SW7101110_CURRENT PERMIT_20110121

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

NC® NR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Colleen H. Sullins Dee Freeman
Governor Director Secretary
January Z I, zui 1
Mr. William H. Bryan, President
Mount Olive Pickle Company, Inc.
PO Box 609
Mount Olive, NC 28365
Subject: NPDES Phase II Stormwater Permit No. SW7101110 MOD
Mt. Olive Pickle Co. Distribution Center Warehouse Expansion
High Density Commercial Wet Pond Project
Wayne County
Dear Mr. Bryan:
The Washington Regional Office received a complete NPDES Phase II Stormwater
Management Permit Modification Application for Mt. Olive Pickle Co. Distribution Center
Warehouse Expansion on December 17, 2010. 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 2006-246, and Title 15A NCAC 2H.1000. We are forwarding Permit No.
SW7101110 Modification dated January 21, 2011, for the construction of the subject project.
This Modification is to account for an addition of the fire lane as per Fire Department
requirement.
This permit shall be effective from the date of issuance until January 21, 2021, Shall void
permit SW7101110 issued on November 23, 2010 and shall be subject to the conditions and
limitations as specified therein. Please pay special attention to the Operation and
Maintenance requirements in this permit. Failure to establish an adequate system for operation
and maintenance of the stormwater management system will result in future compliance
problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have
the right to request an adjudicatory hearing upon written request within thirty (30) days
following receipt of this permit. This request must be in the form of a written petition,
conforming to Chapter 150E of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands
are made this permit shall be final and binding.
If you have any questions, or need additional info
contact Samir Dumpor, or me at [phone].
Regid m
Surface
concerning this matter, please
r Protection Section
AH/ sd K:\SD\Permits — Wet Pond\SW7101110 Modification
cc: David Criser, PE (Criser, Troutman, Tanner Consulting Engineers, PO Box 3727,
Wilmington, NC 28406)
V�ayne County Building Inspections
✓Washington Regional Office
North Carolina Division or Water Quality Internet www ncwatcrquah oil;
943 Washington Square Mall Phone [phone] One
Washington, NC 27889 FAX [phone] NorthCarolt17a
An Equal Opportumty/Affrmahve Action Employer— 50% Recycled/10% Post Consumer Paper Natural&

r'
State Stormwater Management Systems
Permit No. SW7101110 Modification `
i.
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
NPDES PHASE II 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
Mount Olive Pickle Company, Inc.
Mt. Olive Pickle Co. Distribution Center Warehouse Expansion
Wayne County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with
the provisions of Session Law 2006-246, 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 January 21, 2021, and
shall be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 on page 3 of this permit. The stormwater
control has been designed to handle the runoff from 227,166 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 per approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 30 feet
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7101110 Modification
landward of all perennial and intermittent surface waters.
The
following design criteria have been provided
in the wet detention pond and
must
be maintained at design condition:
a.
Drainage Area, ft2:
526,562
b.
Total Impervious Surfaces, ft2:
227,166
C.
Design Storm, inches:
1.5
d.
Avg. Pond Depth, feet:
3.0
e.
TSS removal efficiency:
90%
f.
Permanent Pool Elevation, FMS,2:
155.00
9.
Permanent Pool Surface Areq, ft :
14,383
In.
Permitted Storage Volume, ft :
28,848 at temporary pool el.
i.
Temporary Storage Elevation, FMSL:
156.61
j.
Predevelopment 1 year 24 hour:
14.22
k.
Post development 1 year 24 hour:
0.12
I.
Controlling Orifice:
2.5"0 pipe
M.
Permitted Forebay Volume, W:
9,472
n.
Receiving Stream/River Basin:
NE Cape Fear River / Cape Fear
o.
Stream Index Number:
18-74-(1)
P.
Classification of Water Body:
"C, Sw"
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 time 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 re -vegetation of slopes and the vegetated filter strip.
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, level
spreader, filter strip, catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
records 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 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. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
7. The facilities shall be constructed as shown on the approved plans. This permit
shall become void unless the facilities are constructed in accordance with the
Page 3 of 7

