SW7090703_CURRENT PERMIT_20090724

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

A v'it
NCDENR
North Carolina Department of Environment and
Beverly Eaves Perdue
Governor
Division of Water Quality
Coleen H. Sullins
Director
Ms. Catherine A Griffin July 24, 2009
McDonald's USA, LLC
One McDonald's Plaza
Oak Brook, IL 60523
IAJxR0
Natural Resources
Dee Freeman
Secretary
Subject: Stormwater Permit No. SW7090703
McDonald's - Grandy, NC
High Density Project
Dear Ms Griffin: Currituck County
The Washington Regional Office received a complete Stormwater Management Permit
Application for McDonald's — Grandy, NC project on July 14, 2009. Staff review of the plans
and specifications has determined that the project, as proposed, will comply with the
Stormwater Regulations set forth in Session Law 2008-211 and Title 15A NCAC 2H.1000. We
are forwarding Permit No. SW7090703 dated July 24, 2009, for the construction of the subject
project.
This permit shall be effective from the date of issuance until July 24, 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 Samir Dumpor, or me at [phone].
incer I ,
��., —�
AI Ho g
Regional Supervisor
Surface Water Protection Section
AH/sd: S:\WQS\STORMWATER\PERMIT\SW7090703
cc: Douglas D. Yeates, Blakeway Corporation USA, PC (770 Independence Circle,
Suite 100, Virginia Beach, VA 23455)
C,urrituck County Building Inspections
ashington Regional Office
Central Files
North Carolina Division of Water Quality Internet . www ncWalcr luulity oig
943 Washington Square Mall Phone:[phone] One
Washington, NC 27889 FAX [phone] NorthCarolina
An Equal OpponunitylAffirmative Action Employer- 50%Recycledll0% Post Consumer Paper )Vahtralk

e
State Stormwater Management Systems
Permit No. SW7090703
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
McDonald's USA, LLC
McDonalds — Grandy, NC
Currituck County
FOR THE
construction, operation and maintenance of 2 infiltration basins in compliance with the
provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter referred to as the
"stormwater rules') and the approved stormwater management plans and specifications
and other supporting data as attached and on file with and approved by the Division of
Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until July 24, 2019, 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 1.8 on page 3 of this permit. The stormwater control
has been designed to handle the runoff from 66,211 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section 1.7 on
page 3 of this permit, and as shown on the approved plans.
4. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be
recorded showing all such required easements, in accordance with the approved
plans.
5. The runoff from all built -upon area within the permitted drainage area of this project
must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at lest 50 feet
landward of all surface waters.
Page 2 of 7

7
State Stormwater Management Systems
Permit No. SW7090703
The
following design criteria have been permitted for the infiltration
basin and must
be provided
and maintained at design condition:
BASIN #1
BASIN #2
a.
Drainage Area, acres:
1.68
1.45
b.
Total Impervious Surfaces, ft2:
25,700
40,511
C.
Design Storm, inches:
1.5
1.5
d.
Basin Depth, feet:
4.9
1.9
e.
Bottom Elevation, FMSI�:
4.0
7.0
f.
Bottom Surface Area, ft :
1,688
2,904
g.
Bypass Weir Elevation, FMS
8.90
8.90
h.
Permitted Storage Volume, ft :
16,452
8,079
i.
Type of Soil:
Conetoe and Newhan
j.
Expected Infiltration Rate, in/hr:
2.20
2.20
k.
Seasonal High Water Table, FMSL:
0.00
4.80
I.
Time to Draw Down, hours:
40.2
46,5
M.
Receiving Stream/River Basin: Dowdys Bay / Pasquotank River Basin
n.
Stream Index Number:
30-1-15
o.
Classification of Water Body:
"SC"
II. SCHEDULE OF COMPLIANCE
The stormwater management system shall be constructed in its entirety, vegetated
and operational for its intended use prior to the construction of any built -upon
surface.
During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
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 for each permitted BMP. The
reports will indicate the date, activity, name of person performing the work and what
actions were taken.
5. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance and inspection records for each BMP. The report shall
summarize the inspection dates, results of the inspections, and the maintenance
work performed at each inspection.
6. 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.
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,
Page 3 of 7
I

