SW7120516_CURRENT PERMIT_20120719

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPECURRENT
PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
YYYYMMDD

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NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, PE
Governor Director
July 19, 2012
Mr. George T. Barnes, Jr., Member/Manger
Glandon Forest Equity, LLC
3900 Merton Drive, Suite 210
Raleigh, NC 27609
Dear Mr. Barnes:
Wao
Natural Resources
Dee Freeman
Secretary
Subject: Stormwater Permit No. SW7120516
Dollar General - Chocowinity
High Density Commercial Wet Pond Project
Beaufort County
The Washington Regional Office received a complete Stormwater Management Permit Application for
Dollar General - Chocowinity on May 18, 2012. Staff review of the plans and specifications has
determined that the project, as proposed, will comply with the Stormwater Regulations set forth in
Session Law 2008-211 and Title.15A NCAC 2H.1000. We are forwarding Permit No. SW7120516
dated July 19, 2012, for the construction of the subject project.
This permit shall be effective from the date of issuance until July 19, 2020, and shall be subject to the
conditions and limitations as specified therein. Please pay special attention to the Operation and
Maintenance requirements in this permit. Failure to establish an adequate system for operation and
maintenance of the stormwater management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right
to request an adjudicatory hearing upon written request within .thirty (30) days following receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer
27447, Raleigh, INC 27611-7447. Unless such demands are made this permit shall be final and
binding.
If you have any questions, or need additional information concerning this matter, please contact Scott
Vinson, or me at [phone].
Sincerely,
Al dg
Regional Supervisor
Surface Water Protection Section
AH/ sv-. K:1WQSISTORMWATERIPERMIT1SW7120516
cc: Matthew Lowder, PE — Triangle Site Design, PLLC (ewsa:i ]�
Beaufort County Building Inspections tZ
L.,Aashington Regional Office
North Carolina Division of Water Quality Intemet: www.newaterqunlitv.ora
943 Washington Square Mall Phone: [phone] one
Washington, NC 27889 FAX [phone] NorthCarohna
An Equal OpporlunitylA(firmative Action Employer — 50% Recycled110% Post Consumer Paper ,Xaturallty

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State Stormwater Management Systems
Permit No. SW7120516
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Glandon Forest Equity, LLC
Dollar General - Chocowinity
Intersection US 17Bus. & Windfield Dr., Chocowinity, Beaufort County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with
the provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter referred to
as the "stormwater rules') and the approved stormwater management plans and
specifications and other supporting data as attached and on file with and approved by
the Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until July 19, 2020, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 of this permit. The stormwater control has been
designed to handle the runoff from 31,947 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section I. of
this permit, and per approved plans. Plans for any future built -upon area not
currently shown on the approved plans must be submitted and approved by the
Division prior to the start of construction.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7120516
7
The built -upon areas associated with this protect shall be located at least 50 feet
landward of all perennial and intermittent surface waters.
The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a.
b.
C.
d.
e.
f.
g.
i.
1.
k.
1.
M.
n.
o.
P.
9•
Drainage Area, acres:
Total Impervious Surfaces, ft2:
Design Storm, inches:
Pond Depth, feet:
TSS removal efficiency:
Permanent Pool Elevation, FMS�:
Permanent Pool Surface Arej, ft
Permitted Storage Volume, ft:
Temporary Storage Elevation, FMSL:
Predevelopment 1 year 24 hour:
Post development 1 year 24 hour:
Controlling Orifice:
Permitted Forebay Volume, W:
Fountain Horsepower, HP
Receiving Stream/River Basin:
Stream Index Number:
Classification of Water Body:
ll. SCHEDULE OF COMPLIANCE
1.00
31,947
1.50
3.0 avg. — 6.0 total
90%
25.00
3,655
7,065 at temporary pool el
26.40
1.67cfs
3.76 cfs (0.02cfs design storm)
1.00" O pipe
1,649
0, (no fountain allowed)
Crawford Creek 1 Tar - Pamlico
29-6-2
"SC; NSW"
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 optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the vegetated filter strip.
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, level
spreader, filter strip, catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
records will indicate the date, activity, name of person performing the work and
what actions were taken.
5. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
6. Decorative spray fountains are not allowed in the stormwater treatment system.
Page 3 of 7

