SW8090629_CURRENT PERMIT_20101029

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 ()qG�p 2c
DOC TYPE
[] CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
20 \ 010 2 cl
YYYYMMDD

North Carolina
Beverly Eaves Perdue
Governor
October 29, 2010
��_
NCDENR
Department of Environment and
Division of Water Quality
Coleen H. Sullins
Director
Mr. Claude F. Smith, Jr., President
Fare Enterprises of Rockingham, Inc.
1800 Rockingham Rd., Suite 36
Rockingham, NC 28379
Subject: Approved Plan Revision
Walgreen's of Southport (Store #2530)
Stormwater Project No. SW8 090629
Brunswick County
Dear Mr. Smith:
Natural Resources
Dee Freeman
Secretary
On September 4, 2010, the Wilmington Regional Office received a complete plan
revision for Stormwater Management Permit Number SW8 090629. The revisions
include the re -configuration of the piped storage system for stormwater runoff while
continuing to provide the same amount of storage as previously permitted. It has been
determined that a formal permit modification is not required for the proposed changes.
We are forwarding you an approved copy of the revised plans for your files. Please
replace the old approved plan sheets with the included new ones.
Please be aware that all terms and conditions of the permit issued on April 6, 2010,
remain in full force and effect. Please also understand that the approval of this
revision to the approved plans for the subject State Stormwater Permit is done on a
case -by -case basis. Any other changes to this project must be approved through
this Office prior to construction. The issuance of this plan revision does not preclude
the permittee from complying with all other applicable statutes, rules, regulations or
ordinances which may have jurisdiction over the proposed activity, and obtaining a
permit or approval prior to construction.
If you have any questions concerning this matter, please do not hesitate to call
Georgette Scott or me at [phone].
Sincerely, n�J
Christine Nelson
Enviornmental Engineer
GDS\can: S:\WQS\STORMWATER\PERMIT\090629PR.oct10
cc: Matthew Haley, Cape Fear Engineering, Inc.
Brunswick County Building Inspections
Wilmington Regional Office
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: vaiAw.ncavaterquality.org
North Carolina
An Equal Opportunity \ Affirmative Action Employer

Permit No.-�:51��/�G�/
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
OFF -SITE SYSTEM SUPPLEMENT
FOR DEVELOPMENT DRAINING TO PERMITTED OFF -SITE TREATMENT SYSTEMS
This form nay be photocopied for use as an original
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater management permit application, an
off -site system supplement for each off -site stormwater treatment system, appropriate supplement forms for any
on -site stormwater treatment systems, and plans and specifications showing all stormwater conveyances and
drainage details for the project.
I. PROJECT INFORMATION
Project Name : Walgreen's of Southport (Store #2530)
Contact Person: Claude F. Smith Jr., PresidentPhone Number: ( 910)997-2544
Is all drainage from the project directed to the off -site system? (check one): ® Yes
11. OFF -SITE SYSTEM INFORMATION (please complete the following i
that will treat runoff from your project):
Permit No. SW8 990435 Mop
Project Name:Lowes of Southport
Type of System (wet pond, infiltration basin, etc.):N
Lot No. (if part of a subdivision):Outparcel 41
❑ No
How much built upon area draining to the permitted treatment system has been allocated to this
project?60,000
III. REQUIRED ITEMS CHECKLIST
off -site system
Prior to issuing an off -site permit, verification of the following information must be provided. Initial in the
space provided to indicate that the following requirements have been met and supporting documentation is
attached. If the applicant has designated an agent in the Stormwater Management Permit Application Form, the
agent may initial below. If a requirement has not been met, attach justification.
Form SW401-Off-Site System-Rev.I
Page I of 2

Applicants Initials u�lU' Pa�1D�
L�
a. Deed restrictions limiting the built -upon area on the site have been recorded.
th-t a4 b. Engineers certification for the existing off -site system has been submitted to DWQ.
c. There are no outstanding Notices of Violation for the off -site system.
d. Off -site system is in compliance with the issued permit.
I ouJ2t5 S.t.tmi D Mood D cv
IV. STORMWATER COLLECTION SYSTEM MAINTENANCE REQUIREMENTS
Mowing will be accomplished as needed according to the season. Grass height will not exceed six inches
at any time.
Accumulated sediment and trash will be removed from the collection system as necessary. Swales and
ditches will be reseeded or sodded following sediment removal.
3. Eroded areas of swales and ditches will be repaired and reseeded. Swales and ditches will be revegetated as
needed based on monthly inspections.
4. The collection system, including catch basins, curb cuts, velocity reduction devices, and piping, will be
inspected monthly or after every significant runoff producing rainfall event. Trash and debris will be
cleared away from grates, curb cuts, velocity reduction devices, and piping.
5. The collection system may not be altered in any way without prior approval from NCDENR Division of
Water Quality.
I acknowledge and agree by my signature below that I am responsible for maintaining the stormwater collection
system in accordance with the five maintenance procedures listed above. I agree to notify DWQ , ny
problems with the system or prior to any changes to the system or responsible party.
Print Name and Title:Claude F. Smith Jr. President
Address:1800 Rockingham Rd. Suite 36• Rockingham, NC 28379
Phone: 10 99 4 Date: 2��0
Signature:
Note: The legall esponsible party should not be a homeowners association unless more than 50% of the tots have be old and a
resident of the subdivision has been named the president.
I, ltAi 4 I NO , a Notary Public for the State of AkHb (tIIJIII jnO , County of
A((,nm1��L) C I do hereby certify that 0,�j,� P_ r. Sml 17�lr - personally appeared before me [his
r
day of 2D1 Q , and acknowledge the due execution of the forgoing document including the stormwater
collection system maintenance requirements. Witness my hand and official seal,
y x
SEAL `
Form SWU-106 Rev 8.07
Notary Npublic
My commission expiresOAJ 31
Page 2 of 2

