SW8120708_CURRENT PERMIT_20140730

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 12 O 1 0 8
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
zp ky O-1' )o
YYYYMMDD

NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
July 30, 2014
Lessee
Ron Igarashi, Secretary
Bell Carolina, LLC
P.O. Box 507
West Linn, OR 97068
M
Owner
Christopher P. Tessitore, Executive V.P. of NNN GP
For National Retail Properties, LP
450 South Orange Avenue, Suite 900
Orlando, FL 32801
Subject: Stormwater Permit No. SW8120708
Name Change / Ownership Change
Taco Bell Sneads Ferry
Onslow County
Dear Mr. Igarashi and Mr. Tessitore:
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 June 5, 2014, the Wilmington Regional Office received a request to transfer the ownership of the
state stormwater management permit for the subject project. DEMLR staff has inspected the project,
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, a
copy of the approved plans 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 subject permit has been transferred on July 30, 2014 and to
remind you that this permit shall be effective until rescinded. For your records, please frid enclosed a
copy of the updated page 3 of the permit, an Addendum to the permit, a copy of the inspection report,
and a copy of the Name/Ownership Change form submitted on June 5, 2014. Please attach this cover
letter, updated page 3, and Addendum to your permit originally issued by the Division of Water Quality
on August 9, 2012.
Division of Energy, Mineral, and Land Resources
Land Quality Section — Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 • [phone] / Fax: [phone]

Mr. Igarashi & Mr. Tessitore
July 30, 2014
The designated permit holder, Bell Carolina LLC, shall be responsible for meeting the conditions and
limitations specified in the permit. As required for compliance, a copy of the lease agreement that
outlines Bell Carolina LLC's responsibilities for this stormwater system must be kept with the permit
and maintenance activity records.
Please be aware that it is the responsibility of the permit holder, Bell Carolina LLC to notify the
Division of any changes in ownership and request an ownership/name change for the stormwater permit.
However, please be reminded that if the lease agreement or contract between Bell Carolina LLC and
National Retail Properties, LP is dissolved, cancelled or defaults, and the Division is not notified by Bell
Carolina LLC to transfer the permit, then the responsibility for permit compliance reverts back to the
property owner. As the property owner, National Retail Properties, LP must notify the Division
immediately of the permit ownership change and submit a completed Name/Ownership form to the
Division within 30 days. Otherwise National Retail Properties, LP will be operating a stormwater
treatment facility without a valid permit. This 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, being taken against the property owner, National Retail Properties, LP.
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.
If you have any questions concerning the requirements of the permit or need additional copies of the
permit or approved plans, please do not hesitate to Steve Pusey with DEMLR in the Wilmington
Regional Office at [phone].
Sincerely,
For Tracy Davis, P.E., Director
Division of Energy, Mineral and Land Resources
GDS/ sgp: S:\WQS\Stonnwater\Permits & Projects\2012\120708 HD\2014 07 permit 120708
cc: Ronnie B. Matthews, Manager — R&S Matthews Properties, LLC
John H. Richards, PE — Thomas & Hutton, Wilmington
Onslow County Building Inspections
Wilmington Regional Office Stormwater File
Page 2 of 2

State Stormwater Management Systems
Permit No. SW8 120708
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL 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
Bell Carolina, LLC
Taco Bell Sneads Ferry
Intersite Intersection of Village Dr and Hwy 210, Sneads Ferry, Onslow County
FOR THE
construction, operation and maintenance of one (1) wet detention pond 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 Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until August 9, 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 1.8 of this permit. The stormwater control has been designed
to handle the runoff from 28,400 square feet of impervious area.
3. A 50' wide vegetative buffer must be provided and maintained adjacent 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. A vegetated filter strip is not required for this wet detention pond as it has been
designed to remove 90% of the total suspended solids.
The tract will be limited to the amount of built -upon area indicated in this permit, and
per approved plans. The built -upon area for the future development is limited to 1,000
square feet.
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.
The runoff from all built -upon area within the permitted drainage area(s) of this project
must be directed into the permitted stormwater control system.
Page 3 of 8