F•
State Stormwater Management Systems
Permit No. SW7101110 Modification
conditions of this permit, the'bpprovea'plaris and specifications, and other
supporting data.
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. 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.
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 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.
12. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
13. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
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 completed Name/Ownership Change form, to the Division of Water
Quality, signed by both parties, and accompanied by supporting documentation
as listed on page 2 of the form. The project must be in good standing with the
Division. 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.
Page 4 of 7

State Stormwater Management Systems .
Permit No. SW7101110 Modification
3. 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
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.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
8. 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.
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 2006-
246, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
Permit issued this the 21 st day of January, 2011.
N($RTHICAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Division of Water Quality
By Authority of the Environmental Management Commission
Stormwater Permit No. SW7101110 Modification
Page 5 of 7

t State Stormwater Management Systems
Permit No. SW7101110 Modification
Mount Olive Pickle Company Distribution Center Warehouse Expansion
Stormwater Permit No. SW7101110 Modification
Wayne 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. SW7101110 Modification
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.
cc: NCDENR-DWQ Regional Office
Wayne County Building Inspections
Page 7 of 7

r
Permit Name:
(to be provided by DWQ)
EXPRESS Drainage Area Number:
10 Grassed Swale Operation and Maintenance Agreement
NOV 10 2010
NC ®ELt°NITRkeep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
— The drainage area of the grassed Swale will be carefully managed to reduce the
sediment load to the grassed swale.
— After the first-time fertilization to establish the grass in the Swale, fertilizer will
not be applied to the grassed Swale.
The grassed Swale will be inspected once a quarter. 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 length of the
Trash/debris is present.
Remove the trash/debris.
Swale
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then re -sod
(or plant with other appropriate
species) and water until established.
Provide lime and a one-time
fertilizer application.
Sediment covers the grass at
Remove sediment and dispose in an
the bottom of the Swale.
area that will not impact streams or
BMPs. Re -sod if necessary.
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximately six inches.
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-Grassed Swale O&M-Rev.3 Page I of 2

Permit
(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:Mount Olive Pickle Company Distribution Warehouse Expansion
BMP drainage area number:3
Print name:William H. Bryan
Address: 1 Cucumber Boulevard, Mount Olive, NC 28365
Date: L Z-) � 'z._'<- 1. (Z)
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, G--ICU r m u 4 a Notary Public for the State of
County of do hereby certify that
Liz 1� : a r� �] • )2)v. personally appeared before me this n`
day of gol O , and acknowledge the due execution of the
forgoing grassed Swale maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires
Form SW401-Grassed Swale O&M-Rev.3 Page 2 of 2

Permit Number:
EXPRESS
M/i� �� (to be provided by DWQ)
Drainage Area Number:
NOV 10 20W1 et Detention Basin Operation and Maintenance Agreement
NC ®�w' ilfteep 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.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided.
This system (check one):
❑ does ® does not incorporate a vegetated filter at the outlet.
This system (check one):
❑ does ❑ does not incorporate pretreatment other than a forebay.
Important maintenance procedures:
— Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
— No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
— Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
— If the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
— Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected 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 should be kept in a known set
location and must 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 wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention 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.
Vegetation is too short or too
Maintain vegetation at a height of
long.
I approximately six inches.
Form SW401-Wet Detention Basin O&M-Rev.4
Page 1 of 4

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element:
Potential problema
How I will remediate theproblem:
The inlet device: pipe or
The pipe is clogged.
Unclog the pipe. Dispose of the
swale
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the swale if necessary to
swale.
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design depth for
possible. Remove the sediment and
sediment storage.
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 pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional
show that pruning is needed
practices
to maintain optimal plant
health.
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.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible. Remove the sediment and
storage depth.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area.
and control the algal growth.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface.
Form SW401-Wet Detention Basin O&M-Rev.4
Page 2 of 4

