SW8010507_CURRENT PERMIT_20010629

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
� DOC TYPE � CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
WYYMMDD

{
,"Nort,i Carolina
Department of Environment and Natural Resources
Division of Water Quality
Mlilmington Regional Office
Miebael F. Easley, Governor
William G. Ross, Jr., Secretary
June 29, 2001
Mr. James T. Street II, Manager
Alpha Development Group, LLC
5306-101 Six Forks Rd.
Raleigh, NC 27609
Subject: Permit No. SW8 010507
CVS Pharmacy - Store #5563
High Density Stormwater Project
Brunswick County
Dear Mr. Street:
The Wilmington Regional Office received a complete Stormwater Management Permit Application for CVS
Pharmacy - Store 45563 on June 29, 2001. Staff review of the plans and specifications has determined that the
project, as proposed; will comply with the Stormwater Regulations set forth in Title 15A NCAC 214.1000. We are
forwarding Permit No. SW8 010507 dated June 29, 2001, for the construction of CVS Pharmacy - Store 95563.
This permit shall be effective from the date of issuance until June 29, 2011, 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
adj udicatory 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, NC 2761 1-7447. 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 Noelle Lutheran,
or me at [phone].
Sincerely,
Rick Shiver
Water Quality Regional Supervisor
RSS/nml: S:IWQSIS7'ORMWATIPERMIT1010507.JUL
cc: Lee Bakely
Delaney Aycock, Brunswick County Inspections
Noelle Lutheran
Wilmington Regional Office
Central Files
127 Cardinal Dr. Ext., Wilmington, North Carolina 28405 'Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%4 recyded/10%o post -consumer paper

State Stormwater Management Systems
Permit No. SW8 010507
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
Alpha Development Group, LLC
CVS Pharmacy - Store 45563
Brunsivick County
FOR THE
construction, operation and maintenance of wet detention basin in compliance with the provisions of 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 apart ofthis permit.
This permit shall be effective from the date of issuance until .June 29, 2011 and shall be subject to the following specified
conditions and limitations:
J.-DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater described in the app] ication and other
supporting data.
This stormwater system has been approved for the management of stormwater runoff as described on page 3 of this
permit, the Project Data Sheet. The stormwater control has been designed to handiethe runoff from 60;413 square feet
of impervious area..
Approved plans and specifications for this project are incorporated by reference and are enforceable parts ofthe permit.
4. The tract will be limited to the amount of built -upon area indicated on page 3 of this permit, and per approved plans.
The runoff from all built -upon areawithin the permitted drainage area ofthis projectmustbe directed into the permitted
stormwater control system. A permit modification must be submitted and approved prior to the construction of
additional built -upon area from outside of the approved drainage area.
2

State Stormwater Management Systems
Permit No. SWS 010507
DIVISION
OF WATER QUALITY
PROJECT DESIGN DATA SHEET
Project Name:
CVS Pharmacy - Store 45563
Permit Number:
SW8 010507
Location:
Brunswick County
Applicant:
Mr. lames T. Street 1I, Manager
Mailing Address:
Alpha Development Group, LLC
5306-101 Six Forks Rd.
Raleigh, NC 27609
Application Date:
June 29, 2001
Name of Receiving Stream/Index 4:
Cape Fear/Mill Creek 118-77-1-1
Classification of Water Body:
"C Sw"
If Class SA, chloride sampling results:
n/a
Pond Depth, feet:
3.5
Permanent Pool Elevation, FMSL:
22
Drainage Area, acres:
2.28
Total Impervious -Surfaces, f12:
60,413
Offsite Area entering Pond, ft2:
4,730
Required Surface Area, ft2:
6,058
Provided Surface Area, ft2:
6,068
Required Storage Volume, ft3:
4,955
Provided Storage Volume, ft3:
5,250
Temporary. Storage Elevation, FMSL:
22.8
Controlling Orifice:
1 " cP
3