Addendum to Permit SW8 120708
The following additional terms and conditions apply because this permit is.issued to a lessee
who is operating under a lease agreement with the Owner:
A copy of the lease agreement that outlines Bell Carolina LLC's operation and
maintenance responsibilities for this stormwater system must be kept with the permit
and maintenance activities records.
2. It is the responsibility of the permit holder, Bell Carolina LLC, to notiDivision of
any changes in ownership and request an ownership/name change Zrfothe stormwater
permit. However, please be reminded that if the lease agreement or contract between
Bell Carolina LLC and National Retail Properties, LP is dissolved, cancelled or
defaults, and the Division is not notified by Bell Carolina LLC to transfer the permit,
then the responsibility for permit compliance reverts back to the property owner. As
the property owner, National Retail Properties, LP must notify the Division immediately
of the permit ownership change and submit a completed Name/Ownership form to the
Division within 30 days. Otherwise National Retail Properties, LP will be operating a
stormwater treatment facility without a valid permit. This 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 $10,000 per day, being taken against the
property owner, National Retail Properties, LP.

Permit Number:_ -5-�i�a %,5) d
(/a be provided by DfVQ)
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 m nimized 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:
Potential problemi
How 1 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 planta
ground cover and water until it is
established. Provide time and a
one-time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximately six inches.
Form SW401-Wet Detention Basin O&M-Rev.4
RECEIVED
LD
JUL 2 4 Z01Z
BY:
Pa-e I 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
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 s ra in .
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 So% of
with pesticide (do not spray).
the bashrsurface.
RECEIVED
Form SW401-Wet Detention Basin O&M-RevA JUL 2 4 2012 Page 2 of 4
BY:

Permit Number:
(to be provided by DN'Q)
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 sibms 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 __51 feet in the main pond, the
sediment shall be removed.
When the permanent pool depth reads 5" feet irf the forebay, the sediment
shall be removed.
Sediment Removal
Bottom El
BASIN DIAGRAM
(fill in the blanks)
5100 Pe manen
-------------- -- volume
50.)0 -fl Min.
Sediment
Storage
FOREBAY
Form SW401-Wet Detention Basin O&M-Rev.4
Permanent Pool Elevation 56.00
Pool
Sediment Removal Elevation 5100 volumI
----------------------- ------
Bottom Elevation
MAIN POND
1 AliCEI V ED
I>age 3 of 4
JUL 2 4 2012
BY:
1-ft
Storage

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 nome:Taco Bell Sneads Ferry
QlflP drainage area number:
Print name:Ronnie B. Matthews / R&S Matthews Properties, Inc
Title:Member / Manager
Address: 10191 Ramsey Street, Linden, NC 28356
Phone:[phone]
C�w�l
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.
1, A DI 4 /, IrLzIQ rTLi . a Notary Public for the State of
0AG2AA4� County of-`&k do hereby certify that
G�rn,•rr �%��ll�cet �r� personally appeared before me this jjfk
day of , spa , and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal, 'A6 , iF"-h a'lz_ 0 U d-j" z-utz.
Al" 'rt f'� ' _
SEAL
My commission expires 6-- 3 oZ0/-�_
Form SW401-Wet Detention Basin O&M -Rev. I JUL 2 4 2012 I Page 4 of 4

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION
1. Stormwater Management Permit Number: SW8 120708
2. Project Name: Taco Bell Sneads Ferry
3. Current Permit Holder's Company Name/Organization: R&S Matthews Properties, LLC
4. Signing Official's Name: Ronnie B. Matthews Title: Member/Manager
5. Mailing Address: P.O. Box 87886
City: Fayetteville State: NC Zip: 28304
6. Phone:( 910 ) 323-9700 Fax: 910 ) 323-9703
It. PROPOSED PERMITTEE / OWNER / PROJECT / ADDRESS INFORMATION
This.request is for: (please check all that apply)
❑ Name change of the owner (Please complete Items 1, 2 and 3 below)
❑ Name change of project (Please complete Item 5 below)
❑x Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
❑ Mailing address / phone number change. (Please complete Item 4 below)
❑ Other (please explain):
1. Proposed permittee's company name/organization: Bell Carolina LLC
2. Proposed permittee's signing official's name: Ronald 1parashi
3. Proposed permittee's title: Secretary
4. Mailing Address: P.O. Box 507
City: West Linn
Phone: (503 ) 722-2825
State: OR Zip: 97068
Fax:( )
5. New Project Name to be placed on permit: Taco Bell #030572
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 #1 above and provide name of HOA/POA's authorized representative in #2 above)
❑ The property owner
❑x 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) ECEUVE
JUN 00 2014
SSW N/O Change Rev24Sept2012 Page 1 of 4 By:

