SW6100103_CURRENT PERMIT_20100215

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
DOC TYPE
CURRENT PERMIT
le
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD
F

�k-ICDEN.
North Carolina Department of Environment and Natural Resources
Division of'Nater Quality
Beverly Eaves Perdue Coleen H. SulliaS
GOvertor Director
February 15, 2010
County of Robeson
Attn: Kenneth N. Windley, Jr., County Manager
701 North Elm Street
Lumberton, NC 28358
Subject: Stormwater Management Permit S`tV6,100103
Robeson County, DSS Facility
High Density Project
Robeson County
Dear Mr. Windley:
Dee Freeman
Secretar v
The Fayetteville Regional Office of the Division of Water Quality received a complete Stormwater
Management Permit Application for the Robeson County, DSS Facility project on January 20. 2010,
Staff review of the plans and specifications along Nvith additional information received on February 10,.
2010 has determined that the project, as proposed, will comply with the Stormwater Regulations set
forth in Title 15A NCAC 2H .I OOO..Therefore, we are forwarding herewith Stormwater Management
Permit SW6100103 dated February 15, 2010, for construction of the subject project.
This permit shall be effective from the date of issuance until February 14, 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) calendar days following receipt
of this permit. This request must be in the form of a written petition, conforming to Chapter 15013 of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, PO Drawer
27447, Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and binding.
If you have any questions, or need additional information, please contact Mike Lawyer or myself at
[phone].
Sincerely,
id"k4. %
Belinda S. Henson
Regional Supervisor
Surface "hater Protection Section
BSH: ML/ml
cc: JSam Powers, PE -Anderson Engineering & Associates, PA (via e-mail)
Robeson County Zoning & Planning Department, PO Box 1284, Lumberton, NC 28359
FRO -Surface Water Protection
DWQ Central Files
Location. 225 Green Street, Suite 71a, Fayetteville, North Carolina 28301
a!ramr 9r0-433-33001 FAX; 310-486-07071 Customer Service'. 1-877-623-6748
v v.ncvraterouality.oro
(;nC
North Carolina
ai 0tr;;cnuolsp l A hI I, I,,t %,tic,I c IJi"e,

STATE OF NORTH CAROLINA
DEPARTMEN'r OF ENVIRONMENT AND NATURAL ]RESOURCES
DIVISION OF WATER QUAI-1'1-Y
STATE STORNiWATER MANAG'ETMENT PIRIMIT
NIGH DENSITY DEVELOPAIENT
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 1S HEREBY GRANTED TO
Kenneth N. IVindlev, Jr. & Couny ofRobeson
Robeson County DSS Facility
Robeson County
FOR THE
construction, operation, and maintenance of a wet detention pond in compliance with the provisions of
15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and the approved stormwater
management plans and specifications and other supporting data as attached and on file with and
approved by the Division of Water Quality and considered it part of this permit.
This permit shall be effective from the date of issuance until February 14, 2020, and shall be subject to
the following specified conditions and limitations:
1. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater described in
the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff as
described in Section 1.6 of this permit. The stormwater control has been designed to handle the
runoff from a total of 914,760 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area as indicated in Section 1.6 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 areas within the permitted drainage area of this project must be
directed into the permitted stormwater control system.
6. The following design criteria have been provided in the wet detention pond and must be
maintained at design condition:
a. Drainage Area, acres: 30
Onsitc, ft2: 1,306,800
Offsite, ft2: 0

