''.
(Notary-S' al) " s
Witness my hand and official seal,
'ublic for the State of
do hereby certify
personally appeared before me
20 R I , and acknowledge the due
C�tC� � 6i,Yp V
JAN 0 7 2022 f'
ev:_
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

i
a.
�Ji11,1!i113�S`,

+^
Permit No S4g /003/.S
no be wo d, by DWo)
®gin
pp W��A TE9
���
y c
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 (Part 111) must be printed, filled out and submitted along with all of the required information
I PROJECT INFORMATION
Project name
Pander EMS
Contact person
Mark Walton
Phone number
9102594800
Date
01 13 10
Drainage area number
1, 2, 3
II- DESIGN INFORMATION
Site Characteristics
Drainage area
97,241 ft'
Impetuous area, post -development
44,001 ft2
% Impervious
4525 %
Design rainfall depth
15 in
Storage Volume- Non -SA Waters
Minimum volume required
5,585 it' OK
Volume provided
7,236 ff' Do NOT fill out BOTH Non -SR and SR data
OK, volume provided is equal to or in excess of volume required
Storage Volume SA Waters
1 5' mnoff volume
NA fi'
Pre -development 1-yr, 24-hr runoff
NA ft'
Post -development 1-yr, 24-hr runoff
NA ft'
Minimum volume required
# VALUEI ft'
Volume provided
NA ft' Do NOT fill out BOTH Non -SA and SA data
#VALUEt
Peak Flow Calculations
Is the prelpost control of the Tyr 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 storm
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak flow control
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx at the perm pool elevation)
Top of 10M vegetated shelf elevation
Bottom of 1 Oft vegetated shelf elevation
Sediment cleanout, top elevation (bottom of pond)
Sediment cleanout, bottom elevation
Sediment storage provided
Is there additional volume stored above the state -required temp poop
Elevation of the top of the additional volume
Form SW401-Wet Detenton Basin -Rev 8-9/17/09
N (Y or N)
35 in
031 (unilless)
048 limitless)
015 ndhr OK
010 felsec
016 Rise,
006 ft'/sec
4100 fmsl
4000 fmsl
4032 fmsi
4050 fmsl
3950 fmsl Data not needed for calculation option #1, but OK if provided
3600 fmsl
3500 fall Data not needed for calculation option #1, but OK if provided
100 it
Y (Y or N)
410 final OK
Parts I E 11 Design Summary, Page 1 of 2

