SW7090609_HISTORICAL FILE_20210521

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

ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretary
BRIAN WRENN
Director
Camden County
Attention: Ken Bowman, Manager
P.O. Box 190
Camden, NC 27921
Dear Mr. Bowman:
NORTH CAROLINA
Environmental Quality
May 21, 2021
Subject: Stormwater Permit Renewal
Stormwater Management Permit SW7090609
South Camden Volunteer Fire Department
Camden County
YV'fxe/
A Division of Energy, Mineral, and Land Resources file review has determined that
Stormwater Permit SW7090609 for a stormwater treatment system consisting of a well
detention basin serving the South Camden Volunteer Fire Department located at 1061
S Hwy 343, Shiloh, 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. Permit application forms for renewal can be found on our website at:
https://deq. nc.gov/about/d ivisions/energy-m inera I-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
roaer.thoroeCa ncdenr.00v.
Sincerely,
Av_/c _"�
Roger K. Thorpe
Environmental Engineer
® ��� North Carolina Department of Environmental Quality l Division of Energy, Mineral and Land Resources
Washington Regional Office 1 943 Washington Square Mall I Washington, North Carolina 27889
252.946,6481

I
PROJECT DESCRIPTION;'. JUN 2 4 2009
South Camden Volunteer Fire Department Shiloh Station 11 t,
Camden County - North Carolina
June 22, 2009
Camden County is proposing to construct a new fire station on an approximately
3.00 acre parcel of land located at 1061 South Hwy 343 in the Shiloh Township. It is
currently vacant and is zoned General Use.
Development will include the construction of one (1) building, (1) 50'x50'
helipad, a parking lot, an underground piped drainage system in conjunction with grassed
swales, required utilities, septic system, and the installation of required landscaping.
The proposed buildings will contribute 8,000 sf of impervious area with a future
addition adding another 1,600 sf. The asphalt parking and driveways will contribute
19,403 including future parking expansion. There will also be 13,989 sf of concrete in
the sidewalk, truck aprons, and helipad.
Drainage Area 1 encompasses 2.41 acres of the site including all proposed on -site
impervious areas. Two drop inlets provide drainage inflow points for impervious area
runoff from the building and drive aisles. This flow is then routed via underground pipes
to grassed swales with 3:1 side slopes. Runoff from the parking lot will sheet flow across
the parking lot to the swales which then drain to the proposed detention pond which is
designed for 90% TSS removal. The maximum onsite impervious area will be 39,180 sf
or. 37% of the drainage area.
Drainage Area 2 contains the remainder of the 3 acre site as well at the area in the
NCDOT right-of-way between the site and the existing edge of pavement. No on -site
impervious area will be located in this drainage area. The off -site portion of the
driveways (3,812 so will drain into the existing roadside drainage system. Open space
areas around the perimeter of the site will sheet flow into the perimeter swales.
The soil evaluation was performed on June 10, 2009 by Sean C. Robey, PE and
Kimberly Hamby. The soil boring was conducted with an AMS 2-3/4" diameter 6' long
hand mud auger. The boring was performed in the southwest corner of the property
where the detention pond will be located. The USDA-NRCS WEB Soil Survey indicates
Perquimans soils. The elevation at the boring location is approximately 6'. The sandy
�055
SPAN G• `~•,���`�

loam topsoil was 12-14" deep. From 14" to 36" was a silty, clay loam. At 36", the clay
became massive with respect to soil structure and color changed to a chroma color less
than 2 according to the Munsell Soil Color Chart. The low chroma indicates the seasonal
high water table is located at a depth of approximately 36", or elevation 3.0'. The stiff
clay continued to a depth of 48" where the soil became a fine sandy loam. The fine sandy
loam continued to a depth of approximately 66". At this depth the sandy soil was too wet
to continue removal with the auger.
The total disturbed area for this development will not exceed 5 acres. Limits of
disturbance have been shown on the plans.

