SW7080904_HISTORICAL FILE_20210714

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW 1(%�
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
ISTORICAL FILE
COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

tvA Ro
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRIAN WRENN
Director
NORTH CAROLINA
Environmental Quality
July 14, 2021
Nags Head Partners, LLC
Attention: C. Brantley Tillman
1004 Wake Forest Rd
Raleigh, NC 27604
Subject: Stormwater Permit Renewal
Stormwater Management Permit SV 7080904
The Shoppes at 10.5
Dare County
Dear Mr. Tillman:
A Division of Energy, Mineral, and Land Resources file review has determined that
Stormwater Permit SV 7080904 for a stormwater treatment system consisting of an
infiltration system serving the Shoppes at 10.5 located at 2515 S Croatan Highway,
Nags Head, NC expires on December 30, 2021. This is a reminder that permit renewal
applications are due 180 days prior to expiration. We do not have a record of receiving
a renewal application.
Please submit a completed permit renewal application along with a $505.00 fee for
permit renewal. Also, it was noted in the file review that a designer's certification that the
project was constructed in accordance with the approved plans as required by the
permit has not been submitted. Please include this with your application. Permit
application forms for renewal can be found on our website at:
https://deq. nc.gov/about/divisions/energy-mineral-and-land-
resources/stormwater/stormwater-program/post-construction-2. North Carolina General
Statutes and the Coastal Stormwater rules require that this property be covered under a
stormwater permit.
If you have questions, please feel free to contact me at [phone]. 1 will be glad to
discuss this by phone or meet with you. If you would like, I can e-mail you a copy of the
application forms. You can request a copy by e-mailing me at
roger.thorpe(a)ncdenr.gov.
Sincerely,
Roger K. Thorpe
Environmental Engineer
�p North Carolina Department of Environmental Quality I Division of Energy. Mineral and Land Resources
LLL�!!5:— Washington Regional Office � 943 Washington Square, Nall I Washington. North Carolina 27839
25194b 6481

Quible
Quible & Associates, P.C.
ENGINEERING • ENMRONMEMAL SCIENCES • PLANNING • SURVEYING
SINCE 1959
November 17, 2020
Carl Dunn, P.E.
Division of Energy, Mineral, and Land Resources
Land Quality Section — Washington Regional Office
North Carolina Department of Environmental Quality
943 Washington Square Mall
Washington, NC 27889
Re: Stormwater Management Permit
High Density Permit SW7080904 Modification
Shoppes at 10.5
Dare County, NC
P.O. Drawer 870
IGffy HoW& NC 27949
Phone. 252d91-8147
Fax: [phone]
webquible com
Mr. Dunn,
On behalf of Nags Head Partners, LLC, Quible & Associates, P.C. hereby submits for your
review and approval a High -Density Stormwater Management Permit Modification package for
the above referenced project located in Dare County. The enclosed narrative will explain in
detail the stormwater management of this site. Please note stormwater supplements for the
existing infiltration trenches have not been provided as changes to the existing stormwater
measure and coverages are not proposed with this development.
The following items are enclosed and shall be considered part of this package:
1. A Review Fee Check in the amount of $505.00 made payable to "NCDEQ";
2. One (1) original and one copy of the Stormwater Management Application Form (SWU-
101);
3. One (1) original copy of the Supplement Forms (Infiltration Basin Only);
4. One (1) original copy of the Operation and Maintenance Agreement (Infiltration Basin);
5. One (1) copy of the Stormwater Narrative and associated documents;
6. One (1) copy of the USGS Topographic. Map with site location identified;
7. One (1) copy of the Property Plat H-190;
8. One (1) copy of the Secretary of State Corporation page for Nags Head Partners, LLC;
9. Two (2) copies of the Plan Set.
Please do not hesitate to contact me at [phone] or [e-mail] should you
have any questions or require any additional information.
Sincerely,
Quible & Associates, P.C.
Cathleen M. Saunders, P.E.
Encl.: as stated
Cc: Nags Head Partners, LLC

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1. DATE
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FINAL SUBDIVISION
PASQUOTANK COUNTY
THE SHOPPES AT 10.5
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Quibler [•�R
& Associates, P.C.
ENGINEERING • CONSULTING • PUNNING
ENVIRONMENTAL SCIENCES • SURVEYING
6 AINFTR 111AIL M MAWA 670
KIM KAM. NORTH CARWMI 27949

11/13/2020
North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online
Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
Nags Head Partners, LLC
Information
Sosld: 1031613
Status: Current -Active O
Date Formed: 3/6/2008
Citizenship: Domestic
AnnuaL Report Due Date: April 15th
Registered Agent: Tillman, C. Brantley
Addresses
Mailing
1004 Wake Forest Road
Raleigh, NC 27604
Reg Mailing
1004 Wake Forest Road
Raleigh, NC 27604
Company Officials
Principal Office
1004 Wake Forest Road
Raleigh, NC 27604
Reg Office
1004 Wake Forest Road
Raleigh, NC 27604
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
C Brantley Tillman
1004 Wake Forest Rd
Raleigh NC 27604
Member
C Brantley Tillman
1004 Wake Forest Rd
Raleigh NC 27604
https./lv .sosnc.gov/online_ services/search/Business_Registration_Results 1/1