Permit No , (Do 3tS
(to be provided by DWG)
11. DESIGN INFORMATION
Surface Areas
Area, temporary pool 8,467 it'
Area REQUIRED, permanent pool —4,6Kxft'
SAIDA ratty
(unitless) s'/
Area PROVIDED, permanent pool, A,__,a
6,005 ft' OK
Area, bottom of 10ft vegetated shelf, Aw ,rim
3,857 ft`
Area, sediment cleanout, top elevation (bottom of pond), A�_,w
1,695 ft`
Volumes
Volume, temporary pool
7,236 its
Volume, permanent pool, Vie„
12,182 ft'
Volume, forebay (sum of forebays if more than one forebay)
2,485 it'
Forebay %of permanent pool volume
20 4% % OK
SA/DA Table Data
Design TSS removal
Coastal SAIDA Table Used?
Mountain/Piedmont SAIDA Table Used?
SAIDA ratio
Average depth (used in SAIDA table)
Calculation option 1 used? (See Figure 10-2b)
Volume, permanent pool, V„_,
Area provided, permanent pool, Ap,,,,-y„ i
Average depth calculated
Average depth used in SAIDA, d.,, (Round to nearest 0 5ft)
Calculation option 2 used? (See Figure 10-2b)
Area provided, permanent pool, Ao,,,_�
Area, bottom of 10ft vegetated shelf, As,i d„r
90 %
Y (Y or N)
N (Y or N)
-2-89•(unitless)
Y (Y or N)
12,182 ft"
6,005 ft`
300ft OK
30ft OK
N (Y or N)
6005 it,
3,857 ft
Area, sediment cleanout, top elevation (bottom of pond), Aw_,� 1,695 ft'
'Depth' (distance b/w bottom of 1011 shelf and top of sediment) 3 50 it
Average depth calculated 300 it OK
Average depth used in SAIDA, d„, (Round to nearest 0 511) 3 0 ft OK
Daawdown Calculations
Daawdown through onfice?
Y (Y or N)
Diameter of onfice (if circular)
5 @ 0 5 in
Area of orifice (if-noncncular)
in'
Coefficient of discharge (CD)
0 60 (unitless)
Driving head (H,)
100 it
Dmwdown through weir?
N (Y or N)
Weir type
(unitless)
Coefficient of discharge (C.)
(unitless)
Length of weir (L)
ft
During head (H)
ft
Pre -development 1-yr, 24-hr peak Flow
010 w/sec
Post -development 1-yr, 24-hr peak Flow
016 ft'/sec
Storage volume discharge rate (through discharge orifice or weir)
002 ft'/sec
Storage volume drawdown time
361 days
Additional Information
Vegetated side slopes
3 1
Vegetated shelf slope
10 1
Vegetated shelf width
100 ft
Length of fiowpath to width ratio
3 1
Length to width ratio
30 1
Trash rack for overflow & orifice?
Y (Y or N)
freeboard provided
10 it
Vegetated filter provided?
Y (Y or N)
Recorded drainage easement provided?
Y (Y or N)
Colones all mnoff at ultimate buildcut?
Y (Y or N)
Drain mechanism for maintenance or emergencies is
PUMP
OK, draws down in 2-5 days
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
#VALUE$
Fam SWae1-WM Detenuon Sasin-Re 6.9117/09 Parts I B 11 Design Summary, Page 2 of 2

Permit No Swg t DO 3 t S
(to be provided by DWO)
III. REQUIRED 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.
Page/ Plan
Initials Sheet No.
JRH Figure 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
JRH Figure 3
2 Partial plan (1" = 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
JRH
Figure 5
3 Section view of the wet detention basin (1' = 20' or larger) showing
- Side slopes, 31 or lower,
- Pretreatment and treatment areas, and
- Inlet and outlet structures
JRH
NA
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
JRH
Figure 3
5 A table of elevations, areas, incremental volumes & accumulated volumes for overall pond and for Forebay,
to verify volume provided
JRH
Figure 5
6 A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized
JRH
7 The supporting calculations
JRH
8 A copy of the signed and notarized opembon and maintenance (0&M) agreement
JRH
NA
9 A ropy of the deed restrictions (if required)
JRH 10 A soils report that is based upon an actual field investigation, soil bonngs, and infiltration tests County soil
maps are not an acceptable source of soils information
Form SW401-Wet Detention Basin -Rev 5-9/17109 Part III Required Items Checklist, Page 1 of 1

