SW7120307_CURRENT PERMIT_20120328

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SWa�a��' 7
DOC TYPE
� CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
YYYYMMDD

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, PE Dee Freeman
Governor Director Secretary
March 28, 2012
Ms. Karen Colonias, Secretary/Treasurer
Simpson Strong -Tie Company, Inc.
5956 W. Las Positas Blvd.
Pleasanton, CA 94588
Subject: State Stormwater Permit No. SW7120307
Simpson Strong -Tie
High Density Commercial Bio-Retention Project
Chowan County
Dear Ms. Colonias:
The Washington Regional Office received a complete Stormwater Management Permit Application for
Simpson Strong -Tie addition project on March 16, 2012. Staff review of the plans and specifications
has determined that the project, as proposed, will comply with the Stormwater Regulations set forth in
Session Law 2008-211 and Title 15A NCAC 2H.1000. We are forwarding Permit No. SW7120307
dated March 28, 2012, for the construction of the subject project.
This permit shall be effective from the date of issuance until March 28, 2020, 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.
If you have any questions, or need additional information concerning this matter, please contact Scott
Vinson, or me at [phone].
ncerel ,
. f
AI Ho
Regional Supervisor
Surface Water Protection Section
AHI sv: S:1WQSISTORMWATERIPERMI-RSW7120307
cc: Derek Dail, PE — Quible & Associates, PC (ewt mi 1)
Chowan County Planning 1 Building Inspections
,Nashington Regional Office
North Carolina Division of Water Quality Internet: www.ncwaternua€ity.ora One
Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone] NorthCarolina
An Equal Opportunity/Affirmative Action Employer — 50% Recycletl110% Post Consumer Paper ;Vaturallbl

State Stormwater Management Systems
Permit No. SW7120307
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Simpson Strong -Tie Company, Inc.
Simpson Strong -Tie
Located int. of Soundside Rd. & Atlantic Forest Dr., Edenton, Chowan County
FOR THE
construction, operation and maintenance of four (4) bioretention basins in compliance
with the provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter
referred to as the "stormwater rules') and the approved stormwater management plans
and specifications and other supporting data as attached and on file with and approved
by the Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until March 28, 2020, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 on page 3 of this permit. The four bioretention
basins have been designed to handle the runoff from 20,089 square feet of
existing parking impervious area to off -set or mitigate for the new 16,000 square
foot building expansion project.
3. The tract will be limited to the amount of built -upon area as indicated in this
permit, and per the application documents and as shown on the approved plans.
The built -upon area for the proposed development is limited to the 16,000
square feet of building as shown on the approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted parking drainage area of
this project must be directed into the permitted stormwater control systems.
6. The built -upon areas associated with this project shall be located at least 50 feet
landward of all perennial and intermittent surface waters.
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7120307
7. The following design criteria have been provided in the four bioretention basins
and
must be maintained at design condition:
DA#1 DA#2 DA#3 DA#4
a.
Drainage Area, ft2:
8,945 10,724 6,476 3,401
b.
Total Impervious Surfaces, ft2:
5,990 7,820 4,698 1,581
C.
Design Storm, inches:
1.50"
d.
Max. Ponded Depth, feet:
0.60
e.
Seasonal High Water Table, fmsl:
' 10.90
f.
Planting Media Depth, feet:
1.50' for grass
g.
Basin Dimensions, feet:
(92'x17') (121'x17') (66'x19')
(35'x17')
h.
Bottom Elevation, fmsl:
13.40
i.
Bottom Surface Area, ft2:
935 1,265 793 319
j.
Permitted Storage Volume, ft3.
855 989 600 '326
k.
Bypass 1 Storage Elevation, fmsl:
14.00
1.
Drawdown Time, hours:
4.80
M.
Underdrain Diameter, inches:
4" — 6" perf. pipe
n.
Total number of plants provided:
grass sod
o.
Receiving Stream/River Basin:
Albemarle Sound 1 Pasquotank
q.
Stream Index Number:
30
r.
Classification of Water Body:
"SB"
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 time 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 re -vegetation of slopes and the filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.
f. Debris removal and unclogging of all drainage structures, level spreader,
filter media, planting media, underdrains, catch basins and piping.
g. Access to the basin and outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
reports 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 void 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
Page 3 of 7

State Stormwater Management Systems
Permit No. SW7120307
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 recorded
easements at all times.
9. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc..
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
12. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
13. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form signed by both parties, to the
Division of Water Quality, accompanied by the supporting documentation as
listed on page 2 of the form. The approval of this request will be considered on
its merits and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves a request to transfer the permit.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7120307
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2008-
211, Title 15A NCAC 21-1.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until March 28, 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 28th day of March, 2012.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7120307
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7120307
Simpson Strong -Tie, Edenton, NC
Stormwater Permit No. SW7120307
Chowan County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project Name)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAT_
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7120307
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
.5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation, per the vegetation plan.
9. Vegetated slopes are no steeper than 3:1.
_10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
.11. The permitted amounts of surface area and/or volume have been
provided.
.12. Required drawdown devices are correctly sized per the approved plans.
_13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
15. The required system dimensions are provided per the approved plans.
cc: Chowan County Planning / Building Inspections
Page 7 of 7

Quible
Quible & Associates, P.C.
ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SURVEYING
SINCE 1959
June 19, 2013
Scott Vinson
NCDENR — DWQ
943 Washington Square Mall
Washington, NC 27889
Re: Stormwater Certification — SW7120307
Simpson Strong -Tie — Chowan County
Mr. Vinson,
P.O. Drawer 870
Kitty Hawk, NC 27949
Phane'252-26i-3"
Fax:[phone]C
Web: qulble.com
FZECEIVED
JUN 2 4 2013
DVVCt-WAi20
Please find enclosed the Stormwater Certification for the referenced project.
If you have any questions regarding the Certification, please do not hesitate to contact me by
email at [e-mail] or by phone at 252-261-3300.
Sincerely,
Quible & Associates, P.C.
Derek A. Dail, P.E.
CC: Bill Black

it
State Stormwater Management Systems
Permit No. SW7120307
Simpson Strong -Tie, Edenton, NC
Stormwater Permit No. SW7120307
Chowan County
Designer's Certification
brk_ A - lb A as a duly registered ?RaFC-_4w?4 14 EM&,►v[ffe2_ in the
State'of North Carolina, having been authorized to observe (periodically/weekly/
full time) the construction of the project,
S1Mp SOH &AOK 6 — ! & F IF taG H TUr-c HC
(Project Name)
for Sin&Soµ ST1kvk&- i 1E CO, , qn_c. (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 D 3 3 ? S °1
Date C t tq 12 a 13
SEAL
4L SEAL
r
033759
GIN
K A
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7120307 `
Certification Requirements:
✓ 1. The drainage area to the system contains approximately the permitted
acreage.
V. 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. . • . ; :�.�v �� ., ,,,w
�4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per,the`app'roved plan:` 11
✓ 6. The outlet structure is located per,the approved plans.
✓ 7. Trash rack is provided on the outlet/bypass structure.
1% 8. All slopes are grassed with permanent vegetation, per the vegetation plan.
✓ 9. Vegetated slopes are no steeper than 3:1.
1J)A 1 Q. The inlets are located per the approved plans and do not cause short-
circuiting of the system. Sheet $rav +o 31orety^+•00% 3tt4s
✓ 11. The permitted amounts of surface area and/or volume have been
provided.
1 A 12. i�egc ird drawdown devices are correctly sized per the approved plans.
✓ 13. All rewired design depths are provided.
WA .14. All required parts of the system are,proVided,` such as a vegetated shelf,
and a forebay. &or,+e,4+raue
15. The required system dimensions are provided per the approved plans.
N•
cc:� Chow
an County Planning 1 Building Inspections
Page 7 of 7

