SW7130408_CURRENT PERMIT_20130513

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
CURRENT PERMIT
APPROVED PLANS
❑. HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
d15Y
L
YYYYMMDD

AMA o
WDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P. E. John E. Skvarla, III
Governor Director Secretary
May 13, 2013
Mr. Robert L. Rogers, Vice President
Family Dollar Stores of North Carolina, Inc.
PO Box 1017
Charlotte, NC 28201-1017
Subject: Stormwater Permit No. SW7130408
Family Dollar - Chocowinity
High Density Commercial Wet Pond Project
Dear Mr. Rogers: Beaufort County
The Washington Regional Office received a complete Stormwater Management Permit
Application for Family Dollar - Chocowinity on April 11, 2013 and additional information
on April 17, 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.
SW7130408 dated May 13, 2013, for the construction of the subject project.
This permit shall be effective from the date of issuance until May 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 150B of the North Carolina General Statutes, and filed
with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please
contact Samir Dumpor at [phone].
Sincerely,
/eGv)-tt�
�Cf'Charles Wakild, P.E., Director
Division of Water Quality
AA/ sd: K:\WQS\STORMWATER\SD\SW7130408
cc: Bryan Smith PE, Aston properties, Inc. (610 E. Morehead Street, Suite
100, Charlotte, NC 28202)
peaufort County Building Inspections
ashington Regional Office
North Carolina Division of Water quality
943 Washington Square Mall
Washington, NC 27889
Phone: [phone] FAX [phone]
Internet: vmy.nmateraualitv.ora
One
NorthCarolina
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State Stormwater Management Systems
Permit No. SW7130408
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
Family Dollar Stores of North Carolina, Inc.
Family Dollar- Chocowinity
Beaufort County
FOR THE
construction, operation and maintenance of one wet detention pond 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 May 13, 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.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 of this permit. The stormwater control has been
designed to handle the runoff from 34,922 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.
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.
The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7130408
a.
Drainage Area, ft2:
44,707
b.
Total Impervious Surfaces, ft2:
34,922
C.
Design Storm, inches:
1.5
d.
Pond Depth - average, feet:
3.0
e.
TSS removal efficiency:
90%
f.
Permanent Pool Elevation, FMSL:
26.00
g.
Permanent Pool Surface Area required, ft2:
4,202
h.
Permanent Pool Surfacs Area, ft :
5,356
i.
Min. Volume required, ft :
4,209
j.
Permitted Storage Volume, ft':
4,906
k.
Temporary Storage Elevation, FMSL:
26.70
I.
Controlling Orifice:
1.50" 0 pipe
M.
Permitted Forebay Volume, ft3:
2,124
n.
Receiving Stream/River Basin:
UT to Crawford Creek
o.
Stream Index Number:
29-6-2
p.
Classification of Water Body:
"SC;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. Mowing 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.
Cl. 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.
The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance inspection records for each BMP. The report shall
summarize the inspection dates, results of the inspections, and the maintenance
work performed at each inspection.
Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
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. SW7130408
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.
ll
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 permittee 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. SW7130408
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 21-1.1000, 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 May 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 May, 2013.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for
Division of -Water Quality
By Authority of the Environmental Management Commission
Stormwater Permit No. SW7130408
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7130408
Family Dollar - Chocowinity
Stormwater Permit No. SW7130408
Beaufort Countv
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. SW7130408
J
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 Building Inspections
Page 7 of 7

State Stormwater Management Systems
Permit No. SW7130408
Family Dollar - Chocowinity
Stormwater Permit No. SW7130408
Beaufort Countv
Designer's Certification
Bryan E. Smith as a duly registered Engineer in the
State of North Carolina, having been authorized to observe periodically/ eekly/full
time) the construction of the project,
Family Dollar - Chocowinity
(Project)
for Family Dollar Stores of North Carolina, Inc. (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:
Building size is 8,000 sf. On original plans, building size was 8,320 sf.
Stubbed driveway to property line to the west per NCDOT.
Added concrete walk for ADA access to the public right of way.
Signature iJ'/ / )
Registration Number 22009
Date 5/28/2014
R EG"I'VIED
JUN - 6 2014
,7 1 - iPm
S�U„III l I I /,,
R� H CAR
�.pFESS�p
Qp 22"
y,y
SEAL _
022009 =
/ �� ryc NEEa
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7130408
Certification Requirements:
1.
The drainage area to the system contains approximately the permitted
acreage.
The drainage to
L2.
area the system contains no more than the permitted
amount of built -upon area.
All the built
-upon area associated with the project is graded such that the
runoff drains to the system. C Nqs oN 4ef as✓<J 6a4,01.Js Pa4s
3�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.
i
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.
BOL-1,0.
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.
�.
The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Washington Regional Office
Beaufort County Building Inspections
Page 7 of 7