434,vzo cow
DWQ USE ONLY
Date Received
Fee Paid
Permit Number
- cr-rr fizzy
SEP 0 5 2008 State of North Carolina
Department of Environment and Natural Resources
DA rp` W � nZ0 Division of Water Quality
9..r U' �''ar+' he : e l.�,d'
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Nags Head Partners, LLC
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
C. Brantley Tillman, Manager / Member
3. Mailing Address for person listed in item 2 above:
1648E North Market Drive
Phone: (919 ) 872-5702
Email:[e-mail]
State:NC Zip:27609
Fax: ( )
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
The Shoppes at 10.5
5. Location of Project (street address):
Project is located in Nags Head on the east side of U.S. 158 approximately 300' south of the intx of US 158 and
City:Nags Head County:Dare Zip:27959
6. Directions to project (from nearest major intersection):
Project is located in Nags Head orf the east side of U.S. 158 approximately 300' south of the intx of US 158 and
7. Latitude:35° 59' 03.53" N Longitude:75° 38' 35.61" W of project
8. Contact person who can answer questions about the project:
Name:David A. Deel, P.E. Telephone Number: (252 ) 261-3300
Eniail:[e-mail]
IL PERMIT INFORMATION:
1. Specify whether project is (check one):
/1
❑Renewal ❑Modification
Form SWU-101 Version 03.27.08 Page 1 ol'4

2. 'If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number and its issue date (if known)
3. Specify the type of project (check one):
❑Low Density ®High Density ❑Redevelop []General Permit []Universal SMP ❑Other
4. 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 ®Sedimentation/Erosion Control ❑404/401 Permit ❑NPDES Stormwater
III. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
Stormwater will be captured and infiltrated in a series of infiltration trenches and infiltration basins.
2. Stormwater runoff from this project drains to the Pasquotank River basin.
3. Total Property Area: 10.47 acres 4. Total Wetlands Area: 0 acres
5. 100' Wide Strip of Wetland Area: n/a acres (not applicable if no Wetlands exist on site)
6. Total Project Area**:10.47 acres 7. Project Built Upon Area:
8. How many drainage areas does the project have?3
9. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
For high density projects, complete the table with one drainage area for each eneineered stormwater device.
Basin Information
Drainage Area 1
Drainage Area 2
Receiving Stream Name
Stream Class & Index No.
Total Drainage Area (sf)
On -site Drainage Area (sf)
- See A ii eLl el Table
Off -site Drainage Area (sf)
Existing Impervious* Area (sf)
Proposed Impervious*Area (sf)
%, Impervious* Area (total)
Impervious* Surface Area
Drainage Area 1
Drainage Area 2
On -site Buildings (sf)
On -site Streets (sf)
On -site Parking (sf)
On -site Sidewalks (sf)
_See A J a k le _
Other on -site (sf)
Off -site (sf)
Total (sf):
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidervalks, gravel areas, etc.
**Total project area shall be calculated based on the current policy regarding inclusiml of mretlands in the built upon area
percentage calculat ion. This is the area used to calculate percent project built upon area (BLIA).
Form SWU-101 Version 03.27.08 Page 2 of 4

10. 'How was the off -site impervious area listed above derived?AutoCAD Area Routine
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
One of the followmg deed restrictions and protective covenants are required to be recorded for all subdivisions,
outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table listing each lot
number, size and the allowable built -upon area for each lot must be provided as an attachment. Forms can be
downloaded from http://h2o.enr.state.nc.us/su/bmp forms.htm - deed restrictions.
Form DRPC-1
High Density Commercial Subdivisions
Form DRPC-2
High Density Developments with Outparcels
Form DRPC-3
High Density Residential Subdivisions
Form DRPC-4
Low Density Commercial Subdivisions
Form DRPC-5
Low Density Residential Subdivisions
Form DRPC-6
Low Density Residential Subdivisions with Curb Outlets
By your signature below, you certify that the recorded deed restrictions and protective covenants for this
project shall include all the applicable items required in the above form, 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 State, and that they will be recorded prior to the
sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms. Forms can be downloaded from ham://h2o.enr.state.nc.us/su/bml2 forms.htm.
Form SW401-Low Density
Form SW401-Curb Outlet System
Form SW401-Off-Site System
Form SW401-Wet Detention Basin
Form SW401-Infiltration Basin
Form SW401-Infiltration Trench
Form SW401-Bioretention Cell
Form SW401-Level Spreader
Form SW401-Wetland
Form SW401-Grassed Swale
Form SW401-Sand Filter
Form SW401-Permeable Pavement
Low Density Supplement
Curb Outlet System Supplement
Off -Site System Supplement
Wet Detention Basin Supplement
Infiltration Basin Supplement
Underground Infiltration Trench Supplement
Bioretention Cell Supplement
Level Spreader/Filter Strip/Restored Riparian Buffer Supplement
Constructed Wetland Supplement
Grassed Swale Supplement
Sand Filter Supplement
Permeable Pavement Supplement
Form SWU-101 Version 03.27.08 Page 3 of 4

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. The complete application package should be
submitted to the appropriate DWQ Office. (Appropriate office may be found by locating project on the
interactive online map at hup://h2o.enr.state.ne.us/su/msi mans.htm)
1. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
� Initials
• Original and one copy of the Stormt rAwater Management Permit Application Form f)
• Original and one copy of the Deed Restrictions & Protective Covenants Form (if DA 1)
required as per Part IV above)
• Original of the applicable Supplement Form(s) and O&M agreement(s) for each BMP nAD
• Permit application processing fee of $505 (Express: 54,000 for HD, $2,000 for LD)
payable to NCDENR OAT)
• Calculations & detailed narrative description of stormwater treatment/management nA p
• Copy of any applicable soils report I1A n
• Two copies of plans and specifications (sealed, signed & dated), including: ngf�
- Development/Project name
- Engineer and firm
-Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VIL AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section. (ex. designing engineer or firm)
Designated agent (individual or firm):Ouible & Associates, P.C.
Mailing Address:P.O. Drawer 870
City:Kitty Hawk State:NC Zip:27949
Phone: (252 ) 261-3300 Fax: (252 ) 261-1260
Email:[e-mail]
Vlll. APPLICANT'S CERTIFICATION
I, (print or type narne of person listed in General Information, item 2) C. Brantley Tillman,
Manager Nags Head Partners LLC
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 eco ed, and that the proposed project complies with the requirements of 15A
NCAC 2H .10 0. (� u
Signatum Date: 9
Fonn SWU-101 Version 03.27.09 Pa,_e 4 of

