SW7070226_CURRENT PERMIT_20070301

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW_:42V 4
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
&
YYYYMMDD
I

F wArFq 06cRO
�0 0 Michael F. Easley, Governor
William G. Ross Jr., Secretary
r North Carolina Department of Environment and Natural Resources
O C Alan W. Klimek, P.E. Director
Division of Water Quality
March 1, 2007
E.J. Pope & Son Inc.
Attn.: E.J. Pope III, President
P.O. Box 649
Mt. Olive, NC 28365
Subject Permit No. SV 7070226
Handy Mart # 169
High Density Stormwater Project
Pamlico County
Dear Mr. Pope:
The Washington Regional Office received a completed Stormwater Application for the subject project on
February 23, 2007. Staff review of the plans and specifications has determined that the project, as proposed, will
comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No.
SW7070226 dated March 1, 2007 to E.J. Pope & Son Inc for wet detention pond to serve the Handy Mart # 169
located along NC Hwy 55, in Alliance, NC.
This permit shall be effective from the date of issuance until March 1, 2017 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. The issuance of this permit does not resolve any
previous violations of the stormwater rules for construction without a permit.
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 150E of the North Carolina General Statutes,
and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such
demands are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please contact Samir
Dumpor or me at [phone].
IA
ce7g-e,4e�gional
Ho Supervisor
Surface Water Protection Section
Washington Regional Office
cc: David K. Newsom, PE, Crystal Coast Engineering (3817-3 Freedom Way, Hubert, NC 28539)
John L. Pierce, PLS, John L. Pierce & Associates, P.A. (409 Johnson Blvd, Jacksonville, NC 28540)
Pamlico County Building Inspections Department
to ashington Regional Office
Central Files
North Carolina Division of Water Quality Internet: One
943 Washington Square Mall Phone [phone] NDrthCarohna
Washington, NC 27889 Fax [phone] Vatuyra//y
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper

State Stormwater Management Systems
Permit No. SW7070226
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and
other applicable Laws. Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
E.J. Pope & Son Inc.
Pamlico County
FOR THE
construction, operation and maintenance of stormwater management systems 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 a part of this permit for wet detention pond to serve the Handy Mart # 169 located along NC
Hwy 55, in Alliance, NC.
This permit shall be effective from the date of issuance until March 1, 2017 and shall be subject to the following
specified conditions and limitations:
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 on pages
2 of this permit, the Project Data Sheet.
3. A maximum of 46,295 square feet of built upon area is allowed on this 1.79 acre site.
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 approved plans.
5. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of
the permit.

Project Name:
Permit Number:
Location:
Applicant:
Mailing Address:
Application Date:
Receiving Stream:
Classification of Water Body:
Total Site Area:
Drainage area:
Total Impervious allowed on site:
Wet Pond Depth:
Required Storage Volume:
Provided Storage Volume:
Required Surface Area:
Provided Surface Area:
Controlling Orifice:
DIVISION OF WATER QUALITY
EAST POND - PROJECT DATA
Handy Mart # 169
SW7070226
Pamlico County
E.J. Pope & Son Inc.
P.O. Box 649
Mt. Olive, NC 28365
02/23/2007
North Prong Bay River
SC; SW; NSW
1.79 ac
1.79 ac
46,295 sf
5.0 ft
3,797 cf
3,819 cf
3,460 sf
3.507 sf
0.75 inch @ elevation 10.0 ft

