SW7091117_MODIFICATION AND ORIG PERMIT_20110315

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO. SW���� _
FDOCE � CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
� El COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

wa:Rd
NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
March 15, 2011
Mr. James M. Heinz, PE — Commanding Officer
United States Coast Guard
USCG — Facilities Design & Construction Center
5505 Robin Hood Road, Suite K
Norfolk, VA 23513
Dear Mr. Heinz:
Natural Resources
Dee Freeman
Secretary
Subject: Stormwater Permit No. SW7091117 Modification
USCG — Exchange, Thrun Hall Barracks & Galley
High Density Commercial Wet Pond Project
Pasquotank County
The Washington Regional Office received a complete Stormwater Management Permit Application for
the modification to the Exchange/Mini-Mart project to include Thrun Hall Barracks and Galley on
March 7, 2011. Staff review of the plans and specifications has determined that the project, as
proposed, will comply with the Stormwater Regulations set forth in Session Law 2008-211 and Title
15A NCAC 2H.1000. We are forwarding Permit No. SW7091117MOD dated March 15, 2011, for the
construction of the subject project. The permit issued on December 1, 2009 is hereby rescinded and
is replaced by this permit. The original approved plans for the Exchange dated December 1, 2009
are to be included and kept on file along the enclosed plans approved pn March 15, 2011.
12 �3 / 104
This permit shall be effective from the date of issuance until Marc 15, 2021, and shall be subject to
the conditions and limitations as specified therein. Please pay special attention to the Operation and
Maintenance requirements in this permit. Failure to establish an adequate system for operation and
maintenance of the stormwater management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right
to request an adjudicatory hearing upon written request within thirty (30) days following receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer
27447, Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and
binding.
If you have any questions, or need additional information concerning this matter, please contact Scott
Vinson, or me at [phone].
cerl,
AI Ho
Regional Supervisor
Surface Water Protection Section
AHI sv: K:1WQSISTORMWATERIPERMITISW7091.117M
cc: Matthew Bramwell, PE — Land Design, Inc.
Pasquotank County Building Inspections
,..-iNashington Regional Office
North Carolina Division of Water Quality Internet: mvvm)cv,aierquality.org One 7 943 Washington Square Mall Phone: [phone] FAX: [phone] North Cai-ol l na
Washington, NG 27889 FAX: [phone] NaturallyAn cual Opporiunily 1A irmative AcSan Employer

State Stormwater Management Systems
Permit No. SW7091117MOD
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
United States Coast Guard
Exchange/Mini-Mart, Thrun Hall Barracks and Galley
1664 Weeksville Road, USCG Station - Elizabeth City, Pasquotank County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with
the provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter referred to
as the "stormwater rules') and the approved stormwater management plans and
specifications and other supporting data as attached and on file with and approved by
the Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until March 15, 2021, and shall
be subject to the following specified conditions and. limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 of this permit. The stormwater control has been
designed to handle the runoff from 231,400 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section I. of
this permit, and per approved plans. The built -upon area for the existing
Exchange/Mini-Mart development permitted on December 1, 2009 is limited to
62,200 square feet.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 50 feet
landward of all perennial and intermittent surface waters.
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7091117MOD
7.
The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a.
b.
C.
d.
e.
f.
h.
i.
j.
k.
1.
n.
o.
P.
q.
Drainage Area, acres:
Total Impervious Surfaces, ft2:
Design Storm, inches:
Pond Depth, feet:
TSS removal efficiency:
Permanent Pool Elevation, FMSI :
Permanent Pool Surface Ares, ft :
Permitted Storage Volume, ft .
Temporary Storage Elevation, FMSL
Predevelopment 1 year 24 hour:
Post development 1 year 24 hour:
Controlling Orifice:
Permitted Forebay Volume, ft3:
Fountain Horsepower, HP
Receiving Stream/River Basin:
Stream Index Number. -
Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
12.37
231,400
1.50
4.50 (3.0 avg.)
90 %
4.50
24,737
31,923 at temporary pool el
5.50
5.35 cfs
1.65 cfs
3.50"0 pipe
16,247
113 hp
Pasquotank River 1 Pasquotank
30-3—(12)
"S B"
1. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all time provide the operation and maintenance necessary
to assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the vegetated filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, level
spreader, filter strip, catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
records will indicate the date, activity, name of person performing the work and
what actions were taken.
5. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
6. Decorative spray fountains will be allowed in the stormwater treatment system,
subject to the following criteria:
a. The fountain must draw its water from less than 2' below the permanent
pool surface.
b. Separated units, where the nozzle, pump and intake are connected by
tubing, may be used only if they draw water from the surface in the
deepest part of the pond.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW7091117MOD
c. The falling water from the fountain must be centered in the pond, away
from the shoreline.
d. The maximum horsepower for a fountain in this pond is 113 horsepower.
7. The facilities shall be constructed as shown on the approved plans. This permit
shall become void unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
8. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
9. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
12. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
13. A copy of the approved plans dated December 1, 2009 and March 15, 2011 and
specifications shall be maintained on file by the Permittee at all times.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form, to the Division of Water
Quality, signed by both parties, and accompanied by supporting documentation
as listed on page 2 of the form. The project must be in good standing with the
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7091117MOD
Division. The approval of this request will be considered on its merits and may or
may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all. statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2008-
211, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until March 15, 2021.
Application for permit renewal shall be submitted 180 days prior to the expiration
date of -this permit and must be accompanied by the processing fee.
Permit issued this the 15`h day of March, 2011.
NO T CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for
oleen . Sulli for
Division of Water Quality
By Authority of the Environmental Management Commission
Stormwater Permit No. SW7091117 Modification
Page 5 of 7

