SW7110101_CURRENT PERMIT_20110113

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
CURRENT PERMIT
APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
62945
YYYYMMDD

1�
�r Waj�0
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
January 13, 2011
Mr. Garald Cottrell, Member Manager
W.E. Partners II, LLC
1836 Eastchester Drive, Suite 108
High Point, NC 27265
Subject: State Stormwater Permit No. SW7110101
W.E. Partners II — Perdue Lewiston
High Density Commercial Bio-Retention Project
Bertie County
Dear Mr. Cottrell:
The Washington Regional Office received a complete Stormwater Management Permit
Application for W.E. Partners II — Perdue Lewiston on January 3, 2011. 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. SW7110101 dated January 13, 2011, for the construction of the
subject project.
This permit shall be effective from the date of issuance until January 13, 2021, 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 150E of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands
are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please
contact Samir Dumpor, or me at [phone].
Sincerely,
Regional Supervisor
Surface Water Protection Section
AH/ so: K:\SD\Permits - Bioretention\SW7110101
cc: Marie Peedin, PE, Pamlico Engineering Services, PLLC (128 Abbey Lane,
Washington, NC 27889)
Bertie County Building Inspections
VIVIashington Regional Office
North Carolina Division of WOIer Quulity Internet o�cl�.n�u vcrcivahl�,„1,ib
943 Washington Square W11 PlmncM--946 6481 One
Washington. NC 27989 FAX [phone] _Nr_lrth C.'iylr_rc)11inA_
An Equal OpponunitylAffirmative ActiioniEmployer-50%Recycled110% Post Consumer Paper ;V tural&

State Stormwater Management Systems
Permit No. SW7110101
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
W.E. Partners U, LLC
W.E. Partners 11— Perdue Lewiston
Bertie County
FOR THE
construction, operation and maintenance of one bioretention basin in compliance with
the provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter referred to
as the "stormwater rules') and the approved stormwater management plans and
specifications and other supporting data as attached and on file with and approved by
the Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until January 13, 2011, and
shall be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 on page 3 of this permit. The stormwater
control has been designed to handle the runoff from total of 110,207 square feet
of impervious area.
3. The tract will be limited to the amount of built -upon area as indicated in Section
1.7 of this permit, and per the application documents 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 perennial and intermittent surface waters.
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7110101
7
The following design criteria have been provided in the bioretention basin and
must be maintained at design condition:
a.
b.
C.
d.
e.
f.
9.
h.
i.
k.
I.
m
n.
o.
P.
q.
BASIN
Drainage Area, ft2: 177,289
Total Impervious Surfaces, ft2: 110,207
Design Storm, inches: 1.5
Max. Ponded Depth, feet: 0.75
Seasonal High Water Table, fmsl: 71.0
Planting Media Depth, feet: 2' (grass cell)
Basin Dimensions, feet: 205'x100'
Bottom Elevation, frrp�sl: 79.87
Top Surface Area, ft : 18,708
Permitted Storage Volume, ft3: 13,526
Bypass / Storage Elevation, fmsl: 80.62
Predevelopment 1 year 24 hour: 0.110
Post development 1 year 24 hour: 0.350
Drawdown Time, hours: 19.8
Receiving Stream/River Basin: Flag Run Gut\Roanoke River Basin
Stream Index Number: 23-40
Classification of Water Body: "C"
II. SCHEDULE OF COMPLIANCE
The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all time provide the operation and maintenance necessary
to assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.
f. Debris removal and unclogging of all drainage structures, level spreader,
filter media, planting media, underdrains, catch basins and piping.
q. Access to the basin and outlet structure must be available at.all times.
Records of maintenance activities must be kept for each permitted BMP. The
reports will indicate the date, activity, name of person performing the work and
what actions were taken.
5. The facilities shall be constructed as shown on the approved plans. This permit
shall become void unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
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
Page 3 of 7