PERMANENT POOL DETENTION PONDS
Hyman & Robey, PC
• DESIGN OF POND
150-A Hwy 158 East
Camden, NC 27921
080032 - So. Camden
Volunteer Fire Department
Shiloh Station 11
(252)-335-1888
10 Yr, 24 Hr Storm
06/22/09
DETENTION POND
Page I
e
SA/DA PERCENTAGES
FOR 90%
TSS REMOVAL WITHOUT
VEGETATIVE
FILTER
% IMPRV 3.0 FT
3.5 FT
4.0 FT
4.5 FT
5.0 FT
5.5 FT
6.0 FT 6.5 FT
7.0 FT JUN 2 4 2009
10% 1.3
1.0
0.8
0.7
0.6
0.5
0.4 0.3
0.2
20% 2.4
2.0
1.8
1.7
1.5
1.4
1.2 1.0
0.4.
30% 3.5
3.0
2.7
2.5
2.2
1.9
1.6 1.3
1.1
40% 4.5
4.0
3.5
3.1
2.8
2.5
2.1 1.8
1.4
50% 5.6
5.0
4.3
3.9
3.5
3.1
2.7 2.3
1.9
60% 7.0
6.0
5.3
4.8
4.3
3.9
3.4 2.9
2.4
70% 8.1
7.0
6.0
5.5
5.0
4.5
3.9 3.4
2.9
80% 9.4
8.0
7.0
6.4
5.7
5.2
4.6 4.0
3.4
90% 10.7
9.0
7.9
7.2
6.5
5.9
5.2 4.6
3.9
100% 12.0
10.0
8.8
8.1
7.3
6.6
5.8 5.1
4.3
WATERSHED AREA:
2.41 ACRES
WATERSHED % IMPERVIOUS:
37%
PERMANENT POOL ELEVATION:
3.00 FT
PERMANENT POOL AVG. DEPTH:
3.43 FT
SA/DA PERCENTAGE FACTOR:
3.7 %
POND SURFACE AREA REQ'D:
FOREBAY AREA:
AT WIDTH = 0.33 LENGTH,
WIDTH = 35.9826 LF
LENGTH = 107.948 LF
3884 SF
1165 SF
(BASED UPON MINIMUM SURFACE AREA)
Use these dimensions: WIDTH all LF
LENGTH 153.45 LF
'/ , s I1
VOLUME OF 1 RAINFALL
A FS: 1).22 AC
AREA OF PARKING/CONCRETE: 0.08 AC
AREA OF GREEN AREAS: 151 AC
(FROM ABOVE TABLE -TAKEN FROM DESIGN OF STORM WATER \\11
CONTROL FACILITIES WORKSHOP MANUAL-PENC 1988) �3-C .?_S�/
6 �7-
vm
.39 16C2 - 373
2-- Fx,
Normal Pool Elevation 3.00
VOLUME OF RUNOFF 6359.76 CF VOL (CF}-([(ROOF•1.0) (PARKING•.95)+(GRASS•0.2)]•43,560/12)•1.5
STORAGE DEPTH FOR MINIMUM AREA = 1.04 FT
ELEVATION OF I" RAINFALL = 4.04 7
ACTUAL STORAGE VOLUME PROVIDED AS CALCULATED IN CAD: `r,37 CF
18550
BFgU C„'jtb '

