SW7040310_CURRENT PERMIT_20040408

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW��fI,3/O
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
XW4�9_1k!�,
YYYYMMDD

_ F NJ A ]-� Michael F. Easley, Go errnnor
t O 9pG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Coleen Sullins, Deputy Director
-i Division of Water Quality
DIVISION OF WATER QUALITY
April 8, 2004
Mr. Henry C. Yates
Edenton Cotton Mill Development, Inc. 9v
149 Yeager Road
Mooresville, NC 28117
Subject Permit No. SW7040310
Edenton Cotton Mill
Redevelopment Stormwater Project
Chowan County
Dear Mr. Yates:
The Washington Regional Office received a completed Stormwater Application for the subject project on March 23,
2004. 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. SW7040310 dated April 8, 2004
to Edenton Cotton Mill Development, Inc. for the construction and operation of wet detention pond to serve the redevelopment
of the Edenton Cotton Mill site located in Edenton, NC.
This permit shall be effective from the date of issuance until April 8, 2014 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, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made this permit
shall be final and binding.
If you have any questions, or need additional information concerning this matter, please contact Roger Thorpe at
[phone], extension 214.
Sincerely,
/C J'—�
f- Jim Mulligan
Water Quality Regional Supervisor
Washington Regional Office
cc: Hyman & Robey
Chowan County Inspections
Washington Regional Office
Central Fifes
Washington Regional Office 943 Washington Square Mall, Washington NC 27889 252.946.6481(telephone), 252.946.9215(fax)

State Stormwater Management Systems
Permit No. SW7040310
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
REDEVELOPMENT
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
Edenton Cotton Mill Development, Inc.
Chowan 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 a wet detention pond to serve the redevelopment of the Edenton Mill site in Edenton, NC.
This permit shall be effective from the date of issuance until April 8, 2014 and shall be subject to the following specified
conditions and limitations:
1: DESIGN STANDARDS
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:
Edenton Cotton Mill
Permit Number.
SW7040310
Location:
Chowan County
Applicant:
Edenton Cotton Mill Development, Inc.
Mailing Address:
149 Yeager Road
Mooresville, NC 28117
Application Date:
3/23/2004
Receiving Stream:
Queen Anne Creek
Classification of Water Body:
C - NSW
Total Site Area:
14.36 ac
Total Impervious:
4.92 ac
Wet Pond Depth:
7.0 ft
Required Storage Volume:
15,814 cf
Provided Storage Volume:
17,599 cf
Required Surface Area:
7,979 sf
Provided Surface Area:
8,943 sf
Controlling Orifice:
1 & 718 inch @ elevation 4.0 ft

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.
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
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.
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. Semiannual 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 in 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
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).
The issuance of this permit does not preclude the Permittee from complying with any and ail 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 8 th day of April, 2004.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
hAlan W. Klimek, P.E. Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW7040310

Edenton Cotton Mill
Stormwater Permit No. SW7040310
Designer's Certification
as a duly
registered Professional Engineer in the State of North Carolina, having been authorized to observe (pedodicallylweeklylfull
time)
the construction of the project,
for
hereby state that to the best of my abilities,
such that the construction was observed to
specifications.
Signature
Registration Number
Date
(Project)
(Project Owner)
due care and diligence was used in the observation of the project construction
be built within substantial compliance and intent of the approved plans and

4
J�ii 09 09 03:47p Hdman Robed 252 331 2390 p.1
HYMAN ;
ROBEY'R
Transmittal
Date
71912009
Number of pages including cover sheet
2
To
Mr. Al Hodge
NCDENR — Division of Water Quality
Phone
Fax
252-946-9215
From
Kimberly D. Hamby
Senior Project Manager
kirTi hymanrobey.com
Phone
[phone]
Fax
[phone]
Subject/
Project #
02001
Edenton Cotton Mil#
Sent
Via
fax
Enclosures
Copy of original engineer's certification
Please call
For your review and
For your Approval
As you
for further
comment
repuested
discussion
As we
For your Files
X
For your use
Other
discussed
Message:
Al,
We were contacted by the architects for the above referenced project and asked to
provide the Designer's Certification for the detention pond. I am not sure why you had
not previously received this, but I have attached a copy from our file.
We have not been asked to inspect the pond's current state or assist in any way other
than providing a copy of the certification. If you need anything else from our office,
please feel free to contact us.
Thank you,
Kim
P. O. Box 339 Camden, Norlh Carolina 27921
[phone]
www,hymanrobey,com