wet �_. c
ROY CC1C PIP
MIC: HAk L ti, REGAN
sr•,-r'rlh"I"S.
S. DANIEL SMITH
H
A�Irtjrl� fii.,,r:Jnr
Simpson Strong -Tie Company, Inc.
Attention: Karen Colonias, CEO
5956 W. Las Positas Blvd.
Pleasanton, CA 94588
D! Ct4ROUNA
Envirartnre11rul Qualify
August 21, 2019
Subject: Stormwater Permit No, SW7120307 Renewal
Simpson Strong -Tie
High Density Stormwater Project
Edenton, NC, Chowan County
Dear Ms. Colonias:
A Division of Energy, Mineral, and Land Resources file review has determined that
Stormwater Permit SW7120307 for a stormwater treatment system consisting of four
bioretention basins serving Simpson Strong -Tie located at 809 Soundside Road,
Edenton, NC expires on March 28, 2020. This is a reminder that permit renewal
applications are due 180 days prior to expiration. We do not have a record of receiving
a renewal application.
Please submit a completed permit renewal application along with a $505.00 fee for
permit renewal. Permit application forms for renewal can be found on our website at:
, Y. i, ~t= .. �-),_•ti:i Ei. .11' i,;f �; Ali tir ii il. _ f iii`''i,�1; }ililli; :11 :u'll,'.
North Carolina General Statutes and the
Coastal Stormwater rules require that this property be covered under a stormwater
permit. Failure to maintain a permit subjects the owner to assessment of civil penalties.
If you have questions, please feel free to contact me at [phone]. 1 will be glad to
discuss this by phone or meet with you. If you would like, I can e-mail you a copy of the
application forms. You can request a copy by e-mailing me at
ai._:a'llt.t_
Sincerely,
t;�z % . Thorpe
Environmental Engineer
WRAhps'ill(:;Ir'silin<f�rl';>YF �rt'lll nt IGWii,)r, 7PIli2j1QnaV1v DM.,;inn OAE lutgy'iYiincr;li.slldI Ulkl ��C':r;f 11 ss;.y
_ W:11,11 11Inn I;rrlsr T,) 11lj r , +? I;S 4vrr.l,�l'rllhrl'�t�tltlrr A4:xlf I W,IrJlil+allnn, Norl II

t
C DWQ USE ONLY
ate Receives
Fee Paid Ce4 Permit Number
MAR 1
3 5W71 Zc, 0
Applicable Rules: ❑ Coastal SW —1995 ❑ Coastal SW — 2008 ❑ Ph 11 - Post Construction
(scleel (III ROLE on -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management flan
Wher
WO M mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality��
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
`1'his forma ina y be phol ocopied for use as an original
I. GENERAL INFORMATION
I. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Simpson Stong-Tie
2. Location of Project (street address):
809 Soundside Road
City:Edenton County:Chowan Zip:27932
3. Directions to project (from nearest major intersection):
The site is located on the northeast side of the intersection of Soundside Road and Atlantic forest Drive
4. Latitude:36° 01' 04.24" N Longitude:76° 33' 49.04" W of the main entrance to the project.
Il. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a dcll;g cr's ccrlificafion
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major
❑Sedimentation/Erosion Control: 0.8 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
Form SWU-101 Version 07Jun2010 Page I of 6

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns theproject):
Applicant/Orgaiiizatioti:Simpson Strong -tie Company Inc. _
Signing Official & Title:Karen Colonias - Secretary/Treasurer -
b.Contact information for person listed in item 1a above:
Street Address:5956 W. Las Positas Blvd.
City:Pleasanton State:CA Zip:94588
Mailing Address (if applicable):
City:5956 W. Las Positas Blvd State:CA Zip:24588
Phone: (925 ) 560-9000 Fax: (925 ) 847-1597
Ema il: kcolonias « strongtie.com
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official & Title:—
b. Contact information for person listed in item 2a above:
Street Address:
City: State: Zip:
Mailing Address (if applicable):
City:_
Phone:
Email:
State: Zi
Pax:
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:Simpson Strong -Tie; Edenton Operations
Signing Official & Title:William H. Black fr. - Edenton Operations Manager
b.Contact information for person listed in item 3a above:
Mailing Address:809 Soundside Road
City:Edenton State:NC Zip:27932
Phone: (252 ) „482, 1153 Fax: (252 ) 0399
Email:
4. Local jurisdiction for building permits: Town of Edenton
Point of Contact:Katy Van Doninck Phone #: (252 } 482-7377
Dorm SWU-101 Version 07Jun2010 Page 2 46

IV. PROJECT INFORMATION
7. In the space provided below, briefly summarize how the stormwater nmoff will be treated.
This high density storrwater management plan will utlize bioretention cells located in existing on site
parking lot to treat, store, and dispose of stormwater runoff drainingfi•onn currently untreated areas to
to mitigate for a 16,000 building expansion.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUDApproval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph 11 - Post Construction
3. Storinnwater runoff from this project drains to the a ir2, f9,.4otr, wk River basin.
4. Total Property Area: 6.2 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) -Total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project Area':
6.2 -acres
Total project area shall be calculated to exclude the follozuirtg: the normal pool of utrpoutzdecl structures, the area
betzoeen the banks of streams and rivers, the area be/070the Nortnal Fli�h Water (NHW) lime or Meair High Water
(MFIW) line, trrtd coastal 7oetlatuls landward front the NHW (or MHW) line. The resultant project area is itsed to
catcttlate oz,erall percent built upon area (BUA). Non -coastal Wetlands landward of the NFIW (or MHW) litre ntay be
included in tltc total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 45
9. How many drainage areas does the project have?4 (For high density, count 1 for each proposed engineered
stormwater BMP. For low dettsity and other projects, use 1 jor the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four 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
T
Drainage Area 3
Draina e Area 4
Receiving Stream Name
Albemarle Sd.
Albemarle Sol.
Albemarle Sol.
Albemarle Sol.
Stream Class *
S(j
Blis45W
Lj evsw
5 B-,NSW
Stream Index Number *
.2{ 30
;, 2-6
3-D 26-
.3a -215
Total Drainage Area (sf)
8945
10724
6476
3401
On -site Drainage Area (sf)
8945
10724
6476
3401
Off -site Drainage Area (sf)
0
0
0
0
Proposed Impervious Area (sf)
5990
7820
4698
1581
`% Impervious Area** (total)
67
73
73
46
Impervious- Surface Area
Drainage Area 1.
Drainage Area 2
Drainage Area 3
Drainage Area 4
On -site Buildings/Lots (sf)
0
0
0
0
On -site Streets (sf)
0
0
0
0
On -site Parking (sf)
0
0
0
0
On -site Sidewalks (sf)
0
0
0
0
Other on -site (sf)
0
0
0
0
Future (sf)
0
0
0
0
Off -site (sf)
0
0
0
0
Existing BUA*** (sf)
5990
7820
4698
1581
Total (sf):
5990
7820
4698
1581
* Strerun Class and lades Number call be determined at: ions
** lty�erzttous area is di fined as the built upon area including, but not limited to, buildings, roads, parking areas,
sitee Walks, gravel areas, etc.
;�4r0 b4-
ao/P5
e't'off
*** Report only that atnoitrtt of existhi,� BLIA that will remain after dczrclopntent. Do not report any existing BLIA that is A,
to be removed and 701101 will be replaced by nf'W BUA. k` w r-4,11
Forin SWU-101 Version 07.1un2010 Pagc 3 46 r,

