SW7060812_CURRENT PERMIT_20191209

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
� CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
a`l`Ol4
WYYMMDD

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
December 9, 2019
Stonebriar Commercial Finance LLC
Attention: Mr. Dirk Stock, Vice President
5601 Granite Parkway, Suite 1350
Plano, TX 75024
Subject: Stormwater Permit No. SW7060812 Ownership Change
Academi — Dining Facility
High Density Stormwater Project
Camden County
Dear Mr. Stock:
The Washington Regional Office received a Stormwater Management Permit
Application for ownership change of the subject project on October 28, 2019. Staff
review of the application has determined that the permit can be reissued. We are
forwarding Permit No. SW7060812 dated December 9, 2019, for the continued
operation of the subject project.
This permit, upon its effective date, will replace all previous State Stormwater permits for
this project. This permit shall be effective from the date of issuance until September 20,
2020 and shall be subject to the conditions and limitations as specified therein, and does
not supercede any other agency permit that may be required. 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 me at [phone].
Sincerely,
Ro'ger K. Thorpe
Environmental Engineer
E �� North Carolina Department of Environmentai Quality i Divisfon of Energy, Mineral and Land Resources
Washington Regional Office 1943 Washington Square Mall I Washington, Norrh Carolina 27889
& CARGUNA
c.� a dwrs,� /'� 252.946.6481

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Stonebriar Commercial Finance LLC
ACADEMI — Dining Facility
located at 850 Puddin Ridge Road, Moyock, NC
Camden County ,r-
FOR THE
construction, operation and maintenance of a wet detention pond 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 Energy, Mineral, and
Land Resources (Division) and considered a part of this permit.
This permit shall be effective from the date of issuance until September 20, 2020, and
shall be subject to the following specified conditions and limitations:
1. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.6 of this permit. The stormwater control has
been designed to handle the runoff from 5.55 acres of impervious area over the
8.30 acres of drainage area for this project.
3. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing ail such required easements, in accordance with the
approved plans.

4. The runoff from all built -upon area within the permitted drainage area of this project
must be directed into the permitted stormwater control system per approved plans.
5. Plans for the future 3.30 acres of impervious area on this site must be submitted to
the Division and approved prior to the construction of the additional impervious area.
6. The following design criteria have been provided
in the wet detention pond and must
be maintained at design condition:
a. Drainage Area, acres:
8.30
b. Total Impervious Surfaces, acres:
5.55 (including 3.30 ac. future)
C. Design Storm, inches:
1.0
d. Pond Depth, feet:
5.00
e. TSS removal efficiency:
90%
f. Permanent Pool Elevation, FMSL:
9.50
g. Permanent Pool Surface Area, ftz:
17,838
h. Permanent Storage Volume, ft3:
46,154
L Permitted Forebay Volume, ft3:
9,110
i. Temporary Storage Elevation, FMSL:
10.55
j. Temporary Storage Volume, ft3:
52,349
k. Controlling Orifice:
3.0" � pipe
I. Receiving Stream/River Basin:
Tull Creek / Pasquotank
M. Stream Index Number:
30-1-2-2-5-1-1
n. Classification of Water Body:
"B; Sw"
II. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.

3. The permittee shall at all times provide the operation and maintenance
necessary to assure the permitted stormwater system functions at optimum
efficiency. The approved Operation and Maintenance Plan must be followed in its
entirety and maintenance must occur at the scheduled intervals including, but not
limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow
spreader, catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept and made available upon
request to authorized personnel of Division. The records will indicate the date,
activity, name of person performing the work and what actions were taken.
5. The facilities shall be constructed as shown on the approved plans. This permit
shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
6. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
7. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
8. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
9. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations priorto construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.

d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
10. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
12. The Director may notify the permittee when the permitted site does not meet one
or more of the.minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval"by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a formal permit transfer request to the Division, accompanied by a
completed name/ownership change form, documentation from the parties
involved, and other supporting materials as may be appropriate. The approval of
this request will be considered on its merits and may or may not be approved.
The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request.
2. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division, in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C.
3. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of.
additional or replacement stormwater management systems.