IR
State Stormwater Management Systems
Permit No. SW7091117MOD
USCG — Exchange, Thrun Hall Barracks & Galley
Stormwater Permit No. SW7091117MOD
Pasquotank Count
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full
time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved }clans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7091117MOD
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system -are provided, such as a vegetated shelf,
and a forebay.
15. The required system dimensions are -provided per the approved plans.
cc: NCDENR-DWQ Washington Regional Office
Pasquotank County Building Inspections
Page 7 of 7

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
December 1, 2009i v,V% V�
Captain Carol Bennett, Commanding Officer
USCG, Base Support Unit Elizabeth City
1664 Weeksville Road, Building 35 9D V.,
Elizabeth City, NC 27909 be. f ra ] .
Subject: Permit No. SW7091117 �1
USCG — Replacement Mini -Mart I Exchange
Support Center Elizabeth City
Low Density Stormwater Project
Pasquotank County
Dear Captain Bennett:
The Washington Regional Office received a complete Stormwater Management Permit Application for
the USCG -- Replacement Mini -Mart 1 Exchage — Support Center Elizabeth City on November 30,
2009., Staff review of the plans and specifications has determined that the project, as proposed, will
comply with the Stormwater Regulations set forth in Session Law 2008-211 and Title 15A NCAC
2H.1000. We are forwarding Permit No. SW7091117 dated December 1, 2009, for the construction
of the subject project.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
conditions and. limitations as specified therein, and does not supercede any other agency permit that
may be required.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right
to request an adjudicatory hearing upon written request within thirty (30) days following receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer 27447,
Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please contact either
Scott Vinson or me at [phone].
incerely,
Al Hodge
Regional Supervisor
Surface Water Protection Section
AHlsv: S:IWQSISTORMWATERIPERMIT1SW7091117
cc: Sean Robey, PE
P�squotank County Inspections
Washington Regional Office
Central Files
North Carolina Division of Water Quality Internet: www.ncwaterquality.org One
943 Washington Square mall Phone: [phone] FAX: [phone] North Caro l I n a
Washington, NC 27889 FAX: [phone] /}
An Equal Opportunily l Affirmative Acton Employer Naturally
�7 turaI ly

State Stormwater Management Systems
Permit Number SW7091117
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STORMWATER MANAGEMENT PERMIT
LOW 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
USCG, Base Support Unit Elizabeth City
USCG — Replacement Mini -Mart / Exchage — Support Center Elizabeth City
Pasquotank County
FOR THE
construction, operation and maintenance of a low density development in compliance
with the provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter
referred to as the "stormwater rules') and the approved stormwater management plans
and specifications, and other supporting data as attached and on file with and approved
by the Division of Water Quality and considered a part of this permit.
The Permit shall be effective from the date of issuance until rescinded and shall be
subject to the following specific conditions and limitations:
I. DESIGN STANDARDS
1. This permit covers the construction of 46,937 square feet of built -upon area.
2. The overall tract built -upon area percentage for the project must be maintained at
24%, as required by Session Law 2008-211 and Section 2H .1005 of the
stormwater rules.
3. Approved plans and specifications for projects covered by this permit are
incorporated by reference and are enforceable parts of the permit and shall be
kept on file by the permittee at all times.
4. The only runoff conveyance systems allowed will be vegetated conveyances
such as swales with minimum side slopes of 3:1 (H:V) as defined in the
stormwater rules and approved by the Division.
5. No piping is allowed except that minimum amount necessary to direct runoff
beneath an impervious surface such as a road or to provide access and as
shown on the approved plans.
6. The built -upon areas associated with this project shall be located at least 50 feet
landward of all perennial and intermittent streams or other surface waters.
7. Roof drains must terminate at least 50 foot from the Mean High Water line.
Page 2 of 5

