SW8101005_CURRENT PERMIT_20220114

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8_ �01005
DOC TYPE
® CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2022 0t lLj
YYYYMMDD

ROY COOPER
Cottinor- -.
ELIZABETH S. BISER
BRIAN WREN
Diredor - -
January 14, 2022
,Rhetson Companies, Inc.
Attu: Brian-R. Clodfeher, CEO/President
`2075 Juniper Lake Road
West Erid,�NC 27376
Emimnmental Quality
Subject: Permit Renewal
Post -Construction Stormwater Management Permit No. SW8 101005
Dollar General Ocean Isle'Beach
Brunswick County
Dear Mr. Clodfelter.
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 references, to DWQ will remain in older permits issued prior to August 1, 2013 until they are modified.
Please note that -this permit will now reference DEMLR as the Division responsible fo"r enforcement of the permit.
:On August 5, 2009, the Governor signed Session Law 2009-406. This law impacted any developmentapproval_
issued by theTormer 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 Deceinm ber 31, 2010. The law extended the -
effective period of any permit that was set to expire during this time frame to three (3) year's from its current
expiration date. On August 2, 2010, the Governoi'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 14, 2022. The Division is hereby notifying you that permit SW8101005 has been
renewed, updated, and re -issued on January 14, 2022, as attached. As requested, a copyof the current operation
and maintenance.agreement is also enclosed. Please be aware that the'renewal and ie-issuance of this storrnwater
`peimit_does not imply 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 stormwatei control requirements; it
clarifies the rules and requirements of this program to provide you with a better understanding of your obligations
under this permit. Failureto comply with these req6iremen6—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
anadjudicatory 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 arid mast be filed with the
OAH within thiry (30) 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.eom. 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,
C&d�_ %M
Brian Wrenn, Director .
Division of Energy, Mineral and Land Resources
- Zl North Carohna Department of Enwronmental Quarny I DMsion of Energy, Kneral and Land Resources
� r:—D.E ��/ Wgmmgton Regonal Office 1 127 Cardinal Ddw Extension I wihmngtom North Carolina 28405
9107%7215

State Stormwater Permit No. SWS 101005
Page 2 of 2
Enclosures Attachment A — Designer's Certification Form
Attachment C - Permitting History'
Renewal Application Documents
Copy of the cm'rent operation and maintenance agreement
DES/ams: \\\Stormwater\Permits & Projects\2010\101005 HD\2022 01 permit 101005
cc:. Wilmington Regional Office Stormwater File
D_E � North Carolina Department of Environmental Quality I Dfv�slon of Energy, Wei -al and Land Resources
Wilmington Regional Office 1127 Grdinal Drive Extension I Wilmington. North Carolina 28405
am
910 79G7215

Post -Construction Stormwater Management
Permit No SW8 101005
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
Rhetson Companies, Inc
Dollar General — Ocean Isle Beach
Beach Drive SW, Ocean Isle Beach, Brunswick County
FOR THE
construction, operation and maintenance of an infiltration basin in compliance with the provisions of
Session Law 2008-211 and 15A NCAC 2H 1000 (hereafter collectively and separately 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 18 on page 2 of this permit The stormwater control has been designed to
handle the runoff from 34,359 square feet of impervious area
3 The tract will be limited to the amount of built -upon area indicated in Section 18 on page 2 of
this permit, and as shown on the approved plans
4 All stormwater collection and treatment systems must be located in either dedicated common
areas or recorded easements The final plats for the project will be recorded showing all such
required easements, in accordance with the'approved plans
Page 1 of 7

