SW4090903_CURRENT PERMIT_20110921

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW '2'OqQD3
DOC TYPE
� CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
LIjOI�O�'�I
YYYYMMDD

JAW
TRIANGLE
SIT1: Df.S I G N
ENGINEER'S CERTIFICAICIN
Re: Dollar General
Town of Mocksville, North Carolina
Davie County
Stormwater Permit No. SW4090903
Notice of Violation #NOV-2011-PC-0328
4006 Barrell Drive
Suite 203
Raleigh. North Carolina 27609
[phone]
RECEIV€C
N,C- C)"t of ENR
SEP 2 12011
Winston -salon;
Regional office
I, Matthew E. Lowder, a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe periodically the construction of the Dollar General project for Primax
Properties, LLC, hereby state that to the best of my knowledge, 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.
More specifically, this certification is for the corrective actions outlined in the Violation Response
letter dated June 28, 2011 and includes the following items:
• The outlet structure has been modified to bring it in compliance with the approved
specifications
• A pipe has been installed with the conveyance swale beside the building to collect runoff
from the roof and diverting it to the wet detention pond
• The swale beside the parking lot has been regarded and vegetated to convey water to
the wet detention pond
• A clay liner has been installed in the bottom of the wet detention pond
Signature:
PE Registration Number: 24434
Date: 91/511( ..%101:°A%A
SEAS. �
24434
.,�h%c�•� E.
r�rrrtrttt`•60

" ...' ev,
PRIM&X
PRO PERT IES, LLC
June 27, 2011
North Carolina Division of Water Quality
Winston-Salem Regional Office
585 Waughtown St
Winston-Salem, NC 27017
Attn: W. Corey Basinger
Subject: Stormwater Permit No. SW4090903
Notice of Violation #NOV-201 1 -PC-0328
Mocksville Dollar General
Davie County
RECEIVED
N.C. Dept- of ENR
JUN 2 8 2011
Winston -Sale. --
Regional Of, ce
This letter is in response to the Notice of Violations letter dated May 26, 2011 regarding the Stormwater
Permit for the Dollar General site in Mocksville, NC. We have conducted multiple visits to the site since
we received the letter, including an on -site meeting with Ms. Sue Homewood on June 20, 2011, to verify
the existing conditions and to determine corrective actions to address the deficient items that were noted
in the letter. We have also had a discussion with the Mr. Robert Patterson on June 8, 2011 to review the
items raised concerning the stormwater management pond and permitting implications with revisions to
the pond to address those items. Below is our response to the items that were noted in the Notice of
Violations letter and the corrective actions we proposed to make to address those issues.
1. Stormwater management pond discrepancies:
Item Noted:
Outlet Structure intermediate weir is at the wrong elevation and does not provide the required
storage volume.
Proposed Corrective Action:
Measurements were made of the outlet control structure and the intermediate weir as constructed
is approximately one inch lower than the proposed design elevation. in order to correct the
elevation, 1 inch bricks will be set in the existing weir to raise the elevation of the intermediate
weir to the design elevation. Per the discussion with Mr. Robert Patterson, making this
adjustment to the outlet control structure will not warrant a revision to the permit for this
stormwater facility.
Item Noted:
Curb and Gutter was not constructed in the front parking area as shown on the approved
construction documents. Also, drainage swales on the side of the building and on the side of the
parking lot are not adequately conveying runoff to the stormwater management pond.
Proposed Corrective Action:
An as -built survey was conducted to verify the drainage pattern in the front parking lot and to
verify the grade in the existing swales. The as -built survey verified that runoff within the front
1065 East Morehead Street • 4th Floor 9 Charlotte, NC 28204-2812 • 704-344-8200 0 704-344-8288 Fax

parking area is drainage towards the existing,front curb line and being picking -up in the existing
drainage structure. The curb and gutter that was omitted along the side of the parking lot is not
required because the runoff is being adequately conveyed to the stormwater management facility
without the need for the curb. The as -built survey also indicates that the swales beside the
building and at the side of the parking lot are conveying water to the stormwater management
area; however, there are undulations within the swales that are preventing them from conveying
the water as intended in the design. In order to correct this issue for the swale beside the
building a pipe will be installed to collect runoff from the first two roof drains outlets and will be
released within the Swale to convey the runoff from the building past the flattest area of the Swale.
For the Swale beside the parking area the contractor is going to re -grade the Swale to improve the
flow of runoff to the stormwater management pond.
2. Stormwater management pond maintenance:
Item Noted:
Wet detention basin did not have the appropriate minimum water level present
Proposed Corrective Action:
1t appears that there are two contributing factors into the water level in the pond. First, we
researched historical data and the rainfall in the Mocksville from May 1 St to June 21 Et was only
0.24 inches. With this small amount of rainfall the water elevation within the pond would be
expected to be lower than normal due to evaporation and other forces.
Second, based on field observations the existing soil at the bottom of the main pond area is a
clay/sand mixture that is allowing water to infiltrate into the surrounding soil. The soils in the
forebay area have more clay in them and are not allowing infiltration into the ground. In order to
prevent this from continuing to happen, the contractor is going to construct a compacted clay soil
liner. The clay liner will be constructed within the main pond area up to the level of the existing
mulch and will be compacted to create a barrier to prevent water from infiltrating into the
surrounding soils.
Sincerely,
AFranFawcett
Project Director
Primax Properties, LLC
C: Matt Lowder
Russ Harriger
Greg Jordan

