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SW3150906_HISTORICAL FILE_20151028
STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW DOC TYPE ❑ CURRENT PERMIT ❑ APPROVED PLANS FIHISTORICAL FILE El COMPLIANCE EVALUATION INSPECTION DOC DATE YYYYMMDD July 30, 2015 Sheetz, Inc. 3472 Grandview Crossing Lane Greensboro, North Carolina 27040 Attention: Mr. Samuel A. Smith, RLA ASLA Reference: Seasonal High Water Table Evaluation Proposed Sheetz Store — 1520 Salisbury Highway Statesville, North Carolina S&ME Project No. 1358-15-052 Dear Mr. Smith: S&ME, Inc. (S&ME) has conducted Stormwater Best Management Practices (BMP) Soil Testing in accordance with S&ME Proposal No. 13-1500376 dated July 14, 2015. The Stormwater BMP Soil Testing was performed to provide information for a Stormwater Management Permit Application to the North Carolina Department of Environment and Natural Resources (NCDENR) — Division of Energy, Mineral and Land Resources (DEMLR), Stormwater Permitting Program and/or local regulatory agency. A soil scientist investigation was conducted to evaluate the seasonal high water table (SHWT) elevation within an area that has been identified for a proposed Stormwater BMP. A Preliminary Layout Plan was provided to S&ME by LE&D Professionals, P.C. that indicated the area of the proposed Stormwater BMP. ❖ DISCUSSION The use of Stormwater BMPs is subject to the suitability of site soils and regulatory approval. Regulatory guidance for the permitting of stormwater BMP's is provided in the North Carolina Division of Water Resources — Stormwater Best Management Practices Manual (NCDENR-SW-BMP), dated July 2007 (Revised, 2009). The NCDENR-SW-BMP requires that the SHWT must be taken into consideration for the design of most Stormwater BMP's. PROJECT BACKGROUND The subject site is located southeast of the intersection of Interstate 77 and United States Highway 70 (Salisbury Highway) at 1520 Salisbury Highway in Statesville, North Carolina (Figure 1). The proposed Sheetz store location is being considered for site improvements. The soil scientist evaluation was performed within two areas designated as a potential area for a proposed Stormwater BMP. Both locations evaluated were in a flat grassed area. S&ME, Inc. 18646 W Market St, Ste 105 1 Greensboro, NC 27409 1 p 336.288.7180 1 f 336.288.8980 1 wwwsmeinccom Seasonal High Water Table Evaluation • FINDINGS Proposed Sheetz Store — IS20 Salisbury Highway Statesville, North Carolina S&ME Project No. 1358-15-052 The SHWT evaluation was performed by evaluating the soil material excavated from two hand auger borings (HAB) approximately 6 to 8 feet below the existing ground surface (bgs) (Figure 2). The soils were evaluated by a Licensed Soil Scientist for evidence of SHWT influence. This evaluation involved observing the actual moisture content in the soil and observing the matrix and mottle colors. Depending on the soil texture, the soil color will indicate processes that are driven by seasonally high water table fluctuations, such as iron reduction and oxidation and organic matter staining. HAB-1 consisted of an area with approximately 36 inches of fill material that was red to reddish brown and consisted predominantly of clay loam textures. HAB-1 transitioned into soil at approximately 36 inches bgs that consisted of clay loam to clay textures to 100 inches bgs where the boring was terminated. At approximately 94 inches bgs evidence of a SHWT was observed. HAB-2 consisted of an area with approximately 34 inches of fill material that was red to reddish brown and consisted predominantly of clay loam textures. HAB-2 transitioned into soil at approximately 34 inches bgs that consisted of clay loam textures to 70 inches bgs where the boring was terminated. At approximately 62 inches bgs evidence of a SHWT was observed. Reference attached Figure 2 for the approximate SHWT test locations and Table 1 for the approximated SHWT depths. Please note that SHWT evaluations are based on secondary evidence and not on direct groundwater level measurements. Groundwater levels fluctuate for numerous reasons and these findings do not indicate that groundwater levels have not or will not rise above the noted depths. Table 1 - Approximated SHWT Depths Test location SHWT Depth (inches bgs) °e° CONCLUSIONS Based upon the information obtained from the 2 hand auger borings conducted, a SHWT was identified at approximately 94 inches bgs at test location 1 and 62 inches bgs at test location 2. The SHWT depths should be considered when designing an appropriate Stormwater BMP for the site. July 30, 2015 Seasonal High Water Table Evaluation Proposed Sheetz Store — 1S20 Salisbury Highway Statesville, North Carolina S&ME Project No. 1358-15-052 °e° CLOSING S&ME appreciates the opportunity to provide these services to you. If you have any questions, please contact us. Sincerely, S&'jMMEE,'I-nnc.` Martin Mabe Agronomist Rob Willcox, L.S.S. Senior Project Manager Tables: Table 1: Approximated Seasonal High Water Table Depths Figures: Figure 1 — Vicinity Map Figure 2 — Hand Auger Boring Location Map Attachments: Hand Auger Boring Profile Descriptions T:\Projects\2015\GEO\1358-15-052 Sheetz Statesville\Phase 01 - SHWT Evaluation\Deliverables\1358-15-052 Sheetz Statesville SHVVT Evaluation Report.docx July 30, 2015 3 STORM WATER QUALITY REPORT FOR: SHEETZ, INC. STATESVILLE, NORTH CAROLINA 1520 SALISBURY HIGHWAY a STATESVILLE, NORTH CAROLII � ,, N p2 N�� .'nkl-wif(p . SEPTEMBER 18, 2015 LE&D PROFESSIONALS, PC River Run Executive Offices Suite B 110 Exchange Street Danville, VA 24541 Office: (434) 792-3680 Fax: (434) 792-3685 LE&D Project No. SZ S7'VNC14 'DRAsv . V�ORSET lT��� JONESST_ UNITY'DR .l 1\iV 8"Yn'' �r lj, �\l� l� b°11i\ \ JAuseuRrRD' I ss )bCloanIIiger, — �r 1%1 - Cem MONROE ST ���BELMONTv 6URY RDo1�`v:. 740000 FEET / ✓ ' v ol (I'1 { +, > 3959 '1 .� - Jf �i _T: 7i r I, 1/ �4{'O� O a � I' u AylRER EAL Um� I�;\ �g'7/N' \ � I`V\. 3957 s� /%j. !» /r ` .;, c , /��1'/0 I�������,>>u%� � \f �V ` ?\1`\\�,✓f � ��/I< l{`��; ��/�� '5�.� / /\ � `c} \{I�l�l�� Jj/T (`\� �`/`. l� f /;,ilrr� �/ Cc v. /l •iJ�°°o�'�`(1 �i, 1 tv� /�/% �o I \t. q2?��.11��1 ���/�.�1�I�'l\�1. r \�.�y j/J J r �cl� /lll •bar CN I\,_�`\ _�\ r \ ��i�� i. J711 1 \V1 itll�'%?l /�IUUUY\ "it%/ 5.45' q�•��1 \ %/ / ` i' (' \ l \" r �/ - -o `— �� lill v\^`t- ✓J �`. � C � ,"� { /mse,w-�. � 56 N r!i±?r� I��j( '.. �, r',.�� � Imo:/I ( aao J � _ \,�� � i l� ��/%f�� { � r 3955 r i ✓leso I ' o. � �^Z� — � �� ' —�` r 777) Third Cr ilf1(�`ir��/��/NENOERJO\ / A�f' l ll,. b lq l •, / /f�1 J` i(fl ,tom QUAD MAP '/// iLJ ��� `�i'\O oI`1` J�, ]g54 I-L STATESVILLE EAST &SHEPHERDS Table of Contents Quad Map Discussion............................................................................................................ I Calculations: Pre- & Post Hydrology.....................................................................................2 Water Quality BMP Sand Filter.........................................................................3 SandFilter Details.................................................................................................4-7 Appendix Drainage Area Maps A Rainfall Data B Hydrograph Printouts C Soil Map D SHEETZ, INC., STATESVILLE, NORTH CAROLINA 1520 SALISBURY HIGHWAY STORM WATER QUALITY REPORT 9-18-2015 PURPOSE: The purpose of this project is the development of a Sheetz convenience/gas store. The project construction will include: (1) Land clearing, (2) Demolition of existing structures, paving, utilities, cte., (3) Grading, utility installation, building construction, paving and (4) Re -stabilization of all disturbed areas. SITE DATA: The 4.36 acre site is located at the southeast comer of Salisbury Highway and N. Barkley