a
(.Vct {2C�)
D W Q USE ONLY
Date Received
Fee Paid
Permit Number
17-
51411SOLWI,
Applicable Rules: ❑ Coastal SW —1995 1❑ Coastal SW — 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan: SWi+A-alo-
State of North Carolina
Department of Environment and Natural Resour e r l"* F.
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FERMI 1 2013
This form may be photocopied for use as an original
I. GENERAL INFORMATION DVV.Q- AR0
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
2. Location of Project (street address):
County:Beaufort Zip:27817
3. Directions to project (from nearest major intersection):
Take US Highway 17 Business North as you enter Chocowinity and go past NC 33 and the project is
approximately a half -mile on the left at the intersection of US Highway 17 and Bragaw Lane.
4. Latitude:35° 31' 6" N Longitude:77° 05' 36" W of the main entrance to the project.
IL PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modification+
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: + -1.33 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:
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/rtiles laws
Form SWU-101 Version 06Aug2012 Page 1 of 6

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization: Family Dollar Stores of North Carolina Inc.
Signing Official & Title:Mr. Robert L. Rogers, Vice President
b. Contact information for person listed in item la above:
Street Address:10301 Monroe Road
City:Matthews State:NC Zip:28105
Mailing Address (if applicable):PO Box 1017
City:Charlotte State:NC Zip:28201-1017
Phone: (704 ) 847-6961 Fax: (704 ) 941-9692
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:Simmons I. Patrick
Signing Official &
b. Contact information for person listed in item 2a above:
Street Address:2218 Stallings Drive
Mailing Address (if
Phone:
State:NC Zip:28501
Fax:
Zip:
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:B[yan E. Smith/Aston Properties Inc.
Signing Official &
b. Contact information for person listed in item 3a above:
Mailing Address:610 E. Morehead St., Suite 100
City:Charlotte State:NC Zip:28202
Phone: (704 ) 319-4921
Email:[e-mail]
Fax: (704 ) 365-3215
4. Local jurisdiction for building permits: Beaufort County Inspections Department
Point of Contact:Brandon Hayes Phone #: (252 ) 946-7182
Form SWU-101 Version 06Aug2012 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The stormwater for the proiect will be treated by the use of a stormwater wetpond. The wetpond was
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 PUDApproval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW — 1995 ❑ Ph Il — Post Construction
3. Stormwater runoff from this project drains to the Tar-Pamilico River basin.
4. Total Property Area: 1.30 +/- acres
5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area:.12 acres
7. Total Property Area (4) — Total Coastal Wetlands Area (5) — Total Surface Water Area (6) = Total Project Area':
1.18 +/- acres
Total project area shall be calculated to exclude the followin the normal pool of imppounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NM line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may be
included in the total project area.
S. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 59.5 %
9. How many drainage areas does the project have?l (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area _
Receiving Stream Name
U.T. to Crawford
Creek
Stream Class
Class SC, NSW
Stream Index Number *
29-6-2
Total Drainage Area (sf)
44707 ✓
On -site Drainage Area (sf)
1 44707
Off -site Drainage Area (sf)
0
Proposed Impervious Area** (so
34971 ✓
% Impervious Area** (total)
78.2 t/
Im ervious" Surface Area
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (so
8343 ✓
On -site Streets (so
0
On -site Parking (so
19005 ✓
On -site Sidewalks (sf)
1470 ✓
Other on -site (sf)T INCe+a
6104 ✓
Future (so of "Z
Off -site (sf)
0
Existing BUA*** (sf)
Total (so:
1 34922
* Stream Class and Index Number can be determined at: httl7:z4portal.ncdenr.or�haeb/wq4)s/csu/classificatioiis
** Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version 06Aug2012 Page 3 of 6