State Stormwater Management Systems
Permit No. SW7090703
and prior to occupancy of the facility.
Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received from
an appropriate designer for the system installed certifying that the permitted facility
has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A modification
may be required for those deviations.
9. Access to the stormwater facilities shall be maintained via appropriate easements at
all times.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project area.
The project area is defined as all property owned by the permittee, for which
Sedimentation and Erosion Control Plan approval or a CAMA Major permit
was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
12. A copy of the approved plans and specifications shall be maintained on file by the
Permittee at all times.
13. The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in
the notice, the permittee shall submit a written time schedule to the Director for
modifying the site to meet minimum requirements. The permittee shall provide
copies of revised plans and certification in writing to the Director that the changes
have been made.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and
approval by the Director. In the event of a change of ownership, or a name change,
the permittee must submit a completed Name/Ownership Change form to the
Division of Water Quality, signed by both parties, and accompanied by the
appropriate documentation as listed on page 2 of the form. The approval of this
request will be considered on its merits and may or may not be approved.
The permittee is responsible for compliance with all permit conditions until such time
as the Division approves the transfer request.
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.
4. The issuance of this permit does not preclude the Permittee from complying with
Page 4 of 7

State 5tormwater Management Systems
Permit No. SW7090703
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or
replacement stormwater management systems.
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.
The permit issued shall continue in force and effect until revoked or terminated. The
permit may be modified, revoked and reissued or terminated for cause. The filing of
a request for a permit modification, revocation and reissuance or termination does
not stay any permit condition.
Unless specified elsewhere, permanent seeding requirements for the stormwater
controls must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual,
9. Approved plans and specifications for this project are incorporated by reference and
are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit as
allowed by the laws, rules and regulations contained in Session Law 2008-211, Title
15A NCAC 2H.1000, and NCGS 143-215.1 et. al.
11. The permittee shall notify the Division in writing of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until July 24, 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 24th day of July, 2009.
RTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
CL�\Ie'LC4-44U llms, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7090703
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7090703
McDonald's — Grandy, NC
Stormwater Permit No. SW7090703
Currituck County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full time)
the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7090703
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
Currituck County Building Inspections
Page 7 of 7

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 htto://h2o.enr.state.nc.us/su/msi maos.htm)
1. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
• 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
• Permit application processing fee of $505 (Express: 54,000 for HD, $2,000 for LD)
payable to NCDENR
• Calculations & detailed narrative description of stormwater treatment/management
• Copy of any applicable soils report
• Two copies of plans and specifications (sealed, signed & dated), including:
- 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 (such as additional information requests), please complete this section. (ex. designing engineer or firm)
Designated agent (individual or firm): BlakewayCorporation USA, PC
Mailing Address: 770 Independence Circle, Suite 100
City: Virginia Beach State: VA Zip: 23455
Phone: ( 757 ) 226-0081 Fax: ( 757 ) 226-8765
Emafl: doue yeates®blakewaycorp.com
VIII. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in General Information, item 2)
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 2H .1000._ i
�P.�nn/Signature: er ne Gri n, V ce Date: June 29, 2009
ahes en \
Form SWU-101 Version 09.25.08 Page 4 o 4

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 (BUA).
9. How was the off -site impervious area listed above
Projects in Union County: Contact the DWQ Central Ojftce staff to check to see ifyou 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 htW:/lh2o.enr.state.nc.us/su/bmp forms htm - deed restrictions.
Form DRPC-I
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. Notwithstanding the foregoing, please note that McDonald's USA, LLC is merely a
ground tenant of the property and, as such, is not permitted to record any deed restrictions
against the property.
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 ht!p://h2o.enr.state.nc.us/su/bmp 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