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element.
Potentialproblem:
How I will remediate theproblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present
consult a professional to remove
beavers.
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. if applicable)
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 local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 5.50 feet in the main pond, the
sediment shall be removed.
When the permanent pool depth reads 5.50 feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom
BASIN DIAGRAM
(fill in the blanks)
149.50 1 Pe anent
--------------- -- Volume
149.00 ft Min.
Sediment
Storage
FOREBAY
Permanent Pool Elevation 155.00
Pool
\ Sediment Removal Elevation 14950 _ Volum
Bottom Elevation 149.00 n f L 1-ft
MAIN POND
Storage
Forth SW401-Wet Detention Basin O&M-Rev.4
Page 3 of 4

Permit Number:
(to be provided by DWQ)
1 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:Mount Olive Pickle Company Distribution Center Warehouse Expansion
BMP drainage area
Print name:William H. Bryan
TitleTresident
Address: I Cucumber Boulevard, Mount Olive, NC 28365
Date: k-_� (-2—X 4 1Z_�
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.
G. Lrraun�,S , a Notary Public for the State of
�Qfqk Qt, fit; n a , County of Sa,)vp,41bn do hereby certify that
to i 1 hs rt,- 0 . i3nA AV, personally appeared before me this 2$11"
day of QcA6 er OIC), and acknowledge the due execution of the
forgoing wet detention
seal,
SEAL
e requirements. Witness my hand and official
N"rqt .
My commission expires) oZ�i 5
Form SW401-Wet Detention Basin O&M-Rev.4
Page 4 of 4

State Stormwater Management Systems
Permit No. SIA/7101110
Mount Olive Pickle Company Distribution Center Warehouse Expansion
Stormwater Permit No. SW7101 110
Wayne County
Designer's Certification
I, 060)) E as a duly registered e.t-46>19J�ft in the
State of North Carolina, having been authorized to obse periodica y eekly/ full
time) the construction of the project,
MaQOToViv.) Pic-, Lf ��+/7tg-/ ntSlzl3✓1vy cojry-IElL w449) +<.15'r-)< S)at)
(Project)
for bjoy rtT o L. i vf Fidctf canteJJJ (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
1 2'7 0
Page 6 of 7
�N CARo L
QQpFES� Idyl.' q�y.
SEAL _
11270
E.
11,11 I tItt
NOV 0 8 2011
INC DENR

State Stormwater Management Systems
Permit No. SW7101110
Certification Requirements:
,l
The drainage area to the system contains approximately the permitted
acreage.
J4 W2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
L/0 3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
✓P 4. All roof drains are located such that the runoff is directed into the system.
✓0" 5. The outlet/bypass structure elevations are per the approved plan.
JI 6. The outlet structure is located per the approved plans.
✓ K.. Trash rack is provided on the outlet/bypass structure.
_r� 8. All slopes are grassed with permanent vegetation.
✓K Vegetated slopes are no steeper than 3:1.
_V�*/10. The inlets are located per the approved plans and do not cause short-
y / circuiting of the system.
Art 11. The permitted amounts of surface area and/or volume have been
�� provided.
✓O 12. Required drawdown devices are correctly sized per the approved plans.
—ve-11 3. All required design depths are provided.
_V6n14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Wayne County Building Inspections
Page 7 of 7

