SW8120507_CURRENT PERMIT_20141210

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 120501
DOC TYPE
$ CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
20141210
YYYYMMDD

ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretary
BRIAN WRENN
Director
May 6, 2021
Sharon T. Matthews, Living Trust
Attn: Sharon T. Matthews Trustee
609 Executive Place
Fayetteville, NC 28374
NORTH CAROLINA
&wlron ntai Quadty
Subject: Stormwater Permit Renewal Request
State Stormwater Management Permit No. SW8 120507
Advance Auto Parts Hampstead
Pender County
Dear Ms. Matthews:
State Stormwater Management Permit #SW8 120507 for the subject project expired on May 25, 2020. This is a
reminder that permit renewal applications are due 180 days prior to their expiration per 15A NCAC 2H.1045(3).
North Carolina General Statutes and the Coastal Stormwater rules require that this property be covered under a
stormwater permit. Failure to maintain a permit subjects the owner to assessment of civil penalties.
Please submit a complete permit renewal form along with a $505.00 fee and other submittal requirements within
30 days. The permit renewal form can be found on our website at: https://deg.nc.gov/about/divisions/enervv-
m inera I -and- land-resources/stone water/stonnwater-proi;ram/post-construction-2.
If you have any questions regarding this matter, please contact Ashley Smith at [phone] or
as [e-mail].
Sincerely,
ekl�- 2�p
"WA
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
DES/ams: \\\Stormwater\Pennits & Projects\2012\120507 HD\2021 05 req_ren 120507
cc: Wilmington Regional Office File
ril`W North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 2a4o5
910.796.7215
rvoam cem,eu

ALT X_ VA
TA
NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
December 10, 2014
Sharon T. Matthews, Trustee
Sharon T. Matthews Living Trust
609 Executive Place
Fayetteville, NC 28374
Subject: Stormwater Permit No. SW8 120607
Ownership Change & Permit Transfer
Advance Auto Parts Hampstead
Pender County
Dear Ms. Matthews:
John E. Skvarla, III
Secretary
Effective August 1, 2013 the State Stormwater program has been transferred from the Division
of Water Quality (DWQ) to the Division of Energy, Mineral and Land Resources (DEMLR). All
previous references to DWQ will remain in older stormwater permits issued prior to August 1,
2013 until they are modified. Please note that any updated pages or addendums to this permit
will now reference DEMLR as the Division responsible for issuance of the permit
On October 31, 2014, the Wilmington Regional Office received a request to transfer ownership
of the state stormwater management permit for the subject project. Staff of DEMLR inspected
the project on December 9, 2014, determined that the documentation is in order, and that the
project is in compliance with the terms and conditions of the state stormwater permit. As
indicated on the Name/Ownership Change form, you have acknowledged receipt of a copy of
the permit, which includes the application and supplement forms, and a copy of the required
Operation and Maintenance agreement from the previous permittee. By acknowledging receipt
of the permit, and by signing the Name/Ownership Transfer form, you have accepted the
responsibility for complying with the terms and conditions outlined in this permit.
The Division is hereby notifying you that the permit for the subject stormwater project has been
transferred on December 10, 2014 and to remind you that this permit shall be effective until
May 25, 2020. For your records, please find enclosed a copy of the updated page 2 of the
permit, a copy of the inspection report indicating compliance, and a copy of the
Name/Ownership Change form submitted on October 31, 2014. Please attach this cover letter
and updated page 2 to your copy of the permit and maintain a copy of the permit on file at all
times.
Please be aware that the project's built -upon area and stormwater controls must be built
and maintained in compliance with the permit documents and the approved plans.
Maintenance of the approved system shall be performed in accordance with the signed
Operation and Maintenance agreement. Any modifications to this project must be submitted
to DEMLR and approved prior to construction. The issuance of this approval does not
preclude you 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.
Division of Energy, Mineral, and Land Resources
Land Quality Section - Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 • [phone] / Fax: [phone]

