SW8041130_HISTORICAL FILE_20050819 (2)

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 Q4 11 3 0
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
Z.00 S 09 1 q
YYYYMMDD

Michael F. Easley, Governor
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
August 19, 2005
Mr. Warren G. Bailey, Member
Bailey & Southstar, LLC
405-D Western Boulevard
Jacksonville, NC 28546
Subject: Stormwater Permit No. SW8 041130 Modification
Walgreen's Drugstore - Jacksonville, NC
High Density Project
Onslow County
Dear Mr. Bailey:
The Wilmington Regional Office received a complete Stormwater Management Permit
Application for Walgreen's Drugstore - Jacksonville, NC on August 16, 2005. Staff review of
the plans and specifications has determined that the project, as proposed, will comply with the
Stormwater Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No.
SW8 041130 Modification dated August 19, 2005, for the construction of the subject project.
This modification involves redevelopment of a vacant site and the installation of a redesigned,
extended dry detention basin instead of the dry detention basin and sand filter of the previous
modification issued June 28, 2005.
This permit shall be effective from the date of issuance until August 19, 2015, 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 150E 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 Paul Bartlett, or me at [phone].
Sincerely,
% %2
E: ward Beck
Regional Supervisor
Surface Water Protection Section
ENB/ptb: S:\WQS\STORMWATER\PERMIT\041130Mod.aug05
cc: Phillip Norris, Norris, Kuske & Tunstall Consulting Engineers, Inc.
Mike Morris, Onslow County Building Inspections
Paul T. Bartlett, P.E.
Wilmington Regional Office
Central Files
Nodh Carolina Division of Water Quality 127 Cardinal Drive Extension Phone [phone] Customer Servicel-877E23-6748
One
Wilmington Regional Office Wilmington, NC 28405-3845 FAX [phone] Internet: h2o,em.state. ncos
NOrIt3Carol 1i18
An Equal OpporlunitylAff rmative Action Employer— 50% Recycled/10% Post Consumer Paper
Naturally

State Stormwater Management Systems
Permit No. SW8 041130 Modification
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
Warren G. Bailey and Bailey & Southstar, LLC
Walgreen's Drugstore - Jacksonville, NC
Onslow County
FOR THE
construction, operation and maintenance of a dry detention basin in compliance with
the provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules")
and the approved stormwater management plans and specifications and other
supporting data as attached and on file with and approved by the Division of Water
Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until August 19, 2015, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data. This modification
involves the installation of a redesigned, extended dry detention basin instead of
the dry detention basin and sand filter of the previous modification issued June
28, 2005.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.6 on page 3 of this permit. The stormwater
control has been designed to handle the runoff from 62,748 square feet of
impervious area.
3. The tract will be limited to the amount of built -upon area indicated on page 3 of
this permit, and per approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
Page 2 of 7

State Stormwater Management Systems
Permit No. SW8 041130 Modification
6. The following design criteria have been provided in the dry detention basin and
must be maintained at design condition:
a.
Drainage Area, 9cres:
1.483
Onsite, ft :
64,589
Offsite, ft2:
None
b.
Total Impervious Surfaces, ft2:
62,748
C.
Design Storm, inches:
1
d.
Bottom Elevation, FMSL:
33.0
e.
Permitted Surface Area, ft2:
3,090
f.
Permitted Storage Volume, W:
6,240
g.
Storage Elevation, FMSL:
37.0
h.
Controlling Orifice:
0.75"0 pipe
i.
Additional BMP:
Grassed Swales
j.
Receiving Stream/River Basin:
Mill Creek / White Oak
k.
Stream Index Number:
19-9
I.
Classification of Water Body:
"SC, NSW"
II. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
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 times provide the operation and maintenance
necessary to assure the permitted stormwater system functions at optimum
efficiency. The approved Operation and Maintenance Plan must be followed in
its entirety and maintenance must occur at the scheduled intervals including, but
not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowin.9 and revegetation of slopes and the vegetated filter.
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, flow
spreader, catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ. The records will indicate the date,
activity, name of person performing the work and what actions were taken.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW8 041130 Modification
The facilities shall be constructed as shown on the approved plans. This permit
shall become voidable unless the facilities are constructed in accordance with
the conditions of this permit, the approved plans and specifications, and other
supporting data.
Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, 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.
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.
Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
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
Ma,)
or permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
10. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
12. 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.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW8 041130 Modification
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 formal permit transfer request to the Division of Water Quality,
accompanied by a completed name/ownership change form, documentation
from the parties involved, and other supporting materials as may be appropriate.
The approval of this request will be considered on its merits and may or may not
be approved. The permittee is responsible for compliance with all permit
conditions until such time as the Division approves the transfer request.
2. 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.
3. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
4. 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.
5. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
6. The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and reissuance or
termination does not stay any permit condition.
7. 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.
8. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
9. The permittee shall notify the Division any name, ownership or mailing address
changes within 30 days.
Permit issued this the 19th day of August, 2005.
NORTFJ,CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Division of Water Quality
By Authority of the Environmental Management Commission
Page 5 of 7

