SW8130302_CURRENT PERMIT_20210901

STORMWATER DIVISION CODING SHEET
POST —CONSTRUCTION PERMITS
PERMIT NO
SW8 1)n�0302
DOC TYPE
C] CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2021 01c)01
YYYYMMDD

ROY COOPER
Governor
ELIZABETH S BISER
Senetory
BRIAN WRENN
Drreaor
September 1, 2021
Lessee
Gregory G Flynn, President
Bell Carolina, LLC
P O Box 507
West Linn, OR 97068
:t,
Owner
Christopher P Tessitore, Executive V P of NNN GP
For National Retail Properties, LP
450 South Orange Avenue, Suite 900
Orlando, FL 32801
NORTH CAROLINA
Enwonmenml Qua/3ty
Subject Permit Renewal
State Stormwater Management Permit No SW8 130302
Taco Bell- South Monkey Junction
New Hanover County
Dear Mr Flynn and Mr Tessitore
The Wilmington Regional Office received a complete 8 year Stormwater Management Permit Renewal Application for
the subject project on August 24, 2021 The Division is hereby notifying you that permit SW8 130302 has been
renewed on September 1, 2021, and shall be effective until April 18, 2029 For your records, please find enclosed a
renewed, updated, and re -issued permit and a copy of the renewal application Please keep this permit on file at all
times Please note that the renewed, updated, and re -issued permit does not impose new or different terms, it merely
restates some of the previous terms to provide you with a better understanding of your obligations under the permit
The renewal and reissuance of this stormwater permit does not imply that the site is currently in compliance with the
terms and conditions of this state stormwater permit The plans onginally approved on April 18, 20113 and most
recently transferred on August 14, 2014, will remain in full force and effect in accordance with the regulations set forth
in Title 15A NCAC 2H 1000
This permit is subject to the conditions and limitations as specified therein Please pay special attention to the
conditions listed in this permit regarding the Operation and Maintenance of the BMP(s), recordation of deed
restrictions, procedures for changes of ownership, transferring the permit, and renewing the permit Failure to establish
an adequate system for operation and maintenance of the stormwater management system, to record deed restrictions,
to transfer the permit, or to renew the permit, will result in future compliance problems
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an
adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAK) The written
petition must conform to Chapter 150B of the North Carolina General Statutes and must be filed with the OAH within
thirty (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 com Unless such demands are made this permit
shall be final and binding
If D_E Q�� North Carolina Department of Environmental Quality I DryMism of Energy neral and Land Resources
Wilmington Regional Office 1 127 Cardinal Dnve Extension I Wilmington North Carolina 28405
iuoum camu,u
9107967215

State Stormwater Permit No SW8 130302
Page 2 of 2
If you have any questions, need additional copies of the permit or approved plans, please contact Ashley Smith in the
Wilmington Regional Office, at [phone] or ashleym smith@ncdenr gov
Sincerely, j�
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
Enclosures Attachment C — Permitting History
Renewal Application Documents
DES/ams %Stotmwater\Permits & Prolects\2013\130302 HD\2021 09 permit 130302
cc Bell Carolina, LLC Gregory G Flynn, President, 6200 Oak Tree Blvd, Suite 250 Independence Ohio 44131
NCDEQ-DEMLR Wilmington Regional Office
ef
Honmcuwu D E Q'�
yp�p�!la4o�mYlYsq�
North Carolina Department of Environmental Quality I Division of Energy Mineral and Land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington North Carolina 28405
9107967215

State Stormwater Management Systems
Permit No SW8 130302
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE 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
Bell Carolina, LLC
Taco Bell — South Monkey Junction
5972 Carolina Beach Road, Wilmington, New Hanover County
FOR THE
construction, operation and maintenance of an infiltration trench 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 the approved stormwater management plans and specifications and other
supporting data as attached and on file with and approved by the Division of Energy, Mineral and
Land Resources (the "Division" or "DEMLR") and considered an enforceable part of this permit
This permit shall be effective from the date of issuance until April 18 2029 and shall be subject to the
following specified conditions and limitations
I DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater described in
the application and other supporting data
This stormwater system has been approved for the management of stormwater runoff as
described in Section 17 of this permit The stormwater control has been designed to handle
the runoff from 23,522 square feet of impervious area
The tract will be limited to the amount of built -upon area indicated in Section 1 7 on page 2 of
this permit, and as shown on the approved plans The built -upon area for the future
development is limited to 162 square feet
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 of this project must be
directed into the permitted stormwater control system
The project shall provide a 50' wide vegetated buffer adjacent surface waters, measured
horizontally from and perpendicular to the normal pool of impounded structures, the top of
bank of streams and rivers, and the mean high water line of tidal waters
Page 1 of 5