State Stormwater Management Systems
Permit No. SW8 120507
If you have any questions concerning the. requirements of the permit or need additional.
copies of the permit or the approved plans, please do not hesitate to call Linda Lewis with
DEMLR in the Wilmington Regional Office at [phone].
Sincerely,
9m Tracy Davis, P.E., Director
Division of Energy, Mineral and Land Resources
GDS/ arl: IIIStormwater\Permits & Projects120121120507 HD1201412 permit 120507
Cc: Greg Jordan, Primax Construction, Inc.
Matt Lowder, P.E. Triangle Site Design
Pender County Planning Department
Wilmington Regional Office Stormwater File
Page 2 of 8

State Stormwater Management Systems
Permit No. SW8 120507
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL DEVELOPMENT SA WATERS
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
Sharon T. Matthews Living Trust
Advance Auto Parts
US Highway 17 & Headwaters Drive, Hampstead, Pender County
FOR THE
construction, operation and maintenance of a wet detention pond discharging to Class SA
waters in compliance with the provisions of 15A NCAC 2H .1000 and Session Law 2008-
211 (hereafter collectively referred to as the "stormwater rules') the approved stormwater
management plans and specifications and other supporting data as attached and on file
with and approved by the Division of Energy, Mineral and Land Resources and
considered a part of this permit.
This permit shall be effective from the date of issuance until May 25, 2020, and shall be
subject to the following specified conditions and limitations:
1. 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 1.9 on page 3 of this permit. The stormwater control
has been designed to handle the runoff from 23,774 sf of impervious area.
3. A 50' wide vegetative buffer must be provided adjacent to surface Waters,
measured horizontally from and perpendicular to the normal pool of impounded
structures, the top of bank of both sides of streams and rivers and the mean high
water line of tidal waters.
4. The overflow from the wet pond must flow overland through a level spreader and
50-foot vegetated filter strip designed to pass the peak flow from the 10 year storm
in a diffuse, non -erosive manner.
5. The drainage area will be limited to the amount of built -upon area indicated in
Sections 1.2 and 1.8 of this permit, and per approved plans.
Page 3 of 8

Permit Number: 7
(to be provided by DWQ)
Drainage Area Number:
Wet Detention 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.
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.
approximate!approximate!Y six inches.
Form SW40I-Wet Detention Basin O&M-Rev.4 Page 1 of 4

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element..
Potentialproblem:
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
a depth greater than the
Search for the source of 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
invasive plants cover 50% of
the basin surface.
Remove the plants by wiping them
with pl ygcide (do not spray):-,
MAY Z Z (ul(
Form SW401-Wet Detention Basin O&M-Rev.4 Page 2 of 4

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
AMP 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 27.0 feet in the main pond, the
sediment shall be removed.
When the permanent pool depth reads 28.0 feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom
28 1 1
-----------------
FOREBAY
BASIN DIAGRAM
ill in the blanks)
/-ft Min.
Sediment
Storage
Permanent Pool Elevation 32
Pool
Sediment Removal Elevation 27 Volum<
Bottom Elevation
MAIN POND
MAY 2 2 .2012
1-ft
Storage
Form SW401-Wet Detention Basin O&M-Rev.4

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:Advance Auto Parts - Hampstead
BMP drainage area number:
Print name:Greg Jordan - Primax Construction Inc.
Title: V ice -President
Address:293 Olmsted Boulevard Suite I I Pinehurst, NC 28374
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.
[, A—�' YYk-"' a Notary Public for the State of
C , County of y Dim (.` , do hereby certify that
M'_ personally appeared before me this (;514—
day of ` and acknowledge the due execution of the
requirements. Witness my hand and official
Q�p\\c
0o`e o t P\tae
0
G°m i0 30l toN b Z¢
''. ORTH GP'�.J�,`,
SEAL
My commission expires 1 V ^ 3D_ I V/
MAY 2a 2012
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4

