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HomeMy WebLinkAboutSW7130405_CURRENT PERMIT_20130628STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SWjz�� DOC TYPE CURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE YYYYMMDD 'fir NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Pat McCrory Thomas A. Reeder John E. Skvarla, III Governor Acting Director Secretary June 28, 2013 Mr. Barnes Boykin, VP/Secretary Eastern Pride, Inc. 2405-F Nash Street Wilson, NC 27896 Subject: Stormwater Permit No. SW7130405 Family Dollar Store - Bath High Density Commercial - Constructed Wetland Beaufort County Dear Mr. Boykin: The Washington Regional Office received a complete Stormwater Management Permit Application for Family Dollar Store in Bath on June 7,-2013. 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. SW7130405 dated June 28, 2013, for the construction of the subject project. This permit shall be effective from the date of issuance until June 28, 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, INC 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 Scott Vinson at (252) 946-6481. Sincerely, Thomas A. Reeder AH/ sv: K:\WQS\STORMWATER\PERMIT\SW7130405 cc: Marie Peedin, Pamlico Engineering Services, PLLC Beaufort County Planning �/(Nashington Regional Office North Carolina Division of Water Quality 943 Washington Square Mall One Washington, North Carolina 27889 NOIthCarolina Phone: 252-946-64811 FAX: 252-946-9215n/ Internet: www.nmateualitv.om (/ y %tu`Nal/y An Equal Opportunity 1 Aff native Action Employer State Stormwater Management Systems Permit No. SW7130405 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 Eastern Pride, Inc. Family Dollar Store - Bath On NC 92 in Bath, Beaufort County FOR THE construction, operation and maintenance of a constructed wetland in compliance with the provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and the approved stormwater management plans and specifications and other supporting data as attached and on file with and approved by the Division of Water Quality and considered a part of this permit. This permit shall be effective from the date of issuance until June 28, 2021, and shall be subject to the following specified conditions and limitations: I. DESIGN STANDARDS This permit is effective only with respect to the nature and volume of stormwater described in the application and other supporting data. This stormwater system has been approved for the management of stormwater runoff as described in Section 1.7 of this permit. The stormwater controls have been designed to handle the runoff from 34,582 square feet of impervious area. 3. The tract will be limited to the amount of built -upon area indicated in Section I. of this permit, and per approved plans and specifications. 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. SW7130405 7. The following design criteria have been provided in the constructed wetlands and must be maintained at design condition: a. Drainage Area, ft2: 74,357 b. Total Impervious Surfaces, ft2: 34,582 C. Design Storm, inches: 1.50 d. Permanent Pool (PP)Elevation, FMSL: 8.00 e. Shallow Water (PP) Surface Area, ft2: 1,927 f. Temporary Pool (TP) Elevation, FfVJ�SL: 9.00 g. Shallow Land (TP) Surface �rea, ft : 1,600 h. Required Storage Volume, N: 4,355 i. Provided Storage Volume, ft : 4,695 j. Controlling Orifice: 1.13"0 pipes k. Receiving Stream/River Basin: Back Creek / Tar -Pamlico I. Stream Index Number: 29-19-9-(2) M. Classification of Water Body: "SB; NSW" II. SCHEDULE OF COMPLIANCE 1. The stormwater management system shall be constructed in its entirety, vegetated and operational for its intended use prior to the construction of any built -upon surface. 2. During construction, erosion shall be kept to a minimum and any eroded areas of the system will be repaired immediately. 3. The permittee shall at all time provide the operation and maintenance necessary to assure the permitted stormwater system functions at optimum efficiency. The approved Operation and Maintenance Plan must be followed in its entirety and maintenance must occur at the scheduled intervals including, but not limited to: a. Semiannual scheduled inspections (every 6 months). b. Sediment removal. C. Mowin.9 and re -vegetation of slopes and the vegetated filter strip. d. Immediate repair of eroded areas. e. Maintenance of all slopes in accordance with approved plans and specifications. f. Debris removal and unclogging of outlet structure, orifice device, level spreader, filter strip, catch basins and piping. g. Access to the outlet structure must be available at all times. 4. Records of maintenance activities must be kept for each permitted BMP. The records will indicate the date, activity, name of person performing the work and what actions were taken. 5. Access to the stormwater facilities shall be maintained via appropriate easements at all times. 6. Decorative spray fountains will not be allowed in the stormwater treatment system. 7. The facilities shall be constructed as shown on the approved plans. This permit shall become void unless the facilities are constructed in accordance with the conditions of this permit, the approved plans and specifications, and other supporting data. Page 3 of 7 State Stormwater Management Systems Permit No. SW7130405 8. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to operation of this permitted facility, a certification must be received from an appropriate designer for the system installed certifying that the permitted facility has been installed in accordance with this permit, the approved plans and specifications, and other supporting documentation. Any deviations from the approved plans and specifications must be noted on the Certification. A modification may be required for those deviations. 9. If the stormwater system was used as an Erosion Control device, it must be restored to design condition prior to operation as a stormwater treatment device, and prior to occupancy of the facility. 10. The permittee shall submit to the Director and shall have received approval for revised plans, specifications, and calculations prior to construction, for any modification to the approved plans, including, but not limited to, those listed below: a. Any revision to any item shown on the approved plans, including the stormwater management measures, built -upon area, details, etc. b. Project name change. C. Transfer of ownership. d. Redesign or addition to the approved amount of built -upon area or to the drainage area. e. Further subdivision, acquisition, lease or sale of all or part of the project area. The project area is defined as all property owned by the permittee, for which Sedimentation and Erosion Control Plan approval or a CAMA Major permit was sought. f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan. 11. The Director may notify the permittee when the permitted site does not meet one or more of the minimum requirements of the permit. Within the time frame specified in the notice, the permittee shall submit a written time schedule to the Director for modifying the site to meet minimum requirements. The permittee shall provide copies of revised plans and certification in writing to the Director that the changes have been made. 12. The permiittee shall submit final site layout and grading plans for any permitted future areas shown on the approved plans, prior to construction. 13. A copy of the approved plans and specifications shall be maintained on file by the Permittee at all times. III. GENERAL CONDITIONS This permit is not transferable except after notice to and approval by the Director. In the event of a change of ownership, or a name change, the permittee must submit a completed Name/Ownership Change form, to the Division of Water Quality, signed by both parties, and accompanied by supporting documentation as listed on page 2 of the form. The project must be in good standing with the Division. The approval of this request will be considered on its merits and may or may not be approved. 2. The permittee is responsible for compliance with all permit conditions until such time as the Division approves the transfer request. 3. Failure to abide by the conditions and limitations contained in this permit may 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. Page 4 of 7 State Stormwater Management Systems Permit No. SW7130405 4. The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules, regulations, or ordinances, which may be imposed by other government agencies (local, state, and federal) having jurisdiction. 5. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Permittee shall take immediate corrective action, including those as may be required by this Division, such as the construction of additional or replacement stormwater management systems. 6. The permittee grants DENR Staff permission to enter the property during normal business hours for the purpose of inspecting all components of the permitted stormwater management facility. 7. The permit issued shall continue in force and effect until revoked or terminated. The permit may be modified, revoked and reissued or terminated for cause. The filing of a request for a permit modification, revocation and re -issuance or termination does not stay any permit condition. 8. Unless specified elsewhere, permanent seeding requirements for the stormwater control must follow the guidelines established in the North Carolina Erosion and Sediment Control Planning and Design Manual. 9. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit. 10. The issuance of this permit does not prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules and regulations contained in Session Law 2008- 211, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al. 11. The permittee shall notify the Division of any name, ownership or mailing address changes at least 30 days prior to making such changes. 