State Stormwater Management Systems
Permit No. SW8 0t0507
H. SCHEDULE OF COMPLIANCE
The storm water management system shall be constructed in it's 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.
The permittee shall at all times provide the operation and maintenance necessary to assure the permitted stormwater
system functions atoptimum 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.
C. 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 must be available at all times.
h. Thevegetated filterwill bekeptgrassed with noerosion. The spreader mechanism will be kept fice of sediment
and trash, and must distribute the runoff evenly over the width of the filter.
4. Records of maintenance activities must be kept and made available upon requestto authorized personnel ofDWQ. The
records will indicate the date, activity, name of person performing the work and what actions were taken.
Decorative spray fountains will not.be allowed in the stormwater treatment system.
The facilities shall be constructed as shown on the approved plans. This permit shall become voidable unless the
facilities are constructed in accordance with the conditions ofthis permit, the approved plans and specifications, and
other supporting data.
Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior'to operation of this
permitted facility, acertification must be received from an appropriate designer forthe system installed certifyingthat
the permitted facilityhas been installed in accordance with this permit, the approved plans acid specifications, and other
supporting documentation. Any deviations from the approved.plans and.specifications must be noted on the
Certification.
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.
9. A modification must be permitted.prior to any construction. The following items will require a modification to the
permit. The Director may determine that other revisions to the project should require a modification to the permit:
a. Any revision to the approved plans, regardless of size.
b. Project name change.
c. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further subdivision, acquisition, or sale of the project area. The project area is defined as all property owned
by the permittee, for which Sedimentation and Erosion Control Plan approval was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan.
10. A copy ofthe approved plans and specifications shall be maintained on file by the Permittee foram ininium often years
from the date of the completion of construction.
4

State Stormwater Management Systems
Permit No. SW8 010-507
] l . The permittee shall submit final site layout and grading plans for any permitted future areas shown on the approved
plans, prior to construction_ If the proposed BUA exceeds the pemitted amount, a modification to the permit must be
submitted and approved prior to construction.
12. Prior to the sale of any portion of the property, an access/maintenance easement to the stormwater facilities shall be
granted in favor of the permittee if access to the stormwater faci I ities wi it be restricted by the sale of any portion of the
property.
13. The permittee is responsible for verifying that the proposed built -upon area does not exceed the allowable built -upon
area.
14. The Director maynotifythe permittee when the permitted sitedoes not meet one ormoreof tile minimurn req uirements
of the permit. Within the time frame specified in the notice, the permittee shal I submit a written time schedule to the
Director for modifying the siteto meet min [mum requirements. The permittee steal I provide copies of revised plans and
certification in writing to the Director that the changes have been made.
15. The permittee shall notify the Division of any name, ownership or mailing address changes within 30 days.
III. GENERAL CONDITIONS
1. This permit is not transferable. In the event there is a desire for titre facilities to change ownership, or there is a name
change of the Permittee, a formal permit request must be submitted to the Division of Water Quality accompanied by
an application fee, documentation from the parties involved, and other supporting materials as may be appropriate.
Tile approval of this request will be considered on its merits and may or may not be approved.
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.
The issuanceof this permit does notpreclude 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.
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.
Tile permittee grants DENR Staff permission to enterthe property far 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.
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.
Permit issued this the 29th day of.June, 2001.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Kerr T.-Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission Permit SW$ 010507

State Stormwater Management Systems
Permit No, SW8 010507
CVS Pharmacy - Store #5563)
Stormwater Permit No. SW8 010507
Brunswick County
Designer's Certification
1, , as a duly registered in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time) the construction of
the proj ect,
j ect)
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
iI

n
State Stormwater Management Systems
Permit No. SW8 o i 0507
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 proj ect 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 outletibypass 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-DWQ Regional Office
Delaney Aycock, Brunswick County Building Inspector
7

