SW7101003_CURRENT PERMIT_20151231

STORMWATER,DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW�(i�!%�
DOC TYPE
� CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
%Sla��
YYYYMMDD

PAT MCCRORYRo
Governor
DONALD R. VAN DER VAART
Energy, Mineral
and Land Resources
ENVIRONMENTAL OVALITY
.Secrerory
TRACY DAVIS
Director
December 31, 2015
Lowe's Home Centers, LLC
Attn: Mr. M. Devin Staley, PE
1605 Curtis Bridge Road
Wilkesboro, NC 28697
Subject: Stormwater Permit No. SW7101003
Lowes of Kill Devil Hills
High Density Project
Dare County
Dear Mr. Staley:
The Washington Regional Office received your request for a name change, along with
updated permit information, for Lowes of Kill Devil Hills on November 4, 2015. 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. SW7101003 dated December 31, 2015,
for the construction of the subject project.
This permit replaces all previous state stormwater permits for this site, and shall be
effective from the date of issuance until October 29, 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
our office at [phone].
Sincerely,
Samir Dumpor, PE
Division of Land Resources
Washington Regional Office
cc: Dare County Building Inspections
Washington Regional Office
State of North Carolina I Environmental Quality I Energy, Mineral and land Resources
943 Washington Square Mali, Washington, North Carolina 27889
Phone: [phone] / Pax: 252.946-3116

State Stormwater Management Systems
Permit No. SW7101003
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Lowe's Home Centers, LLC
Lowe's — Kill Devil Hills
Dare County
FOR THE
construction, operation and maintenance of two connected infiltration basins and one
infiltration trench located under permeable concrete4n 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 October 29, 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 1.8 on page 3 of this permit. The stormwater control
has been designed to handle the runoff from total of 407,880 square feet of
impervious area.
3. The tract will be limited to the amount of bui[t-upon area indicated in Section 1.8 on
page 3 of this permit, and 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 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 surface waters.
7. The following design criteria have been permitted for the infiltration basin and must
be provided and maintained at design condition:
Page 2 of 7

�r
State Stormwater_Management Systems
Permit No. SW7101003
INFILTRATION BASINS I & 2
a. Drainage Area, acres:
b. Total Impervious Surfaces, ft2:
C. Design Storm, inches:
d. Basin Depth, feet:
e. Bottom Elevation, FMSL:
f. Bottom Surface Area, ft2:
g. Bypass Weir Elevation, FMSL:
h. Permitted Storage Volume, ft3:
i. Type of Soil:
j. Expected Infiltration Rate, inlhr:
k. Seasonal High Water Table, FMSL
I. Time to Draw Down, days:
M. Receiving Stream/River Basin:
n. Stream Index Number:
o. Classification of Water Body:
6.43
233,482
1.5°
4.0
4.0
13,768
8.0
93,727
Corolla
19.00
2.0
0.32
Collington Creek 1 Pasquotank
30-21-1-1
"SC"
8. The following design criteria have been provided in the infiltration trench and must
be maintained at design condition:
a.
b.
d.
e.
f.
9.
h.
i.
1.
k.
I.
M.
n.
o.
P.
INFILTRATION TRENCH
Drainage Area, acres:
Total Impervious Surfaces, ft2:
Design Storm, inches:
Trench Length ft:
Trench Width, ft:
Trench Height, ft:
Bottom Elevation, FMSL:
Bypass Weir Elevation, FMSL:
Permitted Storage Volume, ft3:
Type of Soil:
Expected Infiltration Rate, in/hr-.
Seasonal High Water Table, FMSL
Time to Draw Down, days:
Receiving Stream/River Basin:
Stream Index Number:
Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
4.42'
174,398
630,
243'
0.5'
7.20
8.20
30,600
Corolla
6.00
2.0
0.01
Collington Creek 1 Pasquotank
30-21-1-1
"SC"
The stormwater management system shall be constructed in its entirety, vegetated
and operational for its intended use prior to the construction of any built -upon
surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all times provide the operation and maintenance necessary to
assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. - Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging -of bypass structure, infiltration media, flow
spreader, catch basins, piping and vegetated filter.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW7101003
g. A clear access path to the bypass 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 voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
6. 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.
7. 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.
8. Access to the stormwater facilities shall be maintained via appropriate easements at
all times.
9. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations 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.
10. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by the
Permittee at all times.
12. The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in
the notice, the permittee shall submit a written time schedule to the Director for
modifying the site to meet minimum requirements. The permittee shall provide
copies of revised plans and certification in writing to the Director that the changes
have been made.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity 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
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7101003
Division of Water Quality, signed by both parties, and accompanied by the
appropriate 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 the transfer request.
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.
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 reissuance or termination does
not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
controls 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 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 October 29, 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 31st day of December, 2015.
NORTH CAROLINA ENVIRONMENTAL VANAGEMENT COMMISSION
--------�------�--� � for
Tracy E. Davis, PE, CPM
Division of Energy, Mineral, and Land Resources
By Authority of the Environmental Management Commission
Permit No. SW7101003
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7101003
Lowe's — Kill Devil Hills
Stormwater Permit No. SW7101003
Dare_ Count
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 farm is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

