SW7131018_CURRENT PERMIT_20131105

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
DOC TYPE
CURRENT PERMIT
APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE��5'
YY MMDD

R
i
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM
Director
November 5, 2013
Crop Production Services, Inc.
Mr. William Haskins Coleman, Mid NC -VA Division Manager
PO Box 628
Vanceboro, NC 28586
Subject: Stormwater Permit No. SW7131018
Crop Production Services Vanceboro
High Density Project
Craven County
Dear Mr. Coleman:
Pat McCrory, Governor
John E. Skvada, III, Secretary
The Washington Regional Office received a complete Stormwater Management Permit
Application for Crop Production Services Vanceboro on October 29, 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. SW71310183 dated November 5, 2013,
for the construction of the subject project.
This permit shall be effective from the date of issuance until November 5, 2021, and
shall be subject to the conditions and limitations as specified therein. Please pay
special attention to the Operation and Maintenance requirements in this permit. Failure
to establish an adequate system for operation and maintenance of the stormwater
management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you
have the right to request an adjudicatory hearing upon written request within thirty (30)
days following receipt of this permit. This request must be in the form of a written
petition, conforming to Chapter 150E of the North Carolina General Statutes, and filed
with the Office of Administrative Hearings, 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 me at [phone].
Sincerely,
Samir Dumpor, PE
Environmental Engineer
PHM/sd: G:\LR\SWP\SD\Permits - Sand Filter\SW7131018
cc: Susan Sayger, PE, KSMJ Engineering, (105 Dolphin Lane, Havelock, NC
28532)
Craven County Building Inspections
,/Washington Regional Office
Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889 • Phone: [phone] FAX: [phone]
Internet: http://www.portal.ncdenr.org/web/Ir/land-quality
An Equal Opportunity / Aff rmative Action Employer- 50%Recyded110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
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
Crop Production Services, Inc.
Crop Production Services Vanceboro
Craven County
FOR THE
construction, operation and maintenance of one (1) closed sand filter with an underdrain in
compliance with the provisions of Session Law 2008-211 and 15A NCAC 2H .1000
(hereafter referred to as the "stormwaterrules') and the approved stormwater management
plans and specifications and other supporting data as attached and on file with and
approved by the Division of Energy, Mineral, and Land Resources (Division) and
considered a part of this permit.
This permit shall be effective from the date of issuance until November 5, 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 on page 3 of this permit. The stormwater control
has been designed to handle the runoff from 16,170 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section 1.7 of
this permit, and as shown on the approved plans.
4. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be
recorded showing all such required easements, in accordance with the approved
plans.
5. The runoff from all built -upon area within the permitted drainage area of this project
must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at lest 50 feet
landward of all surface waters.
Page 2 of 7

The following design criteria have been permitted for the sand filter(s) and must be
provided and maintained at design conditions:
a. Drainage Area, ft2:
b. Total Impervious Surfaces, ft2:
C. Design Storm, inces:
d. Design Volume, ft :
e. Adjusted Water Quality Volume, ft3:
f. Provided Storage Volume, ft
g. Sediment Chamber Surface Ary, ft2:
h. Sand Chamber Surface Area, ft
i. Predevelopment 1 year 24 hour:
j. Post -development 1 year 24 hour:
k. Top / Bypass Weir Elevation, FMSL:
I. Bottom of Sand Filter Elevation, FMSL:
M. Seasonal High Water Table, FMSL:
n. Receiving Stream/River Basin:
o. Stream Index Number:
P. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
77,000
16,170
1.5
2,300
1,725
1,725
690
690
5.80
6.50
26.00
24.00
1.00
UT to Swift Creek / Neuse
27-97-(6)
"SC, Sw, NSW"
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.
3. The permittee shall at all times provide the operation and maintenance necessary to
assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowin.9 and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of bypass structure, infiltration media, flow
spreader, catch basins, piping and vegetated filter.
g. A clear access path to the bypass structure must be available at all times.
Records of maintenance activities must be kept for each permitted BMP. The
reports will indicate the date, activity, name of person performing the work and what
actions were taken.
5. The facilities shall be constructed as shown on the approved plans. This permit shall
become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
6. 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.
7. 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
Page 3 of 7