State Stormwater Management Systems
Permit No. SW8 041130 Modification
Walgreen's Drugstore - Jacksonville, NC
Stormwater Permit No. SW8 041130 Modification
Onslow County
Designer's Certification
I, , as a duly registered
in the State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW8 041130 Modification
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 Regional Office
Mike Morris, Onslow County Building Inspections
Page 7 of 7

NORRIS, KUSKE &TUNSTALL
A� CONSULTING ENGINEERS, INC.
August 15, 2005
Mr. Paul Bartlett, P.E., Environmental Engineer
NC DENR
Division of Water Quality
Water Quality Section
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Re: Walgreen's Drugstore — Jacksonville, NC
SW8 041130 Modification
Onslow County
NKT Project No. 03308
IIZFTidiM:FIVE iii
We are responding to your comment letter of August 15, 2005 as follows:
J. Phillip Norris, P.E.
John A. Kuske, III, P.E.
John S. Tunstall, P.E.
J.A. Kuske, P.E. of Counsel
1. The application has been modified to reflect the changes you suggested.
2. The invert for Curb Inlet CI-2 has been clarified. There is only one 12 inch pipe.
3. A filter screen has been added to the Outlet Structure Detail and a note has been
added regarding the emergency pump.
We are enclosing two (2) sets of revised plans and the revised Page 2 of the State
Stormwater Permit Application (SWU-101) for your review and approval. Please let us
know if you need any further information. Thank you for your assistance on this project.
Sincerely,
NORRIS, KUSKE & TUNSTALL
TNSU�IIN�ENGINEERS, INJ
11--� — .-
Phillip Norris, .E. ]ZETCEHVED
JPN/asn AUG 1 g 2005
5 rti � O�F✓_�%�� �l(0
03308 08-15-05-s-sw response-itr BY:
cc: Jason Hood / Dalton Moran Robinson Architecture, PLLC
902 Market Street • Wilmington, NC 28401-4733 0 Phone: [phone] • Fax: [phone]

* * * COMMUNICATION RESULT REPORT ( AUG.15.2005 1:32PM )
FILE MODE OPTION
087 MEMORY TX
REASON FOR ERROR
E-1) HANG UP OR LINE FAIL
E-3) NO ANSWER
ADDRESS (GROUP)
9-3439604
E-2) BUSY
E-4) NO FACSIMILE CONNECTION
State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Michael F. Easley, Governor
FAX COVER SHEET
P. 1
*
bENR WIRO
PAGE
William G. Ross, Jr., Secretary
Date: 8/15/05 No. of Pages: 3 (Incl. Cover)
To: Phil Norris From: Paul Bartlett
Company: NKT Water Quality Section - Stormwater
FAX #: [phone] FAX #: [phone]
Phone #: [phone]
DWQ Stormwater Project Number: SW8 041130 Modification
Project Name: Walgreen's Drugstore - Jacksonville, NC
MESSAGE:
Phil,
A Request for Additional Information is attached for the subject project. The original will
be mailed to Mr. Bailey, and a copy will be mailed to you.