:i
State Stormwater Management Systems
Permit No. SW7101003
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 bypass structure weir elevation is per the approved plan.
6. The bypass structure is located per the approved plans.
7. A Trash Rack is provided on the 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. All required design depths are provided.
13. All required parts of the system are provided.
14. The required system dimensions are provided per the approved plans.
cc: NCDEQ — Washington Regional Office
Dare County Building Inspections
Page 7 of 7 {`

State Stormwater Management Systems
Permit No. SW7101003
Lowe's — Kill Devil Hills
Stormwater Permit No, SW7101003
Dare County
Designer's Certification
I dDD �It-AtAat4 S , as a duly registered F-t-i G IPJEF—F, in the
State of North Carolina, having been authorized to observe (periodical) /weekly/ full time)
the construction of the project,
(Project)
for Cc�wF's (4,-k+i , (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:
Signatur �'
Registration umber d 3'25S 2- 'Z—
Date �5-- ?. 1Z—
Page 6 of 7
SEAL_
`0%J111011///CA
0 3322 -
A.
/�11rfIiS;'�1111

State Stormwater Management Systerns
Permit No, SW7101003
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.
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 bypass structure weir elevation is per the approved plan.
✓ 6. The bypass structure is located per the approved plans.
✓7. A Trash Rack is provided on the 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. All required design depths are provided.
✓ 13, All required parts of the system are provided.
✓ 14. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Dare County Building Inspections
Page 7 of 7

1�
DWQ USE ONLY
e
Fee Paid C_K $1�3
Permit Number
r,
sLl"i DDo_3
Applicable Mules: oastal SW -1995 Coastal SW - 2008 ❑ Ph If - Post Construction
(select all tlta eupjaiF on -Coastal SW- FIQW/ORW Waters ❑ Universal Stormwater Management Plan
LLss I� . Other WQ M mt Plan:
' State of North Carolina �oJ
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Lowe's - Kill Devil Hills NC
2. Location of Project (street address):
1500 North Croatan Highway
City:Kill Devil Hills County:Dare Zip:27948
3. Directions to project (from nearest major intersection):
The project is located at the intersection of US Highway 158 and Landing Drive. it is located immediatelN
north of the Wright Brothers Memorial National Park along Highway 158.
4. Latitude:36° 01' 35" N Longitude:750 40' 13" 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 designer's certification
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 Ietter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, N/A and the previous name of the project, if different than currently
proposed, N/A
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: ac of Disturbed Area
❑NPDES Industrial Stormwater ®404/401 Permit: Proposed Impacts 0.17 acres _juridictional ditch
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:N A
Form SWU-101 Version 07Jun2010
Page 1 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 the project):
Applicant/Organ ization:Lowe's Home Centers, Inc.
Signing Official & Title:Charles H. Smithey Vice President of Real Estate
b. Contact information for person listed in item 1a above:
Street Address:1605 Curtis Bridge Road - Mail Code RES7-S
City:Wilkesboro State:NC Zip:28697
Mailing Address (if applicable):Same as Above
City:
Phone: [phone]
Email:
State:
Zip:
Fax: (336 ) 658-2616
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/ Organ ization:The Virginia H. Meekins Revocable Family Trust & The -Francis W. Meekins
Revocable Family Trust Qri nO?�_Oo •, • /F kkwrG6► t eek tns; 19ywst- "
r s {•cam f C4 _ y K y --13 w +tis e Jo ��o I C -T 1
F Warren (1Jeek! Yns� �r. ) M.Jl g�1+40. its i� �E�CihS� �1t EJ &r— Truti
Signing Official & Title oII WilliamsA1OA for he Vir inia S Meekins Revocable Family Trust/
(:o_T o� -6 rra►aGi s W . ft%C YL-5 lavaTK:
b.Contact information for person listed in item 2a above:
Street Address:180 D. Victor Meekins Road
City:Manteo State:NC Zip:27954
Mailing Address (if applicable):Same as Above
City: State: Zip:
Phone: { - -� Fax: ---
Email:
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 07.Iun2010 Page 2 of 7