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):
❑LAMA Major ®Sedimentation/Erosion Control ❑404/401 Pernut ❑NPDES Industrial 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.
Storwater management is being provided with two infiltration basins located onsite. Site runoff will infiltrate
within the proposed basins. The combined basins are designed to hold 2.5 times the design storm of 1.5" over 24
hrs. and infiltrate all runoff. For larger storm events , an outfall pipe has been designed to convev excess runoff to
the drainage ditch to the south.
2. Stormwater runoff from this project drains to the Pasquotank River basin.
3. Total Property Area: 3.13 acres 4. Total Coastal Wetlands Area: 0 acres
5. Total Property Area (3) - Total Coastal Wetlands Area (4) = Total Project Area'": 3.13 acres
6. (Total Impervious Area / Total Project Area) X 100 = Project Built Upon Area (BUA): 49
7. How many drainage areas does the project have? 3
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, coin lete the table with one drainage area for each engineered stormwater device.
Basin Information
Drainage Area 1
Drainage Area 2
Receiving Stream Name
Dowdys Bay/ Dowdys Bay
Dowdys Bay
Stream Class & Index No.
SC 30-1-15/SC30-1-15
SC 30-1-15
Total Drainage Area (so
40,579/32,602
63,162
On -site Drainage Area (so
40,579/32,602
63,162
Off -site Drainage Area (so
0/0
0
Existing Impervious* Area (so
0/1,515
245
Proposed Impervious*Area (so
25,700/0
40,293
% Impervious* Area (total)
63%/0%
64
Impervious` Surface Area
Drainage Area 1
Drainage Area 2
On -site Buildings (so
3,900/0
0
On -site Streets (so
17,845/0
28,641
On -site Parking (so
2,800/0
11,655
On -site Sidewalks (so
4,155/0
215
Other on -site (so
0/0
0
Off -site (so
0/0
0
Total (so:
25,700/0
40,511
Form SW U-101 Version 09.25.08 Page 2 of 4

Q-�1Gtr�p.t_— lr�ktl<O T1�
.I . DWQUSE ONLY. .' .
Date Recei ed
Fee Paid
I Permit Number
2eo
aC)r Cq t7'lo3
2009 C-V--4 3,3W ix�� 'ALt1kple
UUL 1.4 State of North Carolina
R Department of Environment and Natural Resources
NC DEN
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may tv photocopied for use as an original
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
McDonald's USA, L.L.C.
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Catherine A. Griffin, U.S. Vice President and Secretary
3. Mailing Address for person listed in item 2 above:
One McDonald's Plaza
City: Oak Brook State: Illinois Zip: 60523
Phone: ( 630 ) 623-3778 Fax: ( 630 ) 623-8154
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
McDonald's - Grandy, N.C.
5. Location of Project (street address):
6465 Caratoke Hwy. (U.S. 158)
City: Grandy County: Currituck Zip:27929
6. Directions to project (from nearest major intersection):
Site is located on Northeast side of intersection of U.S 158 (Caratoke Hwy. and Poplar Branch Road
7. Latitude:36° 14' 32.68" N Longitude:75° 52' 39.62" W of project
8. Contact person who can answer questions about the project:
Name: Douglas D. Yeates P.G. Telephone Number: (757 ) 226-0081
Email: doug_yeates®blakewaycorp.com
II. PERMIT INFORMATION:
1. Specify whether project is (check one): ®New ❑Renewal ❑Modification
Form SWU-101 Version 09.25.08 Page 1 of

