SW8921003_Current Permit_20150729

ACA
.n
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
July 29, 2015
Toni McCrory, Sr. Manager
Environmental Compliance
Walmart Stores, Inc.
508 SW 8 h Street
Bentonville, AR 72716-0505
Subject: State Stormwater Management Permit No. SW8 921003
Renewal and Name / Ownership Change
Walmart Supercenter 91298
High Density Commercial Project
Onslow County
Dear Ms. McCrory:
Donald van der Vaart
Secretary
Effective August 1, 2013 the State Stormwater 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 stormwater permits issued prior to August 1, 2013 until they are
modified. Please note that the attached, updated permit now references DEMLR as the Division
responsible for issuance of the permit.
On February 20, 2015, the Division of Energy, Mineral and Land Resources (DEMLR) received a
completed Name/Ownership Change Form from Developers Diversified Realty Corporation in support
of the Renewal Application from Walmart Stores, Inc., which was received on April 12, 2013, for the
subject project. The Division was not able to process the 2013 renewal application because it had been
signed by Walmart Stores, Inc., who was not the permittee of record at that time. Upon receipt of the
Name/Ownership Change Form, and a compliant inspection report, the Division is now able to transfer
the permit and renew the permit. A file review and site inspection was performed on July 16, 2015 by
DEMLR staff and as noted in the enclosed inspection report, the site is currently in compliance with the
terms and conditions of the state stormwater permit. '
The Division is hereby notifying you that permit SW8 921003 has been transferred to Walmart Stores,
Inc., on July 28, 2015 and renewed on July 29, 2015.-This permit shall be effective until July 23, 2021,
which reflects 8 years from the extended expiration date. By signing the Name/Ownership Transfer
form, you have accepted the responsibility for complying with the terms and conditions outlined in this
transferred and renewed permit. For your records, please find enclosed a copy of the updated permit,
the original Operation and Maintenance Agreement, the inspection report, the renewal application and
the Name/Ownership Change form. Please keep all of these documents on file at all times.
This project is subject to the conditions and limitations as specked in the attached permit. 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 changing 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 in a timely manner, will result in future compliance problems.
Division of Energy, Mineral, and Land Resources
Land Quality Section - Wilmington Regional Office
127 Cardinal DriveEdension, Wilmington, North Carolina 28405
[phone] / Fax [phone] • Internet http://portal.ncdenr.org/webllr!

State Stormwater Management Systems
Permit No. SW8 921003
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
(OAH). 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 you have any questions, need additional copies of the permit or the approved plans, please contact
Linda Lewis with DEMLR in the Wilmington Regional Office at [phone] or via email at
linda.lewis(a-ncdenr.gov.
Sinc rely,
racy Da is, P.E., Director
Division of Energy, Mineral and Land Resources
GDS/arl: G:1WQ1Shared\StormwateAPermits & Projects11992\921003 HD12015 07 permit 921003
cc: David Favarite, Developers Diversified Realty Corporation
Pat Donovan -Potts, Stormwater Administrator, City of Jacksonville
Georgette Scott, Stormwater Supervisor
Wilmington Regional Office Stormwater File
Page 2 of 9

State Stormwater Management Systems
Permit No. SW8 921003
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
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
Walmart Stones, Inc.
Walmart Supercenter #1298
2025 North Marine Boulevard, Jacksonville, Onslow County
FOR THE
construction, operation and maintenance of one (1) wet detention pond in compliance with
the provisions of 15A NCAC 211 .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 and considered a part of this permit.
The permit is hereby renewed and shall be effective from the date of issuance until July 23,
2021, subject to the following 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 1.5 of this permit. The stormwater control has been designed
to handle the runoff from 959,246 square feet of impervious area.
3. Approved plans and specifications for this project are incorporated by reference and
are enforceable parts of the permit.
4. The tract will be limited to the amount of built -upon area indicated in Section 1.2 of this
permit, and as shown on the approved plans.
Page 3of9

State Stormwater Management Systems
Permit No. SW8 921003
5.
The following design criteria have been approved for this wet detention pond and must
be maintained at design condition:
a. Drainage Area, acres:
Onsite, square feet:
Offsite, square feet:
b. Total Impervious Surfaces, sf:
c. Design Depth, feet:
d. TSS removal, W
e. Provided Permanent Pool Surface area, sf:
f. Permanent Pool Elevation, fmsl:
g. Design Storm, inches:
h. Provided Storage Volume, cubic feet:
i. Temporary Storage Elevation, fmsl:
j. Controlling orifice:
k. Receiving Stream:
I. Stream Index Number:
m. Stream Classification:
25.2
1,098,275
0
959,246 (includes OP's)
6.0
90% (no VFS is required)
57,000
39.0
1.0
90,225
40.5
100 GPM @17' TDH
Marley Pump Co. Hydromatic Model
S3HX (or equal)
Northeast Creek WOK02
19-16-(0.5)
"SC NSW"
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
except roads.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately.
3. All connections into the stormwater system from future areas/outparcels shall be made
such that short-circuiting of the system does not occur.
4. The permittee shall at all times 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 revegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of outlet structure, orifice device and catch basins
and piping.
g. Access to the outlet structure and pump well must be available at all times.
h. Check pond water level and verify pumps are operational weekly. Have one spare
pump available on site.
5. Records of maintenance activities must be kept and made available upon request to
authorized personnel of DEMLR. The records will indicate the date, activity, name of
person performing the work and what actions were taken.
Page 4 of 9