i' - N
Other Contact Person/ Organization: Lowe's Home Centers, Inc.
Signing Official & Title:Matthew Minton, Senior_ Site Development Manager
b.Contact information for person listed in item 3a above:
Mailing Address:1605 Curtis Bridge Road - Mail Code RFS7-S
City -,Wilkesboro State: NC Zip:28697
Phone: (336 } 6584806 Fax: (336 } 658-2616
Email -Matthew. [e-mail]
4. Local jurisdiction for building permits: Town of Kill Devil Hills
Point of Contact:Matt Lowcher Phone #: (252 ) 449-5318
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Runoff from the site will be treated by two different systems. The site will utilize pervious pavement within
the front parking field to infiltrate stormwater from this area. The impervious areas of the building and
remaining parkingJdrive areas will be conveyed to an infiltration basin on the east and south side of the site.
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 I1- Post Construction
3. Stormwater runoff from this project drains to the Pasquotan River basin.
4. Total Property Area: 12.804 acres 5. Total Coastal Wetlands Area: N/A acres
6. Total Surface Water Area: 0.17 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Aree:12.634 acres
Total project area shall be calculated to exclude the following: the normal pool of inn ounded stnictures, tine area
between the batiks of streams and rivers, the area below the Norunal High Water (NW line or Mean High Water
(MHW) line, and coastal wetlands landward front the NNW (or MHM line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line tnay
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 74 %
9. How many drainage areas does the project have?2 (For high density, count 1 for each proposed engineered
storrwater BMP. For law densihj and other projects, use 1 for 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.
Form SWU-101 Version 07Jun2010 Page 3 of

i
Basin Information
Drainage Area 1
Drainage Area 2
Drainage Area 3
Drainage Area _
Receiving Stream Name
Collin ton Creek
Collin ton Creek
Collin ton Creek
Stream Class *
SC
SC
SC
Stream Index Number*
30-21-1-1
30-21-1-1
30-21-1-1
Total Drainage Area (sf)
280,091
192,535
85,116
On -site Drainage Area (so
280,091
192,535
85,116
Off -site Draina e Area (so
0
0
0
Proposed Impervious Area** s
233,482
174,398
0
% Impervious Area** totaI
83.4%
90.6%
0%
Impervious— Surface Area
Draina a Area 1
Draina e Area 2
Draina e Area 3
Draina e Area _
On -site Buildings/Lots (so
159,054
0
On -site Streets (sf)
0
On -site Parkin (so
62,986
165,093
On -site Sidewalks (so
11,442 1
9,305
Other on -site (so
Future (50
Off -site (so
Existing BUA*** (so
Total (so:
233,482
174,398
0
* Stream Class and Index Number can be determined at: littp://Aortal.ncdenr.orgfcoeb1tyq&s/csu/classifications
ltnpervions area is defined as the built upon area including, but not limited to, buildings, roasts, parking areas,
sidewalks, gravel areas, etc.
***Report only that aurount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. Determination of no
offsite area based upon examination of topographic survey and proposed grading for the project.
Pro iects in Union County: Contact DWQ Central Office staff to check if the project is located within a 'Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as 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 http://portal.ncdenr.org/web/wq/ws/su/bmp-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 httl2://12ortal.ncdenr.org/web/wq/ws/su/statesw/forms. doss. 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:/ j portal.ncdenr.orZwebZwq./ws/su/stateswforms does.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (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.envhelp.org/pages/onestopexi2ress.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.)
Form SWU-101 Version 07Jun2010 Page 4 of 7

5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
6. A USGS map identifying the site location. 1f the receiving stream is reported as class SA or the F711r,-
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
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 MI-IW 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 N1-IW) 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 & S
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 verify the SHWF prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book:1787 Page No: 196 l3T
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC 1'5'SS
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact information, item 1 a, 2a, and/or 3a per NCAC 21-1.1003(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.
littp:ZZwww.secret,-try.state.nc.us/Cort)orations/CScarcli.aspx
V11. 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
littp://yortal.ncdenr.org/web/wq/ws/su/statesw/forms_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 aily.lot.
r'
Form SWU-101 Version 07Jun2010 Page 5 of 7

X. APPLICANT'S CERTIFICATION
1, (print or type name of person listed in Contact Information, item ?a) Charles H. Smithey
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 stormwater rules under 15A NCAC 21-1 .1000, 2006-246 (Ph. I - Post Construction) or SL 2008-211.
Signature: Mv- Date: t45p--7 �
I, /9l nE'l;eSe A%J1eie- Notary Public for the State of _ /U C County of
do hereby certify that Ch4R L S 9 - SM_ _` fh�� personally appeared
before me this 7 rLday of QC1V6erz o700 , and acknowledge the due execution of the application for
1% MIM11111
a stormwater permit. Witness my han �`k RN,I,
q N0TAR y
SEAL
PJJBL\G V
2:
on expires_n S - / Q - 57, n1l '
Form SWU-101 Version 07Jun2010 Page 7 of 7