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 if 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/its 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 required supporting information
and attachments listed above are not included, this application package will be returned as
incomplete.
❑x Check here if current permittee is transferring the property to anew owner and will not retain
ownership of the permit.
I, R&S Matthews Properties, LLC the current permittee, am submitting this application
for a transfer of ownership for permit # SW8 120708 . I hereby notify DWQ of the sale or
other legal transfer of the stormwater system associated 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.
Signature:G_ (TDate: os al - 2ei�
a Notary Public for the State of
,/_ � U
, County of /_ - , do hereby certify that
/ZOi1 L,L P_ A , personally appeared before me this the
.71s�- day of May , 20 14 , and acknowledge the due execution of the
forgoing instrument.
Witness my hand and official seal, ����111 i�� (Notary Seal)
Notary Signature a
NO TARP
r a n�rwar mh �L� �ti . i- 3-Lots— PUBLIC
U
SSW N/O Change Rev24Sept2012 Page 2 of
,co
00111110%%

. V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
. Proposed Permittee for all transfers of ownership)
I, Bell Carolina LLC hereby 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)
xBthe 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
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 Wt({rluc�ed, tLf�iapplication ackage will be returned as incomplete.
e aro na
Signature: B r Date: S� y
a Notary Public for the State of
0% ,�a , County of ryl 4 4 2%! , do hereby certify that
Ronald Igarashi, Secretary of Bell Carolina LLC personally appeared before me this the
9°t'% day of May 2014 and acknowledge the due execution of the
1111011forgoing ins ument. Witness my hand and official seal, •�```1R I A ���'
N ,��'•:
Nota i niatureCzwWM HUM
— -
NMry Pubk, Sure Of 01110. Cup. Cty.
My Commission exp es 08/1912017
Additional copies of the original permit and the approved Operation a'1dowiWbriance 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.
SSW N/O Change Rev24Sept2012 Page 3 of 4

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VI. PROPOSED PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections II 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: National Retail Properties, LP, a Delaware limited partnership ("NRP")
Title within the Organization:
Street Address: 450 South OI
City: Orlando
Mailing Address: same
City:
Avenue, Suite 900
State: FL
(if different from street address)
State:
Phone: [phone]
Fax: n/a
Zip: 32801
Zip:
Email: effective as of the Closing of the transaction with the current Permittee NRP will
I certify that"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.
Proposed
As theegal 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 DWQ Stormwater permit. As the property owner, it is my responsibility to notify
DWQ 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 appr9pliate enforcem action including the assessment of
civil penalties of up to $25,000 per day, p rs ant to 143 15.6.
Proposed NATIO A R TAJ I �i , by NNN GP Corp., as its General Partner
Signature of the�roperty owner Bv: t L—/� Date: 6/a f ���i�l
NameiTitlelChfistopher P. Tessttore ]Executive Vice President
�� Dabtowskt , a Notary Public for the State of
FLORIDA , County of ORANGE , do hereby certify that
Christopher P. Tessitore personally appeared before me this the
c;Qg '�5k day of May 20 14 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
All(Notary Seal)
Nc ry Si nature
DEBRA L. D:F'O'NSJ
MY COMMISSIOEE 03EXPIRES: Novber S, ondId Thor NotaryNic llnd
SSW N/O Change Rev24Sept2012 Page 4 of 4

