SW7020602_CURRENT PERMIT_20020802

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
W� awa
YYYYMMDD

�OF Wa�F9P
Michael F. Easley, Governor
_O f. William G. Ross Jr„ Secretary
North Carolina Department of Environment and Natural Resources
-I Alan W. Klimek, P.E. Director
0 Division of Water Quality
DIVISION OF.WATER QUALITY
August 2, 2002
Mr. Darius Olesky
JDH Capital, LLC
3735 Beam Road
Charlotte, NC 26217
-" Subject: Stormwater Permit No SW7020602-
Eckerd Drugs/Pier 1 Imports -
High Density Stormwater Project
Dare County
Dear Mr. Olesky:
The Washington Regional Office received the completed
Stormwater Application for the subject project on August 1, 2002.
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. SW70020602 dated August 2, 2002 to JDH Capital, LLC for
three infiltration basins to serve Eckerd Drugs/Pier 1 Imports
located in Kitty Hawk, NC.
This permit shall be effective from the date of issuance until
August 2, 2012 and shall be subject to the conditions and
limitations as specified therein. Please pay special attention to
the Operation and Maintenance requirements in this permit. Failure
to establish an adequate system for operation and maintenance of
the stormwater management system will result in future compliance
problems.
If any parts, requirements, or limitations contained in this
permit are unacceptable, you have the right to request an
adjudicatory hearing upon written request within thirty (30) days
following receipt of this permit. This request must be in the form
of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of
Administrative Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447.
Unless such demands are made this permit shall be final and
binding.
943 Washington Square Mall Washington, N.G. 27889 Telephone [phone] FAX [phone]
Ag*A
NCDENR

Darius Olesky
August 2, 2002
Page Two
If you have any questions, or need additional information
concerning this matter, please contact Roger K. Thorpe at (252)
946-6481, extension 214.
Sincerely,
_7
JimVU-higan
Water Quality Regional Supervisor
Washington Regional Office
cc: McKim & Creed, Elizabeth City
Dare County Inspections
SRO Stormwater Files
Central Files

State Stormwater Management Systems
Permit No. SW7020602
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PEST
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
JDH Capital, LLC
Dare County
FOR THE
construction, operation and maintenance of stormwater management
systems 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 for grassed
swales and three infiltration basins to serve Eckerd Drugs/Pier 1
Imports located in Kitty Hawk, NC.
This permit shall be effective from the date of issuance until
August 2, 2012 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 on page 2 of this permit, the
Project Data Sheet.
3. Approved plans and specifications for this project are
incorporated by reference and are enforceable parts of the
permit.

DIVISION OF WATER QUALITY
PROJECT DATA
Project Name:
Permit Number:
Location:
Applicant:
Mailing Address:
Application Date:
Water Body Receiving Stormwater
Runoff:
Classification of Water Body:
Total Site Area:
Total Impervious
Surfaces Allowed:
Basin Depth:
Required Storage Volume:
Provided Storage Volume:
Overflow elevation
Eckerd Drugs/Pier 1 Imports
SW7020602
Dare County
JDH Capital, LLC
3735 Beam Road
Charlotte, NC 28217
6/13/2002 (original)
UT to Currituck Sound
C
4.25 acres
2.26 acres proposed
41 2.0 feet
#2 2.0 feet
03 3.0 feet
#1 10,345 cf
42 16,000 cf
#3 6,208
#1 16,773 cf
#2 21,173 cf
#3 6,281 cf
#1 14.0 feet
##2 14.0 feet
#3 13.0 feet

4. No homeowner/lot owner/developer shall be allowed to fill in,
alter, or pipe any vegetative practices (such as swales) shown
on the approved plans as part of the 'stormwater management
system without submitting a revision to the permit and
receiving approval from the Division.
5. The following items will require a modification to the permit:
a.. Any revision to the approved plans, regardless of size
b. Project name change
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -
upon area
e. Further subdivision of the project area.
In addition, the Director may determine that -other, revisions
to the project should require a modification to'the permit.
t
6. 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.
II. SCHEDULE OF COMPLIANCE
1. The permittee will comply with the following schedule for
construction and maintenance of the stormwater management
system.
a. 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 surfaces
except roads.
b. During construction,. erosion shall be kept to a minimum
and any eroded areas of the system will be repaired
immediately.
2. The facilities must be properly maintained and operated at all
times. The approved Operation and Maintenance Plan must be
followed in its entirety and maintenance must occur at the
scheduled intervals.
3. The permittee shall at all times provide the operation and
maintenance necessary to assure the permitted stormwater
system functions at optimum efficiency including, but not
limited to:

a. Semi-annual scheduled inspections (every 6 months)
b. Sediment removal
C. Mowing and revegetation of side slopes
d. Immediate repair.of eroded areas
e. Maintenance of side slopes in accordance with approved
plans and specifications
f. Debris removal and unclogging of outlet structure,
orifice device .and catch basins and piping.
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. This permit shall become voidable unless the facilities are
constructed' it: accordance;. with the. conditions.. of this permit,
the'-- approved plans. and' -specifications, and other supporting
data.
6. Upon completion of construction 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. Mail the Certification to the
Washington Regional Office, 943 Washington Square Mall,
Washington, North Carolina, 27889, attention Division of Water
Quality.
7. A copy of the approved plans and specifications shall be
maintained on file by the Permittee for a minimum of five
years from the date of the completion of construction.
III. GENERAL CONDITIONS
1. This permit- is not transferable. In the event there is a
desire for the facilities to change ownership, or there is a
name change of the Permittee, a'formal permit -request must be
submitted to the Division of Water Quality accompanied by an
application fee, documentation from the parties involved, and
other supporting materials as may be appropriate. The
approval of this request will be considered on its merits and
may or may not be approved.
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. 6 (a) � to 143-215. 6 (c) .
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) which have 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 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.
Permit issued this the 2 nd-day of August, 2002.
NORTH CAROLINA ENVIRONMENTAL 'MANAGEMENT COMMISSION
1-/Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW7020602