State Stormwater Management Systems
Permit No. SW8 921003
6. Decorative spray fountains are allowed in a wet detention pond subject to the following
criteria:
a. The fountain must draw its water from less than 2' below the permanent pool
surface.
b. Separated units, where the nozzle, pump and intake are connected by tubing, may
be. used only if they draw water from the surface in the deepest part of the pond.
c. The falling water from the fountain must be centered in the pond, away from the
shoreline.
d. The maximum horsepower for a fountain in this pond is 1 horsepower.
7. The facilities shall be constructed in accordance with the conditions of this permit, the
approved plans and specifications, and other supporting data.
8. 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.
9. A copy of the approved plans_ and specifications shall be maintained on file by the
Permittee at all times.
10. The permittee shall maintain access to the stormwater facilities via recorded access
and drainage easements, granted in favor of the permittee.
11. The permittee is responsible for verifying that the proposed built -upon area does not
exceed the allowable built -upon area.
12. 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.
13. Deed restrictions must be recorded prior to the sale of anv outparcel or future area
shown on the approved plans to ensure that future owners are made aware of the
built -upon area limitations. The following statements must be recorded:
a. To ensure continued compliance with DEMLR Stormwater Management Permit
Regulations, 15A NCAC 2H.1000, the built -upon area for outparcel(s) and future
areas is limited to square feet, as shown on the approved plans,
inclusive of that portion of the right-of-way between the front lot line and the edge
of the pavement, structures, pavement, walkways of brick, stone, slate, but not
including wood decking or the water surface of swimming pools.
D. The runoff from all built -upon area on the outparcel or future area must be directed
into the permitted stormwater control system.
c. Built -upon area in excess of the permitted maximum amount will require a permit
modification.
d. The connection into the stormwater control shall be made such that short-circuiting
of the system does not occur.
14. The permittee shall fill in the appropriate BUA allocation in the *blank above for any
outparcels and shall record the restriction prior to the sale of the outparcel. At no time
shall the total amount of BUA directed to the BMP exceed 959,246 square feet.
Page 5 of 9

State Stormwater Management Systems
Permit No. SW8 921003
15. A copy of the recorded deed restrictions must be submitted to DEMLR within 30 days
of the date of the recording. The recorded copy must be signed by the permittee,
dated, stamped with the deed book number and page, and bear the stamp of the
Register of Deeds.
16. 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 the approved plans, regardless of size.
b. Redesign or addition to the approved amount of built -upon area.
c. Further subdivision, sale or conveyance of the project area, in whole or in part.
d. Alteration to any component of the approved runoff conveyance system.
e. The construction of any future built -upon area within the drainage area of the
permitted BMP.
17. The Director may determine that other revisions to the project should require a
modification to the permit.
18. 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.
III. GENERAL CONDITIONS
1: 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
Name/Ownership Change Form, accompanied by the supporting documentation as
listed on the form, to the Division of Energy, Mineral and Land Resources at least 60
days prior to any one or more of the following events:
a. An ownership change including 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;
b. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association, subject to the requirements of Session Law 2011-256;
c. Bankruptcy;
d. Foreclosure;
e. Dissolution of the partnership or corporate entity;
f. A name change of the current permittee;
g. A name change of the project;
h. A mailing address change of the permittee;
2. Any individual or entity found to be in noncompliance with the provisions of a
stormwater management permit or the stormwater rules is subject to enforcement
action as set forth in North Carolina General Statute 143, Article 21.
3. 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) which have jurisdiction.
Page 6of9

State Stormwater Management Systems
Permit No. SW8 921003
4. In the event that the facilities fail to perform satisfactorily 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.
5. 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.
6. The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and reissuance or termination
does not stay any permit condition.
7. The permittee shall submit a permit renewal application request at least 180 days
prior to the expiration date of this permit. The renewal request must include the
applicable documentation and the processing fee.
Permit updated, transferred and renewed this the 29th day of July 2015
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
i racy t.,pavis, v.t., uirector
Ivision of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 921003 MOD
Page 7 of 9

State Stormwater Management Systems
Permit No. SW8 921003
Walmart Supercenter #1298
Stormwater Permit No. SW8 921003 MOD
Onslow County
Designer's Certification
I, , as a duly registered
in the State of North Carolina, having
been authorized to observe (period ically/weekly/fu I I time) the construction of the project,
(Project Name)
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 items listed on Page 2 of this form are part of this Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 8 of 9

State Stormwater Management Systems
Permit No. SW8 921003
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. The outlet/bypass structure elevations are per the approved plan.
5. The outlet structure is located per the approved plans.
6. Trash rack is provided on the outlet/bypass structure.
7. All slopes are grassed with permanent vegetation.
8. Vegetated slopes are no steeper than 3:1.
9. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
10. The permitted amounts of surface area and/or volume have been
provided.
11. Required drawdown devices are correctly sized per the approved plans.
12. All required design depths are provided.
13. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
14. The overall dimensions of the system, as shown on the approved plans,
are provided.
cc: NCDENR-DEMLR Wilmington Regional Office
Page 9 of 9