0
' T R' ANSMITTAL LETTER
f
C R I S E R
TROUTMAN
TANNER
''?
O
FROM
Lyn Hardison
David E. Criscr, P.E.
COMPANY.
DA'fli
NCDENR-Washington Regional Office
November 8, 2011
ADDRESS
CPI'S PROJIiCT NUMBER
943 Washington Square Mall
6518.00
Washington, NC 27889
PHONE NUMBER
CLIFNI"S REPISRENCH NUMBER
RE
Distribution Center Warehouse Expansion
Mount Olive Pickle Company, Inc.
Wayne County
WEIRANSNIIT ❑ NITACIVI) ❑ IJNDERSEPARNMC0\11?11 ❑ HAND CARRIED BY ❑ UP MI)E%
IIIEFOI.LOWING: ❑ TRACINGS ❑ PRINTS ❑ INSPEC110NRERwr ❑ S110PDIL\WINGS ❑ SPECIFICA'11ONs ❑ OTIIF.R
COPIES
DATE
SHEET
DI-,SCRIPTION
REMARKS
1 ORIG
11/08/11
STORAIWATER CERTIFICATION
NOTES/CONINIENTS
Lyn,
Here is the original as requested. 'Flanks for your help on this project.
David
EXPRESS
NOV 0 8 2011
NC DENR
CRISER TROUTMAN TANNER CONSULTING ENGINEERS "
Post Office Box 3727 Wilmington, NC 28406 1 3809 Peachtree Ave. Suite 102 Wilmington, NC 28403 p 910.397.2929 f910 397.2971

Permit Nosw
I
(ro be pmvded by DWD)
®�� OE WATER
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STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submded along wdh all of the required information
I. PROJECT INFORMATION - < _ : 's' - - ,
Project name Mount Olive Pickle Company, Inc Distribution Center Warehouse Expansion
Contact person David E Cdser
Phone number 910-397-2929
Date 30-Nov-10
Drainage area number 2
IL, DESIGN INFORMATION"
Site Characteristics
Drainage area
Impervious area, post -development
% impervious
Design rainfall depth
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
1.5" runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Peak Flow Calculations
Is the preipost control of the 1yr 24hr stone peak flow required?
1-yr, 24-hr rainfall depth
Rational C, pre -development
Rational C, post -development
Rainfall intensity: 1-yr, 24-hr storm
Pre development 1-yr, 24-hr peak flow
Post -development 1-yr. 24-hr peak flow
Pre/Post 1-yr, 24-hr peak flow control
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx. at the pen pool elevation)
Top of 10ft vegetated shelf elevation
Bottom of 10ft vegetated shelf elevation
Sediment cleanout, lop elevation (bottom of pond)
Sediment cleanout, bottom elevation
Sediment storage provided
Is there additional volume stored above the state -required temp. pool?
Elevation of the top of the additional volume
5261562 fe
227,166 ftz V
4314 %
15 in
28,848 fts Y OK
28,848 fts
OK, volume provided is equal to or in excess of volume required.
y (Y or N)
in
0 25 (unitless)
0 52 (unitless)
0.13 Whr OK
14.22 ft'Isec
30.00 ftllsac
15.78 ftalsec
156.61 final
155.00 first
154.50 first
155.50 final
15450 final Data not needed for calculation option #1, but OK if provided
15000 Ifni
149.00 final Data not needed for calculabon option #1, but OK if provided.
1.00 It
y (Y or N)
156.6 brat OK
Form SW401-Wet Detention Basin -Rev 8-9117109 Parts 1 a 4 Design Summary, Page 1 of 2