Road, approximately''/a mile east of Interstate Hwy. 77. The pre -developed site contains an existing industrial building, paved parking areas and some gassed areas. The site has flat to moderate slopes. The site is divided by a ridge in the center and drains to the east and west. The entire site drains to Third Creek. Properties adjacent to the site to the north, east, south and west are developed industrial and commercial. PROCEDURE: The western portion of the site (Basin "A") drains to an existing storm drain system. Stormwater detention will be provided for the increase in runoff due to additional area and impervious surface. Stormwater quality treatment will be provided for the increase in impervious surface or Built Upon Area (BUA.) The eastern portion of ion the site (Basin "B") drains to an existing storm drain system and will be developed with a reduction in drainage area and BUA. Stormwater runoff will be determined for pre- and post -development conditions for the site by the Curve Number Method (TR-55.) Runoff reduction to pre -developed rates in Basin "A" will be determined by reservoir routing. Stonmwater detention will be provided in underground storage pipes. An open sand filter will be provided in Basin "A" for storm water quality treatment for the proposed increase in BUA. The storm pipe system will be designed using the rational method to determine runoff and inlet/outlet control hydraulics. LE&D Professionals, PC CALCULATION SHEET De ignff & 6 - Date q-/?-/.5- Check, Date —Project N.Si - SVAIQ � Tiflc3/ 2L- S'4G154611XY &W' S.bi.1 Y Sheet No.—Of— L7� ... . ... .... 4> 515-t-Dr. CA/I:E1.6 0 ov, Sand Filter Design SHEETZ STATES VILLE, NC, SALISBURY HWY. Water Quality Volume (WQV) = R, (unitless) x 1 An(acres) 1 x 43560n3 x inchR x ft 1 Acre 1 12 in WQV = 2601 ft3 WQVADJ: Volume above Sand filter= (0.75)WQV WQVAoJ= 1951 ft, Volumetric runoff coefficient (Rv) = 0.05+0.009(%Imp) Rv = 0.7025 % Impervious(percent impervious from total drainage area to sand filter 72.5 Drainage Area to Sand Filter (AD) = 1.02 acres Ro inch Rain(first 1" of rain) = 1 in Average head on the sand filter (hA)= hMaxFlnar(ft) 2 hMaxFilter(ft) WQVAoj (h3) As+Af (az) 2 1951 975 hA= 1 ft 3 1951 650 Maximum head on Sand filter (hMaxFilter )= WQVAdi(ft3) As(ft2)+ AAft2) 4 1951 488 5 1951 390 hMaxFilter _ 2 ft 6 1951 1 325 Minimum surface area of the sediment basin(As)= [240' Rv(unitless)' Ao(acres)]' RD(ft) As= 171.972 ft2 Provided surface area for sediment basin= 272 ft2 Settling velocity of Particles (20 microns assumed) (w) = 0.0004 ft/sec Minimum surface area of the sand filter(AF)= (WQV)(dF) (k)(t)(hA + cIF) depth of sand filter bed (minimum 1.5') (dF)= 1.5 ft Coefficient of permeability (k) = 3.5 ft/day AF= 269 ft2 time required to drain WQV (t) = 1.66 days Provided surface area for sand filter=l 330 ft2 1 _ Trap Efficiency (E) = 0.9 Volume required above sand filter= 602 ft Volume provided above sand filter=1 2903 Underdrain Sizing D=16(Q'n/SA0.5)A3/8 S=.005 n=0.011 D=16(0.405-.011/.005A0.5)A.375= 5.67" Q=10-(.75-WQV 11.66 Days) / 86400 = (cfs) Q= 0.405 CFS w Number of underdrain pipes required per Table 5-1 2 @ 6" 2 Provided MH-16 NCDOT STD. 840.52 SDMH CB-14 R/M,,7OP ELEV. 896.50 (2)C.O.S. ST--5 (MH-15) INV. IN 891.00 oTo CONC. CATCH BASIN (6� 1NV. IN 890.16 TOP ELEV. 897.76 /NV. OUT 890.06 INLET ELEV.. 897.26 1 INV. OUT 894.26 EXCAVATION LIMIT_s ,' 1 �/� •O TANK, 1 �° p� 1 • (21) NEW 24" INV. IN 886.42 '1 O O• Y, . '. 1 • TOP CB = 893.14 . p U :. • 1 ° INV. IN(NE) = 886.29 43'-15" RCP 1 O • INV. IN(S) = 888.97 CL 111 0 1.88%��` 1 :..: .. '::0. ;;, INV. OUT = 886.32 ` 1 2.00% _ 20\-244 RCP • 1 6 _15, R= C-111� , ' CL Ill 0 1.00% \ � saw� IM T N_'' C MH-15 -18 NCDOT STD. 840.52 SDMH INV. 893.20 0 SPUTTER SEE DETAIL THIS SHEET f i MH-22 5' -15" RCP NCDOT STD. 840.52 SDMH RIM/TOP ELEV. 898.00 CL Ill 0 1.00% R1M/7OP ELEV.. 896.50 (CB-14) INV. IN 893.45 15 -15' RCP (OCS-9-6 PVC) INV. IN 886.72 (MH-16) INV. OUT 895.00 CL N 0 1.00% / INK. OUT 886.62 (EW-17)INV. OUT 893.35 d OCS-9 FOREBAY OUTLET CONTROL STRUCTURE SAND STORM STRUCTURE 72" DIA. FILTER PRECAST MANHOLE TOP ELEVA77ON 898.00 6" PVC SDR 35 PERFORATED SEE DETAIL THIS SHEET UNDER DRAIN W/ J" PERFORATIONS (CB- RT 1N 88 0 0.50� (MH-16)I6)INVERT IN 889.9.91 (2 REO.'D W/ CLEANOUTS) EQUALLY INVERT OUT (6' 42 BCCMP) 891.00 SPACED INVERT OUT (6'-15 RCP) 886.00 INVERT OUT (6'-6 PVC W/ 310RIRCE) 886.75 ' STORM DETENTION / SAND FILTER PLAN NO SCALE E MOM NOW A WEIR 895.0 EMBANKMEN RIP RAP TOP 896.0 TO BERM - - _ - AP ON 96.0 0 15`0 15'"0 m ---- RCP RCP c '> OREBAY 893.0 15 o SAND FILTER Z5"0 R P- TOP 893.0 BOT 891.5 PVC PERF RATED 24"0 EX 30"0 RCP RCP STORM DETENTION / SAND FILTER PROFILE SCALE: I" = 30' H / 5' V •// :•I m A VEGETATED SIDE SLOPES TYPICAL SEDIMENT FOREBAY 3: 1 mg 15"RCP BOTTOM FOREBAY / =893.0 BERM WITH 10' WIDE RIP -RAP WEIR AT 895.0 SHWT> 2' BELOW SAND FILTER TOP OF BERM FOR FOREBAY =896.0 SAND FILTER CLEANOUT TOP OF SAND FILTER =893.0 11 i s BOTTOM OF SAND FILTER =891.5 TOP EMBANK. i = 896.0 15RCP 48" PRECAST MANHOLE TOP = 896.50 6" PVC INV. IN = 890.16 15" RCP INV. OUT = 890.06 6"0 SDR 35 PVC PERFORATED UNDERDRAINS SLOPE @ 0.50% TO OUTLET STRUCTURE 2 EACH REQ.'D EQUALLY SPACED WITH CLEANOUTS (SEE DETAIL) SAND FILTER TO BE 22' WIDE x 15' LONG x 18" DEEP SAND FILTER DETAIL NTS FILTER FABRIC 3" 3' MIN. MIN. 3" MIN. WRAP UNDERDRAINS W/ #57 WASHED STONE AND FILTER FABRIC DRILL 4 EACH 3/8"0 PERFORATIONS AROUND PERIMETER OF PIPE EQUALLY SPACED. PLACE PERFORATIONS AT 6" INTERVALS ALONG LENGTH OF PIPE 6" PVC UNDER DRAIN DETAIL N TS 15" 0 RCP STEPS @ 12" Q 48"o ° PRECAST BASE 1 5"nr TO DE 15"0 RCP TO FOREBAY & SAND FILTER P LAN MANHOLE ACCESS TOP ELEV. 898.00 15" 0 RCP TO STORM DETENTION 1=//895.0 15"0 RCP; i 893.45 SPUTTER 893.351 li ri 15" 0 RCP TO FOREBAY & SAND FILTER 6" MIN. COMPACTED AGGREGATE BASE BOX DETA�L NO SCALE Nv.. r 1 I 71-- W . 6NLM \ O P� \ Trrv°Pa ee�' s a. was ---- 0.15 AC _---- - .'.OUT an � .Niv M moo, - 0.34 AC. IMPERV. - ---'� ` `,\\ . M. Nv. N - UM1 _ M. aT - ex,a 1w " '" PRE -DEVELOPED M..=.e,:'a6, , , ----•, _�-------------� ' - ' \\ 3 \ DR.4/NAGS MAP M. Nv. our ee,.,s , , , , \ �_--- , o' 30' 60' 90' m Y\`` �``� 3 \` I OFFSITE BASIN B PRE—DEVEL. 0.68 AC. \ O 96 BASIN B \ ]I \ : M : eie 42 Q` \ 1\� ' \Nv. our-eIS.M / O AN t) 2. 16 AC. 1 1 `` 0.48 AC 0.12 AC IMPERV. ( 1 WOODED--�---- 0.31 AC MT - MO — [as] li' acv [as] 11 NV. Top"p ` 861ea �.'� v/ IMPERV. '- J `' \ ( r On 1 \ Q EXISTING IMPERVIOUS ' -\ !1 78 SCSEF. A------� _\ PRE -BEVEL. I \ \ \ eAs/M A I 2.20'AC. �-'_-------�_ _s r' V. `� \ �l B99 _ �'IMPER '\ I \, 15\ a -.PO --- -- -----�rrv. our - a 896 IN\ TOP a - wa.la \ ` ` NV. N�' - 666.2V Nv. N(s) - e 97 666.M M-mw as OFFSITE TOTAL OFFSITE p 2/ q \` _ _ \ ae 1/ , ` I o BASIN B / -�• J, 1.64 AC. O. •� \ I \`I 0.58 AC IMPER 1.21 AC V. .� • p \ _ \ IMPERV. --- * - + Id IN W S �E! M F a �.+ / 12 M 1, } S S S S �s _ `s ss —is \\II s JYt�` s— ''/,\—� — s `s �T s sm.111/ J� �.1 .FYI NV. OIfT . pp6,2 904 / / — /' —. / MF . "Y. j� M -j'As 16'70P NP \as� I / M. NCO:66n / TOPN 6.6" M. N .61YL NV. N . 692N1 o p \ \ w a Q a a w \ \ a=ILI a to 1 1 1 I 8 � 8= n mv. u l- ea*.ui / 1 A 1 I-\\\\y IN - 878.45 '. OUT - 878.19 AC 3 IMP STORM PIPE 74 DRAINAGE AREAS 0' 30' 60' 90' �NV,. NN- 876.482 t — J 0. MP , 10 A CB-2 00. .1r 13 ABC \ ��A P .� 0.1 P / C-19 \ C=.87 / TOP\DI — 896.57 INV. QUT - 893.64 \� / TO MH 4 _ \ \ ♦ \ EX. \\ " j DI-18 \ 699 CB S � 0.32AC � #01 7 1 ' ) i 0-5 IMP 0.05AC _ _ / 0.11 C C=. �4 O MH 5 � I 1 6 1 0.11 # C=.951 / 1 INV IN EX. DI INV. OUT CONVERT .31 AC �"----- CB-1 I*4w T 22IMP -----s� / / r 80 TOP ---- -- 0.26A �� jNV. I t • ` EX IN � d �, 5 •, \ \� �� \ rr +'. CSJ CB12 4�\\\ iN TOP MN - 899.90 0.8 \ _ @�— — — ,r+ INV. CL - 882.71 f X / Q�' �4 P > \ MH- Y ypl \ • PP \ \ \ I T \ .