A'
State Stormwater Management Systems
Permit No. SW7120516
7. The facilities shall be constructed as shown on the approved plans. This permit
shall become void unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
B. 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.
9. 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.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. 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.
12. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
13. A copy,of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
summit a completed Name/Ownership Change form, to the Division of Water
Quality, signed by both parties, and accompanied by supporting documentation
as listed on page 2 of the form. The project must be in good standing with the
Division. The approval of this request will be considered on its merits and may or
may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7120516
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. 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
as allowed by the laws, rules and regulations contained in Session Law 2008-
211, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until July 19, 2020.
Application for permit renewal shall be submitted 180 days prior to the expiration
date of this permit and must be accompanied by the processing fee.
Permit issued this the 19th day of July, 2012.
TH C ROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
� p�C�-17 — for
Division of Water Quality
By Authority of the Environmental Management Commission
Stormwater Permit No. SW7120516
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7120516
Dollar General - Chocowinity
Stormwater Permit No. SW7120516
Beaufort _County
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,
(Project)
for
(Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems r
Permit No. SW7120516
Certification Requirements:
Initials
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/bypass 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/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. Required drawdown devices are correctly sized per the approved plans.
13.. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Washington Regional Office
Beaufort County Building Inspections
Page 7 of 7

State Stormwater Management Systems
Permit No. SW7120516
Dollar General - Chocowinity
Stormwater Permit No. SW7120516
Beaufort County
Designer's Certification
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SEP 2 7 2013
�°�: � � n,�.. -�: ;•ram,
I, fr-> 43 , as a. duly registered �� �a�,c�f !'�����in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full
time) the construction of the project,
wig'
(Project)
for �r,(o /'✓I'� e (Project Owner) hereby state that, to the
best of my abilities, due cagence 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:
Signature
Registration dumber
Date 3ZI 1/3
SEAL
fit rnr,11i
(FOP �'S/0��SEAL
4434 -
".9�• NGINE18i
Page 6 of 7

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State Stormwater Management Systems
Permit No. SW7120516
Certification Requirements:
Initials
011, 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.
wtp �. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
04& 4. All roof.drains are located such that -the runoff is directed into the system.
wv The outlet/bypass structure elevations are per the approved plan.
W111 _/6. The outlet structure is located per the approved plans.
Ro� 7 Trash rack is provided on the outlettbypass structure.
018. All slopes are grassed with permanent vegetation.
wit-. Vegetated slopes are no steeper than 3.1.
Mi, 10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
ML 11. The permitted amounts of surface area and/or volume have been
provided.
Mt ✓ 12. Required drawdown devices are correctly sized per the approved plans.
WN, ✓13. All required design depths are provided.
MtV14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
IMYL'�15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Washington Regional Office
Beaufort County Building Inspections
- 4 t i
SEE 2 7 2013
a�h IWA G"i
Page 7 of 7