JDH Capital, LLC
Eckerd Drugs/Pier 1 Imports
Stormwater Permit No. SW7020602
Designer's Certification
I,
as a duly
registered Professional Engineer in .the State of North Carolina,
having been authorized to observe (periodically/weekly/full time)
the construction of the project,
for
(Project)
(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.
Signature
Registration Number
Date

v�McIQMF�CREED
March 23, 2005
Bill Moore, Environmental Engineer
North Carolina Department of Environment
And Natural Resources
Division of Water Quality
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889 MAR
�'05
Re: Eckerd Drug & Pier 1 Imports 81 `` �V,,
Kitty Hawk, NC�'1rVl�i�
Stormwater Permit No. SW7020602
McKim & Creed Project No.: 02315-0001
Dear Mr. Moore:
1, James M. Mozingo, as a duly registered Professional Engineer in the State of North Carolina,
based upon a final site inspection and review of the attached ALTA/ACSM survey provided by
Albemarle Engineering, Inc. dated October 21, 2003, hereby state to the best of belief,
knowledge and understanding that the construction was determined to be built within
substantial compliance and intent of the app�RyjecE plans and specifications.
o °
Respectfully submitted, OFESS�O
McKim & Creed ? QQ4
SAL
025896
James M. Mozingo, PE INE" [�O
Project Manager °�� Al. MpZ-���``
JMM/jmm S:\2315\0001 \70-ltecord\2005-3-23_13ill Moore_5tormwater Cert.doc
Enclosure(s) ALTA/ACSM Survey (1 copy)
Cc: Mark Ball -- JDH Capital
448 VIKING DRIVE, SUITE 100, VIRGINIA BEACH, VIRGINIA 23452
TEL [phone] FAx [phone] www.mckimcreed.com
AA0002661

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
September 14, 2005
Mr. Mark Bali, Chief Development Officer
JDH Capital
3735 Beam Road
Charlotte, NC 28217
Subject: Stormwater Permit No. SW7020602
Eckerds/Pier I Imports Name Change Application RETURN
Kitty Hawk - Dare County
Dear Mr. Ball:
This is in response to your letter dated June 23, 2005 in which you
submitted a request for name change on the subject permit. I am returning
your application for name change because it is not signed by the new
applicant. In addition before a name change can be issued please submit new
operation and maintenance agreements for each of the three infiltration
basins signed by the new applicant. Shortly after receiving your letter I
discussed this with Mr- Terry Owen, who said he would provide this
information. But as of this date I have not received the needed information.
If you have any questions, or need additional information concerning
this matter, please contact me at [phone].
Sincerely, R67K. Thorpe
Environmental Engineer
Washington Regional Office
Enclosure
N"o c tzCaralina
�iztrrr<r!!r�
North Carolina Division of Water Quality Washington Regional Office Phone [phone] FAX [phone] Customer Service
Internet h2o.enr.state.nc.us 943 Washington Square Mall, Washington, NC 27889 1-877-623-6748
An Equal OpportunitylAffirmative Action Employer— 50% Recycled00% Post Consumer Paper

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a
5
,JUN 2 4 2005
June 23, 2005
.5.. •� is , r t'� e� " ���«''�'� �° +.�}��,.
Roger K. Thorpe, P.E.
Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
Re: Storm water permit number SW7020602
Name Change for Eckerd/Pier 1 Imports
Kitty Hawk, NC
Dear Mr. Thorpe:
This is in response to our telephone conversation today and your letter dated June 16,
2005 in which you request an application for ownership change be completed. On
August 2, 2002, JDH Capital was issued a Storm water permit number SW7020602 for
the construction of a property we were developing for Eckerd Pharmacies. JDH has
never had any ownership interest in this property and the stormwater ponds have been
maintained by the owner, Brooks/Eckerd Pharmacies since the building was completed.
As we discussed, it would be appropriate for the permit to be transferred to the original
and current owner of the facility, Brooks/Eckerd Pharmacies. t would like to authorize
transfer of this permit to the following:
Terry J. Owens
Regional Construction Manager
Brooks/Eckerd Pharmacies d
3385 Ed's Drive
Rocky Mount, NC 27804 /11 i
Per your request, we have enclosed the Permit Name/Ownership Change Form for your
use. Thank you for your timely cooperation in this matter.
Sincerely,
Mark A. Ball
Chief Development Officer
Attachment

Michael F. Easley, Governor
William G. Ross, Jr., Secretary
JUN 2 4 2005 North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
COASTAL STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
1. CURRENT PERMIT INFORMATION:
1. Stormwater Management Permit Number:_ ._5 UZ __�Lo,2'44 D a
2. Permit Holder's name:_ �`A �"'��, % T Z._,GC
3. Signing official's name: R f/ Title: � V
(person legally responsible for permit)
4. Mailing address: 3 � 3 5_a�, city:_
State:)V G ZipCode: 28A) Phone: : �Ro 4j 3 5 2- 00 Is
(Area Code and Number) (Area Cade and Number)
II. NEW OWNER ! PROJECT 1 ADDRESS INFORMATION
This request is for: (please check all that apply)
L-"_a. Change in ownership of the property/company (Please complete Items #2,
#3, and #4 below)
b. Name change of project (Please complete Item #5 below)
c. Mailing address change. (Please complete Item #4 below)
✓d. Other (please explain):ffr_,r..eJ X ,1!
y&a�r.�., � e .D_e r� r LJRS ISSrw� Any w.�B'f�� 1:
2. New owner's name to be put on permit: g �,� A %.5C����� �� 4..,., a C_ s
3. New owner's signing official's name and title: Te_^-J,d �.+
C ritte)
4. New Mailing Address: 33,? Lolls
State:ZipCode: a?,ea4.Phone: o a 0- S FAX:
(Area Code and Number) (Area Code and Number)
5. New Project Name to be placed on permit:. c�•oL 1���3 ��� �,n1,a,-4s
Page I of 2
North Carotins Division of Water quality 943 Washington Square Mail Phone [phone] Customer Service 1-877-623-6748 One
Washington Regional Office Washington, NC 27889 FAX [phone] Internet: h2o.enr.state.nc.us NorthCarolina
An Equal OpportunitylAifirmative Action Employer— 50% Recycted110% Post Consumer Paper XMIrV11 f

PERMIT NAMEIOWNERSHIP CHANGE FORM
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER
QUALITY UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED
WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed form.
2. Legal documentation of the transfer of ownership.
3. A copy of the recorded deed restrictions, if required by the permit.
4. The designer's certification, if required by the permit.
5. A signed Operation and Maintenance plan, if a system that requires maintenance will
change ownership.
6. Maintenance records.
CERTIFICATION MUST BE COMPLETED AND SIGNED BY BOTH THE CURRENT PERMIT
HOLDER AND THE NEW APPLICANT IN THE CASE OF A CHANGE OF OWNERSHIP.
FOR NAME CHANGES, COMPLETE AND SIGN ONLY THE CURRENT PERMITTEE'S
CERTIFICATION.
Current Permittee's Certification:
I, /f%arK_ 4, �54/v , attest that this application for a name/ownership
change has been reviewed and is accurate and complete to the best of my knowledge. I
understand that if all required parts of this application are not completed and that if all required
supporting information and attachments are not included, this application package will be
returned as incomplete.
Signature: Date:
New Applicant's Certification: (Must be completed for all transfers of ownership)
I, , attest that this application for an ownership
change has been reviewed and is accurate and complete to the best of my knowledge. I
understand that if all required parts of this application are not completed and that if all required
supporting information and attachments are not included, this application package will be
returned as incomplete.
Signature: Date:
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
North Carolina Department of Environment and Natural Resources
Division of Water Quality, SWP
943 Washinton Square Mall
Washington, NC 27889
Page 2 of 2