NdIC[ 1Viariayernerii OY,51eMS
Permit Number SW7091117
II. SCHEDULE OF COMPLIANCE
The permittee is responsible for verifying that the proposed built -upon area does
not exceed the allowable built -upon area.
2. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
3. This project may not be sold or subdivided in whole or in part without first
receiving a permit modification from the Division.
4. Prior to the subdivision and/or sale of this project, in whole or in part, the
following deed restrictions must be recorded with the Office of the Register of
Deeds:
a. The following covenants are intended to ensure ongoing compliance with
State Stormwater Management Permit Number SW7091117, as issued by
the Division of Water Quality under NCAC 2H.1000.
b. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
C. These covenants are to run with the land and be binding on all persons
and parties claiming under them.
d. The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State of North Carolina, Division
of Water Quality.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the Division of Water Quality.
f. This project is permitted for a maximum of 46,937 square feet of built -
upon area. Construction of additional built -upon area in excess of this
amount will require a permit modification.
g. This project may not be sold or subdivided, in whole or in part, without first
receiving a permit modification from the Division.
h. Construction of additional impervious areas such that low -density
requirements are no longer met will require a permit modification prior to
construction. An engineered system will be required to collect and treat
the runoff from all built -upon area associated with the project, including
that area permitted under the low density option.
i. Filling in or piping of any vegetative conveyances (ditches, swales, etc.)
associated with this development, except for average driveway crossings,
is strictly prohibited by any persons.
j. The built -upon areas shall be located a minimum of 50 feet landward of all
perennial and intermittent surface waters.
5. A copy of the recorded restrictions must be received in this Office within 30 days
of the date of sale.
6. Filling in or piping of any vegetative conveyances (ditches, swales, etc.)
associated with the permitted development, except for average driveway
crossings, is strictly prohibited by any persons.
Page 3of5

II. SCHEDULE OF COMPLIANCE
1. The permittee is responsible for verifying that the proposed built -upon area does
not exceed the allowable built -upon area.
2. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
3. This project may not be sold or subdivided in whole or in part without first
receiving a permit modification from the Division.
4. Prior to the subdivision and/or sale of this project, in whole or in part, the
following deed restrictions must be recorded with the Office of the Register of
Deeds:
a. The following covenants are intended to ensure ongoing compliance with
State Stormwater Management Permit Number SW7091117, as issued by
the Division of Water Quality under NCAC 2H.1000.
b. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
C. These covenants are to run with the land and be binding on all persons
and parties claiming under them.
d. The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State of North Carolina, Division
of Water Quality.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the Division of Water Quality.
f. This project is permitted for a maximum of 46,937 square feet of built -
upon area. Construction of additional built -upon area in excess of this
amount will require a permit modification.
g. This project may not be sold or subdivided, in whole or in part, without first
receiving a permit modification from the Division.
h. Construction of additional impervious areas such that low -density
requirements are no longer met will require a permit modification prior to
construction. An engineered system will be required to collect and treat
the runoff from all built -upon area associated with the project, including
that area permitted under the low density option.
i. Filling in or piping of any vegetative conveyances (ditches, swales, etc.)
associated with this development, except for average driveway crossings,
is strictly prohibited by any persons.
j. The built -upon areas shall be located a minimum of 50 feet landward of all
perennial and intermittent surface waters.
5. A copy of the recorded restrictions must be received in this Office within 30 days
of the date of sale.
6. Filling in or piping of any vegetative conveyances (ditches, swales, etc.)
associated with the permitted development, except for average driveway
crossings, is strictly prohibited by any persons.
Page 3 of 5

State Stormwater Management Systems
Permit Number SW7091117
7. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to the approved plans, regardless of size.
b. 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 in whole or in
part. 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 any vegetative conveyance shown on the
approved plan.
8. Swales and other vegetated conveyances shall be constructed in their entirety,
vegetated, and be operational for their intended use prior to the construction of
any built -upon surface.
9. During construction, erosion shall be kept to a minimum and any eroded areas of
the swales or other vegetated conveyances will be repaired immediately.
10. The permittee shall at all times provide the operation and maintenance
necessary to operate the permitted stormwater management systems at optimum
efficiency to include:
a. Inspections
b Sediment removal.
C. Mowing, and re -vegetating of the side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans and
specifications.
11. Within 30 days of completion of the project, the permittee shall certify in writing
that the project has been constructed in accordance with the approved plans.
12. The permittee shall submit all information requested by the Director or his
representative within the time frame specified in the written information request.
III. GENERAL CONDITIONS
1. This permit is not transferable to any person or entity except after notice to and
approval by the Director. The Director may require modification or revocation and
re -issuance of the permit to change the name and incorporate such other
requirements as may be necessary. In the event of a name or ownership
change, a completed Name/Ownership Change form, signed by both parties,
must be submitted to the Division of Water Quality accompanied by the
supporting documentation as listed on page 2 of the form. The approval of this
request will be considered on its merits, and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until the
Director approves a transfer of ownership. Neither the sale of the project nor the
transfer of common areas to a third party, such as a homeowner's association,
constitutes an approved transfer of the stormwater permit.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to an enforcement action by the Division of Water Quality,
in accordance with North Carolina General Statutes 143-215.6A to 143-215.6C.
Page 4 of 5