Post -Construction Stormwater Management
Permit No SW8 101005
The runoff from all built -upon area within the permitted drainage area of this protect must be
directed into the permitted stormwater control system
6 The protect shall provide a 50' wide vegetated buffer adjacent impounded structures, streams,
rivers, and tidal waters
7 The following design criteria have been permitted for the infiltration basin and must be
provided and maintained at design condition
a Drainage Area, acres
Onsite, ft2
Offsite, ftz
b Total Impervious Surfaces, ftZ
Onsite, ft2
Offsite, ftZ
c Design Storm, inches
d Basin Depth, feet
e Bottom Elevation, FMSL
f Bottom Surface Area, ftZ
g Bypass Weir Elevation, FMSL
h Permitted Storage Volume, ft3
i Predevelopment 1 yr 24 hr peak flow, cfs
t Post -development 1 yr 24 hr peak flow, cfs
k Type of Soil
I Expected Infiltration Rate, in/hr
m Seasonal High Water Table, FMSL
n Time to Draw Down, hours
o Receiving Stream/River Basin
p Stream Index Number
q Classification of Water Body
II. SCHEDULE OF COMPLIANCE
2
4
5
1 11
48,453
None
34,359
34,359
None
395
3
395
1,633
43
10,629
04
None
Kurbec
10
375
24
Intracoastal Waterway / Lumber
15-25
"SA,HQW'
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
During construction, erosion shall be kept to a minimum and any eroded areas of the system
will be repaired immediately
The permittee shall at all times 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 revegetation of slopes and the vegetated filter
d Immediate repair of eroded areas
e Maintenance of all slopes in accordance with approved plans and specifications
f Debris removal and unclogging of bypass structure, infiltration media, flow spreader,
catch basins, piping and vegetated filter
g A clear access path to the bypass structure must be available at all times
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
If the stormwater system was used as an Erosion Control device, it must be restored to design
condition prior to operation as a stormwater treatment device, and prior to occupancy of the
facility
Page 2 of 7

Post -Construction Stormwater Management
Permit No SW8 101005
Records of maintenance activities must be kept for each permitted BMP The reports will
indicate the date, activity, name of person performing the work and what actions were taken
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
8 Access to the stormwater facilities shall be maintained via appropriate 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 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
protect 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
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 7

Post -Construction Stormwater Management
Permit No SW8 101005
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
a 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,
n 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 Projects 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
a 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
b DIVISION ACCESS The permittee grants Division Staff permission to enter the
property during normal business hours to inspect all components of the permitted
project
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 7

Post -Construction Stormwater Management
Permit No SW8 101005
Permit renewed, updated and reissued this the 14th day of January 2022
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
U , :o mg
3,�, Bnan vvrenn, Director
Division of Energy. Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 5 of 7

Post -Construction Stormwater Management
Permit No SW8 101005
Dollar General — Ocean Isle Beach
Stormwater Permit No SW8 101005
Brunswick County
Attachment A
Designer's Certification
I, , as a duly registered in the State of North
Carolina, having been authorized to observe (periodically/ weekly/ full time) the construction of the
project,
(Protect)
for (Protect Owner) hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the protect construction such that the
construction was observed to be built within substantial compliance and intent of the approved plans
and specifications
The checklist of items on page 2 of this form is included in the Certification
Noted deviations from approved plans and specification
Signature
Registration Number
Date
SEAL
Page 6of7

Post -Construction Stormwater Management
Permit No SW8 101005
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 protect 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 bypass structure weir elevation is per the approved plan
6 The bypass structure is located per the approved plans
7 A Trash Rack is provided on the bypass structure
8 All slopes are grassed with permanent vegetation
9 Vegetated slopes are no steeper than 3 1
10 The inlets are located per the approved plans and do not cause short-circuiting of the
system
11 The permitted amounts of surface area and/or volume have been provided
12 All required design depths are provided
13 All required parts of the system are provided
14 The required system dimensions are provided per the approved plans
cc NCDEQ-DEMLR Wilmington Regional Office
Brunswick County Building Inspections
Page 7 of 7

Attachment C - Permitting History
Dollar General Ocean Isle Beach
Permit No SW8 101005
Approval
Date
Permit 'v
Actions
BfMS
Version
Description of the Changes
11/11/2010
Original
Approval
1.0
1/14/2022
Renewal
2.0
Expires December 31, 2029