u; �:•W IIj-
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F Easley, Governor
September 8, 2004
Mr. Brian Riordan
BR of Wisconsin 39, LLC
P.O. Box 13125
Milwaukee, WI 53213-0125
Subject: RETURN
W'%-Ro
William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
Stormwater Project SW7040422
Eckerds/Pier 1 Imports
Kitty Hawk, NC - Dare County
Dear Mr. Riordan:
This office received a copy of your stormwater application and supporting information on
April 5, 2004 for a proposed Eckerds/Pier 1 Imports development to be located in Kitty Hawk, NC.
In a letter dated May 14, 2004 to you (copy of letter attached), additional information was requested
within 30 days to make the application package complete. On June 16 you asked to extend the time
to August 31, 2004. As of today, this information has not been received. Therefore your application
is being returned to you as incomplete
Please be advised that construction of the proposed facilities without a valid permit is a
violation of North Carolina General Statute 143-215.1 and may subject you to appropriate
enforcement actions in accordance with North Carolina General Statute 143-215.6. Civil penalties
of up to $10,000 per day per violation may be assessed for failure to secure a permit required by
North Carolina General Statute 143-215.1.
If you decide to pursue the project in the future, you may resubmit the application package
along with the requested additional information and permit processing fee.
If you have any questions or comments concerning this matter please call me at (252) 946-
6481.
Sincerely,
(oge?K.
Thorpe, P.E.
Environmental Engineer
Enclosure
cc: Kitty Hawk Inspections
Quible & Associates
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
512 N. Salisbury St., Raleigh, North Carolina 27604 NorthCarolina
Phone: [phone] FAX [phone] Intemet:: h2o.enr.state,nc.us .
An Equal Opportunity/Affirmative Action Employer -- 50% Recycledll0% Post Consumer Paper Naturally

t,Ja..RC�
o� �N A
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of environment and Natural Resources
—i
Alan W. Klimek, RE. Director
Coleen Sullins, Deputy Director
Division of Water Quality
DIVISION OF WATER QUALITY
May 14, 2004
Mr. Brian Riordan
BR of Wisconsin 39, LLC
P.O. Box 13125
Milwaukee, WI 53213-0125
Subject: Stormwater Review s* w 7 4' y 2-
Eckerd/Pier 1 Imports
Kitty Hawk, NC
Dare County
Dear Mr. Riordan:
This office received your State stormwater permit application and plans for the subject project on
April 5, 2004. This request was for a modification to stormwater permit SW7020602. A preliminary
review of your project has been completed. The following additional information is needed before a
permit can be issued:
Stormwater pen -nit SV 7020602 was issued to JDH Capital, LLC on August 2, 2002. This
permit can only be modified by a request from JDH Capital, LLC unless you are authorized in
writing to act on their behalf.
The infiltration basins required by permit SV 7020602 have been constructed and placed in
operation. Permit SW7020602 required that upon completion of construction and prior to
operation a certification must be received from an appropriate designer for the system
installed certifying that the permitted facility has been installed in accordance with the permit,
the approved plans and specifications, and other supporting documentation. We have no
record of this certification. One will need to be submitted prior to modifying the permit.
The system must be located in a recorded drainage easement for the purposes of operation
and maintenance and have recorded access easements to the nearest public right-of-way.
These easements should be shown on the plans.
Washington Regional Office 943 Washington Square Mall, Washington NC 27889 262.946.6481(telephone), 252.946.9215{fax}

Page 2
Mr: Brian Riordan
May 14, 2004
The above information must be submitted within 30 days, or your project will be returned as
incomplete. You should also be aware that the Stormwater Rules require that the permit be issued prior
to any development activity. If you have questions, please feel free to contact me at [phone],
extension 214.
Sincerely,
Roger K. Thorpe, P.E.
Environmental Engineer
Washington Regional Office
cc: Kitty Hawk Inspections
Mr. Darius Olesky -- JDH Capital, LLC
Quible & Associates, P.C.

INFILTRATION BASIN O & M Inspection Report W I
Inlets and Pretreatment
1. Drainage area is managed to reduce the sediment load to the basin: ❑ ❑ ❑
2.
Bypass structure / Vegetated filter is free of erosion and obstructions:
D-
❑
❑
❑
3.
Inlet device is free of erosion, damage or clogs:
Lk"'
❑
❑
❑
4.
Pretreatment area free of excessive sediment:
❑
❑
U—
❑
5.
Pretreatment area is free of erosion:
❑
❑
lam"
❑
6.
Rip rap (if used) is in correctly placed:
❑
❑
Lk-"
❑
Perimeter
7.
Perimeter of the infiltration basin is free of bare soil or erosion:
❑
❑
❑
8.
Vegetation around the basin is maintained at —6 inches height:
D-`�
❑
❑
❑
9.
Slopes and bottom are free of erosion and woody vegetation (trees or shrubs):
❑
❑
❑
Main Treatment Area
10.
Main treatment area is free of weeds:
❑
❑
❑
11.
Vegetation in the basin is maintained at —6 inches height:
❑
❑
❑
12.
Main treatment area is free of excessive sediment:
❑
❑
❑
13.
Main treatment surface area is free of clogs:
❑
❑
❑
14.
Basin is drained and it has been more than 5 days since last rain:
❑
❑
❑
Outlet Device
15.
Outlet device is free of erosion, clogs or damage:
❑
❑
M--"'
❑
16.
Orifice size matches approved plans:
❑
❑
U2--'
❑
17.
Relative elevations match approved plans:
P"
❑
❑
18.
Outlet device drainingproperly — free of standing water, cattails, etc.:
P P Y ( 9 }
�
❑
❑
V3.3_Q9