Basin Information
Drainage Area I
Drainage Area TI
Drainage Area T2
Receiving Stream Name
Atlantic Ocean
Atlantic Ocean
Atlantic Ocean
Receiving Stream Class & Index No.
SB 99-(7)
SB 99-(7)
SB 99-(7)
Total Drainage Area (sl)
284,012 sf
4,800 sf
55,325 sf
On -site Drainage Area (sf)
284,012 sf
4,800 sf
55,325 sf
Off -site Drainage Area (so
0 sf
0 sf
0 sf
Existing Impervious* Area (sf)
0 sf
0 sf
0 sf
Proposed Impervious*Area (st)
202,711 sf
4,800 sf
55,325 sf
% Imp'ervious* Area (total)
71.4%
100%
100%
Impervious* Surface Area
Drainage Area 1
Drainage Area Tl
Drainage Area T2
On -site Buildings (st)
67,378 sf
On -site Asphalt & Conc. (sf)
135,333 sf
-
-
On -site Turfstone (sf)
-
4,800 sf
55,325 sf
Other on -site (s1)
-
-
-
Off -site (sf)
-
-
-
Total: 202,711 sf
Total: 4,800 sf
Total: 55,325 sf

RECFEVED
SEP 0 5 2008
Permit Number:
(to be provided by DWQ)
Dramage Area Number:
Infiltration Basin Operation and Maintenance Agreement
N/ L NO�.Y-H19ARL)
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
infiltration basin.
— Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter 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:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
Swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Form SW401-Infiltration Basin O&M-Rev3 Pace 1 of 3

BMP element:
The main treatment area
The embankment
The outlet device
The receiving water
Potential problem:
Sediment has accumulated
and reduced the depth to 75%
of the original design depth.
Erosion has occurred or
riprap is displaced.
Weeds are present.
A visible layer of sediment
has accumulated.
Water is standing more th
5 days after a storm event.
Weeds and noxious plants are
growing in the main
treatment area.
Shrubs or trees have started
to grow on the embankment.
An annual inspection by an
appropriate professional
shows that the embankment
needs repair.
Clogging has occurred
The outlet device is damagec
Erosion or other signs of
damage have occurred at the
outlet.
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
Replace the top few inches of filter
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Remove the plants by hand or by
wiping them with pesticide (do not
Remove shrubs or trees
Make all needed repairs.
Clean out the outlet device. Dispose
of the sediment off -site.
Repair or replace the outlet device.
Contact the NC Division of Water
Quality 401 Oversight Unit at 919-
733-1786.
Form SW40 I -Infiltration Basin O&M-Rev.3 Page 2 of 3

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:The Shoppes at 10.5
BMP drainage area number:
Print name:C. Brantley Tillman
Title:Manager, Nags Head Partners, LLC
Address:1648E North Market Drive. Raleigh, NC 27609
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the Tots have been sold and a resident of the subdivision has been named the president.
1, < eanH , c w W oolavd , a Notary Public for the State of
NC
County of � eu LL or } do hereby certify that
C I�ra4lf±l T %lman personally appeared before me this 3
day of . Sepf ood , and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
OT ARI
SEAL
My commission expires !0 — / - 09
Form SW401-Infiltration Basin O&M-Rev.3 PaV 3 of 3

r" Ct', r'_.lt
bEP G 5 ZOW
Permit Number:
(to be proWded bi, DWQ)
Drainage Area Number:
Infiltration Trench 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 of the infiltration trench will be carefully managed to reduce
the sediment load to the sand filter.
— The water level in the monitoring wells will be recorded once a month and after
every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal County).
The infiltration trench will be inspected once a quarter 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:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The grass filter strip or
Areas of bare soil and/or
Regrade the soil if necessary to
other pretreatment area
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Sediment has accumulated to
Search for the source of the
a depth of greater than six
sediment and remedy the problem if
inches.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
The flow diversion
The structure is clogged.
Unclog the conveyance and dispose
structure (if applicable)
of any sediment off -site.
The structure is damaged.
Make any necessary repairs or
replace if damage is too large for
repair.
Form SW401-Infiltration Trench O&M-Rev3
Page 1 of 3

BMP element:
Potentialproblem:
How I will remediate theproblem:
The trench
Water is pending on the
Remove the accumulated sediment
surface for more than 24
from the infiltration system and
hours after a storm.
dispose in a location that will not
impact a stream or the BMP.
The depth in the trench is
Remove the accumulated sediment
reduced to 750% of the original
from the infiltration system and
design depth.
dispose in a location that will not
impact a stream or the BMP.
Grass or other plants are
Remove the plants, preferably by
growing on the surface of the
hand. If pesticide is used, wipe it on
trench.
the plants rather than spraying.
The observation well(s)
The water table is within one
Contact the DWQ Stormwater Unit
foot of the bottom of the
immediately at 919-733-5083.
system for a period of three
consecutive months.
The outflow pipe is clogged.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
The outflow pipe is damaged.
Re air or replace the pipe.
The emergency overflow
Erosion or other signs of
The emergency overflow berm will
berm
damage have occurred at the
be repaired or replaced if beyond
outlet.
repair.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Fonn SW401-Infiltration Trench O&M-Rev.3
Page 2 of 3

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:The Shoppes at 10.5
BMP drainage area number:T 1 and T2
Print name:C. Brantley Tillman
Title:Manager, Nags Head Partners, LLC
Address: 1648E North Market Drive, Raleigh, NC, 27609
Date: 4 4 Z � (') L
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.
I, C eO nn r'e a Notary Public for the State of
�
County of 13 e2u-w1 > , do hereby certify that
man personally appeared before me this 3
day of _i{ 00 , and acknowledge the due execution of the
forgoing infiltration trench maintenance requirements. Witness my hand and official
seal,
T
�P�N\
0
A
..�9GoR B p0 e'
SEAL ��e2ld
My commission expires -�-09
Form SW401-Infiltration Trench O&M-Rev.3
Page 3 of 3

