SW7120501_CURRENT PERMIT_20120604

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
CURRENT PERMIT
APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
:2CJI`�iOl�
YYYYMMDD

i
k RO
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, RE. Dee Freeman
Governor Director Secretary
June 4, 2012
Mr. Shawn Cather, President
D.L. Rogers Companies
5013 Davis Boulevard
North Richland Hills, TX 76180
Subject: Stormwater Permit No. SW7120501
Sonic Drive -In Restaurant — Elizabeth City
High Density Commercial Wet Pond Project
Pasquotank County
Dear Mr. Cather:
The Washington Regional Office received a complete Stormwater Management Permit
Application for Sonic Drive -In Restaurant — Elizabeth City on May 3, 2012 and additional
information on June 4, 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. SW7120501 dated
June 4, 2012, for the construction of the subject project.
This permit shall be effective from the date of issuance until June 4, 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, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such
demands are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please
contact Samir Dumpor, or me at [phone].
S' cerely,
Al Hodge
Regional Supervisor
Surface Water Protection Section
AHI sd: K:IWQSISTORMWATERISD1SW7120501
cc: Kevin Lindsay, PE, Crawford Design Company (116 N. Cool Spring Street,
Fayeteville, NC 28301)
;/WPasquotank County Building Inspections
ashington Regional Office
North Carolina Division of Water Quality Internet: www.ro;walerquality.org
943 Washington Square Mall Phone: [phone] One
Washington, NC 27889 FAX [phone] NorthCarolina
An Equal Opportunity/Affirmative Action Employer — 50% Recycled110°% Post Consumer paper ;Vatural&

State Stormwater Management Systems
Permit No. SW7120501
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
D.L. Rogers Companies
Sonic Drive -In Restaurant — Elizabeth City
Pasquotank County
FOR THE
construction, operation and maintenance of one wet detention pond 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 June 4, 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 of this permit. The stormwater control has been
designed to handle the runoff from 48,781 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section I. of
this permit, and per approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
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. SW7120501
7. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a.
Drainage Area, ft2:
85,882
b.
Total Impervious Surfaces, ft2:
48,781
C.
Design Storm, inches:
1.5
d.
Pond Depth - average, feet:
3.0
e.
TSS removal efficiency:
85%
f.
Permanent Pool Elevation, FMSL:
5.00
g.
Permanent Pool Surface Area required, ft2:
4,088
h.
Permanent Pool Surface Area, ft :
5,842
i.
Min. Volume required, ft :
2,453
j.
Permitted Storage Volume, ft3:
5,225
k.
Temporary Storage Elevation, FMSL:
5.74
I.
Controlling Orifice:
1.50" O pipe
M.
Permitted Forebay Volume, ft3:
3,086
h.
Receiving Stream/River Basin:
UT to Charles Creek
o.
Stream Index Number:
30-3-11
p.
Classification of Water Body:
"C;Sw"
II. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all 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 vegetated filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, level
spreader, filter strip, -catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
records will indicate the date, activity, name of person performing the work and
what actions were taken.
5. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance inspection records for each BMP. The report shall
summarize the inspection dates, results of the inspections, and the maintenance
work performed at each inspection:
6. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
7. 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
Page 3 of 7

State Stormwater Management Systems
Permit No. SW7120501
supporting data.
8. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
9. 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.
10. 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 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.
12. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
13. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
III, GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form, to the Division of Water
Quality, signed by both parties, and accompanied by supporting documentation
as listed on page 2 of the form. The project must be in good standing with the
Division. The approval of this request will be considered on its merits and may or
may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request.
3. Failure to abide by the conditions and limitations contained in this permit may
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7120501
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2008-
211, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until June 4, 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 4th day of June, 2012.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
G -- for
Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Stormwater Permit No. SW7120501
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7120501
Sonic Drive -In Restaurant —Elizabeth City
Stormwater Permit No. SW7120501
Pasguotank 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)
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
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7120501
Certification Requirements:
PVA
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan,
6, The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Washington Regional Office
Pasquotank County Building Inspections
Page 7 of 7