DRAWDOWN - WATER QUALITY
Q(2 DAYS) = 0.04998 CFS
Q(5 DAYS)= 0.01999 CFS
V RUNOFF STAGE 1.10 FT
DEPTH OF DRAWDOWN DEVICE BELOW OUTLET 1.5 FT
I" RUNOFF OUTLET DEVICE: 1.4833 INCH DIA HOLE
DIAMETER OF HOLE TO USE: 1.0 INCH DIAMETER
DRAWDOWN RATE 0,03578 CFS
V STORM RUNOFF DRAWDOWN TIME 2.79389 DAYS
Page 2
A=[Q/(Cd*SQRT(2gh))] * 144
Rad =SQRT(A/PI)
Dia. =2*Rad.
INFLOW HYDROGRAPH
Return Year Storrn 10 Yr
Qp = Peak Discharge = 10.32 cfs
Tc = Time of Concentration = 10 min
Calculation of Tp (Time to Peak)
From SCS NEH 4, page 15-7 Eqn. 15.4
Lag Time (L) = (1^0.8*(S+l)^0.7)/(1900*Y^0.5) for Lin Hrs
where: I = hydraulic length of watershed (ft)
S=(1000/CN)-10
CN = approximately same CN from TR-55
Y = avg. watershed land slope in %
S = (1000/CN)-10 = 1.62791
L= 0.17484 hrs
From SCS NEH 4, page I6-7 Eqn. 16.7
Tp=D/2+L
where : D = unit of excess duration rainfall (hrs)
L = Lag Time (hrs)
From SCS NEH 4, page 16-8 Eqn. 16.12
D=0.133 tc
where: Tc = Time of Concentration (hrs) - (See Tr-55 Printout)
THEREFORE: D = 0.02217 hrs
Tp = 0.18592 hrs = 11.1554 min
Volume under Hydrograph = 1.39 * Qp * Tp = 9601.36 Cubic Feet
650
1.62791
86

Page 3
Inflow Hydrograph
SCS Dimensionless Hydrograph
Time Discharge Time Discharge Volume
Ratio Ratio hr efs cf
0.00
0.00
0.00
0
0.10
0.03
0.02
0
21
0.20
0.10
0.04
1
69
0.30
0.19
0.06
2
131
0.40
0.31
0.07
3
214
0.50
0.47
0.09
5
325
0.60
0.66
0.11
7
456
0.70
0.82
0.13
8
566
0.80
0.93
0.15
10
642
0.90
0.99
0.17
10
684
1.00
1.00
0.19
10
691
1.10
0.99
0.20
10
684
1.20
0.93
0.22
10
642
1.30
0.86
0.24
9
594
1.40
0.78
0.26
8
539
1.50
0.68
0.28
7
470
1.60
0.56
0.30
6
387
1.70
0.46
0.32
5
318
1.80
0.39
0.33
4
269
1.90
0.33
0.35
3
228
2.00
0.28
0.37
3
193
2.20
0.21
0.41
2
286
2.40
0.15
0.45
2
203
2.60
0.11
0.48
1
148
2.80
0.08
0.52
1
106
3.00
0.06
0.56
1
76
3.20
0.04
0.59
0
55
3.40
0.03
0.63
0
40
3.60
0.02
0.67
0
29
3.80
0.02
0.71
0
21
4.00
0.01
0.74
0
15
4.50
0.01
0.84
0
17
5.00
0.00
0.93
0
0
Volume
under
hydrograph =
9120 of
Based upon runoff volume =
9601.36 cf
Depth req'd for minimum area =
1.56425

STAGE STORAGE FUNCTION OF POND
(FOR RECTANGULER DETENTION POND ONLY)
Minimum surface area taken at normal water level
BASIN AREA INCR ACCUM
VOLUME VOLUME STAGE In s
S Z
sf cf cf ft
Pond Side Slope (M) =
In Z Z est Elevation
6138 0
0
0
Surface area at normal pool
3
6727 3216
3216
0.5
8.08
-0.69
0.53
3.5
7335 3516
6732
1
8.81
0.00
1.01
4
7960 3824
10556
1.5
9.26
0.41
1.49
4.5
8603 4141
14696
2
9.60
0.69
1.99
5
9265 4467
19163
2.5
9.86
0.92
2.50
5.5
9944 4802
23966
3
10.08
1.10
3.04
6
10641 5146
29112
3.5
10.28
1.25
3.59
6.5
11357 5500
34612
4
10.45
1.39
4.18
7
12090 5862
40473
4.5
10.61
1.50
4.78
7.5
12842 6233
46706
5
10.75
1.61
5.42
8
Regression
Output:
Constant
9.34346
Ks = S/Z^b
= 6667.875
Sid Err of Y Est
0.00969
R Squared
0.99962
No. of Observations
7
Degrees of Freedom
5
XCoefficient(s) 1,15215 = b
Sid Err of Coef. 0.01009
FOR VERTICAL SIDED DETENTION POND SET b=0, AND Ks = SURFACE AREA (SF)
Page 4
STAGE DISCHARGE
(FOR RISER/BARRELL SPILLWAY W EMERGENCY
WEIR) .
RISER
Dr =
I R
Riser Dia. (in)
Etop =
50.00
Elev. Top Riser (fi) 4.56
Cwr =
3.33
Riser weir coeff
Cdr =
0.60
Riser orifice coeff
H I n =
0
Number of Holes
HId =
2
Hole Dia. (in)
EH I =
50.00
Elev. Holes (1)
H2n =
0
Number of Holes
H2d =
2
Hole Dia. (in)
EH2 =
50.00
Elev. Holes (2)
H3n =
0
Number of Holes
H3d =
2
Hole Dia. (in)
EH3 =
50.00
Elev. Holes (3)
BARREL:
Db =
15
Barrel Dia. (in)
Einv =
50.00
Elev Invert Barrel (R) Bartell Adjustment Factor
Cdb =
0.60
Bartel orifice coeff
p]