RE& WED
SEP 0 � 'LOOS
Permeable Pavement
DVVQ-SPQR®
Permit Number:
(to be provided by DWQ)
Drainage Area / Lot Number:
Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important operation and maintenance procedures:
— Stable groundcover will be maintained in the drainage area to reduce the sediment
load to the permeable pavement.
— The area around the perimeter of the permeable pavement will be stabilized and
mowed, with clippings removed.
— Any weeds that grow in the permeable pavement will be sprayed with pesticide
immediately. Weeds will not be pulled, since this could damage the fill media.
— Once a year, the permeable pavement surface will be vacuum swept.
— At no time shall wet sweeping (moistening followed by sweeping) be allowed as a
means of maintenance.
— There shall be no repair or treatment of Permeable Pavement surfaces with other
types of pavement surfaces. All repairs to Permeable Pavement surfaces must be
accomplished utilizing permeable pavement which meets the original pavement
specifications.
— Concentrated runoff from roof drains, piping, swales or other point sources,
directly onto the permeable pavement surface shall not be allowed. These areas
must be diverted away from the permeable pavement.
Initial Inspection: Permeable Pavements shall be inspected monthly for the first three
months for the following:
BMP element:
Potentialproblem:
How to remediate theproblem:
The perimeter of
Areas of bare soil and/or
In the event that rutting or failure of the groundcover
the permeable
erosive gullies have
occurs. the eroded area shall be repaired immediately
pavement
formed.
and permanent groundcover re-established.
Appropriate temporary Erosion Control measures (such
as silt fence) shall be installed in the affected area
during the establishment of permanent groundcover,
and any impacted area of permeable pavement is to he
cleaned via vacuum sweeping.
The surface of the
Rutting / uneven
This indicates inadequate compaction of the pavement
permeable
settlement
base / sub -base. If rutting or uneven settlement on the
pavement
order of/x inch or greater occurs. permeable pavement
shall be removed and base / sub -base re -compacted,
smoothed, and permeable pavement shall then be re-
installed. Base and sub -base compaction shall be
monitored by a licensed geotechnical engineer to ensure
that infiltration capacity of base and sub -base are not
compromised by compaction and smoothing processes.
The pavement does not
Vacuum sweep the pavement. If the pavement still
dewater between storms.
does not dewater, consult a professional.
or water is running off.
Form SW401-Permeable Pavement O&M-Rev3 Page I of 3

Permit Number:
(m be provided by DWQ)
Drainage Area / Lot Number:
The permeable pavement will be inspected once a quarter 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 to remediate theproblem:
The perimeter of the
Areas of bare soil and/or erosive
Regrade the soil if necessary to remove
permeable pavement
gullies have formed.
the Bully, and then plant a ground cover
and water until it is established.
Provide lime and a one-time fertilizer
application.
Vegetation is too short or too
Maintain vegetation at a height of 3 to 6
long.
inches (remove clippings).
The surface of the
Trash/debris is present.
Remove the trash/debris.
permeable pavement
Weeds are growing on the
Do not pull the weeds (may pull out
surface of the permeable
media as well) Spray them with
pavement.
pesticide.
Sediment is present on the
Vacuum sweep the pavement.
surface.
The structure is deteriorating or
Consult an appropriate professional.
damaged.
Damaged areas of the pavement shall be
removed and repaired.
The pavement does not dewater
Vacuum sweep the pavement. If the
between storms.
pavement still does not dewater. consuh
a professional. Permanently clogged
pavement shall he removed and
repaired.
Form SW401-Permeable Pavement O&M-Rev.3 Page 2 of 3

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:The Shoppes at 10.5
BMP drainage area or lot ntanber:T I and T2
Print name:C. Brantley Tillman
Title:Manager, Nags Head Partners, LLC
Address: 1648E North Market Drive, Raleigh NC 27609
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
1, CJPQnnit; W Weo la,-d , a Notary Public for the State of
NC , County of -'Bpa" Or'f , do hereby certify that
C (� VOnf)er t 71 It Mar, personally appeared before me this 3
day of dDaB , and acknowledge the due execution of the
forgoing permeable pavement maintenance requirements. Witness my hand and official
seal,
. ...... SEAL
z to
2
2s
., FR B 4&P
My commission
4�--Va"� w. WOI-4J
-/-09
Form SW401-Permeable Pavement O&M-Rev.3 Page 3 of 3

