SW7081010_CURRENT PERMIT_20090206

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

I,�Ja�ZO
�CDEHR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Derek Hatchell
Hatchell & Hatchell, LLC
P.O Box 2405
Manteo, NC 27954
Dear Mr. Hatchell:
Division of Water Quality
Coleen H. Sullins
Director
February 6, 2009
Dee Freeman
Subject: Stormwater Permit No. SW7081010
Conveinence Store & Car Wash
High Density Project
Tyrrell County
The Washington Regional Office received a complete Stormwater Management Permit
Application for proposed convience store and car wash located in Columbia, NC on February 2,
2009. 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 21-1.1000. We are
forwarding Permit No. SW7081010 dated February 6, 2009, for the construction of the subject
project.
iz/3oj�-/
This permit shall be effective from the date of issuance until February 6, 2019, 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
Roger Thorpe, or me at [phone].
XSer,e,ly,
Al Hodge
Regional Supervisor
Surface Water Protection Section
cc: Albemarle & Associates, LTD
Tyrrell County Building Inspections
Division of Coastal Management
u,- ashington Regional Office
Central Files
North Carolina Division of Water Quality Internet www ncwaterquahly om
943 Washington Square Mall Phone [phone]
Washington, NC 27889 FAX [phone]
One
NorthiCa+roll/ina
An Equal Opportunity/Affirmative Action Employer -50%Recycled110% Post Consumer Paper
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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
Hatchell &Hattchell, LLC
Convenience Store & Car Wash
Tyrrell County
FOR THE
construction, operation and maintenance of a storwater wetlands 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 February 6, 2009,
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 1.6 of this permit. The
stormwater control has been designed to handle the runoff from 21,529
square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in
Section 1.6 of this permit, and per approved plans. The built -upon area for
the future development is limited to 21,529 square feet.
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 following design criteria have been provided in the wet detention pond
and must be maintained at design condition:
a.
Drainage Area, acres:
1.49
b.
Total Impervious Surfaces, ftz:
21,529
C.
Design Storm, inches:
1.5
d.
Permanent Pool Elevation, FMSL:
1.5
e.
Permanent Pool Surface Area, ff:
3,240
f.
Permitted Storage Volume, ft3:
3,240
g.
Temporary Storage Elevation, FMSL:
2.5
h.
Controlling Orifice:
0.88 "0 pipe
i.
Permitted Forebay Surface Area,ft2
384
j.
Receiving Stream/River Basin:
Scuppernong River/
Pasquotank Basin
k.
Stream Index Number:
30-14-4-(9)
I.
Classification of Water Body:
"SC"
II. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of
any built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded
areas of the system will be repaired immediately.
3. The permittee shall at all 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 outlet structure, orifice device,
flow spreader, catch basins and piping.
g. Access to the outlet 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.
6. 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.
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 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.

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.
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 February 6,
2019. 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 6 th day of February 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7081010

Hatchell Conveinence Store & Car Wash
Stormwater Permit No. SW7081010
Tyrrell 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:
SEAL
Signature
Registration Number
Date

Certification Requirements:
1. The drainage area to the system contains approximately the
permitted acreage.
2. The drainage area to the system contains no more than the
permitted amount of built -upon area.
3. All the built -upon area associated with the project is graded such
that the runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the
system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause
short-circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved
plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated
shelf, and a forebay.
15. The required system dimensions are provided per the approved
plans.

.!dal+Abl�llvv-.
W=T 74'4 •' _,-1 - DWQUSE ONLY ,4 '-"
Date Received
Fee Paid
Permit Number
NOV 1 3 200
56Z0691616
iiy r;s i %/ State of North Carolina SW K llj i/6
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may he photocopied for use as an original
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project)
Hatchell & Hatchell, LLC
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Derek Hatcheil/President
3. Mailing Address for person listed in item 2 above:
State:NC Zip:27954
Phone: (252 ) 473-6074 Fax: (252 ) 473-6606
4. Project Name (subdivision, facility, or establishment name -should be consistent with project name on.plans,
specifications, letters, operation and maintenance agreements, etc.):
Proposed Drive-thru Convenience Store and Carwash
5. Location of Project (street address):
911 Scuppernong Drive
City:Columbia County:Tyrrell Zip:27925
6. Directions to project (from nearest major intersection):
Southeast corner of Highway 64 and Railroad Avenue Columbia
7. Latitude:35° 55' 02" N Longitude:76° 14' 45" W of project
8. Contact person who can answer questions about the project.
Name:lohn M. DeLucia, PE Telephone Number: (252 ) 441-2113
Email:[e-mail]
II. PERMIT INFORMATION:
1. Specify whether project is (check one):
0
❑Renewal QModification
.--.. 1 -C A