Noe 61 NOdh
Qfa aH4� Naftmd Rewuiaw
iw aiwalor Qaaft
STATE STOR. MATER PERMIT I`IAME10MM"r CHANGjj FORM
I. CURRENT PERMrr INFORMA*nO 1
1. Stormwater Management Permit Number: �03
2. Pmject Name: Wa 1 k.&A 5.Aa lcuodz� — 1Wf c's mu,1 U
3. Current Permit Holders Company NamWOrganWillon, l �A" - r►��
4. ftning OftWs Name: 7k%i,d Twe' s .
5. Mailing Address:
CRY: _&fAA state- 00 zip: 'Wzm
6. Phone: (gL -=< - 9 &j Fax ( :1-j3 l a25 - R RoA4
II. PROPOSED PERMFITEE / OWNER / PROJECT / ADDRESS INFORMATION
This request is for: &IMse ahedc ad drat ay *)
®
Name change of the owner (Please complete Items 1, 2 and 3 below)
e change of project (Please canplete Item 5 below)
hange in ownership of the properVoompany (:Bloaaa complete hems 1.
Melling address / phone number change. (Please complets item 4 below)
❑ Other (please explain):
2, 3, a-W 4 below)
1. Proposed perry I ee's company namakmpnizatlon: ,al rk- Saares- ., In
2. Proposed Peru ttee's signing ofncaPs name: T,�,n, Me c cb riA
3. Proposed permhtee's tide: sr Ma.nnI,Q r' �nv►rnr►�ngn�n\ C' .�o1,®n
4. Maling Address: i 0 f 5 W R IA .gA-
Y: _ ac,v�l1Q _ Slate: _Zip: "-ni ja -
Phone: (w39) .2-77 MIA Fax: (1i79t _ .1(-)y -'ha7
5. New Project Name to be placed on permit:
Please check the appropriate box. The proposed permittee listed above is:
❑ HOA or POA (Atladr dbcumentadon showing ilmt the HOA or PO4 owns, contr*, or has a
recorded easement fora# areas dry aonfaln shno water sysbm haahma Print name of HOA or
POA In #1 above and provldle name of HOA420A'a audwrh ed 1"Xm wrt Ww In At above)
❑ The property owner
Ef Laossi
4) (A tech a copy of the lease agreement and caon pho Property Owner Meson on
pqp
❑ Purchaser (Attach a copy of the pendnrg sales agreement. FkW gWrova/ of this bwWw wlll be
granted spoon rece#)t of a cgpy of the mowdod d wO
❑ Developer (Complete Property Owner Infornufto on page 4)
ECElel'E
FEB 2015
SSW WO Change Rev24Sep=12 Page 1 of 4
BY:

M. REQUIRED 17RMs
A request to Vindw a pemnit will not be
of the appiiaable required items listed in
Gated Mine may reM In -del
1. This comctet+ad and eldned form.1TIM
.
Division of Water Quality (DWQ) unless all
with the awl. Fduro to provide the
2. a ©cumentabon OProperty to a new owner.
4. TAhof any-er's oerded deed Q ations, covernarnth or eas if required by the rmit.
- -- --88 {DIi rQirreer and lraer C►� urns are Te fn�rn
each RtNQ R onai office if wired the rrrrlt and if rrrrrt al submitfedlo D�
5. If the propo perm 1i a Arm, pWriershi Perri*
Ineftw ri, co�rpporetlon, ImIted dabbllily
company, or odder crorporete ,provide da�umerrtatlon showing the a oritty of fhe named
repr+esentafive to act on behalf0 At WIN e proposed permittee.
6. The $40.00 processing fee. if this is an initial trereftr from the oronai permfte the procrossing
fee is not required. Subsequent ownership transfers will requtrb Allis $40.00 proosssing fee.
IV. CURRENT PERMI TTEE'S CERTIFICA7'ICN�
Please aheak am of itie Nowing sbhmmrts and flN out the oar ion below that stOWrrent.
❑ Checkhero ff /Sher arment� is on1Y ohan8tn� his rft none; the project nam or malting
ackalnass, but wf!! rotafn the pwrmlx I the current
permittee, hereby notify the f3WQ tit atn g n name andfor I am nA my mailp�
address and/or I am aharrging the name of tine perm project. l fudlner attest 11r19 appiiaa lon
for a r♦ame/oamership c is eaourate and apnhplebe th tha beet of . I understand
that ti aA requir ;l ps application are not cxxnpieted or ti all rasupp� grnwg Information
and attachments (feted above are not included, this applion package will be returned as
Incomplete.
29 Cheolt lmfne cu transferring the pro faeriy to a new vww and wiff not mWn
TM
9' the current perxnMee, am submitting this applioation
for a ttan er of owne r perm # t 1°A3 1 hereby DWQ of tho sale or
other legal transfer of the stanmrater system this Penn Iva ft�led a copy of
the most recent permit, the miner's certifloation for each BMP, recoisi d deed as
covenants, or easements, the DWO approved plans and/or appmved as4x* plans, the aapppprrnred
operation and mainterwas agreemerd, past maintenarx:e records and the mast resent DWQ
stommater inspection report to the proposed pennittee named in NcOorre 11 and V of this form. I
further attest that this application for a na IMUMBIr#hip ot>ange is aoatrob and complete to the best
of my knowledge. I understand that if all raquirett of this application are not oompleted or if all
required sypporung information and attachments � above are not included, this application
package vriil 'be returned as fnoomplate. I a�n all rights and obligations as permbob to the
proposed prey named in Sections I I and of titia form. I unders#and that this transfer of
ownership approved by the DWQ unless and until the facility Is in compliance with the
permit. 054 . l
Signature:
r, rircwc a Notary Public for the State of
ahi 0 , County ofe_ & „4 . do hereby certify that
Not &yP r i 7f a personally appeared before me this the
day of S ,*m b&V- . 20-1-!t, and acknowledge the due execution of the
IF
forgofn i Witness my hand and official seal,
NotarnAtLft_'___
SSW N!O Change Rev24Sept2012 Page 2 of 4
Seal)
Vicar ML4 y
IY Cmmoisift ftb"
mom it, me
cadre Ie GMW CVAIV