�o • MH-15' S „r�-� y ,z DIP NOAA Atlas 14, Volume 2, Version 3 Location name: Statesville, North Carolina, us- \\\ Latitude: 35.7675°, Longitude:-80.8522° 1 Elevation: 893 ft' s p source: Google Maps POINT PRECIPITATION FREQUENCY ESTIMATES G.M. Bonnie, 0. Marta. B. Lin, T. Pamybok, M.Yekta, and D. Riley NDAA, National Weather Service, Silver Sprang, Maryland PF tabular I PF oraohical I Malts 8 aerials PF tabular PDS-based point precipitation frequency estimates with 90% confidence intervals (in inches)" Average recurrence interval ears Duration 1 2 5 10 25 s F o 5 100 200 500 1000 0.376 0.445 0.521 0.577 0.642 0.687 0.730 0.768 0.813 0.846 5-min (0.347-0408) (0411-0484) (0.480-0568) (0.530-0627 (0.585-0697) 0,623-0748) (0656-0.796) (0.685-0841) 0.715-0.896) (0.735-0.936 0.600 0.711 0.835 0.923 1.02 1.09 1.16 1.22 1.29 1.33 10-min (0,554-0.651) (0.657-0774) (0,769-0909) (0847-1.()0) (0.933-1.11) (0992-1.19) (104-126) (109-1.33) (1.13-1.42 ) ( 1.16-148 ) 15-min (IDS9270814 0826-0973 0.973-6.15 1.07-1.27 1.1831041 1,26-11..51 1.3241.60 1.37--r�1.68 1.426L78) 14561.85 30-min (0.949-3.12) 1 (1,1421.35) 1 (1.38510.63) 1 (1.55611..84) 1 (1.759209) 1. 902.27 (2. 2-2.45) 2.1332.62 (2,27-2.84) 1 (2.3573.00) 1.28 1.55 1.92 2.20 2.56 2.83 3.09 3.36 3.70 3.95 60-min (1.18-1.39) (1.43-1.69) 1 (1.77-2.10) 1 (2.02-2.39) (2.33-2.78) (2.56-3.08) (2,78-3.37) (2.99-3.67) 1 (3,25-4.07) (3.43-4.38) 1.49 7.81 2.26 2.60 3.06 3.41 3.77 4.12 4.60 4.96 2-hr (1.37-7.62) (1.9-1.97) (2.07-2.66) (2.38-2.83) (2.78-3.33) 13.08-3.72) (3.37-4.12) (3.65-4.52) (4.07-5.08) (4.28-5.51) 3-hr (1.47610.74 1.7892.11 2. 3-2.65 2,57-3,06 3: 23363 337'408 3,71'4.54 4.04-502 (44 85.70 4.81-6.24 1.96 2.36 2.96 3.44 4.08 4.59 5.11 5.65 6.39 6.97 6-hr (181-2,13) 1 (2.19-2.58) 1 (2.73-3.23) 3.16-3.73 (372-4.42) 1 (4.15-498) 1 (458-556) L500-616) 5.56-6.99) (5.98-7.66 235 2.84 3.57 7 4.15 4.94 5.57 6.22 6.90 7.84 8.58 12-In (2.18-2.56) 1 (2.63-3.10) 1 (330-3.88) 1 (3.81-450) 11 (450-5.35) 1 (5,04-602) 1 (558-673) 1 (6.11-746) (6.83-849) (7.36-9.32) 282 3.42 4.33 5.03 6.01 6.79 7.58 8.41 9.54 10.4 24-hr (2.62-3.05) (3.17-3.70) (400-4.68J (4.64-544) (553-650) (6,22-734) (693-821) (7.65-9.11) (864-104) (940-11.3) 3.32 4.01 5.02 5.81 6.87 7.72 8.57 9.45 10.6 11.6 2-day (308-359) 1(3.72-434 466-5.43 537-628 634-7.43 7.09-8.34 7.86-9.27 8.63-10.2 967-11.5 10.5-12.6 3.53 4.25 5.29 720 8.07 8.95 9.85 11.1 12.0 3-day (3.29-380) 396-459 ( 4.92-5.77 ) (566'F (6.65-7.77) 11 (7,44-871) (6.23-9.67) 11 (9.03-10.7) (10.1-12.0) (10.9-13.1) 3.74 4.49 5.57 6.40 7.53 8.43 9.33 10.3 11.5 12.5 4-day (349-402) (420-484) (519-600) (5.95-690) (697-812) (7.79-9.08) ( 8.60-10.1) ( 9.43-11.1) (105-12.5) (114-135 ) 4.J1 5.15 6.28 7.14 8.31 9.22 t0.1 11.1 12.3 13.3 7-day (4.05-4.62) (4.84-552) (5.88-672) (669-7.65) (7.75-889) (B.59-9.87) (9.41-10.9) (102-11.9 1 ( TA-13.2) (12.2-143 ) 10-day 4,67-5.26 5.558627 6.6707.53 7.519850 8.61'9.77 9 (5-10.8 103-11.8 11.11-12.0 123314.7 13.1415.1 6.63 7.84 9.26 10.4 71.8 t2.9 14.1 15.2 16.7 17.9 20-day (629-6.99) 7.44-826 (8.77-975) ( 980-109 ( 11.2-12.5) 11 (122-137) 1 (13.2-14.9) 1 (16.6-190) 8.21 966 11.1 12.3 13.7 14.8 15.8 16.8 18.2 19.22 30-day (7.85-861) 1 (923-101) 11 (107-11.7) 1 (11.7-128) 1 (130-14.4) 11 (14.0-155) 1 (15.0-16.6) 11 (160-17.7) 1 (172-19.1) 1 (18.1-202) 10.4 12.1 13.7 14.9 76.5 17.6 18.7 19.7 21.1 22.1 45-day (992-108) 1 (11.6-12.7) 11 (13.1-14.3) 1 (143-156) 1 (157-17.2) 11 (168-184) 1 (178-19.6) 11 (18.8-20.7) 1 (200-22.1) 1 (21.0-232) 12.3 14.4 16.1 17.5 t9.2 20.4 2t.6 22.8 24.3 25.4 60-day (118-12.8) (138-150) L-J(155-168) (16.8-182) (18.4-20.0) (1B 6-213) 1 (20.7-22.6) (21.8-23.8) (231-25.4) (26.1-266) t Precipitation frequency (PF) estimates in this table are based on frequency analysis of partial duration series (PDS). Numbers in parenthesis are PF estimates at lower and upper bounds of the 90 %confidence interval. The probability that precipitation frequency estimates (fare given duration and average recurrence interval) will be greater than the upper bound (or less than the tower bound) is 5%. Estimates at upper bounds are not ecked against probable maximum precipitation (PMP) estimates and may be higher than currently valid PMP values. Please refer to NOAA Atlas 14 document for more information. Back to Too PF graphical G) NOAA Atlas 14, Volume 2, Version 3 Location name: Statesville, North Carolina, US' Latitude: 35.7675°, Longitude:-80.8522° ; Elevation: 893 W p ' source: Google Maps POINT PRECIPITATION FREQUENCY ESTIMATES G.M. Bonin, D. Martin, 8. Lin, T Pamybok, M Vekta, and D. Riley NOAA, National Weather Service, Silver Spring, Maryland PF tabular I PF araohical I Maps 8 aerials PF tabular PDS-based point precipitation frequency estimates with 90% confidence intervals (in inches/hour)' Average recurrence interval ears) Duration 000 10 25 52 100 200 500 1000 5.34 625 6.92 7.-8 8.24 8.76 9.-1 9.-1 10.2 5-min 6-4 (d.16-4.90) (4.93-5.81) (5.76-682) (636-7.52) (702-836) (748-8.98) (787-9.55) (8.22-10.1) (858-108) 1 (8.82-11.2) 3.60 4.27 5.01 5.54 6.14 6.56 6.96 7.31 7.72 7.99 10-min F� (332-391) 1 (3.94-464) 11 (4.61-545) 1 (5.08-6.02) 1 (5.60-667) 1 (5.95-7.15) (626-758) 11 (6.51-8.00) 1 (6.79-8.50) (6.94-8.85) 15-min 277-326 3.305389 3, 9-4.60 4,29-5.07 4,3-5.63 5. 2-603 5,27-639 5: 8-672 5. 9�13 5,81-77,40 2.06 2.47 3.00 3.38 3.84 4.17 4.49 4.78 5.15 5.42 30-min (1.90-2.23) (2.28-269) (2.76-327) (3.11-3.68) (3.50-4.17) (3.78-4.54) (4.04-4.89) 11 (426-5.23) 1 (453-5.67) (4.70-6.00) 1.28 1.55 1.92 2.20 2.56 2.83 3.09 3.36 3.70 3.95 60-min (1.18-1.39) (1.43-1.69) (1.77-2.10) (202-2.39) (2.33-2.78) (2.56-35) (2.78-337) 1 (2.99-3.67) 1 (3.25-4.07) 1 (343-438) 0.744 0.902 1.13 1.30 1.53 1.71 IFT88 2.06 2.30 2.48 2-hr (0.686-0.809) (0.830-0.984 1 (1.04-1.23) 1 (1.19-1.42) 1 (139-1.66) 1 (1.54-186) 1 (169-206) 11 (1.83-2.26) (2.01-254) (2.14-2.75) 3-hr 0.491-0,580 0.593 0703 0.743-0882 0.856--1.02 101,1,21 1.122436 1.24318.51 1.3551 67 1: 97L90 1.6082.08 0.327 0.395 0.495 0.574 0.681 0.766 F F0.943 1.07 1.16 6-hr (0.302-0356)1(0.365-0.430)1(0.457-0.539) 0.527-0623 (0,621-0739)1(0.694-0832) (0.765-0.928 (0836-103) 0929-IA7) 0999-128) 0.195 0.236 0.296 0.344 0.410 0.462 0.576 0.573 0.650 0.712 12-hr (0.181-0212) (0218-0.257) (0274-0.322) (0.316-0374 (0.374-0444) (0.418-0.500) (0.463-0.558 (0.507-0.619) 0.566-0705) (0.611-0.773) 0.117 0.142 0.180 0.210 0.250 0.283 0.316 0.350 0.397 0.435 24-hr (0.109-0.127) (0.132-0154 (0.167-0.195) (0.194-0.227 (0.230-0.271) 0.259-0.306) (0.289-0.342 (0.319-0.380) 0.360-0431) (0.392-0.472 FO 2 7 2•day 70.90 Q 0.064 0 075 0.07 0097' 05113 0.1102' 131 0.132 03155 0.148-0'174 0.164' 09193 0.180' 0 213 0.20b0 240 0.2108-0262 F 0.085 0.100 0.112 0.124 0.137 0.154 1 0.167 3•day (0.046 0.053) 1(0.055-0.064 (0.068-0079) 0.079-0091 0.092-0.108 0, 103-0.121 (0.114-0134)11(0.125-0148) 0,140-0167) 0.152-0181 0.039 F 0.047 F 0.058 70067 0.078 0.088 0.097 0.107 0.120 0.130 4 d7y4-day (0.036-0.042)1(0.044-0.050 (0.054-052) (0062-0072 (0073-0085) (0.081-0.095) (0.090-0105) (0.098-0.115) 0.110-0130) (0.119-0141) 0.026 O.OJ1 0.037 0.043 0.049 0.055 0.060 0.066 0.073 0.079 7-day (0.024-0.027) (0.029-0.033 (0,035-0040) (0.040-004fi (0.046-0053) 0.051-0059) (0056-055 (0.06 0071) 0.068-0079) (0.073-0085 025 029 10-day 00o9 Q022 002 -0026 0028-0037 0031-0035 0.036-0.041 0.039-0.045 0.04 -0.049 0.046-0053 0.05100059 0. 