Permit No. w D QD b/ O
(to be provided by D WD)
O2ot WA7Eg ,e,
TAti
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be tilled out, printed and submitted.
The Requi ed Items Checklist (Pan lilt must be printed, filled out and submited along with all of the required infonnaltan.
Project name
Contact person
Phone number
Date
Drainage area number
II. DESIGN INFORMATION
Site Characteristics
7126)2012
Drainage area
51,660 ft'
Impervious area, post -development
28,400 ft'
%impervious
54.97 %
Design rainfall depth
1,5in
Storage Volume: Non -SA Waters
Minimum volume required
3,518 13
Volume provided 5,178 ft3
Storage Volume: SA Waters
1.5" runoff volume
ft3
Pre -development 1-yr, 24-hr runoff
ft3
Post -development 1-yr, 24-hr runoff
ft3
Minimum volume required
ft3
Volume provided
It
Peak Flow Calculations
Is the pre/post control of the lyr 24hr storm peak flow required?
N (Y or N)
1-yr, 24-hr rainfall depth
3.7 in '
Rational C, pre -development
0.15 (unitless)
Rational C, post -development
0,57: limitless)
Rainfall intensity: 1-yr, 24-hr storm
0.16 infhr
Pre -development 1-yr, 24-hr peak flow
0,03 ft3/sec
Post -development t-yr, 24-hr peak flow
0.03 ft3isec
PrelPost 1-yr, 24-hr peak flow control
0.00 ft3/sec
Elevations
Temporary pool elevation
57.00 fmsl
Permanent pool elevation
56 00Tmsl
SHWT elevation (approx. at the pen. pool elevation)
56.00 frost
Top of 1 Oft vegetated shelf elevation
56.50 fmsl
Bottom of 1 Oft vegetated shelf elevation
55.50 fmsl
Sediment cleanout top elevation (bottom of pond)
51.00 fmsl
Sediment cleanout, bottom elevation
50.00 frost
Sediment storage provided
1.00 ft
Is there additional volume stored above the state -required temp. pool?
N (Y or N)
Elevation of the top of the additional volume
frost
OK, volume provided is equal to or in excess of volume required.
OK ECEIVE
AUG 0 6 2012
BY
Form SW401-Wet Delenlioo Basin-Rev.9411&12 Paris 1. & 11, Design summary, Page 1 of 2

Permit
(to be provided by i
II. DESIGN INFORMATION
Surface Areas
Area, temporary pool
Area REQUIRED, permanent pool
SAIDA ratio
Area PROVIDED, permanent pool, A,,,_,,,
Area, bottom of 10ft vegetated shelf, A.,
Area, sediment deanoul, top elevation (bottom of pond), A,,, I„d
Volumes
Volume, temporary pool
Volume, permanent pool, Va,,,, ,,,,
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?
MountairdPiedmont SAIDA Table Used?
SAIDA ratio
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10.2b)
Volume, permanent pool, V,, "
Area provided, permanent pool, A,,,, .i
Average depth calculated
Average depth used in SAIDA, d„, (Round to nearest 0.5ft)
Calculation option 2 used? (See Figure 10-2b)
Area provided, permanent pool, A,,_.
Area, bottom of 10ft vegetated shelf, Aoo, ,,<,
Area, sediment cleanout, top elevation (bottom of pond), A,,,_,,,,,,
"Depth" (distance bAv, bottom of 10ft shelf and top of sediment)
Average depth calculated
Average depth used in SAIDA, d„, (Round to down to nearest (i
Drawdown Calculations
Drawdown through orifice?
Diameter of orifice (if circular)
Area of orifice (if -non -circular)
Coefficient of discharge (Co)
Driving head (H,)
Drawil through weir?
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 orifice or weir)
Storage volume drawdown time
Additional Information
Vegetated side dopes
Vegetated shelf slope
Vegetated shelf width
Length of flowpath to width ratio
Length to width ratio
Trash rack for overflow & onfce?
Freeboard provided
Vegetated filter provided?
Recorded drainage easement provided?
Carries all runoff at ultimate build -out?
Drain mechanism for maintenance or emergencies is:
5,861 ft'
3,255 ft2
6.30 (unitless)
4,024 ft' OK
2,792 ff2
944 flz
5,178 It' OK
8,592 ft'
1,602 It'
18.6 % % OK
90 %
Y
(Y or N)
N
(Y or N)
6.30 (unitless)
N
(Y or N)
8,592 It'
4,024 ft2
fl
Need 3It min.
1t
Y
(Y or N)
4.024 ft'
2,792 ft2
944 ft'
4.50 ft
3.43 ft
OK
3.0 ft
Insufficient. Check calculator.
ovvAY 1 �
�T f
G�
Y
(Y or N)
ctfi1/stilIa
1.00 in
in
0.06 (unitless)
0.32 ft
N
(Y or N)
.(unitless)
(unitless)
ft
fit
0.03ft'Isec
0.03. ft'/sec
0.01 ft'/sec
2.74: days
OK, draws down in 2-5 days.
E 4 F_F W 1=n
T:1
OK
AUG 0 6 2012
70 :1
OK
10.0 ft
OK
3 :1
OK B,G_
2.0:1
OK --
(Y or N)
1.5ft
OK
N (Y or N)
OK
N (Y or N)
Insufficient. Recorded drainage easement required.
Y (Y or N)
OK
Portable pump. The site will have a single user & not subdivided. Thus no easement
Foon SW401-Wet Detention Basin.Rev.9d119112 Parts I. & 11. 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
heel No.
SPIR
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 (ROW).
Overflow device, and
Boundaries of drainage easement.
C 4 •/�
2. Partial plan It" = 30' or larger) and details for the wet detention basin showing:
CD . I�
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.
Cq • 2
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.
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.
J Ak
Piz MrJ 61
5. A table of elevations, areas, incremental volumes & accumulated volumes for overall pond and for forebay,
to verify volume provided.
Shl�
3 •
6. A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized.
S 2
ear r
7. The supporting calculations.
511r2
ATfACW
6. A copy of the signed and notarized operation and maintenance (0&M) agreement.
AIIA
9. A copy of the deed restrictions (if required).
1'a`MT
10. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. County
f1c' x$0
soil maps are not an acceptable source of soils information.
Form SW401-Wet Detention Basin-Rev.9-4/18/12
RECRIVED
JUL 2 4 2012
BY:�_
Part III. Required Items Checklist, Page 1 of 1