V. PROPOSED PERUM 'EE CERi FICAMDN: moat bd c*Wkftdby th+lt
Aid Pe MWW fhrANtranefers of OWISASW
Cca
hereby notify the DWO that Move enquired
thmugh sate, lease ofleW bander. the nslbllify for opera and n 1.1 nlrrg the parr Wed
stor mMer n suwmW rjoh , end, If appftWe. corwtr mft the pwffdw System i
aodWAedge and Cost that I have recelved a copy of: (check all that apply to this permit)
the most recent permit:
the designer's won for each 13MP
❑ any recorded deed restrictions, covenants. oreaEserrrents
Q, tha DWQ Approved plans andfor approved awbuilt plans
❑ the approved opwWan and rdr ntanance, agreement
8 WO Maintenance remde from the previous permitiee (efiere requireM sO mwater InVacdon report shewtng aornpllanoe wlthim 00 days prior to this tranNer
I have reviewed.the pwnk, approved ply and ottrer docruaasnts listed Ohara, and l vWU comply with
the terms and croixiidons.of the permit and approved pkm.1 as owie s a r d agree that i writ
operate and maintain the sylem purejnt to the requirements hod In the it and Inthe
oppration and malntiena=tothe
rrrent. I further aerie #W thte applioalfon a named wership
change is accurate and best of mykwMedge. I undeMand that If -eh required parts
of this application are not completed or if all required supports M in Ormagon gnd aftecivnents listed
above are not Included, this application package, will be reWmard as Inconviets.
Signature: �,�� �r.�, Ida: • 1
AL ' % 1t A
it Notary Public for the State of
f,a4 f-) . do hereby catfish that
personally appeared before me this the
a S dry, of f 20 I 6' .and a*owlsdge the
forgoing instrument. Witness my hand and offldai seal, .191S
p- 2a.
Signoure _*:
A obodn d of qW NR ce Mand On e D�W ��
be obl�fned the
71 rls carr�ateol A m, lncludiV aN s do =Wo end ilea"reLdftv4 should 6e
Ato the date Reptarral ode Albdh Cam t of and Mdumt
Resources, Msfon of Water Quality, as shown on eie map:
Please note that N the PhWosed Perri tes lasted above is not the owner, the =owner
must to end sign Page 4 of this d = ment. Both the lessee / end Ute
owrwer wl on the pmempemOm.
JECE V ES
FEB Z 0 205
SSW N/O Change RevMep=12 Page a of 4
E3Y:

Vl. PROPERTY OWN'ER CONTACT INPORMA11ON AND CATION
tf the Pr nosed Pbrrrrf e hbd in Sections 11 and V of tM fatm Is M the Pr
apo* Orweer, the
PMPWty Owner Masi PM, Wo hbjW CoM lniiuirrstion below and Mtn OW kft:
Printed dame:
Orgsinization:
Title within the Orgaribmilon:
Street Address:
CRY:
State:
Zip:
Mailing Address:
(N dffr l nt from sbW address)
City: State: Ap:
Phone:
Fax:
Email:
I aert'�fy that I awn the prop��y identified In this permit transfer document anal have given penman
to the
d/proposed Perms listed in medians 1I and V th develgp andlor, lease the property. A copy
of the lease Merl or other cantraat, which indicates the pally respa�bbe'for the' oonstnrctian
anor an end malntenange of #its stormrivabar system, as been pra�rtded with the submittal.
As the legal property owner I midge, understand, and 92MG by my si nature below, that I will
appear as a pennittee along with the lesseeldeveloperand ! vdll therefore sarespansiblNty for
oampliance with the DWO Starmwater permit As the property owner. It Is my rewme to notify
DW+Q by submitting a completed Nsmme/�merslrip Change Fay within 30 days a# pn�r� a
developer, lessee or for tine property. I understand that f rb to note and maintain the
stonnvvater treatmne facr�in accarclance the permit b a viata8on of NO Qeneral Statute
(NOGS)143-21 5.1, and ma r result In appropriate enforcement aotion Including 'ate assamerit of
dvfl penalties of up to $26,600 per day, pursuant to NCQS 143-216.8.
Signature of the property owner Doe:
a Notary Public for the State of
County of . do hereby certify that
personally appeared before me this the
day of . 20 . and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
otary Signature
SSW N/O Change Rev24Sept2012 Page 4 of 4
(Notary Seal)

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
(NCDENR DWQ)
STORMWATER MANAGEMENT PERMIT RENEWAL APPLICATION FORM
This form may be photocopied for use as an original
This form is to be completed. by the current permit holder nursuant to 'Title 15A NCAC 2111003 (hl (21This states
that sformwater management. permits, zssu,--d .for projects that require the construction of engineered sformwater
control measures (High Density Permits),, shall; be required to submit an application to renew the permit 180.days
prior expiration of the permit. Renewed permits are valid for a period of 8. years per Session Law 2011-398 ,(SB
781) Sea ction 60. (c).
I. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the North Carolina Department of
Environment and Natural Resources (NCDENR) Division of Water Quality (DWQ). A complete package
includes all of the items listed below. The complete application package should be submitted to the
appropriate DWQ Regional Office. (The appropriate office may be found by clicking on the interactive online map
at htt�//12ortal.ncdenr org web(rvq/home/ro. Copies of the original permit can be obtained from the Regional Office
of the Division of Water Quality.)
This Renewal is for STORMWATER PERMIT #: SW 8-921003
Please check which of the following permit renewal scenarios apply. Initial in the spaces provided that you have
provided the required information.
® A. Renewal Only
-$505 fee
-Renewal Form - Sign and complete all sections (send original & 1 copy) X
-Recorded Documents Required By Permit: Deed restrictions, covenants, condominium/planned x
community declaration & easements (if not already submitted to NCDENR DWQ). Copies are
acceptable.
-Designer's Certification (if required by permit and not already received by NCDENR DWQ) (See the last
page of your permit for a copy of the certification form.) M
-I Have a Copy of the Current Operation and Maintenance Agreement (O&M): Please Keep this on File $� with your permit.
-I Do Not Have a Copy of the Current O&M: Initial This Line to Request a copy. (If NCDENR DWQ does
not have a copy on file, then you will be notified to submit a new O & M form.)
❑ B. Renewal and Modification:
-$505 Fee and Pages 1 & 2 of this Renewal Form
-SWU-101 Application Form(htty:/Inortal.iicdetzr.orglweblu jq/wslsu/statesw/fo1•nis does)
-Recorded Documents Required By Permit: Deed restrictions, covenants, condominium/planned
community declaration & easements (if not already submitted to NCDENR DWQ). Copies are
acceptable.
- Under #II. 1. on SWU-101 Application Form — Check Box for Modification w/Renewal
-Designer's Certification (if required by permit and not already received by NCDENR DWQ) (See the last
page of your permit for a copy of the certification form.)
-O&M Agreement (ht :l/ ortataudenr.orolweblw lzvslsulbm -nra '
Form SWU-102 (Renewal Form) Rev 15Aug2012 Page I of4 APR 12 2013
BV:_____