Permit No
- (to be provided by DWQ)
II:DESIGN INFORMATION-
i' Surface Areas
Area, temporary pool
Area REQUIRED, permanent pool
SAIDA ratio
Area PROVIDED, permanent pool, Av,,,
Area, bottom of 1 Oft vegetated shelf, Ate, mmr
Area, sediment cleanout, top elevation (bottom of pond), A..
Volumes
Volume, temporary pool
Volume, permanent pool, Vim,,.
Volume, forebay (sum of forebays if more than one forebay)
Forebay %of permanent pool volume
SAIDA Table Data
Design TSS removal
Coastal SAIDA Table Used?
MOUntaln7Pledmont SAIDA Table Used?
SAIDA mho
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
Volume, permanent pool, V.-P.
Area provided, permanent pool, Ap _p,
Average depth calculated
Average depth used in SAIDA, it., (Round to nearest 0.5ft)
Calculation option 2 used? (See Figure 10-2b)
Area provided, permanent pool, A, ,,,y
Area, bottom of 1011 vegetated shelf, A�
Area, sediment cleanout top elevation (bottom of pond), Ay.,,,
19.904 fte
12,986 fte ✓
2A7 (unless)
14,383 ftz ✓ OK
11,478 fte
6,456 ft
28,848 its OK
46,420 ft'
9,472 fts
20 4% %
90 %
(Y or N)
y (Y or N)
2.47 (unitless)
y (Y or N)
46.420 fts /✓
14,383 fte V
3.19 It I/
30It
(Y or N)
14,383 fte
11,478 fle
6,456 If
'Depth' (distance blw bottom of 1 Oft shelf and top of sediment) 4.50 ft
Average depth calculated ft
Average depth used in SAIDA, it., (Round to nearest 0.5ft) ft
Drawdown Calculations
Drawdown through onfice?
Diameter of onfice (if circular)
Area of onfice (if-non-ciroular)
Coefficient of discharge (Cu)
Driving head (Ha)
Drawdown through wen?
Weir type
Coefficient of discharge (C.,)
Length of weir (L)
Driving head (H)
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Storage volume discharge rate (through discharge onfice or weir)
Storage volume drwdown time
Additional Information
Vegetated side slopes
Vegetated shelf slope
Vegetated shelf width
Length of flowpath to width ratio
Length to width ratio
Trash rack for overflow 8 onfice?
Freeboard provided
Vegetated filter provided?
Recorded drainage easement provided?
Capures all runoff at ultimate build -out?
Drain mechanism for maintenance or emergencies is:
Forth SW401-Wet Detention Basin -Rev 8.9/17/09
OK
OK
OK
y or N)
2 50 in in
in
0.52 (undess)
161 It
(Y or N)
limitless)
(unrtless)
It
ft
14.26 f1'Isec
30.00 fts/sec
0.12 ftslsec
281 days V OK, draws down in 2-5 days.
31
10 :1
100ft
3 :1
3.0 :1
n (Y or N)
1.0 It
n (Y or N)
n (Y or N)
y (Y or N)
OK
OK
OK
OK
OK
Trash rack or similar device recommended.
OK
OK
Insufficient Recorded drainage easement required.
OK

r
-�•� Permit NumbersW
(to be provided by DWOJ
pp VIA 7F9
40A
ft
NC®ENR STORMWATER MANAGEMENT PERMIT APPLICATION FORM o
401 CERTIFICATION APPLICATION FORM
GRASSED SWALE SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part III) must also be filled out, printed and submitted along with all of the required information.
(:',PROJECT INFORMATION
Project name Mount Olive Pickle Company, Inc. Distribution Center Warehouse Expansion
Contact name David E. Criser
Phone number 910-397-2929
Date December 16, 2010
Drainage area number 2
II. DESIGN INFORMATION
Site Characteristics
Drainage area 526,562.00 It /
Impervious area 227,166.00 It 1/
Percent impervious 43.1% %
Design rainfall depth 1.50 inch
Peak Flow Calculations
10-yr storm runoff depth
in
10-yr storm intensity
5A9
in/hr
Post -development 10-yr storm peak flow
24.53
ft3/sec
Velocity
Maximum non -erosive velocity (peak 10-year storm)
9.50 fi/sec
Soil characteristics (enter Y below)
Sand/silt (easily erodible)
x
Clay mix (erosion resistant)
Grass Type (enter "x' below)
Bermuda
x
Tall fescue
x
Bahiagrass
Kentucky bluegrass
Grass -legume mixture
Swale type: Fill out one of the options below:
Option 1 Curb Outlet Swale:
(Y or N)
Maximum velocity
Side slopes
:1
Swale length
It
Option 2: Conveyance Swale, Seeking Pollutant Credit:
y
(Y or N)
Maximum velocity for 10-yr storm
0.92
lUsec OK
Side slopes
5.00
:1 OK
Swale length
1,818.00
It OK
DEC 1 7 2010
tt!'�fY^a
�f^'� :tit_ }Ii; :•: S s.�6.�
Form SW401-Grassed Swale-Rev.3 Parts I and If. Project Design Summary, Page 1 of 2