State Stormwater Management Systems
Permit No. SW7110101
approved plans and specifications must be noted on the Certification. A.
modification may be required for those deviations.
7. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
8. Access to the stormwater facilities shall be maintained via appropriate recorded
easements at all times.
9. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
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 for a minimum of ten years from the date of the completion of
construction.
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 except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form signed by both parties, to the
Division of Water Quality, accompanied by the supporting documentation as
listed on page 2 of the form. The approval of this request will be considered on
its merits and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves a request to transfer the permit.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
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
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7110101
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.
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.
The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or.
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2008-
211, Title 15A NCAC 2H.1000, and NCGS 143-215,1.et.al.
11. The permittee shall notify the Division 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 January 13, 2021.
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 13th day of January, 2011.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
roe"
Goleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7110101
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7110101
W.E. Partners II — Perdue Lewiston
Stormwater Permit No. SW7110101
Bertie County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project Name)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7110101
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation, per the vegetation plan.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Bertie County Building Inspections
Page 7 of 7

Stormwater Permit No. SW7110101
BIORETENTION SYSTEM
PERDUE - LEWISTON, NC
Bertie County
Designer's Certification
Marie U Peedin
as a duly registered
in the State of North Carolina, havirig bden
authorized to observe eriodica weekly/ full time) the construction of the
project,
WELLONS - PERDUE LEWISTON PROJECT
(Project)
W.E. PARTNERS II
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.
Note: The checklist on the following page must be included with this
Certification. Any changes or deviations from the approved plans and
specifications must be explained in detail, and may require a permit modification.
The. certification forms should be submitted to the Division of Water Quality at the
appropriate Regional office.
Signature l/
20212
Registration Number
Date
10/17/12
QCAI

Complete this checklist for each system and include with
Certification:
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 elevations are per the approved plan.
6. The bypass structure is located per the approved plans.
7. A 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. 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.

Vinson, Scott
From:
Marie Peedin [[e-mail]
Sent:
Thursday, October 18, 2012 11:32 AM
To:
Vinson, Scott
Subject:
RE: DWQ CERTIFICATION.pdf- IEWISTON WELLONS PERDUE SITE
SCOTT
I USUALLY JUST CHECK THEM OFF BUT IN THIS CASE I JUST LINED THROUGH THE LIST. EVERYTHING HAS BEEN
REVIEWED AND VERIFIED. DO YOU NEED ANY ADDITIONAL INFO.
THANKS
mliu1
En�,ineriinp�
tfviCci
Marie Peedin, PE
Pamlico Engineering Services, PLLC
252-945-2983
From: Vinson, Scott [mailto:scott.vinson(cbncdenr.gov]
Sent: Thursday, October 18, 2012 9:31 AM
To: Marie Peedin
Cc: Dumpor, Samir
Subject: RE: DWQ CERTIFICATION. pdf - IEWISTON WELLONS PERDUE SITE
Marie,
Thank you for the certification. Just to clarify, does the line drawn from items 1-14 on page 2 signify that all these
items have been reviewed and verified? Sorry for the misunderstanding, but normally these items are initialed
individually. Please let us know and thanks again,
Scott
Before printing this email, please consider your budget and the environment.
*E-mail correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to
third parties unless the content is exempt by statute or other regulation.
From: Marie Peedin[mailto:pespllc(cembargmail.com]
Sent: Wednesday, October 17, 2012 5:15 PM
To: Vinson, Scott
Cc: 'Steve Lail'
Subject: DWQ CERTIFICATION. pdf - IEWISTON WELLONS PERDUE SITE
SCOTT
The contractor has finally finished the project at the Perdue plant in Lewiston. I have attached the certification to this
email. I went there to day to ensure all items have been completed.

If you have any questions please let me know.
Marie Peedin, PE
Pamlico Engineering Services,
252-945-2983
PLLC

DWQ USE ONLY
Fee Paid
Permit Number
51,
DID
Applicable Ru J l _ 9 Meal SW -1995 ❑ Coastal SW - 2008 ❑ Ph 11- Post Construction
(select all that dp^pjy) �j jsfon-Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
Kin r WQ M mt 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
1. 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.):
W.E. Partners 2- Perdue Lewiston
2. Location of Project (street address):
City:Lewiston County:Bertie
3. Directions to project (from nearest major intersection):
From NC 11 take NC 308 west to Griffins Quarter Road
4. Latitude:36° 8' 12" N Longitude:77° 13' 34" 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: []NotStarted ❑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 stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major
®NPDES Industrial Stormwater
❑Sedimentation/Erosion Control: 5.26 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:
Form SWU-101 Version 07Jun2010 Page I of