PRINC
PROP ERTIFS,LLC
Frank Fawcett
Project Director
1065 East Morehead Street
4th Floor Mobile [phone]
Charlotte, NC 28204-2812 Fax [phone]
[e-mail]
PRI NBC
SERVICES, LLC
Russell Harriger, RPA, CPM
Senior Property Manager
Tenant Support 704-954-7233
1 1065 East Morehead Street Office 704-954-7217
4th Floor Mobile [phone]
Charlotte, NC 29204-2812 Fax [phone]
[e-mail]

Location: Mocksvile DG
Date of Inspection: June 1, 2011
[-RECEIVED
N.C. Pnoi, of ENR
Wet Detention Basin Operation and Inspection Sheet JUN 2 0 2011
Y1ir,ston-Salem 1
Important Maintenance procedures: Regional01fi,e
• Immediately after the wet detention basin is established, the plants on the vegetated
shelf and perimeter of the basin should be watered twice weekly if needed, until the
plants become established (commonly six weeks).
• No Portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
• Stable groundcover should be maintained in the drainage area to reduce the sediment
load to the wet detention basin.
• If the basin must be drained for an emergency or to perform maintenance, the flushing
of sediment through an emergency drain should be minimized to the maximum extent
practical.
• Once a year, a dam safety expert should inspect the embankment
After the wet detention pond is established, it should be inspected once a month and within 24 hours
after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal County). Records of .
operation and Maintenance should be kept in a known set location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be immediately
repaired.
BMP Element
Potential Problem
How will I remediate
Action Taken
the problem:
The entire BMP
Trash/Debris is present.
Remove the
No trash was present
trash/debris
around the BMP, but
some cardboard was
seen in the forebay. i
asked the contractor to
remove the cardboard
The perimeter of the
Areas of bare soil
Regrade the soil if
None
wet basin
and/or erosive gullies
necessary to remove
have formed
the gully, and then
plant a ground cover
and water until it is
established. Provide
lime and a one-time
fertilizer
Vegetation is too short
Maintain vegetation at
None
or too long
a height of
approximately six
inches

Location: Mocksvile DG
Date of Inspection: June 1, 2011
Potential Problem:
How will I remediate
Action taken
the problem:
BMP
element
The inlet device:
The pipe is
Unclog the pipe.
None, pipe was clear
pipe or swale
clogged
Dispose of the
sediment offsite
The pipe is
Replace the pipe
None
cracked or
otherwise
damaged
Erosion is
Regrade the swale if
Erosion had been noted
occurring in the
necessary to smooth
previously and the contractor
swale
over and provide
has cleared out the inlet swale
erosion control
and will attempt to stabilize
devices such as
with a grass and mesh system.
reinforced turf
matting or riprap to
avoid future problems
with erosion
The forebay
Sediment has
Search for the source
None
accumulated to a
of the sediment and
depth of greater
remedy the problem
than the original
if possible. Remove
design for
the sediment and
sediment storage
dispose of it in a
location where it will
not cause impacts to
streams or the BMP
Erosion has
Provide additional
Erosion had been noted
occurred
erosion protection
previously and the contractor
such as reinforced
has installed a grass and mesh
turf matting or riprap
system to correct. The system
to avoid future
appears to be stabilizing the
problems with
bank and will continue to be
erosion
monitored
Weeds are present
Remove the weeds,
Minimum weeds were present
preferably by hand. If
pesticide is used,
wipe it on rather than
spraying.

Location: Mocksvile DG
Date of Inspection: June 1 2011
BMP element
Potential
How will I remediate
Action taken
Problem:
the problem:
The vegetated
Best professional
Prune according to
No action needed
shelf
practices show
best professional
that pruning the is
practices
needed to
maintain optimal
plant health
Plants are dead,
Determine the source
No action needed
diseased or dying
of the problem: soils,
hydrology, disease,
etc. Remedy the
problem and replace
the plants. Provide a
one-time fertilizer
application to
establish the ground
cover if a soil test
indicates it is
necessary.
Weeds are present
Remove the weeds,
Landscaper pulled weeds
preferably by hand. If
pesticide is used,
wipe it on rather than
spraying.
The Main
Sediment has
Search for the source
None
Treatment area
accumulated to a
of the sediment and
depth of greater
remedy the problem
than the original
if possible. Remove
design for
the sediment and
sediment storage
dispose of it in a
location where it will
not cause impacts to
streams or the BMP
Algal growth
Consult a professional.
N/A
covers 50% of the
to remove and
area
control agal growth
Cattails,
Remove the plants by
None
phragmites or
wiping them with
other invasive
pesticide(do not
plants cover 50%
Spray)
of the basin
surface

Location: Mocksvile DG
Date of Inspection: June 1, 2011
BMP element
Potential Problem:
How will I remediate
Action taken
the problem:
The embankment
Shrubs have
Remove shrubs
None
started to grow on
immediately
the embankment
Evidence of
Use traps to remove
None
muskrat or beaver
muskrats and consult
activity is present
an expert to remove
beavers.
A tree has started
Consult a dam safety
None
to grow on the
specialist to remove
embankment
the tree
An annual
Make all needed
inspection by an
repairs
appropriate
professional
shows that the
embankment
needs repair (if
applicable)
The outlet device
Clogging has
Clean out the outlet
Outlet clear
occurred
device. Dispose of the
sediment off site
The outlet device
Repair or replace the
None
is damaged
outlet device.
The receiving
Erosion or other
Contact the BNC
None
water
signs of damage
Division of Water
have occurred at
Quality Regional
the outlet
Office or the 401
Oversight Unit at 919-
733-1786
The following pages will contain photos taken of the each of the BMP elements and any action that is
recommended during the ins ection
Inspection completed by: .�

