SW7130611_CURRENT PERMIT_20130723

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW :26I�
DOC TYPE
CURRENT PERMIT
APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
1)
YYYYMMDD

1�
Pat McCrory
Governor
��A
��_
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Thomas A. Reeder
Mr. Donald Bass, Chairman of Deacons
Rocky Hock Baptist Church
113 Rocky Hock Church Road
Edenton, NC 27932
Dear Mr. Bass:
Director
John E. Slvarla, III
Subject: Stormwater Permit No. SW7130611
Rocky Hock Baptist Church Addition
High Density Commercial Wet Pond Project
Chowan County
The Washington Regional Office received a complete Stormwater Management Permit
Application for the Rocky Hock Baptist Church Addition project on June 19, 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. SW7130611 dated July 23, 2013, for the construction of the
subject project.
This permit shall be effective from the date of issuance until July 23, 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,
Iz
Thomas A. Reeder
Division of Water Quality
AA/ sd: K:\WQS\STORMWATER\SD\SW7130611
cc: Steve Janowski, PE, J.S. Janowski Engineering, PA (PO Box 30906, Greenville,
NC 27833-0906)
Chowan County Building Inspections
✓Washington Regional Office
North Carolina Division of Water Quality Internet: www.ncwaleraualilv.ore
943 Washington Square Mall Phone: [phone] One
Washington, NC 27889 FAX [phone] North Carofiina
An Equal Opportunity/Affirmative Action Employer- 50%Regded/10% Post Consumer Paper Natutnl&

State Stormwater Management Systems
Permit No. SW7130611
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
Rocky Hock Baptist Church
Rocky Hock Baptist Church Addition
Chowan 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 July 23, 2021, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 of this permit. The stormwater control has been
designed to handle the runoff from 192,797 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 thi;c
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. .
7. 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. SW7130611
a.
Drainage Area, ftZ:
303,178
b.
Total Impervious Surfaces, ftZ:
192,797
C.
Design Storm, inches:
1.5
d.
Pond Depth - average, feet:
5.7
e.
TSS removal efficiency:
90%
f.
Permanent Pool Elevation, FMSL:
15.00
g.
Permanent Pool Surface Area required, ftZ:
11,976
h.
Permanent Pool SurfacsArea , ft :
19,414
i.
Min. Volume required, ft :
23,584
j.
Permitted Storage Volume, ft3:
28,823
k.
Temporary Storage Elevation, FMSL:
16.21
I.
Controlling Orifice:
2.00" 0 pipe
M.
Permitted Forebay Volume, ft':
15,943
n.
Receiving Stream/River Basin: Rocky Hock Creek/Chowan River Basin
o.
Stream Index Number:
25-22
p.
Classification of Water Body:
"B;NSW"
II. SCHEDULE OF COMPLIANCE
The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
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.
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.
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. SW7130611
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 thy;
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 mu:;t
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
The permittee is responsible for compliance with all permit conditions until e;uch
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 Qualify, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6(:.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7130611
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 July 23, 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 23rd day of July, 2013.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
(: for
I-homas A. Ree er, Acting Director
Division of Water Quality
By Authority of the Environmental Management Commission
Stormwater Permit No. SW7130611
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7130611
Rocky Hock Baptist Church Addition
Stormwater Permit No. SW7130112
Chowan 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 tha
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. SW7130611
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
Chowan County Building Inspections
Page 7 of 7

State Stormwater Management Systems
Pen -nit No. SW7130611
Rocky Hock Baptist Church Addition
Stormwater Permit No. SW71301061(
Chowan County
Designer's Certification
/ / in the
1, �� as a duly registered '
State of North arolina, having been authorized to obse a (�wi wee ly/ full
time) the construction of the project,
for 14" *1��r + Z, (Project owner) hereby state that, to the
best of my abiliti s, due care arfd 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 d specification: fGYCrJ A�4jl#j &A, *//*
�'b�
Date
Page 6 of 7
OQ,QOF�SSIOIq�. 9
2/c
U��• 4 •
2aZ
R•,�'�PMEN �P`��

Certification Requirements:
%11
State Stormwater Management Systems
Permit No. SW7130611
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.
All the built -upon area associated with the project is graded such that the
runoff drains to the system.
All roof drains are located such that the runoff is directed into the system.
The outlet/bypass structure elevations are per the approved plan.
The outlet structure is located per the approved plans.
Trash rack is provided on the outlet/bypass structure.
All slopes are grassed with permanent vegetation.
Vegetated slopes are no steeper than 3:1.
The inlets are located per the approved plans and do not cause short-
circuiting of the system.
The permitted amounts of surface area and/or volume have been
provided.
Required drawdown devices are correctly sized per the approved plans.
All required design depths are provided.
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 Reoional Office
Chowan County Building Inspections
Page 7 of 7

IJANOWSKI
ENGINEERING. PA
CJ754
PO Box 30906
Greenville, NC 27833.0906
[phone]
Rocky Hock Church Additions
4/11/2014
8 toot deep
Average Permanent Pool Depth Calculation Using Option 2
OPTION 2
Area1,,,,,,,,,Sh01l �Areaa�,,,,,»sV'n+Arecr w...,,,r....d * Depth
( JI +
p rr: = 0.25* I 1 + Area 2
lr r„� r�„i
Permanent Pool Elev = 15
Top of Sediment Poo'_8
ITEM
AREA DEPTH
W ft
Areap..p a
19414
Areaeouomshw
15310
Areaeo,t.ca„ a
5952
Depth
7.00

I.S. JANOWSKI
_. ENGINEERING. PA
C4754
PO Box 30906
Gr4enville, NC 27833.0906
[phone]
Rocky Hock Church, Chowan County
4111/2014
8 foot deep
Storage Volume
FOREBAY VOLUME
surface
diff.
accum.
Elevation
area
elev
stomps
storage
Elevation
Stage
5.00
5.90
1.00
6,00
6.00
1.00
414
7.00
828
414
7.00
1.0
1.00
942
8.00
1056
1,356
8.00
2.0
1,00
1,178
9.00
1300
2.534
9.00
3.0
1,00
1,430
10,00
1560
3,964
10.00
4.0
1.00
1.698
11.00
1836
5,662
11,00
5.0
1.00
1.982
12.00
2128
7,644
12.00
6.0
1.00
2,282
13.00
2436
9,926
13,00
7.0
1,00
2,598
14.00
2760
12,524
14.00
8.0
0.50
1,422
14.50
292B
13,946
14.50
8.5
050
1.689
15.00
3828
15,635
15.00
9,0
MAIN POND VOLUME
surface
diff.
accum.
Elevation
rea
elev
storage
storage
Elevation
Stage
5.00
-
5.00
1.00
6,00
-
6,00
1.0
1.00
1,957
7.00
3,914
1,957
7.00
2.0
1.00
4.405
8.00
4.896
6,362
8.00
3.0
1.00
5,408
9.00
5,920
11.770
9.00
4.0
1,00
6,452
10.00
6,984
18,222
10.00
5.0
1.00
7,537
11.00
8,090
25,759
11,00
6.0
1.00
8,663
12.00
9,236
34,422
12.00
7.0
-
1.00
9.902
13.00
10.568
44.324
13.00
Bo
1,00
11.110
14,00
-11.652
55,434
14.00
9.0
050
6.009
14.50
12.382
61,443
14.50
es
0.50
6.992
'
15.00
15.686
68,435
16.00
10.0

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Dumpor, Samir
From: J Stephen Janowski <[e-mail]>
Sent: Tuesday, November 18, 2014 3:47 PM
To: Dumper, Samir
Subject: Rocky Hock Church
Attachments: Storm Water Certification Rocky Hock 001.pdf
Samir
I have attached the certification for the stormwater permit at Rocky Hock Church. The depth of the pond could only be
dug to elevation 7 due to the running sands. This dropped the average depth by 0.7' but the surface area provided for
this pond still greatly exceeds that of the required surface area. I noted that on the certification
Steve
J.S. J,ANOWSM
ENGINEERING PA
Off: PO Box 30906, Greenville, NC 27833-0906
Res: PO Box 2074, Angier, NC 27501
252-714-3002
jstephenjanowski *siengincerin4 Coln
www.is'itnowskiengincering.com