WAO
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Envlronmenra! Quality
January 17, 2020
Glandon Forest Equity, LLC
Attention: Mr. George T. Barnes, Jr., Manager
3825 Barrett Drive, Suite 100
Raleigh, NC 27609-7221
Subject: Stormwater Permit No. SW7120516 Renewal
Dollar General - Chocowinity
High Density Stormwater Project
Beaufort County
Dear Mr. Barnes:
A Division of Energy, Mineral, and Land Resources file review has determined that
Stormwater Permit SV 7120516 for a stormwater treatment system consisting of a wet
detention pond to serve a Dollar General Store located on US Hwy 17 Business in
Chocowinity, NC expires on July 19, 2020. This is a reminder that permit renewal
applications are due 180 days prior to expiration. We do not have a record of receiving
a renewal application.
To keep this permit active please submit a completed permit renewal application along
with a $505.00 fee for permit renewal. Permit application forms for renewal can be found
on our website at:
s: e o i ' ' n - i -I - s r ne - ral-1 nd-
rules/stormwater-1).ro>lram/oost-construction. North Carolina General Statutes and the
Coastal Stormwater rules require that this property be covered under a stormwater
permit if the project is constructed.
If you have questions, please feel free to contact me at [phone]. 1 will be glad to
discuss this by phone or meet with you. If you would like, I can e-mail you a copy of the
application forms. You can request a copy by e-mailing me at roeer.thorpePncden Qy-
Sincerely,
t�K. Thorpe
Environmental Engineer
D� � North Carolina Department of EnAronmental Quallty I Division of Energy. Mineral and Land Resources
_ Washington Regional Office 1943 Washington Square Mail I Washington, North Carolina 27889
0011�" 252.946.648t

It
Compliance Inspection Report
Permit: SW7120516 Effective: 07/19/12 Expiration: 07/19/20 Owner: Glandon Forest Equity LLC
Project: Dollar General - Chocowinity
County: Beaufort US Hwy 17 Business
Region: Washington
Contact Person: George T Barnes Title:
Directions to Project:
intersection of US 17 Business and Windfield Drive
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 1 - (Crawford Creek) (03-03-07 ) ( SC;NSW)
On -Site Representative(s):
Related Permits:
Inspection Date: 06/1312013 Entry Time: 04:30 PM
Primary Inspector: Scott A Vinson
Secondary Inspector(s):
Reason for Inspection: Routine
Permit Inspection Type: State Stormwater
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
State Stormwater
(See attachment summary)
Chocowinity NC 27817
Phone: [phone]
Exit Time. 05:00 PM
Phone: [phone]
Ext.208
Inspection Type: Compliance Evaluation
Page: 1

x
Permit: 5W7120516 Owner - Project: Glanclon Forest Equity LLC
Inspection Date: 06/13/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Overall the site looks in good shape. The outlet structure needs final work in converting it from the sediment basin design
during the construction phase to the current wet detention basin design for post construction. The bare soil areas around
the pond and swaie need to be vegetated within 7 -14 days. Top soil, sod and/or grass seed, stabilization matting and
fertilizer will need to be added to these areas in order to get a good cover of grassed vegetation to keep the slopes
stabilized.
Page: 2

Permit: SW7120516 Owner - Project: Glandon Forest Equity LLC
Inspection Date: 06/13/2013 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
File Review
Is the permit active?
Signed copy of the Engineer's certification is in the file?
Signed copy of the Operation & Maintenance Agreement is in the file?
Copy of the recorded deed restrictions is in the file?
Comment: The site is only recently been constructed, but the Design Engineer's
Certification found at the back of the Stormwater permit needs to be completed and
submitted to DWQ - Washington Regional Office.
Built Upon Area
Is the site BUA constructed as per the permit and approval plans?
Is the drainage area as per the permit and approved plans?
Is the BUA (as permitted) graded such that the runoff drains to the system?
Comment:
SW Measures
Are the SW measures constructed as per the approved plans?
Are the inlets located per the approved plans?
Are the outlet structures located per the approved plans?
Comment: The site has recently finished construction and the outlet structure needs to
be converted from the sediment basin design to the wet detention basin design with the
small diameter orifice with trash gaurds. Also need to check the vegetated shelf and
wetland planting plans and make sure the appropriate types and number of wetland
plants have been or will be planted around the pond.
Yes No NA NE
■ ❑ ❑ ❑
❑ ■ ❑ ❑
■ ❑ ❑ ❑
❑ ❑ ■ ❑
Yes No NA NE
❑ ■ ❑ ❑
■ ❑ ❑ ❑
■ ❑ ❑ ❑
Operation and Maintenance Yes No NA NE
Are the SW measures being maintained and operated as per the permit requirements? ■ 1313 ❑
Are the SW BMP inspection and maintenance records complete and available for review or provided to DWQ ❑ ❑ ❑ ■
upon request?
Comment:
Other Permit Conditions Yes No NA NE
Is the site compliant with other conditions of the permit?
Comment:
Other WQ Issues
Is the site compliant with other water quality issues as noted during the inspection?
Yes No NA NE
■ ❑ ❑ ❑
Page: 3