INFILTRATION BASIN O & M Inspection Report" A3
Inlets and Pretreatment • I -
1. Drainage area is managed to reduce the sediment load to the basin: Pr ❑ ❑ ❑
2. Bypass structure / Vegetated filter is free of erosion and obstructions: ❑ ❑ [,�i' ❑
3. Inlet device is free of erosion, damage or clogs: �4rs(- 'UmS6, 0 ❑ ❑ ❑
4. Pretreatment area free of excessive sediment: ❑ ❑ ❑' ❑
5. Pretreatment area is free of erosion: ❑ ❑ 5?' ❑
6. Rip rap (if used) is in correctly placed: P-"- ❑ ❑ ❑
Perimeter
7. Perimeter of the infiltration basin is free of bare soil or erosion: ❑" ❑ ❑ ❑
8. Vegetation around the basin is maintained at -6 inches height: e--' ❑ ❑ ❑
9. Slopes and bottom are free of erosion and woody vegetation (trees or shrubs): I" ❑ ❑ ❑
Main Treatment Area
10. Main treatment area is free of weeds: ❑" ❑ ❑ ❑
11. Vegetation in the basin is maintained at -6 inches height: D-`� ❑ ❑ ❑
12. Main treatment area is free of excessive sediment: 9-- ❑ ❑ ❑
13. Main treatment surface area is free of clogs: 9-` ❑ ❑ ❑
14. Basin is drained and it has been more than 5 days since last rain: 1�4� ❑ ❑ ❑
Outlet Deice
15. Outlet device is free of erosion, clogs or damage: ❑ ❑ 9' ❑
16. Orifice size matches approved plans: ❑ ❑ P'- ❑
17. Relative elevations match approved plans: ❑-` ❑ ❑ ❑
18. Outlet device draining properly - (free of standing water, cattails, etc.): ❑ B"\' ❑ ❑
V3.3_09

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State Stormwater Inspection Report
General
Proj
Expiration Date:
Contact Person:
Phone Number:
inspection Type:
Inspection Date: /� �l \���i�
pL
Time Ill: '.f,r
Time Out:
Current `leather:
Recent Rain(Date)? 1a
Rain—
ocation
Facility Address / Location:
City: "Lip: County: Lat: 0 17H]
bong: - 0 1,1\J
Permit Information
Rule Subject to (circle
one): 1988 Coastal Rule
1995 Coastal Rule
2008 Coastal Rule Session Law 2006-246
Goose Creek
High Quality Waters
Outstanding Resource Waters
Density (circle one):
High (141)) Low (LD)
Stormwater Best 1\11 apQgemem Practices (13MI's) (inser(
number of each):
Wet Ponds
Infiltration Basins
Infiltration Trenches
LD Swales Storm),vater NVC.Oands
Dry Ponds
BIoretention
Permeable Pavement
Sand filters (circle one) Open Closed
Cistern
Level Spreader/hilwr Strip
Other (specify):
File Review -
Yes No NIA NIE
l . Is the permit active?
2. Signed Engineer's Certification on file'?
3. Si tied 0 erat.ion and Maintenance agreement on file?
4. Recorded Deed Restrictions on file? \
Sites Visit: Ruilt llnnn Area (Rt1Al ,I1V� s.�� ..J`� Yas Nn NIA NIF
5. B A 1S constructed and consistent with the permit requirements? "'
fir. I3LJA (aS GI'n1ltlCd is >raded sUC•11 lllitl the rtlIloff drallls t0 t}le s slL'177? hi =h Clenslty 011ly
7. Draina se area is conslsmit with I)CI'nllt`! (i.e ?10 till )eri1l11tCCi dS'an7a'e 10 the S�1r 131•'1P5
8. Dralnagt; area is stabilized? (to rockice risk o1 sedime,11(i11Wil to 1he 5«7 BMI's)
Site Visit: Stormwater BMPs Yes No NIA NIE
�9. Stol�nwater F3M4's are located per the, tsl�)roved Mans?
10. Stormwater BMI's have dimensions e g. len nth, width, ,trees) matching the approved plans?
11. Stormwater BMI's are constructed Gr the a )proved plans`)
Site Visit: Operation and Maintenance Yes No NIA NIE
12 Access points to the site are clear and well maintained?
13. Trash has been removed as needed?
14. Excessive landscape debris (grass clippings, leaves, etc) is controlled?
15. Stormwater BNlPs beinu, operated and maintained as per the permit requircinems?
16. hispection and Maintenance records are available for inspection? (high density only, 1995 --present only)
Site Visit: Other Permit Conditions Yes No NIA NIE
17. Is the site com liant with other conditions of the )ermis? i V
Site Visit: Other Water Quality issues r Ve�i Yes No NIA NlE
13. Is the site compliant With other water quality issues as holed during the inspection? t I
State Stormwater Inspection Report, Version 3.0 � r} �� (Y PC r O(a Page 1 of 2

State Stormwatetr 9nspection Report
insoectlon t'ictures [some of She pictures taken durrnq Me site
Compliance Status ❑ Compliant ❑ Non -Compliant
Letter Sent (circle one): Yes No Letter type. CEI NOV NOVRE Other
Date Sent, Reference Number:
Inspector Name and Signature:
Date:
State Siormwater Inspection Report, Version 3.0 Page 2 of2

fFft r- �--- tt— fl I IV it'S1
OFFICE USE: ONl Y:
Date Received
Fee Paid
Permit Number
1 2 2002
o 2-
DWQ_WA50 State of North Carolina
epartment of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Applicants name (specify the narne of the corporation, individual, etc. who owns the project):
JDH Capital, LLC
2. Print Owner/Signing Official's narne and title (person legally responsible for facility and compliance):
Darius Olesky, PE, CDT Director of Design
3. Mailing Address for person listed in item 2 above:
.3.7.3.5_Beam_Road
City_Charl.otte State: N.0 7-iP:-2.821_7
Telephone Number: ( 704 } 357-1220 ext 209
4. Project Name (subdivision, facility, or establishment narne -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Eckerd Drugs/ Pier 1 Imports
S. Location of Project (street address):
Intersection of US 158 and NC 12
City: Kitty Hawk, NC County_Da
6. Directions to project (frorn nearest major intersection):
Traveli.ng_ea_s_t_on_US 1-5.8_,_cross_Wr-irgh-t—Memor-iad—Bridge
Project will be at intersection of US 158 and_NC 1.2
7. Latitude: N 36 ° 6. 0 0 ' Longitude: W 750 42. 850' 1 of project
8. Contact person who can answer questions about the project:
Name: Ken_da i �_T_urnaae Telephone Number: (2 5.2—3 3 $_2.9 2.9
II. PERMIT INFORMATION:
1. Specify whether project is (check one): x New Renewal
Form SWU-101 Version 3.99
Page I of 4
Modification