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A
&7
Stale Stormwater Permit
Permit No.SW4090903
Dollar General
Stormwater Permit No. SW4090903
Davie County
Designer's Certification
RECEIvF,D----- ;I
N.C. Dect. of ENR
I
MAY 1. 9 2010
Winston-Salem
Regional office
I, ? e" f Lwas a duly registered?4-c</Ond %lath'
in the State of North Carolina, having been authorized to observe (perio Iy/ weekly/
full time) the construction of the project,
2)e7'�w aene-eo-l-
(Project)
for _ Pe-,i f -g 7.ro,Pe-r— -C , LLC - (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:
we -
Signature
Registration Number
Date Z.&C
eer�r
iti�• 1!r
�\ 0 1fif7Q4p1f I
S4hww
24434
6'G'lNti��' qua
E.
Lp
�f'+aeeertiei�,<�
Page 5 of 6

State Stormwater Permit
Permit No.SW4090903
Certification Requirements:
f1. The drainage area to the system contains approximately the permitted
/ acreage.
t/ 2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built7t.1pon 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.
:Z:5. The outlet/bypass structure elevations are per the approved plan.
__Vl" 6. The outlet structure is located per the approved plans.
V 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,
/15.
and a forebay.
The required system dimensions are provided per the approved plans.
Please submit this Designer's Certification to: Winston-Salem Regional Office
Surface Water Protection
585 Waughtown Street
Winston-Salem, NO 27107
and:
DWQ Central Files
1617 Mail Service Center
Raleigh, NO 27699-1617
Page 6 of 6

Cv
A
izL*A.
CR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Frank Fawcett
PRIMAX PROPERTIES, LLC
1065 E. Morehead St., 4th Floor
Charlotte, NC 28204
Division of Water Quality
Coleen H. Sullins
Director
September 25, 2009
Subject: Stormwater Permit No. SW4090903
Dollar General
High Density Commercial Wet Pond Project
Davie County
Dear Mr: Fawcett:
Dee Freeman
Secretary
N.C. 09pt, of ENR
SEP 3 0 2009
Wington•Saiem
Regional DMce
The Stormwater Permitting Unit received a complete Stormwater Management Permit
Application for Dollar General in Mocksville on September 9, 2009, and additional information on
September 14, 2009, 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 and Session Law 2006-246. We are forwarding Permit No. SW4090903, dated
September 25, 2009, for the construction, operation and maintenance of the subject project and
the stormwater BMPs.
This permit shall be effective from the date of issuance until September 25, 2019, 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 inspection 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. ,
This project will be kept on file at the Winston-Salem Regional Office. If you have any questions,
or need additional information concerning this matter; please contact Robert Patterson at (919)
807-6375; or [e-mail].
Sincerely,
1,11< P"r_,A_
.fa• Coleen H. Sullins
Wetlands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 NorthCarolina
Location. 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 / �/atu�'�!`l/
Internet: www.ncwaterqual;ty.org v
An Equal Opportunity 4 Affirmative Action Employer

Mr. Frank Fawcett
S W4090903 — Dollar General - Mocksville
September 25, 2009
CC' Winston-Salem Regional Office
Central Files
SPU Files
0
Page 2 of 2

State Stormwater Permit
Permit No.SW4090903
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
PRIMAX PROPERTIES; LLC
Dollar General
US Hwy 601 (approx. 500' south of Koontz Rd.), Mocksvflle, Davie County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with
the provisions of 15A NCAC 2H .1000 and S.L. 2006-246 (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 September 25, 2019, 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 1.6 on page 3 of this permit. The stormwater
control has been designed to handle the runoff from 28,934 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 1 of 6

State Stormwater Permit
Permit No.SW4090903
6. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a. Drainage Area, acres: 1.1
Onsite, ft : 47,916
Offsite, ft2: 0
0
G.
d,
e.
f.
9.
J.
1.
m
n.
o.
Total Impervioys Surfaces, ft2:
Buildings ft
Roads/Parking,
ft2:
Sidewalk ft
Offsite, ft
Pond Depth, feet:
TSS removal efficiency:
Design Storm:
Permanent Pool Elevation, FMS:
Permitted Surface Area @PP ft
Permitted Storage Volume, ft�:
Storage Elevation, FMSL:
Controlling Orifice:
Permanent Pool Volume, ft3:
Forebay Volume, W:
Receiving Stream/River Basin:
Stream Index Number:
Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
28,934
9,014
18,442
1,478
0
3.0
90%
1.0 inch
836.5
3,775
2,812 at temporary pool
837.1
1.0" 0 pipe
7,325
1,514
UT of Elisha Creek 1 Yadkin Pee -Dee
12-102-15
11C11
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. Mowing 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.
5. 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.
Page 2 of 6

State Stormwater Permit
Permit No.SW4090903
6. 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.
7. 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.
8. Access to the stormwater facilities shall be maintained via appropriate .
easements at all times.
9. 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.
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.
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
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.
Page 3 of 6

State Stormwater Permit
Permit No.SW4090903
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 2006-
246, 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.The permittee shall submit a.renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit.
Permit issued this the 25th day of September, 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for uoieen H. 5uiifns, uirector
Division of Water Quality
By Authority of the Environmental Management Commission
Page 4 of 6