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:W.E. Parners 11, LLC
Signing Official & Title:Garald Cottrell Member Manager
b.Contact information for person listed in item la above:
Street Address:1836 Eastchester Drive Suite 108
City:High Point State:NC Zip:27265
Mailing Address (if applicable):
State:
Phone: ( ) 360.750.3585 Fax: ( ) 360.750.3485
Email:[e-mail]
c. Please check the appropriate box. The applicant listed above is:
❑ The property owner (Skip to Contact Information, item 3a)
® Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:Perdue Farms, Inc
Signing Official & Title:Cedric Wayne Black - Director
b.Contact information for person listed in item 2a above:
Street Address:
City:Lewiston State:NC Zip:27849
Mailing Address (ifapplicable):P O Box 460
City:Lewiston-Woodville State:NC Zip:27849
Phone: (252 ) 348-4326 Fax: [phone]
Emaii:[e-mail]
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
Signing Official &
b.Contact information for person listed in item 3a above:
Mailing Add
City:
Phone: I
Fax:
Zip:
4. Local jurisdiction for building permits: Bertie County
Point of Contact: Traci White Phone #: (252 ) 794-5303
Fonn SWU-101 Version 07Jun2010 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
STORMWATER RUNOFF SHALL BE TREATED THROUGH GRASS SWALES AND INTO BIO RETENTION
FOR TSS REMOVAL
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: f `
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Roanoke River basin.
4. Total Property Area: 4.07 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+:1.07 acres
Total project area shall be calculated to exclude the following the normal pool of impounded structures, the area
between the banks of stremus and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MH[M line, and coastal wetlands landward froru the NHW (or MHWj 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 =j6e. eo Z %
9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormwater BMA. 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
Draina a Area 1
Draina e Area _
Drainage Area
Draina a Area
Receiving Stream Name
Trib of Flag Run
Gut
_
_
Stream Class
C
Stream Index Number *
2340
Total Drainage Area (so
177289.2
On -site Drainage Area (so
177289.2
Off -site Drainage Area (so
0
Proposed Impervious Area** s
110207
% Impervious Area** (total)
66- '2,
Im erviousSe Area
Drainage Area 1
Drainage Area _
Drainage Area
DrainageArea
On -site Buiots (so
12670
_
_
On -site StreOn-site
Par)
76635
On -site Sidso
7768
Other on-si
13134
Future(so
0
Off -site (so
0
Existing BUA*** (so
Total (so:
110207
.+...o,,, .. unu ...uc.t ,voinvur can oe acrentnnea at: ratty:/)yortal.ncdenr or fweMvg&s/csu/classificahons
Form SWU-101 Version 07Jun2010 Page 3 of 6

** Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
*** Report only that amount 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 B UA.
11. How was the off -site impervious area listed above determined? Provide documentation. N/A
Proiects in Union County: Contact DWQ Central Qi7ice 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-.Z_Lportal.ncdenr.oriz/web/wci/ws/su/bmi)-manual.
Vl. 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 fromht!p://portal.ncdenr.org/web/wq/ws/su/statesw/forms does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at httLi://portal.ticdenr.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 h!W://portal.ncdonr.org/web/wq/ws/su/statcsw/forms does.
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
h!W://www.envhelp.orjl/pages/onestopexpress.htmI for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
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 1/2
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.9' 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 NI-IW) of tidal waters.
L 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.
EN
Form SWU-101 Version 07Jun2010 Page 4 of

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
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 SHWP prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 790 Page No:139
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC ^
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 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.
http://www.secretary.state.nc.us/Corr)orations/CSearch.aspx
VIL 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://12ortal.ncdenr.org/web/wq/ws/su/statesw/forms dots. 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:Marie Peedin, PE
Consulting Firm: Pamlico Enjtmeering Services PLLC
Mailing Address:128 Abbey Lane
City: Washington
Phone [phone]
Eniail:[e-mail]
State:NC Zip:27889
Fax: [phone]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled ont, complete this
section)
I, (print or hjpe name of person listed in Contact Information, item 2a) Cedric Wayne Black 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, items la) Gerald Cottrell with (print or hype name of organization listed in
Contact Information, item la) W E Partners 17 LLC 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 07Jun2010 Page 5 of