EMERGENCY WEIR
Page 5
Elevation
Cw
Ecr
Lw
Riser
Hole
(1)
=
=
=
Riser
Hole
(2)
3
4.10
2
Riser
Hole
(3)
Weir coeff
Elev weir coeff (ft)
Weir Length (ft)
Riser Riser
(weir) (orifice)
Barrel
Principal
Spillway
Emergcy
Weir
3.00
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.00
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.01
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.02
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.05
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.09
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.15
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.23
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.32
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.42
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.52
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.61
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.71
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.80
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.88
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
3.95
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
4.01
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
4.06
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
4.10
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
4.13
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
4.16
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.1
4.21
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.2
4.24
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.3
4.26
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.4
4.27
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.4
4.28
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.5
4.28
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.5
4.28
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.5
4.28
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.5
4.27
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.4
4.27
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.4
4.26
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.4
4.24
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.3

Page 6
ROUTING OF
INFLOW HYDROGRAPH THROUGH POND AND OUTFLOW DEVICE
Total
Riser
Riser
Riser
Barrel
Emerg
Time Inflow
Storage
Stage
Outflow
Holes
(weir)
(orifice)
Spillway
t (hr)
cfs
cf
Elevation
cfs
(1+2+3)
cfs
cfs
cfs
cfs
cfs
0.000
0
0
3.00
0.00
0.00
0.00
0.00
0.00
0.00
0.019
0
0
3.00
0.00
0.00
0.00
0.00
0.00
0.00
0.037
1
20.7224
3.01
0.00
0.00
0.00
0.00
0.00
0.00
0.056
2
89.7969
3.02
0.00
0.00
0.00
0.00
0.00
0.00
0.074
3
221.038
3.05
0.00
0.00
0.00
0.00
0.00
0.00
0.093
5
435.169
3.09
0.00
0.00
0.00
0.00
0.00
0.00
0.112
7
759.82
3.15
0.00
0.00
0.00
0.00
0.00
0.00
0.130
8
1215.71
3.23
0.00
0.00
0.00
0.00
0.00
0.00
0.149
10
1782.12
3.32
0.00
0.00
0.00
0.00
0.00
0.00
0.167
10
2424.52
3.42
0.00
0.00
0.00
0.00
0.00
0.00
0.186
10
3108.35
3.52
0.00
0.00
0.00
0.00
0.00
0.00
0.205
10
3799.1
3.61
0.00
0.00
0.00
0.00
0.00
0.00
0.223
10
4482.94
3.71
0.00
0.00
0.00
0.00
0.00
0.00
0.242
9
5125.33
3.80
0.00
0.00
0.00
0.00
0.00
0.00
0.260
8
5719.37
3.88
0.00
0.00
0.00
0.00
0.00
0.00
0.279
7
6258.15
3.95
0.00
0.00
0.00
0.00
0.00
0.00
0.297
6
6727.86
4.01
0.00
0.00
0.00
0.00
0.00
0.00
0.316
5
7114.67
4.06
0.00
0.00
0.00
0.00
0.00
0.00
0.335
4
7432.42
4.10
0.00
0.00
0.00
0.00
0.00
0.00
0.353
3
7701.81
4.13
0.04
0.00
0.00
0.00
0.00
0.04
0.372
3
7927.31
4.16
0.09
0.00
0.00
0.00
0.00
0.09
0.409
2
8301.72
4.21
0.22
0.00
0.00
0.00
0.00
0.22
0.446
2
8558.58
4.24
0.32
0.00
0.00
0.00
0.00
0.32
0.483
1
8718.71
4.26
0.39
0.00
0.00
0.00
0.00
0.39
0.521
l
8814.13
4.27
0.44
0.00
0.00
0.00
0.00
0.44
0.558
l
8862.18
4.28
0.46
0.00
0.00
0.00
0.00
0.46
0.595
0
8876.78
4.28
0.47
0.00
0.00
0.00
0.00
0.47
0.632
0
8869.72
4.28
0.46
0.00
0.00
0.00
0.00
0.46
0.669
0
8847.92
4.28
0.45
0.00
0.00
0.00
0.00
0.45
0.707
0
8816.47
4.27
0.44
0.00
0.00
0.00
0.00
0.44
0.744
0
8778.72
4.27
0.42
0.00
0.00
0.00
0.00
0.42
0.837
0
8676.45
4.26
0.37
0.00
0.00
0.00
0.00
0.37
0.930
0
8569.09
4.24
0.33
0.00
0.00
0.00
0.00
0.33
4.28191 = maximum stage elevation
0.46552 = maximum discharge