State Stormwater Permit
Permit No.SW4090903
Dollar General
Stormwater Permit No. SW4090903
Davie Count
Designer's Certification
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
Page 5 of 6

State Stormwater Permit '
Permit No.SW4090903
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.
Please submit this Designer's Certification to: Winston-Salem Regional Office
Surface Water Protection
585 Waughtown Street
Winston-Salem, NC.27107
and:
DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Page 6of6

Compliance Inspection Report
Permit: SW4090903 Effective: 09/25/09 Expiration: 09/25/19 Owner: Primax Properties LLC- Frank Fawcett
Project: Dollar General
County: Davie US Highway 601
Region: Winston-Salem
Contact Person: Matthew E Lowder Title:
Directions to Project:
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 001 - (Elisha Creek) (03-07-05 ) ( C)
On -Site Representative(s):
Related Permits:
Inspection Date: 06/2012011 Entry Time: 10:00 AM
Primary Inspector: Sue L Homewood
Secondary Inspector(s):
Robert D Patterson
Brian Lowther
Reason for Inspection: Fallow -up
Permit Inspection Type: State Stormwater
Facility Status: 0 Compliant ® Not Compliant
Question Areas:
® State Stormwater
(See attachment summary)
Mocksville NC 27028
Phone: [phone]
Exit Time: 10:30 AM
Phone: [phone]
Phone:
Phone:
Inspection Type: Compliance Evaluation
Page: 1

Permit: SW4090903 Owner - Project: Primax Properties LLC- Frank Fawcett
Inspection Date: 06/20/2011 Inspection Type: Compliance Evaluation Reason for Visit: Follow-up
Inspection Summary:
Followup visit to discuss NOV with Permittee. No changes to site other than wet pond is completely dry.
Page: 2

Compliance Inspection Report
Permit: SW4090903 Effective: 09/25/09 Expiration: 09/25/19 Owner: Primax Properties LLC- Frank Fawcett
Project: Dollar General
County: Davie US Highway 601
Region: Winston-Salem
Contact Person: Matthew E Lowder Title:
Directions to Project:
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 001 - (Elisha Creek) (03-07-05) ( C)
On -Site Representative(s):
Related Permits:
Mocksville NC 27028
Phone: [phone]
Inspection Date: 12/19/2011 Entry Time: 11:00 AM Exit Time: 11:15 AM
Primary Inspector: Sue L Homewood
Secondary Inspector(s):
Robert D Patterson
Brian Lowther
Reason for Inspection: Follow-up
Permit Inspection Type: State Stormwater
Facility Status: C] Compliant ® Not Compliant
Question Areas:
® State Stormwater
(See attachment summary)
Phone: [phone]
Phone:
Phone:
Inspection Type: Compliance Evaluation
Page: 1

Permit: SW4090903 Owner - Project: Primax Properties LLC- Frank Fawcett
Inspection Date: 12/19/2011 Inspection Type: compliance Evaluation � Reason for Visit: Follow-up
inspection Summary:
Operation and Maintenance Yes No NA NE
Are the SW measures being maintained and operated as per the permit requirements? Q ■ ❑ ❑
Are the SW BMP inspection and maintenance records complete and available for review or provided to DWQ 0 0
upon request?
Comment: Pond does not have the minimum permanent storage volume. Side scopes
of pond are bare and berm between forebay and pond eroding. No need to address
lack of volume at this time, pond appears to operate as an infiltration basin except
during high flow events.
Page: 2

Compliance Inspection Report
Permit: SW4090903 Effective: 09/25/09 Expiration: 12/30/21 Owner: Primax Properties LLC- Frank Fawcett
Project: Dollar General
County: Davie US Highway 601
Region: Winston-Salem
Contact Person: Matthew E Lowder Title:
Directions to Project:
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 001 - (Elisha Creek) (03-07-05) ( C)
On -Site Representative(s):
Related Permits:
Inspection Date: 0610312013 Entry Time: 11:30 AM
Primary Inspector: Sue L Homewood
Secondary Inspector(s):
Reason for Inspection: Routine
Permit Inspection Type: State Stormwater
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
State Stormwater
(See attachment summary)
Mocksville NC 27028
Phone: [phone]
Exit Time: 11:45 AM
Phone: [phone]
Inspection Type: Compliance Evaluation
Page: 1

Permit: SW4090903 Owner - Project: Primax Properties LLC- Frank Fawcett
Inspection bate: 06/03/2013 inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Operation and Maintenance
Yes No NA NE
Are the SW measures being maintained and operated as per the permit requirements? ■ n n ❑
Are the SW t3MP inspection and maintenance records complete and available for review or provided to DWQ ■
upon request?
Comment:
Other Permit Conditions
Is the site compliant with other conditions of the permit?
Comment:
Other WQ Issues
■ n n n
Is the site compliant with other water quality issues as noted during the inspection? ■
Comment:
Page: 2

Compliance Inspection Report
Permit: SW4090903 Effective: 09/25/09 Expiration: 09/25/19 Owner: Primax Properties LLC- Frank Fawcett
Project: Dollar General
County: Davie US Highway 601
Region: Winston-Salem
Contact Person: Matthew E Lowder Title:
Directions to Project:
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 001 - (Elisha Creek) (03-07-05) ( C)
On -Site Representative(s):
Related Permits:
Inspection Date: 0511912011 Entry Time: 01:00 PM
Primary Inspector: Sue L Homewood
Secondary Inspector(s):
Reason for Inspection: Routine
Permit Inspection Type: State Stormwater
Facility Status: Q Compliant O Not Compliant
Question Areas:
E State Stormwater
(See attachment summary)
Mocksville NC 27028
Phone: [phone]
Exit Time: 01:30 PM
Phone: [phone]
Inspection Type: Compliance Evaluation
Page: 1