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.
8. Access to the stormwater facilities shall be maintained via appropriate easements at
all times.
9. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project area.
The project area is defined as all property owned by the permittee, for which
Sedimentation and Erosion Control Plan approval or a CAMA Major permit
was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
10. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by the
Permittee at all times.
12. The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in
the notice, the permittee shall submit a written time schedule to the Director for
modifying the site to meet minimum requirements. The permittee shall provide
copies of revised plans and certification in writing to the Director that the changes
have been made.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity 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, signed by both parties, and accompanied by the appropriate
documentation as listed on page 2 of the form. The approval of this request will be
considered on its merits and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such time
as the Division approves any 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, in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
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
Page 4 of 7

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 reissuance or termination does
not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
controls must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference and
are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit as
allowed by the laws, rules and regulations contained in Session Law 2008-211, Title
15A NCAC 2H.1000, and NCGS 143-215.1 et. al.
11. The permittee shall notify the Division in writing of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until November 5, 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 5th day of November, 2013.
NORTH,C--,RPLINA ENVIR¢NMENTAL MANAGEMENT COMMISSION
G/ / vii for
Trac , . Davis, PE, PM
Division of Energy, Mineral, and Land Resources
By Authority of the Environmental Management Commission
Permit No. SW7131018
Page 5 of 7

Crop Production Services Vanceboro
Stormwater Permit No. SW7131018
Craven County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full time)
the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

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 bypass structure weir elevation is per the approved plan.
6. The bypass structure is located per the approved plans.
7. A Trash Rack is provided on the bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been provided.
12. All required design depths are provided.
13. All required parts of the system are provided.
14. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Craven County Building Inspections
Page 7 of 7

Crop Production Sswices Vanceboro
Stormw eter Permit No. Sth1713,i 018
Craven County
r}r--�r;r�ar'v C-c;r�tffra�ictn:
I, 5►,. � a- , as a duly registered f ssi �� the
State of North Caro tnd, having been authorized to obscn (periodically/ w,eekl)1/ full time)
the construction of the project,
600CT OU '5&eV<« VaNCC-900-o
Grano Rh eae- (Id. - S6CdtLe4' jN L
for i�R lea a i twas4 �overe, nn! (Projec'i Owner) hereby state that, to the
beet of my abilities, due card gnd diligence yeas used in the observation of the projecl
W F'
construction such that the corlsfniedon was observed to be built vrithin substantial
compliance and intent of tho approved plans a.nf specifications.
Yiis checklist of items on page 2 of this forcil is included in the Certification.
Doted deviations from approved plane, and specification:
Signature ve., Pc
Registration number
Date �- 21!
Page 6 of 7
Sm
31324
69ZrA.
RECENCD
MAY - 6 2TA

r, b928. 1p

Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
- i 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.
�. All roof drains are located such that the runoff is directed into the system.
7T5 The bypass structure weir elevation is per the approved plan.
The bypass structure is located per the approved plans.
7. A Trash Rack is provided on the bypass structure.
'All slopes are grassed with permanent vegetation.
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.
42---AII required design depths are provided.
13. All required parts of the system are provided.
-- The required system dimensions are provided per the approved plans.
cc: I\CDEI\'R-DWQ Regional Office
Craven County Building Inspections
Page 7 of 7

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
S
S
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Storm water Management Plan
❑ Other WQ M mt Plan:
State of North Carolina
Department of Environment and Natural ResourcesLd
Division of Water Quality zy 5•D
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
2G13
This form cony be photocopied for use as an original
I AA-
I. GENERAL INFORMATION ZI
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):
City:Vanceboro County:Craven Zip:28586
3. Directions to project (from nearest major intersection):
Proceed north on Highway 43 towards Vanceboro. Turn easterly (right) at fork with Highway 17 Continue
4. Latitude:350 18' 43" N Longitude:77° 09' 13" W of the main entrance to the project.
IL PERMIT INFORMATION
1.a.Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modification}
tReneenals With niodifrcations also requires SVVU-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 (El-ligh 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: 2.0 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:
5. Is the project located within 5 miles of a public airport? ®No ❑Yes
If yes, see S.L. 2012-200, Part Vl: httl2://12ortal.ncdenr.org/web/wq/ws/su/statesw/rules laws
Form SWU-101 Version 06Aug2012 Page I of