I1. Hovv was the off,site impervious area listed above determined? Provide documentation.
Auto CAD area routine
Pro.iects in Union County: Contact DVV0 Central Off ice staff to check if the project is located within a Threatened &
Endangered Species watershed that rrrrry be subject to nrore .Stringent storm rmter reguiremetrts as per NCAC 02B .0000.
V. SUPPLEMENT AND O&M FORMS
The applicable state storm water management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from Etta://uortal.nedenr.or�/web/wR/tivs/sulbmp-manual.
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. A detailed application instruction sheet and BMP
checklists are available from littp://12ortal.ncdeiir.org/web/WQ/�N'S/SLI/`states%N,/fornis does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http://portal.ncdenr.org/sveb/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. Ali original documents MUST be signed and initiated in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wq/ems/su/statesw/forms does.
Initials
1. Orr�inal and one colry of the Stormwater Management Permit Application Form. DAp
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants rt(n
I,orm. (if required as per Part V11 below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.eiivhe112.org/pagesZonestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the Stormwater treatment/management for
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/i mile of the site boundary, include the'7z
mile radius on the map.
7. Sealed,'signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwatcr control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage casements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
DA9
DAB
b A,�
k
ARa
OI, fl
Form SWU-101 Versiiui 07Jun2010 Page 4 oJ'6

9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"xl1" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected -infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior -
to sir)nrittal, [phone].)
10. A copy of the most current property deed. Deed book: 439 Page No: 369
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 2H.1003(e). The
corporation or LLC Hurst be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http://www.secretary.state.nc.us/Corporations CSearch.as12x
VI1. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
13UA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
http://portal.ncdenr.org;/web/wq/ws/su/st,itesw/forms does. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions aiA protective covenants form while the applicant is responsible for ensuring;
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit bolder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot.
Vill. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:Derek A. Dail P.E.
Consulting Firm: Quible & Associates, P.C.
Mailing Address:P.O. Drawer 870
City:Kitty Hawk State:N Zip:27949
Phone: (252 ) 261-3300 Fax: (252 ) 261-1260
I;mail:[e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, itein 2 has beery filled out, coniplele this
sect ion)
1, (print or type name of person listed in Contact hforrnatiori, item 2a) _ certify that
own the property identified in this permit application, and thus give permission to (print or type irarne c f Iverson
listed in Contact Information, iteni 10 with (print or type twine of oiWanization listed in
Contact Information, item 1a) to develop the project as currently proposed. A copy of
the lease agreement or pending; property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Form SWU-101 Version 07Juo2010 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that ifmy designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Storm water perm it reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/ Ownership Change I orm within 30 days; otherwise I will he operating a stormwater treatment
facility without a valid permit. [understand that the operation of stormwater treatment facility without a valid
permit is a violation ofNC General Statue 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:
a Notary Public for the State of'
do hereby certify that
Date:
County of'
personally appeared
before me this —day of , and acknowledge the due execution of'the application for a
stormwater perm it. Witness my hand and official seal,
SEA L
My commission expires
X. APPLICANT'S CERTIFICATION
I, {print or type name ofperson listed in Conrad Information, item 1a) Karen Colonias. Secretarv%trerrsurer
certify that the information included on this permit application form is, to the best ofmy knowledge, 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 the
applicable ;tormwatyr rules u46� NCAC 21-1 .1000.. SL 2006-246 (Ph. II — Post Construction) or SL 2008-21 I.
Signatur
Date: 3 iz —
a Notary Puhlic for the State of IA—. County of
f1,I—prii\ #t- do hereby certify that X `i C dam, QX 4�S personally appeared
be lore me this day of to Orj y} qD I Z._, and acknok�)q W the due exe�Wio/of ttye 4pplication for a
stormwater permit. Witness my hand and official seal
:KAHLEEN I<R xUWlr7xrc OMM. #1843757az _ ry Public - California OAlameda Countym, i=xpires May 4, 2013 J
i KATHLEEN M.KUWITZKY
SEAL p COMM. #1843757 z
�► Notary Public . California o
z Alameda County
My Comm. Expires May 4, 2013
My commission expires ry tA!j t{ o�U
I-orm SWU-101 Version 07,fun2010 Page 6 of 6

PermitNumber!
(to. be provided by DWO)
' DF WA7F9
AGA O`er QG
h r
r
NCDENR
EXPRESS STORMWATER MANAGEMENT PERMIT APPLICATION FORM 401 CERTIFICATION APPLICATION FORM wfly"'
MAR 16 202 BIORETENTION CELL SUPPLEMENT
This form most be filled out, printed and submitted.
NCFPe equired Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Project name
SIMPSON STRONG TIE
Contact name
DEREK DAIL
Phone number
252.261-3300
Date
March B, 2012
Drainage area number
#t
II. DESIGN INFORMATION
Site Characteristics
Drainage area
8,945 ft2
lmpervious area
5,990 ft2
Percent impervious
67.0% %
Design rainfall depth
1.5 inch
Peak Flow Calculations
Is prelpost control of the 1-yr, 24-hr peak flow required?
1-yr, 24-hr runoff depth
1-yr, 24-h r intensity
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak control
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
1.5" runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development I -yr, 24-hr runoff
Minimum volume required
Volume provided
Cell Dimensions
Ponding depth of water
Ponding depth of water
Surface area of the top of the bioretention cell
Length:
Width:
-or- Radius
Media and Soils Summary
Drawdown time, ponded volume
Drawdown time, to 24 inches below surface
Drawdown time, total:
In -situ soil:
Soil permeability
Planting media soil:
Soil permeability
Soil composition
%Sand (by volume)
• Fines (by volume)
n (Y or N)
3.16 in
0.132'inlhr " Cc�efa c
0.005 ft31sec - F lo'J 'J�° "" �A u(o�+' y
aq t3 � n't-art $-{p!v►i �1Q
0.000ft3lsec - t%oCeA•A*tiOr. s
-0.005 ft3/sec i n -5 -% t4 rc -Ir' o n
767.0 ft3
855.0 ft3 OK
it
it
it
0 it
it
Lou erg
7.2 inches
Insufficient ponding depth.
0.60 it
1,882.0 ft2
OK (C�JO
110 ft --q ;C
Le by fi pj
OK — J
17 it
it
OK
4.8 hr
OK
16 hr
OK
20.8 hr
LESS THAN 0.5 inlhr OK
1,50 in/hr OK
85% OK
10% OK
�. 9" t3eIaQ k �'
Form SW401-Bioreten6on-Rev.8
June 25, 2010
Parts I and If. Design Summary, Page 1 of 3

% Organic (by volume) 5% OK
Total: 100%
Permit Number:
(to be provided by DWQ)
Phosphorus Index (P-Index) of media
10 (unitless) OK
Form SW401-13ioretentbn-Rev.8
June 25, 2010 Parts i and II, Design Summary, Page 2 of 3