NCDENR
North Carolina Department of Environment and
Natural Resources
Request for Express Permit Review
For DENR Use ONLY
c
Reviewer_
Submit.
Time
Confirm:
FILL-IN all the information below and CHECK the Permits) you are requesting for express review. FAX or Email the completed form to Express
Coordinator along with a completed DETAILED narrative, site plan IPDF file) and vicinity map /same items expected in the application package
of the project location. Please include this form in the application package.
• Asheville Region -Alison Davidson 828-296-4698;[e-mail]
• Fayetteville or Raleigh Region -David Lee 919-791-4203, [e-mail]
• Mooresville & -Patrick Grogan 704-663.3772 or [e-mail]
• Washington Region -Lyn Hardison 252-946-9215 or [e-mail]
• Wilmington Region -Janet Russell910-350.2004 [e-mail]
NOTE. Project application received after 12 noon will be stamped in the following workday
Vv
Project Name: THE SHOPPES AT 10.5 County: DARE
Applicant: C. BRANTLEY TILLMAN Company: NAGS HEAD PARTNERS LLC
Address: 1648E NORTH MARKET DRIVECity: RALEIGH, State: NC Zip: 27609
Phone:[phone] Fax: Email: [e-mail]
Project Drains into water classified SB (for classification see - http://h2o.enr.state.nc.us/bims/repoNs/reportsWB,htmi)
Project Located in PASQUOTANK River Basin. Is project draining to class ORW waters? N, within lb mile and draining to class SA waters
N, or within 1 mile and draining to class HOW waters? N
Engineer/Consultant: DAVID A. DEEL, P.E. Company: QUIBLE & ASSOCIATES P.C.
Address: P.O. DRAWER 870 City: KILL DEVIL HILLS, State: NC Zip: 27949 �������
Phone: [phone] Fax::[phone] Email: [e-mail]
(Check all that apply) S E P U 5 7'iilit
❑ Scoping Meeting ONLY ❑ DWQ, ❑ DCM, ❑ DLR, ❑ OTHER: _ NC DENR
❑ Stream Origin Determination: _ # of stream calls — Please attach TOPO map marking the areas in questions
® State Stormwater ❑ General ❑ SFR, ❑Bkhd & Bt Rmp, ❑ Clear & Grub, ❑ Utility
❑ Low Density ❑ Low Density -Curb & Gutter _ It Curb Outlet Swales ❑ Off -site [SW _ (Provide permit #)]
❑ High Density -Detention Pond _ # Treatment Systems ® High Density -Infiltration 3 (#Treatment Systems
❑ High Density -Bio-Retention _ # Treatment Systems ❑ High Density—Stormwater Wetlands _ # Treatment Systems
ElHigh Density -Other _,# Treatment Systems ElMODIFICATION SW _ (Provide permit #)
❑ Coastal Management ❑ Excavation & Fill ❑ Bridges & Culverts ❑ Structures Information
❑ Upland Development ❑ Marina Development ❑ Urban Waterfront
❑ Land Quality ❑ Erosion and Sedimentation Control Plan with _ acres to be disturbed.(CK # (for DENR use))
WETLANDS QUESTIONS MUST BE ADDRESSED BELOW
H Wetlands (401): Check all that apply
Wetlands on Site ❑ Yes ❑ No
Wetlands Delineation has been completed: ❑ Yes ❑ No
US ACOE Approval of Delineation completed: ❑ Yes ❑ No
404 Application in Process w/ US ACOE: ❑ Yes ❑ No
Permit Received from US ACOE ❑ Yes ❑ No
Isolated wetland on Property ❑ Yes ❑ No
Buffer Impacts: ❑ No ❑ YES: acre(s)
Minor Variance: ❑ No ❑ YES
Major General Variance ❑ No ❑ YES
401 Application required: ❑Yes ❑ No If YES, ❑ Regular
Perennial, Blue line stream, etc on site ❑ yes ❑ No
For DENR use only
Fee Split for multiple permits: (Check #L7-7 LI 1 TM.1 Ca. A.,,.,,.... C 1/�
SUBMITTAL DATES
Fee
W
SUBMITTAL DATES
Fee
CAMA
S
Variance (❑ Mai; ❑ Min
$
SW (❑af6, ❑ LD, ❑ Gen)
$ Q
401:
$
LDS
S
Stream Deter,_
$
NCDENR EXPRESS January 2008

Quibie
9uible & Associates, P.C.
ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SUWEVING
SINCE 1959
September 2, 2008
Mr. Samir Dumpor
NCDENR
Division of Water Quality
943 Washington Square Mall
Washington, North Carolina 27889
Re: The Shoppes at 10.5- Nags Head
High Density Stormwater Permit Application
Fast -Track Application
Dear Mr. Dmmpor:
2119- i:= FlO
SEP 0 5 Z006
P.O Drower870
Krtry Howk NC 27949
Phone: [phone]
Fax [phone]
PRINCIPALS
Sean C Boyle. P E
Joseph S LaI CEP.
Eduordo J. VoldMeso. P E.
ASSOCIATES
Joseph J Anlout P E.
KwhenneC Morchello, P L 5
On Behalf of Nags Head Partners, LLC, Quible and Associates, P.C. hereby submits for review and
approval a High Density Stormwater Management Permit Application package for The Shoppes at 10.5
retail group development in the Town of Nags Head.
The following items are included and shall be considered part of this submittal package:
I. Review Fee Check for $4000.00
2. Two (2) copies of the Stormwater Management Permit Application Form w/one (1) copy
of the Appropriate Supplements
3. Stormwater Management Plan Narrative and Calculations
4. Two (2) copies of Plan Sheets 1, 2, 5, 6, 7, 8, & I I
If you have any questions, or require any additional information, please do not hesitate to contact me at
[phone].
Sincerely,
Q,uible & As: iciates P.C.
�d
David A. Dee], P.E.
enc: as stated

WATE
0
� —.y
Mr. C. Brantley Tillman
Nags Head Partners, LLC
1648 E. North Market Drive
Raleigh, NC 27609
Dear Mr. Tillman:
Michael F Easley, Governor '�
William G Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
September 18, 2008
Subject: Stormwater Permit No. SW7080904
The Shoppes at 10.5
High Density Project
Dare County
Coleen H. Sullins, Director
Division of Water Quality
The Washington Regional Office received a complete Stormwater Management Permit
Application for The Shoppes at 10.5 on September 5, 2008. Staff review of the plans and
specifications has determined that the project, as proposed, will comply with the Stormwater
Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No. SW7080904
dated September 18, 2008, for the construction of the subject project.
This permit shall be effective from the date of issuance until September 18, 2018, 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, or me at [phone].
incer ly,
Al Hodg
Regional Supervisor
Surface Water Protection Section
AH/sd: J:\WPDATA\WQS\Samir - State SW\Permits - Infiltration
cc: David Deel, PE Quible & Associates, P.C.
D,are County Building Inspections
shington Regional Office
Central Files
North Carolina Division of Water Quality Internet vi tiv.ncwateroualityorg 7��On..LLIe,7, 1
943 Washington Square Mall Phone [phone] V Ol CarOlina
Washington, NC 27889 Fax [phone] aF�y+if/ y
An Equal OpportunitylAffrmatrve Action Employer -50%Recycledll0% Post Consumer Paper l/y146 L[dss�/