State Stormwater Management Systems
Permit No SW8 130302
The following design criteria have been permitted for the infiltration trench system and must be
provided and maintained at design condition
a
Drainage Area, acres
068
Onsite, ft2
29,630
Offsite, ft2
N/A
b
Total Impervious Surfaces, ft2
23,522
Onsite, ft2
23,522
Offsite, ft2
N/A
c
Design Storm, inches
1 5
d
Trench Length, feet
128 (section 1), 91 (section 2)
e
Trench Width, feet
32 (section 1), 16 (section 2)
f
Trench Depth, feet
233
g
Bottom Elevation, FMSL
38
h
Bottom Surface Area, ft2
5,641
1
Bypass Weir Elevation, FMSL
4033
1
Storm Chamber X-sect Area, in
4032
k
Perforated Pipe Length, ft
1,505
1
Permitted Storage Volume, ft3
7,092
m
Predevelopment 1 yr 24 hr peak flow, cfs
002
n
Type of Soil
Sand
o
Expected Infiltration Rate, in/hr
10
p
Seasonal High Water Table, FMSL
36
q
Time to Draw Down, hours
24
r
Receiving Stream/River Basin
Mott Creek / Cape Fear
s
Stream Index Number
18-82
t
Classification of Water Body
"C,Sw"
II SCHEDULE OF COMPLIANCE
1 The stormwater management system shall be constructed in its entirety, vegetated and
operational for its intended use prior to the construction of any built -upon surface
2 During construction, erosion shall be kept to a minimum and any eroded areas of the system
will be repaired immediately
3 The permittee shall at all 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
Semiannual scheduled inspections (every 6 months)
Sediment removal
Mowing and revegetation of slopes and the vegetated filter
Immediate repair of eroded areas
Maintenance of all slopes in accordance with approved plans and specifications
Debris removal and unclogging of bypass structure, infiltration media, flow spreader,
catch basins, piping and vegetated filter
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
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
Page 2 of 5

State Stormwater Management Systems
Permit No SW8 130302
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
Access to the stormwater facilities shall be maintained via appropriate easements at all times
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 project 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
10 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
11 The designated permit holder, Bell Carolina LLC, shall be responsible for meeting the
conditions and limitations specified in the permit As required for compliance, a copy of the
lease agreement that outlines Bell Carolina LLC's responsibilities for this stormwater system
must be kept with the permit and maintenance activity records
12 Please be aware that it is the responsibility of the permit holder, Bell Carolina LLC to notify the
Division of any changes in ownership and request an ownership/name change for the
stormwater permit However, please be reminded that if the lease agreement or contract
between Bell Carolina LLC and National Retail Properties, LP is dissolved, cancelled or
defaults, and the Division is not notified by Bell Carolina LLC to transfer the permit, then the
responsibility for permit compliance reverts back to the property owner As the property
owner, National Retail Properties, LP must notify the Division immediately of the permit
ownership change and submit a completed Name/Ownership form to the Division within 30
days Otherwise National Retail Properties, LP will be operating a stormwater treatment
facility without a valid permit This is a violation of INC General Statue 143-215 1 and may
result in appropriate enforcement action including the assessment of civil penalties of up to
$25,000 per day, being taken against the property owner, National Retail Properties, LP
13 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 project and the on -site
stormwater system complies with the permit conditions Any items not in compliance must be
repaired, replaced restored, or resolved prior to the transfer Records of maintenance activities
performed to date may be requested
Page 3 of 5

State Stormwater Management Systems
Permit No SW8 130302
III GENERAL CONDITIONS
1 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
2 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
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
Permit Transfer This permit is not transferable to any person or entity except after notice to
and approval by the Director The permittee shall submit a completed and signed "Permit
Transfer Application Form" (available on the Division website) accompanied by the required
fee and supporting documentation as listed on the form, to the Division at least 60 days prior
to any one or more of the following events
The sale or conveyance of the project area in whole or in part, except in the case of an
individual lot sale that is made subject to the recorded deed restrictions and protective
covenants,
Dissolution of the partnership, corporate, or LLC entity, subject to NCGS 55-14-05 or
NCGS 57D-6-07 and 08,
Bankruptcy,
Foreclosure, subject to the requirements of Session Law 2013-121
Current Perm ittee Name or Address Changes The permittee shall submit a completed
"Permit Information Update Application Form" (available on the Division website) to the
Division within 30 days to making any one or more of the following changes
A name change of the current permittee,
A name change of the project,
A mailing address change of the permittee,
6 The permittee is responsible for compliance with all terms and conditions of this permit until
the Division approves the transfer request Neither the sale of the project, in whole or in part,
nor the conveyance of common area to a third party constitutes an approved transfer of the
permit
7 The permittee grants Division Staff permission to enter the property during normal business
hours to inspect all components of the permitted project
8 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 permit conditions
9 Approved plans, application documents, supplements, calculations, operation and
maintenance agreement, and specifications for this project are incorporated by reference and
are enforceable parts of the permit A copy of this permit, application, supplements operation
and maintenance agreement, and approved plans and specifications shall be maintained on
file by the permittee
10 Unless specified elsewhere, permanent seeding requirements for the on -site stormwater
system must follow the guidelines established in the North Carolina Erosion and Sediment
Control Planning and Design Manual
Page 4 of 5