Permit Number:�jZ�`�
(to be provided by DWQ)
Drainage Area Number:
Filter Strip, Restored Riparian Buffer and Level Spreader
Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
— Immediately after the filter strip is established, any newly planted vegetation
will be watered twice weekly if needed until the plants become established
(commonly six weeks).
— Once a year, the filter strip will be reseeded to maintain a dense growth of
vegetation
— Stable groundcover will be maintained in the drainage area to reduce the
sediment load to the vegetation.
— Two to three times a year, grass filter strips will be mowed and the clippings
harvested to promote the growth of thick vegetation with optimum pollutant
removal efficiency. Turf grass should not be cut shorter than 3 to 5 inches and
may be allowed to grow as tall as 12 inches depending on aesthetic requirements
(NIPC,1993). Forested filter strips do not require this type of maintenance.
— Once a year, the soil will be aerated if necessary.
— Once a year, soil pH will be tested and lime will be added if necessary.
After the filter strip is established, it will be inspected quarterly and within 24 hours
after every storm event greater than 1.0 inch (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 filter strip
Trash/debris is present.
Remove the trash/debris.
system
The flow splitter device
The flow sputter device is
Unclog the conveyance and dispose
(if applicable)
clogged.
of anv sediment off -site.
The flow splitter device is
Make any necessary repairs or
damaged.
replace if damage is too large for
repair.
EMAY 2 ti 2012
3Y:_--
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page I of 3

BMP element:
Potentialproblem:
How I will remediate theproblem:
The swale and the level
The swale is clogged with
Remove the sediment and dispose
lip
sediment.
of it off -site.
The level lip is cracked,
Repair or replace lip.
settled, undercut, eroded or
otherwise damaged.
There is erosion around the
Regrade the soil to create a berm
end of the level spreader that
that is higher than the level lip, and
shows stormwater has
then plant a ground cover and
bypassed it.
water until it is established. Provide
lime and a one-time fertilizer
application.
Trees or shrubs have begun
Remove them.
to grow on the swale or just
downslo a of the level lip.
The bypass channel
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then
reestablish proper erosion control.
Turf reinforcement is
Study the site to see if a larger
damaged or ripap is rolling
bypass channel is needed (enlarge if
downhill.
necessary). After this, reestablish
the erosion control material.
The filter strip
Grass is too short or too long
Maintain grass at a height of
if applicable).
approximately three to six inches.
Areas of bare soil and/or
Regrade the soil if necessary to
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.
Sediment is building up on
Remove the sediment and
the filter strip.
restabilize the soil with vegetation if
necessary. Provide lime and a one-
time fertilizer application.
Plants are desiccated.
Provide additional irrigation and
fertilizer as needed.
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.
Nuisance vegetation is
Remove vegetation by hand if
choking out desirable species.
possible. If pesticide is used, do not
allow it to get into the receiving
water.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality local Regional Office, or the
outlet.
401 Oversight Unit at 919-733-1786.
hiAy a�L,Ul'/
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Advance Auto Parts - Hampstead
BMP drainage area number:
Print name:Greo Jordan - Primax Construction Inc.
Title:Vice President
Address:293 Olmsted Boulevard Suite 11 Pinehurst- NC 28374
Phone:[phone]
2
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, l'= K;W a Notary Public for the State of
County ofdo hereby certify that
r-31ca� personally appeared before me this��
day of .and acknowledge the due execution of the
forgoing filter strip, n an buffer, and/or reader maintenance requirements.
Witness my hand and official seal,
i
g p �otY ? 000N ��es
�e G oEy.P
m�s5�o0\ b Q
MY Go `013012 2`
Q
P� ,ORT
I'H
lloW
SEAL
My commission expires
MAY 2 Z012
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 3 of 3