�of WArtq `
O
ANTA
KDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER, FILTER STRIP AND RESTORED RIPARIAN BUFFER SUPPLEMENT
This form must be completely filled out, printed and submitted
DO NOT FORGET TO ATTACH THE REQUIRED ITEMS CHECKLIST AND ALL REQUIRED ITEMS (NEXT WORKSHEET)I
I PROJECT INFORMATION
Project name Pander EMS
Contact name Mark Walton
Phone number 910 259 48M
Date
Drainage area number
1.2,&3
2010
II DESIGN INFORMATION
For Level Spreaders Receiving Flow From a BMP
Type of BMP Wet Detention Pond
Drawdown flow from the BMP 002 cfs
For Level Spreaders Receiving Flow from the Drainage Area
Drainage area
Impervious surface area
Percent Impervious
Rational C coefficient
Peak flow from the 1 iNhr storm
Time of concentration
Rainfall intensity,l0-yr storm
Peak flow from the 10-yr storm
Where Does the Level Spreader Discharge?
To a grassed bioretention cell?
To a mulched bioretention cell?
To a wetland?
To a fitter strip or riparian buffer?
Other (specify)
Filter Strip or Riparian Buffer Characterization (dapplicable)
Width of grass
Width of dense ground cover
Width of wooded vegetation
Total width
Elevation at downslope base of level lip
Elevabon at top of bank of the receiving water
Slope (from level lip to to top of bank)
Are any draws present?
Level Spreader Design
Forebay surface area
Feet of level lip needed per cis
Answer'Y'to one of the following
Length based on the 1 tmlhr storm?
Length based on the 10-yr storm?
Length based on the BMP discharge rate?
Design flow
Is a bypass device provided?
fe
fi
a�
cfs
min
11hr
cfs
N (Y or N)
N (Y or N)
N (Y or N)
Y (Y or N)
3000 it
Do not compete this section of the wakshest
Do not comPete this secaon of the worksheet
Do not complete this section of the worksheet
Do not complete this section of the worksheet
Do not oomytete this section of the worksheet
Do nor complete this section of the worksheet
Do not complete this section of the waiksheet
Do not complete this section of the worksheet
Please complete Mer ship characier¢aaon below
n RECEIVED
3800 r sl MAY 11 2010
3783 fmsl
056 % OK _
N (Y or N) OK
sq ft No forebay, is needed
13 fycfs
N
(Y or N)
N
(Y or N)
Y
(Y or N)
002
cfs
Y
(Y or N) OK
Form SW401-Level Spreader, Fitter Stnp, Restored Riparian Buffer -Rev 5 Parts I and 11 Design Summary, page 1 of 2

Lefigth of the level hp 1300 It
Are level spreaders in series? N (Y or N)
#VALUEI
Bypass Channel Design (if applicable)
Does the bypass discharge through a wetland?
(Y or N)
Does the channel enter the stream at an angle?
(Y or N)
Dimensions of the channel (see diagram below)
M
ft
B
ft
W
ft
y
ft
Peak velocity in the channel during the 10-yr stone
cfs
Channel lining material
Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer -Rev 5 Parts I and 11 Design Summary, page 2 of 2

a -
Jill. REQUIRED 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.
JRH FIGURE 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),
- Forebay (d applicable),
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW), and
- Boundaries of drainage easement
JRH FIGURE 5 2 Plan details (1' = 30' or larger) for the level spreader showing
- Forebay (if applicable),
- High flow bypass system,
- One foot topo lines between the level lip and top of stream bank,
- Proposed drainage easement, and
- Design at ultimate build -out
JRH FIGURE 5 3 Section view of the level spreader (1' = 20' or larger) showing
- Underdrain system (if applicable),
- Level lip,
- Upslope channel, and
- Downslope filter fabric
JRH NA 4 A date -stamped photograph of the filter strip that dearly shows the type of vegetation that is present
JRH FIGURE 5 5 A construction sequence that shows how the level spreader will be protected from sediment until the entire
drainage area is stabilized
JRH NA 6 The supporting calculations
JRH NA 7 A copy of the signed and notarized operation and maintenance (08M) agreement
JRH NA 8 A copy of the deed restrictions (if required)
RECEIVED
MAY 1 1 2010
y
Form SW401-Level Spreader, Filter Stnp, Restored Riparian Buffer -Rev 5
Part III, page 1 of 1