4. No homeowner/lot owner/developer shall be allowed to fill in, alter, or pipe any vegetative practices (such as
swales) shown on the approved plans as part of the stormwater management system without submitting a
revision to the permit and receiving approval from the Division.
5. The following items will require a modification to the permit:
a. Any revision to the approved plans, regardless of size
b. Project name change
C. Transfer of ownership
d. Redesign or addition to the approved amount of built -upon area
e. Further subdivision of the project area.
In addition, the Director may determine that other revisions to the project should require a modification to the
permit.
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.
II. SCHEDULE OF COMPLIANCE
The permittee will comply with the following schedule for construction and maintenance of the stormwater
management system.
a. 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 surfaces except roads.
b. During construction, erosion shall be kept to a minimum and any eroded areas of the system will be
repaired immediately.
2. The facilities must be properly maintained and operated at all times. The approved Operation and
Maintenance Plan must be followed in its entirety and maintenance must occur at the scheduled intervals.
3. The permittee shall at all times provide the operation and maintenance necessary to assure the permitted
stormwater system functions at optimum efficiency including, but not limited to:
a. Semiannual scheduled inspections (every 6 months)
b. Sediment removal
C. Mowing and revegetation of side slopes
d. Immediate repair of eroded areas
e. Maintenance of side slopes in accordance with approved plans and specifications
f. Debris removal and unclogging of outlet structure, orifice device and catch basins and piping.
4. 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.
This permit shall become voidable unless the facilities are constructed in accordance with the conditions of
this permit, the approved plans and specifications, and other supporting data.
6. Upon completion of construction 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. Mail the Certification to the Washington Regional Office, 943 Washington Square Mall,
Washington, North Carolina, 27889, attention Division of Water Quality.

A copy of the approved plans and specifications shall be maintained on file by the Permittee for a minimum of
five years from the date of the completion of construction.
III. GENERAL CONDITIONS
This permit is not transferable. In the event there is a desire for the facilities to change ownership, or there is
a name change of the Permittee, a formal permit request must be submitted to the Division of Water Quality
accompanied by an application fee, 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.
2. 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-
215.6(a) to 143-215.6(c).
3. The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules,
regulations, or ordinances which may be imposed by other government agencies (local, state, and federal)
which have jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those as may be required by this Division, such as
the construction of additional or replacement stormwater management systems.
5. The permit may be modified, revoked and reissued or terminated for cause. The fling of a request for a
permit modification, revocation and reissuance or termination does not stay any permit condition.
6. The Permittee, at least six (6) months prior to the expiration of this permit, shall submit in writing a request for
an extension along with appropriate application fee.
Permit issued this the first day of March, 2007.
CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
IorAlan W. Klimek, P.E. Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW7070226

Handy Mart # 169
Stormwater Permit No. SW7070226
Designer's Certification
I, , as a duly
Registered Professional Engineer in the State of North Carolina, having been authorized to observe
(periodically/weekly/full time)
the construction of the 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.
Signature
Registration Number
Date
Certification Requirements:
_1. The drainage area to the system contains approximately the permitted acreage.
2. The drainage area to the system contains no more than the permitted amount of built -upon area.
_3. All the built -upon area associated with the project is graded such that the runoff drains to the
system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
_6. The outlet structure is located per the approved plans.
_7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-circuiting of the system.
11. The permitted amounts of surface area and/or volume have been provided.
12, Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf, and a forebay.
15. The required system dimensions are provided per the approved plans.

Permit No.
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPI,ICATl0NtJ0RgMM-'EJVFD
WET DETENTION BASIN SUPPLEMENT FEB 23 2007
This form mar he photoeopie� for use as an original
DWO Stormwater Manacement Plan Review: D Q-WARQ
A complete stormwater management plan submittal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details.
1. PRO,IFCf INFORMATION
Project Name: Hany Mart - No. 3 Township -Pamlico County, NC
Contact Person: David K. Newsom, PE Phone Number: 1910) 325-0006
For projects with multiple basins, specify which basin this worksheet applies to: 1
elevations
Basin Bottom Elevation 5.00 fit. (floor o0he basin)
Permanent Pool Elevation 10.00 ft.
Temporary Pool Elevation 10.98 ft.
areas
Permanent Pool Surface Area 3,507 sq. ft.
Drainage Area 1.79 ae.
Impervious Area 1.06 ac.
(elevation of the orifice)
(elevation of the discharge structure overflow)
(water siu face area at the orifice elevation)
(on -site and off=site drainage to the basin)
(on -site and of -site elraina,(,e to the hasin)
volumes
Permanent Pool Volume 6,415 Co. ft. (comhined volwne of main basin ant(forebay)
Temporary Pool Volume 3,819 cu. ft. (volume detained above the permanent pool)
Forebay Volume 1,378 cu. ft. (approximately 20% of total volume)
Other parameters
S4/1),4 t 4.439 (surface area to drainage area ratio from DWO tuble)
Diameter of Orifice 0.75 in. (2 to 5 day temporary pool draw -down required)
Design Rainfall 1" in.
Design TSS Removal 2 90 '/„ (minimum HS% required)
Fonn SWU-102 ltev 3.99 Page I or4