55-0.063 20-day (000 -0015) 10.0115 0017 (0.0108-0020) (0020 0023 (0.02 3-0026 (0.025-0028)1(0.028 0031 0.030-0033) 0.032-0037) 0.035-0.040) 0.011 0.013 0.015 0.017 0.019 0.020 0.022 0.023 0.025 0.027 30-day (0.011-0012) (0013-0.014) (0015-0016) (0016-0018 (0018-0020) (0.019-0.021) (0021-0.023) (0.022-0025) 0.024-0027) (0025-0.028) 0.010 0.011 0.01J 0.014 0.015 0.016 0.017 0.018 0.020 0.020 45-da y (0,D09-0,010 ) (0.011-0.012 ) (0012-0.013) (0.0130.014 (0.015-0.016) (0.016-0.017) (0.016-0.018) (0.017-0.019) 0.019-0.021) (0.019-0.022) 60•day 0.009 (0,008-0.009) 0.010 (0.010-0010) 0.017 (0.017-0.012) 0.012 (0.012-0.013 0.013 (0.013-0014) 0.014 K0.014-0015) 0.075 (0.014-0.016 0.076 (0.015-0.017) 0.017 0.016-0018) 0.018 (0.017-0.018 r Precipitation frequency (PF) estimates in this table are based on frequency analysis of partial duration series (PDS). Numbers in parenthesis are PF estimates at lower and upper bounds of the 90%confidence interval. The probability that precipitation frequency estimates (for a given duration and average recurrence interval) will be greater than the upper bound (or less than the lower bound) is 5%. Estimates at upper bounds are not ecked against probable maximum precipitation (PMP) estimates and may be higher than currently valid Pill values. Please refer to NOAA Atlas 14 document for more information. Back to Top PF graphical SZ-STVNC14-POST Prepared by (enter your company name here) Page 1 HydroCADO 8.00 s/n 004988 © 2006 HydroCAD Software Solutions LLC 9/17/2014 Area Listing (selected nodes) Area (acres) CN Description (subcats) 0.250 61 GRASS (4S) 0.770 98 IMPERVIOUS (4S) 1.020 SZ-STVNC14-POST Prepared by {enter your company name Type 11 24-hr 1 YR Rainfall=2.82" Page 2 Subcatchment 4S: PRE-DEVEL SAND FILTER Runoff = 3.21 cfs @ 11.96 hrs, Volume= 0.145 af, Depth> 1.71" Runoff by SCS TR-20 method, UH=SCS, Time Span= 1.00-23.00 hrs, dt= 0.02 hrs Type II 24-hr 1 YR Rainfall=2.82" Area (ac) CN Description 0.250 61 GRASS 0.770 98 IMPERVIOUS 1.020 89 Weighted Average 0.250 Pervious Area 0.770 Impervious Area Tc Length Slope Velocity Capacity Description (min) (feet) (fUft) (fUsec) (cfs) 1.9 235 0.0310 2.01 Sheet Flow, Smooth surfaces n= 0.011 P2= 3.42" 1.9 235 Total, Increased to minimum Tc = 5.0 min w U 3 0 LL Subcatchment 4S: PRE-DEVEL SAND FILTER Hydrograph 3,21 cfs 3 Type II, 24-hr 1 YR Rainfall=2.82" Runoff Area=1.020 ac 2 _ . _ . _ _ . _ . .... Runoff Volume=0:;145_af_ Runoff Depth>1:71" Flow Length=235' i 1 Slope=0.0310 '/' Tc=5.0 min C N=89 0 1 2 3 4 5 6 7 8 9 1011121314151617181920212223 Time (hours) — Runoff SZ-STVNC14-POST Type 1124-hr WQ Rainfall=1.00" Prepared by {enter your company name here} Page 3 HydroCAD® 8.00 s/n 004988 © 2006 HydroCAD Software Solutions LLC 9/17/2015 Subcatchment 4S: PRE-DEVEL SAND FILTER Runoff = 0.53 cfs @ 11.97 hrs, Volume= 0.024 af, Depth> 0.28" Runoff by SCS TR-20 method, UH=SCS, Time Span= 1.00-23.00 hrs, dt= 0.02 hrs Type II 24-hr WQ Rainfall=1.00" Area (ac) CN Description 0.250 61 GRASS 0.770 98 IMPERVIOUS 1.020 89 Weighted Average 0.250 Pervious Area 0.770 Impervious Area Tc Length Slope On) (feet) (ft/ft) 1.9 235 0.0310 1.9 0.1 E 0.1 Velocity Capacity Description 2.01 Sheet 235 Total, Increased to minimum Tc = 5.0 min Subcatchment 4S: PRE-DEVEL SAND FILTER Hydrograph 0.53 cfs --- - -- --- --, Type II 24-hr WQ Rainfall=1:00" Runoff Area=1.020 ac- Runoff Volume=0.024 of Runoff Depth>0:28" Flow Length=235' Slope=0.0310 '/' Tc=5.0 min am 1 2 3 4 5 6 7 8 9 1011121314151617181920212223 Time (hours) — Runoff SZ-STVNC14-POST Prepared by {enter your company name here} Page 1 Area Listing (selected nodes) Area (acres) CN Description (subcats) 0.280 61 GRASS (3S) 0.740 98 IMPERVIOUS (3S) 1.020 SZ-STVNC14-POST Type 11 24-hr 1 YR Rainfall=2.82" Prepared by {enter your company name here} Page 2 HydroCAD® 8.00 s/n 004988 @ 2006 HydroCAD Software Solutions LLC 9/17/2015 Subcatchment 3S: SAND FILTER Runoff = 3.08 cfs @ 11.96 hrs, Volume= 0.138 af, Depth> 1.63" Runoff by SCS TR-20 method, UH=SCS, Time Span= 1.00-23.00 hrs, dt= 0.02 hrs Type II 24-hr 1 YR Rainfall=2.82" Area (ac) CN Description 0.280 61 GRASS 0.740 98 IMPERVIOUS 1.020 88 Weighted Average 0.280 Pervious Area 0.740 Impervious Area Tc Length Slope Velocity Capacity Description (min) (feet) (fUft) (ft/sec) (cfs) 1.9 235 0.0310 2.01 Sheet Flow, Smooth surfaces n= 0.011 P2= 3.42" 1.9 235 Total, Increased to minimum Tc = 5.0 min w U 3 0 LL Subcatchment 3S: SAND FILTER Hydrograph 3.08 cfs Type II 24-h'r 1 YR Rainfall=2:82" Runoff Area=1.020 ac Runoff Volume=0138 of Runoff Depth>1.63" Flow Length=235' Slope=0.0310 7' Tc=5.0 min CN=88 1 2 3 4 5 6 7 8 9 1011 12131415 161718 1920212223 Time (hours) — Runoff SZ-STVNC14-POST Prepared by {enter your company name Type II 24-hr WQ Rainfall=1.00" Page 3 Subcatchment 3S: SAND FILTER Runoff = 0.46 cfs @ 11.97 hrs, Volume= 0.021 af, Depth> 0.25" Runoff by SCS TR-20 method, UH=SCS, Time Span= 1.00-23.00 hrs, dt= 0.02 hrs Type II 24-hr WQ Rainfall=1.00" Area (ac) CN Description 0.280 61 GRASS 0.740 98 IMPERVIOUS 1.020 88 Weighted Average 0.280 Pervious Area 0.740 Impervious Area Tc Length Slope Velocity Capacity Description (min) (feet) (ft/ft) (fUsec) (cfs) 1.9 235 0.0310 2.01 Sheet Flow, Smooth surfaces n= 0.011 P2= 3.42" 1.9 235 Total, Increased to minimum Tc = 5.0 min Subcatchment 3S: SAND FILTER Hydrograph 0.5 0.46 cfs 0.45 Type II 24-hr WQ 0.4 Rainfall=1:00" 0.35= - Runoff -Area-1.020 ac- 0.3 Runoff Volume=0.021 of 3 0.25- Runoff Depth>0:25" LL 0 2= Flow Length=235' 0.15 - Slope=0.0310 Tc=5.0 min . 0.1 C N=88 0.05 p 1 2 3 4 5 6 7 8 9 1011121314151617181920212223 Time (hours) — Runoff M51 IT 35O a'N 3 Soil Map-4redell County, North Carolina s k � 4 513050 513D30 513110 513M 5131M 5132W 3 Map Sole: I:IAW if prlroed on A portrait (8.5" x 11-) sttxt. N Meters 0 20 40 eo 120 red 0 50 10D 200 300 Map proption: Web MaoNr Cm coordrabe;: NCS94 Edge tics: UfM Zane 17N WCS84 USDA Natural Resources Web Soil Survey Conservation Service National Cooperative Soil Survey a �ITN x �i S Pi 0 35 60'ry 513230 513260 3 1/27/2015 Page 1 of 3 ®III ® It Professionals; PC F0 TRANSMITTAL River Run Executive Offices, Suite B 110 Exchange Street Phone: o �j FGF (434)792-3680 Danville, VA 24541 Fax: (434) 792-3685 �Y d�yO�y d �s�PO'Q ?ors o TO: NC DENR • P .9-19-15 Division of Water Quality Proje o.: SZ-STVNC15 1617 Mail Service Center Project: heetz Store Raleigh, NC 27699-1617 Reference: Salisbury Hwy Attention: Mr. Bill Diugiud Carbon Copy: We Transmit: As per requested Under separate cover By mail By messenger By pickup By overnight carrier the following: ❑ Prints ❑ Specifications ❑ ❑ Change Order ❑ ❑ Shop Drawings ❑ ❑ Reproducibles ❑ ® Other El Coples Date Number Description for: Your approval ❑ Your review/comment El Your file/use ❑ Revision and submission ❑ Distribution ❑ 2 9-19-15 Site Construction Drawings folded 1 9-16-15 1 Review Fee Check #13371 Amount $505.00 1 Storm Water Management Permit Application Original and one copy incl required attachments 1 Business Corporation Annual Report for Secretary of State 1 10-01-14 Agreement for Sale L Comments: DENRd ANn Fit W .. , K WATER PERMITTING Please call if questions Thanks G Mark Johnson Please notify us at once If enclosures are not as noted. Signed DWQ USG ONLY Date Received Fee Paid Permit Number [Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction ct all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan ❑ Other WQ M mt Plan: State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICSTWN ARM This form may be photocopied for use as no original ^� N7o p� 2 I. GENERAL INFORMATION � PP`I''��(r`� '�'f 1. Project Name (subdivision, facility, or establishmentname - should be consistent NN .0 't name on plans, specifications, letters, operation and maintenance agreements, etc.): N� Q_ 2. Location of Project (street address): Ci ty:Statesvi I le Cou nty:Iredell 7 ip:28677 3. Directions to project (from nearest major intersection): Approximately 0 5 miles cast of file intersection of Interstate Hwy 77 and Salisbury Hwy. U.S. 70 4. Latitude:35° 46' 07" N Longitude:80* 51' 16" W of the main entrance to the project. it. PERMIT INFORMATION: ].a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt t Renewals with modifications also requires SWU-102 - Renewal Application Forin 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* *provide a designer's certification 2. Specify the type of project (check one): ❑Low Density ®High 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 stormwater 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): ❑LAMA Major ®Sedimentation/Erosion Control: 3.74 ac of Disturbed Area ❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts b.lf any of these permits have already been acquired please provide the Project Name, Project/Permit Number, issue date and the type of each permit: 5. Is the project located within 5 miles of a public airport? JNNo LJYes If yes, see S.L. 2012-200, Part VI: http'//portal ncdenr org/web/wq/ws/su/statesw/rules laws Form SWU-101 Version 06Aug2012 Page I of Ill. CONTACT INFORMATION 1. 