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STATE STORMWATER PERMIT NAME/OWNERSHIP CHA �G�F OFiR,9VE
CURRENT PERMIT INFORMATION Oar 3 2014
Stormwater Management Permit Number: SW8120507 By'
2. Project Name: Advance Auto Parts (Hampstead, NC)
3. Current Permit Holder's Company Name/Organization: Pr mar C'nno rtinnInnr
4. Signing Official's Name: Greg Jordan
5. Mailing Address:
293 Olmsted Boulevard, Suite 11
City: Pinehurst
6. Phone: (910 ) 235-4711
Title: Vice President
State: NC Zip:
Fax: (�
28374
It. PROPOSED PERMITTEE / OWNER / PROJECT / ADDRESS INFORMATION
This request is for: (please check all that apply)
❑X
Name change of the owner (Please complete Items 1, 2 and 3 below)
Name change of project (Please complete Item 5 below)
Change in ownership of the property/company (Please complete Items 1,
Mailing address / phone number change. (Please complete Item 4 below)
Other (please explain):
3, and 4 below)
1. Proposed permittee's company name/organization: Sharon T. Matthews Living Trust u/a dtd 3/17/1993
2. Proposed permittee's signing official's name: Sharon T. Matthews
3. Proposed permittee's title: Trustee
4. Mailing Address: 609 Executive Place
City: Fayetteville State: NC Zip: 28374
Phone: ( 910 ) 323-9700 Fax: ( 910 ) 323-9703
5. New Project Name to be placed on permit:
Please check the appropriate box. The proposed permittee listed above is:
❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain stormwater system features. Print name of HOA or
POA in #I above and provide name of HOA/POA's authorized representative in #2 above)
❑ The property owner
❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on
page 4)
© Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be
granted upon receipt of a copy of the recorded deed)
❑ Developer (Complete Property Owner Information on page 4)
SSW N/O Change Rev24Sept2012 Page 1 of 4

III. REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all
of the applicable required items listed below are included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer.
1. This completed and signed form. This certification must be completed and signed by both the
current permit holder and the new applicant K this is a change of ownership.
2. Legal documentation of the property transfer to a new owner.
3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit.
4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate entity, provide documentation showing the authority of the named
representative to act on behalf of the proposed permittee.
6. The $40.00 processing fee. If this is an initial transfer from the original permittee the processing
fee is not required. Subsequent ownership transfers will require the $40.00 processing fee.
IV. CURRENT PERMITTEE'S CERTIFICATION
Please check one of the following statements and fill out the certification below that statement.
❑ Check here if the current permittee is only changing his/her/lts name, the project name, or mailing
address, but will retain the permit. I, , the current
permittee, hereby notify the DWQ that I am changing my name and/or I am changing my mailing
address and/or I am changing the name of the permitted project. I further attest that this application
for a name/ownership change is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed or if all requirrand
information
and attachments listed above are not included, this application package w���
incomplete. 99np 66
CT
® Check here if current permittee is transferring the property to a new owoA ai
ownershi of t e ermit.?ve*s �/�ye$,,,r gy
` the current permittee, am subifiMMg this -application
+�a�,+ PrimaY(.;lllRffllftilfll��'{. P �
for a transfer of ownership for permit # �,,, I hereby notify DWQ of the sale or
other legal transfer of the stormwater sys eem as ociated with this permit. I have provided a copy of
the most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the most recent DWQ
stormwater inspection report to the proposed permittee named in Sections II and V of this form. I
further attest that this application for a name/ownership change is accurate and complete to the best
of my knowledge. I understand that if all required parts of this application are not completed or if all
required supporting information and attachments listed above are not included, this application
package will be returned as incomplete. I assign all rights and obligations as permittee to the
proposed permittee named in Sections II and V of this form. I understand that this transfer of
ownership cannot be approved by the DWQ unless and until the facility is in compliance with the
permit. I /1"N
Signature:
I, La4ra A.
a Notary Public for the State of
Novi-14 (Ayokinc, County of Mtlklen(0L4q do hereby certify that
MArie, MG I - WAS personally appeared before me this the
I +',% day of D 0066f 20 14 , and acknowledge the due execution of the
for ing instrument. Witness my hand and official seal, �••�`�O ICI414ry Seal)
/ P . • <O
Notary Signature f 45 O
My Commission Expires 7/20/2019 _ S �.•� z
SSW N/O Change Rev24Sept2012 Page 2 of 4 = p' •, J
"�'FNBURG GO