12
10
8
m6
m
L
U
0 4
2
0
So. Camden Volunteer Fire Dept.
Shiloh Station 11
Camden County
E n stir` �� � � �� ; ' � ''-' •I
.i
0.000 0.200 0.400 0.600 0.800 1.000
Time (hrs)
-■—INFLOW (cfs)
• OUTFLOW (cfs)

POND VOLUME CALCULATIONS
FOR
S:IHyman 6 Robey'081080032 - Camden Fire DepartmentlExce11080032 POND VOLUME CALCULATIONS.xis
POND CALCULATIONS
AREA
F2
PERMANENT POOL SURFACE AREA
6,137.98
MAIN BASIN SURFACE AREA
4,448.99
FOREBAY SURFACE AREA
1,688.99
AREA AT EDGE OF MAIN BASIN SHELF
3,204.74
AREA OF MAIN BASIN BOTTOM
870.00
AREA AT EDGE OF FOREBAY SHELF
1,104.74
AREA OF FOREBAY BOTTOM
450.00
SURFACE AREA AT 1.5" STORAGE
8,836.02
AREA AT TOP OF SHELF
8,093.56
AREA AT BOTTOM OF SHELF
4,339.46
VATIONS F
PP ELEVATION
ELEVATION AT EDGE OF MAIN BASIN SHELF
ELEVATION OF MAIN BASIN BOTTOM
ELEVATION AT EDGE OF FOREBAY SHELF
ELEVATION OF FOREBAY BOTTOM
ELEVATION OF TOP OF SHELF
ELEVATION OF 1.5" STORAGE
3.00
2.50
-2.50
2.50
-0.50
3.50
4.10
VOLUME CALCULATIONS
F3
MAIN BASIN VOLUME BELOW SHELF
10,186.85
FOREBAY VOLUME BELOW SHELF
2,332.11
TOTAL VOLUME BELOW SHELF
12,518.96
AVERAGE POND DEPTH 3.430
MAIN BASIN VOLUME
12,100.28
FOREBAY VOLUME
3,030.54
PERMANENT POOL VOLUME
15,130.83
FOREBAY PERCENTAGE OF TOTAL PERMANENT POOL VOLUME
20.03%
VOLUME BELOW TOP OF SHELF
18,688.71
TEMP. STORAGE VOLUME (1.5" RUNOFF)
8,636.76
6/22/2009 4:20 PM PAGE 1 OF 1