Permit: SW4090903 Owner - Project: Primax Properties LLC- Frank Fawcett
Inspection Date: 05/19/2011 .Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
File Review
Yes No
NA N
Is the permit active?
n
n n
Signed copy of the Engineer's certification is in the file?
e n
❑ n
Signed copy of the Operation & Maintenance Agreement is in the file?
® n
n n
Copy of the recorded deed restrictions is in the file?
n n
n ■
Comment:
Built Upon Area
Yes
No
NA
NE
Is the site BUA constructed as per the permit and approval plans?
m
n
Q
n
Is the drainage area as per the permit and approved plans?
■
n
n
n
Is the BUA (as permitted) graded such that the runoff drains to the system?
n
■
Comment: site missing curbing and swale to direct runoff to the BMP.
SW Measures
Yes
No
NA
NE
Are the SW measures constructed as per the approved plans?
n
■
n
n
Are the inlets located per the approved plans?
S
n
n
n
Are the outlet structures located per the approved plans?
®
n
n
Comment: outlet structure does not match approved plans.
pond not holding water, unclear why during inspection.
Operation and Maintenance
Yes
No
NA
NE
Are the SW measures being maintained and operated as per the permit requirements?
M
❑
n
n
Are the SW BMP inspection and maintenance records complete and availabie for review or provided to DWQ
n
n
n
upon request?
Comment: site had been repaired recently.
Other Permit Conditions
Yes
No
NA
NE
Is the site compliant with other conditions of the permit?
®
n
n
n
Comment:
Other WQ Issues
Yes
No
NA
NE
Is the site compliant with other water quality issues as noted during the inspection?
o
n
n
Cl
Comment
Page: 2

,S,�j�og D qo 3
PRIM&X
PROPERTIES, LLC
1
September 10, 2009
tn. on
`
NCDENR DivisionQualityater Quality '
Stormwater Permitting Unit
1617 Mail Service Center' o ""
Raleigh, NC 27699-1617
RE: Dollar General — Mocksville, NC — PIN # 5739123578
To Whom It May Concern:
Please accept this letter as written authorization for Frank Fawcett of Primax Properties. L[_C. to sign
as applicant/owner on behalf of 1'rimax Properties. LIX, proposed owner of the site located just off'
Hwy 601 North in Mocksville. Davie County Tax Map Number 1-140000008801/NC Pin 4
57-19123578.
Thank you for )'our assistance and should you have any questions, please do not hesitate to give me a
call.
State ol'North Carolina
County of Mecklenburg
PR1MAX PROP[ R'I'IES. LL.
William eyn ur
Manager
L. L. C. Acknowledgment
I certify that before me appeared this day William G. Seymour. a person known to me, who
after being sworn stated he is Manager of• Primax Properties. 1-[1C, a North Carolina limited liability
company and is duly authorized to act on belialf of"said Company, and being informed ofthe
contents thereof, acknowledged execution of'the foregoing instrument on behalf of said Company.
1Ai ens ;j��id and official seal, this 10 clay of P7{i`18 . 200.
y public /-�. !'J� . Notary Public
t0rY pub
f�tes � _
? MyGa0t81�pla Ir
�.¢E (,� ,[�s
(Printed Name of Notary)
My ComifiQr[j 1lC�►�mores:
1065 East Morehead Street • 4th Floor • Charlotte, NC 28204-2812 9 704-344-8200 9 704-344-8288 Fax

DWQTSE ONLY
to ecewePee
Paid
Permit Number
9
sos-�
sW o o3
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality COPY
STORMWATER MANAGEMENT PERMIT APPLICATION
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
2. Print Owner/Signing Official's name and title (person legally responsible for facility and com
Frank Fawcett - Project Manager
3. Mailing Address for person listed in item 2 above:
1065 E. Morehead Street 4 h Floor
0
N
c
n_
nnn_ , Cn
City:Charlotte State:NC Zip:28204
Phone: (704 } 954-7229 _ _ Fax: (704 L 344-8288
Email:ffawcetftrimaxpropgrfies.com
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Dollar General
5. Location of Project (street address):
US Highway 601
City:Mocksville County:Davie Zip.
6. Directions to project (from nearest major intersection):
Approximately 500 feet south of the intersection of US Highway 601 & Koontz Road
7. Latitude:35° 55' 02" N Longitude:80° 34' 59" W of project
8. Contact person who can answer questions about the project:
Name:Matthew E. Lowder, PE Telephone Number: (919 ) 553-6570
[e-mail]
IL PERMIT INFORMATION:
1. Specify whether project is (check one): ®New ❑Renewal ❑Modification
2.
3.
If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number _ and its issue date (if known)
Specify the type of project (check one):
Low Density ®High Density ❑Redevelop OGeneral Permit []Universal SMP ❑Other
4. AdditionaI Project Requirements (check applicable blanks; information on required state permits can be
Fonn SWU-101 Version 09.25.08 Pagel of4