V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Permittee for all transfers of ownership)
u/a dtd 3/17/1993
1 Sharon T. Matthews, Trustee, Sharon T. Matthews Living Truyhereby notify the DWQ that I have acquired
through sale, lease or legal transfer, the responsibility for operating and maintaining the permitted
stormwater management system, and, if applicable, constructing the permitted system. I
acknowledge and attest that I have received a copy of: (check all that apply to this permit)
the most recent permit
the designer's certification for each BMP
0 any recorded deed restrictions, covenants, or easements
❑ the DWQ approved plans and/or approved as -built plans
x❑ the approved operation and maintenance agreement
Bpast maintenance records from the previous permittee (where required)
DWQ stormwater inspection report showing compliance within 90 days prior to this transfer
I have reviewed the permit, approved plans and other documents listed above, and I will comply with
the terms and conditions of the permit and approved plans. I acknowledge and agree that I will
operate and maintain the system pursuant to the requirements listed in the permit and in the
operation and maintenance agreement. I further attest that this application for a name/ownership
change is accurate and complete to the best of my knowledge. I understand that if all required parts
of this application are not completed or if all required supporting information and attachments listed
above are not included, this application package will be returned as incomplete.
Signature
Date: D
a Notary Public for the State of
� p�u
%i/O,& , County of ,144A9. , do hereby certify that
�J personally appeared before me this the
/ji-6, day of / &4P 4 , 20 , and acknowledge the due execution of the
11
forgoing instrument. Witness my hand and official seal, ���%, ,R,r 1���
O�OPP Ay�O �
9
!ti (Notary Sear NO TARP
Notary Signature PUBLIC
Additional copies of the original permit and the approved Operation and Maintenance agreement can
be obtained from the appropriate Regional Office of the Division of Water Quality.
This completed form, including all supporting documents and processing fee (if required), should be
sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural
Resources, Division of Water Quality, as shown on the attached map.
Please note that if the Proposed Permittee listed above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee / developer and the property
owner will appear on the permit as permittees.
ECEIVE
OCT 312014
SSW N/O Change Rev24Sept2012 Page 3 of 4 BY.

VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections 11 and V of this form is not the Property Owner, the
Property Owner must provide his/her Contact Information below and sign this form:
Printed Name:
Organization:
Title within the Organization:
Street Address:
City:
Mailing Address:
City:
Phone:
Email:
State:
(if different from street address)
State:
Fax:
Zip:
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections II and V to develop and/or, lease the property. A copy
of the lease agreement or other contract, which indicates the party responsible for the construction
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal property owner I acknowledge, understand, and agree by my signature below, that I will
appear as a permittee along with the lessee/developer and I will therefore share responsibility for
compliance with the DWO Stormwater permit. As the property owner, it is my responsibility to notify
DWO by submitting a completed Name/Ownership Change Form within 30 days of procuring a
developer, lessee or purchaser for the property. I understand that failure to operate and maintain the
stormwater treatment facility in accordance with the permit is a violation of NC General Statute
(NCGS) 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 of the property owner
County of
Date:
a Notary Public for the State of
do hereby certify that
personally appeared before me this the
day of , 20, and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
Notary Signature
SSW N/O Change Rev24Sept2012 Page 4 of 4
(Notary Seal)
E(CEQVE
OCT 31 2014
BY:--------_

,: (WAiFgQL
!�' o
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER - VEGETATED FILTER STRIP (LS-VFS) SUPPLEMENT
This form must be completely filled out, printed, initialed, and submitted.
I. PROJECT INFORMATION
Project name
Advance Auto Parts - Hampstead, NC
Contact name
Matt Lowder, PE
Phone number
919-553-6570
Dale
May 15, 2012
Drainage area number
1
IL DESIGN INFORMATION
The purpose of the LS-VFS
SW Rule: !0-year drawdown from Wet Pond
Stormwater enters LS-VFS from
A BMP
Type of VFS
Engineered filter strip (graded 6 sodded, slope < 8%)
Explanation of any *Other' responses above
If Stormwater Enters the LS-VFS from the Drainage Area
90% TSS wet -pond within SA waters - secondary treatment
Drainage area
34,850
it
Do not complete this section of the form.
Impervious surface area
23,774
ftz
Do not complete this section of the form.
Percent impervious
68.22
%
Do not complete this section of the form.
Rational C coefficient
Do not complete this section of the form.
Peak Bow from the 1 inlhr storm
cis
Do not complete this section of the form.
Time of concentration
min
Do not complete this section of the form.
Rainfall intensity, 10-yr storm
inmr
Do not complete this section of the form.
Peak Flow from the 10-yr storm
cis
Do not complete this section of the form.
Design storm
10-year storm
Maximum amount of flow directed to the LS-VFS
cis
Do not complete this section of the form.
Is a flow bypass system going to be used?
(Y or N)
Do not complete this section of the form.
Explanation of any "Other" responses above
If Stormwater Enters the LS-VFS from a BMP
Type of BMP
Wet detention pond
Peak discharge from the BMP during the design storm
0,018
cis
Peak discharge from the BMP during the 10-year storm
0.259
cfs
Maximum capacity of a 100-foot long LS-VFS
10
CIS
Peak flow directed to the LS-VFS
0.259
cis
Is a flow bypass system going to be used?
Y
(Y or N)
kc
Explanation of any "Other" responses above
I
Form SW401 - LS-VFS - 29Nov2010 - Rev.8 e 11111.hH page 1 of 3