*"Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that is
to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation.
Projects in Union County: Contact DWQ Central Office .staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent .stormwater requirements as per 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://12ortal.ncdenr.org/web/wq/ws/su/bmp-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 from httl2://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 ham:/ /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 htti2//portal ncdenr org/web/wq/ws/su/statesw/forms docs.
Initia s
1. Original and one copy of the Stormwater Management Permit Application Form.
vl�'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
htto://www.envhelp.org/12ages/onestol2exi2ress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
✓ 6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1h mile of the site boundary, include the 1h
/ 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.
1✓b. Engineer and firm.
✓ c. Location map with named streets and NCSR numbers.
✓ d. Legend.
✓/ e. North arrow.
I. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
✓ i. Dimensioned property/project boundary with bearings & distances.
/ j. Site Layout with all BUA identified and dimensioned.
✓✓ k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
7 M.Wetlands delineated r.a note on-the.plans.thatnone _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.
Form SWU-101 Version 06Aug2012 Page 4 of 6
g41-,

` -.'Drainage areas delineated (included in the main set of plans, not as a separate document).
Zp. Vegetated buffers (where required). /
V/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 WiRO: Schedule a site visit for DWQ to verb the SHWT prior
/ to submittal, [phone].)
✓/10. A copy of the most current property deed. Deed book: 1004, 760 Page No: 846,212
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC �L
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.
htW://www.secretary.state.nc.us/Corl2orations/CSea-rch.asRx-
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:/Z12ortal.iicdenr.org/web/wq/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.
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:Bryan E. Smith PE
Consulting
Mailing Address:610 E. Morehead St., Suite 100
City:Charlotte State:NC Zip:28202
Phone: (704 ) 319-4921
Email:[e-mail]
Fax: (704 ) 365-3215
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) Simmons I. Patrick certify that I
own the property identified in this perm t application, and thus give permission to (print or type name of person
listed in Contact Information, item la) Oaltp r L. iQO6 eS with (print or type name of organization listed in
Contact Information, item la) FamiluDollar Stores of North Carolina, 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 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a v' la n of eneral Statue 143-215.1 and may result in appropriate enforcement action including
the assessm nt Ito
pen (t es of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signatu
Date:2
I, k h\ e e. S . aeawa� a Notary Public for the State of �3at-t4a Cara Ii n.r . County of
rnr r V-6. "r �,— do hereby certify that 'ka6e,A L . Toae rs personally appeared
before me this % day of Rpr 1 I 4b i2 and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal, wdli&-e' /� Sxeo� _ I
KATHLEEN S. RAMSEY
NOTARY PUBLIC
Mecklenburg County,North Carolina
My Commission Expires 12/16/2016
X. APPLICANT'S CERTIFICATION
SEAL
My commission expires 12 - 1 to - d O t 6
I, (print or type name of person listed in Contact Information, item ]a)
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 21-1.1000 and any other applicable state stormwater requirements.
a Notary Public for the State of . County of
do hereby certify that
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,
SEAL
My commission
Form S WU-101 Version 06Aug2012 Page 6 of 6

` DWQ USE ONLY
Date Received
Fee Paid
Permit Number
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 Mgmt Plan:
State of North Carolina �'1
Department of Environment and Natural Resources
,��N'
Division of Water Quality
APR 1 1 2013
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may he photocopied for use as an original y
[. GENERAL INFORMATION
V v Q. V VA1x®
1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Family Dollar
2. Location of Project (street address):
US Highway 17 Business
City:Chocowinity County:Beaufort Zip:27817
3. Directions to project (from nearest major intersection):
Take US Highway 17 Business North as you enter Chocowinity and go past NC 33 and the project is
approximately a half -mile on the left at the intersection of US Highway 17 and Bragaw Lane.
4. Latitude:35° 31' 6" N Longitude:77° 05' 36" W of the main entrance to the project.
it. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New []Modification ❑ Renewal w/ Modification'
'Renewals with modfications also requires S WU-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):
❑LAMA Major
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: + -1.33 ac of Disturbed Area
0404/401 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:
5. Is the project located within 5 miles of a public airport? ®No [-]Yes
If yes, see S.L. 2012-200, Part VI: hU://portal.ncdenr.org/web/wq/ws/su/statesw/rules laws
Form SWU-101 Version 06Aug2012 Page 1 of 6