LA�G'�_ (�Ii
DWQ USE ONLY
Date Received
Fee Paid
Permit Number
'61i 9 // 3
05-015,
s
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 M mt Plan:
State of North Carolina
Department of Environment and Natural Resources R �b
Division of Water Quality C E I V E
STORMWATER MANAGEMENT PERMIT APPLICATION FOR
IUN 1 9 2013
This form may be photocopied for use as an original �l
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent withllu'oj QrrWAR®
specifications, letters, operation and maintenance agreements, etc.):
Rocky Hock Baptist Church Addition
2. Location of Project (street address):
113 Rocky Hock Church
City:Edenton County:Chowan Zip:27932
3. Directions to project (from nearest major intersection):
At the intersection of Rockv Hock Road and Evans Bass Road
4. Latitude:36° 9' 40" N Longitude:-76° 41' 2" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: 5.0 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:
FormSWU-101 Version07Jun2010 Page Iof6

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:Rocky Hock Baptist Church
Signing Official & Title:Donald Bass, Chairman of Deacons
b. Contact information for person listed in item 1a above:
Street Address:113 Rocky Hock Church road
City:Edenton
Mailing Address (if applicable):
Phone:
Email:[e-mail]
State:NC Zip:27932
State: Zip:
Fax: ( 1
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:Rockv Hock Baptist Church
Signing Official & Title:Donald Bass Chairman of Deacons
b. Contact information for person listed in item 2a above:
Street Address:113 Rocky Hock Church Road
City:Edenton
Mailing Address (if applicable):
Phone: (252 ) 221-4133
Email:[e-mail]
State:NC Zip:27932
State: Zip:
Fax: (252 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:]. Stephen Janowski PE
Signing Official & Title:]. S. Janowski Engineering, PA
b. Contact information for person listed in item 3a above:
Mailing Address:PO Box 30906
City:Creenville State:NC Zip:27833-0906
Phone: (252 ) 714-3002 Fax: ( )
Email:[e-mail]
4. Local jurisdiction for building permits: Chowan County Planning and Inspections
Point of Contact:Landin Holland Phone #: ( ) [phone]
Fortn SWU-101 Version 07Jun2010 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The storm water will be treated in a Wet Detention pond design for 90 % TSS removal
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Chowan River River basin.
4. Total Property Area: 6.96 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:6.96 acres
Total project area shall be calculated to exclude the following the normal pool of imppounded structures, the area
betzoeen the banks of streams and rivers, the area below the Normal High Water (N;q line or Mean High Water
(MHW) line, and coastal wetlands landzoard from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal zetlands landzoard of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 63.59
9. How many drainage areas does the project have?2 (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'
Draina e Ar`ea 1
Drainage Area 2„
;Drainage Area _
,Drainage Area
Receiving Stream Name
Rocky Hock Ck
Stream Class *
B,NSW
Stream Index Number *
25-22
✓
Total Drainage Area (so
303178
E `16 }c
On -site Drainage Area (so
251341
Off -site Drainage Area (so
51837
Proposed Imervious Area* (so
1 192797
Impervious Area* total
63.59
Impervious** Surface Area ,.
',Drainage: Area .:.
Drainage Area +
0raina eArea,"'
Draina e°Area._;
On -site Buildings/Lots (so
24448
On -site Streets (so
0
On -site Parking (so
52143 ✓
On -site Sidewalks (so
4200 ✓
Other on -site (so
0
Future (so
43561 ✓
Off -site (so
772
Existing BUA*** (so
60725 ✓
Total (so:
192797
Stream Class and Index Number can be determined at: http://portal.ncdenr.or web/wq(ps/csu/classifications
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sulcivalks, gravel areas, etc.
Form SWU-10I Version 07Jun20 10 Page 3of6

'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. Survey and
Computer calcualtions
Proiects in Union County: Contact DWQ Central Ofjlce staffto check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http:ZZ12ortal.nedenr.orgZweb/wq/ws/suZbml2-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
checklists are available from http://portal.ncdenr.org/web/wq/ws/suZstatesw/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 http://vortal.ncdenr.ore;/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 ore/web/wq/ws/su/statesw/forms does,
Original and one copy of the Stormwater Management Permit Application Form.
Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below)
Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP. ll
Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer tcC
http://www.envhelp.org/p gesZonestopexpresshtml 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.)
A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
A USCS map identifying the site location. If the receivingstream is reported as class SA or
receiving stream drains to class SA waters within 1h mile of the site boundary, include the'L
mile radius on the map.
Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
Va. Development/Project name.
fb. 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.
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.
Form SWU-101 Version 07Jun2010 Page 4 of 6