Footnotes:
;•' I when using the Division SA/DA tables, the correct SA/DA ratio for permanent pool sizing should be computed based upon the
acntal impervious %and permanent pool depth. Linear interpolation should be employed in determinc the correct value for non-
standard table entries.
2 In the N coastal counties, the requirement Tor a vegetative filter nmy be waived if the wet detention basin is designed to provide
9011,u TSS removal. The NCDENR BMP manual provides design tables for both 8>"ti TSS removal and 90%TSS removal.
II. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and :Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater, Management Permit
Application Form, the agent may initial below. If a requirement has not been met, attach justification.
Is
a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
b. Fhe forebay volume is approximately equal to 20% of the basin volume.
c. The temporary pool controls runoff from the design storm event.
d. The temporary pool draws down in 2 to 5 days.
e. If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow
calculations)
f. The basin length to width ratio is greater than 3:1.
g. The basin side slopes above the permanent pool are no steeper than 3:1.
h. A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
i. Vegetative cover above the permanent pool elevation is specified.
j. A trash rack or similar device is provided for both the overflow and orifice.
k. A recorded drainage easement is provided for each basin including access to nearest right-
of-way. .
1. If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin.
m. A mechanism is specified which will drain the basin for maintenance or an emergency.
111. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the
vegetated filter if'one is provided.
This system (check one) 0 doesktloes not incorporate a vegetated filter at the outlet.
This system (check one) 0 does does not incorporate pretreatment other than a forehay.
PormSWU-102 Rev3.99 Page 2or4

Maintenance activities shall be performed as follows:
After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated cover, and general condition.
b. Check and clear the orifice of any obstructions such that drawdown of the temporary pool occurs within
2 to 5 days as designed.
2. Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove wash as needed.
3. Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap, etc.) quarterly to maintain
proper functioning.
Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth (see diagram below). Removed sediment shall be disposed of
in an appropriate manner and shall be handled in a manner that will not adversely impact water quality (i.e.
stockpiling near a wet detention basin or stream, etc.).
The measuring device used to 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 3.75 feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads 3.75 feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
Ull in the hlmtkv)
Permanent Pool Flevation 10.00
Sediment Removal CI. 6.25 75%
notnmv Elevation 5.00 Sup Sediment Removal I levation 6.25
Bottom t.lwation 5.00
FORGnAY MAIN POND
Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface. These
plants shall be encouraged to grow along the vegetated shelf and forebay berm.
6. If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through
the emergency drain shall be minimized to the maximum extent practical.
Form SWLJ-102 Rev 3.99 Page 3 of 4

02/19/2007 14:56 910-346-1210 JOHN PIERCE SURVEYOR PAGE 09
7. All components ofthe wet detention basin system shall be maintained in good worlsitti, order.
I acknowledge and agree by my signature belott' that I am resptm.sible for the Perlbrmancc of -the seven
maintenance procedures listed above. I agree to notify J)WQ of any problems with the system or prior to any
changes to the system nr responsible party.
Print name: L.J. Pope III
Title Presidenc
Address: P.O. Box 649, Mt. Olivc, NC M65
19163 3-6566 ZN4. 122
�JHI
\1I I o
Dote: The legally responsible parry should not be a homcwvn crs association unless more thari 50'Yn nl'the lots havc been sold and a
rrsiticm of 111C subdivision htis been named the presidcm.
I(� -mil Kei, eFn L a Notary Public for the State of r- lj'n,rc—
Coulity of 10 a C do hereby certify that J — 71t
personally appeared before me this J. day of 4"flICIN 20oI . and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
SLN.
My Commission expires11 — 18 --2; b 6 7
Perm swU-10'_ Rev 3.99 Page 4 ol'd