J�1 09 09 03:47p Hyman Robey 252 331 2390 p.2
Edenton Cotton Mill
Stormwater permit No. SV 7040310
Designer's Certification
I, Sects C . 'eq as a duly �—�
registered Professional Engineer in the State of North Carolina, having been authorized to observe eriodicall f eeklylfull
time)
the, construction of the project,
r
1' l t i 1 (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.
Signature
Registration Number SEAL _
-
Date _c`
/����lff!f111lS0\N

tw c r- ton iter n
- k,, , OFFICE USE ONLY ,4: i
Date Receive
Fee Paid
Permit Number
M
1-'-7 0140 1 0
DWQ-WARD State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an orlginal
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Edenton Cotton Mill Development, Inc.
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Henry C. Yates, Vice President
3. Mailing Address for person listed in item 2 above:
149 Yeager Road
City: Mooresville State: NC Zip: 28117
Telephone Number: ( 704 ) 6 6 3- 51 15
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Edenton Cotton Mill
5. Location of Project (street address):
McMullan Avenue
City: Town of Edenton
County: Chowan
6. Directions to project (from nearest major intersection):
17 BvDass and 32 intersection- follow 32 South to Broad Street,
right on Broad. Follow all the way down to E.King Street -turn left,
goes straight to it.
7. Latitude: 3 6 0 0 3' Longitude: 76 0 37` of project
8. Contact person who can answer questions about the project:
Name: Fred Be l l e d i n, A I A Telephone Number:
II. PERMIT INFORMATION:
1. Specify whether project is (check one): X New Renewal
Form SWU-101 Version 399 Page 1 of 4
919 ) 821-2775
Modification

r
2. 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)
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 X Sedimentation/Erosion Control X 404/401 Permit X NPDES Stormwater
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 space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
All stormwater is to be collected in an underground drainage
system that directs water into a wet detention basin designed
for 90% TSS removal.
2. Stormwater runoff from this project drains to the
3. Total Project Area: 14 . 3 6 acres
Chowan
5. How many drainage areas does the project have? 2
River basin.
4. Project Built Upon Area: 33.64 %
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
Basin Information + `
Drainage Area 1
Drainage Area 2�
Receiving Stream Name
Queen Anne Creek
Queen Anne Creek
Receiving Stream Class
CNSW
CNSW
Drainage Area
5.16 AC
9.39 AC
Existing Impervious* Area
2.24 AC
0.77 AC
Proposed Impervious*Area
4.29 AC
% Impervious` Area (total)
8 3 - 14 %
6.71
Impervious* Surface Area
Drainage Area 1
Drainage Area 2
On -site Buildings
2.14 AC
0.53
On -site Streets
On -site Parking & drives
1.71 AC
0 . 09
On -site Sidewalks
0.35 AC
0.01
Other on -site
Off -site
0.09
Total: 4. 29 AC
Total: 0.63
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

7. How was the off -site impervious area listed above derived? delineated from topographical
survev
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment.
The following covenants are intended to ensure ongoing compliance with state stormwater management permit number
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 shall be covered by structures or impervious materials.
Impervious materials Include asphalt, gravel, concrete, brick, stone, slate or similar material but do not include wood
decking or the water surface of swimming pools.
3. Swales shall not be filled in, piped, or altered except as necessary to provide driveway crossings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction.
5. All permitted runoff from outparcels or future development shall be directed into the permitted stormwater control
system. These connections to the storm water control system shall be performed Ina manner that maintains the Integrity
and performance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, that the covenants will be binding on all parties and persons
claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms.
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-I05
Curb 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 of the items listed below. The complete application package should be
submitted to the appropriate DWQ Regional Office.
1. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
Initials
• Original and one copy of the Stormwater Management Permit Application Form
• One copy of the applicable Supplement Form(s) for each BMP _
• Permit application processing fee of $420 (payable to NCDENR)
• Detailed narrative description of stormwater treatment/management
• Two copies of plans and specifications, including: dy
- 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 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, please complete this section.
Designated agent (individual or firm): Hyman & Robey, PC
Mailing Address: 150—A US Hwy 158 East
City: Camden
Phone: ( 252
335-1888
VIII. APPLICANT'S CERTIFICATION
State: NC Zip: 27921
Fax: ( 252 } 338-5552
I, (print or type name ofperson listed in General Information, item 2) die n r y C . Yates
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 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: .3 S� d