Total Impervious Surfaces, ft2
Design Storm, inches:
Pond Depth, feet:
TSS removal efficiency:
Permanent Pool Elevation. FMSL:
Permanent Pool Surface Area. ft':
Permitted Storage Volume, ft3:
Temporary Storage Elevation, FMSL:
Controlling Orifice:
Permitted Forebay Volume, fi3:
Maximum Fountain Horsepower:
Receiving Stream/River Basin:
Stream Index Number:
Classification of Water Body:
11. SCHEDULE OF COMPLIANCE
914,760
1.0
3.0 (3.1 average)
.90%
I33.5
54.S99
164,792 (permanent)/152,733 (temporary)
136
4.0"0 pipe (two)
34,014
hNP
Lumber River / Lumber
14-(7)
"WS-IV,B;Sw,HQNV"
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 optinnun efficiency. The approved Operation and
Maintenance flan must be followed in its entirety and maintenance must occur at the scheduled
intervals including, but not limited to:
4.
6.
a. Semi-annual scheduled inspections (every 6 months).
b. Sediment removal.
C. MoNving and reveeetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
C. Maintenance of all slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow spreader, catch
basins and piping.
e. Access to the outlet structure must be available at all times.
Records of maintenance activities must be kept and made available upon request to authorized
personnel of DWQ. The records will indicate the date, activity, name of person performing the
work and what actions were taken.
Decorative spray fountains will be allowed in the stormwater treatment system, subject to the
following criteria:
a. The fountain must draw its water from less than 2' below the permanent pool surface.
b. Separated units, where the nozzle, pump and intake are connected by tubing, may be used
only if they draw water from the surface in the deepest part of the pond.
c. The falling water from the fountain must be centered in the pond, away from the
shoreline.
d. The maximum horsepower for the fountain's pump is based on the permanent pool
volume. The maximum pump power for a fountain in this pond is '/21-11'.
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.
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.
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.
Access to the stormwater facilities shall be maintained via appropriate easements at all times.
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:
a. Any revision to any item shown on the approved plans, including the stormwater
management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project area. The project
area is defined as all property owned by the permittee for which Sedimentation and
Erosion Control Plan approval or a CAMA Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan.
11. The permittee shall submit final site layout and grading plans for any permitted future areas
shown on the approved plans, prior to construction.
12. A copy of the approved plans and specifications shall be maintained on file by the Permittee for
a minimum of ten years from the date of the completion of construction.
13. The Director may notify the permittee when the permitted site does not meet one or more of the
minimum requirements of the permit. Within the time frame specified in the notice, the permittee
shall submit a written time schedule to the Director for modifying the site to meet minimum
requirements. The permittee shall provide copies of revised plans and certification in writing to
the Director that the changes have been made.
Ill. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director. In the event of
a change of ownership, or a name change, the permittee must submit a formal permit transfer
request to the Division of Water Quality, accompanied by a completed name/ownership change
form, documentation from the parties involved, and other supporting materials as may be
appropriate. The approval of this request will be considered on its merits and may or may not be
approved. The permittee is responsible for compliance with all permit conditions until such time
as the Division approves the transfer request.
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.
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) havingjurisdiction.
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.
The permittee grants DWQ Staff permission to enter the property during normal business hours
for the purpose of inspecting all components of the permitted stormwater management facility.
6. The permit may be modified, revoked and reissued, or terminated for cause. The filing of a
request for a permit modification, revocation and reissuance, or termination does not stay any
permit condition.
Unless specified elsewhere, permanent seeding requirements for the stormwater control must
follow the guidelines established in the North Carolina Erosion and Sediment Control Planning -
and Design Manual.
8. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.
9. The permittee shall notify the Division of any name, ownership, or trailing address changes
within 30 calendar days.
Permit issued this the fifteenth day of February 2010.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
-6�1w
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Stormwater Management Permit SW6100103

Robeson County DSS Facility
Stormwater Management Permit SW6100103
Robeson County
Designer's Certification
Page I of2'
1, , 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 a part of this Certification.
Noted deviations from approved plans and specification:
SEAL
Signature
Registration Number
Date

Certification Requirements:
Page 2 of 2
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.
3. 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 pernutted 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 foreba%
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office

Anderson E
P.O. Box 1736
305 North Chippewa
Lumberton, N.C. 28359
Licensure No.: C-0793
March 25, 2011
Attn: Mike Lawyer
NCDWQ-Surface Water Protection Section
225 Green Street, Suite 714
Fayetteville, NC 28301-5043
Ref: Stormwater Man
Robeson County
High Density Pr(
Robeson County
Mr. Lawyer,
Please find enclosed one
project which certifi6s'tl
permit, the approved;pla
4
Should you have any'qu
hesitate to contact me.
Sincerely,
ANDERSON E GIN
Sa uel J. Powers, P
SJP/jib
Enclosures
►neerin
& Assoc., P.A.
LarryAnderson, P.E.
President
DEFivn,pl?^
tsIAR 1 S 2011 �..lh�
0wo
3°{a
ti
141
copy or,zne gngmeer,,s t
rmitted facility has=been
s-or comments or require any ad'ditiono
6
ib&'ASSOCIATE§S, P.A
cEe ..
43 h, )— 1 J
-w, �" i 111 r s 'N
ie referenced
with the
information, please do not
cc: Mr. Brandon Love, City of Lumberton Planning Director
Mr. Ricky Harris, Interim County Manager -
MIMS National Society of
Professional Engineers®
Phone: [phone] • Fax: [phone] • Email: [e-mail]