j
y

V
2. If this application is being submitted as the result of a renewal or modification to an existing pertnit, list the
existing permit number and its issue, date. (if known)
3. Specify the type of' project (check one)
Low Density x High Density Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
_CAMA Major XSedimenialion/Erosion Control _404/401 Permit �NPDES Stormwater
Local approval
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III. PROJECT INFORMATION
1. In the spare provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project .
All impervious surface generated stormwater will sheet flow
to concrete flumes or catch basins ( in Dr. Area 1)_, The
stormwater will be treated_b.y .Intl_ltz.a.to._on_bas.i.ns_as—p.er_p.lans
and calculations.
2. Stormwater runoff froin this project drains to the Pasguotank River basin.
3. Total Project Area: 4.25 acres 4. Project Built Upon Area:_5 5 % %
5. I -low many drainage areas does the project have? 2
6. Complete the following information for each drainage area. If there are more than Iwo drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
See attached sheet
BastnInfnrmiUon ':<Drainage Arsa 1 Drainage E1rea 2
..
Receiving Stream Name
Receiving Stream Class
Drainage Area
Existing Impervious* Area
Proposed Irnpervious*Area
% Impervious' Area (loin))
Iniperytous :Surface"E1rea .'
Drainage Area 1
Drainage Area
On -site Buildings
On -site. Streets
On -site Parking
On -site Sidewalks
Other on -site
Off -rile
Total:
Total:
Impervious area is defined as the built upon area including, but not limited to. buildings. roads. parking areas.
sidewalks. gravel areas, etc..
Form SWU-101 Version 3.99
Page 2 of 4

DRAINAGE AREAS
Basin information
Receiving Stream Name
Receiving Stream Class
Drainage Area
Existing Impervious Area
Proposed Impervious Area
% Impervious Area
Drainage Areal
Currituck Sound
SC
0.75 ac
0.75 ac
.75 ac
100%
DRAINAGE AREAS
Drainage Area 2
Currituck Sound
SC
1.16 ac
1.16 ac
1.16 ac
100%
Draiaage Area 3
Currituck Sound
Sc
0.45 ac
0.45 ac
.45 ac
100%
Impervious Surface Area
.27 ac
.37 ac
0 ac
On -site Buildings
0 ac
0 ac
0 ac
On -site Streets
.48 ac
.67 ac
.45 ac
On -site Parking
0 ac
.12 ac
0 ac
On -site Sidewalks
0 ac
.12 ac
0 ac
Other On -site
0 ac
0 ac
0 ac
Off -Site
0 ac
0 ac
0 ac
Totals
75 ac
1.16 ac
.45 ac

7. 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 ruture development prior to the sale of any lot. If lot sires vary significantly, a table
lisling each lot number, size and the allowable built -upon area for each lot must be provided as an attachment.
1. The following covenants are intended to ensure ongoing compliance with state stormwater management permit number
as issued by the Division of Water Quality. These covenants may not be
changed or deleted without the consent of the State.
2. No more than .square feet of any lot sha11 be covered bystnlcturns 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 of swimming pools.
3. Swales shall not be filled in. piped. or altered except as necessary to provide dHveway crossings.
4. Built -upon area in excess of the, permitted amount requires a state stormwater management permit modification prior to
construction.
5. All permitted runoff frorn outparrels or future development shall be directed into the permitted stormwater control
system. These connections to the stormwater control system ,shall he performed in a manner that maintains the integrity
and performance of the systern 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 (hey will run with the land, that the required covenants cannot be changed or deleted
withoul. 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 rorm(s) listed below must he subtnitted for each
BMP specified for this project. Contact the Stormwaler and General Permits Unit at [phone] for the status
and availability of these forms.
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-I04
Low Density Supplement
Form SWU-105
Curl) Outlet System Supplement
Form SWU-106
Off -Site System Supplement.
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
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 or 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 itern.
Initials
• Original and one copy of the Stor►nwater Management. Permit Application Form KT
• One copy of the applicable Supplement Form(s) for each BMP !tT
• Permit application processing fee of $420 (payable to NCDENR) r�'p
• Detailed narrative description of stormwater Ireal ment/managemen t k"r
• 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
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 delinealed
Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
Designated agent (indivi(ival or firm): McKim & Creed
Mailing Address: 504 E. Elizabeth Street S-ui-t.e 1
Cily: Elizabeth City
Phone: ( 2 5 2 ) 3 3 3=2-9 2.9
VIII. APPLICANT'S CERTIFICATION
State: NC Zip:_2 7 9 0 9
Fax: (-2.5,2 ) 338�1
I, (print or type name of person listed in General information. item Z) 1Q.—
s-OUCKSY
OUCK
certify that the information included on this permit. application form is, to t.hebesi of my know edge, correct and
that the project will he constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of 15A
NCAC 21-1.1000.
Signature:
Form SWU-101 Version 3.99 Page 4 of 4
Date: Kyi.Q�QZ

I
Permit No.
(to be provided by DWO
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FoRm ECEIVED
INFILTRATION BASIN SUPPLEMENT J U N 1 26,?
This forni may be photocopied for use as an original
DWQStormwater Management Plan Rcvicw:
DWQ-WARD
A complete stormwater management plan submittal includes a stormwater management permit application, an
infiltration basin supplement for each system, design calculations, soils report and plans and specifications
showing all stormwatcr conveyances and system details.
1. PROJECT INFORMATION
Project Name : Eckerd/Pier 1 Imports
Contact Person: Kendall Turnage PhoneNumbcr: (2s2.)-JR-2329
This workshcct applies to: Basin No.
1
(as identified on plans)
in Drainage Area 1
(Jrnm Form SWl!-101)
IL DESIGN INFORMATION - Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable source
of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
Soil Type &..O> au ;"e saute(
Infiltration Rate _�-7 2 Q lnih or cf/hr/sf (circle appropriate units)
SHWT Elevation r�? fmsl (Seasonal Nigh 6faler Table elevation)
Basin Design Parameters
Design Storm 4 inch (1.5 inch event for SA waters, I inch event for others)
Design Volume / 6 7 7.3 c.f.
Drawdown Time <11-10468 days
Basin Dimensions
Basin Size
Basin Volume Provided
Basin Elevations
Bottom Elevation
Storage Elevation
Top Elevation
1 0 0 ft. x 25.15 ft. = 2515
1 6, 773 c.f.
10
fmsl
12
fmsl
14
fmsl
Form SWU-103 Rev 3.99 Page I of 3
sq, ft. (bottom dimensions)

III. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate that the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. Attach justification if a requirement has not been met.
Applicants Initials
k-r a. System is located 50 feet from class SA waters and 30 feet from other surface waters.
Krt b. System is located at least 100 feet from water supply we] Is,
K-r- c. Bottom of system is at least 2 feet above the seasonal high water table.
�__T d. Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
KT_ e. System is not sited on or in fill material or DWQ approval has been obtained.
K-7 f. System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access casements to the nearest public right-of-way.
h`r g. Drainage area for the device is less than 5 acres.
K� h. Soils have a minimum hydraulic conductivity of 0.52 inches per hour and soils re on is
attached. ;,, K-,, f, ""Y F--* A;te s .ueOt vk pwa w0.s►;, g .�, s"Mmer T1ool
�T i. System captures and infiltrates the runoff from the first 1.0 inch of rainfall (1.5 inch event for
areas draining to SA waters ). Design volume and infiltration calculations attached.
1CT j. System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached.
KT k. All side slopes stabilized with vegetated cover are no steeper than 3:1 (H:V).
K-` - 1. A pretreatment device such as a catch basin, grease trap, filter strip, grassed Swale or
sediment trap is provided.
m. Bottom of the device is covered with a layer of clean sand to an average depth of inches or
dense vegetative cover is provided.
N A n. Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
length is 50 feet for SA waters, 30 feet for other waters).
kT o. Flow distribution mechanism within the basin is provided.
kJ_ p. A benchmark is provided to determine the sediment accumulation in the pretreatment device.
A q. Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
kT r. System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
KT s. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
r'onyi SWU-IU3 Rev 3.99 Page? of 3

IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
1. After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stormwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
N J1 When the design depth reads feet in the pretreatment unit, the sediment shall be
I removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
I acknowledge and agree by my signature below that I am responsible for the performance of the five
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: ]>aItAs OLUU S`i. 'RI ES-MliL of 'DE.51W4, Jb4 (A►1tITAL
Address:_ AvAIP5-44.1re MgAn__
Phone:_? 57-1 2 Z D Date:_Q(O,
Signature:
Note: The legath, responsib e p should trot be a homeowners association unless more than 50%or the lots have been ,cold and a
f resident (�f 1he subdivision has been named the president. _
S N�County of
personally appeared before me thiW
the forgoing infiltration basin maintenance requirements.
Witness my band and official seal,
Fonn SWU-103 Rev 3.99 Page 3 of 3

1,
l 1 6 �s�r�,.. •y ' �` t '.tom

Permit No.
(it) be provided by DWQ)J
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality RECEIVE®
STORMWATER MANAGEMENT PERMIT APPLICATION NORM
INFILTRATION BASIN SUPPLEMENT JUN 1 3 2V
This form may be photrx:opied for use as nip original
DWQ-1fUAR0
DWQ Stonnwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater management permit application, an
infiltration basin supplement for each system, design calculations, soils report and plans and specifications
showing all stormwater conveyances and system details.
1. PROJECT INFORMATION
Project Name: Eckerd/ Pier 1 Imports
Contact Person: Kendall Turnage Phone Number: ( 252) 338-2929
This worksheet applies to: Basin No.
2
(its identified on plans)
in Drainage Area 2
(from Form SWU-tf)1)
II. DESIGN INFORMATION - Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable source
of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
SoiI Type
Infiltration Rate
SHWT Elevation
Basin Design Parameters
Design Storm
Design Volume
Drawdown Time
Basin Dimensions
Basin Size
Basin Volume Provided
Basin Elevations
Bottom Elevation
Storage Elevation
Top Elevation
�Je�J.aw F-oe sa,c(
> 20 inlhr or of/hr/sf (circle appropriate unite)
fmsl (.Seasonal High Water Table elevation)
4 inch (1.5 inch even! or SA waters, 1 iiich event fur others)
J 001 c.f.
days
1 0 3 ft. x 28.3 t, = 2915 Sq. ft. (botlom dimensions)
21,173.5 c.f.
10 fmsl
12 fmsl
14 fmsl
Form SWU-I03 Rev 3.99 Page I of 3

1111. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate that the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. Attach justification if a requirement has not been met.
Applicants Initials
1<rt a. System is located 50 feet from class SA waters and 30 feet from other surface waters.
K* b. System is located at least 100 feet from water supply wcl Is.
c. Bottom of system is at least 2 feet above the seasonal high water table.
kT d. Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
KIT e. System is not sited on or in till material or DWQ approval has been obtained.
kr f. System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
k T g.
Drainage area for the device is less than 5 acres.
k� h.
Soils have a minimum hydraulic conductivity of 0.52 inches per hour and soils report is
attached. See Krooel' Ki4+% 14 kale , .,v c pEw k C-; (es
krt i.
System captures and infiltrates the runoff from the first 1.0 inch of rainfall (1.5 inch event for
areas draining to SA waters ). Design volume and infiltration calculations attached.
k-r j.
System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached.
kfi k.
All side slopes stabilized with vegetated cover are no steeper than 3:1 (H:V).
KT I.
A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale or
sediment trap is provided.
kT m.
Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches or
dense vegetative cover is provided.
// /1 n.
Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
length is 50 feet for SA waters, 30 feet for other waters).
o.
Flow distribution mechanism within the basin is provided.
jcT p. A benchmark is provided to determine the sediment accumulation in the pretreatment device.
KT q. Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
tO_ r. System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and all
pertinent draw -down calculations are attached. 5— Kro je- r. ty Ha'-'k,
k-r s. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Form SW11-103 Rev 3.99 Page 2 of 3

IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
I . After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3, After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stormwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
j When the design depth reads feet in the pretreatment unit, the sediment shall be
J� removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
I acknowledge and agree by my signature below that I am responsible for the performance of the five
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: DAji=1AS QUY. PE PCOE XU_124 t!AE"
Phone: d_q_.�7.122y Date:_�•O .OZ
Signature:
Note: The legalli? respon.v-i%7Z-- n .vhoule! not he a homeovi�ners association unl ss more than 50% oj'the lols have been sold and a
' resident o the Sul iiviisiion has been named the president.
' Notary Public for the State of l� County of
')hereby certify t ilS of 41 personally appeared before me this
* r
day of d cknowle ge the due execution of the forgoing infiltration basin maintenance requirements.
Witness my hand and `official seal,
SEAL My commission expires] �L.J
Form SVVU-103 Rev 3.99 Page 3 of 3

1'
� I . ♦ '
. �
r 1r = f � S.' � t.�. ,
-: � .; �..
i'.} !'
n.,.'t 'in3(.e
.. [L � , ~ '�',� J-� � ti it
','�. ', -
- .y
e
t