Permit Number:
i
ffo be provided by DWQJ
Swale Characteristics
Swale Shape: Enter an Y In the appropriate cell below:
Trapezoidal
x
Parabolic
V-shaped
Width of the bottom of the swale
10.00 It
Width of the top of the swale
32.00 It
Additional Information
Is the swale sized for all runoff from ultimate build -out?
y (Y or N)
OK
Is the BMP located in a proposed drainage easement with a
n (Y or N)
Insufficient ROW location.
recorded access easement to a public Right of Way (ROW)?
What is the distance from the bottom of the swale to the SHWT?
4.59 If
OK
What is the ground level elevation?
162.70 fmsl
What is the elevation of the bottom of the Swale?
159.09 fmsl
What is the SHWT elevation?
154.50 fmsl
What is the longitudinal slope of the Swale?
0.03 %
OK
What is the depth of freeboard?
1.29 It
OK
Form SW401-Grassed Swale-Rev.3 Parts I and 11. Project Design Summary, Page 2 of 2

UJa 6ZC�)
= ..._ DWQ USE ONLY -
Date Received
Fee Paid
Permit Number
ra
"1 ✓'
.�
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan: -'5'ki C j JA Q
State of North Carolina
Department of Environment and Natural Resources OEC 17 2010
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM gib- lEAre+��
This form nay be photocopied for nse as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Mount Olive Pickle Company Distribution Center Warehouse Expansion
2. Location of Project (street address):
1301 North Center Street
City:Mount Olive County: Wayne Zip:28365
3. Directions to project (from nearest major intersection):
From Hwy 117 take hwy NC 55 to the east to NW Center Street. Turn left on to Center Street
Continue on Center street in a northerly direction to the project site immediately before you
4. Latitude:35° 12' 53.51" N Longitude:78° 03' 04.04" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): [-]New ®Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) and the status of
construction: ®Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major
®Sedimentation/Erosion Control: 15.78 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
Form SWU-101 Version07Jun2010 Page 1 of

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the nroiect):
Applicant/Organization:Mount Olive Pickle Company, Inc
Signing Official & Title:William H. BryanPresident
b.Contact information for person listed in item la above:
Street Address:l Cucumber Boulevard
City:Mount Olive State:NC Zip:28365
Mailing Address (if applicable):PO Box 609
City:Mount Olive State:nc Zip:28365
Phone: (919 ) 581-3634
Email:
Fax: (910 ) 581-3174
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official &
b. Contact information for person listed in item 2a above:
Mailing Address (if
City: State
Phone: ( _ )_ _ Fax:
Zip:
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project.
Other Contact Person/Organization:BJ Occena / Mount Olive Pickle Company. Inc.
Signing Official & Title:Director of Engineering / Maintenance
b. Contact information for person listed in item 3a above:
Mailing Address:PO Box 609
City:Mount Olive State:NC Zip:28365
Phone: (919 ) 581-3634 Fax: (919 ) 581-3174
Email:[e-mail]
4. Local jurisdiction for building permits: Town of Mount Olive
Point of Contact: Danny Keel Phone #: (919 ) 658-9538 ext 111
Form SWU-101 Version 07Jun2010 Page 2 of