Permit: SW7120516 Owner - Project: Glandon Forest Equity LLC
Inspection Date: 06/13/2013 . Inspection Type: Compliance Evaluation Reason for Visit: Routine
Comment: There are some bare areas that need additional vegetation where the
original seeding has not taken root very well. Please vegetate those areas around the
pond and swale where needed.
Page: 4

:r DWQ USE ONLY ,
Date Received Fee Paid
Permit NL1171bC1'
Applicable Rules: ❑ Coastal SW - 1995 OCoastal SW - 2008 ❑ Ph I1- Post Construction
(select all that apply) ❑ Non -Coastal SW- I-IQW/ORW Waters ❑ Universal Stormwrater Managen ernt Plan
❑ Other WQ M mt Plan: C
State of North Carolina KECEIVED
Department of Environment and Natural Resources
Division of Water Quality MAY 18 2012
STORMWATER MANAGEMENT PERMIT APPLICATIObft O `
Thus forfff inny be photocopiedfor use as an orighfah R
1. GENERAL INFORMATION , 1�Q0 5
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans, W Y
specifications, letters, operation and maintenance agreements, etc.): �r�?
Dollar General - Chocowini
2. Location of Project (street address):
US I-iighway 17 Business
City:Chocowinity County -Beaufort
3. Directions to project (from nearest major intersection):
Project located at the intersection of US 17 Business and Windfield Drive
Lip:278"17
4. Latitude:35° 31' 00" N Longitude:-77° 05' 42" W of the main entrance to the project.
Il. PERMIT INFORMATION:
1. a. Specify whether project is (check one): NNew ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: [:]Not- Started ❑Partially Completed* ❑ Completed* *harovide a rlesigfrcr's Certff catiorf
2. Specify the type of project (check one):
❑Low Density 21-Iigh Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormw°ater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ❑Sedimentation/Eros ion Control: 1.6 ac of Disturbed Area
❑NPDES Industrial Stormwater 0404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue bate and the type of each permit:
Form SWU-101 Version 07Jun2010 Page l of

u:r 4
= d i YAM
037VMAJ-OV%/GI

III. CONTACT INFORMATION
"I. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization:Glandon Forest Equity, LLC
Signing Official & `ritle:George T. Barnes, Jr. - member/ manager - -
b.Contact information for person listed in item 1a above:
Street Address:3900 Merton Drive, Suite 210
City:Raleigh State:NC Zip:27609
Mailing Address (if applicable):
City:
Phone: f 1
]:mail:
State:
Fax:
Zi
Please check the appropriate box. The applicant listed above is:
❑ The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
® Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
® Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/ Organ ization:Stanley Friedman - Fried man /Ravenwood. LLC
Signing Official & Titie:Stanley Friedman (manager) - Fried man/Ravenwood, LLC
b.Contact information for person listed in item 2a above:
Street Acid ress:Fried man/Ravenwood, LLC PO Box 1845
City:Washington _ State:NC Zip:27889
Mailing Address (if applrcable):
City:
Phone:
Ennall:
State:
Fax:
Zip:
3. a. (Optional) Print the name and title of another contact such as the projects construction supervisor or other
person who can answer questions about the project:
Other Contact Person/ Organ ization:George Venters - Glandon Forest Equity, LLC
Signing Official & Title:Partner
b.Contact information for person listed in item 3a above:
Mailing Address:3900 Merton Drive, Suite 210
City: Raleigh State:NC Zip:27609
Phone: [phone]
I,maii:gventers©vanguardpg.com
Fax: (919 ) 459-2604
4. Local jurisdiction for building permits: Mid -East Commission
Point of Contact) ustin Oaks Phone #: (252 ) 974-1843
Form SWU-101 Version 07Jun2010 Page 2 of 7