�� . ,r.i
_ ^��� 1 ,• �, N ,
..r ,
=� � t,
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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 hngineer:Todd Simmons, PE
Consulting Firm: Freeland & Kauffman, Inc.
Mailing Address:209 West Stone Avenue
City:Greenville
Phone: (864 ) 672-3426
Email:[e-mail]
State:SC Zip:29609
Fax: (864 ) 233-8915
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section) ]�
1, (print or hjpe name of person listed in Contact Information, item 2a) _ . Cs� tc-/o ify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) Charles H. S,nitheu with (print or type nanie of organization listed in
Contact Information, item 1a) Lowe's Home Centers, Inc, 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 1 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 dV , pursuant to/CGS 143-215.6.
Date: /b - I / - -16 1a
77
I, t7u1J1l11� L a Notary Public for the State of County of
do hereby certify tha �wperso ly appeared
S.1 C T-PN g PP
before me this � � day of an ac nowled e the due execution of the application for
I ,.. - , A
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires�Q1 - 12, z CJ
Co - � oR
T
rsi-
0
b(Sf
kC4�rt..5) Vie'. }�1��c '1 1 fIse S }�1'1 Alf
Form SWU-101 Version 07Jun2010 Page 6 ol'7

• ".
EXPRESS Permit No.
(to be provided by OWQ)
HCDENR
OCT 14 2010 pp WA7Fs?p
NC DENR STORMWATER MANAGEMENT PERMIT APPLICATION FORM r
401 CERTIFICATION APPLICATION FORM a Y
PERMEABLE PAVEMENT SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information.
iARROjECT,1HF,ORmATION�
Project Name
Lowe's - KiII Devil Hills, NC
Contact Person
Todd Simmons, PE
Phone Number
864.672.3426
Date
10.7.10
Drainage Area I Lot Number 2
Lot Owner's Signature
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Corolla
6,00 inlhr OK
1.50 fmsl
Credit Calculation- Enter an 'x' in the appropriate cell below
Permeable concrete without a gravel base
Permeable concrete with at least 6" gravel base X
Flexible pavements with at ieast 4' gravel base
Flexible pavements with at least 7' gravel base
Bottom elevtion of the permeable pavement cross-section 7.30 hnsl
SA of permeable pavement being proposed 134,674.00 ftx
Resulting BUA counted as impervious 53,869.60 fe
Additional Information
Slope of soil subgrade at bottom of permeable pavement
Slope of the permeable pavement surface
Construction sequence minimizes compaction to soils?
Traffic volume (vehicles per day)
Washed stone is specified for the gravel layer (if used)?
Concetrated flow from roofs & other surfaces directed away?
Man2ged Grass Factor:
0.6
OK
0.50
%
OK
R-'pf �IrOuS Go���L"�Pd1or�
0.50
%
OK
Y
Y1N
OK
W�'M i,C-0fiJQ t�7tRy,rF�wsCa'lti
>100
vlday
Traffic volume too high,"7FR-,kEX4LK
Y
YIN
YIN
OK
OK
5�L-6- Jlrk iyUL 13trL tti
Y
Additional Information for Residential Lots Only
Total BUA allocated to this lot ft2
Remaining lot BUA available ftz
Application Approved
Application Rejected
Reason for rejecting application:
`�Illitlil/l//"
� N C A R O "ii
J0 -� = Signature of permittee I HOA:
4 S A Date
Form SW401-Permeable Pavement-Rev.2-02Aug2010 Parts I, & II. Design Summary, Page 1 of 1

Permit No.
(to be provided by DWQ)
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.
i. Plans 0" = 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),
Location of permeable pavement,
Roof and other surface flow directed away from permeable pavement,
KS
2. Section view of the permeable pavement (V = 20' or larger) showing:
- Layers, and
- SHWT
-4>
3. A soils report that is based upon an actual Feld 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.
0
4. A construction sequence that shows how the permeable pavement will be protected from sediment until
the entire drainage area is stabilized.
4VO' 5. The supporting calculations.
6. A copy of the signed and notarized operation and maintenance (00) agreement.
7. A copy of the deed restrictions (if required).
Example #1
Project is a lot with a maximum allowed BUA of 5,000 sq. ft. that drains to class SC waters.
Project proposes a i,000 sq, ft. permeable concrete driveway with a 6" gravel base.
Managed grass factor = 0.6
1000 x 0.6 = 600 square feet is counted as managed grass.
1000 - 600 = 400 square feet is counted as built -upon area.
5000 - 400 = 4,600 square feet available for house and other BUA.
Example #2
Project is a high density commercial site with a 5,000 square foot parking lot.
Project is within 1/2 mile of and draining to SA waters. An infiltration system is proposed.
The parking lot will handle <100 cars per day and is a flexible pavement with a 4" gravel base.
Managed grass factor is 0.4.
5000 x 0.4 = 2000 square feet is counted as managed grass.
5000 - 2000 = 3,000 square is counted as impervious.
The total BUA used to calculate the minimum volume draining to the
infiltration system can be reduced by 2,000 square feet.
Form SW401-Permeable Pavement-Rev.2-02Aug2010
Part III. Required Items Checklist, Page 1 of 1