❑o C. Renewal and Either: 1. Permit Transfer to a New P rmittee or 2. Project Name Chan g:
Please submit all items in I A and:
Request a NCDENR DWQ site inspection if transferring permit to new property owner.
Submit One of the Two Following Forms below (forms available at:
htti2://12ortal.ncdetir.org/wel)/`wq s/su i's tatesw/forms d.ocs"tab 3):
1. HOA Name/Ownership Change Form: For planned communities (per Chapter 47C or
Chapter 47F of the General Statutes)
2. Narne/Ownership Change Form: For all other transfers
Please make sure all required information is submitted with the Name/Ownership Change form (as
stated in each of the available forms) and that all required signatures and initials are filled in properly.
Otherwise the name change or transfer can not be processed and the original owner will remain as the
permit holder.
❑ D. Renewal. Modification. and Transfer (or Name Change): Please submit Rages 1 and 2 of this
Renewal form along with all items listed in I B. and C above (check this box and initial items in B.
& C. that you are submitting to NCDENR DM)
II. APPLICANT'S CERTIFICATION
Note: The legally responsible party is the current permittee and/or the legally responsible representative until such time that the permit is
officially transferred through a request to DWQ by the permittee.
I, (print or type name of permittee or person legally responsible for the permit) Richard Dailey
certify that I have a copy of the DWQ Approved Permit and O&M Agreement on -site (OR I have obtained a copy
from DWQ 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. I agree to notify DWQ of any
problems with the system and prior to any changes to the system or changes in ownership I will (or have through
this renewal application) notify NCDENR DWQ and submit the proper forms to modify or transfer the permit. All
information provided on this permit renewal application is, to the best of my knowledge, correct and complete.
Permittee Title:Director of Environmental Health and Safety
Address:508 SW 81h Street Bentonville AR 727 -0505
NOTARIZATION:
1, r1 t - —\') 1 CC Qn r1 J a Notary Public for the State of AR
County of 3S&n +o r1^ , do hereby certi .y that >� ��� ��� ! g .,;
personally appeared before me this day of and acknowledge the due execution of the
forgoing stormwater BMP maintenance requirements. Witness my hand and official seal,
My commission expires: 1/7 r Z�01'i
Notary Signatur<--;4 w� Date: 4
SEAL
e.FP E
APR 12 2013 3
Form SWU-102 (Renewal Form) Rev 15Aug2012 Page 2 of

IIL GENERAL INFORMATION
1. Stormwater Management Permit Number: SW8-921003
2. Permit Holder's name (specify the name of the corporation, individual, etc.):
Walmart Stores Inc.
3. Print Owner/Signing Official's name and title (person legally responsible for permit):
Richard Dailey, Senior Director of Environmental Health and Safety
4. Mailing Address for person listed in item 2 above:
508 SW Bch Street
City: Bentonville State:AR Zip:72716-0505
Phone: (479 ) 204-9914
Email:rich.dail Awal-mart.com
5. Project Name: Walmart Store #1298
6. Location of Project (street address):
2025 North marine Blvd
Fax: (479 ) 204-9675
CityJacksonville County:Onslow Zip:28546
7. Directions to project (from nearest major intersection):
Heading North on Highway 17 turn right onto North marine Blvd continue approximately 2,000 ft and the store
will be on the left.
APR 12 2013
Fonn S WU-102 (Renewal Form) Rev 15Aug20 i 2 Page 3 of 4
BY:

IV. PERMIT INFORMATION:
1. Specify the type of stormwater treatment: ❑Constructed Wetland ❑Bioretention NWet Detention Pond
❑Dry Detention Basin ❑Infiltration Basin ❑Infiltration Trench ❑Sand Filter ❑Other:
2. If any changes were made to the original DWQ approved project list them in the space below (attach additional
pages if needed and provide "As -Built' drawings with this application). If major changes have been made to your
project please request a plan revision or modification of the permit and submit "As Built' drawings along with a
final or updated stormwater system engineer certification (if not already provided to NCDENR). DWQ Engineer
and Designer Certification Forms are available from each NCDENR DWQ Regional Office.
Form S WU-102 (Renewal Form) Rev 15Aug2012 Page 4 of 4
FC-FIVE
APR 12 2013
BY:

CEMS 1 .Y I
Date Received Fee Paid PermitNumber
,. / S e�
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
this form may o' a photocopied for use as an original
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Developers Diversified Realty Corporation
2. Print Owner/Signing Officials name and title (the person who is legally responsible for the facility and
its compliance):
Joan U. Allgood, Vice President (Developers Diversified Realty Corporation)
3. Mailing Address for person listed in item 2 above:
34555 Chagrin Boulevard
City Chagrin Falls State OH Zip: 44022
Telephone Number: ( 440 1 247-9R67
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on
plans, specifications, letters, .operation and maintenance agree rents, etc.):
Wal-Mart/Wolverton & Associates Inc.
5. Location of Facility (street address):
i • • CoLjref.___1n s I •
6. Directions to facility (from nearest major intersection):
7. Latitude: 34°46"41' Lade 77°2.3"34' of facility
8. Contact person who can answer questions about the facility:
Name John L. Pierce Telephone Number. ( 910 ) 346-9800
II. PERMPr INFORMATION:
1. Specify whether project is (check one): New Renewal XX Modification
2. If this application is being submitted as the result of a renewal or modification to an existing permit, list
theedst:ngpemutnumber 921003 and its issue date (ifknown) 1993
Form SWU-101 April 1998 Page 1 of 4