r
� Rhe
.
-. .y
:3
t tr
1 l

obtained by contacting the Customer Service Center at 1-877-623-6748):
[:]LAMA Major ®Sedimentation/Erosion Control 0404/401 Permit ❑NPDES Industrial Stormwater
III. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
A wet detention pond is pro'osed to treat stormwater runoff from the proposed commercial development.The site is desi ed to treat a 1.0" storm at 90% TSS
2. Stormwater runoff from this project drains to the Yadkin River basin.
3. Total Property Area-.1.59 acres 4. Total Coastal Wetlands Area: 0 acres
5. Total Property Area (3) - Total Coastal Wetlands Area (4) = Total Project Area**:1.59 acres
6. (Total Impervious Area / Total Project Area) X 100 = Project Built Upon Area (BUA): _ 2 %
7. How many drainage areas does the project have?1
8. Complete the followin.& 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.
For high density projects, complete the table with one drainage area for each engineered stormwater device.
Basin Informatlon
Drainage Area 1
Drainage Area
Receiving Stream Name
Elisha Creek
Stream Class K Index No.
tZ-10Z_t5
Total Drainage Area (so
47,916
-site Drainage Area s47,916
Ott -site Drainage Area s
Existing impervious Area (sf)
4,800
Proposed Impervious Area (so
25,934
% Impervious Area (total)
Impervious Surface Area
ramage Area 1
Mainage Area
-site Buildings (so
9,014
-site Streets s
Ui�-site Parking s--1-8,442
-site Sidewalks (sf),
Offier on-site(so
0
Off -site s
Total—(sUF
29,934
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
**Total project area shall be calculated to exclude Coastal Wetlands from use when calculating the built upon area
percentage calculation. This is the area used to calculate overall percent project built upon area (BUA).
9. How was the off -site impervious area listed above derived?No off -site runoff is draining to the pond
Projects in Union County: Contact the DWQ Central Office staff to check to see ifyou project is located
within a Threatened & Endangered Species watershed that may be subject to more stringent stormwater
requirements.
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
Form SWU-101 Version 09.25.08 Page 2 of

One of the following property 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.
Forms can be downloaded from http f/h2o.enr..state.nc.us/sulbmp forms.htm -_deed restrictions.
Form DRPC-1
High Density Commercial Subdivisions
Form DRPG-2
High Density Developments with Outparcels
Form DRPC-3
High Density Residential Subdivisions
Form DRPC-4
Low Density Commercial Subdivisions
Form DRPC-5
Low Density Residential Subdivisions
Form DRPC-6
Low Density Residential Subdivisions with Curb Outlets
By your signature below, you certify that the recorded prope restrictions and protective covenants for this
project shall include all the applicable items required in the above form, that the covenants will be binding
on all parties and persons claiming under them, that they will run with the land, that the required covenants
cannot be changed or deleted without concurrence from the NC DWQ, and that they will be recorded prior to
the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater Permitting Unit at [phone] for the status and
availability of these forms. Forms can be downloaded from httpalh?o.enr.state.nc.us/su/bmp forms.htm.
Form SW401-Low Density
Form SW401-Curb Outlet System
Form SW401-Off-Site System
Form SW401-Wet Detention Basin
Form SW401-Infiltration Basin
Form SW401-Infiltration Trench
Form SW401-Bioretention Cell
Form SW401-Level Spreader
Form SW401-Wetland
Form SW401-Grassed Swale
Form SW401-Sand Filter
Form SW401-Permeable Pavement
Form SW401-Cistern
Low Density Supplement
Curb Outlet System Supplement
Off -Site System Supplement
Wet Detention Basin Supplement
Infiltration Basin Supplement
Underground Infiltration Trench Supplement
Bioretention Cell Supplement
Level Spreader/Filter Strip/Restored Riparian Buffer Supplement
Constructed Wetland Supplement
Grassed Swale Supplement
Sand Filter Supplement
Permeable Pavement Supplement
Cistern Supplement
Form SWU-101 Version 09.25.08 Page 3 of

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 packa$e should be
submitted to the appropriate DWQ Office. (Appropriate office may be found by locating project on the
interactive online map at ht!p://h2o.enr.state.ne.us/,sti/msi_maps.him)
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
• Original and one copy of the Deed Restrictions & Protective Covenants Form (if
required as per Part IV above)
• Original of the applicable Supplement Form(s) and O&M agreement(s) for each BMP
• Permit application processing fee of $505 (Express: $4,000 for HD, $2,000 for LD)
payable to NCDENR
• Calculations & detailed narrative description of stormwater treatment/management
• Copy of any a pp ble soils report
• Two copies or plans and specifications (sealed, signed & dated), including:
- Development/Project name
- Engineer and firm
-Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property/project boundaryry
- Location map with named streets or MR numbers
- Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf (such as additional information requests), please complete this section. (ex. designing engineer or firm)
Designated agent (individual or firm):
Mailing Address:
City: _ State: Zip:
Phone: ). _ Fax: )
Email:
VIII. APPLICANT'S CERTIFICATION
1, (print or type name of person listed in General Information, item 2) Frank Fawcett
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 at the proposed project complies with the requirements of 15A
NCAC 2H .100t� 1 A "-I AP
Signature:
Date: 0, 'Z .Q
Form SWU-101 Version 09.25.08 Page 4 of 4