Permit Number Sa Y t opals
(to be provided by DWQ)
QVMWO20F W ATF94G
..A
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
GRASSED SWALE SUPPLEMENT
This form must be filled out printed and submitted
The Required Items Checkhst (Part ill) must also be filled out, printed and submitted along with all of the required information
I. PROJECT INFORMATION
Protect name Pander EMS
Contact name Mark Walton
Phone number
Date
Drainage area number
INFORMATION
Drainage area
Impervious area
Percent Impervious
Design rainfall depth
Peak Flow Calculations
10-yr stone runoff depth
10-yr stone intensity
Post -development 10-yr storm peak flow
Velocity
Maximum non -erosive velocity (peak 10-year storm)
Soil characteristics (enter "x" below)
Sandlsilt (easily erodible)
Clay mix (erosion resistant)
Grass Type (enter "x" below)
Bermuda
Tall fescue
Bahlagmss
Kentucky bluegrass
Grass -legume mixture
Swale type Fill out one of the options below
Option 1 Curb Outlet Swale
Maximum velocity
Side slopes
Swale length
Option 2 Convevance Swale. Seeking Pollutant Credit
Maximum velocity for 10-yr stone
Side slopes
Swale length
910 259 4800
28,721 00 ft2
22,190 00 ftz
77 3% %
150 Inch
076 in
912 ildhr
426 ft3/sr
5 00 ftlsec
X
N (Y or N)
N
(Y or N)
200
if/sec
300
1
18300
It
9
� 1
Form SW401-Grassed Swale -Rev 3 Parts I and II Protect Design Summary, Page 1 of 2

Permit Number ) OC>3( S
(to be pmnded by D WQ)
Swale: Characteristics
'Svrale Shape Enter an ")(" in the appropriate cell belovr
Trapezoidal
Parabolic
V-shaped
X
Width of the bottom of the Swale
000 ft
Width of the top of the swale
900 ft
Additional Information
Is the sviale sized for all runoff from ultimate build-out9
Y (Y or N)
OK
Is the BMP located in a proposed drainage easement with a
(Y or N)
OK
recorded access easement to a public Right of Way (ROW)?Y
What is the distance from the bottom of the swale to the SHNlT?
1 00 ft
OK
What is the ground level elevation?
43 00 fmsl
What is the elevation of the bottom of the Swale?
4100 fmsl
What is the SHWT elevation?
40 00 fmsl
What is the longitudinal slope of the Swale?
041 %
OK
What is the depth of freeboard?
0 50 ft
OK
rf L
Fodn SW401-Grassed Smie-Rev 3
Pads I and 11 Project Design Summary, Page 2 of 2

Permit No 1 Do 3 t S
(to be assgned by DWQ)
-111 REQUIRED 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.
Initials Pagel Plan
Sheet No.
JRH Fig 3 1 Plans 0" = 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),
- Swale dimensions (width, length, depth),
Maintenance access,
Proposed drainage easement and public right of way (ROW),
Grass species, and
Boundaries of drainage easement
JRH Fig 3 2 Plan details (1" = 50' or larger) for the grassed swale showing
- Swale dimensions (width, length, depth),
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Design at ultimate build -out,
- Grass species,
- Off -site drainage (if applicable),and
- Boundaries of drainage easement
JRH Fig 5 3. Section view of the grassed swale (1" = 20' or larger) showing
- Side slopes,
- Longitudinal slope,
- Freeboard
- Swale dimensions, and
- SHWT level(s)
JRH tea- 5F Ate= 4 Supporting calculations (including maximum velocity calculations for applicable storms)
JRH S ' O" rn
JRH N4
5 A copy of the signed and notarized operation and maintenance (0&M) agreement
6. A copy of the deed restrictions (if required)
SW401-Grassed Swale -Rev 3 Part III, Page 1 of 1

Permit Number .ra WS /003 C
(to be provided by DWQ)
O�D� W AT FgQG
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
GRASSED SWALE SUPPLEMENT
This form must be filled out, pnnted and submitted
The Required Items Checklist (Part 111) must also be filled out, printed and submitted along with all of the required information
Project name
Contact name
Phone number
Date
Drainage area number
Marc Walton
910 259 4800
Apn129, 2010
2
II. DESIGN INFORMATION
Site Characteristics
Drainage area
26,581 00 fe
Impervious area
19,953 00 ft1
Percent impervious
751 % %
Design rainfall depth
150 inch
Peak Flow Calculations
10-yr stone runoff depth
076 in
10-yr storm intensity
912 inthr
Post -development 10-yr storm peak flow
386 ft3/sec
Velocity
Maximum non -erosive velocity (peak 10-year stone)
5 00 ff/sec
Soil characteristics (enter Y below)
Sand/silt (easily erodible)
X
Clay mix (erosion resistant)
Grass Type (enter Y below)
Bermuda
X
Tall fescue
Bahiagmss
Kentucky bluegrass
Grass -legume mixture
Swale type: Fill out one of the options below
Option 1 Curb Outlet Swale
N
(Y or N)
Maximum velocity
Side slopes
1
Swale length
ft
Option 2 Conveyance Swale, Seeking Pollutant Credit
N
(Y or N)
Maximum velocity for 10-yr storm
200
fusec
Side slopes
300
1
Swale length
3600
It
Form SW401tmssed Swale -Rev 3 Parts 1 and It Project Design Summary, Page 1 of