W,YA G
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
December 16, 2019
D. L. Rogers Corp.
Attention: Shawn Cather, President
1225 South Main Street, Suite 300
Grapevine, TX 76051
Subject: Stormwater Permit No. SW7120501 Renewal
Sonic Drive -In Restaurant — Elizabeth City, NC
High Density Stormwater Project
Dear Shawn Cather: Pasquotank County
A Division of Energy, Mineral, and Land Resources file review has determined that
Stormwater Permit SW7120501 for a stormwater treatment system consisting of a wet
detention pond serving the Sonic Drive -In restaurant located at 711 W. Ehringhaus
Street in Elizabeth City, NC expires on June 4, 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. Also, it was noted in the file review that a designer's certification that the
project was constructed in accordance with the approved plans as required by the
permit has not been submitted. Please include this with your application. Permit
application forms for renewal can be found on our website at:
httW_.I.Ideq�nc.gov/abgut/divisions/energy-mineral-land-resoui-ces/enemy-mineral-land-
rules/stol-mwater-pmgram.IpQ,St-construction. 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 permittee/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 roger:thorpe(a�ncdenr.?ov.
Sincerely,
Rog r K. Thorpe
Environmental Engineer
®� A111111"W-1 North Carolina Department of Environmental Quality k Division of Energy. Mineral and Land Resources
Washington Reginnal Office E 943 Washington Square Mail f Washington, North Carolina 27889
252.946.6481

+:uwYr"kmk
DWQ USE ONLY ;. err r
Date Received
Fee Paid
Permit Number
5-
Applicable Rules:
❑ Coastal SW -1995
❑ Coastal SW
- 2008 ❑ Ph 1I - Post Construction
(select all that apply)
❑ Non -Coastal
SW- HQW/ORW Waters
❑ Universal Stormwater Management Plan
❑ Other WQ M
mt Plan:
State of North Carolina
Department of Environment and Natural ResourceR E C E VE
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FOU4 3 2012
This firm may he photocopied for use as an original
S 0
I. GENERAL INFORMATION DWQ-We RO
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Sonic Drive -In Restaurant
2. Location of Project (street address):
711 Ehrinehaus Street
City:Eliza
County:NC
3. Directions to project (from nearest major intersection):
Zip:
Property is located at the intersection of Ehringhaus Street (Hwy. 17) and Corsair Circle on the south east
4. Latitude:36° 17' 40" N Longitude:76° 13' 51" W of the main entrance to the project.
IL PERMIT INFORMATION:
1. a. Specify whether project is (check one): NNew ❑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 designer's certification
2. Specify the type of project (check one):
❑Low Density NI-ligh 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 stornwater 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: 2.29 ac of Disturbed Area
❑NPDES Industrial Stornwater ❑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

Ill. 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 the project):
Applicant/Organization:D.L. Rogers Companies
Signing Official & Title: Shawn Cather (President D.L. Rogers Companies)
b.Contact information for person fisted in item 1a above:
Street Address:5013 Davis Boulevard
City:North Richland Hills State:Tx Zip:76180
Mailing Address (if applicable):
City: State: Zip:
Phone: (817 ) 428-2077 Fax: (817 ) 428-7254
Email: srogers®dlrogers.com
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: Boys and Girls Club of Elizabeth City. Inc. (formerly Elizabeth City
Boy's Club, Inc.)
Signing Official &'Title: Jeff Dixon (Presiden
b.Contact information for person listed in item 2a above:
Street Address: 1200 Park Drive
City: Elizabeth City State: NC
Mailing Address (if applicable):
City: State:
Phone: (252 ) 331-3985 Fax:
Email: [e-mail]
Zip: 27909
Zip:
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:
Form SWU-101 Version 07Jun2010 Page 2 of

Other Contact Person/Organization:
Signing Official &'Title:
b.Contact information for person fisted in item 3a above:
Mailing Address:
City:
Phone: ( ]
Email:
State: Lip:
Fax: ( }
4. Local jurisdiction for building permits: City of Elizabeth Ci
Point of Contact:Stanley Ward, Chief Bldg Inspetor Phone #: (252 ) 337-6868
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Gravitv storm drainage to a wet detention
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 PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Pasquotank River basin,
4. Total Property Area: 1.97 acres
5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:1.97 acres
Total project area shall be calculated to exclude the follcnoixgg the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant roject area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands laxduvard of tine NH� (or MHW) line strap
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 56.80
9. How many drainage areas does the project have?1 (For high density, count 7 for each proposed engineered
stormwater 8MP. For lord density and other projects, use 7 for the I111101C 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.
Forni SWU-101 Version 07Jun2010 Page 3 of 7