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization: Family Dollar Stores of North Carolina, Inc.
Signing Official & Title:Mr. Robert L. Rogers. Vice President
b. Contact information for person listed in item la above:
Street Address:10301 Monroe Road
City:Matthews State:NC 7-ip:28105
Mailing Address (if applicable):PO Box 1017
City:Charlotte State:NC Zip:28201-1017
Phone: (704 ) 847-6961
Email:
Fax: (704 ) 841-9692
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:Simmons 1. Patrick
Signing Official & Title:
b. Contact information for person listed in item 2a above:
Street Address:2218 Stallings Drive
City:Kinston State:NC Zip:28501
Mailing Address
City:
Phone: [phone]
Email:[e-mail]
Fax: ( 1
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: Bryan E. Smith/Aston Properties, Inc.
Signing Official &
b. Contact information for person listed in item 3a above:
Mailing Address:610 E. Morehead St., Suite 100
City:Charlotte State:NC Zip:28202
Phone: [phone]
Email:[e-mail]
Fax: (704 ) 365-3215
4. Local jurisdiction for building permits: Beaufort County Inspections Department
Point of Contact:Brandon Hayes Phone #: [phone]
Form SWU-101 Version 06Aug2012 Page 2 of 6

o. Drainage areas delineated (included in the main set of plans, not as a separate document). L�
p. Vegetated buffers (where required).
th th ociated SFIWT elevations (Please identify
9. Copy of any applicable soils report wi a ass
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"xll" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verb the SHWT prior V
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 1004, 760 Page No: 846, 212
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 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.
ht!p / /�secretw:y state nc us/Corporafions/CSeMch.asox
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
htty // /portal licdenr org/web/wo/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.
Vill. 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:Br an E. Smith PE
Consulting Firm:
Mailing Address:610 E. Morehead St.,.Suite 100
City:Charlotte
Phone: (704 ) 319-4921
Email:[e-mail]
State:NC Zip28202
Fax: (704 ) 365-3215
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) Simmons 1 Patrick certify that I
own the property identified in this ermit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) 0aER.r 1. RoGEin with (print or type name of organization listed in
Contact Information, item la) FamiluDollar Stores of North Carolina, 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 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of ciyf!A-�enalties of up to,$25,01per day, pursuant to NCGS 143-215.6.
I,�a N ary Publifor therSi�gte f� County of
do hereby certify that z�� j/%[ �' personally appeared
before, me this L day of /L(� and knowledge the d execution of the application for a
stormwater permit. Witness my hand and official seal, _ a f—�
PUFT111
My commission expires - � -6-- / k
X. APPLICANT'S CERTIFICATION
1, (print or type mane (f person listed in Contact Information, item la) t2-pbe rk L • Rooe/s t Cce Pces ie Al -
certify that the information included on this permit application form is, to the best of my rnowl6dge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protect e co eytaflwill be recorded, and that the proposed project complies with the requirements of the
applicabl storm ter r les under 15A NCAC 2H .1000 and any other applicable state stormwater requirements.
Date: Rpr'-1 1S a0t3
I, k<o-, Anl ee r S . a Notary Public for the State of N'bt `w+ Caca G n4 . Countyof
(het V-Lo r, do hereby certify that Robe j— R rS %(A Preai4 tl' personally appeared
before me this A!5! day of PtetA a013 ,and ackn wledge the d execution of the application for a
stormwater permit. Witness my hand and official seat, aY� Z" + 1lv o �* dt
SEAL
My commission expires lL, C0m per 16 .a.Dlto
Form SWU-101 Version 06Aug2012 Page 6 of 6