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the storm water runoff will be treated.
Stormwater runoff from the proposed site will be treated within a wet detention pond.
The pond is designed to treat a 15' storm & 90% TSS
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.lf claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph 11 - Post Construction
3. Stornuvater runoff from this project drains to the l a,. - 69,ti,,[Lo River basin.
4. 'Total Property Area: 1.35 acres
5. Total Coastal Wetlands Area: 0.0 acres
6. Total Surface Water Area:.08 acres
Total Properh, Area (4) -Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area`: -1.27 acres
' Total project area shall be calculated to exclude the following the normal pool of impounded structures, the area
behucefi the banks of streams and rivers, file area below the Normal High Water (NNW) litre or Mean High Water
(MHW) line, and coastal wetlands landward from the NNW (or MHW) litre. The resultant project area is used to
calculate overall percent built upon area (BUA). Nori-coastal zvetlarads landward of the NHW (or MH1N) line pray
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 57.7
9. 1-Iow many drainage areas does the project have?] (For lrigb density, count I for each proposed engineered
storna eater BMP. For lone density and other projects, use I for the whole property area)
10. Complete the following information for each drainage area identified in Project information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area I
Drainage Area _
Draina e Area
Drainage Area _
Deceiving Stream Name
Crawford Creek
Stream Class *
SC; NSW
Stream Index Number *
29-6-2
Total Drainage Area (so
43,500
On -site Drainage Area (so
43,500
Off -site Drainage Area (so
0
Proposed Impervious Area" (so
31,947
% Impervious Area`* total
73.4%
Impervious- Surface Area
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area .
On -site Buildings/Lots (so
9,002
On -site Streets (so
0
On -site Parking (so
21,670
On -site Sidewalks (so
1,275
Other on -site (so
0
Future (sf)
0
Off -site (so
0
Existing BUA*** (so
0
Total (so:
31,947
* Stream Class and Index Number tali be determaned at: lattll;i&portal.)lcdeirr.oY iret;At q[ps/csir/classirlcatioars
* hu pevious area is defined as the built upon area inchrriing, but not !united to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
'Report only that amount of existing BUA that will rennin after development. Do not report any existing BUA that
is to be reproved and whicli will be replaced by new BUA.
Form SWU-101 Version 07Jun2010 Page 3 of 7

1-1. How was the off -site impervious area listed above determined? Provide documentation.
No off -site area is drainine to uond
Projects in Union County: Contact DWQ Central Office staff to check if the project is located inithin a 'I'Irreatened s,
Endangered Species lt'atershed that mat' be subject to more sli-ingent stor/Ji1Va1L'r t-egztireiiie'llts cis per NCAC 02B .i 600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from htt ortal..ncdenr.org/Nveb/".IA:q/wssu bm i-manual.
V1. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from htt ortal.ticLienr.or r web w ws su statesw forms does. The complete
application package should be submitted to the appropriate DWQ Office. (hhe appropriate office may be
found by locating project on the interactive online map at htt ortal.ncdenr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs.
Initials
-1. Original and one copy of the Stormwater Management Permit Application Form. lI1�L
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants /J Q
Form. (f required as per Part V11 below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M 177SL
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to �G
http://www,envlielp.org/pages/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/ ma nagementfor In
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
-orm SWU-101 Version 07Jun2010 Page 4 of 7