LS-VFS Design
Forebay surface area
Depth of forebay at stormwater entry point
Depth of forebay at stormwater exit point
Feet of level lip needed per cis
Computed minimum length of the level lip needed
Length of level lip provided
Width of VFS
Elevation at downslope base of level lip
Elevation at the end of the VFS that is farthest from the LS
Slope (from level lip to the end of the VFS)
Are any draws present in the VFS?
Is there a collector swale at the end of the VFS?
Bypass System Design (if applicable)
Is a bypass system provided?
Is there an engineered flow splitting device?
Dimensions of the channel (see diagram below):
A
B
W
y (Flow depth for 10-year storm)
freeboard (during the 10-year storm)
Peak velocity in the channel during the 10-yr storm
Channel lining material
Does the bypass discharge through a wetland?
Does the channel enter the stream at an angle?
Explanation of any -Other' responses above
NIA
sq It
No forebay is required.
36
in
Depth is appropriate.
12
In
Depth is appropriate.
10
fucfs
3
ft
Ten feet is the minimum level spreader length.
10
ft
50
ft
31.50
fmsl
31.20
fmsl
0.60
%
N
(Y or N)
OK
N
(Y or N)
Y (Y or N)
N (Y or N)
If
ft
ft
it
ft
ft/sec:
ncn uuu.
N (Y or N)
NIA (Y or N)
Bypass Flow will exit the stormwater BMP pond via the emergency spillway (flows in excess of
the 10-year storm Flow)
LYMAY 11 2012
:��
Form SW401 - LS-VFS - 29Nov2010 - Rev.B page 2 of 3

III. REQUIRED ITEMS CHECKLIST
EDIT Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will result in
a request for additional information. This will delay final review and approval of the project. Initial in the space provided to indicate the following
design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a requirement has not been met, attach
justification.
Requried hem:
1. Plans (1" - 59 or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Forebay (if applicable),
High Flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW), and
- Boundaries of drainage easement.
2. Plan details (1" = 30' or larger) for the level spreader showing:
- Forebay (if applicable),
- High flow bypass system,
- One foot topo lines between the level lip and top of stream bank,
- Proposed drainage easement, and
- Design at ultimate build -out.
3. Section view of the level spreader (1" = 20' or larger) showing:
- Underdrain system (if applicable),
- Level lip,
- Upslope channel, and
- Downslope filter fabric.
4. Plan details of the flow splitting device and supporting calculations (if applicable).
5. A construction sequence that shows how the level spreader will be protected from
sediment until the entire drainage area is stabilized.
6. If a non -engineered VFS is being used, then provide a photograph of the VFS showing
that no draws are present.
7. The supporting calculations.
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
Initials Page or plan sheet number and any notes:
m4L I -_ 5, 0- q
e-51 C-q
C-5,C--7, CAI
i
M I Z I1J1q
n4Z:t— 1 S""w44
MAY 2 2 2012
Form SW401 - LS-VFS - 29Nov2010 - Rev.8 page 3 of 3