Robeson County DSS Facility
Stormwater Management Permit SW6100103
Robeson County
Designer's Certification
Page 1 of 2
1, SAmiAE L DAMES w a-; , as a duly registered P?%ESSioaAL DkWy WEE 2 in the State of
North Carolina, having been authorized to observe Brio icall weekly/ full time) the construction of
the project,
TZO6E,soa CoLAM rH V55 FA•GIL-I r`(
(Project)
for COunlry OF *WOBESo#J (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 a part of this Certification.
Noted deviations from approved plans and specification: IJOa E
Signature aJV:ZD -
Registration ber 036 / 12
Date M49r-H as, .2 of
SEAL
a SEAL
36199 _
c
i��iJ+92j N-J-
. I N EO��QC'\:
/���

Certification Requirements: Page 2 of 2
W1. The drainage area to the system contains approximately the permitted acreage.
SSP 2. The drainage area to the system contains no more than the permitted amount of built -
upon area.
5 SQ 3. All the built -upon area associated with the project is graded such that the runoff drains to
the system.
SSP 4. All roof drains are located such that the runoff is directed into the system.
S,T5. The outlet/bypass structure elevations are per the approved plan.
Z P 6. The outlet structure is located per the approved plans.
Sip 7. Trash rack is provided on the outletibypass structure.
Sip 8. All slopes are grassed with permanent vegetation.
5:1? 9. Vegetated slopes are no steeper than 3:1. .
53P 10. The inlets are located per the approved plans and do not cause short-circuiting of the
system.
S-S? 11. The permitted amounts of surface area and/or volume have been provided.
SJP 12. Required drawdown devices are correctly sized per the approved plans.
S7P 13. All required design depths are provided.
5"SP 14. All required parts of the system are provided, such as a vegetated shelf, and a forebay.
55.? 15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office

Permit No.J lam✓ CO/6003
(to be pmveW by DWQ)
®y NR—Y Y O
JAN 2 0 2010
G' (AA�
020E W ATFgOG
r
®WQ y 9
HCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form 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 - `' '
Project name
Robeson County DSS Facility
Contact person
Sam Powers, PE
Phone number
910.671,9530
Date
1118010
Drainage area number
1
Site Characteristics
Drainage area 1,085,080 ft2
Impervious area, post -development 736,491 fl
%impervious 67.87 %
Design rainfall depth 1.0 in
Storage Volume: Non -SA Waters
Minimum volume required 59,758 ft' OK
Volume provided 152,733 ft'
OK, volume provided is equal to or in excess of volume required.
Storage Volume: SA Waters
1.5' runoff volume fl'
Pre -development 1-yr, 24-hr runoff It
Post -development 1-yr, 24-hr runoff It
Minimum volume required It,
Volume provided It1CA,?0�///
Peak Flow Calculations CNN � • ' �(
Is the pre/post control of the lyr 24hr storm peak flow required? N (Y or N)
1-yr, 24-hr rainfall depth in
Rational C, pre -development (unitless)
Rational C, post -development (unifless) ..r•�..��
Rainfall intensity: 1-yr, 24-hr slonn inlhr • F
Pe -development l-yr, 24-hr peak flow ft'Isec
Post -development 1-yr, 24-hr peak w ftisec
Pre/Post 1 yr, 24-hr peak flow control ft'/sec
Elevations
Temporary pool elevation
136.00 fmsl
Permanent pool elevation
133.50 fmsl
SHWT elevation (approx. at the perm. pool elevation)
134.00 hnsl
Top of 10ft vegetated shelf elevation
134.00 fmsl
Bottom of 1 Oft vegetated shelf elevation
133.00 fmsl
Sediment deanout, top elevation (bottom of pond)
130.00 fmsl
Sediment cleanout, bottom elevation
129.00 fmsl
Sediment storage provided
1.00 It
Is them additional volume stored above the state -required temp. pool?
Y (Y or N)
Elevation of the top of the additional volume
136.0 fmsl OK
Fonn SW401-Wet Detention Basin-Rev.8-9117109 Pans I. R H. Design Summary, Page 1 of 2