12. This permit shall be effective from the date of issuance until June 28, 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 28`h day of June, 2013. NORT 7CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION ,64 i��� �� for Thotfias A. Re er,-Acting Director Division of W r Quality By Authority of the Environmental Management Commission Stormwater Permit No. SW7130405 Page 5 of 7 State Stormwater Management Systems Permit No. SW7130405 Family Dollar Store - Bath Stormwater Permit No. SW7130405 Beaufort County Designer's Certification I, , as a duly registered in the State of North Carolina, having been authorized to observe (periodically/ weekly/ full time) the construction of the project, (Project) for (Project Owner) hereby state that, to the best of my abilities, due care and diligence was used in the observation of the project construction such that the construction was observed to be built within substantial compliance and intent of the approved plans and specifications. The checklist of items on page 2 of this form is included in the Certification. Noted deviations from approved plans and specification: Signature Registration Number Date SEAL Page 6 of 7 State Stormwater Management Systems Permit No. SW7130405 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. cc: NCDENR-DWQ Washington Regional Office Beaufort County Planning / Building Inspections Page 7 of 7 ' � DWQ USE ONLY Date Received Fee Paid Permit Number 3 3 6' - Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction (select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan ❑ Other WQ MEnt Plan: L State of North Carolina �p ';� Department of Environment and Natural Resources C S.� __, ! N, Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORMPR - 3 2013 This form may be photocopied for use as an original y y I. GENERAL INFORMATION UV�t-c��I�RO 1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans, O specifications, letters, operation and maintenance agreements, etc.): I� Bath- Family Dollar 2. Location of Project (street address): NC 92 428' NW of NCSR 1913 and NC 92 City:Bath County:Beaufort Zip:27808 3. Directions to project (from nearest major intersection): Property is located 428' north west of the intersection of NC 92 and NCSR 1913 4. Latitude:35° 28' 30" N Longitude:76° 48' 24" W of the main entrance to the project. IL PERMIT INFORMATION: 1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt tRenewals with modifications also requires SWU-102 - Renewal Application Form 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 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:1.70 ac of Disturbed Area ❑404/401 Permit: Proposed Impacts b.If any of these permits have already been acquired issue date and the type of each permitTar Pam Bu provide the Project Name, Project/Permit Number, 5. Is the project located within 5 miles of a public airport? ®No ❑Yes If yes, see S.L. 2012-200, Part VI: httl2://12ortal.ncdenr.org/web/wq/ws/su/statesw/`rules laws Form SWU-101 Version 06Aug2012 Page 1 of i\, . rf 1.� :, rf. I ,..,.. R r'.: _� it � , . � •I - r .. .. r ' •1! yta j,1. ..-. `11 "5 L n. '�/'7`al•/!' i .' .. f::1 ✓� .. l a . 1 r Al -.. .. 'f, ,•I 1 . 1...'rJnr :. !r a r,' � .,., r,'] -. 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 oroiect): Applicant/Organization:Eastern Pride, Inc. Signing Official & Title:Barnes Boykin Vice President/ Secretary b. Contact information for person listed in item 1a above: Street Address:2405-F Nash Street City:Wilson State:NC Zip:278% Mailing Address (if applicable): State: Zip: Phone: (252 ) 23040632 Fax: 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: Margaret A. Midgette Signing Official & Title: Margaret A. Midgette b. Contact information for person listed in item 2a above Street Address:P O Box 154 City:Bath State:NC Zip:27808 Mailing Address (if applicable): Phone: State: 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: Signing Official & Title: b. Contact information for person listed in item 3a above: Mailing City:_ Phone: State: Fax: ( ) 4. Local jurisdiction for building permits: Beaufort co Point of Contact: Brandon Hayes Phone #: (252 ) 946-7182 Form SWU-101 Version 06Aug2012 Page 2 of �./.. , � C� ,r 1. • r r Sri _. ., rf, ' IV. PROJECT INFORMATION 1. In the space provided below, brift summarize how the stormwaber runoff will be treated. 2. a. If claiming vested rights, identify the supporting documents provided and the date were a Approval of a Site Specific Development Plan or PIID Approval Date:y pproved Valid Building Permit ❑ Other: Issued Date: babe: b.If claiming vested rights, identify the regulation(s) the project has been designed ❑ Coastal SW -1995 El Ph li - Post Construction n� accordancewith 3. Stormwater runoff from this project drains to the Tar Pam River basin 4. Total Property Area:1.7 acres 5. Total Coastal Wetlands Area: 0 6. Total Surface Water Area: 0 acres 7. Total Pro Pg= (4)a T�°ta(Coastal Wetlands Area (5) -Total Surface Water Area (6) =Total Project Area*:1.7 Total project area shall be calerdaw to erdude the between the banks o streams and Fo ng. the rrornud pool r Haled structures the area (MHIM fine, and ca sta! ran ��, the area below the Normal Hi h Water (� line or Mean High Water calculate overall Hands �—aard from the NHW (or MHf� lire. 77re resultant proieet area is used to be included in the t project � a BLCA). Non -coastal wetlands hrndward of the NHW (or MH[M line may 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 46.51 9. How many drainage areas does the 10. starmwater BMP. For low densi andProlect have7l (For high density, count 1 for each ty other projects, use 1 for the whale property area)Complete the lid ��td are more than four d ulna oareas ption for each drainage area identified in Project Information item 9. If there provided in the same format as below. Project, attach an additional sheet with the information for each area - -, " .' o arc. - - o. _»• ••�....... M, ro, ouuaings roads, Parking areas, Form SWU-101 Version 06Aug2012 Page 3 of 6 Report only that mnount 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. Protects