NCDENR
North Carolina Department of Environment and
W-A R0
Natural Resources
Beverly Eaves Perdue
Governor
Ms. Catherine A Griffin
McDonald's USA, LLC
One McDonald's Plaza
Oak Brook, IL 60523
Dear Ms Griffin:
Division of Water Quality
Coleen H. Sullins
Director
July 24, 2009
Dee Freeman
Subject: Stormwater Permit No
McDonald's - Grandy,
High Density Project
Currituck County
. SW7090703
NC
The Washington Regional Office received a complete Stormwater Management Permit
Application for McDonald's — Grandy, NC project on July 14, 2009. Staff review of the plans
and specifications has determined that the project, as proposed, will comply with the
Stormwater Regulations set forth in Session Law 2008-211 and Title 15A NCAC 2H.1000. We
are forwarding Permit No. SW7090703 dated July 24, 2009, for the construction of the subject
project.
This permit shall be effective from the date of issuance until July 24, 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 Samir Dumpor, or me at [phone].
`inter I ,
AI og
-
Regional Supervisor
Surface Water Protection Section
AH/sd: S:\WQS\STORMWATER\PERMIT\SW7090703
cc: Douglas D. Yeates, Blakeway Corporation USA, PC (770 Independence Circle,
Suite 100, Virginia Beach, VA 23455)
C�urrituck County Building Inspections
/Washington Regional Office
Central Files
\onh Carolina Division of %%'aler i lualits Inlemet. �. �. �� n: �c:gcryualin oir
443 Washington Square Afull Phone 2c�-446-6481QIIC
w:.>Idnp..n, KC2 7h89 FAN' 252-94e-92l> NO1-th Carrci inn
An Equal OpportumlylAfhnnative Action Employer- 50% RecycledllD%Post Consumer Paper Alatural&

. . __� ... ... .......
Permit No. SW7090703
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
McDonald's USA, LLC
McDonalds — Grandy, NC
Currituck County
FOR THE
construction, operation and maintenance of 2 infiltration basins in compliance with the
provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter referred to as the
stormwater rules') and the approved stormwater management plans and specifications
and other supporting data as attached and on file with and approved by the Division of
Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until July 24, 2019, 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 1.8 on page 3 of this permit. The stormwater control
has been designed to handle the runoff from 66,211 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section 1.7 on
page 3 of this permit, and as shown on the approved plans.
4. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be
recorded showing all such required easements, in accordance with the approved
plans.
5. The runoff from all built -upon area within the permitted drainage area of this project
must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at lest 50 feet
landward of all surface waters.
Page 2 of 7

Permit No. SW7090703
The following design criteria have been permitted for the infiltration basin and must
be provided and maintained at design condition:
a. Drainage Area, acres:
b. Total Impervious Surfaces, ftz:
C. Design Storm, inches:
d. Basin Depth, feet:
e. Bottom Elevation, FMS�:
f. Bottom Surface Area, ft
g. Bypass Weir Elevation, FMS�:
h. Permitted Storage Volume, ft :
i. Type of Soil:
j. Expected Infiltration Rate, in/hr:
k. Seasonal High Water Table, FMS
I. Time to Draw Down, hours:
M. Receiving Stream/River Basin:
n. Stream Index Number:
o. Classification of Water Body:
If. SCHEDULE OF COMPLIANCE
BASIN #1
BASIN #2
1. 8
1.45
25,700
40,511
1.5
1.5
4.9
1.9
4.0
7.0
1,688
2,904
8.90
8.90
16,452
8,079
Conetoe and Newhan
2.20
2.20
L: 0.00
4.80
40.2
46,5
Dowdys Bay / Pasquotank River Basin
30-1-15
..Sc"
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
61
Records of maintenance activities
reports will indicate the date, activity,
actions were taken.
The permittee shall submit to
report of the maintenance and
summarize the inspection date
work performed at each inspection.
nust be kept for each permitted BMP. The
name of person performing the work and what
the Division
inspection r
s, results o
of Water Quality an
ecords for each BMP
f the inspections, and
annual summary
The report shall
the maintenance
6. 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.
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,
Page 3 of 7

„l Iy V. VYY IVJV I VJ
and prior to occupancy of the facility.
8. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received from
an appropriate designer for the system installed certifying that the permitted facility
has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A modification
may be required for those deviations.
9. Access to the stormwater facilities shall be maintained via appropriate easements at
all times.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project area.
The project area is defined as all property owned by the permittee, for which
Sedimentation and Erosion Control Plan approval or a CAMA Major permit
was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
12. A copy of the approved plans and specifications shall be maintained on file by the
Permittee at all times.
13 The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in
the notice, the permittee shall submit a written time schedule to the Director for
modifying the site to meet minimum requirements. The permittee shall provide
copies of revised plans and certification in writing to the Director that the changes
have been made.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and
approval by the Director. In the event of a change of ownership, or a name change,
the permittee must submit a completed Name/Ownership Change form to the
Division of Water Quality, signed by both parties, and accompanied by the
appropriate documentation as listed on page 2 of the form. The approval of this
request will be considered on its merits and may or may not be approved.
The permittee is responsible for compliance with all permit conditions until such time
as the Division approves the transfer request.
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.
4. The issuance of this permit does not preclude the Permittee from complying with
Page 4 of 7