Ill. 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 urolect):
Applicant/Organization:William Haskins Coleman/Crop
Production Services
Signing Official & Title:William Haskins Coleman Mid NC -VA Division Manager
b.Contact information for person listed in item la above:
Street Address:396 Washington Street
City:Boydton
State:Virginia Zip:23917
Mailing Address (if applicable):PO Box 628
City:Vanceboro
State:North Carolina Zip:28586
Phone: (252 ) 244 1490
Fax: (252 ) 244 0630
Email:bill.coleman©cpsagu.com
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. (Phis is the
person who owns the property that the project is located on):
Property Owner/ Organization:Crop Production Services
Signing Official & Title:William Haskins Coleman Mid NC -VA Division Manager
b.Contact information for person listed in item 2a above:
Street Address:396 Washington Street
City:Boydton State:Virginia Zip:23917
Mailing Address (ifopplicable):PO Box 628
City:Vanceboro State:North Carolina Zip:28586
Phone: (252 ) 244 1490 Fax: (252 ) 244 0630
Ismail:
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:Patrick Allen/Tarheel Building Systems of New Bern Inc.
Signing Official &
b.Contact information for person listed in item 3a above:
Mailing Address:PO Box 12666
City:New Bern State:NC Zip:28561
Phone: (252 ) 633-3633
Email: patrick@ta rheelbu ild i ng.com
Fax: (252 ) 633-6453
4. Local jurisdiction for building permits: City of Vanceboro/Craven County
Point of Contact:Shelton Toler Phone #: (252 ) 636-4987
Form SWU-101 Version 06Aug2012 Page 2 of 7

Phone: (252 ) 633-6452 Fax:
EmaiI:patrick@tarheelbu ildiog.com
4. Local jurisdiction for building permits: City of Vanceboro
Point of
IV. PROJECT INFORMATION
1. In the space provided below, brief) sum
Phone ti:
how the stormwater runoff will be treated.
and has been an active farm fertilizer distribution site for several years. The proposed project includes
removing one building and installing two new buildings and gravel driveway. Total new impervious
surfaces are116170.sft=A`II new impervious surfaces O drain to catch basins and into sediment chamber and
V
into sand filter. Sand filter drains in 14 hours to existing storm manhole.
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 ❑ I'll 11 - Post Construction
3. Stornnvater runoff from this project drains to the
4. Total Property Area: 3.5 acres
River basin.
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':3.5 acres
Total project o'oa shall be calculated to exclude the folloeniugg the norrual pool of impounded structures, the area
between the hooks of streous and rivers, the area below the Norrual High lNater (NHIN) line or Mean High Water
(MHW) line, and coastal wethuuls lamhvard from the NHIN (or MHIN) line. The resultant project area is used to
calculate overall percent built upon area (BL1A). Non -coastal wetlands landward of the NHIN (or MHIN) line rroy
he included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 21 %
9. How many drainage areas does the project have?2 (For high density, count 1 for each proposed engineered
stornrtvoter LIMP. For loco 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.
Form SWU-101 Version 06Aug2012 Page 3 of 7