State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Michael F. Easley, Governor
FAX COVER SHEET
William G. Ross, Jr., Secretary
Date: 8/15/05 No. of Pages: 3 (Incl. Cover)
To: Phil Norris From: Paul Bartlett
Company: NKT Water Quality Section - Stormwater
FAX #: [phone] FAX #: [phone]
Phone #: [phone]
DWQ Stormwater Project Number: SW8 041130 Modification
Project Name: Walgreen's Drugstore - Jacksonville, NC
MESSAGE:
Phil,
A Request for Additional Information is attached for the subject project. The original will
be mailed to Mr. Bailey, and a copy will be mailed to you.
ENB\ptb: S:\WQS\STORMWATER\ADDINFO\2005\041130Mod.aug05
127 Cardinal Drive Extension, Wilmington, NC 28405-3845 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer

TFR
�� C
August 15, 2005
Mr. Warren G. Bailey, Member
Bailey & Southstar, LLC
405-D Western Boulevard
Jacksonville, NC 28546
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
Subject: Request for Additional Information
Stormwater Project No. SW8 041130 Modification
Walgreen's Drugstore - Jacksonville, NC
Onslow County
Dear Mr. Bailey:
Alan W. Klimek, P.E. Director
Division of Water Quality
The Wilmington Regional Office received a Stormwater Management Permit Application for
Walgreen's Drugstore - Jacksonville, NC on August 4, 2005 for review on August 10, 2005. A
preliminary review of that information has determined that the application is not complete. The
following information is needed to continue the stormwater review:
1. Please clarify the proposed impervious area (sq ft and %) listed in the
application. It appears that the building canopy (725 sq ft) was not included in
�V� I�Jxi the total of Section 111.6. The total should read 62,748 sq ft which is an
impervious area of 97 2°/ not 78 2°/ for the listed draina a area of 64 589 ft
2.
3.
0)
e, o, 9
Please clarify the invert elevations and outlet pipe for Curb Inl 2 o�Dr ng
C2.2. Please label (2) 12"RCP on the outlet pipe if there ar 2 prpes. Plea
clarify the 33.5' invert elevation for CI-2 since a 33.8' invert vGation is given for
CI-3.
Please add a filt®f screen for the 0.75-inch orifice on the Outlet Structure detail of
Drawing C4.1 and add a no that a pump will be provided for maintenance of the
structure and draining durfl�-g emergencies.
Please note that this request for additional information is in response to a preliminary review.
The requested information should be received by this Office prior to August 22, 2005, or the
application will be returned as incomplete. The return of a project will necessitate resubmittal of
all required items, including the application fee.
North Carolina Division of Water Quality 127 Cardinal Drive Extension Phone [phone] Customer Sewicel-877-623-6748 One
Wilmington Regional Office Wilmington, NC 28405-3845 FAX [phone] Internet, h2o.enr.state.nc.us North Carolina
An Equal OpportunitylAffrmative Action Employer — 50% Recycled110 % Post Consumer Paper A)atura!!y

Mr. Warren G. Bailey
August 15, 2005
Stormwater Application No. SW8 041130 Modification
If you need additional time to submit the information, please mail or fax your request for
a time extension to the Division at the address and fax number at the bottom of this
letter. The request must indicate the date by which you expect to submit the required
information.
The construction of any impervious surfaces, other than a construction entrance under
an approved Sedimentation Erosion Control Plan, is a violation of NCGS 143-215.1 and
is subject to enforcement action pursuant to NCGS 143-215.6A.
Please reference the State assigned project number on all correspondence. Any
original documents that need to be revised have been sent to the engineer or agent. All
original documents must be returned or new originals must be provided. Copies are not
acceptable. If you have any questions concerning this matter please feel free to call me
at [phone].
SincE ly,
ldck—
Paul T. Bartlett, P.E.
Environmental Engineer
ENBlptb: S:\WQS\STORMWATER\ADDINFO\2005\041103MOD.aug05
cc: J. Phillip Norris, P.E., Norris, Kuske & Tunstall Consulting Engineers, Inc
Paul Bartlett
Page 2 of 2