Basin Inf6rmatiori _,. �
�.17ra�na e'Area.1
;_Draina a Area .^
aI]iaina a Area
[Drama a Area
Receiving Stream Name
Pas uAnk
UT { C4Q,,le5
Stream Class *
C;SW
Stream Index Number *
30-3-1
Total Drainage Area (sf)
85882
On -site Drainage Area (so
85882
Off -site Drainage Area (so
Proposed Impervious Area* (so
48781
% Impervious Area** total
56.80
Im ervious;�Su'rface,Area.,� .,;;;,,�,
` Dra_ina e'Area 1 �
':Dr _ a e Area _;
�Draina 'e Area _„•
tl]rarna e,.Area -�
On -site Buildings/Lots (so
2210
On -site Streets (so
On -site Parking (so
37065
On -site Sidewalks (so
6506
Other on -site (so
3000
✓
Future(so
Off -site (so
Existing BUA*** (so
'Total (so:
48781
* Stream Class and Index Number can be determined at:ltttp://Portal.)tcdertr.orgAiueb/7vg/ps/csra/classificrrtiorr5
* Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
* Report only that amount c f existing BUA that zoill remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. I -low was the off -site impervious area listed above determined? Provide documentation. NA
Proieets in Union County: Contact DWQ Central Office staff to check if the project is located irithin a Threatened ce
Endangered Species watershed that maybe subject to more stringent stormu,aler requirements us per NCAC 02B .0600
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater 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 httn://vortal.ncdenr.org/web/wa/ws/su/bmn-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 http_//portaLncclenr,org/wcb/wgZws/su/statesw/forms dots. 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/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal,nccienr,org/web/wq/ws/su/statesw/forms does.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. ICSL►
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants NA -KS L,
Form. (if required as per Part Vll belozv)
3. Original of the applicable Supplement I;orm(s) (sealed, signed and dated) and O&M KS
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR, (For an Express review, refer to �Se.
http://www.envhelp.org/pages/onestopexpress.htmI 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.)
Form SWU-101 Version 07Jun2010 Page 4 of 7

5. A detailed narrative (one to two pages) describing the stormwater treatment/ managementfor
/Cf-L-
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
kf L
receiving stream drains to class SA waters within'/z mile of the site boundary, include the'/z
mile radius on the map.
7. Sealed, signed and dated calculations.
Afl-
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
/410
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 stormwater 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 easements, 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).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
L
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"x11" 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 verifj the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 220 Page No: 343�
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 must 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.tic.us/Cori2orations/­CSearch.aspx
VII. 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
BUA 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.nccienr.org/web/wq/ws/su/states�v/fDrms_docs. 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 and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(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.
Form S W U-101 Version 07J un2010 Page 5 of 7

VIII. 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:Kevin S. Lindsay,,P.E.
Consulting Firm: Crawford Design Company
Mailing Address:116 N. Cool Spring Street
City:Fayetteville _ State:NC Zip:28301
Phone: (910 ) 221-0033
Email:kevinlindsay©crawforddstt.com
Fax: (910 ) 221-0035
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
1, (print or type nattre of person listed in Contact Information, item 2a) lef Uixon _ — I certify that I
own the property identified in this permit application, and thus give permission to (print or type tonne of person
listed in Contact Information, item Ia) Shown Cather with (print or type name of organization listed in
Contact Information, item Ia) D.L. Rogers Companies 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.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my 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 Stormwater permit 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 Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC 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:
Sharon P . Hot.
1
Date: A — 'a y — %'�'_
a Notary Public for the State of _North Carolina_, County of
Pasquotank , do hereby certify that Jeff Dixon personally appeared
before me this 24 day of April. 2012_ and acknowledge the due
``execution of he application for
a stormwater permit. Witness my hand and official seal, ��a�
SEAL.
My commission expires March 26, 2015
I-orm SWII-101 Version 07Jun2010 Page 6 of 7