fVOLUI IVIQI I0R:GI IIGI I `7YOLU1 IID
Permit Number SW7091117
4. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules, and regulations contained in Session Law 2008-
211 and Title 15A NCAC 2H.1000 of the North Carolina Administrative Code,
Subchapter 21-1.1000, and North Carolina General Statute 143-215.1 et. al.
5. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by the Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants permission to DENR Staff to enter the property during
normal business hours, for the purpose of inspecting all components of the
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance, or
termination does not stay any permit condition.
8. Unless specified. elsewhere, permanent seeding requirements for the swales
must .follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state and federal), which have jurisdiction.
11. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
Permit issued this the 1st day of December, 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
—'
Colleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7091117
Page 5 of 5

4. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules, and regulations contained in Session Law 2008-
211 and Title 15A NCAC 2H.1000 of the North Carolina Administrative Code,
Subchapter 2H.1000; and North Carolina General Statute 143-215.1 et. al.
5. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, 'the Permittee shall take immediate corrective action,
including those as may be required by the Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants permission to DENR Staff to enter the property during
normal business hours, for the purpose of inspecting all components of the
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance, or
termination does not stay any permit condition.
8. Unless specified. elsewhere, permanent seeding requirements for the swales
must .follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state and federal), which have jurisdiction.
11. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
Permit issued this the 1st day of December, 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
-----= ------ -------------------------------- for
Colleen H. Sullins, Director
Division of Water Quality
By Authority of the -Environmental Management Commission
Permit No. SW7091117
Page 5 of 5

OF W A TF9 Beverly Eaves Perdue, Governor
Dee Freeman, Secretary
Vj North Carolina Depanmenl of Environment and Natural Resources
p Coleen if. Sullins, Director
Division of Water Quality
December 1, 2009
Director's Certification
From: Coleen H. Sullin
Subj: Waiver of Deed Restrictions and Protective Covenants for United States Coast
Guard, Base Support Unit Elizabeth City, Stormwater Permit No. SW7091117,
USCG — Replacement Mini -Mart 1 Exchage -- Support Center Elizabeth City
As provided in the Director's Certification provisions of NCAC of 15A NCAC 2H .1003(d)(4),
this letter waives the requirements for mandator), deed restrictions and protective covenants
contained in 15A NCAC 2H .1003(d)(1) for USCG, Base Support Unit Elizabeth City,
Stormwater Permit No, SW7091117, USCG — Replacement Mini -Mart 1 Exchage — Support
Center Elizabeth City. In lieu of these deed restrictions and protective covenants, USCG Base
Support Unit Elizabeth City will be required to submit written correspondence certifying that the
Base Master Plan will be appropriately modified to ensure that the subject development will be
maintained consistent with the plans and specifications approved by the Division of Water
Quality in Stormwater Permit No. SW7091117.
Cc: Al Hodge, WaRO
Bradley Bennett, Central Office
Mailing Address Phone [phone] Location
943 Washington Square Mall Fax [phone] Washington Square ,'Mall
Washington, NC 27889 Washington, NC 27889
ne
NorthCarolina
Jl atima!!J
Internet: wiyvv.ncwaterqualitv.orE Customer Service 1-877-623-6748
An Equal opportunity/Affirmative Action Employer — 50% Recycled110% Post Consumer Paper

_ r
DWQ USE ONLY
Fee Paid [_SC_ . q3
Permit Number
lgs2@Coastal SW —1995 ❑ Coastal SW — 2008 ❑ Ph lI - Post Construction
ApphcabWalfg)
{select all Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
ther WQ Mgmt Plan:
. State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
USCG — Replacement Mini-Mart/Exchange — Support Center Elizabeth City _
2. Location of Project (street address):
1664 Weeksville Road
City:Elizabeth City County:Pasquotank- Zip:27909
3. Directions to project (from nearest major intersection):
From the intersection of Halstead Blvd NC-344) and West Ehringhaus Street (US-17 Business) travel
southeast for approximately 3.8 miles. The entrance onto Moukawsher Drive will be on the left.
4. Latitude: 760 10' 42" N Longitude: 340 15' 54" W of the main entrance to the project.
11. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *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):
❑CAMA Major ®Sedimentation/Erosion Control: 4 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
Form SWU-10t Version 07July2009 Page I of 6