,m:0I/29/2005 FRI 9:156_ FAX V910 343 9604 Norris, Kuske, Tunstall /� U11//00 4/
■: f � �D.�. �1i�tU,C� fl'rl � Pt'ri S ®�A5
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North Carolina Department of Environment and Natural Resources
127 Cardinal Drive Extension. Wilmington, NC 28405 [phone] FAX [phone] li
Request for Express Permit Review
FILL-IN all information below and CHECK required Permit(s). Gr )l ' ��
FAX to Cameron Weaver along with a narrative and vicinity me of the project location. �p
Projects must be submitted by 9:00 A.M. of the review data, unless prior arrangements are ma
APPLICANT Name Warren G. Bailey Member
Company Bailey & Southstar, LLC
Address 405-D Western Boulevard City/State Jacksonville NC Zip 28546 County Onslow
Phone [phone] Fax [phone] Email NIA
PROJECT Name Walween's Druqslore— Jacksonville, NC
ENGINEER/CONSULTANT J. Phillip Norris P.E.
Company Norris Kuske & Tunstall Consulting Engineers Inc
Address 902 Market Street City/State Wilmington, NC Zip 28401 County New Hanover
Phone [phone] Fax [phone] Email pnorris�nktenq.com
❑ STREAM ORIGINATION CERTIFICATION
® STORMWATER ❑ Low Density ® High Density -Detention Pond ❑ High Density -Other
❑ Low Density -Curb & Gutter ❑ High Density -Infiltration ❑ Off Site
❑ COASTAL ❑ Excavation & Fill ❑ Bridges & Culverts ❑ Structures Information
MANAGEMENT ❑ Upland Development ❑ Marina Development ❑ Urban Waterfront
❑ LAND QUALITY ❑ Erosion and Sedimentation Control Plan with acres to be disturbed.
❑ WETLANDS (401) ❑ No Wetlands on Site (letter from COE) ❑Wetlands Delineated/No JD
❑ Greater than 0.1 AC Wetlands Impacted ❑Jurisdictional Determination has been done
❑ Less than 0.1 AC Wetlands Impacted ❑Greater than 0.5 AC Wetlands Impacted
The legislation allows additional fees, not to exceed 50% of the original Express Review permit application
fee, to be charged for subsequent reviews due to the insufficiency of the permit applications.
For DENR use only
SUBMITTAL DATES:
Fee Split for multiple permits:
SW
$
CAMA
$
LOS
$
401
$
Total Fee Amount $

A- NORRIS, KUSKE &TUNSTALL
CONSULTING ENGINEERS, INC.
August 3, 2005
Mr. Cameron Weaver, Express Review Coordinator
NC DENR Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Re: State Stormwater Permit Express Review Submittal
Walgreen's Drugstore — Jacksonville, NC
Jacksonville, NC
NKT Project No. 03308
Dear Mr. Weaver:
J. Phillip Norris, P.E.
John A. Kuske, III, P.E.
John S. Tunstall, P.E.
J.A. Kuske, P.E. of Counsel
AUG -J 4 2005
B�g041OD b6
Enclosed are two (2) sets of plans for the subject project, one (1) drainage area basin
delineation plan, one (1) set of calculations, one (1) copy of the stormwater narrative,
the original Division of Water Quality Stormwater Management Permit application, the
original Extended Dry Detention Basin Supplement form, and a $4,000.00 check for the
express permit review fee.
Please review this information for approval and contact us with any questions or
comments you may have. Thank you for your assistance on this project.
Sincerely,
NORRIS, KUSKE, & TUNSTALL
CONSULTING ENGINEERS, INC.
1jill.
ip Norris, P.E.
JPN/asn
03308 08.03-05-s-sw express-Itr
Enclosures
cc: Warren Bailey / Bailey & Southstar, LLC
Jason Hood / Dalton Moran Robinson Architecture,
S`WS 041130
e evel it-auj
. 'Ua71vt,
o / b
PLLC '�K� naa?
�Ytt?er.
902 Market Street • Wilmington, NC 28401-4733 • Phone: [phone] • Fax: [phone]