OFFICE USE ONLY
Date Received
Fee Paid
Permit Number
' /
State of North Carolina
JUN 219 2001 Department of Environment and Natural Resources
DW@ Division of Water Quality
PROJ #
ER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
1. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Alpha Development Groin,
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
James T . Street I I , Manager J --
3. Mailing Address for person listed in item 2 above:
5306--101 Six Forks Rd
City: Raleigh —
Telephone Number: (919 ) 782-2727
State: NC
Zip: 27 609
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
CVS Pharmacv — Store # 5563
5. Location of Project (street address):
Village Road
City: Leland County: Brunswick
6, Directions to project (from nearest major intersection):
From intersection of Highway 17 and Village Road, go west on Village Road.
Site .just past Fairview Road, on left.
7. Latitude: 34. 2339 Longitude: 77,9998 of project
8. Contact person who can answer questions about the project:
Narne: Lee Bakely Telephone Number: ( 919 ) 678-4162
11. PERMIT INFORMATION:
1. Specify whether project is (check one): X New Renewal Modification
Forin SWU-101 Version 3.99
Page 1 or

r! oj ,� .� � I 5t
" .-. , , '. " � ,

Z. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number and its issue date (if known)
3. Specify the type of project (check one):
Low Density High Density Redevelop X General Permit Other
4. Additional Project Requirements (check applicable blanks):
LAMA Major X Sedimentation/Erosion Control 404/401 Permit �NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project .
Stormwater will be routed through a wet detention pond, with a draw down of the
1" storm occuring in 2.6 days.
2. Storrwater runoff from this project drains to the
CA nE
C-1z JCa
River basin.
_L
3. Total Project Area: 2.04 acres
4,
Project Built Upon Area:
1�1. %
5. How many drainage areas does the project have? 1
6. Complete the following information for each drainage area. If there are more than two 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 2
Receiving Stream Name
Mill Creek
Receiving Stream Class
C SW
Drainage Area
2.28
`
Existing Impervious* Area
1,500 s . f t 1
Proposed Impervious*Area
60,413 s . f t
% Impervious* Area (toial)
61%
Impervious* Surface Area
F Drainage Area 1
Drainage Area 2
On -site Buildings
10,880 sq. f t
On -site Streets
N/A
On -site Parking
42,987 s . f t
On -site Sidewalks
1,640 scilft
Other on -site
176 s ! f t
Off -site
4,730 sq. ft (road)
Total: 60,413 sq . f t
Total:
* Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version 3.99 Page 2 of4

How was the off -site impervious area listed above derived? By delineating area of proposed -
access road that will drain into Droiect site.
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. if lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment.
1. The following covenants are intended to ensure ongoing compliance with state stormwater management permit number
as issued by the Division of Water Quality. These covenants may not be
changed or deleted without the consent of the State.
2. No more than square feet of any lot shall be covered by structures or impervious materials.
impervious materials include asphalt, gravel, concrete, brick, stone, slate or similar material but do not include wood
decking or the water surface ofswimming pools.
3. Swales shall not be tilled in, piped, or altered except as necessary to provide driveway crossings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction.
5. All permitted runoff from outparcels or future development shall be directed into the permitted stormwater control
system. These connections to the stormwater control system shall be performed in a manner that maintains the integrity
and performance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, 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 State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms.
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 Supplement
Form SWU-108
Neuse Diver Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Lorin SWU-101 Version 3.99 Page 3 of 4

VI. 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. The complete application package should be
submitted to the appropriate DWQ Regional Office.
Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
Initipls
• Original and one copy of the Stormwater Management Permit Application Form Lr-
• One copy of the applicable Supplement Form(s) for each BMP L
• Permit application processing fee of $420 (payable to NCDENR) y f
• Detailed narrative description of stormwater treatment/management L
• Two copies of plans and specifications, including: L
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, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
Drainage areas delineated
Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
Designated agent (individual or firm): Kimley—Horn and Associates, Inc.
Mailing Address: 3001 Weston Parkway
City: Cary
Phone; ( 919 } 677-2000
VIII. APPLICANT'S CERTIFICATION
. State: NC Zip: 27513
Fax: ( 919 1 678-4176
1, (print or type name of person listed in Genera! Information, item 2) gpmes T. Street II
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 15A
NCAC 2H .1000. n n
Signature:
J
Date: q J3oldoo
Fonn SWU-101 Version 3.99 Page 4 of 4