IIl. 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:United States Coast Guard, Base Support Unit Elizabeth City
Signing Official & Title:Captain Carol Bennett, Commanding Officer, Base Support Unit Elizabeth City
b. Contact information for person listed in item la above:
Street Address:1664 Weeksville Road, Building 35
City:Elizabeth City _ _ _ State:NC Zip:27909
Mailing Address (if applicable):
City:
Phone: [phone]
Ernail:[e-mail]
State: Zip:
Fax: (252 ) 335-6230
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:
Signing Official &
b.Contact information for person listed in item 2a above:
Street Ad
City:
Mailing Address (if applicable):
City:
Phone: ( )
Email:
State: Zip:,
State, Zip:
Fax: (
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: C DR Melburn Dayton
Signing Official & Title:
b.Contact information for person listed in item 3a above:
Mailing Address:
City:
Phone: (252 } 335-6356
Email:[e-mail]
State:
Zip:
Fax: (252 ) 335-6017
4. Local jurisdiction for building permits: Federal -Facilities Engineer, CG Support Center Elizabeth City
Point of Contact:CDR Nick DeLaura Phone #: (252 ) 335-6587
Form SWU-101 Version 073uly2009 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, br_ . iefly summarize how the stormwater runoff will be treated.
Runoff will sheet flow across paved surfaces to be collected in grass lined swales that are collected in a single
Swale that travels approximately 1,1001f to a large existing drainage ditch that drains directly
.to the Pasquotank River..
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 PUDApproval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.Identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW —1995 ❑ Ph II -- Post Construction
3. Stormwater runoff from this project drains to the Pasquotank River basin.
4. Total Property Area: +/- 750 acres
5. Total Coastal Wetlands Area: 0 in project 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 Area':
Proj. Area 6.35 acres
Total project area shall be calculated to exclude the followin : the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultantject area is used to
calculate overall percent built upon area (BLIA). Non -coastal wetlands landward of the NHW pro(or MHW) line may be
included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 23.8 %
9. How many drainage areas does the project have? 1 (For high density, count 1 for each proposed engineered
stormwater BMP. For low 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 1
Drainage Area 2
Drainage Area
Drainage Area _
Receiving Stream Name
Pasquotank Rvr
Stream Class *
SB
Stream Index Number *
30-3-(12)
Total Drainage Area (sf)
278000
On -site Drainage Area (sf)
278000
Off -site Drainage Area (sf)
0
Proposed Impervious Area** (sf)
66261
% Impervious Area** (total)
23.8
Impervious" Surface Area
Draina e Area 1
Draina e Area 2
Draina e Area
Draina e Area
On -site Buildings/Lots (so
13906
On -site Streets (so
On -site Parking (so
27214
On -site Sidewalks (so
3726
Other on -site (so
2091
Future (sf)
00
Off-site (so
Existing BUA*** (so
19324
Total (so:
66261
* Stream Class and Index Number can be determined at: littp://h2o.enr.state.nc.uslbims/reportsZrenortsWB.htmi
** 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 amount of existing BUA that will remain after development. Do not report any existing BUA that is
to be removed and which will be replaced by new BUA.
Form SWU-101 Version 073uly2009 Page 3 of 6

11. How was the off -site impervious area listed above determined? Provide documentation. N/A
Proiects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
fromhttp://h2o.enr.state.nc.us/su/bmp forms.htm.
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 http://h2o.enr.state.nc.us/su/bmp forms.htm. 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 htip://h2o.enr.state.nc.us/su/msi maps.htm.)
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 htty://h2o.enr.state.nc.us/su/bmp forms.htm.
1. Original and one copy of the Stormwater Management -Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII 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
http://www.envhelp.or_g/12apes/onestopexl2ress.html for information on the Express program
and -the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
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 1h mile of the site boundary, include the 1/i
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two 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.
f. 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 line 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.
L Dimensioned property/project boundary with bearings & 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.
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).
IRA
OMovo
Form SWU-101 Version 07July2009 Page 4 of 6