Permit No.
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWQ Stormwater Management Plan Review:
A complete stormwater management plan submittal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details.
I. PROJECT INFORMATION
Project Name: Edenton Cotton Mill
Contact Person: Fred Be 11 e d i n Phone Number: (919) 8 21- 2 7 7 5
For projects with multiple basins, specify which basin this worksheet applies to:
elevations
Basin Bottom Elevation - 3.0 ft.
Permanent Pool Elevation 4 ft.
Temporary Pool Elevation 5.76 ft.
(floor of the basin)
(elevation of the orifice)
(elevation of the discharge structure overflow)
areas
Permanent Pool Surface Area 8, 943 sq. ft. (water surface area at the orifice elevation)
Drainage Area 5.16 ac. (on -site and off -site drainage to the basin)
Impervious Area 4.29 ac. (on -site and off -site drainage to the basin)
volumes
Permanent Pool Volume
Temporary Pool.Volume
Forebay Volume
Other parameters
SAIDA 1
Diameter of Orifice
Design Rainfall
Design TSS Removal 2
Form SWU-102 Rev 3.99
28,759 cu. ft. (combined volume of main basin and forebay)
17,599 cu. ft. (volume detained above the permanent pool)
3,961 cu. ft. (approximately 20% of total volume)
3.55 (surface area to drainage area ratio from DWQ table)
1. B 7 5 in. (2 to 5 day temporary pool draw -down required)
10 yearklK
9 0 % (minimum 85% required)
Page 1 of 4

Footnotes:
When using the Division SA/DA tables, the correct SA/DA ratio for permanent pool sizing should be computed based upon the
actual impervious % and permanent pool depth. Linear interpolation should be employed to determine the correct value for non-
standard table entries.
In the 20 coastal counties, the requirement for a vegetative filter may be waived if the wet detention basin is designed to provide
90% TSS removal. The NCDENR BMP manual provides design tables for both 85% TSS removal and 90% TSS removal.
H. 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 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. If a requirement has not been met, attach justification.
Applicants Initials
a.
The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
b.
The forebay volume is approximately equal to 20% of the basin volume.
c.
The temporary pool controls runoff from the design storm event.
d.
The temporary pool draws down in 2 to 5 days.
e.
If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow
calculations)
f.
The basin length to width ratio is greater than 3:1.
Kh _ g.
The basin side slopes above the permanent pool are no steeper than 3:1.
h.
A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
i.
Vegetative cover above the permanent pool elevation is specified.
kd-h j.
A trash rack or similar device is provided for both the overflow and orifice.
k.
A recorded drainage easement is provided for each basin including access to nearest right-
of-way.
I.
If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin.
m. A mechanism is specified which will drain the basin for maintenance or an emergency.
III. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
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) 0 does Ct does not incorporate a vegetated filter at the outlet.
This system (check one) 0 does 0 does not incorporate pretreatment other than a forebay.
Form SWU-102 Rev 3.99 Page 2 of 4

Attachment to WET DETENTION BASIN SUPPLEMENT
For Edenton Cotton Mill
a. The permanent pool depth is 7'. The depth was increased to allow an SA/DA
ratio that can provide 90% TSS removal at the surface area provided. Surface
area was limited as this is an existing site that is being renovated.
b. The forebay volume is approximately 14% of the total pond volume. This is due
to the increased total pond volume that is created by the additional depth.
e. Pond has been designed for 90% TSS removal.
The length to width ratio is less that 2:1. The area available to construct the pond
is limited as this is an existing site that is being renovated.
k. The basin discharges through wetlands adjacent to Queen Anne's Creek. The
property crossed is owned by the developer.
M. Emergency drain would have to be located below the seasonal water table. Pond
must be emptied by pumping.

Maintenance activities shall be performed as follows:
1. After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated cover, and general condition.
b. Check and clear the orifice of any obstructions such that drawdown of the temporary pool occurs within
2 to 5 days as designed.
2. Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash as needed.
3. Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap, etc.) quarterly to maintain
proper functioning.
4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth (see diagram below). Removed sediment shall be disposed of
in an appropriate manner and shall be handled in a manner that will not adversely impact water quality (i.e.
stockpiling near a wet detention basin or stream, etc.).
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 5.2 5 feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads 2. 2 5 feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
{fill in the blanks)
Permanent Pool Elevation 4 • 0
Sediment Re oval El. 1 . 7 5 ♦ 75 0
------------- • Sediment Removal Elevation —1 • 2 5 75%
Bottom Ele ation 1 . 0 I-- %------------- _-_--�------------------------ --
FOREBAY
Bottom Elevation — 3 • 0 = 25%
MAIN POND
5. Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface. These
plants shall be encouraged to grow along the vegetated shelf and forebay berm.
6. If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through
the emergency drain shall be minimized to the maximum extent practical.
Form SWU-102 Rev 3.99 Page 3 of 4