5. The permittee grants DEQ Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
6. The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and reissuance or
termination does not stay any permit condition.
7. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
8. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
9. The permittee shall notify the Division of any name, ownership or mailing
address changes within.30 days.
10. This permit shaLbe effective from the date-of-is'suance until September 20,
2020. Application for permit renewal shall be submitted 180 days prior to the
expiration date of this permit and must be accompanied by the processing fee.
Permit issued this the V day of December 2019.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for
S. Daniel Smith, Director
Division of Energy, Mineral, and Land Resources
By Authority of the Environmental Management Commission
Permit No. SW7060812

V�sGS c ,- . 01", c-, ,
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMAT ON
1. Stormwater Management Permit Number: BW7060812
2. Project Name: _ Blackxater USA - DINING FACILITY
3. Current Permit Holder's Company Name/Organization: AC.ADBMI Real Estate Holdings, L.L.C.
4. Signing Official's Name: ACADEMI Lf Title. Manager
5. Mailing Address: 150 Puddin Ridge Road
City: _ Moyock State: NC Zip. 17958-8r,79
6. Phone: 2� 5__ 2 435-2489
II. PROPOSED PERMnnE I OWNER / PROJECT / ADDRESS INFORMATION
This request is for: (please check all char apply)
❑ Name change of the owner (Please complete Item 31, 2 and 3 below)
❑ Name change of project (Please complete Item 5 telow)
® Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
❑ Mailing address / phone number change. (Please o mplete Item 4 below)
❑ Other (please explain):
1. Proposed permittee's company name/organization: Stortebriar Commercial Finance LLC
2. Proposed permittee's signing official's name: Dirk ,hock
3. Proposed permittee's t+#le: yiceFresident
4. Mailing Address: 5601 Granite; Parknvay, Suite 1350 _
City: Pao _ State; TX Zip. 75024
Phone: 4f 69 i 609-8500 i=a:c:
5. New Project Name to be placed on permit:
Please check the appropriate box. The proposed perntittee listed above Is:
d HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain storm water system features. Print name of HOA or
POA in #1 above and provide name of HOA/POA's- authdrized representative in #2 above)
❑ The property owner
❑ Lessee (Attach a copy of the lease agreement ano complete Property Owner Information on
page 4)
Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be
granted upon receipt of a copy of the recorded deed)
❑ Developer (Complete Property Owner Information on page 4)
SSW N/O Change Rev24Sept2012 Page 1 of 4

� r.•
Ili. REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all
of the applicable required items listed below are included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer.
1. This completed and signed form. This certification must be completed and signed by both the
.current permit holder and the new. applicant if this is a change of ownership.
2. Legal documentation of the property transfer to a new owner.
3. A copy of any recorded.deed restrictions, covenants, or easements, if required by the permit.
4. The designers certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office); If required by the permit and If riot already submitted to DWQ.
5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate entity, provide documentation showing the authority of the named
representative to act on behalf of the proposed "permittee.
B. The $40.00 processing fee. If this.is'an initial transfer from the original permittee the processing
fee Is not required. Subsequent ownership transfers will require the $40.00 processing fee.
IV. CURRENT PERMITTEE'S CERTIFICATION
Please check one of the following statements and fill out the certification below that statement:
❑ ' Check here if the current permittee is only changing his1her its name, the project name, or mailing
address, but will retain the permit. I, , the current
permittee, hereby notify the DWQ that I am changing my name and/or I am charging my mailing
address and/or I am changing the name of the -permitted project. I further attest that this application
for a name/ownership change is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed or if all required supporting information
and attachments listed above are not Included, this application package will be returned as
incomplete.
® Check here If current permittee is transferring the property to a new owner and will not retain
ownership of the permit.
I, ACADEMI Real Estate Holdings, L.L. the current permittee, am submitting this application
for a transfer of ownership o� permit # SW7060812 . . I hereby notify DWQ of the.sale or
other legal transfer of the stormwater system associated wfth.this permit. I have provided a copy of
the most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved -plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the most recent DWQ
stormwater inspection report to the proposed permittee named in Sections II and V of this form. I
further attest that this application for a name/ownership change is accurate and complete to the best
of my knowledge. I understand that if all required parts of this application are not completed or if all
required supporting information and attachments listed above are not included, this application
package will be returned as Incomplete. I assign all rights and obligations as permittee to the
proposed permittee named in Sections II and V of this form. I understand that this transfer of
ownership cannot be approved by the DWQ unless and until the facility is in compliance with the
permit.
Signature: Date:
I, _�A91? I E JAN E _ CAJ�es a Notary Public for the State of
V IR b It / (A County of FA lR EA , do hereby certify that
6 EA RCi D �AOQKIE: personally appeared before me this the
JOY day of SE PIE M13 9-2 , 20_1L, and acknowledge, the due execution of the
for ng i na ent. Witness my hand and official seal, ���:1��,y.(Notary Seal)
r1{"• t' 'ill tF .. lr o
SSW N/0 Change Rev24Sept2012 Page 2 of 4