Permit No.
(to he provided by DtiVQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form may he photaropied for use as an original
DWQ Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater management permit application, an
infiltration basin supplement for each system, design calculations, soils report and plans and specifications
showing all stormwater conveyances and system details.
I. PROJECT INFORMATION
Project Name: Eckerd_ / Pier 1 Imports
Contact Person: Kendall Turnage PlioneNumbcr: (252 3) 38_2929
This worksheet applies to: Basin No. 3 in Drainage Area 3
(as identified on plans) YJ wn Form SFVU-10 j
IL DESIGN INFORMATION - Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable source
of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
Soil Type
Infiltration Rate
SHWT Elevation
Basin Design Parameters
Design Storm
Design Volume
Drawdown Time
Basin Dimensions
Basin Size
Basin Volume Provided
Basin Elevations
Bottom Elevation
Storage Elevation
Top Elevation
1VetilHaµ Iris
7 2 0 iGlh or cflhr/sf (circle appropriate w0s)
8 fmsl (Seasonal Ifigh fEater Table elevation)
4 inch (1.5 inch event for Sit )4,aters, 1 inch event fi)r others)
6Ao7 c.f.
1.6 days
76 ft. x 12.9 ft, = 978 sq. ft. (hottom dimensions)
6281 c.f.
10 fmsl
11 .yam fms]
13 finsi
Form SWU-103 Rev 3.99 Page I of 3

Ill. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate that the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. Attach justification if a requirement has not been met.
Applicants Initials
�r a.
System is located 50 feet from class SA waters and 30 feet from other surface waters.
KT b.
System is located at least 100 feet from water supply wells.
KT c.
Bottom of system is at least 2 feet above the seasonal high water table.
K-T- d.
Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
KT e.
System is not sited on or in fill material or DWQ approval has been obtained.
K� f.
System is located in a recorded drainage casement for the purposes of operation and
maintenance and has recorded access casements to the nearest public right-of-way.
k g.
Drainage area for the device is less than 5 acres.
K� h.
Soils have a minimum hydraulic conductivity of 0.52 inches per hour and soils report is
attached. Sec /erojr r /e'� -ff y I f a wk WC D F ivP- F' i f,- 5
kT I.
System captures and infiltrates the runoff from the first 1.0 inch of rainfall (1.5 inch event for
areas draining to SA waters ). Design volume and infiltration calculations attached.
K j.
System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached.
k.
All side slopes stabilized with vegetated cover are no steeper than 3:1 (H:V).
N L,4 1.
A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale or
sediment trap is provided.
1�T m.
Bottom of the deice is covered with a layer of clean sand to an average depth of 4 inches or
dense vegetative cover is provided.
A 4 m
Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
length is 50 feet for SA waters, 30 feet for other waters).
kT o.
Flow distribution mechanism within the basin is provided.
kr p. A benchmark is provided to determine the sediment accumulation in the pretreatment device.
16rA q. Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
1c-r r. System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonal high water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
KT s. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Fonn 5WU-103 Rev 3.99 Page 2 of' 3

IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT
l . After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
4. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 7 S% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stormwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
When the design depth reads feet in the pretreatment unit, the sediment shall be
removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
I acknowledge and agree by my signature below that I am responsible for the performance of the five
maintenance procedures listed above. 1 agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: L_>h,2lUS ULEXSYj rt Q& or [AsJuN JDA UfirA L-
Address:_37 35IA
Phone: 7Tq_ Zzo Date:_. Qy 02-
Signature:
Note: The legalh resi�onsible p ould not be a homeowners association unless more than 50% q the lots have been sold and u
resid i r f tlu s bdivision has heen named the president.
JA a I.- P 1Q.
l Notary Public for the State 7146,11l4k, County of
do hereby certify th personally appeared before me this4
day of ,. and, knowled �e the due execution o c forgoing infiltration basin maintenance requirements.
Wit my h trtd and official seal,
SEA: , • r - My commission expires_
Forni SWU-1 3 Rev 3.99 Page 3 of 3

for

,l
1
STORMWATER CONTROL NARRATIVE
FOR "ECKERD 1 PIER 1 IMPORTS"
KITTY HAWK, NORTH CAROLINA
A. GENERAL PROJECT NOTES:
PROJECT NAME: "Eckerd Drug Store/ Pier 1 Imports"
DEVELOPER: JDH Capital Ph-704-357-1220 ex209
3735 Beam Road F- 704-357-0018
Charlotte, NC 28217 Contact: Darius Oleksy, P.E., C.D.T.
3. PROJECT DESCRIPTION: A 4.25 acre Commercial/ Retail Site
4. NEAREST RECEIVING STREAM; Currituck Sound
5. CLASSIFICATION OF RECEIVING STREAM: SC
6. IMPERVIOUS AREA: 2.36 acres
7. BMP Devices: 3 Infiltration Basins
B. SITE DESCRIPTION:
This 4,25 acre parcel is located at the intersection of U.S. 158 and N.C. 12 and is currently a
miniature golf course and retail center. . The topography of the site ranges from 8 feet to 20 feet with 3
small ponds (PVC lined, Non 404 Jurisdictional) being used for aesthetic/ golf course purposes. These
ponds will be abandoned and filled to allow for the new BMP devices to be installed. Two Swales (see
plans and calculations) will be used to direct water to the proposed BMP Infiltration basin #1 and #2.
Infiltration Basin #3 will not have a Swale system do to site constraints. All basins use concrete flumes to
prevent high runoff velocities from eroding basin slopes.
C. SOILS:
Site soils consist of Newhan fine sand throughout the parcel. Newhan fine sands are excessively
drained with very rapid permeability; therefore, drainage measures have been engineered to
accommodate such conditions. A soils report of the site was submitted to NCDENR DCDWQ with the
Kroger, Kitty Hawk stormwater application in the summer of 2001 if verification of soil conditions is
required.
D. PROJECT DESCRIPTION:
This project will consist of the transformation of a miniature golf course into a commercial/ retail
site. The site has uneven topography and contains elevations of 8-20 feet above mean sea level. Most
existing impervious surfaces will be removed to allow for construction of the new buildings, parking areas
and BMP devices. Three infiltration basins will be constructed as per plans along with any
recommendations from the Division of Water Quality.