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 Industrial Storm water
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.
All runoff from the structure and the parking lot will utilize sheetflow and be directed to drop inlets and
conveyed via pipe to a created wetland located to the rear of the parking lot Any overflow will be directed to a
amass structure which will be directed to an existing drainage ditch located on the east side of the property.
2. Stormwater runoff from this project drains to the Pasquotank River basin.
3. Total Property Area:1.49 acres 4. Total Coastal Wetlands Area: 0 acres
5. Total Property Area (3) - Total Coastal Wetlands Area (4) = Total Project Area**:1.49 acres
6. (Total Impervious Area / Total Project Area) X 100 = Project Built Upon Area (BUA):33.2 %
7. How many drainage areas does the project have?i
8. 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 engineered stormwater device.
Basin Information
Drainage Area 1
Drainage Area 2
Receiving Stream Name
Scuppernong River
Stream Class & Index No.
SC;30-14-4-(9)
Total Drainage Area (sf)
64,788
On -site Drainage Area (sf)
64,788
Off -site Drainage Area (sf)
0
Existing Impervious* Area (so
0
Proposed Impervious*Area (sf)
21,529
% Impervious* Area (total)
33.2
Impervious* Surface Area
Drainage Area 1
Drainage Area 2
On -site Buildings (sf)
3,330
On -site Streets (sf)
0
On -site Parking (sf)
18,199
On -site Sidewalks (so
0
Other on -site (so
0
Off -site (so
0
Total (so:
21,529
* Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
**Total project area shall be calculated to exclude Coastal Wetlands from use when calculating the built upon area
percentage calculation. This is the area used to calculate overall percent project built upon area (B UA).
Form SWU-101 Version 09.25.08 Page 2 of

9. How was the off -site impervious area listed above derived?From calculations based upon what is proposed.
Projects in Union County: Contact the DWQ Central ice staff to check to see if you project is located
within a Threatened & Endangered Species watershed that may be subject to more stringent stormwater
requirements.
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
One of the following property 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 httl2://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 property 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 NC DWQ 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 Permitting Unit at [phone] for the status and
availability of these forms. Forms can be downloaded from http'//h2o.enr.state.nc.us/su/bml 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
Form SW401-Cistern
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
Cistern Supplement
Form SWU-101 Version 09.25.08 Page 3 of

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 httn'//h2o.enr.state.ne.us/su/msi maas.hnn
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 Stormwater Management Permit Application Form
• Original and one copy of the Deed Restrictions & Protective Covenants Form (if
required as per Part IV above)
• Original of the applicable Supplement Form(s) and O&M agreement(s) for each BMP
ftS t1
• Permit application processing fee of $505 (Express: $4,000 for HD, $2,000 for LD)
payable to NCDENR
ws kr\
• Calculations & detailed narrative description of stormwater treatment/management
Mz 1
• Copy of any applicable soils report
KT �N
• Two copies of plans and specifications (sealed, signed & dated), including:
wys f'\
- 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)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf (such as additional information requests), please complete this section. (ex. designing engineer or firm)
Designated agent (individual or firm):iohn M. DeLucia PE - Albemarle & Associates
Mailing Address:PO Box 3989
City:Kill Devil Hills State:NC Zip:27948
Phone: (252 ) 441-2113 Fax: (252 ) 441-0965
Email:[e-mail]
VIII. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in General Information, item 2) Derek Hatchell
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 15A
NCAC 21-1.1000. ,
II. td,aB
Form SWU-101 Version 09.25.08 Page 4 of