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The stormwater will be directed into grassed channels from rooftops and paved areas The stormwater will
flow through the grassed channels into a wet detention basin. The stormwater will dicharge from the wet
detention basin into a grassed channel prior to leaving the project site
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b. If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph Il - Post Construction
3. Stormwater runoff from this project drains to the Cape Fear River basin.
4. Total Property Area: 12.09 acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:12.09/31.286 acres
Total project area shall be calculated to exclude the following the normal pool of in:yyo�u�nded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean HiXh Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 43.14 %
9. How many drainage areas does the project have?2 (For high density, count I for each proposed engineered
stormwater BMP. For low density and other projects, use I for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Draina e Area 1
Drainage Area 2
Draina e Area _
Drainage Area _
Receiving Stream Name
Northeast Cape
Fear River
Northeast Cape
Fear River
Stream Class
C,Sw
C,Sw
Stream Index Number *
18-74-(1)
18-74-(1)
Total Drainage Area (so
836,589
526,562
On -site Drainage Area (sf)
836,834
526,562
Off -site Drainage Area (sf)
0
0
Proposed Impervious Area s
Replacement
227,166
% Impervious Area** total
35.97
43.14
Impervious— Surface Area
Drainage Area 1
Drainage Area 2
Draina e Area
Draina e Area
On -site Buildings/Lots (so
Replacement
142,174 ✓
On -site Streets (sf)
Replacement
41,166 ✓
On -site Parking (so
0
0
On -site Sidewalks (so
Replacement
0
Other on -site (so
0
0
Future (so
0
43,826 ✓
Off -site (so
0
0
ExistingBUA*** (so
302,209
Total (so:
302,209 )/
227,166
Stream Class and Index Number can be determined at: http.//portal.ncdetr.or hop eb/toq[ps/csn/classi cations
** Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version 07Jun2010 Page 3 of 6

***Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation.
Projects in Union County: Contact DWQ Central ice staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from hhtt ://portal.ncdenr.org/web/wq/ws/su/bmp-manual.
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. A detailed application instruction sheet and BMP
checklists are available from httl2:/[12ortal.ncdenr'org/web/wq/ws/su/statesw/forms dogs. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http:/ /portal.ncdenr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms does.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. Ole-
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M OuL
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to 0 5a J
http://www.envheIQorg/pages/onestopexi2ress.htm] for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations. /441-
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: duce
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NH W line of tidal
waters, and any coastal wetlands landward of the MHW or NH W lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NH W) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
I. Details of roads, drainage features, collection systems, and stormwater control measures.
in. Wetlands delineated, or a note on the plans that none exist (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
Form SWU-101 Version 07Jun2010 Page 4 of

9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x1l" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT pnor
to submittal, [phone].)
10. A copy of the most current property deed. Deed book:1512 Page No: 741
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC —
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 21-1.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
hn://www.secretary.state.nc.us/Cort)orations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be
provided as an attachment to the completed and notarized deed restriction form. The appropriate deed
restrictions and protective covenants forms can be downloaded from
httn://aortal.ncdenr.org/web/wq/ws/su/statesw/forms _does. Download the latest versions for each
submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot. ,
Vill. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant. Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:David E. Criser, P.E.
Consulting Firm: Criser Troutman Tanner Consulting Engineers
Mailing Address:PO Box 3727
City:Wilmington State:NC Zip:28406
Phone: (910 I 397-2929 Fax: [phone]
Email:[e-mail]
IX PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or h,/pe name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or hjpe name of person
listed in Contact Information, item 1a) with (print or type name of organization listed in
Contact Infonmation, item la) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Form SWU-101 Version 07Jun2010 Page 5 of

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: Date:
1, a Notary Public for the State of County of
do hereby certify that personally appeared
before me this _ day of and acknowledge the due execution of the application for
a stormwater permit Witness my hand and official seal,
SEAL
My commission
X- APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, itene 1a) William H. Bran
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective, covenants will be recorded, and that the proposed project complies with the requirements of the
applicable-5torinwater rules undgr 15A NCAC 2H .1000, SL 2006-246 (Ph. 11 - Post Construction) or SL 2008-211.
Signature: 1_ )A_ � " N 1 Dater L 10
I, �) + zab G • ( , t(a L S a Notary Public for the State of 0t l lArd i m, , Countyof
A rlyo7x —do hereby certify that personally appeared
before me thisLk6day of Dc'Lrm� ei 2010 , and acknowled a the due xecution of the application for
a stormwater permit Witness my hand and official seal, �`IN
1
C G r
[Mr."
My commission expires
Form SWU-101 Version 07Jun2010 Page 6 of 6