Permit No. St,161001 d9 3
(to W Provided or DWO)
Area, temporary pool
Area REQUIRED, permanent pool
SAIDA ratio
Area PROVIDED, permanent pool, A. Iaa
Area, bottom of tOfi vegetated shelf, Py m r
Area, sediment cleanout, top elevation (bottom of pond), A,y, ,
Volumes
73,066 ft�
42,318 ftz
3.90 (umfless)
54,899 ft OK
46,166 If
35,231 ft`
Volume, temporary pool 152,733 ft'
Volume, permanent pool, Vim,,,, 164,792 ft'
Volume, forebay (sum of forebays if more than one forebay) 34,014 ft3
Forebay %of permanent pool volume 20.6% %
SAIDA Table Data
Design TSS removal
Coastal SAIDA Table Used?
Mountain/Piedmont SAIDA Table Used?
SAIDA ratio
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
Volume, permanent pool, Vp,,,,ym
Area provided, permanent pool, Ate,,,
Average depth calculated
Average depth used in SAIDA, d., (Round to nearest 0.511)
Calculation option 2 used? (See Figure 10-21b)
Area provided, permanent pool, Arcs,_,,,
Area, bottom of 10ft vegetated shelf, Ayo, ,
90 %
N (Y or N)
Y (Y or N)
3.90 (uni0ess)
N (Y or N)
164,792 it'
54,899 ft
3.00 4
3.0 ft
Y (Y or N)
54,899 e
46,166 ft`
Area, sediment cleanout, top elevation (bottom of pond), Ab ,-,
35,231 ft2
'Depth' (distance bhv bottom of 10ft shelf and lop of sediment)
3.00 It
Average depth calculated
3.10 it
Average depth used in SAIDA, d„, (Round to nearest 0.5ft)
3.0 ft
Drawdown Calculations
Drawdown through orifice?
Diameter of orifice (if circular)
Area of orifice (if-noncimular)
Coefficient of discharge (CD)
Driving head (Ha)
Drawdown through weir?
Weirtype
Coefficient of discharge (C..)
Length of weir (L)
Driving head(H)
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Storage volume discharge rate (through discharge orifice or weir)
Storage volume drawdown time
Additional Information
Vegetated side slopes
Vegetated shelf slope
Vegetated shelf width
Length of towpath to width ratio
Length to width ratio
Trash rack for overflow & orifice?
Freeboard provided
Vegetated filter provided?
Recorded drainage easement provided?
Capures all runoff at ultimate build -out?
Drain mechanism for maintenance or emergencies is:
Y (Y or N)
4.00 in
in,
0.60 (unitless)
0.83 It
N (Y or N)
(unifless)
(undless)
it
it
0.77 WISE
2.30 days
3 :1
10 :1
10.0 it
OK
OK
OK
OK
OK
OK
Storage volume discharge rate greater than predev. ly24hr.
OK, draws down in 2-5 days.
OK
OK
OK
3:1
OK
6.0 :1
OK
Y (Y or N)
OK
1.0 It
OK
N (Y or N)
OK
Y (Y or N)
OK
Y (Y or N)
OK
Gravity drain, 8' Waterman CL-16 Canal "Sluice" Gate
Form SW401-Wet Detention Basin-Rev.8_9/17/09 Parts I. a II. Design Summary, Page 2 of 2

Book 1699 Page 447
This certifies that PIN: 1610-02-003
has been verified; the legal description
therein matches the PIN and is free of any
delinquent ad valorem tax liens charged
to the�Resc n C9" Tax Collector.
IguI ,'AO�N 12/12/08
staDate NCCS 10&3031a11161-31
2008012264
ROBESON CO, NC FEE $0.00
STATE OF NC REAL ESTATE EXTX
$2392.00
rrsseRes . ucrormn:
12-12-2008 02:17:35 PH
VICKI L LOCKLEAR
BY: CRYSTA KCCIRT
nsrms
BK:D 1699
PG:447-450
D EI-\ R — 4c-y30
REV STP $2,392.00
BEING A PART OF ROBESON COUNTY TAX PARCEL 1D # 1610 02 003
PREPARED BY: DAVID J. RAMSAUR, ATTORNEY, LUMBERTON, NC
HOLD FOR: J. HAL KINLAW, ATTORNEY, LUMBERTON, NC
NO TITLE EXAMINATION
NORTH CAROLINA
ROBESON COUNTY
®WQ
THIS DEED, made this 24th day of November, 2008, by WACHOVIA BANK, N.A.
(formerly Wachovia Bank & Trust Co., N.A.), a national banking association organized and
existing under the laws of the United States, as TRUSTEE UNDER ARTICLE VII OF THE
LAST WILL OF OWEN CLINTON NORMENT FOR THE BENEFIT OF LOLETA 0.
BONEY, Grantor; to ROBESON COUNTY, a body politic and corporate, (ADDRESS: 701
N. Elm Street, ATTN: Tammy Freeman, Lumberton, North Carolina 28358), Grantee;
WITNESSETH:
That for and in consideration of the sum of Ten and No/100ths ($10.00) Dollars, and
other good and valuable considerations in hand paid to the Grantor by the Grantee, the receipt
whereof is acknowledged, and pursuant to powers contained in the Last Will and Testament
1.of Owen Clinton Norment, deceased, said Will being recorded in File 69 E 217 in the office of
the Clerk of Superior Court of Robeson County, North Carolina, the said Grantor does hereby
bargain, sell and convey unto the Grantee herein, its successors and assigns, in fee simple