e
Permit No.
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORNIWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form may be photocopied for rise as an original
DWQ Stormwater Management Plan Review;
A complete stormwater management plan submittal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details.
I. PROJECT INFORMATION
Project Name: CVS Pharmacy
Contact Person: Lee Bakely Phone Number: C919 678--4162
For projects with multiple basins, specify which basin this worksheet applies to:
elevations
Basin Bottom Elevation
Permanent Pool Elevation
Temporary Pool Elevation
areas
Permanent Pool Surface Area
Drainage Area
Impervious Area
volumes
Permanent Pool Volume
Temporary Pool Volume
Forebay Volume
Other parameters
SAIDAI
Diameter of Orifice
Design Rainfall
Design TSS Removal'-
18.5
ft.
(floor of the basin)
22
ft.
(elevation of the orifice)
22.8 . ;
ft.
(elevation of the discharge stnucture overflow)
6068
sq. ft.
(water surface area at the orifice elevation)
2.28
ac.
(on -site and off -site drainage to the basin)
1.39
ac.
(on -site and off -site drainage to the basin)
10,344 cu. ft. (combined volume of »rain basin and forebay)
5,250 cu. ft. (voltune detained above the permanent pool)
2,102 cu. ft. (approximately 20% of total volume)
6.1 (surface area to drainage area ratio from D6VQ table)
1:. in. (2 to 5 day temporary pool draw -down required)
1 in.
90 % (mininnun 85% required)
Form SWU-102 Rev 3.99 Page 1 of 4

Footnotes:
t When using the Division StUDA tables, the correct SA/DA ratio for permanent pool sizing should be computed based upon the
actual impervious % and permanent pool depth. Linear interpolation should be employed to determine the correct value for non -
table entries.
In the 20 coastal counties, the requirement for a vegetative filter may be waived if the wet detention basin is designed to provide
9017b TSS removal. The NCDENR BMP manual provides design tables for both 85% TSS removal and 90% TSS removal.
II. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) 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.
Applicants Initials
L
a.
The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
b.
The forebay volume is approximately equal to 20% of the basin volume.
L
c.
The temporary pool controls runoff from the design storm event.
t- (3
d.
The temporary pool draws down in 2 to 5 days.
e.
If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow
calculations)
L
f.
The basin length to width ratio is greater than 3:1.
1_ 4
g.
The basin side slopes above the permanent pool are no steeper than 3:1,
L_
h.
A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
Sa
i.
Vegetative cover above the permanent pool elevation is specified.
L ")
j.
A trash rack or similar device is provided for both the overflow and orifice.
1-
k.
A recorded drainage easement is provided for each basin including access to nearest right-
L
of-way.
1.
If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin.
�n
lj
m.
A mechanism is specified which will drain the basin for maintenance or an emergency.
p.0 table pump will be used to drain pond as needed.
III. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the
vegetated filter if one is provided.
This system (check one) 0 does 0 does not incorporate a vegetated filter at the outlet.
This system (check one) 0 does 0 does not incorporate Pretreatment other than a forebay.
Form SWU-102 Rev 3.99 Page 2 of 4

9
Maintenance activities shall be performed as follows:
1. After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated 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 as designed.
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 the collection system (i.e. 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 (see diagram below). Removed sediment shall be disposed of
in an appropriate manner and shall be handled in a manner that will not adversely impact water quality (i.e.
stockpiling near a wet detention basin or stream, etc.).
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 ''3.0 _.: feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads 3.0 _ feet in the forebay, the sediment shall be removed.
Sediment Re oval El. 19"0,- 75
Bottom Ele ation 18.5
FOREBAY
BASIN DIAGRAM
(fill in the blanks)
Permanent Pool Elevation 22
Sediment Removal Elevation . 19.0 75%
%---------------------------------------- ----- ------
Bottom Elevation 18. 5 25%
MAIM POND
5. Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface. These
plants shall be encouraged to grow along the vegetated shelf and forebay berm.
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.
Form SWU- l02 Rev 3.99 Page 3 of 4