f '
Permit
(to be provided by DWQ)
Am.;0� W AT fi9q
STORMWATER MANAGEMENT PERMIT APPLICATION FORM o
NCDENR 401 CERTIFICATION APPLICATION FORM c
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part B!) must be printed, filled out and submitted along with all of the required informarion.
Project Name
Contact Person
Phone Number
Date
Drainage Area Number
Lowe's - Kill Devil Hills, NC
Todd Simmons, PE
864-672-3426
10,13.10
1
u s z w
II :QESIGN'INFORMATIONrp , , F 3afiS4 19%
Site Characteristics
Drainage area
280,091.00
It'
Impervious area
2330 00
fe ✓
{}
OCT 2 l 20 i `O
Percent impervious
83
%
Design rainfall depth
3,75
in V
Peak Flow Calculations
O" Y 1i A ! ►0
1-yr, 24-hr rainfall depth
4.00
in
I;J�` V
n�
1-yr, 24-hr intensity
NIA
inthr
Pre -development 1-yr, 24-hr discharge
0.00
ft'lsec
Post -development 1-yT, 24-hr discharge
21.22
ft3lsec
PrelPost 1-yr, 24-hr peak flow control
21.22
ft'lsec
Storage Volume: Non -SA Waters
Minimum design volume required
69,000.00
ft3 r/
Design volume provided
93,727.00
ft' ✓ OK for non -SA waters
Storage Volume: SA Waters
1.5" runoff volume
W
Pre -development 1-yr, 24-hr runoff volume
It
Past -development 1-yr, 24-hr runoff volume
ft1
Minimum required volume
It
Volume provided
ft'
Soils Report Summary
Soil type
Corolla
Infiltration rate
19.00
inthr
SHWf elevation
2.00
fmsl
Basin Design Parameters
/
Drawdown time
0.32
days
OK V
Basin side slopes
3.00
:1
OK
Basin bottom elevation
Storage elevation
4.00
7.20
fmsl
fmsl��
OK \\X', C ARf i/
�� �i�
Storage Surface Area
Top
29,384.00
8,00
ftZ
fmslmay'
o��SSl0 ''9``
elevation
Basin Bottom Dimensions
w p }�3 22
Basin length
Basin width
750.00
45.00
ft
ft
+ FH 07 •y 11
��j G'1�lE•
Bottom Surface Area
13,768.00
ftZ
.
b\\�
Cts3Z
Form SW401-Infiltration Basin-Rev.4 Parts I. & II. Design Summary, Page 1 of 2

.M.-J •+
Permit No.
(to be provided by DWQ)
Additional Information
Maximum runoff to each inlet to the basin?
2.00
ac-in
OK
Length of vegetative filter for overflow
0,00
ft
Filter is too short, must be > 30-ft
Distance to structure
55,00
ft
OK
Distance from surface waters
90.00
ft
OK
Distance from water supply well(s)
>100
It
OK
Separation from impervious soil layer
>2
It
OK
Naturally occuring soil above shwt
2.00
ft
OK
Bottom covered with 4-in of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
Y
(Y or N)
OK
Capures all runoff at ultimate build -out?
Y
(Y or N)
OK
Bypass provided for larger storms?
N
(Y or N)
Must provide bypass for larger flows
Pretreatment device provided
N
Form SW401-Infiltrabon Basin-Rev.4 Parts 1. & 11, Design Summary, Page 2 of 2