State Stormwater Management Systems
Permit No. SW7080904
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
Nags Head Partners, LLC
The Shoppes at 10.5
Dare County
FOR THE
construction, operation and maintenance of an infiltration basin and two infiltration
trenches in compliance with the provisions of 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 September 18, 2018, and
shall be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.6 on page 3 of this permit. The stormwater
control has been designed to handle the runoff from 262,836 square feet of
impervious area.
3. The tract will be limited to the amount of built -upon area indicated on page 3 of
this permit, and per approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
Page 2 of 8

91
State Stormwater Management Systems
Permit No. SW7080904
The
following design criteria have been provided in the infiltration basin and must
be maintained at design condition:
a.
Drainage Area, acres:
6.52
b.
Total Impervious Surfaces, ftZ:
202,711
C.
Design Storm, inches:
1.0
d.
Basin Depth, feet:
1.50
e.
Bottom Elevation, FMSL:
8.00
f.
Bottom Surface Area, ftz:
39,922
g.
Permitted Storage Volume, ft3:
67,750
h.
Type of Soil:
Corolla, Duckston fine sands and
Newhan-Corolla complex
i.
Expected Infiltration Rate, in/hr:
20
j.
Seasonal High Water Table, FMSL:
6.00
k.
Time to Draw Down, hours:
9
I.
Receiving Stream/River Basin:Atlantic
Ocean / Pasquatank River Basin
M.
Stream Index Number:
99-(7)
n.
Classification of Water Body:
"SB"
7. The
following design criteria have been provided in the infiltration trenches and
must
be maintained at design condition:
Trench T1 Trench T2
a.
Drainage Area, acres:
0.11 1.27
b.
Total Impervious Surfaces, ft2:
4,800 55,325
C.
Design Storm, inches:
1.0
d.
Trench Dimensions, L x W x H, ft:
240x20x0.90 2,270x24.40x0.90
e.
Bottom Elevation, FMSL:
10.60 9.30
f.
Permitted Storage Volume, ft3:
1,728 19,917
g.
Type of Soil:
Corolla, Duckston fine sands and
Newhan-Corolla complex
h.
Expected Infiltration Rate, in/hr:
20
i.
Seasonal High Water Table, FMSL:
6.00
j.
Time to Draw Down, hours:
2.16 2.16
k. Receiving Stream/River Basin:Atlantic Ocean / Pasquatank River Basin
Page 3 of 8

State Stormwater Management Systems
Permit No. SW7080904
Stream Index Number:
M. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
99-(7)
ONN
The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all 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. Mowing 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.
4. Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ. The records 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.
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.
7. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
8. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
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.
Page 4 of 8

State Stormwater Management Systems
Permit No. SW7080904
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 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 formal permit transfer request to the Division of Water Quality,
accompanied by a completed name/ownership change form, documentation
from the parties involved, and other supporting materials as may be appropriate.
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 such time as the Division approves the transfer request.
2. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
3. 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.
4. 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.
5. 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.
6. 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.
7. 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.
Page 5 of 8

State Stormwater Management Systems
Permit No. SW7080904
8. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
9. The permittee shall notify the Division any name, ownership or mailing address
changes within 30 days.
10. This permit shall be effective from the date of issuance until September 18,
2018. 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 18th day of September, 2008.
ORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
y
for
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7080904
Page 6 of 8

oiaie awnnwaiei iwmidyemeni Oysiems
Permit No. SW7080904
The Shoppes at 10.5
Stormwater Permit No. SW7080904
Dare 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 7 of 8

State Stormwater Management Systems
Permit No. SW7080904
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
Dare County Building Inspections
Page 8 of 8

Permit No.
�� �(,�e �/(' �,�}r 1p'�%� �p�a�p (to be provided by DWQ)
r aE'm `V"I�S G 17'� n opf wATE,q
r o
ENT
NCDENR SEP 0 5 2008 STORMWATER 401 CERTlWq
IFICATION APPL CIATIONFORM APPLICATION FORM
Deny 1/��,p INFILTRATION TRENCH SUPPLEMENT
v �YY R® 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.
I: PROJECT INFORMATION
Project name The Shoppes at 10.5
Contact person David A. Deel
Phone number [phone]
Date 8/19/2008
Drainage area number T2
Site Characteristic
Drainage area
Impervious area
Percent impervious
Design rainfall depth
Peak Flow Calculations
1-yr, 24-hr runoff depth
1-yr, 24-hr Intensity
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak flow control
Storage Volume: Non -SR Waters
Minimum volume required
Volume provided
Storage Volume: SR Waters
1-yr, 24-hr rainfall depth
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Trench Design Parameters
Drawdown time
Perforated pipe diameter
Perforated pipe length
Number of laterals
Stone type (a used)
Stone void ratio
Stone is free of fines?
55,325.00 ftz
s5,325.00 f?✓T for 41.e porpola4et slor�Je Calculuiro•.�, iuvis>tone
100.0% % 6 cohs4iere4 /00°Jo rmpevvioU%6MeA t(ccovelJ aO
100 in %;4o11 fobe s(cr=je layer v.�Ml?rreafl,.
in
/hr
ft3/sec
4,610.00 ft3 ✓
19,917.00 rya OK for non -SR waters
In
it
to
I?
it
sands
>20 in/hr
6.00 fmsl
0.09 days V/OK
n/a in
n/a it
n/a
Angular Washed
0.4
Y (Y or N) OK
Form SW401-Infiltration Trench-Rev.2 Parts 1. & IL Design Summary, Page 1 of 2