Permit Number:
(to be provided by DIWO)
Basin Elevations
Temporary pool elevation
Type of bioretention cell (answer "Y" to only one of the two following
questions):
Is this a grassed cell?
Is this a cell with treesishrubs?
Planting elevation (top of the mulch or grass sod layer)
Depth of mulch
Bottom of the planting media soil
Planting media depth
Depth of washed sand below planting media soil
Are underdrains being installed?
14.00 fms4
y (Y or NJ
in (Y or N)
13.41msl
0 inches Insufficient mulch depth, unless installing grassed cell.
11.91msl
1.5 1t
n ft
Y (Y or N)
How many clean out pipes are being installed? 6 OK
What factor of safety is used for sizing the underdrains? (See 4 OK
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and - fitt p . S — 5 cr e4-A; t
the bottom of the cell to account for underdrains
Bottom of the cell required—1Bimsl il,K
SHWT elevation 10.91msl
Distance from bottom to SHWT — G4t &. s
Internal Water Storage Zone (IWS)
Does the design include IWS n (Y or N)
Elevation of the top of the upturned elbow fmsl
Separation of IWS and Surface 44.4 A o s%+ S
Planting Plan
Number of tree species 0
Number of shrub species 0
Number of herbaceous groundcover species 0 Recommend more species. N 1A Bras
Additional Information
Does volume in excess of the design volume bypass the y (Y or N) Enter Data t as
bioretention cell? CxcesS Fnu ah� 5c3 Co
Does volume in excess of the design volume flow evenly distributed `i 14 V G +4 F G e w av E R GRASS
through a vegetated filter? Y (Y or N) Enter Data See b e-vR;1
What is the length of the vegetated filter? >10 ft
Does the design use a level spreader to evenly distribute flow? in (Y or N) Show how flow is evenly distributed.
Is the BMP located at least 30 feet from surface waters (50 feet if
y
(Y or N)
OK
SA waters)?
Is the BMP localed at least 100 feet from water supply wells?
y
(Y or N)
OK
Are the vegetated side slopes equal to or less than 3:1?
y
(Y or N)
OK
Is the BMP located in a proposed drainage easement with access
y
(Y or N)
OK
to a public Right of Way (ROWJ?
Inlet velocity (from treatment system)
41 Wsec
OK
Is the area surrounding the cell likely to undergo development in the
n
(Y or N)
OK
future?
Are the slopes draining to the bioretention cell greater than 20%?
in
(Y or N)
OK
Is the drainage area permanently stabilized?
y
(Y or N)
OK
Pretreatment Used
(Indicate Type Used with an "X" in the shaded cell)
Gravel and grass
(S'inches gravel followed by 3-5 ft of grass)
x
Grassed Swale
OK
Forebay
Other
Form SW401-Bioretention-Rev.8
June 25. 2010 Parts I and II. Design Summary, Page 3 of 3

Permit No:
{to be assigned by DWQ]
Ill. REQUIRED fTEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Pagel Plan
Initials Sheet No,
1�Ir0 1 Z
1. Plans (V - 50' or larger) of the entire site showing:
Design at ultimate build -out,'
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Coll dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW), g /A
Clean out pipe locations, j} u 41 h r r 1 A C N t' law +
Overflow device, and
-Boundaries of drainage easement. / A
i 1
2. Plan details (V = 30' or larger) for the bioretention cell showing;
Cell dimensions
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Design at ultimate build -out,
Off -site drainage (if applicable),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement. N/ti
Indicate the P-Index between 10 and 30
3. Section view of the bioretention cell (V = 20' or larger) showing:
Side slopes, 3:1 or lower
Underdrain system (if applicable), and
Bioretention cell layers ]ground level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone if applicable), 457 stone, underdrains (if applicable),
SHWT level(s), and overflow structure]
4. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
41ct r A014
results of the soils report must be verified in the field by DWO, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information. All
elevations shall be in feel mean sea level (imsl). Results of soils tests of both the planting soil and the in
situ soil must include:
Soil permeability,
Soil composition (% sand, % fines, % organic), and
P-index.
� � 2
5. A detailed planting plan ( V = 20' or larger) prepared by a qualified individual showing:
A variety of suitable species, 5 e 4
S ��
Sizes, spacing and locations of plantings,
Total quantity of each type of plant specified,
A planting detail,
The source nursery for the plants, and
Fertilizer and watering requirements to establish vegetation.
6. A construction sequence that shows how the bioretention cell will be protected from sediment until the II A
entire drainage area is stabilized. Celt i$ +tI %n 0� t� Con S if �.c{ i C w tic }',)'*j W f ih
At ke� 7. The supporting calculations (including underdrain calculations, if applicable).
1 M) S. A copy of the signed and notarized inspection and maintenance (I&M) agreement.
0 9. A copy of the deed restriction.
Form SW401•13ioretenCon•RevY Part III, Page 1 of 1

•
Permit Number: vi
(to be provided by 0WQ}
' Oa�F W A rFq¢G
- Y
r
1
NCDENR 4
EXPRESS STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
MAR 16 2012 BIORETENTION CELL SUPPLEMENT
pp►►���+ This form must be filled out, printed and submitted.
atl'rhe tRms Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Project name
SIMPSON STRONG TIE
Contact name
DEREK DAIL
Phone number
252.261.3300
Date
March 8, 2012
Drainage area number
#2
II. DESIGN INFORMATION
Site Characteristics
Drainage area
10,724 1?
Impervious area
7,820 1t2
Percent impervious
72.9% %
Design rainfall depth
1.5 inch
Peak Flow Calculations
Is prelpost control of the 1-yr, 24-hr peak flow required?
n (Y or N)
1-yr, 24-hr runoff depth
3.16 in
1-yr, 24-h r intensity
0.132 in/hr
Pre -development 1-yr, 24-hr peak flow
0.005 ft3lsec —
Post -development 1-yr, 24-hr peak flow
0,000 ft3lsec —
Pre/Post 1 •yr, 24-hr peak control
-0.005 ft3/sec
Storage Volume: Ill Waters
Minimum volume required
983.0 ft3
Volume provided
989.0 ft3
Storage Volume: SA Waters
1.5 runoff volume
ft3
Pre -development 1-yr, 24-hr runoff
it
Post -development 1-yr, 24-hr runoff
it
Minimum volume required
0 ft3
Volume provided
ft3
Cell Dimensions
Ponding depth of water
7.2 inches
Ponding depth of water
0.60 it
Surface area of the top of the bioretention cell
2,034.0 it
Length:
121 it
Width:
17 it
-or- Radius
it
Media and Soils Summary
Drawdown time, ponded volume
4.8 hr
Drawdown time, to 24 inches below surface
16 hr
Drawdown time, total:
20.8 hr
In -situ soil:
Soil permeability
LESS THAN 0.5 in/hr
Planting media soil.
Soil permeability
1.50 in/hr
Soil composition
Sand (by volume)
850/0
Fines (by volume)
10%
bA
U � O ivy In'F'r Qvt
OK
'Jidot iah� (burrwJ G
rtANtycs EM-;rc- S,Ar V0\
Insufficient ponding depth, - L_ O J
OK
OK
OK
OK
OK
OK
OK
OK
OK
Form SW401-Bioretention-Rev.8
June 25, 2010
Parts I and II. Design Summary, Page I of 3

Permit Number:
(to be provided by tJ WO)
% Organic (by volume)
Phosphorus Index (P-Index) of media
5% OK
Total: 100%
10 (unitless) OK
Form SW401-8ioretention•Rev.8
June 25, 2010 Parts I and II. Design Summary, Page 2 o1 3