IsmW fbr 20 200E
$ 200.00
elate of Camden
North Groin Co wty
Real eet at a exclee Tax
4a,00 per 1,000 YaL X-
FIL.eD In Camden County. NC
on .M or 20 2DDB of 02:05:09 PM
b¢ c. 101101
x of Dade
BOOK 261 PAGE 400
JUN 2 4 2009
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: 00 } 0 -� 'Ta* 5 ' rx 1 -;zv — U
Parcel Identifier No.038963003096600000 Verified by ri8-09 fAK County on the mel day of Kk 20_C
By: I bO OCY) I noc . CX>
MailBox to: R MARK WARREN THE TWIFORD LAW FIRM,PC, I I I CURRITUCK COMMERCIAL DRIVE,
This instrument was prepared by: THE TWIFORD LAW FIRM,PC, I I I CURRITUCK COMMERCIAL DRIVE, MOYOCK,
Brief description for the Index: LT 3 ACRE LOT H WY 343, SHILOH,
THIS DEED made this 20th day of March 20 08, by and between
GRANTOR
A. GREGORY BUCKLEY, UNMARRIED
P O BOX 75
SHILOH, NC 27974
CAMDEN COUNTY, a body politic and corporate a
subdivision existing under the Constitution
and laws of the State of North Carolina
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has
and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated
in the City of I SHILOH Township, CAMDEN County, North Carolina and
more particularly described as follows:
See Exhibit "A" attached hereto and incorporated herein by reference.
The property bereinabove described was acquired by Grantor by instrument recorded in Book 79-E-45 page
A map showing the above described property is recorded in Plat Book page
NC Bar Association Form No. 1-3 0 1976, Revised 0 1977, 2002
Printed by Agreement with the NC Bar Association —1981 SoftPro Corporation, 333 E. Six Forks Rd., Raleigh, NC 27609

BOOK 261 PAGE 401
EXHIBIT "A"
Being that certain 3.00 ac. tract, as shown on plat entitled, "Minor Subdivision for South
Camden Fire Department, Shiloh Township, Camden County, North Carolina" by
Edward T Hyman, Jr., P.L.S., dated February 4, 2008 and recorded in PC jp_, Slide
,M, Camden County Registry.
This instrument was prepared by R. Mark Warren, a licensed North Carolina attorney.
Delinquent taxes, if any, to be paid by the closing attorney to the county tax collector
upon disbursement of closing proceeds.

rt
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land -disturbing activity on one or more acres as covered by the Act before 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
the question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.)
Part A.
Project Name South Camden Volunteer Fire Department Shiloh Station 11 JUN 2 5 2009
2. Location of land -disturbing activity: County Camden City or Township Shiloh
Highway/Street NC 343 Latitude 36*16'13" Longitude 76003'50"
3. Approximate date land -disturbing activity will commence: 9/14/09
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Commercial
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 5 acres
6. Amount of fee enclosed: $ 325.00 . 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 X No Enclosed X
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Sean C. Robev E-mail Address sean(a)hymanrobey.com
Telephone [phone] Cell #
Fax # [phone]
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Camden County 252-338-1919 252-333-1603
Name Telephone Fax Number
117 North 343
Current Mailing Address
Camden NC 27921
City State Zip
Current Street Address
City State Zip
10. Deed Book No. 261 Page No. 400 Provide a copy of the most current deed.
Part B.
Person(s) or firm(s) who are financially responsible for the land -disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet):
Camden Count
Name
117 North 343
Current Mailing Address
Camden NC 27921
City State Zip
Telephone [phone]
E-mail Address `1:. t_
r�
�_. r
Current Street Address JUN 2 F. '/rI..
LAIVU 011AU r' Sri. t
City Statee SHINGTQN REG04PUtt-IGE
Fax Number 252-333-1603