V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Permlttee for all transfers of ownership)
1, Stonebriar Commercial Finance LLC (!�f Dick Stock , hereby notify the DWQ that I have acquired
through sale, cease or legal transfer, the responsibility for operating and maintaining the permitted
stormwater management system; and, if applicable, constructing the permitted system. I
acknowledge and attest that I have received a copy of: (check all that apply to this perrnft)
®the most recent permit
the designer's certification for each BMP
❑ any recorded deed restrictions, covenants, or easements
❑ the DWQ approved plans and/or approved as-t idle plans
❑ the approved operation and maintenance agreement
Bpast maintenance records from the previous permittee (where required)
DWQ stormwate€ inspection report showing compliance within 90 days prior to this transfer
I have reviewed the permit, approved plans and other documents listed above, and I will comply with
the terms and conditions of the permit and approved plans. I acknowledge and agree that I will
operate and maintain the system pursuant to the requirements listed in the permit and in the
operation and maintenance agreement. I further attest that this application for a. name/ownership
change is accurate and complete to the best of my knowledge. I understand that if all required parts
of this application are not completed or If all required supporting information and attachments listed
above are not included this application package will b3 returned as Incomplete.
Signature: JUG rr[ , for Stonebriar Commercial Fina lM LLC Date:
1, Carrie Stovall , a Notary Public for the State of. ..
Texas , County of Collin , do hereby certify that
Dirk Stock personally appeared before me this the
9th day of August___ 2019 ,, and acknowledge the due execution of the
forgoing instrume t. Witness my hand and official seal.
VALL
Ota ignatur Nin ss an 1789585
My Corrariistion Expires
(90
Nowember8.2019
Additional copies of the original permit and the approw?d Operation and Maintenance agreement can
be obtained from the approprfate Regional Office of tho Division of Water Quality.
This completed form, including all supporting documen is and processing fee�lf required), should be
sent to the appropriate Regional Office of the North Carolina Department of nvironment and Natural
Resources, Division of Water Quality, as shown on the attached map.
Please note that if the Proposed Permittee listed above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee / dovefaper and the property
owner will appear on the permit as permittees.
SSW WO Change Rev24Sept20 t 2 Page 3 o' 4

VI, PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee fisted in Sections II and V of this form is not the Property Owner, the
Property Owner must provide his/her Contact information below and sign this form:
Printed Name:
Organization:
Title within the Organization:
Street Address:
City: State:
Zip:
Mailing Address:
(if different from street address)
City: State: -__ _ Zip:
Phone: Fax:
Email:
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections II and V to develop and/or, lease the property. A copy
of the lease agreement or other contract, which indicates the party responsible for the construction
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal property owner I acknowledge, understand, and aggree by my signature below, that I will
appear as a permittee along with the lessee/developer and I will therefore share responsibility for
compliance with the DWQ Stormwater permit. As the proper owner, it is my responsibility to notify
DWQ by submitting a completed Name/Ownership Change Form within 30 days of procuring a
developer, lessee or purchaser for the property. I understand that failure to operate and maintain the
stormwater treatment facility in accordance with the permit is a violation of NC General Statute -
(NCGS) 143-215.1, and may result in appropriate enforcement action including the assessment of
civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature of the property owner
Date:
I, _ , a Notary Public for the State of
County of do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
Notary Signature
SSW N/O Change Rev24Sept2012 Page 4 of 4
(Notary Seal)