Permit No.
(to be provided by DWO)
III. 'RE UIRED T M5� E K `
Q .. ...I. E , , CH C 1.15T��.#r.�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.
1, 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),
Basin dimensions,
- Pretreatment system,
High flow bypass system,
Maintenance access,
Proposed drainage easement and public right of way (ROW),
- Overflow device, and
Boundaries of drainage easement.
(!:A' 2, Partial plan (1" = 30' or larger) and details for the infiltration basin showing:
(pO Bypass structure,
Maintenance access,
Basin bottom dimensions,
Basin cross-section with benchmark for sediment cleanout,
Flow distribution detail for inflow,
Vegetated filter, and
Pretreatment device.
{ 3. Section view of the infiltration basin (1' = 20' or larger) showing:
- Pretreatment and treatment areas, and
r�, TS �• 4 �� -Inlet and outlet structures.
�+ 4, A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
5. 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,
6. A construction sequence that shows how the infitlration basin will be protected from sediment until the
entire drainage area is stabilized.
TC> 45W M1EN477. The supporting calculations.
5 _X 8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
aR5 �Q' 9. A copy of the deed restrictions (if required),
Form 5W401-Infiltration Basin-Rev.4
r '
Page 1 of 1 Part In. Required Items Checklist, Page 1 of 9
fi

r . i
Permit No.
(to be provided by DWQ)
A0*"Ar
O•` OF W A rF9pG
� y
NCDENR STORMWATER MANAGEMENT PERMIT APPLICATION FORM ° Y
401 CERTIFICATION APPLICATION FORM
INFILTRATION TRENCH SUPPLEMENT
This fprm must be filled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
I: PROJECT' INFORMATION ' + ,. - y ky , `r. rr n - �, s ,� , • n .
Project name Lowe's Kill Devil Hills, NC
Contact person Todd Simmons
Phone number 864.672.3426
Date 10,22.10
Drainage area number 2
Site Characteristics
Drainage area
192,535,00
ft2
Impervious area
174,398.00
ft2
Percent impervious
90.6%
Design rainfall depth
1,50
in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
4.00
in
1-yr, 24-hr intensity
N/A
inlhr
Pre -development 1-yr, 24-hrdischarge
0.00
fi3lsec
Post -development 1-yr, 24-hr discharge
14,59
W/sec
Pre/Post 1-yr. 24-hr peak flow control
14.59
W/sec
Storage Volume: Non -SA Waters
Minimum volume required
20,827.00
ft3
Volume provided
30,600.00
ft3
Storage Volume: SA Waters
1.5" runoff volume
ft3
Pre -development 1-yr, 24-hr runoff volume
ft3
Post -development 1-yr, 24-hr runoff volume
ft3
Minimum volume required
ft3
Volume provided
tt3
Soils Report Summary
Soil type
Corollla
Infiltration rate
6.00
inlhr
SHWT elevation
2.00
fmsl
Trench Design Parameters
Drawdown time
0.01
Perforated pipe diameter
0.00
Perforated pipe length
0.00
Number of laterals
0
Stone type (it used)
Washed
Stone void ratio
40%
Stone is free of fines?
Y
days
in
ft
OK for non -SR waters
OK
(Y or N) OK
RECEIVED
OCT 2 1 2010
t-s- C t53z-
Form SW401-Infiltration Trench-Rev.4 Parts I. & II. Design Summary, Page 1 of 2

ti
Permit No
(to be provided by DWO)
Trench Elevations
Bottom elevation
7.20
fmsl
OK
Storageloverflow elevation
7.70
fmsl
Top elevation
8,20
fmsl
Trench Dimensions
Length (long dimension)
630.00
ft
Width (short dimension)
243.00
ft
Height (depth)
0.50
ft
OK
Additional Information
Maximum volume to each inlet into the trench?
0.10
ac-in
OK
Length of vegetative filter for overflow
0.00
ft
Filter is too short, must be > 30-ft
Number of observation wells
1
OK
Distance to structure
35.00
ft
OK
Distance from surface waters
>30
ft
OK
Distance from water supply well(s)
>100
ft
OK
Separation from impervious soil layer
>2
ft
OK
Depth of naturally occuring soil above SHWT
3,00
ft
OK
Bottom covered with 4-in of dean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
Y
(Y or N)
OK
Capures all runoff at ultimate build -out?
Y
(Y or N)
OK
Bypass provided for larger storms?
N
(Y or N)
Must provide bypass for larger flows
Trench wrapped with geotextile fabric?
Y
(Y or N)
OK
Pretreatment device provided
No
Form SW401-Infiltration Trench-Rev,4 Parts I, & II, Design Summary, Page 2 of 2

Permit No
(to be provided by DWQ)
WIN W
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. 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),
- Basin dimensions,
Pretreatment system,
- High flow bypass system,
- Maintenance access,
Proposed drainage easement and public right of way (ROW),
Overflow device, and
Boundaries of drainage easement,
2. Partial plan (1" = 30' or larger) and details for the infiltration basin showing:
�0 Bypass structure,
Maintenance access,
Basin bottom dimensions,
Basin cross-section with benchmark for sediment cleanoul,
- Flow distribution detail for inflow,
Vegetated filter, and
Pretreatment device.
i� 3. Section view of the infiltration basin (1" = 20' or larger) showing:
Pretreatment and treatment areas, and
Inlet and outlet structures.
4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
5. 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,
6. A construction sequence that shows haw the infllration basin will be protected from sediment until the
entire drainage area is stabilized.
i 7, The supporting calculations.
�A II 8. A copy of the signed and notarized operation and maintenance (08M) agreement,
9. A copy of the deed restrictions (if required),
r�
Form SW401-Infiltration Basin-Rev.4 Page 1 of Part III. Required Items Checklist, Page 1 of 1