Basin Information
Draina >e Area _
Drainage Area
Drainage Area
Drainage Area
Receiving Stream Name
$Wi au--u-
Stream Class *
SC,SW,NSW
Stream Index Number *
27-97-6
Total Drainage Area (so
77000
On -site Drainage Area (so
77000
Off -site Drainage Area (sf)
0_�
Proposed Impervious Area** (sf)
161-70_/
�� **
�o Impervious Area total
21.0
Impervious** Surface Area
Draina ge Area
Draina e Area
Draina e Area
Draina e Area
On -site Buildings/Lots (sf)
L-+l677.0 J
On -site Streets (sf)
On -site Parking (sf)
0
On -site Sidewalks (so
Other on -site (so
Future (so
Off -site (sf)
Existing BUA*** (so
0
Total (so:
rfl6170—
Stream Class and hiller Number car he daeran ned at: htryr://pnrfnl.ncdertr.nrg/each/nq[Irs/csn/clnssif'cntions
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sitheamlks, gravel areas, etc.
Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be rentoved Ord 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 DIVQ Central Ofjice staff to check if the project is located within n Threatened &
Endangered Species watershed that pray be subject to more stringent storrnwater requirentents 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://kiortal.ncdenr.org/web/wg/ws/su/bap-manual.
V1. 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 fromhttp://portalmcdenr.ore/web/wq/ws/su/statesw/forms_docs. Thecomplete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http://portal.ncdenr.org/web/wq/ws/su/ma pis.)
Please indicate that the following required information have been provided bV initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms does.
11111 lit Is
1. Original and one toll/ of the Stormwater Management Permit Application Form.
2. Original and orne copy, of the signed and notarized Deed Restrictions & Prntcfit yr e Covenants
Form. (if required as per Part VIl below)
3. Original of the applicable Supplement Porm(s" ) (sealed, signed and dated) and O�r
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envlielp.org/Liages/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for t/
additional information and to schedule the required application meeting.)
Form S W U-101 Version 06Aug2012 Page 4 of 7

5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor i
the project. 'rhis is required in addition to the brief summary provided in the Project
Information, item 1:
2
Na
iGS map identifying the site location. If the receiving stream is reported as class SA.or'the
ving stream drains to class SA waters within 1/2 mile of the site boundary, include the Ih
radius on the map.
b. Engineer and firm/
VLocation map with named stredts and NCSR numbers.
4.. Legend.'
e. North arrow.
L Scalp!
g. Revision nuprber and dates
h. Identify all surface waters -on the plans by delineating the normal pool elevation of
9.
geed and dated calculations (one copy).
of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
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 NFJi- W) of tidal waters.
i. Dimensioned property/project boundary with bearings & distarfces.
j. Site Layout with.alrBUA.identifioand dimensioned.
k. Existing contours, proposed contours, spot elevations; finished floor"elevations.. _
I. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the-r1ans that none exist. (Must be delineated by a
qualified person'. Provide documentation of qualifications and identify the person who
made the determination on the plans. -
n. Existing drainage (including -off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated.(included in the main set of plans, ijohas a separate document).
p. Vegetated buffer's (where required).
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"xI V 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 s site visit for DWQ to verifij the SHWT prior
to submittal, [phone].) 3 S6 "7 151
10. A copy of the most current property deed. Deed book: :'P, 5fy 7 Page No: l�0 'I b L
11. For corporations and limited liability corporations (LLC): Provide documen
Secretary of State or other official documentation, which supports the titles
by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A
The corporation or LLC must be listed as an active corporation in good stall
Secretary of State, otherwise the application will be returned.
http: / / www.secretary.sta te. nc. us / Corpora tions/ CSearcii.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
tation from the NC
and positions held
NCAC 2H.1003(e).
ding with the NC
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://porta1.ncdenr.org/web/wg/ws/su/statesw/forms does. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot.
Form SWU-101 Version 06Aug2012 Pages of7