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:Sheetz, Inc. Signing Official & Title:Steven P. Augustine, Asst. VP/Assistant Secretary b.Contact information for person listed in item I above: Street Address:5700 Sixth Ave. City:Altoona State:PA Zip:16602 Mailing Address (if applicable):Sanne City: State: Zip: Phone: (336 ) 978-1028 Fax: ( 1 Email: c. 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/Organization:Billy R. Moose Signing Official & Title:Billy R. Moose, Owner b. Contact information for person listed in item 2a above: Street Address:224 E. Lackey Farm Rd. City:Stony Point State:NC Zip:28678 Mailing Address (if applicable):Same Phone: Em Fax: Zip: 3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other person who can answer questions about the project: Other Contact Person/Organization:Sam Smith - Sheetz, Inc. Signing Official & Title:Sam Smith b.Contact information for person listed in item 3,1 above: Mailing Address:3472 Grandview Crossing Lane City:Pfafftown State:NC Zip:27040 Phone: (336 ) 978-5354 Fax: E m a il: sa s m i th©sh eetz. corn 4. Local jurisdiction for building permits: Point of Con tact: Brendon Pritchard Phone #: (704 ) 878-3552 Form SWU-101 Version 06Aug2012 Page 2 of IV. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. The stormwater runoff will be conveyed through a storm pipe system to a sediment forebay, an open sand filter and a normally dry detention basin and discharge to an existing storm pipe system. 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. Stonnwater runoff from this project drains to the Yadkin Pee -Dee River basin. 4. Total Property Area: 4.36 acres 5. Total Coastal Wetlands Area: 0 acres 6. Total Surface Water Area: 0 acres 7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project Area4:4.36 acres Total project area shall be calculated to exclude the followingg the normal pool of impounded structures, the area between the banks of strearrrs and rivers, the area below the Nornml High Water (NHW) line or Mean High Water (MHW) line, and coastal wetlands Iandzaard from the NHW (or MHW) line. The resultant project area is used to calculate overall percent built upon area (BUA). Non -coastal zwetlands landzward of the NHW (or MHW) line nrny be included in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 9. How many drainage areas does the project have? 1 (For high density, count 1 for each proposed engineered stornawater BMP. For lozw density and other projects, use 1 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 A Drainage Area Drainage Area Drainage Area Receiving Stream Name Third Creek WS-37 Stream Class * C Stream Index Number * 12-108-204 Total Drainage Area (sf) 37462 On -site Drainage Area (so 37462 Off -site Drainage Area (so 0 Proposed Impervious Area** (so 32234 Impervious Area** total 86 Impervious** Surface Area Drainage Area A Drainage Area Drainage Area Drainage Area _ On -site Buildings/Lots (so 5316 On -site Streets (so On -site Parking (sf) 23807 On -site Sidewalks (so 1500 Other on -site (so 1611 Future (so Off -site (sf) Existing BUA*** (so Total (so: 32234 Stream Class and Index Number can be determined at http://portal.ncdenr.or oeb/zwq[ps/esu/classifications Form SWU-101 Version 06Aug2012 Page 3 of 6 Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas, sidewalks, gravel areas, etc. ***Report only that muount of existing BUA that Will remain after development. Do not report any existing BUA that is to be removed and Which ¢pill be replaced by new BUA. 1"I. 1-low was the off -site impervious area listed above determined? Provide documentation. Projects in Union County: Contact DII'Q Central OJJice staff10 check if the project is located within « Threatened & Endangered Species watershed that nrcry be subject to more stringent stormwater requirements as per 15A NCAC 02B .0600. V. SUPPLEMENT AND O&M FORMS The applicable state stornnvater 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 littl2://portal.ncdeiir.org/web/wqZwsZsu/bmp-nianuat. 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. A detailed application instruction sheet and BMP checklists are available from littp://portal.iicdetir.org/N%,eb/wqZws/su/statesw/forms does. The complete application package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating project on the interactive online map at http://portal iicdeiir.org/webZwq/ws/su/mli2s.) 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 does. 1. Original and one copy of the StornlNvater Management Permit Application Form. 2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants Form. (if required as per Part Vll below) 3. Original of the applicable Supplement Form(s) (sealed signed and dated) and O&M agreement(s) for each BMP. 4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to http7//www envlie]p orV/Vages/onestopexpress.htnil 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 h,eatmcnt/managementfor the project. This is required in addition to the brief summary provided in the Project Information, item 1. 6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2 mile radius on the map. 7. Sealed, signed and dated calculations (one copy). 8: "rwo sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: a. Development/Project name. b. Engineer and firm. c. Location map with named streets and NCSR numbers. d. Legend. e. North arrow. I. Scale. 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 NHW tine of tidal waters, and any coastal wetlands landward of the MHW 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 NHW) of tidal waters. i. Dimensioned property/project boundary with hearings & distances. j. Site Layout with all BUA identified and dimensioned. k. Existing contours, proposed contours, spot elevations, finished Floor elevations. 1. Details of roads, drainage features, collection systems, and stormwater control measures. FormSWU-101 Version06Aug2012 Page 4of6 m. 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 who 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 (where required). 9. Copy of any applicable soils report with the associated SHWT elevations (Please identify elevations in addition to depths) as well as a map of the boring locations with the existing 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 BMPs, 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 DINQ to verifij the SHWT prior to submittal, (910) 796-7378.) 