State Stormwater Management Systems
Permit No. SW8 120708
Taco Bell - Sneads Ferry
Stormwater Permit No. SW8 120708
Onslow County
Designer's Certification
I, John Richards , as a duly registered Engineer in the State
of North Carolina, having been authorized to observe (periodically/ weekly/ full time) the
construction of the project,
Taco Bell - Sneads
(Project)
for R&S Matthews Properties, LLC (Project Owner) hereby state that, to the best
of my abilities, due care and diligence was used in the observation of the project construction
such that the construction was observed to be built within substantial compliance and intent
of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specifications:
Signature �,lL.� Y
Lt
Registration Number 25939
Date 3/22/13
ECEIVE
REAR 2 2 2013
By:
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Pace 7 of 8

State Stormwater Management Systems
Permit No. SW8 120708
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.
6.
The outlet structure is located per the approved plans.
7.
Trash rack is provided on the outlet 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 and located per the approved
plans.
J
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.
�1/[_16.
All components of the stormwater BMP are located in either recorded common
areas, or recorded easements.
cc:
NCDENR-DWQ Regional Office
Onslow
County Building Inspections

'uTHOMAS • HUTTON
TO: Christine Nelson
NCDENR - Division of Water
127 Cardinal Drive
Wilmington, NC 28405
We are sending you ® attached ❑ under separate cover
Date
LETTER OF TRANSMITTAL
Date: 3/22/13 Job No.: 23988.303
Re: Taco Bell Sneeds Ferry, NC
Stormwater Certification
UPS the following items.
These are transmitted as checked below:
® For Approval ❑ Approved as Submitted ® Resubmit Copies for Approval
® For Your Use ❑ Approved as Noted ❑ Submit Copies for Distribution
❑ As Requested ❑ Returned for Corrections ❑ Return Corrected Prints
Remarks
CPlease find-the-attached;-please-confirm-receiptin-writing�
Copy to Signed l F I wy�y
® 1350 Farrow Parkway/P.O. Box 8000/Myrtle Beach, SC 29578-8000/Telephone [phone]/Fax [phone]
MAR 2 2 2013
Zt,\23988\23988,0000\Documents\Closeouts\NCDENR-Nelson-T-sw cert.doc