in Union County: Contact DWQ Central Office staff to check ifthe project is located within a Threatened & Endangered Species watershed that may be subject to more stringent stormwater requirements as per 15A NCAC 02B .0600. V. SUPPLEMENT AND O&M FORMS The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded from http://portal.ncdenr.org/web/wq/ws/su/bmp-manual. VI. SUBMITTAL REQUIREMENTS Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ). A complete package includes all of the items listed below. A detailed application instruction sheet and BMP checklistsareavailablefromhttp://portal.ncdenr.org/web/wq/ws/su/`statesw/forms does. Thecomplete application package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating project on the interactive online map at http:/ /portal.ncdenr.org/web/wq/ws/su/maps.) Please indicate that the following required information have been provided by initialing in the space provided for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions for each submitted application package from http://portal.ncdenr.org/web/wu/ws/su/statesw/forms doss. 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 —4 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 http://www.envhein org/nages/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 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 1/2 mile of the site boundary, include the lh mile radius on the map. 7. Sealed, signed and dated calculations (one copy). 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. I. Details of roads, drainage features, collection systems, and stormwater control measures. m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a qualified person. Provide documentation of qualifications and identify the person who made the determination on the plans. n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations. o. Drainage areas delineated (included in the main set of plans, not as a separate document). p. Vegetated buffers (where required). for Form SWU-101 Version 06Aug2012 Page 4 of 6 o ,' 1'' . '1�•.. ._ '{i P.' !r � 1 r _ 1 _ 1, - ll' ij 'l'!r' pt jk Cir f .l:. �,� � ,..%, q,.. .r _.. 1; i IY,•d n.lA r -Ilr _ , _- .. i r i. 'I'. � ,. Jp .0 r •'r 1 � rl r{,, .11 „i i .. �I. J riJ'.•r ''fin,. .rl'_ .. r.•,I. { J•� ;♦. .. i�1' "... �..� P' 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"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 WiROt Schedule a site visit for DWQ to verify the SHWT prior to submittal, (910) 796-7378.) 10. A copy of the most current property deed. Deed book: 837 Page No: 797 11. For corporations and limited liability corporations (LLC): Provide documentation from the NC Secretary of State or other official documentation, which supports the titles and positions held by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A 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. ht!p://www.secretaEy.state.nc.us/CoEporations/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 h2R://gortal.ncdenr.org/web/wg/ws/su/statesw/forms does. 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. VIIL 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 U. Peedin Consulting Firm: Pamlico Engineering Services, PLLC Mailing Address:128 Abbey Lane City:Washington State:NC Zip:27889 Phone: (252 ) 945-2983 Fax: (252 ) 974-7618 Email:mMdin@pamlicoen%tinecrinjZservices.com tX PROPERTY OWNER AUTHORIZATION (if Contact information, item 2 has been filled out, complete this section) I, (print or hjpe name of person listed in Contact Information, item 2a) Margaret A. Midgette , 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) Barnes Boykin with (print or type name of organization listed in Contact Information, item la) Eastern pride, Inc to develop the project as currently proposed. A copy of the lease agreement or pending property sales contract has been provided with the submittal, which indicates the party responsible for the operation and maintenance of the stormwater system. Form SWU-101 Version 06Aug2012 Page 5 of •i1. 1•a !� I�� 16 ll: I .. r. yIr �.I .r'1 '' /:,. r ... .. ,1 r - 1 I: . 1. 1 r r "r l .... . ♦ I I r. . i M1 l i "I � r F 1 1 > • .. - • ' ..1 •J,. .. - 't: ,It, ri.. r)'I' .. .r�l .,� Ir. '�' 1I ..( 1 1. 'f!. .r. ,�LI' . .i r_.:+"'. . . r4L .... ..'7. r :).-'�a .. ,trf 1 Ih} . V'{'•/ 1 ,L",r. •.. L' r ,r rr 1, �d .'Ityj �.1 � rr r r. I "Ir•. , 'I• r,l fl "1. .. I . •! •. �. ,.. - .'111h.d'. • : '1 ., ii r r r 1' , "' In r r! r .1 1 r r r ),' ili. 'f,• 'I' r r ' r. ,. . 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 E)wQ Stonnwatu 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 Mrmwater treatment facility out a valid permit. 1 understand that the operation of a siDrmwater 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�u�p" to$25,O00 perr day, pursuant to NCGS 143-215.6. Signature: ' V \G ,ra Qn. �Q Y V�>�l a H' l) Dot,. 1 L �v • Kj— C--O C . a Notary Public for the State of _ ��r L' Ck- 6( ' Cmm of ty do hereby certify that h1 l C zA N1 k�uCrhFe personally appeal before me this day of C m 12UL end Inowledge the de a eraecution of the application for a stormwater permit Witness my hand and official seal, t 1 AMY W. CORDON Notary Pu6lie Beaufort County North Carolina Commission Expire$ Jan 28, 2015 x APPLICAWS CEERT'IFICAMM SEAL My commiuion enepires .