� cn nu �vv. .avr i Ravi va
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
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.
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.
The permit issued shall continue in force and effect until revoked or terminated. The
permit may be modified, revoked and reissued or terminated for cause. The filing of
a request for a permit modification, revocation and reissuance or termination does
not stay any permit condition.
Unless specified elsewhere, permanent seeding requirements for the stormwater
controls must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
Approved plans and specifications for this project are incorporated by reference and
are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit as
allowed by the laws, rules and regulations contained in Session Law 2008-211, Title
15A NCAC 2H.1000, and NCGS 143-215.1 et. al.
11. The permittee shall notify the Division in writing of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until July 24, 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 24th day of July, 2009.
LINA ENVIRONMENTAL MANAGEMENT COMMISSION
'Dole` ffiff s irector jor
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7090703
Page 5 of 7

Permit No. SW7090703
McDonald's — Grandy, NC
Stormwater Permit No. SW7090703
Currituck Countv
Designer's Certification
Steven M. Blevins, PE as a duly registered Engineer in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full time)
the construction of the project,
McDonalds - Grandy, NC
(Project)
for McDonald's USA, LLC (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 'Num #er2 11
Date 5/20/2010
�Pf A
ICA R O � i
?��pEEssio �'ti;
SEAL' y
a SEAL ••y c
_N • 031271
,a
F
Page 6 of 7

Permit No. SW7090703
Certification Requirements:
x 1. The drainage area to the system contains approximately the permitted
acreage.
x 2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
x
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
x
4. All roof drains are located such that the runoff is directed into the system.
x 5. The bypass structure weir elevation is per the approved plan.
x 6. The bypass structure is located per the YP p approved plans.
x 7. A Trash Rack is provided on the bypass structure.
x 8. All slopes are grassed with permanent vegetation.
x 9. Vegetated slopes are no steeper than 3:1.
x 10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
x
11. The permitted amounts of surface area and/or volume have been provided.
x
12. All required design depths are provided.
x 13. All required parts of the system are provided.
x 14. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Currituck County Building Inspections
Page 7 of 7

Permit Number:
(to be proWded by DWQ)
Drainage Area Number:
Infiltration Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
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-Rev.3
Page I of3
I I

BMP element:
Potentialproblem:
How 1 will remediate theproblem:
The forebay
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.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
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 pesticides are used, wipe
them on the plants rather than
s ra in .
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
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
immediate) .
Water is standing more than
Replace the top few inches of filter
5 days after a storm event.
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.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
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-
outlet.
733-1786.
Form SW401-Infiltration Basin O&M-Rev.3
Page 2 of

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. 1 agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: McDonalds - Grandy, N.C.
BMP drainage area number: DA-1 and DA-2, (BMP-1) and DA-3 (BN 4P-2)
Print name: Catherine A. Griffin
Title: U.S. Vice President and Secretary
Address: One McDonald's Plaza, Oak Brook, Illinois 60523
Date: Jurie::29, 2009
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, Gwen E. Nakutis , a Notary Public for the State of
Illinois , County of DuPage , do hereby certify that
Catherine A. Griffin personally appeared before me this 29
day of June 2009 , and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
OFFICIAL SEAL
GWEN E NAKUTIS
NOTARY PUBLIC - STATE OF ILLINOIS
MY COMMISSION EXPIRES:04/18/10
SEAL
My commission expires 04/18/10
of& -
Form SW401-Infiltration Basin O&M-Rev.3
Page 3 of 3