n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
/o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"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 verifij the SHVVT prior
to subrnittal, [phone].)
/10. A copy of the most current property deed. Deed book: 249 Page No: 657
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 NCAC 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http://www.secretary.state.nc.us/Cor2orations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
http:ZZportal.ncdenr.org/web/wq/ws/suZstatesw/forms dots. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:). Stephen Janowski, PE
Consulting Firm:]. S. Janowski Engineering, PA
Mailing Address:PO Box 30906
City:Greenville
Phone: [phone]
Emaii:[e-mail]
State:NC Zip:27833-0906
Fax: ( 1
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact o In rmation, item la
f ) with (print or type name of organization listed in
Contact Information, item la) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Form SWU-101 Version 07Jun2010 Page 5 of 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 l will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
a Notary Public for the State of County of
do hereby certify that
before me this _ day of
personally appeared
. and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
X. APPLICANT'S CERTIFICATION
1, (print or type name ofperson listed in Contact Information, item la) Donald Bass Chairan of Deacons
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, SL 2006-246 (Ph. 11- Post Construction) or SL 2008-211.
Date: /p -- ?,—
I, f 0 a N tary Pu�IblQQic for the State of - wicw 1 M 6 - , County of
do hereby certify that N��P�TA UtL� personally appeared
before me this day of 013 , and acknowledg the due execution of the application for
a stornwater permit. Witness my hand and official seal, Aria
SEAL
My commission expires r� I 1113
Form SWU-101 Version 07Jun2010 Page 6 of 6

q p0 / ®Permit No. Ito be prowled by DWQ)
AS"
NCDENR
Project name
Contact person
Phone number
Date
Drainage area number
JUN 19 2013
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
J,
02Of W A TFgOG
> y
O lqiiii� ,
Site Characteristics / 1'1
Drainage area 303,178 fe 1�/y/ �SW
Impervious area, post -development 192,797 rye 1
°,6 impervious 63.59 %
Design rainfall depth 1.5 in
Storage Volume: Non -SA Waters
Minimum volume required 0 k3 Insufficient required volume.
Volume provided 0 ff3 Do NOT fill out BOTH Non -SR and SR data.
OK, volume provided is equal to or in excess of volume required.
Storage Volume: SA Waters �.
1.5" runoff volume 23,584 it,
Pm-development 1-yr, 24-hr runoff 20,754 ff3
Post -development 1-yr, 24-hr runoff 48,402 n3 i
Minimum volume required 27,648 h3
Volume provided 28 823 rya �Do NOT fill out BOTH Non -SA and SA data.
Peak Flow Calculations
Is the prelliDst control of the lyr 24hr storm peak flow required? y (Y or N)
1-yr, 24-hr rainfall depth
1.5 in
Rational C, pre -development
0.37 limitless)
Rational C, post -development
0.68 limitless)
Rainfall intensity: 1-yr, 24-hr stonn
4.81 irVhr OK
Pre -development 1-yr, 24-hr peak flow
6.06 ft /sec
Post -development l-yr, 24-hr peak flow
12.13 elsec
�'• ti tit7��
PrelPost 1-yr, 24-hr peak flow control
6.07 83lsec
a%,Q r CAR'
Elevations
�� xPEH •.J^
/
Temporary pool elevation
16.21 fmsl
<�
Permanent pool elevation
15.00 fmsl ✓
= SF AL
SHW T elevation (approx. at the pen. pool elevation)
15A0 fmsl
— — ; LIC. L ° _324 Y e
Top of tOfl vegetated shelf elevation
Bottom 1011
15.50 fmsl
fmsl•'•.!'/GINEE
P `
of vegetated shelf elevation
14.50
••' ��
Sediment clearout, topttom of pond)
Sediment clea out, bottomelevationtio
5.00 fmsl
Sediment storage provided
1.00 ft
Is there additional volume stored above the state-requird temp. pool?
n (Y or N)
Elevation of the top of the additional volume
16.2 fmsl OK
�e,f-0.6 223I
Form SW401-Wet Detention Basin-Reva-RM7109 Parts I. & II. Design Summary, Page 1 of 2