X
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: oi� �� Date: f 1' fS - '?0/0
I, YlU flj f) £ Fife mm V&'1 a /N�ota�ry Public for the State
/ooffm
1�or�t 11 J l, n G, County of
of 22(bk . do hereby certify that L.C.QP ic— ula t JClC � personally appeared
before me this 16 day of Dean, 14pr l 6 and acknowledge the due exe ' I IF the application for
a stormwater permit. Witness my hand and official seal, f E d Cam'
X. APPLICANT'S CERTIFICATION
SEAL
My commission expires 5"e0\eYI'l10flr i , aC)13
I, (print or type name of person listed in Contact Information, item la) Garmld Cottrell
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 th oposed project complies with the requirements of the
applicable stormwater rules under 155,4 NCA .1000 L 2006-246 (Ph. II - Post Construction) or SL 2008-211.
Signature:
7--- Date: I,7//311P
I, /� _ J /� y� t S T•J , a Notary Public for the State of A10A711 (-4CA4'-','countyof
(DCAA4—'�iAJ> do hereby certify that Co � . L-- personally appeared
before me this 13 day of 11) C L 2 lc-, and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal, p-P J
j
VL"-Z�iA5,
OFFICIAL SEAL
Notary Public, North Carolina
COUNTY OF GUILFORD
D. BRYAN�9UST)N
Jay Commission Expires 1 "/ Z'f /L 104
SEAL
My commission expires
Form SWU-101 Version 07Jun2010 Page 6 of 6

STORMWATER SUBMITTAL REQUIREMENTS
INFILTRATION/EXFILTRATION SYSTEMS
Basins and Trench
Objective
A. Collect all runoff from all BUA (proposed and/or existing and/or offsite) as the case may be,
by any means including piping or swales, and direct it to the infiltration system.
B. Check the proposed basin/ trench design to make sure it meets or exceeds the minimum
design criteria for design storm, volume and drawdown.
II. What makes up a complete infiltration basin / trench application package?
A. Two sets of sealed, signed & dated layout & grading plans with appropriate details.
B. Completed application with supplement(s), SWU-101, SW401-Infiltration Trench, SW401-
Infiltration Basin, and inspection and maintenance agreements.
C. Deed restriction document, if applicable. (subdivisions & projects with out parcels)
D. Sealed, signed & dated calculations.
E. A soils report containing information in regard to the soil type, boring locations, seasonal high
Water table elevation and expected infiltration rate.
F. Chlorides test results must be provided if the project is within ''/z mile of SR waters (Phase 11).
(This is only required to test out of SR water treatment requirements)
III. BIMS entry (for DWQ use only)
Enter & track application acknowledged date, review date, add info requested/received dates, permit
issue dates, and drainage area info. Best done after the add info letter is written and before sending
permit up for signature.
IV. Shell documents (for DWQ use only)
Permit shells: s:\wqs\stormwater\shell\shighcominbasin
S:\wqs\stormwater\shells\highcomintrench
s:\wqs\stormwater\sHells\highsubi6basin
s:\wqs\stormwater\shells\highsubintrench
Calculations: s:\wqs\stormwater\excel spreadsheets\inbasin
s:\wqs\stormwater\excel spread sheets\intrench
V. Review Procedure- look for consistency between the various elements of the package- application,
plan and calculations.
A. APPjJCATION
1. V Original signatures are required. Photocopied signatures cannot be accepted.
2.✓ A completed infiltration basin or infiltration trench supplement, one for each proposed
system. A signed, dated and notarized Inspection and Maintenance Agreement for
each proposed system with an original signature.
3. The elevations, areas and volumes reported on the supplement match up to the
numbers used in the calculations and shown on the plan details.
4. ✓Built -upon areas are reported in square feet in Section 111.6.
c_.1,tjA_ 5. ✓ eceiving stream name and classification.
6. Section 111.6 is filled in -cannot be left blank. One column must be filled in for each
proposed infiltration basin or trench.
TV If the applicant is a corporation, partnership or LLC, look it up on the Secretary of State
Corporations Database. Make sure corporation is spelled correctly (capitalization and
punctuation matter) and that the person signing the application is at least a vice-
president in the corporation, a General Partner in the partnership, a member in a
member -managed LLC, or the manager of a manager -managed LLC. Need
documentation to support if the Articles of Incorporation do not list the members or
managers of the LLC. If an agent signs, then a letter of authorization is needed from the
eesident, vice president, general partner, member or manager.
8.r subdivided projects, a signed and notarized deed restriction statement must be
provided.
9. f Soils report with the SHWT, Soil type and expected infiltration rate.