..e,r" n^'LRA
f'
0 hE�� 6Ae13 e=a OFFICE USE 0A1-Y
Date Received
Fee Paid
Permit Num rer
FEE�2� 07
000
QWQ-WAR( State of North Carolina 5WACK a/�-3/0 %
Department of Environment and Natural Resources
Division of Water Quality
STORiMWATER MANAGEMENT PERMITAPPLICATION FORM
Phis Jonn mire be pholocopied (or uce ar an original
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, eta who owns the project):
E.J. Pope & Son Inc.
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
E.J. Pope & Son Inc. - E.J. Pope 111, President
3. Mailing Address for person listed in item 2 above:
P.O. Box 649
City: Mt. Olive State: NC Zip'28365
--- -- — ---- —
Telephone Number: ( 919 ) 658-6566
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Handy Mart - No. 3 Twp. - Pamlico County, NC
5. Location of Project (street address):
N.C. Hiahwav 55
City; No. 3 Township County: Pamlico
6. Directions to project (from nearest major intersection):
From intersection of N.C. Highway 55 and N.C. Highway 306 in Grantsboro, East on N.C. Highway 55
approximately 3.00 miles & site is on left.
7. Latitude:35degrees08'40" Longitude:76degrees 47'22" of project
8. Contact person who can answer questions about the project
Name: David K. Newsom,PE Crystal Coast Engineering Telephone Number: ( 910
IL PERMIT INFORMATION:
I. Specify whether project is (check one): XX New Renewal
Form SWU-101 Version 3.99 Paee I of
325-0006
Modification

IF
2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number n/a and its issue date (if known)
3. Specify the type of project (check one):
__Low Density XX. High Density Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
_LAMA Major _X Sedimentation /Erosion Control 404/401 Permit XX NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
Ill. PROJF.Cr INFORMATION
I. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
High Density -project will incorporate a wet detention pond
2. Stormwater runoff from this project drains to the Neuse
3. Total Project Area: 1.79 acres
5. How many drainage areas does the project have? I
River basin.
4. Project Built Upon Area:59.4
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
Basin tntormattonr t
ramaae?Areaxl' i�ON
r ,
4 ° t � ?
,"Drelna �e Area 2i;, : n
Receiving Stream Name
North Prong Bay River
Receiving Stream Class
SC;SW;NSW
Drainage Area
1.79 acres.
Existing Impervious* Area
_ 0 _
Proposed Impervious*Area
46,295 s.f. (1.06 acres)
°o Impervious* Area (total)
59.4%
[mperi`ous*Surfa'ceAreaJ,�°i��Drainage`Area:l
i. . ,r.vys,,, �.,:
4yr����
zs. rM 4a;.xrssiwb4kLP.tk
D��ma eAreaot�� ;s
g:'�'S-.� g�.t.,� �. �::�..c s
On -site Buildings
2,800 s.f.
On -site Streets
On -site Parking
43,495 s.f.
On -site Sidewalks
0 _
Other on -site
0 _
Off -site
-0-
Total: 46,295 s.f. (1.06 acres)
Total:
Impervious area is dcJined as file built upon area including, but not limited to. buildings, roads, parking areas.
sidewalks, gravel areas. etc.
Form SWI.I-101 Version 3.99
Page 2 of 4