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:Susan Sayger,PE
Consulting F
Mailing Add
City:Havelock
Phone: (252 ) 444-5765
Email:KSMI.ENGINEERINGOO GMAIL.COM
State:NC Zip:28532
Fax: (252 ) 444-5765
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, itemm 2 has been filled out, complete this
section)
I, (print or hype name of person listed in Contact Informtation, item 2a):d//an6%Lo�em�+ �G✓�I%�4°!certify that
own the property identified in this permit application and thus give p�J ri t (� rint r ti �laule of person
listed in Contract Information, item Ia)//s m Go .ran G NtPiLrmt o�f�i ant o oarnzation listed in
Contact Information, iteni Ia) IIA-M ih 7e elop'"Che PlrojeEtas 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.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: 1 Date:
1, v V V I l a Notary Public'' Ifor the State of tl �h County of
do hereby certify thatW�l,ctt�1 �K tS�� �C1V 11YJ ^ personally appeared
'
before me thisr,��ay of { y T & and acknowledge the due exec ion
^of the application for
a stormwater permit. Witness my hand and official seal,,
dA
H.
REG #
229468 '
COMMISSION 0 ¢ C
EXPIRES p'2�
4/30/2016
iFA t H� o; ��,,•
SEAL
My commission expires �(p
Form SWU-101 Version 06Aug2012 Page 6 of 7

X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, itenn In) William Haskins Coleman
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 2H .1000 and any other applicable state stormwater requirements.
Sig�nat�ure�'0 ' I �� Date: ZC72'� -3
a Notary Public` for_ the State oof. L C County of
1 ��L,IS XQ/YIYI�NX/I do hereby certify that W� A � YVv \ACI U�t\S W 16YXVN personally appeared
before me thi day of Qr�Q LHby � C) and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
H.
REG # `ten t
229468 7 Q
n COMMISSIONEXPIRES
-
%�y:, 4/30/2016
'y/FA TH 01"
�r�1am m ra%
SEAL
My commission expires_ _ 4 - 20 - 1 ("0
Form SWU-101 Version 06Aug2012 Page 7 of 7

a m
V

Permit Number:
(to be provided by DWO)
© � 0, F WA7Fg,q
h r
NC ENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
SAND FILTER SUPPLEMENT
This form must be filled out on line, printed and submitted with all of the required information.
Make sure to also fill out and submit the Required Items Checklist (Section 111) and the I&M Agreement (Section IV)
I. PROJECTIINFORMATION
Project name
Crop Production Services Vanceboro
Contact name
Susan SaygerPE
Phone number
252-349-5803
Date
October 26,2013
Drainage area number
1
IL' DESIGNINFORMATION
Site Characteristics
Drainage area (AD)
77,000.00 ft' ✓ OK
Impervious area
16,170.00 oZ
4. „; Y , < sue=• !:::
/o Impervious (IA)
21.0 /o /0
r
L . _..Y °... , L 'L L..ya
Design rainfall depth (Ro)
1.50 in ✓
Peak Flow Calculations
OCT 2 8 2G13
1-yr, 24-hr runoff depth
in
1-yr, 24-hr intensity
4.10 inlhr
i ^
Pre -development 1-yr, 24-hr runoff
5.80 ft3lsecf
!—'&
Post -development 1-yr, 24-hr runoff
6.50 ft'/sec
AR3 '
Pre/Post 1-yr, 24-hr peak control
0.70 ft'/sec
Storage Volume ✓
Design volume (WOV) 2,300.38 ft3
Adjusted water quality volume (WOVAd) 1,725.28ft3 OK
Volume contained in the sedimentation basin and on top of the sand filter—2,76990-. �'
Maximum head on the sedimentation basin and sand filter (hMa,rifte,) 2.00 ft r OK
Average head on the sedimentation basin and sand filter (hA) 1.00 If OK
Runoff Coefficient (Rv) 0.24 (unidess)
Type of Sand Filter
Open sand filter? n Y or N
If this is an open sand filter: The clearance between the bottom of the sand ft
filter and the SHWT (dsHwT)
Closed/pre-cast sand filter? y Y or N
If this is a closed sand filter: The clearance between the bottom of the sand 1.00 ft
filter and the SHWT (dSHWr)
If this is a closed, underground closed sand filter: The clearance between
the surface of the sand filter and the bottom of the roof of the underground ft
structure (ds,,J
Form SW401-Sand Filter-Rev.4 Parts I and 11. Project Design Summary, Page 1 of 3