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NrK-ui-i�uiu WCu ua:vc HN NUUMIK
rNn Nu Ulu oou cuu4 r uo u
State Stormwater Management Systems
/ Permit Number SW8 090629
Stormwater Project Number SW8 090629
Walgreen's of Southport (Store # 2530)
Brunswick County
Deslaner's Certification
I, Mktg NAB 1 as a duly registers 6%N in the State of North
Carolina, having been authorized to observe eriodica y! weekly/full time) the construction of the
project,
P
z--,O ) (Project)
For e*y_� cf� 03cactwnR4nn. irJ 4Project 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.
Required Items to be checked for this certification to be considered complete are on page 2 of this
form.
Noted deviations from approved plans and specifications:
'��N CARO
+; 0 oFEssio l�?
2 r'2- y'•.• �
SEAL SEAL
Signature _ 038615
g ;�j��NGINe <
Registration Number o3acotS p• ,
Date ioIIZ
yFW T
Certification Requirements:
�11. The lot contains no more than the maximum permitted amount of built -upon area.
2. All the built -upon area associated with the project is graded such that the runoff
drains to the system.
)C 3. The lot has been stabilized with permanent vegetation to prevent erosion.
4 4. Vegetated slopes are no steeper than 3:1.
5. Roof drains are located such that building runoff drains into the system.
6. The inlet from this project into the approved offsite BMP Is located per the approved
plans and does not cause short-circuiting.
_X_7. The stormwater collection system on the lot has not been altered from its permitted
condition.
cc: NCDENR-DWQ ECEIVE
Brunswick County Building Inspections FEB 17 2012
Page 5 of 5

` '-03-19-' 10 09: 02 FROM- T-002 P0002/0003 F-004
Outparcel
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 2H.1000 and S.L. 2006-248, the Stormwater Management
Regulations, deed restrictions and protective covenants are required for High Density Outparcels.
Deed restrictions and protective covenants are necessary to ensure that the development maintains a
"built -upon" area consistent with the design criteria used to size the stormwater control facility.
I, Mr. Claude F. Smith Jr.. President of Fare Enterprises 9f Rockingham. Inc., acknowledge.
affirm an agree y my signature below, that I will cause t� following dead restrictions and covenants
to be recorded prior to the sale of the property
1. The following covenants are intended to ensure ongoing compliance with State Stormwater
Management Permit Number_SW6 990435 and SW8 090629 as issued by the
Division of Water Quality under the Stormwater Management Regulations.
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming
under them.
4. The covenants pertaining to stormwater may not be altered or rescinded without the express
written consent of the State of North Carolina, Division of Water Quality.
5. Alteration of the drainage as shown on the approved plan may not take place without the
concurrence of the Division of Water Quality.
6. The maximum built -upon area for the outparcel(s) shown on the approved plans is as follows:
Outparcel # t3UA
60,000 sf
These allotted amounts include any built -upon area constructed within the property boundaries,
and that portion of the right-of-way between the lot lines and the edge of the pavement. Built
upon area includes, but is not limited to, structures, asphalt, concrete, gravel, brick, stone, slate,
coquina and parking areas, but does not include raised, open wood decking, or the water
surface of swimming pools.
7. The runoff from all built -upon area within the outparcel or future development area must be
directed into the permitted stormwater control system.
8. Built -upon area in excess of the permitted amount will require a permit modification.
9. The connection from the outparcel's collection system Into the stormwater control shall be made
such that short-circuiting of the system does not occur.
10. This outparcal will maintain a 50** foot wide vegetated buffer between all impervious areas and
surface waters.
**50 foot for projects located in the 20 coastal counties.
zwz 9 t avw
Page 1 of 2

03-19-'10 09:02 FROM-
.
Outparcel
Deed Restrictions & Protective Covenances
T-002 P0003/0003 F-004
State of
County of
a Notary Public in the
do hereby certify that No t al, /— .:K—personally appeared
before me this the _�_ day of A,f cL , 20,1_ , and acknowledge
the due execution of the foregoing instpument. Witness my hand and official seal,
SEAL
Signature -
My Commission expires 2fs-/3
CEIVED
MAR 2 6 2010
Sty 6
BY:_ -----
soya ogAO-Z-9 WFstE
Page 2 of 2