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
Telephone
E-mail Address
Current Street Address
City State Zip
Fax Number
(b) If the Financially Responsible Party 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
Telephone
State Zip
E-mail Address
Current Street Address
City State Zip
Fax Number
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.
Randell Woodruff
Type or print name
-.K..,
Signature
Camden County Manager
Title or Authority
47 -0z a.- 0 9
Date
I, Si—e��ar ,e Sacksa , a Notary Public of the County of Cwn- ct en
State of North Carolina, hereby certify that 1 Zo nd c i t I< . Wc>cxA -. --f -C 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 as°'l day of Sic , 20 D `I
:� OFFICIAL SEAL Nota
.�.
C � � �� public, North Carolina
County of Camden My commission expires a�^^ y a 20 i D
STEPHANIE B.. JACKSONo
M Commission Expires

October 15, 2009
Mr. Bill Moore
Dept. of Environment and Natural Resources
Water Quality Section
943 Washington Square Mall
Washington, NC 27889
Subject: Stormwater Management Permit
South Camden Fire Department
Shiloh Station #11
Proj. # 080032
Dear Mr. Moore:
I.
HYMAN
ROBEY-®
OCT 1 9 2009
Sao )edN
Oct
Per our discussion and your review of our planting detail for the detention pond, please accept
these two copies of sheet 4 containing the updated pond details.
Please call me if you have any additions questions or concerns. Thank you for your assistance
with this project.
Sincerely,
t�o�� .`�„
berly D. H mby
Sr. Project Manager
cc: file
R O. Box 339 Camden, North Carolina 27921
[phone]
w .hymanrobey.com

Moore, Bill
From: Moore, Bill
Sent: Monday, August 31, 2009 1:27 PM
To: 'Kim Hamby'
Subject: RE: Shiloh VFD - Camden County
Good Afternoon Kim,
Read your email; here are some comments. Revise/expand vegetation plan to include:
1) Provide soil specs/requirements; soil test to determine amendments needed for pH, nutrients, organic matter.
2) Plant selection: specify size, quantity, spacing, grouping; also reference to nursery quality plants & source;
highly unlikely that local harvesting and/or, a general contractor unfamiliar with wetland plants will result in
quality & diversity of plants needed.
3) Construction notes: sequence of grading, soil amendments, planting, controlling water levels during initial
growing period, etc.
In general, a good vegetation plan requires input from person(s) knowledgeable about soils/plants/landscaping. The
plan needs to be very specific about methods of construction & materials, with the idea that, if we design & permit it
correctly; then hopefully the system will be constructed properly. I'm here today & Tuesday; give me a call if you
have questions.
From: Kim Hamby [mailto:[e-mail]]
Sent: Monday, August 31, 2009 12:21 PM
To: Moore, Bill
Subject: RE: Shiloh VFD - Camden County
W
I have attached pdfs of the drawing and the pond spreadsheet. The calculations were correct, the heading had just not
been updated. Someone from the Coastal Plain Conservation Nursery sent me their "cheat sheet" and we have added
information to our planting notes. We are working toward a more comprehensive spec, but I was hoping this might be
sufficient for this project. Please offer some comments. If this is ok, we will seal and mail the updated sheet.
Thank you,
Kim
Kimberly D. Hamby
Sr. Project Manager
Hyman & Robey, PC
252.335.1888 Ext. 818
From: Moore, Bill [mailto:[e-mail]]
Sent: Monday, August 24, 2009 2:15 PM
To: [e-mail]
Subject: Shiloh VFD - Camden County
Hello Kim,

I have a draft permit ready for this project. Just need a couple of revisions:
1) Sw calculations show 1-inch storm; should be 1.5-inch.
2) Detailed written vegetation plan (please refer to BMP Vegetation, Chp 6): Kim we have been guiding
consultants to this chapter & requiring written plans/details that reflect the guidelines & requirements listed in
that chapter. There is also good info available on the NCSU web site. Ellen Colodney, at Coast Plain
Conservation Nursery is very knowledgeable about wetland plants & vegetation plans.
I will be out of the office for several days; lets talk on Monday, Aug 31.