Infiltration Basin & Trench, cont.
B. CALCULATIONS
1. The basin or trench must draw down within 5 days. Spray irrigation is not acceptable as
the sole means of drawdown.
2. The design storm is 1.5" if the project is subject to Phase 11 or is sited within '/z mile of
and draining to SA waters. The design storm for projects subject to Phase II sited
within '% mile of and draining to SR waters must treat the difference between the pre
and post development conditions for the 1-yr 24-hr storm. Otherwise, use 1" design
storm.
3. Report the bottom surface area.
4. Report the surface area at the overflow elevation.
5. Show the calculation for the minimum required volume.
6. Provide a table of elevations, areas, incremental volumes and accumulated volumes to
demonstrate that the minimum required volume has been provided.
7. Calculations are signed, sealed & dated.
8. Report the Drainage Area and Built -upon area for each basin or trench.
9. The seasonal high water table must be at least 24" below the proposed bottom
elevation of the system. For Phase II projects, at least 12" of this must be in naturally
occurring soils.
10. All runoff in excess of the design storm must bypass to a vegetated filter prior to
entering the basin or trench. If the system is designed to store a larger design storm
(generally 2-3 times the minimum), the requirement for an offline bypass can be waived.
Please contact the Division to determine what design storm is appropriate for the
project.
�12.L , /
`%

Infiltration Basin & Trench, cont.
C. PLANS - Plan sheets should be kept to a minimum. For small commercial single basin
projects, the plan set could consist of only 2 or 3 sheets, layout, grading and details. For
larger projects, show as much information as possible on as few sheets as possible, without
cluttering them up.
1. 1( Development/Project Name
2. j,Engineer name and firm.
3. VLegend
4. VNorth Arrow
5. VLocation Map with nearest intersection of two major roads shown. Major road is any 1,
2, or 3 digit NC, US or interstate highway.
6. Scale- standard engineering scale, no off-the-wall stuff.
7. 'Date
8. Revision number and date, if applicable.
9. VOriginal contours, proposed contours, spot elevations, finished floor elevations, pipe
10.V)nverts, swale inverts, etc.
Existing drainage (piping, swales, ditches, ponds, etc.), including off -site. Include a map
delineating the offsite drainage areas.
11.v Property/Project boundary lines, bearing & distances.
12W can High Water Line or Normal High Water Line, if applicable.
13f%Drainage easement locations shown on the plans along with their width.
ij 14.✓Wetlands delineated, or a note on the plans that none exist. Provide a copy of the
wetlands delineation map signed by the Corps of Engineers, or have the applicant
include a copy of the unsigned delineation map submitted to the Corps. Infiltration
systems may not be located in wetlands unless a permit to fill those wetlands has been
2 obtained and the soils meet the SHWT and hydraulic conductivity requirements.
15. Details for the roads, parking, cul-de-sacs, including sidewalk width, radii, dimensions &
slopes.
16gApartment / Condo development- provide a typical building footprint with dimensions,
and note all concrete and wood deck areas.
17V The drainage area for each basin or trench is clearly delineated and numbered to match
up to the calculations and supplement. Drainage area delineation is best done as a
separate plan sheet.
18 ✓A basin section detail showing bottom and storage elevations, 3:1 side slopes. The side
slopes of an infiltration basin are not restricted to vegetation. They may be hardened
with rock, timber, concrete, decorative brick, etc.
1 * A trench section detail with the perforated pipe diameter, filter fabric wrapped around
the pipe and around the trench, trench height and width, rock fill type.
2q)O-lflusing a pre-fab chamber structure, provide details of the chamber, including model #,
gth, width, chamber volume and number of chambers being used.
21 bypass structure detail is provided showing a trash rack with <_6" square openings,
and the necessary bypass weir or pipe elevation. Several types of bypass structure
2* designs are acceptable.
22 ?imensions for each line and arc formed by the bottom contour of an infiltration basin.
23. All runoff in excess of the design storm must pass through a vegetated filter prior to
being discharged into the receiving stream. The filter. must be 50' long for SA waters
and 30' long for non -SA waters.
24. All infiltration systems must be located at least 50' from the MHW line of surface waters.
25. Vegetation is specified for basin slopes not being hardened. Weeping Love Grass is not
suitable as a permanent vegetated cover for side slopes.
26. All roof drainage must be directed to the system. Show the roof drain collection piping
on the plans. This is especially necessary for projects where the buildings back up the
property lines where roof drainage may leave the site prior to going through the system.
27. Monitoring wells may be required on a case -by -case basis.
`lT Ak c,,Q S
— -DeAG A '