Permit No.
(to be provided by DWQ)
Trench Elevations
Bottom elevation
9.30
fmsl
OK
Storage/overflow elevation
10.20
first
Top elevation
10.50
fmsl
Trench Dimensions
Length (long dimension)
2,270.00
ft
Width (short dimension)
24.40
It
Height (depth)
0.90
ft
OK
Additional Information
Total runoff volume captured by trench
5.49
ac-in
Maximum of
2 acre -inches allowed - Off erllzdd 51ero jo 12e1'd
Length of vegetative filter for overflow
n/a
ft
OK
Per Town of Nip Oeoc{ Lod&• 510role
Number of observation wells
n/a
OK
15ai3{rfbaknau,d� zzclit(erc-t
Distance to structure
46.00
ft
OK
nFtl.lrr c oroo {(�f arr Seei,L e{
Distance from surface waters
n/a
it
OK
Distance from water supplywell(s)
n/a
it
OK
supplor `+.
Separation from impervious soil layer
n/a
it
OK
Depth of naturally occuring soil above SHWT
3.30
ft
OK
Bottom covered with 4-in of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
n/a
(Y or N)
OK
Capures all runoff at ultimate build -out?
Y
(Y or N)
OK
Bypass provided for larger storms?
Y
(Y or N)
OK
Trench wrapped with geotextile fabric?
Y
(Y or N)
OK
Pretreatment device provided
Y
Form SW401-Infiltration Trench-Rev.2
Parts I. & 11 Design Summary, Page 2 of 2

Permit
(to be provided by DWQ)
Ilf:`REQUIRED.ITEMSCHECKLIST-CHECKLIST�.r ":= ".'.:.� "-" =_ ;4
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.
Page/ Plan
Initials Sheet No.
,Dan 2
1. Plans (1" - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Trench dimensions,
- Pretreatment system,
- High Flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement.
^^nn nn
z, Z, A
2. Partial plan (1" = 30' or larger) and details for the infiltration trench showing:
Bypass structure,
Maintenance access,
Basin bottom dimensions,
Basin cross-section with benchmark for sediment cleanout,
Flow distribution detail for inflow,
Vegetated filter, and
Pretreatment device.
DA P z, R 3. Section view of the infiltration basin (1" = 20' or larger) showing:
Pretreatment and treatment areas, and
inn No,ralvL Inlet and outlet structures.
N D a� 4. A table of elevations, areas, incremental volumes & accumulated volumes to verity the volume provided.
Noyratbe
DA 0 ar + 5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
�Fl 6. A construction sequence that shows how the infitlration basin will be protected from sediment until the
entire drainage area is stabilized.
Norta�t/�'
-DIV_ cne rl' 7. The supporting calculations.
PPfM1f �.
1� Pia 8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
_N/A_ 9. A copy of the deed restrictions (if required)
Form SW40 I Anfiltration Trench-Rev.2 Part III. Required Items Checklist, Page 1 of 1

.i
r� r� ^ ,7 Permit No.
�� EC���//ED Ito be provided by OWQ)
3w N "� �a �/ 020E WArF, O
T SEP O F 2008STORMWATER MANAGEMENT PERMIT APPLICATION FORM o�
NCDENR 401 CERTIFICATION APPLICATION FORM
®WQ_WAROINFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 1/1) must be printed, filled out and submitted along with all of the required information.
I: PROJECT INFORMATION = _ - _ 3. ': -_ .trr_. =r r•
Project Name The Shoppes at 10.5
Contact Person David A. Deal, P.E.
Phone Number j252)261-3300
Date B/19/200B
Drainage Area Number 1
II. DESIGN INFORMATION,
Site Characteristics
Drainage area
284,012.00
ft'
Impervious area
202,711.00
ff i/
Percent Impervious
0.71
%
Design rainfall depth
1.00
in
Peak Flow Calculations
1-yr, 24-hr runoff depth
in
1-yr, 24-hr Intensity
In/hr
Pre -development 1-yr, 24-hr runoff volume
Osec
Post -development 1-yr, 24-hr runoff volume
ft'/sec
Pre/Post 1-yr, 24-hr peak flow control
ft'/sec
Storage Volume: Non -SR Waters
Minimum design volume required
20,917.00
rya
Design volume provided
67,750.00
ft' OK for non -SR waters
Storage Volume: SR Waters
1-yr, 24-hr rainfall depth
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage SA
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom SA
in
fta
ft 3
W
ft,
sands
>20 ra /
6.00 fmsl V
0.38
days OK
3.00
:1 OK
8.00
fmsl t/ OK
9.50
fmsl t/
52,713 00
it
10.10
fmsl
757.00 ft - Total
52.70 it -A✓ero.�8
9,9 322.00 ftz
Farm SW401-infi traban Basm-Rev.2
Pans I. 8 11 Design Summary, Page 1 of 2

rr
l
FA
Permit
(to be provided by OWO)
Additional Information
Total runoff volume captured by basin
1866
ac-in
Length of vegetative filter for overflow
n/a
it
Distance to structure
18.00
it
Distance from surface waters
n/a
it
Distance from water supply well(s)
n1a
it
Separation from impervious soil layer
n/a
it
Naturally occuring soil above shwl
200
it
Bottom covered with 4-in of clean sand?
y
(Y or N)
Proposed drainage easement provided?
n/a
(Y or N)
Capures all runoff at ultimate build -out?
y
(Y or N)
Bypass provided for larger storms
y
(Y or N)
Pretreatment device provided
n/a
Maximum of 2 acre -inches allowed E ovet612da Sa3I� S Pe,-
OK
OK
TOwn Oq Nall jjeo i requlee,.&,13.
OK
5loraq'g IS CJi5}lii?uLVx( C(MV"J
OK
6 3�pJpmle 1,{c�fCOMEG1 d,4
OK
bo.61,5,
OK
OK
OK
OK
OK
Form SW401-Infiltration Basm-Rev 2
Parts 18 11 Design Summary, Page 2 of 2