,sv✓L"0903
PRI
PROP ERTIES, LLC
September 2, 2009
NCDENR Division of Water Quality
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
919-807-6300
Subject: Dollar General
Re: Stormwater Application
To Whom It May Concern:
Please find enclosed the following:
2 sets of civil drawings
2 stormwater permit application (1 copy & 1 original)
1 Wet -Pond supplement
1 Wet -Pond 0&M Agreement
1 Permit Fee ($505.00 made to NCDENR)
• 2 Calculations
Please feel free to contact me if you have any questions. Thank you!
Best Regards,
Primax Properties, LLC
Jonathan Greene
1065 East Morehead Street, 4"' Floor
Charlotte, NC 28204
704-996-7944 cell
704-344-8288 fox
1065 East Morehead Street • 4th Floor • Charlotte, NC 28204-2812 - 704-344-8200 • 704-344-8288 Fax

r _ 1
Permit Number: S W (-t0io % 3
(to be provided by DWQ)
Drainage Area Number: I
Wet Detention Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided.
This system (check one):
❑ does ® does not incorporate a vegetated filter at the outlet.
This system (check one):
❑ does ® does not incorporate pretreatment other than a forebay.
Important maintenance procedures:
— Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
— No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
— If the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
— Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and
within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a
Coastal County). Records of operation and maintenance should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem-
How I will remediate theproblem:
The'entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application,
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximatel six inches.
Form SW401-Wet Detention Basin 0&M-Rev.4
Page I of 4

Permit Number: S PV'Y0`3.0 9. O 3
(to be pr1
7vided by DWQ)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate theproblem:
The inlet device: pipe or
The pipe is clogged.
Unclog the pipe. Dispose of the
Swale
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the Swale if necessary to
Swale,
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design depth for
possible. Remove the sediment and
sediment storage.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional
show that pruning is needed
practices
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The main treatment area
Sediment has accumulated to
Search for the source of the
a -depth greater than the
sediment and remedy the problem if
original design sediment
possible. Remove the sediment and
storage depth,
dispose of it in a location where it
will not cause impacts to streams or
the BMP. -
Algal growth covers over
Consult a professional to remove
50 % of the area.
and control the algal growth.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray),
the basin surface.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 2 of 4

4
Permit Number. A/ktO `j d ':�d 3
(to be provided by DWQ)
Drainage Area Number:__ I
BMP element:
Potential roblem:
How I will remediate theproblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately,
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet,
the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 831 feet in the main pond, the sediment
shall be removed.
When the permanent pool depth reads 833 feet in the forebay, the sediment
shall be removed.
BASIN DIAGRAM
(fill in the blanks)
Permanent Pool Elevation 836.5
Sediment Removal . 833 I jPe anen
------------ • -Volume
Bottom Elevatio 832 -ft in.
Sediment
Storage
FOREBAY
Pool
Sediment Removal Elevation 831 Volume
Bottom Elevation 830 [11-ft n.
Sedimen
Storage
MAIN POND
Form SW401-Wet Detention Basin O&M-Rev,4 Page 3 of 4

Permit Number. S h% 'Va9,0 203
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the 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.
Project name0oll ar General
BMP drainage area number: I
Print name:Frank Fawcett - Primax Properties, LLC
Title:Project Manager
Address:1065 E. Morehead Street, 4`" Floor Charlotte, NC 28204
PI -
Si
lid
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
I, �� ���. �[} 1/]F' �, a Notary Public for the State of
Dlrr-�Car(�I�n/,�County of , do hereby certify that
II personally appeared before me this 2
day of T , and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal,
�J Fs J .
Notary Public
Meeklehburg County
My Comenisslon Expires
06/05/2013
+Cr0,O�
SEAL
My commission bxpires_ Tvoc 5
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4

Permit No. W 0 0 03
#o be provided by DWQ)
HCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be fitted out, printed and submitted.
The Required Items Checklist (Part III) must be printed, fitted out and submitted along with all of the required information.
I: PROJECT
=INFORMATION :. 7r�-�34C r. X.tr'.a::�ti'�'�:�ehr�7,�;t�ia'�%�r,d,i�PlKst;4"5�df.,1��.�tl�t4•
Project name Dollar General
Contact person Matt Lowder, PE
Phone number 919-553.6570
Date 8t3112009
Drainage area number 1
EL-, DESIGN INFORMATION :'E'er.-.' .,.: g
3 ;� � �,err,:�.��^i•�.-r,M_.._�•���'�€�,h��,�,.`�:.r�'�,a���.��«,�vx.�...;�a�
Site Characteristics
Drainage area 47,916 fe
Impervious area, post -development 28,934 ft
°% impervious 60.38 e%
Design rainfall depth 1.0 in
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
1,5' runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Peak Flow Calculations
Is the prelpost control of the 1yr 24hr storm peak flow required?
1-yr, 24-hr rainfall depth
Rational C, pre -development
Rational C, post -development
Rainfall intensity: 1-yr, 24-hr stone
Pre -development 1-yr. 24-hr peak flow
Post -development 1-yr, 24-hr peak flaw
Pre/Post 1-yr, 24-hr peak flow control
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx. at the perm. pool elevation)
Top of 1Oft vegetated shelf elevation
Bottom of 1 Oft vegetated shelf elevation
Sediment cleanout, top elevation (bottom of pond)
Sediment cleanout, bottom elevation
Sediment storage provided
Is there additional volume stored above the'state-required temp. pool?
Elevation of the top of the additional volume
2,370 ft3 OK
2,812 ft3
OK, volume pravided.is equal to or in excess of volume required.
ft3
ft3
Oft
ft3
y (Y or N)
2.8 in
0.50 (unitless)
0.80 (unifless)
0,12 inlhr OK
4,03 ft3lsec
2.10 ft3lsec
-1.93 ft3lsec
837.10 fmsl
-836:00-fmsk
fmsl
837.00 fmsl
836.00 fmsl
831.00 fmsl
830.00 fmsl
I.00 ft
(Y or N)
fmsl
Form SW401-wet Detention Basin-Rev.6-212ata9 Parts I. & II. Design Summary, Page 1 of 2