Permit Number:
(to be provided by DWO)
Basin Elevations
Temporary pool elevation
Type of bioretention cell (answer "Y" to only one of the two following
questions):
Is this a grassed cell?
Is this a cell with trees/shrubs?
Planting elevation (top of the mulch or grass sod layer)
Depth of mulch
Bottom of the planting media soil
Planting media depth
Depth of washed sand below planting media soil
Are underdrains being installed?
How many clean out pipes are being installed?
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
the bottom of the cell to account for underdrains
Bottom of the cell required
SHWT elevation
Distance from bottom to Si
Internal Water Storage Zone (fWS)
Does the design include IWS
Elevation of the top of the upturned elbow
Separation of IWS and Surface
Planting Plan
Number of tree species
Number of shrub species
Number of herbaceous groundcover species
Additional Information
Does volume in excess of the design volume bypass the
bioretention cell?
Does volume in excess of the design volume flow evenly distributed
through a vegetated filter?
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at least 30 feet from surface waters (50 feet if
SA waters)?
Is the BMP Iocaled at least 100 feet from water supply wells?
Are the vegetated side slopes equal to or less than 3:1?
Is the BMP located in a proposed drainage easement with access
to a public Right of Way (ROW}?
Inlet velocity (from treatment system)
Is the area surrounding the cell likely to undergo development in the
future?
Are the slopes draining to the bioretention cell greater than 20%?
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an "X" in the shaded cell)
Gravel and grass
(S'inches gravel followed by 3.5 it of grass)
Grassed swale
Forebay
Other
14.00 fmsl
Y (Y or N}
n (Y or N}
13.4 fmsl
0 inches Insufficient mulch depth, unless installing grassed cell,
11.9 fmsl
1.5 ft
n tt
Y (Y or N)
6 OK
3 OK
—rt-ft 0- S -See.. 6 e
49-g-fmsl 41•t1 r
10.9 fmsl
r
::9A O rS
n (Y or N)
fmsl
0
0
0 Recommend more species.
>v,��•ss 171au pc,sses 13ro (et(
y (Y or N) OK
v �a W e;r over (+'.csse
y (Y or N) Enter Data
CSi.nitoW� '30"^r See
>10 it
n (Y or N) Show how flow is evenly distributed.
y (Y or N) OK
y (Y or N) OK
y (Y or N) OK
y (Y or N) OK
C 1 fusec OK
n (Y or N) OK
n (Y or N) OK
y (Y or N) OK
x
�73
Form SW401•Bioretention-Rev.8
June 25, 2010
Parts I and II. Design Surnrnary, Page 3 of 3

Permit No: _
(to be assigned by DWQ)
III. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the iolfowing design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Initials
he
D h 6
�)A�l
Pagel Plan
Sheet No.
tf2
t E 2-
oxcr APar•
Plans (f" - 50' or larger) of the entire site showing:
Design at ultimate build -out,'
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Cell dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW), ht 4
Clean out pipe locations,
Overflow device, and
-Boundaries of drainage easement. u A
2. Plan details (1" = 30' or larger) for the bloretention cell showing:
Cell dimensions
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Design at ultimate build -out,
Off -site drainage (if applicable),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement. N/A
Indicate the P-Index between 10 and 30
P{;vc'f'e Proarf-t� NF����<1
3. Section view of the bioretenlion cell (1" = 20' or larger) showing:
Side slopes, 3:1 or lower
Underdrain system (if applicable), and
Bioretention cell layers (ground level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, filter fabric {or choking stone if applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure)
4. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information. All
elevations shalt be in feet mean sea level (fmsl). Results of soils tests of both the planting soil and the in
situ soil must include:
Soil permeability,
Soil composition (% sand, % fines, % organic), and
P-index.
5. A detailed planting plan (1" = 20' or larger) prepared by a qualified individual showing:
A variety of suitable species, vJ 1 S a)]
Sizes, spacing and locations of plantings,S c•�
Total quantity of each type of plant specified,
A planting detail,
The source nursery for the plants, and
Fertilizer and watering requirements to establish vegetation.
Z) Ro 6. A construction sequence that shows how the bioretention cell will be protected from sediment until the
entire drainage area is stabilized. (. a o +1 Lc o„ t� cow
L) 7. The supporting calculations (including underdrain calculations, if applicable).
t-tc.rr ,�p�A
S. A copy of the signed and notarized inspection and maintenance (I&M) agreement.
q 1A 9. A copy of the deed restriction.
Form SW401-Bioretention-Rev.7 Part Ill, Page 1 of 1

Permit Number: 5w 7/ -20 3%�t2
{to be provided by DWQ)
A
FWA
NCDENR
EXPRESS
MAR 16 2012
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
(� [�� �� This form must be filled out, printed and submitted,
�Fi1d'Re�quired hems Checklist (Part ttl) must be printed, filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Project name SIMPSON STRONG TIE
Contact name DEREK DAIL
Phone number 252-261-3300
Date March 8, 2012
Drainage area number #3
II. DESIGN INFORMATION
Site Characteristics
Drainage area 6,4761t2
Impervious area 4,698 It
Percent impervious 72.5% %
Design rainfall depth 1,5 inch
Peak Flow Calculations
Is prelpost control of the 1-yr, 24-hr peak flow required?
I -yr, 24-hr runoff depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak control
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
n (Y or N)
3.16 in
0.132 in/hr �A t,16� A�� CegCeaIe.
0.003 ft3lsee — FIv� row k },ra S--or-
0.000 ft3lsec — 3,o of o^ `V%4` `S
-0.003 ft3lsec V itF 'kx �i X`t rG 4"' &A
591,0 it
600.0 it OK
1.5" runoff volume
it
Pre -development 1-yr, 24-hr runoff
it
Post -development 1-yr, 24-hr runoff
€t3
Minimum volume required
0 it
Volume provided
It
Cell Dimensions
rr r•
r` 1 8 e tO.J
Ponding depth of water
7.2 inches Insufficient ponding depth. L- 0W
Ponding depth of water
0.601t
Surface area of the top of the bioretention cell
1,226.0 it OK
Length:
66 it OK
Width:
19 f1 OK
-or- Radius
it
Media and Soils Summary
Drawdown time, ponded volume
4.8 hr
OK
Drawdown time, to 24 inches below surface
16 hr
OK
Drawdown time, total:
20.8 hr
In -situ soil:
Soil permeability
LESS THAN 0.5 in/hr
OK
Planting media soil:
Soil permeability
1.50 inlhr
OK
Soil composition
• Sand (by volume)
85%
OK
% Fines (by volume)
10%
OK
Form SW401-Bioreiention-Rev.8
June 25, 2010
Parts I and II, Design Summary, Page 1 of 3

% Organic (by volume) 5% OK
Total: 100%
Permit Number;
(to be provided by OWQ)
Phosphorus Index (P-Index) of media
10 (unilless) OK
Form SW401-Bioretention-Rev.8
June 25, 2010
Parts I and If. Design Summary, Page 2 of 3