7. All components of the wet detention basin system shall be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print name: J-G e 6( ^+r-e e_f
Title: vyi om c� �c v- G
Address:
Phone:
Signature:
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.
!rc
I, , a Notary Public for the State of 4Z4
County of 14,1—c , do hereby certify that 7. ,Si�-zec :Z.T=
personally appeared before me this 3 o - day of o I , and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
%WSAYE
a V/ 11
Np1A Re "% (J) 's
:m
PUBOt
,0. '•.• •.aaa Q.
COl9N�'� ��r''`4
My commission expires J�" gD3
Form SWU-102 Rev 3.99 Page 4 of 4

Kimsey -Horn
® and Associates, Inc.
d
October 31, 2003 P.O. Box 33068
Raleigh, North Carolina
Mr. Rick Shiver, Water Quality Regional Supervisor 27636.3068
N C Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405
RE: Notice of Violation, CVS Pharmacy Store#5533
Stormwater Permit No. SWS 01.0507, Brunswick Countv
Dear Mr. Shiver:
This is in response to your letter dated July 31, 2003 regarding the referenced
notice of violation, and is a follow-up to my letter dated August 29, 2003.
Our Plan of Action as outlined in the previous letter has been completed. CVS
has cleared and mowed the stormwater pond and has re -graded. A survey was
conducted last week. The results show that the pond is now in compliance.
Accordingly, I have completed the certification requirements, and they are
attached.
One qualifying statement is required, regarding certification item number 12,
Actual depths are within the required guidelines for the storage volume; however,
there is a minimal area in the north end of the pond that will need to be regraded
at the next maintenance cycle. I will convey this to CVS.
CVS now has a maintenance contract in place for the pond, so there should be no
re -occurrence of this violation.
Please call me at [phone] if you have any questions.
Very truly yours,
KIMLEY-HORN AND ASSOCIATES, INC.
Jim A. Bell, PE
Project Manager
Copy:
James Street, Alpha Development
Paul Bassett, Facilities Manager, CVS
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TEL [phone]
FAX [phone]

NO.741 P-3
OCT.30.2003 9:17AM NCDENR WIRO
0's.
CVS Pharmacy Store #5533 Leland
Brunswick County
Stormwater Project No. SW8 010507
Designer's Certification
Mr. Street
July 31, 2003
Stormwater Permit No. SW8 010507 NOV
1, _ �J 1vY% _ 1...L , as a duly registered 4' o -'56101ti1 Al.
in the State of North Carolina, having been authorized to observe (periodically 1 weekly./
full time) the construction of the project,
&-65 33 , ""d
(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.
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,
Signat
Registration Number g6i Le
Date _ d�Y 13LZz Z
cc: NCDENR DWO Regional Office
Delaney Aycock, Brunswick County Building inspector
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NO.741 P.1
OCT.30.2003 9:17RM NCDENR WIRO
Mr. Strt
July 31, 2003
Stormwater Permit No. SWS 010507 NOV
Certification Requirements:
V1. 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.
V/ 3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
✓ 4. The outletlbypass structures are constructed per the approved plan,
✓1 5. The outlet structure is located per the approved plans.
vl 6. A trash rack is provided on the outletlbypas$ structure, per the approved plan.
✓ 7. All slopes above the permanent pool are grassed with permanent
vegetation.
1% 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 sized and located per the approved
f 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.
V"'14. The overall dimensions of the system, -as shown on the approved plans, are
provided.
cc: NGDENR-DWQ
Delaney Aycock, Brunswick County Building Inspector
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