PermitNumber:`"
(to be provided by DWQ)
Drainage Area Number:
Infiltration 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.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
— Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter and within
24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potential probIenr
How I will remediate theproblem:
The entire BMP
Trash debris is present.
Remove the trash/ debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
swale
applicable).
sediment offsite.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
swale if applicable).
Regrade the swale if necessary to
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion
Form SW401-Infiltration Basin O&M-Rev.3
Page 1 of 3

BMP element
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
Will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
spraying -
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than
Replace the top few inches of filter
5 days after a storm event
media and see if this corrects the
standing water problem. If so,
rvegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs re
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment offsite.
The outlet device is damaged
Repair or replace the outlet device.
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.
1V'11- D
Form SW401-Infiltration Basin O&M-Rev.3 N O V 0 5 2010 Page 2 of 3
BY:

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:Dollar General - Ocean Isle Beach
BMP drainage area number.
Print name:Brian Clodfelter
Title:President
Address:2860-13 HWY 5, Aberdeen, NC 28315
YUL `11 - -11
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
Ca.a6,, w + , County of ><l.�*t do hereby certify that
.Q. r ��,✓ �-/ ..-.> personally appeared before me thisZ)9 C4
day of ®zg-&-L- Lo io , and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires 7—
Form SW4014nfiltration Basin O&M-Rev.3
NOV 0 b 2010
Page 3 of 3

JEMEK uSE(
I� Date Recery d
Fee Paid
Permit Number
a
*-`—
sc)a I D oo -
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)
Section 60 (c) This application form is for permit renewals only
A. PROJECT INFORMATION
1 State Stormwater Permit Number,
2 Protect name Dollar General Ocean Isle Beach
3 Protect street address 6675 Beach Drive SW
City Ocean Isle Beach County Brunswick ZIP 28469
4 What, if any, changes have been made to the protect as permitted? N/A
If the project has changed from the original approved plans, please complete SWU-101 for a Ma/or
Modification or Minor Modification Application form available at httos //deg nc gov/about/divisions/energy-
minera I-land-resources/energv-mi neral-la nd-rules/stormwater-program/post-construction
B. PERMITTEE INFORMATION
If changes to the permittee or protect name have been made, please complete either the Permit Update form
or the Permit Transfer form available at, https //deg nc gov/about/divisions/energv-mineral-land-
resources/energv-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/Organization Rhetson Companies, Inc
2 Signing Official's Name Brian R Clodfelter
3 Signing Official's Title Chief Executive Officer
4 Mailing Address 2075 Juniper Lake Road
City
5 Street Address 2075 Juniper Lake Road
City
6 Phone ( 910 ) 944-0881 Email* lenniter(d,)rhetson com
NC ZIP 27376
NC ZIP 27376
ECEIVEfi
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 HQ W/ORVV). 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
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
® I 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
fZ 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)
httos //www sosnc gov/online services/search/by title/ Business Registration
DEC 2 8 2021
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

D. PERMITTEE'S CERTIFICATION
I, Brian R Clodfelter , the person legally responsible for the permit, certify that I have
a copy of the Permit and O&M Agreement on 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 ownership All information provided on this permit renewal application is, to the best of my
knowledge, correct anti complete /
Signature* Date- Q- (9- 202
NOTARIZATION,
I, Jennifer Wncklhofer a Notary Public for the State of
North Carolina County of Moore do hereby certify
that Brian R Clodfelter personally appeared before me
this the \-4it day of Z�)Pf P_rr',L)eJP_ 20 21 , and acknowledge the due
execution of the forgoing instrument Witness my hand and official seal,
(Notary Seat)
Notary Signaturf
My commission
JEPINIFER yVINCKLHOFER
NMo�ra County
N CZnpyuR 21, 2025
DFD 2 8 202,
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