Permit No. /ZOO /
(to be pmvded by DWQ)
AGA�F
W A TF�O
O G
NCDENR
h �
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 III) must be printed, filled out and submitted along with all of the required information.
L PROJECT INFORMATION
Project name
Advance Auto Pans - Hampstead, NC
Contact person
Matt Lowder, PE
Phone number
919-553 6570
Date
5/15/2012
Drainage area number
1
IL DESIGN INFORMATION
Site Characteristics
Drainage area
34,850 ft2
Impervious area, post -development
23,774 If!
%impervious
68.22 %
Design rainfall depth
1.5 in
Storage Volume: Non -SA Waters
Minimum volume required
ft'
Volume provided
ft'
Storage Volume: SA Waters
1.5' runoff volume 2,913 ft'
Pre -development 1-yr, 24-hr runoff 553 ft'gllx'
Post -development 1-yr, 24-hr runoff 7,399 R3 ���� �((� CARQZ''i�i
Minimum volume required 8,846 R' 'SSS/ly'�
Volume provided 6,866 ft'
r SEAL
Peak Flow Calculations 24434
Is the pre/post control of the 1yr 24hr storm peak flow required? Y (Y or N) �'� S • Its.
tj
1-yr, 24-hr rainfall depth 3.7 in ,� FN ll P O
�.,, GIN • z�
Rational C, pre -development 0.30 (unitless) i��i'� °yO°•••�aP�
Rational C, post -development 0.75 limitless) aOIF%4� E• �,
Rainfall intensity: 1-yr, 24-hr storm 6.17 irJhr OK % ^ • �l �l� tf I t
Pre -development 1-yr, 24hr peak flow - 0.0303 ft/sec
Post -development 1-yr, 24-hr peak flow 2,50 ft'/sec
Pre/Post 1-yr, 24-hr peak flow control 2,47 ft'/sec
Elevations
Temporary pool elevation 33.60 fmsl
Permanent pool elevation 32.00 fmsl
SHWi elevation (approx. at the perm. pool elevation) 3200 fmsl
Top of 1Oft vegetated shelf elevation 32.50 fmsl
Bottom of 1Oft vegetated shelf elevation 31.50 fmsl
Sediment cleanout, top elevation (bottom of pond) 27.00 fmsl
Sediment cleanout, bottom elevation 26.00 fmsl
Sediment storage provided 1.00 R
Is there additional volume stored above the state -required temp. pool? N (Y or N) MAY 2 2CUl2
Elevation of the top of the additional volume fmsl
BY:
Form SW4d1-Wet Detention Basin-Rev.8-9117/09 Paris L & 11. Design Summary, Page 1 of 2

Permit
(to be Provided by DWQ)
IL DESIGN INFORMATION
Surface Areas
Area, temporary pool
5,165 ft'
Area REQUIRED, permanent pool
2,823 ft'
SAIDA ratio
8.10 (unidess)
Area PROVIDED, permanent pool, Am,,,,,,,
2,945 ft`
OK
Area, bottom of 1 Oft vegetated shelf, A„_",
2.055 ft`
Area, sediment cleanout, top elevation (bottom of pond), A...
305 ft`
Volumes
Volume, temporary pool
6,866 ft'
OK
Volume, permanent pool, V..
6,226 ft'
Volume, forebay (sum of forebays if more than one forebay)
1,340 ft'
Forebay %of permanent pool volume
21.5% %
OK
SAIDA Table Data
Design TSS removal
90 %
Coastal SAIDA Table Used?
Y (Y or N)
MountairVPiedmont SAIDA Table Used?
N (Y or N)
SAIDA ratio
8.10 (unitless)
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
N (Y or N)
Volume, permanent pool, V,e.,,, ,o„
6,226 ft'
Area provided, permanent pool, A..
2,945 ff`
Average depth calculated
It _
Need 3 If min.
Average depth used in SAIDA, d„, (Round to nearest 0.5ft)
If
Calculation option 2 used? (See Figure 10-2b)
Y (Y or N)
Area provided, permanent pool, A._.
2,945 f'
Area, bottom of 10ft vegetated shelf, A„ u,
2,055 ft'
Area, sediment cleanoul, top elevation (bottom of pond), Ate.
305 ft2
'Depth' (distance blw bottom of 1Oft shelf and top of sediment)
4.50 ft
Average depth calculated
3.01 It
OK
Average depth used in SAIDA, d„, (Round to nearest 0.5ft)
3.0 ft
OK
Drawdown Calculations
Drawdown through orifice?
Y (Y or N)
Diameter of orifice (if circular)
0.88 in
Area of onfice (if -non -circular)
in
Coefficient of discharge (CD)
0.60 (unitless)
Driving head (H,)
057 ft
Drawdown through weir?
N (Y or N)
Weir type
limitless)
Coefficient of discharge (C„)
(unitless)
Length of weir (L)
It
Driving head (H)
ft
Pre -development 1-yr, 24-hr peak flow
0.03 03Isec
Post -development 1-yr, 24-hr peak flow
2.50 ft'lsec
Storage volume discharge rate (through discharge orifice or weir)
0.02 ft'/sec
Storage volume drawdown time
2.30 days
OK, draws down in 2-5 days.
Additional Information
Vegetated side slopes
Vegetated shelf slope
Vegetated shelf width
Length of 0owpath 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:
3:1 OK 1 ..,
10:1 OK uu .7nZ-
o.oa OK
c MAY 2 2 2012
3.0 :1 OK
Y (Y or N) OK
1.0 It OK
Y (Y or N) OK
Y (Y or N) OK
Y (Y or N) OK
PUMP
Form SW401-Wet Detemon Basin -Rev 8-9117109 Parts I. 811. Design Summary, Page 2 of 2