10. A copy of the most current property deed. Deed book: 1028 Page No: 873 11. Por corporations and limited liability corporations (LLC): Provide documentation from the NC _ -- 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 "15A NCAC 2H.'1003(e). The corporation or LLC mist be listed as an active corporation in good standing with the NC Secretary of State, otherwise the application will be returned. http //wrew secretary,state.ncus/Corporations/CSearch.aspx VI1. DEED RESTRICnONSAND PROTECTIVECOVENANTS For 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 lohsizes vary significantly or the proposed 13UA allocations vary, a table listing each lot number, lotsize, 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 http //portal ncdenr org/web/wg/ws/su/statesw/forms does. 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. V III. 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 Engineer:Michael A. Ellis Consulting Firm: LE & D Professionals PC Mailing Address:l"10Exchange St. City:Danville State:Va. Zip:24541 Phone: (434 1 792-3680 Pax: ( ) Email:mellisOO landengcorn IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, itea 2 has been fulled out, complete this section) 1, (print or type naune of person listed in Contact Information, item 2a) Billy R. Moose Owner certify that I own the property identified in this permit application, and thus give permission to (print or type nmue of person listed in Contact lnfor nation, item la) Steven P. Augustine with (print or type naune of organization listed in Contact Information, items la) Sheetz, Inc. 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 storrawater system. Form SWU-101 Version 06Aug2012 Page 5 of 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 Nan1c/Ownership Change Form within'30 days; otherwise I will be operating a stormwater treatment facility without a valid permit. I 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. Date: `-16 ^ 70 / S-- a Notary Public for the State of a-i2t6 Qwa G)MCounty of do hereby certify that U i o aS 2 personally appeared before me thisAttkday of 0101 �, and acknowle gc the d execution of the application for a stormwater permit. Witness my hand and official seal, OFF11I1'A L-AL NornC0�7ra•AlY,t,o�69yfl� X. APPLICANT'S CERTIFICATION SEAL My commission expires 1, (print or type name of person listed in Contact Information, item 1n) certify that the _infor[nation 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, aid that tlt roposed project complies with the requirements of the applicable stornrwater�jrinder 15A�1��+C 2Hand any other applicable state stormwater requirements. Date: 9 - 10 - Yj I, J` f c �i1Y11 ter-� J a Notary Public /for the State of-12r1P15�� vt__ 0"n i e_ti_, County of L\ ai ' do hereby certify that ��eJe Y��i ii} nE personally appeared before me this L6 day of _ �en6e r aot , and acknowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, 4y COMMONWEALTH OF PENNSYLVANIA SEAL NOTARIAL SEAL JeD. SChramke, Notary Public of Altoona, Blair County Flyyimission Expires April 7, 2019 MEMBER, FENNSYLVANIA ASSOCIATION OF NOTARIES My commission expires Form SWU-101 Version 06Aug2012 Page 6 of w,F:V_Ti,b !,_F:;It_?!_,'_i44"a'.: _ICIMtI(IA�)• %CitlB`F.? ��.� C�. i ,12'KU 1 ..e: r�:111 i tL) 1onr1. r;+q�::: ilpeyvs,l �nppr, � 1 i Y!1 HPPli2�71" CCR ,'C'1'!il[F"f _.H 06 �Fi'.:1'Lf"ii'y Ni i1. • � ,� , \" pEPRIM BUSINESS CORPORATION ANNUAL REPORT NAME OF BUSINESS CORPORATION: Sheet_ Inc. FISCAL YEAR ENDING: 913012014 SECRETARY OF S'I'A"TE CORPORA'TS IDNUMBER: 0597312 NATURE OF BUSINESS: Recoil Convenience.Stme REGISTIERED AGENT: CT Corporation System REGIS'I'ERL'D OFFICE MAILING ADDRESS: 1501 areaeville St., Bov 1011 Raleigh. NC 27601-2957 1 Filet, Annual Report 5345086 Do not data enter manually. STATE OF INCORPORATION: PA REGISTERED OFFICE, STREET ADDRESS: 150 Fovetteville Sl., Box 1011 Raleigh, NC 2 7601-295 7 ]fake Coun(v 11RINC IPAL OFFICE TELEPFIONENUM BER: (814)946-3611 PRINCIPAL OFFICE MAILING ADDRESS: .5700 Sixth Avennue Altoono, R/I 16602-1111 PRINCIPAL OFFICE S"IREET ADDRESS: PRINCIPAL OFFICERS: Name: Slcphcn G Sheet - Title: Chairman Andress: 5700 Sixth Ave Altoona, P4 16602 Nome: Stephanie Doliveirei Tide: Nee President Address: 5700 Sixth Ave Ahoona, R4 16602 5700 Sixth Avennue Altoono, PA 16602-1111 Name: Stanton R Sheets 7}71e: Chc h coon Of The Bocird Address: 5700 Sixth Ave Altoona, PA 16602 Name: Joseph S Sheetz Title: President Address: 5700 Sixth Avc Altoona. PA 16602 Name: Randall A Sheer Title: I ice President Address: 5700 Sixth Ave Ahoona, P4 16602 Name: Steven PAugustine Title: Assistant Secretary Address: 5700 Sixth Ave Altoona, PA 16602 CER"TIFICATION OF ANNUAL REPORT MUST BE COMPLETED I3Y ALL BUSINESS CORPORATIONS Thomas P Luciano FORM MUST 13E SIGNED BY AN OFFICER OF THE CORPORATION Thomas P Luciano 2/27/2015 DATE Vice President TYPE: OR PRINT NAME TYPE OR PRINT TITLE ANNUAL REPORT FEE: E-Paid MAIL TO: Secretory of State • CoMorations Division • Post Office Box 29523 • Raleigh, NC 27626-0525 •PRINCIPAL OFFICERS: (COlttimted) Name: Gary Zimmennan Title: Assistant Vice President Address: 5700 Sixth Ave Altoona, PA 16602 Name: Travis T Shear Title: Vice President Address: 5700 Sixth Ave Altoona, PA 1 6602 Name: David P Hazelet Title: Assistant Secretary Address: 5700 Sixth Ave Altoona, PA 16602 Nano: Thomas P Luciano Title: Vice President Address: 5700 Sixth Ave Altoona, PA 16602 Name: Michael A Laccsa Title: Assistant Secretary Address: 5700 Sixth Ave Altoona, PA 16602 AGREEMENT OF SALE THIS AGREEMENT OF SALE (this "Agreement") is hereby entered into this day of U C� L , 2014, (the 'Effective Date", which is the date this Agreement is signed by the last of the parties hereto) by and between: BILLY R. MOOSE, with an address of 224 E. Lackey Farm Road, Stony Point, NC 28678 (the "Seller") and PTM, L.P., a Delaware limited partnership, or its assigns, having a place of business at 5700 Sixth Avenue, Altoona, Pennsylvania 16602 (the "Buyer"). RECITALS A. Seller is the fee owner of a 4.56f acre parcel of land located at the southeast corner of Salisbury Highway and North Barkley Road; City of Statesville, Ircdell County, North Carolina, being Iredell County parcel number 4743998676.000. Seller having acquired title thereto by virtue of Deed recorded with the Iredell County Register of Deeds Office at Deed Book 1028, Page 873, and shown on the Preliminary Site Plan attached hereto as Exhibit "A" (hereinafter referred to as the "Property"). B. Buyer intends to develop the Property ("Buyer's Project") for a Sheetz Convenience Store open 24 hours per day, seven days a week with the retail sale of gasoline/auto diesel, diesel islands, limited indoor and outdoor seating, red back lit canopies, a car wash, and drive thru ("Buyer's Intended Uses"). C. Seller desires to sell the Property, together with all improvements and fixtures thereon and all rights, including all mineral, oil, gas rights, privileges, easements, benefits and agreements appurtenant thereto and Buyer desires to purchase the Property in accordance with and subject to the terms and conditions hereinafter set forth. NOW, THEREFORE, in consideration of the mutual promises herein contained, and for other good .and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Buyer agrees to buy and Seller agrees to sell the Property upon the following terms and conditions: 1.0 Incorporation. The above recitals are hereby incorporated herein by reference as if more fully set forth herein. 15.6 Other Documents. Buyer and Seller each agree to execute and deliver to the other party such additional documents as may be reasonably required or necessary for the consummation of the transaction contemplated by this Agreement. 15.7 Waiver. Failure by Buyer or Seller to insist upon or enforce any of its rights hereto shall not constitute a waiver thereof. 15.8 Confidentiality. The terms hereof shall be kept confidential by the parties, except as may be required for the performance of Buyer's due diligence or the filing of any plans for purpose of development approvals. Either party shall not record this Agreement. 