State Stormwater Management Systems
Permit No. SW7060812
Blackwater USA — Dining Facility
Stormwater Permit No. SW7060812
Camden County
Designer's Certification
]RECEIVED OCT 2 8 2019
I Sean C. Robey, PE , as a duly registered Engineer
in the State of North Carolina, having been authorized to observe �acLweelrtlpf
UA�A-the construction of the project, �Tv�T-CQN�
Blackwater USA - Dining Facility
(Project)
for ACADEMI (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number `BSO
Date
SEAL
\\,�o titiuurrr/1///�
.���VkCAROZ,///
_ SEAL
18550
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7060812
Certification Requirements:
�l . The drainage area to the system contains approximately the permitted
acreage.
2.
The drainage area to the system contains no more than the permitted
amount of built -upon area.
3.
All the built -upon area associated with the project is graded such that the
runoff drains to the system.
0 4.
All roof drains are located such that the runoff is directed into the system.
5.
The outlet/bypass structure elevations are per the approved plan.
6.
The outlet structure is located per the approved plans.
7.
Trash rack is provided on the outlet/bypass structure.
8.
All slopes are grassed with permanent vegetation.
9.
Vegetated slopes are no steeper than 3:1.
10.
The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11.
The permitted amounts of surface area and/or volume have been
provided.
12.
Required drawdown devices are correctly sized per the approved plans.
13.
All required design depths are provided.
4.
All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
15.
The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Camden County Building Inspections
Paqe 7 of 7

5
2 ARCADIS
infrastructure, environment, buildings
TRANSMITTAL LETTER
To:
Scott Vinson
NCDENR — Div, of Water Quality
943 Washington Square Mall
Washington, NC 27889
Phone No.: [phone]
From:
Jonathan Allen
Subject:
Blaekwater USA — Warehouse
We are sending you:
®
Attached
❑
Shop Drawings
❑
Prints
❑
Other:
ARCADIS G&M of
North Carolina, Inc.
801 Corporate Center Drive
Suite 300
Raleigh,
Copies:
North Carolina 27607-5073
Jim Dehart
Tel [phone]
850 Puddin Ridge Road
Fax [phone]
Moyock, NC 27958
LAND ESQ RCEs
Date: REC -' '
12 September 2006
5rrP '1 3 Z006
ARCADIS Project No.:
NC406018.0000.00007 DWO-W FRO
❑ Under Separate Cover Via the Following items:
® Plans ❑ Specifications ❑ Change Order
❑ Samples ® Copy of Letter ❑ Reports
Copies
Date
Drawing No.
Rev.
Description
Action*
2
C1.03, C1.04,
C 1.05
Warehouse — Site Drawings (Revised)
FA
Copy of Review Comments from DWQ
1
Wet Detention Basin Supplement (Revised)
FA
Action*
❑ A Approved
❑ CR Correct and Resubmit
❑
Resubmit Copies
❑ AN Approved As Noted
❑ F File
❑
Return Copies
❑ AS As Requested
❑ FA For Approval
❑
Review and Comment
❑ Other:
Mailing Method
❑ U.S. Postal Service 159 Class
❑ Courier/Eland Delivery ® FedEx Priority Overnight
❑ FedEx 2-Day Delivery
❑ Certified/Registered Mail
❑ United Parcel Service (UPS) ❑ FedEx Standard Overnight
❑ FedEx Economy
❑ Other:
Comments: Scott, find attached revised drawings and revised wet detention basin supplement
per
your comnient letter dated
Se tember 6, 2006. Please let me know if you have an questions. Thanks, Jonathan _
T
q Yrr11000,8'Vhv:umCaio,zswro6 doc
Page:
1/2