9. Copy of any applicable soils report with the associated SHWT elevations (Please identify 0 IA -
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"xll" 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 DWQ to verify the SHWT prior
to submittal, (910} 796-7378.)
N I Pk
A copy of the most current property deed. Deed book: 96 Page No: 390
For 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 NCAC 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
httn: / /www.secretary.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
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 lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
httR:IlZo.enr.state.nc.us/su/bmp forms.htm#deed restrictions. 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.
VIII. 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:Sean C. Robey, PE
Consulting Firm: Hyman & Robey, PC
Mailing Address:P. O. Box 339
City:Camden State:NC Zip:27921
Phone: [phone]
Email:sean®hymanrobey.com
Fax: (252 ) 338-5552
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) with (print or type name of organization listed in
Contact Information, item 1b) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Form SWU-101 Version 07July2009 Page 5 of 6

ATTACHEMENT TO STORMWATER
MANAGEMENT PERMIT APPLICATION FORM
VI. SUBMITTAL REQUIREMENTS
2. Deed restrictions are not required for this project. No property will be transferred. All
improvements are limited to the owner's property.
9. No soils reports were prepared for this project as no BMP requiring a soils analysis will be used.
The only treatment devices used are grass lined swales.
10. A copy of the current deed has not been supplied as the deed is from many years ago and the
land was originally deeded to a federal entity other than the United States Coast Guard.
Transfers within the federal government have not been recorded. We have verified with
NCDENR staff that it will be acceptable to not include the deed with this submittal.
11. The owner is not a corporation.

As the legal propertyowner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. 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 $25,000 per day, pursuant to NCGS 143-215.6.
Signature: Date:
I, a Notary Public for the State of . County of
do hereby certify that
personally appeared
before me this _ day of R . and acknowledge the due execution of the application for a
stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
1, (print or type name of person listed in Contact information, item 2) Captain Carol Bennett, Commanding O fcer
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and thVhv-�sedy1Lp*t complies with the requirements of the
applicable Stormwater rules under 15A aN�e'2H@Ob-2�46 (Ph. II -Post Construction) or 5L 20D8-211.
Signa
Date: ! y/%�/J%�
\3 a Notary Public for the State of NoRTA C A2-oLr-r 19, Countyof
P►S AA1 41.Wgo hereby certify that CR Q6 L C. `$ 6nlN ETT_ personally appeared
before me this P "day of dQEMU0- o"ZoD 4 ,and acknowledge the a execution of the application for a
Stormwater permit. Witness my hand and official seal, /
SEAL
JERRY STEVENS, JR
Notary Public, North Carolina
Dare County
MY Commission Expires
My commission expires October 1 4, 20T 4
Form SWU-101 Version 073uly2009 Page 6 of 6

Permit No.
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
LOW DENSITY SUPPLEMENT
This form may be photocopied for use as an original
A low density project is one that meets the appropriate criteria for built upon area and transports stormwater
runoff primarily through vegetated conveyances. Low density projects should not have a discrete stormwater
collection system as defined by 15A NCAC 2H .1002(18). Low density requirements and density factors can be
found in Session Law 2008-211, 15A NCAC 2H .1000, Session Law 2006-246, and the DWQ BMP Manual.
Curb and gutter systems are allowed provided they meet the requirements in 15A NCAC 2H .1008(g).
I. PROJECT INFORMATION
Project Name : USCG —Replacement Mini-Mart/Exchane� Support Center Elizabeth City
Contact Person: CDR Melburn Dayton Phone Number: (252 )335-6356
Number of Lots:I Allowable Built Upon Area (BUA) Per Lot*:n/a
Number of Dwelling Units Per Acre**:n/a
Low Density Development (check one): ® without curb & gutter ❑ with curb & gutter, outlets to (check one):
❑ Swales ❑ Vegetated Area
*If lot sizes are not uniform, attach a table indicating the number of lots, lot sizes and allowable built upon area for each lot.
The attachment must include the project name, phase, page numbers and provide area subtotals and totals. BUA shall be
shown in units of square feet.
**(Phase II Post -Construction (non -SA) only)
II. BUILT UPON AREA
Refer to DWQ's forms and applications website for specific language that must be recorded in the deed
restrictions for all subdivided projects. (http://h2o.enr.state.nc.us/su/bmp—forms.htm)
Complete the following calculation in the space provided below where:
• SA Site Area - the total project area above Mean High Water.
• DF Density Factor - the appropriate percent built upon area divided by 100.
• RA Road Area - the total impervious surface occupied by roadways.
• OA Other Area - the total area of impervious surfaces such as clubhouses, tennis courts, sidewalks, etc.
• No. of Lots - the total number of lots in the subdivision.
• BUA per Lot - the computed allowable built upon area for each lot including driveways and impervious
surfaces located between the front lot line and the edge of pavement.
• Total allowable lot BUA - the computed allowable built upon area for all lots combined.
• Total BUA from lot listing - the sum of built upon area allocated for each lot on the list of non -uniform lots.
Form SW401-Low Density-Rev.4-20090ct20 Page 1 of 4