Permit No
(to be prowled by DINQ)
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�F W AT,,
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STORMWATER MANAGEMENT PERMIT APPLICATION FORM
NCDENR
401 CERTIFICATION APPLICATION FORM
INFILTRATION 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..qP.ROJECTjIN FORMATION
Project Name
Dollar General - Ocrean Isle Beach
Contact Person
Hunter Freeman
Phone Number
919-469-3340
Date
4-Nov-10 I'
Drainage Area Number
1 j{
II.'DESIGNIINF,ORMATION
Site Characteristics
Drainage area
48,453 00 ft'
Impervious area
35900 hz
��� A
Percent Impervious
tom%
���OP S
Design rainfall depth
395 in
?� •�
Peak Flow Calculations
SEAL
1-yr, 24-hr rainfall depth
395 in
OM42
P�
1-yr, 24-hr intensity
016 IrJhr
�1G•,F �Q'-•
NG I
Pre -development 1-yr, 24-hr discharge
O .yo_-0-00 ft3/sec
/��/� R C. fR ���\ �b
Post -development 1-yr, 24-hr discharge
000 ft'/sec
I'•
Pre/Post 1-yr, 24-hr peak Flow control
000 ft'/sec
Storage Volume: Non -SA Waters
Minimum design volume required
ft3
Design volume provided
ft3
Storage Volume. SA Waters
1 5' runoff volume
4174 00 ft3
Pre -development 1-yr, 24-hr runoff volume
79600 ft'
Post -development 1-yr, 24-hr runoff volume
10,990 00 h3
Minimum required volume
1019400 113
Volume provided
10,629 00 (f3 OK
Soils Report Summary
Soil type
Kurbec sand
Infiltration rate
1000 in/hr
SHVIT elevation
3750 fmsl
Basin Design Parameters
Drawdown time
100 days OK
Basin side slopes
300 1 OK
Basin bottom elevation
3950 fmsl OK
Storage elevation
4250 fmsl
Storage Surface Area
4,205 00 ryz
Top elevation
4250 fmsl
Basin Bottom Dimensions
Basin length
4800 it
Basin width
3400 ft
Bottom Surface Area
1,63300 f?
NOV 0 5 2010
BY:
Form SW401-Inhnration Basin -Rev 4
Parts I & 11 Design Summary, Page 1 of 3

Permit No
(to be provded by OWQ)
Additional Information
Maximum runoff to each inlet to the basin?
030
ac-in
OK
Length of vegetative filter for overflow
NIA
ft
OK
Distance to structure
15 00
ft
OK
Distance from surface waters
85000
ft
OK
Distance from water supply well(s)
>100 ft
ft
OK
Separation from Impervious sod layer
>2
ft
OK
Naturally occunng soil above shwt
200
It
OK
Bottom covered with 4-in of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
Y
(Y or N)
OK
Capures all runoff at ultimate build -out?
Y
(Y or N)
OK
Bypass provided for larger storms?
Y
(Y or N)
OK
Pretreatment device provided
Y
_
Catch Basins with 1' sump provided
Fours SW401-Infiltration easm-Rev 4
7BY
OV 0 5 2010
-�
Parts I & It Design Summary, Page 2 of 3

Permit No
(to be provided by DWQ)
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.
Pagel Plan
Initials Sheet No.
g 14•t 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 night of way (ROW),
Overflow device, and
Boundaries of drainage easement
2 Partial plan (1" = 30' or larger) and details for the infiltration basin showing
- Bypass structure,
- Maintenance access,
- Basin bottom dimensions,
- Basin cross-section with benchmark for sediment cleanout,
- Flow distribution detail for inflow,
- Vegetated filter, and
-Pretreatment device
3 Section view of the infiltration basin (1" = 20' or larger) showing
- Pretreatment and treatment areas, and
- Inlet and outlet structures
4 A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided
5 A soils report that is based upon an actual field investigation, soil bonngs, and infiltration tests The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
investigation request form County soil maps are not an acceptable source of soils information
_
6 A construction sequence that shows how the infiltration basin will be protected from sediment until the
entire drainage area is stabilized
T+Y_.ft 7 The supporting calculations
a t Yo 8 A copy of the signed and notarized operation and maintenance (0&M) agreement
4/0__ 9 A copy of the deed restrictions (if required)
NOV 0 5 2010
Fonn SW401-Infiltration Basin -Rev 4 Page 3 of 3 Part III Required Items Checklist, Page 3 of 3