15.9 Headings. The headings of the various paragraphs in this Agreement have been inserted only for the purpose of convenience and shall not be deemed in any manner to modify, explain, qualify or restrict any of the provisions of this Agreement. 15.10 Counterparts. This Agreement of Sale may be executed by the parties in any number of identical counterparts, all of which shall constitute one agreement. IN WITNESS WIMREOF, intending to be legally bound hereby, the parties hereto have set their hands and seals to this Agreement of Sale day and year first above written. Witness/Attest: SELLER: Witness/Attest: By: jel"a te 146z---U� Billy . Moose BUYER: PTM, L.P., a Delaware limited partnership, by and through PlE, LLC Delaware limited liability company, its gcncr cr By. 141 Joseph S,'Sheetz Vice President 11 Ulf NGW BHC-ETZ BITE aTpTP6y111..n" SITM 1^PLAN 6ITE N M"u and P.C. I UDELL COUIRr IC 06/12/97 $1631.00 Pon 1 Rytl C, NA Rawl Estate ExNsa Tex Exefae laz 1'(031• 10 Tax Lot No. Verified by b BK 1028pGO813 J FILED IREDFLL COUNTY NC 06/12/97 10:36 AM BRENDA D. BELL Register Of Deeds According Time. Book and Page ............. I ...... .., Parcel Identifier No. ....... County on the .............. day of y.._........ ... ........... ............._. ....,............ ........... .....,............. NO TITLE OPINION RENDERED BY DEED PREPARER 19............ Mailafter recording to ........... ............. _. _...... ,.......... _... ..._........... .......... ......... ........_......... ............................. _ _....... _.. _.. This instrument was prepared b Jphn, McLain„Massey,, Attorney, at_ Law, P 0... 89x 1. 22,, Statesville,_,BC Brief description for the Index 28687-0122 NORTH CAROLINA NON -WARRANTY DEED THIS DEED made this day of ............. .Lune GRANTOR IREDELL FIBER, INC., a North Carolina corporation .......... _. ..., 19._97...., by and between GRANTEE BILLY R. MOOSE Mailing address: 224 E. Lackey Farm Rd, Stony Point, NC 28678 Enter in appropriate black for each early: nacre, address, and, if avwopri.te, ch.r.ater of erauty, s.4 terporafioa or oartaenhb. The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in the City of...Statesville_.... .._................. Statesville... Inside „ Township, ,_... .... Iredell _...._I.,.... I . County, North Carolina and more particularly described as follows: TRACT 1: BEGINNING at a railroad spike in the western margin of the right-of-way of Barkley Road (S.R. 2352), a comer of Irodell Mini Storage and Rental Uniform, and running thence along and with the line of Rental Uniform, South 130 51 min. 06 sec. West 168.12 fed to a railroad spike located within the right-of-way of Barkley Road; thence along and with the right- of-way of Barkley Road South 310 32 min. 09 sec. West 391.07 feet to a railroad spike on the east side of Barkley Road; thence South240 00 min. 16 sec. East 17.60 feet to a railroad spike; thence crossing Barkley Road through a railroad spike located on Barkley Road North 80' 21 min. 03 sec, West 887.80 feet to a concrete monument, comer of Hugh L. Moose and North State Propertes; thence along acid with the line of North State Properties, North 020 22 min. 16 sec. East 401.58 feet to an existing iron, comer of IrrdeO Mind Storage; thence along and with the line of Irede6 Mini Storage, South 88a 02 min. 42 am East 1096.89 fed to a railroad spike located in the western margin of Barkley Road, the point and place of BEGINNING, and being the property shorn on a Grading & Erosion Control Plan for Billy Moose prepared by Gerald V. Grant, dated 5 April 1988. There is excepted from the above that property described in Deed Book 994, page 69, and that property described in Deed Book 883, page 328, and re -recorded in Book 886, page 918, Ircddl County Registry. TRACT 2: BEGINNING at an iron rod located in the southern margin of U. S. Highway 70, the common comer of Theorists S. Roseaherg and the Marguerite B. Taylor property described in Deed Book 804, page 250, Iredell County Registry; thence with the line of Taylor, South 070 19' 18" West 153.88 feet to an iron; thence South 550 50'06" East 212.06 fed to an iron in the line of Franco Distributors; thence with the line of Franco Distributors, South 340 58' 02" West 251.98 fed to an iron N. C. an Aaoa. Farm No. t V 1977-r•..,..wn..,,. ♦ rn.,,x, m. vy rM�Nai., .. c. nose rnn,cW4r,n•.ni-nn,u x,C ,o aa.c ,W, BN 1028PGO814 us located in the north margin of Penney Street; thence with the north margin of Penney Street, North 570 55' 54" West 530.90 feet to an iron located in Barkley Road; thence with Barkley Road, North 1 to 56' 08" Fast 425,00 feet to a P. K. nail set at the point of intersection of Barkley Road and U. S. Highway 70; thence with U. S. Highway 70, South 570 57' 01" East 413.60 feet to the point and place of BEGINNING, containing 4.813 acres, more or less, all in accordance with a survey by Grier Surveying Company dated August 17, 1995, a portion of which is attached to deed recorded Ln Deed - Buck 958, page 22, Iredell Country Registry, The property hereillahove described wait acquired by Grunter by instrument recorded in .. ._............... _... ... .._.. A map showing the above described property is recorded in flat Book ..................... pose ... ..... .._....... .. TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. The Granlor ..it,. no warranty, express nr implied, as to title to the properly hereinabove described. IN WITNESS W9IEan'OF' Inc Grantor has nereumu ul oil nna ono aril, or If rereor•tq hn nuva Inia inmumenl to be littler to r aEwenlelt1 •e a nr sea dull u attired officers and its sell m be hereunto Artisan by authority of sea Nuara of mrermra. me ear ... Teo.... ...._IREDELL FIB ER,__ I NC. y .._._.___-__.-ASEACI , i.A ,jotr Panle Name) ,_, It Ideal ..--___._____._._..._. _ (Coeporate bean } NORTH CAROLINA, .. _County. a I. a Nalar)Public of the Count, and Seale aforeaeld, re D1, real ... .. _. _. .. .. ... . tl ell.on.111 11Peared before me this day and al.mrse lord Inc ..-idiot of tire luretolnr icilrumenL M'tlneta mY hand and official name ar sea), this it., of .. .. U r N MY tommiaaian e.,I ... __ _ __ ------------- _--- __------ __ __ _____NMarY Public aRAi STAMP„ NORTH CAROLWA- _______IYBd2II ____ _ _________county. T____ m. a .___ J'ald 1, a Notary Puplk. of the fonntY and %tare aftrenlq errtlfY hose M .__.__._ _/U,.__. :.' ___ rem ,. ear and .rxnawlraa,a anal ___ ne is __ ._-re.—r-e-rr--r_ sen.mrr, of v 'r, i.''. �.�• f__ ar to - a -- Personally rams hero e ' .!, '._ILede11E1heS...Znc._._ -------- a north Carolina corporation, and that by authority duty Sierra ana as me err nl the rdrpnuuon, the imlldme inatrnmrnl ,. s silos m sea tome by d Pe.alderaC .,Sled wtm RI Ireptmt, San and SMatEd by herself .0 .----------------.secrrmrr. Tr^ ........ y l,. witness my bound and official stamp or seal thisear r V.•/^fC . .. u97.. p2oal . .. Mr r.mmta.mra eaptre.. _y3__ � •—� y. /""`+'r`�j Nnr.q rrrbur. Th. rar.lotnl ------------- or John McLain Massey,.a_Np[ary_Public of_Iredell_Cyunty, --------- t.l. eeflmea m ee en..erl. This msbnmem •m ma nnmcate are tiny cep Dleled 11 Use "It and lime are IS In, nwM •nit Pal, An dwR an Do a Pit. nere•r. BRPNDA D. BELL armaTEn OF DEEDS FOR IREDELL cuuNrr - a 44a - By ... ..._ D'ainy'Aellltant-Rell.ter of latest.e.r A_form N. O E.IW7-.w, s—.u..nv.. m.,rr, r,e.,..m.. N C no55 n,n,e in smo,.