State Stormwater Management Systems
Permit No SW8 130302
11 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
12 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)
Permit renewed, updated and reissued this the 1st day of September 2021
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Brianvvrenn Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 5 of 5

Attachment C - Permitting History
Taco Bell- South Monkey !unction
Permit No SW8 130302
Approval
Date
Permit
Action
BIMS
Version
Description of the Changes
4/18/2013
Original
Approval
10
8/14/2014
Transfer
1 1
from R & S Matthews
Propeties, LLC to Bell
Carolina, LLC (lessee) and
National Retail Properties,
LP (owner)
9/1/2021
Renewal
20

t DEMLR USE ONLZ
LY
M:eived Fee Paid Permit Number
NC DEQ Division of Energy, Mineral and Land Resources Carolina Beach 3003039
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
poor 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 130302
2 Project name Taco Bell #3003039
3 Project street address 5972 Carolina Beach Road
City Wilmington County New Hanover ZIP 28412
4 What, if any changes have been made to the project as permitted? none
If the project has changed from the onginal approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at https //deg nc gov/about/divisions/e
B PERMITTEE INFORMATION
If changes to the permittee or project 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/Organization Bell Carolina LLC
2 Signing Officials Name Gregory G Flynn
3 Signing Official's Title
4 Mailing Address
City West Linn State OR ZIP 97068-0507
5 Street Address 6200 Oak Tree Blvd Suite 250
City Independence State OH ZIP 44131
6 Phone (503 ) 722-2825 Email cmills2ftrinr€ coin
AUG 9 4 2021
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 Orrice (Urbanizing Areas Ph 2, USMP, Non -Coastal HQ W/ORnly 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
it-
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
>k 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
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)
AUG 2 a
Stormwater Permit Renewal Application Form Page 2 of 3 May 11 2018

D PERMITTEE'S CERTIFICATION
Gregory G Flynn , 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 and complete 44� q�
Signature Date g d/ tiV.Z/
NOTARIZATION
that
this the
day of
County of
execution of the forgoing instrument Witness y lh r� nd official seal
(Notary Seal' 1 _� CCYY��
Notary Signature _4�
My commission expire
a Notary Public for the State of
do hereby certify
personally appeared before me
20 and acknowledge the due
( AUb y 7021
BY
Stormwater Permit Renewal Application Form Page 3 of 3 May 11 2018

Z�ALIFORNIIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL ..
A notary public or other officer completing this certificate verifies only the identity of the Individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document
State of California )
County of _,oran )
On A.oV before me,
Date Here
personally appeared
and Title of the Officer
who proved to me on the bases of satisfactory evidence to bet �ersonXvvhose name(6� iscribed to the within instrument and ackn dged to n tha hey executed the s e in
his/ authorized capacity, and that his badbB.usignatu nstrument the persooK,
e entity upon behalf of which the person d, executed the instrument
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct
NARLENE GONZAGAAD-SON WITNESS my hand and official seal
Notary Public - Cah(orma
0 San Franosco County _
Commission k 22 , 669
'My Comm Expires Ma 162022 Signature 44�
gnature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the
fraudulent reattachment of this form to an unintended document
Description of Attached I
Title or Type of Document
Document Date
Signer(s) Other Than Named Above
Capacity(ies) Claimed by Signer(s)
Signer's Name
❑ Corporate Officer — Title(s)
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other
Signer Is Representing
Number of Pages
Signer's Name
❑ Corporate Officer — Title(s)
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other
Signer Is Representing
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14CDE14R STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
INFILTRATION TRENCH SUPPLEMENT
This form must be filled out printed and submitted
The Required Items Checklist (Part III) must be printed filled out and submitted along with all of the required Information
I, (PROJECT INFORMATION
Project name Taco Bell Monkey Junction
Contact person John Richards PE
Phone number
Date
Drainage area number
839 8424
7 Feb-13
1
II DESIGN INFORMATION _
She Characteristics
Drainage area
Impervious area
Percent Impervious
Design rainfall depth
Peak Flow Calculations
1 yr, 24-hr rainfall depth
1 yr, 24-hr Intensity
Pre -development 1 yr 2441r discharge
Post -development 1 yr 24 hr discharge
PrelPosl 1 yr 24 hr peak flow conbol
Storage Volume Non SA Waters
Minimum volume required
Volume provided
Storage Volume SA Waters
15' runoff volume
Pre -development 1 yr 24 hr runoff volume
Post -development 1 yr 24 hr runoff volume
Minimum volume required
Volume provided
Solis Report Summary
Soil type
Infiltration rate
SHWT elevation
Trench Design Parameters
Drawdownbme
Perforated pipe diameter
Perforated pipe length
Number of laterals
Stone type (if used)
Slone vold ratio
Stone is free of fines?
29 630 00 f
23 522 00 h
794% %
150 in
3 63 in
016 in/hr
002 A'Isac
000 Re/sec
002 ft'Isec
2 831 00 fts
7 092 00 ft'
ft3
ft3
fte
ft'
fte
Sand
1000 in/hr
3600 fmsl
100 days
40320 sq in
vanes A
14
per manufacture
40%
OK for non SR waters
OK
x sectional Area
(Y or NI OK
ECEIVE`
APR 0 9 2013
BY._-----
Form SW401 Infiltration TfondRRov 4 Parts I a 11 Design Summery Page 1 of 2