NKT #03308
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
1. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Bailey & Southstar, LLC
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Warren G. Bailey. Member
3. Mailing Address for person listed in item 2 above:
405-D Western Boulevard
State: NC Zip: 28546
Telephone Number: [phone]
4. Project Name (subdivision, facility, or establishment name — should be consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
Walgreen's Drugstore - Jacksonville, NC
5. Location of Project (street address):
1600 Gum Branch Road
City: Jacksonville County: Onslow
6. Directions to project (from nearest major intersection):
Proceed NE from intersection of US 17 & NC 24 On us 17 in Jacksonville 1.4 miles, turn left on
Gum Branch Road and ao NW 1.6 miles to Intersection w/ Henderson. Site on north corner
7. Latitude: 340 47' 06"
Longitude: 770 25' 29"
of project
8. Contact person who can answer questions about the project:
Name: J. Phillip Norris, P.E. Telephone Number: [phone]
II. PERMIT INFORMATION
Specify whether project is (check one):
New Renewal X Modification
Fonn SWU-101 Version 3.99 Page 1 of 4

.5w8 04//3o%toD
2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
Existing permit number SW8 041130 And its issue date (if known) June 28, 2005
Specify the type of project (check one):
_ Low Density High Density X Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
_CAMA Major X Sedimentation/Erosion Control _ 404/401 Permit _ NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
Ill. PROJECT INFORMATION
In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
Extended Dry Detention Basin
Stormwater runoff from this project drains to the
Total Project Area:
1.82 AC
How many drainage areas does the project have?
White Oak River Basin.
4. Project Built Upon Area: 97.2 %
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
1Bnsi'n",Informntiod'I [ m4413 N,p 'I UM 1 ,,
a ti,i„iN Dmina". e Areal
.r„ Drami a ea ,� w,.,. , 2r I"r
Receiving Stream Name
Mill Creek
Receiving Stream Class
SC; NSW
Drainage Area
64,589 SF / 1.483 AC
Existing Impervious * Area
79,200 SF / 1.82 AC
Proposed Impervious* Area
62,748 SF 11.44 AC
% Impervious* Area total
97.2%
,Impervious* Surface Area 1
.,,.,,.,.,,SLDraina e,Area J
x , 1„Draina a Area 2, i g�d,,,,,A
On -site Buildings
15,545 SF 10.357 AC
On -site Streets
N/A
On -site Parking
45,343 SF 11.041 AC
On -site Sidewalks
1,860 SF 10.042 AC
Other on -site
0
Off -site
0
Total: 62,748 SF 11.44 AC
Total:
* Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas
stdewalks, gravel areas, etc.
Form SWU-101 Version 3.99 Page 2 of 4

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How was the off -site impervious area listed above derived?
N/A
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a
table listing each lot number, size and the allowable built -upon area for each lot must be provided as an
attachment.
The following covenants are intended to ensure ongoing compliance with state stormwater management permit
number SW8 041130 as issued by the Division of Water Quality. These covenants may
not be changed or deleted without the consent of the State.
2. No more than square fee! ofany lot shall be covered by structures or impervious materials.
Impervious materials include asphalt, gravel, concrete, brick, .stone, slate or similar material but do not include
wood decking or the water surface ofswimming pools.
3. Shales shall not be filled in, piped, or altered except as necessary to provide driveway crossings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification
prior to construction.
5. All permitted runofffrom outparcels or future development shall be directed into the permitted stormwater control
system. These connections to the stormwater control system shall be performed in a manner that maintains the
integrity and pert rmance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, that the covenants will be binding on all parties and persons
claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement forni(s) listed below must be submitted for
each BMP specified for this project. Contact the Stormwater and General Permits Unit at [phone] for
the status and availability of these forms.
Form SWU-102
Form SWU-103
Form SWU-104
Form SWU-105
Form SWU-106
Form SWU-107
Form SWU-108
Form SWU-109
Wet Detention Basin Supplement
Infiltration Basin Supplement
Low Density Supplement
Curb Outlet System Supplement
Off -Site System Supplement
Underground Infiltration Trench Supplement
Neuse River Basin Supplement
Innovative Best Management Practice Supplement
Form SWU-101 Version 3.99 Page 3 of 4