- •ran in. x, f ", N_. lyr THIS INSTRUMENT DRAWN BY Kr9stel BmuMll 001464' CHECKED BY Book gsH 472 0433 Age 2 PAGES) Rerurn I. DIVISION RIGHT OF WAY AGENT 330 SOUTH LAFAYETTE STREETFILED O5/1]/1999 FILED SHELBY, NORTH CAROLINA PB1d ,vpCLL COUNTY NC IREDELL CW14(Y NC $76.00 05/17r1999 6103 AM COUNTYRTH OF n<rtn STATE HIGHWAY PF�UD,8El=402 COUNTY OF Intl 4 tlgjSpjMA � � Real Estate F.A. PFA3 M.r STF98tift) TAX MAP AND LOT 4743-99-8685 Excise Tax I.D. NUMBER U-2421 PARCEL NUMBER 009 THIS FEE SIMPLE DEED, made and entered into this the 5th day of April 19 99 by and between BILLY R. MOOSE f� hereinaHer referred to as the GFANTORS, and the Deparlment oT Trensporlation, an agency of the State of North Carolina, hereinamer refered to as the DEPARTMENT: WITNESSETH That the GRANTORS, for themselves, their heirs, successors, and assigns, for and in consideration of the SUM of $ 38,000.00------ agreed to be paid by the DEPARTMENT to the GRANTORS, do hereby give, gram and convey unto the DEPARTMENT, its successors and assigns, in FEE SIMPLE the right of way located in Chambersbunp Township, lmdell County, North Carolina, which is particularly described as follows: Right of Way - BEGINNING at a point located 31.5 feet easterly of and normal to Survey Station 10+54, Survey Line Y- 2; running thence in a westerly direction in a straight line along and with the southern right Of way limits of Survey Line Y-2 to a point located 15 feet easterly of and normal to Survey Station 10+53.936. Survey Line Y-2; running thence in a westerly direction to the point of intersection with Survey Station 10+53.938, Survey Line Y-2; running thence in a westerly direction, in a straight line to the point o1 intersection with Survey Line Y-2; running thence in a northerly direction along and with Survey Line Y-2 to its point of intersection with Survey Line L; conning thence In an easterly direction along and with Survey Line L to the point of intersection with the extended eastern property line of the undersigned; running thence In a southerly direction along and with the extended eastern property line of the undersigned and the eastern property line of the undersigned to the point of intersection with the southern right of way limits of Survey Line L; said point of intersection being located 49.21 feet southerly of and normal to Survey Line L: running thence in a westerly direction in a straight line along and with the southem right of way limits Of Survey Line L to a poll t located 49.21 feet southerly of and normal to Survey Station 12+32.696, Survey Line L; running thence in a straight line in a southwesterly direction along and with the eastern right of way limits of Survey Line Y-2 to a point located 31.64 feet easterly of and normal to Survey Station 10+32.779, Survey Line Y-2; running thence in a southerly direction in a straight line along and with the eastern right of way limits of Survey Line Y-2 to the point of BEGINNING. The un erslpned ran orjfur�ie� conveys"Femrarient Easement areaTs)-toEe usedsolely for the wnstnrcllon and perpetual maintenance of drainage installations described as follows: Permanent Drainage Easement #1 - BEGINNING at a point located 49.21 feet southerly of and normal to Survey Station 12+35, Survey Line L; running thence in a southwesterly direction in a straight line to a point located 31.53 feet easterly of and normal to Survey Station 10+48.661, Survey Line Y-2; running thence in a northerly direction in a straight line along and with the eastern right of way limits of Survey Line Y-2 to a point located 31.64 feet easterly of and normal to Survey Station 10+32.779, Survey Line Y-2; running thence in a northeasterly direction In a straight line along and with the gastern right of way limits of Survey Line Y-2 to a point located 49.21 feet southerly of and normal to Survey Station 12+3i11l Survey Line L; running thence in an easterly direction in a straight line along and with the southern fight of way limits of Survey Line L to the point of BEGINNING - ...... _ _.._... ..._ _._ _ TO -MEMO TO HOLD the aforesaid right of way and all privileges and appurtenances themunto belonging to the DEPARTMENT in FEE SIMPLE. The property hereinabove descrtbedwas acquired by the GRANTORS by instrument(s) recorded in the County Registry in DEED BOOK 1028 AT PAGE 873;OOK 889 AT PAGE 493 upI/9L, The rival right of way plans showing the above described right of way are to be certified and recorded in the Office of the Register of Deeds for said County pursuant to N.C.G.S. 136-19.4, reference to which plans is hereby made for purposes of further description. This deed is subject to the following provisions only: It is understood and agreed that the Undersigned hereby grants the DEPARTMENT a Temporary Construction Easement Area having a maximum width of 9.85 feet outside the right of way, as shown on the project plans, right of and between Survey Station 12434.896 and Survey Station , Survey Line L. It Is understood and agreed that the DEPARTMENT shall have the right to construct and maintain the cut andlor fill slopes in the above -described Temporary Construction Area until such time that the property owners after the adjacent lands in such a manner that the lateral support of the cut and/or rill slopes is no longer needed. Any additional construction areas lying beyond the cut ancilor fill slopes and extending beyond the right of way limits will terminate upon completion of the project. R/W D-1 January 1995 (1) 1 i Project 8.1822402 Parcel: 009 The undersigned owners further request that the Department of Transportation enter upon our lands outside of the right Of way to the extent as is necessary to reconnect our driveway and we will have no further claim against the Department as a result of the reconstruction of said driveway. The GRANTORS by the execution of this instrument, acknowledge that the plans for the aforesaid project as they affect their property have been fully explained to them or their authorized representative, Arid the GRANTORS covenant with the DEPARTMENT, that the GRANTORS are seized of the premises in fee simple, have the right to convey the same In fee simple, that the title thereto is marketable and free and clear of all encumbrances, and that the GRANTORS will warrant and defend the title against the lawful ctaims of all persons whomsoever except for the exceptions hereinafter stated. Title to the property hereinabove described is hereby con- veyed subject to the following exceptions: None IN WITNESS WHEREOF, the GRANTORS have hereunto set their hands and seals (or if corporate, has caused this instrument to be signed in its corporate name by its duly authorized officers and its seal to be hereunto affixed by authority of as Board of Directors) the day and year first above written. /Y// (Corporate Name) BILL R. MOOSE (SEAL) BY: (SEAL) (President) (SEAL) ATTEST: (Secretary) (SEAL) ACCEPTED FO HE DEPARTME TP F TRANSP TATION NORTH CAROLINA, ii IREDELL COUNTY ONoiarftlic of the County and State aforesaid, certify that BILLY R. MOOSE 5+�741rptlR3persdna ared before me this day and acknowledged the execution of the foregoing instrument. Wi16 s fhy°lu ft�art 0U clal.stamp or seal, this the 5 Lh day of April 19 99 My y+�,,mMaidne his: 10/25/2002 .\'�.. NotarVPublic NUK IM OAROLINA, COUNTY I, a Notary Public of the County and State aforesaid certify that Personally came before me this day antl acknowledged that he is Secretary of a North Carolina corporation, and that by authority duly given and as the act of the corporation, the foregoing instrument was signed in its name by its President, sealed with its corporate seal and attested by as its Secretary. Witness my hard and official stamp, or seal, this the _tlay of 1 g My Commission expires: Notary Public isiarg rgnlfied to be correct. This instrument a d this certificate are duly registered on the 19 94 , in Book 1-,L , Page d L at :03 O'clock Q M. AREND D. B L REGISTER OF DEEDS FOR IREDELL COUNTY BY. b DeputyLOeaisfant - Register of Deeds R/9v D-1 January 1995 (2)