Book1699 Page 448
forever, the following lands and premises lying and being in the City of Lumberton, Robeson
County, North Carolina, to -wit:
All that certain tract or parcel of land lying about 3.3 miles west of the center
of Lumberton, NC, adjacent to and on the north side of NC Highway 711, adjacent to and on
the western side of SR 1547, Glen Cowan Road, adjacent to and on the southern side of NC
Highway 72 West, adjacent to and on the northeast side of SR 1548, Nigel Road and adjoining
the lands of Robeson Recreational and Charitable Foundation (16-F/19 and Map Book 21,
page 27) on the west, Gregory Allen Leggett (16-F/42) on the north and west, Pinecrest
Developers, LLC (1689/89) on the west and Ellis Page III, et als (1077/850) on the northwest
and being more particularly described as follows:
BEGINNING at an iron rod set in the southern right of way line (60 ft. right of
way) of NC Highway 72West at its intersection with the west right of way line (60 ft. right of
way) of SR 1547, Glen Cowan Road, said iron rod being located South 75 degrees 44 minutes
03 seconds West 37.51 feet from a mag nail found in the centerline intersection of NC Highway
72 West with SR 1547, Glen Cowan Road and runs thence from said beginning iron rod with
the west right of way line of SR 1547, Glen Cowan Road South 22 degrees 37 minutes 29
seconds West 946.65 feet to an iron rod set in said west right of way line at its intersection with
the sight distance line for SR 1547 and NC Highway 711; thence with said sight distance line
South 57 degrees 00 minutes 51 seconds West 119.84 feet to an iron rod set at the intersection
of said sight distance line with the curved northern right of way line (80 ft. right of way) of NC
Highway 711 (this iron rod being located North 63 degrees 07 minutes 05 seconds West 97.96
feet from a mag nail found in the centerline intersection of SR 1547 and NC Highway 711);
thence with the curved north right of vgay line of NC Highway 711, the following five (5)
chords, South 89 degrees 21 minutes 42 seconds West 118.03 feet to an iron rod set, South 85
degrees 48 minutes 56 seconds West 91.38 feet to an iron rod set, South 83 degrees 41 minutes
49 seconds West 84.87 feet to an iron rod set, South 81 degrees 51 minutes 24 seconds West
92.18 feet and South 79 degrees 10 minutes 49 seconds West 88.97 feet to an iron rod set;
thence continuing with the north right of way line of NC Highway 711, South 78 degrees 47
minutes 12 seconds West 231.94 feet to an iron rod set in said north right of way line; thence
continuing with said north right of way line, South 78 degrees 49 minutes 40 seconds West
493.51 feet to a power pole in the north right of way line of NC Highway 711 at its intersection
with the northeast right of way line (60 ft. right of way) of SR 1548, Nigel Road (this pole being
located North 06 degrees 00 minutes 46 seconds East 41.87 feet from a mag nail found in the
centerline intersection of NC Highway 711 with SR 1548); thence with the northeast right of
way line of SR 1548, Nigel Road North 53 degrees 58 minutes 46 seconds West 544.67 feet to
an iron rod set in said northeast line at its intersection with an east line of the Robeson
Recreational and Charitable Foundation (16-F/19 and Map Book 21, page 27); thence with
said east line North 12 degrees 42 minutes 48 seconds East 406.0 feet to an iron pipe found;
thence North 21 degrees 34 minutes 27 seconds East 76.55 feet to an iron rod set in the south
line of Gregory Allen Leggett tract (16-F/42); thence with Leggett's south line South 54 degrees
07 minutes 42 seconds East 23.50 feet to an iron pipe found; thence continuing with Leggett's
south line South 47 degrees 32 minutes 04 seconds East 191.96 feet to an iron pipe found;