6. A USCS map identifying the site location. If the receiving stream is reported as class SA or the /L
receiving stream drains to class SA waters within'/z mile of the site boundary, include the 1/2
mile radius on the map.
7. Scaled, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: L
a. Development/1'rojectname.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Sca le.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NI-1W line of tidal
waters, and any coastal wetlands landward of the MI-IW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or Nl-IW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with ail 13UA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
i. Details of roads, drainage features, collection systems, and stormwater control measures.
in. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person Nvho
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (",here required).
9. Copy of any applicable soils report with the associated SHW1' elevations (Please identify YY�E,L
elevations in addition to depths) as well as a map of the boring locations with the existing CcnlGs�
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration 13MPs, the report should also -
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verifil the SHWT prior
to subinittal, [phone].)
10. A copy of the most current property deed. Deed book: 1539 Page No: 000i
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC ht�L
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 21-1.1003(e). The
corporation or I_LC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
iittp://www.secretary..state.iic.usZCorporationsCSearcli.as x
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
hor all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sires vary significantly or the proposed
13UA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
httv%1portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot.
Fonn SWU-101 Version 07Jun2010 Page 5 of 7

VIIL CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting EngineenMatthew Lowder PE
Consulting Firm: Triangle Site Desig& PLLC _
Mailing Address:4006 Barrett Drive, Suite 203_--
City:Raleigh �......... .... ....
Phone: (919 ) 553-6570
[e-mail]
State:NC Zip:27609
Fax: 919 §aff
0 4-62- at,04-
DC PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a)<<���"r4 `p Y�<Joo certify that I
own the property identified m this permit application, and thus give permission to (prink or type name of person
listed in Contact Information, item 1a) George T. Barnes, fr. with (print or type name of organization listed in
Contact Information, item Ia) Giandon Forest Equihy, LLC to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. 1 understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Dater �--
I,C.s d. a Notary Public for the State of --N o rah C1�0 l �,6 A,,�-County of
e0.1,L i` do hereby certify that i P l ,Fit'i ec m r�.r-• - --- personally appeared
before me this Ct1rday of iY\&-AA ao I , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal, �C�l l �L`2c.c.� XA--
SEAL
My commission expires —L I Ia -1� —
Form SWll-101 Version 07Jun2010 Page 6 of 7

X. APPLICANT'S CERTIFICATION
1, (print or type name of person Ifsled in Contact Information, ilem In) Geoi& T. Barites, Jr. ,
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormy er rules unc r 75A NC 2I-1 .1000, SL 2006-246 (Ph. I1 -- Post Construction) or SL 2008-211.
Signatu re: Date:
i
E'P J a Notary Public for the State of /✓� County of
Wf}t = do hereby certify that e4yvRGe /. i( w/1./r/ S �,.hC personally appeared
before me this C day of / %4Y d0l) , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
AN 0 NaEi°n A0A
`,
Y CY #0 N
���gL1GN1b G:
`All
��.
SILAL
My commission expires � ` xr - Q/( 4
Form 5WU-101 Version 07Jun2010 Page 7 of 7