3. Specify the type of project (check one):
Low Density XX High Density Redevelop
A. Additional Project Requirements (check applicable blanks):
LAMA Major _XXX Sedimentation/Erosion Control `
III. PROJECT INFORMATION
General Permit
404. Permit
Other
.
1. In the space provided below, s„na arize how stormwater will be treated. Also attach a detailed narrative
(one io iwo pages) describing stormwater management for the project.
Stormwater will be treated via a wet detention pond designed for 90% TSS removal. The
existing detention pond will be modified (including some relocation) to treat existing and
proposed drainage areas. A drainage break line is shown on the plans indicting iexiex sting
ana proposed areas draining to tMe new pond.
2. Stormwater runoff from this project drains to the New River basin.
3. Total Project Area: 25.2 acres 4. Project Built Upon Area: 87
5. How many drainage basins does the project have? 1
6. Complete the following information for each drainage basin If there are more than two drainage basins in
the project, attach an additional sheet with the information for each basin provided in the same format as
below.
Receiving Stream Name
I3ro g I3as-in 1
Northeast Creek
F
Receiving Stream Class
Drainage Basin Area
Existing Impervious* Area
Proposed Im ervious*Area
959,246
% Impervious* Area (total)
87
B
lW
On-site Buildings
285,836
On -site Streets
On -site Parkin
,
On -site Sidewalks
32,643
Other on -site
Off -site
Total:
I= 959,246�-
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking
areas, sidewalks, gravel areas, etc.
7. How was the off -site impervious area listed above dPxived? N / A
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
Deed restrictions and protective covenants are required to be recorded for all low density projects and all
subdivisions prior to the sale of any lot. Please see Attachment A for the specific items that must be recorded.
Form SWU-101 April 1998 Page 2 of 4

By, your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the items required by the permit, that the covenants will be binding on all parties and persons
cla 7mir}g under them, that they will run with the land, that the required covenants cannot be changed or
deleted without concurrence from the State, and that they will be recorded prior to the sale of any lot.
V. AGENT AUTHORIZATION
If you wish to designate submittal authority to another individual or firm so that they may provide
information on your behalf, please complete this section: �+
Designated agent (ir iividuai or firm): John L . P i erm, Survey i n g
MAingAddre� P.O. Box 1685
City. Jacksonville State NC zip; 28540
Phone: ( 910 ) 346-wo Fax ( Q10 L346-1910
VI. SUBMITTAL REQUIREMENTS
This application package will not be accepted by the Division of Water Quality unless all of the applicable
items are included with the submittal.
1. Please indicate that you have provided the following required information by signing your initials in the
space provided next to each item.
Applicant's Initials
a Original and one copy of the Stormwater Management Permit Application Form
One copy of the applicable Supplement Form(s) for each BUT (see Attachment A)
Permit application processing fee (see Attachment A) ,�^D
• Two copies of plans and specifications including-
* Detailed ,narrative description of stormwater treatment/management
• Two copies of plans and specifications, including:
- Development/Project name
- Engineer and firm
- Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, parking, cul-de-sacs, sidewalks, and curb and gutter
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage basins delineated
- Vegetated buffers (where required)
VII. APPLICANTS CERTIFICATION
I, (print or type name of person listed in General Information, item 2) J o A n l l- A 1 1 o o n d, V i r P P rP c i d p n t
certify that the information included on this permit application form is correct, that the project will be
constructed in conformance with the approved plans, that the deed restrictions in accordance with Attachment
A of this form will be recorded with all required permit conditions, and that to the best of my knowledge the
proposed project complies with the requirements of 15A NCAC 2H .1000.
DatL--A*ff
Form SWU-101 April 1998 Page 3 of 4

ATTACHMENT A
1. . Deed Restriction Language
The following statements must be recorded for all low density projects and for all projects that involve the
subdivision and selling of lots or outparcels:
1. No more than N/A square feet of any lot, including that portion of the right-of-way between the
edge of pavement and the front lot line, shall be covered�teri
impervious structures including
asphalt, gravel, concrete, brick, stone, slate or similar mal. but not including wood decking or
the surface of swimming pools. This covenant is intended to insure continued compliance with the
stormwater permit issued by the State of North Carolina. The covenant may not be changed or
deleted without the consent of the State.
2. No one may fill in, pipe, or alter any roadside Swale except as necessary to provide a minimum
driveway crossing.
NOTE: If lot sizes vary significantly, the owner/developer must provide an attachment listing each lot
number, size and the allowable built -upon area for each lot.
For commercial projects that have outparcels or future development the following statements must also be
recorded:
3. The connection from the outparcel or future area into the stormwater system must be made into the
forebay such that short-circuiting of the system does not occur.
4. All built -upon area from the outparcel or future development must be directed into the permitted
stormwater control system.
5. Built -upon area in excess of the permitted amount will require a permit modification prior to
construction.
For curb outlet systems, the following statement in addition to items 1 and 2 above must be recorded:
6. No one may pipe, fill in or alter any designated 100 foot long grassed Swale used to meet the
requirements of NCAC 2H .1008(g).
2. Supplement Forms
The applicable supplement form(s) listed below must be submitted for each BMP specified for this project:
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-105
Curb Outlet System Supplement
Form SWU-106
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Sixpplezneant
Form SWU-108
Neuse River Basin Nutrient Management Strategy Supplement
3. Permit Application Fees (check made payable to NCDENR and submitted to the appropriate Regional
Office)
Type of Permit
Low Density
High Density
Other
Director's Certification
General Permit
New, Modification, or
Late Renewal
$225
$385
$225
$350
$50
Form SWU-101 April 1998 Page 4 of 4
Timely Renewal Without
Modification
n/a
$225
n/a
n/a
n/a