Book1699 Page 449
thence continuing with said Leggett's south line South 56 degrees 31 minutes 42 seconds East
451.70 feet to an iron pipe found; thence with Leggett's east line North 28 degrees 58 minutes
18 seconds East to and with the eastern edge of a ditch 507.10 feet to an iron pipe found on the
northeast bank of said ditch; thence with said Leggett's north line and a ditch North 68
degrees 57 minutes 42 seconds West 322.91 feet to an iron pipe found at a bend in said ditch,
a corner with Pinecrest Developers, LLC (1689/89); thence with said ditch North 10 degrees
18 minutes 04 seconds East 402.40 feet to an iron pipe found in said ditches; thence continuing
with said ditch North 06 degrees 19 minutes 10 seconds East 310.90 feet to an iron pipe found
at the intersection with another ditch, a corner of said Pinecrest Developers, LLC; thence with
another ditch South 45 degrees 29 minutes 47 seconds East 95.43 feet to an iron rod found, a
corner with Pinecrest Developers, LLC and Ellis Page, III, et als (1077/850); thence with said
Ellis Page, III, et als, south line South 45 degrees 21 minutes 52 seconds East 626.94 feet to an
axle found (bent); thence with Page's southeast line, North 53 degrees 03 minutes 09 seconds
East 539.28 feet to an iron rod found in the south right of way line of NC Highway 72 West;
thence with the south right of way line of NC Highway 72 West South 51 degrees 09 minutes
40 seconds East 530.86 feet to the beginning containing 39.854 acres more or less.
Subject to that 60 foot easement as shown in Deed Book 816, page 501, a CP&L Powerline
right of way (Map Book 24, page 101), rights of others in ditches, and other easements as of
record appear.
And being a part of that eighth tract conveyed by Wachovia Bank and Trust Company, NA
and Frank A. McLeod to Wachovia Bank and Trust Company, NA by deed dated 24 October
1973 and recorded in Deed Book 19-E, page 92, Robeson County Registry.
Bearings referenced to Map Book 44, page 52.
TO HAVE AND TO HOLD the foregoing tract or parcel of land and all privileges and
appurtenances thereunto belonging to the Grantee, its successors and assigns, absolutely and
In fee simple forever, in as full and ample a manner as the Grantor, acting as Trustee under
Article VII of the Last Will and Testament of Owen Clinton Norment, deceased, is authorized
and empowered to convey the same.
AND THE SAID WACHOVIA BANK, N. A., AS TRUSTEE UNDER ARTICLE VII
OF THE WELL OF OWEN CLINTON NORMENT DOES HEREBY COVENANT that it has
not placed or suffered to be placed any presently existing liens or encumbrances on said
premises and that it will warrant and defend the title to the same against the lawful claims of
all persons claiming by, through, under or on account of said Wachovia Bank, N. A., as

Book1699 Page 450
Trustee for Loleta O. Roney, insofar as it is its duty to do by virtue of its office as Trustee, but
no further.
IN TESTIMONY WHEREOF, the Grantor, acting as Trustee as aforesaid, has
hereunto signed its corporate name, by its duly authorized officer, by authority of its Board
of Directors duly given, the day and yeai first above written.
WACHOVIA BANI{, N. A., Trustee under Article VII of
the Last Ill and Testa t of Owen Clinton Norment
for efit of Lole . Roney
STATE OF NORTH CAROLINA COUNTY OF ROBESON
I, Cynthia H. Mauldin , a Notary Public of the County and State
aforesaid, certify that Tommy V. Skinner (Name of Officer), being personally
known to me, personally appeared before me this day and acknowledged that he/she is
Vice President (Title of Officer) of Wachovia Bank, N. A., a national banking
association, Trustee under Article VH of the Last Will and Testament of Owen Clinton
Norment, for the benefit of Loleta O. Boney, and that he/she, as
vice President (Title of Officer) being authorized to do so, voluntarily executed the
jorWing on.bebalf of said Wachovia Bank, N. A., as Trustee, for the purposes stated therein.
ai�j yband and official stamp o seal, this 1st da of December 008.
0 TA R r `,
NOVYUGIiC Cyntbia H. [caul
(Type or Print Name)
r� gCppjtiigbn Exptres:

Permit No.J 1CC0/9raob_3
(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.
Pagel Plan
Initials Sheet No.
sz P Gl o t 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.
53? C10Z 2. Partial plan (1" = 30' or larger) and details for the wet detention basin showing:
- Outlet structure with trash rack or similar,
Maintenance access,
Permanent pool dimensions,
Forebay and main pond with hardened emergency spillway,
Basin cross-section,
Vegetation specification for planting shelf, and
Filter strip.
5s?
C 103
3. Section view of the wet detention basin (1" = 20' or larger) showing:
- Side slopes, 3:1 or lower,
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
a A
$& A
4. If the basin is used for sediment and erosion control during construction, clean out of the basin is specified
yG$1-2
on the plans prior to use as a wet detention basin.
SS4
sp
�Au u`tu+`S
5. A table of elevations, areas, incremental volumes & accumulated volumes for overall pond and for forebay,
to verify volume provided.
i�_ gli?
G 105
6. A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized.
57p
S V4,"S
7. The supporting calculations.
S5P
N
IA
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
NlA
a A
9. A copy of the deed restrictions (if required).
S 3 P
J I A
10. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. County
soil maps are not an acceptable source of soils information.
Form SW401-Wet Detention Basin-Rev.8-9/17/09
Part III. Required Items Checklist, Page 1 of 1