Permit Number I a 6 S r s
(to be Provided by DWQ)
Swale Characteristics
.. Swale Shape Enter an Y in the appropriate cell below
Trapezoidal
Parabolic
V-shaped
X
Width of the bottom of the Swale
000 ft
Width of the top of the Swale
600 ft
Additional Information
Is the Swale sized for all runoff from ultimate build -out'?
Y (Y or N)
OK
Is the BMP located in a proposed drainage easement with a
Y (V or N)
OK
recorded access easement to a public Right of Way (ROW)?
What is the distance from the bottom of the swale to the SHWT?
1 00 It
OK
What is the ground level elevation
42 00 final
What is the elevation of the bottom of the Swale'?
4100 final
What is the SHWT elevation
40 00 fmsl
What is the longitudinal slope of the Swale?
3 85 %
OK
What is the depth of freeboard?
0 50 ft
OK
�M �
12p\0
Form SW401-Grassed Swale -Rev 3
Parts I and It Project Design Summary, Page 2 of 2

PermR No (DO 31 j
(to be assigned by DWQ)
I1CREQUIRED 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.
Initials Pagel Plan
Sheet No.
JRH Fig 3
1 Plans 0" = 50' or larger) of the entire site shoving
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Swale dimensions (width, length, depth),
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Grass species, and
- Boundaries of drainage easement
JRH Fig 3
2 Plan details (1" = 50' or larger) for the grassed swale showing
- Swale dimensions (width, length, depth),
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Design at ultimate build -out,
- Grass species,
- Off -site drainage (if applicable),and
- Boundaries of drainage easement
JRH Fig 5
3 Section view of the grassed Swale If" = 20' or larger) showing
- Side slopes,
- Longitudinal slope,
- Freeboard
- Swale dimensions, and
- SHWT level(s)
JRH 4r k 4 Supporhng calculations (including maximum velocity calculations for applicable storms)
JRH See 0: r`^ 5. A copy of the signed and notarized operation and maintenance (0&M) agreement,
JRH ^ A 6 Acopy of the deed restrictions (if required)
CIZECEIVED
MAY 11 2010
BY:_--�-
SW401-Grassed Swale -Rev 3 Part III, Page 1 of 1

Permit Number SW 8 106 3r S
`. (to be prowled by DWQ)
At
W Arfq,
TEAy ��,�,/�///�■�{y�''��`��/�J�\\\
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
GRASSED SWALE SUPPLEMENT
This form must be filled out, printed and submitted
The Required Items Checklist (Part 111) must also be filled out, printed and submitted along with all of the required information
934111 :1111 A I; 161:11'Ja1110 2
Project name
Contact name
Phone number
Date
Drainage area number
Pander EMS
Mack Walton
910 259 4800
Apnl 29, 2010
3
11. DESIGN INFORMATION
Site Characteristics
Drainage area
41,939 00 fe
Impervious area
1,658 00 ft2
Percent Impervious
4 4% %
Design rainfall depth
150 inch
Peak Flow Calculations
10-yr stone runoff depth
076 in
10-yr storm intensity
912 inthr
Post -development 10-yr storm peak Flow
203 ft /sec
Velocity
Maximum non -erosive velocity (peak 10-year stone)
5 00 fVsec
Soil characteristics (enter Y below)
Sand/silt (easily erodible)
X
Clay mix (erosion resistant)
Grass Type (enter Y below.
Bermuda
X
Tall fescue
Bahiagrass
Kentucky bluegrass
Grass -legume mixture
Swale type Fill out one of the options below
Option 1 Curb Outlet Swale
N (Y or N)
Maximum velocity
Side slopes
1
Swale length
ft
Option 2 Conveyance Swale, Seeking Pollutant Credit
N (Y or N)
Maximum velocity for 10-yr storm
200 fusec
Side slopes
300 1
Swale length
15500 ft
Form SW401-Grassed Swale -Rev 3 Parts I and 11 Project Design Summary, Page i of 2