� ��1. a�� , 0IS L (print or fW name ojperson Listed in Contact Inprrrudiem, item 1aj !lames 1lmrldrt certify that the information included on this permit application form is, to the best of my know)edge, correct and Ow t 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 Hiles under 15A NCAC 2H .1000 and any other applicable state stormwater requirements. y� ate: k m13 Pubbttc for . �luf 1LW4h oL ,,_County or e stormwaaer Permit Witness my hand and official seal, SEAL tA,�— — Ply appeared due emcution of the application for Im- My commission exPtres r c2 a G l Form SWU-101 Version O6Aug2Ol2 Page 6 of6 r 1 rl If ,it F I � �..rd].+Cb•9...ih./iari.d'iarSv�.S..e®...L..L)n.r 9ilnc? yltltol1 f SpdC)S:.)tt: ;C:i 5 ttOS ,uS mo. esv;;x9 nalaz•minil:1 YM ' 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 $75,000 per day, pursuant to NCGS 143-215.6. a Notary Public for the State of do hereby certify County of personally appeared before me this _ day of , and acknowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, ,::>' "— i_-tom✓ �.,.'� ar;=y SEAL APR 1 1 2013 A1-43 My commission expires- X. APPLICANT'S CERTIFICATION 1, (print or type name of person listed in Contact Infonnation, item 1a) Barnes Bonkin 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 record d, and that the proposed project complies with the requirements of the applicable stormwater rules under 15 CAC 2H .1000 and any other applicable state stormwater requirements. Signature: Date: I 1, 111Q (i Sba S ��5 a Notary Public for the State of kko'Vn. C play. . County of Wit -'an do hereby certify that IJof n'e5 &'4' ;n personally appeared before me this L day of Aj%1 2013 . and acknowledge the due ,�execution of the application for a stormwater permit. Witness my hand and official seal, `�Yl�� SQ' TY 11 SEAL My commission expires (01 2O11 Form SWU-101 Version 06Aug2012 Page 6 of ®�� y�OF W A TF,9OG NCDENR STORMWATER MANAGEMENT PERMIT APPLICATION FORM 401 CERTIFICATION APPLICATION FORM WETLAND SUPPLEMENT This form must be tilled out, printed and submitted. The Required Items Checklist (Part III) must be printed, filled out and submitted along with all the required information. Project name Contact name Phone number Date Drainage area number BATH FAMILY DOLLAR MARIE U PEEDIN 252-945-2983 April 1, 2013 1 Ill. IDESIGN INFORMATION Site Charactedstics Drainage area 74,356.90 itz Impervious area 34,582.00 it' F 14` , E D Percent impervious 46.5% % `8" Design rainfall depth 1.50 inch Peak Flow Calculations APR - 3 2013 1-yr, 24-hr rainfall depth 3.25 in 1-yr, 24-hr intensity Pre -development 1-yr, 24-hr runoff 0.14 in/hr 0.05 ft3/sec 'v�e• �jx�VAR® Post -development 1-yr, 24-hr runoff 0.09 ft3 /sec Pre/Post 1-yr, 24-hr peak control 0.04 ft3/sec Storage Volume: Non -SA Waters Minimum required volume 4,354.53 ff3 Volume provided (temporary pool volume) 4,695.00 ft3 OK Storage Volume: SA Waters Parameters 1.5" runoff volume ft3 Pre -development 1-yr, 24-hr runoff volume ft3 Post -development 1-yr, 24-hr runoff volume 113 Minimum volume required ft3 Volume provided rya Outlet Design Depth of temporary pool/ponding depth (DR,,t) 12.00 in OK Drawdown time 2.00 days OK Diameter of orifice 1.13 in Drawdown orifice diameter may be insufficient. Please provide adequate supporting calculations. Coefficient of discharge (CD) used in orifice diameter 0.60 (unitless) calculation Driving head (Ho) used in the orifice diameter calculation 1.50 it OK Form SW401-Wetland-Rev.6-11116109 Parts I and II. Project Design Summary, Page 1 of 3 - 1 11.. ,. !1 - I'.. .. .- ...� �1. •i ..... Jr 't' 1i1 ,«..; - 1 r•,rr :v 3PE.1C7' rt _ i1 Irk 1 Surface Areas of Wetland Zones Surface Area of Entire Wetland 4,695.00 a OK Shallow Land 1,600.00 ftz OK The shallow land percentage is: 34% % Shallow Water 1,927.00 ft2 OK The shallow water percentage is: 41% % Deep Pool Forebay portion of deep pool (pretreatment) 588.00 ftz OK The forebay surface area percentage is: 13% % Non-forebay portion of deep pool 580.00 fe OK The non-forebay deep pool surface area percentage is: 12% % Total of wetland zone areas 4,695.00 ftz OK Add or subtract the following area from the zones 0.00 ff' Topographic Zone Elevations Temporary Pool Elevation (TPE) Shallow Land (top) 9.00 It amsl Permanent Pool Elevation (PPE) Shallow Water/Deep Pool (top) 8.00 it amsl Shallow Water bottom 7.50 it amsl Most shallow point of deep pool's bottom 6.00 ft amsl Deepest point of deep pool's bottom 5.00 ft amsl Design must meet one of the following two options: This design meets Option #1, y (Y or N) Top of PPE is within 6" of SHWT, If yes: SHAFT (Seasonally High Water Table) 8.00 ft amst OK This design meets Option #2, n (Y or N) Wetland has liner with permeability < 0.01 in/hr, If yes: Depth of topsoil above impermeable liner in Topographic Zone Depths Temporary Pool Shallow Land 12.00 in OK Permanent Pool Shallow Water 6.00 in OK Deep Pool (shallowest) 24.00 in OK Deep Pool (deepest) 36.00 in OK Planting Plan Are cattails included in the planting plan? n (Y or N) OK Number of Plants recommended in Shallow Water Area: Herbaceous Wcubic-inch container) 500 Number of Plants recommended in Shallow Land Area: Herbaceous Wcubic-inch container), OR 400 Shrubs (1 gallon or larger), OR 64 Trees (3 gallon or larger) and Herbaceous (4+ cubic -inch) 8 and 320 Number of Plants provided in Shallow Water Area: Herbaceous (4'cubic-inch container) 500 OK Number of Plants provided in Shallow Land Area: Herbaceous Wcubic-inch container) 400 OK Shrubs (1 gallon or larger) 64 OK Trees (3 gallon or larger) and 0 More required if not planting herb. and/or shrubs. Grass -like Herbaceous (4+ cubic -inch) 0 More recommended if planting trees. Form SW401-WeUand-Rev.6-11116109 Parts I and II. Project Design Summary, Page 2 of 3 rr r _ ..ur fi I . aIp,'rl,,. Additional Information Can the design volume be contained? Does project drain to SA waters? If yes, What is the length of the vegetated filter? Are calculations for supporting the design volume provided in the application? Is BMP sized to handle all runoff from ultimate build -out? Is the BMP located in a recorded drainage easement with a recorded access easement to a public Right of Way (ROW)? The length to width ratio is: Approximate wetland length Approximate wetland width y (YorN) n (Y or N) It y (YorN) y (Y or N) y (Y or N) 11.87 :1 184.00 ft 15.50 ft Approximate surface area using length and width provided 2,852.00 itz Will the wetland be stabilized within 14 days of construction? y (Y or N) OK Excess volume must pass through filter. OK OK OK OK This approx. surface area is within this number of square feet of the entire wetland surface area reported above: OK Forth SW401-Wetland-Rev.6-11116109 Parts I and II. Project Design Summary, Page 3 of 3 LX Permit No. (to be provided 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. Initials Pagel Plan ^ Sheet No. 1. Plans (1' - 50' or larger) of the entire site showing: - Design at ultimate build -out, - Off -site drainage (if applicable), - Delineated drainage basins (include Rational C coefficient per basin), - Wetland dimensions (and length to width ratio), - Pretreatment system, - Maintenance access, - Proposed drainage easement and public right of way (ROW), - Overflow device, and - Boundaries of drainage easement. 2. Plan details (1" = 50' or larger) for the wetland showing: Cva v -Welland dimensions (and length to width ratio) - Pretreatment system, - Maintenance access, - Proposed drainage easement and public right of way (ROW), - Design at ultimate build -out, - Off -site drainage (if applicable), - Overflow device, and - Boundaries of drainage easement. Oo 3. Section view of the wetland (1' = 20' or larger) showing: - Side slopes, 3:1 or lower - Wetland layers All wetlands: Shallow land depth, shallow water depth, deep pool depth Option clay liner: SLWT depth Option 2, clay liner: Depth of topsoil on top of liner, liner specifications Gv o 4. A detailed planting plan (1" = 20' or larger) prepared by a qualified individual showing: - A variety of several suitable species (not including cattails), - Sizes, spacing and locations of plantings, - Total quantity of each type of plant specified, - A planting detail, - The source nursery for the plants, and Q° Lf - Fertilizer and watering requirements to establish vegetation. 5. A construction sequence that shows how the wetland will be protected from sediment until the entire drainage area is stabilized. r 6. The supporting calculations (including drawdown calculations), ^� r 7. A copy of the signed and notarized operation and maintenance (08M) agreement. A� B. A copy of the deed restrictions (if required). v ��1 9. A soils report that is based upon an actual field investigation and soil borings. County soil maps are not an acceptable source of soils information. SW401-Wetland-Rev.6-11I16I09 Part III, page 1 of 1 �� �,rL SC'r PL,C 0..;, •�'rr �.�. 4. r. rIi _. .. .i r'..n ..;. :h'�. .. .. .. _..� '�.. �r,. .if.�`tt 1. �'P•LT r'r •G'.i r. .;'; _•�I ^i,... `41 pp. I1�?'. ;C�si�lt(�' .; ..1�.: r .ter.—, -� n:rr.:;.•, .�- IF Permit Number: S141/1 `J o L cC 'S ito be provided by )W[IJ Drainage Area Number: Stormwater Wetland Operation and Maintenance Agreement A C (le I will keep a maintenance record on this BMP. This maintenance record will be kept in a log in a known set location. Any deficient BMP elements noted in the inspection will be corrected, repaired or replaced immediately. These deficiencies can affect the integrity of structures, safety of the public, and the removal efficiency of the BMP. Important maintenance procedures: — Immediately following construction of the stormwater wetland, bi-weekly inspections will be conducted and wetland plants will be watered bi-weekly until vegetation becomes established (commonly six weeks). — No portion of the stormwater wetland will be fertilized after the first initial fertilization that is required to establish the wetland plants. — Stable groundcover will be maintained in the drainage area to reduce the sediment load to the wetland. — Once a year, a dam safety expert should inspect the embankment. After the stormwater wetland is established, I will inspect it monthly and within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance will be kept in a known set location and will be available upon request. Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately. 