Permit Number:
(to be provided by DWO)
Basin Elevations
Temporary pool elevation
Type of bioretention cell (answer "Y" to only one of the two following
questions):
Is this a grassed cell?
Is this a cell with trees/shrubs?
Planting elevation (top of the mulch or grass sod layer)
Depth of mulch
Bottom of the planting media soil
Planting media depth
Depth of washed sand below planting media soil
Are underdrains being installed?
14.00 fmsl
y (Y or N)
n (Y or N)
13A fms!
0 inches Insufficient mulch depth, unless installing grassed cell.
11.9 imsl
1.5 it
0 it
Y (Y or N)
How many clean out pipes are being installed? 4 OK
What factor of safety is used for sizing the underdrains? (See 5 OK
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and See D e i r� t 1
the bottom of the cell to account for underdrains
Bottom of the cell required—*,-9.fmsl tt��
SHWT elevation 10.9 fmsl
Distance from bottom to SHWT —A it O. S
Internal Water Storage Zone (IWS)
Does the design include IWS n (Y or N)
Elevation of the top of the upturned elbow fmsl
Separation of IWS,and Surface 13A lit '-A ° _ "s
Planting Plan
Number of tree species 0
Number of shrub species
0
u 1 A G c a s s e
Number of herbaceous groundcover species
0
Recommend more species.
Additional Information
Does volume in excess of the design volume bypass the
E x c e s s Flaw �csS�S
g;o �Pt1
s s
bioretention cell?
y (Y or N)
OK 'V iN 10 NJ over
t"a
1�e+e,, ii
Does volume in excess of the design volume flow evenly distributed
Y (Y or N)
Enter Data sec
through a vegetated filter?
What is the length of the vegetated iiiter?
10 it
Does the design use a level spreader to evenly distribute flow?
n (Y or N)
Show how flow is evenly distributed.
Is the BMP located at least 30 feet from surface waters (50 feet if
y
(Y or N)
OK
SA waters)?
Is the BMP localed at least 100 feet from water supply wells?
y
(Y or N)
OK
Are the vegetated side slopes equal to or less than 3:1?
y
(Y or N)
OK
Is the BMP located in a proposed drainage easement with access
Y
(Y or N)
OK
to a public Right of Way (ROW)?
Inlet velocity (from treatment system)
1 ftlsec
OK
Is the area surrounding the cell likely to undergo development in the
n
(Y or N)
OK
future?
Are the slopes draining to the bioretention cell greater than 20%?
n
(Y or N)
OK
Is the drainage area permanently stabilized?
y
(Y or N)
OK
Pretreatment Used
(Indicate Type Used with an "V in the shaded cell)
Gravel and grass
(8`inches gravel followed by 3-5 it of grass)
x
Grassed swale
OK
Forebay
Other
Form SW401•Bioretention-Rev.8
June 25, 2010 Parts I and If. Design Summary, Page 3 of 3

Permit No:
(to be assigned by DWQ)
III. REQUIRED ITEMS CFFECKLIST, v
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Initials
kD
DAra
?A�
Page/ Plan
Sheet No.
If2
1 f2-
2.
Plans (1"- 50' or larger) of the entire site showing:
Design at ultimate build -out, -
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Celt dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW), 914-
Clean out pipe locations,
Overflow device, and
-Boundaries of drainage easement. PIA
2. Plan details (1 " = 30' or larger) for the bioretention cell showing:
Cell dimensions
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Design at ultimate build -out,
Off -site drainage (if applicable),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement. e41A
Indicate the P-Index between 10 and 30
Pr:vc{•e rlr—cdcc
¢ 5%Jmrr IACA,r e,µN+
3. Section view of the bioretention cell 0 " = 20' or larger) showing:
Side slopes, 3:1 or lower
Underdrain system (if applicable), and
Biorelention cell layers [ground level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone if applicable), H57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure]
4. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information. All
elevations shall be in feet mean sea level (fmsl). Results of soils tests of both the planting soil and the in
situ soil must include:
Soil permeability,
Soil composition (% sand, % fines, % organic), and
P-index.
5. A detailed planting plan (1" = 20' or larger) prepared by a qualified individual showing:
A variety of suitable species, j $ c p
Sizes, spacing and locations of plantings, 3 r
Total quantity of each type of plant specified,
A planting detail,
The source nursery for the plants, and
Fertilizer and watering requirements to establish vegetation.
6. A construction sequence that shows how the bioretention cell will be protected from sediment until the
entire drainage area is stabilized. Crrt �� +kc nw,►� coRsirw�kce. acA'"+'4 %j
PAI . ked 7. The supporting calculations (including Underdrain calculations, if applicable).
Nc.rr ApPJA
8. A copy of the signed and notarized inspection and maintenance (I&M)agreement.
9. A copy of the deed restriction.
Form SVV401-Korete0ion.Rev.7 Part III, Pago 1 of 1

ti Permit Number: f 2 yJ�-7
(to be provided by OWQ)
i of wart
At"Aw
NCDENR p c
EXPRESS STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
MAR 16 201Z BIORETENTION CELL SUPPLEMENT
^ p)F"' This form most be filled out, printed and submitted.
e u to Checklist (Part Ill) must be printed, filled out and submitted along with all of the required information,
I. PROJECT INFORMATION
Project name SIMPSON STRONG TIE
Contact name DEREK DAIL
Phone number 252.261-3300
Date March 8, 2012
Drainage area number #4
II. DESIGN INFORMATION
Site Characteristics
Drainage area 3,401 it
Impervious area 1,581 ft2
Percent impervious 46.5% %
Design rainfall depth 1.5 inch
Peak Flow Calculations
Is pre/post control of the 1-yr, 24-hr peak flow required?
1-yr, 24-hr runoff depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
PrelPost 1-yr, 24-hr peak control
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
15' runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Cell Dimensions
Ponding depth of water
Ponding depth of water
Surface area of the top of the bioretention cell
Length:
Width:
-or- Radius
Media and Soils Summary
Drawdown time, ponded volume
Drawdown time, to 24 inches below surface
Drawdown time, total:
In -situ soil:
Soil permeability
Planting media soil:
Soil permeability
Soil composition
% Sand (by volume)
% Fines (by volume)
n (Y or N)
3.16 in
0.132 in/hr r
0.0021t31sec� Flog �rav++ Dn % au{ Ar� f�vct�clgt
0.0001t%eC — i iQrct�nt�o+� ticnpycf �niiPc g�ornn
-0.002 it3lsec vi&
222.0 it
326.0 113 OK
it3
it3
it 3
0 it
it ll
7.2 inches Insufficient ponding depth. 1. o j e re d
0.60 it
777.0 it S5S OK
45 ft 'iS� OK
17 ft OK d
ft
4.8 hr OK
16 hr OK
20.8 hr
LESS THAN 0.5 in/hr OK
1.50 inlhr OK
85% OK
10% OK
1-2" Oe1. J q `
Form SW401-Bioretontion-Rev. 8
June 25, 2010
Paris I and IL Design Summary, Page 1 o1 3

0 Y
% Organic (by volume) 5% OK
Total: 100%
Permit Number:
(to be provided by DWQ)
Phosphorus Index (P-Index) of media
10 (unitless) OK
Form 5W401-Bioretention-Rev.8
Jurie 25, 2010
Parts I and II. Design Summary, Page 2 of 3