� ' S
Calculation:
For uniform lot sizes:
(SA: 278000 ft2 x DF:.24)_ (RA; 0 ft� — COA. 0 ft2) = BUA per Lot = 66,720 ft2
(No of Lots: 1)
For non -uniform lot sizes:
a. (SA: ft2 x DF: __) -- (RA: ft2) — (OA: ft2) = Total allowable lot BUA = ft2
b. Total BUA from lot listing: 66, 261sf. b must be :5 a
III. DESIGN INFORMATION
Complete the following table. If additional space is needed the information should be provided in the same
format as Table I and attached to this form. Rainfall intensity data can be found in Appendix 8.03 of the State
of North Carolina Erosion and Sediment Control Planning and Design Manual or at
http://hdsc.nws.noaa.gov/hdsc/pfds/
Form SW401-Low Density-Rev.4-20090ctW Page 2 of 4

.. .4
IV. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the North Carolina Administrative Code Section 15A
NCAC 2H .1000, NCDENR BMP Manual (2007), Session Law 2006-246, and Session Law 2008-211.
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An
incomplete submittal package will result in a request for additional information. This will delay final
review and approval of the project. Initial in the space provided to indicate that the following requirements
have been met and supporting documentation is provided as necessary. If the applicant has designated an agent
on the Stormwater Management Permit Application Form, the agent may initial below. If any item is not met
then iustification must be attached. Only complete items m through o for projects with curb outlets.
Page/Plan
Initials Sheet No.
C2 a. For projects in the 20 coastal counties: Per NCAC 2H.1005, a 50 foot wide vegetative buffer
is provided adjacent to surface waters. For Redevelopment projects, a 30' wide vegetative
buffer adjacent surface waters is provided.
N/A b. For HQW or ORW projects outside the 20 coastal counties: A 30 foot wide vegetative buffer
is provided adjacent to surface waters.
NIA c. t For Phase H Post -Construction projects: All built upon area is located at least 30 feet
landward of all perennial and intermittent surface waters.
N/A d.Deed restriction language as required on form SWU-101 shall be recorded as a restrictive
covenant. A copy of the recorded document shall be provided to DWQ within 30 days of
platting and prior to the sale of any lots.
C4 e. Built upon area calculations are provided for the overall project and all lots.
N/A f. Project conforms to low density requirements within the ORW AEC. (if applicable per
15A NCAC 2H .1007)
TV-' C7 g. Side slopes of swales are no steeper than 3:1; or no steeper than 5:1 for curb outlet swales.
C4&5 h. Longitudinal slope of swales is no greater than 5%; for non -curb outlet projects, calculations
for shear stress and velocity are provided if slope is greater than 5%.
Attached i. At a minimum, swales are designed to carry the 10 year storm velocity at a non -erosive rate.
N/A j. Swales discharging to wetlands are designed to flow into and through the wetlands at a non -
erosive velocity (for this flow requirement into wetlands, non -erosive is velocity < 2 ftls).
C7 k. Swale detail and permanent vegetation is specified on the plans.
N/A 1. Swales are located in recorded drainage easements.
N/A m.tt Length of swale or vegetated area is at least 100 feet for each curb outlet.
N/A n.tt The system takes into account the run-off at ultimate built -out potential from all surfaces
draining to the system (delineate drainage area for each swale).
N/A o.tt Curb outlets direct flow to a swale or vegetated area.
t Projects in the Neuse, Tar -Pamlico, Catawba River basins, and Randleman Lake may require additional buffers.
tt Only complete these items for projects with curb outlets.
Form SW401-Low Density-Rev.4-20090ct20 Page 3 of 4

ATTACHEMENT TO LOW
DENSITY SUPPLEMENT
VI. REQUIRED ITEM CHECKLIST
b. This project is within the 20 coastal counties.
C. This is not a Phase 11 Post -Construction project.
d. No deed restrictions are required as no land is being subdivided or transferred.
f. The project is not located within the ORW AEC.
j. The proposed swales discharge into an existing swale, not wetlands.
I. No drainage easements are being recorded as all improvements will be located on base
property.
m, n, o. There are no curb outlets in this project.