'BMP,element Potentialproblem: How 1 will remediate theproblem: Entire BMP Trash debris is present. Remove the trash debris. Perimeter of wetland Areas of bare soil and/or erosive Regrade the soil if necessary to remove the gullies have formed. gully, and then plant a ground cover and water until it is established. Provide lime and a onetime fertilizer application. Vegetation is too short or too long. Maintain vegetation at an appropriate height Inlet device: pipe or The pipe is clogged (if applicable). Unclog the pipe. Dispose of the sediment swale offsite. The pipe is cracked or otherwise Replace the pipe. damaged if applicable). Erosion is occurring in the swale (if Regrade the Swale if necessary to smooth applicable). it over and provide erosion control devices such as reinforced turf matting or riprap to avoid future problems with erosion. Form S W401-Wetland O&M-Rev.4 Page I of 3 i ' i .. _. � ,. � :fig Sediment has accumulated in the forebay to a depth that inhibits the forebay from functioning well. has occurred. are present. Deep pool, shallow water Algal growth covers over 50% of the and shallow land areas deep pool and shallow water areas. Cattails, phragmftes or other invasive plants cover 50% of the deep pool and Shallow land remains flooded more than 5 days after a storm event. Plants are dead, diseased or dying. Best professional practices show that pruning is needed to maintain optimal plant health. Sediment has accumulated and reduced the depth to 75% of the original design depth of the deep pools. Embankment A tree has started to grow on the embankment. An annual inspection by appropriate professional shows that the embankment needs repair. Evidence of muskrat or beaver activity is present. Micropool Sediment has accumulated and reduced the depth to 75% of the original design depth. Permit Number: (to be provided by DWQ) How I will remediate the problem: Search for the source of the sediment and remedy the problem if possible. Remove the sediment and dispose of it in a location where it will not cause impacts to streams or the BMP. Provide additional erosion protection such as reinforced turf matting or riprap if needed to prevent future erosion Remove the weeds, preferably by hand. If a pesticide is used, wipe it on the plants Consult a professional to remove and control the algal growth. Remove invasives by physical removal or by wiping them with pesticide (do not device immediately. Determine the source of the problem: soils, hydrology, disease, etc. Remedy the problem and replace plants. Provide a one-time fertilizer application to establish the eround cover if necessary. Prune according to best professional practices. Search for the source of the sediment and remedy the problem if possible. Remove the sediment and dispose of it in a location where it will not cause impacts to streams or the BMP. Consult a dam safety specialist to remove the tree. Make all needed repairs Consult a professional to remove muskrats Search for the source of the sediment and remedy the problem if possible. Remove the sediment and dispose of it in a location where it will not cause impacts to streams 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. Receiving water Erosion or other signs of damage have Contact the NC Division of Water Quality occurred at the outlet 401 Oversight Unit at 919-733-1766. Form SW40I-Wetland O&M-Rev.4 Page 2 of 3 Permit Number: (to be provided by DWQ) I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed above. 1 agree to notify DWQ of any problems with the system or prior to any changes to the system or responsible party. Project name:Family Dollar Bath BMP drainage area number: Print name:Barnes Boykin Title:Vice President- Secretary Address:2405-F Nash Street, Wilson, NC 27896 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, Me.1;Ss4 S gees , a Notary Public for the State of 14orlin. Garoy� County of Le', lswn do hereby certify that �4rneS�r;n personally appeared before me this �L day of Ae(,, 2013 and acknowledge the due execution of the forgoing stormwater wetland maintenance requirements. Witness my hand and official seal, c :.q SEAL 4.s$�- 5.9j"'Q-� My commission expires 4L► tot 2.°t3 APR 1 1 2013 Form SW401-Wetland O&M-Rev.4 Page 3 of 3 ;phi' State Stormwater Management Systems SAAI Permit No. SW7130405 Family Dollar Store - Bath Stormwater Permit No. SW7130405 Beaufort County Designer's Certification NOV -1 2013 A ,ice. q f�r 171) P'�J 1, NN"i: Q- U- � ee �-v as a duly registered in the State of North Carolina, having been authorized to observe eriodica /weekly/ full time) the construction of the project, �L�•� �c��L:.f --i>f-Tf (Project) for e—wrs 7- 1 kN T2r • 3 1r'L (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 2�)'2 J---3 Registration Number �O�I Date ;2S/r S �k GARp���i�� OFESSIp�<��/9 k sZ 5 2oz12 �9i '•FNGINE�P•Q�4: Page 6 of 7 I I ! State Stormwater Management Systems Permit No. SW7130405 Certification Requirements: 1 The drainage area to the system contains approximately the permitted acreage. 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 outiet/bypass structure elevations are per the approved plan. 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. �1. The permitted amounts of surface area and/or volume have been provided. --�1-2. Required drawdown devices are correctly sized per the approved plans. /13. All required design depths are provided. �4. All required parts of the system are provided, such as a vegetated shelf, and a forebay. 