Permit Number:
(to be provided by 1)1
Basin Elevations
Temporary pool elevation
Type of bioretention cell (answer "Y" to only one of the two following
questions):
Is this a grassed cell?
Is this a cell with treesishrubs?
Planting elevation (top of the mulch or grass sod layer)
Depth of mulch
Bottom of the planting media soil
Planting media depth
Depth of washed sand below planting media soil
Are underdrains being installed?
14.00 fmsl
y (Y or N) kr�medis kept#
n (Y or N)
13A fmsl
0 inches Insufficient mulch depth, unless installing grassed cell.
11.9 fmsl
1,5 it
n ft
Y (Y or N)
How many clean out pipes are being installed? 4 OK
What factor of safety is used for sizing the underdrains? (See p;AcS �a U s d cc}
13 Insufficient factor of safety.
BMP Manual Section 12.3.6) r, 5. = �. u 5 �o1— a-Ac P 01 C
Additional distance between the bottom of the planting media and , 5; t r
the bottom of the cell to account for underdrains 0 S See c�
Bottom of the cell required 4&9-fmsl
SHWT elevation 10.9 fmsl
Distance from bottom to SHWT r
Internal Water Storage Zone (IWS)
Does the design include IWS n (Y or N)
Elevation of the top of the upturned elbow fmsl
Separation of IWS. and Surface 434 it 11-46 S VS
Planting Plan
Number of tree species 0
Number of shrub species 0
Number of herbaceous groundcover species 0 Recommend more species. g /jk — &f A ssc
Additional information
Does volume in excess of the design volume bypass the y (Y or NJ OK xc� t 1eU 13 P a = Scs Q � 0
bioretention cell? v", wii 3 ta41 Oder q r� ssc
Does volume in excess of the design volume flow evenly distributed y (Y or N) Enter Data S c e iJ e f4 r i
through a vegetated filter?
What is the length of the vegetated filter? 10 it
Does the design use a level spreader to evenly distribute flow? n (Y or N) Show how flow is evenly distributed.
Is the BMP located at least 30 feet from surface waters (50 feet If
y
(Y or N)
OK
SA waters)?
Is the BMP localed at least 100 feet from water supply wells?
y
(Y or N)
OK
Are the vegetated side slopes equal to or less than 3:1?
y
(Y or N)
OK
Is the BMP located in a proposed drainage easement with access
y
{Y or N)
OK
to a public Right of Way (ROW)?
Inlet velocity (from treatment system)
1 ftlsec
OK
Is the area surrounding the cell likely to undergo development in the
n
(Y or N)
OK
future?
Are the slopes draining to the bioretention cell greater than 20%?
n
(Y or N)
OK
Is the drainage area permanently stabilized?
y
(Y or N)
OK
Pretreatment Used
(Indicate Type Used with an X' in the shaded cell)
Gravel and grass
(8+inches gravel followed by 3.5 it of grass)
x
Grassed swale
OK
Forobay
Other
Form SW401-8ioretentior-Rev.8
June 25, 2010 Parts I and II. Design Summary, Page 3 of 3

y Permit No: ---
(to bo assigned by DWO)
III:, REQUIRE© ITEMS CHECKLIST: r
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Page/ Plan
Initials
Sheet No.
k�
[ f 2
1. Plans (1" - 50' or larger) of the entire site showing:
Design a1 ultimate build -out,'
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Cell dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW), J
Clean out pipe locations, x a r d r. *{ i A o 0 r' 1 o,}
Overflow device, and
-Boundaries of drainage easement. PIA
fF 6
1 2
2. Plan details (1" = 30' of larger) for the bioreteniion cell showing:
Cell dimensions
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Design at ultimate build -out,
Off -site drainage (if applicable),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement. ►41A
Indicate the P-Index between 10 and 30
3. Section view of the bioreteniion cell (1' = 20' or larger) showing:
Side slopes, 3:1 or lower
Underdrain system (it applicable), and
Bioretention cell layers [ground level and slope, pre-treatment, pending depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone if applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure]
``
4. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
H«r Apo*
results of the sails report must be verified in the field by DWO, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information, All
elevations shall be in feet mean sea level (imsl). Results of soils tests of both the planting soil and the in
situ soil must include:
Sail permeability,
Soil composition (% sand, % fines, % organic), and
P-index.
�A�
2
5. A detailed planting plan (1" = 20' or larger) prepared by a qualified individual showing:
A variety of suitable species, ( S e p
13 a (elk 3 [ s S
Sizes, spacing and locations of plantings,
Total quantity of each type of plant specified,
A planting detail,
The source nursery for the plants, and
Fertilizer and watering requirements to establish vegetation.
2-
6. A construction sequence that shows how the bioretention cell will be protected from sediment until the
entire drainage area is stabilized. C e it i� +im e o� 1� co„ S-ir,. A*, e „ k c
7. The supporting calculations (including underdrain calculations, if applicable),
1�4rr
8. A copy of the signed and notarized inspection and maintenance (i&M), agreement.
r
9. A copy of the deed restriction.
Form SW401-Bioretention-Rev. 7
Paii III, Page 1 of 1

%EXPRESS
MAR 16 2012 Permit Number: !1,.1 t% I)-,D 3o`7
(to he provided by D W'Q)
NCDE8�R Drainage Area Number:
9�3 Bioretention Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
— Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will be taken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month and within 24
hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblems-.
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
bioretention cell
erosive gullies have formed,
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problerns with erosion.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
a2plicable).
Dorm SW401-13ioretention O&M-Rev.3 Page I of 4

BMP element:
Potentialproblems:
How I will remediate theproblem:
The pretreatment area
Flow is bypassing
Regrade if necessary to route all
pretreatment area and/or
flow to the pretreatment area.
allies have formed.
Restabilize the area after grading.
Sediment has accumulated to
Search for the source of the
a depth greater than three
sediment and remedy the problem if
inches.
possible. Remove the sediment and
restabilize the pretreatment area.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand.
The bioretention cell:
Best professional practices
Prune according to best professional
vegetation
show that pruning is needed
practices.
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying,
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Tree stakes/wires are present
Remove tree stake/wires (which
six months after planting.
can kill the tree if not removed).
The bioretention cell:
Mulch is breaking down or
Spot mulch if there are only random
soils and mulch
has floated away.
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Soils and/or mulch are
Determine the extent of the clogging
clogged with sediment.
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
An annual soil test shows that
Dolomitic lime shall be applied as
pH has dropped or heavy
recommended per the soil test and
metals have accumulated in
toxic soils shall be removed,
the soil media.
disposed of properly and replaced
with new planting media.
Dorm SW401-13ioretention O&M-Rev.3 Page 2 of 4

BMP element:
Potentialproblems:
How I will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
ou tlet.
733-1786.
Form SW401-11ioretention O&M-Rev.3 1'abe 3 of 4

Permit Number:
{1n be provided by IDUQ)
acknowledge and agrcc by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: Simpson Strong -Tie
BMP drainage area number: I
Print name -.Karen Colonias
Title:Simpson Strong -Tic Company, Inc Secretary/Treasurer
Address: P.O. Box 585, Edenton, NC 27932
Phone: [phone]
Signature:—__ //
Date: 'T//Z
Note: The legally responsihlc party should not he a homeowners association unless more than 50%of'
the lots have been sold and a resident ol'the subdivision has been named the president.
N Yam_ T Z Y,4 , a Notary Public for the State of'
c A%,N,E]M�L3 A- , County of A- .=PC-D 8- , do hereby certify that
cknt%�&s personally appeared before me this 1, _
day of lAfT ,ew , 20I2 , and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
KATHLEEN M. KUWITIKY
r COMM. #1843757 z
= Notary Public •California o
z Alameda County
My Comm. Expires May 4, 2013
SEAL
My commission expires rAr4y
Form SW401-Bioretention I&M-Rev. 2 Page 4 of 4

EXPRESS
MAR 16 2012 Permit Number:
(!n he provided by Dlt�r7)
Drainage Area Number: 22-
� fifo oet�erih3an Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will betaken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month and within 24
hours after every storm event greater than 1.4 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and wit] be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblems:
How I will remediate the roblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
bioretention cell
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established, Provide lime and a
one-time fertilizer application.
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or swale
applicable),
sediment off -site.
The pipe is cracked or
Replace the pipe,
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
applicable),
Form SW401-13ioretention O&M-Rev.3 Page I of 4