Permit No
Trench Elevations
Bottom elevation
3800
hnsl OK
Storage/overflowelevabon
4033
hnsl
Top elevation
4033
fmsl
Trench Dimensions
Length gong dlmenslon)
12724
9
Width (short dlmarWon)
4877
it
Height (depth)
233
it OK
Additional Information
(to be proWed by DWO)
Mardmum volume to each Inlet Into the trench?
059
ac In
OK
Length of vegetative filter for overflow
Iva
fl
OK
Number of observation wells
2
OK
Distance to structure
2900
ft
OK
Distance from surface waters
100000
It
OK
Distance from water supply wells)
100000
it
OK
Separation from impervious soil layer
N/A
h
OK
Depth of naturally occurring soil above SHWf
200
It
OK
Bottom covered with 4 In of dean sand?
N/A
(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?
N/A
(Y or N)
OK
Trench wrapped with geoteWo fabnc?
Y
(Y or N)
OK
Pretreatment device provided
Y
Isolator row
ECEIVE
nAPR 0 9 2013
BY
Form SW401 Inf obon TrondFRov 4 Paris 18 11 Doslgn Summery Pago 2 of 2

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 He
requirement has not been met, attach justification
Pagel Plan
Initials
Sheet No
S►{ft
G3
1 Plans (l' 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),
Trench 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
51
C $11
2 Partial plan If " = 30' or larger) and details for the infiltration trench showing
L 4.5
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 trench (1" = 20' or larger) showing
Pretreatment and treatment areas, and
Inlet and outlet structures
r
4 A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided
5" Arr'4cra vnrt 1 wA-m et-ftf.T
/4•
5 A soils report that is based upon an actual field investigation, soil borings, and infiltration tests The
results of the soils report must be verified in the field by DWO, by completing & submitting the soils
investigation request form County soil maps are not an acceptable source of soils information
JAR
150
6 A construction sequence that shows how the infiltration basin will be protected from sediment until the
entire drainage area is stabilized
s iR
Q7►A�NfD
7 The supporting calculations S6E I}rZA040 S To 4PA%V � RfO4RT
SVA,
Afli
8 A copy of the signed and notarized operation and maintenance (O&M) agreement
9 A copy of the deed restrictions (if required)
MAR 0 9 2013
BY
Form SW401 Infiltration Trench Rev 4 Part III Required Items Checklist Page 3 of 3

State Stormwater Management Systems
Permit No SW8 130302
Taco Bell — South Monkey Junction
Stormwater Permit No SW8 130302
New Hanover County
Designer's Certification
I, - 'JW 4 91WA46A , as a duly registered PW;P �i 1L 6161n166Q. in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full
time) the construction of the project,
50 Ar4 0 onWkFY �wyts/oA/
(Project)
04 1AAT t&WS Pftf6e.76G u C
for %4c0 (SELL (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications
The checklist of items on page 2 of this form is included in the Certification
Noted deviations from approved plans and specification
^ / f ^ SEAL
Signature (`T)"��' Y/
if •0 0...I
Registration Number Z ie
Date 2 °f ?vtc. 1, Z►�:'aofE1
'+'r01 NEEae' O ,
ECEIVE
JUL 1, 1013
BY
Page 6 of 7

0
State Stormwater Management Systems
Permit No SW8 130302
Certification Requirements
V 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 drams are located such that the runoff is directed into the system
Qd/N 5 the bypass structure weir elevation is per the approved plan
Wd/� 6 The bypass structure is located per the approved plans
J r JA 7 A Trash Rack is provided on the bypass structure
W,?, 8 All slopes are grassed with permanent vegetation
QJ1t 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
vs�t&11 The permitted amounts of surface area and/or volume have been
provided
t A 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 NCDENR-DWQ Regional Office
New Hanover County Building Inspections
Page 7 of 7