Permit
(to be provided by DWQ/
III. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Page/ Plan
Initials Sheet No.
1. Plans (1" - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Basin dimensions,
- Pretreatment system,
- High Flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROV),
- Overflow device, and
- Boundaries of drainage easement.
/iYsL C'-5, C-9 2. Partial plan (1" = 30' or larger) and details for the wet detention basin showing:
- Outlet structure with trash rack or similar,
- Maintenance access,
- Permanent pool dimensions,
- Forebay and main pond with hardened emergency spillway,
- Basin cross-section,
- Vegetation specification for planting shelf, and
- Filter strip.
3. Section view of the wet detention basin (1" = 20' or larger) showing:
- Side slopes, 3:1 or lower,
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
ln;Q C— Lv C-8 4. If the basin is used for sediment and erosion control during construction, clean out of the basin is specified
on the plans prior to use as a wet detention basin.
M$( L/n/e 5 5. A table of elevations, areas, incremental volumes & accumulated volumes for overall pond and for Forebay,
to verify volume provided.
rye e- 5 C `/ 6. A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized.
In 5C_ C..-/ag- 7. The supporting calculations.
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
�Ta4L 9, A copy of the deed restrictions (if required).
lyi5/_ 10. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests .— County --
soil maps are not an acceptable source of soils information. ]ice~i�.16LV y
MAY 2 2 2012
BY:
Form SW401-Wet Detention Basin-Rev.8-9/17/09 Part III. Required Items Checklist, Page 1 of 1

State Stor ater Management Systems
Permit No. SW8 120507
Advance Auto Parts I ��
Stormwater Permit No. SW8 120507
Pender Countv
Designer's Certification
1, Aff LowA/� as a duly registered ��ts$/�M,� f ��`(7irtrr in the
State of North Carolina, having been authohzed to observe (periodically/ weekly/ full
time) the construction of the project,
(Project)
for 11'kYo a 45?4 Y 7, (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 specifications:
S
JA CAN
eeee°oeO4/ ESS/p°°by
Signature
SEAL
Registration Number 2443J.11,1 `
Date /D���/Z �.�HG�NE��:^'y�o:
�'`numnt`
ECEIVE
OCT 12 2012
BY:—
D,,n R r f 7

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State Stormwater Management Systems
Permit No. SW8 120507
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 structure elevations are per the approved plan.
v/ 6. The outlet structure is located per the approved plans.
✓ 7.. Trash rack is provided on the outlet structure.
8. All slopes above permanent pool are grassed with permanent vegetation.
✓ 9. Vegetated slopes above permanent pool 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 and located 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, a
forebay, a vegetated filter, level spreader and a secondary BMP.
✓ 15. The required system dimensions are provided per the approved plans.
16. All components of the stormwater BMP are located in either recorded
common areas, or recorded easements.
cc: NCDENR-DWQ Regional Office
Pender County Building Inspections
Panes 7 of 7