Permit Number
(to be provided by DWQ)
_ O2pF VIA TEgOG
ANA
NCDEPIR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WETLAND 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 the required information.
Contact name
Phone number
Date
Drainage area number
Proposed Drive-Thm Convenience Store and Carwash
Albemarle & Associates, Ltd., John M. DeLucia, PE
252-441-2113
November 6. 2008
II. DESIGN INFORMATION
Site Characteristics
Drainage area
64,788.00
Impervious area
Pe impervious
21,529.00 ftZ t�,� }�,
33.2% % i
cent
IGsq7-i 44 fir' 6r' c
Design rainfall depth
1.50 inch
Peak Flow Calculations
1-yr, 24-hr rainfall depth
n/a in
1-yr, 24-hr intensity .
inthr
Pre -development 1-yr, 24-hr runoff
-ft3/sec
Post -development 1-yr, 24-hr runoff
ft3/sec
Pre%Post 1-yr, 24-hr peak control
ft3/sec
Storage Volume: Non -SA Waters
Minimum required volume
3,199.00 ft3
Volume provided (temporary pool volume)
3,240.00 ft3 OK
Depth of temporary pool/ponding depth (Df° .), k_
12.00 in OK
Drawdown time
2.10 days OK
Diameter of orifice
0.88 in OK
Coefficient of discharge (Cc) used in orifice diameter 0.60 (unitless)
calculation
Driving head (H°) used in the orifice diameter calculation 0.46 ft OK
Storage Volume: SA Waters Parameters'
1.5" runoff volume
Pre -development 1-yr, 24-hr runoff volume
Post -development 1-yr, 24-hr runoff volume
Minimum volume required
Volume provided
n/a ft3
ft3
ft3
ft3
ft3
NOV 1 3.2008
!>vQ-'VIVA- 0
Fonn SW401-Wetland-Rev.3 Parts I and II. Project Design Summary, Page 1 of 3

Permit Number
(to be provided by DWQ)
Surface Areas of Wetland Zones
Surface Area of Entire Welland
3,240.00 It'
OK
Shallow Land
1,293.00 ftz
OK
The shallow land percentage is:
0.40 %
Shallow Water
1,249.00 ft2
OK
The shallow water percentage is:
0.39 %
Deep Pool
Forebay portion of deep pool (pretreatment)
384.00 ft2
OK
The forebay surface area percentage is:
0.12 %
Non-forebay portion of deep pool
314.00 ft2
OK
The non-forebay deep pool surface area percentage is:
0.10 %
Total of wetland zone areas
3,240.00 ft OK
Add or subtract the following area from the zones
0,00 ft2
Topographic Zone Elevations
Temporary Pool
Shallow Land (top)
2.50 fmsl
Permanent Pool
Shallow Water (top)
1.50 first
Deep Pool (top)
1.00 fmsl
Most shallow point of deep pool's bottom
-0.50 fmsl
Deepest point of deep pool's bottom
-1.00 fmsl
Design must meet one of the following two options:
This design meets Option #1,
y (Y or N)
Deep pool is 6—inches below SLWT, If yes:
SLWT (Seasonally Low Water Table)
0.00 fmsl
OK
This design meets Option #2,
Has a clay liner
n/a
If yes
Depth of topsoil above clay liner
in
Topographic Zone Depths
Temporary Pool
Shallow Land
12.00 in
OK
Permanent Pool
Shallow Water
6.00 in
OK
Deep Pool (shallowest)
18.00 in
OK
Deep Pool (deepest)
24.00 in
OK
Planting Plan
Are cattails included in the planting plan?
n (Y or N) OK
Number of Plants in planting plan recommended:
Herbacious (4 inch diameter)
102
Shrubs/small trees (1 gallon or larger)
68
Trees (1.5" dbh)
17
Number of Plants in planting plan provided (several species of
each plant type are recommended):
Herbacious (4inch diameter)
102 OK
Shrubstsmall trees (1 gallon or larger)
68 OK
Trees (2.5" dbh)
17 OK
Form SW401-Wetland-Rev.3 Parts I and II. Protect Design Summary, Page 2 of 3

Permit Number
(to be provided by DWQ)
Additional Information
Can the design volume be contained?
y (Y or N)
OK
Does volume in excess of the design volume flow evenly
y (Y or N)
OK
distributed through a vegetated filter?
What is the length of the vegetated fifter?
30.00 ft
Are calculations for supporting the design volume provided in the
y (y or N)
OK '
application?
Is BMP sized to handle all runoff from ultimate build -out?
y (Y or N)
OK
Is the BMP located in a recorded drainage easement with a
(Y or N)
recorded access easement to a public Right of Way (ROW)?
The length to width ratio is:
3.75 :1
OK
Approximate wetland length
105.00 ft
Approximate wetland width
28.00 ft
Approximate surface area using length and width provided
2,940.00 ft feet
This approx. surface area is within this number of square
of the entire wetland surface area reported above:
Will the wetland be stabilized within 14 days of construction?
y (Y or N)
OK
Forth SW40i-Wetland-Rev.3 Parts I and It. 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.
MSc
C3o�
1. Plans (1' - 50' 6r larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Wetland dimensions (and length to width ratio),
- Pretreatment system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement.
2. Plan details (1' = 50' or larger) for the wettand showing:
- Welland dimensions (and length to width ratio)
- Pretreatment system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Overflow device, and
- Boundaries of drainage easement.
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3. Section view of the wetland (1' = 20' or larger) showing:
- Side slopes, 3:1 or lower
- Wetland layers
All wetlands: Shallow land depth, shallow water depth, deep pool depth
Option 1, no clay liner: SLAT depth
Option 2, day liner: Depth of topsoil on top of liner, liner specifications
4. A detailed planting plan (1' = 20' or larger) prepared by a qualified individual showing:
- A variety of suitable species (not including cattails),
- Sizes, spacing and locations of plantings,
Total quantity of each type of plant specified,
A planting detail,
- The source nursery for the plants, and
- Fertilizer and watering requirements to establish vegetation.
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5. A construction sequence that shows how the wetland will be protected from sediment until the entire
drainage area is stabilized.
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6. The supporting calculations (including drawdown calculations).
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7. A copy of the signed and notarized operation and maintenance (0&M) agreement.
8. A copy of the deed restrictions (if required).
9. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. County
soil maps are not an acceptable source of soils information.
SW401-Wetland-Rev.3
Part III, page 1 of 1