BMP element:
Potentialproblems:
How I will remediate theproblem:
The pretreatment area
Flow is bypassing
Regrade if necessary to route all
pretreatment area and/or
flow to the pretreatment area.
gullies have formed.
Restabilize the area after grading.
Sediment has accumulated to
Search for the source of the
a depth greater than three
sediment and remedy the problem if
inches.
possible. Remove the sediment and
restabilize the pretreatment area.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand.
The bioretention cell:
Best professional practices
Prune according to best professional
vegetation
show that pruning is needed
practices.
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying,
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessarv.
Tree stakes/wires are present
Remove tree stake/wires (which
six months after planting.
can kill the tree if not removed).
The bioretention cell:
Mulch is breaking down or
Spot mulch if there are only random
soils and mulch
has floated away.
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Soils and/or mulch are
Determine the extent of the clogging
clogged with sediment.
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
An annual soil test shows that
Dolomitic lime shall be applied as
pH has dropped or heavy
recommended per the soil test and
metals have accumulated in
toxic soils shall be removed,
the soil media.
disposed of properly and replaced
with new lantin media.
Form SW401-13ioretention O&M-Rcv.3 Page 2 of 4

BMP element:
Potentialproblems:
How I will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW401-11ioretention 0&M-Rev.3 Page 3 ol'4

Permit Number:
(to he provided h I DW&
acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: Simpson Strong fie
BMP drainage area numbe
Print name: Karen Colonias
Title:Simpson Strong -Tie Company, Inc Secretary/Treasurer
Address: P.O. Box 585, Edenton, NC 27932
Thor
Sign
Date
Note: 'I'he legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident ofthe subdivision has been named the president.
a Notary Public for the State of
C�LiFo2�, �L, County of P. , do hereby certify that
Cis a S personally appeared before me this J-2-:
day of M+A�.� �r ao i �, and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
KATHLEEN M. KUWITZKY
@,My
COMM, #1843757 z
0 Notary Public • California o
zAlameda County
Comm. Expires Nlla 4, 2013
SEAL
My commission expires h++-1 Lf 2O13
Form SW401-13iorctcntion I&M-Rev. 2 Page 4 of 4

EXPRESS
MAR 16 2012 Permit Number:
(to be provided by 1)N'Q)
Drainage Area Number: 3
WiDeri ion Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important operation and maintenance procedures:
Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
— Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will be taken to prevent sediment from entering the bioretention cell.
Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month and within 24
hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblems:
How l will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
bioretention cell
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer a lication.
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or Swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe,
otherwise damaged (if
a licable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone,
applicable).
Form SW401-131oretention O&M-Rev.3 Page I of

BMP element:
Potential roblems:
How I will remediate theproblem:
The pretreatment area
Flow is bypassing
Regrade if necessary to route all
pretreatment area and/or
flow to the pretreatment area.,
gullies have formed.
Restabilize the area after grading.
Sediment has accumulated to
Search for the source of the
a depth greater than three
sediment and remedy the problem if
inches.
possible. Remove the sediment and
restabilize the pretreatment area.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion eroblems.
Weeds are present.
Remove the weeds, preferably by
hand.
The bioretention cell:
Best professional practices
Prune according to best professional
vegetation
show that pruning is needed
practices.
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessarv.
"Free stakes/wires are present
Remove tree stake/wires (which
six months after planting.
can kill the tree if not removed).
The bioretention cell:
Mulch is breaking down or
Spot mulch if there are only random
soils and mulch
has floated away.
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Soils and/or mulch are
Determine the extent of the clogging
clogged with sediment.
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
An annual soil test shows that
Dolomitic lime shall be applied as
pH has dropped or heavy
recommended per the soil test and
metals have accumulated in
toxic soils shall be removed,
the soil media.
disposed of properly and replaced
with new planting media.
Form SW401-1.3ioretention O&M-Rev.3 Pagc 2 of 4

BMP element: I
Potentialproblems:
How I will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Dorm SW401-11ioretention 0K:M-RcN-.3 Page 3 of 4

Permit Number:
(to be provided bY DINQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: Simpson Strong -Tie
BAIP drainage area numher:
Print name:Karen Colonias
Title:Simpson Strong -Tie Company, Inc Secretary/Treasurer
Address: 11.0. Box 585, Edenton, NC 27932
Phon
Sign
Date
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.
1, K,Ptrw�y-Lia nn. __ _, a Notary Public for the State of
Q0, 0pa� IAA , County of 1�� m�n�1 , do hereby certify that
V Cd �.�„ap.-s personally appeared before me this �
day of KI*ACU , 2Q12— , and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
KATHUMN M. KUYIITZKY
_ COMM. #1843757 z
Notary Public California o
z Alameda County s
My Comm. Ex Tres May 4, 2013
SEAL
My commission expires YY► M k ao t3
Form SW401-13iorelention IKM-Rev. 2 Page 4 of 4

EXPRESS
MAR 16
2012 Permit Number:
(to he provided 6y DWQ)
Drainage Area Number: 4
NC ®ENFAioretention Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important operation and maintenance procedures:
- Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
- Snow, mulch or any other material will NEVER be piled on the surface of die
bioretention cell.
- Heavy equipment will NEVER be driven over the bioretention cell.
- Special care will be taken to prevent sediment from entering the bioretention cell.
- Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month and within 24
hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblems:
How I will remediate theproblem:
The entire BMP
Trash/debris is present,
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
bioretention cell
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or Swale
applicable),
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is, occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
-applicable).
Dorm SW401-13ioretention OEM-Rcv.3 Page 1 of 4

BMP element:
Potentialproblems:
How I will remediate the roblem:
The pretreatment area
Flow is bypassing
Regrade if necessary to route all
pretreatment area and/or
flow- to the pretreatment area.
gullies have formed.
Restabilize the area after grading.
Sediment has accumulated to
Search for the source of the
a depth greater than three
sediment and remedy the problem if
inches.
possible. Remove the sediment and
restabilize the pretreatment area.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problerns.
Weeds are present.
Remove the weeds, preferably by
hand.
The bioretention cell:
Best professional practices
Prune according to best professional
vegetation
show that pruning is needed
practices.
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Tree stakes/wires are present
Remove tree stake/wires (which
six months after planting,
can kill the tree if not removed).
The bioretention cell:
Mulch is breaking down or
Spot mulch if there are only random
soils and mulch
has floated away.
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Soils and/or mulch are
Determine the extent of the clogging
clogged with sediment.
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
An annual soil test shows that
Dolomitic lime shall be applied as
pH has dropped or heavy
recommended per the soil test and
metals have accumulated in
toxic soils shall be removed,
the soil media.
disposed of properly and replaced
with new planting media.
Form SW401-13ioretention O&M-Rev.3 Page 2 of 4

BMP element:
Potentialproblems: I
How l will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
ou tle t.
733-1786.
Form SW401-11iorctention O&M-Rev.3
Page 3 of 4

Permit Number.
(to he provided by DIVQ)
acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: Simpson Strong -Tie
13A4P drainage area numher:4
Print name:Karen Colonias
Title:Sim son Strong -Tic Company, Inc Secretar /Treasurer
Address: P.O. Box 585, Edenton, NC 27932
Phone: [phone]
Signature:
Date:
fZ
Note: 'I•he legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident ofthe subdivision has been named the president.
I, M • a Notary Public for the State of
Ca\1k,.Q vim; County of L-�.M��, , do hereby certify that
(ae�� en�o.p;as personally appeared before me thisj,Pl�'
day of Yh,P kC-)4c �D lam, and acknowledge the clue execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal.
KATHLEEN M. KUWITIKY
o COMM, #1843757 z
-Q Notary Public California
z Alameda County o
My Comm, Expires May 4, 2013
SEAL
My commission expires M1*1 4 go (3
Form SW401-11iorctcntion I&:M-Rev, 2
Page 4 of 4