- *
Permit
RECEIVED
(to be provided by DWQ)
M AY 18 2012
D Q— ARO
ot�QF war�,�Qq
NCDENR
V 1/
a K
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be Plled 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..,PROJECTINFORMATION'
A
Project name
Dollar General - Chocowinity NC
Contact person
Matt Lowder, PE
Phone number
919-553-6570
Date
5115/2012
Drainage area number
1
II.DESIGN INFORMATION
Site Characteristics
Drainage area 43,500 ftz
Impervious area, post -development 31,947 e
% impervious 73.44 %
Design rainfall depth 1.5 in
Storage Volume: Non•SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
1.5" runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Peak Flow Calculations
Is the prelpost control of the 1yr 24hr storm peak Flow required?
1-yr, 24-hr rainfall depth
Rational C, pre -development
Rational C, post -development
Rainfall intensity. 1-yr, 24-hrstorm
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 1 Oft 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. pool?
Elevation of the top of the additional volume
3,899 ft3 OK
7,Ofi5 ft3
OK, volume provided is equal to or it excess of volume required,
ft3
ft3
ft3
ft3
lit,
Y (Y or N)
3,2 in
0.37 (unitless)
0.78 (unitless)
4.32 inlhr OK
1.67 ft3lsec
3.76 hIlsec
2.09 hIlsec
?kr<fmsl �'6.4��Sf rf ep C.S.
25.00 tmsl
25.00 lmsl
25.50 fmsl
24.50 fmsl
20.00 fmsl
19.00 fmsl
1.00 ft
(Y or N)
fmsl
��H cA4p��ti%,�.
a SEAL
24434
GIN
Y.1Z
r
Fonn SW401-Wet Detention Basin-Rev.8-9117r09 Parts I. & It. Design Summary• Page 1 of 2

Permit No.
(to be provided by DWQ)
IL DESIGN INFORMATION
Surface AreasArea, temporary d S
Area REQUIRED peirmanenl pool 3�fiit`ftz �O �� � �
SAIDA ratio 8.30 (unitless) O �/
Area PROVIDED, permanent pool, Ate,_. 3,655 ft' OK
Area, bottom of 1 Oft vegetated shelf, At_Shelf 2,555 ft`
Area, sediment cleanout, top elevation (bottom of pond), A,,ce,.,a 425 V
Volumes
Volume, temporary pool
7,065 ft'
OK
Volume, permanent pool, Vim,, poc
7,901 ft'
Volume, forebay (sum of forebays if more than one forebay)
1,649 ft'
Forebay % of permanent pool volume
20.9% %
OK
SAIDA Table Data
Design TSS removal
90 %
Coastal SAIDA Table Used?
Y
(Y or N)
Mountain/Piedmont SAIDA Table Used?
N
(Y or N)
SAIDA ratio
8.30 (unitless)
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
N
(Y or N)
Volume, permanent pool. Vpefm_pol
7.901 It'
Area provided, permanent pool, A,._"
3,655 fl`
Average depth calculated
ft
Need 3 ft min.
Average depth used in SAIDA, d, (Round to nearest 0.5ftJ
ft
Calculation option 2 used? (See Figure 10-2b)
Y
(Y or N)
Area provided, permanent pool, Ate,„"
3,655 fl`
Area, bottom of 1 Oft vegetated shelf, Ate, �,jf
2.555 ft'
Area, sediment cleanout, top elevation (bottom of pond), Ab., pond
425 e
"Depth" (distance blur bottom of 10ft shelf and top of sediment)
4.50 ft
Average depth calculated
3.01 ft
OK
Average depth used in SAIDA, d. (Round to nearest 0.5ft)
3.0 ft
OK
Drawdown Calculations
Drawdown through orifice?
Y
(Y or N)
Diameter of orifice (it circular)
100 in
Area of orifice (if -non -circular)
in?
Coefficient of discharge (Co)
0.60 (unitless)
Driving head 1
0,36 ft
Drawdown through weir?
N
(Y or N)
Weir type
{unitless)
Coefficient of discharge (C)
{unitless)
Length of weir (L}
It
Driving head i
ft
Pre -development 1-yr, 24-hr peak flow
1.67 ft3lsec
Post -development 1-yr, 24-hr peak flow
3,76 ft3lsec
Storage volume discharge rate (through discharge orifice or weir)
0.02 ft'/sec
Storage volume drawdown time
2-37 days
OK, draws down in 2-5 days.
Additional Information
Vegetated side slopes
3 :1
OK
Vegetated shelf slope
10 :1
OK
Vegetated shelf width
10.0 It
OK
Length of flowpath to width ratio
3 :1
OK
Length to width ratio
3,0 :1
OK
Trash rack for overflow & orifice?
Y (Y or N)
OK
Freeboard provided
1.0 ft
OK
Vegetated filter provided?
Y (Y or N)
OK
Recorded drainage easement provided?
Y (Y or N)
OK
Capures all runoff at ultimate build -out?
Y (Y or N)
OK
Orain mechanism for maintenance or emergencies is:
PUMP
Form SW401-Wet Detention Basin-Rev.B-9117/09 Parts I. & II. Design Summary, Page 2 of 2