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
Stormwater Wetland 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:
- Immediately after the stormwater wetland is established, the wetland plants will
be watered twice weekly if needed until the plants become established
(commonly six weeks). "-1 Es (,-; E� 111 E 0
- No portion of the stormwater wetland will be fertilized after the first initial
fertilization that is required to establish the wetland plants. NOV 1 3 2008
- Stable groundcover will be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
- Once a year, a dam safety expert will inspect the embankment.
After the wet detention pond is established, I will inspect it once a month and within 24
hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance 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
wetland
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. • Provide lime and a
one-time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximately six inches.
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-Wetland O&M-Rev.3 Page 1 of 4

BMP element:
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated in
Search for the source of the
the forebay to a depth that
sediment and remedy the problem if
inhibits the forebay from
possible. Remove the sediment and
functioning well.
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 a pesticide is used, wipe it
on the plants rather than s ra in .
The deep pool, shallow
Algal growth covers over
Consult a professional to remove
water and shallow land
50% of the deep pool and
and control the algal growth.
areas
shallow water areas.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray) -
the deep pool and shallow
consult a professional.
water areas.
Shallow land remains flooded
Unclog the outlet device
more than 5 days after a
immediately.
storm event.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Best professional practices
Prune according to best professional
show that pruning is needed
practices.
to maintain optimal plant
health.
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth
possible. Remove the sediment and
of the deep pools.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Form SW401-Wetland O&M-Rev.3 Page 2 of 4

BMP element
Potentialproblem:
How I will remediate theproblem:
The embankment
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present
consult a professional to remove
beavers.
The micropool
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Plants are growing in the
Remove the plants, preferably by
micropool.
hand. If a pesticide is used, wipe it
on the plants rather than spraying.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlek
1 733-1786.
Form SW401-Wetland O&M-Rev.3 Page 3 of 4

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Proposed Drive-Thru Convenience Store and Carwash
BMP drainage area
Print name:Derek Hatchell
Title:
Address:PO Box 2405 Manteo NC 27954
Date: It. io.osr
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, -Tg He 66 0 , a Notary Public for the State of
K) `— , County of , do hereby certify that
personally appeared before me this I U
day of fJovc... ooe, and acknowledge the due execution of the
forgoing stormwater wetland maintenance requirements. Witness my hand and official
seal,
JAMIE HATCHELL
NOTARY PUBLIC
Dare County
North Carolina
-My Commission Expires Nov. 14, 2011
SEAL
My commission expires I I - 14. Z.01(
Form SW40 I -Wetland O&M-Rev.3 Page 4 of 4