15. The required system dimensions are provided per the approved plans. cc: NCDENR-DWQ Washington Regional Office Beaufort County Planning / Building Inspections Page 7 of 7 f ', �'F VED APR - 3 2013 Permit Number: (to be provided by DWQ) Drainage Area Number: Storm jVi e4aA&%gRGn and Maintenance Agreement I will keep a maintenance record on this BMP. This maintenance record will be kept in a log in a known set location. Any deficient BMP elements noted in the inspection will be corrected, repaired or replaced immediately. These deficiencies can affect the integrity of structures, safety of the public, and the removal efficiency of the BMP. Important maintenance procedures: — Immediately following construction of the stormwater wetland, bi-weekly inspections will be conducted and wetland plants will be watered bi-weekly until vegetation becomes established (commonly six weeks). — No portion of the stormwater wetland will be fertilized after the first initial fertilization that is required to establish the wetland plants. — Stable groundcover will be maintained in the drainage area to reduce the sediment load to the wetland. — Once a year, a dam safety expert should inspect the embankment. After the stormwater wetland is established, I will inspect it monthly and within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance will be kept in a known set location and will be available upon request. Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately. BMP element: Potentialproblem: How I will remediate theproblem: Entire BMP Trash debris is present. Remove the trash/debris. Perimeter of wetland Areas of bare soil and/or erosive Regrade the soil if necessary to remove the gullies have formed. 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 long. Maintain vegetation at an appropriate height Inlet device: pipe or The pipe is clogged (if applicable). Unclog the pipe. Dispose of the sediment swale offsite. The pipe is cracked or otherwise Replace the pipe. -damaged if applicable . Erosion is occurring in the swale (if Regrade the swale if necessary to smooth applicable). it over and provide erosion control devices such as reinforced turf matting or riprap to avoid future problems with erosion. Form SW401-Wetland O&M-Rev.4 Page 1 of 3 1 i P7 ell ft� I r 14 • if i ;I (j. fir, f t , " Permit Number: (to be provided by NVQ) BMP element: Potentialproblem: How I will remediate theproblem: Forebay Sediment has accumulated in the Search for the source of the sediment and forebay to a depth that inhibits the remedy the problem if possible. Remove forebay from functioning well. the sediment and 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 roblems. Weeds are present. Remove the weeds, preferably by hand. If a pesticide is used, wipe it on the plants rather than spraying. Deep pool, shallow water and shallow land areas Algal growth covers over 50% of the -deep pool and shallow water areas. Consult a professional to remove and control the algal growth. Cattails, phragmites or other invasive plants cover 50% of the deep pool and shallow water areas. Remove invasives by physical removal or by wiping them with pesticide (do not s ra - consult a professional. Shallow land remains Flooded more than 5 days after a storm event. Unclog the outlet device immediately. Plants are dead, diseased or dying. Determine the source of the problem: soils, hydrology, disease, etc. Remedy the problem and replace plants. Provide a one-time fertilizer application to establish the ground cover if necessary. Best professional practices show that Prune according to best professional pruning is needed to maintain optimal practices. lant health. Sediment has accumulated and Search for the source of the sediment and reduced the depth to 75% of the remedy the problem if possible. Remove original design depth of the deep the sediment and dispose of it in a location pools. where it will not cause impacts to streams or the BMP. Embankment A tree has started to grow on the embankment Consult a dam safety specialist to remove the tree. An annual inspection by appropriate professional shows that the Make all needed repairs. embankment needs repair. Evidence of muskrat or beaver activity Consult a professional to remove muskrats is present. or beavers. Micropool Sediment has accumulated and Search for the source of the sediment and reduced the depth to 75% of the remedy the problem if possible. Remove original design depth. the sediment and dispose of it in a location where it will not cause impacts to streams or the BMP. 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. Receiving water Erosion or other signs of damage have occurred at the outlet. Contact the NC Division of Water Quality 401 Oversight Unit at 919-733-1786. Form SW401-Wetland O&M-Rev.4 Page 2 of 3 : 1 1 1 j C Permit Number: (to be provided by DWQ) I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any changes to the system or responsible party. Project name:Family Dollar Bath BW drainage area numbed Print name:BBrns Bo" Title: Vice President/Secretary - Eastern Pride, Inc. Address:2405-F Nash Street Wilson, N C Date: 3— a6— /-3 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 A. ..a County off do hereby certify that ersonally appeared before me this _c2E day of `�02p Q� �D 13 • and acknowledge the due execution of the stormwater wetland maintenance requirements. Witness my hand and official seal, 9'• SIR ���Illllll/1� SEAL My commission expires Form SW401-Wetland O&M-Rev.4 Page 3 of 3