• 'VI, SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. The complete application package should be
submitted to the appropriate DWQ Regional Office.
Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
• Original and one copy of the Stormwater Management Permit Application Form
• One copy of the applicable supplement form(s) for each BMP
• Permit application processing fee of $=4payable to NCDENR) #� 1000 •60
• Detailed narrative description of stormwater treatment / management
• Two copies of plans and specifications, including:
- Development / Project name
- Engineer and firm
- Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property / project boundary
- Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished Floor elevations
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VI1. AGENT AUTFIORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
J. Phillip Norris, P.E.
Designated agent (individual or firm): Norris, Kuske & Tunstall Consulting Engineers, Inc.
Mailing Address:
City:
902 Market Street
State: NC Zip: 28401
Phone: [phone] Fax: [phone]
Vlll. APPLICANT'S CERTIFICATION
1, (print or type name ofperson listed in General Information, item 2) Warren G. Bailey, Member
Certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be construe d in conflornwce with the approved plans, that the required deed restrictions and
protective c=willbend at he proposed project complies with the requirements of 15A NCAC
21i.1000.fy/'Signature: Date:( 2 V�eV
Form SWU-101 Version 3.99 Page 4 of 4

STORMWATER SYSTEM NARRATIVE
WALGREEN'S DRUGSTORE
JACKSONVILLE, NC
For
Bailey & Southstar, LLC
405-D Western Boulevard
Jacksonville, NC 28546
[phone]
REC_ F,I �D
AUG n 4 I�05
Sr,J� o � 3a
July 2005
Prepared by:
NORRIS, KUSKE & TUNSTALL CONSULTING ENGINEERS, INC.
902 Market Street
Wilmington, North Carolina 28401
[phone]
[phone] (Fax)
E-Mail: [e-mail]
NKT Project No.03308

NARRATIVE
DESCRIPTION:
The site is a 1.82-acre tract in the north quadrant of the intersection of Gum
Branch Road (SR 1308) and Henderson Drive Extension (SR 1336). The tract is
bounded by right-of-way to the southeast and southwest and parking lot to the northeast
and northwest. The site is presently vacant, containing remnants of asphalt, concrete
and building foundation over the entire area. The site is basically flat and drains to
stormwater inlets on the adjacent properties. There are no wetlands on this tract.
The project is new development consisting of clearing, grading, and construction of
a building, parking, utilities, and stormwater management system. Design impervious for
the entire site is computed at 80%. Approximately 1.94 acres will be disturbed by the
construction work. An erosion control permit will be required from the City of Jacksonville.
This site has been permitted twice by NC DENR under SW8 041130 on February 8, 2005
and SW8 041130 Modification on June 28, 2005. Due to zoning and cost issues, the
Owner has requested that a redesign be done for a "dry pond system".
STORMWATER MANAGEMENT MEASURES:
The site does not have adequate space to install a wet detention pond nor depth to
water table and the soils for an underground infiltration system. Because the new
construction will reduce the site impervious surface by 20%, we are employing best
management practices and draining the runoff through grassed swales prior to discharge
to a dry detention system. The exceptions are roof runoff, which will drain directly to
detention. All of the new open area will be grassed or landscaped with approximately 13
new canopy trees.
The grading contractor and developer will provide maintenance during
construction. The tenant will provide maintenance after completion.

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