X. APPLICANT'S CERTIFICATION
I, (print or hjpe nanre of person listed in Contact Information, item 1a) Sharon Cather
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable rmwater ules under 15A NCAC 2H .1000, SL 2006-246 (Ph. 11 - Post Construuctiojn) or S+L�J2008-211.
Signature: Date: { f I Iy
I, i MA� �a�n,� >-I s '�- a Notary Public for the State of Qy� , County of
i az w&k do hereby certify that � 1 AA)K Wh rr personally appeared
before me this day of j() Z, andacicnow dge th / ue execution of the application for
a stormwater permit. Witness my hand and official
l� *"•` •��,.�� ,ION KAIHIEEN MkM HUIiCHINSON
Notary Public, State of Texas
SEAL. My Commission Expires
April 17, 2013
My commission expires '1 / a /13
Form SWU-101 Version 07Jun2010 Page 7 of 7

Darrell L Rogers 2008 Trust Lb57
1971 FEE ELIZ CITY 2 4/19/12 505.00 505.00
RECEIVED
MAY - 3 2012
DWQ-WARO
4/19/12 2651 NC DEPT OF ENVIRONMENT NATURAL RESOURCE $505.00
t r J`. >
'i 'A. r
JPMorgan chase Bank, N.A. 2651
Darrell L Rogers Zoos Trust FoFt Wonn�, Tx 6102
5013 Davis Blvd 32-61/1110
North Richland Hills, TX 76180 Memo:
817-428-2077
DATE AMOUNT
Apr 19, 2012 $505.00
PAY Five Hundred Five and 001100 Dollars
TOTHE
ORDER
OF INC DEPT OF ENVIRONMENT NATURAL
RESOURCENIP
A�
1 AUTHORIZED SIGNATURE

Compliance Inspection Report
Pormir SW7120501 Effective:06/04/12 Expiration: 06/04/20
Project: Sonic Drive -In Restuarant - Elizabeth City
Owner: D €. Rogers Companies
County: Pasquotank Actress: 711 Ehringhaus St
Region: Washington
CitylStatelZip: Elizabeth Cty NC 27906
Contact Person: Shawn Gather Title: Phone: [phone]
Directions to Project:
Property is located at the intersect of Ehringhaus St (Hwy 17) & Corsair Circle on the south east corner.
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 1 - (Charles Creek) (03-01-50) { C;Sw)
On -Site Representative(s):
Related Permits:
Inspection Date: 10/05/2017 Entry Time: 01:30PM
Primary Inspector: William J Moore
Secondary Inspeclor(s):
Reason for Inspection: Routine
Permit Inspection Type: State Stormwater
Facility Status: ❑ Compliant 0 Not Compliant
Question Areas:
® State Stormwater
JSee attachment summary)
Exit Time: 02:OOPM
Phone: [phone] Ext.264
Inspection Type: Compliance Evaluation
page: 1
M

Permit. SVV7120501 Owner - Project: D L RogersCompan'ies
Inspection Date: 10/05/2017 Inspection Type Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Site inspection at Sonic Drive-in located at 711 Ehringhaus St, Elizabeth City, NC. SW permit is for small commercial
dev with 1.12 ac bua on 1.97 ac site. Wet Pond with permanent pool surface area of 5842 sf; 5225 cf storage volume;
and 1.5-inch small orifice. Observed following problems: small orifice - no device to prevent clogging; small woody
growth around perimeter of pond/needs to be removed; bare soils & rutting on interior slopes/needs repair; grass cut too
close causing scalping/needs to be maintained at 4-6 inches.
Built Upon Area Yes No NA NE
is the site BUA constructed as per the permit and approval plans? N ❑ ❑ ❑
1s the drainage area as per the permit and approved plans? ® ❑ ❑ ❑
Is the BUA (as permitted) graded such that the runoff drains to the system? ❑ ❑ ❑
Comment:
SW Measures Yes No NA NE
Are the SW measures constructed as per the approved plans? ® ❑ ❑ ❑
Are the inlets located per the approved plans? ® ❑ ❑ ❑
Are the outlet structures located per the approved plans? ■ ❑ ❑ ❑
Comment:
Operation and Maintenance Yes No„NA NE
Are the SW measures being maintained and operated as per the permit requirements? ❑ ■ ❑ ❑
Are the SW BMP inspection and maintenance records complete and available for review or provided to ❑ ❑ ❑
DWQ upon request?
Comment: see summary comments
page: 2