Permit Number: 51't,/6 60�03
(to be pro ided by DWQ)
Drainage Area Number:_
Wet Detention 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.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided.
This system (check one): (�
❑ does ® does not rs5 incorporate a vegetated filter at the outlet.
This system (check one):
0
❑ does ® does not incorporate pretreatment other than a forebay..0 c 1
Important maintenance procedures: O
— Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
— No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
— Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
— If the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
— Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and
within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a
Coastal County). Records of operation and maintenance should be kept in a known set
location and must 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 wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention 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.
Vegetation is too short or too
Maintain vegetation at a height of
long.
apgroximately six inches.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 1 of 4

Permit Number: 5WV6 100103
(to be provided by DWQ)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate theproblem:
The inlet device: pipe or
The pipe is clogged.
Unclog the pipe. Dispose of the
Swale
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the Swale if necessary to
Swale.
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design depth for
possible. Remove the sediment and
sediment storage.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional
show that pruning is needed
practices
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than s ra in .
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible. Remove the sediment and
storage depth.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area.
and control the algal growth.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 2 of 4

Permit Number:_ 5w6p/00/63
(to be provid ed by DWQ)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate the problem.
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 3.50 feet in the main pond, the
sediment shall be removed.
When the permanent pool depth reads 3.50 feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom
130.00
-----------------
BASIN DIAGRAM
ill in the blanks)
I ft Min.
Sediment
Storage
Permanent Pool Elevation 133.50
Sediment Removal Elevation 130.00 volume
Bottom Elevation
Storage
FOREBAY
MAIN POND
Form SW401-Wet Detention Basin O&M-Rev.4 Page 3 of 4

Permit Number: 5t /C/ t/co/o J
(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:Robeson County DSS Facility
BMP drainage area number:
Print name:Kenneth N. Windley, Jr.
Title:County Manager
Address:701 North Elm Street Lumberton NC 28358
Phone: [phone]
0
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
LZ-A"_��'. `OAMAy1 p`�', County of r�jJJltp _ do hereby certify that
wUY /WLYT 1 . W VY�CXJ�ILLt ,�_ personally appeared before me this I�k_
day o adlU , and acknowledge the due execution of the
forgoing wet deten ion basin maintenance requirements. Witness my hand and official
seal, &Yhako. � -U(UAJW41'
,•P S. FgpF,ti
~ *OTAR),
�D PUBLIC, V
O� %1
SEAL
My commission expires No ao l l .
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
o
Isas
S kv /oO M 3
Applicable Rules: ❑ coastal SW —1995 ❑ Coastal SW —
(select all that apply) Non -Coastal SW- HQW/ORW Waters
❑ Other WQ Mgmt Plan:
2008 ❑ Ph Il - Post Construction
❑ Universal Stormwater Management Plan
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an 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.):
Robeson County DSS Facility
2. Location of Project (street address):
120 Glen Cowan Road (SR 1547)
City:Lumberton County:Robeson Zip:28360
3. Directions to project (from nearest major intersection):
Take Exit 17 from I-95 head west on NC Hwy 711 for approximately 0.78 mi, then turn right on SR 1547 (Glen
Cowan Road) The proposed main entrance for the proposed development will be located approximately 450
linear feet north of the NC Hwy 711-SR 1547 intersection on your left.
4. Latitude:34° 37' 43.284" N Longitude:79° 03' 51.984" W of the main entrance to the project.
II. 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 letter from DWQ
requesting a state stonnwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
[]LAMA Major
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: 300 ac of Disturbed Area
❑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:Project Name: Robeson County DSS Facility, Proj. ID: ROBES-2010-005
Issue Date: 9.28.2009. Type: New Land Disturbing Permit
JAN 2 0 2t)'i0
®WQ
Form SWU-101 Version 07July2009 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/Organization:County of Robeson
Signing Official & Title:Kenneth N. Windley, Jr. - County Manager
b.Contact information for person listed in item la above:
Street Address:701 North Elm Street
City:Lumberton State:NC Zip:28358
Mailing Address (if applicable):Same As Above
City: State: Zip:
Phone: (910 ) 671.3022 Fax: (910 ) 671.3010
Email:[e-mail]
co.robeson.nc.us
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
Signing Official &
b.Contact information for person listed in item 2a above:
Street Address:
Mailing Address (if
City: State
Phone: ( I Fax:
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:Sam Isham, Metcon Construction
Signing Official & Title:Sam Isham, Project Manager
b.Contact information for person listed in item 3a above:
Mailing Address:PO Box 1149
City:Pembroke State:NC Zip:28372
Phone: (910 ) 521.8013 Fax: (910 ) 521.8014
Email:[e-mail]
metconconstnicction.net
Form SWU-101 Version 07July2009 Page 2 of 6