Permit Number:
(to be provided by DWQ)
Drainage Area I Lot Number:
Permeable Pavement Operation and Maintenance Agreement
1 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:
Stable groundcover will be maintained in the drainage area to reduce the sediment
load to the penneable pavement.
The area around the perimeter of the permeable pavement will be stabilized and
mowed, with clippings removed.
— Any weeds that grow in the permeable pavement will be sprayed with pesticide
immediately. Weeds will not be pulled, since this could damage the fill media.
— Once a year; the permeable pavement surface will be vacuum swept.
— At no tithe shall wet sweeping (moistening followed by sweeping) be allowed as a
means of maintenance.
— There shall be no repair or treatment of Permeable Pavement surfaces with other
types of pavement surfaces. All repairs to Permeable Pavement surfaces must be
accomplished utilizing permeable pavement which meets the original pavement
specifications.
— Concentrated runoff from roof drains, piping, swales or other point sources,
directly onto the permeable pavement surface shall not be allowed. These areas
must be diverted away from the permeable pavement.
Initial Inspection: Permeable Pavements shall be inspected monthly for the first three
months for the following:
BMP element:
Potentialproblem:
blow to remediate theproblem:
The perimeter of
Areas of bare soil and/or
In the event that rutting or failure of the groundcover
the permeable
erosive gullies have
occurs, the eroded area shall be repaired immediately
pavement
formed.
and permanent groundcover re-established.
Appropriate temporary Erosion Control measures (such
as silt fence) shall be installed in the affected area
during the establishment of permanent groundcover,
and any impacted area of permeable pavement is to be
cleaned via vacuum sweeping.
The surface of the
Rutting / uneven
This indicates inadequate compaction of the pavement
permeable
settlement
base / sub -base. If rutting or uneven settlement on the
pavement
order of %2 inch or greater occurs, permeable pavement
shall be removed and base 1 sub -base re -compacted,
smoothed, and permeable pavement shall then be re-
installed. Base and sub -base compaction shall be
monitored by a licensed geotechnical engineer to ensure
that infiltration capacity of base and sub -base are not
com romised b com action and smoothing processes.
The pavement does not
Vacuum sweep the pavement. If the pavement still
dewater between storms,
does not dewater, consult a professional.
or water is running off.
Form SW401-Permeable Pavement O&M-Rev.3 Page 1 of 3

Permit Number:
(to be provided by DtVQ)
Drainage Area / Lot Number:
The permeable pavement will be inspected once a quarter 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.
BNIP element:
Potentialproblem:
flow to remediate the roblem:
The perimeter of the
Areas of bare soil and/or erosive
Regrade the soil if necessary to remove
permeable pavement
gullies have formed.
the gully, and then plant a ground cover
and water until it is established.
Provide lime and a one-time fertilizer
application.
Vegetation is too short or too
Maintain vegetation at a height of 3 to 6
long.
inches (remove clippings).
The surface of the
Trash/debris is present.
Remove the trash/debris.
permeable pavement
Weeds are growing on the
Do not pull the weeds (may pull out
surface of the permeable
media as well). Spray them with
pavement.
esticide,
Sediment is present on the
Vacuum sweep the pavement.
surface.
The structure is deteriorating or
Consult an appropriate professional.
damaged.
Damaged areas of the pavement shall be
removed and repaired.
The pavement does not dewater
Vacuum sweep the pavement. if the
between storms.
pavement still does not dewater, consult
a professional. Permanently clogged
pavement shall be removed and
repaired.
Form 5W401-Permeable Pavement O&M-Rev.3 Page 2 of 3

Permit Number:
(to be Provided by DTVQ)
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:Lowe's - Kill Devil Hills NC
BMP drainage area or lot number.
Print name:Charles H. Smithey
Title:Vice President of Real Estate
Address:1605 Curtis Bride Road - Mail Code RES7-S, Wilkesboro, NC 28697
r
6y
E
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
a Notary Public for the State of
IAJ ` C ' County of'k ) f 1 KeS do hereby certify that
_ ,VLLLiZ iE S I �t� personally appeared before me this IL_
day of O C--4-C)'f> o�D/L� and,acknowledge the due execution of the
forgoing permeable pavement maintenance requirements. Witness my hand and official
seal,
My commission expires 0 /0 - �?z) /t�
Form SW401-Permeable Pavement O&M-Rev.3 Page 3 of 3