Permit No. ►�' �02 �� 0300
(to be provide y WQJ
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN STTPPT LEMENT
This form may be photocopied for use as an original
DWQ Stonnwater Management Plan Review:
A complete stormwater management plan submittal includes a wet detention basin supplement for each basin,
design calculations, plans and specifications showing all basin and outlet structure details, and a signed and
notarized operation and maintenance agreement.
I. PROJECT INFORMATION (please complete the following information):
Project Name : WalgMart/Wolverton & Associates Inc.
Contact Person: John L. Pierce Surveying Phone Number:' ( 910 ) 346-9800
For projects with multiple basins, specify which basin this worksheet applies to:
Basin Bottom Elevation
33
ft.
Permanent Pool Elevation
39
ft.
Temporary Pool Elevation
40.5
ft.
Permanent Pool Surface Area
57.000
sq. ft.
Drainage Area
25.20 .
ac.
Impervious Area
22.00
ac.
Permanent Pool Volume
270,990
cu. ft.
Temporary Pool Volume
90,225
cu. ft.
Forebay Volume cu. ft.
517, (otS ,-, 7/aa/q9 as pea- ak,% Pm to c,,,.Jl FrPA
SA/DAI used
(average elevation of the floor of the basin)
(elevation of the orifice)
(elevation of the discharge structure overflow)
(water surface area at the orifice elevation)
(on -site and off -site drainage to the basin)
(on -site and -off -site drainage to the basin)
5.02
Diameter of Orifice N/A in.
Design TSS Removal 90% %
II. REQUIRED ITEMS CHECKLIST
(combined volume of main basin and forebay)
(volume detained above the permanent pool)
(surface area to drainage area ratio)
*PUMPED @ 100 GPM
(85% TSS removal required, see item k below)
The following checklist outlines design requirements per the Stormwater Best Management Practices manual
(N.C. Department of Environment, Health and Natural Resources, November 1995) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. If a requirement has not been met, attach justification.
Form SWU-102 Rev Z/August 1998 Pagel of 3

Is
a. The temporary pool controls runoff from the 1 inch storm event.
b. The basin length to width ratio is greater than 3:1.
c. The basin side slopes above the permanent pool are no steeper than 3:1.
d. A submerged and vegetated perimeter shelf at less than 6:1 is provided (show detail).
e. Vegetation above the permanent pool elevation is specified.
f A-n emergency drain is pro.�ided tc empty &.e basin. ( PORTABLE PUMP)
g. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
h. The temporary pool draws down in 2 to 5 days.
i. A trash rack is provided for both the overflow and orifice.
j. The forebay volume is approximately equal to 20% of the total basin volume.
k. Sediment storage is provided in the permanent pool.
1. A 30400t vegetative filter is provided at the outlet2 (include erosive flow calculations)
m. Recorded drainage easement for each basin including access to nearest right-of-way.
n. A site specific operation and maintenance (O&M) plan is provided.
o. A vegetation management/mowing schedule is provided in the O&M plan.
p. Semi-annual inspections are specified in the O&M plan.
q. A debris check to be performed after every storm event is specified in the O&M plan.
r. Specific clean -out benchmarks are specified in the O&M plan (elevation or depth).
s. A legally responsible party is designated in the O&M plan3 (include name and title).
t. if the basin is used for sediment and erosion control during construction, clean out of the
basin is specified to be performed prior to use as a wet detention basin.
Footnotes:
1 When using the ]Division SA/DA tables, the correct SA/DA ratio for permanent pool sizing should be computed based upon the /o
actual impervious and permanent pool depth. Linear interpolation should be employed to determine the correct value for non-
standard table entries.
2 The requirement for a vegetative filter may be waived if the wet detention basin is designed to meet 90% TSS removal.
3 The legally responsible parry 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.
M. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
The wet detention basin system is defined as the wet detention basin, forebay, non-integrated pretreatment
systems (pretreatment other than forebays), and the vegetated filter if one is provided.
This system (check one) ❑ does does not incorporate a vegetated filter.
This system (check one) ❑ does 0,does not incorporate non-integrated pretreatment.
Maintenance activities shall be performs as follows:
After every significant runoff producing rainfall event and at least monthly:
Form SWU-102 Rev 1/August 1998 Page 2 of 3

a.' Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation, grass
cover, and general condition.
b. Check and clear the orifice of any. obstructions such that drawdown of the temporary pool occurs within
2 to 5 days.
2. Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash as needed.
3. Inspect and repair t ie collection system (Le. catch basins, piping, swales, riprap, etc.) quarterly to maintain
proper functioning.
4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth. Removed sediment shall be disposed of in an appropriate
manner and shall not be handled in a manner that will adversely impact water quality (i.e. stockpiling near a
wet detention basin or stream, etc.).
The original design depth is:. 6.0'
The sediment removal benchmark dep is: 4.5'
5. Remove cattails and other indigenous wetland plants when they cover 75% of the basin surface. These
plants shall be encouraged to grow along the basin perimeter.
6. If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through
the emergency drain shall be minimized to the maximum extent practical.
7. All components of the wet detention basin system shall be maintained in good working order.
8. Check pond water level and verify pumps are soperatinally weekly. Have one spare pump
available on site.
I acknowledge and agree by my signature below that I am responsible for the performance of the above
maintenance procedures. I agree to notify DWQ of any problems with the system or changes in the name of the
project, responsible party, or address.
Print name: Joan U. Allgood, Vice President/Developers Diversified Realty Corporation
Address: 84555;Chagrin Blvd.-. Chagrin Falls, OH 44022
Phone:- [phone]
Title: Vice President
Sign, -
Date:
I, — Z E _TU CE1)F_K —,a Notary Public for the State of n14/p ,
County of U MAnI.1, 06_, do hereby certify that , MAA I U . A � _Amoll
Personally appeared before me this / f fA day of m AU-14 , 19 q9 , and acknowledge the
due execution of the forgoing infiltration system maintenance requirements. Witness my hand and official seal,
SEAL
Notary Public - State of Ohio
My Commission Expires Dec. 29, 2001
Form SWU-102 Rev 1/August 1998 Page 3 of 3