t
Permit No
(to be provided by O WQ)
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.
4 C- la
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.
�L
C- l 0
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.
:1ilL
e- to
3. Section view of the wet detention basin 0" = 20' or larger) showing:
Side slopes, 3:1 or lower,
Pretreatment and treatment areas, and
Inlet and outlet structures.
M� Z
5
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.
5. A table of elevations, areas, incremental volumes & accumulated volumes for overall pond and for forebay,
to verify volume provided.
C-10
6. A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized.
7. The supporting calculations.
8. A copy of the signed and notarized operation and maintenance (O&M) agreement.
9. A copy of the deed restrictions (if required).
rc5
10. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. County
soil maps are not an acceptable source of soils information.
Form SW401-Wet Detention Basin -Rev.8-9/17109
Part III. Required Items Checklist, Page 1 of 1

4 �1^
Permit Number: _ Q 2 I'Z J SZ(n
(to he proi4ded ht, DIhQ)
Drainage Area Number: f
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 provit.ECE I\ /'ED
This system (check one):
❑ does ® does not incorporate a vegetated filter at the outlet. MAY 18 2012
This system (check one): �� A 1��� �/ A � J�A �®
❑ does ® does not incorporate pretreatment other than a for � �/
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
Iocation 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 the problem -
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the wet
Areas of mare soil and/or
Regrade the soil if necessary to
detention 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.
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximately six inches.
Form SW40I-Wet Detention Basin 0&M-Rev.4
Page I of 4

'Vi, g I �-. S rl� 1 S
1 41

Pennit Number:
(to he prorided by DIVQ)
[drainage Area Number:
BMP element:
Potential roblem:
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 riprap 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
original 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 riprap if needed to
prevent future erosion problerns.
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
Prune 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 test 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
original 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, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface.
Form SW401-Wet Detention Basin O&M-RevA
Page 2 of 4

Permit Number:
(to he provided by DIVQ)
Drainage Area Ntlrnber:
13M[P element:
Potential roblem:
How I will remediate the problem. -
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 inspection 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 20.0 feet in the main pond, the
sediment shall be removed.
When the permanent pool depth reads 21 feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom E
13ASIN DIAGRAM
(Jill in the blunks)
p Permanent Pool Elevation 25
21 Pe ntanen Pool
----------- -- Volume Sediment Removal Elevation 20 Volumc
�0 -lt Min.
------------------------------ ------------- ------
Sediment Bottom Elevation 19 141 n.
Storage Sediment
Storage
FOREBAY MAIN POND
Form SW401-Wet Detention Basin O&M-Rev.4
Page 3 of 4

Permit Number:
(1u be provided hp DIVQ)
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 D WQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Dollar General - Chocowinity
BjWP drainage area nunaher 1
Print name:George T. Barnes. Jr. - Glandon Forest Equity. LLC
Titic: member/manager
Address:3900 Merton Drive, Suite 210
Phony
Sign
Date:
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
County of /ak.& do hereby certify that
� 11LG j ,�/�2iLe-!I ko%. personally appeared before me this ,,(f ra
day of /✓&V JOJ , and acknowledge the due execution of'the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal,
%,0�pAN+N , �,
�F�'�Z
• rn � �,pTAgy`tp�p �'
'OCJBI.�G Ok
SEAL
My commission expires �/- XJT - do-&
Form SW401-Wet Detention Basin O&M-Rev.4
Page 4 of'4