4. Local jurisdiction for building permits: City of Lumberton Planning & Inspections Department
Point of Contact:Brandon Love, Director
Phone #: (910 ) 671.3976
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
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.Identify the regulation(s) thepprolect has been designed in accordance with:
❑ Coastal SW —1995 , C] Ph II — Post Construction
3. Stormwater runoff from this project drains to the Lumber River basin.
4. Total Property Area: 24.91 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) —Total Coastal Wetlands Area (5) —Total Surface Water Area (6) = Total Project Area':
24.91 acres
Total project area shall be calculated to exclude the following: 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 project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may be
included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100
9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density 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.
Basin Information° -
Drainage Area 1
Drainage Area _
Drainage Area
Drainage Area
Receiving Stream Name
Lumber River
Stream Class
WS-1V,B;
Sw,H W
Stream Index Number *
14-(7)
Total Drainage Area (sf)
1,085,079.6
On -site Drainage Area (sf)
1,085,079.6
Off -site Drainage Area (sf)
0
Pro osed Impervious Area** (sf)
736,490.7
Impervious Area** (total)
67•9
Impervious" Surface Area
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area —
On -site Buildings/Lots (sf)
52,707.6
On -site Streets (so
0
On -site Parking (so
248,727.6
On -site Sidewalks (sf)
14,810.4
Other on -site (sf)
0
Future (sf)
420,245.1
Off -site (sf)
0
Existing BUA*** (sf)
0
Total (st):
736,490.7
* Stream Class and Index Number can be determined at: http://h2o.enr.state.nc.us/binis/reports/reportsWB htnd
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version 07July2009 Page 3 of 6

'Report only that amount 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.
Prolects in Union Count v:Contact DIVQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that maybe subject to more stringent storm water 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
fromhttp://h2o.enr.state.ne.us/su/bmD forms.htm.
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 ht!p://h2o.enr.state.nc.us/su/bmp forms.htm. 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:/ /h2o.enr.state.nC.us/su/msi maps htm.)
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://h2o.enr.state.nc.us/su/bmp forms.htm.
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 VII 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
hitp://www.envhelp.or a¢es/onestopexpress html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within'/z mile of the site boundary, include the'fi
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
in. 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).
Initials
55P
5sP
113?
s3P
S5?
5sP
55p
Form SWU-101 Version 07July2009 Page 4 of 6

p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify STP
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"xll" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 1699 Page No: 447-450 53P
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC N 14,
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:ZZwww.secretary.state.nc.us/Corporations/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://h2o.enr.state.nc.us/su/bml2 forms.htmlideed restrictions. 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.
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:Samuel I. Powers, PE
Consulting Firm: Anderson Engineering and Associates. PA
Mailing Address:305 North Chippewa Street
City:Lumberton State:NC Zip:28358
Phone: (910 ) 671.9530
Email:[e-mail]
Fax: (910 ) 618.0838
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) certify 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 la) with (print or type name oforganization listed in
Contact Information, item Ib) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Form SWU-101 Version 07July2009 Page 5 of 6

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.
a Notary Public for the State of County of
do hereby certify that
before me this _ day of
stormwater permit. Witness my hand and official seal,
SEAL
personally appeared
and acknowledge the due execution of the application for a
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 2) Kenneth N. Windley, Jr. (County Manager)
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 2H ..1000, SL 2006-246 (Ph. II — Post Construction) or SL 2008-211.
Signature:��
n��[6, n— Date:— 1— l 7 —to
I, "k1�ft aka. A , c��M�mid aG `ottary Public for Jhe State of County of
`U JI/110�_ —do hereby certify that personally appeared
before me this Qt-day o COI b • and acknowl ge the dr execution of the application for a
stormwater permit. Witness my hand nd official seal, f
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My commission expires kwo� � Z-, QLd t \ .
Form SWU-101 Version 07July2009 Page 6 of 6