Permit Number I " 7 1 S
(to be provided by DWO)
Swale Characteristics
Swale Shape, Enter an Y in the appropriate cell below
Trapezoidal
Parabolic
V-shaped
Width of the bottom of the swmle
Width of the top of the Swale
Additional Information
Is the Swale sized for all runoff from ultimate build -out?
Is the BMP located in a proposed drainage easement with a
recorded access easement to a public Right of Way (ROW)?
What is the distance from the bottom of the Swale to the SHWT2
What is the ground level elevation?
What is the elevation of the bottom of the Swale?
What is the SHWT elevation?
What is the longitudinal slope of the Swale?
What is the depth of freeboard?
A
000 It
900 It
Y (Y or M
OK
Y (Y or M
OK
100 It
OK
42 50 fmsl
4100 tinsl
40 00 find
032%
OK
0 50 ft
OK
Form SW401-Grassed Swale -Rev 3 Pans I and 11 Project Design Summary, Page 2 of 2

Permit No I003(6-
(to be assigned by DWQ)
ill. REQUIRED 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.
Initials Pagel Plan
Sheet No
JRH Fig 3 1 Plans 0" = 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),
- Swale dimensions (width, length, depth),
- Maintenance access,
- Proposed drainage easement and public night of way (ROW),
- Grass species, and
- Boundaries of drainage easement
JRH Fig 3 2 Plan details (1" = 50' or larger) for the grassed swale showing
- Swale dimensions (width, length, depth),
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Design at ultimate build -out,
- Grass species,
- Off -site drainage (if applicable),and
- Boundaries of drainage easement
JRH Fig 5 3 Section view of the grassed swale (1" = 20' or larger) showing
- Side slopes,
- Longitudinal slope,
- Freeboard
- Swale dimensions, and
- SHIRT level(s)
JRH 4 Supporting calculations (including maximum velocity calculations for applicable storms)
JRH 5 A copy of the signed and notarized operation and maintenance (0&M) agreement
JRH 6. A copy of the deed restrictions (if required).
SW401-Grassed Swale -Rev 3 Part III, Page 1 of 1

State Stormwater Management Systems
/ Permit No SW8 100315
Pender EMS V/
Stormwater Permit No SW8 100315 `�'�
Pender Count
Designer's Certification
I, R .Mc;,,-K Wa.&n, as a duly registered E n q� n c i in the
State of North Carolina, having been authorized to observe rio ices weekly/ full
time) the construction of the project,
(Project)
1..c .
for Pe. Pi volt. Jc'fi EMS � Rrscwc,(Proiect 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 specifications -
Signature 'Q:
Registration Number l L $
Date �t/gill
SEAL
RECEIVED
NOV 0 9 2011
BY:___
Panes R of 7

State Stormwater Management Systems
Permit No. SW8 100315
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 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 structure
✓ 8. All slopes are grassed with permanent vegetation.
r/ 9. Vegetated slopes are no steeper than 3:1.
J�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.
_tz2 Required drawdown devices are correctly sized and located per the
approved plans.
✓13. All required design depths are provided.
,/'-'l 4. All required parts of the system are provided, such as a vegetated shelf,
per''A jand'a forebay
he fegW d system dimensions are provided per the approved plans.
✓,t16.' , M..QomR 4ents of the stormwater BMP are located in either recorded
4. co areas, or recorded easements
cc NCDENR;gaRegional Office
Peniie� Cou y Building Inspections
Pace 7 of 7