Compliance Inspection Report
Permit:
SW8921003 Effective:08/09/01
Project:
Walmart Supercenter Jacksonville
Owner:
Developers Diversified Realty Corporation
County:
Onsiow
Region:
Wilmington
Contact Person: David J Favorite
Directions to Project:
Intersection of Hwy. 17 and Western Blvd.
Expiration: 07/23/13
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas:
On -Site Representative(s):
Related Permits:
Adress: Int Of Hwy 17 Western Blvd
City/State/Zip: Jacksonville NC 28540
Title: Exec, VP Phone: [phone]
Inspection Date: 07/16/2015 Entry Time: 01:20PM
Primary Inspector: Alida R Lewis
Secondary Inspector(s):
Reason for Inspection: Other
Permit Inspection Type: State Stormwater
Facility Status: Compliant ❑ Not Compliant
Question Areas:
M State Stormwater
(See attachment summary)
Exit Time: 01:30PM
Phone: [phone]
Inspection Type: Transfer Renewal
page: 1

Permit: SW8921003 Owner - Project: Developers Diversified Realty Corporation
Inspection Date: 07/16/2015 Inspection Type Transfer Renewal Reason for Visit: Other
i
Inspection Summary:
The project was inspected as a result of a request to transfer and renew the permit. The project is in substantial
compliance with the permit and the approved plans. On -going maintenance will be required in order to stay in compliance
with the permit.
The permit will be transferred and renewed at one time.
File Review Yes No NA NE
Is the permit active? ❑ N ❑ ❑
Signed copy of the Engineer's certification is in the file? E ❑ ❑ ❑
Signed copy of the Operation & Maintenance Agreement is in the file? 9i ❑ ❑ ❑
Copy of the recorded deed restrictions is in the file? ❑ ❑ It ❑
Comment: 1 The permit expired on July 23 2013 A renewal application was received on April 12, 2013, but it was
signed by WalMart and not by the permitee of record Developers Diversified. No response was received
to the Division's letters of May 3 2013 August 27 2014 and January 9 2015 regarding the renewal.
Built Upon Area Yes No NA NE
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 Yes No NA NE
Are the SW measures constructed as per the approved plans? a ❑ ❑ ❑
Are the inlets located per the approved plans? ® ❑ ❑ ❑
Are the outlet structures located per the approved plans? ® ❑ ❑ ❑
Comment:
Operation and Maintenance Yes No NA NE
Are the SW measures being maintained and operated as per the permit requirements? ■ ❑ 1111
Are the SW BMP inspection and maintenance records complete and available for review or provided to ❑ ❑ ❑
DWQ upon request?
Comment: 2 The slopes exhibited signs of erosion in some areas This will be an on -going maintenance issue - to
repair side slopes and keep them stabilized with vegetation.
Other Permit Conditions Yes No NA NE
Is the site compliant with other conditions of the permit? ❑ E ❑ ❑
Comment: 3 The permit has not been renewed Once it is transferred the Division will immediately process the
2013 renewal request.
page: 2

Wal-Mari'-'Jacksonville
On•.,:low County
Storniwater Project No SW8 92 100 3
Designer'
S Certification
1, Frederick E. Cone ,asaduly registered Professional Engineer
the State ofNorth Carolina, having been authorized to observe (period ically/weejcj. /f�all=trme) the construction
in
of the project,
Wal—Mart Jacksonville Stormwater Permit No.SW8 921003
(Project)
for Developers. Diversified Realty Co�j�rOject Owner) hereby state that, to the best of m abilities
due care and diligence was used in the observation of the project construction such that the construction tw was,
observed to be built within substantial compliance and intent of the approved plans and specifications.
Required Items to be checked for this certification to be considered complete are on page 2 of this form.
Noted deviations from approved plans and specifications:
Signature �' SEA
"l�p�nn�u�i�hy,,
�► CAR
81
Registration Number �j ash �Q
Date
2
OINK G�
ICK
lid
cc: NCDENR DWQ Regional Office
City. of.lacksonville Building Inspector
'l -

Cer',if cav"On Requirements:
P
1. The drainage area to the system contains approximately the permitted acreage.
r 2. The drainage area to the system contains P
no rnor,, than the e 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. The outlet/bypass structure elevations are per the approved plan.
-� 5. The outlet structure is located per the approved plans.
°""6. Trash rack is provided on the outlet/bypass structure.
�7. All slopes are grassed with permanent vegetation.
8. Vegetated slopes are no steeper than 3:1.
�9. The inlets are located per the approved plans and do not cause short-circuiting of the system.
�10. The permitted amounts of surface area and/or volume have been provided.
11. Required drawdown devices are correctly sized per the approved plans.
12. All required design depths are provided.
All required parts of the system are provided, such as a vegetated shelf, and a forebay.
14. The overall dimensions of the system, as shown on the approved plans, are provided.
S:IWQSISTORMWATIFORMS1921003.MAR
cc: NCDENR-DWQ
City of Jacksonville Building Inspector
4

Wal-Mart at Jacksonville
Onslow County
Stormwater Project No. 921003
Engineer's Certification
I, Frederick E. Cone , as a duly registered Professional Engineer in the State
of North Carolina, having been authorized to observe (periodically/mil. -y/fie) the construction of
the project,
Wal-Mart Expansion at Jacksonville Stormwater Project No. 921003 (Project)
in Ons ow County. APPROVAL DATE 6/16/94
for Wal-Mart Expansion (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.
Signature
Registration Number
Date L --
D E C E I V E
D
JUN 2 2 1"4
DEM
PROJ # 9Z 1003