Permit No.
- (to be provided by DWQ)
r
II. DESIGN INFORMATION
Surface Areas
Area, temporary pool
26,220 %'
Area REQUIRED, permanent pool
11,976 %'
SAIDA ratio
3,95 limitless)
Area PROVIDED, permanent pool, A._pw
19,414 %`
OK Vz
Area, bottom of 10% vegetated shelf, Ayd s�
15,310 It,
Area, sediment cleanout, top elevation (bottom of pond), A,.,
3,588 %`
Volumes
Volume, temporary pool
Volume, permanent pool, Vim,,, PW
Volume, forebay (sum of forebays if more than one forebay)
Forebay %of permanent pool volume
SAIDA Table Data
Design TSS removal
Coastal SAIDA Table Used?
MountainlPiedmonl SAIDA Table Used?
SAIDA ratio
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
Volume, permanent pool, V�
Area provided, permanent pool, A, v�
Average depth calculated
Average depth used in SAIDA, d„, (Round to nearest 0.5%)
Calculation option 2 used? (See Figure 10-2b)
Area provided, permanent pool, A..
Area, bottom of 10% vegetated shelf, Aw mml
28,823 %3 �.4/OK
85,864 %3
15,943 %3
18.6% % ✓1 /OK
90 % " /
y (YorN) V
n (YorN)
3.95 (unitless)
n (YorN) t/
85,864 W
19,414 %e
5.69 it OK
5.7 OK ( /
y YorN)
19,414 %'
15,310 f
Area, sediment cleanout, top elevation (bottom of pond), A,,,. 3,588 %z
'Depth' (distance btw bottom of 10%shelf and top of sediment)
Average depth calculated
Average depth used in SAIDA, d„, (Round to nearest 0.511)
Drawdown Calculations
Drawdown through orifice?
Diameter of orifice (if circular)
Area of onfice (if -non -circular)
Coefficient of discharge (CD)
Driving head (Ho)
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 dmwdown time
8.50 It
5.69 % OK
5.7 fi OK
y (YorN)
2.00 in
in,
0.60 (unless) ,
1.10It ✓
n (YorN)
(unitless)
limitless)
it
it
6.06 %3lsec
12.13 %3lsec ✓✓j
0.07 1131sec
4.14 days VOK, draws down in 2-5
Additional Information
Vegetated side slopes
3 :1
OK
Vegetated shelf slope
10 :1 ✓
OK
Vegetated shelf width
Length of flowpath to width rafio
Mu % ✓
6 :1 /
OK
/
Length to width ratio
5.8 :1 V
OOK
K
/
Trash rack for overflow & orifice?
y (Y or N)
OK
✓
Freeboard provided
1.8 If
OK
Vegetated filter provided?
n (Y or N)
OK
Recorded drainage easement provided?
y (Y or N)
OK
Capures all runoff at ultimate build -out?
y (Y or N)
OK
Drain mechanism for maintenance or emergencies is:
Pump Out
Foam SW<01-Wet Detention Basin-Rev.&91W/09 Pans I. a II. Design Summary. Pape 2 of 2

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Wet Detention Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is providerinrZECEI\ /E C
This system (check one):
❑ does ® does not incorporate a vegetated filter at the outlet. JUN 19 2013
This system (check one): � /i P��y � f�®
R
El does ❑ does not incorporate pretreatment other than a foreba 1! V V V
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:
Potential problem:
How I will remediate the problem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the wet
detention basin
Areas of bare soil and/or
erosive gullies have formed.
Regrade the soil if necessary to
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Vegetation is too short or too
long
Maintain vegetation at a height of
approximately six inches.
Form SW401-Wet Detention Basin O&M-Rcv.4 Page 1 of 4

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

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element:
Potential problem:
How I will remediate the problem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. (if applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 9 feet in the main pond, the sediment
shall be removed.
When the permanent pool depth reads 9 feet in the forebay, the sediment shall
be removed.
BASIN DIAGRAM
(fill in the blankv)
Permanent Pool Elevation 15.0
Sediment Removal .6 1-
Pe maven Pool
Volume Sediment Removal Elevation 6 1 Voluma
Bottom Elevatio 5 ft Min.
Sediment Bottom Elevation 5 1 _ft
Storage Sedimn
FOREBAY
MAIN POND
Storage
Form SW401-Wet Detention Basin O&M-Rev.4 Page 3 of 4

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:Rocky Hock Church Baptist Church Additions
BMP drainage area number:
Print name:Donald Bass Chairman
Title:Chairman of Deacons
Address:113 Rocky Hoc k Church Road Edenton NC 27932
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
County of do hereby certify that
&" �p pgi personally appeared before me this
day o p 13 , and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal,
f, SEAL
My commission expires 9 113
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4