Michael F. Easley, Govemor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
September 6, 2006
Mr. Gary Jackson, President
E & J Holding, LLC
PO Box 1029
Moyock, NC 27958
Subject: Stormwater Review SW7060812
Blackwater USA — Dining Facility
Camden County
Dear Mr. Jackson:
This office received a Coastal Stormwater permit application and plans for the subject project on
August 18, 2006, A preliminary review of the project indicates that before a State Stormwater permit can
be issued the following additional information is needed.
➢ Please provide a vicinity map with the project site shown.
➢ Please provide a cross sectional detail of the swales.
➢ Please provide a temporary and permanent seeding schedule for proposed vegetated areas.
➢ Please provide energy dissipaters (including cross sectional details) at the pipe and swale outlets
that lead into the pond forebays.
➢ Please verify that the temporary pool elevation for this wet pond will be 10.55 finsl and not 10.25
fmsl as noted on the Wet Detention Basin Supplement forth.
The above requested information must be received in this office prior to September 14, 2006 or
your application will be returned as incomplete. The return of this project will necessitate resubmittal of
all required items including the application fee. If you need additional time to submit the required
information, please mail or fax your request for time extension to this office at the Letterhead
address.
You should also be aware that the Stormwater Rules require that the permit be issued prior to any
development activity. Construction without a permit is a violation of 15A NCAC 2H-1000 and North
Carolina General Statute 143-215.1 and may result in civil penalties of up to $10,000 per day.
Please reference the Stormwater Project Number above on all correspondence. If you have
questions, please feel free to contact me at [phone].
cc: `Ionathan Allen, PE ARCADIS
Washington Regional Office
S , cerely,
Scott Vinson
Environmental Engineer
Washington Regional Office
Nonc Caro
Mum
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 OpportunilylAffirmative Acton Employer — 50% Recycled/10% Post Consumer Paper

Permit No.
(to he provided by Dt6Q)
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.
1. PROJECT INI+ORMATION
Project Name: L —A G! t- 17'�
Contact Person: ` :6-dy tleRP10A Phone Number: ZSZ ¢3s-_.002. _
For projects with multiple basins, specify which basin this workshcet applies to:
elevations
Basin Bottom Elevation
4, Se ft.
Permanent Pool Elevation
C1. SD ft.
Temporary Pool I?levation
-4e-9-ITr ft,
loss'
areas
Permanent Pool Surface Area
17r_8-3S— sq. ft.
Drainage Area
�(�_ ac.
Impervious Area
to ac.
volumes
Permanent Pool Volume
Temporary Pool V011ume
Forebay Volume
Other parameters
SA/DA t
Diameter of Orifice
Design Rainfall
Design TSS Removal'
-
IS cu. ft
5?, 3 '1 cu. ft
9110 cu. ft
(floor of the basin)
(elevation of the orifice)
(elevation of the discharge structure overflow)
(waler Surface area at llae orlf ice elevalion)
(on -site and off -site drainage to the basin)
(on -,site and off -Sate drainage to the hasin)
(combined volume of maim basin and forebav)
(vohune detained above the permanent pool)
(approximately 20% of total volume)
(swface area to drainage area ratio from DWG) table)
(2 to 5 day temporary pool draw -down required)
(minimum 85% required)
Form SWU-102 Rev 3.99 Page I of 4

Footnotes:
t When using the Division SAMA tables, the correct SAMA 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.
2 in the 20 coastal counties, the requirement for a vegetative filter may be waived if (lie wet detention basin is designed to provide
90% TSS removal. The NCDFNR SMP manual provides design tables for both 85% TSS removal and 90% TSS removal.
II. 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 21-1 .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.
d./A 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. (APPVX. 2a1
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.
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 speeified which will drain the basin for maintenance or an emergency.
I11. 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 does not incorporate a vegetated filter at the outlet.
This system (check one) 0 does does not incorporate pretreatment other than a forebay.
Form SWU-102 Rev 3.99 Page 2 of 4

Maintenance activities shall be performed as follows:
l . 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 detemnne 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
When the permanent pool depth reads
Sediment Re"
oval El. 5.15 7
Bottom El, ation 450 - 2
F'OREBAY
feet in the main pond, the sediment shall be removed.
feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
(fll in llte blankv)
Permanent Pool Elevation I -SO
Sediment .Removal Elevation 5- 75 75%
Bottom Elevation 4,so 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.
Dorm SWU-102 Rev 3.99 Page 3 of

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 perfonnance 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: G/t� I G Z- 1CSO
Title: gg- 1 b l~ N T
Address: ego PuvvjM i-o6 m6j, ;-tAL&r= " Mc 2IN
Phone: (2sz) 43S-- 24� - — - -
Signature:
Date: e
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, 6- . -t • r-c L- j LP— t G , a Notary Public for the State of
County of c U Aril , do hereby certify that (?.3 r@e k S o ,J
personally appeared before me this 16T ` - day of �I-V gk_)04 , and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires
Norm S4VU-102 Rev 3.99 Page 4 of 4