Permit Number:
(to he pr•oWdled by DfvQ)
Drainage Area Number:
Infiltration Basin 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 maintenance procedures:
The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter 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:
Potentialproblem:
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
infiltration basin
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 or
The pipe is clogged (if
Unclog the pipe. Dispose of the
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.
Form SW401-Infiltration Basin O&M-Rev.3
Page 1 of 3

BMP element:
The forebay
The main treatment area
The embankment
The outlet device
The receiving water
Potential problem:
Sediment has accumulated
and reduced the depth to 75%
of the original design depth.
Erosion has occurred or
riprap is displaced.
Weeds are present.
A visible layer of sediment
has accumulated.
Water is standing more than
5 days after a storm event.
Weeds and noxious plants are
growing in the main
treatment area.
Shrubs or trees have started
to grow on the embankment.
An annual inspection by an
appropriate professional
shows that the embankment
needs repair.
Clogging has occurred.
The outlet device is damagec
Erosion or other signs of
damage have occurred at the
outlet.
How I will remediate the problem:
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
spraying.
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Replace the top few inches of filter
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Remove the plants by hand or by
wiping them with pesticide (do not
sprav).
Remove shrubs or trees
immediately.
Make all needed repairs.
Clean out the outlet device. Dispose
of the sediment off -site.
Repair or replace the outlet device.
Contact the NC Division of Water
Quality 401 Oversight Unit at 919-
733-1786.
Form SW40I-infiltration Basin O&M-Rev.3
Page 2 of 3

Permit Number:
(to be provided by D1VQ)
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:Lowe's - Kill Devil Hills, NC T
BMP drainage area number. I
Print narne:Charles H. Smithey
Title:Vice President of Real Estate
Address:1605 Curtis Bridge Road - Mail Code REST-S, Wilkesboro, NC_28697 _
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.
A, a Notary Public for the State of
County of ,� >lKe-S . do hereby certify that
4_� 5 c5M r 'e personally appeared before me this 13
day of Z)L±V1e-iZ ,.2,U 1 � , and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
PU500
SEAL
My commission expires �` -�_� - ;�2Z] 1,257
Form SW441-Infiltration Basin O&M-Rev.3
Page 3 of 3

. �. � -�- ,, r � •.r�

Permit Number:
(to be provided by DIVQ)
Drainage Area Number:
Infiltration Basin 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 maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
— Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six.inches.
After the infiltration basin is established, it will be inspected once a quarter 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:
Potential roblem:
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
infiltration basin
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 or
The pipe is clogged (if
Unclog the pipe. Dispose of the
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
swate (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Form SW401-infiltration Basin O&M-Rev.3
Page 1 of 3

J
BMP element:
The forebay
The main treatment area
The embankment
The outlet device
The receiving water
Potential problem:
Sediment has accumulated
and reduced the depth to 75%
of the original design depth.
Erosion has occurred or
riprap is displaced.
Weeds are present
A visible layer of sediment
has accumulated.
Water is standing more than
5 days after a storm event.
Weeds and noxious plants are
growing in the main
treatment area.
Shrubs or trees have started
to grow on the embankment_._
An annual inspection by an
appropriate professional
shows that the embankment
needs repair.
Clogging has occurred.
The outlet device is dama
Erosion or other signs of
damage have occurred at the
outlet.
How I will remediate the problem:
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
spraying.
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Replace the top few inches of filter
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Remove the plants by hand or by
wiping them with pesticide (do not
Remove shrubs or trees
immediately.
Make all needed repairs.
Clean out the outlet device. Dispose
of the sediment off -site.
Repair or replace the outlet device.
Contact the NC Division of Water
Quality 401 Oversight Unit at 919-
733-1786.
!'onn SW401-Infiltration Basin O&M-Rev.3
Page 2 of 3

Permit Number:
{to be provided by DWQ}
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: Lowe's - Kill Devil Hills, NC
BMP drainage area number:
Print name:Charles H. Smithey__
Title:Vice President of Real Estate
Address:1605 Curtis Bridge Road - Mail Code REST-S, Wilkesboro, NC 28697
Phone:
Signati
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.
I, �V) VIE 1f,�_OSe �' ' `' ! �E� , a Notary Public for the State of
) County of 2 I ` I ](��s _ , do hereby certify that
fWA personally appeared before me this /,3;'
day 2L, and acknowledge the due execution of the
forgoing infi5tbasin maintenance requirements. Witness my hand and official seal,
Q NOTARY 9
pU1300 G=
SEAL
My commission expires ram! ~�
�0) /5J
Form SW401-Infiltration Basin O&M-Rev.3 Page 3 of 3