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Michael F. Easley, Governor
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William G. Ross Jr., Secretary
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North Carolina Department of Environment and Natural Resources
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Coleen H. Sullins Director
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Division of Water Quality
October 29, 2008
Mr. Derek Hatchell
Hatchell & Hatchell, LLC
P.O. Box 2405
Manteo, NC 27954
Subject: Request for Stormwater Application
Stomtwater Review SW7081010
Proposed Drive-Thru Store & Car Wash
Tyrrell County
Dear Mr. Hatchell:
This office received a copy of your Sedimentation & Erosion Control application and plans for the subject
proposed project located on US Hwy 64 in Tyrrell County on October 20, 2008. North Carolina Administrative
Code 15 NCAC 2H.1000 requires that any project located in a coastal County that must receive either a
Sedimentation and Erosion Control Plan approval and/or a CAMA Major permit apply for and receive a
Stormwater Management Permit by the Division of Water Quality.
To obtain a Stormwater Permit you must submit a completed application, application fee of $505.00, two
sets of plans and specifications showing the proposed project and all stormwater treatment units along with
engineering calculations and a narrative description.The application package should be received by this office
prior to November 29, 2008. If an application package is not received by this date we will consider the project
incomplete. We also have an Express Permitting program. If you are interested in this program you may contact Ms.
Lyn Hardison, One Stop Permit Coordinator, at 252-948-3842.
Any development of the site prior to receipt of the required permit will constitute a violation of 15A NCAC
2H.1000 and North Carolina General Statute 143-215.1 and may result in appropriate enforcement action
including civil penalty assessment of up to $25,000 per day.
If you have questions, please feel free to contact me at [phone].
Sincerely,
oge K. Thorpe
Environmental Engineer
Washington Regional Office
cc: - ashington Regional Office
Albemarle Engineering
North Carolina Division of Water Quality Internet: wmv ncwaterauality ore
943 Washington Square Mall Phone [phone]
Washington, NC 27889 Fax [phone]
None hCarolina
Naturally
An Equal opportunity/Affirmative Action Employer- 50% Racycled/10% Post Consumer Paper

SW'70 g 10I d la•a.�•op I i9W
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM f&�(2Agfp flry��
SEDIMENTATION POLLUTION CONTROL ACT �11it�t5olC61C9
No person may initiate any land -disturbing activity on one or more acres as covered by th9arctib@f§ e,,,this
form and an acceptable erosion and sedimentation control plan have been completed and approved by the
Land Quality Section, N.C. Department of Environment and Natural Resources. (Please type'or print and, if
r.�i '. ry6 8. ri„n,t�
the question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.)pii}�
Part A.
1. Project Name Proposed Drive-thru Convenience Store and Carwash
2. Location of land -disturbing activity: County Tyrrell City or Township Columbia
Highway/Street US 64 Latitude 350 55.1' N Longitude 760 14.8' W
3. Approximate date land -disturbing activity will commence: Fall. 2008
4. Purpose of development (residential, commercial, industrial, institutional, etc.): commercial
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 1.35
6. Amount of fee enclosed: $ 130.00 The application fee of $65.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is $585).
7. Has an erosion and sediment control plan been filed? Yes No Enclosed X
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name John M. DeLucia, PE E-mail Address 0ohndGDAlbemarleAssociates.com
Telephone [phone] Cell # 252-202-2341 Fax # [phone]
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Hatchell & Hatchell, LLC 252-473-6074 252-473-6606
Name Telephone Fax Number
PO Box 2405 936 Hwy 64/264
Current Mailing Address Current Street Address
Manteo NC 27954 Manteo NC 27954
City State Zip City State Zip
10. Deed Book No. 217 Page No. 837 Provide a copy of the most current deed.
Part B.
Person(s) or firm(s) who are financially responsible for the land -disturbing
comprehensive list of all responsible parties on an attached sheet):
Hatchell & Hatchell, LLC
Name
PO Box 2405
Current Mailing Address
Manteo NC 27954
City State Zip
E-mail Address
1 7 2008
SECTION
ONAL OFFICE
Manteo NC 27954
City State Zip
Telephone [phone] Fax Number 252-473-6606

2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
Name
Current Mailing Address
City
State Zip
E-mail Address
Current Street Address
City State Zip
Telephone Fax Number
(b) If the Financially Responsible Parry is a Partnership or other person engaging in business under an
assumed name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible
Party is a Corporation, give name and street address of the Registered Agent:
Name of Registered Agent
Current Mailing Address
City State Zip
E-mail Address
Current Street Address
Telephone Fax
State Zip
The above information is true and correct to the best of my knowledge and belief and was provided
by me under oath (This form must be signed by the Financially Responsible Person if an individual
or his attorney -in -fact, or if not an individual, by an officer, director, partner, or registered agent with
the authority to execute instruments for the Financially Responsible Person). I agree to provide
corrected information should there be any change in the information provided herein.
Derek Hatchell President
Type or print name Title or Authority
13 laI//,o �o
Signature Date
I, TM« EI�I�I �lI a Notary Public of the County of
State of North Carolina, hereby certify that Ibcre.k 14C,4e 1 0 appeared
personally before me this day and being duly sworn acknowledged that the above form was
executed by him.
Witness my hand and notarial seal, this ICE day of 6--4-6 6z - , 2009
JAMIE HATCHELL
NOTARY PUBLIC Not ry
Se4are County
North Carolina My commission expires 11 14 7-6I1
My Commission Expires Nov. 14, 2011