7. All components of the wet detention basin system shall be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
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: Henry C. Yates
Title: vice President
Address: 149 Yeager Road, Mooresville, NC 28117
704-663-5115
Signature:
Date: 3
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, ��Q1/LrP� _ r' 6Ir?9'MO4-eV---) , a Notary Public for the State of NOlr�1 { kro ,
County of BM(15L'' 64<! , do hereby certify that &n
personally appeared before me this _ day of k(Z2'er 4 �JUL), and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
•. �i
:'NOTARY z
MY Comm. ExpUft
90
Date;
1
sGy : PUBId���,• _
sh7'••.....•
CK
SEAL
My commission expires A / /36/6) - -
Form SWU-102 Rev 3.99 Page 4 of 4

State Stormwater Inspection Report
General
Project Name:
r
Permit No: SW
Expiration hate:
Contact Person:
Phone Number:
Inspection Tl ,pe:
Inspection Date: GJ l
Time In:
1,ime Out:
Current Weather:
Recent Rain (Date)?
Rain — in
Location
Facility Address / Location:
City: Zip: County5w Lat: 0 9"N Long: - 0"W
Permit Information
Rttle Subject to (circle one): 1998 Coastal Rule
1995 Coastal
2008 Coastal Rule Session Law 2006-246
Goose Creek
g uality Waters
Outstanding Resource ]'Paters
Density (circle one):
- igh (E-1D) Low (I-D)
Stormwater Best Management
Practices (BM Ps) (insert number ofeacli):
_Wet Ponds
Infiltration Basins
Infiltration Trenches
LD Swales Storrmvater Wetlands
Dry Ponds
IBioretention
Permeable Pavement
Sand filters (circle one) Open Closed
Cistern
Level Spreader/Filter Strip
Other (spec):
File Review
1. Is the permit active?
2. Signed Engineer's Certification on file?
3. &ned Operation and Maintenance agreement on file?
4. Recorded Deed Restrictions oil file?
Site Visit- guilt Hnnn Area IRI1Al
Yes Nn NIA NIF
5. BUA is constructed and consistent with the permit requirements?
6. BUA aspermitted) is [traded such that the runoff drains to the system? (high density only
7. Draina�e area is consistent withpermit? i.e. no un ermitted drainage to the SW BMPs
8. Drainage area is stabilized? to reduce risk of sedimentation to the SW BMPs
Site Visit: Stormwater BMPs
Yes No NIA NIE
9. Stormwater BMPs are located per the approvedplans?
10. Stormwater BMPs have dimensions (e . length, width, area) matching the approved plans?
11. Stornnvater BMPs are constructed per the approvedplans?
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. Stornnvater BMPs being operated and maintained as per the 2ernlit requirements?
16. Inspection and Maintenance records are available for inspection? (high density only, 1995 — present only)
Site Visit: Other Permit Conditions Yes No N/A NIE
17, Is the site compliant with other conditions of the permit?,
Site Visit: Other Water Quality Issues Yes No NIA NIE
18. Is the site compliant with other water aualitv issues as noted durinu the insnection?
State Stormwater Inspection [Uport, Version 3.0 A O\ , 2_ 1r) —( '' V f5O Page ] of 2

State Stormwater Inspection Report
ments
I.
Inspection Pictures (some of the pictures taken during the site vis
Compliance, Status D Compliant D Non -Compliant
Letter Sent (circle one): Yes No Letter type: CEI NOV NOVRE Other
Date Se
Inspector Name and Signature:
Reference Number:
Date:
Suue Storn eater Inspection Report, Version 3.0 1'ugc 2 of 2

WET DETENTION O & M Inspection Checklist
INLETS and FOREBAY .
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1.
Inlets are located per the approved plans:
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2.
Inlet device (swale or pipe) is free of damage, clogs or erosion:
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3.
Forebay berm is in place and without erosion:
ry
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4.
Forebay is free of excessive sediment:
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SIDE SLOPES AND BANKS'
5.
Vegetated slopes are 3:1 or less:
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6.
Banks are stable and free of erosion or bare soil:
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7.
Slopes or berms are free of woody vegetation:
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8.
Free of muskrats or beaver activity:
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9.
Grass is being maintained and mowed (not scalped) as required:
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PERIMETER AND MAIN BAY
10. Vegetated shelf is 6:1 or 10:1 as permitted and properly vegetated:
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11. Algal growth covers less 50% of the area:
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12. Cattails, phragmites or other invasive plants cover less than 50% of the basin surface:
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13. Main treatment area is free from excess sediment accumulation:
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OUTLETS .
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14. Swale or emergency outlet bypass is in the correct place and is in good condition:}
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15. Drawdown device is correctly sized free of damage or clogging:
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16. Orifice size matches the approved plans
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17. Outlet is free of erosion or other signs of damage:
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18. Trash rack is installed
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19. Vegetated filter is in place (if applicable)
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20. Relative elevations match approved plans
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21. Fountain pump (if permitted) is less than or equal to the maximum allowable size:
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V3.3_09