!JAN - 3 2010 Permit Number:
(to be provided by DB'Q)
_WC ®ENR Drainage Area Number:
ioretention Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if.needed until the plants become established (commonly six
weeks)-
- Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will be taken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month and within 24
hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblems:
How I will remediate theproblem:
The entire BMP
Trash/debris is resent.
Remove the trash/debris.
The perimeter of the
bioretention cell
Areas of bare soil and/or
erosive gullies have formed.
Regrade the soil if necessary to
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertili2 a lication.
The inlet device: pipe,
stone verge or swale
The pipe is clogged (if
a Iicable .
Unclog the pipe. Dispose of the
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
a Iicable .
Erosion is occurring in the
swale (if applicable).
Regrade the swale if necessary to
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future roblems with erosion.
Stone verge is clogged or
covered in sediment (if
Remove sediment and clogged
stone and replace with clean stone.
a Iicable .
Form SW401-Bioretention O&M-Rev.3 Page I of 4

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

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

Permit Number:
(m 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. 1 agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:W E Partners 2 Lewiston
BMP drainage area number: I
Print name: Garald Cottrell
Title:Member Manager
Address: 1836 Eastchester Drive Suite 108
Note: The legally responsible party should not be a homeowners association unless more than 50%of
the lots have been sold and a resident of the subdivision has been named the president.
1, -NXB1� e)r-ct Ems- w r, r-(JS f( , a ,Notary Public for the State of
Noc� CQ 4t—A County of Ne A do hereby certify that
G ®Te),\ A CO J T"e-\\ personally appeared before me this I S th
day of�l eCP,r --e Qoln , and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
OWAR "'.
Oar
Of
MV
"�ORD1 to,G%�
SEAL
My commission expires_ �A! 3 0g17 6
Form SW401-Bioretention 1&M-Rev. 2 Page 4 of 4

(to be assigned by DWQ)
III. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package
will result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided
to indicate the 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
Initi Sheet No.
i
1. Plans (1' - 5r7 or larger) of the entire site showing:
- Design at ultimate build -out
- Off -site drainage (d applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
-Cetreatm EXPRESS
ntsy
-Pretreatment system,
- High flow bypass system, JAN _ 3 2U'iJ
- Maintenance access,
- Recorded drainage easement and public right of way (ROW),
-Cleanoutpipelocations, SIC ®ENE
- Overflow device, and
- Boundaries of drainage easement
2. Plan details (1' = 30' or larger) for the bioretention cell stowing:
-Cell dimensions
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Recorded drainage easement and public right of way (ROW),
- Design at ultimate build -out,
- Off-sde drainage (if applicable),
- Clean out pipe locations,
Overflow device, and
-Boundaries of drainage easement.
- Indicate the P-Index between 10 and 30
DcA-1
3. Section view of the bioretention cell (1' = 20' or lager) showing:
- Side slopes, 3:1 or lower
- Underdrain system (if applicable), and
- Bioretention cell layers (ground level and slope, pre-treatment ponding depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone it applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure]
4. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWO, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information. All
elevations shall be in feet mean sea level (fmsl). Results of soils tests of both the planting soil and the in
situ soil must include:
- Soil permeability,
- Soil composition (%sand, %fines, % organic), and
- P-index.
5. A detailed planting plan (1' = 29 or lager) Prepared by a qualified individual showing:
-A variety of suitable species,
�' -
- Sizes, spacing and locations of plantings, (�Ik'P�s'S
- Total quantity of each type of plant specified,
- A planting detail,
- The source nursery for the plants, and
- Fertilizer and watering requirements to establish vegetation.
CCU
6. A construction sequence that shows how the hioetention cell will be protected from sediment unfit the
entire drainage area is stabilized.
7. The supporting calculations (including underdrain calculations, if applicable).
B. A the inspection
copy of signed and notarized and maintenance (ISM) agreement.
9. A copy of the deed restriction. P [N-
Form SW401-Bioretention-Rev.7 Part III, Page 1 of 1