7. How was the off -site impervious area listed above derived? N/A
IV. DEED RESTRICTIONS AND PROTECTIVE: COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions. outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area fur each lot must be provided as an attachment.
1. The following covenants are intended to ensure ongoing compliance tridr .Male stormwater management permit number
as issued by the Division of Water Qualay. These covenants mur not he
changed or deleted without the consent of the Stare.
2. No more than square fen ofattr lot shall he coverer/ by stntclno'es or impervious tnmerials.
bmperviint.s materials include asphalt, gravel, concrete, brick, stone, slate or similar material hill do nol include wool/
decking or the Crater surface a swimming pools.
3..Siva/e.s shall nol be filled in, piped or altered except as necessary to provide drivewuy crossings.
4. Built -upon area in excess of the permitted amount requires a stale slormwaler management permit modification prior to
construction.
All permitted ntnof% front outpm eels or finure development shall he directed into the permitted storrnwoter control
sp.slem. These connections to the slornnrater control.s,vstem ,shall he porJbrmed in a manner that maintains the iniegrify
and pctftrnionce of the si-sletn as permitted.
By Your signature below, you certify, that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, 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 State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
I'he applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms.
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-105
Curb Outlet System Supplement
Form SWU-106
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Form SWU-101 Version 3.99 Page 3 of 4

02/19/2007 14:56 910-346-1210 JOHN PIERCE SURVEYOR PAGE 05
V1, SI111MITTAL REQUIREN1F..;N'TS
Only complete application packages will be accepted and reviewed by the i)ivision of Water Quality (DWQ).
A complete puckaCe includes all of the items listed below. -I'hc complete application pucka„oc should he
suhmilted to the appropriate DWQ Re(;ional Office.
Please Indic:nc that you have provided the following required information by initialing in the space provided
nest to each Rem.
Init f}k
• Original and onecopy of thu Stormwu[er Management Permit Application porm
• One cupy of - the applicable Supplement Form(s) for each BM
• Permit sd narrative
prnccssili fee of S420 (payable to NCD6NR)
• Derailed narrative description of s«tnmvater trealmon thn anagemenr.
• Two copies of plans and specihications, including:
- Development/Prmect name
- tin lnecr and firm
-Legend
- North arrow
- Scale
- Revision number 1i[ date
- Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Original contours. proposed contours, spot elevations, finished floor elevations
- Details of roads. erainage features, collection systems. and stonnwater control measures
- wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site). drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VIT..AGENT AUTIIORIZAT(ON
lryou wish to designate authority t» another individual or firm SO that they may provide information on your
behalf. please complete this section.
Designated agent (individual or firrt): David K. Newsom,PE Crystal Coast Enginecrino
Moiling Address;3S17-3 Freedom
City: Hubert
Phone:[ 910 1 325-0006
fill. APPL1CAN'r'S C'FR'T'IFICAI-ION
$tare; NC 7ip.2S539
Fnx:( 9l0 ) 325-0.060
I. (p,'inl or rypc nanrc otperxon hawd i.t Cenerol !n(brmauon i(col 2) C_J. Pope I1T President _
certify that the information included on this permit application form is. to the best ofmy knowledge correctand
that The project will be constructed in conformance with the approved plans. that the required deed restrictions
and prolc:ctive covcnall w I-bc rc,:orded, and that the proposed project complies with the requirements of 15A
NC.AC 21-I.IU(lU. , I
Date:
form SVU-101 Version 3A9 Page 4 nra

State Stormwater Management Systems
Permit No. SW7070226
Handy Mart #169
Alliance, NC, Pamlico County
Stormwater Permit No. SW7 070226
Designer's/Engineer's Certification
I, David K. Newsom., as a duly registered Professional Engineer in the State of
North Carolina, having been authorized to observe (periodically, weekly, full time) the
construction of the project,
Handy Mart #169, Alliance NC, Pamlico County
(Project)
for E.J Pope & Son, Inc. (Project Owner) hereby state that, to the best of my abilities,
due care and diligence was used in the observation of the project such that the
construction was observed to be built within substantial compliance and intent of the
approved plans and specifications.
The checklist of items of page 2 of this form is included in the Certification.
Noted deviations from approved plans and specifications:
0F1 CA) O0 •,
Signature
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