Permit
(to be provided by DWD)
III.?REQUIREDITEMS 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.
Page/ Plan
Initials Sheet No.
1. Plans (1" - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
Nair i t'' , -Delineated drainage basins (include Rational C coefficient per basin),
NWr&x
- Basin dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement.
2, %, 9
2. Partial plan (1"= 30' or larger) and details for the infiltration basin showing:
- Bypass structure,
- Maintenance access,
- Basin bottom dimensions,
- Basin cross-section with benchmark for sediment cleanout,
- Flow distribution detail for inflow,
- Vegetated filter, and
- Pretreatment device.
3. Section view of the infiltration basin (1" = 20' or larger) showing:
- Pretreatment and treatment areas, and
ff�',
Noir�lt +
- Inlet and outlet structures.
4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
6. A construction sequence that shows how the infittration basin will be protected from sediment until the
µurra�t��
entire drainage area is stabilized.
CQ
r -,a ',,;
7. The supporting calculations.
1pefkI AFP
lei
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
_UPSD__
N /A
9. A copy of the deed restrictions (if required).
Form SW401-Infiltration Basm-Rev.2 Page 1 of 1 Part III, Required Items Checklist, Page 1 of 1

r
Permit
LT WA
NCDEN
AEGM��EM
(to be provided by DWO)
O`er W AT
R SEP 0 5 2008 STORMWATER MANAGEMENT PERMIT APPLICATION FORM r
o
401 CERTIFICATION APPLICATION FORM
DW&WAR0 INFILTRATION TRENCH 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.
II_ PflIJJtt: l'INF,VHMAI ION �;h',_• -` a . - -` - ' - _ - - -
Project name The Shoppes at 10 5
Contact person David A. Deal
Phone number [phone]
Date 8/19/2008
Drainage area number T1
IIi,DESIGN;INFORMATIONR,.' '-• t _' .'`
"_ "
_` _ }
Site Characteristics
Drainage
area
Impervious area
11,800.00
4,800.00
ft�
ft—T
I
For ike Puvf+ose Or 3 fdYcr]e Cal cufaflor.;r iVYFS1One
Percent impervious
100.0%
%
l5roK Lie/eJ lee7 IMpervlOUS4 conUNj5
Design rainfall depth
1.00
in
all ral,iaj) 4o f 8 3!o/a�e �ayEY undefJ�4fi.
Peak Flow Calculations
1-yr, 24-hr runoff depth
in
1-yr, 24-hr intensity
in/hr
Pre -development 1-yr, 24-hr peak flow
ft3/sec
Post -development 1-yr, 24-hr peak flow
ft'fsec
Pre/Post 1-yr, 24-hr peak flow control
ft3/sec
Storage Volume: Non -SR Waters
Minimum volume required
400.00
it
Volume provided
1,72800
ft3 1/
OK for non -SR waters
Storage Volume: SR Waters
1-yr, 24-hr rainfall depth
in
Pre -development 1-yr, 24-hr runoff
ft3
Post -development 1-yr, 24-hr runoff
ft3
Minimum volume required
ft3
Volume provided
it
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Trench Design Parameters
Drawdown time
Perforated pipe diameter
Perforated pipe length
Number of laterals
Stone type (If used)
Stone void ratio
Stone is free of fines?
sands
>20 in/hr
6.00 fmsl
I/
0.09 days OK
n/a in
n/a it
n/a
Angular Washed
0.4
Y (Y or N) OK
Form SW401-Infiltration Trench -Rev 2
Pads I & 11 Design Summary, Page 1 of 2

Permit
(to be prowrded by DWO)
Trench Elevations
Bottom elevation
10.60
fmsl
OK
Storage/overflow elevation
11.50
fmsl
Top elevation
11.80
fmsl
Trench Dimensions
Length (long dimension)
240.00
it
Width (short dimension)
20.00
1t
Height (depth)
0.90
ft
OK
Additional Information
Total runoff volume captured by trench
0.48
ac-in
OK
Length of vegetative filter for overflow
n/a
It
OK
Number of observation wells
n/a
OK
Distance to structure
5000
it
OK
Distance from surface waters
n/a
it
OK
Distance from water supplywell(s)
n/a
ft
OK
Separation from impervious soil layer
n/a
it
OK
Depth of naturally occuring soil above SHWT
4.60
it
OK
Bottom covered with 4-in of clean sand?
Y
(Y or N)
OK
Proposed drainage easement provided?
n/a
(Y or N)
OK
Capures all runoff at ultimate build -out?
Y
(Y or N)
OK
Bypass provided for larger storms?
Y
(Y or N)
OK
Trench wrapped with geotextile fabric?
Y
(Y or N)
OK
Pretreatment device provided
Y
Form SW401-Infiltration Trench -Rev 2 Parts I. a If. Design Summary, Page 2 of 2

i'
Permit
(to be provided by DWO)
111. =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.
Page/ Plan
Initials Sheet No.
DA D 2 1. Plans (1" - 50' or larger) of the entire site showing:
Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Trench dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement.
VAQ 2. Partial plan (1" = 30' or larger) and details for the infiltration trench showing:
Bypass structure,
Maintenance access,
Basin bottom dimensions,
Basin cross-section with benchmark for sediment cleanout,
Flow distribution detail for inflow,
- Vegetated filter, and
- Pretreatment device.
3. Section view of the infiltration basin (1" = 20' or larger) showing:
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Pretreatment and treatment areas, and
Inlet and outlet structures.
4. A table of elevations, areas, incremental volumes & accumulated volumes to verity the volume provided.
5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWO, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
6. A construction sequence that shows how the infitlration basin will be protected from sediment until the
entire drainage area Is stabilized.
7. The supporting calculations.
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
9. A copy of the deed restrictions (if required).
Form SW401-Infiltration Trench-Rev.2
Part III. Required Items Checklist, Page 1 of 1