Permit No. SW�d�oo3�
(to be provided by D WO}
i
II. DESIGN INFORMATION
Surface Areas
Area, temporary pool 3,775 ftz
Area REOUIRED, permanent pool 1,682 ftz
SAIDA ratio 3.51 (unitless)
Area PROVIDED, permanent pool, A,.,,
3,775 ft'
OK
Area, bottom of 1Oft vegetated shelf, Ant w�r
2,640 f'
Area, sediment cleanout, top elevation {bottom of pond), A,,`P,,
179 fe
Volumes
Volume, temporary pool
2,812 ft'
OK
Volume, permanent pool, Vv ,jxcj
7,325 ft'
Volume, forebay (sum of forebays ff more than one forebay)
1,514 113
Forebay % of permanent pool volume
20.7% %
OK
SAIDA Table Data
Design TSS removal
- 90 %
Coastal SAIDA Table Used?
N
(Y or N)
MountainlPiedmoat SAIDA Table Used?
Y
(Y or N)
SAIDA ratio
3.51 (unitless)
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
N
(Y or N)
Volume, permanent pool, Vp , _vm
ft3
Area provided, permanent pool, Ap..pw
ftz
Average depth calculated
R
Average depth used in SAIDA, d. (Round to nearest 0.5ft)
ft
CatculaCion option 2 used? (See Figure 10-2b)
Y
(Y or N)
Area provided, permanent pool, Aw mr w
3,775 ft'
OK
Area, bottom of 10R vegetated shelf, AL,,,,#
2,640 ftz
OK
Area, sediment cleanout, top elevation (bottom of pond), Ab t_,,
179 ft'
OK
'Depth' (distance blw bottom of 10ft shelf and top of sediment)
5.00 ft
OK
Average depth calculated
. 3.09 ft
OK
Average depth used in SAIDA, d,,, (Round to nearest 0.51t)
3.0 ft
OK
Drawdown Calculations
Drawdown through orifice?
Y
(Y or N)
Diameter of orifice (if circular)
1.00 in
Area of orifice (if -non -circular)
in
Coefficient of discharge (CD)
0.60 (unitless)
Driving head (Ho)
0.20 ft
Drawdown through weir?
N
(Y or N)
Weir type
(unitless)
Coefficient of discharge (C)
(unitless)
Length of weir (L)
It -
Driving head (H)
It
Pre -development 1•yr, 24•hr peak flow
4,03 ft'lsec
OK
Post -development 1-yr, 24-hr peak flow
2.10 ft'Isec
Insufficient post -development peak flow. .
Storage volume discharge rate (through discharge orifice or weir)
0.02 It Isec
Storage volume drawdown time
2.27 days
OK, draws down in 2-5 days.
OK, drawdown time is correct.
Additional information
Vegetated side slopes
3 :1
OK
Vegetated shelf slope
10 :1
OK
Vegetated shelf width
10.0 R
OK
Length of flowpath to width ratio
3 :1
OK
Length to width ratio
2.1 :1
OK
Trash rack for overflow & orifice?
Y
(Y or N)
OK
Freeboard provided
2.5 R
OK
Vegetated filter provided?
Y
(Y or N)
OK
Recorded drainage easement provided?
Y
(Y or N)
OK
Capures all runoff at ultimate build -out?
Y
(Y or N)
OK
Drain mechanism for maintenance or emergencies
Pump out
Form SW401-wet Detention Basin-Rev.6-2120109 Parts I. & R. Design Summary, Page 2 of 2

Permit No. .Sh/-ogao 3
(to be provided by DWQ)
III , REQUIREDATEMS CHECKL.ISTF4 k ; r 4"
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 the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Page/ Plan
Initials
Sheet No.
mf-L
1. Plans (1" 50' or larger) of the entire site showing:
Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
- Basin dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement. -
%n�L
2. Partial plan (1" = 30' or larger) and details for the wet detention basin showing:.:-_.:
Outlet structure with trash rack or similar,
- Maintenance access,
Permanent pool dimensions,
Forebay and main pond with hardened emergency spillway,
- Basin cross-section,
- Vegetation specification for planting shelf, and
- Filter strip.
3. Section view of the wet detention basin (1"= 20' or larger) showing:
- Side slopes, 3:1 or lower,
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
4. If the basin is used for sediment and erosion control during construction,. clean out_of the basin is specified
on the plans prior to use as a wet detention basin.
M51—
,,,, ff
crfC$
5. A table of elevations, areas, incremental volumes & accumulated volumes for-overaR pond and for Forebay,
to verify volume provided.
m i� e—
C„ 5
6. A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized.
7. The supporting calculations,
vh f L
✓
8. A copy of the signed and notarized operation and maintenance (O&M) agreement..' ,
e�
N�
9. A copy of the deed restrictions (if required).
.ye L
S
10. A soils report that is based upon an actual field investigation, sal borings, and infiltration tests. County
soil maps are not an acceptable source of soils information.
Form SW401-Wet Detention Basin-Rev.6-2120109 Part III. Required Items Checklist, Page 1 of 1