V. SWALE SYSTEM MAINTENANCE REQUIREMENTS
1. Mowing will be accomplished as needed according to the season. Grass height will not exceed six inches
at any time; and grass will not be mowed too close to the ground or "scalped".
2. Swales will be inspected monthly or after every runoff producing rainfall event for sediment build-up,
erosion, and trash accumulation.
3. Accumulated sediment and trash will be removed as necessary. Swales will be reseeded or sodded
following sediment removal.
4. Eroded areas of the swales will be repaired and reseeded. Swales will be revegetated as needed and in a
timely manner based on the monthly inspections. Side slopes must be maintained at the permitted slope.
5. Catch basins, curb cuts, velocity reduction devices, and piping will be inspected monthly or after every
significant runoff producing rainfall event. Trash and debris will be cleared away from grates, curb cuts,
velocity reduction devices and piping.
6. Swales will not be altered, piped, or filled in without approval from NCDENR Division of Water Quality.
I acknowledge and agree by my signature below that I am responsible for the performance of the six
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 and Title:Captain Carol Bennett, Commanding Officer, Base Support Unit Elizabeth City
Address:1664 Weeksville Road. BuildinL 35. Elizabeth Citv. NC 27909
Phone: [phone] A Date: jgZVd,,, off
Signature:
6,�-,
Note: The legally responsible party should not be a homeowners association unless more than 5090 of the lots have been sold and a
resident of the subdivision has been named the president.
A iY7 /1 A
I; �--' S— , allottarry Public for the State of NcRT'll CgQo4 Al A- , County of
Diwe do hereby certifyn
that L #06L C• '86"'Je-Tr personally appeared before me this 2Q
day of NdJ EMgE� Zoo � , and acknowledge the due execution of the forgoing swale maintenance requirements.
Witness my hand and official s
Notary signature
JEAIYIi 1iEVEN5, JH
Notary Nblic. North Carolina
69e Coun ty
My C6fnrriission Expires
0616b6i t 4, 2014
SEAL_ My commission expires
r ,� -
N
Form SW401-Low Density-Rev.4-20090ct20 Page 4 of 4

JAN a 4 2011
J �
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT 1�+4�', +if?C
No person may initiate any land -disturbing activity on one or more acres as covered by the Act before this
form and an acceptable erosion and sedimentation control plan have been completed and approved by the
Land Duality Section, N.C. Department of Environment and Natural Resources. (Please type or print and, if
the question is not applicable or the e-mail and/or fax information unavailable, place NIA in the blank.)
Part A.
1. Project Name Thrun Hall Barracks & Galley
2. Location of land -disturbing activity: CountyTPasquotank City or Township Eizabeth City
Highway/Street Weeksville Road Latitude 36 16'02" N Longitude 76 10'57" W
3. Approximate date land -disturbing activity will commence: December 2010
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Residential/Federal
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 10.98ac
6. Amount of fee enclosed: S 715.00 The application fee of $65.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is $585).
7. Has an erosion and sediment control plan been filed? Yes No Enclosed X
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Steve Allen E-mail Address [e-mail]
Telephone [phone] Cell # Fax # [phone]
9. Landowner(s) of Record (attach accompanied page to list additional owners):
United States Coast Guard 757-852-3400
Name Telephone Fax Number
1183 Weeksville Road
Current Mailing Address Current Street Address
Elizabeth City NC 27909
City State zip City State Zip
10. Deed Book No. 96 Page No. 390 Provide a copy of the most current deed.
Part B.
Person(s) or firm(s) who are financially responsible for the land -disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet):
United States Coast Guard
Name
5505 Robin Hood Road suite K
Current Mailing Address
Norfolk NC 2351
City State Zip
E-mail Address RECEIVED
Current Street Address
City
VIASHN i ON REGIONAL
Telephone [phone] Fax Number

2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
Name
Current Mailing Address
E-mail Address
Current Street Address
City State Zip City State Zip
Telephone Fax Number
(b) If the Financially Responsible Party is a Partnership or other person engaging in business under an
assumed name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible
Party is a Corporation, give name and street address of the Registered Agent:
Name of Registered Agent E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Telephone
Fax Number
The above information is true and correct to the best of my knowledge and belief and was provided
by me under oath (This form must be signed by the Financially Responsible Person if an individual
or his attorney -in -fact, or if not an individual, by an officer, director, partner, or registered agent with
the authority to execute instruments for the Financially Responsible Person). I agree to provide
corrected information should there be any change in the information provided herein.
C.-ry' - ►�� l �r� z -- - ���,r�►y� i�ti -'� 4 IcL C��� tLt�
Type o r t name Title or Authority
�2llo
Siodature Date
I, I ti c C;K Y zX a Notary Public of the �Of
State of �f l 1� l �`' hereby certify that �L�L i�
appeared person -My before me this day and being duly sworn acknowledged that the above form
was executed by him.
Witness my hand and notarial seal, this
TINA M. ECKEL
Notary Public
Com"emith of Virginia
285778
7mymmission Expires Jun 30, 2013
1 day of x i% qY1 lei tr , 20
c_
Notary
7 21
My commission expires C., +'U,,z-��