C F I V E V Permit No.
. ' �`—_ .. (to be Pmvioed by DWOJ
APR 1 1 2013
RwaI-
S�r� 2OF WATf'�O
Dj\�V RO O
NCDENR
psi tl V,/
C
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This farm must be filled out, printed and submitted.
The Required Items Checklist (Pad 111) must be printed, filled out and submitted along with all of the required information.
I•,PRD9ECT,INF,ORMATIONr41? uwl`:i71x�
Project name Family Dollar- Chocowinity, NC
Contact person Bryan E. Smith, PE
Phone number [phone]
Data 3126/2013
Drainage area number 1
111DESIGNIINF.ORMATIONI, , .l'".>� r ;,b-,.- M.._:1e :.�';vra:a.`d x; ,sy�„;in`n�a°.'�. r.':', N „ ""� x.M�„�-. , t a. x4..,'":
Site Characteristics
Drainage area
44,707 its
Impervious area, post -development
34,922 it'
%Impervious
76.71 %
Design rainfall depth
1.5 in
Storage Volume: Non -SA Waters
Minimum volume required
4,209 its
Volume provided
4,906 its
Storage Volume: SA Waters
1.5' runoff volume
its
Pre -development 1-yr, 24-hr runoff
its
Post -development 1-yr, 24-hr runoff
its
Minimum volume required
its
Volume provided
its
Peak Flow Calculations
Is the prelpost control of the 1 yr 24hr storm peak flow required?
Y (Y or N)
1-yr, 24-hr rainfall depth
3.2 in
Rational C, pre -development
(unitiess)
Rational C, post -development
(uniaess)
Rainfall intensity: 1-yr, 24-hr storm
iNhr
Pre -development 1-yr, 24-hr peak flow
2.93 fts/sec
Post -development 1-yr, 24-hr peak flow
4.27 It Isec
Pre/Post 1-yr, 24-hr peak flow control
- 1.34 fts/sec
OK, volume provided Is equal to or in excess of volume required.
Elevations
Temporary pool elevation
26.70 fmsl
Permanent pool elevation
26.00 fmsl
SHWT elevation (approx. at the perm. pool elevation)
25.50 first
Y/
Top of 1Oft vegetated shelf elevation
26.50 fmsl
Bottom of loft vegetated shell elevation
25.50 fmsl
Sediment cleanout, top elevation (bottom of pond)
21.50 fmsl
Sediment cleanout, bottom elevation
20.50 fmsl
✓
Sediment storage provided
1.00 it
Is there additional volume stared above the state -required temp. pool?
Y (Y or
N)
Elevation of the top of the additional volume
26.7 fmsl
OK
Form SW401-Wet Detention Basin-Rev.94/1 at Pans I. & If. Design Summary, Page 1 of 2