Permit Number:
(to be provided by DWQ)
Sedimentation Basin
OK. Meets minimum, but may need to be increased to
Surface area of sedimentation basin (As) 690.00 ft' contain the required volume if error under Storage
Volume section.
Sand Filter
OK. Meets minimum, but may need to be increased to
Surface area of sand filter (AF) 690.00 ft2 contain the required volume if error under Storage
Volume section.
Depth of the sand media filter bed (dF) 1.50 ft
Coefficient of permeability for the sand filter (k) 3.50 (fVday)
Time to drain the sand filter (t) 14.06 hours OK. Submit drainage calculations.
Time to drain the sand filter (t) 0.59 days
Additional Information
Does volume in excess of the design volume bypass the sand filter? y Y or N Enter Data
Is an off-line flow -splitting device used? y Y or N OK
Does volume in excess of the design volume Flow evenly distributed through a Y or N Enter Data
vegetated filter? y
What is the length of the vegetated filler? 30.00 ft
Does the design use a level spreader to evenly distribute flow? Y or N
Is the BMP located at least 30ft from surface waters (50ft if SA waters)? y
If not a closed bottom, is BMP located at least 100ft from water supply wells? y
Are the vegetated side slopes equal to or less than 3:1 y
Is the BMP located in a recorded drainage easement with a recorded access
easement to a public Right of Way (ROW)? y
What is the width of the sedimentation chamber/forebay (Wsea)? 7.50 It
What is the depth of sand over the outlet pipe? 1.50 ft
Figure 1: Open Sand Filter
Sedimentation Saud Filler
Chamber ebm') Chamber
(a' Fnrx
c l\'vir �-
Flo%N. L Outlet
---- 01�
2'tl
Im$iru Soil! Scnsouahhe Hish Wmer Table
«r5sd
YorN OK
YorN OK
YorN OK
Y or N OK
OK
OK
(IF
Form SW401-Sand Filter-Rev.4 Parts I and If. Project Design Summary, Page 2 of 3

Permit Number:
(to be provided by DWO)
Figure 2: Closed Sand Filter
Hlnw
Orednnd
.�.
Flog
••
Conci etc (ur Other
•.t
sh tic htrnl mntc i in l)
'
Lt Silu Soil '
i V ll
Seneonnbk IliOl
Writer Table
Cir'I"
Sand
J
i Oullct Pipe
...
Prpe OF
if
�V) �J
\l'rit<r Seduueufalimr C'hriurber IRy ebriy) ? Smul Filter C'hnutber
(Hovy s.duneras, r (Trapped Solids)
('OII<Cfed Orprucs. Debris) ,
Form SW401-Sand Filter-Rev.4 Pans I and II. Project Design Summary, Page 3 of 3

Permit No.
(to be provided by DWQ)
III. REQUIRED ITEMS CHECKLIST .
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal
package will result in a request for additional information. This will delay final review and approval of the project. Initial
in the space provided to indicate the following design requirements have been met. If the applicant has designated an agent, the
agent may initial below. If a requirement has not been met, attach justification.
Initials Pagel Plan
Sheet No.
5»_5
1. Plans (1" - 50' or larger) of the entire site with labeled drainage area boundaries
- System dimensi2�fs-(16ngth, width, -and depth) for'both the sedimentation chamber and the filter_
chamber
- Maintenance access,
- Flow splitting device,
Proposed drainage easement and public rightof"way (ROW),
- Design -at ultimatprbu'ild-out,
- Off-site,drainage (If applicable), and
- Boundatlse of drainage easement.
J f 5
2. Plan details (1" = 50' ro larger) for the sand filter showing:
- System dimensions (length, width, and depth) for both the sedimentation chamber and the filter
chamber
- Maintenance access,
- Flow splitting device,
- Proposed drainage easement and public right of way (ROW),
- Design at ultimate build -out,
- Off -site drainage (if applicable), and
✓�i'-
- Boundaries oPrainne easement.
SI'-3
3. Secdon'view of the sand filter (1" = 20' or larger) showing:
/T
- Depth(s) of the sedimentation chamber and sand filter chamber,
- Depth of sand filter media
- Connection between the sedimentation chamber and the sand filter chamber,
- SHWT level(s)
-Outlet re, and
- Clearance from the surface of the sand filter to the bottom of the roof of the underground structure (if
applicable)
�'14 A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
SI'-q results of the soils report must be verified in the field by DWO, by completing &submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
2 I�� 5. Supporting calculations (including drainage calculations)
6. Signed and notarized operation and maintenance (0&M) agreement
y�2 7. A copy of the deed restrictions (if required).
Form SW401-Sand Filter-Rev.4 Part III, Page 1 of 1