E. STORMWATER NARRATIVE:
Site generated stormwater will be directed to three BMP Infiltration devices constructed per the
plans attached. The site stormwater devices will utilize site soil infiltration rates of >20 inlhr to treat and
control stormwater. The impervious surfaces will be separated into three drainage areas (one per each
infiltration basin) for stormwater and sediment and erosion control purposes. Impervious surfaces will be
graded to sheet flow to the drainage features as per the plans attached. Calculations for the infiltration
basins and swales are included with this application package.
Sedimentation and Erosion Control measures will be implemented before and during the grading
and construction phases of the project to minimize impacts to the adjoining surface waters.
• All stormwater control and sedimentation and erosion control practices shall be in accordance
with the North Department of Environment and Natural Resources Regulations and
recommendations.
CONSTRUCTION SEQUENCE.'
1. Install all sedimentation and erosion control practices prior to any land clearing, grubbing or earth
disturbing activities.
2. Critical erosion areas will be given special attention throughout the entire project
3. Clear and grub roadway areas removing trees, vegetation, root and other material that may affect final
roadway stability.
4. Install all culverts, stormwater piping and drop inlets. Construct all swales and ditches. Maintain
minimum slopes as indicated on plans and details. The contractor is responsible to protect all the above -
mentioned appurtenances prior to and upon completion of construction and prior to commencement of
any new task especially inlet protection.
S. Construct stone silt dam as required to break high velocity flows. Place class "A" stone rip -rap at all
culvert outlets.
6. Provide temporary stabilization vegetation as outlined by "Section B" of the Sedimentation and Erosion
Control Notes.
7. Construct roadway, undercutting and replacing unsuitable soils as encountered.
8. Perform all grading and apply permanent vegetation as outlined in "Section B" of the Sedimentation
and Erosion Control Notes.
STABIUZATION AND LANDSCAPING:
Final slopes in all graded areas shall not exceed 3:1. All seeding and sodding shall be in place
within 30 days of land disturbance and/or project completion.
1. Fertilizer: Apply 3,000 Ib per acre ground agriculture limestone and 500 lb per acre 20-20-20-
fertilizer. Top dress 50 lb, per acre nitrogen.

2. Mulch: Apply 4,000 lb. per acre straw. Anchor straw by tacking with asphalt, netting, or a mulch
anchoring tool.
3. Seeding:
A., Temporary Vegetation: If temporary seeding occurs during winter, early spring, or fall, apply
120 lb per acre rye grain. If temporary seeding occurs during summer, apply 40 lb. per acre centipeed
grass. Temporary vegetation must be applied within 30 days of land disturbing activity.
B. Permanent Vegetation: Apply coastal mix consisting of 50 lb. per acre Pensacola Bahia grass
and 10 lb. per acre German Millet. Apply permanent seeding between April 1, and July 15. Refertiiize the
following April with 50 lb. per acre nitrogen.
C. Sodding: (If Required) Permanent vegetation- select compatible species to permanent
seeded type; install with longest dimension perpendicular to the slope and staple if necessary; roll sod
immediately and water to 4".
MAINTENANCE.
1. Check temporary erosion devices after each significant rainfall and/or biweekly. Repair and remove
sediment buildup as necessary.
2. Check stabilized areas after each significant rainfall event. Rills and gullies must be repaired, re-
seeded and mulched as soon as possible. Temporary diversions may be necessary until new plants
develop. Bare spots must be relimed, fertilized, mulched and reseeded as promptly as possible. Yearly
refertilization may be required to maintain productive stands.
NOTES:
The intent of this plan is to,-
0 Minimize the extent and duration of disturbed soil exposure.
• Protect disturbed areas from stormwater runoff.
• Stabilize disturbed areas as soon as possible
Maintain low runoff velocities (and protect areas where this is not possible).
• Retain sediment on site with silt fencing.
This plan represents minimum sedimentation and erosion control measures. Additional measures and
devices may be required as construction proceeds.

STORMWATER CALCULATIONS
Eckerd/ Pier 1 Imports
Kitty Hawk, NC
McKim & Creed #2315-0001

E®
02
a

ly �
STORMWATER CONTROL
INFILTRATION BASIN No. 1
CALCULATIONS
1. CALCULATE PERCENT OF IMPERVIOUS AREA DRAINING TO THE POND
WATERSHED AREA = 0.75 ACRES
WATERSHED IMPERVIOUS AREA = 0.75 ACRES
% IMPERVIOUS = 100 %
2. DETERMINE THE VOLUME TO BE CONTROLLED FROM THE 1" and 4" STORM
VOLUME REQUIRED = (DESIGN RAINFALL)(Rv )(WATERSHED AREA)
DESIGN RAINFALL = 1 IN
4 IN
Rv = 0.05 + .009(I) WHERE I = PERCENT IMPERVIOUS
Rv = 0.95
VOLUME REQUIRED,. = 2586.38 FT
VOLUME REQUIRED4' = 10345.50 FT'
STAGE
FT
ELEV
FT
AREA
(FT2)(FT3)
VOLUME
ACC.
VOLUME
(FT')
0
10
2515
0
0
1
11
3287
2901
2901
2
12
4131
3709
6610
3
13
5039
4585
11195
4
14
6117
5578
16773
Volume Provided based on plans

STORMWATER CONTROL
INFILTRATION BASIN No. 2
CALCULATIONS
1. CALCULATE PERCENT OF IMPERVIOUS AREA DRAINING TO THE POND
WATERSHED AREA = 1.16 ACRES
WATERSHED IMPERVIOUS AREA = 1.16 ACRES
% IMPERVIOUS = 100 %
2. DETERMINE THE VOLUME TO BE CONTROLLED FROM THE 1" and 4" STORM
VOLUME REQUIRED = (DESIGN RAINFALL)(R ,,)(WATERSHED AREA)
VOLUME REQUIRED,- =
VOLUME REQUIRED,• =
DESIGN RAINFALL
RV = 0.05 + .009(1)
Rv = 0.95
4000.26 FT'
16001.04 FT'
1 IN
4 IN
WHERE I = PERCENT IMPERVIOUS
STAGE
FT
ELEV
FT
AREA
(FT2)(FT')
VOLUME
ACC.
VOLUME
(FT3)
0
10
2915
0
0
1
11
4000
3457.5
3457.5
2
12
5175
4587.5
8045
3
13
6431
5803
13848
4
14
8220
7325.5
21173.5
Volume Provided based on plans

STORMWATER CONTROL
INFILTRATION BASIN No. 3
CALCULATIONS
1. CALCULATE PERCENT OF IMPERVIOUS AREA DRAINING TO THE POND
WATERSHED AREA = 0.45 ACRES
WATERSHED IMPERVIOUS AREA = 0.45 ACRES
% IMPERVIOUS = 100 %
2. DETERMINE THE VOLUME TO BE CONTROLLED FROM THE 1" and 4" STORM
VOLUME REQUIRED = (DESIGN RAIN FALL)(R)(WATERSHED AREA)
DESIGN! RAINFALL = 1 IN
4 IN
Rv = 0.05 + .009(I) WHERE I = PERCENT IMPERVIOUS
Rv = 0.95
VOLUME REQUIRED,• = 1551.83 FT' f�
VOLUME REQUIRED,.. = 6207.30 FT'
STAGE
FT
ELEV
FT
AREA
(FT2)(FT')
VOLUME
I ACC.
VOLUME
0
10
978
0
0
1
11
1621
1299.5
1299.5
2
12
2455
2038
3337.5
3
13
3432
2943.5
6281
Volume Provided based on plans

CALCULATION
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