W-6
Permit
(to be provided by DWO)
II:,iDESIGNIINF.ORMATIONS )1"x._v .�4� es -� a-*%ta��;1#L,'.1'�*-.,.a
Surface Areas
Area, temporary pool
7,986 fe /
Area REQUIRED, permanent pool
4,202 fe
SAIDA ratio
9.40 limitless)
Area PROVIDED, permanent pool, A,,,,,,,,
5,356 ft' /
OK
Area, bottom of 10ft vegetated shelf, A,.,,,
31579 fls ✓ ,
Area, sediment cleanout, top elevation (bottom of pond), Aw.,,,q
1,122 ft' V/
Volumes
Volume, temporary pool
4,906 tO
OK
Volume, permanent pool, V,,,, ,,,,
11,723 tte
Volume, forebay (sum of forebays if more than one forebay)
2,124 fit"
Forebay % of permanent pool volume
18.1% %
OK
SA/DA Table Data
Design TSS removal
90 %
Coastal SAIDA Table Used?
Y (Y or N)
Mountain/Piedmont SAIDA Table Used?
N (Y or N)
SA/DA ratio
9.40 (unitless)
Average depth (used In SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
N (Y or N)
Volume, permanent pool, Vp,,,_p„I
11,723 ft'
Area provided, permanent pool, A,,,, ,,,,
5,356 ft'
Average depth calculated
it
Need 3 ft min.
Average depth used in SAIDA, da,r, (Round to nearest 0.5ft)
ft
Calculation option 2 used? (See Figure 10-2b)
Y (Y or N)
Area provided, permanent pool, A,,,, p,,,
5,356 fe
Area, bottom of 1 Oft vegetated shelf, As„ wail
3,579 fr -
Area, sediment cleanout, top elevation (bottom of pond), A„u,,,e
1,122 fls '
'Depth' (distance b/w bottom of ?Oft shelf and top of sediment)
4.00 ft
Average depth calculated
3.00 It /
OK
Average depth used in SAIDA, it,,, (Round to down to nearest 0.51)
3.0 it V
OK
Drawdown Calculations
Drawdown through orifice?
Diameter of orifice (if circular)
Area of orifice (if -non -circular)
Coefficient of discharge (Co)
Driving head (H,)
Drawdown through weir?
Weir type
Coefficient of discharge (C„.)
Length of weir (L)
Driving head (H)
Pre -development 1-yr. 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Storage volume discharge rate (through discharge orifice or weir)
Storage volume drawdown time
Additional Information
Vegetated side slopes
Vegetated shelf slope
Vegetated shelf width
Length of fiowpath to width ratio
Length to width ratio
Trash rack for overflow 8 orifice?
Freeboard provided
Vegetated filter provided?
Recorded drainage easement provided?
Captures all runoff at ultimate build -out?
Drain mechanism for maintenance or emergencies is:
Y (Y or N)✓
1.50 in
in2
0.60 (unhless)
0.60 it
N (Y or N)
(unitless)
(unitless)
tt
If /
2.93 tt'/sec ✓
to/see
ft'/sec
2.00 days ✓ OK, draws down in 2-5 days.
3 :1
OK
10 :1
OK
10.0 ft
OK
4 :1
OK
3.1 :1
OK
y (Y or N)
OK
1.0 it
OK
y (Y or N) OK
y (Y or N) OK I
y (Yor N) OK A Smojl pgjr+,j oj Arv¢wgy 1} /)04 CLipl." /.
Will need to use a pump to drain
Form SW401-Wet Detention Basin-Rev.9-4/18/12 Parts I. a II. Design Summary, Page 2 of 2

Wet Detention Basin Operation
Permit Number: Sw_7130408
(lo be provided by D1410)
Drainage Area Number:
and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is providRE ,"" . 1
. ED
This system (check one):
❑ does ® does not incorporate a vegetated filter at the outlet. APR 1 1 2013
This system (check one): ' t• y_i OZ a `�i
❑ does ® does not incorporate pretreatment other than a fore ay ! ` V/ \f�
Important maintenance procedures:
— Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
— No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
— Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
— If the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
— Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and
within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a
Coastal County). Records of operation and maintenance should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris-
The perimeter of the wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximately six inches.
Form SW401-Wet Detention Basin O&M-Rev.4.
Page 1 of 4

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

Pennit Number:
(to be provided by Dlf'Q)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate theproblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 4.5 feet in the main pond, the sediment
shall be removed.
When the permanent pool depth reads 45 feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom
BASIN DIAGRAM
ill in the blanks)
21.5 I Pe anen
— Volume
20.5 -ft Min.
Sediment
Storage
FOREBAY
Permanent Pool Elevation 26.0
Pool
Sediment Removal Elevation 21.5 Volume
Bottom Elevation
MAIN POND
1211
Storage
Form SW401-Wet Detention Basin O&M-Rev.4
Page 3 of 4

Permit Number:
(to be provided by DI17Q)
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 nameTamily Dollar
BMP drainage area number:
Print name: UC.�ecL-
L •
2qV:
L S
Title: \lcS�1c/Ti
Address:PO Box 1017 Charlotte. NC 28201-1017
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, KftkY %keep S a Notary Public for the State of
t11t*% Carol-, `t County of do hereby certify that
V . R OV r s personally appeared before me this $
day of (ate, and acknowledge the due execution of the
forgoing wet detennt�tion. /basin maintenance requirements.
seal,
KATHLEEN S. RAMSEY
NOTARY PUBLIC
Mecklenburg County,North Carolina
My Commission Expires 12/16/2016
SEAL
My commission expires 1 2 - t(o . .0 1 b
Witness my hand and official
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4