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Sand Filter Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a log in a
known set location. Any deficient BMP elements noted in the inspection will be corrected, repaired or
replaced immediately. These deficiencies can affect the integrity of structures, safety of the public, and
the removal efficiency of the BMP.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the sand filter.
— The sedimentation chamber or forebay will be cleaned out whenever sediment depth exceeds
six inches.
— Once a year, sand media will be skimmed.
— The sand filter media will be replaced whenever it fails to function properly after maintenance.
The sand filter will be inspected quarterly and within 24 hours after every storm event greater than
1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance will be kept in
a known set location and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired
immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
Entire BMP
Trash/debris is present.
Remove the trash/debris.
Adjacent pavement (if
Sediment is present on the
Sweep or vacuum the sediment as soon as
applicable)
pavement surface.
possible.
Perimeter of sand filter
Areas of bare soil and/or erosive
Regrade the soil if necessary to remove the
gullies have formed.
gully, and then plant a ground cover and
water until it is established. Provide lime
and a one-time fertilizer application.
Vegetation is too short or too long.
Maintain vegetation at an appropriate
height.
Flow diversion structure
The structure is clogged.
Unclog the conveyance and dispose of any
sediment offsite.
The structure is damaged.
Make any necessary repairs or replace if
damage is too large for repair.
Forebay or pretreatment area
Sediment has accumulated to a
Search for the source of the sediment and
depth of greater than six inches.
remedy the problem if possible. Remove
the sediment and stabilize or 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
t'"'E •'. E' ' { CA��
a pesticide is used, wipe it on the plants
rather than spraying.
�
OCT 282013
Form SW40I-Sand Filter O&M-Rev.4 2009SeptlJt OCn nr 11, F �—q� Page 1 of 3

BMP element:
Potentialproblem:
How I will remediate theproblem:
Filter bed and underdrain
Water is ponding on the surface for
Check to see if the collector system is
collection system
more than 24 hours after a storm.
clogged and flush if necessary. If water
still ponds, remove the top few inches of
filter bed media and replace. If water still
ponds, then consult an expert.
Outlet device
Clogging has occurred.
Clean out the outlet device. Dispose of the
sediment offsite.
The outlet device is damaged
Repair or replace the outlet device.
Receiving water
Erosion or other signs of damage
Contact the NC Division of Water Quality
have occurred at the outlet.
401 Oversight Unit at 919-733-1786.
Form SW40I-Sand Filter O&M-Rev.4 2009Sept 17 Page 2 of 3

Permit Number:
(to be provided by DIVQ)
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.
Projecl name:CROP PRODUCTION SERVICES VANCEBORO
BMP drainage area number:
Print name:William Haskins Coleman
Title:Mid NC -VA Division Manager
Address:PO Box 628 8542 Main Street Vanceboro, VA 28586
Date:
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.
[,ul�ara W I ��11 a Notary Public for the State of
V� (A� County of , do hereby certify that
Wt I `;Q�(a5%�(LS �D�emun personally appeared before me this a1�day of
D&ho.v- , and acknowledge the due execution of the forgoing sand filter
Witness my hand and official seal.
Y P ....02
REG #
229468
C COMMISSION ; ¢
?9 EXPIRES : 2•
�?�pt 4/30/2016
i iHr �o�%s``•
SEAT.
My commission expires L,0 —
Form SW401-Sand Filter OBM-Rev.42009Septl7 Page 3 of 3